Effect of salt intake and potassium supplementation on brachial-ankle pulse wave velocity in Chinese subjects: an interventional study

Accumulating evidence has suggested that high salt and potassium might be associated with vascular function. The aim of this study was to investigate the effect of salt intake and potassium supplementation on brachial-ankle pulse wave velocity (PWV) in Chinese subjects. Forty-nine subjects (28-65 years of age) were selected from a rural community of northern China. All subjects were sequentially maintained on a low-salt diet for 7 days (3.0 g/day NaCl), a high-salt diet for an additional 7 days (18.0 g/day NaCl), and a high-salt diet with potassium supplementation for a final 7 days (18.0 g/day NaCl+4.5 g/day KCl). Brachial-ankle PWV was measured at baseline and on the last day of each intervention. Blood pressure levels were significantly increased from the low-salt to high-salt diet, and decreased from the high-salt diet to high-salt plus potassium supplementation. Baseline brachial-ankle PWV in salt-sensitive subjects was significantly higher than in salt-resistant subjects. There was no significant change in brachial-ankle PWV among the 3 intervention periods in salt-sensitive, salt-resistant, or total subjects. No significant correlations were found between brachial-ankle PWV and 24-h sodium and potassium excretions. Our study indicates that dietary salt intake and potassium supplementation, at least in the short term, had no significant effect on brachial-ankle PWV in Chinese subjects.

A Preliminary Estimation on Carbon Footprint of Raw Water from the Reservoirs for Domestic Use in Taiwan.

This study aims to evaluate the carbon footprint of raw water from reservoirs for domestic use in Taiwan. It also provides a preliminary measure and reference database for greenhouse gas (GHG) emission of reservoir systems in Taiwan. Four reservoirs, Feitsui (F.T.) and Liyutan (L.Y.T.) in subtropical zone and Nanhua (N.H.) and Tsengwen (T.W.) in tropical zone, were selected as the cases to be examined for carbon footprint inventory, including the GHG emission from the water body and from human activities. Carbon footprint inventory followed PAS 2050 (2011 Specification for the assessment of the life cycle greenhouse gas emissions of goods and services). GHG emission from water body followed the instruction of UNESCO guidelines. The boundary of this inventory covers the water intake works, impoundment region, the dam, the affiliated hydroelectricity power plant, the administration center and other facilities. In this study, the floating chambers with gas chromatography (GC) were chosen to measure the GHG flux from the water body. For the emission of CH4 and N2O from the water body, there are no significantly difference between the fluxes during the daytime and nighttime. For carbon dioxide, the instantaneous flux during the nighttime is higher than the daytime flux. The two reservoirs in tropical zone emit more CO2e from the water body than those in subtropical zone. Summarizing the direct and indirect GHG emission, for the four reservoirs, the annual emission quantities ranged from 653 ton of CO2e to 23,146 ton of CO2e. The carbon footprint of water supply for domestic use ranged from 0.002 kg CO2e/m3 to 0.028 kg CO2e/m3. Roughly speaking, the total GHG emission quantity of the 24 main reservoirs in Taiwan was estimated to be around 121,800 ton of CO2e with the total yield of 4.35 billion m3 of water annually using the highest carbon footprint 0.028 kg CO2e/m3.

Yields from blood cultures of patients with suspected paratyphoid fever A

The yield and speed of detection of Salmonella enterica serotype Paratyphi A from the blood of patients with suspected paratyphoid fever A in 13 500 paired aerobic and anaerobic bottles (AEB, ANB) that were each filled with 5 ml of blood by the BacT/ALERT 3D system were compared, and the blood bacterial counts of 1 000 probable patients were estimated by pour plate method. A total of 4 060 isolates were recovered, of these, 3 149 were recovered from both AEB and ANB, 461 from the AEB only, and 450 from the ANB only. The estimating median bacterial count in blood from 400 patients was 0.5 CFU/ml. The research findings demonstrate that the blood volume drawn is an important factor determining the yields from blood cultures. Growth of significantly more isolates was detected earlier in AEB.

Administración de vacunas y casos de muerte súbita del lactante en el Perú, 2001. ¿Asociación o coincidencia temporal? / Immunization and sudden death in infants in Peru, 2001. Is it an association or a temporary coincidence?

Objetivos: Describir las características clínicas, socioeconómicas, y patológicas de nueve casos de lactantes que fallecieron horas después de administrárseles vacunas antipolio y DPT junto con anti Haemophilus influenzae b o asociada con antihepatitis B o BCG. Materiales y métodos: Revisión de la historia clínica, entrevista con el equipo de salud a cargo de la vacunación y con los padres del lactante fallecido. Revisión de los informes del protocolo de autopsia e informes de anatomía patológica y entrevista con los médicos legistas y patólogos. Evaluación de controlde calidad de las vacunas administradas. Realización de exámenes de inmunohistoquímica de tejidos pulmonarespara el diagnóstico de virus. Resultados: Entre agosto y diciembre de 2001 se notificaron en el Perú, nueve casos de fallecimiento de lactantes entre ocho horas y tres días después de la aplicación de vacunas DPT y antipolio. Después de la vacunación, los síntomas iniciaron entre 30 minutos a tres horas y la muerte se produjo entre ocho a 78 horas. Los síntomas más frecuentes fueron irritabilidad 8/9, llanto persistente 6/9, somnolencia 5/9, sangrado por nariz y boca5/9. Todos los casos procedieron de familias pobres o muy pobres. El control de calidad se corroboró que las vacunas cumplieron con los estándares establecidos por la OMS. Las causas de la muerte reportadas en las necropsias fueron neumonía en dos casos y edema pulmonar en cinco casos, los informes de anatomía patológica mostraron una neumonitis intersticial y meningitis linfocitaria. No se observaron efectos citopáticos virales en los tejidos pulmonares y los estudios toxicológicos fueron negativos. Conclusiones: No existe evidencia de una asociación causal entre los eventosfatales y la administración de las vacunas.

Objectives: To describe clinical, socio-economic, and pathological characteristics of nine infants who died hours after receiving anti-polio and DPT vaccines, together with anti-Haemophilus influenzae b or in association to anti-hepatitis B vaccine or BCG. Materials and methods: Review of the clinical record, interview with the healthcare team in charge of immunization, and with parents of the deceased infant. Review the autopsy and pathology reports, as well as an interview with pathologists and forensic physicians. Quality control assessment of vaccines used immunohistochemistry examinations for virus diagnosis. Results: Between August and December 2001, nine cases of infant death were reported in Peru, between 8 hours and 3 days after receiving DPT and anti-polio vaccines. After immunization, symptoms appeared from thirty minutes to three hours, and death occurred between 8 to 78 hours. Most frequently reported symptoms were: irritability (8/9), persistent weeping (6/9), somnolence (5/9), nose and mouth bleeding (5/9). All cases occurred in poor or very poor families. Quality control assessments corroborated that vaccines complied with standards set by the World Health Organization. Causes of death reported in autopsies were pneumonia in 2 cases and pulmonary edema in 5 cases; pathology reports indicated the presence of interstitial pneumonitis and lymphocyte meningitis. No viral cytopathic effects in pulmonary tissues were found, and toxicological studies were reported as negative. Conclusions: There is no evidence of a causal relationship between fatal events and vaccine administration.

Cómo lograr la óptima colaboración del niño en el consultorio dental / How to achieve optimal child co-operation in the dental office

El propósito del presente estudio fue evaluar la conducta de un grupo de niños durante su tratamiento dental mediante la utilización de técnicas no farmacológicas, así como también medir el grado de satisfacción alcanzado por los niños respecto a su tratamiento. El grupo de estudio estuvo constituido por 25 niños de 3 a 9 años de edad que fueron atendidos en la Clínica de Odontología Pediátrica Postgrado de la Facultad de Estomatología de la Universidad Peruana Cayetano Heredia (Lima, Perú), todos ellos con diagnóstico de caries dental y pulpitis irreversible que recibieron tratamiento de operatoria o terapia pulpar. El estudio concluye que las técnicas no farmacológicas son apropiadas para reducir la ansiedad en niños y lograr una colaboración óptima durante su tratamiento, permitiendo una adecuada relación paciente-dentista. A través del test de satisfacción del tratamiento dental de Tarnowski y Simonia se determinó que la mayoría de los niños presentaron grados de satisfacción positivos respecto de la atención que recibieron

Interleukin 2 and lymphokine-activated killer cells in the treatment of childhood primary hepatocellular carcinoma--a preliminary report.

Recombinant interleukin-2 (RIL-2) and lymphokine-activated killer (LAK) cells were administered to 2 boys with the end-stage of primary hepatocellular carcinoma (HCC); the efficacy and toxicity were evaluated. Immunologically, the natural killer and LAK activities were enhanced. Clinically, the side effects were similar to those reported for adults but milder. This kind of treatment may be considered for children with the early stages of hepatocellular carcinoma.