Three years clinical experience with intestinal transplantation

BACKGROUND: After the successful evolution of hepatic transplantation during the last decade, small bowel and multivisceral transplantation remains the sole elusive achievement for the next era of transplant surgeons. Until recently, and for the last thirty years, the results of the sporadic attempts of intestinal transplantation worldwide were discouraging because of unsatisfactory graft and patient survival. The experimental and clinical demonstration of the superior therapeutic efficacy of FK 506, a new immunosuppressive drug, ushered in the current era of small bowel and multivisceral transplantation with initial promising results. STUDY DESIGN: Forty-three consecutive patients with short bowel syndrome, intestinal insufficiency, or malignant tumors with or without associated liver disease, were given intestinal (n=15), hepatic and intestinal (n=21), or multivisceral allografts that contained four or more organs (n=7). Treatment was with FK 506 based immunosuppression. The ascending and right transverse colon were included with the small intestine in 13 of the 43 grafts, almost evenly distributed between the three groups. RESULTS: After six to 39 months, 30 of the 43 patients are alive, 29 bearing grafts. The most rapid convalescence and resumption of diet, as well as the highest three month patient survival (100 percent) and graft survival (88 percent) were with the isolated intestinal procedure. However, this advantage was slowly eroded during the first two postoperative years, in part because the isolated intestine was more prone to rejection. By the end of this time, the best survival rate (86 percent) was with the multivisceral procedure. With all three operations, most of the patients were able to resume diet and discontinue parenteral alimentation, and in the best instances, the quality of life approached normal. However, the surveillance and intensity of care required for these patients for the first year, and in most instances thereafter, was very high, being far more than required for patients having transplants of the liver, kidney or heart. CONCLUSIONS: Although intestinal transplantation has gone through the feasibility phase, strategies will be required to increase its practicality. One possibility is to combine intestinal transplantation with contemporaneous autologous bone marrow transplantation

A Comparative Investigation on Petroleum Demulsification Techniques (Centrifuge and Green Chemicals Versus Conventional Chemicals)

The breaking (demulsification) of 50-50% w/o petroleum emulsions of two oils (A and B) by Green (chemical and centrifuge) methods were studied in comparison to conventional (chemical) method. The green methods consisted of silicon based chemical demulsifiers and high-speed centrifuge operated at 12,000 RPM, while the conventional method consisted of Amine group based demulsifiers. In chemical method, the concentrations were varied (0.5%, 1.5% and 3%), while in centrifuge method, the processing time was varied (10 and 30 minutes). The efficiency of these methods was determined by measuring the amount of water separated from the emulsion after being treated. The maximum separation efficiencies for Silicon demulsifiers were 93 and 88% for oils A and B respectively, and that of Amine group demulsifiers were 72 and 86% for oils A and B respectively, While centrifuge demulsification gave maximum separations of 39 and 24% for oils A and B respectively. Based on these results, Silicon based demulsifiers are very effective and reliable method to treat emulsions for different types of oils with different composition, and have the potential to be used as an alternative method in the demulsification or breaking of water-in-crude oil emulsions

The Potential of Ultrasonic Membrane Anaerobic Systems in Treating Slaughterhouse Wastewater

Direct discharge of slaughterhouse wastewater causes serious environmental pollution due to its high chemical oxygen demand (COD), total suspended solids and biochemical oxygen demand. In this study, an ultrasonic-assisted membrane anaerobic system was used as a novel method for treating slaughterhouse wastewater. Six steady states were achieved, using concentrations of 7,800–13,620 mg/l for mixed liquor suspended solids and 5,359–11,424 mg/l for mixed liquor volatile suspended solids. Kinetic equations were used to describe the kinetics of treatment at organic loading rates of 3–11 kg COD/m3/d. The removal efficiency of COD was 94.8–96.5% with hydraulic retention times of 308.6–8.7 days. The growth yield coefficient was found to be 0.52 g VSS/g. COD was 0.21 d−1 and methane gas production rate was 0.24–0.56 l/g COD/d. Steady-state influent COD concentrations increased from 8,000 mg/l in the first steady state to 25,400 mg/l in the sixth steady state. The minimum solids retention time, θcmin obtained from the three kinetic models was 6–14.4 days. The k values were 0.35–0.519 g COD/g VSS.d and μmax values were between 0.26 and 0.379 d−1. The solids retention time decreased from 600 to 14.3 days. The complete treatment reduced the COD content and its removal efficiency reached to 94.8%

Mechanism of Microwave Assisted Hydrodistillation Studied Through Heat Analysis

In this study, the efficiency of heating mechanism of microwave assisted hydrodistillation (MAHD) in the extraction of cinnamon bark oil was investigated. The optimum conditions used to analyse the heating performance were 8:1 ratio of water to cinnamon bark powder and fixed 250 W of irradiation power. The increasing temperature in the cinnamon bark matrix was dependent on the solvent, physical, dielectric and heating properties of the cinnamon matrix. Due to the high dielectric properties of water it accelerated the process of extraction. However, after the cinnamon matrix reached the boiling point, the density of solvent decreased which led to decrease in the dielectric properties. Volume rate of heat generation and penetration depth of microwave was also evaluated. The rate of volume heat generation reduced when the exposure time increase which is related to the reducing dielectric properties of cinnamon matrix. The penetration depth was calculated to support the data of dielectric properties. This study therefore produced an in depth justification necessary to understand the heating mechanism of MAHD in extraction of cinnamon bark essential oil

Screening for plant transporter function by expressing a normalized Arabidopsis full-length cDNA library in Xenopus oocytes

BACKGROUND: We have developed a functional genomics approach based on expression cloning in Xenopus oocytes to identify plant transporter function. We utilized the full-length cDNA databases to generate a normalized library consisting of 239 full-length Arabidopsis thaliana transporter cDNAs. The genes were arranged into a 96-well format and optimized for expression in Xenopus oocytes by cloning each coding sequence into a Xenopus expression vector. RESULTS: Injection of 96 in vitro transcribed cRNAs from the library in pools of columns and rows into oocytes and subsequent screening for glucose uptake activity identified three glucose transporters. One of these, AtSTP13, had not previously been experimentally characterized. CONCLUSION: Expression of the library in Xenopus oocytes, combined with uptake assays, has great potential in assignment of plant transporter function and for identifying membrane transporters for the many plant metabolites where a transporter has not yet been identified

Rejection of human intestinal allografts: Alone or in combination with the liver

The current results of the present series demonstrate that intestinal allografts are more vulnerable to rejection and continue to be at a significantly higher risk long after transplantation compared with isolated liver allograft recipients. Unexpectedly, a combined liver allograft does not protect small bowel from rejection. The necessarily continuous heavy immunosuppression for these unique recipients is potentially self-defeating. This is clearly demonstrated by their high susceptibility to early and late infectious complications after transplantation as reported in this issue. With the minimal graft-versus-host disease threat in this clinical trial, our revised protocol for future intestinal transplantation is to maximize the passenger leukocyte traffic with supplementary bone marrow from the same intestinal donor in an attempt to augment the development of systemic chimerism and the gradual induction of donor-specific nonreactivity

Chemical constituents and cockroach repellent activity of Sudanese Cyperus rotundus rhizomes essential oil

Cockroaches are among the most adaptive creatures to the environment; they dwell on the earth’s surface for the past millions of years. The presence of cockroaches is posing serious health issues in many countries of the world. Searching for an effective natural repellent agent has become a highly important attempt to control these insects. Hence, this study aimed to evaluate the chemical compositions of essential oil from Sudanese Cyperus rotundus rhizomes and determine their repellent activity against American cockroaches (Periplaneta americana). The obtained essential oil was radish yellow in color, the oil content was 0.73% and forty-four constituents were identified. The most major components were: Isolongifolol (7.63%), longiverbenone (5.61%), β-cadinene (5.54%), and longifolenaldehyde (5.16%). The oil was characterized by sesquiterpenes abundance 52.45% (oxygenated sesquiterpenes 30.72% and sesquiterpenes hydrocarbons 21.73%); whereas, monoterpenes comprised 8.43% (oxygenated monoterpenes 6.81%, and monoterpenes hydrocarbons 1.62%). The experiment showed that the essential oil possesses promising results as a repellent against P. americana. Therefore, conducting more research on isolation, identification of active compounds and extensive tests on other types of cockroaches are priorities in future studies