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The effects of eyestalk ablation on osmotic and ionic regulation and Na+, K+-ATPase activity of Marsupenaeus japonicus were investigated in a period of 24 hrs. The osmolarity, potassium, and calcium concentration were high in the shrimps treated bilaterally, intermediate in the shrimps that were treated unilaterally, and low in the intact shrimps, while all those values of eyestalk ablated shrimps increased with increasing treatment time. However, the haemolymph sodium and chloride concentra- tion of eyestalk ablated shrimps were lowered, and also decreased further with increasing treatment time. The bilaterally and unilaterally ablated shrimps had higher total ATPase and Na+, K+-ATPase activities in the gills than the intact shrimp, and the ATPase activities of the ablated ones were raised with increasing treatment time up to 16 hrs. Therefore, eyestalk ablation of shrimps causes changes in the osmotic and ionic regulation, and also affects the Na+, K+-ATPase activity of the gills. [ABSTRACT FROM AUTHOR]

Setting: A tertiary care academic medical centre., Objective: To evaluate the clinical usefulness of C-X-C motif chemokine receptor 3 (CXCR3) ligands in tuberculous pleural effusion (TPE)., Design: We recruited 336 patients with pleural effusion due to various causes. Concentrations of interferon-gamma (IFN-γ) and the CXCR3 ligands CXCL9 and CXCL11 were determined using enzyme immunoassays; adenosine deaminase (ADA) activity was measured in pleural fluid and serum., Results: TPE was diagnosed in 106 patients. Non-TB conditions included lung cancer (n = 95), para-pneumonic effusion (n = 52), non-lung malignancy (n = 30), other exudate (n = 24) and transudate (n = 29) disorders. All marker levels in serum samples and pleural fluid were significantly higher in the TPE group. Analyses of receiver operating characteristic curves for differentiating TPE from non-TB effusions produced the following results for the area under the curve (AUC) for CXCL9, CXCL11, IFN-γ and ADA, respectively: 0.982, 0.952, 0.982, and 0.952. Marker AUCs in lymphocytic exudates were also high. Combining the levels of CXCL9, IFN-γ and ADA in pleural fluid improved the diagnostic performance. Serum levels of CXCL9 had the highest AUC (0.848) for diagnosing TPE., Conclusion: Levels of CXR3 ligands in pleural effusion are useful for diagnosing TPE.

Setting: Tertiary care academic medical centre., Objective: To evaluate the clinical utility of CXC chemokine receptor 3 (CXCR3) ligands in the diagnosis and monitoring of tuberculosis (TB)., Design: Presumptive TB patients (active TB, 256; non-TB disease, 52) and 201 healthy controls were enrolled. The serum levels of interferon-gamma (IFN-γ) and CXCR3 ligands (CXCL9, a monokine induced by IFN-γ [MIG] and CXCL11, an IFN-inducible T-cell α chemoattractant [I-TAC]) were measured using enzyme-linked immunosorbent assay. An IFN-γ release assay (IGRA) was also performed. Serial samplings were performed in 19 TB patients at baseline and at 1, 2, 3, 6 and 12 months after treatment initiation., Results: All marker levels were higher in TB patients than in controls and non-TB patients. The area under the curve (AUC) for differentiating between all TB patients and controls was 0.96 (95%CI 0.94-0.98) for CXCL9, 0.84 (95%CI 0.80-0.87) for CXCL11 and 0.61 (95%CI 0.57-0.66) for IFN-γ. CXCL9 levels afforded particularly high discriminatory power between TB patients and IGRA-positive controls (AUC = 0.95, 95%CI 0.92-0.97). The levels of CXCR3 ligands decreased significantly during follow-up, and these changes were correlated with treatment response., Conclusion: CXCR3 ligands CXCL9 and CXCL11 may be useful surrogate markers for the diagnosis and follow-up of TB.

Setting: A tertiary care academic medical centre., Objective: To evaluate the clinical usefulness of CXC chemokine receptor 3 (CXCR3) ligands in active pulmonary tuberculosis (TB)., Design: Patients with various pulmonary diseases and healthy controls were recruited into this cross-sectional study. Plasma levels of interferon-gamma (IFN-γ) and the CXCR3 ligands (CXCL9 [monokine induced by IFN-γ, MIG], CXCL10 [IFN-γ-inducible 10-kDa protein, IP-10] and CXCL11 [IFN-inducible T-cell α chemoattractant, I-TAC] were measured using enzyme immunoassays., Results: The study included 846 subjects: 201 patients with active pulmonary TB, 389 with other pulmonary diseases, and 256 controls. CXCR3 ligand levels were higher in TB patients than in controls and all other disease groups, whereas the IFN-γ levels did not differ. The area under the curve (AUC) for differentiating active TB from all other groups was 0.797 for CXCL9, 0.726 for CXCL10, 0.846 for CXCL11 and 0.534 for IFN-γ. The AUC for differentiating active TB from controls was 0.926 for CXCL9, 0.818 for CXCL10, 0.865 for CXCL11 and 0.575 for IFN-γ. CXCR3 levels correlated with sputum acid-fast bacilli smear grades and the radiographic extent of pulmonary TB., Conclusion: CXCR3 ligands may be useful surrogate markers for diagnosing active TB and for assessing TB patients clinically.

Setting: Emphysema without airway obstruction or airway obstruction without emphysema are often detected clinically, although they are commonly co-existent. We therefore tested the hypothesis that non-obstructive emphysema and pure airway obstruction have unique features., Methods: A case-control observation study was undertaken retrospectively in a patient cohort at a single centre. Among 2662 subjects who underwent chest computed tomography and pulmonary function tests, we enrolled 90 patients with non-obstructive emphysema, 119 with pure airway obstruction, 81 with obstructive emphysema and 2031 subjects as normal controls. The features of the four groups were analysed and compared., Results: Higher serum homocysteine (13.4 ± 7.4 vs. 11.6 ± 4.6 mol/l), higher rate of osteoporosis (15.8% vs. 4.5%), higher leukocyte count, higher male ratio, lower serum albumin and lower body mass index were observed in subjects with non-obstructive emphysema than in controls (P < 0.05). In multiple logistic regression analysis of groups without airway obstruction, osteoporosis, hyperhomocysteinaemia, hypoalbuminaemia and higher leukocyte count were independent factors associated with non-obstructive emphysema (P < 0.05)., Conclusion: Hyperhomocysteinaemia, hypoalbuminaemia, osteoporosis and higher leukocyte count were independent predictors of non-obstructive emphysema.

Smoked salmon contaminated with Listeria monocytogenes has been implicated in foodborne listeriosis. The objectives of this study were to model the growth characteristics and examine the growth relationship of L. monocytogenes and native microflora in smoked salmon. Smoked salmon samples with a native microflora count of 2.9 log(10) CFU/g were inoculated with a 6-strain mixture of L. monocytogenes to levels of log(10) 1.6 and log(10) 2.8 CFU/g, and stored at 4, 8, 12, and 16 degrees C. Growth characteristics (lag phase duration [LPD, h], growth rate [GR, log(10) CFU/h], and maximum population density [MPD, log(10) CFU/g]) of L. monocytogenes and native microflora were determined. At 4 to 16 degrees C, the LPD, GR, and MPD were 254 to 35 h, 0.0109 to 0.0538 log(10) CFU/h, and 4.9 to 6.9 log(10) CFU/g for L. monocytogenes, respectively, and were 257 to 29 h, 0.0102 to 0.0565 log(10) CFU/h, and 8.5 to 8.8 log(10) CFU/g for native microflora. The growth characteristics of L. monocytogenes or the native microflora were not significantly different (P > 0.05), regardless the initial levels of L. monocytogenes. Mathematical equations were developed to describe the LPD, GR, and MPD of L. monocytogenes and native microflora as a function of storage temperature. The growth relationship between L. monocytogenes and native microflora was modeled and showed that the LPD and GR of L. monocytogenes were similar to those of native microflora. These models can be used to estimate the growth characteristics of L. monocytogenes in smoked salmon, and thereby enhance the microbiological safety of the product.

Point contact Andreev reflection (PCAR) spectroscopy is a common technique for determining the spin polarization of a ferromagnetic sample. The polarization is extracted by measuring the bias dependence of the conductance of a metallic/superconducting point contact. Under ideal conditions, the conductance is dominated by Andreev reflection and the Blonder-Tinkham-Klapwijk (BTK) model can be used to extract a value for the polarization. However, PCAR spectra often exhibit unwanted features in the conductance that cannot be appropriately modelled with the BTK theory. In this paper we isolate some of these unwanted features and show that any further extraction of the spin polarization from these non-ideal spectra proves unreliable. Understanding the origin of these features provides an objective criterion for rejection of PCAR spectra unsuitable for fitting with the modified BTK model.

Listeria monocytogenes has been implicated in several listeriosis outbreaks linked to the consump tion of presliced ready-to-eat (RTE) deli meats, which has drawn considerable attention in regard to possible cross-contamination during slicing operation at retail and food service environments. Salami with 15% fat (a moderate l fat content deli item) was used to investigate the transfer of L. monocytogenes between a meat slicer and salami slices and to understand its impact on food safety. A 6-strain cocktail of L. monocytogenes was inoculated onto a slicer blade to an initial level of approximately 3, 5, 6, 7, or 9 log CFU/blade (or approximately 2, 4, 5, 6, or 8 log CFU/cm2 of the blade edge area), and then the salami was sliced to a thickness of 1 to 2 mm (case I). For another cross-contamination scenario, a clean blade was first used to slice salami loaf that was previously surface-inoculated with L. monocytogenes (approximately 3, 5, 6, 7, 8, or 9 log CFU/100 cm2 area), followed by slicing the uninoculated salami loaf (case II). The salami slicing rate was maintained at an average of 3 to 4 slices per minute in all the tests. The results showed that the empirical models developed in this study were reasonably accurate in describing the transfer trend/pattern of L. monocytogenes between the blade and salami slices if the inoculum level was >5 log CFU on the salami or blade. With an initial inoculum at 3 or 4 log CFU, the experimental data seemed to suggest a rather random pattern of bacterial transfer between blade and salami. The currently developed models are microbial load (n), sequential slice index (X), and contamination route dependent, which might limit their applications to certain conditions. However, the models may be further applied to predict the 3 or 4 log CFU level (and below) cross-contamination of salami slicing process. Considering only few data are available in the literature regarding food pathogen surface transfer, the empirical models may provide a useful tool in building risk assessment procedures.

Confocal laser scanning microscopy (CLSM) was used in the reflection mode to characterize the surface texture (roughness) of sliced food surfaces. Sandpapers with grit size between 150 and 600 were used as height references to standardize the CLSM hardware settings. Sandpaper particle sizes were verified by scanning electron microscopy (SEM). The mean amplitude (in micrometers) of surface variation along line segments of the scanned sandpaper topographical image sets showed very close agreement between the measured result and the grit particle size (based on the U.S. Coated Abrasive Manufactures Inst. {CAMI], standard). The verified instrument settings were then used to measure the surface texture of mechanically sliced food surfaces, including cooked ham, salami, and cheese. Sliced food surface texture parameters of Ra (average height of a line segment), Rs (surface area ratio), Pa (average height on a region of interest), and Pq (root-mean-square height on a region of interest) were evaluated by this method. Values of the surface roughness of sliced ham, salami, and cheese were found to be comparable to the range of dimensions of selected sandpapers. The CLSM method may be useful for other surface texture measurements, and to investigate the impact of food surface texture on microbial adhesion or attachment, which might play a significant role in microbial transfer from one surface to another.

Background and Aims: Cetylpyridinium chloride (CPC) mouth rinses have moderate plaque inhibitory activity when used alone but rarely have shown adjunctive benefits to tooth brushing with toothpaste. Several explanations for this apparent anomaly can be proferred, including loss of antiseptic activity due to interactions with toothpaste ingredients. The aim of this study was to measure the effect of toothpaste on the plaque inhibitory properties of a CPC mouth rinse using paired rinses of CPC, toothpaste slurry (TP) and water (W)., Methods: The study was a single blind, randomised, seven-treatment, cross over design balanced for residual effects, involving 21 healthy, dentate subjects. The paired rinses were: W-CPC, CPC-W, TP-CPC, CPC-TP, W-TP, TP-W and W-W. Rinsing with solutions or slurries was done for 60 s twice per day. On day 1, subjects were rendered plaque free, suspended tooth cleaning and commenced the allocated rinse regimen. On day 5, plaque was scored by index. A 2(1/2) day wash out of normal oral hygiene was allowed between each regimen., Results: The order from lowest to highest plaque scores was as follows: W-CPC = CPC-W < CPC-TP < TP-CPC < or = W-TP < TP-W < W-W. Several differences in pairs of treatments were statistically significant, the most relevant of which were significantly less plaque with W-CPC compared to TP-CPC, TP-W and W-TP, and significantly more plaque with W-W compared to all other regimens except TP-W., Conclusions: Toothpaste, whilst possessing some plaque inhibitory activity, when used immediately before a CPC mouth rinse adversely affected the plaque inhibitory action of this antiseptic. This in part may explain the reported lack of adjunctive benefits of CPC rinses to normal oral hygiene practices and supports the suggestion, made for chlorhexidine rinses, that their use should follow toothpaste by at least 60 min.

Objectives: To assess the comparative activity of mouthrinses containing cetylpyridinium chloride (CPC) and chlorhexidine using the propensity to cause extrinsic staining in vitro as the outcome variable., Methods: Saliva-coated clear acrylic specimens were exposed to cyclical staining regimens of either CPC or chlorhexidine followed by tea. Water and 0.2% chlorhexidine were used as negative and positive controls respectively. Staining cycles were repeated until an optical density of > 2 was reached by one of the products., Results: For CPC there was a highly significant difference in staining between the products. Two CPC products performed numerically little better than water. For the chlorhexidine products the 0.2% formulation produced the most staining although little more than the UK version of the 0.1% rinse. The French 0.1% rinse produced by the same manufacturer as the UK formulation showed markedly reduced staining potential although significantly greater than water., Conclusion: This study, supported by previous in vitro and in vivo studies, indicates discrepancies in the availability of CPC and chlorhexidine in some mouthrinse products. Importantly, this may have an effect on the potential of some rinses to provide the expected plaque inhibitory activity.

Toothbrushing with toothpaste is the most widely used method of home dental care for the populations of the Western world. The traditional role of toothpaste is primarily cosmetic, in aiding the cleaning of teeth and producing fresh breath. Today, however, formulations contain ingredients which may also help oral health by way of reducing dental plaque and improving gingival/periodontal health. This article provides a short review on the usefulness of these chemicals when used primarily in toothpastes.

The market for whitening toothpastes in the UK is burgeoning at present, but little has been published about the modes of action or efficacy of such pastes. Much is known about how the individual ingredients work, but toothpaste formulations are complex and there is potential for interaction. Studies have been undertaken to compare the efficacy of various test products, but these have used different types of trial design and consequently direct comparisons are difficult, not least because there are several ways of measuring 'whiteness', and there is no consensus of opinion between workers in this field as to the best way to record it.

Objectives: To detect any differences in the propensity of individual saliva to cause in vitro staining by chlorhexidine and tea., Methods: Unstimulated human saliva was collected on a daily basis and used to coat optically clear Perspex specimens. Specimens were subjected to the original chlorhexidine/tea staining model described by Prayitno and Addy (Journal of Periodontal Research 1979;14:397-402), and cycles repeated until a maximum optical density of two was reached., Results: Stain development increased incrementally with increasing cycles. Differences in chlorhexidine/tea staining between subjects were obvious by cycle 3 where the lowest 'stainer' had 56% less stain than the highest 'stainer'. Highly significant differences between subjects were seen during staining cycles 3-6, but not at cycles 7 and 8., Conclusions: In vitro stain formation using saliva from different individuals occurred at differing rates when all other variables were standardised. The properties of saliva accounting for this are still unknown, and warrant further study.

Background/aims: Cationic antiseptics such as chlorhexidine (CHX) and cetyl pyridinium chloride (CPC) interact with dietary chromogens to produce extrinsic stain, and this can be used as a measure of activity of products. The aim of these studies in vitro was to determine if toothpaste influenced the tea staining effects of CHX and CPC as a predictor of action in vivo., Method: Clear acrylic specimens were soaked in pooled human saliva followed by sequential 2-min soaks in pairs of agents, namely 0.05% CHX, 0.05% CPC, 0.2% CHX, water (W) and toothpaste slurry (TP). The combinations were; TP/CHX, CHX/TP, TP/CPC, CPC/TP, W/CHX, CHX/W, W/CPC, CPC/W, TP/W, W/TP, W/W. These treatments were followed by a 60 min soak in tea. Optical density readings were taken at baseline and after each of 8 cycles., Results: In the separate CHX and CPC studies by comparison with W/CHX, TP/0.05% CHX had little effect on staining, but TP/0.2% CHX showed a reduction in staining of 18%. 0.05% CHX/TP reduced staining by >40%, and 0.2% CHX by >78%. TP/CPC reduced staining by >26% and CPC/TP by 80%. Water after 0.2% CHX, 0.05% CHX and CPC reduced staining by 18%, 13% and 17% respectively. Little staining was seen with TP and W combinations. The data for CHX are in agreement with a study in vivo except TP followed by CHX reduced the activity of CHX., Conclusion: Toothpaste appears to adversely affect the activity of CHX and CPC particularly if used immediately after the antiseptics. The data further supports the concept of separating the use of antiseptics until sometime after the use of toothpaste, and the idea of developing mouthwash friendly toothpastes.

Background and Aims: Hepatolithiasis is prevalent in southeast Asia and presents a difficult management problem. Acute repeated episodes of cholangitis are frequently manifested in patients with hepatolithiasis. Without proper treatment, such infection can lead to liver abscess, secondary biliary cirrhosis, portal hypertension, and death from sepsis or hepatic failure. In addition to clearance of the stones and relief of bile stasis either by surgery or by interventional radiologic manipulation, effective antimicrobial therapy also plays a crucial role in the treatment of patients with hepatolithiasis. The aim of this study is to clarify the bacteriology in hepatolithiasis and to provide the information for an appropriate antimicrobial choice., Methods: From July 1993 to June 1996, 150 patients with hepatolithiasis underwent surgical intervention. Bile specimens were routinely obtained by syringe aspiration from common bile duct. The syringe was immediately capped, and the bile was subsequently cultured for both aerobes and anaerobes., Results: Bacteria were present in the bile of all patients. The bacteria most frequently found were gram-negative bacteria such as Klebsiella sp, Escherichia coli, and Pseudomonas sp, and the gram-positive Enterococcus sp. Bacteroides sp were the most frequently found anaerobes., Conclusions: This study demonstrated the close relationship between acute cholangitis in hepatolithiasis and enteric bacteria and also displayed the detailed antibiotic sensitivity results. Armed with this fruitful information, we believe the antibiotic treatment for acute cholangitis in hepatolithiasis should first aim at enteric bacteria and be adjusted later according to the results of bacteriologic cultures and clinical situation to achieve an effective microbial control.

We describe life-threatening methemoglobinemia in a child who ingested a nitroethane artificial-fingernail remover initially mistaken to be an acetone-based polish remover. Nitroethane-induced methemoglobinemia may be delayed and recurrent; patients ingesting this substance may warrant close observation for at least 24 hours. Care givers are cautioned to determine the precise substance involved in ingestions of potentially toxic fingernail products.