In a phase 2 study of patients with symptomatic celiac disease and histologic evidence of significant duodenal mucosal injury, latiglutenase did not improve histologic and symptom scores when compared with placebo. There were no significant differences in change from baseline between groups. ClinicalTrials.gov no: NCT01917630.
Fresh produce is increasingly implicated in food-related illnesses. Escherichia coli can survive in soil and water and can be transferred onto plant surfaces through farm management practices such as irrigation. A trial was conducted to evaluate the impact of field conditions on E. coli persistence on iceberg lettuce irrigated with contaminated water, and the impact of plant injury on the persistence of E. coli. Lettuce heads were injured at 14, 7, 3, 2, 1, and 0 days before inoculation, with uninjured heads used as a control. All lettuce heads (including controls) were overhead irrigated with a mixture of nonpathogenic E. coli strains (10(7) CFU/ml). E. coli counts were measured on the day of inoculation and 5 days after, and E. coli was detected on all lettuce head samples. Injury immediately prior to inoculation and harvest significantly (P = 0.00067) increased persistence of E. coli on lettuce plants. Harsh environmental conditions (warm temperatures, limited rainfall) over 5 days resulted in a 2.2-log reduction in E. coli counts on uninjured lettuce plants, and lettuce plants injured more than 2 days prior to inoculation had similar results. Plants with more recent injuries (up to 2 days prior to inoculation) had significantly (P = 7.6 x 10(-6)) greater E. coli persistence. Therefore, growers should postpone contaminated water irrigation of lettuce crops with suspected injuries for a minimum of 2 days, or if unavoidable, use the highest microbiological quality of water available, to minimize food safety risks.
Lambs at 4-5 weeks of age were studied during the first 4 hours after castration and/or tailing using three methods in various commonly used combinations. The methods were cutting with a knife, application of constricting rubber rings and using a heated docking iron (tailing only). The integrated cortisol response (area under the cortisol curve) was determined for each lamb during the first 4 hours after treatment and was considered to reflect the overall magnitude of the lamb's acute distress response. On that basis, cut lambs (tailing only, castration only, castration plus tailing) experienced more distress than any other groups. Also the distress response (indicated by elevated plasma cortisol concentrations) lasted longer than 4 hours in cut lambs, unlike all other groups. The use of rings apparently caused similar distress when lambs were castrated only, were castrated plus tailed, or were short-scrotumed (testes pressed against the abdominal wall by a distally located scrotal ring) plus tailed. The magnitudes of distress apparently caused by tailing alone with a ring or a docking iron were similar and were lower than the distress caused by any other castration and/or tailing procedure. It is concluded that acute distress responses to these husbandry procedures would be minimised in lambs of this age if rings and/or a docking iron were used in preference to a knife.
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