Noninvasive parameters and hepatic fibrosis scores in children with nonalcoholic fatty liver disease.

AIM: To evaluate the noninvasive parameters and hepatic fibrosis scores in obese children with nonalcoholic fatty liver disease (NAFLD). METHODS: A total of 77 children diagnosed with NAFLD via liver biopsy were included and divided into 2 subgroups according to the histopathologic staging of hepatic fibrosis: mild (stage 0-1) vs significant fibrosis (stage 2-4). Clinical and laboratory parameters were evaluated in each patient. The aspartate aminotransferase (AST)/alanine aminotransferase (ALT) ratio, AST/platelet ratio index (APRI), PGA index, Forns index, FIB-4, NAFLD fibrosis score, and pediatric NAFLD fibrosis index (PNFI) were calculated. RESULTS: No clinical or biochemical parameter exhibited a significant difference between patients with mild and significant fibrosis. Among noninvasive hepatic fibrosis scores, only APRI and FIB4 revealed a significant difference between patients with mild and significant fibrosis (APRI: 0.67 ± 0.54 vs 0.78 ± 0.38, P = 0.032 and FIB4: 0.24 ± 0.12 vs 0.31 ± 0.21, P = 0.010). The area under the receiving operating characteristic curve of FIB4 was 0.81, followed by Forns index (0.73), APRI (0.70), NAFLD fibrosis score (0.58), AST/ALT ratio (0.53), PGA score (0.45), and PNFI (0.41). CONCLUSION: APRI and FIB4 might be useful noninvasive hepatic fibrosis scores for predicting hepatic fibrosis in children with NAFLD.

A comparative study of catalytic partial oxidation of methane over CeO2 supported metallic catalysts.

In the present study, the catalytic partial oxidation of methane (CPOM) over various active metals supported on CeO2 (M/CeO2, M = Ir, Ni, Pd, Pt, Rh and Ru) has been investigated. The catalysts were characterized by X-ray diffraction (XRD), BET surface area, H2-temperature programmed reduction (H2-TPR), CO chemisorption and transmission electron microscope (TEM) analysis. Ir/CeO2 catalysts showed higher BET surface area, higher metal dispersion, small active metal nano-particles (approximately 3 nm) than compared to other M/CeO2 catalysts. The catalytic tests were carried out in a fixed R(mix) ratio of 2 (CH4/O2) in a fixed-bed reactor, operating isothermally at atmospheric pressure. From time-on-stream analysis at 700 degrees C for 12 h, a high and stable catalytic activity has been observed for Ir/CeO2 catalysts. TEM analysis of the spent catalysts showed that the decrease in the catalytic activity of Ni/CeO2 and Pd/CeO2 catalysts is due to carbon formation whereas no carbon formation has been observed for Ir/CeO2 catalysts.

'Illusional' nano-size effect due to artifacts of in-plane conductivity measurements of ultra-thin films.

The nano-size effect, which indicates a drastic increase in conductivity in solid electrolyte materials of nano-scale microstructures, has drawn substantial attention in various research fields including in the field of solid oxide fuel cells (SOFCs). However, especially in the cases of the conductivity of ultra-thin films measured in an in-plane configuration, it is highly possible that the 'apparent' conductivity increase originates from electrical current flowing through other conduction paths than the thin film. As a systematic study to interrogate those measurement artifacts, we report various sources of electrical current leaks regarding in-plane conductivity measurements, specifically insulators in the measurement set-up. We have observed a 'great conductivity increase' up to an order of magnitude at a very thin thickness of a single layer yttria-stabilized zirconia (YSZ) film in a set-up with an intentional artifact current flow source. Here we propose that the nano-size effect, reported to appear in ultra-thin single layer YSZ, can be a result of misinterpretation.

Hyperbilirubinemia reduces the streptozotocin-induced pancreatic damage through attenuating the oxidative stress in the Gunn rat.

Oxidative stress is an important pathogenic factor in diabetes. Bilirubin may serve a cytoprotective function as an anti-oxidant. The Gunn rat lacks the enzyme uridine-diphosphate glucuronosyltransferase that is responsible for conjugation of bilirubin, exhibiting elevation of plasma bilirubin. We examined the effect of hyperbilirubinemia on the pancreatic damage caused by streptozotocin (STZ) in the Gunn rat. Male Wistar rats and male Gunn rats were treated with STZ (WS and GS groups, respectively) or vehicle (WC and GC groups, respectively). All 5 rats in the WS group developed diabetes, defined as fasting blood glucose 300 mg/dL or more, at 3 days, whereas only 2 of the 5 GS rats became diabetic at 7 days after STZ injection. Without insulin supplement at 7 days after STZ injection, the WS group displayed higher levels of fasting blood glucose (510.3 ± 50.3 vs. 236.4 ± 42.5 mg/dL, p = 0.003) and HbA1c (5.0 ± 0.1 vs. 3.9 ± 0.1, p = 0.001), compared to those of GS group. In Wistar rats, STZ induced apoptosis of the pancreatic islet cells, accompanied with activation of NADPH oxidase and increased production of reactive oxygen species and nitric oxide, but not in Gunn rats. Moreover, in a rat insulinoma cell line (RIN-m5F), pre-treatment with bilirubin (0.1 mg/dL) decreased cell death and apoptosis caused by STZ, and also reduced H2O2 production. Considering the protective effect of hyperbilirubinemia against STZ-induced injury, we postulate that bilirubin could be a potential therapeutic modality for oxidative stress of pancreas islets.

A Case of Recurrent Acute Pancreatitis due to Pancreatic Arteriovenous Malformation.

Pancreatic arteriovenous malformation (AVM) is an extremely rare condition with various clinical manifestations. We report herein a case of recurrent acute pancreatitis due to pancreatic AVM in a 49-year-old man. This patient presented with epigastric pain that had developed after consuming alcohol 2 days prior to admission. Serum amylase and lipase levels were elevated and computed tomography revealed focal low-attenuation lesions with peripancreatic infiltrations in the pancreatic tail and multiple collateral vessels around the low-attenuation lesions. He was diagnosed with acute pancreatitis and pancreatic AVM. Although he had stopped drinking after the first attack of acute pancreatitis, his pancreatitis recurred twice within 3 months. He underwent a distal pancreatectomy after the third attack of acute pancreatitis. He was free of symptoms for 2 years after the pancreatectomy.