New treatments for atopic dermatitis targeting beyond IL-4/IL-13 cytokinesDisclosures: E. Guttman-Yassky received board membership from Sanofi Aventis, Regeneron, Stiefel/GlaxoSmithKline, MedImmune, Celgene, Anacor, Leo Pharma, AnaptysBio, Celsus, Dermira, Galderma, Novartis, Pfizer, Vitae, Glenmark, AbbVie, and Asana Biosciences and consultancy fees from Regeneron, Sanofi Aventis, MedImmune, Celgene, Stiefel/GlaxoSmithKline, Celsus, BMS, Amgen, Drais, AbbVie, Anacor, AnaptysBio, Dermira, Galderma, Leo Pharma, Novartis- Increased cardiovascular and atherosclerosis markers in blood of older atopic dermatitis patientsAtopic dermatitis (AD) is associated with increased systemic inflammation and cardiovascular risk. While previous studies showed increased inflammatory proteins in the blood of AD patients, detailed comparison among AD patients of different ages is unavailable.
- The Role of Filaggrin in Atopic Dermatitis and Allergic DiseaseFilaggrin is a major epidermal protein that has been shown to be a key player in the pathogenesis of AD and allergic disease. While filaggrin is a significant genetic risk factor for AD, it is also an important disease modifier in AD. Patients with filaggrin related AD and asthma have more frequent hospital admissions and long-term medication costs[1]. Atopic dermatitis patients with FLG mutations are more frequently affected by reduced health re
- Cancer
- Nationwide randomised trial evaluating elective neck dissection for early stage oral cancer (SEND study) with meta-analysis and concurrent real-world cohortBritish Journal of Cancer, Published online: 15 October 2019; doi:10.1038/s41416-019-0587-2Nationwide randomised trial evaluating elective neck dissection for early stage oral cancer (SEND study) with meta-analysis and concurrent real-world cohort
- The Journal of Physiology
- Journal of Surgical Case Reports - current issue
- An unusual cause of bowel ischemia in an intensive care unit patient with herpes simplex virus encephalitisAbstractWe present a case of an unexpected cause of bowel ischemia in an intensive care unit patient with herpes simplex virus encephalitis who required an operation. A 79-year-old lady was being worked up and treated for encephalitis with antibiotics and an antiviral. On Day 13, she developed abdominal pain, and an ultrasound showed cholelithiasis but no cholecystitis; thus conservative treatment was advocated. By Day 18, pain localized to the r
- Knotted nasogastric tube: a rare, overlooked yet preventable complicationAbstractNasogastric tubes (NGTs) have long been used for various indications, most commonly to decompress the stomach of its contents in intestinal obstruction or after abdominal surgery, to provide enteral feeding or to allow enteral liquid medication administration. Recently greater importance has been given to the correct placement NGTs to avoid serious complications. We present a case of a spontaneously knotted NGT that was identified and saf
- Iatrogenic injury to a vesicourachal diverticulum during laparoscopic appendectomy successfully managed conservativelyAbstractA vesicourachal diverticulum is a rare congenital anomaly that arises from the incomplete closure of the urachus at the bladder end. We describe a 12-year-old boy who presented with severe persistent right iliac fossa pain associated with subjective fever, nausea, vomiting, and anorexia. A computed tomography (CT) scan of the abdomen and pelvis revealed findings consistent with appendicitis. The patient underwent a laparoscopic appendecto
- Evolutionary Biology News -- ScienceDaily
- Investing in love and affection pays off for species that mate for lifeA new study by biologists explains how sexual cooperation and bonding evolves in bird species that form pair bonds.
- Evolutionary history of oaksOaks have a complex evolutionary history that has long eluded scientists. New research, however, provides the most detailed account to date of the evolution of oaks, recovering the 56-million-year history that has made the oaks one of the most diverse, abundant and important woody plant groups to the ecology and economy of the northern hemisphere.
- Clinical Cancer Research Online First Articles
- Comprehensive Profiling of Poor-Risk Paired Primary and Recurrent Triple-Negative Breast Cancers Reveals Immune Phenotype ShiftsPurpose: Emerging data suggest immune checkpoint inhibitors have reduced efficacy in heavily pretreated TNBCs, but underlying mechanisms are poorly understood. To better understand the phenotypic evolution of TNBCs, we studied the genomic and transcriptomic profiles of paired tumors from TNBC patients. Experimental Design: We collected paired primary and metastatic TNBC specimens from 43 patients and performed targeted exome sequencing and whole
- A new pathway emerges to interpret lung cancer genomic alterationsThe clinical utility of performing tumor genetic testing to assess for alterations beyond the known targetable oncogenes in lung adenocarcinoma is unclear. Analyzing cancer pathway alterations beyond single oncogenic driver mutations in addition to markers of tumor mutation burden and genomic instability may provide additional predictive and prognostic information.
- Clinical Otolaryngology
- Application of Augmented Reality to Surgical Practice: A Pilot Study using the ODG R‐7 SmartglassesAbstract This is the first documented application ODG R7 Smartglasses, an augmented reality device, to an Otolaryngology ‐ Head and Neck Surgery training laboratory setting. Staff surgeons and resident trainees were recruited to participate in a mixed‐methods pilot study evaluating the usefulness of the ODG R7 Smartglasses in the temporal bone cadaver drilling laboratory at our institution. In‐house software was developed specifically f
- Annals of Internal Medicine Current Issue
- Evidence Relating Health Care Provider Burnout and Quality of Care A Systematic Review and Meta-analysisBackground:Whether health care provider burnout contributes to lower quality of patient care is unclear.Purpose:To estimate the overall relationship between burnout and quality of care and to evaluate whether published studies provide exaggerated estimates of this relationship.Data Sources:MEDLINE, PsycINFO, Health and Psychosocial Instruments (EBSCO), Mental Measurements Yearbook (EBSCO), EMBASE (Elsevier), and Web of Science (Clarivate Analytic
- Establishing the Prevalence and Prevalence at Birth of Hemophilia in Males A Meta-analytic Approach Using National RegistriesBackground:The large observed variability in hemophilia prevalence prevents robust estimation of burden of disease.Objective:To estimate the prevalence and prevalence at birth of hemophilia and the associated life expectancy disadvantage.Design:Random-effects meta-analysis of registry data.Setting:Australia, Canada, France, Italy, New Zealand, and the United Kingdom.Participants:Male patients with hemophilia A or B.Measurements:Prevalence of hemo
- Antibiotics and the Yield of Blood Cultures: Sequence MattersCheng and colleagues examined whether antibiotics can be administered before cultures are drawn without decreasing their yield in patients with sepsis. The editorialists discuss the findings and the need for diagnostic strategies that optimize both the timeliness and appropriateness of sepsis therapy.
- Deciphering the Relationship Between Health Care Provider Burnout and Quality of CareThe editorialists discuss Tawfik and coworkers' findings and highlight future approaches that might provide a deeper understanding of the interplay between clinician burnout and quality of care.
- Fool Me Twice? The Reemergence of Rofecoxib and the Orphan Drug ActThis commentary considers the implications of applying the Orphan Drug Act to products that may be at risk for off-label prescribing after approval.
- Personalized Prediction of Cardiovascular Benefits and Bleeding Harms From Aspirin for Primary Prevention A Benefit–Harm AnalysisBackground:Whether the benefits of aspirin for the primary prevention of cardiovascular disease (CVD) outweigh its bleeding harms in some patients is unclear.Objective:To identify persons without CVD for whom aspirin would probably result in a net benefit.Design:Individualized benefit–harm analysis based on sex-specific risk scores and estimates of the proportional effect of aspirin on CVD and major bleeding from a 2019 meta-analysis.Setting:New
- Firearm-Related Injury and Death in the United States: A Call to Action From the Nation's Leading Physician and Public Health Professional OrganizationsIn this special article, leaders from 7 of the nation's largest physician and public health professional societies reiterate their commitment to finding solutions and call for policies to reduce firearm-related injuries and deaths.
- Ensuring Sustainability of Needed Antibiotics: Aiming for the DART BoardCurrent initiatives to incentivize development of antibiotics for resistant pathogens have yielded disappointing results because many recently approved antibiotics do not address clinical unmet needs or provide redundant coverage. In this article, the authors propose a different approach for guiding development of new antibiotics to combat resistant organisms.
- Cases in Precision Medicine: Should You Participate in a Study Involving Genomic Sequencing of Your Patients?Internists and other physicians may be asked to participate in research studies that include genomic screening of their patients. Because genomic studies can identify many variants with potential clinical or personal implications, physicians should carefully consider the effect of participation on their patients, as well as the time and effort needed for the physicians to interpret the results and decide how best to use the information. Among the
- Individualize Treatment With Aspirin for Primary PreventionThe editorialist discusses Selak and colleagues' model and its application to clinical practice in light of other conflicting evidence.
- Blood Culture Results Before and After Antimicrobial Administration in Patients With Severe Manifestations of Sepsis A Diagnostic StudyBackground:Administering antimicrobial agents before obtaining blood cultures could potentially decrease time to treatment and improve outcomes, but it is unclear how this strategy affects diagnostic sensitivity.Objective:To determine the sensitivity of blood cultures obtained shortly after initiation of antimicrobial therapy in patients with severe manifestations of sepsis.Design:Patient-level, single-group, diagnostic study. (ClinicalTrials.gov
- Global Hemophilia Care: Data for ActionIorio and coworkers make the case that measuring the global burden of hemophilia is important in developing strategies to address gaps in access to care for this condition. The editorialist discusses the findings.
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com,
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Δευτέρα 14 Οκτωβρίου 2019
- Cancer
- The Journal of Physiology
- Journal of Surgical Case Reports - current issue
- Evolutionary Biology News -- ScienceDaily
- Clinical Cancer Research Online First Articles
- Clinical Otolaryngology
- Annals of Internal Medicine Current Issue
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