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baseline for the development of new anti-tubercular drugs from natural resources that target QcrB.Insecure romantic attachment style has been associated with greater substance use and higher risk sexual behavior, but the temporal nature of these associations is not well-understood. This study examined whether having a more insecure attachment style was associated with greater engagement in higher-risk sexual behavior over time and, if so, whether this was mediated by more frequent alcohol use. We used three annual waves of survey data from a diverse California cohort (N = 2371) who were assessed from ages 19 to 21-22 years. Separate cross-lagged models examined temporal associations of insecure romantic attachment style (anxious and avoidant), past month alcohol use frequency, and sexual behavior (number of sex partners, condomless sex with casual and steady partners). Attachment anxiety was not directly associated with sexual behavior. Rather, a consistent pattern across waves showed that greater attachment anxiety was associated with more frequent alcohol use at the next wave, which, in turn, was associated with having more sex partners and condomless sex with casual and steady partners one year later. In contrast, greater attachment avoidance was directly associated with having fewer sex partners, and its associations with condomless sex differed across partner type and assessment waves. Attachment avoidance was unrelated to alcohol use frequency. Results indicated that both anxious and avoidant attachment styles were associated with higher-risk sexual behavior, but in different ways and through different mechanisms. Future research may want to examine whether the effectiveness of sexual risk reduction programs for young people is enhanced by discussing attachment style and tailoring the curriculum accordingly.The Intrasexual Competition Scale (ICS) measures the extent to which individuals view their interaction with same-sex others in competitive terms. Although it is frequently used in studies investigating differences in mating behavior, the factor structure of the ICS has never been confirmed. Researchers have yet to use multiple-group confirmatory factor analysis to test whether the properties of the scale are equivalent between the sexes. In Study 1, we report on an investigation in which participants' responses to the ICS were submitted to exploratory factor analysis (EFA). In Study 2A, we compared the fit of one and two-factor models from the EFA as well as two additional models, using confirmatory factor analysis with an independent sample. The best fit was obtained by a two-factor solution, which reflected (1) respondents' feelings of frustration when intrasexual competitors are better off (Inferiority Frustration), and (2) respondents' enjoyment of being better than intrasexual competitors (Superiority Enjoyment). This model achieved a high degree of measurement invariance. In Study 2B, we found the ICS had good concurrent validity via associations with sociosexuality, mating effort, and sexual behavior. Together, these analyses suggest that the ICS is a valid measure of intrasexually competitive attitudes.Feminism is understood to be not only about equality for women as a group, but also about personal choices in a gender-unequal world. In this paper, I examined whether feminist identity was associated with solo and partnered sexual behavior. Using an original, representative survey of adult Canadian women (N = 1126), I employed ordinal logistic and logistic regression analyses to assess the relationship between feminist identity and sexual behavior. I found that those who called themselves feminists reported having more recently masturbated than non-feminist women. In addition, I found that in partnered sexual encounters, feminists were more likely to participate in anal play, as well as engage in more kissing, cuddling, and massage than non-feminists. I also found that feminist women were more likely to receive oral sex than non-feminists. These findings contribute to our understanding of feminist identity as tied to women's personal lives, extending this association to the realm of sexual activity. In this case, the political is not only personal, it is intimate as well. Claiming a feminist identity is aligned with an approach to sexuality that includes a wider array of intimate and sexual behaviors that center women's sexual and emotional needs in partnered encounters.Orgasm coercion involves pressuring a partner to orgasm by implying that not orgasming will have negative consequences. selleck kinase inhibitor In the present study, we used mixed methods to explore (1) how various individual and contextual factors-i.e., frequency of orgasm coercion, orgasm frequency, gender/sex, sexual identity, the orgasm coercion tactics used, and perceptions of the perpetrator's intention-affect relationship and psychological outcomes associated with orgasm coercion, and (2) how different individuals characterize these outcomes. Cisgender women, cisgender men, and gender/sex minority participants (N = 308, M age = 30.44 years, SD = 8.16) described the most recent encounter in which they experienced orgasm coercion and then rated and described the positive and negative relationship and psychological outcomes associated with the incident. Quantitative results showed that the following predicted significantly higher negative relationship and psychological outcomes a higher frequency of experiencing orgasm coercion, lower frequency of orgasming with partners in general, and experiencing orgasm coercion via physical or emotional threats. Believing that the perpetrator was motivated by altruism or social pressures mitigated these effects. And, experiencing orgasm coercion via implied fault predicted significantly higher negative relationship outcomes only for cisgender women. Additionally, being a sexual minority predicted higher negative relationship (but not psychological) outcomes, whereas being a gender/sex minority predicted higher negative psychological (but not relationship) outcomes. Qualitative results showed that relationship and psychological outcomes varied; for example, participants discussed making a partner happy, disappointment with their partner's behaviors, ending the relationship, and lasting feelings of anxiety, guilt, and abuse. Together, findings offer new insights into how orgasm coercion affects those who experience it.
Anti-PD-1 antibodies plus lenvatinib therapeutic regimens have demonstrated a relatively high antitumor response in many solid cancers; however, the efficacy and safety of anti-PD-1 antibodies plus lenvatinib in patients with advanced gallbladder cancer (GBC) has not been reported.
Advanced GBC patients who received anti-PD-1 antibodies plus lenvatinib were retrospectively screened. Overall survival (OS), progression-free survival (PFS), objective response rate (ORR), disease control rate (DCR), clinical benefit rate (CBR), PD-L1 expression and safety were evaluated to identify efficacy biomarkers.
A total of 31 GBC patients were included in this study. After a median follow-up of 8months and 23 deaths were observed. The median PFS was 5.0months (95% CI 4.1-8.0months), and the median OS was 11.3months (95% CI 7.5-20.9months). Overall, the ORR was 32.3%, the DCR was 83.9%, and the CBR was 41.9%. Moreover, after treatment, 3 patients received conventional surgery, in which 1 patient achieved a pathological complete response. All patients (100%) experienced adverse events (AEs), and 58.1% of the patients experienced grade 3 AEs. The most commonly observed grade 3 AEs included fatigue (5/31, 16.1%), decreased appetite (5/31, 16.1%), hypertension (4/31, 12.9%) and bilirubin elevation (4/31, 12.9%). Subgroup analysis revealed that positive PD-L1 expression maybe associate with a longer PFS.
Anti-PD-1 antibodies plus lenvatinib represent an effective and tolerable therapy for patients with advanced gallbladder cancer.
Anti-PD-1 antibodies plus lenvatinib represent an effective and tolerable therapy for patients with advanced gallbladder cancer.
There is growing evidence suggesting that the occurrence of immune-related adverse events (irAEs) may be a predictor of immune checkpoint inhibitor efficacy. Whether this association extends to all irAEs or just those within particular organs/systems is yet to be resolved. As immune-related thyroid dysfunction (thyroid irAE) is one of the most commonly reported irAEs, this study aims to summarize the available data and determine if thyroid irAE is a surrogate marker for improved cancer outcomes during ICI therapy.
PubMed, EMBASE and Cochrane Library were searched up to July 1st 2021 for studies assessing the relationship between thyroid irAE development during ICI therapy and cancer outcomes. Outcome measures of interest include overall survival (OS) and progression free survival (PFS). Sub-group analyses based on cancer type and adjustment for immortal time bias (ITB) were also performed.
Forty-seven studies were included in the systematic review. Twenty-one studies were included in the OS meta-analysis whilst 15 were included in the PFS meta-analysis. Development of thyroid irAE during ICI therapy was associated with improved OS and PFS (OS HR 0.52, CI 0.43-0.62, p < 0.001; PFS HR 0.58, CI 0.50-0.67, p < 0.001). Sub-group analyses involving non-small cell lung cancer populations and studies where ITB was accounted for, observed similar results (HR 0.37, CI 0.24-0.57, p < 0.001) and (HR 0.51, CI 0.39-0.69, p < 0.001), respectively.
Despite the heterogeneity and biases identified, the evidence does suggest that the development of thyroid irAE is associated with anti-tumor effects of ICIs and therefore, can be used as a surrogate marker for clinical response.
Despite the heterogeneity and biases identified, the evidence does suggest that the development of thyroid irAE is associated with anti-tumor effects of ICIs and therefore, can be used as a surrogate marker for clinical response.
Chemoprevention for colorectal neoplasia has attracted growing interest, with multiple medications investigated. Metformin may decrease the overall incidence of cancer in patients with diabetes and may decrease the incidence of colorectal cancer.
We aimed to determine the impact of metformin use on the behavior of colorectal adenomas in a US veteran population.
All patients with at least two high-quality colonoscopies between January 1997 and December 2013 at Veterans Affairs New York Harbor Healthcare System were identified. Outpatient prescription records were used to determine metformin exposure, and colonoscopy findings were recorded. Multivariable logistic regression was used to determine factors associated with adenoma detection on baseline and interval colonoscopy.
In total, 1869 patients with two successive colonoscopies (median 4.5years) were included. Four hundred and sixty patients had metformin exposure prior to baseline and/or interval colonoscopy. Overall adenoma detection rate was 59.7%te potential chemoprotective effects of metformin over time.
Alcoholic hepatitis (AH) is a clinically diagnosed syndrome with high short-term mortality for which liver transplantation may be curative. A lack of validated algorithms to identify AH hospitalizations has hindered clinical epidemiology research.
This was a retrospective cohort study of patients with cirrhosis using Veterans Health Administration (VHA) data from 2008 to 2015. We randomly sampled hospitalizations based upon abnormal liver tests and administrative codes for acute hepatitis or alcohol-associated liver disease (ALD). Hospitalizations were manually adjudicated for AH per society guidelines. A priori algorithms were evaluated to compute positive predicted value (PPV) and positive likelihood ratio (LR+), and were tested in an external University of Pennsylvania Health System (UPHS) cohort.
Of 368 hospitalizations, 142 (38.6%) were adjudicated as AH. AH patients were younger (55 vs. 58years, p < 0.001), less likely to have prior cirrhosis decompensation (57% vs. 73.9%, p < 0.001), and had higher AST-to-ALT ratios (median 2.
Read More: https://www.selleckchem.com/products/pf-9363-ctx-648.html
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