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https://www.readbyqxmd.com/read/28427076/application-of-clinical-trial-results-to-clinical-practice
#1
Marco A Zarbin, Neelakshi Bhagat, Lekha K Mukkamala
Two critical questions one must answer as one applies the results of a clinical trial to clinical practice are: (1) Regardless of whether the trial result is likely to be replicated or reproduced in a second large-scale trial, are the results likely to be reproduced in one's practice? (2) Regardless of whether the experimental treatment was better than the alternative on average for a population of patients, are the results clinically important for a given patient in one's practice? To determine if a study result is likely to be reproduced in one's clinical practice, it may be helpful to answer 5 questions: (1) Have steps been taken to minimize bias? (2) Is the result likely due to the treatment? (3) Is the result unlikely due to chance? (4) Is the study population representative of one's patients? (5) Is the totality of evidence consistent? If the answer to all 5 questions is "yes," then we posit that the trial result is likely to be reproduced in one's practice...
2017: Developments in Ophthalmology
https://www.readbyqxmd.com/read/28426809/denaturation-of-proteins-by-surfactants-studied-by-the-taylor-dispersion-analysis
#2
Aldona Jelińska, Anna Zagożdżon, Marcin Górecki, Agnieszka Wisniewska, Jadwiga Frelek, Robert Holyst
We showed that the Taylor Dispersion Analysis (TDA) is a fast and easy to use method for the study of denaturation proteins. We applied TDA to study denaturation of β-lactoglobulin, transferrin, and human insulin by anionic surfactant sodium dodecyl sulfate (SDS). A series of measurements at constant protein concentration (for transferrin was 1.9 x 10-5 M, for β- lactoglobulin was 7.6 x 10-5 M, and for insulin was 1.2 x 10-4 M) and varying SDS concentrations were carried out in the phosphate-buffered saline (PBS)...
2017: PloS One
https://www.readbyqxmd.com/read/28426748/tails-of-the-travelling-gaussian-model-and-the-relative-age-effect-tales-of-age-discrimination-and-wasted-talent
#3
John R Doyle, Paul A Bottomley, Rob Angell
The Relative Age Effect (RAE) documents the inherent disadvantages of being younger rather than older in an age-banded cohort, typically a school- or competition-year, to the detriment of career-progression, earnings and wellbeing into adulthood. We develop the Tails of the Travelling Gaussian (TTG) to model the mechanisms behind RAE. TTG has notable advantages over existing approaches, which have been largely descriptive, potentially confounded, and non-comparable across contexts. In Study 1, using data from the UK's Millennium Cohort Study, we investigate the different levels of RAE bias across school-level academic subjects and "personality" traits...
2017: PloS One
https://www.readbyqxmd.com/read/28426738/is-antiplatelet-treatment-effective-at-attenuating-the-progression-of-white-matter-hyperintensities
#4
Cindy W Yoon, Yoonjae Choi, Seun Jeon, Dae Hyung Lee, Byung-Nam Yoon, Hee-Kwon Park, Joung-Ho Rha
OBJECTIVE: We performed this study to assess the effect of an antiplatelet agent on the progression of white matter hyperintensities (WMH). METHODS: From August 2003 to May 2005, we consecutively enrolled patients who underwent brain magnetic resonance imaging (MRI) for health check-up purposes and showed no significant findings other than WMH of any degree. Patients were divided into two groups based on whether or not they received antiplatelet therapy. All patients had a follow-up brain MRI after 5 years and WMH volume change was measured using imaging analysis software...
2017: PloS One
https://www.readbyqxmd.com/read/28426631/directional-changes-in-tissue-reflectivity-may-influence-flow-detection-on-optical-coherence-tomography-angiography
#5
Rosa Dolz-Marco, K Bailey Freund
PURPOSE: To determine if directional or anatomical changes in tissue reflectivity of Henle fiber layer (HFL) may influence flow detection on optical coherence tomography angiography (OCT-A). METHODS: Cross-sectional analysis of consecutive cases undergoing OCT-A. Directional changes in visualization of HFL were either produced manually by moving the beam entrance within the pupil or observed occurring naturally because of tilting of the OCT line-scan within a myopic staphyloma...
April 19, 2017: Retina
https://www.readbyqxmd.com/read/28426624/a-randomized-double-blind-placebo-control-pilot-study-of-eplerenone-for-the-treatment-of-central-serous-chorioretinopathy-ecselsior
#6
Ehsan Rahimy, John D Pitcher, Jason Hsu, Murtaza K Adam, Abtin Shahlaee, Wasim A Samara, James F Vander, Richard S Kaiser, Allen Chiang, Marc J Spirn, Mitchell S Fineman
PURPOSE: To evaluate the safety and effects of oral eplerenone in chronic central serous chorioretinopathy. METHODS: Prospective, randomized, double-blind, placebo-control study at a tertiary referral academic private practice. For a diagnosis of chronic central serous chorioretinopathy, patients must have had at least 3 months clinical follow-up demonstrating persistent symptoms, subfoveal fluid on spectral-domain optical coherence tomography, and <50% reduction in fluid thickness...
April 19, 2017: Retina
https://www.readbyqxmd.com/read/28426371/optimization-of-preculture-conditions-to-maximize-the-in-vivo-performance-of-cell-seeded-engineered-intervertebral-discs
#7
John T Martin, Sarah E Gullbrand, Bhavana Mohanraj, Beth G Ashinsky, Dong Hwa Kim, Kensuke Ikuta, Dawn M Elliott, Lachlan J Smith, Robert L Mauck, Harvey E Smith
The development of engineered tissues has progressed over the past 20 years from in vitro characterization to in vivo implementation. For musculoskeletal tissue engineering in particular, the emphasis of many of these studies was to select conditions that maximized functional and compositional gains in vitro. However, the transition from the favorable in vitro culture environment to a less favorable in vivo environment has proven difficult, and, in many cases, engineered tissues do not retain their preimplantation phenotype after even short periods in vivo...
April 19, 2017: Tissue Engineering. Part A
https://www.readbyqxmd.com/read/28426336/effect-of-laser-energy-and-tip-insertion-depth-on-the-pressure-generated-outside-the-apical-foramen-during-er-yag-laser-activated-root-canal-irrigation
#8
Kanako Yao, Kazuhisa Satake, Satoshi Watanabe, Arata Ebihara, Chihiro Kobayashi, Takashi Okiji
OBJECTIVE: The risk of extrusion of irritative irrigants into the extraradicular tissue should be minimized during root canal irrigation. This study aimed to examine the pressure generated outside the apex during Er:YAG laser-activated irrigation (LAI) in comparison with passive ultrasonic irrigation (PUI) and conventional syringe irrigation (SI). BACKGROUND DATA: LAI is reported to be efficient for root canal debridement, whereas the apical pressure generated during LAI has not been investigated in detail...
April 20, 2017: Photomedicine and Laser Surgery
https://www.readbyqxmd.com/read/28426290/development-of-a-thoracic-personal-sampler-system-for-co-sampling-of-sulfuric-acid-mist-and-sulfur-dioxide-gas
#9
Chih-Hsiang Chien, Alexandros Theodore, Chufan Zhou, Chang-Yu Wu, Yu-Mei Hsu, Brian Birky
A novel personal sampler was designed to measure inorganic acid mists and gases for determining human exposure levels to these acids in workplaces. This sampler consists of (1) a parallel impactor for classifying aerosol by size following the ISO/CEN/ACGIH defined human thoracic fraction, (2) a cellulose filter to collect the residual acid mist but allowing penetration of sulfur dioxide gas, and (3) an accordion-shaped porous membrane denuder (aPMD) for adsorbing the penetrating sulfur dioxide gas. Acid-resistant PTFE was chosen as the housing material to minimize sampling interference...
April 20, 2017: Journal of Occupational and Environmental Hygiene
https://www.readbyqxmd.com/read/28425395/comparing-phlebotomy-by-tail-tip-amputation-facial-vein-puncture-and-tail-vein-incision-in-c57bl-6-mice-by-using-physiologic-and-behavioral-metrics-of-pain-and-distress
#10
Elizabeth S Moore Thomas A Cleland Wendy O Williams Christine M Peterson Bhupinder Singh Teresa L Southard Bret Pasch Rachael N Labitt And Erin K Daugherity
Tail tip amputation with minimal restraint is not widely used for mouse phlebotomy. In part, this infrequency may reflectpolicies influenced by tail tip amputation procedures for genotyping, which involve greater handling and tissue removal. Toassess tail tip amputation with minimal restraint as a phlebotomy technique, we compared it with 2 more common methods:scruffing with facial vein puncture and lateral tail vein incision with minimal restraint. Blood glucose levels, audible and ultrasonic vocalizations, postphlebotomy activity and grooming behavior, open field and elevated plus maze behaviors,nest-building scores, and histologic changes at the phlebotomy site were evaluated...
April 19, 2017: Journal of the American Association for Laboratory Animal Science: JAALAS
https://www.readbyqxmd.com/read/28425301/development-of-a-novel-rationally-designed-antibiotic-to-inhibit-a-nontraditional-bacterial-target
#11
Pavel Dibrov, Elena Dibrov, Thane G Maddaford, Melissa Kenneth, Jordan Nelson, Craig Resch, Grant N Pierce
The search for new nontraditional targets is a high priority in antibiotic design today. Bacterial membrane energetics based on sodium ion circulation offers potential alternative targets. The present work identifies the Na(+)-translocating NADH:ubiquinone oxidoreductase (Na(+)-NQR), a key respiratory enzyme in many microbial pathogens, as indispensible for the Chlamydia trachomatis infectious process. Infection by Chlamydia trachomatis significantly increased first H(+) and then Na(+) levels within the host mammalian cell...
April 20, 2017: Canadian Journal of Physiology and Pharmacology
https://www.readbyqxmd.com/read/28425160/causes-of-nephrotic-syndrome-and-nephrotic-range-proteinuria-are-different-in-adult-chinese-patients-a-single-centre-study-over-33%C3%A2-years
#12
Jack Kit-Chung Ng, Terry King-Wing Ma, Fernand Mac-Moune Lai, Kai Ming Chow, Bonnie Ching-Ha Kwan, Chi Bon Leung, Philip Kam-To Li, Cheuk Chun Szeto
BACKGROUND: The reported causes of nephrotic syndrome (NS) varied between different countries. Less is known about the causes of nephrotic-range proteinuria (NPU). METHODS: In this single-centre, retrospective study of adult patients who underwent renal biopsy between 1983-2015 in a tertiary referral hospital in Hong Kong, we aimed to evaluate the underlying causes of NS and NPU. We also determined the distribution of histopathological diagnoses with regard to the age subgroups and time periods RESULTS: Among 7,456 patients who underwent renal biopsy, 982 and 838 patients had NS and NPU, respectively...
April 20, 2017: Nephrology
https://www.readbyqxmd.com/read/28424605/white-matter-integrity-and-treatment-based-change-in-speech-performance-in-minimally-verbal-children-with-autism-spectrum-disorder
#13
Karen Chenausky, Julius Kernbach, Andrea Norton, Gottfried Schlaug
We investigated the relationship between imaging variables for two language/speech-motor tracts and speech fluency variables in 10 minimally verbal (MV) children with autism. Specifically, we tested whether measures of white matter integrity-fractional anisotropy (FA) of the arcuate fasciculus (AF) and frontal aslant tract (FAT)-were related to change in percent syllable-initial consonants correct, percent items responded to, and percent syllable insertion errors (from best baseline to post 25 treatment sessions)...
2017: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/28424445/management-of-tachyarrhythmia-during-pregnancy
#14
Emily Ann Enderlin, Khaldia Taufiq Khaled, Luke Oke, Mohammed Madmani, Hakan Paydak
Maternal tachyarrhythmia is a common complication during pregnancy due to hormonal changes that enhance pre-existing arrhythmias or induce new arrhythmias in the presence of congenital heart defects in pregnant females. Presence of tachyarrhythmia during pregnancy poses risk to the mother and fetus, calling for proper treatment with medications. Use of antiarrhythmic drugs in cases of maternal tachyarrhythmia must give due consideration of potential teratogenic side effects. Utilization of antiarrhythmic drugs during pregnancy has been well studied; some result in minimal fetal harm or none at all...
March 2017: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
https://www.readbyqxmd.com/read/28424295/the-sensorimotor-system-minimizes-prediction-error-for-object-lifting-when-the-object-s-weight-is-uncertain
#15
Jack Brooks, Anne Thaler
A reliable mechanism to predict the heaviness of an object is important for manipulating an object under environmental uncertainty. Recently, Cashaback et al. (Journal of Neurophysiol 117: 260-274, 2017) showed that for object lifting, the sensorimotor system uses a strategy that minimizes prediction error when the object's weight is uncertain. Previous research demonstrates that visually guided reaching is similarly optimised. Although this suggests a unified strategy of the sensorimotor system for object manipulation, the selected strategy appears to be task dependent and subject to change in response to the degree of environmental uncertainty...
April 19, 2017: Journal of Neurophysiology
https://www.readbyqxmd.com/read/28424213/magnesium-improves-cisplatin-mediated-tumor-killing-while-protecting-against-cisplatin-induced-nephrotoxicity
#16
Gopal Kumar, Malvika H Solanki, Xiangying Xue, Rachel Mintz, Swati Madankumar, Proydot K Chatterjee, Christine N Metz
Approximately 30% of all cancer patients treated with cisplatin, a widely used, broad-spectrum chemotherapeutic agent, experience acute kidney injury (AKI). Almost all patients receiving cisplatin have magnesium (Mg) losses, which are proposed to aggravate AKI. Currently, there are no methods to successfully treat or prevent cisplatin-AKI. While Mg supplementation has been shown to reduce AKI in experimental models and several small clinical trials, the effects of Mg status on tumor outcomes in immunocompetent tumor-bearing mice and humans have not been investigated...
April 19, 2017: American Journal of Physiology. Renal Physiology
https://www.readbyqxmd.com/read/28423006/transcriptome-and-proteome-responses-in-rnalater-preserved-tissue-of-arabidopsis-thaliana
#17
Colin P S Kruse, Proma Basu, Darron R Luesse, Sarah E Wyatt
Tissue preservation is a minimal requirement for the success of plant RNA and protein expression studies. The standard of snap-freezing in liquid nitrogen is not always practical or possible. RNAlater, a concentrated solution of ammonium and cesium sulfates, has become a standard preservative in the absence of liquid nitrogen. Here, we demonstrate the effectiveness of RNAlater in preserving both RNA and proteins in Arabidopsis thaliana tissues for use in RNAseq and LC-MS/MS analysis of proteins. While successful in preserving plant material, a transcriptomic and proteomic response is evident...
2017: PloS One
https://www.readbyqxmd.com/read/28422994/the-sheep-grimace-scale-as-an-indicator-of-post-operative-distress-and-pain-in-laboratory-sheep
#18
C Häger, S Biernot, M Buettner, S Glage, L M Keubler, N Held, E M Bleich, K Otto, C W Müller, S Decker, S R Talbot, A Bleich
The EU Directive 2010/63/EU changed the requirements regarding the use of laboratory animals and raised important issues related to assessing the severity of all procedures undertaken on laboratory animals. However, quantifiable parameters to assess severity are rare, and improved assessment strategies need to be developed. Hence, a Sheep Grimace Scale (SGS) was herein established by observing and interpreting sheep facial expressions as a consequence of pain and distress following unilateral tibia osteotomy...
2017: PloS One
https://www.readbyqxmd.com/read/28422954/identification-of-the-contribution-of-contact-and-aerial-biomechanical-parameters-in-acrobatic-performance
#19
Diane Haering, Aurore Huchez, Franck Barbier, Patrice Holvoët, Mickaël Begon
INTRODUCTION: Teaching acrobatic skills with a minimal amount of repetition is a major challenge for coaches. Biomechanical, statistical or computer simulation tools can help them identify the most determinant factors of performance. Release parameters, change in moment of inertia and segmental momentum transfers were identified in the prediction of acrobatics success. The purpose of the present study was to evaluate the relative contribution of these parameters in performance throughout expertise or optimisation based improvements...
2017: PloS One
https://www.readbyqxmd.com/read/28422583/game-simulation-drill-design-alters-the-speed-profiles-of-wheelchair-rugby-players
#20
James M Rhodes, Barry S Mason, Thomas A W Paulson, Victoria L Goosey-Tolfrey
PURPOSE: This study examined the speed profiles of elite wheelchair rugby (WCR) players during game-simulation training drills of differing player number and shot-clock regulations. A secondary aim was to determine whether the profiles were further influenced by players classification. METHODS: Eight elite WCR players (low-point n = 3; high-point n = 5) were monitored using a radio-frequency based, indoor tracking system during training sessions over a 5-month period...
April 19, 2017: International Journal of Sports Physiology and Performance
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