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M V Nair, G M Miskelly
Clandestine laboratories pose a serious health risk to first responders, investigators, decontamination companies, and the public who may be inadvertently exposed to methamphetamine and other chemicals used in its manufacture. Therefore there is an urgent need for reliable methods to detect and measure methamphetamine at such sites. The most common method for determining methamphetamine contamination at former clandestine laboratory sites is selected surface wipe sampling, followed by analysis with gas chromatography-mass spectrometry (GC-MS)...
October 3, 2016: Forensic Science International
Rahul Dwivedi, Sambath Tiroumal
PURPOSE: Paclitaxel (Taxol) is a microtubule-stabilizing agent and belongs to the taxane group of chemotherapeutic drugs. It is used to treat numerous malignancies, such as breast and lung cancers. A rare side effect of this drug includes cystoid macular edema (CME), which is presumed to resolve after cessation of Paclitaxel. We present a case of topical Dorzolamide 2% (Trusopt) having a possible successful effect in the treatment of Paclitaxel-related nonresolving CME. By highlighting this rare ocular side effect of a common chemotherapeutic agent, which fails to resolve upon cessation of the drug alone, we suggest a possible treatment that may help other ophthalmologists in their management of similar cases...
October 4, 2016: Retinal Cases & Brief Reports
Kendra Thomsen, Kim Zuber, Jane Davis, Greg Thomas
OBJECTIVE: Kidneys in a Box (KIB) was developed to identify the effect of a performance improvement CME (PI-CME) project on the management of patients with diabetes who are at risk for chronic kidney disease (CKD). The program provided nonnephrology practitioners with research-based interventions known to slow CKD progression. METHODS: PAs were given the KIB tool kit, which described the scope of CKD identified high-risk diagnoses such as diabetes, and listed six modifiable risk factors that have been shown to slow progression of diabetic kidney disease when implemented...
October 5, 2016: JAAPA: Official Journal of the American Academy of Physician Assistants
Er-Wen Huang, Can-Zhao Liu, Si-Jia Liang, Zheng Zhang, Xiao-Fei Lv, Jie Liu, Jia-Guo Zhou, Yong-Bo Tang, Yong-Yuan Guan
BACKGROUND AND AIMS: Macrophage-derived foam cell formation (MFCF) is a crucial step in the pathogenesis of atherosclerosis. Uptake of oxidized low-density lipoprotein (oxLDL) by scavenger receptors is indispensable for MFCF. Endophilin-A2 has been reported to regulate clathrin-mediated endocytosis (CME). In this study, we tested the hypothesis that endophilin-A2 regulates oxLDL uptake and MFCF by mediating CME of oxLDL-scavenger receptor complexes. METHODS: In vitro MFCF was induced by oxLDL treatment...
October 6, 2016: Atherosclerosis
(no author information available yet)
No abstract text is available yet for this article.
October 2016: Continuum: Lifelong Learning in Neurology
Eduardo E Benarroch, Adam G Kelly
No abstract text is available yet for this article.
October 2016: Continuum: Lifelong Learning in Neurology
(no author information available yet)
No abstract text is available yet for this article.
October 2016: Continuum: Lifelong Learning in Neurology
Dominique Farge, Henri Bounameaux, Benjamin Brenner, Francis Cajfinger, Philippe Debourdeau, Alok A Khorana, Ingrid Pabinger, Susan Solymoss, James Douketis, Ajay Kakkar
Venous thromboembolism (VTE) is the second leading cause of death in patients with cancer. These patients are at an increased risk of developing VTE and are more likely to have a recurrence of VTE and bleeding while taking anticoagulants. Management of VTE in patients with cancer is a major therapeutic challenge and remains suboptimal worldwide. In 2013, the International Initiative on Thrombosis and Cancer (ITAC-CME), established to reduce the global burden of VTE in patients with cancer, published international guidelines for the treatment and prophylaxis of VTE and central venous catheter-associated thrombosis...
October 2016: Lancet Oncology
John J Kiernicki, Maryline G Ferrier, Juan S Lezama Pacheco, Henry S La Pierre, Benjamin W Stein, Matthias Zeller, Stosh A Kozimor, Suzanne C Bart
Arylazide and diazene activation by highly reduced uranium(IV) complexes bearing trianionic redox-active pyridine(diimine) ligands, [Cp(P)U((Mes)PDI(Me))]2 (1-Cp(P)), Cp*U((Mes)PDI(Me))(THF) (1-Cp*) (Cp(P) = 1-(7,7-dimethylbenzyl)cyclopentadienide; Cp* = η(5)-1,2,3,4,5-pentamethylcyclopentadienide), and Cp*U((t)Bu-(Mes)PDI(Me)) (THF) (1-(t)Bu) (2,6-((Mes)N═CMe)2-p-R-C5H2N, Mes = 2,4,6-trimethylphenyl; R = H, (Mes)PDI(Me); R = C(CH3)3, (t)Bu-(Mes)PDI(Me)), has been investigated. While 1-Cp* and 1-Cp(P) readily reduce N3R (R = Ph, p-tolyl) to form trans-bis(imido) species, Cp(P)U(NAr)2((Mes)PDI(Me)) (Ar = Ph, 2-Cp(P); Ar = p-Tol, 3-Cp(P)) and Cp*U(NPh)2((Mes)PDI(Me)) (2-Cp*), only 1-Cp* can cleave diazene N═N double bonds to form the same product...
October 12, 2016: Journal of the American Chemical Society
Eduardo A Novais, Mauricio Maia, Paulo Augusto de Arruda Mello Filho, João Rafael de Oliveira Dias, José Maurício B B Garcia, Gabriel C de Andrade, Ricardo N Louzada, Marcos Ávila, André Maia, J Fernando Arevalo, Lihteh Wu, Maria Berrocal, Emmerson Badaró, Michel Farah
Purpose. To evaluate the best-corrected visual acuity (BCVA), central retinal thickness (CRT), and the number of dexamethasone implants needed to treat cystoid macular edema (CME) from various etiologies over 12 months in vitrectomized and nonvitrectomized eyes. Methods. This multicenter retrospective cohort study included 112 patients with CME secondary to retinal diseases treated pro re nata (PRN) with a 0.7 mg intravitreal dexamethasone implant for 12 months. The BCVA, CRT, adverse events, safety data, and number of implants were recorded...
2016: Journal of Ophthalmology
Bonnie L Green, Pamela A Saunders, Elizabeth Power, Priscilla Dass-Brailsford, Kavitha Bhat Schelbert, Esther Giller, Larry Wissow, Alejandra Hurtado de Mendoza, Mihriye Mete
Trauma exposure predicts mental disorders and health outcomes; yet there is little training of primary care providers about trauma's effects, and how to better interact with trauma survivors. This study adapted a theory-based approach to working with trauma survivors, Risking Connection, into a 6-hour CME course, Trauma-Informed Medical Care (TI-Med), to evaluate its feasibility and preliminary efficacy. We randomized four primary care sites to training or wait-list conditions; PCPs at wait-list sites were trained after reassessment...
2016: Journal of Loss & Trauma
Takeru Matsuda, Takeshi Iwasaki, Yasuo Sumi, Kimihiro Yamashita, Hiroshi Hasegawa, Masashi Yamamoto, Yoshiko Matsuda, Shingo Kanaji, Taro Oshikiri, Tetsu Nakamura, Satoshi Suzuki, Yoshihiro Kakeji
BACKGROUND: Complete mesocolic excision (CME) with central vascular ligation (CVL) should be employed for the treatment of colon cancer patients because of its superior oncological outcomes. However, this technique is technically challenging in laparoscopic right hemicolectomy because of the anatomical complexity of the transverse mesocolon. METHODS: We focused on the embryology and anatomy of the transverse mesocolon to overcome the difficulty of this surgery. The validity and efficacy of a cranial approach in achieving CME with CVL in laparoscopic right hemicolectomy was elucidated from the embryological point of view...
October 6, 2016: International Journal of Colorectal Disease
Lei Zhang, Bo Fang, Guohua Hou, Lin Ai, Wanjian Ding, Marc D Walter, Guofu Zi
The uranium metallacyclopropene (η(5)-C5Me5)2U[η(2)-C2(SiMe3)2] (1) reacts with various small unsaturated organic molecules. For example, replacement of bis(trimethylsilyl)acetylene occurs when complex 1 is exposed to alkynes, conjugated alkenes, nitriles and quinones. Reaction of 1 with internal phenyl(alkyl)acetylene PhC[triple bond, length as m-dash]CMe selectively yields the Cs symmetric uranium metallacyclopentadiene (η(5)-C5Me5)2U[η(2)-C(Ph)[double bond, length as m-dash]C(Me)-C(Ph)[double bond, length as m-dash]C(Me)] (6) after the loss of bis(trimethylsilyl)acetylene, while treatment of 1 with phenyl(silyl)acetylenes (PhC[triple bond, length as m-dash]CR, R = SiHMe2, SiMe3) gives the corresponding C2v symmetric isomers (η(5)-C5Me5)2U[η(2)-C(R)[double bond, length as m-dash]C(Ph)-C(Ph)[double bond, length as m-dash]C(R)] (R = SiHMe2 (7), SiMe3 (8))...
October 18, 2016: Dalton Transactions: An International Journal of Inorganic Chemistry
Gin S Malhi, Yulisha Byrow, Frederick Cassidy, Andrea Cipriani, Koen Demyttenaere, Mark A Frye, Michael Gitlin, Sidney H Kennedy, Terence A Ketter, Raymond W Lam, Rupert McShane, Alex J Mitchell, Michael J Ostacher, Sakina J Rizvi, Michael E Thase, Mauricio Tohen
SUMMARY: The appeal of ketamine - in promptly ameliorating depressive symptoms even in those with non-response - has led to a dramatic increase in its off-label use. Initial promising results await robust corroboration and key questions remain, particularly concerning its long-term administration. It is, therefore, timely to review the opinions of mood disorder experts worldwide pertaining to ketamine's potential as an option for treating depression and provide a synthesis of perspectives - derived from evidence and clinical experience - and to consider strategies for future investigations...
May 2016: BJPsych Open
Giuseppe Spinoglio, Alessandra Marano, Paolo Pietro Bianchi, Fabio Priora, Luca Matteo Lenti, Ferruccio Ravazzoni, Giampaolo Formisano
BACKGROUND: A modified complete mesocolic excision (mCME) technique for the treatment of right-sided colon cancer recently was shown by Hohenberger and colleagues to provide impressive long-term oncologic outcomes. This report aims to describe the authors' experience with robotic right colectomy using mCME. The safety, feasibility, and efficacy of this procedure are measured by complications, conversion rates, and 4-year oncologic outcomes. METHODS: A retrospective study analyzed 100 consecutive patients who underwent robotic right colectomy with mCME and intracorporeal anastomosis at the authors' institution between November 2005 and November 2013...
October 3, 2016: Annals of Surgical Oncology
Andrew Webb, Tahseen A Chowdhury
No abstract text is available yet for this article.
October 2016: Clinical Medicine: Journal of the Royal College of Physicians of London
Richard S Hoffman, Rosa Braga-Mele, Kendall Donaldson, Geoffrey Emerick, Bonnie Henderson, Malik Kahook, Nick Mamalis, Kevin M Miller, Tony Realini, Neal H Shorstein, Richard K Stiverson, Barbara Wirostko
: Nonsteroidal antiinflammatory drugs (NSAIDs) have become an important adjunctive tool for surgeons performing routine and complicated cataract surgery. These medications have been found to reduce pain, prevent intraoperative miosis, modulate postoperative inflammation, and reduce the incidence of cystoid macular edema (CME). Whether used alone, synergistically with steroids, or for specific high-risk eyes prone to the development of CME, the effectiveness of these medications is compelling...
September 2016: Journal of Cataract and Refractive Surgery
Vanesa Calvo-Río, Montserrat Santos-Gómez, Inmaculada Calvo, Ma Isabel González-Fernández, Berta López Montesinos, Marina Mesquida, Alfredo Adán, María Victoria Hernández, Olga Maíz, Antonio Atanes, Beatriz Bravo, Consuelo Modesto, Gisela Díaz-Cordovés, Natalia Palmou-Fontana, Javier Loricera, M C González-Vela, Rosalía Demetrio-Pablo, J L Hernández, Miguel A González-Gay, Ricardo Blanco
OBJECTIVE: To assess the efficacy of Tocilizumab (TCZ) for Juvenile Idiopathic Arthritis (JIA)-associated uveitis. METHODS: Multicenter study of patients with JIA-associated uveitis refractory to conventional immunosuppressive drugs and anti-TNFα agents. RESULTS: We assessed 25 (21 women) patients (47 affected eyes); mean age 18.5±8.3 years. Uveitis was bilateral in 22. Cystoid macular edema (CME) was present in 9 patients. Ocular sequelae found at TCZ onset included: cataracts (13), glaucoma (7), synechiae (10), band keratopathy (12), maculopathy (9), and amblyopia (5)...
October 1, 2016: Arthritis & Rheumatology
(no author information available yet)
No abstract text is available yet for this article.
October 2016: JAAPA: Official Journal of the American Academy of Physician Assistants
Seema R Khurana, Alexandria G Beranger, Elizabeth R Felix
OBJECTIVE: This study investigates the direct comparison of energy cost, efficiency, and effort between an ankle-foot orthosis (AFO) and a functional electrical stimulation (FES) device for foot drop in ambulatory patients with multiple sclerosis. DESIGN: Twenty adults (32-74 years old; 55% female) with a diagnosis of multiple sclerosis resulting in foot drop participated in a crossover, counterbalanced preliminary study. Each participant was tested on different days, with each session consisting of a separate walk trial per prosthetic device...
September 26, 2016: American Journal of Physical Medicine & Rehabilitation
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