Dataset on causality analysis of chilling process in beef and pork carcasses using graphical modeling

Appropriate control of carcass temperatures in slaughterhouses requires an accurate understanding of extrinsic and intrinsic factors present after slaughter and dressing. Therefore, we use large amounts of data required under the hazard analysis and critical control point system that are accumulated in daily business reports compiled by food business operators. This data aims to clarify the influencing factors or affectors of the chilling processes for beef and pork carcasses in a slaughterhouse using graphical modeling (GM), which is an explorative method in multivariate data analysis. GM has been widely used for statistical causality analysis in visual and flexible modeling. GM is carried out using the following parameters: outside temperature and humidity, number of carcasses in a chilling room on each operating day and during every afternoon of operation, time of sealing a chilling room, pre-set temperature in a chilling room, chilling room temperature at 16:30 on the day of slaughter and dressing and at 8:00 on the next day, and surface and core temperatures of carcasses. These parameters are set in a three-layered structure comprising (1) cause, (2) intermediate effect, and (3) effect. Covariance selection is performed to statistically eliminate spurious correlation. Path diagrams are drawn for beef and pork in GM for visualization. The data herein has contributed to the first attempt at the use of GM to statistically verify causality in the food manufacturing process. These data can be used to determine causality between carcass temperature and affectors in the chilling process via GM and thus minimize bias. Analyses of the present data are reported in the article "Chilling control of beef and pork carcasses in a slaughterhouse based on causality analysis by graphical modeling" [1].

The Role of Plasmapheresis Therapy for Perioperative Management in ABO-Incompatible Adult Living Donor Liver Transplantation

BACKGROUND

Although living donor liver transplantation (LDLT) was established as a treatment for end-stage liver disease in Japan, the indication for LDLT across an ABO-incompatible barrier remains controversial. The purpose of this study was to elucidate the role of plasmapheresis in incompatible LDLT.

METHODS

Eleven adult patients (seven men and four women) who underwent incompatible LDLT were enrolled in this study. Of these three patients had hepatocellular carcinoma, three chronic hepatitis C, one Wilson's disease, one autoimmune hepatitis, one chronic hepatitis B, one hemochromatosis, and one fulminant hepatic failure. The immunosuppressive regimen consisted of tacrolimus, prednisolone, mycophenolate mofetil (or cyclophosphamide), and prostaglandin E1 in all patients. Multiple plasmapheresis was performed perioperatively to reduce the recipient's antibody titers against the donor's blood type.

RESULTS

Plasmapheresis was useful for the reduction of the recipient's antibody titers to x 16 or lower before and after transplantation. There was no difference in transplant outcome between the 11 patients with incompatible blood group and 30 patients with identical or compatible blood groups.

DISCUSSION

Major postoperative complications such as intrahepatic biliary complications and hepatic necrosis may occur in incompatible transplantation. Several investigators suggested that anti-immunoglobulin (Ig) M and anti-IgG antibody titers sustained these complications. The antibody titers must be decreased sufficiently with plasmapheresis. An elevation of anti-ABO titers after transplantation may be a predictive risk factor for increased mortality and morbidity. In order to perform LDLT in a safer manner, plasmapheresis is an indispensable treatment to improve the outcome of ABO-incompatible cases.

Successful case of adult ABO-incompatible liver transplantation: beneficial effects of intrahepatic artery infusion therapy: a case report

BACKGROUND

In Japan ABO-incompatible liver transplantation has been done on >100 occasions up to 2003. However, <30% are cases involving adults. The difficultly of ABO-incompatible liver transplantation is associated with the high frequency of humoral rejection and local disseminated intravascular coagulation (DIC), leading to many postoperative complications. We report a successful case of adult ABO-incompatible liver transplantation with the use of an intrahepatic artery infusion.

METHODS

A 36-year-old man with Wilson disease, underwent living donor liver transplantation from an ABO-incompatible donor. The immunosuppressive therapy included multiple perioperative plasmaphereses, splenectomy, and treatment with tacrolimus, methylprednisolone, and cyclophosphamide. The dose and blood level of tacrolimus were the same as in ABO-compatible cases. In addition to these therapies, we administered an intrahepatic arterial infusion with prostaglandin (PG) E1 alone.

RESULTS

After perioperative plasmapheresis and cyclophosphamide, antidonor blood group antibody titers remained undiluted and without vascular complications throughout the postoperative course, but there was a tendency for bleeding that continued for 10 days after transplantation. On postoperative day 10, a reexploration was performed for intraabdominal bleeding. During another operation on postoperative day 59 a biloma was found and drained. The patient has now survived for 120 days after transplantation with normal liver function.

CONCLUSIONS

Beneficial effect of intrahepatic artery infusion with PGE1 seems to be useful in adult ABO-incompatible liver transplantation.

Recurrent dislocation of tibialis posterior tendon. A report of two cases

We successfully treated two patients with recurrent dislocation of the tibialis posterior tendon by creating a bone block. Sudden resistive contraction of the tibialis posterior muscle is considered to be the mechanical cause of the initial traumatic injury, and a shallow tibialis posterior tendon sulcus may be the predisposing factor. Once the flexor retinaculum is torn during the initial trauma, recurrent dislocation is inevitable, and surgical treatment is mandatory. When treating patients with a complaint of long-standing pain around the medial malleolus, we must bear in mind the possible diagnosis of recurrent dislocation of the tibialis posterior tendon. If the patient can voluntarily dislocate the tendon by active plantar flexion and inversion of the ankle, the diagnosis is definitive.

Symptomatic type D (separated) medial plica: clinical features and surgical results

The clinical presentation and results of surgery in 20 cases of symptomatic type D (separated) medial plica were reviewed. The group was composed of cases with a fenestration (14 knees), reduplication (two knees), and tear (four knees). Based on preoperative symptoms and clinical presentation, the patients were divided into two groups: the first group had symptoms localized to the medial compartment (11 knees), and the second group had symptoms and/or signs in the patellofemoral joint and/or lateral compartment (nine knees). The symptoms of the second group mimicked those of lateral meniscal tear or patella subluxation, and no definite preoperative diagnosis was possible. Two patients showed difficulty of full extension "active extension test." Excellent or good results were obtained with surgery in all patients after an average follow-up of 39 months. Although resection of the type D medial plica resulted in a favorable outcome, special attention should be made in preoperative diagnosis of this type of plicae.