Multivariate effect of inorganic wastewater matrix on the removal of pesticides by solar photo-Fenton.

An amount of works has reported the effect of wastewater matrix composition on pollutants removal by different AOPs. The biggest challenge is that each wastewater source has a challenging composition (organic and inorganic compounds, pollutants, etc.) and not only the concentration of all these species but also the interaction between them may affect the effectiveness of the studied process. This work has been carried out to evaluate the photo-degradation kinetics of six different pesticides (flutriafol, imidacloprid, myclobutanil, pirimicarb, thiamethoxam and triadimenol) by solar photo-Fenton (SPF) process at acidic pH. First, oxidant concentration (H2O2) was optimized with an actual WWTP effluent. Then, the process was validated with two different secondary and tertiary WWTP effluents, in which main intermediate transformation by-products were identified. Finally, the effect of the inorganic water matrix components (bicarbonate, chloride, sulphate, nitrate and phosphate) was evaluated by a multivariate analysis. Once H2O2 has been optimized at 30 mg L-1, the photo-degradation efficiency of pesticides in real wastewater samples was compared. DOC content of both secondary and tertiary WWTP effluents was dropped by 67%. The identification of the main intermediate transformation by-products (such as 1H-1,2,4-triazole, desmethyl-formamido pirimicarb, thiamethoxam urea, chloronicotinic acid and imidacloprid urea) was reviewed. Following, the multivariate analysis on pesticides photo-degradation, generally, predicted four significant effects in common for the studied pesticides: a positive effect (interaction bicarbonate/nitrate) and three negative ones (chloride, phosphate and the interaction chloride/sulphate); among others. In addition, optimum values of inorganic ion concentrations, to obtain an optimum desirability on studied pesticides removal by SPF at acidic pH, were also evaluated.

Diet and phytogenic supplementation substantially modulate the salivary proteome in dairy cows.

Phytogenic compounds may influence salivation or salivary properties. However, their effects on the bovine salivary proteome have not been evaluated. We investigated changes in the bovine salivary proteome due to transition from forage to high-concentrate diet, with and without supplementation with a phytogenic feed additive. Eight non-lactating cows were fed forage, then transitioned to a 65% concentrate diet (DM basis) over a week. Cows were control (n = 4, CON) or supplemented with a phytogenic feed additive (n = 4, PHY). Proteomic analysis was conducted using liquid chromatography coupled with mass spectrometry. We identified 1233 proteins; 878 were bovine proteins, 189 corresponded to bacteria, and 166 were plant proteins. Between forage and high-concentrate, 139 proteins were differentially abundant (P < 0.05), with 48 proteins having a log2FC difference > |2|. The salivary proteome reflected shifts in processes involving nutrient utilization, body tissue accretion, and immune response. Between PHY and CON, 195 proteins were differently abundant (P < 0.05), with 37 having a log2FC difference > |2|; 86 proteins were increased by PHY, including proteins involved in smell recognition. Many differentially abundant proteins correlated (r > |0.70|) with salivary bicarbonate, total mucins or pH. Results provide novel insights into the bovine salivary proteome using a non-invasive approach, and the association of specific proteins with major salivary properties influencing rumen homeostasis. SIGNIFICANCE: Phytogenic compounds may stimulate salivation due to their olfactory properties, but their effects on the salivary proteome have not been investigated. We investigated the effect of high-concentrate diets and supplementation with a phytogenic additive on the salivary proteome of cows. We show that analysis of cows' saliva can be a non-invasive approach to detect effects occurring not only in the gut, but also systemically including indications for gut health and immune response. Thus, results provide unique insights into the bovine salivary proteome, and will have a crucial contribution to further understand animal response in terms of nutrient utilization and immune activity due to the change from forage to a high-energy diet. Additionally, our findings reveal changes due to supplementation with a phytogenic feed additive with regard to health and olfactory stimulation. Furthermore, findings suggest an association between salivary proteins and other components like bicarbonate content.

Analysis of the eutrophication in a wetland using a data-driven model.

Eutrophication is a major problem in the international Anzali wetland (northern Iran). The present research initially aimed to determine the trophic state index (TSI) in ten sampling sites in the main parts of the Anzali wetland (western, eastern, central, and Siahkeshim parts). After determining the TSI in the wetland, a data-driven method (classification tree model with a J48 algorithm) was implemented to predict the trophic condition in the wetland based on a set of water quality and physical-structural variables. One hundred twenty samples related to chlorophyll-a (the model's output) and environmental variables (the model's inputs) were measured monthly during 1-year study period (2017-2018). Based on the TSI calculation, the western, Siahkeshim, eastern, and central parts of the wetland are classified as eutrophic, super-eutrophic, hyper-eutrophic, and hyper-eutrophic, respectively. When all environmental variables were introduced to the model (with five-time randomization effort, pruning confidence factor = 0.01, and seven-fold cross-validation), eight variables (bicarbonate, pH, water temperature, electric conductivity, dissolved oxygen, total phosphorus, water depth, and water turbidity) were predicted by the model. The model predicted that an increase in total phosphate, water turbidity, and electric conductivity concentration may contribute to the hyper-eutrophic state of the wetland. In contrast, the hyper-eutrophic of the wetland is associated with a decrease in water depth, dissolved oxygen, and pH concentration. According to ANOVA test, the trophic condition in the wetland can be affected by spatial and temporal patterns. Anthropogenic pressures such as the influx of chemicals particularly the nutrients (phosphorus and nitrogen) are the main cause of water enrichment (eutrophication problem) in main parts of the Anzali wetland ecosystem.

Hydrogeochemical characterization of the groundwater of Lahore region using supervised machine learning technique.

The cationic and anionic composition in groundwater can be better understood by identifying the type of hydrogeochemical processes influencing groundwater chemistry. This research deals with the characterization of groundwater samples by considering the likely role of hydrogeochemical processes and the factors responsible for the weathering process. The study applies statistical methods and supervised machine learning algorithm (i.e., logistic regression model) on the large data set of 1300 water samples from the Lahore district of Punjab, Pakistan. All the water samples were collected by the local authorities from a deep unconfined aquifer (> 350 ft in depth) for the years of 2005 to 2016. The characterization of groundwater quality parameters includes pH, total dissolved solids (TDS), electrical conductivity (EC), total hardness (TH), calcium (Ca2+), magnesium (Mg2+), sodium (Na+), potassium (K+), chloride (Cl-), bicarbonate (HCO3-), nitrate (NO3-), and sulfate (SO42-). The results show the sequence of the major ion in the following order: Na+ > Ca2+ > Mg+ > K+ and HCO32- > SO42- > Cl- > NO3-. The ionic ratios and Gibb's plot revealed that the prominent hydrogeochemical facies of aquifer water is Ca-HCO3, Ca-Na-HCO3, and mixed Ca-Mg-Cl type rock-weathering process, especially carbonate and silicate weathering, as significant process controlling water chemistry. The statistical evaluation of the prepared regression model determined its prediction accuracy as 92.2%, which means the model is highly efficient and satisfies the analysis. The outcomes of this study favor the utilization of such methods for other areas with large data sets.

Field studies, ion analysis, and modeling of Kashan plain aquifer to predict the source of salinization.

The shortage of freshwater and salinization are considered two major development problems in arid and semi-arid regions. The growth of population, development of industry and agriculture, and climate change cause over-extraction of groundwater resources; consequently, the quality and quantity of groundwater decreased, especially in the arid and semi-arid areas. The present study investigates the reasons for salinization of the Kashan aquifer. In this study, 53 observation wells located in the aquifer were examined for qualitative study. A total of 80 samples were collected from selected wells over a period of 5 years (2005-2009) and analyzed for 9 chemical parameters (electrical conductivity (EC), pH, total dissolved solids (TDS), sodium (Na+), potassium (K+), calcium(Ca2+, magnesium (Mg2+), chlorine (Cl-), and bicarbonate (HCO-3)). Groundwater table study shows that the direction of groundwater flow throughout the aquifer is often from the west to the east of the aquifer, except for the northeastern part of the aquifer, where a backflow from the northeast (salt lake) into the aquifer is visible. Results of ion analysis in different areas of the aquifer indicate the occurrence of upconing phenomenon in the center and south regions and the occurrence of saline water intrusion phenomenon in northeast regions. To simulate the condition of the Kashan aquifer for the next 50 years, a model of the quantity and quality of the aquifer was developed using the SEAWAT code. According to the results, the salinization of the Kashan plain aquifer should occur due to two main reasons: irregular groundwater extraction and upconing phenomenon and the intrusion of saline water from the salt lake towards the aquifer. The Kashan aquifer salinization forecast results show that the continuation of the current pumping activities for the next 50 years should increase the numbers of wells affected by salinity. Considering the critical situation of the Kashan aquifer and the existing serious threats, serious decisions and measures for the proper management of groundwater and aquifer protection are vital.

Hydrogeochemistry and groundwater quality assessment in Ambagarh Chowki, Chhattisgarh, India.

The current study was focused on hydrogeochemistry of Ambagarh chowki groundwater. The main aim of the study was to evaluate the water quality for drinking and irrigation uses, hydrogeochemistry of groundwater. For this purpose, various physicochemical parameters like pH, electrical conductivity (EC), total hardness (TH), chloride (Cl-), fluoride (F-), calcium (Ca2+), magnesium (Mg2+), sodium (Na+), potassium (K+), bicarbonate (HCO3-), and sulfate (SO42-) were analyzed. The major dominating ions in groundwater was found as cation Ca2+ > Mg2+ > Na+ > K+ and as anions in order of HCO3- > Cl- > SO42- > F-. The pH of sampled groundwater was ranged from neutral to alkaline in nature (7.0-8.8). Among, all-analyzed parameters in groundwater were safe for drinking purpose except few ions and bicarbonate content was also exceeding the permissible limit which was not suitable for drinking purpose. The potential health hazard element fluoride was varied from 0.1 to 2.2 mg/l and positively associated with the pH, Na+, and HCO3- content in groundwater. The drinking water quality index (WQI) was fluctuated between 12.22 and 185.56 and reported that most of the groundwater was suitable for drinking purpose except only one sample was unsuitable for drinking. Irrigation water quality assessment of the area was performed by evaluating as sodium adsorption ratio (SAR), permeability index (PI), Kelly ratio (KR), magnesium hazard ratio (MHR), percent sodium (%Na), potential salinity (PS), and residual sodium carbonate (RSC). Whereas most of the groundwater were good and suitable for irrigation use excluding PI (3.70%), MHR (40.74%), RSC (22.22%) and PS (7.41%) were unsuitable for continuous irrigation. Hydrogeochemistry of groundwater evaluated with correlation, Piper, Gibbs, and other geochemical analysis. The Piper trilinear diagram reflects the Ca (Mg)-HCO3- type water was mainly contributed approximately 90% of entire sampled groundwater. The different ions in groundwater were originated from the rock water interaction through silicate and carbonate weathering of minerals.

Mechanistic investigation into flow-through electrochemical oxidation of sulfanilamide for groundwater using a graphite anode.

The technical effectiveness/merit of electrochemical oxidation (EO) has been recognized. Nonetheless, its practical application to groundwater remediation has not been fully implemented due to several technical challenges. To overcome the technical incompleteness, this study adopted a graphite anode in the flow-through system and studied the mechanistic roles of a graphite anode. To this end, groundwater contaminated with sulfanilamide was remediated by means of EO, and sulfanilamide oxidation was quantitatively determined in this study. Approximately 60% of sulfanilamide was degraded at the anode zone, and such observation offered that the removal of sulfanilamide was not closely related with current variations (10-100 mA). However, this study delineated that sulfanilamide removal is contingent on the flow speed. For example, the removal of sulfanilamide was lowered from 59 to 25% owing to a short contact time when the flow velocity was increased from 0.14 to 0.55 cm/min. This study also delineated that a shorter anode-cathode distance could offer a favorable chance to enhance the removal of sulfanilamide even under an identical current. A shorter distance could offer a chance to save energy due to the lower voltage operation. This study also offered that chloride (Cl-) and sulfate (SO42-) electrolytes served a crucial role in the generation of active species. In contrast, bicarbonate (HCO3-) and synthetic groundwater electrolytes impeded the oxidation rate because HCO3- scavenged the other active species. In an effort to seek the oxidation mechanisms of a graphite anode, scavenger, cyclic voltammetry test, and electron https://en.wikipedia.org/wiki/Electron_paramagnetic_resonanceparamagnetic resonance (EPR) analysis were done. From a series of the tests, it was inferred that a graphite anode did not directly affect the generation of the active species. Thus, the prevalence of the oxygenated functional groups on an anode surface could be the main mechanism in sulfanilamide removal due to the enhanced electron transfer.

Daily variability of acid-base status and determinants of serum bicarbonate in hemodialysis patients.

AIM: We aimed to evaluate daily variability of bicarbonate in hemodialysis (HD) patients and identify the factors which affect that issue. MATERIALS AND METHODS: Blood samples of 41 patients for bicarbonate (total carbon dioxide (CO2)) and blood gas analysis (pH, bicarbonate (HCO3-)) were obtained, pre-dialysis and post-dialysis, on the first, second, and third session of the week. Those with pre-dialysis HCO3- < 22 mmol/L in all sessions were classified as acidotic. Demographic and laboratory data of acidotic and non-acidotic groups were compared, and the factors related to HCO3- level were identified. RESULTS: pH, tCO2, HCO3- of the first HD session were significantly lower than those of short inter-dialytic intervals (p < 0.001, respectively). Using Blant Altman analysis, pre- and post-dialysis tCO2 did not show good agreement with HCO3-. Acidotic patients had higher levels of serum albumin and phosphorus (p < 0.01 and p = 0.02, respectively) and were more likely to use sevelamer (p = 0.04). Also, the value of HCO3- was inversely correlated with dialysis vintage (r = -0.432, p = 0.005) and serum albumin (r = -0.427, p = 0.005). CONCLUSION: Since tCO2 did not show good agreement with HCO3-, relying solely on the pre-dialysis tCO2 values to define metabolic acidosis may increase misclassification rate. More work is needed for optimal assessment of acid-base status. Also, understanding the determinants of HCO3- may guide physicians for individualized HCO3- prescription.

Possibility of Venous Serum Cl- Concentration ([Cl-]s) as a Marker for Human Metabolic Status: Correlation of [Cl-]s to Age, Fasting Blood Sugar (FBS), and Glycated Hemoglobin (HbA1c).

The HCO3- concentration in venous serum ([HCO3-]s) is a factor commonly used for detecting the body pH and metabolic conditions. To exactly detect [HCO3-]s, the venous CO2 pressure should be kept as it is in the vein. The [HCO3-]s measurement is technically complicated to apply for huge numbers of almost heathy persons taking only basic medical examinations. The summation of [HCO3-]s and the venous serum Cl- concentration ([Cl-]s) is approximately constant; therefore, we studied if [Cl-]s could be a marker detecting metabolic conditions instead of [HCO3-]s. Venous blood was obtained from persons taking basic medical examinations (the number of persons = 107,630). Older persons showed higher values of [Cl-]s, fasting blood sugar (FBS), and glycated hemoglobin (HbA1c) than younger ones. [Cl-]s showed positive correlation to age and negative correlation to FBS and HBA1c. The negative correlation of [Cl-]s to FBS/HbA1c was obvious in persons with high FBS/HbA1c, leading us to an idea that persons with high FBS/HbA1c show high [HCO3-]s, which might be caused by low activity of carbonic anhydrase in the lung observed in persons with diabetes mellitus under acidotic conditions. Taken together, an easily measured serum electrolyte, [Cl-]s, could be a useful marker estimating metabolic conditions.

First conceptual hydrogeological model of two intermountain Andean basins based on isotopes and hydrochemistry.

Mountains arid environments are vulnerable under climate change scenarios. Variations in the recharge sources and the rising temperature can affect the water availability, threaten the socio-productive systems on local and regional scales. In this sense, two hydrological systems were studied in the Andes Range, Argentina, by hydrochemical and isotope techniques, with the purpose to understand the origin of water, the groundwater recharge, and to conceptualize the groundwater flow system. In the two sampling periods (winter and summer seasons) most of the waters were characterized by low mineralization and a HCO3-Ca type. The isotopic composition showed wide ranges of variation consistent with the altitudinal differences existing in the study systems. However, no significant isotope changes were observed between the samples collected in winter and summer periods. Therefore, little influence of liquid precipitation is inferred in the recharge source of both hydrological systems. This means that the western sector of the valley, where the ice bodies and permafrost are located, is the main recharge area for groundwater of both basins. This confirms the former hypothesis used for the hydrogeochemical conceptual model proposed, and highlights the importance of protecting these environments to ensure the provision of water in arid lands.

Ectopic GABAA receptor ß3 subunit determines Cl- / HCO3- -ATPase and chloride transport in HEK 293FT cells.

Neuronal intracellular chloride concentration ([Cl- ]i ) is a crucial determinant of transmission mediated by the γ-aminobutyric acid type A receptor (GABAA R), which subserves synaptic and extrasynaptic inhibition as well as excitation. The Cl- ion is the main carrier of charge through the GABAA R; however, bicarbonate ions ( HCO3- ) flowing in the opposite direction can also contribute to the net current. The direction of Cl- and HCO3- fluxes is determined by the underlying electrochemical gradient, which is controlled by Cl- transporters and channels. Accumulating evidence suggests that active mechanisms of chloride transport across the GABAA R pore can underlie the regulation of [Cl- ]i . Measurement of Cl- / HCO3- -ATPase activity and Cl- transport in HEK 293FT cells expressing homomeric or heteromeric GABAA R ensembles (α2, ß3, or γ2) with fluorescent dye for chloride demonstrated that receptor subtypes containing the ß3 subunit show enzymatic activity and participate in GABA-mediated or ATP-dependent Cl- transport. GABA-mediated flow of Cl- ions into and out of the cells occurred for a short time period but then rapidly declined. However, Cl- ion flux was stabilized for a long time period in the presence of HCO3- ions. The reconstituted ß3 subunit isoform, purified as a fusion protein, confirmed that ß3 is critical for ATPase; however, only the triplet variant showed the full receptor function. The high sensitivity of the enzyme to γ-phosphate inhibitors led us to postulate that the ß3 subunit is catalytic. Our discovery of a GABAA R type that requires ATP consumption for chloride movement provides new insight into the molecular mechanisms of inhibitory signaling.

Venous blood gas and biochemical analysis of wild captured green turtles (Chelonia mydas) and Kemp's ridley turtles (Lepidochelys kempii) from the Gulf of Mexico.

Blood was collected from wild captured green and Kemp's ridley turtles off the west coast of Florida, USA. Blood gases and biochemical values were analyzed using a point of care (POC) device in the field. Analytes include pH, partial pressure of carbon dioxide (pCO2), partial pressure of oxygen (pO2), total carbon dioxide (TCO2), bicarbonate (HCO3), base excess (BE), oxygen saturation (sO2), lactate, sodium (Na), potassium (K), chloride (Cl), total carbon dioxide (TCO2), anion gap, ionized calcium, glucose, blood urea nitrogen (BUN), creatinine (Crea), hematocrit (Hct), and hemoglobin (Hb). These are novel data for wild healthy Kemp's ridley turtles, and results for green turtles were generally consistent with past studies of green turtles with exceptions primarily in blood gas values. Ninety percent of the green turtles had fibropapillomatosis (FP), but none of the blood analytes were correlated with disease severity. Only BUN was correlated with weight of green turtles, and there was no correlation between blood parameters and weight of Kemp's ridley turtles. This study provides data that are useful in understanding the physiologic status of sea turtles specific to this region, allowing for comparisons to other populations, life stages, and disease states.

Endoscopic ultrasound-based multimodal evaluation of the pancreas in patients with suspected early chronic pancreatitis.

BACKGROUND: Diagnosis of early chronic pancreatitis is a clinical challenge and hindered by the lack of a gold standard. Endoscopic ultrasound (EUS) and the endoscopic pancreatic function test (ePFT) are the most sensitive morphological and functional methods in this setting. EUS-elastography allows for the quantification (strain ratio) of pancreatic fibrosis, and the dynamic evaluation of the main pancreatic duct compliance provides additional information. We developed a multimodal EUS-based approach for the evaluation of the pancreas by integrating these four methods in a single procedure. OBJECTIVE: We aim to describe morphological and functional pancreatic abnormalities in patients with clinical suspicion of chronic pancreatitis and inconclusive EUS findings by using the multimodal EUS-based approach. METHODS: This was a prospective, cross-sectional, observational study of patients with clinically suspected chronic pancreatitis and indeterminate EUS criteria of the disease. EUS criteria of chronic pancreatitis, quantitative pancreatic elastography, ePFT and compliance of the main pancreatic duct were evaluated in a single procedure. RESULTS: In total, 53 patients with 3-4 EUS criteria of chronic pancreatitis were included (mean age 39.7 years, 29 male). Strain ratio was abnormally high in all patients. Peak bicarbonate concentration was decreased in 43 patients (81.1%) and the main pancreatic duct compliance was reduced in 41 patients (77.3%). Some 34 patients (64.1%) had abnormal results at EUS, elastography, ePFT and compliance of the main pancreatic duct. CONCLUSIONS: A multimodal EUS-based test for the morphological and functional evaluation of the pancreas is presented, which allows detecting mild pancreatic abnormalities in patients with suspected early chronic pancreatitis. The presence of abnormal morphological and functional evaluation of the pancreas could support the clinical suspicion of early chronic pancreatitis in the appropriate clinical setting.

Brazilian Dialysis Census: analysis of data from the 2009-2018 decade / Censo Brasileiro de Diálise: análise de dados da década 2009-2018

ABSTRACT Introduction: National data on chronic dialysis treatment are essential for the development of health policies that aim to improve patient treatment. Objective: To present data from the Brazilian Society of Nephrology on patients with chronic dialysis for kidney disease in July 2018, making a comparative analysis of the past 10 years. Methods: Data collection from dialysis units, with filling in an online questionnaire for 2018. Data from 2009, 2013 and 2018 were compared. Results: 288 (36.6%) centers answered the questionnaire. In July 2018, the estimated total number of patients on dialysis was 133,464. Estimates of the prevalence and incidence rates of patients undergoing dialysis treatment per million of the population (pmp) were 640 and 204, respectively, with average annual increases of 23.5 pmp and 6 pmp for prevalence and incidence, respectively. The annual gross mortality rate was 19.5%. Of the prevalent patients, 92.3% were on hemodialysis and 7.7% on peritoneal dialysis, with 29,545 (22.1%) on the waiting list for transplantation. Median bicarbonate concentration in the hemodialysis bath was 32 mEq/L. Venous catheters were used as access in 23.6% of the hemodialysis patients. The prevalence rate of positive serology for hepatitis C showed a progressive reduction (3.2%). Conclusion: The absolute number of patients and rates of incidence and prevalence in dialysis in the country increased substantially in the period, although there are considerable differences in rates by state. There has been a persistent increase in the use of venous catheters as an access for dialysis; and reduction in the number of patients with positive serology for hepatitis C.

RESUMO Introdução: Dados nacionais sobre o tratamento dialítico crônico são essenciais para a elaboração de políticas de saúde que almejem melhora no tratamento dos pacientes. Objetivo: Apresentar dados do inquérito da Sociedade Brasileira de Nefrologia sobre pacientes com doença renal crônica dialítica em julho de 2018, fazendo análise comparativa dos últimos 10 anos. Métodos: Coleta de dados a partir das unidades de diálise, com preenchimento de questionário on-line referentes a 2018. Foram comparados dados de 2009, 2013 e 2018. Resultados: 288 (36,6%) centros responderam ao questionário. Em julho de 2018, o número total estimado de pacientes em diálise foi de 133.464. Estimativas das taxas de prevalência e incidência de pacientes em tratamento dialítico por milhão da população (pmp) foram de 640 e 204, respectivamente, com médias de aumento anuais de 23,5 pmp e 6 pmp para prevalência e incidência, respectivamente. Taxa anual de mortalidade bruta foi de 19,5%. Dos pacientes prevalentes, 92,3% estavam em hemodiálise e 7,7%, em diálise peritoneal, com 29.545 (22,1%) em fila de espera para transplante. Concentração mediana de bicarbonato no banho de hemodiálise foi de 32 mEq/L. Cateter venoso era usado como acesso em 23,6% dos pacientes em hemodiálise. Taxa de prevalência de sorologia positiva para hepatite C apresentou redução progressiva (3,2%). Conclusão: Número absoluto de pacientes e taxas de incidência e prevalência em diálise no país aumentaram substancialmente no período, embora haja diferenças consideráveis nas taxas por estado. Tem havido persistente aumento no uso de cateter venoso como acesso para diálise; e redução de pacientes com sorologia positiva para hepatite C.

Improvement of steatotic rat liver function with a defatting cocktail during ex situ normothermic machine perfusion is not directly related to liver fat content.

There is a significant organ shortage in the field of liver transplantation, partly due to a high discard rate of steatotic livers from donors. These organs are known to function poorly if transplanted but make up a significant portion of the available pool of donated livers. This study demonstrates the ability to improve the function of steatotic rat livers using a combination of ex situ machine perfusion and a "defatting" drug cocktail. After 6 hours of perfusion, defatted livers demonstrated lower perfusate lactate levels and improved bile quality as demonstrated by higher bile bicarbonate and lower bile lactate. Furthermore, defatting was associated with decreased gene expression of pro-inflammatory cytokines and increased expression of enzymes involved in mitochondrial fatty acid oxidation. Rehabilitation of marginal or discarded steatotic livers using machine perfusion and tailored drug therapy can significantly increase the supply of donor livers for transplantation.

Brazilian Dialysis Census: analysis of data from the 2009-2018 decade.

INTRODUCTION: National data on chronic dialysis treatment are essential for the development of health policies that aim to improve patient treatment. OBJECTIVE: To present data from the Brazilian Society of Nephrology on patients with chronic dialysis for kidney disease in July 2018, making a comparative analysis of the past 10 years. METHODS: Data collection from dialysis units, with filling in an online questionnaire for 2018. Data from 2009, 2013 and 2018 were compared. RESULTS: 288 (36.6%) centers answered the questionnaire. In July 2018, the estimated total number of patients on dialysis was 133,464. Estimates of the prevalence and incidence rates of patients undergoing dialysis treatment per million of the population (pmp) were 640 and 204, respectively, with average annual increases of 23.5 pmp and 6 pmp for prevalence and incidence, respectively. The annual gross mortality rate was 19.5%. Of the prevalent patients, 92.3% were on hemodialysis and 7.7% on peritoneal dialysis, with 29,545 (22.1%) on the waiting list for transplantation. Median bicarbonate concentration in the hemodialysis bath was 32 mEq/L. Venous catheters were used as access in 23.6% of the hemodialysis patients. The prevalence rate of positive serology for hepatitis C showed a progressive reduction (3.2%). CONCLUSION: The absolute number of patients and rates of incidence and prevalence in dialysis in the country increased substantially in the period, although there are considerable differences in rates by state. There has been a persistent increase in the use of venous catheters as an access for dialysis; and reduction in the number of patients with positive serology for hepatitis C.

Acid-base kinetics during hemodialysis using bicarbonate and lactate as dialysate buffer bases based on the H+ mobilization model.

BACKGROUND: The H+ mobilization model has been recently reported to accurately describe intradialytic kinetics of plasma bicarbonate concentration; however, the ability of this model to predict changing bicarbonate kinetics after altering the hemodialysis treatment prescription is unclear. METHODS: We considered the H+ mobilization model as a pseudo-one-compartment model and showed theoretically that it can be used to determine the acid generation (or production) rate for hemodialysis patients at steady state. It was then demonstrated how changes in predialytic, intradialytic, and immediate postdialytic plasma bicarbonate (or total carbon dioxide) concentrations can be calculated after altering the hemodialysis treatment prescription. RESULTS: Example calculations showed that the H+ mobilization model when considered as a pseudo-one-compartment model predicted increases or decreases in plasma total carbon dioxide concentrations throughout the entire treatment when the dialysate bicarbonate concentration is increased or decreased, respectively, during conventional thrice weekly hemodialysis treatments. It was further shown that this model allowed prediction of the change in plasma total carbon dioxide concentration after transfer of patients from conventional thrice weekly to daily hemodialysis using both bicarbonate and lactate as dialysate buffer bases. CONCLUSION: The H+ mobilization model can predict changes in plasma bicarbonate or total carbon dioxide concentration during hemodialysis after altering the hemodialysis treatment prescription.

A Novel Genetically Encoded Single Use Sensory Cellular Test System Measures Bicarbonate Concentration Changes in Living Cells.

Bicarbonate plays a central role in human physiology from cellular respiration to pH homeostasis. However, so far, the measurement of bicarbonate concentration changes in living cells has only been possible by measuring intracellular pH changes. In this article, we report the development of a genetically encoded pH-independent fluorescence-based single-use sensory cellular test system for monitoring intracellular bicarbonate concentration changes in living cells. We describe the usefulness of the developed biosensor in characterizing the bicarbonate transport activities of anionophores-small molecules capable of facilitating the membrane permeation of this anion. We also demonstrate the ability of the bicarbonate sensory cellular test system to measure intracellular bicarbonate concentration changes in response to activation and specific inhibition of wild-type human CFTR protein when co-expressed with the bicarbonate sensing and reporting units in living cells. A valuable benefit of the bicarbonate sensory cellular test system could be the screening of novel anionophore library compounds for bicarbonate transport activity with efficiencies close to the natural anion channel CFTR, which is not functional in the respiratory epithelia of cystic fibrosis patients.

Which Type of Water Is Recommended for Patients with Stone Disease (Hard or Soft Water, Tap or Bottled Water): Evidence from a Systematic Review over the Last 3 Decades.

PURPOSE OF REVIEW: The role of the mineral constituents in water and their role in kidney stone disease (KSD) have been a long-standing subject of debate. The aim of our systematic review was to evaluate the relevance of different types of water in stone disease. RECENT FINDINGS: Studies to date have had varying results regarding the importance of hardness of water which is mostly determined by its calcium content. Other elements including magnesium and bicarbonate also play a crucial role in prevention of renal stones. Patients with stone disease are provided varying advice due to a lack of consensus on the types of water recommended. Increased fluid intake prevents stone formation. Our review of the literature suggests that hard water and bottled mineral water might be helpful for calcium stone formers. High calcium content in them leads to hypercalciuria; however, other factors also influence stone formation and the overall impact seems to be a reduction in calcium stone formation. The mineral content varies across different water types but high magnesium and bicarbonate content in water is also recommended for kidney stone patients.