Post-Mortem Immunohistochemical Evidence of β2-Adrenergic Receptor Expression in the Adrenal Gland

The evidence from post-mortem biochemical studies conducted on cortisol and catecholamines suggest that analysis of the adrenal gland could provide useful information about its role in human pathophysiology and the stress response. Authors designed an immunohistochemical study on the expression of the adrenal β2-adrenergic receptor (β2-AR), a receptor with high-affinity for catecholamines, with the aim to show which zones it is expressed in and how its expression differs in relation to the cause of death. The immunohistochemical study was performed on adrenal glands obtained from 48 forensic autopsies of subjects that died as a result of different pathogenic mechanisms using a mouse monoclonal β2-AR antibody. The results show that immunoreactivity for β2-AR was observed in all adrenal zones. Furthermore, immunoreactivity for β2-AR has shown variation in the localization and intensity of different patterns in relation to the original cause of death. To the best of our knowledge, this is the first study that demonstrates β2-AR expression in the human cortex and provides suggestions on the possible involvement of β2-AR in human cortex hormonal stimulation. In conclusion, the authors provide a possible explanation for the observed differences in expression in relation to the cause of death

Videoconferencing and telementoring about dementia care: evaluation of a pilot model for sharing scarce old age psychiatry resources

While videoconferencing, telementoring, and peer support have been shown to enhance services in some instances, there has been no research investigating the use of these technologies in supporting professionals managing clients with dementia. The objective of this research was to evaluate expansion of an old age psychiatry consultation service and pilot test a model to improve medical supervision and clinical governance for staff within regional and remote areas using remote information technology. The design was a mixed methods (qualitative and quantitative) evaluation using before, mid-point and post-implementation semi-structured interviews and questionnaires to examine orientation, acceptance, and impact underpinned by theoretical approaches to evaluation. Education evaluations used a Likert style response template. Participants were 18 dementia service staff, including staff from linked services and old age psychiatrists. Qualitative interviews addressed the pilot implementation including: expectations, experiences, strategies for improving the pilot, and perceived impact on work practice and professional development opportunities. There was high satisfaction with the program. The case conference process contributed to perceived improved outcomes for clients, family, and staff. Clinicians perceived improvement in family carer and staff carer stress and their confidence in managing clients with behavioral and psychological symptoms of dementia (BPSD). Thematic analysis indicated that the pilot enhanced professional development, decreased travel time, and improved team cohesion. Given the increasing aging population in regional, rural, and remote areas, initiatives using videoconferencing and telementoring will help to develop a confident and skilled workforce. This pilot program was found to be acceptable and feasible. Potential benefits for clients and family carers should be examined in future resesarch

Aplicações de técnicas de análise multivariada na avaliação da qualidade química e sensorial de café.

As condições de produção, bem como as operações pós-colheita de processamento, secagem e as condições de armazenamento podem acarretar alterações na composição físico-químicas dos grãos de café, influenciando diretamente na qualidade de bebida. Embora muito utilizadas nestes estudos, as analises estatísticas univariadas nem sempre permitem interpretações e conclusões consistentes sobre os efeitos destes fatores. Asssim, objetivou-se neste trabalho avaliar a utilização de análises multivariadas na interpretação dos efeito das operações pós-colheita na qualidade de grãos de café. Foram utilizados frutos de Coffea arabica L., cultivar Catuaí Amarelo IAC 144, os quais foram processados para obtenção de café natural, café desmucilado e café espolpado. Os cafés foram secados até atingirem 12% de umidade, por meio de três métodos de secagem: ao sol, à sombra e em secador mecânico e foram armazenadas por 0, 4, 8 e 12 meses em câmara fria. A qualidade do café foi avaliada por análise sensorial e da composição química. Foi utilizada a análise de componentes principais para o grupo de dados destas variáveis e análises exploratórias representadas pelos gráficos Multi-Vari Chart em relação aos escores. Pela análise dos três primeiros componentes principais houve melhor discriminação dos escores para o efeito do processamento. Com as análises exploratórias, foi possível observar altos valores de condutividade elétrica para os cafés naturais. O processamento natural também difere dos demais, onde são observados menores valores de açucares não redutores, açucares totais e sólidos solúveis. Apesar da diferenciação dos cafés naturais quanto aos componentes químicos, não se observou grandes diferenças nos resultados da análise sensorial. Apenas para o método de secagem por secador mecânico, houve maior redução da pontuação final dos cafés naturais entre o início e o final de armazenamento. Conclui-se que as técnicas multivariadas utilizadas podem ser consideradas como importante ferramenta para compreender o comportamento e correlação entre as diversas variáveis, em relação aos efeitos do processamento, secagem e armazenamento na qualidade química e sensorial do café

Antiparasitic efficacy and blood effects of formalin on Arapaima gigas (Pisces: Arapaimidae).

This study evaluated the in vitro and in vivo antiparasitic efficacy of formalin against Dawestrema cycloancistrium, the effects on the physiological response of Arapaima gigas and the residual action on fish muscle after 96h of exposure. As regards the in vitro assay, 0, 22, 44, 66, 88, 110, 330, 660 and 880 mg L-1 formalin were tested. After 1h of exposure to 660 and 880 mg L-1 formalin, there was a 100% mortality of D. cycloancistrium as well as after 2h of exposure at 330 and 110 mg L-1 and 3h of exposure at 44, 66 and 88 mg L-1. Concerning the in vivo test, when fish were exposed to formalin at 0, 220, 330, 440 and 550 mg L-1, there was 100% survival at all concentrations and exposure times evaluated. Baths of 1h with 440 and 550 mg L-1 formalin showed 93.3% and 99.3% efficacy respectively. However, the baths of 12h with 55 and 66 mg L-1 formalin had the efficacy of 44.5% and 55.5% respectively. In 1h baths with 220, 330, 440 and 550 mg L-1 formalin, hematocrit, hemoglobin, number of total erythrocytes, mean corpuscular volume, mean corpuscular hemoglobin concentration, mean corpuscular hemoglobin, plasma glucose levels, cortisol, total proteins, chloride, calcium, sodium, potassium and magnesium of the fish presented no differences in relation to the control values. However, in baths of 12h with 33, 44, 55 and 66 mg L-1 formalin, there was a decrease in hematocrit, plasma levels of calcium and chloride, and increased levels of glucose and cortisol, depending on the concentration of formalin used. In the fish muscle, the formalin residue decreased after 96h in all concentrations and periods evaluated, returning to values close to the control ones. The results indicate that formalin had its efficacy successfully proved in the treatment against D. cycloancistrium at higher concentrations such as 440 and 550 mg L-1 formalin and shorter exposure time (1h) without compromising fish homeostasis and consumer food safety. Statement of relevance: The manuscript represents original research on use of formalin in vitro and in vivo for treating infection by monogenoidean Dawestrema cycloancistrium in Arapaima gigas, the giant fish from Amazon. In the fish, muscle the residue levels of formalin after exposure was also investigated. Formalin have efficacy in the treatment against D. cycloancistrium at higher concentrations (440 and 550 mg.L-1) of formalin and shorter exposure time (1h) and without compromising A. gigas homeostasis and consumer food safety

Toxicological Findings of Self-Poisoning Suicidal Deaths: A Systematic Review by Countries

The use of illicit and non-illicit substances is widespread in suicides. The toxicological data may help in understanding the mechanism of death. This systematic review aimed to analyze autopsies related to suicides by consuming poison, focusing on the correlation between substance use and the country of origin to create an alarm bell to indicate that suicide maybe attempted and prevent it. The systematic review was conducted according to the PRISMA guidelines, with the primary objective of identifying autopsies conducted in cases of suicide by consuming poison in specific geographic areas. Significant differences in substances were observed between low-income and Western countries that confirm previous literature data. In rural areas and Asian countries, most suicides by consuming poison involve the use of pesticides, such as organophosphates and carbamates. In Western countries, illicit drugs and medically prescribed drugs are the leading cause of suicide by self-poisoning. Future research should shed light on the correlation between social, medical, and demographic characteristics and the autopsy findings in suicides by self-poisoning to highlight the risk factors and implement tailored prevention programs worldwide. Performing a complete autopsy on a suspected suicide by self-poisoning could be essential in supporting worldwide public health measures and policy makers. Therefore, complete autopsies in such cases must be vigorously promoted