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https://www.readbyqxmd.com/read/28812791/global-developments-in-priority-setting-in-health
#1
EDITORIAL
Rob Baltussen, Craig Mitton, Marion Danis, Iestyn Williams, Marthe Gold
Countries around the world are experiencing an ever-increasing need to make choices in investments in health and healthcare. This makes it incumbent upon them to have formal processes in place to optimize the legitimacy of eventual decisions. There is now growing experience among countries of the implementation of stakeholder participation, and a developing convergence of methods to support decision-makers within health authorities in making tough decisions when faced with the stark reality of limited resources...
January 28, 2017: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28807197/perioperative-blood-transfusion-and-complications-in-children-undergoing-surgery-for-solid-tumors
#2
Dani O Gonzalez, Jennifer N Cooper, Erica Mantell, Peter C Minneci, Katherine J Deans, Jennifer H Aldrink
BACKGROUND: The objective was to assess whether perioperative blood transfusion (PBT) is associated with postoperative complications in children undergoing surgery for a solid tumor. METHODS: Using 2012-2014 National Surgical Quality Improvement Program Pediatric data, we identified patients aged 0-18 years who underwent surgery (biopsy or resection) for solid tumors. We compared demographic, clinical, and 30-day outcome characteristics between children who did and did not receive a PBT within 72 hours after surgery...
August 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28795621/self-inflicted-wrist-injuries-masquerading-as-scaphoid-fractures-in-military-recruits
#3
Assaf Kadar, Dani Rotman, Haggai Schermann
No abstract text is available yet for this article.
August 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28793013/in-vitro-effects-of-blepharocalyx-salicifolius-h-b-k-o-berg-on-the-viability-of-echinococcus-ortleppi-protoscoleces
#4
Charlise Bolson Noal, Danieli Urach Monteiro, Thiele Faccim de Brum, Jessica Emmanouilidis, Regis Adriel Zanette, Ademir Farias Morel, Eliza Beti de Cassia Stefanon, Marina Frosi, Mario Luiz de la Rue
Scolicidal agents are important in the treatment of cystic echinococcosis. This study evaluated the scolicidal activity of the plant Blepharocalyx salicifolius (H.B.K.) Berg against Echinococcus ortleppi protoscoleces. The parasite species was identified by amplifying a fragment of the gene cytochrome c oxidase subunit 1 (COX 1). B. salicifolius crude extract at concentrations of 100, 200, 300 and 400 mg/mL was analyzed at different times (5, 10, 15, 30, 45 and 60 min). N-butanol and ethyl acetate fractions (100 and 200 mg/ mL) were also analyzed at 5, 10, 15 and 30 min...
2017: Revista do Instituto de Medicina Tropical de São Paulo
https://www.readbyqxmd.com/read/28791703/the-medial-habenula-and-interpeduncular-nucleus-circuitry-is-critical-in-addiction-anxiety-and-mood-regulation
#5
REVIEW
Ian McLaughlin, John A Dani, Mariella De Biasi
Abstinence from chronic use of addictive drugs triggers an aversive withdrawal syndrome that compels relapse and deters abstinence. Many features of this syndrome are common across multiple drugs, involving both affective and physical symptoms. Some of the network signaling underlying withdrawal symptoms overlaps with activity that is associated with aversive mood states, including anxiety and depression. Given these shared features, it is not surprising that a particular circuit, the dorsal diencephalic conduction system, and the medial habenula (MHb) and interpeduncular nucleus (IPN), in particular, have been identified as critical to the emergence of aversive states that arise both as a result and, independently, of drug addiction...
August 2017: Journal of Neurochemistry
https://www.readbyqxmd.com/read/28791498/patient-reported-dyspnea-correlates-poorly-with-aerobic-exercise-capacity-measured-during-cardiopulmonary-exercise-testing
#6
Dany Gaspard, Jonathan Kass, Stephen Akers, Krystal Hunter, Melvin Pratter
BACKGROUND: Patient-reported dyspnea plays a central role in assessing cardiopulmonary disease. There is little evidence, however, that dyspnea correlates with objective exercise capacity measurements. If the correlation is poor, dyspnea as a proxy for objective assessment may be misleading. OBJECTIVE: To compare patient's perception of dyspnea with maximum oxygen uptake (MaxVO2) during cardiopulmonary exercise testing (CPET). METHODS: Fifty patients undergoing CPET for dyspnea evaluation were studied prospectively...
August 8, 2017: Lung
https://www.readbyqxmd.com/read/28780608/sx-ella-stent-danis-effectively-controls-refractory-variceal-bleed-in-patients-with-acute-on-chronic-liver-failure
#7
Rakhi Maiwall, Kapil Dev Jamwal, Ankit Bhardwaj, Ajeet Singh Bhadoria, Jaswinder Singh Maras, Guresh Kumar, Ankur Jindal, Ashok Choudhury, Lovkesh Anand, Amrish Sahney, Awinash Kumar, Manoj Kumar Sharma, Barjesh Chander Sharma, Shiv Kumar Sarin
BACKGROUND AND AIMS: Almost 10% of bleeding episodes are refractory to combination of vasoactive agent and endotherapy, and are associated with a mortality up to 50%. Severity of liver disease and high portal pressure are mainly responsible for it. TIPS cannot be used in these patients due to high MELD score. We aimed to evaluate the efficacy of self-expandable DE stents for control of refractory variceal bleeds in patients with ACLF. METHODS: Acute-on-chronic liver failure patients (n = 88, mean age 47...
August 5, 2017: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/28777197/elabela-improves-cardio-renal-outcome-in-fatal-experimental-septic-shock
#8
David Coquerel, Frédéric Chagnon, Xavier Sainsily, Lauralyne Dumont, Alexandre Murza, Jérôme Côté, Robert Dumaine, Philippe Sarret, Éric Marsault, Dany Salvail, Mannix Auger-Messier, Olivier Lesur
OBJECTIVES: Apelin-13 was recently proposed as an alternative to the recommended β-adrenergic drugs for supporting endotoxin-induced myocardial dysfunction. Since Apelin-13 signals through its receptor (Apelin peptide jejunum) to exert singular inotropic/vasotropic actions and to optimize body fluid balance, this candidate pathway might benefit septic shock management. Whether the newly discovered ELABELA (ELA), a second endogenous ligand of the Apelin peptide jejunum receptor highly expressed in the kidney, further improves cardio-renal impairment remains unknown...
August 2, 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/28774956/ethics-of-patient-activation-exploring-its-relation-to-personal-responsibility-autonomy-and-health-disparities
#9
Sophia H Gibert, David DeGrazia, Marion Danis
Discussions of patient-centred care and patient autonomy in bioethics have tended to focus on the decision-making context and the process of obtaining informed consent, leaving open the question of how patients ought to be counselled in the daily maintenance of their health and management of chronic disease. Patient activation is an increasingly prominent counselling approach and measurement tool that aims to improve patients' confidence and skills in managing their own health conditions. The strategy, which has received little conceptual or ethical analysis, raises important questions about how clinicians ought to foster confidence and a sense of control in their patients without exposing them to blame, stigma and other harms...
August 3, 2017: Journal of Medical Ethics
https://www.readbyqxmd.com/read/28772468/obtaining-cross-sections-of-paint-layers-in-cultural-artifacts-using-femtosecond-pulsed-lasers
#10
Takaaki Harada, Stephanie Spence, Athanasios Margiolakis, Skylar Deckoff-Jones, Rebecca Ploeger, Aaron N Shugar, James F Hamm, Keshav M Dani, Anya R Dani
Recently, ultrafast lasers exhibiting high peak powers and extremely short pulse durations have created a new paradigm in materials processing. The precision and minimal thermal damage provided by ultrafast lasers in the machining of metals and dielectrics also suggests a novel application in obtaining precise cross-sections of fragile, combustible paint layers in artwork and cultural heritage property. Cross-sections of paint and other decorative layers on artwork provide critical information into its history and authenticity...
January 26, 2017: Materials
https://www.readbyqxmd.com/read/28767679/compartmentalized-metabolic-network-reconstruction-of-microbial-communities-to-determine-the-effect-of-agricultural-intervention-on-soils
#11
María Camila Alvarez-Silva, Astrid Catalina Álvarez-Yela, Fabio Gómez-Cano, María Mercedes Zambrano, Johana Husserl, Giovanna Danies, Silvia Restrepo, Andrés Fernando González-Barrios
Soil microbial communities are responsible for a wide range of ecological processes and have an important economic impact in agriculture. Determining the metabolic processes performed by microbial communities is crucial for understanding and managing ecosystem properties. Metagenomic approaches allow the elucidation of the main metabolic processes that determine the performance of microbial communities under different environmental conditions and perturbations. Here we present the first compartmentalized metabolic reconstruction at a metagenomics scale of a microbial ecosystem...
2017: PloS One
https://www.readbyqxmd.com/read/28765211/the-zahn-drawings-new-illustrations-of-xenopus-embryo-and-tadpole-stages-for-studies-of-craniofacial-development
#12
Natalya Zahn, Michael Levin, Dany Spencer Adams
The embryos and tadpoles of the frog Xenopus are increasingly important subjects for studies of the development of the head and face - studies that are providing novel and crucial insight into the causes and prevention of a suite of devastating birth defects, as well as basic evolutionary and developmental biology. However, many studies are conducted on a range of embryonic stages that are not fully represented in the beloved Xenopus resource, Nieuwkoop and Faber's classic Normal Table of Xenopus laevis (Daudin) The lack of standardized images at these stages acts as a barrier to the efficient and accurate representation and communication of experimental methodology and expression data...
August 1, 2017: Development
https://www.readbyqxmd.com/read/28763194/enhanced-visualization-of-hematoxylin-and-eosin-stained-pathological-characteristics-by-phasor-approach
#13
Teng Luo, Yuan Lu, Shaoxiong Liu, Danying Lin, Junle Qu
The phasor approach to fluorescence lifetime imaging microscopy (FLIM) is used to identify different types of tissues from hematoxylin and eosin (H&E) stained basal cell carcinoma (BCC) sections. The results suggest that working directly on the phasor space with the clustering assignment achieves immunofluorescence like simultaneous five or six-color imaging by using multiplexed fluorescence lifetimes of H&E. The phase approach is of particular effectiveness for enhanced visualization of the abnormal morphology of a suspected nidus...
August 16, 2017: Analytical Chemistry
https://www.readbyqxmd.com/read/28759460/management-of-benign-ovarian-lesions-in-girls-a-trend-toward-fewer-oophorectomies
#14
Dani O Gonzalez, Peter C Minneci, Katherine J Deans
PURPOSE OF REVIEW: The management of benign ovarian lesions in girls is currently a controversial topic in the pediatric surgical literature. The purpose of this review is to highlight the epidemiology of benign ovarian masses, outline preoperative risk stratification strategies, review the indications and importance of ovary-sparing surgery (OSS), and discuss the impact of management algorithms. RECENT FINDINGS: Efforts across the United States and Canada to promote OSS have improved awareness about the role and safety of OSS for the management of benign ovarian masses in pediatric and adolescent girls...
July 29, 2017: Current Opinion in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/28756079/-exercise-testing-new-guidelines
#15
Dany Michel Marcadet
The GERS (Exercise Rehabilitation and Sports Group of the French Society of Cardiology) has decided to update current guidelines regarding the practice of EKG stress tests. Since the last update dates from 1997, the GERS judged it necessary to integrate data from new works and advancements made in the last 20 years. Good clinical practices and safety conditions are better defined regarding the structure, location, material, staff competency, as well as convention with hospital structures. The diagnosis of coronary artery disease remains the principal indication for a stress test...
July 26, 2017: La Presse Médicale
https://www.readbyqxmd.com/read/28755597/a-13-year-study-of-dissolved-organic-carbon-in-rainwater-of-an-agro-industrial-region-of-s%C3%A3-o-paulo-state-brazil-heavily-impacted-by-biomass-burning
#16
Daniely Godoy-Silva, Raquel F P Nogueira, M Lucia A M Campos
This work presents the first comprehensive study of DOC in rainwater in a tropical agro-industrial region in central São Paulo State. The DOC concentrations ranged from 15 to 4992μmolCL(-1), with an overall volume weighted mean (VWM) of 288±17μmolCL(-1) (n=881). The number of fire spots accumulated within each year of this study was positively correlated to the VWM concentration of DOC in rainwater. During the whole study period, higher VWM DOC concentrations were found during the dry months, despite the phasing out of agricultural fires in sugar cane plantations...
July 26, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28755451/comparative-effectiveness-of-antihypertensive-drugs-in-nondiabetic-patients-with-hypertension-a-population-based-study
#17
Marina Amaral de Ávila Machado, Cristiano Soares de Moura, Yishu Wang, Coraline Danieli, Michal Abrahamowicz, Sasha Bernatsky, Hassan Behlouli, Louise Pilote
The authors compared the effectiveness of thiazide diuretic (TD), angiotensin-converting enzyme inhibitor (ACEI), angiotensin receptor blocker (ARB), and calcium channel blocker (CCB) monotherapies for the treatment of nondiabetic hypertension using MarketScan Databases 2010-2014. Multivariable Cox regression models assessed whether the addition of a new antihypertensive drug, treatment discontinuation, or switch and major cardiovascular or cerebrovascular events varied across groups. A total of 565 009 patients started monotherapy with ACEIs (43...
July 29, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28755442/vacuolar-processing-enzyme-vpe-activates-programmed-cell-death-in-the-apical-meristem-inducing-loss-of-apical-dominance
#18
Paula Teper-Bamnolker, Yossi Buskila, Eduard Belausov, Dalia Wolf, Adi Doron-Faigenboim, Shifra Ben-Dor, Renier A L Van der Hoorn, Amnon Lers, Dani Eshel
The potato (Solanum tuberosum L.) tuber is a swollen underground stem that can sprout in an apical dominance (AD) pattern. Bromoethane (BE) induces loss of AD and the accumulation of vegetative vacuolar processing enzyme (StVPE) in the tuber apical meristem (TAM). VPE activity, induced by BE, is followed by programmed cell death in the TAM. In this study, we found that the mature StVPE1 protein (mVPE) exhibits specific activity for caspase-1, but not caspase-3 substrates. Optimal activity of mVPE was achieved at acidic pH, consistent with localization of StVPE1 to the vacuole, at the edge of the TAM...
July 28, 2017: Plant, Cell & Environment
https://www.readbyqxmd.com/read/28754571/ere-dependent-transcription-and-cell-proliferation-independency-of-these-two-processes-mediated-by-the-introduction-of-a-sulfone-function-into-the-weak-estrogen-estrothiazine
#19
Yves Jacquot, Dany Spaggiari, Julie Schappler, Eric Lesniewska, Serge Rudaz, Guy Leclercq
The synthetic coumestrol derivative 6,12-dihydro-3-methoxy-1-benzopyrano[3,4-b][1,4]benzothiazin-6-one (estrothiazine, ESTZ) has been identified as a weak estrogen receptor α (ERα) ligand unable to compete with tritiated estradiol. The biological activity of this compound, supported by a methoxy group in position 3, seems mainly to result from its capacity to activate ERα dimerization without any participation of coactivators. In support of this view and referring to conventional estrogens, an ESTZ metabolism study conducted with hepatic human microsomes failed to provide any argument in favour of an estrogenic activity dependent on a metabolic conversion of the compound into hydroxylated metabolites with strong receptor activation ability...
July 25, 2017: European Journal of Pharmaceutical Sciences
https://www.readbyqxmd.com/read/28751271/early-child-adversity-and-psychopathology-in-adulthood-hpa-axis-and-cognitive-dysregulations-as-potential-mechanisms
#20
REVIEW
Catherine Raymond, Marie-France Marin, Danie Majeur, Sonia Lupien
Early adversity (EA) has been shown to be a potent risk factor for developing a psychopathology in adulthood. Alterations of the stress system in addition to changes in brain development have been suggested to explain some of the psychopathologies associated with EA. The stress response involves the activation of the hypothalamic-pituitary-adrenal (HPA)-axis, which leads to the production of glucocorticoids (GCs; cortisol in humans). Being soluble in lipids, GCs easily cross the blood brain barrier and access GC receptors in the hippocampus, prefrontal cortex and amygdala...
July 25, 2017: Progress in Neuro-psychopharmacology & Biological Psychiatry
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