bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pulmonary Function, Airway Responsiveness, and Respiratory Symptoms in Asthmatics Following Exercise in No2
Authors: Roger L. Jack , Horstman Donald H. , Mcdonnell William , Kehrl Howard , Ives Philip J. , Seal Elston , Chapman Robert , Massaro Edward 
Published: September 2013

Two experiments were conducted to determine respiratory responses of persons with asthma performing intermittent moderate exercise while exposed to low concentrations of NO2. In the first, preliminary experiment, 13 male subjects, aged 19–35, with mild asthma were exposed on separate days in a chamber (natural breathing, 20°C, 40% RH) to 0.30 ppm NO2 and to a control or “clean air” exposure (0.0 ppm NO2). Exposure included three 10–min periods of moderate treadmill exercise (VE = 44.5 liter/min), each followed by symptom measurement and pulmonary function testing. The average decrease in FEV1 following the initial 10 min exercise in 0.30 ppm was 11% which was significantly greater (p < 0.05) than that observed in clean air (7%). Differences in FVC and SRaw were not significantly different at this time. Slight cough and dry mouth and throat were apparent only after the first exercise in NO2. After the second and third exercises, decreases in FEV1 and FVC and increases in SRaw were significantly greater in 0.30 than in 0.0 ppm NO2. Individual subject responses were variable. These results suggested that some asthmatics who perform moderate exercise while exposed to 0.30 ppm NO2 may experience bronchoconstriction and reduction in spirometric performance. Because of these preliminary findings, a more comprehensive, concentration-response experiment was conducted. Twenty-one male volunteers with mild asthma were exposed for 75 min with natural breathing to 0.0, 0.15, 0.30, and 0.60 ppm NO2. Exposure included three 10–min periods of moderate treadmill exercise (VE = 43 liter/min), each exercise followed by symptoms measurement and pulmonary function testing. In addition, airway responsiveness was measured two hr after each exposure by methacholine bronchial challenge testing. In the control exposures (0.0 ppm NO2), the exercise alone caused substantial decrements in pulmonary function. These decrements (as measured by decreases in FEV1 and FVC, and increases in SRaw) were not increased relative to the control exposure after any exercise session in any concentration of NO2. Furthermore, there was no overall group-averaged indication of a concentration-related effect of the NO2 on pulmonary function. Likewise, symptoms reported after NO2 exposure were not significantly different from those reported in clean air. Group-averaged airway responsiveness after exercise in NO2 was also not different from responsiveness after exercise in clean air. For only two subjects was there any indication of a concentration-related increase in airway responsiveness due to exposure to NO2. The findings of no effects in this larger concentration-response study do not support the findings of single-concentration studies by us and others. Possible explanations are differences in subject sampling, variability in subjects' responses, or other factors such as seasonal variation in response.
Mesotheliomas Following Exposure to Asbestos Used in Railroads: the Italian Cases
Authors: Maltoni Cesare , Pinto Carmine , Mobiglia Alberto 
Published: September 2013

The available knowledge on the oncogenic risks of asbestos, the data on the uses of asbestos in railroads, with particular regard to the Italian State Railroads (Ferrovie dello Stato=FS), and the groups at risk due to the exposure to asbestos used in railroads were briefly reviewed. The available data on the pathological effects of such exposure, and in particular on the onset of mesotheliomas among machinists and other railroad workers, were also summarized. Eighty-five cases of mesothelioma (80 pleural, 4 peritoneal, and 1 pericardial), related to the exposure to asbestos used in railroads, observed in various Italian regions, were then reported. Twenty- eight of these cases (among which 27 reported in the Emilia- Romagna Region) were submitted to a detailed study at the Bologna Institute of Oncology. Fifty cases of mesothelioma occurred among FS workers, in particular machinists; 30 cases occurred among machinists of rolling-stock workshops not belonging to the FS; 3 cases occurred among travelling workers of rolling-stock not belonging to the FS; and 2 cases were found in family members (a daughter and a wife) of FS workers. This series of cases, together with similar data from the literature, proves the existence of an actually health risk due to asbestos used in railroads, and indicates its gravity. On the basis of the available data, the following steps are consid ered necessary: the adoption of preventive measures, the perfor mance of medical oncological surveillance, the promotion of systematic epidemiological investigations, and, finally, more em phasis on basic research, aimed at generating information on the biological events taking place during the incubation period of the tumors, to be used for reducing the effect of exposure, and there fore for contrasting the onset of the disease in those who, having been exposed, although healthy, are potentially at high risk.
Occupational Skin Hazards from Synthetic Plastics
Authors: Tosti Antonella , Guerra Liliana , Vincenzi Colombina , Peluso Anna Maria 
Published: September 2013

Epoxy and acrylic resins have numerous industrial applications but are also widely used in the household environment. These compounds are presently one of the most important sources of occupational contact dermatitis. Contact sensitization to epoxy resins is usually caused by the resin itself but hardeners or other additives, such as reactive diluents, plasticizers, fillers and pigments, can occasionally be responsible. Since completely cured epoxy resins are not sensitizers, epoxy resin sensitization is always due to the presence, in the final polymer, of uncured allergenic low molecular weight oligomers. Acrylates are now considered the fourth most common cause of contact sensitization due to resins. Unpolymerized monomers of acrylic compounds are known to be responsible for the contact allergy. Accelerators, inhibitors and catalysts, which are usually added to the acrylates to promote the polymerization process, can also sensitize. Both allergic and irritant contact dermatitis may be caused by exposure to epoxy or acrylic resins and their additives. Contact urticaria, allergic or irritant airborne contact dermatitis caused by volatile compounds, onychia and paronychia can also occur. From January of 1984 to May of 1992 we detected 39 cases of occupational allergic contact dermatitis to epoxy resin system substances and 11 cases of occupational contact sensitization to acrylic compounds. In our experience, the electronics industry as well as paint and glue related activities were the most important sources of epoxy sensitization. Dental materials and anaerobic sealants were found to be the most frequent acrylate sensitizers.
Possible Role of Free Radical Intermediates in Hepatotoxicity of Hydrazine Derivatives
Authors: Albano Emanuele , Goria-Gatti Lucia , Clot Paolo , Jannone Anna , Tomasi Aldo 
Published: September 2013

Hydrazine derivatives constitute a wide group of compounds and have found application in industry, agriculture, and (as therapeutical agents) medicine. In spite of their widely spread use, several hydrazine derivatives arc known to exert hepatotoxic effects and are carcinogenic. Free radical species are produced during the hepatic biotransformation ofalkylhydrazines by both rat and humans liver microsomes. Cytochrome P-450 dependent monoxygenase system is responsible for the production of these reactive species and specific cytochrome P-450 isoenzymes appear to catalyze the formation of free radical intermediates. Free radicals generated during the metabolism of alkylhydrazines are capable of inducing oxidative stress in isolated hepatocytes and might contribute to the development of cell injury.
Norplant: Systemic Immunological Complications — Case Report
Authors: Campbell Andrew , Brautbar Nachman 
Published: September 2013

The Norplant* system is composed of a set of six Silastic* (silicone polydimethysiloxane) capsules measuring 34 mm by 2.4 mm, each containing 36 mg of levonorgestrel and sealed at either end with a medical grade silicone elastomer adhesive. Levonorgestrel is a synthetic progestin, widely used in combination oral contraceptives and in single-agent "mini-pills. " In a procedure completed in less than 15 minutes by an experienced physician, the six capsules are surgically implanted subdermally, most commonly on the inside of the left upper arm. The levonorgestrel diffuses through the Silastic material into the blood stream and is carried to the target organs. Ovulation is suppressed in the majority of the cycles during the first years of use, and cervical mucus is thickened, inhibiting sperm penetration. During use, the effective delivery of levonorgestrel is about 30 mcglday from day 500 to day 2300. Recently, we have seen patients with complications from Norplant, and we describe here a patient who presented with systemic complications resulting from both the endocrinological aspects of Norplant and the immunological aspects of the Silastic implants. To our knowledge this is the first case report in the western medical literature describing systemic immunological complications as a result of a failed Norplant device.
Methods of Assessing Dermal Absorption With Emphasis On Uptake From Contaminated Vegetation
Authors: Durkin P.R. , Rubin L. , Withey J. , Meylan W. 
Published: September 2013

Dermal absorption may be an important route of exposure in several exposure scenarios for workers and the general public. Because criteria (e.g., RfDs or MRLs) for chemical exposures are usually expressed in units of mg/kg/day, risk assessments often attempt to convert dermal exposure data to units of mg/kg/day absorbed dose. For some types of dermal exposure involving direct and continuous contact with liquids, Fick's first law may be used. In other cases, such as those involving spills onto the skin surface or dermal exposure to contaminated vegetation, the applicability of Fick's first law is limited. This analysis focuses on a method for estimating absorbed dose from dermal contact with contaminated vegetation or other surfaces. The method involves two steps: estimating the transfer rate from contaminated vegetation to the skin surface, and estimating the extent of absorption from the skin surface into the body. A generic equation can be derived for estimating the transfer rate (TR) from dislodgeable foliar residues (DFR): logTR = 1. 09 logDFR + 0. 05. Given the surface area of the exposed skin and the duration of contact, this equation can be used to estimate the amount of a chemical deposited on the surface of the skin. This equation is based on data from eight different studies using 16 different pesticides. Excluding one outlier (Vinclozolin), the squared correlation coefficient for this equation is 0.78, and the model is significant at p < 0. 00001. Data from a series of studies by Feldmann and Maibach (1969, 1970, 1974) are used to estimate dermal absorption. These studies were selected as the most relevant for risk assessment because most of the experimental subjects are human and because the nature of the dermal exposures was closely related to many exposure scenarios used in risk assessments. For all 47 compounds included in this series of studies, there were no significant correlations between commonly available physical or chemical properties and dermal absorption. For those compounds with a Ko/w > 1.85, however, the average daily absorption rate (AR) over a five-day postexposure period can be estimated from the molecular weight: logAR = -0.04MW + 1.5. The squared correlation coefficient for this equation is 0.68, and the model is significant at p < 0.00001. The usefulness of this approach is evaluated using a study by Harris and Solomon (1992) in which the absorption of 2,4-D from contaminated turf was measured in a group of volunteers. The estimated absorbed dose using the equations above is very close to the measured values.
Hydrogen Sulfide and Reduced-Sulfur Gases Adversely Affect Neurophysiological Functions
Authors: Kilburn Kaye H. , Warshaw Raphael H. 
Published: September 2013

Hydrogen sulfide (H2S) above 50 parts per million (ppm) causes unconsciousness and death. Lower doses of H2S and related gases have been regarded as innocuous, but the effects of prolonged exposure have not been studied. This study was designed to determine whether people exposed to sulfide gases as a result of working at or living downwind from the processing of "sour" crude oil demonstrate persistent neurobehavioral dysfunction. Thirteen former workers and 22 neighbors of a refinery complained of headaches, nausea, vomiting, depression, personality changes, nosebleeds, and breathing difficulties. Their neurobehavioral functions and a profile of mood states (POMS) were compared to 32 controls, matched for age and educational level. The exposed subjects' mean values were statistically significantly abnormal compared to controls for two-choice reaction time, balance (as speed of sway), color discrimination, digit symbol, trail-making A and B, and immediate recall of a story. Their POMS scores were much higher than those of controls. Visual recall was significantly impaired in neighbors, but not in exworkers. It was concluded that neurophysiological abnormalities were associated with exposure to reduced sulfur gases, including H2S from crude oil desulfurization.
Red Blood Cell Glycerol Lysis and Hematologic Effects in Occupational Benzene Exposure
Authors: Bogadi-Are Ana , Turk Rajka , Karacic Visnja , Zavalic Marija , Trutin-Ostovic Karmen 
Published: September 2013

Forty-nine female workers in the shoemaking industry, exposed to a solvent mixture containing benzene and twenty-seven non-exposed controls, were investigated. Concentrations of benzene and toluene in the working atmosphere, as well as benzene and toluene in blood and phenols in pre- and post-shift urine as parameters of biological monitoring, were determined. In order to assess hematotoxic risk, a complete blood cell count with differential, hemoglobin, hematocrit, mean corpuscular volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration, reticulocytes, serum iron, alkaline phosphatase in neutrophils and red blood cell glycerol lysis time were determined in all subjects. Benzene concentrations in the workplace atmosphere at the shoemaking factory ranged from 1.9 to 14.8 ppm (median=5.9). Significant difference in benzene in blood (p = 0.005) and phenol in post-shift urine (p = 0.003) between exposed workers and controls confirmed exposure to benzene. Hemoglobin level (p = 0.02) and mean corpuscular hemoglobin concentration (p = 0.0002) in the shoe workers were lower, and band neutrophils (p = 0.005) and mean corpuscular volume (p = 0.03) higher, than in controls. Red blood cell glycerol lysis time was significantly higher (p = 0.000001) in shoe workers (X ± SD = 41.6 ± 8.9) than in controls (X ± SD = 31.1 ± 6.5) and showed a significant correlation with exposure biomarkers. The results confirm that benzene exposure below 15 ppm may produce qualitative abnormalities, particularly macroerythrocytosis and increased red cell glycerol resistance, in the absence of an overt quantitative decrease in circulating blood cells. Increased resistance to the hemolytic action of glycerol is a potentially useful biological monitoring procedure in medical surveillance of benzene exposed workers. The results of this study suggest that potential threshold concentration for hematologic effects of benzene is lower than 15 ppm.
Leptospirosis in the western Indian Ocean islands: what is known so far?
Authors: Desvars Amélie , Michault Alain , Bourhy Pascale 
Published: September 2013

Abstract
In the past decade, leptospirosis has emerged as a major zoonosis with a worldwide distribution. The disease is caused by bacteria of the genus Leptospira. The western Indian Ocean includes more than one hundred tropical or subequatorial islands where leptospirosis constitutes a major public health problem. The clinical signs of the human disease are generally similar to an influenza-like syndrome, but acute forms of the disease are reported and mortality remains significant in this region. In animals, clinical forms are mainly asymptomatic but leptospirosis reduces the fertility of livestock, resulting in economic losses. The data available about human and animal leptospirosis in the western Indian Ocean islands are diverse: human leptospirosis has been extensively studied in Reunion Island, Mayotte, and the Seychelles, whereas the human clinical disease has never been described in Madagascar, Comoros, Mauritius, or Rodrigues, mainly because of the deficiency in appropriate medical and diagnostic structures. The rat is recognized as the major reservoir host for the bacteria on all islands, but recent data from Reunion Island indicates that almost all mammals can be a source of contamination. The incidence of leptospirosis in humans is highly seasonal, and linked to the rainy season, which is favorable for the environmental maintenance and transmission of the bacteria. The epidemiology of leptospirosis is fully island-dependent, related to the number of mammalian species, the origins of the introduced mammalian species, the relationships between humans and fauna, and environmental as well as cultural and socio-economic factors.
Identification of a novel variant of LMP-1 of EBV in patients with endemic Burkitt lymphoma in western Kenya
Authors: Wohlford Eric M , Asito Amolo S , Chelimo Kiprotich , Sumba Peter O , Baresel Paul C , Oot Rebecca A , Moormann Ann M , Rochford Rosemary 
Published: September 2013

Abstract

Background
Epstein Barr virus (EBV) is a gammaherpesvirus that is associated with nasopharyngeal carcinoma (NPC) and endemic Burkitt lymphoma (eBL). EBV carries several latent genes that contribute to oncogenesis including the latent membrane protein 1 (LMP-1), a known oncogene and constitutively active CD40 homolog. Variation in the C terminal region of LMP-1 has been linked to NPC pathogenesis, but little is known regarding LMP-1 variation and eBL.

Results
In the present study, peripheral blood samples were obtained from 38 eBL patients and 22 healthy controls in western Kenya, where the disease is endemic. The LMP-1 C-terminal region from these samples was sequenced and analyzed. The frequency of a 30 base pair deletion of LMP-1 previously linked to NPC was not associated with eBL compared to healthy controls. However a novel LMP-1 variant was identified, called K for Kenya and for the G318K mutation that characterizes it. The K variant LMP-1 was found in 40.5% of eBL sequences and 25.0% of healthy controls. All K variant sequences contained mutations in both of the previously described minimal T cell epitopes in the C terminal end of LMP-1. These mutations occurred in the anchor residue at the C-terminal binding groove of both epitopes, a pocket necessary for MHC loading.

Conclusions
Overall, our results suggest that there is a novel K variant of LMP-1 in Kenya that may be associated with eBL. Further studies are necessary to determine the functional implications of the LMP-1 variant on early events in eBL genesis.
Clinical correlations with Porphyromonas gingivalis antibody responses in patients with early rheumatoid arthritis
Authors: Arvikar Sheila L , Collier Deborah S , Fisher Mark C , Unizony Sebastian , Cohen George L , McHugh Gail , Kawai Toshihisa , Strle Klemen , Steere Allen C 
Published: September 2013

Abstract
Introduction
Prior studies have demonstrated an increased frequency of antibodies to Porphyromonas gingivalis (Pg), a leading agent of periodontal disease, in rheumatoid arthritis (RA) patients. However, these patients generally had long-standing disease, and clinical associations with these antibodies were inconsistent. Our goal was to examine Pg antibody responses and their clinical associations in patients with early RA prior to and after disease-modifying antirheumatic drug (DMARD) therapy.

Methods
Serum samples from 50 DMARD-naïve RA patients were tested using an enzyme-linked immunosorbent assay with whole-Pg sonicate. For comparison, serum samples were tested from patients with late RA, patients with other connective tissue diseases (CTDs), age-similar healthy hospital personnel and blood bank donors. Pg antibody responses in early RA patients were correlated with standard RA biomarkers, measures of disease activity and function.

Results
At the time of enrollment, 17 (34%) of the 50 patients with early RA had positive immunoglobulin G (IgG) antibody responses to Pg, as did 13 (30%) of the 43 patients with late RA. RA patients had significantly higher Pg antibody responses than healthy hospital personnel and blood bank donors (P < 0.0001). Additionally, RA patients tended to have higher Pg antibody reactivity than patients with other CTDs (P = 0.1), and CTD patients tended to have higher Pg responses than healthy participants (P = 0.07). Compared with Pg antibody-negative patients, early RA patients with positive Pg responses more often had anti-cyclic citrullinated peptide (anti-CCP) antibody reactivity, their anti-CCP levels were significantly higher (P = 0.03) and the levels of anti-Pg antibodies correlated directly with anti-CCP levels (P < 0.01). Furthermore, at the time of study entry, the Pg-positive antibody group had greater rheumatoid factor values (P = 0.04) and higher inflammatory markers (erythrocyte sedimentation rate, or ESR) (P = 0.05), and they tended to have higher disease activity scores (Disease Activity Score based on 28-joint count (DAS28)-ESR and Clinical Disease Activity Index) and more functional impairment (Health Assessment Questionnaire). In Pg-positive patients, greater disease activity was still apparent after 12 months of DMARD therapy.

Conclusions
A subset of early RA patients had positive Pg antibody responses. The responses correlated with anti-CCP antibody reactivity and to a lesser degree with ESR values. There was a trend toward greater disease activity in Pg-positive patients, and this trend remained after 12 months of DMARD therapy. These findings are consistent with a role for Pg in disease pathogenesis in a subset of RA patients.
Clinical forum: canine pancreatitis and biliary duct obstruction
Authors: Anderson Davina , Nelissen Pieter , Ragni Rosangela , Bowlt Kelly 
Published: September 2013

Part 3: The surgeon's perspective The first two of these three articles have looked at the issues of management of extrahepatic biliary tract obstruction from diagnostic and therapeutic view points. By the time the case has been transferred to the surgical team, the patient may still be in a critical condition. Extra hepatic biliary duct obstruction (EHBDO) has a number of systemic physiologic effects, other than the obvious clinical sign of jaundice ( Figure 1 ). Patients may be inappetant, and in a cachectic condition, they may have an anaemia of chronic disease, intestinal sloughing or haemorrhage, hepatic compromise, coagulopathy, endotoxaemia, decreased myocardial contractility, acute tubular necrosis and be at risk of biliary tract rupture.