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[The predictive worth of reduced T3 symptoms regarding delayed encephalopathy caused by serious severe co poisoning].
58; 95% CI 0.39-0.85, p = 0.005) and OS (HR = 0.82, 95% CI 0.70-0.96, p = 0.016), but did not significantly improve PFS (HR = 1.36; 95% CI 1.06-1.76, p = 0.017) and OS (HR = 0.98, 95% CI 0.77-1.27, p = 0.90) for MTA-containing regimens as first-line therapy in these patients. No publication bias was detected by Begg's and Egger's tests for OS and PFS. Conclusions Our results indicate that the MTA-containing therapies significantly improve OS but not for PFS in elderly mOGC patients. Sub-group analysis shows that improved efficacy is only observed in the second-line setting and not in the first-line setting. Our findings support the use of angiogenesis as second-line treatment for elderly mOGC patients. Copyright © 2020 Termedia & Banach.Music performance requires simultaneously producing challenging movement sequences with the left and right hand. A key question in bimanual motor control research is whether bimanual movements are produced by combining unimanual controllers or through a dedicated bimanual controller. Here, 34 expert pianists performed musical scale playing movements with the left or right hand alone and with both hands simultaneously. We found that for the left hand, scale playing was more variable when playing with both hands simultaneously rather than with one hand at a time, but for the right hand, performance was identical. This indicates that when task constraints are high, musicians prioritize timing accuracy in the right hand at the cost of detriment of performance in the left hand. We also found that individual differences in timing substantially overlap between the unimanual and bimanual condition, suggesting control policies are similar but not identical when playing with two hands or one. In the bimanual condition, the left-hand keystrokes tended to occur before right-hand ones, and more so when the hands were further apart. Performance of the two hands was furthermore coupled so that they tended to be early and late together, especially in the beginning and end of each scale. This suggests that experts are able to achieve tightly coupled timing of scale playing movements between the hands. Taken together, these findings show evidence for partially overlapping and partially separate controllers for bimanual and unimanual movements in piano playing. Copyright © 2019 University of Economics and Human Sciences in Warsaw.Background Chronic kidney disease (CKD) is increasingly recognized as a global health issue and it affects 10% to 15% of the world population. Diabetes mellitus is the leading cause of end-stage renal disease. More than 422 million adults in the world populations are living with diabetes mellitus, 40% of whom will develop CKD. E7766 purchase CKD in diabetes increases the risk of early death and cardiovascular morbidity and mortality. There is a paucity of published data on the prevalence of CKD and its associated factors among patients with diabetes in northwest Ethiopia. Objective The aim of this study is to determine the prevalence and factors associated with CKD among patients with diabetes at University of Gondar Hospital, Northwest Ethiopia. Methods A hospital-based cross-sectional study was conducted from April 2 to July 31, 2018. Using convenience sampling, a total of 272 consecutive patients with diabetes were recruited for the study. Data regarding the patients' sociodemographic information, clinical characteristics, and laboratory parameters were collected using patient interview and review of medical records. Serum creatinine was measured and used to calculate estimated glomerular filtration rate using modification of diet in renal disease and chronic kidney disease epidemiology equations. Data were analyzed using SPSS version 20. Bivariate and multivariate logistic regression analyses were used to identify predictors of CKD in patients with diabetes. Result The prevalence of CKD, defined by estimated glomerular filtration rate 10 years, and presence of retinopathy were significantly associated with CKD. Regular screening for CKD, retinopathy, and optimal blood pressure management should be practiced. © 2020 The Author(s).Aim Increasing evidence indicates that hepatic subcapsular flow (HSF) can serve as a noninvasive ultrasonographic marker for the early diagnosis of biliary atresia (BA). However, results regarding its diagnostic accuracy are inconsistent and inconclusive. We conducted this meta-analysis with an aim to systematically evaluate the diagnostic value of HSF in predicting BA. Methods A comprehensive literature search of four databases was conducted to identify the eligible studies. All analyses were performed using STATA 12.0. Results Nine studies from eight articles containing 368 patients and 469 controls were included in our meta-analysis. Briefly, the values for pooled sensitivity, specificity, positive likelihood ratio (PLR), negative likelihood ratio (NLR), diagnostic odds ratio (DOR), and area under the curve (AUC) were 0.95 (95% CI 0.88-0.98), 0.92 (95% CI 0.85-0.96), 11.6 (95% CI 6.3-21.5), 0.06 (95% CI 0.02-0.14), 201 (95% CI 59-689), and 0.98 (95% CI 0.96-0.99), respectively. Additionally, metaregression along with subgroup analysis based on various covariates revealed the potential sources of heterogeneity and the detailed diagnostic value in each subgroup. Conclusion Our meta-analysis showed that HSF assay could provide high accuracy in predicting BA patients and non-BA individuals. However, further studies with better design and larger sample size are required to support the results of the present study. Copyright © 2020 Chao Sun et al.Early-life stress affects neuronal plasticity of the brain regions participating in the implementation of social behavior. Our previous studies have shown that brief and prolonged separation of pups from their mothers leads to enhanced social behavior in adult female mice. The goal of the present study was to characterize the expression of genes (which are engaged in synaptic plasticity) Egr1, Npas4, Arc, and Homer1 in the prefrontal cortex and dorsal hippocampus of adult female mice with a history of early-life stress. In addition, we evaluated the expression of stress-related genes glucocorticoid and mineralocorticoid receptors (Nr3c1 and Nr3c2) and Nr1d1, which encodes a transcription factor (also known as REVERBα) modulating sociability and anxiety-related behavior. C57Bl/6 mice were exposed to either maternal separation (MS, 3 h once a day) or handling (HD, 15 min once a day) on postnatal days 2 through 14. In adulthood, the behavior of female mice was analyzed by some behavioral tests, and on the day after the testing of social behavior, we measured the gene expression.
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