Induction of the Phenylpropanoid Pathway by Acibenzolar-S-Methyl and Potassium Phosphite Increases Mango Resistance to Ceratocystis fimbriata Infection.

This study used both microscopic and biochemical analyses to investigate the possible defense responses induced by acibenzolar-S-methyl (ASM) and potassium phosphite (Phi) in mango plants inoculated with Ceratocystis fimbriata. Disease development was evaluated in the stems of inoculated mango plants and these were examined using fluorescence and light microscopy. High-performance liquid chromatography (HPLC) was used to quantify secondary metabolites in the stem sections. Spraying the plants with ASM and Phi reduced internal necrosis and disease development. The ASM and Phi induced many microscopic defense responses in the stem tissues against C. fimbriata infection. HPLC analysis revealed that the concentrations of two alkaloids (theobromine and 7-methylxanthine) and 10 phenolic compounds (catechin, epicatechin, epigallocatechin, gallic acid, myricetin, p-coumaric acid, p-hydroxybenzoic acid, phloridzin, sinapinic acid, and salicylhydroxamic acid) were higher in the stem tissues of plants sprayed with ASM or Phi than in inoculated control treatment. The concentrations of phenolic compounds were higher in the stem tissues of inoculated plants than in noninoculated plants, while the inverse was observed for alkaloids. Higher concentrations of secondary metabolites in the stem tissues were detected in the early stages of fungal infection, especially in plants treated with inducers. Taken together, the results from the present study clearly support the concept that the phenylpropanoid pathway in the stem tissues of mango plants infected by C. fimbriata can be induced by ASM and Phi.

Comparison of Microcystis aeruginosa (PCC7820 and PCC7806) growth and intracellular microcystins content determined by liquid chromatography-mass spectrometry, enzyme-linked immunosorbent assay anti-Adda and phosphatase bioassay.

Cyanobacteria are able to produce several metabolites that have toxic effects on humans and animals. Among these cyanotoxins, the hepatotoxic microcystins (MC) occur frequently. The intracellular MC content produced by two strains of Microcystis aeruginosa, PCC7806 and PCC7820, and its production kinetics during the culture time were studied in order to elucidate the conditions that favour the growth and proliferation of these toxic strains. Intracellular MC concentrations measured by liquid chromatography (LC) coupled to electrospray ionization mass spectrometer (MS) were compared with those obtained by enzyme-linked immunosorbent assay (ELISA) anti-Adda and protein phosphatase 2A (PP2A) inhibition assays. It has been demonstrated there are discrepancies in the quantification of MC content when comparing ELISA and LC-MS results. However, a good correlation has been obtained between PP2A inhibition assay and LC-MS. Three MC were identified using LC-MS in the PCC7806 strain: MC-LR, demethylated MC-LR and a new variant detected for the first time in this strain, [L-MeSer(7)] MC-LR. In PCC7820, MC-LR, D-Asp(3)-MCLR, Dglu(OCH3)-MCLR, MC-LY, MC-LW and MC-LF were identificated. The major one was MC-LR in both strains, representing 81 and 79% of total MC, respectively. The total MC content in M. aeruginosa PCC7820 was almost three-fold higher than in PCC7806 extracts.

The development of a simple questionnaire to screen patients with SLE for the presence of neuropsychiatric symptoms in routine clinical practice.

AIM: The creation of a physician-administered questionnaire to screen patients with Systemic Lupus Erythematosus (SLE) for the presence of symptoms suggestive of neuropsychiatric involvement (NPSLE). METHODS: The development of the questionnaire followed three phases. First, a list of manifestations was prepared based on the ACR case definitions for NPSLE. A first questionnaire was constructed including 119 items. To reduce their number, a Delphi analysis was carried out and a second questionnaire with 62 questions was developed. This questionnaire was administered to 139 patients with SLE (58 with NPSLE: 29 active, 29 inactive; and 81 without NPSLE: 39 active, 42 inactive). Questions relevant to the screening of patients were selected on the basis of the receiver operating characteristic (ROC) curve analysis. RESULTS: Twenty-seven questions concerning central nervous system and psychiatric manifestations were found to be relevant; the remaining could be eliminated without significantly affecting AUC. The area under the ROC curve (AUC) was 0.69 (95% CI 0.61-0.78). A score above 17 was considered as suggestive of the presence of NPSLE with a sensitivity of 92.9% (95% CI 85.1-97.3 %) and specificity of 25.4% (95% CI 14.7-39.00 %). CONCLUSIONS: This questionnaire could represent a 'core set' of questions that could help in clinical practice to identify patients with neuropsychiatric symptoms requiring further evaluation.

Low prevalence of relevant findings in inappropriate echocardiograms and discordant perceptions between cardiologists and patients.

Complementary examinations are "inadequate" whenever the likelihood of benefits from their indication is lower than the negative results. The low benefit is a result of poor performance in detecting relevant changes that lead to improved behavior. However, inadequate examinations are prevalent and little is known about patients' notions of the usefulness of such indications. The aim of this study was to describe relevant findings in inappropriate echocardiograms and to assess the level of agreement between patients and cardiologists regarding their usefulness. Adults without known cardiovascular disease who were referred for echocardiogram by inappropriate criteria according to the American College of Cardiology were selected. Relevant findings were defined by any change in the degree of moderate to severe, according to the American Society of Echocardiography. We tested the level of agreement between the patients who underwent echocardiographic examination and the physicians who requested the exam through a standard questionnaire. Five hundred patients were included, with average age of 52±17 years (47% males). Only 17 patients had any relevant changes (3.4%, 95%CI=2 to 5.4%). The most frequent alterations included valve changes in 8 and diastolic dysfunction grade II in 6 patients. Eighty-seven examinations were performed to determine the level of agreement between patients and cardiologists. For the question "Is this test really necessary?", 92% of patients responded positively, compared with 5% of cardiologists (Kappa negative 0.04; P=0.01). The frequency of relevant findings was low in inadequate echocardiograms and patients and cardiologists had a different perception regarding its usefulness.

Antimicrobial and general toxicity activities of Gymnosperma glutinosum: a comparative study.

Gymnosperma glutinosum (Spreng.) Less (Asteraceae) is an important, and an effective herbal medicine which is wide used for the treatment of diarrhoea in Mexico. We examined and compared the antibacterial and antifungal activities through the dilution method and for general toxicity activity by the brine shrimp lethality assay of two samples of Gymnosperma glutinosum from two localities of Mexico: San Rafael-Coxcatlan (Puebla State) and Tepeji del Rio (Hidalgo State). In addition, two bioactive compounds (-)-17-hydroxy-neo-clerod-3-en-15-oic acid (1) and 5,7-dihydroxy-3,6,8,2',4',5'-hexamethoxyflavone (2) were isolated. From the hexane extract from both places was obtained a MeOH partition M(2). M(2) of Tepeji del Rio showed the least MICs (<125 microg/ml) in the majority of the bacterial strains. Sarcina lutea was the most sensitive bacteria (MIC< 125 microg/ml). The hexane extract of both localities showed antifungal activity against all tested fungi. San Rafael's hexane extract was significant more activity than Tepeji del Rio. Aspergillus niger (IC(50)=23.79 microg/ml) and Trichophyton mentagrophytes (IC(50)=90.25 microg/ml) were the more sensitive fungus strains. The strongest general toxicity activity was observed with the M(2) partition from Tepeji del Rio (LC(50)=503.7 microg/ml). The results obtained in this investigation, showed differences between the antimicrobial activities of the samples of plants collected in San Rafael (Puebla) and Tepeji del Rio (Hidalgo).

Colgajo muscular de esternocleidomastoídeo para el manejo de perforación esofágica tardía: reporte de dos casos / Muscle flap of sternocleidomastoid for the management of late esophageal perforation: report of two cases

Resumen Introducción: La perforación esofágica es una complicación poco frecuente en la cirugía de columna cervical por vía anterior, sin embargo, puede tener graves consecuencias cuando hay demoras en diagnóstico y tratamiento. Casos Clínicos: Presentamos dos casos clínicos de pacientes con perforación esofágica secundaria a cirugía de columna cervical por vía anterior. Se usaron para su reparación colgajo muscular de esternocleidomastoideo (ECM). Conclusión: La perforación esofágica secundaria a cirugía de columna cervical es poco frecuente, variable desde el punto de vista clínico, el TC y estudio radiológico contrastado son fundamentales en el diagnóstico de esta patología. El colgajo muscular ECM en estos casos es una herramienta fiable y extremadamente útil debido a sus características anatómicas, fácil disección quirúrgica y baja morbilidad asociada.

Introduction: Esophageal perforation is a rare complication in cervical spine surgery by anterior way, however it can have serious consequences when there are delays in diagnosis and treatment. Cases Report: We present two clinical cases of patients with esophageal perforation secondary to cervical spine surgery by anterior way. Sternocleido-mastoid muscle flaps were used for repair. Conclusion: Esophageal perforation secondary to cervical spine surgery is rare, clinically variable, CT and radiologic study are fundamental in the diagnosis of this pathology. The Sternocleidomastoid muscle flap in these cases is a reliable and extremely useful tool due to its anatomical characteristics, easy surgical dissection and low associated morbidity.

Partially folded states of the cytolytic protein sticholysin II.

Sticholysin II (Stn II) is a cytolytic protein produced by the sea anemone Stichodactyla helianthus, its effect being related to pore formation. The conformation of the protein and its temperature-induced transitions, in the 1.5-12.0 pH range and in the 0-0.5 M NaCl concentration interval, have been studied by circular dichroism and fluorescence spectroscopy. At temperature < 35 degrees C, the protein maintains the same, high beta-structure content, folded conformation in the 1.5-11.0 pH range and ionic strength up to 0.5 M. In the 1.5-3.5 pH range and ionic strength > or = 0.1 M, Stn II shows a thermal transition, resulting in a partially folded state characterized by: (i) a native-like content of regular secondary structure, as detected by far-UV CD; (ii) a largely disordered tertiary structure, as detected by near-UV CD, with partially exposed tryptophan residues according to their fluorescence emission; and (iii) ability to bind the hydrophobic probe 2-anilinonaphthalene-6-sulfonic acid. In the pH range 4.0-10.5, thermally-induced protein aggregation occurs. The obtained results demonstrate the existence of partially folded state of Stn II, which may contribute to the pore formation ability of this cytolysin.

Proceso de enfermería, estudio de familia de adolescente embarazada en atención primaria de salud / Nursing process, primary health care study on the family of a pregnant teenager / Processo de enfermagem, estudo de família de adolescente grávida em atenção primária de saúde

Resumen Introducción: En Chile persiste el embarazo adolescente, sin embargo, no se sistematiza la evidencia de las intervenciones realizadas, ni cómo, desde la Atención Primaria el personal de enfermería desempeña un rol fundamental en la atención de las familias para mejorar la salud de todos sus miembros. Objetivo: Elaborar un estudio de familia de acuerdo con las directrices del proceso enfermero enmarcado en el modelo de atención integral de salud familiar y comunitaria. Método: Desarrollo de estudio de familia con enfoque en el proceso de enfermería. Caso índice embarazada adolescente que presenta riesgo tras la aplicación de la pauta de Riesgo Psicosocial-Evaluación Psicosocial Abreviada en el control de ingreso de embarazo en el marco del programa Chile Crece Contigo. Desarrollo: Aplicación de instrumentos de valoración familiar mediante visita domiciliaria integral, realización de proceso enfermero e intervención mediante programa educativo. Registro en ficha electrónica, elaboración de informe para seguimiento del caso por parte del equipo; evaluación de proceso, estructura y resultado para posteriormente evaluar los objetivos a corto plazo planteados en el proceso enfermero. Conclusiones: En el contexto del modelo de atención integral de salud familiar y comunitaria, el estudio de familia se vuelve fundamental para la comprensión holística de la familia como unidad funcional de la sociedad. Mas, es el uso de la sistematización del Proceso de Enfermería, lo que permite una identificación de la problemática de la familia y su intervención para disminuir el riesgo psicosocial de una embarazada adolescente.

Abstract Introduction: In Chile, teenage pregnancies are still occuring, but the evidence regarding the interventions, including those from family-focussed nursing in primary health care, is not systematized. Objective: To carry out a family study following the phases of the nursing process under the family and community health integral attention model framework. Method: Family study following the nursing process. The index case is a pregnant teenager who, as reflected by the Pauta de Riesgo Psicosocial-Evaluación de Riesgo Psicosocial instrument from the Chile Crece Contigo program, was found to be at risk. Development: Family assessment instruments were applied during home visits. Following the nursing process, the intervention was based on an educational program. An electronic record was registered. A follow up inform on the case was elaborated. The process, structure, and primary results were assessed to support the evaluation of the short term objectives set out in the nursing process. Conclusions: Within the context of the family and community health integral attention model, the family study becomes fundamental in order to holistically understand the family as a functional unit of society. Therefore, the systematization of the nursing process allows a better identification of the problems within the family - in this case a teenage pregnancy, and thus the development of better approaches to reduce the related psychosocial risks.

Resumo Introdução: No Chile persiste a gravidez adolescente, porém, não se sistematiza a evidência das intervenções realizadas, nem o como, desde a Atenção Primária o pessoal de enfermagem desempenha um papel fundamental na atenção das famílias para melhorar a saúde de todos seus membros. Objetivo: Elaborar um estudo de família conforme às diretrizes do processo enfermeiro enquadrado no modelo de atenção integral de saúde familiar e comunitária. Método: Desenvolvimento de estudo de família com enfoque no processo de enfermagem. O caso de índice gravidez adolescente que apresenta risco depois da aplicação da Pauta de Riesgo Psicosocial-Evaluación Psicosocial Abreviada no controle de ingresso de gravidez no marco do programa Chile Crece Contigo. Desenvolvimento: Aplicação de instrumentos de valoração familiar mediante visita domiciliar integral, realização de processo enfermeiro e intervenção mediante programa educativo. Registro em ficha eletrônica, elaboração de relatório para seguimento do caso por parte da equipe; avaliação de processo, estrutura e resultado para posteriormente avaliar os objetivos a curto prazo levantados no processo de enfermagem. Conclusões: No contexto do modelo de atenção integral de saúde familiar e comunitária, o estudo de família torna-se fundamental para a compreensão holística da família como unidade funcional da sociedade. Mas, é o uso da sistematização do Processo de Enfermagem, o que permite uma identificação da problemática da família e sua intervenção para diminuir o risco psicossocial de uma grávida adolescente.

Sticholysin II, a cytolysin from the sea anemone Stichodactyla helianthus, is a monomer-tetramer associating protein.

Sticholysin II (Stn-II) is a pore-forming cytolysin. Stn-II interacts with several supports for size exclusion chromatography, which results in an abnormal retardation precluding molecular mass calculations. Sedimentation equilibrium analysis has revealed that the protein is an associating system at neutral pH. The obtained data fit a monomer-tetramer equilibrium with an association constant K4c of 10(9) M(-3). The electrophoretic pattern of Stn-II treated with different cross-linking reagents, in a wide range of protein concentrations, corroborates the existence of tetrameric forms in solution. A planar configuration of the four monomers, C4 or D2 symmetry, is proposed from modelling of the cross-linking data.

Aminoborohydrides. 14. Lithium aminoborohydrides in the selective reduction or amination of alkyl methanesulfonate esters.

Lithium aminoborohydride (LAB) reagents initiate the amination or reduction of alkyl methanesulfonate esters, as dictated by reaction conditions. Alkyl methanesulfonate esters treated with unhindered LABs provide tertiary amines in excellent yield. Reduction to the corresponding alkane is achieved using a hindered LAB reagent or by forming the highly reactive Super-Hydride reagent in situ using LAB and a catalytic amount of triethylborane. The reduction methodology disclosed herein is a safe and convenient alternative to existing synthetic methods. [reaction: see text]

Reproducibility and cost of blood pressure self-measurement using the 'Loaned Self-measurement Equipment Model'.

OBJECTIVE: To determine the reproducibility and the cost of the Loaned Self-measurement Equipment Model for blood pressure. SUBJECTS: Seventy-five subjects with non-complicated essential hypertension, having an average age of 56.2 +/- 11 years, were evaluated. METHODS: The Loaned Self-measurement Equipment Model consists of a set of sphygmomanometers belonging to the clinic, loaned to patients for 3-day periods for them to carry out 27 readings, and then returned. Using a mercury sphygmomanometer, a nurse carried out office blood pressure readings during two visits. A month later, the same procedure was repeated under the same clinical conditions. The agreement between studies was assessed by correlation coefficients, coefficients of variation and standard deviation of the differences (SDD). RESULTS: The office blood pressure was 147 +/- 17/89 +/- 12 mmHg during visit A, and 145 +/- 16/88 +/- 11 mmHg during visit B. The self-measurement blood pressure was 139 +/- 16/84 +/- 10 mmHg during the first visit, and 136 +/- 15/84 +/- 11 mmHg during the second visit. In neither of the cases were the differences statistically significant. The correlation coefficients for the office and self-measurement systolic blood pressure were statistically significant (P = 0.018), while those for the diastolic blood pressure were not statistically significant. The SDD for self-measurement systolic blood pressure was 10.7, compared to 15.0 for the office blood pressure (P < 0.01). The comparison in the case of diastolic blood pressure was not significant. The cost of each loan was $5.85 (US dollars). CONCLUSIONS: The Loaned Self-measurement Equipment Model has a good short-term reproducibility, and the cost is reasonable.

Effect of sodium carboxymethylcellulose and methylprednisolone on the healing of jejunal anastomoses in rats.

Sodium carboxymethylcellulose (SCMC) has been effective in reducing adhesion formation and corticosteroids reduce the inflammatory process. The objective of this study was to define the intraperitoneal (ip) effects of SCMC combined with intramuscular (im) methylprednisolone on peritoneal adhesion formation and on jejunal anastomosis healing in rats. Twenty Wistar rats (200-350 g) were divided into four groups (N = 5): groups I and III (controls) 5 and 21 days of treatment before sacrifice, respectively; groups II and IV (experimental groups) 5 and 21 days of treatment, respectively. SCMC (1%) was infused into the abdominal cavity and methylprednisolone (10 mg kg-1 day-1) was injected im daily from the day before surgery for animals of groups II and IV. All rats were submitted to a jejunal anastomosis. Sections of the anastomosis were prepared for routine histopathological analysis. The abdominal adhesion of group IV was less intense when compared with group III (P<0.0008). Anastomotic resistance was higher in groups II and IV when compared with groups I and III, respectively (P<0.05). There was no histological difference between groups I and II (exuberant granulation tissue on the serosal surface). Group III presented little peritoneal fibrinous tissue, with numerous thick collagen fibers. Group IV presented extensive although immature young fibrous tissue with rare thick collagen fibers. Sodium carboxymethylcellulose combined with corticosteroids seemed to diminish peritoneal adhesion but did not reduce anastomotic resistance.

Periodontal conditions in 15-19-year-old Chileans.

A CPITN survey involving Chilean high school students aged 15-19 years was conducted. A random stratified sample by age, sex and socio-economic status was obtained, and comprised 2400 subjects. The total prevalence of periodontal disease (Code 3+4) was 10.49 per cent. There was a significant difference in the prevalence of periodontal disease in males (9 per cent) compared to females (12.16 per cent). The prevalence of periodontal disease was higher in students of low socio-economic status (15.87 per cent) than in students of middle (9.22 per cent) and high socio-economic status (8.93 per cent). The periodontal treatment needs were also higher for students of low socio-economic status than for students of the highest family income. The prevalence of periodontal disease and treatment needs found in Chilean students showed that virtually this entire population needs oral hygiene instruction, that 70 per cent need scaling, and that 10.49 per cent need complex periodontal treatment.

Desensitization to allopurinol after allopurinol hypersensitivity syndrome with renal involvement in gout.

This is a case report of a 36-year-old male with tophaceous gout for 16 years. He started therapy with 300 mg/day of allopurinol. He had received variable dexamethasone doses by self-prescription for 16 years. When allopurinol was initiated, he had hyperuricemia and normal renal function. Twenty days after starting allopurinol, he presented diffuse maculopapular rash, conjunctivitis, increase in serum creatinine values, leukocytosis and eosinophilia and the diagnosis of allopurinol hypersensitivity (AH) syndrome was made. He completely recovered from the AH and renal function normalized. However, the gout worsened over the following years in spite of treatment with benzobromarone, low doses of prednisone, and colchicine. Allopurinol desensitization was successful beginning with an oral low dose scheme (6.5 mug/day) until we reached 300mg/day. Today the patient receives allopurinol with no side effects. We believe that this is the first reported example of successful desensitization in full-blown AH with renal involvement. Our cautious regimen might be tried in other such patients.

Dental health among institutionalized psychiatric patients in Spain.

This study assessed the dental health of an institutionalized psychiatric population in Spain. The study population was composed of 347 males and 218 females with a mean age of 58.0. The mean length of hospitalization was 26.1 years. The largest proportion of the patients (62%) was diagnosed as having schizophrenia. All subjects were taking psychotropic drugs, with a mean number of 2.1 medications. The sample was examined according to the WHO dental criteria. The DMFT index demonstrated the mean number of carious teeth to be 7.9; missing teeth, 17.0; and filled teeth, 0.0. The DMFT index increased significantly with the patient's age and length of hospitalization. Female and demented patients had significantly higher DMFT scores. These findings suggest that institutionalized patients with mental illness in Spain have extensive untreated dental disease.

[Complications of treatment of epilepsy by a ketogenic diet]. / Complicaciones en el tratamiento para epilepsia con dieta cetogénica.

INTRODUCTION: It was originally claimed that the ketogenic diet (KC) caused no major adverse effects. Few studies have been done to analyze the side effects and complications of the KC. OBJECTIVES: To analyze the side effects and complications seen in a group of patients on KC compared with those described in the international literature. PATIENTS AND METHODS: We made a prospective evaluation of 22 patients aged between one and nineteen years, over an average period of 25 months. All had some type of refractory epilepsy and had been included in a group treated following classical KC guidelines. RESULTS: The side effects and complications during admission were delay in onset of the ketotic state (10.5%), intolerance of the rapid onset of ketosis (21%), hypoglycaemia (47.37%), refusal to drink fluids (15.79%), lack of appetite (15.79%), and nausea and vomiting (26.31%). During treatment the serum cholesterol rose in 64.7% of the children, 40.91% were constipated, 31.82% had periods of anorexia, symptomatic metabolic acidosis occurred during intercurrent infections in 9.09%, renal calculi in 9.09%, carnitine insufficiency in 9.09% and severe complications which led to hospital admission in 21.05%. CONCLUSIONS: Our group of patients had no more side effects or complications than those described in the literature. KC may lead to complications, especially when strict guidelines for control and follow up are not used. However, they are usually easy to correct if detected early.

[The ketogenic diet in infantile refractory epilepsy: electroclinical response, complications and secondary effects]. / Dieta cetogénica en la epilepsia refractaria infantil: respuesta electroclínica, complicaciones y efectos secundarios.

INTRODUCTION: The ketogenic diet (KD) was developed after observation that prolonged starvation might lead to the seizures stopping. Due to is efficacy and safety, KD plays an important part in the management of children with refractory epilepsy. OBJECTIVES: To show the clinical anticonvulsant response of KD, the electroencephalographic changes, the need for strict methodology to enhance the success of the treatment, and evaluation of the side effects and complications observed. PATIENTS AND METHODS: After being started on a protocol of a classical ketogenic diet, 13 patients aged between 1 and 19 years were prospectively evaluated for an average period of 22 months. All had different types of refractory epilepsy according to Schmidt's scores, as modified by Aicardi. RESULTS: There was over 50% reduction in the number of crises of 84.5% of the children. Complete control was attained in 30.8%. The electroencephalographic recordings showed improvement in 100% of the children. The families involved reported a 58.8% reduction in the side effects observed. During treatment the serum cholesterol rose in 72.7% of the children, 36.4% complained of constipation, 27.3% had a brief period of anorexia and there was symptomatic metabolic acidosis during intercurrent infection and renal lithiasis in one patient. CONCLUSION: The clinical and electroencephalographic improvement and minimal side-effects seen confirm that KD is beneficial in refractory epilepsy in children.

[The electroencephalographic evolution of a group of patients on a ketonic diet]. / Evolución electroencefalográfica de un grupo de pacientes en dieta cetogénica.

INTRODUCTION: A ketogenic diet is an old method for the treatment of resistant epilepsy in children, which has been revived in recent years because of its proven efficacy. OBJECTIVE: To correlate electroencephalographic findings and clinical changes observed in a group of patients on the classical ketogenic diet, to determine the validity of the electroencephalogram in following-up treatment. PATIENTS AND METHODS: We made a prospective evaluation of 11 patients aged between 1 and 19 years for an average period of 22 months. The patients had different types of resistant epilepsy according to Schmidt's score as modified by Aicardi, with a sleep encephalogram prior to treatment and 3, 6, 12 and 24 months later, after following the protocol of the classical ketogenic diet. RESULTS: The sleep encephalograph recordings showed changes in all patients. In 9% of cases they became normal, there was great improvement in 45.45% and some improvement in 45.45%. No patient had worsening of the recording. There was over 50% reduction in the number of seizures seen in 72.7% of the children and complete control was achieved in 27.3%. CONCLUSIONS: Normalization or improvement of sleep encephalogram recordings was correlated with improvement in seizures. Electroenchephalogram follow-up is a useful method for prediction of response to treatment with a ketogenic diet.

Effects of depuration on oxidative biomarkers in tilapia (Oreochromis niloticus) after subchronic exposure to cyanobacterium producing cylindrospermopsin.

Cylindrospermopsin (CYN) is a cytotoxic polyketide-derived alkaloid produced by several freshwater cyanobacterial species. It is now considered the second most studied cyanotoxin worldwide. Among the toxic mechanisms suggested for CYN pathogenicity are inhibition of protein and glutathione synthesis, genotoxicity by DNA fragmentation, and oxidative stress. The study of depuration of cyanobacterial toxins by aquatic organisms, particularly by fish, is important for fish economy and public health, but in the case of CYN is practically nonexistent. In this work, we investigated the efficiency of two distinct depuration periods, 3 or 7d, in a clean environment, as a mean of restoring the levels of several oxidative stress biomarkers in tilapia (Oreochromis niloticus) subchronically exposed to CYN by immersion in an Aphanizomenon ovalisporum culture (by adding 10 µg CYN/L every two days during 14 d). Lipid peroxidation (LPO) and DNA oxidation returned to normal values after 7d of depuration, whereas the time needed for restoring of the oxidatively damaged proteins was longer. Superoxide dismutase (SOD) and gamma-glutamyl-cysteine-synthetase (γ-GCS) activities recovered after just 3d of depuration, while catalase (CAT) activity needed up to 7d to return to control values. Ratio of reduced glutathione to oxidized glutathione (GSH/GSSG) returned to control levels after 7d of depuration in both organs. These results validate the depuration process as a very effective practice for detoxification in fish contaminated with these toxins.

Detection of cylindrospermopsin toxin markers in cyanobacterial algal blooms using analytical pyrolysis (Py-GC/MS) and thermally-assisted hydrolysis and methylation (TCh-GC/MS).

The hepatotoxin cylindrospermopsin (CYN) is produced by freshwater cyanobacteria becoming an emerging threat for human health. Methods for the rapid determination of CYN in environmental samples are needed. Conventional analytical pyrolysis (Py-GC/MS) and thermally-assisted hydrolysis and methylation (TCh-GC/MS) were used to study a CYN standard, two Aphanizomenon ovalisporum cultures (CYN+) and one culture of Cylindrospermopsis raciborskii (CYN-). A micro-furnace pyrolyzer was used directly attached to a GC/MS system fitted with a 30 m × 250 µm × 0.25 µm film thickness column (14% cyanopropyl phenyl, 86% dimethyl polysiloxane pahase composition). Oven temperature was held at 50 °C for 1 min and increased to 100 °C at 30 °C min(-1), from 100 °C to 300 °C at 10 °C min(-1), and stabilized at 300 °C for 10 min using helium (1 mL min(-1)) as carrier gas. Pyrolysis at 500 °C yield over 70 compounds with 20 specific for CYN+ samples. Two peaks containing a diagnostic fragment (m/z 194) were found at 25.0 and 28.9 min only in CYN+ samples. Fewer peaks with limited diagnostic value were released after TCh-GC/MS, including breakdown products and TMAH adducts. A compound was detected that may correspond to the CYN molecule (MW 415 Da) thermoevaporation product after the loss of SO3 (MW 80 Da). This TCh-GC/MS peak (m/z 336) together with the fragments obtained by conventional Py-GC/MS (m/z 194) are diagnostic ions with potential use for the direct detection of CYN toxin in environmental samples at last with an estimated 5 ppm detection threshold.