Pancreatic regenerating protein (regⅠ) and regⅠreceptor mRNA are upregulated in rat pancreas after induction of acute pancreatitis

AIM: Pancreatic regenerating protein (regI) stimulates pancreatic regeneration after pancreatectomy and is mitogenic to ductal and β-cells. This suggests that regIand its receptor may play a role in recovery after pancreatic injury. We hypothesized that regIand its receptor are induced in acute pancreatitis. METHODS: Acute pancreatitis was induced in male Wistar rats by retrograde injection of 3% sodium taurocholate into the pancreatic duct. Pancreata and serum were collected 12, 24, and 36 hours after injection and from normal controls (4 rats/group). RegIreceptor mRNA, serum regIprotein, and tissue regIprotein levels were determined by Northern analysis, enzyme-linked immunosorbent assay (ELISA), and Western analysis, respectively. Immunohistochemistry was used to localize changes in regIand its receptor. RESULTS: Serum amylase levels and histology confirmed necrotizing pancreatitis in taurocholate treated rats. There was no statistically significant change in serum regIconcentrations from controls. However, Western blot demonstrated increased tissue levels of regIat 24 and 36 h. This increase was localized primarily to the acinar cells and the ductal cells by immunohistochemistry. Northern blot demonstrated a significant increase in regIreceptor mRNA expression with pancreatitis. Immunohistochemistry localized this increase to the ductal cells, islets, and acinar cells. CONCLUSION: Acute pancreatitis results in increased tissue regIprotein levels localized to the acinar and ductal cells, and a parallel threefold induction of regIreceptor in the ductal cells, islets, and acinar cells. These changes suggest that induction of regIand its receptor may be important for recovery from acute pancreatitis

Distribution of transpulmonary pressure during one-lung ventilation in pigs at different body positions

Background: Global and regional transpulmonary pressure (PL) during one-lung ventilation (OLV) is poorly characterized. We hypothesized that global and regional PL and driving PL (ΔPL) increase during protective low tidal volume OLV compared to two-lung ventilation (TLV), and vary with body position. Methods: In sixteen anesthetized juvenile pigs, intra-pleural pressure sensors were placed in ventral, dorsal, and caudal zones of the left hemithorax by video-assisted thoracoscopy. A right thoracotomy was performed and lipopolysaccharide administered intravenously to mimic the inflammatory response due to thoracic surgery. Animals were ventilated in a volume-controlled mode with a tidal volume (VT) of 6 mL kg⁻¹ during TLV and of 5 mL kg⁻¹ during OLV and a positive end-expiratory pressure (PEEP) of 5 cmH₂O. Global and local transpulmonary pressures were calculated. Lung instability was defined as end-expiratory PL<2.9 cmH₂O according to previous investigations. Variables were acquired during TLV (TLVsupine), left lung ventilation in supine (OLVsupine), semilateral (OLVsemilateral), lateral (OLVlateral) and prone (OLVprone) positions randomized according to Latin-square sequence. Effects of position were tested using repeated measures ANOVA. Results: End-expiratory PL and ΔPL were higher during OLVsupine than TLVsupine. During OLV, regional end-inspiratory PL and ΔPL did not differ significantly among body positions. Yet, end-expiratory PL was lower in semilateral (ventral: 4.8 ± 2.9 cmH₂O; caudal: 3.1 ± 2.6 cmH₂O) and lateral (ventral: 1.9 ± 3.3 cmH₂O; caudal: 2.7 ± 1.7 cmH₂O) compared to supine (ventral: 4.8 ± 2.9 cmH₂O; caudal: 3.1 ± 2.6 cmH2O) and prone position (ventral: 1.7 ± 2.5 cmH₂O; caudal: 3.3 ± 1.6 cmH₂O), mainly in ventral (p ≤ 0.001) and caudal (p = 0.007) regions. Lung instability was detected more often in semilateral (26 out of 48 measurements; p = 0.012) and lateral (29 out of 48 measurements, p < 0.001) as compared to supine position (15 out of 48 measurements), and more often in lateral as compared to prone position (19 out of 48 measurements, p = 0.027). Conclusion: Compared to TLV, OLV increased lung stress. Body position did not affect stress of the ventilated lung during OLV, but lung stability was lowest in semilateral and lateral decubitus position

Continuous external negative pressure improves oxygenation and respiratory mechanics in Experimental Lung Injury in Pigs : A pilot proof-of-concept trial

Background: Continuous external negative pressure (CENP) during positive pressure ventilation can recruit dependent lung regions. We hypothesised that CENP applied regionally to the thorax or the abdomen only, increases the caudal end-expiratory transpulmonary pressure depending on positive end-expiratory pressure (PEEP) in lung-injured pigs. Eight pigs were anesthetised and mechanically ventilated in the supine position. Pressure sensors were placed in the left pleural space, and a lung injury was induced by saline lung lavages. A CENP shell was placed at the abdomen and thorax (randomised order), and animals were ventilated with PEEP 15, 7 and zero cmH(2)O (15 min each). On each PEEP level, CENP of - 40, - 30, - 20, - 10 and 0 cmH(2)O was applied (3 min each). Respiratory and haemodynamic variables were recorded. Electrical impedance tomography allowed assessment of centre of ventilation.Results: Compared to positive pressure ventilation alone, the caudal transpulmonary pressure was significantly increased by CENP of &lt;= 20 cmH(2)O at all PEEP levels. CENP of - 20 cmH(2)O reduced the mean airway pressure at zero PEEP (P = 0.025). The driving pressure decreased at CENP of &lt;= 10 at PEEP of 0 and 7 cmH(2)O (P &lt; 0.001 each) but increased at CENP of - 30 cmH(2)O during the highest PEEP (P = 0.001). CENP of - 30 cmH(2)O reduced the mechanical power during zero PEEP (P &lt; 0.001). Both elastance (P &lt; 0.001) and resistance (P &lt; 0.001) were decreased at CENP &lt;= 30 at PEEP of 0 and 7 cmH(2)O. Oxygenation increased at CENP of &lt;= 20 at PEEP of 0 and 7 cmH(2)O (P &lt; 0.001 each). Applying external negative pressure significantly shifted the centre of aeration towards dorsal lung regions irrespectively of the PEEP level. Cardiac output decreased significantly at CENP -20 cmH(2)O at all PEEP levels (P &lt; 0.001). Effects on caudal transpulmonary pressure, elastance and cardiac output were more pronounced when CENP was applied to the abdomen compared with the thorax.Conclusions: In this lung injury model in pigs, CENP increased the end-expiratory caudal transpulmonary pressure. This lead to a shift of lung aeration towards dependent zones as well as improved respiratory mechanics and oxygenation, especially when CENP was applied to the abdomen as compared to the thorax. CENP values &lt;= 20 cmH(2)O impaired the haemodynamics

Quantitative bedrock geology of Brazil

Author Posting. © American Geophysical Union, 2007. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Geochemistry Geophysics Geosystems 8 (2007): Q05014, doi:10.1029/2006GC001505.We quantitatively analyze the area-age distribution of sedimentary, igneous, metamorphic, and ultramafic bedrock on the basis of data from the digital geologic map of Brazil, published as a GIS map by the Brazilian Geological Survey. Bedrock units exclusively encompassing sedimentary rocks, igneous rocks, or metamorphic rocks cover 40.4%, 31.5%, and 17.7%, respectively, of the total bedrock area. These numbers have to be considered minimum estimates of the areal abundance of sedimentary, igneous, and metamorphic bedrock because polygons defined by mixed lithologies cover ~8.5–9.5% of the total bedrock area. These mixed units are sedimentary rocks with igneous and/or metamorphic contributions (1.4%), metamorphic rocks with sedimentary contributions (1.2%), metamorphic rocks with igneous contributions (1.5%), igneous rocks with sedimentary and/or metamorphic contributions (4.4%), and ultramafic units with sedimentary, igneous, and/or metamorphic contributions (~1–2%). The average ages of major lithologic units, weighted according to bedrock area, are as follows: sedimentary rocks (average stratigraphic age of 248 ± 5 [1σ] Myr; median stratigraphic age of 87.5 Myr), igneous rocks (1153 ± 13 [1σ] Myr), metamorphic rocks (1678 ± 30 [1σ] Myr), and ultramafic rocks (~1227 ± 25 [1σ] Myr). The average bedrock age of Brazil is 946 ± 7 [1σ] Myr. The range in lithologic composition and age structure of the various bedrock units reflects the complex tectonic makeup of Brazil that ranges from Neogene sedimentary cover in the Amazon Basin to Precambrian cratons (Guyana and Brazilian shields) and Transamazonian greenstone belts. The average spatial resolution of the data is 232 km2 polygon−1 and is sufficient to perform area-age analyses of individual river drainage basins larger than ~5,000 km2.B.P.E. acknowledges financial support from the U.S. National Science Foundation (NSF-EAR-0125873) and the Woods Hole Oceanographic Institution

Sophorolipids as antibacterial agents.

Sophorolipids (SLs), glycolipids produced by yeasts, have been reported to have immunomodulating activity and to reduce the mortality rate in animal models of sepsis. In the present study, the antibacterial activities of SLs and several derivatives were tested against a selection of standard bacterial isolates using the broth microdilution method. The SL derivatives tested did not show any significant antibacterial activity in vitro when tested at clinically relevant concentrations. Most likely the reported decrease of mortality rate in the rat septic shock model was not secondary to antibacterial activity of SLs. The SLs may be used as anti-inflammatory agents or immunomodulators without affecting the host's bacterial flora.VoRSUNY DownstatePediatricsN/

Prevalence, evaluation and management of overactive bladder in primary care

<p>Abstract</p> <p>Background</p> <p>Patients with overactive bladder (OAB) are under-diagnosed in the primary care setting. Primary care physicians (PCP) approach to the patient and appropriate patient disclosure may contribute to under-diagnosis.</p> <p>Methods</p> <p>An outpatient primary care setting was used to determine the prevalence and characteristics of OAB. Patients who visited the family medicine outpatient clinic were invited to answer a self-administered questionnaire. It included questions on evidence of lower urinary tract symptoms (modified Overactive Bladder-Validated 8-question Screener [OAB-V8]), relevant medical and surgical history, and demographic data. Relationship between OAB and other independent variables were analyzed using chi-square and risk ratio (RR) analysis.</p> <p>Results</p> <p>Of 325 questionnaires distributed, 311 were returned completed. Patients ranged from 18 to 97 years, the majority women (74.0%) and African American (74.3%). OAB was present in 60.5% of men and 48.3% of women (<it>p </it>= 0.058). OAB was significantly associated with obesity (BMI > = 30) in women (<it>p </it>= 0.018, RR = 1.72), specifically obese premenopausal women (age < 55 years) (<it>p </it>= 0.011, RR = 1.98).</p> <p>Conclusion</p> <p>OAB prevalence is more than double and higher in men than previously reported. The relative risk for OAB is significantly greater in obese premenopausal women.</p