Παρασκευή 5 Αυγούστου 2016

HCN hyperpolarization-activated cation channels strengthen virtual nicotinic EPSPs and thereby elevate synaptic amplification in rat sympathetic neurons

The influence of hyperpolarization-activated cation current (h-current; Ih) upon synaptic integration in paravertebral sympathetic neurons was studied together with expression of hyperpolarization-activated cyclic nucleotide-gated (HCN) subunit isoforms. All four HCN subunits were detected in homogenates of the rat superior cervical ganglion (SCG) using the PCR to amplify reverse-transcribed messenger RNAs (RT-PCR) and using quantitative PCR. Voltage clamp recordings from dissociated SCG neurons at 35°C detected Ih in all cells, with a maximum hyperpolarization-activated cation conductance of 1.2 ± 0.1 nS, half-maximal activation at –87.6 mV, and reversal potential of –31.6 mV. Interaction between Ih and synaptic potentials was tested with virtual fast nicotinic excitatory postsynaptic potentials (EPSPs) created with dynamic clamp. The blocking of Ih with 15 μM ZD7288 hyperpolarized cells by 4.7 mV and increased the virtual synaptic conductance required to stimulate an action potential from 7.0 ± 0.9 nS to 12.1 ± 0.9 nS. In response to stimulation with 40 s long trains of virtual EPSPs, ZD7288 reduced postsynaptic firing from 2.2 to 1.7 Hz and the associated synaptic amplification from 2.2 ± 0.1 to 1.7 ± 0.2. Cyclic nucleotide binding to HCN channels was simulated by blocking native Ih with ZD7288, followed by reconstitution with virtual Ih using a dynamic clamp model of the voltage clamp data. Over a 30-mV range, shifting the half-activation voltage for Ih in 10 mV depolarizing increments always increased synaptic gain. These results indicate that Ih, in sympathetic neurons, can strengthen nicotinic EPSPs and increase synaptic amplification, while also working as a substrate for cyclic nucleotide-dependent modulation.



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Spontaneous activations follow a common developmental course across primary sensory areas in mouse neocortex

Spontaneous propagation of spiking within the local neocortical circuits of mature primary sensory areas is highly nonrandom, engaging specific sets of interconnected and functionally related neurons. These spontaneous activations promise insight into neocortical structure and function, but their properties in the first 2 wk of perinatal development are incompletely characterized. Previously, we have found that there is a minimal numerical sample, on the order of 400 cells, necessary to fully capture mature neocortical circuit dynamics. Therefore we maximized our numerical sample by using two-photon calcium imaging to observe spontaneous activity in populations of up to 1,062 neurons spanning multiple columns and layers in 52 acute coronal slices of mouse neocortex at each day from postnatal day (PND) 3 to PND 15. Slices contained either primary auditory cortex (A1) or somatosensory barrel field (S1BF), which allowed us to compare sensory modalities with markedly different developmental timelines. Between PND 3 and PND 8, populations in both areas exhibited activations of anatomically compact subgroups on the order of dozens of cells. Between PND 9 and PND 13, the spatiotemporal structure of the activity diversified to include spatially distributed activations encompassing hundreds of cells. Sparse activations covering the entire field of view dominated in slices taken on or after PND 14. These and other findings demonstrate that the developmental progression of spontaneous activations from active local modules in the first postnatal week to sparse, intermingled groups of neurons at the beginning of the third postnatal week generalizes across primary sensory areas, consistent with an intrinsic developmental trajectory independent of sensory input.



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Mycoextraction of radiolabeled cesium and strontium by Pleurotus eryngii mycelia in the presence of alumina nanoparticles: Sorption and accumulation studies

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Publication date: November 2016
Source:Journal of Environmental Radioactivity, Volume 164
Author(s): Monika Asztemborska, Małgorzata Jakubiak, Magdalena Rykaczewska, Marcin Bembenek, Romuald Stęborowski, Grażyna Bystrzejewska-Piotrowska
Widespread use of products based on nanomaterials results in the release of nanoparticles into the environment. Nanoparticles can be taken up by organisms, but they can also coexist with other substances such as radionuclides, thus affecting their uptake or toxicity. In contrast, the sorption capacity of nanoparticles is exploited in water purification. The aim of the study was to investigate: (i) bioaccumulation of cesium and strontium by Pleurotus eryngii mycelia in the presence of alumina nanoparticles (Al2O3 NPs); and (ii) sorption of radionuclides on the surface of nanoparticles. For the experiments, living and dried mycelia were used to permit distinguishing between active uptake and passive sorption of the NPs by P. eryngii. The results are discussed from the perspective of the use of P. eryngii in the mycoextraction of radionuclides.The sorption capacity of Al2O3 NPs and the accumulation by P. eryngii mycelia differ for the applied radioisotopes. The efficiency of Cs and Sr sorption by alumina nanoparticles is 20% and 40%, respectively. Mycelia of P. eryngii have the ability to accumulate 30% of both radioisotopes from the medium. More than 60% of strontium can be removed accumulated from water by P. eryngii mycelia in coexistence with Al2O3 NPs, while the efficiency of cesium removal accumulation is negligible. It was found that alumina nanoparticles do not enhance uptake of radionuclides by P. eryngii mycelia; mycoextraction of radionuclides by mycelia and sorption by Al2O3 NPs are concurrent processes. There was no difference between live or dried mycelia uptake.



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Intercomparison NaI(Tl) and HPGe spectrometry to studies of natural radioactivity on geological samples

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Publication date: November 2016
Source:Journal of Environmental Radioactivity, Volume 164
Author(s): Nguyen Quoc Hung, Huynh Dinh Chuong, Le Quang Vuong, Tran Thien Thanh, Chau Van Tao
In this study, in situ gamma spectra using NaI(Tl) detector have been compared with the laboratory measurements by using HPGe detector on geological samples. The results for measuring naturally occurring terrestrial gamma radiation of 40K and the decay series of 232Th and, 238U respectively of both detectors show a maximum deviation about 5%. The mass activities series from both detectors were checked for coherence using proficiency test procedure from the International Atomic Energy Agency. The reliability and precision pass for final scores for all the analytical determinations of are received "acceptable" for all radionuclides.



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Analysis of the accumulation and redistribution patterns of cesium in Vicia faba grown on contaminated soils

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Publication date: November 2016
Source:Journal of Environmental Radioactivity, Volume 164
Author(s): Jin-long Lai, Qian Fu, Zong-ya Tao, Hong Lu, Xue-gang Luo
The aim of this study was to investigate the relationship between cesium (Cs) contamination and plant growing stages in crops or vegetables grown on Cs-contaminated soils. Vicia faba was grown on Cs-contaminated soils under pot-culture conditions, and Cs uptake and bioaccumulation at various growing stages were then measured. The results showed that Cs uptake by V. faba was significantly greater on soils with a higher Cs content. As shown by the bioaccumulation factor (BCF), the highest transfer coefficient occurred when V. faba reached the maturation stage. Cs was easily transferred to young organs, especially seeds, with an average percentage of 9.60% in seeds during the maturation stage. This implies that Cs can be transferred to the human food chain at all growth stages of the plant, especially the last stages. Uptake rates of Cs remained stable during the generative growth phase of V. faba. This implies that the cultivation of varieties with short generative growth periods can reduce Cs accumulation in the edible parts of plants.



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Inside EMS Podcast: What EMS can learn from the 2016 EMS Trend Report

Download this podcast on iTunesSoundCloud or via RSS feed

Our co-hosts sit down with EMS1 Editor-in-Chief Greg Friese to discuss this year's EMS Trend Report. They discuss the general findings of the report and consider what it means for the future of EMS.



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Prevalence of hepatitis B virus in the Kurram Agency, Pakistan: A 5-year observational study in a war-affected region

Journal of Clinical Virology

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Predictive factors of severe complications for ampullary, bile duct and duodenal cancers following pancreaticoduodenectomy: Multivariate analysis of a 10-year multicentre retrospective series

The Surgeon

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Sepsis in cirrhosis: Emerging concepts in pathogenesis, diagnosis and management

Hepatology International

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Isolated Roux-en-Y reconstruction versus conventional reconstruction after pancreaticoduodenectomy

The Surgeon

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Computed tomography findings for a gastric lymphoepithelioma-like carcinoma: How often does it present as a submucosal mass

European Radiology

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Release of infectious hepatitis C virus from Huh7 cells occurs via a trans-Golgi network-to-endosome pathway independent of very-low-density lipoprotein secretion

Journal of Virology

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A novel method for pain relief in chronic pancreatitis: An old drug in a new pack: A controlled study

Indian Journal of Surgery

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Cross-cultural adaptation and validation of the italian version of swal-qol

Dysphagia

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Cervical osteophytes increase the risk for foreign body impaction: A 171-patient case-control study

Dysphagia

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A case of remission from pre-diabetes following intermittent hypoxic training

Obesity Research & Clinical Practice

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Post Roux-en Y gastric bypass complications: A comparative study assessing the clinical effectiveness of oesophagogastroduodenoscopy and oral-contrast swallow

The Surgeon

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Perioperative outcomes of esophageal cancer surgery in a mid-volume institution in the era of centralization

Langenbeck's Archives of Surgery

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Early splenic flexure intubation competency predicts early cecal intubation competency in gastroenterology fellows

Digestive Diseases and Sciences

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Use of video-based education and tele-health home monitoring after liver transplantation: Results of a novel pilot study

Surgery

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Safety and efficacy of a same-day low-volume 1 l peg bowel preparation in colonoscopy for the elderly people and people with renal dysfunction

Digestive Diseases and Sciences

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A pilot study of the head extension swallowing exercise: new method for strengthening swallowing-related muscle activity

Dysphagia

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Serial measurement of Wisteria floribunda agglutinin positive Mac-2-binding protein is useful for predicting liver fibrosis and the development of hepatocellular carcinoma in chronic hepatitis C patients treated with IFN-based and IFN-free therapy

Hepatology International

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Reflex cough and disease duration as predictors of swallowing dysfunction in Parkinson's disease

Dysphagia

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Incidence, risk factors and outcomes of acute kidney injury (AKI) in patients with acute-on-chronic liver failure (ACLF) of underlying cirrhosis

Hepatology International

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A systematic review of the role of re-laparoscopy in the management of complications following laparoscopic colorectal surgery

The Surgeon

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Clinical application of whole-genome low-coverage next-generation sequencing to detect and characterize balanced chromosomal translocations

Abstract

Individuals carrying balanced translocations have a high risk of birth defects, recurrent spontaneous abortions and infertility. Thus, the detection and characterization of balanced translocations is important to reveal the genetic background of the carriers and to provide proper genetic counseling. Next-generation sequencing (NGS), which has great advantages over other methods such as karyotyping and fluorescence in situ hybridization (FISH), has been used to detect disease-associated breakpoints. Herein, to evaluate the application of this technology to detect balanced translocations in the clinic, we performed a parental study for prenatal cases with unbalanced translocations. Eight candidate families with potential balanced translocations were investigated using two strategies in parallel, low-coverage whole-genome sequencing (WGS) followed-up by Sanger sequencing and G-banding karyotype coupled with FISH. G-banding analysis revealed three balanced translocations, and FISH detected two cryptic submicroscopic balanced translocations. Consistently, WGS detected five balanced translocations and mapped all the breakpoints by Sanger sequencing. Analysis of the breakpoints revealed that six genes were disrupted in the four apparently healthy carriers. In summary, our result suggested low-coverage WGS can detect balanced translocations reliably and can map breakpoints precisely compared with conventional procedures. WGS may replace cytogenetic methods in the diagnosis of balanced translocation carriers in the clinic.



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EP 15. Choreatic side effects of deep brain stimulation of the subthalamic nucleus for treatment resistant OCD: A case history

Patients with severe treatment resistant obsessive-compulsive disorder (OCD) are potential candidates for deep brain stimulation (DBS). The anteromedial limbic part of the subthalamic nucleus (STN) and the ventral capsule/ventral striatum (VC/VS) are among the most commonly used targets.

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EP 89. Experimental provocation of “ice-cream headache” by ice cubes and ice water

Ice-cream headache, now called "Headache attributed to ingestion or inhalation of cold stimulus" (HICS), is characterized by a short-lasting frontal or temporal pain induced in susceptible people by passage of cold material over the palate and/or posterior pharyngeal wall (Headache Classification Committee, 2013). A number of studies have investigated HICS by different experimental approaches. These studies either used ice cubes, ice water or ice cream. In the present study two protocols (ice cubes and ice water) were tested towards their efficiency of HICS provocation and whether clinical features differ in those protocols.

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FV 1. Perilesional activation in poststroke language recovery

Poststroke aphasia recovery evolves in time. Increased perilesional activity associated with treatment-related language improvements has been confirmed in the chronic phase (Fridriksson et al., 2011), but has not yet been systematically demonstrated during the early phases of stroke recovery. The pathophysiology of stroke suggests that perilesional reorganisation evolves within days, lasting for months after stroke, while increased neuronal excitability might provide a basis for perilesional neuroplasticity (Schiene et al., 1999).

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EP 10. Pallidal stimulation affects speech fluency in dystonia

Deep brain stimulation (DBS) of the globus pallidus interna (GPi) used in treatment of pharmacoresistant dystonic syndromes is potentially accompanied by several side effects including disorders of speech. Stuttering-like dysfluencies appeared with basal ganglia dysfunction and were occasionally reported as a consequence of GPi DBS in a few cases with dystonia (Nebel et al., 2009).

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FV 2. Modulation of the cortical vestibular network by means of rTMS and its neural correlate

Repetitive transcranial magnetic stimulation (rTMS) has been applied to sensory research and for the treatment of disorders in psychiatry and neurology since 1993 (Wassermann and Zimmermann, 2012). The widespread cortical vestibular system, however, has to date not been targeted. Aim of our study was to manipulate vestibular regions in the human cortex by temporary virtual lesioning through rTMS and analyse the changes in the perception of a galvanic vestibular stimulation (GVS) as well as the differing activation patterns in functional neuroimaging.

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EP 147. Electrophysiological evaluation of uremic patients undergoing hemodialisys: Proposal of a clinical and numerical scale for severity and prognosis

Conduction studies (ENMG) have been used since long time for evaluation of chronic uremia (O'Regan et al., 2012) and the blink reflex is important for this purpose. Neurological alterations are easy to detect in uremic patients (Vellanki and Bansal, 2015), such as deep hyperreflexia, asterixis, reading and memory disturbances and sleep disorders (Merlino et al., 2008). They can occur together or alone in early stages of chronic uremia, but they have not been quantified to this moment, the purpose of this study.

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FV 3. Higher concordance of navigated transcranial magnetic stimulation (nTMS) than of functional MRI with intraoperative direct cortical stimulation (DCS) for delineating the primary motor area

To optimize the outcome after brain tumour surgery not only with regard to completeness of resection but also to postoperative motor functions and, thus, quality of life, individual assessment of the surgery-related functional risk is mandatory. Therefore, navigated transcranial magnetic stimulation (nTMS) has been used more and more as a reasonable alternative to functional magnetic resonance imaging (fMRI) over the last years. We compared the congruency of nTMS vs. fMRI results for non-invasively mapping the primary motor cortex (M1) prior to surgery with the gold standard method of direct cortical simulation (DCS).

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EP 129. The effect of tDCS over M1 prior to and during implicit motor sequence learning

Motor learning is an essential skill allowing the acquisition of new movement patterns. Transcranial direct current stimulation (tDCS) has been shown to modulate neuronal excitability along with behavioural performance in a polarity-dependent manner. Besides polarity, the effects of tDCS on motor learning also vary with the timing of stimulation. In order to gain a better understanding regarding the optimal timing of tDCS application to modulate implicit motor sequence learning, motor-cortical tDCS was applied prior to and during training on a serial reaction time task (SRTT).

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FV 4. U-Fiber Density Imaging identifies specific microstructural alterations in the epileptogenic zone in individual patients with cryptogenic focal epileps

Patients with cryptogenic focal epilepsy (cFE), where conventional MRI does not show any structural lesion represent the fastest growing number of epilepsy surgery candidates in most tertiary referral centers. The absence of a visible surgical target challenges presurgical evaluation and requires complementary diagnostic methods to guide further investigations, especially intracranial EEG recordings. Here we present a new diagnostic approach, based on the quantification of regional u-fiber density to identify specific microstructural abnormalities in the epileptogenic zone of patients with cFE.

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EP 52. PREGAIT study – Pattern recognition and differential diagnosis of neurological gait disorders in instrumental and clinical gait analysis

Gait disturbances are a common symptom in neurological disorders. About 70% of neurological inpatients show an abnormal gait. This results in decreased mobility, an increased risk for falls and therefore, a decrement in health-related quality of life. Instrumental gait analysis is used to characterize gait disturbances analyzing spatio-temporal parameters and video data. The aim of the study is to compare the clinical gait analysis with the standardized instrumental gait analysis.

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FV 5. Stochastic resonance therapy induces increased movement related caudate nucleus activity

Whole body vibration means a supplementation of canonical physical treatment and is performed while probands stand on a vibrating platform. Therapeutic vibration can be generated as non-stochastic vibratory pattern, which is referred to as stochastic resonance (SRT). Despite the widespread use of SRT its neurophysiological mechanism is still unclear.

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EP 28. Fornix DBS enhances long-term spatial memory independent of hippocampal neuroplasticity

Deep brain stimulation (DBS) of the fornix can restore memory functions in animals with experimental dementia. We have shown that one potential underlying mechanism is the enhanced release of acetylcholine in the hippocampus. Another suggested mechanism of action is neuronal plasticity.

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FV 6. Striatal Microcircuit alterations in a mouse model of preclinical parkinsonism

During recent years, extensive studies in different genetic model systems have complemented conventional toxin-based dopamine depletion approaches and significantly advanced our pathophysiological understanding of familial Parkinson's disease (PD) from a molecular level to human clinical practice.One of the particular strengths of genetic models is that they open experimental windows to hitherto inaccessible presymptomatic periods in PD, allowing for an investigation of functional changes and adaptive mechanisms during very early phases of this complex neurodegenerative disorder.

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SP 2. Pallidal low frequency activity correlates with dystonic symptoms in patients with cervical dystonia

Low frequency (4–12Hz) oscillations in the internal pallidum (GPi) have been shown to be correlated and coherent with dystonic EMG activity and have therefore been proposed as a pathophysiological signature in patients with dystonia. The aim of this study was to investigate the potential association between pallidal 4–12Hz activity and symptom severity as quantified by the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) in patients with cervical dystonia.

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FV 7. Nerve ultrasound protocol in differentiating chronic neuritis

The aim of this study was to evaluate the applicability of a neuritis ultrasound protocol (NUP) in differentiating chronic neuritis.

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EP 111. Phase-locking analysis of EEG-data in movement related tasks reveals functional network of synchronous activity

The performance of motor actions is a highly complex task where the movement of different body parts has to be coordinated by the activity of various brain regions. In particular, the interplay of brain regions of the motor cortex is crucial. In the study presented here, the interaction of different motor related brain regions during simple internally and externally initiated finger movements was investigated during preparation and execution of those movements.To this end, EEG data (64 channel system) were recorded from 18 right-handed healthy participants (22–35years, 10 female).

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FV 8. Sleep-disordered breathing and effects of non-invasive ventilation on sleep outcomes in adult Pompe disease

In juvenile or adult onset Pompe disease, non-invasive ventilation (NIV) is indicated if sleep-disordered breathing (SDB), daytime hypercapnia, or significant diaphragmatic weakness is present. We investigated both short-term and long-term effects of NIV on measures of sleep and nocturnal ventilation in patients with late-onset Pompe disease.

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EP 71. The effect of intermittent theta burst stimulation over the dorsolateral prefrontal cortex on cortico-striatal connectivity

Fronto-striatal loops play an important role in various cognitive and emotional processes. Intermittent theta burst transcranial magnetic stimulation has been shown to increase regional excitability as well as functional connectivity of connected areas (Huang et al., 2005). The issue of choosing an optimal TMS intensity, which is interlinked with ethical and practical issues such as pain and muscle twitches, has not been explored in detail yet. Furthermore, the role of purely anatomical white matter tracts on functional connectivity has often not been taken into account when studying TMS effects.

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FV 9. Diffusion Tensor Imaging in Neuromuscular diseases - A novel method for quantification of muscle degeneration in myopathy patients

The field of rare Myopathy diseases lacks in non-invasive, however quantifiable methods for evaluating states of diseases as well as monitoring disease progress and therapies. Therefore Diffusion Tensor Imaging (DTI) for non-invasive indirect representation of muscle fibre structure of human skeletal muscles, is a very promising tool for investigating and quantifying disease dependent structural changes, which cannot be observed using conventional imaging methods. DTI provides indirect measures of diffusion quantity and microstructure properties of skeletal muscles by fractional anisotropy (FA) and mean diffusivity (MD).

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EP 35. Influence of gender on personality-brain structure relationships

Previous studies have shown that males and females differ in personality. In particular, gender differences have been reported for neuroticism and agreeableness (Costa et al., 2001), with women scoring higher on these two traits than men. Although gender has also been shown to influence brain structure, effects of gender on personality – brain relationships have hardly been investigated. Indeed, most studies treated gender as a covariate of no interest. (Hu et al., 2011). In this study, we used whole brain voxel-based morphometry (Ashburner and Friston, 2000) to investigate the influence of gender on associations between personality traits (assessed by the NEO FFI) and grey matter volume (GMV) in a large sample of 182 males and 182 females.

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Implementation of patient blood management remains extremely variable in Europe and Canada: The NATA benchmark project.

BACKGROUND: Preoperative anaemia is associated with increased postoperative morbidity and mortality. Patient blood management (PBM) is advocated to improve patient outcomes. OBJECTIVES: NATA, the 'Network for the advancement of patient blood management, haemostasis and thrombosis', initiated a benchmark project with the aim of providing the basis for educational strategies to implement optimal PBM in participating centres. DESIGN: Prospective, observational study with online data collection in 11 secondary and tertiary care institutions interested in developing PBM. SETTING: Ten European centres (Austria, Spain, England, Denmark, Belgium, Netherlands, Romania, Greece, France, and Germany) and one Canadian centre participated between January 2010 and June 2011. PATIENTS: A total of 2470 patients undergoing total hip (THR) or knee replacement, or coronary artery bypass grafting (CABG), were registered in the study. Data from 2431 records were included in the final analysis. MAIN OUTCOME MEASURES: Primary outcome measures were the incidence and volume of red blood cells (RBC) transfused. Logistic regression analysis identified variables independently associated with RBC transfusions. RESULTS: The incidence of transfusion was significantly different between centres for THR (range 7 to 95%), total knee replacement (range 3 to 100%) and CABG (range 20 to 95%). The volume of RBC transfused was significantly different between centres for THR and CABG. The incidence of preoperative anaemia ranged between 3 and 40% and its treatment between 0 and 40%, the latter not being related to the former. Patient characteristics, evolution of haemoglobin concentrations and blood losses were also different between centres. Variables independently associated with RBC transfusion were preoperative haemoglobin concentration, lost volume of RBC and female sex. CONCLUSION: Implementation of PBM remains extremely variable across centres. The relative importance of factors explaining RBC transfusion differs across institutions, some being patient related whereas others are related to the healthcare process. The results reported confidentially to each centre will allow them to implement tailored measures to improve their PBM strategies. (C) 2016 European Society of Anaesthesiology

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Transversus abdominis plane block after laparoscopic colonic resection in cancer patients: A randomised clinical trial.

BACKGROUND: A key point in the pathways for optimal rehabilitation and enhanced recovery is an effective postoperative multimodal pain treatment regimen to reduce pain and minimise the use of opioids. OBJECTIVE: The objective is to investigate the analgesic effects of transversus abdominis plane (TAP) block in conjunction with paracetamol and ibuprofen in patients undergoing laparoscopic colonic resection for cancer. DESIGN: Randomised placebo-controlled double-blind study. SETTING: Herlev University Hospital, Copenhagen, Denmark, from March 2010 to February 2013. PATIENTS: Eighty adult cancer patients scheduled for elective laparoscopic colectomy. INTERVENTIONS: Patients received bilateral TAP block with 20 ml of either ropivacaine or normal saline. MAIN OUTCOME MEASURES: Visual analogue scale (VAS) pain scores (0 to 100 mm) while coughing at 6 h after surgery (primary outcome). Secondary outcomes were area under the curve pain scores (2 to 24 h) at rest and while coughing, 24-h morphine consumption and the incidence of postoperative nausea and vomiting. RESULTS: VAS pain scores at 6 h while coughing was not different between the groups (median, interquartile range), TAP, 27 (11 to 45) mm vs. placebo, 33 (20 to 49) mm (P = 0.20). Total 24-h morphine consumption was reduced in the TAP block group vs. placebo group, 30 (15 to 41) mg vs. 43 (30 to 67) mg, respectively (P = 0.008). This difference was most pronounced in the first postoperative hour. VAS pain scores and the incidence of nausea and vomiting did not differ between groups. CONCLUSION: TAP block used in combination with paracetamol and ibuprofen did not reduce pain after laparoscopic colonic surgery. However, we found a 30% reduction in opioid use, most marked in the early postoperative period. Therefore, for the initial postoperative period, a TAP block could be considered as a relevant supplemental analgesic method for pain management after laparoscopic colonic resection. TRIAL REGISTRATION: http://ift.tt/PmpYKN (NCT01418144). (C) 2016 European Society of Anaesthesiology

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