Insulin Stimulates IL-23 Expression in Human Adipocytes: A Possible Explanation for the Higher Prevalence of Psoriasis in Obesity.

Purpose: Psoriasis is a chronic systemic inflammatory disease involving the production of many pro-inflammatory cytokines derived from immune cells and interacting with different tissues leading to the typical skin lesions. Psoriasis shows a higher prevalence and a worse progression in obese than in lean subjects. The IL-23/IL-17 immune axis has a pivotal role in the pathogenesis of psoriasis and anti-IL-23 monoclonal antibodies are highly effective in its treatment. Since obesity in frequently associated with elevated insulin plasma levels, we have investigated the ability of in vitro differentiated human adipocytes to produce IL-23 at basal conditions and after insulin stimulation. Material and Methods: In vitro differentiated human adipocytes were incubated in the absence and presence of different insulin concentrations and the expression of IL-23 was analyzed by real-time PCR and Western blotting. Results: The results of this study show that in vitro differentiated human adipocytes spontaneously express IL-23 mRNA and protein being stimulated by insulin in a dose-dependent manner. The stimulatory effects of insulin on IL-23 expression were specific since it did not stimulate the expression of other well-known cytokines involved in psoriasis pathogenesis such as Il-22 nor LL-37. Furthermore, lipopolysaccharide did not stimulate IL-23 expression in human adipocytes, thus highlightening the specific effects of insulin in the stimulation of IL-23 expression in human adipocytes. Conclusion: Here we show that human adipocytes spontaneously express IL-23 and that insulin stimulates IL-23 production by these cells in a specific manner as other stimuli, known to be involved in psoriasis pathophysiology, are ineffective. These observations could explain the association between psoriasis and obesity, a condition frequently characterized by a state of insulin hypersecretion.

A Single Step Preparation of Photothermally Active Polyvinylidene Fluoride Membranes Using Triethyl Phosphate as a Green Solvent for Distillation Applications.

Membrane distillation is a growing technology that can address the growing problem of water shortage. The implementation of renewable energy and a reduction in the environmental impact of membrane production could improve the sustainability of this process. With this perspective, porous hydrophobic polyvinylidene fluoride (PVDF) membranes were prepared using triethyl phosphate (TEP) as a green solvent, using the non-solvent induced phase separation technique. Different amounts of carbon black were added to dope solutions to improve the photothermal properties of the membranes and to enable direct heating by solar energy. By optimizing the preparation conditions, membranes with porosity values as high as 87% were manufactured. Vacuum membrane distillation tests carried out using a concentrated NaCl solution at 50 °C showed distillate fluxes of up to 36 L/m2 h and a complete salt rejection. Some preliminary studies on the photothermal performance were also conducted and highlighted the possibility of using such membranes in a direct solar membrane distillation configuration.

Photobiomodulation effects on photodynamic therapy in HNSCC cell lines.

A combination of metabolic modifications by light stimulus and photodynamic action is very attractive. Photobiomodulation therapy (PBMT) comprehends a vast range of applications and has been shown to be suitable to ease morbidities caused by chemotherapy and radiation, such as mucositis and dermatitis. The current study investigates the effects of near-infrared PBMT combined with porphyrin-based photodynamic therapy (PDT) in squamous cell carcinoma cell lines SCC-25 and SCC-4. The aim is to evaluate the potential of this combination to improve PDT outcome by increasing cell toxicity. Many techniques were used to verify the combined effect. Photobiomodulation (PBM) enhanced PDT action in SCC-25 cells by increasing photosensitizer (PS) uptake and production of reactive oxygen species (ROS). The equivalent was not seen in SCC-4 cells compared to the PDT only group. We believe these effects are strongly related to the interval of application between PBMT, PS incubation and PDT. Additionally, the effect of ascorbic acid on preventing PBM effects in PDT shows that ROS play an important role in the early mechanisms of PBM-PDT. Therefore, we believe PBM-PDT combination is worth exploring, for its benefit-cost ratio and simple protocols, along with the possibility of improvement in treatment resuts.

Treatment of Olive Mill Wastewater through Integrated Pressure-Driven Membrane Processes.

The disposal of wastewater resulting from olive oil production (olive mill wastewater, OMW) is a major issue for olive oil producers. This wastewater is among the most polluting due to the very high concentration of organic substances and the presence of hardly degradable phenolic compounds. The systems proposed for OMW treatment are essentially based either on conventional chemical-physical, biological and thermal processes, or on membrane processes. With respect to conventional methods, membrane processes allow to separate different species without the use of chemicals or heat. This work deals with the use of the integrated pressure-driven membrane processes for the treatment of OMW. They consist of a first stage (microfiltration, MF) in which a porous multichannel ceramic membrane retains suspended materials and produces a clarified permeate for a second stage (reverse osmosis, RO), in order to separate (and concentrate) dissolved substances from water. Laboratory scale experiments with different small flat sheet RO membranes were first carried out in order to select the most appropriate one for the successive bench scale tests with a spiral wound module having a large membrane surface. The aim of this test was to concentrate the dissolved substances and to produce water with low salinity, chemical oxygen demand (COD), and reduced phytotoxicity due to a low content of phenolic compounds. The trend of the permeate flux and membrane retention as a function of the volume concentration ratio was investigated. The influence of OMW origin and its aging on the membrane performance was also studied.

Hydrogen Sulfide Adsorption by Iron Oxides and Their Polymer Composites: A Case-Study Application to Biogas Purification.

An experimental study of hydrogen sulfide adsorption on a fixed bed for biogas purification is proposed. The adsorbent investigated was powdered hematite, synthesized by a wet-chemical precipitation method and further activated with copper (II) oxide, used both as produced and after pelletization with polyvinyl alcohol as a binder. The pelletization procedure aims at optimizing the mechanical properties of the pellet without reducing the specific surface area. The active substrate has been characterized in its chemical composition and physical properties by X-ray Diffraction (XRD), Field Emission Scanning Electron Microscopy (FE-SEM), thermogravimetric analysis (TGA) and N2 physisorption/desorption for the determination of surface area. Both powders and pellets have been tested as sorbents for biogas purification in a fixed bed of a steady-state adsorption column and the relevant breakthrough curves were determined for different operating conditions. The performance was critically analyzed and compared with that typical of other commercial sorbents based on zinc oxide or relying upon specific compounds supported on a chemically inert matrix (SulfaTreat®). The technique proposed may represent a cost-effective and sustainable alternative to commercial sorbents in conventional desulphurization processes.

Comparison of immunity against canine distemper, adenovirus and parvovirus after vaccination with two multivalent canine vaccines.

BACKGROUND: Viral diseases are a major cause of morbidity and mortality in puppies. There is a belief among veterinary practitioners and even educational institutions that the vaccines made in Brazil against canine distemper virus (CDV), canine parvovirus (CPV) and canine adenovirus (CAV) are ineffective or only partially effective. OBJECTIVES: This study aimed at comparing the immunity of two multivalent vaccines in adult dogs in the city of Uberlândia, Minas Gerais state, Brazil. METHODS: The study was carried out at the Animal Protection Association and a total of 60 adult mongrel dogs were selected and divided into two groups. Group A was immunized with two doses of Elevencell® vaccine and Group B received two doses of imported vaccine from the United States; each group was made up of 14 females and 14 males. RESULTS: In group A, the Elevencell vaccine generated a protective antibody titre against CDV in 26 out of 28 subjects (92.85%), CPV in 24 out of 28 subjects (85.71%) and CAV in 26 out of 28 subjects (92.85%). In group B, the imported US vaccine generated a protective antibody titre against CDV in 22 out of 28 subjects (78.57), CPV in 21 out of 28 subjects (75%) and CAV in 25 out of 28 subjects (89.28%). There was no statistical difference between titres generated between vaccine types for any of the three diseases tested. CONCLUSION: Elevencell vaccine titres were not inferior to the imported US vaccine in conferring protective titres against CDV, CPV and CAH, which confirms the efficacy of this product.

Prevalência de ansiedade e fatores associados em adultos / Prevalence of anxiety and associated factors in adults

RESUMO Objetivo Identificar a prevalência de transtornos de ansiedade em uma amostra de base populacional e fatores associados. Métodos Estudo transversal de base populacional realizado com indivíduos entre 18 e 35 anos. As variáveis sociodemográficas, índice de massa corporal, presença de doença crônica, abuso de álcool e tabagismo foram analisadas. Os transtornos de ansiedade foram verificados pela Mini Internacional Neuropsychiatric Interview 5.0. Foi utilizado o teste Qui-quadrado, considerando o intervalo de confiança de 95%. Resultados A amostra foi constituída por 1.953 pessoas. A prevalência de transtornos de ansiedade foi de 27,4%. Agorafobia (17,9%) e transtorno de ansiedade generalizada (14,3%) foram os quadros mais prevalentes. Mulheres apresentaram maior prevalência de ansiedade, com 32,5%, quando comparadas aos homens (21,3%) (p < 0,001). As variáveis sexo, anos de estudo, renda, doença crônica, tabagismo e álcool foram associadas a mais de três transtornos de ansiedade investigados (p < 0,001). Conclusão Os dados demonstram que os transtornos de ansiedade são muito frequentes em adultos, sendo mais prevalentes entre as mulheres. Estão associadas aos transtornos ansiosos, principalmente, as condições socioeconômicas e substâncias licitas. Conhecer as prevalências dos transtornos de ansiedade e fatores associados pode auxiliar profissionais de saúde a elaborarem melhores diagnósticos e tratamentos.

ABSTRACT Objective Identify the prevalence of anxiety disorders in a population sample and associated factors. Methods A cross-sectional study of population base conducted with individuals between 18 and 35 years old. Sociodemographic variables, body mass index (BMI), presence of diseases, and use of alcohol and smoke were analyzed. The anxiety disorders were verified by the clinical interview Mini International Neuropsychiatric Interview 5.0. For the analysis, was used the Chi-square test, considering a confidence interval of 95%. Results The prevalence of general anxiety was 27.4%. Agoraphobia (17.9%) and generalized anxiety disorder (14.3%) were the most prevalent. Women presented a higher prevalence of general anxiety with 32.5% when compared with man (21,3%) (p < 0.001). The variables gender, years of study, income, health problems, smoking, and alcohol were associated to more than three anxiety disorders investigated (p < 0,001). Conclusions The findings demonstrate that anxiety disorders are frequent in adults, being more prevalent among women. It was associated mainly with socioeconomic conditions and legal substances. Knowing the prevalence of anxiety disorders and associated factors can help health professionals to develop better diagnoses and treatments.

Use of a low-cost telecytopathology method for remote assessment of thyroid FNAs.

BACKGROUND: Rapid on-site evaluation is a great tool for optimizing the adequacy and quality of cytologic samples. The objective of the current study was to analyze a low-cost telecytopathology method for the remote assessment of thyroid fine-needle aspiration biopsies (FNABs), with comparison of the primarily rendered adequacy and diagnosis with the final conventional analysis. METHODS: Material collected from thyroid FNABs was immediately smeared onto glass slides and stained with Diff-Quik. A conventional microscope attached to a smart device was operated on-site by either a medical student or a pathology resident for Wi-Fi transmission of the images by Skype. The cytopathologist would remotely guide the screening of the slides, zooming in and out of areas of interest. Remote assessment included an analysis of material adequacy and a preliminary diagnosis. The quality of the transmission and the number of slides also were recorded. After a washout period of 3 weeks, final diagnosis and adequacy were assigned by conventional microscopy. RESULTS: The final agreement rate for adequacy between remote and conventional analysis was 90.5%. For diagnosis, the final agreement rate was 83.3%. The diagnosis agreement rate varied, depending on the quality of transmission: there was 88% agreement when the quality was excellent, 77.8% agreement when it was good, and 62.5% agreement when it was poor. CONCLUSIONS: Low-cost telecytopathology is an efficient method for the remote assessment of thyroid FNAB adequacy and diagnosis. The wide use of such technology in low-resource or remote centers may have a positive impact on the number of adequate or satisfactory samples, optimizing the management of patients who have thyroid nodules.

Reflexões psicanalíticas Winnicottianas sobre o sentido do silêncio no settin / Winnicottian psychoanalytical ponderings on the meaning of silence in the setting

Buscamos neste trabalho analisar o sentido do silêncio no setting analítico, embasados pela psicanálise tal como proposta por Winnicott e a partir de fragmentos da vivência clínica de uma das autoras¹. Para tanto levantamos o sentido do silêncio no setting para alguns psicanalistas e, posteriormente, nos referirmos especialmente aos conceitos relacionados à Teoria do Amadurecimento Emocional de Winnicott, tais como o holding, handling e apresentação de objetos, e o da hesitação e transicionalidade. Valemo-nos, ainda, dos conceitos de transferência e contratransferência para refletir sobre a dupla terapêutica no setting analítico. Nossas considerações finais apontam para a necessidade de se tomar o silêncio como uma comunicação importante em determinadas circunstâncias do trabalho terapêutico, além de sugerir que o setting, neste estudo de caso, solicitou a postura esperançosa e não invasiva da terapeuta a fim de possibilitar o surgimento do espaço transicional, por meio do qual pôde ser retomado o processo de amadurecimento do paciente...

We tried to analyze in this paper the meaning of silence into the analytical setting, based in Winnicott’s proposal of psychoanalysis and from clinical experience fragments of one the authors. Therefore, we surveyed the meaning of silence in the setting for some psychoanalysts and, afterwards, we made reference mainly to the concepts related to Winnicott’s Theory of the Emotional Maturity, such as holding, handling, the presentation of objects, and those concerning hesitation and transitionality. We further availed ourselves of the concepts of transference and count transference to ponder on the therapeutic dyad into the analytical setting. Our final considerations point to the need to consider silence as an important communication in certain circumstances of the therapeutic work, as well as suggesting that the setting, in this case study, requested hopeful non-invasive approach of the therapist, to allow the appearance of transitional space through which the emotional maturity can be resumed in this patient...

Reflexões psicanalíticas Winnicottianas sobre o sentido do silêncio no settin / Winnicottian psychoanalytical ponderings on the meaning of silence in the setting

Buscamos neste trabalho analisar o sentido do silêncio no setting analítico, embasados pela psicanálise tal como proposta por Winnicott e a partir de fragmentos da vivência clínica de uma das autoras¹. Para tanto levantamos o sentido do silêncio no setting para alguns psicanalistas e, posteriormente, nos referirmos especialmente aos conceitos relacionados à Teoria do Amadurecimento Emocional de Winnicott, tais como o holding, handling e apresentação de objetos, e o da hesitação e transicionalidade. Valemo-nos, ainda, dos conceitos de transferência e contratransferência para refletir sobre a dupla terapêutica no setting analítico. Nossas considerações finais apontam para a necessidade de se tomar o silêncio como uma comunicação importante em determinadas circunstâncias do trabalho terapêutico, além de sugerir que o setting, neste estudo de caso, solicitou a postura esperançosa e não invasiva da terapeuta a fim de possibilitar o surgimento do espaço transicional, por meio do qual pôde ser retomado o processo de amadurecimento do paciente.(AU)

We tried to analyze in this paper the meaning of silence into the analytical setting, based in Winnicott’s proposal of psychoanalysis and from clinical experience fragments of one the authors. Therefore, we surveyed the meaning of silence in the setting for some psychoanalysts and, afterwards, we made reference mainly to the concepts related to Winnicott’s Theory of the Emotional Maturity, such as holding, handling, the presentation of objects, and those concerning hesitation and transitionality. We further availed ourselves of the concepts of transference and count transference to ponder on the therapeutic dyad into the analytical setting. Our final considerations point to the need to consider silence as an important communication in certain circumstances of the therapeutic work, as well as suggesting that the setting, in this case study, requested hopeful non-invasive approach of the therapist, to allow the appearance of transitional space through which the emotional maturity can be resumed in this patient.(AU)

Electron microscopy characterization of airborne micro- and nanoparticulate matter.

The aim of this work was to offer a state-of-the-art critical survey for characterizing airborne nano- and microparticles by means of electron microscopy (EM) techniques and to highlight advantages and limits of different possible operation modes. Procedures of collection and sample preparation are revisited and improved to analyse airborne particles deposited on filtering membranes by using various sampling methods. Three kinds of electron microscopes are used to this end: scanning electron microscope (SEM), field emission scanning electron microscope (FE-SEM) and transmission electron microscope (TEM). Following and extending previous studies, we optimized procedures by varying both the sample collection/preparation and the operational parameters of the microscopes. In particular, we diversified the sampling methods applied, using ad hoc filters as well as common filters for standard gravimetric measures. This approach enabled us to achieve a simple and clean procedure allowing direct SEM or TEM observation of the collected particulate matter.