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Obese and overweight children are at risk of developing nonalcoholic fatty liver disease (NAFLD), which can lead to steatohepatitis, cirrhosis, and liver transplantation. Neuropsychiatric conditions affect an increasing proportion of children and often require neuropsychiatric medications (NPMs) that are associated with weight gain and/or drug-induced liver injury. We sought to evaluate the role that the extended use of NPMs play in pediatric NAFLD. Medical chart review was conducted for 260 patients with NAFLD (NPM = 77, non-NPM = 183) seen in the Liver Care Center at Children's Mercy Hospital between 2000 and 2016. Outcome measures included body mass index (BMI) percentile, BMI z-score, aspartate aminotransferase (AST), alanine aminotransferase (ALT), total bilirubin, and gamma glutamyltransferase, and were collected at diagnosis, 6-18 month follow-up, and 18-36 months. Controlling for race and metformin, there was a significant increase over time in BMI z-score (p 0.01) and total bilirubin (p = 0.03), with only initial decreases in ALT (p 0.01) and AST (p 0.01). Except for higher total bilirubin in the non-NPM group, no main effect of group or interaction effect was found. Similar patterns remained when subjects were analyzed by NPM drug class. Further study is needed to confirm these findings and to evaluate the effects of NPM dose and duration of exposure, by drug class, on pediatric NAFLD outcomes.

BACKGROUND Laparoscopic removal of cryptorchid testes has been routinely reported through enlarged parainguinal incisions in dorsally recumbent horses. Outcomes following removal through an extended umbilical incision have not been previously reported. OBJECTIVE To describe the surgical technique of removing cryptorchid testes in dorsally recumbent horses through an enlarged umbilical portal after laparoscopic intra-abdominal castration. STUDY DESIGN Retrospective case series. METHODS Medical records were reviewed for horses that underwent laparoscopic removal of unilateral or bilateral cryptorchid testes from January 2006 to December 2016. Horses were placed under general anaesthesia, positioned in dorsal recumbency and then tilted into Trendelenburg position. Cryptorchid testes were castrated by ligating loop application and/or electrosurgery. The umbilical portal incision was extended along the linea alba for testes removal. All descended testes were removed by routine closed castration with the scrotal incision left to heal by second intention. Perianaesthetic laboratory values, surgical procedure descriptions, surgery and anaesthesia times, and in-hospital perioperative complications were recorded. RESULTS A total of 79 horses, aged 1-14 years, with unilateral or bilateral cryptorchidism were included: 90 cryptorchid testes were successfully removed through an enlarged umbilical portal incision. Sixty-eight horses were unilaterally cryptorchid and 11 were bilaterally cryptorchid. Two horses had minor post-operative complications related to the extended umbilical portal incision. MAIN LIMITATIONS Retrospective nature of the study, no control population for comparison and no follow-up after hospital discharge. CONCLUSION An extended umbilical portal incision is a successful alternative to extending a parainguinal incision for testis removal after laparoscopic castration.

Changes in intracellular calcium (Ca2+) signaling can modulate cellular machinery required for cancer progression. Neuronal calcium sensor 1 (NCS1) is a ubiquitously expressed Ca2+‐binding protein that promotes tumor aggressiveness by enhancing cell survival and metastasis. However, the underlying mechanism by which NCS1 contributes to increased tumor aggressiveness has yet to be identified. In this study, we aimed to determine (a) whether NCS1 expression changes in response to external stimuli, (b) the importance of NCS1 for cell survival and migration, and (c) the cellular mechanism(s) through which NSC1 modulates these outcomes. We found that NCS1 abundance increases under conditions of stress, most prominently after stimulation with the pro‐inflammatory cytokine tumor necrosis factor α, in a manner dependent on nuclear factor kappa‐light‐chain‐enhancer of activated B cells (NFκB). We found that NFκB signaling is activated in human breast cancer tissue, which was accompanied by an increase in NCS1 mRNA expression. Further exploration into the relevance of NCS1 in breast cancer progression showed that knockout of NCS1 (NCS1 KO) caused decreased cell survival and motility, increased baseline intracellular Ca2+ levels, and decreased inositol 1,4,5‐trisphosphate‐mediated Ca2+ responses. Protein kinase B (Akt) activity was decreased in NCS1 KO cells, which could be rescued by buffering intracellular Ca2+. Conversely, Akt activity was increased in cells overexpressing NCS1 (NCS1 OE). We therefore conclude that NCS1 acts as cellular stress response protein up‐regulated by stress‐induced NFκB signaling and that NCS1 influences cell survival and motility through effects on Ca2+ signaling and Akt pathway activation., This study investigates the underlying mechanism by which the calcium (Ca2+)‐binding protein NCS1 promotes increased tumor aggressiveness. We characterize NCS1 as a stress response protein that is up‐regulated by exogenous stressors, including the cytokine tumor necrosis factor α, through a nuclear factor kappa‐light‐chain‐enhancer of activated B cells‐dependent mechanism. Increased NCS1 expression leads to disrupted intracellular Ca2+ signaling and activation of the protein kinase B pathway, leading to increased cell survival and migration.

1. We used a 27-year record of Dreissena populations in the freshwater tidal Hudson River to describe interannual variation in population density, body size, and body condition; estimate long-term variation in recruitment, survivorship, and shell growth; and assess possible controls on the populations. 2. Dreissena populations in the Hudson have been highly variable, with interannual ranges of c. 100-fold in abundance and biomass, and 7-fold in mean body mass. This large interannual variation arises from both long-term trends and 2–5-year cycles. 3. Long-term trends include the 2008 appearance of the quagga mussel (Dreissena rostriformis), which still forms a small part (

Long-term survival for children who undergo LT is now the rule rather than the exception. However, a focus on the outcome of patient or graft survival rates alone provides an incomplete and limited view of life for patients who undergo LT as an infant, child, or teen. The paradigm has now appropriately shifted to opportunities focused on our overarching goals of "surviving and thriving" with long-term allograft health, freedom of complications from long-term immunosuppression, self-reported well-being, and global functional health. Experts within the liver transplant community highlight clinical gaps and potential barriers at each of the pretransplant, intra-operative, early-, medium-, and long-term post-transplant stages toward these broader mandates. Strategies including clinical research, innovation, and quality improvement targeting both traditional as well as PRO are outlined and, if successfully leveraged and conducted, would improve outcomes for recipients of pediatric LT.

BACKGROUND There is a lack of large database research relating to the epidemiology and health resource utilization associated with short bowel syndrome (SBS) in the United States. METHODS We analyzed the Kids' Inpatient Database for the year 2012 and utilized International Classification of Diseases, Ninth Revision, and Clinical Modification ( ICD-9-CM) diagnosis codes to identify patients 0-3 years of age with SBS, who were matched by age and sex to children without SBS. The study variables included patient and hospital demographics, All Patient Refined Diagnosis Related Groups, in-hospital mortality, hospital length of stay, and hospitalization costs. We also determined the most frequent ICD-9-CM diagnostic and procedural codes associated with SBS. RESULTS Children with SBS demonstrated a higher rate of mortality than that of children without SBS (1.6% vs 0.7%; P < .001). Children with SBS also experienced a longer length of stay (median days [interquartile range]: 8 [15] vs 2 [3]; P < .001) and higher hospital costs ($17,000 [$34,000] vs $3000 [$5000]; P < .001). The most frequent medical diagnoses associated with SBS were infection (62%), anemia (29%), and liver disease (17%). Children with SBS also demonstrated more severe illness as assessed by an All Patient Refined Diagnosis Related Group score of 3 or 4 (94.30% vs 16.20%; P < .001). CONCLUSIONS Children hospitalized with SBS have a high severity of illness and experience complicated inpatient courses related to their disease. Our study represents the first use of national U.S. data to study the epidemiology and health resource utilization associated with SBS.

REASONS FOR PERFORMING STUDY: Recurrent laryngeal neuropathy (RLN) causes airway obstruction and adversely affects racing performance in Thoroughbred racehorses. Prosthetic laryngoplasty (PL) is the preferred treatment of RLN as it returns variables of airway mechanics to baseline. A number of materials have been evaluated as prostheses; however, the application of Lycra has not been rigorously investigated. OBJECTIVE: To evaluate the efficacy of PL using a Lycra prosthesis, in combination with transendoscopic, laser-assisted ventriculocordectomy, to restore racing performance in Thoroughbred racehorses with RLN. STUDY DESIGN: Retrospective case series. METHODS: Medical records, preoperative and post operative racing performance indices from 78 Thoroughbred racehorses that underwent surgical treatment for RLN were evaluated. Medical records, preoperative and post operative racing performance indices were evaluated. Case history, postoperative complications and PL failure were recorded. Racing performance was analysed using Beyer Speed Figures (BSF), earnings and a performance index (PI), with comparisons made between the 3 races before and after surgery. Factors associated with return to racing and racing performance were analysed. RESULTS: Eighty-two per cent (46/56) of horses that raced prior to surgery and 75% (15/20) of horses that had not raced prior to surgery competed in at least one race post operatively. Horses had a lower BSF and PI in the final race before surgery. Following surgery, PI and BSF values were restored to preoperative values in 73% and 78% of horses respectively. Surgical failure rate and immediate post operative complication rate were lower than, or comparable with,other reported prosthesis materials. CONCLUSIONS: Thoroughbred racehorses with RLN have a good prognosis for racing successfully after PL using a Lycra prosthesis. The described surgical technique is associated with a low post operative complication rate and an increase in indicators of racing performance (PI and BSF) post operatively. Lycra offers an attractive option for application as a prosthetic for PL with a low complication rate and similar efficacy to reported rigid prostheses.

GVHD has been reported in 8-10% of children after small bowel transplant (SBTx). Immunodeficient children may be predisposed to aggressive, steroid-resistant GVHD. There exists a unique association of immunodeficiency in children with MIA (MIAI). We report on our SBTx experience in patients with the diagnosis of MIAI, their high incidence of GVHD, and the possible role of stem cell transplantation in these patients. We performed a review of records from children that underwent SBTx or that we evaluated for SBTx at our institution. We focused on the diagnoses of atresia, multiple intestinal atresia, immunodeficiency, and GVHD in our patient population. Children with MIAI are likely to experience severe GVHD following SBTx. MIAI correlated with a 100% incidence of GVHD in these patients. Of the five patients with MIAI that underwent SBTx, three succumbed to severe GVHD within 1-6 months after SBTx. One patient received stem cell transplant prior to SBTx and did not develop severe GVHD, but died from influenza nine months after SBTx. Our unique patient survives long-term, with engraftment of donor γ δ T cells. He has mild, persistent chronic GVHD. Atresia is a common referral diagnosis for SBTx. Patients with multiple atresias, especially MIAI, are at significant risk for the complication of GVHD following SBTx. We recommend careful immunologic assessment and antecedent stem cell transplant in children with MIAI prior to SBTx.

Biogeochemical functioning of ecosystems is central to nutrient cycling, carbon balance, and several ecosystem services, yet it is not always clear why levels of function might vary among systems. Wetlands are widely recognized for their ability to alter concentrations of solutes and particles as water moves through them, but we have only general expectations for what attributes of wetlands are linked to variability in these processes. We examined changes in several water quality variables (dissolved oxygen, dissolved organic carbon, nutrients, and suspended particles) to ascertain which constituents are influenced during tidal exchange with a range of 17 tidal freshwater wetlands along the Hudson River, New York, USA. Many of the constituents showed significant differences among wetlands or between flooding and ebbing tidal concentrations, indicating wetland-mediated effects. For dissolved oxygen, the presence of even small proportional cover by submerged aquatic vegetation increased the concentration of dissolved oxygen in water returned to the main channel following a daytime tidal exchange. Nitrate concentrations showed consistent declines during ebbing tides, but the magnitude of decline varied greatly among sites. The proportional cover by graminoid-dominated high intertidal vegetation accounted for over 40% of the variation in nitrate decline. Knowing which water-quality alterations are associated with which attributes helps suggest underlying mechanisms and identifies what functions might be susceptible to change as sea level rise or salinity intrusion drives shifts in wetland vegetation cover.

Fog drip is recognized as an important source of water for many ecosystems that often harbor a disproportionate fraction of endemic species. Characterizing and quantifying the ecological importance of fog drip in these ecosystems requires a range of approaches. We report on a multi‐faceted study of Bishop pine (Pinus muricata D. Don) along a coastal‐inland transect on an island off Southern California. Hourly sampling included micrometeorology, sap flux, and soil moisture. Monthly measurements included changes in tree girth, plant water stress, and isotopic values of fogwater, rainwater, and xylem water. These data show that summertime fog drip clearly affected soil moisture and maintained aspects of tree function, including leaf water relations, sap flux dynamics, and growth rates. Although water from fog drip to the soil surface was occasionally taken up by pine trees, as quantified with isotopic measurements and a Bayesian mixing model, this utilization of fog drip was highly variable in space and time. The proportion of fogwater inferred to have been used is also much less than has been demonstrated in more mesic coastal forest ecosystems using isotopic methods. These results thus suggest high ecosystem sensitivity to even moderate amounts of fog drip, a finding with important implications as climate change differentially affects fog and rain patterns.

A multi-tracer approach was applied to particulate organic material (POM) biogeochemistry along a 165-km transect of the freshwater-tidal portion of the Hudson River estuary (HRE). Elemental carbon and nitrogen, stable isotopes, chlorophyll a, and lignin phenols were measured monthly at a mid-estuary station from August to November 2007, and monthly at the same station and 3–5 additional stations in 2008. POM at stations proximal to major tidal wetland and aquatic vegetation (WETAV) zones showed ∼ 2‰ higher carbon isotopic signature of particulate organic carbon (δ13CPOC), ∼ 3‰ higher nitrogen isotopic signature of particulate nitrogen (δ15NPN), elevated chlorophyll a levels, and up to 3-fold increases in Λ8-lignin phenols indicative of relatively fresh plant matter. This prominent shift in POM composition suggests that WETAV areas supply compositionally unique organic matter along the HRE, especially during low flow. Based on shifts in geochemical tracers downstream of the largest WETAV zone, this POM appears to be readily incorporated, metabolized, and/or deposited to bed sediments. Despite representing < 1% of the drainage basin area, WETAV zones supply distinctive POM that could serve as a resource to estuarine metabolism. This highlights the importance of littoral zones in providing POM subsidies to tidally influenced rivers, perhaps to the same degree as lowland rivers and their seasonally connected floodplains.

Up to now, the polymerase chain reaction is the most widely used method for the amplification of nucleic acids in vitro, especially for pathogen detection because of its high sensitivity. In the recent years, however, numerous isothermal amplification methods were developed to avoid the need for thermal cycling. The most frequently applied approach seems to be loop‐mediated isothermal amplification (LAMP). The great advantage of LAMP is its enormous rate of amplification paired with a very high specificity and low artefact susceptibility. This study presents a straightforward procedure for Plum pox virus (PPV) detection. A modified one‐step reverse transcription loop‐mediated isothermal amplification protocol of Varga and James is applied to virus suspensions from plant extracts obtained by a simplified and standardised procedure. Gel electrophoresis is substituted by a homogenous colour test upon nucleic acid amplification. This procedure takes only 2.5 h from sampling to result and requires minimal technical equipment. With amplification and visualisation homogenously taking place in non‐opened tubes the risk of cross‐contamination of subsequent samples by former amplification products via facilities and equipment is strongly minimised. Hence, the Blue LAMP provides a fast and reliable detection of PPV both for single samples and for large‐scale surveys.

Background Melasma is a common benign pigmentary disease and can pose a substantial therapeutic challenge. Although the use of non-ablative fractional photothermolysis (NFP) has gained much popularity, there are still very few evidence-based data supporting NFP in the treatment of melasma. Objective To assess the efficacy and safety of NFP for the treatment of melasma in a controlled observer-blinded parallel-group study. Patients and methods Fifty-one patients [90.2% women, 9.8% men; mean age 40.3 ± 6.1 (control group) and 41.7 ± 11.4 (treatment group)] received a broad-spectrum sunscreen either alone (n = 25; 49.0%) or in combination with a 1550-nm NFP treatment (n = 26; 51.0%) [energy: 15 mJ ⁄ microthermal zone (MTZ); total density: 1048 MTZs ⁄ cm 2 ; density per pass: 131 MTZs ⁄ cm 2 ; number of passes: 8; total coverage: 20%]. Four sessions of NFP treatment were performed at 3-week intervals on each subject in the treatment group. Patients were evaluated at baseline and 12 weeks after final treatment. The primary efficacy variables were the Melasma Area and Severity Index (MASI) and the physician’s global assessment (PGA); secondary efficacy variables were the patients’ subjective assessment of improvement and patient satisfaction. Safety was evaluated through the reporting of adverse events. Results The percentage of subjective improvement was virtually identical in both groups: one-third of the patients reported a ‘marked improvement’ and another half reported ‘some improvement’. Twenty-three patients in each group declared that they were ‘satisfied’ with the treatment result. The MASI corroborated the patients’ subjective estimate, both in terms of the degree of improvement and the lack of a group difference. In both groups, the MASI score and the PGA were reduced significantly after therapy, and the reduction was also clinically relevant. No serious side-effects were reported in either group. Conclusion Our findings do not support the hypothesis of NFP providing a substantial benefit in treating melasma when compared with the lone application of a broad-spectrum sunscreen.

Objective Decreased fetal heart rate variability is associated with higher perinatal morbidity and mortality in intrauterine growth restriction (IUGR). This study used a new method [phase-rectified signal averaging (PRSA)] to calculate acceleration- and deceleration-related fluctuations of the fetal heart rate. Method Cardiotocograms from 74 growth-restricted and 161 normal fetuses were included. Both groups were matched for gestational age. The transformed PRSA signal was quantified by the acceleration-related parameter-averaged acceleration capacity (AAC) and compared to the standard short-term variation (STV). Mann-Whitney test and receiver operator characteristic (ROC) curves were used for statistical analysis. Results For AAC, the median values of the IUGR group and control group were 1.97 bpm [interquartile range (IQR): 1.66–2.23] and 2.49 bpm (IQR: 2.24–2.72), respectively. For STV, these values were 5.44 ms (IQR: 4.49–7.38) and 7.79 ms (IQR: 6.35–9.66), respectively. The area under the ROC curve was 81.4% for AAC and 70.5% for STV. Conclusion The results of AAC are in both groups comparable to STV. Longitudinal studies are needed to investigate the association of AAC with the clinical outcome of the newborn. Copyright © 2011 John Wiley & Sons, Ltd.

Elemental carbon and nitrogen, stable isotopes, and lignin phenols were quantified for suspended particulate material exchanging between Tivoli Bays wetlands and the main stem of the freshwater–tidal Hudson River estuary (HRE) across a tidal cycle, seasonally in 2006 and monthly in 2007 during the ice-free portion of the year. Temporal shifts in organic matter (OM) composition ranged from 33.1 to 247.6 mg g21 particulate organic carbon (POC), 234.7% to 227.2% stable carbon isotopic signature of POC (d13CPOC), 23.6% to 13.6% nitrogen isotopic signature of particulate nitrogen (d15NPN), and 0.8 to 25.0 mg per 100 mg OC lignin phenols. From May to August, the wetlands transferred abundant (up to 247.6 mg g21), chemically distinctive (d13CPOC as depleted as 234.7%) particulate OM to the HRE, particularly Tivoli South Bay. We estimated a net export of . 60 Mg km22 yr21 POC from Tivoli Bays into the HRE. Mixing model iterations indicated that planktonic OM was the dominant source (50% to 86%) during summertime, while contributions from allochthonous and planktonic OM during other seasons were roughly equivalent (, 38%). Taken together, both geochemical data and mixing modeling underscore the function and value of HRE tidal wetlands as major generators of compositionally unique and labile POC for the estuarine carbon budget. In a broader context, lateral aquatic connections with tidal wetlands at seasonal or localized scales may overshadow internal or upland influences on OM composition, production, and processing in estuaries; a latent but key consideration when deciphering temporal and longitudinal trends.

Automated carbon analyzers often are configured to provide estimates of both total organic carbon (TOC) and nonpurgeable organic carbon (NPOC). We show there can be an overestimation of total carbon in the presence of moderate to large quantities of dissolved inorganic carbon. This leads to overestimates of TOC, which is measured as the difference between total carbon and inorganic carbon. Water samples were analyzed as both TOC and NPOC on a Shimadzu TC 5050 Carbon Analyzer. The difference between TOC and NPOC increased as a function of concentrations of dissolved inorganic carbon (DIC). Water samples spiked with DIC ranging from 0 to 100 mg DIC/L also reported increased TOC as large as 8 mg C/L. Our data suggest that the Shimadzu 5050 analyzer (and by analogy other instruments that estimate TOC by difference between TC and IC) overestimates total carbon (TC) when calibrated with an organic standard as recommended by the manufacturer. The magnitude of the overestimation varies both with the amount of DIC present in the sample and the extent to which measurement efficiency of the analyzer is less than 100%. The consequences will be most severe in analysis of samples from systems spanning a large range in DIC. Time series from individual systems are less likely to be affected because the necessary large change in DIC would be detected as changes in pH or other attributes well before any change in DOC. Systems with high DIC will, however, be susceptible to even small variations in measurement efficiency.

Objective: To compare incidence of postoperative complications and survival of horses that had surgery for enterolithiasis of the ascending (AC) or descending (DC) colon. Study design: Case series Animals: Horses (n=236) that had celiotomy for AC (n=97) or DC (n=139) enterolithiasis. Methods: Medical records (1999–2005) were reviewed for signalment, presenting clinical signs, surgical findings, postoperative complications, and short-term survival until discharge. Information on performance and survival ≥1 year was obtained by telephone or mailed questionnaire. Results: Number of postoperative complications did not differ between groups (P=.76). The most frequently identified short-term complications for all horses were incisional problems, gastric ulceration, ileus, diarrhea, fever, and anorexia. Horses with DC enteroliths had a significantly higher incidence of anorexia (P=.04) and fever (P=.01). The most common complications after hospital discharge were incisional problems, laminitis, weight loss, and colic. Although more DC horses were euthanatized intraoperatively (P=.02), no differences were detected for horses that survived until discharge (P=.18) or ≥1 year after discharge (P=.47). Conclusions: Number or type of postsurgical complications or survival after surgery was not influenced by enterolith location and horses have a favorable prognosis for long-term survival after enterolith removal, regardless of site of obstruction in the colon. Clinical Relevance: Incidence of postoperative complications and survival are not affected by the site of enterolith obstruction in the colon.

Summary Reasons for performing study: Large colon resection and anastomosis (LCRA) is the most aggressive method of surgical management of a colon with questionable viability. Currently, published studies are comprised mostly of broodmares and discuss short-term survival. Objectives: To determine the prognosis for survival after LCRA in a diverse population of horses, report the incidence of post operative complications, and determine if associations between analysed variables and survival rate exist. Methods: The medical records of 52 horses that underwent LCRA were evaluated. Data were used to identify univariable associations with survival as well as complications related to LCRA. Chi-square, odds ratio with 95% confidence interval, Mann-Whitney or Kruskal-Wallis tests were used, with significance set at P

A family is reported in which 11 members presented epidermolysis bullosa simplex with some unusual features, and 10 of whom had congenital mottled hyper- and hypopigmenta-tion of the skin. Both anomalies are inherited together in an autosomal dominant fashion, although dominant X-linkage cannot be excluded. The epidermolysis without dyspigmenta-tion in the 11th individual suggests that the syndrome in the other 10 members is due to genetic linkage of two independent genes and not to pleiotropism of a single mutant gene. The mottled pigmentation seems distinct from previously known dyspigmentations and is also suggestive of autosomal inactivation in man. (See addendum.)

SUMMARY A new type of Gm genetic marker combination in an IgG1 immunoglobulin, Gm(z) together with a non-a marker, is here described. This indicates the presence of a new gene, Gmz,non-a, which most likely originated on the basis of an intragenic recombination at the IgG1 cistron. Immunochemical and immunogenetic studies showed that no other IgG1 Gm markers were expressed by the unusual gene, and there was no evidence for deletions or duplications at the IgG1 cistron.

A molecular dynamic simulation of cytidine reproduced the dominating 3E-endo, the so-called North conformation of the sugar and the anti base orientation with χ = –120°. Taken as starting structures for a geometry optimisation, 13C chemical shifts and 1J coupling constants were calculated by DFT [functional: B3LYP, basis set: 6-31G(d,p)]. As for the first time no minimal structural model was used, the results can be interpreted without further approximations except solvent dependence which was not included. The influence of the glycosidic torsion angle was studied. The 13C chemical shifts correlated with a North conformation of the sugar independent of the base orientation when using an empirically derived coordinate analysis. However, the 1JCH coupling constants and 13C chemical shifts clearly showed a dependence on the glycosidic torsion which enables the identification of χ. The 1JCH analysis showed that the sugar pucker is not the major determinant for 1JC1′H1′. Instead, the base orientation caused major changes, with a maximal difference of 14 Hz. Additionally, 1JC2′H2′, 1JC3′H3′ and 1JC4′H4′ are differently influenced by the glycosidic torsion which can be exploited for assigning χ. Analysis of electrostatic and steric effects showed that an isolated view is not able to explain all NMR spectroscopic data but gives some useful ideas. A higher charge on C3′ and the 1JC6H6 coupling constants were explained by through-space effects. Depending on the glycosidic torsion, the base non-planarity changes substantially. The results clearly show that also for ribonucleotides 13C chemical shifts and 1JCH coupling constants are dependent on the base orientation which was questioned in the past.(© Wiley-VCH Verlag GmbH & Co. KGaA, 69451 Weinheim, Germany, 2006)

The most widely used methods to determine bacterial production involve measuring the incorporation of radioactive precursors, such as leucine, into macromolecular pools. The leucine method that involves incubation and extraction within a single microcentrifuge tube has become a widely used technique because of its relative convenience, precision, and low cost. We observed a discrepancy in parallel determinations of leucine incorporation for the same water samples that lead us to explore aspects of the method including tube-washing methods, operator differences, and differences among tube brands. Operators and washing methods had minimal effects on rate measurements, but results were strongly dependent on tube brands. Differences in tube performance were observed consistently in comparisons from a variety of freshwater and marine environments. Microcentrifuge tubes differed in protein retention with the consequence that estimates of leucine incorporation in a given sample could vary by as much as 60% depending on the tube used. There was no simple relationship between tube plastics or manufacturer and tube performance. We advise researchers to check the protein retention of tubes and to use the same brand of tube during field studies to minimize this potential source of variation.

We investigated the influence of electrical stimulation of the posterior cruciate ligament (PCL) on the motoneuron pool of the thigh and calf muscle during gait. The study group comprised eight young men without any history of injury to the knee joints. Multistranded teflon-insulated stainless steel wires were inserted into the PCL guided by sonography and in four subjects also into the fat pad of the knee. The PCL was electrically stimulated during gait on a treadmill at heel strike and 100 ms after heel strike. Electromyographic signals were recorded with bipolar surface electrodes placed over the vastus medialis, rectus femoris, vastus lateralis, biceps femoris caput longum, and semitendinosus muscles. The stimuli consisted of four pulses delivered at 200 Hz; the stimulus amplitude was two to three times the sensory threshold. The electrical stimulation of the PCL inhibited the ongoing muscle activity in both the quadriceps and the hamstrings. The latency of the inhibition ranged between 78 and 148 ms in the quadriceps, between 88 and 110 ms in the hamstrings and between 189 and 258 ms in m. gastrocnemius. Stimulation of the fat pad of the knee did not influence the thigh and calf muscle motoneuron pool as evidenced by electromyography. The response elicited from the stimulation of the PCL was not limited to a specific muscle group but depended on ongoing muscle contraction, which suggests that the mechanoreceptors in the PCL are involved in the control of all muscles acting on the knee joint during gait.

Summary The induction of porcine cytokines, which are believed to be important for the regulation of T helper (Th)1- and Th2-specific immune responses of pigs, was analysed after in vitro restimulation with a herpesvirus, Suid herpes 1 (pseudorabies virus [PRV]), in peripheral blood mononuclear cells (PBMC). To this end, quantitative, competitive reverse transcription–polymerase chain reaction (RT–qcPCR) was established using constructed heterologous DNA MIMICS, which contain cytokine- or glyceraldehyde-3-phosphate dehydrogenase (GAPDH)-specific primer-binding sites. This is a simple method that allows reliable determination of the differing regulation of cytokine mRNAs specific for porcine interleukin (IL)-2, -4 and -10, interferon gamma (IFN-γ) and the housekeeping gene, GAPDH, as an endogenous control. PBMC derived from naive (innate response) and PRV-primed (memory response) outbred swine were analysed comparatively. The results demonstrated that restimulation with PRV significantly enhanced the transcription of Th1-type cytokines (IL-2 and IFN-γ) but not of Th2-type cytokines (IL-4 and IL-10). This virus-specific cytokine response was only found with PBMC from swine protected against lethal PRV challenge infection, but not with naive PBMC or with PBMC from pigs immunized with plasmid DNA encoding PRV glycoprotein gC. Notably, PBMC derived from immune and naive pigs constitutively produced relatively high amounts of IL-10-specific mRNA, exceeding that of GAPDH mRNA, independently of the addition of viral antigen or the mitogen concanavalin A (Con A). The results of this work should help to provide a better understanding of the effector cell/cytokine network response to infection with, or vaccination against, PRV. Additionally, the simple, reliable and sensitive RT–qcPCR, when used to determine the porcine cytokine pattern, might be of prognostic value for the induction of protective immunity.

– In contrast to the anticipated increase in dental caries following the cessation of water fluoridation in the cities Chemnitz (formerly Karl-Marx-Stadt) and Plauen, a significant fall in caries prevalence was observed. This trend corresponded to the national caries decline and appeared to be a new population-wide phenomenon. Additional surveys (N=1017) carried out in the formerly-fluoridated towns of Spremberg (N=9042) and Zittau (N=6232) were carried out in order to support this unexpected epidemiological finding. Pupils from these towns, aged 8/9-, 12/13- and 15/16-years, have been examined repeatedly over the last 20 years using standardised caries-methodological procedures. While the data provided additional support for the established fact of a caries reduction brought about by the fluoridation of drinking water (48 % on average), it has also provided further support for the contention that caries prevalence may continue to fall after the reduction of fluoride concentration in the water supply from about 1 ppm to below 0.2 ppm F. Caries levels for the 12-year-olds of both towns significantly decreased during the years 1993–96, following the cessation of water fluoridation. In Spremberg, DMFT fell from 2.36 to 1.45 (38.5 %) and in Zittau from 2.47 to 1.96 (20.6%). These findings have therefore supported the previously observed change in the caries trend of Chemnitz and Plauen. The mean of 1.81 DMFT for the 12-year-olds, computed from data of the four towns, is the lowest observed in East Germany during the past 40 years. The causes for the changed caries trend were seen on the one hand in improvements in attitudes towards oral health behaviour and, on the other hand, to the broader availabilty and application of preventive measures (F-salt, F-toothpastes, fissure sealants etc.). There is, however, still no definitive explanation for the current pattern and further analysis of future caries trends in the formerly fluoridated towns would therefore seem to be necessary.

Surfactants are known to be skin irritants, but change in their irritant potential due to change in composition during handling and storage has not previously been investigated. The aim of this study was to investigate the influence of oxidation products on the irritant potential of a non-ionic ethoxylated alcohol, C12E5. Pure and oxidized C12E5 were tested, using 2 different patch test procedures; 1 with a single 24 h exposure and 1 with repeated exposures. 18 healthy volunteers participated in each of these studies. Evaluations were made by visual scoring and by measurement of transepidermal water loss and skin blood flow. In the single exposure study, no significant difference in skin irritation was observed between pure C12E5 and a sample of oxidized C12E5 at the concentrations tested (1, 3, 9 and 27%). After repeated exposures, however, the oxidized C12E5 was significantly more irritant than pure C12E5 at the concentrations 9% and 27% (p

We studied the performance and proprioception of the knee joint in a group of non-reconstructed anterior cruciate ligament (ACL)-deficient (n=20) patients and compared them with a group of ACL-reconstructed patients (n=18) and a group of healthy controls (n=20). Each patient was scored according to Lysholm and Tegner and was then asked to subjectively evaluate the performance of the injured knee and the degree of retropatellar discomfort. The knee joint laxity was measured. The performance was assessed based on the performance in a triple jump test and a one-leg one-step leap test. The proprioception in the knee was measured as the threshold when passive movement was detected and as the ability to reproduce a flexion angle from a start position of 60 degrees of flexion or from full extension of the knee. All tests were performed on both legs. The scoring systems and the subjective evaluation showed significant differences between the reconstructed and the non-reconstructed patients. No significant difference in knee joint laxity was found between the two groups. In the triple jump test and the one-step leap test, both groups performed significantly worse on the leg with the injured knee joint than on the non-injured leg. The proprioceptive tests showed decreased ability to recognize and reproduce a prior angle from a start position of 60 degrees. The threshold to detection of passive movement with the injured knee was significantly increased in both groups of patients. No difference was found between the dominant and non-dominant knee in the control group. When reproduction of the same angles started from full extension, the groups did not differ. These data show that decreased performance and changes in the proprioception of the knee joint accompany ACL rupture.

The development and publication of proposed guidelines for qualitative research (Elliott, Fischer, & Rennie, 1999) is a politically fraught process. We support Reicher's (2000) basic position, that postmodernist critical discourse analysis a la Potter and Wetherell (1987) should develop its own standards of good practice. However, we take exception to Reicher's caricature of phenomenological-hermeneutic research approaches as philosophically naive, and with his grouping of them with positivist quantitative/experimental methods. We contend that he based his response on prior assumptions which in fact do not pertain to our article or our own work as qualitative researchers. In our response, we correct the mischaracterization and aim to encourage all involved to keep communication channels open.

Summary Thirty-two thoracoscopies were performed in 28 horses. Sixteen horses were affected with pleuropneumonia whereas 12 were affected with various other thoracic conditions. The indications for thoracoscopy was diagnostic in 19 cases, therapeutic in 11 cases and both diagnostic and therapeutic in 2 cases. Twenty-six thoracoscopies were done standing whereas 6 were performed under general anaesthesia. The specific procedures performed during thoracoscopy were exploratory only (7), biopsy of the lung and lymph nodes (10), drain placement into pleural effusions (2) and abscesses (5), exploration prior to thoracotomy (2), transection of pleural adhesions and decortication (1) and window pericardectomy (2). Diaphragmatic hernia repair (2) and partial pneumonectomy (1) were initiated thoracoscopically but conversion to thoracotomy was necessary for completion. Standing thoracoscopy was well tolerated in most horses. Transient exacerbation of pulmonary compromise evidenced by tachypnoea was readily alleviated by reinflation of the lung. Standing thoracoscopy provided good visualisation of the dorsal and lateral structures of the thorax. The ventral thoracic structures and the cranial ventral diaphragmatic surfaces of the lungs were best visualised in dorsal or lateral recumbency under general anaesthesia. Thoracoscopy is a safe and useful diagnostic and therapeutic tool in horses with thoracic diseases.

Summary Laparoscopic intra-abdominal ligation and removal of cryptorchid testes in horses was evaluated retrospectively in 50 horses that underwent the procedure between 1991 and 1996. Sixty-one cryptorchid testes were removed by one of the following methods; the use of 1) an endoscoping stapling and transection device, 2) an endoscopic clipping device, 3) an endoscopic ligating loop. Monopolar electrosurgery was combined with these methods to facilitate coagulation and cutting of tissue. In 8 horses, 9 testes were retained between the internal and external inguinal rings. The inguinal testes were removed by cutting the internal inguinal ring and bringing the testis back into the abdomen for removal. No attempt was made to close the internal inguinal ring. The most frequently employed and most cost effective method for laparoscopic intra-abdominal removal of cryptorchid testes in this study was the combined use of an endoscopic ligating loop and monopolar electrosurgery. One intra-operative complication (perforation of the small intestine) occurred and was dealt with successfully. One horse developed a fever attributed to upper respiratory tract infection post operatively and was treated successfully with antibiotic. Intra-abdominal ligation and transection of cryptorchid testes is an effective method for cryptorchid castration. This technique minimises the loss of insufflation, allows inspection of the cut tissue for haemorrhage and offers secure closure of the abdominal wall preventing inguinal herniation and excellent visualisation of the cryptorchid testis.

Many estuaries exhibit seasonal pulses of phytoplankton and zooplankton production. Larval fishes that co-occur with these “blooms” should be at a growth and survival advantage compared with larvae that occur before or after the bloom, although this has been difficult to observe in many systems. We tested this potential advantage for larval (< 10 mm notochord length) striped bass Morone saxatilis and white perch M. americana in the Hudson River by examining consumption and feeding selectivities with respect to zooplankton blooms. The cladoceran Bosmina longirostris and large copepodite and adult copepods together composed 97.4%, and 90.9% of larval striped bass and white perch diets, respectively. Peak consumption rates of Bosmina coincided with the bloom. whereas copepod consumption rates continued to increase throughout the sampling period. Selectivity for copepods was inversely related to selectivity for Bosmina and was high, except at those sites and times when Bosmina densities exceeded 14 a...

DMP 504 is a novel hydrogel bile acid sequestrant in development for the treatment of moderate hypercholesterolemia. The drug is a condensation polymer synthesized from 1,10-dibromodecane and 1,6-diaminohexane. In vitro binding studies demonstrate that DMP 504 is superior to cholestyramine (CS) with respect to equilibrium binding capacity and affinity for bile acids. The goals of the research reported herein were to assess the in vivo hypolipidemic activity of DMP 504, to elucidate the mechanism of action of DMP 504, and to determine the potency of DMP 504 relative to CS in hamsters. Six dose groups each of DMP 504 and CS were included in the study, along with an untreated control group. The DMP 504 doses ranged from 20–1,000 mg/kg/day for 14 days; CS doses ranged from 50–2,000 mg/kg/day for 14 days. There were 48 animals per dose group; drugs were administered in the feed. At the midpoints of the dose-response curves, DMP 504 was superior to CS with respect to increasing the output of fecal bile acids (7-fold) and sterols (3-fold), increasing the activity of hepatic cholesterol 7α-hydroxylase activity (C7αOH) (6-fold), and decreasing the circulating levels of total serum cholesterol (6-fold), non-HDL cholesterol (6-fold), and HDL cholesterol (4-fold). Neither DMP 504 nor CS had significant effects on serum triglycerides or apo-B. In summary, DMP 504 is a new bile acid sequestrant that is mechanistically similar to CS, but is, on average, 6-fold more potent. Drug Dev. Res. 41:65–75, 1997. © 1997 Wiley-Liss, Inc.

Changes in the biomass of benthic bivalves can cause dramatic changes in total grazing pressure in aquatic systems, but few studies document ecosystem-level impacts of these changes. This study documents a massive decline in phytoplankton biomass con- current with the invasion of an exotic benthic bivalve, the zebra mussel ( Dreissena poly- morpha), and demonstrates that the zebra mussel actually caused this decline. In the fall of 1992 the zebra mussel became established at high biomass in the Hudson River Estuary, and biomass of mussels remained high during 1993 and 1994. During these 2 yr, grazing pressure on phytoplankton was over 10-fold greater than it had been prior to the zebra mussel invasion. This increased grazing was associated with an 85% decline in phyto- plankton biomass. Between 1987 and 1991 (pre-invasion), summertime chlorophyll aver- aged 30 mg/m 3 ; during 1993 and 1994 summertime concentrations were ,5 mg/m 3 . Over this same period, light availability increased, phosphate concentrations doubled, some planktonic grazers declined, and average flow was not different from the pre-invasion period. Thus, changes in these other factors were not responsible for phytoplankton declines. We developed a mechanistic model that reproduces the spatial and temporal dynamics of phytoplankton prior to the invasion of the zebra mussel (1987-1991). The model ac- curately predicts extreme declines in phytoplankton biomass after the invasion (1993-1994). The model demonstrates that zebra mussel grazing was sufficient to cause the observed phytoplankton decline. The model also allows us to test which features make the Hudson River sensitive to the impact of benthic grazers. The model suggests that the fate of light- scattering inorganic particles (turbidity) is a key feature determining the impact of benthic grazers in aquatic systems.

Summary The incidence of epiploic entrapment of the small intestine in horses undergoing celiotomy for colic was 5%. The condition was more prevalent in older (mean 9.81 years) gelding and Thoroughbred horses. Preoperative peritoneal protein level was a good prognostic indicator as it was significantly greater in the nonsurvivor (39.4 ± 5.10) group than in the survivor group (26.6 ± 14.0) (P

Background Focal hyperhidrosis can severely affect quality of life. So far, knowledge on the effect of systemic therapy of focal hyperhidrosis is limited. Objective To assess the efficacy and safety of methantheline bromide (MB) in the treatment of axillary and palmar-axillary hyperhidrosis. Methods A multicenter controlled randomized double-blind clinical trial was conducted in patients with axillary or palmar-axillary hyperhidrosis defined by a sweat production >50 mg/5 min. Patients received 3 × 50 mg MB daily or placebo over a period of 28 ± 1 days. Main outcome criterion was the reduction of sweat as measured by gravimetry on day 28 ± 1. Quality of life was assessed by Dermatology Life Quality Index (DLQI) and Hyperhidrosis Disease Severity Score (HDSS). Results A total of 339 patients were randomly assigned to receive MB or placebo. On day 28 ± 1, the mean axillary sweat production was 99 mg for MB and 130 mg for placebo compared with 168 mg and 161 mg respectively at baseline (P = 0.004). Patient′s HDSS score decreased in the MB group from 3.2 to 2.4 compared with 3.2 to 2.7 for placebo (P = 0.002). Similar results could be obtained for the DLQI with 9.7 for MB and 12.2 for placebo, which decreased from 16.4 or 17 respectively (P = 0.003). Tolerability was good for both groups. The most frequent adverse event was dry mouth. Conclusion Fifty milligrams methantheline bromide three times a day is an effective and safe treatment of axillary hyperhidrosis.

Wnt/β-catenin signaling controls the proper development of the mid-/hindbrain region (MHR) and of midbrain dopaminergic (mDA) neurons, but the Frizzled (Fzd) receptors transducing these signals are still unknown. Fzd3 is expressed throughout the mouse anterior neural tube, whereas Fzd6 is restricted to the MHR. We show that the MHR is properly established and mDA neurons develop normally in Fzd6−/− mutants, but the number of mDA neurons is initially reduced and recovers at later stages in Fzd3−/− embryos. Fzd3−/−; Fzd6−/− double mutants exhibit a severe midbrain morphogenesis defect consisting of collapsed brain ventricles, apparent thickening of the neuroepithelium, focal disruption of the ventricular basal lamina and protrusion of individual cells, and increased proliferation at later stages, despite a normal closure of the anterior neural tube and the rescue of the mDA defect in these embryos. Fzd3 and Fzd6 thus control proper midbrain morphogenesis by a yet unknown mechanism in the mouse. Developmental Dynamics 239:246–260, 2010. © 2009 Wiley-Liss, Inc.

A new allergenic preparation consisting of peptic fragments of short ragweed has been tested for its clinical effectiveness. Such enzymatically derived fragments have been shown in prior murine studies to retain the T epitopes of the original allergen but to have a severe reduction in the number of B epitopes. Three groups of ragweed hayfever patients were placed on pre-seasonal immunotherapy. One group received a conventional ragweed preparation that had been enriched for antigen E (Amb a I), designated as Pool 2. The second group was given fragments of Pool 2 (fSRW) prepared by peptic digestion and the third group was injected with histamine as a placebo. Groups treated with the fSRW and Pool 2 had significantly reduced symptom-medication scores compared with the placebo-treatment group. However, fSRW-treated patients fared significantly better than Pool 2 patients (P less than 0.02). fSRW injections caused a significant rise in preseasonal specific IgG, antibodies as well as suppression of the seasonal anamnestic specific IgE increase. Similar, but not quite as marked changes occurred with Pool 2 treatment. fSRW was well tolerated and non-toxic. Thus, allergen modification by enzymatic degradation, as demonstrated here, appears to be a promising new approach for allergen immunotherapy.