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  • 1
    ISSN: 1365-2036
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Background : Crohn's disease is associated with reduced bone density. The power of simple markers of systemic inflammation to identify higher rates of bone loss, in Crohn's disease, is uncertain. This relationship and the role of circulating (peripheral blood) mononuclear cells were investigated in a case–control study.Methods : Urinary deoxypyridinoline/creatinine and serum osteocalcin concentrations were compared in male and premenopausal females with ‘active’ Crohn's disease (C-reactive protein ≥ 10 and/or erythrocyte sedimentation rate ≥ 20) (n = 22) and controls with ‘quiescent’ Crohn's disease (C-reactive protein 〈 10 and erythrocyte sedimentation rate 〈 20) (n = 21). No patients were receiving corticosteroid therapy. Production of tumour necrosis factor-α, interferon-γ and prostaglandin E2 by peripheral blood mononuclear cells were measured.Results : Active Crohn's disease was associated with a higher deoxypyridinoline/creatinine (P = 0.02) and deoxypyridinoline/creatinine:osteocalcin ratio (P =0.01) compared with quiescent Crohn's disease, but similar osteocalcin (P = 0.24). These were not explained by vitamin D status, dietary intake or nutritional status. However, production of interferon-γ by concanavalin A-stimulated peripheral blood mononuclear cells was lower in active Crohn's disease (P = 0.02) and correlated negatively with the deoxypyridinoline/creatinine:osteocalcin ratio (r = −0.40, P = 0.004).Conclusion : In Crohn's disease, raised C-reactive protein and erythrocyte sedimentation rate may indicate higher rates of bone loss and, if persistent, the need to assess bone mass even where disease symptoms are mild. This may be partly explained by altered production of interferon-γ by peripheral blood mononuclear cells.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1365-2036
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Background:  Active paediatric Crohn's disease is associated with nutritional deficiencies and altered nutrient intake. The availability of essential fatty acids (linoleic and α-linolenic acids) or their derivatives (arachidonic and eicosapentaenoic acids) may alter in plasma and cell membrane phospholipid in protein-energy malnutrition in children and in Crohn's disease in adults.Aim:  To investigate the relationship of fatty acid phospholipid profiles with disease activity and nutritional status in paediatric Crohn's disease.Methods:  The fatty acid (proportionate) composition of plasma and erythrocyte phosphatidylcholine was determined in 30 patients (10.3–17.0 years) stratified into active and quiescent Crohn's disease (paediatric Crohn's disease activity index) and high and low body mass (body mass index centile).Results:  In plasma phosphatidylcholine, active disease activity was associated with a lower level of α-linolenic acid compared with that in quiescent disease (P 〈 0.05). A body mass index below the 50th centile was associated with active Crohn's disease, low linoleic and α-linolenic acids and high arachidonic acid (P 〈 0.05) in plasma phosphatidylcholine, and low α-linolenic acid in erythrocyte phosphatidylcholine. These findings could not be explained through differences in habitual dietary fat intake.Conclusion:  In paediatric Crohn's disease, a low body mass index centile and high disease activity are associated with altered profiles of essential fatty acids and their derivatives, which may reflect altered metabolic demand.
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  • 3
    Electronic Resource
    Electronic Resource
    Copenhagen : International Union of Crystallography (IUCr)
    Acta crystallographica 18 (1965), S. 443-449 
    ISSN: 0001-5520
    Source: Crystallography Journals Online : IUCR Backfile Archive 1948-2001
    Topics: Geosciences
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    European journal of applied physiology 67 (1993), S. 375-379 
    ISSN: 1439-6327
    Keywords: Oxygen-18 ; Deuterium
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Estimates of energy expenditure using both isotope-labelled (2H2 180) water and dietary intake/body composition changes were made during an attempt by two men (MS and RF) to walk to the North Pole. The isotope-labelled water technique gave mean estimates of daily energy expenditure for the 48-day expedition of 28.05 MJ (MS) and 32.38 MJ (RF), which compared with estimates of 25.66 MJ (MS) and 24.86 MJ (RF) from the intake/body composition measurements. Fluid retention and peripheral oedema probably caused a considerable underestimate of the losses in body energy stores when applying the energy balance method, whereas in the isotope method, uncertainty in the measurements of isotopic background led to minimum errors of −4.9% to +4.0% of the means for MS and −12.7% to +8.2% for RF (95% confidence limits).
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    European journal of applied physiology 68 (1994), S. 134-138 
    ISSN: 1439-6327
    Keywords: Blood pressure ; Photoplethysmography ; Cold ; Vasoconstriction
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Measurements of digital artery blood pressure made using an automated photoplethysmographic method (Finapres), in the middle finger of the left hands of nine male subjects, were compared with pressure measures in the right brachial artery using a method relying on the abolition of Karotkoff sounds during occlusion of the upper arm by a pressure cuff (Dinamap), during a 40-min immersion of the hand in cold (4° C) and thermoneutral (32° C) water. Blood flow in the left index finger was assessed and temperatures of the left and right ring fingers were also measured. Before immersion, systolic pressures in the digital artery were higher than systolic pressures in the brachial artery (P 〈 0.05), whereas the corresponding diastolic measurements were similar. However, both systolic (P 〈 0.01) and diastolic (P 〈 0.05) digital artery measurements increased with time. During cold immersion both systolic and diastolic pressures increased at both sites (P 〈 0.01), although the digital artery systolic readings rose sharply and then declined, whereas the brachial artery readings were stable. The cold-immersed digital artery diastolic measurements were greater than the brachial artery measurements (P 〈 0.01) and showed a continuation of the upward trend noted prior to immersion (P 〈 0.01). Thermoneutral diastolic digital artery measurements also showed this continued trend (P 〈 0.001). Some individual photoplethysmograph assessments of index finger blood flows showed intermittent vasodilatation, but cold immersion caused a decline in mean flow to 22% of pre-immersion value at 15 min, followed by an increase to 40%. It is concluded that digital artery pressure measurements may not be accurate reflections of more central measurements of blood pressure either quantitatively or qualitatively under conditions could enough to induce peripheral vascular changes.
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1439-6327
    Keywords: Key words Energy expenditure ; Isotope-labelled water ; Exercise performance ; Oxygen-18 ; Deuterium
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Two men, R.F. and M.S., pulled sledges each with starting masses of 222 kg, 2300 km across Antarctica. Exercise was performed for approximately 10 h each day for 95 days. Despite an average energy intake of 21.3 MJ · day−1 both subjects lost more than 25% of body weight. Energy expenditure was measured using energy balance data (EB) and isotope-labelled water (2H2 18O). Isotope doses were taken on day 0 and day 50 of the expedition. During the first 50 days both methods gave reasonable agreement, giving energy expenditures of 38.3 (EB) and 35.5 (2H2 18O) MJ · day−1 in R.F. and 28.6 (EB) and 29.1 (2H2 18O) MJ · day−1 in M.S. The isotope data for days 20–30 yielded exceptional values of 44.6 MJ · day−1 in R.F. and 48.7 MJ · day−1 in M.S. Estimates of energy expenditure between day 51 and day 96 were much lower and although the methods were in agreement for R.F. – 24.1 (EB) and 23.1 (2H2 18O) MJ · day−1, there was poor agreement for MS – 26.8 (EB) and 18.8 (2H2 18O) MJ · day−1. However, some practical difficulties occurred during this second period and there were also problems arising from marked increases in body water that made estimates of body mass and composition change difficult to interpret. The latter problems were probably due to malnutrition, which may have also been responsible for surprising increases in urinary excretion of 2H and 18O observed in both men at around day 81. These increases may reflect the release of label incorporated into molecules other than water which do not normally freely exchange with the body water pool under the circumstances of marked malnourishment. Following the expedition, both men showed declines in maximal O2 consumption (V˙O2 max , 53.6 to 41.2 ml O2 kg−1 · min−1 in R.F., 58.1–46.0 ml O2 kg−1 · min−1 in M.S.); maximal voluntary isometric force production in different muscle groups (up to 19.9% in R.F. and 55.8% in M.S.) and both cytoplasmic and mitochondrial skeletal muscle enzyme activities (up to 56% in R.F. and 63% in M.S.). Plasma samples taken during the expedition showed low glucose levels, inappropriately high insulin levels, and declines in testosterone and luteinizing hormone. Thyroxine, cholesterol, albumin and triglyceride levels remained normal.
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    European journal of applied physiology 63 (1991), S. 376-380 
    ISSN: 1439-6327
    Keywords: Cold ; Face ; Exercise ; Energy expenditure
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Estimated energy expenditures for men during Arctic manhauling expeditions were 29–33 MJ day−1, higher than those documented for other hard-working groups and exceeding predicted energy costs for such activities. Although physiological effects from generalised cooling were unlikely, cold exposure of the face could have influenced exercise metabolism via autonomic stimulation. This hypothesis was examined by measuring oxygen consumption, energy expenditure, respiratory exchange ratio (R) and cardiovascular changes during rest and exercise, with and without exposure of the face to air at −20°C. Measurements were made in five subjects during 15 min of rest followed by continuous exercise on a cycle ergometer consisting of 15-min periods at 75, 100, 125 and 150 W external work. The cold air caused a profound fall in facial temperatures and small falls in mean skin and rectal temperatures (P〈0.001). These changes were associated with a small increase in the mean oxygen consumption over all levels of rest and exercise (0.86 1 min−1 vs 0.82 1 min−1, P〈0.001) and a corresponding increase in mean energy expenditure (294 W vs 283 W, P〈0.05). Cold air also caused an increase in mean resting R values (1.00 vs 0.88, P〈 0.01) but a decrease in the mean R value for all levels of exercise (0.85 vs 0.91, P〈0.05). Pulse rates were unchanged but systolic and diastolic blood pressures were relatively elevated throughout the cold face experiments (P〈0.001).
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  • 8
    Publication Date: 2013-02-09
    Description: Provision of appropriate nutrition and hydration is a hallmark of compassionate care but is often neglected in all types of healthcare.1 2 3 4 5 These problems are not new and have been reported in...
    Keywords: Infectious diseases, Oesophagus, Epidemiologic studies, Immunology (including allergy), UK, Drugs: cardiovascular system, Hypertension, Dermatology, Trauma, Arrhythmias, Injury
    Topics: Medicine
    Published by BMJ Publishing Group
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  • 9
    Publication Date: 2015-10-16
    Description: There is a need in surgical oncology for contrast agents that can enable real-time intraoperative visualization of solid tumors that can enable complete resections while sparing normal surrounding tissues. The Tumor Paint agent BLZ-100 is a peptide–fluorophore conjugate that can specifically bind solid tumors and fluoresce in the near-infrared range, minimizing light scatter and signal attenuation. In this study, we provide a preclinical proof of concept for use of this imaging contrast agent as administered before surgery to dogs with a variety of naturally occurring spontaneous tumors. Imaging was performed on excised tissues as well as intraoperatively in a subset of cases. Actionable contrast was achieved between tumor tissue and surrounding normal tissues in adenocarcinomas, squamous cell carcinomas, mast cell tumors, and soft tissue sarcomas. Subcutaneous soft tissue sarcomas were labeled with the highest fluorescence intensity and greatest tumor-to-background signal ratio. Our results establish a foundation that rationalizes clinical studies in humans with soft tissue sarcoma, an indication with a notably high unmet need. Cancer Res; 75(20); 4283–91. ©2015 AACR.
    Print ISSN: 0008-5472
    Electronic ISSN: 1538-7445
    Topics: Medicine
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  • 10
    Publication Date: 2012-07-18
    Description: The Wnt/β-catenin pathway, which signals through the Frizzled (Fzd) receptor family and several coreceptors, has long been implicated in cancer. Here we demonstrate a therapeutic approach to targeting the Wnt pathway with a monoclonal antibody, OMP-18R5. This antibody, initially identified by binding to Frizzled 7, interacts with five Fzd receptors through a conserved epitope within the extracellular domain and blocks canonical Wnt signaling induced by multiple Wnt family members. In xenograft studies with minimally passaged human tumors, this antibody inhibits the growth of a range of tumor types, reduces tumor-initiating cell frequency, and exhibits synergistic activity with standard-of-care chemotherapeutic agents.
    Print ISSN: 0027-8424
    Electronic ISSN: 1091-6490
    Topics: Biology , Medicine , Natural Sciences in General
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