bluuebunny/crossref_metadata_2025_split huggingface dataset:
TG13: Updated Tokyo Guidelines for the management of acute cholangitis and cholecystitis
Authors: Takada Tadahiro , Strasberg Steven M. , Solomkin Joseph S. , Pitt Henry A. , Gomi Harumi , Yoshida Masahiro , Mayumi Toshihiko , Miura Fumihiko , Gouma Dirk J. , Garden O. James , Büchler Markus W. , Kiriyama Seiki , Yokoe Masamichi , Kimura Yasutoshi , Tsuyuguchi Toshio , Itoi Takao , Gabata Toshifumi , Higuchi Ryota , Okamoto Kohji , Hata Jiro , Murata Atsuhiko , Kusachi Shinya , Windsor John A. , Supe Avinash N. , Lee Sung Gyu , Chen Xiao‐Ping , Yamashita Yuichi , Hirata Koichi , Inui Kazuo , Sumiyama Yoshinobu 
Published: January 2013

AbstractIn 2007, the Tokyo Guidelines for the management of acute cholangitis and cholecystitis (TG07) were first published in the Journal of Hepato‐Biliary‐Pancreatic Surgery. The fundamental policy of TG07 was to achieve the objectives of TG07 through the development of consensus among specialists in this field throughout the world. Considering such a situation, validation and feedback from the clinicians' viewpoints were indispensable. What had been pointed out from clinical practice was the low diagnostic sensitivity of TG07 for acute cholangitis and the presence of divergence between severity assessment and clinical judgment for acute cholangitis. In June 2010, we set up the Tokyo Guidelines Revision Committee for the revision of TG07 (TGRC) and started the validation of TG07. We also set up new diagnostic criteria and severity assessment criteria by retrospectively analyzing cases of acute cholangitis and cholecystitis, including cases of non‐inflammatory biliary disease, collected from multiple institutions. TGRC held meetings a total of 35 times as well as international email exchanges with co‐authors abroad. On June 9 and September 6, 2011, and on April 11, 2012, we held three International Meetings for the Clinical Assessment and Revision of Tokyo Guidelines. Through these meetings, the final draft of the updated Tokyo Guidelines (TG13) was prepared on the basis of the evidence from retrospective multi‐center analyses. To be specific, discussion took place involving the revised new diagnostic criteria, and the new severity assessment criteria, new flowcharts of the management of acute cholangitis and cholecystitis, recommended medical care for which new evidence had been added, new recommendations for gallbladder drainage and antimicrobial therapy, and the role of surgical intervention. Management bundles for acute cholangitis and cholecystitis were introduced for effective dissemination with the level of evidence and the grade of recommendations. GRADE systems were utilized to provide the level of evidence and the grade of recommendations. TG13 improved the diagnostic sensitivity for acute cholangitis and cholecystitis, and presented criteria with extremely low false positive rates adapted for clinical practice. Furthermore, severity assessment criteria adapted for clinical use, flowcharts, and many new diagnostic and therapeutic modalities were presented. The bundles for the management of acute cholangitis and cholecystitis are presented in a separate section in TG13.
Epizoochory in a hedgerow habitat: seasonal variation and selective diaspore adhesion
Authors: Hernández Ángel , Zaldívar Pilar 
Published: January 2013

AbstractEpizoochory has been less studied than other seed dispersal mechanisms, such as endozoochory, and generally only a small percentage of plant species show adaptations to this strategy. Nevertheless, epizoochorous seed dispersal can affect an appreciable number of herb species in forests and man‐made habitats. Also, few studies have dealt with temporal variation in epizoochory. In this paper, medium‐long distance epizoochory is analyzed in a hedgerow habitat for the first time, using a domestic dog in an area in northwest Spain. Special attention is paid to seasonal variation and differential traits of plant taxa involved. Approximately 30 % of available herb taxa were found attached to hair. The intermonthly difference in the frequency of the taxa involved in epizoochory was significant, and the overall peak was reached in June–October linked with diaspore ripening phenology. Ninety‐three percent of the plant taxa adhered to hair had diaspores with traits facilitating epizoochory (hooks, spines, awns, rigid hairs), in comparison with 17 % for available plant taxa not adhered to hair. The taxa involved in epizoochory had larger diaspores than the rest of the available taxa, but ranged considerably in size. Numerous hooks covered the largest, heaviest diaspores, and allowed them to attach to hair. There was no significant difference in mean plant height between taxa involved in epizoochory and the rest of the available taxa. The difference in life span between taxa involved in epizoochory and the rest of available taxa was not significant, most of them being perennials in both cases. Seventy‐three percent of all the available plant taxa were potential forest plants typically found in edges and gaps, and 64 % of the plant taxa involved in epizoochory were these kinds of potential forest plants. High or medium involuntary positive selection by the dog of diaspores of Taraxacum gr. officinale, Galium aparine, Geum urbanum, and Agrimonia eupatoria was observed. In conclusion, epizoochorous dispersal can be quantitatively and functionally important in hedgerow habitats during summer‐autumn, affecting mainly herb taxa with specialized diaspores.
Application of Lipase from Marine BacteriaBacillus sonorensisas an Additive in Detergent Formulation
Authors: Nerurkar Madhura , Joshi Manasi , Pariti Sujata , Adivarekar Ravindra 
Published: January 2013

AbstractThe efficacy of lipase (triacylglycerol acylhydrolases EC 3.1.1.3) as a detergent additive from a newly isolated marine halophilic bacteriaBacillus sonorensisfrom marine clamsPaphia malabaricacollected in the Kalbadevi Estuary, Mumbai, has been assessed and reported. In terms of activity and stability, the lipase exhibited maximum activity in alkaline conditions and was observed to be stable over a temperature range from room temperature to 60 °C. The activity of the lipase increased in the presence of surfactants and detergents. Due to these properties of the lipase from marine bacteria, it was used as an additive in detergents to study its efficiency at corn oil removal from fabrics. The washing studies indicated that the efficiency of corn oil removal from the cotton fabrics increased by 20 % when lipase was incorporated in the detergent as compared to the treatment with detergent alone. The lipase was also capable of removing corn oil from natural as well as synthetic fabrics dyed with a respective, preferred class of dyes.
Reliability of Ultrasound Measures of the Transversus Abdominis: Effect of Task and Transducer Position
Authors: Larivière Christian , Gagnon Dany , De Oliveira Eros , Henry Sharon M. , Mecheri Hakim , Dumas Jean‐Pierre 
Published: January 2013

ObjectiveTo assess the reliability of ultrasound (US) measures of the transversus abdominis (TrA) muscle in a sample of subjects with and without specific chronic low back pain and to test whether reliability is enhanced by using different abdominal muscle activation tasks, with use of a foam cube for US transducer stabilization or by averaging 3 measures on the same image.DesignCross‐sectional repeated‐measures design.SettingLaboratory setting.PatientsFifteen subjects with chronic low back pain and 15 control subjects.MethodsSubjects (n = 30) performed 3 tasks in the supine position: (1) contralateral straight leg raise (SLR), (2) bilateral hook‐lying leg raising (HLR), and (3) abdominal drawing‐in maneuver (ADIM) (control subjects only). Two 7‐second videos of the right and left abdominal wall (from rest to contraction) were collected, with and without use of the foam cube. One of the 2 raters repeated the testing 7 to 14 days later to assess intrarater reliability.Main outcome measurementsUS imaging of abdominal muscles thickness.ResultsThe TrA muscle was recruited preferentially in the ADIM task compared with the automatic tasks (SLR and HLR). The reliability was comparable among the 3 tasks, with intrarater reliability results being better than interrater reliability results. The use of the foam cube or averaging measures on the same image was generally not effective to increase reliability.ConclusionsAlthough they are not as preferential in TrA recruitment as the ADIM, the SLR and HLR tasks showed comparable reliability results. The foam cube used to control transducer orientation and pressure and averaging measures on the same image had limited effect on reliability.
Evaluation of the analgesic efficacy of AZD1940, a novel cannabinoid agonist, on post-operative pain after lower third molar surgical removal
Authors: Kalliomäki Jarkko , Segerdahl Märta , Webster Lynn , Reimfelt Annika , Huizar Karin , Annas Peter , Karlsten Rolf , Quiding Hans 
Published: January 2013

Abstract

Aim
To evaluate the analgesic efficacy of AZD1940, a novel peripherally acting cannabinoid CB1/CB2 receptor agonist, in patients undergoing third molar surgical removal.

Methods
This was a randomized, double-blind, placebo-controlled study in patients scheduled for surgical removal of an impacted lower third molar. Patients received a single oral dose of 800 μg AZD1940, 500 mg naproxen or placebo 1.5 h before surgery. The dose of 800 μg AZD1940 was selected based on earlier data from a single dose study in man, in which it was identified as the highest well tolerated dose. Ongoing post-operative pain (primary variable) and pain on jaw movement were assessed on a visual analog scale (VAS, 0-100 mm) from 0 to 8h postoperatively, deriving the area under the curve of ongoing pain (VAS AUC0–8h), and of pain on jaw movement (VASJM AUC0–8h). The time to requesting rescue medication (acetaminophen) was recorded. Subjective cannabinoid effects were assessed by the visual analog mood scale (VAMS).

Results
In total, 151 patients were randomized to AZD1940 (n = 61), placebo (n = 59) or naproxen (n = 31). There was no statistically significant difference in pain VAS AUC0–8h or in VASJM AUC0–8h between AZD1940 and placebo. Naproxen significantly reduced both pain VAS AUC0–8h and VASJM AUC0–8h as compared with placebo (p < 0.0001 for both). Significantly fewer patients on naproxen requested rescue medication and the duration of time to rescue was greater, as compared with placebo, whereas there were no significant differences between AZD1940 and placebo in these outcome variables. Statistically significant increases in VAMS items “sedated” and “high” were observed after AZD1940 compared with placebo. The increases in VAMS were numerically small compared with previous findings with a centrally acting cannabinoid. The most commonly observed adverse events (AE) on treatment with AZD1940 were postural dizziness (80% of subjects), nausea (26%), hypotension (21%) and headache (13%), most AE being mild to moderate.

Conclusion
The CB1/CB2 receptor agonist AZD1940 did not reduce post-operative pain after lower third molar surgical removal at doses exerting subjective cannabinoid effects.

Implications
Activation of peripheral CB1/CB2 receptors per se is probably of less clinical relevance for the treatment of acute nociceptive pain in man.
Activation of TRPM8 cold receptor triggers allodynia-like behavior in spinally injured rats
Authors: Gao Tianle , Hao Jingxia , Wiesenfeld-Hallin Zsuzsanna , Xu Xiao-Jun 
Published: January 2013

Abstract

Aims
Pain in response to innocuous cold stimulation (cold allodynia) is a common symptom in patients with neuropathic pain. Cold allodynia is difficult to treat and its mechanisms are poorly understood. Several transient receptor potential (TRP) channels have been shown to be the molecular sensors for cold stimulation in a temperature-dependent manner, but the contribution of various TRP channels in mediating cold allodynia in neuropathic pain is unclear. We have previously shown that spinally injured rats developed neuropathic pain-like behaviors, including marked cold allodynia. We now assessed the role of TRP channels in mediating cold allodynia in rats after ischemic spinal cord injury.

Methods
Methods: Spinal cord injury was produced using a photochemical method. The mechanical allodynia was assessed by examining the vocalization thresholds to graded mechanical touch/pressure applied with von Frey hairs. Temperature controlled cold stimulation was produced by a Peltier thermode (active surface 25 mm × 50 mm) connected to a MSA Thermal Simulator (Somedic, Sweden) with baseline temperature of 32 °C. The rate of temperature change was 0.5 °C/s. The temperature required to elicit cold allodynia was examined. The responses of the rats to topical application of icilin or menthol, agonists of transient receptor potential melastain 8 (TRPM8), were also studied.

Results
Normal rats did not exhibit nociceptive responses to cooling stimulation to the trunk and back area (minimal temperature +6°C) and they also did not react aversively to topical application of icilin or menthol. After spinal cord injury, the rats developed mechanical allodynia at the trunk and back just rostral to the dermatome of the injured spinal segments. In the same area, rats exhibited significant nociceptive responses to cooling from day 1 after injury, lasting for at least 70 days which is the longest time of observation. For the first two weeks after injury, the majority of spinally injured rats had a nociceptive response to cooling above 17°C. At day 70, about 50% of rats responded to cooling above 17 °C. Topical application of 400 μM icilin or 4mM menthol also elicited pain-like responses in spinally injured rats and these two cold mimetics also significantly exacerbated existing mechanical allodynia.

Conclusion
Our results showed that activation of the TRPM8 channel by menthol or icilin triggers allodynia in spinally injured rats and increases, rather than decreases, mechanical allodynia. TRPM8 channels which respond to cooling above 17 ° C may be involved at least in part in mediating cold allodynia in the rat model of neuropathic spinal cord injury pain.

Implications
The work introduced a method of quantitative testings of responses of rats to cold stimulation and may contribute to the understanding of mechanisms of cold allodynia after injury to the nervous system.
Feed allowance and maternal backfat levels during gestation influence maternal cortisol levels, milk fat composition and offspring growth
Authors: Amdi Charlotte , Giblin Linda , Hennessy Alan A. , Ryan Tomás , Stanton Catherine , Stickland Neil C. , Lawlor Peadar G. 
Published: January 2013

AbstractThe fetal and early postnatal environment can have a long-term influence on offspring growth. Using a pig model, we investigated the effects of maternal body condition (thin or fat) and maternal gestation feeding level (restricted, control or high) on maternal stress, milk composition, litter size, piglet birth weight and pre-weaning growth. A total of sixty-eight thin (backfat depth about 8 mm) and seventy-two fat (backfat depth about 12 mm) gilts were selected at about 22 weeks. This backfat difference was then accentuated nutritionally up to service at about 32 weeks. During gestation, individual gilts from within each group were randomly allocated to a gestation diet at the following feed allowances: 1·8 kg/d (restricted); 2·5 kg/d (control) and 3·5 kg/d (high) until day 90 of gestation. During gestation restricted gilts had higher levels of cortisol than high and control fed animals. Piglets born to fat gilts had higher average daily gain during the lactation period and higher weaning weights at day 28 than piglets born to thin gilts. Gilts on a high feed level had heavier piglets than those provided with restricted and control allocations. Fat gilts had less saturated fat in their milk at day 21 of lactation and higher unsaturated fat levels. No differences were found in the n-6:n-3 PUFA ratio in the milk between thin and fat gilts. In conclusion, maternal body condition influenced the daily weight gain of offspring up to weaning (day 28) and milk fat composition. Furthermore, maternal feed level during gestation alters maternal cortisol levels and milk fat composition.
Drynaria fortunei-derived total flavonoid fraction and isolated compounds exert oestrogen-like protective effects in bone
Authors: Wong Ka-Chun , Pang Wai-Yin , Wang Xin-Lun , Mok Sao-Keng , Lai Wan-Ping , Chow Hung-Kay , Leung Ping-Chung , Yao Xin-Sheng , Wong Man-Sau 
Published: January 2013

Drynaria fortunei (Kunze) J. Sm. (DF), a Chinese herb commonly used for the treatment of bone fracture, was previously shown to exert anabolic effects on bone. However, its active ingredients as well as the mechanisms of action are far from clear. The present study aimed to characterise the bone anabolic effects of DF flavonoid fraction (DFTF) in ovariectomised (OVX) mice and to determine if DFTF and its isolated compounds exert oestrogen-like effects in rat osteoblast-like UMR-106 cells. Young OVX C57/BL6J mice were treated orally with DFTF (0·087, 0·173 or 0·346 mg/g per d), 17β-oestradiol (2 μg/g per d) or its vehicle for 6 weeks. Serum and urine samples were collected for biochemical marker analysis. Bones were collected for computed tomography analysis. UMR-106 cells were treated with DFTF and isolated compounds naringin, (2S)-5,7,3′,5′-tetrahydroxy-flavonone 7-O-neohesperidoside (compound 1) and 5,7-dihydroxychromone 7-O-neohesperidoside (compound 2). DFTF exerted dose-dependent effects in improving bone mineral densities as well as bone strength at the femur, tibia and lumbar spine L1 in OVX mice. DFTF and the three isolated compounds stimulated osteoblastic cell proliferation and alkaline phosphatase activities in a dose-dependent manner. In addition, they stimulated the ratio of osteoprotegrin and receptor-activator NF-κB ligand mRNA expression, suggesting their involvement in inhibiting osteoclastogenesis. These stimulatory effects on osteoblastic functions were abolished in the presence of oestrogen receptor (ER) antagonist, ICI 182780. The present results suggested that DFTF is effective in protecting against OVX-induced bone loss in mice, and its actions in regulating osteoblastic activities appear to be mediated by ER.
Impact of weight loss with or without exercise on abdominal fat and insulin resistance in obese individuals: a randomised clinical trial
Authors: Trussardi Fayh Ana Paula , Lopes André Luiz , Fernandes Pablo Rober , Reischak-Oliveira Alvaro , Friedman Rogério 
Published: January 2013

Evidence supports an important contribution of abdominal obesity and inflammation to the development of insulin resistance (IR) and CVD. Weight loss in obese individuals can reduce inflammation and, consequently, IR, but the role of training remains unclear. The aim of this study was to evaluate the effects of body weight reduction with and without exercise over abdominal fat tissue (primary outcome) and IR. In this randomised clinical trial, forty-eight obese individuals (age 31·8 (sd 6·0) years, BMI 34·8 (sd 2·7) kg/m2) were randomised to either a diet-only group (DI) or a diet and exercise group (DI+EXE). Treatment was maintained until 5 % of the initial body weight was lost. At baseline and upon completion, the following parameters were analysed: biochemical parameters such as glycaemia and insulin for the determination of homeostasis model assessment of insulin resistance (HOMA-IR), high-sensitivity C-reactive protein (hs-CRP) and abdominal computed tomography for the determination of visceral and subcutaneous adipose tissue. A total of thirteen individuals dropped out before completing the weight-loss intervention and did not repeat the tests. In both the DI (n 18) and DI+EXE (n 17) groups, we observed significant and similar decreases of visceral adipose tissue (difference between means: 7·9 (95 % CI − 9·5, 25·2) cm2, P= 0·36), hs-CRP (difference between means: − 0·06 (95 % CI − 0·19, 0·03) mg/l, P= 0·39) and HOMA (difference between means: − 0·04 (95 % CI − 0·17, 0·08), P= 0·53). In the present study, 5 % weight loss reduced abdominal fat and IR in obese individuals and exercise did not add to the effect of weight loss on the outcome variables.
Dietary patterns and risk of elevated C-reactive protein concentrations 12 years later
Authors: Julia Chantal , Meunier Nathalie , Touvier Mathilde , Ahluwalia Namanjeet , Sapin Vincent , Papet Isabelle , Cano Noël , Hercberg Serge , Galan Pilar , Kesse-Guyot Emmanuelle 
Published: January 2013

Inflammation mediates several chronic diseases. Micronutrients can act on inflammation, either through modulating cytokine production or by scavenging by-products of activated white cells. Identifying dietary patterns (DP) reflecting these mechanisms and relating them to inflammation is of interest. The objective of the study was to identify DP specifically associated with intakes of nutrients potentially involved in inflammatory processes in a middle-aged population and investigate long-term associations between these DP and C-reactive protein (CRP) status assessed several years later. Subjects included in the Supplementation in Vitamins and Mineral Antioxidants 2 cohort study, having available data on dietary assessment carried out in 1994–5 and CRP measurement in 2007–9, were included in the analysis. DP were extracted with reduced rank regression (RRR), using antioxidant micronutrients and PUFA as response variables. Associations between CRP measurements >3 mg/l and extracted DP were then examined with logistic regression models providing OR and 95 % CI. A total of 2031 subjects (53·2 % women, mean follow-up duration: 12·5 years) were included in the analyses. Of the four extracted DP, a DP with high loading values of vegetables and vegetable oils, leading to high intakes of antioxidant micronutrients and essential fatty acids, was significantly and negatively associated with risk of elevated CRP (OR 0·88; 95 % CI 0·78, 0·98). Conversely, a DP reflecting a high n-6:n-3 fatty acid intake ratio was positively and significantly associated with elevated CRP (adjusted OR 1·15; 95 % CI 1·00, 1·32). DP extracted with RRR provide support for further exploration of relationships between dietary behaviour and inflammation.
Filth flies associated with municipal solid waste and impact of delay in cover soil application on adult filth fly emergence in a sanitary landfill in Pulau Pinang, Malaysia
Authors: Nurita A.T. , Hassan A. Abu 
Published: January 2013

AbstractTwo types of municipal solid waste (MSW), newly arrived and 2 weeks old, were sampled from a sanitary landfill in Pulau Pinang, Malaysia at a fortnightly interval and kept under field conditions for 2 weeks. A total of 480 kg of each type of MSW was sampled to study species composition and impact of delays in cover soil applications on filth fly emergence. Out of 960 kg of MSW sampled, 9.2 ± 0.5 flies emerged per kilogram. Weekly adult fly emergence rates of newly arrived and 2-week-old waste did not differ significantly and MSW remained suitable for fly breeding for up to 1 month. Eight species of flies emerged from the MSW: namely, Musca domestica, Musca sorbens, Synthesiomyia nudiseta, Hydrotaea chalcogaster, Chrysomya megacephala, Lucilia cuprina, Hemipyrellia ligurriens and Sarcophaga sp. Newly arrived waste was determined to be the main source for M. domestica, C. megacephala and L. cuprina in the landfill owing to significantly higher mean emergence compared with 2-week-old waste. Musca sorbens was found in newly arrived waste but not in 2-week-old waste, suggesting that the species was able to survive transportation to landfill but unable to survive landfill conditions. Hemipyrellia ligurriens, H. chalcogaster and S. nudiseta were not imported into the landfill with MSW and pre-existing flies in and around the landfill itself may be their source. The results show that landfills can be a major source of fly breeding if cover soil or temporary cover is not applied daily or on a regular schedule.