Effect of soil biochar concentration on the mitigation of emerging organic contaminant uptake in lettuce

Although crop uptake of emerging organic contaminants (EOC) from irrigation water and soils has been previously reported, successful mitigation strategies have not yet been established. In this study, soil was amended with a wood-based biochar (BC) at two rates (0, 2.5 and 5% w/w) to evaluate the effect on mitigation of EOC uptake (i.e. bisphenol A, caffeine, carbamazepine, clofibric acid, furosemide, ibuprofen, methyl dihydrojasmonate, tris(2-chloroethyl)phosphate, triclosan, and tonalide) in lettuce (Lactuca sativa L.). After 28 days of irrigation with water containing EOCs at 15 µg L-1, the average EOC concentration in roots and leaves decreased by 20–76% in biochar amended soil relative to non BC-amended soil. In addition, the enantiomeric fractions (EF) of ibuprofen (IBU) in biochar amended soils (EF = 0.58) and unamended soils (EF = 0.76) suggest that the IBU sorbed fraction in BC is more recalcitrant to its biodegradation.Postprint (published version

Renal denervation for resistant hypertension and heart failure with a reduced ejection fraction

Hypertension is a risk factor for the development of heart failure and has a negative impact on the survival of these patients. Although patients with these two conditions usually take different antihypertensive medications, some patients do not achieve adequate blood pressure control and their hypertension becomes resistant or refractory. In this scenario, percutaneous renal denervation has emerged in recent years as an alternative to achieve blood pressure control goals. We present the case of a 53-year-old woman with a medical history of essential hypertension, hypercholesterolemia, unipolar depression, and diabetes, who was diagnosed with dilated cardiomyopathy with reduced left ventricular ejection fraction (33%). Despite the initiation of multiple antihypertensive medications and placement of a cardiac resynchronization therapy pacemaker, the patient remained hypertensive with a left ventricular ejection fraction of 40%. At that time, percutaneous renal denervation was performed without complications, and one year after the procedure, the patient had improved better blood pressure control and the left ventricular ejection fraction increased to 51%. This case illustrates one of the clinical scenarios in which it has been suggested that renal denervation may be more beneficial, as in the situation of patients with refractory hypertension and heart failure

Evolving Concepts on Inflammatory Biomarkers and Malnutrition in Chronic Kidney Disease

While patient care, kidney replacement therapy, and transplantation techniques for chronic kidney disease (CKD) have continued to progress, the incidence of malnutrition disorders in CKD appears to have remained unchanged over time. However, there is now a better understanding of the underlying pathophysiology according to the disease background, disease stage, and the treatment received. In CKD patients, the increased production of proinflammatory cytokines and oxidative stress lead to a proinflammatory milieu that is at least partially responsible for the increased morbidity and mortality in this patient population. New insights into the pathogenic role of innate immunity and the proinflammatory cytokine profile, characterized, for instance, by higher levels of IL-6 and TNF-α, explain some of the clinical and laboratory abnormalities observed in these patients. In this article, we will explore currently available nutritional-inflammatory biomarkers in distinct CKD populations (hemodialysis, peritoneal dialysis, transplantation) with a view to evaluating their efficacy as predictors of malnutrition and their involvement in the common proinflammatory process. Although there is a direct relationship between inflammatory-nutritional status, signs and symptoms [e.g., protein-energy wasting (PEW), anorexia], and comorbidities (e.g., atheromatosis, atherosclerosis), we are in need of clearly standardized markers for nutritional-inflammatory assessment to improve their performance and design appropriate bidirectional interventions