Differential diagnosis of bone marrow failure syndromes guided by machine learning.

The choice to postpone treatment while awaiting genetic testing can result in significant delay in definitive therapies in patients with severe pancytopenia. Conversely, the misdiagnosis of inherited bone marrow failure (BMF) can expose patients to ineffectual and expensive therapies, toxic transplant conditioning regimens, and inappropriate use of an affected family member as a stem cell donor. To predict the likelihood of patients having acquired or inherited BMF, we developed a 2-step data-driven machine-learning model using 25 clinical and laboratory variables typically recorded at the initial clinical encounter. For model development, patients were labeled as having acquired or inherited BMF depending on their genomic data. Data sets were unbiasedly clustered, and an ensemble model was trained with cases from the largest cluster of a training cohort (n = 359) and validated with an independent cohort (n = 127). Cluster A, the largest group, was mostly immune or inherited aplastic anemia, whereas cluster B comprised underrepresented BMF phenotypes and was not included in the next step of data modeling because of a small sample size. The ensemble cluster A-specific model was accurate (89%) to predict BMF etiology, correctly predicting inherited and likely immune BMF in 79% and 92% of cases, respectively. Our model represents a practical guide for BMF diagnosis and highlights the importance of clinical and laboratory variables in the initial evaluation, particularly telomere length. Our tool can be potentially used by general hematologists and health care providers not specialized in BMF, and in under-resourced centers, to prioritize patients for genetic testing or for expeditious treatment.

Analysis of baseline characteristics, disease burden and long-term follow-up of 167 patients with Paroxysmal Nocturnal Hemoglobinuria at a single center in Brazil.

Paroxysmal nocturnal hemoglobinuria (PNH) can occur as a hemolytic form or small PNH clone found in a patient with bone marrow failure. METHODS: Describe Brazilian retrospective PNH cohort and identify the impact of disease burden on long-term follow-up. RESULTS: 167 patients, mean age at diagnosis 28.4 (7.1-71.2 years), four years mean interval between onset of cytopenia/aplasia diagnosis and PNH clone detection. Patients were divided into 15 Classic PNH, 55 Hemolytic PNH with bone marrow hypoplasia (PNH/AA), and 97 Subclinical PNH (sc-PNH). Hypocellular bone marrow was found in 89.2%; 55 had hemoglobinuria and 22 thrombosis during monitoring. WBC PNH clone correlated with RBC PNH clone, LDH and cytopenia. Subclinical patients had lower median lower RBC clone (2.0% vs 24.0% vs 57.8%) and WBC clone (11.7% vs 58.8% vs 81.2%) than PNH/AA and Classic PNH, respectively. PNH granulocyte clone was 89.1% in thrombotic patients. Ten-year overall survival 80.4% and mortality in transplanted patients 9.6%. Sepsis was mortality cause in subclinical PNH (16/18, 88.8%), and thrombosis in hemolytic PNH (11/13, 84.6%). CONCLUSION: Large PNH clones and LDH burden were associated with increased hemolysis and thrombosis risks, while young patients were associated with small PNH clones and subclinical form of the disease. Knowledge of the patient profile, the low risk associated with HSCT, and the use of long-term IST may be instrumental in the clinical management of PNH in restricted-resources countries.

A Case Series of Post-Transplantation Cyclophosphamide in Unrelated Donor Hematopoietic Cell Transplantation for Aplastic Anemia.

Patients with severe aplastic anemia (SAA) who fail immunosuppressive therapy have a dismal prognosis. Hematopoietic stem cell transplantation (HSCT) from an unrelated donor (URD) is one of the most effective treatment options. Two institutions have independently adopted a post-transplantation cyclophosphamide (PTCy) approach for patients with SAA undergoing HSCT from a URD. Thirteen patients were included, 11 of whom had been treated with immunosuppressive therapy. Eight patients had a mismatched URD. All patients were conditioned with fludarabine, cyclophosphamide, and total body irradiation, in various dosage combinations. PTCy was given at a dose of 100 mg/kg. Two patients died, and overall survival was 85% at 2 years. All patients engrafted, but 1 patient developed secondary graft failure. Of the 11 patients alive after 2 years, 9 had complete donor chimerism. All surviving patients were transfusion-independent. Ten patients (77%) had cytomegalovirus reactivation, and 2 patients had more than 1 reactivation. No Epstein-Barr virus reactivation or post-transplantation lymphoproliferative disease was observed. Four patients had mild hemorrhagic cystitis. In summary, our findings show that PTCy is a promising treatment for patients with SAA undergoing URD HSCT.

A multivariate statistical approach to the integration of different land-uses, seasons, and water quality as water resources management tool.

The externalities generated by disorderly urbanization and lack of proper planning becomes one of the main factors that must be considered in water resource management. To address the multiple uses of water and avoid conflicts among users, decision-making must integrate these factors into quality and quantity aspects. The water quality index (WQI), using the correlation matrix and the multivariate principal component analysis (PCA) and cluster analysis (CA) techniques were used to analyze the surface water quality, considering urban, rural, and industrial regions in an integrated way, even with data gaps. The results showed that the main parameters that impacted the water quality index were dissolved oxygen, elevation, and total phosphorus. The results of PCA analysis showed 86.25% of the variance in the data set, using physicochemical and topographic parameters. In the cluster analysis, the dissolved oxygen, elevation, total coliforms, E. coli, total phosphorus, total nitrogen, and temperature parameters showed a significant correlation between the data's dimensions. In the industrial region, the characteristic parameter was the organic load, in the rural region were nutrients (phosphorus and nitrogen), and in the urban region was E. coli (an indicator of the pathogenic organisms' presence). In the classification of the samples, there was a predominance of "Good" quality, however, samples classified as "Acceptable" and "Bad" occurred during the winter and spring months (dry season) in the rural and industrial regions. Water pollution is linked to inadequate land use and occupation and population density in certain regions without access to sanitation services.

Rabbit antithymocyte globulin dose does not affect response or survival as first-line therapy for acquired aplastic anemia: a multicenter retrospective study.

In a prospective randomized study, treatment for aplastic anemia (AA) with rabbit antithymocyte globulin (r-ATG) and cyclosporine showed inferior hematological response and survival in comparison to horse antithymocyte globulin (h-ATG) and cyclosporine. However, h-ATG was discontinued in most Asian, South American, and European countries, where r-ATG became the only ATG formulation available. We retrospectively evaluated consecutive patients with acquired AA who received either rabbit (n = 170) or horse (n = 85) ATG and cyclosporine for first-line treatment from 1992 to 2014 in seven referral centers in Brazil and Argentina. Overall response at 3 months was 17% (95%CI, 11-23%) for r-ATG and 44% (95%CI, 33-55%) for h-ATG (p < 0.001). At 6 months, it was 31% (95%CI, 34-39%) for r-ATG and 59% (95%CI, 48-69%) for h-ATG (p < 0.001). Overall survival at 5 years was 57% (95%CI, 47-65%) for r-ATG and 80% (95%CI, 69-87%) for h-ATG (log-rank = 0.001). Relapse was significantly higher in patients receiving h-ATG (28%; 95%CI, 17-43%) as compared to r-ATG (9.4%; 95%CI, 4-21%; log-rank, p = 0.01). The type of ATG was the only factor associated with both response and survival. The r-ATG dose varied from 1 to 5 mg/kg/day, but it did not correlate with outcomes. In summary, this is the largest multicenter study comparing the two ATG formulations in AA. Our results indicate that the dose of r-ATG does not influence hematologic response or survival in first-line therapy for acquired AA. Considering the toxicity and costs of r-ATG, our findings challenge its aggregate benefit to cyclosporine therapy and further strengthen that h-ATG should remain standard therapy in AA.

Predictors of early mortality after rabbit antithymocyte globulin as first-line treatment in severe aplastic anemia.

Despite being recommended as first-line immunosuppressive therapy in severe aplastic anemia (SAA), horse antithymocyte globulin (ATG) is still unavailable in many countries outside the USA. Rabbit ATG is more lymphocytoxic than horse ATG, and this might result in a higher incidence of severe infections and early mortality. This study was designed to identify the risk factors for early mortality and overall survival (OS) after rabbit ATG in patients with SAA. We retrospectively reviewed 185 patients with SAA who underwent rabbit ATG and cyclosporine. The incidence of death in 3 months following rabbit ATG therapy was 15.1% (28/185). Early mortality was mainly related to infectious complications, despite adequate antibiotic and/or antifungal treatment. Age > 35 years (odds ratio [OR] 5.06, P = 0.001) and baseline absolute neutrophil count (ANC) ≤ 0.1 × 109/L (OR 7.64, P < 0.001) were independent risk factors for early mortality after immunosuppressive therapy with this agent. Hematological response at 6 months was observed in only 29.7% of all patients. OS at 1 year after rabbit ATG was 75.3%; and age > 35 years (OR 1.88, P = 0.03), baseline ANC ≤ 0.1 × 109/L (OR 2.65, P < 0.001), and lack of response to rabbit ATG (OR 11.40, P < 0.001) were independently associated with mortality. Alternative strategies are needed for the treatment of SAA patients in countries were horse ATG is unavailable, particularly for those at high risk for early mortality after rabbit ATG due to a higher age and very low pre-treatment neutrophil count.

New species of Eimeria (Apicomplexa: Eimeriidae) from Thrichomys fosteri and Clyomys laticeps (Rodentia: Echimyidae) of the Brazilian Pantanal.

The echimyid rodents Thrichomys fosteri and Clyomys laticeps are among the most commonly recorded small mammals in the Pantanal wetland of Brazil. These species play important ecological roles since they are the basis of the food chain of some predators and are parasitized by some pathogens. Knowledge of the eimerians that parasitize echimyid rodents in Brazil is absent, and only one report is available for South America. We therefore investigated parasitism by coccidians in the echimyids T. fosteri and C. laticeps in the Pantanal. Using morphological and morphometric features and associated statistical analyses, we describe five new eimerian species parasitizing T. fosteri (Eimeria nhecolandensis n. sp., Eimeria jansenae n. sp., and Eimeria fosteri n. sp.) and C. laticeps (E. nhecolandensis n. sp., Eimeria corumbaensis n. sp., and Eimeria laticeps n. sp.) in different types of infection associations. We document the developmental forms in the tissues, and describe lesions in the enteric tract of some infected animals. We also discuss some approaches regarding epidemiological and ecological data. Our results demonstrate that echimyid rodents in the Brazilian Pantanal are important hosts for the maintenance of enteric coccidia. Moreover, in some circumstances, this parasitism may threaten the health of the hosts.

Evaluation of Hot Pressing Processing by Physical Properties of Ecofriendly Composites Reinforced by Eucalyptus Sawdust and Chamotte Residues.

The particleboard industry consumes large amounts of raw material, and this type of product consumption has been increasing over the last few years. The research for alternative raw materials becomes interesting, since most of the resources come from planted forests. In addition, the investigation of new raw materials must take into account environmentally correct solutions, such as the use of alternative natural fibers, use of agro-industrial residues, and resins of vegetable origin. The objective of this study was to evaluate the physical properties of panels manufactured by hot pressing using eucalyptus sawdust, chamotte, and polyurethane resin based on castor oil as raw materials. Eight formulations were designed with variations of 0, 5, 10, and 15% of chamotte, and two variations of resin with 10% and 15% of volumetric fraction. Tests of gravimetric density, X-ray densitometry, moisture content, water absorption, thickness swelling, and scanning electron microscopy were carried out. Through the results it can be noticed that the incorporation of chamotte in the manufacture of the panels increased the water absorption and the swelling in thickness, around 100% and the use of 15% of resin decreased, more than 50%, the values of these properties. X-ray densitometry analyzes showed that the addition of chamotte alters the density profile of the panel. In addition, the panels manufactured with 15% resin were classified as P7, the most demanding type on EN 312:2010 standard.

Assessment of Hydrothermal Treatment Effects on Coir Fibers for Incorporation into Polyurethane Matrix Biocomposites Derived from Castor Oil.

The incorporation of natural lignocellulosic fibers as reinforcements in polymer composites has witnessed significant growth due to their biodegradability, cost-effectiveness, and mechanical properties. This study aims to evaluate castor-oil-based polyurethane (COPU), incorporating different contents of coconut coir fibers, 5, 10, and 15 wt%. The investigation includes analysis of the physical, mechanical, and microstructural properties of these composites. Additionally, this study evaluates the influence of hydrothermal treatment on the fibers, conducted at 120 °C and 98 kPa for 30 min, on the biocomposites' properties. Both coir fibers (CFs) and hydrothermal-treated coir fibers (HTCFs) were subjected to comprehensive characterization, including lignocellulosic composition analysis, scanning electron microscopy (SEM), Fourier transform infrared spectroscopy (FTIR), X-ray diffraction (XRD), and thermogravimetric analysis (TGA). The biocomposites were subjected to water absorption analysis, bending tests, XRD, SEM, FTIR, and TGA. The results indicate that the 30 min hydrothermal treatment reduces the extractive content, enhancing the interfacial adhesion between the fiber and the matrix, as evidenced by SEM. Notably, the composite containing 5 wt% CF exhibits a reduced water absorption, approaching the level observed in pure COPU. The inclusion of 15 wt% HTCF results in a remarkable improvement in the composite's flexural strength (100%), elastic modulus (98%), and toughness (280%) compared to neat COPU. TGA highlights that incorporating CFs into the COPU matrix enhances the material's thermal stability, allowing it to withstand temperatures of up to 500 °C. These findings underscore the potential of CFs as a ductile, lightweight, and cost-effective reinforcement in COPU matrix biocomposites, particularly for engineering applications.

Chronic Oral Administration of Aluminum Hydroxide Stimulates Systemic Inflammation and Redox Imbalance in BALB/c Mice.

The present study is aimed at investigating the long-term effects of the aluminum hydroxide administration in the small intestine, lung, liver, and kidney of male BALB/c mice. The mice received via orogastric gavage phosphate buffered or 10 mg/kg aluminum hydroxide 3 times a week for 6 months. Administration of aluminum hydroxide decreased hemoglobin, hematocrit, and erythrocyte. In the blood, kidney and liver function markers were evaluated, and long-term administration of aluminum hydroxide led to an increase in AST levels and a decrease in urea levels. The animals exposed to aluminum showed higher lipid and protein oxidation in all the organs analyzed. In relation to the enzymes involved in antioxidant defense, the lungs showed lower superoxide dismutase (SOD) and catalase activity and a lower reduced and oxidized glutathione (GSH/GSSG) ratio. In the liver, aluminum administration led to a decrease in catalase activity and the GSH/GSSG ratio. Lower catalase activity was observed in the small intestine, as well as in the lungs and liver. In addition to alterations in antioxidant defense, increased levels of the chemokine CCL-2 were observed in the lungs, lower levels of IL-10 in the liver and small intestine, and decreased levels of IL-6 in the intestine of the animals that received aluminum hydroxide for 6 months. Long-term exposure to aluminum promoted steatosis in the liver. In the kidneys, mice treated with aluminum presented a decreased glomerular density than in the naive control group. In the small intestine, exposure caused villi shortening. Our results indicate that long-term oral administration of aluminum hydroxide provokes systemic histological damage, inflammation, and redox imbalance.

Thermography in ergonomic assessment: a study of wood processing industry workers.

Background: Workers in the wood processing industry perform activities that demand great physical and ergonomic demands, which favors the emergence of inflammatory processes and in turn the occurrence of heat regions in the body, thus making it possible to assess the inflammatory level by means of temperature gradients. This study aimed to evaluate the use of thermography as an ergonomic analysis tool to identify regions with musculoskeletal overload in workers in a wood processing industry. Methods: The study was conducted with nine workers in the central-west region of Brazil. The evaluations to obtain the thermographic images were carried out before the beginning of the workday, on Monday (day I) and on Friday (day II), in order to verify the overload regions in the accumulation of days worked. The thermal images were collected in an acclimatized room with controlled conditions where the participants remained with the upper part of their bodies bare for acclimatization, and then the lumbar and scapular regions were evaluated. The images were obtained using the FLUKE TI 400 Thermal Imager, with analysis using the SmartView software program to demarcate the body regions of interest. Results: The mean temperature values obtained on day I did not significantly differ from the mean values obtained on day II. Qualitative analysis showed thermal patterns with high temperature at the same points on both evaluated days. Although the thermographic analysis performed in this study cannot provide definitive results, they generally helped to provide evidence for a more accurate diagnosis in the evaluated workers.

A Novel Approach to Charcoal Fine Waste: Sustainable Use as Filling of Polymeric Matrices.

Most composites produced come from fossil fuel sources. Renewable strategies are needed for the production of composites. Charcoal fines are considered waste and an alternative for the production of biocomposites. The charcoal fines resulting from the pyrolysis of any biomass are an efficient alternative for the production of green composites. Studies to understand how the pyrolysis parameters influence the properties of this material for the production of biocomposites are necessary. Charcoal has a high carbon content and surface area, depending on final production temperatures. This study aims to evaluate charcoal fines as potential reinforcing agents in biocomposites. This study investigated for the first time charcoal fines from three pyrolysis temperatures (400, 600, and 800 °C) to identify the most suitable charcoal for use as a raw material in the production of carbon biocomposites with 30% by weight incorporated into a polyester matrix composite. Apparent density, porosity, morphology, and immediate chemical composition and Fourier transform infrared spectroscopy (FTIR) and X-ray photoelectron spectroscopy (XPS) of charcoal fines were evaluated. The charcoal fines produced at 800 °C showed interesting potential as polymeric matrix fillers due to their higher porosity (81.08%), fixed carbon content (96.77%), and hydrophobicity. The biocomposites were analyzed for flexural and tensile strength and scanning electron microscopy. The results revealed an improvement in resistance at elevated temperatures, especially at 800 °C, with higher breaking strength (84.11 MPa), modulus of elasticity (4064.70 MPa), and traction (23.53 MPa). Scanning electron microscopy revealed an improvement in morphology, with a decrease in roughness at 800 °C, which caused greater adhesion to the polyester matrix. These results revealed a promising new biocomposite compared to other natural lignocellulosic polymeric composites (NLFs) in engineering applications.

Quercetin Improves Pulmonary Function and Prevents Emphysema Caused by Exposure to Cigarette Smoke in Male Mice.

Chronic obstructive pulmonary disease (COPD) is the major cause of morbidity and mortality worldwide, and cigarette smoke is a key factor in the development of COPD. Thus, the development of effective therapies to prevent the advancement of COPD has become increasingly essential. We hypothesized that quercetin protects lungs in mice exposed to long-term cigarette smoke. Thirty-five C57BL/6 mice were exposed to cigarette smoke (12 cigarettes per day) for 60 days and pretreated with 10 mg/kg/day of quercetin via orogastric gavage. After the experimental protocol, the animals were euthanized and samples were collected for histopathological, antioxidant defense, oxidative stress and inflammatory analysis. The animals exposed to cigarette smoke showed an increase in respiratory rate and hematological parameters, cell influx into the airways, oxidative damage and inflammatory mediators, besides presenting with alterations in the pulmonary histoarchitecture. The animals receiving 10 mg/kg/day of quercetin that were exposed to cigarette smoke presented a reduction in cellular influx, less oxidative damage, reduction in cytokine levels, improvement in the histological pattern and improvement in pulmonary emphysema compared to the group that was only exposed to cigarette smoke. These results suggest that quercetin may be an agent in preventing pulmonary emphysema induced by cigarette smoke.

Influence of Silanization Treatment of Sponge Gourd (Luffa cylindrica) Fibers on the Reinforcement of Polyester Composites: A Brief Report.

Natural lignocellulosic fibers (NLFs) have been extensively investigated and applied as reinforcements for polymers composites owing to improved properties associated with their cost-effectiveness and their sustainable characteristics as compared to synthetic fibers. However, an intrinsic difficulty of the hydrophilic NFL adhesion to a hydrophobic polymer matrix is still a major limitation, which might be overcome via fiber surface treatments. Among the less-known NLFs, sponge gourd (Lufta cylindrica) is a promising reinforcement for polymer composites owing to its natural network of intertwined fibers. The present work investigated for the first time the influence of a chemical treatment using silane as a coupling agent for 30 wt.% sponge gourd incorporated into a polyester matrix composite. The novel composite performance was compared with that of an untreated fiber composite via X-ray diffraction (XRD), Fourier transformed infrared spectroscopy (FTIR), Charpy impact tests, and thermogravimetric analyses (TGA). The XRD results revealed that the silanization increased the crystallinity index by 37%, which attests to the effective fiber-matrix interaction stretching of the C-H bond, as observed in its FTIR band. The silanization also increased the mean impact resistance by 10%. Although the temperatures associated with the beginning of the thermal degradation by the TGA were not affected, both the silane-treated fibers and composite displayed less thermal degradation compared with the untreated fibers. The scanning electron microscopy and energy-dispersive X-ray spectroscopy (SEM/EDS) results disclosed an improved sponge gourd fiber morphology after the silanization, which caused greater adherence to the polyester matrix. These results revealed a promising novel composite compared with other NLF polymer composites in engineering applications.

Impact and Tensile Properties of Polyester Nanocomposites Reinforced with Conifer Fiber Cellulose Nanocrystal: A Previous Study Extension.

In a recent paper, novel polyester nanocomposites reinforced with up to 3 wt% of cellulose nanocrystals (CNCs) extracted from conifer fiber were characterized for their crystallinity index, water absorption, and flexural and thermal resistance. The use of this novel class of nanocomposites as a possible substitute for conventional glass fiber composites (fiberglass) was then suggested, especially for the 1 and 2 wt% CNC composites due to promising bending, density, and water absorption results. However, for effective engineering applications requiring impact and tensile performance, the corresponding properties need to be evaluated. Therefore, this extension of the previous work presents additional results on Izod and tensile tests of 1 and 2 wt% CNC-reinforced polyester composites, together with a comparative cost analysis with fiberglass. The chemical effect caused by incorporation of CNCs into polyester was also investigated by FTIR. In comparison to the neat polyester, the Izod impact energy increased 50% and 16% for the 1 and 2 wt% composites, respectively. On the other hand, the tensile strength and Young's modulus remained constant within the ANOVA statistical analysis. FTIR analysis failed to reveal any chemical modification caused by up to 2 wt% CNC incorporation. The present impact and tensile results corroborate the promising substitution of a polyester composite reinforced with very low amount of CNCs for common fiberglass in engineering application.

Surface Treatments of Coffee Husk Fiber Waste for Effective Incorporation into Polymer Biocomposites.

Natural lignocellulose fibers have been extensively investigated and applied as a reinforcement of polymer composites in industrial applications from food packing to automotive parts. Among the advantages of natural fibers stands their relatively low cost and sustainable characteristics. These are accentuated in the case of residual fibers such as those obtained from coffee husks, an agribusiness waste, usually burnt or disposed into the environment. As composite reinforcement, hydrophilic natural fibers display adhesion problems to the most hydrophobic polymer matrices. This adhesion might be improved with distinct types of fibers surface treatments. In the present work, the effectiveness of three surface treatments applied to coffee husk fiber wastes (CHFW) were investigated, aiming to improve the tensile performance of castor oil-based polyurethane (COPU) biocomposites. The effects of treatments associated with (i) chemical with sodium hydroxide, (ii) physical by temperature and pressure and hydrothermic treatment, and (iii) biological by fermentation with Phanerochaete Chrysosporium fungus were evaluated by means of Fourier transformed infrared spectroscopy, X-ray diffraction, thermal analyses and morphology by scanning electron microscopy for different concentration of NaOH, different hydrothermic times at 121 °C/98 kPa and exposition to P. chrysosporium. The most effective treatment was the hydrothermal one at 121 °C and 98.06 kPa for 30 min. Preliminary tensile tests were performed in COPU biocomposites reinforced with 20% CHFWs subjected to the optimized conditions for each distinct type of treatment. The results indicated that the hydrothermal treatment promoted significant enhancement in the fiber/matrix interfacial bond, increasing the tensile strength up to 60% compared to COPU reinforced with in natura CHFWs fibers. It is important to mention that these composites can be applied as plastic wood for household items' internal parts and in the automobile industry.

Characterization of Polyester Nanocomposites Reinforced with Conifer Fiber Cellulose Nanocrystals.

The application of cellulose nanocrystal has lately been investigated as polymer composites reinforcement owing to favorable characteristics of biodegradability and cost effectiveness as well as superior mechanical properties. In the present work novel nanocomposites of unsaturated polyester matrix reinforced with low amount of 1, 2, and 3 wt% of cellulose nanocrystals obtained from conifer fiber (CNC) were characterized. The polyester matrix and nanocomposites were investigated by scanning electron microscopy (SEM), X-ray diffraction (XRD), bending test, and thermogravimetric analysis (TGA). The result showed that the addition of only 2 wt% CNC increased the nanocomposite flexural strength by 159%, the ductility by 500% and the toughness by 1420%. Fracture analyses by SEM revealed a uniform participation of the CNC in the polyester microstructure. The resistance to thermal degradation of the CNC reinforced nanocomposites was improved in more than 20 °C as compared to neat polyester. No significant changes were detected in the water absorptions and XRD pattern of the neat polyester with incorporations up to 3 wt% CNC. These results reveal that the 2 wt% CNC nanocomposite might be a promising more ductile, lightweight and cost-effective substitute for conventional glass fiber composites in engineering applications.

Protective Effects of Quercetin on Livers from Mice Exposed to Long-Term Cigarette Smoke.

Cigarette smoke is highly toxic, and it can promote increased production of reactive species and inflammatory response and leads to liver diseases. Quercetin is a flavonoid that displays antioxidant and anti-inflammatory activities in liver diseases. This study aimed at evaluating the protective effects of quercetin on livers from mice exposed to long-term cigarette smoke exposure. Male C57BL/6 mice were divided into five groups: control (CG), vehicle (VG), quercetin (QG), cigarette smoke (CSG), quercetin, and cigarette smoke (QCSG). CSG and QCSG were exposed to cigarette smoke for sixty consecutive days; at the end of the exposures, all animals were euthanized. Mice that received quercetin daily and were exposed to cigarette smoke showed a reduced influx of inflammatory cells, oxidative stress, inflammatory reaction, and histopathological changes in the liver, compared to CSG. These results suggest that quercetin may be an effective adjuvant for treating damage to the liver due to cigarette smoke exposure.

Sigh maneuver protects healthy lungs during mechanical ventilation in adult Wistar rats.

Mechanical ventilation (MV) is a tool used for the treatment of patients with acute or chronic respiratory failure. However, MV is a non-physiological resource, and it can cause metabolic disorders such as release of pro-inflammatory cytokines and production of reactive oxygen species. In clinical setting, maneuvers such as sigh, are used to protect the lungs. Thus, this study aimed to evaluate the effects of sigh on oxidative stress and lung inflammation in healthy adult Wistar rats submitted to MV. Male Wistar rats were divided into four groups: control (CG), mechanical ventilation (MVG), MV set at 20 sighs/h (MVG20), and MV set at 40 sighs/h (MVG40). The MVG, MVG20, and MVG40 were submitted to MV for 1 h. After the protocol, all animals were euthanized and the blood, bronchoalveolar lavage fluid, and lungs were collected for subsequent analysis. In the arterial blood, MVG40 presented higher partial pressure of oxygen and lower partial pressure of carbon dioxide compared to control. The levels of bicarbonate in MVG20 were lower compared to CG. The neutrophil influx in bronchoalveolar lavage fluid was higher in the MVG compared to CG and MVG40. In the lung parenchyma, the lipid peroxidation was higher in MVG compared to CG, MVG20, and MVG40. Superoxide dismutase and catalase activity were higher in MVG compared to CG, MVG20, and MVG40. The levels of IL-1, IL-6, and TNF in the lung homogenate were higher in MVG compared to CG, MVG20, and MVG40. The use of sigh plays a protective role as it reduced redox imbalance and pulmonary inflammation caused by MV.