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Anti-bacterial Weakness Screening regarding Cutibacterium acnes in Acne breakouts Vulgaris Individuals.
Moreover, when the internationally most widely used definition of recovery was applied, the recovery rate at 20 weeks of CBT-E was significantly higher (57.7%) than of TAU (36.0%). At 80 weeks, this difference was no longer significant (CBT-E 60.9%; TAU 43.6%). Furthermore, CBT-E was more effective in improving self-esteem and was also the less intensive and shorter treatment. DISCUSSION With broader use of CBT-E, the efficiency, accessibility and effectivity (on self-esteem) of treatment for EDs could be improved. © 2020 The Authors. International Journal of Eating Disorders published by Wiley Periodicals, Inc.AIM Patients with resolved hepatitis B virus (HBV) infection are at risk of HBV reactivation during treatment for hematologic malignancies. We aim to conduct a meta-analysis of the data on the efficacy of antiviral prophylaxis for the prevention of HBV reactivation in this group of patients. METHODS We conducted a systemic search of the MEDLINE and EMBASE databases to 31 January, 2019 to identify studies published in English comparing antiviral prophylaxis versus no prophylaxis in patients undergoing treatment for hematologic malignancies. The search terms used were "occult hepatitis B" or "resolved hepatitis B" AND "reactivation" AND "haematological malignancy" or "hematological malignancy" or "chemotherapy" or "immunotherapy" or "chemoimmunotherapy" or "lymphoma" or "leukemia" or "transplant". The primary outcome was reactivation of HBV infection. Pooled estimates of relative risk (RR) were calculated. RESULTS We identified 13 relevant studies with a total of 1724 patients [two randomized controlled trials (RCTs), one post hoc analysis from RCT and ten cohort studies]. There was a trend towards a lower rate of HBV reactivation with antiviral prophylaxis, but the difference was not significant (RR 0.57, 95% CI 0.23-1.40, P = 0.22). When limiting the analysis to the three prospective studies in patients receiving anti-CD20 monoclonal antibodies, antiviral prophylaxis was associated with a significantly lower risk of HBV reactivation (RR 0.17, 95% CI 0.06-0.49, P = 0.001). CONCLUSION Antiviral prophylaxis reduced the risk of HBV reactivation in patients receiving anti-CD20 monoclonal antibodies for hematologic malignancies but not in a broader group of patients receiving anticancer therapy. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.WHAT IS KNOWN AND OBJECTIVE Thrombocytopenia is a common laboratory abnormality among critically ill patients under neurological intensive care unit (NCU) care. Valproic acid (VPA), a widely used antiepileptic drug, is one of the common causes of drug-induced thrombocytopenia. The purpose of this study was to estimate the incidence and risk factors of thrombocytopenia after intravenous VPA therapy among the patients admitted to NCU. METHODS We retrospectively reviewed the medical records of patients who were treated with intravenous VPA during their NCU stay between January 2014 and December 2018. We studied the frequency of thrombocytopenia and further evaluated the risk of thrombocytopenia in these patients. RESULTS Among the 283 patients (181 male [64.0%], mean age [61.0 ± 14.9] years) who were treated with intravenous VPA, thrombocytopenia was observed in 104 patients (36.7%). Thrombocytopenia was associated with several risk factors, including lower baseline platelet counts ( less then 200 × 109 /L); aetiologies other than intracranial or subarachnoid haemorrhage; longer use of VPA (more than 3 days); higher daily dose of VPA (more than 1000 mg/d); concurrent use of VPA with other antiepileptic drugs; infection; and the use of mechanical ventilation. Multivariate analysis found several independent risk factors of thrombocytopenia with intravenous VPA therapy, including lower baseline platelet counts, aetiologies other than intracranial or subarachnoid haemorrhage, use of VPA for more than 3 days and infection. WHAT IS NEW AND CONCLUSION Thrombocytopenia is common in NCU patients. Because several clinical and laboratory factors are associated with thrombocytopenia, careful use of VPA should be considered in patients with these risk factors. © 2020 John Wiley & Sons Ltd.BACKGROUND Limited data on the efficacy of the additional metformin therapy in patients with type 1 diabetes mellitus (T1DM) under real-life conditions have been available so far. METHODS Patients aged ≥18 years with a duration of T1DM for at least 1 year were included in this multicenter observational study. Patients with insulin combined with metformin therapy (MET group) were compared with those with insulin therapy only (INS group). RESULTS A total of 76 patients in the MET group were compared with 655 patients in the INS group. At baseline, patients with dyslipidemia were more prevalent in the MET group (17.6% vs 9.0%; P = .006), and they also had a higher body mass index (BMI) (21.7 ± 3.2 kg/m2 vs 20.4 ± 2.6 kg/m2 ; P less then  .001) than those in the INS group. But glycosylated hemoglobin (HbA1c) and daily insulin dose were not significantly different between the two groups. After 1-year follow-up, HbA1c decreased in both groups, while the daily insulin dose decreased in the MET group, but did not chospital, Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd.Undergraduate biochemistry students frequently find the quantitative treatment of weak acids and bases troublesome. BMS354825 Given the pKa of a weak acid HA, for instance, many students struggle to calculate the pH of a solution of the conjugate base A- at concentration C, pH(A- , C). The traditional method involves calculating the base dissociation constant Kb and the artificial quantity pOH before reaching pH, but these steps increase the risk of mistakes and provide little insight into acid-base equilibria. The alternative method presented here allows students to calculate the pH of a weak base solution from the pKa of its conjugate acid without calculating Kb and pOH, using a memorable relationship pH(HA, C) + pH(A- , C) = pKa  + 7. © 2020 International Union of Biochemistry and Molecular Biology.
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