Effect of a new ultrashort betalytic agent on aconitine-induced arrhythmia

The anti-arrhythmic effect was tested on the model of aconitine-induced arrhythmia. The experiment was performed in vivo with 31 male Wistar laboratory rats. Group A was first administered aconitine and, after the onset of the first sinus rhythm disorders, the 44Bu compound was administered. Group B was first administered the 44Bu compound and only after that the aconitine. The control group was administered aconitine and saline as a replacement of the tested compound. In group A, there was a decrease in the ventricular fibrillation occurrence from 100 % to 8 % (p < 0.001) after the administration of the 44Bu compound. In the B group, the onsets of all monitored arrhythmia types were delayed by an average of 15.6 min. Ventricular rhythm occurrence was decreased from 100 to 20 %, as well as ventricular fibrillations, from 100 to 0 % (p < 0.001).     

Thelebolus microsporus mycelial mats in the trachea of wild brown skua (Catharacta antarctica lonnbergi) and South Polar skua (C. maccormicki) carcasses

Sixteen brown skuas (Catharacta antarctica lonnbergi) and seven South Polar skuas (C. maccormicki) were found dead near Boekella Lake, Hope Bay, Antarctica, in February 1997. Postmortem examination revealed conspicuous caseous, deep yellow fungal/mycelial mats or cores in the trachea of nine of 19 carcasses that were examined. These mycelial cores, highly suggestive of aspergillomas, completely occluded the tracheal lumen in four of these nine carcasses. Thelebolus microsporus, a psychrophilic ascomycetous fungus commonly isolated from skua dung and skua nesting material, was isolated in pure culture from these tracheal plugs. Awareness of pseudolesions resulting from Thelebolus microsporus profuse postmortem growth in the trachea of dead skuas will minimize potential confusion with aspergillosis when investigating causes of epornithics in Antarctica.     

Habitat loss effects on spatial distribution of non-vascular epiphytes in a Brazilian Atlantic forest

The vertical distribution of the richness, abundance, and composition of epiphytic bryophytes was studied in a matrix of fragmented habitats in the Brazilian Atlantic rainforest of the Murici Ecological Station (9°11′05″–9°16′48″ S, 35°45′20″–35°55′12″ W), northeastern Brazil. The aim was to compare the horizontal (between sites) and vertical (between phorophyte heights) turnover to test a hypothesis based on niche width vulnerability. There was a highly significant decreasing of richness accompanying the loss of habitat, and the most conserved fragment housed a total richness more than 10 times higher than the less conserved fragment. Epiphytes failed to colonize lower trunks (2.1–10 m) and higher zones in most of the non-conserved fragments; they were restricted to the base (0–2 m) and displayed a clear altered floristic composition. The species with restricted ecological amplitudes such as sun and shade tolerant taxa were more negatively affected by habitat loss than generalists. Although the mean richness of generalists decreased in non conserved fragments, the proportional contribution of this guild increased, proving that these taxa are the ones which persist in disturbed sites. The forest fragments capable of harboring rich epiphyte flora in the area studied are over 300 ha in size, which is far from being a common size among Brazilian Atlantic rainforest fragments. Hence, our results highlight the need of conserving the few large remnants in this ecosystem.     

Could the Decision of Trial Participation Precede the Informed Consent Process? Evidence From Burkina Faso

Background

Over the last years, the number of clinical trials carried out in low-income countries with poor medical infrastructure and limited access to health care has increased. In these settings, the decision of participating in a clinical study may be influenced by factors related to participants’ vulnerability that limit the efficacy of the informed consent.

Methods

A mixed methods social science study, based on the triangulation of qualitative and quantitative data, was carried out in a socio-economically disadvantaged and semi-urban area of Bobo Dioulasso, Burkina Faso. The study aimed at assessing the relevance of the informed consent procedure on the decision-making process of the parents and/or guardians of potential participants in a pediatric malaria trial.

Results

For most parents (70.4%), the decision of participating had already been taken before undergoing the informed consent process and was based on the information conveyed through the community. Access to free and good quality health care often inspired this decision. In addition, the parents’ willingness to have their child included in the trial made them develop active strategies to achieve this purpose.

Discussion

In a context of socio-economic vulnerability and poor access to free health care, the process of informed consent does not always accomplish its goal of informing people and enabling them to make a free and informed decision. This information role is somehow anticipated by the community and trial participation becomes a strategic action to secure otherwise unavailable health resources leading community members to decide on participation even prior to the informed consent process.     

Retention and Risk Factors for Attrition in a Large Public Health ART Program in Myanmar: A Retrospective Cohort Analysis

Background

The outcomes from an antiretroviral treatment (ART) program within the public sector in Myanmar have not been reported. This study documents retention and the risk factors for attrition in a large ART public health program in Myanmar.

Methods

A retrospective analysis of a cohort of adult patients enrolled in the Integrated HIV Care (IHC) Program between June 2005 and October 2011 and followed up until April 2012 is presented. The primary outcome was attrition (death or loss-follow up); a total of 10,223 patients were included in the 5-year cumulative survival analysis. Overall 5,718 patients were analyzed for the risk factors for attrition using both logistic regression and flexible parametric survival models.

Result

The mean age was 36 years, 61% of patients were male, and the median follow up was 13.7 months. Overall 8,564 (84%) patients were retained in ART program: 750 (7%) were lost to follow-up and 909 (9%) died. During the 3 years follow-up, 1,542 attritions occurred over 17,524 person years at risk, giving an incidence density of 8.8% per year. The retention rates of participants at 12, 24, 36, 48 and 60 months were 86, 82, 80, 77 and 74% respectively. In multivariate analysis, being male, having high WHO staging, a low CD4 count, being anaemic or having low BMI at baseline were independent risk factors for attrition; tuberculosis (TB) treatment at ART initiation, a prior ART course before program enrollment and literacy were predictors for retention in the program.

Conclusion

High retention rate of IHC program was documented within the public sector in Myanmar. Early diagnosis of HIV, nutritional support, proper investigation and treatment for patients with low CD4 counts and for those presenting with anaemia are crucial issues towards improvement of HIV program outcomes in resource-limited settings.     

Does designation of protected areas ensure conservation of tree diversity in the Sudanian dry forest of Burkina Faso?

The importance of conservation status of the forest (protected versus unprotected) at two sites with differing human population density (high versus low) on the tree diversity of a Sudanian dry forest in Burkina Faso was studied. All woody species were recorded in 127 circular plots (area = 456.16 m²), and density, dominance, frequency, importance value indices and a variety of diversity measures were calculated to assess the species composition, structure and heterogeneity. A total of 69 species, representing 26 families and 52 genera, were found. Combretaceae, Leguminosae subfamily Caesalpinioideae and Rubiaceae were the dominant families. Neither human pressure nor forest conservation status significantly influenced the tree species richness. Stem density and basal area were significantly higher at the site with high population density than otherwise. Fisher’s diversity index revealed the unprotected forest at the site with low population density as the most diverse. We identified species with high conservation importance that should be enriched to maintain a viable population size. In conclusion, the current designation of protected areas seems inefficient at ensuring the conservation of tree diversity in the forest reserve. Thus, participatory conservation programme should be initiated.     

Kinetics of human alcohol dehydrogenase with ring-oxidized retinoids: effect of Tween 80

Human alcohol dehydrogenases (ADH1 and ADH4) actively use retinoids oxidized at the cyclohexenyl ring (4-oxo-, 4-hydroxy-, and 3,4-didehydro-retinoids), which are functional compounds in several cells and tissues (i.e., in human skin). Remarkably, activities with 4-oxo-retinal and 4-hydroxy-retinol (kcat = 2050 min(-1) for ADH4) are the highest among retinoids, similar to those of the best aliphatic alcohols. Thus, ADH1 and ADH4 provide a metabolic pathway for the synthesis of the corresponding retinoic acids. Tween 80, a widely used detergent in the retinoid activity assay, behaves as a competitive inhibitor. The Km values for all-trans-retinol (2-3 microM), estimated in the absence of detergent, are 10-fold lower than those obtained at the usual 0.02% Tween 80. This suggests a contribution of ADH to retinoid metabolism more relevant than previously expected. However, Tween 80 stabilizes retinoids in water solution and provides a reliable and reproducible assay, suitable for comparing different ADHs and different retinoid substrates.