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Mariacarmela Santarpia, Alessia Liguori, Alessandro D'Aveni, Niki Karachaliou, Maria Gonzalez-Cao, Maria Grazia Daffinà, Chiara Lazzari, Giuseppe Altavilla, Rafael Rosell
Molecularly targeted therapies and immune checkpoint inhibitors have markedly improved the therapeutic management of advanced lung cancer. However, it still remains the leading cause of cancer-related mortality worldwide, with disease stage at diagnosis representing the main prognostic factor. Detection of lung cancer at an earlier stage of disease, potentially susceptible of curative resection, can be critical to improve patients survival. Low-dose computed tomography (LDCT) screening of high-risk patients has been demonstrated to reduce mortality from lung cancer, but can be also associated with high false-positive rate, thus often resulting in unnecessary interventions for patients...
April 2018: Journal of Thoracic Disease
Kimberly Luu, Brent A Chang, Dianne Valenzuela, Donald Anderson
BACKGROUND: Among voice restoration options following laryngectomy, tracheoesophageal puncture (TEP) appears to be the most common. Currently, there is no consensus that exists with regards to the timing of performing TEP and the decision to perform a primary or secondary TEP has mostly been based on physician preference and expert opinion rather than data. OBJECTIVE OF REVIEW: The objective of this study was to compare primary and secondary tracheoesophageal puncture (TEP) for voice rehabilitation in laryngectomy patients in terms of success and complication rates...
May 16, 2018: Clinical Otolaryngology
Jacopo Galli, Lea Calo', Duino Meucci, Monica Giuliani, Daniela Lucidi, Gaetano Paludetti, Riccardo Torelli, Maurizio Sanguinetti, Claudio Parrilla
OBJECTIVE: The objective of the study was to compare the biofilm growing pattern and its morphological extent on silicone and a teflon-like material using a sonication process and a Scanning Electron Microscope (SEM). DESIGN: A prospective cohort study and a laboratory study. SETTING: Otolaryngology -Head and Neck surgery Department and the Microbiology Institute. PARTICIPANTS: The participants included fifteen laryngectomized patients with phonatory prostheses, which were removed due to device failure, and two different kinds of phonatory prostheses from the laboratory (Provox 2 and ActiValve) that were artificially colonized by Candida albicans...
May 16, 2018: Clinical Otolaryngology
Toru Zuiki, Jun Ohki, Masanori Ochi, Alan Kawarai Lefor
BACKGROUND: We have performed laparoscopic totally extraperitoneal (TEP) repair for inguinal hernia repair for the last 20 years. We use two balloon dilators (sphere and kidney type) to dissect the preperitoneal space for the TEP repair. It may be difficult to obtain exposure in patients who previously underwent lower abdominal surgery, because of adhesions to the abdominal wall. We reviewed our experience with inguinal hernia repairs to retrospectively analyze factors that limit the laparoscopic TEP approach...
May 14, 2018: Surgical Endoscopy
Hauke F Kegler, Christiane Hassenrück, Pia Kegler, Tim C Jennerjahn, Muhammad Lukman, Jamaluddin Jompa, Astrid Gärdes
Water quality deterioration caused by an enrichment in inorganic and organic matter due to anthropogenic inputs is one of the major local threats to coral reefs in Indonesia. However, even though bacteria are important mediators in coral reef ecosystems, little is known about the response of individual taxa and whole bacterial communities to these anthropogenic inputs. The present study is the first to investigate how bacterial community composition responds to small-scale changes in water quality in several coral reef habitats of the Spermonde Archipelago including the water column, particles, and back-reef sediments, on a densely populated and an uninhabited island...
2018: PeerJ
L Gignoux
The organization of healthcare for patients with multiple sclerosis (MS) has changed considerably over the past 15 years, with the creation of health networks providing a new impetus towards better coordination of healthcare through a multidisciplinary approach, and improvement of educational training for both patients and healthcare professionals. In this context, therapeutic educational programs (TEPs) for patients have placed patients at the center of their own care pathway, thereby changing the doctor-patient relationship...
May 4, 2018: Revue Neurologique
Alexander Dreshchinskii, Anja Engel
The sea surface microlayer (SML) is the uppermost layer of the water column that links the ocean and atmosphere. It accumulates a variety of biogenic surface-active and buoyant substances, including gelatinous material, such as transparent exopolymer particles (TEP) and Coomassie stainable particles (CSP), potentially affecting air-sea exchange processes. Here, we studied the influence of the annual cycle of phytoplankton production on organic matter (OM) accumulation in the SML relative to the subsurface water (SSW)...
November 2017: Journal of Plankton Research
Liqun Xing, Qin Zhang, Xu Sun, Hongxia Zhu, Shenghu Zhang, Huaizhou Xu
Organophosphate esters (OPEs) are ubiquitous in the environment and pose a potential threat to ecosystem and human health. This study investigated the concentrations, distributions and risk of 12 OPEs in surface water and sediment from Luoma Lake, Fangting River and Yi River. Solid-phase extraction (SPE) method were used to extract OPEs from water samples, ultrasonic process and SPE method were used to extract OPEs from sediment samples, and the extracts were finally analyzed using the HPLC-MS/MS. The results revealed that the median and maximum concentrations of ΣOPEs were 73...
April 30, 2018: Science of the Total Environment
Niall Gilliland, Natalie Catherwood, Shaouyn Chen, Peter Browne, Jacob Wilson, Helena Burden
Introduction and aims: Concerns had been raised at clinical governance regarding the safety of our inpatient ward rounds with particular reference to: documentation of clinical observations and National Early Warning Score (NEWS), compliance with Trust guidance for venous thromboembolism (VTE) risk assessment, antibiotic stewardship, palliative care and treatment escalation plans (TEP). This quality improvement project was conceived to ensure these parameters were considered and documented during the ward round, thereby improving patient care and safety...
2018: BMJ Open Quality
E P Casula, L Rocchi, R Hannah, J C Rothwell
BACKGROUND: the influence of pulse width, pulse waveform and current direction on transcranial magnetic stimulation (TMS) outcomes is of critical importance. However, their effects have only been investigated indirectly with motor-evoked potentials (MEP). By combining TMS and EEG it is possible to examine how these factors affect evoked activity from the cortex and compare that with the effects on MEP. OBJECTIVE: we used a new controllable TMS device (cTMS) to vary systematically pulse width, pulse waveform and current direction and explore their effects on global and local TMS-evoked EEG response...
April 24, 2018: Brain Stimulation
Léa Plantureux, Lydie Crescence, Françoise Dignat-George, Laurence Panicot-Dubois, Christophe Dubois
Platelets are small (2-4 μm), anucleate, hematopoietic cells released by bone marrow megakaryocytes in the bloodstream. For a long time, platelets were described as the major effectors of hemostasis and thrombosis. In 1865, Armand Trousseau demonstrated a close relation between thrombosis and cancer. Subsequently, much clinical and experimental evidence supports the idea that platelets play several roles in the progression of malignancies and in cancer-associated thrombosis. In this review, we will discuss the roles of tumor-educated platelets (TEPs) in the progression of cancer from primary tumors to secondary metastatic outbreaks...
April 2018: Thrombosis Research
Masaki Wakasugi, Yujiro Nakahara, Masaki Hirota, Takashi Matsumoto, Hiroyoshi Takemoto, Ko Takachi, Kiyonori Nishioka, Satoshi Oshima
INTRODUCTION: The aim of this study was to evaluate the efficacy of single-incision laparoscopic surgery for totally extraperitoneal repair (SILS-TEP) of irreducible inguinal hernias and incarcerated inguinal hernias. METHODS: We performed a retrospective analysis of 194 patients, including 16 with irreducible or incarcerated hernia, who had undergone SILS-TEP from May 2016 to December 2017 at Kinki Central Hospital. The outcomes of patients with irreducible or incarcerated hernia and those with reducible hernia were compared...
April 25, 2018: Asian Journal of Endoscopic Surgery
Andreas Thiery, Konstantinos Anagnostakos
Periprosthetic infections are hazardous complications. After dental procedures, an antibiotic prophylaxis or treatment is actually not recommended according to the current guidelines. In the present work, a case of a hematogenous late infection after primary total hip arthroplasty due to a prior dental procedure is presented. Hereby, the question evolves as to whether in selected cases an antibiotic prophylaxis or treatment might be indicated at the site of dental procedures.
April 24, 2018: Der Orthopäde
Zhiyong Dong, Stacy Ann Kujawa, Cunchuan Wang, Hong Zhao
OBJECTIVE: The aim of this study was to systematically review the available clinical trials examining male infertility after inguinal hernias were repaired using mesh procedures. METHODS: The Cochrane Library, PubMed, Embase, Web of Science, and Chinese Biomedical Medicine Database were investigated. The Jada score was used to evaluate the quality of the studies, "Oxford Centre for Evidence-based Medicine-Levels of Evidence" was used to assess the level of the trials, and descriptive analysis was used to evaluate the studies...
April 23, 2018: Reproductive Health
Linlin Xue, Li Xie, Xingguo Song, Xianrang Song
BACKGROUND: Platelets have emerged as key players in tumorigenesis and tumor progression. Tumor-educated platelet (TEP) RNA profile has the potential to diagnose non-small-cell lung cancer (NSCLC). The objective of this study was to identify potential TEP RNA biomarkers for the diagnosis of NSCLC and to explore the mechanisms in alternations of TEP RNA profile. METHODS: The RNA-seq datasets GSE68086 and GSE89843 were downloaded from Gene Expression Omnibus DataSets (GEO DataSets)...
April 17, 2018: Journal of Clinical Laboratory Analysis
Silvana Dinaintang Harikedua, Christina A Mireles DeWitt
Brine injection of natural proteases, dried egg white (EW), and dried potato extract (PE), was investigated as a means to prevent softening during cooking of Pacific whiting fillets. Treatments included fillets injected with Water (W), 3% sodium chloride and 3% sodium tripolyphosphate brine (B), B with 0.1% xanthan gum (BXG ), B with 1%, 2%, or 3% EW (B1-3EW ), B with 1%, 2%, or 3% PE (B1-3PE ) or non-injected (NI). Non-injected Pacific cod (Cod) was also utilized as a reference for texture analysis. Fillets were subsequently cooked using cooking protocol 1 (90 °C for 20 min) or cooking protocol 2 (60 °C for 30 min then 90 °C for 20 min)...
April 16, 2018: Journal of Food Science
Un-JUng Kim, Kurunthachalam Kannan
The occurrence and profiles of 14 triester organophosphate flame retardants (OPFRs) and plasticizers were investigated in surface water, tap water, rainwater, and seawater collected from New York State. In total, 150 samples collected from rivers (n = 35), lakes (n = 39), tap water (n = 58), precipitation/rainwater (n = 15) and seawater (n = 3) were analyzed for 14 organophosphate esters (OPEs). An additional nine Hudson River water samples were collected periodically to delineate seasonal trends in OPE levels...
April 16, 2018: Environmental Science & Technology
Gyojin Choo, Hyeon-Seo Cho, Kyunghwa Park, Jae-Woo Lee, Pilje Kim, Jeong-Eun Oh
The concentrations, distributions, and bioaccumulation of nine organophosphate flame retardants (OPFRs) were investigated in both abiotic and biotic media, comprising river water, sediment, and crucian carp. The highest concentrations were observed in liver (6.22-18.1 ng/g ww), and the levels in muscle (4.23-7.75 ng/g ww) and gonad (3.08-7.70 ng/g ww) were similar. In whole blood, tris(2-butoxyethyl) phosphate (TBOEP; 31.1-256 ng/mL) accounted for 90% of the total OPFR concentration. Distributions of OPFRs differed between biotic and abiotic media, as tris(2-chloroethyl) phosphate (TCEP), tris(1-chloro-2-propyl) phosphate (TCIPP), and TBOEP were dominant in abiotic media, whereas triethyl phosphate (TEP), tri-n-butyl phosphate (TNBP), TCEP, and TBOEP dominated in crucian carp...
April 10, 2018: Environmental Pollution
Xiaodong Tang, Wanqing Wu, Wei Zeng, Huanfeng Jiang
Selective oxidation, a fundamental organic transformation of critical importance, produces value-added products from simple organic molecules. This process is extensively used to incorporate heteroatoms into carbon-based molecules, where high-valent metal salts, hypervalent halogen reagents, and peroxides are widely used as oxidants. Oxidation reactions are extremely challenging because their selectivity is hard to control and/or they form significant quantities of unwanted waste derived from the stoichiometric oxidants...
April 12, 2018: Accounts of Chemical Research
Hui-Xin Hu, Min-Yi Chu, Yin Yang, Ling-Ling Wang, Rui-Ting Zhang, Simon S Y Lui, Eric F C Cheung, Raymond C K Chan
Few studies have examined whether there is a relationship between social anhedonia and prediction of future events and the role of beliefs about pleasure and emotional experience. In this study, 513 college students were recruited to complete a set of self-reported questionnaires, including the Revised Social Anhedonia Scale (CSAS), the Temporal Experience of Pleasure Scale (TEPS), the Belief about Pleasure Scale (BAPS) and the Beck Depression Inventory. Moreover, a checklist of 100 daily life events was also administrated to all participants...
March 27, 2018: Psychiatry Research
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