Use of continuous subcutaneous anesthetic infusion in cardiac surgical patients after median sternotomy

The use of opioid analgesics to control pain after median sternotomy in cardiac surgical patients is worldwide accepted and established. However, opioids have a wide range of possible side effects, concerning prolonged extubation time, gastrointestinal tract dyskinesia and urinary tract disorders mostly retention. All these may lead to a prolonged ICU stay or overall hospitalization time increase

The effect of physiologic hyperinsulinemia during an oral glucose tolerance test on the levels of dehydroepiandrosterone (DHEA) and its sulfate (DHEAS) in healthy young adults born with low and with normal birth weight

Several data support that adrenal hyperandrogenism affects women with low birth weight (LBW). We also found an association between serum dehydroepiandrosterone (DHEA) and fasting insulin levels. The aim of our study was to detect the acute effects of reactive hyperinsulinemia during oral glucose tolerance test (OGTT) on DHEA(S) levels in LBW men and women. Fifty three men and 47 women (of those, 37 men and 33 women were LBW) were enrolled. DHEA, DHEAS, and insulin levels were measured before and during OGTT. Cortisol was also measured. DHEA/cortisol ratio during OGTT was calculated to analyze the acute effect of hyperinsulinemia on DHEA levels. During OGTT, DHEA and cortisol levels decreased in each individual, independently of gender and birth weight. Serum DHEAS decreased to a minor (but significant) extent only in LBW women (p<0.05). The rate of DHEA/cortisol increased in both gender, independently of birth weight. The increase of the rate of DHEA/cortisol during OGTT was associated with maximal insulin response (r = 0.45, p<0.05) and with the insulin(AUC) (r = 0.48, p<0.05) in women. Our results suggest that reactive hyperinsulinemia during OGTT might activate the androgen pathway of adrenal cortex including DHEA production. Therefore acute hyperinsulinemia might counterbalance to some extent the diurnal decrease of DHEA during OGTT

Crops that feed the world 9. Oats- a cereal crop for human and livestock feed with industrial applications

Oats are a low input cereal widely grown across the world as both a grain and forage crop. Significant areas of production are in Northern Europe and North America and also in China and Australia. Although a traditional crop in many countries, in the last 50 years there has been a significant shift in oat production as a consequence of changing agricultural production and competition from other cereal crops. Oats are of significant economic importance for human consumption, for livestock feed and increasingly as a source of high value compounds with industrial applications as a consequence of the many unique properties of the oat grain. Traditional use in human diets in many countries has been boosted by the recent recognition of oats as a health food. This is attributed to the presence of β-glucan, the major endospermic cell wall polysaccharide. As a result, there has been an increase in the use of oats and a broadening of oat based products. Increasing knowledge of the composition of the oat grain and its value for the various end-users is leading to new opportunities for the crop. While the value of oats as a break crop in cereal based rotations is widely recognised, maintaining the profitability of the crop whilst meeting the needs of end users is essential for future production. Opportunities exist for plant breeders and agronomists to introduce new oat varieties with tailored agronomic approaches to address this challenge and to ensure the sustainability of oats for the future