122,136 results match your criteria Systemic Inflammatory Response Syndrome


Severe cryopyrin-associated periodic syndrome first characterized by early childhood-onset sensorineural hearing loss - Case report and literature review.

Int J Pediatr Otorhinolaryngol 2019 Jan 28;120:68-72. Epub 2019 Jan 28.

Division of Pediatric Rheumatology, Department of Pediatrics, IWK Health Centre, 5850/5980 University Ave, PO Box 9700, Halifax, NS, B3K 6R8, Canada. Electronic address:

Infant-onset bilateral sensorineural hearing loss is a key presenting symptom of the autoinflammatory cryopyrin-associated periodic syndrome. Other symptoms include periodic fever, cold-induced urticaria-like rash, chronic aseptic meningitis, polyarticular arthralgias, and renal AA amyloidosis. Early recognition and treatment with interleukin-1 blockade are critical for preventing disabling or fatal complications. Read More

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http://dx.doi.org/10.1016/j.ijporl.2019.01.037DOI Listing
January 2019

Development and validation of a novel clinical scoring system for short-term prediction of death in dogs with acute pancreatitis.

J Vet Intern Med 2019 Feb 15. Epub 2019 Feb 15.

Department of Internal Medicine, Ecole Nationale Vétérinaire d'Alfort, Maisons-Alfort, France.

Background: Acute pancreatitis (AP) is associated with a high death rate in dogs, but accurate predictors of early death are still lacking.

Objectives: To develop a scoring system for prediction of short-term case fatality in dogs with AP.

Animals: One hundred sixty-nine dogs with AP including 138 dogs in the training cohort and 31 dogs in the validation cohort. Read More

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http://dx.doi.org/10.1111/jvim.15421DOI Listing
February 2019

Modified systemic inflammatory response syndrome and provider gestalt predicting adverse outcomes in children under 5 years presenting to an urban emergency department of a tertiary hospital in Tanzania.

Trop Med Health 2019 1;47:13. Epub 2019 Feb 1.

1Emergency Medicine Department, Muhimbili University of Health and Allied Sciences, P.O. Box 65001, Dar Es Salaam, Tanzania.

Background: Modified systemic inflammatory response syndrome (mSIRS) criteria for the pediatric population together with the provider gestalt have the potential to predict clinical outcomes. However, this has not been studied in low-income countries. We investigated the ability of mSIRS and provider gestalt to predict mortality and morbidity among children presenting to the ED of a tertiary level hospital in Tanzania. Read More

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http://dx.doi.org/10.1186/s41182-019-0136-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6359824PMC
February 2019

Neurological Recovery After Recovery From Acute Liver Failure: Is it Complete?

J Clin Exp Hepatol 2019 Jan-Feb;9(1):99-108. Epub 2018 Jun 22.

Indraprastha Apollo Hospital, New Delhi, India.

Neurologic dysfunction characterised by Hepatic Encephalopathy (HE) and cerebral oedema are the most dramatic presentations of Acute Liver Failure (ALF) and signify poor outcome. Improved critical care and wider availability of emergency Liver Transplantation (LT) has improved survivability in ALF. In most cases absence of clinically overt encephalopathy after spontaneous recovery from ALF or after LT is thought to indicate complete neurologic recovery. Read More

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http://dx.doi.org/10.1016/j.jceh.2018.06.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6363962PMC

Emergency department sepsis huddles: Achieving excellence for sepsis benchmarks in New York State.

Am J Emerg Med 2019 Feb 7. Epub 2019 Feb 7.

Emergency Department, Good Samaritan Hospital Medical Center, United States of America.

The sepsis order set at our institution was created with the intent to facilitate the prompt initiation of appropriate sepsis care. Once clinical features meeting criteria for systemic inflammatory response syndrome (SIRS) are identified and an infectious source is considered, a "sepsis huddle" is concomitantly initiated. The sepsis huddle was implemented in March of 2016 in order to increase compliance with the sepsis bundles. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07356757193008
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http://dx.doi.org/10.1016/j.ajem.2019.02.007DOI Listing
February 2019
1 Read

The triad of diabetes ketoacidosis, hypertriglyceridemia and acute pancreatitis. How does it affect mortality and morbidity?: A 10-year analysis of the National Inpatient Sample.

Medicine (Baltimore) 2019 Feb;98(7):e14378

Gastroenterology and Hepatology Department, Digestive Disease Institute.

The triad of acute pancreatitis (AP) coexisting with diabetes ketoacidosis (DKA) and hypertriglyceridemia (HTG) has been reported, but no impact on mortality has been found to date. We aim to assess if patients with this triad are at a higher inpatient mortality compared to patients with acute pancreatitis only.Retrospective cohort. Read More

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http://dx.doi.org/10.1097/MD.0000000000014378DOI Listing
February 2019
3 Reads

Utility of qSOFA score in identifying patients at risk for poor outcome in Staphylococcus aureus bacteremia.

BMC Infect Dis 2019 Feb 13;19(1):149. Epub 2019 Feb 13.

Department of Clinical Pharmacy, University of Southern California School of Pharmacy, 1985 Zonal Ave, Los Angeles, CA, 90089, USA.

Background: The prognostic capability of the quick Sequential Organ Failure Assessment (qSOFA) bedside scoring tool is uncertain in non-ICU patients with sepsis due to bacteremia given the low number of patients previously evaluated.

Methods: We performed a retrospective cohort study of adult hospitalized patients with Staphylococcus aureus bacteremia (SAB). Medical charts were reviewed to determine qSOFA score, systemic inflammatory response syndrome (SIRS) criteria, and Pitt bacteremia score (PBS) at initial presentation; their predictive values were compared for ICU admission within 48 h, ICU stay duration > 72 h, and 30-day mortality. Read More

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http://dx.doi.org/10.1186/s12879-019-3770-4DOI Listing
February 2019

The significance of intraoperative renal pelvic urine and stone cultures for patients at a high risk of post-ureteroscopy systemic inflammatory response syndrome.

Urolithiasis 2019 Feb 13. Epub 2019 Feb 13.

Department of Urology, Kidney Stone Center, Tokyo Metropolitan Ohtsuka Hospital, 2-8-1 Minami-Ohtsuka, Toshima-ku, Tokyo, 170-8476, Japan.

We examined the renal pelvic urine culture (RPUC) and stone culture (SC) during ureteroscopy and evaluated their associations with postoperative systemic inflammatory response syndrome (SIRS). We prospectively collected data of 224 patients who underwent ureteroscopic laser lithotripsy from March 2015 to December 2017. We examined the bladder urine culture pre-operatively. Read More

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http://dx.doi.org/10.1007/s00240-019-01112-6DOI Listing
February 2019

Neutrophil to lymphocyte ratio at the early phase of acute pancreatitis correlates with serum urokinase-type plasminogen activator receptor and interleukin 6 and predicts organ failure.

Folia Med Cracov 2018 ;58(4):57-74

Department of Medical Diagnostics, Faculty of Pharmacy, Jagiellonian University Medical College Kraków, Poland.

Background: In early phase of acute pancreatitis (AP), systemic inflammatory response syndrome may lead to organ failure. The severe form of AP is associated with high mortality that may be prevented by timely diagnosis and treatment of the predicted severe cases. Serum interleukin 6 (IL-6) and urokinase-type plasminogen activator receptor (uPAR) have been proposed as accurate early markers of severe AP. Read More

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January 2018

Fetal inflammation is associated with persistent systemic and hippocampal inflammation and dysregulation of hippocampal glutamatergic homeostasis.

Pediatr Res 2019 Feb 11. Epub 2019 Feb 11.

Division of Neonatology, Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA.

Background: Inflammation is a major cause of preterm birth and often results in a fetal inflammatory response syndrome (FIRS). Preterm infants with FIRS have a higher childhood incidence of neurodevelopmental disability than preterm infants without FIRS. The mechanisms connecting FIRS to neurodevelopmental disability in formerly preterm infants are not fully understood, but the effect on premature gray matter may have an important role. Read More

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http://dx.doi.org/10.1038/s41390-019-0330-yDOI Listing
February 2019

Systemic inflammatory response syndrome in Sepsis-3: a retrospective study.

BMC Infect Dis 2019 Feb 11;19(1):139. Epub 2019 Feb 11.

Department of Critical Care Medicine, Sichuan University West China Hospital, Chengdu, 610041, Sichuan, China.

Background: In the new Sepsis-3 definition, sepsis is defined as "life-threatening organ dysfunction due to a dysregulated host response to infection." We tested the predictive validity of the systematic inflammatory response syndrome (SIRS) criteria in patients in the Sepsis-3 cohort.

Methods: Among 1243 electronic health records from 1 January to 31 December 2015 at Sichuan University West China Hospital, we identified patients with sepsis and septic shock according to the Sepsis-3 definition and divided them into 2 subsets: SIRS-positive and SIRS-negative. Read More

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http://dx.doi.org/10.1186/s12879-019-3790-0DOI Listing
February 2019
1 Read
2.613 Impact Factor

Derivation of a quick Pitt bacteremia score to predict mortality in patients with Gram-negative bloodstream infection.

Infection 2019 Feb 8. Epub 2019 Feb 8.

Department of Medicine, Palmetto Health University of South Carolina Medical Group, Columbia, SC, USA.

Purpose: This retrospective cohort study derived a "quick" version of the Pitt bacteremia score (qPitt) using binary variables in patients with Gram-negative bloodstream infections (BSI). The qPitt discrimination was then compared to quick sepsis-related organ failure assessment (qSOFA) and systemic inflammatory response syndrome (SIRS).

Methods: Hospitalized adults with Gram-negative BSI at Palmetto Health hospitals in Columbia, SC, USA from 2010 to 2013 were identified. Read More

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http://dx.doi.org/10.1007/s15010-019-01277-7DOI Listing
February 2019
1 Read

Heart rate variability based machine learning models for risk prediction of suspected sepsis patients in the emergency department.

Medicine (Baltimore) 2019 Feb;98(6):e14197

Health Services Research Centre, Singapore Health Services.

Early identification of high-risk septic patients in the emergency department (ED) may guide appropriate management and disposition, thereby improving outcomes. We compared the performance of machine learning models against conventional risk stratification tools, namely the Quick Sequential Organ Failure Assessment (qSOFA), National Early Warning Score (NEWS), Modified Early Warning Score (MEWS), and our previously described Singapore ED Sepsis (SEDS) model, in the prediction of 30-day in-hospital mortality (IHM) among suspected sepsis patients in the ED.Adult patients who presented to Singapore General Hospital (SGH) ED between September 2014 and April 2016, and who met ≥2 of the 4 Systemic Inflammatory Response Syndrome (SIRS) criteria were included. Read More

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http://dx.doi.org/10.1097/MD.0000000000014197DOI Listing
February 2019

The Aftermath of Surviving Acute Radiation Hematopoietic Syndrome and its Mitigation.

Radiat Res 2019 Feb 7. Epub 2019 Feb 7.

Department of a   Radiation Oncology, University of California at Los Angeles, Los Angeles, California.

Intensive research is underway to find new agents that can successfully mitigate the acute effects of radiation exposure. This is primarily in response to potential counterthreats of radiological terrorism and nuclear accidents but there is some hope that they might also be of value for cancer patients treated with radiation therapy. Research into mitigation countermeasures typically employs classic animal models of acute radiation syndromes (ARS) that develop after whole-body irradiation (WBI). Read More

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http://dx.doi.org/10.1667/RR15231.1DOI Listing
February 2019
3 Reads

Electronically Triggered Sepsis Alert in Non-Intensive Care Inpatients Using Modified Systemic Inflammatory Response Syndrome Criteria: A Retrospective Observational Study with In-Depth Analysis of Surgical Patients.

Surg Infect (Larchmt) 2019 Feb 6. Epub 2019 Feb 6.

1 Department of Surgery, University of Minnesota Medical School, Minneapolis, Minnesota.

Background: Our center initiated an electronic Sepsis Best Practice Alert (sBPA) protocol to aid in early sepsis detection and treatment. However, surgery alters peri-operative physiology, which may trigger an sBPA for noninfectious causes. This study aimed to provide early evaluation of automated sBPA utility in surgical patients. Read More

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http://dx.doi.org/10.1089/sur.2018.228DOI Listing
February 2019

Cell Membrane-Derived Microvesicles in Systemic Inflammatory Response.

Folia Biol (Praha) 2018 ;64(4):113-124

Institute of Pathological Physiology, First Faculty of Medicine, Charles University, Prague, Czech Republic.

Human body reacts to physical, chemical and biological insults with a complex inflammatory reaction. Crucial components and executors of this response are endothelial cells, platelets, white blood cells, plasmatic coagulation system, and complement. Endothelial injury and inflammation are associated with elevated blood levels of cell membrane-derived microvesicles. Read More

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January 2018
3 Reads

Review article: shared disease mechanisms between non-alcoholic fatty liver disease and metabolic syndrome - translating knowledge from systems biology to the bedside.

Aliment Pharmacol Ther 2019 Mar 4;49(5):516-527. Epub 2019 Feb 4.

School of Medicine, Institute of Medical Research A. Lanari, University of Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina.

Background: Non-alcoholic fatty liver disease (NAFLD) is the leading cause of chronic liver disease worldwide. Characterised by abnormal fat accumulation in the liver, NAFLD presents high degree of comorbidity with disorders of the metabolic syndrome, including type 2 diabetes, obesity and cardiovascular disease. These comorbidities have strong negative impact on the natural course of NAFLD and vice versa, whereby the presence of NAFLD substantially modifies the course and prognosis of metabolic syndrome-associated diseases. Read More

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http://dx.doi.org/10.1111/apt.15163DOI Listing
March 2019
2 Reads

Postoperative Pneumonia After Esophagectomy and Systemic Inflammatory Response Syndrome.

Anticancer Res 2019 Feb;39(2):979-985

Department of Surgery, Tokyo Women's Medical University Medical Center East, Tokyo, Japan.

Background/aim: The aim of this study was to determine the association between post-esophagectomy pneumonia and the presence of pathogenic organisms in the sputum or pharynx and postoperative systemic inflammatory response syndrome (SIRS).

Materials And Methods: This retrospective study included 98 patients diagnosed with esophageal cancer who had undergone esophagectomy.

Results: Postoperative pneumonia was observed in 24 patients (24. Read More

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http://dx.doi.org/10.21873/anticanres.13202DOI Listing
February 2019

Comparison of severity score models based on different sepsis definitions to predict in-hospital mortality among sepsis patients in the Intensive Care Unit.

Med Intensiva 2019 Jan 30. Epub 2019 Jan 30.

Division of Critical Care Medicine, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand. Electronic address:

Objective: A comparison is made of the accuracy between severity models, based on different sepsis definitions (systemic inflammatory response syndrome (SIRS), predisposition, insult, response, organ dysfunction (PIRO), and sequential organ failure assessment (SOFA) concepts), in predicting outcomes among sepsis patients.

Design: A retrospective study was carried out.

Setting: The study was conducted in the Intensive Care Unit (ICU) of a university teaching hospital. Read More

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http://dx.doi.org/10.1016/j.medin.2018.12.004DOI Listing
January 2019
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Effectiveness of a 10% imidacloprid/4.5% flumethrin polymer matrix collar in reducing the risk of Bartonella spp. infection in privately owned cats.

Parasit Vectors 2019 Feb 1;12(1):69. Epub 2019 Feb 1.

Dipartimento di Medicina Veterinaria, Università degli Studi di Bari "Aldo Moro", Bari, Italy.

Background: Bartonella henselae, Bartonella clarridgeiae and the rare Bartonella koehlerae are zoonotic pathogens, with cats being regarded as the main reservoir hosts. The spread of the infection among cats occurs mainly via fleas and specific preventive measures need to be implemented. The effectiveness of a 10% imidacloprid/4. Read More

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http://dx.doi.org/10.1186/s13071-018-3257-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6359753PMC
February 2019

Macrophage activation syndrome due to Nocardia spp in a pediatric patient with cystic fibrosis.

Pediatr Pulmonol 2019 Jan 31. Epub 2019 Jan 31.

Faculty of Medicine, Department of Pediatric Infectious Disease, Gazi University, Ankara, Turkey.

Nocardia spp is a gram-positive aerobic filamentous bacteria that causes pulmonary and systemic infections, especially in patients with immunosuppression or chronic lung diseases. It is rarely reported in children with cystic fibrosis. Macrophage activation syndrome is a life-threatening disease with an excessive inflammatory response usually triggered by infections. Read More

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http://doi.wiley.com/10.1002/ppul.24262
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http://dx.doi.org/10.1002/ppul.24262DOI Listing
January 2019
4 Reads

Survival analysis and mortality predictors of hospitalized severe burn victims in a Malaysian burns intensive care unit.

Burns Trauma 2019 28;7. Epub 2019 Jan 28.

1General Surgery Department, Hospital Sultanah Aminah, Johor Bahru, Malaysia.

Background: Prognostic measures to determine burn mortality are essential in evaluating the severity of individual burn victims. This is an important process of triaging patients with high risk of mortality that may be nursed in the acute care setting. Malaysian burn research is lacking with only one publication identified which describes the epidemiology of burn victims. Read More

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http://dx.doi.org/10.1186/s41038-018-0140-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348617PMC
January 2019
1 Read

Sclareol attenuates the development of atopic dermatitis induced by 2,4-dinitrochlorobenzene in mice.

Immunopharmacol Immunotoxicol 2019 Feb 1:1-8. Epub 2019 Feb 1.

f Department of Medical Research , China Medical University Hospital , Taichung , Taiwan.

Context: Atopic dermatitis is a common chronic inflammatory skin disease affecting up to 20% of children and 1% of adults worldwide. Treatment of atopic dermatitis include corticosteroids and immunosuppressants, such as calcineurin inhibitors and methotrexate. However, these treatments often bring about adverse effects including skin atrophy, osteoporosis, skin cancer, and metabolic syndrome. Read More

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http://dx.doi.org/10.1080/08923973.2018.1555846DOI Listing
February 2019
2 Reads

Severity and outcome of hantavirus pulmonary syndrome marked by increased serum levels of IL-6 and intestinal fatty acid-binding protein.

J Infect Dis 2019 Jan 30. Epub 2019 Jan 30.

Center for Infectious Medicine, Department of Medicine Huddinge, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.

Background: Hantavirus pulmonary syndrome (HPS) is caused by Andes virus (ANDV) and related hantaviruses in the Americas. Despite a fatality rate of 40%, the pathogenesis of HPS is poorly understood and factors associated with severity, fatality and survival remain elusive.

Methods: Ninety-three ANDV-infected HPS patients, out of whom 34 had a fatal outcome, were retrospectively studied. Read More

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http://dx.doi.org/10.1093/infdis/jiz005DOI Listing
January 2019
2 Reads

Homologous role of CovRS two-component regulatory system in NAD -glycohydrolase activity in Streptococcus dysgalactiae subsp. equisimilis as in Streptococcus pyogenes.

APMIS 2019 Feb;127(2):87-92

Department of Bacteriology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.

Streptococcal toxic shock syndrome (STSS) is primarily caused by Streptococcus pyogenes, but it may also be caused by Streptococcus dysgalactiae subsp. equisimilis (SDSE). The analyses of S. Read More

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http://dx.doi.org/10.1111/apm.12914DOI Listing
February 2019
1 Read

Outcomes in Patients With Cirrhosis on Primary Compared to Secondary Prophylaxis for Spontaneous Bacterial Peritonitis.

Am J Gastroenterol 2019 Jan 23. Epub 2019 Jan 23.

University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Objectives: Antibiotic prophylaxis is recommended for prevention of the first episode of spontaneous bacterial peritonitis (SBP; primary prophylaxis 1°) and subsequent episodes (secondary prophylaxis 2°). We aimed to compare outcomes in cirrhotic inpatients on 1° vs 2° SBP prophylaxis.

Methods: Data from North American Consortium for the Study of End-Stage Liver Disease were evaluated for cirrhosis details, reasons for admission/medications, inpatient course recorded, and outcomes over 90 days. Read More

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http://Insights.ovid.com/crossref?an=00000434-900000000-9978
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http://dx.doi.org/10.14309/ajg.0000000000000044DOI Listing
January 2019
2 Reads

Risk Factors Associated with Neonatal Sepsis: A Case Study at a Specialist Hospital in Ghana.

ScientificWorldJournal 2019 1;2019:9369051. Epub 2019 Jan 1.

School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana.

Worldwide, neonatal sepsis accounts for an estimated 26% of under-five deaths, with sub-Saharan Africa having the highest mortality rates. Though worldwide neonatal deaths have decreased by over 3.6 million per year since 2000, neonatal sepsis remains a notable hindrance to the progress in the decline of cause-specific mortality rates especially in sub-Saharan Africa. Read More

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https://www.hindawi.com/journals/tswj/2019/9369051/
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http://dx.doi.org/10.1155/2019/9369051DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332869PMC
February 2019
9 Reads

Signals of the Neuropilin-1-MET Axis and Cues of Mechanical Force Exertion Converge to Elicit Inflammatory Activation in Coherent Endothelial Cells.

J Immunol 2019 Jan 28. Epub 2019 Jan 28.

Institute of Physiological Chemistry and Pathobiochemistry, Westfalian Wilhelm University Münster, 48149 Münster, Germany;

The neuropilin-1 (NRP1)-MET signaling axis regulates the motility of individual endothelial cells (ECs). It is unknown how this signaling pathway affects the endothelial barrier in coherent ECs forming a tight monolayer. We hypothesized that it is involved both in modulation of the endothelial barrier and in EC activation. Read More

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http://dx.doi.org/10.4049/jimmunol.1801346DOI Listing
January 2019
1 Read

Staphylococcus pseudintermedius septicemia in puppies after elective cesarean section: confirmed transmission via dam's milk.

BMC Vet Res 2019 Jan 28;15(1):41. Epub 2019 Jan 28.

Clinic for Reproduction and Large Animals, Veterinary Faculty, University of Ljubljana, Gerbičeva 60, 1000, Ljubljana, Slovenia.

Background: In humans, transmission of bacteria causing fatal sepsis in the neonates through mother's milk has been reported. In dogs, it is believed that bacteria from canine milk are not the primary cause of neonatal infections. Staphylococcus pseudintermedius is colonizing the skin and mucocutaneous junctions in adult dogs and can act as an opportunistic pathogen. Read More

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http://dx.doi.org/10.1186/s12917-019-1795-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348621PMC
January 2019
2 Reads

The incidence, etiologies, outcomes, and predictors of mortality of acute liver failure in Thailand: a population-base study.

BMC Gastroenterol 2019 Jan 28;19(1):18. Epub 2019 Jan 28.

Institute for Liver and Digestive Health, Royal Free Hospital, University College London, London, UK.

Background: Acute liver failure (ALF) is uncommon but progresses rapidly with high mortality. We investigated the incidence, etiologies, outcomes, and predictive factors for 30-day mortality in patients with ALF.

Methods: We conducted a population-based study of ALF patients hospitalized between 2009 and 2013 from the Thai Nationwide Hospital Admission database, which comprises 76% of all admissions from 858 hospitals across 77 provinces in Thailand. Read More

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http://dx.doi.org/10.1186/s12876-019-0935-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348628PMC
January 2019
2 Reads
2.365 Impact Factor

Immature granulocytes as a sepsis predictor in patients undergoing cardiac surgery.

Interact Cardiovasc Thorac Surg 2019 Jan 23. Epub 2019 Jan 23.

Department of Anaesthesiology, Resuscitation and Intensive Medicine, General University Hospital, First Faculty of Medicine, Charles University, Prague, Czech Republic.

Objectives: Usefulness of immature granulocyte percentage (IG%) to discriminate between postoperative non-infective systemic inflammatory response syndrome (SIRS) and sepsis was tested in cardiac surgical patients.

Methods: A retrospective analysis of 124 patients who developed non-infective SIRS and sepsis after elective cardiac surgery was performed. Predictive ability of IG% to predict sepsis was compared to procalcitonin (PCT), white blood cell count, temperature and different biomarker combinations using receiver operating characteristic and logistic regression analysis. Read More

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http://dx.doi.org/10.1093/icvts/ivy360DOI Listing
January 2019
1 Read

Usefulness of qSOFA and SIRS scores for detection of incipient sepsis in general ward patients: A prospective cohort study.

J Crit Care 2019 Jan 18;51:13-18. Epub 2019 Jan 18.

Medical Intensive Care Unit, Peking Union Medical College Hospital, 1 Shuai Fu Yuan, Beijing 100730, China. Electronic address:

Purpose: To prospectively assess the diagnostic value of quick Sequential Organ Failure Assessment (qSOFA) and systemic inflammatory response syndrome (SIRS) scores for sepsis in ward patients with infections.

Materials And Methods: Consecutive patients admitted with infection or developing infection during hospital stay were included. All variables for calculating qSOFA, SIRS, and SOFA scores were collected, and the maximum scores were determined until hospital discharge, death, or day 28, whichever occurred earlier. Read More

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http://dx.doi.org/10.1016/j.jcrc.2019.01.012DOI Listing
January 2019
1 Read

Predicting mortality in patients with suspected sepsis at the Emergency Department; A retrospective cohort study comparing qSOFA, SIRS and National Early Warning Score.

PLoS One 2019 25;14(1):e0211133. Epub 2019 Jan 25.

Department of Internal Medicine, Erasmus University Medical Center, Rotterdam, the Netherlands.

Objective: In hospitalized patients, the risk of sepsis-related mortality can be assessed using the quick Sepsis-related Organ Failure Assessment (qSOFA). Currently, different tools that predict deterioration such as the National Early Warning Score (NEWS) have been introduced in clinical practice in Emergency Departments (ED) worldwide. It remains ambiguous which screening tool for mortality at the ED is best. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0211133PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347138PMC
January 2019

Factors associated with cytomegalovirus infection in children undergoing allogeneic hematopoietic stem-cell transplantation.

Medicine (Baltimore) 2019 Jan;98(4):e14172

Department of Public Health and Center of Biostatistics, College of Medicine, Chang Gung University, Taoyuan, Taiwan.

While preemptive therapy with ganciclovir (GCV) for cytomegalovirus (CMV) infection is used following allogeneic hematopoietic stem-cell transplantation (HSCT), risk factors for CMV infection in children undergoing HSCT are poorly understood.We studied CMV reactivation following allogeneic HSCT by retrospectively analyzing pediatric patients who received allogeneic HSCT and preemptive GCV therapy between 1998 and 2016. The level of viremia requiring preemptive GCV therapy was >1 CMV antigen-positive cells per 5 × 10 leukocytes during the antigenemia assay era and >1000 copies/mL in the polymerase chain reaction era. Read More

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http://dx.doi.org/10.1097/MD.0000000000014172DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358375PMC
January 2019
1 Read

Timing of Renal-Replacement Therapy in Acute Kidney Injury and Sepsis.

N Engl J Med 2019 01;380(4):398-9

Shanghai Changzheng Hospital, Shanghai, China

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http://dx.doi.org/10.1056/NEJMc1815142DOI Listing
January 2019
1 Read

Improving Prediction Performance Using Hierarchical Analysis of Real-Time Data: A Sepsis Case Study.

IEEE J Biomed Health Inform 2019 Jan 23. Epub 2019 Jan 23.

This paper presents a novel method for hierarchical analysis of machine learning algorithms to improve predictions of at risk patients, thus further enabling prompt therapy. Specifically, we develop a multi-layer machine learning approach to analyze continuous, high-frequency data. We illustrate the capabilities of this approach for early identification of patients at risk of sepsis, a potentially life-threatening complication of an infection, using high-frequency (minute-by-minute) physiological data collected from bedside monitors. Read More

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http://dx.doi.org/10.1109/JBHI.2019.2894570DOI Listing
January 2019
1 Read

Timing of Renal-Replacement Therapy in Acute Kidney Injury and Sepsis.

N Engl J Med 2019 01;380(4):399

CHU Dijon Bourgogne, Dijon, France

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http://dx.doi.org/10.1056/NEJMc1815142DOI Listing
January 2019
1 Read

Comparative analysis of IgG and IgG subclasses against Plasmodium falciparum MSP-1 in children from five contrasting bioecological zones of Cameroon.

Malar J 2019 Jan 22;18(1):16. Epub 2019 Jan 22.

Department of Biological Science, Faculty of Science, University of Bamenda, Bamenda, North West Region, Cameroon.

Background: Studies reporting the natural immune responses against malaria in children from different geographical settings in endemic areas are not readily available. This study was aimed at comparing the immune responses against Plasmodium falciparum MSP-1 antigen in children from five contrasting bioecological zones in Cameroon.

Methods: In a cross-sectional survey, children between 2 and 15 years, were enrolled from five ecological strata including the south Cameroonian equatorial forest, sudano-sahelian, high inland plateau, high western plateau, and the coastal strata. Read More

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http://dx.doi.org/10.1186/s12936-019-2654-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341684PMC
January 2019
1 Read

Evaluation of automated malaria diagnosis using the Sysmex XN-30 analyser in a clinical setting.

Malar J 2019 Jan 22;18(1):15. Epub 2019 Jan 22.

Wits Research Institute for Malaria, Department of Molecular Medicine and Haematology, School of Pathology, Faculty of Health Sciences, University of the Witwatersrand and National Health Laboratory Service, Johannesburg, South Africa.

Background: Early and accurate diagnosis of malaria is a critical aspect of efforts to control the disease, and several diagnostic tools are available. Microscopic assessment of a peripheral blood smear enables direct visualization of parasites in infected red blood cells and is the clinical diagnostic gold standard. However, it is subjective and requires a high level of skill. Read More

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https://malariajournal.biomedcentral.com/articles/10.1186/s1
Publisher Site
http://dx.doi.org/10.1186/s12936-019-2655-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341646PMC
January 2019
15 Reads

Are Blacks at Higher Risk for Vancomycin-Related Acute Kidney Injury?

J Pharm Pract 2019 Jan 22:897190018800093. Epub 2019 Jan 22.

5 Department of Infectious Diseases, Ascension, St John Hospital & Medical Center, Detroit, MI, USA.

Background:: Black individuals have a higher lifetime risk of acute kidney injury (AKI) and chronic kidney disease than whites. Vancomycin has a potential for nephrotoxicity. The objective of this study was to determine whether the incidence of AKI among patients being treated with vancomycin differs by race. Read More

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http://dx.doi.org/10.1177/0897190018800093DOI Listing
January 2019
4 Reads

Perioperative antibiotic prophylaxis for stone therapy.

Curr Opin Urol 2019 Mar;29(2):89-95

Department of Haematology/Oncology, University Medicine Greifswald, Greifswald, Germany.

Purpose Of Review: To give an overview about state-of-the-art antibiotic prophylaxis in urolithasis therapy and focus on recent publications in this field.

Recent Findings: The number of high-quality publications within the recent time is limited. Preoperative inflammatory blood parameters like C-reactive protein and erythrocyte-sedimentation rate might help in prediction of postoperative systemic inflammatory response syndrome (SIRS) after percutaneous nephrolithotomy (PCNL). Read More

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http://dx.doi.org/10.1097/MOU.0000000000000576DOI Listing
March 2019
3 Reads

MyD88 signalling is critical in the development of pancreatic cancer cachexia.

J Cachexia Sarcopenia Muscle 2019 Jan 21. Epub 2019 Jan 21.

Papé Family Pediatric Research Institute, Oregon Health & Science University, Portland, OR, 97239, USA.

Background: Up to 80% of pancreatic cancer patients suffer from cachexia, a devastating condition that exacerbates underlying disease, reduces quality of life, and increases treatment complications and mortality. Tumour-induced inflammation is linked to this multifactorial wasting syndrome, but mechanisms and effective treatments remain elusive. Myeloid differentiation factor (MyD88), a key component of the innate immune system, plays a pivotal role in directing the inflammatory response to various insults. Read More

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http://dx.doi.org/10.1002/jcsm.12377DOI Listing
January 2019
1 Read

Development and Evaluation of a Machine Learning Model for the Early Identification of Patients at Risk for Sepsis.

Ann Emerg Med 2019 Jan 17. Epub 2019 Jan 17.

Tenet Healthcare Corporation, Nashville, TN. Electronic address:

Study Objective: The Third International Consensus Definitions (Sepsis-3) Task Force recommended the use of the quick Sequential [Sepsis-related] Organ Failure Assessment (qSOFA) score to screen patients for sepsis outside of the ICU. However, subsequent studies raise concerns about the sensitivity of qSOFA as a screening tool. We aim to use machine learning to develop a new sepsis screening tool, the Risk of Sepsis (RoS) score, and compare it with a slate of benchmark sepsis-screening tools, including the Systemic Inflammatory Response Syndrome, Sequential Organ Failure Assessment (SOFA), qSOFA, Modified Early Warning Score, and National Early Warning Score. Read More

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http://dx.doi.org/10.1016/j.annemergmed.2018.11.036DOI Listing
January 2019
1 Read

Zika virus infection at mid-gestation results in fetal cerebral cortical injury and fetal death in the olive baboon.

PLoS Pathog 2019 Jan 18;15(1):e1007507. Epub 2019 Jan 18.

Department of Obstetrics and Gynecology, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States of America.

Zika virus (ZIKV) infection during pregnancy in humans is associated with an increased incidence of congenital anomalies including microcephaly as well as fetal death and miscarriage and collectively has been referred to as Congenital Zika Syndrome (CZS). Animal models for ZIKV infection in pregnancy have been developed including mice and non-human primates (NHPs). In macaques, fetal CZS outcomes from maternal ZIKV infection range from none to significant. Read More

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http://dx.doi.org/10.1371/journal.ppat.1007507DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6355048PMC
January 2019
2 Reads

Multidisciplinary approach to prostatitis.

Arch Ital Urol Androl 2019 Jan 18;90(4):227-248. Epub 2019 Jan 18.

ASST Nord Milano.

The modern clinical research on prostatitis started with the work of Stamey and coworkers who developed the basic principles we are still using. They established the segmented culture technique for localizing the infections in the males to the urethra, the bladder, or the prostate and to differentiate the main categories of prostatitis. Such categories with slight modifications are still used according to the NIH classification: acute bacterial prostatitis, chronic bacterial prostatitis, Chronic Pelvic Pain Syndrome (CPPS) and asymptomatic prostatitis. Read More

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https://www.pagepressjournals.org/index.php/aiua/article/vie
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http://dx.doi.org/10.4081/aiua.2018.4.227DOI Listing
January 2019
7 Reads

Sepsis Screening: Combining Early Warning Scores and SIRS Criteria.

Clin Nurs Res 2019 Jan 17:1054773818823334. Epub 2019 Jan 17.

3 The University of Kansas Health System, Kansas City, USA.

Providing effective screening tools to nurses is necessary to improve patient outcomes and health care quality. This research examines if the modification of two electronic health record sepsis screening tools using a combined systemic inflammatory response syndrome (SIRS), modified early warning score (MEWS), and national early warning score (NEWS) criteria improves the recognition of sepsis by nurses. Medical-surgical/telemetry units at a medical center in the Midwest were examined using a quasiexperimental design. Read More

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http://dx.doi.org/10.1177/1054773818823334DOI Listing
January 2019
2 Reads

Angiotensin II (Giapreza) for septic shock.

Authors:

Med Lett Drugs Ther 2018 Dec;60(1561):199-200

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December 2018
1 Read

Tafenoquine versus Primaquine to Prevent Relapse of Plasmodium vivax Malaria.

N Engl J Med 2019 01;380(3):229-241

From Universidad Peruana Cayetano Heredia, Lima, Peru (A.L.-C., R.C., M.C.); Fundação de Medicina Tropical Dr Heitor Vieira Dourado, Manaus (M.V.G.L., F.V., W.M.M., M.A.M.B., M.R.F.C.), and Fundação Oswaldo Cruz, Manguinhos, Rio de Janeiro (M.V.G.L.) - both in Brazil; Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam (T.T.H., C.H.N.); Universidad de Antioquia, Medellin (I.D.V.), Centro de Investigaciones Clinicas S.A.S de Cali, Cali (M.F.V.), and IMAT Oncomedica, Monteria (S.A.) - all in Colombia; Umphang Hospital, Tak (C.N.-l., R.P.), and Shoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot (C.S.C., F.H.N., G.B.) - both in Thailand; the Centre for Tropical Medicine and Global Health (C.S.C., F.H.N., G.B.) and the Oxford Centre for Clinical Tropical Medicine (B.A.), Nuffield Department of Medicine, University of Oxford, Oxford, GlaxoSmithKline, Stockley Park West (G.C., V.M.R., S.W.J., E.H., D.D.C., K.M., G.C.K.W.K., J.A.G.), and GlaxoSmithKline, Stevenage (L.K.) - all in the United Kingdom; Medicines for Malaria Venture, Geneva (S.D.); and GlaxoSmithKline, Collegeville, PA (V.M.W., J.J.B.).

Background: Tafenoquine, a single-dose therapy for Plasmodium vivax malaria, has been associated with relapse prevention through the clearance of P. vivax parasitemia and hypnozoites, termed "radical cure."

Methods: We performed a phase 3, prospective, double-blind, double-dummy, randomized, controlled trial to compare tafenoquine with primaquine in terms of safety and efficacy. Read More

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http://dx.doi.org/10.1056/NEJMoa1802537DOI Listing
January 2019
5 Reads
55.873 Impact Factor

Single-Dose Tafenoquine to Prevent Relapse of Plasmodium vivax Malaria.

N Engl J Med 2019 01;380(3):215-228

From Fundação de Medicina Tropical Dr Heitor Vieira Dourado, Manaus (M.V.G.L., F.V., W.M.M., M.A.M.B., M.R.F.C.), Fundação Oswaldo Cruz, Manguinhos, Rio de Janeiro (M.V.G.L.), and Centro de Pesquisa em Medicina Tropical Rondônia, Porto Velho (D.B.P., M.S.T.) - all in Brazil; Universidad Peruana Cayetano Heredia, Lima, Peru (A.L.-C., R.C., M.C.); Mahidol University (S.K.) and the Armed Forces Research Institute of Medical Sciences (C.L., D.L.S., N.B.), Bangkok, Thailand; the University of Gondar, Gondar (R.M., E.D., S.G., K.M.W.), and Jimma University, Jimma (D.Y., A.A., A.Z., C.A.) - both in Ethiopia; Research Institute for Tropical Medicine, Manila (F.E.J.E.), and Rio Tuba Nickel Foundation Hospital, Palawan (R.Z.M.) - both in the Philippines; Medical University of Vienna, Vienna (H.N.); Swiss Tropical and Public Health Institute and University of Basel, Basel (F.B., H.-P.B.), and Medicines for Malaria Venture, Geneva (S.D.) - both in Switzerland; Oxford University, Oxford (B.A.), and GlaxoSmithKline, Stockley Park West (J.-P.K., L.M.K., V.M.R., S.W.J., E.H., K.M., D.D.C., K.F., C.O.U., J.A.G., G.C.K.W.K.) - both in the United Kingdom; and GlaxoSmithKline, Collegeville, PA (J.J.B.).

Background: Treatment of Plasmodium vivax malaria requires the clearing of asexual parasites, but relapse can be prevented only if dormant hypnozoites are cleared from the liver (a treatment termed "radical cure"). Tafenoquine is a single-dose 8-aminoquinoline that has recently been registered for the radical cure of P. vivax. Read More

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http://www.nejm.org/doi/10.1056/NEJMoa1710775
Publisher Site
http://dx.doi.org/10.1056/NEJMoa1710775DOI Listing
January 2019
5 Reads
55.873 Impact Factor