RESUMO
Sustainable utilisation of solid waste has been influenced by the increasing population of the world. Benefits of using solid waste based on natural fibre in polymer material are biodegradability and cost effectiveness. In poultry farms, chicken poultry, one of the slaughterhouse wastes is confronted with 30 106 kg of waste per year in Turkey. The evaluation of this waste, which is quite rich in keratin, is extremely important both for the solution of the waste problem and for maintaining a clean environment, bringing this valuable material to the economy. These fibres are stable, durable and biodegradable because they have a crystalline structure. However, this valuable waste will have a positive effect when used together with boron minerals, which both increase the mechanical properties, flame retardancy and biodegradation of composite material. In this study, it is the aim to manufacture superior polyester-based composite materials reinforced with three kinds of boron minerals, such as boron oxide, borax pentahydrate, borax decahydrate and fibres recycled from waste chicken feathers. The effect of different filling ratios of filling materials on the mechanical and physical properties of composite materials was examined. Flame retardancy properties of the composites with best mechanical results were investigated. After pouring by means of the pre-casting process, the water absorption and swelling thickness of final products, as well as density, bending strength, flexural modulus, limiting oxygen index, thermogravimetric analysis and scanning electron microscope analysis, was performed. Mixing prescriptions and conditions with the best properties were determined.
Assuntos
Galinhas , Polímeros , Animais , Compostos de Boro , Plumas , TurquiaRESUMO
This study investigated the effect of interferon alpha2b on chlorhexidine gluconate (CH)-induced peritoneal fibrosis (PF) in rats and assessed peritoneal tissue levels of metalloproteinase (MMP)-2 and tissue inhibitors of metalloproteinases (TIMP)-2. Wistar albino rats (n = 8 per group) were treated as follows: control group, 3 ml/day of 0.9% saline intra-peritoneally for 28 days; CH group, 0.1% CH (200 g[3 ml]/day) in 15% ethanol and 0.9% saline intra-peritoneally for 28 days; CH + interferon (IFN) group, CH (as above) plus pegylated IFN-alpha2b 1.5 mug/kg per week subcutaneously on days 0, 7, 14, 21 and 28; IFN group, pegylated IFN-alpha2b (as above). Parietal peritoneum samples were obtained from the left anterior abdominal wall after 35 days. Parietal thickness, degree of vascular proliferation and inflammation, and MMP-2 and TIMP-2 levels were determined. The mean peritoneal thicknesses of the control, CH, CH + IFN and IFN groups were 7.02 +/- 3.89, 156.86 +/- 29.13, 59.88 +/- 22.1, 9.27 +/- 2.03 mum, respectively. Pegylated IFN-alpha2b decreased CH-induced expression of MMP-2 in the parietal peritoneum, but had no effect on TIMP-2 levels. Further studies are needed to determine the optimal dosage and duration for pegylated IFN-alpha2b treatment.
Assuntos
Biomarcadores/metabolismo , Interferon-alfa/farmacologia , Metaloproteinase 2 da Matriz/metabolismo , Fibrose Peritoneal/tratamento farmacológico , Peritônio/efeitos dos fármacos , Polietilenoglicóis/farmacologia , Inibidor Tecidual de Metaloproteinase-2/metabolismo , Animais , Anti-Infecciosos/toxicidade , Antivirais/farmacologia , Clorexidina/análogos & derivados , Clorexidina/toxicidade , Modelos Animais de Doenças , Portadores de Fármacos , Interferon alfa-2 , Masculino , Fibrose Peritoneal/induzido quimicamente , Fibrose Peritoneal/enzimologia , Peritônio/enzimologia , Ratos , Ratos Wistar , Proteínas RecombinantesRESUMO
The objective of this study was to investigate the association between mortality and inflammation in patients who were admitted to the emergency room with gastrointestinal bleeding. Patients (n = 96) managed at two medical centres were included in the study. Initial levels of serum C-reactive protein (CRP), haemoglobin and albumin, and leucocyte and thrombocyte counts for 28 patients who died were compared with those for the 68 patients who survived and were successfully discharged. The data were analysed using the chi(2)-test. Serum levels of CRP and leucocyte counts were significantly higher, and albumin and haemoglobin were significantly lower in patients who died compared with patients who survived. The increased levels of serum CRP and leucocyte counts, and decreased levels of albumin and haemoglobin were found to be independent risk factors for mortality. It is concluded that increased serum CRP levels and leucocyte counts combined with decreased albumin and haemoglobin levels on admission to the emergency room may be used as predictive factors of mortality in patients with gastrointestinal bleeding.
Assuntos
Hemorragia Gastrointestinal/mortalidade , Inflamação/diagnóstico , Inflamação/mortalidade , Proteína C-Reativa/metabolismo , Feminino , Humanos , Inflamação/sangue , Contagem de Leucócitos , Masculino , Pessoa de Meia-Idade , Prognóstico , Estudos Retrospectivos , Albumina Sérica/metabolismo , Taxa de SobrevidaRESUMO
BACKGROUND: Mechanical outflow obstruction and leakage from the exit site of the catheter are two common complications of continuous ambulatory peritoneal dialysis. To lessen these complications and to achieve immediate use of the catheter, we developed a new laparoscopic technique for catheter placement. METHODS: A total of 12 consecutive patients with end-stage renal failure were included in this study between April 2003 and July 2003. The average age of the patients was 42.4 years (range, 37-72). Patients were excluded only if a serious risk for general anesthesia was found. Using two 5-mm ports and a 3.3-mm mini-laparoscope, a peritoneal dialysis catheter was passed through a preperitoneal tunnel before the tip of the catheter was introduced into the pelvis. Routine peritoneal dialysis was started immediately after the operation while the patients were still in the operating room. RESULTS: The mean operating time was 18.6 min (range, 12-37). There was no operative morbidity. The mean follow-up period was 4.3 months (range, 3-7). No leakage of the dialysate liquid or outflow obstruction was observed during this period. CONCLUSION: The advantages of this method include accurate placement, preperitoneal fixation, and immediate use of the catheter for routine peritoneal dialysis. We also believe that because of the preperitoneal fixation of the catheter, this technique will decrease outflow obstruction, which usually occurs due to omental wrapping or displacement of the catheter tip.
Assuntos
Cateterismo/métodos , Laparoscopia/métodos , Diálise Peritoneal Ambulatorial Contínua/métodos , Adulto , Idoso , Humanos , Falência Renal Crônica/terapia , Pessoa de Meia-Idade , Pneumoperitônio ArtificialRESUMO
Elevated serum lipoprotein(a) is an independent risk factor for coronary artery disease, and C-reactive protein (CRP) is a general and cardiovascular marker in haemodialysis patients. We studied lipoprotein(a) and CRP levels in 48 haemodialysis and 24 continuous ambulatory peritoneal dialysis (CAPD) patients and 20 healthy individuals, after a 12 h fast. Serum lipoprotein(a) levels were elevated in 31.3%, 66.7% and 5% of haemodialysis and CAPD patients and control subjects, respectively. The difference between all groups was significant. Serum CRP levels were high in 43.8%, 58.4% and 5% of haemodialysis and CAPD patients, and healthy subjects, respectively. The mean serum CRP level was significantly different between all groups. Both protein levels were higher in CAPD patients than haemodialysis patients, suggesting that CAPD patients should be more closely monitored for coronary artery disease.
Assuntos
Proteína C-Reativa/biossíntese , Lipoproteína(a)/sangue , Diálise Peritoneal , Peritônio/patologia , Diálise Renal , Adulto , Idoso , Doença da Artéria Coronariana/patologia , Feminino , Humanos , Falência Renal Crônica/sangue , Falência Renal Crônica/terapia , Masculino , Pessoa de Meia-Idade , Fatores de TempoRESUMO
This study compared the effects of oral and intravenous calcitriol on serum biochemistry parameters and levels of bone-resorptive cytokines in haemodialysis patients. Patients were randomized to receive oral (n = 18) or intravenous (n = 16) calcitriol treatment for 6 months. Serum levels of total calcium, ionized calcium, intact parathyroid hormone (iPTH), magnesium, alkaline phosphatase, tumour necrosis factor-alpha (TNF-alpha), interleukin (IL)-1 and IL-6 were measured at baseline and after 3 and 6 months of treatment. After treatment, serum levels of iPTH, total calcium, ionized calcium, TNF-alpha, IL-1 and IL-6 were not significantly different from baseline. The intravenous calcitriol treatment group showed significant decreases in levels of iPTH, TNF-alpha, IL-1 and IL-6 and a significant increase in total calcium level after 3 and 6 months. There was no significant change in serum ionized calcium levels. Significantly decreased serum alkaline phosphatase and magnesium levels were found in both treatment groups after 3 and 6 months. In conclusion, intravenous calcitriol treatment has a significant depressive effect on iPTH and bone-resorptive cytokines in patients undergoing haemodialysis.