2,913 research outputs found

    VA4 COST-EFFECTIVENESS OF UNIVERSAL HEPATITIS B IMMUNIZATION IN VIETNAM: APPLICATION OF COST-EFFECTIVENESS AFFORDABILITY CURVES IN HEALTH DECISION-MAKING

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    Sexually dimorphic role for vasopressin in the development of social play

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    Despite the well-established role of vasopressin (AVP) in adult social behavior, its role in social development is relatively unexplored. In this paper, we focus on the most prominent social behavior of juvenile rats, social play. Previous pharmacological experiments in our laboratory suggested that AVP regulates play in a sex- and brain region-specific manner in juvenile rats. Here we investigate the role of specific AVP systems in the emergence of social play. We first characterize the development of play in male and female Wistar rats and then ask whether the development of AVP mRNA expression correlates with the emergence of play. Unexpectedly, play emerged more rapidly in weanling-aged females than in males, resulting in a sex difference opposite of that typically reported for older, juvenile rats. AVP mRNA and play were correlated in males only, with a negative correlation in the bed nucleus of the stria terminalis and a positive correlation in the paraventricular nucleus of the hypothalamus. These findings support the hypothesis that AVP acts differentially on multiple systems in a sex-specific manner to regulate social play and suggest a role for PVN and BNST AVP systems in the development of play. Differential neuropeptide regulation of male and female social development may underlie well-documented sex differences in incidence, progression, and symptom severity of behavioral disorders during development

    Epidemiology and reporting characteristics of preclinical systematic reviews

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    In an effort to better utilize published evidence obtained from animal experiments, systematic reviews of preclinical studies are increasingly more common-along with the methods and tools to appraise them (e.g., SYstematic Review Center for Laboratory animal Experimentation [SYRCLE's] risk of bias tool). We performed a cross-sectional study of a sample of recent preclinical systematic reviews (2015-2018) and examined a range of epidemiological characteristics and used a 46-item checklist to assess reporting details. We identified 442 reviews published across 43 countries in 23 different disease domains that used 26 animal species. Reporting of key details to ensure transparency and reproducibility was inconsistent across reviews and within article sections. Items were most completely reported in the title, introduction, and results sections of the reviews, while least reported in the methods and discussion sections. Less than half of reviews reported that a risk of bias assessment for internal and external validity was undertaken, and none reported methods for evaluating construct validity. Our results demonstrate that a considerable number of preclinical systematic reviews investigating diverse topics have been conducted; however, their quality of reporting is inconsistent. Our study provides the justification and evidence to inform the development of guidelines for conducting and reporting preclinical systematic reviews

    MRI based preterm white matter injury classification: the importance of sequential imaging in determining severity of injury

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    The evolution of non-hemorrhagic white matter injury (WMI) based on sequential magnetic resonance imaging (MRI) has not been well studied. Our aim was to describe sequential MRI findings in preterm infants with non-hemorrhagic WMI and to develop an MRI classification system for preterm WMI based on these findings.Eighty-two preterm infants (gestation ≀35 weeks) were retrospectively included. WMI was diagnosed and classified based on sequential cranial ultrasound (cUS) and confirmed on MRI.138 MRIs were obtained at three time-points: early (<2 weeks; n = 32), mid (2-6 weeks; n = 30) and term equivalent age (TEA; n = 76). 63 infants (77%) had 2 MRIs during the neonatal period. WMI was non-cystic in 35 and cystic in 47 infants. In infants with cystic-WMI early MRI showed extensive restricted diffusion abnormalities, cysts were already present in 3 infants; mid MRI showed focal or extensive cysts, without acute diffusion changes. A significant reduction in the size and/or extent of the cysts was observed in 32% of the infants between early/mid and TEA MRI. In 4/9 infants previously seen focal cysts were no longer identified at TEA. All infants with cystic WMI showed β‰₯2 additional findings at TEA: significant reduction in WM volume, mild-moderate irregular ventriculomegaly, several areas of increased signal intensity on T1-weighted-images, abnormal myelination of the PLIC, small thalami.In infants with extensive WM cysts at 2-6 weeks, cysts may be reduced in number or may even no longer be seen at TEA. A single MRI at TEA, without taking sequential cUS data and pre-TEA MRI findings into account, may underestimate the extent of WMI; based on these results we propose a new MRI classification for preterm non-hemorrhagic WMI

    Tackling climate change with blockchain

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    Concern about the carbon footprint of Bitcoin is not holding back blockchain developers from leveraging the technology for action on climate change. Although blockchain technology is enabling individuals and businesses to manage their carbon emissions, the social and environmental costs and benefits of doing so remain unclear

    The antimicrobial polymer PHMB enters cells and selectively condenses bacterial chromosomes

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    To combat infection and antimicrobial resistance, it is helpful to elucidate drug mechanism(s) of action. Here we examined how the widely used antimicrobial polyhexamethylene biguanide (PHMB) kills bacteria selectively over host cells. Contrary to the accepted model of microbial membrane disruption by PHMB, we observed cell entry into a range of bacterial species, and treated bacteria displayed cell division arrest and chromosome condensation, suggesting DNA binding as an alternative antimicrobial mechanism. A DNA-level mechanism was confirmed by observations that PHMB formed nanoparticles when mixed with isolated bacterial chromosomal DNA and its effects on growth were suppressed by pairwise combination with the DNA binding ligand Hoechst 33258. PHMB also entered mammalian cells, but was trapped within endosomes and excluded from nuclei. Therefore, PHMB displays differential access to bacterial and mammalian cellular DNA and selectively binds and condenses bacterial chromosomes. Because acquired resistance to PHMB has not been reported, selective chromosome condensation provides an unanticipated paradigm for antimicrobial action that may not succumb to resistance

    ΠžΡΠΎΠ±Π»ΠΈΠ²ΠΎΡΡ‚Ρ– Ρ–ΠΌΡƒΠ½ΠΎ-Π³ΠΎΡ€ΠΌΠΎΠ½Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ Ρ‚Π° ΠΌΡ–ΠΊΡ€ΠΎΠ±Ρ–ΠΎΠ»ΠΎΠ³Ρ–Ρ‡Π½ΠΎΠ³ΠΎ статусу Ρƒ ΠΆΡ–Π½ΠΎΠΊ Π· Ρ€Ρ–Π·Π½ΠΈΠΌΠΈ ΠΌΠΎΡ€Ρ„ΠΎΠ»ΠΎΠ³Ρ–Ρ‡Π½ΠΈΠΌΠΈ Ρ„ΠΎΡ€ΠΌΠ°ΠΌΠΈ ΠΏΠΎΠ»Ρ–ΠΏΡ–Π² СндомСтрія

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    ОбслСдовано 58 ΠΆΠ΅Π½Ρ‰ΠΈΠ½ с ΠΏΠΎΠ»ΠΈΠΏΠ°ΠΌΠΈ эндомСтрия. ВыявлСны особСнности микробиологичСского ΠΏΠ΅ΠΉΠ·Π°ΠΆΠ°, Π³ΠΎΡ€ΠΌΠΎΠ½Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ ΠΈ ΠΈΠΌΠΌΡƒΠ½Π½ΠΎΠ³ΠΎ статуса Π² зависимости ΠΎΡ‚ морфологичСских Ρ„ΠΎΡ€ΠΌ ΠΏΠΎΠ»ΠΈΠΏΠΎΠ² эндомСтрия. ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½Π½Ρ‹ΠΉ Π°Π½Π°Π»ΠΈΠ· ΠΏΠΎΠ·Π²ΠΎΠ»ΠΈΠ» Π²Ρ‹Π΄Π΅Π»ΠΈΡ‚ΡŒ Π³Ρ€ΡƒΠΏΠΏΡ‹ риска ΠΏΠΎ Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΡŽ ΠΏΠΎΠ»ΠΈΠΏΠΎΠ² эндомСтрия. ΠΏΠΎΠΊΠ°Π·Π°Π½ΠΎ, Ρ‡Ρ‚ΠΎ ΠΏΠΎΠ»ΠΈΠΏ эндомСтрия слСдуСт Ρ€Π°ΡΡΠΌΠ°Ρ‚Ρ€ΠΈΠ²Π°Ρ‚ΡŒ Π½Π΅ ΠΊΠ°ΠΊ мСстный процСсс, Π° ΠΊΠ°ΠΊ Ρ€Π΅Π°ΠΊΡ†ΠΈΡŽ эндомСтрия Π² ΠΎΡ‚Π²Π΅Ρ‚ Π½Π° ΠΏΠΎΠ²Ρ€Π΅ΠΆΠ΄Π΅Π½ΠΈΠ΅ Π³ΠΎΡ€ΠΌΠΎΠ½Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ ΠΈ ΠΈΠΌΠΌΡƒΠ½Π½ΠΎΠ³ΠΎ гомСостаза, Ρ‡Ρ‚ΠΎ Π½Π΅ΠΎΠ±Ρ…ΠΎΠ΄ΠΈΠΌΠΎ ΡƒΡ‡ΠΈΡ‚Ρ‹Π²Π°Ρ‚ΡŒ ΠΏΡ€ΠΈ Π²Ρ‹Π±ΠΎΡ€Π΅ лСчСния Π΄Π°Π½Π½ΠΎΠΉ ΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³ΠΈΠΈ58 women with endometrial polyps were investigated. Specific microflora and hormonal and immune status depending on the morphological forms of endometrial polyps were found. The analysis performed allowed to allocate risk groups according to development of endometrial polyp. It was shown that endometrial polyp shall be considered as endometrial reaction in response to hormonal and immune homeostasis disorder, rather than local process. This should be borne in mind when choosing treatment for this patholog

    Cerebrospinal fluid cortisol levels are higher in patients with delirium versus controls

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    <p>Abstract</p> <p>Background</p> <p>High plasma cortisol levels can cause acute cognitive and neuropsychiatric dysfunction, and have been linked with delirium. CSF cortisol levels more closely reflect brain exposure to cortisol, but there are no studies of CSF cortisol levels in delirium. In this pilot study we acquired CSF specimens at the onset of spinal anaesthesia in patients undergoing hip fracture surgery, and compared CSF and plasma cortisol levels in delirium cases versus controls.</p> <p>Findings</p> <p>Delirium assessments were performed the evening before or on the morning of operation with a standard battery comprising cognitive tests, mental status assessments and the Confusion Assessment Method. CSF and plasma samples were obtained at the onset of the operation and cortisol levels measured. Twenty patients (15 female, 5 male) aged 62 - 93 years were studied. Seven patients were diagnosed with delirium. The mean ages of cases (81.4 (SD 7.2)) and controls (80.5 (SD 8.7)) were not significantly different (p = 0.88). The median (interquartile range) CSF cortisol levels were significantly higher in cases (63.9 (40.4-102.1) nmol/L) than controls (31.4 (21.7-43.3) nmol/L; Mann-Whitney U, p = 0.029). The median (interquartile range) of plasma cortisol was also significantly higher in cases (968.8 (886.2-1394.4) nmol/L, than controls (809.4 (544.0-986.4) nmol/L; Mann Whitney U, p = 0.036).</p> <p>Conclusions</p> <p>These findings support an association between higher CSF cortisol levels and delirium. This extends previous findings linking higher plasma cortisol and delirium, and suggests that more definitive studies of the relationship between cortisol levels and delirium are now required.</p
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