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Adipocytokines and markers of oxidative stress have been shown to exhibit potential for detection of advanced stage, HER2/neu status and lymph node metastases in patients with breast cancer, as well as in determining the efficiency of anti-cancer treatments. In the present study, blood concentrations of apelin (APLN), retinol-binding protein 4 (RBP4), 8-hydroxydeoxyguanosine (8-oxo-dG) and total antioxidant capacity (TAC) in women with breast cancer with different clinicopathological features were measured prior to and following adjuvant chemotherapy. The study included 60 women with breast cancer stratified according to tumor grade and size, HER-2/neu expression, and lymph node and hormone receptor status. Blood samples were taken before and after two cycles of adjuvant chemotherapy. None of the clinicopathological features were associated with the baseline concentrations of RBP4, 8-oxo-dG or TAC. An increased baseline concentration of APLN was observed in HER-2/neu positive patients. Moreover, through multivariate logistical regression analysis, APLN was shown to be independently associated with a positive HER/neu status. Chemotherapy treatment did not affect the levels of RBP4 or APLN, or TAC values when assessing all the patients, and when assessing the stratified groups of patients. Only 8-oxo-dG was found to be significantly decreased following drug administration (P=0.0009). This preliminary study demonstrated that APLN is a significant and independent predictor of HER-2/neu positive breast cancer. A significant reduction in 8-oxo-dG levels following chemotherapy may indicate its potential clinical utility in monitoring the effects of chemotherapy in breast cancer patients.
The first case of Infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was diagnosed in Wuhan, China in 2019. In the first half of 2020, this disease has already converted into a global pandemic. This study aimed to find that treatment of patients with COVID-19 pneumonia with Tocilizumab or steroids was associated with better outcomes. RMC-4550 phosphatase inhibitor
To analyze the effectiveness of Tocilizumab in moderate to severe Covid-19 patients based on predefined assessment criteria
Single-center, Fatima Memorial Hospital, Lahore.
Quasi-experimental.
From May 12, 2020 to June 12, 2020.
Sample size was 93; 33 patients were kept in the experimental group, given Tocilizumab, 8mg/kg intravenously or 162mg subcutaneously, and the rest of the 60 patients were given corticosteroids, methylprednisolone 80mg/day. Consecutive sampling. Failure of therapy was labeled when patients were intubated or died, and the endpoints were failure-free survival which was the primary endpoint, and overall survival secondary at the time of discharge.
A total of 93 patients were enrolled, the Tocilizumab (TCZ) group (case) and Corticosteroid (CS) group (Control). The median age was 58 years (IQR-21), 37 (39.8%) patients with diabetes mellitus, 11 (11.8%) in the TCZ group, and 26 (28%) in the CS group. On the whole, the total median hospital stay in days was 7 with IQR (4), a total of 83 (89.2%) patients recovered successfully and discharged, 27 (29%) in the TCZ group and 56 (60.2%) in the CS group. Total 10 (10.8%) patients died, out of which 6 (6.5%) belonged to the TCZ group and 4 (4.3%) belonged to the CS group The median Oxygen requirement with IQR was 8 (9) in both the groups and in total as well, p-value (0.714).
Tocilizumab is a quite effective treatment option for critically sick patients of Covid-19 by reducing their oxygen requirement drastically and so the ICU stay, median hospital stay and so the mortality as well.
UIN # NCT04730323.
UIN # NCT04730323.
Viral infection can compound the severity of pre-existing inflammation caused by underlying diseases. For those with a chronic, immune-related condition such as diabetic foot ulcers (DFUs), the coronavirus disease (COVID-19) serves to exacerbate the inflammatory burden. Serum levels of intracellular adhesion molecule-1 (ICAM-1), a primary mediator of cell adhesion express in the inflammatory process, are often used to indicate the gravity of all inflammatory conditions. Therefore, the purpose of this study was to investigate serum ICAM-1 levels before and after debridement in patients with DFUs who were also diagnosed as COVID-19 positive compared with those who were COVID-19 negative.
20 patients with DFUs were screened for COVID-19 and then divided into COVID-19 positive and negative groups according to the results. Before debridement, chest x-rays and blood analysis, including ICAM-1 serum levels, were performed in both groups. Only ICAM-1 serum levels were measured after debridement.
Of the 20 patients included in this study, 55% were male (n=11) and 45% were female (n=9). The mean age was 52.9±1.9 years. ICAM-1 levels in patients with DFU in the COVID-19-positive group were significantly higher than those in the COVID-19-negative group (median 317.2 vs 149.2, respectively; p<0.001). Serum levels of ICAM-1 reduced significantly in patients with DFU in the COVID-19-positive group were significantly higher than those in the COVID-19-negative group after debridement (median 312.5 vs 130.3; p<0.001).
ICAM-1 serum levels represent an additional, initial screening marker for COVID-19.
ICAM-1 serum levels represent an additional, initial screening marker for COVID-19.
The integration of Artificial Intelligence into medical practices has recently been advocated for the promise to bring increased efficiency and effectiveness to these practices. Nonetheless, little research has so far been aimed at understanding the best human-AI interaction protocols in collaborative tasks, even in currently more viable settings, like independent double-reading screening tasks.
To this aim, we report about a retrospective case-control study, involving 12 board-certified radiologists, in the detection of knee lesions by means of Magnetic Resonance Imaging, in which we simulated the serial combination of two Deep Learning models with humans in eight double-reading protocols. Inspired by the so-called Kasparov's Laws, we investigate whether the combination of humans and AI models could achieve better performance than AI models alone, and whether weak reader, when supported by fit-for-use interaction protocols, could out-perform stronger readers.
We discuss two main findings groups of humans who perform significantly worse than a state-of-the-art AI can significantly outperform it if their judgements are aggregated by majority voting (in concordance with the first part of the Kasparov's law); small ensembles of significantly weaker readers can significantly outperform teams of stronger readers, supported by the same computational tool, when the judgments of the former ones are combined within "fit-for-use" protocols (in concordance with the second part of the Kasparov's law).
My Website: https://www.selleckchem.com/products/rmc-4550.html
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