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https://www.readbyqxmd.com/read/29139001/the-assessment-for-disinvestment-of-intramuscular-interferon-beta-for-relapsing-remitting-multiple-sclerosis-in-brazil
#1
REVIEW
Livia Lovato Pires de Lemos, Augusto Afonso Guerra Júnior, Marisa Santos, Carlos Magliano, Isabela Diniz, Kathiaja Souza, Ramon Gonçalves Pereira, Juliana Alvares, Brian Godman, Marion Bennie, Ivan Ricardo Zimmermann, Vânia Crisitna Canuto Dos Santos, Clarice Alegre Pretramale, Francisco de Assis Acurcio
In Brazil, inclusion and exclusion of health technologies within the Unified Health System (SUS) is the responsibility of the National Committee for Health Technology Incorporation (CONITEC). A recent Cochrane systematic review demonstrated that intramuscular interferon beta 1a (IFN-β-1a-IM) was inferior to the other beta interferons (IFN-βs) for multiple sclerosis (MS). As a result, CONITEC commissioned an analysis to review possible disinvestment within SUS. The objective of this paper is to describe the disinvestment process for IFN-β-1a-IM in Brazil...
November 14, 2017: PharmacoEconomics
https://www.readbyqxmd.com/read/29129749/quantitative-proteomic-analysis-of-deciduous-molars-during-cap-to-bell-transition-in-miniature-pig
#2
Yang Li, Yiyi Gong, Xiaoshan Wu, Fu Wang, Yilin Xie, Zhao Zhu, Yingying Su, Jinsong Wang, Chunmei Zhang, Junqi He, Haiteng Deng, Songlin Wang
Taking advantage of genetic manipulation tools and accessibility, almost all molecular knowledge on vertebrate tooth development was obtained from rodent models that only have one dentition in their entire lives. Whether the tooth development in other vertebrates such as swine or human follows the same rules remains elusive. Rodent dentitions differ considerably from human dentitions, therefore limiting the application of knowledge from rodent tooth to human tooth. Signal-mediated communication between cells and complex gene and protein regulatory networks are key components of tooth development...
November 9, 2017: Journal of Proteomics
https://www.readbyqxmd.com/read/29125387/significado-de-psic%C3%A3-logas-os-de-atenci%C3%A3-n-primaria-de-salud-sobre-la-intervenci%C3%A3-n-psicosocial-de-grupo-en-el-tratamiento-de-la-depresi%C3%A3-n-en-chile
#3
Gonzalo Andrade, Adriana Espinoza
En Chile, el tratamiento de la depresión en salud pública promueve la realización de Intervenciones Psicosociales en Grupo (IPG) para todos los casos diagnosticados, no obstante, se observa una baja implementación de estas prestaciones. El presente artículo describe y caracteriza, desde el punto de vista de la disciplina psicológica, el significado de psicólogas/os que trabajan en consultorios de atención primaria de salud (APS) sobre las IPG en el tratamiento de la depresión. Se entrevistaron a ocho psicólogas/os de los distintos Servicios de Salud de la Región Metropolitana de Santiago...
November 1, 2017: Global Health Promotion
https://www.readbyqxmd.com/read/29122300/using-prognostic-models-in-cll-to-personalize-approach-to-clinical-care-are-we-there-yet
#4
REVIEW
Alain Mina, Jose Sandoval Sus, Elsa Sleiman, Javier Pinilla-Ibarz, Farrukh T Awan, Mohamed A Kharfan-Dabaja
Four decades ago, two staging systems were developed to help stratify CLL into different prognostic categories. These systems, the Rai and the Binet staging, depended entirely on abnormal exam findings and evidence of anemia and thrombocytopenia. Better understanding of biologic, genetic, and molecular characteristics of CLL have contributed to better appreciating its clinical heterogeneity. New prognostic models, the GCLLSG prognostic index and the CLL-IPI, emerged. They incorporate biologic and genetic information related to CLL and are capable of predicting survival outcomes and cases anticipated to need therapy earlier in the disease course...
October 28, 2017: Blood Reviews
https://www.readbyqxmd.com/read/29121877/a-systematic-survey-to-identify-lethal-recessive-variation-in-highly-managed-pig-populations
#5
Martijn F L Derks, Hendrik-Jan Megens, Mirte Bosse, Marcos S Lopes, Barbara Harlizius, Martien A M Groenen
BACKGROUND: Lethal recessive variation can cause prenatal death of homozygous offspring. Although usually present at low-frequency in populations, the impact on individual fitness can be substantial. Until recently, the presence of recessive embryonic lethal variation could only be measured indirectly through reduced fertility. In this study, we estimate the presence of genetic loci associated with both early and late termination of development during gestation in pigs from the wealth of genome data routinely generated by a commercial breeding company...
November 9, 2017: BMC Genomics
https://www.readbyqxmd.com/read/29121480/palliative-care-planner-pcplanner-a-pilot-study-to-evaluate-acceptability-and-usability-of-an-electronic-health-records-system-integrated-needs-targeted-app-platform
#6
Christopher E Cox, Derek M Jones, Wen Reagan, Mary D Key, Vinca Chow, Jessica McFarlin, David Casarett, Claire J Creutzfeldt, Sharron L Docherty
RATIONALE: The quality and patient-centeredness of intensive care unit (ICU)-based palliative care delivery is highly variable. OBJECTIVE: To develop and pilot an app platform for clinicians, ICU patients, and their family members that enhances the delivery of needs-targeted palliative care. METHODS: In the Development Phase of the study, we developed an electronic health record (EHR) system-integrated mobile web app system prototype, PCplanner (Palliative Care Planner)...
November 9, 2017: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/29114434/usability-evaluation-of-laboratory-information-systems
#7
Althea Mathews, David Marc
Background: Numerous studies have revealed widespread clinician frustration with the usability of electronic health records (EHRs) that is counterproductive to adoption of EHR systems to meet the aims of health-care reform. With poor system usability comes increased risk of negative unintended consequences. Usability issues could lead to user error and workarounds that have the potential to compromise patient safety and negatively impact the quality of care.[1] While there is ample research on EHR usability, there is little information on the usability of laboratory information systems (LISs)...
2017: Journal of Pathology Informatics
https://www.readbyqxmd.com/read/29113608/the-brazilian-family-health-strategy-and-the-management-of-intestinal-parasitic-infections
#8
Caroline Ferraz Ignacio, Martha Macedo de Lima Barata, Antonio Henrique Almeida de Moraes Neto
Aim This study analyzed the management of intestinal parasitic infections in the Family Health Strategy covering Brazilian urban slums. BACKGROUND: The Family Health Strategy is the preferred strategy for providing public, community-based primary health care in the Brazilian Unified Health System (SUS). Through this strategy, Family Health teams are responsible for the health of residents of a defined territory, including health promotion, health education and control of neglected tropical diseases such as intestinal parasitic infections...
November 8, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29108837/factors-associated-with-type-2-diabetes-mellitus-treatment-choice-across-four-european-countries
#9
Edith M Heintjes, Jetty A Overbeek, Gillian C Hall, Daniel Prieto-Alhambra, Francesco Lapi, Niklas Hammar, Irene D Bezemer
PURPOSE: The aim of this analysis was to identify factors associated with the choice of type 2 diabetes mellitus (T2DM) therapy at the time of intensification of antidiabetic treatment across 4 European countries. METHODS: Antidiabetic drug prescription/dispensing records and patients' characteristics were obtained from the electronic health care records of patients with T2DM from the Netherlands (NL), Italy, and Spain (ES) (all, 2007-2011); and the United Kingdom (UK; 2008-2012)...
November 3, 2017: Clinical Therapeutics
https://www.readbyqxmd.com/read/29101343/the-influence-of-experience-on-contest-assessment-strategies
#10
Irene Camerlink, Simon P Turner, Marianne Farish, Gareth Arnott
Animal contest behaviour has been widely studied, yet major knowledge gaps remain concerning the information-gathering and decision-making processes used during encounters. The mutual assessment strategy, where the individual assesses its own fighting ability (Resource Holding Potential, RHP) and compares it to that of its opponent, is least understood. We hypothesise that individuals need experience of agonistic encounters to become proficient at mutual assessment. Pigs (Sus scrofa, n = 316) were contested twice...
November 3, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29098431/an-app-for-patient-education-and-self-audit-within-an-enhanced-recovery-program-for-bowel-surgery-a-pilot-study-assessing-validity-and-usability
#11
Nicolò Pecorelli, Julio F Fiore, Pepa Kaneva, Abarna Somasundram, Patrick Charlebois, A Sender Liberman, Barry L Stein, Franco Carli, Liane S Feldman
INTRODUCTION: While patient engagement and clinical audit are key components of successful enhanced recovery programs (ERPs), they require substantial resource allocation. The objective of this study was to assess the validity and usability of a novel mobile device application for education and self-reporting of adherence for patients undergoing bowel surgery within an established ERP. METHODS: Prospectively recruited patients undergoing bowel surgery within an ERP used a novel app specifically designed to provide daily recovery milestones and record adherence to 15 different ERP processes and six patient-reported outcomes (PROs)...
November 2, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/29095568/direct-head-to-head-comparison-of-glycemic-durability-of-dipeptidyl-peptidase-4-inhibitors-and-sulphonylureas-in-patients-with-type-2-diabetes-mellitus-a-meta-analysis-of-long-term-randomized-controlled-trials
#12
Kang Chen, Deying Kang, Miao Yu, Ruya Zhang, Ye Zhang, Guojuan Chen, Yiming Mu
We performed a meta-analysis of randomized controlled trials (RCTs) to compare the long-term glycemic durability between dipeptidyl-peptidase 4 (DPP4) inhibitors and sulfonylureas (SUs) in patients with type 2 diabetes mellitus (T2DM), in terms of the changes in glycosylated hemoglobin (HbA1c) levels from an intermediate time point (26 weeks or 52 weeks) to 104 weeks of treatment. The Medline (PubMed), Embase (Ovid), and CENTER (Cochrane Library) databases were searched for relevant RCTs. Eight RCTs were included...
November 2, 2017: Diabetes, Obesity & Metabolism
https://www.readbyqxmd.com/read/29091271/screening-and-identifying-membrane-proteins-favorable-for-crystallization
#13
Jared Kim, Ho Leung Ng
This unit addresses several critical challenges associated with membrane protein crystallography by screening membrane proteins from Escherichia coli, Saccharomyces cerevisiae, and Sus scrofa cerebral tissue for biochemical properties favorable for crystallization. First, a tissue sample or cell pellet is obtained. The cells are isolated, washed, and then lysed either by sonication, bead beating, or manual homogenization. Membrane proteins are fractionated from the lysates by centrifugation and solubilized in a mild detergent suitable for crystallization, such as n-dodecyl-β-maltoside (DDM)...
November 1, 2017: Current Protocols in Protein Science
https://www.readbyqxmd.com/read/29091169/-multi-criteria-decision-analysis-for-health-technology-resource-allocation-and-assessment-so-far-and-so-near
#14
Alessandro Gonçalves Campolina, Patrícia Coelho De Soárez, Fábio Vieira do Amaral, Jair Minoro Abe
Multi-criteria decision analysis (MCDA) is an emerging tool that allows the integration of relevant factors for health technology assessment (HTA). This study aims to present a summary of the methodological characteristics of MCDA: definitions, approaches, applications, and implementation stages. A case study was conducted in the São Paulo State Cancer Institute (ICESP) in order to understand the perspectives of decision-makers in the process of drafting a recommendation for the incorporation of technology in the Brazilian Unified National Health System (SUS), through a report by the Brazilian National Commission for the Incorporation of Technologies in the SUS (CONITEC)...
October 26, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/29091114/primary-health-care-assessment-by-users-with-and-without-disabilities
#15
Maria Helena Morgani de Almeida, Samanta Pacheco, Stephanie Krebs, Amanda Manso Oliveira, Alessandra Samelli, Daniela Regina Molini-Avejonas, Rosé Colom Toldrá, Fátima Corrêa Oliver
PURPOSE: To evaluate the core (First Contact, Longitudinality, Comprehensiveness, and Coordination of Services) and derivative (Family Orientation, Community Orientation) attributes of primary health care (PHC) from the perspective of users with and without disabilities. METHODS: Observational, cross-sectional study using the Primary Care Assessment Tool (PCAT) with users with and without disabilities of five basic health units (BHU) in a municipality where 55% of the population depends on the Brazilian Unified Health System (SUS)...
October 26, 2017: CoDAS
https://www.readbyqxmd.com/read/29090907/colorimetric-nucleic-acid-detection-on-paper-microchip-using-loop-mediated-isothermal-amplification-and-crystal-violet-dye
#16
Sharmili Roy, Noor Faizah Mohd-Naim, Mohammadali Safavieh, Minhaz Uddin Ahmed
Nucleic acid detection is of paramount importance in monitoring of microbial pathogens in food safety and infectious disease diagnostic applications. To address these challenges, a rapid, cost-effective label-free technique for nucleic acid detection with minimal instrumentations is highly desired. Here, we present paper microchip to detect and quantify nucleic acid using colorimetric sensing modality. The extracted DNA from food samples of meat as well as microbial pathogens was amplified utilizing loop-mediated isothermal amplification (LAMP)...
November 10, 2017: ACS Sensors
https://www.readbyqxmd.com/read/29077064/stenotrophomonas-maltophilia-a-gram-negative-bacterium-useful-for-transformations-of-flavanone-and-chalcone
#17
Edyta Kostrzewa-Susłow, Monika Dymarska, Urszula Guzik, Danuta Wojcieszyńska, Tomasz Janeczko
A group of flavones, isoflavones, flavanones, and chalcones was subjected to small-scale biotransformation studies with the Gram-negative Stenotrophomonas maltophilia KB2 strain in order to evaluate the capability of this strain to transform flavonoid compounds and to investigate the relationship between compound structure and transformation type. The tested strain transformed flavanones and chalcones. The main type of transformation of compounds with a flavanone moiety was central heterocyclic C ring cleavage, leading to chalcone and dihydrochalcone structures, whereas chalcones underwent reduction to dihydrochalcones and cyclisation to a benzo-γ-pyrone moiety...
October 27, 2017: Molecules: a Journal of Synthetic Chemistry and Natural Product Chemistry
https://www.readbyqxmd.com/read/29076653/tuberculosis-in-southern-brazilian-wild-boars-sus-scrofa-first-epidemiological-findings
#18
A L G Maciel, M R Loiko, T S Bueno, J G Moreira, M Coppola, E R Dalla Costa, K B Schmid, R O Rodrigues, S P Cibulski, A C Bertagnolli, F Q Mayer
Bovine tuberculosis (bTB) is a zoonosis caused mainly by Mycobacterium bovis that affects domestic and wild animals. In Brazil, there are no epidemiological studies on tuberculosis in wild animal populations and their possible role in the disease maintenance in cattle herds; thus, the aim of this study was to evaluate the occurrence of tuberculosis in wild boars in Rio Grande do Sul, southern Brazil. Tissue samples of animals hunted under government consent were submitted to histopathology and M. bovis polymerase chain reaction (PCR) as screening tests; the positive samples were subsequently submitted to bacterial isolation, the gold standard diagnosis...
October 27, 2017: Transboundary and Emerging Diseases
https://www.readbyqxmd.com/read/29073733/tracing-the-breeding-farm-of-domesticated-pig-using-feature-selection-sus-scrofa
#19
Taehyung Kwon, Joon Yoon, Jaeyoung Heo, Wonseok Lee, Heebal Kim
OBJECTIVE: Increasing food safety demands in the animal product market have created a need for a system to trace the food distribution process, from the manufacturer to the retailer, and genetic traceability is an effective method to trace the origin of animal products. In this study, we successfully achieved the farm tracing of 6,018 multi-breed pigs, using single nucleotide polymorphism (SNP) markers strictly selected through least absolute shrinkage and selection operator (LASSO) feature selection...
November 2017: Asian-Australasian Journal of Animal Sciences
https://www.readbyqxmd.com/read/29072814/multiple-resistance-to-glyphosate-paraquat-and-accase-inhibiting-herbicides-in-italian-ryegrass-populations-from-california-confirmation-and-mechanisms-of-resistance
#20
Parsa Tehranchian, Vijay Nandula, Mithila Jugulam, Karthik Putta, Marie Jasieniuk
BACKGROUND: Glyphosate, paraquat and acetyl CoA carboxylase (ACCase)-inhibiting herbicides are widely used in California annual and perennial cropping systems. Recently, glyphosate, paraquat, and ACCase- and acetolactate synthase (ALS)-inhibitor resistance was confirmed in several Italian ryegrass populations from the Central Valley of California. This research characterized the possible mechanisms of resistance. RESULTS: Multiple-resistant populations (MR1, MR2) are resistant to several herbicides from at least three modes of action...
October 26, 2017: Pest Management Science
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