Outcomes in liver transplantation: does sex matter?

A growing literature has highlighted important differences in transplant-related outcomes between men and women. In the United States there are fewer women than men on the liver transplant waitlist and women are two times less likely to receive a deceased or living-related liver transplant. Sex-based differences exist not only in waitlist but also in post-transplant outcomes, particularly in some specific liver diseases, such as hepatitis C. In the era of individualized medicine, recognition of these differences in the approach to pre and post-liver transplant care may impact short and long-term outcomes

Fast neutron star cooling in light of the PREX-2 experiment

The nuclear symmetry energy and its behaviour with density has been recently evaluated with enhanced value by PREX-2 experiment. This new values enables direct Urca neutrino emission process to be functioning in the dense matter inside neutron stars. With this new outlook we study the cooling rate of canonical mass neutron stars and compare with available observational cooling data. We find most of the isolated neutron star thermal profile is compatible with the cooling of canonical mass star including superfluidity suppression.Comment: 8 pages, 5 figures. Accepted for publication in Phys. Rev.

Chemical characteristics and source apportionment of aerosols over Indian Ocean during INDOEX-1999

During INDOEX IFP-99, the samples of aerosols were collected onboard ORV Sagar Kanya over Indian Ocean along the cruise track, for chemical characterization and identification of dominating sources of aerosols. The concentrations of nss-SO4, nss-Ca, nss-Mg, NO3, K, NH4 and SO2 were observed to be significantly higher before ITCZ in northern hemisphere than across ITCZ in southern hemisphere. In this study, variation of concentrations of nss-SO4, nss-Ca and nss-K with respect to change in latitude, wind direction, wind speed and relative humidity have been highlighted. North of ITCZ, nss-SO4 varied from 2.20 to 18.31 μg/m3 and south of ITCZ from 0.50 to 2.79 μg/m3 while nss-Ca varied from 0.02 to 0.72 μg/m3 north of ITCZ and from 0.01 to 0.14 μg/m3 south of ITCZ. nss-K ranged 0.09-1.43 μg/m3 and 0.07-0.60 μg/m3 before ITCZ and across ITCZ respectively. nss-Ca and nss-SO4 were contributed mainly by NNW and ENE winds while nss-K was observed to be contributed mainly by SSW and ENE winds. Wind speed greater than 4.5 m/s negatively influenced the concentration of nss-Ca concentrations. Correlation coefficients of nss-SO4 with SO2 (r = 0.7) and RH (r = 0.5) suggested a significant contribution of nss-SO4 by aqueous phase oxidation of SO2. Using PCA, four major sources namely sea salt, biogenic combustion, secondary SO4 and crustal contribution were identified over Indian Ocean during INDOEX period

Measurements of carbonaceous aerosols at urban and remote marine sites

Concentrations of total carbon (TC) and black carbon (BC) in ambient air at Delhi (urban site) and over Indian Ocean (remote marine) were determined as a part of INDOEX programme. Over Indian Ocean, the TC and BC concentrations varied from 1.81 to 10.05 μg/m3 and 0.13 to 1.36 μg/m3 respectively during FFP-98. During the same season at Delhi, the TC and BC ranged from 7.50 to 40.27 μg/m3 and 0.49 to 2.84 μg/m3 respectively. In addition, at Delhi, the TC and BC concentrations were noticed very low during the monsoon season. However, the percentage BC during monsoon season was very high compared to winter season. High concentrations of TC were observed due to high organic carbon (OC) which might be due to biomass burning of various kinds. Similar to Delhi, near Indian coast, the concentration of OC was very high while towards ITCZ and across ITCZ, OC content was relatively lower

PREVALENCE OF ANTI-HCV, HBSAG, HIV AMONG MULTI-TRANSFUSED THALASSEMIC INDIVIDUALS AND THEIR SOCIO-ECONOMIC BACKGROUND IN EASTERN INDIA

Objective: The objective was to study the serological prevalence of post-transfusion transmitted infections such as hepatitis C virus (HCV), hepatitisB virus (HBV), and HIV among multi-transfused thalassemic individuals of the Eastern India and the socio and financial difficulties faced by them.Methods: The study was carried out from January 2012 until December 2014 involving 1711 thalassemic major individuals. Blood serum wascollected from each patient to perform ELISA for the detection of HBV and HCV seroprevalence. HIV seropositivity along with their hematological andliver function parameters were obtained from the transfusion centers and the host institutions. Other socio-economic conditions were obtained bypredesigned proforma of the questionnaire.Results: 67.9% males and 32.1% females were present in our study population of which 75% were from rural area. The mean hemoglobin was foundto be lower, whereas mean ferritin, bilirubin, and liver enzymes were much higher than the normal range. Only a handful of 19.76% of the fathers ofthalassemic individuals had secondary education. 263 families (15.37%) were familiar with the chances of transfusion-transmitted infections (TTIs).The dominant TTI found within the population was HCV with 18.70% prevalence followed by HIV (3.74%) and HBV (3.33%). 82.93% of the affectedfamilies suffered poverty with a meager monthly income within Rs. 5000 fighting against high costs of transfusion and related treatments.Conclusion: Our study reflects the different socio-economic and psychological burdens faced by the thalassemia patients and their families. The highrate of TTIs highlights the need for stringent screening of blood or blood products before administration.Keywords: Thalassemia, Socio-economic, Transfusion-transmitted infections, Hepatitis C virus, Hepatitis B virus, HIV

Influenza A Virus Induces an Immediate Cytotoxic Activity in All Major Subsets of Peripheral Blood Mononuclear Cells

A replication defective influenza A vaccine virus (delNS1 virus) was developed. Its attenuation is due to potent stimulation of the innate immune system by the virus. Since the innate immune system can also target cancer cells, we reasoned that delNS1 virus induced immune-stimulation should also lead to the induction of innate cytotoxic effects towards cancer cells.Peripheral blood mononuclear cells (PBMCs), isolated CD56+, CD3+, CD14+ and CD19+ subsets and different combinations of the above subsets were stimulated by delNS1, wild type (wt) virus or heat inactivated virus and co-cultured with tumor cell lines in the presence or absence of antibodies against the interferon system. Stimulation of PBMCs by the delNS1 virus effectively induced cytotoxicity against different cancer cell lines. Surprisingly, virus induced cytotoxicity was exerted by all major subtypes of PBMCs including CD56+, CD3+, CD14+ and CD19+ cells. Virus induced cytotoxicity in CD3+, CD14+ and CD19+ cells was dependent on virus replication, whereas virus induced cytotoxicity in CD56+ cells was only dependent on the binding of the virus. Virus induced cytotoxicity of isolated cell cultures of CD14+, CD19+ or CD56+ cells could be partially blocked by antibodies against type I and type II (IFN) interferon. In contrast, virus induced cytotoxicity in the complete PBMC preparation could not be inhibited by blocking type I or type II IFN, indicating a redundant system of activation in whole blood.Our data suggest that apart from their well known specialized functions all main subsets of peripheral blood cells also initially exert a cytotoxic effect upon virus stimulation. This closely links the innate immune system to the adaptive immune response and renders delNS1 virus a potential therapeutic tool for viro-immunotherapy of cancer

Non-linear effects of transcranial direct current stimulation as a function of individual baseline performance:Evidence from biparietal tDCS influence on lateralized attention bias

Transcranial direct current stimulation (tDCS) is a well-established technique for non-invasive brain stimulation (NIBS). However, the technique suffers from a high variability in outcome, some of which is likely explained by the state of the brain at tDCS-delivery but for which explanatory, mechanistic models are lacking. Here, we tested the effects of bi-parietal tDCS on perceptual line bisection as a function of tDCS current strength (1 mA vs 2 mA) and individual baseline discrimination sensitivity (a measure associated with intrinsic uncertainty/signal-to-noise balance). Our main findings were threefold. We replicated a previous finding (Giglia et al., 2011) of a rightward shift in subjective midpoint after Left anode/Right cathode tDCS over parietal cortex (sham-controlled). We found this effect to be weak over our entire sample (n = 38), but to be substantial in a subset of participants when they were split according to tDCS-intensity and baseline performance. This was due to a complex, nonlinear interaction between these two factors. Our data lend further support to the notion of state-dependency in NIBS which suggests outcome to depend on the endogenous balance between task-informative ‘signal’ and task-uninformative ‘noise’ at baseline. The results highlight the strong influence of individual differences and variations in experimental parameters on tDCS outcome, and the importance of fostering knowledge on the factors influencing tDCS outcome across cognitive domains