Anticancer potential of Solanum lycopersicum L. extract in human lung epithelial cancer cells A549

The study aimed to reveal the phytochemical profile, free radical scavenging potential, and anticancer activity of Solanum lycopersicum L. leaf extract (SLLE). According to the study, SLLE contains plant secondary metabolites that are beneficial for health, like phenolics, flavonoids, ascorbic acid, alkaloids, and terpenoids. The SLLE has shown potential free radical scavenging potential in DPPH and ABTS free radical scavenging analysis and its EC50 values (concentration required to inhibit 50% of free radicals) were determined as 481.29 ± 33.82 and 527.56 ± 20.34 µg/mL, respectively. The SLLE has the ability to scavenge free radicals and could be used to treat illnesses brought on by oxidative stress. The anticancer activity of SLLE was assessed by MTT, LDH, micro-morphological, live/dead dual staining, and caspase-3 analysis. In the MTT assay, the IC50 value (concentration required to inhibit 50% of cell viability) of SLLE was determined as 190.41 ± 4.77 µg/mL. Furthermore, SLLE has shown potential anticancer activity by adversely affecting the plasma membrane integrity and escalating the caspase-3 levels. In the biomedical field, SLLE could be highly useful to treat cancer.

Dead heart of pith-decayed Scutellariae Radix: a study based on multi-omics / 中国中药杂志

Dead heart is an important trait of pith-decayed Scutellariae Radix. The purpose of this study was to clarify the scientific connotation of the dead heart using multi-omics. Metabolomics and transcriptomics combined with multivariate statistical analysis such as principal component analysis(PCA) and partial least squares discriminant analysis(PLS-DA) were used to systematically compare the differences in chemical composition and gene expression among phloem, outer xylem and near-dead xylem of pith-decayed Scutella-riae Radix. The results revealed significant differences in the contents of flavonoid glycosides and aglycones among the three parts. Compared with phloem and outer xylem, near-dead xylem had markedly lowered content of flavonoid glycosides(including baicalin, norwogonin-7-O-β-D-glucuronide, oroxylin A-7-O-β-D-glucuronide, and wogonoside) while markedly increased content of aglycones(including 3,5,7,2',6'-pentahydroxy dihydroflavone, baicalin, wogonin, and oroxylin A). The differentially expressed genes were mainly concentrated in KEGG pathways such as phenylpropanoid metabolism, flavonoid biosynthesis, ABC transporter, and plant MAPK signal transduction pathway. This study systematically elucidated the material basis of the dead heart of pith-decayed Scutellariae Radix with multiple growing years. Specifically, the content of flavonoid aglycones was significantly increased in the near-dead xylem, and the gene expression of metabolic pathways such as flavonoid glycoside hydrolysis, interxylary cork development and programmed apoptosis was significantly up-regulated. This study provided a theoretical basis for guiding the high-quality production of pith-decayed Scutellariae Radix.

Understanding the Relationship between Vaccine Supply Dead Space and Wasted COVID-19 Vaccine Doses

ABSTRACT Introduction: By July 2023, Brazil had administered approximately 540 million COVID-19 vaccine doses. This study aimed to quantify wasted doses resulting from dead space in vaccine supplies. Methods: The vaccine supply was initially weighed, filled with distilled water, and expelled to simulate administration. Weighing it again after the application determined the dead space volume. Descriptive analyses calculated the waste rate/wasted dose count. Results: The estimated total number of wasted vaccine doses using supplies with the lowest dead space was 62,097,338. Conclusions: Syringe dead space is a crucial factor in dose wastage, directly influencing the number of wasted doses.

The role of DDX5 RNA helicases on cancer progression and development / 中国医师杂志

DDX5 helicase (DEAD box helicases 5), also known as P68, is an important member of an ATP dependent RNA helicase.Studies have shown that DDX5 is abnormally expressed in a variety of cancers, targeting a variety of tumor related signal pathways, regulating upstream and downstream factors to affect the occurrence, invasion and migration of tumor cells. This article describes the biological role of DDX5 in malignant tumors and provides prospects for targeted treatment of tumors.

Dead space fraction for treatment guidance and prognosis evaluation of acute respiratory distress syndrome / 中华危重病急救医学

Acute respiratory distress syndrome (ARDS) is a common cause of critical illness and high mortality from respiratory failure. Increased dead space fraction (VD/VT) was independently associated with lung injury and mortality of ARDS. VD/VT is readily obtained by bedside measurements of arterial blood gas and end-tidal carbon dioxide. Early attention and application of VD/VT as an indicator will help to better understand the pathophysiological of ARDS, guide clinical treatment, and better assess the severity and clinical prognosis of the disease.

Direct measurement of urine tritium and estimation of internal doses to personnel at pressurized heavy water reactor nuclear power plants / 中华放射医学与防护杂志

Objective:To explore the optimization of tritium internal exposure monitoring and dose estimation for radiation workers at pressurized heavy water reactor nuclear power plants (PHWR NPPs).Methods:A total of 92 radiation workers at Candu-6 PHWR NPPs were observed to calculate the distribution of quenching index (tSIE). Ten samples with tSIE values ranging from 160 to 460 were selected to make the blank urine quenching curve. By comparing with the quenching curve accompined with the equipment, the optimization of correlationship of urine tritium measurement system was carried out. In estimating tritium internal radiation dose, the dose coefficient was optimized and adjusted by comparing the Canadian algorithm with the national standard algorithm. Dead time correction curve was drawn by means of heavy water simulation experiment diluting main heat transfer system.Results:Through the analysis and optimization of tritium internal dose estimation, the optimal dose coefficient was determined to be 4.8 and the quenching curve of blank urine sample was made. By comparison, it was found that the deviation was larger when tSIE<200, which confirmed the necessity of blank curve. When the tritium concentration in urine was higher than 2.4×10 4 Bq/ml, the urine sample needed to be diluted and then measured to correct the effect of death time. Conclusions:By optimizing both tritium internal exposure monitoring and dose estimation, not only the collective dose management can be improved, but also the unplanned tritium intake can be detected and treated in time, which plays an important role in ensuring the protection and safety of the radiation workers at PHWR NPPs.

Correlation between dead space fraction and pulmonary ultrasound score in patients with acute respiratory distress syndrome and its prognostic value / 中华危重病急救医学

Objective:To investigate the correlation between dead space fraction and lung ultrasound score (LUS) and their prognostic value in patients with acute respiratory distress syndrome (ARDS).Methods:The data of 98 patients with ARDS treated in the intensive care unit (ICU) of the First Affiliated Hospital of Jinzhou Medical University from January to December 2020 were collected and analyzed. The gender, age, acute physiology and chronic health evaluationⅡ(APACHEⅡ), oxygenation index, dead space fraction and LUS score immediately and 24, 48, 72 and 96 hours after ICU admission and 28-day outcomes of all patients were collected. Pearson correlation was used to analyze the correlation between dead space fraction and LUS score. Binary Logistic regression was performed to analyze whether the dead space fraction and LUS score could be the risk factors of the prognosis in patients with ARDS. Receiver operator characteristic curve (ROC) was used to analyze the predictive effect of dead space fraction and LUS score on 28-day mortality in patients with ARDS.Results:A total of 98 patients with ARDS were included, of which 76 cases survived and 22 cases died within 28 days. With the prolongation of ICU stay, the dead space fraction and LUS score in the survival group increased first and then decreased. The dead space fraction and LUS score in the death group continued to increase to 96 hours, and were significantly higher than those in the survival group (dead space fraction: 0.569±0.019 vs. 0.491±0.021, LUS score: 20.09±2.39 vs. 15.13±1.91, both P < 0.05). There was a positive correlation between the dead space fraction and LUS score at 48, 72 and 96 hours in ICU ( r values were 0.200, 0.471 and 0.677, all P < 0.05). Binary Logistic regression analysis showed that dead space fraction and LUS score were independent risk factors affecting the prognosis of patients with ARDS [dead space fraction: odds ratio ( OR) was 69.064, 95% confidence interval (95% CI) was 22.680-123.499, P = 0.008; LUS score: OR was 4.790, 95% CI was 1.609-14.261, P = 0.005]. The results of ROC curve analysis showed that the dead space fraction at 48, 72 and 96 hours after ICU admission could be used to predict the 28-day mortality of patients with ARDS, the sensitivity was 59.1%, 90.9% and 95.5%, and the specificity was 89.5%, 80.3% and 98.7%. The area under the curve (AUC) of dead space fraction predicting 28-day mortality was 0.802, 0.952 and 0.998, all P < 0.01. The LUS score of 72 hours and 96 hours in ICU could be used to predict the 28-day mortality of patients with ARDS, the sensitivity was 77.3%, 77.3% and 100.0%, and the specificity was 68.4%, 88.2% and 80.3%, respectively. The AUC of the LUS score to predict the 28-day mortality of patients were 0.935 and 0.959, both P < 0.01. Conclusion:There was significant correlation between dead space fraction and LUS score, both of which were risk factors of 28-day mortality and be used to evaluate the 28-day prognosis of patients with ARDS.

Predictive value of 18F-FDG PET/CT for anti-MDA5 antibody and prognosis of dermatomyositis / 中华核医学与分子影像杂志

Objective:To assess the imaging characteristics of muscle FDG metabolism, tumor incidence, and pulmonary interstitial changes in patients with anti-melanoma differentiation-associated gene 5 (MDA5) antibody positivity in 18F-FDG PET/CT imaging, and the value of 18F-FDG PET/CT in differentiating anti-MDA5 antibody positive dermatomyositis. Methods:From June 2016 to July 2019, the PET/CT images of 75 patients with dermatomyositis (21 males, 54 females, age (52.3±14.3) years; 34 anti-MDA5 antibody positive and 41 anti-MDA5 antibody negative) and 30 healthy controls (10 males, 20 females; age (53.5±11.8) years) were retrospectively analyzed in Renji Hospital, School of Medicine, Shanghai Jiao Tong University. The SUV max of muscle was measured and the mean of SUV max (mSUV max) was calculated. Statistics of patients with dermatomyositis complicated with neoplastic lesions and the SUV max of pneumonia lesions in patients with dermatomyositis complicated with interstitial pneumonia was determined. Independent sample t test, one-way analysis of variance, Student-Newman-Keuls (SNK) test and χ2 test were used to analyze data. The ROC curve analysis was used to analyze the diagnostic efficacy of mSUV max for the differential diagnosis of anti-MDA5 antibody positive dermatomyositis. Results:The muscle mSUV max of the control group, anti-MDA5 antibody positive and negative groups were 0.39±0.05, 0.66±0.21 and 0.87±0.29 ( F=39.93, P<0.001), respectively. The muscle mSUV max of dermatomyositis patients was increased compared with healthy controls ( q values: 6.76, 12.63, both P<0.001), and the muscle mSUV max of anti-MDA5 antibody negative was higher than positive ( q=5.79, P<0.001). The AUC was 0.74, and the cut-off value of muscle mSUV max was 0.75 with the accuracy of 74.7%(56/75). Of 41 patients with negative anti-MDA5 antibody, there were 6 (14.6%) had malignant tumor, while there was no malignant tumor in patients with positive anti-MDA5 antibody (0/34; χ2=5.41, P=0.020). There were 11 patients (26.8%, 11/41) with anti-MDA5 antibody negative dermatomyositis complicated with interstitial pneumonia and 33 patients (97.1%, 33/34) with anti-MDA5 antibody positive dermatomyositis complicated with interstitial pneumonia ( χ2=37.81, P<0.001). FDG metabolism in anti-MDA5 antibody positive patients was higher than that in anti-MDA5 antibody negative patients (lesion SUV max: 3.65±1.83 and 2.38±1.27; t=2.13, P=0.039). Conclusions:The muscle FDG metabolism of anti-MDA5 antibody positive dermatomyositis patients is higher than that of healthy controls, but lower than that of anti-MDA5 antibody negative patients. The incidence of neoplastic lesions in patients with positive anti-MDA5 antibody is lower than that in patients with negative anti-MDA5 antibody. The proportion and severity of interstitial pneumonia are higher in patients with positive anti-MDA5 antibody than in those with negative anti-MDA5 antibody. 18F-FDG PET/CT has certain value on identifying anti-MDA5 antibody positive dermatomyositis.

Feminicídio Brasil-México: experiências das colonizações violentas dos corpos de mulheres negras e indígenas / Brazil-Mexico feminicide: experiences of violent colonization of the bodies of black and indigenous women

O feminicídio é um crime de gênero que pode ocorrer tanto no âmbito privado como no público, em diversos contextos societários, e a motivação se dá pelo desprezo à mulher, ou seja, é um crime misógino. Os autores do crime, em sua maioria, são do gênero masculino e possuem algum tipo de laço afetivo, consanguíneo ou não com a vítima. Tanto no Brasil como no México, há uma tendência de morrerem/serem assassinadas um tipo específico de raça/etnia/cor de pele por feminicídio. No Brasil, conforme o Atlas da Violência de 2020, 68% das que são assassinadas por feminicídio são mulheres negras e, no México, 59% das mulheres que sofrem de feminicídio são indígenas (INEGI, 2015). Nesse sentido, o artigo trata da falta de atenção do Estado em ambos os países para essas mulheres que padecem mais, pois as instituições públicas são omissas em protegê-las, ou seja, há a ausência de políticas públicas específicas, configurando-se como uma ação necropolítica em que o Estado autoriza quais corpos podem ser assassinados: os corpos das mulheres negras e das mulheres indígenas. Deste modo, o método utilizado é o materialismo-histórico dialético a partir de uma revisão bibliográfica para fazer as leituras da conformação sócio-histórica dos países e através da perspectiva de colonialidade, neocolonialidade, decolonialidade, associando-as a outros elementos fundantes, como a interseccionalidade, a fim de correlacionar a incidência de feminicídio de mulheres negras e a sua negligência no Brasil, e, no México, em relação às mulheres indígenas, buscando as causas de tal ausência de políticas públicas na formação histórica de cada país, bem como tratando aqui daquelas que não se encontram nos dados estatísticos em ambos os países, em que, neste trabalho, tal situação foi chamada de ponto cego

Femicide is a gender crime that can occur both in the private and public spheres, in different societal contexts, and the motivation is given by contempt for women, that is, it is a misogynistic crime. The perpetrators of the crime, for the most part, are male and have some kind of affective bond, consanguineous or not. In both Brazil and Mexico, there is a tendency for a specific type of race/ethnicity/skin color to be killed/murdered by femicide. In Brazil, according to the 2020 Atlas of Violence, 68% of those killed by femicide are black women, and in Mexico, 59% of women who suffer femicide are indigenous (INEGI, 2015). In this sense, the article deals with the lack of State attention in both countries for these women who suffer the most, as they fail to protect them, that is, there is a lack of specific public policies, configuring itself as a necropolitical action in that the State authorizes which bodies can be murdered: the bodies of black women and indigenous women. In this sense, the method used is the dialectical historical-materialism from a bibliographic review to make the readings of the socio-historical conformation of the countries and through the perspective of coloniality, neocoloniality, decoloniality, associating them with other founding elements such as intersectionality in order to correlate the incidence of femicide of black women and its negligence in Brazil, and, in Mexico, in relation to indigenous women, seeking the causes of such absence of public policies in the historical formation of each country, as well as dealing here with those that do not are found in the statistical data in both countries, where, in this work, this situation was called a "blind spot"

DIA DOS MORTOS E A VIVÊNCIA DO LUTO: RELATO DE EXPERIÊNCIA / DAY OF THE DEAD AND THE EXPERIENCE OF BEREAVEMENT: EXPERIENCE SAMPLING / DÍA DE LOS MUERTOS Y EL LUTO: NARRACIÓN DE LA EXPERIENCIA

O luto envolve dimensões individuais, familiares, socioculturais e espirituais, demandando do psicólogo abertura para dialogar com outras áreas de conhecimento, visando ampliar a compreensão da experiência de quem sofre a perda de alguém significativo. Este trabalho objetiva relatar a participação de três psicólogas brasileiras na festa do Dia dos Mortos, em Ocotepec, México. O método utilizado foi a etnografia, com registro das observações em diário de campo individuais. Observou-se a importância dos rituais para o enfrentamento do luto e suas diferentes expressões. A presença de diversos símbolos que resgatam a lembrança da pessoa falecida, preservando sua memória, possibilitou considerar o modelo de vínculos contínuos no enfrentamento de uma perda significativa. A morte é celebrada e versada coletivamente no México, enquanto é tema tabu no Brasil. A vivência desses ritos possibilitou compreender os atravessamentos sociais e culturais da morte e do luto, experiência salutar para a construção de uma clínica ampliada.

Bereavement involves individual, familial, social, cultural and spiritual dimensions, demanding that psychologists open to dialogue with other areas of knowledge, aiming to broaden the understanding of the experience of those who suffer the loss of someone significant. This work aims to report the participation of three psychologists in the Day of the Dead party, in Ocotepec, Mexico. The method used was ethnography, with observations recorded in individuals field diaries. The presence of several symbols that recover the memory of the deceased person, preserving their memory, made it possible to consider the model of continuous bonds in coping with a significant loss. Death is celebrated and versed collectively in Mexico, while it is a taboo subject in Brazil. The experience of these rites made it possible to understand the social and cultural crossings of death and grief, a healthy experience to build an expanded clinic.

El duelo involucra dimensiones individuales, familiares, socioculturales y espirituales que exigen del psicólogo apertura para dialogar con otras áreas del conocimiento, ampliando la comprensión de la experiencia de aquel que sufre la pérdida de alguien significativo. Este trabajo relata la participación de psicólogas brasileñas en la fiesta del Día de Muertos en Ocotepec, México. El método utilizado fue la etnografía, con registro de observaciones en diarios de campo. Se observó la importancia de los rituales en el afrontamiento del duelo. La presencia de símbolos que rescatan el recuerdo de la persona fallecida permitió considerar el modelo de enlaces continuos en el afrontamiento de una pérdida significativa. La muerte es celebrada y reconocida colectivamente en México, mientras que en Brasil es un tema tabú. La vivencia de estos rituales permitió comprender las intersecciones sociales y culturales de la muerte y el duelo, experiencia benéfica para la construcción de una clínica ampliada.

Relationship between DEAD-box helicase 5, transcription factor 12 and amyotrophic lateral sclerosis / 解剖学报

Objective To explore the relationship between the expression of DEAO-box helicase 5(DDX5) and transcription factor 12(TCF12) with amyotrophic lateral sclerosis ( ALS ) hippocampal lesions by detecting the expressions and the interaction of DDX5 and TCF12 in the hippocampus of SOD1-G93A mutant ALS transgenic mice. Methods Forty- two pairs of SOD1-G93A mutant ALS transgenic mice and wild-type mice were divided into three groups at the age of 95 days (early onset stage), 108 days (middle onset stage) and 122 days (late onset stage). RT-PCR, Western blotting and double immunofluorescence labeled technique were used to detect the expressions of DDX5 and TCF12 in the hippocampus. Co-immunoprecipitation assasy was used to detect the interaction between DDX5 and TCF12. Results Compared with the wild-type mice of the same age, DDX5 and TCF12 mRNA in the hippocampus of SOD1-G93A mutant ALS transgenic mice were unchanged, but DDX5 and TCF12 protein were up-regulated significantly at day 95, 108 and 122. DDX5 and TCF12 positive cells were found in both DG area and hippocampus proper, and DDX5 and TCF12 were co-localized with neurons. The immunoreactivities of DDX5 and TCF12 in the hippocampus of SOD1-G93A mutant transgenic mice were elevated compared with wild-type mice at the same time point. Co-immunoprecipitation assasys confirmed that there existed interactions between DDX5 and TCF12 protein. Conclusion DDX5 and TCF12 protein are up-regulated in the hippocampal tissues of SOD1-G93A mutant ALS transgenic mice. The abnormal expressions of DDX5 and TCF12 are involved in the hippocampal lesions of ALS.

Design and application of a push-pull adjustable artificial dead space / 中华危重病急救医学

Using artificial dead space to correct hypocapnia or induce hypercapnia is of particular significance for diagnosing and treating specific neurocritical diseases. At present, the above purpose is mainly achieved by adding an extension tube between the Y-type connector of the ventilator and the artificial airway in clinical practice. However, its volume is often fixed and cannot adapt to the individualized diagnosis and treatment in different clinical scenarios. The research group led by Professor Zhou Jianxin from the department of critical care medicine of Beijing Tiantan Hospital, Capital Medical University, has designed an artificial dead cavity with adjustable volume based on years of research in the respiratory field and has been granted a national utility model patent (patent number: ZL 2020 2 0496413.4). The artificial dead chamber is simple in structure, composed of a barrel body, a piston head, and a push-pull rod. By freely adjusting the size of the artificial dead chamber volume, it can accurately regulate the target carbon dioxide, correct the spontaneous hyperventilation, terminate intractable hiccup, and shorten the operation time of asphyxia test in clinical diagnosis of brain death while correcting hypocapnia or inducing hypercapnia. It has the advantages of solid reliability, convenient operation, and low production cost, which significantly facilitates scientific research and clinical diagnosis and treatment.

Espacio muerto y destete de ventilación mecánica invasiva en residentes de la gran altitud / Dead space and weaning from invasive mechanical ventilation in high-altitude residents

RESUMEN Objetivo Determinar el valor predictivo del cálculo del espacio muerto a través de la fracción espacio muerto/volumen corriente en el destete de la ventilación mecánica invasiva en pacientes críticamente enfermos en la gran altitud. Materiales y métodos Estudio epidemiológico, observacional, analítico y prospectivo realizado en la Unidad de Terapia Intensiva Adultos del Hospital del Norte de la ciudad de El Alto, Bolivia (4090 m s. n. m. y presión barométrica de 453 mmHg) del 01 de noviembre de 2016 al 31 de marzo de 2017. Se estudiaron a los residentes de la gran altitud en ventilación mecánica invasiva. Los criterios de inclusión fueron los siguientes: a) residentes de la altitud hospitalizados en la Unidad de Terapia Intensiva en ventilación mecánica invasiva, b) pacientes con evidencia de resolución de la causa que motivó su conexión al ventilador mecánico invasivo, c) paciente con criterios e índices de destete positivos, d) prueba de respiración espontanea positivo. Las variables estudiadas fueron el espacio muerto a través de la fracción Vd/Vt y su relación con el éxito o fracaso del proceso de destete de ventilación mecánica. Se calculó la fracción Vd/Vt en los pacientes incluidos en el estudio para luego proceder al destete de la ventilación mecánica invasiva. Se dividió a los pacientes en dos grupos según la necesidad de reintubación y reconexión al ventilador mecánico dentro de las 72 horas. Resultados Se incluyeron 21 pacientes: 7 mujeres (33 %) y 14 varones (67 %). La media de edad fue 41 años con desviación estándar de 22,38 años. Dieciocho pacientes (86 %) presentaron éxito y tres (14,00 %) fracasaron en el proceso de destete de la ventilación mecánica invasiva. El valor de Vd/Vt en el grupo éxito y fracaso correspondió a 0,43 vs. 0,53 (p < 0,011109), con una sensibilidad de 0,61 y especificidad de 1; con valor predictivo positivo de 1 y valor predictivo negativo de 0,3. Conclusiones El cálculo del espacio muerto a través de la medida de la fracción espacio muerto/volumen corriente predice el éxito del destete de pacientes críticamente enfermos bajo ventilación mecánica invasiva a gran altitud.

ABSTRACT Objective To determine the predictive value of the dead space calculation through the dead space/tidal volume fraction at weaning from invasive mechanical ventilation in critically ill patients at high altitude. Materials and methods An epidemiological, observational, analytical and prospective study carried out in the Adult Intensive Care Unit of the Hospital del Norte in the city of El Alto, Bolivia (4,090 m a.s.l.; barometric pressure: 453 mm Hg) from November 01, 2016 to March 31, 2017. High-altitude residents under invasive mechanical ventilation were studied. The inclusion criteria were: a) Altitude residents hospitalized in the Invasive Mechanical Ventilation Therapy Intensive Care Unit. b) Patients with evidence of resolution of the cause that prompted their connection to the invasive mechanical ventilator. c) Patients with positive weaning criteria and rates. d) Positive spontaneous respiration test. The study variables were the dead space through the Vd/Vt fraction and its relationship with the success or failure of the weaning process from mechanical ventilation. The Vd/Vt fraction was calculated in the study patients and then weaning from invasive mechanical ventilation was performed. Patients were divided into two groups according to the need for reintubation and reconnection to the mechanical ventilator within 72 hours. Results Twenty-one (21) patients were included: 7 (33 %) women and 14 men (67 %). The mean age was 41 years with a standard deviation of 22.38 years. Eighteen (18) patients (86 %) succeeded and 3 (14 %) failed in the weaning process from invasive mechanical ventilation. The Vd/Vt values in the success and failure groups were 0.43 and 0.53 (p < 0.011109), respectively, with a sensitivity of 0.61 and specificity of 1; a positive predictive value of 1 and a negative predictive value of 0.3. Conclusions The calculation of the dead space through the measurement of the dead space/tidal volume fraction predicts the success of weaning of critically ill patients under invasive mechanical ventilation at high altitude.

Comparative Efficacy of PercollTM Discontinuous Density Gradient Centrifugation and Glass Wool Filtration Techniques for Spermatozoa Selection in Buffalo (Bubalus bubalis)

Dead and damaged spermatozoa cells present universally in the ejaculates of all eutherian mammals exert toxic effect on contemporary healthy cells mostly through generation of excessive free radicals. This is much more evident during extended period of processing, resulting in poor ejaculate quality. The solution lies in depletion of dead/damaged spermatozoa from the neat ejaculates itself. Thus the objective of the study was to evaluate the efficiency of the protocols such as discontinuous PercollTM density gradient centrifugation (PDGC) and glass wool filtration (GWF) for depletion of dead/damaged spermatozoa from fresh semen in buffalo. Random ejaculates (n=6) of Murrah buffalo bulls were divided into two aliquots after quality assessment: PDGC and GWF protocols (Group I and II, respectively). At the end of the purification protocol, efficiency of the protocols in depleting dead/damaged spermatozoa as reflected by certain quality parameters were evaluated. The mean efficiency (%) of purification protocols based on recovery of spermatozoa was 44.68 and 40.02% for PDGC and GWF, respectively. Moreover significantly (p<0.05) greater values for quality parameters was observed in the Group II (26.4+6.8 vs 68.8+4.4 for acrosome integrity (%); 12.68+6.6 vs 57.7+7.5 for functional plasma membrane integrity (%); 20.3+5.8 vs 80.75+6.7 for viability (%) in Group I and II, respectively). It was concluded that GWF is a better technique than PGDC to filter out dead/damaged spermatozoa from fresh semen with improvement in semen quality and can be a valuable tool in assisted reproductive technology

Yeast culture in the diet of feedlot steers: performance, carcass traits and feeding behavior / Cultura de leveduras na dieta de novilhos confinados: desempenho, características da carcaça e comportamento ingestivo

This study aimed to evaluate the performance, apparent digestibility of diet, ingestive behavior which occurred in two moments, carcass traits, being evaluated constituent and non-carcass components, and also the effect the yeast culture could promote in the peripheral temperature of rumen, hull and body temperature. The diets consisted of a constant ratio of 50% forage (maize silage) and 50% concentrate. Thirty-six steers, ½ Angus Nelore, with average age of 11 months and average initial body weight of 339.5±10kg were used in the experiment. The inclusion of yeast culture promoted a higher daily dry matter intake (8.83 vs 9.35kg day-1) and, consequently, a better daily weight gain (1,143 vs. 1,325kg day-1) in the initial feedlot phase, with no difference in other periods. The apparent digestibility of the diet containing yeast culture was higher than the control diet (69.69 versus 68.32%, respectively), and its use did not interfere with the feeding behavior of the animals. Based on our findings, supplementation with yeast culture may bring positive results in the initial feedlot phase.(AU)

O objetivo deste estudo foi avaliar o desempenho; a digestibilidade aparente da dieta; o comportamento oral ingestivo, o qual ocorreu em dois momentos, as características de carcaça, sendo avaliados componentes integrantes e não integrantes da carcaça; bem como o efeito que a cultura de leveduras pudesse promover perante a temperatura periférica de rúmen, casco e temperatura corpórea, sendo aferida por meio da temperatura retal. As dietas foram constituídas em uma constante relação de 50% de volumoso (silagem de milho) e 50% de concentrado. Utilizaram-se no experimento 36 novilhos, ½ sangue Angus Nelore, com idade média de 11 meses e peso vivo médio inicial de 339,5 ± 10kg. O uso de cultura de leveduras promoveu maior consumo diário de matéria seca (8,83 contra 9,35 kg dia-1) e consequentemente melhor ganho de peso diário (1,143 contra 1,325kg dia-1) na fase inicial do confinamento, não havendo diferença nos demais períodos. A digestibilidade aparente da dieta que continha cultura de leveduras foi superior à da dieta controle (69,69 contra 68,32%, respectivamente), e seu uso não interferiu no comportamento ingestivo dos animais. Com base nos resultados do presente estudo, a suplementação com cultura de leveduras pode trazer resultados positivos na fase inicial de confinamento.(AU)

O testemunho e a denúncia: sobre a transição do pai assassinado para o pai morto / The witness and the accusation: about the transition from murdered father to dead father / El testimonio y la denuncia: sobre la transición del padre asesinado para el padre muerto / Le témoignage et la dénonciation: à propos de la transition du père assassiné au père décédé

Este trabalho propõe que a denúncia midiática construída em rede por coletivos de mulheres vítimas de violência sexual contribui para a integração e a elaboração psíquica de traumas relativos a crimes de violência sexual. Apresenta a hipótese de que a denúncia no espaço público, através de redes de apoio virtuais, autoriza o diálogo entre a teoria psicanalítica e os estudos feministas. Esse diálogo será aqui realizado por meio de categorias analíticas relativas à transição entre o pai assassinado e o pai morto: os silêncios consentido e da fantasia, o testemunho, e a denúncia enquanto lugar de fala.

This paper proposes that the mediatic accusation networked by groups of women victims of sexual violence contributes to the integration and psychic elaboration of traumas related to crimes of sexual violence. It presents the hypothesis that accusation in public space, through virtual support networks, permits us to dialogue between psychoanalytic theory and feminist studies. This dialogue will be carried out here through analytical categories concerning the transition between the murdered father and the dead father, the consented and fantasy silences and the testimony.

Este trabajo propone que la denuncia mediática construida en red por colectivos de mujeres víctimas de violencia sexual contribuye a la integración y elaboración psíquica de traumas relacionados a los crímenes de violencia sexual. Presenta la hipótesis de que la denuncia en el espacio público, a través de redes de apoyo virtuales, nos autoriza al diálogo entre la teoría psicoanalítica y los estudios feministas. Este diálogo se realizará a través de categorías analíticas relativas a la transición entre el padre asesinado y el padre muerto, los silencios consentido y de fantasía y el testimonio.

Cet article propose que la dénonciation médiatique mise en réseau par des groupes de femmes victimes de violence sexuelle contribue à l>intégration et à l>élaboration psychique de traumatismes liés à des crimes de violences sexuelles. Il présente l'hypothèse que la dénonciation dans l'espace public, par l'intermédiaire des réseaux de support virtuels, nous autorise à établir un dialogue entre la théorie psychanalytique et les études féministes. Ce dialogue sera mené ici au moyen des catégories analytiques concernant la transition entre le père assassiné et le père décédé, les silences consentis et fantasmés et le témoignage.

Quality control standard and evaluation of lung transplantation / 中国胸心血管外科临床杂志

@#The quality control of lung transplantation involves many aspects, such as team building, selection of recipients, preoperative diagnosis and evaluation of recipients, maintenance of brain-dead donors, evaluation and acquisition of donors, surgical operation, postoperative management and postoperative follow-up. Precision management is the core concept of operation quality control. Only by normalizing the operation quality control of lung transplantation to provide basic guarantee for multi-team cooperation and development of lung transplantation management in the future, building a complete lung transplantation database to excavate data resources and improve the quality of transplanta-tion, and comprehensively building a Chinese lung transplantation quality control system with multi-team participation and cooperation, can we improve the overall level of surgical diagnosis and treatment of lung transplantation in China.

Can fallen trees enhance aboveground biomass estimation? A proposal for the Brazilian Atlantic Forest / ¿Pueden los árboles caídos mejorar la estimación de la biomasa aérea? Una propuesta para el bosque atlántico brasileño

Introduction: Estimating aboveground biomass (AGB) in protected forests is a challenge, due to high costs and legal restrictions for direct assessments, and also to frequently weak estimation provided by general AGB equations. Objective: We propose a new approach that uses dead fallen trees (DFTs) to improve AGB estimation. We aim to analyse if the adjustment of allometric models based on DFTs provides a suitable local equation for AGB estimation or helps to validate existing pantropical or regional allometric equations. Methods: The study was carried out at the Dois Irmãos State Park (PEDI), Pernambuco, Northeast Brazil. Along 4 000 m, using the line intersect technique, we sampled 37 recent dead fallen trees ranging from 7.6 to 92.3 cm in diameter and from 8.6 to 29.4 m in height. Nine models were adjusted, and the best equation (local) was compared to regional and pantropical equations. Results: Oneequation (AGBkg= 1.5292* DBH2.0601*TH-0.2187) produced biomass estimates which did not differ from the observed values (P > 0.05). Differently from the others, this equation overestimated AGB in only 2.8 % and, along with other parameters of analysis (R2 adj and Syx %) had the best overall performance. Analysing the performance of the local equationversusavailable equations for estimating AGB, we found that only the local and the pantropical equations by Pearson et al. (2005) estimated values that were not significantly different from observed values. However, the local equation is more appropriate for local estimation of AGB, since it has the lowest RSME and CV. Conclusions: Based on the proposed approach, we were able to offer a local equation for tree AGB estimation based on fallen trees. The DFT method is efficient regarding time and costs, avoiding tree logging in protected forests and helps to guide the choice of a proper equation for forest AGB demands.

Introducción: La estimación de la biomasa aérea (AGB) en los bosques protegidos es un desafío, debido a los altos costos y las restricciones legales para las evaluaciones directas, y también a una estimación con frecuencia débil proporcionada por las ecuaciones generales de AGB. Objetivo: Proponemos un nuevo enfoque que utiliza los árboles muertos caídos (DFT) para mejorar la estimación de AGB. Nuestro objetivo es responder si el ajuste de modelos alométricos basados en DFT proporciona una ecuación local adecuada para la estimación de AGB o ayuda a validar las ecuaciones alométricas pantropicales o regionales existentes. Métodos: El estudio se realizó en el Parque Estatal Dois Irmãos (PEDI), Pernambuco, Nordeste de Brasil. En el espacio de 4 000 m, utilizando la técnica de intersección de líneas, se tomaron muestras de 37 árboles muertos recientemente que van desde 7.6 a 92.3 cm de diámetro y 8.6 a 29.4 m de altura. Se ajustaron nueve modelos y se comparó la mejor ecuación (local) con las ecuaciones regionales y pantropicales. Resultados: Una ecuación (AGBkg = 1.5292 * DBH2.0601 * TH-0.2187) determinó estimaciones de biomasa que no diferían de los valores observados (p> 0.05). A diferencia de las otras, esta ecuación sobreestimó AGB en solo 2.8 % y, junto con otros parámetros de análisis (R2 adj y Syx %), presentó el mejor rendimiento general. Analizando el rendimiento de la ecuación local versus las ecuaciones disponibles para estimar AGB, encontramos que solo las ecuaciones locales y pantropicales de Pearson et al. (2005) estimaron valores que no fueron significativamente diferentes de los valores observados. Sin embargo, la ecuación local es más apropiada para la estimación local de AGB, ya que tiene el RSME y CV más bajos. Conclusiones: Con base en el enfoque propuesto, pudimos proponer una ecuación local para la estimación de AGB basada en árboles caídos. La estimación basada en DFT es eficiente en términos de tiempo y costo, evita la tala de árboles en bosques protegidos y ayuda a guiar la elección de una ecuación adecuada para las demandas de AGB forestales.

Diagnostic value of volumetric capnography in patients with chronic cough variant asthma

OBJECTIVES: To evaluate the quantitative changes and diagnostic performance of volumetric capnography (VCap) parameters in patients with cough variant asthma. METHODS: This cross-sectional study enrolled 31 patients with cough variant asthma and 30 patients with chronic cough without asthma between November 2010 and March 2012. VCap measurements were recorded at baseline, during the five steps of the histamine challenge, and after bronchodilation with salbutamol. They were then compared between the baseline and histamine challenge, and between the two groups. Receiver operating characteristic curve analysis was performed for different VCap measurements. RESULTS: The slope of phase III (dc/dv3) and the ratio of phase III slope to phase II slope (SR23%) decreased from baseline upon challenge with 1.1 mg histamine in cough variant asthma patients but increased in patients with chronic cough without asthma. Additionally, the change upon challenge with 1.1 mg histamine in dc/dv3 from baseline (S6-S1dc/dv3) in cough variant asthma patients had the largest area under the curve (AUC) (0.814, 95% CI: 0.697-0.931; p<0.001). The AUC for change upon challenge with 1.1 mg histamine in SR23% from baseline was 0.755 (95%CI: 0.632-0.878; p<0.001). At a cutoff of 19.8, S6-S1 dc/dv3 had a sensitivity of 74.2% and specificity of 90.0% and at a cutoff of 40.7, S6-S1 SR23% had a sensitivity of 48.4% and specificity of 96.7%. CONCLUSION: Patients with cough variant asthma exhibit distinct VCap responses for dead space parameters upon challenge with histamine in comparison to patients with chronic cough. VCap parameters like phase III slope and phase III/phase II slope ratio could be used to aid the diagnosis of cough variant asthma.

O luto no complexo da mãe morta / Mourning in the dead mother complex

ABSTRACT: We review the concept of mourning, first as conceived by Freud and Klein, and how it relates with the contemporary "clinic of the void" as described by André Green. The clinic of the void is part of a series of modern manifestation of psychic malaise called "new symptoms". To illustrate, we present the case of Roxana, a Mexican woman whose psyche reflected the dynamic of the dead mother complex. Through an analysis of her interpersonal relationships and past experiences, and comparing with psychoanalytic literature, we conclude that the dead mother complex might become a common condition in our society.

Resumo: Revisamos o conceito de luto, primeiro como concebido por Freud e Klein, e como este se relaciona com a "clínica do vazio" contemporânea, como descrita por André Green. A clínica do vazio é parte de uma série de manifestações modernas do mal-estar psíquico chamado "novos sintomas". Para ilustrar, apresentamos o caso de Roxana, uma mulher mexicana cuja psique refletiu a dinâmica do complexo da mãe morta. Através de uma análise de suas relações interpessoais e experiências passadas, e comparando com a literatura psicanalítica, concluímos que o complexo da mãe morta pode se tornar uma condição comum em nossa sociedade.