Comorbid insomnia and sleep apnea in children: a preliminary explorative study.

Insomnia and sleep-disordered breathing (SDB) are prevalent sleep disorders. These disorders can therefore be concurrently present - comorbid insomnia and sleep apnea (COMISA). The prevalence of COMISA in the paediatric age range is unclear. As such, phenotypic constructs should help better define this comorbid condition if it exists in children and improve both diagnostic sensitivity and ultimately clinical care outcomes. We aimed to evaluate the frequency of insomnia in children and adolescents referred for evaluation of sleep symptoms suggestive of SDB in one initial (Cohort#1) and verify such findings in an independent cohort (Cohort#2) using a retrospective cross-sectional approach in patients aged 9-19 years presenting at a sleep centre to be evaluated for symptoms of SDB. Cohort #1 comprised 50 consecutive children (58% males; mean [SD] age 13.6 [3.3] years; median [interquartile range, IQR] Epworth Sleepiness Scale score 10 [6-12]) who were evaluated using validated SDB and insomnia questionnaires. Cohort#2 was extracted from electronic medical records and included 384 polysomnographically evaluated children (mean [SD] age 12.9 [3.6] years; mean [SD] body mass index z score 1.27 [0.28]; median Epworth Sleepiness Scale score 9.7 [4-17]). In Cohort #1, 56% were at high risk of SDB, 36% had insomnia alone, and 18% were at high risk of COMISA. The prevalence of COMISA in Cohort #2 was 16%, 72% had SDB alone, and 12% had insomnia alone. In both cohorts, COMISA manifested as increased propensity for sleepiness and fatigue during both waking and daytime. Thus, the presence of COMISA is frequent in the paediatric age range and accompanied by a more prominent symptomatic phenotype.

Pomegranate Peels and Seeds as a Source of Phenolic Compounds: Effect of Cultivar, By-Product, and Extraction Solvent.

The nutraceutical properties of Punica granatum L. are not restricted to the edible portion of the fruit but also to the peels and seeds, flowers, leaves, and tree bark. The recovery and valorization of the peel and seeds (ca. 50% of the whole fruit), besides the positive environmental impact, can be viewed as a source of natural bioactive compounds. Thus, the bioactive properties of extracts of pomegranate peel and seeds from Acco and Wonderful known cultivars, as well as of the novel Big Full cultivar, were evaluated. The dried and ground pomegranate by-products were submitted to a conventional solid/liquid extraction with ethanol/water mixtures (0%, 25%, 50%, and 75% of EtOH, v/v). The obtained extracts were characterized in terms of total phenolic compounds (TPC), total flavonoids (TF), and antioxidant activity (AA), determined by the DPPH radical scavenging activity and expressed as IC50 (half maximum inhibitory concentration). With the exception of the Acco cultivar, the extraction yield (EY) was higher for peels, whose extracts showed higher TPC, TF, and IC50 (lower AA). The extracts obtained from the by-products of the Big Full cultivar had a statistically higher overall bioactive potential (TPC: 0.36 mg GAE/mg extract; TF: 0.031 mg CATE/mg extract; IC50: 0.51 mg/mL) compared to the other two studied cultivars. Furthermore, the EY was enhanced by solvents richer in ethanol (50-75%), allowing obtaining extracts richer in TPC and TF with higher AA. Finally, it was shown that EY combined with bioactive data allowed a satisfactory principal component unsupervised differentiation of the pomegranate extracts according to the type of by-product used.

Effect of Extraction Method on the Bioactive Composition, Antimicrobial Activity and Phytotoxicity of Pomegranate By-Products.

Pomegranate by-products can be an asset to the food industry due to the richness in bioactive and antimicrobial compounds. This work studied the influence of conventional solvent and sonication-assisted extraction methods on the bioactive profile, antimicrobial properties, and phytotoxicity effect of the peels and seeds extracts from Acco, Big Full, and Wonderful pomegranate cultivars. The bioactive composition of the extracts was evaluated for the content of total phenolics, total flavonoids, and antioxidant activity (expressed as the half-maximal inhibitory concentration-IC50) by spectrophotometric methods, while the tannins were determined by titration and the anthocyanins were estimated by the pH-differential method. For the evaluation of the antimicrobial activity, the disk diffusion method of Kirby-Bauer was adapted through inhibition halos against Escherichia coli, Pseudomonas aeruginosa, Staphylococcus aureus, Bacillus cereus, and Yarrowia lipolytica. The extracts' phytotoxicity was evaluated in vitro on garden-cress seeds. Extracts from conventional extraction were richer in total phenolics, expressed as gallic acid equivalents (0.16-0.73 mg GAE/mg extract), while those from sonication-assisted extraction had higher contents of total flavonoids, expressed as catechin equivalents (0.019-0.068 mg CATE/mg extract); anthocyanins, expressed as cyanidin-3-glucoside (0.06-0.60 µg C3G/mg, dry basis); and antioxidant activity (IC50, 0.01-0.20 mg/mL). All extracts were more effective against Gram-positive bacteria and yeasts than Gram-negative bacteria. In general, the sonication-assisted extracts led to higher inhibition halos (8.7 to 11.4 mm). All extracts presented phytotoxicity against garden-cress seeds in the tested concentrations. Only the lowest concentration (0.003 mg/mL) enabled the germination of seeds and root growth, and the sonication-assisted extracts showed the highest Munoo-Liisa vitality index (51.3%). Overall, sonication-assisted extraction obtained extracts with greater bioactive and antimicrobial potential and less phytotoxicity.

Fluctuating asymmetry and organosomatic indexes in fish: the Corocoro grunt as a case study (Haemulidae).

Fluctuation asymmetries (FA) are random on the bilateral symmetry plan of paired morphological characters, and other types of symmetry, such as: for instance, translational or rotational symmetry, in response to environmental, and genetic stress. The relationship of FA with gonadossomatic (GSI), hepatosomatic (HSI), and fullness (RI) indexes and condition factor (K) for juveniles (n=8), adults (n=32), males (n=9), and females (n=26) of Corocoro grunt Orthopristis ruber were evaluated in this paper. The composite fluctuating asymmetry (CFA) was used to calculate the combined effects of FA over these four organosomatic indexes of 66 Corocoro grunt caught during 2011 in Guanabara Bay, Brazil, one of the most eutrophic coastal bays in the world. Redundancy Analysis (RDA) confirmed a significant relationship between CFA and the physiological descriptors (HSI, RI, K), but without clear differences among juveniles, adults, and sexes. Our results support the potential of CFA to be used as a proxy of environmental effects over reef-associated fish species in a tropical bay, but the relationship between CFA and physiological descriptors is complex, and further studies, such as experimental trials, are needed.

How much fluctuating asymmetry in fish is affected by mercury concentration in the Guanabara Bay, Brazil?

This study aims to analyze if the fluctuating asymmetry (FA) of the Corocoro grunt Orthopristis ruber is affected by mercury concentration in Brazilian Southeastern eutrophicated bay. The O. ruber fishes were collected in two areas of the Guanabara Bay, Rio de Janeiro, Brazil: Vermelha Beach, influenced to ocean waters, and Paquetá Island, for greater freshwater loads of the rivers of the region, both in wet and dry seasons. Possibly availability of food resources, exposure to other pollutants and harmful agents (pesticide, algal toxicity, among others), and environmental and oceanographic factors may be reflecting on the FA detected for the O. ruber population. Mercury (Hg) is a harmful trace metal when present in the food, because of the high toxicity, high levels of absorption, and low excretion rate. Hg accumulates in human organisms through fish consumption, which may represent a risk to health. Analytical determinations of THg were performed by Direct Mercury Analyzer, following the manufacture's recommendations and following the procedure proposed by Guimarães et al. (Food Sci Nutr 4:398-408, 2015). No evidenced in the influence of THg on FA. In turn, the THg was significantly different between areas. Higher THg levels were found in O. ruber populations in the Vermelha Beach, with mean values ​​of HgT 0.08 ± 0.01 mg/kg-1, and the Paquetá Island with HgT 0.05 ± 0.01 mg/kg-1. Likely higher THg on the Vermelha Beach occurred due to hydrodynamic factors, increasing the bioavailability of THg from the sediment and incorporated into the food web. This indicates that the higher THg levels in the outermost area of the Guanabara Bay can directly influence the bioaccumulation of this metal in the commercially important species present in this region, through the trophic chain because O. ruber constitutes an important part of the diet of themselves.