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https://www.readbyqxmd.com/read/29768367/the-phenotypic-heterogeneity-of-patients-with-marfan-related-disorders-and-their-variant-spectrums
#1
Go Hun Seo, Yoon-Myung Kim, Eungu Kang, Gu-Hwan Kim, Eul-Ju Seo, Beom Hee Lee, Jin-Ho Choi, Han-Wook Yoo
Marfan syndrome (MFS) and Loeys-Dietz syndrome (LDS) are the connective tissue disorders characterized by aortic root aneurysm and/or dissection and various additional features. We evaluated the correlation of these mutations with the phenotypes and determined the clinical applicability of the revised Ghent criteria.The mutation spectrum and phenotypic heterogeneities of the 83 and 5 Korean patients with suspected MFS and LDS were investigated as a retrospective manner. In patients with suspected MFS patients, genetic testing was conducted in half of 44 patients who met the revised Ghent criteria clinically and half of 39 patients who did not meet these criteria...
May 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29748350/prognostic-significance-of-creatinine-increases-during-an-acute-heart-failure-admission-in-patients-with-and-without-residual-congestion-a-post-hoc-analysis-of-the-protect-data
#2
Marco Metra, Gad Cotter, Stefanie Senger, Christopher Edwards, John G Cleland, Piotr Ponikowski, Guillermo C Cursack, Olga Milo, John R Teerlink, Michael M Givertz, Christopher M O'Connor, Howard C Dittrich, Daniel M Bloomfield, Adriaan A Voors, Beth A Davison
BACKGROUND: The importance of a serum creatinine increase, traditionally considered worsening renal function (WRF), during admission for acute heart failure has been recently debated, with data suggesting an interaction between congestion and creatinine changes. METHODS AND RESULTS: In post hoc analyses, we analyzed the association of WRF with length of hospital stay, 30-day death or cardiovascular/renal readmission and 90-day mortality in the PROTECT study (Placebo-Controlled Randomized Study of the Selective A1 Adenosine Receptor Antagonist Rolofylline for Patients Hospitalized With Acute Decompensated Heart Failure and Volume Overload to Assess Treatment Effect on Congestion and Renal Function)...
May 2018: Circulation. Heart Failure
https://www.readbyqxmd.com/read/29558001/characteristics-and-outcomes-of-non-hodgkin-s-lymphoma-patients-with-leptomeningeal-metastases
#3
Xiangrui Meng, Jingwei Yu, Qian Fan, Lanfang Li, Wei Li, Zheng Song, Xianming Liu, Yanyang Jiang, Ming Gao, Huilai Zhang
BACKGROUND: Leptomeningeal metastasis is an uncommon but devastating complication. The incidence of non-Hodgkin's lymphoma has been increasing in recent decades, due to the poor central nervous system penetration of drugs and the prolonged overall survival of patients, leptomeningeal metastases has gradually increased over time. Patients with leptomeningeal metastases have short survival durations and poor quality of life; there are few studies about non-Hodgkin's lymphoma with leptomeningeal metastases...
March 20, 2018: International Journal of Clinical Oncology
https://www.readbyqxmd.com/read/29506013/influence-of-sleep-stage-on-lh-pulse-initiation-in-the-normal-late-follicular-phase-and-in-polycystic-ovary-syndrome
#4
Christine Lu, Eleanor Hutchens, Leon Farhy, Heather Bonner, Paul Suratt, Christopher McCartney
<br>Objective: During the early follicular phase, sleep-related luteinizing hormone (LH) pulse initiation is positively associated with brief awakenings but negatively associated with random eye movement (REM) sleep. The relationship between sleep architecture and LH pulse initiation has not been assessed in other cycle stages or in women with polycystic ovary syndrome (PCOS). DESIGN AND METHODS: We performed concomitant frequent blood sampling (LH pulse analysis) and polysomnography in 8 normal women (cycle day 7-11) and 7 women with PCOS (at least cycle day 7)...
March 5, 2018: Neuroendocrinology
https://www.readbyqxmd.com/read/29464199/immunosuppression-adherence-in-stable-kidney-transplant-patients-converted-from-immediate-to-prolonged-release-tacrolimus-in-clinical-practice-a-norwegian-study
#5
Sadollah Abedini, Lasse Gøransson, Elinor Cockburn, Suzanne Kilany, Hallvard Holdaas
Background: This study investigated medication adherence in kidney transplant patients (KTPs) converted from immediate-release tacrolimus (IR-T) to prolonged-release tacrolimus (PR-T)-based immunosuppression in routine practice. Methods: Noninterventional, observational, multicenter study in Norway. Included adult KTPs with stable graft function, converted from IR-T (baseline) to PR-T (1 mg:1 mg) in routine practice. Data were collected at baseline, and months 1, 3, 6, and 12 postconversion...
February 2018: Transplantation Direct
https://www.readbyqxmd.com/read/29450734/two-hour-post-challenge-glucose-is-a-better-predictor-of-adverse-outcome-after-myocardial-infarction-than-fasting-or-admission-glucose-in-patients-without-diabetes
#6
Sudipta Chattopadhyay, Anish George, Joseph John, Thozhukat Sathyapalan
AIMS: We evaluate prevalence of new abnormal glucose tolerance (AGT) in post-MI survivors without known diabetes (DM) if guidelines are followed and compare the ability of admission (APG), fasting (FPG) and 2-h post-load plasma glucose (2h-PG) to predict prognosis. METHODS: A total of 674 patients were followed up for 4 years for incidence of major adverse cardiovascular events (MACE) of cardiovascular death, non-fatal re-infarction or non-haemorrhagic stroke. Ability of models including APG, FPG and 2h-PG to predict MACE was compared...
May 2018: Acta Diabetologica
https://www.readbyqxmd.com/read/29361100/assessing-the-optimal-position-for-vedolizumab-in-the-treatment-of-ulcerative-colitis-a-simulation-model
#7
Frank I Scott, Yash Shah, Karen Lasch, Michelle Luo, James D Lewis
Background: Vedolizumab, an α4β7 integrin monoclonal antibody inhibiting gut lymphocyte trafficking, is an effective treatment for ulcerative colitis (UC). We evaluated the optimal position of vedolizumab in the UC treatment paradigm. Methods: Using Markov modeling, we assessed multiple algorithms for the treatment of UC. The base case was a 35-year-old male with steroid-dependent moderately to severely active UC without previous immunomodulator or biologic use...
January 18, 2018: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/29190316/utility-of-initial-induction-chemotherapy-with-5-fluorouracil-cisplatin-and-docetaxel-dcf-for-t4-esophageal-cancer-a-propensity-score-matched-analysis
#8
T Makino, M Yamasaki, Y Miyazaki, N Wada, T Takahashi, Y Kurokawa, K Nakajima, S Takiguchi, M Mori, Y Doki
Although no consensus is available on the treatment of esophageal squamous cell carcinoma (ESCC) invading adjacent organs (T4), establishing effective induction treatments is crucial to altering an unresectable status and achieving curative resection. Here, we evaluated the efficacy of chemotherapy using 5-fluorouracil, cisplatin, and docetaxel (DCF) as the initial induction treatment for T4 ESCC. Fifty patients without distant metastasis who underwent initial induction chemotherapy using DCF for T4 ESCC were propensity score-matched with 50 patients who underwent radiotherapy concurrent with cisplatin and 5-fluorouracil (CRT)...
November 28, 2017: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://www.readbyqxmd.com/read/29146890/effectiveness-of-topical-green-tea-against-multidrug-resistant-staphylococcus-aureus-in-cases-of-primary-pyoderma-an-open-controlled-trial
#9
Nagaraju Umashankar, Belliappa Pemmanda, P Gopkumar, A J Hemalatha, Priya K Sundar, H V Prashanth
Background: Antimicrobial activity of green tea against Staphylococcus aureus both in vitro and in vivo has been reported recently. Studies on clinical efficacy and safety of green tea as antibacterial agent against S. aureus in human cases are rare. Objectives: To evaluate the clinical effectiveness and safety of topical green tea on primary pyoderma caused by S. aureus. We also attempted to determine the minimum inhibitory concentration of green tea against S...
2018: Indian Journal of Dermatology, Venereology and Leprology
https://www.readbyqxmd.com/read/29115998/effect-of-gastric-acid-suppressive-therapy-and-biological-variation-of-serum-gastrin-concentrations-in-dogs-with-chronic-enteropathies
#10
Romy M Heilmann, Nora Berghoff, Niels Grützner, Nolie K Parnell, Jan S Suchodolski, Jörg M Steiner
BACKGROUND: Serum gastrin concentration can help diagnose gastrinomas in dogs if >3-10× the upper reference limit (URL), but antisecretory therapy and other conditions can also cause hypergastrinemia. Effects of antisecretory therapy (famotidine or ranitidine, omeprazole) on serum gastrin concentration in dogs with chronic enteropathy (CE) and its biological variation (BV) are unknown. Aim of the study was to evaluate serum gastrin in acid-suppressant-treated or -naïve CE dogs; test the association between serum gastrin and histopathologic findings in acid-suppressant-naïve CE dogs; and evaluate the BV of serum gastrin in dogs not receiving any gastric acid suppressive therapy...
November 7, 2017: BMC Veterinary Research
https://www.readbyqxmd.com/read/29083246/reduced-insulin-sensitivity-in-differentiated-thyroid-cancer-patients-with-suppressed-tsh
#11
Thaís Gomes De Melo, Aglecio Luiz Souza, Elizabeth Ficher, Arlete Maria Fernandes, Ligia Vera Montali Da Assumpção, Sarah Monte Alegre, Denise Engelbrecht Zantut-Wittmann
OBJECTIVE: TSH-suppression is a therapy for thyroid cancer management, but it may lead to adverse effects, which should be balanced with its benefits. Previous studies evaluating the consequences of TSH suppression on insulin sensitivity have only been done with indirect techniques, and results were controversial. Therefore, we aimed to assess insulin sensitivity in patients with thyroid cancer and suppressed thyroid-stimulating hormone (TSH) with the most appropriate direct method (hyperinsulinemic-euglycemic clamp) in order to get a more conclusive response about the topic...
October 30, 2017: Endocrine Research
https://www.readbyqxmd.com/read/29068880/quantitative-magnetization-transfer-mri-measurements-of-the-anterior-spinal-cord-region-are-associated-with-clinical-outcomes-in-cervical-spondylotic-myelopathy
#12
Michael Brendan Cloney, Zachary A Smith, Kenneth A Weber, Todd B Parrish
STUDY DESIGN: case-control. OBJECTIVE: To understand the role of magnetization transfer ratio in identifying patients with clinically significant myelopathy and disability. SUMMARY OF BACKGROUND DATA: Magnetization transfer ratio (MTR) is a quantitative measure that correlates with myelin loss and neural tissue destruction in a variety of neurological diseases. However, the usefulness of MTR in patients with cervical spondylotic myelopathy (CSM) has not been examined...
October 24, 2017: Spine
https://www.readbyqxmd.com/read/29053905/distinct-predictive-role-of-collateral-status-on-clinical-outcome-in-variant-stroke-subtypes-of-acute-large-arterial-occlusion
#13
X Zhang, M Zhang, W Ding, S Yan, D S Liebeskind, M Lou
BACKGROUND AND PURPOSE: Clinical trials have shown that robust collateral flow has a relationship with good clinical outcome; however, different stroke subtypes were lumped together. This study explored the relationship between baseline collaterals and the onset-to-imaging time (OIT) and the correlation between pre-treatment collateral status and clinical outcome amongst different subtypes. METHOD: Prospectively collected data from consecutive acute ischaemic stroke patients with acute middle cerebral artery occlusion who received reperfusion therapy were reviewed...
February 2018: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://www.readbyqxmd.com/read/28859588/september-2017-letter-to-the-editor-in-chief
#14
LETTER
(no author information available yet)
Letter to the Editor-in-Chief of JOSPT as follows: "Clinically Meaningful Outcome Measures in Patients With Shoulder Problems" with Authors' Response J Orthop Sports Phys Ther 2017;47(9):693-695. doi:10.2519/jospt.2017.0205.
September 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28700646/efficacy-and-safety-of-micafungin-versus-extensive-azoles-in-the-prevention-and-treatment-of-invasive-fungal-infections-for-neutropenia-patients-with-hematological-malignancies-a-meta-analysis-of-randomized-controlled-trials
#15
COMPARATIVE STUDY
Cho-Hao Lee, Jung-Chung Lin, Ching-Liang Ho, Min Sun, Wel-Ting Yen, Chin Lin
BACKGROUND: Current studies that compare the efficacy and safety of micafungin (MCFG) with that of triazoles for the prophylaxis and treatment of invasive fungal infections (IFIs) demonstrate a lack of sufficient evidence and yield conflicting results. To compare the efficacy and safety of MCFG and triazoles in the prevention and treatment of IFIs, we conducted a meta-analysis and trial sequential analysis (TSA). METHODS: For the meta-analysis, we systematically searched the databases of PubMed, Embase and Cochrane Central Register of Controlled Trials and relevant database articles for randomized controlled studies published through November 2016...
2017: PloS One
https://www.readbyqxmd.com/read/28535648/-effect-of-%C3%AE-40p53-isoform-on-enhancing-the-pro-apoptotic-function-of-p53-in-tumor-cells
#16
B S Wang, H W Zhao, L X Qiao, J Q Shan, Q S Hou, D X Chen, H L Guo
Objective: To investigate the effect of Δ40p53, an alternative spliced isoform of p53 lacking the N-ter minus, on the pro-apoptotic function of p53. Methods: The wild-type p53 was ectopically expressed in HCT116-p53(-/-) (endogenous Δ40p53 expression), HCT116-p53(+ /+) (wild-type p53) and H1299 (p53-null) cells by adenoviral delivery, while Δ40p53 plasmid were transfected into these cells to overexpress Δ40p53. The levels of Δ40p53 and p53 mRNA were detected by reverse transcription-polymerase chain reaction (RT-PCR) and quantitative PCR...
May 23, 2017: Zhonghua Zhong Liu za Zhi [Chinese Journal of Oncology]
https://www.readbyqxmd.com/read/28357066/association-of-two-synonymous-splicing-associated-cpg-single-nucleotide-polymorphisms-in-calpain-10-and-solute-carrier-family-2-member-2-with-type-2-diabetes
#17
Maria Karambataki, Andigoni Malousi, Georgios Tzimagiorgis, Constantinos Haitoglou, Aikaterini Fragou, Elisavet Georgiou, Foteini Papadopoulou, Gerasimos E Krassas, Sofia Kouidou
Coding synonymous single nucleotide polymorphisms (SNPs) have attracted little attention until recently. However, such SNPs located in epigenetic, CpG sites modifying exonic splicing enhancers (ESEs) can be informative with regards to the recently verified association of intragenic methylation and splicing. The present study describes the association of type 2 diabetes (T2D) with the exonic, synonymous, epigenetic SNPs, rs3749166 in calpain 10 (CAPN10) glucose transporter (GLUT4) translocator and rs5404 in solute carrier family 2, member 2 (SLC2A2), also termed GLUT2, which, according to prior bioinformatic analysis, strongly modify the splicing potential of glucose transport-associated genes...
February 2017: Biomedical Reports
https://www.readbyqxmd.com/read/28282753/reliability-of-the-virtual-elevation-method-to-evaluate-rolling-resistance-of-different-mountain-bike-cross-country-tyres
#18
Thomas Maier, Beat Müller, Lucas Schmid, Thomas Steiner, Jon Peter Wehrlin
Although a low rolling resistance is advantageous in mountain bike cross-country racing, no studies have used the virtual elevation method to compare tyres from different manufacturers as used in international competitions so far. The aims of this study were to assess the reliability of this method, to compare the off-road rolling resistance between tyres and to calculate the influence on off-road speed. Nine 29-in. mountain bike cross-country tyres were tested on a course representing typical ground surface conditions 5 or 6 times...
January 2018: Journal of Sports Sciences
https://www.readbyqxmd.com/read/28266892/inflammatory-and-metalloproteinases-profiles-predict-three-month-poor-outcomes-in-ischemic-stroke-treated-with-thrombolysis
#19
Anna Maria Gori, Betti Giusti, Benedetta Piccardi, Patrizia Nencini, Vanessa Palumbo, Mascia Nesi, Antonia Nucera, Giovanni Pracucci, Paolina Tonelli, Eleonora Innocenti, Alice Sereni, Elena Sticchi, Danilo Toni, Paolo Bovi, Mario Guidotti, Maria Rosaria Tola, Domenico Consoli, Giuseppe Micieli, Rossana Tassi, Giovanni Orlandi, Maria Sessa, Francesco Perini, Maria Luisa Delodovici, Maria Luisa Zedde, Francesca Massaro, Rosanna Abbate, Domenico Inzitari
Inflammatory mediators and metalloproteinases are altered in acute ischemic stroke (AIS) and play a detrimental effect on clinical severity and hemorrhagic transformation of the ischemic brain lesion. Using data from the Italian multicenter observational MAGIC (MArker bioloGici nell'Ictus Cerebrale) Study, we evaluated the effect of inflammatory and metalloproteinases profiles on three-month functional outcome, hemorrhagic transformation and mortality in 327 patients with AIS treated with intravenous thrombolys in according to SITS-MOST (Safe Implementation of Thrombolysis in Stroke-MOnitoring STudy) criteria...
September 2017: Journal of Cerebral Blood Flow and Metabolism
https://www.readbyqxmd.com/read/28215413/ratio-of-systolic-blood-pressure-to-right-atrial-pressure-a-novel-marker-to-predict-morbidity-and-mortality-in-acute-systolic-heart-failure
#20
RANDOMIZED CONTROLLED TRIAL
Hesham R Omar, Richard Charnigo, Maya Guglin
Congestion is the main contributor to heart failure (HF) morbidity and mortality. We assessed the combined role of congestion and decreased forward flow in predicting morbidity and mortality in acute systolic HF. The Evaluation Study of Congestive Heart Failure and Pulmonary Artery Catheterization Effectiveness trial data set was used to determine if the ratio of simultaneously measured systolic blood pressure (SBP)/right atrial pressure (RAP) on admission predicted HF rehospitalization and 6-month mortality...
April 1, 2017: American Journal of Cardiology
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