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1.
J Evol Biol ; 2024 Oct 07.
Article in English | MEDLINE | ID: mdl-39374323

ABSTRACT

Dietary change can be a strong evolutionary force and lead to rapid adaptation in organisms. High-fat and high-sugar diets can challenge key metabolic pathways, negatively affecting other life-history traits and inducing pathologies such as obesity and diabetes. In this study we use experimental evolution to investigate the plastic and evolutionary responses to nutritionally unbalanced diets. We reared replicated lines of larvae of the housefly Musca domestica on a fat-enriched (FAT), a sugar-enriched (SUG), and a control (CTRL) diet for thirteen generations. We measured development time in each generation, and larval growth and fat accumulation in generation 1, 7, and 13. Subsequently all lines were reared for one generation on the control diet to detect any plastic and evolutionary changes. In the first generation, time to pupation decreased on a fat-rich diet and increased on a sugar-rich diet. The fat-rich diet increased fat accumulation and, to a lesser extent, dry weight of the larvae. Multigenerational exposure to the unbalanced diets caused compensatory changes in development time, dry weight, as well as absolute and relative fat content, although pattern and timing depended on diet and trait. When put back on a control diet, many of the changes induced by the unbalanced diets disappeared, indicating that diet has large plastic effects. Nevertheless, fat-evolved lines still grew significantly larger than the sugar-evolved lines, and sugar-evolved lines had consistently lower fat content. This can be an effect of parental diet or an evolutionary change in nutrient metabolism as a consequence of multigenerational exposure to unbalanced diets.

2.
Water Sci Technol ; 89(7): 1647-1664, 2024 Apr.
Article in English | MEDLINE | ID: mdl-38619895

ABSTRACT

The study evaluated the impact of treated wastewater on plant growth through the use of hyperspectral and fluorescence-based techniques coupled with classical biomass analyses, and assessed the potential of reusing treated wastewater for irrigation without fertilizer application. Cherry tomato (Solanum lycopersicum) and cabbage (Brassica oleracea L.) were irrigated with tap water (Tap), secondary effluent (SE), and membrane effluent (ME). Maximum quantum yield of photosystem II (Fv/Fm) of tomato and cabbage was between 0.78 to 0.80 and 0.81 to 0.82, respectively, for all treatments. The performance index (PI) of Tap/SE/ME was 2.73, 2.85, and 2.48 for tomatoes and 4.25, 3.79, and 3.70 for cabbage, respectively. Both Fv/Fm and PI indicated that the treated wastewater did not have a significant adverse effect on the photosynthetic efficiency and plant vitality of the crops. Hyperspectral analysis showed higher chlorophyll and nitrogen content in leaves of recycled water-irrigated crops than tap water-irrigated crops. SE had 10.5% dry matter composition (tomato) and Tap had 10.7% (cabbage). Total leaf count of Tap/SE/ME was 86, 111, and 102 for tomato and 37, 40, and 42 for cabbage, respectively. In this study, the use of treated wastewater did not induce any photosynthetic-related or abiotic stress on the crops; instead, it promoted crop growth.


Subject(s)
Brassica , Wastewater , Fluorescence , Biomass , Plant Leaves , Water , Crops, Agricultural
3.
Blood Purif ; 52(2): 201-209, 2023.
Article in English | MEDLINE | ID: mdl-36195071

ABSTRACT

INTRODUCTION: Hemodialysis (HD) patients are often prescribed salt and fluid-restricted diets to reduce their interdialytic weight gain (IDWG) and prevent chronic volume overload and hypertension. However, adherence to fluid restrictions is poor, which may be due to HD patients' excessive thirst. The purpose of the review is to explore the association between HD patients' subjective thirst and IDWG, which may inform strategies to manage chronic volume overload. METHODS: We conducted the literature search in Web of Science, Cumulative Index to Nursing and Allied Health Literature, PubMed, and the Cochrane Library, until February 25, 2019. Studies performing statistical tests to assess the association between patients' subjective thirst and IDWG were included. RESULTS: A total of eighteen studies were included in the systematic review, which measured the relationship between patients' subjective thirst and IDWG. Among them, 14 studies found that different domains of thirst and different units of IDWG are positively associated. Therefore, there is a positive association between the patients' subjective thirst and IDWG. However, the findings should be interpreted cautiously as there was variability in thirst and IDWG measurement techniques, which might influence the estimated relationship in these studies. DISCUSSION/CONCLUSION: These data suggest that strategies are needed to reduce thirst to control IDWG in HD patients.


Subject(s)
Heart Failure , Thirst , Humans , Weight Gain , Renal Dialysis
4.
BMC Nephrol ; 24(1): 196, 2023 06 29.
Article in English | MEDLINE | ID: mdl-37386392

ABSTRACT

BACKGROUND: Machine Learning has been increasingly used in the medical field, including managing patients undergoing hemodialysis. The random forest classifier is a Machine Learning method that can generate high accuracy and interpretability in the data analysis of various diseases. We attempted to apply Machine Learning to adjust dry weight, the appropriate volume status of patients undergoing hemodialysis, which requires a complex decision-making process considering multiple indicators and the patient's physical conditions. METHODS: All medical data and 69,375 dialysis records of 314 Asian patients undergoing hemodialysis at a single dialysis center in Japan between July 2018 and April 2020 were collected from the electronic medical record system. Using the random forest classifier, we developed models to predict the probabilities of adjusting the dry weight at each dialysis session. RESULTS: The areas under the receiver-operating-characteristic curves of the models for adjusting the dry weight upward and downward were 0.70 and 0.74, respectively. The average probability of upward adjustment of the dry weight had sharp a peak around the actual change over time, while the average probability of downward adjustment of the dry weight formed a gradual peak. Feature importance analysis revealed that median blood pressure decline was a strong predictor for adjusting the dry weight upward. In contrast, elevated serum levels of C-reactive protein and hypoalbuminemia were important indicators for adjusting the dry weight downward. CONCLUSIONS: The random forest classifier should provide a helpful guide to predict the optimal changes to the dry weight with relative accuracy and may be useful in clinical practice.


Subject(s)
Asian , Body Weight Changes , Machine Learning , Renal Dialysis , Humans , Blood Pressure , Body Weight , Random Forest , Japan
5.
Ren Fail ; 45(2): 2273421, 2023.
Article in English | MEDLINE | ID: mdl-37955103

ABSTRACT

Short-term variability in body mass is a common, everyday phenomenon; however, data on body mass variability are scarce. While the physiological variability of body mass is negligible in healthy individuals, it could have implications for therapy in patients with impaired volume homeostasis, for example, patients with kidney failure undergoing kidney replacement therapy. We analyzed a long-term dataset comprising 9521 days of standardized body mass measurements from one healthy male individual and assessed the variability in body mass as a positive or negative relative difference in body mass measured on subsequent days. The average and median relative differences were zero, with a standard deviation (SD) of 0.53% for the one-day interval, increasing to 0.69% for the 7-day interval, and this variability was constant throughout the observation period. A body mass variability of approximately 0.6% (±450 mL in a 75-kg patient) should be taken into consideration when weight-dependent treatment prescriptions, e.g. the ultrafiltration rates in patients on hemodialysis, are being set. Consequently, a "soft target weight", considering the longitudinal variation of volume markers, such as body mass, might improve treatment quality.


Subject(s)
Kidney Failure, Chronic , Humans , Male , Kidney Failure, Chronic/therapy , Kidney Failure, Chronic/etiology , Renal Dialysis/adverse effects , Ultrafiltration , Body Weight
6.
Ren Fail ; 45(1): 2151917, 2023 Dec.
Article in English | MEDLINE | ID: mdl-36632765

ABSTRACT

INTRODUCTION: Ultrafiltration (UF) in hemodialysis (HD) patients is accompanied by irregular falls in plasma volume (PV) and blood pressure (BP). METHODS: We obtained in 321 patients (large cohort), body weight (BW), BP, samples of blood to determine hemoglobin (Hb) and hematocrit (Ht), Pre and Post HD. We estimated the % variation of the PV and its effect on the BP. In a small cohort of 38/321 patients, arterial blood was drawn Pre and Post HD and at 2, 48, and 72 h to determined Hb and Ht and % variation of the PV. Bio-impedance spectroscopy (BIS) was performed, in the same times, to estimate: dry weight (DW), total body water (TBW), extracellular water (ECW), Fluid overload (FO) and phase angle (PhA). RESULTS: We divided our large cohort in two groups. The Hypotensive group with a fall equal or more than 20 mmHg (96/321,30%) and Normotensive group with a drop equal or less than 19 mmHg (225/321,70%). The UF was 2.73 ± 0.72 L in the Hypotensive group and 2.53 ± 0.85 L in the Normotensive group (p < 0.0001). The % PV was -11.7 ± 17.8 in the Hypotensive group and -8.53 ± 10.07 in the Normotensive group (p < 0.0001). The systolic blood pressure (SBP) correlated with the % change of the PV (r = -0.232; p < 0.0001). The FO was contrasted with the % of water removed by UF (r = -0.890; p < 0.0001). CONCLUSION: The SBP drop was secondary to the fall in the PV after UF. The FO was irregular and modulates in part the fall in the SBP.


Subject(s)
Heart Failure , Hypotension , Humans , Ultrafiltration , Plasma Volume , Renal Dialysis/adverse effects , Renal Dialysis/methods , Hypotension/etiology , Heart Failure/etiology , Water
7.
Environ Monit Assess ; 196(1): 48, 2023 Dec 18.
Article in English | MEDLINE | ID: mdl-38105301

ABSTRACT

Invasive alien species (IAS) exert a negative impact on native ecosystems and on various human activities. Limnoperna fortunei (Dunker 1857), a sessile mytilid introduced from Asia in the Río de la Plata, demonstrates a high dispersal capacity, growing over other organisms and artificial structures. Understanding its behavior is crucial for developing appropriate control and mitigating its detrimental effects. This study investigated the population dynamics of this mollusk in response to urban effluents in a large river. Water and population parameters of L. fortunei were measured both upstream and downstream of a small town from July to December 2020. Downstream areas exhibited increased temperature and decreased transparency compared to upstream locations, while pH, conductivity, and dissolved oxygen remained relatively constant. However, downstream, the L. fortunei population comprised fewer and smaller individuals, displaying high width-to-length ratios. Most measured water parameters exhibited significant differences between sampling months. The abundance of L. fortunei remained relatively stable over time due to its nearly continuous reproduction in Uruguay. Nonetheless, shell elongation (15.3-22.8 mm) coincided with an increase in dry weight (0.009-0.038 g) from winter to spring. Allometric relationships, primarily following a power-law model, varied between months, ranging from H = 0.39L1.04 to H = 1.36L0.57. This study contributes to the comprehension of the population dynamics and life history of L. fortunei, thereby aiding in the conservation of invaded aquatic systems. Moreover, it provides valuable insights into the effects of urban effluents on this species, contributing to our understanding of its potential role as a bioindicator.


Subject(s)
Ecosystem , Mytilidae , Animals , Environmental Monitoring , Introduced Species , Mytilidae/physiology , Uruguay , Rivers
8.
Am J Kidney Dis ; 79(2): 193-201.e1, 2022 02.
Article in English | MEDLINE | ID: mdl-34090905

ABSTRACT

RATIONALE & OBJECTIVE: Pulmonary congestion contributes to morbidity and mortality in patients with kidney failure on hemodialysis, but physical assessment is an insensitive approach to its detection. Lung ultrasound is useful for assessing the presence and severity of pulmonary congestion, but the most widely validated 28-zone study is cumbersome. We sought to compare abbreviated 4-, 6-, and 8-zone studies to 28-zone studies. STUDY DESIGN: Diagnostic test study. SETTING & PARTICIPANTS: Convenience sample of 98 patients with kidney failure on hemodialysis presenting to an emergency department in the United States. TESTS COMPARED: 4-, 6-, and 8-zone lung ultrasound studies versus a 28-zone lung ultrasound. OUTCOME: Prediction of pulmonary congestion and 30-day mortality. RESULTS: All patients completed a 28-zone lung ultrasound. Correlation coefficients (nonparametric Spearman) between each of the studies were high (all values > 0.84). Bland-Altman analysis showed good agreement. Each of the short-form studies discriminated well with area under the receiver-operator characteristic curve > 0.83 for no-to-mild versus moderate-to-severe pulmonary congestion. During a median follow-up period of 778 days, 46 (47%) died. Patients with moderate-to-severe pulmonary congestion on lung ultrasound had a 30-day mortality rate similar to that observed among patients with no-to-mild pulmonary congestion (OR, 0.95 [95% CI, 0.70-1.29]). LIMITATIONS: Single-center study conducted in an emergency care setting, convenience sample of patients, and lack of long-term follow-up data. CONCLUSIONS: Among hemodialysis patients presenting to an emergency department, 4-, 6-, or 8-zone lung ultrasounds were comparable to 28-zone studies for the assessment of pulmonary congestion. The mortality rates did not differ between those with no-to-mild and moderate-to-severe pulmonary congestion.


Subject(s)
Heart Failure , Pulmonary Edema , Humans , Lung/diagnostic imaging , Pulmonary Edema/diagnostic imaging , Pulmonary Edema/epidemiology , Pulmonary Edema/etiology , Renal Dialysis/adverse effects , Ultrasonography
9.
Clin Exp Nephrol ; 26(5): 460-465, 2022 May.
Article in English | MEDLINE | ID: mdl-34982308

ABSTRACT

BACKGROUND: In recent years, bioimpedance analysis has come to be widely used in clinical practice for dialysis patients, but there is not sufficient consensus on its significance. We aimed to examine the merits of performing bioimpedance analysis in addition to conventional evaluation methods for dry weight such as measuring human atrial natriuretic peptide (hANP), blood pressure, and cardiothoracic ratio in patients on chronic hemodialysis. METHODS: Body composition of 78 hemodialysis patients was performed by using a new and more accurate segmental multifrequency bioimpedance analysis device (Seca® medical body composition analyzer 525, Seca GmbH & Co. KG, Hamburg, Germany). Laboratory data including hANP at post-dialysis and demographic profile were collected. Statistical analysis was performed with SPSS software. RESULTS: Mean age of the patients was 66.9 ± 12.6 years and 80.8% were males. Mean value of hANP and the ratio of extracellular water to total body water (ECW/TBW) were 61.4 ± 36.4 pg/mL and 46.1 ± 3.9%, respectively. The calculated ECW/TBW cutoff point for hANP > 50 pg/mL was 45.0%, with sensitivity of 74.4% and specificity of 64.7%. Patients with an ECW/TBW of more than 45% and hANP value of > 50 pg/mL had a higher blood pressure and cardiothoracic ratio on chest X-ray examination. CONCLUSIONS: Our results suggest that the ratio of extracellular water to total body water of more than 45% and hANP value of ≥ 50 pg/mL were overhydrated in chronic hemodialysis patients. Whether monitoring levels of these parameters has a role in the outcome including patients' survival and cardiovascular events requires further study.


Subject(s)
Body Water , Renal Dialysis , Aged , Body Composition , Body Weight , Electric Impedance , Female , Humans , Male , Middle Aged , Renal Dialysis/adverse effects , Water
10.
Arch Toxicol ; 96(4): 1055-1063, 2022 04.
Article in English | MEDLINE | ID: mdl-35165752

ABSTRACT

(-)-Englerin A (EA), a potential novel anti-cancer drug, is a potent selective activator of classical transient receptor potential 4 and 5 (TRPC4, TRPC5) channels. As TRPC4 channels are expressed and functional in the lung endothelium, possible side effects such as lung edema formation may arise during its administration. Well-established in vivo rodent models for toxicological testing, however, rapidly degrade this compound to its inactive derivative, englerin B. Therefore, we chose an ex vivo isolated perfused and ventilated murine lung (IPVML) model to detect edema formation due to toxicants, which also reduces the number of incriminating animal experiments required. To evaluate the sensitivity of the IPVML model, short-time (10 min) drops of the pH from 7.4 down to 4.0 were applied, which resulted in linear changes of tidal volumes, wet-to-dry weight ratios and incorporation of FITC-coupled dextran particles from the perfusate. As expected, biological activity of EA was preserved after perfusion in the IPVML model. Concentrations of 50-100 nM EA continuously perfused through the IPVML model did not change tidal volumes and lung weights significantly. Wet-to-dry weight ratios were increased after perfusion of 100 nM EA but permeation of FITC-coupled dextran particles from the perfusate to the lung tissues was not significantly different. Therefore, EA shows little or no significant acute pulmonary toxicity after application of doses expected to activate target ion channels and the IPVML is a sensitive powerful ex vivo model for evaluating acute lung toxicity in accordance with the 3R rules for animal experimentation.


Subject(s)
Antineoplastic Agents , TRPC Cation Channels , Animals , Antineoplastic Agents/toxicity , Dextrans/metabolism , Edema , Fluorescein-5-isothiocyanate , Lung/metabolism , Mice , Perfusion , Sesquiterpenes, Guaiane , TRPC Cation Channels/metabolism
11.
J Sci Food Agric ; 102(11): 4892-4908, 2022 Aug 30.
Article in English | MEDLINE | ID: mdl-35246843

ABSTRACT

BACKGROUND: Wheat floret development has been a focus of research due to a desire to improve spike fertility, which majorly influences grain yield. Sowing date plays a vital role on grain yield in wheat, and increase in the grain number per spike of winter wheat (Triticum aestivum L.) has been obtained by delayed sowing. During the 2014-2015 and 2015-2016 growing seasons, variation in these developmental patterns was explored involving two winter wheat cultivars (Jimai 22 and Tainong 18) and five sowing dates (24 September; 1, 8, 15 and 22 October). RESULTS: We noticed clear differences in the grain number per spikelet; delayed sowing had a greater impact on the number of fertile florets at anthesis than grain set. Significant differences in the developmental patterns of florets among spikelet positions corresponded to variations in the floret developmental rate, with faster floret development associated with higher floret fertility. Delayed sowing did not affect the grain number near the rachis, but significantly promoted grain set on distal florets. Increased spike dry weight (SDW) did not compensate for floret size or grain weight, mainly due to enhanced assimilate partitioning to florets. CONCLUSION: Delayed sowing significantly affects floret developmental dynamics, causing differences in winter wheat floret fertility. An increased SDW concomitant with improved intra-spike partitioning before anthesis contributes to increase the distal floret numbers per spike and then optimize winter wheat spike fertility. © 2022 Society of Chemical Industry.


Subject(s)
Flowers , Triticum , Edible Grain , Fertility , Seasons
12.
Bull Environ Contam Toxicol ; 109(6): 1043-1050, 2022 Dec.
Article in English | MEDLINE | ID: mdl-36239766

ABSTRACT

In this study, exposure experiments were conducted to assess the effects of polystyrene nanoparticles (PS) and amine-modified polystyrene nanoparticles (APS) at environmental concentrations (1, 10, and 100 µg L- 1) on two fungal species (Geotrichum candidum and Aspergillus niger), isolated from leaf litter in streams, concerning their growth and metabolic activity. Results showed that PS at 1 and 10 µg L- 1 have hormesis effects on G. candidum growth. Compared with G. candidum, A. niger had higher sensitivity to nanoplastic exposure. Besides, the peroxidase and cellobiohydrolase activities of A. niger were significantly inhibited by nanoplastics (except 1 µg L- 1 PS), which would weaken its metabolic activity in carbon cycling. These results provided a new thought on how the growth and functions of aquatic fungi cope with the stress induced by nanoplastics. Overall, the study provided evidence for the different responses of aquatic fungi to nanoplastics in streams.


Subject(s)
Aspergillus niger , Microplastics , Polystyrenes/toxicity , Geotrichum/metabolism
13.
Planta ; 253(6): 127, 2021 May 25.
Article in English | MEDLINE | ID: mdl-34036415

ABSTRACT

MAIN CONCLUSION: The drought conditions and the application of ABA reduce the photosynthetic activity, and the processes related to the transpiration of Dracocephalum moldavica L. At the same time, the plant increases the production of phenolic compounds and essential oil as a response to stress conditions. In the semi-arid regions, drought stress is the most important environmental limitations for crop production. Abscisic acid (ABA) plays a crucial role in the reactions of plants towards environmental stress such as drought. Field experiments for two consecutive years in 2016 and 2017 were conducted to evaluate the effect of three watering regimes (well-watered, moderate and severe drought) and five exogenous ABA concentrations (0, 5, 10, 20 and 40 µM) on growth, photosynthesis, total phenolic and essential oil content of Dracocephalum moldavica L. Without ABA application, the highest photosynthetic rate (6.1 µmol CO2 m-2 s-1) was obtained under well-watered condition and, moderate and severe drought stress decreased photosynthesis rate by 26.39% and 34.43%, respectively. Some growth parameters such as stem height, leaf area, leaf dry weight and biological yield were also reduced by drought stress. ABA application showed a decreasing trend in photosynthesis rate and mentioned plant growth parameters under all moisture regimes. The highest seed yield (1243.56 kg ha-1) was obtained under well-watered condition without ABA application. Increasing ABA concentration decreased seed yield in all moisture regimes. The highest total phenolic content (8.9 mg g-1 FW) and essential oil yield (20.58 kg ha-1) were obtained from 20 and 5 µM ABA concentration, respectively, under moderate drought stress.


Subject(s)
Abscisic Acid , Droughts , Photosynthesis , Plant Leaves , Stress, Physiological , Water
14.
Am J Kidney Dis ; 77(1): 12-22, 2021 01.
Article in English | MEDLINE | ID: mdl-32800842

ABSTRACT

RATIONALE & OBJECTIVE: Observational studies have reported a U-shaped association between blood pressure (BP) before a hemodialysis session and death. In contrast, because a linear association between out-of-dialysis-unit BP and death has been reported, home BP may be a better target for treatment. To test the feasibility of this approach, we conducted a pilot trial of treating home versus predialysis BP in hemodialysis patients. STUDY DESIGN: A 4-month, parallel, randomized, controlled trial. SETTINGS & PARTICIPANTS: 50 prevalent hemodialysis patients in San Francisco and Seattle. Participants were randomly assigned using 1:1 block randomization, stratified by site. INTERVENTIONS: To target home systolic BP (SBP) of 100-<140 mm Hg versus predialysis SBP of 100-<140mm Hg. Home and predialysis SBPs were ascertained every 2 weeks. Dry weight and BP medications were adjusted to reach the target SBP. OUTCOMES: Primary outcomes were feasibility, adherence, safety. and tolerability. RESULTS: 50 of 70 (71%) patients who were approached agreed to participate. All enrollees completed the study except for 1 who received a kidney transplant. In the home BP treatment group, adherence to obtaining/reporting home BP was 97.4% (and consistent over the 4 months). There was no increased frequency of high (defined as SBP>200mm Hg; 0.2% vs 0%) or low (defined as<90mm Hg; 1.8% vs 1.2%) predialysis BP readings in the home versus predialysis treatment arms, respectively. However, participants in the home BP arm had higher frequency of fatigue (32% vs 16%). LIMITATIONS: Small sample size. CONCLUSIONS: This pilot trial demonstrates feasibility and high adherence to home BP measurement and treatment in hemodialysis patients. Larger trials to test the long-term feasibility, efficacy, and safety of home BP treatment in hemodialysis patients should be conducted. FUNDERS: National Institutes of Health, Satellite Healthcare, and Northwest Kidney Centers. TRIAL REGISTRATION: Registered at ClinicalTrials.gov with study number NCT03459807.


Subject(s)
Blood Pressure Monitoring, Ambulatory/methods , Kidney Failure, Chronic , Patient Compliance/statistics & numerical data , Renal Dialysis , Antihypertensive Agents/therapeutic use , Blood Pressure/physiology , Blood Pressure Determination/methods , Blood Pressure Determination/statistics & numerical data , Female , Home Care Services , Humans , Kidney Failure, Chronic/diagnosis , Kidney Failure, Chronic/mortality , Kidney Failure, Chronic/physiopathology , Kidney Failure, Chronic/therapy , Male , Middle Aged , Outcome and Process Assessment, Health Care , Pilot Projects , Prognosis , Renal Dialysis/methods , Renal Dialysis/statistics & numerical data , Risk Assessment/methods
15.
Nephrol Dial Transplant ; 36(12): 2182-2193, 2021 12 02.
Article in English | MEDLINE | ID: mdl-33184659

ABSTRACT

Volume overload in haemodialysis (HD) patients associates with hypertension and cardiac dysfunction and is a major risk factor for all-cause and cardiovascular mortality in this population. The diagnosis of volume excess and estimation of dry weight is based largely on clinical criteria and has a notoriously poor diagnostic accuracy. The search for accurate and objective methods to evaluate dry weight and to diagnose subclinical volume overload has been intensively pursued over the last 3 decades. Most methods have not been tested in appropriate clinical trials and their usefulness in clinical practice remains uncertain, except for bioimpedance spectroscopy and lung ultrasound (US). Bioimpedance spectroscopy is possibly the most widely used method to subjectively quantify fluid distributions over body compartments and produces reliable and reproducible results. Lung US provides reliable estimates of extravascular water in the lung, a critical parameter of the central circulation that in large part reflects the left ventricular end-diastolic pressure. To maximize cardiovascular tolerance, fluid removal in volume-expanded HD patients should be gradual and distributed over a sufficiently long time window. This review summarizes current knowledge about the diagnosis, prognosis and treatment of volume overload in HD patients.


Subject(s)
Kidney Failure, Chronic , Water-Electrolyte Imbalance , Electric Impedance , Humans , Kidney Failure, Chronic/complications , Kidney Failure, Chronic/therapy , Lung/diagnostic imaging , Renal Dialysis/adverse effects , Ultrasonography
16.
Pediatr Nephrol ; 36(4): 969-976, 2021 04.
Article in English | MEDLINE | ID: mdl-33067674

ABSTRACT

BACKGROUND: The value of lung ultrasound in adult hemodialysis has been confirmed. The determination of dry weight in children remains challenging. This study explores the usefulness of lung ultrasound in assessing fluid volume change and the possibility of pulmonary ultrasound as a method to monitor dry weight in pediatric dialysis patients. METHODS: This was a prospective observational study. We compared the predialysis and postdialysis B-line scores of the dry-weight group and non-dry-weight group. Changes in body weight and B-line scores were recorded during the dialytic period and interdialytic period, and the correlation was analyzed. Lung ultrasound was performed after the dialysis session every Friday, and B-line score < 10 was considered to indicate that there was no volume overload; the weight was recorded as the target weight. RESULTS: Fourteen patients were included. A total of 78 ultrasound assessments were performed: 30 in the dry-weight group and 48 in the non-dry-weight group. The B-line scores decreased after dialysis in all patients (p < 0.001). Thirty-three assessments were performed in the interdialytic period, and 40 assessments in the dialytic period were performed within 1 week. Linear regression showed that changes in B-line number were directly and positively correlated with interdialytic weight gain (r = 0.517, p = 0.002) and dialytic weight loss (r = 0.558, p < 0.001). The weight of the children increased gradually without volume overload in two patients during follow-up. CONCLUSION: Lung ultrasound can assess the fluid volume change of pediatric dialysis patients in real time. Lung ultrasound could be a valuable method for monitoring dry weight in pediatric dialysis patients.


Subject(s)
Kidney Failure, Chronic , Lung , Ultrasonography , Water-Electrolyte Imbalance , Body Weight , Child , Humans , Kidney Failure, Chronic/therapy , Lung/diagnostic imaging , Prospective Studies , Renal Dialysis , Weight Gain
17.
Biol Pharm Bull ; 44(11): 1781-1789, 2021.
Article in English | MEDLINE | ID: mdl-34719654

ABSTRACT

Dried terrestrial stems of Ephedra sinica are known as 'Ephedra herb.' The pharmacological effects are mainly related to two major ingredients, (-)-ephedrine and (+)-pseudoephedrine (total alkaloids which are defined in Japanese Pharmacopoeia, TA). In this study, in order to aid in cultivation and breeding, the stability of TA content and stem dry weight of 46 E. sinica genets was evaluated from the first year of transplantation to the sixth year. TA content and composition ratio of these genets were stable after the second year, and dry weight was stable after the fourth year. These traits showed high inter-genet variability but low annual variability for each genet. Additionally, rank correlation coefficients of each trait among the genets were high. There was no significant correlation between these traits. Furthermore, to assess the reproducibility of these traits in clones, we evaluated TA content and dry weight of three clonal lines with high TA contents. TA content and composition ratio of the clonal lines were also stable after the second year of transplantation, and dry weight of the clonal lines was also stable after the fourth year. Moreover, TA content and composition ratio in each clonal line were comparable with those of each original genet after the second year. These results suggested that ephedrine alkaloids content and dry weight of E. sinica plants are stable, and that these traits are highly reproducible in clones. Therefore, selection breeding of E. sinica using vegetative propagation can be effective for high and stable quality of Ephedra herb.


Subject(s)
Alkaloids/analysis , Ephedra sinica/chemistry , Plant Stems/chemistry , Ephedrine/analysis , Pseudoephedrine/analysis , Reproducibility of Results
18.
BMC Nephrol ; 22(1): 36, 2021 01 21.
Article in English | MEDLINE | ID: mdl-33478424

ABSTRACT

BACKGROUND: Dry weight assessment in hemodialysis (HD) remains a challenge. The aim of the study was to investigate the prevalence of subclinical pulmonary congestion using lung ultrasound (LUS) in maintenance HD patients with no clinical or bioimpedance signs of hyperhydration. The correlation between B-lines Score (BLS) and brain natriuretic peptide (BNP) was also evaluated. METHODS: Twenty-four HD patients underwent LUS and BNP dosage at the end of the mid-week HD session, monthly for 6 months . LUS was considered as positive when BLS was >15. Hospitalizations and cardiovascular events were also evaluated in relation to the BLS. RESULTS: LUS+ patients at baseline were 16 (67%), whereas 11 (46%) showed LUS + in at least 50% of the measurements (rLUS+ patients). Only the rLUS+ patients had a higher number of cardiovascular events [p=0.019, OR: 7.4 (CI 95%. 1.32-39.8)] and hospitalizations [p=0.034, OR 5.5 (CI 95% 1.22- 24.89)]. A BNP level of 165 pg/ml was identified as cut-off value for predicting pulmonary congestion, defined by BLS >15. CONCLUSION: Prevalence of pulmonary congestion as assessed by LUS and persistent or recurrent BLS >15 were quite prevalent findings in euvolemic HD patients. In the patients defined as rLUS+, a higher rate of cardiovascular events and hospital admissions was registered. BNP serum levels > 165 pg/ml resulted predictive of pulmonary congestion at LUS. In the dialysis care, regular LUS examination should be reasonably included among the methods useful to detect subclinical lung congestion and to adjust patients' dry weight.


Subject(s)
Natriuretic Peptide, Brain/blood , Pulmonary Edema/blood , Pulmonary Edema/diagnostic imaging , Renal Dialysis , Adult , Aged , Female , Humans , Male , Middle Aged , Prospective Studies , Ultrasonography
19.
Ind Crops Prod ; 165: 113438, 2021 Jul.
Article in English | MEDLINE | ID: mdl-33753964

ABSTRACT

Berries and flowers of Sambucus nigra L. tree are well known for their ability to mitigate symptoms of upper respiratory disorders related to reported antiviral properties. Industrial application and commercial cultivation of S. nigra is largely limited to a few widely grown cultivars. Restricted genetic diversity of cultivated S. nigra can be disadvantageous if new industrial applications are discovered. In this study wild S. nigra populations located on the north-east edge of the species natural range were explored by assessing genetic origin, berry and flower anti-oxidative potential, and berry rutin content. Best performing wild S. nigra extracts were selected for an assessment of previously unreported biological activity- inhibitory capacity against SARS-CoV2 S1 protein receptor binding domain (RBD) binding to recombinant human angiotensin -converting enzyme 2 (ACE2) receptor in vitro based on competitive enzyme linked immunosorbent assay (ELISA). Inter-simple sequence repeat (ISSR) marker-based genetic characterization suggested that explored wild S. nigra populations result from wild gene pool expanding northwards with admixture of historically introduced cultivated S. nigra. Average values of total phenolic content, anti-radical activity, and total flavonoids content of wild S. nigra populations did not exceed those of cv. 'Haschberg'. Concentration-dependent inhibition of ACE2-SARS-CoV2 S-protein RBD binding was demonstrated in vitro for elderberry fruits and flowers extracts (IC50 of 1.66 mg DW ml-1 and 0.532 mg DW ml-1, respectively). Wild elderberry fruit extract exhibited higher inhibitory capacity than the extract from berries of cv 'Haschberg'. This study validates the requirement for S. nigra wild germplasm bioprospecting and opens up directions for further research of new anti-SARS-CoV2 industrial applications of S. nigra.

20.
J Environ Sci Health B ; 56(11): 969-976, 2021.
Article in English | MEDLINE | ID: mdl-34678127

ABSTRACT

This study aimed to evaluate the effects of low doses of the herbicide glufosinate-ammonium in different application modes in the vegetative development of upland rice. The treatment consisted of a combination of five low doses (0; 15; 30; 60; and 100 g a.i. ha-1) of the herbicide glufosinate-ammonium and four application modes of the low doses: single between active tillering (AT) and floral differentiation (FD); single after FD; split in two (the first at the beginning of the AT and the second between AT and FD; split in three (the first at the beginning of the AT, the second between the AT and the FD and the third after the FD, with. There was no hormesis effect on rice crop due to low doses of glufosinate-ammonium. The vegetative development of rice plants was reduced by the application of low doses in all application modes with lower plant height, dry weight, number of panicles, and effective tiller.


Subject(s)
Aminobutyrates , Herbicides , Hormesis , Oryza , Aminobutyrates/pharmacology , Herbicides/pharmacology , Oryza/drug effects
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