[Primary hyperhidrosis and anxiety: a prospective preoperative survey of 158 patients]. / Hiperhidrosis primaria y ansiedad: estudio prospectivo preoperatorio de 158 pacientes.

OBJECTIVE: To determine the location of hyperhidrosis, the accompanying signs and symptoms, and patient anxiety assessed on 2 scales and standardized psychometric instruments. PATIENTS AND METHODS: A prospective study of patients with hyperhidrosis was carried out between September 1, 2001 and June 30, 2003 with a self-administered preoperative questionnaire. The variables studied included the location of hyperhidrosis, the accompanying signs and symptoms, and the self-reported degree of anxiety and perception of its effect on daily life assessed by the State-Trait Anxiety Inventory (STAI) and a questionnaire designed in our department. RESULTS: Palmar hyperhidrosis was reported by 93.6% of patients, plantar by 70.2%, axillary by 66.4%, facial by 12.1%, groin by 8.2%, chest by 5%, and abdominal by 2%. While more than 50% of the patients reported facial blushing and palpitations as accompanying signs and symptoms, approximately 30% experienced epigastric pain, trembling, and headaches. Over half of the patients reported that their anxiety was incapacitating, and a mere 1.2% experienced none at all. STAI scores were similar to those of the general population whereas scores on our department's questionnaire reflected those of the self-reported anxiety ratings. CONCLUSIONS: Primary hyperhidrosis is a disorder in which excessive sweating occurs mainly, but not exclusively, on the palms. The condition is accompanied by signs and symptoms typical of autonomic nervous system hyperactivity and by a degree of anxiety that has an incapacitating effect on normal life, although that anxiety is not detected by the STAI questionnaire alone.

Growth of Chlorella sorokiniana on a mixture of volatile fatty acids: The effects of light and temperature.

This study investigated the influence of light and temperature on Chlorella sorokiniana grown on a mixture of acetate and butyrate, two of the volatile fatty acids produced by dark fermentation. Exposure to light caused autotrophic biomass production (56% of the final biomass) and reduced the time to reach butyrate exhaustion to 7 days at 25°C from 10 days in the dark. For growth on acetate at the optimum temperature (35°C), the presence of butyrate reduced the growth rate (by 46%) and the carbon yield (by 36%). For successful microalgae growth on dark fermentation effluent, butyrate inhibition may be reduced by setting the temperature to 30°C and providing light.

Use of fermentative metabolites for heterotrophic microalgae growth: Yields and kinetics.

The growth of two lipid-producing Chlorella species on fermentative end-products acetate, butyrate and lactate, was investigated using a kinetic modeling approach. Chlorella sorokiniana and Auxenochlorella protothecoides were grown on synthetic media with various (acetate:butyrate:lactate) ratios. Both species assimilated efficiently acetate and butyrate with yields between 0.4 and 0.5g carbon of biomass/g carbon of substrate, but did not use lactate. The highest growth rate on acetate, 2.23d(-1), was observed for C. sorokiniana, and on butyrate, 0.22d(-1), for A. protothecoides. Butyrate removal started after complete acetate exhaustion (diauxic effect). However, butyrate consumption may be favored by the increase of biomass concentration induced by the initial use of acetate. A model combining Monod and Haldane functions was then built and fitted the experimental data well for both species. Butyrate concentration and (acetate:butyrate) ratios were identified as key parameters for heterotrophic growth of microalgae on fermentative metabolites.