Peel flour of Passiflora edulis Var. Flavicarpa supplementation prevents the insulin resistance and hepatic steatosis induced by low-fructose-diet in young rats.

The increase in fructose consumption in the last decades has an important correlation with the growth of overweight population. Fructose is a monosaccharide found in fruits, vegetables and honey, however, it is widely used in processed food and beverages such as sweeteners. This monosaccharide is metabolized in the liver, so it can produce glucose, lactate, triglycerides, free fatty acids and uric acid, which are responsible for negative effects on the liver and extrahepatic tissues. One effect of the high consumption of fructose is the resistance to Insulin, which appears to be an important issue in the development of metabolic abnormalities observed in animals that were subjected to a high fructose diet. The population and, consequently, the market search for natural sources to manage metabolic abnormalities is increasing, but, adequate scientific proof still is necessary. The Passiflora edulis peel flour (PEPF) is a byproduct of the juice industry, and, represents an important source of fiber and bioactive compounds. The present study investigates the PEPF supplementation (30%) effects on insulin sensitivity, adiposity and metabolic parameters in young rats that were given beverages enriched with 10% of fructose for 8 weeks. Fructose intake induced insulin resistance, increased serum triglycerides levels, growth of fat deposits in the liver and widening of the diameter of adipocytes. In contrast, the group that received PEPF did not present such abnormalities, which could be related to the presence of fiber or bioactive compounds (phenolics compounds, e.g., caffeic acid and isoorientin) in its composition, as identified by analytical methods. Thus, for the first time, it has been demonstrated that PEPF supplementation prevents insulin resistance and hepatic steatosis induced by low-fructose-diet in young rats.

Model for End-Stage Liver Disease Score Before Hepatic Transplantation and Root Mean Square of the Diaphragmatic Domes Affect Postoperative Extubation Time.

INTRODUCTION: The liver transplantation procedure, in addition to its prolonged surgical time, also predisposes to complications such as changes in respiratory mechanics, lung volumes, and gas exchange. OBJECTIVE: This study aims to verify if clinical factors related to the recipient, namely immediate pretransplant Model for End-Stage Liver Disease (MELD) score, surgical time, and root square metric (RMS) of the diaphragmatic domes, affect the extubation time after liver transplantation. METHOD: A prospective study, with a sample collected for convenience, gathered age (years), sex (male or female), MELD score immediately prior to transplantation (without the addition of special situation scores), and surgical time and time for extubation (in minutes). The latter were obtained from the physiotherapy team records, and surface electromyography was performed within 30 minutes after elective extubation, by a single researcher, with supplemental oxygen support, maintaining SpO2 ≥ 95% and following protocol of positioning and acquisition of electromyographic signals based on the study of Oliveira et al (2012). RESULTS: For the 21 patients studied, the RMS of the left dome showed a moderate-intensity correlation (-0.56) with the time of extubation, and linear multiple regression model the left dome (P = .013) and preoperative MELD score (P = .048) showed significant correlation with extubation time. CONCLUSION: The preoperative MELD score and the RMS values of the left dome significantly correlate with the time for patient extubation after liver transplantation, showing the effect of previously acquired muscle weakness and preoperative MELD score on postoperative outcome.

Diaphragm Muscle Surface Electromyography in Patients Submitted to Liver Transplant and Eligible for Extubation.

INTRODUCTION: Liver disease induces many organic and metabolic changes, leading to malnutrition and weight and muscular function loss. Surface electromyography is an easily applicable, noninvasive study, through which the magnitudes of the peaks on the charts depict voluntary muscle activity. AIM: To evaluate the diaphragmatic surface electromyography of postoperative liver transplantation subjects. METHODS: Subjects were patients who underwent liver transplantation and extubation in the Clinical Hospital of State University of Campinas. Electromyography data were collected with support pressure of ≤10 cm H2O, Glasgow Coma Scale = 11, and minimum dosages of vasoactive drugs, and data were collected again 30 minutes after extubation. Signal collection was performed with sEMG System Brazil SAS1000V3 electromyograph and electrode stickers. Statistical analysis was performed using R software. RESULTS: The average time of surgery was 345.36 ± 125.62 minutes. Time from spontaneous mode until extubation was 417.14 ± 362.97 minutes. The RMS (root mean square) values of the right and left domes in spontaneous mode with minimal ventilation parameters were 26.68 ± 10.92 and 26.55 ± 10.53, respectively, and the RMS values after extubation were 31.93 ± 18.69 to 34.62 ± 13.55, for right and left domes. The last calculated pretransplant Model for End-stage Liver Disease score averaged 19.64 ± 8.41. CONCLUSION: There were significant differences between the RMS of the diaphragm domes under mechanical ventilation and after extubation, showing lower effectiveness of the diaphragm muscle against resistance, without the aid of positive pressure and the existing overload of the left dome.

Correlation between functional capacity and respiratory assessment of end-stage liver disease patients waiting for transplant.

INTRODUCTION: End-stage liver disease has metabolic complications associated with malnutrition, which involves a great loss of muscle mass. This complication can lead to changes in the diaphragm, which along with ascites may impair daily activities and result in global motor disability and physical inactivity of patients on the waiting list for liver transplantation. OBJECTIVES: This study sought to delineate the profile of candidates for liver transplantation while on the waiting list at the Clinical Hospital of State University Campinas (UNICAMP), and to assess and verify whether there is a correlation between functional status of the individuals tested using the 6-minute walk test (6MWT), pulmonary function test (PFT), and respiratory muscle strength with end-stage liver disease candidates for liver transplantation. METHODS: This study was carried out in the Liver Transplantation Unit of the State University of Campinas (UNICAMP). We included 46 patients with end-stage liver disease who underwent the following evaluations: medical history, 6MWT, PFT, maximal inspiratory pressure (MIP), and maximal expiratory pressure (MEP), and SF-36. RESULTS: Correlations were found between the respiratory variables 6MWT and PFT. The walked distance was correlated with MIP and MEP. There was no correlation between the 6MWT and the variables body mass index and age. CONCLUSION: Candidates for liver transplantation have decreased muscle strength, normal lung function, and impaired quality of life, mainly due to physical limitations. Functional status may be correlated with the respiratory assessment (muscle strength and pulmonary function test) in liver disease candidates for transplantation.

Effects of a respiratory physiotherapeutic program in liver transplantation candidates.

BACKGROUND: Candidates for liver transplantation may have malnutrition, fatigue, loss of muscle mass and function. The combination of these factors leads to overall physical disability and physical inactivity. OBJECTIVE: The aim of the study was to evaluate the effects of a respiratory physiotherapeutic program on liver transplantation candidates. METHOD: Forty-two patients were evaluated by respiratory muscle strength, surface electromyography of the rectus abdominis and diaphragm, and spirometry. We also applied the SF-36. The patients were divided into two groups: 12 randomly assigned to the control group and 5 in the intervention group. The intervention consisted of an explanatory and illustrative manual to be followed at home with diaphragmatic breathing exercises, diaphragmatic isometric exercise, Threshold IMT, lifting the upper limbs with a bat, and strengthening the abdominals. RESULTS: Significant difference was found between initial forced expiratory flow (FEF)25-75% (P = .042) and final FEF25-75 in the intervention group. The control group had significant difference (P = .036) in the diaphragm RMS between initial time and end time. In conclusion, the control group showed greater electrical activity of the diaphragm after 3 months. CONCLUSION: The intervention group benefited from the exercise, thus improving the FEF25-75%.

Profile of respiratory evaluation through surface electromyography, manovacuometry, and espirometry in candidates on the liver transplant waiting list.

INTRODUCTION: Electromyography (EMG) is the examination of skeletal muscle membrane electrical activity in response to physiologic activation. In healthy muscles, the square root (root mean square [RMS] is related to the amplitude of the obtained signal. Respiratory muscles are studied, especially those important for compliance, the diaphragm and the rectus abdominis. An evaluation to detect respiratory muscle deficits among liver disease patients on the waiting list for transplantation may serve as an alternative to providing specific treatments reducing the possibility of respiratory complications after transplantation. OBJECTIVE: To study muscle activity by evaluating respiratory and surface EMG of the right diaphragm and right rectus abdominis muscles in patients on the liver transplant waiting list. METHOD: Respiratory evaluation of muscle strength (maximum inspiratory pressure [MIP] and maximum expiratory pressure [MEP]) with a manometer -300, +300 from Gen-air; spirometry with Easyware Spirometer version 2.20; pulse oximetry with Nonim oximeter; Model for End-Stage Liver Disease (MELD) score as well as surface EMG of the diaphragm and rectus abdominis muscles from EMG/Brazil were applied in healthy and liver diseased subjects. RESULTS: The 87 liver disease patients showed a mean age of 53.9 ± 7.3 years, mean body mass index of 28.21 ± 5.04 kg/m2 with 24.14% smokers (n = 21) and 43.68% physically active (n = 38 p) showing Diaphragm RMS of 61.05 ± 68.48 µV; rectus abdominis RMS of 45.28 ± 53.82 µV; MEP of 100.28 ± 27.85 cm H(2)O; and MIP of 92.41 ± 29.77 cm H2O. The average MELD of studied patients was 16.5 ± 0.71. CONCLUSION: The respiratory profiles of patients on the liver transplant waiting list concerning muscle support were precarious owing to ascites and motor adynamia.

Evaluaciones toxicológicas de un extracto acuoso del alga marina Bryothamnion triquetrum (Gmelin) M. A. Howe en estudios in vitro y modelos animales / Toxicological assessments of aqueous extracts from seaweeds Bryothamnion triquetrum (Gmelin) M. A. Howe in vitro and models animal studies

Objetivo: El objetivo de este trabajo fue evaluar la toxicidad de un extracto acuoso del alga marina Bryothamnion triquetrum. Métodos: El ensayo de Ames se desarrolló con las cepas de S. typhimurium TA 1535, TA 1537 y TA 1538 con y sin activación metabólica. El estudio de citotoxicidad se realizó con células intestinales Caco-2 durante 24 y 48 horas de exposición al extracto y la viabilidad fue evaluada con la técnica de yoduro de propidio. El Estudio de Toxicidad Aguda se realizó con ratones Balc/c machos por vía oral e intraperitoneal y el Ensayo de Toxicidad por Dosis Repetidas se desarrolló con ratas Wistar de ambos sexos, durante 3 meses por vía oral con dosis de 8 y 32 mg/kg. Resultados: En el estudio de citotoxicidad con células Caco-2 se obtuvieron CL50 de 9,3 y 4,5 mg/mL con exposiciones de 24 y 48 horas respectivamente. El ensayo de Ames evidencia que no es mutágeno directo ni promutágeno hasta 1000 microg. La DL50 del extracto por vía intraperitoneal fue de 1205 mg/kg y por vía oral no se observó mortalidad en dosis de 2000 mg/kg. En el estudio de Toxicidad por Dosis Repetidas no se observó toxicidad. Conclusiones: A partir de estos resultados se puede postular que el extracto acuoso del alga marina B. triquetrum es inocuo, consideración necesaria, entre otras, para su posible uso como nutracéutico y/o fitofármaco(AU)

Aim: The aim of this work was to evaluate the toxicity of an aqueous extract from seaweed Bryothamnion triquetrum. Materials and Methods: Ames assay was developed with S. typhimurium TA 1535, TA 1537 and TA 1538 with and without metabolic activation. Citotoxicity study was carried out with intestinal cells Caco-2 during 24 and 48 hours of exhibition to the extract and the viability was evaluated with the technique of Propidium iodide. Acute Toxicity was carried out with mice Balc/c males for via oral and intraperitoneal and the Toxicity for Repeated Dose was developed with rats Wistar of both sexes, during 3 months for via oral with dose of 8 and 32 mg/kg. Results: Results of Ames assays showed that this extract is not direct mutagen or promutagen in quantity until 1000 microg. The cytotoxic effect (LC50) of Caco-2 cells after 24 and 48 h of exposition were 9,3 and 4,5 mg/mL respectively. The LD50 of the extract, with intraperitoneal administration was 1205 mg/kg and by oral via not produce mortality in doses until 2000 mg/kg. At the doses of 8 and 32 mg/kg of extract, the repeated oral administration produced no toxic effects. Conclusions: In summary, this paper adds convincing evidences in support of innocuous of the aqueous extract of B.triquetrum. Altogether; these results represent another step towards the use of this natural product as phytotherapeutical agent(AU)

Parasite diversity in Oxydoras niger (Osteichthyes: Doradidae) from the basin of Solimões River, Amazonas state, Brazil, and the relationship between monogenoidean and condition factor.

This study describes the parasitic fauna of Oxydoras niger from the Coari Lake, tributary of the medium Solimões River, State of Amazonas, Brazil, and the relationship between the number of Monogenoidea and the condition factor. From a total of 27 examined fish, 70.3% were parasitised by at least one parasite species as follows: Ichthyophthirius multifiliis (Protozoa), Chilodonella sp. (Protozoa), Cosmetocleithrum gussevi, C. confusus, C. parvum and Cosmetocleithrum sp. (Monogenoidea), Paracavisona impudica (Acanthocephala), Cucullanus grandistomis (Nematoda), Proteocephalus kuyukuyu (Cestoda) and Dadaytrema sp. (Digenea). Monogenoidea helminthes were the most prevalent parasite when compared to protozoan and intestinal helminthes. This study showed that O. niger has a great parasite diversity composed mainly of monogenoideans followed by acanthocephalan and digenean. This is the first record of Dadaytrema in O. niger from the Brazilian Amazon. There was a positive correlation between the number of monogenoideans and the condition factor (Kn) of fish, and with this mean intensity of infection, fish welfare was not affected.