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https://www.readbyqxmd.com/read/27906087/legionella-pneumonia-in-the-niagara-region-ontario-canada-a-case-series
#1
Stephanie Cargnelli, Jeff Powis, Jennifer L Y Tsang
BACKGROUND: Legionella pneumophila, a major cause of Legionnaires' disease, accounts for 2-15 % of all community-acquired pneumonia requiring hospitalization and up to 30 % of community-acquired pneumonia requiring intensive care unit admission. Early initiation of appropriate antimicrobial therapy is a crucial step in the prevention of morbidity and mortality. However, recognition of Legionnaires' disease continues to be challenging because of its nonspecific clinical features. We sought to describe hospitalized community-acquired Legionnaires' disease to increase awareness of this important and potentially lethal disease...
December 1, 2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27875237/automatic-facial-expression-recognition-system-using-deep-network-based-data-fusion
#2
Anima Majumder, Laxmidhar Behera, Venkatesh K Subramanian
This paper presents a novel automatic facial expressions recognition system (AFERS) using the deep network framework. The proposed AFERS consists of four steps: 1) geometric features extraction; 2) regional local binary pattern (LBP) features extraction; 3) fusion of both the features using autoencoders; and 4) classification using Kohonen self-organizing map (SOM)-based classifier. This paper makes three distinct contributions. The proposed deep network consisting of autoencoders and the SOM-based classifier is computationally more efficient and performance wise more accurate...
November 17, 2016: IEEE Transactions on Cybernetics
https://www.readbyqxmd.com/read/27702431/do-mcat-scores-predict-usmle-scores-an-analysis-on-5-years-of-medical-student-data
#3
Jacqueline L Gauer, Josephine M Wolff, J Brooks Jackson
INTRODUCTION: The purpose of this study was to determine the associations and predictive values of Medical College Admission Test (MCAT) component and composite scores prior to 2015 with U.S. Medical Licensure Exam (USMLE) Step 1 and Step 2 Clinical Knowledge (CK) scores, with a focus on whether students scoring low on the MCAT were particularly likely to continue to score low on the USMLE exams. METHOD: Multiple linear regression, correlation, and chi-square analyses were performed to determine the relationship between MCAT component and composite scores and USMLE Step 1 and Step 2 CK scores from five graduating classes (2011-2015) at the University of Minnesota Medical School (N=1,065)...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27646894/-clinicopathologic-features-of-non-keratinizing-carcinoma-of-nasal-cavity-and-paranasal-sinus
#4
Y H Zhao, H G Liu
OBJECTIVE: To study the clinicopathologic features, immunophenotype, differential diagnosis and prognosis of non-keratinizing carcinoma of nasal cavity and paranasal sinus. METHODS: Four hundred and forty-one cases of squamous cell carcinoma of the nasal cavity and sinuses diagnosed in Beijing Tongren Hospital from January 2008 to August 2015 were included. Twenty-six cases of non-keratinizing carcinomas were selected. The histopathologic features and the clinicopathologic data of these twenty-six cases were retrospectively analyzed...
September 8, 2016: Zhonghua Bing Li Xue za Zhi Chinese Journal of Pathology
https://www.readbyqxmd.com/read/27521788/thermogravimetric-kinetic-study-of-agricultural-residue-biomass-pyrolysis-based-on-combined-kinetics
#5
Xun Wang, Mian Hu, Wanyong Hu, Zhihua Chen, Shiming Liu, Zhiquan Hu, Bo Xiao
Pyrolytic kinetic of an agricultural residue (AR) feedstock, a mixture of plants (cotton, wheat, rich, corn) stems, was investigated based on combined kinetics. The most suitable mechanism for AR one-step pyrolysis was f(α)=(1-α)(1.1816)α(-1.8428) with kinetic parameters of: apparent activation energy 221.7kJ/mol, pre-exponential factor 4.17E16s(-1). Pyrolysis of AR feedstock could not be described by one-step reaction attributes to heterogeneous features of pyrolysis processes. Combined kinetics three-parallel-reaction (CK-TPR) model fitted the pyrolysis experimental data very well...
November 2016: Bioresource Technology
https://www.readbyqxmd.com/read/27462419/eif2-interactions-with-initiator-trna-and-eif2b-are-regulated-by-post-translational-modifications-and-conformational-dynamics
#6
Victoria Beilsten-Edmands, Yuliya Gordiyenko, Jocky Ck Kung, Shabaz Mohammed, Carla Schmidt, Carol V Robinson
Translation of messenger RNA (mRNA) into proteins is key to eukaryotic gene expression and begins when initiation factor-2 (eIF2) delivers methionyl initiator tRNA (Met-tRNAi (Met)) to ribosomes. This first step is controlled by eIF2B mediating guanine nucleotide exchange on eIF2. We isolated eIF2 from yeast and used mass spectrometry to study the intact complex, and found that eIF2β is the most labile of the three subunits (eIF2α/β/γ). We then compared conformational dynamics of the ternary complex eIF2:GTP:Met-tRNAi (Met) with apo eIF2 using comparative chemical cross-linking...
2015: Cell Discovery
https://www.readbyqxmd.com/read/27312956/impact-of-a-scholarly-track-on-quality-of-residency-program-applicants
#7
Julie M Celebi, Cathina T Nguyen, Amelia L Sattler, Michael B Stevens, Steven Y Lin
INTRODUCTION: It is generally believed that residency programs offering scholarly tracks attract higher quality applicants, although there is little evidence of this in the literature. We explored the impact of a clinician-educator track on the quality of applicants to our residency program by comparing the volume and characteristics of applicants before (2008-2011) and after (2012-2015) the track was introduced. METHODS: The total number of applications received was compared between the pre-track and post-track years...
June 16, 2016: Education for Primary Care
https://www.readbyqxmd.com/read/27233505/no-correlation-between-serum-markers-and-early-functional-outcome-after-contemporary-tha
#8
Kirsten L Poehling-Monaghan, Michael J Taunton, Atul F Kamath, Robert T Trousdale, Rafael J Sierra, Mark W Pagnano
BACKGROUND: Serum markers of inflammation and muscle damage have shown clinical utility in some areas of medicine, but their value in determining the invasiveness or in predicting the early functional outcomes after total hip arthroplasty (THA) has not been demonstrated. QUESTIONS/PURPOSES: (1) Do serum markers of inflammation/muscle damage predict pain or early functional outcomes after contemporary THA performed through a direct anterior or miniposterior approach? (2) Do early functional outcomes as measured by in-hospital outcomes and clinical milestones differ between a contemporary direct anterior and miniposterior approach for THA? METHODS: Between August 31, 2013, and September 1, 2014, all patients presenting as candidates for THA at our institution who had not already had preoperative blood draws (161) were recruited for this study...
May 27, 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27193587/long-term-whole-body-vibration-training-in-two-late-onset-pompe-disease-patients
#9
Federica Montagnese, Simone Thiele, Stephan Wenninger, Benedikt Schoser
The treatment of late-onset Pompe disease (LOPD) relies on enzyme replacement therapy (ERT) and physiotherapy but the most appropriate exercise program is not yet established. Whole-body vibration training (WBVT) has showed promising results, improving motor performances in various populations. Our aim is to assess the effects of WBVT performed by two LOPD patients in addition to ERT and physiotherapy. A side-alternating WBVT lasting 2 years; clinical assessments included: manual muscle testing (MRC sumscore), knee extension and arm flection isometric strength (multi-muscle tester M3diagnos), timed function tests (10 m walking, standing-up from chair, ascending 4-steps), 6 min walking (6 MWT), motor disability (Walton Gardner-Medwin scale), pulmonary function...
August 2016: Neurological Sciences
https://www.readbyqxmd.com/read/27051592/reduced-inflammatory-and-muscle-damage-biomarkers-following-oral-supplementation-with-bioavailable-curcumin
#10
Brian K McFarlin, Adam S Venable, Andrea L Henning, Jill N Best Sampson, Kathryn Pennel, Jakob L Vingren, David W Hill
BACKGROUND: Exercise-Induced Muscle Damage (EIMD) and delayed onset muscle soreness (DOMS) impact subsequent training sessions and activities of daily living (ADL) even in active individuals. In sedentary or diseased individuals, EIMD and DOMS may be even more pronounced and present even in the absence of structured exercise. METHODS: The purpose of this study was to determine the effects of oral curcumin supplementation (Longvida® 400 mg/days) on muscle & ADL soreness, creatine kinase (CK), and inflammatory cytokines (TNF-α, IL-6, IL-8, IL-10) following EMID (eccentric-only dual-leg press exercise)...
June 2016: BBA Clinical
https://www.readbyqxmd.com/read/27007882/the-usmle-step-2-cs-time-for-a-change
#11
Matthew D Alvin
The United States Medical Licensing Examination (USMLE(®)) Steps are a series of mandatory licensing assessments for all allopathic (MD degree) medical students in their transition from student to intern to resident physician. Steps 1, 2 Clinical Knowledge (CK), and 3 are daylong multiple-choice exams that quantify a medical student's basic science and clinical knowledge as well as their application of that knowledge using a three-digit score. In doing so, these Steps provide a standardized assessment that residency programs use to differentiate applicants and evaluate their competitiveness...
August 2016: Medical Teacher
https://www.readbyqxmd.com/read/26996495/biochemical-and-functional-studies-of-coltx-i-a-new-myotoxic-phospholipase-a2-isolated-from-crotalus-oreganus-lutosus-great-basin-rattlesnake-snake-venom
#12
J R Almeida, L M Resende, A G Silva, R I M A Ribeiro, R G Stábeli, A M Soares, L A Calderon, S Marangoni, S L Da Silva
Commonly, phospholipases A2 (PLA2s) play key roles in the pathogenesis of the local tissue damage characteristic of crotaline and viperine snake envenomations. Crotalus oreganus lutosus snake venom has not been extensively studied; therefore, the characterization of its components represents a valuable biotechnological tool for studying pathophysiological processes of envenoming and for gaining a deeper understanding of its biological effects. In this study, for the first time, a basic PLA2 myotoxin, ColTx-I, was purified from C...
July 2016: Toxicon: Official Journal of the International Society on Toxinology
https://www.readbyqxmd.com/read/26964718/effect-of-inflammatory-environment-on-equine-bone-marrow-derived-mesenchymal-stem-cells-immunogenicity-and-immunomodulatory-properties
#13
L Barrachina, A R Remacha, A Romero, F J Vázquez, J Albareda, M Prades, B Ranera, P Zaragoza, I Martín-Burriel, C Rodellar
Mesenchymal stem cells (MSCs) are being investigated for the treatment of equine joint diseases because of their regenerative potential. Recently, the focus mainly has addressed to their immunomodulatory capacities. Inflammation plays a central role in joint pathologies, since the release of proinflammatory mediators to the synovial fluid (SF) leads to the activation of enzymatic degradation of the cartilage. MSCs can modulate the local immune environment through direct or paracrine interaction with immune cells, suppressing their proliferation and re-addressing their functions...
March 2016: Veterinary Immunology and Immunopathology
https://www.readbyqxmd.com/read/26893855/one-step-nucleic-acid-amplification-assay-for-intraoperative-prediction-of-advanced-axillary-lymph-node-metastases-in-breast-cancer-patients-with-sentinel-lymph-node-metastasis
#14
Michiyo Kubota, Yoshifumi Komoike, Mika Hamada, Wataru Shinzaki, Tatsuya Azumi, Yukihiko Hashimoto, Shigeru Imoto, Yoshifumi Takeyama, Kiyotaka Okuno
The one-step nucleic acid amplification (OSNA) assay is used to semiquantitatively measure the cytokeratin (CK)19 mRNA copy numbers of each sentinel lymph node (SLN) in breast cancer patients. The aim of the present study was to evaluate whether the diagnosis of ≥4 LN metastases is possible using the OSNA assay intraoperatively. Between May, 2010 and December, 2014, a total of 134 patients who underwent axillary lymph node dissection (ALND) of positive SLNs were analyzed. The total tumor load (TTL) was defined as the total CK19 mRNA copies of all positive SLNs...
February 2016: Molecular and Clinical Oncology
https://www.readbyqxmd.com/read/26831753/dosimetric-evaluation-of-4-different-treatment-modalities-for-curative-intent-stereotactic-body-radiation-therapy-for-isolated-thoracic-spinal-metastases
#15
Jun Yang, Lin Ma, Xiao-Shen Wang, Wei Xu Xu, Xiao-Hu Cong, Shou-Ping Xu, Zhong-Jian Ju, Lei Du, Bo-Ning Cai, Jack Yang
To investigate the dosimetric characteristics of 4 SBRT-capable dose delivery systems, CyberKnife (CK), Helical TomoTherapy (HT), Volumetric Modulated Arc Therapy (VMAT) by Varian RapidArc (RA), and segmental step-and-shoot intensity-modulated radiation therapy (IMRT) by Elekta, on isolated thoracic spinal lesions. CK, HT, RA, and IMRT planning were performed simultaneously for 10 randomly selected patients with 6 body types and 6 body + pedicle types with isolated thoracic lesions. The prescription was set with curative intent and dose of either 33Gy in 3 fractions (3F) or 40Gy in 5F to cover at least 90% of the planning target volume (PTV), correspondingly...
2016: Medical Dosimetry: Official Journal of the American Association of Medical Dosimetrists
https://www.readbyqxmd.com/read/26793652/acute-effects-of-ginger-extract-on-biochemical-and-functional-symptoms-of-delayed-onset-muscle-soreness
#16
Khadijeh Hoseinzadeh, Farhad Daryanoosh, Parvin Javad Baghdasar, Hamid Alizadeh
BACKGROUND: Inflammation and pain induced by delayed onset muscle soreness (DOMS) as a result of eccentric exercise (EE) or unaccustomed activity cause some difficulties in exercise for athletes. The purpose of this study was to survey the effect of ginger extract on biochemical and functional symptom of delayed onset muscle soreness. METHODS: In a quasi-experimental study, 36 healthy female subjects, who were recruited by intra dormitory calls, randomly divided into 3 groups, including: ginger intake 1 hour before exercise (GIBE), ginger intake immediately after exercise (GIAE) and placebo group (PL)...
2015: Medical Journal of the Islamic Republic of Iran
https://www.readbyqxmd.com/read/26759671/correlation-of-the-national-emergency-medicine-m4-clerkship-examination-with-usmle-examination-performance
#17
Luan E Lawson, Davis Musick, Kori Brewer
INTRODUCTION: Assessment of medical students' knowledge in clinical settings is complex yet essential to the learning process. Clinical clerkships use various types of written examinations to objectively test medical knowledge within a given discipline. Within emergency medicine (EM), a new national standardized exam was developed to test medical knowledge in this specialty. Evaluation of the psychometric properties of a new examination is an important issue to address during test development and use...
December 2015: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26670633/von-willebrand-factor-is-dimerized-by-protein-disulfide-isomerase
#18
Svenja Lippok, Katra Kolšek, Achim Löf, Dennis Eggert, Willem Vanderlinden, Jochen P Müller, Gesa König, Tobias Obser, Karoline Röhrs, Sonja Schneppenheim, Ulrich Budde, Carsten Baldauf, Camilo Aponte-Santamaría, Frauke Gräter, Reinhard Schneppenheim, Joachim O Rädler, Maria A Brehm
Multimeric von Willebrand factor (VWF) is essential for primary hemostasis. The biosynthesis of VWF high-molecular-weight multimers requires spatial separation of each step because of varying pH value requirements. VWF is dimerized in the endoplasmic reticulum by formation of disulfide bonds between the C-terminal cysteine knot (CK) domains of 2 monomers. Here, we investigated the basic question of which protein catalyzes the dimerization. We examined the putative interaction of VWF and the protein disulfide isomerase PDIA1, which has previously been used to visualize endoplasmic reticulum localization of VWF...
March 3, 2016: Blood
https://www.readbyqxmd.com/read/26545677/a-short-term-circuit-resistance-programme-reduced-epicardial-fat-in-obese-aged-women
#19
Miguel Angel Rosety, Maria Teresa Pery, Maria Antonia Rodriguez-Pareja, Antonio Diaz, Jesus Rosety, Natalia Garcia, Francisco Brenes-Martin, Manuel Rosety-Rodríguez, Rocío Toro, Francisco Javier Ordoñez, Ignacio Rosety
INTRODUCTION: this study was conducted to ascertain the effects of resistance circuit training on epicardial adipose tissue (EAT) in obese aged women. A secondary objective was to assess muscle damage induced by supervised resistance training to confirm the intervention program was effective and safe. METHODS: in the present interventional study, a total of 48 obese aged women were recruited from the community. Twenty-four of them were randomly assigned to perform a 12-week resistance circuit training programme, 3-days per week...
2015: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/26545053/gold-humanism-honor-society-election-and-academic-outcomes-a-10-institution-study
#20
Steven Specter, Marc J Kahn, Cathy Lazarus, Michael Prislin, Jeffrey G Wong, Joseph O'Donnell, Wayne T McCormack, Michael G Kavan, Ana Maria Lopez, Alice House
BACKGROUND AND OBJECTIVES: This study examines relationships among election to the Gold Humanism Honor Society (GHHS) and election to Alpha Omega Alpha (AOA), class rank, and residency selection to determine if GHHS members are more likely to select primary care residencies than students not elected to GHHS membership. METHODS: We evaluated five graduating classes (2006--2010) at 10 medical schools (n=5,481 students). Residency selections were grouped into primary care (family medicine, internal medicine, pediatrics, OB-GYN), surgery (including surgical specialties), or E-ROAD and other (including lifestyle practices-emergency medicine, radiology, ophthalmology, anesthesiology, and dermatology plus all other specialties, eg, neurology, pathology)...
November 2015: Family Medicine
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