Diagnostic performance of MRI for detection of intestinal fistulas in patients with complicated inflammatory bowel conditions

The diagnostic performance of magnetic resonance imaging (MRI) for detection of intestinal fistulas, other than perianal, in patients with known complicated inflammatory bowel conditions (CIBC) was investigated. Our study group consisted of 20 patients (12 women, mean age 43years) with CIBC, including Crohn's disease (n=13), colonic diverticulitis (n=3), colitis after radiotherapy (n=3) and of postoperative origin (n=1). Eleven surgically proven enteral fistulas were known in ten (50%) of these patients, being of enterovesical (n=3), enterocolic (n=2), enteroenteral (n=2), rectovaginal (n=2), rectovaginovesical (n=1) and of entercutaneous (n=1) localisation. The other ten patients (50%), used as the control group, showed MR features of CIBC, although without any fistulous tract. Multiplanar T1- and T2-weighted sequences had been performed, including gadolinium-enhanced acquisition with fat saturation (1.5T). MR findings were independently blindly and retrospectively reviewed by three radiologists for the presence and etiology of any fistula, as well as visualization and characterization of the fistulous tract. Results were compared with surgical findings (n=16) and clinical evolution (n=4). Interobserver agreement was calculated. Interobserver agreement kappa for fistula detection was 0.71. Overall sensitivity, specificity and accuracy for fistula detection were 78.6%, 75% and 77.2%, respectively. Sensitivity for fistula characterization was 80.6%, with visualization of the fistulous tract in all cases, whereby T1-weighted gadolinium-enhanced fat-saturated images were considered the most useful sequences. Gadolinium-enhanced MRI is a reliable and reproducible tool for detection of enteral fistulas secondary to inflammatory condition

Uptake of home-based voluntary HIV testing in sub-Saharan Africa: a systematic review and meta-analysis

Improving access to HIV testing is a key priority in scaling up HIV treatment and prevention services. Home-based voluntary counselling and testing (HBT) as an approach to delivering wide-scale HIV testing is explored here

Notes on age determination, size and age structure, longevity, and growth of co-occurring macrourid fishes

ACKNOWLEDGEMENTS We are grateful to crew and colleagues who sampled and processed macrourids on the MARECO and ECOMAR cruise, to Ms Hege Ø Hansen for assistance in the otolith laboratory, and to home institutions and the Alfred P Sloan Foundation for financial support. An early version of the results was submitted in partial fulfilment of the requirements for the MSc degree of R.H. Fundings: Data for this paper were collected on cruises funded by Norway and the United Kingdom (Natural Environment Research Council). In addition to institutional funding, the work benefitted from a grant to the ecosystems of the mid-atlantic ridge (MAR-ECO) Programme from the Alfred P. Sloan Foundation, New York, USA.Peer reviewedPublisher PD

Distribution, Population Biology, and Trophic Ecology of the Deepwater Demersal Fish Halosauropsis macrochir (Pisces: Halosauridae) on the Mid-Atlantic Ridge

Halosauropsis macrochir ranked amongst the most abundant and widespread demersal fishes on the mid-Atlantic Ridge of the North Atlantic (Iceland-Azores) with greatest abundance at 1700–3500 m. All sizes, ranging from 10–76 cm total length, occurred in the area without any apparent spatial pattern or depth trend. Using otolith sections displaying growth increments assumed to represent annuli, the age range recorded was 2–36 years, but most individuals were <20 years. Length and weight at age data were used to fit growth models. No differences between sexes in length and weight at age were observed. The majority of samples had a surplus of males. Diet analysis showed that H. macrochir feeds on Crustacea, Teleostei, Polychaeta, and Cephalopoda, but few prey could be identified to lower taxonomical levels. The mid-Atlantic Ridge constitutes a major portion of the North Atlantic living space of the abyssal halosaur where it completes its full life cycle, primarily as an actively foraging euryophagous micronekton/epibenthos and infauna feeder, becoming a partial piscivore with increasing size

The -786T>C promoter polymorphism of the NOS3 gene is associated with prostate cancer progression

<p>Abstract</p> <p>Background</p> <p>There is no biological or epidemiological data on the association between <it>NOS3 </it>promoter polymorphisms and prostate cancer. The polymorphisms in the promoter region of <it>NOS3 </it>gene may be responsible for variations in the plasma NO, which may promote cancer progression by providing a selective growth advantage to tumor cells by angiogenic stimulus and by direct DNA damage.</p> <p>Methods</p> <p>This study aimed evaluating the <it>NOS3 </it>promoter polymorphisms by PCR-SSCP and sequencing, associating genotypes and haplotypes with <it>NOS3 </it>expression levels through semi-quantitative RT-PCR, and with <it>PCA</it>3 mRNA detection, a specific tumor biomarker, in the peripheral blood of pre-surgical samples from 177 patients; 83 PCa and 94 BPH.</p> <p>Results</p> <p>Three novel SNPs were identified -764A>G, -714G>T and -649G>A in the <it>NOS3 </it>gene promoter region, which together with the -786T>C generated four haplotypes (N, T, C, A). <it>NOS3 </it>gene expression levels were affected by the -786T>C polymorphism, and there was a 2-fold increase in <it>NOS3 </it>levels favored by the incorporation of each C allele. <it>NOS3 </it>levels higher than 80% of the constitutive gene expression level (<it>B2M</it>) presented a 4-fold increase in PCa occurrence.</p> <p>Conclusion</p> <p>The -786T>C polymorphism was the most important promoter alteration of the <it>NOS3 </it>gene that may affect the PCa progression, but not its occurrence, and the incorporation of the C allele is associated with increased levels of <it>NOS3 </it>transcripts. The <it>NOS3 </it>transcript levels presented a bimodal behavior in tumor development and may be used as a biomarker together with the <it>PCA3 </it>marker for molecular staging of the prostate cancer.</p

Down-regulation of protein kinase Cdelta inhibits inducible nitric oxide synthase expression through IRF1

Peer reviewe

Habitat selection by demersal nekton: analysis of videotape data

ln the past, analysis of habitat choice by marine nekton has been hampered by limited access to its environment. We suggest a method to facilitate study of habitat choice, using data gathered from videotapes. The aims of this study were (a) to identify members of a particular nekton assemblage, and (b) to identify environmental variables important to the assemblage as a whole. Data on species and environmental variables came from Videotapes of a sandy-bottom shelf area (60m depth) in the Gulf of Mexico off Pensacola, Florida, taken by a remote-controlled submersible travelling along defined transects. We analyzed these Videotapes to derive Information on habitat use of several species of fishes and large invertebrates. We divided the transects into sections which were homo· geneaus for bottom type and algal coverage, and in each section measured habitat variables and abundances of the most common and reliably identifiable species of demersal nekton. Factor analysis of species' means for environmental variables identified patterns of habitat use among these species. The analysis identified these patterns by generating axes that represented environmental gradients. The patterns of habitat use by these species related to their preferences for different amounts of three·dimensional structure, algae, and infaunal and epifaunal organisms. We compared species distributions and habitat distributions on these axes to find which environmental gradients were of most importance in habitat selection by these species. We found that more species selected habitats on the basis of particular amounts of structure, fewer selected on the basis of algal coverage and infaunal organisms. Only one species seemed to select habitats on the basis of types or abundances of epifaunal organisms. Thus, amount of three-dimensional structure seemed an important variable to the sandy·bottom assemblage overall, followed by amount of algal coverage and types of infaunal organisms

Cadmium uptake and induction of metallothionein synthesis in a renal epithelial cell line (LLC-PK1).

LLC-PK1 cells, an established cell line from pig kidney with proximal tubule properties, were cultivated in vitro at confluence on plastic dishes. They were then exposed (apical side) to inorganic cadmium (CdCl2, 5 microM) for periods ranging between 1 to 24 h. Analysis of the cell supernatant after homogenisation and ultracentrifugation indicated that Cd taken up in the first 3 h was bound to cytosolic high molecular weight proteins, but was redistributed to low molecular weight proteins at later stages. Induction of Cd-metallothionein (Cd-Mt) synthesis, as judged from Cd-Mt binding to a specific anti-Cd-Mt antibody and from the rate of 35S-cys incorporation into a specific protein fraction, was apparent 3-6 h after the addition of Cd to the incubation medium

Precis de toxicologie

Les effets toxiques potentiels de nombreux produits chimiques constituent l'une des préoccupations importantes de notre temps. Médicaments et autres produits chimiques industriels, contaminants de l'air, de l'eau ou de la nourriture sont autant de substances qui soulèvent des inquiétudes, largement médiatisées, quant aux risques pour notre santé ou celle de notre environnement. L'analyse raisonnée de ces risques relève, entre autres, de la toxicologie, que l'on peut définir brièvement comme la science qui identifie les toxiques, en étudie les effets sur les êtres vivants, et élabore des méthodes de prévention et de traitement de ces effets indésirables. Interdisciplinaire par nature, elle fait appel à des compétences diverses, s'étendant notamment de la chimie à la biologie et à la médecine. Le présent ouvrage, qui s'adresse à des étudiants des divers domaines concernés aussi bien qu'à tout public intéressé, a été élaboré avec l'intention de fournir une source d'informations de base en français dans des domaines essentiels de la toxicologie, informations qu'il est actuellement difficile d'obtenir rapidement sous une forme ainsi condensée. Les sept chapitres qui composent cet ouvrage, rédigés par treize auteurs au total, abordent successivement les notions de base en toxicologie, puis une description des principaux groupes de toxiques et de leurs effets sur les êtres humains, incluant les expositions professionnelles. La nature et les moyens d'identification des effets mutagènes et cancérigènes des produits chimiques, ainsi que leurs actions spécifiques sur le système nerveux (neurotoxicologie) sont détaillés dans des chapitres ad hoc. Finalement, deux chapitres détaillent les caractéristiques essentielles de la toxicologie forensique (médecine légale) et des analyses requises dans le cadre de la toxicologie clinique. Chacun des chapitres vise à préciser les notions essentielles du domaine, et à les illustrer par des exemples concrets