Piperacillin/tazobactam‐induced neurotoxicity in a hemodialysis patient: A case report

Antibiotics are potentially a cause of neurotoxicity in dialysis patients, the most common are the beta‐lactams as ceftazidime and cefepime, and few cases have been reported after piperacillin/tazobactam use. This report presents a case of a hypertensive and diabetic 67‐year‐old woman in regular hemodialysis, which previously had a stroke. She was hospitalized presenting pneumonia, which was initially treated with cefepime. Two days after treatment, she presented dysarthria, left hemiparesis, ataxia, and IX and X cranial nerves paresis. Computed tomography showed no acute lesions and cefepime neurotoxicity was hypothesized, and the antibiotic was replaced by piperacillin/tazobactam. The neurologic signs disappeared; however, 4 days after with piperacillin/tazobactam treatment, the neurological manifestations returned. A new computed tomography showed no new lesions, and the second antibiotic regimen withdrawn. After two hemodialysis sessions, the patient completely recovered from neurological manifestations. The patient presented sequentially neurotoxicity caused by two beta‐lactams antibiotics. This report meant to alert clinicians that these antibiotics have dangerous neurological effects in chronic kidney disease patients.     

Poloidal Magnetic Field Measurements in a Reversed Field Pinch Plasma by a Far‐Infrared Polarimeter

A multichannel far‐infrared (FIR) polarimeter has been installed in RFX, a Reversed Field Pinch (RFP) plasma experiment, to measure the poloidal magnetic field profile. The polarimeter uses a CH₃OH FIR laser operating at λ=118.8 μm. Faraday rotation measurements on five of six parallel diagnostic chords are used in preliminary investigations of poloidal field profiles. The experimental results are generally found in good agreement with the μ&p model predictions. The choice of the profile of μ = μ₀j·B/B² is discussed. For the reconstruction of the magnetic field profiles a numerical filamentary current equilibrium code is described, where polarimetric data are included as constraints. An alternative method based on the best‐fit of a three‐parameter μ profile to the polarimetric data is also reported. Both methods provide reliable reconstructions of the plasma magnetic field and the results indicate the existence in RFX of hollow μ profiles.     

Effect of thermo-pressing temperature on the functional properties of bioplastics made from a renewable wheat gliadin resin

In this work a new methodology based on thermo-pressing a resin made from gliadins and glycerol has been developed to obtain water resistant films. The effect of processing temperature was studied on the functional properties of the films. The results of SDS-PAGE analysis of the molecular weight profiles of the resulting films were indicative of disulfide/sulfhydryl interchange reactions giving rise to the formation of intermolecular disulfide bonds between the gliadin units. These reactions augmented the degree of cross-linking of the matrix, which increased with thermo-pressing temperature, as evidenced by the residual reaction enthalpy values determined by MDSC as well as by cross-linking density values determined from tensile tests. In consequence the films produced at high temperature had better water resistance upon immersion, greater maximum tensile strength and Young's modulus values, and lower water vapor and oxygen permeabilities compared with cast films. Based on the analytical test results, thermo-pressing the resin in successive time/force steps along with a temperature of 130 °C produced gliadin films with improved properties.     

Acute renal failure in renal allograft recipients and patients with native kidneys

Techniques for the separation/concentration of micro-organisms from background food matrices can be applied to increase the speed of analysis and ease of isolation and detection of target micro-organisms. One recent example of such a technique is the immunomagnetic separation (IMS) procedure that has been used for the separation of specific micro-organisms from foods. This paper describes the use of a novel biosorbent consisting of a Salmonella-specific bacteriophage (phage) immobilized to a solid phase that was used for the separation and concentration of Salmonella from food materials. This work has shown that a Salmonella-specific phage-based biosorbent could remove Salmonella from culture fluid and separate Salmonella from suspensions of other Enterobacteriaceae. The ease of production of phage, high affinity of phage-cell interaction and the ability of phage to infect host cells in heterogeneous environments indicates the potential of such a biosorbent as the basis for a reliable separation system in food microbiological analysis.     

A combination of corticosteroid,sirolimus, and intradialytic parenteral nutrition in encapsulating peritoneal sclerosis: Case report and literature review

Encapsulating peritoneal sclerosis (EPS) is a rare complication of peritoneal dialysis that carries a high morbidity and mortality. Although its pathogenesis is still not clear, the “two hit theory” suggests that long term deterioration of the peritoneum combined with intraperitoneal inflammation is needed in the pathogenesis of EPS. To date, there is no proven effective therapy with an absence of randomized controlled trials. Individual case reports and small case series have reported on the use of tamoxifen and corticosteroids for medical management of EPS. Here, we present the first case of EPS treated successfully with a combination of sirolimus, low dose corticosteroid and intradialytic parenteral nutrition. A critical review of the relevant literature on this subject is also presented to determine the best approach.     

Describing and modeling the release of an antimicrobial agent from an active PP/EVOH/PP package for salmon

Natural antimicrobial active packaging is an emerging technology for fresh fish preservation in which a chemical compound of natural origin is purposely incorporated into a packaging material to be released into the food surface in order to protect it from spoilage by foodborne microorganisms. The maximum efficiency of an antimicrobial package can only be obtained when an adequate activity is achieved immediately after the packaging operation and is maintained constant throughout the product’s shelf life. This work develops an active package designed for the preservation of fresh farmed salmon in cubes or slices, made up of a rigid polypropylene (PP)/ethylene–vinyl alcohol copolymer (EVOH)/PP tray heat-sealed with an active PP/EVOH/PP film lid in which 6.5% carvacrol is incorporated in the EVOH kernel as an antimicrobial active agent. The work also includes the measurement of the carvacrol kinetics and equilibrium parameters in the preserved salmon fillets, and proposes a mathematical model based on the finite element method to describe and simulate the common performance of the developed package/food system, and to predict its behavior under different working conditions or system configurations with the objective of finding the optimum combination of variables that ensure the best packaging performance. The results obtained from the determination of parameters showed a rapid migration of the active compound through the fish muscle, and a low affinity of the agent molecules for the food matrix. The active package was successfully developed, and the proposed model was satisfactorily used to detect the key factors that govern the package performance, and also to improve the package design by modifying the thickness distribution of the multilayer active film.     

Role of dense shelf water cascading in the transfer of organochlorine compounds to open marine waters

Settling particles were collected by an array of sediment trap moorings deployed along the Cap de Creus (CCC) and Lacaze-Duthiers (LDC) submarine canyons and on the adjacent southern open slope (SOS) between October 2005 and October 2006. This array collected particles during common settling processes and particles transferred to deep waters by dense shelf water cascading (DSWC). Polychlorobiphenyls (PCBs), dichlorodiphenyltrichloroethane and its metabolites (DDTs), chlorobenzenes (CBzs)--pentachlorobenzene and hexachlorobenzene--and hexachlorocyclohexanes were analyzed in all samples. The results show much higher settling fluxes of these compounds during DSWC than during common sedimentation processes. The area of highest deposition was located between 1000 and 1500 m depth and extended along the canyons and outside them showing their channelling effects but also overflows of dense shelf water from these canyons. Higher fluxes were observed near the bottom (30 m above bottom; mab) than at intermediate waters (500 mab) which is consistent with the formation and sinking of dense water close to the continental shelf and main displacement through the slope by the bottom. DSWC involved the highest settling fluxes of these compounds ever described in marine continental slopes and pelagic areas, e.g., peak values of PCBs (960 ng · m(-2) · d(-1)), DDTs (2900 ng · m(-2) · d(-1)), CBzs (340 ng · m(-2) · d(-1)) and lindane (180 ng · m(-2) · d(-1)).     

Characterization of a Torulaspora delbrueckii diploid strain with optimized performance in sweet and frozen sweet dough

Torulaspora delbrueckii is a baker's yeast that is highly tolerant to freeze-thaw stress, making it suitable for frozen dough technology. The T. delbrueckii strain PYCC5321, isolated from traditional bread dough, combines this tolerance with a high degree of ionic and osmotic stress resistance. However, the industrial use of this strain for frozen and sweet frozen baking is hampered by its small cell size, which causes clogging problems at the filtering stage. Here, we report the construction of a stable diploid strain of T. delbrueckii PYCC5321, which we named Td21-2n. The new strain was more than 2.7-fold bigger than their haploid counterpart, whereas biomass yield, stress resistance and sweet dough leavening ability were found to be similar in both strains. Moreover, the gassing power of the diploid after dough freezing also remained unaltered. Thus, Td21-2n meets the requirements necessary for industrial production and is suitable for application in frozen sweet baking products.     

Natural Antimicrobial – Containing EVOH Coatings on PP and PET Films: Functional and Active Property Characterization

Natural antimicrobials are currently being tested by many researchers for active packaging applications as a response to consumer demands for safer food products. In previous work, several packaging materials consisting of ethylene vinyl alcohol (EVOH)‐coated polypropylene (PP) films containing essential oils or their constituents as active agents were successfully developed and tested for antimicrobial activity. In this work, selected films from those materials, namely EVOH coatings with carvacrol, citral, marjoram essential oil, or cinnamon bark essential oil, on PP and polyethylene terephthalate (PET) substrates, were subjected to diverse physicochemical analyses in order to assess their suitability for food packaging applications. Concretely, the investigated properties were the stability of EVOH coatings on PP and PET substrates, the retainability of EVOH matrices for active compounds, the mechanical, optical, surface and barrier properties of the final active films and the effects of a matrix modification based on the addition of bentonite nanoclay on the performance of PP/EVOH active packages studied in actual working conditions. Results showed that the application of corona discharge followed by a polyethyleneimine‐based primer was the best anchorage treatment available to stabilize EVOH coatings on PP and PET substrates. Furthermore, they demonstrated that the retention of active agents into EVOH matrices ranged from low to moderate, depending on the embedded substance, and that their presence into an EVOH coating in the final multilayer films did not noticeably affect their mechanical, optical or barrier properties, although it considerably improved their wettability. They also indicated that the inclusion of bentonite nanoparticles into their carrier layers substantially enhanced the performance of the final packages, while maintaining or slightly improving their other physical properties. Hence, as a conclusion, all the assayed multilayer films were considered perfectly valid for food packaging applications, and the incorporation of bentonite nanoclay to their carrier layers was also highly recommended. Copyright © 2014 John Wiley & Sons, Ltd.