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regional adjunct

Xiaolong Xing, Biao Suo, Yong Yang, Zhen Li, Wenjing Nie, Zhilu Ai
The purpose of this study was to evaluate the potential use of Lactobacillus from traditional Chinese sourdoughs of different regions as original adjunct cultures in the steamed bread making process. The effects of Lactobacillus on dough and steamed bread were evaluated. Some differences were obtained in the parameters of fermented dough (organic acid content, rheofermentative parameters, pH, and total titratable acidity [TTA]) and steamed bread (hardness, specific volume, organic acid content, shape, color, pH, TTA and sensory score) made with five different Lactobacillus strains (Pediococcus pentosaceus, Lactobacillus fermentum, Weissella confusa, Lactobacillus crustorum, and Pediococcus acidilactici)...
March 18, 2019: Journal of Food Science
Ibai Los-Arcos, Meritxell Royuela, María Teresa Martín-Gómez, Ana Alastruey-Izquierdo, Joana Sellarès, Manel Perelló, Lluís Castells, Cristina Dopazo, Joan Gavaldà, Oscar Len
Medicopsis romeroi is a melanized coelomycetous fungus, mainly found in tropical and subtropical regions and an uncommon cause of infection in solid organ transplant (SOT) recipients. We describe 2 cases of SOT recipients diagnosed with phaeohyphomycosis due to M. romeroi and provide a comprehensive literature review. These infections should be considered in patients native to tropical countries with a localized skin and soft tissue infection. Sequencing is needed for accurate identification of uncommon melanized fungi...
March 13, 2019: Transplant Infectious Disease: An Official Journal of the Transplantation Society
P P C Teng, Y L Lo
The aim of this study was to compare ultrasound strain elastography (USE) with conventional ultrasonography echogenicity (EL) in detecting muscle pathology. For conventional ultrasonography, biceps EL was obtained. For USE, elasticity index (EI) of biceps was represented as a range, from 0 (softest) to 6 (hardest). Muscle-to-fats elasticity ratio compared EI of muscle with that of surrounding fats. Color distribution of elastogram was analyzed using open-source ImageJ software showing % red, % green, and % blue within a region of interest...
March 6, 2019: Ultrasound Quarterly
Sho Moriguchi, Alan A Wilson, Laura Miler, Pablo M Rusjan, Neil Vasdev, Stephen J Kish, Grazyna Rajkowska, Junming Wang, Michael Bagby, Romina Mizrahi, Ben Varughese, Sylvain Houle, Jeffrey H Meyer
Importance: Monoamine oxidase B (MAO-B) is an important, high-density enzyme in the brain that generates oxidative stress by hydrogen peroxide production, alters mitochondrial function, and metabolizes nonserotonergic monoamines. Recent advances in positron emission tomography radioligand development for MAO-B in humans enable highly quantitative measurement of MAO-B distribution volume (MAO-B VT), an index of MAO-B density. To date, this is the first investigation of MAO-B in the brain of major depressive disorder that evaluates regions beyond the raphe and amygdala...
March 6, 2019: JAMA Psychiatry
Amanat Ali, Bincy Baby, Ranjit Vijayan
Camels have an important role in the lives of human beings, especially in arid regions, due to their multipurpose role and unique ability to adapt to harsh conditions. In spite of its enormous economic, cultural, and biological importance, the camel genome has not been widely studied. The size of camel genome is roughly 2.38 GB, containing over 20,000 genes. The unusual genetic makeup of the camel is the main reason behind its ability to survive under extreme environmental conditions. The camel genome harbors several unique variations which are being investigated for the treatment of several disorders...
2019: Frontiers in Genetics
Madeleine J Marsland, Dunya Tomic, Pamela L Brian, Michelle D Lazarus
Introduction: Improving integration between basic science and clinical application is essential in medical education. Anatomy courses can do this by focusing on medical imaging interpretation. Most imaging textbooks rely on structural identification, which novice learners often struggle to apply to the health care environment, particularly in complex regions like the pelvis, which is multifaceted and differs substantially between sexes. To address this deficit, this resource extends our imaging-based tutorial series...
November 28, 2018: MedEdPORTAL Publications
Madeleine J Marsland, Dunya Tomic, Pamela L Brian, Michelle D Lazarus
Introduction: Easing students' transition to the clinical environment is vital in medical education. For anatomy, this can be achieved by incorporating medical imaging. Most resources for study of imaging solely cover structural identification, which does not adequately prepare students to interpret imaging in clinical practice. This resource adds to a series of tutorials incorporating clinical applications of anatomy. Methods: The tutorial was a self-administered PowerPoint that guided students through principles of abdominal anatomy...
August 30, 2018: MedEdPORTAL Publications
C Fernando de Almeida Barros Mourão, M D Calasans-Maia, M Del Fabbro, F Le Drapper Vieira, R Coutinho de Mello Machado, R Capella, R J Miron, G Gomes Alves
Medication related osteonecrosis of the jaw (MRONJ) is characterized by exposed necrotic bone in the maxillofacial region that persists for more than eight weeks in patients taking antiresorptive or antiangiogenic drugs for bone metastasis or osteoporosis. The management of such condition depends on several factors, among which the staging of MRONJ. Though, a specific gold standard treatment has not been established to date. The aim of this case series is to describe the outcome of surgical treatment of MRONJ with the adjunct of Platelet-rich Fibrin (PRF)...
February 20, 2019: Journal of Stomatology, Oral and Maxillofacial Surgery
Cecelia Jackson, Cherish Ardinger, Kristin M Winter, John H McDonough, Hilary S McCarren
INTRODUCTION: Organophosphorus nerve agents (OPNAs) irreversibly block acetylcholinesterase activity, resulting in accumulation of excess acetylcholine at neural synapses, which can lead to a state of prolonged seizures known as status epilepticus (SE). Benzodiazepines, the current standard of care for SE, become less effective as latency to treatment increases. In a mass civilian OPNA exposure, concurrent trauma and limited resources would likely cause a delay in first response time...
February 18, 2019: Journal of Pharmacological and Toxicological Methods
Ruhong Jiang, Eric Buch, Jean Gima, Gaurav A Upadhyay, Hemal M Nayak, Andrew D Beaser, Zaid Aziz, Kalyanam Shivkumar, Roderick Tung
BACKGROUND: Recurrences of atrial fibrillation (AF) after ablation have been attributed to conduction gaps and non-transmural ablation lesions OBJECTIVE: To assess the feasibility of adjunctive percutaneous mapping of the epicardial regions of the left atrium to characterize the transmural extent of substrate and ablation lesions. METHODS: Between 2014-2018, combined epi-endo mapping of AF was performed in 18 patients via inferior subxiphoid percutaneous approach (16 with previously failed ablations, and 2 patients with long-standing persistent AF) at 2 centers...
February 15, 2019: Heart Rhythm: the Official Journal of the Heart Rhythm Society
Lucas C Aragão Albuquerque, Leandro Pernambuco, Camila M da Silva, Marina Moura Chateaubriand, Hilton Justino da Silva
PURPOSE: To describe the primary effects of electromyographic biofeedback therapy on swallowing via a systematic review. METHODS: A blind search was carried out by two researchers in the PubMed and Bireme platforms and in the Medline, Lilacs, SciELO, PsycINFO, CINAHL, and Web of Science databases, and the journal articles identified therein were evaluated for inclusion in the study. Original articles associated with the theme were selected with no population-, region-, or language-associated limits...
February 15, 2019: European Archives of Oto-rhino-laryngology
Victoria M Goode, Brett Morgan, Virginia C Muckler, Michael P Cary, Christine E Zdeb, Michael Zychowicz
Effective pain management for orthopaedic major joint replacement is key to achieving earlier recovery, better functioning, and high rates of patient satisfaction. In an effort to decrease opioid dependency, practitioners are turning to multimodal pain management, which involves the use of multiple analgesic agents and techniques. To utilize this technique, a patient's history of and preoperative consumption of medications to treat pain impacts the success of this regimen. Multimodal pain management involves the use of nonsteroidal anti-inflammatory drugs, acetaminophen, N-methyl-D-aspartate antagonists, gabapentin, serotonin inhibitors, regional techniques, and opioids as needed...
February 12, 2019: Orthopaedic Nursing
Il-Hyun Kim, Joon-Kee Yoon, Su Jin Lee, Eugene Jeong, Young-Sil An
Radioactive iodine (RAI) therapy is widely used as an adjunctive treatment in patients with differentiated thyroid cancer. Although I has high avidity in the functioning thyroid, and in differentiated thyroid cancer lesions, physiological and nonspecific uptake of I in healthy or benign tissue may contribute to false-positive findings on an I scan. Here, we present an interesting image of RAI uptake in the eye region post-RAI treatment, which has been identified as tear contamination in the artificial eye.
February 8, 2019: Clinical Nuclear Medicine
Panagiota Spyridonos, Georgios Gaitanis, Aristidis Likas, Ioannis D Bassukas
BACKGROUND: Actinic keratosis (AK) is a common premalignant skin lesion that can potentially progress to squamous cell carcinoma. Appropriate long-term management of AK requires close patient monitoring in addition to therapeutic interventions. Computer-aided diagnostic systems based on clinical photography might evolve in the future into valuable adjuncts to AK patient management. The present study proposes a late fusion approach of color-texture features (shallow features) and deep features extracted from pre-trained convolutional neural networks (CNN) to boost AK detection accuracy on clinical photographs...
February 14, 2019: Skin Research and Technology
Graham C Wong, Michelle Welsford, Craig Ainsworth, Wael Abuzeid, Christopher B Fordyce, Jennifer Greene, Thao Huynh, Laurie Lambert, Michel Le May, Sohrab Lutchmedial, Shamir R Mehta, Madhu Natarajan, Colleen M Norris, Christopher B Overgaard, Michele Perry Arnesen, Ata Quraishi, Jean François Tanguay, Mouheiddin Traboulsi, Sean van Diepen, Robert Welsh, David A Wood, Warren J Cantor
Rapid reperfusion of the infarct-related artery is the cornerstone of therapy for the management of acute ST-elevation myocardial infarction (STEMI). Canada's geography presents unique challenges for timely delivery of reperfusion therapy for STEMI patients. The Canadian Cardiovascular Society/Canadian Association of Interventional Cardiology STEMI guideline was developed to provide advice regarding the optimal acute management of STEMI patients irrespective of where they are initially identified: in the field, at a non-percutaneous coronary intervention-capable centre or at a percutaneous coronary intervention-capable centre...
February 2019: Canadian Journal of Cardiology
Jennifer L Quon, Lily H Kim, Robert M Lober, Maryam Maleki, Gary K Steinberg, Kristen W Yeom
OBJECTIVEMoyamoya disease is a dynamic cerebrovascular condition that often requires vascular surveillance. Arterial spin labeling (ASL) is an MR perfusion method that is increasingly used for stroke and other various neurovascular pathologies. Unlike perfusion-weighted MRI, ASL uses endogenous water molecules for signal and therefore obviates gadolinium use; and provides direct, not relative, quantitative cerebral blood flow (CBF) measures. Presently, the potential role of ASL for evaluating postoperative pediatric moyamoya patients is relatively unexplored...
February 8, 2019: Journal of Neurosurgery. Pediatrics
Gennadiy A Katsevman, Ryan C Turner, Ogaga Urhie, Joseph L Voelker, Sanjay Bhatia
OBJECTIVEIt is commonly reported that achieving gross-total resection of contrast-enhancing areas in patients with glioblastoma (GBM) improves overall survival. Efforts to achieve an improved resection have included the use of both imaging and pharmacological adjuvants. The authors sought to investigate the role of sodium fluorescein in improving the rates of gross-total resection of GBM and to assess whether patients undergoing resection with fluorescein have improved survival compared to patients undergoing resection without fluorescein...
February 8, 2019: Journal of Neurosurgery
Nicholas A Turner, Batu K Sharma-Kuinkel, Stacey A Maskarinec, Emily M Eichenberger, Pratik P Shah, Manuela Carugati, Thomas L Holland, Vance G Fowler
Methicillin-resistant Staphylococcus aureus (MRSA) is one of the most successful modern pathogens. The same organism that lives as a commensal and is transmitted in both health-care and community settings is also a leading cause of bacteraemia, endocarditis, skin and soft tissue infections, bone and joint infections and hospital-acquired infections. Genetically diverse, the epidemiology of MRSA is primarily characterized by the serial emergence of epidemic strains. Although its incidence has recently declined in some regions, MRSA still poses a formidable clinical threat, with persistently high morbidity and mortality...
February 8, 2019: Nature Reviews. Microbiology
Min Dong, Liang-Nan Zeng, Qinge Zhang, Gabor S Ungvari, Chee H Ng, Helen F K Chiu, Tian-Mei Si, Kang Sim, Ajit Avasthi, Sandeep Grover, Mian-Yoon Chong, Kok-Yoon Chee, Shigenobu Kanba, Min-Soo Lee, Shu-Yu Yang, Pichet Udomratn, Roy A Kallivayalil, Andi J Tanra, Margarita M Maramis, Winston W Shen, Norman Sartorius, Rathi Mahendran, Chay-Hoon Tan, Naotaka Shinfuku, Yu-Tao Xiang
AIM: Depressive disorders are common in old age. Antipsychotics (APs) are often used as an adjunctive treatment with antidepressants (ADs) in this population but its patterns of use in Asia are not known. This study explored the rate of combination of APs and ADs in older adult psychiatric patients in Asia. METHODS: This is a secondary analysis of the database of a multicentre study which recorded participants' basic demographical and clinical data in standardised format in 10 Asian countries and territories...
February 7, 2019: Psychogeriatrics: the Official Journal of the Japanese Psychogeriatric Society
Alessandro Sciahbasi, Alessandro Sarandrea, Stefano Rigattieri, Roberto Patrizi, Maria Cera, Cristian Di Russo, Luigi Zezza, Silvio Fedele, Giuseppe Ferraiuolo
BACKGROUND: Different tools and devices are effective to reduce operator radiation exposure at thorax level during percutaneous coronary procedures, but the operator radiation dose received at pelvic region still remains high. Our aim was to evaluate the efficacy of under-the-table adjunctive shields to reduce operator radiation exposure during percutaneous coronary procedures Methods and Results: The EXTRA-RAD study (Extended Protective Shield Under Table to Reduce Operator Radiation Dose in Percutaneous Coronary Procedures) is a prospective, single-center, randomized study...
February 2019: Circulation. Cardiovascular Interventions
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