15,248 results match your criteria EMS and Terrorism


Prediction error connectivity: A new method for EEG state analysis.

Neuroimage 2018 Nov 30. Epub 2018 Nov 30.

Epilepsy Unit - Neurology Dept. Hospital del Mar - Parc de Salut Mar, Barcelona, Spain; IMIM - Hospital del Mar Medical Research Institute, Barcelona, Spain.

Several models have been proposed to explain brain regional and interregional communication, the majority of them using methods that tap the frequency domain, like spectral coherence. Considering brain interareal communication as binary interactions, we describe a novel method devised to predict dynamics and thus highlight abrupt changes marked by unpredictability. Based on a variable-order Markov model algorithm developed in-house for data compression, the prediction error connectivity (PEC) estimates network transitions by calculating error matrices (EMs). Read More

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November 2018

Sexual harassment and its relationship with depressive symptoms: A nationwide study of Korean EMS providers.

Am J Ind Med 2018 Dec 3. Epub 2018 Dec 3.

Department of Public Health Sciences, Graduate School of Korea University, Seoul, South Korea.

Background: Emergency medical service (EMS) providers may face sexual harassment (SH) from citizens. No studies have assessed SH prevalence and its association with depressive symptoms among EMS providers in South Korea.

Methods: We conducted a nationwide cross-sectional survey of 1346 EMS providers in South Korea. Read More

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December 2018

Emergency medical services oxygen equipment: a fomite for transmission of MRSA?

Emerg Med J 2018 Dec 1. Epub 2018 Dec 1.

Objectives: The primary purpose of this study was to determine if methicillin-resistant (MRSA) was present on the surface of oxygen cylinders and regulators used in the prehospital setting and secondarily to assess other surfaces for MRSA within the ambulance compartment, as a comparison.

Methods: On 17 March 2018, the surface of oxygen cylinders and regulators located in ambulances at an emergency medical services (EMS) station in North Alabama (n=9) and at an offsite oxygen cylinder storage area (n=70) were swabbed using sterile cotton-tipped applicators saturated in an 0.9% NaCl solution. Read More

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December 2018

Dynamic Visual Feedback During Junctional Tourniquet Training.

J Surg Res 2019 Jan 22;233:444-452. Epub 2018 Sep 22.

Stanford University, School of Medicine, Department of Surgery, 300 Pasteur Dr. Grant Building Rm S067D. Electronic address:

Background: This project involved the development and evaluation of a new visual bleeding feedback (VBF) system for tourniquet training. We hypothesized that dynamic VBF during junctional tourniquet training would be helpful and well received by trainees.

Materials And Methods: We designed the VBF to simulate femoral bleeding. Read More

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January 2019

Imatinib dose reduction in major molecular response of chronic myeloid leukemia: results from the German Chronic Myeloid Leukemia-Study IV.

Haematologica 2018 Dec 4. Epub 2018 Dec 4.

Institut für Medizinische Informationsverarbeitung, Biometrie und Epidemiologie, Munich.

Standard first-line therapy of chronic myeloid leukemia is treatment with imatinib. In the randomized German Chronic Myeloid Leukemia-Study IV, more potent BCR-ABL inhibition with 800mg (high-dose) imatinib accelerated achievement of a deep molecular remission. However, whether and when a de-escalation of the dose intensity under high-dose imatinib can be safely performed without increasing the risk of losing deep molecular response is unknown. Read More

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December 2018

Recognition of acute organ failure and associated fluid and oxygen resuscitation by emergency medical services of emergency department patients with a suspected infection.

Int Emerg Nurs 2018 Dec 1. Epub 2018 Dec 1.

Department of Emergency Medicine, Leiden University Medical Center, Albinusdreef 2, 2300 RC Leiden, The Netherlands; Regional Ambulance Service Hollands Midden (RAVHM), vondellaan 43, 2332 AA Leiden, The Netherlands. Electronic address:

Introduction: Recognition of acute organ failure is essential for recognition and resuscitation of sepsis by emergency medical services (EMS). We assessed how many EMS patients with suspected infection had clinical signs of acute organ failure (i.e. Read More

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December 2018

Tetraspanin 1 promotes epithelial-to-mesenchymal transition and metastasis of cholangiocarcinoma via PI3K/AKT signaling.

J Exp Clin Cancer Res 2018 Dec 4;37(1):300. Epub 2018 Dec 4.

Department of Hepatic Surgery, The First Affiliated Hospital of Harbin Medical University, Key Laboratory of Hepatosplenic Surgery, Ministry of Education, Harbin, Heilongjiang, China.

Background: Numerous studies have demonstrated that tetraspanin 1 (TSPAN1), a transmembrane protein, functions as an oncoprotein in many cancer types. However, its role and underlying molecular mechanism in cholangiocarcinoma (CCA) progression remain unclear.

Methods: In the present study, the expression of TSPAN1 in human CCA and adjacent nontumor tissues was examined using real-time PCR, western blot and immunohistochemistry. Read More

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December 2018

Evolution of ST-Elevation Acute Myocardial Infarction Prevalence by Gender Assessed Age Pyramid Analysis-The Piramyd Study.

J Clin Med 2018 Dec 3;7(12). Epub 2018 Dec 3.

SAMU 93, UF Recherche-Enseignement-Qualité Avicenne Hospital-APHP, 93000 Bobigny, France.

Introduction: Recent studies reported a decrease in the incidence of acute myocardial infarction. This favorable evolution does not extend to young women. The interaction between gender, risk factors and myocardial infarction incidence remains controversial. Read More

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December 2018

Methodology of a Cross-sectional Study Evaluating the Impact of a Novel Mobile Care Team on the Prevalence of Ambulatory Care Sensitive Conditions Presenting to Emergency Medical Services.

Cureus 2018 Sep 26;10(9):e3369. Epub 2018 Sep 26.

Emergency Medicine, Dalhousie University, Halifax, CAN.

Introduction Hospitalization due to ambulatory care sensitive conditions (ACSC) is often used as a proxy measure for access to primary care. The prevalence of ACSC has not been measured in the prehospital setting. Emergency medical services (EMS) are being used by patients who lack access to primary care for ACSC. Read More

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September 2018
1 Read

Increased Catalase Activity and Maintenance of Photosystem II Distinguishes High-Yield Mutants From Low-Yield Mutants of Rice var. Nagina22 Under Low-Phosphorus Stress.

Front Plant Sci 2018 19;9:1543. Epub 2018 Nov 19.

ICAR-Indian Institute of Rice Research, Hyderabad, India.

An upland rice variety, Nagina22 (N22) and its 137 ethyl methanesulfonate (EMS)-induced mutants, along with a sensitive variety, Jaya, was screened both in low phosphorus (P) field (Olsen P 1.8) and in normal field (Olsen P 24) during dry season. Based on the grain yield (YLD) of plants in normal field and plants in low P field, 27 gain of function (high-YLD represented as hy) and 9 loss of function (low-YLD represented as ly) mutants were selected and compared with N22 for physiological and genotyping studies. Read More

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November 2018

Associations between endocrine disrupting chemicals and equine metabolic syndrome phenotypes.

Chemosphere 2018 Nov 26;218:652-661. Epub 2018 Nov 26.

Department of Veterinary Population Medicine, 225 Veterinary Medical Center, 1365 Gortner Avenue, St. Paul, MN, 55108, United States.

Equine Metabolic Syndrome (EMS) is characterized by abnormalities in insulin regulation, increased adiposity and laminitis, and has several similarities to human metabolic syndrome. A large amount of environmental variability in the EMS phenotype is not explained by commonly measured factors (diet, exercise, and season), suggesting that other environmental factors play a role in EMS development. Endocrine disrupting chemicals (EDCs) are associated with metabolic syndrome and other endocrine abnormalities in humans. Read More

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November 2018
1 Read

Enhanced Metabolic Stress Augments Ischemic Preconditioning for Exercise Performance.

Front Physiol 2018 15;9:1621. Epub 2018 Nov 15.

Department of Human Health and Nutritional Sciences, University of Guelph, Guelph, ON, Canada.

To identify the combined effect of increasing tissue level oxygen consumption and metabolite accumulation on the ergogenic efficacy of ischemic preconditioning (IPC) during both maximal aerobic and maximal anaerobic exercise. Twelve healthy males (22 ± 2 years, 179 ± 2 cm, 80 ± 10 kg, 48 ± 4 ml.kgmin) underwent four experimental conditions: (i) no IPC control, (ii) traditional IPC, (iii) IPC with EMS, and (iv) IPC with treadmill walking. Read More

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November 2018

Superficial temporal artery-to-middle cerebral artery bypass in combination with indirect revascularization in moyamoya patients ≤ 3 years of age.

Authors:

J Neurosurg Pediatr 2018 Nov 1:1-6. Epub 2018 Nov 1.

Analysis of direct STA-MCA bypass procedures in young children to achieve flow augmentation via direct revascularization. Read More

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November 2018

Integrating clinical and genetic approaches in the diagnosis of 46,XY disorder of sex development.

Endocr Connect 2018 Nov 1. Epub 2018 Nov 1.

M Niedziela, Department of Pediatric Endocrinology and Rheumatology, Poznan University of Medical Sciences, Poznan, Poland.

Objective: 46,XY differences and/or disorders of sex development (DSD) are clinically and genetically heterogeneous conditions. Although complete androgen insensitivity syndrome has a strong genotype-phenotype correlation, the other types of 46,XY DSD are less well-defined and thus the precise diagnosis is challenging. This study focused on comparing the relationship between clinical assessment and genetic findings in a cohort of well-phenotyped patients with 46,XY DSD. Read More

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November 2018
2 Reads

Assessing Infrastructure to Care for Pediatric Patients in the Prehospital Setting.

Pediatr Emerg Care 2018 Nov 26. Epub 2018 Nov 26.

Data Coordinating Center, Department of Pediatrics, University of Utah, Salt Lake City, UT.

Objectives: Pediatric patients represent a small proportion of emergency medical services (EMS) calls, challenging providers in maintaining skills in treating children. Having structural capacity to appropriately diagnose and treat pediatric patients is critical. Our study measured the availability of off-line and on-line medical direction and recommended pediatric equipment at EMS agencies. Read More

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November 2018

TILL-D: An TILLING Resource for Wheat Improvement.

Front Plant Sci 2018 14;9:1665. Epub 2018 Nov 14.

Plant Pathology Department, Kansas State University, Manhattan, KS, United States.

(2n = 2x = 14, genome DD), also known as Tausch's goatgrass, is the D genome donor of bread or hexaploid wheat (2n = 2x = 42, AABBDD genome). It is a rich reservoir of useful genes for biotic and abiotic stress tolerance for wheat improvement. We developed a TILLING (Targeting Induced Local Lesions In Genomes) resource for for discovery and validation of useful genes in the D genome of wheat. Read More

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November 2018

Screening of Mutants Related to the C Photosynthetic Kranz Structure in Foxtail Millet.

Front Plant Sci 2018 14;9:1650. Epub 2018 Nov 14.

Institute of Crop Sciences, Chinese Academy of Agricultural Sciences, Beijing, China.

C plants exhibit significantly higher photosynthetic, water and nutrient use efficiency compared with C plants. Kranz anatomy is associated with many C plants in which bundle sheath cells surround the veins and are themselves surrounded by mesophyll cells. This specialized Kranz anatomy is elucidated as an important contributor to C photosynthetic activities in C plant. Read More

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November 2018

Overall risk index for patient transfers in total assistance mode executed by emergency medical technician-paramedics in real work situations.

Appl Ergon 2019 Jan 3;74:177-185. Epub 2018 Sep 3.

Université Laval, Département de Kinésiologie, 2300 rue de la Terrasse, Québec Québec, G1V 0A6, Canada; Centre for interdisciplinary research in rehabilitation and social integration (CIRRIS), Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale (CIUSSS-CN), Quebec City, QC, Canada. Electronic address:

Few studies have quantified the risk of musculoskeletal disorders during patient transfers in total assistance mode in real-life prehospital emergency care situations. An index to assess the overall risk of patient transfers was created; it makes it possible to quantify risk based on the patient's position and the height of the patient's location. An analysis of 71 transfers executed by paramedics in actual work situations showed that moving a patient from the ground was characterized by acute sagittal flexions and axial rotations, respectively, 42% and 12% of the time. Read More

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January 2019

Identification of a Novel Semi-Dominant Spotted-Leaf Mutant with Enhanced Resistance to pv. in Rice.

Int J Mol Sci 2018 Nov 27;19(12). Epub 2018 Nov 27.

State Key Laboratory of Rice Biology, China National Rice Research Institute, Hangzhou 310006, China.

Many spotted-leaf mutants show enhanced disease resistance to multiple pathogen attacks; however, the mechanisms are largely unknown. Here, we reported a novel semi-dominant () obtained from an ethyl methane sulfonate (EMS)-induced IR64 mutant bank. developed tiny brown lesions on the leaf tip and spread down gradually to the leaf base as well as the sheath at the early heading stage. Read More

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November 2018
2 Reads

ST-segment elevation myocardial infarction (STEMI) bypass: The importance of paramedics in an integrated STEMI system of care.

Authors:
Alix J E Carter

CJEM 2018 Nov;20(6):813-815

*Department of Emergency Medicine,Division of EMS,Dalhousie University,Halifax,NS.

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November 2018

Whole-Body Electromyostimulation Improves Performance-Related Parameters in Runners.

Front Physiol 2018 13;9:1576. Epub 2018 Nov 13.

Department of Medical Physiology, School of Medicine, University of Granada, Granada, Spain.

The aim of this study was to study the effects of a 6-session (one per week) WB-EMS training intervention on maximum oxygen uptake, aerobic and gas exchange thresholds, running economy, and muscular power in male recreational runners. Twelve men were randomized into WB-EMS intervention ( = 6; 27.0 ± 7. Read More

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November 2018

Emergency medical services provider perspectives on pediatric calls: A qualitative study.

Prehosp Emerg Care 2018 Nov 27:1-26. Epub 2018 Nov 27.

a Allina Health Emergency Medical Services , 167 Grand Avenue, St. Paul , Minnesota , USA.

Objective: Previous research indicates that 9-1-1 response to incidents involving children is particularly distressing for emergency medical services (EMS) clinicians. This qualitative study was conducted to increase understanding about the difficulties of responding to pediatric calls and to obtain information about how organizations can better support EMS providers in managing potentially difficult calls.

Methods: Paramedics and emergency medical technicians from a single US ambulance service were invited to participate in focus groups about responding to 9-1-1 calls involving pediatric patients. Read More

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November 2018

A needs assessment for simulation-based training of emergency medical providers in Nebraska, USA.

Adv Simul (Lond) 2018 23;3:22. Epub 2018 Nov 23.

3Department of Family Medicine, University of Nebraska Medical Center, Omaha, NE 68198 USA.

Background: Training emergency medical services (EMS) workforce is challenging in rural and remote settings. Moreover, critical access hospitals (CAHs) struggle to ensure continuing medical education for their emergency department (ED) staff. This project collected information from EMS and ED providers across Nebraska to identify gaps in their skills, knowledge, and abilities and thus inform curriculum development for the mobile simulation-based training program. Read More

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November 2018
4 Reads

Association of polymorphisms and extrapyramidal symptoms in schizophrenia patients receiving risperidone: a retrospective study.

J Pharm Health Care Sci 2018 19;4:28. Epub 2018 Nov 19.

1Department of Pharmacy, Kobe University Hospital, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, 650-0017 Japan.

Background: Risperidone is mainly metabolized by cytochrome P450 (CYP) 2D6 in the liver. The gene encoding is highly polymorphic. The average steady-state plasma concentration of risperidone active moiety is higher in the intermediate metabolizers (IMs) compared with that in the extensive metabolizers (EMs). Read More

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November 2018
1 Read

Validation of the Young Schema Questionnaire-Short Form in a Flemish Community Sample.

Psychol Belg 2018 Apr 23;58(1):34-50. Epub 2018 Apr 23.

Faculty of Psychology and Educational Sciences, KU Leuven - University of Leuven, Tiensestraat 102, 3000 Leuven, BE.

The Young Schema Questionnaire (YSQ, Young, 1994) was developed to assess Early Maladaptive Schemas (EMS), which account for the dysfunctional beliefs in individuals with personality disorders or maladaptive personality traits. This study aims to investigate the factor structure, the reliability and the validity of the original YSQ - Short Form (Young & Brown, 1998; YSQ-SF, 15 EMS) as well as an extension including 16 EMS, based on the 16 factor structure of the YSQL2 (Young & Brown, 1998) in a community sample. The sample consisted of 672 participants (51% females; = 44. Read More

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April 2018
1 Read

'Primary care sensitive' situations that result in an ambulance attendance: a conversation analytic study of UK emergency '999' call recordings.

BMJ Open 2018 Nov 25;8(11):e023727. Epub 2018 Nov 25.

Department of Population Health Sciences, Bristol Medical School, Centre for Academic Primary Care, University of Bristol, Bristol, UK.

Objectives: To explore common features of conversations occurring in a sample of emergency calls that result in an ambulance dispatch for a 'primary care sensitive' situation, and better understand the challenges of triaging this cohort.

Design: A qualitative study, applying conversation analytic methods to routinely recorded telephone calls made through the '999' system for an emergency ambulance. Cases were identified by a primary care clinician, observing front-line UK ambulance service shifts. Read More

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November 2018
2 Reads

Application of the emergency medical services trigger tool to measure adverse events in prehospital emergency care: a time series analysis.

BMC Emerg Med 2018 Nov 26;18(1):47. Epub 2018 Nov 26.

Department: Improvement Capability, Institution: Institute for Healthcare Improvement, Cambridge, USA.

Background: Emergency Care has previously been identified as an area of significant concern regarding the prevalence of Adverse Events (AEs). However, the majority of this focus has been on the in-hospital setting, with little understanding of the identification and incidence of AEs in the prehospital environment.

Method: The early development and testing of Emergency Medical Services (EMS) specific triggers for the identification of AEs and Harm has been previously described. Read More

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November 2018

High-power piezoelectric vibration model considering the interaction between nonlinear vibration and temperature increase.

Ultrasonics 2018 Nov 3;93:93-101. Epub 2018 Nov 3.

Graduate School of Frontier Sciences, The University of Tokyo, 5-1-5 Kashiwanoha, Kashiwa, Chiba 277-8563, Japan.

For high-power piezoelectric devices, nonlinear vibrations and related increases in temperature are critical problems produced by large internal stress and strain. Such nonlinear vibrations have been studied by some researchers; however, the related increase in temperature has not been taken into consideration, because it is a complicated phenomenon. In this study, the mechanism underlying the interaction between nonlinear vibration and temperature increase in a piezoelectric transducer under high-power conditions was clarified. Read More

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November 2018

Heritability of metabolic traits associated with equine metabolic syndrome in Welsh ponies and Morgan horses.

Equine Vet J 2018 Nov 25. Epub 2018 Nov 25.

University of Minnesota, Veterinary Population Medicine Department, 225 Veterinary Medical Center 1365 Gortner Avenue, St. Paul, MN, USA.

Background: Equine metabolic syndrome (EMS) is a complex clinical disorder with both environmental and genetic factors contributing to EMS phenotypes. Estimates of heritability determine the proportion of variation in a trait that is attributable to genetics.

Objectives: To provide heritability estimates for nine metabolic traits associated with EMS in two high-risk breeds. Read More

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November 2018
7 Reads

Characterization of Transcriptome Transition Associates Long Noncoding RNAs with Glioma Progression.

Mol Ther Nucleic Acids 2018 Oct 24;13:620-632. Epub 2018 Oct 24.

College of Bioinformatics Science and Technology, Harbin Medical University, Harbin, Heilongjiang 150081, China. Electronic address:

Long noncoding RNAs (lncRNAs) have been implicated in cancer biogenesis and prognosis. However, we still lack knowledge on their function during glioma progression. In this study, we analyzed the lncRNA expression profile across 907 glioma patients in grades II, III, and IV. Read More

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October 2018

Activation of cardiac TrkB receptor by its small molecular agonist 7,8-dihydroxyflavone inhibits doxorubicin-induced cardiotoxicity via enhancing mitochondrial oxidative phosphorylation.

Free Radic Biol Med 2018 Nov 22;130:557-567. Epub 2018 Nov 22.

Institute of Clinical Pharmacology, the Second Affiliated Hospital of Harbin Medical University (The University Key Laboratory of Drug Research, Heilongjiang Province), Harbin 150086, PR China; Department of Clinical Pharmacology, College of Pharmacy, Harbin Medical University, Harbin 150081, PR China. Electronic address:

Brain-derived neurotrophic factor (BDNF)/tropomyosin-related receptor kinase B (TrkB) pathway has been revealed as a novel therapeutic target for several neurological diseases. Recently, small-molecule TrkB agonist 7,8-dihydroxyflavone (7,8-DHF) has received considerable attention as a novel potential candidate for the treatment of various BDNF-implicated human disorders. However, its roles in cardiac diseases are not fully understood. Read More

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November 2018
1 Read

A review of the pathways of human exposure to poly- and perfluoroalkyl substances (PFASs) and present understanding of health effects.

J Expo Sci Environ Epidemiol 2018 Nov 23. Epub 2018 Nov 23.

Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA.

Here, we review present understanding of sources and trends in human exposure to poly- and perfluoroalkyl substances (PFASs) and epidemiologic evidence for impacts on cancer, immune function, metabolic outcomes, and neurodevelopment. More than 4000 PFASs have been manufactured by humans and hundreds have been detected in environmental samples. Direct exposures due to use in products can be quickly phased out by shifts in chemical production but exposures driven by PFAS accumulation in the ocean and marine food chains and contamination of groundwater persist over long timescales. Read More

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November 2018
3 Reads

Decoding the antineoplastic efficacy of Aplysin targeting Bcl-2: A de novo perspective.

Comput Biol Chem 2018 Dec 6;77:390-401. Epub 2018 Sep 6.

Advanced Centre for Bioengineering and Bioinformatics (ACBB), Integral Information and Research Centre (IIRC), Integral University, Lucknow, Uttar Pradesh, 226026, India; Department of Bioengineering, Faculty of Engineering, Integral University, Lucknow, Uttar Pradesh, 226026, India. Electronic address:

The B-cell lymphoma-2 (Bcl-2) family proteins have been attributed to be the key regulators in programmed cell death and apoptosis with a prominent role in human cancer. Understanding the fundamental principles of cell survival and death have been the main cornerstone in cancer drug discovery for identification of novel anticancer agents. In this context the Bcl-2 family of anti-and pro-apoptotic proteins provide an excellent opportunity for development of anticancer agents, as blocking the Bcl-2 or Bcl-XL functionally promotes apoptosis in tumor cells and also sensitize them to chemo- and radiotherapies. Read More

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December 2018
7 Reads

Assessment of the disaster medical response system through an investigation of a 43-vehicle mass collision on Jung-ang expressway.

Accid Anal Prev 2018 Nov 20;123:60-68. Epub 2018 Nov 20.

Wonju College of Medicine, Yonsei University, Department of Emergency Medicine, Republic of Korea. Electronic address:

Purpose: It was considered the challenges of the actual response and the potential for improvement, including the activities of the disaster response system, national emergency medical center, and the regional base hospital for the treatment of multiple traffic accident victims. The purpose of this study was to analyze the accident management system through real investigating the multiple collision over 10 vehicles with mass casualty events as a disaster situation.

Methods: This study was retrospective study to analyze the disaster event with multiple collision traffic accident on the expressway in Korea. Read More

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November 2018

Pre-hospital risk assessment in suspected non-ST-elevation acute coronary syndrome: A prospective observational study.

Eur Heart J Acute Cardiovasc Care 2018 Nov 23:2048872618813846. Epub 2018 Nov 23.

1 Department of Cardiology, Isala Hospital, Zwolle, The Netherlands.

Background:: Pre-hospital risk stratification of non-ST-elevation acute coronary syndrome (NSTE-ACS) by the complete HEART score has not yet been assessed. We investigated whether pre-hospital risk stratification of patients with suspected NSTE-ACS using the HEART score is accurate in predicting major adverse cardiac events (MACE).

Methods:: This is a prospective observational study, including 700 patients with suspected NSTE-ACS. Read More

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November 2018
1 Read

Postpolypectomy Bleeding Prevention and More Complete Precancerous Colon Polyp Removal With Endoscopic Mucosal Stripping (EMS).

Front Med (Lausanne) 2018 8;5:312. Epub 2018 Nov 8.

Hospital Pathology Associates, Minneapolis, MN, United States.

Postpolypectomy bleeding and incomplete polyp removal are important complication and quality concerns of colonoscopy for colon cancer prevention. We investigated if endoscopic mucosal stripping (EMS) as a technical modification of traditional cold snare polypectomy to avoid submucosal injury during removal of non-pedunculated colon polyps could prevent postpolypectomy bleeding and facilitate complete polyp removal. This is an Internal Review Board exemption-granted retrospective analysis of 5,142 colonoscopies with snare polypectomy performed by one of the authors (ZJC) at Minnesota Gastroenterology ambulatory endoscopy centers during a 12-year period divided into pre-EMS era (2005-2012, = 2,973) and EMS era (2013-2016, = 2169) with systemic adoption of EMS starting 2013. Read More

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November 2018
2 Reads

Pivotal role of bZIPs in amylose biosynthesis by genome survey and transcriptome analysis in wheat (Triticum aestivum L.) mutants.

Sci Rep 2018 Nov 22;8(1):17240. Epub 2018 Nov 22.

National Agri-Food Biotechnology Institute (NABI), Sector-81, SAS Nagar, Mohali, 140306, Punjab, India.

Starch makes up 70% of the wheat grain, and is an important source of calories for humans, however, the overconsumption of wheat starch may contribute to nutrition-associated health problems. The challenge is to develop resistant starch including high amylose wheat varieties with health benefits. Adapting advance genomic approaches in EMS-induced mutant lines differing in amylose content, basic leucine zipper (bZIP) regulatory factors that may play role in controlling amylose biosynthesis were identified in wheat. Read More

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November 2018
2 Reads

A spatial ecological study of selenoprotein P and Keshan disease.

J Trace Elem Med Biol 2019 Jan 10;51:150-158. Epub 2018 Oct 10.

Institute of Keshan Disease, Chinese Center for Endemic Disease Control, Harbin Medical University, Harbin, China. Electronic address:

Few spatial ecological studies on selenoprotein P (SePP) and Keshan disease (KD) have been reported. The main objective of this study is to investigate the relationships of SePP with KD, economic indicators and soil selenium and to visualize the evidence for KD precise prevention and control. An ecological study design was employed. Read More

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January 2019
2 Reads

Idiopathic Ventricular Arrhythmia Ablation Using Non-Fluoroscopic Catheter Visualization System.

Int Heart J 2018 Nov 20. Epub 2018 Nov 20.

Department of Cardiology, Kyorin University Hospital.

A novel, sensor-based, electromagnetic, non-fluoroscopic catheter visualization (NFCV) system shows tracked catheters directly on pre-acquired fluoroscopy or cine loops. We aimed to evaluate the effectiveness of this system in the setting of catheter ablation for idiopathic premature ventricular contractions/ventricular tachycardia (i-PVC/VT).A total of 30 i-PVC/VT ablation procedures were performed using the NFCV system in conjunction with three-dimensional electroanatomic mapping system (3D-EMS) between January 2013 and April 2017. Read More

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November 2018
6 Reads

Rapid Ground Transport of Trauma Patients: A Moderate Distance From Trauma Center Improves Survival.

J Surg Res 2018 Dec 17;232:318-324. Epub 2018 Jul 17.

University of Tennessee Medical Center-Knoxville, 1924 Alcoa Highway, Knoxville, Tennessee.

Background: There is debate within the emergency medical services (EMS) community over the value of calling a helicopter for trauma patients within a moderate distance/<45 min, of a trauma center. Helicopter EMS (HEMS) generally have a wider scope and more advanced training than the ground EMS (GEMS). GEMS, on the other hand, have the benefit of being able to immediately initiate rapid transport to the trauma center without the delay involved with HEMS flying to the scene, landing, and assuming patient care. Read More

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December 2018

Outcomes and emergency medical services resource utilization among patients with syncope arriving to the emergency department by ambulance.

CJEM 2018 Nov 21:1-6. Epub 2018 Nov 21.

†Ottawa Hospital Research Institute,Ottawa, ON.

CLINICIAN'S CAPSULEWhat is known about the topic?A majority of syncope patients are transported to the emergency department by emergency medical services (EMS), yet only a small proportion are admitted or suffer serious adverse events (SAE).What did this study ask?What proportion of EMS syncope patient transports are at low risk (i.e. Read More

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November 2018
2 Reads

From the street to the ICU: a review of pediatric emergency medical services and critical care transport.

Transl Pediatr 2018 Oct;7(4):284-290

Division of Critical Care Medicine, Department of Pediatrics, Akron Children's Hospital, Northeast Ohio Medical University, Akron, Ohio, USA.

Emergency medical services and critical care transport teams are relatively new parts of the American healthcare delivery system. Although most healthcare providers regularly interact with these groups and rely upon their almost ubiquitous availability, few know how these services developed or what sort of infrastructure currently exists to maintain them. This article provides a focused overview of the history and present practices of both emergency medical services and critical care transport teams, with a concentrated look at the implementation of these services in the pediatric population. Read More

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October 2018
1 Read

Cardiopulmonary resuscitation by Emergency Medical Services in South Africa: Barriers to achieving high quality performance.

Afr J Emerg Med 2018 Mar 4;8(1):6-11. Epub 2017 Oct 4.

Faculty of Science, University of Fort Hare, South Africa.

Introduction: Survival rates from out-of-hospital cardiac arrest significantly improve when high-quality cardiopulmonary resuscitation (CPR) is performed. Despite sudden cardiac arrest being a leading cause of death in many parts of the world, no studies have determined the quality of CPR delivery by Emergency Medical Services (EMS) personnel in South Africa. The aim of this study was to determine the quality of CPR provision by EMS staff in a simulated setting. Read More

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March 2018
2 Reads

Views of emergency care providers about factors that extend on-scene time intervals.

Afr J Emerg Med 2018 Mar 21;8(1):1-5. Epub 2017 Sep 21.

Department of Emergency Medical Care, Faculty of Health Sciences, University of Johannesburg, Doornfontein Campus, PO Box 17011, Doornfontein 2028, South Africa.

Introduction: Rapid response, patient care and transportation remain recognised goals of the Emergency Medical Services (EMS). Spending more time on-scene may delay the initiation of definitive care interventions. This study focused on describing the perceptions of a sample of emergency care providers regarding the impact of environmental, clinical and systemic factors with respect to their on-scene time intervals. Read More

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March 2018
1 Read

Emergency medical services (EMS) training in Kenya: Findings and recommendations from an educational assessment.

Afr J Emerg Med 2017 Dec 8;7(4):157-159. Epub 2017 Aug 8.

Department of Emergency Medicine, University of Colorado, School of Medicine, 12401 E. 17th Ave, Leprino Room 752, Aurora, CO 80045, USA.

Background: Over the past twenty years, Kenya has been developing many important components of a prehospital emergency medical services (EMS) system. This is due to the ever-increasing demand for emergency medical care across the country. To better inform the next phase of this development, we undertook an assessment of the current state of EMS training in Kenya. Read More

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December 2017
4 Reads