Notes

Recyclable nitrogen-doped biochar via low-temperature pyrolysis regarding superior direct(II) elimination.
46 (1.92-3.15)], gallbladder [1.55 (1.05-2.29)], pancreas [1.52 (1.07-2.15)], stomach [1.39 (1.22-1.58)], lung [1.27 (1.04-1.55)], colorectum [1.21 (1.03-1.42)], and thyroid cancer [1.20 (1.05-1.36)]. In chronic HCV infection, the cancer risk was higher for testis [10.34 (1.35-79.78)], gallbladder [2.90 (1.62-5.18)], prostate [2.51 (1.65-3.82)], and thyroid cancer [1.46 (1.10-1.93)].In conclusion, chronic HBV or HCVinfection was not only associated with an increased risk of liver cancer, but also associated with an increased risk of multiple extrahepatic cancers. This article is protected by copyright. All rights reserved.Ketone bodies (KBs) were known to suppress seizure. Untraditionally, neurons were recently reported to utilize fatty acids and produce KBs, but the effect of seizure on neuronal ketogenesis has not been researched. Zinc-α2-glycoprotein (ZAG) was reported to suppress seizure via unclear mechanism. Interestingly, ZAG was involved in fatty acid β-oxidation and thus may exert anti-epileptic effect by promoting ketogenesis. However, this promotive effect of ZAG on neuronal ketogenesis has not been clarified. In this study, we performed immunoprecipitation and mass spectrometry to identify potential interaction partners with ZAG. The mechanisms of how ZAG translocated into mitochondria were determined by quantitative coimmunoprecipitation after treatment with apoptozole, a heat shock cognate protein 70 (HSC70) inhibitor. ZAG level was modulated by lentivirus in neurons or adeno-associated virus in rat brains. Seizure models were induced by magnesium (Mg2+ )-free artificial cerebrospinal fluid in neurons or intraperllular and Molecular Medicine.BACKGROUND The development of postoperative pneumonia following cardiac surgery is associated with significant morbidity and mortality. However, seasonal variation as a risk factor for the development of postoperative pneumonia remains to be investigated. We sought to investigate whether patients undergoing coronary artery bypass grafting (CABG) during "flu season" (Fall and Winter months) at increased risk of postoperative pneumonia. MATERIALS AND METHODS A retrospective cohort study of patients undergoing CABG in the National Inpatient Sample between 2005 and 2015 was completed. Concomitant diagnosis of pneumonia was defined as the primary outcome. Secondary outcomes were defined to include pneumonia secondary to several known pathogens. Outcomes with significant differences between Fall/Winter and Spring/Summer groups were further analyzed with additive time series decomposition. Odds ratios were generated and adjusted for age, sex, elective status, and 29 other Agency for Healthcare Research and Quality comorbidity measures. RESULTS A total of 238 757 and 277 941 patients undergoing CABG during Fall/Winter and Spring/Summer, respectively, were identified. A significantly increased risk of postoperative pneumonia (adjusted odds ratio [aOR] = 1.15) and infection with influenza (aOR = 4.08), Haemophilus influenzae (aOR = 1.40), and Streptococcus pneumoniae (aOR = 1.47) was observed among patients receiving CABG in Q1 (January-March) compared to Q3 (July-September). CONCLUSIONS There is a strong seasonality in the incidence of postoperative pneumonia after CABG which may persist across other cardiothoracic surgeries. In addition to optimizing infection control and perioperative care, cardiac surgeons should consider preoperative vaccination against seasonal influenza, H. influenzae, and S. pneumoniae to improve outcomes among high-risk patients. © 2020 Wiley Periodicals, Inc.Thiazolidinediones (TZDs) improve glycaemic control, and ameliorate liver steatosis, inflammation, and fibrosis in patients with fatty liver disease. We aimed to study the impact of TZD and glycaemic control on the risk of hepatocellular carcinoma (HCC) and hepatic events in diabetic patients with chronic hepatitis B (CHB).We performed a retrospective cohort study on diabetic patients with CHBin 2000-2017using a territory-wide electronic healthcare database in Hong Kong. Diabetes mellitus was identified by use of any anti-diabetic medication, haemoglobin A1c (HbA1c ) ≥6.5%, fasting glucose ≥7mmol/L in two measurements or ≥11.1mmol/L in one measurement, and/or diagnosis codes.Use of anti-diabetic medications were modelled as time-dependent covariates. Of 28,999diabetic patients with CHB,3,963 (13.7%) developed liver-related events (a composite endpoint of HCC and hepatic events)at a median (interquartile range) follow-up of 7.1 (3.7-11.8) years; 1,153 patients received TZD during follow-up. After adjusted for important confounders, TZD use was associated with a reduced risk of liver-related events(adjusted hazard ratio [aHR] 0.46, 95% CI 0.24-0.88; P=0.019). Similar trends were observed in HCC (aHR 0.57) and hepatic events (aHR 0.35) separately.Compared to HbA1c of 6.5% at baseline, patients with HbA1c ≥7% had anincreased risk of liver-related events; the risk further increased in 5,795 (20.0%) patients with HbA1c ≥9% at baseline (aHR 1.14, 95% CI 1.04-1.26; P=0.006). TZD use is associated with a lower risk of liver-related events in diabetic patients with CHB. Liver-related events are more common in patients with high HbA1c levels. This article is protected by copyright. All rights reserved.An early detection and follow-up of children at risk of developing allergic diseases is crucial to optimize treatment and increase well-being. A clinical history is the most important tool when diagnosing allergic diseases; however, IgE-antibody (IgE) testing can obtain additional information. We have previously evaluated Phadiatop Infant® (Phinf), a test analyzing IgE to 11 common inhalant and food allergens, at 2 and 5 years of age, showing a sensitivity and specificity over 84 % for detecting IgE sensitizations during childhood. This article is protected by copyright. All rights reserved.OBJECTIVE To compare electrodiathermy with helium thermal coagulation in laparoscopic treatment of mild-to-moderate endometriosis. DESIGN Parallel-group randomized controlled trial. SETTING A UK endometriosis centre. POPULATION Non-pregnant women aged 16-50 with a clinical diagnosis of mild-to-moderate endometriosis. METHODS If mild or moderate endometriosis was confirmed at laparoscopy, women were randomized to laparoscopic treatment with electrodiathermy or helium thermal coagulator. MAIN OUTCOME MEASURES Cyclical pain and dyspareunia (rated on 100mm visual analogue scales), and quality of life, at baseline, 6, 12, and 36 weeks following surgery; operative blood loss; surgical complications. RESULTS 192 women were randomized. 155 (81%) completed the primary outcome point at 12 weeks. In an intention-to-treat analysis, VAS scores for cyclical pain were significantly lower in the electrodiathermy group compared to the helium group at 12 weeks (mean difference = 9.43mm; 95% CI = 0.46, 18.40; p = 0.039) and across all timepoints (mean difference = 10.13mm; 95% CI = 3.48, 16.78; p = 0.003). A significant difference in dyspareunia also favoured electrodiathermy at 12 weeks (mean difference = 11.66mm; 95% CI 1.39, 21.93; p = 0.026). These effects were, however, smaller than the proposed minimum important difference of 18.00mm. Differences in some aspects of quality of life favoured electrodiathermy. There was no significant difference in operative blood loss (fold-change with helium as reference = 1.43; 95% CI 0.96, 2.15; p = 0.081). CONCLUSIONS Although electrodiathermy was statistically superior to helium ablation in reducing cyclical pain and dyspareunia, these effects may be too small to be clinically significant. Leukadherin-1 This article is protected by copyright. All rights reserved.OBJECTIVES The FiCTION trial compared co-primary outcomes (dental pain and/or infection) and secondary outcomes (child oral health-related quality of life [COHRQOL], child dental anxiety, cost-effectiveness, caries development/progression and acceptability) across three treatment strategies (Conventional with Prevention [C + P]; Biological with Prevention [B + P]; Prevention Alone [PA]) for managing caries in children in primary care. COHRQOL and child dental anxiety experiences are reported upon here. METHODS A multi-centre, 3-arm, parallel-group, unblinded patient-randomized controlled trial of 3- to 7-year-olds treated under NHS contracts was conducted in 72 general dental practices in England, Wales and Scotland. Child participants (with at least one primary molar with dentinal caries) were randomized (111) to one of three treatment arms with the intention of being managed according to allocated arm for 3 years (minimum 23 months). Randomization was via a centrally administered system using random permute97.5% CI -1.2 to 1.5) in PA than for C + P. Child dental trait anxiety and child dental state anxiety, measured at every treatment visit, showed no evidence of any statistically or clinically significant difference between arms in adjusted mean scores averaged over all follow-up visits. CONCLUSIONS The differences noted in COHRQOL and child-based dental trait and dental state anxiety measures across three treatment strategies for managing dental caries in primary teeth were small, and not considered to be clinically meaningful. The findings highlight the importance of including all three strategies in a clinician's armamentarium, to manage childhood caries throughout the young child's life and achieve positive experiences of dental care. © 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.BACKGROUND Venoarterial extracorporeal membrane oxygenation (VA-ECMO) is a life-saving method of supporting critically ill patients. However, it is expensive and associated with high morbidity and mortality, making early predictive outcome modeling extremely valuable. The model for end-stage liver disease-excluding international normalized ratio (MELD-XI) scoring system has been shown to have prognostic value in other critically ill patient populations. MATERIALS AND METHODS A single-center retrospective review was performed for all adult patients managed on VA-ECMO from May 2011 to January 2018 (n = 247). Patients were included in the study if MELD-XI scores could be calculated during the first 48 hours on ECMO (n = 187). Receiver operating characteristic curve analysis was performed for MELD-XI in regard to in-hospital mortality. RESULTS Of the 187 patients, 74 (40%) patients had MELD-XI less than 14 (low-risk) and 113 (60%) had a MELD-XI of 14 or greater (high-risk). The cohorts did not differ significantly in terms of patient characteristics or indication for ECMO. The high-risk MELD-XI group had significantly greater mortality during index hospitalization compared to the low-risk group (74% vs 39%; P  less then  .0001). Quartile stratification demonstrated progressively worse prognosis associated with higher MELD-XI scores; the fourth quartile showed a ninefold increased risk of mortality compared to the first quartile (P  less then  .001). The AUC for predicting index hospitalization mortality was 0.69 (95% CI, 0.62-0.77) with a Youden index (J) of 0.36 and optimized cutoff of 12.98. CONCLUSIONS These findings suggest that the MELD-XI scoring system can be applied to the VA-ECMO patient population early in their course of ECMO as a prognostic tool to aid in complex clinical decision making. © 2020 Wiley Periodicals, Inc.
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