Τετάρτη, 26 Οκτωβρίου 2016

Preview the Close-To-Dash mount for the Ford Police Interceptor Utility

The Close-To-Dash mount is an accessory for a Gamber-Johnson console box. It attaches to the sides of your console box, surrounds your electronics, and places your tablet, display or other devices at a comfortable viewing height. The mount is designed specifically to fit the aesthetics and layout of your vehicle and features an extension arm so you can twist and tilt your tablet for easier viewing.

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Preview the Close-To-Dash mount for the Dodge Charger

The Close-To-Dash mount is an accessory for a Gamber-Johnson console box. It attaches to the sides of your console box, surrounds your electronics, and places your tablet, displays or other devices at a comfortable viewing height. The mount is designed specifically to fit the aesthetics and layout of your vehicle.

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Gamber Johnson's Docking Station for Dell Latitude 12 Rugged Tablet

The new, lightweight docking station (just 3.6 lbs/1.63 kg) is packed with features designed to support how people work in their vehicle. For example, the cords connect upward at the back of the dock and can be routed down the side or center so they won't obstruct the vehicle's dashboard.

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Preview the Close-To-Dash mount for the Ford Police Interceptor Utility

The Close-To-Dash mount is an accessory for a Gamber-Johnson console box. It attaches to the sides of your console box, surrounds your electronics, and places your tablet, display or other devices at a comfortable viewing height. The mount is designed specifically to fit the aesthetics and layout of your vehicle and features an extension arm so you can twist and tilt your tablet for easier viewing.

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Preview the Close-To-Dash mount for the Dodge Charger

The Close-To-Dash mount is an accessory for a Gamber-Johnson console box. It attaches to the sides of your console box, surrounds your electronics, and places your tablet, displays or other devices at a comfortable viewing height. The mount is designed specifically to fit the aesthetics and layout of your vehicle.

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Gamber Johnson's Docking Station for Dell Latitude 12 Rugged Tablet

The new, lightweight docking station (just 3.6 lbs/1.63 kg) is packed with features designed to support how people work in their vehicle. For example, the cords connect upward at the back of the dock and can be routed down the side or center so they won't obstruct the vehicle's dashboard.

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Dive Alarm Oslo Fire / Rescue:

Dive-Car must be out of gate W.I. 60 Sec. 24/7. -Time Saves Lives !

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Dive Alarm Oslo Fire / Rescue:

Dive-Car must be out of gate W.I. 60 Sec. 24/7. -Time Saves Lives !

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Dive Alarm Oslo Fire / Rescue:

Dive-Car must be out of gate W.I. 60 Sec. 24/7. -Time Saves Lives !

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Dive Alarm Oslo Fire / Rescue:

Dive-Car must be out of gate W.I. 60 Sec. 24/7. -Time Saves Lives !

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Paramedic Refresher Course hosted by Southeastern Emergency

YOUNGSVILLE, NC (Oct., 2016)— The clock is ticking for the next Paramedic Refresher Course hosted by Southeastern Emergency Equipment on Nov. 14-18, 2016 in the Raleigh, NC area. This content-rich, hands-on Paramedic Refresher Course will keep participants "street ready" while also introducing new and emerging trends in the field of EMS. Southeastern Emergency is committed to providing ...

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A Case Of Multiple Relapses And Remissions Of Cervical Lymphadenopathy; Kikuchi-Fujimoto Disease

2016-10-26T06-43-22Z
Source: The Southeast Asian Journal of Case Report and Review
Hasham Akram, Kiran Siddiqui, Naila Jabbar, Shareen Altaf, Masood Ahmed.
Once thought to be an east Asian disease, predominantly Japanese, cases of Kikuchis disease have been reported from other parts of Asia, Europe and America.The major clinical finding is painless cervical lymphadenopathy, mostly unilateral and involves posterior cervical lymph nodes. Routine laboratory investigations doesnt help in diagnosis. Accurate diagnosis is established by excisional biopsy of the effected lymph node. . It is usually self-limiting and treatment is mainly symptomatic. Recurrence has been reported in some cases. Our case appears to be an interesting variant as multiple relapses and remissions were observed with are always self-limiting and resolve without any specific medication or treatment.


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Effects of cardiac output on the initial distribution volume of glucose in the absence of fluid gain or loss in pigs

Abstract

The initial distribution volume of glucose (IDVG) has been reported to be a surrogate marker of cardiac preload. However, the relationship between cardiac output and IDVG is not fully understood. We investigated the effects of cardiac output on IDVG in the absence of fluid gain or loss in pigs.

Materials and methods

Thirteen pigs were anesthetized and allocated to either the modified cardiac output group (m-CO group, n = 10) or the control group (control group, n = 3). In the m-CO group, CO was sequentially modulated from high CO (high CO) to two grades of low CO (low CO-1 and low CO-2) with dobutamine and propranolol with lidocaine, respectively, in the absence of any apparent change in basal fluid volume status. Thermodilutional CO and IDVG were measured at each CO condition. The IDVG was measured according to a one-compartment model with 2 g glucose. The same parameters were measured in the control group using the same time schedule as for the m-CO group but without inotropes and at a stable CO state. Thereafter, 250 ml of 10% dextran were infused over 15 min to compare the effects of a preload-dependent increase in CO on IDVG measurements to the effects of the pharmacological modification of CO. Data were expressed as the mean ± SD. Statistical analysis was performed with repeated measures ANOVA followed by Dunnett's test. Pearson's correlation test was also used. A P value of <0.05 was considered to indicate statistical significance.

Results

In the m-CO group, where CO increased to 147.2 ± 26.7% of the baseline CO value in the high CO state and decreased to 65.9 ± 11.0 and 37.3 ± 14.4% of the baseline CO value in the low CO-1 state and the low CO-2 state, respectively, the IDVG did not change as CO was modified. IDVG significantly increased in response to volume loading of dextran in the control group. There was no correlation between the IDVG and CO in the m-CO group when there was no fluid gain or loss (r = 0.097, n = 40, P = 0.554), but the IDVG was well correlated with CO in the control group with volume loading (r = 0.764, n = 18, P = 0.0002).

Conclusion

This study suggests that the IDVG is dependent on the central extracellular fluid volume and not on cardiac output.



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Low tesla MRI in acute spinal injuries: a study in a teaching hospital

2016-10-26T06-15-03Z
Source: International Journal of Advances in Medicine
Raghunath Anant Nagvekar, Pooja Nagvekar.
Background: Early detection of spinal cord lesions in patients of suspected acute spinal injury leads to better prognosis. MRI has become a standard technique for evaluating spinal injuries and especially helpful for diagnosing acute compression of the spinal cord and cord oedema. This study was conducted to evaluate the low tesla MRI findings in cases of suspected acute spinal injuries. Methods: 120 patients with a suspected history of spinal injury who came into the emergency ward of our hospital were included into the study. MRI was done for all the patients within 2 days of admission. Results: The most common age group to be affected was 21-40 years with 48%followed by 41-60 years with 34% being affected. 46% of the patients had cervical injuries, 24% had dorsolumbar and lumbar injuries were seen in 17% of the patients. Spinal cord injuries was seen in 73 of the patients, out of which 64 patients had cord edema,7 with cord haemorrhage and 2 had cord transection. Conclusions: 0.3T MRI was able to identify cord compression and swelling, traumatic disc herniations, epidural hematoma, soft tissue injuries, and prevertebral/paravertebral hematoma, while MR imaging was unsatisfactory in identifying small fractures especially of posterior elements.


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Three-year experience with prolonged neonatal jaundice screening in a district general hospital

2016-10-26T05-04-45Z
Source: International Journal of Contemporary Pediatrics
Prasad Adavappa Parvathamma, Emily P. Brockbank, Youssef Abourahma.
Background: Investigations for prolonged jaundice vary in complexity, especially in well neonates. The aim was to ascertain the causes of prolonged jaundice in well neonates and to analyse the extent and consistency of investigations performed. Methods: We performed a retrospective review of nurse-led prolonged jaundice screening in our childrens assessment unit from 2013 to 2016. The proforma included clinical assessment and recommended investigations. Data from electronic records and laboratory findings were compiled for analysis. Results: A total of 116 infants aged 14-73 days were referred for screening, with 100% utilization of the screening proforma. All patients had unconjugated hyperbilirubinaemia with normal urine and stool colour. Of the 113 with a full blood count performed, 74 (65.5%) were normal, with neutropenia in 32 (28.3%) and 1 blood film showing spherocytosis with haemolysis. Urine culture was performed in 106 infants, yielding 2 pure-growth cultures in infants subsequently treated for urinary tract infection (UTI) (1%). Seventy-four infants had one or more additional tests. The causes of prolonged jaundice identified were breast-milk jaundice (97), feeding difficulties (7), UTI (2) and hereditary spherocytosis (1). Conclusions: The most common cause of prolonged jaundice identified was breast-milk jaundice. The eldest referred infant was 73 days old, demonstrating a need for increased community awareness of guidelines to facilitate prompt referral. Additional investigations yielded little diagnostic value and we propose that in well neonates, following clinical evaluation, investigations may safely be reduced to full blood count and split bilirubin.


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Doppler sonography in acute renal obstruction and role of intra venous urography: a study in a tertial care centre

2016-10-26T04-11-08Z
Source: International Journal of Advances in Medicine
Raghunath Anant Nagvekar, Pooja Nagvekar.
Background: Arterial RI measurements by duplex Doppler USG have been advocated for the diagnosis of obstruction. In most centres, obstruction is indicated by an RI greater than 0.70 or a difference of greater than 0.10 between the kidneys. Our aim was to evaluate and compare the Doppler waveform alterations in unilateral acute renal obstruction (UARO) with the contralateral normal kidney as a control. Methods: 100 patients presenting to the emergency medical division with symptoms of unilateral acute renal colic were subjected to USG and Doppler USG. The renal RI was calculated in comparison to the collateral normal kidney. Results: The mean resistivity index (RI) was higher in obstructed kidneys in all cases. 80% patients had complete, while 20% had partial obstruction. RI value in completely obstructed kidneys was 0.72 versus 0.71; p


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Relation between body mass index, forced expiratory volume in one second and 6 minute walk test in stable COPD patients

2016-10-26T03-58-53Z
Source: International Journal of Research in Medical Sciences
Bhaskar Kakarla, Rajendra Prasad Boddula, Paramjyothi Gongati.
Background: Chronic obstructive pulmonary disease (COPD) is a common respiratory disorder characterized by irreversible, progressive airflow obstruction. It is diagnosed by spirometry which measures FEV1 and bronchoreversibility. Recent focus has been on COPD systemic effects like malnutrition, cardiovascular disorders, diabetes, musculoskeletal disorders, anxiety and depression. A composite index named BODE index (BMI, FEV1, dyspnea, 6MWT) has a better prediction of mortality than FEV1 alone in these patients. Relation between components of BODE like BMI, FEV1 and 6MWT has been an area of interest since it measures nutritional status (BMI), airway obstruction (FEV1) and exercise capacity (6MWT). We tried to evaluate the relation between lower BMI (˂21) and higher BMI groups (>21) with respect to FEV1 and 6MWT. Methods: A cross sectional observation study was conducted in a tertiary care centre. Stable patients of COPD were recruited from to outpatient department of respiratory medicine. BMI, FEV1 and 6MWT were calculated. Patients are made into 2 groups with BMI less than 21 and more than 21. Both FEV1 and 6MWT means were calculated and analyzed to find out any difference between these two groups. Results: There was no statistical difference of FEV1 and 6MWT between lower and higher BMI groups. Conclusions: In COPD patients, FEV1 and 6MWT values were not statistically different between lower and higher BMI groups. Further studies are needed to prove that other anthropometric measurement like fat free mass index can be a better substitute for more accurate assessment of exercise capacity.


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Self-medication practice among children in Antananarivo, Madagascar

2016-10-26T03-58-53Z
Source: International Journal of Research in Medical Sciences
Rosa L. Tsifiregna, Safidinarindra H. Razafimahatratra, Nirina H. Raveloharimino, Rivo L. H. Rakotomalala, Noeline Ravelomanana.
Background: Self-medication is very common in pediatrics. Little is known about self-medication on children in Antananarivo. The main objective of this study is to evaluate the practice of self-medication on children by their mothers. Methods: A cross sectional descriptive study was done by visiting homes. An interviewer-administered questionnaire was used to gather data on self-medication. Mothers were selected by simple random sampling. Results: Out of the 383 mothers interviewed, 157 have practiced self-medication. The prevalence was 40.99%. The fever was the main symptom treated with paracetamol. On the other hand, the oral rehydration salt has been little used, 6.25% before the consultation. The inappropriate use of antibiotics was found in this study. Drugs were of illegal origin in 40.27% of the cases. The urgency was the main reason for self-medication. Over 80% of mothers knew the risks of self-medication. Thus, the high level of maternal education was among the factors influencing this practice, particularly for children older than 60 months. Conclusions: Information to mothers about the responsible self-medication is necessary.


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Retrospective study of chemotherapy induced cardiotoxicity from a tertiary cancer centre in South India

2016-10-26T03-58-53Z
Source: International Journal of Research in Medical Sciences
Manjunath I. Nandennavar, Annalakshmi Sekar, Shashidhar V. Karpurmath.
Background: Ever increasing therapeutic modalities in treatment of various malignancies has resulted in an enormous number of cancer survivors. Cancer survivors face various issues in their long term health due to the cancer and/or its treatment. Late effects including organ damage, functional disability and risk of second malignancy continue to be elucidated. One of the most debilitating and serious toxicity is cardiotoxicity due to chemotherapy. Methods: This study was a retrospective analysis of all patients who developed chemotherapy induced cardiotoxicity between January 2013 to December 2015. Results: A total of 16 patients developed cardiotoxicity. 13 patients had doxorubicin induced toxicity. Cardiotoxicity was noted to occur at low cumulative doses. 2 patients had complete recovery of left ventricular ejection fraction (LVEF) on follow up. 1 patient had progressive worsening of LVEF. 1 patient died due to cardiotoxicity. On detection of cardiotoxicity, most of the patients received cardiac remodeling drugs - angiotensin converting enzyme inhibitors (mostly enalapril), other drugs used were carvedilol and diuretics. Conclusions: In Indian patients, cardiotoxicity can occur at very low cumulative doses of doxorubicin and in young patients too. Most of the patients did not have any underlying comorbid illnesses. We wish to highlight the need to diligently repeat cardiac screening investigations at frequent intervals to detect asymptomatic cardiotoxicity.


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Two siblings with familial subclinical hyperthyroidism with unknown etiology

2016-10-26T02-13-48Z
Source: Medicine Science | International Medical Journal
Elif Ozsu, Gul Yesiltepe Mutlu, Filiz Mine Cizmecioglu, Rifat Bircan, Sukru Hatun.
Subclinical hyperthyroidism is defined as low or undetectable concentration of serum thyrotrophin (TSH) with normal free triiodothyronine (FT3) and free thyroxine (FT4) levels. 1). Familial subclinical hyperthyroidism is a rare entity. Activating mutations of the TSH receptor (TSH-R) gene cause genetic hyperthyroidism. Here we present a family with more than one affected individual. All family members were investigated for TSH-R mutation. No mutation was detected, while a A459 polymorphism was found in one of the cases and three other siblings. Despite the clinical and biochemical findings suggesting a TSH-R mutation, a reasonable cause could not be detected. Epigenetic and environmental modifiers, including iodine intake, should be considered in families with mutation negative, familial non auto-immune hyperthyroidism (FNAH).


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Comparing mycobacterium tuberculosis complex susceptibility methods, a developing country’s experience

2016-10-26T02-13-48Z
Source: Medicine Science | International Medical Journal
Yasemin Ay Altintop, Duygu Percin.
In spite of current diagnosis and treatment, Mycobacterium tuberculosis complex is still an important cause of mortality and morbidity. Uneffective drug combinations and patient incompliance lead to increasing drug resistance. This study by managing four different -non molecular- susceptibility methods was carried out to determine the susceptibility patterns of Mycobacterium tuberculosis complex isolates in central part of Turkey and to compare the methods. The susceptibility testing of 33 isolates were initially performed using the agar proportion method, the results of which were compared with the other three methods; BACTEC 460TB, MGIT 960, and Etest prospectively. According to the gold standard agar proportion method, none of the strains were resistant to STR or ETM, while two isolates were found to be resistant to both isoniazid and rifampicin. BACTEC 460 TB remains the reference method of choice, and for low-volume centers. The MGIT 960 system is more suited for high-volume laboratories but has a high risk of contamination. Etest may seem expensive and produces cumbersome results. Regardless of the test used, validation with the gold standard method should be performed periodically as well as in the event of a discordant result. There remains a need for further studies to establish whether available rapid tests will eventually become the gold standard.


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Anesthetic management of premature conjoined twins posted for nonseparation emergency surgery

Summary

Craniopagus conjoined twins are rare, and the chance that an anesthesiologist might face the challenge of providing anesthesia for this condition is very rare. The incidence of conjoined twins ranges from 1 : 50 000 to 1 : 200 000 births. We describe the anesthetic management of a pair of premature craniopagus conjoined twins posted for emergency surgery prior to their separation.



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Development of risk prediction model for hepatocellular carcinoma progression of indeterminate nodules in hepatitis B virus-related cirrhotic liver

The American Journal of Gastroenterology

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Comparison of the prophylactic antiemetic efficacy of aprepitant plus palonosetron versus aprepitant plus ramosetron in patients at high risk for postoperative nausea and vomiting after laparoscopic cholecystectomy: A prospective randomized-controlled trial

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques

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Laparoscopic anatomical segmentectomy of liver segments VII and VIII with the hepatic veins exposed from the head side

Journal of Surgical Oncology

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Periodontal disease, tooth loss, and colorectal cancer risk: Results from the Nurses Health Study

International Journal of Cancer

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Is da Vinci Xi better than da Vinci Si in robotic rectal cancer surgery? Comparison of the 2 generations of da Vinci systems

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques

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Impact of tumour RAS/BRAF status in a first-line study of panitumumab + FOLFIRI in patients with metastatic colorectal cancer

British Journal of Cancer

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Circulating visfatin level is associated with hepatocellular carcinoma in chronic hepatitis B or C virus infection

Cytokine

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Prognostic value of transient elastography in HIV-infected patients with chronic hepatitis C

Open Forum Infectious Diseases

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Multi-port versus single-port cholecystectomy: Results of a multi-centre, randomised controlled trial (MUSIC trial)

Surgical Endoscopy

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Inflammatory bowel disease is associated with an increased risk of inflammatory skin diseases: A population-based cross-sectional study

Journal of the American Academy of Dermatology

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IFCM based segmentation method for liver ultrasound images

Journal of Medical Systems

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6-C-(E-phenylethenyl)naringenin induces cell growth inhibition and cytoprotective autophagy in colon cancer cells

European Journal of Cancer

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The relationship between different information sources and disease-related patient knowledge and anxiety in patients with inflammatory bowel disease

Alimentary Pharmacology and Therapeutics

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Fresh vs frozen samples and ambient temperature have little effect on detection of colorectal cancer or adenomas by a fecal immunochemical test in a colorectal cancer screening cohort in germany

Clinical Gastroenterology and Hepatology

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Usefulness of ascitic fluid lactoferrin levels in patients with liver cirrhosis

BMC Gastroenterology

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A possible link between famine exposure in early life and future risk of gastrointestinal cancers: Implications from age-period-cohort analysis

International Journal of Cancer

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Ischemia modified albumin as a predictor of the severity of acute appendicitis

The American Journal of Emergency Medicine

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Pre-diagnosis body mass index and waist-hip circumference ratio in association with colorectal cancer survival

International Journal of Cancer

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Methodological and reporting quality of comparative studies evaluating health-related quality of life of colorectal cancer patients and controls: A systematic review

Diseases of the Colon and Rectum

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Chronic kidney disease and risk for gastrointestinal bleeding in the community: The atherosclerosis risk in communities (ARIC) study

Clinical Journal of the American Society of Nephrology

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Concordance between actual and pharmacogenetic predicted desvenlafaxine dose needed to achieve remission in major depressive disorder: a 10-week open-label study.

Background: Pharmacogenetic-based dosing support tools have been developed to personalize antidepressant-prescribing practice. However, the clinical validity of these tools has not been adequately tested, particularly for specific antidepressants. Objective: To examine the concordance between the actual dose and a polygene pharmacogenetic predicted dose of desvenlafaxine needed to achieve symptom remission. Materials and methods: A 10-week, open-label, prospective trial of desvenlafaxine among Caucasian adults with major depressive disorder (n=119) was conducted. Dose was clinically adjusted and at the completion of the trial, the clinical dose needed to achieve remission was compared with the predicted dose needed to achieve remission. Results: Among remitters (n=95), there was a strong concordance (Kendall's [tau]-b=0.84, P=0.0001; Cohen's [kappa]=0.82, P=0.0001) between the actual and the predicted dose need to achieve symptom remission, showing high sensitivity (>=85%), specificity (>=86%), and accuracy (>=89%) of the tool. Conclusion: Findings provide initial evidence for the clinical validity of a polygene pharmacogenetic-based tool for desvenlafaxine dosing. Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights reserved.

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The influence of living donor SHROOM3 and ABCB1 genetic variants on renal function after kidney transplantation.

Objective: A genome-wide association study has identified several gene polymorphisms associated with loss of renal function. The effect of these variants on renal function in kidney transplant recipients receiving immunosuppressive treatment is unknown. Materials and methods: A cohort of 189 kidney transplant recipients and their living donors were recruited from West China Hospital of Sichuan University, on whom we assessed the association of five single nucleotide polymorphisms with renal function after kidney transplantation. Results: Glomerular filtration rate estimated by serum creatinine was significantly higher in recipients carrying allograft with the A allele at rs17319721 in SHROOM3 (shroom family member 3) than those in the group with the GG genotype from month 1 to month 6 after transplantation (P=0.020). Covariate adjustment analysis showed that the variant at rs17319721 in SHROOM3 was an independent risk factor for renal dysfunction after the first month after transplantation (P=0.022). The estimated glomerular filtration rate was the lowest in recipients with allograft carrying both the A allele at rs17319721 in SHROOM3 and the CC genotype at rs1045642 in ABCB1 (P

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Acknowledgments to reviewers



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An Unusual Cause of Talipes Equinovarus: Agenesis of Leg Muscles.

No abstract available

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Paraplegia Following Lumbar Epidural Steroid Injection in a Patient With a Spinal Dural Arteriovenous Fistula.

We report a patient with a previously undiagnosed spinal dural arteriovenous fistula (SDAVF) who became acutely paraplegic following a lumbar epidural steroid injection for lumbar spinal stenosis. Magnetic resonance imaging showed multiple flow voids and serpentine vessels on the cord surface with cord edema extending from T3 through the conus. Spinal angiography confirmed an SDAVF fed by the left lateral sacral artery, which was subsequently endovascularly embolized, and the patient had a partial return of function. Presence of an undiagnosed SDAVF should be considered in patients presenting with lower-extremity weakness without pain and considered a contraindication to lumbar epidural steroid injection. Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights reserved.

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Venous Thromboembolism as Predictor of Acute Care Hospital Transfer and Inpatient Rehabilitation Length of Stay.

Objective: The aim of this study was to investigate the impact of venous thromboembolism (VTE) on rate of acute care hospital transfer, inpatient rehabilitation (IPR) length of stay (LOS), and functional outcomes. Design: This was a retrospective cohort study of 2312 consecutive patient discharges from a single IPR facility over an 18-month period. Results: When age, sex, reason for admission, and admission Functional Independence Measure (FIM) scores were controlled for, those with VTE had nearly 2 times greater odds for transfer to acute care hospital than did those without a diagnosis of VTE. Inpatient rehabilitation LOS was 4.700 days (95% confidence interval [CI], 2.956-6.445 days) longer for those with a diagnosis of VTE prior to IPR admission and 2.287 days (95% CI, 1.026-3.547 days) longer for those with a diagnosis of VTE during IPR admission compared with those without a diagnosis of VTE. There was no difference in FIM change based on VTE diagnosis. Venous thromboembolism diagnosis during IPR was associated with a significant decrease in FIM efficiency (-0.358; 95% CI, -0.654 to -0.062) if diagnosed during IPR admission, but there was no difference in FIM efficiency if VTE was diagnosed prior to IPR. Conclusions: Patients with a diagnosis of VTE were more likely to be transferred to the acute care hospital and have longer IPR LOS independent of admission FIM scores. It is important to prevent development of VTE. To Claim CME Credits: Complete the self-assessment activity and evaluation online at http://ift.tt/1l80W45 CME Objectives: Upon completion of this article, the reader should be able to: (1) understand the association of venous thromboembolism (VTE) diagnosis with acute hospital transfer and inpatient rehabilitation length of stay; (2) identify reasons for acute hospital transfer in patients diagnosed with VTE; and (3) understand the relationship between VTE diagnosis and functional outcomes during inpatient rehabilitation. Level: Advanced Accreditation: The Association of Academic Physiatrists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The Association of Academic Physiatrists designates this activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)(TM). Physicians should only claim credit commensurate with the extent of their participation in the activity. Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights reserved.

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Feedback negativity and decision-making behavior in the Balloon Analogue Risk Task (BART) in adolescents is modulated by peer presence

Abstract

Adolescent risk taking is strongly influenced by peer presence. The aim of the present study was to investigate the effect of peer presence on the ERP after negative and positive feedback in the time range of the feedback-related negativity (FRN). Eighteen male adolescents completed a version of the Balloon Analogue Risk Task (BART) under two conditions: playing alone and while observed by a peer. We recorded the ERPs after success or failure feedback and analyzed risk-taking behavior under both conditions. Behavioral results show that the participants were more cautious when being watched by a peer, especially after success. ERPs show that participants under peer presence exhibit more negative FRN after failure feedback than in the single condition, but no greater positivities after success feedback in the observed condition compared to the single condition. Results are in line with reinforcement learning theory and psychological aspects of loss prevention. The results suggest that the effect of peer presence on risk-taking behavior depends on the specific situational context.



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Overground gait training using a motorized assistive device in patients with severe disabilities after stroke.

Regaining of the patient's ability to walk after stroke is an important goal of rehabilitation programmes. The ultimate goal of gait rehabilitation is to empower patients for overground walking. We have previously developed a prototype of a therapist-controlled mobile platform with compliant pelvis support mechanism that enables balance training during overground walking (device E-go). The aim of this pilot randomized controlled study was to explore the usefulness of the E-go in reducing the number of therapists needed during walking training, and to explore the effectiveness of the E-go on walking abilities in severely affected stroke patients. The study included 19 subacute poststroke patients divided into two groups. The experimental group (nine patients) trained to walk with the E-go and the control group trained within conventional physiotherapy programs for 3 weeks. Outcome measures were walking distance and speed, Fugl-Meyer Assessment, Berg Balance Scale, Functional Ambulation Category and the number of therapists needed during training. At the end of the training both groups significantly improved in walking speed, walking distance, Berg Balance Scale and Fugl-Meyer Assessment (P

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