Role of cyclooxygenase-2 in H5N1 viral pathogenesis and the potential use of its inhibitors

1. Cyclooxygenase-2 (COX-2), along with TNF-α and other proinflammatory cytokines, was hyperinduced in H5N1- infected macrophages in vitro and in epithelial cells of autopsied lung tissues of infected patients. 2. The COX-2 mediated amplification of the proinflammatory response is rapid, and the effects elicited by the H5N1-triggered proinflammatory cascade are broader than those arising from direct viral infection. 3. Selective COX-2 inhibitors suppress the H5N1- hyperinduced cytokines in the proinflammatory cascade.published_or_final_versio

Trigeminal Neurosensory Deficit and Patient Reported Outcome Measures: The Effect on Life Satisfaction and Depression Symptoms

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Effects of a Short-Term Dance Movement Therapy Program on Symptoms and Stress in Patients With Breast Cancer Undergoing Radiotherapy: A Randomized, Controlled, Single-Blind Trial

Context: Integrated interventions with combined elements of body movement and psychotherapy on treatment-related symptoms in cancer patients are relatively scarce. Objectives: The aim of the present study is to investigate the effectiveness of dance movement therapy (DMT) on improving treatment-related symptoms in a randomized controlled trial. Methods: A total of 139 Chinese patients with breast cancer awaiting adjuvant radiotherapy were randomized to DMT or control group. The intervention included six 1.5-hour DMT sessions provided twice a week over the course of radiotherapy. Self-report measures on perceived stress, anxiety, depression, fatigue, pain, sleep disturbance, and quality of life were completed before and after the three-week program. Results: DMT showed significant effects on buffering the deterioration in perceived stress, pain severity, and pain interference (Cohen d = 0.34–0.36, P  0.05). Conclusion: The short-term DMT program can counter the anticipated worsening of stress and pain in women with breast cancer during radiotherapy.postprin

Hole-transporting spirothioxanthene derivatives as donor materials for efficient small-molecule-based organic photovoltaic devices

Poster: no. 30Taking the advantages of the 3D structure and rigid spiro-conjugation, spirobifluorene and its derivatives are a benchmark class of p-type semiconductors in organic electronic devices because of their good charge-transporting properties. However, their low absorption coefficients within the visible spectrum render their application as photoactive materials in the fabrication of organic photovoltaic (OPV) devices. A new class of heterocyclic spirothioxanthene derivatives has been designed and synthesized by the functionalization of the spiro core with various triarylamine groups and the modification of the heteroatom of the spiro core. The photophysical, electrochemical and thermal properties of these spirothioxanthene derivatives have been fully characterized. Of particular interest, all of these compounds exhibit high hole mobilities of up to 10–3 cm2V–1s–1, as determined from thin film transistor measurement. More importantly, these spirothioxanthene derivatives are promising donor materials for the fabrication of high performance OPV devices. With a very low dopant concentration of 7 % doped into fullerene matrix, efficient small molecular-based OPV devices with high open-circuit voltage of 0.94 V and high power conversion efficiency of 5.40 % (the highest PCE of 5.46 %) have been realized. This demonstrates for the first time their application studies as photovoltaic donor materials in OPV devices.published_or_final_versio

Causes of dural sinus thrombosis in a Chinese community

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Is vocal cord asymmetry seen on transcutaneous laryngeal ultrasonography a significant predictor of voice quality changes after thyroidectomy?

Background: Vocal cord asymmetry (VCA) on laryngoscopic examination (LE) may suggest voice impairment after thyroidectomy, but LE may cause patient discomfort. We aimed to correlate the presence of postoperative VCA assessed by noninvasive transcutaneous laryngeal ultrasonography (TLUSG) with voice quality changes after thyroidectomy. Methods: A total of 169 patients scheduled for thyroidectomy completed two validated voice symptoms questionnaires - the GRBAS (grade, roughness, breathiness, asthenia, strain) scale and the voice impairment score (VIS) - and underwent TLUSG and LE at 1 day before and 7-10 days after thyroidectomy. Postoperative VCA was apparent in 51 patients on TLUSG (group I), whereas there was no VCA in the other 118 patients (group II, controls). The GRBAS scale and VIS results were compared between the groups. Results: Before operation, the two groups had comparable preoperative GRBAS and VIS status. After operation, the "grade" and "roughness" components on the GRBAS scale were significantly worse in group I than in group II: 0.24 versus 0.07 (p = 0.016) and 0.33 versus 0.14 (p = 0.022), respectively. "Grade" and "roughness" in the GRBAS scale significantly worsened after the operation in group I: from 0.04 to 0.24 (p = 0.008) and from 0.02 to 0.33 (p = 0.001), respectively. They did not change in group II. Also, the overall VIS was significantly worse after thyroidectomy in group I: 4.97 versus 12.97 (p < 0.001). Conclusions: VCA seen on TLUSG significantly correlated with "grade" and "roughness" components on the GRBAS scale and the overall VIS. Thus, VCA might be used as a surrogate of postoperative voice changes. © 2013 Société Internationale de Chirurgie.postprin

Neuronavigated high-frequency repetitive transcranial magnetic stimulation for chronic post-stroke dysphagia: A randomized controlled study

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Association of Sodium-Glucose Cotransporter 2 Inhibitor vs Dipeptidyl Peptidase-4 Inhibitor Use With Risk of Incident Obstructive Airway Disease and Exacerbation Events Among Patients With Type 2 Diabetes in Hong Kong

Importance Patients with diabetes are at higher risk for obstructive airway disease (OAD). In recent meta-analyses of post hoc analyses of cardiorenal trials, sodium-glucose cotransporter 2 inhibitors (SGLT2Is) were suggested to reduce the risk of OAD adverse events. However, a clinical investigation of this association is warranted. Objective This study aimed to investigate the association of SGLT2I use vs dipeptidyl peptidase-4 inhibitor (DPP4I) use with OAD incidence and exacerbation events in patients with type 2 diabetes. Design, Setting, and Participants This retrospective population-based cohort study used electronic health data from a territory-wide electronic medical database in Hong Kong. Data were collected for patients with type 2 diabetes who were prescribed SGLT2Is or DPP4Is between January 1, 2015, and December 31, 2018. Patients were followed for a median of 2.2 years between January 1, 2015, and December 31, 2020. A prevalent new-user design was adopted to match patients based on previous exposure to the study drugs. Propensity score matching was used to balance baseline characteristics. Exposures Patients with type 2 diabetes using SGLT2Is (exposure of interest) or DPP4Is (active comparator). Main Outcomes and Measures The main outcomes were the first incidence of OAD and the count of OAD exacerbations. The risk of incident OAD was estimated using a Cox proportional hazards regression model. The rate of exacerbations was estimated using zero-inflated Poisson regression. Statistical analysis was performed on November 13, 2022. Results This study included 30 385 patients. The propensity score–matched non-OAD cohort (incidence analysis) consisted of 5696 SGLT2I users and 22 784 DPP4I users, while the matched OAD cohort (exacerbations analysis) comprised 381 SGLT2I users and 1524 DPP4I users. At baseline, 56% of patients in the non-OAD cohort were men and the mean (SD) age was 61.2 (9.9) years; 51% of patients in the OAD cohort were men and the mean age was 62.2 (10.8) years. Compared with DPP4I use, SGLT2I use was associated with a lower risk of incident OAD (hazard ratio, 0.65 [95% CI, 0.54-0.79]; P &amp;amp;lt; .001) and a lower rate of exacerbations (rate ratio, 0.54 [95% CI, 0.36-0.83]; P = .01). The associations were consistent in sex subgroup analysis. Conclusions and Relevance The findings of this retrospective cohort study of patients with type 2 diabetes in Hong Kong suggest that SGLT2I use was associated with a reduced risk of incident OAD and a lower rate of exacerbations in a clinical setting compared with DPP4I use. These findings further suggest that SGLT2Is may provide additional protective effects against OAD for patients with type 2 diabetes and that further investigation is warranted

A Definitive Signal of Multiple Supersymmetry Breaking

If the lightest observable-sector supersymmetric particle (LOSP) is charged and long-lived, then it may be possible to indirectly measure the Planck mass at the LHC and provide a spectacular confirmation of supergravity as a symmetry of nature. Unfortunately, this proposal is only feasible if the gravitino is heavy enough to be measured at colliders, and this condition is in direct conflict with constraints from big bang nucleosynthesis (BBN). In this work, we show that the BBN bound can be naturally evaded in the presence of multiple sectors which independently break supersymmetry, since there is a new decay channel of the LOSP to a goldstino. Certain regions of parameter space allow for a direct measurement of LOSP decays into both the goldstino and the gravitino at the LHC. If the goldstino/gravitino mass ratio is measured to be 2, as suggested by theory, then this would provide dramatic verification of the existence of multiple supersymmetry breaking and sequestering. A variety of consistent cosmological scenarios are obtained within this framework. In particular, if an R symmetry is imposed, then the gauge-gaugino-goldstino interaction vertices can be forbidden. In this case, there is no bound on the reheating temperature from goldstino overproduction, and thermal leptogenesis can be accommodated consistently with gravitino dark matter.Comment: 10 pages, 5 figures, title changed to match the version published in JHE