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Jumana Hussain, Hussein Ali AlZamel, Imtiyaz Nawaz, Abdulmohsen Al Bader
INTRODUCTION: A fibrolipoma of the left subclavicular region, a neoplasm rarely encountered in this region, was compromising the branchial plexus and thoracic duct, causing thoracic outlet syndrome in a symptomatic patient. CASE PRESENTATION: A 41-year-old Asian woman was brought to our ENT (ear-nose-throat) clinic because of slowly progressive swelling of the left subclavicular region since 10 years before, which became painful with time, associated with increasing subpectoral and shoulder pains, left arm swelling, and left forearm paresthesias...
June 7, 2018: International Journal of Surgery Case Reports
Alireza Noamani, Albert H Vette, Richard Preuss, Milos R Popovic, Hossein Rouhani
BACKGROUND: Motion assessment of the body's head-arms-trunk (HAT) using linked-segment models, along with an inverse dynamics approach, can enable in vivo estimations of inter-vertebral moments. However, this mathematical approach is prone to experimental errors because of inaccuracies in (i) kinematic measurements associated with soft tissue artifacts and (ii) estimating individual-specific body segment parameters (BSPs). The inaccuracy of the BSPs is particularly challenging for the multi-segment HAT due to high inter-participant variability in the HAT's BSPs and no study currently exists that can provide a less erroneous estimation of the joint moments along the spinal column...
June 18, 2018: Gait & Posture
Xinan Sheng, Dengfeng Cao, Jianlin Yuan, Fangjian Zhou, Qiang Wei, Xiaodong Xie, Chuanliang Cui, Zhihong Chi, Lu Si, Siming Li, Lili Mao, Bin Lian, Bixia Tang, Xieqiao Yan, Xuan Wang, Yan Kong, Jie Dai, Xue Bai, Li Zhou, Jun Guo
BACKGROUND: Collecting duct carcinoma (CDC) is a rare type of renal cancer with a poor prognosis. As there are no standard guidelines for the management of metastatic CDC (mCDC), we evaluated the efficacy and safety of combined therapies of sorafenib, gemcitabine, plus cisplatin in patients with mCDC. MATERIALS AND METHODS: A prospective, multicentre, single-arm, open-label, phase 2 trial ( identifier NCT01762150) that enrolled 26 mCDC patients with no prior systemic chemotherapy...
June 19, 2018: European Journal of Cancer
Amy W McDevitt, Suzanne J Snodgrass, Joshua A Cleland, Mary Becky R Leibold, Lindsay A Krause, Paul E Mintken
OBJECTIVES: To describe the outcomes of 10 patients with chronic biceps tendinopathy treated by physical therapy with the novel approach of dry needling (DN), eccentric-concentric exercise (ECE), and stretching of the long head of the biceps tendon (LHBT). METHODS: Ten individuals reporting chronic anterior shoulder symptoms (> 3 months), pain with palpation of the LHBT, and positive results on a combination of tests including active shoulder flexion, Speed's, Hawkins Kennedy, Neer, and Yergason's tests participated in this case series...
June 22, 2018: Physiotherapy Theory and Practice
Anu Paul, Vered Padler-Karavani
All living cells are covered with a dense "sugar-coat" of carbohydrate chains (glycans) conjugated to proteins and lipids. The cell surface glycome is determined by a non-template driven process related to the collection of enzymes that assemble glycans in a sequential manner. In mammals, many of these glycans are topped with sialic acids (Sia), a large family of acidic sugars. The "Sialome" is highly diverse owing to various Sia types, linkage to underlying glycans, range of carriers, and complex spatial organization...
June 22, 2018: Xenotransplantation
Jennifer R Bail, Andrew D Frugé, Mallory G Cases, Jennifer F De Los Santos, Julie L Locher, Kerry P Smith, Alan B Cantor, Harvey J Cohen, Wendy Demark-Wahnefried
BACKGROUND: The current study assessed the feasibility of a mentored home-based vegetable gardening intervention and examined changes in health-related outcomes among breast cancer survivors (BCS). METHODS: BCS were randomized to either a year-long vegetable gardening intervention to begin immediately or a wait-list control. Master Gardeners mentored participants in planning, planting, and maintaining 3 seasonal gardens over the course of 1 year. Participant accrual, retention, and satisfaction rates of ≥80% served as feasibility (primary outcome) benchmarks...
June 22, 2018: Cancer
Melissa J Palmer, Sharmani Barnard, Pablo Perel, Caroline Free
BACKGROUND: Cardiovascular disease (CVD) is a major cause of disability and mortality globally. Premature fatal and non-fatal CVD is considered to be largely preventable through the control of risk factors via lifestyle modifications and preventive medication. Lipid-lowering and antihypertensive drug therapies for primary prevention are cost-effective in reducing CVD morbidity and mortality among high-risk people and are recommended by international guidelines. However, adherence to medication prescribed for the prevention of CVD can be poor...
June 22, 2018: Cochrane Database of Systematic Reviews
Anne-Catherine Pouleur, Stefan Anker, Dulce Brito, Oana Brosteanu, Dirk Hasenclever, Barbara Casadei, Frank Edelmann, Gerasimos Filippatos, Damien Gruson, Ignatios Ikonomidis, Renaud Lhommel, Masliza Mahmod, Stefan Neubauer, Alexandre Persu, Bernhard L Gerber, Stefan Piechnik, Burkert Pieske, Elisabeth Pieske-Kraigher, Fausto Pinto, Piotr Ponikowski, Michele Senni, Jean-Noël Trochu, Nancy Van Overstraeten, Rolf Wachter, Jean-Luc Balligand
AIMS: Progressive left ventricular (LV) remodelling with cardiac myocyte hypertrophy, myocardial fibrosis, and endothelial dysfunction plays a key role in the onset and progression of heart failure with preserved ejection fraction. The Beta3-LVH trial will test the hypothesis that the β3 adrenergic receptor agonist mirabegron will improve LV hypertrophy and diastolic function in patients with hypertensive structural heart disease at high risk for developing heart failure with preserved ejection fraction...
June 22, 2018: ESC Heart Failure
D Sculier, T Doco-Lecompte, S Yerly, K J Metzner, L A Decosterd, A Calmy
OBJECTIVES: Dolutegravir (DTG) is a highly effective integrase inhibitor with a strong genetic resistance barrier and a potential role in simplified HIV maintenance treatment. We assessed the feasibility of DTG maintenance monotherapy and measured HIV reservoirs on DTG monotherapy. METHODS: An interventional, open-label, single-arm study including eight virologically suppressed HIV-1-infected patients switched to DTG 50 mg once daily for 24 weeks was performed...
June 22, 2018: HIV Medicine
A C Berry
Tremendous advancements in syndromic surveillance strategies over the last two decades, and specifically from prior mass gatherings, have been incorporated into day-to-day healthcare analysis worldwide and have left a lasting indirect impact since their inception. Mass gatherings are a daily occurrence worldwide and provide a scenario ripe for public health aims and objectives utilising syndromic surveillance. Europe is less than a decade away from hosting a colossal worldwide gathering (2024 Summer Olympics) in likely a time when the global agreement is in flux...
June 22, 2018: Epidemiology and Infection
Emma Gliddon, Victoria Cosgrove, Lesley Berk, Sue Lauder, Mohammadreza Mohebbi, David Grimm, Seetal Dodd, Carolyn Coulson, Karishma Raju, Trisha Suppes, Michael Berk
OBJECTIVES: MoodSwings 2.0 is an online self-guided intervention for bipolar disorder that includes educational modules, interactive tools, and discussion forums. The primary aim of the study was to determine if participation in MoodSwings 2.0 would result in decreased symptoms of depression and mania compared to the control condition. Secondary aims were to identify improvements in core depression symptoms, quality of life, medication adherence, functioning, and time to relapse. METHODS: This was a three-arm randomized controlled trial that compared two intervention arms against a peer support control group (forum)...
June 21, 2018: Bipolar Disorders
Nils Bury, Otmar Bock
Many studies have evaluated the interplay of gravicentric, egocentric, and visual cues for our perception of the vertical, but little is known about their interplay for motor control. Thirty-five participants flipped a switch "down" in experimental conditions which systematically varied body posture (upright; tilted 45° left-ear-down), visually indicated vertical (absent; aligned with the long body axis; rotated 45° counterclockwise with respect to the long body axis), and egocentric tactile information provided by a handhold (absent; present)...
June 22, 2018: Experimental Brain Research. Experimentelle Hirnforschung. Expérimentation Cérébrale
E Morán, M A Bonillo, L Fernández-Estevan, E Martínez-Cuenca, S Arlandis, E Broseta, F Boronat
INTRODUCTION: The aim of our study was to analyze the oral quality of life (QoL) in patients with urethral stricture treated with BMG by using a validated questionnaire (OIDP). MATERIALS AND METHODS: A prospective, single-arm, observational single-centre study of a cohort of patients scheduled for BMG Urethroplasty was conducted. OIDP assesses the impact of oral conditions on daily activities including an oral QoL question (0-10). The questionnaire was self-administered before, 3 months postoperatively and at the end of the study...
June 21, 2018: World Journal of Urology
Kiyotaka Yokogami, Koji Yamasaki, Fumitaka Matsumoto, Shinji Yamashita, Kiyotaka Saito, Asya Tacheva, Asako Mizuguchi, Takashi Watanabe, Hajime Ohta, Hideo Takeshima
The WHO2016 CNS update requires a combined histological and molecular assessment. To assess the major aberrations such as co-deletion of complete chromosome arms 1p and 19q (Co-del), isocitrate dehydrogenase and histone H3 mutations, direct sequencing, multiplex ligation-dependent probe amplification and/or FISH are methods considered to be "golden standard" in the community. However, these methods are expensive and complicated. The aim of this study is verification of the sensitivity of the simple PCR-based techniques for assessment of molecular information in daily diagnosis...
June 21, 2018: Brain Tumor Pathology
Basma Mahrous El-Fatatry, Osama Mohamed Ibrahim, Fatma Zakaria Hussien, Tarek Mohamed Mostafa
PURPOSE: Peripheral sensory neuropathy is the most prominently reported adverse effect of oxaliplatin. The purpose of this study was to evaluate metformin role in oxaliplatin-induced neuropathy. PATIENTS AND METHODS: From November 2014 to May 2016, 40 patients with stage III colorectal cancer completed 12 cycles of FOLFOX-4 regimen. Twenty patients in the control arm received FOLFOX-4 regimen only, and 20 patients in the metformin arm, received the same regimen along with metformin 500 mg three times daily...
June 21, 2018: International Journal of Colorectal Disease
L Aarhus, E Stranden, K-C Nordby, E Einarsdottir, R Olsen, B Ruud, R Bast-Pettersen
Background: Vibration-induced white finger (VWF) is often assessed using the Stockholm Workshop Scale (SWS) and cold challenge plethysmography. However, long-term longitudinal studies using both methods are scarce. Aims: To study the long-term course and prognostic factors of VWF assessed with the SWS and photoplethysmography (PPG), and to examine the effects of lifestyle on PPG score, regardless of VWF status. Methods: Forty male construction workers were examined with a test battery and clinical examination in 1994 and 2016/17...
June 19, 2018: Occupational Medicine
Francesco M Egro, Louise C Tayler-Grint, Sai K Vangala, Chibueze A Nwaiwu
An e-learning tutorial was developed to cover the basic aspects of acute burns management. The aim of this study was to provide objective educational evidence supporting the role of an e-learning on acute burns management ("basic burns management" or BBM) when compared with traditional teaching methods when introduced in different medical school settings around the world. A multicenter randomized controlled trial was conducted at the University of Pittsburgh, Peninsula College of Medicine and Dentistry, and St...
January 1, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
Hu Wang, Li Wang, Yujia Cheng, Zhiqing Xia, Yifeng Liao, Jiang Cao
In the present meta-analysis, the efficacy and safety of orlistat in the treatment of non-alcoholic fatty liver (NAFLD) and non-alcoholic steatohepatitis (NASH) were evaluated. PubMed, Embase, the Cochrane Library, Web of Science, and Wan Fang data were searched for controlled trials of orlistat in patients with NAFLD or NASH, published before August 2017. Three randomized controlled trials and four single-arm trials were included. The involved participants with NAFLD or NASH (330 patients) were analyzed for clinical outcomes including alteration in hepatic histological variables and biomarkers of liver function...
July 2018: Biomedical Reports
Jusung Oh, Hyou-Arm Joung, Hyung Soo Han, Jong Kun Kim, Min-Gon Kim
The immunochromatographic (ICA) assay is a highly promising platform for rapid and simple detection of C-reactive protein (CRP) which is an indicator of the different phases of various diseases, as well as of inflammation and infection. However, the hook effect in the ICA assay limits the quantification of CRP levels at high CRP concentrations. Methods: In this study, we developed a hook effect-free immunochromatographic assay (HEF-ICA) to detect CRP over a wide concentration range. The hook effect results from the simultaneous reaction of an excess target antigens with both immobilized and labeled antibodies respectively...
2018: Theranostics
Jiangman Song, Lu Yang, Di Nan, Qihua He, You Wan, Huailian Guo
Chronic cerebral hypoperfusion is one of the fundamental pathological causes of brain disease such as vascular dementia. Exploration of effective treatments for this is of great interest. Histidine has been reported to be effective in anti-apoptosis, antioxidant, and against excitotoxicity. In the present study, we aim to investigate whether histidine could have a therapeutic effect on the impairments induced by chronic cerebral hypoperfusion. Cerebral hypoperfusion model was established through bilateral common carotid arteries stenosis (BCAS) operation in Tie2-GFP mice...
2018: Frontiers in Physiology
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