High Sodium Levels Research Articles

Nutrition and Training Recommendations for Transgender and Gender-Diverse Athletes Involved in Strength Sports and Resistance Training: A Case Series of Nine Athletes Assigned Female at Birth.

Transgender and gender diverse (TGGD) athletes have distinct nutrition and training considerations. Guidance for nutrition and sport professionals working with TGGD athletes is lacking, especially when addressing sex-specific data. The purpose of this case series was to depict nutrition and training assessment approaches and recommendations for TGGD athletes involved in strength sports or resistance training. Six types of data informed each case presentation, including: demographic, anthropometric, health history, and survey data (Eating Competence Scale, Exercise Benefits and Barriers Scale); a 3-day food and physical activity record; and an in-depth interview. Nine TGGD athletes assigned female at birth (AFAB) presented with a range of gender identities, experiences, sport involvement, and transition journeys. Most athletes consumed inadequate energy and fiber, adequate or marginally high levels of saturated fat and added sugars, and high levels of sodium. Most athletes scored low on the Eating Competence Scale and high on the Exercise Benefits and Barriers Scale. Nutrition and sports professionals can individualize the care they provide for TGGD athletes when addressing sex-specific data and help athletes ensure they are meeting their nutrient needs.

Luminal Flow in the Connecting Tubule induces Afferent Arteriole Vasodilation.

Renal autoregulatory mechanisms modulate renal blood flow. Connecting tubule glomerular feedback (CNTGF) is a vasodilator mechanism in the connecting tubule (CNT), triggered paracrinally when high sodium levels are detected via the epithelial sodium channel (ENaC). The primary activation factor of CNTGF-whether NaCl concentration, independent luminal flow, or the combined total sodium delivery-is still unclear. We hypothesized that increasing luminal flow in the CNT induces CNTGF via O2- generation and ENaC activation. Rabbit afferent arterioles (Af-Arts) with adjacent CNTs were microperfused ex-vivo with variable flow rates and sodium concentrations ranging from <1 mM to 80 mM and from 5 to 40 nL/min flow rates. Perfusion of the CNT with 5 mM NaCl and increasing flow rates from 5 to 10, 20, and 40 nL/min caused a flow rate-dependent dilation of the Af-Art (p<0.001). Adding the ENaC blocker benzamil inhibited flow-induced Af-Art dilation, indicating a CNTGF response. In contrast, perfusion of the CNT with <1 mM NaCl did not result in flow-induced CNTGF vasodilation (p>0.05). Multiple linear regression modeling (R2=0.51;p<0.001) demonstrated that tubular flow (β=0.163 ± 0.04;p<0.001) and sodium concentration (β=0.14 ± 0.03;p<0.001) are independent variables that induce afferent arteriole vasodilation. Tempol reduced flow-induced CNTGF, and L-NAME did not influence this effect. Increased luminal flow in the CNT induces CNTGF activation via ENaC, partially due to flow-stimulated O2- production and independent of nitric oxide synthase (NOS) activity.

First Report of Colletotrichum aenigma Causing Anthracnose on Dragon Fruit in Korea.

Dragon fruit (Selenicereus undatus) is a valuable fruit crop in tropical and subtropical regions. It is renowned for its nutritional benefits, such as high sodium, potassium, and vitamin levels, and as a source of prebiotics and antioxidants (Balendres et al. 2019). In July 2023, anthracnose symptoms on stems were detected on dragon fruit plants in Jeju, South Korea. The typical anthracnose symptoms, such as sunken necrotic lesions (5-20 mm in diameter), were seen on the mature stems. The disease incidence ranged from 10% to 12% among the three surveyed greenhouses. To isolate the causative organism, infected stem samples were surface sterilized, cut into small pieces, and placed on potato dextrose agar (PDA). After two days of incubation at 24ºC, white hyphae appeared on the PDA around the plant tissues. Isolates CNU H23009 and CNU H23010 were purified from a single hypha under a stereoscope (e-Xtra Figure 1). Conidial morphology was examined from two-day-old fungal cultures grown on V8 juice agar. The conidia were transparent, aseptate, cylindrical to clavate, with a rounded apex and base, and measured 11.9 - 16.85 × 5.17 - 6.91 μm (mean = 15.28 × 5.93 μm, n = 30). No appressoria was observed. Morphological characteristics indicated the isolates were Colletotrichum sp. matching the description of the C. gloeosporioides species complex (Weir et al. 2012). To further identify the isolates, genomic DNA was extracted and the ribosomal internal transcribed spacer (ITS) region, glyceraldehyde-3-phosphate dehydrogenase (GAPDH), and actin (ACT) were amplified using ITS1/ITS4, GDF/GDR, and ACT-512F/ACT-783R, respectively (Weir et al. 2012). Based on phylogenetic analysis, the isolates clustered with C. aenigma (strains ICMP18608, ICMP18686, CSH2, and QSG1), with 71% bootstrap support, as determined using the maximum parsimony method in PAUP 4.0 (e-Xtra Figure 2). Based on morphological and molecular characteristics, isolates were identified as C. aenigma. Sequences of CNU H23009 and CNU H23010 were deposited in GenBank with accession numbers OR535144 and OR535145 for ITS, OR540725 and OR540726 for GAPDH, and OR540723 and OR540724 for ACT. The pathogenicity was tested on healthy dragon fruit stems using wound inoculation with mycelial plugs of the CNU H23009 isolate. Controls were inoculated with PDA plugs. The plants were covered with plastic bags to maintain humidity and incubated in a greenhouse at 25ºC. After two days, necrotic spots had developed on the inoculated tissues; after four days, black, irregular, and sunken necrotic lesions similar to those seen in the field were observed. No symptoms occurred in the controls. C. aenigma was re-isolated from the artificially inoculated plants and re-identified based on conidial morphology. The pathogenicity test was repeated three times with three replications for each treatment. Previous studies have reported that C. aenigma, C. gloeosoporioides, C. siamense, C. truncatum, and C. karsti cause anthracnose in dragon fruit. However, C. aenigma has been reported only in Thailand (Balendres et al. 2019; Meetum et al. 2015). To our knowledge, this is the first report of C. aenigma causing anthracnose in dragon fruit in Korea.

Association of baseline serum sodium with long-term outcomes in newly diagnosed coronary heart disease patients without heart failure: a prospective cohort study

Sodium is crucial for maintaining cardiovascular health, especially in relation to heart failure. The impact of baseline serum sodium concentrations on the outcomes of newly diagnosed coronary heart disease (CHD) without heart failure remains unclear. This prospective cohort study included 681 patients who were newly diagnosed with CHD. Cox proportional hazards models and restricted cubic spline (RCS) analysis were used to assess the relationship between serum sodium concentrations and major adverse cardiovascular events. The improvement in traditional prediction models by the addition of serum sodium concentrations was assessed using changes in the C-statistic, net reclassification improvement (NRI), and integrated discrimination improvement (IDI). During a median follow-up of 51.04 months (IQR: 40.88–53.80 months), 131 events were recorded. Multivariate Cox proportional hazards models showed that the L2 group (136–138.9 mmol/L) had the highest MACE risk. Compared to L2, the hazard ratios (HRs) and 95% confidence intervals (CIs) for the L1 (130–135.9 mmol/L), L3 (139–140.9 mmol/L), L4 (141–142.9 mmol/L), and L5 (143–147.0 mmol/L) groups were 0.31 (0.14–0.70, P = 0.005), 0.48 (030–0.78, P = 0.003), 0.56 (0.34–0.92, P = 0.022), and 0.37 (0.22–0.64, P < 0.001), respectively. Including serum sodium concentrations in the prediction model significantly improved the C-statistic from 0.647 to 0.679 (P = 0.022), with an NRI of 0.338 (P < 0.001) and an IDI of 0.026 (P < 0.001). RCS analysis showed a nonlinear relationship: within the 130–138 mmol/L sodium range, MACE risk gradually increased with higher sodium levels (HR 1.39, 95% CI 1.09–1.76, P = 0.008); whereas within the 138–147 mmol/L range, the risk gradually decreased (HR 0.88, 95% CI 0.80–0.98, P = 0.014). Baseline serum sodium concentrations are significantly associated with long-term cardiovascular risk in newly diagnosed CHD patients, showing an inverted U-shaped relationship, whereas low serum sodium may be specifically linked to higher risks of death and nonfatal myocardial infarction. Further research is needed to explore the impact of long-term changes in serum sodium concentrations on disease prognosis.

Iberian wild goat coprophagy on dove guano. A case report and insights from food analysis

Heterospecific coprophagy. i.e., the consumption of excreta of other species, is reported and documented for the first time for Iberian wild goat Capra pyrenaica Schinz, 1838 and is discussed in light of the nutritional composition of the excreta. Two adult female goats were observed consuming guano of rock dove Columba livia Gmelin, 1789 in March 2021 in the Natural Park of Guara. The chemical composition and feed value of the dove guano consumed by goats was analyzed using standard methods of food analysis. The guano had moderate energy content and high concentrations of nitrogen-compounds that are convertible into protein. It was also rich in macronutrients such as calcium, phosphorus, sodium and sulfur, some of which (namely phosphorus) may be deficient for goats in calcareous environments such as the study area. High levels of sodium and possibly of guanine can cause hedonistic responses to salty and umami flavors that may contribute and reinforce this feeding habit. The guano was affected by desiccation and aging resulting from outdoor exposure, which might have also decreased its degree of pathogenicity. We hypothesize that female Iberian wild goats could be stimulated by guano in the second half of their pregnancy period, when their protein requirements increase. Heterospecific coprophagy has been documented in a wide range of mammals indicating it may be an important feeding activity, but it is still poorly described and understood. Its causes, consequences and relevance should deserve more attention to better understand their feeding ecology. This has to be faced under a multidisciplinary approach.

Beetroot pulp and residue improve the shelf life of Greek yogurt when added as syrup

The physicochemical parameters of the pulp, the raw and steamed beetroot residue and the Greek yogurt after adding the beetroot as syrup were evaluated. The parameters pH, titratable acidity, antioxidant activity, mineral content and color were analyzed for both the yogurt and the raw and steamed beetroot during 28 days of storage, and acceptability only for the yogurt. Comparing fresh and steamed beetroot (p&lt;0.05), the steamed beetroot pulp showed higher values of Mg (2.73 mg/100g), Na (74.76 mg/100g) and phenolic compounds (101 mg/mL). Similar results were observed for the residues, with Mg (2.42 mg/100g), Na (100.71 mg/100g) and phenolic compounds (117.77 mg/mL); the beetroot pulp syrup showed higher (p&lt;0.05) average levels of Mg (8.62 mg/100g) and Na (80.95 mg/100g). Yogurt with 5% pulp syrup showed increased oxidation values over the 28 days. However, the yogurt with 15% waste syrup showed high levels of magnesium, sodium and potassium. In the acceptability test, the yogurts with 5% pulp syrup and 15% residue syrup showed the better scores. The aerial parts (residue) of beetroot, which are commonly rejected because they are hard and consumers are unwilling to use them, have shown to be a valuable source of phenolic compounds. Producing syrups from plant parts that are not commonly edible improves acceptability and visual appearance, and yogurt can be used as a base for adding these syrups.

The origin and water quality of spring systems in Monchique, Portugal: A focus on Long-Term sustainability and elevated sodium levels

Spring water systems in Monchique, SW Portugal, not only serve diverse local utilities–from thermal baths to bottled water–but also represent a microcosm of a global concern: elevated sodium levels in spring-sourced bottled waters. This research employs hydrogeochemical and isotopic analyses to investigate the origin, hierarchy and quality of the springs offering a new focus on elevated sodium concentrations, a known global cardiometabolic risk factor. The springs arise from a complex hydrogeological system formed by extensive faulting between argillaceous country-rocks and intruded Cretaceous syenites. Here we show that thermal springs with temperatures of 23–31 °C, have a groundwater age of 5000 years, indicative of extended water–rock interactions and recharge at elevations of 450 to 650 m revealing a hitherto unreported resilience in regional groundwater hydraulics. Conversely, cold springs recharging from 200 m to the area’s peak at 900 m follow shorter paths within the regolith influenced by shallow geological features. The study detects nitrate contamination from surface sources in the cold springs and relatively high sodium levels in the geothermal springs that approach or surpass guideline values. Elevated sodium is attributed, for the first time, to long-term interactions and cation exchange with Na-rich syenites, possibly intensified by heat-induced dissolution at depth. This study informs current perspectives on the long-term sustainability and public health implications of spring water systems. The ion chemistry and isotopic evidence suggest that thermal springs, due to their longer circulation times, are less vulnerable to climatic shifts compared to the more susceptible cold springs. While offering specific insights into the Monchique springs, the research has broad implications to similar high-sodium thermal springs across the Iberian Peninsula and potentially worldwide.

Analysis of Proximate, Functional, and Mineral Composition in Processed Black Rice (&lt;i&gt;Oryza sativa&lt;/i&gt; L. &lt;i&gt;indica&lt;/i&gt;) Flours: A Comparative Exploration

Black rice is utilised to make successful nutraceutical food products because of its high nutrient content. This study sought to determine the proximate compositions, functional compositions, and mineral compositions of processed black rice flour based on different processing methods (Raw, Soaked, and Roasted). The analytical procedures for the processed flours were designed using the standard methodology. The proximate analysis of processed black rice flour revealed a differentiation at (p&lt;0.01) in every parameter except the moisture content of raw and soaked flour. The functional properties of processed black rice flour range from 1.0 to 1.17 g/g for water absorption capacity, 2.21 to 2.43 g/g for oil absorption, and 1.8 to 2.2% for foaming capacity, with raw, soaking, and roasted black rice flour viscosities being 986.0 cP, 997.0 cP, and 951.0 cP, respectively. Bulk density ranged from 1.77 to 1.82 g/cm3. Compared to other processed flours, raw black rice flour greatly showed increased oil absorption and foaming capacity, whereas soaked black rice flour dramatically increased viscosity and bulk density. Raw black rice flour exhibited the highest composition of minerals (phosphorus, potassium, calcium, magnesium and iron) followed by soaked and roasted flours (p&lt;0.01). The roasted black rice flour contained the highest levels of sodium. The investigation's findings demonstrated that raw black rice flour outperformed other processed black rice flour in terms of several proximate, functional, and mineral aspects, proving to be appropriate for the creation of a range of novel food products with positive health effects.

High serum sodium predicts immunotherapy response in metastatic renal cell and urothelial carcinoma

ObjectivesThe development of reliable biomarkers for the prediction of immune checkpoint inhibition (ICI) response in patients with metastatic renal cell carcinoma (mRCC) and urothelial carcinoma (mUC) remains an unresolved challenge. Conventional ICI biomarkers typically focus on tumor-related factors such as PD-L1 expression. However, a comprehensive evaluation of the predictive value of serum electrolyte levels, a so far widely unexplored area, is still pending. MethodsWe conducted a post-hoc analysis of baseline sodium, potassium, chloride, magnesium and calcium levels in two independent phase 3 clinical trials: IMvigor211 for mUC comparing atezolizumab to chemotherapy, and IMmotion151 for mRCC comparing atezolizumab+bevacizumab to sunitinib. This analysis aimed to evaluate the prognostic and predictive value of these electrolyte levels in these clinical settings. A total of 1787 patients (IMvigor211 n = 901; IMmotion151 n = 886) were analyzed. ResultsWe found a linear correlation of baseline serum sodium and chloride with prognosis across both trials, which was not found for potassium, magnesium and calcium. In multivariate analysis, the prognostic capacity of sodium was limited to patients receiving ICI as compared to the control group. Interestingly, in both studies, the chance of achieving an objective response was highest in the patient subgroup with high baseline serum sodium levels of > 140 mmol/L (IMmotion151: Complete response in 17.9% versus 2.0% in patients with mRCC with baseline sodium < 135 mmol/L). Serum sodium outperformed tumor PD-L1 expression as a predictor for immunotherapy efficacy. ConclusionsPatients exhibiting elevated serum sodium levels derive the greatest benefit from immunotherapy, suggesting that baseline serum concentration could serve as a valuable and cost-effective predictive biomarker for immunotherapy across entities.

Salinity distribution in agricultural land by geophysical, hydrochemical and geostatistical approaches: a pilot area located in Qelabshowah–Belqas, East Nile Delta region, Egypt

The study area is situated in the Qelabshowah–Belqas region, known for its Quaternary deposits. This research aims to demonstrate the two-dimensional (2D) variation of subsurface layers and salinity distribution using geoelectrical data, hydrochemical analysis, and geostatistical analysis. DC resistivity measurements were taken at fifteen vertical electrical sounding (VES) survey points using a Schlumberger array (AB/2 = 100 m) along three profiles. In addition, an electrical resistivity tomography (ERT) survey was conducted with a dipole–dipole array across one profile. Seven surface water samples were collected in the area. From the 1D and 2D inversion of VES and ERT data sets, three-to-four geoelectric layers were identified, including unconsolidated surface deposits, saturated clayey sand, saturated sand, and a salt-rich layer. The 2D inversion of VES data revealed an ancient salt-rich layer deposited in swampy conditions over a conductive wet sand layer along profile one due to salt mineral infiltration and dissolution. The 2D inversion of ERT data showed accurate lateral geometric accuracy compared to the 2D inversion of VES data, highlighting geological features, such as caves in the second layer and a buried water canal on the ground surface. Surface water samples showed high salinity levels with sodium hazards, indicating an Na–Cl composition. Geoelectric and hydrochemical data sets were geostatistically analyzed using spherical variogram supported ordinary Kriging interpolation. The analysis indicated weak to moderate spatial dependency for true resistivity parameters, while sodium content (SC) and permeability index (PI) showed strong spatial correlation. The 2D spatial distribution resistivity maps based on the 1D inversion of VES data displayed a general decrease in resistivity with depth, likely due to clay minerals or moist soil in the second layer and saline irrigation water infiltration in the third layer. The 2D spatial distribution of SC and PI showed a high concentration zone, posing a potential risk to agricultural crops regardless of soil permeability. It is recommended to use these maps when cultivating plants that can tolerate high sodium levels during the reclamation process.

Tunisian Silybum Species: Important Sources of Polyphenols, Organic Acids, Minerals, and Proteins across Various Plant Organs.

Silybum marianum and Silybum eburneum are wild edible Mediterranean plants used in the human diet. This study presents the initial findings on the phytochemical characterization of Tunisian S. marianum and S. eburneum organs. It examined their mineral, sugar, organic acid, polyphenolic, and seed storage protein contents, as well as their antioxidant potential. In S. marianum, stems had high sodium and potassium contents, while the immature and mature seeds were rich in calcium and magnesium. However, S. eburneum had high potassium levels in stems and high sodium and calcium levels in the flowers. S. marianum showed substantial fructose variation among its organs. Conversely, S. eburneum exhibited significant heterogeneity in glucose, sucrose, and maltose levels across its organs, with maltose exclusively detected in the immature seeds. A notable organ-dependent distribution of organic acids was observed among the two species. Higher levels of phenolic contents were detected in both mature and immature seeds in both species compared to the other plant parts. The seeds possessed higher antioxidant activities than other plant organs. In both S. marianum and S. eburneum seeds, albumins and globulins were the predominant protein fractions. This study brings evidence supporting the important potential of Silybum organs as sources of nutrients with antioxidant properties for producing functional food.

Relationship between sodium level and in-hospital mortality in traumatic brain injury patients of MIMIC IV database.

An association between prognosis and high sodium levels in Traumatic Brain Injury (TBI) patients in Intensive Care Units (ICUs) has been noted, but limited research exists on the ideal sodium level in these patients or the impact on early mortality, using the MIMIC-IV database. A retrospective survey was conducted on TBI patients from the MIMIC-IV database. Patients were divided into two categories based on their highest serum sodium level within 24 h of admission exceeding 145 mmol/L: those with hypernatremia, and those with moderate-to-low sodium levels. Collected covariates encompasses demographic, clinical, laboratory, and intervention variables. A multivariate logistic regression model was implemented to forecast in-hospital mortality. The study included 1749 TBI patients, with 209 (11.5%) experiencing in-hospital deaths. A non-linear test exposed an L-shaped correlation between sodium level and in-hospital mortality, with mortality rates increasing after a turning point at 144.1 mmol/L. Compared to the moderate-to-low group's 9.3% mortality rate, the hypernatremia group had a significantly higher mortality rate of 25.3% (crude odds ratio = 3.32, 95% confidence interval: 2.37 ~ 4.64, p < 0.001). After adjusting for all covariates, the hypernatremia group continued to show a significant correlation with higher mortality risk (adjusted odds ratio = 2.19, 95% confidence interval: 1.38 ~ 3.47, p = 0.001). This trend remained consistent regardless of the analyses stratification. The study reveals an L-shaped relationship between sodium levels and in-hospital deaths, with a pivotal point at 144.1 mmol/L. TBI patients displaying hypernatremia were independently linked to higher in-hospital mortality, underlining the need for further studies into targeted management of sodium levels in these patients.

Nutritional values of ready-to-eat snacks available in the Indian E-market—a comparative study based on the health star rating system

BackgroundThe popularity of ready-to-eat (RTE) foods has increased globally, especially among children, because they are readily available, convenient, tasty, and have attractive packaging designs. The number of packaged foods, drinks, and snacks has risen in the Indian market, and the presence of less-healthy packaged products is a significant cause of overweight and diseases related to diet. The Health Star Rating (HSR) System, initiated by the Australian and New Zealand governments, was designed to rank these packaged products based on fat, sugar, energy, salt, and other nutritional compositions. The study assessed the nutritional value of RTE snacks currently available in the Indian e-market using the HSR system.MethodsThis comparative study analyzed the nutritional values of RTE snacks from November 2022 to February 2023. The data were extracted from the Indian e-market, namely Amazon Fresh, Flipkart Grocery, and Big Basket, using specific keywords. The HSR system has been used to evaluate and compare the healthiness of RTE snacks, using a star rating scale of 0.5 stars = bad to 5 stars = excellent. The study assessed 294 RTE products, including chips, cocoa-based snacks, and baked snacks, with a price range of INR 50 and below.ResultsThe findings revealed that the mean HSR was low (1.46) stars [SD 0.63] out of (5) stars for the studied products, with significant concerns about high levels of energy, sugar, sodium, and saturated fat. Additionally, the study observed a limited utilization of fruits, vegetables, nuts, and legumes (FVNL) in the market products.ConclusionThe study highlights the unhealthiness of snack products available in the Indian e-market due to high levels of sugar, salt, and fat. These snacks also lack FVNL as nutritious ingredients. The data extracted can underscore public health concerns, highlight the importance of consumer awareness, and help snack manufacturers develop healthier snacks for society.

Microbial Quality and Mineral Content of Water Consumed in Ho Municipality of Volta Region, Ghana

Background: Water quality and safety are fundamental to human development and well-being. Therefore, the purpose of this study was to determine the bacteriological and mineral content of water in Ho, the capital city of the Volta Region of Ghana.&#x0D; Methods: Sachet, bottled, and tap water were sampled from January to February in 2019 due to the high rate of consumption and their presumed quality which were taken at random from five different locations throughout the municipality. Water quality assessment protocols were utilized to ascertain the bacteriological as well as mineral contents of the samples, whilst ANOVA was used to determine statistical difference and significance at p&lt;0.05.&#x0D; Results: The maximum Heterotrophic Plate Count for tap water was 9.95±0.64×105 Colony Forming Unit (CFU)/ml, for sachet water was 7.46±0.09×106 CFU/ml, and for bottled water was 1.10±0.56×105 CFU/ml, all obtained on nutrient agar. For MacConkey agar, maximum growth was 2.94±0.03×106, 9.42±1.67×106, and 2.31±0.77×105 CFU/ml for tap, sachet, and bottled water, respectively. The Xylose Lysine Deoxycholate Agar indicated maximum growth of 1.84±0.34×103, 5.72±0.06×106, and 5.50±2.12×104 CFU/ml for tap, sachet, and bottled water, respectively.&#x0D; The physical parameters such as pH, turbidity, color, and conductivity were within the recommended limits set by the Ghana Standards Authority. However, tap water recorded the highest turbidity, bottled water recorded the highest and least pH and turbidity, respectively. Moreover, the mineral analysis revealed high levels of phosphate (PO₄³⁻), chloride (Cl-), and sodium (Na) in bottled water, and total iron (Fe) was relatively high in several tap and sachet water samples, the latter item also recorded the highest for ammonia (NH3).&#x0D; Conclusions: Overall, the tap, sachet, and bottled water samples exhibited varied levels of microbial, and mineral contents whilst the physical parameters were relatively within the recommended levels. The sachet and tap

Differential impact of high-salt levels in vitro and in vivo on macrophage core functions

The consumption of processed food is on the rise leading to huge intake of excess dietary salt, which strongly correlates with development of hypertension, often leading to cardiovascular diseases such as stroke and heart attack, as well as activation of the immune system. The effect of salt on macrophages is especially interesting as they are able to sense high sodium levels in tissues leading to transcriptional changes. In the skin, macrophages were shown to influence lymphatic vessel growth which, in turn, enables the transport of excess salt and thereby prevents the development of high blood pressure. Furthermore, salt storage in the skin has been linked to the onset of pro-inflammatory effector functions of macrophages in pathogen defence. However, there is only little known about the mechanisms which are involved in changing macrophage function to salt exposure. Here, we characterize the response of macrophages to excess salt both in vitro and in vivo. Our results validate and strengthen the notion that macrophages exhibit chemotactic migration in response to salt gradients in vitro. Furthermore, we demonstrate a reduction in phagocytosis and efferocytosis following acute salt challenge in vitro. While acute exposure to a high-salt diet in vivo has a less pronounced impact on macrophage core functions such as phagocytosis, our data indicate that prolonged salt challenge may exert a distinct effect on the function of macrophages. These findings suggest a potential role for excessive salt sensing by macrophages in the manifestation of diseases related to high-salt diets and explicitly highlight the need for in vivo work to decipher the physiologically relevant impact of excess salt on tissue and cell function.

Hypernatremia and Its Rate of Correction: The Evidence So Far.

Hypernatremia or high serum sodium levels can have many different causes, includinginsufficient free water intake, or excess free water losses. The management of hypernatremia focuses on resolving the underlying cause, replenishing free water deficit, and preventing further losses while closely monitoring serum sodium concentration. This systematic review was carried outusing medical databases such as PubMed, PubMed Central, and Google Scholar for relevant medical literature. The identified articles were reviewed, eligibility criteria were applied, and seven research articles were identified. The effect of the rate of hypernatremia correction on both short- and long-term outcomes in volume-resuscitated patients was the focus of our search for randomized or observational studies. Based on our analysis of the clinical evidence, we concluded that the present recommendations for treating acute and chronic hypernatremia in resuscitated patients do not stem from high-quality research.

Bilateral Hypocalemic Cataract Post Thyroidectomi : A Case Report

Introduction : Young adult cataracts are negligible, and their prevalence is rarely reported in Indonesia. We reporta rapidly developing cataract in a 25-year-old woman due to secondary hypoparathyroidism. Cataracts in this case, progress remarkably fast compared to primary cataracts.&#x0D; Case Illustration : A twenty-five-year-old female patient presented bilateral vision loss and a history of a total thyroidectomy caused by diffused toxic goiter 7 years before admission. Postoperative calcium levels were extremely depleted. The uncorrected visual acuity examination measured 1/300 in the right eye and 20/200 in the left. Slit lamp examination revealed cortical opacities in both eyes. We diagnosedit as bilateral hypocalcemia cataracts. Patient has undergone bilateral phacoemulsification and intraocular lens implantation. The day following surgery visual acuity in the right eye was 20/30 and the left eye was 20/30 without correction. After one year of evaluation the visual acuity in RE become RE was 20/20 with a correction of -0.50 D sphere and the LE was 20/20 with a correction of -1.0 D sphere.&#x0D; Discussion : Patients with hypoparathyroidism risk developing cataracts due to chronic hypocalcemia, which inhibits the lenticular Na/K pump and induces intracellular sodium flux. This high sodium level triggers the osmosis process, followed by swelling of the lens fibers to form dystrophic calcifications. Thyroid surgery procedures suspectedly involving the parathyroid gland may cause hypocalcemia, thus leading to development of cataract.&#x0D; Conclusion : Clinicians should always consider hypoparathyroidism as the cause of bilateral cataracts in patients with a previous total thyroidectomy.

Gut Microbiota and Biomarkers of Endothelial Dysfunction in Cirrhosis.

Our aim was to study the association of endothelial dysfunction biomarkers with cirrhosis manifestations, bacterial translocation, and gut microbiota taxa. The fecal microbiome was assessed using 16S rRNA gene sequencing. Plasma levels of nitrite, big endothelin-1, asymmetric dimethylarginine (ADMA), presepsin, and claudin were measured as biomarkers of endothelial dysfunction, bacterial translocation, and intestinal barrier dysfunction. An echocardiography with simultaneous determination of blood pressure and heart rate was performed to evaluate hemodynamic parameters. Presepsin, claudin 3, nitrite, and ADMA levels were higher in cirrhosis patients than in controls. Elevated nitrite levels were associated with high levels of presepsin and claudin 3, the development of hemodynamic circulation, hypoalbuminemia, grade 2-3 ascites, overt hepatic encephalopathy, high mean pulmonary artery pressure, increased abundance of Proteobacteria and Erysipelatoclostridium, and decreased abundance of Oscillospiraceae, Subdoligranulum, Rikenellaceae, Acidaminococcaceae, Christensenellaceae, and Anaerovoracaceae. Elevated ADMA levels were associated with higher Child-Pugh scores, lower serum sodium levels, hypoalbuminemia, grade 2-3 ascites, milder esophageal varices, overt hepatic encephalopathy, lower mean pulmonary artery pressure, and low abundance of Erysipelotrichia and Erysipelatoclostridiaceae. High big endothelin-1 levels were associated with high levels of presepsin and sodium, low levels of fibrinogen and cholesterol, hypocoagulation, increased Bilophila and Coprobacillus abundances, and decreased Alloprevotella abundance.

Study of Serum Sodium and Potassium Levels in Senile Cataract Patients Versus Normal Controls at Tertiary Center

Aims: Senile cataract is a common eye condition that affects many older people and can lead to blindness if not treated. It is caused by the gradual thickening of the lens of the eye, which reduces the clarity of vision. One of the factors that may contribute to the development of senile cataract is the imbalance of serum electrolytes, which are minerals that help regulate the fluid balance in the body.&#x0D; Study Design: Hospital based prospective cross-sectional study.&#x0D; Methodology: The aim of this study was to compare the levels of serum sodium and potassium in senile cataract patients and healthy controls. The study involved 200 participants aged 50 to 80 years, 100 of whom had senile cataract and 100 of whom did not. The levels of serum electrolytes were measured using standard laboratory methods.&#x0D; Results: Senile cataract patients had significantly higher levels of serum sodium and potassium than healthy controls, while there was no significant difference in serum potassium levels between the two groups.&#x0D; Conclusion: The high levels of serum sodium and potassium may affect the concentration of these electrolytes in the aqueous humor, which is the fluid that fills the eye. This may overwhelm the ability of the lens to regulate its volume and lead to lens opacities. Therefore, serum sodium and potassium levels may be useful indicators of senile cataract risk. The study also suggested that reducing salt intake may help prevent or delay the onset of senile cataract.

Nutritional composition of ultra-processed plant-based foods in the out-of-home environment: a multi-country survey with plant-based burgers.

Ultra-processed plant-based foods, such as plant-based burgers, have gained in popularity. Particularly in the out-of-home (OOH) environment, evidence regarding their nutritional profile and environmental sustainability is still evolving. Plant-based burgers available at selected OOH sites were randomly sampled in Amsterdam, Copenhagen, Lisbon and London. Plant-based burgers (patty, bread and condiment) (n 41) were lab analysed for their energy, macronutrients, amino acids and minerals content per 100 g and serving and were compared with reference values. For the plant-based burgers, the median values per 100 g were 234 kcal, 20·8 g carbohydrates, 3·5 g dietary fibre and 12·0 g fat, including 0·08 g TFS and 2·2 g SFA. Protein content was 8·9 g/100 g, with low protein quality according to amino acid composition. Median Na content was 389 mg/100 g, equivalent to 1 g salt. Compared with references, the median serving provided 31% of energy intake based on a 2000 kcal per day and contributed to carbohydrates (17-28%), dietary fibre (42%), protein (40%), total fat (48%), SFA (26%) and Na (54%). One serving provided 15-23% of the reference values for Ca, K and Mg, while higher contributions were found for Zn, Mn, P and Fe (30-67%). The ultra-processed plant-based burgers provide protein, dietary fibre and essential minerals and contain relatively high levels of energy, Na and total fats. The amino acid composition indicated low protein quality. The multifaceted nutritional profile of plant-based burgers highlights the need for manufacturers to implement improvements to better support healthy dietary habits, including reducing energy, Na and total fats.