128,025 results match your criteria Expert Opinion on Medical Diagnostics [Journal]


Efficacy of Clutch Cutter for Standardizing Endoscopic Submucosal Dissection for Early Gastric Cancer: A Propensity Score-Matched Analysis.

Digestion 2018 Dec 6:1-9. Epub 2018 Dec 6.

Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.

Background/aims: The purpose of this study was to evaluate the safety and efficacy of gastric endoscopic submucosal dissection (ESD) using the Clutch Cutter (CC), a scissor-type knife, compared with those of procedures using conventional devices.

Methods: This single-center retrospective study evaluated 237 patients with early gastric cancer: 83 who underwent ESD using the CC group and 154 who underwent ESD using the insulated-tip knife 2 (IT2 group). Clinicopathological features and technical outcomes were compared between the 2 groups using a propensity score-matched analysis. Read More

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December 2018
3 Reads

Non-GVHD ocular complications after hematopoietic cell transplantation: expert review from the Late Effects and Quality of Life Working Committee of the CIBMTR and Transplant Complications Working Party of the EBMT.

Biol Blood Marrow Transplant 2018 Dec 3. Epub 2018 Dec 3.

Department of Ophthalmology, Hospital Universitario Puerta de Hierro, Madrid, Spain.

Non-graft-versus-host disease (non-GVHD) ocular complications are generally uncommon after hematopoietic cell transplantation (HCT), but can cause prolonged morbidity affecting activities of daily living and quality of life. Here we provide an expert review of non-GVHD ocular complications in a collaboration between transplant physicians and ophthalmologists through the Late Effects and Quality of Life Working Committee of the Center for International Blood and Marrow Transplant Research and the Transplant Complications Working Party of the European Society of Blood and Marrow Transplantation. Complications discussed in this review include cataracts, glaucoma, ocular infections, ocular involvement with malignancy, ischemic microvascular retinopathy, central retinal vein occlusion, retinal hemorrhage, retinal detachment and ocular toxicities associated with medications. Read More

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December 2018
4 Reads

Interstitial Lung Disease Onset and Its Risk Factors in Japanese Patients with ALK-positive NSCLC Following Treatment with Crizotinib.

J Thorac Oncol 2018 Dec 3. Epub 2018 Dec 3.

Tokyo Medical University Hospital, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, Japan.

Introduction: The study objective was to determine the incidence and characteristics of drug-induced interstitial lung disease (ILD) associated with an orally available small-molecule tyrosine kinase inhibitor, crizotinib in the real-world clinical setting.

Methods: Post-marketing surveillance was performed in Japan to obtain information on the safety and efficacy of crizotinib. Target patients included all patients with anaplastic lymphoma kinase-positive non-small cell lung cancer (NSCLC) who received crizotinib, during the enrollment period between May 2012 and December 2014. Read More

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December 2018
5 Reads

A value proposition for trough level-based anti-TNFα drug dosing.

Clin Chim Acta 2018 Dec 3. Epub 2018 Dec 3.

Expert Center Clinical Chemistry Eindhoven, Eindhoven, the Netherlands; Clinical Laboratory, Máxima Medical Center, Veldhoven, the Netherlands.

Treatment of inflammatory bowel diseases and rheumatic disorders with anti-tumor necrosis factor alpha (TNFα) drugs is expensive, while a significant proportion of patients does not show adequate clinical response. Therapeutic drug monitoring (TDM) enables patient-specific anti-TNFα therapy. The role of laboratory tests in clinical care has recently been described in a value proposition framework. Read More

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December 2018
3 Reads

Teledermatology for diagnosing skin cancer in adults.

Cochrane Database Syst Rev 2018 Dec 3;12:CD013193. Epub 2018 Dec 3.

Institute of Applied Health Research, University of Birmingham, Birmingham, UK, B15 2TT.

Background: Early accurate detection of all skin cancer types is essential to guide appropriate management and to improve morbidity and survival. Melanoma and squamous cell carcinoma (SCC) are high-risk skin cancers which have the potential to metastasise and ultimately lead to death, whereas basal cell carcinoma (BCC) is usually localised with potential to infiltrate and damage surrounding tissue. Anxiety around missing early curable cases needs to be balanced against inappropriate referral and unnecessary excision of benign lesions. Read More

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December 2018
6 Reads

Smartphone applications for triaging adults with skin lesions that are suspicious for melanoma.

Cochrane Database Syst Rev 2018 Dec 3;12:CD013192. Epub 2018 Dec 3.

Institute of Applied Health Research, University of Birmingham, Birmingham, UK, B15 2TT.

Background: Melanoma accounts for a small proportion of all skin cancer cases but is responsible for most skin cancer-related deaths. Early detection and treatment can improve survival. Smartphone applications are readily accessible and potentially offer an instant risk assessment of the likelihood of malignancy so that the right people seek further medical attention from a clinician for more detailed assessment of the lesion. Read More

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December 2018
4 Reads

Dermoscopy, with and without visual inspection, for diagnosing melanoma in adults.

Cochrane Database Syst Rev 2018 Dec 3;12:CD011902. Epub 2018 Dec 3.

Institute of Applied Health Research, University of Birmingham, Birmingham, UK, B15 2TT.

Background: Melanoma has one of the fastest rising incidence rates of any cancer. It accounts for a small percentage of skin cancer cases but is responsible for the majority of skin cancer deaths. Although history-taking and visual inspection of a suspicious lesion by a clinician are usually the first in a series of 'tests' to diagnose skin cancer, dermoscopy has become an important tool to assist diagnosis by specialist clinicians and is increasingly used in primary care settings. Read More

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December 2018
6 Reads

Diet and prevention of type 2 diabetes mellitus: beyond weight loss and exercise.

Expert Rev Endocrinol Metab 2018 Nov 29:1-12. Epub 2018 Nov 29.

a Midwest Biomedical Research/Center for Metabolic and Cardiovascular Health , Glen Ellyn , IL , USA.

Introduction: Insulin resistance (IR) and pancreatic beta-cell dysfunction are core pathophysiologic features of type 2 diabetes mellitus (T2DM). Select lifestyle and pharmacologic interventions, including weight loss, physical activity, a Mediterranean diet intervention, and hypoglycemic agents, have been shown to prevent or delay T2DM. However, dietary factors other than weight loss may also impact risk, mainly through effects to enhance insulin sensitivity, although some may also directly or indirectly impact pancreatic beta-cell function. Read More

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November 2018
4 Reads

Insight into the perioperative management of direct oral anticoagulants: concerns and considerations.

Expert Opin Pharmacother 2018 Dec 6:1-8. Epub 2018 Dec 6.

d Division of Cardiology, Department of Medicine and Therapeutics , The Chinese University of Hong Kong, Prince of Wales Hospital , Hong Kong , China.

Introduction: Direct oral anticoagulants (DOACs) have gained momentum in recent years in patients requiring anticoagulation for the prevention and management of venous thromboembolism and thromboembolic events caused by atrial fibrillation. The use of these agents involves potential bleeding complications, particularly during invasive procedures. With increasing use of DOACs, adequate knowledge regarding the perioperative management of patients on DOACs has become indispensable. Read More

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December 2018

Application of amniotic membrane in reconstructive urology; the promising biomaterial worth further investigation.

Expert Opin Biol Ther 2018 Dec 6. Epub 2018 Dec 6.

e Chair of Urology, Department of Regenerative Medicine, Collegium Medicum , Nicolaus Copernicus University , Bydgoszcz , Poland ;

Introduction: In reconstructive urology, autologous tissues such as intestinal segments, skin, and oral mucosa are used. Due to their limitations, reconstructive urologists are waiting for a novel material, which would be suitable for urinary tract wall replacement. Human amniotic membrane (AM) is a naturally derived biomaterial with a capacity to support reepithelization and inhibit scar formation. Read More

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December 2018
3 Reads

An update of cyclooxygenase (COX)-inhibitors in epilepsy disorders.

Authors:
Ashish Dhir

Expert Opin Investig Drugs 2018 Dec 6. Epub 2018 Dec 6.

a Department of Neurology , School of Medicine, University of California Davis , Sacramento , CA , USA.

Introduction: Neuroinflammation has a critical role in brain disorders. Cyclooxygenase (COX) is one of the principal drug targets for the reduction of neuroinflammation; however, studies have yielded mixed results for COX-inhibitors in the treatment of diverse acute and chronic models of epilepsy. Areas covered: The article covers the effects of COX-inhibitors in epilepsy disorders. Read More

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December 2018
1 Read

Choosing an ideal pharmacotherapeutic strategy for dyslipidemia in children.

Expert Opin Pharmacother 2018 Dec 6:1-4. Epub 2018 Dec 6.

a Biomedical Department of Internal Medicine and Medical Specialties , University of Palermo , Palermo , Italy.

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December 2018
1 Read

Towards a regulation of HTA in Europe: the proposal from the European Commission.

Authors:
Antonio Migliore

Expert Rev Med Devices 2018 Dec 6. Epub 2018 Dec 6.

a Agenas, Agenzia nazionale per i servizi sanitari regionali - Sez. Innovazione , Sperimentazione e sviluppo via Puglie 23, Rome 00187 , Italy.

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December 2018

Dramatic polarization in genitourinary expert opinions regarding the clinical utility of positron emission tomography (PET) imaging in prostate cancer.

Int Braz J Urol 2018 Oct 30;44. Epub 2018 Oct 30.

Department of Radiation Medicine, Oregon Health and Science University, Portland, OR, USA.

Objectives: To ascertain the opinions of North American genitourinary (GU) experts regarding inclusion of technologies such as prostate - specific membrane antigen (PSMA) and C - 11 choline positron emission tomography (PET) into routine practice.

Materials And Methods: A survey was distributed to North American GU experts. Questions pertained to the role of PSMA and C - 11 PET in PCa management. Read More

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October 2018
1 Read

Chinese Expert Consensus Workshop Report: Guideline for permanent iodine-125 seed implantation of primary and metastatic lung tumors.

Thorac Cancer 2018 Dec 6. Epub 2018 Dec 6.

Department of Interventional Medicine, The Second Hospital of Shandong University, Jinan, China.

Surgery remains the first choice of cure for early stage lung cancer. However, many patients are diagnosed at advanced stage, and thus miss the opportunity to undergo surgery. As such patients derive limited benefits from chemotherapy or radiotherapy, alternatives focusing on local control have emerged, including iodine-125 seed implantation. Read More

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December 2018

Nail Psoriasis: An Updated Review and Expert Opinion on Available Treatments, Including Biologics.

Acta Derm Venereol 2018 Dec 6. Epub 2018 Dec 6.

Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Via Massarenti 1, IT-40138 Bologna, Italy.

Nail psoriasis affects 50-79% of patients with skin psoriasis and up to 80% of patients with psoriatic arthritis, and can also represent a negative prognostic factor in individuals with plaque psoriasis. Treatments for nail psoriasis are limited, as nails are often difficult to treat with topical therapies alone, and relapse is common. Among different systemic agents, secukinumab, a fully human monoclonal antibody targeting interleukin (IL)-17A, is the only antibody supported by a trial specifically conducted in patients with nail psoriasis (the TRANSFIGURE trial) and has the longest follow-up available to date. Read More

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December 2018
3 Reads

BaiHui: Cross-species Brain-specific Network Built with Hundreds of Hand-curated Datasets.

Bioinformatics 2018 Dec 5. Epub 2018 Dec 5.

Department of Computational Medicine & Bioinformatics, University of Michigan, Ann Arbor, Michigan, United States.

Motivation: Functional gene networks, representing how likely two genes work in the same biological process, are important models for studying gene interactions in complex tissues. However, a limitation of the current network-building scheme is the lack of leveraging evidence from multiple model organisms as well as the lack of expert curation and quality control of the input genomic data.

Results: Here, we present BaiHui, a brain-specific functional gene network built by probabilistically integrating expertly-hand-curated (by reading original publications) heterogeneous and multi-species genomic data in human, mouse and rat brains. Read More

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December 2018
2 Reads

Chinese society of cardiology expert consensus statement on the diagnosis and treatment of adult fulminant myocarditis.

Sci China Life Sci 2018 Dec 3. Epub 2018 Dec 3.

Department of Cardiology, Changzheng Hospital, The Second Military Medical University, Shanghai, 200003, China.

Fulminant myocarditis is primarily caused by infection with any number of a variety of viruses. It arises quickly, progresses rapidly, and may lead to severe heart failure or circulatory failure presenting as rapid-onset hypotension and cardiogenic shock, with mortality rates as high as 50%-70%. Most importantly, there are no treatment options, guidelines or an expert consensus statement. Read More

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December 2018
2 Reads

Patient Satisfaction and Healthcare Utilization Using Telemedicine in Liver Transplant Recipients.

Dig Dis Sci 2018 Dec 5. Epub 2018 Dec 5.

Department of Medicine, University of California at Los Angeles, Los Angeles, CA, USA.

Background: Post-liver transplantation care is limited to tertiary care centers. Concentration at expert centers leads to high-volume clinics with long wait times and decreased accessibility.

Aim: To assess whether telemedicine can be utilized to overcome barriers to care while sustaining strong patient-physician relationships. Read More

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December 2018
1 Read

Microembolic signal detection by transcranial Doppler: Old method with a new indication.

World J Methodol 2018 Nov 29;8(3):40-43. Epub 2018 Nov 29.

Department of Internal Medicine, Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand.

Transcranial Doppler (TCD) is useful for investigation of intracranial arterial blood flow and can be used to detect a real-time embolic signal. Unfortunately, artefacts can mimic the embolic signal, complicating interpretation and necessitating expert-level opinion to distinguish the two. Resolving this situation is critical to achieve improved accuracy and utility of TCD for patients with disrupted intracranial arterial blood flow, such as stroke victims. Read More

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November 2018

Improve your Galaxy text life: The Query Tabular Tool.

F1000Res 2018 5;7:1604. Epub 2018 Oct 5.

Department of Biochemistry, Molecular Biology and Biophysics, University of Minnesota, Minneapolis, Minnesota, 55455, USA.

Galaxy provides an accessible platform where multi-step data analysis workflows integrating disparate software can be run, even by researchers with limited programming expertise.  Applications of such sophisticated workflows are many, including those which integrate software from different 'omic domains (e.g. Read More

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October 2018
1 Read

Measuring agreement among experts in classifying camera images of similar species.

Ecol Evol 2018 Nov 30;8(22):11009-11021. Epub 2018 Oct 30.

Department of Biology University of British Columbia Okanagan Kelowna British Columbia Canada.

Camera trapping and solicitation of wildlife images through citizen science have become common tools in ecological research. Such studies collect many wildlife images for which correct species classification is crucial; even low misclassification rates can result in erroneous estimation of the geographic range or habitat use of a species, potentially hindering conservation or management efforts. However, some species are difficult to tell apart, making species classification challenging-but the literature on classification agreement rates among experts remains sparse. Read More

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November 2018

Amazing pleiotropic effects of azithromycin.

Authors:
Lies Lahousse

Breathe (Sheff) 2018 Dec;14(4):336-337

Dept Bioanalysis - Pharmaceutical Care Unit, FFW- Campus Heymans, Ghent, Belgium.


http://ow.ly/WGlz30lLL7z. Read More

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December 2018

Controversies and emerging topics in lung transplantation.

Breathe (Sheff) 2018 Dec;14(4):278-287

The Lung Transplant Unit, St Vincent's Hospital, Sydney, Australia.

Lung transplantation provides a realistic hope of improved survival and enhanced quality of life. However, outcomes can be disappointing, meaning many decisions are highly controversial. Practice is largely based on expert opinion and there is a dearth of high-level evidence. Read More

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December 2018
1 Read

Diabetes and depression in Lebanon and association with glycemic control: a cross-sectional study.

Diabetes Metab Syndr Obes 2018 8;11:717-728. Epub 2018 Nov 8.

Department of Internal Medicine, Faculty of Medicine, Beirut Arab University, Beirut, Lebanon,

Background: Diabetes mellitus is a chronic noncommunicable disease characterized by hyperglycemia and is associated with chronic complications affecting the overall quality of life. As of 2017, the prevalence of diabetes in Lebanon is estimated to be 14.6%. Read More

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November 2018

Cost effectiveness of ixekizumab versus secukinumab in the treatment of moderate-to-severe plaque psoriasis in Spain.

Clinicoecon Outcomes Res 2018 12;10:747-759. Epub 2018 Nov 12.

Global Patient Outcomes and Real World Evidence International, Eli Lilly, Surrey, UK.

Background: Currently, several biologic agents are available for the treatment of moderate-to-severe plaque psoriasis, including newer agents with similar mechanisms of action and efficacy; therefore, there is a need to evaluate their efficiency in terms of cost effectiveness.

Objective: This study evaluates the cost effectiveness of recently approved interleukin (IL)-17A antagonists, ixekizumab and secukinumab, for the treatment of moderate-to-severe plaque psoriasis from the perspective of the Spanish National Health System (NHS).

Materials And Methods: A Markov model with a lifetime horizon was developed to compare the cost effectiveness of ixekizumab vs. Read More

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November 2018

Mitochondrial functioning abnormalities observed in blood platelets of chronic smoke-exposed guinea pigs - a pilot study.

Int J Chron Obstruct Pulmon Dis 2018 9;13:3707-3717. Epub 2018 Nov 9.

Department of Pneumology and Allergy, Medical University of Lodz, Lodz, Poland,

Background: COPD represents a major global health issue, which is often accompanied by cardiovascular diseases. A considerable body of evidence suggests that cardiovascular risk is elevated by the activation of blood platelets, which in turn is exacerbated by inflammation. As reactive oxygen species are believed to be an important factor in platelet metabolism and functioning, the aim of our study was to perform a complex assessment of mitochondrial function in platelets in chronic smoke exposed animals with COPD-like lung lesions. Read More

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November 2018
1 Read

Risankizumab: an anti-IL-23 antibody for the treatment of psoriasis.

Drug Des Devel Ther 2018 12;12:3879-3883. Epub 2018 Nov 12.

Department of Dermatology, Baylor University Medical Center, Dallas, TX, USA,

Risankizumab, a fully human IgG monoclonal antibody inhibitor of IL-23, is a therapeutic agent currently in late stage development for use in the treatment of moderate-to-severe plaque psoriasis. It is a biologic agent similar to guselkumab and tildrakizumab which targets IL-23 specifically, and has been primarily developed for use in moderate-to-severe psoriasis. USA-based pharmaceutical company Abbvie submitted it for a Biologics License Application to the US Food and Drug Administration (FDA) in April 2018. Read More

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November 2018

Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study.

BMJ 2018 Dec 5;363:k4764. Epub 2018 Dec 5.

Harvard Medical School, Boston, MA, USA.

Objective: To determine whether medical errors, family experience, and communication processes improved after implementation of an intervention to standardize the structure of healthcare provider-family communication on family centered rounds.

Design: Prospective, multicenter before and after intervention study.

Setting: Pediatric inpatient units in seven North American hospitals, 17 December 2014 to 3 January 2017. Read More

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December 2018

The Evolut R and Evolut PRO Transcatheter Aortic Valve Systems.

Expert Rev Med Devices 2018 Dec 5. Epub 2018 Dec 5.

a London Health Sciences Centre , London , Ontario , Canada .

Introduction: Transcatheter aortic valves have evolved over the last 15 years. Second- and third- generation devices have considerably improved, and a range of newer devices have also been introduced with the aim of decreasing the incidence of paravalvular leak, reducing the need for permanent pacemaker implantation and minimising procedure- and device-related complications. Areas covered: In this review, we highlight the special features of the latest generation of self-expanding Evolut PRO (Medtronic, Minneapolis, Minnesota) transcatheter aortic valve system. Read More

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December 2018

Epidemiology of lower respiratory tract infections in adults.

Expert Rev Respir Med 2018 Dec 6. Epub 2018 Dec 6.

b Division of Pulmonology, Department of Internal Medicine, Charlotte Maxeke Johannesburg Academic Hospital and Faculty of Health Sciences , University of the Witwatersrand , Johannesburg , South Africa .

Introduction: Lower respiratory tract infections (LRTIs) are the leading infectious disease cause of death in the world and the fifth overall cause of death. From an epidemiological point of view, most consider pneumonia, influenza, bronchitis (including acute exacerbations in chronic obstructive pulmonary disease [AECOPD]), and bronchiolitis to be the most important LRTIs. Areas covered: This review will describe the epidemiology of LRTIs in adults focusing on community-acquired pneumonia, influenza, and AECOPD, utilizing data from the more recent literature. Read More

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December 2018
3 Reads

Adherence to treatment in allergic respiratory diseases.

Expert Rev Respir Med 2018 Dec 5:1-10. Epub 2018 Dec 5.

a Department of Biomedical Sciences , Humanitas University , Milano , Italy.

Introduction: Asthma and allergic rhinitis (AR) are chronic conditions in which management needs adherence to prescribed drugs. Despite the benefits of regular maintenance of asthma and AR therapy, low adherence is a frequent issue in clinical practice. Areas covered: The aim of this review is to provide a targeted analysis of the more recent literature on adherence in asthma and AR, focused on the following areas: adherence extent, barriers and consequences, effects of educational interventions and use of new technologies to improve the level of adherence. Read More

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December 2018
2 Reads

Optimization techniques for novel c-Met kinase inhibitors.

Expert Opin Drug Discov 2018 Dec 5:1-11. Epub 2018 Dec 5.

b State Key Laboratory of Pharmaceutical Biotechnology, School of Life Sciences , Nanjing University , Nanjing , China.

Introduction: c-Met kinase plays an important part in the regulation of cell growth, invasion and anti-apoptosis. This enzyme is also an important target in cancer treatment. Through structural optimization and structure-activity studies of drugs currently on the market and those still in clinical trials, a great number of novel c-Met kinase inhibitors have been developed. Read More

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December 2018

A clinical update on the mid-term clinical performance of the Ovation endograft.

Expert Rev Med Devices 2018 Dec 6. Epub 2018 Dec 6.

a Department of Vascular Surgery , "Democritus" University of Thrace, University Hospital of Alexandroupolis , Greece.

Introduction: The Ovation stent-graft uncouples the steps of fixation and sealing via a pair of polymer-filled inflatable rings. Apart from the well-documented early results, newer data emerged for mid-term results of Ovation and are presented in this review. Areas covered: Aim of this article was to report all current studies with the mid-term results of the particular endograft, the incidence of complications and failure and discuss their management. Read More

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December 2018

Management of bacterial skin and skin structure infections with polymicrobial aetiology.

Expert Rev Anti Infect Ther 2018 Dec 6. Epub 2018 Dec 6.

b AORN dei Colli Dept of Infectious Diseases , Naples , Italy .

Introduction: Skin and Soft Tissue Infections (SSTIs) are some of the most commonly occurring bacterial infections, with a wide range of possible aetiological pathogens and a considerable variety of clinical presentations and severity; from mild to severe life-threatening infections. Several classifications have been proposed based on a specific variable, such as anatomical localization, skin extension, progression rate, clinical presentation, severity and etiological agent. Areas covered: The last criteria allows the differentiation of SSTIs as mono-microbial and poly-microbial. Read More

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December 2018

Immuno-inflammation dans les maladies psychiatriques : quelles pistes ?

Rev Prat 2016 Nov;67(9):950-952

INRA, Laboratoire de nutrition et neurobiologie intégrée (NutriNeuro), UMR 1286, Bordeaux, France.

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November 2016

[Diagnosis and Treatment of Interstitial Lung Diseases].

Dtsch Med Wochenschr 2018 Dec 3;143(24):1774-1777. Epub 2018 Dec 3.

Klinik Schillerhöhe, Abteilung für Pneumologie und Beatmungsmedizin, Gerlingen, Robert-Bosch-Krankenhaus.

Interstitial lung diseases compromise a group of diffuse predominantly chronic inflammatory and fibrosing disorders of the lung parenchyma. This article reviews practice-relevant publications on the diagnosis and treatment of idiopathic pulmonary fibrosis - the most common form of idiopathic interstitial lung diseases. The new patient questionnaire of the German Society of Pneumology facilitates collection of a complex case history of diverse interstitial lung diseases in individual patients. Read More

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December 2018

Introduction and Summary of the 2018 Dietary Glutamate Workshop.

Ann Nutr Metab 2018 3;73 Suppl 5:1-4. Epub 2018 Dec 3.

Department of Pediatrics, University of Cincinnati College of Medicine and Division of Neurology, Cincinnati Children's Research Foundation, Cincinnati, Ohio, USA.

The 2018 Dietary Glutamate Workshop was organized and sponsored by the International Glutamate Technical Committee to provide a platform for a broad expert discussion on all relevant aspects of glutamate metabolism and safety in human nutrition. The participants reached a consensus with previous safety evaluations conducted by the global expert bodies, but contradicted the 2017 re-evaluation of dietary glutamates by the European Food Safety Authority, which proposed a group acceptable daily intake (ADI) of 30 mg/kg body weight per day. The participants of the Workshop concluded that the present knowledge on metabolism, kinetics, developmental and general toxicity of dietary glutamates did not warrant a change in the previous ADI of "not specified. Read More

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December 2018
1 Read

Clinically-oriented Contour Evaluation using Dosimetric Indices Generated from Automated Knowledge-based Planning.

Int J Radiat Oncol Biol Phys 2018 Nov 30. Epub 2018 Nov 30.

Department of Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, CA. Electronic address:

Purpose: Geometric indicators of contouring accuracy suffer from lack of clinical context in radiotherapy. To provide clinical relevance, treatment plans should be generated from the candidate contours, but manual planning could introduce confounding variations. Therefore, our objectives in this study were to: (i) determine the feasibility of using automated knowledge-based planning (KBP) as an objective tool to generate dosimetric parameters for contour evaluation, (ii) evaluate the correlation between geometric indices and dosimetric endpoints, and (iii) report the dosimetric impact of multiple observations of resident-contoured head-and-neck target and organ-at-risk (OAR) volumes. Read More

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November 2018

Development of a collaborative model of low back pain: report from the 2017 NASS consensus meeting.

Spine J 2018 Nov 30. Epub 2018 Nov 30.

NHMRC Centre of Clinical Research Excellence in Spinal Pain, Injury and Health, School of Health and Rehabilitation Sciences, University of Queensland, Queensland, Australia.

Background Context: Low back pain (LBP) is a multifactorial problem with complex interactions among many biological, psychological and social factors. It is difficult to fully appreciate this complexity because the knowledge necessary to do so is distributed over many areas of expertise that span the biopsychosocial domains.

Purpose: This study describes the collaborative modeling process, undertaken among a group of participants with diverse expertise in LBP, to build a model to enhance understanding and communicate the complexity of the LBP problem. Read More

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November 2018

Predicting the length of volleyball serves: The role of early auditory and visual information.

PLoS One 2018 3;13(12):e0208174. Epub 2018 Dec 3.

Department of Life Sciences, University of Trieste, Trieste, Italy.

In light of the growing body of research that is revealing the significant role of the auditory domain in sport, the present study aims to investigate the contribution of early auditory and visual information to the prediction of volleyball serves' length. To this purpose, three within-subjects experiments were run, which differed among them in terms of stimuli (audiovisual congruent vs audiovisual incongruent; audio only vs video only) and/or in terms of number of possible answers. In particular, expert volleyball players were asked to predict the length of temporally occluded overhand serves, choosing among either two or three possible landing sectors. Read More

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December 2018
1 Read

Weight cycling and cardiovascular outcome in women with suspected ischemia: A report from the NHLBI-sponsored WISE Study.

PLoS One 2018 3;13(12):e0207223. Epub 2018 Dec 3.

Division of Cardiovascular Medicine, University of Florida, Gainesville, Florida, United States of America.

Background: We previously reported in a cross-sectional analysis an adverse relationship between weight cycling and HDL-cholesterol but not angiographic obstructive coronary artery disease (CAD) among women undergoing coronary angiography for suspected ischemia in the NHLBI-sponsored Women's Ischemia Syndrome Evaluation (WISE). We now examine the relationship between weight cycling and prospective adverse cardiovascular outcome in this group.

Methods: 795 women enrolled between 1996-2001 in the WISE undergoing coronary angiography for evaluation of suspected ischemia and followed for a median of 6. Read More

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December 2018
2 Reads

Can an Augmented Reality Headset Improve Accuracy of Acetabular Cup Orientation in Simulated THA? A Randomized Trial.

Clin Orthop Relat Res 2018 Nov 29. Epub 2018 Nov 29.

K. Logishetty, L. Western, R. Morgan, F. Iranpour, J. P. Cobb, E. Auvinet, MSk Lab, Imperial College London, London, UK.

Background: Accurate implant orientation reduces wear and increases stability in arthroplasty but is a technically demanding skill. Augmented reality (AR) headsets overlay digital information on top of the real world. We have developed an enhanced AR headset capable of tracking bony anatomy in relation to an implant, but it has not yet been assessed for its suitability as a training tool for implant orientation. Read More

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November 2018
1 Read

Current indications for balloon sinuplasty.

Curr Opin Otolaryngol Head Neck Surg 2018 Nov 30. Epub 2018 Nov 30.

Rhinology & Endoscopic Skull Base Surgery, UCLA Department of Head & Neck Surgery, Los Angeles, California, USA.

Purpose Of Review: The purpose of the review is to evaluate the current indications and contraindications for balloon sinuplasty and review the clinical trials performed in this area.

Recent Findings: The indications for balloon sinus dilatation are somewhat similar to those for endoscopic sinus surgery. Balloon sinus ostial dilation (BSD) has been found to be most effective in the treatment of recurrent acute sinusitis (RARS) and chronic rhinosinusitis without nasal polyposis (CRSsNP) that has been refractory to medical therapy. Read More

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November 2018
1 Read

Examination of the enhanced recovery guidelines in thoracic surgery.

Curr Opin Anaesthesiol 2018 Nov 29. Epub 2018 Nov 29.

Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut, USA.

Purpose Of Review: Enhanced Recovery After Thoracic Surgery (ERATS) has gained momentum over the past few years, although the evidence base and expert recommendations lag behind other specialties. This review will present and examine key points from the first guidelines for enhanced recovery after lung surgery, released in 2018, jointly sponsored by the European Society of Thoracic Surgeons and the Enhanced Recovery After Surgery Society.

Recent Findings: The recently released guidelines present core components of enhanced recovery as they pertain to lung resection surgery. Read More

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November 2018
1 Read

Data Subset Selection With Imperfect Multiple Labels.

IEEE Trans Neural Netw Learn Syst 2018 Nov 27. Epub 2018 Nov 27.

We study the problem of selecting a subset of weakly labeled data where the labels of each data instance are redundant and imperfect. In real applications, less-than-expert labels are obtained at low cost in order to acquire many labels for each instance and then used for estimating the ground truth. However, on one side, preparing and processing data itself sometimes can be even more expensive than labeling. Read More

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November 2018
1 Read

An update on emerging drugs for the treatment of erectile dysfunction.

Expert Opin Emerg Drugs 2018 Dec 3. Epub 2018 Dec 3.

a Department of Urology , University Hospitals Leuven , Belgium.

Introduction: Erectile dysfunction is an extremely frequent and extensively studied condition, currently affecting the lives of tens of millions of men around the globe. The extensive knowledge of its pathophysiology has led to the development of phosphodiesterase 5-inhibitors, which can facilitate sexual intercourse in a large number of patients. However, an ever-increasing number of patients is unresponsive to these drugs due to underlying comorbidities or previous surgery. Read More

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December 2018
1 Read