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Matthew J Klebanoff, Jagpreet Chhatwal, Jacob D Nudel, Kathleen E Corey, Lee M Kaplan, Chin Hur
Importance: Severe obesity affects 4% to 6% of US youth and is increasing in prevalence. Bariatric surgery for the treatment of adolescents with severe obesity is becoming more common, but data on cost-effectiveness are limited. Objective: To assess the cost-effectiveness of bariatric surgery for adolescents with obesity using recently published results from the Teen-Longitudinal Assessment of Bariatric Surgery study. Design, Setting, and Patients: A state-transition model was constructed to compare 2 strategies: no surgery and bariatric surgery...
October 26, 2016: JAMA Surgery
Adewole S Adamson, Elizabeth A Suarez, April R Gorman
Importance: Prescription underuse is associated with poorer clinical outcomes. A significant proportion of underuse is owing to primary nonadherence, defined as the rate at which patients fail to fill and pick up new prescriptions. Although electronic prescribing increases coordination of care and decreases errors, its effect on primary nonadherence is less certain. Objectives: To analyze factors associated with primary nonadherence to dermatologic medications and study whether electronic prescribing affects rates of primary nonadherence...
October 26, 2016: JAMA Dermatology
Paul M Evitts, Heather Starmer, Kristine Teets, Christen Montgomery, Lauren Calhoun, Allison Schulze, Jenna MacKenzie, Lauren Adams
Purpose: There is currently minimal information on the impact of dysphonia secondary to phonotrauma on listeners. Considering the high incidence of voice disorders with professional voice users, it is important to understand the impact of a dysphonic voice on their audiences. Methods: Ninety-one healthy listeners (39 men, 52 women; mean age = 23.62 years) were presented with speech stimuli from 5 healthy speakers and 5 speakers diagnosed with dysphonia secondary to phonotrauma...
October 25, 2016: American Journal of Speech-language Pathology
Dawna Lewis, Kendra Schmid, Samantha O'Leary, Jody Spalding, Elizabeth Heinrichs-Graham, Robin High
Purpose: This study examined the effects of stimulus type and hearing status on speech recognition and listening effort in children with normal hearing (NH) and children with mild bilateral hearing loss (MBHL) or unilateral hearing loss (UHL). Method: Children (5-12 years of age) with NH (Experiment 1) and children (8-12 years of age) with MBHL, UHL, or NH (Experiment 2) performed consonant identification and word and sentence recognition in background noise. Percentage correct performance and verbal response time (VRT) were assessed (onset time, total duration)...
October 25, 2016: Journal of Speech, Language, and Hearing Research: JSLHR
Chunli Zhao, Jinting Liu, Pingyuan Gong, Jie Hu, Xiaolin Zhou
BACKGROUND: People often change their opinions or behavior to match the responses of others, a phenomenon known as social conformity. Conforming behavior varies substantially across individuals. However, little is known about the genetic basis underlying individual differences in social conformity. A recent study demonstrated an association between enhanced dopaminergic function and increased conforming behavior. Given the effect of the dopamine receptor 3 gene (DRD3) Ser9Gly polymorphism (rs6280) on dopamine release in the striatum, this study investigated to what extent this polymorphism affects conforming behavior...
October 27, 2016: Neuropsychobiology
Joong-Seok Kim, Si-Hoon Lee, Yoon-Sang Oh, Jeong-Wook Park, Jae-Young An, Hyun-Seok Choi, Kwang-Soo Lee
BACKGROUND: Pulse wave velocity is a marker of arterial stiffness and a surrogate marker of vascular damage. Autonomic abnormalities associated with blood pressure are relatively commonly observed in patients with Parkinson's disease (PD). OBJECTIVE: The purpose of this study was to compare arterial stiffness between patients with PD and controls and investigate the associations between cardiovascular autonomic dysfunction and pulse wave velocity in PD. METHODS: One hundred twenty-five PD patients without diabetes mellitus were enrolled into this study, along with 22 age-matched controls...
October 27, 2016: Neuro-degenerative Diseases
Zhe Li, Jian-Guo Zhang, Yan Ye, Xiaoping Li
BACKGROUND: Accurate implantation of a depth electrode into the brain is of the greatest importance in deep brain stimulation (DBS), and various stereotactic systems have been developed for electrode implantation. However, an updated analysis of depth electrode implantation in the modern era of DBS is lacking. OBJECTIVE: This study aims at providing an updated review on targeting accuracy of DBS electrode implantation by analyzing contemporary DBS electrode implantation operations from the perspective of precision engineering...
October 27, 2016: Stereotactic and Functional Neurosurgery
Tsung-Yan Chen, Ting-Tse Lin, Mu-Yang Hsieh, Lin Lin, Chung-Wei Yang, Shao-Yuan Chuang, Po-Hsun Huang, Chih-Cheng Wu
BACKGROUND: Arteriovenous fistula (AVF) thrombosis is a relevant cause of morbidity in hemodialysis (HD) patients. The number of circulating endothelial progenitor cells (EPCs) has been identified as a surrogate marker for vascular repair and health. Deficiency of EPCs has been demonstrated in dialysis patients to be associated with vascular events. Nonetheless, their role in thrombosis of AVFs remains unknown. METHODS: From January 2010 to May 2013, 147 HD patients with dysfunctional AVFs were enrolled...
October 27, 2016: American Journal of Nephrology
Shalini Singh Yadav, Jinyi Li, Jennifer A Stockert, James O'Connor, Bryan Herzog, Cordelia Elaiho, Matthew D Galsky, Ashutosh Kumar Tewari, Kamlesh Kumar Yadav
Several promising targeted-therapeutics for prostate cancer (PCa), primarily affecting the androgen receptor (AR) and the PI3K/AKT/mTOR-pathway, are in various phases of development. However, despite promise, single-agent inhibitors targeting the two pathways have not shown long-term benefits, perhaps due to a complex compensatory cross talk that exists between the two pathways. Combination therapy has thus been proposed to maximize benefit. We have carried out a systematic study of two-drug combination effect of MDV3100 (AR antagonist), BKM120 (PI3K inhibitor), TKI258 (pan RTK inhibitor) and RAD001 (mTOR inhibitor) using various PCa cell lines...
October 20, 2016: Oncotarget
Anke M Klein, Rianne van Niekerk, Giovanni Ten Brink, Ronald M Rapee, Jennifer L Hudson, Susan M Bögels, Eni S Becker, Mike Rinck
BACKGROUND AND OBJECTIVES: Cognitive theories suggest that cognitive biases may be related and together influence the anxiety response. However, little is known about the interrelations of cognitive bias tasks and whether they allow for an improved prediction of fear-related behavior in addition to self-reports. This study simultaneously addressed several types of cognitive biases in children, to investigate attention bias, interpretation bias, memory bias and fear-related associations, their interrelations and the prediction of behavior...
October 5, 2016: Journal of Behavior Therapy and Experimental Psychiatry
S Rossini-Oliva, M D Mingorance, A Peña
The effect of the addition (0-10%) of two types of sewage sludge composts (composted sewage sludge [CS] and sewage sludge co-composted with olive prune wastes [CSO]) on a polymetallic acidic soil from the Riotinto mining area was evaluated by i) a soil incubation experiment and ii) a greenhouse pot experiment using tomato (Solanum lycopersicum Mill.), ryegrass (Lolium perenne L.) and ahipa (Pachyrhizus ahipa (Wedd.) Parodi). Compost addition improved the soil organic carbon content, increased the pH and the electrical conductivity and enhanced enzyme activities and soil respiration, more for CSO than for CS...
October 23, 2016: Chemosphere
Kathia Sandoval, Yan Ding, Piero Gardinali
Comprehensive characterization of exposure media used in toxicology studies is still an area of significant divergence when evaluating potential oil spill impacts. When preparing exposure media used for toxicology testing, small variations in simple parameters such as mixing energy, oil type and loading can significantly affect the concentration of the oil components to which test organisms are exposed. The key goal of this study was compare and contrast the physical and chemical compositions of oil water mixtures prepared using fresh and weathered Macondo-related oils under different conditions of mixing and in the presence/absence of chemical dispersants...
October 23, 2016: Science of the Total Environment
Andrea Fagagnini, Riccardo Montioli, Andra Caloiu, Marc Ribó, Douglas V Laurents, Giovanni Gotte
Bovine pancreatic ribonuclease A (RNase A) is the monomeric prototype of the so-called secretory 'pancreatic-type' RNase super-family. Like the naturally domain-swapped dimeric bovine seminal variant, BS-RNase, and its glycosylated RNase B isoform, RNase A forms N- and C-terminal 3D domain-swapped oligomers after lyophilization from acid solutions, or if subjected to thermal denaturation at high protein concentration. All mentioned RNases can undergo deamidation at Asn67, forming Asp or isoAsp derivatives that modify the protein net charge and consequently its enzymatic activity...
October 23, 2016: Biochimica et Biophysica Acta
F Pelin Kinik, Cigdem Altintas, Volkan Balci, Burak Koyuturk, Alper Uzun, Seda Keskin
Experiments were combined with atomically-detailed simulations and density functional theory (DFT) calculations to understand the effect of incorporation of an ionic liquid (IL), 1-n-butyl-3-methylimidazolium hexafluorophosphate ([BMIM][PF6]), into a metal organic framework (MOF with a zeolitic imidazolate framework), ZIF-8, on the CO2 separation performance. The interactions between [BMIM][PF6] and ZIF-8 were examined in deep detail and their consequences on CO2/CH4, CO2/N2, and CH4/N2 separation have been elucidated by using experimental measurements complemented by DFT calculations and atomically-detailed simulations...
October 26, 2016: ACS Applied Materials & Interfaces
Hiroshi Kaji
Adipose tissue has recently been reevaluated as an endocrine organ, and adipose-tissue-derived endocrine factors are termed adipokines. Plasminogen activator inhibitor-1 (PAI-1) is the primary inhibitor of PAs, which convert plasminogen into plasmin, a critical protease involved in fibrinolysis. PAI-1 induces fibrinogenesis by suppressing intravascular and tissue fibrinolysis. Moreover, PAI-1 exerts various cellular effects independently of fibrinolysis. Although PAI-1 is expressed in various tissues, its expression is regulated by numerous growth factors, cytokines, and hormones in a paracrine and endocrine manner...
September 15, 2016: Comprehensive Physiology
Jeffrey L Ardell, John Andrew Armour
Cardiac control is mediated via a series of reflex control networks involving somata in the (i) intrinsic cardiac ganglia (heart), (ii) intrathoracic extracardiac ganglia (stellate, middle cervical), (iii) superior cervical ganglia, (iv) spinal cord, (v) brainstem, and (vi) higher centers. Each of these processing centers contains afferent, efferent, and local circuit neurons, which interact locally and in an interdependent fashion with the other levels to coordinate regional cardiac electrical and mechanical indices on a beat-to-beat basis...
September 15, 2016: Comprehensive Physiology
Antonia Lanni, Maria Moreno, Fernando Goglia
The hypermetabolic effects of thyroid hormones (THs), the major endocrine regulators of metabolic rate, are widely recognized. Although, the cellular mechanisms underlying these effects have been extensively investigated, much has yet to be learned about how TH regulates diverse cellular functions. THs have a profound impact on mitochondria, the organelles responsible for the majority of cellular energy production, and several studies have been devoted to understand the respective importance of the nuclear and mitochondrial pathways for organelle activity...
September 15, 2016: Comprehensive Physiology
Mary Claire Heffron, Diane Reynolds, Bronwyn Talbot
This article proposes how group reflective supervision, informed by the theory of reflective functioning, may provide a powerful method for developing reflective capacity of staff serving families, infants, and young children in multidisciplinary settings. An explanation of reflective functioning, related research, and its relevance to relational treatment and preventive intervention are discussed. Other approaches to reflective practice are referenced. We describe the necessary tension and encounters with distressing affect that mark reflective supervision groups using this focus...
October 26, 2016: Infant Mental Health Journal
G A Ferreira, R Bertuzzi, F R De-Oliveira, F O Pires, A E Lima-Silva
We investigated if carbohydrate (CHO) availability could affect the excess post-exercise oxygen consumption (EPOC) after a single supramaximal exercise bout. Five physically active men cycled at 115% of peak oxygen uptake (V̇O2 peak) until exhaustion with low or high pre-exercise CHO availability. The endogenous CHO stores were manipulated by performing a glycogen-depletion exercise protocol 48 h before the trial, followed by 48 h consuming either a low- (10% CHO) or a high-CHO (80% CHO) diet regime. Compared to the low-CHO diet, the high-CHO diet increased time to exhaustion (3...
October 24, 2016: Brazilian Journal of Medical and Biological Research, Revista Brasileira de Pesquisas Médicas e Biológicas
E L Andrade, A F Bento, J Cavalli, S K Oliveira, C S Freitas, R Marcon, R C Schwanke, J M Siqueira, J B Calixto
This review presents a historical overview of drug discovery and the non-clinical stages of the drug development process, from initial target identification and validation, through in silico assays and high throughput screening (HTS), identification of leader molecules and their optimization, the selection of a candidate substance for clinical development, and the use of animal models during the early studies of proof-of-concept (or principle). This report also discusses the relevance of validated and predictive animal models selection, as well as the correct use of animal tests concerning the experimental design, execution and interpretation, which affect the reproducibility, quality and reliability of non-clinical studies necessary to translate to and support clinical studies...
October 24, 2016: Brazilian Journal of Medical and Biological Research, Revista Brasileira de Pesquisas Médicas e Biológicas
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