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https://www.readbyqxmd.com/read/100001003/emergency-management-of-sepsis-the-simple-stuff-saves-lives
#1
David Sweet, Julian Marsden, Kendall Ho, Christina Krause, James A Russell
Many emergency departments have implemented sepsis protocols since the 2001 publication of results from the early goal-directed therapy trial, which showed early targeted resuscitation lowers mortality. As part of an attempt to improve clinical and operational outcomes for emergency departments across British Columbia, we reviewed sepsis management literature and considered sepsis protocol implementation in the province’s emergency departments. During the literature review we found that many observational studies confirmed an association between implementation of emergency sepsis protocols and decreased mortality...
May 2012: BC medical journal: BCMJ
https://www.readbyqxmd.com/read/29929173/influence-of-tranexamic-acid-on-cerebral-hemorrhage-a-meta-analysis-of-randomized-controlled-trials
#2
REVIEW
Beilei Huang, Qiusheng Xu, Ru Ye, Jun Xu
Tranexamic acid might be beneficial for cerebral hemorrhage. However, the results remained controversial. We conducted a systematic review and meta-analysis to explore the influence of tranexamic acid on cerebral hemorrhage. PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases were systematically searched. Randomized controlled trials (RCTs) assessing the effect of tranexamic acid on cerebral hemorrhage were included. Two investigators independently searched articles, extracted data, and assessed the quality of included studies...
June 12, 2018: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29929065/the-effect-of-leonardite-and-lignite-on-the-health-of-weaned-piglets
#3
Martina Trckova, Alena Lorencova, Vladimir Babak, Jiri Neca, Miroslav Ciganek
A three-week trial was conducted to evaluate the effects of leonardite and lignite, natural sources of humic substances, on selected indicators of health status of weaned piglets. A total of 45 weaned piglets were assigned to three dietary treatments: Control - basal diet without any medication; Leonardite or Lignite - diet supplemented with lignite or leonardite at a dose of 20 g/kg, respectively. Leonardite differed from lignite in the content of humic substances and minerals. Diarrhoea incidence and severity, growth performance, haematological and biochemical status, biomarkers of oxidative stress, serum fatty acid (FA) profile and faecal microbiota composition were monitored...
June 12, 2018: Research in Veterinary Science
https://www.readbyqxmd.com/read/29928942/interventions-to-decrease-short-term-peripheral-venous-catheter-related-bloodstream-infections-impact-on-incidence-and-mortality
#4
Patrick Saliba, Ana Hornero, Guillermo Cuervo, Immaculada Grau, Emilio Jimenez, Damaris Berbel, Purificación Martos, Juan Manuel Verge, Cristian Tebe, Jose María Martínez-Sánchez, Evelyn Shaw, Laura Gavaldà, Jordi Carratalà, Miquel Pujol
BACKGROUND: Short-term peripheral venous catheters are a significant source of health-care acquired bloodstream infections and a preventable cause of death. AIM: To assess the effectiveness of interventions applied to reduce the incidence and mortality associated with short peripheral venous catheter-related bloodstream infections (PVCR-BSI). METHODS: The intervention included continuous PVCR-BSI surveillance, implementation of preventive measures related to catheter insertion and maintenance in accordance with evidence-based recommendations and the hospital's own data, front-line staff educational campaigns, and assessment of adherence to hospital guidelines by ward rounds...
June 18, 2018: Journal of Hospital Infection
https://www.readbyqxmd.com/read/29928843/do-death-certificates-underestimate-the-burden-of-rare-diseases-the-example-of-systemic-lupus-erythematosus-mortality-sweden-2001-2013
#5
Titilola Falasinnu, Marios Rossides, Yashaar Chaichian, Julia F Simard
OBJECTIVES: Mortality due to rare diseases, which are substantial sources of premature mortality, is underreported in mortality studies. The objective of this study was to determine the completeness of reporting systemic lupus erythematosus (SLE) as a cause of death. METHODS: In 2017, we linked data on a Swedish population-based cohort (the Swedish Lupus Linkage, 2001-2013) comprising people with SLE (n = 8560) and their matched general population comparators (n = 37 717) to data from the Cause of Death Register...
January 1, 2018: Public Health Reports
https://www.readbyqxmd.com/read/29928755/prophylactic-abdominal-drainage-for-pancreatic-surgery
#6
REVIEW
Wei Zhang, Sirong He, Yao Cheng, Jie Xia, Mingliang Lai, Nansheng Cheng, Zuojin Liu
BACKGROUND: The use of surgical drains has been considered mandatory after pancreatic surgery. The role of prophylactic abdominal drainage to reduce postoperative complications after pancreatic surgery is controversial. OBJECTIVES: To assess the benefits and harms of routine abdominal drainage after pancreatic surgery, compare the effects of different types of surgical drains, and evaluate the optimal time for drain removal. SEARCH METHODS: For the last version of this review, we searched CENTRAL (2016, Issue 8), and MEDLINE, Embase, Science Citation Index Expanded, and Chinese Biomedical Literature Database (CBM) to 28 August 2016)...
June 21, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29928564/transcatheter-mitral-valve-replacement-an-alternate-treatment-methodology-for-patients-at-high-surgical-risk
#7
EDITORIAL
Shafaq Jawed, Ujala Zubair, Zarafshan Zubair
Mitral valve regurgitation (MVR) is the reverse passage of blood through the mitral valve when the valve fails to close during ventricle contraction. Transcatheter mitral valve repair and replacement (TMVR) is a recent technology that can benefit MVR patients as an alternative, minimally invasive, and safer solution than conventional open-heart surgical approaches. TMVR uses a catheter guided by ultrasonography to replace or repair the defective valve and has provided better clinical outcomes, decreased hospital stay, and reduced mortality rates...
April 18, 2018: Curēus
https://www.readbyqxmd.com/read/29928494/astroglial-role-in-the-pathophysiology-of-status-epilepticus-an-overview
#8
REVIEW
Karina Vargas-Sánchez, Maria Mogilevskaya, John Rodríguez-Pérez, María G Rubiano, José J Javela, Rodrigo E González-Reyes
Status epilepticus is a medical emergency with elevated morbidity and mortality rates, and represents a leading cause of epilepsy-related deaths. Though status epilepticus can occur at any age, it manifests more likely in children and elderly people. Despite the common prevalence of epileptic disorders, a complete explanation for the mechanisms leading to development of self-limited or long lasting seizures (as in status epilepticus) are still lacking. Apart from neurons, research evidence suggests the involvement of immune and glial cells in epileptogenesis...
June 1, 2018: Oncotarget
https://www.readbyqxmd.com/read/29928490/metabolite-profiling-identifies-a-signature-of-tumorigenicity-in-hepatocellular-carcinoma
#9
Shamir Cassim, Valérie-Ann Raymond, Benoit Lacoste, Pascal Lapierre, Marc Bilodeau
HCC (Hepatocellular carcinoma) cells exhibit greater metabolic plasticity than normal hepatocytes since they must survive in a dynamic microenvironment where nutrients and oxygen are often scarce. Using a metabolomic approach combined with functional in vitro and in vivo assays, we aimed to identify an HCC metabolic signature associated with increased tumorigenicity and patient mortality. Metabolite profiling of HCC Dt81Hepa1-6 cells revealed that their increased tumorigenicity was associated with elevated levels of glycolytic metabolites...
June 1, 2018: Oncotarget
https://www.readbyqxmd.com/read/29928412/tumor-necrosis-factor-related-apoptosis-inducing-ligand-additive-with-iodine-131-of-inhibits-non-small-cell-lung-cancer-cells-through-promoting-apoptosis
#10
Ning Yang, Shuzhan Yao, Dong Liu
Non-small-cell lung cancer (NSCLC) accounts for ~80% of human lung cancer cases and is the most common cause of cancer-associated mortality worldwide. Reports have indicated that tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) and Iodine-131 (I-131) can induce tumor cell apoptosis. The purpose of the present study was to investigate the additive efficacy of TRAIL and I-131 on NSCLC cells. The present study demonstrated that additive treatment of TRAIL and I-131 (TRAIL-I-131) significantly inhibited the growth and aggressiveness of NSCLC cells compared with single TRAIL or I-131 treatment...
July 2018: Oncology Letters
https://www.readbyqxmd.com/read/29928401/methylation-of-cdx2-gene-promoter-in-the-prediction-of-treatment-efficacy-in-colorectal-cancer
#11
Yunshuai Wang, Zhaohui Li, Wenxian Li, Shuaifeng Liu, Baowei Han
The aim of the present study was to examine the diagnosis of methylation of CDX2 gene promoter in colorectal cancer (CRC) and assessed its value in the prediction of treatment efficacy. Sixty patients who were diagnosed as CRCs for the first time, 60 patients with hyperplastic polyps (HPs) and adenomas, and 60 patients with inflammatory lesions or healthy patients (control group) were included in the present study. The methylation levels of CDX2 gene promoter were detected by methylation-specific polymerase chain reaction (MSP), and the expression levels of CDX2 mRNA were detected by fluorescence quantitative PCR...
July 2018: Oncology Letters
https://www.readbyqxmd.com/read/29928398/hydrogen-rich-solution-attenuates-myocardial-injury-caused-by-cardiopulmonary-bypass-in-rats-via-the-janus-activated-kinase-2-signal-transducer-and-activator-of-transcription-3-signaling-pathway
#12
Keyan Chen, Yingjie Sun, Yugang Diao, Tiezheng Zhang, Wanwei Dong
The incidence of complications and mortality following open-heart surgery with cardiopulmonary bypass (CPB) is associated with the severity of the myocardial injury that occurs during surgery. Hydrogen-rich solution (HRS) may prevent antioxidant stress and inhibit apoptosis and inflammation. The present study was designed to investigate the effects of HRS on CPB-induced myocardial injury, and to investigate its potential regulation of the Janus-activated kinase 2/signal transducer and activator of transcription 3 (JAK2/STAT3) pathway...
July 2018: Oncology Letters
https://www.readbyqxmd.com/read/29928354/gene-expression-signature-for-detection-of-gastric-cancer-in-peripheral-blood
#13
Jianing Shi, Changming Cheng, Jun Ma, Choong-Chin Liew, Xiaoping Geng
Gastric cancer (stomach cancer) is the fifth most common malignancy and the third leading cause of cancer-associated mortality worldwide. Identifying gastric cancer patients at an early and curable stage of the disease is essential if mortality rates for this disease are to decrease. A non-invasive blood-based test that is an indicator of gastric cancer risk would likely be of benefit in identifying gastric cancer patients at an early stage, and such a test may enhance clinical decision making. This study identified a four-gene expression signature in peripheral blood samples associated with gastric cancer...
June 2018: Oncology Letters
https://www.readbyqxmd.com/read/29928342/quercetin-induced-apoptosis-of-human-oral-cancer-sas-cells-through-mitochondria-and-endoplasmic-reticulum-mediated-signaling-pathways
#14
Yi-Shih Ma, Chien-Ning Yao, Hsin-Chung Liu, Fu-Shun Yu, Jen-Jyh Lin, Kung-Wen Lu, Ching-Lung Liao, Fu-Shin Chueh, Jing-Gung Chung
Oral cancer is a cause of cancer-associated mortality worldwide and the treatment of oral cancer includes radiation, surgery and chemotherapy. Quercetin is a component from natural plant products and it has been demonstrated that quercetin is able to induce cytotoxic effects through induction of cell apoptosis in a number of human cancer cell lines. However, there is no available information to demonstrate that quercetin is able to induce apoptosis in human oral cancer cells. In the present study, the effect of quercetin on the cell death via the induction of apoptosis in human oral cancer SAS cells was investigated using flow cytometry, Annexin V/propidium iodide (PI) double staining, western blotting and confocal laser microscopy examination, to test for cytotoxic effects at 6-48 h after treatment with quercetin...
June 2018: Oncology Letters
https://www.readbyqxmd.com/read/29928226/periocular-necrotizing-fasciitis-with-toxic-shock-syndrome
#15
Tri Rejeki Herdiana, Yasuhiro Takahashi, Ma Regina Paula Valencia, Marian Grace Ana-Magadia, Hirohiko Kakizaki
Purpose: To report a case of periocular necrotizing fasciitis with toxic shock syndrome. Methods: This is a case report of a previously healthy 69-year-old woman with left preseptal eyelid infection that spread rapidly and deteriorated into necrosis of the eyelid with toxic shock syndrome. She was admitted to intensive care unit for hemodynamic stabilization. Results: Intravenous antibiotic and high-dose immunoglobulin were administered followed by surgical debridement...
May 2018: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/29928110/theaflavin-alleviates-inflammatory-response-and-brain-injury-induced-by-cerebral-hemorrhage-via-inhibiting-the-nuclear-transcription-factor-kappa-%C3%AE-related-pathway-in-rats
#16
Guanglei Fu, Hua Wang, Youli Cai, Hui Zhao, Wenjun Fu
Objective: Intracerebral hemorrhage (ICH) is one of the most common acute cerebrovascular diseases with high mortality. Numerous studies have shown that inflammatory response played an important role in ICH-induced brain injury. Theaflavin (TF) extracted from black tea has various biological functions including anti-inflammatory activity. In this study, we investigated whether TF could inhibit ICH-induced inflammatory response in rats and explored its mechanism. Materials and methods: ICH rat models were induced with type VII collagenase and pretreated with TF by gavage in different doses (25 mg/kg-100 mg/kg)...
2018: Drug Design, Development and Therapy
https://www.readbyqxmd.com/read/29928025/malaria-during-pregnancy-and-newborn-outcome-in-an-unstable-transmission-area-in-brazil-a-population-based-record-linkage-study
#17
Jamille Gregório Dombrowski, Rodrigo Medeiros de Souza, Natércia Regina Mendes Silva, André Barateiro, Sabrina Epiphanio, Lígia Antunes Gonçalves, Claudio Romero Farias Marinho
BACKGROUND: Malaria in pregnancy (MiP) is one of the major causes of mortality and morbidity in tropical regions, causing maternal anemia, intrauterine growth retardation, preterm birth, and low birth weight (LBW). The integration of the information systems on pregnancy and malaria could prove to be a useful method of improved decision making for better maternal-child health. METHODS: A population-based observational study acquired information retrospectively from all live births that occurred between 2006 and 2014 in Cruzeiro do Sul (Acre, Brazil)...
2018: PloS One
https://www.readbyqxmd.com/read/29927979/a-novel-epigenetic-modulating-agent-sensitizes-pancreatic-cells-to-a-chemotherapy-agent
#18
Manjusha Thakar, Yue Hu, Michael Morreale, Lane Lerner, Wan Ying Lin, Rupashree Sen, Yi Cai, Enusha Karunasena, Maya Thakar, Soren Saggi, Harold Keer, Nita Ahuja
Pancreatic ductal adenocarcinoma (PDAC) is expected to be the second leading cause of cancer mortality by 2030. PDAC remains resistant to the majority of systemic chemotherapies. In this paper, we explore if epigenetic sensitization can improve chemotherapy response in PDAC. Multiple PDAC cell lines were tested with serial concentrations of the epigenetic modulators 5-azacitidine (Aza) and guadecitabine (SGI-110). Guadecitabine was effective at inhibiting the expression of DNA Methyltransferase 1 (DNMT1) and in decreasing cell viability at nanomolar concentrations...
2018: PloS One
https://www.readbyqxmd.com/read/29927955/the-association-between-race-and-survival-in-glioblastoma-patients-in-the-us-a-retrospective-cohort-study
#19
Andrew Bohn, Alexander Braley, Pura Rodriguez de la Vega, Juan Carlos Zevallos, Noël C Barengo
BACKGROUND: Glioblastoma is the most common primary brain cancer in adults with an incidence of 3.4 per 100,000, making up about 15% of all brain tumors. Inconsistent results have been published in regard differences in survival between white and black glioblastoma patients. The objective of this to study the association between race and in Glioblastoma patients in the USA during 2010-2014. METHODS AND FINDINGS: The National Cancer Institute's Surveillance Epidemiology and End Results (SEER) database were used to evaluate race/ethnicity (White non-Hispanic, Black non-Hispanic, Asian/Pacific Islanders non-Hispanic (API)) and Hispanic) adults patients with first-time diagnosis of glioblastoma (International Classification of Diseases for Oncology, 3rd Edition [ICD-O-3], codes C711-C714, and histology type 9440/3) from 2010-2014...
2018: PloS One
https://www.readbyqxmd.com/read/29927944/factors-predicting-outcome-after-pulmonary-endarterectomy
#20
Cécile Tromeur, Xavier Jaïs, Olaf Mercier, Francis Couturaud, David Montani, Laurent Savale, Mitja Jevnikar, Jason Weatherald, Olivier Sitbon, Florence Parent, Dominique Fabre, Sacha Mussot, Philippe Dartevelle, Marc Humbert, Gérald Simonneau, Elie Fadel
OBJECTIVE: Few studies have reported predictive factors of outcome after pulmonary endarterectomy (PEA) in chronic thromboembolic pulmonary hypertension. The purpose of this study was to determine factors influencing mortality and predictors of hemodynamic improvement after PEA. METHODS: A total of 383 consecutive patients who underwent PEA between January 2005 and December 2009 were retrospectively reviewed. Among them, 150 were fully reevaluated 7.5±1 months after PEA by NYHA class, 6-minute walk distance (6MWD), percentage of predicted carbon monoxide transfer factor (TLCO) and right heart catheterisation...
2018: PloS One
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