Showing papers by "University of Seville published in 2006"

Power-Electronic Systems for the Grid Integration of Renewable Energy Sources: A Survey

Abstract: The use of distributed energy resources is increasingly being pursued as a supplement and an alternative to large conventional central power stations. The specification of a power-electronic interface is subject to requirements related not only to the renewable energy source itself but also to its effects on the power-system operation, especially where the intermittent energy source constitutes a significant part of the total system capacity. In this paper, new trends in power electronics for the integration of wind and photovoltaic (PV) power generators are presented. A review of the appropriate storage-system technology used for the integration of intermittent renewable energy sources is also introduced. Discussions about common and future trends in renewable energy systems based on reliability and maturity of each technology are presented

The Correlation Coefficient: An Overview

Abstract: Correlation and regression are different, but not mutually exclusive, techniques. Roughly, regression is used for prediction (which does not extrapolate beyond the data used in the analysis) whereas correlation is used to determine the degree of association. There situations in which the x variable is not fixed or readily chosen by the experimenter, but instead is a random covariate to the y variable. This paper shows the relationships between the coefficient of determination, the multiple correlation coefficient, the covariance, the correlation coefficient and the coefficient of alienation, for the case of two related variables x and y. It discusses the uses of the correlation coefficient r, either as a way to infer correlation, or to test linearity. A number of graphical examples are provided as well as examples of actual chemical applications. The paper recommends the use of z Fisher transformation instead of r values because r is not normally distributed but z is (at least in approximation). For eithe...

Co-authorship in management and organizational studies: an empirical and network analysis

Abstract: In recent decades there has been growing interest in the nature and scale of scientific collaboration. Studies into co-authorship have taken two different approaches. The first one attempts to analyse the reasons why authors collaborate and the consequences of such decision (Laband and Tollison, 2000). The second approach is based on the idea that co-authorship creates a social network of researchers (Barabasi et al., 2002; Moody, 2004; Newman, 2001). In this study we have carried out an exploratory analysis of co-authorships in the field of management from the two aforementioned approaches. The results obtained show a growing tendency of the co-authored papers in the field of management, similar to what can be observed in other disciplines. Our study analyses some of the underpinning factors, which have been highlighted in the literature, explaining this tendency. Thus, the progressive quantitative character of research and the influence of the collaboration on the articles' impact are enhanced. The network analysis permits the exploration of the peculiarities of the management in comparison with other fields of knowledge, as well as the existing linkages between the most central and prominent authors within this discipline.

The resource based theory: dissemination and main trends

Abstract: Papers published on the resource-based theory (RBT) have made clear its widespread application, heterogeneity, and usefulness as a strategic approach. This paper empirically analyzes the assumptions underlying the theory from an inductive perspective. The paper differs from previous works by identifying the main trends within the theory and by noting their diffusion among the leading management-oriented journals. Three main trends are shown to coexist within RBT: the resource-based view, the knowledge-based view, and the relational view. Copyright © 2006 John Wiley & Sons, Ltd.

A bedside scoring system (“Candida score”) for early antifungal treatment in nonneutropenic critically ill patients with Candida colonization*

Abstract: Objective:To obtain a score for deciding early antifungal treatment when candidal infection is suspected in nonneutropenic critically ill patients.Design:Analysis of data collected from the database of the EPCAN project, an ongoing prospective, cohort, observational, multicenter surveillance study o

Epigenetic Gene Regulation in the Bacterial World

Abstract: Like many eukaryotes, bacteria make widespread use of postreplicative DNA methylation for the epigenetic control of DNA-protein interactions. Unlike eukaryotes, however, bacteria use DNA adenine methylation (rather than DNA cytosine methylation) as an epigenetic signal. DNA adenine methylation plays roles in the virulence of diverse pathogens of humans and livestock animals, including pathogenic Escherichia coli, Salmonella, Vibrio, Yersinia, Haemophilus, and Brucella. In Alphaproteobacteria, methylation of adenine at GANTC sites by the CcrM methylase regulates the cell cycle and couples gene transcription to DNA replication. In Gammaproteobacteria, adenine methylation at GATC sites by the Dam methylase provides signals for DNA replication, chromosome segregation, mismatch repair, packaging of bacteriophage genomes, transposase activity, and regulation of gene expression. Transcriptional repression by Dam methylation appears to be more common than transcriptional activation. Certain promoters are active only during the hemimethylation interval that follows DNA replication; repression is restored when the newly synthesized DNA strand is methylated. In the E. coli genome, however, methylation of specific GATC sites can be blocked by cognate DNA binding proteins. Blockage of GATC methylation beyond cell division permits transmission of DNA methylation patterns to daughter cells and can give rise to distinct epigenetic states, each propagated by a positive feedback loop. Switching between alternative DNA methylation patterns can split clonal bacterial populations into epigenetic lineages in a manner reminiscent of eukaryotic cell differentiation. Inheritance of self-propagating DNA methylation patterns governs phase variation in the E. coli pap operon, the agn43 gene, and other loci encoding virulence-related cell surface functions.

Use of organic amendment as a strategy for saline soil remediation: Influence on the physical, chemical and biological properties of soil

Abstract: The effectiveness of adding two organic wastes (cotton gin crushed compost, CGCC, and poultry manure, PM) to a saline soil (Salorthidic Fluvaquent) in dryland conditions near Seville (Guadalquivir Valley, Andalusia, Spain) was studied during a period of 5 years. Organic wastes were applied at rates of 5 and 10 t organic matter ha −1 . One year after the assay began, spontaneous vegetation had appeared in the treated plots, particularly in that receiving a high PM dose. After 5 years the plant cover in this treated plot was around 80% (compared with the 8% of the control soil). The effect on the soils physical and chemical properties, soil microbial biomass, and six soil enzymatic activities (dehydrogenase, urease, protease, β-glucosidase, arylsulfatase, and phosphatase activities) were ascertained. Both added organic wastes had a positive effect on the physical, chemical and biological properties of the soil, although at the end of the experimental period, the soil physical properties, such as bulk density, increased more significantly in the CGCC-amended soils (23%) and the exchangeable sodium percentage (ESP) decreased more significantly in the CGCC-amended soils (50%) compared to the unamended soil. Water soluble carbohydrates and soil biochemical properties were higher in the PM-amended soils compared to the CGCC-amended soils (by 70% for water soluble carbohydrates, and by 34, 18, 37, 39, 40 and 30% for urease, protease, β-glucosidase, phosphatase, arylsulfatase and dehydrogenase activities, respectively). After 5 years, the percentage of plant cover was >50% in all treated plots and 8% in the control soil.

N6-methyl-adenine: an epigenetic signal for DNA-protein interactions.

Abstract: N(6)-methyl-adenine is found in the genomes of bacteria, archaea, protists and fungi. Most bacterial DNA adenine methyltransferases are part of restriction-modification systems. Certain groups of Proteobacteria also harbour solitary DNA adenine methyltransferases that provide signals for DNA-protein interactions. In gamma-proteobacteria, Dam methylation regulates chromosome replication, nucleoid segregation, DNA repair, transposition of insertion elements and transcription of specific genes. In Salmonella, Haemophilus, Yersinia and Vibrio species and in pathogenic Escherichia coli, Dam methylation is required for virulence. In alpha-proteobacteria, CcrM methylation regulates the cell cycle in Caulobacter, Rhizobium and Agrobacterium, and has a role in Brucella abortus infection.

Multiple origins of cultivated grapevine (Vitis vinifera L. ssp. sativa) based on chloroplast DNA polymorphisms.

Abstract: The domestication of the Eurasian grape (Vitis vinifera ssp. sativa) from its wild ancestor (Vitis vinifera ssp. sylvestris) has long been claimed to have occurred in Transcaucasia where its greatest genetic diversity is found and where very early archaeological evidence, including grape pips and artefacts of a 'wine culture', have been excavated. Whether from Transcaucasia or the nearby Taurus or Zagros Mountains, it is hypothesized that this wine culture spread southwards and eventually westwards around the Mediterranean basin, together with the transplantation of cultivated grape cuttings. However, the existence of morphological differentiation between cultivars from eastern and western ends of the modern distribution of the Eurasian grape suggests the existence of different genetic contribution from local sylvestris populations or multilocal selection and domestication of sylvestris genotypes. To tackle this issue, we analysed chlorotype variation and distribution in 1201 samples of sylvestris and sativa genotypes from the whole area of the species' distribution and studied their genetic relationships. The results suggest the existence of at least two important origins for the cultivated germplasm, one in the Near East and another in the western Mediterranean region, the latter of which gave rise to many of the current Western European cultivars. Indeed, over 70% of the Iberian Peninsula cultivars display chlorotypes that are only compatible with their having derived from western sylvestris populations.

Pullback attractors for asymptotically compact non-autonomous dynamical systems

Abstract: First, we introduce the concept of pullback asymptotically compact non-autonomous dynamical system as an extension of the similar concept in the autonomous framework. Our definition is different from that of asymptotic compactness already used in the theory of random and non-autonomous dynamical systems (as developed by Crauel, Flandoli, Kloeden, Schmalfuss, amongst others) which means the existence of a (random or time-dependent) family of compact attracting sets. Next, we prove a result ensuring the existence of a pullback attractor for a non-autonomous dynamical system under the general assumptions of pullback asymptotic compactness and the existence of a pullback absorbing family of sets. This attractor is minimal and, in most practical applications, it is unique. Finally, we illustrate the theory with a 2D Navier–Stokes model in an unbounded domain.

Chapter 2 Structures and Mineralogy of Clay Minerals

Abstract: Publisher Summary This chapter describes structures and mineralogy of clay minerals. Phyllosilicates considered in this chapter ideally contain a continuous tetrahedral sheet. Each tetrahedron consists of a cation, T, coordinated to four oxygen atoms and linked to adjacent tetrahedra by sharing three corners (the basal oxygen atoms, Ob) to form an infinite two-dimensional hexagonal mesh pattern along the a, b crystallographic directions. The free corners (the tetrahedral apical oxygen atoms, Oa) of all tetrahedra point to the same side of the sheet and connect the tetrahedral and octahedral sheets to form a common plane with octahedral anionic position Ooct. Ooct anions lie near to the center of each tetrahedral 6-fold ring, but are not shared with tetrahedra. The 1:1 layer structure consists of the repetition of one tetrahedral and one octahedral sheet, while in the 2:1 layer structure one octahedral sheet is sandwiched between two tetrahedral sheets. In the 1:1 layer structure, the unit cell includes six octahedral sites (i.e., four cis and two trans-oriented octahedral) and four tetrahedral sites. Six octahedral sites and eight tetrahedral sites characterize the 2:1 layer unit cell. Structures with all the six octahedral sites occupied are known as “trioctahedral.” If only four of the six octahedra are occupied, the structure is referred to as “dioctahedral.” The structural formula is often reported based on the half unit-cell content—that is, it is based on three octahedral sites.

A cooperative perception system for multiple UAVs: Application to automatic detection of forest fires

Abstract: This paper presents a cooperative perception system for multiple heterogeneous unmanned aerial vehicles (UAVs). It considers different kind of sensors: infrared and visual cameras and fire detectors. The system is based on a set of multipurpose low-level image-processing functions including segmentation, stabilization of sequences of images, and geo-referencing, and it also involves data fusion algorithms for cooperative perception. It has been tested in field experiments that pursued autonomous multi-UAV cooperative detection, monitoring, and measurement of forest fires. This paper presents the overall architecture of the perception system, describes some of the implemented cooperative perception techniques, and shows experimental results on automatic forest fire detection and localization with cooperating UAVs. © 2006 Wiley Periodicals, Inc.

Rice NTRC Is a High-Efficiency Redox System for Chloroplast Protection against Oxidative Damage

Abstract: One of the mechanisms plants have developed for chloroplast protection against oxidative damage involves a 2-Cys peroxiredoxin, which has been proposed to be reduced by ferredoxin and plastid thioredoxins, Trx x and CDSP32, the FTR/Trx pathway. We show that rice (Oryza sativa) chloroplast NADPH THIOREDOXIN REDUCTASE (NTRC), with a thioredoxin domain, uses NADPH to reduce the chloroplast 2-Cys peroxiredoxin BAS1, which then reduces hydrogen peroxide. The presence of both NTR and Trx-like domains in a single polypeptide is absolutely required for the high catalytic efficiency of NTRC. An Arabidopsis thaliana knockout mutant for NTRC shows irregular mesophyll cell shape, abnormal chloroplast structure, and unbalanced BAS1 redox state, resulting in impaired photosynthesis rate under low light. Constitutive expression of wild-type NTRC in mutant transgenic lines rescued this phenotype. Moreover, prolonged darkness followed by light/dark incubation produced an increase in hydrogen peroxide and lipid peroxidation in leaves and accelerated senescence of NTRC-deficient plants. We propose that NTRC constitutes an alternative system for chloroplast protection against oxidative damage, using NADPH as the source of reducing power. Since no light-driven reduced ferredoxin is produced at night, the NTRC-BAS1 pathway may be a key detoxification system during darkness, with NADPH produced by the oxidative pentose phosphate pathway as the source of reducing power.

Bacteremia Due to Extended-Spectrum β-Lactamase–Producing Escherichia coli in the CTX-M Era: A New Clinical Challenge

Abstract: Background Extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli, particularly those producing CTX-M types of ESBL, are emerging pathogens. Bacteremia caused by these organisms represents a clinical challenge, because the organisms are frequently resistant to the antimicrobials recommended for treatment of patients with suspected E. coli sepsis. Methods A cohort study was performed that included all episodes of bloodstream infection due to ESBL-producing E. coli during the period from January 2001 through March 2005. Data on predisposing factors, clinical presentation, and outcome were collected. ESBLs were characterized using isoelectric focusing, polymerase chain reaction, and sequencing. Results Forty-three episodes (8.8% of cases of bacteremia due to E. coli) were included; 70% of the isolates produced a CTX-M type of ESBL. The most frequent origins of infection were the urinary (46%) and biliary tracts (21%). Acquisition was nosocomial in 21 cases (49%), health care associated in 14 cases (32%), and strictly community acquired in 8 cases (19%). Thirty-eight percent and 25% of patients had obstructive diseases of the urinary and biliary tracts, respectively, and 38% had recently received antimicrobials. Nine patients (21%) died. Compared with beta-lactam/beta-lactamase-inhibitor and carbapenem-based regimens, empirical therapy with cephalosporins or fluoroquinolones was associated with a higher mortality rate (9% vs. 35%; P=.05) and needed to be changed more frequently (24% vs. 78%; P=.001). Conclusions ESBL-producing E. coli is a significant cause of bloodstream infection in hospitalized and nonhospitalized patients in the context of the emergence of CTX-M enzymes. Empirical treatment of sepsis potentially caused by E. coli may need to be reconsidered in areas where such ESBL-producing isolates are present.

The effects of resveratrol, a phytoalexin derived from red wines, on chronic inflammation induced in an experimentally induced colitis model

Abstract: Neutrophil infiltration, proinflammatory cytokines, eicosanoid generation and oxidative stress have been implicated in colitis. Resveratrol is a polyphenolic compound found in grapes and wine, with multiple pharmacological actions, including anti-inflammatory, antioxidant, antitumour and immunomodulatory activities. In a previous report, we documented that resveratrol decreases the degree of inflammation associated with acute experimental colonic inflammation, but its effects on chronic experimental colitis remain undetermined. The aim of this research was to investigate the effects of resveratrol on the chronic colonic injury caused by intracolonic instillation of trinitrobenzenesulphonic acid (TNBS) in rats. The inflammatory response was assessed by histology and myeloperoxidase activity. Tumour necrosis factor alpha (TNF-alpha) production, histological and histochemical analysis of the lesions were also carried out. We determined the production of prostaglandin (PG) E2 and D2 in colon mucosa, as well as cyclooxygenase (COX)-1 and -2 and nuclear transcription factor NF-kappa B (NF-kappaB) p65 protein expression. Finally, since resveratrol has been found to modulate apoptosis, we intended to elucidate its effects on colonic mucosa under chronic inflammatory conditions. Resveratrol (10 mg kg(-1) day(-1)) significantly attenuated the damage score and corrected the disturbances in morphology associated to injury. In addition, the degree of neutrophil infiltration and the levels of TNF-alpha were significantly ameliorated. Resveratrol did not modify PGD2 levels but returned the decreased PGE2 values to basal levels and also reduced COX-2 and the NF-kappaB p65 protein expression. Furthermore, treatment of rats with resveratrol caused a significant increase of TNBS-induced apoptosis in colonic cells. In conclusion, resveratrol reduces the damage in chronic experimentally induced colitis, alleviates the oxidative events, returns PGE2 production to basal levels and stimulates apoptosis in colonic cells.

Summary of recommendations of nomenclature committees relevant to clay mineralogy: report of the association internationale pour l’etude des argiles (aipea) nomenclature committee for 2006

Abstract: Brindley et al. (1951) reported the earliest efforts to obtain international collaboration on nomenclature and classification of clay minerals, initiated at the International Soil Congress in Amsterdam in 1950. Since then, national clay groups were formed, and they proposed various changes in nomenclature at group meetings of the International Clay Conferences. Most of the national clay groups have representation on the Nomenclature Committee of the Association Internationale pour l’Etude des Argiles (AIPEA, International Association for the Study of Clays), which was established in 1966. The precursor committee to the AIPEA Nomenclature Committee was the Nomenclature Subcommittee of the Comite International pour l’Etude des Argiles (CIPEA, International Committee for the Study of Clays). The AIPEA Nomenclature Committee has worked closely with other international groups, including the Commission on New Minerals and Mineral Names (CNMMN) of the International Mineralogical Association (IMA), which is responsible for the formal recognition of new minerals and mineral names, and the International Union of Crystallography (IUCr), which considered extensions to the nomenclature of disordered, modulated and polytype structures (Guinier et al. , 1984) published earlier by a joint committee with the IMA (Bailey, 1977). In contrast to the other national clay groups, however, The Clay Minerals Society (CMS) Nomenclature Committee, which was established in 1963 at the same time as the CMS and predates the AIPEA Nomenclature Committee, remains in existence and occasionally produces recommendations. The precursor to this committee was the Nomenclature SubCommittee, which was organized in 1961 by the (US) National Research Council. The Chair of the AIPEA Nomenclature Committee is a standing member of the CMS Nomenclature Committee so that the committees are in close contact. The purpose of the AIPEA Nomenclature Committee has been to make general and specific recommendations concerning: (1) definitions of mineralogical and crystallographic clay-related terms; (2) classification and terminology …

Contemporary maintenance management: process, framework and supporting pillars

Abstract: This paper presents a holistic framework for managing the maintenance function heretofore inundated by myriad tools, trappings, practices, and prescriptions. It begins by reviewing the concepts, state-of-art processes and standards available to help maintain today’s complex systems. It then proposes a framework in which to couch the various maintenance functions in an organization. In doing so, this paper characterizes factors that breed complexity in maintaining today’s operations. Next, it closely analyzes the strategic, tactical and operational aspects ofmaintenance and sets up a structure to help complete the tasks at each ofthese levels. The term “process” in this paper implies actions directly associated with maintenance, while “framework” embodies the supporting infrastructure. The results are clear statements of(1) the f required of enablers such as IT to abet maintenance; (2) the distinctive capabilities extended by modern maintenance engineering; and (3) the critical requirement of relationship competencies in maintenance. This work sums up decades spent in maintenance shops, engineering, standardization, and research in maintenance management. 2004 Elsevier Ltd. All rights reserved.

Application of two organic amendments on soil restoration: effects on the soil biological properties.

Abstract: One method for recovering degraded soils in semiarid regions is to add organic matter to improve soil characteristics, thereby enhancing biogeochemical nutrient cycling. In this paper, we studied the changes in soil biological properties as a result of adding a crushed cotton gin compost (CCGC) and a poultry manure (PM) for 4 yr to restore a Xerollic Calciorthid located near Seville (Guadalquivir Valley, Andalusia, Spain). Organic wastes were applied at rates of 5, 7.5, and 10 Mg organic matter ha(-1). One year after the assay began, spontaneous vegetation had appeared in the treated plots, particularly in that receiving a high PM and CCGC dose. After 4 yr, the plant cover in these treated plots was around 88 and 79%, respectively, compared with 5% for the control. The effects on soil microbial biomass and six soil enzymatic activities (dehydrogenase, urease, BBA-protease, beta-glucosidase, arylsulfatase, and alkaline phosphatase activities) were ascertained. Both added organic wastes had a positive effect on the biological properties of the soil, although at the end of the experimental period and at high dosage, soil microbial biomass and soil enzyme activities were generally higher in the PM-amended soils compared to the CCGC-amended soils. Enzyme activity from the PM-amended soil was 5, 15, 13, 19, 22, 30, and 6% greater than CCGC-amended soil for soil microbial biomass, urease, BBA-protease, beta-glucosidase, alkaline phosphatase, arylsulfatase, and dehydrogenase activities, respectively. After 4 yr, the percentage of plant cover was > 48% in all treated plots and 5% in the control.

Exploring the influence of gender on the web usage via partial least squares

Abstract: A growing body of research related to the role of gender in human interactions with information technology has emerged in recent years. In this paper we analyse the web acceptance and usage between males and females, incorporating intrinsic human factors. Partial least-squares (PLS), a second-generation multivariate analysis technique, was used to estimate the parameters of the proposed models. First, the scale psychometric characteristics were tested (validity and reliability). Second, the structural model was tested. The empirical results provided strong support for the hypotheses, demonstrating how males and females differ in their ‘web acceptance and usage’ processes; and highlighting the roles of flow, ease of use and usefulness in determining the actual use of the web between males and females.

Frutos tropicais silvestres e polpas de frutas congeladas: atividade antioxidante, polifenóis e antocianinas

Abstract: The tropical fruit juices are gaining ever greater space in the consumer market, and Brazil is one of the main producer countries in this market. There is a great diversity of products derived from fruits and new products for consumption are launched constantly, often without the necessary research into their active properties and beneficial activities to health. The objective of this work was to determine some properties of in natura wild tropical fruit and commercialized frozen fruit pulps. Considered as a method of great applicability, 2.2-difenyL-1-picrylhydrazyl radical (DPPH·) was used to determine the antioxidant activity; the Folin-Ciocalteu method was used to determine the total polyphenol concentration and the pH difference was used for anthocyanins. The fruit pulps of greater market consumption in Southern Brazil under analysis were mulberry, grapes, acai, guava, strawberry, acerola, pineapple, mango, graviola, cupuacu and passion fruit, and the wild fruits were jambolao and baguacu. When represented in TEAC (Trolox equivalent antioxidant activity), the global antioxidant activity of the frozen fruit pulps oscillated between minimal and maximal TEAC values of 0.5 and 53.2mmol g-1, or between 64.8 and 1198.9mg100 g-1 for VCEAC (vitamin C equivalent antioxidant activity) values. For the in natura fruit pulp extracts, TEAC oscillated between 13.3 and 111.2mmol g-1, and between 42.8 and 2533.1mg100g-1 for VCEAC. The descending order of antioxidant capacity was acerola> mango> strawberry> grapes> acai> guava> mulberry> graviola> passion fruit> cupuacu> pineapple. Among the wild fruits, baguacu presents a greater antioxidant activity than jambolao.

Twenty-Four-Hour Esophageal Impedance-pH Monitoring in Healthy Preterm Neonates: Rate and Characteristics of Acid, Weakly Acidic, and Weakly Alkaline Gastroesophageal Reflux

Abstract: OBJECTIVE. Gastroesophageal reflux is a physiologic process and is considered pathologic (gastroesophageal reflux disease) when it causes symptoms or results in complications. It is common in preterm infants and occurs in healthy neonates. Twenty-four-hour pH monitoring commonly is used in children for diagnosis of gastroesophageal reflux disease, and abnormal reflux is considered with detection of increased esophageal acid exposure. However, in neonates, relatively few gastroesophageal reflux episodes cause esophageal acidification to pH 4 for prolonged periods, and reflux of gastric contents might be less acidic or even alkaline. Esophageal impedance monitoring can detect weakly acidic and even alkaline gastroesophageal reflux. The role of weakly acidic reflux in the pathophysiology of gastroesophageal reflux disease in preterm infants is not clear. To date, studies that have used impedance-pH in neonates assessed the association between nonacid reflux and cardiorespiratory symptoms, but no impedance data from healthy preterm neonates have been available to determine whether those symptomatic neonates had an increased number of weakly acidic reflux episodes or increased reactivity to a physiologic number of reflux events. Our aim with this study was to provide impedance-pH values for acid, weakly acidic, and weakly alkaline reflux from healthy preterm neonates. METHODS. Esophageal impedance was recorded for 24 hours in 21 asymptomatic preterm neonates by replacing the conventional feeding tube with a specially designed feeding tube that included 9 impedance electrodes (8 French). All neonates were asymptomatic, with spontaneous breathing. Reflux monitoring was performed after comprehensive explanation and on receipt of written parental consent. Esophageal and gastric pH were monitored using a separate parallel pediatric catheter (6 French). According to the corresponding pH change, impedance-detected reflux was classified as acid, weakly acidic, and weakly alkaline. For each infant, the total number of reflux events, the acid exposure and bolus exposure times at 2 cm above the respiratory inversion point, and average proximal extent of reflux were calculated. RESULTS. Twenty-six preterm neonates were recruited into this study. A preliminary analysis was performed, and tracings were classified according to their quality and the presence of technical artifacts (spontaneous pH and impedance drifts, esophageal probe migration, and dysfunction of 1 or more impedance channels). Five studies were excluded because of 1 or more technical artifacts; a total of 21 neonates represent the final cohort included. At birth, the infants had a median postmenstrual age of 32 weeks, and the measurements were performed at a median age of 12 days. The total recording time was 23.7 ± 2 hours. Gastric pH was higher than 4 during 69.3 ± 20.4% of the recording time. The median number of reflux events in 24 hours was 71, 25.4% (range: 0%–53.1%) of which were acid, 72.9% (range: 45.3%–98.0%) were weakly acidic, and 0% (range: 0%–8.1%) were weakly alkaline. Compared with fasting periods, feeding periods tended to be associated with a higher number of total reflux events per hour. The acidity of reflux, however, was significantly different: during fasting, the number of acid reflux episodes per hour was higher, whereas during feeding, the number of weakly acidic reflux episodes was increased. Most reflux events were only liquid, whereas gas was present either mixed with liquid or pure only in 7.7% of all reflux episodes detected. The proximal esophageal segments were reached in 90% of reflux episodes. Reflux-related acid exposure (pH drops associated with impedance-detected reflux) was 1.66% (range: 0%–6.43%), whereas total acid exposure (associated and not associated with reflux detected by impedance) was 5.59% (range: 0.04%–20.69%). There was no relationship between the number or acidity of reflux events and anthropometric parameters such as weight and gestational age. CONCLUSIONS. We present the first study using 24-hour impedance-pH recordings in asymptomatic premature neonates. Previous studies that used pH-metry suggested that neonatal cardiorespiratory symptoms could be related to acid gastroesophageal reflux. However, pH-metry could not detect accurately weakly acidic or nonacid reflux. Our healthy premature neonates had ∼70 reflux events in 24 hours, 25% of which were acid, 73% were weakly acidic, and 2% were weakly alkaline. The number of reflux events per hour (2–3 per hour) was slightly lower than that described in premature neonates with cardiorespiratory events (4 per hour). We confirmed that weakly acidic reflux is more prevalent than acid reflux, particularly so during the feeding periods. In contrast, similar to healthy adults, weakly alkaline reflux was very rare. We confirmed findings from previous studies in which most reflux events were pure liquid during both fasting and during postprandial periods and gas reflux was very rare. As in neonates with cardiorespiratory symptoms, the majority of reflux events in asymptomatic preterms reached the proximal esophagus or pharynx, and there were no differences between acid and weakly acidic reflux. The lack of differences between asymptomatic and diseased infants contravenes the hypothesis for macro- or microaspiration but does not exclude hypersensitivity to reflux as a cause for respiratory symptoms. The acid exposure that was related to reflux events and detected by impedance was significantly lower than the total acid exposure during 24 hours. Increased acid exposure could be attributable to pH-only reflux events or, less frequently, to slow drifts of pH from baselines at ∼5 to values

The modulatory role of melatonin on immune responsiveness.

Abstract: Afterhe successful discovery of the melatonin molecule by Aaron B Lerner et al at Yale University in 1958, melatonin and the pineal gland, a tiny endocrine gland situated at the center of the human brain, have primarily been considered in terms of their effects on the endocrine and reproductive systems. During the last decade, a substantial body of research has defined melatonin as a remarkable molecule with pleiotropic effects on the immune system. Moreover, its synthesis cannot be considered as exclusively endocrine; key immunocompetent cells have the functional enzymatic machinery for melatonin synthesis, paving the wayfo r complex intracrine, autocrine and paracrine regulatory loops. The immunomodulatory role of melatonin, with regard to infection, inflammation and autoimmunity, is outlined here, and the evidence discussed in this review strengthens the notion that the nature of an immune response may be modified, and therefore therapeutically manipulated, by circadian effector signals.