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This article was the subject of an educational assignment in 2013 Q3. Further details were available on the "Education Program:Case Western Reserve University/ANTH 302 Darwinian Medicine (Fall 2013)" page, which is now unavailable on the wiki. |
This article was the subject of a Wiki Education Foundation-supported course assignment, between 29 August 2018 and 14 December 2018. Further details are available on the course page. Peer reviewers: Sgmcalpi.
Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT ( talk) 00:30, 17 January 2022 (UTC)
I have significantly shortened the section on helminthic therapy. This is still in its experimental stages, and Wikipedia does not need to tell the public how a German company is trying to market this. When it hits the shelves, we'll see.
I have also replaced the news links with an actual scientific report in a peer-reviewed journal. The BBC link quoted the New Scientist, and the latter got its information from the article. This is much more direct. JFW | T@lk 23:17, 27 Nov 2004 (UTC)
Please note the link is broken for the scientific report (reference #19). This should be fixed. — Preceding unsigned comment added by 71.7.239.165 ( talk) 13:27, 2 January 2012 (UTC)
Life events may herald onset of Crohn's but not IBD as a whole - doi: 10.1111/j.1572-0241.2006.00931.x. JFW | T@lk 16:59, 11 March 2007 (UTC)
doi: 10.1111/j.1572-0241.2007.01215.x JFW | T@lk 06:23, 29 April 2007 (UTC)
doi: 10.1053/j.gastro.2007.09.001 JFW | T@lk 01:52, 23 November 2007 (UTC)
I have been reverting a vandal, but I made a mistake the first time and I think I corrected it the second time. Just started using this so please if I still made any mistakes please bring it to my attentions and I will fix it or always feel free to fix anything I should do. Thank you, -- CrohnieGal Talk 11:39, 25 April 2008 (UTC)
I've pruned the external links section. I removed:
The first three are pretty obvious to most people: for example, Wikipedia is a worldwide encyclopedia, and something that happens half a world a way does you no good. The last one sometimes surprises people, so let me explain. Wikipedia's external links policy and the specific guidelines for medicine-related articles do not generally permit the inclusion of external links to non-encyclopedic material, particularly including internet chat boards and e-mail discussion groups. Here's some specific information from the guidelines:
Wikipedia is an encyclopedia, and while it may occasionally be useful to patients or their families, it is not a web directory. Please do not re-insert links that do not conform to the standard rules. Any editor, BTW, is welcome to read all of the rules and perform another "audit" in the remaining links. Thanks, WhatamIdoing ( talk) 03:36, 28 April 2008 (UTC)
doi: 10.1111/j.1572-0241.2008.01836.x - steroids increase mortality, thiopurines do not. JFW | T@lk 10:11, 26 May 2008 (UTC)
add info about HLA-B27 please! —Preceding unsigned comment added by 128.125.28.127 ( talk) 01:39, 1 June 2008 (UTC)
Risk of thrombosis increased, especially during flare. I can hear a trial approaching, especially with one of the oral antithrombotics. In fact, perhaps this might also show a disease modifying effect! doi: 10.1016/S0140-6736(09)61963-2 JFW | T@lk 10:04, 21 February 2010 (UTC)
Before any reinsertion, I think it needs to be specified what kind of inflammatory bowel disease (if even IBD) is referred to in the following study, since it appears to consist of multiple types with different pathogenesis. Mikael Häggström ( talk) 16:20, 25 October 2010 (UTC)
{{
cite journal}}
: Explicit use of et al. in: |author=
(
help); External link in |format=
(
help)CS1 maint: multiple names: authors list (
link)
doi: 10.1136/gut.2010.222893 - large cohort of pregnancy on thiopurines; they seem to be safe. JFW | T@lk 12:51, 5 January 2011 (UTC)
Prototype to material that should be considered when discussing causes of IBD
The low incidence of pathogens within modern societies are thought to have contributed to Inflammatory Bowel Disease vulnerability [1] . This has been known as the Hygiene Hypothesis [1] . Humanity has been exposed to a wide range of bacteria and viruses with the practice of agriculture in the Neolithic Revolution [1] . This was due to an increase in population density and a sedentary lifestyle that accompanied agricultural practice [1] . In the post Neolithic Revolution, humans adapted to the high rate of pathogens through developing a more active immune system [1] . In the modern society, improved sanitation and medicine has lowered pathogen exposure [1] . This leads to an evolutionary mismatch between adaptation and environment where the low pathogen exposure increases susceptibility to Inflammatory Bowel Disease [1] . This is a result of an inappropriate response from the immune system that has not been exposed to many pathogens [1] . Several lines of evidence have proven supportive of this hypothesis [1] . Helminthic infection, which was common in a pre-modern setting, is shown to modulate a strong Th2 response [1]. The increase in Th2 decreases the Th1 response which is associated with auto-immune and Crohn's Disease. Patients with IBD are shown to have lower prevalence of Helicobacter pylori, common in third world countries, to matched controls and disease controls. [1] This observation suggests a protective role of H. pylori in the development of IBD [1] . Taken together, these suggest that the active immune system is mismatched in the modern, low pathogen setting and may be a reason for vulnerability to IBD. [1]
1. Koloski, Natasha; Laurel Bret, Graham Radford-Smith (1/14/08). "Hygiene Hypothesis in Inflammatory Bowel Disease: A Critical Review of the Literature". World Journal of Gastroenterology: 185–173. doi:10.3748/wjg.14.165.
LiZhang1312 ( talk) 14:30, 14 October 2013 (UTC)
The "Hygiene hypotheis" says that low incidence of pathogens within modern societies may have contributed to IBD vulnerability. [1] Due to an increase in population density and a sedentary lifestyle that accompanied agricultural practice, humanity was exposed to a wide range of bacteria and viruses. [1] In the post- Neolithic Revolution, humans adapted to the high rate of pathogens by developing a more active immune system; in modern society, improved sanitation and medicine has lowered pathogen exposure, leading to an evolutionary mismatch between adaptation and environment where the low pathogen exposure increases susceptibility to IBD as a result of an inappropriate immune response. [1] Several lines of evidence have proven supportive of this hypothesis: [1]
{{
cite journal}}
: Check date values in: |date=
and |year=
/ |date=
mismatch (
help); Unknown parameter |coauthors=
ignored (|author=
suggested) (
help); Unknown parameter |month=
ignored (
help)CS1 maint: unflagged free DOI (
link) Cite error: The named reference "Hygiene Hypothesis" was defined multiple times with different content (see the
help page).
The source is (correctly formatted as):
{{
cite journal}}
: Unknown parameter |month=
ignored (
help)CS1 maint: multiple names: authors list (
link) CS1 maint: unflagged free DOI (
link)LiZhang1312, by altering your previous post here on talk, you make it harder for other editors to discuss your proposed text. You might instead say that you have proposed text in your sandbox, link to your sandbox, and ask for commentary there. SandyGeorgia ( Talk) 17:22, 11 November 2013 (UTC)
Updated Sandbox with two more review articles on the hygiene hypothesis LiZhang1312 ( talk) 05:00, 3 December 2013 (UTC) /info/en/?search=User:LiZhang1312/sandbox LiZhang1312 ( talk) 05:03, 3 December 2013 (UTC) Also thank you JFdwolff and Bluerasberry for your comments LiZhang1312 ( talk) 05:07, 3 December 2013 (UTC)
Anybody know what that's supposed to mean? Isn't milk fat just butter? How can you concentrate it? Looks like anti processed food POV pushing to me. -- Ef80 ( talk) 22:09, 19 December 2013 (UTC)
The intent may be to include both cheese and butter. 187.210.137.17 ( talk) 17:17, 20 December 2013 (UTC)
1st and most important sentence in the article, 2nd word "medicine" links to the wikipedia article on "medicine" which I think is ridiculous. As if "inflammatory bowel disease" might also apply to some other area, such as astronomy or economics. Jonny Quick ( talk) 18:58, 27 July 2014 (UTC)
Hi, Ozzie10aaaa and Jrfw51.
The World Gastroenterology Organisation believes that the warning about irritable bowel disease (IBS) is necessary:
Table 4 - Main differential diagnoses for ulcerative colitis and Crohn’s disease
UC: Acute self-limiting colitis (ASLC), Amebic colitis, Schistosomiasis, CD, Colon cancer, IBS (if there are inflammatory changes, it is not IBS), Intestinal TB, NSAID enteropath
CD: Intestinal TB, Behçet’s disease, UC, NSAID enteropathy, IBS, Celiac disease
Crohn's disease and celiac disease may present associated, overlaped, or be confused, and sometimes Crohn's disease develops secondary to a pre-existing celiac disease. Also, they share genetic risk factors. Evaluate the association of both diseases and / or make a correct differential diagnosis is very important for the prognosis and treatment of the patient. Nevertheless, about 85% cases of celiac disease are unrecognized and undiagnosed. [1] Among main problems for diagnosis are frequent errors in the interpretation of serology and biopsies.
The ratio of known (previously diagnosed) to undiagnosed CD cases was as high as 1-7
Int J Colorectal Dis. 2005 Jul;20(4):376-80. Epub 2004 Dec 1. Association of Crohn's disease and latent celiac disease: a case report and review of the literature. Schedel J1, Rockmann F, Bongartz T, Woenckhaus M, Schölmerich J, Kullmann F. (Review) PMID 15578194
in most cases, Crohn's disease develops secondary to a pre-existing celiac disease (Note: when they present associated)
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4009516/ World J Gastroenterol. 2014 May 7;20(17):4846-56. doi: 10.3748/wjg.v20.i17.4846. Inflammatory bowel disease and celiac disease: overlaps and differences. Pascual V, Dieli-Crimi R, López-Palacios N, Bodas A, Medrano LM, Núñez C.(Review) PMID 24803796
The present review summarizes the current knowledge of different features related to the two major clinical forms of IBD, Crohn’s disease (CD) and ulcerative colitis (UC), and CeD, paying special attention to the overlaps and differences between them. These two diseases share genetic risk factors, and it would be interesting to know whether this overlap also extend to other disease characteristics in order to gain knowledge about common pathogenic mechanisms and possible shared treatments.
Best regards. -- BallenaBlanca ( talk) 22:53, 15 March 2016 (UTC)
Coeliac disease and inflammatory bowel disease are chronic inflammatory conditions of gastrointestinal tract with complex aetiology with genetic, environmental and immunological factors contributing to its pathogenesis. It was noted that immune-mediated disorders often coexist. There is well-known association between coeliac disease and type 1 diabetes and ulcerative colitis and primary sclerosing cholangitis. However, growing body of literature suggests the association between coeliac disease and inflammatory bowel disease, particularly ulcerative colitis. This is an extremely rare problem in paediatric gastroenterology. To date there have been reported several cases of children with coexisting coeliac disease and inflammatory bowel disease. Herewith we present review of current literature on coexistence of coeliac disease and inflammatory bowel disease in children.
I've been looking at this and scratching my head for a while. What exactly is the point of this information about celiac? Is the point to say that if you diagnose IBS, that it might actually be CD instead? WhatamIdoing ( talk) 22:35, 16 March 2016 (UTC)
References
{{
cite journal}}
: CS1 maint: unflagged free DOI (
link)
{{
cite journal}}
: CS1 maint: unflagged free DOI (
link)
Irritable bowel syndrome is excluded when there are inflammatory changes.[30] Celiac disease can't be excluded if specific antibodies (anti-transglutaminase antibodies) are negative,[31][32] nor in absence of intestinal villi atrophy.
Meta-meta-analysis if there is such a thing doi:10.1053/j.gastro.2019.04.016 JFW | T@lk 21:21, 26 August 2019 (UTC)
I added more information about the significance of B vitamins in nutrient absorption and lipid metabolism [1] JewelSciComm ( talk) 23:00, 19 October 2020 (UTC)
References
I added information about the significance of short-chain fatty acids and secondary bile acids and how metabolomics can help us identify bacterial species that produce secondary bile acids. [1] JewelSciComm ( talk) 23:00, 19 October 2020 (UTC)
References
Anyone can add information on this drug: Sulfasalazine ? AXONOV (talk) ⚑ 19:16, 23 November 2021 (UTC)
This
level-5 vital article is rated B-class on Wikipedia's
content assessment scale. It is of interest to the following WikiProjects: |
|||||||||||||||||||||||||||
|
Ideal sources for Wikipedia's health content are defined in the guideline
Wikipedia:Identifying reliable sources (medicine) and are typically
review articles. Here are links to possibly useful sources of information about Inflammatory bowel disease.
|
Daily pageviews of this article
A graph should have been displayed here but
graphs are temporarily disabled. Until they are enabled again, visit the interactive graph at
pageviews.wmcloud.org |
This article was the subject of an educational assignment in 2013 Q3. Further details were available on the "Education Program:Case Western Reserve University/ANTH 302 Darwinian Medicine (Fall 2013)" page, which is now unavailable on the wiki. |
This article was the subject of a Wiki Education Foundation-supported course assignment, between 29 August 2018 and 14 December 2018. Further details are available on the course page. Peer reviewers: Sgmcalpi.
Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT ( talk) 00:30, 17 January 2022 (UTC)
I have significantly shortened the section on helminthic therapy. This is still in its experimental stages, and Wikipedia does not need to tell the public how a German company is trying to market this. When it hits the shelves, we'll see.
I have also replaced the news links with an actual scientific report in a peer-reviewed journal. The BBC link quoted the New Scientist, and the latter got its information from the article. This is much more direct. JFW | T@lk 23:17, 27 Nov 2004 (UTC)
Please note the link is broken for the scientific report (reference #19). This should be fixed. — Preceding unsigned comment added by 71.7.239.165 ( talk) 13:27, 2 January 2012 (UTC)
Life events may herald onset of Crohn's but not IBD as a whole - doi: 10.1111/j.1572-0241.2006.00931.x. JFW | T@lk 16:59, 11 March 2007 (UTC)
doi: 10.1111/j.1572-0241.2007.01215.x JFW | T@lk 06:23, 29 April 2007 (UTC)
doi: 10.1053/j.gastro.2007.09.001 JFW | T@lk 01:52, 23 November 2007 (UTC)
I have been reverting a vandal, but I made a mistake the first time and I think I corrected it the second time. Just started using this so please if I still made any mistakes please bring it to my attentions and I will fix it or always feel free to fix anything I should do. Thank you, -- CrohnieGal Talk 11:39, 25 April 2008 (UTC)
I've pruned the external links section. I removed:
The first three are pretty obvious to most people: for example, Wikipedia is a worldwide encyclopedia, and something that happens half a world a way does you no good. The last one sometimes surprises people, so let me explain. Wikipedia's external links policy and the specific guidelines for medicine-related articles do not generally permit the inclusion of external links to non-encyclopedic material, particularly including internet chat boards and e-mail discussion groups. Here's some specific information from the guidelines:
Wikipedia is an encyclopedia, and while it may occasionally be useful to patients or their families, it is not a web directory. Please do not re-insert links that do not conform to the standard rules. Any editor, BTW, is welcome to read all of the rules and perform another "audit" in the remaining links. Thanks, WhatamIdoing ( talk) 03:36, 28 April 2008 (UTC)
doi: 10.1111/j.1572-0241.2008.01836.x - steroids increase mortality, thiopurines do not. JFW | T@lk 10:11, 26 May 2008 (UTC)
add info about HLA-B27 please! —Preceding unsigned comment added by 128.125.28.127 ( talk) 01:39, 1 June 2008 (UTC)
Risk of thrombosis increased, especially during flare. I can hear a trial approaching, especially with one of the oral antithrombotics. In fact, perhaps this might also show a disease modifying effect! doi: 10.1016/S0140-6736(09)61963-2 JFW | T@lk 10:04, 21 February 2010 (UTC)
Before any reinsertion, I think it needs to be specified what kind of inflammatory bowel disease (if even IBD) is referred to in the following study, since it appears to consist of multiple types with different pathogenesis. Mikael Häggström ( talk) 16:20, 25 October 2010 (UTC)
{{
cite journal}}
: Explicit use of et al. in: |author=
(
help); External link in |format=
(
help)CS1 maint: multiple names: authors list (
link)
doi: 10.1136/gut.2010.222893 - large cohort of pregnancy on thiopurines; they seem to be safe. JFW | T@lk 12:51, 5 January 2011 (UTC)
Prototype to material that should be considered when discussing causes of IBD
The low incidence of pathogens within modern societies are thought to have contributed to Inflammatory Bowel Disease vulnerability [1] . This has been known as the Hygiene Hypothesis [1] . Humanity has been exposed to a wide range of bacteria and viruses with the practice of agriculture in the Neolithic Revolution [1] . This was due to an increase in population density and a sedentary lifestyle that accompanied agricultural practice [1] . In the post Neolithic Revolution, humans adapted to the high rate of pathogens through developing a more active immune system [1] . In the modern society, improved sanitation and medicine has lowered pathogen exposure [1] . This leads to an evolutionary mismatch between adaptation and environment where the low pathogen exposure increases susceptibility to Inflammatory Bowel Disease [1] . This is a result of an inappropriate response from the immune system that has not been exposed to many pathogens [1] . Several lines of evidence have proven supportive of this hypothesis [1] . Helminthic infection, which was common in a pre-modern setting, is shown to modulate a strong Th2 response [1]. The increase in Th2 decreases the Th1 response which is associated with auto-immune and Crohn's Disease. Patients with IBD are shown to have lower prevalence of Helicobacter pylori, common in third world countries, to matched controls and disease controls. [1] This observation suggests a protective role of H. pylori in the development of IBD [1] . Taken together, these suggest that the active immune system is mismatched in the modern, low pathogen setting and may be a reason for vulnerability to IBD. [1]
1. Koloski, Natasha; Laurel Bret, Graham Radford-Smith (1/14/08). "Hygiene Hypothesis in Inflammatory Bowel Disease: A Critical Review of the Literature". World Journal of Gastroenterology: 185–173. doi:10.3748/wjg.14.165.
LiZhang1312 ( talk) 14:30, 14 October 2013 (UTC)
The "Hygiene hypotheis" says that low incidence of pathogens within modern societies may have contributed to IBD vulnerability. [1] Due to an increase in population density and a sedentary lifestyle that accompanied agricultural practice, humanity was exposed to a wide range of bacteria and viruses. [1] In the post- Neolithic Revolution, humans adapted to the high rate of pathogens by developing a more active immune system; in modern society, improved sanitation and medicine has lowered pathogen exposure, leading to an evolutionary mismatch between adaptation and environment where the low pathogen exposure increases susceptibility to IBD as a result of an inappropriate immune response. [1] Several lines of evidence have proven supportive of this hypothesis: [1]
{{
cite journal}}
: Check date values in: |date=
and |year=
/ |date=
mismatch (
help); Unknown parameter |coauthors=
ignored (|author=
suggested) (
help); Unknown parameter |month=
ignored (
help)CS1 maint: unflagged free DOI (
link) Cite error: The named reference "Hygiene Hypothesis" was defined multiple times with different content (see the
help page).
The source is (correctly formatted as):
{{
cite journal}}
: Unknown parameter |month=
ignored (
help)CS1 maint: multiple names: authors list (
link) CS1 maint: unflagged free DOI (
link)LiZhang1312, by altering your previous post here on talk, you make it harder for other editors to discuss your proposed text. You might instead say that you have proposed text in your sandbox, link to your sandbox, and ask for commentary there. SandyGeorgia ( Talk) 17:22, 11 November 2013 (UTC)
Updated Sandbox with two more review articles on the hygiene hypothesis LiZhang1312 ( talk) 05:00, 3 December 2013 (UTC) /info/en/?search=User:LiZhang1312/sandbox LiZhang1312 ( talk) 05:03, 3 December 2013 (UTC) Also thank you JFdwolff and Bluerasberry for your comments LiZhang1312 ( talk) 05:07, 3 December 2013 (UTC)
Anybody know what that's supposed to mean? Isn't milk fat just butter? How can you concentrate it? Looks like anti processed food POV pushing to me. -- Ef80 ( talk) 22:09, 19 December 2013 (UTC)
The intent may be to include both cheese and butter. 187.210.137.17 ( talk) 17:17, 20 December 2013 (UTC)
1st and most important sentence in the article, 2nd word "medicine" links to the wikipedia article on "medicine" which I think is ridiculous. As if "inflammatory bowel disease" might also apply to some other area, such as astronomy or economics. Jonny Quick ( talk) 18:58, 27 July 2014 (UTC)
Hi, Ozzie10aaaa and Jrfw51.
The World Gastroenterology Organisation believes that the warning about irritable bowel disease (IBS) is necessary:
Table 4 - Main differential diagnoses for ulcerative colitis and Crohn’s disease
UC: Acute self-limiting colitis (ASLC), Amebic colitis, Schistosomiasis, CD, Colon cancer, IBS (if there are inflammatory changes, it is not IBS), Intestinal TB, NSAID enteropath
CD: Intestinal TB, Behçet’s disease, UC, NSAID enteropathy, IBS, Celiac disease
Crohn's disease and celiac disease may present associated, overlaped, or be confused, and sometimes Crohn's disease develops secondary to a pre-existing celiac disease. Also, they share genetic risk factors. Evaluate the association of both diseases and / or make a correct differential diagnosis is very important for the prognosis and treatment of the patient. Nevertheless, about 85% cases of celiac disease are unrecognized and undiagnosed. [1] Among main problems for diagnosis are frequent errors in the interpretation of serology and biopsies.
The ratio of known (previously diagnosed) to undiagnosed CD cases was as high as 1-7
Int J Colorectal Dis. 2005 Jul;20(4):376-80. Epub 2004 Dec 1. Association of Crohn's disease and latent celiac disease: a case report and review of the literature. Schedel J1, Rockmann F, Bongartz T, Woenckhaus M, Schölmerich J, Kullmann F. (Review) PMID 15578194
in most cases, Crohn's disease develops secondary to a pre-existing celiac disease (Note: when they present associated)
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4009516/ World J Gastroenterol. 2014 May 7;20(17):4846-56. doi: 10.3748/wjg.v20.i17.4846. Inflammatory bowel disease and celiac disease: overlaps and differences. Pascual V, Dieli-Crimi R, López-Palacios N, Bodas A, Medrano LM, Núñez C.(Review) PMID 24803796
The present review summarizes the current knowledge of different features related to the two major clinical forms of IBD, Crohn’s disease (CD) and ulcerative colitis (UC), and CeD, paying special attention to the overlaps and differences between them. These two diseases share genetic risk factors, and it would be interesting to know whether this overlap also extend to other disease characteristics in order to gain knowledge about common pathogenic mechanisms and possible shared treatments.
Best regards. -- BallenaBlanca ( talk) 22:53, 15 March 2016 (UTC)
Coeliac disease and inflammatory bowel disease are chronic inflammatory conditions of gastrointestinal tract with complex aetiology with genetic, environmental and immunological factors contributing to its pathogenesis. It was noted that immune-mediated disorders often coexist. There is well-known association between coeliac disease and type 1 diabetes and ulcerative colitis and primary sclerosing cholangitis. However, growing body of literature suggests the association between coeliac disease and inflammatory bowel disease, particularly ulcerative colitis. This is an extremely rare problem in paediatric gastroenterology. To date there have been reported several cases of children with coexisting coeliac disease and inflammatory bowel disease. Herewith we present review of current literature on coexistence of coeliac disease and inflammatory bowel disease in children.
I've been looking at this and scratching my head for a while. What exactly is the point of this information about celiac? Is the point to say that if you diagnose IBS, that it might actually be CD instead? WhatamIdoing ( talk) 22:35, 16 March 2016 (UTC)
References
{{
cite journal}}
: CS1 maint: unflagged free DOI (
link)
{{
cite journal}}
: CS1 maint: unflagged free DOI (
link)
Irritable bowel syndrome is excluded when there are inflammatory changes.[30] Celiac disease can't be excluded if specific antibodies (anti-transglutaminase antibodies) are negative,[31][32] nor in absence of intestinal villi atrophy.
Meta-meta-analysis if there is such a thing doi:10.1053/j.gastro.2019.04.016 JFW | T@lk 21:21, 26 August 2019 (UTC)
I added more information about the significance of B vitamins in nutrient absorption and lipid metabolism [1] JewelSciComm ( talk) 23:00, 19 October 2020 (UTC)
References
I added information about the significance of short-chain fatty acids and secondary bile acids and how metabolomics can help us identify bacterial species that produce secondary bile acids. [1] JewelSciComm ( talk) 23:00, 19 October 2020 (UTC)
References
Anyone can add information on this drug: Sulfasalazine ? AXONOV (talk) ⚑ 19:16, 23 November 2021 (UTC)