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CHOICE study

Paulo Roberto Lerias de Almeida, Gabriel Stefani Leão, Charlles David Gonçalves Gonçalves, Rafael Veiga Picon, Cristiane Valle Tovo
BACKGROUND: Spontaneous bacterial peritonitis is a serious complication in cirrhotic patients, and changes in the microbiological characteristics reported in the last years are impacting the choice of antibiotic used for treatment. OBJECTIVE: The aim of the present study is to evaluate the changes in the epidemiology and bacterial resistance of the germs causing spontaneous bacterial peritonitis over three different periods over 17 years. METHODS: All cirrhotic patients with spontaneous bacterial peritonitis and positive culture of ascites fluid were retrospectively studied in a reference Hospital in Southern Brazil...
January 2018: Arquivos de Gastroenterologia
Simon Heeke, Véronique Hofman, Elodie Long-Mira, Virginie Lespinet, Salomé Lalvée, Olivier Bordone, Camille Ribeyre, Virginie Tanga, Jonathan Benzaquen, Sylvie Leroy, Charlotte Cohen, Jérôme Mouroux, Charles Hugo Marquette, Marius Ilié, Paul Hofman
Background : With the integration of various targeted therapies into the clinical management of patients with advanced lung adenocarcinoma, next-generation sequencing (NGS) has become the technology of choice and has led to an increase in simultaneously interrogated genes. However, the broader adoption of NGS for routine clinical practice is still hampered by sophisticated workflows, complex bioinformatics analysis and medical interpretation. Therefore, the performance of the novel QIAGEN GeneReader NGS system was compared to an in-house ISO-15189 certified Ion PGM NGS platform...
March 21, 2018: Cancers
Fengwen Yang, Jiahan Zou, Xuemei Li, Long Ge, Jinhui Tian, Myeong Soo Lee, Junhua Zhang
BACKGROUND: Chinese herbal injections (CHIs) have been commonly used in the treatment of unstable angina pectoris (UAP) in China. However, there is no consensus or evidence on how to select CHIs for patients with UAP. The choice often depends on the personal experience or preference of clinician. This study aims to compare the effect of different CHIs for UAP using Bayesian network meta-analysis (NMA). METHODS: A systematic search will be conducted in PubMed, the Cochrane Central Register of Controlled Trials, Embase, Chinese Biomedical Literature Database, China National Knowledge Infrastructure, and Wanfang Data from inception to February 2018...
March 2018: Medicine (Baltimore)
Seng Bum Michael Yoo, Brianna J Sleezer, Benjamin Y Hayden
Knowing whether core reward regions carry information about the positions of relevant objects is crucial for adjudicating between choice models. One limitation of previous studies, including our own, is that spatial positions can be consistently differentially associated with rewards, and thus, position can be confounded with attention, motor plans, or target identity. We circumvented these problems by using a task in which value-and thus choices-was determined solely by a frequently changing rule, which was randomized relative to spatial position on each trial...
March 21, 2018: Journal of Cognitive Neuroscience
Nicola Silvestris, Oronzo Brunetti, Rosamaria Pinto, Daniela Petriella, Antonella Argentiero, Livia Fucci, Stefania Tommasi, Katia Danza, Simona De Summa
OBJECTIVES: Adenosquamous cancer of pancreas (ASCP) is a rare variant of pancreatic adenocarcinoma (PDAC). It is characterized by poor prognosis and lacks of literature data supporting the choice of systemic therapies. The role of immunotherapy for this malignancy is still unknown. In this study, we evaluated any differences between immune-related genes of PDAC and its adenosquamous variant with the aim to characterize these histothistotypes and eventually identify potential biomarkers useful for an immune-therapy approach in ASCP...
March 21, 2018: Expert Opinion on Therapeutic Targets
R Ravikanth Reddy, Ganesh Shanmugam, Balaraman Madhan, B V N Phani Kumar
The interaction of ionic liquid (IL) with protein is now becoming important as it stabilizes the protein due to the selective cation-anion combination of the IL. The binding and dynamics of the green solvents such as imidazole alkyl sulfate based ILs, viz., 1-butyl-3-methylimidazolium alkyl [where alkyl = hydrogen, methyl, octyl and dodecyl] sulfate, with two distinct model proteins, namely human serum albumin (HSA) and collagen in aqueous solution, have been investigated with the aid of solution nuclear magnetic resonance (NMR)...
March 21, 2018: Physical Chemistry Chemical Physics: PCCP
Hajri Al-Shehri, Artemis Koukounari, Michelle C Stanton, Moses Adriko, Moses Arinaitwe, Aaron Atuhaire, Narcis B Kabatereine, J Russell Stothard
Programmatic surveillance of intestinal schistosomiasis during control can typically use four diagnostic tests, either singularly or in combination, but these have yet to be cross-compared directly. Our study assembled a complete diagnostic dataset, inclusive of infection intensities, from 258 children from five Ugandan primary schools. The schools were purposely selected as typical of the endemic landscape near Lake Albert and reflective of high- and low-transmission settings. Overall prevalence was: 44.1% (95% CI 38...
March 21, 2018: Parasitology
Seth Wiener, Kiwako Ito, Shari R Speer
This study examines the perceptual trade-off between knowledge of a language's statistical regularities and reliance on the acoustic signal during L2 spoken word recognition. We test how early learners track and make use of segmental and suprasegmental cues and their relative frequencies during non-native word recognition. English learners of Mandarin were taught an artificial tonal language in which a tone's informativeness for word identification varied according to neighborhood density. The stimuli mimicked Mandarin's uneven distribution of syllable+tone combinations by varying syllable frequency and the probability of particular tones co-occurring with a particular syllable...
March 1, 2018: Language and Speech
Rachelle Sass, Susanne Frick, Ulf-Dietrich Reips, Eunike Wetzel
The multidimensional forced-choice (MFC) format has been proposed as an alternative to the rating scale (RS) response format. However, it is unclear how changing the response format may affect the response process and test motivation of participants. In Study 1, we investigated the MFC response process using the think-aloud technique. In Study 2, we compared test motivation between the RS format and different versions of the MFC format (presenting 2, 3, 4, and 5 items simultaneously). The response process to MFC item blocks was similar to the RS response process but involved an additional step of weighing the items within a block against each other...
March 1, 2018: Assessment
Ahmet Aslan, Ibrahim Inan, Süleyman Orman, Mine Aslan, Murat Acar
The management of cystic pancreatic neoplasm (CPN) is a clinical dilemma because of its clinical presentations and malignant potential. Surgery is the best treatment choice ; however, pancreatic surgery still has high complication rates, even in experienced centers. Imaging methods have a definitive role in the management of CPN and computed tomography, magnetic resonance imaging, and endoscopic ultrasonography are the preferred methods since they can reveal the suspicious features for malignancy. Therefore, radiologists, gastroenterologists, endoscopists, and surgeons should be aware of the common features of CPN, its discrete presentations on imaging methods, and the limitations of these modalities in the management of the disease...
April 2017: Acta Gastro-enterologica Belgica
Alexandra M Minnis, Sarah T Roberts, Kawango Agot, Rachel Weinrib, Khatija Ahmed, Kgahlisho Manenzhe, Fredrick Owino, Ariane van der Straten
End-user input is critical to inform development of multipurpose prevention technology (MPT) products that prevent HIV and pregnancy. The TRIO Study, conducted in Kenya and South Africa, enrolled 277 HIV-negative women aged 18-30 in a randomized cross-over study to use each placebo MPT (daily oral tablets, monthly injections, and monthly vaginal ring) for one month. At the end of each month, participants rated how much they liked using the product on a 5-point Likert scale (5 = liked very much). We compared mean ratings using paired t-tests and examined sociodemographic-, attribute-, and behavior-related characteristics associated with ratings using multivariable linear regression and data from in-depth interviews...
March 20, 2018: AIDS and Behavior
Beatrice Heim, Marie-Theres Pertl, Ambra Stefani, Anna Heidbreder, Laura Zamarian, Elisabeth Brandauer, Bruno Averbeck, Margarete Delazer, Klaus Seppi, Birgit Högl, Werner Poewe, Atbin Djamshidian
Objectives: The objective of this study was to investigate perceptual decision-making and reflection impulsivity in drug naïve patients with restless legs syndrome (RLS) and patients with dopaminergic therapy. Methods: A total of 35 RLS patients (20 who were drug naïve regarding dopaminergic medication and 15 patients treated with dopaminergic therapy without augmentation or impulse control disorders) were included in this study. We used the Beads task and the Pixel task which assess reflection impulsivity and perceptual decision-making, respectively...
March 2018: Annals of Clinical and Translational Neurology
Mehrafza Gharachourlo, Zohreh Mahmoodi, Mahnaz Akbari Kamrani, Maryam Tehranizadeh, Kourosh Kabir
Background: Gestational diabetes is a common pregnancy disorder that affects the mother's and neonate's health. The present study was conducted to investigate the effect of a health literacy approach to counselling on the lifestyle of women with gestational diabetes. The present randomized controlled clinical trial was conducted in 2017 using a parallel design. The subjects included 84 eligible women presenting to Alborz and Kamali Hospitals, Karaj, Iran. Methods: Convenience sampling was first used to select the subjects...
2018: F1000Research
Ghadi Mohammed Al Hashan, Nagah Mohamed Abo El-Fetoh, Iman Ali Nasser, Atheer Raja Alyami, Albatool Saleh Hassan Almagbool, Taghreed Ahmad Eidih Hatuwh, Fatimah Hamad Saleh Alyami, Maram Hamad Al Yami, Manar Hamad Alqahtani, Nouf Mubarak Ali Almardhamah, Tahani Mohammed Alanazi, Wafaa Mohamed Bakr Ali, Ahad Mesfer Halzaa, Ayah Abdullah Alshehri
Background: With more than 500,000 new cases annually, human brucellosis is the commonest zoonotic disease worldwide. In some endemic countries, its prevalence is more than 10 per 100,000 population. Objective: The aim of this study was to determine the magnitude of the problem and the clinical features, laboratory findings, treatment given and complications seen in children with brucellosis in Najran City, Kingdom of Saudi Arabia. Methods: This is a case-series study by analysis of data of children known or diagnosed to have brucellosis for the last 4 years in Najran City...
December 2017: Electronic Physician
Kimberly N Means, Amanda E Gentry, Tammy T Nguyen
Introduction: Atrial fibrillation (AF) is a common diagnosis of patients presenting to the emergency department (ED). Intravenous (IV) diltiazem bolus is often the initial drug of choice for acute management of AF with rapid ventricular response (RVR). The route of diltiazem after the initial IV loading dose may influence the disposition of the patient from the ED. However, no studies exist comparing oral (PO) immediate release and IV continuous infusion diltiazem in the emergency setting...
March 2018: Western Journal of Emergency Medicine
Anjan Debnath, Andrew T Nelson, Angélica Silva-Olivares, Mineko Shibayama, Dionicio Siegel, James H McKerrow
Primary amebic meningoencephalitis (PAM) is a fatal infection caused by the free-living ameba Naegleria fowleri , popularly known as the "brain-eating ameba." The drugs of choice in treating PAM are the antifungal amphotericin B and an antileishmanial miltefosine, but these are not FDA-approved for this indication and use of amphotericin B is associated with severe adverse effects. Moreover, very few patients treated with the combination therapy have survived PAM. Therefore, development of efficient drugs is a critical unmet need to avert future deaths of children...
2018: Frontiers in Microbiology
Denislene da Silva Eduardo, Suyane Benevides Franco, José Daniel Vieira de Castro
The sellar/juxtasellar region comprises the bone component of the sella turcica, pituitary gland, cavernous sinus, and suprasellar cistern. Abnormalities in this region can be attributed to underproduction or overproduction of hormones or to the neurological signs and symptoms resulting from the compression of adjacent structures. Magnetic resonance imaging (MRI) is currently the imaging method of choice, having supplanted computed tomography. The aim of this study was to demonstrate the common and uncommon imaging aspects of sellar and juxtasellar changes, which could facilitate the differential diagnosis...
January 2018: Radiologia Brasileira
Yingjun Deng, Xin Li, Jinxin Feng, Xiangliang Zhang
CML is a myeloproliferative disease which expresses an active tyrosine kinase, BCR/ABL. As a specific inhibitor of BCR-ABL tyrosine kinase, imatinib becomes the first choice for treatment of CML due to its high efficacy and low toxicity. However, the development of imatinib resistance limits the long-term treatment benefit. so, we aimed to investigate the roles of miR-202 in the regulation of imatinib sensitivity in CML cell lines and the possible mechanisms involved. We found miR-202 was downregulated in seven CML cell lines by qRT-PCR analysis...
March 20, 2018: Bioscience Reports
Rebecca Wheatley, Christofer J Clemente, Amanda C Niehaus, Diana O Fisher, Robbie S Wilson
Movement speed can underpin an animal's probability of success in ecological tasks. Prey often use agility to outmanoeuvre predators, however faster speeds increase inertia and reduce agility. Agility is also constrained by grip, as the foot must have sufficient friction with the ground to apply the forces required for turning. Consequently, ground surface should affect optimum turning speed. We tested the speed-agility trade-off in buff-footed antechinus ( Antechinus mysticus ) on two different surfaces. Antechinus used slower turning speeds over smaller turning radii on both surfaces, as predicted by the speed-agility trade-off...
March 20, 2018: Journal of Experimental Biology
Liselotte Coorevits, Ans Traen, Luk Bingé, Jo Van Dorpe, Marleen Praet, Jerina Boelens, Elizaveta Padalko
OBJECTIVES: Sexually transmitted infections (STIs) are a global cause of acute illness. Early detection plays a crucial role in interrupting transmission and preventing complications. However, the accessibility of STI testing is curbed by the lack of an overall preferred sample type. By means of a prospective study in female sex workers (FSW), we compared the sensitivity of samples from different anatomical sites in detecting Neisseria gonorrhoeae, Chlamydia trachomatis, Trichomonas vaginalis, Mycoplasma genitalium and human papillomavirus...
March 17, 2018: Clinical Microbiology and Infection
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