Treatment of established recurrent hepatitis C in liver-transplant recipients with pegylated interferon-alfa-2b and ribavirin therapy.

INTRODUCTION: The management issues of transplant patients with hepatitis C virus (HCV) are complex, and interferon therapy is often ineffective. We present data from a retrospective review in liver-transplant recipients suffering from HCV recurrence that were treated with pegylated alpha-2b interferon and ribavirin. METHODS: A retrospective review of transplant recipients that received combination pegylated alpha-2b interferon (1.5 mcg/kg/wk) and ribavirin (400-600 mg/day) therapy intended for at least 48 weeks. Complications were recorded and included neutropenia (<750 cells), anemia (hemoglobin <8 g) with and without treatment consisting of blood transfusions, erythropoietin, or dose reduction of ribavirin, and depression. The diagnosis of HCV recurrence was determined by an increase in liver chemistries, histopathologic findings with inflammation along with viral recurrence using the COBAS AMPLICOR HCV test. RESULTS: Fifty-seven liver-transplant recipients were included, 29 naive (group 1) to therapy and 28 nonresponders (group 2) to at least 6 months of interferon and ribavirin therapy. Eight (27.6%) patients in group 1 and six (21%) patients in group 2 were HCV nondetectable at the end of 48 weeks of therapy. Ribavirin therapy was decreased in 13 of 29 (45%) for group 1 and 11 of 28 (39%) in group 2. Therapeutic interventions were 4 of 57 (7%) blood transfusions, 23 of 57 (40%) erythropoietin, and 17 of 57 (30%) filgrastim. CONCLUSION: Combination pegylated interferon with ribavirin appears to effective therapy in HCV recurrence and in HCV nonresponsive to interferon and ribavirin. This data reveals the difficulty and caution that must be taken when treating HCV-R liver-transplant recipients with combination pegylated alpha-2b interferon and ribavirin therapy.

Fractal dimension and Shannon's entropy analyses of the architectural complexity caused by the inflammatory reactions induced by highly crystalline poly(vinyl alcohol) microspheres implanted in subcutaneous tissues of the Wistar rats.

The results of the histopathological analyses after the implantation of highly crystalline PVA microspheres in subcutaneous tissues of Wistar rats are here in reported. Three different groups of PVA microparticles were systematically studied: highly crystalline, amorphous, and commercial ones. In addition to these experiments, complementary analyses of architectural complexity were performed using fractal dimension (FD), and Shannon's entropy (SE) concepts. The highly crystalline microspheres induced inflammatory reactions similar to the ones observed for the commercial ones, while the inflammatory reactions caused by the amorphous ones were less intense. Statistical analyses of the subcutaneous tissues of Wistar rats implanted with the highly crystalline microspheres resulted in FD and SE values significantly higher than the statistical parameters observed for the amorphous ones. The FD and SE parameters obtained for the subcutaneous tissues of Wistar rats implanted with crystalline and commercial microparticles were statistically similar. Briefly, the results indicated that the new highly crystalline microspheres had biocompatible behavior comparable to the commercial ones. In addition, statistical tools such as FD and SE analyses when combined with histopathological analyses can be useful tools to investigate the architectural complexity tissues caused by complex inflammatory reactions.

(210)Pb and composition data of near-surface sediments and interstitial waters evidencing anthropogenic inputs in Amazon River mouth, Macapá, Brazil.

Activity profiles of excess (210)Pb determined in three sediment cores from Amazon River mouth, Macapá city, Brazil, provided the evaluation of sedimentation rates, contributing to a better knowledge of the hydrological conditions in the site that is the capital of Amapá State and is drained by the waters of the huge Amazon River. Chemical data were also determined in the sediments, allowing identify signatures coupled to anthropogenic inputs held in the past in Amapá State. Significant direct relationships between LOI (loss on ignition) and organic matter were found for all sediments profiles. Silica was found to be inversely related to organic matter in the three profiles; its decrease accompanied an increase on the specific surface of the sediments. This relationship was confirmed by a great number of inverse significant correlations among silica and oxides Na(2)O, K(2)O, CaO, MgO, Al(2)O(3), P(2)O(5), Fe(2)O(3) and MnO. It was possible to identify the role of organic matter on adsorption of several oxides in the core sediments profiles. Apparent sediment mass accumulation rates corresponding to values between 450 and 2510 mg cm(-2)yr(-1) were obtained, and are compatible with the results of others studies. The (210)Pb activities in one sampling point suggested the occurrence of anthropogenic inputs related to the initial period of the mining activities conducted in Serra do Navio, Amapá State, for the commercialization of Mn ores. This was reinforced by the abrupt fluctuations in chemical data obtained for the sediments and composition of the interstitial waters occurring there. The Atlantic hurricane activity also appeared to affect the sedimentation rates in the area, as two different values were recorded in each profile.

Comportamento dos tecidos apicais e periapicais de dentes de cäes à obturaçäo de canal com o cimento esperimental Sealer Plus / Behaviour of the apical and periapical tissues of dogs' teeth to root canal filling with the experimental materials Sealer Plus

Foi propósito deste trabalho estudar o comportamento dos tecidos apicais e periapicais de dentes de cäes com canais obturados, com um cimento obturador experimental à base de óxido de cálcio, denominado de Sealer Plus. Dentes de um cäo foram preparados biomecanicamente e sobreinstrumentados, recebendo, por 7 dias, um curativo de corticosteróide-antibiótico. Posteriormente, foram obturados pela técnica da condensaçäo lateral com o cimento Sealer Plus e o cimento Fill Canal, como controle. Decorridos 180 dias, os espécimes foram removidos e preparados para análise histomorfológica. Os resultados mostraram que o cimento Sealer Plus exibiu melhores propriedades biológicas que o Fill Canal, caracterizadas pela ocorrência de selamento biológico e menor reaçäo inflamatória periapical