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Age, female sex, reporting a routine doctor's visit, reported knowledge of physical activity as a lifestyle behavior to reduce cancer risk, and an increased number of motivating factors for engaging in physical activity were significantly associated with higher cancer screening intention (P less then 0.001). With the addition of TPB constructs (i.e., subjective norms and perceived behavioral control), the final analytic model accounted for 31% of the variance in intention to screen for cancer. Findings suggest that the TPB could be used to tailor or design asset-based, cancer education interventions to effectively promote age-eligible cancer screenings among physically active adults. Educational content to increase social support for cancer screening and enhance perceived behavioral control to complete screening is essential in this population.This poem is a personal reflection on how we disclose cancer diagnoses in medicine. "Jaundice" is based on an experience that I witnessed during my core surgical rotation during medical school. It was created to highlight the importance of assessing a patient's thoughts, feelings, and emotions during these cancer conversations. The impact that these moments can have on a person may be tremendous, despite it being a part of our daily careers as physicians.Acute kidney injury (AKI) is associated with long term adverse renal outcomes. Since AKI is a risk factor for chronic kidney disease (CKD), follow up of AKI survivors assumes significance. Currently, follow up rates of AKI survivors are poor. Universally acceptable definition for AKI recovery is lacking. The epidemiology and clinical profile of AKI are different in developing countries where patients are often referred late to healthcare facilities and initiation of renal replacement therapy is often delayed. Recently, proposals for defining AKI recovery and indications for AKI follow-up care have been published; while interesting, these suggestions are complex, and difficult to follow. Developing countries require simple definitions of AKI recovery and manageable follow-up care models, that could be applicable in scarcely resourced healthcare settings.Brain metastasis post-curative gastrectomy for early-stage gastric cancer is extremely rare. We present herein, a case of solitary brain metastasis that developed 4 years post-curative surgery for early-stage gastric cancer. A 60-year-old man had early-stage gastric cancer 4 years prior to presentation and underwent laparoscopy-assisted distal gastrectomy with lymph node dissection. The pathological TNM classification was T1b (submucosal) N0M0. He underwent scheduled examinations and had no recurrence. 4 years postoperatively, he presented to the emergency department with sudden onset of nausea, vomiting, and inability to speak clearly. Brain computed tomography revealed a 17-mm nodule in the right cerebral hemisphere and midline shift. LY294002 chemical structure The tumor could not be radically resected for anatomical reasons, and incisional biopsy was performed for histological examination. Histological examination confirmed the diagnosis of a poorly differentiated adenocarcinoma from the previous gastric cancer. Gamma knife radiosurgery and chemotherapy were scheduled. 28 months after brain metastasis, multiple liver and lung metastases appeared. The patient died 30 months after developing brain metastasis. Brain metastasis may occur during long-term follow-up even after curative resection of early-stage gastric cancer. In patients with a history of gastric cancer and neurological symptoms, brain metastasis should be considered.
Osteoblasts are responsible for bone matrix production during bone development and homeostasis. Much is known about the transcriptional regulation and signaling pathways governing osteoblast differentiation. However, less is known about how osteoblasts obtain or utilize nutrients to fulfill the energetic demands associated with osteoblast differentiation and bone matrix synthesis. The goal of this review is to highlight and discuss what is known about the role and regulation of bioenergetic metabolism in osteoblasts with a focus on more recent studies.
Bioenergetic metabolism has emerged as an important regulatory node in osteoblasts. Recent studies have begun to identify the major nutrients and bioenergetic pathways favored by osteoblasts as well as their regulation during differentiation. Here, we highlight how osteoblasts obtain and metabolize glucose, amino acids, and fatty acids to provide energy and other metabolic intermediates. In addition, we highlight the signals that regulate nutrient uptake antabolites that are critical for osteoblast differentiation and activity. This knowledge contributes to a more comprehensive understanding of osteoblast biology and may inform novel strategies to modulate osteoblast differentiation and bone anabolism in patients with bone disorders.
Our study aimed to reveal the prognostic factors of second primary lung cancer and explore the optimal surgical procedure for Stage II/IIIA second primary lung cancerpatients with prior non-small cell lung cancer.
Patients with Stage II/IIIA second primary lung cancer were collected from the Surveillance, Epidemiology and End Results database from 2004 to 2016. Lasso regression, along with univariate and multivariate Cox regression, was used to screen prognostic factors. The propensity score matching was used to minimize baseline differences, and restricted mean survival time was used to compare overall survival and cancer-specific survival of different groups.
A total of 579 patients were enrolled in the study. After data wasscreened by lasso regression and univariate Cox regression, multivariateCox regression revealed that age, sex, race, tumor size of initial primary lung cancer, tumor size, histological grade, T stage,N stage and surgical procedure of second primary lung cancer were independent prognostic factors. Further analysis showed that surgery, especially lobectomy, provided better survival in Stage II/IIIA second primary lung cancer.
Our study identified nine independent prognostic factors of Stage II/IIIA second primary lung cancer. Surgery can provide a better prognosis, and lobectomy might be the optimal surgical procedure for these patients.
Our study identified nine independent prognostic factors of Stage II/IIIA second primary lung cancer. Surgery can provide a better prognosis, and lobectomy might be the optimal surgical procedure for these patients.Body-object interaction (BOI) ratings measure how easily the human body can physically interact with a word's referent. Previous research has found that words higher in BOI tend to be processed more quickly and accurately in tasks such as lexical decision, semantic decision, and syntactic classification, suggesting that sensorimotor information is an important aspect of lexical knowledge. However, limited research has examined the importance of sensorimotor information from a developmental perspective. One barrier to addressing such theoretical questions has been a lack of semantic dimension ratings that take into account child sensorimotor experience. The goal of the current study was to collect Child BOI rating norms. Parents of children aged 5 to 9 years old were asked to rate words according to how easily an average 6-year-old child can interact with each word's referent. The relationships of Child and Adult BOI ratings with other lexical semantic dimensions were assessed, as well as the relationships of Child and Adult BOI ratings with age of acquisition. Child BOI ratings were more strongly related to valence and sensory experience ratings than Adult BOI ratings and were a better predictor of three different measures of age of acquisition. The results suggest that child-centric ratings such as those reported here provide a more sensitive measure of children's experience that can be used to address theoretical questions in embodied cognition from a developmental perspective.Scientific studies of language behavior need to grapple with a large diversity of languages in the world and, for reading, a further variability in writing systems. Yet, the ability to form meaningful theories of reading is contingent on the availability of cross-linguistic behavioral data. This paper offers new insights into aspects of reading behavior that are shared and those that vary systematically across languages through an investigation of eye-tracking data from 13 languages recorded during text reading. We begin with reporting a bibliometric analysis of eye-tracking studies showing that the current empirical base is insufficient for cross-linguistic comparisons. We respond to this empirical lacuna by presenting the Multilingual Eye-Movement Corpus (MECO), the product of an international multi-lab collaboration. We examine which behavioral indices differentiate between reading in written languages, and which measures are stable across languages. One of the findings is that readers of different languages vary considerably in their skipping rate (i.e., the likelihood of not fixating on a word even once) and that this variability is explained by cross-linguistic differences in word length distributions. In contrast, if readers do not skip a word, they tend to spend a similar average time viewing it. We outline the implications of these findings for theories of reading. We also describe prospective uses of the publicly available MECO data, and its further development plans.The photocatalytic degradation of paracetamol (a common analgesic also known as acetaminophen) in ultrapure water with different photocatalytic systems was performed under ultraviolet or visible irradiation. The photocatalysts employed were commercial Degussa-P25 TiO2 and Au-TiO2 under UVA irradiation (365 nm) and g-C3N4 and Au-g-C3N4 under visible light irradiation (low-power (4 × 10 W) white light LEDs), improving the effectiveness of degradation rates when the gold nanoparticles (Au NPs) were combined with the semiconductors. The nanostructured photocatalysts were synthesised and characterised by transmission electron microscope (TEM), UV-vis diffuse reflectance spectroscopy and, in the case of g-C3N4 photocatalysts by X-ray photoelectron spectroscopy (XPS). The influence of the pH in the depletion of paracetamol with g-C3N4 and visible light was evaluated. In addition, the stability and lifetime of the photocatalyst g-C3N4 in the degradation of paracetamol were studied.
Limited English proficiency (LEP) is common among hospitalized patients and may impact care. We synthesized the literature comparing clinical outcomes after in-hospital care for English-proficient(EP) versus LEP patients.
This systematic review searched PubMed, Embase, and Web of Science from database inception through June 7, 2020, to identify research investigating clinical outcomes in patients receiving hospital-based care (in the emergency department, inpatient ward, surgical/procedural suite, or intensive care unit) that compared patients with LEP to an EP group. We assessed mortality, length of stay (LOS), readmissions/revisits, and complications. Study quality was evaluated using the Newcastle-Ottawa Scale.
Twenty-six studies met eligibility criteria. Study settings and populations were heterogeneous. Determination of primary language varied; a majority of studies (16/26) used patient self-report directly or via hospital records. Of 16 studies examining LEP and all-cause mortality, 13 found no significant association.
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