The Effects of Age on Inflammatory and Coagulation-Fibrinolysis Response in Patients Hospitalized for Pneumonia

Objective: To determine whether inflammatory and hemostasis response in patients hospitalized for pneumonia varies by age and whether these differences explain higher mortality in the elderly. Methods: In an observational cohort of subjects with community-acquired pneumonia (CAP) recruited from emergency departments (ED) in 28 hospitals, we divided subjects into 5 age groups (85% subjects, older subjects had modestly increased hemostasis markers and IL-6 levels (p,0.01). Conclusions: Modest age-related increases in coagulation response occur during hospitalization for CAP; however these differences do not explain the large differences in mortality. Despite clinical recovery, immune resolution may be delayed in older adults at discharge. © 2010 Kale et al

Antitumor activity against murine lymphoma L5178Y model of proteins from cacao (Theobroma cacao L.) seeds in relation with in vitro antioxidant activity

<p>Abstract</p> <p>Background</p> <p>Recently, proteins and peptides have become an added value to foodstuffs due to new knowledge about its structural analyses as related to antioxidant and anticancer activity. Our goal was to evaluate if protein fractions from cacao seeds show antitumor activity on lymphoma murine L5178Y model. The antioxidant activity of these fractions was also evaluated with the aim of finding a correlation with the antitumor activity.</p> <p>Methods</p> <p>Differential extraction of proteins from unfermented and semi-fermented-dry cacao seeds was performed and characterized by SDS-PAGE and FPLC size-exclusion chromatography. Antitumor activity was evaluated against murine lymphoma L5178Y in BALB/c mice (6 × 10⁴cells i.p.), with a treatment oral dose of 25 mg/kg/day of each protein fraction, over a period of 15 days. Antioxidant activity was evaluated by the ABTS⁺and ORAC-FL assays.</p> <p>Results</p> <p>Albumin, globulin and glutelin fractions from both cacao seed type were obtained by differential solubility extraction. Glutelins were the predominant fraction. In the albumin fraction, polypeptides of 42.3 and 8.5 kDa were found in native conditions, presumably in the form of two peptide chains of 21.5 kDa each one. The globulin fraction presented polypeptides of 86 and 57 kDa in unfermented cacao seed that produced the specific-cacao aroma precursors, and after fermentation the polypeptides were of 45 and 39 kDa. The glutelin fraction presented proteins >200 kDa and globulins components <100 KDa in lesser proportion. Regarding the semifermented-dry cacao seed, it was observed that the albumin fraction showed antitumoral activity, since it caused significant decreases (p < 0.05) in the ascetic fluid volume and packed cell volume, inhibiting cell growth in 59.98 ± 13.6% at 60% of the population; while the greatest antioxidant capacity due to free radical scavenging capacity was showed by the albumin and glutelin fraction in both methods assayed.</p> <p>Conclusion</p> <p>This study is the first report on the biological activity of semifermented-dry cacao protein fractions with their identification, supporting the traditional use of the plant. The albumin fraction showed antitumor and free radical scavenging capacity, however both activities were not correlated. The protein fractions could be considered as source of potential antitumor peptides.</p

Intercultural Competence and Communication over Language Barriers

Intercultural healthcare refers to when people of different cultures and languages communicate and interact in the healthcare context. Intercultural competence is pivotal to provide congruent and meaningful care. The notion intercultural stresses that at least two cultures are involved; however, many use the term cultural. Cultural competence has been described as a process in healthcare interactions and systems, aiming to increase equity and reduce disparities in care. Cultural competence shares core components with patient centered care, but patient centered care is difficult when the values of patients are in conflict with the values of the healthcare professionals and systems. Cultural diversity can lead to conflicts of the most fundamental values and thus, intercultural healthcare requires that professionals have opportunities and skills to deal with value conflicts. We present a relational ethics approach for intercultural competence. The basic ideas of relational ethics, and of intercultural competence, are that they exist in relationships, the context is of importance and true dialogue is the core. The components of intercultural competence are explained and include intercultural dialogue, intercultural reflection and intercultural learning. Furthermore, intercultural communication, i.e. the act of communicating between distinct cultural groups, is pivotal to enable intercultural dialogue and should continuously be developed through intercultural learning in the process of understanding and adapting to the other. We will also discuss professional interpreters’ impact on cultural learning and mutual understanding in the intercultural healthcare context. We argue that healthcare professionals need to learn effective interpreting use as part of intercultural competence.</p

Label-Free Pump–Probe Nanoscopy

In the last few decades fluorescence microscopy has been the most widely used microscopy technique and much effort has been put into the development of advanced super-resolution fluorescence microscopy techniques to circumvent the diffraction limit. Despite their well-established benefits, these techniques have to rely on the photo-physical properties of fluorescent molecules to obtain the desired contrast and spatial resolution. The labeling procedure may cause unwanted alterations in the sample. With the advent of ultrashort-pulsed laser sources, it became possible to better explore novel non-fluorescent-based contrast mechanisms that rely solely on intrinsic properties of the molecules of interest and which led to the development of label-free microscopy approaches. In this chapter, the imaging capabilities of absorption-based pump\u2013probe microscopy are presented. This technique explores the ultrafast dynamic properties of the sample with high spatial and temporal resolution, as well as high sensitivity and chemical specificity. Two pulses, a pump and a probe, with a proper spatial and temporal overlap are used. The pump is absorbed, inducing a measurable change in the sample carrier population, which is then monitored by a delayed probe pulse. The development of new label-free approaches also represents a key challenge for the exploration of super-resolution approaches in non-fluorescence-based methods