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Sample records for coloredge cg222w nec

  1. Niger - NECS

    Data.gov (United States)

    Millennium Challenge Corporation — This impact evaluation uses random assignment at the village level to estimate impacts of the NECS and IMAGINE projects on enrollment, attendance, learning and other...

  2. NIGER - NECS

    Data.gov (United States)

    Millennium Challenge Corporation — This impact evaluation uses random assignment at the village level to estimate impacts of the NECS and IMAGINE programs on enrollment, attendance, learning and other...

  3. Improving NEC Fit

    Science.gov (United States)

    2015-09-01

    Fill cannot. NEC Fit NEC Fit measures more than the crew’s total skill sets. It also accounts for how these sailors are used by crediting an NEC...Abstract Navy enlisted classifications (NECs) denote special skills beyond those associated with a rating. They are used in defining manpower...requirements and in managing personnel by tracking sailors who have acquired these skills . NEC Fit is one of two primary metrics that Navy leadership

  4. Network Descriptions and NEC

    NARCIS (Netherlands)

    van der Ham, J.; van Daal, M.; Keus, H.; de Laat, C.

    2008-01-01

    The network is one of the most important components of NEC. In order to achieve high levels of agility and flexibility it is important that all users and providers have a good overview of the capabilities and possibilities of the network. Historically network applications have used their own discove

  5. Network Descriptions and NEC

    NARCIS (Netherlands)

    Keus, H.E.; Ham, J.J. van der; Daal, M. van; Laat, C. de

    2008-01-01

    The network is one of the most important components of NEC. In order to achieve high levels of agility and flexibility it is important that all users and providers have a good overview of the capabilities and possibilities of the network. Historically network applications have used their own

  6. NEC-2020 emission reduction scenarios

    DEFF Research Database (Denmark)

    Slentø, Erik; Nielsen, Ole-Kenneth; Hoffmann, Leif

    The upcoming NEC-2020 EU directive sets up emission ceilings for NOX, SO2, NH3, NMVOC and PM in order to meet the environmental exposure targets of the Thematic Strategy. This report contains an assessment of intermediary emission reduction scenarios for Denmark, computed by the GAINS model 2007......, which serves as the basis for the pending negotiations in EU. The assessment is brought up to date by including a brief evaluation of the new reduction scenarios published in 2008, founding the European Commission NEC-2020 directive proposal....

  7. NEC violation in mimetic cosmology revisited

    CERN Document Server

    Ijjas, Anna; Steinhardt, Paul J

    2016-01-01

    In the context of Einstein gravity, if the null energy condition (NEC) is satisfied, the energy density in expanding space-times always decreases while in contracting space-times the energy density grows and the universe eventually collapses into a singularity. In particular, no non-singular bounce is possible. It is, though, an open question if this energy condition can be violated in a controlled way, i.e., without introducing pathologies, such as unstable negative-energy states or an imaginary speed of sound. In this paper, we will re-examine the claim that the recently proposed mimetic scenario can violate the NEC without pathologies. We show that mimetic cosmology is prone to gradient instabilities even in cases when the NEC is satisfied (except for trivial examples). Most interestingly, the source of the instability is always the Einstein-Hilbert term in the action. The matter stress-energy component does not contribute spatial gradient terms but instead makes the problematic curvature modes dynamical. ...

  8. NEC violation in mimetic cosmology revisited

    Science.gov (United States)

    Ijjas, Anna; Ripley, Justin; Steinhardt, Paul J.

    2016-09-01

    In the context of Einstein gravity, if the null energy condition (NEC) is satisfied, the energy density in expanding space-times always decreases while in contracting space-times the energy density grows and the universe eventually collapses into a singularity. In particular, no non-singular bounce is possible. It is, though, an open question if this energy condition can be violated in a controlled way, i.e., without introducing pathologies, such as unstable negative-energy states or an imaginary speed of sound. In this letter, we will re-examine the claim that the recently proposed mimetic scenario can violate the NEC without pathologies. We show that mimetic cosmology is prone to gradient instabilities even in cases when the NEC is satisfied (except for trivial examples). Most interestingly, the source of the instability is always the Einstein-Hilbert term in the action. The matter stress-energy component does not contribute spatial gradient terms but instead makes the problematic curvature modes dynamical. We also show that mimetic cosmology can be understood as a singular limit of known, well-behaved theories involving higher-derivative kinetic terms and discuss ways of removing the instability.

  9. NEC violation in mimetic cosmology revisited

    Directory of Open Access Journals (Sweden)

    Anna Ijjas

    2016-09-01

    Full Text Available In the context of Einstein gravity, if the null energy condition (NEC is satisfied, the energy density in expanding space–times always decreases while in contracting space–times the energy density grows and the universe eventually collapses into a singularity. In particular, no non-singular bounce is possible. It is, though, an open question if this energy condition can be violated in a controlled way, i.e., without introducing pathologies, such as unstable negative-energy states or an imaginary speed of sound. In this letter, we will re-examine the claim that the recently proposed mimetic scenario can violate the NEC without pathologies. We show that mimetic cosmology is prone to gradient instabilities even in cases when the NEC is satisfied (except for trivial examples. Most interestingly, the source of the instability is always the Einstein–Hilbert term in the action. The matter stress-energy component does not contribute spatial gradient terms but instead makes the problematic curvature modes dynamical. We also show that mimetic cosmology can be understood as a singular limit of known, well-behaved theories involving higher-derivative kinetic terms and discuss ways of removing the instability.

  10. Multisensory platform based on NEC protocol

    Directory of Open Access Journals (Sweden)

    Novaković Đorđe

    2017-01-01

    Full Text Available Multisensory signal acquisition represents one of the main concepts necessary to perform measurements in various industrial and consumer-oriented applications. This paper presents a development platform which provides a data acquisition from multiple sensors. The main module of the platform is the UNIDS-3 development board with PIC18F8520 microcontroller. Data acquisition from the sensors is performed on user demand by remote control. NEC protocol is implemented and IR receiver TSOP31238 is used. The measurement data are sent to a computer, which performs digital data processing, data visualization and data storage. [Project of the Serbian Ministry of Education, Science and Technological Development, Grant no. TR32019

  11. Secure Service Oriented Architectures (SOA) Supporting NEC [Architecture orientée service (SOA) gérant la NEC

    NARCIS (Netherlands)

    Meiler, P.P.; Schmeing, M.

    2009-01-01

    Combined scenario ; Data management ; Data processing ; Demonstrator ; Information systems ; Integrated systems ; Interoperability ; Joint scenario ; Network Enabled Capability (NEC) ; Operational effectiveness ; Operations research ; Scenarios ; Secure communication ; Service Oriented Architecture

  12. Netforce Principles: An Elementary Foundation of NEC and NCO

    NARCIS (Netherlands)

    Keus, H.E.

    2005-01-01

    The debate on NCO and NEC continues to suffer from definitional and conceptual imprecision. This paper introduces a modelling framework that provides elementary netcentric principles with which NCO and NEC concepts can be constructed and derived. In a stepwise derivation process, starting with a sim

  13. Necrotizing enterocolitis (NEC: what’s going on

    Directory of Open Access Journals (Sweden)

    Mario De Curtis

    2013-06-01

    Full Text Available Necrotizing enterocolitis (NEC is among the most common and devastating diseases in neonates and, despite the significant advances in neonatal care and clinical and basic science investigations, its etiology remains incompletely understood, specific treatment strategies are lacking, and morbidity and mortality from this disease remain high. Recent improvements in the pathophysiology of NEC may have therapeutic consequences. Toll-like receptors and intestinal microflora play an increasing role in the pathogenesis of NEC. Pharmacologic inhibition of TLR signaling, the use of novel nutritional strategies, and microflora modulation may represent novel promising approaches to the prevention and treatment of NEC. This review focuses on current and future therapeutic perspectives, starting from the recent acquisitions in the pathogenic mechanisms of NEC. Proceedings of the 9th International Workshop on Neonatology · Cagliari (Italy · October 23rd-26th, 2013 · Learned lessons, changing practice and cutting-edge research

  14. The Numerical Electromagnetics Code (NEC) - A Brief History

    Energy Technology Data Exchange (ETDEWEB)

    Burke, G J; Miller, E K; Poggio, A J

    2004-01-20

    The Numerical Electromagnetics Code, NEC as it is commonly known, continues to be one of the more widely used antenna modeling codes in existence. With several versions in use that reflect different levels of capability and availability, there are now 450 copies of NEC4 and 250 copies of NEC3 that have been distributed by Lawrence Livermore National Laboratory to a limited class of qualified recipients, and several hundred copies of NEC2 that had a recorded distribution by LLNL. These numbers do not account for numerous copies (perhaps 1000s) that were acquired through other means capitalizing on the open source code, the absence of distribution controls prior to NEC3 and the availability of versions on the Internet. In this paper we briefly review the history of the code that is concisely displayed in Figure 1. We will show how it capitalized on the research of prominent contributors in the early days of computational electromagnetics, how a combination of events led to the tri-service-supported code development program that ultimately led to NEC and how it evolved to the present day product. The authors apologize that space limitations do not allow us to provide a list of references or to acknowledge the numerous contributors to the code both of which can be found in the code documents.

  15. Mapping the New World of Necrotizing Enterocolitis (NEC): Review and Opinion

    OpenAIRE

    2012-01-01

    A comprehensive review of necrotizing enterocolitis (NEC) is provided; including history, biological basis and frequently asked questions. In addition, a system of improved NEC classification is explained in detail (consisting of five NEC subsets and four NEC-like diseases), to aid the bedside clinician in therapy and prevention. The authors offer opinion for therapeutics in italics at the end of each definition.

  16. Mapping the New World of Necrotizing Enterocolitis (NEC): Review and Opinion.

    Science.gov (United States)

    Gordon, Phillip; Christensen, Robert; Weitkamp, Jörn-Hendrik; Maheshwari, Akhil

    2012-01-01

    A comprehensive review of necrotizing enterocolitis (NEC) is provided; including history, biological basis and frequently asked questions. In addition, a system of improved NEC classification is explained in detail (consisting of five NEC subsets and four NEC-like diseases), to aid the bedside clinician in therapy and prevention. The authors offer opinion for therapeutics in italics at the end of each definition.

  17. PENERAPAN ASAS PACTA TERTIIS NEC NOCENT NEC PROSUNT BERKAITAN DENGAN STATUS HUKUM DAERAH DASAR LAUT SAMUDERA DALAM (SEA BED

    Directory of Open Access Journals (Sweden)

    Aryuni Yuliatiningsih

    2010-01-01

    Full Text Available International ocean seabed area out of national jurisdiction recognized as a common heritage of mankind. Its regulations under International authority based on UNCLOS 1982. UNCLOS 1982 didn’t universal acceptance because there are several states unwilling consent to be bound by a treaty. In the law of treaty there is pacta tertiis nec nocent nec prosunt principle, means a treaty does not either obligations or rights for a third State without its consent. Nevertheless, rules in a treaty becoming binding upon on third states through international custom and there is a principle has character erga omnes

  18. Command in NEC : en experiment in genetwerkt werken

    NARCIS (Netherlands)

    Essens, P.J.D.M.; Bezooijen, B.J.A. van

    2008-01-01

    De ontwikkeling van internet heeft geleid tot he tontstaan van nieuwe moglijkheden van militair optreden. met labeks als NCW en NEC wordt internationaal en nationaal gewerkt aan genetwerkte krijgsmacht. Internet-techniek moet helpen om de informatie snel en breed te verspreiden. commandanten moeten

  19. Command in NEC : en experiment in genetwerkt werken

    NARCIS (Netherlands)

    Essens, P.J.D.M.; Bezooijen, B.J.A. van

    2008-01-01

    De ontwikkeling van internet heeft geleid tot he tontstaan van nieuwe moglijkheden van militair optreden. met labeks als NCW en NEC wordt internationaal en nationaal gewerkt aan genetwerkte krijgsmacht. Internet-techniek moet helpen om de informatie snel en breed te verspreiden. commandanten moeten

  20. Addressing the "New" NEC: Part I: rediscovering the basics.

    Science.gov (United States)

    Simmonds, Aryeh; LaGamma, Edmund F

    2006-11-01

    Epithelial cell functions ultimately define the ability of the extremely low birth weight human fetus to survive outside of the uterus. These specialized epithelial cell capacities manage all human interactions with the ex utero world including: (i) lung mechanics, surface chemistry and gas exchange, (ii) renal tubular balance of fluid and electrolytes, (iii) barrier functions of the intestine and skin for keeping bacteria out and water in, plus enabling intestinal digestion, as well as (iv) maintaining an intact neuroepithelium lining of the ventricles of the brain and retina. In Part I of this two part review, the authors describe why the gut barrier is a clinically relevant model system for studying the complex interplay between innate and adaptive immunity, dendritic &epithelial cell interactions, intraepithelial lymphocytes, M-cells, as well as the gut associated lymphoid tissues where colonization after birth, clinician feeding practices, use of antibiotics as well as exposure to prebiotics, probiotics and maternal vaginal flora all program the neonate for a life-time of immune competence distinguishing "self" from foreign antigens. These barrier defense capacities become destructive during disease processes like necrotizing enterocolitis (NEC) when an otherwise maturationally normal, yet dysregulated and immature, immune defense system is associated with high levels of certain inflammatory mediators like TNFa. In Part II, the authors will discuss the theoretical advantages of using rhG-CSF in managing NEC or sepsis by augmenting neonatal neutrophil number and killing capacity including an unexpected, paradoxical and potent anti-TNFa function that may serve to limit extension of tissue destruction without impairing bacterial killing capacity. The authors conclude by arguing that NEC may be the ideal disease process for testing whether a clearly defined clinical benefit of cytokine therapy can prove beneficial.

  1. Pseudofractures due to Nec-Loc cervical immobilization collar

    Energy Technology Data Exchange (ETDEWEB)

    Daffner, R.H.; Khoury, M.B.

    1987-08-01

    The plastic rivets attached to the commonly used Nec-Loc cervical immobilization collar produce linear lucencies which often traverse the cervical vertebrae. Linear lucencies in this location often simulate a fracture. In most instances, the complete outline of the object causing the artifact may be identified. However, identification may not be possible in all cases. Radiologists should familiarize themselves with the appearance of the artifact produced by this particular immobilization device so as to avoid the erroneous diagnosis of a cervical fracture. Whenever the diagnosis is in doubt, the collar should be removed and a repeat radiograph should be obtained.

  2. Differential disease resistance response in the barley necrotic mutant nec1

    Directory of Open Access Journals (Sweden)

    Kunga Laura

    2011-04-01

    Full Text Available Abstract Background Although ion fluxes are considered to be an integral part of signal transduction during responses to pathogens, only a few ion channels are known to participate in the plant response to infection. CNGC4 is a disease resistance-related cyclic nucleotide-gated ion channel. Arabidopsis thaliana CNGC4 mutants hlm1 and dnd2 display an impaired hypersensitive response (HR, retarded growth, a constitutively active salicylic acid (SA-mediated pathogenesis-related response and elevated resistance against bacterial pathogens. Barley CNGC4 shares 67% aa identity with AtCNGC4. The barley mutant nec1 comprising of a frame-shift mutation of CNGC4 displays a necrotic phenotype and constitutively over-expresses PR-1, yet it is not known what effect the nec1 mutation has on barley resistance against different types of pathogens. Results nec1 mutant accumulated high amount of SA and hydrogen peroxide compared to parental cv. Parkland. Experiments investigating nec1 disease resistance demonstrated positive effect of nec1 mutation on non-host resistance against Pseudomonas syringae pv. tomato (Pst at high inoculum density, whereas at normal Pst inoculum concentration nec1 resistance did not differ from wt. In contrast to augmented P. syringae resistance, penetration resistance against biotrophic fungus Blumeria graminis f. sp. hordei (Bgh, the causal agent of powdery mildew, was not altered in nec1. The nec1 mutant significantly over-expressed race non-specific Bgh resistance-related genes BI-1 and MLO. Induction of BI-1 and MLO suggested putative involvement of nec1 in race non-specific Bgh resistance, therefore the effect of nec1on mlo-5-mediated Bgh resistance was assessed. The nec1/mlo-5 double mutant was as resistant to Bgh as Nec1/mlo-5 plants, suggesting that nec1 did not impair mlo-5 race non-specific Bgh resistance. Conclusions Together, the results suggest that nec1 mutation alters activation of systemic acquired resistance

  3. [Probiotics and necrotizing enterocolitis in preterm infants: to NEC or not to NEC?, this is the question].

    Science.gov (United States)

    González de Dios, Javier; González Muñoz, María

    2013-11-01

    Introducción. La enterocolitis necrotizante (NEC) es la urgencia abdominal adquirida más frecuente en el recién nacido y ocasiona importante morbi-mortalidad. Una estrategia preventiva es la administración de probióticos orales para la prevención de NEC en prematuros. . El objetivo de este estudio es analizar la eficacia y seguridad de los probióticos orales en prematuros para intentar responder a la pregunta: probióticos orales en Neonatología, ¿sí o no?. Material y métodos. Se planteó un esquema de trabajo en base a los cinco pasos característicos de la Medicina basada en la evidencia o en pruebas científicas (MBE): 1) pregunta, 2) búsqueda, 3) valoración, 4) aplicabilidad y 5) adecuación. Las búsquedas electrónicas se realizaron en bases de datos internacionales (Tripdatabase, Cochrane Collaboration, National Guideline Clearinghouse, GuiaSalud, INHATA, Medline, SciELO) y nacionales (Índice Médico Español, Índice Bibliográfico Español en Ciencias de la Salud y MEDES). Resultados. Se seleccionaron 8 revisiones sistemáticas (RS) que respondían a la pregunta clínica, publicadas entre los años 2007 y 2012, y que incluyen la mejor información disponible (como ensayos clínicos). El riesgo de muerte disminuía significativamente en los grupos de administración de probióticos en todas las RS, con un riesgo relativo (RR) entre 0,40 y 0,56. El riesgo de NEC disminuía significativamente en los grupos de administración de probióticos en todas las RS, con un RR entre 0,32 y 0,36. El riesgo de sepsis no difería significativamente entre grupos. Conclusión. Los hallazgos de las 8 RS muestran, de forma consistente, que los probióticos orales ofrecen una prevención potencial en la morbi-mortalidad secundaria a NEC. Sin embargo, estos datos deben interpretarse con cautela dado que los efectos beneficiosos de los probióticos son específicos de cepa, por lo que, agrupar datos de diferentes cepas puede conllevar a conclusiones err

  4. A Reference Framework of Netcentric Principles for NEC Concept Development and Experimentation

    NARCIS (Netherlands)

    Keus, H.E.; Jense, G.J.

    2005-01-01

    The starting point for the development of future Network Enabled Capabilities (NEC) is a well founded description of the operational environment, net-centric concepts of operations, and netcentric systems. We have started to define a reference framework for NEC concept development to help guide − Th

  5. Physical activity and gastric residuals as biomarkers for region-specific NEC lesions in preterm neonates

    DEFF Research Database (Denmark)

    Cao, Muqing; Andersen, Anders Daniel; Li, Yanqi

    2016-01-01

    Background: Necrotizing enterocolitis (NEC) is a serious feeding-related inflammatory gut disease with high mortality. Early clinical markers of NEC are of great importance for optimizing preventive interventions. Objective: Using preterm pigs as models, we hypothesized that an early postnatal on...

  6. NEC1, a novel gene, highly expressed in the nectary tissue of Petunia hybrida

    NARCIS (Netherlands)

    Ge, X.Y.; Angenent, G.C.; Wittich, P.E.; Peters, J.; Franken, J.; Busscher, M.; Zhang Lanying,; Dahlhaus, E.; Kater, M.M.; Wullems, G.J.; Creemers-Molenaar, T.

    2000-01-01

    To study the molecular regulation of nectary development, we cloned NEC1, a gene predominantly expressed in the nectaries of Petunia hybrida, by using the differential display RTPCR technique. The secondary structure of the putative NEC1 protein is reminiscent of a transmembrane protein, indicating

  7. NEC1, a regulator of nectary development and nectar production in Petunia hybrida

    NARCIS (Netherlands)

    Ge, Ya-Xin

    2001-01-01

    This thesis describes an efficient cloning, characterization and functional analysis of a nectary-specific gene in Petunia hybrida. NEC1, a novel gene, is highly expressed in nectaries. NEC1 is involved in nectar production and nectar secretion. Nectar secreted from floral nectaries is the main flor

  8. Enteral L-Arginine and Glutamine Supplementation for Prevention of NEC in Preterm Neonates.

    Science.gov (United States)

    El-Shimi, M S; Awad, H A; Abdelwahed, M A; Mohamed, M H; Khafagy, S M; Saleh, G

    2015-01-01

    Objective. Evaluating the efficacy and safety of arginine and glutamine supplementation in decreasing the incidence of NEC among preterm neonates. Methods. Prospective case-control study done on 75 preterm neonates ≤34 weeks, divided equally into L-arginine group receiving enteral L-arginine, glutamine group receiving enteral glutamine, and control group. Serum L-arginine and glutamine levels were measured at time of enrollment (sample 1), after 14 days of enrollment (sample 2), and at time of diagnosis of NEC (sample 3). Results. The incidence of NEC was 9.3%. There was no difference in the frequency of NEC between L-arginine and control groups (P > 0.05). NEC was not detected in glutamine group; L-arginine concentrations were significantly lower in arginine group than control group in both samples while glutamine concentrations were comparable in glutamine and control groups in both samples. No significant difference was found between groups as regards number of septic episodes, duration to reach full oral intake, or duration of hospital stay. Conclusion. Enteral L-arginine supplementation did not seem to reduce the incidence of NEC. Enteral glutamine may have a preventive role against NEC if supplied early to preterm neonates. However, larger studies are needed to confirm these findings. This work is registered in ClinicalTrials.gov (ClinicalTrials.gov Identifier: NCT01263041).

  9. Enteral L-Arginine and Glutamine Supplementation for Prevention of NEC in Preterm Neonates

    Directory of Open Access Journals (Sweden)

    M. S. El-Shimi

    2015-01-01

    Full Text Available Objective. Evaluating the efficacy and safety of arginine and glutamine supplementation in decreasing the incidence of NEC among preterm neonates. Methods. Prospective case-control study done on 75 preterm neonates ≤34 weeks, divided equally into L-arginine group receiving enteral L-arginine, glutamine group receiving enteral glutamine, and control group. Serum L-arginine and glutamine levels were measured at time of enrollment (sample 1, after 14 days of enrollment (sample 2, and at time of diagnosis of NEC (sample 3. Results. The incidence of NEC was 9.3%. There was no difference in the frequency of NEC between L-arginine and control groups (P>0.05. NEC was not detected in glutamine group; L-arginine concentrations were significantly lower in arginine group than control group in both samples while glutamine concentrations were comparable in glutamine and control groups in both samples. No significant difference was found between groups as regards number of septic episodes, duration to reach full oral intake, or duration of hospital stay. Conclusion. Enteral L-arginine supplementation did not seem to reduce the incidence of NEC. Enteral glutamine may have a preventive role against NEC if supplied early to preterm neonates. However, larger studies are needed to confirm these findings. This work is registered in ClinicalTrials.gov (ClinicalTrials.gov Identifier: NCT01263041.

  10. Probióticos y enterocolitis necrotizante del prematuro: to NEC or not to NEC?, ésta es la pregunta

    OpenAIRE

    Javier González de Dios; María González Muñoz

    2013-01-01

    Introducción: La enterocolitis necrotizante (NEC) es la urgencia abdominal adquirida más frecuente en el recién nacido y ocasiona importante morbi-mortalidad. Una estrategia preventiva es la administración de probióticos orales para la prevención de NEC en prematuros. El objetivo de este estudio es analizar la eficacia y seguridad de los probióticos orales en prematuros para intentar responder a la pregunta: probióticos orales en Neonatología, ¿sí o no? Material y métodos: Se planteó un esque...

  11. Have NEC Coat, Will Travel: Structural Basis of Membrane Budding During Nuclear Egress in Herpesviruses.

    Science.gov (United States)

    Bigalke, J M; Heldwein, E E

    2017-01-01

    Herpesviruses are unusual among enveloped viruses because they bud twice yet acquire a single envelope. Furthermore, unlike other DNA viruses that replicate in the nucleus, herpesviruses do not exit it by passing through the nuclear pores or by rupturing the nuclear envelope. Instead, herpesviruses have a complex mechanism of nuclear escape whereby nascent capsids bud at the inner nuclear membrane to form perinuclear virions that subsequently fuse with the outer nuclear membrane, releasing capsids into the cytosol. This makes them some of the very few known viruses that bud into the nuclear envelope. The envelope acquired during nuclear budding does not end up in the mature viral particle but instead allows the capsid to translocate from the nucleus into the cytosol. The viral nuclear egress complex (NEC) is a critical player in the nuclear egress, yet its function and mechanism have remained enigmatic. Recent studies have demonstrated that the NEC buds membranes without the help of other proteins by forming a honeycomb coat, which established the NEC as the first virally encoded budding machine that operates at the nuclear, as opposed to cytoplasmic, membrane. This review discusses our current understanding of the NEC budding mechanism, with the emphasis on studies that illuminated the structure of the NEC coat and its role in capsid budding during herpesvirus nuclear escape.

  12. Formula carbohydrate content differentially shapes the microbial community patterns and NEC incidence in premature pigs

    Science.gov (United States)

    Major risk factors for necrotizing enterocolitis (NEC) include premature birth, formula feeding, and microbial colonization of the gastrointestinal tract (GIT). Microbial colonization is thought to begin at birth and is strongly influenced by diet carbohydrate content. We previously showed that feed...

  13. Bloodstream infections during the onset of necrotizing enterocolitis and their relation with the pro-inflammatory response, gut wall integrity and severity of disease in NEC

    NARCIS (Netherlands)

    Heida, F.H.; Hulscher, J.B.; Schurink, M.; Vliet, M.J. van; Kooi, E.M.; Kasper, D.C.; Pones, M.; Bos, A.F; Benkoe, T.M.

    2015-01-01

    INTRODUCTION: Bacterial involvement is believed to play a pivotal role in the development and disease outcome of NEC. However, whether a bloodstream infection (BSI) predisposes to NEC (e.g. by activating the pro-inflammatory response) or result from the loss of gut wall integrity during NEC developm

  14. Bloodstream infections during the onset of necrotizing enterocolitis and their relation with the pro-inflammatory response, gut wall integrity and severity of disease in NEC

    NARCIS (Netherlands)

    Heida, F. H.; Hulscher, J. B. F.; Schurink, M.; van Vliet, M. J.; Kooi, E. M. W.; Kasper, D. C.; Pones, M.; Bos, A. F.; Benkoe, T. M.

    2015-01-01

    Introduction: Bacterial involvement is believed to play a pivotal role in the development and disease outcome of NEC. However, whether a bloodstream infection (BSI) predisposes to NEC (e.g. by activating the pro-inflammatory response) or result from the loss of gut wall integrity during NEC developm

  15. Probióticos y enterocolitis necrotizante del prematuro: to NEC or not to NEC?, ésta es la pregunta

    Directory of Open Access Journals (Sweden)

    Javier González de Dios

    2013-12-01

    Full Text Available Introducción: La enterocolitis necrotizante (NEC es la urgencia abdominal adquirida más frecuente en el recién nacido y ocasiona importante morbi-mortalidad. Una estrategia preventiva es la administración de probióticos orales para la prevención de NEC en prematuros. El objetivo de este estudio es analizar la eficacia y seguridad de los probióticos orales en prematuros para intentar responder a la pregunta: probióticos orales en Neonatología, ¿sí o no? Material y métodos: Se planteó un esquema de trabajo en base a los cinco pasos característicos de la Medicina basada en la evidencia o en pruebas científicas (MBE: 1 pregunta, 2 búsqueda, 3 valoración, 4 aplicabilidad y 5 adecuación. Las búsquedas electrónicas se realizaron en bases de datos internacionales (Tripdatabase, Cochrane Collaboration, National Guideline Clearinghouse, Guia-Salud, INHATA, Medline, SciELO y nacionales (índice Médico Español, índice Bibliográfico Español en Ciencias de la Salud y MEDES. Resultados: Se seleccionaron 8 revisiones sistemáticas (RS que respondían a la pregunta clínica, publicadas entre los años 2007 y 2012, y que incluyen la mejor información disponible (como ensayos clínicos. El riesgo de muerte disminuía significativamente en los grupos de administración de probióticos en todas las RS, con un riesgo relativo (RR entre 0,40 y 0,56. El riesgo de NEC disminuía significativamente en los grupos de administración de probióticos en todas las RS, con un RR entre 0,32 y 0,36. El riesgo de sepsis no difería significativamente entre grupos. Conclusión: Los hallazgos de las 8 RS muestran, de forma consistente, que los probióticos orales ofrecen una prevención potencial en la morbi-mortalidad secundaria a NEC. Sin embargo, estos datos deben interpretarse con cautela dado que los efectos beneficiosos de los probióticos son específicos de cepa, por lo que, agrupar datos de diferentes cepas puede conllevar a conclusiones err

  16. SATCOM antenna siting study on a P-3C using the NEC-BSC V3.1

    Science.gov (United States)

    Bensman, D.; Marhefka, R. J.

    1990-01-01

    The location of a UHF SATCOM antenna on a P-3C aircraft is studied using the NEC-Basic Scattering Code V3.1 (NEC-BSC3). The NEC-BSC3 is a computer code based on the uniform theory of diffraction. The code is first validated for this application using scale model measurements. In general, the comparisons are good except in 10 degree regions near the nose and tail of the aircraft. Patterns for various antenna locations are analyzed to achieve a prescripted performance.

  17. Present capabilities and new developments in antenna modeling with the numerical electromagnetics code NEC

    Energy Technology Data Exchange (ETDEWEB)

    Burke, G.J.

    1988-04-08

    Computer modeling of antennas, since its start in the late 1960's, has become a powerful and widely used tool for antenna design. Computer codes have been developed based on the Method-of-Moments, Geometrical Theory of Diffraction, or integration of Maxwell's equations. Of such tools, the Numerical Electromagnetics Code-Method of Moments (NEC) has become one of the most widely used codes for modeling resonant sized antennas. There are several reasons for this including the systematic updating and extension of its capabilities, extensive user-oriented documentation and accessibility of its developers for user assistance. The result is that there are estimated to be several hundred users of various versions of NEC world wide. 23 refs., 10 figs.

  18. Scale-invariant perturbations from NEC violation: A new variant of Galilean Genesis

    CERN Document Server

    Nishi, Sakine

    2016-01-01

    We propose a novel branch of the Galilean Genesis scenario as an alternative to inflation, in which the universe starts expanding from Minkowski in the asymptotic past with a gross violation of the null energy condition (NEC). This variant, described by several functions and parameters within the Horndeski scalar-tensor theory, shares the same background dynamics with the existing Genesis models, but the nature of primordial quantum fluctuations is quite distinct. In some cases, tensor perturbations grow on superhorizon scales. The tensor power spectrum can be red, blue, and scale invariant, depending on the model, while scalar perturbations are nearly scale invariant. This is in sharp contrast to typical NEC-violating cosmologies, in which a blue tensor tilt is generated. Though the primordial tensor and scalar spectra are both nearly scale invariant as in the inflationary scenario, the consistency relation in our variant of Galilean Genesis is non-standard.

  19. Delayed initiation but not gradual advancement of enteral formula feeding reduces the incidence of necrotizing enterocolitis (NEC in preterm pigs.

    Directory of Open Access Journals (Sweden)

    Nada Ghoneim

    Full Text Available Enteral formula feeding is a risk factor for necrotizing enterocolitis (NEC in premature infants, yet studies are conflicting regarding the safest timing for introduction and advancement of feeds. Our aim was to test the effects of early vs. late initiation and abrupt vs. gradual advancement of enteral feeding of an intact vs. hydrolyzed protein formula on NEC incidence and severity in preterm pigs. In Experiment 1, preterm pigs received total parenteral nutrition (TPN at birth with abrupt initiation of enteral formula feeds (50% full intake on d of life (DOL 2 (EA or 5 (LA while PN continued. Pigs were also fed formula containing either intact or hydrolyzed protein. In Experiment 2, preterm pigs received TPN at birth with enteral, hydrolyzed-protein formula feeds introduced on DOL 2 either abruptly (EA; 50% full feeds or gradually (EG; 10-50% full feeds over 5 d while PN continued. NEC incidence and severity were assessed based on macroscopic and histological scoring. In Experiment 1, NEC incidence (41% vs. 70%, P<0.05 and severity were reduced in LA vs. EA groups and LA was associated with a higher survival rate, daily weight gain and jejunum villus height. Piglets fed hydrolyzed vs. intact protein formula had lower stomach content weights and similar NEC incidence. In Experiment 2, NEC incidence and severity were not different between pigs the EG vs. EA group. Proinflammatory gene expression (IL-1β, IL-6 and S100A9 in the ileum was lower in both LA and EG vs. EA groups. In conclusion, delayed initiation but not gradual advancement of enteral feeding is protective against NEC in preterm pigs. Feeding hydrolyzed vs. intact protein formula improved gastric transit without affecting the NEC incidence.

  20. Delayed initiation but not gradual advancement of enteral formula feeding reduces the incidence of necrotizing enterocolitis (NEC) in preterm pigs

    Science.gov (United States)

    Enteral formula feeding is a risk factor for necrotizing enterocolitis (NEC) in premature infants, yet studies are conflicting regarding the safest timing for introduction and advancement of feeds. Our aim was to test the effects of early vs. late initiation and abrupt vs. gradual advancement of ent...

  1. Early gradual feeding with bovine colostrum improves gut function and NEC resistance relative to infant formula in preterm pigs

    Science.gov (United States)

    It is unclear when and how to start enteral feeding for preterm infants when mother's milk is not available. We hypothesized that early and slow advancement of either formula or bovine colostrum stimulates gut maturation and prevents necrotizing enterocolitis (NEC) in preterm pigs, used as models fo...

  2. Evaluation of the discrete complex-image method for a NEC-like moment-method solution

    Energy Technology Data Exchange (ETDEWEB)

    Burke, G.J.

    1996-01-05

    The discrete image approximation for the field of a half-space is tested in the NEC antenna modeling program as an alternative to the interpolation method presently used. The accuracy and speed of the discrete image approximation are examined for varying number of images and approximation contour, and the solution for current is obtained on a horizontal wire approaching the interface.

  3. Paneth cell ablation in the presence of Klebsiella pneumoniae induces necrotizing enterocolitis (NEC-like injury in the small intestine of immature mice

    Directory of Open Access Journals (Sweden)

    Chunxian Zhang

    2012-07-01

    Necrotizing enterocolitis (NEC is a leading cause of morbidity and mortality in premature infants. During NEC pathogenesis, bacteria are able to penetrate innate immune defenses and invade the intestinal epithelial layer, causing subsequent inflammation and tissue necrosis. Normally, Paneth cells appear in the intestinal crypts during the first trimester of human pregnancy. Paneth cells constitute a major component of the innate immune system by producing multiple antimicrobial peptides and proinflammatory mediators. To better understand the possible role of Paneth cell disruption in NEC, we quantified the number of Paneth cells present in infants with NEC and found that they were significantly decreased compared with age-matched controls. We were able to model this loss in the intestine of postnatal day (P14-P16 (immature mice by treating them with the zinc chelator dithizone. Intestines from dithizone-treated animals retained approximately half the number of Paneth cells compared with controls. Furthermore, by combining dithizone treatment with exposure to Klebsiella pneumoniae, we were able to induce intestinal injury and inflammatory induction that resembles human NEC. Additionally, this novel Paneth cell ablation model produces NEC-like pathology that is consistent with other currently used animal models, but this technique is simpler to use, can be used in older animals that have been dam fed, and represents a novel line of investigation to study NEC pathogenesis and treatment.

  4. Early gradual feeding with bovine colostrum improves gut function and NEC resistance relative to infant formula in preterm pigs

    DEFF Research Database (Denmark)

    Shen, Rene L; Thymann, Thomas; Østergaard, Mette V

    2015-01-01

    It is unclear when and how to start enteral feeding for preterm infants when mother's milk is not available. We hypothesized that early and slow advancement with either formula or bovine colostrum stimulates gut maturation and prevents necrotizing enterocolitis (NEC) in preterm pigs, used as models......), and higher intestinal permeability, compared with BC pigs (all P Early feeding with formula induces intestinal dysfunction whereas bovine colostrum supports gut maturation when mother's milk is absent during the first week after...

  5. Early gradual feeding with bovine colostrum improves gut function and NEC resistance relative to infant formula in preterm pigs

    DEFF Research Database (Denmark)

    Shen, René L.; Thymann, Thomas; Østergaard, Mette V.

    2015-01-01

    It is unclear when and how to start enteral feeding for preterm infants when mother’s milk is not available. We hypothesized that early and slow advancement with either formula or bovine colostrum stimulates gut maturation and prevents necrotizing enterocolitis (NEC) in preterm pigs, used as models...... intestinal permeability, compared with BC pigs (all P Early feeding with formula induces intestinal dysfunction whereas bovine colostrum supports gut maturation when mother’s milk is absent during the first week after preterm birth...

  6. Reducing Viability Bias in Analysis of Gut Microbiota in Preterm Infants at Risk of NEC and Sepsis

    Directory of Open Access Journals (Sweden)

    Gregory R. Young

    2017-06-01

    Full Text Available Necrotising enterocolitis (NEC and sepsis are serious diseases of preterm infants that can result in feeding intolerance, the need for bowel resection, impaired physiological and neurological development, and high mortality rates. Neonatal healthcare improvements have allowed greater survival rates in preterm infants leading to increased numbers at risk of developing NEC and sepsis. Gut bacteria play a role in protection from or propensity to these conditions and have therefore, been studied extensively using targeted 16S rRNA gene sequencing methods. However, exact epidemiology of these conditions remain unknown and the role of the gut microbiota in NEC remains enigmatic. Many studies have confounding variables such as differing clinical intervention strategies or major methodological issues such as the inability of 16S rRNA gene sequencing methods to determine viable from non-viable taxa. Identification of viable community members is important to identify links between the microbiota and disease in the highly unstable preterm infant gut. This is especially important as remnant DNA is robust and persists in the sampling environment following cell death. Chelation of such DNA prevents downstream amplification and inclusion in microbiota characterisation. This study validates use of propidium monoazide (PMA, a DNA chelating agent that is excluded by an undamaged bacterial membrane, to reduce bias associated with 16S rRNA gene analysis of clinical stool samples. We aim to improve identification of the viable microbiota in order to increase the accuracy of clinical inferences made regarding the impact of the preterm gut microbiota on health and disease. Gut microbiota analysis was completed on stools from matched twins (n = 16 that received probiotics. Samples were treated with PMA, prior to bacterial DNA extraction. Meta-analysis highlighted a significant reduction in bacterial diversity in 68.8% of PMA treated samples as well as significantly

  7. Ada Compiler Validation Summary Report: Certificate Number: 910918S1.11217, NEC Corporation, NEC Ada Compiler System for EWS-UX/V to V70/RX-UX832, Version 1.0 EWS 4800/60 = MV4000

    Science.gov (United States)

    1991-01-01

    8217 The Ada~ System generator 30 I OPTIONS AND COMMANDS OF THE PLU 1 Options and Commands of The PLU The Program Library Utility (PLU) of NEC Ada...myprogram 4 OPTIONS FOR THE ADA SYSTEM GENERATOR 30 The linker will include the code in Obj ectFile. o in the linkage of the program "myprogram". This...program presumably features a program interface to some routines appearing in the ObjectFile. 4 Options for The Ada System generator asgv70 is a

  8. The Nottingham Expectation and Complication score following Surgery (NECS): an universal scale for surgical outcome audit and peer comparison.

    Science.gov (United States)

    Ingale, Harshal; Muquit, Samiul; Al-Helli, Othman; White, Barrie; Basu, Surajit

    2017-04-01

    Consultant Outcomes Publication (COP) is an NHS England initiative for promoting improvements in quality of care. However, at present outcomes are commonly expressed as mortality rates which do not necessarily reflect the performance of surgeons. We developed the Nottingham Expectation and Complication score following Surgery (NECS) to determine the success of surgical treatment from both the clinical perspective and the practical expectations agreed between surgeons and patients during the consent process. This was a pilot study to trial the use of the NECS score. It is a simple expression of overall outcome comprising three clinical domains: S - surgical outcome, T - surgical/technical complications and M - medical complications recorded by the treating clinician, and practical outcome determined by a joint clinical/patient assessment. 107 elective neurosurgical patients were included in this prospective study. 95 completed questionnaires were included. 75% patients achieved the best possible treatment score (S3T3M4). Of the 25% of patients who did not achieve this ideal outcome, the most common cause was either medical deterioration 18%, or technical complications of surgery discussed during the consent process 17%, or both. Surgeons rated their outcomes as expectations exceeded in 2% of cases, met in 92%, partially met in 5% and failed in 1%. Patients rated their outcomes as expectations exceeded in 37%, met in 37%, partially met in 18%, and 5% reported that their expectations were not met or they were worse than before the operation. Bivariate correlation analysis (Pearson's r coefficient) between overall 'expectation score' of patients and surgeons showed moderate correlation with r = .25 (p = .014). NECS score can be used as an indicator to assess technical performance and patient satisfaction. It provides a more balanced quality indicator of the surgical service delivery than COP. It also offers additional advantages for auditing/planning improving

  9. Performance of MC2 and the ECMWF IFS Forecast Model on the Fujitsu VPP700 and NEC SX-4M

    Directory of Open Access Journals (Sweden)

    Michel Desgagné

    2000-01-01

    Full Text Available The NEC SX-4M cluster and Fujitsu VPP700 supercomputers are both based on custom vector processors using low-power CMOS technology. Their basic architectures and programming models are however somewhat different. A multi-node SX-4M cluster contains up to 32 processors per shared memory node, with a maximum of 16 nodes connected via the proprietary NEC IXS fibre channel crossbar network. A hybrid combination of inter-node MPI message-passing with intra-node tasking or threads is possible. The Fujitsu VPP700 is a fully distributed-memory vector machine with a crossbar interconnect which also supports MPI. The parallel performance of the MC2 model for high-resolution mesoscale forecasting over large domains and of the IFS RAPS 4.0 benchmark are presented for several different machine configurations. These include an SX-4/32, an SX-4/32M cluster and up to 100 PE's of the VPP700. Our results indicate that performance degradation for both models on a single SX-4 node is primarily due to memory contention within the internal crossbar switch. Multinode SX-4 performance is slightly better than single node. Longer vector lengths and SDRAM memory on the VPP700 result in lower per processor execution rates. Both models achieve close to ideal scaling on the VPP700.

  10. Nuclear Energy Center: upper St. Lawrence region. Part I. Siting. Part II. Fort Drum surrogate site, description and impact assessment. Part III. Dispersed sites impact assessment and comparison with the NEC

    Energy Technology Data Exchange (ETDEWEB)

    Merry, P.A.; Luner, C.; Hong, S.W.; Canham, H.O.; Boggs, J.F.; McCool, T.P.

    1976-12-01

    This report is one of many supporting documents used by the Nuclear Regulatory commission in the preparation of the Nuclear Energy Center Site Survey (NECSS) mandated by Congress. While the overall study focuses on the feasibility and practicability of nuclear energy centers (NECs), this report is directed towards choosing a suitable surrogate site in the upper St. Lawrence region of New York State, assessing the probable impacts associated with construction and operation of the NEC, and comparing these impacts with those associated with small dispersed nuclear power stations. The upper St. Lawrence region is surveyed to identify a specific site that might be suitable for a surrogate NEC. Several assumptions about the basic design of an NEC are delineated, and a general overview of the characteristics of the region is given. The Fort Drum Military Reservation is chosen as a suitable surrogate site. Fort Drum and the surrounding area are described in terms of land use and population patterns, terrestrial and aquatic ecology, water use and quality, meteorology, institutional framework, and socioeconomic structure. The impacts associated with NEC development are assessed. Then the impacts associated with smaller dispersed nuclear power stations located throughout New York State are assessed and compared with the impacts associated with the NEC. Finally, the impacts due to development of the transmission line networks associated with the NEC and with the dispersed power stations are assessed and compared.

  11. L’humor de Cristòfor de Domènec. Sobre la publicació de Brand, Carnet d’un heterodox (1926)

    OpenAIRE

    Casanovas, Pompeu

    2014-01-01

    L’humor de Cristòfor de Domènec és àcid i pertany a la literatura pamfletària i de combat. Brand, Carnet d’un heterodox és el llibre on el filòsof va recollir els articles publicats sota aquest títol a Justícia Social (1923-1926). Joan Sallarès el va editar a Sabadell, a la impremta Sallent, el 1926. Aquest article analitza l’estil i el contingut del pensament polític de Domènec, la dura crítica a la religió i les seves relacions amb la Colla de Sabadell, les avantguardes i el simbolisme....

  12. Design and Validation of the GI-NEC Score to Prognosticate Overall Survival in Patients With High-Grade Gastrointestinal Neuroendocrine Carcinomas

    OpenAIRE

    Valle, Juan; Lamarca, Angela; McNamara, Mairead; Hubner, Richard; Barriuso, Jorge

    2017-01-01

    BACKGROUND: Prognostic markers for risk stratification of patients with gastrointestinal high-grade neuroendocrine carcinomas (GI-NECs) are lacking; we designed and validated a prognostic score for overall survival (OS). METHODS: Consecutive patients diagnosed in five neuroendocrine specialist European centers were included. Patients were divided into three cohorts: a training cohort (TC), an external validation cohort (EVC), and a prospective validation cohort (PVC). Prognostic factors were ...

  13. Magnetic nanoparticles of nitrogen enriched carbon (mnNEC) for analysis of pesticides and metabolites in zebrafish by gas chromatography-mass spectrometry.

    Science.gov (United States)

    Zhou, Youe; Xia, Qian; Ding, Mengjie; Kageruka, Hubert; Jiang, Haiying; Jiang, Yan; Jing, Huifen; Xiao, Xiao; Zhong, Hongying

    2013-02-01

    Nanosized carbon based sorbents have been widely used for separation, enrichment and desalting of biological samples because of their distinguished characteristics. In this work, magnetic nanoparticles of nitrogen enriched carbon (mnNEC) have been developed for enrichment of organochlorine pesticide DDT and metabolite DDE that have been accumulated in zebrafish during the course of environmental exposure. Polymerization of pyrrole was performed in the aqueous suspension of Fe(3)O(4) nanoparticles. Resultant core-shell nanoparticules coated with polypyrrole were then subjected to a process of carbonization under high temperature and nitrogen atmospheric condition. The presence of nitrogen atoms in carbon nanoparticles increases the hydrophilicity and dispersability in aqueous samples. It has been experimentally demonstrated that mnNEC can be effectively dispersed in aqueous samples and rapidly isolated by the application of an external magnetic field. Recoveries of DDT and DDE from water range from 90% to 102% and 85-97% respectively. In combination with Selected Ion Monitoring (SIM) experiments of gas chromatography-mass spectrometry, the detection limit can be down to low ng/mL level. By using mnNEC approach, two interesting results have been found for zebrafish with 60 days exposure to DDT (1 μg/l). (1) There is higher concentration of DDT (37-143 ng/g) and DDE (173-1108 ng/g) in male zebrafish body tissues than that of female (7-52 ng/g and 146-362 ng/g for DDT and DDE respectively). (2) There is high ratio of DDE/DDT for both female and male zebrafish, implying high environmental persistence and ongoing bioaccumulation.

  14. A Practical Approach to the Classification of WHO Grade 3 (G3) Well-differentiated Neuroendocrine Tumor (WD-NET) and Poorly Differentiated Neuroendocrine Carcinoma (PD-NEC) of the Pancreas.

    Science.gov (United States)

    Tang, Laura H; Basturk, Olca; Sue, Jillian J; Klimstra, David S

    2016-09-01

    High-grade neuroendocrine neoplasms (World Health Organization [WHO] G3) of the pancreas include both well-differentiated neuroendocrine tumor (WD-NET) and poorly differentiated neuroendocrine carcinoma (PD-NEC). According to the WHO classification scheme, the diagnosis of this group of tumors is based on both the histopathology of the tumor and the assessment of proliferation fraction. However, the former can be challenging due to the lack of well-defined histologic criteria, and the latter alone (ie, >20 mitoses/10 high-power fields or Ki67>20%) may not sufficiently distinguish WD-NETs from PD-NECs. Given the considerable differences in treatment strategies and clinical outcome, additional practical modalities are required to facilitate the accurate diagnosis of high-grade pancreatic neuroendocrine neoplasms. We examined 33 cases of WHO G3 neuroendocrine neoplasms of the pancreas and attempted to classify them into WD-NET, small cell PD-NEC (PD-NEC-SCC), and large cell PD-NEC (PD-NEC-LCC) or to designate them as "ambiguous" when an uncertain diagnosis was rendered by any of the observers or there was any disagreement in classification among the 3 observers. To simplify the interpretation, both PD-NEC-SCC and PD-NEC-LCC were considered together as PD-NECs in the final analysis. The initial approach was to assess microscopically a single morphologically challenging hematoxylin and eosin section from each case without the knowledge of Ki67 values, performed independently by 3 pathologists to assess the degree of diagnostic concordance, and then evaluate immunohistochemical staining for surrogate biomarkers of known genotypes of WD-NET and PD-NEC, respectively, and, lastly, complete a clinicopathologic review to establish a final definitive classification. Loss of DAXX or ATRX protein expression defined WD-NET, and abnormal p53, Rb, SMAD4 expression signified PD-NEC. When the chosen section displayed an element of WD histopathology, or other tumor sections contained

  15. S100A12 and hBD2 Correlate with the Composition of the Fecal Microflora in ELBW Infants and Expansion of E. coli Is Associated with NEC

    Directory of Open Access Journals (Sweden)

    A. C. Jenke

    2013-01-01

    Full Text Available Objective. To describe the development of the gut microbiota in extremely low birth weight (ELBW infants with and without necrotizing enterocolitis (NEC between April 2008 and December 2009, fecal microflora was prospectively analyzed in fecal samples of all ELBW infants using real-time PCR assays. In addition, fecal inflammatory were measured. Results. Fecal microflora established early in ELBW infants and microbiota composition remained stable over the first 28 days of life except for the prevalence of C. difficile which decreased with decreasing antibiotic use. Infants who subsequently developed NEC had an increase of total bacterial count (9.8-fold 24 h prior to clinical symptoms mainly due to the expansion of E. coli species (21.6-fold, whereas microbiota composition did not differ from healthy ELBW infants five days before onset of NEC. Importantly, S100A12 and hBD2 positively correlated with the total and E. coli bacterial CFU/g feces (r2 0.4 and 0.64, resp.. Conclusions. In summary, we found evidence for a disturbed homeostasis between the intestinal microbiome and host immunity in ELBW infants with NEC. Moreover, S100A12 and hBD2 correlate with the fecal microbiota thus linking the intestinal innate immune response to the bacterial colonization thus possibly providing a diagnostic tool in the future.

  16. Particle reduction strategies - PAREST. Gridded European emission data for projection years 2010, 2015 and 2020 based on the IIASA GAINS NEC scenarios. Teilbericht

    Energy Technology Data Exchange (ETDEWEB)

    Gon, Hugo Denier van der; Visschedijk, Antoon; Brugh, Hans van den [TNO Earth, Environment and Life Sciences, Utrecht (Netherlands)

    2013-06-15

    Projected emissions for selected scenarios for the years 2010, 2015 and 2020 were obtained from the GAINS NEC scenario reports and distributed on a high resolution over Europe using the TNO gridding tools. These emission maps are available as model input in the PAREST project to model the contribution of Europe to air quality in Germany in 2010, 2015 and 2020 (see note Rainer Stern, May 2009). The scenarios have a significant influence on absolute emission levels for the countries that were covered by IIASA GAINS. This suggests that emission changes in countries were no scenarios were available (Armenia, Azerbaijan, Georgia) or where only a projection year baseline is available (all non-EU) may be subject to significant changes as well (but these are quite far from Germany). For future projects it is recommended to make simple and transparent scenarios for these other countries, as well as for International Shipping. The change in emissions from the base year 2005 to the projection year 2010 needs to be interpreted with care. This because some methodology differences between 2005 official emission data as used in the PAREST base year 2005 emission set and GAINS 2010 data exist. It is expected that the emission reduction steps towards 2020 are more realistic.

  17. The study of effect of stachyose on pathogenesis of NEC and the mechanism in neonatal rat%水苏糖对新生大鼠NEC发病影响及其机制的研究

    Institute of Scientific and Technical Information of China (English)

    吕伟; 朱建幸; 丁国栋

    2012-01-01

    目的 建立新生SD大鼠坏死性小肠结肠炎(NEC)模型,探索水苏糖防治NEC的作用及其机制.方法 SD 新生大鼠随机分为6组,每组6只,分别为正常对照组,NEC对照组,水苏糖高、中、低剂量治疗组,以及益生菌 (主要 为双歧杆菌) 治疗组.除正常对照组新生大鼠继续与母鼠同笼饲养外,其余组新生大鼠出生48h后与母鼠分开,置入保 育箱中采用鼠乳代用品人工喂养,并定期给予缺氧冷刺激,建立新生大鼠NEC模型.同时,NEC对照组大鼠灌服蒸馏 水,水苏糖高、中、低剂量治疗组分别灌服不同剂量的水苏糖,益生菌治疗组灌服益生菌.于实验第4天处死大鼠并采 血留取小肠标本,检测小肠组织内毒素 (LPS)、血浆血小板活化因子 (PAF)及肿瘤坏死因子-α (TNF-α).结果 与正常对 照组大鼠比较,NEC对照组、水苏糖高、中、低剂量治疗组、益生菌治疗组的LPS、PAF、TNF-α水平均升高,差异有 统计学意义 (P 均0.01).结论 LPS、PAF、TNF-α水平与 NEC的发病相关;水苏糖对NEC的治疗有益.%Objective To establish the necrotizing enterocolitis (NEC) model in the neonatal SD rats and to explore the effect of stachyose on NEC prevention and the mechanism. Methods The neonatal SD rats were randomly divided into 6 groups of 6 rats each, normal group, NEC control group, three stachyose treatment groups with high, medium or low dose stachyose, respectively, probiotics (consisting mainly of Bifidobacteria) treatment group. Except that the rats in normal group were still fed from their mothers, the rats in other groups were separated from their mothers at 48 h after birth, then put into the incubators with artificial feeding using the rat milk substitutes, and regularly stimulated with hypoxia and cold in order to establish neonatal rat NEC model. At the same time, rats in NEC control group were fed with distilled water, rats in three stachyose treatment groups were given high, medium

  18. On English Vocabulary Teaching in High School of NEC%新课标下高中英语词汇教学——模块教学法

    Institute of Scientific and Technical Information of China (English)

    朱丽娟

    2011-01-01

    This thesis aims to find out some possible ways, which are under the guidance of NEC of English, to improve the ways that could help students to learn and memorize new words and expressions better and more effective.%文章主要根据《高中英语新课程标准(实验)》中对高中学生英语词汇的掌握要求入手,探讨以“模块”的方式来提高学生对英语词汇的记忆效果和技巧.并试图探索出几种可行的模块词汇教学法,以期帮助学生构建词汇模块记忆网络,从而达到对词汇细致而完整的掌握的效果。

  19. An Antenna Design for PANSAT Using NEC

    Science.gov (United States)

    1991-06-01

    AVERAGE POdER GAIN= 0.96142E00 SOLID ANGLE USED IN AVERAGING=( 1.0000)*PI riERADIANS. *’*’ DATA CARD NO. 7 EN 0 0 0 0 O.O0000100 O.O0000 O0 O.CJGOOE...Corporation, Space and Re-Entry Systems Division , TP-DA0652, vol. TECH I-E. Sakoda, Daniel, "Naval Postgraduate School Petite Navy Satellite (PANSAT)," paper

  20. NATO NEC C2 Maturity Model

    Science.gov (United States)

    2010-02-01

    Philip S. E. Farrell Canada Defence Research and Development Canada Fernando Freire Portugal Military Academy, Portugal Henrik Friman Sweden Swedish...XIW Aga ino Mursia Italy Selex Communica ions SPA Paulo Nunes Portugal AM/CINAMIL Paul Phister USA Air Force Research Laboratory Bill Piersol USA Klett

  1. Rethinking the NAIHS Model for NEC

    NARCIS (Netherlands)

    Kester, L.J.H.M.

    2008-01-01

    Advances in network technologies enable distributed systems, operating in complex environments to coordinate their activities over larger areas within shorter time intervals. Recently a model for such systems called the NAIHS model has been proposed, where NAIHS stands for Networked Adaptive Interac

  2. NEC Versa Aptitude笔记本

    Institute of Scientific and Technical Information of China (English)

    李昂

    2001-01-01

    @@ 由NEC推出的这款Versa Aptitude笔记本电脑是一款全内置型产品,它的总重量为3千克(包括电池),厚度37~39.5mm左右,从随身使用性上来看在全功能型笔记本中算是比较方便携带的.

  3. Secure Service Oriented Architectures (SOA) Supporting NEC (Architecture orientee service (soa) gerant la NEC)

    Science.gov (United States)

    2009-01-01

    Not known See note 1. See note 1. See note 2. See note 1. VEHICLE-TYPE vehicle-type-category-code 34 Ambulance Armoured Armoured...RTO au fur et à mesure de leur publication, vous pouvez consulter notre site Web (www.rto.nato.int) et vous abonner à ce service. CENTRES DE

  4. NEC和非堵塞式主从并行遗传算法应用于天线自动设计的研究%A Study of Applying NEC and Non-Blocking Master-Slave Parallel Genetic Algorithms to Automated Antenna Design

    Institute of Scientific and Technical Information of China (English)

    陈星; 黄卡玛; 赵翔

    2004-01-01

    利用优化算法和天线数值计算方法实现对天线结构的自动设计(Automated design)是现代天线研究的一个重要趋势.本文讨论了天线自动设计的原理和流程,采用遗传算法(Genetic algorithms)和NEC(Numerical electromagnetics code)天线数值计算程序,建立了一套天线自动设计软件平台.采用并行计算技术提高自动设计效率,搭建了一套Beowulf并行计算机系统,首次提出非堵塞式主从并行遗传算法的实现方案.以对锥削螺旋-圆锥喇叭天线的自动设计为例,结果表明该自动设计软件平台具备对复杂天线进行准确和有效设计的能力.16节点的并行效率达到了82.25%,超过同类研究结果.

  5. 双歧杆菌防治极低出生体重儿坏死性小肠结肠炎的作用研究%A research on the effect of bifidobacterium in the field of preventing and curing the NEC of very low birth weight children

    Institute of Scientific and Technical Information of China (English)

    黄柏枝; 刘仿

    2011-01-01

    目的:观察应用双歧杆菌预防极低出生体重儿坏死性小肠结肠炎(NEC)的有效性.方法:回顾性分析2005年1月~2008年5月在我院NICU住院治疗的生后存活7 d并且开始胃肠道喂养的极低出生体重儿183例的临床资料.结果:预防组NEC发病率为2.10%(2/95),对照组NEC发生率为11.36%(10/88),两组比较差异有统计学意义(P<0.01).住院期间预防组每日体质量增加(8.108±2.205)g,对照组为(6.256±2.298)g,两组比较差异有统计学意义(P<0.01).治疗后7 d两组患儿肠道细菌总数、杆菌、球菌总数及杆球菌比值差异均有统计学意义(P0.05).治疗前两组患儿大便双歧杆菌数的比较差异均无统计学意义(P>0.05);治疗后7 d两组患儿大便双歧杆菌数的比较差异有统计学意义(P0.05).结论:给予极低出生体重儿预防性口服双歧杆菌能够降低NEC发病率,促进其体质量增长.其机制与口服双歧杆菌后促进新生儿肠道正常菌群的定植和优势化、维持肠道正常菌群比率有关.%Objective: To observe the preventing effectiveness of applying bifidobacterium to very low birth weight children with NEC. Methods: The clinical data of 183 patients of NICU hospitalization survival 7 d after birth and fed the gastrointestinal tract of very low birth weight children in our hospital from January 2005 to May 2008 were retrospectively analyzed. Results: From the results, the NEC incidence rate of the preventive group was 2.10% (2/95), while the control group was 11.36% (10/88); the daily weight increase of the preventive group was (8.108±2.205) g, while the control group Was (6.256±2.298) g There were statistical significance in the comparison of both groups (all P

  6. On coupling NEC-violating matter to gravity

    Directory of Open Access Journals (Sweden)

    Saugata Chatterjee

    2015-05-01

    Full Text Available We show that effective theories of matter that classically violate the null energy condition cannot be minimally coupled to Einstein gravity without being inconsistent with both string theory and black hole thermodynamics. We argue however that they could still be either non-minimally coupled or coupled to higher-curvature theories of gravity.

  7. NEC “MOSI”19英寸液晶

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    NEC日前推出了名为“MOSI”的19英寸宽屏液晶显示器1940WCXM,是NEC旗下的全球首款19英寸宽屏液晶显示器,而名字“MOSI”,是由英文单词“More”和“Sight”组合而成,意为给用户带来更多视觉与视角的宽享受。

  8. Multi-Level Security Cannot Realise NEC Objectives

    NARCIS (Netherlands)

    Schotanus, H.A.; Hartog, T.; Verkoelen, C.A.A.

    2012-01-01

    Multi-Level Security (MLS) is often viewed as the holy grail of information security, especially in those environments where information of different classifications is being processed. In this paper we argue that MLS cannot facilitate the right balance between need-to-protect and duty-to-share as r

  9. Fluctuat nec mergitur. El psicoanálisis en el siglo XX.

    Directory of Open Access Journals (Sweden)

    Tubert, Silvia

    2007-02-01

    Full Text Available The anniversary of Freud’s birth has been “celebrated” with several articles which show both the ignorance about his work and the passion and lack of logic of the critiques. The virulence of the attacks suggests that the rejection is less intellectual than emotional and proves, besides, the vitality of psychoanalysis. It is not only a method of research of the unconscious which has psychotherapeutic effects and a theory that accounts for the findings of that method; its discoveries represented a radical change in the idealized conception of the illustration’s subject, calling into question his narcissistic self-representation. It is pertinent then to consider the concepts which hurt that image. Nevertheless, the majority of critiques refer to psychoanalysis as a psychotherapeutic method, so it is interesting to contrast them with the technical principles exposed by Freud, in order to show their arbitrariness, which can only be based on ignorance or on resistances.El aniversario del nacimiento de Freud ha sido “celebrado” en los medios con una serie de artículos caracterizados tanto por el desconocimiento de su obra como por el apasionamiento y la falta de lógica de las críticas. La virulencia de los ataques sugiere que el rechazo es menos intelectual que emocional y, asimismo, confirma la vitalidad del psicoanálisis. Este no es sólo un método de investigación de lo inconsciente, con efectos psicoterapéuticos, y una teoría que da cuenta de los hallazgos de tal método; sus descubrimientos representaron un cambio radical en la concepción idealizada del sujeto de la ilustración, cuestionando su auto-representación narcisista. Por ello, es pertinente revisar los conceptos que atentaron contra esa imagen. Como la mayor parte de las críticas actuales se refieren al psicoanálisis como método psicoterapéutico, interesa contrastarlas con los principios técnicos expuestos por Freud, para mostrar hasta qué punto aquellas carecen de fundamento y se basan en el desconocimiento o en las resistencias.

  10. 78 FR 57871 - Notice of Issuance of Final Determination Concerning Nec Microwave Radios

    Science.gov (United States)

    2013-09-20

    ... chassis and fans are manufactured in India. The Indian components are assembled with the Japanese-origin... parts lose their identity and become an integral part of the new article. Belcrest Linens v. United... radios, are of Japanese origin. . . .'' The TRX carries the microwave signal, which is the essence of...

  11. Bacterial Degradation of Nitrogenous Energetic Compounds (NEC) in Coastal Waters and Sediments

    Science.gov (United States)

    2008-09-10

    French et al. 1998), Klebsiella sp. (Kim et al. 2002), Clostridium thermoaceticum (Huang et al 2000), and C. acetobutylicum (Watrous et al. 2003...Trinitrotoluene reduction by an Fe-only hydrogenase in Clostridium acetobutylicum . Appl Environ Microbiol 69(3):1542–1547 Watts, JE, Wu, Q, Schreier, SB... acetobutylicum ; Watrous et al. 2003) and the flavin-dependent oxidoreductases related to the Old Yellow Enzyme family of yeast (Williams et al. 2004

  12. UK Defence Acquisition Process for NEC: Transaction Governance within an Integrated Project Team

    Science.gov (United States)

    2009-04-22

    a PhD candidate in his second year at MBS, researching UK defence acquisition applying a transaction cost approach. Ermias Kebede Centre for...Williamson’s (1975,1985) work on transaction cost economics (TCE) as a model of understanding managers’ behaviour in an economic environment...modernisation programme is a gradual change in the structure of the defence sector. In the governance level section, we use a transaction cost approach

  13. Numerical Electromagnetic Code (NEC)-Basic Scattering Code. Part 2. Code Manual

    Science.gov (United States)

    1979-09-01

    O1Art" VECTOR& Of goY -- I*Y.. C•C4NWEPS CF 0’ PRAC• rk POiNT LOWATI AIp POWI#. AWL LtW, 0lIAI" TN-1CH EDGE hf cf_ŚbT TO~ MA~CE X.s COSM ITS e- iiL...4,1 ’MAGN1TLDE’,,-X,’Dpt GAIN’ ,6X,’?AAGf1ITtrIlh:,7X,’I)R1) 4v 15-- FORAAK1 (6,TLT’ýXIHI1X’-HTI1X-PAE.X t0, 2’MkAU3;ITLDF1,4X,’DrB GAI !I’ ,6X,’M...m - If U3 MI be INTEAS-’ITON 4 POIfir if (b) gAY DOES MOT HIT PLATE figure Sz)--GeCotry for declding whether ray Wlich hits plate plane hits finite

  14. Retrieving Medical Records with sennamed: NEC Labs America at TREC 2012 Medical Records Track

    Science.gov (United States)

    2012-11-01

    submissions. 15. SUBJECT TERMS 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT Same as Report (SAR) 18. NUMBER OF PAGES 12 19a. NAME OF...concept detection, a vector- space retrieval model, a probabilistic retrieval model, a supervised preference ranking model, unsupervised ...query into a reduced space with m latent dimensions. Here m is a hyper -parameter to tune. Before applying LSI, the dictionary size was cut down to

  15. A Secure NEC-enabling Architecture : Disentangling Infrastructure, Information and Security

    NARCIS (Netherlands)

    Boonstra, D.; Hartog, T.; Schotanus, H.A.; Verkoelen, C.A.A.

    2011-01-01

    The NATO Network-Enabled Capability (NNEC) study envisions effective and efficient cooperation among the coalition partners in missions. This requires information sharing and efficient deployment of IT assets. Current military communication infrastructures are mostly deployed as stand-alone

  16. Monochoroterpes, a replacement name for Monophyllus Kluge, 2012 (Insecta: Ephemeroptera), nec Monophyllus Leach, 1821 (Mammalia: Chiroptera).

    Science.gov (United States)

    Kluge, Nikita J; Jacobus, Luke M

    2015-04-08

    The genus group name Monophyllus Kluge, 2012 was established to include a single species of the mayfly family Leptophlebiidae (Insecta: Ephemeroptera) from Hainan Island, China, Choroterpes (Monophyllus) monophyllus Kluge, 2012. Unfortunately, this name is preoccupied by Monophyllus Leach, 1821, a genus of Phyllostomidae bats (Mammalia: Chiroptera) from the Antilles (type species: M. redmani Leach, 1821: 76). Therefore, we propose a replacement name for the mayfly genus group as follows.

  17. A Secure NEC-enabling Architecture : Disentangling Infrastructure, Information and Security

    NARCIS (Netherlands)

    Boonstra, D.; Hartog, T.; Schotanus, H.A.; Verkoelen, C.A.A.

    2011-01-01

    The NATO Network-Enabled Capability (NNEC) study envisions effective and efficient cooperation among the coalition partners in missions. This requires information sharing and efficient deployment of IT assets. Current military communication infrastructures are mostly deployed as stand-alone networke

  18. Replacement name for Mitoura siva rhodope Clench (1981) [nec Godman & Salvin, 1887] (Lepidoptera: Lycaenidae)

    OpenAIRE

    Johnson, Kurt

    2010-01-01

    The extant holotype of Thecla rhodope G & S (Sonora, Mexico) is antonymous to characters attributed to the taxon by Clench. M. s. clenchi is described from Clench's Arizona study series; the status of T. rhodope is left unresolved.

  19. Description of a new species of the Nitidulid genus Platynema, Rits. (Orthogramma, Murray nec Guenée)

    NARCIS (Netherlands)

    Ritsema Cz., C.

    1885-01-01

    Of this species I have seen three specimens, captured in the Andaman Islands, and of these Mr. A. Sidney Olliff has been good enough to let the Leyden Museum have two; I therefore propose to call the species Platynema Olliffi. Length 4,5 mm. — Elongate, subparallel, gradually widening a little towar

  20. Description of a new species of the Nitidulid genus Platynema, Rits. (Orthogramma, Murray nec Guenée)

    NARCIS (Netherlands)

    Ritsema Cz., C.

    1885-01-01

    Of this species I have seen three specimens, captured in the Andaman Islands, and of these Mr. A. Sidney Olliff has been good enough to let the Leyden Museum have two; I therefore propose to call the species Platynema Olliffi. Length 4,5 mm. — Elongate, subparallel, gradually widening a little

  1. Protaeropsis, a new replacement generic name for fossil Sphenaster Jeffery, 1999 (Echinoidea: Spatangida) nec Wilcoxon, 1970 (Protista: Haptomonada).

    Science.gov (United States)

    Doweld, Alexander B

    2016-07-21

    The genus Sphenaster was erected by Jeffery (in Smith et al. 1999: 131) for a distinctive fossil echinoid of the Thanetian (Palaeocene) age from Spain and considered to be the most ancient element of the echinoid family Aeropsidae Clark, 1917 (Spatangida, Echinoidea). Unfortunately, up to now (Kroh 2010), it was not realized that the generic name Sphenaster is invalid, being a junior homonym of Sphenaster Wilcoxon, 1970: 80, a genus of fossil protist (Haptomonada).

  2. Eochrysis, a new replacement name for the fossil Protochrysis Bischoff, 1916 (Insecta: Hymenoptera: Chrysididae) nec Pascher, 1911 (Protista: Cryptomonada).

    Science.gov (United States)

    Doweld, Alexander B

    2015-12-18

    The genus Protochrysis (type species P. succinalis Bischoff, 1916, by monotypy) was established by Bischoff (1916: 139) for distinctive fossil insect remains of Eocene (Lutetian) age from the former Königsberg outskirts of East Prussia (now Kalinigrad, Russian Federation), referred at present to the Chrysididae (Hymenoptera) (Brues 1933; Carpenter 1985, 1992). However, an identical generic name Protochrysis had previously been proposed by Pascher (1911: 191) for a living protist (Cryptomonada). Bischoff's (1916) name is therefore an invalid junior homonym. Carpenter (1985: 577) proposed a new replacement name for the fossil genus, but overlooked the fact that his newly proposed generic name Protochrysidis was also preoccupied, again by the name of another protist genus, Protochrysidis [Protista: Chrysomonada] described by Skvortzov (1969: 346) from Harbin (China). In fact, the protistan genus Protochrysidis had initially been published as chrysophyte algae following the International Code of Nomenclature for Algae, Fungi, and Plants (McNeill et al. 2012) by Skvortzov (1961: 4) who had failed to designate holotype of the species, but later fulfilled all conditions for valid publication in 1969 by providing necessary typification and reference to formerly published description and illustrations. At present chrysophyte algae are still maintained as Chrysomonada in protozoology due to a continued somewhat archaic tradition (Preisig & Anderson 2002). Protochrysidis Skvortzov, 1969 remained little studied since the time of its first description and is currently treated as an incertae sedis protistan taxon.

  3. Projections of Demand for Waterborne Transportation, Ohio River Basin, 1980, 1990, 2000, 2020, 2040. Volume 11. Group IX. Feed and Food Products, NEC.

    Science.gov (United States)

    1980-12-01

    costs and maximize returns. 1. Coca - Cola Company recently decided to start using fructose is viewed by the company as a cost-cutting move rather than a...phosphorus, and magnesium, which are essential for bone formation and maintenance, milk production, fertility, and animal metabolism as a whole. C

  4. Projections of Demand for Waterborne Transportation, Ohio River Basin, 1980, 1990, 2000, 2020, 2040. Volume 13. Group XI. Petroleum Products, Nec.

    Science.gov (United States)

    1980-12-01

    Years iL*?f ".2 0 F T ’’:S or. C. .*, orr- :A£: :r’ITY --- BEA E A COUP 1976 1960 1390 20O 2020 2C 038 r50 11 56 5S 98 112 96 71 046 049 11 156 173 273...Nathan Associates, Inc. Alaska North Slope Crude Oil: An Economic and Financial Assessment of Distri- butional Alternatives. Washington, D.C.: RRNA

  5. Ki nec t扫描数据驱动的几何建模方法%Kinect-Based Data-Driven 3D Modeling

    Institute of Scientific and Technical Information of China (English)

    宫钰嵩; 张岩; 文艳; 孙正兴

    2014-01-01

    针对Kinect设备单视角扫描所得不完整点云数据,提出了一种快速三维建模方法。利用互联网上丰富的已有同类三维模型为资源进行三维建模,建模过程主要包括3个阶段:1)通过三维模型库的语义部件标注对所需建模的点云数据和图像数据进行结构分析,获得相应的部件级分割结果;2)利用点云和图像分割所得的部件级信息在三维模型库中搜索与其匹配的各部件;3)对搜索得到的部件进行组合,以获得与扫描模型相似的最终模型。实验结果表明,该方法能够快速、高效地完成对Kinect设备扫描所得的残缺点云数据的模型重建。%This paper presents a fast modeling method based on the highly noisy and incomplete scanned data from Kinect in a single view .We take full advantage of the abundant models of the same semantic class on the Internet to build a heuristic model based on the 3D point clouds and the corresponding RGB images .Our method includes three major phases :Firstly ,we analyze the structure of the 3D point clouds and the RGB images based on the semantic segmentation of the candidate model to label the components of the scanned target ;secondly ,we search for candidate parts for the labeled parts in the target to get matched component information ;lastly ,we assemble the candidate parts to create the final 3D model .We demonstrate the efficiency and speed of our method in building models based on incomplete point clouds data from Kinect .

  6. CRED Sea Surface Temperature (SST) Buoy; NWHI, NEC; Long: -164.69775, Lat: 23.57152 (WGS84); Sensor Depth: 0.33m; Data Range: 20030714-20030825.

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Data from Coral Reef Ecosystem Division (CRED), NOAA Pacific Islands Fisheries Science Center (PIFSC) Sea Surface Temperature (SST) Buoys provide a time series of...

  7. CRED Sea Surface Temperature (SST) Buoy; NWHI, NEC; Long: -164.69775, Lat: 23.57152 (WGS84); Sensor Depth: 0.33m; Data Range: 20050410-20060108.

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Data from Coral Reef Ecosystem Division (CRED), NOAA Pacific Islands Fisheries Science Center (PIFSC) Sea Surface Temperature (SST) Buoys provide a time series of...

  8. CRED Sea Surface Temperature (SST) Buoy; NWHI, NEC; Long: -164.69775, Lat: 23.57152 (WGS84); Sensor Depth: 0.33m; Data Range: 20020911-20030713.

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Data from Coral Reef Ecosystem Division (CRED), NOAA Pacific Islands Fisheries Science Center (PIFSC) Sea Surface Temperature (SST) Buoys provide a time series of...

  9. CRED Ocean Data Platform (ODP), Temperature and Conductivity Recorder (SBE37); NWHI, NEC; Long: -164.71230, Lat: 23.56800 (WGS84); Sensor Depth: 25.00m; Data Range: 20030714-20050410.

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Ocean Data Platform (ODP) is placed on the sea floor to measure water current profiles, waves, temperature and conductivity. The ODP consists of an upward...

  10. CRED Ocean Data Platform (ODP), Temperature and Conductivity Recorder (SBE37); NWHI, NEC; Long: -164.71230, Lat: 23.56800 (WGS84); Sensor Depth: 25.00m; Data Range: 20020911-20030714.

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Ocean Data Platform (ODP) is placed on the sea floor to measure water current profiles, waves, temperature and conductivity. The ODP consists of an upward...

  11. CRED Ocean Data Platform (ODP), Temperature and Conductivity Recorder (SBE37); NWHI, NEC; Long: -164.71215, Lat: 23.56792 (WGS84); Sensor Depth: 24.90m; Data Range: 20050416-20060903.

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Ocean Data Platform (ODP) is placed on the sea floor to measure water current profiles, waves, temperature and conductivity. The ODP consists of an upward...

  12. CRED Ocean Data Platform (ODP), Acoustic Doppler Profiler (ADP); NWHI, NEC; Long: -164.71215, Lat: 23.56792 (WGS84); Sensor Depth: 24.90m; Data Range: 20050411-20060903.

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Ocean Data Platform (ODP) is placed on the sea floor to measure water current profiles, waves, temperature and conductivity. The ODP consists of an upward...

  13. The pathophysiology of necrotizing enterocolitis in preterm infants : New insights in the interaction between the gut and its microbiota

    NARCIS (Netherlands)

    Heida, Fardou Hadewych

    2016-01-01

    Necrotizing enterocolitis (NEC) is a severe gastrointestinal disorder affecting the preterm infant. The underlying cause of NEC is partly unknown. This thesis studied the gut flora, the intestinal barrier function, and the intestinal bloodcirculation contributing to NEC. We observed NEC-associated b

  14. Preterm Birth and Necrotizing Enterocolitis Alter Gut Colonization in Pigs

    DEFF Research Database (Denmark)

    Cilieborg, Malene S.; Boye, Mette; Mølbak, Lars

    2011-01-01

    was observed in preterm pigs with NEC compared with healthy individuals. However, immunization against C. perfringens toxins did not prevent NEC, and C. perfringens inoculation (3.6 X 10(8) cfu/d) failed to induce NEC (n = 16), whereas prophylactic broad-spectrum antibiotics treatment prevented NEC (n = 24...

  15. The pathophysiology of necrotizing enterocolitis in preterm infants : New insights in the interaction between the gut and its microbiota

    NARCIS (Netherlands)

    Heida, Fardou Hadewych

    2016-01-01

    Necrotizing enterocolitis (NEC) is a severe gastrointestinal disorder affecting the preterm infant. The underlying cause of NEC is partly unknown. This thesis studied the gut flora, the intestinal barrier function, and the intestinal bloodcirculation contributing to NEC. We observed NEC-associated

  16. Mucosa-associated bacterial diversity in necrotizing enterocolitis.

    Directory of Open Access Journals (Sweden)

    Rachel Brower-Sinning

    Full Text Available BACKGROUND: Previous studies of infant fecal samples have failed to clarify the role of gut bacteria in the pathogenesis of NEC. We sought to characterize bacterial communities within intestinal tissue resected from infants with and without NEC. METHODS: 26 intestinal samples were resected from 19 infants, including 16 NEC samples and 10 non-NEC samples. Bacterial 16S rRNA gene sequences were amplified and sequenced. Analysis allowed for taxonomic identification, and quantitative PCR was used to quantify the bacterial load within samples. RESULTS: NEC samples generally contained an increased total burden of bacteria. NEC and non-NEC sample sets were both marked by high inter-individual variability and an abundance of opportunistic pathogens. There was no statistically significant distinction between the composition of NEC and non-NEC microbial communities. K-means clustering enabled us to identify several stable clusters, including clusters of NEC and midgut volvulus samples enriched with Clostridium and Bacteroides. Another cluster containing both NEC and non-NEC samples was marked by an abundance of Enterobacteriaceae and decreased diversity among NEC samples. CONCLUSIONS: The results indicate that NEC is a disease without a uniform pattern of microbial colonization, but that NEC is associated with an abundance of strict anaerobes and a decrease in community diversity.

  17. Postnatal amniotic fluid intake reduces gut inflammatory responses and necrotizing enterocolitis in preterm neonates

    DEFF Research Database (Denmark)

    Siggers, Jayda; Østergaard, Mette V.; Siggers, Richard H.

    2013-01-01

    Preterm neonates are susceptible to gastrointestinal disorders such as necrotizing enterocolitis (NEC). Maternal milk and colostrum protects against NEC via growth promoting, immunomodulatory, and antimicrobial factors. The fetal enteral diet amniotic fluid (AF), contains similar components, and we...

  18. Investigation of the early intestinal microflora in premature infants with/without necrotizing enterocolitis using two different methods

    DEFF Research Database (Denmark)

    Smith, Birgitte; Bodé, Susan; Skov, Thomas

    2012-01-01

    The pathophysiology of necrotizing enterocolitis (NEC) is multifactorial, and gastrointestinal bacteria are thought to play an important role. In this study, the role of microflora in the gastrointestinal tract of neonates with NEC was assessed by comparing cases with controls....

  19. CEREBROSPINAL FLUID FROM PRETERM PIGS WITH NECROTIZING ENTEROCOLITIS HAS ALTERED CYTOKINE PROFILE AND PROMOTES HIPPOCAMPAL NEURITOGENESIS

    DEFF Research Database (Denmark)

    Pankratova, Stanislava; Sun, J.; Li, Y.

    2016-01-01

    Background and aims Necrotizing enterocolitis (NEC) in preterm infants is associated with neurodevelopmental delay and cerebral palsy. We hypothesized that intestinal NEC lesions affect inflammatory cytokines in cerebrospinal fluid (CSF) which in turn may affect neurite differentiation. Methods...

  20. Intestinal proteome changes during infant necrotizing enterocolitis

    DEFF Research Database (Denmark)

    Jiang, Pingping; Smith, Birgitte; Qvist, Niels;

    2013-01-01

    Background: Changes in the intestinal and colonic proteome in patients with necrotizing enterocolitis (NEC) may help to characterize the disease pathology and identify new biomarkers and treatment targets for NEC. Methods: Using gel-based proteomics, proteins in NEC-affected intestinal and coloni...

  1. Predictive and prognostic factors for treatment and survival in 305 patients with advanced gastrointestinal neuroendocrine carcinoma (WHO G3)

    DEFF Research Database (Denmark)

    Sorbye, H; Welin, S; Langer, S W;

    2013-01-01

    Background As studies on gastrointestinal neuroendocrine carcinoma (WHO G3) (GI-NEC) are limited, we reviewed clinical data to identify predictive and prognostic markers for advanced GI-NEC patients. Patients and methods Data from advanced GI-NEC patients diagnosed 2000-2009 were retrospectively...

  2. Cerebral and splanchnic oxygenation and necrotizing enterocolitis in preterm infants

    NARCIS (Netherlands)

    Schat, Trijntje Eelkje

    2015-01-01

    Necrotizing enterocolitis (NEC) is the most common and deadliest gastrointestinal disease in preterm infants. Mortality rates of NEC can be as high as 40%. Furthermore, NEC is associated with adverse neurological outcomes at school age and gastrointestinal complications in the long term, such as sho

  3. Ecological and statistical evaluation of effects of pesticides in freshwater model ecosystems

    NARCIS (Netherlands)

    Brink, van den P.J.

    1999-01-01

    Aquatic risk assessment of pesticidesThe first tier in the aquatic risk assessment procedure consists of a comparison between a Predicted Environmental Concentration (PEC) with a No Effect Concentration (NEC). A requirement for registration is that the PEC should not exceed the NEC. The NEC is calcu

  4. An Exploratory Case Study of Young Children's Interactive Play Behaviours with a Non-English Speaking Child

    Science.gov (United States)

    Lee, Joohi; Md-Yunus, Sham'ah; Son, Won In; Meadows, Michelle

    2009-01-01

    This study is an examination of preschool-age English speaking children's interactive play behaviours with a non-English speaking child (NEC). The play types of a NEC were reported using the Parten's categories of solitary, parallel and interactive play. In addition, English-speaking children's interactive play with a NEC were reported in this…

  5. Increased Intestinal Inflammation and Digestive Dysfunction in Preterm Pigs with Severe Necrotizing Enterocolitis

    DEFF Research Database (Denmark)

    Støy, Ann Cathrine Findal; Heegaard, Peter M. H.; Skovgaard, Kerstin

    2017-01-01

    The risk factors for necrotizing enterocolitis (NEC) are well known, but the factors involved in the different NEC presentations remain unclear. We hypothesized that digestive dysfunction and intestinal inflammation are mainly affected by severe NEC lesions. In 48 preterm pigs, the association be...

  6. Platelet-activating factor, tumor necrosis factor, hypoxia and necrotizing enterocolitis.

    Science.gov (United States)

    Hsueh, W; Caplan, M S; Sun, X; Tan, X; MacKendrick, W; Gonzalez-Crussi, F

    1994-01-01

    The pathogenesis of necrotizing enterocolitis (NEC) is poorly understood. We have established several animal models of NEC by using a combination of various stimuli and stress, including endotoxin, PAF, TNF, and hypoxia. We discuss the mechanism of their actions and the possible roles of these factors in the pathogenesis of human NEC.

  7. Non-Invasive Markers for Early Diagnosis and Determination of the Severity of Necrotizing Enterocolitis

    NARCIS (Netherlands)

    Thuijls, Geertje; Derikx, Joep P. M.; van Wijck, Kim; Zimmermann, Luc J. I.; Degraeuwe, Pieter L.; Mulder, Twan L.; Van der Zee, David C.; Brouwers, Hens A. A.; Verhoeven, Bas H.; van Heurn, L. W. Ernest; Kramer, Boris W.; Buurman, Wim A.; Heineman, Erik

    2010-01-01

    Objectives: To improve diagnosis of necrotizing enterocolitis (NEC) by noninvasive markers representing gut wall integrity loss (I-FABP and claudin-3) and gut wall inflammation (calprotectin). Furthermore, the usefulness of I-FABP to predict NEC severity and to screen for NEC was evaluated. Methods:

  8. Non-invasive markers for early diagnosis and determination of the severity of necrotizing enterocolitis.

    NARCIS (Netherlands)

    Thuijls, G.; Derikx, J.P.; Wijck, K. van; Zimmermann, L.J.; Degraeuwe, P.L.J.; Mulder, T.L.; Zee, D.C. van der; Brouwers, H.A.A.; Verhoeven, B.H.; Heurn, L.W.E. van; Kramer, B.W.; Buurman, W.A.; Heineman, E.

    2010-01-01

    OBJECTIVES: To improve diagnosis of necrotizing enterocolitis (NEC) by noninvasive markers representing gut wall integrity loss (I-FABP and claudin-3) and gut wall inflammation (calprotectin). Furthermore, the usefulness of I-FABP to predict NEC severity and to screen for NEC was evaluated. METHODS:

  9. Low Abdominal NIRS Values and Elevated Plasma Intestinal Fatty Acid-Binding Protein in a Premature Piglet Model of Necrotizing Enterocolitis.

    Directory of Open Access Journals (Sweden)

    Irving J Zamora

    Full Text Available To identify early markers of necrotizing enterocolitis (NEC, we hypothesized that continuous abdominal near-infrared spectroscopy (A-NIRS measurement of splanchnic tissue oxygen saturation and intermittent plasma intestinal fatty-acid binding protein (pI-FABP measured every 6 hours can detect NEC prior to onset of clinical symptoms. Premature piglets received parenteral nutrition for 48-hours after delivery, followed by enteral feeds every three hours until death or euthanasia at 96-hours. Continuous A-NIRS, systemic oxygen saturation (SpO2, and heart rate were measured while monitoring for clinical signs of NEC. Blood samples obtained at 6-hour intervals were used to determine pI-FABP levels by ELISA. Piglets were classified as fulminant-NEC (f-NEC, non-fulminant-NEC (nf-NEC and No-NEC according to severity of clinical and histologic features. Of 38 piglets, 37% (n=14 developed nf-NEC, 18% (n=7 developed f-NEC and 45% (n=17 had No-NEC. There were significant differences in baseline heart rate (p=0.008, SpO2 (p0.25ng/mL identified animals with NEC (68% sensitivity and 90% specificity. NIRS is a real-time, non-invasive tool that can serve as a diagnostic modality for NEC. In premature piglets, low A-NIRS in the early neonatal period and increased variability during initial feeds are highly predictive of NEC, which is then confirmed by rising plasma I-FABP levels. These modalities may help identify neonates with NEC prior to clinical manifestations of disease.

  10. Necrotizing enterocolitis in term infants.

    Science.gov (United States)

    Christensen, Robert D; Lambert, Diane K; Baer, Vickie L; Gordon, Phillip V

    2013-03-01

    This article is an overview of NEC in term neonates and also summarizes data from 52 cases within Intermountain Healthcare during the last 11 years. In all 52, NEC occurred among neonates already admitted to a neonatal intensive care unit for some other reason; thus, NEC invariably developed as a complication of treatment, not as a primary diagnosis. The authors speculate that the incidence of term NEC can be reduced by identifying neonatal intensive care unit patients at risk for NEC and applying appropriate-volume human milk feeding programs for these patients.

  11. Photovoltaic Power Systems and the National Electrical Code: Suggested Practices

    Energy Technology Data Exchange (ETDEWEB)

    None

    2002-02-01

    This guide provides information on how the National Electrical Code (NEC) applies to photovoltaic systems. The guide is not intended to supplant or replace the NEC; it paraphrases the NEC where it pertains to photovoltaic systems and should be used with the full text of the NEC. Users of this guide should be thoroughly familiar with the NEC and know the engineering principles and hazards associated with electrical and photovoltaic power systems. The information in this guide is the best available at the time of publication and is believed to be technically accurate; it will be updated frequently.

  12. Photovoltaic power systems and the National Electrical Code: Suggested practices

    Energy Technology Data Exchange (ETDEWEB)

    Wiles, J. [New Mexico State Univ., Las Cruces, NM (United States). Southwest Technology Development Inst.

    1996-12-01

    This guide provides information on how the National Electrical Code (NEC) applies to photovoltaic systems. The guide is not intended to supplant or replace the NEC; it paraphrases the NEC where it pertains to photovoltaic systems and should be used with the full text of the NEC. Users of this guide should be thoroughly familiar with the NEC and know the engineering principles and hazards associated with electrical and photovoltaic power systems. The information in this guide is the best available at the time of publication and is believed to be technically accurate; it will be updated frequently. Application of this information and results obtained are the responsibility of the user.

  13. A data-driven algorithm integrating clinical and laboratory features for the diagnosis and prognosis of necrotizing enterocolitis.

    Directory of Open Access Journals (Sweden)

    Jun Ji

    Full Text Available BACKGROUND: Necrotizing enterocolitis (NEC is a major source of neonatal morbidity and mortality. Since there is no specific diagnostic test or risk of progression model available for NEC, the diagnosis and outcome prediction of NEC is made on clinical grounds. The objective in this study was to develop and validate new NEC scoring systems for automated staging and prognostic forecasting. STUDY DESIGN: A six-center consortium of university based pediatric teaching hospitals prospectively collected data on infants under suspicion of having NEC over a 7-year period. A database comprised of 520 infants was utilized to develop the NEC diagnostic and prognostic models by dividing the entire dataset into training and testing cohorts of demographically matched subjects. Developed on the training cohort and validated on the blind testing cohort, our multivariate analyses led to NEC scoring metrics integrating clinical data. RESULTS: Machine learning using clinical and laboratory results at the time of clinical presentation led to two nec models: (1 an automated diagnostic classification scheme; (2 a dynamic prognostic method for risk-stratifying patients into low, intermediate and high NEC scores to determine the risk for disease progression. We submit that dynamic risk stratification of infants with NEC will assist clinicians in determining the need for additional diagnostic testing and guide potential therapies in a dynamic manner. ALGORITHM AVAILABILITY: http://translationalmedicine.stanford.edu/cgi-bin/NEC/index.pl and smartphone application upon request.

  14. Integrating geographical data and phenological characteristics derived from MODIS data for improving land cover mapping

    Institute of Scientific and Technical Information of China (English)

    CAI Hongyan; ZHANG Shuwen; BU Kun; YANG Jiuchun; CHANG Liping

    2011-01-01

    The study developed a feasible method for large-area land cover mapping with combination of geographical data and phenological characteristics,taking Northeast China (NEC) as the study area.First,with the monthly average of precipitation and temperature datasets,the spatial clustering method was used to divide the NEC into four ecoclimate regions.For each ecoclimate region,geographical variables (annual mean precipitation and temperature,elevation,slope and aspect) were combined with phenological variables derived from the moderate resolution imaging spectroradiometer (MODIS) data (enhanced vegetation index (EVI) and land surface water index (LSWI)),which were taken as input variables of land cover classification.Decision Tree (DT) classifiers were then performed to produce land cover maps for each region.Finally,four resultant land cover maps were mosaicked for the entire NEC (NEC_MODIS),and the land use and land cover data of NEC (NEC_LULC) interpreted from Landsat-TM images was used to evaluate the NEC_MODIS and MODIS land cover product (MODIS_IGBP) in terms of areal and spatial agreement.The results showed that the phenological information derived from EVl and LSWl time series well discriminated land cover classes in NEC,and the overall accuracy was significantly improved by 5.29% with addition of geographical variables.Compared with NEC_LULC for seven aggregation classes,the area errors of NEC_MODIS were much smaller and more stable than that of MODIS_IGBP for most of classes,and the wall-to-wall spatial comparisons at pixel level indicated that NEC_MODIS agreed with NEC_LULC for 71.26% of the NEC,whereas only 62.16% for MODIS_IGBP.The good performance of NEC_MODIS demonstrates that the methodology developed in the study has great potential for timely and detailed land cover mapping in temperate and boreal regions.

  15. Longitudinal analysis of the premature infant intestinal microbiome prior to necrotizing enterocolitis: a case-control study.

    Directory of Open Access Journals (Sweden)

    Yanjiao Zhou

    Full Text Available Necrotizing enterocolitis (NEC is an inflammatory disease of the newborn bowel, primarily affecting premature infants. Early intestinal colonization has been implicated in the pathogenesis of NEC. The objective of this prospective case-control study was to evaluate differences in the intestinal microbiota between infants who developed NEC and unaffected controls prior to disease onset. We conducted longitudinal analysis of the 16S rRNA genes of 312 samples obtained from 12 NEC cases and 26 age-matched controls with a median frequency of 7 samples per subject and median sampling interval of 3 days. We found that the microbiome undergoes dynamic development during the first two months of life with day of life being the major factor contributing to the colonization process. Depending on when the infant was diagnosed with NEC (i.e. early vs. late onset, the pattern of microbial progression was different for cases and controls. The difference in the microbiota was most overt in early onset NEC cases and controls. In proximity to NEC onset, the abundances of Clostridium sensu stricto from Clostridia class were significantly higher in early onset NEC subjects comparing to controls. In late onset NEC, Escherichia/Shigella among Gammaproteobacteria, showed an increasing pattern prior to disease onset, and was significantly higher in cases than controls six days before NEC onset. Cronobacter from Gammaproteobacteria was also significantly higher in late onset NEC cases than controls 1-3 days prior to NEC onset. Thus, the specific infectious agent associated with NEC may vary by the age of infant at disease onset. We found that intravenously administered antibiotics may have an impact on the microbial diversity present in fecal material. Longitudinal analysis at multiple time points was an important strategy utilized in this study, allowing us to appreciate the dynamics of the premature infant intestinal microbiome while approaching NEC at various points.

  16. Comparative experimental study of different administration methods for steroid-induced femoral head nec-rosis in rabbits%经口腔深部灌注给药与传统给药方法的对比实验研究

    Institute of Scientific and Technical Information of China (English)

    李福军; 王小龙; 赵建民; 张云

    2015-01-01

    Objective The method of administration is one of the important factors influencing steroid-induced femoral head necrosis ( FHN) .From the perspective of administration compliance, time and persons needed, and pharmacodynamics, this study compared different administration methods for steroid-induced FHN in rabbits aiming to provide some experimental evidence for selec-ting correct methods of administration. Methods The steroid-induced femoral head necrosis rabbits ( New Zealand, male) were ran-domly divided into five groups according to the different administration methods of intervention:deep oral administration group (n=10), in-tragastric gavage administration group ( n =10 ) , free-drinking drug group (n=10) and model control group (n=5), blank control group (n=5), the administration compliance, administration time, mortal-ity, pharmacodynamic index of lipid content and empty lacunae rate were compared among deep oral administration group, intragastric ga-vage administration group, free-drinking drug group. Results Compliance effect size of deep oral administration group ( 1.78 ± 0.64) lower than intragastric gavage administration group (4.04 ±0.87) and free-drinking drug group (8.94 ±1.05) (P<0.01). Administration time among deep oral administration group ([0.94 ±0.02]min), intragastric gavage administration group ([9.47 ± 0.31]min) and free-drinking drug group ([889.50 ±235.38]min) overall comparison gradually increased (P=0.000), the differ-ence between the two groups was statistically significant (P<0.05).At the 2 and 4 weeks, cholesterol, triglycerides and low-density lipoprotein of deep oral administration group, intragastric gavage administration group, free-drinking drug group compared with model control group and blank control group the difference was statistically significant ( P<0.05) , and deep oral administration group com-pared with free-drinking drug group, the difference was also statistically significant ( P<0.05) .At the 2 weeks, empty lacunae rate of deep oral administration group ([15.44 ±2.68]%), intragastric gavage administration group ([15.02 ±3.34])%), free-drinking drug group ([16.72 ±4.06]%) compared with model control group ([18.59 ±3.12]%) and blank control group ([10.82 ± 2.76]%, the difference was statistically significant (P<0.05).At the 4 weeks, empty lacunae rate of deep oral administration group ([18.53 ±3.26]%), intragastric gavage administration group ([18.85 ±3.17]%), free-drinking drug group ([20.41 ±4.18]%) compared with model control group ([24.66 ±3.74]%) and blank control group ([11.37 ±2.23]%), the difference was also sta-tistically significant ( P<0.05 ) . Conclusion Compared with traditional methods of administration, deep oral administration has better compliance, shorter administration time, and similar to intragastric gavage administration in pharmacodynamics, but more effec-tive than free-drinking drug administration, and it is a new and effective method of administration.%目的:给药方法是影响药物治疗激素性股骨头坏死的重要因素之一,但目前关于不同给药方法的比较和评价研究不多,文中拟从给药顺从性、给药时间及药效学角度评价不同给药方法的效果差异,为选择最佳给药方法提供实验依据。方法将激素性股骨头坏死新西兰雄性兔40只按干预给药方法不同随机分为5组:口腔灌注给药组( n=10)、灌胃给药组(n=10)、自由饮药组(n=10)及模型空白组(n=5)、空白对照组(n=5),比较口腔灌注给药组、灌胃给药组、自由饮药组给药顺从性、给药时间、血脂含量和空骨陷窝率等药效学指标。结果口腔灌注给药组顺从性效应量(1.78±0.64)较灌胃给药组(4.04±0.87)、自由饮药组(8.94±1.05)降低(P﹤0.01);口腔灌注给药组给药时间[(0.94±0.02)min]、灌胃给药组[(9.47±0.31)min]及自由饮药组[(889.50±235.38)min]整体比较逐渐升高(P=0.000),组间两两比较差异有统计学意义(P<0.05)。第2、4周时,口腔灌注给药组、灌胃给药组、自由饮药组的胆固醇、三酰甘油、低密度脂蛋白较模型空白组和空白对照组,差异均有统计学意义(P<0.05),而口腔灌注给药组较自由饮药组,差异亦有统计学意义(P<0.05)。第2周,口腔灌注给药组空骨陷窝率[(15.44±2.68)%]、灌胃给药组[(15.02±3.34)%]、自由饮药组[(16.72±4.06)%]与模型空白组[(18.59±3.12)%]和空白对照组[(10.82±2.76)%]比较,差异均有统计学意义(P<0.05);第4周,口腔灌注给药组空骨陷窝率[(18.53±3.26)%]、灌胃给药组[(18.85±3.17)%]、自由饮药组[(20.41±4.18)%]与模型空白组[(24.66±3.74)%]和空白对照组[(11.37±2.23)%]比较,差异亦均有统计学意义(P<0.05)。结论与传统给药方法相比,经口腔深部灌注给药顺从性更优、给药时间更短,药效学与灌胃给药相似,但较自由饮药给药更为有效,是一种相对更佳的给药方法。

  17. Numerical Electromagnetics Code (NEC)-Method of Moments. A User-Oriented Computer Code for Analysis of the Electromagnetic Response of Antennas and Other Metal Structures. Part 1: Program Description-Theory. Part 2: Program Description-Code. Volume 1. Revised

    Science.gov (United States)

    1981-01-01

    ground plane was developed by Arnold Somerfeld (ref. 20).. While this solution has been used directly in integral-equation computer codes, excessive...FORMAT (///.A3) SN 158 159 20 FORMAT (4H lRo,13,/,(10E12.5)) SN 159 160 END SN 160- -396- BESSEL bESSEL ., PURP"OS Et To cumpute the Hessel functiton

  18. Neural Adaptation Effects in Conceptual Processing

    Directory of Open Access Journals (Sweden)

    Barbara F. M. Marino

    2015-07-01

    Full Text Available We investigated the conceptual processing of nouns referring to objects characterized by a highly typical color and orientation. We used a go/no-go task in which we asked participants to categorize each noun as referring or not to natural entities (e.g., animals after a selective adaptation of color-edge neurons in the posterior LV4 region of the visual cortex was induced by means of a McCollough effect procedure. This manipulation affected categorization: the green-vertical adaptation led to slower responses than the green-horizontal adaptation, regardless of the specific color and orientation of the to-be-categorized noun. This result suggests that the conceptual processing of natural entities may entail the activation of modality-specific neural channels with weights proportional to the reliability of the signals produced by these channels during actual perception. This finding is discussed with reference to the debate about the grounded cognition view.

  19. Bowel Perforation in Premature Infants with Necrotizing Enterocolitis: Risk Factors and Outcomes

    Directory of Open Access Journals (Sweden)

    Lingling Yu

    2016-01-01

    Full Text Available We aim to determine risk factors and clinical outcomes for bowel perforation in premature infants with NEC. We analyzed clinical data of 57 cases of premature infants with NEC at our NICU between January 2010 and December 2012. Based on the presence of bowel perforation, we divided these infants into two groups: perforated NEC group (n=10 and nonperforated NEC group (n=47. We compared general information, clinical characteristics, and laboratory findings between groups. The perforated NEC group, compared to the nonperforated NEC group, had significantly lesser gestational age, lower birth weight, higher prevalence of apnea, mechanical ventilation, sepsis and shock, lower blood pH, higher levels of blood glucose, abnormal WBC count and thrombocytopenia, and elevated CRP (all P<0.05. Moreover, the perforated NEC group had significantly longer durations of fasting and TPN usage, higher incidences of EUGR and cholestasis, longer duration of antibiotics, higher frequency of advanced antibiotics use, and poorer prognosis than the nonperforated NEC group (all P<0.05. Bowel perforation in premature infants with NEC was associated with multiple risk factors. Early identification of some of these risk factors in premature infants with NEC may help implement early intervention to reduce the incidence of bowel perforation and thereby improve the prognosis.

  20. Early Persistent Blood Eosinophilia in Necrotizing Enterocolitis Is a Predictor of Late Complications.

    Science.gov (United States)

    Wahidi, Lila S; Sherman, Jan; Miller, Mindy M; Zaghouani, Habib; Sherman, Michael P

    2015-01-01

    Eosinophils infiltrate intestinal tissue during necrotizing enterocolitis (NEC) and adult bowel diseases. We theorized that epithelial damage causes eosinophilic activation and recruitment at NEC onset. We studied the relationship between persistent blood eosinophilia and medical or surgical complications during NEC. NEC cases and controls at MU Children's Hospital (2008-2013) underwent review. A Likert scale measured NEC severity. We utilized an SPSS database for statistical analyses. Of 50 NEC cases, infants in group 1 (n = 15) had eosinophilia eosinophilia. Group 3 (n = 46) consisted of controls, i.e. infants without NEC matched for birth weight and gestational age and group 4 (n = 4) of preterm infants with infection and ≤5 days of eosinophilia. Hematologic assessment defined persistent eosinophilia as ≥5% eosinophils for ≥5 days after NEC onset. Absolute eosinophil counts were 2 times higher in group 1 than in group 2 (p = 0.002). The mean duration of eosinophilia was 8 days in group 1 versus 1 day in group 2 (p eosinophilia is not currently a predictor of complications after the onset of NEC. This biomarker identifies immature infants at a high risk for adverse outcomes during NEC convalescence. © 2015 S. Karger AG, Basel.

  1. Effects of boric acid and 2-aminoethoxydiphenyl borate on necrotizing enterocolitis.

    Science.gov (United States)

    Yazıcı, Selçuk; Akşit, Hasan; Korkut, Oğuzhan; Sunay, Bahar; Çelik, Tanju

    2014-01-01

    The aim was to study the effects of boric acid (BA) and 2-aminoethoxydiphenyl borate (2-APB) on oxidative stress and inflammation in an experimental necrotizing enterocolitis (NEC) rat model. Experimental NEC was induced in 40 newborn Sprague-Dawley rats by asphyxia and hypothermia applied in 3 consecutive days. Rats were subdivided into 4 subgroups as NEC, NEC+BA, NEC+2-APB, and controls. BA and 2-APB were applied daily before the procedure. Serum total antioxidant status, superoxide dismutase (SOD), tumor necrosis factor (TNF)-α, interleukin (IL)-6, and erythrocyte glutathione (GSH) levels were measured. Pathological changes for NEC in intestinal architecture were evaluated by a grading system. Pretreatment with BA and 2-APB resulted in a decrease in NEC incidence. In all of the NEC groups, decreased serum levels of GSH and SOD were measured. Boron limited GSH consumption but had no effect on SOD levels. Total antioxidant status levels were not statistically different among groups. In our experimental NEC model, BA, but not 2-APB, prevented the increase of TNF-α. Pretreatment with BA and 2-APB downregulated the activity levels of IL-6 in NEC. In the experimental NEC model, BA and 2-APB partly prevent NEC formation, modulate the oxidative stress parameters, bring a significant decrease in GSH consumption, and enhance the antioxidant defense mechanism, but have no effect on total antioxidant status. BA inhibits the hypoxia and hypothermia-induced increase in both IL-6 and TNF-a, but 2-APB only in IL-6. Boron may be beneficial in preventing NEC.

  2. Necrotizing Enterocolitis in Preterm Pigs Is Associated with Increased Density of Intestinal Mucosa-Associated Bacteria Including Clostridium perfringens

    DEFF Research Database (Denmark)

    Støy, Ann Cathrine Findal; Mølbak, Lars; Delègue, Camilla Lindholm;

    2015-01-01

    Background: Necrotizing enterocolitis (NEC) is associated with changes in the luminal gut microbiota. It is not known whether the mucosa-associated microbiota is affected by NEC and stimulates inflammatory lesions. Objective: We hypothesized that the density of the mucosa-associated microbiota...... correlates with NEC severity in preterm pigs and that in vitro infection with increasing densities of Clostridium perfringens, which has been associated with NEC in preterm infants, would lead to a transcriptional response related to the inflammatory conditions of NEC. Methods: First, we determined...... the density of total bacteria and C. perfringens in the distal small intestinal mucosa of 58 NEC and healthy preterm pigs using quantitative PCR. Next, we analyzed in IPEC-J2 cells the effect of different infection densities of C. perfringens type A on the expression of genes related to intestinal function...

  3. Membrane deformation and scission by the HSV-1 nuclear egress complex

    Science.gov (United States)

    Bigalke, Janna M.; Heuser, Thomas; Nicastro, Daniela; Heldwein, Ekaterina E.

    2014-06-01

    The nuclear egress complex (NEC) of herpesviruses such as HSV-1 is essential for the exit of nascent capsids from the cell nucleus. The NEC drives nuclear envelope vesiculation in cells, but the precise budding mechanism and the potential involvement of cellular proteins are unclear. Here we report that HSV-1 NEC alone is sufficient for membrane budding in vitro and thus represents a complete membrane deformation and scission machinery. It forms ordered coats on the inner surface of the budded vesicles, suggesting that it mediates scission by scaffolding the membrane bud and constricting the neck to the point of scission. The inward topology of NEC-mediated budding in vitro resembles capsid budding into the inner nuclear membrane during HSV-1 infection and nuclear envelope vesiculation in NEC-transfected cells. We propose that the NEC functions as minimal virus-encoded membrane-budding machinery during nuclear egress and does not require additional cellular factors.

  4. Modulation of intestinal inflammation by minimal enteral nutrition with amniotic fluid in preterm pigs

    DEFF Research Database (Denmark)

    Østergaard, Mette V; Bering, Stine Brandt; Jensen, Michael L

    2014-01-01

    Background: Necrotizing enterocolitis (NEC) is a severe inflammatory disorder, associated with the difficult transition from parenteral to enteral feeding after preterm birth. We hypothesized that minimal enteral nutrition (MEN) with amniotic fluid (AF), prior to enteral formula feeding, would...... improve resistance to NEC in preterm pigs. Methods: Experiment 1: IEC-6 cells were incubated with porcine (pAF) and human AF (hAF) to test AF-stimulated enterocyte proliferation and migration in vitro. Experiment 2: Cesarean-delivered, preterm pigs were fed parenteral nutrition and MEN with pAF, h...... fed AF as MEN, but NEC incidences were similar (NEC-pAF) or increased (NEC-hAF) compared with controls. Conclusions: Intake of pAF or hAF improved body growth and modulated intestinal inflammatory cytokines during a period of parenteral nutrition, but did not protect against later formula-induced NEC...

  5. The Role of Growth Factors in Intestinal Regeneration and Repair in Necrotizing Enterocolitis

    Science.gov (United States)

    Rowland, Kathryn J.; Choi, Pamela M.; Warner, Brad W.

    2013-01-01

    Necrotizing enterocolitis (NEC) is a devastating intestinal disease resulting in major neonatal morbidity and mortality. The pathology is poorly understood, and means of preventing and treating NEC are limited. Several endogenous growth factors have been identified as having important roles in intestinal growth as well as aiding intestinal repair from injury or inflammation. In this review, we will discuss several growth factors as mediators of intestinal regeneration and repair as well as potential therapeutic agents for NEC. PMID:23611614

  6. GLP-2 Delays But Does Not Prevent the Onset of Necrotizing Enterocolitis in Preterm Pigs

    DEFF Research Database (Denmark)

    Benight, Nancy M; Stoll, Barbara; Olutoye, Oluyinka O;

    2013-01-01

    OBJECTIVES:: Necrotizing enterocolitis (NEC) is complex disease thought to occur due to an immaturity of gastrointestinal tract of preterm infants. Intestinal dysfunction induced by total parental nutrition (TPN) may increase the risk for NEC upon introduction of enteral feeding. We hypothesized ...... cells. Inflammatory markers of intestinal myeloperoxidase were unchanged and serum amyloid A levels were higher in GLP-2-treated pigs. CONCLUSION:: GLP-2 did not prevent NEC and a proinflammatory response despite some reduction in mucosal injury and increased trophic effect....

  7. Necrotizing Enterocolitis: A Narrative Review of Updated Therapeutic and Preventive Interventions

    OpenAIRE

    2016-01-01

    Context Necrotizing enterocolitis (NEC) remains one of the most common causes of morbidity and mortality for premature infants in the neonatal intensive care unit (NICU). Many theories concerning its pathophysiology and inciting factors have been suggested but progression in preventing the onset of NEC has been minimal. While this article highlights the pathophysiology, management, and outcomes of NEC, it mainly serves as a narrative review to discuss the emerging methods of trea...

  8. Fatal Clostridial necrotizing enterocolitis in a term infant with gastroschisis

    Directory of Open Access Journals (Sweden)

    Kevin M. Riggle

    2016-11-01

    Full Text Available Necrotizing enterocolitis (NEC is most often a disease of preterm infants, but can develop in full term infants with gastroschisis. The latter cases typically present later and have a milder clinical course; we present the first case of fatal Clostridium perfringes-associated NEC in a full term infant with gastroschisis. Our case highlights the need for a high index of clinical suspicion for Clostridial NEC when there is rapid progression of disease and/or evidence of hemolysis. When Clostridial NEC is suspected, we recommend treatment with penicillin G and clindamycin, as well as prompt, aggressive surgical intervention.

  9. Gram negative bacteria are associated with the early stages of necrotizing enterocolitis.

    Directory of Open Access Journals (Sweden)

    Erica M Carlisle

    Full Text Available INTRODUCTION: Necrotizing enterocolitis (NEC affects 5-10% of infants born weighing less than 1500 g. Most models of NEC recapitulate late-stage disease with gut necrosis and elevated inflammatory mediators. Evaluation of NEC at earlier, less lethal stages of disease will allow investigation of initial disease triggers and may advance our understanding of temporal relationships between factors implicated in NEC pathogenesis. In this manuscript, we describe our investigation of early NEC and test the hypothesis that bacteria and inflammatory mediators differ between animals with early NEC and disease free animals. METHODS: On DOL7 C3HeB/FeJ pups were fed liquid formula with 1×10(4 Streptococcus thoraltensis, Serratia marcescens, and Pseudomonas aeruginosa every 3 h. To initiate NEC, pups underwent asphyxia (100% N(2 for 90 s and hypothermia (4°C for 10 min after feeding. Pups were euthanized at 72 h. Intestines were collected for histologic NEC scoring and DNA/RNA extraction. Bacterial populations were identified by 16S rRNA pyrosequencing and principal component analysis (PCA. RNA isolates underwent QRT-PCR for Toll-like Receptor 4 (TLR4 and inducible nitric oxide synthase (iNOS. RESULTS: Despite histologic, intestinal damage in mice with NEC, no gross necrosis was observed suggesting early disease. QRT-PCR yielded no difference between groups in TLR4 or iNOS mRNA levels. PCA demonstrated relative clustering of microbial communities based on presence or absence of NEC. 16S pyrosequencing demonstrated similar phyla between groups (Firmicutes and Proteobacteria predominated in all animals. However, the colonic microbiota of animals with NEC had more Citrobacter (p<0.01, Klebsiella (p<0.05, and Tatumella (p<0.05, while that of animals without NEC had more Streptococcus (p<0.01 and Enterococcus (p<0.01. CONCLUSION: Citrobacter, Klebsiella, and Tatumella are associated with NEC. Differential colonic bacteria were identified despite the lack of

  10. Inflammatory mediators and intestinal injury.

    Science.gov (United States)

    Caplan, M S; MacKendrick, W

    1994-06-01

    Although the causes of necrotizing enterocolitis (NEC) are not well understood, there is compelling evidence to suggest that the inflammatory mediators play an important role in the pathophysiology of the disease. This article examines the role of platelet-activating factor (PAF) and other mediators on the development of NEC, and attempts to explain the association of the putative NEC risk factors with altered mediator production and subsequent intestinal injury. The authors hypothesize that PAF is a key mediator in the final common pathway leading to NEC.

  11. Total oxidant status and oxidative stress are increased in infants with necrotizing enterocolitis.

    Science.gov (United States)

    Aydemir, Cumhur; Dilli, Dilek; Uras, Nurdan; Ulu, Hulya Ozkan; Oguz, Serife Suna; Erdeve, Omer; Dilmen, Ugur

    2011-11-01

    Oxidative stress has been implicated in the pathogenesis of necrotizing enterocolitis (NEC). In this study, we compared the global oxidant/antioxidant status by measuring total antioxidant capacity (TAC), total oxidant status (TOS), and oxidative stress index (OSI) in preterm infants with NEC and with control preterms. Forty-one preterm neonates with NEC (stage 1 [group 1; n = 23] and stages 2 and 3 [group 2; n = 18]) and age-matched 36 healthy preterm controls (group 3) were included in this study. Blood samples were obtained both at the time of NEC diagnosis and 72 hours after for the evaluation of TAC and TOS. Serum levels of TAC, TOS, and OSI in patients with NEC were compared with controls. Demographic characteristics were comparable in all 3 groups. Preterm neonates in group 2 (with stages 2 and 3 NEC) had the highest TOS levels and OSI (P oxidant stress mechanisms were activated in preterm neonates with definite NEC (stages 2 and 3 NEC). Premature neonates with increased levels of TOS and OSI were associated with severity of NEC. Copyright © 2011 Elsevier Inc. All rights reserved.

  12. A New Species of Goniothalamus (Annonaceae) from China%中国哥纳香属(番荔枝科)一新种

    Institute of Scientific and Technical Information of China (English)

    侯学良; 税玉民

    2003-01-01

    @@ 盈江哥纳香新种图1 Goniothalamus lu X. L. Hou et Y. M. Shui, sp. nov. Fig. 1. G.yunnanensi W. T. Wang affinis, sed foliis nervis lateralibus (10-) 13 - 21-jugatis (nec 7- 9-jugatis),pedicellis 9 - 13 mm longis ( nec circ. 4 mm longis), sepalis 5 mm longis 4 mm latis (nec circ. 8 mm longis latisque),petalis exterioribus ovatis 2.5 cm longis 1.3 cm latis (nec 2 cm longis 7 mm latis) facile differt.

  13. Cutaneous Neuroendocrine Carcinoma of the External Auditory Canal: A Case Report and Review of the Literature

    Directory of Open Access Journals (Sweden)

    Yi-Ke Li

    2012-01-01

    Full Text Available Cutaneous neuroendocrine carcinoma (cNEC is rarely seen in the external ear. In this paper, we newly describe a patient with cNEC in his right external auditory canal, followed by a further discussion on the clinical features, diagnosis, and treatments of cNEC of the external ear. A review of the literature showed that cNEC of the external auditory canal generally presents as asymptomatic and that pathology yields the most confirmative diagnosis. A wide resection with adjuvant radiotherapy and chemotherapy is recommended. The overall prognosis of this condition is poor.

  14. Protective Effects of Necrostatin-1 against Concanavalin A-Induced Acute Hepatic Injury in Mice

    Directory of Open Access Journals (Sweden)

    Yingqun Zhou

    2013-01-01

    suppression of inflammatory cytokine production were observed in Nec-1-injected mice. Western blotting analysis showed that the expression of TNF-α, IFN-γ, IL2, IL6, and RIP1 was significantly reduced in the Nec-1-injected mice, which was confirmed by immunofluorescence and immunohistochemistry. Autophagosome formation was significantly reduced by Nec-1 treatment, as the expression of beclin-1 and LC3, determined with immunofluorescence and western blotting. Conclusion. These results demonstrate that Nec-1 prevents ConA-induced liver injury via RIP1-related and autophagy-related pathways.

  15. Exposing mouse oocytes to necrostatin 1 during in vitro maturation improves maturation, survival after vitrification, mitochondrial preservation, and developmental competence.

    Science.gov (United States)

    Jo, Jun Woo; Lee, Jung Ryeol; Jee, Byung Chul; Suh, Chang Suk; Kim, Seok Hyun

    2015-05-01

    Necrostatin 1 (Nec1) is widely used in disease models to examine the contribution of receptor-interacting protein kinase 1 in cell death. The biological actions of Nec1 are blocking necrotic cell death. The purpose of this study was to investigate whether adding Nec1 into in vitro maturation (IVM) media, followed by vitrification procedures, could enhance the survival and developmental competency of oocytes. Germinal vesicle oocytes were matured in IVM medium containing 2 different doses of Nec1 (0.5 and 1 μmol/L). After IVM, the oocytes were vitrified using a 2-step exposure to equilibrium and vitrification solutions. After warming, the rates of survival, fertilization, embryonic development up to blastocyst in vitro, morphology of spindle and chromosome, membrane integrity, mitochondria integrity, and several gene expressions were evaluated. The survival and developmental competency of oocytes were higher in the 1 μmol/L Nec1-treated group than control. The proportion with intact spindles/chromosomes and stable membranes was similar in all the groups. The mitochondrial integrity of all Nec1-treated groups showed a higher score with strong staining. The 1 μmol/L Nec1 showed significantly increased expressions of Mad2, Gdf9, and Bcl2. The Cirp level had a tendency to be downregulated in the 0.5 µmol/L Nec1 but upregulated in the 1 μmol/L Nec1, compared with the control. The Mtgenome expressions were significantly decreased in both Nec1 groups. The supplementation of 1 μmol/L Nec1 into the IVM medium could be beneficial for the survival and development of immature oocytes after vitrification.

  16. New model for gastroenteropancreatic large-cell neuroendocrine carcinoma: establishment of two clinically relevant cell lines.

    Directory of Open Access Journals (Sweden)

    Andreas Krieg

    Full Text Available Recently, a novel WHO-classification has been introduced that divided gastroenteropancreatic neuroendocrine neoplasms (GEP-NEN according to their proliferation index into G1- or G2-neuroendocrine tumors (NET and poorly differentiated small-cell or large-cell G3-neuroendocrine carcinomas (NEC. Our knowledge on primary NECs of the GEP-system is limited due to the rarity of these tumors and chemotherapeutic concepts of highly aggressive NEC do not provide convincing results. The aim of this study was to establish a reliable cell line model for NEC that could be helpful in identifying novel druggable molecular targets. Cell lines were established from liver (NEC-DUE1 or lymph node metastases (NEC-DUE2 from large cell NECs of the gastroesophageal junction and the large intestine, respectively. Morphological characteristics and expression of neuroendocrine markers were extensively analyzed. Chromosomal aberrations were mapped by array comparative genomic hybridization and DNA profiling was analyzed by DNA fingerprinting. In vitro and in vivo tumorigenicity was evaluated and the sensitivity against chemotherapeutic agents assessed. Both cell lines exhibited typical morphological and molecular features of large cell NEC. In vitro and in vivo experiments demonstrated that both cell lines retained their malignant properties. Whereas NEC-DUE1 and -DUE2 were resistant to chemotherapeutic drugs such as cisplatin, etoposide and oxaliplatin, a high sensitivity to 5-fluorouracil was observed for the NEC-DUE1 cell line. Taken together, we established and characterized the first GEP large-cell NEC cell lines that might serve as a helpful tool not only to understand the biology of these tumors, but also to establish novel targeted therapies in a preclinical setup.

  17. Measured count-rate performance of the Discovery STE PET/CT scanner in 2D, 3D and partial collimation acquisition modes.

    Science.gov (United States)

    Macdonald, L R; Schmitz, R E; Alessio, A M; Wollenweber, S D; Stearns, C W; Ganin, A; Harrison, R L; Lewellen, T K; Kinahan, P E

    2008-07-21

    We measured count rates and scatter fraction on the Discovery STE PET/CT scanner in conventional 2D and 3D acquisition modes, and in a partial collimation mode between 2D and 3D. As part of the evaluation of using partial collimation, we estimated global count rates using a scanner model that combined computer simulations with an empirical live-time function. Our measurements followed the NEMA NU2 count rate and scatter-fraction protocol to obtain true, scattered and random coincidence events, from which noise equivalent count (NEC) rates were calculated. The effect of patient size was considered by using 27 cm and 35 cm diameter phantoms, in addition to the standard 20 cm diameter cylindrical count-rate phantom. Using the scanner model, we evaluated two partial collimation cases: removing half of the septa (2.5D) and removing two-thirds of the septa (2.7D). Based on predictions of the model, a 2.7D collimator was constructed. Count rates and scatter fractions were then measured in 2D, 2.7D and 3D. The scanner model predicted relative NEC variation with activity, as confirmed by measurements. The measured 2.7D NEC was equal or greater than 3D NEC for all activity levels in the 27 cm and 35 cm phantoms. In the 20 cm phantom, 3D NEC was somewhat higher ( approximately 15%) than 2.7D NEC at 100 MBq. For all higher activity concentrations, 2.7D NEC was greater and peaked 26% above the 3D peak NEC. The peak NEC in 2.7D mode occurred at approximately 425 MBq, and was 26-50% greater than the peak 3D NEC, depending on object size. NEC in 2D was considerably lower, except at relatively high activity concentrations. Partial collimation shows promise for improved noise equivalent count rates in clinical imaging without altering other detector parameters.

  18. MR imaging features and staging of neuroendocrine carcinomas of the uterine cervix with pathological correlations

    Energy Technology Data Exchange (ETDEWEB)

    Duan, Xiaohui; Zhang, Xiang; Hu, Huijun; Li, Guozhao; Wang, Dongye; Zhang, Fang; Shen, Jun [Sun Yat-Sen University, Department of Radiology, Sun Yat-Sen Memorial Hospital, Guangzhou (China); Ban, Xiaohua [Sun Yat-Sen University, Medical Imaging and Minimally Invasive Interventional Center and State Key Laboratory of Oncology in Southern China, Cancer Center, Guangzhou, Guangdong (China); Wang, Charles Qian [Sun Yat-Sen University, Department of Radiology, Sun Yat-Sen Memorial Hospital, Guangzhou (China); University of New South Wales, JMO, Westmead Hospital, Sydney (Australia)

    2016-12-15

    To determine MR imaging features and staging accuracy of neuroendocrine carcinomas (NECs) of the uterine cervix with pathological correlations. Twenty-six patients with histologically proven NECs, 60 patients with squamous cell carcinomas (SCCs), and 30 patients with adenocarcinomas of the uterine cervix were included. The clinical data, pathological findings, and MRI findings were reviewed retrospectively. MRI features of cervical NECs, SCCs, and adenocarcinomas were compared, and MRI staging of cervical NECs was compared with the pathological staging. Cervical NECs showed a higher tendency toward a homogeneous signal intensity on T2-weighted imaging and a homogeneous enhancement pattern, as well as a lower ADC value of tumour and a higher incidence of lymphadenopathy, compared with SCCs and adenocarcinomas (P < 0.05). An ADC value cutoff of 0.90 x 10{sup -3} mm{sup 2}/s was robust for differentiation between cervical NECs and other cervical cancers, with a sensitivity of 63.3 % and a specificity of 95 %. In 21 patients who underwent radical hysterectomy and lymphadenectomy, the overall accuracy of tumour staging by MR imaging was 85.7 % with reference to pathology staging. Homogeneous lesion texture and low ADC value are likely suggestive features of cervical NECs and MR imaging is reliable for the staging of cervical NECs. (orig.)

  19. Auto-tuning the Matrix Powers Kernel with SEJITS

    Science.gov (United States)

    2012-05-11

    with matching funds from the UC Discovery Grant (#DIG07- 10227) and additional support from Par Lab affiliates National Instruments, NEC, Nokia ...024894), with match- ing funds from the UC Discovery Grant (#DIG07-10227) and additional support from Par Lab affiliates National Instruments, NEC, Nokia

  20. Necrotising Enterocolitis and Systemic Inflammation: Placental Pathology and Haematological Markers of Mortality

    LENUS (Irish Health Repository)

    Baastad, S

    2011-11-01

    Necrotizing enterocolitis (NEC) is a devastating disease that affects premature neonates. Associated mortality has not changed appreciably over the past several decades. The underlying aetiology of NEC remains elusive, although bacterial colonization of the gut, formula feeding, and perinatal stress have been implicated as risk factors.\\r\

  1. Dual purpose use of preterm piglets as a model of pediatric GI disease

    Science.gov (United States)

    Necrotizing enterocolitis (NEC) is the most common gastrointestinal complication in human neonates, yet the pathogenesis of this disease remains poorly understood. A fundamental approach to understanding the etiology and underlying biology of NEC is the use of in vivo experimental animal models, pri...

  2. Antibiotics modulate intestinal immunity and prevent necrotizing enterocolitis in preterm neonatal piglets

    Science.gov (United States)

    Preterm birth, bacterial colonization, and formula feeding predispose to necrotizing enterocolitis (NEC). Antibiotics are commonly administered to prevent sepsis in preterm infants, but it is not known whether this affects intestinal immunity and NEC resistance. We hypothesized that broad-spectrum a...

  3. Can we cut the incidence of necrotizing enterocolitis in half--today?

    Science.gov (United States)

    Christensen, Robert D; Gordon, Philip V; Besner, Gail E

    2010-01-01

    Necrotizing enterocolitis (NEC) is a common gastrointestinal emergency of neonates. Population studies estimate the incidence of NEC at between 0.3 and 2.4 per 1000 live births in the United States, with a predominance of cases among preterm neonates born at the earliest gestational ages. The disease burden of NEC includes an overall disease-specific mortality rate of 15-20%, with yet higher rates in those of earliest gestations. The NEC burden also includes an increase in hospital costs approximating $100,000/case, as well as severe late sequellae including parenteral nutrition-associated liver disease and short bowel syndrome. Differentiating NEC from other forms of acquired neonatal intestinal disease is critical to assessing the success of NEC prevention strategies. Promising new prevention strategies are now being tested; one such is prophylactic heparin-binding epidermal growth factor-like growth factor (HB-EGF) administration. However, two prevention strategies have already been shown in meta-analyses to reduce the incidence of NEC, but we speculate that these are not being fully utilized. They are; 1) implementing a written set of feeding guidelines (also called standardized feeding regimens) for newborn intensive care unit (NICU) patients, and 2) implementing programs to increase the availability of human milk for patients at risk of developing NEC.

  4. Characterization of the gene expression response in a preterm pig model of ne-crotizing enterocolitis

    DEFF Research Database (Denmark)

    Støy, Ann Cathrine Findal; Sangild, Per T.; Skovgaard, Kerstin

    h followed by bovine colostrum (n = 14), spray dried bovine colostrum (n = 8) or pasteurized, spray dried bovine colostrum (n = 9). At euthanasia, the gastroin-testinal tract (stomach to colon) was evaluated for NEC lesions using a severity score ranging from 1–6 (6 being severe NEC). Pigs...

  5. Near-Infrared Spectroscopy to Predict the Course of Necrotizing Enterocolitis

    NARCIS (Netherlands)

    Schat, Trijntje E; Schurink, Maarten; van der Laan, Michelle E; Hulscher, Jan B F; Hulzebos, Christian V; Bos, Arend F; Kooi, Elisabeth M W

    2016-01-01

    OBJECTIVES: To investigate whether cerebral, liver, and infraumbilical regional tissue oxygen saturation (rSO2) and fractional tissue oxygen extraction (FTOE) could be used to diagnose necrotizing enterocolitis (NEC) and complicated NEC (Bell's stage 3B or death) during its early stages. METHODS: A

  6. Necrotizing enterocolitis: the quest for biomarkers

    NARCIS (Netherlands)

    van Zoonen, Gezina Johanna Femia

    2015-01-01

    Necrotiserende enterocolitis (NEC) is de meest voorkomende en meest ernstige darmziekte bij pasgeboren kinderen. Het treedt op in de eerste levensmaand. NEC komt voornamelijk voor bij kinderen met een extreem laag geboorte gewicht: meer dan 90% van de kinderen die de ziekte ontwikkelen zijn (veel) t

  7. Guts! Dietary modulation of innate defense

    NARCIS (Netherlands)

    N. Burger-van Paassen (Nanda)

    2010-01-01

    textabstractNecrotizing enterocolitis (NEC) is the most common gastro-intestinal emergency in the neonatal intensive care. The incidence of NEC ranges from 0.3 to 2.4 infants per 1000 live births, with nearly 70% of cases occurring in infants born at less than 36 weeks of gestation. The incidence of

  8. Identification of bacterial invasion in necrotizing enterocolitis specimens using fluorescent in situ hybridization

    NARCIS (Netherlands)

    Heida, F H; Harmsen, H J M; Timmer, A; Kooi, E M W; Bos, A F; Hulscher, J B F

    2016-01-01

    OBJECTIVE: Investigation of bacterial invasion into the intestinal wall in necrotizing enterocolitis (NEC) specimens. STUDY DESIGN: We compared 43 surgical NEC specimens with 43 age-matched controls. We used fluorescent in situ hybridization (FISH), a universal bacterial probe together with species-

  9. Intestinal fatty acid-binding protein as a diagnostic marker for complicated and uncomplicated necrotizing enterocolitis: a prospective cohort study

    NARCIS (Netherlands)

    Schurink, M.; Kooi, E.M.; Hulzebos, C.V.; Kox, R.G.; Groen, H.; Heineman, E.; Bos, A.F; Hulscher, J.B.

    2015-01-01

    BACKGROUND: Early NEC symptoms are non-specific and diagnostic tests lack discriminative power. Intestinal fatty acid-binding protein (I-FABP), mainly located in small bowel enterocytes, is released into the blood following NEC-associated enterocyte disruption. Aim of this prospective cohort trial w

  10. Bovine colostrum against gut inflammatory lesions in preterm pigs

    Science.gov (United States)

    Bovine colostrum is rich in bioactive factors and may prevent necrotizing enterocolitis (NEC) in pre-term neonates. We hypothesized that both native and sterilized, heat-treated colostrum protect neonates against NEC following preterm birth and formula feeding. Further, we aimed to investigate if pr...

  11. An update on necrotizing enterocolitis: pathogenesis and preventive strategies

    Directory of Open Access Journals (Sweden)

    Jang Hoon Lee

    2011-09-01

    Full Text Available Necrotizing enterocolitis (NEC is one of the most critical morbidities in preterm infants. The incidence of NEC is 7% in very-low-birthweight infants, and its mortality is 15 to 30%. Infants who survive NEC have various complications, such as nosocomial infection, malnutrition, growth failure, bronchopulmonary dysplasia, retinopathy of prematurity, and neurodevelopmental delays. The most important etiology in the pathogenesis of NEC is structural and immunological intestinal immaturity. In preterm infants with immature gastrointestinal tracts, development of NEC may be associated with a variety of factors, such as colonization with pathogenic bacteria, secondary ischemia, genetic polymorphisms conferring NEC susceptibility, anemia with red blood cell transfusion, and sensitization to cow milk proteins. To date, a variety of preventive strategies has been accepted or attempted in clinical practice with regard to the pathogenesis of NEC. These strategies include the use of breast feeding, various feeding strategies, probiotics, prebiotics, glutamine and arginine, and lactoferrin. There is substantial evidence for the efficacy of breast feeding and the use of probiotics in infants with birth weights above 1,000 g, and these strategies are commonly used in clinical practice. Other preventive strategies, however, require further research to establish their effect on NEC.

  12. Taking science to the 'extreme'. Project's goal is to cultivate enthusiasm

    CERN Multimedia

    Geracimos, A

    2003-01-01

    NEC Extreme Science, sponsored by the NEC Foundation of America in collaboration with the nonprofit science education organization Science Service is intended to showcase a need to get American youngsters excited about science careers and get more teachers better prepared to help them (1 page).

  13. Diminished citrulline-arginine-nitric oxide production rates are associated with necrotizing enterocolitis incidence in premature pigs

    Science.gov (United States)

    Necrotizing enterocolitis (NEC) is a major gastrointestinal disease in premature infants that is associated with formula feeding and intestinal hypoxia. Low arginine availability in these infants has been linked to NEC since arginine is the sole precursor of nitric oxide (NO), a critical mediator of...

  14. Enteral feeding induces diet-dependent mucosal dysfunction, bacterial proliferation, and necrotizing enterocolitis in preterm pigs on parenteral nutrition

    DEFF Research Database (Denmark)

    Bjørnvad, Charlotte R.; Thymann, Thomas; Deutz, Nicolaas E.

    2008-01-01

    Preterm neonates have an immature gut and metabolism and may benefit from total parenteral nutrition (TPN) before enteral food is introduced. Conversely,delayed enteral feeding may inhibit gut maturation and sensitize to necrotizing enterocolitis (NEC). Intestinal mass and NEC lesions were first...

  15. Gene expression profiling in necrotizing enterocolitis reveals pathways common to those reported in Crohn's disease

    NARCIS (Netherlands)

    É. Tremblay (Éric); M.-P. Thibault (Marie-Pier); E. Ferretti (Emanuela); C. Babakissa (Corentin); V. Bertelle (Valérie); M. Bettolli (Marcos); K.M. Burghardt (Karolina Maria); J.-F. Colombani (Jean-François); D. Grynspan (David); E. Levy (Emile); P. Lu (Peng); S. Mayer (Sandeep); D. Ménard (Daniel); O. Mouterde (Olivier); I.B. Renes (Ingrid); E.G. Seidman (Ernest G.); J.-F. Beaulieu (Jean-François)

    2016-01-01

    textabstractBackground: Necrotizing enterocolitis (NEC) is the most frequent life-threatening gastrointestinal disease experienced by premature infants in neonatal intensive care units. The challenge for neonatologists is to detect early clinical manifestations of NEC. One strategy would be to ident

  16. Dual purpose use of preterm piglets as a model of pediatric GI disease

    DEFF Research Database (Denmark)

    Oosterloo, Berthe C; Premkumar, Muralidhar; Stoll, Barbara

    2014-01-01

    Necrotizing enterocolitis (NEC) is the most common gastrointestinal complication in human neonates, yet the pathogenesis of this disease remains poorly understood. A fundamental approach to understanding the etiology and underlying biology of NEC is the use of in vivo experimental animal models, ...

  17. Prophylactic Probiotics for Preterm Infants

    DEFF Research Database (Denmark)

    Olsen, Rie; Greisen, Gorm; Schrøder, Morten

    2016-01-01

    BACKGROUND: Necrotizing enterocolitis (NEC) is a major morbidity and cause of mortality in preterm neonates. Probiotics seem to have a beneficial role in preventing NEC, which is confirmed in meta-analyses of randomized controlled trials (RCTs). We therefore aimed to review and confirm the effica...

  18. Necrotizing Enterocolitis in Preterm Pigs Is Associated with Increased Density of Intestinal Mucosa-Associated Bacteria Including Clostridium perfringens

    DEFF Research Database (Denmark)

    Støy, Ann Cathrine Findal; Mølbak, Lars; Delègue, Camilla Lindholm

    2015-01-01

    Background: Necrotizing enterocolitis (NEC) is associated with changes in the luminal gut microbiota. It is not known whether the mucosa-associated microbiota is affected by NEC and stimulates inflammatory lesions. Objective: We hypothesized that the density of the mucosa-associated microbiota co...

  19. Near-infrared spectroscopy measurement of abdominal tissue oxygenation is a useful indicator of intestinal blood flow and necrotizing enterocolitis in premature piglets

    Science.gov (United States)

    A major objective of necrotizing enterocolitis (NEC)research is to devise a noninvasive method of early detection. We hypothesized that abdominal near-infrared spectroscopy (A-NIRS) readings will identify impending NEC in a large animal model. Piglets were prematurely delivered and received parenter...

  20. Necrotizing enterocolitis. New thoughts about pathogenesis and potential treatments.

    Science.gov (United States)

    MacKendrick, W; Caplan, M

    1993-10-01

    Necrotizing enterocolitis (NEC) remains a major cause of morbidity and mortality in premature infants. An incomplete understanding of its pathogenesis has hampered efforts to devise an effective preventative strategy. New insights into the pathogenesis of NEC, particularly at the cellular and biochemical level, however, offer a rational basis for the development of new approaches to this disease.

  1. Hadrons registration in emulsion chamber with carbon block

    Science.gov (United States)

    Tomaszewski, A.; Wlodarczyk, Z.

    1985-01-01

    Nuclear-electro-magnetic cascade (NEC) in X-ray emulsion chambers with carbon block, which are usually used in the Pamir experiment, was Monte-Carlo simulated. Going over from optical density to Summary E sub gamma is discussed. The hole of NEC in the interpretation of energy spectra is analyzed.

  2. Pseudocyst and a Collar Stud Abscess: New Face of Necrotizing Enterocolitis

    Directory of Open Access Journals (Sweden)

    Hemant Kumar

    2014-10-01

    Full Text Available Meconium pseudocyst formation secondary to antenatal perforation is well described. We present a preterm infant who had intra-abdominal pseudocyst formation following postnatal intestinal perforation secondary to necrotizing enterocolitis (NEC and secondarily leading to extra-abdominal collar stud abscess. This is new face of NEC and this presentation has not been reported earlier.

  3. Pseudocyst and a Collar Stud Abscess: New Face of Necrotizing Enterocolitis

    Science.gov (United States)

    Kumar, Hemant; Patel, Ramnik; Patwardhan, Nitin; More, Bharat

    2014-01-01

    Meconium pseudocyst formation secondary to antenatal perforation is well described. We present a preterm infant who had intra-abdominal pseudocyst formation following postnatal intestinal perforation secondary to necrotizing enterocolitis (NEC) and secondarily leading to extra-abdominal collar stud abscess. This is new face of NEC and this presentation has not been reported earlier. PMID:26023517

  4. Early Administration of Probiotics Alters Bacterial Colonization and Limits Diet-Induced Gut Dysfunction and Severity of Necrotizing Enterocolitis in Preterm Pigs

    DEFF Research Database (Denmark)

    Siggers, Richard H.; Siggers, Jayda; Boye, Mette

    2008-01-01

    Following preterm birth, bacterial colonization and interal formula feeding predispose neonates to gut dysfunction and necrotizing enterocilitis (NEC), a serious gastrointestinal inflammatory disease. We hypothesized that administration of probiotics would beneficially influence early bacterial c...... (FORM-P, Bifidobacterium animalis and Lactobacillus: L. acidophilus, L. casei, L. pentosus, L. planterum; (n=13). Clinical NEC scores were reduced (P...

  5. Synchronous poorly-differentiated neuroendocrine carcinoma and gastrointestinal stromal tumor of the stomach: a case report with immunohistochemical and molecular genetic analyses of KIT and PDGFRA.

    Science.gov (United States)

    Ding, Jun; Sun, Ping; Cai, Xiao-Yan; Fei, Shao-Hua; Wu, Jian; Qi, Yu-Kai; Liu, Ze-Bin; Yuan, Lin; He, Yu-Jie; Song, Hui; Chen, Wei-Xiang

    2014-01-01

    Although the stomach is the most common location for gastrointestinal stromal tumor (GIST) with co-primary tumors, the synchronous appearance of a poorly differentiated neuroendocrine carcinoma (NEC) and GIST in the stomach is extremely rare. To the best of our knowledge, this is the first case of gastric GIST coexisting with gastric NEC to be reported in the literature. The current study reports the case of a 71-year-old male with gastric poorly differentiated NEC and GIST discovered incidentally during surgical treatment of the NEC. Immunohistochemistry analysis showed that the NEC tumor cells were positive for CK (cytokeratin), CD57, synaptophysin, chromogranin, CD117 (KIT protein), Dog-1 (discovered on GIST-1 protein) and CD34. The synchronous GIST immunophenotype showed positivity for CD117, Dog-1 and CD34 (100%), whereas staining for CK, SMA, desmin and S100 was negative. Ki-67 labeling of proliferating cells was 90% in NEC and 1% in GIST. An accurate diagnosis was confirmed by immunohistochemical findings. Furthermore, genetic analysis using PCR direct sequencing identified no mutations in the KIT (exons 9, 11, 13 and 17) and PDGFRA (exons 12 and 18) genes. The patient developed lymph node metastases and underwent cisplatin-based chemotherapy after the operation. This is the first documented case of synchronous gastric GIST and NEC with the examination of protein expression and gene mutations in KIT and PDGFRA, which will help to further understand the etiology and pathogenesis of NEC coexisting with GIST in a gastric location.

  6. An update on necrotizing enterocolitis: pathogenesis and preventive strategies.

    Science.gov (United States)

    Lee, Jang Hoon

    2011-09-01

    Necrotizing enterocolitis (NEC) is one of the most critical morbidities in preterm infants. The incidence of NEC is 7% in very-low-birth-weight infants, and its mortality is 15 to 30%. Infants who survive NEC have various complications, such as nosocomial infection, malnutrition, growth failure, bronchopulmonary dysplasia, retinopathy of prematurity, and neurodevelopmental delays. The most important etiology in the pathogenesis of NEC is structural and immunological intestinal immaturity. In preterm infants with immature gastrointestinal tracts, development of NEC may be associated with a variety of factors, such as colonization with pathogenic bacteria, secondary ischemia, genetic polymorphisms conferring NEC susceptibility, anemia with red blood cell transfusion, and sensitization to cow milk proteins. To date, a variety of preventive strategies has been accepted or attempted in clinical practice with regard to the pathogenesis of NEC. These strategies include the use of breast feeding, various feeding strategies, probiotics, prebiotics, glutamine and arginine, and lactoferrin. There is substantial evidence for the efficacy of breast feeding and the use of probiotics in infants with birth weights above 1,000 g, and these strategies are commonly used in clinical practice. Other preventive strategies, however, require further research to establish their effect on NEC.

  7. A Necrotizing Enterocolitis-Associated Gut Microbiota Is Present in the Meconium : Results of a Prospective Study

    NARCIS (Netherlands)

    Heida, Fardou H; van Zoonen, Anne G J F; Hulscher, Jan B F; Te Kiefte, Bastiaan J C; Wessels, Rianne; Kooi, Elisabeth M W; Bos, Arend F; Harmsen, Hermie J M; de Goffau, Marcus C

    2016-01-01

    BACKGROUND: Anomalous intestinal microbiota development is supposedly associated with development of necrotizing enterocolitis (NEC). Our aim in this study was to identify the intestinal microbiota of patients at risk for NEC. METHODS: In a prospective trial that investigated prognostic factors for

  8. Transnational Alliances: "La Clase Mágica--Nepohualtzitzin" Ethnomathematics Club

    Science.gov (United States)

    Prieto, Linda; Claeys, Lorena; González, Everardo Lara

    2015-01-01

    This article exposes the ancient "Nepohualtzitzin" as an important contemporary mathematical tool. The design and development of "Nepohualtzitzin" Ethnomathematics Clubs (NECs) in predominantly Latina/o and low-income schools is also presented. NECs provide informal learning opportunities to develop and strengthen cultural…

  9. Push-out bond strength of two root-end filling materials in root-end cavities prepared by Er,Cr:YSGG laser or ultrasonic technique.

    Science.gov (United States)

    Shokouhinejad, Noushin; Razmi, Hasan; Fekrazad, Reza; Asgary, Saeed; Neshati, Ammar; Assadian, Hadi; Kheirieh, Sanam

    2012-12-01

    This study compared the push-out bond strength of mineral trioxide aggregate (MTA) and a new endodontic cement (NEC) as root-end filling materials in root-end cavities prepared by ultrasonic technique (US) or Er,Cr:YSGG laser (L). Eighty single-rooted extracted human teeth were endodontically treated, apicectomised and randomly divided into four following groups (n = 20): US/MTA, US/NEC, L/MTA and L/NEC. In US/MTA and US/NEC groups, root-end cavities were prepared with ultrasonic retrotip and filled with MTA and NEC, respectively. In L/MTA and L/NEC groups, root-end cavities were prepared using Er,Cr:YSGG laser and filled with MTA and NEC, respectively. Each root was cut apically to create a 2 mm-thick root slice for measurement of bond strength using a universal testing machine. Then, all slices were examined to determine the mode of bond failure. Data were analysed using two-way anova. Root-end filling materials showed significantly higher bond strength in root-end cavities prepared using ultrasonic technique (US/MTA and US/NEC) (P ultrasonically prepared cavities. © 2010 The Authors. Australian Endodontic Journal © 2010 Australian Society of Endodontology.

  10. Turning up the heat : role of brown adipose tissue in metabolic disease

    NARCIS (Netherlands)

    Boon, Mariëtte Rebecca

    2014-01-01

    In 1551, the Swiss naturalist Konrad Gessner first described brown adipose tissue (BAT) as being “neither fat, nor flesh (nec pinguitudo, nec caro), but something in between”. Now, some 460 years later, we know that Gessner had guessed the origin of brown adipocytes correctly. A unique property of t

  11. Impaired Activity of Blood Coagulant Factor XIII in Patients with Necrotizing Enterocolitis.

    Science.gov (United States)

    Tao, Guo-Zhong; Liu, Bo; Zhang, Rong; Liu, Gigi; Abdullah, Fizan; Harris, Mary Cay; Brandt, Mary L; Ehrenkranz, Richard A; Bowers, Corinna; Martin, Camilia R; Moss, R Lawrence; Sylvester, Karl G

    2015-08-17

    Necrotizing enterocolitis (NEC) is the most common gastrointestinal (GI) medical/surgical emergency of the newborn and a leading cause of preterm neonate morbidity and mortality. NEC is a challenge to diagnose since it often shares similar clinical features with neonatal sepsis. In the present study, plasma protein profiling was compared among NEC, sepsis and control cohorts using gel electrophoresis, immunoblot and mass spectrometry. We observed significant impairment in the formation of fibrinogen-γ dimers (FGG-dimer) in the plasma of newborns with NEC that could efficiently differentiate NEC and sepsis with a high level of sensitivity and specificity. Interestingly, the impaired FGG-dimer formation could be restored in NEC plasma by the addition of exogenous active factor XIII (FXIII). Enzymatic activity of FXIII was determined to be significantly lower in NEC subject plasma for crosslinking FGG when compared to sepsis. These findings demonstrate a potential novel biomarker and related biologic mechanism for diagnosing NEC, as well as suggest a possible therapeutic strategy.

  12. Noninvasive measurement of fecal calprotectin and serum amyloid A combined with intestinal fatty acid-binding protein in necrotizing enterocolitis.

    NARCIS (Netherlands)

    Reisinger, K.W.; Zee, D.C. van der; Brouwers, H.A.A.; Kramer, B.W.; Heurn, L.W.E. van; Buurman, W.A.; Derikx, J.P.

    2012-01-01

    BACKGROUND: Diagnosis of necrotizing enterocolitis (NEC), prevalent in premature infants, remains challenging. Enterocyte damage in NEC can be assessed by intestinal fatty acid-binding protein (I-FABP), with a sensitivity of 93% and a specificity of 90%. Numerous markers of inflammation are known, s

  13. Noninvasive measurement of fecal calprotectin and serum amyloid A combined with intestinal fatty acid-binding protein in necrotizing enterocolitis

    NARCIS (Netherlands)

    Reisinger, Kostan W.; Van der Zee, David C.; Brouwers, Hens A. A.; Kramer, Boris W.; van Heurn, L. W. Ernest; Buurman, Wim A.; Derikx, Joep P. M.

    2012-01-01

    Background: Diagnosis of necrotizing enterocolitis (NEC), prevalent in premature infants, remains challenging. Enterocyte damage in NEC can be assessed by intestinal fatty acid-binding protein (I-FABP), with a sensitivity of 93% and a specificity of 90%. Numerous markers of inflammation are known, s

  14. Low abdominal NIRS values and elevated plasma intestinal fatty acid-binding protein in a premature piglet model of necrotizing enterocolitis

    Science.gov (United States)

    To identify early markers of necrotizing enterocolitis (NEC), we hypothesized that continuous abdominal near-infrared spectroscopy (A-NIRS) measurement of splanchnic tissue oxygen saturation and intermittent plasma intestinal fatty-acid binding protein (pI-FABP) measured every 6 hours can detect NEC...

  15. Microbial and metabolic signatures of necrotizing enterocolitis in formula-fed piglets

    Science.gov (United States)

    Major risk factors for necrotizing enterocolitis (NEC) include premature birth, formula feeding, and microbial colonization of the gastrointestinal tract. We previously showed that feeding formula composed of lactose vs corn syrup solids protects against NEC in preterm pigs, however the microbial an...

  16. Neuroendocrine Carcinomas of the Gastroenteropancreatic System

    DEFF Research Database (Denmark)

    Ilett, Emma Elizabeth; Langer, Seppo W; Olsen, Ingrid Holst;

    2015-01-01

    To date, empirical literature has generally been considered lacking in relation to neuroendocrine carcinomas (NECs), the highly malignant subgroup of neuroendocrine neoplasms. NECs are often found in the lungs or the gastroenteropancreatic (GEP) system and can be of small or large cell type...

  17. Necrotising enterocolitis and mortality in preterm infants after introduction of probiotics: a quasi-experimental study

    OpenAIRE

    Noor Samuels; Rob van de Graaf; Been,Jasper V.; Rogier C J de Jonge; Hanff, Lidwien M.; Wijnen, René M H; Kornelisse, René F.; Reiss, Irwin K M; Vermeulen, Marijn J.

    2016-01-01

    Evidence on the clinical effectiveness of probiotics in the prevention of necrotising enterocolitis (NEC) in preterm infants is conflicting and cohort studies lacked adjustment for time trend and feeding type. This study investigated the association between the introduction of routine probiotics (Lactobacillus acidophilus and Bifidobacterium bifidum; Infloran®) on the primary outcome ‘NEC or death’. Preterm infants (gestational age

  18. Surgery for necrotising enterocolitis : primary anastomosis or enterostomy?

    NARCIS (Netherlands)

    Hofman, FN; Bax, NMA; van der Zee, DC

    2004-01-01

    The ideal surgical management of neonates with necrotising enterocolitis (NEC) is still a matter of debate. The purpose of this study was to compare the results of bowel resection with primary anastomosis with the results of bowel resection with enterostomy. Sixty-three neonates with NEC had a bowel

  19. Broad-spectrum Antibiotic Plus Metronidazole May Not Prevent the Deterioration of Necrotizing Enterocolitis From Stage II to III in Full-term and Near-term Infants: A Propensity Score-matched Cohort Study.

    Science.gov (United States)

    Luo, Li-Juan; Li, Xin; Yang, Kai-Di; Lu, Jiang-Yi; Li, Lu-Quan

    2015-10-01

    Necrotizing enterocolitis (NEC) is the most common and frequently dangerous neonatal gastrointestinal disease. Studies have shown broad-spectrum antibiotics plus anaerobic antimicrobial therapy did not prevent the deterioration of NEC among very low birth preterm infants. However, few studies about this therapy which focused on full-term and near-term infant with NEC has been reported. The aim of this study was to evaluate the effect of broad-spectrum antibiotic plus metronidazole in preventing the deterioration of NEC from stage II to III in full-term and near-term infants.A retrospective cohort study based on the propensity score (PS) 1:1 matching was performed among the full-term and near-term infants with NEC (Bell stage ≥II). All infants who received broad-spectrum antibiotics were divided into 2 groups: group with metronidazole treatment (metronidazole was used ≥4 days continuously, 15 mg/kg/day) and group without metronidazole treatment. The depraved rates of stage II NEC between the 2 groups were compared. Meanwhile, the risk factors associated with the deterioration of stage II NEC were analyzed by case-control study in the PS-matched cases.A total of 229 infants met the inclusion criteria. Before PS-matching, we found the deterioration of NEC rate in the group with metronidazole treatment was higher than that in the group without metronidazole treatment (18.1% [28/155] vs 8.1% [6/74]; P = 0.048). After PS-matching, 73 pairs were matched, and the depraved rate of NEC in the group with metronidazole treatment was not lower than that in the group without metronidazole treatment (15.1% vs 8.2%; P = 0.2). Binary logistic regression analysis showed that sepsis after NEC (odds ratio [OR] 3.748, 95% confidence interval [CI] 1.171-11.998, P = 0.03), the need to use transfusion of blood products after diagnosis of NEC (OR 8.003, 95% CI 2.365-27.087, P = 0.00), and the need of longer time for nasogastric suction were risk factors for stage II NEC progressing to

  20. Comparing Chemistry and Census-based Estimates of Net Ecosystem Calcification on a Rim Reef in Bermuda

    Directory of Open Access Journals (Sweden)

    Travis A Courtney

    2016-09-01

    Full Text Available Coral reef net ecosystem calcification (NEC has decreased for many Caribbean reefs over recent decades primarily due to a combination of declining coral cover and changing benthic community composition. Chemistry-based approaches to calculate NEC utilize the drawdown of seawater total alkalinity (TA combined with residence time to calculate an instantaneous measurement of NEC. Census-based approaches combine annual growth rates with benthic cover and reef structural complexity to estimate NEC occurring over annual timescales. Here, NEC was calculated for Hog Reef in Bermuda using both chemistry and census-based NEC techniques to compare the mass-balance generated by the two methods and identify the dominant biocalcifiers at Hog Reef. Our findings indicate close agreement between the annual 2011 census-based NEC 2.35±1.01 kg CaCO3•m-2•y-1 and the chemistry-based NEC 2.23±1.02 kg CaCO3•m-2•y-1 at Hog Reef. An additional record of Hog Reef TA data calculated from an autonomous CO2 mooring measuring pCO2 and modeled pHtotal every 3-hours highlights the dynamic temporal variability in coral reef NEC. This ability for chemistry-based NEC techniques to capture higher frequency variability in coral reef NEC allows the mechanisms driving NEC variability to be explored and tested. Just four coral species, Diploria labyrinthiformis, Pseudodiploria strigosa, Millepora alcicornis, and Orbicella franksi, were identified by the census-based NEC as contributing to 94±19% of the total calcium carbonate production at Hog Reef suggesting these species should be highlighted for conservation to preserve current calcium carbonate production rates at Hog Reef. As coral cover continues to decline globally, the agreement between these NEC estimates suggest that either method, but ideally both methods, may serve as a useful tool for coral reef managers and conservation scientists to monitor the maintenance of coral reef structure and ecosystem services.

  1. Enteral but not parenteral antibiotics enhance gut function and prevent necrotizing enterocollitis in forumula-fed newborn preterm pigs

    DEFF Research Database (Denmark)

    Birck, Malene M; Nguyen, Duc Ninh; Cilieborg, Malene Skovsted

    2016-01-01

    Preterm infants are susceptible to infection and necrotizing enterocolitis (NEC) and are often treated with antibiotics. Simultaneous administration of enteral and parenteral antibiotics during the first days after preterm birth prevents formula-induced NEC lesions in pigs, but it is unknown which...... administration route is most effective. We hypothesized that only enteral antibiotics suppress gut bacterial colonization and NEC progression in formula-fed preterm pigs. Caesarean-delivered preterm pigs (90–92% of gestation) were fed increasing amounts of infant formula from birth to day 5 and given saline (CON......) or antibiotics (ampicillin, gentamicin, and metronidazole) via the enteral (ENT) or parenteral (PAR) route (n = 16–17). NEC lesions, intestinal morphology, function, microbiology, and inflammatory mediators were evaluated. NEC lesions were completely prevented in ENT pigs, whereas there were high incidences...

  2. The role of immunonutrients in the prevention of necrotizing enterocolitis in preterm very low birth weight infants

    DEFF Research Database (Denmark)

    Zhou, Ping; Li, Yanqi; Ma, Li-Ya;

    2015-01-01

    Necrotizing enterocolitis (NEC) is a critical intestinal emergency condition, which mainly occurs in preterm very low birth weight (PVLBW) infants. Despite remarkable advances in the care of PVLBW infants, with considerable improvement of the survival rate in recent decades, the incidence of NEC...... and NEC-related mortality have not declined accordingly. The fast progression from nonspecific signs to extensive necrosis also makes primary prevention the first priority. Recently, increasing evidence has indicated the important role of several nutrients in primary prevention of NEC. Therefore, the aim...... of this review is to summarize some potential immunomodulatory nutrients in the prevention of NEC, including bovine colostrum, probiotics, prebiotics (e.g., human milk oligosaccharides), long chain polyunsaturated fatty acids, and amino acids (glutamine, cysteine and N-acetylcysteine, l-arginine and l...

  3. Elevated levels of circulating cell-free DNA and neutrophil proteins are associated with neonatal sepsis and necrotizing enterocolitis in immature mice, pigs and infants

    DEFF Research Database (Denmark)

    Nguyen, Duc Ninh; Stensballe, Allan; Lai, Jacqueline Cy

    2017-01-01

    with cytokines in gut tissues. The changes in cfDNA levels were further studied in preterm pigs and neonatal mice with induced sepsis, and in preterm infants with or without LOS and/or NEC. Fifteen of 114 preterm pigs spontaneously developed both LOS and NEC, and they showed increased intestinal levels of IL-6......Preterm infants are highly susceptible to late-onset sepsis (LOS) and necrotizing enterocolitis (NEC), but disease pathogenesis and specific diagnostic markers are lacking. Circulating cell-free DNA (cfDNA) and immune cell-derived proteins are involved in multiple immune diseases in adults but have...... not been investigated in preterm neonates. We explored the relation of circulating neutrophil-associated proteins and cfDNA to LOS and/or NEC. Using a clinically relevant preterm pig model of spontaneous LOS and NEC development, we investigated neutrophil-associated proteins and cfDNA in plasma, together...

  4. Socioeconomic impacts: study of a conceptual nuclear energy center at Green River, Utah

    Energy Technology Data Exchange (ETDEWEB)

    Weaver, R.; Taylor, J.; Burnett, K.; Greenberg, B.

    1982-02-01

    This document constitutes a segment of a feasibility study investigating the ramifications of constructing a nuclear energy center (NEC) in an arid western region. In this phase of the study, the impacts on socioeconomic conditions in the surrounding communities and possible ways of financing and mitigating these impacts were examined. The general conclusion reached is that the socioeconomic impacts of a nuclear energy center in the Green River area of Southeastern Utah would not impose an absolute bar to NEC development. The economy of the NEC impact area would be substantially transformed by the NEC. In particular, Green River city itself would change from its current status as a relatively stable rural economy with an agricultural, mining, and recreation base to a major city with over 20,000 permanent relatively high income residents. The NEC, by itself, would provide a tax base more than adequate to finance required expansion of public facilities and public human service provisions.

  5. Utility survey on nuclear power plant siting and nuclear energy centers

    Energy Technology Data Exchange (ETDEWEB)

    Cope, D. F.; Bauman, H. F.

    1977-06-28

    Most of the large U.S. utilities were surveyed by telephone and mail on questions concerning nuclear power plant siting and nuclear energy centers (NECs). The main purpose of the survey was for guidance of ERDA's NEC program. The questions covered the following topics: availability of sites; impact of environmental and other restraints; plans for development of multi-unit sites; interest in NEC development; interest in including fuel-cycle facilities in NECs; and opinions on the roles desired for the state and Federal governments in power plant siting. The main conclusion of the survey was that, while many utilities were considering multiple-unit sites of 2 to 5 units, none were planning larger energy centers at the present time. However, several expressed interest in NECs as a long-range future development.

  6. Intestinal microbial ecology and environmental factors affecting necrotizing enterocolitis.

    Directory of Open Access Journals (Sweden)

    Roberto Murgas Torrazza

    Full Text Available Necrotizing enterocolitis (NEC is the most devastating intestinal disease affecting preterm infants. In addition to being associated with short term mortality and morbidity, survivors are left with significant long term sequelae. The cost of caring for these infants is high. Epidemiologic evidence suggests that use of antibiotics and type of feeding may cause an intestinal dysbiosis important in the pathogenesis of NEC, but the contribution of specific infectious agents is poorly understood. Fecal samples from preterm infants ≤ 32 weeks gestation were analyzed using 16S rRNA based methods at 2, 1, and 0 weeks, prior to diagnosis of NEC in 18 NEC cases and 35 controls. Environmental factors such as antibiotic usage, feeding type (human milk versus formula and location of neonatal intensive care unit (NICU were also evaluated. Microbiota composition differed between the three neonatal units where we observed differences in antibiotic usage. In NEC cases we observed a higher proportion of Proteobacteria (61% two weeks and of Actinobacteria (3% 1 week before diagnosis of NEC compared to controls (19% and 0.4%, respectively and lower numbers of Bifidobacteria counts and Bacteroidetes proportions in the weeks before NEC diagnosis. In the first fecal samples obtained during week one of life we detected a novel signature sequence, distinct from but matching closest to Klebsiella pneumoniae, that was strongly associated with NEC development later in life. Infants who develop NEC exhibit a different pattern of microbial colonization compared to controls. Antibiotic usage correlated with these differences and combined with type of feeding likely plays a critical role in the development of NEC.

  7. Enhanced colon cancer chemoprevention of curcumin by nanoencapsulation with whey protein.

    Science.gov (United States)

    Jayaprakasha, Guddadarangavvanahally K; Chidambara Murthy, Kotamballi N; Patil, Bhimanagouda S

    2016-10-15

    To improve bioavailability and enhance colon cancer prevention ability of curcumin, whey protein was used to nanoencapsulate at three different ratios such as 70:30, 50:50 and 35:65 for the first time. The drug loading, entrapment efficiency and structural changes of curcumin was confirmed by quantitative NMR spectroscopy. The nanoparticles prepared using the three ratios had an average diameters of 236.5±8.8, 212±3.4, and 187±11.4nm, as well as zeta (ζ) potentials of -13.1,-9.26, and -4.63mV, respectively, at pH 7.0. The cytotoxicity assay was performed for human colon and prostate cancer (SW480 and LNCap) by MTT assay and results showed significantly higher cytotoxicity of nanoencapsulated curcumin (NEC) (equivalent to 30.91, 20.70 and 16.86µM of NEC-1, 2 and 3 respectively), as compared to plain curcumin at 50µM after 72h of treatment. Cytotoxicity was also confirmed by microscopy of treated cells stained with acridine orange and propidium iodide. The cells treated with 50µM of curcumin, 30.91µM (NEC-1), 20.70µM (NEC-2) and 16.86µM (NEC-3) showed enhanced activation of p53 and elevated bax/Bcl2 expression (NEC-3), increased cytochrome-c in cytosol (NEC-2) confirming the enhanced cytotoxicity. To confirm the increased bioavailability, the intracellular curcumin was measured using fluorescence intensity. The fluorescent signal for intracellular curcumin was increased by 12, 30, and 21% for NEC-1, NEC-2, and NEC-3 respectively as compared to plain curcumin at 4h. Based on these results, we conclude that nanoencapsulated curcumin with whey protein will have potential to be considered for clinical applications for future studies.

  8. Inhibition of Receptor-Interacting Protein Kinase 1 with Necrostatin–1s ameliorates disease progression in elastase-induced mouse abdominal aortic aneurysm model

    Science.gov (United States)

    Wang, Qiwei; Zhou, Ting; Liu, Zhenjie; Ren, Jun; Phan, Noel; Gupta, Kartik; Stewart, Danielle M.; Morgan, Stephanie; Assa, Carmel; Kent, K. Craig; Liu, Bo

    2017-01-01

    Abdominal aortic aneurysm (AAA) is a common aortic disease with a progressive nature. There is no approved pharmacological treatment to effectively slow aneurysm growth or prevent rupture. Necroptosis is a form of programmed necrosis that is regulated by receptor-interacting protein kinases (RIPs). We have recently demonstrated that the lack of RIP3 in mice prevented aneurysm formation. The goal of the current study is to test whether perturbing necroptosis affects progression of existing aneurysm using the RIP1 inhibitors Necrostatin-1 (Nec-1) and an optimized form of Nec-1, 7-Cl-O-Nec-1 (Nec-1s). Seven days after aneurysm induction by elastase perfusion, mice were randomly administered DMSO, Nec-1 (3.2 mg/kg/day) and Nec-1s (1.6 mg/kg/day) via intraperitoneal injection. Upon sacrifice on day 14 postaneurysm induction, the aortic expansion in the Nec-1s group (64.12 ± 4.80%) was significantly smaller than that of the DMSO group (172.80 ± 13.68%) (P aortic diameter of Nec-1 treated mice appeared to be smaller (121.60 ± 10.40%) than the DMSO group, though the difference was not statistically significant (P = 0.1). Histologically, the aortic structure of Nec-1s-treated mice appeared normal, with continuous and organized elastin laminae and abundant αActin-expressing SMCs. Moreover, Nect-1s treatment diminished macrophage infiltration and MMP9 accumulation and increased aortic levels of tropoelastin and lysyl oxidase. Together, our data suggest that pharmacological inhibition of necroptosis with Nec-1s stabilizes pre-existing aneurysms by diminishing inflammation and promoting connective tissue repair. PMID:28186202

  9. Evaluation of Risk Factors for Necrotizing Enterocolitis in Preterm Infants Original Article¬

    Directory of Open Access Journals (Sweden)

    Cüneyt Tayman

    2011-04-01

    Full Text Available Introduction: In the present study, it was aimed to evaluate the effects of the maternal and infantile factors and factors associated with the care of the infants in the development of necrotizing enterocolitis (NEC. Materials and Method: Infants with ≤32 weeks of gestational age and ≤1500 grams of birth weight were included in the study. Maternal demographic characteristics and pregnancy history, antenatal and postnatal follow-up problems, antenatal steroid treatment, modes of delivery (NVY, C/S, and the babies’ birth history were recorded. The duration of ventilation treatment and the number of transfusions applied before the diagnosis of NEC in premature infants were recorded. Patients with stage II and stage III NEC were included in the study.Results: Sixty one of 532 patients (11,4% were diagnosed as NEC and allocated in the study group. Sixty patients were enrolled as the control group. There were no differences between both groups with respect to demographic characteristics, APGAR score, need for resuscitation and antenatal steroid treatment. The duration of ventilation treatment (p=0.037 and the frequency of red blood cell transfusion (p=0.032 were considered to be higher in the NEC group. Antenatal steroid administration was higher in patients with stage 2 NEC (p=0.011, but the duration of ventilation treatment was higher in those with stage 3 (p=0.020. The mortality rate was 31.1% in the patients with NEC. It was observed that 83% of patients who died had stage 3 NEC and a lower birth weight and gestational age. Respiratory distress syndrome (RDS (p=0.02, togetherness of RDS and patent ductus arteriosus (PDA were higher in the NEC group (p=0.03, and more intracranial hemorrhage (ICH was detected at stage 3 NEC (p=0.034. RDS, PDA and İCH were frequently determined together in patients with stage 3 NEC (p=0.006. Chronic hypertension (p=0.003, eclampsia (p=0.034, and infection (p=0.011 were found to be more frequent in the mother

  10. Mechanisms of Gut Barrier Failure in the Pathogenesis of Necrotizing Enterocolitis: Toll Like Receptors Throw The Switch

    Science.gov (United States)

    Hackam, David J.; Good, Misty; Sodhi, Chinder P.

    2013-01-01

    Necrotizing enterocolitis (NEC) is the leading cause of death from gastro-intestinal causes in premature infants, and its overall survival has not improved in the past three decades. While the precise cause of NEC remains incompletely understood, we and others have shown that a major predisposing factor in the development and propagation of NEC is a breakdown of the intestinal barrier which leads to bacterial translocation and systemic sepsis. In seeking to identify the causes involved, we and others have also determined that activation of the receptor for bacterial endotoxin, namely toll like receptor 4 (TLR4), is required for the development of intestinal barrier failure leading to NEC. We have also shown that the premature infant is endowed with strategies that can either limit or promote the extent of TLR4 signaling within the gut, which together determine the relative propensity with which NEC develops. In this review, we will highlight the evidence for TLR4 signaling in the pathogenesis of NEC through a survey of its effects on gut barrier failure. We will identify how TLR4 regulation within the gut can explain the unique susceptibility of the premature infant to the development of NEC, and will highlight how strategies to limit the degree of TLR4 signaling can serve as novel therapeutic approaches for this devastating disease. PMID:23611610

  11. Intestinal microcirculatory dysfunction and neonatal necrotizing enterocolitis

    Institute of Scientific and Technical Information of China (English)

    ZHANG Hong-yi; WANG Fang; FENG Jie-xiong

    2013-01-01

    Objective Based on the observation that coagulation necrosis occurs in the majority of neonatal necrotizing enterocolitis (NEC) patients,it is clear that intestinal ischemia is a contributing factor to the pathogenesis of NEC.However,the published studies regarding the role of intestinal ischemia in NEC are controversial.The aim of this paper is to review the current studies regarding intestinal microcirculatory dysfunction and NEC,and try to elucidate the exact role of intestinal microcirculatory dysfunction in NEC.Data sources The studies cited in this review were mainly obtained from articles listed in Medline and PubMed.The search terms used were "intestinal microcirculatory dysfunction" and "neonatal necrotizing enterocolitis".Study selection Mainly original milestone articles and critical reviews written by major pioneer investigators in the field were selected.Results Immature regulatory control of mesentery circulation makes the neonatal intestinal microvasculature vulnerable.When neonates are subjected to stress,endothelial cell dysfunction occurs and results in vasoconstriction of arterioles,inflammatory cell infiltration and activation in venules,and endothelial barrier disruption in capillaries.The compromised vasculature increases circulation resistance and therefore decreases intestinal perfusion,and may eventually progress to intestinal necrosis.Conclusion Intestinal ischemia plays an important role through the whole course of NEC.New therapeutic agents targeting intestinal ischemia,like HB-EGF,are promising therapeutic agents for the treatment of NEC.

  12. Antibiotics increase gut metabolism and antioxidant proteins and decrease acute phase response and necrotizing enterocolitis in preterm neonates.

    Directory of Open Access Journals (Sweden)

    Pingping Jiang

    Full Text Available BACKGROUND: The appropriate use of antibiotics for preterm infants, which are highly susceptible to develop necrotizing enterocolitis (NEC, is not clear. While antibiotic therapy is commonly used in neonates with NEC symptoms and sepsis, it remains unknown how antibiotics may affect the intestine and NEC sensitivity. We hypothesized that broad-spectrum antibiotics, given immediately after preterm birth, would reduce NEC sensitivity and support intestinal protective mechanisms. METHODOLOGY/PRINCIPAL FINDINGS: Preterm pigs were treated with antibiotics for 5 d (oral and systemic doses of gentamycin, ampicillin and metrodinazole; AB group and compared with untreated pigs. Only the untreated pigs showed evidence of NEC lesions and reduced digestive function, as indicated by lowered villus height and activity of brush border enzymes. In addition, 53 intestinal and 22 plasma proteins differed in expression between AB and untreated pigs. AB treatment increased the abundance of intestinal proteins related to carbohydrate and protein metabolism, actin filaments, iron homeostasis and antioxidants. Further, heat shock proteins and the complement system were affected suggesting that all these proteins were involved in the colonization-dependent early onset of NEC. In plasma, acute phase proteins (haptoglobin, complement proteins decreased, while albumin, cleaved C3, ficolin and transferrin increased. CONCLUSIONS/SIGNIFICANCE: Depressed bacterial colonization following AB treatment increases mucosal integrity and reduces bacteria-associated inflammatory responses in preterm neonates. The plasma proteins C3, ficolin, and transferrin are potential biomarkers of the colonization-dependent NEC progression in preterm neonates.

  13. Spatio-Temporal Changes in the Rice Planting Area and Their Relationship to Climate Change in Northeast China:A Model-Based Analysis

    Institute of Scientific and Technical Information of China (English)

    XIA Tian; WU Wen-bin; ZHOU Qing-bo; YU Qiang-yi; Peter H Verburg; YANG Peng; LU Zhong-jun; TANG Hua-jun

    2014-01-01

    Rice is one of the most important grain crops in Northeast China (NEC) and its cultivation is sensitive to climate change. This study aimed to explore the spatio-temporal changes in the NEC rice planting area over the period of 1980-2010 and to analyze their relationship to climate change. To do so, the CLUE-S (conversion of land use and its effects at small region extent) model was ifrst updated and used to simulate dynamic changes in the rice planting area in NEC to understand spatio-temporal change trends during three periods: 1980-1990, 1990-2000 and 2000-2010. The changing results in individual periods were then linked to climatic variables to investigate the climatic drivers of these changes. Results showed that the NEC rice planting area expanded quickly and increased by nearly 4.5 times during 1980-2010. The concentration of newly planted rice areas in NEC constantly moved northward and the changes were strongly dependent on latitude. This conifrmed that climate change, increases in temperature in particular, greatly inlfuenced the shift in the rice planting area. The shift in the north limit of the NEC rice planting area generally followed a 1°C isoline migration pattern, but with an obvious time-lag effect. These ifndings can help policy makers and crop producers take proper adaptation measures even when exposed to the global warming situation in NEC.

  14. Microecology, intestinal epithelial barrier and necrotizing enterocolitis.

    Science.gov (United States)

    Sharma, Renu; Tepas, Joseph J

    2010-01-01

    Soon after birth, the neonatal intestine is confronted with a massive antigenic challenge of microbial colonization. Microbial signals are required for maturation of several physiological, anatomical, and biochemical functions of intestinal epithelial barrier (IEB) after birth. Commensal bacteria regulate intestinal innate and adaptive immunity and provide stimuli for ongoing repair and restitution of IEB. Colonization by pathogenic bacteria and/or dysmature response to microbial stimuli can result in flagrant inflammatory response as seen in necrotizing enterocolitis (NEC). Characterized by inflammation and hemorrhagic-ischemic necrosis, NEC is a devastating complication of prematurity. Although there is evidence that both prematurity and presence of bacteria, are proven contributing factors to the pathogenesis of NEC, the molecular mechanisms involved in IEB dysfunction associated with NEC have begun to emerge only recently. The metagenomic advances in the field of intestinal microecology are providing insight into the factors that are required for establishment of commensal bacteria that appear to provide protection against intestinal inflammation and NEC. Perturbations in achieving colonization by commensal bacteria such as premature birth or hospitalization in intensive care nursery can result in dysfunction of IEB and NEC. In this article, microbial modulation of functions of IEB and its relationship with barrier dysfunction and NEC are described.

  15. Enteral but not parenteral antibiotics enhance gut function and prevent necrotizing enterocolitis in formula-fed newborn preterm pigs.

    Science.gov (United States)

    Birck, Malene M; Nguyen, Duc Ninh; Cilieborg, Malene S; Kamal, Shamrulazhar S; Nielsen, Dennis S; Damborg, Peter; Olsen, John E; Lauridsen, Charlotte; Sangild, Per T; Thymann, Thomas

    2016-03-01

    Preterm infants are susceptible to infection and necrotizing enterocolitis (NEC) and are often treated with antibiotics. Simultaneous administration of enteral and parenteral antibiotics during the first days after preterm birth prevents formula-induced NEC lesions in pigs, but it is unknown which administration route is most effective. We hypothesized that only enteral antibiotics suppress gut bacterial colonization and NEC progression in formula-fed preterm pigs. Caesarean-delivered preterm pigs (90-92% of gestation) were fed increasing amounts of infant formula from birth to day 5 and given saline (CON) or antibiotics (ampicillin, gentamicin, and metronidazole) via the enteral (ENT) or parenteral (PAR) route (n = 16-17). NEC lesions, intestinal morphology, function, microbiology, and inflammatory mediators were evaluated. NEC lesions were completely prevented in ENT pigs, whereas there were high incidences of mild NEC lesions (59-63%) in CON and PAR pigs (P antibiotics reduces gut bacterial colonization, inflammation, and NEC lesions in newborn, formula-fed preterm pigs. Delayed colonization may support intestinal structure, function, and immunity in the immediate postnatal period of formula-fed preterm neonates.

  16. Necrotizing Enterocolitis: A Narrative Review of Updated Therapeutic and Preventive Interventions

    Directory of Open Access Journals (Sweden)

    Brittany Michelle Reid

    2016-06-01

    Full Text Available Context Necrotizing enterocolitis (NEC remains one of the most common causes of morbidity and mortality for premature infants in the neonatal intensive care unit (NICU. Many theories concerning its pathophysiology and inciting factors have been suggested but progression in preventing the onset of NEC has been minimal. While this article highlights the pathophysiology, management, and outcomes of NEC, it mainly serves as a narrative review to discuss the emerging methods of treatment and prevention. Evidence Acquisition A literature search was done using Medline/Pub Med, Cochrane Database of Systematic Reviews via Ovid, and CINAHL Complete with focus on articles published between 2000 and 2016. Searched terms included the following: necrotizing enterocolitis, pathogenesis, prevention, management, breast milk, formula, probiotics, prebiotics, and treatment. Results Intestinal barrier dysfunction, hypoxic ischemic injury, receipt of packed red blood cells, immature intestinal immunity and alterations of the gut microbiome of the premature infant were reviewed factors that have been studied related to the pathophysiology of NEC. The presentation, staging and management remain relatively unchanged in the last few decades, though there have been a few studies evaluating different surgical options, various antibacterial regimen, and recently use of moderate hypothermia and amniotic fluid stem cells to treat NEC. Use of breast milk, use of pre-, pro- and postbiotics show promise in the prevention of NEC. Conclusions NEC is a likely multifactorial illness of the gastrointestinal tract affecting mostly premature infants. Recent studies have focused on preventative strategies, with promise in pre-, pro- and postbiotics; however continued research is imperative.

  17. Erythropoietin protects epithelial cells from excessive autophagy and apoptosis in experimental neonatal necrotizing enterocolitis.

    Directory of Open Access Journals (Sweden)

    Yueyue Yu

    Full Text Available Neonatal necrotizing enterocolitis (NEC is a devastating gastrointestinal disease of preterm infants. Increased intestinal epithelium permeability is an early event in NEC pathogenesis. Autophagy and apoptosis are induced by multiple stress pathways which may impact the intestinal barrier, and they have been associated with pathogenesis of diverse gastrointestinal diseases including inflammatory bowel disease. Using both in vitro and in vivo models, this study investigates autophagy and apoptosis under experimental NEC stresses. Furthermore this study evaluates the effect of erythropoietin (Epo, a component of breast milk previously shown to decrease the incidence of NEC and to preserve intestinal barrier function, on intestinal autophagy and apoptosis. It was found that autophagy and apoptosis are both rapidly up regulated in NEC in vivo as indicated by increased expression of the autophagy markers Beclin 1 and LC3II, and by evidence of apoptosis by TUNEL and cleaved caspase-3 staining. In the rat NEC experimental model, autophagy preceded the onset of apoptosis in intestine. In vitro studies suggested that Epo supplementation significantly decreased both autophagy and apoptosis via the Akt/mTOR signaling pathway and the MAPK/ERK pathway respectively. These results suggest that Epo protects intestinal epithelium from excessive autophagy and apoptosis in experimental NEC.

  18. Innate Immune Signaling in the Pathogenesis of Necrotizing Enterocolitis

    Directory of Open Access Journals (Sweden)

    David J. Hackam

    2013-01-01

    Full Text Available Necrotizing enterocolitis (NEC is a challenging disease to treat, and caring for patients afflicted by it remains both frustrating and difficult. While NEC may develop quickly and without warning, it may also develop slowly, insidiously, and appear to take the caregiver by surprise. In seeking to understand the molecular and cellular processes that lead to NEC development, we have identified a critical role for the receptor for bacterial lipopolysaccharide (LPS toll like receptor 4 (TLR4 in the pathogenesis of NEC, as its activation within the intestinal epithelium of the premature infant leads to mucosal injury and reduced epithelial repair. The expression and function of TLR4 were found to be particularly elevated within the intestinal mucosa of the premature as compared with the full-term infant, predisposing to NEC development. Importantly, factors within both the enterocyte itself, such as heat shock protein 70 (Hsp70, and in the extracellular environment, such as amniotic fluid, can curtail the extent of TLR4 signaling and reduce the propensity for NEC development. This review will highlight the critical TLR4-mediated steps that lead to NEC development, with a focus on the proinflammatory responses of TLR4 signaling that have such devastating consequences in the premature host.

  19. Comprehensive evaluation of 11 cytokines in premature infants with surgical necrotizing enterocolitis.

    Directory of Open Access Journals (Sweden)

    Thomas Benkoe

    Full Text Available OBJECTIVE: A prospective study to investigate the pattern of pro- and anti-inflammatory cytokine responses in neonates with surgical necrotizing enterocolitis (NEC and identify those cytokines being the most promising for future research. METHODS: A panel of 11 different cytokines were measured in 9 infants with proven NEC and compared with 18 age-matched healthy neonates. RESULTS: The serum concentrations of the interleukins (IL-6, IL-8, and IL-10 were significantly (32-fold to 56-fold higher in NEC infants compared with controls. In contrast, IL-5, IFN gamma, IL-4 and IL-2 showed slightly (1.4-fold to 5.9-fold lower levels in the NEC samples. However, these cytokines showed a very low absolute concentration in infants with NEC and in controls. The sum of the serum concentrations of IL-6, IL-8 and IL-10 was able to clearly separate infants with NEC from control samples. IL-1 beta and TNF-alpha showed no statistically different levels. The serum levels of TNF-beta and IL-12p70 were below the detection limit in more than 50% of all samples per group. CONCLUSION: In spite of strong local inflammation only three out of eleven cytokines (IL-6, IL-8, and IL-10 showed strongly increased serum levels indicating an important role of them in the pathogenesis of NEC. At least two of these three cytokines were elevated in every single NEC patient. Thus, longitudinal monitoring of combined IL-8, IL-6, and IL-10 levels could reveal their potency in being clinical relevant markers in NEC.

  20. Urinary Claudin-2 Measurements as a Predictor of Necrotizing Enterocolitis: A Pilot Study

    Directory of Open Access Journals (Sweden)

    Brian P Blackwood

    2015-10-01

    Full Text Available Background: Necrotizing Enterocolitis (NEC affects 5-10% of NICU patients where initially patients may have only nonspecific clinical findings. A noninvasive tool for detection would aid in diagnosis. Increased urinary claudins have been associated with active adult inflammatory bowel disease.Methods: Institutional Review Board approval was obtained. Neonatal intestinal tissue samples were obtained from patients with and without NEC. Immunofluorescence analysis of claudin-2 was performed on the intestinal tissue. Thirty two urine samples were collected from 6 NICU patients. Proteins were extracted and urinary claudin-2 expression was measured using Western Blot Analysis. All sample concentrations were normalized to urinary creatinine. Differences were analyzed with ANOVA or Student’s T-test. Findings were correlated to the patient’s clinical status.Results: Neonatal intestinal immunofluorescence analysis revealed that claudin-2 is present in healthy intestinal epithelium and is decreased in NEC intestinal tissue (p=0.0001. Of the six patients evaluated, three patients had NEC. All 3 patients with NEC had spikes in urinary claudin-2 levels (p<0.001, p<0.001, p 0.0598 respectively. Spikes did not appear to correlate with other etiologies of neonatal sepsis, medication use or need for mechanical ventilation. Levels during active NEC were almost twice that of NEC-free periods (p<0.0001.Conclusion: A tool for early detection would facilitate early intervention and potential prevention of severe NEC. Preliminary findings indicate that urinary claudin-2 may represent a potential biomarker for NEC worth further investigation.

  1. Interannual-to-Decadal Variability in the Bifurcation of the North Equatorial Current off the Philippines

    Science.gov (United States)

    Qiu, B.; Chen, S.

    2010-12-01

    Satellite altimeter sea surface height (SSH) data from the past 17 years are used to investigate the interannual-to-decadal changes in the bifurcation of the North Equatorial Current (NEC) along the Philippine coast. The NEC bifurcation latitude migrated quasi-decadally between 10N and 15N with northerly bifurcations observed in late 1992, 1997-98 and 2003-04, and southerly bifurcations in 1999-2000 and 2008-09. The observed NEC bifurcation latitude can be approximated well by the SSH anomalies in the 12-14N and 127-130E box east of the mean NEC bifurcation point. Using a 1.5-layer reduced-gravity model forced by the ECMWF reanalysis wind stress data, we find that the SSH anomalies in this box can be simulated favorably to serve as a proxy for the observed NEC bifurcation. With the availability of the long-term reanalysis wind stress data, this allows us to lengthen the NEC bifurcation time series back to 1962. Although quasi-decadal variability was prominent in the last two decades, the NEC bifurcation was dominated by changes with a 3~5-yr period during the 1980s and had low variance prior to the 1970s. These inter-decadal modulations in the characteristics of the NEC bifurcation reflect similar inter-decadal modulations in the wind forcing field over the western tropical North Pacific Ocean. Although the NEC bifurcation on the interannual and longer timescales is in general related to the Nino-3.4 index with a positive (negative) index corresponding to a northerly (southerly) bifurcation, the exact location of bifurcation is determined by wind forcing in the 12-14N band that contains variability not fully representable by the Nino-3.4 index.

  2. Clinical characteristics and prognostic factors of patients with gastric neuroendocrine carcinoma treated with radical surgery

    Institute of Scientific and Technical Information of China (English)

    Xu Xuefeng; Li Jian'ang; Han Xu; Shi Chenye; Jin Dayong; Lou Wenhui

    2014-01-01

    Background Gastric neuroendocrine carcinomas (g-NECs) are rare tumors that have aggressive biological behaviors and poor prognosis,but the prognostic factors of postoperative patients with g-NEC are still unclear.Our aim was to study and explore the clinical characteristics and prognostic factors of patients with g-NEC treated with radical surgery.Methods The clinical data of 43 g-NEC patients who underwent surgery from January 2002 to January 2011 at the Zhongshan Hospital of Fudan University were analyzed.Follow-up was conducted by telephone,mail,or returning visit survey.Results The sizes of the 43 neuroendocrine carcinomas (G3) were 1.5 cm × 1.5 cm × 0.5 cm to 7 cm × 8 cm × 1.5 cm.Eight NECs were localized,and 35 had lymph node involvement,of which 1 also had hepatic metastasis.At the end of the follow-up,the follow-up rate was 97.7% (42/43),and the median follow-up time was 22.2 months.The median overall survival of g-NEC patients was 36.5 months,and the 1-,3-,and 5-year overall survival rates were 86.0%,51.6%,and 36.7%,respectively.Sex (P <0.05) and lymph node involvement (P <0.05) were prognostic factors of postoperative g-NEC patients,among which sex was an independent prognostic factor (P <0.05),as a survival advantage of female patients over male was observed.Conclusions Most of the g-NECs were diagnosed at an advanced stage.The prognosis of g-NECs was related with sex and lymph node involvement,of which sex was an independent prognostic factor,with female patients having a survival advantage.

  3. The Incidence of Necrotizing Enterocolitis Is Increased Following Probiotic Administration to Preterm Pigs

    DEFF Research Database (Denmark)

    Cilieborg, Malene Skovsted; Thymann, Thomas; Siggers, Richard

    2011-01-01

    Preterm birth and necrotizing enterocolitis (NEC) is associated with inappropriate gut colonization and immunity, which may be improved by probiotic bacteria. Using a preterm pig model of NEC, we investigated the effects of probiotics on intestinal structure, function, microbiology, and immunology...... with controls (n = 14). All pigs received parenteral nutrition for 2 d followed by enteral formula feeding until tissue collection on d 5. Compared with control pigs, intestinal weight was lower and NEC incidence was higher in both groups given probiotics (64–67 vs. 14%; P...

  4. NEC统一亚太区子公司

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    NEC Asia是一个总部位于新加坡的IT及网络解决方案提供商和系统集成商,是NEC公司的全资子公司。它已经宣布被NEC确定为旗下五个主要区域总部之一,并将更名为“NEC Asia PacificPte Ltd(NEC APAC)”,更名将在4月1日生效。

  5. Therapeutic use of prebiotics, probiotics, and postbiotics to prevent necrotizing enterocolitis: what is the current evidence?

    Science.gov (United States)

    Patel, Ravi Mangal; Denning, Patricia Wei

    2013-03-01

    Necrotizing enterocolitis (NEC) is a leading cause of neonatal morbidity and mortality, and preventive therapies that are both effective and safe are urgently needed. Current evidence from therapeutic trials suggests that probiotics are effective in decreasing NEC in preterm infants, and probiotics are currently the most promising therapy for this devastating disease. However, concerns regarding safety and optimal dosing have limited the widespread adoption of routine clinical use of probiotics in preterm infants. This article summarizes the current evidence regarding the use of probiotics, prebiotics, and postbiotics in the preterm infant, including their therapeutic role in preventing NEC.

  6. Seasonal variability of the bifurcation of the North Equatorial Current

    Institute of Scientific and Technical Information of China (English)

    JU Qiang-chang; JIANG Song; TIAN Ji-wei; KONG Ling-hai; NI Guo-xi

    2013-01-01

    Seasonal variability of the bifurcation of the North Equatorial Current (NEC) is studied by constructing the analytic solution for the time-dependent horizontal linear shallow water quasi-geostrophic equations.Using the Florida State University wind data from 1961 through 1992,we find that the bifurcation latitude of the NEC changes with seasons.Furthermore,it is shown that the NEC bifurcation is at its southernmost latitude (12.7°N) in June and the northernmost latitude (14.4° N) in November.

  7. Necrotizing enterocolitis manifesting with pneumatosis ani in a patient with gastroschisis

    Directory of Open Access Journals (Sweden)

    Jose Asz-Sigall

    2015-06-01

    Full Text Available We present the case of a 1-month-old female with repaired gastroschisis who presented with pneumatosis ani as the initial manifestation of necrotizing enterocolitis (NEC. NEC may present in as much as 20% of patients with gastroschisis. This relationship should prompt urgent evaluation and management as soon as any sign or symptom of the disease appears. Even though pneumatosis ani is a rare clinical finding, the anal region should always be examined in all patients where NEC is suspected.

  8. Real-Time Lane Region Detection Using a Combination of Geometrical and Image Features

    Science.gov (United States)

    Cáceres Hernández, Danilo; Kurnianggoro, Laksono; Filonenko, Alexander; Jo, Kang Hyun

    2016-01-01

    Over the past few decades, pavement markings have played a key role in intelligent vehicle applications such as guidance, navigation, and control. However, there are still serious issues facing the problem of lane marking detection. For example, problems include excessive processing time and false detection due to similarities in color and edges between traffic signs (channeling lines, stop lines, crosswalk, arrows, etc.). This paper proposes a strategy to extract the lane marking information taking into consideration its features such as color, edge, and width, as well as the vehicle speed. Firstly, defining the region of interest is a critical task to achieve real-time performance. In this sense, the region of interest is dependent on vehicle speed. Secondly, the lane markings are detected by using a hybrid color-edge feature method along with a probabilistic method, based on distance-color dependence and a hierarchical fitting model. Thirdly, the following lane marking information is extracted: the number of lane markings to both sides of the vehicle, the respective fitting model, and the centroid information of the lane. Using these parameters, the region is computed by using a road geometric model. To evaluate the proposed method, a set of consecutive frames was used in order to validate the performance. PMID:27869657

  9. 国内新闻

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    iPod photo增容——苹果电脑更新iPod photo系列硬盘容量;苹果电脑公司北京办事处喜迁新址——新环境新面貌;HP推出2000元以下移动计算产品——HP—PAQ rz1717让移动产品走入普通消费人群;艺卓新品亮相China Print 2005——Eizo ColorEdge CG210成为业界焦点;教育部与苹果电脑公司在京签署合作备忘录——苹果电脑公司积极投入中国教育领域;四大厂商联合出击——PalmSource、三星电子、中国联通新时讯和Motrictity在华联合推出三星SCH—i539智能终端;

  10. Governance of electrotechnical standardisation in Europe

    NARCIS (Netherlands)

    H.J. de Vries (Henk)

    2015-01-01

    markdownabstract__Abstract__ This report provides recommendations about the governance of electrotechnical standardisation in Europe to seven independent National Committees: DKE (Germany), Electrosuisse (Switzerland), OVE (Austria), NEC (the Netherlands), NEK (Norway), SEK (Sweden), and SESKO (Fin

  11. The Role of the Intestinal Microcirculation in Necrotizing Enterocolitis

    Science.gov (United States)

    Watkins, Daniel J.; Besner, Gail E.

    2013-01-01

    Necrotizing enterocolitis (NEC) continues to be a devastating inflammatory disease of the newborn intestine. Despite advances in management, morbidity and mortality remain high. While it is clear that intestinal ischemia plays a large role in disease pathogenesis, attempts to link NEC to intestinal macrovascular derangement have been largely unsuccessful. More recently, there has been a concerted effort to characterize the pathologic changes of the intestinal microcirculation in response to intestinal injury, including NEC. This microcirculatory regulation is controlled by a balance of vasoconstrictor and vasodilator forces. Vasoconstriction is mediated primarily by endothelin-1 (ET-1) while vasodilation is mediated primarily by nitric oxide (NO). These chemical mediators have been implicated in many aspects of intestinal ischemic injury and NEC, with the balance shifting towards increased vasoconstriction associated with intestinal injury. With a proper understanding of these antagonistic forces, potential therapeutic avenues may result from improving this pathologic microcirculatory dysregulation. PMID:23611611

  12. Necrotizing enterocolitis

    Science.gov (United States)

    ... please enable JavaScript. Necrotizing enterocolitis (NEC) is the death of tissue in the intestine. It occurs most often in premature or sick babies. Causes Necrotizing enterocolitis occurs when the lining of the ...

  13. Metabolomic determinants of necrotizing enterocolitis in preterm piglets

    Science.gov (United States)

    Studies in premature infants and animals show that carbohydrate malabsorption and gut microbiota colonisation are key elements for triggering necrotizing enterocolitis (NEC). Our aim was to determine how dietary carbohydrate composition affects the metabolomic profile and whether unique metabolite s...

  14. Neuroendocrine Cancer of Rectum Metastasizing to Ovary

    Science.gov (United States)

    Amin, Sapna Vinit; Kumaran, Aswathy; Bharatnur, Sunanda; Vasudeva, Akhila; Udupa, Kartik; Venkateshiah, Dinesh Bangalore; Bhat, Shaila T.

    2016-01-01

    Neuroendocrine carcinomas (NECs) are rare malignancies that originate from the hormone-producing cells of the body's neuroendocrine system. Rectal high grade NEC (HG-NEC) constituting less than 1% of colorectal cancers can cause large ovarian metastasis that may be the initial presenting complaint. Ovarian Krukenberg tumor from a primary rectal HG-NEC is a very unusual and exceedingly uncommon differential diagnosis for secondary ovarian malignancy. This case report describes one such extremely rare case of a woman who had presented to the gynecology department with features suggestive of ovarian malignancy and was ultimately diagnosed to have Krukenberg tumor originating from neuroendocrine cancer of rectum. We felt this is a good opportunity to spread more light on neuroendocrine neoplasms that are very rare in gynecological practice. PMID:27293931

  15. 75 FR 72824 - Ocean Transportation Intermediary License Applicants

    Science.gov (United States)

    2010-11-26

    ... Logistics Group L.L.C. (NVO & OFF), 2229 NW 79th Avenue, Doral, FL 33122, Officers: Paul Mendoza, COO (Qualifying Individual), Marcela Mendoza, President, Application Type: QI Change. NEC Logistics, Ltd. (NVO),...

  16. Pattern of Perinatal Mortality in Babies Delivered at the University of ...

    African Journals Online (AJOL)

    LBW, Low Birth Weight; LGA, Large for Gestational Age; MDG, Millenium Development Goals; NEC, ... 1000 live and stillbirths and an early neonatal mortality rate of 31 per .... diabetes mellitus in pregnancy7, HIV ... The scale was adjusted to.

  17. Owl Research that's Good for the Birds.

    Science.gov (United States)

    Cristol, Daniel A.

    1986-01-01

    Describes and illustrates how to build nest boxes to provide city homes for screech owls to reestablish a healthy ecological balance. Outlines how to conduct a pellet analysis of an owl's diet and how to study screech owl territoriality. (NEC)

  18. Management of necrotizing enterocolitis: experience at a tertiary ...

    African Journals Online (AJOL)

    management and also to determine the mortality due to. NEC at our ... Department of Child Health, Sultan Qaboos University Hospital, Muscat, Oman. Correspondence to .... indicator of the requirement for surgical intervention. Although our ...

  19. How to Use Equipment Therapeutically.

    Science.gov (United States)

    Bowne, Douglas

    1986-01-01

    Shares therapeutic and economic practices surrounding equipment used in New York's Higher Horizons adventure program of therapy for troubled youth. Encourages educators, therapists, and administrators to explore relationship between equipment selection, program goals, and clients. (NEC)

  20. Lactoferrin and neonatology - role in neonatal sepsis and necrotizing enterocolitis: present, past and future.

    Science.gov (United States)

    Sharma, Deepak; Shastri, Sweta

    2016-03-01

    Neonatal sepsis and necrotizing enterocolitis (NEC) are two most important neonatal problems in nursery which constitute the bulk of neonatal mortality and morbidity. Inflammatory mediators secondary to sepsis and NEC increases morbidity, by affecting various system of body like lung, brain and eye, thus causing long term implications. Lactoferrin (LF) is a component of breast milk and multiple actions that includes antimicrobial, antiviral, anti-fungal and anti-cancer and various other actions. Few studies have been completed and a number of them are in progress for evaluation of efficacy and safety of LF in the prevention of neonatal sepsis and NEC in field of neonatology. In future, LF prophylaxis and therapy may have a significant impact in improving clinical outcomes of vulnerable preterm neonates. This review analyse the role of lactoferrin in prevention of neonatal sepsis and NEC, with emphasis on mechanism of action, recent studies and current studies going on around the globe.

  1. Awareness and knowledge of phytonutrient food sources and health ...

    African Journals Online (AJOL)

    Administrator

    sources and health benefits for functional food application .... persistent promotion of nutritional information is nec- essary .... Two non- phytonutrient food sources, namely fish and milk, were .... value of carrots to human health and as a major.

  2. Bioactive Milk for Intestinal Maturation in Preterm Neonates

    DEFF Research Database (Denmark)

    Li, Yanqi

    inflammatory response. This immaturity predisposes preterm infants to various nutritional challenges and clinical conditions, including feeding intolerance, growth restriction, necrotizing enterocolitis (NEC), sepsis and long-term consequences. The quality of milk fed to preterm infants during the first...

  3. Anemia in the Newborn

    Science.gov (United States)

    ... Doctor About Emotional Struggles Additional Content Medical News Anemia in the Newborn By Arthur E. Kopelman, MD, ... of Prematurity Necrotizing Enterocolitis (NEC) Jaundice in Newborns Anemia in the Newborn Polycythemia in the Newborn Thyroid ...

  4. Labelling : Security in Information Management and Sharing

    NARCIS (Netherlands)

    Schotanus, H.A.; Hartog, T.; Hut, D.H.; Boonstra, D.

    2011-01-01

    Military communication infrastructures are often deployed as stand-alone information systems operating at the System High mode. Network-Enabled Capabilities (NEC) and combined military operations lead to new requirements for information management and sharing which current communication architecture

  5. Teaching Basic Science Environmentally, Concept: Water that Comes Down as Rain Is Used Over and Over Again.

    Science.gov (United States)

    Busch, Phyllis S.

    1985-01-01

    Provides directions for basic science experiments which demonstrate the rain cycle, fundamentals of cloud formation, and testing for the presence of acidity in local rainwater. Describes materials required, step-by-step instructions, and discussion topics. (NEC)

  6. Gastric Composite Tumor of Alpha Fetoprotein-Producing Carcinoma/Hepatoid Adenocarcinoma and Endocrine Carcinoma with Reference to Cellular Phenotypes

    Directory of Open Access Journals (Sweden)

    Akira Suzuki

    2012-01-01

    Full Text Available Alpha-fetoprotein-producing carcinoma (AFPC/hepatoid adenocarcinoma (HAC and neuroendocrine carcinoma (NEC are uncommon in the stomach. Composite tumors consisting of these carcinomas and their histologic phenotypes are not well known. Between 2002 and 2007, to estimate the prevalence of composite tumors consisting of tubular adenocarcinoma, AFPC/HAC and NEC, we reviewed specimens obtained from 294 consecutive patients treated surgically for gastric cancer. We examined histological phenotype of tumors of AFPC or NEC containing the composite tumor by evaluating immunohistochemical expressions of MUC2, MUC5AC, MUC6, CDX2, and SOX2. Immunohistochemically, AFPC/HAC dominantly showed the intestinal or mixed phenotype, and NEC frequently showed the gastric phenotype. In the composite tumor, the tubular and hepatoid components showed the gastric phenotype, and the neuroendocrine component showed the mixed type. The unique composite tumor predominantly showed the gastric phenotype, and the hepatoid and neuroendocrine components were considered to be differentiated from the tubular component.

  7. Synchronous gastric neuroendocrine carcinoma and hepatocellular carcinoma

    DEFF Research Database (Denmark)

    Ewertsen, Caroline; Henriksen, Birthe Merete; Hansen, Carsten Palnæs

    2009-01-01

    UNLABELLED: Gastric neuroendocrine carcinomas (NECs) are rare tumours that are divided into four subtypes depending on tumour characteristics. Patients with NECs are known to have an increased risk of synchronous and metachronous cancers mainly located in the gastrointestinal tract. A case...... of synchronous gastric NEC and hepatocellular carcinoma in a patient with several other precancerous lesions is presented. The patient had anaemia, and a gastric tumour and two duodenal polyps were identified on upper endoscopy. A CT scan of the abdomen revealed several lesions in the liver. The lesions were...... invisible on B-mode sonography and real-time sonography fused with CT was used to identify and biopsy one of the lesions. Histology showed hepatocellular carcinoma. A literature search showed that only one case of a hepatocellular carcinoma synchronous with a gastric NEC has been reported previously. TRIAL...

  8. INFLUENCE OF THE MODERN SYSTEMS OF THE BLAST STEEL-FURNACE ELECTRICAL PARAMETERS CONTROL ON CAPACITY AND TECHNICAL AND ECONOMICAL INDICES OF MELTING

    Directory of Open Access Journals (Sweden)

    D. N. Andrianov

    2006-01-01

    Full Text Available The reduction of time under the current, electric energy rate, electrodes rate at working of arc steel-furnace with new transformer of capacity 95 MBA and with regulating system SIMELT-AC-NEC are noted.

  9. Therapeutic Use of Prebiotics, Probiotics, and Postbiotics to Prevent Necrotizing Enterocolitis: What is the Current Evidence?

    Science.gov (United States)

    Patel, Ravi Mangal; Denning, Patricia Wei

    2013-01-01

    Synopsis Necrotizing enterocolitis (NEC) is a leading cause of neonatal morbidity and mortality and preventative therapies that are both effective and safe are urgently needed. Current evidence from therapeutic trials suggests that probiotics are effective in decreasing NEC in preterm infants and probiotics are currently the most promising therapy on the horizon for this devastating disease. However, concerns regarding safety and optimal dosing have limited the widespread adoption of routine clinical use of probiotics in preterm infants. In addition, prebiotics and postbiotics may be potential alternatives or adjunctive therapies to the administration of live microorganisms, although studies demonstrating their clinical efficacy in preventing NEC are lacking. This review summarizes the current evidence regarding the use of probiotics, prebiotics and postbiotics in the preterm infant, including its therapeutic role in preventing NEC. PMID:23415261

  10. 75 FR 16760 - Privacy Act of 1974; System of Records

    Science.gov (United States)

    2010-04-02

    .... Categories of Individuals Covered by the System: Marine Corps reservists and retirees, Navy personnel... of rank (DOR), Military Occupational Specialty (MOS), Navy Enlisted Classifications (NEC) and Navy... management of activating, recalling and mobilizing Marine Corps Reservists and retired Marines. The...

  11. Reclaiming a Part of the Micmac Heritage.

    Science.gov (United States)

    Hamilton, W. D.

    1985-01-01

    Describes a research project which resulted in publication, "The Julian Tribe," and showed how lost Micmac tribal heritage was reconstructed from church, census, county, provincial, and federal records when no tribal printed or secondary accounts or oral tradition remained. (NEC)

  12. ' f '_ , ., (“ti , _ii itiierireiiticria ta ta .;:iiit.i;~ie tIf;ti”'i'"i€...“i"%,.ii“i

    African Journals Online (AJOL)

    oriented evidence, usual practice, expert opinion, or case series. For information .... of gum every one to two hours ... Flexible mimics effects hand-to- mouth action smoking; few side. Frequent dosing nec- ..... 9 nngnea tin aoittstein ivia ntirt hr).

  13. Suprabasin as a novel tumor endothelial cell marker

    Science.gov (United States)

    Alam, Mohammad T; Nagao-Kitamoto, Hiroko; Ohga, Noritaka; Akiyama, Kosuke; Maishi, Nako; Kawamoto, Taisuke; Shinohara, Nobuo; Taketomi, Akinobu; Shindoh, Masanobu; Hida, Yasuhiro; Hida, Kyoko

    2014-01-01

    Recent studies have reported that stromal cells contribute to tumor progression. We previously demonstrated that tumor endothelial cells (TEC) characteristics were different from those of normal endothelial cells (NEC). Furthermore, we performed gene profile analysis in TEC and NEC, revealing that suprabasin (SBSN) was upregulated in TEC compared with NEC. However, its role in TEC is still unknown. Here we showed that SBSN expression was higher in isolated human and mouse TEC than in NEC. SBSN knockdown inhibited the migration and tube formation ability of TEC. We also showed that the AKT pathway was a downstream factor of SBSN. These findings suggest that SBSN is involved in the angiogenic potential of TEC and may be a novel TEC marker. PMID:25283635

  14. Solving the Mystery of Plant Names.

    Science.gov (United States)

    Mardiney, Robert

    1986-01-01

    Details how the study of wildflower names provides clues to their history, use, or appearance and ties in with other disciplines such as religion, linguistics, medicine, and history. Cites seven references. (NEC)

  15. Diet-Dependent Effects of Minimal Enteral Nutrition on Intestinal Function and Necrotizing Enterocolitis in Preterm Pigs

    DEFF Research Database (Denmark)

    Cilieborg, Malene Skovsted; Boye, Mette; Thymann, Thomas

    2011-01-01

    characterized. It was hypothesized that a commonly used MEN feeding volume (16-24 mL/kg/d) prevents NEC and improves intestinal structure, function, and microbiology in preterm pigs. Methods: After preterm birth pigs were stratified into 4 nutrition intervention groups that received the following treatments: (1......Background: A rapid advance in enteral feeding is associated with necrotizing enterocolitis (NEC) in preterm infants. Therefore, minimal enteral nutrition (MEN) combined with parenteral nutrition (PN) is common clinical practice, but the effects on NEC and intestinal function remain poorly......: NEC was absent in the CC group but frequent in the other groups (50%-67%). Compared with other groups, CC pigs showed improved mucosal structures, brush border enzyme activities, and hexose absorption (all P prevent...

  16. 76 FR 67790 - National Express Acquisition Corporation-Control-Petermann Partners, Inc.

    Science.gov (United States)

    2011-11-02

    .... AGENCY: Surface Transportation Board. ACTION: Notice Tentatively Approving and Authorizing Finance... NEC corporate family, an organization with experience in passenger transportation; and (2) the...: 1. The proposed finance transaction is approved and authorized, subject to the filing of opposing...

  17. On the Road to Peace and Friendship.

    Science.gov (United States)

    Camping Magazine, 1987

    1987-01-01

    Reviews history of YMCA Soviet-American international exchange experiences. Relates summer 1987 experiences of Soviet delegation of camp leaders to America. Describes five types of Soviet camps and their similarities to American programs. (NEC)

  18. Security Shift in Future Network Architectures

    NARCIS (Netherlands)

    Hartog, T.; Schotanus, H.A.; Verkoelen, C.A.A.

    2010-01-01

    In current practice military communication infrastructures are deployed as stand-alone networked information systems. Network-Enabled Capabilities (NEC) and combined military operations lead to new requirements which current communication architectures cannot deliver. This paper informs IT architect

  19. Reclaiming a Part of the Micmac Heritage.

    Science.gov (United States)

    Hamilton, W. D.

    1985-01-01

    Describes a research project which resulted in publication, "The Julian Tribe," and showed how lost Micmac tribal heritage was reconstructed from church, census, county, provincial, and federal records when no tribal printed or secondary accounts or oral tradition remained. (NEC)

  20. Intestinal dysbiosis in preterm infants preceding necrotizing enterocolitis: a systematic review and meta-analysis.

    Science.gov (United States)

    Pammi, Mohan; Cope, Julia; Tarr, Phillip I; Warner, Barbara B; Morrow, Ardythe L; Mai, Volker; Gregory, Katherine E; Kroll, J Simon; McMurtry, Valerie; Ferris, Michael J; Engstrand, Lars; Lilja, Helene Engstrand; Hollister, Emily B; Versalovic, James; Neu, Josef

    2017-03-09

    Necrotizing enterocolitis (NEC) is a catastrophic disease of preterm infants, and microbial dysbiosis has been implicated in its pathogenesis. Studies evaluating the microbiome in NEC and preterm infants lack power and have reported inconsistent results. Our objectives were to perform a systematic review and meta-analyses of stool microbiome profiles in preterm infants to discern and describe microbial dysbiosis prior to the onset of NEC and to explore heterogeneity among studies. We searched MEDLINE, PubMed, CINAHL, and conference abstracts from the proceedings of Pediatric Academic Societies and reference lists of relevant identified articles in April 2016. Studies comparing the intestinal microbiome in preterm infants who developed NEC to those of controls, using culture-independent molecular techniques and reported α and β-diversity metrics, and microbial profiles were included. In addition, 16S ribosomal ribonucleic acid (rRNA) sequence data with clinical meta-data were requested from the authors of included studies or searched in public data repositories. We reprocessed the 16S rRNA sequence data through a uniform analysis pipeline, which were then synthesized by meta-analysis. We included 14 studies in this review, and data from eight studies were available for quantitative synthesis (106 NEC cases, 278 controls, 2944 samples). The age of NEC onset was at a mean ± SD of 30.1 ± 2.4 weeks post-conception (n = 61). Fecal microbiome from preterm infants with NEC had increased relative abundances of Proteobacteria and decreased relative abundances of Firmicutes and Bacteroidetes prior to NEC onset. Alpha- or beta-diversity indices in preterm infants with NEC were not consistently different from controls, but we found differences in taxonomic profiles related to antibiotic exposure, formula feeding, and mode of delivery. Exploring heterogeneity revealed differences in microbial profiles by study and the target region of the 16S rRNA gene (V1-V3 or

  1. Syndromic Surveillance and Outbreak Detection Using Automated Microbiologic Laboratory Test Order Data

    Science.gov (United States)

    2007-06-15

    encephalopathy NOS ACUTE non-specific symptoms of CNS infection such as meningismus, delerium; EXCLUDES any chronic, hereditary or degenerative...Hemorrhagic fever, arenaviral 084.8 Fever, blackwater 100.0 Leptospirosis icterohemorrhagica 283.11 Syndrome, hemolytic- uremic 286.9...NEC 323.9 Encephalitis NOS 348.30 Encephalopathy NOS 348.39 Encephalopathy NEC 781.6 Meningismus Syndrome=Rash icd9 Dx

  2. The Role of the Intestinal Microbiota in the Pathogenesis of Necrotizing Enterocolitis

    Science.gov (United States)

    Grishin, Anatoly; Papillon, Stephanie; Bell, Brandon; Wang, Jin; Ford, Henri R.

    2013-01-01

    Development of necrotizing enterocolitis (NEC) requires a susceptible host, typically a premature infant or an infant with congenital heart disease, enteral feedings and bacterial colonization. Although there is little doubt that microbes are critically involved in the pathogenesis of NEC, the identity of specific causative pathogens remains elusive. Unlike established normal adult gut microbiota, which is quite complex, uniform, and stable, early postnatal bacterial populations are simple, diverse, and fluid. These properties complicate studies aimed at elucidating characteristics of the gut microbiome that may play a role in the pathogenesis of NEC. A broad variety of bacterial, viral, and fungal species have been implicated in both clinical and experimental NEC. Frequently, however, the same species have also been found in physiologically matched healthy individuals. Clustered outbreaks of NEC, in which the same strain of a suspected pathogen is detected in several patients suggest, but do not prove, a causative relationship between the specific pathogen and the disease. Studies in Cronobacter sakazakii, the best characterized NEC pathogen, have demonstrated that virulence is not a property of a bacterial species as a whole, but rather a characteristic of certain strains, which may explain why the same species can be pathogenic or non-pathogenic. The fact that a given microbe may be innocuous in a full-term, yet pathogenic in a pre-term infant has led to the idea of opportunistic pathogens in NEC. Progress in understanding the infectious nature of NEC may require identifying specific pathogenic strains and unambiguously establishing their virulence in animal models. PMID:23611609

  3. Study of a conceptual nuclear energy center at Green River, Utah: institutional and licensing issues

    Energy Technology Data Exchange (ETDEWEB)

    Heilman, C.B.; Herman, A.A. Jr.; Vito, D.J.

    1982-04-01

    This document constitutes a segment of a feasibility study investigating the ramification of construcing a nuclear energy center in an arid western region. In this phase of the study, the institutional and licensing issues impacting a NEC were analyzed. The most prominent issue facing such a concept is the ownership form of NEC. In addition, legislation and regulation also have a substantial impact regardless of the ownership format.

  4. Paneth-cell-disruption-induced necrotizing enterocolitis in mice requires live bacteria and occurs independently of TLR4 signaling

    Directory of Open Access Journals (Sweden)

    Jessica R. White

    2017-06-01

    Full Text Available Necrotizing enterocolitis (NEC remains a leading cause of morbidity and mortality in premature infants. Both human surgical specimens and animal models suggest a potential involvement of Paneth cells in NEC pathogenesis. Paneth cells play critical roles in epithelial homeostasis, innate immunity and host-microbial interactions. Yet, the complex interplay between Paneth cell disruption, epithelial barrier dysfunction and microbial-driven inflammation remains unclear in the immature intestine. In this study, mucosal intestinal injury consistent with human NEC was induced in postnatal day 14-16 (P14-P16 mice by disrupting Paneth cells, followed by gavage with Klebsiella pneumonia. Mucosal injury was determined by histology, serum cytokine levels and epithelial barrier dysfunction. Toll-like receptor 4 (TLR4 activation was examined using protein expression, gene expression, and TLR4−/− mice. Finally, the role of bacteria was evaluated using heat-killed bacteria, conditioned media, Bacillus cereus and cecal slurries. We found that live bacteria were required to induce injury; however, TLR4 activation was not required. NEC induced by Paneth cell disruption results in altered localization of tight junction proteins and subsequent loss of barrier function. Prior research has shown a requirement for TLR4 activation to induce NEC-like damage. However, many infants develop NEC in the absence of Gram-negative rod bacteremia, raising the possibility that alternative pathways to intestinal injury exist. In this study, we show a previously unknown mechanism for the development of intestinal injury equivalent to that seen in human NEC and that is not dependent on TLR4 pathways. These data are congruent with the new hypothesis that NEC may be the consequence of several disease processes ending in a final common inflammatory pathway.

  5. Neonatal necrotizing entero-colitis: A clinico-surgical study

    Directory of Open Access Journals (Sweden)

    A.I. Eid*

    2013-12-01

    Conclusion: Early diagnosis and intensive medical and surgical treatment were mandatory to minimize both morbidity and mortality from NEC. Surgical management should be determined according to the special circumstances of each case. However, the optimum choice between peritoneal drainage and laparotomy remains controversial. Gestational age, birth weight, age at admission, and treatment modality are definite prognostic factors as regard morbidity and mortality of patients with NEC.

  6. Lactobacillus reuteri DSM 17938 changes the frequency of Foxp3+ regulatory T cells in the intestine and mesenteric lymph node in experimental necrotizing enterocolitis.

    Directory of Open Access Journals (Sweden)

    Yuying Liu

    Full Text Available Necrotizing enterocolitis (NEC is an inflammatory disease of the intestine in premature infants. Lactobacillus reuteri DSM 17938 improves survival and reduces the incidence and severity of NEC in a rodent model. Foxp3(+ regulatory T cells (Tregs maintain intestinal homeostasis by controlling inflammation and inducing tolerance. To determine whether there are insufficient numbers of Tregs to control inflammation in NEC and to determine if LR17938 increases the frequency of Tregs, we studied selected groups of newborn Sprague-Dawley rats according to feeding plan: dam±LR17938, formula±LR17938, and NEC±LR17938. NEC was induced by gavage feeding with special formula and exposure to hypoxic conditions. Lymphocytes isolated from ileum, mesenteric lymph nodes (MLN, spleen and thymus were labeled for T cell surface markers (CD3, CD4, CD8 and intracellular Foxp3; and labeled cells were analyzed by flow cytometry. The percentage of CD3(+ T cells and Foxp3(+ Tregs in the ileum significantly decreased in pups with NEC, compared to normal controls. Feeding LR17938 to neonatal rats with NEC increased the % of Foxp3(+ T cells in the ileum while decreasing the percentage of cells in the MLN. Administration of LR17938 to dam-fed rats significantly increased Foxp3(+Tregs in the ileum as early as day of life (DOL1 but did not produce an increase in Tregs in formula-fed rats on DOL1. These results suggest that factors in breast milk may enhance the early immunomodulatory effects of LR17938. An anti-inflammatory effect of LR17938 in NEC was associated with the modulation of immune responses and induction and what appears to be migration of Foxp3(+ Tregs to the diseased gut. Probiotic-facilitated development of Tregs might play an important role in the prevention of NEC.

  7. testing scitech and the Elsevier changes

    Energy Technology Data Exchange (ETDEWEB)

    test,

    2013-01-01

    Lorem ipsum dolor sit amet, consectetur adipiscing elit. Pellentesque sodales massa eu metus feugiat tempus. Morbi vitae odio eu urna dignissim posuere. Fusce auctor vulputate quam, eu tempus turpis pretium nec. Nullam et tempor nulla. Proin malesuada consectetur lobortis. Pellentesque quam sem, ornare eu viverra vehicula, pulvinar nec augue. Cras auctor feugiat blandit. Integer condimentum purus et lacus lobortis tincidunt eu ac odio. Aenean et odio a lectus auctor faucibus a sit amet elit. In rhoncus nisl ante.

  8. Intestinal proteomics in pig models of necrotising enterocolitis, short bowel syndrome and intra-uterine growth restriction

    DEFF Research Database (Denmark)

    Jiang, Pingping; Sangild, Per Torp

    2014-01-01

    Necrotising enterocolitis (NEC), short bowel syndrome (SBS) and intra-uterine growth restriction (IUGR) are three conditions associated with intestinal dysfunction in newborn infants, particularly those born preterm. Piglet (Sus scrofa) models have recently been developed for NEC, SBS and IUGR, a......, but only supplement, classical hypothesis-driven research that investigate disease mechanisms using a single or few endpoints. This article is protected by copyright. All rights reserved....

  9. Lactobacillus rhamnosus HN001 decreases the severity of necrotizing enterocolitis in neonatal mice and preterm piglets: evidence in mice for a role of TLR9.

    Science.gov (United States)

    Good, Misty; Sodhi, Chhinder P; Ozolek, John A; Buck, Rachael H; Goehring, Karen C; Thomas, Debra L; Vikram, Amit; Bibby, Kyle; Morowitz, Michael J; Firek, Brian; Lu, Peng; Hackam, David J

    2014-06-01

    Necrotizing enterocolitis (NEC) is the leading cause of death from gastrointestinal disease in premature infants and develops partly from an exaggerated intestinal epithelial immune response to indigenous microbes. There has been interest in administering probiotic bacteria to reduce NEC severity, yet concerns exist regarding infection risk. Mechanisms of probiotic activity in NEC are unknown although activation of the microbial DNA receptor Toll-like receptor-9 (TLR9) has been postulated. We now hypothesize that the Gram-positive bacterium Lactobacillus rhamnosus HN001 can attenuate NEC in small and large animal models, that its microbial DNA is sufficient for its protective effects, and that protection requires activation of the Toll-like receptor 9 (TLR9). We now show that oral administration of live or UV-inactivated Lactobacillus rhamnosus HN001 attenuates NEC severity in newborn mice and premature piglets, as manifest by reduced histology score, attenuation of mucosal cytokine response, and improved gross morphology. TLR9 was required for Lactobacillus rhamnosus-mediated protection against NEC in mice, as the selective decrease of TLR9 from the intestinal epithelium reversed its protective effects. Strikingly, DNA of Lactobacillus rhamnosus HN001 reduced the extent of proinflammatory signaling in cultured enterocytes and in samples of resected human ileum ex vivo, suggesting the therapeutic potential of this probiotic in clinical NEC. Taken together, these findings illustrate that Lactobacillus rhamnosus HN001 is an effective probiotic for NEC via activation of the innate immune receptor TLR9 and that Lactobacillus rhamnosus DNA is sufficient for its protective effects, potentially reducing concerns regarding the infectious risk of this novel therapeutic approach. Copyright © 2014 the American Physiological Society.

  10. Probiotics for prevention of necrotizing enterocolitis in preterm infants: systematic review and meta-analysis.

    Science.gov (United States)

    Aceti, Arianna; Gori, Davide; Barone, Giovanni; Callegari, Maria Luisa; Di Mauro, Antonio; Fantini, Maria Pia; Indrio, Flavia; Maggio, Luca; Meneghin, Fabio; Morelli, Lorenzo; Zuccotti, Gianvincenzo; Corvaglia, Luigi

    2015-11-14

    Necrotizing enterocolitis (NEC) affects predominantly preterm infants, who have specific risk factors leading to intestinal dysbiosis. Manipulations of gut microbiota through probiotics have the potential to prevent NEC.The aim of this systematic review and meta-analysis was to evaluate the effect of probiotics for NEC prevention in preterm infants, with a focus on specific strains, microbiological strength of currently available studies, and high-risk populations. PubMed and the Cochrane Library were searched for trials published within 4th February 2015. Randomized-controlled trials reporting on NEC and involving preterm infants who were given probiotics in the first month of life were included in the systematic review.Twenty-six studies were suitable for inclusion in the meta-analysis.Data about study design, population, intervention and outcome were extracted and summarized independently by two observers. Study quality and quality of evidence were also evaluated.Fixed-effects models were used and random-effects models where significant heterogeneity was present. Subgroup analyses were performed to explore sources of heterogeneity among studies. Results were expresses as risk ratio (RR) with 95 % confidence interval (CI). The main outcome was incidence of NEC stage ≥2 according to Bell's criteria. Probiotics prevented NEC in preterm infants (RR 0.47 [95 % CI 0.36-0.60], p probiotic mixtures (RR 0.39 [95 % CI 0.27-0.56], p Probiotics prevented NEC in very-low-birth-weight infants (RR 0.48 [95 % CI 0.37-0.62], p Probiotics had an overall preventive effect on NEC in preterm infants. However, there are still insufficient data on the specific probiotic strain to be used and on the effect of probiotics in high-risk populations such as extremely-low-birth-weight infants, before a widespread use of these products can be recommended.

  11. Development and Validation of an Enhanced NROTC Selection System

    Science.gov (United States)

    1991-09-01

    Ichthyology 16 Entomology 17 Parasitology ; Helminthology; Nematology 19 Biological Sciences, n.e.c. A-2 Medical Sciences 20 Medicine and Surgery 21...scholarships provide selectees with reimbursement for tuition, textbooks , and instructional fees. A subsistence allowance of $100 per month (for a maximum of 40...Osteopathy 31 Anatomy 32 Pathology 33 Medical Science, n.e.c. (Mortuary Science; Medical Biology, Medical Biology, Medical Technology) Physical Sciences 34

  12. Introduction to Micromechatronics

    Science.gov (United States)

    2003-06-17

    Piezoelectric ultrasonic motors , whose efficiency is insensitive to size, are superior to the conventional devices when motors of millimeter size are required...amplification mechanisms, is one earlier application that was commercialized by NEC of Japan in 1987.18 Piezoelectric ultrasonic motors have also...amplification mechanism (NEC, Japan).18 Figure 23 Micro- ultrasonic motors utilized for silent alarm (8 mm diameter, left-side) and date

  13. Gastric large cell neuroendocrine carcinoma with venous tumor thrombus: the value of PET/CT and contrast-enhanced computed tomography.

    Science.gov (United States)

    Song, Le; Jin, Zhu; Zhang, Weifang; Zhang, Yanyan

    2015-01-01

    Venous involvement is commonly detected microscopically on gastric neuroendocrine carcinomas (NECs), but related imaging studies have been rarely documented. We report a rare case of gastric large cell NEC with tumor thrombi in gastric and splenic veins, elevated serum alpha fetoprotein, and multiple hepatic nodules. In this case, (18)F-fluorodeoxyglucose positron emission tomography combined with contrast-enhanced computed tomography provided valuable information on tumor staging. Copyright © 2015 Elsevier Inc. All rights reserved.

  14. Therapeutic Use of Prebiotics, Probiotics, and Postbiotics to Prevent Necrotizing Enterocolitis: What is the Current Evidence?

    OpenAIRE

    2013-01-01

    Necrotizing enterocolitis (NEC) is a leading cause of neonatal morbidity and mortality and preventative therapies that are both effective and safe are urgently needed. Current evidence from therapeutic trials suggests that probiotics are effective in decreasing NEC in preterm infants and probiotics are currently the most promising therapy on the horizon for this devastating disease. However, concerns regarding safety and optimal dosing have limited the widespread adoption of routine clinical ...

  15. The role of immunonutrients in the prevention of necrotizing enterocolitis in preterm very low birth weight infants

    DEFF Research Database (Denmark)

    Zhou, Ping; Li, Yanqi; Ma, Li-Ya

    2015-01-01

    of this review is to summarize some potential immunomodulatory nutrients in the prevention of NEC, including bovine colostrum, probiotics, prebiotics (e.g., human milk oligosaccharides), long chain polyunsaturated fatty acids, and amino acids (glutamine, cysteine and N-acetylcysteine, l-arginine and l......-citrulline). Based on current research evidence, probiotics are the most documented effective method to prevent NEC, while others still require further investigation in animal studies and clinical randomized controlled trials....

  16. Lactobacillus reuteri DSM 17938 changes the frequency of Foxp3+ regulatory T cells in the intestine and mesenteric lymph node in experimental necrotizing enterocolitis.

    Science.gov (United States)

    Liu, Yuying; Fatheree, Nicole Y; Dingle, Bridgette M; Tran, Dat Q; Rhoads, Jon Marc

    2013-01-01

    Necrotizing enterocolitis (NEC) is an inflammatory disease of the intestine in premature infants. Lactobacillus reuteri DSM 17938 improves survival and reduces the incidence and severity of NEC in a rodent model. Foxp3(+) regulatory T cells (Tregs) maintain intestinal homeostasis by controlling inflammation and inducing tolerance. To determine whether there are insufficient numbers of Tregs to control inflammation in NEC and to determine if LR17938 increases the frequency of Tregs, we studied selected groups of newborn Sprague-Dawley rats according to feeding plan: dam±LR17938, formula±LR17938, and NEC±LR17938. NEC was induced by gavage feeding with special formula and exposure to hypoxic conditions. Lymphocytes isolated from ileum, mesenteric lymph nodes (MLN), spleen and thymus were labeled for T cell surface markers (CD3, CD4, CD8) and intracellular Foxp3; and labeled cells were analyzed by flow cytometry. The percentage of CD3(+) T cells and Foxp3(+) Tregs in the ileum significantly decreased in pups with NEC, compared to normal controls. Feeding LR17938 to neonatal rats with NEC increased the % of Foxp3(+) T cells in the ileum while decreasing the percentage of cells in the MLN. Administration of LR17938 to dam-fed rats significantly increased Foxp3(+)Tregs in the ileum as early as day of life (DOL)1 but did not produce an increase in Tregs in formula-fed rats on DOL1. These results suggest that factors in breast milk may enhance the early immunomodulatory effects of LR17938. An anti-inflammatory effect of LR17938 in NEC was associated with the modulation of immune responses and induction and what appears to be migration of Foxp3(+) Tregs to the diseased gut. Probiotic-facilitated development of Tregs might play an important role in the prevention of NEC.

  17. Early Administration of Probiotics Alters Bacterial Colonization and Limits Diet-Induced Gut Dysfunction and Severity of Necrotizing Enterocolitis in Preterm Pigs

    DEFF Research Database (Denmark)

    Siggers, Richard H.; Siggers, Jayda; Boye, Mette

    2008-01-01

    Following preterm birth, bacterial colonization and interal formula feeding predispose neonates to gut dysfunction and necrotizing enterocilitis (NEC), a serious gastrointestinal inflammatory disease. We hypothesized that administration of probiotics would beneficially influence early bacterial...... colonization, thereby reducing the susceptibility to formula-induced gut atrophy, dysfunction, and NEC. Caesarean-delivered preterm pigs were provided total parenteral nutrition (1.5 d) followed by enteral feeding (2d) with porcine colosstrum (COLOS; n= 5), formula (FORM; n = 9), or formula with probiotics...

  18. Outgassing measurement of an LHC collimator and estimation for the NEG performances

    CERN Document Server

    Kamiya, Junichiro; Jimenez, J M; Bregliozzi, G

    2011-01-01

    The outgassing rate of the collimators in the Large Hadron Collider (LHC) at CERN has an important role for the life-time of the Non-Evaporable Getter (NEC), and an accurate analysis allows the definition of future activities, like NEC vacuum activation. For these reasons, both, total outgassing rate and gas composition of a secondary collimator have been measured in the laboratory. The outgassing rate decreases by about two orders of magnitude by after bake-out and moreover, repeated bake-out further reduced the outgassing rate. The gas transmission through the NEC coated beam pipes and the resulting pressure distributions near the collimator were also measured in a dedicated setup. It is found that the main gas component after just 2 m of NEC coated beam pipe is CH(4) due to the extreme pumping speed of NEC for the other gases. Large amount of outgassing for H(2) and carbon related molecules are released when moving the collimator jaws. It is found that the NEC is very effective even in such case with large...

  19. The Role of Immunonutrients in the Prevention of Necrotizing Enterocolitis in Preterm Very Low Birth Weight Infants

    Directory of Open Access Journals (Sweden)

    Ping Zhou

    2015-08-01

    Full Text Available Necrotizing enterocolitis (NEC is a critical intestinal emergency condition, which mainly occurs in preterm very low birth weight (PVLBW infants. Despite remarkable advances in the care of PVLBW infants, with considerable improvement of the survival rate in recent decades, the incidence of NEC and NEC-related mortality have not declined accordingly. The fast progression from nonspecific signs to extensive necrosis also makes primary prevention the first priority. Recently, increasing evidence has indicated the important role of several nutrients in primary prevention of NEC. Therefore, the aim of this review is to summarize some potential immunomodulatory nutrients in the prevention of NEC, including bovine colostrum, probiotics, prebiotics (e.g., human milk oligosaccharides, long chain polyunsaturated fatty acids, and amino acids (glutamine, cysteine and N-acetylcysteine, l-arginine and l-citrulline. Based on current research evidence, probiotics are the most documented effective method to prevent NEC, while others still require further investigation in animal studies and clinical randomized controlled trials.

  20. Necrotizing Enterocolitis: A dreadful condition of premature babies

    Directory of Open Access Journals (Sweden)

    Deepak sharma

    2014-12-01

    Full Text Available NEC is inflammatory necrosis of intestine with most common site being terminal ileum and ascending colon in preterm babies (1. The condition is typically seen in premature infants, and the timing of its onset is generally inversely proportional to the gestational age of the baby at birth, i.e. The earlier a baby is born, longer is the time of risk for NEC in premature babies. The incidence of NEC is inversely proportional to the gestational age and birth weight (2. Baby have initial symptoms which include feeding intolerance, increased gastric residuals, abdominal distension and bloody stools (3. The laboratory triad includes metabolic acidosis, hyponatremia and thrombocytopenia. Pneumatosis intestinalis is the pathognomonic radiological finding in the NEC. Modified Bell’s staging is used to stage the NEC. Treatment involves Nil per Oral, supportive care, antibiotics, surgery in advanced stages and parenteral nutrition (4,5. Complication of NEC includes mortality, prolonged NICU stay, intestinal strictures, enterocutaneous fistula, intra-abdominal abscess, cholestasis, and short-bowel syndrome (6,7, neurodevelopmental, motor, sensory, and cognitive problems (8,9.

  1. Necrotizing Enterocolitis in Full Term Neonates: Is There Always an Underlying Cause?

    Directory of Open Access Journals (Sweden)

    Olivier Abbo

    2013-06-01

    Full Text Available Objective: To review our experience with full-term neonates with necrotizing enterocolitis (NEC and to compare its characteristics to those published in the literature.Design: Retrospective review of all neonates born after 35 weeks of gestation managed in Reunion Island for NEC from 2000 to 2012.Results: Among the 217 diagnosed NEC, 27 patients (12.4% were full term neonates, who were born at a mean gestational age of 36.8 ±1.7 weeks. The mean onset of the disease was 12.1±11.2 days after birth. Twenty patients had underlying causes (15 organic pathologies of the child, 3 isolated maternal disease, and 2 infections; 7 had idiopathic NEC. Surgery was required in 12 patients (37.5% at 23.2±20 days after birth. NEC affected most of the time the colon (n=6 and the rectum (n=3. Overall survival rate was 88.8% (24/27. Two patients required partial non-enteral nutrition for1.3 and 2.1 years.Conclusions: NEC in full term neonates is a rare pathology. The onset of the disease in our experience was slightly later than described in the literature, but remains earlier than in the premature population. In some cases, no obvious cause can be found, suggesting a different pathogenesis. Further investigations are required in order to better understand this pathology. The goal will be to find measures to reduce global mortality.

  2. Linkage of congenital isolated adrenocorticotropic hormone deficiency to the corticotropin releasing hormone locus using simple sequence repeat polymorphisms

    Energy Technology Data Exchange (ETDEWEB)

    Kyllo, J.H.; Collins, M.M.; Vetter, K.L. [Univ. of Iowa College of Medicine, Iowa City, IA (United States)] [and others

    1996-03-29

    Genetic screening techniques using simple sequence repeat polymorphisms were applied to investigate the molecular nature of congenital isolated adrenocorticotropic hormone (ACTH) deficiency. We hypothesize that this rare cause of hypocortisolism shared by a brother and sister with two unaffected sibs and unaffected parents is inherited as an autosomal recessive single gene mutation. Genes involved in the hypothalamic-pituitary axis controlling cortisol sufficiency were investigated for a causal role in this disorder. Southern blotting showed no detectable mutations of the gene encoding pro-opiomelanocortin (POMC), the ACTH precursor. Other candidate genes subsequently considered were those encoding neuroendocrine convertase-1, and neuroendocrine convertase-2 (NEC-1, NEC-2), and corticotropin releasing hormone (CRH). Tests for linkage were performed using polymorphic di- and tetranucleotide simple sequence repeat markers flanking the reported map locations for POMC, NEC-1, NEC-2, and CRH. The chromosomal haplotypes determined by the markers flanking the loci for POMC, NEC-1, and NEC-2 were not compatible with linkage. However, 22 individual markers defining the chromosomal haplotypes flanking CRH were compatible with linkage of the disorder to the immediate area of this gene of chromosome 8. Based on these data, we hypothesize that the ACTH deficiency in this family is due to an abnormality of CRH gene structure or expression. These results illustrate the useful application of high density genetic maps constructed with simple sequence repeat markers for inclusion/exclusion studies of candidate genes in even very small nuclear families segregating for unusual phenotypes. 25 refs., 5 figs., 2 tabs.

  3. GADD45β Determines Chemoresistance and Invasive Growth of Side Population Cells of Human Embryonic Carcinoma

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    Toshihiko Inowa

    2010-01-01

    Full Text Available Side population (SP cells are an enriched population of stem, and the existence of SP cells has been reported in human cancer cell lines. In this study, we performed an SP analysis using 11 human cancer cell lines and confirmed the presence of SP cells in an embryonic carcinoma cell line, NEC8. NEC8 SP cells showed characteristics of cancer stem cells, such as high growth rate, chemoresistance and high invasiveness. To further characterize the NEC8 SP cells, we used DNA microarrays. Among 38,500 genes, we identified 12 genes that were over-expressed in SP cells and 1 gene that was over-expressed in non-SP cells. Among these 13 genes, we focused on GADD45b. GADD45b was over-expressed in non-SP cells, but the inhibition of GADD45b had no effect on non-SP cells. Paradoxically, the inhibition of GADD45b significantly reduced the viability of NEC8 SP cells. The inhibition of ABCG2, which determines the SP phenotype, had no effect on the invasiveness of NEC8 SP cells, but the inhibition of GADD45b significantly reduced invasiveness. These results suggest that GADD45b, but not ABCG2, might determine the cancer stem cell-like phenotype, such as chemoresistance and the high invasiveness of NEC8 SP cells, and might be a good therapeutic target.

  4. Study of a conceptual nuclear energy center at Green River, Utah. Final summary report

    Energy Technology Data Exchange (ETDEWEB)

    Williams, J.T. (ed.)

    1982-09-01

    This document summarizes a conceptual study on the feasibility and practicality of developing a nuclear energy center (NEC) at a representative Western site. The site selected for this conceptual study, an area of about 50 square miles, is located 15 miles south of Green River, Utah. The conceptual NEC would consist of nine nuclear electric generating units, arranged on the site in three clusters of three reactors each (triads), separated by about 2 1/2 miles. Of the total electric output of 11,250 MWe that the NEC could produce, about 82% is assumed to be transmitted out of Utah to Colorado, New Mexico, Arizona, Nevada, and California. The technical engineering issues studied included geology and seismology, plant design, low-level radioactive waste disposal, transmission, and construction schedules and costs. Socioeconomic issues included were demographics, land use, community service needs, and fiscal impacts. Environmental considerations included terrestrial and aquatic ecology, visual impact, and secondary population impacts. Radiological issues were concerned with the safety and risks of an NEC and an on-site low-level waste facility. Institutional issues included methods of ownership, taxation, implications of energy export, and water allocation. The basic finding was that an NEC would be technically feasible, but a number of socioeconomic and institutional issues would require resolution before a Western regional NEC could be considered a viable power plant siting option.

  5. Isolated tumor endothelial cells maintain specific character during long-term culture

    Energy Technology Data Exchange (ETDEWEB)

    Matsuda, Kohei [Vascular Biology, Hokkaido University Graduate School of Dental Medicine, N13 W7, Kita-ku, Sapporo 060-8586 (Japan); Oral Pathology and Biology, Hokkaido University Graduate School of Dental Medicine, N13 W7, Kita-ku, Sapporo 060-8586 (Japan); Oral and Maxillofacial Surgery, Hokkaido University Graduate School of Dental Medicine, N13 W7, Kita-ku, Sapporo 060-8586 (Japan); Ohga, Noritaka [Vascular Biology, Hokkaido University Graduate School of Dental Medicine, N13 W7, Kita-ku, Sapporo 060-8586 (Japan); Hida, Yasuhiro [Surgical Oncology, Hokkaido University Graduate School of Medicine, N13 W7, Kita-ku, Sapporo 060-8586 (Japan); Muraki, Chikara [Oral Pathology and Biology, Hokkaido University Graduate School of Dental Medicine, N13 W7, Kita-ku, Sapporo 060-8586 (Japan); Oral and Maxillofacial Surgery, Hokkaido University Graduate School of Dental Medicine, N13 W7, Kita-ku, Sapporo 060-8586 (Japan); Tsuchiya, Kunihiko [Vascular Biology, Hokkaido University Graduate School of Dental Medicine, N13 W7, Kita-ku, Sapporo 060-8586 (Japan); Renal and Genitourinary Surgery, Hokkaido University Graduate School of Medicine, N13 W7, Kita-ku, Sapporo 060-8586 (Japan); Kurosu, Takuro [Vascular Biology, Hokkaido University Graduate School of Dental Medicine, N13 W7, Kita-ku, Sapporo 060-8586 (Japan); Oral Pathology and Biology, Hokkaido University Graduate School of Dental Medicine, N13 W7, Kita-ku, Sapporo 060-8586 (Japan); Oral and Maxillofacial Surgery, Hokkaido University Graduate School of Dental Medicine, N13 W7, Kita-ku, Sapporo 060-8586 (Japan); Akino, Tomoshige [Vascular Biology, Hokkaido University Graduate School of Dental Medicine, N13 W7, Kita-ku, Sapporo 060-8586 (Japan); Renal and Genitourinary Surgery, Hokkaido University Graduate School of Medicine, N13 W7, Kita-ku, Sapporo 060-8586 (Japan); Shih, Shou-Ching [Pathology, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215 (United States); and others

    2010-04-16

    Tumor angiogenesis is necessary for solid tumor progression and metastasis. Increasing evidence indicates that tumor endothelial cells (TECs) are more relevant to the study of tumor angiogenesis than normal endothelial cells (NECs) because their morphologies and gene expression are different from NECs. However, it is challenging to isolate and culture large numbers of pure ECs from tumor tissue since the percentage of ECs is only about 1-2% and tumor cells and fibroblasts easily overgrow them. In addition, there has been concern that isolated TECs may lose their special phenotype once they are dissociated from tumor cells. In this study, we have successfully purified murine TECs from four different human tumor xenografts and NECs from murine dermal tissue. Isolated ECs expressed endothelial markers, such as CD31, VE-cadherin (CD144), and endoglin (CD105), for more than 3 months after isolation. TECs maintained tumor endothelial-specific markers, such as tumor endothelial marker 8 (TEM8) and aminopeptidase N (APN), as in tumor blood vessels in vivo. In addition, TECs were more proliferative and motile than NECs. TECs showed a higher response to VEGF and higher expression of VEGF receptors-1 and -2 than NECs did. Stem cell antigen-1 was up-regulated in all four TECs, suggesting that they have a kind of stemness. Cultured TECs maintain distinct biological differences from NECs as in vivo. In conclusion, it was suggested that TECs are relevant material for tumor angiogenesis research.

  6. Recombinant Human Trefoil Factor 3 Ameliorates Bowel Injury: Its Anti-Inflammatory Effect on Experimental Necrotizing Enterocolitis

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    Lei Shi

    2014-01-01

    Full Text Available Aim. Recombinant human trefoil factor 3 (intestinal trefoil factor has been suggested to be partially protective against necrotizing enterocolitis (NEC, but the mechanisms of this protection have not been defined. We investigated whether the protective effects of rhTFF3 are the result of an anti-inflammatory response. Methods. The rats were killed on day 4, the distal ileum was harvested for morphological studies and immunohistochemistry for NF-κB (p65, and the amounts of IL-1β, IL-6, and IL-10 in the intestinal tissue were measured using commercial ELISA assay kits. Results. In the neonatal NEC, IL-1β, IL-6, and IL-10 were significantly higher than in normal group. In normal group, IL-1β and IL-6 were significantly decreased, and the amount of IL-10 was markedly increased compared with NEC group. In the NEC model, immunohistochemical staining for NF-κB (p65 was demonstrated to be of a strong brown color and was distributed in the intestinal epithelium. Treatment with rhTFF3 significantly decreased the immunoreactivity of NF-κB (p65 in the NEC model. Conclusions. Intestinal inflammation was ameliorated after rhTFF3 was injected. rhTFF3 may protect against the intestinal injury of the neonatal rat NEC model by suppression of the inflammatory response.

  7. DNA methylation in nasal epithelial cells from smokers: identification of ULBP3-related effects.

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    Rager, Julia E; Bauer, Rebecca N; Müller, Loretta L; Smeester, Lisa; Carson, Johnny L; Brighton, Luisa E; Fry, Rebecca C; Jaspers, Ilona

    2013-09-15

    We previously demonstrated that, in nasal epithelial cells (NECs) from smokers, methylation of an antiviral gene was associated with impaired antiviral defense responses. To expand these findings and better understand biological mechanisms underlying cigarette smoke (CS)-induced modifications of host defense responses, we aimed to compare DNA methylation of genes that may play a role in antiviral response. We used a two-tiered analytical approach, where we first implemented a genome-wide strategy. NECs from smokers differed in the methylation levels of 390 genes, the majority (84%) of which showed decreased methylation in smokers. Secondly, we generated an a priori set of 161 antiviral response-related genes, of which five were differentially methylated in NEC from smokers (CCL2, FDPS, GSK3B, SOCS3, and ULBP3). Assessing these genes at the systems biology level revealed a protein interaction network associated with CS-induced epigenetic modifications involving SOCS3 and ULBP3 signaling, among others. Subsequent confirmation studies focused on SOCS3 and ULBP3, which were hypomethylated and hypermethylated, respectively. Expression of SOCS3 was increased, whereas ULBP3 expression was decreased in NECs from smokers. Addition of the demethylating agent 5-Aza-2-deoxycytidine enhanced ULBP3 expression in NECs from smokers. Furthermore, infection of differentiated NECs with influenza virus resulted in significantly lower levels of ULBP3 in cells from smokers. Taken together, our findings show that genomic DNA methylation profiles are altered in NECs from smokers and that these changes are associated with decreased antiviral host defense responses, indicating that epigenenic dysregulation of genes such as SOCS3 and ULBP3 likely impacts immune responses in the epithelium.

  8. Expression of prostate-specific membrane antigen in lung cancer cells and tumor neovasculature endothelial cells and its clinical significance.

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    Hai-long Wang

    Full Text Available Prostate-specific membrane antigen (PSMA has been found in tumor neovasculature endothelial cells (NECs of non-prostate cancers and may become the most promising target for anti-tumor therapy. To study the value of PSMA as a potential new target for lung cancer treatment, PSMA expression in non-small cell lung cancer (NSCLC and small cell lung cancer (SCLC tissues and its relationship with clinicopathology were investigated in the current study.Immunohistochemistry was used to detect PSMA expression in a total of 150 lung specimens of patients with lung cancer. The data were analyzed using univariate and multivariate statistical analyses.The percentages of NSCLC patients who had PSMA (+ tumor cells and PSMA (+ NECs were 54.02% and 85.06%, respectively. The percentage of patients younger than 60 years old who had PSMA (+ tumor cells was 69.05%, which was significantly greater than the percentage of patients aged 60 years or older (40.00%, p<0.05. A significant difference was observed in the percentage of NSCLC patients with PMSA (+ NECs and stage I or II cancer (92.98% and those patients with stage III or IV cancer (76.77%. In the SCLC tissues, NEC PSMA expression (70.00% did not differ significantly from NSCLC. SCLC tumor cells and normal lung tissues cells were all negative. There was no significant correlation between the presence of PSMA (+ NECs in SCLC patients and the observed clinicopathological parameters.PSMA is expressed not only in NECs of NSCLC and SCLC but also in tumor cells of most NSCLC patients. The presence of PSMA (+ tumor cells and PSMA (+ NECs in NSCLC was negatively correlated with age and the clinicopathological stage of the patients, respectively.

  9. Abnormal Doppler flow velocimetry in the growth restricted foetus as a predictor for necrotising enterocolitis.

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    Bhatt A

    2002-07-01

    Full Text Available BACKGROUND: Obstetric decision- making for the growth restricted foetus has to take into consideration the benefits and risks of waiting for pulmonary maturity and continued exposure to hostile intra-uterine environment. Necrotising Enterocolitis (NEC results from continued exposure to hostile environment and is an important cause of poor neonatal outcome. AIMS: To evaluate the predictive value of abnormal Doppler flow velocimetry of the foetal umbilical artery for NEC and neonatal mortality. SETTINGS AND DESIGN: A retrospective study carried out at a tertiary care centre for obstetric and neonatal care. MATERIALS AND METHOD: Seventy-seven neonates with birth weight less than 2000 gm, born over a period of 18 months were studied. These pregnancies were identified as having growth abnormalities of the foetus. Besides other tests of foetal well-being, they were also subjected to Doppler flow velocimetry of the foeto-placental vasculature. Obstetric outcome was evaluated with reference to period of gestation and route of delivery. The neonatal outcome was reviewed with reference to birth weight, Apgar scores and evidence of NEC. STATISTICAL ANALYSIS USED: Chi square test. RESULTS: In the group of patients with Absent or Reverse End Diastolic Frequencies (A/R EDF in the umbilical arteries, positive predictive value for NEC was 52.6%, (RR 30.2; OR 264. The mortality from NEC was 50%. When umbilical artery velocimetry did not show A/REDF, there were no cases of NEC or mortality. Abnormal umbilical or uterine artery flow increased the rate of caesarean section to 62.5% as compared to 17.6% in cases where umbilical artery flow was normal. CONCLUSION: In antenatally identified pregnancies at risk for foetal growth restriction, abnormal Doppler velocimetry in the form of A/REDF in the umbilical arteries is a useful guide to predict NEC and mortality in the early neonatal period.

  10. Surgical Findings in Transfusion-Associated Necrotizing Enterocolitis.

    Science.gov (United States)

    Couselo, Miguel; Fonseca, Rosa; Mangas, Lucía; Vila, Juan José

    2016-06-01

    Introduction The extent of intestinal damage in transfusion-associated necrotizing enterocolitis (TNEC) has been scarcely studied. The aim of this investigation was to study surgical findings in TNEC and determine their severity considering the extent of the disease and risk of bowel perforation. Materials and Methods Neonates who required surgical treatment for necrotizing enterocolitis (NEC) were studied retrospectively. Patients who developed NEC within 48 hours after a red blood cell transfusion (RBCT) formed group TR48 and patients who did not receive a RBCT 48 hours before the diagnosis of NEC became group CN (conventional NEC). Both groups were compared: main outcomes were the extent of the disease (isolated, multifocal, or panintestinal), the existence of perforated NEC, and mortality. Categorical variables were analyzed with the chi-square test and continuous variables with the Mann-Whitney u-test. The relationship between RBCTs 48 hours before the diagnosis and the extent of intestinal disease was evaluated by ordinal logistic regression. Results Forty-seven patients were included in the study: 16 patients in TR48 and 31 in CN. The odds ratio of multifocal or panintestinal NEC for patients in TR48 was 0.5 (95% CI: 0.148-1.68). Neonates in TR48 had a relative risk (RR) of perforated NEC of 1.2 (95% CI: 0.76-1.85). The RR of death was 1.55 (95% CI: 0.76-3.14) in group TR48. Conclusion No differences in surgical findings between TR48 and CN could be demonstrated in this investigation; therefore, the hypothesis that intestinal damage might be more severe in TNEC was not confirmed. Georg Thieme Verlag KG Stuttgart · New York.

  11. Cytotoxic Effects of GM1 Ganglioside and Amyloid β-Peptide on Mouse Embryonic Neural Stem Cells

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    Makoto Yanagisawa

    2010-01-01

    Full Text Available AD (Alzheimer's disease is a neurodegenerative disease and the most common form of dementia. One of the pathological hallmarks of AD is the aggregation of extracellular Aβs (amyloid β-peptides in senile plaques in the brain. The process could be initiated by seeding provided by an interaction between GM1 ganglioside and Aβs. Several reports have documented the bifunctional roles of Aβs in NSCs (neural stem cells, but the precise effects of GM1 and Aβ on NSCs have not yet been clarified. We evaluated the effect of GM1 and Aβ-(1–40 on mouse NECs (neuroepithelial cells, which are known to be rich in NSCs. No change of cell number was detected in NECs cultured in the presence of either GM1 or Aβ-(1–40. On the contrary, a decreased number of NECs were cultured in the presence of a combination of GM1 and Aβ-(1–40. The exogenously added GM1 and Aβ-(1–40 were confirmed to incorporate into NECs. The Ras–MAPK (mitogen-activated protein kinase pathway, important for cell proliferation, was intact in NECs simultaneously treated with GM1 and Aβ-(1–40, but caspase 3 was activated. NECs treated with GM1 and Aβ-(1–40 were positive in the TUNEL (terminal deoxynucleotidyl transferase-mediated dUTP nick-end labelling assay, an indicator of cell death. It was found that GM1 and Aβ-(1–40 interacted in the presence of cholesterol and sphingomyelin, components of cell surface microdomains. The cytotoxic effect was found also in NSCs prepared via neurospheres. These results indicate that Aβ-(1–40 and GM1 co-operatively exert a cytotoxic effect on NSCs, likely via incorporation into NEC membranes, where they form a complex for the activation of cell death signalling.

  12. [Reduction in necrotising enterocolitis after implementing an evidence-based enteral nutrition protocol in very low birth weight newborns].

    Science.gov (United States)

    Sánchez-Tamayo, Tomás; Espinosa Fernández, María Gracia; Affumicato, Laura; González López, María; Fernández Romero, Verónica; Moreno Algarra, María Concepción; Salguero García, Enrique

    2016-12-01

    An unexpected increase in the incidence of necrotising enterocolitis (NEC) cases was observed in our hospital. Just in case, our feeding policy could be responsible, it was decided to conduct a systematic review and develop a clinical guideline regarding enteral nutrition of very low birth weight infants (VLBW). To assess the impact of the new feeding protocol in the incidence of NEC. A "before" (2011) and "after" (May 2012 - April 2013) study was performed on the new feeding protocol. This included initiation of enteral feeding in the absence of haemodynamic problems, a trophic feeding period of 5-7 days, and subsequent increments of 20-30ml/kg/day, of breast milk/donor human milk from the beginning. Probiotics were not administered. incidence of NEC II 2 Bell's stage. focal intestinal perforation, overall mortality and mortality due to NEC, nosocomial sepsis; weight at 28 days and 36 weeks; % of infants with weight NEC significantly decreased (12/155 vs 1/115, P=.008). A decrease in mortality rate was also observed (17.4% vs 7.8%, P=.02). In four cases NEC was part of the sequence of events that led to death in the first cohort, with none in the second. There was no difference in the incidence of focal intestinal perforation or of the other secondary variables analysed. Implementation of an evidence-based enteral feeding protocol leads to a decrease in incidence of NEC, without increasing hospital stay or the incidence of sepsis. Copyright © 2016 Asociación Española de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

  13. Using a Mathematical Model to Analyze the Role of Probiotics and Inflammation in Necrotizing Enterocolitis

    Science.gov (United States)

    Arciero, Julia C.; Ermentrout, G. Bard; Upperman, Jeffrey S.; Vodovotz, Yoram; Rubin, Jonathan E.

    2010-01-01

    Background Necrotizing enterocolitis (NEC) is a severe disease of the gastrointestinal tract of pre-term babies and is thought to be related to the physiological immaturity of the intestine and altered levels of normal flora in the gut. Understanding the factors that contribute to the pathology of NEC may lead to the development of treatment strategies aimed at re-establishing the integrity of the epithelial wall and preventing the propagation of inflammation in NEC. Several studies have shown a reduced incidence and severity of NEC in neonates treated with probiotics (beneficial bacteria species). Methodology/Principal Findings The objective of this study is to use a mathematical model to predict the conditions under which probiotics may be successful in promoting the health of infants suffering from NEC. An ordinary differential equation model is developed that tracks the populations of pathogenic and probiotic bacteria in the intestinal lumen and in the blood/tissue region. The permeability of the intestinal epithelial layer is treated as a variable, and the role of the inflammatory response is included. The model predicts that in the presence of probiotics health is restored in many cases that would have been otherwise pathogenic. The timing of probiotic administration is also shown to determine whether or not health is restored. Finally, the model predicts that probiotics may be harmful to the NEC patient under very specific conditions, perhaps explaining the detrimental effects of probiotics observed in some clinical studies. Conclusions/Significance The reduced, experimentally motivated mathematical model that we have developed suggests how a certain general set of characteristics of probiotics can lead to beneficial or detrimental outcomes for infants suffering from NEC, depending on the influences of probiotics on defined features of the inflammatory response. PMID:20419099

  14. Synergistic protection of combined probiotic conditioned media against neonatal necrotizing enterocolitis-like intestinal injury.

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    Sheng-Ru Shiou

    Full Text Available Balance among the complex interactions of the gut microbial community is important for intestinal health. Probiotic bacteria can improve bacterial balance and have been used to treat gastrointestinal diseases. Neonatal necrotizing enterocolitis (NEC is a life-threatening inflammatory bowel disorder primarily affecting premature infants. NEC is associated with extensive inflammatory NF-κB signaling activation as well as intestinal barrier disruption. Clinical studies have shown that probiotic administration may protect against NEC, however there are safety concerns associated with the ingestion of large bacterial loads in preterm infants. Bacteria-free conditioned media (CM from certain probiotic organisms have been shown to retain bioactivity including anti-inflammatory and cytoprotective properties without the risks of live organisms. We hypothesized that the CM from Lactobacillus acidophilus (La, Bifidobacterium infantis (Bi, and Lactobacillus plantarum (Lp, used separately or together would protect against NEC. A rodent model with intestinal injury similar to NEC was used to study the effect of CM from Lp, La/Bi, and La/Bi/Lp on the pathophysiology of NEC. All the CM suppressed NF-κB activation via preserved IκBα expression and this protected IκBα was associated with decreased liver activity of the proteasome, which is the degrading machinery for IκBα. These CM effects also caused decreases in intestinal production of the pro-inflammatory cytokine TNF-α, a downstream target of the NF-κB pathway. Combined La/Bi and La/Bi/Lp CM in addition protected intestinal barrier function by maintaining tight junction protein ZO-1 levels and localization at the tight junction. Double combined La/Bi CM significantly reduced intestinal injury incidence from 43% to 28% and triple combined La/Bi/Lp CM further reduced intestinal injury incidence to 20%. Thus, this study demonstrates different protective mechanisms and synergistic bioactivity of the CM

  15. Multiple strains probiotics appear to be the most effective probiotics in the prevention of necrotizing enterocolitis and mortality: An updated meta-analysis.

    Science.gov (United States)

    Chang, Hung-Yang; Chen, Jin-Hua; Chang, Jui-Hsing; Lin, Hung-Chih; Lin, Chien-Yu; Peng, Chun-Chih

    2017-01-01

    Some oral probiotics have been shown to prevent necrotizing enterocolitis (NEC) and decrease mortality effectively in preterm very low birth weight (PVLBW) infants. However, it is unclear whether a single probiotic or a mixture of probiotics is most effective for the prevention of NEC. A meta-analysis was conducted by reviewing the most up to date literature to investigate whether multiple strains probiotics are more effective than a single strain in reducing NEC and death in PVLBW infants. Relevant studies were identified by searches of the MEDLINE, EMBASE, and Cochrane CENTRAL databases, from 2001 to 2016. The inclusion criteria were randomized controlled trials of any enteral probiotic supplementation that was initiated within the first 7 days and continued for at least 14 days in preterm infants (≤ 34 weeks' gestation) and/or those of a birth weight ≤1500 g. A total of 25 trials (n = 7345 infants) were eligible for inclusion in the meta-analysis using a fixed-effects model. Multiple strains probiotics were associated with a marked reduction in the incidence of NEC, with a pooled OR of 0.36 (95% CI, 0.24-0.53; P probiotic using Lactobacillus species had a borderline effect in reducing NEC (OR of 0.60; 95% CI 0.36-1.0; P = .05), but not mortality. Multiple strains probiotics had a greater effectiveness in reducing mortality and were associated with a pooled OR of 0.58 (95% CI, 0.43-0.79; P = .0006). Trials using single strain of Bifidobacterium species and Saccharomyces boulardii did not reveal any beneficial effects in terms of reducing NEC or mortality. This updated report found that multiple strains probiotics appear to be the most feasible and effective strategy for the prevention of NEC and reduction of mortality in PVLBW neonates. Further clinical trials should focus on which probiotic combinations are most effective.

  16. Effect of erythropoietin on intestinal injury and bacterial translocation in neonatal rat model of necrotizing enterocolitis

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    Xiao-qing CHEN

    2012-05-01

    Full Text Available Objective  To observe the influence of erythropoietin (EPO on intestinal histopathological changes and bacterial translocation (BT in neonatal rat model of necrotizing enterocolitis (NEC, and explore the protective effect of EPO against NEC. Methods  Seventy-five three-day-old SD rat pups were randomly divided into three groups (25 in each group: normal control group, NEC model group and EPO intervention group. The rat pups in normal control group were placed together with their mothers and breast fed, receiving no other intervention. NEC model group rats were separated from their mothers, housed in an incubator, and gavaged with rat-milk substitute, then experienced hypoxia (breathing 100% nitrogen gas for 90s and cold stress (4℃ for 10min three times daily for 3 days. EPO intervention group rats were fed with the substitute of rat-milk supplemented with 0.1U/ml of EPO, and they were also given hypoxia and cold stress similar to that of the NEC model group. Blood samples were obtained via cardiac puncture, and 2-cm-length of terminal ileum proximal to the ileocecal valve were obtained from the animals on the 4th day. The histopathological changes in terminal ileum were scored after hematoxylin-eosin (HE staining, and the scores ≥2 were defined as NEC. To determine the incidence of bacterial translocation, 16S rRNA real-time fluorescence quantitative PCR was used to detect the bacterial DNA in blood samples. Results  Compared with the NEC model group, the mean rank-sum rate of the intestinal histopathological score (39.4583 vs 53.8696, NEC incidence [25%(6/24 vs 57%(13/23] and bacterial translocation rate [17% (4/24 vs 65%(15/23] in EPO intervention group were significantly lowered (P < 0.05, P < 0.01. Conclusion  Enteral EPO administration is not only effective for reduction of the severity and incidence of NEC, but also for decrease of the bacterial translocation rate in neonatal rat models.

  17. 铸瓷贴面在前牙美容修复中的临床效果观察%Observation on the effect of ceramic faced in the repair of anterior teeth beauty

    Institute of Scientific and Technical Information of China (English)

    陈艳青

    2013-01-01

    Objective To study the clinical effect of ceramic cover anterior on teeth beauty.Methods 138 teeth in 34 patients with dental fluorosis were divided into two groups,the control group (69 teeth in 16 patients) was given traditional PFM cover repair,the treatment group (69 teeth in 18 patients) was given ceramic cover,they were followed up for three years.The teeth remaining rate and patient satisfaction were compared,the match color,edge fit,healthy gums,restoration integrity were compared according to the Ryge standard.Results Teeth remaining rate in treatment group was 95.7%,which was significantly higher than control group (P < 0.05).The patient satisfaction was 94.4% in treatment group and 87.5% in the control group,the difference was significant (P < 0.05).The match color,edge coloring,healthy gums and teeth sensitivity were not different between the two groups (P > 0.05).The restoration integrity and marginal fit of treatment group was better than control group (P < 0.05).Conclusion The clinical effect of ceramic faced in the anterior teeth beauty repair,especially in the repair of dental fluorosis is remarkable,and the remaining teeth rate higher,repair,dental restoration integrity and marginal fit is significantly better than that of resin repair,patient satisfaction is higher,the water area from non-beryl popularization and application.%目的 研究铸瓷贴面在前牙美容修复中的临床效果.方法 将34例(138牙)氟斑牙患者随机分为两组,对照组16例(69牙)采用传统烤瓷贴面修复,治疗组18例(69牙)采用铸瓷贴面技术进行修复,随访3年,记录并比较两组患者的牙齿存留率及患者满意度,并采用改良Ryge标准对两组患者牙齿的颜色匹配、边缘密合度、牙龈健康、修复体完整度等指标进行评价.结果 3年后治疗组患者牙齿存留率为95.7%,明显高于对照组的89.9%,差异有统计学意义(P<0.05);治疗组患者满意度为94.4%,对照组为87

  18. Optimization of injection dose based on noise-equivalent count rate with use of an anthropomorphic pelvis phantom in three-dimensional 18F-FDG PET/CT.

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    Inoue, Kazumasa; Kurosawa, Hideo; Tanaka, Takashi; Fukushi, Masahiro; Moriyama, Noriyuki; Fujii, Hirofumi

    2012-07-01

    The optimal injection dose for imaging of the pelvic region in 3D FDG PET tests was investigated based on the noise-equivalent count (NEC) rate with use of an anthropomorphic pelvis phantom. Count rates obtained from an anthropomorphic pelvis phantom were compared with those of pelvic images of 60 patients. The correlation between single photon count rates obtained from the pelvic regions of patients and the doses per body weight was also evaluated. The radioactivity at the maximum NEC rate was defined as an optimal injection dose, and the optimal injection dose for the body weight was evaluated. The image noise of a phantom was also investigated. Count rates obtained from an anthropomorphic pelvis phantom corresponded well with those from the human pelvis. The single photon count rate obtained from the phantom was 9.9 Mcps at the peak NEC rate. The coefficient of correlation between the single photon count rate and the dose per weight obtained from patient data was 0.830. The optimal injection doses for a patient with weighing 60 kg were estimated to be 375 MBq (6.25 MBq/kg) and 435 MBq (7.25 MBq/kg) for uptake periods of 60 and 90 min, respectively. The image noise was minimal at the peak NEC rate. We successfully estimated the optimal injection dose based on the NEC rate in the pelvic region on 3D FDG PET tests using an anthropomorphic pelvis phantom.

  19. Advanced Gastric Neuroendocrine Carcinoma with an Adenocarcinoma Component

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    Masashi Miguchi

    2012-01-01

    Full Text Available In the present study, we observed that the adenocarcinoma component in the mucosa was continuous with neuroendocrine carcinoma (NEC in the deeper layers; this suggests the normal course of NEC carcinogenesis at the histological level. A 72-year-old man was admitted to our hospital with a chief complaint of tarry stools. Endoscopic examination of the upper gastrointestinal tract revealed a 2-cm tumor, with a deep central depression, surrounded by a smooth elevated area, in the middle of the stomach body. A biopsy showed that the tumor was a moderately differentiated gastric adenocarcinoma. The patient underwent total gastrectomy and standard lymph node dissection. The resected tumor was a 3.5 × 2.5 cm type 2 lesion. It comprised two elements at the histological level: (i a moderately differentiated adenocarcinoma in the superficial portion of the mucous membrane layer, and (ii NEC-like cells with dark, round nuclei and scant cytoplasm, presenting a solid and trabecular pattern, in the submucosal and muscularis propria layers. Immunohistochemical findings showed that the NEC-like cells were diffusely positive for chromogranin A, synaptophysin, neural cell adhesion molecule, and neuron-specific enolase, but were negative for carcinoembryonic antigen. The Ki-67 labeling index was 95%. The final pathological diagnosis was gastric NEC with an adenocarcinoma component and a high cellular proliferative potential.

  20. Conservative Management of Pneumoperitoneum in Necrotising Enterocolitis- Is it Possible?

    Directory of Open Access Journals (Sweden)

    Anand Pandey

    2016-03-01

    Full Text Available Introduction: Necrotizing enterocolitis (NEC is a common in neonatal intensive care unit (NICU patients; especially in premature and low birth weight ones. Surgery is indicated when there is pneumoperitoneum. Other therapies include conservative observation or primary peritoneal drain (PPD. This study was conceived to evaluate peritoneal tapping, rather than primary peritoneal drain (PPD as a treatment of NEC. Material and Methods- This prospective observational study conducted from December 2012 to December 2014 and including all patients of NEC having pneumoperitoneum on X-ray. Results- There were 12 patients of NEC. Seven patients responded to single peritoneal tapping. Three patients needed one more tapping. Laparotomy was required in remaining two patients. One patient, who underwent laparotomy, expired due to severe sepsis. The mean duration of follow up was 4.83 months (range 2 to 8. Conclusion- Peritoneal tapping in NEC who develops pneumoperitoneum appears to be a viable option. Further studies in this regard may substantiate this mode of therapy.

  1. A cluster of necrotizing enterocolitis in neonatal intensive care unit of one of the hospitals in Salerno, Italy

    Directory of Open Access Journals (Sweden)

    Maria Grazia Panico

    2014-12-01

    Full Text Available From January to May 2012, a cluster of 12 cases of necrotizing enterocolitis (NEC occurred in the Neonatal Intensive Care Unit of one of the Hospitals in Salerno, Italy. Six of twelve infants developed severe NEC (stage II – III. All cases, but one, were preterm of less than 37 week gestation (91.7%; five cases (41.7% had a very low birth weight (VLBW less than 1,500 g and five between 1500 g and 2500 g (Low birth weight - LBW. The main risk factors associated with NEC was central venous line. Klebsiella pneumoniae was isolated from the clinical samples of 10 cases, of which 9 (90% were extended-spectrum β-lactamase (ESβL producers. K. pneumoniae were also isolated from various sites of environmental samples, suggesting the causal role of this pathogen in the development of NEC in addition to other risk factors.We describe an outbreak of NEC in a tertiary care neonatal unit, along with the case-control study performed and microbiological investigation to identify noninfectious and infectious risk factors potentially involved in the outbreak.

  2. Low-cost ultrasonic distance sensor arrays with networked error correction.

    Science.gov (United States)

    Dai, Hongjun; Zhao, Shulin; Jia, Zhiping; Chen, Tianzhou

    2013-09-05

    Distance has been one of the basic factors in manufacturing and control fields, and ultrasonic distance sensors have been widely used as a low-cost measuring tool. However, the propagation of ultrasonic waves is greatly affected by environmental factors such as temperature, humidity and atmospheric pressure. In order to solve the problem of inaccurate measurement, which is significant within industry, this paper presents a novel ultrasonic distance sensor model using networked error correction (NEC) trained on experimental data. This is more accurate than other existing approaches because it uses information from indirect association with neighboring sensors, which has not been considered before. The NEC technique, focusing on optimization of the relationship of the topological structure of sensor arrays, is implemented for the compensation of erroneous measurements caused by the environment. We apply the maximum likelihood method to determine the optimal fusion data set and use a neighbor discovery algorithm to identify neighbor nodes at the top speed. Furthermore, we adopt the NEC optimization algorithm, which takes full advantage of the correlation coefficients for neighbor sensors. The experimental results demonstrate that the ranging errors of the NEC system are within 2.20%; furthermore, the mean absolute percentage error is reduced to 0.01% after three iterations of this method, which means that the proposed method performs extremely well. The optimized method of distance measurement we propose, with the capability of NEC, would bring a significant advantage for intelligent industrial automation.

  3. Assessing the characteristics of extreme precipitation over northeast China using the multifractal detrended fluctuation analysis

    Science.gov (United States)

    Du, Haibo; Wu, Zhengfang; Zong, Shengwei; Meng, Xiangjun; Wang, Lei

    2013-06-01

    Extreme climate events have inflicted severe and adverse effects on human life, social economy, and natural ecosystems. In this study, the precipitation time series from a network of 90 weather stations in Northeast China (NEC) and for the period of 1961-2009 are used. An objective method, the multifractal detrended fluctuation analysis method, is applied to determine the thresholds of extreme events. Notable occurrence frequency and strong intensity of extreme precipitation (EP) mainly occur in Liaoning Province and the piedmont regions in Changbai Mountains and Xiao Hinggan Mountains. Generally, EP frequency shows a nonsignificant negative trend, whereas EP intensity has a weak and nonsignificant positive trend for the entire NEC in the period of 1961-2009. To assess EP severity, we propose an EP severity index (EPSI) combining both EP frequency and intensity, rather than separately analyze the EP frequency or intensity. Spatial gradients of EPSI are observed in northeast-southwest and northwest-southeast directions over NEC. The EPSI in northwestern and southeastern NEC are low (0.02-0.3), whereas high EPSI (0.34-0.83) occurs in the southwestern and northeastern portions of the region. Higher EPSI (0.4-0.83) occurs in southern Liaoning Province, which decreases along the southwest-northeast direction. The spatial patterns of EPSI are associated with the circulation over East Asia. Areas that have a short distance from sea and that locate in the windward slope of mountain will probably accompany high EP severity over NEC.

  4. Low-Cost Ultrasonic Distance Sensor Arrays with Networked Error Correction

    Directory of Open Access Journals (Sweden)

    Tianzhou Chen

    2013-09-01

    Full Text Available Distance has been one of the basic factors in manufacturing and control fields, and ultrasonic distance sensors have been widely used as a low-cost measuring tool. However, the propagation of ultrasonic waves is greatly affected by environmental factors such as temperature, humidity and atmospheric pressure. In order to solve the problem of inaccurate measurement, which is significant within industry, this paper presents a novel ultrasonic distance sensor model using networked error correction (NEC trained on experimental data. This is more accurate than other existing approaches because it uses information from indirect association with neighboring sensors, which has not been considered before. The NEC technique, focusing on optimization of the relationship of the topological structure of sensor arrays, is implemented for the compensation of erroneous measurements caused by the environment. We apply the maximum likelihood method to determine the optimal fusion data set and use a neighbor discovery algorithm to identify neighbor nodes at the top speed. Furthermore, we adopt the NEC optimization algorithm, which takes full advantage of the correlation coefficients for neighbor sensors. The experimental results demonstrate that the ranging errors of the NEC system are within 2.20%; furthermore, the mean absolute percentage error is reduced to 0.01% after three iterations of this method, which means that the proposed method performs extremely well. The optimized method of distance measurement we propose, with the capability of NEC, would bring a significant advantage for intelligent industrial automation.

  5. Metagenomic Sequencing with Strain-Level Resolution Implicates Uropathogenic E. coli in Necrotizing Enterocolitis and Mortality in Preterm Infants

    Directory of Open Access Journals (Sweden)

    Doyle V. Ward

    2016-03-01

    Full Text Available Necrotizing enterocolitis (NEC afflicts approximately 10% of extremely preterm infants with high fatality. Inappropriate bacterial colonization with Enterobacteriaceae is implicated, but no specific pathogen has been identified. We identify uropathogenic E. coli (UPEC colonization as a significant risk factor for the development of NEC and subsequent mortality. We describe a large-scale deep shotgun metagenomic sequence analysis of the early intestinal microbiome of 144 preterm and 22 term infants. Using a pan-genomic approach to functionally subtype the E. coli, we identify genes associated with NEC and mortality that indicate colonization by UPEC. Metagenomic multilocus sequence typing analysis further defined NEC-associated strains as sequence types often associated with urinary tract infections, including ST69, ST73, ST95, ST127, ST131, and ST144. Although other factors associated with prematurity may also contribute, this report suggests a link between UPEC and NEC and indicates that further attention to these sequence types as potential causal agents is needed.

  6. Pancreatic Neuroendocrine Neoplasms: Basic Biology, Current Treatment Strategies and Prospects for the Future

    Directory of Open Access Journals (Sweden)

    Akihiro Ohmoto

    2017-01-01

    Full Text Available Pancreatic neuroendocrine neoplasms (pNENs are rare tumors accounting for only 1%–2% of all pancreatic tumors. pNENs are pathologically heterogeneous and are categorized into three groups (neuroendocrine tumor: NET G1, NET G2; and neuroendocrine carcinoma: NEC on the basis of the Ki-67 proliferation index and the mitotic count according to the 2010 World Health Organization (WHO classification of gastroenteropancreatic NENs. NEC in this classification includes both histologically well-differentiated and poorly differentiated subtypes, and modification of the WHO 2010 classification is under discussion based on genetic and clinical data. Genomic analysis has revealed NETs G1/G2 have genetic alterations in chromatin remodeling genes such as MEN1, DAXX and ATRX, whereas NECs have an inactivation of TP53 and RB1, and these data suggest that different treatment approaches would be required for NET G1/G2 and NEC. While there are promising molecular targeted drugs, such as everolimus or sunitinib, for advanced NET G1/G2, treatment stratification based on appropriate predictive and prognostic biomarkers is becoming an important issue. The clinical outcome of NEC is still dismal, and a more detailed understanding of the genetic background together with preclinical studies to develop new agents, including those already under investigation for small cell lung cancer (SCLC, will be needed to improve the prognosis.

  7. Tumor-Derived Microvesicles Induce Proangiogenic Phenotype in Endothelial Cells via Endocytosis

    Science.gov (United States)

    Kawamoto, Taisuke; Ohga, Noritaka; Akiyama, Kosuke; Hirata, Naoya; Kitahara, Shuji; Maishi, Nako; Osawa, Takahiro; Yamamoto, Kazuyuki; Kondoh, Miyako; Shindoh, Masanobu; Hida, Yasuhiro; Hida, Kyoko

    2012-01-01

    Background Increasing evidence indicates that tumor endothelial cells (TEC) differ from normal endothelial cells (NEC). Our previous reports also showed that TEC were different from NEC. For example, TEC have chromosomal abnormality and proangiogenic properties such as high motility and proliferative activity. However, the mechanism by which TEC acquire a specific character remains unclear. To investigate this mechanism, we focused on tumor-derived microvesicles (TMV). Recent studies have shown that TMV contain numerous types of bioactive molecules and affect normal stromal cells in the tumor microenvironment. However, most of the functional mechanisms of TMV remain unclear. Methodology/Principal Findings Here we showed that TMV isolated from tumor cells were taken up by NEC through endocytosis. In addition, we found that TMV promoted random motility and tube formation through the activation of the phosphoinositide 3-kinase/Akt pathway in NEC. Moreover, the effects induced by TMV were inhibited by the endocytosis inhibitor dynasore. Our results indicate that TMV could confer proangiogenic properties to NEC partly via endocytosis. Conclusion We for the first time showed that endocytosis of TMV contributes to tumor angiogenesis. These findings offer new insights into cancer therapies and the crosstalk between tumor and endothelial cells mediated by TMV in the tumor microenvironment. PMID:22479517

  8. Tumor-derived microvesicles induce proangiogenic phenotype in endothelial cells via endocytosis.

    Directory of Open Access Journals (Sweden)

    Taisuke Kawamoto

    Full Text Available BACKGROUND: Increasing evidence indicates that tumor endothelial cells (TEC differ from normal endothelial cells (NEC. Our previous reports also showed that TEC were different from NEC. For example, TEC have chromosomal abnormality and proangiogenic properties such as high motility and proliferative activity. However, the mechanism by which TEC acquire a specific character remains unclear. To investigate this mechanism, we focused on tumor-derived microvesicles (TMV. Recent studies have shown that TMV contain numerous types of bioactive molecules and affect normal stromal cells in the tumor microenvironment. However, most of the functional mechanisms of TMV remain unclear. METHODOLOGY/PRINCIPAL FINDINGS: Here we showed that TMV isolated from tumor cells were taken up by NEC through endocytosis. In addition, we found that TMV promoted random motility and tube formation through the activation of the phosphoinositide 3-kinase/Akt pathway in NEC. Moreover, the effects induced by TMV were inhibited by the endocytosis inhibitor dynasore. Our results indicate that TMV could confer proangiogenic properties to NEC partly via endocytosis. CONCLUSION: We for the first time showed that endocytosis of TMV contributes to tumor angiogenesis. These findings offer new insights into cancer therapies and the crosstalk between tumor and endothelial cells mediated by TMV in the tumor microenvironment.

  9. Characterization and Fine Mapping of a Necrotic Leaf Mutant in Maize (Zea mays L.)

    Institute of Scientific and Technical Information of China (English)

    Lijing Wang; Shuai Han; Shiyi Zhong; Haizhong Wei; Yanjun Zhang; Yan Zhao; Baoshen Liu

    2013-01-01

    Maize (Zea mays L.) is a commercially important crop.Its yield can be reduced by mutations in biosynthetic and degradative pathways that cause death.In this paper,we describe the necrotic leaf (nec-t) mutant,which was obtained from an inbred line,81647.The nec-t mutant plants had yellow leaves with necrotic spots,reduced chlorophyll content,and the etiolated seedlings died under normal growth conditions.Transmission electron microscopy revealed scattered thylakoids,and reduced numbers of grana lamellae and chloroplasts per cell.Histochemical staining suggested that spot formation of nec-t leaves might be due to cell death.Genetic analysis showed that necrosis was caused by the mutation of a recessive locus.Using simple sequence repeat markers,the Nec-t gene was mapped between mmc0111 and bnlg2277 on the short arm of chromosome 2.A total of 1287 individuals with the mutant phenotype from a F2 population were used for physical mapping.The Nec-t gene was located between markers T31 and H8 within a physical region of 131.7 kb.

  10. Identification of Tumor Endothelial Cells with High Aldehyde Dehydrogenase Activity and a Highly Angiogenic Phenotype

    Science.gov (United States)

    Maishi, Nako; Ohga, Noritaka; Hida, Yasuhiro; Kawamoto, Taisuke; Iida, Junichiro; Shindoh, Masanobu; Tsuchiya, Kunihiko; Shinohara, Nobuo; Hida, Kyoko

    2014-01-01

    Tumor blood vessels play an important role in tumor progression and metastasis. It has been reported that tumor endothelial cells (TECs) exhibit highly angiogenic phenotypes compared with those of normal endothelial cells (NECs). TECs show higher proliferative and migratory abilities than those NECs, together with upregulation of vascular endothelial growth factor (VEGF) and VEGF receptor 2 (VEGFR2). Furthermore, compared with NECs, stem cell markers such as Sca-1, CD90, and multidrug resistance 1 are upregulated in TECs, suggesting that stem-like cells exist in tumor blood vessels. In this study, to reveal the biological role of stem-like TECs, we analyzed expression of the stem cell marker aldehyde dehydrogenase (ALDH) in TECs and characterized ALDHhigh TECs. TECs and NECs were isolated from melanoma-xenografted nude mice and normal dermis, respectively. ALDH mRNA expression and activity were higher in TECs than those in NECs. Next, ALDHhigh/low TECs were isolated by fluorescence-activated cell sorting to compare their characteristics. Compared with ALDHlow TECs, ALDHhigh TECs formed more tubes on Matrigel-coated plates and sustained the tubular networks longer. Furthermore, VEGFR2 expression was higher in ALDHhigh TECs than that in ALDHlow TECs. In addition, ALDH was expressed in the tumor blood vessels of in vivo mouse models of melanoma and oral carcinoma, but not in normal blood vessels. These findings indicate that ALDHhigh TECs exhibit an angiogenic phenotype. Stem-like TECs may have an essential role in tumor angiogenesis. PMID:25437864

  11. Identification of tumor endothelial cells with high aldehyde dehydrogenase activity and a highly angiogenic phenotype.

    Directory of Open Access Journals (Sweden)

    Hitomi Ohmura-Kakutani

    Full Text Available Tumor blood vessels play an important role in tumor progression and metastasis. It has been reported that tumor endothelial cells (TECs exhibit highly angiogenic phenotypes compared with those of normal endothelial cells (NECs. TECs show higher proliferative and migratory abilities than those NECs, together with upregulation of vascular endothelial growth factor (VEGF and VEGF receptor 2 (VEGFR2. Furthermore, compared with NECs, stem cell markers such as Sca-1, CD90, and multidrug resistance 1 are upregulated in TECs, suggesting that stem-like cells exist in tumor blood vessels. In this study, to reveal the biological role of stem-like TECs, we analyzed expression of the stem cell marker aldehyde dehydrogenase (ALDH in TECs and characterized ALDHhigh TECs. TECs and NECs were isolated from melanoma-xenografted nude mice and normal dermis, respectively. ALDH mRNA expression and activity were higher in TECs than those in NECs. Next, ALDHhigh/low TECs were isolated by fluorescence-activated cell sorting to compare their characteristics. Compared with ALDHlow TECs, ALDHhigh TECs formed more tubes on Matrigel-coated plates and sustained the tubular networks longer. Furthermore, VEGFR2 expression was higher in ALDHhigh TECs than that in ALDHlow TECs. In addition, ALDH was expressed in the tumor blood vessels of in vivo mouse models of melanoma and oral carcinoma, but not in normal blood vessels. These findings indicate that ALDHhigh TECs exhibit an angiogenic phenotype. Stem-like TECs may have an essential role in tumor angiogenesis.

  12. Expression of squamous cell carcinoma markers and adenocarcinoma markers in primary pulmonary neuroendocrine carcinomas.

    Science.gov (United States)

    Masai, Kyohei; Tsuta, Koji; Kawago, Mitsumasa; Tatsumori, Takahiro; Kinno, Tomoaki; Taniyama, Tomoko; Yoshida, Akihiko; Asamura, Hisao; Tsuda, Hitoshi

    2013-07-01

    Recent clinical trials have revealed that accurate histologic typing of non-small cell lung cancer is essential. Until now, squamous cell carcinoma (SQC) and adenocarcinoma (ADC) markers have not been thoroughly analyzed for pulmonary neuroendocrine carcinomas (NECs). We analyzed the expression of 8 markers [p63, cytokeratin (CK) 5/6, SOX2, CK7, desmocollin 3, thyroid transcription factor-1 (8G7G3/1 and SPT24), and napsin A] in 224 NECs. SOX2 (76.2%) had the greatest expression for NECs. CK5/6 (1.4%), desmocollin 3 (0.5%), and napsin A (0%) were expressed less or not at all in NECs. Although our investigated markers have been reported useful for differentiating between SQC and ADC, some of them were also present in a portion of pulmonary NECs. In our study, CK5/6 and desmocollin 3 were highly specific markers for SQC, and napsin A was highly specific for ADC. These markers are recommended for diagnosis of poorly differentiated non-small cell lung cancer.

  13. Pancreatic Neuroendocrine Neoplasms: Basic Biology, Current Treatment Strategies and Prospects for the Future

    Science.gov (United States)

    Ohmoto, Akihiro; Rokutan, Hirofumi; Yachida, Shinichi

    2017-01-01

    Pancreatic neuroendocrine neoplasms (pNENs) are rare tumors accounting for only 1%–2% of all pancreatic tumors. pNENs are pathologically heterogeneous and are categorized into three groups (neuroendocrine tumor: NET G1, NET G2; and neuroendocrine carcinoma: NEC) on the basis of the Ki-67 proliferation index and the mitotic count according to the 2010 World Health Organization (WHO) classification of gastroenteropancreatic NENs. NEC in this classification includes both histologically well-differentiated and poorly differentiated subtypes, and modification of the WHO 2010 classification is under discussion based on genetic and clinical data. Genomic analysis has revealed NETs G1/G2 have genetic alterations in chromatin remodeling genes such as MEN1, DAXX and ATRX, whereas NECs have an inactivation of TP53 and RB1, and these data suggest that different treatment approaches would be required for NET G1/G2 and NEC. While there are promising molecular targeted drugs, such as everolimus or sunitinib, for advanced NET G1/G2, treatment stratification based on appropriate predictive and prognostic biomarkers is becoming an important issue. The clinical outcome of NEC is still dismal, and a more detailed understanding of the genetic background together with preclinical studies to develop new agents, including those already under investigation for small cell lung cancer (SCLC), will be needed to improve the prognosis. PMID:28098761

  14. The Incidence of Necrotizing Enterocolitis Is Increased Following Probiotic Administration to Preterm Pigs

    DEFF Research Database (Denmark)

    Cilieborg, Malene Skovsted; Thymann, Thomas; Boye, Mette

    2011-01-01

    Preterm birth and necrotizing enterocolitis (NEC) is associated with inappropriate gut colonization and immunity, which may be improved by probiotic bacteria. Using a preterm pig model of NEC, we investigated the effects of probiotics on intestinal structure, function, microbiology, and immunology...... with controls (n = 14). All pigs received parenteral nutrition for 2 d followed by enteral formula feeding until tissue collection on d 5. Compared with control pigs, intestinal weight was lower and NEC incidence was higher in both groups given probiotics (64–67 vs. 14%; P... enzyme activities, and gut barrier function were lower in the ProDead group compared with the other groups (P probiotics induced higher expression of the proinflammatory cytokines IL-1α and IL-6 (P Probiotics minimally affected gut colonization, except that live probiotics...

  15. Relaxing the cosmological constant: a proof of concept

    Energy Technology Data Exchange (ETDEWEB)

    Alberte, Lasma [SISSA,Via Bonomea 265, 34136 Trieste (Italy); INFN - Sezione di Trieste,Via Valerio 2, 34127 Trieste (Italy); Creminelli, Paolo; Khmelnitsky, Andrei [Abdus Salam International Centre for Theoretical Physics (ICTP),Strada Costiera 11, 34151, Trieste (Italy); Pirtskhalava, David [Institute of Physics, École Polytechnique Fédérale de Lausanne,CH-1015, Lausanne (Switzerland); Trincherini, Enrico [Scuola Normale Superiore,Piazza dei Cavalieri 7, 56126, Pisa (Italy); INFN - Sezione di Pisa,56200, Pisa (Italy)

    2016-12-06

    We propose a technically natural scenario whereby an initially large cosmological constant (c.c.) is relaxed down to the observed value due to the dynamics of a scalar evolving on a very shallow potential. The model crucially relies on a sector that violates the null energy condition (NEC) and gets activated only when the Hubble rate becomes sufficiently small — of the order of the present one. As a result of NEC violation, this low-energy universe evolves into inflation, followed by reheating and the standard Big Bang cosmology. The symmetries of the theory force the c.c. to be the same before and after the NEC-violating phase, so that a late-time observer sees an effective c.c. of the correct magnitude. Importantly, our model allows neither for eternal inflation nor for a set of possible values of dark energy, the latter fixed by the parameters of the theory.

  16. Necrotizing enterocolitis--150 years of fruitless search for the cause.

    Science.gov (United States)

    Obladen, Michael

    2009-01-01

    Necrotizing enterocolitis (NEC) is not a new disease but one that has been reported since special care units began to house preterm infants. It was observed in foundling hospitals in Paris [Billard, 1828] and Vienna [Bednar, 1850] and, as it occurred in clusters, was regarded as a nosocomial infection in the infant hospitals of Zurich [Willi, 1944] and Berlin [Ylppo, 1931]. Clinical and patho-anatomic characterization was achieved by Schmidt and Quaiser in 1952. The unproven hypothesis of mesenteric hypoperfusion as a major etiological factor arose from animal models and analogous perforating disorders in term infants. Despite similarities between NEC and clostridial infections, few studies employed anaerobic culture techniques. The pathogenesis remains unclear and its distinction from related disorders uncertain. It is unlikely that strategies to prevent NEC will be successful unless the disease is better understood.

  17. Oral antibiotics increase blood neutrophil maturation and reduce bacteremia and necrotizing enterocolitis in the immediate postnatal period of preterm pigs

    DEFF Research Database (Denmark)

    Nguyen, Duc Ninh; Fuglsang, Eva; Jiang, Pingping

    2016-01-01

    Immature immunity may predispose preterm neonates to infections and necrotizing enterocolitis (NEC). Intravenous antibiotics are frequently given to prevent and treat sepsis, while oral antibiotics are seldom used. We hypothesized that oral antibiotics promote maturation of systemic immunity...... and delay gut bacterial colonization and thereby protect preterm neonates against both NEC and bacteremia in the immediate postnatal period. Preterm pigs were given formula and administered saline (CON) or broad-spectrum antibiotics orally (ORA) or systemically (SYS) for 5 d after birth. Temporal changes......, high gut permeability, Gram-positive bacteremia and NEC. Neonatal oral antibiotics may benefit mucosal and systemic immunity via delayed gut colonization and enhanced blood neutrophil maturation just after preterm birth....

  18. Intraperitoneal microdialysis in the postoperative surveillance after surgery for necrotizing enterocolitis

    DEFF Research Database (Denmark)

    Pedersen, Mark E; Dahl, Marianne; Qvist, Niels

    2011-01-01

    BACKGROUND/PURPOSE: The aim of the present pilot study was to evaluate the safety and clinical application of intraperitoneal microdialysis (MD) in preterm infants operated on for necrotizing enterocolitis (NEC). METHODS: Fourteen infants underwent MD. Two were excluded from analysis: 1 because...... of catheter malfunction and 1 because of fatal outcome immediately after surgery. The median MD time was 122 hours. Samples were collected every 4 hours, and the concentration of glucose, lactate, pyruvate, and glycerol was measured. RESULTS: Three infants were reoperated on: 2 because of recurrent NEC and 1...... because of ileal stenosis. In the 2 cases with recurrent NEC, changes in MD variables were found. Another had a prolonged postoperative period owing to diffuse fecal peritonitis. The values of MD normalized along with the return of bowel function. In 8 infants, the postoperative course was uncomplicated...

  19. Bacterial colonization and gut development in preterm neonates

    DEFF Research Database (Denmark)

    Cilieborg, Malene S.; Boye, Mette; Sangild, Per Torp

    2012-01-01

    colonization may provide the clue to prevent NEC, and studies in infants must be combined with animal models to understand the mechanisms of the microbiota–epithelium interactions. Analyses of infant fecal samples show that the density and distribution of bacterial species are highly variable...... with no consistent effects of gestational age, delivery mode, diet or probiotic administration, while low bacterial diversity and bacterial overgrowth are commonly associated with NEC. A series of recent studies in preterm pigs show that the mucosa-associated microbiota is affected by delivery method, prematurity......Necrotizing enterocolitis (NEC) develops in 5–10% of preterm infants in association with enteral feeding and bacterial colonization. It remains unclear how diet and bacteria interact to protect or provoke the immature gastrointestinal tract. Understanding the factors that control bacterial...

  20. Amniotic fluid and development of the immature intestine

    DEFF Research Database (Denmark)

    Østergaard, Mette Viberg

    ), and slow advancement of enteral feeds. Human breast milk is the gold standard of enteral nutrition (EN) of the newborn and protects against NEC in premature infants, but is often unavailable or limited after preterm birth. Innovative nutrition strategies and novel sources of the first EN are therefore...... as first EN and protect against NEC in preterm infants. The primary objective of this thesis was to evaluate the applicability of AF as a novel sourceof first EN in premature infants and thereby to address the main hypothesis: “Enteral feeding with AF reduces the incidence and severity of NEC by improving...... for the use of AF as the first enteral diet in the immediate postnatal period after preterm birth. Although additional experimental studies and clinical trials are required to further test tolerability and efficacy, and to refine the feeding protocol for postnatal AF administration in premature infants, AF...

  1. Preterm Birth Reduces Nutrient Absorption With Limited Effect on Immune Gene Expression and Gut Colonization in Pigs

    DEFF Research Database (Denmark)

    Østergaard, Mette V; Cilieborg, Malene S.; Skovgaard, Kerstin

    2015-01-01

    The primary risk factors for necrotizing enterocolitis (NEC) are preterm birth, enteral feeding, and gut colonization. It is unclear whether feeding and colonization induce excessive expression of immune genes that lead to NEC. Using a pig model, we hypothesized that reduced gestational age would...... upregulate immune-related genes and cause bacterial imbalance after birth. Preterm (85%-92% gestation, n = 53) and near-term (95%-99% gestation, n = 69) pigs were delivered by cesarean section and euthanized at birth or after 2 days of infant formula or bovine colostrum feeding. At birth, preterm delivery...... relative to near-term birth. After 2 days of formula feeding, NEC incidence was increased in preterm versus near-term pigs (47% vs 0%-13%). A total of 6 of the 30 genes related to immunity (TLR2, IL1B, and IL8), permeability (CLDN3, and OCLN), and absorption (SGLT) decreased in preterm pigs without...

  2. The New 1999 National Electrical Code Coupled with New Standards Clarify Requirements for Installations of Photovoltaic Systems in the U.S.

    Energy Technology Data Exchange (ETDEWEB)

    Bower, W.

    1999-01-08

    The National Electrical Code@ (NEC@) focuses primarily on electrical system installation requirements in the U.S. The NEC addresses both fire and personnel safety. This paper will describe recent efforts of the PV industry in the U.S. and the resulting requirements in the 1999 National Electrical Code-- Article 690 --Solar Photovoltaic Systems. The Article 690 requirements spell out the PV-unique requirements for safe installations of PV systems in the U.S.A. This paper provides an overview of the most significant changes that appear in Article 690 of the 1999 edition of the NEC. The related and coordinated efforts of the other standards- making groups will also be briefly reviewed.

  3. From Satisfying to Violating the Null Energy Condition

    CERN Document Server

    Elder, Benjamin; Khoury, Justin

    2013-01-01

    We construct a theory which admits a time-dependent solution smoothly interpolating between a null energy condition (NEC)-satisfying phase at early times and a NEC-violating phase at late times. We first review earlier attempts to violate the NEC and an argument of Rubakov, presented in 1305.2614, which forbids the existence of such interpolating solutions in a single-field dilation-invariant theory. We then construct a theory which, in addition to possessing a Poincar\\'e-invariant vacuum, does admit such a solution. For a wide range of parameters, perturbations around this solution are at all times stable, comfortably subluminal and weakly-coupled. The theory requires us to explicitly break dilation-invariance, so it is unlikely that the theory is fully stable under quantum corrections, but we argue that the existence of a healthy interpolating solution is quantum-mechanically robust.

  4. Necrotizing enterocolitis: a review of pathogenetic mechanisms and implications for prevention.

    Science.gov (United States)

    Caplan, M S; MacKendrick, W

    1993-01-01

    Necrotizing enterocolitis (NEC) is a devastating gastrointestinal disease of premature neonates that accounts for 3000 to 4000 deaths each year in the United States. The pathogenesis is not well understood, however theories suggest that prematurity, enteral feeding, bacterial colonization, and intestinal ischemia contribute to the intestinal injury. Furthermore, recent studies have shown that platelet activating factor and perhaps other inflammatory mediators mediate bowel necrosis in animals and possibly in humans. Although no specific intervention for NEC treatment exists, preventive therapy using either enteral IgA supplementation, breast milk feeding, antibiotic prophylaxis, or exogenous steroid administration have reduced the incidence of this overwhelming disease in small randomized trials. These modalities and perhaps PAF antagonists or other inflammatory mediator inhibitors may reduce the incidence or severity of NEC in the next several years.

  5. Fully stable cosmological solutions with a non-singular classical bounce

    CERN Document Server

    Ijjas, Anna

    2016-01-01

    We recently showed how it is possible to use a cubic Galileon action to construct classical cosmological solutions that enter a contracting null energy condition (NEC) violating phase, bounce at finite values of the scale factor and exit into an expanding NEC-satisfying phase without encountering any singularities or pathologies. A drawback of these examples is that singular behavior is encountered at some time either just before or just after the NEC-violating phase. In this Letter, we show that it is possible to circumvent this problem by extending our method to actions that include the next order ${\\cal L}_4$ Galileon interaction. Using this approach, we construct non-singular classical bouncing cosmological solutions that are non-pathological for all times.

  6. Relaxing the Cosmological Constant: a Proof of Concept

    CERN Document Server

    Alberte, Lasma; Khmelnitsky, Andrei; Pirtskhalava, David; Trincherini, Enrico

    2016-01-01

    We propose a technically natural scenario whereby an initially large cosmological constant (c.c.) is relaxed down to the observed value due to the dynamics of a scalar evolving on a very shallow potential. The model crucially relies on a sector that violates the null energy condition (NEC) and gets activated only when the Hubble rate becomes sufficiently small --- of the order of the present one. As a result of NEC violation, this low-energy universe evolves into inflation, followed by reheating and the standard Big Bang cosmology. The symmetries of the theory force the c.c. to be the same before and after the NEC-violating phase, so that a late-time observer sees an effective c.c. of the correct magnitude. Importantly, our model allows neither for eternal inflation nor for a set of possible values of dark energy, the latter fixed by the parameters of the theory.

  7. Surgical findings during exploratory laparotomy are closely related to mortality in premature infants with necrotising enterocolitis

    DEFF Research Database (Denmark)

    Hansen, M L; Juhl, Sandra Meinich; Fonnest, G;

    2017-01-01

    AIM: This study investigated whether a correlation existed between surgical findings during the first laparotomy for necrotising enterocolitis (NEC) and death and, or, disease progression. METHODS: We included infants admitted within one day of birth to our tertiary neonatal department at Rigshos......AIM: This study investigated whether a correlation existed between surgical findings during the first laparotomy for necrotising enterocolitis (NEC) and death and, or, disease progression. METHODS: We included infants admitted within one day of birth to our tertiary neonatal department...... at Rigshospitalet, Denmark, from 2006 to 2015, who underwent a laparotomy for acute NEC. They were classified according to the locality and extent of intestinal necrosis by a paediatric surgeon, based on the surgical findings. We correlated the surgical findings with postoperative outcomes, namely death and, or...

  8. Community analysis of bacteria colonizing intestinal tissue of neonates with necrotizing enterocolitis

    DEFF Research Database (Denmark)

    Smith, Birgitte; Bodé, Susan; Petersen, Bodil L.

    2011-01-01

    combined with fluorescent in situ hybridization (FISH), using bacterial rRNA-targeting oligonucleotide probes. RESULTS: Bacteria were detected in 22 of the 24 specimens, 71% had moderate to high densities of bacteria. The phyla detected by 16S rRNA gene sequencing were: Proteobacteria (49.0%), Firmicutes......BACKGROUND: Necrotizing enterocolitis (NEC) is the most common gastrointestinal emergency in newborn neonates. Bacteria are believed to be important in the pathogenesis of NEC but bacterial characterization has only been done on human faecal samples and experimental animal studies. The aim...... of this study was to investigate the microbial composition and the relative number of bacteria in inflamed intestinal tissue surgically removed from neonates diagnosed with NEC (n = 24). The bacterial populations in the specimens were characterized by laser capture microdissection and subsequent sequencing...

  9. Community analysis of bacteria colonizing intestinal tissue of neonates with necrotizing enterocolitis

    DEFF Research Database (Denmark)

    Smith, Birgitte; Bodé, Susan; Petersen, Bodil L.;

    2011-01-01

    BACKGROUND: Necrotizing enterocolitis (NEC) is the most common gastrointestinal emergency in newborn neonates. Bacteria are believed to be important in the pathogenesis of NEC but bacterial characterization has only been done on human faecal samples and experimental animal studies. The aim...... of this study was to investigate the microbial composition and the relative number of bacteria in inflamed intestinal tissue surgically removed from neonates diagnosed with NEC (n = 24). The bacterial populations in the specimens were characterized by laser capture microdissection and subsequent sequencing...... and both specimens had a moderate to a high density of C. butyricum and C. parputrificum detected by using species specific FISH probes. A 16S rRNA gene sequence tag similar to Ralstonia species was detected in most of the neonatal tissues and members of this genus have been reported to be opportunistic...

  10. Gastric Mixed Adenoneuroendocrine Carcinoma Occurring 50 Years after a Gastroenterostomy with Braun Anastomosis

    Directory of Open Access Journals (Sweden)

    Hiroshi Nemoto

    2014-05-01

    Full Text Available A 75-year-old man was diagnosed with gastric cancer. Fifty years previously, he had undergone gastroenterostomy with a Braun enteroenterostomy. At present, a distal gastrectomy and small intestinal partial resection were performed. Intraoperatively, the tumor was localized to the previous stomal site. HE staining showed that the tumor comprised two elements: a tubular adenocarcinoma on the gastric side and a neuroendocrine carcinoma (NEC on the jejunal side. The final pathologic diagnosis was mixed adenoneuroendocrine carcinoma based on an immunohistochemical analysis of endocrine markers and an elevated Ki-67 labeling index. The risk of later cancer development cancer recurrence near the gastrojejunostomy site is well known. Potentially, chronic enterogastric bile reflux may irritate the gastric mucosa and act as a promoter. Gastric NEC has a strong malignant potential. We suspect that, in the present case, the constant exposure to secondary bile may have induced a gastric mucosal adenocarcinoma, which finally differentiated into a NEC.

  11. Gastric mixed adenoneuroendocrine carcinoma occurring 50 years after a gastroenterostomy with braun anastomosis.

    Science.gov (United States)

    Nemoto, Hiroshi; Tate, Genshu; Yokomizo, Kazuaki; Umemoto, Takahiro; Matsubara, Taketo; Mizukami, Hiroki; Kigawa, Gaku; Matsumiya, Akihiko; Tanaka, Junichi

    2014-05-01

    A 75-year-old man was diagnosed with gastric cancer. Fifty years previously, he had undergone gastroenterostomy with a Braun enteroenterostomy. At present, a distal gastrectomy and small intestinal partial resection were performed. Intraoperatively, the tumor was localized to the previous stomal site. HE staining showed that the tumor comprised two elements: a tubular adenocarcinoma on the gastric side and a neuroendocrine carcinoma (NEC) on the jejunal side. The final pathologic diagnosis was mixed adenoneuroendocrine carcinoma based on an immunohistochemical analysis of endocrine markers and an elevated Ki-67 labeling index. The risk of later cancer development cancer recurrence near the gastrojejunostomy site is well known. Potentially, chronic enterogastric bile reflux may irritate the gastric mucosa and act as a promoter. Gastric NEC has a strong malignant potential. We suspect that, in the present case, the constant exposure to secondary bile may have induced a gastric mucosal adenocarcinoma, which finally differentiated into a NEC.

  12. Intracranial neurenteric cyst traversing the brainstem

    Directory of Open Access Journals (Sweden)

    Jasmit Singh

    2015-01-01

    Full Text Available Neurenteric cysts (NECs, also called enterogenous cysts, are rare benign endodermal lesions of the central nervous system that probably result from separation failure of the notochord and upper gastrointestinal tract. Most frequently they are found in the lower cervical spine or the upper thoracic spine. Intracranial occurrence is rare and mostly confined to infratentorial compartment, in prepontine region [51%]. Other common locations are fourth ventricle and cerebellopontine angle. There are few reports of NEC in medulla or the cerebellum. Because of the rarity of the disease and common radiological findings, they are misinterpreted as arachnoid or simple cysts until the histopathological confirmation, unless suspected preoperatively. We herein report a rare yet interesting case of intracranial NEC traversing across the brainstem.

  13. Desempenho em Pastagens e Características de Carcaça da 16a Progênie dos Rebanhos Nelore, Guzerá e Caracu de Sertãozinho (SP

    Directory of Open Access Journals (Sweden)

    Razook Alexander George

    2002-01-01

    Full Text Available Quarenta e um machos inteiros dos rebanhos selecionados para peso aos 378 dias (P378, nascidos em 1996, foram terminados em pastagens de Panicum Maximum (Jacq., Panicum Maximum (Jaq cv. Tanzania 1 e Brachiaria brizantha (Hoschst Stapf cv. Marandu na Estação Experimental de Zootecnia de Sertãozinho (SP. As amostras, representando a média de P378 em cada rebanho, foram: 11 animais Nelore Seleção (NeS e 10 para cada um dos grupos Nelore Controle (NeC, Guzerá Seleção (GuS e Caracu (Ca. O abate ocorreu aos 824 dias de idade e condição corporal 7,6, em uma escala de 1 a 9. As médias mínimas e máximas ajustadas, para as principais características, considerando-se todos os grupos, foram: ganho de peso médio diário, 406 (NeC e 501 g (NeS; peso de abate (PAB, 446,8 (NeC e 544,3 kg (NeS ; peso de carcaça (PCAR, 249,8 (NeC e 309,7 kg (NeS; rendimento de carcaça (REND, 54,0 (GuS e 56,3% (NeC e NeS. No corte entre a 9feminine e 11feminine costelas : músculo 59,6 (NeC e 65,2% (Ca; gordura, 15,6 (Ca e 21,4% (NeC; osso, 18,9 (NeC e 20,2% (GuS; espessura de gordura (ESPGOR, 2,0 (Ca e 4,2 mm (NeC; área de olho de lombo (AOL, 65,6 (NeC e 71,1 cmsuperscript two (NeS e Ca; força de cisalhamento (FC, 4,5 (Ca e 6,6 kg (GuS e perdas totais no cozimento (PERDAS, 22,5 (NeC e 24,9% (GuS. A seleção para peso provocou, em NeS, maiores PAB e PCAR, sem interferir no REND, na composição da costela, FC e PERDAS na carne. Houve, porém, menor ESPGOR em relação à NeC. Os animais GuS apresentaram PAB e PCAR intermediários, entre NeS e Ca, e menor REND e os Ca maior proporção de músculo na costela e carne com maior maciez em relação ao Zebu.

  14. Elevated DMBT1 levels in neonatal gastrointestinal diseases

    DEFF Research Database (Denmark)

    Müller, Hanna; Renner, Marcus; Helmke, Burkhard M

    2016-01-01

    gastrointestinal system depending on gestational age and in patients with necrotizing enterocolitis (NEC), volvulus, intestinal perforation (IP), or herniation, representing typical diseases of preterm and term infants. We used immunohistochemistry and RNA in situ hybridization to detect DMBT1 protein and m......RNA in fetal tissues, supplemented by postmortem analysis of DMBT1 expression in died newborns and analysis of surgically removed tissues. DMBT1 expression is detectable in the early developmental stages of the gastrointestinal system. In NEC, volvulus, IP, or herniation, characterized by high systemic...... inflammatory responses, DMBT1 expression is strongly increased. High DMBT1 expression was also found in the bile ducts of older infants with sepsis or cholestasis. The study shows that DMBT1 expression is observed in the developing gastrointestinal system and up-regulated in infants with NEC, volvulus, IP...

  15. Neuroepithelial cells and the hypoxia emersion response in the amphibious fish Kryptolebias marmoratus.

    Science.gov (United States)

    Regan, Kelly S; Jonz, Michael G; Wright, Patricia A

    2011-08-01

    Teleost fish have oxygen-sensitive neuroepithelial cells (NECs) in the gills that appear to mediate physiological responses to hypoxia, but little is known about oxygen sensing in amphibious fish. The mangrove rivulus, Kryptolebias marmoratus, is an amphibious fish that respires via the gills and/or the skin. First, we hypothesized that both the skin and gills are sites of oxygen sensing in K. marmoratus. Serotonin-positive NECs were abundant in both gills and skin, as determined by immunohistochemical labelling and fluorescence microscopy. NECs retained synaptic vesicles and were found near nerve fibres labelled with the neuronal marker zn-12. Skin NECs were 42% larger than those of the gill, as estimated by measurement of projection area, and 45% greater in number. Moreover, for both skin and gill NECs, NEC area increased significantly (30-60%) following 7 days of exposure to hypoxia (1.5 mg l(-1) dissolved oxygen). Another population of cells containing vesicular acetylcholine transporter (VAChT) proteins were also observed in the skin and gills. The second hypothesis we tested was that K. marmoratus emerse in order to breathe air cutaneously when challenged with severe aquatic hypoxia, and this response will be modulated by neurochemicals associated chemoreceptor activity. Acute exposure to hypoxia induced fish to emerse at 0.2 mg l(-1). When K. marmoratus were pre-exposed to serotonin or acetylcholine, they emersed at a significantly higher concentration of oxygen than untreated fish. Pre-exposure to receptor antagonists (ketanserin and hexamethonium) predictably resulted in fish emersing at a lower concentration of oxygen. Taken together, these results suggest that oxygen sensing occurs at the branchial and/or cutaneous surfaces in K. marmoratus and that serotonin and acetylcholine mediate, in part, the emersion response.

  16. Coexisting tubular adenoma with a neuroendocrine carcinoma of colon allowing early surgical intervention and implicating a shared stem cell origin

    Science.gov (United States)

    Soliman, Mahmoud L; Tiwari, Ashish; Zhao, Qing

    2017-01-01

    High-grade colonic neuroendocrine carcinomas (NECs) are uncommon but extremely aggressive. Their co-existence with tubular adenoma (TA) has rarely been reported. We present a 68-year-old man who was found on routine colonoscopy to have multiple colorectal TAs and an ulcerated lesion in the ascending colon. Microscopically, a poorly-differentiated invasive carcinoma juxtaposed with a TA was identified. Differential diagnosis included a poorly-differentiated adenocarcinoma, medullary carcinoma, high-grade NEC and lymphoma. The immunohistochemical profile showed positive staining for keratins, synaptophysin and chromogranin but negative for LCA, CDX2, CK7, CK20, TTF-1 and PSA, supporting the NEC diagnosis. Upon subsequent laparoscopic right hemicolectomy, the tumor was identified as a 3.0 cm umbilicated and ulcerated mass with an adjacent TA. Both TA and NEC showed positive staining for β-catenin indicating a shared colonic origin. The mitotic counts (77/10 high power fields) and a high proliferation rate (75% by Ki-67) corroborated a high-grade stratification. Mutational analysis indicated a wild-type BRAF and KRAS with mismatch repair proficiency. The AJCC (7th edition) pathologic stage is pT3, pN0, pMx. The patient received adjuvant chemotherapy with cisplatin/etoposides for three cycles and will be followed up for a year to detect recurrence. In conclusion, the co-existence of TA with high grade-NEC in our case allowed early identification and intervention of the otherwise asymptomatic but aggressive tumor. In addition, the finding of a high-grade NEC within a large TA in this case suggests a link between the two lesions and could represent a shared stem cell origin. PMID:28246485

  17. Amniotic fluid-borne hepatocyte growth factor protects rat pups against experimental necrotizing enterocolitis.

    Science.gov (United States)

    Jain, Sunil K; Baggerman, Eric W; Mohankumar, Krishnan; Namachivayam, Kopperuncholan; Jagadeeswaran, Ramasamy; Reyes, Victor E; Maheshwari, Akhil

    2014-03-01

    Fetal swallowing of amniotic fluid, which contains numerous cytokines and growth factors, plays a key role in gut mucosal development. Preterm birth interrupts this exposure to amniotic fluid-borne growth factors, possibly contributing to the increased risk of necrotizing enterocolitis (NEC) in premature infants. We hypothesized that supplementation of formula feeds with amniotic fluid can provide amniotic fluid-borne growth factors and prevent experimental NEC in rat pups. We compared NEC-like injury in rat pups fed with infant formula vs. formula supplemented either with 30% amniotic fluid or recombinant hepatocyte growth factor (HGF). Cytokines/growth factors in amniotic fluid were measured by immunoassays. Amniotic fluid and HGF effects on enterocyte migration, proliferation, and survival were measured in cultured IEC6 intestinal epithelial cells. Finally, we used an antibody array to investigate receptor tyrosine kinase (RTK) activation and immunoblots to measure phosphoinositide 3-kinase (PI3K) signaling. Amniotic fluid supplementation in oral feeds protected rat pups against NEC-like injury. HGF was the most abundant growth factor in rat amniotic fluid in our panel of analytes. Amniotic fluid increased cell migration, proliferation, and cell survival in vitro. These effects were reproduced by HGF and blocked by anti-HGF antibody or a PI3K inhibitor. HGF transactivated several RTKs in IEC6 cells, indicating that its effects extended to multiple signaling pathways. Finally, similar to amniotic fluid, recombinant HGF also reduced the frequency and severity of NEC-like injury in rat pups. Amniotic fluid supplementation protects rat pups against experimental NEC, which is mediated, at least in part, by HGF.

  18. What next in necrotizing enterocolitis?

    Science.gov (United States)

    Yurdakök, Murat

    2008-01-01

    Necrotizing enterocolitis (NEC) is a devastating disease of premature infants, with a mortality rate of 10-50%. It is uncommon in term infants and in premature infants who have not yet been fed. Most commonly NEC develops suddenly in a preterm infant who was otherwise well, with initial symptoms of abdominal distention, bilious or bloody emesis or gastric aspirates, hematochezia, and pneumatosis intestinalis, and sometimes progresses quickly to include bowel perforation, acidosis, shock, and death. Trigger factors (i.e. perinatal hypoxia, mild infection or formula feeding) cause focal mild intestinal mucosal injury. In the presence of proliferation of commensal bacteria, local breakdown of mucosal barrier may cause entry of bacterial products (e.g. lipopolysaccharides, platelet-activating factor). Endothelial platelet-activating factor and/or tumor necrotizing factor and/or direct stimulating effects of polymorphonuclear leukocytes cause proinflammatory cascade and focal necrosis, which increase the entry of large amounts of bacterial toxins, and then severe NEC, sepsis, and shock develop. Therapies for the prevention of NEC that appear to have some benefit are breastfeeding and antenatal steroids, and probably probiotics. Enteral immunoglobulin, polyunsaturated fatty acids, and arginine or glutamine supplementation are therapies for the prevention of NEC that do not appear to be of benefit. Enteral erythropoietin and enteral granulocyte colony-stimulating factor are promising novel therapies. Treatment options are limited to gut rest, parenteral nutrition, broad-spectrum antibiotics, and surgical interventions for enteral perforation. Two commonly used methods for NEC with intestinal perforation are laparotomy or primary peritoneal drainage ("patch, drain and wait"); however, the preferred method is controversial.

  19. Application of fecal calprotectin in diagnosing necrotizing enterocolitis of very low birth weight infants%粪便钙卫蛋白水平检测在极低出生体质量儿坏死性小肠结肠炎中的意义

    Institute of Scientific and Technical Information of China (English)

    李红新; 侯德红; 屠文娟; 张琴芬; 解鹏; 吴薇

    2015-01-01

    目的:探讨中性粒细胞源性粪便标志物粪便钙卫蛋白(FC)检测在极低出生体质量(VLBW)儿坏死性小肠结肠炎(NEC)诊断中的价值。方法选取2011年7月至2013年6月江苏省常州市儿童医院新生儿科和江苏省常州市妇幼保健院新生儿科收治的胎龄≥28孕周的35例有 NEC 表现的 VLBW 儿为研究对象,并纳入 NEC 组,按照是否确诊为 NEC,将其进一步分为确诊 NEC 亚组(n=15)和疑似 NEC亚组(n=20)。选择江苏省常州市儿童医院新生儿科和江苏省常州市妇幼保健院同期收治的30例喂养不耐受 VLBW 儿纳入喂养不耐受组(n=30),以及江苏省常州市妇幼保健院同期收治的无胃肠道症状且喂养情况良好的30例 VLBW 儿纳入对照组(n=30)。4组患儿性别构成比、平均胎龄、平均出生体质量等一般临床病历资料比较,差异无统计学意义(P >0.05)。本研究遵循的程序符合江苏省常州市儿童医院和江苏省常州市妇幼保健院人体试验委员会制定的伦理学标准,得到该委员会批准,分组征得受试对象监护人的知情同意,并与受试对象监护人签署临床研究知情同意书。对4组 VLBW 儿 FC 水平及大便隐血(OB)进行检测,并对4组 VLBW 儿 FC 水平及 OB 阳性检出率进行对比分析。结果确诊 NEC 亚组早期和极期FC 水平较对照组 FC 水平明显升高,差异有统计学意义(t=6.62,8.44;P 0.05)。确诊 NEC 亚组患儿极期 OB 阳性检出率和对照组比较,差异有统计学意义(χ2=15.469,P 0.05)。疑似 NEC 亚组疑似期和恢复期及喂养不耐受组 OB 阳性检出率分别与对照组比较,差异均无统计学意义(χ2=2.000,0.000,0.185;P >0.05)。结论FC 水平检测比 OB 检测在 NEC 早期诊断方面具有更高灵敏度,可以作为 VLBW 儿 NEC 的诊断、严重程度判断及疗效预测的有效指标,同时还可以作为 NEC 与喂养不耐受患儿相鉴别的客观依据。%Objective To explore the

  20. The Effect of Neutral Oligosaccharides on Reducing the Incidence of Necrotizing Enterocolitis in Preterm infants: A Randomized Clinical Trial

    Science.gov (United States)

    Armanian, Amir-Mohammad; Sadeghnia, Alireza; Hoseinzadeh, Maryam; Mirlohi, Maryam; Feizi, Awat; Salehimehr, Nima; Saee, Najme; Nazari, Jila

    2014-01-01

    Background: Necrotizing enterocolitis (NEC) is one of the most destructive diseases associated with conditions of neonatal prematurity. Supplementation with enteral prebiotics may reduce the incidence of NEC, especially in infants who fed exclusively with breast-milk. Therefore, we compared the efficacy and safety of enteral supplementation of a prebiotic mixture (short chain galacto-oligosaccharides/long chain fructo-oligosaccharides [SCGOS/LCFOS]) versus no intervention on incidence of NEC in preterm infants. Methods: In a single-center randomized control trial 75 preterm infants (birth weight [BW] ≤1500 g, gestational age ≤34 weeks and were not fed with formula) on 30 ml/kg/day volume of breast-milk were randomly allocated to have enteral supplementation with a prebiotic mixture (SCGOS/LCFOS; 9:1) or not receive any prebiotic. The incidence of suspected NEC, feeding intolerance, time to full enteral feeds, duration of hospitalization were investigated. Results: Differences in demographic characteristics were not statistically important. SCGOS/LCFOS mixture significantly reduced the incidence of suspected NEC, (1 [4.0%] vs. 11 [22.0%]; hazard ratio: 0.49 [95% confidence interval: 0.29-0.84]; P = 0.002), and time to full enteral feeds (11 [7-21] vs. 14 [8-36] days; P - 0.02]. Also duration of hospitalization was meaningfully shorter in the prebiotic group (16 [9-45] vs. 25 [11-80]; P - 0.004]. Prebiotic oligosaccharides were well tolerated by very low BW (VLBW) infants. Conclusions: Enteral supplementation with prebiotic significantly reduced the incidence of NEC in VLBW infants who were fed exclusively breast-milk. This finding suggests that it might have been the complete removal of formula which caused a synergistic effect between nonhuman neutral oligosaccharides (prebiotic) and human oligosaccharides. PMID:25538834

  1. Sociability impairments in Genetic Absence Epilepsy Rats from Strasbourg: Reversal by the T-type calcium channel antagonist Z944.

    Science.gov (United States)

    Henbid, Mark T; Marks, Wendie N; Collins, Madeline J; Cain, Stuart M; Snutch, Terrance P; Howland, John G

    2017-10-01

    Childhood absence epilepsy (CAE) is associated with interictal co-morbid symptoms including abnormalities in social behaviour. Genetic Absence Epilepsy Rats from Strasbourg (GAERS) is a model of CAE that exhibits physiological and behavioural alterations characteristic of the human disorder. However, it is unknown if GAERS display the social deficits often observed in CAE. Sociability in rodents is thought to be mediated by neural circuits densely populated with T-type calcium channels and GAERS contain a missense mutation in the Cav3.2 T-type calcium channel gene. Thus, the objective of this study was to examine the effects of the clinical stage pan-T-type calcium channel blocker, Z944, on sociability behaviour in male and female GAERS and non-epileptic control (NEC) animals. Female GAERS showed reduced sociability in a three-chamber sociability task whereas male GAERS, male NECs, and female NECs all showed a preference for the chamber containing a stranger rat. In drug trials, pre-treatment with 5mg/kg of Z944 normalized sociability in female GAERS. In contrast, female NECs showed impaired sociability following Z944 treatment. Dose-dependent decreases in locomotor activity were noted following Z944 treatment in both strains. Treatment with 10mg/kg of Z944 altered exploration such that only 8 of the 16 rats tested explored both sides of the testing chamber. In those that explored the chamber, significant preference for the stranger rat was observed in GAERS but not NECs. Overall, the data suggest that T-type calcium channels are critical in regulating sociability in both GAERS and NEC animals. Future research should focus on T-type calcium channels in the treatment of sociability deficits observed in disorders such as CAE. Copyright © 2017 Elsevier Inc. All rights reserved.

  2. Noise Equivalent Counts Based Emission Image Reconstruction Algorithm of Tomographic Gamma Scanning

    CERN Document Server

    Wang, Ke; Feng, Wei; Han, Dong

    2014-01-01

    Tomographic Gamma Scanning (TGS) is a technique used to assay the nuclide distribution and radioactivity in nuclear waste drums. Both transmission and emission scans are performed in TGS and the transmission image is used for the attenuation correction in emission reconstructions. The error of the transmission image, which is not considered by the existing reconstruction algorithms, negatively affects the final results. An emission reconstruction method based on Noise Equivalent Counts (NEC) is presented. Noises from the attenuation image are concentrated to the projection data to apply the NEC Maximum-Likelihood Expectation-Maximization algorithm. Experiments are performed to verify the effectiveness of the proposed method.

  3. DBI Genesis: An Improved Violation of the Null Energy Condition

    CERN Document Server

    Hinterbichler, Kurt; Khoury, Justin; Miller, Godfrey E J

    2013-01-01

    We show that the DBI conformal galileons, derived from the world-volume theory of a 3-brane moving in an AdS bulk, admit a background, stable under quantum corrections, which violates the Null Energy Condition (NEC). The perturbations around this background are stable and propagate subluminally. Unlike other known examples of NEC violation, such as ghost condensation and conformal galileons, this theory also admits a stable, Poincare-invariant vacuum, with a Lorentz-invariant S-matrix satisfying standard analyticity conditions. Like conformal galileons, perturbations around deformations of the Poincare invariant vacuum propagate superluminally.

  4. Minimal short-term effect of dietary 2'-fucosyllactose on bacterial colonisation, intestinal function and necrotising enterocolitis in preterm pigs

    DEFF Research Database (Denmark)

    Cilieborg, Malene Skovsted; Bering, Stine B.; Østergaard, Mette V.

    2016-01-01

    Human milk decreases the risk of necrotising enterocolitis (NEC), a severe gastrointestinal disease that occurs in 5–10 % of preterm infants. The prebiotic and immune-modulatory effects of milk oligosaccharides may contribute to this protection. Preterm pigs were used to test whether infant formula......, digestive function or NEC sensitivity in pigs within the first few days after preterm birth. Milk 2'-FL may not be critical in the immediate postnatal period of preterm neonates when gut colonisation and intestinal immunity are still immature....

  5. Similar efficacy of human banked milk and bovine colostrum to decrease incidence of necrotizing enterocolitis in preterm piglets

    DEFF Research Database (Denmark)

    Jensen, Michael L.; Sangild, Per Torp; Lykke, Mikkel

    2013-01-01

    Preterm birth and formula feeding predispose to necrotizing enterocolitis (NEC) in infants. As mother's milk is often absent following preterm delivery, infant formula (IF) and human donor milk (HM) are frequently used as alternatives. We have previously shown that porcine and bovine colostrum (B......·2 h−1) for 2 days using BC (n = 13), HM (n = 13), or IF (n = 14). Intestinal passage time and hexose absorption were tested in vivo. Body and organ weights were recorded on day 5, and macroscopic NEC lesions in the gastrointestinal tract were assessed. Intestinal samples were collected...

  6. SIRIUS – A new 6 MV accelerator system for IBA and AMS at ANSTO

    Energy Technology Data Exchange (ETDEWEB)

    Pastuovic, Zeljko, E-mail: zkp@ansto.gov.au; Button, David; Cohen, David; Fink, David; Garton, David; Hotchkis, Michael; Ionescu, Mihail; Long, Shane; Levchenko, Vladimir; Mann, Michael; Siegele, Rainer; Smith, Andrew; Wilcken, Klaus

    2016-03-15

    The Centre for Accelerator Science (CAS) facility at ANSTO has been expanded with a new 6 MV tandem accelerator system supplied by the National Electrostatic Corporation (NEC). The beamlines, end-stations and data acquisition software for the accelerator mass spectrometry (AMS) were custom built by NEC for rare isotope mass spectrometry, while the beamlines with end-stations for the ion beam analysis (IBA) are largely custom designed at ANSTO. An overview of the 6 MV system and its performance during testing and commissioning phase is given with emphasis on the IBA end-stations and their applications for materials modification and characterisation.

  7. Early oral-motor management on feeding performance in premature neonates

    Directory of Open Access Journals (Sweden)

    Yan-Lin Liu

    2013-03-01

    Conclusion: Abnormal brain sonography [odds ratio (OR: 2.222, p = 0.047 and necrotizing enterocolitis (NEC (OR: 2.857, p = 0.017 did affect the first trial in the study group. Early intervention of oral-motor management in very-low-birth-weight premature infants improved feeding performance and neonatal outcome in terms of shorter hospital days. Abnormal brain image and NEC could interfere with the success rate of initial challenge of transitioning from tube to oral feeding in the study group.

  8. Application of numerical methods to planetary radiowave scattering

    Science.gov (United States)

    Simpson, Richard A.; Tyler, G. Leonard

    1987-01-01

    Existing numerical techniques for the solution of scattering problems were investigated to determine those which might be applicable to planetary surface studies, with the goal of improving the interpretation of radar data from Venus, Mars, the Moon, and icy satellites. The general characteristics of the models are described along with computational concerns. In particular, the Numerical Electrogmatics Code (NEC) developed at the Lawrence Livermore Laboratory is discussed. Though not developed for random rough surfaces, the NEC contains elements which may be generalized and which could be valuable in the study of scattering by planetary surfaces.

  9. Marked methylation changes in intestinal genes during the perinatal period of preterm neonates

    DEFF Research Database (Denmark)

    Gao, Fei; Zhang, Juyong; Jiang, Pingping

    2014-01-01

    BACKGROUND: The serious feeding- and microbiota-associated intestinal disease, necrotizing enterocolitis (NEC), occurs mainly in infants born prematurely (5-10% of all newborns) and most frequently after formula-feeding. We hypothesized that changes in gene methylation is involved in the prenatal...... maturation of the intestine and its response to the first days of formula feeding, potentially leading to NEC in preterm pigs used as models for preterm infants. RESULTS: Reduced Representation Bisulfite Sequencing (RRBS) was used to assess if changes in intestinal DNA methylation are associated with formula...

  10. Unchanged incidence of necrotising enterocolitis in a tertiary neonatal department

    DEFF Research Database (Denmark)

    Hein-Nielsen, Anne Lysbeck; Meinich Petersen, Sandra; Greisen, Gorm

    2015-01-01

    INTRODUCTION: At the Department of Neonatology at Rigshospitalet, Copenhagen, Denmark, decades of extensive use of mother's milk and human donor milk should theoretically limit the incidence of necrotising enterocolitis (NEC) among very low birth weight infants. The aim of this study was to deter......INTRODUCTION: At the Department of Neonatology at Rigshospitalet, Copenhagen, Denmark, decades of extensive use of mother's milk and human donor milk should theoretically limit the incidence of necrotising enterocolitis (NEC) among very low birth weight infants. The aim of this study...

  11. Ammonia emissions in Europe

    DEFF Research Database (Denmark)

    Jacobsen, Brian H.

    2012-01-01

    The NEC (National Emission Ceiling) directive has set targets for the 2010 ammonia emissions from a number of European countries. The target will be reached by most EU-countries and the total emission for EU-27 has been reduced by 22% from 1990 to 2007. Denmark is one of the countries with the la......The NEC (National Emission Ceiling) directive has set targets for the 2010 ammonia emissions from a number of European countries. The target will be reached by most EU-countries and the total emission for EU-27 has been reduced by 22% from 1990 to 2007. Denmark is one of the countries...

  12. Subtractive cDNA cloning using oligo(dT)30-latex and PCR: isolation of cDNA clones specific to undifferentiated human embryonal carcinoma cells.

    OpenAIRE

    1991-01-01

    The human embryonal carcinoma cell line NEC14 can be induced to differentiate by the addition of 10(-2)M N,N'-hexamethylene-bis-acetamide (HMBA). A subtractive cDNA library specific to undifferentiated NEC14 cells was constructed using oligo(dT)30-Latex and polymerase chain reaction (PCR). The method was designed to improve the efficiency of subtraction and the enrichment of cDNA clones corresponding to low abundance mRNAs. The single strand of cDNA was made from mRNA prepared from the HMBA-t...

  13. Marked methylation changes in intestinal genes during the perinatal period of preterm neonates

    DEFF Research Database (Denmark)

    Gao, Fei; Zhang, Juyong; Jiang, Pingping;

    2014-01-01

    BACKGROUND: The serious feeding- and microbiota-associated intestinal disease, necrotizing enterocolitis (NEC), occurs mainly in infants born prematurely (5-10% of all newborns) and most frequently after formula-feeding. We hypothesized that changes in gene methylation is involved in the prenatal...... maturation of the intestine and its response to the first days of formula feeding, potentially leading to NEC in preterm pigs used as models for preterm infants. RESULTS: Reduced Representation Bisulfite Sequencing (RRBS) was used to assess if changes in intestinal DNA methylation are associated with formula...

  14. Images of the Emperor Frederick II in the Universal chronicle of Jansen Enikel

    OpenAIRE

    Dunphy, Graeme

    2011-01-01

    "The death of the Emperor Frederick Il in 1250 marked a tuming point in German affairs. When in 1212 the young King of Sicily had taken Germany by storm, driving north his Welf rival Otto IV of Brunswick and securing the support of the German princes, it had seemed that a new golden age had begun. Walther von der Vogelweide at last received his "lêhen", and praised his new patron as "der edel künec, der milte künec". ln Aachen a crusade was proclaimed for the liberation of Jerusalem. Comparis...

  15. Tumor Necrosis Factor-α and Apoptosis Signal-Regulating Kinase 1 Control Reactive Oxygen Species Release, Mitochondrial Autophagy and C-Jun N-Terminal Kinase/P38 Phosphorylation During Necrotizing Enterocolitis

    Directory of Open Access Journals (Sweden)

    Naira Baregamian

    2009-01-01

    Full Text Available Background: Oxidative stress and inflammation may contribute to the disruption of the protective gut barrier through various mechanisms; mitochondrial dysfunction resulting from inflammatory and oxidative injury may potentially be a significant source of apoptosis during necrotizing enterocolitis (NEC. Tumor necrosis factor (TNFα is thought to generate reactive oxygen species (ROS and activate the apoptosis signal-regulating kinase 1 (ASK1-c-Jun N-terminal kinase (JNK/p38 pathway. Hence, the focus of our study was to examine the effects of TNFα/ROs on mitochondrial function, ASK1-JNK/p38 cascade activation in intestinal epithelial cells during NEC.

  16. Application of Mitomycin C after dilation of an anastomotic stricture in a newborn with necrotizing enterocolitis

    Directory of Open Access Journals (Sweden)

    Jonathan Green

    2016-01-01

    Full Text Available Necrotizing enterocolitis (NEC is a common life-threatening condition in premature infants. Bacterial translocation, localized inflammation and subsequent perforation often require surgery for source control and definitive treatment. Small and large intestinal strictures may result from either creation of a surgical anastomosis or the disease process itself. Current methods to treat strictures include, balloon dilation and surgical resection with or without anastomosis. We report the diagnosis and surgical management of a premature infant treated for NEC, who developed an anastomotic stricture and was successfully treated with topical Mitomycin C after balloon stricturoplasty.

  17. SIRIUS - A new 6 MV accelerator system for IBA and AMS at ANSTO

    Science.gov (United States)

    Pastuovic, Zeljko; Button, David; Cohen, David; Fink, David; Garton, David; Hotchkis, Michael; Ionescu, Mihail; Long, Shane; Levchenko, Vladimir; Mann, Michael; Siegele, Rainer; Smith, Andrew; Wilcken, Klaus

    2016-03-01

    The Centre for Accelerator Science (CAS) facility at ANSTO has been expanded with a new 6 MV tandem accelerator system supplied by the National Electrostatic Corporation (NEC). The beamlines, end-stations and data acquisition software for the accelerator mass spectrometry (AMS) were custom built by NEC for rare isotope mass spectrometry, while the beamlines with end-stations for the ion beam analysis (IBA) are largely custom designed at ANSTO. An overview of the 6 MV system and its performance during testing and commissioning phase is given with emphasis on the IBA end-stations and their applications for materials modification and characterisation.

  18. Vasculitis as part of the fetal response to acute chorioamnionitis likely plays a role in the development of necrotizing enterocolitis and spontaneous intestinal perforation in premature neonates.

    Science.gov (United States)

    Ducey, Jonathan; Owen, Anthony; Coombs, Robert; Cohen, Marta

    2015-06-01

    Necrotizing enterocolitis (NEC) and spontaneous intestinal perforation (SIP) are causes of bowel perforation in premature neonates. Studies have demonstrated that both are associated with acute chorioamnionitis (ACA) of the placenta. The aim of our study was to identify any histopathological links between placental histopathological abnormalities and the later development of NEC and/or SIP in premature patients presenting at our institution. Cases with a diagnosis of NEC/SIP were identified. Entry criteria were the diagnosis of NEC/SIP was confirmed clinically and/or histologically, had been made within the first 7 days of life, neonates were premature, and the placenta had been submitted for histological examination. In those cases with ACA, CD34 immunohistochemistry and Martius scarlet blue staining was performed. Medical records were reviewed for demographics, clinical variables, and clinical outcomes. Statistical analysis was performed using Fisher exact test. In total, 21 cases met defined inclusion criteria (12 NEC, 8 SIP, and 1 clinically indeterminate). Mean gestational age was 27 weeks. Median age of presentation was 5 days. Placental histology showed ACA in 16 of 21 cases (76.2%). Of those with ACA, 13 of 16 (81.3%) had umbilical phlebitis, 12 of 16 (75.0%) had umbilical arteritis, 6 of 16 (37.5%) funisitis, and 12 of 16 (75.0%) had chorionic vasculitis. No differences (p > 0.05) were seen between ACA and diagnosis or clinical outcome (Fisher exact test). Of the 16 cases, 14 with ACA that later developed either NEC or SIP showed vasculitis in the umbilical cord and/or chorionic plate and/or stem villi vasculature. The association between ACA and vasculitis was highly significant (p vasculitis. NEC or SIP shows a significant association with ACA with presence of vasculitis as part of the FIR (p < 0.01). In a proportion of cases, the development of fibrin deposition in response to vasculitic endothelial damage of the placental vasculature may form part of

  19. Pharmacoeconomic impact of use of the probiotic Lactobacillus reuteri DSM 17938 for prevention of necrotizing enterocolitis in extremely low-birth-weight infants

    Directory of Open Access Journals (Sweden)

    Dimaguila MAVT

    2013-04-01

    Full Text Available Mary Ann VT Dimaguila,1,2 Peter Gal,1,3,4 Tiffany Wilson,1 John E Wimmer Jr,1,2 McCrae Smith,1,2 Rita Q Carlos,1,2 Christie C Davanzo,1,2 J Laurence Ransom1,2 1Women's Hospital of Greensboro, Cone Health, Greensboro, NC, USA; 2Piedmont Neonatology, Greensboro, NC, USA; 3Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; 4Greensboro Area Health Education Center, Greensboro, NC, USA Background: A recent study showed that use of Lactobacillus reuteri as probiotic prophylaxis decreased the necrotizing enterocolitis (NEC rate from 15.1% to 2.5% in neonates with birth weight below 1000 g. Given the controversies surrounding use of probiotics in neonatal intensive care units, we address one additional aspect of routine implementation of probiotics for NEC prophylaxis – the pharmacoeconomic impact. Methods: Using data from our initial published experience, and continuing data collection after instituting a higher dose of L. reuteri, we measured the reduction in NEC in neonates with birth weight below 1000 g. Cost savings from prior studies examining the cost and outcomes of medical and surgical NEC were used to calculate the financial impact of routine L. reuteri DSM 17938 prophylaxis. Results: Medical records for 354 neonates were reviewed, 232 in the years before introduction of L. reuteri prophylaxis and 79 who received L. reuteri prophylaxis dosed at 0.1 mL daily and 43 neonates given a total daily dose of 0.2 mL as one or two doses. The incidence of NEC was significantly lower in the neonates who received L. reuteri (two of 122 neonates [1.6%] versus 35 of 232 neonates [15.1%]. The expected benefits for our neonatal intensive care unit per 100 extremely low-birth-weight neonates treated were four fewer deaths, five fewer cases of medical NEC, eight fewer cases of surgical NEC, one less patient with short-bowel syndrome, and a cost saving of approximately $2.2 million. Conclusion: Prophylactic

  20. Clinical study of glutamine in the prevention of necrotizing enterocolitis in preterm infants%谷氨酰胺预防早产儿坏死性小肠结肠炎的临床研究

    Institute of Scientific and Technical Information of China (English)

    赖昌护; 陈冬梅; 王瑞泉

    2011-01-01

    Objective To assess the role of glutamine in the prevention of necrotiziting enterocolitis (NEC) in preterm infants. Methods Two thousand seven hundred and seventeen preterm infants hospitalized in our NICU from Oct 2007 to Mar 2010 were assigned in either receiving prophylactic use of glutamine (prevention group, n = 1389) or without glutamine supplementation(control group, n = 1328). The incidence of NEC was compared between the two groups. Results There were no significant differences in sex,gestation age, birth weight, neonatal asphyxia, pneumonia, septicemia and cerebral hemorrhage between the two groups (P > 0. 05). Sixty-eight infants occurred NEC in the control group(5. 12%) ,but only 35 infants occurred NEC in the prevention group(2. 52%) (x2 = 12. 590,P <0. 01). Conclusion The prophylactic use of glutamine may reduce the incidence of NEC in preterm infants.%目的 评估谷氨酰胺(glutamine,Gln)预防早产儿坏死性小肠结肠炎(necrotizing enterocolits,NEC)的临床疗效.方法 将我科2007年10月至2010年3月收治的2717例早产儿分为Gln预防组(1389例)和非Gln预防组(1328例),观察两组患儿NEC的发病率.结果 Gln预防组与非Gln预防组患儿在性别,胎龄,出生体质量,有无窒息史,是否合并肺炎、败血症、脑出血等方面比较,差异无统计学意义(P>0.05).Gln预防组1389例患儿中35例诊断为NEC,发病率为2.52%;非Gln预防组1328例患儿中68例诊断为NEC,发病率为5.12%,两组患儿发病率比较差异有统计学意义(x2=12.590,P<0.01).结论 预防性应用Gln能降低早产儿NEC的发病率.

  1. Reducing ammonia emissions in Europe

    DEFF Research Database (Denmark)

    Jacobsen, Brian H.

    2011-01-01

    The NEC directive has set targets for the 2010 ammonia emissions from a number of European countries. The target will be reached by most EU-countries and the total emission for EU-27 has been reduced by 22% from 1990 to 2007. Denmark is one of the countries with the largest reductions since 1990...... to the high expectations at the outset. Despite this, the paper concludes that Denmark is likely to reduce emission by 50% from 1990 to 2020 and reach the likely 2020 NEC ceiling....

  2. Spontaneous rupture of thymic neuroendocrine carcinoma: A case report

    Energy Technology Data Exchange (ETDEWEB)

    Park, Chan Yeong; Lee, In Jae; Min, Soo Kee [Hallym University College of Medicine, Chuncheon (Korea, Republic of)

    2015-11-15

    Thymic neuroendocrine carcinoma (NEC) is a rare neoplasm with tendencies of local invasion and metastasis. Usually, it is detected incidentally or by its symptoms caused by mass effect. Rupture of the tumor is extremely rare. In this study, we report a case of a ruptured thymic NEC that was combined with a potentially fatal hemorrhage. This lesion was manifested as a progressive bulging of the right cardiac border on serial chest radiographs, and on CT as a large anterior mediastinal mass with heterogeneous enhancement, internal necrosis, and hematoma.

  3. Association of Red Blood Cell Transfusion, Anemia, and Necrotizing Enterocolitis in Very Low-Birth-Weight Infants.

    Science.gov (United States)

    Patel, Ravi M; Knezevic, Andrea; Shenvi, Neeta; Hinkes, Michael; Keene, Sarah; Roback, John D; Easley, Kirk A; Josephson, Cassandra D

    2016-03-01

    Data regarding the contribution of red blood cell (RBC) transfusion and anemia to necrotizing enterocolitis (NEC) are conflicting. These associations have not been prospectively evaluated, accounting for repeated, time-varying exposures. To determine the relationship between RBC transfusion, severe anemia, and NEC. In a secondary, prospective, multicenter observational cohort study from January 2010 to February 2014, very low-birth-weight (VLBW, ≤1500 g) infants, within 5 days of birth, were enrolled at 3 level III neonatal intensive care units in Atlanta, Georgia. Two hospitals were academically affiliated and 1 was a community hospital. Infants received follow-up until 90 days, hospital discharge, transfer to a non-study-affiliated hospital, or death (whichever came first). Multivariable competing-risks Cox regression was used, including adjustment for birth weight, center, breastfeeding, illness severity, and duration of initial antibiotic treatment, to evaluate the association between RBC transfusion, severe anemia, and NEC. The primary exposure was RBC transfusion. The secondary exposure was severe anemia, defined a priori as a hemoglobin level of 8 g/dL or less. Both exposures were evaluated as time-varying covariates at weekly intervals. Necrotizing enterocolitis, defined as Bell stage 2 or greater by preplanned adjudication. Mortality was evaluated as a competing risk. Of 600 VLBW infants enrolled, 598 were evaluated. Forty-four (7.4%) infants developed NEC. Thirty-two (5.4%) infants died (all cause). Fifty-three percent of infants (319) received a total of 1430 RBC transfusion exposures. The unadjusted cumulative incidence of NEC at week 8 among RBC transfusion-exposed infants was 9.9% (95% CI, 6.9%-14.2%) vs 4.6% (95% CI, 2.6%-8.0%) among those who were unexposed. In multivariable analysis, RBC transfusion in a given week was not significantly related to the rate of NEC (adjusted cause-specific hazard ratio, 0.44 [95% CI, 0.17-1.12]; P = .09). Based

  4. Audel guide to the 2002 national electrical code

    CERN Document Server

    Rosenberg, Paul

    2004-01-01

    Get a grip on the 2002 NECThe 2002 NEC is here-but what do the changes mean for you on the job? This easy-to-follow interpretive guide walks you article by article through the 2002 Code, clarifying terms, explaining new standards, highlighting compliance issues, and providing practical worksite tips. It's the one reference you need to make sense of the NEC-and make sure each job gets done by the book.* Know the rules for wiring design, protection, methods, and materials* Identify standards that apply for general use equipment* Discover what the Code says about electrical re

  5. Comparative MiRNA Expressional Profiles and Molecular Networks in Human Small Bowel Tissues of Necrotizing Enterocolitis and Spontaneous Intestinal Perforation.

    Directory of Open Access Journals (Sweden)

    Pak Cheung Ng

    Full Text Available Necrotizing enterocolitis (NEC and spontaneous intestinal perforation (SIP are acute intestinal conditions which could result in mortality and severe morbidity in preterm infants. Our objective was to identify dysregulated micro-RNAs (miRNAs in small bowel tissues of NEC and SIP, and their possible roles in disease pathophysiology.We performed differential miRNA arrays on tissues of NEC (n = 4, SIP (n = 4 and surgical-control (Surg-CTL; n = 4, and validated target miRNAs by qPCR (n = 10 each group. The association of target miRNAs with 52 dysregulated mRNAs was investigated by bioinformatics on functional and base-pair sequence algorithms, and correlation in same tissue samples.We presented the first miRNA profiles of NEC, SIP and Surg-CTL intestinal tissues in preterm infants. Of 28 validated miRNAs, 21 were significantly different between NEC or SIP and Surg-CTL. Limited overlapping in the aberrant expression of miRNAs between NEC and SIP indicated their distinct molecular mechanisms. A proposed network of dysregulated miRNA/mRNA pairs in NEC suggested interaction at bacterial receptor TLR4 (miR-31, miR-451, miR-203, miR-4793-3p, mediated via key transcription factors NFKB2 (miR-203, AP-1/FOSL1 (miR-194-3p, FOXA1 (miR-21-3p, miR-431 and miR-1290 and HIF1A (miR-31, and extended downstream to pathways of angiogenesis, arginine metabolism, cell adhesion and chemotaxis, extracellular matrix remodeling, hypoxia/oxidative stress, inflammation and muscle contraction. In contrast, upregulation of miR-451 and miR-223 in SIP suggested modulation of G-protein-mediated muscle contraction.The robust response of miRNA dysregulation in NEC and SIP, and concerted involvement of specific miRNAs in the molecular networks indicated their crucial roles in mucosa integrity and disease pathophysiology.

  6. Effect of erythropoietin on dynamic changes of TLR4,NF-κB,and IL-6 in rat model with necrotizing enterocolitis

    Directory of Open Access Journals (Sweden)

    Xiao-qing CHEN

    2011-09-01

    Full Text Available Objective To explore the protective effect and the mechanism of erythropoietin(EPO on dynamic expressions of TLR-4,NF-κB,and IL-6 in the intestinal tissue of neonatal rat model with necrotizing enterocolitis(NEC.Methods A total of 90 SD rats(3 days old were divided randomly into 3 groups(30 each as follows: normal control group,NEC group,and EPO group.The NEC rat model was established by feeding the subjects with rat-milk substitutes after separation from the mother rats.The subjects were then exposed to hypoxia and cold stress.The EPO-treated rats were fed with the substitute of rat-milk containing EPO(0.1U/ml,and were exposed to hypoxia and cold stress as well.The rats in the control group were raised by their mothers and received no intervention.Ten rats from each group were sacrificed at 24,48,and 72h,respectively.The last 3cm of the terminal ileum was excised and the histological changes of the intestinal tissues were scored after H-E staining.Scores ≥2 were considered NEC.Fluorescence quantitative PCR was used to evaluate the dynamic levels of TLR4 mRNA and NF-κB mRNA.ELISA was used to determine the expression of IL-6.Results The TLR4 mRNA expression in the NEC group increased at 24h,peaked at 48h,and slightly decreased at 72h.The expressions in all time points increased significantly compared with those in the control group(P < 0.01.The rats in the EPO group expressed high levels of TLR4 mRNA at 24h.However,the expression rapidly declined later,and was significantly lower at 48 and 72h compared with those in the NEC group(P < 0.01.The expressions of NF-κB mRNA and IL-6 were significantly higher in the NEC group than in the control group at 48 and 72 h(P < 0.01.The expressions considerably increased in the EPO group at 48h,then declined at 72h,and were significantly lower than those in the NEC group(P < 0.01.No apparent pathological change was found in all groups at the time points of 24 and 48h.However,tissue lesion was observed in

  7. Association of inhibitors of gastric acid secretion and higher incidence of necrotizing enterocolitis in preterm very low-birth-weight infants.

    Science.gov (United States)

    More, Kiran; Athalye-Jape, Gayatri; Rao, Shripada; Patole, Sanjay

    2013-11-01

    Inhibitors of gastric acid (IGA) are used for upper gastrointestinal bleeding or gastroesophageal reflux in preterm infants. The resultant increase in gastric pH may enhance the growth of pathogens and increase the risk of necrotizing enterocolitis (NEC). Our systematic review examined the association between IGA and NEC in preterm infants. Standard methodology of systematic reviews was followed. PubMed, Embase, Cochrane, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases were searched in August 2012. One case-control and one prospective cohort study (n = 11,346), both evaluating H2-blockers as IGA, were included. Meta-analysis showed a significant association between NEC and IGA (odds ratio [OR]: 1.78, 95% confidence interval [CI]: 1.4, 2.27, p < 0.00001). The prospective cohort study found higher incidence of infection (sepsis, pneumonia, urinary tract infection) with IGA (37.4% versus 9.8%, OR: 5.5, 95% CI: 2.9 to 10.4, p < 0.001). Exposure to H2 receptor antagonists may be associated with increased risk of NEC and infections in preterm infants. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  8. Quercetin induces apoptosis and necroptosis in MCF-7 breast cancer cells.

    Science.gov (United States)

    Khorsandi, L; Orazizadeh, M; Niazvand, F; Abbaspour, M R; Mansouri, E; Khodadadi, A

    2017-01-01

    This study investigated the quercetin (Que) effects on growth of MCF-7 human cancer breast cell line and its cellular death mechanism. Quercetin has been found to be very efficacious against many different types of cancer cells. However, the study is not sufficiently powered to demonastrate anticancer mechanisms. MCF-7cells were treated by 50 µM/ ml of Que for 48 hours. MCF-7 cells were also pretreated with 10 Μm ZVAD (apoptosis inhibitor) or 3 mM Nec-1 (necroptosis inhibitor) for evaluation of cell death induced by apoptosis or necroptosis. MTT and clonogenicity assays revealed that the Que induced a significant increase in cell viability and proliferation in presence of Nec-1 in comparison to the presence of ZVAD (p apoptosis as revealed by DAPI staining and morphology evaluations. Following Que treatment Bcl-2 expression was significantly decreased while Bax expression was significantly increased. Que in presence of Nec-1 decreased expression of Bax gene, reduced apoptotic index, increased cell viability and proliferation of MCF-7 cells in comparison to absence of Nec-1. MCF-7 cells showed a significantly increased expression of RIPK1 and RIPK3 in response to Que plus ZVAD in comparison to absence of ZVAD. Our results revealed that the high Que toxicity for breast cancer cells depends on multiple cell death pathways, which involve mainly necroptosis (Fig. 6, Ref. 21).

  9. Bovine colostrum improves intestinal function following formula-induced gut inflammation in preterm pigs

    Science.gov (United States)

    Only few hours of formula feeding may induce proinflammatory responses and predispose to necrotizing enterocolitis (NEC) in preterm pigs. We hypothesized that bovine colostrum, rich in bioactive factors, would improve intestinal function in preterm pigs following an initial exposure to formula feedi...

  10. The prognostic influence of the proliferative discordance in metastatic pancreatic neuroendocrine carcinoma revealed by peptide receptor radionuclide therapy

    Science.gov (United States)

    Montanier, Nathanaëlle; Joubert-Zakeyh, Juliette; Pétorin, Caroline; Montoriol, Pierre François; Maqdasy, Salwan; Kelly, Antony

    2017-01-01

    Abstract Rationale: Pancreatic neuroendocrine tumors (pNET) are rare slowly growing tumors with a high metastatic potential. Peptide receptor radionuclide therapy (PRRT) with radiolabeled analogues has been developed as a new tool for the management of metastatic well-differentiated (grade 1 and 2) neuroendocrine tumors expressing somatostatin receptor (SSTR2). Chemotherapy is the mainstay in the management of grade 3 (G3) unresectable pancreatic neuroendocrine carcinoma (pNEC). To date, no study has evaluated the efficacy of PRRT in such tumors. Diagnoses and interventions: We describe a case of a progressive G3 pNEC with huge liver metastases successfully treated with PRRT (177Lu DOTATATE). Outcomes: Complete remission was obtained for 3 years. Indeed, the mitotic index was low (as G2 tumors) but with a very high Ki-67 index (45%–70%). Such discordance between the proliferative markers should consider the use of PRRT before chemotherapy in unresectable metastatic G3 tumors expressing SSTR2. Lessons: This case supports the hypotheses highlighting the heterogeneity of G3 pNEC. The latter should be subdivided into 2 distinct categories: proliferation-discordant (well differentiated) and concordant (poorly differentiated) NEC. PRRT could be suggested for the former group before the conventional chemotherapy. PMID:28178157

  11. Surgery for GEP-NETs

    DEFF Research Database (Denmark)

    Knigge, Ulrich; Hansen, Carsten Palnæs

    2012-01-01

    Surgery is the only treatment that may cure the patient with gastroentero-pancreatic (GEP) neuroendocrine tumours (NET) and neuroendocrine carcinomas (NEC) and should always be considered as first line treatment if R0/R1 resection can be achieved. The surgical and interventional procedures for GEP...

  12. Microbiological factors associated with neonatal necrotizing enterocolitis : protective effect of early antibiotic treatment

    NARCIS (Netherlands)

    Krediet, TG; van Lelyveld, N; Vijlbrief, DC; Fleer, A; Gerards, LJ; Brouwers, H.

    2003-01-01

    Aim: The incidence of necrotizing enterocolitis (NEC) strongly increased in an neonatal intensive care unit (NICU) in 1997 and 1998 compared with previous years, which coincided with increased incidence of nosocomial sepsis. Specific risk factors related to this NICU and a possible relationship

  13. A Search for Factors Causing Training Costs to Rise by Examining the U. S. Navy’s AT, AW, and AX Ratings during their First Enlistment Period

    Science.gov (United States)

    1986-09-01

    if we use the entire time period spanned by the data base, year group 7S will have had more time to aquire NEC codes than year group SO. Wc need to...the SAS programning, language . SAS provided us numerical computation, statistical results, and graphical summaries. SAS programs used by this study are

  14. The change features of the west boundary bifurcation line of the North Equatorial Current in the Pacific

    Science.gov (United States)

    Guo, Junru; Liu, Yulong; Song, Jun; Bao, Xianwen; Li, Yan; Chen, Shaoyang; Yang, Jinkun

    2015-12-01

    The equatorial Current in the North Pacific (NEC) is an upper layer westward ocean current, which flows to the west boundary of the ocean, east of the Philippines, and bifurcates into the northerly Kuroshio and the main body of the southerly Mindanao current. Thus, NEC is both the south branch of the Subtropical Circulation and the north branch of the Tropical Circulation. The junction of the two branches extends to the west boundary to connect the bifurcation points forming the bifurcation line. The position of the North Pacific Equatorial Current bifurcation line of the surface determines the exchange between and the distribution of subtropical and tropical circulations, thus affecting the local or global climate. A new identification method to track the line and the bifurcation channel was used in this study, focusing on the climatological characteristics of the western boundary of the North Equatorial Current bifurcation line. The long-term average NEC west boundary bifurcation line shifts northwards with depth. In terms of seasonal variation, the average position of the western boundary of the bifurcation line is southernmost in June and northernmost in December, while in terms of interannual variation, from spring to winter in the years when ENSO is developing, the position of the west boundary bifurcation line of NEC is relatively to the north (south) in EI Niño (La Niña) years as compared to normal years.

  15. Bioactive Milk for Intestinal Maturation in Preterm Neonates

    DEFF Research Database (Denmark)

    Li, Yanqi

    inflammatory response. This immaturity predisposes preterm infants to various nutritional challenges and clinical conditions, including feeding intolerance, growth restriction, necrotizing enterocolitis (NEC), sepsis and long-term consequences. The quality of milk fed to preterm infants during the first...... to the improvement of infant formula industry and clinical practices of feeding preterm infants....

  16. The Migrant Farm Work Force: Differences in Attachment to Farmwork.

    Science.gov (United States)

    Whitener, Leslie A.

    1985-01-01

    Investigates extent of diversity and segmentation within United States migrant farm labor force by examining differences in migrants' attachment to farmwork. Finds three groups of migrants with differing levels of dependence on agriculture differentiated by demographic (age, minority status, region) and employment (earnings) variables. (NEC)

  17. CD117, Ki-67, and p53 predict survival in neuroendocrine carcinomas, but not within the subgroup of small cell lung carcinoma.

    Science.gov (United States)

    Erler, Brian S; Presby, Matthew M; Finch, Meredith; Hodges, Allison; Horowitz, Kari; Topilow, Arthur A; Matulewicz, Theodore

    2011-02-01

    High-grade neuroendocrine carcinomas (NECs) are aggressive tumors with limited treatment options. Recently, studies have observed that the tyrosine kinase receptor CD117 is often overexpressed in this malignancy. As a result, CD117 has been identified as a target for therapy via the small molecule, tyrosine kinase inhibitor imatinib mesylate. In the present study, 17 low-grade, 4 intermediate-grade, and 76 high-grade NECs were immunostained for CD117, Ki-67, and p53. Overexpression of the three markers was mainly, but not exclusively seen in the high-grade NECs. Patients with overexpression of CD117 and p53 and increased Ki-67 expression showed reduced survival. However, no difference in survival was observed when the same analysis was applied solely to small cell lung cancer patients, the largest subset studied. These findings suggest that overexpression of CD117, p53, and Ki-67 reflects tumor grade and predicts survival in NECs, but fail as prognostic markers in the subset of small cell lung cancer patients.

  18. Medical Student Financing and the Armed Forces Health Professions Scholarship Program

    Science.gov (United States)

    1982-01-01

    Newark 6 California, Irvine 67 CMONJ-Rutgers, Piscataway I Lomow Lirda. Lomna Linda 8 Californi4. Los Angeleý NM 68 Nec Mexico . Plbuquerque 9 Southern...financing your medical school educacion this ear (76-77). Assume that you were eligible and that each of these alternatives had een available to you at

  19. 78 FR 39326 - Notice Pursuant To the National Cooperative Research and Production Act of 1993-Opendaylight...

    Science.gov (United States)

    2013-07-01

    ...., Gatineau, Quebec City, CANADA; Intel Corporation, Santa Clara, CA; Juniper Networks, Sunnyvale, CA; Microsoft Corporation, Redmond, WA; NEC Corporation, Tokyo, JAPAN; PLUMgrid Inc., Sunnyvale, CA; Radware LTD..., CA; Ciena Corporation, Hanover, MD; Cisco Systems Inc., San Jose, CA; Citrix Systems, Inc.,...

  20. Regulation and activity of secretory leukoprotease inhibitor (SLPI) is altered in smokers.

    Science.gov (United States)

    Meyer, Megan; Bauer, Rebecca N; Letang, Blanche D; Brighton, Luisa; Thompson, Elizabeth; Simmen, Rosalia C M; Bonner, James; Jaspers, Ilona

    2014-02-01

    A hallmark of cigarette smoking is a shift in the protease/antiprotease balance, in favor of protease activity. However, it has recently been shown that smokers have increased expression of a key antiprotease, secretory leukoprotease inhibitor (SLPI), yet the mechanisms involved in SLPI transcriptional regulation and functional activity of SLPI remain unclear. We examined SLPI mRNA and protein secretion in differentiated nasal epithelial cells (NECs) and nasal lavage fluid (NLF) from nonsmokers and smokers and demonstrated that SLPI expression is increased in NECs and NLF from smokers. Transcriptional regulation of SLPI expression was confirmed using SLPI promoter reporter assays followed by chromatin immunoprecipitation. The role of STAT1 in regulating SLPI expression was further elucidated using WT and stat1(-/-) mice. Our data demonstrate that STAT1 regulates SLPI transcription in epithelial cells and slpi protein in the lungs of mice. Additionally, we reveal that NECs from smokers have increased STAT1 mRNA/protein expression. Finally, we demonstrate that SLPI contained in the nasal mucosa of smokers is proteolytically cleaved but retains functional activity against neutrophil elastase. These results demonstrate that smoking enhances expression of SLPI in NECs in vitro and in vivo, and that this response is regulated by STAT1. In addition, despite posttranslational cleavage of SLPI, antiprotease activity against neutrophil elastase is enhanced in smokers. Together, our findings show that SLPI regulation and activity is altered in the nasal mucosa of smokers, which could have broad implications in the context of respiratory inflammation and infection.

  1. ONRASIA Scientific Information Bulletin. Volume 17, Number 4, October-December 1992

    Science.gov (United States)

    1992-12-01

    Ishii NEC Corp. Mr. S. Mineo and Mr. Y. Kobayashi 99 SIB 17 (4) 92 The following cases comprised the benchmark problem the opera- Cray multi-CPU...114 Nagoya Aerospace Systems 3-196 Hitachi Sawa and Toga Works 3-101 Takasago Research and 2-079 Hitachi-Seiki 3-144 Development Center Hitachi Systems

  2. Crystal Structure of the Herpesvirus Nuclear Egress Complex Provides Insights into Inner Nuclear Membrane Remodeling

    Directory of Open Access Journals (Sweden)

    Tzviya Zeev-Ben-Mordehai

    2015-12-01

    Full Text Available Although nucleo-cytoplasmic transport is typically mediated through nuclear pore complexes, herpesvirus capsids exit the nucleus via a unique vesicular pathway. Together, the conserved herpesvirus proteins pUL31 and pUL34 form the heterodimeric nuclear egress complex (NEC, which, in turn, mediates the formation of tight-fitting membrane vesicles around capsids at the inner nuclear membrane. Here, we present the crystal structure of the pseudorabies virus NEC. The structure revealed that a zinc finger motif in pUL31 and an extensive interaction network between the two proteins stabilize the complex. Comprehensive mutational analyses, characterized both in situ and in vitro, indicated that the interaction network is not redundant but rather complementary. Fitting of the NEC crystal structure into the recently determined cryoEM-derived hexagonal lattice, formed in situ by pUL31 and pUL34, provided details on the molecular basis of NEC coat formation and inner nuclear membrane remodeling.

  3. Unchanged incidence of necrotising enterocolitis in a tertiary neonatal department

    DEFF Research Database (Denmark)

    Hein-Nielsen, Anne Lysbeck; Meinich Petersen, Sandra; Greisen, Gorm

    2015-01-01

    INTRODUCTION: At the Department of Neonatology at Rigshospitalet, Copenhagen, Denmark, decades of extensive use of mother's milk and human donor milk should theoretically limit the incidence of necrotising enterocolitis (NEC) among very low birth weight infants. The aim of this study was to deter......INTRODUCTION: At the Department of Neonatology at Rigshospitalet, Copenhagen, Denmark, decades of extensive use of mother's milk and human donor milk should theoretically limit the incidence of necrotising enterocolitis (NEC) among very low birth weight infants. The aim of this study...... was to determine our local incidence of NEC from 1996 to 2009. METHODS: The data in departmental clinical database containing information about admissions in the 1996-2009 period was compared with data in the Danish Patient Registry. Inconsistencies were resolved by reviewing the clinical records. The population...... of interest was infants inborn at Rigshospitalet with an age of 0-1 days on admission. RESULTS: A total of 8,893 infants were included in the study and 1,843 (20.7%) weighed less than 1,500 g at birth. NEC occurred in 111 of these (6.0%). The incidence ranged from 20.5% in the 500-599 g birth-weight group...

  4. Spectrum of Gastroenteropancreatic NENs in Routine Histological Examinations of Bioptic and Surgical Specimen: A Study of 161 Cases Collected from 17 Departments of Pathology in the Czech Republic

    Directory of Open Access Journals (Sweden)

    Václav Mandys

    2014-01-01

    Full Text Available Objective. To characterize GEP-NENs in routine biopsies and surgical specimen in the Czech Republic and to evaluate how WHO Classification (2010 is acceptable in diagnostic practice. Methods. Paraffin-embedded blocks and bioptic reports were collected from 17 departments of pathology. Histologic slides were stained with H&E and immunohistologically for CgA, synaptophysin, and Ki-67. Results. Out of 28 gastric NENs, there were 22 NETs, G1, 5 NETs, G2, and 1 NEC. Ten duodenal NENs were NETs, G1. Among 27 NENs of jejunum and ileum, 23 were NETs, G1, 2 NETs, G2, and 1 NEC and 1 mixed adenoneuroendocrine carcinoma (MANEC. Among 42 appendiceal “incidentalomas”, 39 were NETs G1, 2 goblet cell carcinoids, and 1 MANEC. Out of 34 large intestinal NENs, 30 were NETs, G1, 3 NETs, G2, and 1 NEC. One small intestinal and 6 large bowel neoplasms were reclassified as poorly differentiated adenocarcinomas. In 12 pancreatic NENs, there were 7 NETs, G1, 3 NETs, G2, and 2 NECs. Conclusions. Our study demonstrates differences in GEP-NENs frequency in sites of origin in our region, comparing to other countries. Regarding routine bioptic diagnostics, we gave evidence that the WHO 2010 classification of NENs is fully acceptable for exact categorisation of tumours.

  5. Immunohistochemical consistency between primary tumors and lymph node metastases of gastric neuroendocrine carcinoma

    Directory of Open Access Journals (Sweden)

    Uchiyama Chieko

    2012-06-01

    Full Text Available Abstract Background Gastric neuroendocrine carcinoma (G-NEC is a rare, highly malignant tumor that exhibits aggressive growth leading to vascular invasion, distant metastasis and extremely poor prognosis. We studied the clinicopathological findings of seven patients at our institute to better under this disease. Methods Seven cases of G-NEC were identified among 1,027 cases of gastric carcinoma that underwent gastrectomy at Kansai Rousai Hospital between 2002 and 2010. We studied the pathological and immunohistochemical features of gastric neuroendocrine carcinomas at both the primary site and metastatic lymph nodes. Results The mean patient age was 73 years (range 63 to 86 years. There were no females in this series. The final staging was Stage I in one case, Stage II in two, Stage III in two and Stage IV in two. A total of 31 metastatic lymph nodes were found in these patients. This study revealed that the ratio of neuroendocrine cells was similar between the primary and metastatic sites, which tended to show the same expression patterns of neuroendocrine markers. Conclusions Metastatic lymph nodes showed heterogeneous immunohistochemical expression patterns similar to the primary sites. G-NEC is far advanced at diagnosis and rapidly reaches the lymph nodes retaining its heterogeneity, carrying a worse prognosis than common gastric cancer. Mini abstract G-NEC grows rapidly and metastasizes to the lymph nodes, retaining its pathological and immunohistochemical heterogeneity even at the metastatic sites.

  6. Microbiological factors associated with neonatal necrotizing enterocolitis : protective effect of early antibiotic treatment

    NARCIS (Netherlands)

    Krediet, TG; van Lelyveld, N; Vijlbrief, DC; Fleer, A; Gerards, LJ; Brouwers, H.

    2003-01-01

    Aim: The incidence of necrotizing enterocolitis (NEC) strongly increased in an neonatal intensive care unit (NICU) in 1997 and 1998 compared with previous years, which coincided with increased incidence of nosocomial sepsis. Specific risk factors related to this NICU and a possible relationship betw

  7. Publii papinii statii thebaidos : Liber Secundus commentario exegetico aesthetique instructus

    NARCIS (Netherlands)

    Mulder, Heine Melle

    1954-01-01

    Interea gelidis Maia satus aliger umbris iussa gerens magni remeat Iovis; undique pigrae ire vetant nubes et turbidus inplicat aer, nec zephyri rapuere gradum, sed foeda silentis aura poli. Styx inde novem circumflua campis, hinc obiecta vias torrentum incendia cludunt. Zie: hoofdstuk 1

  8. Improved gut barrier function via increased threonine utilization may explain enhanced resistance to necrotizing enterocolitis in preterm pigs fed colostrum

    Science.gov (United States)

    Threonine is an essential amino acid necessary for synthesis of gut mucins that form the protective intestinal mucous layer. In premature infants, this function might be compromised leading to necrotizing enterocolitis (NEC). We hypothesized that enteral feeding with colostrum, relative to infant fo...

  9. Determination of the pion and the proton partial inelasticity coefficients in iron at 0,5-5,0 TeV energies

    Energy Technology Data Exchange (ETDEWEB)

    Avakyan, V.V.; Mamidzhanyan, Eh.A.; Muradyan, M.M.; Sanosyan, Kh.N.; Sokhoyan, S.O. (Erevanskij Fizicheskij Inst. (USSR))

    1982-10-01

    Nuclear electromagnetic cascades (NEC) from cosmic hadrons in a homogeneous absorber were investigated. Partial inelasticity coefficients Ksub(..pi..sup(0)) of pions and protons have been determined for interactions with iron nuclei in the energy range of 0.5-5.0 TeV at a high accuracy (systematical error < 4%). Correlations Ksub(..pi..sup(0)) and distributions of NEC mathematical moments were investigated and a technique for determining Ksub(..pi..sup(a)) was developed. Ksub(..pi..sup(0)) value in the energy range investigated doesn't depend practically on energy and equals Ksub(..pi..sup(0))sup(pFe)=0.191+-0.006, Ksub(..pi..sup(0))sup(..pi..Fe)=0.270+-0.006 on the average. Differences in NEC from pions and protons observed an the experiment were investigated by means of comparison of experimental NEC and simulated. Authors suggest that it results from unlikeness of Ksub(..pi..sup(0)) because of difference in energy spectra of secondary ..pi../sup 0/ mesons in the fragmentation region of incident particle.

  10. Rapid and Sensitive Quantification of Isotopic Mixtures Using a Rapidly-Swept External Cavity Quantum Cascade Laser

    Energy Technology Data Exchange (ETDEWEB)

    Brumfield, Brian E.; Taubman, Matthew S.; Phillips, Mark C.

    2016-05-23

    A rapidly-swept external-cavity quantum cascade laser with an open-path Herriott cell is used to quantify gas-phase chemical mixtures of D2O and HDO at an update rate of 40 Hz (25 ms measurement time). The chemical mixtures were generated by evaporating D2O liquid near the open-path Herriott cell, allowing the H/D exchange reaction with ambient H2O to produce HDO. Fluctuations in the ratio of D2O and HDO on timescales of < 1 s due to the combined effects of plume transport and the H/D exchange chemical reaction are observed. Noise equivalent concentrations (1σ) (NEC) of 147.0 ppbv and 151.6 ppbv in a 25 ms measurement time are estimated for D2O and HDO respectively with a 127 m optical path. These NECs are reduced to 23.0 and 24.0 ppbv with a 1 s averaging time for D2O and HDO respectively. NECs < 200 ppbv are also estimated for N2O, F134A, CH4, Acetone, and SO2 for a 25 ms measurement time. Based on the NECs obtained for D2O and HDO, the isotopic precision for measurement of the [D2O]/[HDO] concentration ratio was studied. An isotopic precision of 33‰ and 5‰ was calculated for the current experimental conditions for measurement times of 25 ms and 1 s, respectively.

  11. Premature delivery reduces intestinal cytoskeleton, metabolism, and stress response proteins in newborn formula-fed pigs

    DEFF Research Database (Denmark)

    Jiang, Pingping; Wan, Jennifer Man-Fan; Cilieborg, Malene Skovsted

    2013-01-01

    were compared with the corresponding values in pigs delivered spontaneously at term. RESULTS:: For both preterm and term pigs, mucosal mass and maltase activity increased (+50-100%), while lactase decreased (-50%), relative to values at birth. Only preterm pigs were highly NEC-sensitive (30 vs. 0...

  12. Nanoclay/Polymer Composite Powders for Use in Laser Sintering Applications: Effects of Nanoclay Plasma Treatment

    Science.gov (United States)

    Almansoori, Alaa; Majewski, Candice; Rodenburg, Cornelia

    2017-06-01

    Plasma-etched nanoclay-reinforced Polyamide 12 (PA12) powder is prepared with its intended use in selective laser sintering (LS) applications. To replicate the LS process we present a downward heat sintering (DHS) process, carried out in a hot press, to fabricate tensile test specimens from the composite powders. The DHS parameters are optimized through hot stage microscopy, which reveal that the etched clay (EC)-based PA12 (EC/PA12) nanocomposite powder melts at a temperature 2°C higher than that of neat PA12, and 1-3°C lower than that of the nonetched clay-based nanocompsite (NEC/PA12 composite). We show that these temperature differences are critical to successful LS. The distribution of EC and NEC onto PA12 is investigated by scanning electron microscopy (SEM). SEM images show clearly that the plasma treatment prevents the micron-scale aggregation of the nanoclay, resulting in an improved elastic modulus of EC/PA12 when compared with neat PA12 and NEC/PA12. Moreover, the reduction in elongation at break for EC/PA12 is less pronounced than for NEC/PA12.

  13. Multi-modal aggression detection in trains

    NARCIS (Netherlands)

    Yang, Z.

    2009-01-01

    In many public places multiple sensing devices, such as cameras, are installed to help prevent unwanted situations such as aggression and violence. At the moment, the best solution to reach a safe environment requires human operators to monitor the camera images and take appropriate actions when nec

  14. The Challenge of Research on Farm Women.

    Science.gov (United States)

    Elbert, Sarah

    1981-01-01

    Researchers studying farm women must ask if successful integration of family and farm systems in the late 20th century involves feminism and, if so, what form of feminism. Available from: Rural Sociological Society, 325 Morgan Hall, University of Tennessee, Knoxville, TN 37916. (NEC)

  15. Teaching Canadian Literature: An Evaluation.

    Science.gov (United States)

    Harker, W. John

    1984-01-01

    Suggests granting greater recognition to the artistic integrity of Canadian literature by removing it from the broader context of Canadian studies. Indicates that understanding and appreciation of Canadian literature as a representation of reality filtered through the perception of an author should be focus of literature in schools. (NEC)

  16. Facsimile Transmission Standards

    Science.gov (United States)

    1993-10-01

    transmettre les cartes tactiques et les compte rendu de situation. La presente note technique expose les 6lements nec~ssaires A la transmission de t~l6copies...Group MI machines introduced digital scanning techniques in which the single photoelectric cell was replaced with a Charged Coupled Device (CCD) array

  17. Oropharyngeal administration of mother's milk to prevent necrotizing enterocolitis in extremely low-birth-weight infants: theoretical perspectives.

    Science.gov (United States)

    Rodriguez, Nancy A; Caplan, Michael S

    2015-01-01

    The oropharyngeal administration of mother's milk-placing drops of milk onto the infant's oral mucosa-may serve as a preventative strategy against necrotizing enterocolitis (NEC) for extremely low-birth-weight (ELBW: birth weight milk to ELBW infants may serve to expose the infant's oropharynx to protective (immune and trophic) biofactors (also present in amniotic fluid) and may protect the infant against NEC. Emerging evidence suggests that this intervention may have many benefits for extremely premature infants including protection against bacteremia, NEC, and ventilator-associated pneumonia, an earlier attainment of full enteral feeds, enhanced maturation of oral feeding skills, improved growth, and enhanced breast-feeding outcomes. While more research is needed to definitively establish safety and efficacy of this intervention, this article will examine biological plausibility and will describe the theoretical mechanisms of protection against NEC for ELBW infants who receive this intervention. Nurses play a key role in advancing the science and practice of this intervention. Future directions for research and implications for nursing practice will also be presented.

  18. Teacher's Sense of Power and the Consistency of Their Pupil Control Ideology and Behavior.

    Science.gov (United States)

    Rose, Keith R.; Willower, Donald J.

    1981-01-01

    Responses from a sample of 71 secondary teachers and 1,272 students were consistent with the hypothesis that teachers' sense of power would be directly associated with the consistency of their beliefs and behavior concerning pupil control. Some speculations were advanced concerning additional influences on teacher belief-behavior consistency. (NEC)

  19. An exclusive human milk-based diet in extremely premature infants reduces the probability of remaining on total parenteral nutrition: A reanalysis of the data

    Science.gov (United States)

    We have previously shown that an exclusively human-milk-based diet is beneficial for extremely premature infants who are at risk for necrotizing enterocolitis (NEC). However, no significant difference in the other primary study endpoint, the length of time on total parenteral nutrition (TPN), was fo...

  20. Activated human nasal epithelial cells modulate specific antibody response against bacterial or viral antigens.

    Directory of Open Access Journals (Sweden)

    Chiou-Yueh Yeh

    Full Text Available Nasal mucosa is an immune responsive organ evidenced by eliciting both specific local secretory IgA and systemic IgG antibody responses with intra-nasal administration of antigens. Nevertheless, the role of nasal epithelial cells in modulating such responses is unclear. Human nasal epithelial cells (hNECs obtained from sinus mucosa of patients with chronic rhinosinusitis were cultured in vitro and firstly were stimulated by Lactococcus lactis bacterium-like particles (BLPs in order to examine their role on antibody production. Secondly, both antigens of immunodominant protein IDG60 from oral Streptococcus mutans and hemagglutinin (HA from influenza virus were tested to evaluate the specific antibody response. Stimulated hNECs by BLPs exhibited a significant increase in the production of interleukin-6 (IL-6, and thymic stromal lymphopoietin (TSLP. Conditioned medium of stimulated hNECs has effects on enhancing the proliferation of CD4+ T cells together with interferon-γ and IL-5 production, increasing the costimulatory molecules on dendritic cells and augmenting the production of IDG60 specific IgA, HA specific IgG, IgA by human peripheral blood lymphocytes. Such production of antigen specific IgG and IgA is significantly counteracted in the presence of IL-6 and TSLP neutralizing antibodies. In conclusion, properly stimulated hNECs may impart immuno-modulatory effects on the antigen-specific antibody response at least through the production of IL-6 and TSLP.

  1. Parenteral lipids and partial enteral nutrition affect hepatic lipid composition but have limited short term effects on formula-induced necrotizing enterocolitis in preterm piglets

    DEFF Research Database (Denmark)

    Vegge, Andreas; Thymann, Thomas; Lauritzen, Lotte

    2015-01-01

    Rapid transition from total parenteral nutrition (TPN) to enteral feeding is a risk factor for necrotizing enterocolitis (NEC) in preterm infants. We hypothesized that partial enteral nutrition with colostrum, increased proportion of n-3 polyunsaturated fatty acids (PUFA), or exclusion of lipid...

  2. Species and pathogenicity identification of Streptomyces species causing potato common scab in part of Heilongjiang Province%黑龙江省部分地区马铃薯疮痂病菌种类及致病性鉴定

    Institute of Scientific and Technical Information of China (English)

    邢莹莹; 吕典秋; 魏琪; 万书明; 董学志; 邱彩玲; 金光辉

    2016-01-01

    为明确黑龙江省马铃薯疮痂病病原菌的种类及其特征,2012-2013年从黑龙江省克山县、绥化市、哈尔滨市、杜尔伯特蒙古族自治县采集具有疮痂病病斑的马铃薯块茎,从中分离纯化病原菌,根据16S rRNA基因的差异采用分子手段对所分离的菌株进行种类和致病性鉴定,并对txtAB阳性菌株采用萝卜幼苗法或马铃薯致病性试验测定其致病性.共分离出74株菌株,鉴定出致病性菌株26株,其中Streptomyces scabies或S.europaeiscabiei 21株,S.turgidiscabies 3株和S.acidiscabies 2株.所有的致病性菌株中共有4种致病岛基因型,即nec1 +/tomA+、nec1-/tomA+、nec 1+/tomA-和nec1-/tomA.

  3. Developing an Instrument to Measure Socioeconomic Disparities in Quality of Care for Men with Early-Stage Prostate Cancer

    Science.gov (United States)

    2011-09-01

    Cystitis), 595.0 (Acute Cystitis), 595.3 (Trigontitis), 595.89 (Cystitis Nec), 595.9 (Cystitis Nos), 599 ( Urinary tract infection , site not specified...599.0 ( Urinary Tract Infection Nos), 599.00 ( Urinary Tract Infection Nos), 599.1 (Uretheral Fistula), 599.2 (Uretheral Diverticulum), 599.7

  4. Data Documentation for Navy Civilian Manpower Study,

    Science.gov (United States)

    1986-09-01

    Clerical 0401 General Biological Science A-17 TABLE A-4 (Continued) Series no. Position title 0403 Microbiology 0404 Biological Technician 0405... Paralegal Specialist 0962 Contact Representative 0963 Legal Instruments Examining 0986 Legal Clerk & Technician 0990 General Claims Examining 0992 Loss...2206 Physical Science NEC’ 2208 Biological Science 2309 Architect 2310 Aerospace Engineer 2311 Chemical Engineer 2312 Civil Engineer 2313 Naval

  5. Drug: D01642 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available essity Same as: C13102 Therapeutic category: 2315 ATC code: A02BX12 Therapeutic cat...D01642 Drug Bismuth subnitrate (JP16/USP); Mammol (TN) BiN3H2O9 396.9595 397.011 D01642.gif Pharmaceutic nec

  6. Interannual variability of summer rainfall over the northern part of China and the related circulation features

    Science.gov (United States)

    Bueh, Cholaw; Li, Yan; Lin, Dawei; Lian, Yi

    2016-08-01

    In this study, interannual variability of summer rainfall over the northern part of China (NPC) and associated circulation patterns were investigated by using long-term (1961-2013) observational and reanalysis data. Two important NPC rainfall modes were identified by empirical orthogonal function analysis: the first is characterized by an almost uniformly distributed rainfall anomaly over most parts of the NPC, while the second shows rainfall variability in Northeast China (NEC) and its out-of-phase relationship with that in North China (NC) and the northern part of Northwest China. The results also suggest that the NPC summer rainfall anomalies are also closely associated with those in some other parts of China. It is revealed that the circumglobal teleconnection pattern associated with the anomalous Indian summer monsoon (ISM) and the Polar/Eurasia (PEA) pattern work in concert to constitute the typical circulation pattern of the first rainfall mode. The cooperative engagement of the anomalous ISM circulation and the PEA pattern is fundamental in transporting water vapor to the NPC. The study emphasizes that the PEA pattern is essential for the water vapor transport to the NPC through the anomalous midlatitude westerly. In the second NPC rainfall mode, the typical circulation pattern is characterized by the anomalous surface Okhotsk high and the attendant lower tropospheric circulation anomaly over NEC. The circulation anomaly over NEC leads to a redistribution of water vapor fluxes over the NPC and constitutes an out-of-phase relationship between the rainfall anomalies over NEC and NC.

  7. National Electrical Code in Power Engineering Course for Electrical Engineering Curriculum

    Science.gov (United States)

    Azizur, Rahman M. M.

    2011-01-01

    In order to ensure the safety of their inhabitants and properties, the residential, industrial and business installations require complying with NEC (national electrical code) for electrical systems. Electrical design engineers and technicians rely heavily on these very important design guidelines. However, these design guidelines are not formally…

  8. Barriers to Knowledge Translation Regarding the Use of Probiotics as a Risk-Reduction Strategy for Necrotizing Enterocolitis.

    Science.gov (United States)

    Anderson, Sharon

    2016-08-01

    Increasingly, evidence supports enteral probiotics are an important risk-reduction strategy for necrotizing enterocolitis (NEC) among very low birth-weight and extremely low birth-weight preterm infants. Yet, the majority of providers remain reluctant to implement practice changes. The aim of this study was to better understand the discrepancy between the available evidence and clinical practice regarding the use of probiotics and other NEC prevention strategies in New Jersey. Using an exploratory descriptive design, a multimodal interprofessional survey was developed and executed to elicit intensive care nursery provider knowledge, views, and current practice. Although the sample size was small (N = 29), approximately one-half of respondents familiar with the literature rated the quality of the evidence regarding probiotics as "above average" to "excellent." These respondents were "very likely" to "extremely likely" to recommend probiotics as an NEC prevention strategy; however, none actually prescribed this intervention. The most important reason respondents did not prescribe probiotics was the focus on providing exclusive maternal and donor breast milk feedings. Other confounding factors included provision of oral colostrum care, standardized feeding protocols, and withholding feedings during blood transfusion. Study results suggested that some providers (primarily nurses) were not familiar with probiotic literature, which may contribute to deficits in knowledge translation to practice. Areas for future study include identifying improved mechanisms for knowledge dissemination, recognizing and addressing barriers and facilitators to knowledge translation, and understanding how probiotics fit and/or contrast with other NEC risk-reduction strategies in the research and clinical settings.

  9. Conference Proceedings: 7th Annual Review of Progress in Applied Computational Electromagnetics at the Naval Postgraduate School, Monterey, California, March 18-22, 1991

    Science.gov (United States)

    1991-03-01

    input files together with the respective NEC-BSC2 code omimarnd dato will be automatically generated for the visualiza- tion input file sequence...BODIES IN THlE RESONANCE REGION Lij M~Q. Cn-ia and Afonso M. Barbosa Centro de An~l~ise e Processamento de Sinais and Departarnento de Engenharia

  10. Truthful Mechanisms for Combinatorial AC Electric Power Allocation

    Science.gov (United States)

    2014-05-01

    REFERENCES [1] National Electrical Code (NEC) NFPA 70-2005. [2] P. Briest, P. Krysta, and B. Vocking. Approximation techniques for utilitarian mechanism... Theory . Cambridge University Press, 2007. [11] Noam Nisan and Amir Ronen. Computationally feasible VCG mechanisms. J. Artif. Int. Res., 29(1):19–47, May

  11. Platelet-activating factor induces TLR4 expression in intestinal epithelial cells: implication for the pathogenesis of necrotizing enterocolitis.

    Directory of Open Access Journals (Sweden)

    Antoine Soliman

    Full Text Available Necrotizing enterocolitis (NEC is a leading cause of morbidity and mortality in neonatal intensive care units, however its pathogenesis is not completely understood. We have previously shown that platelet activating factor (PAF, bacteria and TLR4 are all important factors in the development of NEC. Given that Toll-like receptors (TLRs are expressed at low levels in enterocytes of the mature gastrointestinal tract, but were shown to be aberrantly over-expressed in enterocytes in experimental NEC, we examined the regulation of TLR4 expression and signaling by PAF in intestinal epithelial cells using human and mouse in vitro cell lines, and the ex vivo rat intestinal loop model. In intestinal epithelial cell (IEC lines, PAF stimulation yielded upregulation of both TLR4 mRNA and protein expression and led to increased IL-8 secretion following stimulation with LPS (in an otherwise LPS minimally responsive cell line. PAF stimulation resulted in increased human TLR4 promoter activation in a dose dependent manner. Western blotting and immunohistochemical analysis showed PAF induced STAT3 phosphorylation and nuclear translocation in IEC, and PAF-induced TLR4 expression was inhibited by STAT3 and NFκB Inhibitors. Our findings provide evidence for a mechanism by which PAF augments inflammation in the intestinal epithelium through abnormal TLR4 upregulation, thereby contributing to the intestinal injury of NEC.

  12. Governance of innovation project management : necessary and neglected

    NARCIS (Netherlands)

    Stettina, Christoph Johann

    2015-01-01

    The study is motivated by the aspiration to understand project governance in organizations pursuing the development of new products and services across multiple knowledge worker teams. In particular, the following problem statement guides the study: Is governance of innovation project management nec

  13. Projected change in atmospheric nitrogen deposition to the Baltic Sea towards 2020

    DEFF Research Database (Denmark)

    Geels, Camilla; Hansen, Kaj Mantzius; Christensen, Jesper Heile

    2011-01-01

    this is projected to decrease to 48 %. For some countries the projected decrease in N deposition arising from the implementation of the NEC-II directive will be a considerable part of the reductions agreed on in the provisional reduction targets of the Baltic Sea Action Plan. This underlines the importance...

  14. New ideas about genetic differentiation of Chilo suppressalis (Lepidoptera: Pyralidae) populations in China based on the mtDNA cytochrome b gene.

    Science.gov (United States)

    Tang, Xiao-Tian; Zheng, Fu-Shan; Lu, Ming-Xing; Du, Yu-Zhou

    2016-01-01

    The striped stem borer, Chilo suppressalis (Walker), is an important pest of rice in China and other parts of the world. To further explore the population genetic structure and genetic differentiation of C. suppressalis populations found on rice in China, we amplified 432 bp fragments of the cytochrome b (cyt b) gene for 44 C. suppressalis populations. Nineteen variable sites in the mtDNA gene were observed, and 16 haplotypes were identified. Nucleotide diversity (π) and haplotype diversity (h) ranged from 0.00274 to 0.00786 and 0.72297 to 0.87604, respectively, while genetic structure analysis found significant genetic differentiation to be present among the five regions in China - northern China (NC), northeastern China (NEC), central China (CC), southern China (SC) and southwestern China (SWC) - where C. suppresalis was collected. In addition, molecular variance (AMOVA) showed that a relatively high proportion (57.6%) of the total genetic variance was attributable to variation within the populations. N(m) and F(ST) analyses suggested that the differentiation was not significantly different between NEC and NC, CC and SC, and SC and SWC regions, but was significant between NEC and CC, SC and SWC regions, corresponding well with the geographical distribution of the sampled populations. Phylogenetic analysis divided the populations into two indistinct clades: a NEC-NC-CC clade and a CC-SC-SWC clade, while CC region acted as a transition zone between north and south China, a finding different from previous work.

  15. Rural Adolescents and Mental Health: Growing Up in the Rural Community.

    Science.gov (United States)

    Hagen, Beverly Hartung

    1987-01-01

    Reviews relevant literature on the subject of rural adolescent mental health. Discusses demographics, unique situations, and problems of rural youth. Presents impact of the rural economic crisis. Suggests treatment strategies to deal with mental health problems of rural adolescents: individual therapy, family therapy, and peer group programs. (NEC)

  16. Air Force Academy Aeronautics Digest - Spring/Summer 1981.

    Science.gov (United States)

    1981-12-01

    technical culture in nec-primitive or anti-rational mytholoei(s. For example, during the 1930’s the American writer Henry Miller found expression for his...Mailer, and Henry Miller so astutely noted. To deal with it we must insure that students can program a computer and edit a paper on phys cs as well as

  17. Association of cord blood digitalis-like factor and necrotizing enterocolitis.

    LENUS (Irish Health Repository)

    Graves, Steven W

    2014-04-01

    Endogenous digoxin-like factor (EDLF) has been linked to vasoconstriction, altered membrane transport, and apoptosis. Our objective was to determine whether increased EDLF in the cord sera of preterm infants was associated with an increased incidence of necrotizing enterocolitis (NEC).

  18. Carbohydrate maldigestion induces necrotizing enterocolitis in preterm pigs

    Science.gov (United States)

    Necrotizing enterocolitis (NEC) remains the most severe gastrointestinal disorder in preterm infants. It is associated with the initiation of enteral nutrition and may be related to immature carbohydrate digestive capacity. We tested the hypothesis that a formula containing maltodextrin vs. lactose ...

  19. Necroptosis as a potential therapeutic target in multiple organ dysfunction syndrome

    Science.gov (United States)

    Cui, Yao-Li; Qiu, Li-Hua; Zhou, Shi-Yong; Li, Lan-Fang; Qian, Zheng-Zi; Liu, Xian-Ming; Zhang, Hui-Lai; Ren, Xiu-Bao; Wang, Yong-Qiang

    2017-01-01

    Purpose To investigate how necroptosisis, i.e. programmed necrosis, is involved in MODS, and to examine whether Nec-1, a specific necroptosis inhibitor, ameliorates multiorgan injury in MODS. Experimental Design A model of MODS was established in six-week old SD rats using fracture trauma followed by hemorrhage. Control animals received sham surgery. Cell death form and necrosome formation were measured by fluorescence-activated cell sorting and western blotting. MODS rats were randomly assigned to receive Nec-1 or saline with pretreatment and once daily. The first end-point was 72 hours survival. Organ injury and dysfunction, inflammatory cytokine levels, and necroptotic execution protein expression were also recorded. Results Organ injury and dysfunction were significantly more severe in the MODS group than the sham group (all pMODS-induced liver, lung and kidney tissue injury was characterized by necroptosis rather than apoptosis, and accompanied by necrosome formation. Compared to MODS group, Nec-1 administration significantly improved 72 hours survival (pMODS rats (all pMODS. Further, a necroptotic inhibitor Nec-1 may be considered as an adjunct treatment for MODS. PMID:28915647

  20. Survival data analyses in ecotoxicology: critical effect concentrations, methods and models. What should we use?

    Science.gov (United States)

    Forfait-Dubuc, Carole; Charles, Sandrine; Billoir, Elise; Delignette-Muller, Marie Laure

    2012-05-01

    In ecotoxicology, critical effect concentrations are the most common indicators to quantitatively assess risks for species exposed to contaminants. Three types of critical effect concentrations are classically used: lowest/ no observed effect concentration (LOEC/NOEC), LC( x) (x% lethal concentration) and NEC (no effect concentration). In this article, for each of these three types of critical effect concentration, we compared methods or models used for their estimation and proposed one as the most appropriate. We then compared these critical effect concentrations to each other. For that, we used nine survival data sets corresponding to D. magna exposition to nine different contaminants, for which the time-course of the response was monitored. Our results showed that: (i) LOEC/NOEC values at day 21 were method-dependent, and that the Cochran-Armitage test with a step-down procedure appeared to be the most protective for the environment; (ii) all tested concentration-response models we compared gave close values of LC50 at day 21, nevertheless the Weibull model had the lowest global mean deviance; (iii) a simple threshold NEC-model both concentration and time dependent more completely described whole data (i.e. all timepoints) and enabled a precise estimation of the NEC. We then compared the three critical effect concentrations and argued that the use of the NEC might be a good option for environmental risk assessment.

  1. Common Diagnoses in the NICU

    Science.gov (United States)

    ... is more common in low birth weight and premature babies. What causes it? It's thought that a number of factors can contribute to the development of NEC, which is the necrosis, or death, of parts of the intestine. Although a full- ...

  2. The role of nitric oxide in an experimental necrotising enterocolitis model

    Directory of Open Access Journals (Sweden)

    Muazez Cevik

    2013-01-01

    Full Text Available Background: Necrotising enterocolitis (NEC causes a significant life-threatening gastrointestinal system (GIS disease with severe mortality and morbidity, particularly in premature infants. Nitric oxide (NO has many functions in the GIS. Therefore, in the present study, we evaluated the effects of NO in experimentally induced NEC of newborn 1-day-old rats following hypoxia/reoxygenation (HR. Materials and Methods: Thirty Wistar albino rats (weight, 5-8 g were randomly divided into three groups: group 1 (HR, group 2 (HR + nitroglycerine, and group 3 (control. HR was achieved by placing the rat in carbon dioxide (CO2 for five minutes at 22°C, which was followed by five minutes of 100% oxygen. After HR, nitroglycerine was administered for three days at 50 μg/Kg/day. On day 4, the rats were decapitated and the intestines between the duodenum and sigmoid colon were resected and histopathologically examined. Results: The histopathological findings of groups 1 and 2 were characteristic of NEC. Intestinal injury in group 1 was significantly more prevalent than that in group 2 (χ2 = 21.55, P = 0.000. The intestinal injury score in group 3 was significantly lower than that in the other groups (P < 0.05. Conclusions: NO treatment was effective for treating experimentally induced NEC.

  3. Northwest Educational Cooperative Participant Policy Manual.

    Science.gov (United States)

    Northwest Educational Cooperative, Des Plaines, IL.

    This policy manual provides guidelines for participants in the Northwest Educational Cooperative's (NEC's) Hospitality Industry Training Program. It sets forth the program expectations that participants must meet before they are sent on interviews. Topics covered include: attendance and punctuality; attitude, including respect for others,…

  4. Notch Subunit Heterodimerization and Prevention of Ligand-Independent Proteolytic Activation Depend, Respectively, on a Novel Domain and the LNR Repeats

    OpenAIRE

    Sanchez-Irizarry, Cheryll; Carpenter, Andrea C.; Weng, Andrew P.; Pear, Warren S.; Aster, Jon C.; Blacklow, Stephen C.

    2004-01-01

    Notch proteins are transmembrane receptors that participate in a highly conserved signaling pathway that regulates morphogenesis in metazoans. Newly synthesized Notch receptors are proteolytically cleaved during transit to the cell surface, creating heterodimeric mature receptors comprising noncovalently associated extracellular (NEC) and transmembrane (NTM) subunits. Ligand binding activates Notch by inducing two successive proteolytic cleavages, catalyzed by metalloproteases and gamma-secre...

  5. Camping CAN Make a Difference.

    Science.gov (United States)

    McKee, Greg

    1987-01-01

    During 1985-86, Storer Camps conducted 23 leadership weekend camp workshops for groups of 25-40 Jackson, Michigan, adolescents to develop self-esteem. Special activities involved name tags, a cooperative obstacle course, discussions on stereotypes and walls, and a canoe-rowboat relay. (NEC)

  6. Probiotics to prevent necrotising enterocolitis in very preterm infants

    DEFF Research Database (Denmark)

    Lambæk, Irina Dobychina; Fonnest, Gert; Gormsen, Magdalena

    2016-01-01

    period (median six versus 14 days, p = 0.004). No side effects and no blood cultures with lactobacillus or bifidobacterium were observed. CONCLUSIONS: This historically controlled study did not indicate that probiotics had a significant effect on NEC. We continue our practice, but larger cohort studies...

  7. Inpatient Mental Health Recapture

    Science.gov (United States)

    2009-08-07

    29281 DRUG-INDUCED DELIRIUM 29620 DEPRESS PSYCHOSIS-UNSPEC 3071 ANOREXIA NERVOSA 29289 DRUG MENTAL DISORDER NEC 29622 DEPRESSIVE PSYCHOSIS-MOD 30747...Result Objects I.JJ | 0 FM 0 Gender 0 Admission Type 0 Person ID 0 Admission Date

  8. Decomposition of the Security Requirements for Connected Information Domains

    NARCIS (Netherlands)

    Schotanus, H.A.; Boonstra, D.; Broenink, E.G.

    2011-01-01

    The introduction of network enabled capabilities (NEC) changed the way defence organisations look at their IT infrastructure. Finding the right balance between security and duty-to-share has proven to be a difficult challenge. The situations are complex and may lead to high security requirements t

  9. Ecological and statistical evaluation of effects of pesticides in freshwater model ecosystems

    NARCIS (Netherlands)

    Brink, van den P.J.

    1999-01-01

    Aquatic risk assessment of pesticides

    The first tier in the aquatic risk assessment procedure consists of a comparison between a Predicted Environmental Concentration (PEC) with a No Effect Concentration (NEC). A requirement for registration is that

  10. A Nineteenth-Century French Proposal to Use School Vouchers.

    Science.gov (United States)

    Van Vliet, W.; Smyth, J. A.

    1982-01-01

    In light of the current American interest in school vouchers as proposed by economist Milton Friedman, recapitulates the origins, content, and fate of an 1872 law drafted by a French parliamentary commission to establish a countrywide voucher scheme for primary schools. (NEC)

  11. Necrotizing enterocolitis with recurrent hepatic portal venous gas.

    Science.gov (United States)

    Vollman, J H; Smith, W L; Tsang, R C

    1976-03-01

    Two separate episodes of pneumatosis intestinalis and hepatic portal venous gas were observed in a premature infant with necrotizing enterocolitis. Although HPVG has previously been considered an ominous roentgenographic sign, the infant survived without surgical intervention. As in several cases reported by others, clinical and roentgenographic signs of NEC reappeared when enteric feedings were restarted prior to 10 days of medical therapy.

  12. Cognitive Agent Technologies Project: Knowledge Engineering Study

    Science.gov (United States)

    2005-11-01

    sea/shore code, paygrade, and NEC. (See Appendix B for screen layout and definition of fields used by detailers.) Is the community currently...Marine Force Recon Corpsman-Basic 8432 CLOSED-L Preventive Medicine Tech 8434 CLOSED-L Hemodialysis /Apheresis Tech 8445 CLOSED-L Ocular Tech 8446

  13. Preparation of the Human Cytomegalovirus Nuclear Egress Complex and Associated Proteins.

    Science.gov (United States)

    Sharma, Mayuri; Kamil, Jeremy P; Coen, Donald M

    2016-01-01

    Herpesviruses, like most DNA viruses, replicate their genomes in the host cell nucleus. Their DNA is then packaged and assembled into viral nucleocapsids, which, in most cases, are too large to pass through the nuclear pore complex. Instead, herpesviruses use a complex multistep pathway, termed nuclear egress, to exit the nucleus. Key players in this process include two conserved viral proteins that form the nuclear egress complex (NEC). In human cytomegalovirus, these NEC proteins are UL50, embedded in the inner nuclear membrane, and its nucleoplasmic partner UL53. Both are essential for viral nuclear egress. However, other viral components as well as host nuclear envelope proteins may also participate in nuclear egress. Identifying these viral and cellular factors may provide important insight into the herpesvirus lifecycle and its relationship to the underlying, yet still-mysterious, host nuclear egress pathway. We developed an immunoprecipitation-based protocol, described herein, to identify protein-protein interactions involving the NEC from the nuclear fraction of infected cells that express an epitope-tagged version of NEC subunit UL53.

  14. Casein addition to a whey-based formula has limited effects on gut function in preterm pigs.

    Science.gov (United States)

    Thymann, T; Støy, C A F; Bering, S B; Mølbak, L; Sangild, P T

    2012-12-01

    Preterm infants are susceptible to necrotizing enterocolitis (NEC). Using preterm pigs, we determined whether a whey-casein-based formula would be superior to a formula based on whey protein alone. Twenty cesarean-derived preterm pigs (92% gestation) were given total parenteral nutrition for 36 h followed by 30 h of enteral feeding with whey [protein fraction of milk formula based on whey (WHEY); n = 11] or casein and/or whey [protein fraction of milk formula based on a combination of casein and whey (CASEIN); n = 9]-based formulas. Sugar absorptive function was investigated at 6 and 30 h after initiation of enteral feeding using bolus feedings with galactose and mannitol. Pigs were killed after the last in vivo sugar absorption test and evaluated for NEC and the mid intestine was used for ex vivo measurements of hexose absorption. Microbiota profile and short chain fatty acid (SCFA) levels were studied in gut contents. Severity of NEC lesions was similar between diet groups but galactose absorption was markedly higher in CASEIN than in WHEY (P SCFA concentration. Casein may transiently stimulate intestinal sugar absorption but has limited effects on gut structure, microbiota, and NEC in preterm pigs.

  15. The incidence of necrotizing enterocolitis is increased following probiotic administration to preterm pigs.

    Science.gov (United States)

    Cilieborg, Malene S; Thymann, Thomas; Siggers, Richard; Boye, Mette; Bering, Stine B; Jensen, Bent B; Sangild, Per T

    2011-02-01

    Preterm birth and necrotizing enterocolitis (NEC) is associated with inappropriate gut colonization and immunity, which may be improved by probiotic bacteria. Using a preterm pig model of NEC, we investigated the effects of probiotics on intestinal structure, function, microbiology, and immunology in the immediate postnatal period. Just after birth, caesarean-delivered preterm pigs were inoculated with Lactobacillus paracasei, Bifidobacteria animalis, and Streptococcus thermophilus (total 2.4 × 10(10)/d) either as live (ProLive, n = 14) or gamma-irradiated dead bacteria (ProDead, n = 12) and compared with controls (n = 14). All pigs received parenteral nutrition for 2 d followed by enteral formula feeding until tissue collection on d 5. Compared with control pigs, intestinal weight was lower and NEC incidence was higher in both groups given probiotics (64-67 vs. 14%; PSCFA concentrations in the colon (P < 0.05). The detrimental effects of probiotic bacteria in this study may relate to the specific strain and dose combination and may have involved the very immature gut immune system and low NEC incidence in the control group. It remains to be determined whether similar adverse responses to probiotics occur in preterm infants.

  16. Bovine colostrum is superior to enriched formulas in stimulating intestinal function and necrotising enterocolitis resistance in preterm pigs

    DEFF Research Database (Denmark)

    Møller, Hanne Kristine; Thymann, Thomas; Fink, Lisbeth Nielsen;

    2011-01-01

    ), gangliosides (Gang) or osteopontin (OPN) would improve gastrointestinal function and NEC resistance in preterm neonates. Forty-seven caesarean-delivered preterm pigs were given total parenteral nutrition for 2 d followed by 1.5 d of enteral feeding. In Expt 1, a control formula was compared with an OPN...

  17. Families enriched for exceptional longevity also have increased health span: Findings from the Long Life Family Study

    Directory of Open Access Journals (Sweden)

    Paola eSebastiani

    2013-09-01

    Full Text Available Hypothesizing that members of families enriched for longevity delay morbidity compared to population controls and approximate the health-span of centenarians, we compared the health spans of older generation subjects of the Long Life Family Study (LLFS to controls without family history of longevity and to centenarians of the New England Centenarian Study (NECS using Bayesian parametric survival analysis. We estimated hazard ratios, the ages at which specific percentiles of subjects had onsets of diseases, and the gain of years of disease-free survival in the different cohorts compared to referent controls. Compared to controls, LLFS subjects had lower hazards for cancer, cardiovascular disease, severe dementia, diabetes, hypertension, osteoporosis and stroke. The age at which 20% of the LLFS siblings and probands had one or more age-related diseases was approximately 10 years later than NECS controls. While female NECS controls generally delayed the onset of age-related diseases compared with males controls, these gender differences became much less in the older generation of the LLFS and disappeared amongst the centenarians of the NECS. The analyses demonstrate extended health-span in the older subjects of the LLFS and suggest that this aging cohort provides an important resource to discover genetic and environmental factors that promote prolonged health-span in addition to longer life-span.

  18. Ectopic adrenocorticotropic hormone syndrome caused by neuroendocrine carcinoma of the colon.

    Science.gov (United States)

    Fujimoto, Kazuyo; Nakashima, Takatoshi; Sasaki, Kazunari; Hayashi, Kenichi; Hanafusa, Masao; Yoshida, Shiei; Myojo, Satoshi; Yoshida, Shun-Ichi; Sawai, Shigeaki; Sano, Nobuya

    A 48-year-old woman with a history of autoimmune hemolytic anemia and taking long-term corticosteroid therapy presented with a 3-month history of general fatigue, abdominal distension, and pigmentation. A computed tomography scan of the abdomen showed a tumor in the sigmoid colon and multiple metastatic nodules in the liver. A colonoscopy revealed an obstructing mass with the presence of an irregular ulcer in the sigmoid colon. Following biopsy and histopathological analysis, the patient was diagnosed with neuroendocrine carcinoma (NEC) of the colon. She received her first cycle of chemotherapy, with carboplatin and etoposide. During hospitalization, her pigmentation and hypertension worsened and hypokalemia was observed, all of which suggsted Cushing's syndrome. Her plasma adrenocorticotropic hormone (ACTH) and cortisol levels were high, and an ectopic ACTH-producing tumor was suspected. After a second chemotherapy cycle, she developed neutropenic fever and subsequently died. At autopsy, two histological types were found in the tumor: small cell carcinoma and large cell NEC. Immunohistochemical analysis revealed ACTH in the large cell NEC. This is the first reported case of an ectopic ACTH syndrome caused by NEC of the colon.

  19. Consolidated Afloat Networks and Enterprise Services (CANES). Manpower, Personnel, and Training Implications

    Science.gov (United States)

    2009-01-01

    Ship/Fleet Manpower Document Development Procedures Manual, Navy Manpower Analysis Center, January 2005. Moore, Carol S., Anita U. Hattiangadi...David L. Reese , and James L. Gasch, NEC Utilization Study, CNA (CAB D0014616.A4), September 2006. Stymne, Bengt, Jan Löwstedt, and C. Patrick Fleenor

  20. (68)Ga-DOTATOC PET and gene expression profile in patients with neuroendocrine carcinomas

    DEFF Research Database (Denmark)

    Olsen, Ingrid H; Langer, Seppo W; Federspiel, Birgitte H;

    2016-01-01

    retrospectively included. By real-time polymerase chain reaction, we quantitatively determined the gene expression of several genes and compared with (68)Ga-DOTATOC PET uptake. By immunohistochemistry we qualitatively studied the expression of assorted proteins in NEC. The median age at diagnosis was 68 years...

  1. Remarks on Hymenoptera and Coleoptera

    NARCIS (Netherlands)

    Ritsema Cz., C.

    1885-01-01

    1. I have proposed (cf. Deyroll’es Naturaliste. VI. p. 559, 15 Nov. 1884) to substitute the generic name Darala Ritsema (Notes Leyd. Mus. VI (1884). p. 81, Hynienoptera: Larridae) nec Darala Walker (List Lepid. Ins. Brit. Mus. IV (1855). p. 886, Lepidoptera: Bombycidae) by Dalara. 2. Xylocopa Forbes

  2. Intestinal proteomics in pig models of necrotising enterocolitis, short bowel syndrome and intrauterine growth restriction.

    Science.gov (United States)

    Jiang, Pingping; Sangild, Per Torp

    2014-10-01

    Necrotising enterocolitis (NEC), short bowel syndrome (SBS) and intrauterine growth restriction (IUGR) are three conditions associated with intestinal dysfunction in newborn infants, particularly those born preterm. Piglet (Sus scrofa) models have recently been developed for NEC, SBS and IUGR, and tissue proteomic analyses have identified unknown pathways and new prognostic disease markers. Intestinal HSPs, iron metabolism proteins and proteins related to amino acid (e.g. arginine) and glucose metabolism are consistently affected by NEC progression and some of these proteins are also affected by SBS and IUGR. Parallel changes in some plasma and urinary proteins (e.g. haptoglobin, globulins, complement proteins, fatty acid binding proteins) may mirror the intestinal responses and pave the way to biomarker discovery. Explorative non-targeted proteomics provides ideas about the cellular pathways involved in intestinal adaptation during the critical neonatal period. Proteomics, combined with other -omic techniques, helps to get a more holistic picture of intestinal adaptation during NEC, SBS and IUGR. Explorative -omic research methods also have limitations and cannot replace, but only supplement, classical hypothesis-driven research that investigate disease mechanisms using a single or few endpoints.

  3. Teenage Use and Abuse of Alcohol.

    Science.gov (United States)

    Stary, Monica

    1981-01-01

    Outlines what help is available and how it can be provided for Ontario teenagers with alcohol-related problems through community agencies and programs, services of professional social workers and counselors, group support, residential treatment, therapeutic goals, and family involvement. (NEC)

  4. Diet- and colonization-dependent intestinal dysfunction predisposes to necrotizing enterocolitis in preterm pigs

    DEFF Research Database (Denmark)

    Sangild, Per T.; Siggers, Richard H.; Schmidt, Mette;

    2006-01-01

    Background & Aims: Preterm birth and formula feeding are key risk factors associated with necrotizing enterocolitis (NEC) in infants, but little is known about intestinal conditions that predispose to disease. Thus, structural, functional, and microbiologic indices were used to investigate the et...

  5. Protective effects of transforming growth factor β2 in intestinal epithelial cells by regulation of proteins associated with stress and endotoxin responses

    DEFF Research Database (Denmark)

    Nguyen, Duc Ninh; Jiang, Pingping; Jacobsen, Susanne

    2015-01-01

    Transforming growth factor (TGF)-β2 is an important anti-inflammatory protein in milk and colostrum. TGF-β2 supplementation appears to reduce gut inflammatory diseases in early life, such as necrotizing enterocolitis (NEC) in young mice. However, the molecular mechanisms by which TGF-β2 protects ...

  6. The Effect of Neutral Oligosaccharides on Reducing the Incidence of Necrotizing Enterocolitis in Preterm infants: A Randomized Clinical Trial

    Directory of Open Access Journals (Sweden)

    Amir-Mohammad Armanian

    2014-01-01

    Conclusions: Enteral supplementation with prebiotic significantly reduced the incidence of NEC in VLBW infants who were fed exclusively breast-milk. This finding suggests that it might have been the complete removal of formula which caused a synergistic effect between nonhuman neutral oligosaccharides (prebiotic and human oligosaccharides.

  7. Accommodating Workers with Mental Disabilities.

    Science.gov (United States)

    Mank, David; And Others

    1992-01-01

    NEC America prepares its employees to train severely disabled co-workers. Three characteristics of the training are (1) the right type and amount of assistance; (2) measurement of degrees of learning; and (3) reinforcement of what has been learned. (SK)

  8. The Applicability of Performance-Based Acquisition Techniques to Level-of-Effort Services Contracts

    Science.gov (United States)

    2015-06-01

    nec.essacy? 0 Yesl o Nol 0 NIA Contractor Acquired Property validated and determined reasonable and necessary? 0 Yesi 0 Nol 0 NIA Subcontractor Labor...Hours/Labor Mi~ reported are consistent with the. work perfonned? 0 Yesi 0 Nol 0 NIA Any issues identified in the invoice. review will be

  9. Grieving for the Family Farm.

    Science.gov (United States)

    Zeller, Simon H.

    1986-01-01

    Reviews impact of recent agricultural trends in South Dakota. Outlines Kubler-Ross' stages of grief/adaptation that farm families must negotiate as they cope with the trauma of the loss of their farms. Indicates service providers must overcome farmers' mistrust for human welfare services and reach out to this vulnerable population. (NEC)

  10. Protein: FBA7 [TP Atlas

    Lifescience Database Archive (English)

    Full Text Available FBA7 nectin-afadin PCSK2 NEC2 Proprotein_convertase_2 Neuroendocrine convertase 2 K...EX2-like endoprotease 2, Prohormone convertase 2, Proprotein convertase 2 9606 Homo sapiens P16519 5126 5126 P16519 ...

  11. Complexity, Robustness, and Performance

    NARCIS (Netherlands)

    B. Visser (Bauke)

    2002-01-01

    textabstractThis paper analyses the relationship between organizational complexity ( the degree of detail of information necessary to correctly assign agents to positions), robustness (the relative loss of performance due to mis-allocated agents), and performance. More complex structures are not nec

  12. Impact of Donor Milk Availability on Breast Milk Use and Necrotizing Enterocolitis Rates

    Science.gov (United States)

    Kantorowska, Agata; Wei, Julia C.; Cohen, Ronald S.; Lawrence, Ruth A.; Gould, Jeffrey B.

    2016-01-01

    OBJECTIVES: To examine the availability of donor human milk (DHM) in a population-based cohort and assess whether the availability of DHM was associated with rates of breast milk feeding at NICU discharge and rates of necrotizing enterocolitis (NEC). METHODS: Individual patient clinical data for very low birth weight infants from the California Perinatal Quality Care Collaborative were linked to hospital-level data on DHM availability from the Mothers’ Milk Bank of San José for 2007 to 2013. Trends of DHM availability were examined by level of NICU care. Hospitals that transitioned from not having DHM to having DHM availability during the study period were examined to assess changes in rates of breast milk feeding at NICU discharge and NEC. RESULTS: The availability of DHM increased from 27 to 55 hospitals during the study period. The availability increased for all levels of care including regional, community, and intermediate NICUs, with the highest increase occurring in regional NICUs. By 2013, 81.3% of premature infants cared for in regional NICUs had access to DHM. Of the 22 hospitals that had a clear transition to having availability of DHM, there was a 10% increase in breast milk feeding at NICU discharge and a concomitant 2.6% decrease in NEC rates. CONCLUSIONS: The availability of DHM has increased over time and has been associated with positive changes including increased breast milk feeding at NICU discharge and decrease in NEC rates. PMID:26908696

  13. DoD Agile Adoption: Necessary Considerations, Concerns, and Changes

    Science.gov (United States)

    2012-01-01

    stated have some “skin in the game ” [9]. * Determine how regulatory documentation that does not nec- essarily contribute directly to development... pathfinders in terms of finding ways to “work Agile” in an environment that demands artifacts and evidence based on “working traditional.” Successful

  14. The Challenge of Research on Farm Women.

    Science.gov (United States)

    Elbert, Sarah

    1981-01-01

    Researchers studying farm women must ask if successful integration of family and farm systems in the late 20th century involves feminism and, if so, what form of feminism. Available from: Rural Sociological Society, 325 Morgan Hall, University of Tennessee, Knoxville, TN 37916. (NEC)

  15. Seasonal variability of upper-layer geostrophic transport in the tropical Indian Ocean during 1992-1996 along TOGA-I XBT tracklines

    Digital Repository Service at National Institute of Oceanography (India)

    Murty, V.S.N.; Sarma, M.S.S.; Lambata, B.P.; Gopalakrishna, V.V.; Pednekar, S.M.; Rao, A.S.; Luis, A.J.; Kaka, A.R.; Rao, L.V.G.

    of the eastward flowing Indian Monsoon Current (IMC)) varies between 9 and 14 Sv (1 Sv = 10 sup(6) m sup(3) s sup(-1)) during southwest monsoon. The westward flowing North Equatorial Current (NEC) transports about 8 Sv during boreal winter. The westward flowing...

  16. Monte Carlo simulations of the PET bio graph 6 true point of Siemens; Simulacion Monte Carlo del PET biograph 6 True point de Siemens

    Energy Technology Data Exchange (ETDEWEB)

    Gallego Franco, P.; Garcia Marcos, R.; Gonzalez Ruiz, C.; Sierra Diez, F.; Ayala Lazaro, R.; Ruiz Galan, G.; Rodriguez Checa, M.; Brasa Estevez, M.

    2013-07-01

    The experimental values have been used for the validation of the simulation obtained in the acceptance, of the fraction of dispersion and the rate of equivalent noise (NEC), whose tests are based according to the recommendations of the National Electrical Manufactures Association (NEMA) Nu 2 - 2001. (Author)

  17. Synonymical remarks about certain Hymenoptera Aculeata

    NARCIS (Netherlands)

    Ritsema Cz., C.

    1884-01-01

    1. Odynerus basalis Smith, Cat. Hym. Ins. Coll. Brit. Mus. V (1857). p. 58= Odynerus variegatus H.S. (nec Fabr.) = Odynerus (Epipona) Herrichii Sauss., Suppl. Mon. Guêpes solit. (1854). p. 309. 2. Prosopis scutata Lichtenst., Ann. Soc. Ent. France (5), VII (1877). Bull. p. CII = Prosopis picta Smith

  18. Recycling Energy to Restore Impaired Ankle Function during Human Walking

    NARCIS (Netherlands)

    Collins, S.H.; Kuo, A.D.

    2010-01-01

    Background: Humans normally dissipate significant energy during walking, largely at the transitions between steps. The ankle then acts to restore energy during push-off, which may be the reason that ankle impairment nearly always leads to poorer walking economy. The replacement of lost energy is nec

  19. Neuroendocrine carcinoma of the pancreas with soft tissue metastasis

    Institute of Scientific and Technical Information of China (English)

    Jie Chen; Qi Zheng; Zhe Yang; Xin-Yu Huang; Zhou Yuan; Juan Tang

    2012-01-01

    Neuroendocrine carcinoma (NEC) of the pancreas is rare.We report the case of a 34-year-old man with pancreatic NEC with soft tissue metastasis.The patient presented with right upper abdominal discomfort.Computed tomography revealed a low-density heterogeneous mass in the tail and body of the pancreas that encroached on the greater curvature of the stomach and spleen.We performed exploratory laparotomy and total pancreatectomy with splenectomy and total gastrectomy.Histopathological analysis showed spindleshaped cells with scanty cytoplasm and hyperchromatic nuclei,confirming a primary pancreatic NEC.One month after the surgery,the patient experienced leg swelling.Positron emission tomography-computed tomography revealed high uptake of fludeoxyglucose in the left leg,and the leg was amputated.Histopathological analysis confirmed metastasis of pancreatic NEC.The patient was followed up and received chemotherapy (etoposide and cisplatin).One month after amputation,the level of tumor marker neuron-specific enolase was 142.70 μg/L and computed tomography scan revealed an aggravated metastatic lesion.The patient suffered from unbearable pain and we treated him with odynolysis.Four months postoperatively,the patient died of respiratory failure.

  20. AGOR 28 SIO Shipyard Representative Bi-Weekly Progress Report

    Science.gov (United States)

    2015-11-06

    No Noise testing done on Neil Armstrong during Anchor Test trip . NEC “Hail Mary” stack mod not done prior to sail. • Anchor handling mod on...house and the mast. In most cases the hardware is stainless steel but without rubber or nylon insulation. I fear the aluminum ships structure will

  1. Decomposition of the Security Requirements for Connected Information Domains

    NARCIS (Netherlands)

    Schotanus, H.A.; Boonstra, D.; Broenink, E.G.

    2011-01-01

    The introduction of network enabled capabilities (NEC) changed the way defence organisations look at their IT infrastructure. Finding the right balance between security and duty-to-share has proven to be a difficult challenge. The situations are complex and may lead to high security requirements t

  2. Bloodstream Infections in Very Low Birth Weight Infants with Intestinal Failure

    NARCIS (Netherlands)

    Cole, Conrad R.; Hansen, Nellie I.; Higgins, Rosemary D.; Bell, Edward F.; Shankaran, Seetha; Laptook, Abbot R.; Walsh, Michele C.; Hale, Ellen C.; Newman, Nancy S.; Das, Abhik; Stoll, Barbara J.

    2012-01-01

    Objective To examine pathogens and other characteristics associated with late-onset bloodstream infections (BSIs) in infants with intestinal failure (IF) as a consequence of necrotizing enterocolitis (NEC). Study design Infants weighing 401-1500 g at birth who survived for >72 hours and received car

  3. Multiple strains probiotics appear to be the most effective probiotics in the prevention of necrotizing enterocolitis and mortality: An updated meta-analysis

    Science.gov (United States)

    Chang, Hung-Yang; Chen, Jin-Hua; Chang, Jui-Hsing; Lin, Hung-Chih; Lin, Chien-Yu; Peng, Chun-Chih

    2017-01-01

    Background Some oral probiotics have been shown to prevent necrotizing enterocolitis (NEC) and decrease mortality effectively in preterm very low birth weight (PVLBW) infants. However, it is unclear whether a single probiotic or a mixture of probiotics is most effective for the prevention of NEC. Objective A meta-analysis was conducted by reviewing the most up to date literature to investigate whether multiple strains probiotics are more effective than a single strain in reducing NEC and death in PVLBW infants. Data sources Relevant studies were identified by searches of the MEDLINE, EMBASE, and Cochrane CENTRAL databases, from 2001 to 2016. Data extraction and synthesis The inclusion criteria were randomized controlled trials of any enteral probiotic supplementation that was initiated within the first 7 days and continued for at least 14 days in preterm infants (≤ 34 weeks’ gestation) and/or those of a birth weight ≤1500 g. Results A total of 25 trials (n = 7345 infants) were eligible for inclusion in the meta-analysis using a fixed-effects model. Multiple strains probiotics were associated with a marked reduction in the incidence of NEC, with a pooled OR of 0.36 (95% CI, 0.24–0.53; P < .00001). Single strain probiotic using Lactobacillus species had a borderline effect in reducing NEC (OR of 0.60; 95% CI 0.36–1.0; P = .05), but not mortality. Multiple strains probiotics had a greater effectiveness in reducing mortality and were associated with a pooled OR of 0.58 (95% CI, 0.43–0.79; P = .0006). Trials using single strain of Bifidobacterium species and Saccharomyces boulardii did not reveal any beneficial effects in terms of reducing NEC or mortality. Conclusion This updated report found that multiple strains probiotics appear to be the most feasible and effective strategy for the prevention of NEC and reduction of mortality in PVLBW neonates. Further clinical trials should focus on which probiotic combinations are most effective. PMID:28182644

  4. Expression of TLR-2, TLR-4, NOD2 and pNF-kappaB in a neonatal rat model of necrotizing enterocolitis.

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    Aurelie Le Mandat Schultz

    Full Text Available BACKGROUND: The etiology of necrotizing enterocolitis (NEC results from a combination of several risk factors that act synergistically and occurs in the same circumstances as those which lead to innate immunity activation. Pattern recognition molecules could be an important player in the initiation of an exaggerated inflammatory response leading to intestinal injury in NEC. METHODOLOGY/PRINCIPAL FINDINGS: We specifically evaluated intestinal epithelial cell (IEC expression of Toll-like receptor 2 (TLR-2, TLR-4, NOD2 and phosphorylated NF-kappaB (pNF-kappaB after mucosal injury in a rat model of NEC induced by prematurity, systemic hypoxia, and a rich protein formula. In the control group (group 1, neonatal rats were full-term and breast-fed; in the experimental groups, rat pups were preterm at day 21 of gestation and rat-milk fed (group 2 or hand-gavaged with a protein rich formula after a hypoxia-reoxygenation procedure (group 3. Morphological mucosal changes in the small bowel were scored on hematoxylin- and eosin-stained sections. Immunohistochemistry was performed on frozen tissue sections using anti TLR-2 and active pNF-kappaB p65 antibodies. Real-time RT-PCR was performed to assess mRNA expression of NOD2, TLR-2 and TLR-4. Proliferation and apoptosis were studied in paraffin sections using anti Ki-67 and caspase-3 antibodies, respectively. The combination of immaturity, protein rich formula and a hypoxia-reoxygenation procedure induces pathological mucosal damage consistent with NEC. There was an overexpression of TLR-2, and pNF-kappaB in IECs that was correlated with the severity of mucosal damage, together with an increase of apoptotic IECs and markedly impaired proliferation. In addition, these immunological alterations appeared before severe mucosal damage. TLR-2 mRNA were also increased in NEC together with TLR-4 mRNA using real-time RT-PCR whereas NOD2 expression was unchanged. CONCLUSIONS/SIGNIFICANCE: These results show that this

  5. Prevention of necrotizing enterocolitis with probiotics: a systematic review and meta-analysis

    Science.gov (United States)

    2016-01-01

    Context Necrotizing enterocolitis (NEC) is the most frequent gastrointestinal emergency in neonates. The microbiome of the preterm gut may regulate the integrity of the intestinal mucosa. Probiotics may positively contribute to mucosal integrity, potentially reducing the risk of NEC in neonates. Objective To perform an updated systematic review and meta-analysis on the efficacy and safety of probiotics for the prevention of NEC in premature infants. Data Sources Structured searches were performed in: Medline, Embase, and the Cochrane Central Register of Controlled Trials (all via Ovid, from 2013 to January 2015). Clinical trial registries and electronically available conference materials were also searched. An updated search was conducted June 3, 2016. Study Selection Randomized trials including infants less than 37 weeks gestational age or less than 2,500 g on probiotic vs. standard therapy. Data Extraction Data extraction of the newly-identified trials with a double check of the previously-identified trials was performed using a standardized data collection tool. Results Thirteen additional trials (n = 5,033) were found. The incidence of severe NEC (RR 0.53 95% CI [0.42–0.66]) and all-cause mortality (RR 0.79 95% CI [0.68–0.93]) were reduced. No difference was shown in culture-proven sepsis RR 0.88 95% CI [0.77–1.00]. Limitations Heterogeneity of organisms and dosing regimens studied prevent a species-specific treatment recommendation from being made. Conclusions Preterm infants benefit from probiotics to prevent severe NEC and death. PMID:27761306

  6. Prevention of necrotizing enterocolitis with probiotics: a systematic review and meta-analysis

    Directory of Open Access Journals (Sweden)

    Sonja C. Sawh

    2016-10-01

    Full Text Available Context Necrotizing enterocolitis (NEC is the most frequent gastrointestinal emergency in neonates. The microbiome of the preterm gut may regulate the integrity of the intestinal mucosa. Probiotics may positively contribute to mucosal integrity, potentially reducing the risk of NEC in neonates. Objective To perform an updated systematic review and meta-analysis on the efficacy and safety of probiotics for the prevention of NEC in premature infants. Data Sources Structured searches were performed in: Medline, Embase, and the Cochrane Central Register of Controlled Trials (all via Ovid, from 2013 to January 2015. Clinical trial registries and electronically available conference materials were also searched. An updated search was conducted June 3, 2016. Study Selection Randomized trials including infants less than 37 weeks gestational age or less than 2,500 g on probiotic vs. standard therapy. Data Extraction Data extraction of the newly-identified trials with a double check of the previously-identified trials was performed using a standardized data collection tool. Results Thirteen additional trials (n = 5,033 were found. The incidence of severe NEC (RR 0.53 95% CI [0.42–0.66] and all-cause mortality (RR 0.79 95% CI [0.68–0.93] were reduced. No difference was shown in culture-proven sepsis RR 0.88 95% CI [0.77–1.00]. Limitations Heterogeneity of organisms and dosing regimens studied prevent a species-specific treatment recommendation from being made. Conclusions Preterm infants benefit from probiotics to prevent severe NEC and death.

  7. The symbiotic bacterial surface factor polysaccharide A on Bacteroides fragilis inhibits IL-1β-induced inflammation in human fetal enterocytes via toll receptors 2 and 4

    Science.gov (United States)

    Jiang, Fei; Meng, Di; Weng, Meiqian; Zhu, Weishu; Wu, Wenxue; Kasper, Dennis; Walker, W. Allan

    2017-01-01

    Colonizing bacteria interacting with the immature, unlike the mature, human intestine favors inflammation over immune homeostasis. As a result, ten percent of premature infants under 1500 grams weight develop an inflammatory necrosis of the intestine after birth, e.g., necrotizing enterocolitis (NEC). NEC is a major health problem in this population causing extensive morbidity and mortality and an enormous expenditure of health care dollars. NEC can be prevented by giving preterm infants their mother’s expressed breast milk or ingesting selective probiotic organisms. Vaginally delivered, breast fed newborns develop health promoting bacteria (“pioneer” bacteria) which preferentially stimulate intestinal host defense and anti-inflammation. One such “pioneer” organism is Bacteroides fragilis with a polysaccharide (PSA) on its capsule. B. fragilis has been shown developmentally in intestinal lymphocytes and dendritic cells to produce a balanced T-helper cell (TH1/TH2) response and to reduce intestinal inflammation by activity through the TLR2 receptor stimulating IL-10 which inhibits IL-17 causing inflammation. No studies have been done on the role of B. fragilis PSA on fetal enterocytes and its increased inflammation. Accordingly, using human and mouse fetal intestinal models, we have shown that B. fragilis with PSA and PSA alone inhibits IL-1β-induced IL-8 inflammation in fetal and NEC intestine. We have also begun to define the mechanism for this unique inflammation noted in fetal intestine. We have shown that B. fragilis PSA anti-inflammation requires both the TLR2 and TLR4 receptor and is in part mediated by the AP1 transcription factor (TLR2) which is developmentally regulated. These observations may help to devise future preventative treatments of premature infants against NEC. PMID:28278201

  8. Trends in Environmental Education Images of Textbooks from Western and Eastern European Countries and Non-European Countries

    Science.gov (United States)

    Carvalho, Graça S.; Branca Tracana, Rosa; Skujiene, Grita; Turcinaviciene, Jurga

    2011-12-01

    Textbook analysis is seen as a major element for studying environmental education addressing pupils, image analysis being rather relevant when studying textbooks written in 11 languages. We analysed 25 textbooks from 14 countries addressed to 14-16-year-old pupils, focusing on: (1) local and foreign/global images; (2) urban/rural and nature images; (3) negative impact, human management, and the beauty of nature; and (4) men and women in images with negative and positive impact. We distinguished some trends between Western (WEc) and Eastern (EEc) European countries and non-European countries (NEc). In contrast to textbooks from EEc and NEc, which tend to show the beauty of nature with little human influence, WEc textbooks tend to exhibit more images of urban/rural landscape, of human negative impact and of human management, expressing an anthropocentric view of the environment. Men are usually more present in textbook images than women. However, some images exhibiting more women than men could be found in textbooks from WEc and EEc, but never in NEc. In negative impact pictures, men are more often present than women but NEc women are never present in such images. Women are more frequent than men in positive impact images. Results suggest that textbooks from EEc and NEc should give more emphasis to human management and urban/rural images, whereas those from WEc should give more attention to the beauty of nature. A balance in the presence of men and women in images should be a matter of greater concern by all textbooks' authors and publishers.

  9. Carbohydrate maldigestion induces necrotizing enterocolitis in preterm pigs.

    Science.gov (United States)

    Thymann, Thomas; Møller, Hanne K; Stoll, Barbara; Støy, Ann Cathrine F; Buddington, Randal K; Bering, Stine B; Jensen, Bent B; Olutoye, Oluyinka O; Siggers, Richard H; Mølbak, Lars; Sangild, Per T; Burrin, Douglas G

    2009-12-01

    Necrotizing enterocolitis (NEC) remains the most severe gastrointestinal disorder in preterm infants. It is associated with the initiation of enteral nutrition and may be related to immature carbohydrate digestive capacity. We tested the hypothesis that a formula containing maltodextrin vs. a formula containing lactose as the principal source of carbohydrate would predispose preterm pigs to a higher NEC incidence. Cesarean-derived preterm pigs were given total parenteral nutrition for 48 h followed by total enteral nutrition with a lactose-based (n = 11) or maltodextrin-based (n = 11) formula for 36 h. A higher incidence (91% vs. 27%) and severity (score of 3.3 vs. 1.8) of NEC were observed in the maltodextrin than in the lactose group. This higher incidence of NEC in the maltodextrin group was associated with significantly lower activities of lactase, maltase, and aminopeptidase; reduced villus height; transiently reduced in vivo aldohexose uptake; and reduced ex vivo aldohexose uptake capacity in the middle region of the small intestine. Bacterial diversity was low for both diets, but alterations in bacterial composition and luminal concentrations of short-chain fatty acids were observed in the maltodextrin group. In a second study, we quantified net portal absorption of aldohexoses (glucose and galactose) during acute jejunal infusion of a maltodextrin- or a lactose-based formula (n = 8) into preterm pigs. We found lower net portal aldohexose absorption (4% vs. 42%) and greater intestinal recovery of undigested carbohydrate (68% vs. 27%) in pigs acutely perfused with the maltodextrin-based formula than those perfused with the lactose-based formula. The higher digestibility of the lactose than the maltodextrin in the formulas can be attributed to a 5- to 20-fold higher hydrolytic activity of tissue-specific lactase than maltases. We conclude that carbohydrate maldigestion is sufficient to increase the incidence and severity of NEC in preterm pigs.

  10. Dry-wet variations and cause analysis in Northeast China at multi-time scales

    Science.gov (United States)

    Hu, Qi; Pan, Feifei; Pan, Xuebiao; Hu, Liting; Wang, Xiaoxiao; Yang, Pengyu; Wei, Pei; Pan, Zhihua

    2017-07-01

    Global warming has caused unevenly distributed changes in precipitation and evapotranspiration, which has and will certainly impact on the wet-dry variations. Based on daily meteorological data collected at 91 weather stations in Northeast China (NEC), the spatiotemporal characteristics of dry and wet climatic variables (precipitation, crop reference evapotranspiration (ET0), and humid index (HI)) are analyzed, and the probable reasons causing the changes in these variables are discussed during the period of 1961-2014. Precipitation showed non-significant trend over the period of 1961-2014, while ET0 showed a significant decreasing trend, which led to climate wetting in NEC. The period of 2001-2012 exhibited smaller semiarid area and larger humid area compared to the period of 1961-1980, indicating NEC has experienced wetting process at decadal scale. ET0 was most sensitive to relative humidity, and wind speed was the second most sensitive variable. Sunshine hours and temperature were found to be less influential to ET0 in the study area. The changes in wind speed in the recent 54 years have caused the greatest influence on ET0, followed by temperature. For each month, wind speed was the most significant variable causing ET0 reduction in all months except July. Temperature, as a dominant factor, made a positive contribution to ET0 in February and March, as well as sunshine hours in June and July, and relative humidity in August and September. In summary, NEC has experienced noticeable climate wetting due to the significantly decreasing ET0, and the decrease in wind speed was the biggest contributor for the ET0 reduction. Although agricultural drought crisis is expected to be partly alleviated, regional water resources management and planning in Northeast China should consider the potential water shortage and water conflict in the future because of spatiotemporal dry-wet variations in NEC.

  11. Efeitos de raça e da seleção para peso pós-desmame sobre características de confinamento e de carcaça da 15ª progênie dos rebanhos Zebu e Caracu de Sertãozinho (SP

    Directory of Open Access Journals (Sweden)

    Razook Alexander George

    2001-01-01

    Full Text Available Quarenta e quatro machos inteiros provenientes de rebanhos selecionados para peso aos 378 dias (P378, nascidos em 1995, foram confinados na Estação Experimental de Zootecnia de Sertãozinho, Estado de São Paulo. As amostras, representando a média geral de P378 em cada rebanho, foram formadas por oito animais Guzera (GuS e nove para cada um dos grupos Gir (Gi, Nelore (NeS, Nelore Controle (NeC e Caracu (Ca. O abate ocorreu aos 580 dias de idade e condição corporal 8, em uma escala de 1 a 9. As médias mínimas e máximas ajustadas, para as principais características, envolvendo todos os grupos, foram: ganho médio diário de peso, 817 (NeC e 1061 g (Ca; peso de abate (PAB, 408,3 (Gi e 513,6 kg (Ca; peso de carcaça (PCAR, 230,2 (Gi e 285,0 kg (Ca; rendimento de carcaça, 55,6 (GuS e 58,1% (NeC. No corte entre a 9ª-11ª costelas, foram: músculo: 55,7 (NeC e 64,7% (Ca; gordura: 18,6 (Ca e 26,9% (NeC; osso: 16,7 (Ca e 19,2% (Gi; espessura de gordura (ESPGOR: 6,4 (Ca e 7,5 mm (GuS; área de olho de lombo: 62,8 (Gi e 76,6 cm² (Ca; força de cizalhamento: 4,4 (Ca e 5,4 kg (Gi e perdas totais no cozimento: 23,4 (NeC e 26,1% (Ca. Considerando o grupo Nelore, a seleção para peso provocou maiores PAB e PCAR, sem alterar o rendimento, a composição física da costela ou a qualidade da carcaça e da carne. Animais Ca tiveram maior PAB, porém menor rendimento, maior musculosidade e menores níveis de gordura e espessura de gordura. Já GuS, com rendimento semelhante ao Ca, apresentou maior ESPGOR. Não se observaram diferenças entre os grupos genéticos quanto aos índices de maciez e perdas no cozimento da carne.

  12. A meta-analysis of probiotics for preventing necrotizing enterocolitis in preterm neonates

    Directory of Open Access Journals (Sweden)

    Y. Yang

    2014-09-01

    Full Text Available Necrotizing enterocolitis (NEC is one of the most common acquired diseases of the gastrointestinal tract in preterm infants. Some randomized, controlled trials (RCTs have indicated that probiotics may potentially lower the incidence of NEC and mortality. However, debate still remains about the safety of probiotics and their influence on normal infant growth. We performed this meta-analysis to assess the safety and benefits of probiotic supplementation in preterm infants. We searched in PubMed, Embase, and Cochrane databases for English references, and in Wanfang, VIP, and CNKI databases for Chinese references. Ultimately, 27 RCTs (including 9 Chinese articles were incorporated into this meta-analysis. Relative risk (RR and weighted mean difference (WMD were calculated using a random-effects or fixed-effects model, depending on the data type and heterogeneity. A total of 6655 preterm infants, including the probiotic group (n=3298 and the placebo group (n=3357, were eligible for inclusion in this meta-analysis. For Bell stage ≥I and gestational age <37 weeks, risk of NEC incidence was significantly lower in the probiotic group [RR=0.35, 95% confidence interval (CI=0.27-0.44, P<0.00001]. For Bell stage ≥II or gestational age <34 weeks, there were likewise significant differences between the probiotic and placebo groups concerning NEC incidence (RR=0.34, 95%CI=0.25-0.48, P<0.00001; and RR=0.39, 95%CI=0.27-0.56, P<0.00001. Risk of death was significantly reduced in the probiotic group (RR=0.58, 95%CI=0.46-0.75, P<0.0001. In contrast, there was no significant difference concerning the risk of sepsis (RR=0.94, 95%CI=0.83-1.06, P=0.31. With respect to weight gain and the age at which infants reached full feeds, no significant differences were found between the probiotic and placebo groups (WMD=1.07, 95%CI=−0.21-2.34, P=0.10; and WMD=−1.66, 95%CI=−3.6-0.27, P=0.09. This meta-analysis has shown that, regardless of gestational age and NEC stage

  13. Community analysis of bacteria colonizing intestinal tissue of neonates with necrotizing enterocolitis

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    Kloppenborg Julie

    2011-04-01

    Full Text Available Abstract Background Necrotizing enterocolitis (NEC is the most common gastrointestinal emergency in newborn neonates. Bacteria are believed to be important in the pathogenesis of NEC but bacterial characterization has only been done on human faecal samples and experimental animal studies. The aim of this study was to investigate the microbial composition and the relative number of bacteria in inflamed intestinal tissue surgically removed from neonates diagnosed with NEC (n = 24. The bacterial populations in the specimens were characterized by laser capture microdissection and subsequent sequencing combined with fluorescent in situ hybridization (FISH, using bacterial rRNA-targeting oligonucleotide probes. Results Bacteria were detected in 22 of the 24 specimens, 71% had moderate to high densities of bacteria. The phyla detected by 16S rRNA gene sequencing were: Proteobacteria (49.0%, Firmicutes (30.4%, Actinobacteria (17.1% and Bacteroidetes (3.6%. A major detected class of the phylum Proteobacteria belonged to δ-proteobacteria. Surprisingly, Clostridium species were only detected in 4 of the specimens by FISH, but two of these specimens exhibited histological pneumatosis intestinalis and both specimens had a moderate to a high density of C. butyricum and C. parputrificum detected by using species specific FISH probes. A 16S rRNA gene sequence tag similar to Ralstonia species was detected in most of the neonatal tissues and members of this genus have been reported to be opportunistic pathogens but their role in NEC has still to be clarified. Conclusion In this study, in situ identification and community analysis of bacteria found in tissue specimens from neonates with NEC, were analysed for the first time. Although a large variability of bacteria was found in most of the analyzed specimens, no single or combination of known potential pathogenic bacteria species was dominating the samples suggestive NEC as non-infectious syndrome. However there

  14. Effects of bovine lactoferrin on the immature porcine intestine.

    Science.gov (United States)

    Nguyen, Duc Ninh; Li, Yanqi; Sangild, Per T; Bering, Stine B; Chatterton, Dereck E W

    2014-01-28

    Bioactive milk proteins may be important in protecting preterm infants from developing inflammation and necrotising enterocolitis (NEC). A preterm pig model was used to investigate the protective effects of enteral bovine lactoferrin (bLF) against NEC development and inflammation. Caesarean-delivered preterm pigs were fed parenteral and minimal enteral nutrition for the first 2 d followed by 2 d of total enteral nutrition before euthanasia. Pigs were stratified into two groups and fed with either a control formula (CON, n 15) or a 10 g/l of bLF-enriched formula (LF, n 13). NEC incidence, gut functions and inflammatory cytokines were analysed. NEC incidence and nutrient absorption were similar between the two groups. In pigs that developed NEC, disease outcome was more severe in the colon accompanied by increased intestinal permeability in LF pigs. In contrary, the LF pigs had a lowered IL-1β level in the proximal small intestine. Dose-dependent effects of bLF on cell proliferation, intracellular signalling and cytokine secretion were tested in porcine intestinal epithelial cells (PsIc1) in vitro. Low doses (0·1-1 g/l) increased cell proliferation via extracellular signal-regulated kinase (ERK), limited IL-8 secretion and prevented NF-κB and hypoxia-inducible factor-1α (HIF-1α) activation, suggesting anti-inflammatory effects. In contrast, at a higher dose (10 g/l), bLF exerted adverse effects by reducing cell proliferation, stimulating IL-8 release, inhibiting ERK activation and up-regulating NF-κB and HIF-1α activation. Overall, at a dose of 10 g/l, bLF exacerbated disease severity in pigs that developed NEC, while the in vitro studies indicated the positive effects of bLF at low doses (0·1-1 g/l). Supplementation of infant formulas with bLF should therefore be optimised carefully.

  15. Early versus Late Enteral Feeding in Preterm Intrauterine Growth Restricted Neonates with Antenatal Doppler Abnormalities: An Open-Label Randomized Trial.

    Science.gov (United States)

    Tewari, Vishal Vishnu; Dubey, Sachin Kumar; Kumar, Reema; Vardhan, Shakti; Sreedhar, C M; Gupta, Girish

    2017-03-24

    Enteral feeding in preterm neonates with intrauterine growth restriction (IUGR) and absent or reversed end diastolic flow (AREDF) on umbilical artery (UA) Doppler is delayed owing to an increased risk of necrotizing enterocolitis (NEC). Delaying enteral feeding with longer duration of parenteral nutrition (PN) carries an increased risk of sepsis. To study early versus late feeding in preterm IUGR neonates for time required to attain sufficient feed volume to discontinue PN and increased risk of NEC or feed intolerance (FI). Open-label randomized controlled trial. Tertiary care neonatal unit and fetal-maternal medicine unit in India. Preterm intrauterine growth restricted neonates' ≤32 weeks with AREDF on UA Doppler enrolled from 1 January 2014 to 31 July 2015. Randomized to receive early or late feeding using mothers own or donor breast milk as per a feed initiation and advancement protocol. Time in days required to attain sufficient feed volume allowing discontinuation of PN and incidence of NEC in neonates fed early versus late. There were 77 eligible neonates. Sixty-two neonates were included and stratified as extreme preterm (27-29 weeks) ( n  = 20) and very preterm (30-32 weeks) ( n  = 42). Ten extreme preterm and 21 very preterm neonates were randomized to each early feeding and late feeding arm. There was a significantly faster attainment of sufficient feeds in the early feeding arm of both the stratified groups [extreme preterm: median 14 days (Interquartile range IQR: 12-15) compared with 18 days (IQR: 18-20), hazard ratio (HR): 1.59, 95% CI: 0.626-4.078; very preterm: 12 days (IQR: 10-14) as compared with 16 days (IQR 15-17), HR: 1.89, 95% CI: 1.011-3.555]. There was no difference in the incidence of NEC, FI and combined outcome of NEC and FI. Early feeding in preterm IUGR neonates with AREDF on antenatal UA Doppler allowed earlier discontinuation of PN, allowing birth weight to be regained earlier and did not increase the incidence of NEC and

  16. Lysine 242 within helix 10 of the pseudorabies virus nuclear egress complex pUL31 component is critical for primary envelopment of nucleocapsids.

    Science.gov (United States)

    Rönfeldt, Sebastian; Klupp, Barbara G; Franzke, Kati; Mettenleiter, Thomas C

    2017-09-06

    Newly assembled herpesvirus nucleocapsids are translocated from the nucleus to the cytosol by a vesicle-mediated process engaging the nuclear membranes. This transport is governed by the conserved nuclear egress complex (NEC), consisting of the alphaherpesviral pUL34 and pUL31 homologs. The NEC is not only required for efficient nuclear egress but also sufficient for vesicle formation from the inner nuclear membrane (INM) as well as from synthetic lipid bilayers. The recently solved crystal structures for the NECs from different herpesviruses revealed molecular details of this membrane deformation and scission machinery uncovering the interfaces involved in complex and coat formation. However, the interaction domain with the nucleocapsid remained undefined. Since the NEC assembles a curved hexagonal coat on the nucleoplasmic side of the INM consisting of tightly interwoven pUL31/pUL34 heterodimers arranged in hexamers, only the membrane-distal end of the NEC formed by pUL31 residues appears accessible for interaction with the nucleocapsid cargo. To identify the amino acids involved in capsid incorporation we mutated the corresponding regions in the alphaherpesvirus pseudorabies virus (PrV). Site-specifically mutated pUL31 were tested for localization, interaction with pUL34 and complementation of PrV-ΔUL31. Here, we identify a conserved lysine residue at amino acid position 242 in PrV pUL31 located in the alpha-helical domain H10 exposed on the membrane-distal end of the NEC as a key residue for nucleocapsid incorporation into the nascent primary particle.IMPORTANCE Vesicular transport through the nuclear envelope is a focus of research but still not well understood. Herpesviruses pioneered this mechanism for translocation of the newly assembled nucleocapsid from the nucleus into the cytosol via vesicles derived from the inner nuclear membrane which fuse in a well-tuned process with the outer nuclear membrane to release their content. The structure of the viral

  17. Variability in Antibiotic Regimens for Surgical Necrotizing Enterocolitis Highlights the Need for New Guidelines.

    Science.gov (United States)

    Blackwood, Brian P; Hunter, Catherine J; Grabowski, Julia

    Necrotizing enterocolitis or NEC is the most common gastrointestinal emergency in the newborn. The etiology of NEC remains unknown, and treatment consists of antibiotic therapy and supportive care with the addition of surgical intervention as necessary. Unlike most surgical diseases, clear guidelines for the type and duration of peri-operative antibiotic therapy have not been established. Our aim was to review the antibiotic regimen(s) applied to surgical patients with NEC within a single neonatal intensive care unit (NICU) and to evaluate outcomes and help develop guidelines for antibiotic administration in this patient population. A single-center retrospective review was performed of all patients who underwent surgical intervention for NEC from August 1, 2005 through August 1, 2015. Relevant data were extracted including gestational age, age at diagnosis, gender, pre-operative antibiotic treatment, post-operative antibiotic treatment, development of stricture, and mortality. Patients were excluded if there was incomplete data documentation. A total of 90 patients were identified who met inclusion criteria. There were 56 male patients and 34 female patients. The average gestational age was 30 5/7 wks and average age of diagnosis 16.7 d. A total of 22 different pre-operative antibiotic regimens were identified with an average duration of 10.6 d. The most common pre-operative regimen was ampicillin, gentamicin, and metronidazole for 14 d. A total of 15 different post-operative antibiotic regimens were identified with an average duration of 6.6 d. The most common post-operative regimen was ampicillin, gentamicin, and metronidazole for two days. There were 26 strictures and 15 deaths. No regimen or duration proved superior. We found that there is a high degree of variability in the antibiotic regimen for the treatment of NEC, even within a single NICU, with no regimen appearing superior over another. As data emerge that demonstrate the adverse effects of

  18. mRNA expression of TLR4, TLR9 and NF-κB in a neonatal murine model of necrotizing enterocolitis.

    Science.gov (United States)

    Yin, Yiyu; Liu, Fengli; Li, Yiping; Tang, Ruze; Wang, Jian

    2016-09-01

    A neonatal model of necrotizing enterocolitis (NEC) in mice was established to examine the role of Toll-like receptors (TLRs) 4 and 9, and of nuclear factor (NF)‑κB by quantitative detection of their mRNAs in intestinal tissue during the occurrence of NEC, and thus aid in the understanding of the basic pathogenesis of NEC. A total of 50 newborn BALB/c mice (specific pathogen-free level) ranging in age from 7 to 10 days, of either gender, and weighing 4.8‑5.4 g were selected and randomly divided into a control and test group, n=25 mice per group. Mice in the control group were kept in the same cage with the mother who fed them, free from any interventions. Mice in the test group were separated from their mother 48 h following birth and placed in an incubator, artificially fed with milk substitutes, and regularly treated with hypoxia and cold stimulation (100% nitrogen anoxia for 90 sec, cold stimulation at 4˚C for 10 min, 3 times a day for 3 days) to induce the neonatal NEC. The general state and body weight variations of the mice were recorded, the mice were sacrificed and the intestinal tissue necrosis was evaluated visually, the degree of intestinal injury was determined by histopathological staining, and the mRNA expression levels of intestinal tissue TLR4, TLR9 and NF‑κB were quantified. Of the 25 mice in the test group, 3 died a natural death and 22 were sacrificed; their general state was worse than that of the mice in the control group, and the body weight variations among them were considerably larger. NEC was confirmed in 12 cases by visual inspection, and the average histological scores of the mice in the test group were 3.5±0.6, significantly higher than that in the control group (P<0.05). The mRNA expression of TLR4 and NF‑κB in the test group were significantly higher than in the control group. By contrast, the mRNA expression of TLR9 was significantly lower in the test group, and differences were statistically

  19. Clinical analysis of high risk factors in necrotizing enterocolitis%新生儿坏死性小肠结肠炎的临床高危因素分析

    Institute of Scientific and Technical Information of China (English)

    余敏; 肖志辉

    2013-01-01

    Objective To describe the different risk factors from suspected NEC, diagnosed NEC, and death in children, as well as explore the better treatment. Methods We selected NEC children from the Children's Hospital of SuZhou between January 1, 2010 to January 1, 2013, to compare risk factors, clinical features, treatment and complication between suspected NEC, diagnosis NEC and death in children. Results We have studied 91 children with NEC, including 21 children with Bell stageⅠ, 48 children with Bell stageⅡ, and 22 children with Bell stageⅢ. There were 9 cases of surgical patients among these children. And 17 cases were dead, the mortality rate was 18.68%. 74%of death children in NEC died within 7 days after the diagnose of the NEC, this part of the rapid death in children were in all gestational age, including full-term infants and premature infants. In the analysis, the main risk factors of death in children, including lower gestational age(P=0.035), lower birth weight(P=0.044), the use of mechanical ventilation(P<0.0001) and the seriousness of the disease. In the treatment, fasting time in death children was shorter than the survival one (P=0.055), antibiotic treatment time was shorter than the survival of patients (P<0.0001), and with more use of assisted ventilation therapy in children (P<0.0001),and death patients of NEC were more often complicated by apnea, short bowel syndrome, peritonitis, DIC, neurological sequelae (P<0.05), suggesting that the disease of death patients was more severe than the survival one. Conclusion NEC is associated with high mortality. The main causes of death were associated with immaturity, lower birth weight, and severity of illness.%目的:本文的目的在于探讨不同分期新生儿坏死性小肠结肠炎(NEC)的高危因素特点及相应的诊疗措施。方法回顾性分析2010年1月1日至2013年1月1日入住本院NICU的91例NEC患儿的临床资料,用以比较NEC不同分期即疑似、确诊及死亡

  20. Subluminal Galilean Genesis

    CERN Document Server

    Creminelli, Paolo; Khoury, Justin; Nicolis, Alberto; Trincherini, Enrico

    2012-01-01

    We put forward an improved version of the Galilean Genesis model that addresses the problem of superluminality. We demote the full conformal group to Poincare symmetry plus dilations, supplemented with approximate galilean shift invariance in the UV and at small field values. In this way fluctuations around the NEC-violating cosmological background are made substantially subluminal, and superluminality cannot be reached by any small change of the solution, in contrast with the original model. Dilation invariance still protects the scale-invariance of correlation functions of a massless test scalar - which is the source of the observed cosmological fluctuations - but the explicit breaking of the conformal group can be potentially observed in higher-order correlators. We also highlight a subtlety in matching the NEC-violating phase with the standard cosmological evolution, and discuss the possible couplings of the Galileon to gravity.

  1. Two years since SSAMS: Status of {sup 14}C AMS at CAIS

    Energy Technology Data Exchange (ETDEWEB)

    Ravi Prasad, G.V.; Cherkinsky, Alexander; Culp, Randy A.; Dvoracek, Doug K.

    2015-10-15

    The NEC 250 kV single stage AMS accelerator (SSAMS) was installed two years ago at the Center for Applied Isotope Studies (CAIS), University of Georgia. The accelerator is primarily being used for radiocarbon measurements to test the authenticity of natural and bio-based samples while all other samples such as geological, atmospheric, marine and archaeological. are run on the 500 kV, NEC 1.5SDH-1 model tandem accelerator, which has been operating since 2001. The data obtained over a six months period for OXI, OXII, ANU sucrose and FIRI-D are discussed. The mean value of ANU sucrose observed to be slightly lower than the consensus value. The processed blanks on SSAMS produce lower apparent age compared to the tandem accelerator as expected.

  2. Bioactivity of Minor Milk Components

    DEFF Research Database (Denmark)

    Nguyen, Duc Ninh

    . In particular, 3-15% of very low birth weight preterm infants suffer from the most servere form of intestinal inflammation, known as necrotizing enterocolitis (NEC). This disease is incurable with a high mortality rate of 15-30%. Mother’s breast milk consists of different bioactive constituents...... several steps of thermal processing, which are known to decrease/abolish bioactivity of milk constituents. This may explain for high NEC incidence in formula-fed preterm infants. We therefore in this PhD project investigated whether gentle thermal processing conditions increase the bioavailability...... of infant formula. Thereafter, bioactive milk components which were preserved in gently-processed infant formula were selected for further investigation of their immunomodulatory activity in cell and preterm pig models. We hope this project will contribute to the research on the development of new...

  3. Protective effects of transforming growth factor β2 in intestinal epithelial cells by regulation of proteins associated with stress and endotoxin responses

    DEFF Research Database (Denmark)

    Nguyen, Duc Ninh; Jiang, Pingping; Jacobsen, Susanne;

    2015-01-01

    Transforming growth factor (TGF)-β2 is an important anti-inflammatory protein in milk and colostrum. TGF-β2 supplementation appears to reduce gut inflammatory diseases in early life, such as necrotizing enterocolitis (NEC) in young mice. However, the molecular mechanisms by which TGF-β2 protects...... immature intestinal epithelial cells (IECs) remain to be more clearly elucidated before interventions in infants can be considered. Porcine IECs PsIc1 were treated with TGF-β2 and/or lipopolysaccharide (LPS), and changes in the cellular proteome were subsequently analyzed using two-dimensional gel...... differential trends as previously shown in the intestine of NEC-resistant preterm pigs and young mice. Furthermore, LC-MS-based proteomics and Western blot analyses revealed 20 differentially expressed proteins following treatment with TGF-β2 in LPS-challenged IECs. Thirteen of these proteins were associated...

  4. Classically Stable Nonsingular Cosmological Bounces

    Science.gov (United States)

    Ijjas, Anna; Steinhardt, Paul J.

    2016-09-01

    One of the fundamental questions of theoretical cosmology is whether the Universe can undergo a nonsingular bounce, i.e., smoothly transit from a period of contraction to a period of expansion through violation of the null energy condition (NEC) at energies well below the Planck scale and at finite values of the scale factor such that the entire evolution remains classical. A common claim has been that a nonsingular bounce either leads to ghost or gradient instabilities or a cosmological singularity. In this Letter, we consider a well-motivated class of theories based on the cubic Galileon action and present a procedure for explicitly constructing examples of a nonsingular cosmological bounce without encountering any pathologies and maintaining a subluminal sound speed for comoving curvature modes throughout the NEC violating phase. We also discuss the relation between our procedure and earlier work.

  5. Antimicrobial and nutritional interventions in early life

    DEFF Research Database (Denmark)

    Jensen, Michael Ladegaard

    antibiotics given to premature piglets with an immature immune system dramatically decreased bacterial load and the incidence of NEC. We wanted to investigate whether similar results could be achieved with dietary manipulations including the use of natural products like breast milk and bovine colostrum. Human...... milk and bovine colostrum contain an enormous diversity of bio- and immunoactive components which are tailored towards neonates with an undeveloped immune system. The incidence of NEC was reduced by feeding these two diets to premature piglets, indicating that alternatives to mother’s milk exist...... in the form of bovine colostrum (Paper II). Human milk contains a high concentration of oligosaccharides, which inhibits adhesion of pathogens. To further investigate the properties and effects of these components, a special piglet model was developed. The piglets were challenged with Escherichia coli F18 (F...

  6. Empirical Evaluation of Visual Fatigue from Display Alignment Errors Using Cerebral Hemodynamic Responses

    Directory of Open Access Journals (Sweden)

    Hanniebey D. Wiyor

    2013-01-01

    Full Text Available The purpose of this study was to investigate the effect of stereoscopic display alignment errors on visual fatigue and prefrontal cortical tissue hemodynamic responses. We collected hemodynamic data and perceptual ratings of visual fatigue while participants performed visual display tasks on 8 ft × 6 ft NEC LT silver screen with NEC LT 245 DLP projectors. There was statistical significant difference between subjective measures of visual fatigue before air traffic control task (BATC and after air traffic control task (ATC 3, (P<0.05. Statistical significance was observed between left dorsolateral prefrontal cortex oxygenated hemoglobin (l DLPFC-HbO2, left dorsolateral prefrontal cortex deoxygenated hemoglobin (l DLPFC-Hbb, and right dorsolateral prefrontal cortex deoxygenated hemoglobin (r DLPFC-Hbb on stereoscopic alignment errors (P<0.05. Thus, cortical tissue oxygenation requirement in the left hemisphere indicates that the effect of visual fatigue is more pronounced in the left dorsolateral prefrontal cortex.

  7. From the “old NEC” to the “new NECs”

    Directory of Open Access Journals (Sweden)

    Melania Puddu

    2014-06-01

    Full Text Available Necrotizing enterocolitis (NEC is an acute inflammatory disease of the neonatal intestine that strikes in 1 of 1,000 live births. Its etiology is unknown.  This review describes in detail the new NECs especially those which affect preterm infants: contagion or lymphocytosis associated, transfusion associated and cow’s milk allergy associated. A wide repertory of images are presented, together with algorithms for differential diagnosis. Proceedings of the International Course on Perinatal Pathology (part of the 10th International Workshop on Neonatology · October 22nd-25th, 2014 · Cagliari (Italy · October 25th, 2014 · The role of the clinical pathological dialogue in problem solving Guest Editors: Gavino Faa, Vassilios Fanos, Peter Van Eyken

  8. Altered metal metabolism in patients with HCV-related cirrhosis and hepatic encephalopathy.

    Science.gov (United States)

    Marano, Massimo; Vespasiani Gentilucci, Umberto; Altamura, Claudia; Siotto, Mariacristina; Squitti, Rosanna; Bucossi, Serena; Quintiliani, Livia; Migliore, Simone; Greco, Federico; Scarciolla, Laura; Quattrocchi, Carlo Cosimo; Picardi, Antonio; Vernieri, Fabrizio

    2015-12-01

    Dysfunctional metal homeostasis contributes to oxidative stress and neuronal damage. These have been implicated in hepatic encephalopathy pathogenesis. To investigate whether altered metal metabolism is associated with hepatic encephalopathy. Twenty-one controls and 34 HCV-cirrhotic patients (ENC/NEC patients according to presence/absence of previous overt episodes of hepatic encephalopathy) and a control group were studied. Serum iron, copper, ceruloplasmin, ceruloplasmin activity, transferrin, and ceruloplasmin/transferrin ratio were determined. Neuropsychological tests were performed by the repeatable battery of neuropsychological status. Magnetic resonance assessed basal ganglia volumes and metal deposition (pallidal index and T2*). Cirrhotic patients performed worse than controls at cognitive tests, especially ENC patients,. At biochemical analysis copper concentrations, ceruloplasmin activity and transferrin levels were lower in ENC than in NEC patients and controls (p hepatic encephalopathy.

  9. Hanford Nuclear Energy Center: a conceptual study

    Energy Technology Data Exchange (ETDEWEB)

    Harty, H. (comp.)

    1978-09-30

    The objective of the study is to develop an improved understanding of the nuclear energy center (NEC) concept and to identify research and development needed to evaluate the concept fully. A specific context was selected for the study--the Hanford site. Thus, the study primarily addresses the HNEC concept, but the findings are extrapolated to generic NECs where possible. The major emphasis in the HNEC study was to explore potential technical and environmental problems in a specific context and in sufficient detail to evaluate potential problems and propose practical solutions. The areas of concern are typical of those considered in preparing environmental and safety analysis reports, including: topics dealing with engineering choices (e.g., site selection, heat sink management, electrical transmission, and reliability of generation); environmental matters (e.g., terrestrial and radiological effects); socioeconomic factors (e.g., community impacts); and licensing considerations.

  10. Human milk oligosaccharide effects on intestinal function and inflammation after preterm birth in pigs

    DEFF Research Database (Denmark)

    Rasmussen, Stine O.; Martin, Lena; Østergaard, Mette V.

    2017-01-01

    Human milk oligosaccharides (HMOs) may mediate prebiotic and anti-inflammatory effects in newborns. This is particularly important for preterm infants who are highly susceptible to intestinal dysfunction and necrotizing enterocolitis (NEC). We hypothesized that HMO supplementation of infant formula...... (IF) improves intestinal function, bacterial colonization and NEC resistance immediately after preterm birth, as tested in a preterm pig model. Mixtures of HMOs were investigated in intestinal epithelial cells and in preterm pigs (n=112) fed IF supplemented without (CON) or with a mixture of four HMOs...... (4-HMO) or >25 HMOs (25-HMO, 5-10 g/L given for 5 or 11 days). The 25-HMO blend decreased cell proliferation and both HMO blends decreased lipopolysaccharide-induced interleukin-8 secretion in IPEC-J2 cells, relative to control (P

  11. Hvordan begrænser man bedst forureningen med kvælstofilter?

    DEFF Research Database (Denmark)

    Pedersen, Jens Christian

    2008-01-01

    Danmark har problemer med at opfylde to EU-direktivers krav til luftens indhold af kvælstofilter. I forhold til NEC-direktivet er det ligegyldigt hvor vi begrænser udslippet - der vil det være billigst at tage fat i udslippene fra skibe og større kilder på land. For at overholde luftkvalitetsdire......Danmark har problemer med at opfylde to EU-direktivers krav til luftens indhold af kvælstofilter. I forhold til NEC-direktivet er det ligegyldigt hvor vi begrænser udslippet - der vil det være billigst at tage fat i udslippene fra skibe og større kilder på land. For at overholde...

  12. Antimesenteric jejunal diverticulosis after a remote history of necrotising enterocolitis: a case report.

    Science.gov (United States)

    Monteiro, Rosebel; Schneble, Erica; Mino, Jeffrey; Stallion, Anthony

    2013-04-22

    Jejunal diverticulosis is a rare, acquired pathology of the small bowel. While most patients are asymptomatic, the condition is difficult to diagnose. It may present with chronic abdominal pain, diarrhoea, bloating and complications including malabsorption, diverticulitis, bleeding, intestinal obstruction or perforation. This is a case presentation of a 27-year-old woman with a history of necrotising enterocolitis (NEC) requiring surgical resection as a premature newborn who presented with recurrent abdominal pain and was found to have several small bowel diverticula intraoperatively. She underwent resection with complete resolution of symptoms over a 2-year follow-up. This is the first case report to suggest that small bowel diverticular disease as a long-term complication of NEC may result in chronic morbidity in long-term survivors.

  13. Count rate performance study of the Lausanne ClearPET scanner demonstrator

    Energy Technology Data Exchange (ETDEWEB)

    Rey, M. [LPHE, Ecole Polytechnique Federale de Lausanne, CH-1015 Lausanne (Switzerland)]. E-mail: martin.rey@epfl.ch; Jan, S. [Service Hospitalier Frederic Joliot, CEA, F-91401 Orsay (France); Vieira, J.-M. [LPHE, Ecole Polytechnique Federale de Lausanne, CH-1015 Lausanne (Switzerland); Mosset, J.-B. [LPHE, Ecole Polytechnique Federale de Lausanne, CH-1015 Lausanne (Switzerland); Krieguer, M. [IIHE, Vrije Universiteit Brussel, B-1050 Brussels (Belgium); Comtat, C. [Service Hospitalier Frederic Joliot, CEA, F-91401 Orsay (France); Morel, C. [CPPM, CNRS-IN2P3, Universite de la Mediterranee Aix-Marseille II, F-13288 Marseille (France)

    2007-02-01

    This paper presents the count rate measurements obtained with the Lausanne partial ring ClearPET scanner demonstrator and compares them against GATE Monte Carlo simulations. For the present detector setup, a maximum single event count rate of 1.1 Mcps is measured or a 250-750 keV energy window. This corresponds to a coincidence count rate of approximately 22 kcps. Good agreements are observed between measured and simulated data. Count rate performance, including Noise Equivalent Count (NEC) curves, are determined and extrapolated for a full ring ClearPET design using GATE Monte Carlo simulations. For a full ring design with three rings of detector modules, NEC is peaking at about 70 kcps for 20 MBq.

  14. Numerical Study on the Bifurcation of the North Equatorial Current

    Institute of Scientific and Technical Information of China (English)

    LIU Yulong; WANG Qi; SONG Jun; ZHU Xiande; GONG Xiaoqing; WU Fang

    2011-01-01

    A 1.5-layer reduced-gravity model forced by wind stress is used to study the bifurcations of the North Equatorial Current (NEC).The authors found that after removing the Ekman drift,the modelled circulations can serve well as a proxy of the SODA circulations on the σθ=25.0kgm-3 potential density surface based on available long-term reanalysis wind stress data.The modelled results show that the location of the western boundary bifurcation of the NEC depends on both zonal averaged and local zero wind stress curl latitude.The effects of the anomalous wind stress curl added in different areas are also investigated and it is found that they can change the strength of the Mindanao Eddy (ME),and then influence the interior pathway.

  15. Hvordan begrænser man bedst forureningen med kvælstofilter?

    DEFF Research Database (Denmark)

    Pedersen, Jens Christian

    2008-01-01

    Danmark har problemer med at opfylde to EU-direktivers krav til luftens indhold af kvælstofilter. I forhold til NEC-direktivet er det ligegyldigt hvor vi begrænser udslippet - der vil det være billigst at tage fat i udslippene fra skibe og større kilder på land. For at overholde luftkvalitetsdire......Danmark har problemer med at opfylde to EU-direktivers krav til luftens indhold af kvælstofilter. I forhold til NEC-direktivet er det ligegyldigt hvor vi begrænser udslippet - der vil det være billigst at tage fat i udslippene fra skibe og større kilder på land. For at overholde...

  16. Bioactivity of Minor Milk Components

    DEFF Research Database (Denmark)

    Nguyen, Duc Ninh

    . In particular, 3-15% of very low birth weight preterm infants suffer from the most servere form of intestinal inflammation, known as necrotizing enterocolitis (NEC). This disease is incurable with a high mortality rate of 15-30%. Mother’s breast milk consists of different bioactive constituents...... several steps of thermal processing, which are known to decrease/abolish bioactivity of milk constituents. This may explain for high NEC incidence in formula-fed preterm infants. We therefore in this PhD project investigated whether gentle thermal processing conditions increase the bioavailability...... of infant formula. Thereafter, bioactive milk components which were preserved in gently-processed infant formula were selected for further investigation of their immunomodulatory activity in cell and preterm pig models. We hope this project will contribute to the research on the development of new...

  17. Bovine colostrum improves intestinal function following formula-induced gut inflammation in preterm pigs

    DEFF Research Database (Denmark)

    Støy, Ann Cathrine Findal; Heegaard, Peter M. H.; Thymann, Thomas;

    2014-01-01

    , abundance and location of bacteria, and inflammation markers were investigated. Results NEC severity and interleukins (IL)-1β and -8 protein concentrations were lower, while villus height, galactose absorption, and brush-border enzyme activities were increased in the distal small intestine in COLOS......Background & aims Only few hours of formula feeding may induce proinflammatory responses and predispose to necrotizing enterocolitis (NEC) in preterm pigs. We hypothesized that bovine colostrum, rich in bioactive factors, would improve intestinal function in preterm pigs following an initial...... exposure to formula feeding after some days of total parenteral nutrition (TPN). Methods After receiving TPN for 2 days, preterm pigs were fed formula (FORM, n = 14), bovine colostrum (COLOS, n = 6), or formula (6 h) followed by bovine colostrum (FCOLOS, n = 14). Intestinal lesions, function, and structure...

  18. Classically stable non-singular cosmological bounces

    CERN Document Server

    Ijjas, Anna

    2016-01-01

    One of the fundamental questions of theoretical cosmology is whether the universe can undergo a non-singular bounce, i.e., smoothly transit from a period of contraction to a period of expansion through violation of the null energy condition (NEC) at energies well below the Planck scale and at finite values of the scale factor such that the entire evolution remains classical. A common claim has been that a non-singular bounce either leads to ghost or gradient instabilities or a cosmological singularity. In this letter, we examine cubic Galileon theories and present a procedure for explicitly constructing examples of a non-singular cosmological bounce without encountering any pathologies and maintaining a sub-luminal sound speed for co-moving curvature modes throughout the NEC violating phase. We also discuss the relation between our procedure and earlier work.

  19. A Benefit Measurement Framework for an Online Contract Change Management System

    Institute of Scientific and Technical Information of China (English)

    Ming Sun; Tejas Oza

    2008-01-01

    The contract change management (CCM) system is an online collaboration tool, which supports the contract change management process of new engineering contract (NEC) contract. It is currently used in practice on a wide range of civil, power, and building projects in the UK. The aim of this study is first to iden-tify the tangible and intangible benefits of the system through a user survey; then to develop a framework to measure these benefits. A questionnaire survey is conducted, which reveals that CCM can help project teams improve process effectiveness, reduce risk of process failures, and increase the compliance with NEC requirements. Subsequently, a spreadsheet tool is developed to allow CCM users to calculate the tan-gible cost savings as a result of using the system. For intangible benefits, a change management maturity model (CM3) is developed, which provides a measurement framework for assessing the improvement of a project team's capability in dealing with contract changes.

  20. Casein addition to a whey-based formula has limited effects on gut function in preterm pigs

    DEFF Research Database (Denmark)

    Thymann, T.; Støy, Ann Cathrine Findal; Bering, S. B.

    2012-01-01

    followed by 30 h of enteral feeding with whey [protein fraction of milk formula based on whey (WHEY); n = 11] or casein and/or whey [protein fraction of milk formula based on a combination of casein and whey (CASEIN); n = 9]-based formulas. Sugar absorptive function was investigated at 6 and 30 h after......Preterm infants are susceptible to necrotizing enterocolitis (NEC). Using preterm pigs, we determined whether a whey–casein-based formula would be superior to a formula based on whey protein alone. Twenty cesarean-derived preterm pigs (92% gestation) were given total parenteral nutrition for 36 h...... studied in gut contents. Severity of NEC lesions was similar between diet groups but galactose absorption was markedly higher in CASEIN than in WHEY (P

  1. Theory of Magnetic Response and Hall Effect in Bulk Rashba System

    Science.gov (United States)

    Ando, Tsuneya; Suzuura, Hidekatsu

    2017-01-01

    The magnetic susceptibility and transport quantities are calculated in a three-dimensional system with a giant Rashba spin-orbit interaction for scatterers with short-range potential in a self-consistent Born approximation. The susceptibility exhibits a sharp peak toward the diamagnetic direction at the band crossing, being broadened depending on disorder. No special feature appears in the diagonal conductivity in both in-plane and vertical directions. The orbital Hall conductivity due to cyclotron motion is considerably reduced from -(nec)-1 in the low-energy region and exhibits a small step-like jump at the band crossing, becoming almost the same as -(nec)-1, where n is the carrier concentration. The Hall conductivity due to the spin-Zeeman energy has a sharp peak at the band crossing, but is significantly reduced due to inter-band scattering.

  2. Preterm Birth Reduces Nutrient Absorption With Limited Effect on Immune Gene Expression and Gut Colonization in Pigs

    DEFF Research Database (Denmark)

    Østergaard, Mette V; Cilieborg, Malene S.; Skovgaard, Kerstin;

    2015-01-01

    The primary risk factors for necrotizing enterocolitis (NEC) are preterm birth, enteral feeding, and gut colonization. It is unclear whether feeding and colonization induce excessive expression of immune genes that lead to NEC. Using a pig model, we hypothesized that reduced gestational age would...... upregulate immune-related genes and cause bacterial imbalance after birth. Preterm (85%-92% gestation, n = 53) and near-term (95%-99% gestation, n = 69) pigs were delivered by cesarean section and euthanized at birth or after 2 days of infant formula or bovine colostrum feeding. At birth, preterm delivery...... reduced 5 of 30 intestinal genes related to nutrient absorption and innate immunity, relative to near-term pigs, whereas 2 genes were upregulated. Preterm birth also reduced ex vivo intestinal glucose and leucine uptake (40%-50%), but failed to increase cytokine secretions from intestinal explants...

  3. Intestinal microbial community diversity in neonatal necrotizing enterocolitis analyzed by PCR-DGGE%PCR-DGGE对新生儿坏死性小肠结肠炎肠道菌落结构及其动态性研究

    Institute of Scientific and Technical Information of China (English)

    郑树芳; 徐艳珍; 艾青; 余加林

    2012-01-01

    目的 探讨新生儿坏死性小肠结肠炎(NEC)患儿肠道菌落的结构和动态性变化.方法 从NEC疾病组(n=16例)及对照组(n=16例)的新生儿连续不同时间段的粪便提取肠道细菌总DNA,用357F-GC/518R引物扩增16S rDNA 的V3可变区,结合变性梯度凝胶电泳(DGGE)技术分析.结果 NEC组与对照组比较,肠道细菌菌落的Shannon指数相对较高(P<0.05),分布不均,波动明显,细菌的多样性高于对照组,细菌菌落多样性特征存在一定的差异.NEC组的Shannon指数在发病初期明显增多,随着疾病的治疗与恢复,呈先降后升的趋势(Shannon指数从大于或等于50降至小于或等于30以下然后波动回升至35左右),DGGE胶回收测序显示新生儿肠道优势菌群以肺炎克雷伯杆菌属、大肠埃希菌、肠球菌为主,NEC组与对照组细菌种类没有明显的区别,存在数量上的差异,显示了DGGE技术的优越性.结论 NEC患儿的肠道菌群失衡可能是NEC发病细菌感染的重要因素.%Objective To analysis intestinal bacterial community composition and dynamics of change in neonatal necrotizing en-terocolitis(NEC). Methods Total DNA of fecal intestinal bacteria was directly extracted from NEC diseases(n = 16) and the control group(n=16) of newborns continuously at different times using the 357F-GC and 518R primers amplified V3 variable region of the 16S rRNA gene,combined with denaturing gradient gel electrophoresis(DGGE). Results The NEC group compared with the control group,Shannon index of intestinal bacterial was relatively higher(P<0. 05) ,the uneven distribution of apparent fluctuations in the diversity of bacteria was higher than the control, there were some differences of bacterial colony diversity characteristics. Shannon index of NEC group increased significantly in the early stage, was down then up trend with the treatment of the disease and recovery (The Shannon index from ≥ 50 to ≤ 30 down and slowly rose to about 35) ,and

  4. Protective effects of transforming growth factor β2 in intestinal epithelial cells by regulation of proteins associated with stress and endotoxin responses

    DEFF Research Database (Denmark)

    Nguyen, Duc Ninh; Jiang, Pingping; Jacobsen, Susanne

    2015-01-01

    electrophoresis-MS and LC-MS-based proteomics. TGF-β2 alone induced the differential expression of 13 proteins and the majority of the identified proteins were associated with stress responses, TGF-β and Toll-like receptor 4 signaling cascades. In particular, a series of heat shock proteins had similar......Transforming growth factor (TGF)-β2 is an important anti-inflammatory protein in milk and colostrum. TGF-β2 supplementation appears to reduce gut inflammatory diseases in early life, such as necrotizing enterocolitis (NEC) in young mice. However, the molecular mechanisms by which TGF-β2 protects...... differential trends as previously shown in the intestine of NEC-resistant preterm pigs and young mice. Furthermore, LC-MS-based proteomics and Western blot analyses revealed 20 differentially expressed proteins following treatment with TGF-β2 in LPS-challenged IECs. Thirteen of these proteins were associated...

  5. A hydrodynamic approach to boost invariant free streaming

    CERN Document Server

    Calzetta, Esteban

    2014-01-01

    We consider a family of exact boost invariant solutions of the transport equation for free streaming massless particles, where the one particle distribution function is defined in terms of a function of a single variable. The evolution of second and third moments of the one particle distribution function (the second moment being the energy momentum tensor (EMT) and the third moment the non equilibrium current (NEC)) depends only on two moments of that function. For every choice of those two moments we show how to build a non linear hydrodynamic theory which reproduces the exact evolution of the EMT and the NEC. Crude approximations to this theory describe correctly the early time evolution. The structure of these theories may give insight on nonlinear hydrodynamic phenomena on short time scales.

  6. Mild heat treatment does not reduce the colitis-protective effects of bovine colostrum in preterm pigs

    DEFF Research Database (Denmark)

    Støy, Ann Cathrine Findal; Sangild, Per Torp; Skovgaard, Kerstin

    dried and pasteurized BC. Methods: Preterm pigs were fed total parenteral nutrition for 2 d, followed by two boluses of milk formula (15 mL/kg/3h) and continued enteral feeding with milk formula (FORM, n = 14), fresh BC (COLOS, n = 14), spray dried, powdered BC (POW, n = 8), or spray dried, pasteurized...... BC (POWPAS, n = 9). Pigs were euthanized after two days of enteral feeding and NEC lesions, intestinal structure, digestive and absorptive functions, microbiota, and tissue protein and mRNA levels of immune factors were analyzed. Finally, we determined the concentrations of some bioactive proteins...... in the colostrum products and studied treatment-related aggregation of proteins. Results: POW and POWPAS pigs showed lowered gut NEC severity, IL-1β and IL-8 levels and lactic acid levels, and higher intestinal villus heights, hexose absorption, hydrolase activities (lactase, maltase, peptidases) than FORM pigs...

  7. Probiotics to prevent necrotising enterocolitis in very preterm infants

    DEFF Research Database (Denmark)

    Lambæk, Irina Dobychina; Fonnest, Gert; Gormsen, Magdalena

    2016-01-01

    INTRODUCTION: Meta-analyses of randomised trials have shown that probiotics reduce the risk of necrotising enterocolitis (NEC) in preterm infants. However, the generalisability of these results, particularly for the most preterm infants, remains unresolved. Hence, we wanted to evaluate the benefit...... of implementing prophylactic use of probiotics as standard care in infants younger than 30 weeks of gestation. METHODS: Two three-year periods were compared. The first period was prior to a policy change. In this period no probiotics were used. The second period featured routine administration of probiotics...... period (median six versus 14 days, p = 0.004). No side effects and no blood cultures with lactobacillus or bifidobacterium were observed. CONCLUSIONS: This historically controlled study did not indicate that probiotics had a significant effect on NEC. We continue our practice, but larger cohort studies...

  8. Morbidity and Mortality in Preterm Infants following Antacid Use: A Retrospective Audit

    Directory of Open Access Journals (Sweden)

    Natasha Singh

    2016-01-01

    Full Text Available Background and Objectives. Antacids are often prescribed to preterm infants due to misdiagnosis of gastro-oesophageal reflux. This suppresses gastric acidity, a major defence mechanism against infection. This study aims to determine if ranitidine and omeprazole use in very low birth weight (VLBW neonates, <1500 grams, is associated with increased risk of late onset sepsis, necrotising enterocolitis (NEC, and mortality. Methods. Retrospective analysis was conducted on neonates, <1500 grams, born and admitted into the Neonatal Intensive Care Unit at The Canberra Hospital during the period from January 2008 to December 2012. Information regarding late onset sepsis, NEC, mortality, ranitidine/omeprazole use, and other neonatal/hospital factors was collected for each neonate. Results. 360 neonates were evaluated, 64 received ranitidine and/or omeprazole, and 296 had not. There were no statistically significant differences in incidence of late onset sepsis (OR = 0.52, CI = 0.24–1.1, and p = 0.117, NEC Stage 2 and above (OR = 0.4, CI = 0.05–3.2, and p = 0.7, or mortality (OR = 0.35, CI = 0.08–1.5, and p = 0.19 between the two groups. After adjusting significant differences in neonatal and hospital factors, risk of late onset sepsis was significantly lower in those that received ranitidine/omeprazole (OR = 0.28, CI = 0.13–0.65, and p = 0.003. Conclusions. Ranitidine and omeprazole use in VLBW preterm infants may not be associated with an increased risk of infection, NEC, and mortality.

  9. Projections of Demand for Waterborne Transportation, Ohio River Basin, 1980, 1990, 2000, 2020, 2040. Volume 8. Group VI. Chemicals & Chemical Fertilizers.

    Science.gov (United States)

    1980-12-01

    yields essential for profitable crop production. Because different crops and soils require different quantities and blends of nutrients...distri- bution of such other products as petroleum refining and related industries, plastic products, natural gas and crude oil extraction , and...Inks, printing Orange oil Le.,mon oil Citrus oils , nec. Peppermint oil Spearmint oil Cedarwood oil , clove oil and nutmeg oil Source: Prepared by

  10. A new name for the Neotropical genus Aniarella Enderlein (Diptera, Sciaridae

    Directory of Open Access Journals (Sweden)

    Hüseyin Özdikmen

    2011-03-01

    Full Text Available A new name for the Neotropical genus Aniarella Enderlein (Diptera, Sciaridae. A junior homonym was detected among neotropical sciarid flies genera and the following replacement name is proposed: Novaniarella nom. nov. for Aniarella Enderlein, 1911 (nec Bolivar, 1906. Accordingly, new combinations are herein proposed for the species currently included in this genus: Novaniarella azteca (Lane, 1959 comb. nov., Novaniarella brevis (Rubsaamen, 1894 comb. nov. and Novaniarella pelluscens (Enderlein, 1911 comb. nov.

  11. The compact AMS facility at Guangzhou Institute of Geochemistry, Chinese Academy of Sciences

    Energy Technology Data Exchange (ETDEWEB)

    Zhu, Sanyuan [State Key Laboratory of Organic Geochemistry, Guangzhou Institute of Geochemistry, Chinese Academy of Sciences, Guangzhou 510640 (China); Ding, Ping; Wang, Ning; Shen, Chengde [State Key Laboratory of Isotopic Geochemistry, Guangzhou Institute of Geochemistry, Chinese Academy of Sciences, Guangzhou 510640 (China); Jia, Guodong [Key laboratory of Marginal Sea Geology, Guangzhou Institute of Geochemistry, Chinese Academy of Sciences, Guangzhou 510640 (China); Zhang, Gan [State Key Laboratory of Organic Geochemistry, Guangzhou Institute of Geochemistry, Chinese Academy of Sciences, Guangzhou 510640 (China)

    2015-10-15

    A compact {sup 14}C AMS facility manufactured by the National Electrostatics Corporation (NEC) has been installed at Guangzhou Institute of Geochemistry, Chinese Academy of Sciences (GIGCAS). The system is based on a Model 1.5SDH-1 Pelletron accelerator with a maximum terminal volt 0.6 MV. This paper reports the performance and the operation of this machine in the first several months after installation.

  12. Cold Vacuum Drying (CVD) Facility Electrical System Captor and Dapper Study

    Energy Technology Data Exchange (ETDEWEB)

    SINGH, G.

    2000-11-20

    The objective of this report is to Validate and as-build the Load and Fault hand calculations performed by Meier Associates. Perform a protective device coordination study, not performed by Meier's, and furnish any recommendations, including recommended device settings. Perform Transient Motor Starting (TMS) analysis for the chillers and also the motors on the standby generator system. Indicate any design problems or NEC Code Violations, if found.

  13. Evaluation of Areas for Off-Road Recreational Motorcycle Use. Volume I. Evaluation Method.

    Science.gov (United States)

    1980-11-01

    r , % 4 - e d I - A:T J N .Cf ii𔃿 T- ’’ a,,’’Aq’nee-,N I t’ NN-M V - T N o al I ’brtas -qee , " N i,’ ’A n, e i ’ no neC l’ DALN-M0 PRC Cuca -.T1T

  14. Hydromechanical behaviour of a heterogeneous compacted soil: experimental observations and modelling

    OpenAIRE

    2011-01-01

    George Stephenson Gold Medal, atorgada per la Institution of Civil Engineering (U.K.) The paper describes a theoretical and experimental study of the coupled hydromechanical behaviour of a compacted mixture of bentonite powder and bentonite pellets intended as sealing material in underground repositories for nuclear waste. One of the main advantages of the use of powder/pellets mixtures is the reduction of the compaction effort required to achieve the value of average dry density nec...

  15. An In vitro Comparison of Furcal Perforation Repaired with Pro-root MTA and New Endodontic Cement in Primary Molar Teeth- A Microleakage Stud

    Directory of Open Access Journals (Sweden)

    Haghgoo R.

    2014-03-01

    Full Text Available Statement of Problem: One of the most challenging procedural accidents during pulpotomy of primary molars is furcal perforation. To prevent bacterial invasion, the perforation site should be sealed as soon as possible. Purpose: The aim of the current study is to investigate the ability of the pro- root MTA and new endodontic cement (NEC in repairing the furcation perforations of primary molar teeth. Materials and Method: In this in vitro study, 42 extracted primary molars were select-ed. Their roots were sectioned horizontally and standard access cavity was prepared. The orifices and the root apices were sealed with two layers of resin composite .The samples were randomly assigned into 2 groups. Six teeth were considered as the positive and the negative controls. In the experimental groups; perforation was made. In group 1 and 2, perforation site received pro- root MTA and NEC respectively. The teeth were covered by two layers of nail polish except for the external surface of the perforation site. The negative control group received no repairing material. All teeth were mounted and sterilized for 24 hours. Lower chambers were filled with sterilized Muller Hinton broth. Bacterial suspension of E-faecalis in 0.5 McFarland was prepared. Then repaired site was exposed to the bacterial suspension of E-faecalis every 3 days. All samples were inserted in an incubator at 37oC and 100% humidity. The turbidity of the samples was detected for a period of 30 days. Data were analyzed by Chi- square test. Results: 44% of samples in Pro- root group, 50% of the samples in the NEC group showed contaminations during 30 days. There was no significant difference between these two groups (p= 0.799. Conclusion: With limitations of this study, Pro- root MTA and NEC showed similar capability in sealing the furcal perforations of the primary molars.

  16. Теоретичні підходи щодо поняття адміністративної послуги

    OpenAIRE

    Туркова, О. К.

    2016-01-01

    Problem setting. We know that the service sector today – is one of the most promising areas of public administration, which quite rapidly. The transition to consumer-oriented models of government provided for by the Constitution of Ukraine, art. 3 which states that "a person's life and health, honor and dignity, inviolability and security are recognized in Ukraine as the highest social value ... affirm and ensure human rights and freedoms is the main duty of the state" [1].Therefore it is nec...

  17. Trading Freshness for Performance in Distributed Systems

    Science.gov (United States)

    2014-12-01

    Facebook , Fusion-IO, Google, Hewlett-Packard, Hitachi, Huawei, IBM, Intel, LSI, Microsoft, NEC Labs, NetApp, Oracle, Panasas, Riverbed, Sam- sung, Seagate...in machine learning algorithms. These algorithms have applications in data mining, web search, genomics, advertising , and mapping. In the second case...to drive various decision support applications, such as sales or advertisement analytics. Generally speaking, the data genera- tion is continuous

  18. Waterborne Commerce of the United States, Calendar Year 1985. Part 4. Waterways and Harbors Pacific Coast, Alaska and Hawaii.

    Science.gov (United States)

    1987-05-01

    products prepared or preserved. 0107 Wheat including canned meat products 0111 Soybeans 2014 Tallow , animal fats and oils 0112 flaxseed 2015 Animal by...2012 NEAT AND PRODUCTS, NEC ................... 24,46S 2sSS52 3,883 ..-...... .. °°°.o0.°.1..°° 2014 TALLOW , AI-ALi Fbt$ AMC OIL...7 .............. 2031 FISH AND SHELLFISH, PREPARED... . . . . 5,430 -- --- ..... s .. .... >;,7 -- 7 ODOR PREP FRUIT N D-0

  19. Food Calorie Intake and Food Security under Grain Price Inflation: Evidence from Malawi

    OpenAIRE

    Pan, Suwen; Fang, Cheng; Sanogo, Issa; Mutuc, Maria Erlinda M.

    2011-01-01

    A comprehensive analysis of food demand and nutrient consumption using recent, representative household survey data from Malawi is presented. Expenditure and price elasticities have been estimated for 20 food groups using a quadratic almost ideal demand system based on 4 income groups identified by the Goldfeld-Quandt tests. Although the current boom of maize price provides an opportunity to rethink development strategies that diversify the commodity sectors, developing countries will not nec...

  20. Review on Development of Ceramic Membrane From Sol-Gel Route: Parameters Affecting Characteristics of the Membrane

    OpenAIRE

    M. R. Othman and H. Mukhtar

    2012-01-01

    The importance of laboratory scale ceramic membrane preparation using sol-gel technique with pore sizes in the range of 1-10nm is reviewed. Parameters affecting the characteristics of membrane during membrane development are highlighted and discussed in detail. Experimental results from literatures have shown that the correct amount of acid, water, PVA, appropriate membrane thickness, proper control of drying rate, and appropriate temperature profile selection during sintering process are nec...