The association of hydration status with physical signs, symptoms and survival in advanced cancer-The use of Bioelectrical Impedance Vector Analysis (BIVA) technology to evaluate fluid volume in palliative care: An observational study

Background Hydration in advanced cancer is a controversial area; however, current hydration assessments methods are poorly developed. Bioelectrical impedance vector analysis (BIVA) is an accurate hydration tool; however its application in advanced cancer has not been explored. This study used BIVA to evaluate hydration status in advanced cancer to examine the association of fluid status with symptoms, physical signs, renal biochemical measures and survival. Materials and methods An observational study of 90 adults with advanced cancer receiving care in a UK specialist palliative care inpatient unit was conducted. Hydration status was assessed using BIVA in addition to assessments of symptoms, physical signs, performance status, renal biochemical measures, oral fluid intake and medications. The association of clinical variables with hydration was evaluated using regression analysis. A survival analysis was conducted to examine the influence of hydration status and renal failure. Results The hydration status of participants was normal in 43 (47.8%), 'more hydrated' in 37 (41.1%) and 'less hydrated' in 10 (11.1%). Lower hydration was associated with increased symptom intensity (Beta = -0.29, p = 0.04) and higher scores for physical signs associated with dehydration (Beta = 10.94, p = 0.02). Higher hydration was associated with oedema (Beta = 2.55, p<0.001). Median survival was statistically significantly shorter in 'less hydrated' patients (44 vs. 68 days; p = 0.049) and in pre-renal failure (44 vs. 100 days; p = 0.003). Conclusions In advanced cancer, hydration status was associated with clinical signs and symptoms. Hydration status and pre-renal failure were independent predictors of survival. Further studies can establish the utility of BIVA as a standardised hydration assessment tool and explore its potential research application, in order to inform the clinical management of fluid balance in patients with advanced cancer

AUTOCRINE/PARACRINE STIMULATION OF PURINERGIC RECEPTORS IN OSTEOBLASTS: CONTRIBUTION OF VESICULAR ATP RELEASE

Extracellular nucleotides such as ATP and UTP are released in response to mechanical stimulation in different cell systems. It is becoming increasingly evident that ATP release plays a role in autocrine and paracrine stimulation of osteoblasts. Mechanical stimulation, as shear stress, membrane stretch or hypo-osmotic swelling, as well as oscillatory fluid flow, stimulates ATP release from different osteoblastic cell lines. Human osteoblast-like initial transfectant (HOBIT) cells release ATP in response to mechanical stimulation. In the present study, we show that HOBIT cells are activated by nanomolar levels of extracellular ATP, concentrations that can be detected under resting conditions and increase following hypotonic shock. Cell activation by hypotonic medium induced intracellular Ca2+ oscillations, and Egr-1 synthesis and DNA-binding activity. Quinacrine staining of living, resting cells revealed a granular fluorescence, typical of ATP-storing vesicles. Monensin prevented quinacrine staining and considerably inhibited hypotonic- induced ATP release. Finally, elevated levels of cytosolic Ca2+ activated massive ATP release and a dose-dependent loss of quinacrine granules. The contribution of a vesicular mechanism for ATP release is proposed to sustain paracrine osteoblast activation

Settlement of Bivalve Spat on Artificial Collectors (Net bags) in Two Commercial Mussel Parks in the North-Western Adriatic Sea.

Among aquaculture activities, shellfish culture is considered more sustainable and beneficial in terms of food security. Currently, only a few bivalve species are reared and there is a need to explore the possibility to introduce new candidates for shellfish farming. Due to the lack of information on bivalve recruitment in the North-Western Adriatic Sea, in this study, the possibility to collect natural spat of commercial species was investigated. Artificial collectors (net bags) were deployed in two sites, Pellestrina and Caleri (North-Western Adriatic Sea), within two commercial mussel parks, during the spring–summer and summer–autumn periods. At both sites, collectors were placed at a distance of 1 m from each other, from 5 to 14 m depth. The influence of season, site and depth on bivalve recruitment was inspected and the presence of invasive species was also evaluated. In all, 28 bivalve taxa were found, and a higher settlement rate was observed in summer–autumn compared to the spring–summer period. Mytilus galloprovincialis, Flexopecten glaber, Mimachlays varia and Aequipecten opercularis were the most abundant species in spring– summer. In the summer–autumn period, in both sites analysed, a very high quantity of Anadara transversa and F. glaber were found. Indeed, these species were dominant at Pellestrina and Caleri, respectively. Another non-indigenous species, Arcuatula senhousia, was also detected. Relevant amounts of Pectinidae spat, F. glaber in particular, were collected and the optimal depth range for the scallop spat collection was found to be between 8 and 14 m. Our results highlight the relevant potential of Pectinidae spat collection along the North-Western Adriatic coasts, even though the presence of invasive species needs to be monitored

Evidence for decreased circulating apelin beyond heart involvement in uremic cardiomyopathy

IF (JCR 2006): 2,87

Cystatin C in heart failure is nothing more than a bystander of glomerular filtration.

none7noneCODOGNOTTO M; PICCOLI A; ZANINOTTO M; MION M; VERTOLLI U; TONA F.; BOFFA GMCodognotto, M; Piccoli, Antonio; Zaninotto, M; Mion, M; Vertolli, U; Tona, Francesco; Boffa, G