PMID- 29815391 TI - Practical Notes on Diagnosis and Treatment. PMID- 29815392 TI - The Condition Known as "Surgical Kidney". PMID- 29815393 TI - The Value and Dangers of "A.C.E." and "C.E." Mixtures. PMID- 29815394 TI - Venereal Warts. PMID- 29815396 TI - The Cancer Research Fund. PMID- 29815395 TI - Ascites-VII: The Differential Diagnosis of the Cause of Ascites (Continued). PMID- 29815397 TI - The Treatment of Whitlow. PMID- 29815398 TI - Vaccinal Eruptions. PMID- 29815399 TI - Anti-Vaccinationists and Modified Smallpox. PMID- 29815400 TI - The Ideal Graduate Study Institution.-what Germany Has Done: III. The Kaiserin Friedrich Haus. PMID- 29815401 TI - Voluntary Aid in War. PMID- 29815402 TI - Practical Notes on Diagnosis and Treatment. PMID- 29815404 TI - Fractures of the Nose. PMID- 29815403 TI - The Early Diagnosis of General Paralysis of the Insane. PMID- 29815406 TI - Annotations. PMID- 29815405 TI - Compound Liquorice Powder in Diabetes. PMID- 29815407 TI - Oleo-Brassidate of Mercury Inunctions. PMID- 29815408 TI - Isthmus Stenosis or Co-Arctation of the Aorta. PMID- 29815409 TI - Melbourne Notes. PMID- 29815410 TI - News and Coming Events. PMID- 29815411 TI - The Treatment of Patients after Abdominal Section. PMID- 29815412 TI - The Mystery of the Borgia Poison. PMID- 29815414 TI - The Report of the Commissioners in Lunacy. PMID- 29815413 TI - Medical Opinion and Movement. PMID- 29815415 TI - The Administrative Side of Sanatorium Work. PMID- 29815416 TI - Eruptions Due to Antipyrin. PMID- 29815417 TI - Intestinal Obstruction by A Gall-Stone: Symptoms Suggestive of Uraemia. PMID- 29815418 TI - Medical Opinion and Movement. PMID- 29815419 TI - The Treatment of Hepato-Intestinal Toxaemia.-II. PMID- 29815420 TI - Buboes: A Warning. PMID- 29815421 TI - Extravagance in the Training School. PMID- 29815422 TI - Spasm of the Glottis. PMID- 29815423 TI - The Vivisection Commission's Report. PMID- 29815424 TI - Enlargement of the Prostate-III. PMID- 29815425 TI - Calcium Lactate for Lymphatic Headache, Urticaria, Etc. PMID- 29815426 TI - The Local Government Board and Unqualified Practice. PMID- 29815427 TI - The Via Media of Dietetics. PMID- 29815428 TI - Out-Patient Operations. PMID- 29815429 TI - Some Unusual Features of Lead Poisoning. PMID- 29815430 TI - Fire Appliances for Use in Hospitals. PMID- 29815431 TI - New Appliances & Things Medical. PMID- 29815433 TI - Itching and Its Treatment. PMID- 29815432 TI - Annotations. PMID- 29815434 TI - Practical Points in Children's Feeding. PMID- 29815435 TI - News and Coming Events. PMID- 29815436 TI - Answers to Correspondents. PMID- 29815437 TI - Ascites-IX: The Differential Diagnosis of the Cause of Ascites (concluded). PMID- 29815438 TI - Rupture of the Uterus after Caesarean Section. PMID- 29815439 TI - Tropical Abscess of the Liver. PMID- 29815440 TI - Experiences of a School Medical Officer. PMID- 29815441 TI - "Idiopathic" Haematoporphyrinuria. PMID- 29815442 TI - The Unenterprising British Practitioner. PMID- 29815443 TI - Clinical Tests of Hearing-I. PMID- 29815444 TI - Annotations. PMID- 29815445 TI - Preventable Blindness. PMID- 29815446 TI - News and Coming Events. PMID- 29815447 TI - The Addresses at the Belfast Medical Meeting. PMID- 29815448 TI - The Feeble-Minded and Their Care. PMID- 29815449 TI - A Summer Holiday in North-West America. PMID- 29815450 TI - Two Remarkable Cases of Phthisis. PMID- 29815451 TI - The Administrative Side of Sanatorium Work. PMID- 29815452 TI - Eczema in Babies. PMID- 29815453 TI - The Home of Recovery. PMID- 29815455 TI - A Case of Intestinal Obstruction with Unusual Features. PMID- 29815454 TI - New Appliances and Things Medical. PMID- 29815456 TI - Teething as a Cause of Fever. PMID- 29815457 TI - Medical Opinion and Movement. PMID- 29815458 TI - Reconstruction of the Chelmsford Infirmary. PMID- 29815459 TI - Mental Disease Following Influenza. PMID- 29815460 TI - Bullous Iodide Rash. PMID- 29815461 TI - Gynaecological Diagnosis and the Microscope. PMID- 29815462 TI - Some Modern Continental Hospitals. PMID- 29815463 TI - Medical Opinion and Movement. PMID- 29815464 TI - Two Fatal Cases of Landry's Paralysis. PMID- 29815465 TI - Annotations. PMID- 29815467 TI - The Sixteenth International Congress of Medicine. PMID- 29815466 TI - Surgical Treatment of Acute General Peritonitis. PMID- 29815468 TI - Practical Notes on Diagnosis and Treatment. PMID- 29815469 TI - Institutional Notes and News. PMID- 29815470 TI - The Holt Ockley System. PMID- 29815471 TI - News and Coming Events. PMID- 29815472 TI - Medical Advertising in Japan. PMID- 29815473 TI - Cancer Research in the Registrar's Room. PMID- 29815474 TI - New Appliances and Things Medical. PMID- 29815475 TI - Aseptic Surgery. PMID- 29815476 TI - Cut Throat. PMID- 29815477 TI - The Strand Palace Hotel. PMID- 29815478 TI - The Study of Tropical Medicine. PMID- 29815479 TI - The Cambridge University Course. PMID- 29815480 TI - Higher Diplomas. PMID- 29815481 TI - Opportunities for Graduate Study in Special Hospitals. PMID- 29815482 TI - Hospitals and the Rates. PMID- 29815483 TI - The Fellowship of the Royal College of Surgeons. PMID- 29815484 TI - Graduate Study in Scotland and Ireland. PMID- 29815485 TI - Graduate Study Abroad. PMID- 29815487 TI - The Limitations of Hospital Training. PMID- 29815486 TI - Public Health Diplomas. PMID- 29815488 TI - London Post-Graduate Institutions. PMID- 29815489 TI - "Concentration" and the Future of Medical Education in London. PMID- 29815490 TI - The Public Services. PMID- 29815491 TI - Qualification and Registration. PMID- 29815492 TI - The Scientific Aspects of the Medical Curriculum. PMID- 29815493 TI - Oxford University. PMID- 29815494 TI - The London University Course. PMID- 29815495 TI - The Future of the Public Health Service. PMID- 29815496 TI - The English Conjoint Course. PMID- 29815497 TI - The Objects and Methods of Medical Education. PMID- 29815498 TI - The Medical Schools of the United Kingdom. PMID- 29815499 TI - System in the Medical Student's Career. PMID- 29815500 TI - Hope Hospital. PMID- 29815502 TI - A Case of Subphrenic Abscess with Interesting Features. PMID- 29815501 TI - The Treatment of Various Symptoms in Nervous Diseases. PMID- 29815503 TI - Secondary Syphilitic Nephritis. PMID- 29815504 TI - The Anti-Vivisection Hospital. PMID- 29815505 TI - Medical Men and the Workmen's Compensation Act. PMID- 29815506 TI - Annotations. PMID- 29815507 TI - The Modern Hospital. PMID- 29815508 TI - Literary Notes. PMID- 29815509 TI - Institutional Notes and News. PMID- 29815510 TI - Medical Opinion and Movement. PMID- 29815511 TI - The After-Effects of Cerebro-Spinal Meningitis. PMID- 29815512 TI - Sclerodermia and Raynaud's Disease. PMID- 29815513 TI - The Hygiene of Children's Hair. PMID- 29815514 TI - Kangri Cancer. PMID- 29815515 TI - Modern X-Ray Apparatus. PMID- 29815516 TI - News and Coming Events. PMID- 29815517 TI - Notes on Dyspareunia. PMID- 29815518 TI - The Medical Mind. PMID- 29815519 TI - Practical Notes. PMID- 29815520 TI - The Laundry as Part of the Matron's Department. PMID- 29815521 TI - The Behaviour of Sequestra. PMID- 29815522 TI - Budapest and Buda-Pest. PMID- 29815523 TI - Clearing Hospitals for the Territorial Medical Service. PMID- 29815524 TI - Tuberculous Disease of the Hip. PMID- 29815525 TI - Pregnancy from a Legal Standpoint-IV. PMID- 29815526 TI - The First London X-Ray Convention. PMID- 29815527 TI - Royal College of Surgeons. PMID- 29815528 TI - Annotations. PMID- 29815530 TI - Medical Opinion and Movement. PMID- 29815529 TI - West Coast Boils Due to Tumbu-Fly Larvae. PMID- 29815531 TI - Organic Compounds of Arsenic. PMID- 29815533 TI - Examination of the Pupils-I. PMID- 29815532 TI - Special Hospitals. PMID- 29815534 TI - Seven Years' Working of the Midwives Act. PMID- 29815535 TI - The Royal Boscombe and West Hants Hospital. PMID- 29815536 TI - News and Coming Events. PMID- 29815537 TI - Adolescence. PMID- 29815538 TI - London Students and Medical Degrees. PMID- 29815540 TI - Asthma and Its Treatment. PMID- 29815539 TI - A Criticism of Homoeopathy. PMID- 29815541 TI - Post-Graduate Ophthalmology at Oxford. PMID- 29815542 TI - Expenses of Motor Upkeep.-II. PMID- 29815543 TI - Graduate Study on the Continent-Russia. PMID- 29815545 TI - The Hospital Scandal at Bournemouth. PMID- 29815544 TI - Some Points in the Diagnosis and Treatment of Disease of the Aortic Valves. PMID- 29815546 TI - Torts of Hospitals. PMID- 29815547 TI - A Criticism of Hospital Reports. PMID- 29815548 TI - Some Prescriptions Discussed-I. PMID- 29815549 TI - Phantom Tumours. PMID- 29815550 TI - Some Remarks on Mentally Deficient Children. PMID- 29815551 TI - Enlargement of the Prostate.-I. PMID- 29815552 TI - Pneumococcal Otitis Media by Contagion. PMID- 29815553 TI - The Polyclinic Dinner. PMID- 29815554 TI - The Dundee Sanatorium Difficulty. PMID- 29815555 TI - The Voluntary Notification of Summer Diarrhoea. PMID- 29815556 TI - Infantile Mortality in Workhouses. PMID- 29815557 TI - Annotations. PMID- 29815558 TI - The Need for Well-Educated Probationers. PMID- 29815559 TI - Medical Opinion and Movement. PMID- 29815560 TI - Graduate Study in America. PMID- 29815561 TI - News and Coming Events. PMID- 29815562 TI - An Actualisation of the Study of Morbid Inheritance. PMID- 29815563 TI - The Therapeutic Value of Hope. PMID- 29815564 TI - New Appliances and Things Medical. PMID- 29815565 TI - Tonsillectomy. PMID- 29815566 TI - The Operative Treatment of Carcinoma Mammae. PMID- 29815567 TI - The Question of the Registration Fee. PMID- 29815568 TI - Medical Opinion and Movement. PMID- 29815569 TI - Medical Advertising. PMID- 29815570 TI - Provident and Charitable Medical Assistance or State Medicine. PMID- 29815571 TI - The Dental Hospital of Manchester. PMID- 29815572 TI - The Treatment of Whooping-Cough-I. PMID- 29815573 TI - Running for Boys. PMID- 29815574 TI - The Surgical Treatment of Tuberculous Glands. PMID- 29815575 TI - Potassium Iodide and Citrates in Pneumonia. PMID- 29815576 TI - Sheep's Thyroid Gland in the Cure of Sclerodermia. PMID- 29815577 TI - The Untruthfulness of Patients. PMID- 29815579 TI - News and Coming Events. PMID- 29815578 TI - Latent Diseases. PMID- 29815580 TI - Annotations. PMID- 29815581 TI - Jaundice without Bile Pigments in the Urine. PMID- 29815582 TI - Skodaic Resonance in Lobar Pneumonia. PMID- 29815583 TI - The Territorial Regimental Surgeon and Sanitary Instruction. PMID- 29815584 TI - London's Ambulance Service. PMID- 29815585 TI - Where a Certified Case May Be Treated. PMID- 29815586 TI - Practical Hints for Operations on the Ear. PMID- 29815587 TI - Apparent Amenorrhoea. PMID- 29815588 TI - Some More Incompatible Prescriptions. PMID- 29815589 TI - The Causation and Treatment of Scoliosis. PMID- 29815590 TI - The Relations of Cancer to Chronic Inflammation. PMID- 29815591 TI - A Series of Ten Cases of Complete Rupture of the Uterus. PMID- 29815592 TI - Annotations. PMID- 29815593 TI - News and Coming Events. PMID- 29815594 TI - A Study of Dabchicks. PMID- 29815595 TI - Spinal Analgesia. PMID- 29815596 TI - Acid-Fast Bacilli in Non-Tuberculous Sputum. PMID- 29815597 TI - The Cost of Nursing per Bed. PMID- 29815598 TI - New Appliances & Things Medical. PMID- 29815599 TI - Hospitals and the Budget. PMID- 29815600 TI - The Ideal Graduate Study Institution.-What Germany Has Done. PMID- 29815601 TI - Sanitation in the West Indies. PMID- 29815602 TI - Medical Opinion and Movement. PMID- 29815603 TI - The Causation of Epidemics. PMID- 29815605 TI - Rest and Pain. PMID- 29815604 TI - Illegal Cremation. PMID- 29815606 TI - Circumcision and Its Abuses. PMID- 29815607 TI - Ascites-IV. PMID- 29815608 TI - Acetone Applications in the Relief of Ulcerating Cancer. PMID- 29815609 TI - Southport Homoeopathic Hospital. PMID- 29815610 TI - Ascites-III. PMID- 29815611 TI - Haemorrhages in the Later Months of Pregnancy. PMID- 29815612 TI - The Use of Whey in Infant Feeding. PMID- 29815613 TI - The Treatment of Glottic Spasm. PMID- 29815615 TI - The Lost Art of Prescribing. PMID- 29815614 TI - The Hospital Treatment of Infectious Cases. PMID- 29815616 TI - Short Practical Notes for Medical Motorists. PMID- 29815618 TI - The Parentage of British Medical Men of Eminence. PMID- 29815617 TI - Clinical Demonstration of Selected Skin Cases. PMID- 29815619 TI - Literary Notes. PMID- 29815620 TI - The Cost of the Hospital Nurse. PMID- 29815622 TI - Medical Opinion and Movement. PMID- 29815621 TI - Mechanics and Dynamics of Intractable Constipation. PMID- 29815623 TI - Papilloma of the Bladder. PMID- 29815624 TI - The Electrolytic or Ionic Administration of Drugs. PMID- 29815625 TI - New Appliances and Things Medical. PMID- 29815626 TI - Annotations. PMID- 29815627 TI - Experiments on Living Animals. PMID- 29815628 TI - Practical Notes on Diagnosis and Treatment. PMID- 29815629 TI - Answers to Correspondents. PMID- 29815630 TI - News and Coming Events. PMID- 29815631 TI - A New Electric Horn for Motorists. PMID- 29815632 TI - Annotations. PMID- 29815633 TI - The Chemists' Exhibition. PMID- 29815634 TI - News and Coming Events. PMID- 29815635 TI - Tuberculosis in India. PMID- 29815636 TI - The Financial Problem of the Voluntary Hospitals. PMID- 29815637 TI - A Clinical Lecture on a Case of Ulcerative Colitis. PMID- 29815638 TI - The Prevention of Tuberculosis in Cattle. PMID- 29815639 TI - The Savoy Baths. PMID- 29815640 TI - Hepato-Intestinal Toxaemia.-I. PMID- 29815641 TI - Enlargement of the Prostate-II. PMID- 29815642 TI - Notes on an Unusual Case of Hydatid Cyst. PMID- 29815643 TI - The Groundwork of Eugenics. PMID- 29815644 TI - A Few Practical Points in Certification. PMID- 29815645 TI - New Appliances and Things Medical. PMID- 29815646 TI - Water Drinking in the Treatment of Chronic Constipation. PMID- 29815648 TI - Conditions Simulating Enlargement of the Liver.-II. PMID- 29815647 TI - The Patients' Rights. PMID- 29815649 TI - Medical Opinion and Movement. PMID- 29815650 TI - The Territorial Brigade Camp Hospitals. PMID- 29815651 TI - Melbourne Notes. PMID- 29815653 TI - Tuberculous Peritonitis Treated without Operation. PMID- 29815652 TI - Practical Hints. PMID- 29815654 TI - Journalism. PMID- 29815655 TI - The Motives Proper to the Physician. PMID- 29815656 TI - Organic Iron Compounds. PMID- 29815657 TI - Purley Cottage Hospital. PMID- 29815658 TI - An Incinerator for Infected Materials. PMID- 29815659 TI - Operations for Appendicitis. PMID- 29815661 TI - The Vaccine Treatment of Pneumonia. PMID- 29815660 TI - Some Intracranial Vascular Lesions. PMID- 29815662 TI - News and Coming Events. PMID- 29815663 TI - "The Hospital" Commission and Beer and Stout. PMID- 29815664 TI - Annotations. PMID- 29815666 TI - Medical Opinion and Movement. PMID- 29815665 TI - Paralysis Agitans. PMID- 29815667 TI - Speedometer and Consumeter. PMID- 29815668 TI - New Appliances & Things Medical. PMID- 29815669 TI - Anti-Vaccinationists and Modified Smallpox. PMID- 29815671 TI - Some General Aspects of Poisons-II. PMID- 29815670 TI - The Administrative Side of Sanatorium Work. PMID- 29815673 TI - The Teaching of Temperance. PMID- 29815672 TI - The Pathological Changes Which May Occur in Uterine Fibroids. PMID- 29815674 TI - Annotations. PMID- 29815675 TI - Notes on the Ophthalmological Aspects of Nystagmus. PMID- 29815676 TI - How to See a Larynx. PMID- 29815677 TI - Xanthoma Diabeticorum. PMID- 29815678 TI - The Diagnosis of Diseases of the Rectum and Anus. PMID- 29815679 TI - Practical Hints for Medical Motorists. PMID- 29815680 TI - Acute Non-Gonococcal Epididymo-Orchitis. PMID- 29815681 TI - A Case of Acute Dilatation of the Stomach. PMID- 29815683 TI - New Appliances & Things Medical. PMID- 29815682 TI - Nutrient Media in the Local Treatment of Ulcers. PMID- 29815685 TI - Immunisation: A Criticism of Current Theory and Practice. PMID- 29815684 TI - Medical Opinion and Movement. PMID- 29815686 TI - The Ideal Graduate Study Institution. PMID- 29815687 TI - Literary Notes. PMID- 29815688 TI - The Administrative Side of Sanatorium Work. PMID- 29815689 TI - Paroxysmal Sneezing and Hay Asthma. PMID- 29815691 TI - Demoralising Books. PMID- 29815690 TI - London and Counties Medical Protection Society : Notice. PMID- 29815692 TI - News and Coming Events. PMID- 29815693 TI - Ascites-V: The Differential Diagnosis of the Cause of Ascites. PMID- 29815695 TI - The New Pathological Block of St. Bartholomew's Hospital. PMID- 29815694 TI - Aural Furunculosis. PMID- 29815696 TI - Diagram of the Weekly Death Rate in 1909. PMID- 29815697 TI - The Best Splints for Bow Legs. PMID- 29815698 TI - Medical Expert Evidence.-I. PMID- 29815699 TI - Beri-Beri. PMID- 29815700 TI - A Special Report on Their Preparation, and Their Chemical, Physiological and Dietetic Properties. PMID- 29815701 TI - Congenital Muscular Atony. PMID- 29815702 TI - The Territorial Regimental Surgeon and First-Aid Instruction. PMID- 29815703 TI - Medical Opinion and Movement. PMID- 29815705 TI - The Biological Factor in Infant Feeding. PMID- 29815704 TI - A Criticism of Homoeopathy. PMID- 29815706 TI - Hospital Saturday Fund. PMID- 29815707 TI - Annotations. PMID- 29815708 TI - Social and Poor-Law Problems. PMID- 29815709 TI - The Revision of the British Pharmacopoeia. PMID- 29815710 TI - The Value of Sanatorium Treatment. PMID- 29815711 TI - Examination of the Pupils.-III. PMID- 29815712 TI - Some Unusual Swellings of the Abdominal Parietes. PMID- 29815713 TI - Proprietary Preparations Falsely Described. PMID- 29815714 TI - The Doctrine of Signatures. PMID- 29815715 TI - Genu Valgum. PMID- 29815716 TI - Another X-Ray Scare. PMID- 29815717 TI - News and Coming Events. PMID- 29815718 TI - Sulphur in the Treatment of Thread-Worms. PMID- 29815719 TI - Some Advantages of a Declining Birth-Rate. PMID- 29815720 TI - New Appliances & Things Medical. PMID- 29815721 TI - Graduate Study in America. PMID- 29815722 TI - The Inwardness of Spring Time. PMID- 29815723 TI - The Zittman Treatment of Syphilis. PMID- 29815724 TI - News and Coming Events. PMID- 29815725 TI - Alarming Symptoms after A Dose of Aspirin. PMID- 29815726 TI - Diagnosis and Treatment of Pyometra. PMID- 29815727 TI - The Ideal Graduate Study Institution.-What Germany Has Done. PMID- 29815728 TI - Buttermilk for Urticaria in Children. PMID- 29815729 TI - Annotations. PMID- 29815730 TI - Ascites-VI: The Differential Diagnosis of the Cause of Ascites (Continued). PMID- 29815731 TI - Reform in the West African Medical Service. PMID- 29815732 TI - The Significance of Peri-Renal Suppuration. PMID- 29815734 TI - Literary Notes. PMID- 29815733 TI - The Cerebellum. PMID- 29815735 TI - Sprained Ankle-II. PMID- 29815736 TI - Medical Opinion and Movement. PMID- 29815737 TI - Diagnosis of Diseases of the Urinary System. PMID- 29815738 TI - The Use and Abuse of Nursing Congresses. PMID- 29815739 TI - New Appliances & Things Medical. PMID- 29815740 TI - Self-Procured Abortion. PMID- 29815741 TI - Answers to Correspondents. PMID- 29815742 TI - Medical Opinion and Movement. PMID- 29815743 TI - The Popular Treatment of Medical Subjects. PMID- 29815744 TI - Queen Victoria's Jubilee Institute for Nurses. PMID- 29815745 TI - News and Coming Events. PMID- 29815746 TI - The Difficulties of Occipito-Posterior Presentations. PMID- 29815747 TI - Ascites-II. PMID- 29815748 TI - Nasal Discharge.-III. PMID- 29815749 TI - Annotations. PMID- 29815750 TI - Contractures and Deformities of the Hand. PMID- 29815751 TI - Lactic Acid Preparations. PMID- 29815753 TI - Hospital Sunday and Some Critics. PMID- 29815752 TI - Sprained Ankle. PMID- 29815754 TI - Prognosis in Pulmonary Tuberculosis. PMID- 29815755 TI - The Educational Influence of Sanatorium Treatment. PMID- 29815756 TI - Scopolamine for Tremor. PMID- 29815757 TI - The Influence of Drying upon Various Bacteria. PMID- 29815758 TI - The Typhoid Carrier Problem. PMID- 29815759 TI - Night Blindness and Day Blindness. PMID- 29815760 TI - Insanity as a Defence in the Criminal Courts-I. PMID- 29815761 TI - Some Remarks on Hernia: II. The Diagnosis and Treatment of Inguinal Hernia. PMID- 29815762 TI - Oxaluria-II. PMID- 29815763 TI - Tuberculous Disease of the Knee Joint-II. PMID- 29815764 TI - The Campaign against Malaria. PMID- 29815766 TI - News and Coming Events. PMID- 29815765 TI - Medical Opinion and Movement. PMID- 29815767 TI - X-Rays in the Treatment of Diseases of the Skin. PMID- 29815768 TI - The Out-Patient Problem. PMID- 29815769 TI - Graduate Study on the Continent. PMID- 29815770 TI - The Sessional Addresses. PMID- 29815771 TI - Notes on Brain Fever. PMID- 29815772 TI - The Prevention of Tuberculosis. PMID- 29815773 TI - The Pathology of Herpes Zoster. PMID- 29815774 TI - Pigmentation and the Diagnosis of Addison's Disease. PMID- 29815775 TI - Biliary Nephritis. PMID- 29815776 TI - Annotations. PMID- 29815777 TI - Recent Views on Cerebro-Spinal Meningitis. PMID- 29815778 TI - The Matron's Part in the Territorial Army. PMID- 29815779 TI - Induction of Labour. PMID- 29815780 TI - Retropharyngeal Abscess in Children. PMID- 29815781 TI - The Domestic Staff-VI: Economy in Numbers. PMID- 29815782 TI - Prescriptions and Dispensing.-Ointments. PMID- 29815783 TI - News and Coming Events. PMID- 29815784 TI - Graduate Study on the Continent-Germany. PMID- 29815785 TI - The X-Rays in Phthisis Pulmonalis. PMID- 29815786 TI - Social and Poor-Law Problems. PMID- 29815788 TI - Practical Hints upon Medical Examination for Life Assurance-V. PMID- 29815787 TI - The Relation between Vitality and Bulk. PMID- 29815789 TI - Acidosis, or Acetonaemia. PMID- 29815790 TI - Improvements at the "Dreadnought" Hospital. PMID- 29815791 TI - Two Minor Operations in Laryngology. PMID- 29815793 TI - Enlargements of the Spleen-IX: Splenic Enlargements in which the Blood Changes are not Distinctive. PMID- 29815792 TI - The Varieties, Causation, and Treatment of Appendicitis. PMID- 29815794 TI - Medical Opinion and Movement. PMID- 29815795 TI - Tuberculous Disease of the Knee-Joint. PMID- 29815796 TI - Annotations. PMID- 29815797 TI - Moribund Patients in Hospital. PMID- 29815798 TI - Medical Opinion and Movement. PMID- 29815800 TI - News and Coming Events. PMID- 29815799 TI - Glassworker's and Telegraphist's Diseases. PMID- 29815801 TI - Fleas and Babies. PMID- 29815802 TI - New Appliances and Things Medical. PMID- 29815803 TI - Registration Difficulties.-IV. PMID- 29815804 TI - Some Remarks on Hernia: VI. The Treatment of a Strangulated Hernia. PMID- 29815805 TI - On Growing Old. PMID- 29815806 TI - Some Notes on Phthisis-I: Tobacco-Smoking and Tuberculosis. PMID- 29815807 TI - Asthenic Cases. PMID- 29815808 TI - The Treatment of Surgical Tuberculous Affections with Tuberculin (T.R.). PMID- 29815809 TI - Some Modern Continental Hospitals. PMID- 29815810 TI - The Sterilisation of Water for Troops in the Field. PMID- 29815811 TI - The Causes and Treatment of Abortion. PMID- 29815813 TI - Renal Tube Casts without Albuminuria. PMID- 29815812 TI - Prescriptions and Dispensing. PMID- 29815814 TI - Quaint Cures and Prescriptions. PMID- 29815815 TI - Introductory. PMID- 29815816 TI - The Removal of Tophi. PMID- 29815817 TI - Annotations. PMID- 29815818 TI - Raynaud's Disease I. PMID- 29815819 TI - The Mode of Infection in Kala-Azar. PMID- 29815820 TI - Mr. Keetley's Paper on the Advantages of Appendicostomy. PMID- 29815822 TI - Some Chronic Joint Lesions Following Injury.-II. PMID- 29815821 TI - Provident Dispensaries and the Treatment of Diseases in School Children. PMID- 29815823 TI - A Note upon the Importance of Barium Salts. PMID- 29815824 TI - Sexual Perversion-II. PMID- 29815825 TI - The Objects of Science. PMID- 29815827 TI - Some Modern Continental Hospitals. PMID- 29815826 TI - Better Training for Matrons. PMID- 29815828 TI - New Appliances and Things Medical. PMID- 29815829 TI - News and Coming Events. PMID- 29815830 TI - The Immediate Treatment of Puerperal Sepsis. PMID- 29815831 TI - Medical Opinion and Movement. PMID- 29815832 TI - The Management of Cases of Chronic Aural Suppuration. PMID- 29815833 TI - Pyelitis in Children. PMID- 29815834 TI - Notes on Current Topics. PMID- 29815835 TI - Annotations. PMID- 29815837 TI - Calcium Increase in Blood. PMID- 29815836 TI - A Great Example. PMID- 29815838 TI - Laryngeal Crisis or Potassium Iodide Poisoning? PMID- 29815839 TI - Hydatidiform Mole. PMID- 29815840 TI - Conservative Dentistry. PMID- 29815841 TI - Marginal Blepharitis. PMID- 29815842 TI - Diet and Diet Fads. PMID- 29815843 TI - Annotations. PMID- 29815844 TI - Ganglion. PMID- 29815845 TI - Bismuth Soup and X-Rays in OEsophageal Obstruction. PMID- 29815846 TI - Medical Opinion and Movement. PMID- 29815847 TI - The Cottage Hospital at Holywell, Flintshire. PMID- 29815848 TI - Enlargement of the Tonsils-IV. PMID- 29815849 TI - The Diagnosis of Lobar Pneumonia in Children. PMID- 29815850 TI - News and Coming Events. PMID- 29815851 TI - Medical Exhibitions. PMID- 29815852 TI - The Causes and Treatment of Diarrhoea-III. PMID- 29815853 TI - Registration Difficulties.-II. PMID- 29815854 TI - Graduate Study on the Continent-Austria: III. The University of Vienna and its Courses. PMID- 29815856 TI - New Appliances and Things Medical. PMID- 29815855 TI - The Treatment of Inguinal Hernia in Young Children. PMID- 29815857 TI - Recent Views on Tuberculosis. PMID- 29815858 TI - Is Blackwater Fever a Form of Malaria? PMID- 29815859 TI - The Need for Monopolising the Milk Supply. PMID- 29815860 TI - Tuberculous Disease of the Knee-Joint. PMID- 29815861 TI - On Malingering. PMID- 29815862 TI - The Domestic Staff-VII: How to Reduce Expenditure. PMID- 29815863 TI - Alopecia Areata. PMID- 29815864 TI - The After-Results of Injuries. PMID- 29815865 TI - Carneous Mole. PMID- 29815866 TI - Practical Notes on Diagnosis and Treatment. PMID- 29815867 TI - The Foggy Days. PMID- 29815868 TI - Medical Opinion and Movement. PMID- 29815869 TI - The Sensory Phenomena of Tabes Dorsalis. PMID- 29815870 TI - Sheffield Royal Hospital Annexe at Fulwood. PMID- 29815871 TI - Annotations. PMID- 29815872 TI - Prescriptions and Dispensing. PMID- 29815873 TI - Enlargement of the Spleen-X: Enlargements in which the Blood Changes are not Distinctive (Concluded). PMID- 29815874 TI - News and Coming Events. PMID- 29815875 TI - The Hearsey Treatment of Blackwater Fever. PMID- 29815876 TI - Coal-Miners' Nystagmus. PMID- 29815877 TI - Bonney's Rapid Triple Stain. PMID- 29815878 TI - Strangulated Hernia-V. PMID- 29815880 TI - Rheumatic Nodules. PMID- 29815879 TI - Medical Opinion and Movement. PMID- 29815881 TI - Operations in the Nose and Naso-Pharynx. PMID- 29815882 TI - New Appliances and Things Medical. PMID- 29815883 TI - The Causes and Treatment of Diarrhoea-IV. PMID- 29815884 TI - Prognosis in Congenital Heart Disease. PMID- 29815885 TI - Annotations. PMID- 29815886 TI - Children's Wards. PMID- 29815887 TI - The Present-Day Treatment of Laryngeal Tuberculosis. PMID- 29815888 TI - Suprarenal Extract in Osteomalacia and Rickets. PMID- 29815889 TI - Registration Difficulties-III. PMID- 29815890 TI - Vaccination Rashes. PMID- 29815891 TI - Medical and Insurance Problems. PMID- 29815892 TI - News and Coming Events. PMID- 29815893 TI - King's Norton Union Infirmary. PMID- 29815894 TI - Training Schools in Relation to Size. PMID- 29815895 TI - The New Manchester Royal Infirmary. PMID- 29815896 TI - Annotations. PMID- 29815897 TI - Mumps. PMID- 29815899 TI - Calcium Soaps as a Factor in Appendicitis. PMID- 29815898 TI - New Appliances and Things Medical. PMID- 29815900 TI - Portable Electric Lamps. PMID- 29815901 TI - Fractures in General Practice. PMID- 29815902 TI - Medical Opinion and Movement. PMID- 29815904 TI - A Few Points in the Examination of Mental Cases. PMID- 29815903 TI - Sleeping Sickness. PMID- 29815905 TI - The Diagnosis of Perforated Gastric Ulcer. PMID- 29815906 TI - Insanity as a Defence in the Criminal Courts-II. PMID- 29815907 TI - The Causes and Treatment of Diarrhoea.-I. PMID- 29815908 TI - Some Drug Reactions in Urine. PMID- 29815909 TI - Some Remarks on Hernia: III. Bassini's Operation for Radical Cure of an Inguinal Hernia. PMID- 29815910 TI - Inflammation. PMID- 29815911 TI - Women and the Royal College of Surgeons. PMID- 29815912 TI - Larger Medicine. PMID- 29815913 TI - News and Coming Events. PMID- 29815914 TI - The So-Called Third Heart-Sound. PMID- 29815915 TI - Annotations. PMID- 29815916 TI - The Use of Ethyl Chloride by the General Practitioner. PMID- 29815917 TI - The Causes and Treatment of Diarrhoea-II. PMID- 29815918 TI - Oatmeal in Diabetes Mellitus. PMID- 29815919 TI - Heredity in Relation to Disease. PMID- 29815920 TI - New Appliances & Things Medical. PMID- 29815921 TI - Some Modern Continental Hospitals. PMID- 29815922 TI - Orthopaedic Work in General Practice-I. PMID- 29815923 TI - The Progress of Cancer Research. PMID- 29815924 TI - Prescriptions and Dispensing: Compressed Tablets. PMID- 29815925 TI - Some General Principles in the Treatment of Fracture Cases. PMID- 29815926 TI - News and Coming Events. PMID- 29815927 TI - Medical Opinion and Movement. PMID- 29815928 TI - Albuminuric Retinitis, and Its Bearing on Prognosis. PMID- 29815930 TI - Atoxyl in Syphilis. PMID- 29815929 TI - Insanity as a Defence in the Criminal Courts-III. PMID- 29815931 TI - Registration Difficulties-I. PMID- 29815932 TI - Cases Illustrating Symptoms Referable to the Ends of the Extremities. PMID- 29815933 TI - Tuberculous Peritonitis. PMID- 29815934 TI - Anaesthetisation for Operations on the Bladder and Urethra. PMID- 29815935 TI - Hospital Sunday Fund. PMID- 29815936 TI - The Influence of Position upon Pain. PMID- 29815937 TI - The Report of the Committee on the Inebriates Acts-II. PMID- 29815938 TI - An Anti-Vivisectionist Manifesto. PMID- 29815939 TI - Direct Examination of the Larynx, Trachea, and OEsophagus. PMID- 29815940 TI - Sour Milk in Rheumatoid Arthritis. PMID- 29815942 TI - Annotations. PMID- 29815941 TI - Sporotrichosis. PMID- 29815943 TI - Lecithin in Neurasthenia, and in Graves' Disease. PMID- 29815944 TI - The Business Side of Practice. PMID- 29815945 TI - The House Surgeon and the Stethoscope. PMID- 29815946 TI - The Hyperaemic Method of Treatment-II. PMID- 29815947 TI - Better Training for Matrons. PMID- 29815948 TI - Some Points about Head Injuries. PMID- 29815949 TI - The Heating and Lighting of Hospital Wards. PMID- 29815950 TI - Practical Notes on Diagnosis and Treatment. PMID- 29815951 TI - The City Hospital for Infectious Diseases, Walker Gate, Newcastle. PMID- 29815952 TI - The Therapeutic Value of the Rectum in the Treatment of Disease in Children. PMID- 29815953 TI - The British Medical Library Association. PMID- 29815954 TI - The Territorial Regimental Surgeon. PMID- 29815955 TI - Medical Opinion and Movement. PMID- 29815957 TI - News and Coming Events. PMID- 29815956 TI - News and Coming Events. PMID- 29815958 TI - Annotations. PMID- 29815959 TI - Some Remarks on Hernia. PMID- 29815961 TI - Medical Opinion and Movement. PMID- 29815960 TI - The Diagnosis of Facial Erysipelas. PMID- 29815962 TI - The Royal Army Medical Corps Training Manual. PMID- 29815964 TI - The Differential Diagnosis of Multiple Glandular Swellings-II. PMID- 29815963 TI - The Preparation and After-Treatment of Abdominal Operations. PMID- 29815965 TI - Registration Difficulties. PMID- 29815966 TI - Grants to Extra-Metropolitan Hospitals. PMID- 29815967 TI - Collecting Antique Furniture. PMID- 29815968 TI - Male Fern in Chronic Tuberculous Affections. PMID- 29815969 TI - The Emmanuel Idea. PMID- 29815971 TI - Medical Inspection of School Children. PMID- 29815970 TI - A Case of Enteric Fever. PMID- 29815972 TI - Examination of the Achillis-Jerk. PMID- 29815973 TI - The League of Mercy. PMID- 29815974 TI - The Value of the Preliminary Sciences. PMID- 29815975 TI - The Passing of Murphy's Button. PMID- 29815976 TI - Metropolitan Hospital Sunday Fund. PMID- 29815978 TI - Pregnancy from a Legal Standpoint-II. PMID- 29815977 TI - Parents, Children and the State. PMID- 29815979 TI - Methylene Blue in the Cure of Ulcerative Stomatitis. PMID- 29815981 TI - Retention of Urine and Its Treatment. PMID- 29815980 TI - The Intermittent Infectiousness of Scarlet Fever. PMID- 29815982 TI - The Effect of Tyre Size. PMID- 29815983 TI - Bursal Cysts in Connection with the Knee-Joint. PMID- 29815984 TI - News and Coming Events. PMID- 29815985 TI - New Appliances & Things Medical. PMID- 29815986 TI - A Review of Its Medical Aspects. PMID- 29815987 TI - Elastic Fibres in Sputum. PMID- 29815988 TI - Blood Cultures in the Early Diagnosis of Enteric Fever. PMID- 29815990 TI - Scotch Hospitals and Registration. PMID- 29815989 TI - Late Childhood and Boarding Schools. PMID- 29815991 TI - Thiosinamine and Fibrolysin in Skin Affections. PMID- 29815993 TI - The Progress of the Research Defence Society. PMID- 29815992 TI - Annotations. PMID- 29815995 TI - Alcohol and Drink. PMID- 29815994 TI - A Plague Report from Sydney. PMID- 29815996 TI - Medical Opinion and Movement. PMID- 29815998 TI - The Immediate Treatment of Puerperal Sepsis.-I. PMID- 29815997 TI - The Diagnosis and Treatment of Haemorrhage in Typhoid Fever. PMID- 29815999 TI - Literary Notes. PMID- 29816000 TI - A Backward Glance at Surgery in 1908. PMID- 29816001 TI - Religion and Medicine. PMID- 29816002 TI - Administrative Progress Throughout 1908. PMID- 29816003 TI - Acute Otitis Media. PMID- 29816004 TI - News and Coming Events. PMID- 29816005 TI - Prescriptions and Dispensing. PMID- 29816006 TI - Annotations. PMID- 29816007 TI - The Diagnosis and Treatment of Quinsy. PMID- 29816009 TI - Graduate Study on the Continent-Austria. PMID- 29816008 TI - The Hyperaemic Method of Treatment.-I. PMID- 29816010 TI - Some Hospital Finance in 1908. PMID- 29816011 TI - The Reaction of Degeneration. PMID- 29816012 TI - Doctors' Cars at the Motor Show.-II. PMID- 29816013 TI - Rheumatic Fever and Its Treatment. PMID- 29816014 TI - Medical Opinion and Movement. PMID- 29816015 TI - The R.M.O. and outside Emergency Calls. PMID- 29816016 TI - A Survey of Medicine in 1908. PMID- 29816017 TI - Purpura Rheumatica. PMID- 29816018 TI - Anti-Vivisectionists and the Hospital Sunday Fund. PMID- 29816019 TI - The Balcony Question in Hospitals. PMID- 29816020 TI - Trachoma. PMID- 29816021 TI - A Spectroscopic Test of Colour Vision. PMID- 29816023 TI - Some Remarks on Hernia: IV. Irreducibility. PMID- 29816022 TI - Persistent Jaundice and Splenomegaly in Young Persons. PMID- 29816025 TI - The AEtiology of Rickets. PMID- 29816024 TI - A Hospital Problem. PMID- 29816026 TI - The Prevention of Tuberculosis in Ireland. PMID- 29816027 TI - News and Coming Events. PMID- 29816028 TI - The Congresses-And after. PMID- 29816029 TI - Acute Rheumatoid Arthritis. PMID- 29816030 TI - Graduate Study on the Continent-Austria. PMID- 29816031 TI - Annotations. PMID- 29816032 TI - The "Water Duties" Personnel of the Territorial Army. PMID- 29816033 TI - The Proper Treatment of Tubal Gestation. PMID- 29816035 TI - Medical Opinion and Movement. PMID- 29816034 TI - The Barber, the Surgeon, and the Taster. PMID- 29816037 TI - The Treatment of Eczema. PMID- 29816036 TI - The Registration Campaign. PMID- 29816038 TI - The Detection of Early Pulmonary Tubercle. PMID- 29816039 TI - Enlargement of the Tonsils-III. PMID- 29816040 TI - New Appliances and Things Medical. PMID- 29816041 TI - Euphorbia in Asthma and Bronchitis. PMID- 29816042 TI - Syphilis Maligna Praecox and Its Treatment. PMID- 29816044 TI - The Hospital for Diseases of the Skin, Blackfriars. PMID- 29816043 TI - The AEtiology of Malignant Disease. PMID- 29816045 TI - Graduate Study on the Continent-Austria. PMID- 29816046 TI - The Heating and Lighting of Hospital Wards. PMID- 29816047 TI - New Methods of Administration of Ether. PMID- 29816048 TI - Annotations. PMID- 29816049 TI - New Appliances and Things Medical. PMID- 29816050 TI - Medical Opinion and Movement. PMID- 29816051 TI - News and Coming Events. PMID- 29816052 TI - An Anti-Vivisection Manifesto. PMID- 29816054 TI - The Hyperaemic Method of Treatment-III. PMID- 29816053 TI - Some Points about Head Injuries. PMID- 29816056 TI - Better Training for Matrons. PMID- 29816055 TI - Swooning and Syncope. PMID- 29816057 TI - Venomous British Fishes. PMID- 29816058 TI - Rose-Coloured Ringworm Cultures. PMID- 29816059 TI - The Medicinal Mountebank. PMID- 29816060 TI - More about Human and Bovine Tuberculosis. PMID- 29816061 TI - Sulphuric Acid by the Mouth in Furunculosis. PMID- 29816062 TI - Chylous Ascites in Bright's Disease. PMID- 29816064 TI - Preliminary Schools for Probationers. PMID- 29816063 TI - City and Provincial Appointments. PMID- 29816066 TI - A Review of Its Medical Aspects.-II. PMID- 29816065 TI - The Relations of the Voluntary Hospitals to the Poor-Law Authorities. PMID- 29816068 TI - Medical Opinion and Movement. PMID- 29816067 TI - The Diagnosis between Pyloric Colic and Biliary Colic. PMID- 29816069 TI - News and Coming Events. PMID- 29816071 TI - Whisky, Wine and Beer. PMID- 29816070 TI - The Intermittent Infectiousness of Scarlet Fever. PMID- 29816072 TI - Annotations. PMID- 29816073 TI - The Appointment and Conditions of Service of the Territorial Regimental Surgeon. PMID- 29816074 TI - A Case for Diagnosis. PMID- 29816075 TI - New Infirmary, Alnwick. PMID- 29816076 TI - Lumbar Operations on the Kidneys. PMID- 29816078 TI - A Rapid Method of Curing Itch. PMID- 29816077 TI - Some Features of Exophthalmic Goitre. PMID- 29816079 TI - Cerebro-Spinal Lymphocytes in General Paralysis of the Insane. PMID- 29816080 TI - Some Injuries to the Vertebral Column. PMID- 29816081 TI - Uterine Haemorrhage at the Menopause. PMID- 29816083 TI - Water Softening in Hospitals. PMID- 29816082 TI - The Heating and Lighting of Hospital Wards. PMID- 29816084 TI - Valvular Lesions without Bruit. PMID- 29816085 TI - The Medical Graduates' College and Polyclinic. PMID- 29816086 TI - Innocent Laryngeal Growths-II. PMID- 29816087 TI - Sudden Blindness. PMID- 29816088 TI - Tuberculosis of the Male Genital Tract. PMID- 29816089 TI - Medical Opinion and Movement. PMID- 29816090 TI - Annotations. PMID- 29816091 TI - The Heating and Lighting of Hospital Wards. PMID- 29816092 TI - A Dietary for Mucous Colitis. PMID- 29816093 TI - Better Training for Matrons. PMID- 29816094 TI - Left-Handedness. PMID- 29816095 TI - News and Coming Events. PMID- 29816097 TI - Stomach Movements before and after Gastro-Jejunostomy. PMID- 29816096 TI - Itching Eruptions in Babies. PMID- 29816098 TI - The League of Mercy. PMID- 29816099 TI - Some Causes of Haematuria. PMID- 29816100 TI - The Barnato Legacy. PMID- 29816102 TI - Specific Therapeutics. PMID- 29816101 TI - New Appliances & Things Medical. PMID- 29816104 TI - Operations on the Larynx and Trachea. PMID- 29816103 TI - The R.M.O. and outside Emergency Calls. PMID- 29816105 TI - Professional Relations between Dentists and Doctors. PMID- 29816107 TI - The Sixteenth International Medical Congress. PMID- 29816106 TI - Practical Notes on Diagnosis and Treatment. PMID- 29816109 TI - News and Coming Events. PMID- 29816108 TI - The Medical Register. PMID- 29816110 TI - Notes on Current Topics. PMID- 29816111 TI - The Nature of Malignant Testicular Tumours. PMID- 29816112 TI - Medical Opinion and Movement. PMID- 29816113 TI - Endowed Research. PMID- 29816114 TI - The Bar of Isis. PMID- 29816115 TI - English Hospitals and English Diplomas. PMID- 29816116 TI - New Appliances and Things Medical. PMID- 29816117 TI - Notes on Haemoptysis, with Illustrative Cases.-I. PMID- 29816118 TI - The Reflexes in Recent Hemiplegia. PMID- 29816119 TI - Splenic Enlargement in Infancy. PMID- 29816120 TI - Annotations. PMID- 29816121 TI - Diphtheria of the Skin. PMID- 29816122 TI - The Heating and Lighting of Hospital Wards. PMID- 29816123 TI - Ophthalmic Manifestations of Syphilis. PMID- 29816124 TI - Is Gastrostomy Justifiable? PMID- 29816125 TI - Pregnancy from a Legal Standpoint. PMID- 29816126 TI - Australia for the Sons of Professional Men. PMID- 29816127 TI - Better Training for Matrons. PMID- 29816128 TI - Advanced Life and Its Diseases. PMID- 29816129 TI - Metropolitan Hospital Sunday Fund. PMID- 29816130 TI - A Lesson from New Zealand. PMID- 29816131 TI - A Mixed Afternoon in October. PMID- 29816132 TI - Raynaud's Disease-II. PMID- 29816133 TI - Practical Points. PMID- 29816134 TI - News and Coming Events. PMID- 29816135 TI - Unqualified Practice. PMID- 29816136 TI - Some Remarks on Hernia: VI. The Operative Treatment of a Strangulated Hernia (continued). PMID- 29816137 TI - Infusions of Digitalis in Heart Cases. PMID- 29816138 TI - Annotations. PMID- 29816139 TI - Lupus Vulgaris Treated by Direct Sunshine. PMID- 29816140 TI - Literary Notes. PMID- 29816141 TI - Graduate Study on the Continent-Austria.-IV: The Graduate Student at Vienna. PMID- 29816142 TI - On Tubal Moles. PMID- 29816143 TI - The Adulteration of Food. PMID- 29816144 TI - The Intercepting Trap on Its Trial. PMID- 29816145 TI - Medical Opinion and Movement. PMID- 29816146 TI - Stammering. PMID- 29816147 TI - Registration Difficulties-V. PMID- 29816148 TI - The Treatment of Psoriasis. PMID- 29816149 TI - New Appliances and Things Medical. PMID- 29816150 TI - Bacillus Typhosus in Sputum. PMID- 29816151 TI - Chronic Pharyngitis. PMID- 29816152 TI - Breach of Medical Etiquette. PMID- 29816153 TI - The Middlesex Hospital. PMID- 29816154 TI - Intermittent Claudication. PMID- 29816155 TI - Why the Register Must Fail from Incompleteness. PMID- 29816156 TI - The Research Hospital at Cambridge. PMID- 29816157 TI - The General Medical Council. PMID- 29816158 TI - News and Coming Events. PMID- 29816159 TI - The Sixteenth International Congress of Medicine. PMID- 29816160 TI - Amyotrophy in Syringomyelia. PMID- 29816162 TI - Medical Opinion and Movement. PMID- 29816161 TI - Convalescent, Home, Hornsea. PMID- 29816163 TI - The R.M.O. and Emergency Calls from outside. PMID- 29816165 TI - New Appliances & Things Medical. PMID- 29816164 TI - Aberrant Dyspepsias. PMID- 29816167 TI - The Value of Making a Rectal Examination. PMID- 29816166 TI - Doctors' Cars at the Motor Show. PMID- 29816169 TI - Some Notes on Phthisis.-II: Hoarseness in Pulmonary Tuberculosis. PMID- 29816168 TI - Lymphangioplasty. PMID- 29816170 TI - Prescriptions and Dispensing. PMID- 29816171 TI - Annotations. PMID- 29816172 TI - The Eye during Anaesthesia. PMID- 29816174 TI - Graduate Courses at the Infants Hospital. PMID- 29816173 TI - The Actual Technique of Tuberculo-Opsonic Estimation. PMID- 29816175 TI - Corporate Advertising. PMID- 29816177 TI - Laboratory Milk. PMID- 29816176 TI - The Doctor and Infectious Cases. PMID- 29816178 TI - Medical Opinion and Movement. PMID- 29816179 TI - Annotations. PMID- 29816180 TI - The Hospital Secretary. PMID- 29816181 TI - The Cervical Lymphatics in Phthisis. PMID- 29816182 TI - Some Chronic Joint Lesions. PMID- 29816183 TI - Better Training for Matrons. PMID- 29816184 TI - An Anti-Suicide Club. PMID- 29816185 TI - The Report of the Committee on the Inebriates Acts-I. PMID- 29816186 TI - Sexual Perversion-I. PMID- 29816187 TI - The Psychical Element in Some Functional Disturbances and Its Bearing upon Treatment. PMID- 29816189 TI - King Edward's Hospital Fund for London. PMID- 29816188 TI - News and Coming Events. PMID- 29816190 TI - The Immediate Treatment of Puerperal Sepsis-II. PMID- 29816191 TI - A Healthy Year. PMID- 29816192 TI - Diathesis. PMID- 29816193 TI - Some Current Topics. PMID- 29816194 TI - Graduate Study on the Continent-Austria. PMID- 29816195 TI - Thyroid Treatment of Psoriasis. PMID- 29816196 TI - Goosefoot Oil in the Treatment of Round Worms. PMID- 29816197 TI - Flies as Disease-Carriers. PMID- 29816198 TI - Christmas Appeal Number. PMID- 29816199 TI - The Research Hospital at Cambridge. PMID- 29816200 TI - Innocent Laryngeal Growths.-I. PMID- 29816201 TI - Some Notes on Phthisis-III: The General Appearance of the Patient. PMID- 29816202 TI - Two Consecutive Cases of Anencephalus. PMID- 29816203 TI - Empty Beds in London Hospitals? PMID- 29816204 TI - The Serum Treatment of Cerebro-Spinal Meningitis. PMID- 29816205 TI - Some Remarks on Hernia. PMID- 29816206 TI - Annotations. PMID- 29816208 TI - Medical Opinion and Movement. PMID- 29816207 TI - News and Coming Events. PMID- 29816209 TI - Orthopaedics in General Practice.-II. PMID- 29816210 TI - King Edward's Hospital Fund for London. PMID- 29816211 TI - Resolutions and Replies. PMID- 29816212 TI - Chloroform and Morphia in Maniacal Chorea. PMID- 29816213 TI - New Appliances and Things Medical. PMID- 29816214 TI - Buttermilk in Infant Feeding. PMID- 29816215 TI - The Preparation and After-Treatment of Abdominal Operations. PMID- 29816216 TI - Medical Qualifications. PMID- 29816217 TI - Practical Points in the Treatment of Rheumatism. PMID- 29816218 TI - Notes and News. PMID- 29816219 TI - Progress in Cancer. PMID- 29816220 TI - Sciatica. PMID- 29816221 TI - Annotations. PMID- 29816223 TI - The Hospital. Nursing Section. PMID- 29816222 TI - Water and Air. PMID- 29816224 TI - Progress in Psychiatry. PMID- 29816225 TI - Progress of Diseases of the Throat and Nose. PMID- 29816226 TI - Address in Surgery. PMID- 29816227 TI - Metropolitan Hospital Sunday Fund. PMID- 29816228 TI - Glances at the Hospitals. PMID- 29816229 TI - Notes and News. PMID- 29816230 TI - The British Medical Association. PMID- 29816231 TI - Address in Medicine. PMID- 29816232 TI - Progress in Neurology. PMID- 29816233 TI - Metropolitan Hospital Sunday. PMID- 29816234 TI - Association for the Oral Instruction of the Deaf and Dumb. PMID- 29816235 TI - New Appliances and Things Medical. PMID- 29816236 TI - Cancer Research. PMID- 29816237 TI - M. Metchnikoff on the Future of Man. PMID- 29816238 TI - President's Address. PMID- 29816239 TI - Annotations. PMID- 29816240 TI - Modern Sociology. PMID- 29816241 TI - Tramways and Suburban Traffic. PMID- 29816242 TI - The Dreadnought Hospital in the Royal Albert Dock. PMID- 29816243 TI - Hospital Meetings. PMID- 29816244 TI - British Medical Association. PMID- 29816246 TI - Progress in Psychiatry. PMID- 29816245 TI - New Appliances and Things Medical. PMID- 29816247 TI - Progress in Cerebral Surgery. PMID- 29816248 TI - Uric Acid Accumulation in Gout. PMID- 29816249 TI - The Antitoxin Treatment of Hay Fever. PMID- 29816250 TI - Notes and News. PMID- 29816251 TI - Phenazone Poisoning. PMID- 29816252 TI - The Story of the Insane from Year to Year. PMID- 29816253 TI - Camberwell Infirmary. PMID- 29816255 TI - Embolism of the Central Artery of the Retina during the Injection of Paraffin. PMID- 29816254 TI - Progress of Surgery. PMID- 29816256 TI - St. Bartholomew's Hospital. PMID- 29816257 TI - Annotations. PMID- 29816258 TI - Mr. Jonathan Hutchinson, F.R.S. PMID- 29816259 TI - The Hospital. Nursing Section. PMID- 29816260 TI - Modern Bullet Wounds. PMID- 29816261 TI - The Hospital. Nursing Section. PMID- 29816262 TI - Glances at the Hospitals. PMID- 29816263 TI - The Cure of Hernia. PMID- 29816264 TI - Notes and News. PMID- 29816265 TI - Mountain-Sickness. PMID- 29816266 TI - The Law Relating to Medical Officers of Health (Outside Metropolis).-V. PMID- 29816267 TI - Progress in Cancer. PMID- 29816268 TI - Intra-Uterine Amputations. PMID- 29816270 TI - Progress in Surgery. PMID- 29816269 TI - Diseases of the Pancreas. PMID- 29816272 TI - The Story of the Insane from Year to Year. PMID- 29816271 TI - The Heel-Jerk. PMID- 29816273 TI - Progress in State Medicine. PMID- 29816275 TI - Annotations. PMID- 29816274 TI - Marriages, Births and Deaths. PMID- 29816277 TI - Sarcoma of the Testicle. PMID- 29816276 TI - A Medical Examination at the Surgeons' Company in 1789. PMID- 29816278 TI - "Mems." for Muddled Medicals. PMID- 29816279 TI - The Unqualified Assistant. PMID- 29816280 TI - The Medical Schools of London: Arrangements for the Session, 1889-90, with the Special Features and Cost of Curriculum at Each Institution. PMID- 29816281 TI - A Dean's Opinion: An Interview with Mr. A. Pearce Gould. PMID- 29816282 TI - The Student as the Nurse Sees Him. PMID- 29816283 TI - The Medical Mind and Conscience. PMID- 29816284 TI - Everybody's Page. PMID- 29816285 TI - Her Heart's Mistake: Chapter XXII.-A Year after. PMID- 29816286 TI - Notes and News. PMID- 29816287 TI - The Medical Freshman. PMID- 29816288 TI - Annotations. PMID- 29816289 TI - Extra Supplement-The Nursing Mirror. PMID- 29816290 TI - The Diagnosis of Cancer. PMID- 29816291 TI - Getting into Practice. PMID- 29816292 TI - Extra Supplement-The Nursing Mirror. PMID- 29816293 TI - The People. PMID- 29816294 TI - The Princess. PMID- 29816296 TI - The Prince. PMID- 29816295 TI - The Public Life of the Prince and Princess of Wales. PMID- 29816297 TI - Poem-The Royal Hand. PMID- 29816298 TI - The Clergy. PMID- 29816299 TI - Extra Supplement-The Nursing Mirror. PMID- 29816300 TI - A New Lease of Life. PMID- 29816301 TI - The "Bone of Contention". PMID- 29816302 TI - Special Notices for Hospital Sunday, 1889 A Year's Work in the Hospitals and Medical Charities of London. PMID- 29816303 TI - Notes and News. PMID- 29816304 TI - The Hospitals Association: Dr. Bristowe's Address. PMID- 29816306 TI - The Improvement of Idiots. PMID- 29816305 TI - Her Heart's Mistake. PMID- 29816307 TI - Everybody's Page. PMID- 29816308 TI - The Causation of Disease. PMID- 29816309 TI - Extra Supplement-The Nursing Mirror. PMID- 29816310 TI - Man and His Enemies. PMID- 29816312 TI - Annotations. PMID- 29816311 TI - A Successful Record. PMID- 29816313 TI - Tendon Grafting. PMID- 29816314 TI - Dangers of Raw Milk. PMID- 29816315 TI - Hydrophobia. PMID- 29816316 TI - Vital Statistics. PMID- 29816317 TI - Annotations. PMID- 29816318 TI - Hysterical Men. PMID- 29816319 TI - Catalepsy or Death. PMID- 29816320 TI - Man and His Enemies: "A Faint Heart". PMID- 29816321 TI - Bishop Temple Reports Progress and Asks for Further Help. PMID- 29816322 TI - Everybody's Page. PMID- 29816323 TI - With the Sick Children, Great Ormond-Street. PMID- 29816324 TI - The National Pension Fund for Nurses. PMID- 29816325 TI - Her Heart's Mistake. PMID- 29816327 TI - Extra Supplement-The Nursing Mirror. PMID- 29816326 TI - The Causation of Disease.-II. PMID- 29816328 TI - Notes and News. PMID- 29816329 TI - Heredity. PMID- 29816330 TI - Football Brutalities. PMID- 29816332 TI - Extra Supplement-The Nursing Mirror. PMID- 29816331 TI - Student Life in Edinburgh. PMID- 29816333 TI - Notes and News. PMID- 29816334 TI - The Countess of Dufferin's Fund: The National Association for Supplying Female Medical Aid to the Women of India. PMID- 29816335 TI - Man and His Enemies: The Wager of Battle. PMID- 29816336 TI - Everybody's Page. PMID- 29816337 TI - A Woman's Clothes-Philosophy. PMID- 29816338 TI - Annotations. PMID- 29816339 TI - The "Universal Review" for April. PMID- 29816340 TI - The Hospital Annual. PMID- 29816341 TI - For Women by Women. PMID- 29816342 TI - A Great American Hospital. PMID- 29816344 TI - Her Heart's Mistake. PMID- 29816343 TI - Lord Mayor Whitehead and the Working Classes. PMID- 29816345 TI - Mr. Gladstone and the Prince of Wales. PMID- 29816347 TI - Notes and News. PMID- 29816346 TI - Her Heart's Mistake. PMID- 29816348 TI - Man and His Enemies: Breaking to Harness. PMID- 29816349 TI - Vivisectors and Their Work. PMID- 29816350 TI - Variations in Hospital Expenditure.-I. PMID- 29816351 TI - Glances at the Insane in Other Lands.-VIII: Illinois. PMID- 29816352 TI - Extra Supplement-The Nursing Mirror. PMID- 29816353 TI - Practical Socialism. PMID- 29816354 TI - Everybody's Page. PMID- 29816355 TI - Annotations. PMID- 29816356 TI - Strychnia in Snakebite. PMID- 29816357 TI - The Enthusiasm of Humanity. PMID- 29816358 TI - Everybody's Page. PMID- 29816359 TI - About Specialists and Specialism. PMID- 29816360 TI - Notes and News. PMID- 29816361 TI - Extra Supplement-The Nursing Mirror. PMID- 29816362 TI - Her Heart's Mistake. PMID- 29816363 TI - Women Physicians at Clapham. PMID- 29816364 TI - The Amines Treatment of Sewage. PMID- 29816365 TI - Sickness. PMID- 29816366 TI - Fun at Fifty. PMID- 29816367 TI - Dr. Nansen's Message. PMID- 29816368 TI - The Story of the Insane from Year to Year: Asylum Reports. PMID- 29816369 TI - Annotations. PMID- 29816370 TI - The Deaf and the Dumb. PMID- 29816371 TI - Annotations. PMID- 29816373 TI - In the Surgery at Guy's. PMID- 29816372 TI - Her Heart's Mistake. PMID- 29816374 TI - A Simple Difficulty. PMID- 29816375 TI - St. John's Hospital for Diseases of the Skin. PMID- 29816376 TI - Extra Supplement-The Nursing Mirror. PMID- 29816377 TI - The Story of the Insane from Year to Year. PMID- 29816378 TI - Man and His Enemies. PMID- 29816379 TI - Hydrophobia. PMID- 29816380 TI - The Archbishop on the National Hospital for the Paralysed and Epileptic. PMID- 29816381 TI - An American Object Lesson. PMID- 29816382 TI - Notes and News. PMID- 29816383 TI - Everybody's Page. PMID- 29816385 TI - In Nature's School. PMID- 29816384 TI - Annotations. PMID- 29816386 TI - Country Holidays for Town Children. PMID- 29816387 TI - Her Heart's Mistake. PMID- 29816388 TI - The Church and the River. PMID- 29816390 TI - Pauper's Work. PMID- 29816389 TI - The Anti-Vaccinators and the Royal Commission. PMID- 29816391 TI - Metropolitan Association for Befriending Young Servants. PMID- 29816392 TI - The Physician as Naturalist. PMID- 29816393 TI - Everybody's Page. PMID- 29816394 TI - Notes and News. PMID- 29816395 TI - Cows' Milk and Consumption. PMID- 29816396 TI - Among Soldiers' Children. PMID- 29816397 TI - Sir Andrew Clark Taken to Task. PMID- 29816398 TI - Hydrophobia. PMID- 29816399 TI - Extra Supplement-The Nursing Mirror. PMID- 29816400 TI - The Suppression of Vivisection. PMID- 29816401 TI - Notes and News. PMID- 29816402 TI - Children's Country Holidays Fund. PMID- 29816403 TI - Extra Supplement-The Nursing Mirror. PMID- 29816404 TI - Education by Picnic. PMID- 29816405 TI - Overcrowded Cemeteries. PMID- 29816406 TI - The Tenderness of Christ. PMID- 29816407 TI - The Public Servants of the Future. PMID- 29816408 TI - Quiet Habits: Long Life. PMID- 29816410 TI - Mandragora. PMID- 29816409 TI - Hotels and Their Critics. PMID- 29816411 TI - The Boarding out of Pauper Children: II. Miss Mason's Report. PMID- 29816412 TI - Annotations. PMID- 29816413 TI - Left-Leggedness. PMID- 29816414 TI - Everybody's Page. PMID- 29816415 TI - Her Heart's Mistake: Chaps. xxiii and xxiv. PMID- 29816416 TI - Notes and News. PMID- 29816417 TI - Medicine Men of the World. PMID- 29816418 TI - The Making of New Features. PMID- 29816419 TI - What Must I Do to Get Well? PMID- 29816420 TI - Man and His Enemies: A Youth's Catechism of Health. PMID- 29816421 TI - Extra Supplement-The Nursing Mirror. PMID- 29816422 TI - Abstainers and Life Insurance. PMID- 29816423 TI - Neglected Men's Wards. PMID- 29816424 TI - Rocks Ahead. PMID- 29816425 TI - Twelve Hundred Miles under Difficulties. PMID- 29816426 TI - Annotations. PMID- 29816427 TI - Vivisectors and Their Work. PMID- 29816428 TI - Her Heart's Mistake. PMID- 29816429 TI - Everybody's Page. PMID- 29816430 TI - Life in Modern Asylums. PMID- 29816431 TI - Neutral Science. PMID- 29816432 TI - Extra Supplement-The Nursing Mirror. PMID- 29816433 TI - M. Zola on French Journalism and Its Health Results. PMID- 29816435 TI - Man and His Enemies: Invisible Companions. PMID- 29816434 TI - National Eye and Ear Infirmary, Dublin. PMID- 29816437 TI - Everybody's Page. PMID- 29816436 TI - Another Cancer Cure. PMID- 29816438 TI - The Working Classes and the Hospitals. PMID- 29816440 TI - The New Electric Tramcars. PMID- 29816439 TI - Her Heart's Mistake. PMID- 29816441 TI - Annotations. PMID- 29816442 TI - Father Damien.-A Life Given to the Lepers. PMID- 29816443 TI - Notes and News. PMID- 29816444 TI - Scrofulus Glands. PMID- 29816445 TI - The Donegal Fund. PMID- 29816446 TI - Hospitals and Their Expenditure. PMID- 29816447 TI - A Lung Cavity Opened Surgically. PMID- 29816449 TI - Prize Day at the London. PMID- 29816448 TI - Should Out-Patients Pay? PMID- 29816450 TI - Her Heart's Mistake. PMID- 29816451 TI - Everybody's Page. PMID- 29816452 TI - A Physiological Sunday. PMID- 29816453 TI - Notes and News. PMID- 29816454 TI - Extra Supplement-The Nursing Mirror. PMID- 29816455 TI - At the Royal Westminster Ophthalmic Hospital. PMID- 29816456 TI - In Nature's School. PMID- 29816457 TI - Leprosy in England. PMID- 29816459 TI - Hospitals without Medical Schools: Unconsidered Trifles. PMID- 29816458 TI - English Hotels and Their Critics. PMID- 29816460 TI - Annotations. PMID- 29816461 TI - English Hotels and Their Critics. PMID- 29816462 TI - A Street Ambulance Service for London. PMID- 29816463 TI - Extra Supplement-The Nursing Mirror. PMID- 29816464 TI - Everybody's Page. PMID- 29816465 TI - How to Give Medicine to Children. PMID- 29816466 TI - Opium and Its Votaries. PMID- 29816467 TI - Annotations. PMID- 29816468 TI - Examinations in Elementary Schools. PMID- 29816469 TI - Abstainers and Life Insurance. PMID- 29816470 TI - Vivisectors and Their Work. PMID- 29816471 TI - Man and His Enemies: The "Pinafore" Period. PMID- 29816472 TI - Her Heart's Mistake. PMID- 29816474 TI - Procursive Epilepsy. PMID- 29816473 TI - Notes and News. PMID- 29816475 TI - A Snakebite Cured. PMID- 29816476 TI - Notes and News. PMID- 29816477 TI - Her Heart's Mistake. PMID- 29816478 TI - Everybody's Page. PMID- 29816479 TI - A Lay of Ye Ancient Order of St. John of Jerusalem. PMID- 29816480 TI - Some Preachers and Subjects for Hospital Sunday. PMID- 29816481 TI - A Saturday Night at the London Hospital. PMID- 29816483 TI - Is Leprosy Infectious? PMID- 29816482 TI - In Nature's School. PMID- 29816484 TI - Extra Supplement-The Nursing Mirror. PMID- 29816485 TI - Sighing for His Mother. PMID- 29816486 TI - Annotations. PMID- 29816488 TI - Hospital Sunday Fund: Sir Andrew Clark Pleads for the Hospitals. PMID- 29816487 TI - Congregations and Collections. PMID- 29816489 TI - The Plans and Purposes of the Johns Hopkins Hospital.-I : Instructions and Cardinal Principles. PMID- 29816491 TI - In Nature's School. PMID- 29816490 TI - Her Heart's Mistake. PMID- 29816492 TI - The Maybrick Case: Lawyers v. Doctors. PMID- 29816493 TI - Notes and News. PMID- 29816494 TI - Everybody's Page. PMID- 29816496 TI - Annotations. PMID- 29816495 TI - Children's Country Holidays Fund. PMID- 29816497 TI - Extra Supplement-The Nursing Mirror. PMID- 29816498 TI - The Nursing in Fever Hospitals. PMID- 29816499 TI - The Love of Man to Man. PMID- 29816500 TI - On Some Points Connected with Cholera: I. Its Definition and Symptoms. PMID- 29816501 TI - The Story of the Insane from Year to Year. PMID- 29816502 TI - Foreign Bodies in Bronchial Tubes. PMID- 29816503 TI - The London Hospital and the National Pension Fund for Nurses. PMID- 29816504 TI - What Should the Deaf Do? PMID- 29816505 TI - Everybody's Page. PMID- 29816506 TI - Dr. Richardson, F.R.S., as a Novelist. PMID- 29816507 TI - The "Doctor's" Dictum Questioned. PMID- 29816509 TI - On Some Points Connected with Cholera: II. Some Theories Examined. PMID- 29816508 TI - A Physiological Study. PMID- 29816511 TI - Annotations. PMID- 29816510 TI - Wanted, More Howards. PMID- 29816512 TI - A Doctor's Vision. PMID- 29816513 TI - In Nature's School. PMID- 29816514 TI - A Pasteur Case. PMID- 29816516 TI - Extra Supplement-The Nursing Mirror. PMID- 29816515 TI - Everybody's Page. PMID- 29816518 TI - Notes and News. PMID- 29816517 TI - Notes and News. PMID- 29816519 TI - The Plans and Purposes of the Johns Hopkins Hospital: II. Cardinal Principles. PMID- 29816520 TI - Torturing and Starving Fish. PMID- 29816521 TI - Her Heart's Mistake: Chap. xix. PMID- 29816522 TI - Nightmare. PMID- 29816523 TI - The Lessons Taught by Suffering. PMID- 29816524 TI - A Steak-Pie Story. PMID- 29816525 TI - What Will Trained Nurses Gain by Joining the British Nurses' Association? PMID- 29816526 TI - Extra Supplement-The Nursing Mirror. PMID- 29816527 TI - In Nature's School. PMID- 29816529 TI - Annotations. PMID- 29816528 TI - The Story of the Insane from Year to Year. PMID- 29816530 TI - Is "High" Game Poisonous? PMID- 29816531 TI - Mrs. Gladstone's Home in Epping Forest. PMID- 29816532 TI - Her Heart's Mistake. PMID- 29816533 TI - The National Hospital for the Paralysed and Epileptic. PMID- 29816534 TI - Extra Supplement-The Nursing Mirror. PMID- 29816535 TI - The Causation of Disease. PMID- 29816536 TI - Annotations. PMID- 29816537 TI - Everybody's Page. PMID- 29816538 TI - A Stone in the Kidney. PMID- 29816539 TI - Her Heart's Mistake. PMID- 29816540 TI - Successful Disinfection. PMID- 29816541 TI - Medicine Men of the World.-II. PMID- 29816542 TI - Man and His Enemies: Barriers against Marriage. PMID- 29816543 TI - A Good Friday Concert at the Edinburgh Castle. PMID- 29816544 TI - Life in Modern Asylums.-II. PMID- 29816545 TI - The House of Lords and the Hospitals. PMID- 29816546 TI - Notes and News. PMID- 29816547 TI - Extra Supplement-The Nursing Mirror. PMID- 29816548 TI - Notes and News. PMID- 29816549 TI - Children's Country Holidays Fund. PMID- 29816550 TI - The Story of the Insane from Year to Year. PMID- 29816551 TI - Crime and Criminals. PMID- 29816552 TI - Annotations. PMID- 29816553 TI - Antiseptic Dressings. PMID- 29816555 TI - The Love of Man to God. PMID- 29816554 TI - Everybody's Page. PMID- 29816556 TI - Bacterial Diarrhcea at Leicester. PMID- 29816557 TI - "Squint" and Spectacles. PMID- 29816558 TI - In Nature's School. PMID- 29816560 TI - Our Poorer Neighbours: How to Provide for the Winter's Distress. PMID- 29816559 TI - Her Heart's Mistake. PMID- 29816561 TI - Doctors as Policemen. PMID- 29816562 TI - Jenner and Vaccination. PMID- 29816563 TI - Summer Diarrhoea and Cholera. PMID- 29816564 TI - Extra Supplement-The Nursing Mirror. PMID- 29816565 TI - Her Heart's Mistake. PMID- 29816566 TI - About Chemical Formulae. PMID- 29816567 TI - Annotations. PMID- 29816568 TI - The Throat Department at St. Mary's Hospital. PMID- 29816569 TI - Flitwick Water. PMID- 29816570 TI - The School of Medicine for Women. PMID- 29816571 TI - Everybody's Page. PMID- 29816573 TI - Notes and News. PMID- 29816572 TI - The British Nurses' Association: An Argument and a Warning. PMID- 29816574 TI - In Nature's School. PMID- 29816575 TI - The Scarlet Letter. PMID- 29816576 TI - A Public Medical Service for England. PMID- 29816577 TI - Palmistry. PMID- 29816578 TI - The Love of God to Man. PMID- 29816580 TI - Lord Rosebery's Work. PMID- 29816579 TI - Everybody's Page. PMID- 29816582 TI - Particulars of the Awards for 1889. PMID- 29816581 TI - Extra Supplement-The Nursing Mirror. PMID- 29816583 TI - Her Heart's Mistake. PMID- 29816585 TI - The Story of the Insane from Year to Year. PMID- 29816584 TI - The Hospitals of London. PMID- 29816587 TI - Awards and Criticisms. PMID- 29816586 TI - Earth Voices. PMID- 29816588 TI - Annotations. PMID- 29816589 TI - In Nature's School. PMID- 29816590 TI - In a Hospital. PMID- 29816592 TI - Notes and News. PMID- 29816591 TI - Out-Patients at St. Thomas's. PMID- 29816593 TI - Extra Supplement-The Nursing Mirror. PMID- 29816594 TI - Everybody's Page. PMID- 29816595 TI - In Nature's School. PMID- 29816596 TI - Florence Nightingale. PMID- 29816597 TI - Her Heart's Mistake. PMID- 29816598 TI - Notes and News. PMID- 29816599 TI - A Protest against Pasteurism. PMID- 29816600 TI - The Story of the Insane from Year to Year. PMID- 29816601 TI - Sea-Sickness. PMID- 29816602 TI - The Doctor's Critic Examined. PMID- 29816603 TI - Two Famous Doctors. PMID- 29816604 TI - Annotations. PMID- 29816605 TI - Medical Courtship. PMID- 29816606 TI - Daises and Buttercups. PMID- 29816607 TI - The Plans and Purposes of the Johns Hopkins Hospital: III. A Training School for Nurses. PMID- 29816608 TI - The Story of the Insane from Year to Year. PMID- 29816609 TI - Children and Creeds. PMID- 29816610 TI - Annotations. PMID- 29816612 TI - The Boarding out of Pauper Children: I. The System Itself. PMID- 29816611 TI - Other Lessons of Sickness. PMID- 29816613 TI - Notes and News. PMID- 29816614 TI - On Some Points Connected with Cholera: A Modern Theory. PMID- 29816616 TI - In Nature's School. PMID- 29816615 TI - Out-Patients at the Brompton Hospital. PMID- 29816617 TI - Her Heart's Mistake: Chapter XX. PMID- 29816618 TI - Everybody's Page. PMID- 29816619 TI - Extra Supplement-The Nursing Mirror. PMID- 29816620 TI - Curiosities of Brain and Nerve. PMID- 29816621 TI - Extra Supplement-The Nursing Mirror. PMID- 29816622 TI - The Plans and Purposes of the Johns Hopkins Hospital: IV. The Hospital and Medical Education. PMID- 29816623 TI - Awakening. PMID- 29816624 TI - Everybody's Page. PMID- 29816625 TI - The Boarding out of Pauper Children: I. The System Itself. PMID- 29816626 TI - Out-Patients at St. Bartholomew's. PMID- 29816627 TI - Her Heart's Mistake: Chap. xxi. PMID- 29816628 TI - In Nature's School. PMID- 29816629 TI - Originality of Method. PMID- 29816630 TI - The Pleasures of Imagination Defended. PMID- 29816631 TI - Notes and News. PMID- 29816632 TI - The Story of the Insane from Year to Year. PMID- 29816633 TI - Children's Country Holidays Fund. PMID- 29816634 TI - On Some Points Connected with Cholera. PMID- 29816635 TI - Annotations. PMID- 29816636 TI - Beef-Tea and How to Make It. PMID- 29816638 TI - Progress in Surgery. PMID- 29816637 TI - Wounds of the Peritoneum. PMID- 29816639 TI - Guaiacol in Phthisis. PMID- 29816640 TI - New Appliances and Things Medical. PMID- 29816641 TI - An Electrical "Hospital"?? PMID- 29816642 TI - Progress in Ophthalmology. PMID- 29816643 TI - Notes and News. PMID- 29816644 TI - Prison Administration and the Training of Officials.-IV. PMID- 29816645 TI - OEsophageal Pouch. PMID- 29816646 TI - Osmic Acid in Neuralgia. PMID- 29816647 TI - Annotations. PMID- 29816648 TI - On Ganglion, Simple and Compound. PMID- 29816650 TI - The Sanitary Service. PMID- 29816649 TI - Outdoor Treatment of Consumption. PMID- 29816651 TI - Is a Small-Pox Hospital a Nuisance? PMID- 29816652 TI - Exercise in Heart Disease. PMID- 29816653 TI - The British Pharmacopoeia, 1898. PMID- 29816655 TI - Payment for Notification. PMID- 29816654 TI - The Medical Council and Midwives. PMID- 29816656 TI - Progress in Obstetrics. PMID- 29816657 TI - The Hospital. Nursing Mirror. PMID- 29816658 TI - Hospital Meetings, &C. PMID- 29816659 TI - Annotations. PMID- 29816660 TI - Economics of Philanthropy. PMID- 29816661 TI - School Boards and Medical Certificates. PMID- 29816662 TI - Hospital Meetings, &C. PMID- 29816664 TI - Prison Reform. PMID- 29816663 TI - Progress in Medicine. PMID- 29816666 TI - Chloroform Administration. PMID- 29816665 TI - The Story of the Insane from Year to Year. PMID- 29816667 TI - An Erroneous Diagnosis. PMID- 29816669 TI - The Hospital. Nursing Mirror. PMID- 29816668 TI - Medical Education and Charity. PMID- 29816670 TI - Yellow Fever. PMID- 29816671 TI - Tuberculosis in Cold-Blooded Animals. PMID- 29816673 TI - The Royal College of Surgeons of England. PMID- 29816672 TI - Molluscum Contagiosum: Its Relation to the Lower Animals. PMID- 29816674 TI - Anti-Streptococcic Serum. PMID- 29816675 TI - Notes and News. PMID- 29816676 TI - Progress in Surgery. PMID- 29816677 TI - The Disinfection of Excreta. PMID- 29816678 TI - On Ganglion, Simple and Compound. PMID- 29816679 TI - Annotations. PMID- 29816680 TI - New Appliances and Things Medical. PMID- 29816681 TI - Some Selected Cases of Amenorrhoea with Gross Lesion. PMID- 29816683 TI - Notes. PMID- 29816682 TI - Hospital Meetings, &C. PMID- 29816684 TI - Notes and News. PMID- 29816685 TI - A Question of Privilege. PMID- 29816686 TI - Progress in Medicine. PMID- 29816688 TI - Progress in Surgery. PMID- 29816687 TI - The Metropolitan Press and the Hospitals. PMID- 29816690 TI - Progress in Obstetrics. PMID- 29816689 TI - The Midwives' Registration Bill. PMID- 29816691 TI - Vaccination by Private Practitioners. PMID- 29816692 TI - The Treatment of Acute Inflammatory Disease of the Heart. PMID- 29816693 TI - The Hospital. Nursing Mirror. PMID- 29816694 TI - Prison Administration and the Training of Officials.-III. PMID- 29816695 TI - Progress in Medicine. PMID- 29816696 TI - The Queen's Jubilee Hospital. PMID- 29816697 TI - Sterilisation of Surgical Instruments by Formaldehyde. PMID- 29816699 TI - Technique: A Word to Students. PMID- 29816698 TI - Compounding a Felony! PMID- 29816700 TI - Operations on the Liver. PMID- 29816701 TI - Annotations. PMID- 29816702 TI - Payment for Notification. PMID- 29816703 TI - The Middlesbrough Epidemic. PMID- 29816704 TI - The Workmen's Compensation Act. PMID- 29816705 TI - Enucleation or Hysterectomy. PMID- 29816706 TI - "Splicing" the Urethra. PMID- 29816707 TI - Prison Administration and the Training of Officials.-V. PMID- 29816708 TI - The Hospital. Nursing Mirror. PMID- 29816709 TI - The Law as to Death Certificates. PMID- 29816710 TI - Notes and News. PMID- 29816711 TI - Hospital Meetings, &C. PMID- 29816712 TI - Some Legal Points in Reference to Criminal Abortion. PMID- 29816713 TI - The Care of the Feet. PMID- 29816714 TI - Hospital Administration. PMID- 29816715 TI - Coats, Bags, and Puerperal Fever. PMID- 29816716 TI - A School for the Study of Tropical Diseases. PMID- 29816717 TI - Progress in Neurology. PMID- 29816718 TI - Phthisis and Compression of the Lung. PMID- 29816719 TI - Charred Straw as a Surgical Dressing. PMID- 29816721 TI - Methods of Rescue Work. PMID- 29816720 TI - The Cause of Drunkenness among Women. PMID- 29816722 TI - Hospital Meetings, &C. PMID- 29816723 TI - New Appliances and Things Medical. PMID- 29816725 TI - Progress in Surgery. PMID- 29816724 TI - Annotations. PMID- 29816726 TI - The Legality of Unqualified Practice. PMID- 29816728 TI - The Hospital. Nursing Mirror. PMID- 29816727 TI - Notes and News. PMID- 29816729 TI - Progress in Surgery. PMID- 29816730 TI - Trephining for Apoplexy. PMID- 29816731 TI - Eucalyptus in Actinomycosis. PMID- 29816732 TI - Munyon's "Remedies". PMID- 29816734 TI - The Inebriates Bill. PMID- 29816735 TI - Annotations. PMID- 29816736 TI - New Appliances and Things Medical. PMID- 29816738 TI - Hospital Meetings, &C. PMID- 29816737 TI - A Clinical Lecture on Goitre. PMID- 29816740 TI - The Medical Council. PMID- 29816739 TI - Pneumonia and Broncho-Pneumonia. PMID- 29816741 TI - The Hospital. Nursing Mirror. PMID- 29816742 TI - Notes and News. PMID- 29816743 TI - The Alkalinity of the Blood in Gout. PMID- 29816744 TI - Medical Orthodoxy in the Far East. PMID- 29816745 TI - Periscope of Dermatology. PMID- 29816747 TI - Women Inspectors under the Factory Acts. PMID- 29816746 TI - The Nursing in Prison Infirmaries. PMID- 29816748 TI - Modern Operating Theatres. PMID- 29816749 TI - The Edinburgh Meeting. PMID- 29816750 TI - Public Bodies and Workmen's Dwellings. PMID- 29816751 TI - What Is Meant by "Open Air"? PMID- 29816752 TI - Progress in Surgery. PMID- 29816753 TI - The Hospital. Nursing Mirror. PMID- 29816754 TI - The Sins of Teetotalers. PMID- 29816755 TI - Perforation in Typhoid Fever.- Successful Operation. PMID- 29816756 TI - The British Medical Association, Edinburgh. PMID- 29816757 TI - Compulsory Vaccination. PMID- 29816758 TI - Classification in Board Schools. PMID- 29816759 TI - Progress in Medicine. PMID- 29816760 TI - Progress in Ophthalmology. PMID- 29816762 TI - Annotations. PMID- 29816761 TI - Prognosis in Insanity. PMID- 29816763 TI - Notes and News. PMID- 29816764 TI - Annotations. PMID- 29816765 TI - The Flora of Healing Wounds. PMID- 29816766 TI - Notes and News. PMID- 29816767 TI - A Word to Hospital Critics. PMID- 29816769 TI - The Mother in the Factory.-II. PMID- 29816768 TI - Operations on the Liver. PMID- 29816771 TI - Morphomania. PMID- 29816770 TI - A Three Miles' Walk with a Penetrating Wound of the Abdomen. PMID- 29816772 TI - Neurotics and Cardio-Vascular Neuroses. PMID- 29816774 TI - Progress in Medicine. PMID- 29816773 TI - The Out-Door Treatment of Phthisis at Cromer. PMID- 29816775 TI - On Three Cases of Deformity Resulting from Hip-Joint Disease. PMID- 29816776 TI - Progress in Ophthalmology. PMID- 29816777 TI - Hospital Fittings. PMID- 29816779 TI - Infantile Paralysis. PMID- 29816778 TI - New Appliances and Things Medical. PMID- 29816780 TI - The Hospital. Nursing Mirror. PMID- 29816781 TI - Hospital Meetings, &C. PMID- 29816782 TI - The Army Medical Department. PMID- 29816783 TI - Laryngeal Stridor. PMID- 29816784 TI - The Cry of the Children. PMID- 29816785 TI - Progress in Medicine. PMID- 29816786 TI - Annotations. PMID- 29816787 TI - Nurses for Board Schools. PMID- 29816788 TI - The Hospital. Nursing Mirror. PMID- 29816789 TI - Fracture of the Patella. PMID- 29816790 TI - The Leper Hospitals of the West Indies. PMID- 29816791 TI - Gunshot Wounds of the Abdomen. PMID- 29816792 TI - Hospital Meetings, &C. PMID- 29816793 TI - Notes and News. PMID- 29816795 TI - Iodoform Gauze in Ruptured Uterus. PMID- 29816794 TI - Ropner Convalescent Home, Stockton-On-Tees. PMID- 29816796 TI - Progress in Surgery. PMID- 29816798 TI - Progress in Neurology. PMID- 29816797 TI - Prognosis in Insanity. PMID- 29816799 TI - New Appliances and Things Medical. PMID- 29816800 TI - The Crusade against Tuberculosis. PMID- 29816801 TI - The Lock-Stitch in Surgery. PMID- 29816802 TI - Total Extirpation of the Stomach. PMID- 29816803 TI - Notes. PMID- 29816805 TI - Notes and News. PMID- 29816804 TI - The Hospital. Nursing Mirror. PMID- 29816806 TI - Economics of Philanthropy. PMID- 29816807 TI - Rate-Supported Hospitals. PMID- 29816808 TI - The Antiseptic Treatment of Typhoid Fever. PMID- 29816809 TI - Wounds by Small Projectiles. PMID- 29816810 TI - Hospital Meetings, &C. PMID- 29816811 TI - Progress in Medicine. PMID- 29816812 TI - Explosive Bullets. PMID- 29816813 TI - The Story of the Insane from Year to Year. PMID- 29816814 TI - Progress in Surgery. PMID- 29816815 TI - Infantile Umbilical Hernia-Its Causation, Symptoms, and Treatment. PMID- 29816816 TI - Homestead Law. PMID- 29816817 TI - Annotations. PMID- 29816818 TI - Street Noises. PMID- 29816819 TI - British Laryngological, Rhinological, and Otological Association. PMID- 29816820 TI - New Appliances and Things Medical. PMID- 29816821 TI - Tuberculous Disease of the Bladder. PMID- 29816822 TI - New Appliances and Things Medical. PMID- 29816823 TI - Saprophytic Pneumococci. PMID- 29816824 TI - Ladies and Tobacco. PMID- 29816825 TI - Private Fees in Public Hospitals. PMID- 29816826 TI - Progress in Surgery. PMID- 29816828 TI - Tropical Hygiene. PMID- 29816827 TI - Notes and News. PMID- 29816829 TI - Annotations. PMID- 29816831 TI - The Hospital. Nursing Mirror. PMID- 29816830 TI - On Certain Eye Complications That Occur during and after an Attack of Gonorrhoea. PMID- 29816832 TI - The Treatment of Prisoners. PMID- 29816833 TI - Hospital Construction. PMID- 29816834 TI - Progress in Medicine. PMID- 29816835 TI - Medical Attendance upon Servants. PMID- 29816836 TI - Mrs. Garrett Anderson and the Midwives. PMID- 29816837 TI - Hospital Meetings, &C. PMID- 29816838 TI - Co-Operative House Buying. PMID- 29816839 TI - Notes. PMID- 29816840 TI - The Control of Measles and Whooping-Cough. PMID- 29816841 TI - Progress in Ophthalmology. PMID- 29816842 TI - Progress in Obstetrics. PMID- 29816843 TI - A Clinical Lecture on Goitre. PMID- 29816844 TI - A Post-Graduate College for London. PMID- 29816845 TI - Progress in Surgery. PMID- 29816846 TI - Hospital Meetings, &C. PMID- 29816847 TI - The Preparation of Glycerinated Calf Lymph. PMID- 29816848 TI - Notes and News. PMID- 29816850 TI - Periscope of Dermatology. PMID- 29816849 TI - The Open-Air Treatment of Phthisis. PMID- 29816851 TI - Juvenile Reformatories. PMID- 29816852 TI - The Treatment of Tabes. PMID- 29816853 TI - Annotations. PMID- 29816854 TI - New Appliances and Things Medical. PMID- 29816855 TI - The Teaching of Elementary Science. PMID- 29816857 TI - The Laws of War Relating to the Wounded. PMID- 29816856 TI - London Smoke. PMID- 29816859 TI - Notes from Australia. PMID- 29816858 TI - The Hospital. Nursing Mirror. PMID- 29816860 TI - Notes. PMID- 29816862 TI - Mediaeval Remedies for the Plague.-II. PMID- 29816861 TI - Hints for the Treatment of Suddenly-Developed Insanity. PMID- 29816863 TI - Hygiene in the East and in the West. PMID- 29816864 TI - Hospital Meetings, &C. PMID- 29816866 TI - New Appliances and Things Medical. PMID- 29816865 TI - A Medical Mrs. Grundy. PMID- 29816867 TI - Notes and News. PMID- 29816868 TI - The County Council and Nuisances. PMID- 29816869 TI - Seasonal Variation in Disease. PMID- 29816870 TI - The Metropolitan Asylum Board. PMID- 29816871 TI - The Hospital. Nursing Mirror. PMID- 29816872 TI - Vegetables and Gout. PMID- 29816873 TI - Chloroform Anaesthesia. PMID- 29816874 TI - Progress in Medicine. PMID- 29816876 TI - The Title of Physician. PMID- 29816875 TI - Progress in Surgery. PMID- 29816877 TI - Annotations. PMID- 29816878 TI - The Bicycle in Surgery. PMID- 29816879 TI - The Mansion House Dinner. PMID- 29816880 TI - Private Fees in Public Hospitals. PMID- 29816881 TI - Economics of Philanthropy. PMID- 29816882 TI - Progress in Medicine. PMID- 29816883 TI - An Action for Mal-Practice. PMID- 29816885 TI - Hospital Meetings, &C. PMID- 29816884 TI - The Relationship between Variola and Vaccinia. PMID- 29816886 TI - Annotations. PMID- 29816887 TI - Midwives' Registration Bill. PMID- 29816888 TI - A Clinical Lecture on Recent Advances in the Surgery of the Vermiform Appendix. PMID- 29816889 TI - The Influence of One Disease upon Another. PMID- 29816890 TI - Co-Operative Production. PMID- 29816891 TI - Foreign Bodies Left in the Abdomen after Operation. PMID- 29816892 TI - New Appliances and Things Medical. PMID- 29816893 TI - Progress in Surgery. PMID- 29816894 TI - Notes and News. PMID- 29816895 TI - The Hospital. Nursing Mirror. PMID- 29816896 TI - Cautions as to Health Resorts. PMID- 29816897 TI - Notes and News. PMID- 29816898 TI - The Unqualified Assistant. PMID- 29816899 TI - Medical, Surgical, and Hygienic Exhibition. PMID- 29816900 TI - Progress in Surgery. PMID- 29816901 TI - Editor's Letter-Box. PMID- 29816903 TI - The Treatment of Gout by Alkalies. PMID- 29816902 TI - Progress in Medicine. PMID- 29816904 TI - Notes. PMID- 29816905 TI - The Hospital. Nursing Mirror. PMID- 29816906 TI - The London University. PMID- 29816907 TI - Mediaeval Remedies for the Plague. PMID- 29816908 TI - Railway By-Laws. PMID- 29816909 TI - Hospital Meetings, &C. PMID- 29816910 TI - Hints for the Treatment of Suddenly-Developed Insanity. PMID- 29816911 TI - Oophorectomy in Cancer. PMID- 29816912 TI - Anytoles. PMID- 29816913 TI - Annotations. PMID- 29816914 TI - New Appliances and Things Medical. PMID- 29816915 TI - Metropolitan Hospital Sunday Fund. PMID- 29816917 TI - The Plea of Insanity. PMID- 29816916 TI - Drink and Insanity. PMID- 29816918 TI - A Case of Intussusception. PMID- 29816919 TI - Notes and News. PMID- 29816920 TI - Progress in Surgery. PMID- 29816922 TI - Progress in Obstetrics and Gynaecology. PMID- 29816921 TI - The Hospital. Nursing Mirror. PMID- 29816923 TI - Annotations. PMID- 29816924 TI - Notification and Isolation. PMID- 29816925 TI - Small-Pox Hospital for Barnsley. PMID- 29816927 TI - Hospital Construction. PMID- 29816926 TI - Legislation and Public Health. PMID- 29816928 TI - Progress in Medicine. PMID- 29816929 TI - Uraemia. PMID- 29816930 TI - The Methods of Obtaining Asepsis in Operations in Private Practice.-I. PMID- 29816932 TI - New Appliances and Things Medical. PMID- 29816931 TI - The Hospital. Nursing Mirror. PMID- 29816933 TI - The Home Treatment of Disease. PMID- 29816934 TI - The Selection of Lives for Insurance. PMID- 29816935 TI - The Open-Air Treatment of Tuberculosis. PMID- 29816936 TI - Progress in Obstetrics and Gynaecology. PMID- 29816937 TI - The Vaccination Bill. PMID- 29816939 TI - The Actinic Opacity of London Air. PMID- 29816938 TI - On the Treatment of Diabetes. PMID- 29816940 TI - Annotations. PMID- 29816941 TI - Progress in Medicine. PMID- 29816942 TI - Notes and News. PMID- 29816943 TI - Abnormal Typhoid. PMID- 29816944 TI - Progress in Surgery. PMID- 29816945 TI - Lead as an Abortifacient. PMID- 29816946 TI - Fracture of the Patella. PMID- 29816947 TI - Queen Charlotte's Lying-In Hospital. PMID- 29816948 TI - The Marriage of the Unfit. PMID- 29816949 TI - Catheter Fever. PMID- 29816951 TI - The Hospital. Nursing Mirror. PMID- 29816950 TI - Notes on the Use of Bacteriological Methods of Diagnosis in Private Practice.-I. PMID- 29816953 TI - Sawdust Urinals. PMID- 29816952 TI - Notes and News. PMID- 29816954 TI - Hypnotism and Crime. PMID- 29816955 TI - Modes of Death in Punctured Wounds of the Heart. PMID- 29816956 TI - People's Banks. PMID- 29816957 TI - The Prince of Wales's Hospital Fund. PMID- 29816958 TI - Progress in Surgery. PMID- 29816960 TI - The Waste of Water. PMID- 29816959 TI - Notes from Australia. PMID- 29816961 TI - Progress in Medicine. PMID- 29816962 TI - The British Association. PMID- 29816963 TI - Annotations. PMID- 29816965 TI - Progress in Surgery. PMID- 29816964 TI - Medical Holidays. PMID- 29816967 TI - Hospital Construction. PMID- 29816966 TI - Holocaine. PMID- 29816968 TI - The Question of "Gears". PMID- 29816969 TI - The Re-Introduction of Small Pox.-II. PMID- 29816970 TI - Easily Satisfied! PMID- 29816971 TI - Arbroath Infirmary. PMID- 29816972 TI - New Appliances and Things Medical. PMID- 29816973 TI - The Pauper Sick in London. PMID- 29816974 TI - The Hospital. Nursing Mirror. PMID- 29816976 TI - Notes. PMID- 29816975 TI - Progress in Medicine. PMID- 29816977 TI - Annotations. PMID- 29816978 TI - Widal's Test for Typhoid. PMID- 29816979 TI - Rickety Curvatures of the Legs. PMID- 29816980 TI - Lead-Poisoning among Compositors. PMID- 29816981 TI - The Causes of Prolonged Infectivity in Scarlet Fever. PMID- 29816982 TI - Notes and News. PMID- 29816983 TI - Anti-Toxin and Post-Diphtherial Paralysis. PMID- 29816984 TI - Prolonged Retention of the Placenta. PMID- 29816985 TI - A Pin in the Rectum for Thirty Years. PMID- 29816986 TI - Drowned in Dust. PMID- 29816987 TI - Lady Visitors to Her Majesty's Prisons. PMID- 29816988 TI - The Hospital Sunday Fund. PMID- 29816989 TI - Charity Midwifery in London. PMID- 29816990 TI - Medical Aid in Time of War. PMID- 29816991 TI - Plymouth Borough Hospital. PMID- 29816992 TI - A Public Bacteriological Laboratory. PMID- 29816993 TI - Progress in Anaesthetics. PMID- 29816994 TI - Notes and News. PMID- 29816995 TI - Gastro-Jejunostomy. PMID- 29816996 TI - New Appliances and Things Medical. PMID- 29816997 TI - Aphasia and Testamentary Capacity. PMID- 29816998 TI - Progress in Medicine. PMID- 29816999 TI - The Hospital. Nursing Mirror. PMID- 29817000 TI - Annotations. PMID- 29817001 TI - Progress in Surgery. PMID- 29817002 TI - Hospital Administration. PMID- 29817003 TI - Return Cases of Scarlet Fever. PMID- 29817005 TI - Notes and News. PMID- 29817004 TI - Notes on the Use of Bacteriological Methods of Diagnosis in Private Practice.-II. PMID- 29817006 TI - The Inorganic Constituents of Vegetable Food. PMID- 29817008 TI - Progress in Surgery. PMID- 29817007 TI - Hospital Housekeeping. PMID- 29817010 TI - German Hospital Bath Houses. PMID- 29817009 TI - The Methods of Obtaining Asepsis in Operations in Private Practice.-II. PMID- 29817011 TI - Progress in Medicine. PMID- 29817012 TI - The Hospital. Nursing Mirror. PMID- 29817013 TI - The Physician in Perplexity. PMID- 29817014 TI - Progress in State Medicine. PMID- 29817016 TI - The Story of the Middlesex Hospital. PMID- 29817017 TI - The Nauheim Treatment of Heart Disease. PMID- 29817018 TI - Defective and Epileptic Children. PMID- 29817019 TI - Annotations. PMID- 29817020 TI - Felonious Physicians. PMID- 29817021 TI - Some Forms of Tertiary Syphilis. PMID- 29817022 TI - The Case of "Dr." Collins. PMID- 29817023 TI - Notes. PMID- 29817024 TI - Malpraxis. PMID- 29817025 TI - Medical Women. PMID- 29817026 TI - Hospital Administration. PMID- 29817027 TI - The Meaning and the Treatment of Dropsy. PMID- 29817028 TI - Progress in Medicine. PMID- 29817029 TI - Notes and News. PMID- 29817030 TI - The Leper Hospitals of the West Indies. PMID- 29817031 TI - Acute Dilatation of the Heart. PMID- 29817033 TI - The Hospital. Nursing Mirror. PMID- 29817032 TI - New Appliances and Things Medical. PMID- 29817034 TI - A Nursery of Typhus. PMID- 29817035 TI - Hospital Meetings, &C. PMID- 29817036 TI - Annotations. PMID- 29817037 TI - Progress in Neurology. PMID- 29817038 TI - Mr. Lawson Tait on Lumbar Colotomy. PMID- 29817040 TI - The Hospital. Nursing Mirror. PMID- 29817039 TI - Progress in Surgery. PMID- 29817041 TI - The Best in the World. PMID- 29817042 TI - Hospital Meetings, &C. PMID- 29817043 TI - Notes and News. PMID- 29817044 TI - Hospital Construction. PMID- 29817045 TI - Progress in Surgery. PMID- 29817046 TI - The Tonsil in Tuberculosis. PMID- 29817047 TI - The Action of Harrogate Water. PMID- 29817048 TI - The Leper Hospitals of the West Indies. PMID- 29817049 TI - Mediaeval Remedies for the Plague.-III. PMID- 29817050 TI - On the Question of Operative Interference in the Case of Fibroid Tumours of the Uterus. PMID- 29817051 TI - Annotations. PMID- 29817052 TI - Virulence and Non-Virulence. PMID- 29817054 TI - The Education of Dentists. PMID- 29817053 TI - The Press Bazaar in Aid of the London Hospital. PMID- 29817055 TI - Secondary Education. PMID- 29817056 TI - Typography and Eye Weariness. PMID- 29817057 TI - Progress in Neurology. PMID- 29817058 TI - New Appliances and Things Medical. PMID- 29817059 TI - Notes and News. PMID- 29817060 TI - The Choice of a Diploma. PMID- 29817061 TI - Annotations. PMID- 29817062 TI - New Appliances and Things Medical. PMID- 29817063 TI - The Choice of a Medical School. PMID- 29817064 TI - The Choice of a Profession. PMID- 29817065 TI - London Medical Schools. PMID- 29817066 TI - Other Hospitals at Which Clinical Instruction Is Given. PMID- 29817067 TI - Entry at a Medical School. PMID- 29817068 TI - Scottish Medical Schools. PMID- 29817070 TI - Progress in Medicine. PMID- 29817069 TI - Provincial Medical Schools. PMID- 29817071 TI - Irish Medical Schools. PMID- 29817073 TI - Progress in Surgery. PMID- 29817072 TI - The Hospital. Nursing Mirror. PMID- 29817075 TI - The Prosecution of Quacks. PMID- 29817074 TI - On Toxic Materials Released from the Faeces by Enemata and Poisoning the System. PMID- 29817076 TI - Hospital Housekeeping. PMID- 29817077 TI - Medical Degrees and Diplomas. PMID- 29817078 TI - A Military Hospital a Hundred Years Ago. PMID- 29817079 TI - Tropical Heart. PMID- 29817080 TI - Hospital Housekeeping. PMID- 29817081 TI - The Hospital. Nursing Mirror. PMID- 29817083 TI - Inoculation against Rinderpest. PMID- 29817082 TI - Casualty Room Failures. PMID- 29817085 TI - New Appliances and Things Medical. PMID- 29817084 TI - Progress in Medicine. PMID- 29817087 TI - Metropolitan Hospital Sunday Fund. PMID- 29817086 TI - Medical Missions. PMID- 29817088 TI - Annotations. PMID- 29817090 TI - Notes and News. PMID- 29817089 TI - The Administration of Anaesthetics to Children. PMID- 29817091 TI - Complaints against Hospitals. PMID- 29817093 TI - Notes. PMID- 29817092 TI - The Crimino-Legal Responsibility of the Mentally Defective Psychologically Considered. PMID- 29817094 TI - The Re-Introduction of Small-Pox.-I. PMID- 29817095 TI - Progress in Surgery. PMID- 29817096 TI - Progress in Surgery. PMID- 29817097 TI - Diphtheria Anti-Toxin. PMID- 29817098 TI - Companies and Medical Practice. PMID- 29817099 TI - Progress in State Medicine. PMID- 29817100 TI - Latency of Renal Calculus. PMID- 29817102 TI - An Ear Replaced after Complete Severance. PMID- 29817101 TI - A Revolution in Gas Lighting. PMID- 29817103 TI - The Judicial Treatment of Infanticide. PMID- 29817104 TI - Hospital Meetings, &C. PMID- 29817105 TI - New Appliances and Things Medical. PMID- 29817106 TI - The St. Neots Murder. PMID- 29817107 TI - Annotations. PMID- 29817108 TI - The Hospital. Nursing Mirror. PMID- 29817109 TI - Economics of Philanthropy. PMID- 29817111 TI - Medical, Surgical, and Hygienic Exhibition. PMID- 29817110 TI - Modern Views about Consumption. PMID- 29817112 TI - A Clinical Lecture on Goitre. PMID- 29817113 TI - Nursing in Prisons. PMID- 29817114 TI - Notes and News. PMID- 29817115 TI - Special Hospital Sunday Supplement. PMID- 29817116 TI - Shell Wounds in the American Navy. PMID- 29817117 TI - Progress in Cancer. PMID- 29817118 TI - Lincolnshire Justices and Belgian Labour Colonies. PMID- 29817119 TI - Skipping as an Exercise. PMID- 29817120 TI - Annotations. PMID- 29817121 TI - Notes and News. PMID- 29817122 TI - The Hospital Library and Charities Bureau. PMID- 29817124 TI - Rheumatism and Gout. PMID- 29817123 TI - Clinical Lecture on Cancer of the Tongue. PMID- 29817125 TI - Congenital Malformations. PMID- 29817126 TI - Mixed Tumours of the Salivary Glands. PMID- 29817128 TI - Hospital Meetings. PMID- 29817127 TI - The Hospital. Nursing Section. PMID- 29817129 TI - King Edward's Hospital Fund for London. PMID- 29817131 TI - Progress in Genito-Urinary Surgery. PMID- 29817130 TI - British Institutions for the Care of the Inebriate.-VIII. PMID- 29817132 TI - The National Milk Supply. PMID- 29817133 TI - Hampstead General Hospital. PMID- 29817134 TI - The Cost of Provisions in Institutions.-V. PMID- 29817135 TI - Diseases of the Lungs. PMID- 29817136 TI - Diseases of the Stomach and Intestines. PMID- 29817137 TI - The Treatment of Dacryocystitis. PMID- 29817138 TI - Intra-Cranial and Extra-Cranial Haemorrhages in the New-Born. PMID- 29817140 TI - The Medical Uses of the X-Rays and Their Employment for These Purposes by Unqualified and Unskilled Persons. PMID- 29817139 TI - Annotations. PMID- 29817141 TI - The "Hospital Penny Fund." PMID- 29817142 TI - Old Age. PMID- 29817143 TI - New Offices and Nurses' Home at the Lambeth Infirmary, Brook Street. PMID- 29817144 TI - Intraspinal Cocainisation. PMID- 29817145 TI - Is Potassium Iodide a Specific in Lobar Pneumonia? PMID- 29817146 TI - Hospital Sunday Fund. PMID- 29817147 TI - Notes and News. PMID- 29817149 TI - Laryngeal Crepitus as a Sign of Pulmonary Tuberculosis. PMID- 29817148 TI - Hospital Meetings. PMID- 29817150 TI - The Hospital. Nursing Section. PMID- 29817151 TI - The Treatment of Inebriety by Atropine and the So-Called "Gold Cure." PMID- 29817152 TI - Orthopaedic Surgery. PMID- 29817153 TI - The Optical Society. PMID- 29817155 TI - Chorea and Taenia Solium. PMID- 29817154 TI - Progress in Genito-Urinary Surgery. PMID- 29817157 TI - King Edward VII.'s Hospital for Officers. PMID- 29817156 TI - Notes and News. PMID- 29817158 TI - Popular Medical Lectures. PMID- 29817159 TI - A Case of Pyometra Due to Plugging of the Cervix by a Fibroid Polypus. PMID- 29817160 TI - The Recognition of Nystagmus. PMID- 29817161 TI - The Cost of Provisions in Institutions.-III. PMID- 29817162 TI - Progress in Diseases of the Nervous System. PMID- 29817163 TI - The Story of the Insane from Year to Year. PMID- 29817164 TI - Preservation of Pathological or Other Specimens. PMID- 29817165 TI - Practical Departments. PMID- 29817167 TI - The Hospital. Nursing Section. PMID- 29817166 TI - British Health Stations.-II. PMID- 29817168 TI - Hospital Meetings. PMID- 29817169 TI - Albuminuria in the Apparently Healthy. PMID- 29817170 TI - Annotations. PMID- 29817171 TI - Physical Characters and Morbid Proclivities. PMID- 29817172 TI - Progress in Psychiatry. PMID- 29817173 TI - Diseases of the Lungs. PMID- 29817174 TI - Convalescent Hospital, Radcliffe. PMID- 29817175 TI - Hospital Meetings. PMID- 29817176 TI - A "Return" Case of Scarlet Fever. PMID- 29817177 TI - A New Sign of Basilar Meningitis. PMID- 29817178 TI - Progress in Orthopaedic Surgery. PMID- 29817179 TI - The Middlesex Hospital. PMID- 29817180 TI - Diver's and "Caisson" Disease. PMID- 29817181 TI - Notes and News. PMID- 29817182 TI - Pulsating Exophthalmos. PMID- 29817183 TI - The Hospital Library and Charities Bureau. PMID- 29817184 TI - Penetrating Wounds of the Abdomen. PMID- 29817185 TI - Progress in Psychiatry. PMID- 29817186 TI - The Dispensaries and Charitable Institutions of the Punjab. PMID- 29817188 TI - Inguinal Trusses. PMID- 29817187 TI - Annotations. PMID- 29817189 TI - The Hospital. Nursing Section. PMID- 29817190 TI - The Pathology of Asylum Dysentery. PMID- 29817191 TI - Dental Caries and Disease. PMID- 29817192 TI - Royal Edinburgh Hospital for Sick Children. PMID- 29817193 TI - Practical Departments. PMID- 29817194 TI - New Appliances and Things Medical. PMID- 29817195 TI - The "Goutte De Lait". PMID- 29817196 TI - The Hospital. Nursing Section. PMID- 29817197 TI - Infantile Mortality. PMID- 29817198 TI - The Treatment of Neurasthenia. PMID- 29817199 TI - A Case of Remarkable Vitality. PMID- 29817200 TI - The Melbourne Hospital. PMID- 29817201 TI - Overcrowding in the Medical Profession. PMID- 29817202 TI - On Food and Feeding. PMID- 29817204 TI - Lip Reading in the Seventeenth Century. PMID- 29817203 TI - Annotations. PMID- 29817205 TI - Genito-Urinary Surgery. PMID- 29817206 TI - Notes and News. PMID- 29817207 TI - Glances at the Hospitals. PMID- 29817208 TI - The Story of the Insane from Year to Year. PMID- 29817209 TI - Dental Deterioration. PMID- 29817210 TI - Neurology. PMID- 29817211 TI - Psychiatry. PMID- 29817212 TI - Coma in Diabetes Insipidus. PMID- 29817213 TI - The Hospital. Nursing Section. PMID- 29817214 TI - The Primary Seat of Infection in Tuberculosis. PMID- 29817215 TI - Congenital Hypertrophic Stenosis of the Pylorus. PMID- 29817216 TI - Carcinoma of the Colon. PMID- 29817217 TI - Anglo-American Hospital in Cairo. PMID- 29817218 TI - Progress in Dietetics. PMID- 29817219 TI - New Appliances and Things Medical. PMID- 29817220 TI - Practical Departments. PMID- 29817221 TI - Hospital Meetings. PMID- 29817222 TI - Hospitals and Dispensaries in Burma. PMID- 29817223 TI - Complications and Sequels of Prostatectomy. PMID- 29817225 TI - Adenoid Growths of the Nasopharynx: When and How to Operate. PMID- 29817224 TI - Progress in Orthopaedic Surgery. PMID- 29817226 TI - The Story of the Insane from Year to Year. PMID- 29817227 TI - Progress in Bacteriology. PMID- 29817228 TI - The Modern Diagnosis and Treatment of Diseases of the Stomach. PMID- 29817229 TI - Insurance against Surgical Operations. PMID- 29817230 TI - The Cost of Provisions in Institutions.-IV. PMID- 29817231 TI - Annotations. PMID- 29817232 TI - The Salicyl-Sulphonic Acid Test for Albumen. PMID- 29817233 TI - Notes and News. PMID- 29817234 TI - Physical Education in Elementary Schools. PMID- 29817235 TI - Small-Pox in Germany. PMID- 29817236 TI - The Treatment of Pneumococcic Infection. PMID- 29817237 TI - New Appliances and Things Medical. PMID- 29817238 TI - The Hospital. Nursing Section. PMID- 29817239 TI - The Cost of Provisions in Institutions.-II. PMID- 29817240 TI - Decapsulation of the Kidney in Nephritis. PMID- 29817242 TI - Lorenz's Operation. PMID- 29817241 TI - Progress in Psychiatry. PMID- 29817243 TI - Surgical Treatment of Hydrocephalus. PMID- 29817244 TI - "Opticians" and Sight Testing. PMID- 29817245 TI - Progress in Genito-Urinary Surgery. PMID- 29817246 TI - Annotations. PMID- 29817247 TI - Action of Artificial Digestive Fluids on Haemoglobin. PMID- 29817249 TI - Pneumatic Tourniquets. PMID- 29817248 TI - Progress in Cancer. PMID- 29817250 TI - Notes and News. PMID- 29817251 TI - The Insane in Workhouse Infirmaries. PMID- 29817252 TI - Hospital for Epilepsy at Maida Vale. PMID- 29817253 TI - The Hospital. Nursing Section. PMID- 29817254 TI - Neurology. PMID- 29817255 TI - Glances at the Hospitals. PMID- 29817256 TI - Arsenic and the Pharmacopoeia. PMID- 29817258 TI - Evidence in Coroners' Courts. PMID- 29817257 TI - Annotations. PMID- 29817259 TI - The Hospitals and Charitable Institutions of the United Provinces of India. PMID- 29817260 TI - Tuberculosis. PMID- 29817261 TI - The Story of the Insane from Year to Year. PMID- 29817263 TI - Notes and News. PMID- 29817262 TI - Psychiatry. PMID- 29817265 TI - Some Cases of Hemiplegia. PMID- 29817264 TI - The Treatment of Haemoptysis. PMID- 29817266 TI - Nurses' Home: Glasgow District Asylum at Gartloch. PMID- 29817267 TI - New Appliances and Things Medical. PMID- 29817268 TI - The Treatment of Chronic Nerve Injuries. PMID- 29817269 TI - Notes and News. PMID- 29817270 TI - Fevers. PMID- 29817271 TI - Aniline Dyes and Tumours of the Bladder. PMID- 29817272 TI - Neurology. PMID- 29817273 TI - The Medical Session. PMID- 29817274 TI - The Hospital. Nursing Section. PMID- 29817275 TI - Annotations. PMID- 29817276 TI - The Treatment of Fractures. PMID- 29817277 TI - Genito-Urinary Surgery. PMID- 29817278 TI - Glances at the Hospitals. PMID- 29817279 TI - Instruction in Tropical Medicine. PMID- 29817280 TI - Thyroid Grafting in Human Beings. PMID- 29817281 TI - Spread of Infectious Disease.-II. PMID- 29817282 TI - Syphilitic Disease of the Brain. PMID- 29817283 TI - Post-Graduation Study. PMID- 29817284 TI - Medical Qualifications. PMID- 29817286 TI - The Medical Schools. PMID- 29817285 TI - Medicine as a Profession. PMID- 29817287 TI - The Pathology and Treatment of the Herniae of Children. PMID- 29817288 TI - Annotations. PMID- 29817290 TI - Hospital Meetings. PMID- 29817289 TI - Predisposing and Precancerous Conditions of the Breast. PMID- 29817291 TI - New Appliances and Things Medical. PMID- 29817293 TI - Progress in Cancer. PMID- 29817292 TI - The Hospital Library and Charities Bureau. PMID- 29817294 TI - The Pathological Department of a Modern Hospital. PMID- 29817295 TI - Notes and News. PMID- 29817296 TI - British Institutions for the Care of the Inebriate.-IX. PMID- 29817297 TI - Progress in Genito-Urinary Surgery. PMID- 29817298 TI - On Treatment with Antituberculous Serum. PMID- 29817299 TI - Astigmatism and Its Consequences. PMID- 29817300 TI - The Cost of Provisions in Institutions.-I. PMID- 29817301 TI - The Hospital. Nursing Section. PMID- 29817302 TI - Bennett's Fracture. PMID- 29817303 TI - Rheumatism and Gout. PMID- 29817304 TI - Degeneracy and Marriage. PMID- 29817305 TI - The Hospital. Nursing Section. PMID- 29817307 TI - New Appliances and Things Medical. PMID- 29817306 TI - The Cost of Provisions in Institutions.-VII. PMID- 29817308 TI - The Fifteenth International Congress of Medicine. PMID- 29817309 TI - Invalid Children. PMID- 29817310 TI - Festival Dinner. PMID- 29817312 TI - Surgery.-Hernia. PMID- 29817311 TI - Annotations. PMID- 29817313 TI - Hospital Meetings. PMID- 29817314 TI - The Needs of the Modern Health Resort. PMID- 29817315 TI - The Medical, Surgical, and Hygienic Exhibition. PMID- 29817317 TI - Notes and News. PMID- 29817316 TI - Intra-Cranial Tumour: A Clinical Record and Commentary. PMID- 29817319 TI - Psychiatry. PMID- 29817318 TI - Medical Electricity. PMID- 29817320 TI - Dionine: A New Ocular Analgesic. PMID- 29817321 TI - The Royal Commission on Tuberculosis. PMID- 29817322 TI - A Model Hospital at the Cartwright Exhibition, Bradford. PMID- 29817324 TI - The Hospital. Nursing Section. PMID- 29817323 TI - The Surgical Treatment of Gastric Ulcer. PMID- 29817325 TI - Spread of Infectious Disease.-I. PMID- 29817327 TI - A New Method of Preserving Museum Specimens. PMID- 29817326 TI - The Fifteenth International Medical Congress. PMID- 29817329 TI - Hospital Meetings. PMID- 29817328 TI - Prevention of Sepsis in Nasal Operations. PMID- 29817330 TI - Medical Electricity. PMID- 29817331 TI - Notes and News. PMID- 29817332 TI - Insufficientia Pylori. PMID- 29817333 TI - New Pavilions at the Victoria Hospital for Consumption, Craigleith, Edinburgh. PMID- 29817334 TI - Diastolic Murmurs. PMID- 29817335 TI - The Effects of Alcohol, Nitro-Glycerine, and Amyl Nitrite in Shock. PMID- 29817336 TI - The Use of Purgatives in Abdominal Operations. PMID- 29817337 TI - Annotations. PMID- 29817338 TI - Road Sanitation. PMID- 29817339 TI - Psychiatry. PMID- 29817340 TI - The Story of the Insane from Year to Year. PMID- 29817341 TI - Tuberculosis. PMID- 29817343 TI - Visits to Private Asylums. PMID- 29817342 TI - Bolingbroke Hospital. PMID- 29817344 TI - The Early Diagnosis of Peritonitis. PMID- 29817345 TI - New Appliances and Things Medical. PMID- 29817346 TI - Glances at the Hospitals. PMID- 29817348 TI - The Toxic Effects of Urotropin. PMID- 29817347 TI - Remissions and Relapses in Insular Sclerosis. PMID- 29817350 TI - Tuberculosis. PMID- 29817349 TI - The Education of Defective Children. PMID- 29817351 TI - The Story of the Insane from Year to Year. PMID- 29817352 TI - Rheumatism in Childhood. PMID- 29817353 TI - Diffusion of Phthisis. PMID- 29817354 TI - Genito-Urinary Surgery. PMID- 29817355 TI - Glances at the Hospitals. PMID- 29817356 TI - The Treatment of Exophthalmic Goitre. PMID- 29817357 TI - Medicine and Pharmaceutical Research. PMID- 29817358 TI - Dr. Barnardo's Homes. PMID- 29817359 TI - Citrate of Sodium in Infant Feeding. PMID- 29817360 TI - The Hospital. Nursing Section. PMID- 29817361 TI - Annotations. PMID- 29817362 TI - The Distribution of Fat and Strychnine in Nux Vomica Seeds. PMID- 29817363 TI - Notes and News. PMID- 29817364 TI - The Bacteriology of Panophthalmitis. PMID- 29817365 TI - Visits to Private Asylums. PMID- 29817366 TI - Fevers. PMID- 29817367 TI - The Hospital. Nursing Section. PMID- 29817368 TI - Annotations. PMID- 29817369 TI - Treatment of Muco-Membranous Colitis. PMID- 29817371 TI - Livingstone College. PMID- 29817370 TI - International Congress on House Sanitation. PMID- 29817372 TI - Post-Operative Pneumonia. PMID- 29817373 TI - The Therapeutic Value of Kidney Extract. PMID- 29817374 TI - Abdominal Pain in Acute Rheumatism. PMID- 29817375 TI - Hemi-Hypertrophy of Limbs and Internal Organs. PMID- 29817376 TI - Surgery-Hernia. PMID- 29817377 TI - Hospital Sunday Sermons. PMID- 29817378 TI - The Cost of Provisions in Institutions.-IX. PMID- 29817379 TI - Notes and News. PMID- 29817380 TI - Precautions against Fire in Hospitals and Kindred Institutions. PMID- 29817381 TI - New Appliances and Things Medical. PMID- 29817383 TI - Muscular Atrophies in Joint Disease. PMID- 29817382 TI - The Prognosis of Postural Albuminuria. PMID- 29817384 TI - Consumption among Cornish Miners. PMID- 29817385 TI - The Registration of Medical Students. PMID- 29817386 TI - Psychiatry. PMID- 29817387 TI - State Medicine. PMID- 29817388 TI - Surgery of the Stomach. PMID- 29817390 TI - The Hospital. Nursing Section. PMID- 29817389 TI - Royal Waterloo Hospital for Children and Women. PMID- 29817392 TI - The Mental State in Myxoedema. PMID- 29817391 TI - Transposition of the Viscera. PMID- 29817393 TI - The Surgical Treatment of Abdominal Aneurysm. PMID- 29817394 TI - The Social Aspects of Illness. PMID- 29817395 TI - Pathological Conditions of the Urine. PMID- 29817396 TI - Surgery of the Peritoneum. PMID- 29817397 TI - The Interpretation of the Term "Extractum Belladonnae." PMID- 29817399 TI - The Sanatorium at Frimley for Brompton Consumption Hospital. PMID- 29817398 TI - Plan Competitions and the Difficulties of Architects: An Example. PMID- 29817400 TI - Annotations. PMID- 29817401 TI - Notes and News. PMID- 29817402 TI - Hospital Meetings. PMID- 29817403 TI - Secondary Parotitis. PMID- 29817404 TI - St. George's Hospital. PMID- 29817405 TI - New Appliances and Things Medical. PMID- 29817407 TI - Brachial Neuritis. PMID- 29817406 TI - North-Eastern Hospital for Children. PMID- 29817408 TI - The Cost of Provisions in Institutions.-X. PMID- 29817409 TI - New Appliances and Things Medical. PMID- 29817410 TI - Mr. Chamberlain at the Criterion. PMID- 29817412 TI - The City Sanatorium, Canterbury. PMID- 29817411 TI - The Hospital. Nursing Section. PMID- 29817414 TI - How to Sterilise Catgut. PMID- 29817413 TI - Notes and News. PMID- 29817415 TI - Annotations. PMID- 29817416 TI - What Is the Cure for Neurasthenia? PMID- 29817417 TI - St. George's Hospital in Danger. PMID- 29817418 TI - Surgery of the Pancreas and Spleen. PMID- 29817419 TI - Diseases of the Heart and Circulation. PMID- 29817420 TI - Bacteriology. PMID- 29817421 TI - Nurses in the Male Wards of Lunatic Asylums. PMID- 29817422 TI - The Tendon Jerks. PMID- 29817423 TI - St. Bartholomew's Hospital. PMID- 29817424 TI - Charitable Institutions of Victoria. PMID- 29817425 TI - The Treatment of Tabes Dorsalis. PMID- 29817426 TI - The Prophylactic Use of Morphine in Severe Cerebral Injuries: Cerebral Localisation of the Mental Faculties. PMID- 29817427 TI - The Cost of Provisions in Institutions.-XI. PMID- 29817429 TI - Fevers. PMID- 29817428 TI - The Story of the Insane from Year to Year. PMID- 29817430 TI - Cough and Its Significance. PMID- 29817432 TI - Glances at the Hospitals. PMID- 29817431 TI - Peripheral Neuritis with OEdema. PMID- 29817433 TI - Military Surgeons and Combatant Officers. PMID- 29817434 TI - The Cost of Provisions in Institutions.-XVI. PMID- 29817435 TI - Mr. Balfour on the Future of Our Race. PMID- 29817436 TI - Bacteriology. PMID- 29817437 TI - Neurology. PMID- 29817438 TI - Notes and News. PMID- 29817439 TI - Foreign Bodies in the Eye and Their Removal with the Electro-Magnet. PMID- 29817440 TI - Annotations. PMID- 29817441 TI - The Dispensaries of Assam. PMID- 29817442 TI - The Hospital. Nursing Section. PMID- 29817443 TI - Ear Sequelae of Acute Diseases. PMID- 29817444 TI - Visits to Private Asylums. PMID- 29817445 TI - Notes and News. PMID- 29817446 TI - Fevers. PMID- 29817447 TI - Surgery. PMID- 29817448 TI - The Hospital. Nursing Section. PMID- 29817450 TI - Annotations. PMID- 29817449 TI - The Metropolitan Asylums Board: Some Lost Opportunities. PMID- 29817451 TI - New Appliances and Things Medical. PMID- 29817452 TI - The Aix-La-Chapelle Treatment of Syphilis. PMID- 29817453 TI - Practical Departments. PMID- 29817455 TI - The Cost of Provisions in Institutions.-XV. PMID- 29817454 TI - Otology. PMID- 29817456 TI - Some Causes of Haematuria. PMID- 29817457 TI - Grouse Disease. PMID- 29817458 TI - Glances at the Hospitals. PMID- 29817459 TI - Urethral Stricture: Its Treatment and Prognosis. PMID- 29817460 TI - The Cost of Provisions in Institutions.-XII. PMID- 29817461 TI - Gynaecology. PMID- 29817462 TI - Hospitals and Opportunities. PMID- 29817463 TI - Hospital Meetings. PMID- 29817464 TI - Notes and News. PMID- 29817465 TI - Annotations. PMID- 29817467 TI - The Treatment of Inebriety by Atropine. PMID- 29817466 TI - Nurses in the Male Wards of Asylums for the Insane. PMID- 29817468 TI - Veronal: A New Hypnotic. PMID- 29817469 TI - The Hospital. Nursing Section. PMID- 29817470 TI - Tumours of the Breast. PMID- 29817471 TI - The Story of the Insane from Year to Year. PMID- 29817472 TI - Diseases of the Heart and Circulation. PMID- 29817473 TI - The Deterioration of Vision during School Life. PMID- 29817474 TI - Women and Whisky. PMID- 29817475 TI - Secondary Inflammations in Chronic Renal Disease. PMID- 29817476 TI - The Milk Supply of a Hospital: American Method of Sterilisation. PMID- 29817477 TI - Cancer Research. PMID- 29817478 TI - Bacteriology. PMID- 29817479 TI - The Hospital. Nursing Section. PMID- 29817480 TI - Some Pancreatic Lesions and Their Clinical Aspects. PMID- 29817482 TI - Hospital Meetings. PMID- 29817481 TI - Divers' or "Caisson" Disease. PMID- 29817483 TI - The Gerard Hospital, Monifieth, Forfarshire, N.B. PMID- 29817485 TI - Notes and News. PMID- 29817484 TI - Annotations. PMID- 29817486 TI - Members of the League of Mercy at Marlborough House. PMID- 29817487 TI - Accidents in the Country. PMID- 29817488 TI - The Surgeon's Responsibilities. PMID- 29817489 TI - Special Hospital Sunday Supplement. PMID- 29817490 TI - Hot-Water Injections Vice Nutrient Enemata. PMID- 29817492 TI - Human and Bovine Tuberculosis. PMID- 29817491 TI - Tuberculosis. PMID- 29817493 TI - Psychiatry. PMID- 29817494 TI - The Cost of Provisions in Institutions.-VIII. PMID- 29817495 TI - Hospital for Sick Children. PMID- 29817497 TI - Optic Neuritis in Chlorosis. PMID- 29817496 TI - A Note on Beef-Tea. PMID- 29817498 TI - The Therapeutics of the Ichthyol Compounds. PMID- 29817499 TI - Surgery.-Hernia. PMID- 29817500 TI - Some Unusual Complications of Measles. PMID- 29817501 TI - New Appliances and Things Medical. PMID- 29817502 TI - The Cost of Provisions in Institutions.-VI. PMID- 29817503 TI - "Costal Resistance" in Abdominal and Thoracic Diseases. PMID- 29817504 TI - The Manifestations of Hysteria. PMID- 29817505 TI - Practical Departments. PMID- 29817507 TI - Historical Sketch of Some of the London Hospitals.-III. PMID- 29817506 TI - Notes and News. PMID- 29817509 TI - Surgery.-Genito-Urinary. PMID- 29817508 TI - The Infants' Hospital, Denning Road, Hampstead. PMID- 29817511 TI - Hospital Meetings. PMID- 29817510 TI - The Hospital. Nursing Section. PMID- 29817512 TI - Lanfine Cottage Hospital for Incurable Cases of Consumption. PMID- 29817513 TI - Obesity and Its Treatment. PMID- 29817514 TI - Annotations. PMID- 29817515 TI - The Story of the Insane from Year to Year. PMID- 29817516 TI - Glances at the Hospitals. PMID- 29817517 TI - The Hospital Officers' Association. PMID- 29817518 TI - Gastric Dilatation and Tetany. PMID- 29817519 TI - Diseases of the Stomach and Intestines. PMID- 29817521 TI - Psychiatry. PMID- 29817520 TI - King Edward's Hospital Fund for London. PMID- 29817522 TI - Sociological Society. PMID- 29817524 TI - On Gastro-Jejunostomy for Pyloric Stenosis, Gastric Ulcer, and Some Other Non - Malignant Conditions. PMID- 29817523 TI - Caisson Disease and Vivisection. PMID- 29817525 TI - A Carlsbad Physician on the Treatment of Gout. PMID- 29817526 TI - Medical Education. PMID- 29817527 TI - Hospital Meetings. PMID- 29817528 TI - Nurses in the Male Wards of Public Asylums. PMID- 29817529 TI - Opening of Sanatorium and Convalescent Home, Heatherside, Camberley. PMID- 29817530 TI - Pancreatic Cysts. PMID- 29817531 TI - The Surgery of the Intestines. PMID- 29817532 TI - The New Sanatorium at Heatherside. PMID- 29817533 TI - Annotations. PMID- 29817534 TI - Pathological Conditions of the Urine. PMID- 29817535 TI - Earlswood Asylum. PMID- 29817537 TI - Distribution of Prizes at St. Thomas's Hospital Medical School. PMID- 29817536 TI - Notes and News. PMID- 29817538 TI - The Salt Tax in India. PMID- 29817539 TI - Sialolithiasis. PMID- 29817540 TI - Bacteriology. PMID- 29817541 TI - The Prevention of Rheumatic Endocarditis. PMID- 29817542 TI - The Heart in Acute Lobar Pneumonia. PMID- 29817544 TI - The Work of the Deptford Fund. PMID- 29817543 TI - The Royal Orthopaedic Hospital. PMID- 29817545 TI - The Hospital. Nursing Section. PMID- 29817546 TI - The Metropolitan Hospital. PMID- 29817547 TI - Medical Charities in Victoria. PMID- 29817548 TI - Scarborough Hospital for Infectious Diseases. PMID- 29817549 TI - Hydatid Disease of the Lung. PMID- 29817550 TI - Surgical or Traumatic Rheumatism. PMID- 29817551 TI - Glances at the Hospitals. PMID- 29817552 TI - New Appliances and Things Medical. PMID- 29817553 TI - Annotations. PMID- 29817554 TI - The Hospital. Nursing Section. PMID- 29817555 TI - Treatment of Puerperal Infection. PMID- 29817556 TI - An Examination of the Apparatus Proposed for the Quantitative Administration of Chloroform. PMID- 29817557 TI - Diphtheritic Paralysis. PMID- 29817558 TI - Surgery of the Liver and Bile Ducts. PMID- 29817559 TI - Notes and News. PMID- 29817560 TI - Cerebral Surgery. PMID- 29817561 TI - A Great Sanitarian. PMID- 29817562 TI - High Temperature and Hygiene in Dress. PMID- 29817563 TI - The Mental Effects of Alcohol. PMID- 29817564 TI - The Habit of Reticence. PMID- 29817565 TI - The Story of the Insane from Year to Year. PMID- 29817566 TI - Diseases of the Heart and Circulation. PMID- 29817567 TI - British Health Stations.-IV. PMID- 29817568 TI - The Hospital. Nursing Section. PMID- 29817570 TI - Medical Diplomates and University Degrees. PMID- 29817569 TI - The British Medical Association at Oxford. PMID- 29817571 TI - Glances at the Hospitals. PMID- 29817572 TI - Physical Deterioration. PMID- 29817573 TI - Hospital Meetings. PMID- 29817574 TI - New Appliances and Things Medical. PMID- 29817575 TI - Fevers. PMID- 29817577 TI - Annotations. PMID- 29817576 TI - Otology. PMID- 29817579 TI - Diseases of the Heart and Circulation. PMID- 29817578 TI - Notes and News. PMID- 29817580 TI - Practical Departments. PMID- 29817581 TI - The Cost of Provisions in Institutions.-XIV. PMID- 29817582 TI - The Bishop of London's Urgent Appeal on Behalf of His Diocesan Boys' Camps. PMID- 29817583 TI - Practical Departments. PMID- 29817584 TI - Diseases of the Heart and Circulation. PMID- 29817585 TI - Notes and News. PMID- 29817586 TI - Royal United Hospital, Bath. PMID- 29817587 TI - Surgery. PMID- 29817589 TI - Diseases of the Lungs. PMID- 29817588 TI - Annotations. PMID- 29817590 TI - Holidays and Holiday-Makers. PMID- 29817591 TI - Municipal Creches. PMID- 29817592 TI - Appendicitis. PMID- 29817594 TI - New Appliances and Things Medical. PMID- 29817593 TI - The Hospital. Nursing Section. PMID- 29817595 TI - Pneumothorax. PMID- 29817596 TI - Diphtheria of the Conjunctiva. PMID- 29817597 TI - Metropolitan Hospital Sunday Fund. PMID- 29817598 TI - Syphilis of the Eye. PMID- 29817599 TI - The Treatment of Syphilis. PMID- 29817600 TI - Practical Departments. PMID- 29817601 TI - Primary Muscular Tuberculosis. PMID- 29817603 TI - The Sanitary Institute. PMID- 29817602 TI - Enlarged Prostate. PMID- 29817604 TI - Hospital Meetings. PMID- 29817605 TI - The Cost of Provisions in Institutions.-XIII. PMID- 29817606 TI - The Hospital. Nursing Section. PMID- 29817607 TI - Cerebral Surgery. PMID- 29817608 TI - New Appliances and Things Medical. PMID- 29817610 TI - Bradford Union Sanatorium for Pauper Consumptives at Eastby. PMID- 29817609 TI - Rheumatism as a Cause of Epistaxis in Children. PMID- 29817612 TI - Venesection in Opium Poisoning. PMID- 29817611 TI - The Treatment of Congenital Equinovarus during Early Infancy. PMID- 29817613 TI - The Failure of London County Council Administration. PMID- 29817614 TI - The Surgery of the Vermiform Appendix. PMID- 29817615 TI - Annotations. PMID- 29817617 TI - Physic at Oxford. PMID- 29817616 TI - The Treatment of Gonorrhoea and Gonorrhoeal Arthritis. PMID- 29817618 TI - Notes and News. PMID- 29817619 TI - A League of Mercy in the Colonies. PMID- 29817620 TI - Hygienic Education. PMID- 29817621 TI - Acute Thyroidism Following Curettage. PMID- 29817622 TI - Acute Balanitis Treated Locally with Ethyl Chloride. PMID- 29817623 TI - Diseases of the Heart and Circulation. PMID- 29817624 TI - Treatment of Vesical Calculus in Children. PMID- 29817625 TI - New Appliances and Things Medical. PMID- 29817626 TI - Diseases of Certain Glands. PMID- 29817627 TI - Hospital Meetings. PMID- 29817628 TI - Notes and News. PMID- 29817630 TI - Premature Burial. PMID- 29817629 TI - An Obscure Multiple Joint Disease of Childhood. PMID- 29817631 TI - The Causation of Peritonitis. PMID- 29817632 TI - Acute Lymphatic Leukaemias. PMID- 29817633 TI - Early Sequelae of Faucial Diphtheria and Their Treatment. PMID- 29817634 TI - Typhoid Fever at Lincoln. PMID- 29817636 TI - Glances at the Hospitals. PMID- 29817635 TI - The Hospital Library and Charities Bureau. PMID- 29817637 TI - The Hospital. Nursing Section. PMID- 29817638 TI - The Engineering Side of Hospital Work: V. Refuse Destructors and Disinfectors. PMID- 29817639 TI - Appendicitis up to Date. PMID- 29817640 TI - Diseases of the Kidney. PMID- 29817641 TI - Anaesthetics. PMID- 29817642 TI - Practical Departments. PMID- 29817643 TI - The Story of the Insane from Year to Year. PMID- 29817644 TI - Man versus the Microbe. PMID- 29817645 TI - Annotations. PMID- 29817646 TI - The Pains of Tabes Dorsalis. PMID- 29817648 TI - Hospital Meetings. PMID- 29817647 TI - Hospital Expenditure and Efficiency. PMID- 29817649 TI - Notes and News. PMID- 29817650 TI - Respiratory Diseases. PMID- 29817651 TI - Alcohol and Digestion. PMID- 29817652 TI - Diseases of Circulatory System. PMID- 29817654 TI - The Engineering Side of Hospital Work: VII. Disinfectors and Sterilisers. PMID- 29817653 TI - Congenital Hypertrophic Stenosis of the Pylorus. PMID- 29817655 TI - The Function of the Thyroid and Parathyroids. PMID- 29817656 TI - The Hospital Library and Charities Bureau. PMID- 29817657 TI - Convulsive Tic. PMID- 29817658 TI - The Hospital. Nursing Section. PMID- 29817660 TI - Annotations. PMID- 29817659 TI - The National Hospital. PMID- 29817661 TI - Neurology. PMID- 29817662 TI - Hospital Questions Which Press. PMID- 29817663 TI - Myasthenia Gravis. PMID- 29817664 TI - New Appliances and Things Medical. PMID- 29817665 TI - A Curiosity of Immunisation. PMID- 29817666 TI - Premature Burial. PMID- 29817667 TI - Hernia. PMID- 29817668 TI - Economy in Scottish Hospitals. PMID- 29817669 TI - Hospital Meetings. PMID- 29817670 TI - The Homeless Poor of London. PMID- 29817671 TI - Annotations. PMID- 29817672 TI - Diseases of Circulatory System. PMID- 29817673 TI - Septicaemia. PMID- 29817674 TI - On Shifting Percussion Dulness. PMID- 29817675 TI - Perforation of the Intestine in Typhoid Fever. PMID- 29817676 TI - The Hospital. Nursing Section. PMID- 29817677 TI - Diseases of the Kidney. PMID- 29817678 TI - Great Northern Central Hospital. PMID- 29817679 TI - Hospital Expenditure and Efficiency. PMID- 29817680 TI - The Royal Infirmary, Glasgow. PMID- 29817681 TI - Notes and News. PMID- 29817682 TI - The Dundee "Social Union". PMID- 29817684 TI - The Engineering Side of Hospital Work: VII. Disinfectors adn Sterilisers. PMID- 29817683 TI - Pneumococcal Arthritis. PMID- 29817685 TI - Respiratory Diseases. PMID- 29817686 TI - Intravesical Separation of the Urines. PMID- 29817687 TI - Annotations. PMID- 29817688 TI - Hospital Meetings. PMID- 29817689 TI - Notes and News. PMID- 29817690 TI - The Control of Hospital Expenditure with Efficiency. PMID- 29817691 TI - Diseases of the Kidney. PMID- 29817692 TI - The Hospital Library and Charities Bureau. PMID- 29817694 TI - Diseases of the Respiratory Organs. PMID- 29817693 TI - Iodine Bath Treatment of Empyema. PMID- 29817695 TI - British Medical Association. PMID- 29817696 TI - Surgery of the Intestines. PMID- 29817698 TI - Convalescent Homes. PMID- 29817697 TI - The Etiology of Carcinoma. PMID- 29817699 TI - The Engineering Side of Hospital Work: VI. Refuse, Destructors, or Incinerators. PMID- 29817700 TI - The Hospital. Nursing Section. PMID- 29817702 TI - The Infant at Birth. PMID- 29817701 TI - The Therapeutic Value of Relaxing Climates. PMID- 29817703 TI - The Treatment of Incipient Insanity. PMID- 29817704 TI - The Proposed Royal Society of Medicine. PMID- 29817705 TI - Hospital Control and Efficiency. PMID- 29817706 TI - The Treatment of Locomotor Ataxy. PMID- 29817707 TI - A Posterior Incision in Operations for Appendicitis. PMID- 29817708 TI - High-Frequency Currents and the Treatment of Sciatica. PMID- 29817709 TI - Surgical Operations in Private Practice: II. Compound Fracture and Psoas Abscess. PMID- 29817710 TI - Tottenham Hospital. PMID- 29817711 TI - Addenbrooke's Hospital, Cambridge. PMID- 29817713 TI - Hospitals and Medical Schools. PMID- 29817712 TI - Annotations. PMID- 29817714 TI - Diseases of the Pancreas. PMID- 29817715 TI - Shelters and Lodging Houses. PMID- 29817717 TI - Glances at the Hospitals. PMID- 29817716 TI - The Hospital Penny Fund. PMID- 29817718 TI - Medical Practitioners and Hospital Abuse. PMID- 29817719 TI - The Hospital. Nursing Section. PMID- 29817720 TI - Lord Kelvin at St. George's Hospital. PMID- 29817721 TI - Notes and News. PMID- 29817723 TI - Bacteriology. PMID- 29817722 TI - Some Ocular Paralyses. PMID- 29817724 TI - Separate Courts of Justice for Children. PMID- 29817725 TI - Neurology. PMID- 29817727 TI - Antivivisection Statistics. PMID- 29817726 TI - Traumatic Apoplexy. PMID- 29817728 TI - Diseases of the Respiratory System. PMID- 29817729 TI - The "Goutte De Lait". PMID- 29817730 TI - Neurology. PMID- 29817731 TI - Glances at the Hospitals. PMID- 29817733 TI - Some Rarer Forms of Nephritis. PMID- 29817732 TI - Regimental Homes. PMID- 29817734 TI - Argyrol in Ulcerative Colitis; the Vomiting of Enemata. PMID- 29817735 TI - The Story of the Insane from Year to Year. PMID- 29817737 TI - Ophthalmology. PMID- 29817736 TI - Bacteria in the Atmosphere. PMID- 29817739 TI - The Hospital. Nursing Section. PMID- 29817738 TI - Strychnine as an Evacuant. PMID- 29817740 TI - Anti-Vivisection Statistics. PMID- 29817741 TI - Notes and News. PMID- 29817742 TI - The Treatment of Rectal Prolapse by the Submucous Injection of Paraffin. PMID- 29817743 TI - Annotations. PMID- 29817744 TI - Practical Departments. PMID- 29817745 TI - Amaurosis and Retro-Bulbar Neuritis. PMID- 29817746 TI - New Appliances and Things Medical. PMID- 29817747 TI - The Conference on Tuberculosis. PMID- 29817748 TI - Forty-Sixth Annual Report of the Commissioners in Lunacy for Scotland. PMID- 29817749 TI - The Hospital. Nursing Section. PMID- 29817750 TI - The Small Hospitals and the Funds. PMID- 29817751 TI - Diseases of the Pancreas. PMID- 29817753 TI - Opening of New Jewish Wards at the London Hospital. PMID- 29817752 TI - Annotations. PMID- 29817754 TI - Syphilitic Synovitis in Children. PMID- 29817755 TI - New Home for Nurses at the Cancer Hospital, Fulham Road, S.w. PMID- 29817756 TI - Anti-Typhoid Inoculation. PMID- 29817757 TI - Psychiatry. PMID- 29817758 TI - Surgery of Bone. PMID- 29817759 TI - Vagrants and Disease. PMID- 29817761 TI - National Hospital for the Paralysed and Epileptic. PMID- 29817760 TI - Superheated Compressed Air and Comminuted Medicated Vapours in the Treatment of Diseases of the Respiratory Tract. PMID- 29817762 TI - Umbilical Hernia. PMID- 29817763 TI - Medical Practitioners and Hospital Abuse. PMID- 29817764 TI - Hospital Penny Fund. PMID- 29817765 TI - The Mechanism of Exophthalmos. PMID- 29817766 TI - Puerperal Eclampsia. PMID- 29817767 TI - The Salop Infirmary, Shrewsbury. PMID- 29817768 TI - Notes and News. PMID- 29817769 TI - Diet and Drugs in Diabetes. PMID- 29817770 TI - The Hospital. Nursing Section. PMID- 29817772 TI - A Suggested New Departure in Hospital Administration: II. The Chairman Superintendent.-Objections. PMID- 29817771 TI - Notes and News. PMID- 29817773 TI - Annotations. PMID- 29817774 TI - Psychiatry. PMID- 29817775 TI - The General Medical Council. PMID- 29817776 TI - Neurology. PMID- 29817777 TI - The Central Funds and Special Hospitals. PMID- 29817778 TI - Hospital Meetings. PMID- 29817780 TI - The Birth-Rate in New South Wales. PMID- 29817779 TI - Visits to Private Asylums. PMID- 29817781 TI - Prize-Giving at Charing Cross Hospital Medical School. PMID- 29817782 TI - Glances at the Hospitals. PMID- 29817783 TI - Surgical Operations in Private Practice: IV. The Preparation of Rooms and Instruments. PMID- 29817784 TI - Cerebral and Nerve Surgery. PMID- 29817786 TI - Glances at the Hospitals. PMID- 29817785 TI - Beri-Beri. PMID- 29817788 TI - Psychiatry. PMID- 29817787 TI - Diseases of the Colon. PMID- 29817790 TI - A Red Cross Society. PMID- 29817789 TI - Examinations in Tropical Medicine. PMID- 29817791 TI - Meeting of Clergy at the North-Eastern Hospital for Children, Hackney Road, E. PMID- 29817792 TI - Neurology. PMID- 29817793 TI - Internal Secretion and the Thyroid Gland. PMID- 29817794 TI - Notes and News. PMID- 29817796 TI - The Story of the Insane from Year to Year. PMID- 29817795 TI - Metropolitan Hospital Sunday Fund. PMID- 29817797 TI - A Suggested New Departure in Hospital Administration: I. The Chairman Superintendent.-Advantages. PMID- 29817798 TI - The Hospital. Nursing Section. PMID- 29817799 TI - King Edward's Hospital Fund for London. PMID- 29817800 TI - Surgical Operations in Private Practice: III. Surgical Interference with the Pleural Cavity. PMID- 29817801 TI - Annotations. PMID- 29817802 TI - The Treatment of Pruritus Ani. PMID- 29817804 TI - The Hospital Funds and the Special Hospitals. PMID- 29817803 TI - National Hospital for the Paralysed and Epileptic. PMID- 29817805 TI - Glances at the Hospitals. PMID- 29817806 TI - Hospital Meetings. PMID- 29817807 TI - Proposed Emergency Hospital for Ilford. PMID- 29817808 TI - The Hospital. Nursing Section. PMID- 29817810 TI - Pneumococcus Peritonitis. PMID- 29817809 TI - Diseases of the Stomach and Intestines. PMID- 29817812 TI - Rats on Shipboard. PMID- 29817811 TI - The Control of the Inebriate. PMID- 29817813 TI - Obstetrics. PMID- 29817814 TI - New Appliances and Things Medical. PMID- 29817815 TI - Parotitis and Gastric Ulcer. PMID- 29817816 TI - Therapeutic Fasting in Enteric Fever. PMID- 29817817 TI - Surgical Operations in Private Practice: V. Varicose Veins. PMID- 29817818 TI - Annotations. PMID- 29817819 TI - Notes and News. PMID- 29817821 TI - Diabetes. PMID- 29817820 TI - Hospital Records and Medical Research. PMID- 29817822 TI - Hospitals and Medical Schools. PMID- 29817823 TI - St. Bartholomew's Hospital. PMID- 29817825 TI - Cancer Research. PMID- 29817824 TI - X-Rays as an Aid to Medical Diagnosis. PMID- 29817826 TI - Genito-Urinary Diseases. PMID- 29817827 TI - East London Medical Society and Hospital Abuse. PMID- 29817828 TI - Rheumatism and Gout. PMID- 29817829 TI - Pathological Research in London County Asylums. PMID- 29817831 TI - The Hospital. Nursing Section. PMID- 29817830 TI - Annotations. PMID- 29817832 TI - Epithelioma of the Tongue in Women. PMID- 29817833 TI - How St. Bartholomew's Hospital Can Be Saved. PMID- 29817834 TI - A Lecture on Albuminuria as a Complication of Pregnancy. PMID- 29817835 TI - Gross Cleanliness in Surgery. PMID- 29817836 TI - Philosophy and Medicine. PMID- 29817837 TI - Notes and News. PMID- 29817838 TI - The Distinction between Incomplete Fracture of the Neck of the Femur and Separation of the Epiphysis. PMID- 29817839 TI - Chorion-Epithelioma, Vesicular Mole, and Lutein Cysts. PMID- 29817840 TI - Lectures on the Feeding of Infants: I. Breast Feeding and Weaning. PMID- 29817841 TI - Hospital Meetings. PMID- 29817842 TI - Diabetes. PMID- 29817844 TI - Annotations. PMID- 29817843 TI - Metropolitan Hospital Sunday Fund. PMID- 29817845 TI - The Hospital. Nursing Section. PMID- 29817846 TI - King Edward's Hospital Fund for London. PMID- 29817847 TI - Genito-Urinary Surgery. PMID- 29817848 TI - Notes and News. PMID- 29817850 TI - Bacteriology. PMID- 29817849 TI - The League of Mercy. PMID- 29817851 TI - Sudden and Unexpected Death in Children. PMID- 29817852 TI - The King's Fund and the Hospitals. PMID- 29817854 TI - Food and Feeding. PMID- 29817853 TI - Acute Diphtheritic Whitlow. PMID- 29817855 TI - Syphilis of Upper Air Passages. PMID- 29817856 TI - The Hospital Penny Fund. PMID- 29817857 TI - Apoplectic Motation. PMID- 29817858 TI - Hospital for the Insane in British Columbia. PMID- 29817860 TI - The Hull Fishermen's Hospital. PMID- 29817859 TI - Wolverhampton Hospital for Women. PMID- 29817862 TI - The Ethics of Chloroform Administration. PMID- 29817861 TI - The Hospital Officers' Association. PMID- 29817863 TI - Annotations. PMID- 29817864 TI - Notes and News. PMID- 29817865 TI - Orthoform in the Diagnosis of Gastric Ulcer. PMID- 29817866 TI - Surgical Operations in Private Practice. PMID- 29817868 TI - The Hospital. Nursing Section. PMID- 29817867 TI - Prolonged Jaundice. PMID- 29817869 TI - The Feeble-Minded. PMID- 29817870 TI - Cancer Research. PMID- 29817871 TI - Glances at the Hospitals. PMID- 29817872 TI - Guild of St. Luke's. PMID- 29817873 TI - Diseases of the Stomach. PMID- 29817874 TI - Diseases of the Blood. PMID- 29817875 TI - The Relief of Distress. PMID- 29817876 TI - Bacterial Contamination of Milk. PMID- 29817877 TI - Droitwich as a Health Resort. PMID- 29817878 TI - King Edward's Hospital Fund for London. PMID- 29817879 TI - Surgery of Stomach. PMID- 29817880 TI - Construction Notes. PMID- 29817881 TI - Notes and News. PMID- 29817882 TI - Organo-Therapy in Ancient Times. PMID- 29817884 TI - The Hospital Sunday Fund and the "Medical Press". PMID- 29817883 TI - Argyrol in Eye-Work. PMID- 29817885 TI - Annotations. PMID- 29817886 TI - The Story of the Insane from Year to Year. PMID- 29817887 TI - New Appliances and Things Medical. PMID- 29817888 TI - Fog and Smoke. PMID- 29817889 TI - The Passage of Blood by the Bowel. PMID- 29817890 TI - The Visit of French Doctors to London. PMID- 29817891 TI - The Hospital. Nursing Section. PMID- 29817892 TI - Hospital Pharmacopoeias. PMID- 29817893 TI - School Hygiene. PMID- 29817894 TI - Lectures on the Feeding of Infants: II. Artificial Feeding. PMID- 29817895 TI - The League of Mercy. PMID- 29817896 TI - Glances at the Hospitals. PMID- 29817897 TI - The Influence of Dentition in the Etiology of Epilepsy. PMID- 29817898 TI - Surgery.-Hernia. PMID- 29817899 TI - Psychiatry. PMID- 29817900 TI - Antistreptococcic Serum. PMID- 29817901 TI - St. John's Hospital for Diseases of the Skin. PMID- 29817902 TI - Fractures and Dislocations of the Carpal Bones. PMID- 29817903 TI - Diseases of the Respiratory System. PMID- 29817904 TI - Fire Protection at the Royal Portsmouth Hospital. PMID- 29817905 TI - Bacteriology. PMID- 29817906 TI - Kernig's Sign. PMID- 29817907 TI - The Brighton Hospitals. PMID- 29817908 TI - Notification of Disease. PMID- 29817909 TI - Manchester Hospital for Skin Diseases. PMID- 29817910 TI - Osteoplastic Amputations. PMID- 29817911 TI - The Hospital. Nursing Section. PMID- 29817912 TI - Cerebral and Nerve Surgery. PMID- 29817913 TI - Annotations. PMID- 29817914 TI - Notes and News. PMID- 29817915 TI - Intestinal Obstruction Following Appendicitis. PMID- 29817916 TI - Glances at the Hospitals. PMID- 29817917 TI - Cirrhosis of the Liver. PMID- 29817918 TI - The Story of the Insane from Year to Year. PMID- 29817919 TI - L'Entente Cordiale. PMID- 29817920 TI - New Appliances and Things Medical. PMID- 29817921 TI - Axbridge Workhouse Infirmary. PMID- 29817922 TI - Notes and News. PMID- 29817923 TI - The Treatment of Sciatica. PMID- 29817924 TI - Olive Oil Injections in Constipation. PMID- 29817925 TI - The Hospital. Nursing Section. PMID- 29817926 TI - Genito-Urinary Diseases. PMID- 29817927 TI - The Story of the Insane from Year to Year. PMID- 29817928 TI - Our French Visitors. PMID- 29817929 TI - New Out-Patient Department at Charing Cross Hospital. PMID- 29817930 TI - The Opportunity of St. Bartholomew's. PMID- 29817931 TI - Invalid Children's and Association. PMID- 29817932 TI - The English of an Elizabethan Physician. PMID- 29817933 TI - The Hospital Penny Fund. PMID- 29817934 TI - Diseases of the Blood. PMID- 29817936 TI - The Small-Pox Epidemic at Dewsbury. PMID- 29817935 TI - Diseases of the Stomach. PMID- 29817937 TI - Rigor Mortis in Still-Born Children. PMID- 29817938 TI - The British Hospital at Sunny Bank, Cannes. PMID- 29817939 TI - Glances at the Hospitals. PMID- 29817940 TI - Subcutaneous Fibrous Nodules. PMID- 29817941 TI - Annotations. PMID- 29817943 TI - Hospital Expenditure and Its Reduction. PMID- 29817942 TI - Hospital Attendants and Male Servants. PMID- 29817944 TI - Cerebral Surgery. PMID- 29817945 TI - Glances at the Hospitals. PMID- 29817947 TI - Notes on Poor-Law Administration. PMID- 29817946 TI - School Hygiene. PMID- 29817948 TI - Schistosoma Cattoi : A New Blood Fluke of Man. PMID- 29817949 TI - Lectures on the Feeding of Infants: III. Artificial Foods. PMID- 29817951 TI - Surgery.-Hernia. PMID- 29817950 TI - Metropolitan Hospital Sunday Fund. PMID- 29817952 TI - Notes and News. PMID- 29817953 TI - More Cancer Research. PMID- 29817954 TI - Rodent Ulcer. PMID- 29817955 TI - The Hospital. Nursing Section. PMID- 29817956 TI - The Cultivation of Trypanosoma from the Leishman-Donovan Body. PMID- 29817957 TI - The Central Funds and the Special Hospitals. PMID- 29817959 TI - Movable Kidney. PMID- 29817958 TI - Dried Milk. PMID- 29817961 TI - Psychiatry. PMID- 29817960 TI - Proprietary Preparations and the Medical Profession. PMID- 29817963 TI - The Story of the Insane from Year to Year. PMID- 29817962 TI - Annotations. PMID- 29817964 TI - Notes and News. PMID- 29817965 TI - Glances at the Hospitals. PMID- 29817967 TI - The London Commercial Travellers and the Hospital Sunday Fund. PMID- 29817966 TI - Surgery of the Peritoneum. PMID- 29817968 TI - 1904. PMID- 29817969 TI - The Hospital. Nursing Section. PMID- 29817971 TI - Surgery of Stomach. PMID- 29817970 TI - The Infant Orphan Asylum, Wanstead. PMID- 29817973 TI - Annotations. PMID- 29817972 TI - Genito-Urinary Surgery. PMID- 29817974 TI - The League of Mercy. PMID- 29817975 TI - New Hospital in Rome. PMID- 29817977 TI - Practical Departments. PMID- 29817976 TI - The Dustbin in "Progressive" Putney. PMID- 29817978 TI - Looking Back. PMID- 29817979 TI - The Constitution of the Hospital Sunday Fund. PMID- 29817980 TI - The Overlaying of Infants. PMID- 29817981 TI - The Health of India. PMID- 29817982 TI - The Nursing at Woodilee Asylum. PMID- 29817983 TI - New Appliances and Things Medical. PMID- 29817985 TI - The Hospital. Nursing Section. PMID- 29817984 TI - Diseases of the Respiratory System. PMID- 29817987 TI - Mosquitoes and Yellow Fever. PMID- 29817986 TI - The Hospital Penny Fund. PMID- 29817988 TI - The Doncaster and Mexboro' Infectious Hospital. PMID- 29817989 TI - The Knee-Jerks in Pneumonia. PMID- 29817990 TI - Sir James Crichton Browne on Physical Education. PMID- 29817991 TI - Diseases of the Blood. PMID- 29817992 TI - Glances at the Hospitals. PMID- 29817993 TI - The National Hospital for the Paralysed and Epileptic, Queen Square, Bloomsbury. PMID- 29817994 TI - The Use of Tuberculin. PMID- 29817995 TI - Anaemic Vomiting. PMID- 29817996 TI - Eucaine Lactate. PMID- 29817997 TI - Gonorrhoeal Salpingitis in Children. PMID- 29817998 TI - The Ophthalmoscope in Medical Practice. PMID- 29817999 TI - The Visit of French Medical Men to London. PMID- 29818000 TI - Construction Notes. PMID- 29818001 TI - Annotations. PMID- 29818002 TI - The Story of the Insane from Year to Year. PMID- 29818003 TI - Trypanosomiasis in the Congo. PMID- 29818004 TI - Dermatology. PMID- 29818005 TI - The League of Mercy. PMID- 29818006 TI - Doctors in Ancient Ireland. PMID- 29818007 TI - Notes and News. PMID- 29818008 TI - Congenital Hypertrophic Stenosis of the Pylorus. PMID- 29818009 TI - Aerated Waters. PMID- 29818010 TI - School and Home. PMID- 29818011 TI - Movable Kidney. PMID- 29818012 TI - Improvements at the Westminster General Dispensary. PMID- 29818013 TI - Opening of the New Isolation Hospital, Acton. PMID- 29818014 TI - The Heart and Its Examination. PMID- 29818015 TI - Hospital Saturday Fund. PMID- 29818016 TI - Diseases of the Kidneys. PMID- 29818017 TI - The Hospital. Nursing Section. PMID- 29818018 TI - The Engineering Side of Hospital Work: I. Introduction. PMID- 29818019 TI - The Symptoms Caused by Intestinal Parasites. PMID- 29818020 TI - Annotations. PMID- 29818021 TI - Excess of Fat in the Artificial Feeding of Infants. PMID- 29818022 TI - Notes and News. PMID- 29818023 TI - Construction Notes. PMID- 29818024 TI - New Appliances and Things Medical. PMID- 29818025 TI - The Decimal Association. PMID- 29818026 TI - Diseases of the Blood and Blood-Vessels. PMID- 29818027 TI - The Treatment of Pneumonia. PMID- 29818028 TI - How to Close Wounds of the Larger Arteries. PMID- 29818029 TI - The Winsley Sanatorium for Consumptives at Limpley Stoke, near Bath. PMID- 29818030 TI - Tetany Due to Foreign Bodies in the Stomach. PMID- 29818031 TI - Royal Orthopaedic Hospital. PMID- 29818032 TI - Guardians' Subscriptions to Voluntary Hospitals. PMID- 29818033 TI - Diseases of the Blood. PMID- 29818034 TI - Notes of 100 Consecutive Successful Operations from over 2,000 Aggregate Labours. PMID- 29818036 TI - Annotations. PMID- 29818035 TI - St. Bartholomew's Hospital. PMID- 29818037 TI - The Causation of Carcinoma. PMID- 29818038 TI - Medical Directions for a Toilette in the Seventeenth Century. PMID- 29818040 TI - OEdema of the Glottis. PMID- 29818039 TI - Diseases of the Kidneys. PMID- 29818041 TI - The Engineering Side of Hospital Work: Cold Storage and Refrigeration. PMID- 29818042 TI - Medical Inspection of Schools. PMID- 29818043 TI - Diseases of the Blood. PMID- 29818044 TI - Notes and News. PMID- 29818046 TI - Measles in London. PMID- 29818045 TI - Hospital Meetings. PMID- 29818048 TI - A Ten Years' Review of the Expenditure of the London Hospitals and Its Lessons. PMID- 29818047 TI - New Appliances and Things Medical. PMID- 29818049 TI - Myelopathic Albumosuria. PMID- 29818050 TI - Public Baths in the United States. PMID- 29818051 TI - The Hospital. Nursing Section. PMID- 29818052 TI - Surgery of the Vermiform Appendix. PMID- 29818054 TI - Hospital Expenditure and Its Reduction. PMID- 29818053 TI - Diseases of Nerves and Electrical Treatment. PMID- 29818055 TI - Psychiatry. PMID- 29818056 TI - On Excretion. PMID- 29818057 TI - Tracheotomy and Intubation. PMID- 29818058 TI - London Orphan Asylum, Watford. PMID- 29818059 TI - Seamen's Hospital Society. PMID- 29818060 TI - The Hospital. Nursing Section. PMID- 29818061 TI - Hospital Meetings. PMID- 29818062 TI - Hospital Expenditure and Its Reduction. PMID- 29818063 TI - Employers and Employed in America. PMID- 29818064 TI - The Use of Raw Meat in the Treatment of Phthisis. PMID- 29818065 TI - The Visit of French Doctors to London. PMID- 29818066 TI - Annotations. PMID- 29818067 TI - Diseases of the Blood and Blood-Vessels. PMID- 29818068 TI - The Health of London. PMID- 29818069 TI - Feverishness in Children. PMID- 29818070 TI - Notes and News. PMID- 29818071 TI - Glasgow Western Infirmary. PMID- 29818072 TI - Hospital Attendants and Male Servants. PMID- 29818073 TI - Diseases of Animals in 1904. PMID- 29818074 TI - Names and Theories. PMID- 29818075 TI - Medical Education in London. PMID- 29818077 TI - Genito-Urinary Surgery. PMID- 29818076 TI - Queen's Jubilee Hospital. PMID- 29818078 TI - Hospital Meetings. PMID- 29818079 TI - Anaesthetics. PMID- 29818080 TI - Glances at the Hospitals. PMID- 29818081 TI - Hospital Subscriptions and Medical Schools. PMID- 29818082 TI - Hospital Questions Which Press. PMID- 29818083 TI - The Queen's Jubilee Hospital. PMID- 29818085 TI - The Hospital. Nursing Section. PMID- 29818084 TI - Free Hospital Patients and the Medical Profession. PMID- 29818086 TI - Mucous Disease or Chronic Intestinal Dyspepsia in Children. PMID- 29818087 TI - Diseases of the Blood. PMID- 29818089 TI - Hospitals and Medical Schools. PMID- 29818088 TI - Enteroptosis and Neurasthenia. PMID- 29818091 TI - Annotations. PMID- 29818090 TI - Chorea. PMID- 29818093 TI - Notes and News. PMID- 29818092 TI - The Tenure of Sanitary Office. PMID- 29818094 TI - The Hospital. Nursing Section. PMID- 29818095 TI - Annotations. PMID- 29818096 TI - The International Congress of Medicine, Lisbon, 1906. PMID- 29818097 TI - Diseases of the Blood. PMID- 29818098 TI - The Italian Hospital. PMID- 29818099 TI - The Diagnosis of Scarlet Fever. PMID- 29818101 TI - A Case for Diagnosis. PMID- 29818100 TI - The Resources and Requirements of the Voluntary Hospitals of London. PMID- 29818102 TI - The Treatment of Laryngeal Tuberculosis. PMID- 29818103 TI - The Story of the Insane from Year to Year. PMID- 29818104 TI - A Catalogue of Quacks. PMID- 29818105 TI - Notes on Sciatica and Lumbago. PMID- 29818106 TI - New Appliances and Things Medical. PMID- 29818107 TI - Surgery of the Liver. PMID- 29818108 TI - The Medical Aspects of Religious Revivals. PMID- 29818109 TI - Aerated Waters. PMID- 29818110 TI - The Surgery of the Spleen and Pancreas. PMID- 29818111 TI - Practical Points. PMID- 29818112 TI - Functional Mental Disorders. PMID- 29818113 TI - Notes and News. PMID- 29818114 TI - The Engineering Side of Hospital Work: III. Cold Storage and Refrigeration. PMID- 29818115 TI - Hospital Meetings, &c. PMID- 29818116 TI - School Hygiene. PMID- 29818117 TI - Interlobar Empyema. PMID- 29818118 TI - The Hospital. Nursing Section. PMID- 29818119 TI - New Appliances and Things Medical. PMID- 29818120 TI - Bacteriology. PMID- 29818121 TI - Convulsions in Infancy and Childhood. PMID- 29818122 TI - Hospital Meetings. PMID- 29818123 TI - Gastro-Jejunostomy. PMID- 29818124 TI - Nurses' Home at the South Shields Union Infirmary. PMID- 29818125 TI - Annotations. PMID- 29818126 TI - Genito-Urinary Surgery. PMID- 29818127 TI - Notes and News. PMID- 29818128 TI - The Engineering Side of Hospital Work: IV. The Use of Cold Storage in Hospitals. PMID- 29818129 TI - Diseases of the Blood and Blood-Vessels. PMID- 29818130 TI - Lesions of the Cervical Sympathetic Nerves. PMID- 29818131 TI - Practical Departments. PMID- 29818132 TI - Construction Notes. PMID- 29818133 TI - Sanitation in the Field. PMID- 29818135 TI - Imbecile Children. PMID- 29818134 TI - Hospital Questions Which Press. PMID- 29818136 TI - The Hospital Funds and the Special Hospitals. PMID- 29818137 TI - Annotations. PMID- 29818139 TI - A Suggested New Departure in Hospital Administration: III. The Medical Superintendent-An Indispensable Official. PMID- 29818138 TI - Diabetes. PMID- 29818141 TI - Proposed Extension of the Glasgow Maternity Hospital. PMID- 29818140 TI - Rheumatism and Gout. PMID- 29818142 TI - The Treatment of Cancer. PMID- 29818143 TI - Bridging Nerve Defects. PMID- 29818145 TI - The Preliminary Education of Medical Students. PMID- 29818144 TI - Notes and News. PMID- 29818146 TI - Diseases of the Stomach and Intestines. PMID- 29818147 TI - The Hospital. Nursing Section. PMID- 29818148 TI - Construction Notes. PMID- 29818149 TI - Practical Departments. PMID- 29818150 TI - Christmas Appeal Supplement. PMID- 29818151 TI - The Surgical Aid Society. PMID- 29818152 TI - The Bacteriology of Inflammatory Processes in the Abdomen. PMID- 29818154 TI - The Medicinal Treatment of Cancer. PMID- 29818153 TI - A Model Milk Supply. PMID- 29818155 TI - North London or University College Hospital. PMID- 29818156 TI - The Treatment of Cancer. PMID- 29818157 TI - The Story of the Insane from Year to Year. PMID- 29818158 TI - Progress in Psychiatry. PMID- 29818159 TI - Loose Prescribing. PMID- 29818160 TI - The Effect of Variations in Food on the Digestive Glands. PMID- 29818161 TI - "Drunk or Dying" Cases. PMID- 29818162 TI - Annotations. PMID- 29818164 TI - Hemiplegias. PMID- 29818163 TI - Progress in Neurology. PMID- 29818166 TI - Notes and News. PMID- 29818165 TI - Hospital Meetings. PMID- 29818168 TI - Surgery of the Paralyses of Children. PMID- 29818167 TI - The Hospital. Nursing Section. PMID- 29818169 TI - The Housing Question. PMID- 29818170 TI - King Edward's Hospital Fund for London. PMID- 29818172 TI - Progress of Surgery. PMID- 29818171 TI - Practical Departments. PMID- 29818173 TI - Notes and News. PMID- 29818174 TI - Hemianopsia. PMID- 29818175 TI - Heat Stroke. PMID- 29818176 TI - Adherent Pericardium. PMID- 29818177 TI - Bacteria and Butter-Making. PMID- 29818179 TI - The Hospital. Nursing Section. PMID- 29818178 TI - The Law Relating to Lunatics and Persons of Unsound Mind.-III. PMID- 29818180 TI - Progress at Guy's Hospital. PMID- 29818181 TI - Annotations. PMID- 29818182 TI - Tumours of the Abdomen. PMID- 29818183 TI - Cataract. PMID- 29818184 TI - The Advantages of Poverty. PMID- 29818185 TI - Progress in Ophthalmology. PMID- 29818186 TI - The Migration of Hospitals. PMID- 29818187 TI - Progress in Skin Diseases. PMID- 29818188 TI - New Appliances and Things Medical. PMID- 29818189 TI - Hospital Meetings. PMID- 29818190 TI - Progress in State Medicine. PMID- 29818191 TI - The Gelatin Treatment of Haemoptysis. PMID- 29818193 TI - What Happens under Mr. Holland's System. PMID- 29818192 TI - Syphilis, Tuberculosis, and Fresh Air. PMID- 29818194 TI - Progress in Neurology. PMID- 29818195 TI - St. Bartholomew's Hospital Committee of Inquiry. PMID- 29818197 TI - "Drunk or Dying" Cases. PMID- 29818196 TI - Small-Pox at Purfleet. PMID- 29818199 TI - Some Points in the Pathology and Therapeutics of Digestion. PMID- 29818198 TI - Diseases of the Kidney. PMID- 29818201 TI - Hospital Meetings. PMID- 29818200 TI - Appendicitis. PMID- 29818202 TI - Sites and Population in London. PMID- 29818203 TI - St. Bartholomew's Hospital. PMID- 29818204 TI - Eclampsia. PMID- 29818205 TI - Annotations. PMID- 29818206 TI - Progress in Surgery of the Liver and Gall Bladder. PMID- 29818207 TI - Notes and News. PMID- 29818209 TI - New Appliances and Things Medical. PMID- 29818208 TI - The Hospital. Nursing Section. PMID- 29818211 TI - The Hospital Officers' Association. PMID- 29818210 TI - Notes on Medicine for Medical and Dental Students. PMID- 29818213 TI - Modern Sociology. PMID- 29818212 TI - Recent Applications of Electricity: III. Static Electricity. PMID- 29818215 TI - Progress in Ophthalmology. PMID- 29818214 TI - New Appliances and Things Medical. PMID- 29818216 TI - Progress in Surgery. PMID- 29818217 TI - Hospital Support: Individual and Collective Efforts. PMID- 29818219 TI - Annotations. PMID- 29818218 TI - The Discovery of the Human Trypanosome. PMID- 29818220 TI - The Law Affecting Medical Practitioners.-II. PMID- 29818221 TI - Progress in Phototherapy. PMID- 29818223 TI - The League of Mercy. PMID- 29818222 TI - Pneumonia. PMID- 29818224 TI - Notes and News. PMID- 29818225 TI - The Registrar-General's Return. PMID- 29818226 TI - Post-Operative Non-Septic Leucocytosis. PMID- 29818227 TI - Glances at the Hospitals. PMID- 29818228 TI - The Introductories. PMID- 29818229 TI - The Story of the Insane from Year to Year. PMID- 29818230 TI - Notes and News. PMID- 29818231 TI - The Hull Sanatorium for Consumption at Withernsea. PMID- 29818232 TI - The X-Rays in Sarcoma. PMID- 29818233 TI - New Appliances and Things Medical. PMID- 29818234 TI - The Hospital. Nursing Section. PMID- 29818235 TI - Cancer of the Breast Treated by Removal of Ovaries. PMID- 29818236 TI - Enteroptosis. PMID- 29818237 TI - Progress in Fevers. PMID- 29818239 TI - Orthodox and Unorthodox Medicine. PMID- 29818238 TI - The Medicine Stamp Question. PMID- 29818240 TI - Annotations. PMID- 29818241 TI - The Use of Zinc Gelatine. PMID- 29818242 TI - Does Contract Practice Pay? PMID- 29818243 TI - Traumatic Ulcerations of the Tongue. PMID- 29818244 TI - Compulsory but Unpaid Medical Services. PMID- 29818245 TI - Progress in Surgery. PMID- 29818246 TI - The Nordrach Sanatorium. PMID- 29818247 TI - Contract Medical Practice. PMID- 29818248 TI - Progress in Pediatrics. PMID- 29818249 TI - Sanatorium for Consumptives at Auchterhouse, Dundee. PMID- 29818251 TI - Ligature of Internal Saphenous Vein. PMID- 29818250 TI - Surgery of Gall-Bladder and Bile-Ducts. PMID- 29818252 TI - Notes and News. PMID- 29818253 TI - "Drunk or Dying" Cases. PMID- 29818255 TI - London Locomotion. PMID- 29818254 TI - New Appliances and Things Medical. PMID- 29818256 TI - The Hospital. Nursing Section. PMID- 29818257 TI - The Vaccination Act. PMID- 29818258 TI - Annotations. PMID- 29818259 TI - The Phenomena of Digestion and Their Significance. PMID- 29818260 TI - Diseases of the Kidney. PMID- 29818261 TI - Visits to Private Asylums. PMID- 29818262 TI - Hospital Meetings. PMID- 29818263 TI - From a "Resident's" Point of View. PMID- 29818265 TI - The After-Care Association. PMID- 29818264 TI - Progress in Gynaecology. PMID- 29818266 TI - Progress in Genito-Urinary Surgery. PMID- 29818267 TI - Heredity and the Question of Forced Labour. PMID- 29818268 TI - Annotations. PMID- 29818269 TI - Bacterial Toxins. PMID- 29818270 TI - Progress in Bacteriology. PMID- 29818271 TI - Progress in Gynaecology. PMID- 29818272 TI - Spinal Cocainisation in Obstetrics. PMID- 29818273 TI - New Appliances and Things Medical. PMID- 29818274 TI - The Prevention of Tuberculosis. PMID- 29818275 TI - Hospital Meetings. PMID- 29818277 TI - The Extinction of Tuberculosis. PMID- 29818276 TI - St. Bartholomew's Hospital. PMID- 29818278 TI - Notes and News. PMID- 29818279 TI - Progress in Genito-Urinary Surgery. PMID- 29818280 TI - The Hospital. Nursing Section. PMID- 29818281 TI - Diseases of the Breast. PMID- 29818282 TI - Bill Relating to Officers of Health. PMID- 29818283 TI - If We Had State-Aided Hospitals. PMID- 29818284 TI - Progress in Psychiatry. PMID- 29818285 TI - Consumption in the Navy. PMID- 29818286 TI - Health Resorts. PMID- 29818287 TI - Modern Sociology. PMID- 29818288 TI - New Appliances and Things Medical. PMID- 29818289 TI - Institutional Notes and Queries. PMID- 29818290 TI - "Knowing" and "Looking". PMID- 29818291 TI - Dr. Vivian Poore's Views. PMID- 29818292 TI - Glances at the Hospitals. PMID- 29818293 TI - Annotations. PMID- 29818294 TI - The Choice of Operation for Uterine Fibroids. PMID- 29818295 TI - The Treatment of Typhoid Excreta. PMID- 29818297 TI - The Hospital. Nursing Section. PMID- 29818296 TI - Progress in Medicine. PMID- 29818298 TI - Abbreviations. PMID- 29818299 TI - Progress in Pediatrics. PMID- 29818300 TI - Spastic and Syphilitic Spinal Paralysis. PMID- 29818301 TI - Reaction against Hysterectomy. PMID- 29818302 TI - Notes and News. PMID- 29818303 TI - The Story of the Insane from Year to Year. PMID- 29818304 TI - After-Care Association for the Insane. PMID- 29818305 TI - Medical Department of the Royal Navy. PMID- 29818306 TI - Notes and News. PMID- 29818307 TI - Glances at the Hospitals. PMID- 29818308 TI - Progress in Psychiatry. PMID- 29818309 TI - The Hospital. Nursing Section. PMID- 29818310 TI - The Mansion House and the Hospitals. PMID- 29818311 TI - Cancer of Breasts and Ovary. PMID- 29818312 TI - Fogs and Gas-Poisoning. PMID- 29818313 TI - Inversion of the Uterus. PMID- 29818314 TI - Progress in Pediatrics. PMID- 29818315 TI - Unexpected Results from Taking Drugs. PMID- 29818316 TI - Pleasure as a Vaso-Dilator. PMID- 29818317 TI - The Harveian Oration. PMID- 29818318 TI - Opening of a New Hospital at Sevenoaks. PMID- 29818319 TI - Annotations. PMID- 29818320 TI - The Nasal Treatment of Asthma. PMID- 29818321 TI - Inflammable Eructations. PMID- 29818322 TI - New Appliances and Things Medical. PMID- 29818323 TI - Progress in Medicine. PMID- 29818324 TI - Hospital Reports. PMID- 29818325 TI - The Current from the Main. PMID- 29818326 TI - The Congress on Tuberculosis. PMID- 29818327 TI - Progress in Diseases of the Blood. PMID- 29818328 TI - Progress in Medicine. PMID- 29818329 TI - The Hospital. Nursing Section. PMID- 29818330 TI - Progress in Bacteriology. PMID- 29818331 TI - Annotations. PMID- 29818332 TI - Diseases of the Abdomen. PMID- 29818333 TI - The Story of the Insane from Year to Year. PMID- 29818334 TI - The Place of Arsenic in the Production of Disease. PMID- 29818335 TI - New Appliances and Things Medical. PMID- 29818336 TI - Tottenham Hospital: Bazaar for the Ladies' Association. PMID- 29818337 TI - The Hospital Treatment of Lunacy. PMID- 29818338 TI - Cancer and the Quakers. PMID- 29818339 TI - Knee-Jerk in Early Tabes. PMID- 29818340 TI - Notes and News. PMID- 29818341 TI - Hospital Expenditure. PMID- 29818342 TI - Notes and News. PMID- 29818343 TI - The Bradshaw Lecture. PMID- 29818344 TI - Health Resorts. PMID- 29818345 TI - Annotations. PMID- 29818346 TI - The Hospital. Nursing Section. PMID- 29818347 TI - Recent Applications of Electricity: II. Current from the Main.-High Frequency Currents. PMID- 29818348 TI - (In)temperance among Women. PMID- 29818349 TI - The London County Council and the Tottenham Hospital. PMID- 29818350 TI - Diseases of the Abdomen. PMID- 29818351 TI - Progress in Surgery. PMID- 29818352 TI - Progress in Ophthalmology. PMID- 29818354 TI - Modern Sociology. PMID- 29818353 TI - The Law Affecting Medical Practitioners.-I. PMID- 29818355 TI - Gloves in Operative Surgery. PMID- 29818356 TI - Notes and News. PMID- 29818357 TI - The Civil Hospitals and Dispensaries of the Madras Presidency. PMID- 29818358 TI - Progress in Tropical Diseases. PMID- 29818360 TI - Diseases of the Abdomen. PMID- 29818359 TI - Annotations. PMID- 29818362 TI - Diseases of the Heart and Circulation. PMID- 29818361 TI - Pneumococcal Peritonitis. PMID- 29818364 TI - The Story of the Insane from Year to Year. PMID- 29818363 TI - The Law Affecting Medical Practitioners.-IV. PMID- 29818365 TI - A New Application of the Electromagnet. PMID- 29818366 TI - AEsthetic Surgery. PMID- 29818367 TI - Manual Compression of the Heart in Syncope Due to Anaesthetics. PMID- 29818368 TI - Visits to Private Asylums. PMID- 29818369 TI - The Hospital. Nursing Section. PMID- 29818370 TI - Enuresis in Childhood. PMID- 29818371 TI - "Sleeping Sickness" in Uganda. PMID- 29818372 TI - Forcible Straightening of the Spine in Paraplegia. PMID- 29818373 TI - The Task of the New Water Authority. PMID- 29818374 TI - Annotations. PMID- 29818375 TI - The Hospital. Nursing Section. PMID- 29818376 TI - The Power of Unanimity. PMID- 29818377 TI - Hospital Meetings. PMID- 29818379 TI - Progress in State Medicine. PMID- 29818378 TI - Beef Tea. PMID- 29818380 TI - New Appliances and Things Medical. PMID- 29818381 TI - Thrombosis after Typhoid Fever. PMID- 29818382 TI - The General Medical Council. PMID- 29818383 TI - The Municipalisation of All Hospitals. PMID- 29818384 TI - Atonic Dilatation of the Stomach. PMID- 29818385 TI - Progress in Phototherapy. PMID- 29818386 TI - A Handy Method of Sterilising Instruments. PMID- 29818387 TI - Notes and News. PMID- 29818388 TI - The Pathological Society. PMID- 29818389 TI - The Law Affecting Medical Practitioners.-III. PMID- 29818390 TI - The Treatment of Early Cancer of the Larynx. PMID- 29818391 TI - Progress in Diseases of the Blood. PMID- 29818392 TI - Notes and News. PMID- 29818393 TI - King Edward's Hospital Fund. PMID- 29818395 TI - Sir W. R. Gowers on Syphilitic Diseases of the Nervous System. PMID- 29818394 TI - Alcohol in Surgery. PMID- 29818396 TI - The Fire at the Royal Free Hospital. PMID- 29818397 TI - Progress in Phototherapy. PMID- 29818398 TI - A Dermatological Mystery Solved. PMID- 29818399 TI - Annotations. PMID- 29818400 TI - Progress in State Medicine. PMID- 29818401 TI - The King's Hospital Fund. PMID- 29818402 TI - Malignant Disease of the Pylorus. PMID- 29818403 TI - Diseases of the Abdomen. PMID- 29818404 TI - Municipalisation or Mooshine? PMID- 29818405 TI - Alcohol as a Medicine. PMID- 29818406 TI - The Hospital. Nursing Section. PMID- 29818407 TI - Certification in Lunacy. PMID- 29818409 TI - Progress in Diseases of the Blood. PMID- 29818408 TI - Recent Applications of Electricity. PMID- 29818410 TI - The London Life Table. PMID- 29818411 TI - Annotations. PMID- 29818412 TI - Diseases of the Abdomen. PMID- 29818413 TI - The Prevention of Typhoid Fever in Armies. PMID- 29818414 TI - Modern Sociology. PMID- 29818415 TI - Glances at the Hospitals. PMID- 29818416 TI - Progress in Surgery. PMID- 29818417 TI - New Appliances and Things Medical. PMID- 29818418 TI - Lunatic Asylums in the Bombay Presidency. PMID- 29818419 TI - Malignant Adenoma of the Kidney. PMID- 29818421 TI - The History of Plague. PMID- 29818420 TI - Exophthalmic Goitre. PMID- 29818422 TI - The Hospital. Nursing Section. PMID- 29818423 TI - Notes and News. PMID- 29818424 TI - Lunatic Asylums in the North-Western Provinces of India and Oudh. PMID- 29818425 TI - Plague Inoculation. PMID- 29818426 TI - Mr. Howard Marsh on Infective Arthritis. PMID- 29818427 TI - The London Ambulance Service. PMID- 29818428 TI - The Sterilisation of Under-Clothing. PMID- 29818429 TI - Diseases of the Heart and Circulation. PMID- 29818430 TI - Annotations. PMID- 29818431 TI - Notes and News. PMID- 29818432 TI - The Story of the Insane from Year to Year. PMID- 29818433 TI - Visits to Private Asylums. PMID- 29818434 TI - Diseases of the Abdomen. PMID- 29818435 TI - The Hospital. Nursing Section. PMID- 29818437 TI - Progress in Tropical Diseases. PMID- 29818436 TI - Beef Tea. PMID- 29818438 TI - The Surgical Treatment of Dilated Stomach. PMID- 29818439 TI - Glances at the Hospitals. PMID- 29818440 TI - The League of Mercy. PMID- 29818441 TI - Antiseptics in Chronic Dyspepsia. PMID- 29818442 TI - The Royal Infirmary, Dundee. PMID- 29818443 TI - Amendment of the Medical Acts. PMID- 29818444 TI - "Aseptic" and "Antiseptic" Surgery. PMID- 29818446 TI - Empyema in Childhood. PMID- 29818445 TI - A Remarkable Epitaph. PMID- 29818447 TI - The Typhoid Bacillus. PMID- 29818448 TI - A Waning Superstition. PMID- 29818449 TI - The Liverpool Infirmary for Sick Children. PMID- 29818450 TI - Modern Sociology. PMID- 29818451 TI - Progress in Skin Diseases. PMID- 29818452 TI - New Appliances and Things Medical. PMID- 29818454 TI - Progress in Surgery. PMID- 29818453 TI - The Selection of Consumptive Cases for Sanatorium Treatment. PMID- 29818455 TI - The Finsen Light. PMID- 29818456 TI - The Hospital. Nursing Section. PMID- 29818457 TI - The Persistence of the Diphtheria Bacillus. PMID- 29818458 TI - Practical Departments. PMID- 29818459 TI - The Uncertainties of Bacteriological Diagnosis. PMID- 29818461 TI - Notes and News. PMID- 29818460 TI - Royal Orthopaedic Hospital. PMID- 29818462 TI - Progress in Surgery of the Brain and Nerves. PMID- 29818463 TI - Ablation of the Jugular Vein. PMID- 29818464 TI - Annotations. PMID- 29818465 TI - The Law Relating to Infectious Diseases.-VII. PMID- 29818466 TI - The Natural Enemies of the Mosquito. PMID- 29818467 TI - Annotations. PMID- 29818469 TI - 1902. PMID- 29818468 TI - St. George's Hospital. PMID- 29818470 TI - The Hospital. Nursing Section. PMID- 29818471 TI - Health Resorts. PMID- 29818472 TI - Wage Earners and Sickness. PMID- 29818473 TI - Inebriate Homes. PMID- 29818474 TI - Diseases of the Abdomen. PMID- 29818475 TI - The Story of the Insane from Year to Year. PMID- 29818476 TI - Progress in Surgery. PMID- 29818477 TI - Modern Sociology. PMID- 29818478 TI - Theatre Fires and Their Prevention. PMID- 29818479 TI - Notes and News. PMID- 29818480 TI - The Testing of Drains. PMID- 29818481 TI - Progress in State Medicine. PMID- 29818483 TI - The Treatment of Gonorrhoeal Synovitis. PMID- 29818482 TI - Beef Tea. PMID- 29818484 TI - London's New Pay Hospital. PMID- 29818485 TI - Diseases of the Heart and Circulation. PMID- 29818486 TI - The Immunity to Tuberculosis Possessed by Healthy Men. PMID- 29818487 TI - The London Health Report. PMID- 29818488 TI - Sanitary Expenditure and Local Indebtedness. PMID- 29818489 TI - Practical Departments. PMID- 29818490 TI - The Hospital. Nursing Section. PMID- 29818491 TI - Laryngotomy as a Preliminary to Mouth and Throat Operations. PMID- 29818492 TI - Cancer of the Uterus Treated by "Rays". PMID- 29818493 TI - Notes and News. PMID- 29818494 TI - Progress in Fevers. PMID- 29818495 TI - Progress in Neurology. PMID- 29818496 TI - The Future of St. Bartholomew's Hospital. PMID- 29818497 TI - The London Hospital. PMID- 29818498 TI - The Use of Aspirin in the Treatment of Glycosuria and Diabetes Mellitus. PMID- 29818499 TI - Annotations. PMID- 29818500 TI - Ankylostomiasis. PMID- 29818501 TI - The Etiology of Empyema. PMID- 29818502 TI - Intestinal Bacteria. PMID- 29818503 TI - Addenbrooke's Hospital, Cambridge. PMID- 29818504 TI - New Appliances and Things Medical. PMID- 29818505 TI - Two Ways of Looking at an Oyster. PMID- 29818506 TI - A Pay Hospital for London. PMID- 29818507 TI - The Prize Plans for the King's Sanatorium. PMID- 29818508 TI - Annotations. PMID- 29818509 TI - The Catheter in Abdomino-Pelvic Operations in Women. PMID- 29818511 TI - Suturing a Wounded Heart. PMID- 29818510 TI - Diseases of the Heart and Circulation. PMID- 29818512 TI - Visits to Private Asylums. PMID- 29818513 TI - Notes and News. PMID- 29818514 TI - Progress in Surgery. PMID- 29818515 TI - A Gunshot Wound of the Heart. PMID- 29818516 TI - The Hospital. Nursing Section. PMID- 29818517 TI - Fracture of the Greater Process of the Calcaneum. PMID- 29818518 TI - Doctors and Education Committees. PMID- 29818519 TI - The Question of Hospital Sites in London. PMID- 29818520 TI - Metropolitan Hospital Sunday Fund. PMID- 29818521 TI - The Roentgen Ray Treatment of Rodent Ulcer. PMID- 29818522 TI - Progress in Neurology. PMID- 29818524 TI - Orthodoxy and Dissent. PMID- 29818523 TI - The Temperature of Workrooms. PMID- 29818526 TI - Progress in Surgery of the Stomach. PMID- 29818525 TI - The Law Relating to Lunatics and Persons of Unsound Mind.-I. PMID- 29818527 TI - Annotations. PMID- 29818528 TI - Remarks on Proposed Amendments in the Lunacy Act Relating to Single Patients. PMID- 29818529 TI - Rheumatism and Gout. PMID- 29818530 TI - Progress in Fevers. PMID- 29818532 TI - Modern Sociology. PMID- 29818531 TI - Remarks on the Seasonal Incidence of Diarrhoea, and the Part Played by Flies. PMID- 29818534 TI - The Hospital. Nursing Section. PMID- 29818533 TI - Notes and News. PMID- 29818536 TI - Gastric Symptoms in Spinal Disease. PMID- 29818535 TI - The Asylum Holocaust. PMID- 29818537 TI - New Appliances and Things Medical. PMID- 29818538 TI - The Rise of Blood Pressure in Later Life. PMID- 29818539 TI - Adenoids and Trachoma. PMID- 29818540 TI - Dr. Barnardo and His Work. PMID- 29818541 TI - The Voluntary Hospitals. PMID- 29818542 TI - Non-Epileptic Convulsions in Growing Children. PMID- 29818543 TI - Progress in Radiotherapy. PMID- 29818544 TI - Practical Departments. PMID- 29818546 TI - The Hospital. Nursing Section. PMID- 29818545 TI - Notes and News. PMID- 29818547 TI - The Story of the Insane from Year to Year. PMID- 29818548 TI - Nottinghamshire Sanatorium for Consumptives at Ratcher Hill, Mansfield. PMID- 29818549 TI - Annotations. PMID- 29818550 TI - "So-Called" Aseptic Surgery. PMID- 29818551 TI - The Medical Inspection of Schools. PMID- 29818552 TI - The Micrococcus of Acute Rheumatism. PMID- 29818554 TI - Progress in Psychiatry. PMID- 29818553 TI - Addenbrooke's Hospital. PMID- 29818555 TI - Birth Paralysis of the Upper Extremity. PMID- 29818556 TI - Progress of Surgery. PMID- 29818557 TI - A Grave Scandal. PMID- 29818558 TI - New Appliances and Things Medical. PMID- 29818559 TI - Subphrenic Abscess in Appendicitis. PMID- 29818560 TI - The Lyon-Cadett Method of Ventilation. PMID- 29818562 TI - The Hospital. Nursing Section. PMID- 29818561 TI - Operation for Perforation in Typhoid Fever. PMID- 29818564 TI - A New Way of Sealing Wounds. PMID- 29818563 TI - Progress in Bacteriology. PMID- 29818565 TI - The Notification of Measles. PMID- 29818566 TI - Phlyctenular Ophthalmia. PMID- 29818567 TI - Notes and News. PMID- 29818568 TI - Hospitals and the Aristocracy of the Poor. PMID- 29818570 TI - Congenital Tuberculosis. PMID- 29818569 TI - Modern Sociology. PMID- 29818571 TI - Progress in Surgery of the Stomach. PMID- 29818572 TI - Paraffin Noses. PMID- 29818573 TI - Progress in Fevers. PMID- 29818576 TI - Beef Tea. PMID- 29818574 TI - Remarks on Proposed Amendments in the Lunacy Act Relating to Single Patients. PMID- 29818575 TI - Annotations. PMID- 29818577 TI - St. Bartholomew's Hospital. PMID- 29818578 TI - When to Operate in Appendicitis. PMID- 29818579 TI - A Question for Boards of Guardians. PMID- 29818580 TI - Mr. Long and Vaccination. PMID- 29818581 TI - Visits to Private Asylums. PMID- 29818583 TI - The Hospital. Nursing Section. PMID- 29818582 TI - Hemiplegias. PMID- 29818584 TI - The Treatment of Puerperal Fever by Formalin. PMID- 29818585 TI - The Law Relating to Lunatics and Persons of Unsound Mind.-II. PMID- 29818586 TI - Intussusception. PMID- 29818587 TI - The Preparation of De-Haemoglobinised Blood Films. PMID- 29818589 TI - Progress in Surgery of the Intestines. PMID- 29818588 TI - Practical Departments. PMID- 29818590 TI - Notes and News. PMID- 29818591 TI - Modern Sociology. PMID- 29818592 TI - Early Diagnosis in Cancer of the Tongue. PMID- 29818593 TI - Alcohol in Diet. PMID- 29818594 TI - Hospital Meetings. PMID- 29818595 TI - "Drunk or Dying" Cases. PMID- 29818596 TI - Treatment by Mechanical Vibration. PMID- 29818597 TI - Progress in Radiotherapy. PMID- 29818599 TI - St. Bartholomew's Hospital: A Strange Rumour. PMID- 29818598 TI - Progress in Surgery of the Pancreas and Spleen. PMID- 29818600 TI - The Story of the Insane from Year to Year. PMID- 29818601 TI - Annotations. PMID- 29818602 TI - New Appliances and Things Medical. PMID- 29818603 TI - Light and Heat as Causes of Cataract. PMID- 29818604 TI - Progress of the Surgery of the Vermiform Appendix. PMID- 29818605 TI - Progress in Abdominal Surgery. PMID- 29818606 TI - Notes and News. PMID- 29818607 TI - Rural Education. PMID- 29818609 TI - New Appliances and Things Medical. PMID- 29818608 TI - Hospital Meetings. PMID- 29818610 TI - Sporadic Typhoid. PMID- 29818611 TI - Modern Sociology. PMID- 29818613 TI - Annotations. PMID- 29818612 TI - The Hospital. Nursing Section. PMID- 29818615 TI - Rheumatism and Gout. PMID- 29818614 TI - Alleged Hospital Abuse in Bradford. PMID- 29818617 TI - Hospital Questions Which Press. PMID- 29818616 TI - Surgery in Rheumatic Fever. PMID- 29818618 TI - Auto-Intoxication. PMID- 29818619 TI - The Archbishop-Designate and the League of Mercy. PMID- 29818620 TI - "Drunk or Dying" Cases. PMID- 29818621 TI - Puerperal Insanity. PMID- 29818622 TI - The Story of the Insane from Year to Year. PMID- 29818623 TI - The Treatment of Tumours of the Bladder. PMID- 29818625 TI - Wellingborough Cottage Hospital. PMID- 29818624 TI - Remarks on the Seasonal Incidence of Diarrhoea, and the Part Played by Flies. PMID- 29818626 TI - Progress in Diseases of the Blood. PMID- 29818627 TI - The Commissariat. PMID- 29818628 TI - Notes and News. PMID- 29818629 TI - Progress in Bacteriology. PMID- 29818630 TI - Our Christmas Supplement. PMID- 29818631 TI - The Relations between Acute and Chronic Diseases. PMID- 29818633 TI - Liverpool Hospital for Consumptives at Delamere Forest. PMID- 29818632 TI - The Surgical Treatment of Dilated Stomach. PMID- 29818635 TI - The Dangers of Taxis. PMID- 29818634 TI - Modern Sociology. PMID- 29818636 TI - Preliminary Medical Education. PMID- 29818637 TI - X-Rays in Cancer. PMID- 29818638 TI - Hospital Meetings. PMID- 29818639 TI - Annotations. PMID- 29818640 TI - The Metropolitan Hospital Sunday Fund. PMID- 29818641 TI - The Hospital. Nursing Section. PMID- 29818643 TI - Practical Departments. PMID- 29818642 TI - The Surgical Aid Society. PMID- 29818644 TI - The Repair of Ruptured Crucial Ligaments by Open Operation. PMID- 29818645 TI - New Appliances and Things Medical. PMID- 29818646 TI - The Treatment of Hepatic Abscess. PMID- 29818647 TI - Race and Mortality. PMID- 29818648 TI - Public Health Diplomas. PMID- 29818649 TI - The English Conjoint Course. PMID- 29818651 TI - The Choice of a Medical School. PMID- 29818650 TI - Medicine as a Profession. PMID- 29818652 TI - Details of His Majesty's Services. PMID- 29818654 TI - Tropical Medicine. PMID- 29818653 TI - The Public Health Service as a Career for Medical Men. PMID- 29818655 TI - Lectures and Examinations. PMID- 29818656 TI - Handbooks for Senior Students and Practitioners. PMID- 29818657 TI - Higher Qualifications for Practitioners. PMID- 29818658 TI - Post-Graduate Study in Scotland and Ireland. PMID- 29818659 TI - Qualification and Registration. PMID- 29818660 TI - Graduate Study on the Continent. PMID- 29818661 TI - The Cost of Medical Education. PMID- 29818662 TI - Medical Education in London. PMID- 29818663 TI - The Medical Schools of the United Kingdom. PMID- 29818664 TI - The London University Course. PMID- 29818665 TI - The Selection of Medical Books. PMID- 29818666 TI - London Post-Graduate Institutions. PMID- 29818667 TI - The Fellowship. PMID- 29818668 TI - The Naval and Military Services as a Career. PMID- 29818670 TI - The Cambridge Course. PMID- 29818669 TI - Opportunities for Graduate Study in Special Hospitals. PMID- 29818672 TI - Alcohol and Exaggeration. PMID- 29818671 TI - Some General Considerations. PMID- 29818673 TI - Association for Promoting Employment of the Defective. PMID- 29818674 TI - Milk, Fresh from the Cow. PMID- 29818675 TI - Medical Opinion and Movement. PMID- 29818676 TI - Nineteen Cases of Sudden Death. PMID- 29818677 TI - Notes on Clinical Methods: Wassermann's Syphilis Serum-Reaction. PMID- 29818678 TI - Appendicostomy: The Operation, Its Indications and Its Results. PMID- 29818679 TI - Relapsing Eczema. PMID- 29818680 TI - Practical Hints upon Medical Examination for Life Assurance.-IV. PMID- 29818681 TI - The Domestic Staff-III. PMID- 29818682 TI - New Remedies. PMID- 29818683 TI - Intussusception: Some Remarks on Its Diagnosis and Treatment. PMID- 29818684 TI - Sepsis Neonatorum. PMID- 29818685 TI - Some Modern Continental Hospitals. PMID- 29818686 TI - The Medical Directory. PMID- 29818687 TI - Annotations. PMID- 29818688 TI - Enlargements of the Spleen-VI: Splenic Enlargments with Distinctive Blood Changes (continued). PMID- 29818689 TI - Natural Mineral Waters. PMID- 29818690 TI - Cards and the Doctor. PMID- 29818691 TI - News and Coming Events. PMID- 29818692 TI - Enlargement of the Tonsils-II. PMID- 29818693 TI - British Pharmaceutical Conference. PMID- 29818694 TI - Some Aspects of Intestinal Obstruction. PMID- 29818696 TI - The British Association and Anaesthetics. PMID- 29818695 TI - Parotitis after Operations. PMID- 29818697 TI - Annotations. PMID- 29818699 TI - Medical Opinion and Movement. PMID- 29818698 TI - Milk, Fresh from the Cow. PMID- 29818700 TI - Graduate Study on the Continent-Germany: X. Strasburg and Freiburg. PMID- 29818701 TI - Enlargements of the Spleen-VII: Splenic Enlargements with Distinctive Blood Changes (continued). PMID- 29818703 TI - The Lunacy Commission. PMID- 29818702 TI - The Injuries Incidental to Athletic Exercises. PMID- 29818704 TI - Points in the AEtiology of Puerperal Sepsis. PMID- 29818705 TI - The Domestic Staff-IV: Meals and Recreation. PMID- 29818707 TI - Pigmentation and the Diagnosis of Addison's Disease. PMID- 29818706 TI - Sick-Room Cookery. PMID- 29818708 TI - News and Coming Events. PMID- 29818709 TI - Corneal Ulcerations. PMID- 29818710 TI - The Territorial Medical Schools of Instruction. PMID- 29818711 TI - Annotations. PMID- 29818712 TI - Rectal Drainage of Pelvic Appendicular Abscesses. PMID- 29818713 TI - Some Remarks on Hernia: I. Inguinal Hernia. PMID- 29818714 TI - Deaths Registration and Burials Bill. PMID- 29818715 TI - Some Modern Continental Hospitals. PMID- 29818716 TI - Cancer of the Biliary Ducts. PMID- 29818717 TI - Lunatics at Large. PMID- 29818718 TI - Medical Opinion and Movement. PMID- 29818720 TI - Dental Prophylaxis. PMID- 29818719 TI - Oxaluria-I. PMID- 29818721 TI - The Evolution of a Civic Medical Service. PMID- 29818723 TI - A Question of Clothing. PMID- 29818722 TI - Points in Prescribing. PMID- 29818724 TI - News and Coming Events. PMID- 29818725 TI - The Domestic Staff-V: The Cost of Service. PMID- 29818726 TI - Cholangitis without Jaundice. PMID- 29818727 TI - Enlargements of the Spleen-VIII. PMID- 29818729 TI - New Appliances and Things Medical. PMID- 29818728 TI - A Hint for Hospital Secretaries. PMID- 29818731 TI - Aneurysm: Some Factors in its Causation. PMID- 29818730 TI - The Proposed London Hospital for the Insane. PMID- 29818733 TI - Man's Superiority. PMID- 29818732 TI - Carcinoma of the Uterus. The Importance of Early Diagnosis: Symptoms and Treatment. PMID- 29818734 TI - News and Coming Events. PMID- 29818735 TI - The Pathological Aspect of Primogeniture. PMID- 29818736 TI - A New Clinical Thermometer. PMID- 29818737 TI - The Uniform Certificate-I. PMID- 29818738 TI - Ankylosis. PMID- 29818739 TI - The Operative Surgery of Labyrinthitis. PMID- 29818740 TI - The R.M.O. and the County Court-III: Evidence and Cross-Examination. PMID- 29818741 TI - Medical Opinion and Movement. PMID- 29818742 TI - The Nature of "Idiopathic" Epilepsy. PMID- 29818743 TI - The Uses of Hydrogen Peroxide. PMID- 29818744 TI - The Tissue Changes in Diphtheria. PMID- 29818745 TI - Bier's Method and Ulcers of the Leg. PMID- 29818746 TI - Social and Poor Law Problems. PMID- 29818747 TI - Annotations. PMID- 29818748 TI - Rubella and Its Relations to Scarlet Fever and Measles. PMID- 29818749 TI - Fiji: Its Hospitals and Diseases. PMID- 29818750 TI - A Case for Diagnosis. PMID- 29818751 TI - The Uniform Certificate-II. PMID- 29818753 TI - Some Aspects of General Peritonitis. PMID- 29818752 TI - "Cracked Nipples" and the Management of the Breasts. PMID- 29818754 TI - Annotations. PMID- 29818755 TI - Medical Opinion and Movement. PMID- 29818756 TI - Peculiarities of Children in Disease. PMID- 29818757 TI - Bier's Treatment or Unna's Paste. PMID- 29818758 TI - The United Kingdom Hospitals Conference, 1908. PMID- 29818759 TI - Scabies in General Practice. PMID- 29818760 TI - Recovery from Diabetic Coma. PMID- 29818761 TI - Aneurysm: Varieties and Symptoms. PMID- 29818762 TI - Perineal Prostatectomy. PMID- 29818763 TI - Leucopenia in Typhoid Fever. PMID- 29818764 TI - Anaesthetisation for Operations within the Abdomen. PMID- 29818766 TI - A Machine for Inducing Artificial Respiration. PMID- 29818765 TI - The Resident Medical Officers and the Nursing Staff. PMID- 29818767 TI - Some Aspects of the Criminal. PMID- 29818768 TI - The Hospital Conference, 1908. PMID- 29818770 TI - The Operation for Adenoids. PMID- 29818769 TI - Prescriptions and Dispensing. PMID- 29818772 TI - The Vaccine Treatment of Gonococcal Arthritis. PMID- 29818771 TI - News and Coming Events. PMID- 29818773 TI - News and Coming Events. PMID- 29818774 TI - A Uniform Certificate for Hospital Nurses. PMID- 29818775 TI - Perineal Prostatectomy. PMID- 29818777 TI - Medical Opinion and Movement. PMID- 29818776 TI - Two Cases of Restlessness-II. PMID- 29818778 TI - Hyperemesis Gravidarum. PMID- 29818779 TI - Some Alkaloidal Specialities. PMID- 29818780 TI - Secret Remedies and Branded Products-V. PMID- 29818781 TI - Annotations. PMID- 29818782 TI - Acute Dilatation of the Stomach. PMID- 29818783 TI - The Sense of Death. PMID- 29818784 TI - Mercurial Cream for Injection in Syphilis. PMID- 29818785 TI - Some Aspects of General Peritonitis-II. PMID- 29818787 TI - The Common Task. PMID- 29818786 TI - The Voluntary Hospitals, Patients, Payments and State Aid. PMID- 29818789 TI - The Apex Beat of the Heart. PMID- 29818788 TI - Fiji: Its Hospitals and Diseases-II. PMID- 29818790 TI - Pregnancy Complicated by Ovarian Tumours. PMID- 29818791 TI - Functional Aphonia. PMID- 29818792 TI - Early Tuberculosis of the Kidney. PMID- 29818793 TI - The Ophthalmo-Tuberculin Reaction in Private Practice. PMID- 29818794 TI - Graduate Study on the Continent.-Germany: I. Graduate Study in Germany. PMID- 29818795 TI - Annotations. PMID- 29818796 TI - A Case of Cancer of the Liver. PMID- 29818798 TI - Medical Opinion and Movement. PMID- 29818797 TI - New Appliances and Things Medical. PMID- 29818800 TI - Aneurysm: Constitutional Treatment. PMID- 29818799 TI - The Personality of the Physician. PMID- 29818801 TI - Social and Poor-Law Problems. PMID- 29818802 TI - Disorders of the Heart. PMID- 29818803 TI - Some Aspects of General Peritonitis-III. PMID- 29818804 TI - Difficulty in Micturition in Nervous Patients Admitted to Hospital Wards. PMID- 29818805 TI - Australia for the Sons of Professional Men. PMID- 29818806 TI - The Predominance of the Clinician. PMID- 29818807 TI - News and Coming Events. PMID- 29818808 TI - Acne Vulgaris. PMID- 29818809 TI - Prescriptions and Dispensing. PMID- 29818810 TI - Manslaughter by Administering Noxious Drugs. PMID- 29818811 TI - Practical Notes on Diagnosis and Treatment. PMID- 29818812 TI - Queen Victorias Jubilee Institute for Nurses. PMID- 29818813 TI - Annotations. PMID- 29818814 TI - The Bedding and Linen Department: I. Muddle or Organisation. PMID- 29818815 TI - Hampstead General Hospital. PMID- 29818816 TI - Territorial Cavalry Ambulance. PMID- 29818817 TI - Superfluous Medical Literature. PMID- 29818819 TI - Research Defence Society. PMID- 29818818 TI - The North-West London Hospital. PMID- 29818820 TI - The Amblyopia Produced by Certain Drugs. PMID- 29818821 TI - The Indications and Contra-Indications for Curetting the Uterus. PMID- 29818822 TI - The Eosinophilia of Hydatid Disease. PMID- 29818823 TI - Aneurysm: Treatment by Ligature. PMID- 29818824 TI - Diagram of the Weekly Death Rate in 1908. PMID- 29818825 TI - Early and Mild Cases of Mental Disorder. PMID- 29818827 TI - Hemiplegia from Tuberculous Meningitis. PMID- 29818826 TI - Filariasis-I. PMID- 29818828 TI - Graduate Study on the Continent-Germany: II. Berlin as a Centre for Medical Study. PMID- 29818829 TI - Notes on Treatment. PMID- 29818830 TI - Sudden Death in Pleural Effusion Cases. PMID- 29818832 TI - The Research Defence Society. PMID- 29818831 TI - Cow's Milk and Rickets. PMID- 29818833 TI - News and Coming Events. PMID- 29818834 TI - Syphilis of the Throat and Nose-I. PMID- 29818835 TI - Polyuria. PMID- 29818836 TI - A Plea for the Extended Use of Atomised Drugs. PMID- 29818837 TI - Medical Opinion and Movement. PMID- 29818838 TI - General Practitioners and the Out-Patient Department. PMID- 29818839 TI - Obstetrics at Queen Charlotte's Hospital. PMID- 29818840 TI - Modern Gas Cooking Stoves. PMID- 29818842 TI - Medical Opinion and Movement. PMID- 29818841 TI - Hepatic Abscess. PMID- 29818843 TI - The Early Diagnosis of Carcinoma Ventriculi. PMID- 29818844 TI - South London Practitioners and the Removal of King's College Hospital. PMID- 29818845 TI - Glasgow Maternity and Women's Hospital. PMID- 29818846 TI - Filing of Newspaper Cuttings. PMID- 29818847 TI - The Bedding and Linen Department. PMID- 29818848 TI - The AEtiology and Treatment of Nocturnal Enuresis. PMID- 29818849 TI - News and Coming Events. PMID- 29818850 TI - Aneurysm: Fantastic Surgical Treatment. PMID- 29818851 TI - Cow's Milk and Rickets. PMID- 29818853 TI - Combretum Sundaicum in the Cure of the Opium Habit. PMID- 29818852 TI - Local Treatment of the Commoner Acute Throat Affections. PMID- 29818854 TI - Annotations. PMID- 29818855 TI - The Surgical Significance of Vomiting. PMID- 29818856 TI - Notes on Treatment. PMID- 29818857 TI - Opium and Alcohol. PMID- 29818858 TI - The Diagnosis of Ringworm of the Scalp. PMID- 29818859 TI - Cow's Milk and Rickets. PMID- 29818860 TI - Annotations. PMID- 29818861 TI - Sudden Death in Infectious Diseases. PMID- 29818862 TI - Prescriptions and Dispensing. PMID- 29818863 TI - The Evelina Hospital for Sick Children. PMID- 29818865 TI - The Bedding and Linen Department-IV. PMID- 29818864 TI - Urotropine in Biliary and Pancreatic Inflammations. PMID- 29818866 TI - The Examination of Patients during Pregnancy. PMID- 29818867 TI - Filariasis-II. PMID- 29818868 TI - A Case of Cardiac Arrhythmia. PMID- 29818869 TI - Industrial Lead Poisoning. PMID- 29818870 TI - Some Special Aneurysms. PMID- 29818871 TI - The Surgical Significance of Vomiting. PMID- 29818872 TI - Cammidge's Pancreatic Reaction in the Urine. PMID- 29818873 TI - The Hot Compressed Air Treatment of Diabetic Gangrene. PMID- 29818874 TI - Medical Opinion and Movement. PMID- 29818875 TI - The Country's Children. PMID- 29818876 TI - News and Coming Events. PMID- 29818877 TI - New Appliances and Things Medical. PMID- 29818878 TI - The Surgical Significance of Vomiting.-II. PMID- 29818879 TI - Graduate Study on the Continent.-Germany: III. Graduate Study Associations of Berlin. PMID- 29818880 TI - The Control of Infantile Mortality. PMID- 29818882 TI - Medical Opinion and Movement. PMID- 29818881 TI - Social and Poor-Law Problems. PMID- 29818884 TI - On the Management and Treatment of Haemoptysis. PMID- 29818883 TI - Radiography and the Early Diagnosis of Phthisis. PMID- 29818885 TI - The Diagnosis and Significance of Enlarged Mediastinal Glands. PMID- 29818886 TI - Annotations. PMID- 29818887 TI - Dietetic Notes. PMID- 29818888 TI - Functional or Hysterical Pyrexia. PMID- 29818889 TI - Some Medico-Legal Points. PMID- 29818890 TI - Local Treatment of Acute Throat Affections. PMID- 29818891 TI - Some Conditions under Which Infants Are Nursed Away from Home. PMID- 29818892 TI - The Bedding and Linen Department.-II. PMID- 29818893 TI - News and Coming Events. PMID- 29818894 TI - Reducing Substances in the Urines of Alcoholics. PMID- 29818895 TI - Hallucinations. PMID- 29818896 TI - Syphilis of the Throat and Nose.-II. PMID- 29818897 TI - "Confessio Medici". PMID- 29818898 TI - Cow's Milk and Rickets. PMID- 29818899 TI - Massage of the Heart. PMID- 29818900 TI - Dietl's Crises. PMID- 29818901 TI - Some Aspects of Intestinal Obstruction: III. Obstruction due to Conditions in the Lumen of the Bowel. PMID- 29818902 TI - Sheffield's Opportunity. PMID- 29818904 TI - Coxa Vara. PMID- 29818903 TI - On Diseases of the Pancreas. PMID- 29818905 TI - The Faculty of the Investigator. PMID- 29818906 TI - The Sequelae of Enteric Fever-III. PMID- 29818907 TI - Nasal Obstruction-I. PMID- 29818908 TI - The Treatment of Acute Intussusception. PMID- 29818909 TI - The Refusal of Food in Infancy. PMID- 29818910 TI - Annotations. PMID- 29818911 TI - Abortion from a Legal Point of View. PMID- 29818912 TI - News and Coming Events. PMID- 29818914 TI - Medical Opinion and Movement. PMID- 29818913 TI - New Appliances and Things Medical. PMID- 29818915 TI - The Medical Examination of Employees. PMID- 29818916 TI - Recommendations and Testimonials. PMID- 29818918 TI - Some Aspects of Intestinal Obstruction: Obstruction of the Bowel due to Compression from Without. PMID- 29818917 TI - Medical Opinion and Movement. PMID- 29818919 TI - Overlay or Overlie. PMID- 29818920 TI - Graduate Study on the Continent-Germany: IV. A "Ferien Kursus". PMID- 29818922 TI - News and Coming Events. PMID- 29818921 TI - Secret Remedies and Branded Products-VI. PMID- 29818924 TI - Saline Infusion. PMID- 29818923 TI - Social and Poor-Law Problems. PMID- 29818925 TI - Serous Haemorrhage. PMID- 29818926 TI - Two Cases of Acute Abdominal Disease. PMID- 29818927 TI - Practical Notes on Diagnosis and Treatment. PMID- 29818928 TI - The Endowment of Pathological Research. PMID- 29818929 TI - Annotations. PMID- 29818930 TI - The Bedding and Linen Department-V. PMID- 29818931 TI - An Interesting Case of Cerebral Tumour. PMID- 29818933 TI - Nasal Polypi. PMID- 29818932 TI - Syphilitic Cachexia. PMID- 29818935 TI - Phthisis with Perforation of the Bowel. PMID- 29818934 TI - Cow's Milk and Rickets. PMID- 29818936 TI - New Appliances and Things Medical. PMID- 29818937 TI - The Present Condition of the Dental Profession. PMID- 29818938 TI - Ammonia in Bismuth Subnitrate. PMID- 29818939 TI - Annotations. PMID- 29818940 TI - Social and Poor-Law Problems. PMID- 29818941 TI - Prescriptions and Dispensing. PMID- 29818942 TI - Deaths after Operations. PMID- 29818943 TI - Some Aspects of Intestinal Obstruction: Faecal Accumulation and its Treatment. PMID- 29818944 TI - Filariasis-III. PMID- 29818945 TI - The Relation of Pregnancy to Fibromyomata of the Uterus. PMID- 29818946 TI - The Bedding and Linen Department-VII. PMID- 29818947 TI - The Effects of Syphilis upon Phthisis. PMID- 29818948 TI - News and Coming Events. PMID- 29818950 TI - A New View of Diabetes. PMID- 29818949 TI - A Case of Tubercular Tumour of the Cerebellum. PMID- 29818951 TI - Tetany. PMID- 29818952 TI - Practical Notes on Diagnosis and Treatment. PMID- 29818953 TI - How to See a Post-Nasal Space. PMID- 29818955 TI - Graduate Study on the Continent-Germany: V. Special Work in Berlin. PMID- 29818954 TI - The Oldest Hospital for Sick Children in the United Kingdom. PMID- 29818956 TI - The Sequelae of Enteric Fever-II. PMID- 29818957 TI - Anaesthetisation for Operations on the Central Nervous System. PMID- 29818958 TI - Medical Opinion and Movement. PMID- 29818959 TI - The General Hospitals of the Territorial Army. PMID- 29818960 TI - Solutions to Cases Described on Page 238. PMID- 29818961 TI - Intermarriage of Cousins. PMID- 29818962 TI - Theocin-Sodium Acetate in the Relief of Dropsy. PMID- 29818963 TI - The Bedding and Linen Department-VI. PMID- 29818965 TI - Cow's Milk and Rickets. PMID- 29818964 TI - Lung Disease and Unequal Pupils. PMID- 29818966 TI - Cammidge's Pancreatic Reaction. PMID- 29818967 TI - New Appliances and Things Medical. PMID- 29818968 TI - Medical Opinion and Movement. PMID- 29818969 TI - The Causation of Gastric Ulcer. PMID- 29818971 TI - Green Plover and Stone-Curlew. PMID- 29818970 TI - The Retina in Cases of Albuminuria. PMID- 29818972 TI - Infection of the Upper Urinary Tract during Pregnancy. PMID- 29818973 TI - The Sequelae of Enteric Fever-I. PMID- 29818974 TI - The Case for the Tuberculous Child. PMID- 29818975 TI - Pityriasis Rosea. PMID- 29818976 TI - Refusal of Food and Forcible Feeding. PMID- 29818977 TI - The Surgical Significance of Vomiting. PMID- 29818978 TI - Accident Cases. PMID- 29818979 TI - News and Coming Events. PMID- 29818980 TI - A Case of Carcinoma of the OEsophagus. PMID- 29818981 TI - Annotations. PMID- 29818982 TI - The Medical Congress at Budapest. PMID- 29818984 TI - The Need for Uniformity in the Quality of Drugs. PMID- 29818983 TI - Delusions. PMID- 29818985 TI - Treatment of Ringworm of the Scalp by Means of the X-Rays. PMID- 29818986 TI - Enlargements of the Spleen-III. PMID- 29818988 TI - Golf and Physique. PMID- 29818987 TI - Myocarditis and Myocardial Diseases-I. PMID- 29818989 TI - Medical Opinion and Movement. PMID- 29818990 TI - Wanted, a Constructive Policy. PMID- 29818992 TI - Metropolitan Hospital Sunday Fund. PMID- 29818991 TI - OEsophageal Obstruction.-II. PMID- 29818993 TI - The Territorial Army and Camp Sanitation. PMID- 29818994 TI - The Care and Control of the Feeble-Minded. PMID- 29818995 TI - News and Coming Events. PMID- 29818996 TI - Annotations. PMID- 29818997 TI - Sick-Room Cookery. PMID- 29818998 TI - Practical Hints upon Medical Examination for Life Assurance-II. PMID- 29818999 TI - A Dialogue in Blank Verse. PMID- 29819001 TI - Some Aspects of Intestinal Obstruction: General Treatment of a Case in which Operation has been Refused; and the Choice of Operations. PMID- 29819000 TI - The Care of the Children during a Hot Summer. PMID- 29819002 TI - The Registration of Deaths Bill. PMID- 29819003 TI - Responsibility and Authority. PMID- 29819004 TI - Cyclitis and Irido-Cyclitis-I. PMID- 29819005 TI - Graduate Study on the Continent-Germany: VIII. Some Other German Universities. PMID- 29819007 TI - The Dignity of Medicine. PMID- 29819006 TI - Paralysis in Children. PMID- 29819009 TI - The Civic Hospital of Venice. PMID- 29819008 TI - Calculation of the Date of Labour. PMID- 29819010 TI - Acute Retention of Urine-III: Operative Treatment. PMID- 29819011 TI - The Varieties of Anaemia in Chronic Tuberculosis. PMID- 29819012 TI - A Chemical Theory of Scurvy. PMID- 29819014 TI - Annotations. PMID- 29819013 TI - The Admission of Women to the Royal College of Surgeons. PMID- 29819015 TI - Nursing as a Collegiate Course. PMID- 29819016 TI - Infective Endocarditis. PMID- 29819017 TI - Some Aspects of Intestinal Obstruction: The History of a Typical Case of Chronic Obstruction. PMID- 29819018 TI - Nutmeg Poisoning. PMID- 29819020 TI - Social and Poor-Law Problems. PMID- 29819019 TI - News and Coming Events. PMID- 29819021 TI - Medical Opinion and Movement. PMID- 29819022 TI - The Prevalence and Cause of Dental Caries. PMID- 29819023 TI - New Appliances and Things Medical. PMID- 29819024 TI - Enlargements of the Spleen-II: The Physical Signs (continued). PMID- 29819025 TI - Annotations. PMID- 29819026 TI - Cystitis Due to Bacillus Coli Communis. PMID- 29819027 TI - The Preparation of Hot Compressed Air. PMID- 29819028 TI - Medical Opinion and Movement. PMID- 29819029 TI - The Alkalinity of the Blood in Disease. PMID- 29819030 TI - Nasal Obstruction-III. PMID- 29819031 TI - A Disease of the Skin Occurring on the Hands of Workers among Sheep. PMID- 29819032 TI - Practical Hints upon Medical Examination for Life Assurance-I. PMID- 29819034 TI - Prof. P. F. Richter on Some New Ideas on Diseases of Metabolism. PMID- 29819033 TI - The Teaching of Stoicism. PMID- 29819035 TI - The Administration of Anaesthetics to Children. PMID- 29819037 TI - Unsuspected Fractures. PMID- 29819036 TI - The Treatment of Acute Pneumonia. PMID- 29819039 TI - Cyclitis and Irido-Cyclitis-II. PMID- 29819038 TI - Probationers in Excess-II. PMID- 29819040 TI - Some Modern Continental Hospitals. PMID- 29819041 TI - News and Coming Events. PMID- 29819042 TI - The British Medical Association. PMID- 29819043 TI - OEsophageal Obstruction.-I. PMID- 29819044 TI - Inevitable Abortion and Its Treatment. PMID- 29819045 TI - Conjunctivitis in Children. PMID- 29819047 TI - Medical Opinion and Movement. PMID- 29819046 TI - Tuberculides. PMID- 29819048 TI - The Workroom. PMID- 29819049 TI - Graduate Study on the Continent-Germany: VI. The Private Clinic. PMID- 29819050 TI - The Research Defence Society. PMID- 29819051 TI - Clean Milk, Pasteurised Milk, and Sterilised Milk. PMID- 29819052 TI - Nauheim Treatment in London. PMID- 29819054 TI - Annotations. PMID- 29819053 TI - Visit of French Doctors. PMID- 29819055 TI - Some Aspects of Intestinal Obstruction: Carcinoma of the Intestine. PMID- 29819056 TI - Acute Mania. PMID- 29819057 TI - A Proposed Nursing Service for the Territorial Army. PMID- 29819058 TI - New Appliances and Things Medical. PMID- 29819059 TI - Medical Defence Societies. PMID- 29819060 TI - Urethral Caruncle and Urethral Prolapse. PMID- 29819062 TI - Prevention or Cure. PMID- 29819061 TI - Print-Collecting as a Hobby. PMID- 29819063 TI - Acute Rheumatism and Pneumonia. PMID- 29819064 TI - Practical Notes on Diagnosis and Treatment. PMID- 29819065 TI - News and Coming Events. PMID- 29819066 TI - The Sequelae of Enteric Fever-IV. PMID- 29819068 TI - The Early Signs of Measles. PMID- 29819067 TI - A New View of Diabetes. PMID- 29819069 TI - League of Mercy Garden Party. PMID- 29819070 TI - Suicide. PMID- 29819071 TI - The Nervous Manifestations of Rickets. PMID- 29819072 TI - The Duty of Hospitals in Regard to Thrift. PMID- 29819073 TI - News and Coming Events. PMID- 29819074 TI - The Civic Hospital of Venice. PMID- 29819075 TI - Secret Remedies and Branded Products-VII. PMID- 29819077 TI - The Sequelae of Enteric Fever-V. PMID- 29819076 TI - Chronic Laryngitis. PMID- 29819078 TI - The Local Treatment of Pain in Gout. PMID- 29819079 TI - Tubercle Bacilli in Cardiac Vegetations. PMID- 29819081 TI - X-Rays and Hepatic Abscesses. PMID- 29819080 TI - Medical Opinion and Movement. PMID- 29819082 TI - New Appliances and Things Medical. PMID- 29819083 TI - Acute Retention of Urine-I. PMID- 29819084 TI - Prescriptions and Dispensing. PMID- 29819085 TI - The Temperamental Factor in Disease. PMID- 29819086 TI - Annotations. PMID- 29819087 TI - Some Aspects of Intestinal Obstruction: Carcinoma as it Affects the Different Regions of the Bowel. PMID- 29819088 TI - Cases for Diagnosis. PMID- 29819089 TI - The Treatment of Labour Complicated by Fibroid Tumours of the Uterus. PMID- 29819090 TI - King Edward's Hospital Fund for London. PMID- 29819091 TI - Consultations. PMID- 29819093 TI - Ringworm Fungus in a Strange Situation. PMID- 29819092 TI - Doctors and Socialism. PMID- 29819094 TI - New Appliances & Things Medical. PMID- 29819095 TI - Some Aspects of Intestinal Obstruction: Obstruction due to Disease of the Intestinal Wall other than Carcinoma. PMID- 29819096 TI - Practical Notes on Diagnosis and Treatment. PMID- 29819097 TI - News and Coming Events. PMID- 29819099 TI - Lung Troubles after Anaesthetics. PMID- 29819098 TI - Annotations. PMID- 29819100 TI - Nasal Obstruction-II: The Cause of Nasal Obstruction. PMID- 29819102 TI - Medical Opinion and Movement. PMID- 29819101 TI - The War on Rats. PMID- 29819103 TI - Fat Absorption after Gastrojejunostomy. PMID- 29819104 TI - Artificial Respiration. PMID- 29819105 TI - The British Red Cross Society and the Territorial General Hospitals. PMID- 29819106 TI - The Arbitrament of the Magistrate. PMID- 29819108 TI - Some Laundry Statistics. PMID- 29819107 TI - Some Common Diseases of the Eye: Their Diagnosis and Treatment. PMID- 29819109 TI - Graduate Study on the Continent. PMID- 29819110 TI - Acute Retention of Urine-II. PMID- 29819112 TI - The Treatment of Whooping Cough. PMID- 29819111 TI - Secondary Deposits in Left Supra-Clavicular Glands in Cases of Malignant Disease of Abdominal Organs. PMID- 29819113 TI - Tuberculin Treatment in General Practice. PMID- 29819114 TI - Hemiplegia after Scarlet Fever. PMID- 29819115 TI - The Interim Report or the Whisky Commission. PMID- 29819117 TI - News and Coming Events. PMID- 29819116 TI - Hospitals and Medical Education. PMID- 29819119 TI - Some Aspects of Intestinal Obstruction: The History of a Typical Case of Chronic Obstruction. PMID- 29819118 TI - The Common Task. PMID- 29819120 TI - Social and Poor-Law Problems. PMID- 29819121 TI - Cerebral Abscess. PMID- 29819122 TI - New Appliances and Things Medical. PMID- 29819123 TI - A Week in a Caravan. PMID- 29819124 TI - Fees Payable to Medical Men as Witnesses. PMID- 29819125 TI - Probationers in Excess. PMID- 29819127 TI - Enlargements of the Spleen-I. PMID- 29819126 TI - Medical Opinion and Movement. PMID- 29819128 TI - Finsen Light in the Treatment of Lupus Vulgaris. PMID- 29819129 TI - Prescriptions and Dispensing. PMID- 29819130 TI - Annotations. PMID- 29819131 TI - Bronchiectasis. PMID- 29819132 TI - Christian Science. PMID- 29819133 TI - Melancholia. PMID- 29819134 TI - "Let There Be Light". PMID- 29819136 TI - The Laryngeal Affections of Voice-Users. PMID- 29819135 TI - A General Practitioner's Views about Locums. PMID- 29819137 TI - Annotations. PMID- 29819138 TI - News and Coming Events. PMID- 29819139 TI - Cyclitis and Irido-Cyclitis. PMID- 29819140 TI - New Appliances and Things Medical. PMID- 29819141 TI - Tradesmen's Books. PMID- 29819142 TI - Medical Opinion and Movement. PMID- 29819143 TI - Myocarditis and Myocardial Diseases-II. PMID- 29819144 TI - Prescriptions and Dispensing. PMID- 29819146 TI - Pelvic Haematocele; with a Somewhat Unusual Case. PMID- 29819145 TI - The Inheritance of Insanity. PMID- 29819148 TI - Some Modern Continental Hospitals. PMID- 29819147 TI - The Value of Buttermilk in Disease. PMID- 29819149 TI - The Mode of Entry of the Tubercle Bacillus. PMID- 29819150 TI - Some Aspects of Intestinal Obstruction: Operative Treatment (continued). PMID- 29819151 TI - Enlargements of the Spleen-IV. PMID- 29819152 TI - OEsophageal Obstruction.-III. PMID- 29819153 TI - Enlargements of the Spleen-V. PMID- 29819154 TI - News and Coming Events. PMID- 29819155 TI - Practical Hints upon Medical Examination for Life Assurance.-III. PMID- 29819156 TI - The Problem of Heredity. PMID- 29819157 TI - The Poisons and Pharmacy Bill. PMID- 29819158 TI - Venomous Caterpillars. PMID- 29819159 TI - Myocarditis and Myocardial Disease-III. PMID- 29819160 TI - The Domestic Staff. PMID- 29819161 TI - Labour in Minor Degrees of Pelvic Contraction. PMID- 29819163 TI - Conservative Surgery. PMID- 29819162 TI - The Psychology of Failure and Success. PMID- 29819165 TI - Annotations. PMID- 29819164 TI - Useful Methods of Diagnosis and Treatment. PMID- 29819167 TI - Graduate Study on the Continent-Germany: IX. Munich and Leipsic. PMID- 29819166 TI - Notes on Medical Inspection of School Children. PMID- 29819168 TI - Medical Opinion and Movement. PMID- 29819169 TI - Epulis. PMID- 29819171 TI - The Organisation of a Territorial Army General Hospital. PMID- 29819170 TI - Practical Notes on Diagnosis and Treatment. PMID- 29819172 TI - Prescriptions and Dispensing. PMID- 29819173 TI - New Appliances and Things Medical. PMID- 29819174 TI - News and Coming Events. PMID- 29819175 TI - The X-Rays in Exophthalmic Goitre. PMID- 29819176 TI - The Treatment of Trachoma. PMID- 29819177 TI - Practical Hints on the Management of Normal and Complicated Breech Cases. PMID- 29819178 TI - The Treatment of an Impending Calamity. PMID- 29819179 TI - On History in Acute Cases. PMID- 29819180 TI - Points in the Treatment of Fistula-In-Ano. PMID- 29819182 TI - Medical Opinion and Movement. PMID- 29819181 TI - Myocarditis and Myocardial Disease-IV. PMID- 29819184 TI - The Domestic Staff-II: Superintendence. PMID- 29819183 TI - The Results of Operations for Cancer of the Breast. PMID- 29819185 TI - Annotations. PMID- 29819186 TI - Enlargement of the Tonsils-I. PMID- 29819188 TI - New Appliances and Things Medical. PMID- 29819187 TI - The Burden of General Practice. PMID- 29819189 TI - Warts and the X-Rays. PMID- 29819190 TI - Answers to Correspondents. PMID- 29819191 TI - Polygonum Cuspidatum as a Laxative. PMID- 29819192 TI - The London Fever Hospital. PMID- 29819193 TI - The Health of the Army. PMID- 29819194 TI - OEsophageal Obstruction.-IV. PMID- 29819195 TI - The Diagnosis of Small-Pox. PMID- 29819196 TI - Gastralgia. PMID- 29819198 TI - Ladies on Hospital Boards. PMID- 29819197 TI - The Story of the Insane from Year to Year. PMID- 29819199 TI - Belgrave Hospital for Children, Clapham Road, S.W. PMID- 29819200 TI - Diseases of the Heart and Circulation. PMID- 29819201 TI - Operation for Tuberculous Glands in the Neck. PMID- 29819202 TI - The Hospital. Nursing Section. PMID- 29819203 TI - Glances at the Hospitals. PMID- 29819204 TI - The Treatment of Burns. PMID- 29819205 TI - The Transition to Winter. PMID- 29819206 TI - The Byways of Infection. PMID- 29819207 TI - Notes and News. PMID- 29819208 TI - Annotations. PMID- 29819209 TI - A Model Factory. PMID- 29819210 TI - Modern Sociology. PMID- 29819211 TI - Progress in Bacteriology. PMID- 29819212 TI - Operations on Uterine Fibroids. PMID- 29819213 TI - The Destruction of Rats. PMID- 29819214 TI - Obstinate Prolapse of the Uterus. PMID- 29819215 TI - The "One Portal" Panacea. PMID- 29819216 TI - New Appliances and Things Medical. PMID- 29819217 TI - Progress in Surgery. PMID- 29819218 TI - Practical Departments. PMID- 29819219 TI - New Lamps for the Light Treatment. PMID- 29819220 TI - Progress in Bacteriology. PMID- 29819222 TI - Isolation Hospital, Royston. PMID- 29819221 TI - Treatment by Light and X-Rays. PMID- 29819224 TI - Self-Drugging by the Public. PMID- 29819223 TI - English and South African Dysentery. PMID- 29819226 TI - Progress in State Medicine. PMID- 29819225 TI - The Yellow Fever Experiments in Havanna. PMID- 29819227 TI - Annotations. PMID- 29819228 TI - Diseases of the Heart and Circulation. PMID- 29819229 TI - Notes and News. PMID- 29819230 TI - The Management of Lateral Curvature of the Spine (Scoliosis). PMID- 29819231 TI - The Hospital Library and Charities Bureau. PMID- 29819233 TI - New Appliances and Things Medical. PMID- 29819232 TI - Modern Developments of the Voluntary Hospital System. PMID- 29819234 TI - Reorganisation of the Army Medical Service. PMID- 29819235 TI - Modern Sociology. PMID- 29819236 TI - The Rest Cure. PMID- 29819237 TI - The Hospital. Nursing Section. PMID- 29819238 TI - Antivaccinators. PMID- 29819239 TI - The Hospital. Nursing Section. PMID- 29819240 TI - Annotations. PMID- 29819241 TI - Notes and News. PMID- 29819242 TI - Practical Departments. PMID- 29819244 TI - New Appliances and Things Medical. PMID- 29819243 TI - Progress in Psychiatry. PMID- 29819245 TI - Progress in Surgery. PMID- 29819246 TI - Progress in Dermatology. PMID- 29819248 TI - Ankylostomiasis. PMID- 29819247 TI - To Arrest Acute Endocarditis. PMID- 29819249 TI - The Obstetrical Society of London. PMID- 29819250 TI - Calomel as a Panacea. PMID- 29819251 TI - Chronic Bronchitis. PMID- 29819252 TI - Rangoon Lunatic Asylum. PMID- 29819253 TI - The Story of the Insane from Year to Year. PMID- 29819254 TI - Caesarian Section. PMID- 29819255 TI - Glances at the Hospitals. PMID- 29819256 TI - Professional Reputation. PMID- 29819257 TI - The Stourfield Park Sanatorium, Pokesdown, Bournemouth. PMID- 29819258 TI - Hospital Meetings. PMID- 29819259 TI - The Royal Army Medical Corps. PMID- 29819260 TI - The Metropolitan Hospital Saturday Fund. PMID- 29819261 TI - Intussusception in Infants. PMID- 29819262 TI - Modern Sociology. PMID- 29819263 TI - New Appliances and Things Medical. PMID- 29819264 TI - Annotations. PMID- 29819266 TI - The Toxic Origin of Insanity. PMID- 29819265 TI - How Does Small-Pox Spread? PMID- 29819267 TI - Notes and News. PMID- 29819268 TI - The Hospital. Nursing Section. PMID- 29819269 TI - Whey as a Diet in Typhoid Fever. PMID- 29819270 TI - Progress in Surgery. PMID- 29819271 TI - The Story of the Insane from Year to Year. PMID- 29819272 TI - Reversed Test Types. PMID- 29819274 TI - Birdlime. PMID- 29819273 TI - When to Remove Adenoids. PMID- 29819275 TI - Anti-Typhoid Inoculation. PMID- 29819276 TI - Aneurysm of the Aorta. PMID- 29819277 TI - Diseases of the Kidney. PMID- 29819278 TI - Progress in Obstetrics. PMID- 29819279 TI - Progress in Roentgen Ray Work. PMID- 29819280 TI - The Macclesfield Infirmary Dispute. PMID- 29819281 TI - Mediaeval Hospitals in France. PMID- 29819282 TI - Hospital Saturday Fund. PMID- 29819283 TI - The Medical Year. PMID- 29819284 TI - Consultations and Consultants. PMID- 29819286 TI - The "Lachnanthes Cure" of Consumption. PMID- 29819285 TI - Glances at the Hospitals. PMID- 29819287 TI - Annotations. PMID- 29819288 TI - National Hospital for the Paralysed and Epileptic. PMID- 29819289 TI - The Story of the Insane from Year to Year. PMID- 29819290 TI - Progress in State Medicine. PMID- 29819291 TI - The Hospital. Nursing Section. PMID- 29819292 TI - Lancashire County Asylums. PMID- 29819293 TI - The Work of the Metropolitan Asylums Board.-I. PMID- 29819294 TI - The Treatment of Albuminuria in Pregnancy. PMID- 29819295 TI - Progress of Diseases of the Throat and Nose. PMID- 29819296 TI - Intestinal Peristalsis. PMID- 29819297 TI - Alcohol in the Causation of Disease. PMID- 29819298 TI - A Martyr to Duty. PMID- 29819299 TI - Medical Psychology. PMID- 29819300 TI - Notes and News. PMID- 29819301 TI - Experiments on Hospital Patients. PMID- 29819302 TI - Annotations. PMID- 29819303 TI - London Fogs. PMID- 29819304 TI - Diseases of the Kidney. PMID- 29819305 TI - Massage in Simple Fractures of the Leg. PMID- 29819306 TI - Stricture of the OEsophagus. PMID- 29819308 TI - Notes and News. PMID- 29819307 TI - Progress in State Medicine. PMID- 29819310 TI - Venous Thrombosis. PMID- 29819309 TI - Glances at the Hospitals. PMID- 29819311 TI - Rectal Feeding. PMID- 29819312 TI - The Hospital. Nursing Section. PMID- 29819313 TI - Progress in Bacteriology. PMID- 29819314 TI - Age and Activity. PMID- 29819315 TI - The Hospitals Association. PMID- 29819316 TI - Domestic Ventilation. PMID- 29819317 TI - The Story of the Insane from Year to Year. PMID- 29819318 TI - Sea Voyages for Inebriety. PMID- 29819319 TI - Acute Dilatation of the Stomach. PMID- 29819320 TI - The Story of the Insane from Year to Year. PMID- 29819321 TI - Notes and News. PMID- 29819322 TI - The Hospital. Nursing Section. PMID- 29819323 TI - Epidemic Bronchocele. PMID- 29819324 TI - Practical Departments. PMID- 29819325 TI - Glances at the Hospitals. PMID- 29819326 TI - Yellow Fever at Rio. PMID- 29819327 TI - The London School of Tropical Medicine. PMID- 29819328 TI - Chorea : Rheumatism of the Brain. PMID- 29819329 TI - Progress in Dermatology. PMID- 29819330 TI - Infection and Predisposition. PMID- 29819332 TI - The Prevention of Shock during Operations. PMID- 29819331 TI - Hemiplegia. PMID- 29819333 TI - The Treatment of Wounded Joints. PMID- 29819334 TI - Hospital Meetings, &c. PMID- 29819335 TI - Annotations. PMID- 29819336 TI - Rheumatoid Arthritis. PMID- 29819337 TI - Inoperable Cancer. PMID- 29819338 TI - Progress in Diseases of the Thyroid. PMID- 29819339 TI - Progress in Psychiatry. PMID- 29819340 TI - Oophorectomy in Cancer. PMID- 29819342 TI - Matlock House Hydropathic Establishment. PMID- 29819341 TI - The State of the Circulatory System in Incurably Deaf Children. PMID- 29819343 TI - Progress in Psychiatry. PMID- 29819345 TI - Glances at the Hospitals. PMID- 29819344 TI - Modern Sociology. PMID- 29819346 TI - The Work of the Metropolitan Asylums Board.-II. PMID- 29819347 TI - Electric Railways. PMID- 29819348 TI - Diseases of the Heart and Circulation. PMID- 29819349 TI - Editor's Letter-Box. PMID- 29819351 TI - The Hospital. Nursing Section. PMID- 29819350 TI - The Cure of Bright's Disease by Operation. PMID- 29819353 TI - Progress of Diseases of the Throat and Nose. PMID- 29819352 TI - The Cheap Doctor. PMID- 29819354 TI - The Story of the Insane from Year to Year. PMID- 29819355 TI - Annotations. PMID- 29819356 TI - The Fish Theory of Leprosy. PMID- 29819357 TI - New Appliances and Things Medical. PMID- 29819359 TI - Notes and News. PMID- 29819358 TI - Notes and News. PMID- 29819360 TI - Prognosis in Nervous Diseases. PMID- 29819361 TI - The Treatment of Obstinate Ringworm. PMID- 29819362 TI - Progress in Surgery. PMID- 29819363 TI - Nervous Diseases and Lunacy Law. PMID- 29819364 TI - Lady House Surgeons. PMID- 29819365 TI - The Fatality of the Notifiable Diseases. PMID- 29819366 TI - Sir Dyce Duckworth on Diatheses. PMID- 29819367 TI - Harmless Parasites. PMID- 29819368 TI - The Hospital. Nursing Section. PMID- 29819369 TI - Diseases of the Kidney. PMID- 29819370 TI - Practical Departments. PMID- 29819371 TI - New Appliances and Things Medical. PMID- 29819372 TI - The Story of the Insane from Year to Year. PMID- 29819373 TI - Progress in Neurology. PMID- 29819375 TI - Music and Mosquitos. PMID- 29819374 TI - Annotations. PMID- 29819376 TI - Glances at the Hospitals. PMID- 29819377 TI - The Prince of Wales's Hospital Fund. PMID- 29819378 TI - The Early Diagnosis of Cancer of the Pylorus. PMID- 29819379 TI - Vaccination: Public and Private. PMID- 29819380 TI - A "Milk Epidemic" of Scarlet Fever. PMID- 29819381 TI - Progress in Diseases of the Blood. PMID- 29819382 TI - New Appliances and Things Medical. PMID- 29819383 TI - Modern Sociology. PMID- 29819384 TI - Domestic Medicine in South Africa. PMID- 29819385 TI - Jewish Home for Incurables, Tottenham. PMID- 29819386 TI - The Story of the Insane from Year to Year. PMID- 29819387 TI - Glances at the Hospitals. PMID- 29819389 TI - Progress in Diseases of the Nervous System. PMID- 29819388 TI - Roof Gardens. PMID- 29819390 TI - Chronic Serpiginous Ulcer of the Cornea. PMID- 29819391 TI - The Hospital. Nursing Section. PMID- 29819392 TI - School for the Indigent Blind. PMID- 29819393 TI - Annotations. PMID- 29819394 TI - Exercises for Weak Feet. PMID- 29819395 TI - Notes and News. PMID- 29819396 TI - The Kidneys and the Cardiovascular System. PMID- 29819397 TI - Progress in Neurology. PMID- 29819398 TI - Carbonate of Creasote in Pneumonia. PMID- 29819399 TI - The Early Home Treatment of Consumption. PMID- 29819400 TI - Our Christmas Supplement. PMID- 29819401 TI - The Hospital. Nursing Section. PMID- 29819403 TI - The Prince of Wales at St. Bartholomew's Hospital. PMID- 29819402 TI - Hospital Meetings. PMID- 29819404 TI - Progress in Diseases of the Blood. PMID- 29819405 TI - Defective Union in Fractures. PMID- 29819406 TI - Canvassing. PMID- 29819407 TI - The Treatment of Tuberculosis by the Administration of Urea. PMID- 29819408 TI - Progress in Ophthalmology. PMID- 29819409 TI - Telephones. PMID- 29819410 TI - East Anglian Sanatorium for Consumptives at Broomfields, Nayland, Suffolk. PMID- 29819411 TI - Notes and News. PMID- 29819412 TI - Progress in Disease of Digestive Organs. PMID- 29819413 TI - X-Rays in Cancer. PMID- 29819414 TI - Foreign Bodies in the Nose. PMID- 29819415 TI - New Appliances and Things Medical. PMID- 29819416 TI - Annotations. PMID- 29819417 TI - Practical Departments. PMID- 29819419 TI - The Lessons of Beri-Beri. PMID- 29819418 TI - Lady House Surgeons in General Hospitals. PMID- 29819420 TI - Laminectomy in Fracture of the Spine. PMID- 29819421 TI - Consumptive Cases in Convalescent and Other Homes. PMID- 29819423 TI - Progress in Surgery. PMID- 29819422 TI - The Bolingbroke Hospital, Wandsworth. PMID- 29819424 TI - Annotations. PMID- 29819425 TI - Notes and News. PMID- 29819426 TI - Progress in Psychiatry. PMID- 29819427 TI - Progress in Neurology. PMID- 29819428 TI - The Electrocution of Czolgosz. PMID- 29819429 TI - An Electric Hot-Water Bottle. PMID- 29819431 TI - How to Examine the Mouth of an Infant. PMID- 29819430 TI - The Association of Pleurisy with Appendicitis. PMID- 29819432 TI - Victoria Hospital for Children. PMID- 29819433 TI - Medicine and Sociology. PMID- 29819434 TI - The Hospital. Nursing Section. PMID- 29819435 TI - Treatment of Enlargement of the Prostate. PMID- 29819436 TI - The Election to the General Medical Council. PMID- 29819437 TI - Derangements of the Thyroid Gland. PMID- 29819438 TI - Dispensaries and Charitable Institutions of the Punjab. PMID- 29819439 TI - Notes and News. PMID- 29819440 TI - Hospital Meetings. PMID- 29819441 TI - Annotations. PMID- 29819442 TI - Progress in Surgery. PMID- 29819443 TI - Antiseptics on the Battlefield. PMID- 29819444 TI - The Story of the Insane from Year to Year. PMID- 29819445 TI - Leprosy. PMID- 29819446 TI - Glances at the Hospitals. PMID- 29819447 TI - Modern Sociology. PMID- 29819448 TI - Progress in Ophthalmology. PMID- 29819450 TI - Progress in Psychiatry. PMID- 29819449 TI - The Hospital. Nursing Section. PMID- 29819452 TI - The General Medical Council. PMID- 29819451 TI - Syphilitic Brain Disease. PMID- 29819453 TI - The Frequency of Gall Stones. PMID- 29819454 TI - New Appliances and Things Medical. PMID- 29819456 TI - Wynnstay Sanatorium, Burgess Hill, Sussex. PMID- 29819455 TI - Our Children. PMID- 29819458 TI - Progress in Cerebral Surgery. PMID- 29819457 TI - Irrigation of the Urethra. PMID- 29819459 TI - Annotations. PMID- 29819460 TI - Hospital Meetings. PMID- 29819461 TI - National Hospital for the Paralysed and Epileptic: Reorganisation Committee's Report and Rules Adopted. PMID- 29819462 TI - The Story of the Insane from Year to Year. PMID- 29819464 TI - Tight-Lacing, Cycling, and Nephroptosis. PMID- 29819463 TI - The Accidental Dislodgement of Renal Calculi. PMID- 29819465 TI - How to Examine for Movable Kidney. PMID- 29819466 TI - The Hospital. Nursing Section. PMID- 29819468 TI - A Model Hospital. PMID- 29819467 TI - The National Hospital-The Outlook. PMID- 29819469 TI - The Treatment of Chronic Bright's Disease. PMID- 29819470 TI - Progress in Pediatrics. PMID- 29819472 TI - Notes and News. PMID- 29819471 TI - New Appliances and Things Medical. PMID- 29819474 TI - The Treatment of Movable Kidney. PMID- 29819473 TI - Crabbed Age and Youth. PMID- 29819475 TI - Modern Vaccination. PMID- 29819476 TI - Progress in Anaesthetics. PMID- 29819477 TI - The Hospital. Nursing Section. PMID- 29819478 TI - The Charitable Dispensaries of Bengal. PMID- 29819479 TI - Rupture of the Tendo Achillis. PMID- 29819480 TI - The Story of the Insane from Year to Year. PMID- 29819481 TI - Beef Tea and Meat Preparations: I. Introductory. PMID- 29819483 TI - Hospital Meetings. PMID- 29819482 TI - Annotations. PMID- 29819484 TI - Modern Sociology. PMID- 29819485 TI - Progress of Diseases of the Throat and Nose. PMID- 29819486 TI - Notes and News. PMID- 29819487 TI - How to Vaccinate. PMID- 29819488 TI - Premature Senility. PMID- 29819489 TI - Progress in Psychiatry. PMID- 29819490 TI - Changing Fashions in Medical Treatment. PMID- 29819491 TI - Tuberculosis among the Jews. PMID- 29819492 TI - The "Housing" Question. PMID- 29819493 TI - Obstructive Jaundice. PMID- 29819495 TI - The Lunacy Bill. PMID- 29819494 TI - New Appliances and Things Medical. PMID- 29819496 TI - The Administration of Iodide of Potassium in Cases with Obstructed Bronchi. PMID- 29819497 TI - Notes and News. PMID- 29819498 TI - "The Hospital" Nursing Mirror. PMID- 29819499 TI - Annotations. PMID- 29819500 TI - The Story of the Insane from Year to Year. PMID- 29819501 TI - The Use of Taxis in Reducing Herniae. PMID- 29819503 TI - Progress in Surgery. PMID- 29819502 TI - Rupture of the Uterus. PMID- 29819505 TI - Periscope of Dermatology. PMID- 29819504 TI - London School of Tropical Medicine. PMID- 29819506 TI - Hospital Meetings, &c. PMID- 29819507 TI - Sessional Lectures. PMID- 29819508 TI - Modern Sociology. PMID- 29819509 TI - Hospital Construction. PMID- 29819510 TI - Progress in Medicine. PMID- 29819511 TI - Aphasia in Some of Its Practical and Less Known Aspects. PMID- 29819512 TI - Chloral Sleep in the Treatment of Chorea. PMID- 29819513 TI - The David Lewis Hospital, Liverpool. PMID- 29819514 TI - The Hospital. Nursing Section. PMID- 29819515 TI - Progress in Surgery. PMID- 29819517 TI - An Evil Consequence of Pince-Nez. PMID- 29819516 TI - Doctors, Midwives, and Patients. PMID- 29819518 TI - Notes and News. PMID- 29819519 TI - University College Hospital. PMID- 29819521 TI - Plants and Fevers. PMID- 29819520 TI - The Hospital Saturday Fund. PMID- 29819522 TI - The Abuse of Prescriptons. PMID- 29819523 TI - The Relation between Foetus and Pelvis. PMID- 29819524 TI - Convalescence at the Sea-Side. PMID- 29819525 TI - Annotations. PMID- 29819526 TI - Progress in Disease of Digestive Organs. PMID- 29819527 TI - St. Mary's Hospital, Paddington. PMID- 29819528 TI - The Nervous System in Anaemia. PMID- 29819529 TI - New Appliances and Things Medical. PMID- 29819531 TI - Progress in Diabetes. PMID- 29819530 TI - The Royal Sea-Bathing Hospital, Margate. PMID- 29819532 TI - The Royal Eye Hospital. PMID- 29819533 TI - Widal's Reaction. PMID- 29819534 TI - New Appliances and Things Medical. PMID- 29819535 TI - Forsythe versus Law. PMID- 29819536 TI - Hospital Meetings. PMID- 29819537 TI - Notes and News. PMID- 29819538 TI - Progress in Medicine. PMID- 29819539 TI - Traumatic Neurasthenia. PMID- 29819540 TI - The Central Midwives' Board. PMID- 29819541 TI - Feeding in Gastric Ulcer. PMID- 29819542 TI - The Hospital. Nursing Section. PMID- 29819543 TI - Annotations. PMID- 29819544 TI - Progress in Obstetrics. PMID- 29819545 TI - New Appliances and Things Medical. PMID- 29819546 TI - Hospital Construction. PMID- 29819547 TI - Progress in Surgery. PMID- 29819548 TI - Coleman v. Coldwell. PMID- 29819549 TI - Hospital Meetings, &c. PMID- 29819550 TI - The AEtiology of Cancer. PMID- 29819551 TI - Cancer Fields. PMID- 29819552 TI - Modern Sociology. PMID- 29819553 TI - Notes and News. PMID- 29819554 TI - Medical Fees in Cottage Hospitals. PMID- 29819555 TI - Progress in Medicine. PMID- 29819556 TI - A Question of Custom. PMID- 29819557 TI - Lobar-Pneumonia, an Acute Specific Fever. PMID- 29819558 TI - Annotations. PMID- 29819559 TI - Antituberculous Serum. PMID- 29819560 TI - "The Hospital" Nursing Mirror. PMID- 29819561 TI - Superannuation under the Poor Law. PMID- 29819562 TI - Cancer Houses. PMID- 29819563 TI - What Can Surgery Do? PMID- 29819564 TI - Adenoids and Enuresis. PMID- 29819565 TI - Surgical Cleanliness. PMID- 29819566 TI - Hospital Meetings. PMID- 29819567 TI - New Appliances and Things Medical. PMID- 29819568 TI - Passing the Stomach Tube. PMID- 29819569 TI - The Sequel in Cases of Pylorectomy. PMID- 29819570 TI - Progress of Diseases of the Throat and Nose. PMID- 29819571 TI - Enema Rashes. PMID- 29819573 TI - Zymotic Disease in London. PMID- 29819572 TI - Deaths from Chloroform. PMID- 29819574 TI - Dr. Roger Williams on Oophorectomy for Cancer of the Breast. PMID- 29819575 TI - Progress in Bacteriology. PMID- 29819576 TI - Susceptibility to Re-Vaccination. PMID- 29819577 TI - The Control of Intemperance. PMID- 29819578 TI - The Work of the Metropolitan Asylums Board.-III. PMID- 29819579 TI - Guy's Hospital. PMID- 29819580 TI - Annotations. PMID- 29819581 TI - Respiratory Troubles after an AEsthetics. PMID- 29819582 TI - The Hospital. Nursing Section. PMID- 29819583 TI - Progress in Psychiatry. PMID- 29819584 TI - Notes and News. PMID- 29819585 TI - Modern Sociology. PMID- 29819586 TI - Inoculation for Enteric Fever. PMID- 29819587 TI - The Story of the Insane from Year to Year. PMID- 29819588 TI - Modern Sociology. PMID- 29819589 TI - The Sins of the Binaural Stethescope. PMID- 29819590 TI - Mr. Buckston Browne's Views. PMID- 29819591 TI - The Hospital. Nursing Section. PMID- 29819593 TI - Adenoids in Infancy. PMID- 29819592 TI - Hospital Meetings. PMID- 29819594 TI - Clay versus Gravel. PMID- 29819595 TI - Annotations. PMID- 29819596 TI - Disease of the Lungs. PMID- 29819597 TI - Progress in Fevers. PMID- 29819598 TI - Notes and News. PMID- 29819599 TI - Progress in Surgery. PMID- 29819601 TI - A Hospital for the Insane. PMID- 29819600 TI - Glances at the Hospitals. PMID- 29819602 TI - Dr. Freyer on His Operation for Enucleation of the Prostate. PMID- 29819603 TI - The Treatment of Enlarged Prostate. PMID- 29819604 TI - Modern Sociology. PMID- 29819605 TI - Notes and News. PMID- 29819606 TI - Progress in Medicine. PMID- 29819607 TI - Progress in Surgery. PMID- 29819608 TI - Institutional Questions. PMID- 29819609 TI - Annotations. PMID- 29819610 TI - Scarlet Fever in the Tropics. PMID- 29819611 TI - The Naval Medical Service. PMID- 29819612 TI - Hospital Construction. PMID- 29819613 TI - Psilosis or Sprue. PMID- 29819615 TI - Lord Rosebery on Hospitals. PMID- 29819614 TI - An Address on Aseptic Midwifery. PMID- 29819616 TI - Insects and the Dissemination of Infectious Diseases. PMID- 29819617 TI - Editor's Letter-Box. PMID- 29819618 TI - "The Hospital" Nursing Mirror. PMID- 29819619 TI - The Notification of Infectious Diseases. PMID- 29819621 TI - The Punishment of the Insane. PMID- 29819620 TI - Filarial Periodicity. PMID- 29819622 TI - A Brief History of the Metropolitan Hospital Sunday Fund. PMID- 29819623 TI - Concentrated Foods. PMID- 29819624 TI - The Bacteriological Diagnosis of Diphtheria. PMID- 29819625 TI - Notes and News. PMID- 29819626 TI - Progress in Surgery. PMID- 29819627 TI - Koplik's Sign in Measles. PMID- 29819628 TI - Progress in Medicine. PMID- 29819630 TI - The Opening of the Bedford County Hospital. PMID- 29819629 TI - Ankylosis and Its Treatment. PMID- 29819631 TI - Water as a Medicine. PMID- 29819632 TI - Muzzling and Rabies. PMID- 29819633 TI - Annotations. PMID- 29819634 TI - Diet in the Typhoid State. PMID- 29819635 TI - "The Hospital" Nursing Mirror. PMID- 29819636 TI - Hospital Meetings, &c. PMID- 29819637 TI - Private Hospitals and Nursing Homes. PMID- 29819638 TI - "The Hospital" Nursing Mirror. PMID- 29819639 TI - Hospital Meetings, &c. PMID- 29819640 TI - Rapid or Sudden Death in Infants from Unsuspected Causes. PMID- 29819641 TI - Prince of Wales's Hospital Fund. PMID- 29819642 TI - Notes. PMID- 29819643 TI - Practical Points. PMID- 29819644 TI - Inversion of the Uterus. PMID- 29819645 TI - Annotations. PMID- 29819646 TI - The Open-Air Treatment of Consumption. PMID- 29819648 TI - Inunction of Creasote in Malarial Fevers. PMID- 29819647 TI - Progress in Medicine. PMID- 29819650 TI - Civil Hospitals and Dispensaries in Madras Presidency. PMID- 29819649 TI - Notes and News. PMID- 29819652 TI - The Cause of Cancer. PMID- 29819651 TI - New Appliances and Things Medical. PMID- 29819653 TI - The Story of the Insane from Year to Year. PMID- 29819654 TI - Insomnia. PMID- 29819655 TI - Progress in Surgery. PMID- 29819656 TI - Modern Sociology. PMID- 29819657 TI - The Case of Dr. Lamont. PMID- 29819658 TI - Progress in Anaesthetics. PMID- 29819660 TI - Queen Charlotte's Nurses' Home. PMID- 29819659 TI - Schultze's Method of Artificial Respiration. PMID- 29819661 TI - Progress in Anaesthetics. PMID- 29819662 TI - Guaiacol Vapour Baths in Bronchiectasis. PMID- 29819663 TI - Progress in Medicine. PMID- 29819664 TI - Notes and News. PMID- 29819665 TI - Metropolitan Hospital Sunday Fund. PMID- 29819666 TI - The Colonial Nursing Association: Mr. Chamberlain's Speech. PMID- 29819667 TI - Progress in Surgery. PMID- 29819668 TI - The Oldest Eye-Hospital in England. PMID- 29819670 TI - "The Hospital" Nursing Mirror. PMID- 29819669 TI - Tracheotomy in Scarlet Fever. PMID- 29819672 TI - Sale of Food and Drugs Bill. PMID- 29819671 TI - Drink and Heredity. PMID- 29819674 TI - Spirit of Soap as an Antiseptic. PMID- 29819673 TI - The Pathology of Suppuration in the Nasal Accessory Sinuses and Its Relationship to Nasal Polypus. PMID- 29819675 TI - Modern Sociology. PMID- 29819676 TI - The Portsmouth Meeting of the British Medical Association. PMID- 29819677 TI - Annotations. PMID- 29819678 TI - New Appliances and Things Medical. PMID- 29819679 TI - Annotations. PMID- 29819680 TI - A Porro's Operation with Intraperitoneal Treatment of the Stump. PMID- 29819681 TI - Tetranitrate of Erythrol. PMID- 29819682 TI - Hospital Meetings, &c. PMID- 29819683 TI - The Medical Institutions of Calcutta. PMID- 29819684 TI - New Appliances and Things Medical. PMID- 29819685 TI - Progress in Medicine. PMID- 29819687 TI - Cremation. PMID- 29819686 TI - On the Methods of Isolation and the Present Treatment of Infectious Diseases. PMID- 29819688 TI - Notes and News. PMID- 29819689 TI - Charitable Dispensaries of Bengal. PMID- 29819691 TI - An American Commission for the Study of Tropical Diseases. PMID- 29819690 TI - Tuberculosis and the Dairy-Farm. PMID- 29819692 TI - "The Hospital" Nursing Mirror. PMID- 29819693 TI - Progress in Surgery. PMID- 29819695 TI - The Queue System at Hospitals. PMID- 29819694 TI - Diet for the Fat. PMID- 29819696 TI - Modern Sociology. PMID- 29819697 TI - Death from Functional Nervous Disease. PMID- 29819699 TI - Practical Departments. PMID- 29819698 TI - New Appliances. PMID- 29819701 TI - Annotations. PMID- 29819700 TI - Ventilation. PMID- 29819703 TI - The Methods of Examining the Stomach. PMID- 29819702 TI - "The Hospital" Nursing Mirror. PMID- 29819704 TI - Progress in Medicine. PMID- 29819705 TI - Progress in Surgery. PMID- 29819706 TI - Hospital Meetings, &c. PMID- 29819707 TI - Editor's Letter-Box. PMID- 29819709 TI - Notes and News. PMID- 29819708 TI - The Origin of Cancer. PMID- 29819710 TI - Modern Sociology. PMID- 29819711 TI - Influenza. PMID- 29819712 TI - On the Nature of Pulmonary Emphysema. PMID- 29819713 TI - The Nemesis of Specialism. PMID- 29819714 TI - Which Mosquito Is the Enemy? PMID- 29819715 TI - The Early Diagnosis and Treatment of Deformities of the Spine. PMID- 29819716 TI - Saline Injections in Puerperal Eclampsia. PMID- 29819717 TI - Annotations. PMID- 29819718 TI - Progress in Surgery. PMID- 29819719 TI - Eye Strain and the Rest Cure. PMID- 29819721 TI - Summer Diarrhoea. PMID- 29819720 TI - New Appliances and Things Medical. PMID- 29819722 TI - The Inebriates Act. PMID- 29819723 TI - Progress in Medicine. PMID- 29819724 TI - Notes. PMID- 29819725 TI - The Women's Congress. PMID- 29819726 TI - Notes and News. PMID- 29819727 TI - Medical Officers and Workhouse Nursing. PMID- 29819728 TI - Immediate Personal Supervision. PMID- 29819729 TI - Progress in Ophthalmology. PMID- 29819730 TI - Practical Points. PMID- 29819731 TI - Modern Sociology. PMID- 29819732 TI - "The Hospital" Nursing Mirror. PMID- 29819733 TI - The Ever-Growing Cost of Hospital Construction. PMID- 29819734 TI - The Story of the Insane from Year to Year. PMID- 29819735 TI - Progress in Medicine. PMID- 29819736 TI - Annotations. PMID- 29819737 TI - "The Hospital" Nursing Mirror. PMID- 29819738 TI - Lunacy in the Central Provinces of India. PMID- 29819739 TI - Progress in Bacteriology. PMID- 29819741 TI - The Musculo-Spiral Nerve in Fracture of the Humerus. PMID- 29819740 TI - Notes and News. PMID- 29819742 TI - The Result of Removal of the Appendages. PMID- 29819743 TI - On the Localisation of the Seat of Haemorrhage in Haematuria. PMID- 29819744 TI - Typhus Fever. PMID- 29819745 TI - Physiology in Education. PMID- 29819746 TI - Medical Advertising on the Continent. PMID- 29819747 TI - Hospital Meetings, &c. PMID- 29819748 TI - Modern Sociology. PMID- 29819749 TI - Periscope of Dermatology. PMID- 29819751 TI - New Appliances and Things Medical. PMID- 29819750 TI - Special Hospital Sunday Supplement. PMID- 29819752 TI - Annotations. PMID- 29819753 TI - The Medical Council. PMID- 29819754 TI - Some Points of Preventive Treatment in the Diseases of Women. PMID- 29819755 TI - The Rational Treatment of Consumption. PMID- 29819756 TI - Overcrowding in St. Pancras. PMID- 29819758 TI - Clinical Society. PMID- 29819757 TI - Operation for the Ascites of Cirrhosis. PMID- 29819760 TI - On Climate and Sea Voyages in the Treatment of Tuberculosis. PMID- 29819759 TI - "The Hospital" Nursing Mirror. PMID- 29819761 TI - Notes and News. PMID- 29819762 TI - Progress in Obstetrics. PMID- 29819764 TI - Progress in Medicine. PMID- 29819763 TI - Temperance in the Army. PMID- 29819766 TI - Sources of Fallacy in Regard to the Results of Treatment by Climate. PMID- 29819765 TI - Hospital Meetings, &c. PMID- 29819767 TI - The Story of the Insane from Year to Year. PMID- 29819768 TI - Notes. PMID- 29819769 TI - New Appliances and Things Medical. PMID- 29819770 TI - Hospital Construction. PMID- 29819772 TI - Gruel as an Infants' Food. PMID- 29819771 TI - Some Ulcers of the Tongue. PMID- 29819774 TI - Annotations. PMID- 29819773 TI - Hospital Laundries. PMID- 29819775 TI - The Prevention and Treatment of Syphilis. PMID- 29819776 TI - Spontaneous Fracture in Phosphorus Workers. PMID- 29819777 TI - Modern Sociology. PMID- 29819778 TI - Institutional Questions. PMID- 29819780 TI - Progress in Medicine. PMID- 29819779 TI - Compulsory Removal and Detention of Fever Patients. PMID- 29819781 TI - The Choice of Bromides in the Treatment of Epilepsy. PMID- 29819782 TI - Reciprocity. PMID- 29819783 TI - Progress in Surgery. PMID- 29819784 TI - Editor's Letter-Box. PMID- 29819785 TI - "The Hospital" Nursing Mirror. PMID- 29819786 TI - Notes and News. PMID- 29819787 TI - Progress in Gynaecology. PMID- 29819788 TI - Transfusion in Diabetic Coma. PMID- 29819789 TI - Notes and News. PMID- 29819790 TI - Annotations. PMID- 29819791 TI - The Medical Profession. PMID- 29819792 TI - The Medical Schools. PMID- 29819793 TI - Modern Sociology. PMID- 29819794 TI - "The Hospital" Nursing Mirror. PMID- 29819795 TI - Periscope of Dermatology. PMID- 29819796 TI - Medical Degrees and Other Qualifications. PMID- 29819797 TI - Roentgen Rays. PMID- 29819798 TI - The Relation between the Use of Antitoxin and the Occurrence of Diphtheritic Paralysis. PMID- 29819800 TI - Progress in Surgery. PMID- 29819799 TI - New Appliances and Things Medical. PMID- 29819802 TI - Prickly Heat. PMID- 29819801 TI - The Medical Curriculum. PMID- 29819803 TI - Notes. PMID- 29819804 TI - The "Domestic" Mosquito. PMID- 29819805 TI - The Pathology of Suppuration in the Nasal Accessory Sinuses and Its Relationship to Nasal Polypus. PMID- 29819806 TI - Notes and News. PMID- 29819807 TI - Exploration of the Knee Joint. PMID- 29819809 TI - Annotations. PMID- 29819808 TI - New Appliances and Things Medical. PMID- 29819811 TI - Sir R. Douglas Powell on Recent Advances in Practical Medicine. PMID- 29819810 TI - "The Hospital" Nursing Mirror. PMID- 29819812 TI - Temperature and Health. PMID- 29819813 TI - The British Medical Association Meeting at Portsmouth. PMID- 29819815 TI - Progress in Surgery. PMID- 29819814 TI - Progress in Medicine. PMID- 29819816 TI - Progress in State Medicine. PMID- 29819817 TI - Dr. Ward Cousins on the Century's Progress. PMID- 29819820 TI - Notes and News. PMID- 29819819 TI - The Congress on Tuberculosis. PMID- 29819818 TI - Hospital Meetings, &c. PMID- 29819821 TI - The Treatment of Superfluous Hairs. PMID- 29819822 TI - Prognosis in Operation for Appendicitis. PMID- 29819823 TI - Hospital Meetings, &c. PMID- 29819824 TI - Annotations. PMID- 29819826 TI - Progress in Surgery. PMID- 29819825 TI - Hospital Administration. PMID- 29819827 TI - "The Hospital" Nursing Mirror. PMID- 29819828 TI - Workhouse Infirmaries and Consultants. PMID- 29819829 TI - The Treatment of Symptoms. PMID- 29819830 TI - New Appliances and Things Medical. PMID- 29819831 TI - The Story of the Insane from Year to Year. PMID- 29819833 TI - The Detection of Renal Calculi by Aid of Radiography. PMID- 29819832 TI - Some Points of Preventive Treatment in the Diseases of Women. PMID- 29819834 TI - Progress in Obstetrics. PMID- 29819835 TI - Modern Sociology. PMID- 29819836 TI - Tuberculin. PMID- 29819837 TI - Surgery of the Large Intestine. PMID- 29819839 TI - The Diagnosis of Small-Pox. PMID- 29819838 TI - Beef Tea and Meat Preparations: III. Nourishing Meat Preparations. PMID- 29819840 TI - Progress in Gynaecology. PMID- 29819841 TI - Tuberculosis among the Jews. PMID- 29819842 TI - Practical Departments. PMID- 29819843 TI - Hospital Sunday Fund. PMID- 29819844 TI - The Salt Pack in Rheumatic Gout. PMID- 29819845 TI - Re-Vaccination. PMID- 29819846 TI - Progress in Surgery. PMID- 29819847 TI - Modern Sociology. PMID- 29819848 TI - Suprarenal Extract as a Haemostatic. PMID- 29819849 TI - More Cancer Cures. PMID- 29819851 TI - Notes and News. PMID- 29819850 TI - Hospital Meetings. PMID- 29819853 TI - Obesity. PMID- 29819852 TI - Progress in Diseases of the Heart. PMID- 29819854 TI - Glances at the Hospitals. PMID- 29819855 TI - Annotations. PMID- 29819857 TI - Heart Disease in Children. PMID- 29819856 TI - The Hospital. Nursing Section. PMID- 29819858 TI - Notes and News. PMID- 29819859 TI - Progress of Diseases of the Throat and Nose. PMID- 29819861 TI - Glances at the Hospitals. PMID- 29819860 TI - Beef Tea and Meat Preparations: II. Beef Tea and Meat Preparations Compared. PMID- 29819863 TI - Tabes Mesenterica. PMID- 29819862 TI - Progress in Surgery. PMID- 29819864 TI - Lancashire County Asylums. PMID- 29819865 TI - Practical Departments. PMID- 29819866 TI - Midwives and Infantile Ophthalmia. PMID- 29819867 TI - New Appliances and Things Medical. PMID- 29819869 TI - Institutional Notes. PMID- 29819868 TI - Annotations. PMID- 29819870 TI - Phlegmonous Gastritis. PMID- 29819871 TI - A Hair Ball Removed from the Stomach. PMID- 29819872 TI - Re-Vaccination. PMID- 29819873 TI - The Hospital. Nursing Section. PMID- 29819874 TI - Modern Sociology. PMID- 29819875 TI - The Story of the Insane from Year to Year. PMID- 29819877 TI - Phthisiophobia. PMID- 29819876 TI - At Last a Teaching University. PMID- 29819878 TI - An Englishman's Account of Some American Hospitals. PMID- 29819879 TI - Progress in Diseases of the Heart. PMID- 29819880 TI - Modern Sociology. PMID- 29819881 TI - How to Thread a Needle. PMID- 29819882 TI - The Story of the Insane from Year to Year. PMID- 29819883 TI - Progress in Surgery. PMID- 29819885 TI - Leprosy in the Baltic Provinces. PMID- 29819884 TI - Institutional Questions. PMID- 29819887 TI - The Physiological Standardisation of Drugs. PMID- 29819886 TI - An Address on Aseptic Midwifery. PMID- 29819888 TI - New Appliances and Things Medical. PMID- 29819889 TI - Fibroid Phthisis in the Gold Mines. PMID- 29819890 TI - Hospital Construction. PMID- 29819891 TI - "The Hospital" Nursing Mirror. PMID- 29819892 TI - The Borderland of Insanity. PMID- 29819893 TI - Notes and News. PMID- 29819894 TI - War, Pestilence, and Famine. PMID- 29819895 TI - Notes. PMID- 29819896 TI - The Importance of Intestinal Bacteria in Digestion. PMID- 29819897 TI - Annotations. PMID- 29819899 TI - A Study in Insanity. PMID- 29819900 TI - Progress in Medicine. PMID- 29819901 TI - The Diagnosis of Tumours. PMID- 29819902 TI - Progress in Surgery. PMID- 29819903 TI - Hospital Meetings, &c. PMID- 29819905 TI - Medical Practice by Companies. PMID- 29819904 TI - On Removal of the Stomach. PMID- 29819906 TI - The Vagaries of Typhoid. PMID- 29819907 TI - Notes and News. PMID- 29819908 TI - Sporadic Trichinosis. PMID- 29819909 TI - Annotations. PMID- 29819911 TI - Modern Sociology. PMID- 29819910 TI - Prophylactic Cauterisation in Rabies. PMID- 29819912 TI - Midwifery and General Practice. PMID- 29819913 TI - "The Hospital" Nursing Mirror. PMID- 29819914 TI - The National Tobacco Bill. PMID- 29819915 TI - Progress in Medicine. PMID- 29819916 TI - Pylorectomy. PMID- 29819917 TI - The Lord Mayor and "Hospital Saturday". PMID- 29819919 TI - Employees and the National Insurance Act. PMID- 29819918 TI - Government (Teaching) and Municipal (Non-Teaching) Hospitals. PMID- 29819920 TI - British Hospitals Association. PMID- 29819921 TI - Institutional Housekeeping. PMID- 29819923 TI - The Child under School Age. PMID- 29819922 TI - Tuberculin in Arthritis Deformans: Tuberculosis as an AEtiological Factor. PMID- 29819924 TI - Hospital and Institutional News. PMID- 29819925 TI - Research and Remedies. PMID- 29819927 TI - The British Hospitals Association: Conference at Birmingham. PMID- 29819926 TI - The Institutional Worker. PMID- 29819928 TI - Fire Risks at Hospitals. PMID- 29819929 TI - Fitting up the X-Ray Department. PMID- 29819930 TI - New Appliances and Things Medical. PMID- 29819931 TI - Feeding in Gastric Ulcer. PMID- 29819932 TI - Notes and News. PMID- 29819934 TI - East London Hospital for Children. PMID- 29819933 TI - Chromidrosis. PMID- 29819935 TI - Popular Medicine. PMID- 29819936 TI - The Radical Treatment of Polypoid Disease of the Nose. PMID- 29819937 TI - The Relation of Alcoholism to Suicide. PMID- 29819938 TI - Progress in Obstetrics. PMID- 29819939 TI - Progress in Cancer. PMID- 29819940 TI - The Hospital. Nursing Section. PMID- 29819941 TI - The London Hospital. PMID- 29819942 TI - Royal Westminster Ophthalmic Hospital. PMID- 29819943 TI - The Prince and the Hospitals. PMID- 29819944 TI - West Ham Hospital. PMID- 29819945 TI - Annotations. PMID- 29819946 TI - New Hospital for Women. PMID- 29819947 TI - King Edward's Hospital Fund for London. PMID- 29819948 TI - Progress in Medicine. PMID- 29819950 TI - Preventive Inoculation. PMID- 29819949 TI - The Mount Vernon Hospital. PMID- 29819951 TI - New Appliances and Things Medical. PMID- 29819952 TI - Cocainising the Spinal Cord. PMID- 29819953 TI - Annotations. PMID- 29819954 TI - The Influence of One Disease upon Another. PMID- 29819956 TI - Dangerous Industries. PMID- 29819955 TI - Progress in Surgery. PMID- 29819959 TI - Notes. PMID- 29819958 TI - Hospital Meetings, &c. PMID- 29819957 TI - Notes and News. PMID- 29819960 TI - The Early Diagnosis and Treatment of Deformities of the Spine. PMID- 29819961 TI - Modern Sociology. PMID- 29819962 TI - Progress in Medicine. PMID- 29819964 TI - The Midland Counties' Home for Incurables. PMID- 29819963 TI - The University of London. PMID- 29819965 TI - The Twang of the Yankee. PMID- 29819966 TI - The Royal College of Surgeons. PMID- 29819967 TI - "The Hospital" Nursing Mirror. PMID- 29819968 TI - Payments by Patients. PMID- 29819969 TI - The Treatment of Iritis. PMID- 29819970 TI - Annotations. PMID- 29819972 TI - Anti-Tuberculous Vaccines and Sera. PMID- 29819971 TI - Notes and News. PMID- 29819973 TI - Modern Dietetics. PMID- 29819974 TI - The Rational Treatment of Pyrexia in Phthisis. PMID- 29819975 TI - The Possibilities of Anti-Typhoid Serum. PMID- 29819976 TI - The Agnes Memorial Sanatorium at Denver, Colorado. PMID- 29819977 TI - "The Hospital" Nursing Section. PMID- 29819978 TI - Doomed before Birth. PMID- 29819979 TI - Poor Law Topics. PMID- 29819980 TI - Diseases of Children. PMID- 29819981 TI - Rheumatism. PMID- 29819982 TI - The Heating and Ventilating of the New Harvard Medical Schools. PMID- 29819983 TI - The Fifteenth International Congress of Medicine. PMID- 29819984 TI - Motor Cars for Doctors: Hints on Buying a Car. PMID- 29819985 TI - Diseases of the Circulation. PMID- 29819986 TI - Hospital Meetings. PMID- 29819987 TI - School Children and Their Industries. PMID- 29819988 TI - The Prince of Wales's Hospital Fund of London. PMID- 29819989 TI - Micawberism. PMID- 29819990 TI - New Appliances and Things Medical. PMID- 29819991 TI - Notes and News. PMID- 29819992 TI - Progress in Medicine. PMID- 29819993 TI - A Case of Lobar Pneumonia and Its Treatment. PMID- 29819994 TI - The Clinical Relations of Ataxy. PMID- 29819995 TI - St. Thomas's Hospital. PMID- 29819996 TI - Modern Sociology. PMID- 29819997 TI - Annotations. PMID- 29819998 TI - Red Cross Societies in War. PMID- 29819999 TI - Hospital Meetings, &c. PMID- 29820000 TI - "The Hospital" Nursing Mirror. PMID- 29820001 TI - Hospital Construction. PMID- 29820002 TI - The Problem of Radiant Heat v. Warmed Air. PMID- 29820004 TI - Diet. PMID- 29820003 TI - Diseases of Children. PMID- 29820005 TI - "The Hospital" Nursing Section. PMID- 29820006 TI - The Value of Condensed Milk. PMID- 29820007 TI - Genito-Urinary Surgery. PMID- 29820008 TI - Diseases of the Intestines. PMID- 29820009 TI - Hospital Meetings. PMID- 29820010 TI - Hospital Diets in 1764. PMID- 29820012 TI - New Poor-Law Infirmary, Leicester. PMID- 29820011 TI - Notes and News. PMID- 29820013 TI - The Uncertainties of Therapeutics. PMID- 29820014 TI - A Study in Poor-Law Expenditure. PMID- 29820016 TI - Citrate of Soda in the Feeding of Infants. PMID- 29820015 TI - Annotations. PMID- 29820017 TI - Diseases Associated with Lymphatic Enlargement. PMID- 29820018 TI - The Heart in the Tuberculous. PMID- 29820019 TI - Simple Fractures. PMID- 29820020 TI - The General Medical Council. PMID- 29820021 TI - Hospital Meetings, &c. PMID- 29820022 TI - Progress in Medicine. PMID- 29820023 TI - National Society for Employment of Epileptics. PMID- 29820024 TI - Annotations. PMID- 29820026 TI - New Appliances and Things Medical. PMID- 29820025 TI - Myopathy. PMID- 29820027 TI - Notes and News. PMID- 29820028 TI - The Privileges of the Royal Colleges. PMID- 29820029 TI - Notes on Health Resorts. PMID- 29820030 TI - Progress in Surgery. PMID- 29820031 TI - Friedenheim Hospital. PMID- 29820032 TI - "The Hospital" Nursing Mirror. PMID- 29820033 TI - "Medical Aid" and "Friendly" Societies. PMID- 29820034 TI - Metropolitan Provident Medical Association. PMID- 29820036 TI - Seven-Day Newspapers. PMID- 29820035 TI - Some Points of Preventive Treatment in the Diseases of Women. PMID- 29820037 TI - Alkaptonuria. PMID- 29820038 TI - Encysted Vesical Calculi. PMID- 29820039 TI - A Case of Lobar Pneumonia and Its Treatment. PMID- 29820040 TI - Annotations. PMID- 29820041 TI - Notes and News. PMID- 29820042 TI - The Use of the Veil by Operating Surgeons. PMID- 29820043 TI - New Appliances and Things Medical. PMID- 29820044 TI - "The Hospital" Nursing Mirror. PMID- 29820045 TI - A Consulting Institute. PMID- 29820046 TI - Progress in Surgery. PMID- 29820047 TI - Progress in Medicine. PMID- 29820048 TI - Hospital Meetings, &c. PMID- 29820049 TI - The Roentgen Rays and Colour-Blindness. PMID- 29820050 TI - Remedies and Their Uses. PMID- 29820051 TI - Medical Opinion and Movement. PMID- 29820052 TI - Free Spectacles for Children in Public Schools. PMID- 29820053 TI - Current Hospital Topics. PMID- 29820054 TI - The Value of Anti-Malarial Public Works. PMID- 29820055 TI - Practical Notes on Diagnosis and Treatment. PMID- 29820056 TI - How Progress Came in English Medicine. PMID- 29820057 TI - British and American Hospitals: From an Australian Standpoint. PMID- 29820058 TI - Underfed Children. PMID- 29820059 TI - Graduate Teaching Facilities in London Hospitals: Seamen's Hospital (Dreadnought), Greenwich: the London School of Tropical Medicine. PMID- 29820060 TI - Special Analytical and Health Commission on Tinned and Preserved Food: III. Canned Fish. PMID- 29820061 TI - New Appliances and Things Medical. PMID- 29820063 TI - Social and Poor-Law Problems. PMID- 29820062 TI - Annotations. PMID- 29820064 TI - "The Hospital" Nursing Section. PMID- 29820065 TI - A Clinical Lecture on Rheumatic Pericarditis. PMID- 29820066 TI - Ankylosis and Its Treatment. PMID- 29820067 TI - Modern Sociology. PMID- 29820068 TI - Acetanilid. PMID- 29820069 TI - Annotations. PMID- 29820070 TI - Epileptic Lunatics. PMID- 29820071 TI - "Contagion" or "Infection". PMID- 29820072 TI - Specialism. PMID- 29820073 TI - "The Hospital" Nursing Mirror. PMID- 29820074 TI - Notes and News. PMID- 29820075 TI - The Sanitary Lessons of the Late War in Cuba. PMID- 29820076 TI - Long Tube Feeding Bottles. PMID- 29820077 TI - Hospital Construction. PMID- 29820078 TI - Progress in Medicine. PMID- 29820079 TI - Cerebro-Spinal Fever. PMID- 29820080 TI - Phosgene Gas. PMID- 29820082 TI - The Results of the Antitoxin Treatment of Diphtheria in Germany. PMID- 29820081 TI - The Voluntary Notification of Consumption. PMID- 29820083 TI - Wanted, a Climate for Bronchitis. PMID- 29820084 TI - What Is "Immediate Personal Supervision"? PMID- 29820086 TI - Progress in Bacteriology. PMID- 29820085 TI - Hospital Meetings, &c. PMID- 29820088 TI - Tending Wounded Belligerents under the Protection of the Convention of Geneva. PMID- 29820087 TI - The London County Council and the Metropolitan Asylums Board. PMID- 29820089 TI - The Dental Clinic Abroad and at Home. PMID- 29820090 TI - The Dearth of Candidates for Poor-Law Posts. PMID- 29820092 TI - Medical and Sickness Benefits. PMID- 29820091 TI - The Voluntary Hospitals and Parliament: Mr. Masterman Turns His Back upon Himself. PMID- 29820093 TI - An Important Local Government Appointment: Miss Lucy W. Wamsley. PMID- 29820094 TI - The Institutional Worker. PMID- 29820096 TI - The Chancellor to Confer with the Greater Hospitals. PMID- 29820095 TI - The Hospital Almoners' Council. PMID- 29820097 TI - Government (Teaching) and Municipal (Non-Teaching) German Hospitals : IX. British and German Hospitals: Some Contrasts. PMID- 29820099 TI - Consumption and Charity. PMID- 29820098 TI - Radiography. PMID- 29820101 TI - Hospital and Institutional News. PMID- 29820100 TI - Research and Remedies. PMID- 29820103 TI - The Hospital Spirit in Torquay: Mr. H. J. Packe on the Progress of the Torbay Hospital. PMID- 29820102 TI - A Demand for State Aid: Conference at the Guildhall. PMID- 29820104 TI - New Workhouse Infirmary at Stepping Hill, Stockport. PMID- 29820105 TI - The Fitting and Furnishing of Wards and Operating Theatres. PMID- 29820107 TI - Remedies and Their Uses. PMID- 29820106 TI - Notes on Liquid Articles of Dietary. PMID- 29820109 TI - "The Hospital" Nursing Section. PMID- 29820108 TI - Bread-Making in Country Districts. PMID- 29820111 TI - The Depreciation of Medicine-Its Causes and Remedies. PMID- 29820110 TI - Special Analytical and Health Commission on Tinned and Preserved Food: XI. Preserved Fruits. PMID- 29820112 TI - Annotations. PMID- 29820113 TI - The Methylene Blue Reaction of Russo in Enteric Fever. PMID- 29820115 TI - Medical Opinion and Movement. PMID- 29820114 TI - A Sanatorium and Market Garden. PMID- 29820116 TI - Practical Notes on Diagnosis and Treatment. PMID- 29820117 TI - The Unliveable Misery. PMID- 29820118 TI - Observations on the Declining Birth-Rate. PMID- 29820119 TI - A Key to the Theory of Opsonins. PMID- 29820120 TI - Doctors Aboard Ship. PMID- 29820121 TI - Crippled Children's Hampers. PMID- 29820123 TI - The Neglect of Asepsis in Ward Work. PMID- 29820122 TI - The Chadwick Trust Lectures. PMID- 29820124 TI - The Fight for Free Choice of Doctor: Mr. E. B. Turner, F.R.C.S., Describes the London Campaign. PMID- 29820125 TI - The Institutional Worker. PMID- 29820126 TI - An Australian Parliament and a Charities Bill: The Managers' Attitude to Its Proposals. PMID- 29820127 TI - Insanity and the Neuropathic Inheritance. PMID- 29820128 TI - Complaints and the Saturday Fund. PMID- 29820129 TI - The Alterations to Bromley Cottage Hospital. PMID- 29820130 TI - An Efficient Ambulance Service for London: The County Council Blocks the Way. PMID- 29820132 TI - A Recent Outbreak of Typhus Fever. PMID- 29820131 TI - Private Arrangements for Medical Benefit. PMID- 29820134 TI - The Function of Lactation and Artificial Feeding. PMID- 29820133 TI - The Future of the Small Friendly Societies. PMID- 29820136 TI - Hospital and Institutional News. PMID- 29820135 TI - Institutional Needs. PMID- 29820137 TI - New Aspects of the Consumption Problem. PMID- 29820138 TI - The Press, the Working Classes, and Parliament. PMID- 29820140 TI - Hospital Needs. PMID- 29820139 TI - The Clinical Laboratory: Its Value in the Actual Treatment of the Patient. PMID- 29820141 TI - Research and Remedies. PMID- 29820142 TI - By the Way. PMID- 29820143 TI - Marr's Patent Drying Machine. PMID- 29820144 TI - Government (Teaching) and Municipal (Non-Teaching German Hospitals : A German Critic on Voluntary Methods.-VI. German Practitioners' Fees from Hospital Patients. PMID- 29820145 TI - Readers' Questions with Practical Answers. PMID- 29820147 TI - Legal Notes for Institutional Workers. PMID- 29820146 TI - Chichester General Infirmary: The New Laundry. PMID- 29820148 TI - The Gloves-Bill: All-Gloves Versus No Gloves. PMID- 29820149 TI - Coventry and Warwickshire Hospital Laundry. PMID- 29820150 TI - Hospital and Institutional News. PMID- 29820151 TI - Proposed Memorial to Dr. Ranking. PMID- 29820152 TI - The Differential Diagnosis of Intestinal Haemorrhage: Some Symptoms of Obstruction and Disease. PMID- 29820153 TI - National Insurance: A Warning from Germany: The Lesson of Leipzig. PMID- 29820154 TI - The Dangers of Electricity in Treatment: Address by Professor Jellinek, of Vienna. PMID- 29820155 TI - Should Intercepting Traps Be Omitted? PMID- 29820157 TI - A Hospital Letters Exchange Bureau. PMID- 29820156 TI - The Government and the Voluntary Hospitals. PMID- 29820158 TI - The Institutional Worker. PMID- 29820159 TI - Practical Notes on Diagnosis and Treatment. PMID- 29820160 TI - The Lessons of a Rebuilding Scheme: Mr. H. Jennings on the Chelsea Hospital Extension. PMID- 29820161 TI - The New York School Medical Service. PMID- 29820162 TI - Doctors and Insurance: Remuneration Increased to 8s. 6d. Per Member. PMID- 29820163 TI - Research and Remedies. PMID- 29820164 TI - Pain and Medical Research. PMID- 29820165 TI - Government (Teaching) and Municipal (Non-Teaching) German Hospitals : III. No Free but all Pay Patients. PMID- 29820166 TI - Fitting up the X-Ray Department. PMID- 29820168 TI - The Red Cross Society of Japan During Peace and War. By a Life Member. PMID- 29820167 TI - The Status of the Workhouse Medical Officer: Dr. C. Thackray Parsons, Medical Superintendent of Fulham Infirmary, on the Opportunity of To-Day. PMID- 29820170 TI - Unemployment Insurance. PMID- 29820169 TI - Hospital and Institutional News. PMID- 29820171 TI - The Alterations at the Royal Berkshire Hospital. PMID- 29820172 TI - A Housekeeper's Criticisms on Food by Contract. PMID- 29820173 TI - The Recovery Rate in Mental Hospitals. PMID- 29820175 TI - The Question of Senior Partnership. PMID- 29820174 TI - Enteric Fever.-II. PMID- 29820176 TI - The Institutional Worker. PMID- 29820177 TI - Mount Vernon Hospital and the Case for Paying Consumptives. PMID- 29820179 TI - The York County Hospital. PMID- 29820178 TI - An Independent and Public Enquiry Called for. PMID- 29820180 TI - The Organisation of the British Red Cross Hospitals in Turkey. PMID- 29820182 TI - Ireland and Medical Benefit. PMID- 29820181 TI - Bennett's Fracture. PMID- 29820183 TI - Hospital and Institutional News. PMID- 29820184 TI - Laboratory Methods in Relation to Tuberculosis. PMID- 29820186 TI - Adenoid Disease in School Children. PMID- 29820185 TI - The Treatment of Tuberculosis. PMID- 29820187 TI - Expenses of Administration. PMID- 29820188 TI - The Work of the New County Council. PMID- 29820189 TI - Tuberculosis Hospital & Sanatorium Construction: Inexpensive Buildings for Tuberculosis Patients. PMID- 29820190 TI - A Hospital in the Making. PMID- 29820191 TI - The Institutional Worker. PMID- 29820192 TI - Motor Hysteria. PMID- 29820193 TI - Nervous Diseases. PMID- 29820194 TI - Graduate Teaching Facilities in London Hospitals: National Hospital for Paralysis, Queen Square, Bloomsbury. PMID- 29820195 TI - Metropolitan Hospital Sunday Fund. PMID- 29820196 TI - Current Hospital Topics. PMID- 29820197 TI - Medical Opinion and Movement. PMID- 29820198 TI - Diseases of the Blood. PMID- 29820200 TI - Annotations. PMID- 29820199 TI - Carcinoma. PMID- 29820201 TI - "The Hospital" Nursing Section. PMID- 29820202 TI - Some Cancer Studies. PMID- 29820203 TI - X-Rays. PMID- 29820204 TI - The Treatment of Ringworm of the Scalp. PMID- 29820206 TI - Medical Opinion and Movement. PMID- 29820205 TI - The Cost of Lunacy. PMID- 29820207 TI - Hospital Meetings. PMID- 29820208 TI - Annotations. PMID- 29820209 TI - Cerebral Symptoms and Haemoptysis in Pneumonia. PMID- 29820211 TI - "The Hospital" Nursing Section. PMID- 29820210 TI - Fractures in the Vicinity of the Elbow-Joint. PMID- 29820213 TI - King Edward VII. Sanatorium: Opening by the King. PMID- 29820212 TI - Tinned and Preserved Foods: Difficulties, Poisoning, and a Moral. PMID- 29820215 TI - Comparative Medicine. PMID- 29820214 TI - Current Hospital Topics. PMID- 29820216 TI - Remedies and Their Uses. PMID- 29820217 TI - Metropolitan Hospital Sunday Fund. PMID- 29820218 TI - The Prevention of Trade Accidents. PMID- 29820219 TI - Hospital Meetings. PMID- 29820220 TI - Annotations. PMID- 29820221 TI - House and Office Heating. PMID- 29820222 TI - "The Hospital" Nursing Section. PMID- 29820223 TI - Local Anaesthesia in General Surgery. PMID- 29820224 TI - Military Sanitation. PMID- 29820225 TI - The Present Position of Radiation in Treatment: III. X-Rays. PMID- 29820226 TI - Current Hospital Topics. PMID- 29820227 TI - Aids to Poor Sufferers: Some Invalid Contrivances. PMID- 29820228 TI - Wanted: Annual Subscriptions. PMID- 29820229 TI - Practical Notes on Remedies. PMID- 29820230 TI - The Royal Infirmary, Liverpool. PMID- 29820231 TI - Practical Notes on Diagnosis and Treatment. PMID- 29820232 TI - Medical Opinion and Movement. PMID- 29820233 TI - Current Hospital Topics. PMID- 29820234 TI - New Appliances and Things Medical. PMID- 29820235 TI - Structural and Practical Departments. PMID- 29820236 TI - Hospital Meetings. PMID- 29820238 TI - Additions to the Victoria Infirmary, Glasgow. PMID- 29820237 TI - Medical Opinion and Movement. PMID- 29820239 TI - Annotations. PMID- 29820240 TI - Practical Notes on Diagnosis and Treatment. PMID- 29820241 TI - Patent Medicines. PMID- 29820242 TI - University College Hospital. PMID- 29820243 TI - Practical Notes on Remedies. PMID- 29820244 TI - The British Medical Association and the General Medical Council. PMID- 29820246 TI - "The Hospital" Nursing Section. PMID- 29820245 TI - The Present Position of Radiation in Treatment: II. Finsen Light. PMID- 29820247 TI - Purulent Pleurisy. PMID- 29820248 TI - New Appliances and Things Medical. PMID- 29820249 TI - Vaccination in Germany.-How Compulsion Is Managed. PMID- 29820250 TI - Diphtheria. PMID- 29820251 TI - "The Hospital" Nursing Mirror. PMID- 29820252 TI - Progress in State Medicine. PMID- 29820253 TI - Institutional Questions. PMID- 29820254 TI - The Lunatic at Large. PMID- 29820255 TI - Aseptic Vaccination in New York. PMID- 29820257 TI - Sympathetic Ophthalmia. PMID- 29820256 TI - Progress in Surgery. PMID- 29820258 TI - Skin Grafting. PMID- 29820259 TI - At What Age to Operate for Squint. PMID- 29820260 TI - Annotations. PMID- 29820261 TI - Hospital Construction. PMID- 29820262 TI - Modern Sociology. PMID- 29820263 TI - Notes and News. PMID- 29820264 TI - Field Surgery in South Africa. PMID- 29820265 TI - Notes. PMID- 29820266 TI - Free Spectacles for Children in Public Schools. PMID- 29820267 TI - Special Analytical and Health Commission on Tinned and Preserved Food: V. Canned Meats. PMID- 29820269 TI - The Medical Inspection of Scholars. PMID- 29820268 TI - Some Remarks on the Diagnosis and Complications of Diphtheria. PMID- 29820270 TI - Leucocytosis after Operations. PMID- 29820271 TI - Annotations. PMID- 29820272 TI - Structural and Practical Departments. PMID- 29820273 TI - Social and Poor-Law Problems. PMID- 29820274 TI - New Sanitary Wing at the Boston Hospital. PMID- 29820275 TI - A Plea for the Eye. PMID- 29820277 TI - "The Hospital" Nursing Section. PMID- 29820276 TI - An Ideal Health Resort. PMID- 29820279 TI - Practical Notes on Diagnosis and Treatment. PMID- 29820278 TI - Graduate Teaching Facilities in London Hospitals: Central London Hospital for Diseases of the Throat, Ear, and Nose. PMID- 29820280 TI - Medical Opinion and Movement. PMID- 29820281 TI - Current Hospital Topics. PMID- 29820282 TI - The York County Hospital. PMID- 29820284 TI - The Mortury Unit: Different Type Compared. PMID- 29820283 TI - The Use of Tuberculin in Poor-Law Infirmaries. PMID- 29820285 TI - Assassination and "Militantism." PMID- 29820286 TI - The Curious History of L'Hotel-Dieu De Paris: II. The Accommodation for Patients. PMID- 29820288 TI - Research and Remedies. PMID- 29820287 TI - Surgical Operations and the Workmen's Compensation Act. PMID- 29820290 TI - Mr. George Butchart, Chairman of the House Committee. PMID- 29820289 TI - The Surgical Treatment of Obesity. PMID- 29820291 TI - The Technique of the Artificial Pneumothorax Treatment of Consumption. PMID- 29820292 TI - The Editor's Letter-Box. PMID- 29820293 TI - The London Hospitals of Earlier Days. PMID- 29820294 TI - Hospital and Institutional News. PMID- 29820295 TI - An Excellent Type for the Small General Hospital. PMID- 29820296 TI - The Living-Out System at Leavesden: Dr. F. A. Elkins on the Theory and Practice of the Scheme. PMID- 29820297 TI - The Institutional Worker. PMID- 29820298 TI - Institutional Needs. PMID- 29820299 TI - Villous Papilloma of the Rectum. PMID- 29820300 TI - A Test Case and Its Issues. PMID- 29820301 TI - The Editor's Letter-Box. PMID- 29820302 TI - Panel Servitude without Anaesthetics. PMID- 29820303 TI - The Institutional Worker. PMID- 29820304 TI - Government (Teaching) and Municipal (Non-Teaching) Hospitals : II. The Present Position of Hospitals in Germany. PMID- 29820305 TI - Nursing Homes and Our "Approved Homes". PMID- 29820306 TI - Diet in the Second Year of Life. PMID- 29820307 TI - Hospital Resources in the Eastern War. PMID- 29820309 TI - Hospital Needs. PMID- 29820308 TI - The Medical Management of Consumptives. PMID- 29820311 TI - Pain and Medical Research. PMID- 29820310 TI - Elegant Prescriptions. PMID- 29820312 TI - Unemployment Insurance. PMID- 29820314 TI - Hospital and Institutional News. PMID- 29820313 TI - Enteric Fever. PMID- 29820315 TI - The Old and the New: A Comparison in Out-Patient Departments. PMID- 29820316 TI - Research and Remedies. PMID- 29820318 TI - Meals with Less Meat. PMID- 29820317 TI - Sanatoria and Landscape Architecture. PMID- 29820319 TI - The New South London Hospital for Women. PMID- 29820320 TI - Legal Notes for Institutional Workers. PMID- 29820321 TI - Mental Hospitals for Incurable Patients. PMID- 29820322 TI - The Doctor and His Work. PMID- 29820323 TI - The Royal Society of Medicine. PMID- 29820324 TI - Keeping the Feast at Salisbury Infirmary. PMID- 29820325 TI - Self-Help in Institutional Economy: III. Do Hospital Dairies Pay? PMID- 29820326 TI - Fulham Infirmary. PMID- 29820327 TI - The Christmas Choirs at Cardiff. PMID- 29820328 TI - Hospital and Institutional News. PMID- 29820329 TI - Christmas at the London, 1912. PMID- 29820330 TI - Meeting at St. Bartholomew's Hospital. PMID- 29820331 TI - The Art of Decorating Wards. PMID- 29820332 TI - Christmas in a "Wessex" County Hospital. PMID- 29820333 TI - The Cinematograph at Charing Cross Hospital. PMID- 29820334 TI - "The Play's the Thing" at Bath. PMID- 29820335 TI - Elizabethan Decorations at the Gravesend Hospital. PMID- 29820336 TI - Dispensing and the Insurance Act: The Future of Pharmacy. PMID- 29820337 TI - An Isolation Hospital's Ideas. PMID- 29820338 TI - Christmas 1912 at Cambridge. PMID- 29820339 TI - In a Bulgarian Hospital. PMID- 29820340 TI - Christmas under Difficulties at Chichester. PMID- 29820341 TI - The Bar of History: "The Hospital's" Review of 1912. PMID- 29820342 TI - At a London Children's Hospital. PMID- 29820344 TI - The Aim and Working of a Festivities Fund: A Lesson from the Warrington Infirmary. PMID- 29820343 TI - A Sanatorium Christmas in the North. PMID- 29820346 TI - Soils and Sanitation. PMID- 29820345 TI - Christmas in a Yorkshire Cottage Hospital. PMID- 29820347 TI - Hospital Porters and Solicitors' Touts. PMID- 29820348 TI - What Is a Major Operation? PMID- 29820349 TI - With Daffodil and Dragon at Walthamstow. PMID- 29820350 TI - The Play at West Norfolk and Lynn Hospital. PMID- 29820351 TI - A Fortnight's Festivities at Leicester. PMID- 29820352 TI - The Institutional Worker. PMID- 29820353 TI - Christmas at the National Sanatorium. PMID- 29820354 TI - Disease of the Lungs. PMID- 29820355 TI - Progress in Surgery. PMID- 29820356 TI - The Subcutaneous Injection of Quinine. PMID- 29820357 TI - Inflammable Celluloid. PMID- 29820358 TI - Hospitals with Special Acts of Parliament. PMID- 29820359 TI - Epistaxis in Rheumatism in Children. PMID- 29820360 TI - Notes and News. PMID- 29820361 TI - Annotations. PMID- 29820362 TI - Infantile Scurvy and "Sterilised" Milk. PMID- 29820363 TI - Hospital Meetings. PMID- 29820364 TI - What to Do with the Appendix. PMID- 29820365 TI - The Hospital. Nursing Section. PMID- 29820366 TI - University Matriculation. PMID- 29820367 TI - The Story of the Insane from Year to Year. PMID- 29820368 TI - A Clinical Lecture on Spasmodic Dysmenorrhoea. PMID- 29820369 TI - Progress in Bacteriology. PMID- 29820370 TI - Hospital Expenditure.-I. PMID- 29820372 TI - Night Terrors and Nightmares. PMID- 29820371 TI - New Appliances and Things Medical. PMID- 29820373 TI - The Superficial Form of Rodent Ulcer. PMID- 29820374 TI - New Appliances and Things Medical. PMID- 29820376 TI - The Liabilities for the Treatment of Pay Patients in Hospitals. PMID- 29820375 TI - Notes and News. PMID- 29820377 TI - A Single-Handed Operation. PMID- 29820378 TI - Annotations. PMID- 29820379 TI - The Causes of Cough in Children. PMID- 29820380 TI - A New and Safe Method of Delivery in Placenta Praevia. PMID- 29820381 TI - Notes. PMID- 29820382 TI - Tuberculosis as Discussed at Portsmouth. PMID- 29820383 TI - Progress in Medicine. PMID- 29820385 TI - The Poor Laws. PMID- 29820384 TI - Modern Sociology. PMID- 29820386 TI - Infectious Cases in General Hospitals. PMID- 29820387 TI - Progress in Surgery. PMID- 29820388 TI - Editor's Letter-Box. PMID- 29820389 TI - The Treatment of Cervical Adenitis. PMID- 29820391 TI - "The Hospital" Nursing Mirror. PMID- 29820390 TI - A Plea for Speed in Operating. PMID- 29820393 TI - The Story of the Insane from Year to Year. PMID- 29820392 TI - Institutional Questions. PMID- 29820394 TI - Progress in Gynaecology. PMID- 29820395 TI - The Malaria Problem. PMID- 29820396 TI - Notes and News. PMID- 29820397 TI - Annotations. PMID- 29820399 TI - New Appliances and Things Medical. PMID- 29820398 TI - Hospital Construction. PMID- 29820400 TI - Progress in Surgery. PMID- 29820401 TI - "The Hospital" Nursing Mirror. PMID- 29820402 TI - Vaccination and Small-Pox in the United States Army. PMID- 29820403 TI - Notes. PMID- 29820405 TI - Autumnal Diarrhoea. PMID- 29820404 TI - The North-Western Fever Hospital. PMID- 29820406 TI - Notes on Health Resorts. PMID- 29820407 TI - The Chelsea Workhouse Infirmary. PMID- 29820408 TI - Conservative Gynaecology. PMID- 29820409 TI - Gunshot Wounds of the Abdomen. PMID- 29820411 TI - Progress in Gynaecology. PMID- 29820410 TI - Lumbar Puncture. PMID- 29820412 TI - The Serum Treatment of Fever after Delivery. PMID- 29820413 TI - Disease and Insanity. PMID- 29820414 TI - The Story of the Insane from Year to Year. PMID- 29820415 TI - Progress in Medicine. PMID- 29820417 TI - The Voluntary Hospitals and the Government: the Gist of the Matter. PMID- 29820416 TI - The Present Difficulties of Clinical Pathology: Divided Responsibility or Laboratory Beds? PMID- 29820419 TI - The Rise of Clinical Pathology. PMID- 29820418 TI - The Institutional Worker. PMID- 29820420 TI - A Staff Question at Cardiff. PMID- 29820421 TI - CO2 Fire Extincteurs. PMID- 29820423 TI - King Edward's Hospital Fund for London: The Speaker on a Diminishing Charitable Public. PMID- 29820422 TI - Anti-English Feeling in Greece. PMID- 29820424 TI - Self-Help in Institutional Economy: II. The Meat Supply: A Suggestion. PMID- 29820425 TI - Southwark Guardians and "The Hospital." PMID- 29820426 TI - The Teaching of Operative Surgery. PMID- 29820427 TI - The Poor, Our Voluntary Hospitals and Nurses. PMID- 29820429 TI - Christmas Festivities: Their Helpfulness and Injustice. PMID- 29820428 TI - The League of Mercy. PMID- 29820430 TI - Research and Remedies. PMID- 29820431 TI - A Christmas "Caution." PMID- 29820432 TI - Remember the Poor. PMID- 29820433 TI - Hospital and Institutional News. PMID- 29820434 TI - Annotations. PMID- 29820435 TI - Everybody's Page. PMID- 29820436 TI - Gonorrhoeal Arthritis, Gout and Rheumatoid Arthritis. PMID- 29820437 TI - The Etiology of Empyema. PMID- 29820438 TI - The Consumers' League. PMID- 29820439 TI - London's Great Problems: North Kensington Friendly Workers. PMID- 29820440 TI - The Relation of Lupus to Tubercle. PMID- 29820442 TI - Cambridge University Medical Society. PMID- 29820441 TI - Special Preachers. PMID- 29820443 TI - Salt as an Antiseptic. PMID- 29820444 TI - Extra Supplement-The Nursing Mirror. PMID- 29820446 TI - Surgical Treatment of Tuberculous Peritonitis. PMID- 29820445 TI - The Tomato and Cancer. PMID- 29820448 TI - Lysol. PMID- 29820447 TI - Notes and News. PMID- 29820449 TI - The Infirmary Medical Superintendents' Society. PMID- 29820450 TI - Intubation in Diphtheria. PMID- 29820451 TI - Action of Salol on the Kidneys. PMID- 29820452 TI - Jenner, Pasteur, and Koch. PMID- 29820454 TI - Addenbrooke's Hospital. PMID- 29820453 TI - The Press and the Hospitals. PMID- 29820455 TI - Notes and News. PMID- 29820456 TI - The Hospital. Nursing Section. PMID- 29820457 TI - Surgery in Heart Disease. PMID- 29820458 TI - The Story of the Insane from Year to Year. PMID- 29820459 TI - Annotations. PMID- 29820460 TI - Ichthyol in Skin Diseases. PMID- 29820461 TI - Fourth Disease. PMID- 29820462 TI - Co-Operative Research. PMID- 29820464 TI - Progress in Disease of Digestive Organs. PMID- 29820463 TI - Modern Methods of Vaccination. PMID- 29820465 TI - Circumcision for the Relief of Acne. PMID- 29820466 TI - Progress in Fevers. PMID- 29820468 TI - Modern Sociology. PMID- 29820467 TI - Progress in State Medicine. PMID- 29820469 TI - Beef Tea and Meat Preparations: IV. The Economy of Meat Extracts and Preparations. PMID- 29820470 TI - Glances at the Hospitals. PMID- 29820471 TI - The Small-Pox Panic. PMID- 29820472 TI - Isolation Hospitals. PMID- 29820473 TI - The Other Side of the Vaccination Question. PMID- 29820474 TI - Medical Opinion and Movement. PMID- 29820475 TI - Physical Culture and Spinal Curvature. PMID- 29820476 TI - St. George's Hospital. PMID- 29820477 TI - Remedies and Their Uses. PMID- 29820478 TI - Treatment at Health Resorts. PMID- 29820479 TI - Current Hospital Topics. PMID- 29820480 TI - The King Edward VII. Sanatorium. PMID- 29820481 TI - St. Thomas's Hospital Medical School. PMID- 29820482 TI - Annotations. PMID- 29820483 TI - Practical Notes on Diagnosis and Treatment. PMID- 29820484 TI - Special Analytical and Health Commission on Tinned and Preserved Food: II. Preserved Meat Foods Prepared in England. PMID- 29820485 TI - St. Thomas's Hospital and Medical School: Professor Osler, M.D., F.R.S., on its Work. PMID- 29820487 TI - New Appliances and Things Medical. PMID- 29820486 TI - Structural and Practical Departments. PMID- 29820488 TI - Metropolitan Hospital. PMID- 29820489 TI - Teaching Men How to Live. PMID- 29820490 TI - Hospital Appeals and Hospital Abuse. PMID- 29820491 TI - "The Hospital" Nursing Section. PMID- 29820493 TI - Northerner v. Southerner. PMID- 29820492 TI - On the Practical Value of the Corneal Reflex in Examining the Eyes of Children. PMID- 29820494 TI - Annotations. PMID- 29820495 TI - Everybody's Page. PMID- 29820496 TI - Hospitals from a Statistical Point of View. PMID- 29820497 TI - A Hospital Garden. PMID- 29820498 TI - The History and Capabilities of Herbal Simples: XXIV.-Cress. PMID- 29820499 TI - Extra Supplement-The Nursing Mirror. PMID- 29820500 TI - The Poor Man's Christmas. PMID- 29820502 TI - Working Women in Large Towns: XVIII. Aids for Working Women. PMID- 29820501 TI - The Convulsive Cough of Puberty. PMID- 29820504 TI - Charity's Much-Injured Name. PMID- 29820503 TI - Sussex County Hospital. PMID- 29820505 TI - The Physical Diagnosis of Diseases of the Lungs and Pleura. PMID- 29820506 TI - Notes and News. PMID- 29820507 TI - Clap-Trap Criticism. PMID- 29820508 TI - House Ventilation and Warming. PMID- 29820509 TI - Starving. PMID- 29820510 TI - The Story of the Insane from Year to Year. PMID- 29820511 TI - Manual Training in Schools: II. In America, Sweden, and France. PMID- 29820512 TI - Thanksgiving. PMID- 29820513 TI - Starvation in Enteric Fever. PMID- 29820514 TI - Curability of Hepatic Cirrhosis by Iodide of Potassium and Jaborandi. PMID- 29820515 TI - Working Women in Large Towns: XII. Economic Aspects of the Subject. PMID- 29820516 TI - Are Lady Doctors Clever? PMID- 29820517 TI - Notes and News. PMID- 29820518 TI - Resection of the Liver. PMID- 29820519 TI - Extra Supplement-The Nursing Mirror. PMID- 29820520 TI - A Celebrated Matron. PMID- 29820522 TI - Death from Burns. PMID- 29820521 TI - The Administrative Advance. PMID- 29820524 TI - October. PMID- 29820523 TI - Thyroid Grafting. PMID- 29820525 TI - Annotations. PMID- 29820526 TI - Saline Subcutaneous Injections. PMID- 29820527 TI - The Hospital Movement in the United States: The McLean Hospital for the Insane at Waverley. PMID- 29820528 TI - Portugal as a Holiday and Health Resort. PMID- 29820530 TI - Haemorrhagic Pancreatitis. PMID- 29820529 TI - Current Hospital Topics. PMID- 29820531 TI - Annotations. PMID- 29820532 TI - "The Hospital" Nursing Section. PMID- 29820533 TI - Ataxia in Childhood. PMID- 29820534 TI - New Appliances and Things Medical. PMID- 29820536 TI - Carcinoma. PMID- 29820535 TI - Diseases of the Digestive Organs. PMID- 29820537 TI - Pharmacopoeial Doses. PMID- 29820538 TI - Special Societies and the Amalgamation Scheme. PMID- 29820539 TI - John Banister: The Troubles of a Seventeenth Century Oculist. PMID- 29820540 TI - Physical Deterioration. PMID- 29820542 TI - North-Eastern Hospital for Children. PMID- 29820541 TI - The Prognosis in a Case of Cerebral Haemorrhage. PMID- 29820543 TI - A Central School of Medicine for London. PMID- 29820544 TI - Prognosis in Albuminuric Retinitis. PMID- 29820546 TI - Inebriates. PMID- 29820545 TI - Fourth Disease. PMID- 29820547 TI - The Health of London. PMID- 29820548 TI - The Legislation of 1902. PMID- 29820549 TI - Annotations. PMID- 29820550 TI - Progress in Disease of Digestive Organs. PMID- 29820551 TI - Glances at the Hospitals. PMID- 29820552 TI - Yellow Fever: Precautions to Be Taken in Countries Where It Is Prevalent. PMID- 29820553 TI - Prince of Wales's Hospital Fund for London. PMID- 29820554 TI - The Story of the Insane from Year to Year. PMID- 29820555 TI - Life Saving in the London Streets. PMID- 29820556 TI - The Essentials of Sanatorium Treatment. PMID- 29820557 TI - Progress in State Medicine. PMID- 29820559 TI - The Hospital. Nursing Section. PMID- 29820558 TI - Modern Sociology. PMID- 29820561 TI - Notes and News. PMID- 29820560 TI - Progress in Pediatrics. PMID- 29820562 TI - Unemployment Insurance. PMID- 29820563 TI - Government (Teaching) and Municipal (Non-Teaching) German Hospitals : V. The Growing Cost of State Hospitals and its Consequences. PMID- 29820564 TI - The Voluntary Hospitals and Insured Persons. PMID- 29820565 TI - The North Wimbledon Hospital. PMID- 29820566 TI - The British Red Cross Society and the Balkan War: The Staffing, Pay, and Equipment of the Units. PMID- 29820567 TI - The Differential Diagnosis of Intestinal Haemorrhage: Some Symptoms of Obstruction and Disease. PMID- 29820568 TI - Some Interesting Institutions. PMID- 29820569 TI - The Institutional Worker. PMID- 29820571 TI - Paulus AEgineta: Four Examples of His Skill. PMID- 29820570 TI - Circumcision in Girls. PMID- 29820572 TI - Institutional Housekeeping. PMID- 29820574 TI - The Royal Free Hospital's New Out-Patient Department. PMID- 29820573 TI - Powers of Insurance Committees. PMID- 29820576 TI - The Huxley Lecture and Charing Cross Hospital Dinner. PMID- 29820575 TI - Hospital and Institutional News. PMID- 29820577 TI - Hedonal and Its Limitations. PMID- 29820578 TI - Fluoroscopy and Radiography. PMID- 29820579 TI - Graduate Teaching Facilities in London Hospitals. PMID- 29820580 TI - Annotations. PMID- 29820581 TI - Medical Opinion and Movement. PMID- 29820582 TI - New Workhouse Infirmary at Stepping Hill, Stockport. PMID- 29820584 TI - The Relation of Insanity to Civilisation.-III. PMID- 29820583 TI - New Appliances and Things Medical. PMID- 29820585 TI - Special Analytical and Health Commission on Tinned and Preserved Food: Sweetness and Sugar. PMID- 29820586 TI - "The Hospital" Nursing Section. PMID- 29820587 TI - Remedies and Their Uses. PMID- 29820588 TI - Practical Notes on Diagnosis and Treatment. PMID- 29820589 TI - Notes on Liquid Articles of Dietary. PMID- 29820590 TI - Intestinal Parasites. PMID- 29820591 TI - Bakers' Exhibition. PMID- 29820592 TI - The Story of the Insane from Year to Year. PMID- 29820593 TI - School Diseases-Preventable, but Not Prevented. PMID- 29820594 TI - Professor Behring's "Tulase"-New Remedy for Consumption. PMID- 29820596 TI - Psoriasis. PMID- 29820595 TI - Spastic Constipation. PMID- 29820597 TI - Notes and News. PMID- 29820598 TI - Speyer Prize Competition. PMID- 29820599 TI - Practical Departments. PMID- 29820600 TI - The Hospital Special Analytical Commission on Whisky. PMID- 29820601 TI - Spirochaeta Pallida of Schaudiun. PMID- 29820602 TI - Daily Practice and Clinical Expert Teaching. PMID- 29820603 TI - The Growth of Hospital Expenditure Considered in Relation to Greater London. PMID- 29820604 TI - New Appliances and Things Medical. PMID- 29820605 TI - Hospital Meetings. PMID- 29820607 TI - Annotations. PMID- 29820608 TI - "The Hospital" Nursing Section. PMID- 29820606 TI - Pay Pavilions of General Hospitals. PMID- 29820609 TI - The Facial Aspect in Diseases of Children. PMID- 29820610 TI - League of Mercy. PMID- 29820611 TI - King Edward's Hospital Fund for London. PMID- 29820612 TI - Preventable Social Ills: Prevention as a New Art. PMID- 29820613 TI - The Institutional Worker. PMID- 29820614 TI - The Cape Hospital Ordinance. PMID- 29820615 TI - Lord Crewe on National Insurance and the Voluntary Hospitals: Opening of the New Wing at Beckett Hospital, Barnsley. PMID- 29820617 TI - The Case against Provisional Arrangements. PMID- 29820616 TI - Hospital and Institutional News. PMID- 29820619 TI - An Extraordinary Case of Brain Surgery. PMID- 29820618 TI - The Care of Rheumatic Children: Particularly of Those with Heart Disease and Chorea. PMID- 29820621 TI - The Central Hospital Council for London. PMID- 29820620 TI - The Sphere of Institutional Treatment: The "Wretched Life" of Pit Doctors. PMID- 29820622 TI - Is the Race Decaying? PMID- 29820623 TI - The Payment of Benefits. PMID- 29820624 TI - Hospital Regulations and the Insurance Act. PMID- 29820625 TI - Hospital Almoners and Insured Patients. PMID- 29820626 TI - Self-Help in Institutional Economy: IV. Hospital Gardening and the Supply of Vegetables. PMID- 29820627 TI - The Care of Rheumatic Children. PMID- 29820629 TI - The Arts of the Theatre at Fulham Infirmary: A Remarkable Example of Rehearsing and Staging. PMID- 29820628 TI - The Editor's Letter-Box. PMID- 29820630 TI - Institutional Needs. PMID- 29820631 TI - L'Hopital De La Charite De Paris. PMID- 29820632 TI - Social and Poor-Law Problems. PMID- 29820633 TI - "The Hospital" Nursing Section. PMID- 29820634 TI - Special Analytical and Health Commission on Tinned and Preserved Food: IV. Preserved Foods Consisting Largely of Fat. PMID- 29820635 TI - An Appeal for the Child. PMID- 29820637 TI - Graduate Teaching Facilities in London Hospitals: Seamen's Hospital (Dreadnought), Greenwich: The London School of Clinical Medicine. PMID- 29820636 TI - Current Hospital Topics. PMID- 29820638 TI - Medical Opinion and Movement. PMID- 29820639 TI - Opening of the Royal Victoria-Infirmary, Newcastle. PMID- 29820641 TI - The Compulsory Notification of Tuberculosis. PMID- 29820640 TI - Irregularities of the Heart. PMID- 29820642 TI - Cerebro-Spinal Meningitis in Great Britain. PMID- 29820643 TI - Annotations. PMID- 29820644 TI - Practical Notes on Diagnosis and Treatment. PMID- 29820645 TI - Remedies and Their Uses. PMID- 29820646 TI - By the Way. PMID- 29820647 TI - Curiosities of Cancer: Two Cases of Extraordinary Duration. PMID- 29820648 TI - The Bad Case of the Baker. PMID- 29820649 TI - Cardiff Hospital and Viscount Tredegar. PMID- 29820650 TI - The Home Hospitals Association. PMID- 29820651 TI - Compensated Accidents. PMID- 29820652 TI - Research and Remedies. PMID- 29820653 TI - Institutional Needs. PMID- 29820654 TI - Hospital and Institutional News. PMID- 29820655 TI - Gastric Surgery in Institutional Treatment. PMID- 29820656 TI - The Institutional Worker. PMID- 29820657 TI - The Poor-Law Infirmary: II. Fire Risks in Infirmaries-Neglected Precautions. PMID- 29820658 TI - The Departmental Report on Tuberculosis. PMID- 29820659 TI - British Hospitals & National Insurance: Sir Henry Burdett Outlines a New Scheme of Co-Operation. PMID- 29820660 TI - A New Invalid Dress. PMID- 29820661 TI - Disease of the Pancreas. PMID- 29820662 TI - Mental Derangement and Outward Surroundings. PMID- 29820664 TI - A Hint for British Artists. PMID- 29820663 TI - Pugilistic Science. PMID- 29820666 TI - Manual Training in Schools: I. Its Use and Abuse. PMID- 29820665 TI - There and Back. PMID- 29820668 TI - Extra Supplement-The Nursing Mirror. PMID- 29820669 TI - Deglutitio Impedita. PMID- 29820667 TI - Death Certificates and Murder. PMID- 29820670 TI - Notes and News. PMID- 29820671 TI - The C.O.S.'s Protest. PMID- 29820672 TI - Props and Buttresses. PMID- 29820673 TI - Annotations. PMID- 29820674 TI - No Gentleman Keeps a Bull Dog. PMID- 29820676 TI - The Story of the Insane from Year to Year. PMID- 29820675 TI - Everybody's Page. PMID- 29820678 TI - The History and Capabilities of Herbal Simples: XX.-Club Moss. PMID- 29820677 TI - Loneliness. PMID- 29820679 TI - Hospital Meetings, &c. PMID- 29820680 TI - Legal Intelligence. PMID- 29820681 TI - Arthrotomy for the Relief of Pain. PMID- 29820682 TI - The Urine and the Faeces as Vehicles of Typhoid Infection. PMID- 29820684 TI - Notes and News. PMID- 29820683 TI - Some Facts Concerning Marriage in the Case of Woman. PMID- 29820685 TI - The After-Care Association for the Insane. PMID- 29820686 TI - Song Birds as a Source of Tuberculosis. PMID- 29820688 TI - Pseudo-Tuberculosis. PMID- 29820687 TI - Progress in Toxicology. PMID- 29820689 TI - The Troubles of the Masseuses. PMID- 29820690 TI - Editor's Letter-Box. PMID- 29820691 TI - Right Colotomy for Chronic Colitis. PMID- 29820692 TI - The Cure of Consumption. PMID- 29820693 TI - Modern Sociology. PMID- 29820694 TI - The Choice of a Health Resort. PMID- 29820695 TI - New Appliances and Things Medical. PMID- 29820696 TI - Progress in Surgery. PMID- 29820698 TI - Progress in Medicine. PMID- 29820697 TI - The Medical, Surgical, and Hygienic Exhibition. PMID- 29820700 TI - "The Hospital" Nursing Mirror. PMID- 29820699 TI - Annotations. PMID- 29820701 TI - Scotch Cottage Hospital Movement. PMID- 29820702 TI - The Editor's Letter-Box. PMID- 29820703 TI - Hospitals and Insured Patients. PMID- 29820704 TI - The Prevention of Fire. PMID- 29820706 TI - The Prevention of Fire. PMID- 29820705 TI - The Editor's Letter-Box. PMID- 29820707 TI - Poor-Law Infirmaries and Voluntary Hospitals: Co-Operation in the Treatment of the Sick. PMID- 29820708 TI - Architectural Designs in Maddox Street: Some Tendencies of Institutional Planning. PMID- 29820709 TI - Preventable Social Ills. PMID- 29820710 TI - Institutional Needs. PMID- 29820711 TI - The Care of Rheumatic Children. PMID- 29820712 TI - Baking Bread in a Steam Oven. PMID- 29820713 TI - The Sphere of Institutional Treatment: III. Medical Attendance on a Collectivist Basis. PMID- 29820714 TI - The X-Rays. PMID- 29820715 TI - Hospital and Institutional News. PMID- 29820716 TI - The Behaviour of Diphtheria in Schools. PMID- 29820717 TI - The Institutional Worker. PMID- 29820718 TI - Panel Practitioners and Hospital Beds. PMID- 29820719 TI - Self-Help in Institutional Economy: V. The Co-Operative Laundry. PMID- 29820720 TI - Freedom of Speech at St. Bartholomew's Hospital. PMID- 29820721 TI - The Housing of Staffs in Mental Hospitals. PMID- 29820722 TI - Maternity Benefit in Intention and Fact. PMID- 29820724 TI - An Institutional Celebrity's Birthday. PMID- 29820723 TI - The Clinical Laboratory: II. Diseases Due to Bacterial Infections. PMID- 29820725 TI - Working Women in Large Towns: XVI. Social, Moral, and Physical Aspects of the Subject. PMID- 29820726 TI - Pensions for Hospital Workers.-I. PMID- 29820727 TI - Extra Supplement-The Nursing Mirror. PMID- 29820728 TI - A New Champion of Medical Women's Rights. PMID- 29820730 TI - Mr. Besant on Drunkenness. PMID- 29820729 TI - The History and Capabilities of Herbal Simples: XXIII.-Cowslip. PMID- 29820731 TI - Pathology. PMID- 29820732 TI - Notes and News. PMID- 29820733 TI - Koch's Cure: Its Nature and Its Limits. PMID- 29820734 TI - Medical Syndicates. PMID- 29820736 TI - Everybody's Page. PMID- 29820735 TI - Annotations. PMID- 29820737 TI - Tubercular Affection of the Larynx. PMID- 29820738 TI - Dr. Koch on Tuberculosis. PMID- 29820739 TI - Remedies and Their Uses. PMID- 29820740 TI - Ringworm and Its Cure. PMID- 29820742 TI - Practical Notes on Diagnosis and Treatment. PMID- 29820741 TI - The Uniform System of Accounts. PMID- 29820743 TI - Annotations. PMID- 29820744 TI - New Appliances and Things Medical. PMID- 29820745 TI - Harrogate and Knaresborough Isolation Hospital. PMID- 29820746 TI - Social and Poor Law Problems. PMID- 29820747 TI - Spectacles through Charity for School-Children. PMID- 29820748 TI - "The Hospital" Nursing Section. PMID- 29820749 TI - Hospital Meetings. PMID- 29820751 TI - Current Hospital Topics. PMID- 29820750 TI - Two Cases of Grave Complications of Purulent Ear Disease. PMID- 29820752 TI - Complete Hospital Co-Operation. PMID- 29820753 TI - Medical Opinion and Movement. PMID- 29820754 TI - To-Day and To-Morrow. PMID- 29820755 TI - A Clinical Lecture on the Disinfection and Care of the Hands. PMID- 29820756 TI - Special Analytical Health Commission on Tinned and Preserved Food: I. Preserved Meat Foods Prepared in England. PMID- 29820757 TI - The British Medical Association in Toronto. PMID- 29820758 TI - The Celebrations of the Quatro-Centenary of Aberdeen: Medical Interests and Medical Men: an Historical Retrospect. PMID- 29820759 TI - Sanitary Inspectors and Public Funds. PMID- 29820760 TI - Lumbar Puncture. PMID- 29820761 TI - Payments for Vaccination. PMID- 29820762 TI - Trips for Health and Pleasure. PMID- 29820763 TI - The Fitting and Furnishing of Wards and Operating Theatres. PMID- 29820764 TI - The Royal Hospital for Incurables. PMID- 29820765 TI - "The Hospital" Nursing Section. PMID- 29820767 TI - Annotations. PMID- 29820766 TI - Medical Opinion and Movement. PMID- 29820769 TI - The Clinical Laboratory: I. Rampant Pathology. PMID- 29820768 TI - The Treatment of Exophthalmic Goitre. PMID- 29820770 TI - The Old Mill. PMID- 29820771 TI - The Recovery Rate in Mental Hospitals. PMID- 29820772 TI - A Public Warning. PMID- 29820773 TI - Medical Aid for Soldiers in the Field: Its Principles and Organisation for a Field Force. PMID- 29820774 TI - The Chancellor's Offer to the Doctors. PMID- 29820775 TI - Sun-Planning for Hospitals. PMID- 29820776 TI - Research and Remedies. PMID- 29820777 TI - Guy's and the Southwark Guardians. PMID- 29820778 TI - The Institutional Worker. PMID- 29820779 TI - Unemployment Insurance. PMID- 29820780 TI - Hospital Needs. PMID- 29820781 TI - Government (Teaching) and Municipal (Non-Teaching) German Hospitals : IV. State versus Voluntary Hospitals. PMID- 29820782 TI - Housekeeping Queries. PMID- 29820783 TI - The Public's Medical Guides. PMID- 29820784 TI - Hospital and Institutional News. PMID- 29820785 TI - A Deficiency in the Hospital Service. PMID- 29820786 TI - Notes and News. PMID- 29820787 TI - Royal National Hospital for Consumption, Ventnor. PMID- 29820789 TI - Royal Chest Hospital, City Road. PMID- 29820788 TI - The Midwives Bill. PMID- 29820790 TI - Progress in State Medicine. PMID- 29820791 TI - Bacteriological Diphtheria. PMID- 29820792 TI - St. Mary's Paddington. PMID- 29820793 TI - The Registration and Inspection of Children's Homes. PMID- 29820794 TI - Annotations. PMID- 29820795 TI - Royal Dental Hospital of London. PMID- 29820796 TI - The Spread of Infection from Small-Pox Hospitals. PMID- 29820797 TI - The Diagnosis of Hydrophobia by Rapid Examination. PMID- 29820798 TI - French Hospital. PMID- 29820799 TI - Victoria Park Hospital. PMID- 29820800 TI - Progress in Surgery. PMID- 29820801 TI - The Hospital. Nursing Section. PMID- 29820803 TI - The Regeneration of Divided Nerves. PMID- 29820802 TI - The Influence of Posture on Heart Murmurs. PMID- 29820805 TI - Extra Supplement-The Nursing Mirror. PMID- 29820804 TI - Home Hospitals Association. PMID- 29820806 TI - Notes and News. PMID- 29820807 TI - The London Post-Graduate Course at the Paddington Infirmary. PMID- 29820808 TI - No Gentleman Keeps a Bulldog. PMID- 29820809 TI - How to Keep Well. PMID- 29820810 TI - The History and Capabilities of Herbal Simples: XXI. Clover-Comfrey. PMID- 29820812 TI - Annotations. PMID- 29820811 TI - What? When? And How? PMID- 29820813 TI - Male Nurses.-I. PMID- 29820814 TI - The Medical Education of Women. PMID- 29820816 TI - Working Women in Large Towns: XIII. Some Sources of Distress. PMID- 29820815 TI - Low Birthrates and Population. PMID- 29820818 TI - The Story of the Insane from Year to Year. PMID- 29820817 TI - The Drink Question. PMID- 29820819 TI - The Attitude of Insurance Committees Towards Medical Benefit. PMID- 29820820 TI - A New Career for Women. PMID- 29820822 TI - The Patients and the Hospitals. PMID- 29820821 TI - Tuberculin Dispensaries. PMID- 29820823 TI - Self-Help in Institutional Economy: VI. The Information Bureau. PMID- 29820824 TI - A Legacy to the Metropolitan Asylums Board. PMID- 29820825 TI - The Institutional Worker. PMID- 29820827 TI - Recent Researches on Poliomyelitis. PMID- 29820826 TI - Printing by and for the Blind. PMID- 29820828 TI - The Mortuary Unit: The Public Part of the Mortuary.-III. PMID- 29820830 TI - Metropolitan Consumption Hospitals and the Insurance Act. PMID- 29820829 TI - Legacy Duty-The Rights of the Voluntary Hospitals. PMID- 29820831 TI - Inspections for Scarlet Fever. PMID- 29820832 TI - The L.C.C. and an Efficient Ambulance Service. PMID- 29820834 TI - The League of Mercy Collections. PMID- 29820833 TI - Some Dangers of Spoon-Feeding. PMID- 29820836 TI - Medical Service under the Poor Law: Interview with Dr. Frederic Orton. PMID- 29820835 TI - Hospital Weakness and Hospital Strength: Some Committees Which Fail: Two Amazing Examples. PMID- 29820837 TI - The Institutional Worker. PMID- 29820838 TI - Faradic Electricity. PMID- 29820839 TI - Hospital and Institutional News. PMID- 29820840 TI - Assistant Medical Officers in Asylums: The Need for Higher Emoluments and Better Accommodation. PMID- 29820841 TI - Are Lady Almoners Discourteous? PMID- 29820843 TI - Pathology. PMID- 29820842 TI - A Legacy to the Metropolitan Asylums Board. PMID- 29820845 TI - Mrs. Fawcett and Socialism. PMID- 29820844 TI - Diphtheria at Public Schools. PMID- 29820846 TI - November. PMID- 29820847 TI - Weil's Disease. PMID- 29820848 TI - Hemiatrophia Facialis. PMID- 29820849 TI - The Story of the Insane from Year to Year. PMID- 29820850 TI - The Relation of Modern Pathology and Pathological Anatomy to Practical Medicine. PMID- 29820851 TI - Extra Supplement-The Nursing Mirror. PMID- 29820852 TI - Annotations. PMID- 29820853 TI - Flat-Foot. PMID- 29820854 TI - Iodides and Salicylates. PMID- 29820855 TI - Everybody's Page. PMID- 29820856 TI - The Hertford British Hospital. PMID- 29820857 TI - New Drugs, Appliances, and Things Medical. PMID- 29820858 TI - Medical Schools in the United States. PMID- 29820859 TI - Tattlers. PMID- 29820861 TI - Notes and News. PMID- 29820860 TI - Menthol in Diphtheria. PMID- 29820863 TI - London as a Surgical Teaching Centre. PMID- 29820862 TI - The Study of Tropical Medicine. PMID- 29820864 TI - Post-Graduate Opportunities in Special Hospitals. PMID- 29820865 TI - Handbooks for Medical Students. PMID- 29820867 TI - Notes on Medical Schools and Colleges. PMID- 29820866 TI - Schools for Recent Graduates. PMID- 29820869 TI - Occupation for the Recent Graduate. PMID- 29820868 TI - "The Hospital" Nursing Section. PMID- 29820870 TI - Literary Workers. PMID- 29820871 TI - Qualification and Registration. PMID- 29820873 TI - Opportunities for Recent Graduates. PMID- 29820872 TI - London as a Medical Centre. PMID- 29820874 TI - The Two Oldest English Medical Books. PMID- 29820875 TI - Notes and News. PMID- 29820876 TI - Some Nerve Diseases. PMID- 29820877 TI - The Hospitals of Bristol. PMID- 29820878 TI - Annotations. PMID- 29820879 TI - Working Women in Large Towns: XV. Social, Moral, and Physical Aspects of the Subject. PMID- 29820880 TI - The Story of the Insane from Year to Year. PMID- 29820881 TI - Pathology. PMID- 29820882 TI - A Case of Supposed Indigenous Leprosy. PMID- 29820883 TI - What Not to Expect from Koch. PMID- 29820884 TI - Can Science Resolve the Doubt? PMID- 29820885 TI - Fifteen per Cent. PMID- 29820886 TI - Eyes and Noses. PMID- 29820887 TI - Extra Supplement-The Nursing Mirror. PMID- 29820889 TI - Everybody's Page. PMID- 29820888 TI - Medical Schools: Bristol. PMID- 29820890 TI - "The Hospital" Nursing Section. PMID- 29820891 TI - Special Analytical and Health Commission on Tinned and Preserved Food: VII. Hogs', Boars', and Calves' Heads. PMID- 29820892 TI - Diseases of Abdomen. PMID- 29820893 TI - British Methods and Men of Science. PMID- 29820894 TI - The Natural History Museum. PMID- 29820895 TI - Structural and Practical Departments. PMID- 29820896 TI - British and American Hospitals: From an Australian Standpoint. PMID- 29820897 TI - New Appliances and Things Medical. PMID- 29820898 TI - Longevity. PMID- 29820900 TI - The Plane Tree of Hippocrates. PMID- 29820899 TI - Annotations. PMID- 29820901 TI - Abdominal Epilepsy. PMID- 29820902 TI - Chronic Suppuration in the Nasal Accessory Sinuses and Its Treatment. PMID- 29820904 TI - Fire Prevention: Appliances, Separating Partitions, and Staircases. PMID- 29820903 TI - Studies in Poor-Law Expenditure. PMID- 29820906 TI - The Medical Aspects of the Divorce Question. PMID- 29820905 TI - Hospital and Institutional News. PMID- 29820907 TI - The Crime of Administrative Blindness. PMID- 29820908 TI - Government (Teaching) and Municipal (Non-Teaching) German Hospitals: VII. Medical Treatment and Allowances for Kasse Patients. PMID- 29820909 TI - What the National Insurance Commissioners Cannot Do. PMID- 29820910 TI - The Weir Cottage Hospital, Balham, S.W. PMID- 29820911 TI - The Treatment of Acute Coryza. PMID- 29820912 TI - Athletics and Motherhood: An American View. PMID- 29820913 TI - The Institutional Worker. PMID- 29820914 TI - The Voluntary Hospitals' Opportunity. PMID- 29820915 TI - Workmen's Subscriptions and Representation. PMID- 29820916 TI - The Practical Training of the Territorial Voluntary Aid Detachments. PMID- 29820917 TI - Why Are the Voluntary Hospital Managers Inactive? PMID- 29820918 TI - The Removal of Westminster Hospital. PMID- 29820919 TI - Research and Remedies. PMID- 29820920 TI - The Truth about Child Protection. PMID- 29820921 TI - Radiography: A Plea for the Adoption of a Standard System of Units. PMID- 29820923 TI - Treatment of Flat-Foot. PMID- 29820922 TI - Scarlatina without Fever. PMID- 29820924 TI - Hypertrophy of the Prostate Gland. PMID- 29820925 TI - Everybody's Page. PMID- 29820926 TI - Poisons as Required. PMID- 29820927 TI - Ganglions. PMID- 29820928 TI - Infants' Food. PMID- 29820929 TI - Doctors and the Peerage. PMID- 29820930 TI - Treatment of Club-Foot. PMID- 29820931 TI - Mothers' Milk. PMID- 29820933 TI - Growth of Femur after Resection of Knee-Joint. PMID- 29820932 TI - Spina Ventosa. PMID- 29820935 TI - Spina Bifida. PMID- 29820934 TI - New Loves and Old. PMID- 29820937 TI - Hysterical Aphonia. PMID- 29820936 TI - Intratracheal Injections. PMID- 29820938 TI - Loeffler on Diphtheria. PMID- 29820939 TI - New Drugs, Appliances, and Things Medical. PMID- 29820940 TI - The Microscope in Medicine: I. Introductory. PMID- 29820942 TI - The Infirmary Medical Superintendents' Society. PMID- 29820941 TI - The History and Capabilities of Herbal Simples: XXVI. Currants. PMID- 29820943 TI - Annotations. PMID- 29820944 TI - Extra Supplement-The Nursing Mirror. PMID- 29820945 TI - Notes and News. PMID- 29820946 TI - Hospital and Institutional News. PMID- 29820948 TI - The Institutional Worker. PMID- 29820947 TI - Out-Patients and an Extension of the Almoner System. PMID- 29820949 TI - Research and Remedies. PMID- 29820950 TI - The Management of Young Infants. PMID- 29820951 TI - The Sphere of Institutional Treatment: II. The Collier in His Brick Box. PMID- 29820952 TI - How Government Grinds the Poor. PMID- 29820953 TI - The Use of the Bath in Medicine. PMID- 29820954 TI - The Prevention of Fire. PMID- 29820955 TI - The Treatment of Meningitis of Otitic Origin. PMID- 29820956 TI - The Hospital System in South Africa: Conditions of Work in the Cape Province. PMID- 29820957 TI - The Legal Duties of Hospital Governors. PMID- 29820958 TI - Service in Hospital Wards. PMID- 29820959 TI - The Campaign of the London Medical Committee. PMID- 29820960 TI - The Original Panelites: An Indignant Protest. PMID- 29820961 TI - Wake Up, Chancellor! Business First. PMID- 29820962 TI - The Hospital Treatment of Persons Who Have Attempted to Commit Suicide. PMID- 29820963 TI - The Voluntary Hospitals and Legacy Duty: Memorial to the Chancellor of the Exchequer. PMID- 29820964 TI - Away with Legacy Duty for Voluntary Hospitals: The Attitude of the Treasury. PMID- 29820965 TI - Hospital Laundries, Metropolitan and Provincial. PMID- 29820966 TI - Nelson Hospital. PMID- 29820967 TI - Hospital Needs. PMID- 29820968 TI - Research and Remedies. PMID- 29820969 TI - Laundry Accessories. PMID- 29820970 TI - The German System: V. The Financial Aspect of the German Hospitals. PMID- 29820971 TI - The Middlesex Hospital Laundry, Hendon. PMID- 29820973 TI - A Provincial Laundry Experience. PMID- 29820972 TI - Wake Up, Sleepers! The Time Has Come. PMID- 29820975 TI - The Use of Shunt Rheostats for Hydro-Electric Baths. PMID- 29820974 TI - Service by Retirement. PMID- 29820976 TI - A Question of Economy for Hospital Boards. PMID- 29820978 TI - The Institutional Worker. PMID- 29820977 TI - Reports on the Hospitals of the United Kingdom: LXVIII. Royal Victoria Infirmary, Newcastle-on-Tyne. PMID- 29820980 TI - The London Hospital Laundry, Whitechapel, E. PMID- 29820979 TI - Hospital and Institutional News. PMID- 29820981 TI - The "Times" on the Medical Profession. PMID- 29820982 TI - Hospital Benefit for Insured Persons by Pro Rata Payments and Not as Charity. PMID- 29820983 TI - A Loss to the Seamen's Hospital. PMID- 29820984 TI - The Heating and Ventilation of Hospital Wards. PMID- 29820985 TI - Insurance Committees. PMID- 29820986 TI - The Ipswich and East Suffolk Hospital. PMID- 29820987 TI - Research and Remedies. PMID- 29820988 TI - What Is British National Insurance to Be?: Less Than Nothing for Men and Women Workers Plus Degradation-Or What? PMID- 29820989 TI - The Institutional Worker. PMID- 29820990 TI - The Expenditure on Vaccine Therapeutics. PMID- 29820991 TI - Hospital and Institutional News. PMID- 29820992 TI - The British Hospitals Association. PMID- 29820993 TI - The British Hospitals Association and the Act. PMID- 29820995 TI - In-Patient Hospital Treatment for Insured Persons. PMID- 29820994 TI - Government (Teaching) and Municipal (Non-Teaching) German Hospitals : VIII. The Classification of In-patients and Conditions of Admission. PMID- 29820996 TI - Self-Help and Co-Operation in Institutional Economy: I. The Question of Initial Expenses. PMID- 29820997 TI - Special Analytical and Health Commission on Tinned and Preserved Food: VIII. Sauces and Pickles. PMID- 29820998 TI - Meeting of the British Medical Association, Toronto. PMID- 29820999 TI - Social and Poor Law Problems. PMID- 29821000 TI - Ancient Methods of Treatment: The Management of an English Leper House. PMID- 29821001 TI - New Appliances and Things Medical. PMID- 29821002 TI - Morocco and the Canary Islands as Health or Holiday Resorts. PMID- 29821003 TI - "The Hospital" Nursing Section. PMID- 29821004 TI - The Relation of Insanity to Civilisation-I. PMID- 29821005 TI - Infantile Mortality. PMID- 29821006 TI - Chronic Suppuration in the Nasal Accessory Sinuses and Its Treatment: II. The Treatment. PMID- 29821007 TI - Annotations. PMID- 29821008 TI - New Out-Patients' Department at the Middlesbrough Infirmary. PMID- 29821009 TI - The Story of the Insane from Year to Year. PMID- 29821010 TI - The Townshend Case. PMID- 29821011 TI - Medical Opinion and Movement. PMID- 29821012 TI - A Recent Epidemic of Measles at Rotuma. PMID- 29821013 TI - The Symptoms and Treatment of Cervical Rib. PMID- 29821014 TI - Hospital Reports and National Insurance: Newcastle, Sheffield, and West Ham. PMID- 29821016 TI - The Poor-Law Infirmary: I. The Present Position of the Infirmary Doctor. PMID- 29821015 TI - Some Dangers of Spoon-Feeding. PMID- 29821018 TI - The Curious History of L'Hotel-Dieu De Paris : I. Its Foundation and Early Days. PMID- 29821017 TI - The Metropolitan Hospital Sunday Fund Meeting. PMID- 29821019 TI - The Status of Assistant Medical Officers in Mental Hospitals. PMID- 29821020 TI - Staff Elections at King Edward VII.'s Hospital, Cardiff. PMID- 29821021 TI - The Prolongation of Useless Lives. PMID- 29821022 TI - The Use of X-Rays in the Diagnosis of Pulmonary Tuberculosis. PMID- 29821023 TI - Benefits for Nurses. PMID- 29821024 TI - The Institutional Worker. PMID- 29821025 TI - The King and the Chichester Infirmary. PMID- 29821027 TI - Electrical Plant for Cottage Hospitals. PMID- 29821026 TI - The Insurance Act and Poor-Law Infirmaries. PMID- 29821029 TI - A Comic History of British Nursing. PMID- 29821028 TI - Irregular Action of the Heart: The New Views, Terminology, and Instruments. PMID- 29821030 TI - At What Age Should a Baby Be Vaccinated? PMID- 29821032 TI - Hospital and Institutional News. PMID- 29821031 TI - Wanted, a Hospital Architect. PMID- 29821033 TI - Hospital Administration. PMID- 29821034 TI - Periscope of Dermatology. PMID- 29821035 TI - A Real Medical Strike. PMID- 29821036 TI - Hospital Construction. PMID- 29821037 TI - Notes. PMID- 29821038 TI - The Diagnosis of Gonococcus Infection. PMID- 29821039 TI - Progress in Medicine. PMID- 29821040 TI - Secret Commissions. PMID- 29821041 TI - A Sanitary Record of House Conditions. PMID- 29821042 TI - Notes and News. PMID- 29821043 TI - "The Hospital" Nursing Mirror. PMID- 29821044 TI - Annotations. PMID- 29821047 TI - Institutional Questions. PMID- 29821046 TI - Temporary Hospitals. PMID- 29821048 TI - Australian Inebriates Bill. PMID- 29821049 TI - The Likeness between Alcoholism and General Paralysis of the Insane. PMID- 29821050 TI - Precautions against Plague. PMID- 29821051 TI - New Appliances and Things Medical. PMID- 29821052 TI - Progress in Surgery. PMID- 29821053 TI - Modern Sociology. PMID- 29821054 TI - By the Way. PMID- 29821055 TI - Radiography. PMID- 29821057 TI - The Mortuary Unit: Institutional Interests-II. PMID- 29821056 TI - Cinema Theatres and Infectious Diseases. PMID- 29821059 TI - Hospital and Institutional News. PMID- 29821058 TI - Coal, Gas, and Electricity for Cooking. PMID- 29821060 TI - L'Hopital De La Charite De Paris. PMID- 29821061 TI - Is the Race Decaying? PMID- 29821062 TI - The Ethics of Local Anaesthesia. PMID- 29821063 TI - The Voluntary Hospitals Point the Way. PMID- 29821064 TI - A Retrospect of Christmas at Bristol. PMID- 29821065 TI - Panel Servitude: A Prophecy. PMID- 29821066 TI - The Institutional Worker. PMID- 29821067 TI - The Order of Mercy. PMID- 29821068 TI - Is Teething an Illness? PMID- 29821069 TI - Attitude of Marlborough, Pewsey, and Swindon Doctors. PMID- 29821070 TI - A New Departure at St. George's Infirmary. PMID- 29821071 TI - "Tree-Day" at Manchester Children's Hospital. PMID- 29821072 TI - The Salt of Their Profession. PMID- 29821073 TI - The Commencement of Benefits. PMID- 29821074 TI - "The Hospital" Nursing Section. PMID- 29821075 TI - New Appliances and Things Medical. PMID- 29821077 TI - Amaurotic Family History. PMID- 29821076 TI - Annotations. PMID- 29821078 TI - Notes and News. PMID- 29821079 TI - Professor Sims Woodhead at the Hospital Saturday Fund. PMID- 29821080 TI - The Fifteenth International Congress of Medicine. PMID- 29821081 TI - Endemic Goitre. PMID- 29821082 TI - Obstacles to Hygienic Achievement. PMID- 29821083 TI - X-Rays and Blood. PMID- 29821084 TI - Discussion on Syphilis. PMID- 29821085 TI - Isolation Hospital for the Ampthill District of Bedfordshire. PMID- 29821086 TI - Hospital Saturday Fund. PMID- 29821087 TI - The Role of Alcohol in the Treatment of Certain Diseases. PMID- 29821088 TI - Rheumatism. PMID- 29821089 TI - The Shortcomings of Plenum Ventilation. PMID- 29821090 TI - Hospital Meetings. PMID- 29821091 TI - Euthanasia. PMID- 29821093 TI - The Microscope in Medicine: V. Staining Sections. PMID- 29821092 TI - Everybody's Column. PMID- 29821094 TI - New Drugs, Appliances, and Things Medical. PMID- 29821095 TI - Treatment of Malignant Diseases. PMID- 29821096 TI - Veratrum Viride. PMID- 29821097 TI - Extra Supplement-The Nursing Mirror. PMID- 29821099 TI - The Lords' Committee. PMID- 29821098 TI - A Word for Poor Women. PMID- 29821100 TI - Sciatica. PMID- 29821101 TI - A Counsel of Despair. PMID- 29821102 TI - Recreation in Relation to the Health of the People: III. Working Up. PMID- 29821103 TI - Legal Restrictions on Gifts to Charity. PMID- 29821104 TI - Annotations. PMID- 29821105 TI - Notes and News. PMID- 29821106 TI - Impressions of a Novice. PMID- 29821107 TI - Hospital and Institutional News. PMID- 29821108 TI - The Institutional Worker. PMID- 29821109 TI - Colliers and Cardiff Hospitals. PMID- 29821111 TI - The Metropolitan Hospital Sunday Fund Crisis. PMID- 29821110 TI - A Retrospect. PMID- 29821112 TI - Death of a London Hospital Foundress. PMID- 29821113 TI - Annual Meeting and Distribution of Grants. PMID- 29821114 TI - An Animated Meeting of Constituents. PMID- 29821115 TI - The Views of the Working Classes: Their Demand for Hospital Benefit Not as a Matter of Charity, but of Right. PMID- 29821116 TI - The Doctors' Decision. PMID- 29821117 TI - Aprosexia in Children. PMID- 29821118 TI - Notes and News. PMID- 29821119 TI - Antiseptic Surgery. PMID- 29821120 TI - The Microscope in Medicine: VIII.-The Examination of Sputum. PMID- 29821122 TI - On the Right Track. PMID- 29821121 TI - Some Risks of Middle Age. PMID- 29821124 TI - New Drugs, Appliances, and Things Medical. PMID- 29821123 TI - Ignatia Amara. PMID- 29821125 TI - Fissures of the Tongue. PMID- 29821126 TI - Registration of Nurses. PMID- 29821127 TI - Annotations. PMID- 29821128 TI - The Lords' Committee. PMID- 29821129 TI - On Diseases of the Pancreas. PMID- 29821130 TI - Extra Supplement-The Nursing Mirror. PMID- 29821132 TI - Extra Supplement-The Nursing Mirror. PMID- 29821131 TI - Body and Mind at Cambridge. PMID- 29821133 TI - Granular Ophthalmia. PMID- 29821134 TI - The Other Side of the Shield. PMID- 29821136 TI - New Drugs, Appliances, and Things Medical. PMID- 29821135 TI - The Parting Message. PMID- 29821138 TI - Give and Take. PMID- 29821137 TI - Notes and News. PMID- 29821140 TI - Annotations. PMID- 29821139 TI - The Doctor's Difflculties in Town and Country. PMID- 29821141 TI - Antiseptic Surgery. PMID- 29821142 TI - Gastric Ulcer. PMID- 29821143 TI - Escholtzia Californica. PMID- 29821144 TI - Everybody's Page. PMID- 29821145 TI - The Microscope in Medicine: VII. Methods of Staining Sections of the Nervous System. PMID- 29821146 TI - The Lords' Committee. PMID- 29821148 TI - Extra Supplement-The Nursing Mirror. PMID- 29821147 TI - A Critic Criticised. PMID- 29821149 TI - On the Treatment of Cough. PMID- 29821150 TI - Medical Book-Keeping. PMID- 29821151 TI - Cardiovascular Vertigo. PMID- 29821152 TI - Reflex Epilepsy from Dental Caries. PMID- 29821153 TI - Anomalous Ataxies. PMID- 29821154 TI - The Microscope in Medicine: IV. "Cutting Sections". PMID- 29821155 TI - Everybody's Page. PMID- 29821156 TI - A Dream: Perhaps a Delusion. PMID- 29821158 TI - Working Women in Large Towns: XIX. What the General Public May Do. PMID- 29821157 TI - Diabetic Coma. PMID- 29821159 TI - Notes and News. PMID- 29821160 TI - Annotations. PMID- 29821161 TI - Primary Acute Encephalitis. PMID- 29821162 TI - A New Cause of Tabes. PMID- 29821163 TI - Medical Women at the Johns Hopkins University. PMID- 29821164 TI - Euphorine. PMID- 29821165 TI - Diseases of Digestive Organs. PMID- 29821166 TI - Hospital Meetings. PMID- 29821167 TI - The Bolingbroke Hospital. PMID- 29821168 TI - Gallant's Corsets in the Treatment of Enteroptosis. PMID- 29821170 TI - South Staffordshire Hospital for Small-Pox. PMID- 29821169 TI - Annotations. PMID- 29821172 TI - Stigmata of Degeneration and the Pregnesis of Epilepsy. PMID- 29821171 TI - On the Causes and Treatment of Gangrene of the Leg. PMID- 29821173 TI - Current Hospital Topics. PMID- 29821174 TI - The Prolongation of Life. PMID- 29821175 TI - Social and Poor Law Problems. PMID- 29821176 TI - "The Hospital" Nursing Section. PMID- 29821177 TI - Notes and News. PMID- 29821178 TI - Motor Cars for Doctors: Cars Suitable for Practitioners. PMID- 29821180 TI - Diseases of the Blood. PMID- 29821179 TI - New Appliances and Things Medical. PMID- 29821181 TI - Discussion on Syphilis. PMID- 29821182 TI - Treatment of Detached Retina by Iodine Injections into the Bulb. PMID- 29821183 TI - The Life Problem at Forty. PMID- 29821184 TI - The Story of the Insane from Year to Year. PMID- 29821186 TI - Everybody's Page. PMID- 29821185 TI - The History and Capabilities of Herbal Simples: XXII.-Coltsfoot. PMID- 29821188 TI - Poisoning by Colchicin. PMID- 29821187 TI - Extra Supplement-The Nursing Mirror. PMID- 29821189 TI - Notes and News. PMID- 29821190 TI - Physical Education in America. PMID- 29821191 TI - Working Women in Large Towns: XIV. Some Sources of Distress. PMID- 29821192 TI - Pathology. PMID- 29821193 TI - Entries, Winter Session, 1890-91. PMID- 29821194 TI - What Says the Student? PMID- 29821195 TI - Diseases of the Bladder and Prostate. PMID- 29821196 TI - Hospital Choirs. PMID- 29821197 TI - The Greatest Medical Library of the World. PMID- 29821198 TI - New Drugs, Appliances, and Things Medical. PMID- 29821199 TI - Annotations. PMID- 29821200 TI - Metropolitan Hospital for the Insane. PMID- 29821202 TI - Annotations. PMID- 29821201 TI - Torticollis. PMID- 29821203 TI - Notes and News. PMID- 29821204 TI - The College of Physicians in a New Character. PMID- 29821205 TI - A Feat to Be Considered. PMID- 29821207 TI - The Microscope in Medicine: X.-The Examination of Urinary Deposits. PMID- 29821206 TI - An Unhappy Juxtaposition. PMID- 29821209 TI - Everybody's Page. PMID- 29821208 TI - New Drugs, Appliances, and Things Medical. PMID- 29821210 TI - Rhus Toxicodendron. PMID- 29821211 TI - Extra Supplement-The Nursing Mirror. PMID- 29821212 TI - The Lords' Committee. PMID- 29821213 TI - On the Therapeutical Action of Koch's Remedy. PMID- 29821214 TI - Employees and the National Insurance Act. PMID- 29821215 TI - Conference at Birmingham. PMID- 29821216 TI - Reports on the Hospitals of the United Kingdom. PMID- 29821217 TI - The Draft Poor-Law Order: A Workhouse Medical Officer's View. PMID- 29821218 TI - The Institutional Worker. PMID- 29821219 TI - Formamint in the Treatment of Oral Conditions. PMID- 29821220 TI - Collector or Secretary? PMID- 29821221 TI - Hospital and Institutional News. PMID- 29821222 TI - National Insurance in Germany and Great Britain. PMID- 29821223 TI - Research and Remedies. PMID- 29821225 TI - Heart Cases in School Life. PMID- 29821224 TI - The Sessional Medical Addresses. PMID- 29821226 TI - Hospital Almoners and Saturday Fund Subscribers. PMID- 29821227 TI - Foreign Books for the Institutional Library. PMID- 29821228 TI - The Royal Victoria Infirmary, Newcastle: A Little Known Literary Association. PMID- 29821229 TI - Practical Notes on Diagnosis and Treatment. PMID- 29821230 TI - The Pineal Body. PMID- 29821232 TI - The Metropolitan Hospital Sunday Fund. PMID- 29821231 TI - The Hospital Saturday Fund. PMID- 29821233 TI - On Starting a Medical Library. PMID- 29821234 TI - The Institutional Library. PMID- 29821235 TI - Some Architectural and Sanitation Pamphlets. PMID- 29821236 TI - The Progress of Lung Surgery. PMID- 29821237 TI - The Hospital Saturday Fund and Lady Almoners. PMID- 29821238 TI - Benefits in Respect of Persons in Hospital. PMID- 29821239 TI - Metropolitan Hospital Sunday Fund. PMID- 29821240 TI - Hospital and Institutional News. PMID- 29821241 TI - The Institutional Worker. PMID- 29821243 TI - Are Saturday Fund Subscribers Entitled to Free Medical Relief? PMID- 29821242 TI - Planning for Sunlight: The Orientation of Buildings. PMID- 29821244 TI - Surgery. PMID- 29821245 TI - Annotations. PMID- 29821247 TI - The Story of the Insane from Year to Year. PMID- 29821246 TI - Education General and Medical. PMID- 29821248 TI - Special Analytical and Health Commission on Tinned and Preserved Food: IX. Condiments-Preserved Fish-Preserved Rabbit. PMID- 29821249 TI - Isolation Hospital for Burslem. PMID- 29821250 TI - The "Respectability" of the Out-Patient. PMID- 29821251 TI - Some Notes on Common Skin Diseases. PMID- 29821252 TI - The Fitting and Furnishing of Wards and Operating Theatres. PMID- 29821253 TI - Medical Opinion and Movement. PMID- 29821254 TI - The Aertex Cellular Clothing Factory, Swindon. PMID- 29821255 TI - New Appliances and Things Medical. PMID- 29821256 TI - Some Observations on Diseases of the Digestive Organs: Dyspepsia and the Nervous System. PMID- 29821257 TI - The Relation of Insanity to Civilisation.-II. PMID- 29821259 TI - Pathology. PMID- 29821258 TI - "The Hospital" Nursing Section. PMID- 29821260 TI - Koch's Notes of Warning. PMID- 29821261 TI - Notes and News. PMID- 29821262 TI - Captain Cook. PMID- 29821263 TI - Twenty-One or Twenty-Three? PMID- 29821264 TI - New Drugs, Appliances, and Things Medical. PMID- 29821265 TI - Diphtheria at Marlborough College. PMID- 29821267 TI - Extra Supplement-The Nursing Mirror. PMID- 29821266 TI - The National Pension Fund and Workers.-II. PMID- 29821268 TI - A New Antiseptic Treatment of Wounds. PMID- 29821269 TI - Nurses' Food, Work, and Hours of Recreation. PMID- 29821270 TI - Pulmonary Phthisis. PMID- 29821272 TI - Annotations. PMID- 29821271 TI - Rheumatism. PMID- 29821273 TI - British Red Cross Society: Message from the Prince of Wales. PMID- 29821274 TI - King's College Hospital. PMID- 29821275 TI - Hospital Meetings. PMID- 29821276 TI - Surgical Homes. PMID- 29821277 TI - Nervous Diseases. PMID- 29821278 TI - The Present Position of Radiation in Treatment. PMID- 29821280 TI - The Visit of Metchnikoff. PMID- 29821279 TI - The American Ambassador on Hospitals. PMID- 29821281 TI - Notes and News. PMID- 29821282 TI - Current Hospital Topics. PMID- 29821283 TI - Annotations. PMID- 29821284 TI - Medical Opinion and Movement. PMID- 29821285 TI - "The Hospital" Nursing Section. PMID- 29821286 TI - Broncho Pneumonia and Abscess of the Lung. PMID- 29821287 TI - Help the Defectives. PMID- 29821288 TI - On Typhoid Fever. PMID- 29821289 TI - Alcohol in Relation to Therapeutics. PMID- 29821290 TI - New Appliances and Things Medical. PMID- 29821291 TI - Social and Poor-Law Problems. PMID- 29821292 TI - Criminals: How to Make and How to Mend Them. PMID- 29821293 TI - The Approach of Cholera. PMID- 29821294 TI - The New Loves Gain the Day. PMID- 29821295 TI - Suggestions to the Lords. PMID- 29821296 TI - Notes and News. PMID- 29821297 TI - Tubercular Diseases of the Bones and Joints. PMID- 29821298 TI - Winter Feedings. PMID- 29821300 TI - Everybody's Page. PMID- 29821299 TI - The History and Capabilities of Herbal Simples: XXVII. The Common Daisy. PMID- 29821302 TI - Erysipelas: New Methods of Treatment. PMID- 29821301 TI - Annotations. PMID- 29821303 TI - Ouabaine. PMID- 29821304 TI - Extra Supplement-The Nursing Mirror. PMID- 29821305 TI - The Story of the Insane from Year to Year. PMID- 29821306 TI - Cold Treatment of Pneumonia. PMID- 29821308 TI - Notes and News. PMID- 29821307 TI - German Universities and English Students. PMID- 29821309 TI - The Climatology of England. PMID- 29821310 TI - Women and Nerves. PMID- 29821311 TI - A Department of Public Safety. PMID- 29821312 TI - Some Curious Patents. PMID- 29821313 TI - Heart Disease. PMID- 29821314 TI - Everybody's Page. PMID- 29821315 TI - The Story of the Insane from Year to Year. PMID- 29821316 TI - Life Preservation from a Business Point of View. PMID- 29821318 TI - The Perfection of Human Happiness. PMID- 29821317 TI - Pathology. PMID- 29821319 TI - Ought Women to Be on Hospital Committees? PMID- 29821320 TI - Annotations. PMID- 29821321 TI - Extra Supplement-The Nursing Mirror. PMID- 29821322 TI - New Drugs, Appliances, and Things Medical. PMID- 29821323 TI - Male Nurses.-II. PMID- 29821324 TI - On the Non-Contagiousness of Cancer. PMID- 29821325 TI - On Cancer. PMID- 29821326 TI - Crude Science. PMID- 29821327 TI - Northerner and Southerner. PMID- 29821328 TI - The Workhouse Infirmary Nursing Association: Interview with Miss J. Wilson. PMID- 29821329 TI - New Drugs, Appliances, and Things Medical. PMID- 29821330 TI - Work and Food. PMID- 29821332 TI - Has a New Day Dawned? PMID- 29821331 TI - The National Pension Fund and Workers.-III. PMID- 29821333 TI - The Lords and the Hospitals. PMID- 29821334 TI - Extra Supplement-The Nursing Mirror. PMID- 29821335 TI - Everybody's Page. PMID- 29821336 TI - December. PMID- 29821338 TI - Notes and News. PMID- 29821337 TI - Working Women in Large Towns: XVII. Aids for Working Women. PMID- 29821339 TI - Pathology. PMID- 29821340 TI - Annotations. PMID- 29821341 TI - The Saturday Fund and the Hospitals. PMID- 29821343 TI - Hospital and Institutional News. PMID- 29821342 TI - The Metropolitan Hospital Sunday Fund Meeting. PMID- 29821345 TI - Fibrositis. PMID- 29821344 TI - The Treatment of Tuberculosis. PMID- 29821347 TI - The Editor's Letter-Box. PMID- 29821346 TI - The Use of Seleniol Injections for Sarcoma. PMID- 29821349 TI - The Problem of the Mentally Defective: Discussion at Central Poor-Law Conference. PMID- 29821348 TI - Views of Some British Architects. PMID- 29821350 TI - The London Hospital Saturday Fund and the National Insurance Act: Some Views and Fears of the Saturday Fund Executive. PMID- 29821352 TI - Post-Mortem Examinations without Permission. PMID- 29821351 TI - Medical Benefits for Nursing Staffs. PMID- 29821353 TI - The Voluntary Hospitals and Legacy Duty: Away with Legacy Duty on Hospital Legacies! PMID- 29821354 TI - The Institutional Worker. PMID- 29821355 TI - An Efficient Ambulance Service for London: Not Politics but Business. PMID- 29821356 TI - Mr. Lewcock's Letter and the Hospital Saturday Executive. PMID- 29821358 TI - King Edward VII's Hospital, Cardiff. PMID- 29821357 TI - Poor-Law Infirmaries and Voluntary Hospitals. PMID- 29821359 TI - Institutional Needs. PMID- 29821360 TI - Concerning Tuberculin. PMID- 29821362 TI - Human Effort in Polar Climates. PMID- 29821361 TI - The Clinical Laboratory: III. The Clinical Laboratory in Diabetes. PMID- 29821363 TI - New Drugs, Appliances, and Things Medical. PMID- 29821364 TI - The Mark of the Beast: Some Notes on Criminal Anthropology. PMID- 29821365 TI - Everybody's Page. PMID- 29821366 TI - Some Medical Aspects of Tropical Colonisation. PMID- 29821367 TI - Poisoning by Antipyrin. PMID- 29821369 TI - Chronic Disease of the Knee Joint in Children. PMID- 29821368 TI - The Microscope in Medicine: VI.-Mounting Specimens. PMID- 29821370 TI - Annotations. PMID- 29821371 TI - Extra Supplement-The Nursing Mirror. PMID- 29821373 TI - Notes and News. PMID- 29821372 TI - Some Functional Disorders of the Heart. PMID- 29821374 TI - Where Do We Stand? PMID- 29821375 TI - The Hospital Saturday Fund Disagreement. PMID- 29821376 TI - The Lords' Committee. PMID- 29821377 TI - Are Doctors so Very Bad? PMID- 29821378 TI - Science in Straits. PMID- 29821379 TI - Strychnine as an Antidote. PMID- 29821380 TI - Chorea. PMID- 29821381 TI - Infants' Food. PMID- 29821382 TI - Association of Gangrene and Tetanus. PMID- 29821383 TI - Surgical Treatment of Hydrocephalus. PMID- 29821385 TI - The Etiology of Cancer. PMID- 29821384 TI - The Microscope in Medicine: III. The Microtome and Hardening Specimens. PMID- 29821386 TI - Notes and News. PMID- 29821387 TI - A Mild Rebuke. PMID- 29821389 TI - Annotations. PMID- 29821388 TI - Rickets: Treatment by Phosphorus. PMID- 29821390 TI - The Metropolitan Hospital Saturday Fund. PMID- 29821391 TI - The London Poor. PMID- 29821392 TI - Extra Supplement-The Nursing Mirror. PMID- 29821393 TI - Recreation in Relation to the Health of the People: II. Beginning at the Bottom. PMID- 29821394 TI - Current Hospital Topics. PMID- 29821395 TI - "The Hospital" Nursing Section. PMID- 29821396 TI - New Appliances and Things Medical. PMID- 29821397 TI - The Society for the Study of Diseases in Children. PMID- 29821398 TI - Broncho-Pneumonia. PMID- 29821399 TI - Current Professional Opinion. PMID- 29821400 TI - New Remedies and Results. PMID- 29821401 TI - The Treatment of Shock and Collapse Following Surgical Operations. PMID- 29821402 TI - Motor-Cars for Doctors: General Description. PMID- 29821403 TI - Hospital Meetings. PMID- 29821404 TI - Annotations. PMID- 29821405 TI - Mr. P. J. Michelli: At Home at the Royal Victoria and Albert Docks Hospital. PMID- 29821406 TI - Chemists and Companies. PMID- 29821407 TI - Malignant Endocarditis Treated by Antistreptococcic Serum. PMID- 29821408 TI - Hospital Dinners and Annual Meetings. PMID- 29821409 TI - Extra Supplement-The Nursing Mirror. PMID- 29821410 TI - Typhlitis, Perityphlitis, and Appendicitis. PMID- 29821412 TI - Intestinal Antisepsis in Dyspepsia. PMID- 29821411 TI - The London County Council and Hospital Assessment. PMID- 29821413 TI - Notes and News. PMID- 29821414 TI - The Lords' Committee. PMID- 29821416 TI - Medical Women in England. PMID- 29821415 TI - The History and Capabilities of Herbal Simples: XXVIII.-The Dandelion. PMID- 29821418 TI - The Gnat and the Camel. PMID- 29821417 TI - The Microscope in Medicine: IX.-Examination of the Sputum. PMID- 29821420 TI - Annotations. PMID- 29821419 TI - Membranous Ophthalmia. PMID- 29821421 TI - Midwives Registration-A General Practitioner's Protest. PMID- 29821422 TI - New Drugs, Appliances, and Things Medical. PMID- 29821423 TI - Annotations. PMID- 29821424 TI - Notes and News. PMID- 29821425 TI - Dithiosalicylate of Soda. PMID- 29821426 TI - The Midwives' Bill: A Select Committee. PMID- 29821428 TI - The Lords' Committee. PMID- 29821427 TI - Medical Women and the Royal Free Hospital. PMID- 29821429 TI - The Jubilee Institute for Nurses. PMID- 29821431 TI - The Registration of Midwives. PMID- 29821430 TI - Body and Mind at Cambridge. PMID- 29821432 TI - Extra Supplement-The Nursing Mirror. PMID- 29821433 TI - Erythro-Melalgia. PMID- 29821435 TI - The Pathological and Surgical Treatment of Suppurative Tonsilitis. PMID- 29821434 TI - Herpes. PMID- 29821437 TI - A New Interpreter of Faith. PMID- 29821436 TI - The History and Capabilities of Herbal Simples: XXIX.-Dill. PMID- 29821438 TI - Everybody's Page. PMID- 29821439 TI - Diseases of the Intracranial Vessels in Children. PMID- 29821440 TI - The Surgical Treatment of Encephalocele. PMID- 29821441 TI - Pennyroyal. PMID- 29821442 TI - Annotations. PMID- 29821443 TI - Everybody's Page. PMID- 29821444 TI - New Drugs, Appliances, and Things Medical. PMID- 29821445 TI - Lupus and Tuberculosis. PMID- 29821446 TI - Treatment of Diphtheria. PMID- 29821447 TI - Extra Supplement-The Nursing Mirror. PMID- 29821448 TI - Strychnine Poisoning. PMID- 29821449 TI - Uniformity in Accounts. PMID- 29821450 TI - Pilocarpine in Skin Diseases. PMID- 29821451 TI - Notes and News. PMID- 29821452 TI - Bromethyl. PMID- 29821453 TI - Virchow and Koch. PMID- 29821454 TI - Spontaneous Expulsion of a Foreign Body from the Bronchi. PMID- 29821455 TI - Recreation in Relation to the Health of the People: I. Introductory. PMID- 29821456 TI - The Microscope in Medicine: II. The Use of the Microscope. PMID- 29821457 TI - Lanolin and Vaseline. PMID- 29821458 TI - The Uses of a Year-Book. PMID- 29821459 TI - King Edward's Hospital Fund for London: The Annual Meeting. PMID- 29821460 TI - Genito-Urinary Surgery. PMID- 29821461 TI - The Opportunity of Clinical Pathology. PMID- 29821462 TI - "The Hospital" Nursing Section. PMID- 29821463 TI - Notes and News. PMID- 29821464 TI - Diseases of the Nervous System. PMID- 29821465 TI - Hospital Saturday Fund. PMID- 29821467 TI - Hospital Meetings. PMID- 29821466 TI - Hernia in Children. PMID- 29821468 TI - Annotations. PMID- 29821469 TI - "The Hospital" Nursing Section. PMID- 29821470 TI - Remedies and Their Uses. PMID- 29821472 TI - Special Analytical and Health Commission on Tinned and Preserved Food: VI. "Special" Canned Meat Foods. PMID- 29821471 TI - The Treatment of Diphtheria. PMID- 29821473 TI - Smell in Health and Disease. PMID- 29821474 TI - A Clinical Lecture on Infantile Paralysis. PMID- 29821475 TI - Current Hospital Topics. PMID- 29821476 TI - Social and Poor Law Problems. PMID- 29821477 TI - Practical Notes on Diagnosis and Treatment. PMID- 29821478 TI - Medical Opinion and Movement. PMID- 29821479 TI - British and American Hospitals: From an Australian Standpoint. PMID- 29821481 TI - Annotations. PMID- 29821480 TI - New Appliances and Things Medical. PMID- 29821482 TI - Psychic Effects of the San Francisco Earthquake. PMID- 29821483 TI - Boston Hospital, Boston. PMID- 29821484 TI - Annotations. PMID- 29821485 TI - Epilogue. PMID- 29821486 TI - Mr. Gladstone: Sir George Stokes. PMID- 29821487 TI - General Hospitals. PMID- 29821488 TI - Hypnotism. PMID- 29821489 TI - Pay Hospitals. PMID- 29821491 TI - A Few Other Charities. PMID- 29821490 TI - The C.O.S. as Collector for Charities. PMID- 29821493 TI - The Registration of Midwives. PMID- 29821492 TI - Nursing Institutions. PMID- 29821494 TI - Extra Supplement-The Nursing Mirror. PMID- 29821495 TI - Koch and the Consumption Cure. PMID- 29821496 TI - The Luxury of Giving. PMID- 29821497 TI - Who Are the Philanthropists? PMID- 29821499 TI - Asylum for Idiots. PMID- 29821498 TI - The National Pension Fund. PMID- 29821500 TI - Hospitals for Consumption. PMID- 29821501 TI - Miscellaneous Special Hospitals. PMID- 29821502 TI - Pasteur and Hydrophobia. PMID- 29821503 TI - Black Clouds over Hospitals. PMID- 29821504 TI - Nurses' Registration. PMID- 29821505 TI - The Dead. PMID- 29821507 TI - Lying-In Hospitals. PMID- 29821506 TI - Hospitals for Children. PMID- 29821508 TI - Nervous Diseases, Epilepsy, and Paralysis. PMID- 29821509 TI - Kosher and Trifa. PMID- 29821510 TI - Hepatic Cirrhosis. PMID- 29821511 TI - Everybody's Page. PMID- 29821512 TI - Removal of Deformity of Rickety Limbs. PMID- 29821514 TI - Noises in the Ears. PMID- 29821513 TI - Treatment of Cold Abscess by Iodoform. PMID- 29821515 TI - Urticaria. PMID- 29821517 TI - Spontaneous Restoration of the Membrana Tympani. PMID- 29821516 TI - The History and Capabilities of Herbal Simples: XXV.-Cress. PMID- 29821518 TI - A Sober Critic of Koch. PMID- 29821519 TI - Notes and News. PMID- 29821520 TI - A Wandering Liver. PMID- 29821521 TI - Annotations. PMID- 29821522 TI - Hypnotism. PMID- 29821523 TI - Cataract. PMID- 29821524 TI - Extra Supplement-The Nursing Mirror. PMID- 29821525 TI - Hydatid Cysts of Liver. PMID- 29821526 TI - Has Pasteur Failed? PMID- 29821527 TI - The Season of Appeals. PMID- 29821528 TI - Gorlaston Cottage Hospital. PMID- 29821529 TI - Fibroid Lung. PMID- 29821530 TI - Institutional Notes and News. PMID- 29821531 TI - Annotations. PMID- 29821532 TI - Medical Opinion and Movement. PMID- 29821533 TI - The Hospital World. PMID- 29821534 TI - The Differential Diagnosis of Vertigo. PMID- 29821536 TI - The Anaesthetist's Ante-Room. PMID- 29821535 TI - Whitlow: II. Complications and Treatment. PMID- 29821538 TI - Judgment and Observation. PMID- 29821537 TI - Cervical Ribs. PMID- 29821539 TI - The Complications of Operations for Glands in Neck. PMID- 29821540 TI - Lunacy Reformation. PMID- 29821541 TI - The Week's Work. PMID- 29821542 TI - Reports on the Hospitals of the United Kingdom: Some Smaller Hospitals. PMID- 29821544 TI - News and Events of the Week. PMID- 29821543 TI - Hospitals and the Doctrine of "Cy-Pres". PMID- 29821545 TI - Institutional Notes and News. PMID- 29821546 TI - The Treatment of Sepsis. PMID- 29821547 TI - Doctor and Parson. PMID- 29821548 TI - Quack Medicines. PMID- 29821550 TI - The Week's Work. PMID- 29821549 TI - Medical Opinion and Movement. PMID- 29821551 TI - The Hospital World. PMID- 29821553 TI - The Military Training of the Officers of the R.A.M.C. (T.F.). PMID- 29821552 TI - Medical Men and Midwives. PMID- 29821554 TI - The Rating of Voluntary Hospitals. PMID- 29821555 TI - Whitlow: I. Varieties and Diagnosis. PMID- 29821556 TI - A Note on a Case of Traumatic Encephalocele. PMID- 29821557 TI - An International Committee for Graduate Study. PMID- 29821558 TI - A Lecture on Placenta Praevia. PMID- 29821559 TI - Fourth Annual Conference of the Canadian Hospital Association in Montreal. PMID- 29821560 TI - New Appliances and Things Medical. PMID- 29821562 TI - Hospital Contracts and Prices-II. PMID- 29821561 TI - Reports on the Hospitals of the United Kingdom: XXXIX. Worcester General Infirmary. PMID- 29821564 TI - Organising Graduate Instruction. PMID- 29821563 TI - News and Events of the Week. PMID- 29821565 TI - Annotations. PMID- 29821566 TI - Post-Graduate Study in the Rotunda Hospital. PMID- 29821567 TI - New Appliances & Things Medical. PMID- 29821568 TI - News and Events of the Week. PMID- 29821569 TI - The Week's Work. PMID- 29821570 TI - National Hospital for the Paralysed and Epileptic, Queen Square. PMID- 29821571 TI - Prognostic Difficulties in Atypical Pneumonia. PMID- 29821572 TI - The Hospital World. PMID- 29821573 TI - Medical Opinion and Movement. PMID- 29821574 TI - Popularising the Annual Report. PMID- 29821575 TI - The Present and Future of Graduate Medical Study. PMID- 29821576 TI - Institutional Notes and News. PMID- 29821577 TI - Hospital Contracts and Prices. PMID- 29821579 TI - The Future of Graduate Instruction in Medicine. PMID- 29821578 TI - Eye Injuries. PMID- 29821581 TI - Reports on the Hospitals of the United Kingdom: XXXVIII. The Manchester Royal Infirmary. PMID- 29821580 TI - Old Needlework. PMID- 29821582 TI - The Medical Inspection and Treatment of School Children. PMID- 29821583 TI - Annotations. PMID- 29821584 TI - The Hospital World. PMID- 29821586 TI - Weil's Disease. PMID- 29821585 TI - Tobacco Amblyopia. PMID- 29821587 TI - Annotations. PMID- 29821588 TI - Reports on the Hospitals of the United Kingdom: XL. David Lewis Northern Hospital, Liverpool. PMID- 29821589 TI - Institutional Notes and News. PMID- 29821590 TI - The Medical Student and His Work. PMID- 29821591 TI - Some Practical Notes. PMID- 29821592 TI - The English and German Physician through French Eyes. PMID- 29821593 TI - Medical Opinion and Movement. PMID- 29821594 TI - Hospital Contracts and Prices: III. The Purchase of Drugs. PMID- 29821595 TI - Calomel in Heart Cases. PMID- 29821596 TI - Therapeutic Discrimination. PMID- 29821598 TI - News and Events of the Week. PMID- 29821597 TI - Sporo-Thrichotic Arthritis of the Knee. PMID- 29821600 TI - The Foundling Hospital in Florence. PMID- 29821599 TI - The Week's Work. PMID- 29821601 TI - The Late Dr. T. D. Savill. PMID- 29821603 TI - Institutional Notes and News. PMID- 29821602 TI - Annotations. PMID- 29821605 TI - News and Events of the Week. PMID- 29821604 TI - The Week's Work. PMID- 29821607 TI - Practical Notes on Diagnosis and Treatment. PMID- 29821606 TI - The Surgical Problem Presented by the Acutely Distended Abdomen. PMID- 29821608 TI - Albumosuria. PMID- 29821609 TI - Voluntary Aid Detachments. PMID- 29821610 TI - The Significance of the Epiphyses. PMID- 29821611 TI - The Blood-Pressure during Pregnancy and the Puerperium. PMID- 29821612 TI - Pregnancy and Diabetes. PMID- 29821613 TI - Pavor Nocturnus in Children. PMID- 29821615 TI - Medical Opinion and Movement. PMID- 29821614 TI - International Congress of Pharmacy. PMID- 29821616 TI - The Hospital World. PMID- 29821617 TI - So-Called Influenzal Attacks Which Are Really Indicative of Phthisis. PMID- 29821619 TI - The British Hospitals Association Conference. PMID- 29821618 TI - Acute Intestinal Obstruction-II. PMID- 29821620 TI - Some Common Causes of Pain in the Foot.-I. PMID- 29821621 TI - A Rapid and Delicate Method of Detecting Bile Pigment in Urine. PMID- 29821623 TI - The Payment of Hospital Staffs. PMID- 29821622 TI - Medical Opinion and Movement. PMID- 29821624 TI - Sanatoria for Kent. PMID- 29821625 TI - Parliament and Publications. PMID- 29821626 TI - Practical Notes on Diagnosis and Treatment. PMID- 29821627 TI - Acute Intestinal Obstruction. PMID- 29821628 TI - The Payment of Hospital Staffs. PMID- 29821630 TI - News and Events of the Week. PMID- 29821629 TI - Some Points in the Treatment of Enteric Fever. PMID- 29821632 TI - The New Territorial Force Regulations. PMID- 29821631 TI - Solid Carbon Dioxide. PMID- 29821633 TI - The Hospital World. PMID- 29821634 TI - Annotations. PMID- 29821635 TI - Some Prescriptions Discussed-II. PMID- 29821636 TI - Fresh Air in Railway Carriages. PMID- 29821637 TI - The Week's Work. PMID- 29821638 TI - Liverpool Royal Infirmary. PMID- 29821639 TI - Institutional Notes and News. PMID- 29821640 TI - A Bird-Watcher's Camp-I. PMID- 29821641 TI - The Results of Stomach Surgery. PMID- 29821642 TI - Medical School Scholarships. PMID- 29821643 TI - The Week's Work. PMID- 29821644 TI - The Hospital World. PMID- 29821645 TI - Hospital Contracts and Prices: VI. Domestic. PMID- 29821646 TI - Reports on the Hospitals of the United Kingdom: XLVII. Manchester Children's Hospital, Pendlebury. PMID- 29821647 TI - A Case of Impacted Gall-Stone. PMID- 29821648 TI - The Heart during Convalescence from Febrile Disorders. PMID- 29821649 TI - Infantile Scurvy, or Barlow's Disease. PMID- 29821650 TI - The King's Death. PMID- 29821651 TI - Coma Due to Malaria. PMID- 29821653 TI - Medical Morphomaniacs. PMID- 29821652 TI - Practical Notes on Diagnosis and Treatment. PMID- 29821655 TI - School Clinics in London. PMID- 29821654 TI - A Lecture on Lateral Curvature of the Spine. PMID- 29821656 TI - Institutional Notes and News. PMID- 29821657 TI - Syphilis and Epilepsy. PMID- 29821659 TI - Annotations. PMID- 29821658 TI - Medical Opinion and Movement. PMID- 29821660 TI - News and Events of the Week. PMID- 29821661 TI - A Conference on Hospital Diet. PMID- 29821662 TI - Exercise and the Pulse-Rate. PMID- 29821663 TI - Reports on the Hospitals of the United Kingdom: Some Smaller Hospitals. PMID- 29821664 TI - Nature Studies.-VI. PMID- 29821666 TI - The Hospital World. PMID- 29821665 TI - On the Treatment of Certain Fractures. PMID- 29821668 TI - Should Medical Practitioners Dispense?: I. The Professional Standpoint. PMID- 29821667 TI - Practical Notes on Diagnosis and Treatment. PMID- 29821669 TI - Holidays for Slum Children. PMID- 29821670 TI - Annotations. PMID- 29821671 TI - Medical Opinion and Movement. PMID- 29821672 TI - The Week's Work. PMID- 29821673 TI - The Inheritance of Sex. PMID- 29821674 TI - Should Medical Practitioners Dispense?: II. The Pharmacists Point of View. PMID- 29821675 TI - Notes on Sanatorium Management. PMID- 29821676 TI - Institutional Notes and News. PMID- 29821677 TI - Legitimacy from a Medical and Legal Standpoint. PMID- 29821679 TI - Institutional Notes and News. PMID- 29821678 TI - News and Events of the Week. PMID- 29821681 TI - Practical Notes on Diagnosis and Treatment. PMID- 29821680 TI - Chronic Nasal Diphtheria. PMID- 29821682 TI - An Easy Method of Destroying Tsetse Flies. PMID- 29821683 TI - A Serious Question for the Glasgow Infirmary Managers. PMID- 29821684 TI - The Week's Work. PMID- 29821685 TI - News and Events of the Week. PMID- 29821687 TI - Hospital Contracts and Prices. PMID- 29821686 TI - A Complicated Case of Labour. PMID- 29821688 TI - Annotations. PMID- 29821689 TI - The Middlesex Hospital Appeal. PMID- 29821690 TI - Medical Opinion and Movement. PMID- 29821691 TI - The Treatment of Epilepsy. PMID- 29821693 TI - The Hospital World. PMID- 29821692 TI - The Indications for Infusion. PMID- 29821694 TI - Should Medical Practitioners Dispense?: III. Prescriber and Dispenser. PMID- 29821695 TI - Sclavo's Serum in the Cure of Anthrax without Operation. PMID- 29821696 TI - Annals of Quackery-III. PMID- 29821697 TI - The Week's Parliament and Publications. PMID- 29821698 TI - The Birthday Honours. PMID- 29821699 TI - Pre-Asylum Treatment. PMID- 29821700 TI - Hospital Fittings. PMID- 29821701 TI - The Week's Work. PMID- 29821702 TI - Annotations. PMID- 29821703 TI - The Death of King Edward VII. PMID- 29821704 TI - Recent Progress in Anaesthetics. PMID- 29821705 TI - The Hospital World. PMID- 29821706 TI - Some Minor Manifestations of Epilepsy. PMID- 29821707 TI - The Treatment of Indolent Ulcer. PMID- 29821708 TI - News and Events of the Week. PMID- 29821710 TI - The Present Position of the Territorial Medical Service. PMID- 29821709 TI - Peptone Injections in Haemoglobinuria. PMID- 29821711 TI - Practical Notes on Diagnosis and Treatment. PMID- 29821712 TI - Medical Entomology. PMID- 29821713 TI - Medical Opinion and Movement. PMID- 29821714 TI - Experiences of Long Ago: Erysipelas. PMID- 29821715 TI - Hospital Contracts and Prices. PMID- 29821716 TI - Reports on the Hospitals of the United Kingdom: XLVIII. The Royal Albert Edward Infirmary, Wigan. PMID- 29821717 TI - Haematology.-V. PMID- 29821718 TI - King Edward's Vaccine Treatment. PMID- 29821719 TI - Hospital Sunday in London. PMID- 29821720 TI - Hospital Contracts and Prices. PMID- 29821721 TI - Medical Opinion and Movement. PMID- 29821722 TI - Annotations. PMID- 29821723 TI - Operations for Tuberculous Glands in the Neck. PMID- 29821724 TI - News and Events of the Week. PMID- 29821726 TI - Annals of Quackery-I. PMID- 29821725 TI - Reports on the Hospitals of the United Kingdom: L. Leeds Union University. PMID- 29821727 TI - The Week's Work. PMID- 29821728 TI - Pellagra and Uncinariasis in America. PMID- 29821730 TI - Practical Notes on Diagnosis and Treatment. PMID- 29821729 TI - Objections to Compulsory Notification of Phthisis. PMID- 29821731 TI - New Appliances and Things Medical. PMID- 29821733 TI - An Object-Lesson for the Profession. PMID- 29821732 TI - Cancer of the Intestines. PMID- 29821734 TI - Failure to Notify Infectious Disease. PMID- 29821735 TI - A Plea for More Method in Drug Prescribing. PMID- 29821736 TI - Institutional Notes and News. PMID- 29821737 TI - The Hospital World. PMID- 29821738 TI - Aniline Poisoning and Its Treatment. PMID- 29821739 TI - The Treatment of Everyday Cases. PMID- 29821740 TI - Practical Notes on Diagnosis and Treatment. PMID- 29821741 TI - News and Events of the Week. PMID- 29821743 TI - The Week's Work. PMID- 29821742 TI - Tropical Haematology.-III. PMID- 29821745 TI - Operations for the Results of Cholelithiasis. PMID- 29821744 TI - Difficult Diagnosis in a Case of Pregnancy. PMID- 29821746 TI - The Clinical Examination of the Chest. PMID- 29821747 TI - The General Hospital, Toronto. PMID- 29821748 TI - Reports on the Hospitals of the United Kingdom: Leatherhead (Victoria Memorial) Cottage Hospital; The Bridgewater Hospital; Wells General Hospital. PMID- 29821749 TI - Peripheral Neuritis Due to Sulphide of Carbon. PMID- 29821750 TI - Foreign Bodies in the Ear. PMID- 29821751 TI - The Coroners' Commission. PMID- 29821752 TI - Hospitals and Poor Law Reform. PMID- 29821753 TI - Albuminous and Non-Albuminous Sputa. PMID- 29821754 TI - New Appliances & Things Medical. PMID- 29821755 TI - Medical Opinion and Movement. PMID- 29821756 TI - Institutional Notes and News. PMID- 29821757 TI - Annotations. PMID- 29821758 TI - Flies and Their Breeding Places. PMID- 29821759 TI - London University and the Royal Colleges. PMID- 29821760 TI - Pure Food. PMID- 29821761 TI - The Hospital World. PMID- 29821763 TI - Annotations. PMID- 29821762 TI - A Home for Feeble-Minded Girls. PMID- 29821764 TI - Medical Opinion and Movement. PMID- 29821765 TI - The Treatment of Tuberculous Fistulae by Potassium Permanganate. PMID- 29821767 TI - The Good Old Times. PMID- 29821766 TI - Eosinophilia in a Case of Strongyloides Stercoralis. PMID- 29821768 TI - The Combat against National Deterioration: Lessons Learnt in the Out-Patient Department. PMID- 29821769 TI - News and Events of the Week. PMID- 29821771 TI - Institutional Notes and News. PMID- 29821770 TI - The Week's Parliament and Publications. PMID- 29821772 TI - The Week's Work. PMID- 29821773 TI - "The Christian World" and Mr. Alabone. PMID- 29821774 TI - Exercises and the Blood-Pressure in Heart Cases. PMID- 29821775 TI - By the Way. PMID- 29821776 TI - School Children: Some Reflections on Present Arrangements. PMID- 29821777 TI - The Hospital World. PMID- 29821778 TI - Practical Notes on Diagnosis and Treatment. PMID- 29821779 TI - British Pharmaceutical Conference. PMID- 29821780 TI - Mental Healing. PMID- 29821781 TI - The Medico-Psychological Association. PMID- 29821783 TI - Laryngeal Papillomata in Children. PMID- 29821782 TI - The L.C.C. and Public Slaughter-Houses. PMID- 29821784 TI - Metropolitan Hospital Sunday Fund. PMID- 29821785 TI - Aortic Incompetence and Its Lessons. PMID- 29821786 TI - Nonconformity and Medicine. PMID- 29821787 TI - The Hospital World. PMID- 29821788 TI - The Week's Work. PMID- 29821789 TI - The Cause of Cancer. PMID- 29821790 TI - Premature Burial. PMID- 29821791 TI - Medical Opinion and Movement. PMID- 29821792 TI - Haemoptysis-II. PMID- 29821793 TI - Bolton Infirmary Inquiry. PMID- 29821794 TI - Suppository Bases, Especially for the Tropics. PMID- 29821795 TI - The Year's Work as Shown in Local Reports. PMID- 29821796 TI - News and Events of the Week. PMID- 29821797 TI - Institutional Notes and News. PMID- 29821798 TI - Potassium Permanganate in Tuberculous Fistulae. PMID- 29821799 TI - The Fusion of Medicine and Surgery. PMID- 29821800 TI - The Week's Parliament and Publications. PMID- 29821801 TI - Practical Notes on Diagnosis and Treatment. PMID- 29821802 TI - Annotations. PMID- 29821803 TI - A Minister of Public Health. PMID- 29821804 TI - A Modern French Analysis of the English Mind. PMID- 29821806 TI - Prices for Surgical Dressings. PMID- 29821805 TI - Most Serious Objection. PMID- 29821808 TI - Twenty-Five Tapeworms in One Patient. PMID- 29821807 TI - New Children's Wards at the Royal Portsmouth, Portsea, and Gosport Hospital. PMID- 29821809 TI - Hospital Contracts and Prices. PMID- 29821811 TI - The Hospital World. PMID- 29821810 TI - Reports on the Hospitals of the United Kingdom: XLIX. Radcliffe Infirmary and County Hospital, Oxford. PMID- 29821812 TI - King George V. PMID- 29821813 TI - The Care of the Motor-Car Body. PMID- 29821815 TI - Occasional Jerks of Local Muscle Groups as a Sign of Epilepsy. PMID- 29821814 TI - Common Difficulties in Forceps Delivery. PMID- 29821816 TI - Electrical Treatment of Naevi. PMID- 29821817 TI - Medical Opinion and Movement. PMID- 29821819 TI - The British Medical Benevolent Fund Guild. PMID- 29821818 TI - The Week's Work. PMID- 29821821 TI - Photography. PMID- 29821820 TI - The Vaccine Treatment of the Common Cold. PMID- 29821822 TI - Food Adulteration. PMID- 29821823 TI - Annotations. PMID- 29821824 TI - The Death of King Edward VII. PMID- 29821825 TI - The Objection Answered. PMID- 29821826 TI - Institutional Notes and News. PMID- 29821827 TI - The Possibility of Influencing the Malignant Neoplasmata by Inoculation. PMID- 29821829 TI - Annotations. PMID- 29821828 TI - Institutional Notes and News. PMID- 29821831 TI - Reports on the Hospitals of the United Kingdom: XLIII. Chorlton Union Infirmary, West Didsbury (Manchester). PMID- 29821830 TI - Hospital Contracts and Prices: IV. Surgical Dressings. PMID- 29821832 TI - The Hospital for Sick Children, Toronto. PMID- 29821833 TI - Diagram of the Weekly Death-Rate in 1910. PMID- 29821834 TI - Spiritualism and Insanity. PMID- 29821835 TI - The Doctor in Fiction. PMID- 29821836 TI - The Claims of Tuberculosis. PMID- 29821838 TI - Haematology.-IV. PMID- 29821837 TI - Christian Science. PMID- 29821839 TI - The Hospital World. PMID- 29821840 TI - News and Events of the Week. PMID- 29821841 TI - Electric Lifts for Hospital Use. PMID- 29821842 TI - Dysmenorrhoea. PMID- 29821843 TI - The Week's Work. PMID- 29821844 TI - Post-Mortem Examinations. PMID- 29821845 TI - Medical Opinion and Movement. PMID- 29821846 TI - Haematuria in Renal Tuberculosis. PMID- 29821847 TI - New Appliances and Things Medical. PMID- 29821848 TI - The Supervision of Hospital Alterations. PMID- 29821849 TI - Hospital Accommodation for Diphtheria Patients. PMID- 29821851 TI - Dynamic Catalepsy. PMID- 29821850 TI - Lunacy Reform. PMID- 29821852 TI - The King's Last Illness. PMID- 29821853 TI - Institutional Notes and News. PMID- 29821855 TI - The Hospital World. PMID- 29821854 TI - His Majesty's Practical Interest in Science. PMID- 29821856 TI - From All Quarters. PMID- 29821857 TI - Tight Neck-Clothing. PMID- 29821859 TI - Hospitals and the Law of Negligence. PMID- 29821858 TI - Practical Notes on Diagnosis and Treatment. PMID- 29821860 TI - Dysmenorrhoea. PMID- 29821861 TI - Reports on the Hospitals of the United Kingdom: XLIV. Staffordshire General Infirmary, Stafford; Two Cottage Hospitals. PMID- 29821862 TI - A Complaint of a Criticism. PMID- 29821864 TI - New Appliances & Things Medical. PMID- 29821863 TI - The Late King Edward VII. PMID- 29821866 TI - His Late Majesty as Hospital Patron. PMID- 29821865 TI - King Edward VII. PMID- 29821868 TI - Long Live the King! PMID- 29821867 TI - Medical Degrees at Cambridge. PMID- 29821869 TI - The Week's Work. PMID- 29821870 TI - Hospital Contracts and Prices: V. Surgical Instruments, Wines, and Sundries. PMID- 29821871 TI - Annotations. PMID- 29821872 TI - News and Events of the Week. PMID- 29821873 TI - News and Events of the Week. PMID- 29821874 TI - Venereal Prophylaxis. PMID- 29821875 TI - New Appliances & Things Medical. PMID- 29821876 TI - Hospital Contracts and Prices. PMID- 29821877 TI - Purpura. PMID- 29821878 TI - The Hospital World. PMID- 29821879 TI - Institutional Notes and News. PMID- 29821880 TI - Professional Benevolence. PMID- 29821881 TI - Medical Opinion and Movement. PMID- 29821882 TI - The Nauheim Treatment in Heart Cases. PMID- 29821883 TI - The Influence of Hospital Sunday. PMID- 29821884 TI - Nasal Neuroses. PMID- 29821885 TI - Some Clinical Forms of Tabes. PMID- 29821887 TI - Fibrolysin in Obesity. PMID- 29821886 TI - Annotations. PMID- 29821889 TI - Annals of Quackery-II. PMID- 29821888 TI - Anaesthetics and Apparent Death. PMID- 29821891 TI - The Week's Work. PMID- 29821890 TI - Reports on the Hospitals of the United Kingdom: LI. Royal Alexandra Hospital for Sick Children, Brighton. PMID- 29821892 TI - Haematology-VI. PMID- 29821893 TI - New Appliances & Things Medical. PMID- 29821894 TI - Aluminium Acetate Solution in the Treatment of Wounds. PMID- 29821895 TI - The Payment of Hospital Staffs.-A Rejoinder to Dr. Heron. PMID- 29821896 TI - The Tactical Employment of the Medical Service in War Operations. PMID- 29821898 TI - Parliament and Publications. PMID- 29821897 TI - Gas and Electricity. PMID- 29821899 TI - Institutional Notes and News. PMID- 29821900 TI - Paroxysmal Haemoglobinuria. PMID- 29821902 TI - Camp Life for Medical Students. PMID- 29821901 TI - Covenants Relating to Hospitals. PMID- 29821903 TI - The Physical Treatment of Sciatica. PMID- 29821904 TI - Cancer Research. PMID- 29821905 TI - Legitimacy from a Medical and Legal Standpoint.-II. PMID- 29821906 TI - By the Way. PMID- 29821907 TI - Annotations. PMID- 29821908 TI - Practical Notes on Diagnosis and Treatment. PMID- 29821910 TI - Reminiscences of Half a Century Ago. PMID- 29821909 TI - The Diagnosis and Prognosis of Acute Pneumonia-II. PMID- 29821911 TI - News and Events of the Week. PMID- 29821912 TI - The Week's Work. PMID- 29821913 TI - Medical Opinion and Movement. PMID- 29821914 TI - Poisoning by Organic Compounds of Arsenic. PMID- 29821915 TI - Post-Partum Haemorrhage. PMID- 29821916 TI - The Week's Parliament and Publications. PMID- 29821917 TI - Erratum: Potassium Permanganate in Tuberculous Fistulae. AB - [This corrects the article on p. 462a in vol. 48.]. PMID- 29821919 TI - The Medical Profession and Secret Commissions. PMID- 29821918 TI - Appendicitis: Some Points about the Non-Operative Treatment. PMID- 29821921 TI - By the Way. PMID- 29821920 TI - The Voluntary Aid Detachments. PMID- 29821922 TI - New Appliances & Things Medical. PMID- 29821923 TI - Medical Opinion and Movement. PMID- 29821924 TI - Practical Notes on Diagnosis and Treatment. PMID- 29821925 TI - News and Events of the Week. PMID- 29821927 TI - Annotations. PMID- 29821926 TI - Who Benefits? Or, Cash, Not Criticism, for Our Hospitals. PMID- 29821928 TI - Institutional Notes and News. PMID- 29821929 TI - Cheltenham General Hospital. PMID- 29821930 TI - Theories of Sex. PMID- 29821931 TI - The Hospital World. PMID- 29821933 TI - Asphyxia Neonatorum. PMID- 29821932 TI - The Combat against National Deterioration: I. The Work of the Lady Almoner. PMID- 29821935 TI - Bone Deposits in Carcinoma of the Breast. PMID- 29821934 TI - The Week's Work. PMID- 29821936 TI - The English Conjoint Course. PMID- 29821937 TI - Qualification and Registration. PMID- 29821938 TI - Special Departments. PMID- 29821939 TI - Graduate Study in Scotland and Ireland. PMID- 29821940 TI - London Post-Graduate Institutions. PMID- 29821941 TI - The London University Course. PMID- 29821942 TI - Opportunities for Graduate Study in Special Hospitals. PMID- 29821943 TI - Authority and the Medical Student. PMID- 29821945 TI - Handbooks for Senior Students and Practitioners. PMID- 29821944 TI - Public Health Diplomas. PMID- 29821946 TI - The Cambridge University Course. PMID- 29821947 TI - Ward and Clinical Work. PMID- 29821948 TI - The Medical Schools of the United Kingdom. PMID- 29821949 TI - The Preliminary Education of a Medical Man. PMID- 29821950 TI - Medical Journalism. PMID- 29821951 TI - A Prologue of Practice. PMID- 29821952 TI - The Study of Languages. PMID- 29821953 TI - The Fellowship of the Royal College of Surgeons. PMID- 29821955 TI - The Study of Tropical Medicine. PMID- 29821954 TI - Opportunities for Post-Graduate Study. PMID- 29821956 TI - Oxford University. PMID- 29821957 TI - Higher Diplomas. PMID- 29821958 TI - The Public Services. PMID- 29821959 TI - A Medical Career and Its Prospects. PMID- 29821960 TI - News and Events of the Week. PMID- 29821961 TI - Some Health Reports-I. PMID- 29821962 TI - A Bird-Watcher's Camp-II. PMID- 29821963 TI - The Prevention of Cholera. PMID- 29821964 TI - The Cholera. PMID- 29821965 TI - The Asylum World. PMID- 29821966 TI - The Treatment of Cholera. PMID- 29821967 TI - The Week's Work. PMID- 29821969 TI - Institutional Notes and News. PMID- 29821968 TI - The Opening of the Medical Schools. PMID- 29821970 TI - Medical Opinion and Movement. PMID- 29821971 TI - The Hospital World. PMID- 29821972 TI - Myelogenous Leukaemia and Its Treatment. PMID- 29821973 TI - Parliament and Publications. PMID- 29821974 TI - A Note on Continuous Proctoclysis. PMID- 29821975 TI - New Appliances & Things Medical. PMID- 29821976 TI - Cholera. PMID- 29821977 TI - The Whole Truth. PMID- 29821978 TI - Japan-British Exhibition Awards. PMID- 29821980 TI - Annotations. PMID- 29821979 TI - Osteopathy. PMID- 29821981 TI - Haematology-VIII. PMID- 29821982 TI - Some Prescriptions Discussed-III. PMID- 29821984 TI - A War Office Advisory Committee for the Voluntary Aid Detachments. PMID- 29821983 TI - Heliotropism. PMID- 29821985 TI - The Hospital World. PMID- 29821987 TI - News and Events of the Week. PMID- 29821986 TI - The British Medical Association Meeting. PMID- 29821988 TI - The Future of the Hospitals. PMID- 29821989 TI - The Week's Work. PMID- 29821990 TI - How to Puncture the Maxillary Antrum. PMID- 29821991 TI - King George's Visit to the London Hospital. PMID- 29821993 TI - The Future of the Hospitals. PMID- 29821992 TI - The Local Application of Salicylates. PMID- 29821994 TI - Medical Opinion and Movement. PMID- 29821995 TI - Enucleation of the Tonsil. PMID- 29821996 TI - A Burmese Practice of Medicine. PMID- 29821997 TI - By the Way. PMID- 29821998 TI - The Week's Parliament and Publications. PMID- 29821999 TI - Annotations. PMID- 29822000 TI - Practical Notes on Diagnosis and Treatment. PMID- 29822001 TI - Institutional Notes and News. PMID- 29822002 TI - Haematology-VII. PMID- 29822003 TI - Polyuria in Sciatica. PMID- 29822004 TI - Institutional Notes and News. PMID- 29822005 TI - Doctors and the Speed Limit. PMID- 29822006 TI - New Appliances and Things Medical. PMID- 29822007 TI - Canadian Notes. PMID- 29822008 TI - Testimonials. PMID- 29822009 TI - Successful Passage per Rectum of a Key. PMID- 29822010 TI - Annotations. PMID- 29822011 TI - Persistence of the Knee-Jerks in Tabes Dorsalis. PMID- 29822013 TI - The Week's Work. PMID- 29822012 TI - Open-Air Sanatorium and Graduated Labour. PMID- 29822014 TI - An All-Metal Inhaler. PMID- 29822015 TI - Chronic Laryngitis. PMID- 29822016 TI - Annals of Quackery-IV. PMID- 29822017 TI - An Educational Problem. PMID- 29822018 TI - Premature Burial. PMID- 29822019 TI - The Leeds Maternity Hospital. PMID- 29822020 TI - Medical Opinion and Movement. PMID- 29822022 TI - The Week's Parliament and Publications. PMID- 29822021 TI - The Hospital World. PMID- 29822023 TI - Nonconformity of Medicine. PMID- 29822024 TI - Haemoptysis. PMID- 29822025 TI - Practical Notes on Diagnosis and Treatment. PMID- 29822026 TI - News and Events of the Week. PMID- 29822027 TI - Nature Studies-VII. PMID- 29822028 TI - Maternity Pensions. PMID- 29822030 TI - Medical Opinion and Movement. PMID- 29822029 TI - Crewkerne Hospital-An Explanation. PMID- 29822031 TI - Mental Treatment. PMID- 29822032 TI - Jacksonian Epilepsy in Idiopathic Epilepsy. PMID- 29822033 TI - The Week's Work. PMID- 29822034 TI - By the Way. PMID- 29822036 TI - Inequality in the Length of the Lower Extremities. PMID- 29822035 TI - Practical Notes on Diagnosis and Treatment. PMID- 29822037 TI - Pneumococcal Pyaemia. PMID- 29822038 TI - Inquest on a Nurse. PMID- 29822039 TI - The Mystery of the Royal Touch. PMID- 29822041 TI - Annotations. PMID- 29822040 TI - The "Christian World" and Consumption Sanatoriums. PMID- 29822042 TI - News and Events of the Week. PMID- 29822043 TI - Prolapse and Procidentia. PMID- 29822045 TI - Parliament and Publications. PMID- 29822044 TI - The "Christian World" and Consumption Sanatoriums. PMID- 29822046 TI - The Hospital World. PMID- 29822047 TI - Pauperism and Crime. PMID- 29822048 TI - New Appliances and Things Medical. PMID- 29822049 TI - The Choice of a Doctor's Motor-Car. PMID- 29822050 TI - Local History as a Relaxation for the Practitioner. PMID- 29822051 TI - Bethlem and Insanity. PMID- 29822052 TI - Acute Streptococcal Jaundice. PMID- 29822053 TI - The Diagnosis and Prognosis of Acute Pneumonia-I. PMID- 29822054 TI - Institutional Notes and News. PMID- 29822056 TI - Miss Nightingale. PMID- 29822055 TI - The Future of Hospitals: A Disclaimer. PMID- 29822057 TI - Mosquitoes. PMID- 29822058 TI - Florence Nightingale, O.M. PMID- 29822059 TI - Annotations. PMID- 29822060 TI - Practical Notes on Diagnosis and Treatment. PMID- 29822061 TI - The Hospital World. PMID- 29822062 TI - The Complications of Scarlet Fever. PMID- 29822064 TI - Bi-Nitrobenzene Poisoning. PMID- 29822063 TI - The Week's Work. PMID- 29822065 TI - Circumcision and Its Advantages. PMID- 29822066 TI - New Appliances and Things Medical. PMID- 29822067 TI - Medical Opinion and Movement. PMID- 29822068 TI - Anti-Vivisection Hospital. PMID- 29822069 TI - The Medical Unit of the O.T.C. PMID- 29822070 TI - Preparation 606. PMID- 29822071 TI - News and Events of the Week. PMID- 29822072 TI - Hospitals and the Law. PMID- 29822073 TI - Cold-Storage Problems. PMID- 29822074 TI - Authorship and Authority. PMID- 29822075 TI - London Hospitals of To-Day. PMID- 29822077 TI - The Week's Work. PMID- 29822076 TI - The Hospital Problem: Weighing and Venturing. PMID- 29822079 TI - News and Events of the Week. PMID- 29822078 TI - The Rational Treatment of Common Symptoms among Infants. PMID- 29822081 TI - By the Way. PMID- 29822080 TI - The Late King and the Hospitals. PMID- 29822082 TI - Purifying Buildings by Ozone. PMID- 29822083 TI - The Hospital World. PMID- 29822085 TI - Medical Opinion and Movement. PMID- 29822084 TI - The Week in the Courts. PMID- 29822086 TI - A Charge of Malingering. PMID- 29822087 TI - The Choice of a Hospital Secretary. PMID- 29822088 TI - Annotations. PMID- 29822089 TI - Water-Supply. PMID- 29822090 TI - In General Practice. PMID- 29822091 TI - Institutional Notes and News. PMID- 29822092 TI - White Bread and Its Impurities. PMID- 29822093 TI - Work and Hobbies. PMID- 29822094 TI - The Hospital Problem: Bogeys. PMID- 29822095 TI - The Week in the Courts. PMID- 29822096 TI - The Hospital World. PMID- 29822097 TI - A Dead Philanthropist. PMID- 29822098 TI - Public Hospitals and Their Maintenance. PMID- 29822099 TI - Removal of Plaster-Of-Paris Bandages. PMID- 29822100 TI - The Treatment of OEdema in Chronic Nephritis. PMID- 29822101 TI - Annotations. PMID- 29822102 TI - Nurses' Home, Salop Infirmary, Shrewsbury. PMID- 29822104 TI - Medical Opinion and Movement. PMID- 29822103 TI - Paraplegia in Connection with Potts' Disease. PMID- 29822105 TI - Hospitals of To-Day. PMID- 29822106 TI - New Appliances & Things Medical. PMID- 29822107 TI - The Practice Market : IV. Medical Partnership Agreements. PMID- 29822108 TI - The Week's Work. PMID- 29822109 TI - Institutional Notes and News. PMID- 29822110 TI - News and Events of the Week. PMID- 29822111 TI - Eminent Chairmen Series : Sir George White, Bart., President and Treasurer of Bristol Royal Infirmary. PMID- 29822112 TI - News and Events of the Week. PMID- 29822113 TI - The Views of Hospital Secretaries. PMID- 29822115 TI - Special Interview with Mr. Conrad W. Thies. PMID- 29822114 TI - A Complete Ward Unit for a Modern General Hospital. PMID- 29822116 TI - The Artificial Illumination of the Small Hospital. PMID- 29822117 TI - Some Points on Various Affections of the Lungs.-II. PMID- 29822118 TI - Home and Continental Spas : V. Harrogate. PMID- 29822119 TI - Institutional Notes and News. PMID- 29822120 TI - Racial Immunity. PMID- 29822121 TI - The National Insurance Bill. PMID- 29822122 TI - The Week's Work. PMID- 29822123 TI - The Hospital World. PMID- 29822124 TI - The Seventieth Anniversary of the Pharmaceutical Society. PMID- 29822125 TI - Medical Opinion and Movement. PMID- 29822126 TI - Contract-Provident Medical Service. PMID- 29822127 TI - Annotations. PMID- 29822128 TI - By the Way. PMID- 29822129 TI - The Week in the Courts. PMID- 29822130 TI - The Hospital World. PMID- 29822131 TI - Institutional Notes and News. PMID- 29822132 TI - The Week's Work. PMID- 29822133 TI - Metropolitan Radical Federation and the Funds. PMID- 29822134 TI - Eminent Chairmen Series : VII. Perceval Alleyne Nairne, Chairman of the Seamen's Hospital Society. PMID- 29822135 TI - News and Events of the Week. PMID- 29822137 TI - Home and Continental Spas : IV. Oeynhausen. PMID- 29822136 TI - The Rational Treatment of Common Symptoms among Infants-II. PMID- 29822138 TI - Practitioners, the Hospitals, and the Poor Law. PMID- 29822139 TI - Annotations. PMID- 29822140 TI - Hospitals of To-Day. PMID- 29822141 TI - Soldier's Heart. PMID- 29822142 TI - Some Spinal Cord Lesions: II. Amyotrophic Lateral Sclerosis. PMID- 29822143 TI - Medical Opinion and Movement. PMID- 29822144 TI - Cold-Storage Problems. PMID- 29822145 TI - Problems of Hospital Policy. PMID- 29822146 TI - The National Insurance Scheme. PMID- 29822147 TI - Hospitals of To-Day. PMID- 29822148 TI - Onchocerciasis. PMID- 29822149 TI - Fire Extinguishing Appliances. PMID- 29822151 TI - Institutional Notes and News. PMID- 29822150 TI - The Minimum Age for School Children. PMID- 29822152 TI - The Hospital World. PMID- 29822153 TI - The Week's Work. PMID- 29822154 TI - Avoidable Accidents. PMID- 29822155 TI - On Position during Anaesthesia. PMID- 29822156 TI - A Few Points Concerning Affections of the Lungs. PMID- 29822158 TI - The Insurance Bill. PMID- 29822157 TI - A Complete Ward Unit for a Modern Hospital. PMID- 29822159 TI - Rotheln or German Measles. PMID- 29822160 TI - Parliament and Publications. PMID- 29822161 TI - Medical Opinion and Movement. PMID- 29822162 TI - Annotations. PMID- 29822164 TI - Doctors and the Bill. PMID- 29822163 TI - Hospitals' Association Conference. PMID- 29822165 TI - Some Omissions in the National Insurance Bill. PMID- 29822167 TI - Medical Opinion and Movement. PMID- 29822166 TI - Appendicitis and Pseudo-Appendicitis in Certain Infectious Diseases.-II. PMID- 29822168 TI - Hospital Building. PMID- 29822169 TI - Hospitals and State Insurance. PMID- 29822170 TI - The Views of Hospital Secretaries. PMID- 29822171 TI - The Hospital World. PMID- 29822172 TI - The National Insurance Bill. PMID- 29822173 TI - The Week's Work. PMID- 29822174 TI - News and Events of the Week. PMID- 29822175 TI - Minor Injuries in Children. PMID- 29822176 TI - A Warning. PMID- 29822177 TI - Institutional Notes and News. PMID- 29822178 TI - The British Hospitals' Association Conference. PMID- 29822179 TI - The British Hospitals' Association. PMID- 29822180 TI - Annotations. PMID- 29822181 TI - Hospitals and the Treatment of Children under the Insurance Bill. PMID- 29822182 TI - How Hospitals Help the Englishman Abroad. PMID- 29822184 TI - The Needs of To-Day. PMID- 29822183 TI - 1910. A Year's Work in the Hospitals and Medical Charities of London. PMID- 29822185 TI - The Convalescent Home as a Hospital Department. PMID- 29822186 TI - Hospitals and the Sunday Fund. PMID- 29822187 TI - The Income of Our Hospitals and Dispensaries. PMID- 29822188 TI - Why Should I Help the Hospitals? PMID- 29822189 TI - Two-And-A-Quarter Million Sufferers Helped by the Hospitals. PMID- 29822190 TI - The Queen's Visit to the Coombe Hospital. PMID- 29822191 TI - Medicine and the State. PMID- 29822192 TI - The Committee Stage of the National Insurance Bill. PMID- 29822193 TI - The Practice Market.-VII: The Relations between the Purchaser and the Agent. PMID- 29822194 TI - Annotations. PMID- 29822195 TI - The Week's Work. PMID- 29822196 TI - News and Events of the Week. PMID- 29822197 TI - Institutional Notes and News. PMID- 29822198 TI - The German System. PMID- 29822199 TI - Pharmacists and the Insurance Bill. PMID- 29822200 TI - Medical Opinion and Movement. PMID- 29822201 TI - The Voluntary Hospitals in Danger; "Wake Up" Everybody! PMID- 29822202 TI - The Canadian Hospital Association. PMID- 29822204 TI - Deaths at Cricket. PMID- 29822203 TI - Some Points in the Treatment of Diphtheritic Laryngeal Obstruction.-I. PMID- 29822205 TI - The Hospital World. PMID- 29822206 TI - Hospital Officers' Association Visit to Richmond. PMID- 29822208 TI - Sulphaemoglobinaemia. PMID- 29822207 TI - A Complete Ward Unit for a Modern General Hospital. PMID- 29822210 TI - The Position of the Ormond Street Hospital. PMID- 29822209 TI - Maternity Insurance. PMID- 29822211 TI - Institutional Notes and News. PMID- 29822212 TI - Annotations. PMID- 29822214 TI - The Week's Work. PMID- 29822213 TI - Hospital Versus Private Practice. PMID- 29822215 TI - The Hospitals and the Insurance Scheme. PMID- 29822216 TI - Medical Opinion and Movement. PMID- 29822217 TI - Cerebral Congestion and Tight Neck-Clothing. PMID- 29822219 TI - The Hospital World. PMID- 29822218 TI - The National Insurance Bill and the Voluntary Hospitals. PMID- 29822221 TI - The Views of Hospital Secretaries. PMID- 29822220 TI - Retroversion of the Uterus Complicated by a Cystic Ovary and Salpingitis. PMID- 29822222 TI - The Annual Cost of a Doctor's Motor-Car. PMID- 29822223 TI - The Present Hospital at Melbourne. PMID- 29822224 TI - Discussion at the Medico-Legal Society. PMID- 29822225 TI - Parliament and Publications. PMID- 29822226 TI - Some Experiences of a Bird Collector. PMID- 29822228 TI - News and Events of the Week. PMID- 29822227 TI - Hospitals and Flannelette. PMID- 29822229 TI - News and Events of the Week. PMID- 29822230 TI - The Week's Work. PMID- 29822231 TI - The Serological Test for the Blood. PMID- 29822232 TI - Medical Opinion and Movement. PMID- 29822234 TI - The Hospital Problem: The Future of the Funds. PMID- 29822233 TI - The Ancient Office of Coroner. PMID- 29822235 TI - Hospitals of To-Day. PMID- 29822236 TI - Tubercle Bacilli in Sputum. PMID- 29822237 TI - L'hopital Saint-Louis De Paris (1607-1911). PMID- 29822238 TI - Functional Dyspepsia. PMID- 29822239 TI - The Hospital World. PMID- 29822240 TI - Institutional Notes and News. PMID- 29822241 TI - A Complete Ward Unit for a Modern General Hospital. PMID- 29822243 TI - Paraplegia in Connection with Potts' Disease. PMID- 29822242 TI - Movable Kidneys. PMID- 29822244 TI - Annotations. PMID- 29822245 TI - The Territorial Medical Officer's Examinations. PMID- 29822247 TI - Appendicitis in Children.-II. PMID- 29822246 TI - Martyrs to Science and the Workmen's Compensation Act. PMID- 29822249 TI - The Hospital World. PMID- 29822248 TI - The Home Hospitals Association for Paying Patients. PMID- 29822250 TI - "The Hospital" Medico-Sociological Supplement (No. IV.). PMID- 29822251 TI - News and Events of the Week. PMID- 29822252 TI - Medical Opinion and Movement. PMID- 29822253 TI - New Appliances & Things Medical. PMID- 29822254 TI - Wanted-Co-Operation. PMID- 29822255 TI - Annotations. PMID- 29822256 TI - The Week's Work. PMID- 29822257 TI - Institutional Notes and News. PMID- 29822258 TI - The Sign of the Spinal Muscles in Pleurisy. PMID- 29822259 TI - Parliament and Publications. PMID- 29822260 TI - The League of Mercy. PMID- 29822261 TI - The Week in the Courts. PMID- 29822263 TI - New Appliances & Things Medical. PMID- 29822262 TI - Water Supply: III. Storage. PMID- 29822264 TI - King Edward's Hospital Fund for London. PMID- 29822265 TI - The Standing of the Profession. PMID- 29822266 TI - The Hospital Sunday Fund. PMID- 29822267 TI - News and Events of the Week. PMID- 29822268 TI - The Week's Work. PMID- 29822269 TI - Stage Management at a Hospital. PMID- 29822270 TI - The Practice Market: III. Taking a Partner. PMID- 29822271 TI - Appendicitis in Children.-I. PMID- 29822272 TI - Causes Preventive of Maternal Nursing. PMID- 29822273 TI - Annotations. PMID- 29822274 TI - Ordinary Infant Dietaries. PMID- 29822275 TI - Institutional Notes and News. PMID- 29822276 TI - A Cruise to the Canaries. PMID- 29822277 TI - The Hospital World. PMID- 29822278 TI - Medical Opinion and Movement. PMID- 29822279 TI - Parliament and Publications. PMID- 29822280 TI - The King's Fund and Hospitals with Medical Schools. PMID- 29822281 TI - The Committee Stage of the National Insurance Bill. PMID- 29822283 TI - Proptosis of the Left Broad Ligament as a Cause of Constipation. PMID- 29822282 TI - Medical Opinion and Movement. PMID- 29822284 TI - The Hospital World. PMID- 29822285 TI - Institutional Notes and News. PMID- 29822286 TI - Bee-Keeping as a Relaxation. PMID- 29822287 TI - Some Points in the Treatment of Diphtheritic Laryngeal Obstruction.-II. PMID- 29822288 TI - A New Sign of Scarlet Fever. PMID- 29822289 TI - The House of Commons and the Voluntary Hospitals. PMID- 29822290 TI - State Insurance. PMID- 29822291 TI - Some Spinal Cord Lesions.-III: Insular, Multiple, or Disseminate Sclerosis. PMID- 29822292 TI - The King's Fund and the Bill. PMID- 29822293 TI - The National Insurance Scheme and the Supply of Drugs. PMID- 29822294 TI - Annotations. PMID- 29822295 TI - The National Insurance Bill. PMID- 29822296 TI - Special Meeting of the Hospital Saturday Fund. PMID- 29822297 TI - Modern Osteopathy. PMID- 29822298 TI - Field Cookery in the Territorial Force. PMID- 29822299 TI - New Appliances. PMID- 29822300 TI - The Week's Work. PMID- 29822301 TI - Women and the Insurance Bill. PMID- 29822303 TI - The Voluntary Hospitals and the House of Commons. PMID- 29822302 TI - The Voluntary Principle and the Bill. PMID- 29822304 TI - Recent Alterations in the Insurance Bill. PMID- 29822305 TI - Some Spinal Cord Lesions.-IV: Syringomyelia. PMID- 29822306 TI - The Week's Work. PMID- 29822307 TI - Medical Opinion and Movement. PMID- 29822309 TI - Cooking in the Territorial Medical Service. PMID- 29822308 TI - The National Insurance Bill. PMID- 29822310 TI - The Feeding of School Children. PMID- 29822311 TI - A Hospital Officer's Career. PMID- 29822312 TI - Annotations. PMID- 29822313 TI - Progress of the National Insurance Bill. PMID- 29822314 TI - Bone Transplantation. PMID- 29822316 TI - The Metropolitan Hospital Sunday Fund. PMID- 29822315 TI - Injection of the Broad Ligaments for Prolapsus Uteri.-II. PMID- 29822317 TI - The Hospital World. PMID- 29822318 TI - New Appliances & Things Medical. PMID- 29822320 TI - News and Events of the Week. PMID- 29822319 TI - Resignation of a Dispensing Staff. PMID- 29822321 TI - Westminster Hospital Stand. PMID- 29822322 TI - Medical Opinion and Movement. PMID- 29822324 TI - The Week's Work. PMID- 29822323 TI - The Manchester Meeting. PMID- 29822326 TI - The National Insurance Bill. PMID- 29822325 TI - The Use of Paraffin in Scars and Other Facial Blemishes. PMID- 29822327 TI - Hospitals and State Aid.-III: Conditions under which Government Aid is Given to Hospitals. PMID- 29822328 TI - The Hospital World. PMID- 29822330 TI - Health Committees under the Insurance Bill. PMID- 29822329 TI - Annotations. PMID- 29822332 TI - The Medical Profession and the Bill. PMID- 29822331 TI - The German System. PMID- 29822333 TI - Mr. West's Address. PMID- 29822334 TI - The Comparative Function of Each Kidney. PMID- 29822335 TI - Institutional Notes and News. PMID- 29822336 TI - An Ethical Point. PMID- 29822337 TI - Pneumococcal Septicaemia Starting from a Uterine Focus. PMID- 29822338 TI - The British Medical Association at Birmingham. PMID- 29822339 TI - New Appliances and Things Medical. PMID- 29822341 TI - Home and Foreign Spas : IX. Llangammarch Wells. PMID- 29822340 TI - The British Pharmaceutical Conference. PMID- 29822342 TI - Institutional Notes and News. PMID- 29822343 TI - The Hospital World. PMID- 29822345 TI - Injection of the Broad Ligaments for Prolapsus Uteri. PMID- 29822344 TI - The Voluntary Hospitals and the Insurance Bill. PMID- 29822346 TI - The Week's Work. PMID- 29822347 TI - Hospital Deputation to the Chancellor of the Exchequer. PMID- 29822348 TI - Eminent Chairmen Series : IX. Lieut.-Colonel E. M. Bruce Vaughan, V.D. PMID- 29822349 TI - Annotations. PMID- 29822350 TI - Maternity and the Teaching Profession. PMID- 29822351 TI - The Medical and Social Aspects of Consumption. PMID- 29822352 TI - Progress of the National Insurance Bill. PMID- 29822353 TI - Medical Opinion and Movement. PMID- 29822354 TI - The National Insurance Bill. PMID- 29822356 TI - The Royal Sanitary Institute at Belfast. PMID- 29822355 TI - The Views of Hospital Secretaries. PMID- 29822357 TI - The Hospital World. PMID- 29822358 TI - Progress of the National Insurance Bill. PMID- 29822359 TI - The Albany Hospital and the Blaauwkrantz Accident. PMID- 29822360 TI - Orientirung. PMID- 29822361 TI - Medical Opinion and Movement. PMID- 29822362 TI - A Mediaeval Hospital. PMID- 29822363 TI - The Week's Work. PMID- 29822364 TI - The Practice Market.-V : The Purchaser's Point of View. PMID- 29822365 TI - The Expansion of the Kensington Hospital. PMID- 29822366 TI - The Problems of Private Practice : Hospitals: From the Point of View of the G. P. PMID- 29822367 TI - Water Softening. PMID- 29822368 TI - Severe Pyodermia from Bromides. PMID- 29822369 TI - The Views of Hospital Secretaries. PMID- 29822370 TI - Annotations. PMID- 29822372 TI - Institutional Notes and News. PMID- 29822371 TI - The Standard of Preliminary Education. PMID- 29822373 TI - Home and Foreign Spas. PMID- 29822374 TI - Hospitals and State Aid: Conditions under Which Government Aid Is Given to Hospitals. PMID- 29822375 TI - Rectal Incontinence and Its Treatment. PMID- 29822376 TI - Medicine and the Liberal Spirit. PMID- 29822377 TI - Hospitals and the Insurance Bill. PMID- 29822379 TI - Provident Dispensaries and the Bill. PMID- 29822378 TI - The Medical Profession and the Insurance Bill. PMID- 29822380 TI - Institutional Notes and News. PMID- 29822381 TI - Home and Foreign Spas : VIII. Woodhall Spa. PMID- 29822383 TI - Practitioners, Friendly Societies, and the Bill. PMID- 29822382 TI - The Growth of the West Ham Hospital. PMID- 29822385 TI - Parliament and Publications. PMID- 29822384 TI - The Committee Stage of the National Insurance Bill. PMID- 29822386 TI - The Hospital Conference in Cork. PMID- 29822387 TI - The Week's Work. PMID- 29822388 TI - The Manchester Meeting. PMID- 29822389 TI - Some Medical Aphorisms and Experiences. PMID- 29822390 TI - B. M. A. v. L. C. C. PMID- 29822391 TI - The German System. PMID- 29822392 TI - Annotations. PMID- 29822393 TI - Medical Opinion and Movement. PMID- 29822394 TI - The Views of Hospital Secretaries. PMID- 29822395 TI - Meeting of the Central Hospital Council. PMID- 29822396 TI - Parliament and Publications. PMID- 29822397 TI - The National Insurance Bill. PMID- 29822398 TI - The Important Role of the Larynx in General Anaesthesia. PMID- 29822399 TI - Hospitals and State Aid.-II: Conditions under which Government Aid is Given to Hospitals. PMID- 29822400 TI - Midland Hospitals on the National Insurance Bill. PMID- 29822401 TI - News and Events of the Week. PMID- 29822402 TI - The Coronation. PMID- 29822403 TI - Hospitals and the Problem of Reform. PMID- 29822404 TI - Bruits over Thoracic Aneurysm. PMID- 29822406 TI - Annotations. PMID- 29822405 TI - Buildings Contemplated and in Progress. PMID- 29822407 TI - Peptonised Iodine in Tuberculosis. PMID- 29822409 TI - Institutional Notes and News. PMID- 29822408 TI - The German System. PMID- 29822410 TI - The Week's Work. PMID- 29822411 TI - The Hospital World. PMID- 29822413 TI - The Practice Market.-VI : Further Considerations for the Purchaser. PMID- 29822412 TI - Coronation Honours. PMID- 29822415 TI - Home and Foreign Spas. PMID- 29822414 TI - Hospitals and a Paid Staff. PMID- 29822417 TI - Hospital Doors. PMID- 29822416 TI - The New Radium Institute. PMID- 29822418 TI - Medical Opinion and Movement. PMID- 29822419 TI - Grave Situation in the Liverpool District. PMID- 29822420 TI - Annotations. PMID- 29822421 TI - The Week's Work. PMID- 29822422 TI - Alleged Infective Dangers of the Communion Cup. PMID- 29822423 TI - Institutional Notes and News. PMID- 29822424 TI - The Insurance Bill and Charitable Institutions. PMID- 29822425 TI - Thirty Years of Provident Dispensary Work. PMID- 29822426 TI - Parliament and Publications. PMID- 29822427 TI - Ptomaine Poisoning.-I. PMID- 29822428 TI - The New Laboratories at the London School of Tropical Medicine. PMID- 29822429 TI - West Riding Hospitals and the Insurance Bill. PMID- 29822430 TI - The Hospital World. PMID- 29822432 TI - News and Events of the Week. PMID- 29822431 TI - The National Insurance Bill. PMID- 29822434 TI - Annotations. PMID- 29822433 TI - Some Selected Skin Cases. PMID- 29822435 TI - The Saturday Fund and the Insurance Bill. PMID- 29822436 TI - Vaccination Officers' Grievances. PMID- 29822438 TI - Mr. Conrad W. Thies. PMID- 29822437 TI - How We Adopted the Uniform System of Accounts. PMID- 29822440 TI - Twenty-Three Years at Bethlem Hospital. PMID- 29822439 TI - Queen's Hospital, Birmingham. PMID- 29822441 TI - Institutional Notes and News. PMID- 29822442 TI - Medical Opinion and Movement. PMID- 29822443 TI - The Hospital World. PMID- 29822444 TI - The Week's Work. PMID- 29822445 TI - Progress of the National Insurance Bill. PMID- 29822446 TI - Wake up! Voluntary Hospital Managers. PMID- 29822448 TI - How Ships' Surgeons Are Appointed. PMID- 29822447 TI - Insurance Bill Developments. PMID- 29822449 TI - London Post-Graduate Institutions. PMID- 29822450 TI - The English Conjoint Course. PMID- 29822451 TI - The Study of Tropical Medicine. PMID- 29822452 TI - The Study of Legal Medicine. PMID- 29822453 TI - Higher Diplomas. PMID- 29822454 TI - Oxford University. PMID- 29822455 TI - Qualification and Registration. PMID- 29822456 TI - The London University Course. PMID- 29822457 TI - Facts and Factors in Medicine. PMID- 29822458 TI - The Study of Morbid Anatomy. PMID- 29822459 TI - How to Obtain a Degree or Diploma in Public Health. PMID- 29822460 TI - The Cambridge University Course. PMID- 29822461 TI - Opportunities for Graduate Study in Special Hospitals. PMID- 29822462 TI - The Study of Medicine. PMID- 29822463 TI - The Colonial Medical Service. PMID- 29822464 TI - Graduate Study in Scotland and Ireland. PMID- 29822465 TI - How to Choose and Use a Microscope. PMID- 29822466 TI - The Medical Schools of the United Kingdom. PMID- 29822467 TI - The Public Services. PMID- 29822468 TI - The Fellowship of the Royal College of Surgeons. PMID- 29822469 TI - The Insurance Bill. PMID- 29822470 TI - The Sandow Case. PMID- 29822471 TI - National Insurance Bill-Second Reading. PMID- 29822473 TI - The Problems of Private Practice. PMID- 29822472 TI - Institutional Notes and News. PMID- 29822474 TI - The Paddington Green Hospital for Children. PMID- 29822475 TI - Home and Foreign Spas : VI. Llandrindod Wells. PMID- 29822476 TI - Midwives and the National Insurance Bill. PMID- 29822477 TI - Annotations. PMID- 29822478 TI - The Hospital World. PMID- 29822479 TI - Appendicitis and Pseudo-Appendicitis in Certain Infectious Diseases.-I. PMID- 29822481 TI - Death from Gall-Stone Colic. PMID- 29822480 TI - The Cancer Hospital, Fulham. PMID- 29822482 TI - Electro-Therapy and Radiography. PMID- 29822483 TI - Lodgings for Women. PMID- 29822484 TI - Medical Opinion and Movement. PMID- 29822485 TI - The Homoeopathic Hospital New Nurses' Home. PMID- 29822486 TI - Parliament and Publications. PMID- 29822487 TI - News and Events of the Week. PMID- 29822488 TI - The Insurance Bill. PMID- 29822490 TI - The Week's Work. PMID- 29822489 TI - How It Will Affect the Worker. PMID- 29822491 TI - Leicester Infirmary. PMID- 29822492 TI - The Hospital World. PMID- 29822493 TI - Some Spinal Cord Lesions.-V. PMID- 29822494 TI - Institutional Outdoor Work and Administration. PMID- 29822495 TI - The Territorial Soldier and the Care of the Feet. PMID- 29822497 TI - Royal Hants County Hospital, Winchester-Nurses' Home. PMID- 29822496 TI - Ptomaine Poisoning.-II. PMID- 29822498 TI - Annotations. PMID- 29822499 TI - The Asylums Board Report. PMID- 29822501 TI - Allosan in the Treatment of Gonorrhoea. PMID- 29822500 TI - The Emigration of Young Women. PMID- 29822502 TI - The Care of Hospital Floors. PMID- 29822503 TI - The Week's Work. PMID- 29822504 TI - Workmen's Compensation Cases. PMID- 29822505 TI - The Practice Market.-VIII : The Investigation of a Medical Practice. PMID- 29822507 TI - Occipito-Posterior Presentations. PMID- 29822506 TI - Medical Opinion and Movement. PMID- 29822508 TI - The Hospital World. PMID- 29822509 TI - Spiritual Healing. PMID- 29822510 TI - Acid-Resisting Mackintosh. PMID- 29822511 TI - Validol in Dipsomania. PMID- 29822512 TI - Institutional Outdoor Work and Administration. PMID- 29822514 TI - "The Hospital" at One Penny. PMID- 29822513 TI - Workmen's Compensation. PMID- 29822515 TI - The Ward Wall. PMID- 29822516 TI - On the History of Syphilis in Europe. PMID- 29822517 TI - Annotations. PMID- 29822518 TI - The Nutritive Value of "Standard" Bread. PMID- 29822520 TI - Medical Opinion and Movement. PMID- 29822519 TI - Queer Definitions in Hospital Diet. PMID- 29822521 TI - King Edward VII.'s Hospital, Cardiff. PMID- 29822523 TI - A Claim in Respect of Tetanus. PMID- 29822522 TI - The Dietetics of the Channel Swim. PMID- 29822524 TI - Progress of the National Insurance Bill. PMID- 29822525 TI - Some Spinal Cord Lesions: VII. Hereditary Ataxy (Friedreich's Disease). PMID- 29822527 TI - Home for Epileptic Boy. PMID- 29822526 TI - Cystoscopy. PMID- 29822528 TI - A Question for Hospital Treasurers. PMID- 29822529 TI - Some Trade Unionists on Doctors. PMID- 29822530 TI - The Papers and Discussions. PMID- 29822531 TI - Post-Graduate Examinations. PMID- 29822533 TI - Annotations. PMID- 29822532 TI - Splanchnoptosis (Enteroptosis). PMID- 29822534 TI - The Miller General Hospital, Greenwich. PMID- 29822535 TI - The Hospital World. PMID- 29822536 TI - Rival Systems of Ward Ventilation. PMID- 29822537 TI - Medical Opinion and Movement. PMID- 29822538 TI - The Royal Navy Medical Service. PMID- 29822539 TI - The Navy Medical Service. PMID- 29822540 TI - Acid Resisting Mackintoshes. PMID- 29822541 TI - The Week's Work. PMID- 29822542 TI - Mercurial Poisoning Amongst Hatters. PMID- 29822544 TI - Impressions of the British Association Meeting. PMID- 29822543 TI - Suggestions for the Treatment of Insomnia. PMID- 29822545 TI - Queer Definitions in Hospital Diet. PMID- 29822546 TI - Medical Opinion and Movement. PMID- 29822548 TI - Charity and the Industrial Classes. PMID- 29822547 TI - Hospitals and the Insurance Bill. PMID- 29822549 TI - News and Events of the Week. PMID- 29822550 TI - Imperial Health Problems. PMID- 29822551 TI - Parliament and Publications. PMID- 29822552 TI - The Progress of the Metropolitan Hospital. PMID- 29822553 TI - Some Queer Definitions in Hospital Diet. PMID- 29822554 TI - The Physiological Value of Beer. PMID- 29822555 TI - Obstetric and Gynaecological Studies in Berlin. PMID- 29822556 TI - The Week's Work. PMID- 29822557 TI - A Model of Judicious Advertising. PMID- 29822558 TI - Acute Mastoiditis. PMID- 29822559 TI - Hospital Progress Abroad. PMID- 29822560 TI - Annotations. PMID- 29822561 TI - Some Gastric Symptoms and Gastric Diseases. PMID- 29822562 TI - Some Queer Definitions in Hospital Diet. PMID- 29822563 TI - Insuring Patients against Accidents. PMID- 29822564 TI - Hints for Hospital Stewards. PMID- 29822565 TI - Acid-Resisting Mackintosh. PMID- 29822566 TI - Institutional Outdoor Work and Administration. PMID- 29822567 TI - Medical Opinion and Movement. PMID- 29822568 TI - Concentrated Meat Foods. PMID- 29822569 TI - Medical Revolution. PMID- 29822570 TI - The Best Illuminant for Small Hospitals. PMID- 29822571 TI - Winchester Nurses' Home. PMID- 29822572 TI - Some Spinal Cord Lesions.-VI: Compression Paraplegia. PMID- 29822573 TI - The Royal Navy Medical Service. PMID- 29822574 TI - Annotations. PMID- 29822575 TI - American Work in Eugenics. PMID- 29822576 TI - The Hospital World. PMID- 29822577 TI - Local Government Medical Officers and the Central Authorities. PMID- 29822579 TI - Sewage Disposal. PMID- 29822578 TI - The Week's Work. PMID- 29822580 TI - Eminent Chairmen Series : X. Mr. Alderman Joseph Jones, Late Chairman of the Wolverhampton and Midland Counties' Eye Infirmary. PMID- 29822581 TI - Hospital Concerts and Yorkshire Wakes. PMID- 29822582 TI - The "Complaints Book" at the South Infirmary, Cork. PMID- 29822583 TI - The Silly Season Again. PMID- 29822584 TI - Ptomaine Poisoning-III. PMID- 29822585 TI - The Ideal Car for General Practice. PMID- 29822586 TI - The Effects upon the Royal Infirmary, Bradford. PMID- 29822587 TI - Hospital Benefit and the Insurance Act. PMID- 29822588 TI - Insurance Provision for Hospital Workers. PMID- 29822589 TI - Maternity and Mothering: Nervous Vomiting in Childhood. PMID- 29822590 TI - On Megaloblastic Degeneration. PMID- 29822591 TI - Legal Notes for Institutional Workers. PMID- 29822592 TI - Hospital and Institutional News. PMID- 29822593 TI - The Protection of the Successful. PMID- 29822594 TI - Our Bureau of Information. PMID- 29822595 TI - Reports on the Hospitals of the United Kingdom: LX. The Hull Royal Infirmary. PMID- 29822597 TI - The Solution to the Waste Problem. PMID- 29822596 TI - A Metropolitan Secretary's Optimism. PMID- 29822598 TI - Apparatus for Light and Current from the Main. PMID- 29822599 TI - The Institutional Worker. PMID- 29822600 TI - Country Clergy and Secret Remedies. PMID- 29822601 TI - Hospital Work in East Anglia. PMID- 29822602 TI - The Medical Training of Missionaries. PMID- 29822603 TI - An Improved Form of Shelter for Use in the Open-Air Treatment of Phthisis. PMID- 29822604 TI - The Surgical Treatment of Stone: A Review of Its Practice during the Last Sixty Years.-I. PMID- 29822606 TI - The Rheumatic Diathesis. PMID- 29822607 TI - Hospital and Institutional News. PMID- 29822605 TI - Reply to "Thirty Years a Hospital Superintendent." PMID- 29822608 TI - Practical Points. PMID- 29822609 TI - Medical Opinion and Movement. PMID- 29822610 TI - Relaxation and Hobbies: Applied Photography. PMID- 29822611 TI - The Colour of the Hair. PMID- 29822612 TI - The Hon. Sydney Holland on Differences of Opinion. PMID- 29822613 TI - The Royal Army Medical Corps Section. PMID- 29822614 TI - The Institutional Worker. PMID- 29822615 TI - Hospitals under the National Insurance Act. PMID- 29822617 TI - The Male Staff of Hospitals. PMID- 29822616 TI - Voluntary Hospitals and National Insurance. PMID- 29822618 TI - Hospital Clerks: Their Duties and Responsibilities.-II. PMID- 29822619 TI - Institutional Housekeeping. PMID- 29822620 TI - Our Bureau of Information. PMID- 29822621 TI - Maternity and Mothering: An American System of Infant Feeding. PMID- 29822622 TI - The Making of a Modern Hospital : The Ward Itself. PMID- 29822623 TI - Hospital and Institutional News. PMID- 29822624 TI - Our Bureau of Information. PMID- 29822625 TI - The Patients' Christmas Day. PMID- 29822626 TI - Reports on the Hospitals of the United Kingdom: LIX. The Victoria Hospital for Sick Children, Hull. PMID- 29822627 TI - The Position and Prospects of Hospitals in 1912. PMID- 29822628 TI - The Value of Weighing Patients. PMID- 29822630 TI - Legal Notes for Institutional Workers. PMID- 29822629 TI - Apparatus for Cautery and Light. PMID- 29822632 TI - The Metropolitan Hospital Sunday Fund. PMID- 29822631 TI - Paying Patients at Cardiff Infirmary: How the New System Was Instituted. PMID- 29822634 TI - Phthisis Simulated by Oidium Lesions in Ceylon. PMID- 29822633 TI - Great Gifts during Life and after Death. PMID- 29822635 TI - The Institutional Worker. PMID- 29822636 TI - Metropolitan Hospital Sunday Fund Procedure and Its Amendment. PMID- 29822637 TI - The Government and the Voluntary Hospitals. PMID- 29822638 TI - The Brewers' Exhibition. PMID- 29822639 TI - The Jewish Hospital, Manchester. PMID- 29822640 TI - Disease, the Voluntary Hospitals, and Mr. Lloyd George. PMID- 29822641 TI - The School Clinic: II. The General Practitioner's Point of View. PMID- 29822642 TI - The Institutional Worker. PMID- 29822644 TI - Institutional Housekeeping. PMID- 29822643 TI - Our Bureau of Information. PMID- 29822645 TI - Legal Notes for Institutional Workers. PMID- 29822646 TI - The League of Mercy. PMID- 29822647 TI - Unoccupied Buildings and Vacant Beds. PMID- 29822648 TI - Maternity and Mothering: II. The Care of Children's Teeth. PMID- 29822649 TI - The Making of a Modern Hospital: IV. The Departments of the Modern Hospital. PMID- 29822650 TI - Sanatoria for the People: What They Can and Cannot Accomplish. PMID- 29822651 TI - Science and the Soul. PMID- 29822652 TI - The Making of the Modern Practitioner: The Results of Gastric Operations. PMID- 29822653 TI - Dispensers and the Insurance Bill. PMID- 29822654 TI - Hospital and Institutional News. PMID- 29822655 TI - Institutional Outdoor Work and Administration. PMID- 29822656 TI - The Scandal of Out-Patients: A Suggestion. PMID- 29822657 TI - Maternity and Mothering: The Men and Women of To-morrow. PMID- 29822659 TI - The Institutional Worker. PMID- 29822658 TI - The Poor Law Infirmary. PMID- 29822660 TI - Good Accounting and the Uniform System. PMID- 29822661 TI - The British Hospitals Association. PMID- 29822662 TI - A New Sub-Department of Medicine. PMID- 29822663 TI - The Passing of a Great Teacher. PMID- 29822665 TI - The Making of a Modern Hospital: II. Classification of Modern Hospitals. PMID- 29822664 TI - Scandal of Out-Patients. PMID- 29822667 TI - Hospital and Institutional News. PMID- 29822666 TI - Medical Opinion and Movement. PMID- 29822669 TI - What Will the Chancellor of the Exchequer Do? The Two Alternatives. PMID- 29822668 TI - A Correction. PMID- 29822670 TI - Co-Operation Invited. PMID- 29822671 TI - The School Clinic: I. Why School Clinics are Necessary. PMID- 29822672 TI - Legal Notes for Institutional Workers. PMID- 29822673 TI - Hospital Officers' Visit to Southport. PMID- 29822674 TI - Hospital Architecture and Construction. PMID- 29822675 TI - The Insane and the Law: How Organised Treatment of the Insane Began. PMID- 29822676 TI - Institutional Life at Its Best. PMID- 29822677 TI - The Scandal of Out-Patients. PMID- 29822678 TI - The London Medical Exhibition. PMID- 29822679 TI - Byways of Medical Relief. PMID- 29822680 TI - Co-Operation and Inter-Communication. PMID- 29822682 TI - Twenty-Five Years' Institutional Progress. PMID- 29822681 TI - The Re-Opening of the School of Pharmacy. PMID- 29822683 TI - Reunion of Charing Cross Hospital Students. PMID- 29822684 TI - The British Hospitals Association. PMID- 29822685 TI - The Value of Sanatoriums under the Insurance Bill. PMID- 29822686 TI - New Appliances. PMID- 29822687 TI - Practical Points. PMID- 29822688 TI - Notes on News from the Institutional World. PMID- 29822689 TI - The Making of a Modern Hospital: Introductory. PMID- 29822690 TI - Housekeeping from the Higher Standpoint. PMID- 29822692 TI - The League of Mercy. PMID- 29822691 TI - Some Conditions Resembling Hip-Joint Disease in Children. PMID- 29822693 TI - Hospital and Institutional News. PMID- 29822694 TI - Dispensers and the Insurance Bill. PMID- 29822696 TI - Research and Remedies. PMID- 29822695 TI - News and Events. PMID- 29822697 TI - The Defective and Dependent: Introductory. PMID- 29822699 TI - Institutional Housekeeping. PMID- 29822698 TI - Reports on the Hospitals of the United Kingdom: LVI. Boston Hospital, Lincolnshire. PMID- 29822700 TI - Maternity and Mothering: The Care of Children's Teeth.-III. PMID- 29822701 TI - Certification and the Responsibilities Involved. PMID- 29822702 TI - The Death-Rate from Phthisis. PMID- 29822703 TI - The Institutional Worker. PMID- 29822704 TI - Our Bureau of Information. PMID- 29822705 TI - Mental Hospital Matters. PMID- 29822706 TI - Home Treatment. PMID- 29822707 TI - The Duty of the Physician in Cases of Hopeless Pain. PMID- 29822709 TI - Practical Points. PMID- 29822708 TI - Medical Opinion and Movement. PMID- 29822711 TI - Hospital and Institutional News. PMID- 29822710 TI - The Making of a Modern Hospital: IV. The Departments of a Modern Hospital. PMID- 29822712 TI - The Scandal of Out-Patients. PMID- 29822713 TI - Maternity and Mothering: The Care of Children's Teeth. PMID- 29822715 TI - Legal Notes for Institutional Workers. PMID- 29822714 TI - Hospital Architecture and Construction: Malvern Hospital. PMID- 29822716 TI - Institutional Housekeeping. PMID- 29822718 TI - Shall the Florence Nightingale Memorial Fail? PMID- 29822717 TI - The Insurance Bill and Voluntary Hospitals. PMID- 29822719 TI - Byways of Medical Relief. PMID- 29822720 TI - What the Destruction of the Voluntary Hospitals May Cost the State. PMID- 29822722 TI - Practical Points. PMID- 29822721 TI - An Appreciation. PMID- 29822723 TI - The Capital Cost of London and Provincial Hospitals. PMID- 29822724 TI - Medical Legal Points. PMID- 29822725 TI - Hospitals and the Insurance of Patients. PMID- 29822726 TI - The Making of a Modern Hospital: III. Modern Hospital Systems. PMID- 29822727 TI - The Institutional Worker. PMID- 29822728 TI - The National Insurance Bill. PMID- 29822729 TI - Hospitals and Street Noises. PMID- 29822730 TI - Mental Hospital Matters. PMID- 29822731 TI - The Royal Naval Medical Service. PMID- 29822733 TI - The General Medical Council and Voluntary Hospitals. PMID- 29822732 TI - Pharmaceutical Disorganisation: Its Causes and a Suggested Remedy. PMID- 29822734 TI - The Institutional Worker. PMID- 29822735 TI - A Radical Newspaper and British Workmen's Interests. PMID- 29822737 TI - Our Bureau of Information. PMID- 29822736 TI - The Making of a Modern Hospital : VI. The Ward Unit. PMID- 29822738 TI - The Problem of the Very Sick Citizen. PMID- 29822739 TI - Electricity in Modern Medicine: II. Sources of Electricity. PMID- 29822740 TI - Legal Aid Societies. PMID- 29822742 TI - The British Hospitals Association and the National Insurance Bill: A Bill Injurious to the Voluntary Hospitals and Grievously Cruel to British Workmen. PMID- 29822741 TI - Hospital and Institutional News. PMID- 29822743 TI - The School Clinic: The Teachers' Point of View. PMID- 29822744 TI - Institutional Housekeeping. PMID- 29822746 TI - The Secretary's Role at a Board Meeting. PMID- 29822745 TI - Natural Selection in Man. PMID- 29822747 TI - The London Hospital Chairman's View. PMID- 29822749 TI - The National Insurance Bill and Hospital Benefit. PMID- 29822748 TI - The Hospital Crisis: The Dangers of Unbelief. PMID- 29822750 TI - Hospital and Institutional News. PMID- 29822751 TI - The Outlook for Voluntary Hospitals. PMID- 29822753 TI - The Institutional Worker. PMID- 29822752 TI - The Truth about Sanatoria: Three Essential Points to Success. PMID- 29822754 TI - The Patients' Christmas Week. PMID- 29822755 TI - Institutional Housekeeping. PMID- 29822756 TI - Hospital Clerks: Their Duties and Responsibilities. PMID- 29822757 TI - Medical Opinion and Movement. PMID- 29822758 TI - By the House Governor of a Northern Hospital. PMID- 29822759 TI - The Fever Hospitals of the Metropolitan Asylums Board.-II. PMID- 29822760 TI - The School Clinic : VI. The Managers' Point of View. PMID- 29822761 TI - Borough Hospital, Waddon. PMID- 29822762 TI - Our Bureau of Information. PMID- 29822763 TI - The National Insurance Medical Association. PMID- 29822764 TI - The Defective and Dependent : IV. Education of the Mentally Defective. PMID- 29822765 TI - Byways of Medical Relief. PMID- 29822766 TI - A Scottish Treasurer's View of the Outlook. PMID- 29822768 TI - Legal Notes for Institutional Workers. PMID- 29822767 TI - The Voluntary Hospitals and National Insurance. PMID- 29822769 TI - Our Bureau of Information. PMID- 29822770 TI - The Making of a Modern Hospital: V. Where Should the Hospital be Placed? PMID- 29822771 TI - Children's Hospital, Paddington Green. PMID- 29822772 TI - Hospital Managers and Probationer's Contracts. PMID- 29822773 TI - Institutional Housekeeping. PMID- 29822774 TI - The Institutional Worker. PMID- 29822775 TI - Dispensers and the Insurance Bill. PMID- 29822776 TI - The British Hospitals Association in Glasgow. PMID- 29822777 TI - Reports on the Hospitals of the United Kingdom: LVII. Johnson Hospital, Spalding. PMID- 29822779 TI - Maternity and Mothering: Rest and Exercise after Confinement-I. PMID- 29822778 TI - Hospital and Institutional News. PMID- 29822781 TI - Medical Legal Points: II. Death from a Medico-Legal Aspect. PMID- 29822780 TI - The Problems of Modern Psychiatry-II. PMID- 29822782 TI - The Insurance Bill and the Hospitals. PMID- 29822783 TI - The Defective and Dependent: II. The Ameliorative Treatment of Defectives. PMID- 29822785 TI - By-Ways of Medical Relief. PMID- 29822784 TI - The New Boarding-Out Order. PMID- 29822786 TI - Thirty-Two Years of Public Health. PMID- 29822787 TI - Hospital Architecture and Construction. PMID- 29822788 TI - Our Hospitals and Christmas Day. PMID- 29822789 TI - Our Bureau of Information. PMID- 29822791 TI - The League of Mercy. PMID- 29822790 TI - Hospital and Institutional News. PMID- 29822793 TI - Milk and Tuberculosis. PMID- 29822792 TI - The Practitioner's Relaxations and Hobbies. PMID- 29822794 TI - The Washing of New-Born Infants. PMID- 29822795 TI - A Phthisical Bureau for London. PMID- 29822796 TI - The Queen's Hall Meeting: The Real Significance of the Demonstration. PMID- 29822797 TI - A Case of Nystagmus. PMID- 29822798 TI - A Swiss Hospital for Paying Patients. PMID- 29822799 TI - The Institutional Worker. PMID- 29822801 TI - The King's Hospital Fund for London and St. George's Hospital. PMID- 29822800 TI - A Foreword to Workers for the Sick! PMID- 29822802 TI - Welsh Hospital Managers. PMID- 29822803 TI - Compensation for a Broken Back. PMID- 29822805 TI - The Institutional Worker. PMID- 29822804 TI - The Colour of the Hair. PMID- 29822807 TI - The Making of the Modern Practitioner: Degrees and Diplomas-I. PMID- 29822806 TI - The Male Staff of Hospitals. PMID- 29822808 TI - Legal Notes for Institutional Workers. PMID- 29822810 TI - The Cottage Hospital in Fiction. PMID- 29822809 TI - The Surgical Treatment of Stone: A Review of Its Practice during the Last Sixty Years.-II. PMID- 29822812 TI - Anatomy in the Training of the Medical Man. PMID- 29822811 TI - The Grouping of Subjects in Home Science. PMID- 29822814 TI - Hospital and Institutional News. PMID- 29822813 TI - Muzzling the School Doctor. PMID- 29822816 TI - Preventible Social Ills: The Spirit of Pauperism. PMID- 29822815 TI - Openings for the Sons of Medical Men. PMID- 29822817 TI - Reports on the Hospitals of the United Kingdom: LXI. York County Hospital. PMID- 29822818 TI - Maternity and Mothering: Some Problems of Birth. PMID- 29822819 TI - Schools for Tubercular Children. PMID- 29822820 TI - Our Bureau of Information. PMID- 29822821 TI - Current from the Main. PMID- 29822823 TI - The Additions to Radcliffe Infirmary, Oxford. PMID- 29822822 TI - Infirmary Patients Sleeping on the Floor. PMID- 29822824 TI - Practical Points. PMID- 29822825 TI - The Value of Management in the Workroom. PMID- 29822827 TI - Hospital and Institutional News. PMID- 29822826 TI - Practical Notes on Diagnosis and Treatment. PMID- 29822828 TI - Research and Remedies. PMID- 29822829 TI - The Institutional Worker. PMID- 29822830 TI - Little Homes for Ailing Children. PMID- 29822831 TI - Surgery's Debt to the Late Sir Henry Butlin. PMID- 29822832 TI - The Evolution of a County Hospital. PMID- 29822833 TI - Our Bureau of Information. PMID- 29822834 TI - A Foreigner's View on English Cottage Hospitals. PMID- 29822835 TI - The National Insurance Act and the Voluntary Hospitals: Conference, Opinions, Policy and Security. PMID- 29822836 TI - The Stake of Professional Reputation. PMID- 29822837 TI - The Hospital Pay of Shorthand-Typists. PMID- 29822838 TI - Legal Notes for Institutional Workers. PMID- 29822839 TI - The Surgical Treatment of Stone: A Review of Its Practice during the Last Sixty Years.-III. PMID- 29822840 TI - The Vomiting of Pregnancy. PMID- 29822841 TI - Byways of Medical Relief. PMID- 29822843 TI - Hospital and Institutional News. PMID- 29822842 TI - A Good Book on Massage. PMID- 29822844 TI - A New Electrical Instrument: The German Invention for Utilising High-frequency Currents. PMID- 29822845 TI - An Original Open-Air Shelter for a Number of Patients Simultaneously. PMID- 29822846 TI - The Institutional Worker. PMID- 29822847 TI - The Voluntary Hospitals and an Amending Act. PMID- 29822848 TI - The School Clinic: Diseases of the Eye. PMID- 29822849 TI - The Late Mr. Arthur Reade. PMID- 29822850 TI - The Making of a Modern Hospital. PMID- 29822851 TI - The Defective and Dependent : V. The Education of the Blind. PMID- 29822852 TI - Our Bureau of Information. PMID- 29822853 TI - A Case of Milroy's Disease: With Notes on Trophoedema. PMID- 29822854 TI - Institutional Housekeeping. PMID- 29822856 TI - Research and Remedies. PMID- 29822855 TI - Reports on the Hospitals of the United Kingdom: LXII. The Royal Hospital, Sheffield. PMID- 29822858 TI - The Position of St. Bartholomew's Hospital. PMID- 29822857 TI - The German System. How the New Insurance Regulations Affect the German Hospitals. PMID- 29822860 TI - The Making of the Modern Practitioner: Degrees and Diplomas.-II. PMID- 29822859 TI - Hospital and Institutional News. PMID- 29822862 TI - The Institutional Worker. PMID- 29822861 TI - Post-Anaesthetic Broncho-Pneumonia: I. Its Causation and Prevention. PMID- 29822863 TI - The Additions to Radcliffe Infirmary, Oxford. PMID- 29822864 TI - The Syngros Hospital, Athens. PMID- 29822865 TI - Recent Progress in Hospital Construction. PMID- 29822866 TI - Byways of Medical Relief. PMID- 29822867 TI - A New Building Material.-Plate Porcelain. PMID- 29822868 TI - Institutional Housekeeping. PMID- 29822869 TI - Practical Notes on Diagnosis and Treatment. PMID- 29822870 TI - The Urgent Need for Dental Clinics. PMID- 29822871 TI - Some Red Cross Activities. PMID- 29822873 TI - Our Bureau of Information. PMID- 29822872 TI - A Hospital as a Cinema-Theatre. PMID- 29822874 TI - The Rev. G. E. Aspinall's Speech. PMID- 29822875 TI - Current from the Main. PMID- 29822876 TI - Muzzling the School Doctor. PMID- 29822877 TI - King Edward's Fund and the Evelina Hospital. PMID- 29822878 TI - A Hospital as a Cinema Theatre. PMID- 29822879 TI - Institutional Housekeeping. PMID- 29822880 TI - Local Anaesthesia with Cocaine and Adrenalin. PMID- 29822881 TI - Economical Sanatorium Construction. PMID- 29822882 TI - Plans for New British Hospitals: The Reforms Urgently Needed in Selecting Plans. PMID- 29822883 TI - Hospital and Institutional News. PMID- 29822884 TI - A Serious Misapprehension. PMID- 29822885 TI - A State Nursing Service. PMID- 29822887 TI - The Ideal Operating-Theatre. PMID- 29822886 TI - Who Should Have Charge of the Clinic? PMID- 29822889 TI - The Defective and Dependent : VI. The Education of the Deaf. PMID- 29822888 TI - Our Bureau of Information. PMID- 29822890 TI - Books on Swedish Treatment. PMID- 29822891 TI - Voluntary Hospital Employees and the National Insurance Act. PMID- 29822892 TI - Noise and Public Hospitals. PMID- 29822893 TI - Byways of Medical Relief. PMID- 29822894 TI - The Institutional Worker. PMID- 29822896 TI - The Making of the Modern Practitioner: The Internal Secretions in Therapeutics. PMID- 29822895 TI - Institutional Outdoor Work and Administration. PMID- 29822897 TI - Mental Hospital Matters. PMID- 29822898 TI - The School Clinic: IV. The Educative Value of the Clinic. PMID- 29822900 TI - Princess Louise at Paddington Children's Hospital. PMID- 29822899 TI - The Problems of Modern Psychiatry-III. PMID- 29822901 TI - Hospitals and Water Supply. PMID- 29822902 TI - Our Bureau of Information. PMID- 29822903 TI - The Royal Army Medical Corps Section. PMID- 29822904 TI - Faults in Institution Menus. PMID- 29822905 TI - Malvern Hospital. PMID- 29822906 TI - Have We a Responsible Government? PMID- 29822907 TI - Legal Notes for Institutional Workers. PMID- 29822909 TI - The Institutional Worker. PMID- 29822908 TI - Co-Education. PMID- 29822910 TI - Practical Points. PMID- 29822911 TI - Certificated Dispensers and the Insurance Bill. PMID- 29822912 TI - Hospital and Institutional News. PMID- 29822913 TI - Electricity in Modern Medicine: II. Sources of Electricity. PMID- 29822914 TI - Specimen Menus-Good and Bad. PMID- 29822916 TI - Maternity and Mothering: Rest and Exercise after Confinement. PMID- 29822915 TI - Hospitals and the Bill. PMID- 29822917 TI - Institutional Housekeeping. PMID- 29822918 TI - The National Insurance Bill: Our Editor Cross-examined by the King Editor of Weekly Journals. PMID- 29822919 TI - The Institutional Worker. PMID- 29822920 TI - Hospital Crests and Badges. PMID- 29822921 TI - Guy's Hospital "Scandals" and the Southwark Guardians. PMID- 29822922 TI - The Medical Profession in Relation to Inquests. PMID- 29822923 TI - Hospital and Institutional News. PMID- 29822924 TI - The Great Meeting of Voluntary Hospital Managers. PMID- 29822925 TI - Certificated Dispensers and the Insurance Bill. PMID- 29822927 TI - The Compulsory Notification of Pulmonary Tuberculosis. PMID- 29822926 TI - Reports on the Hospitals of the United Kingdom: Johnson Hospital, Spalding-II. PMID- 29822928 TI - Our Bureau of Information. PMID- 29822929 TI - Byways of Medical Relief. PMID- 29822930 TI - The Defective and Dependent: III. Mentally Defective Children. PMID- 29822931 TI - Death from a Medico-Legal Aspect.-III: I. Saponification of the Body. PMID- 29822933 TI - Legal Notes for Institutional Workers. PMID- 29822932 TI - Death from a Medico-Legal Aspect.-III: II. Death by Hanging. PMID- 29822934 TI - Practitioners, Consultants, and Fees. PMID- 29822935 TI - Maternity and Mothering: Nocturnal Incontinence. PMID- 29822936 TI - King Edward's Hospital Fund for London. PMID- 29822937 TI - The Making of the Modern Practitioner: A New Series of Medical Text Books. PMID- 29822938 TI - The Voluntary Hospitals and National Insurance. PMID- 29822939 TI - The Insurance Bill and the Hospitals. PMID- 29822941 TI - Research and Remedies. PMID- 29822940 TI - Our Bureau of Information. PMID- 29822942 TI - How to Amend the Insurance Bill. PMID- 29822943 TI - The Durbar Honours. PMID- 29822944 TI - The Brownhill Case at Birmingham. PMID- 29822945 TI - The Teaching of Pathology at St. Bartholomew's Hospital. PMID- 29822946 TI - Memorials to King Edward. PMID- 29822947 TI - Institutional Housekeeping. PMID- 29822948 TI - The Institutional Worker. PMID- 29822949 TI - Common-Sense Dietetics. PMID- 29822950 TI - Hospital and Institutional News. PMID- 29822951 TI - The Fever Hospitals of the Metropolitan Asylums Board. PMID- 29822953 TI - Thirty-Two Years of Public Health. PMID- 29822952 TI - Reports on the Hospitals of the United Kingdom: LVIII. The Alexandra Bromo-Iodine Hospital, Woodhall Spa. PMID- 29822955 TI - The King to His People. PMID- 29822954 TI - The Admission of In-Patients under National Insurance. PMID- 29822957 TI - The Health of School Children: Sir George Newman's Report. PMID- 29822956 TI - Institutional Housekeeping: Answers to Correspondents. PMID- 29822958 TI - Our Bureau of Information. PMID- 29822959 TI - The Axminster Cottage Hospital: A Transition to the New from the Old. PMID- 29822960 TI - The Hospital Officers Association. PMID- 29822961 TI - Electricity in Modern Medicine. PMID- 29822962 TI - The School Clinic: III. The Parents' Point of View. PMID- 29822964 TI - Legal Notes for Institutional Workers. PMID- 29822963 TI - The Problems of Modern Psychiatry. PMID- 29822965 TI - Institutional Housekeeping. PMID- 29822966 TI - Hospital Treatment for Insured Persons, and Mr. Lloyd George's Bill. PMID- 29822967 TI - Hospital Architecture and Construction: King Edward Memorial Hospital, Ealing. PMID- 29822968 TI - Hospital and Institutional News. PMID- 29822970 TI - Warneford, Leamington and South Warwickshire Hospital. PMID- 29822969 TI - Medico-Legal Section: Traumatic Neurasthenia. PMID- 29822971 TI - The Institutional Worker. PMID- 29822972 TI - The Memorial to Florence Nightingale. PMID- 29822973 TI - The Rebuilt Wing at Leeds Infirmary. PMID- 29822975 TI - Employees and the National Insurance Act: I. Some Preliminary Points of Interest. PMID- 29822974 TI - Certificated Dispensers and the Insurance Bill. PMID- 29822976 TI - Our Bureau of Information. PMID- 29822977 TI - The Cottage Hospital in Fact: The Management and Administration of a Typical Institution. PMID- 29822978 TI - The Making of the Modern Practitioner. PMID- 29822979 TI - Continuous Current from the Main. PMID- 29822981 TI - Post-Anaesthetic Broncho-Pneumonia. PMID- 29822980 TI - The Institutional Worker. PMID- 29822982 TI - Legal Notes for Institutional Workers. PMID- 29822983 TI - The Reck System of Heating. PMID- 29822984 TI - Hospital Architecture and Construction. PMID- 29822985 TI - Institutional Housekeeping. PMID- 29822986 TI - The Dangers of Ignorance at Portsmouth. PMID- 29822988 TI - A Hospital Chairman's Grievances : II. Complaints and their Investigation. PMID- 29822987 TI - Reports on the Hospitals of the United Kingdom: The Children's Hospital, Sheffield; Hospital for Sick Children, Newcastle-on-Tyne. PMID- 29822990 TI - A Disclaimer. PMID- 29822989 TI - Politics and the Doctor. PMID- 29822991 TI - The National Insurance Act Department. PMID- 29822992 TI - The Bradford and Other Competitions. PMID- 29822993 TI - A Point in Mental Cases: Continuous Administration of Sulphonal. PMID- 29822994 TI - The Milk of Eclamptic Mothers: Its Toxicity to Infants Considered. PMID- 29822995 TI - Hospital and Institutional News. PMID- 29822996 TI - Maternity and Mothering: The Up-to-date Treatment of Ringworm. PMID- 29822997 TI - Practical Points: III. How Shorts are Produced. PMID- 29822998 TI - King Edward's Fund and the Evelina Hospital. PMID- 29822999 TI - National Insurance and the Voluntary Hospitals: Speech by Mr. Worthington Evans, M.P. PMID- 29823000 TI - A Hospital Chairman's Grievances: I. Complaints and Their Investigation. PMID- 29823001 TI - Reports on the Hospitals of the United Kingdom: LXIII. Sunderland and Durham County Eye Infirmary. PMID- 29823002 TI - The Value of Working-Men's Support. PMID- 29823003 TI - Our Bureau of Information. PMID- 29823004 TI - A Hospital as a Cinema Theatre. PMID- 29823005 TI - Research and Remedies. PMID- 29823006 TI - A Reminiscence of Lister. PMID- 29823007 TI - The Sick Room Helps Society's New Maternity Home. PMID- 29823008 TI - The Institutional Worker. PMID- 29823009 TI - A Very "Moderate" Policy. PMID- 29823010 TI - Post-Anaesthetic Broncho-Pneumonia : II. Some Points Regarding its Treatment. PMID- 29823012 TI - The Jewish Hospital at Berlin. PMID- 29823011 TI - Some Thoughts on Public Funerals: A Famous Scientific Surgeon and a Great General Practitioner. PMID- 29823013 TI - Hospital and Institutional News. PMID- 29823014 TI - The Economy of Different Types Compared. PMID- 29823015 TI - The Ship's Doctor. PMID- 29823016 TI - Some Mental and Moral Aspects of the Strike. PMID- 29823017 TI - Management by Committee. PMID- 29823019 TI - Practical Notes on Diagnosis and Treatment. PMID- 29823018 TI - Modern Methods of Treatment: How they Affect the Hospitals and their Patients. PMID- 29823021 TI - The Defective and Dependent : VII. The Education of the Physically Defective. PMID- 29823020 TI - The Care of Children's Backs. PMID- 29823023 TI - The Editor's Letter-Box. PMID- 29823022 TI - Hospital Officers: Their Training and Work: The Ideal Hospital Chairman. PMID- 29823024 TI - Legal Notes for Institutional Workers. PMID- 29823025 TI - Employees and the National Insurance Act: III. Benefits Receivable under the Act. PMID- 29823027 TI - League of Mercy. PMID- 29823026 TI - Medical Attendance in Cottage Hospitals. PMID- 29823028 TI - Reports on the Hospitals of the United Kingdom: LXV. Royal Infirmary, Sunderland. PMID- 29823030 TI - The Institutional Worker. PMID- 29823029 TI - The Dispensary Keys. PMID- 29823031 TI - Institutional Housekeeping. PMID- 29823032 TI - Hospital and Institutional News. PMID- 29823034 TI - Our Bureau of Information. PMID- 29823033 TI - Anti-Vivisection Ethics. PMID- 29823035 TI - A Competitor's Point. PMID- 29823036 TI - Some Points of View of the Medical Profession. PMID- 29823038 TI - Byways of Medical Relief. PMID- 29823037 TI - Calcium Carbide as a Caustic in Surgery. PMID- 29823039 TI - The X-Rays. PMID- 29823040 TI - Medical Opinion and Movement. PMID- 29823041 TI - Competitions for Hospital Buildings. PMID- 29823042 TI - The Institutional Worker. PMID- 29823043 TI - The Insurance of Motherhood. PMID- 29823044 TI - Overcrowding in Poor Law Infirmaries. PMID- 29823045 TI - The School Clinic. PMID- 29823046 TI - The Royal Portsmouth Hospital. PMID- 29823047 TI - Employees and the National Insurance Act: IV. Benefits Receivable under the Act (Continued). PMID- 29823048 TI - The Practitioner's Relaxations and Hobbies. PMID- 29823049 TI - Hospital and Institutional News. PMID- 29823050 TI - Congenital Stenosis of the Pylorus. PMID- 29823051 TI - The Popular Conception of the Specialist. PMID- 29823052 TI - Our Bureau of Information. PMID- 29823053 TI - Bedford County Hospital. PMID- 29823054 TI - Putney to Mortlake: Competitive Athletics. PMID- 29823055 TI - How Hospital Income May Be Affected. PMID- 29823056 TI - The Hospital Sunday Fund. PMID- 29823058 TI - The Diagnosis of Throat and Nose Cases at a School Clinic. PMID- 29823057 TI - Competitions for Hospital Buildings: Further Opinions. PMID- 29823059 TI - Interested, Though Not Competing. PMID- 29823060 TI - The Royal Portsmouth Hospital. PMID- 29823061 TI - The Making of a Modern Hospital : The Ward Windows and Doors. PMID- 29823062 TI - Employees and the National Insurance Act: II. The Constitution of Approved Societies. PMID- 29823063 TI - Hospital and Institutional News. PMID- 29823064 TI - St. George's Hospital and the Sunday Fund. PMID- 29823065 TI - The Institutional Worker. PMID- 29823067 TI - Byways of Medical Relief. PMID- 29823066 TI - The Treatment of General Peritonitis. PMID- 29823068 TI - Research and Remedies. PMID- 29823069 TI - National Insurance and the Employees of Hospitals. PMID- 29823071 TI - The Report of the Vivisection Commission. PMID- 29823070 TI - Our Bureau of Information. PMID- 29823072 TI - Round the Hospitals. PMID- 29823073 TI - The Medical Profession and the Army. PMID- 29823074 TI - Charing Cross Hospital. PMID- 29823075 TI - The College of Nursing and State Registration. PMID- 29823076 TI - Poking Fun at the Matrons. PMID- 29823077 TI - Linen Leagues for Hospitals. PMID- 29823078 TI - Hospital and Institutional News. PMID- 29823079 TI - Education and Infant Welfare: The Views of the Board of Education on Mothercraft. PMID- 29823081 TI - The Chemical Treatment of Tuberculosis. PMID- 29823080 TI - Parliament and the Profession. PMID- 29823082 TI - Tuberculosis in Wales: Activities of the National Memorial Association. PMID- 29823083 TI - Military Medical Notes. PMID- 29823084 TI - Textile Supplies for Hospitals: VIII. Sheets and Quilts. PMID- 29823085 TI - Orthodoxies and Heresies. PMID- 29823086 TI - Hospital Responsibilities-Direct and Indirect. PMID- 29823087 TI - A Difficult Problem of Diagnosis. PMID- 29823089 TI - Parliament and the Profession. PMID- 29823088 TI - Dresses for Hospital Children. PMID- 29823091 TI - Industrial Fatigue. PMID- 29823090 TI - The Royal National Hospital for Consumption, Ventnor. PMID- 29823093 TI - Another Food Fad. PMID- 29823092 TI - Additional Responsibility for Hospital Managers. PMID- 29823095 TI - The Food Bill at St. George's. PMID- 29823094 TI - The Child Delinquent. PMID- 29823096 TI - A Medical Causerie. PMID- 29823097 TI - Danger of Excess of Economy in Child Welfare Work. PMID- 29823098 TI - Hospital and Institutional News. PMID- 29823099 TI - Safely Launched and in Port. PMID- 29823100 TI - Round the Hospitals. PMID- 29823101 TI - The Leicester Royal Infirmary. PMID- 29823102 TI - The Leprosy Case. PMID- 29823104 TI - Military Amputations. I. A Reversion to Pre-Listerian Methods. PMID- 29823103 TI - Withholding the Annual Report: An Explanation Asked for. PMID- 29823105 TI - Work for the College of Nursing? PMID- 29823106 TI - Parliament and the Profession. PMID- 29823107 TI - Hospital and Institutional News. PMID- 29823108 TI - On Acute Nephritis in Children: The Importance of Urinalysis in Diseases of the Young. PMID- 29823109 TI - Shall We Sweat the Crippled Soldier? PMID- 29823110 TI - State Registration in Great Britain. PMID- 29823111 TI - Round the Hospitals. PMID- 29823112 TI - From across the Seas. PMID- 29823113 TI - The School Doctor and the Mentally Defective Child. PMID- 29823114 TI - The National Medical Union. PMID- 29823116 TI - Human Temperaments. III.-The Temperament of the Artist. PMID- 29823115 TI - The Bishop's Last. PMID- 29823118 TI - The Institutional Treatment of Consumption: V. The Disposal of Sputum. PMID- 29823117 TI - Textile Supplies for Hospitals: XII. The Purchasing of Stores. PMID- 29823120 TI - Parliament and the Profession. PMID- 29823119 TI - A Medical Causerie. PMID- 29823121 TI - On Euthanasia. PMID- 29823122 TI - Round the Hospitals. PMID- 29823123 TI - Some Remarkable Figures and Facts. PMID- 29823124 TI - The Mobilisation of the Medical Profession. PMID- 29823125 TI - The Nature of the Soul: Some Primitive Ideas. PMID- 29823126 TI - From across the Seas. PMID- 29823128 TI - The Pioneer of the Sanatorium Idea. PMID- 29823127 TI - Where Was the Editor? PMID- 29823129 TI - Florence Nightingale and the Royal National Pension Fund for Nurses: Letters and Correspondence of Historic Value. PMID- 29823130 TI - Welsh Education. PMID- 29823131 TI - Advertisements in Voluntary Hospitals. PMID- 29823133 TI - Hospital and Institutional News. PMID- 29823132 TI - Women Patrols and Women Police. PMID- 29823134 TI - The Royal British Nurses' Association.-II. PMID- 29823135 TI - Epidemic Jaundice in the Mediterranean Expeditionary Force: Research under Difficulties. PMID- 29823137 TI - Parliament and the Profession. PMID- 29823136 TI - The Interim Report of the Committee of Inquiry. PMID- 29823138 TI - Round the Hospitals. PMID- 29823139 TI - The Education of the Probationer. PMID- 29823141 TI - A Medical Causerie. PMID- 29823140 TI - New South London Hospital for Women: The Operation Unit. PMID- 29823142 TI - The Institutional Treatment of Consumption: VI. Records and Classification of Patients. PMID- 29823143 TI - Patriotism and Nurse-Training Schools: VII. Training Schools South and West. PMID- 29823144 TI - Hospital and Institutional News. PMID- 29823145 TI - The Twilight Sleep Propaganda: A Danger to the Race. PMID- 29823146 TI - The Public and the General Practitioner. PMID- 29823147 TI - Textile Supplies for Hospitals: X. Sheets, Towels, and Table Linens. PMID- 29823148 TI - Round the Hospitals. PMID- 29823149 TI - Hospital and Institutional News. PMID- 29823150 TI - The College of Nursing Meeting. PMID- 29823151 TI - Parliament and the Profession. PMID- 29823152 TI - Ideals for the Future. PMID- 29823153 TI - With the Wounded: The Growing and Propagation of Bulbs. PMID- 29823154 TI - The Matrons' Experiences. PMID- 29823155 TI - A Garden Colony for Consumptives. PMID- 29823156 TI - Cerebro-Spinal Meningitis: Some of Its Problems. PMID- 29823157 TI - The Civil Hospitals and the War Office. PMID- 29823158 TI - "Riders" by Coroners' Juries. PMID- 29823159 TI - The College of Nursing, Limited. PMID- 29823160 TI - From Across the Seas: Where Babies Thrive-Antipodean Salaries-The Surgeon's Pledge. PMID- 29823161 TI - The Inquiry and after. PMID- 29823162 TI - London and Counties Medical Protection Society. PMID- 29823163 TI - St. George's Hospital. PMID- 29823164 TI - Necessitous Ladies' Holiday Fund. PMID- 29823165 TI - Some Disabilities from War Injuries. PMID- 29823167 TI - Mixed Classes in Medical Education. PMID- 29823166 TI - Nurse Training in War-Time. PMID- 29823168 TI - Textile Supplies for Hospitals: XIII. The Care of Textiles. PMID- 29823170 TI - Economic Conditions in Nurse-Training. PMID- 29823169 TI - The Reduction of Infant Mortality: The Priestley Lecture, by the Duchess of Marlborough. PMID- 29823171 TI - Practical Notes on Diagnosis and Treatment. PMID- 29823172 TI - Human Temperaments. VI.-The Man of Business. PMID- 29823173 TI - Hospital and Institutional News. PMID- 29823174 TI - Round the Hospitals. PMID- 29823175 TI - South London Hospital for Women. PMID- 29823176 TI - The Convalescent Soldier: Wakeswood Home, near Andover. PMID- 29823177 TI - Methods Military and Medical. PMID- 29823178 TI - The Incorporated Society of Trained Masseuses. PMID- 29823179 TI - Round the Hospitals. PMID- 29823180 TI - Hospital Construction. PMID- 29823181 TI - Defects of Hearing. PMID- 29823182 TI - Self-Denial in a Minor Key. PMID- 29823183 TI - Hospital and Institutional News. PMID- 29823184 TI - Insanity and Temperament. II.-The Artistic Temperament. PMID- 29823186 TI - Parliament and the Profession. PMID- 29823185 TI - Nurse-Training, Small Hospitals, and the College of Nursing. PMID- 29823187 TI - Shakespeare's Medical Knowledge: "One of Our Greatest Masters of Medicine". PMID- 29823188 TI - Nursing in the United States. PMID- 29823189 TI - The Miller General Hospital. PMID- 29823190 TI - The Surgery of Fractures. PMID- 29823191 TI - The Editor's Letter-Box. PMID- 29823192 TI - Textile Supplies for Hospitals: XI. Surgical Dressings. PMID- 29823193 TI - University Education in Wales: A Royal Commission Appointed. PMID- 29823194 TI - The Problem of Tuberculosis: The Patient, the Nurse, and Questions of Economy. PMID- 29823195 TI - A Matron's Worries. PMID- 29823196 TI - Legal Notes for Institutional Workers. PMID- 29823197 TI - Child Welfare Work in Bradford: Hospital and Municipal Work Compared. PMID- 29823198 TI - Easter Day, 1916. PMID- 29823199 TI - Erratum: A Correction. AB - [This corrects the article on p. 63 in vol. 60.]. PMID- 29823200 TI - Parliament and the Profession. PMID- 29823201 TI - National Egg Scandal. PMID- 29823202 TI - Ambulance Dogs. PMID- 29823203 TI - Medical Fees within the Profession. PMID- 29823204 TI - The Editor's Letter-Box. PMID- 29823205 TI - Hospital and Institutional News. PMID- 29823206 TI - A Medical Causerie. PMID- 29823207 TI - The Human Body: Its Plan of Organisation. PMID- 29823208 TI - The Enrolment Scheme and the Profession. PMID- 29823210 TI - Round the Hospitals. PMID- 29823209 TI - Some Difficulties with V.A.D. Workers. PMID- 29823211 TI - The Hospital Laundry: I. Its Constituent Parts, Equipment, and Staff. PMID- 29823212 TI - Charing Cross Hospital. PMID- 29823213 TI - Gas in Military Mines: The Symptoms of Carbon Monoxide Poisoning. PMID- 29823214 TI - The Institutional Treatment of Consumption: II. Routine Time-Tables and Diet Scales. PMID- 29823215 TI - Hospital and Institutional News. PMID- 29823216 TI - Nursing in the United States. PMID- 29823217 TI - The Medical Profession: Compulsory or Voluntary Service? PMID- 29823218 TI - Diagnosis and Personality. PMID- 29823220 TI - Round the Hospitals. PMID- 29823219 TI - The "Artistic Temperament": The Real Artist's Temperament Analysed. PMID- 29823221 TI - Remodelling a Hospital Garden: A Practical Example at Hertford. PMID- 29823222 TI - A Great Meeting in Edinburgh. PMID- 29823223 TI - A Medical Causerie. PMID- 29823224 TI - A Decision of the Court of Appeal and Its Effects on the Right to Benefits. PMID- 29823225 TI - A Desecration of Florence Nightingale's Statue. PMID- 29823226 TI - The Radcliffe Infirmary, Oxford. PMID- 29823227 TI - Parliament and the Profession. PMID- 29823228 TI - Hospital and Institutional News. PMID- 29823229 TI - The Institutional Treatment of Consumption: VII. Notes on Administration in a Sanatorium. PMID- 29823230 TI - The Alimentary Rest Treatment of Diabetes: Some Details of a Promising Regimen. PMID- 29823231 TI - Children's Country Holidays Fund: Letter from the Bishop of London. PMID- 29823232 TI - The Praise of Fools. PMID- 29823233 TI - The Hospital Drug Supply: A Word of Caution to Buyers. PMID- 29823235 TI - A Satisfactory Financial Position. PMID- 29823234 TI - Round the Hospitals. PMID- 29823236 TI - Cheap Prescribing. PMID- 29823237 TI - A Medical Causerie. PMID- 29823239 TI - Nurses' Looks. PMID- 29823238 TI - The Control of Lay Women in Hospitals. PMID- 29823240 TI - Names in Nursing: A Call for Definitions in Terms. PMID- 29823241 TI - The Feeding of Patients and Staff. PMID- 29823242 TI - Economy in the Annual Report. PMID- 29823244 TI - Institutional Needs. PMID- 29823243 TI - The National Egg Collection for the Wounded. PMID- 29823245 TI - A Medical Causerie. PMID- 29823246 TI - The Interim Report of the Committee of Inquiry. PMID- 29823247 TI - Hospital and Institutional News. PMID- 29823248 TI - The Certificate of the Cause of Death. PMID- 29823249 TI - The Military Service Acts and the Profession. PMID- 29823250 TI - Internal Secretions and Their Functions: A New Chapter in Modern Physiology. PMID- 29823252 TI - The Royal Free Hospital and the War. PMID- 29823251 TI - School Medical Inspection in the Transvaal: A Record of Progress. PMID- 29823253 TI - The Institutional Treatment of Consumption: IV. Sanatorium Buildings and Equipment. PMID- 29823254 TI - The General Nursing Council and College of Nursing: A Draft Registration Bill Agreed to. PMID- 29823255 TI - Round the Hospitals. PMID- 29823256 TI - The English of Medical Writers. PMID- 29823257 TI - First Draft of Agreed Bill. PMID- 29823258 TI - Charity Commission's Memorandum. PMID- 29823260 TI - The Clean Milk Campaign. PMID- 29823259 TI - Neurasthenia: A Distinct and Specific Pathological Condition. PMID- 29823261 TI - Mental Nurses in Military Hospitals. PMID- 29823262 TI - Doctors and Friendly Societies in New Zealand. PMID- 29823263 TI - The Future of British Nursing : III.-Training and Certification. PMID- 29823264 TI - Hospital and Institutional News. PMID- 29823265 TI - A Federal Report on Veneral Diseases: Drastic Proposals. PMID- 29823267 TI - The College of Nursing. PMID- 29823266 TI - The Notification of Venereal Diseases. PMID- 29823269 TI - Royal United Hospital, Bath. PMID- 29823268 TI - Patients and Nurses: Complaints of Familiarity. PMID- 29823270 TI - Twilight Anaesthesia in Labour. PMID- 29823271 TI - The New Unemployment Insurance Act. PMID- 29823273 TI - County Councils and Public Health. PMID- 29823272 TI - Macedonia in War-Time: Its Country and Inhabitants. PMID- 29823274 TI - The Institutional Treatment of Consumption: III. Gradation of Work and Exercise. PMID- 29823275 TI - Organisation in the Medical Profession. PMID- 29823276 TI - Hospital and Institutional News. PMID- 29823277 TI - Epsom College. PMID- 29823279 TI - Military Amputations. II. The Treatment of Stumps in Preparation for Artificial Limbs. PMID- 29823278 TI - A Medical Causerie. PMID- 29823281 TI - Annual Meeting of Governors and General Council. PMID- 29823280 TI - Foods, Fats, and Feeding. PMID- 29823283 TI - Round the Hospitals. PMID- 29823282 TI - Household Management. PMID- 29823284 TI - Legal Notes for Institutional Workers. PMID- 29823285 TI - Nursing in the United States. PMID- 29823287 TI - The Institutional Treatment of Consumption: I. The Sorting of the Patients. PMID- 29823286 TI - A Medical Causerie. PMID- 29823288 TI - Parliament and the Profession. PMID- 29823289 TI - Round the Hospitals. PMID- 29823291 TI - Toronto General Hospital: Accommodation 700 Patients. PMID- 29823290 TI - St. Thomas's and the War. PMID- 29823292 TI - State Registration in America. PMID- 29823293 TI - The Tragic Tale of Wittenberg: Shall There Be Medical Reprisals? PMID- 29823294 TI - St. George's Hospital. PMID- 29823295 TI - The State Endowment of Motherhood. PMID- 29823296 TI - Some Messages of the War. PMID- 29823297 TI - Hospital and Institutional News. PMID- 29823298 TI - Edward Livingston Trudeau, M.D., and R. L. Stevenson: Fellow-Sufferers from Tuberculosis. PMID- 29823299 TI - Insanity and Temperament. I.-Mediaeval v. Modern Ideas in Medicine. PMID- 29823300 TI - The Norfolk and Norwich Hospital, 1771-1847. PMID- 29823302 TI - A Medical Writer Who Missed His Vocation. PMID- 29823301 TI - How to Run a Laundry: II. The Week's Work. PMID- 29823303 TI - Guy's Hospital. PMID- 29823304 TI - St. Thomas's Hospital. PMID- 29823305 TI - A Leading Case at Edinburgh. PMID- 29823306 TI - Mental Nurses in Military Hospitals. PMID- 29823307 TI - Hospital and Institutional News. PMID- 29823308 TI - The Hospital of the Future. PMID- 29823309 TI - Sir George Newman on the School Child: The Arousing of the National Conscience. PMID- 29823310 TI - The Work of the Canadian Medical Service. PMID- 29823312 TI - Some Human Lessons in War-Time: II. The Physician and the Preacher. PMID- 29823311 TI - Round the Hospitals. PMID- 29823314 TI - A Municipal Milk Supply. PMID- 29823313 TI - The Final Court of Appeal. PMID- 29823316 TI - From Across the Seas: Meat Prices; Cooking; the Staff's Liabilities. PMID- 29823315 TI - The Example of the American Hospital Association. PMID- 29823318 TI - Hospital and Institutional News. PMID- 29823317 TI - Some Difficulties with V.A.D. Workers. PMID- 29823320 TI - Round the Hospitals. PMID- 29823319 TI - Parliament and the Profession. PMID- 29823322 TI - Textile Supplies for Hospitals: IX. Cotton Uniforms. PMID- 29823321 TI - The New Taxes. PMID- 29823323 TI - The Man and the Moment. PMID- 29823324 TI - Who Is Insane? PMID- 29823326 TI - The College of Nursing: Great Meeting at St. Thomas's Hospital: Full Verbatim Report. PMID- 29823325 TI - Tubercular Patients on a Hill. PMID- 29823327 TI - Scotland's First Open-Air Hospital. PMID- 29823329 TI - Vacancies for Midwives. PMID- 29823328 TI - Criminal Germans and British Prisoners: A Terrible Story of Brutal Cruelty: Heroic British Practitioners. PMID- 29823331 TI - The Glad Eye of Observation. PMID- 29823330 TI - The Royal Hospital for Incurables. PMID- 29823332 TI - Typhoid Fever: Treatment in the Army. PMID- 29823333 TI - Highland and Islands Medical Service Board: A Policy of Cautiousness. PMID- 29823334 TI - The School Doctor and the Tuberculous Child. PMID- 29823335 TI - The Royal British Nurses' Association.-I. PMID- 29823336 TI - Human Temperaments. V.-The Faddist. PMID- 29823338 TI - The Compulsory Removal of Phthisical Patients. PMID- 29823337 TI - National Training School for District Midwives. PMID- 29823340 TI - Special Hospital Sunday Supplement. PMID- 29823339 TI - The Lady House Surgeon. PMID- 29823341 TI - Hospital Nursing in War-Time: Disadvantages of Depleted Staffs. PMID- 29823342 TI - What Is Medical Responsibility? PMID- 29823343 TI - Round the Hospitals. PMID- 29823344 TI - The Doctor's Indifference. PMID- 29823345 TI - The Extensor Response (Babinski's Sign): Its Positive and Negative Value. PMID- 29823346 TI - Hospital and Institutional News. PMID- 29823347 TI - A Shortage of Catgut. PMID- 29823349 TI - Research and Remedies. PMID- 29823348 TI - Children's Country Holidays Fund. PMID- 29823350 TI - Bristol General Hospital. PMID- 29823351 TI - The Drug Resources of the Colonies. PMID- 29823353 TI - Human Temperaments. VII.-The Religious Temperament. PMID- 29823352 TI - Parliament and the Profession. PMID- 29823354 TI - Post-Mortem Caesarean Section: A Question of Law for Institutional Officers. PMID- 29823355 TI - Australian Notes. PMID- 29823357 TI - Some Encouraging Experiences. PMID- 29823356 TI - The Twilight Sleep Propaganda. PMID- 29823358 TI - Hospital and Institutional News. PMID- 29823359 TI - War, Warriors, and Nurses. PMID- 29823360 TI - The Hospitals and Women Students. PMID- 29823361 TI - The Equipment of Research Laboratories: Some Applications of Gas Heating. PMID- 29823362 TI - The War Charities Committee. PMID- 29823364 TI - Round the Hospitals. PMID- 29823363 TI - The Editor's Letter-Box. PMID- 29823365 TI - Sir Perceval A. Nairne: Our Sailors and Their Benefactors. PMID- 29823366 TI - The Cocaine Habit: Government Action at Last. PMID- 29823367 TI - The Training for Masseuses. PMID- 29823368 TI - The Bill Approved by the College Council. PMID- 29823369 TI - From across the Seas. PMID- 29823370 TI - Human Temperaments. VIII.-The Practical Man. PMID- 29823371 TI - Well Done, Nursing Staff! Next Please. PMID- 29823373 TI - Round the Hospitals. PMID- 29823372 TI - The Leeds Infirmary and a Justice of Assize. PMID- 29823375 TI - Medical Studies and Mnemonics. PMID- 29823374 TI - The London Hospital: An Immediate Need. PMID- 29823376 TI - Commandant and Matron. PMID- 29823377 TI - Hospital and Institutional News. PMID- 29823378 TI - More V.A.D.s of All Ranks Wanted. PMID- 29823380 TI - How the Law Regards the Loss of One Eye. PMID- 29823379 TI - The Control of Lay Women in Hospitals. PMID- 29823382 TI - The Sale of Medicated Wines. PMID- 29823381 TI - Surgical Operations without Shock. PMID- 29823383 TI - The Catholicity of Medicine. PMID- 29823384 TI - Round the Hospitals. PMID- 29823386 TI - NOT "Good Enough for the War." PMID- 29823385 TI - Local War Committees and Local Authorities. PMID- 29823387 TI - Parliament and the Profession. PMID- 29823388 TI - Hospital and Institutional News. PMID- 29823389 TI - Distribution of Awards. PMID- 29823390 TI - The Case of St. Bartholomew's Hospital. PMID- 29823391 TI - Human Temperaments. IX.-The Envious Temperament. PMID- 29823392 TI - Free Drugs and State Control. PMID- 29823393 TI - A New Treatment for Infected Wounds: Bismuth and Iodoform Paste. PMID- 29823394 TI - The National Medical Union and the Insurance Acts. PMID- 29823395 TI - Grave Crisis for Poor-Law Nurses. PMID- 29823396 TI - Our Hospitals and the National Relief Fund. PMID- 29823397 TI - The College of Nursing: Some Absurdities and a Warning. PMID- 29823399 TI - Hospital and Institutional News. PMID- 29823398 TI - Matters to Be Discussed. PMID- 29823400 TI - Round the Hospitals. PMID- 29823401 TI - The Editor's Letter-Box. PMID- 29823402 TI - On Ocular Symptoms in Tabes Dorsalis: Local Symptoms of a General Import. PMID- 29823403 TI - Hospital for Tropical Diseases, Calcutta. PMID- 29823404 TI - Haematuria in Tumours of the Bladder. PMID- 29823405 TI - Remedies for the Neglect of Science. PMID- 29823406 TI - The Penal Powers of the General Medical Council. PMID- 29823407 TI - Economy in the Annual Report. PMID- 29823409 TI - Points from the Quarterly Report. PMID- 29823408 TI - Fire Extinguishers: A Point for Institutional Managers. PMID- 29823411 TI - The English of Medical Writings. PMID- 29823410 TI - Qualifications for Admission to the Register. PMID- 29823413 TI - Human Temperaments. IV.-Cleverness and Capability. PMID- 29823412 TI - Auxiliary and Other Military Hospitals. PMID- 29823415 TI - The School Doctor and the Mentally Defective Child. PMID- 29823414 TI - Parliament and the Profession. PMID- 29823417 TI - The Percy Treatment of Carcinoma of the Uterus: An Ingenious Adaptation of the Cautery. PMID- 29823416 TI - An Unhappy Subscription Method. PMID- 29823418 TI - Some Human Lessons in War-Time: I. The Nation and the Great War. PMID- 29823419 TI - The Sphagnum-Moss Gatherers. PMID- 29823420 TI - The Supply of Nurses Committee. PMID- 29823421 TI - Two Military Hospital Gazettes. PMID- 29823422 TI - The School Doctor and School Feeding. PMID- 29823423 TI - The Birmingham General Hospital. PMID- 29823424 TI - Legal Notes for Institutional Workers. PMID- 29823425 TI - The National Mission. PMID- 29823427 TI - Hospital and Institutional News. PMID- 29823426 TI - The College of Nursing: A Glasgow View. PMID- 29823428 TI - Human Temperaments. XI.-The Man of Action. PMID- 29823429 TI - Round the Hospitals. PMID- 29823430 TI - Hospitals and the Spirit Tax. PMID- 29823432 TI - Round the Hospitals. PMID- 29823431 TI - Mental Nurses and War Hospital Work. PMID- 29823433 TI - Hospital and Institutional News. PMID- 29823434 TI - Nurses' Indoor Uniform in the Streets: Unhygienic and Unprofessional. PMID- 29823435 TI - Out-Patients and the War: The Experiences of Westminster Hospital. PMID- 29823436 TI - The State Treatment of Venereal Diseases: The New Regulations. PMID- 29823438 TI - Some Hospital Statistics: Their Use and Value. PMID- 29823437 TI - Surbiton Cottage Hospital and the Sunday Fund Award. PMID- 29823440 TI - Mental Nurses in Military Hospitals. PMID- 29823439 TI - Parliament and the Profession. PMID- 29823442 TI - A New Use for Hospital Gardens: The Cultivation of Medicinal Herbs. PMID- 29823441 TI - Increased Income for Charitable Institutions: The Fulfilment of a Patriotic Duty. PMID- 29823443 TI - Some Ward Sisters and Staff Nurses Protest. PMID- 29823445 TI - The Future of British Nursing : II.-Training and Certification. PMID- 29823444 TI - National Poor-Law Officers' Association, Incorporated. PMID- 29823446 TI - Human Temperaments. X.-The Jealous Temperament. PMID- 29823447 TI - The Fourth Annual Report. PMID- 29823448 TI - Hospital and Institutional News. PMID- 29823449 TI - Round the Hospitals. PMID- 29823450 TI - Work of the past Quarter. PMID- 29823451 TI - Anthrax in the Shaving-Brush-Japanese Shave without Soap. PMID- 29823452 TI - The Horton Infirmary, Banbury. PMID- 29823453 TI - Sir Peter Eade. PMID- 29823455 TI - Experimental Tuberculous Meningitis. PMID- 29823454 TI - Some Hospital Statistics: Their Use and Value. PMID- 29823456 TI - Why It Cannot Represent Trained Nurses. PMID- 29823457 TI - Infantile Paralysis or Acute Anterior Poliomyelitis: Its Symptoms and Treatment. PMID- 29823458 TI - The Hospitals' Harvest Time. PMID- 29823459 TI - Our Hospitals and the National Relief Fund: More Facts and Figures. PMID- 29823460 TI - Hospital and Institutional News. PMID- 29823461 TI - Parliament and the Profession. PMID- 29823462 TI - Infantile Diphtheria: A Special Danger in the First Year of Life. PMID- 29823463 TI - Economy in the Isolation Hospital. PMID- 29823464 TI - Relief in Belgium. PMID- 29823465 TI - The Future of British Nursing: I. Nurses and Central Examinations. PMID- 29823466 TI - Our Hospitals and the National Relief Fund. PMID- 29823467 TI - The Representative Meeting of the British Medical Association. PMID- 29823468 TI - Children of the State: The Nation's Debt to Its Warriors. PMID- 29823469 TI - Round the Hospitals. PMID- 29823470 TI - The Middlesex Hospital Reports. PMID- 29823472 TI - Tropical Medicine. PMID- 29823471 TI - Our Hospitals and the National Relief Fund: A Provincial Hospital Secretary's Views. PMID- 29823473 TI - Sir James Mackenzie on Heart Affections. PMID- 29823474 TI - Woman's Work in Medicine after the War. PMID- 29823476 TI - Qualifications and Regulations. PMID- 29823475 TI - The Medical Schools of the United Kingdom. PMID- 29823478 TI - An Early Eighteenth-Century Anatomy Lecture Room. PMID- 29823477 TI - Dentistry as a Profession: Its Drawbacks and Preparations to Qualify. PMID- 29823480 TI - Compulsory Service in the R.A.M.C.: How the Profession Has Avoided Direct Governmental Control. PMID- 29823479 TI - The Medical School's Entry in War Time. PMID- 29823481 TI - A Jumbled Argument. PMID- 29823482 TI - The Royal Naval Medical Service: Its Claims and Advantages. PMID- 29823483 TI - Erratum. AB - [This corrects the article on p. 401 in vol. 60.]. PMID- 29823484 TI - Royal Army Medical Corps. PMID- 29823486 TI - Hospital and Institutional News. PMID- 29823485 TI - The Editor's Letter-Box. PMID- 29823487 TI - Indian Medical Service. PMID- 29823488 TI - Colonial Medical Service. PMID- 29823489 TI - Research in Medicine: Its Need of Endowment and Outlook. PMID- 29823491 TI - The British Hospitals Association. PMID- 29823490 TI - The Future of Insurance Practice. PMID- 29823493 TI - Graduate Study in London Special Hospitals. PMID- 29823492 TI - The Medical Curriculum. PMID- 29823494 TI - London Post-Graduate Institutions. PMID- 29823495 TI - The Public Health Service: Its Wide Field, Needs and Future. PMID- 29823496 TI - The Royal Army Medical Corps: How Matters Stand To-Day. PMID- 29823497 TI - The Report of the Recent Committee. PMID- 29823499 TI - The Salaries of Deputising Medical Officers. PMID- 29823498 TI - My Experiences in a Field Ambulance. PMID- 29823500 TI - Hospitals and the War. PMID- 29823501 TI - Hospital and Institutional News. PMID- 29823503 TI - A Good Clinician. PMID- 29823502 TI - Fellow-Workers and the Roll of Honour. PMID- 29823504 TI - The Welsh War Hospital, Netley: The Movable Hospital to Be Opened Next Week. PMID- 29823505 TI - Scenes in the Busiest Week of the War. PMID- 29823507 TI - The Cumberland Infirmary, Carlisle. PMID- 29823506 TI - The Ambulance Dog in War. PMID- 29823509 TI - The Royal Infirmary, Preston. PMID- 29823508 TI - The London Panel Committee. PMID- 29823511 TI - The British Pharmacopoeia. PMID- 29823510 TI - The Transport of Wounded: The Official Descriptive Statement by the Press Bureau. PMID- 29823512 TI - Types of Motor Ambulance Waggons: The St. Andrew's Association's Models. PMID- 29823513 TI - Unqualified Assistants for Infirmary Staffs. PMID- 29823515 TI - Hospital and Institutional News. PMID- 29823514 TI - A Comparison of Hospital Expenditure in 1913 with 1912. PMID- 29823516 TI - Conditions of Service of Army Compounders. PMID- 29823518 TI - The Institutional Library. PMID- 29823517 TI - Erratum: The Cumberland Infirmary, Carlisle. AB - [This corrects the article on p. 677 in vol. 56.]. PMID- 29823519 TI - New Government Grants. PMID- 29823520 TI - The Work of London and Provincial Hospitals. PMID- 29823522 TI - Physical Fitness and the Healing of Wounds. PMID- 29823521 TI - Fellow-Workers and the Roll of Honour. PMID- 29823524 TI - With a British Field Ambulance in August. PMID- 29823523 TI - The Cottage Hospital, Staines. PMID- 29823525 TI - The Care of the Soldiers in Provincial Hospitals. PMID- 29823526 TI - The Role of the Physician in Time of War. PMID- 29823527 TI - Fellow-Workers and the Roll of Honour. PMID- 29823528 TI - Hospital and Institutional News. PMID- 29823529 TI - The Use of the Red Cross. PMID- 29823531 TI - Radio-Therapeutic Department at New King's: Official Account of Its Plan and Equipment. PMID- 29823530 TI - Experiences on H.M.S. "Aboukir": The Action of Torpedoes and Submarines. PMID- 29823533 TI - The Tuberculosis Danger among Recruits. PMID- 29823532 TI - Proposed Special Service (Cholera) Corps. PMID- 29823535 TI - The London Panel Committee: Tuesday's Decisions. PMID- 29823534 TI - The Needs of Wounded Women. PMID- 29823536 TI - Latest Arrivals in London Hospitals. PMID- 29823537 TI - The Value of Active Co-Operation by Civilians. PMID- 29823538 TI - Report of the King's Fund Convalescent Homes Committee. PMID- 29823539 TI - Annual Meeting to Award Grants. PMID- 29823540 TI - The New Pharmacopoeia: Its Omissions, Additions, Changes, and Other Features. PMID- 29823541 TI - Hospitals and the War. PMID- 29823542 TI - Fellow-Workers and the Roll of Honour. PMID- 29823543 TI - Report of the King's Fund Distribution Committee. PMID- 29823545 TI - Annual Meeting of Presidents at St. James's Palace. PMID- 29823544 TI - "Canvassing Will Disqualify" (?). PMID- 29823546 TI - The Medical Profession and Public Holidays. PMID- 29823547 TI - The Local Government Board's Opportunity. PMID- 29823548 TI - Hospital and Institutional News. PMID- 29823549 TI - Benzol in Leukaemia. PMID- 29823550 TI - The Advancement of the Science of Healing. PMID- 29823551 TI - Grants Recommended by the Distribution Committee. PMID- 29823552 TI - Faulty Administration from Ignorance of Modern Hospital Progress. PMID- 29823553 TI - Work for the Wounded of the Allied Armies. PMID- 29823554 TI - The Work of the R.A.M.C. in the War: The Regimental Medical Officer's Duties. PMID- 29823556 TI - Wounded Transferred to Dreadnought Hospital: Excellence of the Navy Transport System. PMID- 29823555 TI - The Naval Red Cross Train in London: Great Northern Central Hospital. PMID- 29823557 TI - Dr. Ellwood on Medical Gardening: Public Pharmacists' and Dispensers' Association. PMID- 29823558 TI - Work of the Heaviest Week of the War. PMID- 29823559 TI - Medical Men as Prisoners of War. PMID- 29823560 TI - Fellow-Workers and the Roll of Honour. PMID- 29823562 TI - Hospital and Institutional News. PMID- 29823561 TI - What the London Hospitals Are Doing. PMID- 29823563 TI - The Institutional Future. PMID- 29823564 TI - The Territorial Hospital, Leicester. PMID- 29823565 TI - A Foreword to Fellow-Workers. PMID- 29823566 TI - An Irish Hospital Train. PMID- 29823567 TI - Journalism and the Hospitals. PMID- 29823568 TI - Louisa Warnes, 1836-1914. PMID- 29823569 TI - What a Storehouse Is the Voluntary Hospital! PMID- 29823570 TI - Hospital and Institutional News. PMID- 29823572 TI - The Motor-Cycle Ambulance. PMID- 29823571 TI - The Growth of Hospital Literature: The New Tendency and Its Significance. PMID- 29823574 TI - Some Home-Made Hospital Equipment: Examples from Leicester. PMID- 29823573 TI - The Work of London and Provincial Hospitals. PMID- 29823575 TI - King Edward's Hospital Fund for London Statistics (First Notice). PMID- 29823576 TI - Fellow-Workers and the Roll of Honour. PMID- 29823577 TI - The Southern Territorial Hospital, Portsmouth. PMID- 29823578 TI - The Guiding Principles of the Scheme. PMID- 29823580 TI - Imperfections in the Cumberland Infirmary. PMID- 29823579 TI - Soldiers and the Provincial Hospitals. PMID- 29823581 TI - Institutional Needs. PMID- 29823582 TI - The Fifth Northern General Hospital, Leicester. PMID- 29823584 TI - Fellow-Workers and the Roll of Honour. PMID- 29823585 TI - Hospital and Institutional News. PMID- 29823583 TI - The Cumberland Infirmary, Carlisle. PMID- 29823587 TI - Hints for Prospective Followers of the Newcastle Plan. PMID- 29823586 TI - The Recreations of Convalescing Soldiers. PMID- 29823588 TI - Work for the Wounded of the Allied Armies. PMID- 29823589 TI - Bones of Contention in Institution Discipline. PMID- 29823591 TI - Motor-Cars as Ambulance Wagons. PMID- 29823590 TI - The Unallotted Fund and Excessive Prescribing. PMID- 29823592 TI - The Special Wards for Wounded Soldiers. PMID- 29823593 TI - A Critical View of the King's Fund. PMID- 29823594 TI - Mental Institutions and the War. PMID- 29823595 TI - Panel Doctors and Panel Chemists. PMID- 29823596 TI - The National Medical Union and the L90,000 to Panel Doctors. PMID- 29823598 TI - The Specification for the Newcastle Temporary Wards. PMID- 29823597 TI - Poor-Law Infirmaries and Union Hospitals: An Inquiry and Scheme Suggested. PMID- 29823600 TI - A Brighton Infirmary for Indian Troops. PMID- 29823599 TI - A Suggested New Flag for Hospitals. PMID- 29823601 TI - Hospital and Institutional News. PMID- 29823602 TI - Non-Official Hospitals and the British Red Cross Society. PMID- 29823603 TI - The Place of Appeals in Hospital Support. PMID- 29823604 TI - Work for the Wounded of the Allied Armies. PMID- 29823605 TI - Discipline in Sanatoria : The Grumbles of Working-Class Patients. PMID- 29823606 TI - Review of the Problems at the Quarterly Court. PMID- 29823607 TI - Vacant Appointments : Should Canvassing Be Encouraged or Forbidden? PMID- 29823608 TI - Surgical Experiences in the Present War: A Fruitful Field of Research. PMID- 29823609 TI - The Resignation of Sir Edward Wood, J.P. PMID- 29823611 TI - Hospital Pharmacists and Olive Oil: Official Tests. PMID- 29823610 TI - Seasonable Appeals in 1914. PMID- 29823613 TI - How Not to Face a Consultant. PMID- 29823612 TI - A Hospital for Soldiers Suffering from Shock. PMID- 29823614 TI - The Mental Deficiency Act: Difficulties of Administration. Much Work- Small Results. PMID- 29823615 TI - Fellow-Workers and the Roll of Honour. PMID- 29823617 TI - Some Smaller Hospitals and the Wounded. PMID- 29823616 TI - Institutional Needs. PMID- 29823618 TI - "Really Heroic Work": The Unequalled Efficiency of the R.A.M.C. PMID- 29823619 TI - The New Pathological Building at Glasgow Royal Infirmary. PMID- 29823620 TI - The London Panel Committee. PMID- 29823621 TI - Work for the Wounded of the Allied Armies. PMID- 29823623 TI - The War and Nervous Diseases. PMID- 29823622 TI - Discipline in Convalescent Homes. PMID- 29823624 TI - Hospital and Institutional News. PMID- 29823625 TI - The State Control of Research. PMID- 29823626 TI - Sidelights upon the War: Reflections and Reminiscences. PMID- 29823627 TI - Hospital Statistics. PMID- 29823628 TI - The Wounded, the Women of England, and the Voluntary Hospitals. PMID- 29823629 TI - Fellow-Workers and the Roll of Honour. PMID- 29823630 TI - Some Special Features of Importance. PMID- 29823631 TI - A "Close" Time for Emotional Givers. PMID- 29823632 TI - A Voluntary Insurance Bill. PMID- 29823633 TI - The London Panel Committee. PMID- 29823634 TI - The Questions of Age and Maximum Efficiency. PMID- 29823635 TI - Care for Nerve Cases. PMID- 29823636 TI - Hospital and Institutional News. PMID- 29823637 TI - Hospitals and the War: Work for the Wounded of the Allied Armies. PMID- 29823638 TI - The Royal Infirmary, Glasgow: The Genesis of the Scheme. PMID- 29823639 TI - The Fees of Institution Medical Officers. PMID- 29823641 TI - Fellow-Workers and the Roll of Honour. PMID- 29823640 TI - State Children and the War. PMID- 29823642 TI - The Drug Treatment of Disease. PMID- 29823643 TI - The Making of a Military Hospital: How the Transformation at Cardiff Was Effected. PMID- 29823644 TI - Christmas in the Institutions. PMID- 29823645 TI - Annual Meeting of Constituents. PMID- 29823646 TI - Hospitals and the War. PMID- 29823647 TI - Evacuation Difficulties : The Triumph of the Motor Ambulance. PMID- 29823648 TI - Soldiers' Dental Aid Fund. PMID- 29823650 TI - Hospital and Institutional News. PMID- 29823649 TI - New Year's Day 1915. PMID- 29823651 TI - Fellow-Workers and the Roll of Honour. PMID- 29823652 TI - The Metropolitan Asylums Board and Permanent Invalid Children. PMID- 29823654 TI - Ambulance Work, the Public, and the National Guard. PMID- 29823653 TI - Institutions for Sailors. PMID- 29823656 TI - The War and Hospitals for Nervous Diseases. PMID- 29823655 TI - Latest Type of German Tuberculosis Pavilions. PMID- 29823658 TI - British Wounded in a French Hospital at St. Malo. PMID- 29823657 TI - Early-Closing Day at Chemists' Shops. PMID- 29823659 TI - With a British Field Ambulance in Retreat. PMID- 29823660 TI - Metaphysics and Mental Disease. PMID- 29823661 TI - Duty-Free Rectified Spirit in Hospitals: Objections Answered and New Points Urged. PMID- 29823663 TI - The Institutional Problem of Mental Defectives. PMID- 29823662 TI - St. Bartholomew's Hospital and the Wounded: Two Months' Experience of War Work. PMID- 29823664 TI - The Recent Heavy Rush of Work at Cambridge. PMID- 29823665 TI - The Birmingham Scheme of Classified Institutions: What It Does, and Where It Fails. PMID- 29823667 TI - Hospital and Institutional News. PMID- 29823666 TI - From the Patient's Point of View: A Nurse's Experience as a Patient. PMID- 29823669 TI - Work for the Wounded of the Allied Armies. PMID- 29823668 TI - Fellow-Workers and the Roll of Honour. PMID- 29823671 TI - The Medical Research Committee and the War. PMID- 29823670 TI - The Iodine Method of Skin Sterilisation: Its Value against Septic Infection. PMID- 29823673 TI - Hospital and Institutional News. PMID- 29823672 TI - Vacant Appointments: Canvassing or Non-Canvassing for Elections. PMID- 29823674 TI - The Halifax Union Poor-Law Hospital. PMID- 29823676 TI - Women Doctors and the Present Crisis. PMID- 29823675 TI - King Edward's Hospital Fund for London Statistics. PMID- 29823677 TI - A Hospital for Soldiers Suffering from Shock: Dr. Edwin Ash's Reply to Lord Knutsford. PMID- 29823678 TI - Abdominal Caesarean Section for Eclampsia. PMID- 29823679 TI - Fellow-Workers and the Roll of Honour. PMID- 29823680 TI - A Suggested New Flag for Hospitals. PMID- 29823681 TI - Taxation and the Voluntary Hospitals. PMID- 29823683 TI - Hospitals and the War: Work for the Wounded of the Allied Armies. PMID- 29823682 TI - "The War's Effect on a London Eye Hospital". PMID- 29823685 TI - Some Provincial Hospital Chapels. PMID- 29823684 TI - Mental Stress Associated with Shock: Some Obscure Results of Violence in Peace and War. PMID- 29823686 TI - War and Disease. II.-The Russo-Japanese and South African Campaigns. PMID- 29823687 TI - A Visit to Stockholm Hospitals. PMID- 29823688 TI - Discrepancies as to the Number of the Insured. PMID- 29823689 TI - The Department of Modern Nursing: VIII. London Homoeopathic Hospital. PMID- 29823691 TI - Some Home-Made Hospital Equipment: Examples from Leicester Infirmary: Heating Apparatus for Theatre-A Radiant Heat Novelty-Hospital Doors. PMID- 29823690 TI - Hospital and Institutional News. PMID- 29823692 TI - The Editor's Letter-Box. PMID- 29823693 TI - Civil Hospitals and Military Officials. PMID- 29823694 TI - Clinical Records in Poor-Law Infirmaries: A Rejoinder. PMID- 29823695 TI - Fellow-Workers and the Roll of Honour. PMID- 29823696 TI - Pharmacopoeial Doses. PMID- 29823697 TI - Section 12 of the National Insurance Act : A Year's Experience. PMID- 29823698 TI - Damage to Hospitals by Hostile Air-Craft. PMID- 29823699 TI - Hospital and Institutional News. PMID- 29823700 TI - Erratum: Halifax Union Poor-Law Hospital. AB - [This corrects the article on p. 243 in vol. 57.]. PMID- 29823701 TI - Boots for the Belgian Wounded. PMID- 29823702 TI - Fellow-Workers and the Roll of Honour. PMID- 29823703 TI - Surgical Experiences in the Present War: Modern Bullet Wounds of the Soft Parts. PMID- 29823704 TI - Gravesend Hospital and the War: Mr. W. Pearson and Miss Davidson on Its Work. PMID- 29823705 TI - Special Hospital for Officers Suffering from Shock-Rejoinder to Dr. Ash. PMID- 29823706 TI - The London Panel Committee: An Important Series of Decisions. PMID- 29823707 TI - Effects of the War on National Insurance. PMID- 29823709 TI - Some General Influences of the War. PMID- 29823708 TI - The European War Fund Formed by the St. John Ambulance Department. PMID- 29823711 TI - Work for the Wounded of the Allied Armies. PMID- 29823710 TI - The New Pharmacopoeia. PMID- 29823712 TI - Two Months of War Work at Manchester: The Royal Infirmary's Aid for the Wounded. PMID- 29823714 TI - Christmas Day 1914. PMID- 29823713 TI - Impressions of a German Hospital: The Eppendorf Hospital in Hamburg. PMID- 29823716 TI - A Women's Volunteer Reserve. PMID- 29823715 TI - The Need for Young Qualified Medical Men. PMID- 29823718 TI - Proposed Women's Voluntary Hospital Brigade. PMID- 29823717 TI - Institutional Needs. PMID- 29823720 TI - The Hallucinations of Hearing. PMID- 29823719 TI - Hospital Account Keeping and the War: The Allocation of War Expenditure. PMID- 29823721 TI - Boots for Belgian Wounded : Thanks from Worcester. PMID- 29823722 TI - The Department of Modern Nursing: VII. The Middlesex Hospital. PMID- 29823723 TI - Fellow-Workers and the Roll of Honour. PMID- 29823725 TI - Some Influences of the Darkened Streets. PMID- 29823724 TI - Bleaching and Disinfecting by the Aid of Electrolysis: Experiments at Bexley Mental Hospital. PMID- 29823727 TI - Impressions from a Field Ambulance: Tyres, Equipment, and the Health of an Army. PMID- 29823726 TI - Art Stamps for Charitable Purposes. PMID- 29823729 TI - Legal Notes for Institutional Workers. PMID- 29823728 TI - The Involution of the Uterus and Its Influence on Practical Therapy. PMID- 29823730 TI - Hospital and Institutional News. PMID- 29823731 TI - The Reconstruction of the Metropolitan Asylums Board. PMID- 29823732 TI - Practical Points in Hospital Matters: An Improved Type of Motor Ambulance. PMID- 29823733 TI - Hospital and Institutional News. PMID- 29823735 TI - The Sick and Wounded in War: International Law and Usage. PMID- 29823734 TI - The Cost of Christmas Festivities. PMID- 29823737 TI - The Rewards of Institutional Life. PMID- 29823736 TI - The Hospitals and the Wounded: How to Safeguard Civilian Patients. PMID- 29823739 TI - Medical Students and the War. PMID- 29823738 TI - Clark's Fluorescent Screen Bullet Localiser. PMID- 29823740 TI - Sir Duncombe Mann's Record of Work. PMID- 29823741 TI - Hospitals and the War. PMID- 29823742 TI - Report of Departmental Committee on Sickness Benefit Claims. PMID- 29823743 TI - Bristol General Hospital: The Recent Extension. PMID- 29823744 TI - The Action of Chloroform on the Blood. PMID- 29823745 TI - Fellow-Workers and the Roll of Honour. PMID- 29823747 TI - Institutional Needs. PMID- 29823746 TI - A New Method of Tuberculin Treatment: The Deycke-Much Programme in Germany. PMID- 29823749 TI - Hospital and Institutional News. PMID- 29823748 TI - A Visit to Stockholm Hospitals. PMID- 29823750 TI - The Professional Life of London: How It Is Reacting to the War. PMID- 29823751 TI - Fellow-Workers and the Roll of Honour. PMID- 29823752 TI - Report of Departmental Committee on Sickness Benefit Claims. PMID- 29823753 TI - War and Disease. III.-The Great European War. PMID- 29823754 TI - Clinical Value of Poor-Law Infirmaries. PMID- 29823755 TI - The Hampstead Appointment. PMID- 29823756 TI - Smallpox and Vaccination in Siam: A Remarkable Educational Campaign. PMID- 29823758 TI - Rearrangements by the Metropolitan Asylums Board. PMID- 29823757 TI - Statistics and Their Critics: King Edward's Hospital Fund for London Statistics Fourth Notice. PMID- 29823759 TI - The Medical Lessons of the War. PMID- 29823760 TI - The Editor's Letter-Box. PMID- 29823761 TI - The Editor's Letter-Box. PMID- 29823762 TI - Hospital Experience and Higher Appointments. PMID- 29823763 TI - Some Provincial Hospital Chapels. PMID- 29823764 TI - Ethics of Giving: The Ratio of Generosity to Income. PMID- 29823766 TI - The Clinical Value of Poor-Law Infirmaries. PMID- 29823765 TI - A New Supply of Leeches: The Medical Aspects of Their Use. PMID- 29823767 TI - The Telephone in Medical Practice. PMID- 29823768 TI - Hospitals and Charitable Aid in New Zealand: A Glance at State Aid in the Colonies. PMID- 29823769 TI - Mr. Samuel at the Poor-Law Conference. PMID- 29823770 TI - Medical Inventiveness in War: Some Minor Examples of Ingenuity. PMID- 29823771 TI - General Hospital, Rangoon. PMID- 29823772 TI - Economy in the Generation and Use of Steam: The Condensation of Steam. PMID- 29823774 TI - Hospital and Institutional News. PMID- 29823773 TI - Legal Notes for Institutional Workers. PMID- 29823775 TI - Fellow-Workers and the Roll of Honour. PMID- 29823776 TI - Deaths under Anaesthetics: The Relation of Coroners and Hospital Staffs. PMID- 29823777 TI - By Belgians for Belgians. PMID- 29823778 TI - Professional Titles, Pleasant and Unpleasant. PMID- 29823779 TI - Sir St. Clair Thomson's Harveian Lecture. PMID- 29823781 TI - A Medical Causerie. PMID- 29823780 TI - The Evolution of the Modern Hospital: IV. Medical Education, Administration, and Finance. PMID- 29823783 TI - Home-Made Hospital Equipment: A Cold-Storage Plant at a Provincial Hospital. PMID- 29823782 TI - Soldiers at the London Hospital: The Method and Procedure Adopted. PMID- 29823784 TI - Hospital and Institutional News. PMID- 29823785 TI - Fellow-Workers and the Roll of Honour. PMID- 29823786 TI - Six Months of Hospital War Work. PMID- 29823787 TI - The Division of In-Patient and Out-Patient Expenditure: King Edward's Hospital Fund for London Statistics. PMID- 29823788 TI - The Belgian Field Hospital from within: The Surgeon-In-Chief's Experiences. PMID- 29823789 TI - Sanitary Features of the Present Campaign. PMID- 29823790 TI - The French Medical Service: The Organisation through French Eyes. PMID- 29823791 TI - Legal Notes for Institutional Workers. PMID- 29823792 TI - The Roll of Honour of the Royal College of Surgeons in Ireland. PMID- 29823793 TI - Surgical Experiences in the Present War: Anti-Typhoid Inoculation in the Field. PMID- 29823794 TI - The War and the Rainfall. PMID- 29823795 TI - The War and Medical Teaching. PMID- 29823796 TI - Economy in the Generation and Use of Steam: Waste of Heat in the Boiler. PMID- 29823797 TI - The Ophthalmic Problem for Hospitals and Doctors. PMID- 29823798 TI - India-Rubber Flooring for Hospital Work. PMID- 29823799 TI - Some Provincial Hospital Chapels. PMID- 29823800 TI - Fellow-Workers and the Roll of Honour. PMID- 29823801 TI - Hospital Policy during the War. PMID- 29823802 TI - The Cost of Hospitals with Medical Schools: King Edward's Hospital Fund for London Statistics-Third Notice. PMID- 29823803 TI - The Neurological Institute in New York City. PMID- 29823804 TI - Hospital and Institutional News. PMID- 29823805 TI - War and Disease. I.-Continental Wars of the Nineteenth Century. PMID- 29823806 TI - The Clinical Value of Poor-Law Infirmaries: Their Lack of System and Suggested Reforms. PMID- 29823807 TI - Election of Vice-Chairman and Officers. PMID- 29823808 TI - War and the Anti-Tuberculosis Crusade: The Effect of Military Enlistment. PMID- 29823810 TI - Three Weeks at a Seaside Convalescent Home. PMID- 29823809 TI - Chronic Catarrhal Appendicitis in School Children. PMID- 29823811 TI - The Education of Hospital Officers. PMID- 29823813 TI - The Clinical Value of Poor-Law Infirmaries. PMID- 29823812 TI - Hospital Administrators at the Base Hospitals in South Africa. PMID- 29823815 TI - Hospital and Institutional News. PMID- 29823814 TI - Fellow-Workers and the Roll of Honour. PMID- 29823816 TI - Hygienic Conditions at the Crystal Palace: Have Sufficient Precautions Been Taken? PMID- 29823817 TI - A Gravesend Good Samaritan. PMID- 29823818 TI - Military Medical Heroism. PMID- 29823819 TI - Open Posts and Poor-Law Volunteers. PMID- 29823820 TI - The New Soldiers' Wards at Norwich Hospital: A Suggestive Type for Continued Treatment. PMID- 29823821 TI - Gunshot Wounds of the Head: The Collective Experience of Surgeons. PMID- 29823822 TI - The Department of Modern Nursing: IX. Guy's Hospital: The Preliminary Training School. PMID- 29823823 TI - The London Panel Committee Meeting. PMID- 29823824 TI - Liverpool Royal Infirmary and the Wounded. PMID- 29823825 TI - Perth Royal Infirmary. PMID- 29823826 TI - St. Columba's Hospital, Home of Peace. PMID- 29823827 TI - Urinary Antiseptics. PMID- 29823828 TI - Active Service and Medical Officers' Pensions. PMID- 29823830 TI - The Department of Modern Nursing: IX: Guy's Hospital: The Preliminary Training School. PMID- 29823829 TI - Hospital and Institutional News. PMID- 29823831 TI - Traumatic Neurasthenia and Mental Disease: The Need for More Precise Definition. PMID- 29823832 TI - Fellow-Workers and the Roll of Honour. PMID- 29823833 TI - The London School of Medicine for Women. PMID- 29823834 TI - Stewart's Bedding. PMID- 29823835 TI - The Education of the Hospital Officer: Examinations and a Three Years' Course. PMID- 29823836 TI - With the Burgher Commandoes in South Africa: My Medical Experiences in the Campaign. PMID- 29823837 TI - The Evolution of the Modern Hospital: III. The New Epoch in Equipment and Expense. PMID- 29823839 TI - Fellow-Workers and the Roll of Honour. PMID- 29823838 TI - The Chapel of St. Luke the Physician, Camberwell House. PMID- 29823841 TI - Guardians and the Demand for Nurses. PMID- 29823840 TI - Hospitals and Payment for Wounded. PMID- 29823843 TI - Massage and Mechano-Therapeutics at the Front: The Importance of Hastening Convalescence. PMID- 29823842 TI - Hospital and Institutional News. PMID- 29823844 TI - School Medical Inspection and the War: The Part of the Medical Inspector. PMID- 29823845 TI - The New Amendment Act. PMID- 29823846 TI - The Evolution of the Modern Hospital: IV. Medical Education, Administration, and Finance. PMID- 29823847 TI - Restricting Admissions to Poor-Law Infirmaries. PMID- 29823848 TI - London Panel Committee. PMID- 29823849 TI - The Contract System in War-Time: How It Is Working and the Future Outlook. PMID- 29823850 TI - Institutional Needs. PMID- 29823851 TI - The Case for Day Nurseries. PMID- 29823852 TI - The Medical Work of the Education Department. PMID- 29823854 TI - King Edward VII.'s Hospital, Cardiff. PMID- 29823853 TI - The Army and the Medical Profession. PMID- 29823855 TI - The Education of Hospital Officers. PMID- 29823856 TI - The Editor's Letter-Box. PMID- 29823857 TI - The Investigation of England's Vitality: Actual Results of Public Health Work. PMID- 29823858 TI - A Medical Causerie. PMID- 29823859 TI - The Royal College of Surgeons Ward. PMID- 29823860 TI - Hospital and Institutional News. PMID- 29823861 TI - The Work of Radium Institutes: The Cases Received and the Results of Treatment. PMID- 29823862 TI - Fellow-Workers and the Roll of Honour. PMID- 29823863 TI - Points in the Quarterly Report. PMID- 29823864 TI - St. George's Hospital and the Wounded. PMID- 29823865 TI - The Public Relations of Post-Mortem Examinations. PMID- 29823866 TI - The Clinical Value of Poor-Law Infirmaries. PMID- 29823867 TI - A Debate on Cerebro-Spinal Meningitis: The Problems of Military Epidemics. PMID- 29823869 TI - Institutional Pharmacists and the "B.P." PMID- 29823868 TI - The Evolution of the Modern Hospital: II. The Nightingale School and a New Epoch. PMID- 29823871 TI - The Electro-Cardiograph: Laboratory Findings and Clinical Applications. PMID- 29823870 TI - Institutional Needs. PMID- 29823872 TI - Leicester as a Hospital Town: The Problem of Extended Accommodation. PMID- 29823874 TI - What Is "Ophthalmic Medicine"? PMID- 29823873 TI - The Values of Stocks at Given Times: King Edward's Hospital Fund for London Statistics.-Fifth Notice. PMID- 29823876 TI - The King at Cambridge. PMID- 29823875 TI - The Clinical Value of Poor-Law Infirmaries: The Root of the Medical Difficulty. PMID- 29823877 TI - The Pharmaceutical Society. PMID- 29823878 TI - Resident Appointments and the Present Emergency. PMID- 29823879 TI - The Editor's Letter-Box. PMID- 29823880 TI - Fellow-Workers and the Roll of Honour. PMID- 29823881 TI - Hospital and Institutional News. PMID- 29823882 TI - The Telephone in Medical Practice. PMID- 29823883 TI - Medical Gymnastics and Massage. PMID- 29823884 TI - A Township for the Blind. PMID- 29823885 TI - The Editor's Letter-Box. PMID- 29823886 TI - The Paddington Infirmary System. PMID- 29823887 TI - The Bombardment of Coast Towns: Brighton's Medical Emergency Scheme. PMID- 29823889 TI - St. George's Hospital. PMID- 29823890 TI - Ancoats Hospital and the War. PMID- 29823888 TI - The Clinical Value of Poor-Law Infirmaries. PMID- 29823891 TI - Royal Infirmary, Liverpool. PMID- 29823893 TI - The American Women's War Hospital. PMID- 29823892 TI - Medico-Social Questions and the War: The Profession and the Politicians. PMID- 29823894 TI - A Medical Causerie. PMID- 29823895 TI - The Evolution of the Modern Hospital: I. The Internal Revolution. PMID- 29823896 TI - Some Medical Lessons of the War: The Control of Camp Diseases. PMID- 29823897 TI - The Statistical Report for 1914. PMID- 29823898 TI - The Home Production of Food. PMID- 29823899 TI - Nurses' Accommodation at Glasgow Hospitals: An Educative Contrast and a Revelation. PMID- 29823900 TI - A Medical Causerie. PMID- 29823901 TI - Phthisis in the Boot and Shoe Industry: Medical Research Committee (First Report). PMID- 29823902 TI - A British Hospital at Limoges. PMID- 29823904 TI - Hospital and Institutional News. PMID- 29823905 TI - Hughlings Jackson. PMID- 29823903 TI - Parliament and the Profession. PMID- 29823906 TI - The Blind Soldier. PMID- 29823907 TI - Unqualified Practice. PMID- 29823908 TI - Fellow-Workers and the Roll of Honour. PMID- 29823909 TI - The British Hospitals Association: Mr. Wade Deacon's Address. PMID- 29823910 TI - The D.C.M. for Field Ambulance Men. PMID- 29823911 TI - Instruction in Medical Ethics. PMID- 29823912 TI - Emergency Military Hospital Construction. PMID- 29823913 TI - St. Bartholomew's Hospital: Precautions against Air Raids. PMID- 29823914 TI - A "Revolt" of Sanatorium Patients. PMID- 29823915 TI - Almeric Paget Massage Corps. PMID- 29823916 TI - The Use of Abbreviations in Prescribing. PMID- 29823918 TI - Hospital and Institutional News. PMID- 29823917 TI - Effects of the Increase in Employment of Women. PMID- 29823919 TI - Fellow-Workers and the Roll of Honour. PMID- 29823920 TI - The Strain on the Institutions. PMID- 29823922 TI - How the R.A.M.C. Saves Combatant Wastage. PMID- 29823921 TI - Patriotism and the Nurse-Training Schools: IV. Some London Poor-Law Infirmaries. PMID- 29823923 TI - Royal Victoria and West Hants Hospital. PMID- 29823924 TI - The Right to Change Your Doctor. PMID- 29823925 TI - Parliament and the Profession. PMID- 29823926 TI - Hospitals and the Poets.-II. The Medical Career of Oliver Goldsmith. PMID- 29823927 TI - Credulity and Credibility: By a Medical Officer from France. PMID- 29823928 TI - Textile Supplies for Hospitals: III. The Raw Materials: Cotton and Linen. PMID- 29823930 TI - The National Relief Fund in Scotland. PMID- 29823929 TI - Hospital and Institutional News. PMID- 29823931 TI - Parliament and the Profession. PMID- 29823932 TI - Poisons and Poisoning: Some Legal Difficulties Explained. PMID- 29823933 TI - Patriotism and the Nurse-Training Schools: VI. Guy's Hospital. PMID- 29823934 TI - Honours and the Nursing Profession. PMID- 29823935 TI - Clinical Tests of New Drugs. PMID- 29823936 TI - Robbing the Hospitals. PMID- 29823937 TI - A Great Extension Scheme at Cardiff: Colonel Bruce Vaughan's Enterprise and Success. PMID- 29823938 TI - Appeal and Accountancy Methods Examined. PMID- 29823939 TI - Allen and Hanburys' Bicentenary. PMID- 29823940 TI - Junior Students and Recruiting. PMID- 29823941 TI - An Extraordinary Case at Bradford. PMID- 29823943 TI - The London County Council. PMID- 29823942 TI - The Army and Territorial Nurses' Cape. PMID- 29823944 TI - The Medical Schools of British Hospitals: St. Bartholomew's Medical School. PMID- 29823945 TI - Legal Notes for Pharmacists. PMID- 29823946 TI - A Medical Causerie. PMID- 29823947 TI - Education in the Transvaal: Mr. C. Louis Leipoldt's Report as Medical Inspector. PMID- 29823948 TI - Fellow-Workers and the Roll of Honour. PMID- 29823949 TI - The Editor's Letter-Box. PMID- 29823950 TI - King George's Bed. PMID- 29823951 TI - Hospital and Institutional News. PMID- 29823952 TI - The Irish Matrons' Association and the Martyr Nurse. PMID- 29823953 TI - Chelsea Hospital for Women. PMID- 29823954 TI - The Royal Infirmary, Glasgow. PMID- 29823955 TI - About Rheumatism. PMID- 29823956 TI - Women Doctors after the War. PMID- 29823957 TI - Parliament and the Profession. PMID- 29823958 TI - Hospital and Institutional News. PMID- 29823959 TI - The Treatment of Naevi. PMID- 29823960 TI - Parliament and the Profession. PMID- 29823961 TI - Edith Cavell Home for Nurses: London Hospital. PMID- 29823962 TI - Mothercraft and Child-Welfare Centres: II. Difficulties and Problems. PMID- 29823963 TI - A Medical Causerie. PMID- 29823964 TI - The Profession and Titular Distinctions. PMID- 29823965 TI - Our Voluntary Hospitals: Some General Effects of the War. PMID- 29823966 TI - The Engineer's Department at Guy's Hospital. PMID- 29823967 TI - Round the World. PMID- 29823968 TI - The Royal Infirmary, Edinburgh. PMID- 29823970 TI - The Whistling Nuisance. PMID- 29823969 TI - The New King's College Hospital at Denmark Hill. PMID- 29823971 TI - A College of Nursing. PMID- 29823973 TI - The Enteric Fevers in the War: A Triumph of Scientific Medicine. PMID- 29823972 TI - An Important Military Research: The Control of Bilharzia Disease. PMID- 29823974 TI - The Women's Maternity Unit for Russia. PMID- 29823975 TI - Institutional Needs. PMID- 29823976 TI - Fellow-Workers and the Roll of Honour. PMID- 29823978 TI - Making the Unfit into Serviceable Recruits. PMID- 29823977 TI - Robbing the Hospitals: The Homoeopathic Hospital Case. PMID- 29823979 TI - Hospital and Institutional News. PMID- 29823980 TI - A Medical Causerie. PMID- 29823981 TI - Parliament and the Profession. PMID- 29823982 TI - The Western Hospital, Torquay. PMID- 29823983 TI - Possible Changes of the Future. PMID- 29823984 TI - Research at the Seat of War: The Combating of Wound Infections. PMID- 29823985 TI - Abnormal Times and Their Burdens. PMID- 29823986 TI - Coventry and Warwickshire Hospital. PMID- 29823987 TI - Honours and the Nursing Profession. PMID- 29823988 TI - Rules as to Behaviour during Sickness. PMID- 29823989 TI - The Termination of Honorary Staff Appointments. PMID- 29823990 TI - Voluntary Work for Military Hospitals: A Bournemouth Workshop. PMID- 29823991 TI - The Supply of Medical Students. PMID- 29823993 TI - The Settlement of Disputes. PMID- 29823992 TI - Legal Notes for Institutional Workers. PMID- 29823994 TI - Samaritan Free Hospital for Women. PMID- 29823995 TI - American Ideals and Hospital Efficiency: Looking Forward. PMID- 29823997 TI - The Hospital System of India. PMID- 29823996 TI - The Regimental Medical Officer: An Outline of His Duties. PMID- 29823998 TI - Something New in Medicine. PMID- 29823999 TI - A Medical Causerie. PMID- 29824000 TI - Mothercraft and Child-Welfare Centres: I. How to Manage Schools for Mothers. PMID- 29824001 TI - Fellow-Workers and the Roll of Honour. PMID- 29824002 TI - Hospital and Institutional News. PMID- 29824003 TI - The Work of the R.A.M.C.: Another Record of Gallant Deeds. PMID- 29824004 TI - Parliament and the Profession. PMID- 29824005 TI - Uniform Compliments Invite Criticism on Dublin Hospitals. PMID- 29824006 TI - Modern Tendencies in Hospital Administration. PMID- 29824007 TI - Hospitals and the Conversion of Consols: Pros and Cons by a Secretary. PMID- 29824008 TI - Voluntary Hospitals and Local Health Authorities: What University College Hospital Is Doing. PMID- 29824009 TI - The Hospital for Sick Children. PMID- 29824011 TI - The Value of Percussion. PMID- 29824010 TI - Efficient Care Committees. PMID- 29824012 TI - Acute Nephritis in the Army: A Curious Outbreak in Flanders. PMID- 29824013 TI - Professional and Popular Freedom. PMID- 29824014 TI - How to Prepare an Annual Report: A Secretary Gives His View. PMID- 29824015 TI - Middlesex Hospital Medical School. PMID- 29824016 TI - Institutional Needs. PMID- 29824017 TI - Parliament and the Profession. PMID- 29824018 TI - Fellow-Workers and the Roll of Honour. PMID- 29824020 TI - Mind Blindness and Visual Memories: How the Brain Works: The Exceptional Child. PMID- 29824019 TI - The Population Problem. PMID- 29824021 TI - Hospital and Institutional News. PMID- 29824022 TI - The Medical Profession and the New Taxes. PMID- 29824023 TI - How the Germans Treat Wounded Prisoners: The Testimony of a French Doctor. PMID- 29824024 TI - Passing Topics of the Day. PMID- 29824026 TI - The Royal Hospital for Sick Children, Glasgow. PMID- 29824025 TI - A Clinical Pilgrimage in War Time: The Children's Hospitals of Europe. PMID- 29824027 TI - Some Comparisons between London and Liverpool. PMID- 29824029 TI - Doctors and the War. PMID- 29824028 TI - Our Limbless Sailors and Soldiers: An Appeal. PMID- 29824030 TI - Fellow-Workers and the Roll of Honour. PMID- 29824031 TI - Hospital and Institutional News. PMID- 29824032 TI - The Distribution of Medical Officers in the Expeditionary Force. PMID- 29824033 TI - The Current Week's Proceedings. PMID- 29824035 TI - A Reminiscence of 1914: Christmas Morning with an Ambulance. PMID- 29824034 TI - The Living and Dead Hands. PMID- 29824037 TI - Meeting of the Governors and General Council. PMID- 29824036 TI - Kitchen and Stores Department: "Tip and Non-Tip" Kitchen Boilers. PMID- 29824039 TI - Hospital Cost and Hospital Statistics. PMID- 29824038 TI - The League of Mercy: Annual Meeting at St. James's Palace. PMID- 29824040 TI - Hospital Administration in War-Time. PMID- 29824041 TI - King Edward's Hospital Fund for London: The Distribution Committee's Report. PMID- 29824042 TI - Annual Meeting of Constituents. PMID- 29824043 TI - Sir Ernest Cassel's Further Gifts to Hospitals. PMID- 29824044 TI - Hospital and Institutional News. PMID- 29824045 TI - What Should They Publish about Their Work and Needs? PMID- 29824047 TI - The Medical Examination of Recruits. PMID- 29824046 TI - A Talk about Voluntary Hospitals. PMID- 29824048 TI - What Should They Publish about Their Work and Needs? PMID- 29824049 TI - Cost of London and Glasgow Hospitals Compared. PMID- 29824050 TI - The Nation's Awakening: An Opportunity for the Churches. PMID- 29824051 TI - Christmas with the Wounded and Sick. PMID- 29824052 TI - Entertainments in Hospitals. PMID- 29824053 TI - Round the London Hospitals. PMID- 29824054 TI - Christmas Day at Guy's Hospital: A Wonderful Atmosphere of Unselfish Effort. PMID- 29824055 TI - Some Military and Provincial Hospitals. PMID- 29824056 TI - Institutional Needs. PMID- 29824058 TI - Fellow-Workers and the Roll of Honour. PMID- 29824057 TI - Manchester and the Wounded. PMID- 29824059 TI - Hospital and Institutional News. PMID- 29824060 TI - Christmas in the Hospitals: England's Greeting. PMID- 29824061 TI - Parliament and the Profession. PMID- 29824062 TI - Hospital Equipment in War-Time. PMID- 29824063 TI - Bristol Royal Infirmary. PMID- 29824064 TI - Round the World. PMID- 29824065 TI - The Numbers of Practitioners and Students. PMID- 29824066 TI - Matrons and Sisters. PMID- 29824067 TI - Textile Supplies for Hospitals: IV. The Animal Fibres. PMID- 29824068 TI - The Will to Recover: Its Victories and Limitations. PMID- 29824069 TI - Hospital and Institutional News. PMID- 29824070 TI - "The Greatest Sin against Our Country". PMID- 29824072 TI - Tobacco and the Soldier: The Medico-Military Problem. PMID- 29824071 TI - Parliament and the Profession. PMID- 29824073 TI - The Medical Examination of Recruits: An Effort to Amend the Muddle. PMID- 29824074 TI - Hospitals and the Poets.-III. Keats' Seven Years of Medicine. PMID- 29824075 TI - Round the Hospitals. PMID- 29824076 TI - Parliament and the Profession. PMID- 29824078 TI - Cubic Air Space for Institutional Infants. PMID- 29824077 TI - Hospital and Institutional News. PMID- 29824080 TI - The War and Voluntary Hospital Beds: Military Convalescents v. Urgent Cases. PMID- 29824079 TI - The Army and Territorial Nurses' Cape. PMID- 29824081 TI - Rheumatism in Its Professional and Popular Aspects. PMID- 29824082 TI - Patriotism and the Nurse-Training Schools: II. The London Hospital. PMID- 29824084 TI - The Grievances of Poor-Law Medical Officers. PMID- 29824083 TI - A Medical Causerie. PMID- 29824085 TI - Institutional Needs. PMID- 29824086 TI - Heroism in Hospital Workers. PMID- 29824087 TI - Some Problems Which Press. PMID- 29824088 TI - Under the Red Cross: A Record of Wonderful Achievements. PMID- 29824090 TI - Some Military Medical Economies: The Value of Criticism. PMID- 29824089 TI - Medical Service during War and Peace. PMID- 29824091 TI - A Medical Causerie. PMID- 29824092 TI - Professional Handwriting. PMID- 29824093 TI - Matrons and Sisters. PMID- 29824094 TI - The Florence Nightingale Memorial. PMID- 29824096 TI - Recent Attacks on the Uniform System: Some Criticisms and Suggestions. PMID- 29824095 TI - How to Obtain Laundry Hands. PMID- 29824097 TI - Legal Notes for Institutional Workers. PMID- 29824099 TI - Domestic Economy in the Isolation Hospital: An Example of Prudent Housekeeping. PMID- 29824098 TI - Reports on Hospitals of the United Kingdom: The New Hospital Wards at Newcastle Union Workhouse. PMID- 29824100 TI - Hospital and Institutional News. PMID- 29824101 TI - Some Nursing Developments. PMID- 29824102 TI - Medical Papers in Public Libraries. PMID- 29824103 TI - How to Buy Textiles Cheaply. PMID- 29824104 TI - Ambulance Detachment on Duty Every Night at St. Bartholomew's Hospital. PMID- 29824105 TI - Hospital and Institutional News. PMID- 29824106 TI - The Real King Edward the VIIth: Lord Redesdale's Experiences. PMID- 29824107 TI - Fellow-Workers and the Roll of Honour. PMID- 29824108 TI - Patriotism and the Nurse-Training Schools: V. Some Provincial Poor-Law Infirmaries. PMID- 29824109 TI - Institutional Needs. PMID- 29824111 TI - Memorials to Nurse Cavell. PMID- 29824110 TI - The Population Problem: The Importance of Maternal Mortality as a Factor. PMID- 29824113 TI - Parliament and the Profession. PMID- 29824112 TI - Hospital Meetings. PMID- 29824115 TI - Childbed Mortality. PMID- 29824114 TI - A Lay Journal on Medical Education. PMID- 29824117 TI - Royal College of Surgeons: Annual Meeting. PMID- 29824116 TI - Hospital Weakness and Hospital Strength: When the Voluntary Hospital Triumphs. PMID- 29824118 TI - The New Medical Benefit Regulations. PMID- 29824119 TI - "Frost-Bite" in the Trenches. PMID- 29824121 TI - Hospital and Institutional News. PMID- 29824120 TI - The Statistical Report for 1914. PMID- 29824123 TI - Parliament and the Profession. PMID- 29824122 TI - Fellow-Workers and the Roll of Honour. PMID- 29824124 TI - The Examination of Fatigued Children. PMID- 29824126 TI - Institutional Needs. PMID- 29824125 TI - The 3rd London General Hospital. PMID- 29824127 TI - The Practitioner and the Professional Soldier: Their Relations in the R.A.M.C. PMID- 29824128 TI - Military and Medical Recruiting. PMID- 29824129 TI - Eye-Strain as a Cause of Disease: Factors in Successful Treatment. PMID- 29824130 TI - Personal Service in Leicester: Some Fruits of War-Time. PMID- 29824131 TI - Patriotism and the Nurse-Training Schools: III. A Group of North-Country Hospitals. PMID- 29824132 TI - Should Pyrexia Be Treated? PMID- 29824133 TI - Another Raid on the Civil Hospitals. PMID- 29824134 TI - Tetanus in War: Value of the Serum Treatment. PMID- 29824135 TI - The Training of Memory. PMID- 29824136 TI - A Glance at Some Contemporaries. PMID- 29824138 TI - The Manchester Royal Infirmary. PMID- 29824137 TI - Hospital Economy in War-Time. PMID- 29824139 TI - The Vacant Secretaryship at Norwich: Hundreds of Applications or None? PMID- 29824140 TI - The "Massage Establishments" Scandal: Lords' Select Committee's Inquiry and Decision. PMID- 29824141 TI - The Editor's Letter-Box. PMID- 29824143 TI - Hospital and Institutional News. PMID- 29824142 TI - Hospital Saturday, 1915. PMID- 29824144 TI - War Equipment. PMID- 29824145 TI - The Regimental Stretcher-Bearers: Their Heroism and Grit. PMID- 29824147 TI - Some General Effects of War Upon the Voluntary Hospitals. PMID- 29824146 TI - Hospital Barges for the Wounded. PMID- 29824148 TI - Pubiotomy, Caesarean Section, and Induction. PMID- 29824149 TI - Fellow-Workers and the Roll of Honour. PMID- 29824150 TI - Hospitals and the Poets.- The Poet Laureate, Henley, and Two Famous Hospitals. PMID- 29824151 TI - Hospital and Institutional News. PMID- 29824153 TI - A Revival in Antiseptics: Two Interesting Papers. PMID- 29824152 TI - The Treatment of Wounds Controversy. PMID- 29824155 TI - Round the World. PMID- 29824154 TI - Textile Supplies for Hospitals: II. The Basis of Values. PMID- 29824156 TI - The Tubercular Patients Problem. PMID- 29824157 TI - The Vanquishing of Ophthalmia: A Crusade against One of the Plagues of Egypt. PMID- 29824158 TI - The Treatment of Abdominal Wounds: The Contrasts of Two Campaigns. PMID- 29824159 TI - The Finance of a Year's Red Cross Work: The Administration of Two Millions of Money. PMID- 29824160 TI - St. Mary's Hospital for Women and Children, Plaistow. PMID- 29824161 TI - A General Survey of Developments during the Year 1915. PMID- 29824163 TI - Errata. AB - [This corrects the article on p. 301 in vol. 59.]. PMID- 29824162 TI - Parliament and the Profession. PMID- 29824165 TI - Hours of Work for Women: Night Work for Nurses and Munition Workers. PMID- 29824164 TI - The Prevention of Venereal Diseases: The Report of the Royal Commission. PMID- 29824166 TI - To the R.N. Division. PMID- 29824167 TI - The Canonisation of Research. PMID- 29824168 TI - A Nursing Mess and Its Teaching. PMID- 29824169 TI - The Price of Gas. PMID- 29824170 TI - Where a Nursing Sister Was Not Even a Nurse. PMID- 29824171 TI - A Word of Caution to Hospital Buyers: Have Drugs Passed Their Highest Price? PMID- 29824172 TI - Parliament and the Profession. PMID- 29824173 TI - The Pressure on the Profession. PMID- 29824174 TI - War Wastage. PMID- 29824175 TI - A Medical Causerie. PMID- 29824176 TI - Hospital and Institutional News. PMID- 29824177 TI - Trench Fever: A Diagnostic Dumping Ground? PMID- 29824179 TI - Institutional Needs. PMID- 29824178 TI - Round the Hospitals. PMID- 29824180 TI - St. Marylebone Health Society. PMID- 29824181 TI - Exclusions. PMID- 29824182 TI - The Judge's Summing-Up. PMID- 29824184 TI - Is Goitre an Infective Disease?: A Revolutionary Hypothesis and Its Consequences. PMID- 29824183 TI - Cancer and the Scientific Spirit. PMID- 29824185 TI - Mortuaries: Their Equipment and Management. PMID- 29824186 TI - Secret Terms in Physicians' Prescriptions. PMID- 29824188 TI - Hospitals and the Poets. VI. Walt Whitman as a Hospital Orderly. PMID- 29824187 TI - A Famous Foundling Hospital: Vospitatel'nie Dom, Moscow. PMID- 29824189 TI - Hospitals and the Spirit Tax. PMID- 29824190 TI - Before Mr. Justice Ridley and a Special Jury. PMID- 29824191 TI - Parliament and the Profession. PMID- 29824192 TI - The "Dreadnought" Hospital. A Successful and Busy Year. PMID- 29824193 TI - Hospital and Institutional News. PMID- 29824194 TI - Round the Hospitals. PMID- 29824195 TI - Textile Supplies for Hospitals: VII. Wool Clothing. PMID- 29824196 TI - The Meaning of "Infectious". PMID- 29824198 TI - Parliament and the Profession. PMID- 29824197 TI - Poor-Law Infirmaries in War-Time: How Difficulties Have Been Surmounted. PMID- 29824200 TI - Hospital and Institutional News. PMID- 29824199 TI - The Third London General Hospital, Wandsworth Common, S.W. PMID- 29824201 TI - The Universities and Medicine. PMID- 29824202 TI - Administrative and Medical Staff. PMID- 29824203 TI - Patriotism and the Nurse-Training Schools: I. Examples in Great Britain and Ireland. PMID- 29824204 TI - The Temporary War Hospital Attached to the General Hospital, Nottingham. PMID- 29824205 TI - The Nursing System: Some Difficulties and Differences. PMID- 29824206 TI - Some General Effects of War Upon the Voluntary Hospitals. PMID- 29824207 TI - Some Plans, Practical and Otherwise. PMID- 29824208 TI - The Red Cross and St. John's Organisation: The Joint Societies' Varied Field. PMID- 29824210 TI - Poor-Law Buildings and Military Hospitals. PMID- 29824209 TI - War Influences on Medical Staffs and the Profession. PMID- 29824211 TI - Hospital Provision: Its Difficulties and Limitations. PMID- 29824213 TI - The Fifth Northern General Hospital, Leicester: The Recent Additions. PMID- 29824212 TI - The Treatment of Wounds Controversy. PMID- 29824214 TI - Hospital and Institutional News. PMID- 29824215 TI - St. Bartholomew's Hospital Action. PMID- 29824216 TI - Florence Nightingale, O.M.: The Memorial Service at St. Paul's Cathedral. PMID- 29824217 TI - Textile Supplies for Hospitals: V. The Methods of Manufacture. PMID- 29824218 TI - Margarine versus Butter. PMID- 29824219 TI - A Matron's Problem. PMID- 29824220 TI - The Treatment of Disabled Soldiers. PMID- 29824221 TI - Royal Mineral Water Hospital, Bath. PMID- 29824223 TI - The Incorporated Society of Trained Masseuses. PMID- 29824222 TI - South London Hospital for Women. PMID- 29824224 TI - A Medical Aspect of War Wastage. PMID- 29824225 TI - Round the Hospitals. PMID- 29824226 TI - Nurses Not in the Lime Light. PMID- 29824227 TI - How Not to Seek Promotion. PMID- 29824229 TI - Food Economy in Institutions: How to Prepare a Menu. PMID- 29824228 TI - Form of Service Used at the Unveiling by Her Majesty the Queen of the Memorial to Miss Florence Nightingale, O.M.: St. Paul's Cathedral, February 14, 1916, at 2:15 p.m. PMID- 29824230 TI - Hospitals and the Poets.-IV.Crabbe, Akenside, and Armstrong. PMID- 29824231 TI - Are Assistant Matrons Unbusinesslike? PMID- 29824232 TI - The Law in Institutional Practice: An Important Pronouncement. PMID- 29824233 TI - Infectious Disease and Its Notification. PMID- 29824234 TI - Medical Papers in Public Libraries. PMID- 29824235 TI - An Appeal for L200,000. PMID- 29824237 TI - Textile Supplies for Hospitals: VI. Hospital Blankets. PMID- 29824236 TI - The Analogy between the Legal and Nursing Professions. PMID- 29824238 TI - Schools of Massage: National Hospital for the Paralysed and Epileptic. PMID- 29824239 TI - Hospital and Institutional News. PMID- 29824240 TI - Vaccines for the Allied Armies: The Inoculation Department at St. Mary's Hospital. PMID- 29824241 TI - Traumatic Neurasthenia: The Borderline of Malingering. PMID- 29824242 TI - Hospitals and the Poets.-V. Dr. Erasmus Darwin, Scientist, Physician, and Poet. PMID- 29824243 TI - The Middlesex Hospital. PMID- 29824244 TI - Domestic Economy in Isolation Hospitals. PMID- 29824246 TI - The Florence Nightingale Memorial. PMID- 29824245 TI - The Inherent Statistical Difference of Particular Hospitals. PMID- 29824247 TI - Round the Hospitals. PMID- 29824248 TI - The Influence of Evidence in Medical Practice. PMID- 29824250 TI - The Cancer Problem. PMID- 29824249 TI - Parliament and the Profession. PMID- 29824252 TI - The London Hospital. PMID- 29824251 TI - Lincoln County Hospital. PMID- 29824253 TI - The Record of the Arnold Hospital, Doncaster. PMID- 29824254 TI - The Population Problem. PMID- 29824256 TI - Work and Economy in War-Time: How to Secure Both by Co-Operation. PMID- 29824255 TI - The Hospital's Example in War-Time: A More Excellent Way. PMID- 29824257 TI - Some Older London Hospitals: How They Have Been Re-Created. PMID- 29824258 TI - Hospital and Institutional News. PMID- 29824260 TI - War Disadvantages at King's College Hospital. PMID- 29824259 TI - Hospital Needs and Hospital Appeals. PMID- 29824262 TI - Our Voluntary Hospitals and Institutions. PMID- 29824261 TI - Set Your Shoulder at the Wheel, to Advance the Business. PMID- 29824263 TI - A War Hospital Supply Depot. PMID- 29824264 TI - Every Hospital's Own Gazette: A Great Success at the Military Hospitals. PMID- 29824265 TI - A Layman's Account of a Ward's Equipment: What He Found at University College Hospital. PMID- 29824266 TI - Lord Derby's Grand Effort: The Medical Profession and Recruiting. PMID- 29824267 TI - The New King's College Hospital, London. PMID- 29824268 TI - Patriotism and Personal Service: How the Giving Public Were Recruited. PMID- 29824269 TI - Educational Value of Mr. Pite's Creation. PMID- 29824270 TI - Remember Absent Friends. PMID- 29824271 TI - Textile Supplies for Hospitals: Chapter I. With Subjects Still to Be Dealt with. PMID- 29824272 TI - Round the Hospitals. PMID- 29824273 TI - A Good Deodoriser. PMID- 29824274 TI - The Claim of the Doctor. PMID- 29824275 TI - The War's Effect on a Special Hospital: Phenomenal Increase in the Cost of Treatment. PMID- 29824276 TI - Carbolic-Acid Poisoning: An Experimental Investigation. PMID- 29824277 TI - Praise and Blame. PMID- 29824278 TI - The Unconscious Mental Life of the Child: Platform of Child Study Society. PMID- 29824279 TI - Research and Remedies. PMID- 29824281 TI - Schools of Massage.-II. St. Thomas's Hospital Physical Exercises and Massage School. PMID- 29824280 TI - Parliament and the Profession. PMID- 29824283 TI - Hospital and Institutional News. PMID- 29824282 TI - Linen Leagues for Hospitals: Their Growing Activities and Value. PMID- 29824284 TI - A Medical Causerie. PMID- 29824285 TI - Legal Notes for Institutional Workers. PMID- 29824286 TI - Patriotism and the Nurse-Training Schools: VII. A Typical Instance of Good Organisation. PMID- 29824287 TI - Twenty Years' Experience and Results. PMID- 29824289 TI - The War Office and the Poor-Law Infirmary: Military and Civilian Standards. PMID- 29824288 TI - Empire Hospital for Paying Patients, Vincent Square, S.W. PMID- 29824291 TI - Medical Papers in Public Libraries. PMID- 29824290 TI - A Committee of Inquiry Appointed. PMID- 29824292 TI - Florence Nightingale and the War. PMID- 29824294 TI - The Future of Medical Education. PMID- 29824293 TI - The Hospitalisation of the Asylum. PMID- 29824296 TI - The Institutional Treatment of Venereal Disease: Isolation and Other Knotty Problems. PMID- 29824295 TI - The Uniform System of Accounts. PMID- 29824298 TI - A Medical Causerie. PMID- 29824297 TI - Rat Extermination in Institutions. PMID- 29824299 TI - Objections and Difficulties. PMID- 29824300 TI - The New Wards at Newcastle Union. PMID- 29824301 TI - Round the Hospitals. PMID- 29824302 TI - Domestic Economy in the Isolation Hospital. PMID- 29824303 TI - Is State Recognition in Sight? PMID- 29824304 TI - How to Sell Waste Paper. PMID- 29824305 TI - The Pharmaceutical Society and the Sale of Laudanum. PMID- 29824306 TI - Colonel Bruce Vaughan's Assured Victory. PMID- 29824308 TI - St. Mary's Hospital Medical School. PMID- 29824307 TI - Training in Surgical Efficiency: An Original College of Surgery. PMID- 29824309 TI - Parliament and the Profession. PMID- 29824310 TI - Hospital and Institutional News. PMID- 29824311 TI - Female Nurses in the Male Wards of Mental Hospitals in Scotland. PMID- 29824312 TI - Hospital and Institutional News. PMID- 29824313 TI - Fellow-Workers and the Roll of Honour. PMID- 29824315 TI - Hospitals V. School Clinics. PMID- 29824314 TI - Adelaide Hospital, South Australia. PMID- 29824316 TI - The Royal Society of Medicine. PMID- 29824317 TI - Payments to Hospitals by Insured In-Patients without Dependants. PMID- 29824318 TI - The Limitations of Medical Opinion. PMID- 29824319 TI - Case Notes of an Obscure Disease. PMID- 29824320 TI - The Work of the R.A.M.C.: Another Record of Gallant Deeds. PMID- 29824321 TI - History of Case 2. PMID- 29824322 TI - The War and Infant Welfare. PMID- 29824323 TI - Institutional Needs. PMID- 29824324 TI - The Insurance Act Drug Tariff: Drastic Changes Proposed. PMID- 29824325 TI - A Medical Causerie. PMID- 29824326 TI - Royal Hospital for Sick Children, Glasgow. PMID- 29824327 TI - R.M.O. and the War Office: Something Wrong Somewhere? PMID- 29824329 TI - A Rural Tuberculosis Dispensary: A Guide to Its Equipment and Cost. PMID- 29824328 TI - A War Emergency Committee for London. PMID- 29824331 TI - Mumps and Parotitis. PMID- 29824330 TI - The Gloucestershire Royal Infirmary and Eye Institution. PMID- 29824332 TI - The Enlistment of Insured Persons. PMID- 29824333 TI - Fires Due to Air Raids. PMID- 29824334 TI - Disease Germs and Evolution: Epidemics, War, and the Public Health. PMID- 29824335 TI - Hospital and Health Law in the Empire and U.S.A. PMID- 29824336 TI - How to Sign a Prescription: The Latest Insurance Act Problem. PMID- 29824337 TI - Fellow-Workers and the Roll of Honour. PMID- 29824338 TI - London and Counties Medical Protection Society: The Profession and Its Safeguards. PMID- 29824339 TI - The Provision for Cases of Senile Insanity. PMID- 29824340 TI - Hospital and Institutional News. PMID- 29824341 TI - St. Magnus the Martyr and Hospital Sunday. PMID- 29824343 TI - St. Thomas's Hospital as a Type. PMID- 29824342 TI - The Voluntary Hospitals' Budget. PMID- 29824344 TI - The Seamen's Hospital. PMID- 29824345 TI - The Gospel of Personal Service. PMID- 29824346 TI - The Merriment of Mr. Stephen Coleridge. PMID- 29824348 TI - Fellow-Workers and the Roll of Honour. PMID- 29824347 TI - Royal Devon and Exeter Hospital. PMID- 29824350 TI - Hospital and Institutional News. PMID- 29824349 TI - Manchester Hospital War Work. PMID- 29824351 TI - The New Huts at St. Thomas's Hospital: The Problem of Additional Accommodation. PMID- 29824352 TI - A Medical Causerie. PMID- 29824353 TI - Professional Procedure and Panel Patients. PMID- 29824354 TI - My Commando Experiences in the Rebellion. PMID- 29824355 TI - The Hospital Life of the Wounded: Comradeship, Cheerfulness, and Cigarette Smoking. PMID- 29824356 TI - A Medical Causerie. PMID- 29824357 TI - The Treatment of Wounds in War. PMID- 29824358 TI - The War and Dietaries in Poor-Law Institutions: The Proper Way to Economise. PMID- 29824359 TI - Sir William Osler, Bart., on Some Results of the War. PMID- 29824360 TI - Hospital and Institutional News. PMID- 29824361 TI - The Military Cross for Medical Heroism: Decorations for Colonial Doctors. PMID- 29824362 TI - The New Chelsea Hospital for Women. PMID- 29824364 TI - Fellow-Workers and the Roll of Honour. PMID- 29824363 TI - Scottish Medical Service Emergency Committee. PMID- 29824366 TI - Suicide Made Easy. PMID- 29824365 TI - A List of Medical Offers of Service. PMID- 29824367 TI - Hospitals and the Spirit Tax: Mr. F. A. Hocking's Proposals. PMID- 29824368 TI - Bravery in the Ranks: the Work of the Overseas Medical Corps. PMID- 29824369 TI - The Position of War Consultants: The Government's New Policy. PMID- 29824370 TI - The Medical Profession and the War Office. PMID- 29824371 TI - Zeppelin Raids: Fire Precautions at the London Hospital. PMID- 29824372 TI - National Insurance Committees: Injustice and Unreason. PMID- 29824373 TI - A Medical Causerie. PMID- 29824374 TI - An Appreciation of Mr. W. G. Carnt. PMID- 29824375 TI - Fellow-Workers and the Roll of Honour. PMID- 29824377 TI - The Western Infirmary, Glasgow. PMID- 29824376 TI - Hospital and Institutional News. PMID- 29824379 TI - Endowed Beds with a History: II. In the Provincial and Scotch Hospitals. PMID- 29824378 TI - Tincture of Opium and Laudanum. PMID- 29824381 TI - Disabled Warriors and Parliament: Their First Claim on the Nation's Resources. PMID- 29824380 TI - The Pneumococcus Carrier. PMID- 29824382 TI - Leicester Panel Doctor Sued. PMID- 29824384 TI - Legal Notes for Institutional Workers. PMID- 29824383 TI - The Organisation of Hospital Fire Brigades. PMID- 29824386 TI - Fellow-Workers and the Roll of Honour. PMID- 29824385 TI - Tuberculin in Ophthalmic Practice: The Method Adopted and Results. PMID- 29824387 TI - The Evolution of the Modern Hospital: V. Medical Education, Administration, and Finance. PMID- 29824388 TI - A Territorial's "Internment" in an Isolation Hospital. PMID- 29824389 TI - The Easter Holiday. PMID- 29824390 TI - A Medical Causerie. PMID- 29824392 TI - The "Notes" in the Annual Returns: King Edward's Hospital Fund for London Statistics. PMID- 29824391 TI - The Colony for Cripples, Chailey. PMID- 29824393 TI - Hospital and Institutional News. PMID- 29824394 TI - The Medical Needs of the Army. PMID- 29824395 TI - The Department of Modern Nursing: XI. The Royal Infirmary of Edinburgh. PMID- 29824397 TI - Case Notes of an Obscure Disease. PMID- 29824396 TI - The Welsh Anti-Tuberculosis Campaign: The Measure of the Memorial Association's Activities. PMID- 29824398 TI - Some Points from Recent Circulars. PMID- 29824399 TI - Of Functional Nervous Disease. PMID- 29824400 TI - Possibly Abortive Cerebro-Spinal Fever. PMID- 29824401 TI - Fellow-Workers and the Roll of Honour. PMID- 29824402 TI - A Profitable Hospital Garden. PMID- 29824403 TI - The Metropolitan Asylums Board Report: 1914 a Strenuous Year. PMID- 29824404 TI - The Medical Needs of the Army and of the Hospitals. PMID- 29824405 TI - Hospital and Institutional News. PMID- 29824406 TI - The Need of More Facilities for Post-Graduate Study. PMID- 29824407 TI - A Doctor's Fear of Premature Cremation. PMID- 29824408 TI - From Pharmacy to Medicine. PMID- 29824409 TI - Some Public Health Reports. PMID- 29824410 TI - The Reserves of Beds in London Hospitals: King Edward's Hospital Fund for London Statistics. PMID- 29824411 TI - Dr. F. J. Waldo's Experiences in 1914. PMID- 29824412 TI - The Early Diagnosis of Pulmonary Tuberculosis from the View Point of General Practice. PMID- 29824413 TI - Fellow-Workers and the Roll of Honour. PMID- 29824414 TI - The Speech Clinic at St. Thomas's Hospital: The Case for General Adoption. PMID- 29824416 TI - A Medical Causerie. PMID- 29824415 TI - The Royal Hospital for Incurables. PMID- 29824418 TI - Military Methods in Medicine. PMID- 29824417 TI - Hospital and Institutional News. PMID- 29824419 TI - Birds in My Garden. PMID- 29824420 TI - Service and Silence. PMID- 29824421 TI - The Late Sir William Gowers, M.D., F.R.S. PMID- 29824422 TI - A Hospital for Belgian Soldiers. PMID- 29824423 TI - The London University Course. PMID- 29824424 TI - Graduate Study in London Special Hospitals. PMID- 29824425 TI - The Fellowship of the Royal College of Surgeons. PMID- 29824426 TI - The Royal Naval Medical Service In War and Peace. PMID- 29824428 TI - Cambridge University Course. PMID- 29824427 TI - Some Consequences of the War. PMID- 29824430 TI - Hospital and Institutional News. PMID- 29824429 TI - The Poor-Law Medical Service: Its Hospital Branch. PMID- 29824431 TI - The Medical Schools of the United Kingdom. PMID- 29824432 TI - Higher Diplomas. PMID- 29824434 TI - Manchester's Misfortune: The Retirement of Mr. Walter G. Carnt. PMID- 29824433 TI - Qualification and Registration. PMID- 29824435 TI - The Royal Army Medical Corps: How Matters Stand To-Day. PMID- 29824436 TI - London Post-Graduate Institutions. PMID- 29824438 TI - The Public Services. PMID- 29824437 TI - The Choice of Medicine as a Career. PMID- 29824439 TI - Oxford University Course. PMID- 29824440 TI - The English Conjoint Course. PMID- 29824441 TI - The Study of Tropical Medicine: Some Colonial Office Requirements. PMID- 29824442 TI - The Market Value of Hospital Service. PMID- 29824444 TI - Women's Future in Medicine: Achievements and Opportunities. PMID- 29824443 TI - Women in Pharmacy. PMID- 29824445 TI - The Educative Work of the School Doctor: Nasal Troubles in School Children. PMID- 29824447 TI - The Laundry Expenses of Hospitals: King Edward's Hospital Fund Statistics. PMID- 29824446 TI - Two Curious Bullet Wounds of the Neck. PMID- 29824448 TI - War Service at Home. PMID- 29824449 TI - How the Hospital Is Helping in the War. PMID- 29824451 TI - Open-Air Wards in Peace and War: The Lessons of the Cambridge Experiment. PMID- 29824450 TI - A Reduction in a Drug Account. PMID- 29824452 TI - The Hospital Egg: An Egg-Farmer's View. PMID- 29824453 TI - Hospitals and the Spirit Tax. PMID- 29824455 TI - Hospital and Institutional News. PMID- 29824454 TI - Research and Remedies. PMID- 29824457 TI - Legal Notes for Institutional Workers. PMID- 29824456 TI - Disablement Pensions and Reduced Sickness Benefit. PMID- 29824458 TI - Oldham's Work for the Wounded. PMID- 29824459 TI - Fellow-Workers and the Roll of Honour. PMID- 29824460 TI - The Responsibility for the Medical Care of Hospital Patients. PMID- 29824461 TI - The Education of the Defective in Canada: The Benefits of Auxiliary Classes. PMID- 29824463 TI - Hospitals and the Holiday Season. PMID- 29824462 TI - The Annual Dinner and the War. PMID- 29824464 TI - The New Sanatorium at Leicester. PMID- 29824465 TI - Nurse Training in Three Cottage Hospitals: Teignmouth, Dawlish, Newton Abbot. PMID- 29824466 TI - City Sanatorium, Birmingham. PMID- 29824467 TI - Discipline in the New Military Hospitals: Problems Arising from an Initial Mistake. PMID- 29824468 TI - Traumatism and Disease: Difficulties under the Workmen's Compensation Act. PMID- 29824469 TI - Hospital and Institutional News. PMID- 29824470 TI - The Pharmaceutical Society and the War. PMID- 29824471 TI - Fellow-Workers and the Roll of Honour. PMID- 29824472 TI - Queen Mary's Convalescent Auxiliary Hospitals. PMID- 29824473 TI - A Medical Causerie. PMID- 29824474 TI - The Hospital Needs of Our British Forces. PMID- 29824476 TI - The Teutonic Health Resorts: British Substitutes That Need Awakening. PMID- 29824475 TI - The Military Hospital, Sierra Leone. PMID- 29824478 TI - Institutions and the Drug Supply. PMID- 29824477 TI - Medical Baths for Invalid Soldiers. PMID- 29824479 TI - The Military Cross for an Army Doctor. PMID- 29824480 TI - Surgical Experiences: The Septic Infection of Wounds. PMID- 29824481 TI - Practical Points in Diagnosis and Treatment. PMID- 29824482 TI - Four Remarkable Cases: Genito-Urinary Sporotrichosis in New Zealand. PMID- 29824483 TI - Fellow-Workers and the Roll of Honour. PMID- 29824484 TI - Institutional Needs. PMID- 29824486 TI - Public Pharmacists' "Open Evening". PMID- 29824485 TI - The John Coupland Hospital, Gainsborough. PMID- 29824488 TI - Hypnosis Produced in Battle. PMID- 29824487 TI - The Performance of Operations. PMID- 29824490 TI - Condensed and Dried Milk and Tuberculosis: The Infectivity of Preserved Specimens. PMID- 29824489 TI - Hospital and Institutional News. PMID- 29824491 TI - The Handicap of the First-Born: The Small Family and Racial Progress. PMID- 29824492 TI - Legal Notes for Institutional Workers. PMID- 29824494 TI - Medical Service in the Highlands and Islands: Life and Needs of the Remote Doctors. PMID- 29824493 TI - Notes by a Surgeon on Active Service. PMID- 29824495 TI - The Cause of Poor-Law Reform: Two Typical Needs and the Remedy. PMID- 29824497 TI - Fellow-Workers and the Roll of Honour. PMID- 29824496 TI - The Hanbury Medallist. PMID- 29824498 TI - Voyages and Equipment of the Hospital Ship Madras. PMID- 29824499 TI - The Organisation of Military Medical Services. PMID- 29824500 TI - Women Students at Charing Cross Hospital. PMID- 29824501 TI - The Hospital Egg: Merchants' Views. PMID- 29824503 TI - The Parliamentary Debate on the Cost of National Insurance. PMID- 29824502 TI - Hospital and Institutional News. PMID- 29824504 TI - A Red Cross Memorial. PMID- 29824505 TI - Hospitals and the Spirit Tax. PMID- 29824506 TI - Pickled Eggs-And Preserving Jam. PMID- 29824507 TI - A Medical Causerie. PMID- 29824508 TI - Institutional Needs. PMID- 29824509 TI - Hospitals and the Spirit Duties. PMID- 29824510 TI - Hospital Sunday Special Number. PMID- 29824511 TI - Derbyshire Royal Infirmary. PMID- 29824512 TI - Professional Secrecy and Public Justice. PMID- 29824513 TI - Dispensary Attendances. PMID- 29824515 TI - Research and Remedies. PMID- 29824514 TI - Economy and Hospital Gardens. PMID- 29824516 TI - The Editor's Letter-Box. PMID- 29824517 TI - Fellow-Workers and the Roll of Honour. PMID- 29824518 TI - Economy and Hospital Gardens. PMID- 29824519 TI - Hospitals and the Spirit Tax: Where the British Medical Association's Case Fails. PMID- 29824520 TI - Hospital and Institutional News. PMID- 29824521 TI - Mental Hospitals and Recruiting: Replacing Attendants by Women Nurses. PMID- 29824522 TI - The Hospital Egg. PMID- 29824524 TI - Memorials to Medical Men: Westminster Abbey. PMID- 29824523 TI - Dispensary Attendances. PMID- 29824525 TI - The School Doctor's Outfit: I. The Lesson of Experience. PMID- 29824526 TI - Leicester Infirmary: Heating by Steam below Atmospheric Pressure. PMID- 29824527 TI - Mental Hospitals and Recruiting. PMID- 29824528 TI - The West London Hospital and the Three Examining Boards in London. PMID- 29824529 TI - The Hospital Egg. PMID- 29824530 TI - The Co-Operative Holiday System. PMID- 29824531 TI - The Responsibility of Names. PMID- 29824532 TI - Hospital Investments and Trustees: A Practical View of Depreciation. PMID- 29824533 TI - Voluntary Field Hospitals and Military Hygiene. PMID- 29824534 TI - Observation Wards in Isolation Hospitals: The Cruciform Plan. PMID- 29824535 TI - Hospitals and the Spirit Tax: The Government Amendment to the Finance Bill. PMID- 29824536 TI - Anti-Tuberculosis Organisation in London: Comprehensive Scheme for Adults and Children. PMID- 29824537 TI - Mentioned in Dispatches. PMID- 29824538 TI - Medical Organisation in German S.W. Africa: The Transport Problem. PMID- 29824540 TI - Fellow-Workers and the Roll of Honour. PMID- 29824539 TI - Hospital and Institutional News. PMID- 29824542 TI - A Medical Causerie. PMID- 29824541 TI - H.R.H. the Prince of Wales. PMID- 29824543 TI - The London Panel Committee. PMID- 29824544 TI - National Insurance Act Developments. PMID- 29824545 TI - A Testator's Intention. PMID- 29824546 TI - What Is a Clinical Lecture? PMID- 29824548 TI - War Work at the London Hospital: Staff, Salaries, and Air-Raid Decisions. PMID- 29824547 TI - Water-Cures in Peace and War: The Medical Bath in History. PMID- 29824549 TI - The Professional Classes Relief Fund: Dr. Scharlieb on Its Maternity Work. PMID- 29824550 TI - Hospital and Institutional News. PMID- 29824551 TI - Medical Schools and Medical Protection: "The Hospital"'s Criticism Endorsed. PMID- 29824552 TI - The Nature and Claims of Its Work. PMID- 29824553 TI - The Shortage in Hospital Medical Staffs: The Facts and the Remedies. PMID- 29824554 TI - The Sphygmometer and Aortic Regurgitation: An Opportunity for Valuable Work. PMID- 29824555 TI - Fellow-Workers and the Roll of Honour. PMID- 29824556 TI - National Service and the Hospitals. PMID- 29824557 TI - Anomalies and Curiosities of Medical Literature. PMID- 29824558 TI - Chapel of Great Barr Hall Institution, near Birmingham. PMID- 29824559 TI - The War Work of the Voluntary Hospitals. PMID- 29824560 TI - More Doctors Wanted-A Suggestion. PMID- 29824561 TI - The Standard of Mental Administration: Sir Thomas Clouston's Theories and Practice. PMID- 29824563 TI - Hospital and Institutional News. PMID- 29824562 TI - Fellow-Workers and the Roll of Honour. PMID- 29824564 TI - Legal Notes for Institutional Workers. PMID- 29824565 TI - A Plea for Co-Operation between the War Office and the National Insurance Commissioners. PMID- 29824566 TI - Treatment by Organic Extracts: A Fatal Case. PMID- 29824567 TI - A Medical Causerie. PMID- 29824568 TI - Eye Injuries in Warfare: The Reports at the Ophthalmological Congress. PMID- 29824569 TI - The After-Care of the Wounded. PMID- 29824571 TI - Military Medical Rank and Civil Practice. PMID- 29824570 TI - The Welfare of Blinded Soldiers. PMID- 29824573 TI - Derbyshire Children's Hospital. PMID- 29824572 TI - Public Pharmacists' Session Ends. PMID- 29824574 TI - Hospital and Institutional News. PMID- 29824575 TI - Fellow-Workers and the Roll of Honour. PMID- 29824576 TI - Radiology and Electro-Therapeutics in War-Time: Lessons from the Military Hospitals. PMID- 29824577 TI - Some Criticisms of Medical Fees. PMID- 29824579 TI - The Hospitals and Dispensaries of Bengal. PMID- 29824578 TI - Painless Childbirth in Twilight Sleep. PMID- 29824580 TI - Lateral Spinal Curvature-Urethroplasty. PMID- 29824581 TI - The Administration of the Lunacy Acts: Are Further Safeguards Needed? PMID- 29824582 TI - Enterprise in American Hospital Management: The Hutchinson Museum and Its Lessons. PMID- 29824584 TI - Albert Thomas, Our First Hospital Warrior: His Memorial, His Work and His Friends. PMID- 29824583 TI - Research and Remedies. PMID- 29824585 TI - The Royal Devon and Exeter Hospital. PMID- 29824586 TI - The Chancellor's Difficulties and a Way out. PMID- 29824587 TI - The Army, Hospital Governors and Resident Staffs. PMID- 29824588 TI - Cerebro-Spinal Meningitis: Its Infectivity and the Serum Treatment. PMID- 29824589 TI - The Call to the Medical Profession. PMID- 29824590 TI - Fellow-Workers and the Roll of Honour. PMID- 29824591 TI - Institutional Needs. PMID- 29824592 TI - Hospital and Institutional News. PMID- 29824593 TI - The Army Pharmaceutical Service. PMID- 29824594 TI - A Review of Its Poor-Law Medical Work. PMID- 29824596 TI - The Standard Opaque Meal for X-Ray Examination: The Cheapness of Barium Sulphate. PMID- 29824595 TI - Medical Reports on Hospital Patients. PMID- 29824598 TI - London Panel Committee. PMID- 29824597 TI - Building a Hospital in India: II. The Story of the Karnal District Hospital. PMID- 29824599 TI - St. Bartholomew's Hospital: Reports on Patients: Text of the Rules for the Medical Staff. PMID- 29824600 TI - Annual Meeting of Governors and General Council. PMID- 29824602 TI - Antiseptics and the War. PMID- 29824601 TI - Khaki, Rank, and Recognition for Dispensers in Military Hospitals. PMID- 29824603 TI - New Work and Its Problems at Ipswich. PMID- 29824604 TI - Fellow-Workers and the Roll of Honour. PMID- 29824606 TI - The Local Government Board and Guardians' Contracts. PMID- 29824605 TI - The Change of System on Its Trial. PMID- 29824607 TI - Hospital and Institutional News. PMID- 29824608 TI - Legal Notes for Institutional Workers. PMID- 29824609 TI - The New Physiological Buildings at Cardiff: The Question of a Treasury Grant. PMID- 29824610 TI - Hindrances to Medical Recruiting. PMID- 29824611 TI - Religio Medici Modereni. PMID- 29824612 TI - Heating of Leicester Infirmary. PMID- 29824613 TI - Female Nurses in Asylum Male Wards. PMID- 29824615 TI - A Medical Causerie. PMID- 29824614 TI - Endowed Beds with a History: I. In the London Hospitals. PMID- 29824617 TI - The Discharge of Tuberculous Soldiers from the French Army. PMID- 29824616 TI - Air-Raids and Bombardment of Institutions: The Government Insurance Scheme. PMID- 29824618 TI - The Educative Work of the School Doctor: II. Lantern Slides for Parents' Lectures. PMID- 29824619 TI - Hospitals and Spirit Tax. PMID- 29824621 TI - Fellow-Workers and the Roll of Honour. PMID- 29824620 TI - Hospitals and General Practitioners. PMID- 29824622 TI - Notes by a Surgeon on Active Service. PMID- 29824623 TI - Voluntary Hospitals and Military Hygiene. PMID- 29824624 TI - The Causes of Success and Failure. PMID- 29824625 TI - The Test of Conduct and Difficulty of Definition. PMID- 29824626 TI - Hospital and Institutional News. PMID- 29824627 TI - A Reduction in a Drug Account. PMID- 29824628 TI - Hospital Ships and the Right of Search: The Practical Lesson of the Ophelia Case. PMID- 29824629 TI - The Annual Conference and Exhibition. PMID- 29824630 TI - Hospitals and the Spirit Tax. PMID- 29824631 TI - Fellow-Workers and the Roll of Honour. PMID- 29824632 TI - General Medical Council and the Supply of Doctors. PMID- 29824633 TI - Medical Administration in the Trenches. PMID- 29824634 TI - Fires Due to Air Raids. PMID- 29824636 TI - The Cost to the State of National Health Insurance. PMID- 29824635 TI - The Editor's Letter-Box. PMID- 29824637 TI - The Medical Profession and the Notification of Births Act. PMID- 29824638 TI - The Educative Work of the School Doctor: Practical Points on Lectures to Parents. PMID- 29824639 TI - Hospital Unification in Cape Town: The Method of Control. PMID- 29824641 TI - The Rule in Bathing. PMID- 29824640 TI - War Service Badges for Hospital Staffs. PMID- 29824642 TI - Hospital and Institutional News. PMID- 29824643 TI - War Service Badges for Hospital Staffs: What to Avoid and What to Do. PMID- 29824645 TI - Fellow-Workers and the Roll of Honour. PMID- 29824644 TI - The Evolution of the Modern Hospital: VIII. The Problem of the Unpaid Staff. PMID- 29824646 TI - Arrears of Contributions and the Compulsory System. PMID- 29824647 TI - County Asylums as War Hospitals. PMID- 29824648 TI - Death Certificates and Insurance Companies: The Companies' Attitude and the Doctor's Rights. PMID- 29824649 TI - The Official Conditions for Obtaining Grants. PMID- 29824650 TI - The Valuation of Gifts in Kind. PMID- 29824651 TI - Hospital and Institutional News. PMID- 29824652 TI - The Training of the Health Visitor. PMID- 29824653 TI - Note by a Surgeon on Active Service. PMID- 29824654 TI - The Price of Coal (Limitation) Act, 1915: A Hospital Superintendent's Plea for Action. PMID- 29824655 TI - Female Nurses in Male Asylum Wards. PMID- 29824656 TI - Frauds on German Soldiers. PMID- 29824657 TI - Food Faddists and Something Worse. PMID- 29824658 TI - Bravery in the Ranks. PMID- 29824659 TI - Combined Coal and Gas Kitchener. PMID- 29824661 TI - The War Pinch on the Huns. PMID- 29824660 TI - Drug Values in the Treatment of Disease. PMID- 29824662 TI - War Service for Resident Medical Officers. PMID- 29824664 TI - Hospital and Institutional News. PMID- 29824663 TI - "The Uric Acid Fetish": The Decline of Its Flesh-Creeping Power. PMID- 29824665 TI - Shortage in X-Ray Operators. PMID- 29824666 TI - Miss Lena Ashwell's Concert Parties. PMID- 29824667 TI - The Public and Doctors for the Army. PMID- 29824668 TI - The Revised Uniform System of Accounts: The Three Funds Satisfied. PMID- 29824669 TI - Fellow-Workers and the Roll of Honour. PMID- 29824670 TI - War Effects on Sickness. PMID- 29824671 TI - The Finances of the Voluntary War Funds. PMID- 29824672 TI - Research and Remedies. PMID- 29824673 TI - On Hemiplegia in Childhood. PMID- 29824674 TI - Treatment of Tuberculous Bone Disease. PMID- 29824675 TI - The New Physiological Buildings at Cardiff: Sir William Osler's Wise Counsel. PMID- 29824676 TI - Organisation of a Red Cross Train: The Transit by Rail. PMID- 29824677 TI - How to Utilise Fat and Fish-Bones? PMID- 29824678 TI - The Comforts and Feeding of the Wounded during Transit: A Review of the Supply Organisation. PMID- 29824680 TI - Food in War-Time. PMID- 29824679 TI - A Medical Causerie. PMID- 29824681 TI - The Legal Status of the Hospital Ship in War-Time. PMID- 29824682 TI - Institutional Needs. PMID- 29824683 TI - Hospital and Institutional News. PMID- 29824684 TI - The Overseas Transport of Wounded: Life and Procedure on a Hospital Ship. PMID- 29824685 TI - Organising a Voluntary Aid Detachment: The Last Link in the Transport Service. PMID- 29824686 TI - The War Office and Its Temporary Hospitals. PMID- 29824687 TI - The After-Care of the Wounded. PMID- 29824688 TI - Fellow-Workers and the Roll of Honour. PMID- 29824690 TI - The Evolution of the Modern Hospital: VII. The Problem of the Unpaid Staff. PMID- 29824689 TI - Building a Hospital in India: I. The Story of the Karnal District Hospital. PMID- 29824691 TI - The National Care of the Sick and Wounded. PMID- 29824692 TI - A Red Cross Field Soup Kitchen: The Design and Equipment in Detail. PMID- 29824694 TI - Awards Recommended by the Committee for the Year 1915. PMID- 29824693 TI - Economy and the Food Question. PMID- 29824695 TI - British Hospitals Association: The Discussion on Mr. Buchanan's Paper. PMID- 29824696 TI - A Conversation at Charing Cross Hospital? PMID- 29824698 TI - The Shortage of Resident Medical Officers. PMID- 29824697 TI - The Hospital Egg: Imports and the Contract System. PMID- 29824699 TI - Report of the Committee of Distribution to the Council. PMID- 29824700 TI - A Medical Causerie. PMID- 29824701 TI - The Medical Corporations and the West London Hospital. PMID- 29824702 TI - A Year of War and Drug Prices. PMID- 29824703 TI - Larger Collections and Increased Grants: The Total of L70,600. PMID- 29824704 TI - Fellow-Workers and the Roll of Honour. PMID- 29824705 TI - Hospital and Institutional News. PMID- 29824706 TI - The School Doctor's Outfit: II. The Contents of the Doctor's Bag. PMID- 29824707 TI - Nurses' and Probationers' Food. PMID- 29824709 TI - The Discipline of Suffering. PMID- 29824708 TI - Alcohol at Certain General and Special Metropolitan Hospitals, 1875-6 to 1885. PMID- 29824710 TI - Invalid Passengers on Board Ship. PMID- 29824711 TI - From a Hospital for the Insane: The Few November Flowers. PMID- 29824712 TI - Difficult Cases. PMID- 29824713 TI - Annotations: The Out-Patient Question.-The Exhibition of Competition Plans. Incurable and Chronic v. Acute Diseases. PMID- 29824715 TI - The Hospitals of Our Grandfathers. PMID- 29824714 TI - Infectious Fevers and Diseases in London. PMID- 29824716 TI - Notes and News: The Registration Fee System.-Cottage Hospitals.-New Children's Hospital.-Statue of Sister Dora.-Out-Patients' Subscription Boxes.-Miller Hospital at Greenwich.-Vacancies.-Sheffield School of Medicine.-Cremation Society of England.-Church Parades.-New Chapel for Dublin.-The Bishop of Durham and the Newcastle Infirmary.-The Highgate Infirmary.-Professor Dyce-Davidson.-Mr. Emil Behnke.-Doctor Collie on Enteric Fever.-Temporary Hospitals in Liverpool, etc., etc. PMID- 29824717 TI - Discharged. Not Where to Lay His Head: Chapter VI. PMID- 29824718 TI - Fruit for Hospitals. PMID- 29824719 TI - The Registration Fee System. PMID- 29824720 TI - Good Work Done, and to Be Done. PMID- 29824722 TI - Disorders of Digestion: First Notice.-Introductory. PMID- 29824721 TI - The Classes and the Masses: A Word to the Wise: II. A Christmas Appeal: Help the Hospitals. PMID- 29824724 TI - Sympathy. PMID- 29824723 TI - National Hospital for Paralysed and Epileptic. PMID- 29824725 TI - Isolation Huts: An Inquiry from America. PMID- 29824726 TI - A Hospital Matron on Hospital Morals. PMID- 29824727 TI - Notes and News: Miscellaneous-Medicine Bottles for Hospitals.-The Fleming Memorial Hospital.-The Workington Infirmary.-Dictionaries for Hospitals.-The Surgical Aid Society.-The Burnley Mills and Workshops.-New Hospital for Dublin. Bazaars.-Hospital Imposture.-Bequests.-Tradesmen's Presents.-Vacancies.-Mercer's Hospital, Dublin.-Penzance Convalescents' 'Home.-Hospital Collections.-New Cottage Hospital for Ripon.-The Royal Albert Hospital, Devonport.-Bazaar and Fancy Fair at the Rink, Dublin.-Presentation to Mrs. Mercier, etc. etc. PMID- 29824729 TI - Sister Olive: A Hospital Romance: Chapter V. PMID- 29824728 TI - The Story of the Hospitals. PMID- 29824730 TI - Santa Claus' Garner. PMID- 29824731 TI - Our First Christmas Day. PMID- 29824732 TI - Incidents of Animal Life: Stories about Rats. PMID- 29824733 TI - Notes and News: Miscellaneous.-London School of Medicine for Women.-Large Legacies.-Durham County Hospital.-West Bromwich District Hospital.-The Proposed Hospital for West Ham.-New Cottage Hospital at Abingdon.-"Sister Dora."-Wanted: Fruit and Linen for Hospitals.-Pictures in the Wards.-Mental Excitement: A Competition Item, etc., etc. PMID- 29824734 TI - Flowers, Ferns, and Ward Decorations. PMID- 29824736 TI - Good Asylum Attendants for the Insane: Of Interest to All.-Published Facts.-Fifty Years Ago, and Since. The Ideal Attendant.-The Present Want. PMID- 29824735 TI - The Story of the Hospitals. PMID- 29824738 TI - Diseases of Children: Feverishness.-Teething.-The First Teeth.-Thrush.-Discharge from the Eyes.-Eczema of Head. PMID- 29824737 TI - A Noble Profession: Nursing the Sick: Half a Century Ago.-Later Developments. Training of Nurses. PMID- 29824739 TI - Discharged. Not Where to Lay His Head: Chapter V. PMID- 29824740 TI - Annotations: The Metropolitan Local Press.-Advertising Doctors and Secret Remedies.-A Just Complaint.-Hospitals and Dispensers. PMID- 29824741 TI - The Divine Purpose. PMID- 29824742 TI - Poor-Law Infirmaries, Medical Education, and the People. PMID- 29824743 TI - In a Hospital Ward. PMID- 29824744 TI - What Should Be the Training for Cottage Hospital Matrons? PMID- 29824745 TI - Hospital Worthies. PMID- 29824746 TI - Flowers, Ferns, and Ward Decorations. PMID- 29824747 TI - Annotations. PMID- 29824749 TI - Wanted a Home for a Lady with Creeping Paralysis. PMID- 29824748 TI - Words of Consolation. PMID- 29824751 TI - Difficult Cases. PMID- 29824750 TI - Discharged. Not Where to Lay His Head: Chapters II, III. PMID- 29824752 TI - Well Done! PMID- 29824753 TI - Notes and News. PMID- 29824754 TI - Till the Doctor Comes. PMID- 29824755 TI - Medical Books and General Readers. PMID- 29824757 TI - The Case of Spinal Curvature. PMID- 29824756 TI - Incidents of Animal Life. PMID- 29824758 TI - The Privilege of Suffering. PMID- 29824759 TI - The Story of the Hospitals. PMID- 29824760 TI - Hospital Worthies. PMID- 29824761 TI - Flowers, Ferns, and Ward Decorations. PMID- 29824762 TI - Notes and News: The Queen at Longmore Hospital.-Miscellaneous.-The Late W. H. Vanderbilt.-New Clinical Hospital.-The Hospital Sunday Movement in Birmingham. Munificent Bequests.-The Nottingham General Hospital.-Upton Lunatic Asylum. Trained Nurses' Club.-West Ham Hospital Sustentation Fund.-Proposed Hospital for Bournemouth.-John Howard on Registration-Fee Payments.-New Hospital at Hastings. The Working Classes and the Hospitals, etc., etc. PMID- 29824763 TI - Annotations: Hospitals, Provident Dispensaries, and the Pay System.-Hospital Sunday and Individual Contributions.-Hospital Sunday Practices to Be Avoided.-The Asylums Board and Clinical Teaching. PMID- 29824764 TI - The Importance of Maintaining Medical Charities. PMID- 29824765 TI - Dolly in the Hospital. PMID- 29824766 TI - The Hospitals of Our Grandfathers, at Home and Abroad. PMID- 29824767 TI - Ought Asylums to Rank as Hospitals? PMID- 29824768 TI - Alcohol at the London Hospital. PMID- 29824769 TI - Officers' Food and the Regulation of Meals. PMID- 29824770 TI - Difficult Cases. PMID- 29824771 TI - Discharged. Not Where to Lay His Head: Chapter IV. PMID- 29824772 TI - Notes and News: H.R.H. the Prince of Wales and the Exhibition Boxes.-Prince Albert Victor at Burnley.-Successful Architects.-Dr. Hazlerigg and Devonshire Hospital, Buxton.-The Earl of Derby at Manchester.-Staff-Nurses Promoted.-Bath Hospital, Harrogate.-Resignation of Mr. Worthington.-Devonshire Hospital, Buxton. An Accident.-Amalgamation in Sunderland.-Improvements at Westminster Hospital, etc. PMID- 29824773 TI - Flowers, Ferns, and Ward Decorations: The Charm and Beauty of Flowers.-Christ and the Flowers. PMID- 29824774 TI - Annotations: Dangerous Reticence.-Hospitals and Rates.-Hope for the Hopeless. PMID- 29824775 TI - "The Hospital," Elementary Schools and the Public. PMID- 29824776 TI - Words of Consolation. PMID- 29824778 TI - The Groan of the Willing Horse. PMID- 29824777 TI - The Hospital Problem: The Utility and Necessity of Hospitals.-The Facts Stated. Few Voluntary Supporters. PMID- 29824779 TI - Nurses' Food. PMID- 29824780 TI - The Out-Patient Registration Fee System. PMID- 29824782 TI - Old-Fashioned Pauper Infirmaries. PMID- 29824781 TI - A Plea for the Dumb Animals. PMID- 29824783 TI - Annotations: Residential Accommodation for Medical Students.-Infected Cabs. Lodging-House Keepers and Their Consciences. PMID- 29824785 TI - Nurses' Food and Feeding. PMID- 29824784 TI - Nursing at St. Mary's Hospital. PMID- 29824787 TI - The Privilege of Suffering. PMID- 29824786 TI - Milk and Alcohol in Children's Hospitals, etc. PMID- 29824788 TI - Hospital Saturday Fund. PMID- 29824789 TI - Diseases of Children. PMID- 29824790 TI - Homes on the Riviera. PMID- 29824791 TI - Subscription-Boxes in Out-Patient Departments. PMID- 29824792 TI - Notes and News: H.R.H. the Duke of Cambridge.-Miscellaneous.-Fever Cases in the Metropolis.-Affairs at the Western Asylum.-Trade Societies' Demonstrations. Friendly Societies and the Hospitals.-The Dudley Dispensary.-Toys for Poor Children.-Vacancies.-The Prince's Cinderellas.-Royal Aberdeen Infirmary.-Taunton and Somerset Hospital.-"The Darlington Hospital Scandal," etc. PMID- 29824794 TI - Medical Students, Their Schools and Schoolmasters. PMID- 29824793 TI - Discharged. Not Where to Lay His Head: Chapters VII, VIII, IX. PMID- 29824795 TI - Flowers, Ferns, and Ward Decorations. PMID- 29824796 TI - Nurses' Trials-Weariness. PMID- 29824797 TI - Annotations: A Libel on Hospital Sunday.-The Home and the Hospital at Bristol. PMID- 29824799 TI - The Hospital. PMID- 29824798 TI - The Wesleyans and Hospital Sunday. PMID- 29824800 TI - He Laid down His Life: An Infirmary Story. PMID- 29824801 TI - Nursing at Queen Charlotte's Lying-In Hospital. PMID- 29824802 TI - Notes and News: Items.-The Duke of Cambridge and the German Hospital.-The Metropolitan Convalescent Institution.-Hospital Saturday at New York.-Vacancies. Hospital Sunday in the Metropolis.-Lord Chelmsford and the Covalescent Dinner Society.-The Royal Maternity Charity.-Medical Charities.-The Bristol Dispensary. Overcrowding at Hospitals.-Fancy Bazaars in Aid of the Hospitals.-Memorial at Leicester Infirmary, etc., etc. PMID- 29824803 TI - Workers v., Beggars. PMID- 29824804 TI - The Latest of the Water Cures. PMID- 29824806 TI - Workhouse Visiting and Management. PMID- 29824805 TI - Incidents of Animal Life. PMID- 29824808 TI - Ulcerated Legs : Their Care and Cure. PMID- 29824807 TI - The Common Accidents of Every-Day Life: Early Misadventures. PMID- 29824809 TI - General Inquiries. PMID- 29824810 TI - To Our Readers. PMID- 29824811 TI - Officers' Food, and the Regulation of Meals. PMID- 29824812 TI - Notes and News. PMID- 29824813 TI - Flowers, Ferns, and Ward Decorations. PMID- 29824814 TI - The Story of the Hospitals. PMID- 29824816 TI - Words of Consolation. PMID- 29824815 TI - Difficult Cases. PMID- 29824817 TI - Hospital Administration: Mr. Sturge and the Alcohol Question. PMID- 29824818 TI - Hospital Worthies. PMID- 29824819 TI - Help at Hand, Brother. PMID- 29824820 TI - Discharged. Not Where to Lay His Head: Chapter I. PMID- 29824821 TI - The Blind. PMID- 29824822 TI - Sympathy. PMID- 29824823 TI - Flowers, Ferns, and Ward Decorations. PMID- 29824824 TI - Feeding: Preservation of Ice. PMID- 29824825 TI - The Gratitude of Hospital Patients. PMID- 29824826 TI - The System of Nursing at the London Hospital. PMID- 29824827 TI - Notes and News: Miscellaneous.-Donations.-Fancy Dress Ball in Aid of the Chelsea Hospital for Women.-The City Orthopaedic Hospital.-Guy's Hospital.-Entertainment in Aid of Charing Cross Hospital.-New Home for English and American Girls in Berlin.-Ancient Order of Foresters' Convalescent Home.-Queen Victoria Maternity Hospital at Bristol.-Hospital Appeals.-The Great Northern Central Hospital. Competition among Doctors.-The Ancoats Hospital.-The Children's Ministering Angels League.-The Hull Children's Hospital.-Testimonial to Sir Andrew Clark.-The Thronemount Consumption Hospital, etc., etc. PMID- 29824828 TI - The New Year: The Association and "The Hospital". PMID- 29824829 TI - Should "Sisters" and "Nurses" Marry?: The Story of "Sister Olive". PMID- 29824830 TI - Remedies: New and Old. PMID- 29824831 TI - Sister Olive: A Hospital Romance: Chapter VI. PMID- 29824832 TI - Lancaster Town: Its Mayor and Its Hospital. PMID- 29824833 TI - Child Torture in Christian England. PMID- 29824834 TI - The Story of the Hospitals: The British Home for Incurables. PMID- 29824835 TI - More Christmas Festivities at the Hospitals. PMID- 29824836 TI - Sympathy. PMID- 29824837 TI - Notes and News: The Duke of Westminster and the Hospital for Women, Soho. Miscellaneous Items.-Presentation of Busts to the Manchester Royal Infirmary. Vacancies.-Hospital Enlargements.-Retirement of Mrs. Rahn.-The Norwich Hospital Sunday Fund Collection.-Chard and the Jubilee.-The "Elephant Man."-Edinburgh Royal Infirmary Report.-Income of London Hospitals.-Towns without Hospitals. Hospital Bazaar at Hastings.-The Edinburgh Provident Dispensary.-The Founder of Guy's Hospital.-Dramatic Entertainments in Aid of the Hospitals.-The Nursery Hospital at Nottingham.-Christmas Entertainments at the Hospitals.-The Newcastle Infirmary.-Improvements at the Suffolk General Hospital, etc. PMID- 29824838 TI - Practical Hints for the Sick-Room. PMID- 29824839 TI - A Good Work Well Finished: "Finis Coronat Opus". PMID- 29824840 TI - Hospital Support a Public Duty. PMID- 29824841 TI - The Past, the Present, and the Future of Hospitals. PMID- 29824843 TI - Flowers, Ferns, and Ward Decorations. PMID- 29824842 TI - Annotations: Books and Periodicals.-Who Is Responsible?-Eight Years an Out Patient.-Lunatics and Doctors.-Take Care of Your False Teeth. PMID- 29824844 TI - Hospital Co-Operation and Mutual Help. PMID- 29824846 TI - The Provision for Nursing Fevers in London. PMID- 29824845 TI - Notes and News: Miscellaneous.-Munificent Bequests.-"The Queen's Bed" at the North London Hospital.-The Children's Hospital at Paddington Green.-Lord Meath on the Maintenance of Hospitals.-The Netherfield Road Hospital.-Gifts to the Kilmarnock Infirmary.-Vacancies.-The St. John's Ambulance Association.-Increase of Pauper Lunatics.-The Stratford Dispensary.-The Great Northern Central Hospital.-Medical Classes at Aberdeen University-Hospital Architects.-The Kyrle Society, etc. PMID- 29824847 TI - Concerning Medical Students. PMID- 29824848 TI - Willie: A True Story. PMID- 29824849 TI - A Case of Paralysis. PMID- 29824850 TI - Recent Novelties in Sick-Room Appliances. PMID- 29824851 TI - Hope. PMID- 29824852 TI - Fomentations, Lotions, and Bed-Sores. PMID- 29824853 TI - Nurses' Trials-Martha and Mary. PMID- 29824854 TI - Growing Old. PMID- 29824855 TI - Nursing Institutions and Metropolitan Hospitals. PMID- 29824857 TI - Unite and Co-Operate. PMID- 29824856 TI - Annotations: Waking up at the Dorset County Hospital.-A Third Hospital for Glasgow.-Nurses at Play. PMID- 29824858 TI - A Great Opportunity for Good. PMID- 29824859 TI - Employment for Epileptics. PMID- 29824861 TI - Deaf-Mutes and Consanguineous Marriages. PMID- 29824860 TI - Notes and News: Miscellaneous Items.-The Payment of Nurses.-Lectures for Nurses. The Frome Cottage Hospital.-Derbyshire Hospital for Sick Children.-Vacancies. Queen's Hospital, Birmingham.-Cremation.-Pianos in Hospitals, etc., etc. PMID- 29824862 TI - Digestion and Dyspepsia. PMID- 29824863 TI - Infectious Fevers and Diseases in London. PMID- 29824864 TI - The Mildmay Mission Hospital. PMID- 29824865 TI - Sister Olive: A Hospital Romance: Chapters II, III. PMID- 29824866 TI - Creeping Paralysis in a Lady. PMID- 29824868 TI - Cheerfulness. PMID- 29824867 TI - Counsel's Opinion. PMID- 29824869 TI - How to Enter the Medical Profession. PMID- 29824870 TI - Among the Out-Patients. PMID- 29824872 TI - Lord Salisbury's Article. PMID- 29824871 TI - Hospital Revenues Today and Ten Years Ago. PMID- 29824873 TI - The Solicitor's Statement of Facts. PMID- 29824874 TI - Notes and News: The Late Mr. O. E. Coope.-Lord Salisbury's Appeal for the Hospitals.-The Queen's Jubilee Memorials.-Miscellaneous.-Enlargement of the Bristol Eye Hospital.-Vacancies.-Competition Prizes for Orphanage Designs.-The Globe Parcel Delivery Co.-Appeals.-Sherburn Hospital and the Charity Commissioners.-The Kyrle Society.-The New Infirmary at Workington.-Aberdeen Royal Infirmary, etc. PMID- 29824875 TI - Sermon by the Lord Bishop of London at St. Thomas's Hospital. PMID- 29824876 TI - A Hospital Impostor. PMID- 29824877 TI - Annotations: Coventry's Care for Its Sick Children.-The First Medical General Election. PMID- 29824878 TI - Flowers, Ferns, and Ward Decorations. PMID- 29824879 TI - The Queen's Jubilee: How Will the Hospitals Celebrate It? PMID- 29824880 TI - Employment for a Poor Half-Witted Girl. PMID- 29824881 TI - Homes for Incurables: Free Payments v. The Voting System. PMID- 29824882 TI - Sympathy. PMID- 29824883 TI - Incidents of Animal Life: Stories about Dogs. PMID- 29824884 TI - Hospitals, Schools, and Boys and Girls. PMID- 29824885 TI - From the Home to the Hospital. PMID- 29824886 TI - Annotations: Is Alcohol a Food?-Word Puzzles and Gambling.-A Royal Commission on Hospitals. PMID- 29824887 TI - The Common Accidents of Every-Day Life: Early Misadventures; the Infant; the Dangers Connected with Swallowing; Causes of Choking: Their Symptoms and Treatment. PMID- 29824888 TI - The Peoples' Want in North London. PMID- 29824889 TI - Metropolitan Poor-Law Infirmaries and Medical Teaching. PMID- 29824891 TI - Notes and News. PMID- 29824890 TI - Nursing in America. PMID- 29824892 TI - The Wesleyans and Hospital Sunday. PMID- 29824893 TI - Hospital Funds and the Working Classes. PMID- 29824894 TI - The After-Care of Asylum Convalescents: An Interview with Lord Brabazon. PMID- 29824895 TI - The Financial Depression at the Metropolitan Hospitals To-Day and Ten Years Ago. PMID- 29824896 TI - Seasonable Decorations. PMID- 29824897 TI - Bathing. PMID- 29824898 TI - Reminiscences of the Insane. PMID- 29824900 TI - Contentment. PMID- 29824899 TI - The Classes and the Masses: A Word to the Wise: I. The Lessons of the Times. PMID- 29824902 TI - Sister Olive: A Hospital Romance: Chapter IV. PMID- 29824901 TI - A District Nurse and Her Patients. PMID- 29824903 TI - Annotations: The Hospitals Week Movement-Temperance and Total Abstinence.-A Hospital for Oban. PMID- 29824904 TI - "The Hospital" and "The Globe": Lord Salisbury's Article. PMID- 29824905 TI - Doctors' Workshops: Poor-Law Infirmaries. PMID- 29824906 TI - Metropolitan Hospital Sunday Fund, 1886. PMID- 29824907 TI - Hospitals for Lady Probationers. PMID- 29824908 TI - Help the Hospitals. PMID- 29824909 TI - Notes and News: Miscellaneous-Legacies to the Manchester Hospitals.-Bazaars. Vacancies.-The West London Hospital.-The Truth Toy Fund.-Hospital Students and Their Patients.-Miss Wood on the Management of Infants and Children.-Nairn Hospital and the Sanitary Committee.-Wellington Dispensary and the Resignation of Dr. Rider.-New Cottage Hospital for Abingdon, etc. PMID- 29824910 TI - The Story of the Hospitals: The London Hospital. PMID- 29824911 TI - The General Hospital, Nottingham. PMID- 29824913 TI - Special Notices. PMID- 29824912 TI - The Golden Age of Pauperism. PMID- 29824914 TI - Total Abstinence and Common Sense. PMID- 29824915 TI - Harvey Interviewed. PMID- 29824916 TI - The "Truth" Toy Fund. PMID- 29824917 TI - Notes and News: H.R.H. Princess Christian and the after Care Association. Bequests.-Miscellaneous.-Brompton Hospital and Trained Nurses.-Vacancies.-The Guest Hospital at Dudley.-Jubilee Cottage Hospital for Melton.-The Driffield Cottage Hospital.-Concert at the Wrexham Infirmary.-Legacies to the Brompton Consumption Hospital.-Improvements at the Chichester Infirmary.-Hospital and Infirmary Reports, etc. PMID- 29824919 TI - Annotations: The Analysts on Their Defence.-Flogging in Board Schools. Hydrophobia: Society for Its Prevention. PMID- 29824918 TI - In the Night Time. PMID- 29824920 TI - Reminiscences of the Insane. PMID- 29824922 TI - General Hints on Nursing. PMID- 29824921 TI - Sister Olive: A Hospital Romance: Chapter I. PMID- 29824923 TI - The Training of Midwives. PMID- 29824924 TI - Cheerfulness. PMID- 29824925 TI - Flowers for Hospitals and Schools. PMID- 29824926 TI - Sympathy in the Physician. PMID- 29824928 TI - The Story of "Sister Olive". PMID- 29824927 TI - Who Did It? PMID- 29824930 TI - Christmas Day in a London Hospital. PMID- 29824929 TI - Christmas at "The Foundling". PMID- 29824931 TI - Hospital Centralisation at Aberdeen. PMID- 29824932 TI - The Hospitals' Celebration of the Queen's Jubilee. PMID- 29824933 TI - Glasgow University and Medical School. PMID- 29824935 TI - The Story of "Sister Olive". PMID- 29824934 TI - An Intractable Child. PMID- 29824936 TI - Management of the Eye, Ear, and Throat. PMID- 29824937 TI - Notes and News: Miscellaneous.-Donations.-Queen's Jubilee Proposals.-The Hospitals Association.-Marvellous Calculations.-Four Christmas Days in Hospital. Vacancies.-The Camberwell Infirmary.-New Hospital for St. Albans.-The Lord Mayor and the Marylebone Infirmary.-Proposed Hospital for Southend.-The "Sister Olive" Question.-Christmas Day at the Oldham Infirmary.-Westminster Hospital.-Hospital Smuggling, etc., etc. PMID- 29824938 TI - A Poor Half-Witted Girl. PMID- 29824939 TI - Hospital Funds and the Working Classes. PMID- 29824940 TI - Christmas Festival at the Hospitals. PMID- 29824941 TI - Reminiscences of the Insane. PMID- 29824942 TI - Reminiscences of the Insane. PMID- 29824943 TI - The Training of Midwives. PMID- 29824944 TI - Morphio-Mania. PMID- 29824945 TI - The Hull Infirmary. PMID- 29824946 TI - The Medicinal Properties of Woodall Spa Waters. PMID- 29824947 TI - A Hospital Appeal. PMID- 29824948 TI - Nurses' Wages Fixed by a Dutch Auction. PMID- 29824949 TI - A Relic of John Hunter. PMID- 29824950 TI - Annotations: Sir James Picton on Homoeopathy.-The Proposal to Change Hospital Sunday.-Is Medical Practice Humbug? PMID- 29824951 TI - Hopeless, Offensive, and Incurable. PMID- 29824952 TI - Among the Out-Patients. PMID- 29824953 TI - Erratum: The Richmond Hospital: A Correction. AB - [This corrects the article on p. 300 in vol. 1.]. PMID- 29824954 TI - In the Children's Ward. PMID- 29824955 TI - Nurses' Trials.-Weariness and Prayer. PMID- 29824956 TI - Notes and News: Munificent Donation to Morley House.-Stock Exchange Collection. Vacancies, etc. PMID- 29824957 TI - The Best Tank for Disinfecting Linen. PMID- 29824958 TI - Poultices. PMID- 29824959 TI - Worthy of Sympathy and Support. PMID- 29824960 TI - The Story of the Hospitals: The Cancer Hospital, Brompton. PMID- 29824961 TI - Hospitals, the Sick Poor, and All England. PMID- 29824962 TI - The One Law of Life. PMID- 29824963 TI - The All Saints Sisters' Home for Trained Nurses. PMID- 29824964 TI - Hospital Housekeeping. PMID- 29824965 TI - Sympathy with Nurses. PMID- 29824966 TI - Annotations: The Battle of St. Albans.-Hospital Sunday in Birmingham.-The Spectator and Vivisection. PMID- 29824968 TI - Sick Appliances for the Household. PMID- 29824967 TI - Disorders of Digestion: The Mouth. PMID- 29824969 TI - The Story of the Hospitals: The British Home for Incurables. PMID- 29824970 TI - Reminiscences of the Insane. PMID- 29824972 TI - Flowers, Ferns, and Ward Decorations. PMID- 29824971 TI - Clothing and Health. PMID- 29824973 TI - America and Its Charities: A Suggestive Experience. PMID- 29824975 TI - Poor-Law Infirmaries and General Hospitals: Discussion on Colonel Montefiore's Paper. PMID- 29824974 TI - Notes and News: Miscellaneous Items.-Presentation to the Founders of the Stanley Hospital.-Hospital Reports.-Vacancies.-The Great Northern Central Hospital.. Kensington District Nursing Association.-Proposed Hospital for Mine Women, etc., etc. PMID- 29824976 TI - A Retrospect of Christmas. PMID- 29824977 TI - Reminiscences of the Insane. PMID- 29824978 TI - Uniformity in Hospital Accounts. PMID- 29824979 TI - Nurses' Pension Funds. PMID- 29824980 TI - Faith-Healing. PMID- 29824981 TI - Annotations: Provident Dispensaries.-Aurard's Incubator.-Town v. Country. PMID- 29824982 TI - Nurses' Pension Funds. PMID- 29824984 TI - Heart Disease: A Word of Comfort. PMID- 29824983 TI - Nursing Institutions and Hospitals. PMID- 29824985 TI - An Ambulance at Work. PMID- 29824987 TI - Notes and News: Royalty and the Hospitals.-Miscellaneous Items.-Hospital and Infirmary Balls.-The Charing Cross Hospital.-The Essex Convalescent Home.-Lord Halsbury and the National Hospital for Paralysed and Epileptic.-The Beau Site Convalescent Home.-Vacancies.-Hospitals in India.-An Unexpected Donation.-The Cancer Hospital.-Donations and Legacies to Medical Charities.-The Bethnal Green Working Men's Society.-Hospital Saturday Fund: Meeting of Delegates.-The Worcester Ophthalmic Hospital.-The Peterborough Infirmary.-Jubilee Hospital Proposals, etc. PMID- 29824986 TI - Nurses' Pension Funds. PMID- 29824988 TI - The Coster's Customer: Or, How I Earned Twenty Pounds. PMID- 29824989 TI - Nurses' Trials-No Drudgery. PMID- 29824990 TI - Nurses' Pension Funds. PMID- 29824991 TI - Incubators for Infants. PMID- 29824992 TI - Notes and News: Miscellaneous Items.-Madame Roze at the Jaffray Hospital. Entertainment at Lowther Lodge.-The Seamen's Hospital.-Vacancies.-The Stroud General Hospital.-The British Hospital at Port Said.-Donations and Legacies to Medical Charities.-The Macclesfield Infirmary.-The Lord Provost of Glasgow and the Hospitals, etc., etc. PMID- 29824994 TI - An Acrostic. PMID- 29824993 TI - Minor Injuries, etc. PMID- 29824996 TI - Nurses' Trials-Temper. PMID- 29824995 TI - Infectious v. Non-Infectious Convalescents. PMID- 29824997 TI - Hospital Huts. PMID- 29824998 TI - Nurses' Recreations. PMID- 29824999 TI - Nursing Institutions and Hospitals: The Case for the Private Institutions and Nurses. PMID- 29825001 TI - In the Children's Ward: Chap. I. PMID- 29825000 TI - Incidents of Animal Life. PMID- 29825002 TI - Farthing Dinners. PMID- 29825003 TI - Chats about Medical Museums. PMID- 29825005 TI - Our Skin, and How to Take Care of It. PMID- 29825004 TI - Doctors Described by Nurses and Patients. PMID- 29825006 TI - Annotations: Miss Manson and Trained Nurses.-Drinks Wanted.-Who Stands Sponsor for the Matrons? PMID- 29825007 TI - A Few November Flowers. PMID- 29825008 TI - The Hospitals Association: The Conversazione. PMID- 29825009 TI - Country Physicians: The Colchester Imbroglio. PMID- 29825010 TI - The Ethics of the Sewage Question. PMID- 29825011 TI - The Modern Workhouse Infirmary. PMID- 29825012 TI - Reminiscences of the Insane. PMID- 29825013 TI - Nurses' Remuneration and Pensions. PMID- 29825014 TI - Children's Food and Management. PMID- 29825015 TI - Patience. PMID- 29825017 TI - The Training of Midwives. PMID- 29825016 TI - The Editor's Letter-Box. PMID- 29825018 TI - Notes and News: Donation to the Longmore Hospital by the Queen.-Miscellaneous. Brackley Cottage Hospital.-New Eye Hospital for Cardiff.-Musical Entertainments at Brompton Hospital.-The Mogg Memorial Hospital.-Llanelly Hospital.-Champagne at the Eastern Hospital.-Fever and Small-Pox Hospitals.-Reopening of the West London Hospital.-Vacancies.-The Kensington District Nursing Association, etc., etc. PMID- 29825019 TI - Annotations: Wanted, L50,000.-Cottage Hospitals.-Lady Doctors and Nurses.-Teeth at the General and Special Hospitals. PMID- 29825020 TI - Employment for Epileptics. PMID- 29825021 TI - Alleged Cruelty of a Hospital Sister. PMID- 29825022 TI - The Best Colour for Sick-Room Walls. PMID- 29825023 TI - Hospital Promotion: A Wag's Experience. PMID- 29825024 TI - Children's Hospitals in England. PMID- 29825025 TI - The Modern Samaritan. PMID- 29825027 TI - Monotony. PMID- 29825026 TI - Notes and News: Miscellaneous Items.-The Baroness Burdett-Coutts and the Great Northern Central Hospital.-The East London Nursing Society.-Curious Hospital Incidents.-Vacancies.-The East London Hospital for Children.-The Royal London Ophthalmic Hospital.-The Bristol Children's Hospital.-Donations and Legacies to Medical Charities.-Children's Hospitals.-The North London Association for the Sick Poor, etc., etc. PMID- 29825029 TI - Nurses' Trials-Responsibility. PMID- 29825028 TI - Nursing in Workhouse Infirmaries. PMID- 29825030 TI - Nurse Farms, Hospitals, and Private Nursing Institutions: Miss Manson's Reply. PMID- 29825031 TI - In the Children's Ward: Chapter III. PMID- 29825032 TI - Incidents of Animal Life: Superstitions about Birds. PMID- 29825033 TI - Hospital Patients and Medical Students. PMID- 29825034 TI - Faintings and Fits. PMID- 29825035 TI - A Good Exchange. PMID- 29825036 TI - A National Pension Fund for Hospital Officials and Nurses. PMID- 29825037 TI - The Public and Its Physic. PMID- 29825038 TI - Annotations: Teeth and Their Guardians.-A Sane Woman in a Lunatic Asylum.-What Is a Physician? PMID- 29825039 TI - Jonah and the Whale: A True Shark Story. PMID- 29825040 TI - The Stomach. PMID- 29825041 TI - The Story of the Hospitals: The Central London Throat and Ear Hospital. PMID- 29825042 TI - A National Pension Fund for Hospital Officials and Nurses: The Views of Secretaries, Sisters, Nurses, and Others. PMID- 29825043 TI - Annotations: Newcastle Leads the Van.-Annuities for a Term of Years.-Chemists and Druggists. PMID- 29825044 TI - Nurses' Trials-Responsibility. PMID- 29825045 TI - Nurse Farms, Hospitals, and Private Nursing Institutions: The Views of Patients, Superintendents, and Private Nurses. PMID- 29825047 TI - Notes and News: Meeting of the Hospitals Association.-Lectures at the Midwives' Institute.-The West London Hospital.-The Hampstead Home Hospital.-Hospital Collecting-Box Thefts.-The Queen and the East-End Hospitals.-The City of London Lying-In Hospital.-Vacancies.-The Ashburton and Buckfastleigh Cottage Hospital. The Burnley Hospital.-Donations and Legacies to Medical Charities.-The Birmingham General Hospital.-Hospitals and the Jubilee Celebration, etc., etc. PMID- 29825046 TI - Mischievous Misstatements: A Word of Counsel to the City Companies. PMID- 29825048 TI - In the Children's Ward: Chapter II. PMID- 29825049 TI - A World of Babies. PMID- 29825050 TI - Nursing in Workhouse Infirmaries: Discussion on Miss Manson's Paper. PMID- 29825051 TI - Patience. PMID- 29825052 TI - Death. PMID- 29825053 TI - Chats about Medical Museums: No. II. PMID- 29825054 TI - Notes and News: Items.-Jubilee Commemorations.-The Mold Cottage Hospital. University College Hospital.-Hospital Enlargement.-Vacancies.-The Late Dr. R. E. Carrington.-Hospital Anecdotes.-The Brompton Cancer Hospital.-The London Dental Hospital.-Hospital Alms-Boxes.-Royal Hospital for Diseases of the Chest. Donations to Medical Charities.-A Newsvendor's Legacy, etc., etc. PMID- 29825055 TI - Nurse Marion's Romance. PMID- 29825056 TI - Persistence, Not Panic. PMID- 29825058 TI - Difficult Cases. PMID- 29825057 TI - Annotations: Faith Healing.-Alleged Inhumanity at Guy's. PMID- 29825059 TI - Nurse Farms, Hospitals, and Private Nursing Institutions. PMID- 29825060 TI - National Pension Fund for Hospital Officials and Nurses. PMID- 29825062 TI - Hospital and Institutional News. PMID- 29825061 TI - Round the Hospitals. PMID- 29825064 TI - Typhus and Other Pestilences. PMID- 29825063 TI - Some Human Lessons in War-Time: IV. Riches and Wealth. Their Limitations, Use, and Impotence. PMID- 29825065 TI - Life and Death: Some Human Lessons in War-Time: Suggestion and Faith. PMID- 29825066 TI - Suggested Isolation of Wounded Canadians. PMID- 29825068 TI - Report of the County Medical Officer of Health and School Medical Officer (L.C.C.) for 1915. PMID- 29825067 TI - British Hospital and Ambulance Work in France: Some Impressions of a Visit. PMID- 29825070 TI - Medical Science and Ethics in War. PMID- 29825069 TI - The College of Nursing, Limited: Constitution of the Scottish Board. PMID- 29825071 TI - Comfort versus Appearance. PMID- 29825072 TI - The British Hospitals Association: A New Departure during War-Time. PMID- 29825073 TI - British Hospital and Ambulance Work in France: Some Impressions of a Visit. PMID- 29825074 TI - Mental Nurses in Military Hospitals. PMID- 29825075 TI - War Savings Associations. PMID- 29825076 TI - Methods and Machines in Surgery. PMID- 29825077 TI - Some Human Lessons in War-Time: III. Childhood and the Children. PMID- 29825079 TI - A Visit of Inspection. PMID- 29825078 TI - Human Temperaments. XII.-The Philosopher. PMID- 29825080 TI - Hospital and Institutional News. PMID- 29825081 TI - Round the Hospitals. PMID- 29825082 TI - The Adventures of the "Berry Mission." PMID- 29825083 TI - The Inflammability of Flannelette: An Ex Parte Statement. PMID- 29825085 TI - Nurses' Leagues and Matrons' Letters. PMID- 29825084 TI - The Delineation of Internal Organs: A New Electrical Aid to Diagnosis and Treatment. PMID- 29825086 TI - Be Ready for Emergencies. PMID- 29825087 TI - Round the Hospitals. PMID- 29825088 TI - The Treatment and Control of Venereal Diseases: From the Standpoint of the Voluntary Hospitals. PMID- 29825089 TI - The Dreadnought and the Explosion. PMID- 29825090 TI - The Treatment of Delirium Tremens. PMID- 29825091 TI - Meeting in Dublin. PMID- 29825092 TI - The Report of the Medical Officer to the Local Government Board. PMID- 29825093 TI - Sanatorium Troubles. PMID- 29825094 TI - The Charge of Lay Control Demonstrably a Myth. PMID- 29825095 TI - The Depreciation of Institutional Investments. PMID- 29825096 TI - New Ideas in Obstetrics from America: Current Views on Caesarean Section. PMID- 29825097 TI - Hospital and Institutional News. PMID- 29825098 TI - The Explosion on January 19. PMID- 29825099 TI - An Unfortunate Controversy at Leeds. PMID- 29825100 TI - Lessening the Tedium of Hospital Life: The Birmingham System at Work. PMID- 29825101 TI - The Notification of Venereal Diseases. PMID- 29825102 TI - An Inspiring Address. PMID- 29825104 TI - Conditions of Registration Applicable during the Period of Grace to Existing Nurses. PMID- 29825103 TI - Hospital Policy in America: Problems of the Future. PMID- 29825105 TI - Hospital and Institutional News. PMID- 29825106 TI - District Nurses and Their Work. PMID- 29825107 TI - Round the Hospitals. PMID- 29825108 TI - Names and Things: The Universal Craving for Euphemisms. PMID- 29825109 TI - Parliament and the Profession. PMID- 29825110 TI - The West London Hospital. PMID- 29825112 TI - The Professional Fees of Physicians and Surgeons. PMID- 29825111 TI - The College of Nursing, Limited, and State Registration of Nurses. PMID- 29825113 TI - Moral: II. Factors in Its Destruction. PMID- 29825114 TI - Recent German Work on Tuberculosis. PMID- 29825115 TI - A State Asylum Service: A Change That Would Promote Efficiency. PMID- 29825116 TI - The Training of Hospital Matrons. PMID- 29825118 TI - Hospital and Institutional News. PMID- 29825117 TI - Some Zander Machines Described and Illustrated. PMID- 29825119 TI - Statistics of 109 London Hospitals in 1915. PMID- 29825121 TI - Decorations for Hospital Secretaries. PMID- 29825120 TI - Zander Mechanotherapy. PMID- 29825122 TI - Round the Hospitals. PMID- 29825123 TI - Peter Bent Brigham Hospital. PMID- 29825125 TI - Knighthoods for Hospital Secretaries. PMID- 29825124 TI - Sanatorium Buildings at L12 per Bed. PMID- 29825126 TI - The Refining of Crude Statistics. PMID- 29825128 TI - Parliament and the Profession. PMID- 29825127 TI - The Hospital and the Surgeon: II. Service and Administration. PMID- 29825129 TI - Poor-Law Institutions and Nurse-Training. PMID- 29825130 TI - Hospital and Institutional News. PMID- 29825131 TI - Round the Hospitals. PMID- 29825132 TI - Clairvoyance and the War. PMID- 29825133 TI - The Position of the Territorial Medical Officer. PMID- 29825134 TI - Malnutrition. PMID- 29825136 TI - Christmas in the Hospitals. PMID- 29825135 TI - Is There a Shortage in the Supply of Nurses? PMID- 29825137 TI - A Memorable Christmas Day. PMID- 29825138 TI - How Increases in Railway Fares Affect the Devonshire Hospital. PMID- 29825139 TI - The Responsibilities of Voluntary Hospitals. PMID- 29825140 TI - The Peter Bent Brigham Hospital, Boston. PMID- 29825141 TI - Macedonia in War-Time. PMID- 29825143 TI - Practitioners and Earning Power. PMID- 29825142 TI - Annual Meeting of Constituents. PMID- 29825144 TI - Hospital and Institutional News. PMID- 29825145 TI - Accident to Mr. A. W. Faire, Deputy-Lieutenant of Leicestershire. PMID- 29825146 TI - Patriotism of the Nurse-Training Schools: XI. War Work in Glasgow Institutions. PMID- 29825147 TI - Round the Hospitals. PMID- 29825148 TI - The Editor and His Readers. PMID- 29825149 TI - The School Doctor and the Compulsion of Parents. PMID- 29825150 TI - Royal Albert Edward Infirmary, Wigan. PMID- 29825151 TI - The Dispensary Chain in London. PMID- 29825153 TI - The Statement Issued by the Central Committee for State Registration in London: The Committee's Attitude Defined. PMID- 29825152 TI - Strong Protest by the Royal British Nurses' Association. PMID- 29825155 TI - Hospital Dietetics. PMID- 29825154 TI - Round the Hospitals. PMID- 29825157 TI - The Causation of Tabes and of General Paralysis: A New Observation from Fiji. PMID- 29825156 TI - Establishments for Massage or Special Treatment. PMID- 29825159 TI - The War Work of the M.O.H. PMID- 29825158 TI - Business of the Quarterly Court. PMID- 29825160 TI - A Group of London Medical Schools. PMID- 29825161 TI - A State Medical Service: More Kite-Flying. PMID- 29825162 TI - Hospital and Institutional News. PMID- 29825163 TI - The Will to Destroy: Mrs. Fenwick's and the Central Committee's Statement Examined. PMID- 29825164 TI - Trained Nurses and the Anglo-French Committee. PMID- 29825166 TI - Further Report of the Committee of Inquiry. PMID- 29825165 TI - The Hospital Dietary: II. Educational Aspects. PMID- 29825168 TI - Surprise Packets of Wartime. PMID- 29825167 TI - Parliament and the Profession. PMID- 29825169 TI - Sir Alfred Keogh, G.C.B., M.D.: The Director-General of the Army Medical Service. PMID- 29825170 TI - Patriotism in British Hospitals: Two London Medical Schools. PMID- 29825171 TI - The New Electrical Department at Guy's: A Veteran among Hospitals Keeping up to Date. PMID- 29825172 TI - New Regulations of the Secretary of State. PMID- 29825174 TI - Re-Education in Walking. PMID- 29825173 TI - On Guard in Wartime. PMID- 29825175 TI - Leicester and County Hospital Saturday Society. PMID- 29825176 TI - Hospital and Institutional News. PMID- 29825178 TI - An Eastern County Hospital's Preparations. PMID- 29825177 TI - How German Hospital Ships Are Fitted. PMID- 29825180 TI - The Medical Profession and the War. PMID- 29825179 TI - Further Questions and Answers. PMID- 29825181 TI - Round the Hospitals. PMID- 29825182 TI - Independent Audit of Asylum Accounts. PMID- 29825183 TI - The Matrons and the College. PMID- 29825184 TI - The Royal British College of Nursing. PMID- 29825185 TI - A School for Massage: Developments at Guy's Hospital. PMID- 29825186 TI - Naval Medicine in the Great War. PMID- 29825187 TI - Round the Hospitals. PMID- 29825188 TI - Cats as Carriers of Disease: Inflammation of the Eye from Infected Fur. PMID- 29825189 TI - Military Hospitals in India. PMID- 29825190 TI - The Mobilisation of the Medical Profession. PMID- 29825191 TI - Hospital and Institutional News. PMID- 29825192 TI - From across the Seas. PMID- 29825193 TI - The Russian Union of Zemstvos: A Fine Organisation for the Care of the Wounded. PMID- 29825194 TI - Money and Trusteeship. PMID- 29825195 TI - Parliament and the Profession. PMID- 29825196 TI - Some Observations of Bird Life. PMID- 29825197 TI - The Hospital Dietary: A Too Much Neglected Study. PMID- 29825198 TI - Round the Hospitals. PMID- 29825199 TI - Hospital and Institutional News. PMID- 29825200 TI - Report of the Medical Research Committee. PMID- 29825201 TI - The Treatment of Lunatics. PMID- 29825202 TI - Asylum Workers. PMID- 29825203 TI - Patients' Payments and Contributions. PMID- 29825204 TI - The School Doctor and Sex Education. PMID- 29825205 TI - The College of Nursing: A Call to Action. PMID- 29825206 TI - Gifts in Kind: Their Valuation in Hospital Accounts. PMID- 29825207 TI - Text of the Correspondence. PMID- 29825209 TI - Legal Notes for Institutional Workers. PMID- 29825208 TI - The Local Incidence of Infectious Diseases. PMID- 29825211 TI - Hospital Managers in Municipal Office. PMID- 29825210 TI - Parliament and the Profession. PMID- 29825213 TI - Moral: Its First Reinforcement. PMID- 29825212 TI - Patriotism and the Nurse-Training Schools: X. Leicester, Sheffield, Salisbury. PMID- 29825214 TI - The Future Is Youth's Freehold. PMID- 29825215 TI - Medical Degrees and Diplomas. PMID- 29825217 TI - Patients' Payments and Contributions. PMID- 29825216 TI - The Need for Businesslike Methods. PMID- 29825218 TI - Hospital and Institutional News. PMID- 29825219 TI - Round the Hospitals. PMID- 29825221 TI - Hospital and Institutional News. PMID- 29825220 TI - State Registration: The Central Committee and the College of Nursing. PMID- 29825223 TI - Human Temperaments. XIII.-The Suspicious Temperament. PMID- 29825222 TI - Patriotism and Nurse-Training Schools: IX. Royal Infirmary, Edinburgh. PMID- 29825224 TI - Some Human Lessons in War-Time: V. The Pleasures of Life. PMID- 29825225 TI - The American Hospital Association: Its Progress and Present Position. PMID- 29825226 TI - Round the Hospitals. PMID- 29825227 TI - Discharged Soldiers' Allowances. PMID- 29825228 TI - Mental Nurses in War Hospitals. PMID- 29825230 TI - The Great Extension at Leeds. PMID- 29825229 TI - OEdema and Anasarca: Some Overlooked Factors in Causation. PMID- 29825231 TI - A Notable Contest. PMID- 29825232 TI - Parliament and the Profession. PMID- 29825234 TI - Some Military Hospital Gazettes. PMID- 29825233 TI - The Future of School Medical Inspection. PMID- 29825235 TI - Parliament and the Profession. PMID- 29825236 TI - Philosophy in Hospital Architecture. PMID- 29825238 TI - Round the Hospitals. PMID- 29825237 TI - Military Hospital Construction. PMID- 29825239 TI - Poor-Law Institutions and Nurse-Training. PMID- 29825240 TI - The Peter Bent Hospital, Boston, Mass. PMID- 29825242 TI - The Selection of Hospital Staffs. PMID- 29825241 TI - Derbyshire Sanatorium, Walton, Chesterfield. PMID- 29825244 TI - The New Arbroath Infirmary. PMID- 29825243 TI - Hospital and Institutional News. PMID- 29825245 TI - Port Sunlight Cottage Hospital. PMID- 29825246 TI - The Hospital and the Surgeon: I. The Selection of the Staff. PMID- 29825247 TI - The District Nurse. PMID- 29825248 TI - Ham Green Hospital and Sanatorium, Bristol. PMID- 29825249 TI - Knighthoods for Hospital Secretaries. PMID- 29825250 TI - Military Hospital Construction. PMID- 29825251 TI - Leicester Royal Infirmary Children's Hospital. PMID- 29825252 TI - Some Human Lessons in War-Time: VI. When Life Is and Is Not a Failure. PMID- 29825253 TI - Surgeons, Hospitals, and Patients: The Road to Standardisation. PMID- 29825255 TI - Parliament and the Profession. PMID- 29825254 TI - Christmas in the Hospitals. PMID- 29825256 TI - Erratum. AB - [This corrects the article on p. 272 in vol. 61.]. PMID- 29825257 TI - Erratum. AB - [This corrects the article on p. 255a in vol. 61.]. PMID- 29825258 TI - The Nation and Its Nurses: Their Enemies' Tactics Are Identical. PMID- 29825259 TI - Professional Prospects and Anticipations. PMID- 29825261 TI - Round the Hospitals. PMID- 29825260 TI - Immoralities in Church Management. PMID- 29825262 TI - Hospital and Institutional News. PMID- 29825263 TI - Prevention and Arrest of Epidemic Disease in Wartime. PMID- 29825265 TI - The Final Report of the Committee of Inquiry. PMID- 29825264 TI - University of Birmingham. PMID- 29825266 TI - The Ethics of the New Criminal Law Amendment Bill. PMID- 29825267 TI - Hospital and Institutional News. PMID- 29825268 TI - Nursing Problems in Ireland. PMID- 29825269 TI - Round the Hospitals. PMID- 29825270 TI - Head-Mistresses and the Nurse. PMID- 29825272 TI - John Hunter and War Surgery. PMID- 29825271 TI - The Sanitation of Camps. PMID- 29825273 TI - St. Thomas's Hospital and the Victory Loan. PMID- 29825274 TI - Addenbrooke's Hospital, Cambridge. PMID- 29825275 TI - War Savings Associations: The Action of Two Great Hospitals. PMID- 29825276 TI - The Employment of Consumptives. PMID- 29825278 TI - Medical Home-Truths.-I. PMID- 29825277 TI - Some War Problems in Food: The Bread Ration. PMID- 29825280 TI - Round the Hospitals. PMID- 29825279 TI - The Problem of Repopulation. PMID- 29825281 TI - Professional Registrationists and Others. PMID- 29825282 TI - Manchester Royal Infirmary. PMID- 29825283 TI - Pinewood Sanatorium. PMID- 29825284 TI - Small-Pox and War: What Has Happened and May Happen Again. PMID- 29825285 TI - Compulsion for Medical Men? PMID- 29825286 TI - War's Effect on Relative Cost of London Hospitals. PMID- 29825288 TI - Maidenhead Cottage Hospital. PMID- 29825287 TI - Hospital and Institutional News. PMID- 29825290 TI - New Hospital for Women. PMID- 29825289 TI - Reform in Tuberculosis Work: I. The Sanatorium. PMID- 29825291 TI - Our Women, Warriors, and Workers. PMID- 29825292 TI - Sleeplessness: A Difficult Problem in Therapeutics. PMID- 29825293 TI - Industrial Efficiency and Eyesight. PMID- 29825294 TI - Annual Meeting at St. James's Palace. PMID- 29825296 TI - An Avoided Danger to Voluntary Hospitals. PMID- 29825295 TI - Report of the Convalescent Homes Committee. PMID- 29825297 TI - Round the Hospitals. PMID- 29825298 TI - Grants to Hospitals Recommended by the Distribution Committee. PMID- 29825299 TI - Distribution Meeting of the Governors and General Council: Increase in Awards of L30,000. PMID- 29825300 TI - Hospital and Institutional News. PMID- 29825301 TI - Report of the Distribution Committee. PMID- 29825302 TI - The Triumph of the Voluntary Principle. PMID- 29825304 TI - Round the Hospitals. PMID- 29825303 TI - Grants Recommended by the Convalescent Homes Committee. PMID- 29825305 TI - The "Mobilisation" of the Medical Profession. PMID- 29825306 TI - Important Meeting at Leeds: Large Funds Forthcoming. PMID- 29825307 TI - Reform in Tuberculosis Work: III. The Tuberculosis Officer. PMID- 29825308 TI - Hospital and Institutional News. PMID- 29825309 TI - How the London Hospital Organised and Suffered. PMID- 29825311 TI - The Johns Hopkins Hospital, Baltimore: Unique, up to Date, and Inspiring. PMID- 29825310 TI - The Explosion on January 19. PMID- 29825312 TI - The Royal British College of Nursing Born. PMID- 29825313 TI - Maternity and Child Welfare. PMID- 29825314 TI - Churches and Charity Funds. PMID- 29825315 TI - Deaths from Fire: Are Trained Nurses' Uniform Dangerous? PMID- 29825316 TI - Dishonesty in Testimonials. PMID- 29825317 TI - The Editor's Letter-Box. PMID- 29825318 TI - Enter the Royal British College of Nursing. PMID- 29825320 TI - Round the Hospitals. PMID- 29825319 TI - Churches and Charity Funds. PMID- 29825321 TI - The Rise of State Preventive Medicine. PMID- 29825322 TI - Pressing Need at the Front for Mufflers. PMID- 29825323 TI - The Remedy of Recognition an Imperative Duty. PMID- 29825324 TI - Hospital and Institutional News. PMID- 29825325 TI - Pension Problems. PMID- 29825326 TI - War, Alcohol, and Criminals. PMID- 29825327 TI - How Blinded Soldiers Are Cared for. PMID- 29825328 TI - The Problem of Population. PMID- 29825329 TI - Irish Local Government Boards and Disloyal Boards of Guardians. PMID- 29825331 TI - The Practice in the Free Churches. PMID- 29825330 TI - Reform in Tuberculosis Work: II. The Sanatorium. PMID- 29825332 TI - Churches and Charity Funds. PMID- 29825333 TI - Medical Home-Truths.-II. Medicine in General. PMID- 29825335 TI - St. Jude's Offertories. PMID- 29825334 TI - Legal Notes for Institutional Workers. PMID- 29825336 TI - Infant Mortality: Groping for a Safe Basis of Indubitable Fact. PMID- 29825337 TI - Round the Hospitals. PMID- 29825338 TI - Mr. Squealer the Rat-Catcher. PMID- 29825339 TI - Registration: Its Limitations and a Plan of Campaign. PMID- 29825340 TI - Venereal Diseases at Guy's Hospital: The Working of the New Scheme. PMID- 29825342 TI - The Royal College of British Nursing. PMID- 29825341 TI - The Training of Probationers. PMID- 29825344 TI - Poor-Law Nurses and the N.P.L.O.A. PMID- 29825343 TI - What Is Truth? PMID- 29825346 TI - The Report of the Unofficial Commission of Investigation. PMID- 29825345 TI - Parliament and the Profession. PMID- 29825347 TI - Hospital and Institutional News. PMID- 29825348 TI - Claim for Rebate of Spirit Duty. PMID- 29825349 TI - The National Poor-Law Officers' Association. PMID- 29825350 TI - The Brain Worker and His Food. PMID- 29825352 TI - The Hospital Spirit in National Affairs. PMID- 29825351 TI - The New Hospital for Women: Sir Alfred Keogh, K.C.B., on Its Jubilee and Value. PMID- 29825353 TI - The Eradication of Venereal Disease. PMID- 29825354 TI - Hospital Work in East Africa: Kikuyu and Limoru. PMID- 29825355 TI - General Charities. PMID- 29825356 TI - Humorous Medical Epitaphs. PMID- 29825357 TI - St. Thomas's Hospital. PMID- 29825359 TI - Hospitals under 150 Beds. PMID- 29825358 TI - How the Russian Red Cross Gets Its Wants Supplied. PMID- 29825360 TI - The Trials of a Hospital Physician. PMID- 29825361 TI - British and Foreign Sailors' Society. PMID- 29825362 TI - Hospitals with 150 Beds and Upwards. PMID- 29825363 TI - Hospital Music and Christmas Festivities. PMID- 29825364 TI - Round the Hospitals. PMID- 29825365 TI - Hospital and Institutional News. PMID- 29825366 TI - Earning Power in Women Workers: A Momentous Opportunity. PMID- 29825367 TI - Hospitals under 50 Beds. PMID- 29825369 TI - Compulsory Latin for Medical Students. PMID- 29825368 TI - Nature Studies in Macedonia. PMID- 29825371 TI - Christmas Number of the War Hospital Gazettes. PMID- 29825370 TI - Christmas in War-Time. PMID- 29825373 TI - Parliament and the Profession. PMID- 29825372 TI - First Eastern General Hospital (T), Cambridge. PMID- 29825374 TI - Awards for Valuable Services in Connection with the War. PMID- 29825375 TI - The College's Barometer of Progress: The Anti-College Party Steadily Loses Ground. PMID- 29825377 TI - The Nation's Food and the War. PMID- 29825376 TI - Round the Hospitals. PMID- 29825379 TI - Hospital and Institutional News. PMID- 29825378 TI - The Criminal Law Amendment Bill: State Recognition of Preventive Medicine. PMID- 29825380 TI - Children's Eyesight and the Cinematograph. PMID- 29825381 TI - Military Medicine at Waterloo. PMID- 29825382 TI - The Work of the Elizabeth Barclay Home of Industry. PMID- 29825383 TI - Unorganised: Its Difficulties and a Pernicious System. PMID- 29825384 TI - The Prevention of Venereal Disease. PMID- 29825385 TI - Hospitals and the Spirit Tax. PMID- 29825386 TI - The Royal British Nurses' Association and the College of Nursing, Limited. PMID- 29825388 TI - The Criminal Law Amendment Bill. PMID- 29825387 TI - The Profession of British Nurses: I. Plain Words on Registration. PMID- 29825389 TI - The Future Citizen. PMID- 29825390 TI - The "Runwell" Semi-Rotary Hand Pump. PMID- 29825391 TI - The Operative Treatment of Inguinal Hernia in Hospital. PMID- 29825392 TI - Manipulative Surgery. PMID- 29825393 TI - A Ministry of Health. PMID- 29825395 TI - Flies and Food: Grievous Dangers and How to Prevent Them. PMID- 29825394 TI - The Editor's Letter-Box. PMID- 29825396 TI - The Sugar Ration. PMID- 29825397 TI - The Patriotism of the Nurse-Training Schools: XII. London Training Schools. PMID- 29825398 TI - Emotion and Belief. PMID- 29825400 TI - What Is Truth? PMID- 29825399 TI - The Editor's Letter-Box. PMID- 29825401 TI - Round the Hospitals. PMID- 29825402 TI - Hospital and Institutional News. PMID- 29825404 TI - Round the Hospitals. PMID- 29825403 TI - The Editor's Letter-Box. PMID- 29825406 TI - Unveiling of Bas-Relief of Florence Nightingale. PMID- 29825405 TI - Nursing in Ireland: The Guinea-Pigs and the Mansion House Cat. PMID- 29825407 TI - Some Great Hospitals of America: British Types and New Departures. PMID- 29825408 TI - The New Call to the Medical Profession. PMID- 29825409 TI - Its Work, Its Ambitions, and Its Outlook. PMID- 29825410 TI - Great Britain and the United States. PMID- 29825411 TI - Hospital and Institutional News. PMID- 29825412 TI - The Pay Hospital System in Great Britain: It Should Become Widespread after the War. PMID- 29825413 TI - Where America Leads Great Britain. PMID- 29825414 TI - The Service of Dedication at St. Paul's: A Momentous Event in the World's History. PMID- 29825415 TI - America's Awakening to Hospital Values: The Spread of Efficiency. PMID- 29825417 TI - From across the Seas. PMID- 29825416 TI - Nursing Progress in America. PMID- 29825418 TI - The Irish Medical Association. PMID- 29825419 TI - Parliament and the Profession. PMID- 29825420 TI - Municipalities and the Voluntary Principle. PMID- 29825421 TI - The Editor's Letter-Box. PMID- 29825422 TI - Parliament and the Profession. PMID- 29825423 TI - Easter Day 1917: The Murder of Non-Combatants. PMID- 29825424 TI - Hospital and Institutional News. PMID- 29825425 TI - Disseminated Sclerosis: A Knotty Problem of Causation and Treatment. PMID- 29825427 TI - Leicester Royal Infirmary: A Largely Attended Annual Meeting. PMID- 29825426 TI - Nurses Boxing with Patients. PMID- 29825428 TI - Round the Hospitals. PMID- 29825429 TI - Two Sorts of Waste of Children. PMID- 29825430 TI - The Operative Treatment of Inguinal Hernia in Hospital. PMID- 29825432 TI - The Profession of British Nurses: II. Plain Words on Registration. PMID- 29825431 TI - Manipulative Surgery. PMID- 29825433 TI - A Foreword, with Some Hospital Reminiscences. PMID- 29825434 TI - Hospital and Institutional News. PMID- 29825435 TI - An Attack on the Army Medical Service. PMID- 29825436 TI - Voluntary Hospital Finance: I. Some Reflections and a Foreword. PMID- 29825437 TI - The Profession of British Nurses: Plain Words on Registration.-IV. PMID- 29825438 TI - Pain and Shock. PMID- 29825439 TI - The Royal Hospital for Incurables, Putney. PMID- 29825440 TI - War and Eugenics: A Paroxysm of Paradox. PMID- 29825441 TI - Legal Notes for Institutional Workers. PMID- 29825442 TI - Bread as the Staple Food. PMID- 29825444 TI - A Ministry of Health. PMID- 29825443 TI - Manipulative Surgery. PMID- 29825446 TI - The Guild of Social Workers. PMID- 29825445 TI - Noble Women Workers in the War. PMID- 29825447 TI - Labour-Saving Appliances. PMID- 29825448 TI - The Patriotism of the Nurse-Training Schools: XIII. Some Lancashire Institutions. PMID- 29825449 TI - The Profession of British Nurses: Plain Words on Registration.-III. PMID- 29825451 TI - From Across the Seas. PMID- 29825450 TI - Summer Knitting. PMID- 29825452 TI - Leeds General Infirmary Extensions. PMID- 29825453 TI - Medical Research in India. PMID- 29825454 TI - Recent Work on Artificial Pneumothorax: Benefits and Their Limitations. PMID- 29825455 TI - The Easter Bank Holiday, 1917. PMID- 29825457 TI - The Uniting of the Nations: Will Britons in the Homeland Awake and Act? PMID- 29825456 TI - Parliament and the Profession. PMID- 29825458 TI - Guardians and Economy. PMID- 29825459 TI - Hospital and Institutional News. PMID- 29825460 TI - Round the Hospitals. PMID- 29825461 TI - The Necessity for Amending Legislation. PMID- 29825462 TI - The Surgery of Military Spinal Injuries: Some Indications for Its Employment. PMID- 29825463 TI - The Fabian Report on Professional Associations. PMID- 29825464 TI - The Medical Profession and the Uncertified Midwife. PMID- 29825465 TI - Hospital and Institutional News. PMID- 29825467 TI - The Preliminary Training School for Nurses. II. Some Early and Later Experiences. PMID- 29825466 TI - Parliament and the Profession. PMID- 29825469 TI - Round the Hospitals. PMID- 29825468 TI - The General Medical Council and the Supply of Doctors. PMID- 29825471 TI - Memorandum by the Council on the Petition to the Prime Minister. PMID- 29825470 TI - Occupational Therapy. PMID- 29825472 TI - Hospital Chapels and Hospital Sunday. PMID- 29825473 TI - Round the Hospitals. PMID- 29825475 TI - Life in a Korean Hospital: A Medical Mission in the East. PMID- 29825474 TI - The Church's Attitude Towards Disease. PMID- 29825477 TI - 1916.-A Year's Work in the Hospitals and Medical Charities of London. PMID- 29825476 TI - A Single Year's Roll-Call of the Sick. PMID- 29825478 TI - The Chapel of Guy's Hospital. PMID- 29825479 TI - Hospitals and Their Special Needs. PMID- 29825480 TI - The Churches' Opportunity: Hospital Sunday, 1917. PMID- 29825481 TI - Poor-Law Nursing in England. Poor-Law Nursing To-Day.-II. PMID- 29825482 TI - Resignation of Mr. J. G. Wainwright, the Treasurer. PMID- 29825483 TI - Hospital and Institutional News. PMID- 29825485 TI - Science and Pseudo-Science: The Hereditary Criminal Again? PMID- 29825484 TI - M.A.B. Economy: Its Excellent Results. PMID- 29825486 TI - National Insurance and the Proposed Ministry of Health. PMID- 29825487 TI - Parliament and the Profession. PMID- 29825488 TI - Mens Sana in Corpore Sano. PMID- 29825489 TI - Plain Words on Registration.-V. PMID- 29825490 TI - Round the Hospitals. PMID- 29825491 TI - Child Mortality and Child Welfare. PMID- 29825492 TI - The Doctor's Vade-Mecum: Simple Rules for Medical Practitioners. PMID- 29825493 TI - The Medical Profession and Legislation against Contraceptives. PMID- 29825495 TI - The Patriotism of the Nurse-Training Schools: XIV. Some Yorkshire Institutions. PMID- 29825494 TI - Hospital and Institutional News. PMID- 29825497 TI - The Work of Hospital Almoners-III: Address by Miss Cummins at the London School of Economics. PMID- 29825496 TI - Hospital Pharmacists and Food Economy. PMID- 29825498 TI - Subacute Endocarditis in Children. PMID- 29825499 TI - The Worst War of the World: I. Its Teachings and Momentous Issues. PMID- 29825500 TI - Three Plays with a Purpose. PMID- 29825502 TI - The B.M.A. Annual Representative Meeting. PMID- 29825501 TI - Hospital and Institutional News. PMID- 29825504 TI - Leicester Royal Infirmary. PMID- 29825503 TI - The College of British Nursing. PMID- 29825505 TI - The War Cripple: His Restoration, Occupations, and Future. PMID- 29825506 TI - Round the Hospitals. PMID- 29825507 TI - National Health Work for Women. PMID- 29825508 TI - The Responsibility of the Anaesthetist. PMID- 29825509 TI - Parliament and the Profession. PMID- 29825510 TI - Recuperative Hostels. PMID- 29825511 TI - The Revised Pension Arrangements, and a New Act. PMID- 29825512 TI - Industrial Efficiency and Fatigue: Overwork and Overstrain. PMID- 29825514 TI - Recuperative Hostels: Has the Law Been Violated? PMID- 29825513 TI - Baby Week. PMID- 29825516 TI - Centralisation versus Decentralisation: How to Fight Tuberculosis. PMID- 29825515 TI - A Fall in Infant Mortality. PMID- 29825517 TI - Report of the Highlands and Islands Medical Service Board. PMID- 29825519 TI - Round the Hospitals. PMID- 29825518 TI - The Editor's Letter-Box. PMID- 29825520 TI - The Foodstuffs Advisory Board Specimen Menu. PMID- 29825521 TI - Hospital and Institutional News. PMID- 29825522 TI - Poor-Law Nursing in England: I. Sixty Years of Its History. PMID- 29825523 TI - The Recreation Rooms. PMID- 29825524 TI - The Fruits of "The Hospital's" Teaching. PMID- 29825525 TI - Round the Hospitals. PMID- 29825526 TI - Guy's Hospital and the Calling-Up of Doctors: Correspondence with the Local Government Board. PMID- 29825528 TI - The Second Annual Report of the Council. PMID- 29825527 TI - The Position of British Nursing. PMID- 29825530 TI - St. Thomas's Hospital. An Historic Group. PMID- 29825529 TI - Blood Investigations in Flying Men. PMID- 29825531 TI - Physical Exercises from a National Standpoint. PMID- 29825532 TI - British Nurses and Nursing. A Campaign of Misrepresentation and Personal Ambitions. PMID- 29825533 TI - Concerning Woman Suffrage. PMID- 29825534 TI - The Mesopotamia Commission Report. PMID- 29825535 TI - Hospital and Institutional News. PMID- 29825536 TI - The I.C.A.A. as a Clearing House. PMID- 29825537 TI - Venereal Disease in Scotland: The Trend of Progress in Treatment. PMID- 29825538 TI - Round the Hospitals. PMID- 29825540 TI - Miss Matheson Speaks at Belfast. PMID- 29825539 TI - Parliament and the Profession. PMID- 29825541 TI - The Law Society and Solicitors' Touts. PMID- 29825542 TI - Rotten Food for Londoners, Why? PMID- 29825543 TI - Hospital and Institutional News. PMID- 29825545 TI - The Leicester Home for Neurasthenic Soldiers. PMID- 29825544 TI - Recruiting by the New Method: Civilian Doctors to Replace Military Officers. PMID- 29825547 TI - Medical Politics. PMID- 29825546 TI - German Medical Officers for Prisoners' Camps? PMID- 29825548 TI - Children's Country Holidays Fund. PMID- 29825549 TI - Nursing Affairs in Ireland. PMID- 29825550 TI - Matrons in Council: Sparks from a Nurse's Anvil. PMID- 29825551 TI - Bird Life in Macedonia. PMID- 29825552 TI - Hospital and Institutional News. PMID- 29825553 TI - The Consumption of Beer. PMID- 29825554 TI - Twenty Years' Progress of a Great Charity. PMID- 29825555 TI - A War Emergency Benevolent Fund. PMID- 29825556 TI - Legal Notes for Institutional Workers. PMID- 29825557 TI - The Uniform of the British Nurse. PMID- 29825558 TI - The Problem of the Midwife. PMID- 29825559 TI - Help for Our Sailors: The Mansion House Meeting. PMID- 29825561 TI - The Work of Hospital Almoners: Address by Miss Cummins at the London School of Economics. PMID- 29825560 TI - The Illegitimate Child. PMID- 29825562 TI - Every Landsman's Duty and Opportunity. PMID- 29825564 TI - Round the Hospitals. PMID- 29825563 TI - How to Raise Birth-Rates after the War: Interesting Figures and Sober Facts. PMID- 29825565 TI - The Select Committee on the Medical Examination of Recruits: Some Notes on the Evidence. PMID- 29825566 TI - Annual Meeting of Governors and General Council. PMID- 29825568 TI - Optimism and Pessimism. PMID- 29825567 TI - Round the Hospitals. PMID- 29825570 TI - The College of Nursing, Limited. PMID- 29825569 TI - Proposed Diploma for Irish Nurses. PMID- 29825571 TI - A Medical Aspect of the Education Proposal: By a Tuberculosis Worker. PMID- 29825572 TI - Children's Country Holidays Fund. PMID- 29825574 TI - The Medical Profession and the War Office. PMID- 29825573 TI - Parliament and the Profession. PMID- 29825575 TI - The Problem of Substitutes. PMID- 29825576 TI - Hospital and Institutional News. PMID- 29825578 TI - The Nation's Fund for Nurses. PMID- 29825577 TI - The Great Concert and Two Important Speeches. PMID- 29825579 TI - Institutional Needs. PMID- 29825580 TI - Plastic Surgery. PMID- 29825581 TI - The Parent: Supported or Supplanted. PMID- 29825582 TI - A Kitchen Committee. PMID- 29825583 TI - The Preliminary Training School for Nurses: III. The Week's Work. PMID- 29825584 TI - The War and the Future of Poor-Law Infirmaries. PMID- 29825586 TI - Birthday Honours. PMID- 29825585 TI - The National Clean Milk Society's Investigation. PMID- 29825588 TI - The Prevention of Venereal Disease. PMID- 29825587 TI - Round the Hospitals. PMID- 29825590 TI - The Case against the Voluntary Hospital. PMID- 29825589 TI - A "Hut" Hospital: How the 3rd London General Hospital Came into Being. PMID- 29825591 TI - Mothercraft and Child Welfare: Maternity as State Service. PMID- 29825592 TI - Hospital and Institutional News. PMID- 29825593 TI - Quarterly Report of the House Committee. PMID- 29825594 TI - The Venereal Clinics of the Seamen's Hospital Society. PMID- 29825596 TI - Recuperative Hostels: The Hankering after Euphemisms. PMID- 29825595 TI - The Working Boy. PMID- 29825597 TI - The Criminal Law Amendment Bill. PMID- 29825598 TI - Co-Operation of City Corporation and Freemen. PMID- 29825599 TI - The Nethern Asylum. PMID- 29825600 TI - The Part and the Whole. PMID- 29825602 TI - Parliament and the Profession. PMID- 29825601 TI - Hospital and Institutional News. PMID- 29825603 TI - French Anti-Tuberculosis Measures. PMID- 29825604 TI - From across the Seas. PMID- 29825605 TI - A New Patent Electrolyser. PMID- 29825606 TI - Round the Hospitals. PMID- 29825608 TI - Plain Words on Registration.-VI. PMID- 29825607 TI - A Conflict of Opinion. PMID- 29825609 TI - The Cost of War Rations. PMID- 29825610 TI - The Service at Westminster Abbey. PMID- 29825612 TI - Addenbrooke's Hospital, Cambridge. PMID- 29825611 TI - Round the Hospitals. PMID- 29825613 TI - The Irish Anti-College Scheme. PMID- 29825614 TI - Soldiers' Heart: A Question of AEtiology. PMID- 29825615 TI - The Naval M.O. in Action. PMID- 29825617 TI - Personal Rights and the Criminal Law Amendment Bill. PMID- 29825616 TI - Warrior Patients in Hospitals: Their Temperatures and Maladies. PMID- 29825618 TI - Hospital and Institutional News. PMID- 29825619 TI - The Anti-Venereal Campaign: The Annual Oration before the Medical Society. PMID- 29825620 TI - The New Education and Its Teachers. PMID- 29825621 TI - The Supply of Doctors. PMID- 29825623 TI - Liverpool Royal Infirmary. PMID- 29825622 TI - The Preliminary Training School for Nurses: I. Its Uses and Developments. PMID- 29825624 TI - Criminals Are Made, Not Born. PMID- 29825625 TI - Parliament and the Profession. PMID- 29825627 TI - The Worst War of the World: II. Its Third Anniversary in Westminster Abbey. PMID- 29825626 TI - Matrons in Council.-Some Return Sparks: A Matron's View. PMID- 29825628 TI - Awards Recommended by the Committee of Distribution for the Year 1917. PMID- 29825629 TI - Essential Defects of the Theatre and Cinema. PMID- 29825631 TI - The Payment of Medical Officers in V.A.D. Hospitals. PMID- 29825630 TI - Hospital and Institutional News. PMID- 29825632 TI - The Hygiene of Play. PMID- 29825633 TI - Round the Hospitals. PMID- 29825635 TI - The Abbey Service. PMID- 29825634 TI - A Grave National Deficiency.-I. PMID- 29825636 TI - What Is Rat-Bite Fever? PMID- 29825637 TI - The New Offensive against Disease: King Edward VII.'s Hospital, Cardiff. PMID- 29825638 TI - Parliament and the Doctors. PMID- 29825639 TI - The Crusade against Venereal Disease: Addresses by Surg.-General Sir Alfred Keogh and Mrs. Creighton. PMID- 29825640 TI - Neurasthenia and the Army. PMID- 29825641 TI - Parliament and the Profession. PMID- 29825642 TI - Hospital and Institutional News. PMID- 29825643 TI - When the Wounded Arrive. PMID- 29825644 TI - Round the Hospitals. PMID- 29825645 TI - Poor-Law Nursing in England. III. The Sick Wards. PMID- 29825646 TI - Report on the Physical Welfare of Women and Children. PMID- 29825647 TI - The Hon. Arthur Stanley, C.B., M.V.O., M.P., Appointed Treasurer. PMID- 29825648 TI - Summer Knitting. PMID- 29825649 TI - The Chapel of Guy's Hospital. PMID- 29825650 TI - A London Holiday for Hospital Men. PMID- 29825651 TI - The Royal Infirmary and Our Prisoners in Germany: An Example Which Might Be Followed. PMID- 29825653 TI - The Second Annual General Meeting. PMID- 29825652 TI - Blind, Deaf, Defective, and Epileptic Children: Their Education and Training. PMID- 29825654 TI - The Work of Hospital Almoners-II: Address by Miss Cummins at the London School of Economics. PMID- 29825655 TI - Asylum Workers' Union. PMID- 29825656 TI - Has Cotton Grass a Commercial Value? PMID- 29825657 TI - The Future of Medical Benefit. PMID- 29825658 TI - Hospital and Institutional News. PMID- 29825659 TI - Are Baby Shows Vulgar and Valueless? PMID- 29825661 TI - Parliamentary Inquiry on the Medical Examination of Recruits: Some Lay Evidence. PMID- 29825660 TI - The Profession, the Public, and the Politicians. PMID- 29825662 TI - Round the Hospitals. PMID- 29825663 TI - Dr. Mercier and Sir Oliver Lodge. PMID- 29825664 TI - Institutional Needs. PMID- 29825665 TI - Nurse Democrats Voice Their Problems. Important Questions and Clear Answers. PMID- 29825666 TI - From across the Seas. PMID- 29825667 TI - Round the Hospitals. PMID- 29825668 TI - Addenbrooke's Hospital, Cambridge. PMID- 29825669 TI - The Strain of War on the Nervous System: Efficiency in Politicians and Soldiers. PMID- 29825671 TI - London as a Health Centre: By a Social Worker. PMID- 29825670 TI - A Vital Question for Some Voluntary Hospitals. PMID- 29825672 TI - Hospital and Institutional News. PMID- 29825673 TI - Matron's in Council: IV. The Love and Sympathy of a Noble Woman. PMID- 29825675 TI - A Jungle Hospital: The Travelling Dispensary Officer's Work.-I. PMID- 29825674 TI - A Rejoinder to "An Old Shoe's" Thoughts. PMID- 29825677 TI - Institutional Appliances. PMID- 29825676 TI - A Hospital Dispute in Tasmania. PMID- 29825678 TI - Parliament and the Profession. PMID- 29825679 TI - Round the Hospitals. PMID- 29825680 TI - The War Office and the Medical Profession. PMID- 29825681 TI - Matrons in Council: VII the Future of the Nursing Profession. PMID- 29825682 TI - Auxiliary Hospitals and Their Uses. PMID- 29825683 TI - Hospital and Institutional News. PMID- 29825684 TI - Medical Officers and the Supply of Drugs. PMID- 29825685 TI - Nature Studies in Macedonia-II. PMID- 29825686 TI - German Genius and Methods: Is Their Reputation Justified by Their Real Worth? PMID- 29825687 TI - How the Problem Of the Blind Can Be Solved: The Report of the Departmental Committee. PMID- 29825688 TI - A State of Unrest. A New Movement on Foot. PMID- 29825690 TI - New Board of Trade Rules. PMID- 29825689 TI - Communal Cookery: A New Opportunity for Educated Women. PMID- 29825692 TI - Nerve-Shattered Soldiers and Their Treatment: Dr. Lumsden's Excellent Scheme. PMID- 29825691 TI - The Catgut Ligature: A Technique for Its Use in Civil Practice. PMID- 29825693 TI - The Y.M.C.A. Anti-Tuberculosis Campaign: An Educational Biograph Film. PMID- 29825694 TI - The Bath Case and Its Lessons. PMID- 29825696 TI - Hospital and Institutional News. PMID- 29825695 TI - Air-Raids on Hospitals and Non-Combatants. PMID- 29825697 TI - The Question of Economics. PMID- 29825698 TI - Far-Reaching War Activities. PMID- 29825699 TI - Round the Hospitals. PMID- 29825700 TI - A Children's Hospital in Difficulties. PMID- 29825701 TI - The British Nursing Profession: The Two Voices. PMID- 29825702 TI - The Theatre and the Cinema: Some Hygienic Defects, Their Causes and Prevention. PMID- 29825703 TI - A Campaign for Food Economy. PMID- 29825704 TI - Education and National Morality. PMID- 29825705 TI - Asylum Treatment: What Is the Explanation? PMID- 29825706 TI - Matrons in Council: VI. Modern Ideas Needed, Though Not Favoured in Our Hospitals. PMID- 29825707 TI - A Plea for Raising War Office Payments with a Flat Rate. PMID- 29825708 TI - The Worst War of the World: III. The United States Troops Visit London. PMID- 29825709 TI - The Exhaustion of the Medical Profession. PMID- 29825710 TI - The Work of the Metropolitan Asylums Board. PMID- 29825711 TI - The Oldest Coroner in England. PMID- 29825712 TI - Nursing Affairs in Ireland. PMID- 29825713 TI - Sir Alfred Keogh and the R.A.M.C. PMID- 29825714 TI - Colonel Bruce Vaughan Has a Good Time. PMID- 29825715 TI - Hospital and Institutional News. PMID- 29825716 TI - Some History and Its Teachings. PMID- 29825717 TI - No State Licence Given to Murder. PMID- 29825718 TI - Round the Hospitals. PMID- 29825719 TI - Matrons in Council: III. From an Old Shoe. PMID- 29825720 TI - Nature Studies in Macedonia. PMID- 29825721 TI - What the Fighting Man Thinks of War. PMID- 29825722 TI - II-A Grave National Deficiency. PMID- 29825723 TI - Round the Hospitals. PMID- 29825724 TI - The Disinfection of Sick-Rooms. PMID- 29825725 TI - Parliament and the Profession. PMID- 29825726 TI - The Main Irish Grievance-Economic. PMID- 29825727 TI - Physical Methods in Deformity and Disease: Some Hindrances to Their More Extended Employment. PMID- 29825728 TI - A Jungle Hospital: II. Causes of Plague, Former Residencies, and Some Sport. PMID- 29825729 TI - The Army Medical Service Inquiry. PMID- 29825730 TI - The Worst War of the World: IV. The Germans' Barbarities and the World's Press. PMID- 29825732 TI - Many Honours for Hospital Workers. PMID- 29825731 TI - Rational Economy. PMID- 29825733 TI - Physical Orthopaedics. PMID- 29825734 TI - Matrons in Council: V. The Elements Must Be in the Woman. PMID- 29825735 TI - Hospital and Institutional News. PMID- 29825737 TI - Round the Hospitals. PMID- 29825736 TI - The Society of Women Journalists. PMID- 29825738 TI - The After-Care of Consumptives: The Economy of Developing Existing Institutions. PMID- 29825739 TI - Matrons in Council: VIII. An All-Round View of Reconstruction. PMID- 29825740 TI - Give the College a Chance. PMID- 29825741 TI - C.N.A. Nurses and the "Roll of Merit". PMID- 29825742 TI - Sweaters and Other Comforts. PMID- 29825743 TI - Civilian Practitioners and Military Hospitals. PMID- 29825744 TI - The Destruction of Medical Certificates. PMID- 29825745 TI - Efficiency and Individual Freedom. PMID- 29825746 TI - Smoking in Hospital. PMID- 29825747 TI - The Institution Food Controller. PMID- 29825748 TI - Hospital and Institutional News. PMID- 29825749 TI - Meat Inspection: A Department of Preventive Medicine. PMID- 29825750 TI - National Insurance and the Local Government Board. PMID- 29825751 TI - The English Conjoint Course. PMID- 29825752 TI - His Majesty's Visit. Many Difficulties Overcome. PMID- 29825753 TI - The True Line of Medical Progress. PMID- 29825754 TI - The Public Services. PMID- 29825755 TI - Its Claims and Advantages. PMID- 29825756 TI - Oxford University Course. PMID- 29825757 TI - The Fellowship of the Royal College of Surgeons. PMID- 29825758 TI - Dentistry as a Profession: Its Drawbacks and Preparations to Qualify. PMID- 29825759 TI - The Medical Schools of the United Kingdom. PMID- 29825760 TI - The Difficulties of the Schools. PMID- 29825761 TI - How Matters Stand To-Day. PMID- 29825762 TI - Qualification and Registration. PMID- 29825763 TI - The Irish Nursing Board. PMID- 29825764 TI - The Public Health Services: Their Attraction for Practitioners. PMID- 29825765 TI - Woman's Work in Medicine after the War: Memory Pictures and the Worker. PMID- 29825766 TI - Tropical Medicine. PMID- 29825768 TI - Medical Education in the Time of the Great War. PMID- 29825767 TI - Graduate Study in London Special Hospitals. PMID- 29825769 TI - Cambridge University Course. PMID- 29825770 TI - The Spoken Word and the Printed Page. PMID- 29825772 TI - Graduate Institutions in London. PMID- 29825771 TI - London University Course. PMID- 29825774 TI - Qualifications and Regulations. PMID- 29825773 TI - Higher Diplomas. PMID- 29825775 TI - The Food and Nutritional Diseases of an Army: How the British Soldier Is Cared for. PMID- 29825776 TI - Commandeered Hospitals: the Question of Compensation. PMID- 29825777 TI - The Nightingale School and St. Thomas's Hospital -III. PMID- 29825778 TI - The Hospital. PMID- 29825780 TI - Their Influence upon Methods of Amputation. PMID- 29825779 TI - Mental and Muscular Work in Relation to Food. PMID- 29825781 TI - Hospital and Institutional News. PMID- 29825782 TI - Irish Nurses' League. PMID- 29825783 TI - Round the Hospitals. PMID- 29825784 TI - Decorations and Titular Honours: Some New Developments and Their Relation to the Hospital World. PMID- 29825785 TI - Village Practice: An Autobiographical Fragment. PMID- 29825786 TI - Parliament and the Profession. PMID- 29825787 TI - The Midwives Bill. PMID- 29825788 TI - School Attendance and Health. PMID- 29825789 TI - The Homeland in War-Time. PMID- 29825791 TI - Cleanliness in Public Buildings. PMID- 29825790 TI - The R.B.N.A. and the College. PMID- 29825793 TI - Rations and Health. PMID- 29825792 TI - Tetanus in Civilian Practice. PMID- 29825794 TI - Hospital and Institutional News. PMID- 29825795 TI - Parliament and the Profession. PMID- 29825797 TI - Lord Lister: II. The Lessons of His Early Life. PMID- 29825796 TI - Myalgia: A Clinical Study. PMID- 29825798 TI - Treatment of Disabled Sailors and Soldiers. PMID- 29825799 TI - Treatment of Disabled Sailors and Soldiers. PMID- 29825801 TI - The Hospital. PMID- 29825800 TI - Sister Children's. PMID- 29825802 TI - Massage: A Branch of Physical Treatment: Its Principles and Its Value. PMID- 29825803 TI - Nursing Progress and Its Developments: VII. The Probationer's Third Year. PMID- 29825804 TI - Round the Hospitals. PMID- 29825805 TI - King George's Fund for Sailors. PMID- 29825806 TI - Victories of the Doctor and the Sanitarian. PMID- 29825807 TI - Hospital and Institutional News. PMID- 29825808 TI - Reredos in King's College Hospital Chapel. PMID- 29825809 TI - The Causes of Disease. PMID- 29825810 TI - From across the Seas. PMID- 29825811 TI - The Value of Registration. PMID- 29825812 TI - The Nightingale School and St. Thomas's Hospital-II. PMID- 29825814 TI - Facts for Food Economists. PMID- 29825813 TI - The R.B.N.A. and the College. PMID- 29825815 TI - Round the Hospitals. PMID- 29825816 TI - The Hospital. PMID- 29825817 TI - King George's Fund for Sailors. PMID- 29825818 TI - War Emergency Medicines. PMID- 29825819 TI - Parliament and the Profession. PMID- 29825820 TI - Treatment of War Pensioners and Other. PMID- 29825821 TI - The Physical Side of Social Regeneration. PMID- 29825822 TI - Education and Examination. PMID- 29825824 TI - The New Year, 1918: What to Read and Study. PMID- 29825823 TI - The Hospital. PMID- 29825826 TI - Round the Hospitals. PMID- 29825825 TI - The League of Mercy: Eighteenth Annual Meeting of Presidents. PMID- 29825828 TI - Parliament and the Profession. PMID- 29825827 TI - The Worst War of the World: An Enduring Commemoration. Our Old Army and Our First Defence. PMID- 29825830 TI - Once a Ward in Middlesex Hospital. PMID- 29825829 TI - Hospital and Institutional News. PMID- 29825831 TI - Prospects and Promises. PMID- 29825832 TI - Metropolitan Hospital Sunday Fund: Annual Meeting of Constituents: L76,354 Distributed. PMID- 29825834 TI - Memorials to Hospital Worthies. PMID- 29825833 TI - "Raising a Ghost It Were Better to Lay". PMID- 29825835 TI - British Nursing Advancing: What "British Women's Hospital" Stands for. PMID- 29825837 TI - Parliament and the Profession. PMID- 29825836 TI - War Questions-Payments for Hospital Patients. PMID- 29825839 TI - Hospital Treatment for Wounded and Pensioned Soldiers. PMID- 29825838 TI - A Plea for Action Based on Knowledge. PMID- 29825840 TI - Hospital and Institutional News. PMID- 29825841 TI - The Irish Board of the College of Nursing. PMID- 29825842 TI - The Hospital. PMID- 29825843 TI - Report of the Medical Department of the Board of Education. PMID- 29825844 TI - Round the Hospitals. PMID- 29825845 TI - "Refusal to Attend Chapel": The Home's Reply. PMID- 29825846 TI - Generalism and Specialism. PMID- 29825847 TI - Hospital and Institutional News. PMID- 29825848 TI - The Hospital. PMID- 29825849 TI - Round the Hospitals. PMID- 29825850 TI - Unqualified Medical Practice: Should It Be Suppressed by Law? PMID- 29825851 TI - Two Types of Medical Leader: I. The Hero. PMID- 29825852 TI - The Position of the Smaller Institutions. PMID- 29825853 TI - "A Children's Hospital in Difficulties". PMID- 29825854 TI - For Irish Sailors and Soldiers Who Have Lost a Limb. PMID- 29825855 TI - Medical Controversies. PMID- 29825857 TI - The Combined Scheme of Two Well-Known Hospitals. PMID- 29825858 TI - The Organisation of the Leicester Saturday Society. PMID- 29825856 TI - Matrons in Council: IX. Some Criticisms Examined. Needs of the Future. PMID- 29825859 TI - Creche or Nursery School? PMID- 29825860 TI - Matrons in Council. PMID- 29825861 TI - What One Secretary Is Thinking. PMID- 29825862 TI - The Rotunda and Coombe Hospitals. PMID- 29825864 TI - Legal Notes for Institutional Workers. PMID- 29825863 TI - Raising a Ghost It Were Better to Lay. PMID- 29825866 TI - Round the Hospitals. PMID- 29825865 TI - The Hospital. PMID- 29825868 TI - The Lighting of Operating Theatres: by Day and by Night. PMID- 29825867 TI - A Hospital Day in Salonika. PMID- 29825870 TI - An Interpretation of Medicine to the Lay Public. PMID- 29825869 TI - King George's Fund for Sailors. PMID- 29825872 TI - Food in Wartime. PMID- 29825871 TI - The County Infirmaries and the College. PMID- 29825873 TI - Hospital and Institutional News. PMID- 29825874 TI - "He Was Bought a Bun". PMID- 29825875 TI - National Service under New Management. PMID- 29825877 TI - Medical Certificates for Insurance Purposes. PMID- 29825876 TI - The Royal British Nurses' Association. PMID- 29825878 TI - Hospital and Institutional News. PMID- 29825879 TI - "Raising a Ghost It Were Better to Lay". PMID- 29825881 TI - The Suffrage and Florence Nightingale. PMID- 29825880 TI - North Staffordshire Infirmary: The Way to Get Money. PMID- 29825882 TI - Why British Public Sanatoria Have Failed. PMID- 29825883 TI - The Military Position of the Medical Student in Great Britain and in America: A Contrast in Policy and Methods. PMID- 29825884 TI - A State Censorship Favoured. PMID- 29825886 TI - Round the Hospitals. PMID- 29825885 TI - Nursing Affairs in Ireland. PMID- 29825888 TI - The Hospital. PMID- 29825887 TI - "He Was Bought a Bun". PMID- 29825889 TI - Practical Food of Real Value: I. Why and Where Hospitals Cost More. PMID- 29825890 TI - "Raising a Ghost"-And Laying a Controversy. PMID- 29825892 TI - The Way to Kill Waiting-Lists, and How to Pay for Additional Upkeep. PMID- 29825891 TI - Nitrous Oxide and Oxygen. PMID- 29825893 TI - Advantages and Disadvantages. PMID- 29825894 TI - The College of Nursing, Limited. PMID- 29825896 TI - On Certainties and Probabilities. PMID- 29825895 TI - The Statistics of 109 Metropolitan Hospitals for 1916. PMID- 29825898 TI - Thinking in Calories. PMID- 29825897 TI - Hospital and Institutional News. PMID- 29825900 TI - Parliament and the Profession. PMID- 29825899 TI - The Hospital. PMID- 29825901 TI - Round the Hospitals. PMID- 29825902 TI - Sir Arthur Newsholme's Annual Report, 1916-17. PMID- 29825903 TI - Parliament and the Profession. PMID- 29825904 TI - A Study of Nursing Progress and Its Development. PMID- 29825905 TI - Payment for Military Patients and Treatment of Discharged Warriors. PMID- 29825906 TI - The Economic Use of the Medical Profession. PMID- 29825907 TI - Hospital and Institutional News. PMID- 29825908 TI - Hammock Suspension of Fractures. PMID- 29825909 TI - A War-Time Christmas in Hospitals. PMID- 29825911 TI - The Churches and Venereal Marriages: Do They Treat Marriage as a Sacrament or Not? PMID- 29825910 TI - Treatment of Severe Facial Injuries. PMID- 29825912 TI - Round the Hospitals. PMID- 29825913 TI - Midwifery in London. PMID- 29825914 TI - The Hospital. PMID- 29825915 TI - "As Age Creeps On": Possible Troubles and How to Treat Them. PMID- 29825916 TI - American and British Doctors and the G.M.C. PMID- 29825917 TI - Practical Food of Real Value: II. Why and Where Hospitals Cost More. PMID- 29825919 TI - "Raising a Ghost It Were Better to Lay". PMID- 29825918 TI - The College of Nursing, Limited. PMID- 29825920 TI - Miss Matheson's Address. PMID- 29825921 TI - Parliament and the Profession. PMID- 29825923 TI - The Hospital. PMID- 29825922 TI - Medicine in the Great War. PMID- 29825924 TI - Round the Hospitals. PMID- 29825925 TI - Two Types of Medical Leader: No. 2. The Humbug. PMID- 29825926 TI - A Vital Question for Voluntary Hospitals. PMID- 29825927 TI - A Ministry of Health and Its Operations. PMID- 29825929 TI - Hun Surgeon's Murder. PMID- 29825928 TI - Women's Hospital, Dundee. PMID- 29825931 TI - The Royal British Nurses' Association: The Story of Recent Happenings. PMID- 29825930 TI - The Nightingale School and St. Thomas's Hospital. PMID- 29825932 TI - Hospital and Institutional News. PMID- 29825933 TI - A New Year Message. PMID- 29825935 TI - The Hospital. PMID- 29825934 TI - Salerno and Medical Women. PMID- 29825936 TI - A Straight Talk on Hospital Finances. PMID- 29825938 TI - Hospital and Institutional News. PMID- 29825937 TI - The Modern Jew: A Sociological and Biological Study. PMID- 29825939 TI - Round the Hospitals. PMID- 29825940 TI - The Best of the Old Year. PMID- 29825942 TI - Bolo Buried and Forgotten Everywhere. PMID- 29825941 TI - A New Children's Hospital. PMID- 29825943 TI - Vindication of the Medical Staff. PMID- 29825944 TI - Nursing Progress and Its Developments: IV. Endowments for the College. PMID- 29825945 TI - That Is Sound Which Works. PMID- 29825946 TI - An Interlude and Two Reminiscences. PMID- 29825947 TI - Parliament and the Profession. PMID- 29825948 TI - The Prophylaxis of Venereal Diseases: An Offence against the General Interest. PMID- 29825949 TI - The Royal Statistical Society's National Value. PMID- 29825950 TI - Is Thy Secretary a Dog? PMID- 29825951 TI - Bringing down the Infantile Death-Rate: The Priestley Lecture of the National Health Society. PMID- 29825952 TI - A Pharmacist's Contribution to Hospital Economy. PMID- 29825954 TI - Hospital and Institutional News. PMID- 29825953 TI - The Hospital. PMID- 29825956 TI - The Amendment Bill Now before Parliament. PMID- 29825955 TI - A Home Sister of the Bygones. PMID- 29825957 TI - The College of Nursing and Its Opponents: A Remarkable Volte Face. PMID- 29825959 TI - Round the Hospitals. PMID- 29825958 TI - Westminster Hospital's Special Appeal. PMID- 29825960 TI - Prompt Action by Voluntary Hospitals Essential. PMID- 29825961 TI - The Story of the Red Cross. PMID- 29825963 TI - Sir Arthur Stanley's Letter: The Status of Nurses. PMID- 29825962 TI - Nursing Affairs in Ireland. PMID- 29825964 TI - A Complete System of Nursing: The Physician's View-What the Trained Nurse Thinks. PMID- 29825966 TI - Hospital and Institutional News. PMID- 29825965 TI - The London Hospital's Quinquennial Appeal: A Million Half-Crowns-Viscount Knutsford's Appeal. PMID- 29825968 TI - The Physical Fitness of the Nation. PMID- 29825967 TI - Some Unfounded Statements at Liverpool. PMID- 29825969 TI - The Hospital. PMID- 29825970 TI - List No. 4 of Training-Schools of Registered Nurses. PMID- 29825971 TI - The Unification of the Public Health Services. PMID- 29825972 TI - Institutional Needs. PMID- 29825973 TI - The Lords' Amendments to the New Bill. PMID- 29825974 TI - Round the Hospitals. PMID- 29825975 TI - Lord Lister: IV. Surgery in Pre-Listerian Days. PMID- 29825976 TI - The Medieval Attitude to Science. PMID- 29825977 TI - R.B.N.A. Speakers' Hostility to the College: Lay Governors and Hospital Chairmen Attacked. PMID- 29825978 TI - Having It out. PMID- 29825980 TI - Unrecognised Unilateral Blindness. PMID- 29825979 TI - Mr. Smallwood's Complaint. PMID- 29825981 TI - Hospital and Institutional News. PMID- 29825982 TI - The Hospital. PMID- 29825984 TI - Words and Things. PMID- 29825983 TI - The Midwives Bill. PMID- 29825985 TI - The Growth of the Nursing Profession: III. The Work of Reorganisation. PMID- 29825986 TI - Compensation and Aid for Air-Raid Victims. PMID- 29825987 TI - Parliament and the Profession. PMID- 29825988 TI - Lord Lister: III. Thirty Momentous Years. PMID- 29825989 TI - Round the Hospitals. PMID- 29825991 TI - Mission Hospitals and Publicity. PMID- 29825992 TI - Nerve-Shattered Pensioners: More "Country Hosts" Needed. PMID- 29825990 TI - The Voluntary Hospitals. PMID- 29825993 TI - War Office Increases Payments to Hospitals. PMID- 29825994 TI - The Great War: Wonderful Progress in Evacuation and Care of the Wounded. PMID- 29825995 TI - Promotion of Officers. PMID- 29825996 TI - Parliament and the Profession. PMID- 29825997 TI - The Royal Lancaster Infirmary (Temporary Wing). PMID- 29825998 TI - Round the Hospitals. PMID- 29825999 TI - The Belgian Doctors and Pharmacists. PMID- 29826000 TI - The Prevention of Scurvy: Some Recent Researches upon Vitamines. PMID- 29826001 TI - The Hospital. PMID- 29826002 TI - Hospital and Institutional News. PMID- 29826003 TI - Consumptive Combatants. PMID- 29826004 TI - How to Secure Efficient Surgery. PMID- 29826006 TI - The Growth of the Nursing Profession. II. Become Founders and Helpers of Democratic Government. PMID- 29826005 TI - "London" Nurses and Their Emoluments. PMID- 29826007 TI - New Powers for Urban and District Councils. PMID- 29826008 TI - The Year's Work and War Prices. PMID- 29826009 TI - The Organisation in North Lambeth. PMID- 29826011 TI - Lord Lister: His Work, His Teaching, and Benefits to Mankind. PMID- 29826010 TI - The Medico-Psychological Association. PMID- 29826012 TI - Nursing Progress and Its Developments: VI. The Probationer's First Two Years. PMID- 29826013 TI - Report of the Distribution Committee. PMID- 29826014 TI - The Medical Ward Sister: "A Sermon on the Mount." PMID- 29826015 TI - In a Territorial Hospital. PMID- 29826017 TI - An Idle Rumour Resting on Malice. PMID- 29826016 TI - Prison for Boys-and the Remedy. PMID- 29826018 TI - Personal Service Triumphant. PMID- 29826019 TI - Distribution of Medals in an Auxiliary Hospital. PMID- 29826020 TI - Report of the Convalescent Homes Committee. PMID- 29826022 TI - Grants Recommended by the Convalescent Homes Committee. PMID- 29826021 TI - The Training of Recruits for Nursing Orderlies. PMID- 29826023 TI - Parliament and the Profession. PMID- 29826024 TI - Hospital and Institutional News. PMID- 29826025 TI - Should the Doctor Tell? PMID- 29826026 TI - A Moment of Leisure. PMID- 29826027 TI - Round the Hospitals. PMID- 29826028 TI - Nursing Affairs in Ireland. PMID- 29826029 TI - Grants to Hospitals Recommended by the Distribution Committee. PMID- 29826030 TI - Nursing Progress and Its Developments: III. Nursing as a Science. PMID- 29826031 TI - Village Practice.-II: An Autobiographical Fragment. PMID- 29826032 TI - The Distribution Meeting.-L190,000 Awarded. PMID- 29826033 TI - Middlesex Hospital. PMID- 29826034 TI - The Orphan Working School. PMID- 29826036 TI - Round the Hospitals. PMID- 29826035 TI - University Developments. PMID- 29826037 TI - The Two Pathways: Which Will the World Choose? PMID- 29826038 TI - Mr. H. J. Paterson, F.R.C.S., with His Camera: Some Remarkable Views. PMID- 29826039 TI - More Enemy War-Cries: Lay Control. PMID- 29826040 TI - Hospital and Institutional News. PMID- 29826041 TI - The Hospital. PMID- 29826042 TI - Sir Alfred Keogh, G.C.B. M.D.: Rector of the Imperial College of Science and Technology. PMID- 29826043 TI - The Growth of the Nursing Profession: The Habit of Talking Too Much. PMID- 29826044 TI - The Home Sister of My Alma Mater. PMID- 29826045 TI - Some Masters of Mediaeval Surgery. PMID- 29826046 TI - The "Rewa" Outrage. PMID- 29826048 TI - Nursing Progress and Its Development: V. The Nurse-Pupil's First Stage. PMID- 29826047 TI - Institutional Needs. PMID- 29826050 TI - Hundreds of Nurses Join Its Register. PMID- 29826049 TI - The Shortage of Doctors. PMID- 29826051 TI - Bolo Buried and Forgotten Everywhere. PMID- 29826052 TI - The Order of the British Empire. PMID- 29826053 TI - The Hospital. PMID- 29826054 TI - Institutional Housekeeping under the Poor-Law. PMID- 29826055 TI - The Speaker and the Hospitals. PMID- 29826056 TI - Hospital and Institutional News. PMID- 29826057 TI - Physical Culture in Education: Greek, French, and German Systems. PMID- 29826058 TI - Round the Hospitals. PMID- 29826059 TI - The Medical Profession and a Ministry of Health. PMID- 29826060 TI - The Organisation of Gifts in Kind. PMID- 29826061 TI - What Every Trained Nurse Should Know. PMID- 29826062 TI - The Practice of Percussion: As Influenced by the Newer Methods. PMID- 29826063 TI - Parliament and the Profession. PMID- 29826064 TI - Hospital Needs and Hospital Appeals. PMID- 29826065 TI - The Hospital. PMID- 29826066 TI - Nursing Progress and Its Developments: II. The Probationer as Student. PMID- 29826067 TI - The Third London Artists and Their Work. PMID- 29826069 TI - Nursing Affairs in Ireland. PMID- 29826068 TI - The Medical Problems of Flying. PMID- 29826071 TI - When Wounded-And Afterward. PMID- 29826070 TI - Their Place in the War Industries To-Day. PMID- 29826073 TI - Our Food and Ourselves. PMID- 29826072 TI - Work at Gaza. PMID- 29826074 TI - Round the Hospitals. PMID- 29826076 TI - Some Penal Cases. PMID- 29826075 TI - Hospital and Institutional News. PMID- 29826077 TI - The Churches and Venereal Marriages. PMID- 29826079 TI - Lady Roberts' Field Glass Fund. PMID- 29826078 TI - A Medical Officer's Libel Action. PMID- 29826080 TI - The Fourth War Christmas: Its Celebration in Some Representative Institutions. PMID- 29826081 TI - Lord Lister: VI. Lister's Hypothesis of the Cause of Suppuration. PMID- 29826083 TI - Nursing Progress and Its Developments: VIII. Supporters of the College. PMID- 29826082 TI - The Hospital. PMID- 29826085 TI - Camouflage. PMID- 29826084 TI - Hospital and Institutional News. PMID- 29826087 TI - Of Medical Certificates. PMID- 29826086 TI - The General Practitioner and Consumption. PMID- 29826088 TI - Liverpool Centre Inaugurated. PMID- 29826089 TI - Madhouses before A.D. 1846. PMID- 29826091 TI - Church Missions Hospital, Jerusalem. PMID- 29826090 TI - Food Problem Notes. PMID- 29826092 TI - Man-Power and Men with Defective Physique. PMID- 29826093 TI - Round the Hospitals. PMID- 29826094 TI - Tact in Sanatorium Management. PMID- 29826096 TI - Round the Hospitals. PMID- 29826095 TI - Increase in War Office Capitation Grant. PMID- 29826097 TI - Temporary Hospital Staff Appointments. PMID- 29826098 TI - Increased Capitation Grants to Civil Hospitals. PMID- 29826099 TI - Lord Lister: V. His Early Researches and Conclusions. PMID- 29826100 TI - The Great War: II. With the Wounded at the Front. PMID- 29826101 TI - Lunacy in 1916. PMID- 29826102 TI - Parliament and the Profession. PMID- 29826104 TI - Some Medical Difficulties of Life Assurance. PMID- 29826103 TI - The Growth of the Nursing Profession: IV. Some Economic and Practical Aspects. PMID- 29826106 TI - The First Annual Report. PMID- 29826105 TI - Hospital and Institutional News. PMID- 29826107 TI - Words and Things. PMID- 29826108 TI - The Temptation of Economical Management. PMID- 29826109 TI - Leicester Saturday Hospital Society. PMID- 29826111 TI - The Importance of the Vegetable Course. PMID- 29826110 TI - Addenbrooke's Hospital, Cambridge: Quarterly Court. PMID- 29826112 TI - Public Pharmacists' Association. PMID- 29826113 TI - The Shortage of Husbands. PMID- 29826114 TI - The College of Nursing Election. PMID- 29826115 TI - East and West in the Medical School. PMID- 29826116 TI - The Growth of the Nursing Profession: V. Knowledge and Practice in Nursing. PMID- 29826117 TI - Education in Food Economy. PMID- 29826118 TI - His Majesty the Pig: His Paramount Importance in the Great War. PMID- 29826119 TI - A Short History by the Viscountess Cowdray. PMID- 29826120 TI - What Nurses Should Seek and Find. PMID- 29826121 TI - From a Sanatorium. PMID- 29826123 TI - Round the Hospitals. PMID- 29826122 TI - Alcohol and the Human Body. PMID- 29826124 TI - The Institution Garden: I. What to Do and How to Do It. PMID- 29826125 TI - Men, Women, and Bastards: Some Pressing Questions of Great Importance. PMID- 29826126 TI - Hospital and Institutional News. PMID- 29826127 TI - War Charities. PMID- 29826128 TI - List No. 5 of Training-Schools of Registered Nurses. PMID- 29826129 TI - Parliament and the Profession. PMID- 29826130 TI - Games for the Men. PMID- 29826132 TI - Medical Treatment in the Home. PMID- 29826131 TI - Lord Lister: VIII: Through Pus to Surgical Cleanliness. PMID- 29826134 TI - Parliament and the Profession. PMID- 29826133 TI - The Hospital. PMID- 29826135 TI - Lord Lister: X. His Search for Three Ideals. PMID- 29826136 TI - Hospital and Institutional News. PMID- 29826137 TI - Meeting at Plymouth. PMID- 29826138 TI - Meeting of the Liverpool Centre. PMID- 29826139 TI - The Mental Deficiency Act at Work: A Surprising War-Time Achievement. PMID- 29826140 TI - Nursing Progress and Its Developments: XI. The Grandeur of the Nation's Nursing Services. PMID- 29826142 TI - Propaganda: The Effort Towards Union. PMID- 29826141 TI - Mr. G. Q. Roberts on St. Thomas's Hospitals History: A Few of His Interesting Photographs. PMID- 29826143 TI - The Territorial Medical Officers. PMID- 29826144 TI - Psychological Tests or Rubbish? PMID- 29826145 TI - The Problem of the Town-Bred Child. PMID- 29826146 TI - Bone-Grafting in Relation to Sepsis. PMID- 29826148 TI - A Study of the "End Result" System. PMID- 29826147 TI - Round the Hospitals. PMID- 29826150 TI - Mr. D'Arcy Power's Evokement of "Bart.'s." PMID- 29826149 TI - Reports of Scottish Asylums. PMID- 29826151 TI - Lord Lister: IX. The Drainage Tube, and Ligatures. PMID- 29826152 TI - Parliament and the Profession. PMID- 29826153 TI - Nursing Progress and Its Developments: X. Local Centres for Examinations. PMID- 29826154 TI - The Hospital. PMID- 29826156 TI - Organisation: Voluntary, or Compelled? PMID- 29826155 TI - Toward Union. PMID- 29826157 TI - The Great War: IV. Sickness. PMID- 29826158 TI - The Navy and Our Sailors: A Memorable Annual Meeting. PMID- 29826160 TI - Round the Hospitals. PMID- 29826159 TI - Hospital and Institutional News. PMID- 29826162 TI - The Institution Garden: II. What to Do and How to Do It. PMID- 29826161 TI - The Material Value of AEsthetics. PMID- 29826163 TI - Payment of the Medical Staff. PMID- 29826164 TI - Hospital and Institutional News. PMID- 29826165 TI - Food Problem Notes. PMID- 29826166 TI - Parliament and the Profession. PMID- 29826167 TI - Lord Lister: VII. Antisepis and Asepsis. PMID- 29826168 TI - Dangers from Ligature of Main Arteries. PMID- 29826169 TI - Prince of Wales' Hospital, Cardiff: Opening by the Prince in Person. PMID- 29826170 TI - The Great War: III. The Expeditionary Force Base. PMID- 29826171 TI - The Hospital. PMID- 29826172 TI - The Enemy of the Race. PMID- 29826173 TI - Round the Hospitals. PMID- 29826174 TI - The Informed Verdict. PMID- 29826175 TI - Nursing Progress and Its Developments: IX. The Local Centres of the College of Nursing. PMID- 29826176 TI - Work of the past Quarter. PMID- 29826178 TI - Meeting at the Dreadnought Hospital. PMID- 29826177 TI - Democratic Ideals. PMID- 29826179 TI - Miss Agnes Jones' Great Work. PMID- 29826181 TI - Points from the Quarterly Report. PMID- 29826180 TI - The After-Care of the Disabled Soldier. PMID- 29826183 TI - Hospitals and the Spirit Tax. PMID- 29826182 TI - Awards for Valuable Services in Connection with the War. PMID- 29826184 TI - Mother of "a Living or Viable Child," Aged Forty-Eight, or over? PMID- 29826185 TI - Round the Hospitals. PMID- 29826186 TI - The Criminal Law Amendment Bill. PMID- 29826187 TI - The White City Case. PMID- 29826188 TI - The Care of the Disabled Soldier. PMID- 29826189 TI - Certificated Trained Nurses and the Poor Law. PMID- 29826190 TI - The Patients' Meat Ration. PMID- 29826191 TI - Hospital and Institutional News. PMID- 29826192 TI - Red Cross Accountancy: The Policy of the Big Balance. PMID- 29826193 TI - Parliament and the Profession. PMID- 29826194 TI - Suggested Irish Board to Grant Diplomas to Nurses. PMID- 29826196 TI - Doctors in Fiction. PMID- 29826195 TI - Cerebro-Spinal Fever in the Newer Light: The Community Versus the Microbe. PMID- 29826197 TI - Flower Services and Hospitals. PMID- 29826198 TI - The National Pension Fund. PMID- 29826199 TI - A Friendly Alias: Chapters I and II. PMID- 29826200 TI - Nerves: Their Uses and Troubles. PMID- 29826201 TI - Philanthropy as a Career. PMID- 29826202 TI - The Work of the Holy Ghost. PMID- 29826203 TI - The Story of the Hospitals: Guy's Hospital. PMID- 29826204 TI - The Medical Treatment of Women in India. PMID- 29826205 TI - Annotations: The Hospitals Association and Its Future Work.-Cook Your Milk.-Who Nurses the Sick Nurse? -Bald Heads. PMID- 29826206 TI - Notes and News: Miscellaneous Hospital Items.- Opening of the National Hospital, Bloomsbury, by the Duchess of Albany.-Bazaars, Festivals, etc., in Aid of the Hospitals.-Vacancies.-Medical Relief and the Charity Organisation Society.-The Miners' Hospital. -Convalescent Home or Hospital.-The Mary Wardell Convalescent Home.-Prize Day at St. Thomas's Medical School.-The Nottingham General Hospital. New Hospital at Bournemouth.-The Bath Mineral Water Hospital.- Hospital Saturday Fund Returns.- The Rugby Provident Dispensary.- Artificial Respiration for the Drowned.-The Worcester Infirmary and the Monthly Visitors.-Annual Meetings and Reports, etc. PMID- 29826207 TI - Reminiscences of the Insane. PMID- 29826208 TI - Some Dangers of Spring. PMID- 29826209 TI - Nurse Marion's Romance: Chapter VII. The Acme of Selfishness. PMID- 29826210 TI - Annotations: The Hospital Porter.-Glasgow Charities and Doctors. PMID- 29826211 TI - The Work of the Holy Ghost. PMID- 29826212 TI - Insanity in Child-Bearing: Part I. Puerperal Forms. PMID- 29826213 TI - Chats about Medical Museums: IV. University College. PMID- 29826214 TI - A National Pension Fund for Hospital Officials and Nurses: The Views of Officials, Sisters, Nurses, and Others. PMID- 29826215 TI - Fever Nurses: Their Dangers and Defences. PMID- 29826216 TI - Shall We Give up the Novel? PMID- 29826217 TI - Natural and Artificial Ventilation of Hospitals. PMID- 29826218 TI - Curiosities of Ancient Leechcraft. PMID- 29826219 TI - Notes and News: The Prince and Princess of Wales and the London Hospital.-Gifts to Hospitals.-The Islington Dispensary.-" First Aid."-Hospital Appeals. Vacancies.-The British Ophthalmic Hospital, etc. PMID- 29826220 TI - A National Pension Fund for Hospital Officials and Nurses: The Views of Officials, Sisters, Nurses, and Others. PMID- 29826221 TI - Notes and News: Miscellaneous Items.-The Jaffa Medical Mission Hospital.-The National Pension Fund, etc., etc. PMID- 29826222 TI - Curiosities of Ancient Leechcraft. PMID- 29826223 TI - Saints on Earth. PMID- 29826225 TI - Disinfection in and after Fever Cases. PMID- 29826224 TI - Insanity in Child-Bearing: Other Forms of Mental Disorders. PMID- 29826226 TI - The Work of the Holy Ghost. PMID- 29826227 TI - Incidents of Animal Life: Dogs and Their Doings. PMID- 29826228 TI - The Poor in Towns. PMID- 29826229 TI - Hospital Worthies. PMID- 29826230 TI - Annotations: Hospital Book-Keeping.-Hospital Sunday.-Dynamite as a Life Preserver. PMID- 29826231 TI - The Children's Ward. PMID- 29826232 TI - Nursing Institutions in the Country. PMID- 29826233 TI - Novel or No Novel. PMID- 29826235 TI - Death. PMID- 29826234 TI - The Ventilation of Hospitals. PMID- 29826236 TI - Nurse Marion's Romance: Chapter VI. The Widow Explains. PMID- 29826237 TI - The Artificial and Natural Ventilation of Hospitals. PMID- 29826238 TI - A National Pension Fund for Hospital Officials and Nurses: The Views of Officials, Sisters, Nurses, and Others. PMID- 29826239 TI - A Noble Dog. PMID- 29826240 TI - Annotations: Ambulance and Self-Help at Leeds.-Still Unreformed.-Grumblers. PMID- 29826241 TI - Death against Doctors. PMID- 29826242 TI - Infection and Disinfection. PMID- 29826243 TI - The Hospital Saturday Fund. PMID- 29826245 TI - "The Hospital's" Nursery Rhymes. PMID- 29826244 TI - The Medical Student's Complaint. PMID- 29826246 TI - Notes and News: Hospital Appointments.-The Liverpool Foundling Hospital. Miscellaneous Hospital Intelligence.-Vacancies.-Morley House Seaside Home. Entertainments in Aid Guy's Hospital.-Donations, Legacies, etc., to Medical Charities.-The Pembrokeshire and Haverfordwest Infirmary, etc. PMID- 29826248 TI - Anaesthetics: A Stimulus to Voluntary Effort. PMID- 29826247 TI - One Year Probationers. PMID- 29826249 TI - Miss Manson's Paper: Two Protests. PMID- 29826250 TI - The National Pension Fund. PMID- 29826251 TI - The Ventilation of Hospitals. PMID- 29826252 TI - The Time of Lenten Lilies. PMID- 29826253 TI - Nurse Marion's Romance: Chapter V. Complications. PMID- 29826255 TI - Notes and News: Appointments.-Miscellaneous Items.-The French Protestant Hospital.-Newton Cottage Hospital Report.-Vacancies.-Curious Advertising.-The Late Duchess of Norfolk.-Donations, Legacies, Etc., to Medical Charities, Etc., Etc. PMID- 29826254 TI - Moral and Physical Massage. PMID- 29826257 TI - Kilts and Physic. PMID- 29826256 TI - Half a Million of Money in Sight. PMID- 29826258 TI - Woodhall Spa. PMID- 29826259 TI - Death. PMID- 29826260 TI - Annotations: The King of the Belgians at the London Hospital.-Admission and Discharge of Patients.-Religion in French Hospitals. PMID- 29826261 TI - The Song of the Iron Pill. PMID- 29826263 TI - Hospital Saturday. PMID- 29826262 TI - A National Pension Fund for Hospital Officials and Nurses: The Views of Officials, Sisters, Nurses, and Others. PMID- 29826265 TI - Drugs or No Drugs? PMID- 29826264 TI - Chats about Medical Museums: No. VII. King's College. PMID- 29826266 TI - Counterparts: Chap. I. PMID- 29826267 TI - Words for the Wise. PMID- 29826268 TI - Annotations: Co-Operation among the Working Classes.-A New Cure for Consumption. PMID- 29826269 TI - A Crusade against Indifference: Meetings in Aid of the Hospital Sunday Fund. PMID- 29826270 TI - Notes and News: Miscellaneous Hospital News.- Jubilee Celebrations.-The Hospital Campaign.- Hospital Extension in the Isle of Man.-Concert at Grosvenor House. Hospital Subjects at Burlington House.- Vacancies. -The Royal Family at the Tottenham Hospital.-"Instantaneous" Remedies.- The Seamen's Hospital.- The Poplar Hospital.- Donitiois, Legacies, etc., to Medical Charities.-Proposed Convalescent Home for Barmouth.- Hospital Reports.- New England Hospital for Women and Children.-Ladv Doctors, etc., etc. PMID- 29826271 TI - Treatment of Emergencies. PMID- 29826272 TI - The Archbishop of Canterbury on Hospitals. PMID- 29826273 TI - The Work of the Holy Ghost. PMID- 29826274 TI - Let There Be Light. PMID- 29826276 TI - Objects and List of Meetings. PMID- 29826275 TI - Life in Hospital: Mrs. Johnson Argues the Point.-A Good Investment.- Can't It Be Done at Home?-The Pavilion Plan.- A Model Ward.-Sister Grace.-No Respect of Persons. -A Melancholy Night.-The Tight-Rope Dancer.- Early Morning in the Ward. The House Surgeon.- To Pay for Your Keep.-Amateur Chaplains: Sunday Afternoon.-No Cakes Allowed.-The Operation.- Spray v. Germs: A Lilliputian Battle.-"He Prayeth Best Who Loveth Best."-The Convalescent Home.- School in the Ward, etc., etc. PMID- 29826277 TI - The Origin of Hospitals. PMID- 29826279 TI - Hospital Sunday and the Queen's Jubilee. PMID- 29826278 TI - The Sick and the Hospitals. PMID- 29826281 TI - The National Pension Fund. PMID- 29826280 TI - Notices to the Clergy and Ministers of Religion. PMID- 29826283 TI - Mr. Spurgeon on Hospitals. PMID- 29826282 TI - Buttercups and Daisies. PMID- 29826284 TI - Annotations: Hospitals "Sitting on the Fence."- A Happy Thought.-Provident Dispensaries. PMID- 29826285 TI - Incidents of the Hospital Meetings. PMID- 29826286 TI - Notes and News: Hospital Appointments.-Hospital Saturday Bazaar at Lincoln. Hospital Collecting-Boxes in Wimbledon Camp.-The Ormsby Cottage Hospital. -The Supply of Goods to Hospitals.-The Paddington Children's Hospital.-Vacancies.-The Poplar Accident Hospital.-The Wigan Infirmary.-The City Orthopaedic Hospital. Hospital Collections at Worthing. -Proposed New Hospitals.-The Royal South Hants Infirmary.-Bazaars and Entertainments in Aid of Hospitals.-Annual Report of the Birmingham and Midland Skin Hospital.-The Edinburgh Association for Incurables. The Sunderland Infirmary.-The Glasgow Hospitals, etc., etc. PMID- 29826287 TI - After the Battle. PMID- 29826288 TI - The Work of the Holy Ghost. PMID- 29826289 TI - Hospital Sunday at the Synagogue. PMID- 29826290 TI - Rheumatism. PMID- 29826292 TI - Hospital Sunday. PMID- 29826291 TI - Counterparts: Chap. III. PMID- 29826294 TI - The Work of the Holy Ghost. PMID- 29826293 TI - Facts about Hospitals: For Preachers, etc. PMID- 29826295 TI - Trained Nurses' Fund. PMID- 29826296 TI - Notes and News: Prince Albert Victor and the Donnybrook Hospital.-Entertainments in Aid of the Hospitals.-Hospital Enlargement.-Vacancies, etc., etc. PMID- 29826297 TI - The Metropolitan Hospital Sunday Fund. PMID- 29826298 TI - Annotations: Who Cares for the Pauper Children?- A New Lunatic Asylum for Middlesex.-Good Women. PMID- 29826299 TI - Heroism. PMID- 29826301 TI - A Preaching Match: The Sunday Fund. PMID- 29826300 TI - Counterparts: Chap. II. PMID- 29826302 TI - A Crusade against Indifference. PMID- 29826303 TI - Are There More Lunatics Than Formerly? PMID- 29826304 TI - Notes and News: Hospital Appointments.-Working Men and the Hospitals.-Vacancies. Photographs and Albums for Hospitals.-The Princess Alice Hospital Jubilee Fete. State-Supported Hospitals.- Church Parade in Aid of the Children's Hospital. Hospital Collection-Boxes in Theatres.-Distribution of the Sunday Fund Number of The Hospital.-The Dundee Royal Infirmary, etc. PMID- 29826306 TI - The National Pension Fund. PMID- 29826305 TI - The Out-Patient Department. PMID- 29826307 TI - Patients: From the Doctor's Point of View. PMID- 29826308 TI - Treatment of Emergencies. PMID- 29826309 TI - Flowers for the London Poor. PMID- 29826310 TI - Annotations: Careless Dispensing.-The Growth of the Sunday Fund.-Doctors "Out in the Cold". PMID- 29826312 TI - Two Guineas, Madam. PMID- 29826311 TI - Unlicensed Practitioners. PMID- 29826314 TI - The Work of the Holy Ghost. PMID- 29826313 TI - Counterparts: Chap. IV. A Discovery. PMID- 29826316 TI - The Story of the Hospitals: The London Hospital. PMID- 29826315 TI - The Nurse and the Sick-Room. PMID- 29826317 TI - Glass Eyes: Their Manufacture and Cost. PMID- 29826318 TI - The Work of the Holy Ghost. PMID- 29826319 TI - Hospital Charity: The Best Means of Preventing Its Abuse. PMID- 29826321 TI - A National Pension Fund for Hospital Officials and Nurses: The Views of Officials, Sisters, Nurses, and Others. PMID- 29826320 TI - Notes and News: The Queen and the French Hospital.-Miscellaneous Items. Vacancies.-Bazaar in Aid of King's College Hospital.-The Bristol Royal Infirmary. Hospital Building Tenders.-Subscription Ball at Prince's Hall.-Friendly and Trade Societies' Demonstrations.-Donations and Legacies to Medical Charities.-Police Sergeant Barker.-Hospital Entertainments, etc. PMID- 29826322 TI - Annotations: The Vienna Hospital Scandal.-A Book of Grievances.-The Registration of Trained Nurses. PMID- 29826323 TI - A Lady Doctor on Health and Disease. PMID- 29826324 TI - And Who Is My Neighbour? PMID- 29826325 TI - Chats about Medical Museums: No. 5. Guy's Hospital. PMID- 29826326 TI - Moral and Physical Massage: I. Explanatory and Descriptive. PMID- 29826328 TI - Public and Private Nursing Institutions. PMID- 29826327 TI - Notes and News: Miscellaneous Items.-Hospital Enlargement.-Lecture in Aid of the Royal Hospital for Children.-New Hospital for Glasgow.-Annual Report of the Shrophire and Wales Eye Hospital-Vacancies.-"Give Your Gold to the Hospitals." The North-West London Hospital.-The Wolverhampton and Staffordshire General Hospital.-The Bristol Royal Infirmary.-Donations, Legacies, etc., to Medical Charities.-The Midwives' Institute and Trained Nurses' Club.-Convalescent Home for Working Men.-The Children's Hospital at Chelsea.-Lunacy in Russia, etc. PMID- 29826330 TI - Sydney Smith as a Doctor. PMID- 29826329 TI - Nurse Marion's Romance: Chapter III. Jack Holtayne in Hospital. PMID- 29826331 TI - Chats about Medical Museums: No. III. PMID- 29826332 TI - Small Economies in Cottage Hospital Management. PMID- 29826333 TI - Annotations: The National Pension Fund.-Private Wards for Lying-In Cases. Hospital Locum Tenens. PMID- 29826335 TI - Sleep and Sleeplessness. PMID- 29826334 TI - The Advertisements of Endowed Hospitals. PMID- 29826337 TI - Early Rising: Cheerful Health. PMID- 29826336 TI - Death. PMID- 29826338 TI - Nurse Marion's Romance: Chapter IV. The Crisis. PMID- 29826339 TI - The Harley Street Establishment for Invalid Gentlewomen. PMID- 29826340 TI - Easter Eggs. PMID- 29826341 TI - Annotations: Free Criticism.-The Aberdeen Royal Infirmary.-Amusements in Hospitals. PMID- 29826343 TI - Every-Day Ailments. PMID- 29826342 TI - A National Pension Fund for Hospital Officials and Nurses: The Views of Officials, Sisters, Nurses, and Others. PMID- 29826344 TI - Death. PMID- 29826345 TI - Notes and News: Miscellaneous Items.- Jubilee "Banner Service."-Entertainment at the Cancer Hos- pital.-The St. John's Ambulance Association.-Hospital Saturday Fund and the London Cabmen.-Origin of Hospital Sunday.-Hospital Reports. Donations, etc., to Medical Charities.-Concert in Aid of the Miller Hos- pital. Lectures.-The Silloth Convalescent Institution. -Hospital Construction, etc., etc. PMID- 29826346 TI - Bury Me in the Churchyard at Home. PMID- 29826347 TI - A Word to Hospital Patients. PMID- 29826348 TI - Trusses and Stockings. PMID- 29826349 TI - Moral and Physical Massage. PMID- 29826350 TI - Stories about Dogs. PMID- 29826352 TI - More Light. PMID- 29826351 TI - The Work of the Holy Ghost. PMID- 29826353 TI - Treatment of Emergencies. PMID- 29826354 TI - A Good Prescription. PMID- 29826356 TI - The Story of the Hospitals: Guy's Hospital. PMID- 29826355 TI - Wasted Holidays. PMID- 29826357 TI - Children's Diarrhoea. PMID- 29826358 TI - The National Pension Fund. PMID- 29826359 TI - Disinfectants. PMID- 29826360 TI - Dangerous Drugs: Bromide of Potassium. PMID- 29826361 TI - Annotations: Dishonourable Consultants.-Untrained Bathers.-"Sir Oracle."-Lemon Juice. PMID- 29826362 TI - Doctors in Fiction. PMID- 29826363 TI - Notes and News: Hospital Appointments.- The After-Care Association.- The Hospitals Association Meetings.- A Thank-Offering. Vacancies.- New Hospitals.-- The Working Men and *he Hospitals.- Annual Meetings and Reports.-The London School of Medicine for Women.-The Devonshire Hcspital.- Scarlet Fever and School Fees.-Church Parade.- Grimsby Hospital and the Licensed Victuallers' Association. The Working People's Hospital Fund.- Fete at the Dublin Royal Hospital for Incurables.- Fancy Bazaar in Aid of Northallerton Cottage Hospital. PMID- 29826364 TI - A Friendly Alias: Chapter III.-Altered Lives. PMID- 29826365 TI - Hospital Worthies: John Radcliffe, M.D. PMID- 29826366 TI - The National Pension Fund. PMID- 29826367 TI - A Friendly Alias: Chapter IV and V. PMID- 29826368 TI - Alarming Result of Tight-Lacing. PMID- 29826369 TI - "Sponsors" for Out-Patients. PMID- 29826370 TI - Lanoline. PMID- 29826371 TI - Notes and News: Hospital Appointments.- The Croydon Children's Convalescent Home. The West Bromwich Self-Supporting Dispensary.-Charity Cup Competitions.- Hospital Meetings and Reports.- Vacancies.- The Cork Dispensary.- The United Friendly Societies and Medical Charities.-The Jenny Lind Infirmary.-Concerts and Bazaars in Aid of the Hospitals.-Metropolitan Police Convalescent Seaside Home. New Infirmary for Rutherglen.-The Bristol Royal Infirmary, etc., etc. PMID- 29826372 TI - Working Women: Their Present and Their Future. PMID- 29826374 TI - Annotations: Tweedledum or Tweedledee?-Wonderful Cure: Physic, Faith, or Neither? Women and Work. PMID- 29826373 TI - Llanfairfechan Convalescent Home. PMID- 29826376 TI - Hay-Fever. PMID- 29826375 TI - The Work of the Holy Ghost. PMID- 29826377 TI - Doctors in Fiction. PMID- 29826378 TI - Every-Day Ailments. PMID- 29826379 TI - The Brabazon Home of Comfort. PMID- 29826380 TI - Annotations: Endowed Beds.-Aberdeen and Its Hospitals.-Chronic Hospitals. PMID- 29826381 TI - A National Pension Fund for Hospital Officials and Nurses: By the Secretary of St. Mary's Hospital, the Matron of Oldham Infirmary, etc. PMID- 29826383 TI - An Italian Quack Doctor at Home. PMID- 29826382 TI - The Children's Jubilee Hymn. PMID- 29826384 TI - Public and Private Nursing Institutions. PMID- 29826385 TI - Notes and News: Items.-The Prince of Wales and the Victoria Hospital for Children.-Tooth Powders.-The East London Nursing Society.-Jubilee Dinners. Amputating under Difficulties, etc., etc. PMID- 29826386 TI - Reminiscences of the Insane. PMID- 29826387 TI - A Little Holiday in the Spring. PMID- 29826388 TI - Death. PMID- 29826389 TI - Nurse Marion's Romance: Chapter II. Marion's Home. PMID- 29826390 TI - Flowers, Ferns, and Ward Decorations. PMID- 29826391 TI - Nerves: Their Uses and Troubles. PMID- 29826392 TI - Annotations: Wooden Hospitals.-Convalescent Aid. -A Krupp Gun Wanted. PMID- 29826393 TI - Notes and News: Miscellaneous Hospital Intelligence.- Va ancies.- The Duke of Cambridge and the Chelsea Royal Hospital.-Prize Distribution at Charing Cross Hospital.-Hospital Resources.-Hospital Saturday Fund State Procession and Demonstration.-The Prince of Wales and the Sunderland Infirmary.-" The Repeated Jubilee Service" at Westminster Abbey.-The North-Eastern Hospital for Children. Provident Dispensaries and the Hospitals, etc., etc. PMID- 29826394 TI - The Pension Fund for Nurses. PMID- 29826395 TI - More Knowledge and Thought Wanted. PMID- 29826396 TI - Begging Parsons. PMID- 29826397 TI - The Work of the Holy Ghost. PMID- 29826398 TI - Doctors in Fiction. PMID- 29826399 TI - Erratum: Norfolk and Norwich Hospital: A Correction. AB - [This corrects the article on p. 232 in vol. 2.]. PMID- 29826400 TI - Children's Descriptions of Jubilee Celebrations. PMID- 29826401 TI - The Nurse and the Sick-Room. PMID- 29826402 TI - Old London Houses. PMID- 29826403 TI - The Chadwick Home Hospital, Liverpool. PMID- 29826405 TI - The National Pension Fund. PMID- 29826404 TI - Counterparts: Chapter V. How It All Ended. PMID- 29826406 TI - Annotations: Medical Men and Infectious Diseases. -Infectious Hospitals.-To Avoid Infection. PMID- 29826407 TI - A Children's Sermon. - Fairy Rings and Ringworms. PMID- 29826408 TI - Hospitals for Children. PMID- 29826409 TI - Notes and News: Miscellaneous Jottings.- The Royal Isle of Wight Infirmary.- The Beau Site Convalescent Home.- Bazaars.- Vacancies.- Church Parades.- The New Hospital at Blackpool.- The Medical Naval Service.-The Swindon Dissension.- The Tbaria Topun Hospital.- A Garden Party.- Hospital Reports. - Friendly and Trade Societies' Demonstrations.-Trained Nurses and the Royal Berks Hospital, etc., etc. PMID- 29826410 TI - Chats about Medical Museums: VIII. The London Hospital. PMID- 29826412 TI - Treatment of Emergencies. PMID- 29826411 TI - The Condition of Midwives. PMID- 29826413 TI - The National Pension Fund. PMID- 29826414 TI - Fever Hospitals in Large Towns. PMID- 29826415 TI - A Hospital Scandal. PMID- 29826416 TI - The Sufferings of Christ. PMID- 29826418 TI - Ethel's Experiment. PMID- 29826417 TI - A Dog as an Out-Patient. PMID- 29826419 TI - A Parrot Story. PMID- 29826420 TI - Joseph Warren, M.D. PMID- 29826421 TI - Public and Private Nursing Institutions. PMID- 29826423 TI - Words for the Wise. PMID- 29826422 TI - The Story of the Hospitals: The London Hospitals. PMID- 29826424 TI - Annotations: The Hospitals Association.-The Hospitals Weeks.-Do Nothings. PMID- 29826425 TI - Notes and News: Hospital Items.-The Aberdeen Royal Infirmary.-Vacancies.-The Irving Dramatic Club.-Donations to Medical Charities, Etc. PMID- 29826426 TI - Chats about Medical Museums: No. VI. St. Bartholomew's Hospital. PMID- 29826428 TI - Novel or No Novel? PMID- 29826427 TI - A National Pension Fund for Hospital Officials and Nurses: The Views of Officials, Sisters, Nurses, and Others. PMID- 29826430 TI - Grateful Patients. PMID- 29826429 TI - Somebody's Darling. PMID- 29826432 TI - Fooling with a Panther. PMID- 29826431 TI - The Out-Patient Department. PMID- 29826433 TI - Hospital Worthies: Messenger Monsey, M.D., F.R.S. PMID- 29826434 TI - The Work of the Holy Ghost. PMID- 29826436 TI - Notes and News: Miscellaneous Items.-House-to-House Hospital Collections.-Open Air Concert in Aid of the Batley Cottage Hospital.-The Glasgow Medical Charities Committee.-Vacancies.-Game for Hospitals. -The Stratford-upon-Avon Infirmary. Cheap Trips.- Annual Sermons.-Hospital Exhibition.-Workshop Collections. Collecting Dogs.-The Scarlet Fever Epidemic.- The London Temperance Hospital. Donations in Aid of the Building Fund of the Great Northern Central Hospital.-Mr. F. R. Russell on Scarlet Fever. PMID- 29826435 TI - Treatment of Emergencies. PMID- 29826437 TI - A Holiday Sermon. PMID- 29826438 TI - Sober Science. PMID- 29826439 TI - Palmistry Notes. PMID- 29826441 TI - The National Pension Fund. PMID- 29826440 TI - Annotations: More Pasteur Failures.-Doctors and Druggists.-Anti-Vaccinators. PMID- 29826443 TI - Books for Hospitals. PMID- 29826442 TI - The Rod of Health. PMID- 29826444 TI - Kate Mountstephen: Chap. III. A Hard Question. PMID- 29826445 TI - A "Matron's Corner". PMID- 29826447 TI - Immediate Treatment in Cases of the More Common Poisons. PMID- 29826446 TI - The Sufferings of Christ. PMID- 29826448 TI - Unmarried Women. PMID- 29826449 TI - The Sufferings of Christ. PMID- 29826451 TI - Annotations: Costly Patient. - Where Is the Colchester Physician?-Doctors in Council.-Unparalleled Scepticism. PMID- 29826450 TI - The National Pension Fund. PMID- 29826452 TI - Invalid Children. PMID- 29826453 TI - Cruel Treatment of a Female Patient by Her Parents. PMID- 29826454 TI - Notes and News: Competitive Designs for Hospitals. - Hospital Annual Reports.-The Bute Hospital.-Guy's Hospital and the Special Appeal Fund.-Vacancies. -Beach Rock Convalescent Home. - The Lowestoft Convalescent Home. - Demonstration in Aid of the Huddersfield Infirmary.-The Liverpool Royal Infirmary and Its Officials. Proposed New Special Hospital for Nottingham, etc., etc. PMID- 29826456 TI - Religio Medici. PMID- 29826455 TI - Floating Hospital on the River Tyne. PMID- 29826457 TI - Hypochondriasis. PMID- 29826458 TI - What Live I for? PMID- 29826460 TI - The Stethoscope Song: A Professional Ballad. PMID- 29826459 TI - Guild of Friends of the Infirm in Mind. PMID- 29826461 TI - Religio Medici. PMID- 29826462 TI - The National Pension Fund. PMID- 29826463 TI - Chats about Medical Museums: IX.-The Middlesex Hospital. PMID- 29826464 TI - Notes and News: Miscellaneous Items. - Private Nursing Engagements.-Flower-Shows, Bazaars, etc., in Aid of Hospitals.-Special Hospitals.-The Hartlepools Hospital. Vacancies.-The Casualties at Whiteley's.-The Hospitals Association Meetings. Nurses and Their Work.-The Great Northern Central Hospital.-Annual Meetings and Reports.-The Norfolk and Norwich Hospital.-The Falkirk Association of Trained Nurses.-The Sandygate Sanatorium, etc. PMID- 29826465 TI - A Heroic Fireman. PMID- 29826467 TI - "Well-Guessed" or "Well-Done"? PMID- 29826466 TI - The Condition of Midwives. PMID- 29826468 TI - The Story of the Hospitals: The Royal National Hospital for Consumption, Ventnor. PMID- 29826469 TI - The Origin of Hospitals. PMID- 29826471 TI - Annotations: A Deluge of Doctors.-Men Must Do Something.-Why Don't Doctors Emigrate?-A Short Way with Medical Aspirants. PMID- 29826470 TI - Palmistry Notes. PMID- 29826472 TI - The Sufferings of Christ. PMID- 29826473 TI - An Army of Women. PMID- 29826474 TI - Blood-Letting. PMID- 29826476 TI - Kate Mountstephen: Chapter I.-The Test of Time. PMID- 29826475 TI - About Birds. PMID- 29826477 TI - Tinker or Prophet? PMID- 29826478 TI - A French Hospital: An Inside View. PMID- 29826480 TI - Annotations: Registered Plumbers.-Sea Water for Inland Towns.-Swimming Baths. PMID- 29826479 TI - Notes and News: Donations in Aid of the Proposed Cottage Hospital at Wellingborough.-The Study of Deep-Sea Animals.-Jubilee Memorial Cottage Hospital at Falkirk.-The Queen and the Women's Jubilee Offering.-The Launceston General Hospital, Tasmania. -Vacancies.-Scarlet Fever in London.-Munificent Donation to the Montrose Infirmary.-Decorations for Nuising Sisters.-The Edinburgh Roval Hospital for Sick Children.-Lady Brooke and the Southend Hospital. -The Bournemouth Hospital Scheme.- Meeting of the Hospital Saturday Fund Delegates.- The Hospitals Association Reference Library.- West Bromwich Hospital, etc. PMID- 29826481 TI - Blood-Making. PMID- 29826482 TI - Incidents of Animal Life. PMID- 29826483 TI - Farinaceous Foods. PMID- 29826484 TI - The National Pension Fund. PMID- 29826485 TI - Religio Medici. PMID- 29826486 TI - The Honoured Dead. PMID- 29826487 TI - The Armour Skeleton. PMID- 29826489 TI - The Sufferings of Christ. PMID- 29826488 TI - Dispensaries for Sailors. PMID- 29826490 TI - Annotations: Medical Students.-Medical Teachers. -Medical Examiners. PMID- 29826491 TI - The Sufferings of Christ. PMID- 29826492 TI - A Woman's Sacrifice.-For Duty's Sake. PMID- 29826493 TI - Kate Mountstephen: Chap. IV. Sister Katherine. PMID- 29826494 TI - Nursing Institutions, Nurses, and the Women's Jubilee Offering. PMID- 29826495 TI - Notes and News: Miscellaneous Items.-Dogs as Collectors.-Guessing Competitions. Hospital Fetes and Demonstrations.-Horncastle and the Lincoln County Hospital. The Brighton Dental Hospital.- Vacancies.-Volunteer Collectors.-The Folkestone Hospital Dispute.-The Royal Cornwall Infirmary.- The Pudsey Football Club.-The Workmen's Industrial Exhibition.-The Glasgow Medical Charities, etc., etc. PMID- 29826496 TI - Hospital Administration.-Alcohol and Milk Consumption. PMID- 29826497 TI - Where to Buy "The Hospital". PMID- 29826498 TI - A Matron's Corner. PMID- 29826499 TI - About Scarlet Fever. PMID- 29826500 TI - The Destruction of the Poor. PMID- 29826501 TI - King Solomon's Physic. PMID- 29826502 TI - Annotations: The Queen's Fund and the Pension Fund.-Twenty Thousand Hospital Supporters.- Working Men and Their Manners. PMID- 29826504 TI - Scarlet Fever. PMID- 29826503 TI - A New Home Hospital. PMID- 29826506 TI - Lunatic Literature. PMID- 29826505 TI - The National Pension Fund. PMID- 29826507 TI - Visiting Day. PMID- 29826508 TI - Something about Eyes. PMID- 29826509 TI - The New Journalism. PMID- 29826510 TI - Kate Mountstephen: Chapter II. "An Ounce of Practice". PMID- 29826511 TI - The Mission Parcel Society. PMID- 29826512 TI - Native Medical Practice in India. PMID- 29826513 TI - The Norfolk and Norwich Hospital. PMID- 29826514 TI - A "Matron's Corner". PMID- 29826516 TI - The Sufferings of Christ. PMID- 29826515 TI - Notes and News: Miscellaneous Items.-Scarlet Fever in the Metropolis.-Hospital Sunday Church Collections at Lowestoft.-"Queen Victoria's Bounty."-Church Parade Collections.-Vacancies.-The Tavistock Cottage Hospital.-Honorary Honorary Hospital Appointments.-The Gloucester Free Hospital, etc., etc. PMID- 29826517 TI - Safe from Scarlet Fever. PMID- 29826518 TI - The Sufferings of Christ. PMID- 29826519 TI - First Days in Africa. PMID- 29826520 TI - Kate Mountstephen: Chapter V.-The Hospital on Fire. PMID- 29826521 TI - Sceptical Doctors. PMID- 29826522 TI - St. Mary's and the Working Classes. PMID- 29826524 TI - Palmistry Notes. PMID- 29826523 TI - Massage and Medical Electricity. PMID- 29826525 TI - Hospital Administration.-Alcohol at Provincial Hospitals. PMID- 29826527 TI - A Divided House in a Cathedral City. PMID- 29826526 TI - Incidents of Animal Life. PMID- 29826528 TI - Annotations: Honest Yorkshire Farmers.-"The Cow with the Iron Tail."-Wholesale Poisoning. PMID- 29826529 TI - Notes and News: Miscellaneous Items. -Photographic Views and Albums.-The Hospitals Association Meetings.- The Bridgewater State Procession.- Vacancies. Sea-Water Baths, etc., etc. PMID- 29826530 TI - The National Pension Fund. PMID- 29826531 TI - In a Hospital Mortuary. PMID- 29826532 TI - Sympathetic Surgery.-I. PMID- 29826533 TI - The History and Capabilities of Herbal Simples: XVIII.-Chervil-Celandine; the Greater. PMID- 29826535 TI - A Question about Out-Patients. PMID- 29826534 TI - The London Is Bold. PMID- 29826536 TI - Everybody's Page. PMID- 29826537 TI - Diabetes. PMID- 29826539 TI - Extra Supplement-The Nursing Mirror. PMID- 29826538 TI - Salvation. PMID- 29826541 TI - Ear Disease. PMID- 29826540 TI - The Story of the Insane from Year to Year. PMID- 29826542 TI - Nephrolithotomy. PMID- 29826543 TI - Annotations. PMID- 29826545 TI - Cancer Curers. PMID- 29826544 TI - Leprosy Investigation. PMID- 29826546 TI - Chronic Bright's Disease. PMID- 29826547 TI - Recent Research. PMID- 29826548 TI - Notes and News. PMID- 29826549 TI - Working Women in Large Towns: X. Domestic Servants. PMID- 29826551 TI - Out-Patients in Hospitals. PMID- 29826550 TI - Commonplace. PMID- 29826553 TI - New Drugs, Appliances, and Things Medical: Bontha. PMID- 29826552 TI - The History and Capabilities of Herbal Simples: XIX.-The Horse Chestnut. PMID- 29826554 TI - Everybody's Page. PMID- 29826555 TI - God's Ministers. PMID- 29826556 TI - Annotations. PMID- 29826557 TI - The Treatment of Cysts. PMID- 29826558 TI - Abscess of Bone. PMID- 29826559 TI - Zenana Bible and Medical Mission. PMID- 29826560 TI - Sympathetic Surgery.-II. PMID- 29826561 TI - Extra Supplement-The Nursing Mirror. PMID- 29826562 TI - A Canterbury Tale. PMID- 29826563 TI - Optic Neuritis. PMID- 29826564 TI - Guinea-Worm. PMID- 29826565 TI - Working Women in Large Towns: XI.-Shop Assistants. PMID- 29826566 TI - An Endless Quest. PMID- 29826567 TI - Notes and News. PMID- 29826568 TI - Carcinoma of the Larynx. PMID- 29826569 TI - Vesical Tumours. PMID- 29826570 TI - The Story of the Insane from Year to Year. PMID- 29826571 TI - Pulsating Exophthalmos. PMID- 29826572 TI - Solution of Gall Stones. PMID- 29826573 TI - Notes and News. PMID- 29826574 TI - Extra Supplement-The Nursing Mirror. PMID- 29826575 TI - Epsom College. PMID- 29826576 TI - A Rare Case of Symblepharon. PMID- 29826577 TI - The New Hospital for Women. PMID- 29826578 TI - A Dead Journalist. PMID- 29826579 TI - Annotations. PMID- 29826581 TI - Aspiration in Pneumothorax. PMID- 29826580 TI - Neurotic Pruritus. PMID- 29826582 TI - Sodium versus Potassium Salts. PMID- 29826583 TI - Cystotomy and Cystectomy. PMID- 29826585 TI - Everybody's Page. PMID- 29826584 TI - Education and Benevolence for Doctors. PMID- 29826586 TI - May. PMID- 29826587 TI - Pneumotomy. PMID- 29826588 TI - Poisoning by Bad Meat. PMID- 29826589 TI - Inflammatory Exophthalmos. PMID- 29826590 TI - Patience. PMID- 29826591 TI - The Sussex County Hospital. PMID- 29826592 TI - Phosphorus Necrosis. PMID- 29826593 TI - The History and Capabilities of Herbal Simples: VIII.-Blackberries-Brooklime. PMID- 29826594 TI - Paralysis after Diphtheria. PMID- 29826595 TI - Glaucoma in Early Life. PMID- 29826596 TI - Splenectomy. PMID- 29826597 TI - Salicylates in Pleurisy. PMID- 29826598 TI - Extra Supplement-The Nursing Mirror. PMID- 29826599 TI - More Life and Fuller. PMID- 29826600 TI - Annotations. PMID- 29826601 TI - Life in the New Hebrides. PMID- 29826602 TI - New Drugs, Appliances, and Things Medical. PMID- 29826603 TI - The Story of the Insane from Year to Year. PMID- 29826604 TI - Antipyrin. PMID- 29826605 TI - Free Trade in Medicine. PMID- 29826606 TI - At the Lords' Committee. PMID- 29826607 TI - Diarrhoea. PMID- 29826608 TI - Heart Disease in Children. PMID- 29826609 TI - Working Women in Large Towns: IX. Domestic Servants. PMID- 29826611 TI - Notes and News. PMID- 29826610 TI - The Attack on the Matron of the London: The Governors Support the House Committee. PMID- 29826612 TI - Foods, Drugs, Instruments, &c. PMID- 29826613 TI - Failure. PMID- 29826614 TI - September. PMID- 29826615 TI - Everybody's Page. PMID- 29826616 TI - Working Women in Large Towns: II. Street Workers. PMID- 29826617 TI - Vaccination in Italy. PMID- 29826618 TI - Do the Sick Fear Death? PMID- 29826619 TI - Notes and News. PMID- 29826621 TI - A Standard of Sanity. PMID- 29826620 TI - Patience in Sickness. PMID- 29826622 TI - Annotations. PMID- 29826623 TI - Retiring Allowances to Charity Officials. PMID- 29826624 TI - Pelvic Inflammation. PMID- 29826625 TI - Addison's Disease. PMID- 29826626 TI - A Doctor "On the Stump". PMID- 29826627 TI - Watching the Insane by Reflecting Shafts. PMID- 29826628 TI - Stroud General Hospital. PMID- 29826629 TI - Everybody's Page. PMID- 29826630 TI - Extra Supplement-The Nursing Mirror. PMID- 29826631 TI - Annotations. PMID- 29826633 TI - Extra Supplement-The Nursing Mirror. PMID- 29826632 TI - Notes and News. PMID- 29826634 TI - Tropical Diarrhoea. PMID- 29826635 TI - The Two Knowledges. PMID- 29826636 TI - The Gateways of Medicines. PMID- 29826637 TI - Excision of the Mamma under Hypnotic Anaesthesia. PMID- 29826638 TI - Come. PMID- 29826639 TI - Short Trips for Short Holidays: I. The Norman Archipelago. PMID- 29826640 TI - Work, Play, and Success. PMID- 29826641 TI - Sunflowers as an Antiperiodic. PMID- 29826642 TI - Everybody's Page. PMID- 29826643 TI - Zenana Medical Mission. PMID- 29826644 TI - The B.M.A. and the B.N.A. PMID- 29826645 TI - Plucked! PMID- 29826646 TI - An American Medical Journal. PMID- 29826647 TI - Recent Therapeutics. PMID- 29826648 TI - The History and Capabilities of Herbal Simples: XVII.-Chickweed and Groundsel. PMID- 29826650 TI - Notes and News. PMID- 29826649 TI - Reparation of Bone after Trephining. PMID- 29826651 TI - Annotations. PMID- 29826652 TI - The Hebrew Wards at the London Hospital. PMID- 29826654 TI - Use of Alcohol. PMID- 29826653 TI - Stricter Control. PMID- 29826656 TI - Extra Supplement-The Nursing Mirror. PMID- 29826655 TI - Before the Lords' Committee: IV.-Mr. William Bousfield and Dr. W. B. Clarke. PMID- 29826657 TI - Those That Travel by Water. PMID- 29826658 TI - Skin Grafting. PMID- 29826659 TI - Everybody's Page. PMID- 29826660 TI - A Dangerous Hospital. PMID- 29826661 TI - Administration of Santonin. PMID- 29826662 TI - Iodide of Calcium as an Antiseptic. PMID- 29826663 TI - Redemption. PMID- 29826664 TI - Working Women in Large Towns. IV: Class II. Factory and Workroom Hands. PMID- 29826666 TI - A Wage Limit for In-Patients. PMID- 29826665 TI - Midwives of Old. PMID- 29826668 TI - A Tale of Chivalry. PMID- 29826667 TI - New Drugs, Appliances, and Things Medical: Messrs. Down Brothers' Surgical Instruments. PMID- 29826670 TI - Mesmerism at the Westminster Aquarium. PMID- 29826669 TI - The Derby Infirmary. PMID- 29826671 TI - Extra Supplement-The Nursing Mirror. PMID- 29826672 TI - Hypnotism. PMID- 29826673 TI - Working Women in Large Towns: V. Women as Tailors. PMID- 29826674 TI - Question No. 23. PMID- 29826675 TI - Prayer. PMID- 29826676 TI - Everybody's Page. PMID- 29826677 TI - Annotations. PMID- 29826678 TI - Before the Lords' Committee: V. Sir Sydney H. Waterlow, Bart. PMID- 29826679 TI - The History and Capabilities of Herbal Simples: XII.-Buckthorn. PMID- 29826680 TI - Recent Views of Enteric Fever. PMID- 29826681 TI - The Medical Calf. PMID- 29826682 TI - Notes and News. PMID- 29826683 TI - The Year's Work of the Medical Charities of London. PMID- 29826684 TI - A Christian City. PMID- 29826685 TI - Extra Supplement-The Nursing Mirror. PMID- 29826686 TI - Hospitals and Sick Children. PMID- 29826687 TI - Imperial Provision for the Sick. PMID- 29826688 TI - Do the Sick Fear Death? PMID- 29826689 TI - Before the Lords' Committee: II.-Some Interesting Facts. PMID- 29826691 TI - Wearisome Days. PMID- 29826690 TI - Extra Supplement-The Nursing Mirror. PMID- 29826692 TI - Notes and News. PMID- 29826693 TI - The Military Exhibition. PMID- 29826695 TI - Glances at Foreign Asylums. PMID- 29826694 TI - Everybody's Page. PMID- 29826696 TI - Golden Pheasants and Clerical Guns. PMID- 29826697 TI - Annotations. PMID- 29826699 TI - Annotations. PMID- 29826698 TI - Everybody's Page. PMID- 29826700 TI - Cannabis Indica. PMID- 29826701 TI - The Month of May in India. PMID- 29826702 TI - Progress of Surgery. PMID- 29826703 TI - Cremation or "Decent Burial"? PMID- 29826705 TI - Working Women in Large Towns: III. Factory Girls. PMID- 29826704 TI - Before the Lords' Committee. PMID- 29826706 TI - Weary Nights. PMID- 29826707 TI - Extra Supplement-The Nursing Mirror. PMID- 29826709 TI - Myxoedema. PMID- 29826708 TI - Notes and News. PMID- 29826711 TI - Charitable Trusts and Charity Commissioners. PMID- 29826710 TI - The London Post-Graduate Course. PMID- 29826712 TI - Extra Supplement-The Nursing Mirror. PMID- 29826713 TI - Glances at Foreign Asylums. PMID- 29826714 TI - Twelve English Statesmen: William I., Henry II., and Henry VII. PMID- 29826715 TI - Antisepsine. PMID- 29826716 TI - Phosphorus in Rickets. PMID- 29826717 TI - Notes and News. PMID- 29826719 TI - Temporary Resection of the Skull. PMID- 29826718 TI - Everybody's Page. PMID- 29826721 TI - Diet in Gout. PMID- 29826720 TI - Paracresotinic Acid. PMID- 29826722 TI - Treatment of Traumatic Tetanus by Subcutaneous Injection of Carbolic Acid. PMID- 29826723 TI - Treatment of Varicose Veins by Enucleation. PMID- 29826724 TI - Indirect Mortality from Influenza. PMID- 29826725 TI - The Prevention of Orphanhood. PMID- 29826726 TI - New Drugs, Appliances, and Things Medical. PMID- 29826727 TI - June. PMID- 29826729 TI - Before the Lords' Committee: III.-Mr. Timothy Holmes, Mr. Nelson Hardy, and Mr. Hugh Woods. PMID- 29826728 TI - The History and Capabilities of Herbal Simples: XI.-White Byrony. PMID- 29826730 TI - When Ought Appeals to Cease? PMID- 29826731 TI - Calomel in Cardiac Dropsy. PMID- 29826733 TI - Annotations. PMID- 29826732 TI - Diuretin. PMID- 29826735 TI - A New Antidote for Morphine. PMID- 29826734 TI - Salicylates. PMID- 29826736 TI - Atropine in Poisoning by Aconite. PMID- 29826737 TI - A Physician's Apologia. PMID- 29826738 TI - Reading the Scriptures. PMID- 29826739 TI - A Provident Out-Patient Department. PMID- 29826740 TI - Annotations. PMID- 29826741 TI - Notes and News. PMID- 29826743 TI - Surgical Treatment of Diphtheria. PMID- 29826742 TI - Extra Supplement-The Nursing Mirror. PMID- 29826745 TI - The Qualification Question. PMID- 29826744 TI - Plausibility or Honesty? PMID- 29826746 TI - Aix-Les-Bains. PMID- 29826747 TI - Jottings from Sweden and Denmark. PMID- 29826748 TI - The History and Capabilities of Herbal Simples: IX.-Borage. PMID- 29826749 TI - Hepatic Fever. PMID- 29826750 TI - Friend and Foe. PMID- 29826751 TI - Everybody's Page. PMID- 29826752 TI - New Drugs, Appliances, and Things Medical: "Vinolia" Toilet Soap. PMID- 29826754 TI - Medicinal Soap. PMID- 29826753 TI - Country v. Town Practice. PMID- 29826755 TI - Helps to Gain Patience. PMID- 29826756 TI - On the March. PMID- 29826758 TI - Nature of Phthisis, 235. PMID- 29826757 TI - Is Marriage a Sin? PMID- 29826760 TI - Everybody's Page. PMID- 29826759 TI - Spelthorne Sanatorium. PMID- 29826761 TI - Extra Supplement-The Nursing Mirror. PMID- 29826762 TI - Annotations. PMID- 29826764 TI - Notes and News. PMID- 29826763 TI - General Charities. PMID- 29826765 TI - Probationer Nurses. PMID- 29826766 TI - Prayer for Recovery. PMID- 29826768 TI - Unreduced Dislocations of the Femur. PMID- 29826767 TI - The History and Capabilities of Herbal Simples: XV.-Celandine-Celery. PMID- 29826770 TI - Ovariotomy. PMID- 29826769 TI - Ureametry. PMID- 29826772 TI - Malarious Haemophilia. PMID- 29826771 TI - Before the Lords' Committee: VII.-Nursing at the London Hospital. PMID- 29826773 TI - Sudden Deaths in Laryngeal Disease. PMID- 29826774 TI - New Drugs, Appliances, and Things Medical. PMID- 29826775 TI - Popliteal Aneurysm. PMID- 29826776 TI - Inebriety. PMID- 29826777 TI - Extra Supplement-The Nursing Mirror. PMID- 29826778 TI - The Sussex County Hospital, Brighton. PMID- 29826779 TI - Everybody's Page. PMID- 29826780 TI - Death. PMID- 29826781 TI - Epilepsy. PMID- 29826782 TI - Annotations. PMID- 29826783 TI - Baden-Baden. PMID- 29826784 TI - A Gossip about Pills. PMID- 29826785 TI - Medical Relief in London. PMID- 29826786 TI - Notes and News. PMID- 29826787 TI - A Skulking Accuser. PMID- 29826788 TI - The General Infirmary, Gloucester. PMID- 29826789 TI - New Drugs, Appliances, and Things Medical. PMID- 29826790 TI - Vaccination in Germany. PMID- 29826791 TI - Tracheotomy. PMID- 29826792 TI - The Provident Principle in Connection with Hospitals. PMID- 29826794 TI - Notes and News. PMID- 29826793 TI - Annotations. PMID- 29826795 TI - New Drugs, Appliances, and Things Medical. PMID- 29826796 TI - Gastric Catarrh. PMID- 29826798 TI - Women's Uncongenial Occupations. PMID- 29826797 TI - The C.O.S. and the Preparation of Charitable Accounts. PMID- 29826799 TI - The Bacillus of Typhoid. PMID- 29826800 TI - Country Roads. PMID- 29826801 TI - The History and Capabilities of Herbal Simples: VII. Wood Betony. PMID- 29826802 TI - Renal Calculus. PMID- 29826803 TI - Colotomy. PMID- 29826805 TI - A Hint from America. PMID- 29826804 TI - School of Science v. Society of Science, Letters, and Art of London. PMID- 29826807 TI - Hysteria and Organic Disease. PMID- 29826806 TI - The Children's Hospital, Birmingham. PMID- 29826808 TI - Calomel for Diphtheria. PMID- 29826809 TI - The Lord Is Risen. PMID- 29826811 TI - Extra Supplement-The Nursing Mirror. PMID- 29826810 TI - Everybody's Page. PMID- 29826812 TI - Enlarged Glands. PMID- 29826813 TI - Histeria. PMID- 29826815 TI - A Visit to the Hospital at Zurich University. PMID- 29826814 TI - The Sanitary Condition of the London Hospital. PMID- 29826816 TI - Truth. PMID- 29826817 TI - Annotations. PMID- 29826819 TI - Extra Supplement-The Nursing Mirror. PMID- 29826818 TI - Royal Medical Benevolent College. PMID- 29826821 TI - New Drugs. Appliances, and Things Medical: The Automatic Respirator. PMID- 29826820 TI - The Dangers of Kissing. PMID- 29826822 TI - The New Disease, "Nona". PMID- 29826823 TI - Science and a Future Life. PMID- 29826825 TI - Typhlitis. PMID- 29826824 TI - Notes and News. PMID- 29826827 TI - Acute Tonsilitis. PMID- 29826826 TI - Cares and Coffins. PMID- 29826829 TI - Everybody's Page. PMID- 29826828 TI - The Connection of Burns with Ulceration of the Duodenum. PMID- 29826830 TI - April. PMID- 29826831 TI - Doctoring John Chinaman. PMID- 29826832 TI - Scaff's Leather and Rubber Boots. PMID- 29826833 TI - Retiring Allowances to Charity Officials. PMID- 29826834 TI - Gangrene. PMID- 29826835 TI - Extra Supplement-The Nursing Mirror. PMID- 29826836 TI - Royal Medical Benevolent College, Epsom. PMID- 29826837 TI - Constipation. PMID- 29826838 TI - Examination of the Liver. PMID- 29826839 TI - "For the Complexion" : A Rival to Pears. PMID- 29826841 TI - Sclerema and OEdema Neonatorum. PMID- 29826840 TI - A Hospital Inquisition. PMID- 29826842 TI - Description of the New Hospital Wings of the Royal Asylum, Perth. PMID- 29826843 TI - The Power of Pain. PMID- 29826844 TI - Annotations. PMID- 29826845 TI - Notes and News. PMID- 29826846 TI - Working Women in Large Towns: I. In England and in America. PMID- 29826847 TI - Glances at Foreign Asylums. PMID- 29826848 TI - Home and Pay Hospitals: Mr. Burdett on the Pay System. PMID- 29826849 TI - Notes and News. PMID- 29826850 TI - How Suicides Are Made. PMID- 29826851 TI - Life in a London Hospital. I. PMID- 29826852 TI - Spina Bifida. PMID- 29826853 TI - Everybody's Page. PMID- 29826854 TI - A New Medical Term. PMID- 29826856 TI - Annotations. PMID- 29826855 TI - The History and Capabilities of Herbal Simples: XVI.-Camomile. PMID- 29826857 TI - Kindness Shown in Suffering. PMID- 29826858 TI - Gas Poisoning. PMID- 29826859 TI - Extra Supplement-The Nursing Mirror. PMID- 29826860 TI - Example before Precept. PMID- 29826862 TI - New Drugs, Appliances, and Things Medical: Aerated Waters. PMID- 29826861 TI - Before the Lords' Committee: VIII. The Nurses of the London Hospital. PMID- 29826863 TI - A Mean and Miserable Diet. PMID- 29826864 TI - Recent Views of Leprosy. PMID- 29826865 TI - Notes and News. PMID- 29826866 TI - Trivialities. PMID- 29826867 TI - Fair Play. PMID- 29826868 TI - Extra Supplement-The Nursing Mirror. PMID- 29826869 TI - Baby Brains. PMID- 29826870 TI - Everybody's Page. PMID- 29826871 TI - New Drugs, Appliances, and Things Medical. PMID- 29826872 TI - Submission. PMID- 29826873 TI - The Metropolitan Hospital Sunday Fund, 1890. PMID- 29826874 TI - Nephrolithotomy. PMID- 29826876 TI - Recent Research. PMID- 29826875 TI - Before the Lords' Committee: IX.-Hospital and District Work. PMID- 29826877 TI - The Neglect of the Poor in Workhouse Infirmaries. PMID- 29826878 TI - Annotations. PMID- 29826879 TI - Nocturnal Incontinence of Children. PMID- 29826880 TI - Editor's Letter-Box. PMID- 29826881 TI - Annotations. PMID- 29826882 TI - Race Rivalries. PMID- 29826884 TI - Goitre Treated by Electricity. PMID- 29826883 TI - Everybody's Page. PMID- 29826885 TI - Insect Stings. PMID- 29826886 TI - New Drugs, Appliances, and Things Medical. PMID- 29826887 TI - Treatment of Fractured Legs. PMID- 29826888 TI - The Moral Basis of Private Property: II.-The Good of the Community. PMID- 29826889 TI - Working Women in Large Towns: VII. Matchbox, Brush, and Box Makers. PMID- 29826890 TI - Notes and News. PMID- 29826892 TI - Unbelief. PMID- 29826891 TI - Abroad and at Home. PMID- 29826893 TI - A New Name, If Not a New Disease. PMID- 29826894 TI - Hemiplegia in Pneumonia of Children. PMID- 29826895 TI - Extra Supplement-The Nursing Mirror. PMID- 29826896 TI - Frivolity's Labours. PMID- 29826897 TI - New Drugs, Appliances, and Things Medical: The "Rapid" Clinical Thermometer. PMID- 29826898 TI - Resorcin. PMID- 29826900 TI - Nitrate of Silver in Tabes. PMID- 29826899 TI - Advantages of Warm Sublimate Solutions. PMID- 29826902 TI - Extra Supplement-The Nursing Mirror. PMID- 29826901 TI - The History and Capabilities of Herbal Simples: XIII.-The Cabbage. PMID- 29826903 TI - Can Tropical Africa Be Colonised? PMID- 29826904 TI - OEdima Glottidis as a Result of Iodism. PMID- 29826905 TI - As Might Be Reasonably Expected. PMID- 29826906 TI - Exalgin. PMID- 29826907 TI - Absorption of Fat. PMID- 29826908 TI - Insanity Cured by Influenza. PMID- 29826909 TI - Before the Lords' Committee: VI. Sir Sydney Waterlow. PMID- 29826910 TI - Sulphonal in Diabetes. PMID- 29826911 TI - Annotations. PMID- 29826912 TI - July. PMID- 29826913 TI - Everybody's Page. PMID- 29826914 TI - The Bacillus of Diphtheria. PMID- 29826915 TI - Hope. PMID- 29826916 TI - Mountain or Sea? PMID- 29826917 TI - Resection of the Lungs. PMID- 29826918 TI - A Modern Miracle. PMID- 29826919 TI - Notes and News. PMID- 29826920 TI - A New Nasal Douche. PMID- 29826922 TI - Care. PMID- 29826921 TI - Injection of Varicose Veins. PMID- 29826923 TI - Notes and News. PMID- 29826924 TI - Thoughts on Ill-Health: II. Audi Alteram Partem. PMID- 29826925 TI - The Fairy Tales of Science. PMID- 29826926 TI - Dr. Bevan Rake on Leprosy. PMID- 29826928 TI - Valued Officials. PMID- 29826927 TI - New Drugs, Appliances, and Things Medical: Bovril-Florador. PMID- 29826929 TI - Everybody's Page. PMID- 29826931 TI - An Interview with Mrs. Dacre Craven (With Portrait). PMID- 29826930 TI - The Metropolitan Workhouse Infirmaries: Resolution of the Paddington Board of Guardians. PMID- 29826933 TI - Extra Supplement-The Nursing Mirror. PMID- 29826932 TI - Gastrotomy. PMID- 29826935 TI - The Expansion of Medicine. PMID- 29826934 TI - Annotations. PMID- 29826937 TI - Thoughts on Ill-Health: III. Moral Health. PMID- 29826936 TI - Dangerous Lunatics at Large. PMID- 29826939 TI - Metropolitan Workhouse Infirmaries. PMID- 29826938 TI - Annotations. PMID- 29826940 TI - Albuminuria and Life Assurance. PMID- 29826941 TI - Notes and News. PMID- 29826942 TI - Wasted Opportunities. PMID- 29826943 TI - Cholera Prevention. PMID- 29826944 TI - Use of Ether. PMID- 29826945 TI - Foods, Drugs, Instruments, &c. PMID- 29826946 TI - New Drugs, Appliances, and Things Medical: Knight's Antiseptic Eucalyptus Tablets. PMID- 29826947 TI - Use of Aloes. PMID- 29826949 TI - Everybody's Page. PMID- 29826948 TI - Extra Supplement-The Nursing Mirror. PMID- 29826950 TI - Working Women in Large Towns: VIII. Shirt, Sack, and Umbrella Makers. PMID- 29826951 TI - Consumption: A Step Forward. PMID- 29826953 TI - Salol. PMID- 29826952 TI - A Hospital in the Black Forest. PMID- 29826954 TI - Venesection. PMID- 29826955 TI - The Treatment of Diabetes. PMID- 29826956 TI - Lanolin. PMID- 29826957 TI - Poisoning by Antifebrin. PMID- 29826959 TI - Annotations. PMID- 29826958 TI - Tested by Results. PMID- 29826960 TI - Injections of Ether in Neuralgia. PMID- 29826961 TI - Extra Supplement-The Nursing Mirror. PMID- 29826962 TI - God's Hand. PMID- 29826963 TI - Everybody's Page. PMID- 29826965 TI - Prevention of the Toxic Effects of Cocaine. PMID- 29826964 TI - "The Lancet" and Hospital Nurses. PMID- 29826967 TI - Cure of Cancer by Erysipelas. PMID- 29826966 TI - Bright's Disease and Life Insurance. PMID- 29826968 TI - August. PMID- 29826969 TI - Notes and News. PMID- 29826970 TI - Thoughts on Ill-Health: I. Not Quite "Fit". PMID- 29826971 TI - Before the Lords' Committee: X.-The Last of This Session. PMID- 29826972 TI - Restoration of Bone after Trephining. PMID- 29826973 TI - Life in a London Hospital. II. PMID- 29826974 TI - The Man and the Book. PMID- 29826975 TI - Annotations. PMID- 29826976 TI - Albuminaria. PMID- 29826977 TI - Right or Left? PMID- 29826978 TI - Extra Supplement-The Nursing Mirror. PMID- 29826979 TI - Podophyllin Poisoning. PMID- 29826980 TI - A Fortunate Hospital. PMID- 29826981 TI - Cure of Arterio Venous Aneurism by Extirpation. PMID- 29826982 TI - Arterial Suture. PMID- 29826984 TI - Hepatic Surgery. PMID- 29826983 TI - North-Eastern Hospital for Children. PMID- 29826985 TI - The New Lunacy Laws. PMID- 29826986 TI - The Princess and the First Thousand. PMID- 29826987 TI - Effects of Arsenic. PMID- 29826988 TI - The History and Capabilities of Herbal Simples: XIV.-Carraway-Carrot. PMID- 29826990 TI - Notes and News. PMID- 29826989 TI - Working Women in Large Towns: VI. Needlewomen-Fur Sewers, etc. PMID- 29826992 TI - New Drugs, Appliances, and Things Medical. PMID- 29826991 TI - Hot Air Treatment of Phthisis. PMID- 29826993 TI - The Burthen of Life. PMID- 29826994 TI - Electric Prostration. PMID- 29826996 TI - A Substitute for Quinine. PMID- 29826995 TI - Powders in Papers. PMID- 29826998 TI - Hospital and Institutional News. PMID- 29826997 TI - Everybody's Page. PMID- 29826999 TI - The Evolution of a City Hospital: Mr. Arthur Hulme on the Queen's Hospital, Birmingham. PMID- 29827000 TI - The X-Rays. PMID- 29827002 TI - Hospital Needs. PMID- 29827001 TI - Hospitals and the State: Sir William Collins' Paper and the Discussion. PMID- 29827004 TI - Personalities at the Conference: An Impression from the Hearers' Point of View. PMID- 29827003 TI - The Institutional Worker. PMID- 29827005 TI - An International Hospital Congress. PMID- 29827006 TI - The Draft Poor-Law Order. PMID- 29827008 TI - Hospital Needs. PMID- 29827007 TI - Conference at Birmingham: Full Report of the Proceedings and Discussions. PMID- 29827009 TI - Anaesthesia in American Hospitals. PMID- 29827010 TI - Medical Officers under the Poor Law. PMID- 29827011 TI - Operations and Christian Science. PMID- 29827012 TI - The General Hospitals of the Territorial Army. PMID- 29827013 TI - The Administration of Drugs to Nursing Mothers. PMID- 29827014 TI - Fatal Accident to a Senior Physician. PMID- 29827015 TI - To Medical Freemasons. PMID- 29827016 TI - The Legal Position as to Medical Benefit. PMID- 29827017 TI - The Auxiliary Symptoms of Early Organic Heart Disease. PMID- 29827018 TI - Research and Remedies. PMID- 29827019 TI - The Inefficient Cook-From a Matron's Point of View. PMID- 29827020 TI - Welsh Firms and the Insurance Act. PMID- 29827021 TI - Hospital and Institutional News. PMID- 29827022 TI - The New Nelson Hospital, Wimbledon. PMID- 29827023 TI - Employees and the National Insurance Act: XXVIII. The Contract of Membership of Approved Societies. PMID- 29827024 TI - In an East Borneo Hospital.-II. PMID- 29827026 TI - The Red Cross Society in Yorkshire. PMID- 29827025 TI - Premature Burial Precautions. PMID- 29827028 TI - The "Mucous Disease" of Children: A Summary of Symptoms and Treatment. PMID- 29827027 TI - The Institutional Worker. PMID- 29827029 TI - The Metropolitan Hospital Sunday Fund: Report and Awards of the Distribution Committee. PMID- 29827030 TI - Cooling Drinks with Simple Recipes. PMID- 29827032 TI - Hospital and Institutional News. PMID- 29827031 TI - The X-Rays. PMID- 29827033 TI - The Library.-I. PMID- 29827034 TI - The Hospitals of Insulinde: Their Construction, Administration, and Mortality. PMID- 29827035 TI - The Reform of Out-Patients. PMID- 29827036 TI - The General Practitioner and Sanatorium Benefit. PMID- 29827037 TI - The Institutional Worker. PMID- 29827038 TI - Acute Pancreatitis-III: Its Diagnosis and Surgical Treatment. PMID- 29827039 TI - Research and Remedies. PMID- 29827040 TI - Employees and the National Insurance Act: XXII. Substituted Benefits. PMID- 29827041 TI - Legal Notes for Institutional Workers. PMID- 29827042 TI - The Institutional Worker. PMID- 29827044 TI - The Advance of the Poor-Law Infirmary: Dr. W. R. Jordan on the Value of a Visiting Staff. PMID- 29827043 TI - Comfortable Meals in an Institution-Supper. PMID- 29827045 TI - Hospital Construction in Germany. PMID- 29827047 TI - Doctors' Fees and Nursing Homes. PMID- 29827046 TI - The X-Rays. PMID- 29827049 TI - Employees and the National Insurance Act: XXIV. The Financial Provisions. PMID- 29827048 TI - Preventive Methods in Provincial Institutions. PMID- 29827050 TI - Hospital and Institutional News. PMID- 29827051 TI - Wasted Holidays. PMID- 29827052 TI - The Mortuary Unit. Some Preliminary Considerations-I. PMID- 29827053 TI - The Library.-II. PMID- 29827054 TI - East Suffolk Hospital, Ipswich. PMID- 29827055 TI - Post-Graduate Study in Medicine.-I: The Continental and English Systems of Study Compared. PMID- 29827057 TI - Government-Guaranteed Sera: A National Need. PMID- 29827056 TI - The King's Wish. PMID- 29827058 TI - The Institutional Worker. PMID- 29827059 TI - The New Research Hospital at Cambridge: Its Development, Opening, and Aims. PMID- 29827060 TI - Employees and the National Insurance Act: XIII. The Insurance of Hospital Nurses. PMID- 29827061 TI - Research and Remedies. PMID- 29827062 TI - The Ward Laboratory versus the Institutional Laboratory. PMID- 29827064 TI - Dry Heat and Conservative Cooking. PMID- 29827063 TI - A Sixty-Hour Week for Mental Hospital Workers. PMID- 29827065 TI - The Planning of Institution Laundries. PMID- 29827066 TI - The Problem of the Elderly Primipara. PMID- 29827067 TI - Hospital and Institutional News. PMID- 29827068 TI - St. George's Hospital and King Edward's Fund. PMID- 29827069 TI - Special Hospitals and Their Advertisements. PMID- 29827070 TI - Professional Conduct in the Seventeenth Century. PMID- 29827071 TI - A New Compendium of Treatment: Medical and Surgical Therapeutics of To-Day. PMID- 29827072 TI - Manual of Surgical Treatment. PMID- 29827073 TI - The Institutional Worker. PMID- 29827074 TI - The Diagnosis of Smallpox. PMID- 29827075 TI - A Motor-Cycle in a Country Practice: Its Specifications and Value to the General Practitioner. PMID- 29827076 TI - Derby Day and "Recreative Betting." PMID- 29827077 TI - Hospital and Institutional News. PMID- 29827078 TI - The X-Rays. PMID- 29827079 TI - The Housekeeper's Time-Table. PMID- 29827081 TI - Who Should Be Responsible for Its Support? PMID- 29827080 TI - Hospital Managers and the Insurance Act. PMID- 29827082 TI - Employees and the National Insurance Act: XIV. The Domestic Staffs in Hospitals. PMID- 29827083 TI - The Relation of Medical Men to Nurses. PMID- 29827085 TI - The Operative Treatment of Acute Epididymo-Orchitis. PMID- 29827084 TI - Cure by Obliteration. PMID- 29827086 TI - A Novel Caesarean Section. PMID- 29827087 TI - Hospital and Institutional News. PMID- 29827088 TI - Research and Remedies. PMID- 29827089 TI - The Royal Infirmary, Sunderland. PMID- 29827090 TI - Cremation: Its Cost and How It Is Carried out. PMID- 29827091 TI - Employees and the National Insurance Act: V. Benefits Receivable under the Act. PMID- 29827093 TI - Territorial Compensation for Injuries. PMID- 29827092 TI - The Ward Floor in All Materials. PMID- 29827094 TI - A Comparison of Prices Paid by London Hospitals for Their Food Supplies.-I. PMID- 29827095 TI - The Institutional Worker. PMID- 29827096 TI - The Silence of the Insurance Commission. PMID- 29827097 TI - Legal Notes for Institutional Workers. PMID- 29827098 TI - Premature Burial and the Law. PMID- 29827100 TI - Nature Notes.-X. PMID- 29827099 TI - Hospital Staffs and Fees at Inquests. PMID- 29827101 TI - The Select Committee on Secret Remedies. PMID- 29827102 TI - Our Insurance Act Department. PMID- 29827104 TI - The Management of Creches and Day Nurseries: A Critical Comparison, with Suggested Reforms. PMID- 29827103 TI - Out-Patients and Solicitors' Touts. PMID- 29827105 TI - Premature Burial and the Law. PMID- 29827107 TI - Cerebral Haemorrhage.-II. PMID- 29827106 TI - The Institutional Worker. PMID- 29827109 TI - Departments Which Do Not Always Pay. PMID- 29827108 TI - A Metropolitan Police Hospital. PMID- 29827110 TI - Hospital Accommodation on Merchant Ships. PMID- 29827111 TI - The Ward Bathroom in Design and Detail. PMID- 29827112 TI - Employees and the National Insurance Act: VII. Benefits Receivable under the Act. PMID- 29827113 TI - Hospital and Institutional News. PMID- 29827115 TI - Employees and the National Insurance Act: XV. The Domestic Staffs in Hospitals. PMID- 29827114 TI - The X-Rays. PMID- 29827116 TI - Residential Institutions for Mental Defectives. PMID- 29827117 TI - The Ward Ceiling, the Roof and Walls. PMID- 29827118 TI - The Work-Room: Hints on Repairing. PMID- 29827119 TI - Medical Education under Home Rule. PMID- 29827120 TI - Post-Graduate Study in Medicine.-II: The Continental and English Systems of Study Compared. PMID- 29827121 TI - Research and Remedies. PMID- 29827122 TI - The Modernising of Old Buildings. PMID- 29827124 TI - The "Genius Loci" and the Patient. PMID- 29827123 TI - The King and Queen Privately Attend the Morning Service. PMID- 29827126 TI - A Hospital Function at the Mansion House: The Dinner in Aid of St. Bartholomew's Hospital. PMID- 29827125 TI - Hospital and Institutional News. PMID- 29827128 TI - The Institutional Worker. PMID- 29827127 TI - The Insurance of Nurses. PMID- 29827129 TI - Special Hospitals and Their Advertisements. PMID- 29827130 TI - Practical Notes on Diagnosis and Treatment. PMID- 29827132 TI - The Institutional Worker. PMID- 29827131 TI - Dispensers under the Insurance Act. PMID- 29827133 TI - Research and Remedies. PMID- 29827134 TI - Health Insurance and Preventive Medicine. PMID- 29827135 TI - Economy of Labour in Hospital Management: An Assistant Secretary's Further Suggestions. PMID- 29827136 TI - Acute Pancreatitis-II: Its Diagnosis and Surgical Treatment. PMID- 29827137 TI - A School Doctor on the General Practitioner. PMID- 29827139 TI - Comfortable Meals in an Institution-Tea. PMID- 29827138 TI - The Prevention of Cross-Infection: The "Barrier" System at Ham Green Fever Hospital, Bristol. PMID- 29827140 TI - The Children's Ward as a Special Department. PMID- 29827142 TI - Visitors at Surgical Operations. PMID- 29827141 TI - The Decision and Discussion of the Liverpool Meeting. PMID- 29827144 TI - Legal Notes for Institutional Workers. PMID- 29827143 TI - The Nottingham and Midland Eye Infirmary. PMID- 29827145 TI - The New Eye Infirmary in Detail and Illustration. PMID- 29827146 TI - Hospital and Institutional News. PMID- 29827147 TI - The Voluntary Contributor. PMID- 29827148 TI - The Editor's Letter-Box. PMID- 29827149 TI - The Ward Laboratory.-I. PMID- 29827150 TI - Research and Remedies. PMID- 29827151 TI - The Utilisation of Isolation Hospitals as Sanatoria. PMID- 29827152 TI - Industrial Training and After-Care. PMID- 29827154 TI - Departments Which Do Not Always Pay. PMID- 29827153 TI - The X-Rays. PMID- 29827156 TI - Hospital Construction Competitions. PMID- 29827155 TI - Employees and the National Insurance Act: IX. The Contributions Payable. PMID- 29827157 TI - The Institutional Worker. PMID- 29827158 TI - The Progress of the Tuberculosis Committee. PMID- 29827159 TI - Legal Notes for Institutional Workers. PMID- 29827160 TI - The Treatment of Sarcoma: The Use of Coley's Fluid in Inoperable Cases. PMID- 29827161 TI - Hospital and Institutional News. PMID- 29827162 TI - The Insurance Act and Party Politics. PMID- 29827163 TI - The Home and Infirmary for Sick Children, Sydenham. PMID- 29827165 TI - Employees and the National Insurance Act: XVII. Awakened Interest in Health Insurance. PMID- 29827164 TI - Hospitals and Paying Pupils: An Absurd Proposal. PMID- 29827166 TI - Comfortable Meals in an Institution-Breakfast. PMID- 29827167 TI - The Insurance of Nurses: A Hospital Chairman's Suggestion. PMID- 29827169 TI - St. John's Brigade Reviewed in Windsor Great Park. PMID- 29827168 TI - Summer "Sickness and Diarrhoea.": The Treatment of the Disease in Children. PMID- 29827170 TI - The Institutional Use of Alcoholic Liquors. PMID- 29827171 TI - Applied Physiology in Practice. PMID- 29827173 TI - The Mural Decoration of Hospitals. PMID- 29827172 TI - The Children's Ward in Design and Decoration. PMID- 29827174 TI - Medical Problems for Public Consumption. PMID- 29827175 TI - Chelsea Hospital and Women Workers. PMID- 29827176 TI - The Institutional Worker. PMID- 29827177 TI - Hospital and Institutional News. PMID- 29827178 TI - The Storm on Hospital Sunday. PMID- 29827180 TI - The King Edward Memorial Infirmary at Bristol: A Tour of the New Block with Mr. W. E. Budgett, Secretary and House Governor. PMID- 29827179 TI - Research and Remedies. PMID- 29827181 TI - Preventive Methods in Provincial Institutions. PMID- 29827182 TI - The Cult of the Sun-Bath. PMID- 29827183 TI - An Italian Hospital Experience. PMID- 29827184 TI - A Plea for the Private Nursing Home. PMID- 29827185 TI - Employees and the National Insurance Act: XXIII. The Insurance of Aliens. PMID- 29827187 TI - Hospital Schools for Domestics. PMID- 29827186 TI - Practical Notes on Diagnosis and Treatment. PMID- 29827188 TI - The Dioradin Treatment. PMID- 29827189 TI - The Institutional Worker. PMID- 29827191 TI - The Dangers of "Comforters." PMID- 29827190 TI - The Royal Commission Report. PMID- 29827192 TI - The Insurance Act and Poor-Law Infirmaries. PMID- 29827193 TI - Hospital and Institutional News. PMID- 29827195 TI - Home and Foreign Spas: XI. Bad-Kreuznach. PMID- 29827194 TI - Dislocation of Acromio-Clavicular Joint: Two Cases Treated by Fixation with a Lane's Bone Plate. PMID- 29827196 TI - The Hunger Strike-A Psychological Problem. PMID- 29827197 TI - The "Royal" Medical Benevolent Fund. PMID- 29827198 TI - Suction-Gas Plant v. Boiler Engine. PMID- 29827200 TI - Employees and the National Insurance Act: X. Arrears of Contribution. PMID- 29827199 TI - Registration: A Plea for Unity. PMID- 29827201 TI - The Institutional Worker. PMID- 29827202 TI - Ulster Hospital for Children and Women, Belfast. PMID- 29827204 TI - The Examination Rooms, Theatre, and Lavatories. PMID- 29827203 TI - The "Normyl Treatment" of Alcoholism. PMID- 29827205 TI - Vertigo: Giddiness in Relation to General Medicine. PMID- 29827207 TI - The Recent British Geneva Convention Act, 1911. PMID- 29827206 TI - The Asylum Workers' Association. PMID- 29827209 TI - Hospital and Institutional News. PMID- 29827208 TI - The Waste of Clinical Material in Poor-Law Infirmaries. PMID- 29827210 TI - The Lighting of Wards.-I. PMID- 29827211 TI - Symptoms and Diagnosis. PMID- 29827213 TI - Insurance Day by Day. PMID- 29827212 TI - Spring Cleaning in Small Institutions. PMID- 29827214 TI - My Motor-Cycling Experiences: By a Country Practitioner. PMID- 29827215 TI - Hospital Construction Competitions. PMID- 29827217 TI - A Medical Inspector on the School Nurse. PMID- 29827216 TI - Hospital Dispensers and the Insurance Act. PMID- 29827218 TI - The Latest Types of the Ward Window. PMID- 29827219 TI - Hospital and Institutional News. PMID- 29827221 TI - Complaints: By a Hospital Chairman: III. Some Recurrent Difficulties. PMID- 29827220 TI - Dr. Robert Jones and the Mentally Defective. PMID- 29827223 TI - The Intelligence of Rickety Children. PMID- 29827222 TI - The Institutional Worker. PMID- 29827224 TI - Cerebral Haemorrhage. PMID- 29827225 TI - A Comparison of Prices Paid by London Hospitals for Their Food Supplies.-II. PMID- 29827226 TI - Little Homes as Centres of Influence. PMID- 29827228 TI - Angina Pectoris. PMID- 29827227 TI - The National Children's Home at Edgworth, Lancashire. PMID- 29827229 TI - Employees and the National Insurance Act: VI. Benefits Receivable under the Act. PMID- 29827231 TI - The Reform of Club Practice. PMID- 29827230 TI - The King's Fund and Lord Rosebery. PMID- 29827232 TI - Legal Notes for Institutional Workers. PMID- 29827233 TI - The Abertillery School Clinic: Its Buildings, Organisation, and Advantages. PMID- 29827235 TI - Cottage Hospitals as Sanatoria. PMID- 29827234 TI - The Architecture of Mental Wards. PMID- 29827236 TI - The Endless Pleasures of Photomicrography. PMID- 29827237 TI - Dispensing Anomalies in Public Institutions: The Need for a Uniform System. PMID- 29827238 TI - The Institutional Worker. PMID- 29827240 TI - The British Red Cross Society's Duties in Time of Peace. PMID- 29827239 TI - The New Cottage Hospital, Axminster. PMID- 29827242 TI - Legal Notes for Institutional Workers. PMID- 29827243 TI - Research and Remedies. PMID- 29827241 TI - Women Pharmacists and Hospital Dispensing. PMID- 29827245 TI - Nurses' Diet at Six Shillings a Head. PMID- 29827244 TI - The Hospital Mortuary. PMID- 29827246 TI - Hospital and Institutional News. PMID- 29827247 TI - The Results of Gastric Surgery. PMID- 29827249 TI - Employees and the National Insurance Act: XXVI.-Transfers. PMID- 29827248 TI - The X-Rays. PMID- 29827250 TI - Some Fever Hospitals and Their Work: A Summary of Recent Improvements. PMID- 29827251 TI - Death of the Senior Surgeon to St. George's Hospital: A Many-Sided Career. PMID- 29827252 TI - Hospital Needs. PMID- 29827253 TI - Sanatoria in the Light of the Departmental Report. PMID- 29827254 TI - Hospital and Institutional News. PMID- 29827255 TI - Mental Hospitals and the Insurance Act. PMID- 29827256 TI - Preventive Methods in Provincial Institutions. PMID- 29827257 TI - The Defective and Dependent: XII. Relations of Mental-Defectiveness to Unemployment, Immorality, and Crime. PMID- 29827258 TI - The Importance of the Natural Feeding of Infants. PMID- 29827259 TI - The Library. PMID- 29827260 TI - Sister Mary (Miss Mary P. Thomson), for Forty Years Lady Superintendent, Royal Infirmary, Sunderland. PMID- 29827261 TI - Employees and the National Insurance Act: XXV. Existing Funds of Friendly Societies. PMID- 29827262 TI - The Lessons of the Measles Epidemic. PMID- 29827263 TI - Legal Notes for Institutional Workers. PMID- 29827264 TI - Without Encumbrance. PMID- 29827265 TI - Nurses' Diet at Six Shillings a Head. PMID- 29827267 TI - The Skin Department: Its Object, Staffing, and Cost. PMID- 29827266 TI - The Seaford Mock-Marriage Case. PMID- 29827269 TI - The Institutional Worker. PMID- 29827268 TI - Economy of Labour in Hospital Management. PMID- 29827271 TI - The Institutional Worker. PMID- 29827270 TI - Research and Remedies. PMID- 29827273 TI - The New Cottage Hospital, Axminster. PMID- 29827272 TI - A Design for Emergency Hospitals in Industrial Districts. PMID- 29827274 TI - What a Mother-Expectant Should Know. PMID- 29827275 TI - The Laryngoscope in Theory and Practice: Some Hints on Its Manipulation. PMID- 29827277 TI - Legal Notes for Institutional Workers. PMID- 29827276 TI - The Walrus and the Carpenter. PMID- 29827279 TI - The Ipswich Conference. PMID- 29827278 TI - Research and Remedies. PMID- 29827280 TI - St. George's Hospital and King Edward's Fund. PMID- 29827281 TI - Philately as a Hobby for Medical Men. PMID- 29827282 TI - The Latest Work of the British Red Cross Society. PMID- 29827284 TI - Hospital and Institutional News. PMID- 29827283 TI - St. Bartholomew's Hospital and Its Nurses. PMID- 29827285 TI - The Practical Possibilities of Cancer Research. PMID- 29827287 TI - Teachers, School Desks, and Lateral Curvature. PMID- 29827286 TI - Dispensers under the Insurance Act. PMID- 29827289 TI - St. George's Hospital and King Edward's Fund. PMID- 29827288 TI - Employees and the National Insurance Act: XVI. How to Choose an Approved Society. PMID- 29827291 TI - Economy in the Patients' Diet. PMID- 29827292 TI - Pain and Medical Research. PMID- 29827290 TI - Water Softening for Institutions: The Type and Cost of Various Appliances Compared. PMID- 29827294 TI - The Financial Report of the King's Fund. PMID- 29827293 TI - Economy of Labour in Hospital Management. PMID- 29827295 TI - Life and the British Association. PMID- 29827296 TI - In Private Practice: Reflections by a Late Assistant. PMID- 29827297 TI - In an East Borneo Hospital.-I. PMID- 29827298 TI - The Treatment of Enteric Fever. PMID- 29827300 TI - The Proper Planning of Store-Rooms. PMID- 29827299 TI - The Institutional Worker. PMID- 29827301 TI - Employees and the National Insurance Act: XXVII.-Interpretation of the Act. PMID- 29827302 TI - Diet and Service in Mental Hospitals: Dr. J. Francis Dixon on an Experiment at West Humberstone. PMID- 29827304 TI - The Task of Social Hygiene: Havelock Ellis on the Health of Society. PMID- 29827303 TI - Hospital and Institutional News. PMID- 29827305 TI - Diagnosis and Treatment of Acute Pancreatitis. PMID- 29827306 TI - Lord Salisbury and Paying Patients. PMID- 29827307 TI - Dr. William Butchart and "The Milne Treatment.": Honour for a Scotch Superintendent. PMID- 29827308 TI - The Institutional Worker. PMID- 29827309 TI - Swiss Hospitals and Their Administration: With Special Reference to the Cantonal Hospital of Geneva. PMID- 29827310 TI - Tempera Decorations in Hospitals. PMID- 29827311 TI - The Conduct of Competitions: A Suggestion. PMID- 29827313 TI - A Hospital Villa for Bexley Mental Hospital. PMID- 29827312 TI - Medicine and the Empire. PMID- 29827314 TI - Tredegar House, Bow: The London Hospital's New Preliminary Training School. PMID- 29827315 TI - The Scientific Treatment of Sea-Sickness. PMID- 29827316 TI - Legal Notes for Institutional Workers. PMID- 29827318 TI - The Control of the Feeble-Minded. PMID- 29827317 TI - Employees and the National Insurance Act: XX. How Rates of Remuneration Affect Contributions. PMID- 29827319 TI - A Hospital for Poor Mothers. PMID- 29827320 TI - Hospital and Institutional News. PMID- 29827321 TI - Convalescent Diet. PMID- 29827322 TI - Some Fever Hospitals and Their Work: II. Preventive Methods in Provincial Institutions. PMID- 29827324 TI - Employees and the National Insurance Act: XIX. Insurance Cards and Books. PMID- 29827323 TI - Scoliosis and the Crawl Treatment. PMID- 29827325 TI - Industrial Colonies for Mental Defectives. PMID- 29827326 TI - The Popularity of "The Services." PMID- 29827327 TI - Research and Remedies. PMID- 29827328 TI - Comfortable Meals in an Institution-Dinner. PMID- 29827329 TI - Hospital and Institutional News. PMID- 29827330 TI - Some Sanatorium Topics. PMID- 29827331 TI - The Institutional Worker. PMID- 29827333 TI - The Orthopaedics of the Future: A New Book by Professor Spitzy. PMID- 29827332 TI - Some Fever Hospitals and Their Work: I. Cross-Infection in Special Wards. PMID- 29827334 TI - The Clearing Hospitals for the Territorial Medical Service. PMID- 29827335 TI - The Chancellor of the Exchequer's Lack of Statesmanship. PMID- 29827336 TI - The Planning of the Modern Operating Theatre Unit. PMID- 29827337 TI - Economy of Labour in Hospital Management. PMID- 29827338 TI - The Fellowship of the Royal College of Surgeons. PMID- 29827339 TI - Oxford University. PMID- 29827340 TI - The Royal Naval Medical Service: What It Offers to the Newly Qualified Medical Man. PMID- 29827341 TI - The Study of Tropical Medicine. PMID- 29827342 TI - Higher Diplomas. PMID- 29827343 TI - The London University Course. PMID- 29827344 TI - Women Resident Doctors in Poor-Law Infirmaries. PMID- 29827345 TI - The School Service: What It Offers to the Newly Qualified. PMID- 29827347 TI - The Public Services. PMID- 29827346 TI - Doctors' Fees and Nursing Homes. PMID- 29827348 TI - Obstetrics and Gynaecology: The Education and Training of the Specialist. PMID- 29827350 TI - The Institutional Worker. PMID- 29827349 TI - Tea at the Hall: Some Recollections of a Far-Distant Final. PMID- 29827351 TI - Qualification and Registration. PMID- 29827352 TI - Opportunities for Graduate Study in Special Hospitals. PMID- 29827354 TI - The English Conjoint Course. PMID- 29827353 TI - Hospital and Institutional News. PMID- 29827355 TI - The Remuneration of the Institutional Dispenser. PMID- 29827356 TI - Mental Work as a Young Man's Career: The Life and Progress of the Assistant Medical Officer. PMID- 29827357 TI - London Post-Graduate Institutions. PMID- 29827358 TI - The Medical Student and His Work: The Medical Schools of the United Kingdom. PMID- 29827359 TI - The Choice of Medicine. PMID- 29827360 TI - Resident Medical Officership in the Future: The Advantages and Disadvantages of Such a Career. PMID- 29827361 TI - The Cambridge University Course. PMID- 29827362 TI - Doctors' Fees and Nursing Homes. PMID- 29827363 TI - The Royal Army Medical Corps: Admission, Pay, Prospects, and Terms of Retirement. PMID- 29827364 TI - The West Ham Hospital's Jubilee. PMID- 29827365 TI - St. George's Hospital and King Edward's Fund. PMID- 29827366 TI - Employees and the National Insurance Act: XII. The Insurance of Hospital Nurses. PMID- 29827367 TI - The Diphtheria Bacillus and Its Media. PMID- 29827368 TI - Departments Which Do Not Always Pay. PMID- 29827369 TI - No. 1 Wimpole Street: The New Premises of the Royal Society of Medicine. PMID- 29827370 TI - The Disconnection of Sanitary Towers. PMID- 29827372 TI - A Sixty-Hour Week for Mental Hospital Workers. PMID- 29827371 TI - The "Normyl Treatment" of Alcoholism. PMID- 29827374 TI - Vaccine Therapy and Sanatoria: The Inoculation Department of St. Mary's Hospital. PMID- 29827373 TI - The X-Rays. PMID- 29827376 TI - The Institutional Worker. PMID- 29827375 TI - The Asylum Workers' Association. PMID- 29827378 TI - Hospital and Institutional News. PMID- 29827377 TI - The Plans of the Sheffield Royal Hospital. PMID- 29827379 TI - The Feeble-Minded in Poor-Law Infirmaries. PMID- 29827380 TI - Its Time-Table, Attendance, and Staff-III. PMID- 29827381 TI - Research and Remedies. PMID- 29827382 TI - Diseases of the Larynx: The Cardinal Symptoms of Throat Disease. PMID- 29827383 TI - New Remedies and Old Diseases. PMID- 29827384 TI - The Training and Work of a Hospital Almoner. PMID- 29827385 TI - Employees and the National Insurance Act: XI. The Insurance of Nurses. PMID- 29827387 TI - Hospital Dispensers and the Insurance Act. PMID- 29827386 TI - Some Reflections on Boarding School Diet. PMID- 29827389 TI - Hospital and Institutional News. PMID- 29827388 TI - Legal Notes for Institutional Workers. PMID- 29827390 TI - Midland Hospitals and the Insurance Act. PMID- 29827391 TI - Economy in Baked Meats. PMID- 29827393 TI - The Resident Medical Officer of the Future. PMID- 29827392 TI - The Charges against Hinckley Isolation Hospital. PMID- 29827395 TI - The Lighting of Wards.-II. PMID- 29827394 TI - Institutional Laundries. PMID- 29827396 TI - The Ward Laboratory.-II. PMID- 29827397 TI - Letters from the Honorary Secretaries of King's Fund and the Treasurer of St. George's. PMID- 29827399 TI - The Progress of the Sanatorium Idea. PMID- 29827398 TI - The Institutional Worker. PMID- 29827400 TI - The Provision of Sanatoria. PMID- 29827401 TI - The Institutional Worker. PMID- 29827403 TI - Lateral Curvature and the Clinic. PMID- 29827402 TI - Legal Notes for Institutional Workers. PMID- 29827404 TI - The X-Rays. PMID- 29827405 TI - A Private Visit to the Hamadryad Seamen's Hospital. PMID- 29827406 TI - King Edward VII.'s Hospital, Cardiff, Begins a New Era. PMID- 29827407 TI - The British Hospitals Association Meeting. PMID- 29827408 TI - The Cavendish Lecture. PMID- 29827409 TI - Employees and the National Insurance Act: XVIII. Important Points for Immediate Consideration. PMID- 29827410 TI - The Editor's Letter-Box. PMID- 29827411 TI - Housekeeping Queries. PMID- 29827412 TI - A Sixteenth-Century Complaint. PMID- 29827413 TI - The London Dermatological Society. PMID- 29827415 TI - Hospital and Institutional News. PMID- 29827414 TI - A Midland Hospital and the Commissioners. PMID- 29827416 TI - Dr. Albert Moll and a Neglected Aspect of Pedagogy. PMID- 29827417 TI - Reports on the Hospitals of the United Kingdom. PMID- 29827418 TI - Research Laboratories for Mental Hospitals. PMID- 29827419 TI - Petrox. PMID- 29827420 TI - The Institutional Worker. PMID- 29827421 TI - A Good Method of Cooking Frozen Meat. PMID- 29827422 TI - The Mental Hospital Kitchen. PMID- 29827423 TI - Its Architecture, Planning, and Control. PMID- 29827424 TI - Cerebral Haemorrhage.-III. PMID- 29827425 TI - Russo's Methylene Blue Reaction. PMID- 29827426 TI - Hospital Construction Competitions. PMID- 29827427 TI - Employees and the National Insurance Act: VIII. The Contributions Payable. PMID- 29827428 TI - Hospital and Institutional News. PMID- 29827430 TI - King Edward's Hospital Fund for London. PMID- 29827429 TI - Suction-Gas Plant v. Boiler Engine. PMID- 29827432 TI - Up-To-Date Kitchen Specialties. PMID- 29827431 TI - John Marshall, Chairman of the Royal Infirmary, Sheffield. PMID- 29827433 TI - Notes in Reply to Mr. Hall's Strictures on the Criticisms of F.R.I.B.A. "Nos. 1 and 2." PMID- 29827434 TI - The Kitchen Equipment for a Large Hospital. PMID- 29827436 TI - Research and Remedies. PMID- 29827435 TI - Institutional Laundries. PMID- 29827437 TI - The National Health Week. PMID- 29827438 TI - Some Continental Hospitals: The Rudolf Virchow and Beelitz-i-Mark Kitchens. PMID- 29827439 TI - The Inspection of Meat: The Present System and Where It Needs Reform. PMID- 29827441 TI - The Institutional Worker. PMID- 29827440 TI - Our Work Here and Hereafter. PMID- 29827443 TI - London's Institutional Medical Relief: Proposals for Its Reform. PMID- 29827442 TI - A Remarkable Organisation. PMID- 29827444 TI - On the Fringe of the Empire. PMID- 29827445 TI - Food in War-Time. PMID- 29827446 TI - The Territorial Medical Officers. PMID- 29827447 TI - Institutional Needs. PMID- 29827448 TI - Round the Hospitals. PMID- 29827449 TI - National Necessities and Sacrifices. PMID- 29827450 TI - Hospital and Institutional News. PMID- 29827451 TI - King Edward VII.'s Hospital, Cardiff. PMID- 29827452 TI - Lord Lister: XII. His Triumph, Complete and Universal. PMID- 29827453 TI - Memorial Service for Nurses Who Have Fallen in the War. PMID- 29827454 TI - Phrases and Realities. PMID- 29827455 TI - The Absence of Esprit De Corps. PMID- 29827457 TI - Round the Hospitals. PMID- 29827456 TI - Nursing Progress and Its Developments: XII. The Local Aims of Local Centres. PMID- 29827458 TI - The Growth of the Nursing Profession: VI. Opportunities of Study for the Graduate Nurse. PMID- 29827459 TI - Lord Lister: XI. London's Indifference to Listerism. PMID- 29827460 TI - Hospital and Institutional News. PMID- 29827461 TI - The Crucifixion of Love. PMID- 29827462 TI - Propaganda: The Effort Towards Union. PMID- 29827463 TI - The Abuse of Salt and Vinegar. PMID- 29827465 TI - Parliament and the Profession. PMID- 29827464 TI - Fitness for Military Service. PMID- 29827466 TI - Reports of Scottish Asylums. PMID- 29827467 TI - The Great War: V. Sickness. PMID- 29827468 TI - The Pioneers of America's United Effort. PMID- 29827469 TI - Beckett Hospital, Barnsley. PMID- 29827470 TI - Some Annual Meetings. PMID- 29827472 TI - The Silence of the Nurse: One Suggested Reason. PMID- 29827471 TI - The Institutional Worker. PMID- 29827473 TI - Round the Hospitals. PMID- 29827474 TI - Social Service at St. Thomas's Hospital. PMID- 29827475 TI - Matrons and Nurses Who Prefer the "London" Training. PMID- 29827476 TI - Sir George Newman Performs a Miracle. PMID- 29827477 TI - The Minister of Pensions and Poor-Law Infirmary Accommodation. PMID- 29827478 TI - London's Hospital Sunday Yields L85,000. PMID- 29827479 TI - The Institutional Worker. PMID- 29827480 TI - Her Health, Common Dangers and Salvation. PMID- 29827482 TI - Hospital and Institutional News. PMID- 29827481 TI - Medicine in America. PMID- 29827483 TI - "Ierne's" Prodding Processes. PMID- 29827484 TI - Its Incidence during Recent Years. PMID- 29827486 TI - How to Organise Both. PMID- 29827485 TI - Who Fears to Speak? PMID- 29827488 TI - The Cry for Freedom. PMID- 29827487 TI - The Woman Worker's World. PMID- 29827489 TI - Maternity and Child Welfare. PMID- 29827490 TI - Nursing Progress and Its Developments: The Local Executive Committee. PMID- 29827491 TI - Australian Notes. PMID- 29827492 TI - A Boycotted Hospital. PMID- 29827493 TI - Round the Hospitals. PMID- 29827494 TI - Hospital and Institutional News. PMID- 29827495 TI - The Origin of the Act of 1890. PMID- 29827496 TI - A Summary of the L.G.B. Circular. PMID- 29827497 TI - Arterio-Sclerosis and Blood Pressure. PMID- 29827498 TI - The Institutional Worker. PMID- 29827499 TI - Some Medical Aspects of Malingering. PMID- 29827500 TI - The Institutional Worker. PMID- 29827502 TI - Training-Schools and Public Health Work. PMID- 29827501 TI - Hospital and Institutional News. PMID- 29827503 TI - The "Effort Syndrome" in Relation to Blood Quality. PMID- 29827504 TI - A Display in Domestic Economy. PMID- 29827506 TI - The Men of Fifty. PMID- 29827505 TI - Parliament and the Profession. PMID- 29827507 TI - "Ierne" and Nurses All. PMID- 29827508 TI - National Baby Week. PMID- 29827510 TI - United and Joyous. PMID- 29827509 TI - Round the Hospitals. PMID- 29827512 TI - Census of Limbless Civilians in Wales. PMID- 29827511 TI - The Training of an Asylum Matron. PMID- 29827513 TI - A Village Committee. PMID- 29827514 TI - As Made at the Pavilion General Hospital, Brighton. PMID- 29827515 TI - The Public Health. PMID- 29827516 TI - Infirmary Medical Superintendents' Recommendations. PMID- 29827517 TI - The Institutional Worker. PMID- 29827518 TI - The Fate of the Agitator. PMID- 29827519 TI - The Medical Professions after the War. PMID- 29827520 TI - The Awakening of the People. PMID- 29827521 TI - The Pension Minister at Leicester. PMID- 29827522 TI - Parliament and the Profession. PMID- 29827523 TI - The Emotional Temperament. PMID- 29827524 TI - Leicester Health Advisory Committee. PMID- 29827526 TI - Why Did America Declare War? PMID- 29827525 TI - The Woman Worker's World. PMID- 29827528 TI - Silver Wedding Portrait of Their Majesties. PMID- 29827527 TI - Round the Hospitals. PMID- 29827529 TI - The Nineteenth and Twentieth Centuries. PMID- 29827530 TI - Not a Gorgon Sister. PMID- 29827531 TI - Place Aux Enfants. PMID- 29827532 TI - Hospital and Institutional News. PMID- 29827533 TI - Some Experiences of Training School Life: III. Are the Hardening Influences Remedial? PMID- 29827535 TI - A Nurses' Charter of Liberty. PMID- 29827534 TI - Academic Distinction in Medicine. PMID- 29827536 TI - Horrors and Abuses of the Old Madhouses. PMID- 29827537 TI - Westminster and King's College Hospitals. PMID- 29827539 TI - Round the Hospitals. PMID- 29827538 TI - The "Women's Ambulance" in a Shell Factory. PMID- 29827540 TI - The Institutional Worker. PMID- 29827542 TI - The State and the Malingerer. PMID- 29827541 TI - The Insurance Act and Its Administrators. PMID- 29827543 TI - The B.M.A. Representative Meeting. PMID- 29827544 TI - The Constitution of the Local Centre. PMID- 29827545 TI - State Aid for the Working Man's Child. PMID- 29827546 TI - Hospital and Institutional News. PMID- 29827548 TI - British Science during the War. PMID- 29827547 TI - London Hospital Nurses: Miss Lynette Gould's View; Miss McKinley Withdraws Her Statements. PMID- 29827549 TI - The Editor's Letter-Box. PMID- 29827550 TI - Guest Hospital, Dudley. PMID- 29827551 TI - The Public Health. PMID- 29827552 TI - Unfavourable Breeding Ground for Malaria. PMID- 29827553 TI - Overdone Advocacy v. Common Sense. PMID- 29827555 TI - Institutional Needs. PMID- 29827554 TI - The South African Military Nursing Service. PMID- 29827556 TI - The Louse: Its Habits and Methods. PMID- 29827557 TI - Panel Doctors and Insurance Committees. PMID- 29827558 TI - Orthopaedics "Napoo" at Leicester. PMID- 29827559 TI - Hospital and Institutional News. PMID- 29827560 TI - The Control of V.A.D. Hospitals. PMID- 29827561 TI - Sir Henry Morris' Decision. PMID- 29827562 TI - Passing Topics and Movements. PMID- 29827563 TI - Parliament and the Profession. PMID- 29827566 TI - Independence or Contumacy? PMID- 29827565 TI - Round the Hospitals. PMID- 29827564 TI - Much Educational Matter Addressed to the Public. PMID- 29827567 TI - Inter-Allied Scientific Food Commission. PMID- 29827568 TI - Sir Arthur Stanley's Visit. Who Has Been "Done"? PMID- 29827569 TI - The Institutional Worker. PMID- 29827570 TI - District Nursing: III. The Labourer and Her Hire. PMID- 29827571 TI - A Case of Huntington's Chorea: Sir Clifford Allbutt's Clinical Lecture. PMID- 29827573 TI - War Bread. PMID- 29827572 TI - Ireland's Prosperity Unexampled: Ireland for the Irish-With British Millions for Irish Cultivators! PMID- 29827574 TI - Housekeepers, Cooks, and the Death-Rate. PMID- 29827575 TI - The Institutional Worker. PMID- 29827577 TI - Round the Hospitals. PMID- 29827576 TI - Some Problems of To-Day: The Unmarried Mother. PMID- 29827578 TI - Annual Meetings. PMID- 29827579 TI - The Employment of the Waiting Years. PMID- 29827580 TI - English Mission Hospital, Baghdad. PMID- 29827581 TI - The Question of Population. PMID- 29827583 TI - The Future of the Medical Profession. PMID- 29827582 TI - An Imperial Union of Nurses. PMID- 29827585 TI - Hospital and Institutional News. PMID- 29827584 TI - Deaths in Cottage Hospitals. PMID- 29827586 TI - The Growth of the Nursing Profession: VIII. The Deeper and Wider Wants of the Nurse. PMID- 29827587 TI - Parliament and the Profession. PMID- 29827588 TI - Nurses' Tribute Fund. PMID- 29827589 TI - Hospital and Institutional News. PMID- 29827591 TI - The Doings of St. Dunstan's Men. PMID- 29827590 TI - Nursing Progress and Its Developments: XIII. The Local Centre System for London. PMID- 29827592 TI - Defects in the Lunacy Law: Some Changes Held to Be Desirable. PMID- 29827593 TI - A New Disease or Food Poisoning?: The Position Defined and the Public Directed. PMID- 29827594 TI - Round the Hospitals. PMID- 29827596 TI - Parliament and the Profession. PMID- 29827595 TI - The Shortage of Domestic Help. PMID- 29827597 TI - The Organisation of British Ophthalmologists: A Representative Council Formed. PMID- 29827598 TI - Report of the Prime Minister's Committee: I. Subjects to be Taught. PMID- 29827600 TI - The Institutional Worker. PMID- 29827599 TI - Tea Not a Food but by Order. PMID- 29827601 TI - Civil Hospitals and the Care of Military Patients: Some United States' Problems. PMID- 29827602 TI - Round the Hospitals. PMID- 29827603 TI - The Cultivation of Legacies: Help the Lawyers to Help the Hospitals. PMID- 29827604 TI - Some Problems of To-Day. PMID- 29827606 TI - Report of the Prime Minister's Committee: III. Abolish Present Waste of Intellect and Provide Better System. PMID- 29827605 TI - The Case against the Comforts Depot. PMID- 29827607 TI - A Nurse's Charter of Liberty. PMID- 29827608 TI - Which Is the Oldest Hospital? PMID- 29827609 TI - Parliament and the Profession. PMID- 29827610 TI - Changes in the System of Nurse Training at the London Hospital. PMID- 29827611 TI - The Growth of the Nursing Profession: IX. Some War Thoughts and a New Spirit. PMID- 29827612 TI - A Challenge to the Colleges. PMID- 29827614 TI - Fewer Suicides: Due to Less Drinking and Increased Employment. PMID- 29827613 TI - With the Red Cross in Palestine. PMID- 29827615 TI - Hospital and Institutional News. PMID- 29827616 TI - The Scheme of the British Medical Association.-II. PMID- 29827617 TI - The Great War: VIII. Sanitation. PMID- 29827618 TI - Drawing-Room Meeting in Edinburgh. PMID- 29827619 TI - The Institutional Worker. PMID- 29827620 TI - King Edward's Hospital Fund for London: Its Majority. Some Wonderful Results. PMID- 29827621 TI - Parliament and the Profession. PMID- 29827623 TI - Annual Meeting of the Governors and General Council. PMID- 29827622 TI - Democratic and Non-Democratic Elections. PMID- 29827625 TI - An Open Letter from "Ierne": To the Hon. Sir Arthur Stanley, G.B.E., M.P., Chairman of the College of Nursing. PMID- 29827624 TI - Bird Migration Seen South of Gaza. PMID- 29827627 TI - Round the Hospitals. PMID- 29827626 TI - Medical Fees to Fellow Practitioners. PMID- 29827629 TI - New Zealand Nursing Service. PMID- 29827628 TI - Report of the Prime Minister's Committee: II: The Choice of a Profession: English, Natural Science, and Mathematics. PMID- 29827631 TI - The Treatment of Neurasthenics. PMID- 29827630 TI - The Scheme of the British Medical Association. PMID- 29827632 TI - Hospital and Institutional News. PMID- 29827633 TI - A Section of the Future Imperial War Museum. PMID- 29827634 TI - The Re-Education of the Defective. PMID- 29827635 TI - The Institutional Worker. PMID- 29827636 TI - Annual Meetings of Four Children's Hospitals. PMID- 29827637 TI - The Hon. Sir Arthur Stanley's Reply to "Ierne's" Open Letter. PMID- 29827639 TI - Devil's Work. PMID- 29827638 TI - The London and Counties Medical Protection Society, Limited. PMID- 29827640 TI - A National Tribute Fund. PMID- 29827641 TI - Round the Hospitals. PMID- 29827642 TI - The College of Nursing. PMID- 29827643 TI - The Public Spirit of Property Owners. PMID- 29827644 TI - The College Conferences and Subsequent Gains. PMID- 29827645 TI - Hospital and Institutional News. PMID- 29827646 TI - The Institutional Care of the Insane in the United States and Canada. PMID- 29827647 TI - Cost of Military Patients in Civil Hospitals: The Inquiry upon Which the Present Grant Was Based. PMID- 29827648 TI - Round the Hospitals. PMID- 29827649 TI - Some Experiences of Training-School Life: II. Some Hardening Influences in Training. PMID- 29827650 TI - Medical Reform and the Individual Patient. PMID- 29827651 TI - A Hospital Meeting at Downing Street. PMID- 29827652 TI - Parliament and the Profession. PMID- 29827653 TI - London Hospital Nurses. PMID- 29827654 TI - Sophia Jex-Blake: A Great Personality: She Opened the Medical Profession to Women. PMID- 29827655 TI - We Call Our Colonel 'Charlie,' and We Obey Orders. PMID- 29827656 TI - The Greatest Hardship of the Assistant Medical Officer. PMID- 29827658 TI - A Medical Witness on Medical Ethics and Things in General. PMID- 29827657 TI - Children's Country Holidays Fund. PMID- 29827659 TI - More Rescue Stations Urgently Required. PMID- 29827660 TI - From Major Chapple, M.P., R.A.M.C. PMID- 29827661 TI - From Viscount Knutsford. PMID- 29827662 TI - From Samaritan Fund to Social Service Department. PMID- 29827663 TI - Hospital and Institutional News. PMID- 29827665 TI - Promotion in the R.A.M.C. PMID- 29827664 TI - Meeting in Leeds: Local Centre to Be Formed. PMID- 29827667 TI - The Great War: VI. The Progress of the Sick (concluded). PMID- 29827666 TI - Botulism: Its Nature, Symptoms and Treatment. PMID- 29827669 TI - The Employment of the Waiting Years. PMID- 29827668 TI - The Problem of Advanced Consumption. PMID- 29827670 TI - The Great War: VII. Sanitation. PMID- 29827672 TI - Round the Hospitals. PMID- 29827671 TI - The Shortage of Domestic Help: Work of National Importance. PMID- 29827673 TI - H M. Queen Mary, British Mothers, and Their Warrior Sons. PMID- 29827674 TI - Rations for Hospitals. PMID- 29827675 TI - The Australian Nursing Service in the War. PMID- 29827676 TI - The Making of a Trained Nurse: Possible Changes Due to the War. PMID- 29827677 TI - Hospital and Institutional News. PMID- 29827678 TI - The Economics of Nursing. PMID- 29827680 TI - War-Time Work in an Infirmary. PMID- 29827679 TI - Meeting in Manchester. PMID- 29827681 TI - The Worthy Person. PMID- 29827682 TI - The Site of St. Mark's Hospital. PMID- 29827683 TI - The Institutional Worker. PMID- 29827684 TI - The New Clinic at Liverpool Royal Infirmary. PMID- 29827685 TI - Institutional Medical Relief in London. PMID- 29827686 TI - London Baby Week: Some Lessons of the Conference. PMID- 29827687 TI - Parliament and the Profession. PMID- 29827688 TI - By What Process Would Registration Contribute to the Prosperity of the British Nurse? PMID- 29827689 TI - The College of Nursing in Scotland. PMID- 29827690 TI - The Great War: X. Personal Cleanliness: Vermin. PMID- 29827691 TI - Nurse Registration in America. PMID- 29827692 TI - As Made at the Pavilion General Hospital, Brighton: II. Above-the-Knee Legs. PMID- 29827693 TI - Round the Hospitals. PMID- 29827694 TI - News from Australia. PMID- 29827695 TI - King George and Queen Mary. PMID- 29827696 TI - Funds of the Past, Present, and Future. PMID- 29827697 TI - Hospital and Institutional News. PMID- 29827699 TI - Questions in Parliament. PMID- 29827698 TI - Viscount Knutsford's Reply in the Times. PMID- 29827700 TI - The "Llandovery Castle" Outrage: Survivor's Story to the King. PMID- 29827701 TI - Industrial Accidents in War-Time. PMID- 29827703 TI - Hospital and Institutional News. PMID- 29827702 TI - Its Relation to Applicants for Training. PMID- 29827705 TI - Mother and Child in Scotland. PMID- 29827704 TI - Food Rationing and National Efficiency. PMID- 29827706 TI - The Institutional Worker. PMID- 29827707 TI - Nervous and Mental Disorders. PMID- 29827708 TI - A Case of Strangulated Femoral Hernia. PMID- 29827709 TI - Round the Hospitals. PMID- 29827710 TI - Shylock's Argument out of Court. PMID- 29827711 TI - Nursing Progress and Its Developments: A Year's Work at the College of Nursing. PMID- 29827712 TI - Village Practice.-III: An Autobiographical Fragment. PMID- 29827713 TI - A Public Medical Service in Being: Leicester's Useful Example. PMID- 29827714 TI - The Effects of Colour on Individuals. PMID- 29827715 TI - What Nurses Should Seek and Find. PMID- 29827716 TI - The Growth of the Nursing Profession: VII. The Employment of the Waiting Years. PMID- 29827717 TI - Pernicious Propaganda. PMID- 29827718 TI - New President of Royal College of Physicians. PMID- 29827719 TI - A Volume to Be Read and Studied. PMID- 29827721 TI - The New Man-Power Scheme. PMID- 29827720 TI - Hospital Life in Macedonia. PMID- 29827722 TI - Hahnemann and Public Confidence. PMID- 29827723 TI - Germans and Others behind the Age. PMID- 29827724 TI - The Great War: VI. The Progress of the Sick. PMID- 29827725 TI - The Institutional Worker. PMID- 29827726 TI - The Valley of Ajalon. PMID- 29827727 TI - Medicine and Politics. PMID- 29827728 TI - Important Letter from the Chairman, with the Report of the Medical Board. PMID- 29827729 TI - Hospital Finance in 1917. PMID- 29827730 TI - Round the Hospitals. PMID- 29827731 TI - Some Annual Meetings. PMID- 29827732 TI - Hospital and Institutional News. PMID- 29827733 TI - Parliament and the Profession. PMID- 29827734 TI - H.M. King George at Lincoln. PMID- 29827735 TI - The London Hospital. PMID- 29827736 TI - Domestic Service in Military Hospitals. PMID- 29827738 TI - The Second Inter-Allied Conference. PMID- 29827737 TI - British Home and Hospital for Incurables, Streatham. PMID- 29827739 TI - The Trained Nurse the Nation's Creditor. PMID- 29827740 TI - The Economic Relations of Functional Nervous Diseases. PMID- 29827741 TI - National Medical Union. PMID- 29827742 TI - District Nursing: I. A Historical Sketch. PMID- 29827743 TI - The Great War: IX. Flies and Disease. PMID- 29827744 TI - Irish Nursing Affairs. PMID- 29827745 TI - Round the Hospitals. PMID- 29827746 TI - A Nurse's Charter of Liberty: Viscount Knutsford's Reply to "Ierne." PMID- 29827747 TI - Higher Salaries for Mental Nurses. PMID- 29827748 TI - The General Medical Council's Problems. PMID- 29827749 TI - Hospital and Institutional News. PMID- 29827750 TI - The Shy Person. PMID- 29827752 TI - An Indian Civil Medical Service. PMID- 29827751 TI - H.M. Queen Alexandra's Letter. PMID- 29827753 TI - The Notification of Ophthalmia Neonatorum in Scotland. PMID- 29827754 TI - The Sole Test of Sanity. PMID- 29827755 TI - The Problem of the Discharged Soldier. PMID- 29827756 TI - Sir Guy Calthrop's Appeal to the Medical Profession. PMID- 29827757 TI - The Power of the College of Nursing. PMID- 29827759 TI - Doctors and Lodges: The Commission's Finding. PMID- 29827758 TI - Antique Hunting and Its Philosophy. PMID- 29827760 TI - Nursing Progress and Its Developments: The Local Finance Committee. PMID- 29827761 TI - Hospital and Institutional News. PMID- 29827762 TI - Round the Hospitals. PMID- 29827763 TI - Matrons, and Nurse Agitators. PMID- 29827765 TI - The Nomenclature of Diseases. PMID- 29827764 TI - The Sacrifice of the Civilian. PMID- 29827766 TI - The Institutional Worker. PMID- 29827767 TI - Higher Diplomas. PMID- 29827768 TI - Specialism and Graduate Work. PMID- 29827769 TI - Dentistry as a Profession: Its Drawbacks and Preparations to Qualify. PMID- 29827771 TI - The Future of Medicine. PMID- 29827770 TI - The Public Health Services. PMID- 29827773 TI - London University Course. PMID- 29827772 TI - Cambridge University Course. PMID- 29827774 TI - The Public Services. PMID- 29827775 TI - Graduate Study in London Special Hospitals. PMID- 29827776 TI - The Subjective Influence of the Study of Medicine. PMID- 29827777 TI - Hopes for Modifications That Are Yet to Come. PMID- 29827779 TI - Present Conditions and Prospects. PMID- 29827778 TI - Graduate Institutions in London. PMID- 29827780 TI - The English Conjoint Course. PMID- 29827781 TI - Medical Education in War-Time. PMID- 29827782 TI - Oxford University Course. PMID- 29827783 TI - The Medical Schools of the United Kingdom. PMID- 29827784 TI - The Fellowship of the Royal College of Surgeons. PMID- 29827785 TI - The Royal Naval Medical Service. PMID- 29827786 TI - Education and Other Matters. PMID- 29827787 TI - Qualification and Registration. PMID- 29827788 TI - Tropical Medicine. PMID- 29827789 TI - Parliament and the Profession. PMID- 29827790 TI - Australian Troops' Bravery. PMID- 29827791 TI - Hospital and Institutional News. PMID- 29827792 TI - The Woman Workers' World. PMID- 29827793 TI - From Sir Henry Burdett, K.C.B. PMID- 29827794 TI - Letter from Sir Henry Burdett, K.C.B. PMID- 29827795 TI - From Viscount Knutsford. PMID- 29827796 TI - Value of First Aid in the Management of Mental Cases and Hospitals.-Part II. PMID- 29827797 TI - The British Pharmaceutical Conference. PMID- 29827798 TI - The Call to Strengthen the Nursing Profession. PMID- 29827800 TI - The Making of Profit and the British Nurse: The Argument and the Moral. PMID- 29827799 TI - The Ministry of Health. PMID- 29827801 TI - Round the Hospitals. PMID- 29827802 TI - As Made at the Pavilion General Hospital, Brighton: IV. Details of Organisation. PMID- 29827804 TI - The Royal Sanitary Institute. PMID- 29827803 TI - The Great War: XI. Personal Cleanliness: II. Vermin. PMID- 29827806 TI - Medical Women in the Army. PMID- 29827805 TI - Progressive Developments from 1090 Onwards. PMID- 29827807 TI - The Institutional Worker. PMID- 29827808 TI - Interesting Points from Half-Yearly Meeting. PMID- 29827809 TI - Institutional Needs. PMID- 29827810 TI - Round the Hospitals. PMID- 29827812 TI - Changes at the Pharmaceutical Society. PMID- 29827811 TI - Lord Knutsford's Reply to "Ierne's" Shylock's Article. PMID- 29827813 TI - The Annual Reminder of Hospital Sunday. PMID- 29827814 TI - District Nursing: II. Some Aspects of the Work. PMID- 29827815 TI - The Great War: IX. Flies and Disease (concluded). PMID- 29827816 TI - A Single Year's Roll-Call of the Sick. PMID- 29827818 TI - Hospital Appeals. PMID- 29827817 TI - Designed by Hogarth. PMID- 29827819 TI - Hospitals and Their Special Needs. PMID- 29827820 TI - The Voluntary Hospitals' Budget. PMID- 29827821 TI - The Claims of Qualified Dentistry. PMID- 29827822 TI - The Annual Meeting. PMID- 29827824 TI - Dr. Mercier and Asylum Workers: A Mansion House Speech and Some Reminiscences. PMID- 29827823 TI - The Institutional Worker. PMID- 29827825 TI - The Hon. Sir Arthur Stanley's Visit. PMID- 29827827 TI - Hospital and Institutional News. PMID- 29827826 TI - 1917. A Year's Work in the Hospitals and Medical Charities of London. PMID- 29827828 TI - Parliament and the Profession. PMID- 29827829 TI - The Churches and the War: Hospital Sunday. PMID- 29827830 TI - Some Foreign Hospitals in Jerusalem. PMID- 29827831 TI - The House-Governor Makes a Defence. PMID- 29827832 TI - The Design of the Quadrangle. PMID- 29827833 TI - A M.O.H. On Boots or No Boots. PMID- 29827834 TI - Drunk or Dying? A Common Conclusion on Insufficient Evidence. PMID- 29827835 TI - A Member of the Hospital Nursing Staff Articulates. PMID- 29827836 TI - A Ministry of Health for Scotland. PMID- 29827837 TI - Hospital and Institutional News. PMID- 29827838 TI - The Institutional Worker. PMID- 29827839 TI - The Local Honorary Secretary. PMID- 29827840 TI - The Commonplace Book. PMID- 29827841 TI - Round the Hospitals. PMID- 29827842 TI - The Right Policy. Choose Honest Workers and Trust Them. PMID- 29827843 TI - Unsound Conduct and Unsound Mind. PMID- 29827844 TI - The Guest Hospital, Dudley. PMID- 29827846 TI - The Voluntary Hospitals and the War. PMID- 29827845 TI - A "London" Certificated Nurse on "London" Nurses and Their Treatment. PMID- 29827847 TI - Building New Jerusalem: A Great Ideal to Be Attained. PMID- 29827848 TI - Letter from Colonel Maurice, C.M.G. PMID- 29827849 TI - Hospital and Institutional News. PMID- 29827850 TI - The Woman Workers' World. PMID- 29827851 TI - British Medical Students and Military Service. PMID- 29827852 TI - Games for the Men. PMID- 29827853 TI - From Viscount Knutsford. PMID- 29827854 TI - A Document of History. PMID- 29827855 TI - Teaching Hospitals. PMID- 29827856 TI - Erratum. AB - [This corrects the article on p. 331 in vol. 64.]. PMID- 29827858 TI - Round the Hospitals. PMID- 29827857 TI - From Viscount Knutsford. PMID- 29827859 TI - Parliament and the Profession. PMID- 29827860 TI - From Major Chapple, M.P., R.A.M.C. PMID- 29827861 TI - As Made at the Pavilion General Hospital, Brighton: III. Amputation below the Knee-Syme's Excluded. PMID- 29827862 TI - The Medical Services of the Forces during the War. PMID- 29827864 TI - The Gospel of Self-Help. PMID- 29827865 TI - Some Experiences of Training-School Life: I. Does Training Harden Character? PMID- 29827863 TI - A Certain Liveliness in Blackburn. PMID- 29827866 TI - Gripped by Destructive Forces and Threatened with Disruption of Their Organisations. PMID- 29827867 TI - London as a Post-Graduation Medical School. PMID- 29827869 TI - Highlands and Islands Medical Service Board. PMID- 29827868 TI - The Institutional Worker. PMID- 29827871 TI - A State Medical Service in Detail. PMID- 29827870 TI - London Hospital Nurses. PMID- 29827872 TI - The Public Health. PMID- 29827873 TI - The Economic Value of the Penny. PMID- 29827874 TI - The Nurse and Her Newspaper. PMID- 29827875 TI - Case Records in a Teaching Hospital. PMID- 29827877 TI - The Harvest-Time for Voluntary Hospitals. PMID- 29827876 TI - The Order on Parasitic Mange. PMID- 29827878 TI - The Institutional Worker. PMID- 29827879 TI - Its Work and Development. PMID- 29827880 TI - Mothers, Babies, and the Little Bill. PMID- 29827881 TI - Matrons, and Nurse Agitators. PMID- 29827882 TI - The Legal Aspect of Madness. PMID- 29827883 TI - Hospital and Institutional News. PMID- 29827885 TI - Australian Notes. PMID- 29827884 TI - The Local Representative. PMID- 29827887 TI - Round the Hospitals. PMID- 29827886 TI - Should Nurses Live out? PMID- 29827889 TI - York County Hospital Inquiry: Report of Sir E. Cooper Perry, M.D., Commissioner, and Mr. Basil Watson, Legal Assessor. PMID- 29827888 TI - Substitutes for Lard and Olive Oil. PMID- 29827891 TI - Eastes v. Russ: An Interesting Case. PMID- 29827890 TI - From the Patient's Point of View. PMID- 29827892 TI - A Delayed Mental Hospital Appointment. PMID- 29827893 TI - A Loss to the Leeds Infirmary. PMID- 29827894 TI - The York County Hospital Inquiry. PMID- 29827896 TI - Bristol General Hospital. PMID- 29827895 TI - Mr. Balfour's Speech at the Opening of Guy's Hospital Medical School. PMID- 29827898 TI - The Institutional Worker. PMID- 29827897 TI - Guy's Hospital Medical School: The New Buildings of the Medical and Dental Schools Described. PMID- 29827899 TI - Hospital and Institutional News. PMID- 29827900 TI - The New Cardiff Medical School. PMID- 29827902 TI - Recent Legal Decisions. PMID- 29827901 TI - The Mayo Hospital, Rochester, U.S.A.: A Wonderful Example of Specialisation. PMID- 29827903 TI - Hospital and Institutional News. PMID- 29827904 TI - Wheeled Chairs for Paralytics. PMID- 29827905 TI - Institutional Needs. PMID- 29827906 TI - The Medico-Social Aspects of the Consumption Problem: II. The Incidence of Consumption. PMID- 29827907 TI - Amendment and Development of National Insurance. PMID- 29827908 TI - New Developments in Medicine. PMID- 29827910 TI - The New York System of Treatment. PMID- 29827909 TI - The Present and Future of the Poor-Law Infirmary. PMID- 29827911 TI - Hounslow Hospital, New Buildings. PMID- 29827912 TI - The Institutional Worker. PMID- 29827913 TI - Research and Remedies. PMID- 29827914 TI - The Mortality of the Tuberculous. PMID- 29827915 TI - The Value of a Man. PMID- 29827916 TI - The Haunt of the Ring Ouzel. PMID- 29827917 TI - Herbalists and Insured Persons. PMID- 29827919 TI - The Alcohol Treatment of Burns. PMID- 29827918 TI - Adenoid Disease in School Children. PMID- 29827920 TI - Hospital Sunday Special Number. PMID- 29827921 TI - Agreements between Approved Societies and Hospitals. PMID- 29827922 TI - Viscount Hill's and Dr. Giles's Speeches. PMID- 29827923 TI - The New Children's Hospital, Birmingham. PMID- 29827924 TI - York County Hospital: "Truth" on the Inquiry. PMID- 29827925 TI - Marasmus and Diphtheria. PMID- 29827926 TI - The Institutional Worker. PMID- 29827927 TI - The House-Fly and Public Health. PMID- 29827929 TI - The Modern Hospital in Metaphors. PMID- 29827928 TI - Hospital and Institutional News. PMID- 29827930 TI - Electricity in Modern Medicine: XXXI. Electricity in Ophthalmic Practice. PMID- 29827931 TI - Practical Notes on Diagnosis and Treatment. PMID- 29827932 TI - Valuation of Investments in Hospital Accounts: A Suggestion for Securing Uniformity. PMID- 29827933 TI - The New Tuberculosis Specialist. PMID- 29827934 TI - The Practical Training of the Royal Army Medical Corps. PMID- 29827936 TI - Its Site Can Accommodate 400 Beds. PMID- 29827935 TI - Septic and Aseptic Operating Theatres for Poor-Law Infirmaries: The Theory and Practice in England and Germany. PMID- 29827937 TI - The Hospital Isolation of Infectious Diseases: I. The History of Isolation. PMID- 29827938 TI - Every Man His Own Doctor. PMID- 29827939 TI - Will the Lord Lieutenant, the Bishop, or the Mayor of Worcester -One or All-Take Effective Action? PMID- 29827940 TI - Lady Williamson Memorial Home, Liverpool. PMID- 29827941 TI - The B.M.A. and the Medical Guild. PMID- 29827942 TI - The Extension of Radcliffe Infirmary, Oxford: A Tour of the New Block with Captain G. C. Rynd, Secretary. PMID- 29827943 TI - British Workers in Foreign Countries: With the Wounded in Montenegro-I. PMID- 29827945 TI - The Encouragement and Management of Breast-Feeding. PMID- 29827944 TI - A Woman's Experience in a Surgical Ward. PMID- 29827946 TI - The Report of the Departmental Committee on Poor-Law Orders. PMID- 29827947 TI - The Institutional Worker. PMID- 29827948 TI - The Haldane Commission and Medical Education in London: The Established System or the "University Ideal"? PMID- 29827949 TI - Research and Remedies. PMID- 29827950 TI - Probable Uses of Aerial Transport to the Medical Profession. PMID- 29827951 TI - Hospital and Institutional News. PMID- 29827952 TI - The Brighter Side of Mental Hospital Life: Patients' Tastes and Faculties for Amusement. PMID- 29827954 TI - The Hospitals and the Homes of England: Mr. Burns on Hospitals and Town Life. PMID- 29827953 TI - The Two Adjuncts of Sanatorium Treatment. PMID- 29827956 TI - The Proposed Amalgamation of St. George's and Westminster Hospitals. PMID- 29827955 TI - The Local Government Board Draft Nursing Order. PMID- 29827957 TI - The Control of Winsley Sanatorium: Breach of Agreement or Confiscation? PMID- 29827958 TI - Hospital and Institutional News. PMID- 29827959 TI - Powers and Immunities of Trade Unions. PMID- 29827960 TI - Almoners and Children's Aid Committees. PMID- 29827961 TI - Milk and Milk-Contracts : VIII. The Terms of a Milk-Contract. PMID- 29827963 TI - Oxford Conference, 1913. PMID- 29827962 TI - Paying Patients in General Hospitals: An Example from Kimberley. PMID- 29827964 TI - The Amending Bill. PMID- 29827965 TI - Resident Medical Officers and Ward Sisters: Friction the Exception: One Such Case. PMID- 29827967 TI - A New Vaccination Report. PMID- 29827966 TI - Legal Notes for Institutional Workers. PMID- 29827968 TI - Appointments and Their Confirmation. PMID- 29827969 TI - The Memorial to Sir Alfred Jones. PMID- 29827970 TI - The Control of Measles: The Value, as a Safeguard, of a Mild Epidemic. PMID- 29827971 TI - The Institutional Worker. PMID- 29827972 TI - Classification of the Phases of Diabetes. PMID- 29827973 TI - Experiences in a Metropolitan Asylums Board Hospital. PMID- 29827974 TI - "Hospitals from the Patients' Point of View" in a Provincial Hospital's Infectious Block. PMID- 29827976 TI - Model Locomotives as a Garden Hobby. PMID- 29827975 TI - Outline of a Scheme for Detection and Treatment. PMID- 29827977 TI - The Institutional Worker. PMID- 29827978 TI - Insomnia: Especially in Its Relationship to Dyspepsia. PMID- 29827979 TI - The Report on Poor-Law Orders: Points of Institutional Interest. PMID- 29827980 TI - A Moribund Community: Are the Citizens of Worcester Unique? PMID- 29827982 TI - The Decline in the Birth-Rate. PMID- 29827981 TI - British Workers in Foreign Countries: With the Wounded in Montenegro-II. PMID- 29827983 TI - Non-Panel Practitioners. PMID- 29827984 TI - Hospital and Institutional News. PMID- 29827986 TI - Research and Remedies. PMID- 29827985 TI - The Amendment Act. PMID- 29827988 TI - Electrically Self-Propelled Vehicles: American Experience of the Electrical Ambulance. PMID- 29827987 TI - The Institutional Life. PMID- 29827989 TI - Wandsworth Guardians and Administrative Reform. PMID- 29827990 TI - "Alexandra Day" for Cardiff. PMID- 29827991 TI - The Art of Drawing up Special Reports. PMID- 29827992 TI - Recent Advances in Cardiac Surgery. PMID- 29827993 TI - The Value of Open Spaces in Great Cities. PMID- 29827994 TI - Hospital and Institutional News. PMID- 29827995 TI - To Prevent Beds Damaging Walls. PMID- 29827996 TI - Should Panel Doctors Be Eligible for Honorary Staff Appointments?: The Duties of the Two Posts Compared. PMID- 29827997 TI - Institutional Needs. PMID- 29827998 TI - Wanted-A Revolution in British Nursing. PMID- 29828000 TI - Milk and Milk-Contracts: II. The Source of Institution Milk Supplies. PMID- 29827999 TI - The Institutional Worker. PMID- 29828001 TI - Present and Future of the Poor-Law Infirmary: Poor Law and Research. PMID- 29828002 TI - The Medico-Social Aspects of the Consumption Problem: III. Consumption Cures in Relation to Treatment. PMID- 29828003 TI - The New Ogilvie Children's Home: The Co-Operation between Health and Education. PMID- 29828004 TI - Arrangements with Herbalists. PMID- 29828005 TI - Tuberculin Dispensaries and the Public. PMID- 29828006 TI - Sir James Porter's Record as Medical Director-General. PMID- 29828007 TI - Amendment of Medical Benefit Regulations. PMID- 29828008 TI - Nature Notes. PMID- 29828009 TI - Hospital and Institutional News. PMID- 29828010 TI - Institutional Needs. PMID- 29828011 TI - The Reconstruction of Wolverhampton Hospital: Mr. J. S. Neil, Secretary, on the Transition. PMID- 29828012 TI - The Needs of the Queen's Hospital for Children. PMID- 29828013 TI - "Contraception" and Consumptives. PMID- 29828015 TI - Experiences in a London Nursing Home and Also in the Pay Wing of a Metropolitan General Hospital. PMID- 29828014 TI - Representation of Insured Persons on Insurance Committees. PMID- 29828016 TI - Research and Remedies. PMID- 29828017 TI - Eastes v. Russ. PMID- 29828018 TI - Modern Methods of Physical Treatment in Lung Diseases. PMID- 29828019 TI - The Hospital Patient's Point of View. PMID- 29828020 TI - Royal Society of Medicine. PMID- 29828021 TI - Mental Research and Government Aid. PMID- 29828022 TI - The New Mental Deficiency Bill. PMID- 29828023 TI - The Comic History of British Nursing. PMID- 29828024 TI - The Institutional Worker. PMID- 29828025 TI - Hydro-Electric Baths; Ionic Medication. PMID- 29828026 TI - Milk and Milk-Contracts : V. The Carriage of Milk. PMID- 29828028 TI - The Southwark Guardians and Guy's Hospital: Report by the Distribution Committee of King Edward's Hospital Fund. PMID- 29828027 TI - Hospitals and Unsold Newspapers: Lord Rowallan's Suggestion. PMID- 29828029 TI - Present and Future of the Poor-Law Infirmary: Septic Operations in Infirmaries. PMID- 29828030 TI - Guy's Hospital Appeal and Its Basis: What the Completion of the New Buildings Means. PMID- 29828031 TI - The Institutional Worker. PMID- 29828033 TI - National Insurance, Hospital Saturday and Insured Persons. PMID- 29828032 TI - The York County Hospital: Inquiry by Special Commission. PMID- 29828034 TI - The Medical Faculty of London University. PMID- 29828035 TI - Hospital and Institutional News. PMID- 29828036 TI - Approved Societies and District Nurses. PMID- 29828037 TI - Wealth's Opportunity. PMID- 29828038 TI - Research and Remedies. PMID- 29828039 TI - London Street Accidents. PMID- 29828040 TI - Present and Future of the Poor-Law Infirmary: Should Extra Fees Be Abolished? PMID- 29828041 TI - Diathermy. PMID- 29828042 TI - Red Cross Work in Turkey: The Experience of Two "Lay Helpers". PMID- 29828043 TI - Milk and Milk-Contracts : III. The Treatment of Institution Milk. PMID- 29828044 TI - The Institutional Worker. PMID- 29828046 TI - By the Way. PMID- 29828045 TI - Parents and Vivisection. PMID- 29828048 TI - Hospital and Institutional News. PMID- 29828047 TI - Wandsworth Guardians and Administrative Reform. PMID- 29828050 TI - The Mortuary Unit. PMID- 29828049 TI - Superfluous Hair: Some Methods of Treatment. PMID- 29828051 TI - The Value of the Patient's Criticism. PMID- 29828052 TI - The Research Defence Society. PMID- 29828054 TI - The Relation of Inspectors to Infirmary Superintendents: Dr. E. E. Norton, Brentford Union Infirmary, Gives His Views. PMID- 29828053 TI - Modern Campaign against Tuberculosis: The Work of a Tuberculosis Officer. PMID- 29828056 TI - Research and Remedies. PMID- 29828055 TI - The Idea of the Surgical "At Home." PMID- 29828057 TI - Proposed Pay-Wards at Charing Cross Hospital. PMID- 29828058 TI - Practical Notes on Diagnosis and Treatment. PMID- 29828060 TI - The Institutional Worker. PMID- 29828059 TI - Dr. Macqueen's Reply. PMID- 29828061 TI - Feeding and Insurance. PMID- 29828063 TI - The Haunt of the Ring Ouzel. PMID- 29828062 TI - York County Hospital: A Sister's View. PMID- 29828065 TI - Physical Exercises in Schools: Ceremonial Drill and Violin Playing. PMID- 29828064 TI - Co-Operation Once More. PMID- 29828066 TI - General Considerations-Static Electricity. PMID- 29828067 TI - Hampstead General and North-West London Hospital New Out-Patient Department. PMID- 29828068 TI - Hospital and Institutional News. PMID- 29828070 TI - Laboratory Methods in Relation to Tuberculosis: II. Sputum. PMID- 29828069 TI - York County Hospital: "Truth" and the Chairman of the House Committee. PMID- 29828071 TI - The Amendment of the Act. PMID- 29828072 TI - The Curious History of L'Hotel-Dieu De Paris : III. Its Connection with Medical Teaching. PMID- 29828073 TI - Institutional Needs. PMID- 29828074 TI - Present and Future of the Poor-Law Infirmary: A Poor-Law Pathological Institute. PMID- 29828075 TI - Fabian Deliverances on Sanatoria. PMID- 29828076 TI - The Ladies' Working Guild at Leeds. PMID- 29828077 TI - The Saturday Fund and Hospital Almoners. PMID- 29828078 TI - Research and Remedies. PMID- 29828079 TI - His Relations with the Teachers, Parents, and Children. PMID- 29828080 TI - The Annual Meeting of the Pharmaceutical Society. PMID- 29828081 TI - An Attack on the Almoner System: Adjourned Meeting of the Hospital Saturday Fund. PMID- 29828082 TI - The Doctor at Burlington House: Hospital Interest at the Academy. PMID- 29828084 TI - The Metropolitan Sunday Fund: New Draft Laws of the Constitution. PMID- 29828083 TI - The York County Hospital: A Mother's Statement. PMID- 29828085 TI - Hospital and Institutional News. PMID- 29828086 TI - The National Medical Guild: The First Success of the New Trade Union. PMID- 29828087 TI - Reforms in the Provision of Surgical Appliances. PMID- 29828089 TI - The Friendly Societies' Conferences. PMID- 29828088 TI - A Reasonable Limit for Panel Doctors. PMID- 29828091 TI - The Institutional Worker. PMID- 29828090 TI - Milk and Milk-Contracts. PMID- 29828092 TI - The Lighting of the Chiswick Hospital. PMID- 29828093 TI - Anterior Crural Neuritis. PMID- 29828095 TI - Clinical Clerks in Infirmaries. PMID- 29828094 TI - Institutional Needs. PMID- 29828096 TI - The Medico-Social Aspects of the Consumption Problem: Improvising Home Accommodation. PMID- 29828097 TI - Parliament and Research. PMID- 29828098 TI - A. Cornelius Celsus. PMID- 29828099 TI - Poor-Law Infirmary-Publications in 1912. PMID- 29828100 TI - Research and Remedies. PMID- 29828101 TI - Infirmary v. Hospital Architecture. PMID- 29828102 TI - The Present and Future of the Poor-Law Infirmary. PMID- 29828103 TI - The Scope of Infirmary Surgery To-Day. PMID- 29828104 TI - Preparation of Eye Instruments before Usage. PMID- 29828106 TI - The Case for the Ward Dressing Room. PMID- 29828105 TI - Hospital and Institutional News. PMID- 29828107 TI - The Institutional Worker. PMID- 29828108 TI - The Infirmary and Signs of Change. PMID- 29828109 TI - The Fulham Infirmary. PMID- 29828110 TI - Nursing under the Poor Law. PMID- 29828112 TI - A Result of National Insurance. PMID- 29828111 TI - Medical Missions. PMID- 29828114 TI - Institutional Needs. PMID- 29828113 TI - The Medico-Social Aspects of the Consumption Problem: I. Ideals and Possibilities. PMID- 29828115 TI - A Practical Reform in Casual Wards: Mr. John Burns as Administrator. PMID- 29828116 TI - The Royal Photographic Society's Exhibition: Examples of Radiographs, Photomicrography, and Colour Work. PMID- 29828117 TI - Remodelling of North Staffordshire Infirmary: The Raising and Results of a Successful Appeal. PMID- 29828118 TI - The Log of the Ship's Surgeon. PMID- 29828120 TI - Hospital and Institutional News. PMID- 29828119 TI - Modern Economy in Sanatorium Management. PMID- 29828121 TI - The Institutional Worker. PMID- 29828122 TI - The Constitution of the B.M.A. PMID- 29828123 TI - Insomnia: Especially in Relation to Dyspepsia. PMID- 29828125 TI - Representation and the Voluntary System: A Share in the Management as a Bait for Income. PMID- 29828124 TI - The Decline in the Birth-Rate. PMID- 29828126 TI - Arrears of Contribution. PMID- 29828127 TI - Poor-Law Infirmaries as Training Schools. PMID- 29828128 TI - The Asylums Board and Sick Children: Inhumanity or Progress? PMID- 29828130 TI - Trade Unionism: What Its Absence Permits. PMID- 29828129 TI - Panel Doctors and Prescription Writing. PMID- 29828131 TI - The Liverpool Policy and the Voluntary System. PMID- 29828132 TI - Hospital and Institutional News. PMID- 29828133 TI - Prompt Reform Needed in Poor-Law Nursing of the Sick. PMID- 29828134 TI - An Instance of Infirmary Development and Progress. PMID- 29828136 TI - Reflections in a Surgical Ward. PMID- 29828135 TI - Errata. AB - [This corrects the article on p. 293 in vol. 54.]. PMID- 29828137 TI - The South London Hospital for Women. PMID- 29828138 TI - Verification of Death. PMID- 29828139 TI - Following up. PMID- 29828140 TI - Dr. Harding, Berry Wood, Northampton, Gives His Views. PMID- 29828141 TI - Conflict of Medical Evidence as to Personal Injury. PMID- 29828142 TI - Erratum: A Comic History of British Nursing. AB - [This corrects the article on p. 622 in vol. 53.]. PMID- 29828143 TI - New Canadian Hospital Opened by the Queen. PMID- 29828144 TI - York County Hospital. PMID- 29828145 TI - Research and Remedies. PMID- 29828146 TI - The Institutional Worker. PMID- 29828147 TI - The Role of the General Practitioner. PMID- 29828148 TI - The Four Insurance Commissions. PMID- 29828149 TI - West London Hospital: The Late Duke of Abercorn. PMID- 29828150 TI - Milk and Milk-Contracts. PMID- 29828151 TI - The London Hospital and the National Insurance Act. PMID- 29828152 TI - State Registration. PMID- 29828153 TI - Annual Meeting of the Governors and General Council. PMID- 29828154 TI - The State Registration of Nurses. PMID- 29828155 TI - Hospital Staffs and Medical Benefit. PMID- 29828156 TI - Encouraging Children to Support the Hospitals. PMID- 29828157 TI - National Insurance and Unqualified Practitioners. PMID- 29828158 TI - The Institutional Worker. PMID- 29828159 TI - York County Hospital Inquiry. PMID- 29828161 TI - The Cure of Gall-Stones: An Alternative Diagnostic Method. PMID- 29828160 TI - Research and Remedies. PMID- 29828162 TI - Static Electricity-High Frequency Currents. PMID- 29828163 TI - Mr. Asquith and Nurse Registration. PMID- 29828164 TI - Institutional Needs. PMID- 29828165 TI - The Artificial Lighting of Hospital Wards. PMID- 29828166 TI - The Twining Memorial Clock. PMID- 29828167 TI - Herbalists and the Panels. PMID- 29828168 TI - Appendicitis in Young Children. PMID- 29828169 TI - Malingering as an Actual Risk. PMID- 29828170 TI - Milk and Milk-Contracts: I. Institution Milk Supplies. PMID- 29828171 TI - The Metropolitan Asylums Board and Their Staff. PMID- 29828172 TI - Fulham Parish Infirmary Nurses' Home. PMID- 29828173 TI - The Wandsworth Guardians and Administrative Reform: A Suggested Scheme of Centralised Control. PMID- 29828174 TI - Hospital and Institutional News. PMID- 29828175 TI - Poor-Law Infirmaries as Training Schools: A Consultative Staff for Poor-Law Institutions. PMID- 29828176 TI - Representation and the Voluntary System. PMID- 29828177 TI - The Control of Venereal Disease in Denmark: Provision for Treatment and Impersonal Notification. PMID- 29828178 TI - Hospital and Institutional News. PMID- 29828179 TI - The National Medical Guild: A Cash Alternative to Medical Benefit. PMID- 29828181 TI - The True Anti-Phthisis Unit. PMID- 29828180 TI - A Hospital Officer's Experiences in a Nursing Home. PMID- 29828182 TI - The Hospital Isolation of Infectious Diseases: IV. Administrative Difficulties in Small Isolation Hospitals. PMID- 29828183 TI - The Metropolitan Asylums Board and Sick Children: Inhumanity or Progress? PMID- 29828184 TI - An Aid to Economy: The Importance of Analysing Expenditure. PMID- 29828185 TI - The New General Hospital, Toronto. PMID- 29828186 TI - The Proposed Royal Commission in Relation to Maternity. PMID- 29828188 TI - Quinine and Insomnia. PMID- 29828187 TI - Further Advantages Conferred by the Amendment Act. PMID- 29828189 TI - The Institutional Worker. PMID- 29828190 TI - The Control of Overcrowding in Workhouses. PMID- 29828192 TI - Poor-Law Out-Patient Departments. PMID- 29828191 TI - Defects of the Eye and Methods of Test. PMID- 29828193 TI - The Institutional Worker. PMID- 29828194 TI - Hospital and Institutional News. PMID- 29828195 TI - Examination of the Respiratory System. PMID- 29828196 TI - The British Hospitals Association: Fourth Annual Conference at Oxford. PMID- 29828197 TI - Tuberculosis and the General Hospital. PMID- 29828198 TI - Its Origin, History, and Objects. PMID- 29828199 TI - The Malingering Problem. PMID- 29828200 TI - The Notification of Puerperal Fever: Some Arguments in Favour of Its Abolition. PMID- 29828202 TI - The Historical Medical Museum. PMID- 29828201 TI - Erratum. AB - [This corrects the article on p. 383 in vol. 54.]. PMID- 29828203 TI - Guild Notes. PMID- 29828204 TI - The Amending Bill. PMID- 29828205 TI - The Tenure of Hospital Staff Appointments: Staff Elections in the United States. PMID- 29828206 TI - Institutional Needs. PMID- 29828208 TI - A Necessary Reform in the Telephone Directory. PMID- 29828207 TI - The British Hospital System, Its Efficiency and Need for Development. PMID- 29828209 TI - The Gymnasium at the Virchow Krankenhaus. PMID- 29828210 TI - The London School of Tropical Medicine: Its Latest Developments in Building and Teaching. PMID- 29828211 TI - Efficiency in First-Aid Work. PMID- 29828212 TI - The Profession and Government "Blacklegs". PMID- 29828213 TI - Dissenters and Medical Authority. PMID- 29828214 TI - Dr Neal and the Poor-Law Service. PMID- 29828216 TI - Research and Remedies. PMID- 29828215 TI - The Growth of Municipal Sanatoria: Their Administration, Work, and Aims. PMID- 29828218 TI - The Institutional Worker. PMID- 29828217 TI - Telephones in Hospitals: Rival Systems and Improvements Compared. PMID- 29828219 TI - Open-Air Wards in Australia: The New Surgical Pavilion at Brisbane Hospital, Queensland. PMID- 29828220 TI - The Report on the Draft Poor-Law Order: The Needs of the Sick in the Smaller Rural Workhouses. PMID- 29828221 TI - Institutional Needs. PMID- 29828222 TI - Hospital and Institutional News. PMID- 29828223 TI - Advantages Conferred by the Amendment Act. PMID- 29828224 TI - Foods Department of the Local Government Board. PMID- 29828225 TI - The English Conjoint Course. PMID- 29828226 TI - Panel Practice and the Future of Partnerships. PMID- 29828228 TI - Hospital and Institutional News. PMID- 29828227 TI - A Patient's Sanatorium Experiences. PMID- 29828230 TI - London Post-Graduate Institutions. PMID- 29828229 TI - Medical Journalism as a Career: The Available Openings on the Hospital Press. PMID- 29828231 TI - Higher Diplomas. PMID- 29828232 TI - The Position and Future of the Panel: A Survey of Conditions in Town and Country. PMID- 29828233 TI - The Medical Guild and the B.M.A. PMID- 29828235 TI - The Position of Panel and Non-Panel Practitioners. PMID- 29828234 TI - The Institutional Worker. PMID- 29828237 TI - The Study of Tropical Medicine. PMID- 29828236 TI - Antagonists of Medical Authority. PMID- 29828238 TI - The Scarcity of Resident Medical Officers: The Facts, the Cause, and the Remedy. PMID- 29828240 TI - The Tendency of Medical Education. PMID- 29828239 TI - Hospital Branch of the Poor-Law Medical Service. PMID- 29828241 TI - The Funds of Trade Unions. PMID- 29828242 TI - The Asylums Board and Sick Children: Inhumanity or Progress? PMID- 29828243 TI - Ships' Surgeons: A Holiday or a Profession. PMID- 29828244 TI - The London University Course. PMID- 29828245 TI - Qualification and Registration. PMID- 29828246 TI - The Tuberculosis Service. PMID- 29828247 TI - The National Medical Guild. PMID- 29828248 TI - The Public Services. PMID- 29828249 TI - The Cambridge University Course. PMID- 29828250 TI - Views of the Midlands on Worcester Infirmary. PMID- 29828251 TI - The Medical Schools of the United Kingdom. PMID- 29828252 TI - The Hop-Pickers' Hospital Dilemma. PMID- 29828253 TI - The Fellowship of the Royal College of Surgeons. PMID- 29828254 TI - Opportunities for Graduate Study in Special Hospitals. PMID- 29828255 TI - Oxford University. PMID- 29828257 TI - The Treatment of the Puerpeirum. PMID- 29828256 TI - The Institutional Worker. PMID- 29828259 TI - New Views of Chronic Bright's Disease: Functional Tests as a Basis of Classification. PMID- 29828258 TI - Investigation of Complaints against Panel Doctors. PMID- 29828260 TI - The Medical Research Committee. PMID- 29828261 TI - Mr. Lloyd George's Amending Bill. PMID- 29828262 TI - Present and Future of the Poor-Law Infirmary: Bacteriological Research in Infirmaries. PMID- 29828263 TI - Hospital and Institutional News. PMID- 29828264 TI - The Hospital Sunday Fund. PMID- 29828265 TI - The Work of Incurable Patients: Inmates' Sale of Work at the Royal Hospital, Putney. PMID- 29828266 TI - Revision of the Laws of the Constitution. PMID- 29828267 TI - Research and Remedies. PMID- 29828268 TI - Eddowes and Others v. St. John's Hospital: The Tenure of Hospital Staff Appointments. PMID- 29828269 TI - Milk and Milk-Contracts : VII. The Rational Basis of a Milk-Contract. PMID- 29828270 TI - Warm Weather Dietetics: The Scientific Apportioning of a Summer Diet. PMID- 29828272 TI - A Question of Sanatorium Control. PMID- 29828271 TI - The St. John's Hospital Case: A Legal Synopsis. PMID- 29828274 TI - A Question of Sanatorium Control. PMID- 29828273 TI - Recent Legal Decisions. PMID- 29828275 TI - A Nurse's Experiences in Nursing Homes. PMID- 29828276 TI - Professional Mental Instability and Its Dangers. PMID- 29828277 TI - County Hospital Administration at Worcester. PMID- 29828278 TI - A Woman's Experience in a Surgical Ward. PMID- 29828280 TI - The Coming Control of Syphilis. PMID- 29828279 TI - Hospital and Institutional News. PMID- 29828282 TI - The Position of the School Doctor: The Board of Education Supports "The Hospital." PMID- 29828281 TI - Beginners' Mistakes in Tuberculosis Work. PMID- 29828283 TI - Tuberculin Treatment in Sheffield. PMID- 29828284 TI - The Amendment Bill. PMID- 29828285 TI - The Exhibition of the Seventeenth International Congress of Medicine: An Attractive Display at the Imperial Institute. PMID- 29828287 TI - Institutional Needs. PMID- 29828286 TI - The Institutional Worker. PMID- 29828288 TI - Should Workhouse Matrons Be Trained Nurses? PMID- 29828289 TI - The International Congress of Medicine: An Expert Synopsis of the Proceedings. PMID- 29828290 TI - East Suffolk and Ipswich Hospital. PMID- 29828291 TI - The British Medical Association Meeting at Brighton: A Great Address by Sir Berkeley Moynihan. PMID- 29828293 TI - Hospital and Institutional News. PMID- 29828292 TI - Worcester Hospitals' Monthly Collections Scheme. PMID- 29828294 TI - National Insurance and the Voluntary Hospitals: The Hon. Harry Lawson Defends the Hospitals. PMID- 29828295 TI - The Institutional Worker. PMID- 29828296 TI - Crime and Punishment. PMID- 29828297 TI - Hospitals in Relation to the State, the Public, and the Medical Profession. PMID- 29828298 TI - The Proposed Royal Commission. PMID- 29828299 TI - Guild Notes. PMID- 29828300 TI - Our Hospitals: Their Future Organisation and Work. PMID- 29828301 TI - The Editor's Letter-Box. PMID- 29828302 TI - The Annual Meeting of the B.M.A. at Brighton. PMID- 29828304 TI - Saline Injections in Infantile Diarrhoea. PMID- 29828303 TI - Women as Doctors. PMID- 29828305 TI - The Amending Bill. PMID- 29828306 TI - St. Andrew's Hospital, Dollis Hill, Willesden. PMID- 29828307 TI - Institutional Needs. PMID- 29828308 TI - Amalgamation of St. George's and Westminster Hospitals: Unanimous Approval by the St. George's Governors. PMID- 29828310 TI - An Exposition of the Guild Rules. PMID- 29828309 TI - The Institutional Worker. PMID- 29828311 TI - Poor-Law Infirmaries as Training Schools. PMID- 29828312 TI - Research and Remedies. PMID- 29828313 TI - Saline Injections in Infantile Diarrhoea. PMID- 29828314 TI - The Mount Vernon Hospital Dispute. PMID- 29828315 TI - A Warning from "Bart.'s". PMID- 29828316 TI - The Michael Reese Hospital, Chicago. PMID- 29828317 TI - A. Cornelius Celsus. PMID- 29828318 TI - St. George's and Westminster Hospitals' Amalgamation. PMID- 29828319 TI - Acidosis in Children. PMID- 29828320 TI - The Hospital Isolation of Infectious Diseases: Some Arguments for and against Isolation. PMID- 29828321 TI - Hospital and Institutional News. PMID- 29828322 TI - A Woman's Experience in a General Hospital. PMID- 29828323 TI - Hospital and Institutional News. PMID- 29828324 TI - Institutional Needs. PMID- 29828325 TI - Prognosis in Heart Cases. PMID- 29828326 TI - Queen Mary's Hospital for Children, Carshalton. PMID- 29828328 TI - An Exposition of the Guild Rules. PMID- 29828327 TI - The Newer Treatments of Syphilis: Some Possible Sociological Effects. PMID- 29828329 TI - Maternity Endowments under the Insurance Act. PMID- 29828330 TI - Women as Doctors: Professor Hochenegg's Views on This Question. PMID- 29828332 TI - Should Leeds Have a Children's Hospital? PMID- 29828331 TI - Central London Ophthalmic Hospital. PMID- 29828334 TI - Legal Notes for Institutional Workers. PMID- 29828333 TI - Income Raising for Voluntary Hospitals. PMID- 29828335 TI - The First Report on the Administration of the Act. PMID- 29828336 TI - Research and Remedies. PMID- 29828337 TI - Medical Administrators: A Lesson from the Poor Law. PMID- 29828338 TI - The Seventeenth International Congress of Medicine: Notabilities and Notable Items. PMID- 29828340 TI - The Lady Chichester Hospital, Brighton. PMID- 29828339 TI - Royal Infirmary, Edinburgh, and Insured Persons. PMID- 29828341 TI - The Institutional Worker. PMID- 29828342 TI - Saline Injections in Infantile Diarrhoea. PMID- 29828343 TI - Are Hospital Patients Over-Fed? PMID- 29828344 TI - The Metropolitan Hospital Sunday Fund: List of Awards Distributed. PMID- 29828346 TI - The Institutional Worker. PMID- 29828345 TI - Report of the Committee of Distribution to the Council. PMID- 29828348 TI - The Editor's Letter-Box. PMID- 29828347 TI - The International Medical Congress. PMID- 29828349 TI - The Safeguards of Maternity Benefit. PMID- 29828350 TI - Hospital and Institutional News. PMID- 29828351 TI - The Editor's Letter-Box. PMID- 29828353 TI - The Financial Crisis at Worcester Infirmary: Its Future as a Training School. PMID- 29828352 TI - The Hospital Isolation of Infectious Diseases: III. Recent Methods of Isolation and Nursing. PMID- 29828354 TI - The Society for the State Registration of Trained Nurses. PMID- 29828355 TI - Hospital for Epilepsy and Paralysis: Princess Louise Opens the Completed Building. PMID- 29828356 TI - The Editor's Letter-Box. PMID- 29828357 TI - Mount Vernon Hospital. PMID- 29828359 TI - The Progress of Cancer Research: The Need for International Co-Operation. PMID- 29828358 TI - Backward Displacement of the Womb and the Mineral Salts of Our Foods. PMID- 29828361 TI - The King at Royal West Sussex Hospital: The Reconstruction Scheme Described in Detail. PMID- 29828360 TI - Special Treatments of Consumption: The Continental Expedient of Rib-Cutting. PMID- 29828363 TI - The Objections of the Profession to Trade Unions. PMID- 29828362 TI - Institutional Needs. PMID- 29828364 TI - The Amending Bill in Committee. PMID- 29828365 TI - The Medico-Sociological Section at Brighton. PMID- 29828367 TI - Hospital and Institutional News. PMID- 29828366 TI - Huge Task for Ministry of Pensions. PMID- 29828369 TI - The Pure Milk Problem. PMID- 29828368 TI - Presentation to Miss Ray. PMID- 29828370 TI - The Judge's Report. PMID- 29828371 TI - The Right to Send Private Patients to District Hospitals. PMID- 29828372 TI - The Prize Winners with Selected Papers. PMID- 29828373 TI - The Communion Cup and Infection. PMID- 29828374 TI - Medical Reconstruction and Graduate Teaching. PMID- 29828375 TI - Round the Hospitals. PMID- 29828376 TI - Discharged Officers and Their Outlook: Hundreds Seeking Employment. PMID- 29828377 TI - The Histrionic Temperament: The Poseur. PMID- 29828378 TI - Another Experiment in Articulation. PMID- 29828379 TI - Tuberculosis Topics. PMID- 29828380 TI - Notes and Memoranda for Hospital Buyers. PMID- 29828382 TI - Many Races at the War: I. With Native Labour Corps in France. PMID- 29828381 TI - State or National Medical Service. PMID- 29828383 TI - The B.M.A. and the Law of the Land. PMID- 29828384 TI - Mind Your Own Business! PMID- 29828386 TI - Searching for the Solution. PMID- 29828385 TI - Round the Hospitals. PMID- 29828387 TI - The Voluntary Hospital System and the Proposed Ministry of Health. PMID- 29828388 TI - Its International Aims and Position To-Day. PMID- 29828389 TI - An Appreciation of "Ierne," by a Nurse with Service and Decorations. PMID- 29828391 TI - The Rural Population. PMID- 29828390 TI - A Fulham Infirmary Nursing League. PMID- 29828392 TI - Mr. Morris and Lord Knutsford. PMID- 29828393 TI - British Hospitals after the War. PMID- 29828394 TI - Parliament and the Profession. PMID- 29828395 TI - The History of Epidemic Influenza. PMID- 29828396 TI - Ireland's "Lusitania". PMID- 29828397 TI - Hospital and Institutional News. PMID- 29828399 TI - The Treatment of Incipient Madness. PMID- 29828398 TI - The Training-Schools Must Lead. PMID- 29828400 TI - Sir James Barr and the Medical Profession. PMID- 29828401 TI - A Record of Personal Experiences. PMID- 29828402 TI - Serving the King's Men. PMID- 29828403 TI - Where the College of Nursing Stands. PMID- 29828404 TI - Statement by Dr. Addison. PMID- 29828405 TI - Aberdeen Shows the Way: One Day a Week off Duty. PMID- 29828406 TI - Jezreel. PMID- 29828407 TI - Special Knowledge of Flying Conditions Imperative. PMID- 29828408 TI - The Present Position and Some Resulting Troubles. PMID- 29828409 TI - "Nurses Are Shamefully Underpaid": A Step on the Way. PMID- 29828410 TI - Major Chapple, M.P.'s, Reply to Mr. Morris. PMID- 29828411 TI - Round the Hospitals. PMID- 29828412 TI - Hospital and Institutional News. PMID- 29828413 TI - The Medical Profession in Parliament: Sir Henry Morris, Bart., F.R.C.S., on Its Representation. PMID- 29828414 TI - The Local Honorary Treasurer. PMID- 29828415 TI - The Hollow Square: A Rejoinder. PMID- 29828417 TI - Wake up, College of Nursing. PMID- 29828416 TI - The League of Mercy and Its Future. PMID- 29828418 TI - A Woman's Ideas of Peace. PMID- 29828419 TI - King Edward's Hospital Fund for London. PMID- 29828420 TI - Lady Roberts' Field Glass Fund. PMID- 29828421 TI - The Strike in Lloyd's Tobacco Factory. PMID- 29828423 TI - What We Expect from the College of Nursing. PMID- 29828422 TI - Annual Meeting of the Constituents. PMID- 29828424 TI - National Thanksgiving and How to Show It. PMID- 29828425 TI - Hospital and Institutional News. PMID- 29828427 TI - The Chaplain's Story. PMID- 29828426 TI - Round the Hospitals. PMID- 29828428 TI - The First Christmas after the Armistice. PMID- 29828429 TI - The Editor's Letter-Box. PMID- 29828431 TI - Keep Your Friendships in Repair. PMID- 29828430 TI - A Pioneer Matron: Thirty-Five Years' Hospital Work. PMID- 29828432 TI - Hospital and Institutional News. PMID- 29828433 TI - Progress and Policy. PMID- 29828434 TI - The Woman Worker's World. PMID- 29828435 TI - The Shortage of M.A.B. Nurses. PMID- 29828436 TI - Some Probationers Articulate. PMID- 29828437 TI - Prevention of Lice-Borne Diseases: Two Disinfectors That Kill. PMID- 29828438 TI - The London Hospital's Nurses. PMID- 29828439 TI - Round the Hospitals. PMID- 29828440 TI - The Nightingale Legend: The Reaction and the Reality. PMID- 29828442 TI - The Hospitals' Future and Medical Practice. PMID- 29828441 TI - The Treatment of Incipient Madness. PMID- 29828443 TI - Provisional Artificial Limbs. PMID- 29828445 TI - Dr. Voelcker's Address on Regeneration. PMID- 29828444 TI - Boots or No Boots: The Advantages of Clogs. PMID- 29828446 TI - Four Ceremonies: The Cavell Statue, Her Memorial, King Edward VII. Ward, and the Bishop's Palace. PMID- 29828447 TI - The Public Health. PMID- 29828448 TI - Round the Hospitals. PMID- 29828449 TI - The Hospitals and the Epidemic. PMID- 29828450 TI - Mr. Brudenell Carter, F.R.C.S.: A Man of Principle in Medical Practice. PMID- 29828451 TI - A Place to Which Ambulant Patients Come. PMID- 29828453 TI - A Ministry of Health. PMID- 29828452 TI - Some of "Ierne's" Questions Answered? PMID- 29828454 TI - Parliament and the Profession. PMID- 29828455 TI - Economics and a Vocation. PMID- 29828457 TI - Many Races at the War: II. With Native Labour Corps in France. PMID- 29828456 TI - Additional Fuel Allowances. PMID- 29828459 TI - Hospital and Institutional News. PMID- 29828458 TI - Nine Months' Work and Progress. PMID- 29828460 TI - The Health of the People and the Ministry of Health. PMID- 29828461 TI - Public Health and Public Opinion. PMID- 29828462 TI - Some Things Training-Schools Have Done. PMID- 29828463 TI - Conference at Hull. PMID- 29828465 TI - Summaries of "Case" Medicine. PMID- 29828464 TI - Probationer Nurses Who Need a Champion. PMID- 29828466 TI - A Public-Spirited Governor. PMID- 29828467 TI - Doctors in Parliament. PMID- 29828468 TI - Two Provincial Workers Join in. PMID- 29828469 TI - The London Hospital's Nurses. PMID- 29828471 TI - Metropolitan Asylums Board Contracts. PMID- 29828470 TI - "Ierne" Taken to Task. PMID- 29828472 TI - Round the Hospitals. PMID- 29828473 TI - Some Staff Nurses' Views. PMID- 29828474 TI - Children's Departments. PMID- 29828475 TI - The Nation's Tribute. Importance of Locality. PMID- 29828476 TI - Science and the Prevention and Cure of Disease. PMID- 29828477 TI - Hospital and Institutional News. PMID- 29828478 TI - Nurses' Emoluments, Hours, and Holidays. PMID- 29828479 TI - Viscount Knutsford's Letter. PMID- 29828480 TI - An Autobiographical Discussion. PMID- 29828482 TI - The Medical Profession as a National Service. PMID- 29828481 TI - The Irish Nurses' Tribute Fund. PMID- 29828484 TI - Things Spiritual and Economic. PMID- 29828483 TI - The Case of the Discharged Consumptive. PMID- 29828486 TI - The Post of Matron. PMID- 29828485 TI - A Vision of State Medical Service. PMID- 29828487 TI - Parliament and the Profession. PMID- 29828488 TI - The Incidence and Treatment of Disease. PMID- 29828490 TI - Mrs. George at Cardiff. PMID- 29828489 TI - On Physiognomy. PMID- 29828491 TI - Round the Hospitals. PMID- 29828492 TI - Hospital and Institutional News. PMID- 29828493 TI - What Ministry of Health Bill Must Not Be. PMID- 29828494 TI - Military and Overseas Matrons-In-Chief. PMID- 29828495 TI - Military Nursing Services of the Crown. PMID- 29828496 TI - Parliament and the Professions. PMID- 29828498 TI - From Amazon to Hospital Nurse. PMID- 29828497 TI - State Medical Service. PMID- 29828500 TI - The Universities and Parliament. PMID- 29828499 TI - Higher Education and Nurses' Needs. PMID- 29828502 TI - Round the Hospitals. PMID- 29828501 TI - Human Incineration. PMID- 29828503 TI - The Late Miss Atkinson. PMID- 29828505 TI - An Absence of Statesmanship in B.M.A. Policy. PMID- 29828504 TI - Co-Operative Appeals. PMID- 29828506 TI - Hospital and Institutional News. PMID- 29828507 TI - Asylum Visiting Committees in Conference. PMID- 29828508 TI - Hospital Clinical Services and the New Age. PMID- 29828509 TI - The Nurses' Tribute, Everybody's Business. PMID- 29828510 TI - Nurse Alice Petitt's Articulation. PMID- 29828511 TI - A Fragment. PMID- 29828512 TI - Some American Methods. PMID- 29828513 TI - A New and Instructive Study by Dr. Brownlee. PMID- 29828514 TI - Is the National Stamina Lowered? PMID- 29828516 TI - Royal British Nurses' Association Meeting. PMID- 29828515 TI - The Influenza Crisis at Birmingham. PMID- 29828518 TI - Is Every Woman a Nurse? PMID- 29828517 TI - The Treatment of Disabled Men. PMID- 29828519 TI - The Nurse's Part in Nursing Reforms. PMID- 29828520 TI - A Plea for Co-Operative Homes for Workers. PMID- 29828522 TI - Heredity and Health. PMID- 29828521 TI - The Ministry of Health and the Teaching Hospitals. PMID- 29828523 TI - Should the Nurse Articulate? PMID- 29828524 TI - The Epidemic and the Public. PMID- 29828525 TI - My Fellow-Probationer. PMID- 29828526 TI - Hospital and Institutional News. PMID- 29828527 TI - Round the Hospitals. PMID- 29828528 TI - A State Medical Service. PMID- 29828529 TI - Each British Woman to Be Stirred up? PMID- 29828531 TI - The Future and the Nation's Choice. PMID- 29828530 TI - School Medical Inspection and Its Influences. PMID- 29828532 TI - Influenza and Pneumonia Rampant: Five Days without a Nurse. PMID- 29828533 TI - "The Hospital" and the Present Position. PMID- 29828535 TI - Hospital and Institutional News. PMID- 29828534 TI - State Medical Service. PMID- 29828537 TI - The Need for Organisation. PMID- 29828536 TI - The Leeds General Infirmary. PMID- 29828538 TI - Can Treaties Abolish Gas Warfare? PMID- 29828539 TI - Meeting of Council. PMID- 29828540 TI - A Front Line Club Suggested. PMID- 29828541 TI - The Spirit of Co-Operation. PMID- 29828542 TI - An Open Discussion Invited. PMID- 29828543 TI - Round the Hospitals. PMID- 29828544 TI - Meeting at St. Thomas's Hospital. PMID- 29828545 TI - Should the Nurse Articulate? PMID- 29828546 TI - Heavy Influenza Death Roll. PMID- 29828547 TI - Fenwickism and How to Fight It. PMID- 29828548 TI - A Patient's Protest. PMID- 29828549 TI - The Work of St. Thomas's in Lambeth, by Mr. G. Q. Roberts. PMID- 29828550 TI - The Place of the Hospitals. PMID- 29828551 TI - Hospital and Institutional News. PMID- 29828552 TI - Wake up, College of Nursing. PMID- 29828553 TI - An American Nurse's View. PMID- 29828555 TI - Round the Hospitals. PMID- 29828554 TI - The Editor's Letter-Box. PMID- 29828556 TI - The Call for Reconstruction. PMID- 29828557 TI - Our Hospitals' Christmas, 1918. PMID- 29828558 TI - Developments in Heliotherapy. PMID- 29828559 TI - An Evil Which Must Be Ended. PMID- 29828560 TI - The College Programme. PMID- 29828561 TI - The Editor's Letter-Box. PMID- 29828562 TI - Sir George Newman's Report. PMID- 29828563 TI - The Ministry of Pensions. Prompt Reorganisation Essential. PMID- 29828564 TI - Medicines, Morals and Manifestoes. PMID- 29828565 TI - The Swan-Song of a Great Matron-In-Chief. PMID- 29828567 TI - Hospital and Institutional News. PMID- 29828566 TI - The Institutional Treatment of Tuberculosis. PMID- 29828568 TI - Medicine and Politics. PMID- 29828569 TI - Demobilisation or Resurrection in Ireland. PMID- 29828570 TI - Influenza Epidemic in South Africa: Fifty Thousand Deaths. PMID- 29828571 TI - A Moralisation on Games. PMID- 29828572 TI - On Titular and Other Decorations. PMID- 29828573 TI - Control of Post-War Venereal Disease. PMID- 29828574 TI - A Crisis and Its Solution. PMID- 29828575 TI - Medico-Political Union's Action. PMID- 29828576 TI - Effect of Higher Education on Salaries. PMID- 29828577 TI - Our Hospitals' Christmas, 1918. PMID- 29828578 TI - The London Hospital Nurses. PMID- 29828580 TI - Round the Hospitals. PMID- 29828579 TI - The Editor's Letter-Box. PMID- 29828582 TI - Six Years of Panel Practice: Advantages, Disadvantages, and the Remedies. PMID- 29828581 TI - Wake up, College of Nursing! Further Signs of Awakening. PMID- 29828583 TI - Report of the Distribution Committee. PMID- 29828584 TI - The Coming of Age of the Fund.-A Distribution of L200,000. PMID- 29828585 TI - Grants to Hospitals Recommended by the Distribution Committee. PMID- 29828587 TI - Night Duty and the Patient's Sufferings Increasing Terrors of Each Night. PMID- 29828586 TI - Reconstruction and the Voluntary Hospitals. PMID- 29828589 TI - Round the Hospitals. PMID- 29828588 TI - Overworked and Underpaid Hospital Nurses. PMID- 29828591 TI - Hospitals under 50 Beds. PMID- 29828590 TI - General Charities. PMID- 29828592 TI - Grants Recommended by the Convalescent Homes Committee. PMID- 29828593 TI - Flying Machines and Flying Men. PMID- 29828595 TI - Hospitals with 150 Beds and Upwards. PMID- 29828594 TI - "Ierne"-An Appreciation. PMID- 29828596 TI - Should the Nurse Articulate? PMID- 29828597 TI - Hospitals under 150 Beds. PMID- 29828598 TI - Nurse-Training in Small Hospitals. PMID- 29828600 TI - Scottish Nurses in London. PMID- 29828599 TI - Report of the Convalescent Homes Committee. PMID- 29828601 TI - Hospital and Institutional News. PMID- 29828602 TI - Medicinal Preparations and Substitutes. PMID- 29828603 TI - Important Developments Foreshadowed. PMID- 29828604 TI - The Coming Elections. PMID- 29828605 TI - The Percentage of Militarily Inefficients. PMID- 29828606 TI - The Hygiene of Modern Armies in the Field. PMID- 29828607 TI - Vocation or Profession? PMID- 29828608 TI - Appeals. PMID- 29828609 TI - An Evil Which Must Be Ended: A Colonial Experience. PMID- 29828610 TI - The Gift of Sleep. PMID- 29828611 TI - Round the Hospitals. PMID- 29828612 TI - Hospital and Institutional News. PMID- 29828613 TI - The Popular and Medical Uses of Narcotics. PMID- 29828614 TI - Articles on Hospital Construction. PMID- 29828615 TI - Where Night Torments for Patients Are Absent. PMID- 29828616 TI - Medical Research; American Red Cross Commission's Report. PMID- 29828617 TI - A Medical Fellowship. PMID- 29828618 TI - Eightieth Anniversary Birthday Gift. PMID- 29828619 TI - The Nursing Service in the Dawn of Peace. PMID- 29828620 TI - The Reception of the Armistice. PMID- 29828622 TI - Qualifications and Administrators. PMID- 29828621 TI - The Clare Hall Sanatorium Inquiry: Result. PMID- 29828623 TI - Hospital and Institutional News. PMID- 29828624 TI - Welfare Work in Factories. PMID- 29828626 TI - The Annual Statistical Return. PMID- 29828625 TI - Australian Notes. PMID- 29828627 TI - Nursing Services of the Crown. PMID- 29828629 TI - The Art of Endowment. PMID- 29828628 TI - The Repatriation of the Serbians. PMID- 29828630 TI - Parliament and the Professions. PMID- 29828631 TI - Military versus Medical Titles. PMID- 29828633 TI - A Vision of State Medical Service. PMID- 29828632 TI - A Remarkable Forecast. PMID- 29828635 TI - The Nation's Million for Nurses. PMID- 29828634 TI - The Champions of Silence. PMID- 29828636 TI - Round the Hospitals. PMID- 29828637 TI - Influences of War on Medical Practice. PMID- 29828638 TI - Should Diseases Be Named by Their Discoverers? PMID- 29828639 TI - "Is Every Woman a Nurse"? PMID- 29828640 TI - Round the Hospitals. PMID- 29828641 TI - Hospital and Institutional News. PMID- 29828643 TI - Order of the British Empire. PMID- 29828642 TI - Why Not Every Trained Nurse Awake and Active? PMID- 29828644 TI - Discharged Officers and Their Outlook. PMID- 29828645 TI - The Hygienic Criterion of Air; Its Capacity for Drying the Skin. PMID- 29828646 TI - The Advancement of Medicine by Research. PMID- 29828647 TI - A Vision of State Medical Service. PMID- 29828648 TI - The Study of Industrial Fatigue. PMID- 29828649 TI - An Evil Which Must Be Ended: Night Duty Torments for Patients. PMID- 29828651 TI - Cancer of the Tongue and Tobacco. PMID- 29828650 TI - Curiosities of Native Treatment in Fiji. PMID- 29828652 TI - The Prophylactic Value of Protective Injections. PMID- 29828653 TI - Night Sister. PMID- 29828654 TI - Many Health Visitors Untrained. PMID- 29828655 TI - A Mile-Stone on the Road to Registration. PMID- 29828656 TI - Tobacco and Clear Thinking. PMID- 29828657 TI - Village Life and Industries: A London Show. PMID- 29828658 TI - Relative Virulence of the New Wave. PMID- 29828659 TI - Nursing Homes: Criticism with Suggestions. PMID- 29828660 TI - War Demobilisation: Payments for Nurses. PMID- 29828661 TI - The Case of the Children's Hospitals. PMID- 29828662 TI - Politeness to Patients. PMID- 29828664 TI - Tethelin. PMID- 29828663 TI - Is Nursing a Profession? PMID- 29828665 TI - Woolwich Death-Rate Lowest. PMID- 29828666 TI - Hospital and Institutional News. PMID- 29828668 TI - A Children's Nurse's View of Registration. PMID- 29828667 TI - Industrial Hygiene: Factory Nursing. PMID- 29828669 TI - The Wassermann Reaction: Simple Aspects of Its Application and Reliability. PMID- 29828670 TI - Londoners' Hospital Beds Threatened. PMID- 29828671 TI - Some Records at Warrington. PMID- 29828672 TI - Round the Hospitals. PMID- 29828674 TI - From across the Seas. PMID- 29828673 TI - Their Functions and Limitations. PMID- 29828675 TI - More Hospital Beds for Civilian Patients? PMID- 29828676 TI - Things Doing and to Be Done. PMID- 29828677 TI - College Nurses and the Bill. PMID- 29828678 TI - The Case of the Children's Hospitals. PMID- 29828680 TI - A Preliminary Reform Only. PMID- 29828681 TI - A Great Matron's Personality: Thirty-Nine Years' Matronship. PMID- 29828679 TI - The Somme: January 1919. PMID- 29828682 TI - Curiosities of Native Treatment in Fiji: III. Native Surgery, Pain-Bearing Capacity and Customs. PMID- 29828683 TI - Is Nursing a Profession? Some Obvious Omissions. PMID- 29828684 TI - Points for Members of Parliament. PMID- 29828685 TI - Hospital and Institutional News. PMID- 29828686 TI - Expectations and Disappointments: The War and the Strikes. PMID- 29828687 TI - Round the Hospitals. PMID- 29828689 TI - Scopolamine-Morphine Narcosis in Childbirth. PMID- 29828688 TI - On Results during 1917 and 1918. PMID- 29828690 TI - The Ghoul Type of Nurse. PMID- 29828691 TI - Visiting Committee's Proposals for a Central Body for Discussion. PMID- 29828692 TI - Co-Operative Appeals. PMID- 29828693 TI - Great Achievements Accomplished. PMID- 29828694 TI - Self-Help for the General Practitioner. PMID- 29828695 TI - A New State Medical Service Plan. PMID- 29828697 TI - The First, Though Belated, Account of past Dangers. PMID- 29828696 TI - Public Money and Research. PMID- 29828698 TI - American War Nurses. PMID- 29828699 TI - The College Bill Fully Discussed. PMID- 29828700 TI - Two False Statements. PMID- 29828702 TI - The Effect of Higher Education on Probationers' Salaries. PMID- 29828701 TI - The Efficient Matron Who Creates Happiness. PMID- 29828703 TI - Hospital and Institutional News. PMID- 29828704 TI - Round the Hospitals. PMID- 29828705 TI - Wake up! Messrs. Walter Long and Winston Churchill. PMID- 29828706 TI - Round the Hospitals. PMID- 29828707 TI - From across the Seas. PMID- 29828708 TI - One of the Successes of the War. PMID- 29828709 TI - Hospital and Institutional News. PMID- 29828710 TI - The Enfield Cottage Hospital Scandal. PMID- 29828711 TI - Parliament and the Professions. PMID- 29828712 TI - The Next Step. PMID- 29828713 TI - An Indian Mission and "The Hospital." PMID- 29828714 TI - The Dublin Meeting: The Menace of Trades Unionism. PMID- 29828715 TI - Action by the Great Hospitals. PMID- 29828716 TI - Proposed New Club for Nurses. PMID- 29828717 TI - A Public Duty to Practitioners. PMID- 29828718 TI - Is Nursing a Profession: Students or Probationers? PMID- 29828720 TI - The Cultivation of Reticence. PMID- 29828719 TI - The Research Committee's Future. PMID- 29828722 TI - Medicine and the Individual. PMID- 29828721 TI - The Meaning of "Efficiency." PMID- 29828723 TI - Rats and Mice as Enemies of Mankind. PMID- 29828724 TI - A Ship's Dark Hours: Coaling. PMID- 29828725 TI - Venereal Cases in General Institutions. A Public Danger? PMID- 29828726 TI - Nurses without a Voice. PMID- 29828727 TI - Legal Notes for Institutional Workers. PMID- 29828728 TI - Tetanus and Its Treatment: A War-Time Retrospect. PMID- 29828729 TI - Parliament and the Profession. PMID- 29828731 TI - The British Warrior as He Is To-Day. PMID- 29828730 TI - Curiosities of Native Treatment in Fiji. PMID- 29828732 TI - Hospital Annual Meetings. PMID- 29828733 TI - Round the Hospitals. PMID- 29828734 TI - The London's Experiment with Paid Doctors. PMID- 29828735 TI - The Factory Nurse's Salary. PMID- 29828737 TI - Embodying a Part-Time State Medical Service and State Insurance Scheme. PMID- 29828736 TI - Ierne Propounds Causes and a Remedy. PMID- 29828738 TI - Hospital and Institutional News. PMID- 29828739 TI - The Demobilised Doctor. PMID- 29828740 TI - Health and Advertised Remedies. PMID- 29828741 TI - School Nursing. PMID- 29828743 TI - Articles on Hospital Construction. PMID- 29828742 TI - The Struggle to Rise. PMID- 29828744 TI - The Effects of Indulgence in Alcohol. PMID- 29828745 TI - Curiosities of Native Treatment in Fiji. PMID- 29828746 TI - Hospital and Institutional News. PMID- 29828747 TI - A "Sick House" for Private Nurses. PMID- 29828748 TI - The Reproach of Nurses' Poor Pay. PMID- 29828750 TI - Some Necessary Qualifications. PMID- 29828749 TI - Grave Injustices to Medical Men. PMID- 29828752 TI - Hospital Night Nursing; Anxious to Enjoy a Modern Improved System. PMID- 29828751 TI - The Case of the Children's Hospitals. PMID- 29828753 TI - The Prize Papers. PMID- 29828754 TI - The Wigmore Hall Medical Meeting: A Lively Discussion. PMID- 29828755 TI - Round the Hospitals. PMID- 29828756 TI - Cinderella: Attacking the Servant Problem. PMID- 29828757 TI - Filter-Passing Virus in Disease. PMID- 29828759 TI - The Wrong Spirit. PMID- 29828758 TI - The Health of the Nation: The Essential Food to Maintain Health. PMID- 29828760 TI - The Medical Parliamentary Committee. PMID- 29828761 TI - The Meeting in Wigmore Hall, London. PMID- 29828762 TI - Two Generations of Lunacy Legislation: Its Absurdities and Reform. PMID- 29828763 TI - Round the Hospitals. PMID- 29828764 TI - Venereal Clinics in U.S.A.: The Value of State Control. PMID- 29828765 TI - Memorial Service to the Late Miss Luckes. PMID- 29828766 TI - Conciliation or Palliation? PMID- 29828767 TI - The Exclusive Title of Nursing Sister. PMID- 29828768 TI - Early Diagnosis of Syphilis: The Means in Practitioners' Hands. PMID- 29828769 TI - Restrictions on the Sale of Poisonous Drugs: How the Law Stands. PMID- 29828770 TI - Articles on Hospital Construction. PMID- 29828771 TI - The Ministry of Health Bill. PMID- 29828772 TI - Hospital and Institutional News. PMID- 29828773 TI - Trade Unionism and the Medical Profession. PMID- 29828774 TI - Religion and the Housing Question. PMID- 29828775 TI - Registration for Children's Trained Nurses: A Matron's View. PMID- 29828776 TI - More Ethics of Controversy. PMID- 29828777 TI - Influenza: The Latest Memorandum. PMID- 29828778 TI - R.B.N.A. Secretary's Preference for Many Words and Small Type. PMID- 29828779 TI - L150,000 Required. PMID- 29828780 TI - The College's Attitude to the Bill. PMID- 29828781 TI - Bringing the Training Schools into Line. PMID- 29828782 TI - Royal Chest Hospital. PMID- 29828784 TI - State Registration of Trained Nurses. PMID- 29828783 TI - Cutaneous Tuberculosis: A Review of Modern Treatment. PMID- 29828785 TI - The Work of the Factory Nurse. PMID- 29828786 TI - Consumption in Miners. PMID- 29828787 TI - Nerve-Strain and Heredity. PMID- 29828788 TI - Round the Hospitals. PMID- 29828789 TI - Parliament and the Professions. PMID- 29828790 TI - The Control of a Hospital. PMID- 29828791 TI - Electricity and Medicine. PMID- 29828792 TI - The Hermit Crab. PMID- 29828793 TI - Accommodation for Paying Patients. PMID- 29828794 TI - Hospital and Institutional News. PMID- 29828795 TI - The Reconstruction of Probation. PMID- 29828796 TI - Shell-Shock and Suggestion Treatment. PMID- 29828798 TI - The Glories of the Profession and Non-Combatants. PMID- 29828797 TI - Personal Experiences on the Macedonian Front. PMID- 29828799 TI - Hospital Annual Meeting. PMID- 29828800 TI - Floor Surfaces. PMID- 29828801 TI - On Reading in Bed. PMID- 29828802 TI - Parliamentary Report on the Dentists Act. PMID- 29828803 TI - The Dublin Meeting: "Facts Turned into Virtual Falsehoods"? PMID- 29828804 TI - Hospital and Institutional News. PMID- 29828805 TI - The Factory Nurse's Salary. PMID- 29828806 TI - Round the Hospitals. PMID- 29828807 TI - Our Duty to Our Fellow Workers. PMID- 29828808 TI - Parliament and the Profession. PMID- 29828809 TI - Gift of a New Tropical Diseases Hospital for London. PMID- 29828811 TI - Health in War Industries. PMID- 29828810 TI - The Position of Nurses in Great Britain: Is the Government Partially Responsible? PMID- 29828812 TI - A League of Public Health Nurses. PMID- 29828813 TI - Public Health Report. PMID- 29828814 TI - Moral or Legal Responsibility? PMID- 29828815 TI - "Do-Nothings" and the College. A Striking Condemnation of Tactics. PMID- 29828816 TI - The Problem of Influenza. PMID- 29828817 TI - The Cult of the Ugly: Let Parents and Teachers Beware. PMID- 29828818 TI - Is Nursing a Profession? PMID- 29828819 TI - Nurses in Combination. PMID- 29828820 TI - The Approaching End of Boards of Guardians. PMID- 29828821 TI - The Right Road to Reform. PMID- 29828822 TI - A Plea for Caesarian Section: Its Popularity and Justification. PMID- 29828823 TI - Masks: What They Can and Cannot Do. PMID- 29828824 TI - Construction Notes. PMID- 29828825 TI - "The Hospital" Nursing Mirror. PMID- 29828826 TI - Progress in Medicine. PMID- 29828829 TI - A Half-Century Cholera Controversy. PMID- 29828827 TI - Sanitary Officers and the Law. PMID- 29828830 TI - Hospital Expenditure.-The Commissariat. PMID- 29828831 TI - New Appliances and Things Medical. PMID- 29828832 TI - Annotations. PMID- 29828833 TI - Criminal Mania: IV. Illustrative Cases. PMID- 29828834 TI - Progress in Surgery. PMID- 29828835 TI - Well-Marked and Severe Chicken Pox Occurring in an Adult Pregnant Woman. PMID- 29828836 TI - The Central Hospitals Board Question. PMID- 29828837 TI - The Hospitals Association. PMID- 29828838 TI - Notes and News. PMID- 29828839 TI - Construction Notes. PMID- 29828841 TI - Progress in Surgery. PMID- 29828840 TI - Qualifying for Practice. PMID- 29828843 TI - Progress in Medicine. PMID- 29828842 TI - A Central Hospital Board for London. PMID- 29828844 TI - Annotations. PMID- 29828845 TI - New Appliances and Things Medical. PMID- 29828847 TI - Practical Departments. PMID- 29828846 TI - Professional Advertising. PMID- 29828848 TI - The Volunteer Medical Staff Corps at Walmer. PMID- 29828850 TI - Notes and News. PMID- 29828851 TI - A Sanitary Shibboleth.-Small-Pox Infection. PMID- 29828852 TI - Clinical Lecture on Pneumothorax: II. Symptoms of Pneumothorax. PMID- 29828853 TI - Criminal Mania: II. The Plea of Insanity. PMID- 29828854 TI - "The Hospital" Nursing Mirror. PMID- 29828855 TI - Dipththeria Antitoxin. PMID- 29828856 TI - Progress in Medicine. PMID- 29828858 TI - "The Hospital" Nursing Mirror. PMID- 29828857 TI - Kitson versus Playfair. PMID- 29828859 TI - Hospital Meetings. PMID- 29828860 TI - The Physiological Cost of the Boat-Race. PMID- 29828861 TI - The Life and Death of Jewish Babies. PMID- 29828862 TI - Notes and News. PMID- 29828863 TI - Special Departments at Small Hospitals. PMID- 29828865 TI - Annotations. PMID- 29828864 TI - The Treatment of Acquired Flat-Foot. PMID- 29828867 TI - Progress in Surgery. PMID- 29828868 TI - New Appliances and Things Medical. PMID- 29828869 TI - Carbohydrate Starvation in Typhoid Fever. PMID- 29828870 TI - The Central Hospitals Board. PMID- 29828871 TI - Progress in Medicine. PMID- 29828872 TI - The New Theology and the New Medicine. PMID- 29828873 TI - Progress in Surgery. PMID- 29828875 TI - Marriage by Doctor's Consent. PMID- 29828874 TI - Suicidal and Dangerous Impulses in Insanity. PMID- 29828876 TI - Clipping the Wings of the Midwives. PMID- 29828877 TI - "The Hospital" Nursing Mirror. PMID- 29828878 TI - New Appliances and Things Medical. PMID- 29828879 TI - Notes and News. PMID- 29828881 TI - Hospital Meetings. PMID- 29828880 TI - Annotations. PMID- 29828883 TI - "The Hospital" Nursing Mirror. PMID- 29828882 TI - Within the Hospitals. PMID- 29828884 TI - On the Treatment of Femoral Hernia. PMID- 29828886 TI - Notes and News. PMID- 29828885 TI - Clinical Lecture on Pneumothorax: I. The Causes of Pneumothorax. PMID- 29828887 TI - New Appliances and Things Medical. PMID- 29828891 TI - Street Collections. PMID- 29828889 TI - Annotations. PMID- 29828890 TI - The Hospital. PMID- 29828894 TI - The Place of "The Hospital" in Medical Journalism. PMID- 29828888 TI - Construction Notes. PMID- 29828893 TI - Progress in Surgery. PMID- 29828892 TI - Practical Departments. PMID- 29828895 TI - Criminal Mania: I. Elastic Theories. PMID- 29828897 TI - The Physiological Cost of the Boat-Race. PMID- 29828896 TI - Progress in Medicine. PMID- 29828898 TI - The Report on Diphtheria Antitoxin. PMID- 29828899 TI - Hospital Meetings. PMID- 29828900 TI - Clinical Lecture on Pneumothorax: III. Physical Signs of Pneumothorax. PMID- 29828902 TI - Hospital Expenditure.-The Commissariat. PMID- 29828901 TI - Hospital Administration. PMID- 29828903 TI - New Appliances and Things Medical. PMID- 29828904 TI - Hospital Meetings. PMID- 29828905 TI - Annotations. PMID- 29828906 TI - "The Hospital" Nursing Mirror. PMID- 29828907 TI - Hospital Construction. PMID- 29828908 TI - Progress in Surgery. PMID- 29828909 TI - Construction Notes. PMID- 29828910 TI - Why Hospital Patients Complain. PMID- 29828911 TI - The Water Supply of Small Towns. PMID- 29828912 TI - The Leucocyte in Disease.-II. PMID- 29828913 TI - Progress in Medicine. PMID- 29828914 TI - Criminal Mania: III. The Doctor's Difficulty. PMID- 29828915 TI - Notes and News. PMID- 29828916 TI - Tuberculous Milk: Report of the Royal Commission. PMID- 29828917 TI - The Examination of Medical Students. PMID- 29828918 TI - Progress in Gynaecology. PMID- 29828919 TI - Progress in Surgery. PMID- 29828921 TI - Annotations. PMID- 29828920 TI - Capital Punishment. PMID- 29828923 TI - "The Hospital" Nursing Mirror. PMID- 29828924 TI - Notes and News. PMID- 29828922 TI - Notes on the Treatment of Bronchitis. PMID- 29828926 TI - The Medical Care of Children in Durham. PMID- 29828925 TI - Guy's Hospital. PMID- 29828927 TI - New Appliances and Things Medical. PMID- 29828928 TI - "The Hospital" Nursing Mirror. PMID- 29828929 TI - Progress in Surgery. PMID- 29828930 TI - Prison Labour. PMID- 29828931 TI - Jenner: A Hundred Years after. PMID- 29828932 TI - The Vaccination Question. PMID- 29828933 TI - Clinical Recollections: III. The Alcoholic Habit. PMID- 29828934 TI - Annotations. PMID- 29828935 TI - Picric Acid in the Treatment of Burns. PMID- 29828936 TI - The Future of Vaccination. PMID- 29828937 TI - Progress in Medicine. PMID- 29828938 TI - The Comparative Nutrient Value of Meat Preparations. PMID- 29828939 TI - The Central Hospitals Board. PMID- 29828940 TI - Notes and News. PMID- 29828941 TI - Hospital Meetings. PMID- 29828943 TI - The Breaking Strain. PMID- 29828945 TI - "The Hospital" Nursing Mirror. PMID- 29828944 TI - Joint Action against Small-Pox. PMID- 29828946 TI - The Jenner Society. PMID- 29828948 TI - Hospital Meetings. PMID- 29828949 TI - Notes and News. PMID- 29828950 TI - The Story of the Insane from Year to Year. PMID- 29828952 TI - Progress in Surgery. PMID- 29828951 TI - The Pathology of Appendicitis. PMID- 29828953 TI - Hospital Construction. PMID- 29828954 TI - Annotations. PMID- 29828955 TI - Oysters and Typhoid: Proposed Legislation. PMID- 29828956 TI - The Progress of Cremation in America. PMID- 29828958 TI - Progress in Medicine. PMID- 29828957 TI - The Central Hospitals Board. PMID- 29828961 TI - Progress in Medicine. PMID- 29828959 TI - New Appliances and Things Medical. PMID- 29828962 TI - Diet for Schoolboys: II. The Question of Meals and Food. PMID- 29828963 TI - Metropolitan Hospital Sunday Fund, 1896. PMID- 29828964 TI - Progress in Surgery. PMID- 29828965 TI - Hospital Meetings. PMID- 29828966 TI - Annotations. PMID- 29828967 TI - The Election of Direct Representatives. PMID- 29828968 TI - New Appliances and Things Medical. PMID- 29828969 TI - The Prevention of Colliery Explosions. PMID- 29828970 TI - Metropolitan Hospital Sunday Fund. PMID- 29828971 TI - Notes and News. PMID- 29828973 TI - "The Hospital" Nursing Mirror. PMID- 29828972 TI - Alcoholic Stimulation. PMID- 29828974 TI - The London University. PMID- 29828975 TI - Progress in Medicine. PMID- 29828976 TI - Notes and News. PMID- 29828977 TI - The Voice of Medical Science at Pretoria. PMID- 29828979 TI - "The Hospital" Nursing Mirror. PMID- 29828978 TI - Notes on the Treatment of Bronchitis. PMID- 29828980 TI - New Appliances and Things Medical. PMID- 29828981 TI - Progress in Surgery. PMID- 29828983 TI - The Central Hospitals Board. PMID- 29828984 TI - Hospital Meetings. PMID- 29828985 TI - The Pathology of Appendicitis. PMID- 29828986 TI - Prison Labour: Observations of the Prison Commissioners on the Recommendation of the Departmental Committee on Prisons Appointed by the Secretary of State on June 6, 1894. PMID- 29828987 TI - Annotations. PMID- 29828988 TI - Notes and News. PMID- 29828989 TI - The Early Diagnosis of Bright's Disease. PMID- 29828990 TI - Case of Purpura Haemorrhagica Following "Malta" or "Mediterranean" Fever. PMID- 29828991 TI - Sewage Farming and Sanitation. PMID- 29828992 TI - Practical Departments. PMID- 29828993 TI - The Story of the Insane from Year to Year. PMID- 29828994 TI - Hospital Expenditure.-The Commissariat. PMID- 29828995 TI - Progress in Surgery. PMID- 29828996 TI - Hospital Construction. PMID- 29828997 TI - Hospital Meetings. PMID- 29828998 TI - New Appliances and Things Medical. PMID- 29829000 TI - Home Industry and the Sweating System. PMID- 29828999 TI - Asthma. PMID- 29829001 TI - Progress in Medicine. PMID- 29829003 TI - Annotations. PMID- 29829004 TI - Some Prolegomena to a Philosophy of Medicine. PMID- 29829005 TI - "The Hospital" Nursing Mirror. PMID- 29829006 TI - Hospital Meetings. PMID- 29829007 TI - The Children of the State. PMID- 29829008 TI - New Appliances and Things Medical. PMID- 29829009 TI - Annotations. PMID- 29829011 TI - Notes and News. PMID- 29829012 TI - The Municipal Control of Measles. PMID- 29829010 TI - Progress in Surgery. PMID- 29829013 TI - Lady Warwick's Home for Crippled Children. PMID- 29829014 TI - Hospital Expenditure.-The Commissariat. PMID- 29829015 TI - Should English Doctors Dispense? PMID- 29829016 TI - Progress in Medicine. PMID- 29829017 TI - Latent Squint. PMID- 29829019 TI - Construction Notes. PMID- 29829018 TI - The Story of the Insane from Year to Year. PMID- 29829022 TI - The Nature and Surgical Treatment of Tumours of the Spinal Cord. PMID- 29829021 TI - "The Hospital" Nursing Mirror. PMID- 29829023 TI - Notes and News. PMID- 29829024 TI - Street Collections. PMID- 29829026 TI - Practical Departments. PMID- 29829025 TI - Hospital Construction: Mechanical Ventilation of Hospital Wards. PMID- 29829027 TI - Hospital Expenditure.-The Commissariat. PMID- 29829029 TI - Sea Travel without Sea Sickness. PMID- 29829031 TI - Annotations. PMID- 29829030 TI - "The Hospital" Nursing Mirror. PMID- 29829033 TI - The Battle of the Clubs. PMID- 29829032 TI - Progress in Medicine. PMID- 29829034 TI - Construction Notes. PMID- 29829035 TI - Progress in Otology. PMID- 29829036 TI - Tumours of the Groin and Their Differential Diagnosis. PMID- 29829038 TI - "The Hospital" Nursing Mirror. PMID- 29829037 TI - Hospitals in India. PMID- 29829039 TI - Annotations. PMID- 29829040 TI - Construction Notes. PMID- 29829042 TI - Practical Departments. PMID- 29829041 TI - Disinfection by the Vapour of Formaldehyde. PMID- 29829044 TI - The Eyesight of School Children. PMID- 29829043 TI - The British Medical Association and Medical Defence. PMID- 29829045 TI - Notes and News. PMID- 29829046 TI - New Appliances and Things Medical. PMID- 29829047 TI - The Diet of Schoolboys: I. Introductory. PMID- 29829048 TI - Progress in Medicine. PMID- 29829050 TI - Progress in Surgery. PMID- 29829049 TI - Hospital Expenditure.-The Commissariat. PMID- 29829051 TI - Hospital Expenditure.-The Commissariat. PMID- 29829052 TI - A Dispensary Clinic.-Cancer of the Rectum. PMID- 29829054 TI - The Medical Attitude Towards Compulsory Vaccination. PMID- 29829053 TI - Construction Notes. PMID- 29829056 TI - Notes and News. PMID- 29829055 TI - Annotations. PMID- 29829058 TI - Progress in Medicine. PMID- 29829057 TI - New Appliances and Things Medical. PMID- 29829059 TI - "The Hospital" Nursing Mirror. PMID- 29829060 TI - Classification in Workhouses.-How to Make It Effective. PMID- 29829061 TI - Hospital Construction. PMID- 29829062 TI - Students and Maternity Departments. PMID- 29829063 TI - Progress in Surgery. PMID- 29829064 TI - Hospital Administration: Provision for Incurables. PMID- 29829065 TI - Construction Notes. PMID- 29829066 TI - Annotations. PMID- 29829067 TI - Hospital Expenditure.-The Commissariat. PMID- 29829068 TI - Around the Hospitals. PMID- 29829069 TI - The Notification of Tuberculosis. PMID- 29829070 TI - The Story of the Insane from Year to Year. PMID- 29829071 TI - "The Hospital" Nursing Mirror. PMID- 29829072 TI - Juvenile Crime. PMID- 29829073 TI - The Treatment of Ulcers, Wounds, and Other Surgical Cases by Oxygen. PMID- 29829074 TI - Tumours of the Groin and Their Differential Diagnosis. PMID- 29829075 TI - Progress in Otology. PMID- 29829076 TI - The British Medical Association and Their Midwives Bills. PMID- 29829078 TI - Notes and News. PMID- 29829077 TI - New Appliances and Things Medical. PMID- 29829079 TI - Progress in Surgery. PMID- 29829080 TI - Hospital Meetings. PMID- 29829082 TI - Progress in Surgery. PMID- 29829081 TI - Construction Notes. PMID- 29829083 TI - New Appliances and Things Medical. PMID- 29829085 TI - Notes and News. PMID- 29829086 TI - Progress in Medicine. PMID- 29829087 TI - Annotations. PMID- 29829088 TI - The Young Ravens of Physic. PMID- 29829089 TI - Progress in Dermatology. PMID- 29829090 TI - Some Byeways of Practice. PMID- 29829091 TI - Disinfection of Rooms by Formaldehyde Vapour. PMID- 29829092 TI - "The Hospital" Nursing Mirror. PMID- 29829093 TI - The Evolution of the Modern Hospital: II. The Latest Hospital. PMID- 29829094 TI - Hospital Expenditure.-The Commissariat. PMID- 29829095 TI - Hospital Construction. PMID- 29829096 TI - The Story of the Insane from Year to Year. PMID- 29829097 TI - Progress in Medicine. PMID- 29829099 TI - Progress in Surgery. PMID- 29829100 TI - "The Hospital" Nursing Mirror. PMID- 29829101 TI - Hospital Expenditure.-The Commissariat. PMID- 29829103 TI - The Evolution of the Modern Hospital: III. Its Benefits and Lessons. PMID- 29829102 TI - Various Wounds of Various Joints at Torbay Hospital, Torquay. PMID- 29829105 TI - Compulsory Re-Vaccination. PMID- 29829104 TI - Annotations. PMID- 29829107 TI - Alcoholic Stimulation. PMID- 29829106 TI - The Early Diagnosis of Small-Pox. PMID- 29829108 TI - Notes and News. PMID- 29829109 TI - Practical Departments. PMID- 29829110 TI - Hydronephrosis: Its Causes, Diagnosis, and Treatment. PMID- 29829111 TI - Doctors and Midwives. PMID- 29829112 TI - The Story of the Insane from Year to Year. PMID- 29829113 TI - Notes and News. PMID- 29829114 TI - Hospital Expenditure.-The Commissariat. PMID- 29829115 TI - "The Hospital" Nursing Mirror. PMID- 29829116 TI - Annotations. PMID- 29829117 TI - The Evolution of the Modern Hospital: I. The Growth of the Hospital Idea. PMID- 29829118 TI - Sir Dyce Duckworth on Prognosis. PMID- 29829119 TI - Progress in Dermatology. PMID- 29829120 TI - Practical Points. PMID- 29829121 TI - Hospital Meetings. PMID- 29829122 TI - Progress in Surgery. PMID- 29829123 TI - Professional Advertising. PMID- 29829124 TI - New Appliances and Things Medical. PMID- 29829126 TI - The Story of the Insane from Year to Year. PMID- 29829125 TI - On Cancer of the Tongue. PMID- 29829127 TI - Charity, Capacity, Continuity. PMID- 29829128 TI - The Foundations of Modern Sociology. PMID- 29829129 TI - Progress in Surgery. PMID- 29829130 TI - Special Hospital Sunday Supplement. PMID- 29829131 TI - Around the Hospitals. PMID- 29829132 TI - New Appliances and Things Medical. PMID- 29829134 TI - Hospital Meetings. PMID- 29829133 TI - Asthma. PMID- 29829135 TI - Hospital Sunday. PMID- 29829136 TI - Notes on the Treatment of Bronchitis. PMID- 29829137 TI - "The Hospital" Nursing Mirror. PMID- 29829138 TI - Notes and News. PMID- 29829139 TI - Progress in Obstetrics. PMID- 29829140 TI - Construction Notes. PMID- 29829141 TI - Unqualified Practice and the Law. PMID- 29829142 TI - Metropolitan Hospital Sunday Fund: Presentation by the Prince of Wales to Mr. Burdett. PMID- 29829143 TI - Annotations. PMID- 29829145 TI - Around the Hospitals. PMID- 29829144 TI - The Birmingham Hospital Saturday Fund. PMID- 29829146 TI - Hospital Construction. PMID- 29829147 TI - Notes and News. PMID- 29829149 TI - The Phoenician and Carthaginian Influence. PMID- 29829148 TI - The Treatment of Chronic Varicose Ulcers of the Leg. PMID- 29829150 TI - Progress in Medicine. PMID- 29829152 TI - "The Hospital" Nursing Mirror. PMID- 29829153 TI - Sir Joseph Lister's Address. PMID- 29829154 TI - Annotations. PMID- 29829156 TI - Progress in Surgery. PMID- 29829155 TI - New Appliances and Things Medical. PMID- 29829157 TI - Homes for the Dying. PMID- 29829158 TI - Hospital Ships. PMID- 29829159 TI - Hospital Expenditure.-The Commissariat. PMID- 29829160 TI - Mechanical Ventilation of Hospital Wards. PMID- 29829161 TI - Pershore Cottage Hospital. PMID- 29829162 TI - Annotations. PMID- 29829164 TI - Notes and News. PMID- 29829163 TI - Life and the Municipality. PMID- 29829166 TI - Hospital Expenditure.-The Commissariat. PMID- 29829165 TI - Homes for the Dying. PMID- 29829167 TI - New Appliances and Things Medical. PMID- 29829168 TI - The State of the Streets. PMID- 29829170 TI - "The Hospital" Nursing Mirror. PMID- 29829169 TI - The Surgical Diseases of the Sub-Maxillary Gland. PMID- 29829171 TI - Practical Points. PMID- 29829172 TI - Progress in Medicine. PMID- 29829173 TI - The Hebrew Influence. PMID- 29829174 TI - Progress in Surgery. PMID- 29829175 TI - Hospital Meetings. PMID- 29829176 TI - The Etiology of Diphtheria. PMID- 29829177 TI - Practical Departments. PMID- 29829178 TI - Hospital Expenditure.-The Commissariat. PMID- 29829180 TI - Foreign Hospitals. PMID- 29829181 TI - The Treatment of Congenital Club Foot in Infancy. PMID- 29829182 TI - Ectopic Gestation. PMID- 29829184 TI - A Hospital Saturday Fund in Danger. PMID- 29829183 TI - The Story of the Insane from Year to Year. PMID- 29829185 TI - Progress in Surgery. PMID- 29829186 TI - Annotations. PMID- 29829188 TI - Notes and News. PMID- 29829187 TI - "The Hospital" Nursing Mirror. PMID- 29829190 TI - Is Our Knowledge of Lunacy Stationary? PMID- 29829189 TI - Country Holidays for Town Children. PMID- 29829191 TI - Progress in Medicine. PMID- 29829192 TI - Progress in Surgery. PMID- 29829193 TI - The Report of the Royal Commission on Vaccination. PMID- 29829194 TI - Penal Servitude and Insanity. PMID- 29829195 TI - Notes and News. PMID- 29829196 TI - Hospital Construction. PMID- 29829197 TI - Hospital Expenditure.-The Commissariat. PMID- 29829198 TI - Annotations. PMID- 29829199 TI - Medicine as a Science or an Art. PMID- 29829200 TI - "The Hospital" Nursing Mirror. PMID- 29829201 TI - The Royal Commission on Vaccination. PMID- 29829202 TI - New Appliances and Things Medical. PMID- 29829203 TI - The Story of the Insane from Year to Year. PMID- 29829204 TI - Hospital Meetings. PMID- 29829206 TI - The Metropolitan Medical Schools: Medical Study in London. PMID- 29829205 TI - Progress in Medicine. PMID- 29829207 TI - Medical Schools for Women. PMID- 29829208 TI - The Irish Medical Schools: Medical Study in Ireland. PMID- 29829209 TI - Practical Departments. PMID- 29829211 TI - Hospital Construction. PMID- 29829212 TI - Medicine as a Profession. PMID- 29829213 TI - Classification in Workhouses: II. What It Might Accomplish. PMID- 29829215 TI - The Provincial Medical Schools: Medical Study in the Provinces. PMID- 29829214 TI - Construction Notes. PMID- 29829216 TI - Annotations. PMID- 29829217 TI - From Student to Practitioner. PMID- 29829218 TI - "The Hospital" Nursing Mirror. PMID- 29829219 TI - Progress in Surgery. PMID- 29829220 TI - The Scotch Medical Schools: Medical Study in Scotland. PMID- 29829221 TI - The Career of the Medical Student: The Choice of a Qualification. PMID- 29829222 TI - Public Health in Ireland. PMID- 29829223 TI - How to Attract Suitable Women to the Nursing Profession. PMID- 29829224 TI - The General Practitioner and the New Health Bill. PMID- 29829225 TI - Women and Nursing. PMID- 29829226 TI - Hospital and Institutional News. PMID- 29829227 TI - District Nursing. PMID- 29829228 TI - Round the Hospitals. PMID- 29829229 TI - B.M.A. and the National Scheme. PMID- 29829230 TI - Hospital Sites. PMID- 29829231 TI - The Thirty-Third Annual Meeting. PMID- 29829232 TI - A Review of Interest to Health Workers. PMID- 29829233 TI - Should a Doctor Tell? PMID- 29829234 TI - Overseas Nursing Association. PMID- 29829235 TI - Annual Meeting of Members. PMID- 29829236 TI - Medical Fashions. PMID- 29829237 TI - Recruiting for the Training-Schools. PMID- 29829238 TI - The Reform of Medical Teaching. PMID- 29829239 TI - Baby Clinic Experiences. PMID- 29829240 TI - Parliament and the Professions. PMID- 29829241 TI - The Late Sir Henry Burdett. PMID- 29829242 TI - Children's Rights. PMID- 29829243 TI - Views of Dr. Addison. PMID- 29829244 TI - Parliament and the Professions. PMID- 29829245 TI - Institutional Needs. PMID- 29829246 TI - The Purpose of Nursery Schools. PMID- 29829247 TI - Outlying Sanatoria. PMID- 29829248 TI - A Private Nurse's Earnings. PMID- 29829249 TI - Hospital and Institutional News. PMID- 29829251 TI - More Maternity Hospitals Wanted. PMID- 29829250 TI - The Present Scarcity of Nurses. PMID- 29829252 TI - A "Model Scheme" in Gloucestershire. PMID- 29829253 TI - General Survey of England and Wales. PMID- 29829254 TI - A Sketch of a Future Policy. PMID- 29829255 TI - Prevention after Cure. PMID- 29829256 TI - The "New Hospitals." PMID- 29829257 TI - A Novel Scheme of Re-Organisation. PMID- 29829259 TI - The Smoke Pall. PMID- 29829258 TI - The Conversazione at Burlington House. PMID- 29829260 TI - Against Milk Grading. PMID- 29829261 TI - Certum Est, Quia Impossibile Est.-Tertullian. PMID- 29829262 TI - Round the Hospitals. PMID- 29829264 TI - Hospital Annual Meetings. PMID- 29829263 TI - A Rejoinder to "A Friendly Cross-Examination." PMID- 29829266 TI - Tied Houses in Surgical Practice. PMID- 29829265 TI - The Guest Hospital, Dudley. PMID- 29829268 TI - Fight against Epidemics. PMID- 29829267 TI - Illegitimate Parents. PMID- 29829269 TI - Hospital and Institutional News. PMID- 29829270 TI - The Late Sir Henry Burdett. PMID- 29829271 TI - Some Rare Varieties. PMID- 29829273 TI - The New Poor. PMID- 29829272 TI - The Position of the Hospital Saturday Fund. PMID- 29829275 TI - Home Life. PMID- 29829274 TI - Industrial Hygiene. PMID- 29829276 TI - A Central Hospital Board for London. PMID- 29829277 TI - Clean Milk Advice. PMID- 29829278 TI - The Danger of the Dead Tooth. PMID- 29829279 TI - A Forty-Eight Hours' Week. PMID- 29829280 TI - Suggestions by the Board of Control. PMID- 29829281 TI - An Army of 53,000 Always in the Trenches. PMID- 29829283 TI - Recent Teaching on Their Surgical Diagnosis and Treatment. PMID- 29829282 TI - Massage Establishments. PMID- 29829284 TI - The Changed Probationer. PMID- 29829285 TI - Round the Hospitals. PMID- 29829286 TI - Official Resolutions and Messages. PMID- 29829287 TI - A Private Nurse's Earnings. PMID- 29829288 TI - A Proposed New Staff of Outdoor Medical Officers. PMID- 29829289 TI - A Preliminary Look. PMID- 29829291 TI - The Crowded Medical Schools. PMID- 29829290 TI - Institutional Training for Pharmacists. PMID- 29829292 TI - The Weekly Day off. PMID- 29829293 TI - Florence Nightingale. PMID- 29829294 TI - Some Interesting Experiments in Physical Efficiency. PMID- 29829295 TI - The Holiday Tax. PMID- 29829297 TI - Healthy London. PMID- 29829296 TI - Parliament and the Professions. PMID- 29829298 TI - The Position of St. George's Hospital. PMID- 29829299 TI - Health Minister's Statement. PMID- 29829300 TI - A Hospital Secretary's View. PMID- 29829301 TI - Colonial Hospital Laws. PMID- 29829302 TI - General Hospital, Birmingham. PMID- 29829303 TI - The Nurse as Health Visitor. PMID- 29829304 TI - Smith's Duty to His Neighbour. PMID- 29829305 TI - Erratum. AB - [This corrects the article on p. 401 in vol. 68.]. PMID- 29829306 TI - The Ministry of Health. PMID- 29829307 TI - Some National Aspects of Transport. PMID- 29829308 TI - Hospital Patients' Sick Insurance. PMID- 29829310 TI - National Health and Modern Problems. PMID- 29829309 TI - The De La Rue Scheme of Medical Service. PMID- 29829311 TI - Round the Hospitals. PMID- 29829312 TI - St. Mary's Hospital Musical and Dramatic Society. PMID- 29829313 TI - The Need for Education. PMID- 29829314 TI - Voluntary Insurance by Patients. PMID- 29829315 TI - Hospital and Institutional News. PMID- 29829316 TI - The Cult of Middle-Age. PMID- 29829317 TI - Poor-Law Almoners. PMID- 29829319 TI - The Art of Convalescence. PMID- 29829318 TI - Venereal Prevention. PMID- 29829320 TI - Scheme for Assisting Voluntary Hospitals. PMID- 29829321 TI - Teaching the Careless. PMID- 29829322 TI - The "Full-Time" Teacher. PMID- 29829323 TI - A Friendly Cross-Examination: By a Special Correspondent. PMID- 29829325 TI - Payments by Patients. PMID- 29829324 TI - Parliament and the Professions. PMID- 29829326 TI - The College Election. PMID- 29829327 TI - The Successes of the Organised Profession. PMID- 29829328 TI - Population and Parenthood. PMID- 29829329 TI - Hospital Chaplains to the Rescue. PMID- 29829330 TI - Round the Hospitals. PMID- 29829331 TI - The Outbreak of Influenza. PMID- 29829333 TI - Hospital and Institutional News. PMID- 29829332 TI - Progress in the Construction of General Appliances. PMID- 29829334 TI - Some Conclusions Drawn at the Manchester Meeting. PMID- 29829335 TI - A Royal Appeal. PMID- 29829336 TI - Hospital Annual Meetings. PMID- 29829337 TI - Tied Houses in Surgical Practice. PMID- 29829338 TI - A Remarkable Clinical Test Described. PMID- 29829339 TI - Nurse-Training in Special Hospitals. PMID- 29829341 TI - A Joint Council for After-War Service. PMID- 29829340 TI - Our Defence against Smallpox. PMID- 29829342 TI - Professional Dualities. PMID- 29829343 TI - The Tuberculosis Congress. PMID- 29829344 TI - Leicester Royal Infirmary. PMID- 29829346 TI - Some New Uses for X-Rays. PMID- 29829345 TI - Industrial Welfare. PMID- 29829348 TI - The New Income Tax Rules. PMID- 29829347 TI - The Divorce Controversy. PMID- 29829349 TI - The Lady Priestley Lecture. PMID- 29829350 TI - Cancer Research. PMID- 29829352 TI - Boy Labour in Mines. PMID- 29829351 TI - The Professional Union of Trained Nurses. PMID- 29829354 TI - Hospital and Institutional News. PMID- 29829353 TI - Sanatorium Treatment. PMID- 29829355 TI - Baby Week. PMID- 29829356 TI - The Increased Cost of the Probationer. PMID- 29829357 TI - The Budget. PMID- 29829358 TI - The Brussels Health Congress. PMID- 29829360 TI - Parliament and the Professions. PMID- 29829359 TI - A Notable Institution. PMID- 29829361 TI - Round the Hospitals. PMID- 29829362 TI - University College Hospital and the Royal Ear Hospital. PMID- 29829363 TI - An Employee's Industrial Views. PMID- 29829364 TI - The Strike of Mine Rescuers. PMID- 29829365 TI - Theories and Practice. PMID- 29829366 TI - Parenthood, Economics, and Knowledge. PMID- 29829367 TI - What the Public Forget. PMID- 29829369 TI - Protecting the Children. PMID- 29829368 TI - Venereal Disease. PMID- 29829370 TI - The City Coroner's Annual Report. PMID- 29829371 TI - The College and Nurses' Hours. PMID- 29829372 TI - A Recent Lecture. PMID- 29829373 TI - A Slashing Document. PMID- 29829375 TI - Annual Meetings of Hospitals. PMID- 29829374 TI - Birth-Rate and Sex Education. PMID- 29829376 TI - Scrapping the Trained Nurse: The Only Alternative. PMID- 29829377 TI - The Sanitary Blocks of Hospitals. PMID- 29829379 TI - A Cancer Crusade: Many Facts and More Possibilities. PMID- 29829378 TI - Round the Hospitals. PMID- 29829380 TI - Regulating Employment of Children. PMID- 29829381 TI - The District Nurse in the Outer Hebrides. PMID- 29829383 TI - Hospital and Institutional News. PMID- 29829382 TI - Gun-Shot Wounds of the Jaw and Facial Injuries: II. Some Nursing Aspects. PMID- 29829384 TI - Development at Walsall General Hospital. PMID- 29829385 TI - Damnable! PMID- 29829387 TI - Children's Fears. PMID- 29829386 TI - A Factor in Disease Control. PMID- 29829389 TI - As Others See Us. PMID- 29829388 TI - The Democratic Ideal. PMID- 29829390 TI - David Williams, the Queer Philanthropist. PMID- 29829391 TI - Corporate Medical Lead. PMID- 29829393 TI - The Turning-Point in the Hospital Campaign. PMID- 29829392 TI - Changes in the Statistical Report. PMID- 29829394 TI - A Debatable Poor-Law Plan. PMID- 29829395 TI - Drunkenness Statistics. PMID- 29829396 TI - Quack Medicines. PMID- 29829397 TI - Abstract of a Noteworthy Presidential Address. PMID- 29829398 TI - Round the Hospitals. PMID- 29829399 TI - The Father's Responsibilities. PMID- 29829400 TI - Sex Hygiene for the Young. PMID- 29829401 TI - The Medical Examination of Civilian Airmen. PMID- 29829402 TI - The Proprietary Medicines Bill. PMID- 29829403 TI - Erratum: A Correction. AB - [This corrects the article on p. 343 in vol. 68.]. PMID- 29829404 TI - Parliament and the Professions. PMID- 29829405 TI - National Health and Modern Problems. PMID- 29829406 TI - The Dilemma of the Little Hospitals. PMID- 29829407 TI - Distribution of L110,000. PMID- 29829408 TI - The Stimulus to Growth. PMID- 29829410 TI - Hospital and Institutional News. PMID- 29829409 TI - The Dilemma at Gravesend. PMID- 29829411 TI - The Sunday Fund's Success. PMID- 29829412 TI - A Diversion. PMID- 29829414 TI - Clean Milk Film. PMID- 29829413 TI - Advanced Consumptives. PMID- 29829416 TI - A Comparison between Gas and Electricity. PMID- 29829415 TI - Child Welfare in India. PMID- 29829417 TI - The Value of Vaccination. PMID- 29829418 TI - Hospital Annual Meetings. PMID- 29829419 TI - The Foolish Recoil from Registration. PMID- 29829420 TI - The Administration of Gas and Oxygen. PMID- 29829422 TI - The Line to Salonica. PMID- 29829421 TI - Smoking in Hospital Wards. PMID- 29829423 TI - The Fees of Practitioner and Consultant. PMID- 29829424 TI - State Assistance to Voluntary Hospitals. Free Donations from Income- and Super Taxes. PMID- 29829425 TI - Times of Regeneration. PMID- 29829426 TI - Welfare of Workers. PMID- 29829427 TI - National Health Week. PMID- 29829428 TI - Round the Hospitals. PMID- 29829430 TI - A Prevalent Habit Condemned. PMID- 29829429 TI - Hospital and Institutional News. PMID- 29829431 TI - The Spiritual Side of Nursing. PMID- 29829432 TI - Australian News. PMID- 29829434 TI - Hospitals and the Honours List. PMID- 29829433 TI - Bastardy Laws. PMID- 29829435 TI - Medical Research. PMID- 29829436 TI - Wage-Earning Children. PMID- 29829437 TI - Gun-Shot Wounds of the Jaw and Facial Injuries: Some Nursing Aspects. PMID- 29829438 TI - Legal Notes for Institutional Workers. PMID- 29829440 TI - Parliament and the Professions. PMID- 29829439 TI - Studies in Mental Ineffic Ency. PMID- 29829442 TI - A Teeth Conference. PMID- 29829441 TI - Medicine's Opportunity. PMID- 29829443 TI - Manchester's Milk Supply. PMID- 29829445 TI - Life of Social Service. PMID- 29829444 TI - Is the Trained Nurse Barred? PMID- 29829446 TI - The Fees of Practitioner and Consultant. PMID- 29829447 TI - A Recent Meeting at the New York Academy. PMID- 29829449 TI - Literature and Public Welfare. PMID- 29829448 TI - In Defence of Mothers. PMID- 29829450 TI - Institutional Returns for 1919. PMID- 29829451 TI - Round the Hospitals. PMID- 29829452 TI - War on Disease. PMID- 29829453 TI - Hospital Annual Meetings. PMID- 29829454 TI - Public Pharmacists' Association. PMID- 29829455 TI - Employment of the Disabled. PMID- 29829456 TI - Hospital and Institutional News. PMID- 29829457 TI - The College of Nursing Badge. PMID- 29829459 TI - A Great Wave of Enthusiasm. PMID- 29829458 TI - Is It State Aid? PMID- 29829460 TI - A University Appeal. PMID- 29829461 TI - The Keeping of Personal Records. PMID- 29829463 TI - Leicester Royal Infirmary. PMID- 29829462 TI - Primary and Cutaneous Lesions in the Male. PMID- 29829464 TI - A Stable Vitamine. PMID- 29829465 TI - Homes for Mothers. PMID- 29829467 TI - The Future of Salisbury Infirmary. PMID- 29829466 TI - Sanatorium Figures. PMID- 29829468 TI - Hospital and Institutional News. PMID- 29829469 TI - Its Utility in the Feeding of Infants. PMID- 29829470 TI - Hospitals and a Coal Strike. PMID- 29829471 TI - The Gift of Expression. PMID- 29829473 TI - Johannesburg Hospital Board's Experiment. PMID- 29829472 TI - A New Call for Nurses. PMID- 29829474 TI - Asylum War Hospitals. PMID- 29829475 TI - Doctors and Sympathy. PMID- 29829477 TI - Australian Notes. PMID- 29829476 TI - Nursing under the M.A.B. PMID- 29829478 TI - Round the Hospitals. PMID- 29829479 TI - State Registration and Its Values. PMID- 29829480 TI - Royal Devon and Exeter Hospital. PMID- 29829481 TI - The Infectious Diseases Reports. PMID- 29829482 TI - Incipient Mental Disease. PMID- 29829483 TI - The Typhus Danger. PMID- 29829484 TI - Dispensaries for Hop-Pickers. PMID- 29829485 TI - Domestic Service in Institutions. PMID- 29829487 TI - An Announcement by the Ministry of Health. PMID- 29829486 TI - The Permanent Memorial. PMID- 29829488 TI - Inspections in America and Germany. PMID- 29829489 TI - Recollections. PMID- 29829490 TI - The Value of Journalism to Hospitals. PMID- 29829491 TI - The Housing Campaign. PMID- 29829492 TI - Care of Young Invalids. PMID- 29829494 TI - Annual Meeting of the President and General Council. PMID- 29829493 TI - King Edward's Fund Grants. PMID- 29829495 TI - Parliament and the Professions. PMID- 29829496 TI - The Departmental Method. PMID- 29829497 TI - Last Visit to Hospitals. PMID- 29829498 TI - A Visit to the Front. PMID- 29829499 TI - Hospital and Institutional News. PMID- 29829500 TI - Some Novel Relations in Human Pathology. PMID- 29829501 TI - Housing Facts and Fancy. PMID- 29829502 TI - Sir Henry Burdett, K.C.B., K.C.V.O. 1847-1920. PMID- 29829503 TI - Report of the General Council. PMID- 29829504 TI - Crippled Children. PMID- 29829506 TI - Appreciations from the Lay Press. PMID- 29829505 TI - Mayoral Health Meeting. PMID- 29829507 TI - The Years at the Seamen's Hospital. PMID- 29829508 TI - The Floral Tributes. PMID- 29829510 TI - Parliament and the Professions. PMID- 29829509 TI - Round the Hospitals. PMID- 29829512 TI - Economics and Motherhood. PMID- 29829511 TI - On the Track of a Ward-Maid. PMID- 29829514 TI - King in Manchester. PMID- 29829513 TI - Mrs. Humphry Ward. PMID- 29829515 TI - Leicester Saturday Hospital Society. PMID- 29829516 TI - Nursing Conditions in Pay Hospitals. PMID- 29829518 TI - Defining the New Poor. PMID- 29829517 TI - Cardiac Efficiency: Some Modern Methods of Examination. PMID- 29829519 TI - Public Health Administration in Australia. PMID- 29829521 TI - Round the Hospitals. PMID- 29829520 TI - Safe Milk. PMID- 29829522 TI - Motherhood a Lost Art? PMID- 29829523 TI - Children in the Cotton Trade. PMID- 29829525 TI - Post-Graduate Assistance. PMID- 29829524 TI - Scrapping the Trained Nurse. PMID- 29829526 TI - New Health Provisions. PMID- 29829527 TI - The Wards as a Patient Sees Them. PMID- 29829528 TI - Hospital and Institutional News. PMID- 29829529 TI - Sanitary Blocks of Hospitals. PMID- 29829530 TI - Gun-Shot Wounds of the Jaw and Facial Injuries: I. Some Nursing Aspects. PMID- 29829531 TI - Annual Meetings of Hospitals. PMID- 29829532 TI - A Larger Income and Smaller Debt. PMID- 29829533 TI - More Expert Opinion. PMID- 29829535 TI - The Editor's Letter-Box. PMID- 29829534 TI - Contributions from Patients. PMID- 29829537 TI - Child-Welfare Progress. PMID- 29829536 TI - Acute Encephalitis Lethargica. PMID- 29829538 TI - Contributions from Patients. PMID- 29829540 TI - The History of the British Officers' Library, Stralsund, Germany. PMID- 29829539 TI - School Medical and Nursing Service in the Transvaal. PMID- 29829541 TI - World Health. PMID- 29829542 TI - The Value of a Nursing Certificate. PMID- 29829543 TI - The Bias Towards Disease. PMID- 29829544 TI - Hospital and Institutional News. PMID- 29829545 TI - Parliament and the Professions. PMID- 29829546 TI - The Capital of the Central Funds. PMID- 29829548 TI - In Medical and Surgical Practice. PMID- 29829547 TI - Altar of Domestic Dirt. PMID- 29829550 TI - The Medical Streets. PMID- 29829549 TI - Venereal Diseases among Seamen. PMID- 29829551 TI - The Passing of Prejudice. PMID- 29829552 TI - The Reform of Prison Life. PMID- 29829553 TI - British Pharmaceutical Conference. PMID- 29829554 TI - Pestilential Streams. PMID- 29829556 TI - The National Physique. PMID- 29829555 TI - The Status of Hospital Domestic Service. PMID- 29829557 TI - Decision Not to Realise Capital. PMID- 29829558 TI - Difficulties at Lambeth Infirmary. PMID- 29829560 TI - An Excellent Lecture and Demonstration. PMID- 29829559 TI - Venereal Prevention. PMID- 29829562 TI - Round the Hospitals. PMID- 29829561 TI - Derby Sanatorium Inquiry. PMID- 29829563 TI - Round the Hospitals. PMID- 29829565 TI - Demobilised Men. PMID- 29829564 TI - Patient's Payments. PMID- 29829566 TI - The Choice before Us. PMID- 29829567 TI - Baby Clinic Experiences. PMID- 29829569 TI - Two Schemes in Hereford and Suffolk. PMID- 29829568 TI - Women and Night Work. PMID- 29829570 TI - Hospital and Institutional News. PMID- 29829571 TI - A Tribute to English Medical Science. PMID- 29829572 TI - Science and the Nation. PMID- 29829573 TI - Parliament and the Professions. PMID- 29829575 TI - The Views of a Hospital Secretary. PMID- 29829574 TI - Hospital Finance. PMID- 29829576 TI - Memorandum of Arrangements Proposed by the Minister of Pensions. PMID- 29829577 TI - The French Memorial of Edith Cavell. PMID- 29829578 TI - The Specialist. PMID- 29829579 TI - Institutional Needs. PMID- 29829580 TI - Vertigo. PMID- 29829581 TI - A Step on the Road to Success. PMID- 29829583 TI - Medical War Service. PMID- 29829582 TI - What the Vitamine Theories Mean in Practice. PMID- 29829584 TI - The Conference Habit. PMID- 29829585 TI - A Question of Eugenics. PMID- 29829587 TI - Round the Hospitals. PMID- 29829586 TI - News from South Africa. PMID- 29829589 TI - A Capitation Grant Fallacy. PMID- 29829588 TI - Some Advice of a Practical Nature. PMID- 29829590 TI - Children's Hospital for Johannesburg. PMID- 29829591 TI - The Journal of Neurology and Psychopathology. PMID- 29829593 TI - Ideals in the Operating-Theatre. PMID- 29829592 TI - The New Outlook. PMID- 29829595 TI - To-Day and Yesterday. PMID- 29829594 TI - Payments by Patients. PMID- 29829596 TI - The Appeal for Ex-Service Men. PMID- 29829597 TI - The Summer School of Civics. PMID- 29829598 TI - American View of His Work. PMID- 29829599 TI - State Registration and Its Values. PMID- 29829600 TI - Dr. Hamer's Report for the Year 1919. PMID- 29829601 TI - Status of Hospital Domestic Service. PMID- 29829603 TI - The Welsh School of Social Service. PMID- 29829602 TI - Hospital and Institutional News. PMID- 29829605 TI - Cholera in Korea. PMID- 29829604 TI - Saving the Children. PMID- 29829606 TI - An Analysis of Ophthalmic Cases. PMID- 29829607 TI - Making the Public Understand. PMID- 29829608 TI - The Hospitals Problem. PMID- 29829609 TI - Medical Officers Object to Whole-Time Service. PMID- 29829610 TI - Chemists' Scholarships Go Begging. PMID- 29829611 TI - A Hospital Fete Story. PMID- 29829612 TI - The New Feminism. PMID- 29829613 TI - Domestic Animals and Human Infection. PMID- 29829615 TI - An Epidemic Experiment. PMID- 29829614 TI - Three Weeks in an Eye Hospital. PMID- 29829616 TI - A Strange Conditional Legacy. PMID- 29829617 TI - The St. Andrew's Association's Work. PMID- 29829618 TI - Eurhythmics and Health. PMID- 29829619 TI - Shorter Hours for Welsh Mothers. PMID- 29829620 TI - Working-Boys' Club. PMID- 29829621 TI - A Brighter Outlook on the Hospital's Position. PMID- 29829622 TI - New Rates for Army Nurses. PMID- 29829623 TI - A Kindly Glasgow Citizen. PMID- 29829624 TI - The Teaching of Physiology. PMID- 29829625 TI - Recent Observations in Immunity Production. PMID- 29829627 TI - A Surgical Tuberculosis Scheme. PMID- 29829626 TI - Making the Public Understand. PMID- 29829628 TI - The Limitations of a Voluntary Register. PMID- 29829629 TI - Hospital and Institutional News. PMID- 29829630 TI - The Scandal of Empty Houses. PMID- 29829631 TI - Needs Must When. PMID- 29829632 TI - Progress of the London's Experiment. PMID- 29829633 TI - Heard in the Corridor. PMID- 29829634 TI - Round the Hospitals. PMID- 29829635 TI - What Smoke Costs. PMID- 29829636 TI - Business Houses and the Hospitals. PMID- 29829637 TI - Perils of the Restaurant. PMID- 29829638 TI - Condensed Milk as Infants' Food. PMID- 29829639 TI - The Extended Term of Training. PMID- 29829640 TI - Hospital and Institutional News. PMID- 29829641 TI - Eighteenth Century Methods. PMID- 29829642 TI - Doctor's Heroism. PMID- 29829643 TI - A Question of Contact Isolation. PMID- 29829645 TI - Honorary Medical Staffs of Hospitals. PMID- 29829644 TI - The Gradual Changes and Their Unknown Cause. PMID- 29829646 TI - Round the Hospitals. PMID- 29829647 TI - Proposed New Rule for C.M.B. Candidates. PMID- 29829649 TI - Lord Dawson's Scheme. PMID- 29829648 TI - Important National Congress. PMID- 29829650 TI - A Recent and Valuable Method. PMID- 29829651 TI - Hospital Annual Meetings. PMID- 29829652 TI - The Lay Contributor. PMID- 29829653 TI - The National Scheme. PMID- 29829654 TI - The Hospital Saturday Fund. PMID- 29829655 TI - The London Hospital's Appeal. PMID- 29829656 TI - The Status of the Trained Nurse. PMID- 29829657 TI - Mr. G. Q. Roberts's Interesting Lecture. PMID- 29829658 TI - A Sneer at Doctors. PMID- 29829659 TI - A Great Hospital's Work under Trying Conditions. PMID- 29829660 TI - The Dangerous Telephone-Box. PMID- 29829662 TI - Nurses as Health Visitors. PMID- 29829661 TI - The Idea of Progress. PMID- 29829663 TI - The West Midland Region Meeting at Birmingham. PMID- 29829664 TI - Life in a Chinese Hospital. PMID- 29829665 TI - Coming Developments in Port Sanitary Administration. PMID- 29829666 TI - Dame Swift on Nursing Abuses. PMID- 29829668 TI - The Hospital Problem. PMID- 29829667 TI - Cinema to Help a Hospital. PMID- 29829669 TI - Children in Workhouses. PMID- 29829670 TI - The Danger of Typhus. PMID- 29829672 TI - Anaemia as a True Disease. PMID- 29829671 TI - State Registration and Its Values. PMID- 29829674 TI - Payments at Norwich. PMID- 29829673 TI - To Combat Industrial Fatigue. PMID- 29829675 TI - The Gift of Expression. PMID- 29829676 TI - The Gastric Function. PMID- 29829677 TI - An Ideal Elementary School. PMID- 29829678 TI - Mental Patients in War Hospitals. PMID- 29829680 TI - Round the Hospitals. PMID- 29829679 TI - Domestic Arts and Housing. PMID- 29829682 TI - Vivisection. PMID- 29829681 TI - The Ex-Soldier. PMID- 29829684 TI - An Autumn Campaign. PMID- 29829683 TI - Hospital and Institutional News. PMID- 29829686 TI - Training the Blind. PMID- 29829685 TI - Should Voluntary and Poor-Law Hospitals Combine? PMID- 29829687 TI - Venereal Prevention. PMID- 29829688 TI - The Wages and Employment Conditions of Unskilled Workers. PMID- 29829689 TI - The Opening of the Princess Alice Home, Middlesex Hospital. PMID- 29829690 TI - Sir Napier Burnett and Employers' Subscriptions. PMID- 29829691 TI - Unrest in Infirmary Wards. PMID- 29829692 TI - Parliament and the Professions. PMID- 29829693 TI - Startling Suggestion. PMID- 29829694 TI - Big Public Welfare Programme. PMID- 29829696 TI - An Unsolved Mystery. PMID- 29829695 TI - A Hospital Treasurer's Suggestion. PMID- 29829697 TI - The Art of Healing. PMID- 29829698 TI - The Uses of Freedom in Nursing Administration. PMID- 29829699 TI - Hospital and Institutional News. PMID- 29829700 TI - A Treasurer's Valuable Suggestions. PMID- 29829701 TI - The Domestic Grate. PMID- 29829702 TI - Some Comments and a Criticism. PMID- 29829703 TI - Protection of Vaccination Wounds. PMID- 29829704 TI - The Hospital Magazines and Journals. PMID- 29829705 TI - Employers' Subscriptions at Sheffield. PMID- 29829706 TI - The Lessons of the Hospital Survey. PMID- 29829707 TI - National Health and Modern Problems. PMID- 29829708 TI - Round the Hospitals. PMID- 29829709 TI - Adopted Children and State Control. PMID- 29829710 TI - Report of the Committee of Selection. PMID- 29829711 TI - Social Welfare. PMID- 29829712 TI - The Dangerous Telephone Box. PMID- 29829713 TI - The Status of Hospital Domestic Service. PMID- 29829714 TI - Earl Haig at Cardiff. PMID- 29829715 TI - Poor-Law Nurses and Trade Unions. PMID- 29829717 TI - A National Responsibility. PMID- 29829716 TI - Children and Strong Drink. PMID- 29829718 TI - Recreation at School Age. PMID- 29829719 TI - Salaries at the General Hospital, Wellington. PMID- 29829720 TI - Group Infection by the Bacillus Suipestifer. PMID- 29829721 TI - Invalid and Crippled Children. PMID- 29829723 TI - Parliament and the Professions. PMID- 29829722 TI - Vital Statistics. PMID- 29829724 TI - The Nurse-Apprentice. PMID- 29829725 TI - Round the Hospitals. PMID- 29829727 TI - The Way of Attainment. PMID- 29829726 TI - Crawling Exercises for Scoliosis. PMID- 29829729 TI - A New Milk Combine. PMID- 29829728 TI - Results Obtained with Protective Serum. PMID- 29829730 TI - Hospital and Institutional News. PMID- 29829731 TI - Welfare and Labour. PMID- 29829732 TI - Employers and the Ex-Service Man. PMID- 29829733 TI - Co-Operative Colonies for Incurable Neurasthenics. PMID- 29829734 TI - Parliament and the Professions. PMID- 29829735 TI - How Voluntary Workers and the State Can Help. PMID- 29829736 TI - The Grants Recommended. PMID- 29829737 TI - A Quarter of a Million for Extensions and Improvements. PMID- 29829739 TI - The Woman Worker's World. PMID- 29829738 TI - New Zealand Hospital Board's Conference. PMID- 29829741 TI - Hospital and Institutional News. PMID- 29829740 TI - Women Doctors. PMID- 29829742 TI - The Vision of Cleanliness. PMID- 29829743 TI - The Editor's Letter-Box. PMID- 29829744 TI - The Legal Aspects. PMID- 29829745 TI - National Health and Modern Problems. PMID- 29829746 TI - An Entrance Examination for Probationers. PMID- 29829747 TI - The Guy's Appeal. PMID- 29829748 TI - The Aftermath of War. PMID- 29829749 TI - Opening of Two New Buildings. PMID- 29829750 TI - Schemes for Co-Operation. PMID- 29829752 TI - Plain Speaking on Tuberculosis Matters. PMID- 29829751 TI - Income-Raising Device in the Antipodes. PMID- 29829753 TI - Malarial Fever in England. PMID- 29829754 TI - The De La Rue Scheme of Medical Service. PMID- 29829756 TI - Birth Control. PMID- 29829755 TI - Male Nursing. PMID- 29829757 TI - Venereal Prevention. PMID- 29829758 TI - Round the Hospitals. PMID- 29829759 TI - The Conquest of Venereal Disease. PMID- 29829760 TI - Hospital Problems in India. PMID- 29829761 TI - Vitamines and Domestic Education. PMID- 29829763 TI - Venereal Prevention. PMID- 29829762 TI - Research Records as They Stand To-Day. PMID- 29829764 TI - The Preparation of the Patient. PMID- 29829765 TI - The Nurses' Resolution. PMID- 29829766 TI - The Ugly Word. PMID- 29829767 TI - The Editor's Letter-Box. PMID- 29829769 TI - The Hospital Survey and Its Lessons. PMID- 29829768 TI - The Finances of the Voluntary Hospitals. PMID- 29829770 TI - Maternity and Welfare Work. PMID- 29829771 TI - Public Sanitation. PMID- 29829772 TI - Hardships of the Middle Class. PMID- 29829773 TI - Hospital and Institutional News. PMID- 29829775 TI - Modern Urology. PMID- 29829774 TI - The Cambridge Discussion Summarised. PMID- 29829776 TI - The Story of Hospital Sunday. PMID- 29829777 TI - The Universities in Research and in Practice. PMID- 29829778 TI - A Successful View Day. PMID- 29829779 TI - Round the Hospitals. PMID- 29829780 TI - Its Objects Attained. PMID- 29829781 TI - Why There Is No Poor Law. PMID- 29829782 TI - The Dangerous Telephone-Box. PMID- 29829784 TI - Professional Secrecy and Professional Confidences. PMID- 29829783 TI - Union in the Nursing Profession. PMID- 29829786 TI - The Medical Curriculum. PMID- 29829785 TI - Parliament and the Professions. PMID- 29829787 TI - Health Insurance. PMID- 29829788 TI - King's Fund Emergency Distribution. PMID- 29829789 TI - Tax-Free Benefactions. PMID- 29829790 TI - Liverpool Child Welfare. PMID- 29829792 TI - Six Short Welfare Conferences. PMID- 29829791 TI - The Doctor and His Patient. PMID- 29829794 TI - Health Versus Disease. PMID- 29829793 TI - World Housing Conference. PMID- 29829795 TI - The "Will to Health." PMID- 29829796 TI - The Place of Industrial Medicine. PMID- 29829797 TI - Some Essential Considerations. PMID- 29829798 TI - Hygiene and the Elementary School Teacher. PMID- 29829799 TI - Parliament and the Professions. PMID- 29829800 TI - Hostels for Unmarried Mothers. PMID- 29829801 TI - The National Relief Fund. PMID- 29829802 TI - Nurses' Hours. PMID- 29829804 TI - The Obstetric Training of the Medical Student. PMID- 29829803 TI - The Supply of Doctors. PMID- 29829806 TI - Sportsmen and Charity. PMID- 29829805 TI - Round the Hospitals. PMID- 29829808 TI - The Views of a Provincial Hospital Secretary. PMID- 29829807 TI - News from South Africa. PMID- 29829809 TI - Severe Criticism. PMID- 29829811 TI - Impressions from Brussels. PMID- 29829810 TI - Experiments on Animals. PMID- 29829812 TI - Specially Communicated by an M.O.H. PMID- 29829813 TI - From across the Seas. PMID- 29829814 TI - Not Substitutes for Mothers. PMID- 29829815 TI - Nurses and an Eight-Hour Day. PMID- 29829816 TI - Hospital and Institutional News. PMID- 29829817 TI - Self-Determination for Nurses. PMID- 29829819 TI - General Nursing Council for Scotland. PMID- 29829818 TI - A Promising Aid to Therapy. PMID- 29829821 TI - The Backbone of the College Finances. PMID- 29829820 TI - Round the Hospitals. PMID- 29829822 TI - Welfare in Factories. PMID- 29829823 TI - Hospital and Institutional News. PMID- 29829824 TI - Behind the Scenes on Hospital Sunday. PMID- 29829825 TI - Child Welfare in Manchester. PMID- 29829826 TI - A Sanatorium Protest. PMID- 29829827 TI - The Spirit of Sacrifice and Service. PMID- 29829828 TI - Great Men and Movements of the past. PMID- 29829829 TI - Parliament and the Professions. PMID- 29829830 TI - Should They Be Relinquished for the Countryside? PMID- 29829831 TI - Hospitals and Their Special Needs. PMID- 29829832 TI - A Wider Field. PMID- 29829833 TI - The Chivalrous Lord Chancellor. PMID- 29829834 TI - London Needs L350,000 Now. PMID- 29829835 TI - Annual Meeting of Governors. PMID- 29829837 TI - An Emergency Distribution of L250,000. PMID- 29829836 TI - Royal British Nurses' Association. PMID- 29829838 TI - A Suggestion to the Three Funds. PMID- 29829839 TI - Fifth Annual Meeting. PMID- 29829841 TI - 1919. A Year's Work in the Hospitals and Medical Charities of London. PMID- 29829840 TI - Do the People Understand? PMID- 29829842 TI - The Threat from the East and the Tropics. PMID- 29829843 TI - Special Hospitals and Graduate Study. PMID- 29829844 TI - The Opportunities and Outlook. PMID- 29829845 TI - Its Attractions and Prospects. PMID- 29829846 TI - State Registration and Its Values. PMID- 29829847 TI - Cambridge University Course. PMID- 29829848 TI - The Royal Naval Medical Service. PMID- 29829849 TI - Graduate Education and Institutions. PMID- 29829850 TI - The Fellowship of the Royal College of Surgeons. PMID- 29829851 TI - Bishops and the Birth-Rate. PMID- 29829852 TI - The Future of Medicine and the Medical Profession. PMID- 29829853 TI - The Work of the Fellowship of Medicine. PMID- 29829855 TI - Medical Schools in Scotland. PMID- 29829854 TI - Increases in Nurses' Retired Pay. PMID- 29829857 TI - Psychology in Tuberculosis. PMID- 29829856 TI - Navy, Army, Air and Colonial Services. PMID- 29829858 TI - The Royal Army Medical Corps. PMID- 29829859 TI - The Infirmary Branch and Its Attractions for the Newly Qualified. PMID- 29829861 TI - The English Conjoint Course. PMID- 29829860 TI - Needs Must When. PMID- 29829862 TI - Needs Must When. PMID- 29829864 TI - London. PMID- 29829863 TI - Making the Public Understand. PMID- 29829866 TI - Oxford University Course. PMID- 29829865 TI - Research and the Medical Student. PMID- 29829867 TI - Medical Schools in the Provinces. PMID- 29829868 TI - Medical Schools in Ireland. PMID- 29829870 TI - Qualification and Registration. PMID- 29829869 TI - Some Advice to Those Now Entering. PMID- 29829871 TI - What It Offers to the Newly-Qualified and Others. PMID- 29829872 TI - Higher Diplomas. PMID- 29829873 TI - School Medical and Nursing Services in South Africa. PMID- 29829874 TI - Hospital and Institutional News. PMID- 29829875 TI - London University Course. PMID- 29829876 TI - Work of the Port of London Sanitary Committee. PMID- 29829878 TI - The Uses of a Syllabus. PMID- 29829877 TI - The New Local Hospital Committees. PMID- 29829879 TI - A Complete Programme of Child Welfare. PMID- 29829880 TI - Round the Hospitals. PMID- 29829882 TI - Notes of the Week. PMID- 29829881 TI - Distribution of L100,170. PMID- 29829884 TI - The Relation of the Medical Profession. PMID- 29829883 TI - Buying Difficulties of the Present Day. PMID- 29829886 TI - Doctors' Fees and Patients' Payments. PMID- 29829885 TI - Parliament and the Professions. PMID- 29829887 TI - The Westminster Conference. PMID- 29829888 TI - General Nursing Council for Scotland. PMID- 29829890 TI - The Pay of the Nurse. V.-A Comparison with Other Occupations. PMID- 29829889 TI - Literature and License. PMID- 29829891 TI - The Refuse Disposal of London. PMID- 29829892 TI - Resident Operating Surgeons? PMID- 29829894 TI - The Doctor and the Strike. PMID- 29829893 TI - The Truth about Venereal Disease. PMID- 29829895 TI - A Public Warning. PMID- 29829896 TI - A New Light on Florence Nightingale. PMID- 29829897 TI - Dr. Addison Goes. PMID- 29829898 TI - Notes of the Week. PMID- 29829899 TI - Some Valuable Notes for Practitioners. PMID- 29829900 TI - Annual Meetings of Hospitals. PMID- 29829902 TI - The Repair of Graves and Head-Stones. PMID- 29829901 TI - Nurses Want a Career. PMID- 29829903 TI - Caring for the Adolescent. PMID- 29829904 TI - Dublin Castle and the Royal College of Surgeons. PMID- 29829905 TI - Should Nurses Smoke? PMID- 29829906 TI - The Cause of Medicine. PMID- 29829907 TI - A Reflection. PMID- 29829908 TI - Round the Hospitals. PMID- 29829909 TI - The Registered Children's Nurse. PMID- 29829910 TI - Round the Hospitals. PMID- 29829911 TI - The New Methods of Treatment. PMID- 29829912 TI - An Appreciation. PMID- 29829913 TI - Educational Films. PMID- 29829914 TI - Two Methods of Nursing Insured Persons. PMID- 29829915 TI - Harley Street. PMID- 29829916 TI - The Moral of Recent Experience. PMID- 29829918 TI - Notes of the Week. PMID- 29829917 TI - Mr. Keyser's Proposal. PMID- 29829919 TI - Fighting a Universal Plague. PMID- 29829921 TI - The Federation of Medical and Allied Societies. PMID- 29829920 TI - The Hospital Pageant Meeting. PMID- 29829923 TI - The Search for the Soul. PMID- 29829922 TI - Closing of Wards at the London Hospital. PMID- 29829924 TI - The Departmental Committee's Report. PMID- 29829925 TI - The Best Methods for Newly Claimed Areas. PMID- 29829926 TI - The Royal British Nurses' Association Club. PMID- 29829927 TI - The Economy of Child-Saving. PMID- 29829929 TI - The Hospital Pageant. PMID- 29829928 TI - "Saving" Half-A-Million. PMID- 29829930 TI - General Agreement. PMID- 29829931 TI - The Year's Work of the College of Nursing. PMID- 29829932 TI - Lectures for Mothers. PMID- 29829933 TI - The Typhus Situation. PMID- 29829934 TI - Conferences at the Nursing and Midwifery Exhibition. PMID- 29829935 TI - Parliament and the Professions. PMID- 29829936 TI - Round the Hospitals. PMID- 29829937 TI - The Profession and the Ministry. PMID- 29829939 TI - Annual Meetings of Hospitals. PMID- 29829938 TI - From the Patient's Point of View. PMID- 29829940 TI - X-Ray and Radium Protection Committee. PMID- 29829941 TI - Industrially Employed Mothers. PMID- 29829942 TI - Customs, Fashions and Colds. PMID- 29829943 TI - Notes of the Week. PMID- 29829944 TI - Happy Old Age. PMID- 29829945 TI - The New Secretary of Westminster Hospital. PMID- 29829947 TI - A Hospital Pageant? PMID- 29829946 TI - Customs to Be Condemned. PMID- 29829949 TI - Parliament and the Professions. PMID- 29829948 TI - Freedom of the General Nursing Council Imperilled. PMID- 29829951 TI - The New Spirit of Reciprocity. PMID- 29829950 TI - Brightening Medical Reports. PMID- 29829953 TI - Why Animal Experiment Is Necessary. PMID- 29829952 TI - Is a Workable Scheme Still to Be Found? PMID- 29829954 TI - Notes of the Week. PMID- 29829955 TI - A "Red Cross" Warning. PMID- 29829956 TI - Annual Meetings of Hospitals. PMID- 29829957 TI - Industrial Health. PMID- 29829958 TI - Round the Hospitals. PMID- 29829959 TI - The College Council Elections. PMID- 29829960 TI - An Address to the Kensington Branch of the League of Nations Union. PMID- 29829961 TI - On Looking the Age of Consent. PMID- 29829962 TI - The Pay of the Nurse. VI.-The Lack of Superannuation. PMID- 29829963 TI - Notes of the Week. PMID- 29829964 TI - Some Orthopaedic Principles Explained. PMID- 29829965 TI - Round the Hospitals. PMID- 29829966 TI - A First Publication by the International Labour Office. PMID- 29829967 TI - Annual Meetings of Hospitals. PMID- 29829968 TI - A C 3 "Bogey". PMID- 29829969 TI - Health in the Schools. PMID- 29829970 TI - Lectures to Patients. PMID- 29829972 TI - The City Road. PMID- 29829971 TI - Should Nurses Strike? PMID- 29829973 TI - The Edinburgh Tuberculosis Decision. PMID- 29829974 TI - Village and Country Town Concerts. PMID- 29829976 TI - Parliament and the Professions. PMID- 29829975 TI - The Events of a Critical Period. PMID- 29829978 TI - The Rat Pest. PMID- 29829977 TI - A General Effort. PMID- 29829979 TI - Draft Rules Now Available. PMID- 29829980 TI - The Notification of Measles. PMID- 29829982 TI - The Economic Waste of Illness. PMID- 29829981 TI - Round the Hospitals. PMID- 29829983 TI - An Active Building Programme at Leicester. PMID- 29829984 TI - The Government and the Hospitals. PMID- 29829986 TI - The Federation of Medical and Allied Societies. PMID- 29829985 TI - What Recent Announcements Really Mean. PMID- 29829987 TI - Crime and Unemployment. PMID- 29829988 TI - The Folkestone Health Congress. PMID- 29829989 TI - The Conference at Manchester. PMID- 29829990 TI - The Anthrax Order. PMID- 29829992 TI - The Manchester Conference of 1911. PMID- 29829991 TI - Notes of the Week. PMID- 29829993 TI - Fever Nurses and the General Register. PMID- 29829994 TI - Mr. Keyser's Proposal. PMID- 29829995 TI - Notes of the Week. PMID- 29829996 TI - The Spirit of Charity and Its Origin. PMID- 29829997 TI - A Blind Policy. PMID- 29829998 TI - The Voluntary Hospitals Committee. PMID- 29829999 TI - The Cirencester Experiment. PMID- 29830000 TI - The Forthcoming State Register. PMID- 29830002 TI - Some Essentials in Diagnosing Abdominal Cases. PMID- 29830001 TI - Refinements in Radiography. PMID- 29830003 TI - Call in the Doctor. PMID- 29830004 TI - Meeting of the General Nursing Council for England and Wales. PMID- 29830005 TI - The Widening Fields of Public Health. PMID- 29830007 TI - A New International Nursing Course. PMID- 29830006 TI - Recreation and Juvenile Crime. PMID- 29830008 TI - The Cave Report. PMID- 29830009 TI - Round the Hospitals. PMID- 29830010 TI - The Death-Rate of Mothers. PMID- 29830011 TI - The Dangerous Drugs Hospital Scheme. PMID- 29830013 TI - Bacteriological Pitfalls. PMID- 29830012 TI - Official Advice. PMID- 29830014 TI - Round the Hospitals. PMID- 29830015 TI - Parliament and the Professions. PMID- 29830016 TI - Annual Meeting. PMID- 29830017 TI - Doctor and Patient. PMID- 29830019 TI - Some Light on a Recent Controversy. PMID- 29830018 TI - The King's Fund and a Hospital Policy. PMID- 29830020 TI - Maternity and Child-Welfare Centres. PMID- 29830021 TI - The Future of the Infirmary. PMID- 29830022 TI - The Plea of Impulse. PMID- 29830023 TI - Notes of the Week. PMID- 29830024 TI - Red Cross Conference on Venereal Diseases. PMID- 29830025 TI - The Onus of Helping Necessitous Nurses. PMID- 29830026 TI - Sympathetic Encouragement to Group Clinics. PMID- 29830027 TI - The Practice of Birth-Control. PMID- 29830028 TI - Instructing the Public. PMID- 29830029 TI - Superannuation and the Young Nurse. PMID- 29830030 TI - Conditions of Admission to the Register. PMID- 29830031 TI - Interim Report by King's Fund Policy Committee. PMID- 29830032 TI - King Edward's Fund Policy. PMID- 29830033 TI - Annual Meetings of Hospitals. PMID- 29830035 TI - Medical Officers and Food Problems. PMID- 29830034 TI - Parliament and the Professions. PMID- 29830037 TI - Notes of the Week. PMID- 29830036 TI - Facts for and against. PMID- 29830038 TI - Round the Hospitals. PMID- 29830039 TI - Waist-Bands for Fat Men. PMID- 29830040 TI - The Absence of Educational Grades. PMID- 29830041 TI - The Short Cut to Sanity. PMID- 29830043 TI - The Organised Practice of Massage. PMID- 29830042 TI - Possible Economies with Steam Boilers. PMID- 29830044 TI - The Pay of the Nurse. VII.-Causes of Low Salaries. PMID- 29830045 TI - Some Notes on an Everyday Problem. PMID- 29830047 TI - The Almoners' Council and Patients' Payments. PMID- 29830046 TI - Consult the Doctor. PMID- 29830049 TI - Athletics for Girls. PMID- 29830048 TI - Security for the Masseur and the Masseuse. PMID- 29830050 TI - A Plea for More Drastic Control. PMID- 29830051 TI - School Clinics. PMID- 29830052 TI - The Employer's Liability. PMID- 29830053 TI - The Crisis Once More. PMID- 29830054 TI - Hospital Claims and the Insurance Surplus. PMID- 29830055 TI - Possible Economies with Steam Boilers. PMID- 29830056 TI - Notes of the Week. PMID- 29830057 TI - Government Food Pamphlets. PMID- 29830058 TI - Human Ideals in Industry. PMID- 29830059 TI - Counter-Irritation as a Means to Co-Ordination. PMID- 29830060 TI - "Carriers" of Disease. PMID- 29830061 TI - The Next Step at the "London". PMID- 29830062 TI - First-Year Training-Schools. PMID- 29830063 TI - The Fly Pest. PMID- 29830064 TI - The Modern Treatment of Ringworm. PMID- 29830065 TI - Parliament and the Professions. PMID- 29830066 TI - Is a Hospital Pageant Practicable? PMID- 29830067 TI - Round the Hospitals. PMID- 29830068 TI - Annual Meetings of Hospitals. PMID- 29830069 TI - Is a Hospital Pageant Practicable? PMID- 29830070 TI - Is a Hospital Pageant Practicable? PMID- 29830071 TI - Is a Hospital Pageant Practicable? PMID- 29830072 TI - King Edward's Memorial Homes for Nurses. PMID- 29830073 TI - The Practice of Birth-Control. PMID- 29830074 TI - The Elixir of Youth. PMID- 29830075 TI - Parliament and the Professions. PMID- 29830076 TI - The General Nursing Council of England and Wales. PMID- 29830077 TI - Doctor and Patient. PMID- 29830078 TI - Sir George Newman's Annual Report. PMID- 29830079 TI - The King's Fund and the Government Grant. PMID- 29830081 TI - Notes of the Week. PMID- 29830080 TI - Unveiling by the Duke of York. PMID- 29830082 TI - The Use and Abuse of Medical Literature. PMID- 29830083 TI - Powers Obtained by Grimsby Corporation. PMID- 29830084 TI - Acquisitions and Research. PMID- 29830085 TI - Competition Thesis in Radiography and Electro-Therapy. PMID- 29830086 TI - A Still Greater Effort Required. PMID- 29830087 TI - The Non-Residential Preliminary School. PMID- 29830088 TI - Official Policy Defined. PMID- 29830089 TI - Round the Hospitals. PMID- 29830090 TI - A Note on Scottish Hospital History. PMID- 29830091 TI - As Organised by and Worked at the Radcliffe Infirmary. PMID- 29830092 TI - Parliament and the Professions. PMID- 29830093 TI - A Lesson from America. PMID- 29830094 TI - Some Reflections by an Ex-Patient. PMID- 29830095 TI - "The Surgeon's Daughter," by Sir Walter Scott. PMID- 29830096 TI - Some Results of Nurses' Insurance. PMID- 29830097 TI - The Prince at Bristol and Cardiff. PMID- 29830099 TI - The Financial Crisis. PMID- 29830098 TI - Co-Operation Schemes. PMID- 29830100 TI - An Age of Specialism. PMID- 29830101 TI - Notes of the Week. PMID- 29830102 TI - Dangerous Drugs Act. PMID- 29830103 TI - The Voluntary Hospitals Committee. PMID- 29830104 TI - Notes on the Cave Committee's Report. PMID- 29830105 TI - Opening of the Official Home. PMID- 29830106 TI - Closed Ward Reopened at Norwich. PMID- 29830108 TI - A Temple of Harmony. PMID- 29830107 TI - Cholera at Salonica. PMID- 29830110 TI - Electrical Thermometers and Boiler Temperatures. PMID- 29830111 TI - The Registration of Scottish Fever Nurses. PMID- 29830109 TI - Discharging Patients for Lack of Nurses. PMID- 29830112 TI - Round the Hospitals. PMID- 29830113 TI - Sanitary Reform. PMID- 29830114 TI - Round the Hospitals. PMID- 29830115 TI - Waist-Bands for Fat Men. PMID- 29830117 TI - The Fight against Disease. PMID- 29830116 TI - Research on the Common Fevers. PMID- 29830118 TI - Annual Meetings of Hospitals. PMID- 29830119 TI - What Is a Colloid? PMID- 29830120 TI - Parliament and the Professions. PMID- 29830121 TI - War Memorial Hospital in Zululand. PMID- 29830123 TI - The Practice of Birth-Control. PMID- 29830122 TI - An Address to the Kensington Branch of the League of Nations Union. PMID- 29830124 TI - Children and Crime. PMID- 29830125 TI - The Healthy Mind. PMID- 29830127 TI - The Editor's Letter-Box. PMID- 29830126 TI - The Appeal of the Invalid Child. PMID- 29830128 TI - The Pay of the Nurse. VIII.-The Outlook for the Future. PMID- 29830129 TI - A Training for Hospital Executives. PMID- 29830131 TI - Popular Health Methods. PMID- 29830130 TI - Notes of the Week. PMID- 29830132 TI - The Illegitimate Child. PMID- 29830133 TI - A Paying Hospital for All Classes and All Incomes. PMID- 29830135 TI - The Hospital Profession. PMID- 29830134 TI - An Industrial Clinic. PMID- 29830137 TI - The Effects of Invisible Solar Rays. PMID- 29830136 TI - The British Hospitals Association. PMID- 29830139 TI - The "Newman Policy". PMID- 29830138 TI - The Fly Pest. PMID- 29830140 TI - The Editor's Letter-Box. PMID- 29830142 TI - Annual Meetings of Hospitals. PMID- 29830141 TI - The Guardianship of Children. PMID- 29830144 TI - Parliament and the Profession. PMID- 29830143 TI - The Editor's Letter-Box. PMID- 29830145 TI - Medical Representation. PMID- 29830146 TI - Round the Hospitals. PMID- 29830148 TI - Notes of the Week. PMID- 29830147 TI - The Editor's Letter-Box. PMID- 29830149 TI - One Portal-with a Difference. PMID- 29830151 TI - Paying Patients in Poor-Law Infirmaries. PMID- 29830150 TI - The Royal Hospital for Incurables. PMID- 29830152 TI - The Draft Syllabus: Official Explanation. PMID- 29830153 TI - Alternative and Reciprocal Training. PMID- 29830154 TI - The Hospital Pageant. PMID- 29830155 TI - The National Children Adoption Association. PMID- 29830156 TI - "Qualified Nurses" and Their Qualifications. PMID- 29830157 TI - A "Revolting" Crime in Scotland. PMID- 29830159 TI - A Newcastle Programme. PMID- 29830158 TI - Is a Hospital Pageant Practicable? PMID- 29830161 TI - Some Public-Health Questions Discussed. PMID- 29830160 TI - Child Welfare at Brussels. PMID- 29830162 TI - The Hospital Debates. PMID- 29830163 TI - The Testamentary Habits of Legators. PMID- 29830164 TI - Diplomas in Radiography. PMID- 29830165 TI - Notes of the Week. PMID- 29830166 TI - How Co-Operation Must Begin. PMID- 29830168 TI - Round the Hospitals. PMID- 29830167 TI - Non-Residential Preliminary Schools. PMID- 29830170 TI - Parliament and the Professions. PMID- 29830169 TI - The New Territorial Force Nursing Service. PMID- 29830172 TI - Executive Committee Formed. PMID- 29830171 TI - The Record of an Active Year. PMID- 29830173 TI - A Feature of Recent Progress. PMID- 29830174 TI - The Derelict Child and the State. PMID- 29830175 TI - The International Union against Tuberculosis. PMID- 29830176 TI - Scotland and the College. PMID- 29830178 TI - The Census. PMID- 29830177 TI - Incipient Insanity and Home Life. PMID- 29830179 TI - The International Journal of Public Health. PMID- 29830180 TI - The Nile from the Point of View of Health. PMID- 29830182 TI - Ireland's Early Provision for the Sick. PMID- 29830181 TI - Registration of Fever Nurses. PMID- 29830183 TI - A University Diploma for Nurses. PMID- 29830184 TI - Welfare Work in Jeopardy. PMID- 29830185 TI - Medical Secrecy. PMID- 29830186 TI - Hospital Sunday Special Supplement. PMID- 29830187 TI - Nursing Diploma of the University of Leeds. PMID- 29830188 TI - Round the Hospitals. PMID- 29830189 TI - A New Light on Vitamines. PMID- 29830190 TI - Games for Girls. PMID- 29830191 TI - Notes of the Week. PMID- 29830192 TI - The Private Clinic System in Great Britain. PMID- 29830194 TI - Prevention of V.D. PMID- 29830193 TI - Dentistry and the Dentists Bill. PMID- 29830195 TI - Post-Graduate Medical Education. PMID- 29830196 TI - Their Uses and Manufacture. PMID- 29830198 TI - The Institutional Worker. PMID- 29830197 TI - The Value of the Little Hospitals. PMID- 29830199 TI - The Ministry of Health Bill. PMID- 29830200 TI - The General Nursing Council for England and Wales. PMID- 29830201 TI - A Clinic for Mothers. PMID- 29830202 TI - Queen Square. PMID- 29830204 TI - Parliament and the Professions. PMID- 29830203 TI - Should Nurses Smoke? PMID- 29830206 TI - The American Plan of Hospital Service. PMID- 29830205 TI - The New Health Act. PMID- 29830207 TI - The American Plan of Hospital Service. PMID- 29830208 TI - The Planning of Cottage Hospitals. PMID- 29830210 TI - Abdominal Pain in Children. PMID- 29830209 TI - India's Vital Statistics. PMID- 29830211 TI - Post-War "Nerves". PMID- 29830212 TI - Crime and Psycho-Analysis. PMID- 29830214 TI - More about Flogging. PMID- 29830213 TI - The Peril of the Pocket-Handkerchief. PMID- 29830215 TI - Scottish Matrons' Association. PMID- 29830216 TI - The Pay of the Nurse.-IV. The Ill-Effects of the Late Start in Life. PMID- 29830218 TI - A Physician's Anthology. PMID- 29830217 TI - Round the Hospitals. PMID- 29830219 TI - Notes of the Week. PMID- 29830220 TI - Headmistresses on Nursing as a Profession. PMID- 29830221 TI - Annual Meetings of Hospitals. PMID- 29830222 TI - Eye Injuries in Film Production. PMID- 29830223 TI - Hospital Conditions in London Sixty Years Ago. PMID- 29830224 TI - Past and Future Work. PMID- 29830225 TI - Scientific Massage versus Ineffectual Rubbing. PMID- 29830227 TI - The Limitations of Dentistry. PMID- 29830226 TI - Sister Tutors for Mental Hospitals. PMID- 29830228 TI - The Amended Syllabus of Nursing Education. PMID- 29830229 TI - Notes of the Week. PMID- 29830230 TI - The Panel Doctor. PMID- 29830231 TI - The Energy Values of Food. PMID- 29830232 TI - Health and Education in Yugo-Slavia. PMID- 29830233 TI - From Weekly Journal to Monthly Review. PMID- 29830235 TI - An Eighteenth-Century Hospital. PMID- 29830234 TI - Round the Hospitals. PMID- 29830236 TI - The Plight of a Bombay Hospital. PMID- 29830237 TI - Purifying Tidal Rivers. PMID- 29830239 TI - Insanity and Research. PMID- 29830238 TI - Grants for Nurse-Training Schools. PMID- 29830241 TI - The Cure and Control of Cancer. PMID- 29830240 TI - The Nursing Department in the Annual Report. PMID- 29830243 TI - A Year's Work of the Ministry of Health. PMID- 29830242 TI - A Note on Its Treatment and Prevalence. PMID- 29830245 TI - Lord Onslow and Local Committees. PMID- 29830244 TI - Diplomas in Radiography. PMID- 29830247 TI - Round the Hospitals. PMID- 29830246 TI - Notes of the Week. PMID- 29830249 TI - The Voluntary Hospitals Commission. PMID- 29830248 TI - Institutional Needs. PMID- 29830251 TI - Practical Points. PMID- 29830250 TI - Higher Charges for Distant Patients? PMID- 29830252 TI - Provisions Relating to Hospitals and Institutions. PMID- 29830253 TI - Work for Disabled Soldiers. PMID- 29830254 TI - Present Considerations and Future Outlook. PMID- 29830255 TI - The Question of Mass Contributions. PMID- 29830256 TI - Nurses' Registration Act, 1919. PMID- 29830257 TI - The Letters of a Layman. PMID- 29830259 TI - Doctors in the Witness-Box. PMID- 29830258 TI - A Necessary Part of Preventive Medicine. PMID- 29830261 TI - Parliament and the Professions. PMID- 29830260 TI - Round the Hospitals. PMID- 29830263 TI - The National Network of Nurses and Midwives. PMID- 29830262 TI - The Progress of Psycho-Analysis. PMID- 29830264 TI - Notes of the Week. PMID- 29830265 TI - The Sequel to the Mansion House Meeting. PMID- 29830266 TI - The Association of Hospital Matrons. PMID- 29830267 TI - More Letters of a Layman: A Postscript. PMID- 29830269 TI - War Pensions Administration. PMID- 29830268 TI - The Sister-Tutor as an Aid to Economy. PMID- 29830270 TI - A Layman's Letter Answered. PMID- 29830272 TI - The Conference on Child Welfare. PMID- 29830271 TI - The Period between School-Leaving and Hospital Training. PMID- 29830273 TI - Round the Hospitals. PMID- 29830274 TI - Health Problems in India. PMID- 29830276 TI - The Census Report. PMID- 29830275 TI - Modified Optimism. PMID- 29830278 TI - Hospital Treatment as an Additional Benefit. PMID- 29830277 TI - A Cheerful Report from Ipswich. PMID- 29830280 TI - Higher Charges for Distant Patients. PMID- 29830279 TI - Statistics and Conclusions. PMID- 29830282 TI - The Charity Organisation Society. PMID- 29830281 TI - Notes of the Week. PMID- 29830283 TI - Asylum Medical Work. PMID- 29830284 TI - A New Departure and a Valuable Analysis. PMID- 29830285 TI - Insanity Can Be Cured. PMID- 29830286 TI - The Prohibition Issue. PMID- 29830288 TI - Round the Hospitals. PMID- 29830287 TI - The Bonus Decrease. PMID- 29830289 TI - What the Peace Programme Has Done. PMID- 29830290 TI - The Battle of Jutland Film. PMID- 29830291 TI - Tuberculous Cripples. PMID- 29830292 TI - The Inspiration of Example. PMID- 29830293 TI - An Analysis of Seventy-Three Appeals. PMID- 29830294 TI - The National Provident Scheme. PMID- 29830296 TI - Economies and Sources of Income. PMID- 29830295 TI - Floors and Walls of Operating-Theatres. PMID- 29830297 TI - A Dream of Health. PMID- 29830298 TI - Notes of the Week. PMID- 29830300 TI - The Welfare of Migrants: World's Y.W.C.A. Report. PMID- 29830299 TI - Medical Manners and Mystery. PMID- 29830301 TI - Nurses as the Pioneer New Women. PMID- 29830302 TI - Rays from the Eye. PMID- 29830303 TI - The Mental Hospitals Association. PMID- 29830304 TI - The Metropolitan Asylums Board Report for 1920-21. PMID- 29830306 TI - Colonies for Mental Defectives. PMID- 29830305 TI - The Sites of Mental Hospitals. PMID- 29830307 TI - Parliament and the Professions. PMID- 29830308 TI - The Attitude of the Public. PMID- 29830309 TI - Qualifications and Study. PMID- 29830310 TI - Round the Hospitals. PMID- 29830311 TI - Health Administration by County Councils. PMID- 29830312 TI - Co-Ordination in Local Units. PMID- 29830314 TI - Publicity and Public Health. PMID- 29830313 TI - A County Tuberculosis Scheme. PMID- 29830315 TI - Diplomas in Radiography. PMID- 29830316 TI - A Mass of Interesting Detail. PMID- 29830317 TI - Women in Medicine. PMID- 29830318 TI - Notes of the Week. PMID- 29830319 TI - Prison Reform. PMID- 29830320 TI - The Scottish Syllabus. PMID- 29830321 TI - Nurses Entitled to Registration. PMID- 29830322 TI - How Do They Really Arise? PMID- 29830323 TI - To Readers of "The Hospital." PMID- 29830324 TI - Scotland's Care for Sanitary Science. PMID- 29830325 TI - Barrier Nursing in Fever Cases. PMID- 29830326 TI - Institutional Needs. PMID- 29830328 TI - Municipal Hospital and Clinical Benefits. PMID- 29830327 TI - The Hospital Position at Wakefield. PMID- 29830329 TI - Our Unvaccinated Population Steadily Increasing. PMID- 29830330 TI - Under Ideal Conditions. PMID- 29830331 TI - Planning the Autumn Campaign. PMID- 29830332 TI - Better Teaching in the Schools. PMID- 29830333 TI - Condition of the Patients. PMID- 29830334 TI - The Finances of Metropolitan Hospitals. PMID- 29830335 TI - Ringworm Clinics. PMID- 29830336 TI - An Encyclical from Charing Cross. PMID- 29830338 TI - Converting Coal-Burning Boiler Furnaces to Oil. PMID- 29830337 TI - Parliament and the Professions. PMID- 29830339 TI - Round the Hospitals. PMID- 29830340 TI - "Progress" and the Hospital Pageant. PMID- 29830341 TI - Notes of the Week. PMID- 29830342 TI - Suggested Methods of Development. PMID- 29830343 TI - An Exchange with "The Hospital." PMID- 29830344 TI - Unconscious Malingering in Childhood. PMID- 29830346 TI - Navy, Army, Air and Colonial Services. PMID- 29830345 TI - The Military and Civil Services. PMID- 29830347 TI - Cambridge University Course. PMID- 29830348 TI - The Medical Profession and the Public Well-Being. PMID- 29830349 TI - Medical Schools in the Provinces. PMID- 29830350 TI - Special Hospitals. PMID- 29830351 TI - Oxford University Course. PMID- 29830352 TI - Graduate Education and Institutions. PMID- 29830353 TI - The Medical Schools of the United Kingdom. PMID- 29830354 TI - A New Career for Medical Men. PMID- 29830355 TI - Research and the Medical Student. PMID- 29830356 TI - Medical Schools in Ireland. PMID- 29830357 TI - Inside the Asylum. PMID- 29830358 TI - Higher Diplomas. PMID- 29830360 TI - Medical Schools in Scotland. PMID- 29830359 TI - Parliament and the Professions. PMID- 29830361 TI - Notes of the Week. PMID- 29830362 TI - The Fellowship of the Royal College of Surgeons. PMID- 29830363 TI - Nursing under the Ministry of Health. PMID- 29830364 TI - The English Conjoint Course. PMID- 29830366 TI - Qualification and Registration. PMID- 29830365 TI - London University Course. PMID- 29830367 TI - Appendicitis. PMID- 29830368 TI - Construction Notes. PMID- 29830369 TI - Hospital Festivals and Meetings. PMID- 29830370 TI - Progress in Medicine. PMID- 29830372 TI - Water Pressure Accumulator. PMID- 29830371 TI - Notes and News. PMID- 29830373 TI - Case of Hysterical Knee. PMID- 29830374 TI - New Appliances and Things Medical. PMID- 29830375 TI - Ventro-Fixation of the Uterus. PMID- 29830376 TI - The New Institution for Epileptics in Berlin. PMID- 29830377 TI - On Modern Progress in Ophthalmic Medicine and Surgery: Inflammation of the Iris. PMID- 29830379 TI - Annotations. PMID- 29830378 TI - Some Later Herbalists. PMID- 29830380 TI - Practical Points. PMID- 29830381 TI - The Story of the Insane from Year to Year. PMID- 29830382 TI - The Hospital Nursing Supplement. PMID- 29830383 TI - The Chelsea Hospital for Women. PMID- 29830384 TI - The Power of the General Medical Council. PMID- 29830385 TI - Malignant Growths. PMID- 29830387 TI - Therapeutics and the Lesser Circulation: II. PMID- 29830386 TI - Walnut Lodge Hospital Hartford, Ct. PMID- 29830388 TI - Notes and News. PMID- 29830389 TI - Annotations. PMID- 29830390 TI - The Hospital Nursing Supplement. PMID- 29830391 TI - Where the Silky Cotton Grows. PMID- 29830392 TI - Progress in Medicine. PMID- 29830393 TI - Burning Questions. PMID- 29830395 TI - Hospital Festivals and Meetings. PMID- 29830394 TI - Progress in Surgery. PMID- 29830397 TI - On Hemiplegia. PMID- 29830396 TI - Bedsteads and Bedding. PMID- 29830398 TI - New Drugs and Preparations. PMID- 29830399 TI - Channels of Infection. PMID- 29830400 TI - Progress in Medicine. PMID- 29830401 TI - The Future of Serum Therapeutics. PMID- 29830402 TI - The Radcliffe Infirmary, Oxford. PMID- 29830403 TI - Chronic Catarrh of the Middle Ear: VI.-Treatment. PMID- 29830404 TI - The Genesis and Treatment of Hyperpyrexia. PMID- 29830405 TI - Unqualified Practice at Hospitals. PMID- 29830406 TI - Emigrants: Whence They Come and Where They Go. PMID- 29830407 TI - Hospital Festivals and Meetings. PMID- 29830409 TI - Progress in Surgery. PMID- 29830408 TI - Notes and News. PMID- 29830410 TI - Practical Departments. PMID- 29830411 TI - New Appliances and Things Medical. PMID- 29830412 TI - Great Northern Central Hospital. PMID- 29830414 TI - Annotations. PMID- 29830413 TI - The Hospital Nursing Supplement. PMID- 29830415 TI - The Story of the Insane from Year to Year. PMID- 29830416 TI - Bedsteads. PMID- 29830417 TI - Traumatic Ulnar Nerve Paralysis.-II. PMID- 29830418 TI - New Drugs and Appliances. PMID- 29830419 TI - Progress in Surgery. PMID- 29830420 TI - Cystitis. PMID- 29830422 TI - The Divorce between Medicine and Surgery. PMID- 29830421 TI - Construction Notes. PMID- 29830423 TI - Progress in Medicine. PMID- 29830424 TI - The Middlesex Hospital. PMID- 29830425 TI - Notes and News. PMID- 29830426 TI - Hypertrophy of the Prostrate. PMID- 29830427 TI - All Saints Convalescent Hospital, Eastbourne. PMID- 29830428 TI - Language and Race in Europe. PMID- 29830429 TI - The Library of the Good Huswife. PMID- 29830430 TI - The Hospital Nursing Supplement. PMID- 29830432 TI - Hospitals in Australia. PMID- 29830431 TI - Annotations. PMID- 29830433 TI - Annotations. PMID- 29830434 TI - Electric Lighting for Hospitals. PMID- 29830435 TI - Disease of the Heart and Vascular System. PMID- 29830436 TI - Practical Points. PMID- 29830438 TI - Progress in Surgery. PMID- 29830437 TI - The Field of Science. PMID- 29830440 TI - The "Red Chamber" Treatment of Small-Pox Patients. PMID- 29830439 TI - The New Craig House Asylum, Edinburgh. PMID- 29830442 TI - The Senile Heart. PMID- 29830441 TI - New Drugs and Preparations. PMID- 29830443 TI - Notes and News. PMID- 29830444 TI - New Appliances and Things Medical. PMID- 29830445 TI - Nurses' Home at Burmantofts (Leeds Union Infirmary). PMID- 29830446 TI - The Drug Treatment of Consumption. PMID- 29830447 TI - The Hospital Nursing Supplement. PMID- 29830448 TI - Periscope of Dermatology. PMID- 29830449 TI - On Toxic Neutralisations: III. Physiological Modification, or Catalysis. PMID- 29830451 TI - Around the Hospitals. PMID- 29830450 TI - On Toxic Neutralisations: II. Reconstitution. PMID- 29830452 TI - Hospital Sunday: Who Were Its Founders and Originators? PMID- 29830453 TI - The Story of the Insane from Year to Year. PMID- 29830455 TI - The Hospital Nursing Supplement. PMID- 29830454 TI - Injuries of Joints. PMID- 29830457 TI - Criminal Responsibility in the Insane. PMID- 29830456 TI - New Appliances and Things Medical. PMID- 29830458 TI - Domestic Economy. PMID- 29830459 TI - Notes on the Methods of Performing Paracentesis of the Various Cavities. PMID- 29830461 TI - Progress in Surgery. PMID- 29830460 TI - Annotations. PMID- 29830463 TI - The Kings of Spain. PMID- 29830462 TI - Notes and News. PMID- 29830465 TI - New Drugs and Preparations. PMID- 29830464 TI - Progress in Medicine. PMID- 29830467 TI - Around the Hospitals. PMID- 29830466 TI - Domestic Economy in Hospitals: A Reply to Mr. Ryan. PMID- 29830468 TI - Progress in Medicine. PMID- 29830469 TI - The Hospital Nursing Supplement. PMID- 29830470 TI - Progress in Surgery. PMID- 29830471 TI - The Czar's Illness and Its Lessons. PMID- 29830472 TI - Canadian Hospitals. PMID- 29830473 TI - On Modern Progress in Ophthalmic Medicine and Surgery: Iritis. PMID- 29830474 TI - Within the Hospitals. PMID- 29830475 TI - Notes and News. PMID- 29830476 TI - Chronic Catarrh of the Middle Ear.-V. PMID- 29830477 TI - Electric Lighting for Hospitals. PMID- 29830478 TI - Theories of Sanitation. PMID- 29830479 TI - Annotations. PMID- 29830480 TI - Albuminuria and Life Assurance. PMID- 29830481 TI - Progress in Medicine. PMID- 29830482 TI - Electric Lighting in Hospitals. PMID- 29830484 TI - Around the Hospitals. PMID- 29830483 TI - Conditions of Mental Enfeeblement. PMID- 29830486 TI - Sober by Act of Parliament. PMID- 29830485 TI - Ingrowing Toenail and Its Radical Cure. PMID- 29830487 TI - Construction Notes. PMID- 29830488 TI - A Visit to the Hospitals of Montreal-II. PMID- 29830489 TI - Progress in Surgery. PMID- 29830490 TI - Treatment of Perforation Peritonitis. PMID- 29830491 TI - The Hospital Nursing Supplement. PMID- 29830492 TI - The Harveian Oration. PMID- 29830493 TI - Notes and News. PMID- 29830494 TI - New Appliances and Things Medical. PMID- 29830496 TI - Cactus Grandiflorus: A Study in Therapeutics. PMID- 29830495 TI - Annotations. PMID- 29830498 TI - The Story of the Insane from Year to Year. PMID- 29830497 TI - Who Are We to Believe? PMID- 29830500 TI - New Appliances and Things Medical. PMID- 29830499 TI - Sir James Crichton Browne's Cure for Quackery. PMID- 29830501 TI - On Modern Progress in Ophthalmic Medicine and Surgery: Laminar Cataract. PMID- 29830502 TI - Hospital Construction. PMID- 29830503 TI - Progress in Surgery. PMID- 29830505 TI - Practical Departments. PMID- 29830504 TI - The Hospital Nursing Supplement. PMID- 29830507 TI - Hospital Meetings. PMID- 29830506 TI - Progress in Medicine. PMID- 29830508 TI - The Story of the Insane from Year to Year. PMID- 29830509 TI - Notes on the Methods of Performing Paracentesis of the Various Cavitives. PMID- 29830510 TI - The Opening of the Medical Schools. PMID- 29830511 TI - Passive Motion. PMID- 29830513 TI - Annotations. PMID- 29830512 TI - Notes and News. PMID- 29830515 TI - Editor's Letter-Box. PMID- 29830514 TI - Modern Medico-Psychology and Psychiatry: XII. Mental States of Alternation, Rhythm, and Periodicity. PMID- 29830516 TI - Periscope of Dermatology. PMID- 29830517 TI - The Value of Optic Neuritis in Medical Diagnosis. PMID- 29830518 TI - Domestic Economy in Hospitals. PMID- 29830519 TI - The Problem of the Poor in London. PMID- 29830520 TI - Annotations. PMID- 29830521 TI - Notes and News. PMID- 29830522 TI - The Hospital Nursing Supplement. PMID- 29830524 TI - Constuction Notes. PMID- 29830523 TI - Inheritance. PMID- 29830525 TI - Language and Race. PMID- 29830526 TI - Muscular Rheumatism. PMID- 29830528 TI - The "Red Chamber" Treatment of Small-Pox Patients. PMID- 29830527 TI - Progress in Medicine. PMID- 29830529 TI - The Pay System and the Profession. PMID- 29830530 TI - Devon and Exeter Hospital. PMID- 29830531 TI - Foreign Hospitals. PMID- 29830532 TI - Progress in Surgery. PMID- 29830533 TI - Practical Departments. PMID- 29830534 TI - Are Suicides Mad? PMID- 29830536 TI - Hospital Administration. PMID- 29830535 TI - New Drugs and Preparations. PMID- 29830537 TI - Annotations. PMID- 29830538 TI - Falmouth Cottage Hospital. PMID- 29830540 TI - The Hospital Nursing Supplement. PMID- 29830539 TI - Notes and News. PMID- 29830541 TI - The General Medical Council. PMID- 29830542 TI - Surgical Aid Society. PMID- 29830543 TI - Practical Points. PMID- 29830544 TI - On the Differential Diagnosis of Swellings in the Neck.-I. PMID- 29830545 TI - In the Law Courts. PMID- 29830547 TI - Tumours of the Breast. PMID- 29830546 TI - Diseases of the Nervous System. PMID- 29830549 TI - Medical and Hospital Progress at Oxford. PMID- 29830548 TI - On Modern Progress in Ophthalmic Medicine: Iritis. PMID- 29830551 TI - Theory of the Universal Medicine. PMID- 29830550 TI - The Pathology of Carcinoma. PMID- 29830553 TI - The Great Northern Central's Pay Wards. PMID- 29830552 TI - Radcliffe Infirmary, Oxford. PMID- 29830554 TI - The Anti-Toxin Treatment of Diphtheria. PMID- 29830555 TI - The Hospital Nursing Supplement. PMID- 29830556 TI - Notes and News. PMID- 29830557 TI - Poisoning from Subnitrate of Bismuth. PMID- 29830558 TI - Children's Cots. PMID- 29830559 TI - Annotations. PMID- 29830560 TI - The Radcliffe Infirmary, Oxford. PMID- 29830561 TI - The Financial Strength of Our Voluntary Charities. PMID- 29830562 TI - Diseases of the Liver. PMID- 29830563 TI - General Surgery. PMID- 29830565 TI - Construction Notes. PMID- 29830564 TI - Annus Medicus, 1894. PMID- 29830566 TI - Diphtheritic Paralysis in Children. PMID- 29830567 TI - Hospital Construction. PMID- 29830568 TI - Practical Departments. PMID- 29830569 TI - New Appliances and Things Medical. PMID- 29830570 TI - Traumatic Ulnar Nerve Paralysis.-I. PMID- 29830571 TI - The Medical Inspection of Schools. PMID- 29830572 TI - The Early Diagnosis of Cancer of the Rectum. PMID- 29830574 TI - Notes and News. PMID- 29830573 TI - Diseases of the Nervous System. PMID- 29830576 TI - Construction Notes. PMID- 29830575 TI - Around the Hospitals. PMID- 29830578 TI - Hospital Meetings. PMID- 29830577 TI - Annotations. PMID- 29830580 TI - Practical Points. PMID- 29830579 TI - Toxicological Memoranda. PMID- 29830581 TI - An Episcopal Surgeon. PMID- 29830582 TI - Therapeutics and the Lesser Circulation: I. Preliminary Considerations. PMID- 29830584 TI - The Hospital Nursing Supplement. PMID- 29830583 TI - Surgery of the Liver and Gall Bladder. PMID- 29830585 TI - Radcliffe Infirmary, Oxford. PMID- 29830587 TI - Intestinal Diseases. PMID- 29830586 TI - Some Causes of Febrile Disturbance in Women during the Lying-In Period. PMID- 29830589 TI - Cranial Surgery. PMID- 29830588 TI - Annotations. PMID- 29830590 TI - Ferratin. PMID- 29830591 TI - The Story of the Insane from Year to Year. PMID- 29830593 TI - Construction Notes. PMID- 29830592 TI - Poplar Hospital for Accidents. PMID- 29830595 TI - A Typhoid Fever Bath. PMID- 29830594 TI - The Financial Strength of Our Voluntary Charities. PMID- 29830596 TI - Diphtheritic Paralysis in Children. PMID- 29830597 TI - Around the Hospitals. PMID- 29830598 TI - Conculcation or Inoculation? PMID- 29830599 TI - Gold. PMID- 29830600 TI - The Early Symptoms of General Paralysis. PMID- 29830602 TI - The Hospital Nursing Supplement. PMID- 29830601 TI - Modern Medico-Psychology and Psychiatry: States of Defective Inhibition and of Uncontrollable Impulse. PMID- 29830603 TI - Notes and News. PMID- 29830604 TI - Spinal Surgery. PMID- 29830606 TI - Renal Surgery. PMID- 29830605 TI - The Financial Strength of Our Voluntary Charities. PMID- 29830608 TI - Hospital Festivals and Meetings. PMID- 29830607 TI - On Modern Progress in Ophthalmic Medicine and Surgery. PMID- 29830609 TI - Diseases of Children. PMID- 29830610 TI - New Appliances and Things Medical. PMID- 29830611 TI - Education and Disease. PMID- 29830612 TI - The Medical Congress at Calcutta. PMID- 29830613 TI - The Problem of the Poor. PMID- 29830614 TI - Post Office and the Work of the Blind. PMID- 29830615 TI - Rectal Surgery. PMID- 29830616 TI - Adventures of a Tenth Century Medical Student. PMID- 29830617 TI - Notes and News. PMID- 29830618 TI - Hospital Construction: The Rotunda Hospital, Dublin. PMID- 29830619 TI - Annotations. PMID- 29830620 TI - The Radcliffe Infirmary. PMID- 29830621 TI - The Hospital Nursing Supplement. PMID- 29830622 TI - Practical Points. PMID- 29830624 TI - Annotations. PMID- 29830623 TI - The Great Northern Central Hospital. PMID- 29830625 TI - The Study of Man. PMID- 29830626 TI - Nervous Diseases and Modern Life. PMID- 29830629 TI - Boarding Schools as Disseminators of Disease. PMID- 29830627 TI - Hospital Festivals and Meetings. PMID- 29830630 TI - The Ethical in Modern Medicine. PMID- 29830631 TI - The Hospital Nursing Supplement. PMID- 29830633 TI - Neuritis and Neuralgia. PMID- 29830632 TI - Notes and News. PMID- 29830634 TI - On Some Minor Anal and Rectal Ailments-II. PMID- 29830636 TI - Paying Patients in General Hospitals. PMID- 29830635 TI - Progress in Medicine. PMID- 29830637 TI - New Appliances and Things Medical. PMID- 29830638 TI - The Treatment of Chronic Cystitis. PMID- 29830640 TI - Portable Fire Escape. PMID- 29830639 TI - The Plague of Consumption. PMID- 29830641 TI - Hospital Festivals and Meetings. PMID- 29830642 TI - The Story of the Insane from Year to Year. PMID- 29830643 TI - Notes and News. PMID- 29830644 TI - The Medical Care of Idiots, Imbeciles, and Feeble-Minded Children. PMID- 29830645 TI - Annotations. PMID- 29830646 TI - Progress in Medicine. PMID- 29830647 TI - The Dangers of Electricity. PMID- 29830648 TI - Progress in Surgery. PMID- 29830649 TI - Is Insanity Increasing in Scotland? PMID- 29830651 TI - The Hospital Nursing Supplement. PMID- 29830650 TI - Origin and Classification of Aneurisms. PMID- 29830652 TI - Pay Wards in General Hospitals. PMID- 29830653 TI - Construction Notes. PMID- 29830655 TI - The Alice Memorial and the Nethersole Hospitals, Hong Kong. PMID- 29830654 TI - Progress in Surgery. PMID- 29830656 TI - New Drugs and Preparations. PMID- 29830657 TI - Notes and News. PMID- 29830658 TI - The Story of the Insane from Year to Year. PMID- 29830659 TI - A Teaching University: A New Hope for London Medicine. PMID- 29830660 TI - The Hospital Nursing Supplement. PMID- 29830661 TI - Progress in Medicine. PMID- 29830662 TI - Around the Hospitals. PMID- 29830663 TI - The Case for the Eight Hours Day. PMID- 29830665 TI - Modern Medico-Psychology and Psychiatry. PMID- 29830664 TI - Hospital Administration. PMID- 29830666 TI - The Indian Medical Congress at Calcutta-The Fevers of India-The National Health Society. PMID- 29830667 TI - Hospital Festivals and Meetings. PMID- 29830668 TI - The Lettsomian Lectures. PMID- 29830669 TI - Malignant Disease of the Spine. PMID- 29830670 TI - Progress in Ophthalmology. PMID- 29830671 TI - Annotations. PMID- 29830672 TI - New Appliances and Things Medical. PMID- 29830673 TI - Epilepsy and Paralysis. PMID- 29830674 TI - Notes and News. PMID- 29830676 TI - Annotations. PMID- 29830675 TI - A Medical Duel. PMID- 29830678 TI - Miscellaneous, &c. PMID- 29830677 TI - The Hospital Nursing Supplement. PMID- 29830679 TI - Consumption. PMID- 29830680 TI - Insanity and Inoculation. PMID- 29830681 TI - Lying-In. PMID- 29830682 TI - Modern Medico-Psychology and Psychiatry: XIII.-States of Defective Control and of Morbid and Uncontrollable Impulse. PMID- 29830683 TI - A Few Other Charities. PMID- 29830684 TI - The Flowing Tide of Christmas Charity. PMID- 29830685 TI - The Treatment of Migraine. PMID- 29830686 TI - Gastrostomy. PMID- 29830687 TI - On the Differential Diagnosis of Swellings in the Neck. PMID- 29830688 TI - Children. PMID- 29830689 TI - Women. PMID- 29830690 TI - General Hospitals. PMID- 29830691 TI - Communism or Christianity?: A Story of the Future. PMID- 29830693 TI - Progress in Medicine. PMID- 29830692 TI - The Disposal and Treatment of the Insane. PMID- 29830694 TI - The Reports of Hospitals. PMID- 29830695 TI - Assistant Physicians to Provincial Infirmaries. PMID- 29830696 TI - Foreign Hospitals. PMID- 29830697 TI - Notes and News. PMID- 29830699 TI - Progress in Ophthalmology. PMID- 29830698 TI - Practical Departments. PMID- 29830701 TI - The Metropolitan Asylums Board and the Anti-Toxin Treatment. PMID- 29830700 TI - Head Injuries. PMID- 29830702 TI - Hospital Festivals and Meetings. PMID- 29830703 TI - The Story of the Insane from Year to Year. PMID- 29830705 TI - New Drugs and Preparations. PMID- 29830704 TI - Tracheotomy. PMID- 29830707 TI - The Hospital Nursing Supplement. PMID- 29830706 TI - Annotations. PMID- 29830709 TI - Decorative Art. PMID- 29830708 TI - The Planning of Hospitals. PMID- 29830710 TI - Hospital Sunday Amenities. PMID- 29830711 TI - Progress in Surgery. PMID- 29830712 TI - New Appliances and Things Medical. PMID- 29830713 TI - Infective Diseases. PMID- 29830714 TI - Notes and News. PMID- 29830715 TI - Wound Infection. PMID- 29830716 TI - New Eye Infirmary, Sunderland. PMID- 29830717 TI - Club Foot: Its Nature and Treatment. PMID- 29830719 TI - The Hospital Nursing Supplement. PMID- 29830718 TI - A Deadly Disease of Our Own Times. PMID- 29830721 TI - Hospital Festivals and Meetings. PMID- 29830720 TI - The Livingstone Cottage Hospital, Dartford. PMID- 29830723 TI - Heating and Ventilation. PMID- 29830722 TI - Progress in Dermatology. PMID- 29830724 TI - Modern Medico-Psychology and Psychiatry: States of Fixed Delusion. PMID- 29830726 TI - New Appliances and Things Medical. PMID- 29830725 TI - Hernia. II. PMID- 29830727 TI - The Derbyshire Royal Infirmary. PMID- 29830728 TI - Tar. PMID- 29830729 TI - Annotations. PMID- 29830730 TI - Therapeutics and the Lesser Circulation. PMID- 29830731 TI - Hospital Festivals and Meetings. PMID- 29830732 TI - Professional Infamy: The Medical Council and the Obstetrical Society. PMID- 29830734 TI - The Financial Strength of Our Voluntary Charities. PMID- 29830733 TI - New Drugs and Preparations. PMID- 29830735 TI - Medical News from India. PMID- 29830736 TI - General Hospitals and Infectious Cases. PMID- 29830737 TI - Some Imperfections of Medical Education. PMID- 29830738 TI - Heredity in Consumption. PMID- 29830740 TI - Progress in Medicine. PMID- 29830739 TI - Skin Grafting and Allied Procedures. PMID- 29830741 TI - Annotations. PMID- 29830742 TI - The Hospital Nursing Supplement. PMID- 29830743 TI - Progress in Surgery. PMID- 29830744 TI - Notes and News. PMID- 29830747 TI - Children's Cots. PMID- 29830745 TI - Rain Baths. PMID- 29830748 TI - Hospital Festivals and Meetings. PMID- 29830749 TI - Miss Shannon and the Grantham Infirmary. PMID- 29830751 TI - The Hospital Nursing Supplement. PMID- 29830750 TI - Boarding Schools as Disseminators of Disease. PMID- 29830752 TI - Localised OEdema. PMID- 29830753 TI - Progress in Gynaecology. PMID- 29830754 TI - Progress in Surgery. PMID- 29830755 TI - Darwinism and Race Progress. PMID- 29830756 TI - The Noises of Great Cities. PMID- 29830757 TI - New Appliances and Things Medical. PMID- 29830758 TI - The Livingstone Cottage Hospital, Dartford. PMID- 29830759 TI - Micro-Organisms of Sewage. PMID- 29830760 TI - Cottage Hospitals and General Practitioners. PMID- 29830762 TI - Annotations. PMID- 29830761 TI - Notes and News. PMID- 29830763 TI - Derbyshire Royal Infirmary. PMID- 29830764 TI - On Modern Progress in Ophthalmic Medicine and Surgery: Diseases of the Cornea. PMID- 29830766 TI - The Price of the Publican. PMID- 29830765 TI - Barrack Schools as Fever Hospitals! PMID- 29830768 TI - The Perils of the Post. PMID- 29830767 TI - Hernia. PMID- 29830769 TI - Dry Sanitation. PMID- 29830770 TI - New Appliances and Things Medical. PMID- 29830772 TI - Hospital Festivals and Meetings. PMID- 29830771 TI - On Some Minor Anal and Rectal Ailments.-I. PMID- 29830773 TI - Vaginal Douching. PMID- 29830774 TI - The Hospital Nursing Supplement. PMID- 29830776 TI - Notes and News. PMID- 29830775 TI - Special Hospitals: Robbers of the Poor. PMID- 29830778 TI - Isolation Hospitals as Centres of Infection. PMID- 29830777 TI - The Hospital Locker. PMID- 29830780 TI - The Midwifery Muddle. PMID- 29830779 TI - Paying Patients at the Great Northern Central Hospital. PMID- 29830781 TI - Progress in Dermatology. PMID- 29830782 TI - Treatment and the Pulmonary Circulation: IV. PMID- 29830783 TI - Annotations. PMID- 29830785 TI - Progress in Surgery. PMID- 29830786 TI - Chronic Cerebral Abscess. PMID- 29830787 TI - Hospital Festivals and Meetings. PMID- 29830788 TI - The Planning of Fever Hospitals. PMID- 29830789 TI - The Devon and Exeter Hospital. PMID- 29830790 TI - New Appliances and Things Medical. PMID- 29830791 TI - Heating and Ventilation. PMID- 29830793 TI - Facts about Families. PMID- 29830792 TI - Workshops and Drink. PMID- 29830794 TI - The Vaccination Question. PMID- 29830795 TI - The Hospital Nursing Supplement. PMID- 29830796 TI - Progress in Medicine. PMID- 29830797 TI - Treatment and the Pulmonary Circulation. PMID- 29830798 TI - Annotations. PMID- 29830799 TI - Notes and News. PMID- 29830800 TI - The Story of the Insane from Year to Year. PMID- 29830802 TI - Dr. Klein on Antitoxin. PMID- 29830801 TI - Practical Points. PMID- 29830803 TI - The Vaccination Question. PMID- 29830804 TI - Hospital Finance. PMID- 29830805 TI - Annotations. PMID- 29830806 TI - Notes and News. PMID- 29830807 TI - Society and the Beggar. PMID- 29830808 TI - Hospital Festivals and Meetings. PMID- 29830809 TI - Manchester Royal Infirmary. PMID- 29830810 TI - On Modern Progress in Ophthalmic Medicine and Surgery. PMID- 29830812 TI - The Definition of Puerperal Fever. PMID- 29830811 TI - Otology. PMID- 29830814 TI - The Plague of 1167. PMID- 29830813 TI - Devon and Exeter Hospital. PMID- 29830815 TI - The Hospital Nursing Supplement. PMID- 29830816 TI - Aneurism. PMID- 29830817 TI - Infective Diseases. PMID- 29830818 TI - New Appliances and Things Medical. PMID- 29830819 TI - Health by Act of Parliament. PMID- 29830820 TI - The Holloway Sanatorium Inquiry. PMID- 29830822 TI - Annotations. PMID- 29830821 TI - New Appliances and Things Medical: The "Compactum" Midwifery Case. PMID- 29830823 TI - Notes and News. PMID- 29830824 TI - Wry-Neck. PMID- 29830826 TI - Extra Supplement.-The Nursing Mirror. PMID- 29830825 TI - Plastic or Fibrinous Bronchitis: With Notes of a Case. PMID- 29830827 TI - Surgery of the Stomach. PMID- 29830828 TI - A Medical Programme. PMID- 29830829 TI - Operative Treatment of Tuberculous Joint Diseases. PMID- 29830830 TI - The Field of Science. PMID- 29830831 TI - Pulmonary Tuberculosis: General Therapeutics. PMID- 29830832 TI - The Making of American Doctors. PMID- 29830833 TI - On Modern Progress in Ophthalmic Medicine and Surgery. PMID- 29830835 TI - Notes on Cases of Necrosis of the Lower Jaw in Children. PMID- 29830834 TI - The McLean Hospital, Waverley, Mass., U.S.A. PMID- 29830837 TI - Agathin. PMID- 29830836 TI - The Royal Hospital for Incurables. PMID- 29830838 TI - Extra Supplement.-The Nursing Mirror. PMID- 29830840 TI - On Modern Progress in Ophthalmic Medicine and Surgery. PMID- 29830839 TI - Midwives Registration Association. PMID- 29830842 TI - Disease of the Vermiform Appendix. PMID- 29830841 TI - Endowments. PMID- 29830843 TI - Around the Hospitals. PMID- 29830844 TI - Annotations. PMID- 29830845 TI - Thyroid Feeding in Skin Diseases. PMID- 29830846 TI - Imperial Typhoid: The Unemployed. PMID- 29830847 TI - Art and Disease: III. Modified Forms of Possession. PMID- 29830848 TI - The History and Capabilities of Herbal Simples: Goose-Grass. PMID- 29830849 TI - Modern Medico-Psychology and Psychiatry: I.-Introductory. PMID- 29830850 TI - Notes and News. PMID- 29830851 TI - Chlaralose. PMID- 29830852 TI - The Story of the Insane from Year to Year. PMID- 29830853 TI - A Munificent Gift. PMID- 29830854 TI - Appliances at Poplar. PMID- 29830855 TI - The Drainage of Wounds and Cavities. PMID- 29830856 TI - Haemoptysis. PMID- 29830857 TI - The Hospital Saturday Fund. PMID- 29830859 TI - Extra Supplement.-The Nursing Mirror. PMID- 29830858 TI - Diphtheria : Some Points in the Pathology and Treatment. PMID- 29830861 TI - Art and Disease: VI. Healing of the Sick. PMID- 29830860 TI - Three Provincial Hospitals: Alnwick Infirmary. PMID- 29830863 TI - The Field of Science. PMID- 29830862 TI - The Red Cross Ambulance. PMID- 29830864 TI - The Preparation of Patients for Operation. PMID- 29830865 TI - The Opium Problem. PMID- 29830866 TI - Voluntary Support. PMID- 29830867 TI - The Stockport Infirmary. PMID- 29830868 TI - The Minds of Nations. PMID- 29830869 TI - Cancer of the Cervix Uteri. PMID- 29830870 TI - Notes and News. PMID- 29830871 TI - Progress in Surgery. PMID- 29830873 TI - The Shipwrecked Fishermen and Mariners' Benevolent Society. PMID- 29830872 TI - Annotations. PMID- 29830874 TI - Around the Hospitals. PMID- 29830875 TI - The Sir Titus Salt Hospital. PMID- 29830876 TI - Is Darwinism a Dying Faith? PMID- 29830877 TI - Medical Progress. PMID- 29830878 TI - Hospital Meetings. PMID- 29830879 TI - New Appliances and Things Medical. PMID- 29830880 TI - Art and Disease: A Solution Offered. PMID- 29830882 TI - Annotations. PMID- 29830881 TI - On Modern Progress in Ophthalmic Medicine and Surgery. PMID- 29830883 TI - Extra Supplement.-The Nursing Mirror. PMID- 29830884 TI - The Field of Science. PMID- 29830885 TI - Origin and Development. PMID- 29830886 TI - Animal Temperature under Narcotics. PMID- 29830887 TI - Pulmonary Diseases: Pneumonia. PMID- 29830888 TI - Ventilation and Ventilators. PMID- 29830890 TI - Hospital Festivals and Meetings. PMID- 29830889 TI - New Hospitals v. The Extension of Existing Hospitals in London. PMID- 29830891 TI - The Royal Alfred Aged Merchant Seamen's Institution. PMID- 29830892 TI - Diphtheria, Scarlet Fever, and Sore Throat. PMID- 29830894 TI - New Appliances and Things Medical: Patent "Ozonised" Digestive Tea-Food Florador "Champetier de Ribes" Bags. PMID- 29830893 TI - Art and Disease: IV. Artistic Deformity. PMID- 29830896 TI - Notes and News. PMID- 29830895 TI - Acute Infective Periostitis in Children: Its Causation and Treatment. PMID- 29830897 TI - Surgery of Intestines. PMID- 29830898 TI - Erratum: Hospital Week at Northampton. AB - [This corrects the article on p. 272a in vol. 15.]. PMID- 29830900 TI - Hydrastinine and Calcium Chloride. PMID- 29830899 TI - The Cochin Hospital, Paris. PMID- 29830901 TI - The Opium Problem. PMID- 29830902 TI - Insomnia: Its Causes and Treatment. PMID- 29830903 TI - On the Treatment of Rupture of Urethra. PMID- 29830904 TI - Bristol General Hospital. PMID- 29830905 TI - Empyema of the Antrum. PMID- 29830907 TI - Hospital Festivals, Meetings, &c. PMID- 29830906 TI - The Field of Science. PMID- 29830909 TI - Insanity and Its Kinships. PMID- 29830908 TI - Notes and News. PMID- 29830910 TI - Extra Supplement.-The Nursing Mirror. PMID- 29830911 TI - The Story of the Insane from Year to Year. PMID- 29830912 TI - Annotations. PMID- 29830913 TI - New Drugs and Preparations. PMID- 29830914 TI - Diseases of the Tonsils. PMID- 29830915 TI - Tubercular Peritonitis, &c. PMID- 29830916 TI - Nerve Diseases. PMID- 29830917 TI - New Appliances and Things Medical. PMID- 29830918 TI - Drugs and Their Uses. PMID- 29830919 TI - On Modern Progress in Ophthalmic Medicine and Surgery. PMID- 29830920 TI - Around the Hospitals. PMID- 29830921 TI - Art and Disease: VII. Aspects of Death. PMID- 29830923 TI - Construction Notes. PMID- 29830922 TI - Medical Progress. PMID- 29830924 TI - New Drugs and Preparations. PMID- 29830926 TI - Progress in Surgery. PMID- 29830925 TI - Diuretin and Diuresis-The Theoretical Side. PMID- 29830927 TI - The Corpus Sanum. PMID- 29830928 TI - Extra Supplement.-The Nursing Mirror. PMID- 29830929 TI - The Health of the Navy. PMID- 29830930 TI - The Treatment of Disease by Animal Extracts. PMID- 29830931 TI - The Story of the Insane from Year to Year. PMID- 29830932 TI - Around the Hospitals. PMID- 29830933 TI - West Ham, Stratford, and South Essex Hospital. PMID- 29830934 TI - New Appliances and Things Medical. PMID- 29830936 TI - Practical Aspects of Medical Science. PMID- 29830935 TI - Hospital Festivals and Meetings. PMID- 29830938 TI - The Electrolytic Treatment of Hirsuties and of Trichiasis. PMID- 29830937 TI - Notes and News. PMID- 29830940 TI - Modern Methods of Treatment of Simple Fractures. PMID- 29830939 TI - Practical Departments. PMID- 29830942 TI - Around the Hospitals. PMID- 29830941 TI - Annotations. PMID- 29830943 TI - Should Civilization Suppress Quackery? PMID- 29830944 TI - Modern Methods of Treatment of Compound Fracture. PMID- 29830946 TI - New Appliances and Things Medical: Kingzett's Improved Sulphur Fumigating Candles. PMID- 29830945 TI - Trional and Tetronal. PMID- 29830947 TI - New Hospitals v. Hospital Extension for London: II.-Station Hospitals. PMID- 29830948 TI - The Field of Science. PMID- 29830949 TI - Hospital Festivals and Meetings. PMID- 29830950 TI - Ward Fittings at Middlesex Hospital. PMID- 29830951 TI - Medical Progress. PMID- 29830952 TI - Professor Unna's Gelatines. PMID- 29830953 TI - On Modern Progress in Ophthalmic Medicine and Surgery. PMID- 29830954 TI - Progress in Surgery. PMID- 29830955 TI - Construction Notes. PMID- 29830956 TI - Art and Disease: V. The Lame and the Blind. PMID- 29830957 TI - Modern Aspects of Pernicious Anaemia. PMID- 29830958 TI - Extra Supplement.-The Nursing Mirror. PMID- 29830959 TI - The Story of the Insane from Year to Year. PMID- 29830961 TI - Notes and News. PMID- 29830960 TI - Inflamed Eyes. PMID- 29830962 TI - Annotations. PMID- 29830963 TI - Diseases of Children. PMID- 29830965 TI - Around the Hospitals. PMID- 29830964 TI - Leaderless Medicine. PMID- 29830967 TI - The Field of Science. PMID- 29830966 TI - Empyema of the Antrum. PMID- 29830969 TI - New Drugs and Preparations. PMID- 29830968 TI - Temperature and Anaesthesia. PMID- 29830971 TI - Hospital Festivals, Meetings, &c. PMID- 29830970 TI - Edinburgh Royal Infirmary. PMID- 29830973 TI - Art and Disease: VIII. In the National Gallery. PMID- 29830972 TI - Practical Aspects of Medical Science. PMID- 29830975 TI - Annotations. PMID- 29830974 TI - Notes and News. PMID- 29830977 TI - Aberdeen and Its Institutions. PMID- 29830976 TI - New Appliances and Things Medical. PMID- 29830979 TI - Asthma. PMID- 29830978 TI - The Red Cross Ambulance. PMID- 29830980 TI - Modern Aspects of the Treatment of Graves' Disease. PMID- 29830981 TI - Extra Supplement.-The Nursing Mirror. PMID- 29830983 TI - Practical Departments. PMID- 29830982 TI - Wrexham Infirmary. PMID- 29830984 TI - Liver and Gall Bladder. PMID- 29830985 TI - Hospital Abuse and the Working Class. PMID- 29830986 TI - Notes and News. PMID- 29830987 TI - Diseases of the Brain Due to Diseases of the Ear. PMID- 29830988 TI - Construction Notes: Tooting Fever Hospital. PMID- 29830989 TI - Extra Supplement.-The Nursing Mirror. PMID- 29830990 TI - Salophen. PMID- 29830991 TI - A Plaster Bed in the Treatment of Pott's Disease. PMID- 29830992 TI - Appliances at Poplar. PMID- 29830993 TI - New Appliances and Things Medical: Germ White Bread. PMID- 29830994 TI - The Serum and Antitoxin Treatment of Tetanus. PMID- 29830996 TI - Annotations. PMID- 29830995 TI - Midwives Registration Association. PMID- 29830998 TI - Pulmonary Tuberculosis. PMID- 29830997 TI - Ophthalmology. PMID- 29830999 TI - Art and Disease: II. Possession or Hysteria. PMID- 29831000 TI - Treatment of Poisoning by Chloral Hydrate. PMID- 29831001 TI - Sir Andrew Clark: A Monument. PMID- 29831002 TI - The Field of Science. PMID- 29831004 TI - The Poor in London. PMID- 29831003 TI - Around the Hospitals. PMID- 29831006 TI - The Magdalen Hospital, Streatham. PMID- 29831005 TI - Drainage in Surgical Treatment. PMID- 29831008 TI - Annotations. PMID- 29831007 TI - Modern Aspects of Pain in Medicine. II. PMID- 29831009 TI - Extra Supplement.-The Nursing Mirror. PMID- 29831010 TI - Notes and News. PMID- 29831011 TI - Borax and Bromides in Epilepsy. PMID- 29831012 TI - The Straight Position in Injuries of the Elbow-Joint. PMID- 29831013 TI - The Field of Science. PMID- 29831014 TI - The Medical Work of the Local Government Board: IV. Locality and Disease. PMID- 29831015 TI - Sir Andrew Clark. PMID- 29831016 TI - King's College Hospital. PMID- 29831018 TI - New Appliances and Things Medical: Carbolic Disinfectants -Glenfield's Disinfecting and Cleansing Fluid-Borax Preparations. PMID- 29831017 TI - The Treatment of Myxoedema. PMID- 29831019 TI - On Modern Progress in Ophthalmic Medicine and Surgery. PMID- 29831021 TI - Cottage Hospital Construction. PMID- 29831020 TI - The Story of the Insane from Year to Year. PMID- 29831022 TI - New Home for Incurables, Newcastle-On-Tyne. PMID- 29831023 TI - Glass-Topped Locker. PMID- 29831024 TI - Extra Supplement.-The Nursing Mirror. PMID- 29831025 TI - The London Hospital New Buildings. PMID- 29831026 TI - Around the Hospitals. PMID- 29831027 TI - St. George's Hospital. PMID- 29831028 TI - Notes and News. PMID- 29831029 TI - The Treatment of Erysipelas. PMID- 29831031 TI - Annotations. PMID- 29831030 TI - Object and Scope. PMID- 29831032 TI - The Treatment of Pneumonia. PMID- 29831033 TI - Uric Acid Solvents in Gout and Gravel. PMID- 29831034 TI - A Learned Profession. PMID- 29831035 TI - Modern Biology: III. On the Minute Structure of Cells. PMID- 29831037 TI - The Field of Science. PMID- 29831036 TI - Middlesex Hospital. PMID- 29831039 TI - New Appliances and Things Medical: The Improved Clinical Chart Block and Case. PMID- 29831038 TI - Therapeutics in Diphtheria. PMID- 29831040 TI - Some Metropolitan, Provincial, Scotch, and Irish Special Hospitals Compared. PMID- 29831041 TI - Cruelty in Irish Parents. PMID- 29831042 TI - The Field of Science. PMID- 29831043 TI - On the Cellular Structure of Living Organisms.-II. PMID- 29831044 TI - Hospitals in India: I. The Bengal Presidency (4). PMID- 29831045 TI - The Medical Work of the Local Government Board: The Incidence of Disease and Sanitation. PMID- 29831046 TI - The General Infirmary, Leeds. PMID- 29831047 TI - The General Hospital, Birmingham. PMID- 29831048 TI - Annotations. PMID- 29831049 TI - Some Dangers Attending the Use of the Rectangular Position in Injuries of the Elbow-Joint. PMID- 29831051 TI - Notes and News. PMID- 29831050 TI - Injection of Hydrogen Peroxide into the Peritoneal Cavity. PMID- 29831053 TI - Construction Notes. PMID- 29831052 TI - Washstands. PMID- 29831054 TI - Consultants and General Practitioners. PMID- 29831055 TI - The Treatment of Hare Lip. PMID- 29831056 TI - Borax and Bromides in Epilepsy. PMID- 29831057 TI - Extra Supplement.-The Nursing Mirror. PMID- 29831058 TI - West Ham Hospital, Stratford, E. PMID- 29831059 TI - Extra Supplement.-The Nursing Mirror. PMID- 29831060 TI - The Field of Science. PMID- 29831061 TI - Construction Notes. PMID- 29831062 TI - Notes and News. PMID- 29831063 TI - The Radical Cure of Hernia. PMID- 29831064 TI - The Story of the Insane from Year to Year. PMID- 29831065 TI - Treatment of Dilated Stomach. PMID- 29831066 TI - The Uniform System of Accounts for Hospitals and Institutions. PMID- 29831067 TI - Nurses' Home, Edinburgh Royal Infirmary. PMID- 29831068 TI - Modern Aspects of Appendicitis.-I. PMID- 29831069 TI - New Appliances and Things Medical: Scotch Oatmeal. PMID- 29831070 TI - On Modern Progress in Ophthalmic Medicine and Surgery. PMID- 29831072 TI - The "Quarterly Review" on Hospitals. PMID- 29831071 TI - Annotations. PMID- 29831073 TI - Around the Hospitals. PMID- 29831074 TI - Some Remarks on Hernia. PMID- 29831075 TI - The Medical Work of the Local Government Board: V. Diphtheria and Infective Endocarditis. PMID- 29831076 TI - Westminster Hospital Students' Dinner. PMID- 29831077 TI - Anniversary Meeting of the Salop Infirmary. PMID- 29831078 TI - Uric Acid Solvents in Gout and Gravel. PMID- 29831080 TI - Empirical and Chemical Theories. PMID- 29831079 TI - British Home for Incurables, Clapham. PMID- 29831082 TI - The Treatment of Ringworm at Bristol General Hospital and Elsewhere. PMID- 29831081 TI - Asylums in India: IV. The Central Provinces. PMID- 29831084 TI - Contemporary Theory and Research. PMID- 29831083 TI - Notes and News. PMID- 29831085 TI - On the Cellular Structure of Living Organisms. I. PMID- 29831086 TI - The Medical Work of the Local Government Board: Vaccination. PMID- 29831088 TI - Hospital Saturday and Street Collections. PMID- 29831087 TI - Law, Medicine, and Humanity. PMID- 29831089 TI - Provincial, Scotch, and Irish Hospitals. PMID- 29831090 TI - Annotations. PMID- 29831091 TI - On the Treatment of Aural Suppuration. II.-The Chronic Form. PMID- 29831093 TI - The Treatment of Erysipelas. PMID- 29831092 TI - New Home for Incurables, Newcastle-On-Tyne. PMID- 29831094 TI - Extra Supplement.-The Nursing Mirror. PMID- 29831095 TI - Pirated Inventions. PMID- 29831097 TI - Treatment of Hip-Joint Disease. PMID- 29831096 TI - East London Hospital for Children, and Dispensary for Women. PMID- 29831098 TI - Village Poor and London Hospitals. PMID- 29831099 TI - Extra Supplement.-The Nursing Mirror. PMID- 29831100 TI - Steam Disinfector. PMID- 29831101 TI - Thirty-Fifth Annual Report of the Commissioners in Lunacy for Scotland. PMID- 29831102 TI - Disease of Dietetic Origin. PMID- 29831103 TI - The Field of Science. PMID- 29831104 TI - Infectious Disease Hospitals in London. PMID- 29831107 TI - Notes and News. PMID- 29831106 TI - Construction Notes. PMID- 29831105 TI - Around the Hospitals. PMID- 29831108 TI - On Oxygen Administration. PMID- 29831109 TI - Free or Sober? PMID- 29831110 TI - Democracy and the Hospitals. PMID- 29831111 TI - The Medical Defence Union and the London and Counties Medical Protection Society. PMID- 29831112 TI - Lavage of the Intestinal Tube. PMID- 29831113 TI - Annotations. PMID- 29831114 TI - Hospitals in India: I. The Bengal Presidency (5). PMID- 29831115 TI - Modern Aspects of Inflammation. PMID- 29831116 TI - Consumption. PMID- 29831117 TI - Notes and News. PMID- 29831118 TI - Women. PMID- 29831119 TI - Christmas Cheer. PMID- 29831120 TI - Children. PMID- 29831121 TI - General Hospitals. PMID- 29831122 TI - Epilepsy and Paralysis. PMID- 29831124 TI - Figures That Feel and Work. PMID- 29831123 TI - A Few Other Charities. PMID- 29831126 TI - Miscellaneous-Special. PMID- 29831125 TI - Annotations. PMID- 29831128 TI - Lying-In. PMID- 29831127 TI - England and Her Christmas. PMID- 29831129 TI - On Modern Progress in Ophthalmic Medicine and Surgery. PMID- 29831131 TI - Extra Supplement.-The Nursing Mirror. PMID- 29831130 TI - Nature and Treatment of Flat Foot. PMID- 29831132 TI - Around the Hospitals. PMID- 29831133 TI - Medical Defence Union and the London and Counties Medical Protection Society (Limited). PMID- 29831134 TI - Chorea. PMID- 29831135 TI - Treatment of Diphtheria. PMID- 29831136 TI - The Royal Hospital for Incurables. PMID- 29831137 TI - Construction Notes. PMID- 29831138 TI - Diseases of the Brain Due to Diseases of the Ear. PMID- 29831140 TI - Hospitals in India: I. The Bengal Presidency (6). PMID- 29831139 TI - Famous Poisoners in Fiction: VIII. Poisoner and Physician. PMID- 29831141 TI - Extra Supplement.-The Nursing Mirror. PMID- 29831142 TI - The Story of the Insane from Year to Year. PMID- 29831143 TI - Notes and News. PMID- 29831144 TI - Window Ventilation in Sick Rooms. PMID- 29831145 TI - The Field of Science. PMID- 29831146 TI - Report on Leprosy and the Trinidad Leper Asylum for 1892. PMID- 29831147 TI - New Appliances and Things Medical: Almond Pound Cake. PMID- 29831148 TI - Annotations. PMID- 29831149 TI - Ars Longa. PMID- 29831150 TI - The Infection of Phthisis. PMID- 29831151 TI - Modern Anthropology. PMID- 29831152 TI - Other People's Children. PMID- 29831153 TI - Annotations. PMID- 29831154 TI - Modes of Administering Oxygen. PMID- 29831155 TI - Ophthalmology: On Blepharitis, Its Causes and Treatment. PMID- 29831156 TI - Abdominal Surgery. PMID- 29831157 TI - Extra Supplement.-The Nursing Mirror. PMID- 29831159 TI - Construction Notes. PMID- 29831158 TI - Spasm in the Diagnosis of Acute Meningitis in Children. PMID- 29831160 TI - Sources of Hospital Revenne. PMID- 29831161 TI - Art and Disease: I. Possession or Hysteria. PMID- 29831162 TI - Practical Departments: Appliances at Poplar Hospital. PMID- 29831163 TI - Notes and News. PMID- 29831164 TI - Hospitals in India: I. The Bengal Presidency (7). PMID- 29831165 TI - Injury as a Factor in the Production of New Growths of Bone. PMID- 29831166 TI - Sanitary Deficiences and Puerperal Diseases. PMID- 29831167 TI - Annus Medicus: 1893. PMID- 29831168 TI - Pleurisy. PMID- 29831169 TI - Some Scotch Asylums. PMID- 29831170 TI - Case of Tubercular Peritonitis Complicated by Periosteal Abscess of the Thigh Laparotomy-Recovery. PMID- 29831172 TI - Annotations. PMID- 29831171 TI - Treatment of Contraction of the Fingers. PMID- 29831173 TI - The Field of Science. PMID- 29831174 TI - The Royal Hospital for Incurables. PMID- 29831175 TI - Notes and News. PMID- 29831176 TI - Hospital Convalescent Home, Parkwood, Swanley, Kent. PMID- 29831177 TI - Extra Supplement.-The Nursing Mirror. PMID- 29831178 TI - Construction Notes. PMID- 29831179 TI - Modern Biology: IV. Cell Division. PMID- 29831180 TI - Ward Cupboards.-I. Medicine Cupboards. PMID- 29831181 TI - Recent Uses of Thyroid Preparations. PMID- 29831182 TI - The Medical Work of the Local Government Board: VI. Inoculation and Insusceptibility. PMID- 29831183 TI - The Treatment of Acute Maniacal Delirium: Means Directed to Relieve the Acute Symptoms and the Subsequent Treatment. PMID- 29831184 TI - The East London Hospital for Children. PMID- 29831185 TI - Medical Protection and Defence. PMID- 29831186 TI - The Metropolitan Hospital Sunday Fund. PMID- 29831187 TI - Royal Hospital for Incurables. PMID- 29831188 TI - Inhalation of Oxygen for Therapeutical Purposes. PMID- 29831189 TI - Hospital Convalescent Home, Parkwood, Swanley, Kent. PMID- 29831191 TI - The Field of Science. PMID- 29831190 TI - The Medical Defence Union and the London and Counties Medical Protection Society (Limited). PMID- 29831192 TI - The Medical Defence Union and the London and Counties Medical Protection Society (Limited). PMID- 29831194 TI - Modern Aspects of Appendicitis. II. PMID- 29831193 TI - Treatment of Erysipelas. PMID- 29831195 TI - Notes and News. PMID- 29831196 TI - Annotations. PMID- 29831198 TI - On Modern Progress in Ophthalmic Medicine and Surgery. PMID- 29831197 TI - First Studies in Anthropology. PMID- 29831199 TI - Mattei Remedies and Cure for Drunkenness. PMID- 29831200 TI - The Surgical Aid Society. PMID- 29831201 TI - Salicylic Acid for Preserving. PMID- 29831202 TI - Extra Supplement.-The Nursing Mirror. PMID- 29831203 TI - The Treatment of Acute Maniacal Delerium: Means Directed to Relieve the Acute Symptoms and the Subsequent Treatment. PMID- 29831204 TI - Construction Notes. PMID- 29831206 TI - An Anxious Succession. PMID- 29831205 TI - Around the Hospitals. PMID- 29831207 TI - Military and Naval Hospitals. PMID- 29831208 TI - New Appliances and Things Medical. PMID- 29831210 TI - The London Dental Hospital Students' Dinner. PMID- 29831209 TI - The London Hospital. PMID- 29831211 TI - Newcastle Royal Infirmary. PMID- 29831213 TI - Notes and News. PMID- 29831212 TI - The Formation of Uric Acid and Its Effects on the System. PMID- 29831214 TI - The Treatment of Post-Partum Haemorrhage. PMID- 29831215 TI - Inguinal Colotomy in Carcinoma of the Rectum. PMID- 29831217 TI - Great Achievements under Suffering: V. Leopold, Duke of Albany. PMID- 29831216 TI - Medical Protection for School Morals. PMID- 29831218 TI - Treatment of Chloroform Collapse. PMID- 29831219 TI - On the Diagnostic Value of the Degree of Acidity of the Gastric Juice. PMID- 29831220 TI - Tetanus. PMID- 29831222 TI - New Appliances and Things Medical. PMID- 29831221 TI - Typhoid. PMID- 29831223 TI - Around the Hospitals. PMID- 29831224 TI - Construction Notes. PMID- 29831225 TI - Extra Supplement.-The Nursing Mirror. PMID- 29831226 TI - Modern Medico-Psychology and Psychiatry: II.-Legislative and State Measures and Their Effects. PMID- 29831227 TI - Hospital Festivals, Meetings, &c. PMID- 29831228 TI - Annotations. PMID- 29831229 TI - Around the Hospitals. PMID- 29831230 TI - Annotations. PMID- 29831232 TI - New Appliances and Things Medical. PMID- 29831231 TI - London Ambulance: "Benefits Forgot". PMID- 29831233 TI - Hospital Festivals, Meetings, &c. PMID- 29831234 TI - Edinburgh Royal Infirmary-Treatment of Acute Rheumatism. PMID- 29831235 TI - A Case of Neuroma of the External Popliteal Nerve. PMID- 29831237 TI - The Poor and the Poor Law. PMID- 29831236 TI - On Modern Progress of Ophthalmic Medicine and Surgery. PMID- 29831238 TI - Malaria. PMID- 29831239 TI - Notes and News. PMID- 29831241 TI - Construction Notes. PMID- 29831240 TI - Rhinology. PMID- 29831242 TI - Practical Departments. PMID- 29831243 TI - The Field of Science. PMID- 29831244 TI - Voluntary Offerings. PMID- 29831245 TI - The Educational Treatment of Idiots. Imbeciles, and Feeble-Minded Children. PMID- 29831246 TI - The Treatment of Pneumonia. PMID- 29831247 TI - New Drugs and Preparations: Caffeine. PMID- 29831248 TI - Extra Supplement.-The Nursing Mirror. PMID- 29831250 TI - Annotations. PMID- 29831249 TI - Caries of the Spine. PMID- 29831251 TI - Modern Aspects of Diabetes. PMID- 29831252 TI - Around the Hospitals. PMID- 29831253 TI - Construction Notes. PMID- 29831254 TI - Notes and News. PMID- 29831255 TI - Mr. T. Holmes on John Hunter. PMID- 29831256 TI - Hospital Administration. PMID- 29831257 TI - Cost of Administration.-Hospitals for Consumption. PMID- 29831258 TI - Ingrowing Toe-nail: II. Treatment. PMID- 29831259 TI - Famous Poisoners in Fiction: VII. The Child of Crime. PMID- 29831260 TI - New Bed Rest. PMID- 29831261 TI - The London and Counties Medical Protection Society. PMID- 29831262 TI - The Treatment of Naevi. PMID- 29831263 TI - St. Thomas's Hospital: Presentation to Dr. Bristowe. PMID- 29831264 TI - Extra Supplement.-The Nursing Mirror. PMID- 29831265 TI - The Microscope in Relation to Modern Biology. PMID- 29831266 TI - Poultice Warmer and Inhaler. PMID- 29831267 TI - The Field of Science. PMID- 29831269 TI - The Lunacy Blue Book. PMID- 29831268 TI - The Use and Administration of Creasote. PMID- 29831271 TI - A New Method of Treating the Insane. PMID- 29831270 TI - The Royal Free Hospital. PMID- 29831272 TI - Extra Supplement.-The Nursing Mirror. PMID- 29831273 TI - Special Hospitals: VI. Miscellaneous. Cost of Management. PMID- 29831275 TI - Annotations. PMID- 29831274 TI - Around the Hospitals. PMID- 29831276 TI - Who Creates Criminal Children? PMID- 29831277 TI - Notes and News. PMID- 29831278 TI - A Case for Medical Discipline. PMID- 29831279 TI - The Treatment of Ringworm at Bristol General Hospital and Elsewhere. PMID- 29831281 TI - Some Modern Aspects of Diabetes. II. PMID- 29831280 TI - Instrument Table. PMID- 29831282 TI - The Dead or the Living? PMID- 29831283 TI - Construction Notes. PMID- 29831285 TI - Cocaine in Ophthalmic Work. PMID- 29831284 TI - On the Treatment of Otorrhoea in the Aural Department. PMID- 29831286 TI - Around the Hospitals. PMID- 29831287 TI - The Treatment of the Summer Diarrhoea of Children. PMID- 29831288 TI - Notes and News. PMID- 29831289 TI - The Story of the Insane from Year to Year. PMID- 29831290 TI - Mr. Henry Dobbin. PMID- 29831291 TI - Many Internal Improvements. PMID- 29831292 TI - Annotations. PMID- 29831293 TI - Modern Aspects of Pain in Medicine. PMID- 29831294 TI - Death Certification and Murder. PMID- 29831295 TI - The Medical Work of the Local Government Board: The Manure Conundrum. PMID- 29831296 TI - On the Treatment of Otorrhoea in the Aural Department. III. PMID- 29831297 TI - The History and Capabilities of Herbal Simples: Good King Henry. PMID- 29831298 TI - Extra Supplement.-The Nursing Mirror. PMID- 29831299 TI - Gas Stove. PMID- 29831300 TI - Hospitals in India: I. The Bengal Presidency (3). PMID- 29831301 TI - The Poplar Hospital. PMID- 29831302 TI - The Field of Science. PMID- 29831304 TI - Annotations. PMID- 29831303 TI - The Treatment of Empyema. PMID- 29831305 TI - Diseases of the Tonsils. PMID- 29831306 TI - Surgery of the Genito-Urinary Organs. PMID- 29831307 TI - New Appliances and Things Medical. PMID- 29831308 TI - Medical Ideals Unrealised. PMID- 29831310 TI - Diuretin and Diuretics-Practical. PMID- 29831309 TI - Royal Infirmary, Bristol. PMID- 29831312 TI - Hospital Festivals, Meetings, &c. PMID- 29831311 TI - Scientific Temperance. PMID- 29831314 TI - Around the Hospitals. PMID- 29831313 TI - Who Invented Vaccination? PMID- 29831315 TI - Some General Considerations as to the Various Methods of Treatment to Be Adopted in Skin Affections. PMID- 29831316 TI - Modern Aspects of Pernicious Anaemia.-II. PMID- 29831317 TI - Notes and News. PMID- 29831319 TI - Practical Departments. PMID- 29831318 TI - Painful Menstruation and Its Treatment. PMID- 29831321 TI - Perchloride of Mercury. PMID- 29831320 TI - Practical Aspects of Medical Science. PMID- 29831322 TI - Extra Supplement.-The Nursing Mirror. PMID- 29831323 TI - Vaccination in India. PMID- 29831324 TI - Nerve Disease. PMID- 29831325 TI - Methylacetanilide. PMID- 29831327 TI - The Value of a Time-Table. PMID- 29831326 TI - The Medical Profession and National Service. PMID- 29831328 TI - Hospital and Institutional News. PMID- 29831329 TI - The War and Our Supply of Drugs. PMID- 29831331 TI - From across the Seas. PMID- 29831330 TI - The Psychology of Fear: the Effects of Panic Fear in Wartime. PMID- 29831332 TI - Round the Hospitals. PMID- 29831333 TI - Some War Problems in Food: II. Meat Rations for the Staff. PMID- 29831335 TI - Parliament and the Profession. PMID- 29831334 TI - The Problem of Poor-Law Infirmaries: The Workhouse Influence. PMID- 29831337 TI - The Royal Gwent Hospital, Newport, Mon. PMID- 29831336 TI - The Institutional Worker. PMID- 29831338 TI - Flavine: the Ideal Antiseptic. PMID- 29831339 TI - Insane Soldiers and the Law. PMID- 29831340 TI - A Century of Rebuilding at Leeds. PMID- 29831341 TI - Eminent Chairman Series: V. Mr. Charles Lupton. PMID- 29831343 TI - A Defender of the Profession. PMID- 29831342 TI - A Rough Day on the Upper Kennet. PMID- 29831344 TI - Institutional Notes and News. PMID- 29831345 TI - A Note on the Prophylactic Value of Sclavo's Serum. PMID- 29831346 TI - The Week's Work. PMID- 29831348 TI - Parliament and Publications. PMID- 29831347 TI - Rosenmuller's Fossa and the Middle Ear. PMID- 29831350 TI - The Hospital World. PMID- 29831349 TI - Annotations. PMID- 29831351 TI - Adrenalin in Asthma. PMID- 29831352 TI - Conditions in Non-Phthisical Patients Suggesting Tuberculosis of the Lungs. PMID- 29831354 TI - Medical Opinion and Movement. PMID- 29831353 TI - The League of Mercy and Contributions from Hospital Funds to Medical Schools. PMID- 29831355 TI - News and Events of the Week. PMID- 29831356 TI - New Appliances & Things Medical. PMID- 29831358 TI - "The Hospital" Medico-Sociological Supplement (No. II). PMID- 29831357 TI - Anaphylaxis. PMID- 29831359 TI - An Appeal for a Change of Tactics. PMID- 29831360 TI - Annotations. PMID- 29831361 TI - Medical Opinion and Movement. PMID- 29831362 TI - News and Events of the Week. PMID- 29831363 TI - A Little-Known Form of "Cold Abscess." PMID- 29831364 TI - Institutional Notes and News. PMID- 29831365 TI - Medical Sociology. PMID- 29831366 TI - The Sanatorium Village. PMID- 29831367 TI - The Week's Work. PMID- 29831368 TI - Eminent Chairman Series : IV. Mr. James Gadesden Wainwright, J.P. PMID- 29831369 TI - A Central Medical School for New York. PMID- 29831370 TI - The Hospital World. PMID- 29831371 TI - The Klapp Treatment of Scoliosis. PMID- 29831373 TI - The Operative Treatment of Fractures. PMID- 29831372 TI - Drug Eruptions: Their Nature and Varieties-II. PMID- 29831374 TI - Royal Southern Hospital, Liverpool. PMID- 29831376 TI - Progress in Dermatology. PMID- 29831375 TI - "The Hospital" Medico-Sociological Supplement (No. I). PMID- 29831377 TI - Progress in Cerebral, Spinal, and Nerve Surgery. PMID- 29831378 TI - Ascending Renal Infection. PMID- 29831379 TI - Muscular Atrophy and Sclerodermia. PMID- 29831380 TI - Tetanus Treated by Injections of Antitoxin into the Spinal Theca. PMID- 29831381 TI - Removal of King's College Hospital. PMID- 29831382 TI - Notes and News. PMID- 29831383 TI - League of Mercy. PMID- 29831384 TI - The Etiology of Alopecia Areata. PMID- 29831385 TI - The Hospital. Nursing Section. PMID- 29831386 TI - New Appliances and Things Medical. PMID- 29831387 TI - Insurance against Surgical Operations. PMID- 29831388 TI - The Physical Signs of Lobar Pneumonia. PMID- 29831389 TI - Progress in Pediatrics. PMID- 29831390 TI - Annotations. PMID- 29831392 TI - Re-Vaccination. PMID- 29831391 TI - Hospital Meetings. PMID- 29831393 TI - Annotations. PMID- 29831394 TI - Diet in Disease: II-Food and Food Values. PMID- 29831395 TI - The Treatment of Chronic Constipation. PMID- 29831396 TI - Notes and News. PMID- 29831398 TI - The New Isolated Building at the "Oresund Hospital," Copenhagen. PMID- 29831397 TI - Everybody's Page. PMID- 29831399 TI - Aberdeen and Its Institutions. PMID- 29831400 TI - Special Hospitals-Lying in and Women. PMID- 29831401 TI - Treatment of Rheumatoid Arthritis. PMID- 29831402 TI - A Plea for the "Practical" Man. PMID- 29831404 TI - The Hospital Nursing Supplement. PMID- 29831403 TI - Medical History from the Earliest Times: XXVI.-The Eclectics and Compilers. PMID- 29831405 TI - Employments for Women: IV. Lecturing for the County Councils. PMID- 29831406 TI - The Cost of Trained Nurses. PMID- 29831407 TI - New Drugs, Appliances, and Things Medical. PMID- 29831408 TI - Magic Cures. PMID- 29831409 TI - Cooking by Gas. III: Private Households. PMID- 29831410 TI - The General Infirmary, Northampton. PMID- 29831411 TI - The Hospital Nursing Supplement. PMID- 29831413 TI - Annotations. PMID- 29831412 TI - Medical History from the Earliest Times: XXXIX.-The Arabo-Scholastic Revival. (2) Surgery. PMID- 29831415 TI - The Use of Spermina. PMID- 29831414 TI - Everybody's Page. PMID- 29831416 TI - In the Abstract. PMID- 29831417 TI - On the Treatment of Knock Knee. PMID- 29831418 TI - A New Use for Telepathy. PMID- 29831419 TI - Treatment of Tuberculous Glands. PMID- 29831421 TI - Notes and News. PMID- 29831420 TI - Pasteur and Jenner. PMID- 29831423 TI - The Story of the Insane from Year to Year. PMID- 29831422 TI - Treatment of Acute Pneumonia. PMID- 29831425 TI - Around the Hospitals. PMID- 29831424 TI - Mr. Chamberlain on Friendly Workers. PMID- 29831426 TI - Too Few Frenchmen. PMID- 29831427 TI - The Treatment of Chorea. PMID- 29831428 TI - The Hospital Nursing Supplement. PMID- 29831429 TI - Treatment of Fracture of the Patella. PMID- 29831431 TI - A Wise Resolve. PMID- 29831430 TI - The Efficacy of Vaccination. PMID- 29831432 TI - The Laundry. PMID- 29831433 TI - Medical History from the Earliest Times: XXV.-Nestorian Medical Schools. PMID- 29831435 TI - Special Hospitals-Children. PMID- 29831434 TI - An Account of the North Kensington Friendly Workers among the Poor. PMID- 29831436 TI - Annotations. PMID- 29831437 TI - Diet in Disease: I. Food and Food Values. PMID- 29831438 TI - The Treatment of the Dropsy of Bright's Disease. PMID- 29831439 TI - The Miraculous Cures of Lourdes. PMID- 29831440 TI - The Attitude of Great Writers Towards Disease: XII. Dumas on the Art of the Poisoner. PMID- 29831441 TI - The Public School-Boy's Body. PMID- 29831442 TI - Notes and News. PMID- 29831443 TI - Church of England Sanitary Association. PMID- 29831444 TI - The Children's Hospital. Great Ormend Street. PMID- 29831446 TI - The Marquis of Salisbury at Oxford. PMID- 29831445 TI - Overstrained Brains : A Cry for More Institutions. PMID- 29831447 TI - Medical History from the Earliest Times: XLVI.-The Mystics, Sympathy, and Signatures. PMID- 29831448 TI - Treatment of the Bowel in Operations for Strangulated Hernia. PMID- 29831449 TI - Pensions for Old Age: I. Three Schemes Considered. PMID- 29831450 TI - Notes and News. PMID- 29831451 TI - Around the Hospitals. PMID- 29831452 TI - The Hospital Nursing Supplement. PMID- 29831453 TI - Hospitals of the World: I. Early Hospitals in Europe. PMID- 29831454 TI - Annotations. PMID- 29831455 TI - Everybody's Page. PMID- 29831456 TI - The Treatment of Fractures of the Femur. PMID- 29831457 TI - Diet in Disease: XV.-Diabetes. PMID- 29831458 TI - Treatment of Pleurisy. PMID- 29831459 TI - Everybody's Page. PMID- 29831461 TI - Opening of the Royal Eye Hospital, Southwark. PMID- 29831460 TI - The Hospital Nursing Supplement. PMID- 29831462 TI - Medical History from the Earliest Times: XXXVIII.-The Arabo-Scholastic Revival. (1) Medicine. PMID- 29831463 TI - Cooking by Gas. II. PMID- 29831464 TI - The Chemistry and Therapeutics of Gout. PMID- 29831465 TI - Annotations. PMID- 29831466 TI - The Treatment of Tonsillitis. PMID- 29831467 TI - Water Supply and Waste. PMID- 29831468 TI - Notes and News. PMID- 29831469 TI - The Treatment of Gastric Ulcer. PMID- 29831470 TI - Construction Notes. PMID- 29831471 TI - Taken on Trust. PMID- 29831473 TI - The Warneford Hospital, Leamington. PMID- 29831472 TI - The Treatment of Strumous Disease of the Knee-Joint. PMID- 29831475 TI - Literary Intelligence. PMID- 29831474 TI - The Feeding of Girls at Schools. PMID- 29831476 TI - Bedford and Its Medical Institutions. PMID- 29831477 TI - Margarine Adulteration. PMID- 29831478 TI - Asylums in India: I. The Bombay Presidency. PMID- 29831480 TI - Everybody's Page. PMID- 29831479 TI - Annotations. PMID- 29831481 TI - The Mildmay Medical Mission Hospital, Austin Street, Shoreditch. PMID- 29831482 TI - The Treatment of Hernia. PMID- 29831483 TI - The Recognition of Scientific Research. PMID- 29831484 TI - The Attitude of Great Writers Towards Disease: XX. The Plague at Milan, 1630. PMID- 29831486 TI - Construction Notes. PMID- 29831485 TI - The Hospital Nursing Supplement. PMID- 29831488 TI - Naphthalin as a Sedative. PMID- 29831487 TI - Medical History from the Earliest Times: XLI.-Mediaeval Military Medicine. PMID- 29831490 TI - New Drugs, Appliances, and Things Medical: The Newton-Nixon Thermometer Case. PMID- 29831489 TI - Treatment of Pott's Fracture. PMID- 29831491 TI - Royal Medical Benevolent College. PMID- 29831492 TI - The Beginnings of Disease. PMID- 29831493 TI - Notes and News. PMID- 29831494 TI - The Treatment of Strangulated Hernia. PMID- 29831495 TI - Notes and News. PMID- 29831497 TI - Construction Notes. PMID- 29831496 TI - The Durham County Hospital. PMID- 29831498 TI - Empyema. PMID- 29831499 TI - Hospital Uncharity. PMID- 29831500 TI - The Parson and the Public House. PMID- 29831501 TI - The Hospital Nursing Supplement. PMID- 29831503 TI - Treatment of Typhoid Fever. PMID- 29831502 TI - Annotations. PMID- 29831504 TI - Lying-In Hospital at Helsingfors. Finland. PMID- 29831505 TI - The Story of the Insane from Year to Year. PMID- 29831506 TI - Contemporary Theory and Research. PMID- 29831507 TI - Operative Treatment of Mucous Polypi of the Nose. PMID- 29831508 TI - Asylums in India: III. The Bengal Presidency. PMID- 29831509 TI - Medical History from the Earliest Times: XLIII.-The Medical Profession in the Middle Ages. PMID- 29831511 TI - Everybody's Page. PMID- 29831510 TI - Huddersfield Infirmary. PMID- 29831512 TI - Research-A Challenge to the Press. PMID- 29831513 TI - The Treatment of Conjunctivitis. PMID- 29831514 TI - The Progress and Policy of the Hospitals Association. PMID- 29831515 TI - New Drugs, Appliances, and Things Medical: An Admirable Hot-Water Bottle. PMID- 29831516 TI - Hypnotism for the Insane. PMID- 29831517 TI - Treatment of Dilatation of the Stomach. PMID- 29831519 TI - The Hospital Nursing Supplement. PMID- 29831518 TI - Annotations. PMID- 29831521 TI - Magic Cures II. PMID- 29831520 TI - The Treatment of Hip Disease. PMID- 29831523 TI - The Treatment of Hip Joint Disease. PMID- 29831522 TI - A Central Hospitals Board for London. PMID- 29831524 TI - Dermographism. PMID- 29831525 TI - No Quarantine. PMID- 29831526 TI - Hospitals and Asylums of the World. PMID- 29831528 TI - The Picture Magazine. PMID- 29831527 TI - Medical History from the Earliest Times: XL.-The Close of the Middle Ages. PMID- 29831530 TI - Hypnotism and Drunkenness. PMID- 29831529 TI - The International Congress of Charities, Correction, and Philanthropy, June 12 18, 1893: Section Four on the Hospital Care of the Sick, the Training of Nurses, Dispensary Work, and First Aid to the Injured. PMID- 29831531 TI - Cooking by Gas. IV. PMID- 29831532 TI - Everybody's Page. PMID- 29831533 TI - Notes and News. PMID- 29831534 TI - The Treatment of Pott's Fracture. PMID- 29831535 TI - Annotations. PMID- 29831536 TI - The Poor of London and Their Medical Needs. PMID- 29831537 TI - Treatment of Purulent Conjunctivitis. PMID- 29831538 TI - The Virchow Banquet. PMID- 29831539 TI - Construction Notes. PMID- 29831540 TI - The Treatment of Pneumonia. PMID- 29831541 TI - New Drugs, Appliances, and Things Medical. PMID- 29831542 TI - Radcliffe Infirmary, Oxford. PMID- 29831543 TI - Kitchen Ranges and Stoves. PMID- 29831544 TI - The Home Hospitals Association. PMID- 29831545 TI - Diet in Disease: XVII.-Gout. PMID- 29831546 TI - Hospital and Staff Liability for Negligence. PMID- 29831547 TI - Notes and News. PMID- 29831549 TI - Hospitals of the World: III. The Progress of English Nursing. PMID- 29831548 TI - The Hospital Nursing Supplement. PMID- 29831550 TI - Treatment of Pleurisy. PMID- 29831551 TI - Contemporary Theory and Research. PMID- 29831552 TI - The Treatment of Gastric Ulcer. PMID- 29831553 TI - Construction Notes. PMID- 29831554 TI - The Treatment of Rickets. PMID- 29831555 TI - Prehistoric Trepanning. PMID- 29831556 TI - The Hospital Nursing Supplement. PMID- 29831557 TI - Medical History from the Earliest Times: XLIV.-Unprofessional Medicine in the Middle Ages. PMID- 29831559 TI - Waste Products. PMID- 29831558 TI - The Institute of Preventive Medicine. PMID- 29831561 TI - Hypnal or Monochloral-Antipyrin. PMID- 29831560 TI - The Story of the Insane from Year to Year. PMID- 29831562 TI - The Mildmay Mission Hospital. PMID- 29831563 TI - Everybody's Page. PMID- 29831564 TI - The Cumberland Infirmary, Carlisle. PMID- 29831565 TI - Progress in Bacteriology. PMID- 29831566 TI - Notes and News. PMID- 29831567 TI - Treatment of Otorrhoea (Discharge from the Ear). PMID- 29831568 TI - Annotations. PMID- 29831570 TI - Physic's Lenten Pastoral. PMID- 29831569 TI - Royal Sea-Bathing Infirmary at Margate. PMID- 29831571 TI - Around the Hospitals. PMID- 29831572 TI - Diet in Disease: XIII.-Diabetes. PMID- 29831573 TI - Annotations. PMID- 29831574 TI - Children's Cots. PMID- 29831576 TI - Rates versus Subscriptions. PMID- 29831575 TI - The Treatment of Fractured Patella. PMID- 29831577 TI - Vivisection: An Appeal to Reason. PMID- 29831578 TI - On Amputation. PMID- 29831580 TI - The Royal Frederick's Hospital, Copenhagen. PMID- 29831579 TI - Notes and News. PMID- 29831581 TI - Everybody's Page. PMID- 29831582 TI - The Attitude of Great Writers Towards Disease: XIV. Sir Thomas Browne. PMID- 29831583 TI - The Hospital Nursing Supplement. PMID- 29831584 TI - Medical History from the Earliest Times: XXIX.-Arabic Medicine-(2) The Eastern Caliphate. PMID- 29831585 TI - Leeds General Infirmary. PMID- 29831586 TI - Assistants' Manners and Nurses' Fees. PMID- 29831587 TI - The Fruits of Vivisection. PMID- 29831589 TI - Varicose Veins. PMID- 29831588 TI - The Treatment of Flat Foot. PMID- 29831591 TI - Everybody's Page. PMID- 29831590 TI - The Radcliffe Infirmary, Oxford. PMID- 29831592 TI - New Drugs, Appliances, and Things Medical. PMID- 29831593 TI - Construction Notes. PMID- 29831595 TI - Annotations. PMID- 29831594 TI - The Treatment of Bronchitis. PMID- 29831597 TI - Mr. Lawson Tait and Vivisection. PMID- 29831596 TI - Around the Hospitals. PMID- 29831599 TI - The Prevention of Consumption. PMID- 29831598 TI - The Hull Royal Infirmary. PMID- 29831600 TI - Contemporary Theory and Research. PMID- 29831601 TI - Treatment of Rickets: III.-Medicines. PMID- 29831602 TI - Treatment of Naevus. PMID- 29831604 TI - Notes and News. PMID- 29831603 TI - Diet in Disease: XIV.-Diabetes. PMID- 29831605 TI - Lockers. PMID- 29831606 TI - Medical History from the Earliest Times: XLV.-The Revival of Learning. PMID- 29831607 TI - The Hospital Nursing Supplement. PMID- 29831608 TI - Around the Hospitals. PMID- 29831609 TI - The Hospital Nursing Supplement. PMID- 29831610 TI - The Attitude of Great Writers Towards Disease: XV. The Sick in Utopia. PMID- 29831611 TI - Annotations. PMID- 29831612 TI - Children's Cots. PMID- 29831613 TI - The Schoolmaster Very Much Abroad. PMID- 29831614 TI - Notes and News. PMID- 29831615 TI - Treatment of Chronic Ulcers of the Leg. PMID- 29831616 TI - Sheffield General Infirmary. PMID- 29831617 TI - Everybody's Page. PMID- 29831618 TI - Medical History from the Earliest Times: XXXI.-Arabic Medicine. (4) The Western Caliphate. PMID- 29831619 TI - Aix-La-Chapelle and Its Waters. PMID- 29831620 TI - Mind, Matter, and Medicine. PMID- 29831622 TI - The Choice of an Antiseptic. PMID- 29831621 TI - New Medicine for the New Times. PMID- 29831623 TI - The Feeding of Infants and Children. I.-Health. PMID- 29831624 TI - The Vibrating Helmet. PMID- 29831625 TI - Glasgow and Its Medical Institutions. PMID- 29831626 TI - The Birthplace of Cholera. PMID- 29831627 TI - Personalities. PMID- 29831628 TI - Hospitals in New Zealand. PMID- 29831629 TI - Treatment of Fractures of the Leg. PMID- 29831630 TI - Annotations. PMID- 29831631 TI - Fleming Memorial Hospital, Newcastle-On-Tyne. PMID- 29831633 TI - Children's Cots. PMID- 29831632 TI - Diet in Disease: V.-Restoratives. Tea. PMID- 29831635 TI - Treatment of Enteric Fever. PMID- 29831634 TI - Notes and News. PMID- 29831636 TI - Vivisection: An Appeal to Reason. PMID- 29831637 TI - The Hospital Nursing Supplement. PMID- 29831638 TI - The Morality of Vivisection. PMID- 29831639 TI - The Treatment of Chronic Suppuration of the Middle Ear. PMID- 29831640 TI - A Danger to Be Averted. PMID- 29831641 TI - Medical History from the Earliest Times: XXX.-Arabic Medicine-(3) Haly Abbas and Avicenna. PMID- 29831642 TI - The Hospital Nursing Supplement. PMID- 29831644 TI - Hospital Dresser's Table. PMID- 29831643 TI - Construction Notes. PMID- 29831645 TI - Annotations. PMID- 29831646 TI - Treatment of Intussusception. PMID- 29831648 TI - Medical History from the Earliest Times: XLVII.-Paracelsus. PMID- 29831647 TI - The Treatment of Headaches. PMID- 29831649 TI - Hospitals of the World: II. The Progress of English Nursing. PMID- 29831650 TI - Outpost Hospitals in Large Towns. PMID- 29831651 TI - The Treatment of Chorea. PMID- 29831652 TI - Diet in Disease: XVI.-Diabetes. PMID- 29831653 TI - Contemporary Theory and Research. PMID- 29831654 TI - Notes and News. PMID- 29831655 TI - Pensions for Old Age: II. Essential Points. PMID- 29831656 TI - The Treatment of Acute Rheumatism and Its Complications. PMID- 29831658 TI - What Is the Pension Fund Doing? PMID- 29831657 TI - Around the Hospitals. PMID- 29831660 TI - New Drugs, Appliances, and Things Medical: A New Form of Soda-Water Machine. PMID- 29831659 TI - New Drugs, Appliances, and Things Medical: Christia Tissue. PMID- 29831661 TI - The Hospital Nursing Supplement. PMID- 29831662 TI - The Last New Thing in Hospitals. PMID- 29831663 TI - The Feeding of Infants and Children. II.-In Disease. PMID- 29831664 TI - Faithfulness and Kingship. PMID- 29831666 TI - Berrywood Asylum. PMID- 29831665 TI - The Treatment of Pleurisy. PMID- 29831667 TI - The Fruits of Vivisection: A Reply to Sir Andrew Clark, Bart. PMID- 29831668 TI - Sheffield General Infirmary. PMID- 29831669 TI - Diet in Disease: VI.-Restoratives: Coffee, Cocoa. Chocolate. PMID- 29831670 TI - Attendants in the Olden Times. PMID- 29831671 TI - Notes and News. PMID- 29831672 TI - Annotations. PMID- 29831673 TI - The Treatment of Granular Lids. PMID- 29831675 TI - Medical History from the Earliest Times: XXXII.-Arabic Medicine. (5) Hospitals and Institutions. PMID- 29831674 TI - Around the Hospitals. PMID- 29831677 TI - The Story of the Insane from Year to Year. PMID- 29831676 TI - The Health of India. PMID- 29831679 TI - Engenolacetic Acid. PMID- 29831678 TI - Cottage Hospital. Keswick. PMID- 29831680 TI - Spinal Caries in Sick Children, Diagnosis and Treatment. PMID- 29831682 TI - General Civil Hospital, Colombo, Ceylon. PMID- 29831681 TI - Diet in Disease: XII.-Diabetes. PMID- 29831683 TI - Everybody's Page. PMID- 29831684 TI - Sunderland Infirmary. PMID- 29831685 TI - Colour Blindness. PMID- 29831686 TI - The Treatment of Morbus Coxae. PMID- 29831687 TI - Bedfordshire Hospital Trained Nurses' Institute. PMID- 29831688 TI - Schoolgirls' Food and Work. PMID- 29831689 TI - Annotations. PMID- 29831690 TI - Notes and News. PMID- 29831691 TI - Around the Hospitals. PMID- 29831692 TI - New Drugs, Appliances, and Things Medical: Safety Lamps. PMID- 29831694 TI - Medical History from the Earliest Times: XLII.-The Mediaeval Physician. PMID- 29831693 TI - The Hospital Nursing Supplement. PMID- 29831695 TI - Another Hint to the Oxford Infirmary. PMID- 29831696 TI - Asylums in India: II. The Madras Presidency. PMID- 29831697 TI - Why Do We Shiver? PMID- 29831698 TI - Bedford and Its Medical Institutions. PMID- 29831699 TI - Paying Patients at Special Hospitals. PMID- 29831701 TI - Notes and News. PMID- 29831700 TI - Edinburgh Royal Infirmary. PMID- 29831702 TI - The Treatment of Acute Rheumatism and Its Complications. PMID- 29831703 TI - The Hospital Nursing Supplement. PMID- 29831705 TI - Everybody's Page. PMID- 29831704 TI - The Treatment of Typhoid Fever. PMID- 29831706 TI - The Attitude of Great Writers Towards Disease: XVIII. Milton. PMID- 29831707 TI - Mr. Graham-Bennett. PMID- 29831708 TI - Annotations. PMID- 29831709 TI - Victoria Hospital, Folkestone. PMID- 29831710 TI - The Treatment of Pleurisy. PMID- 29831711 TI - Poor London! PMID- 29831712 TI - Royal Eye Hospital. Southwark. PMID- 29831713 TI - Medical History from the Earliest Times: XXXV.-The Darkest Age. PMID- 29831715 TI - New Drugs, Appliances, and Things Medical. PMID- 29831714 TI - Railway Servants' Vision. PMID- 29831716 TI - Diet in Disease: IX. Digestion. PMID- 29831717 TI - Faces in the Crowd. PMID- 29831718 TI - Autobiographical. PMID- 29831719 TI - The Hospital Nursing Supplement. PMID- 29831720 TI - The Royal Infirmary, Dundee. PMID- 29831721 TI - Cooking by Gas. PMID- 29831722 TI - Musical Amnesia. PMID- 29831723 TI - Annotations. PMID- 29831724 TI - 1892. PMID- 29831726 TI - The Treatment of Tubercular Disease of the Joints. PMID- 29831725 TI - Hospitals in India: The Bengal Presidency-(1) Calcutta Medical Institutions. PMID- 29831727 TI - Haemorrhoids. PMID- 29831728 TI - The Other Side. PMID- 29831729 TI - Notes and News. PMID- 29831730 TI - Bradford Infirmary. PMID- 29831731 TI - The Hospital Nursing Supplement. PMID- 29831732 TI - The Attitude of Great Writers Towards Disease: XIX. Charles Lamb. PMID- 29831734 TI - The Guinea. PMID- 29831733 TI - Medical History from the Earliest Times: XXXVI.-The School of Salerno. PMID- 29831735 TI - The Madness of the Millionaire. PMID- 29831736 TI - The Treatment of the Complications. PMID- 29831737 TI - The Treatment of Some of the Complications and Sequelae of Middle Ear Suppuration. PMID- 29831738 TI - The Treatment of Rickets. PMID- 29831740 TI - The Treatment by Drugs. PMID- 29831739 TI - The Treatment of Acute Chorea. PMID- 29831742 TI - Annotations. PMID- 29831741 TI - New Drugs, Appliances, and Things Medical. PMID- 29831743 TI - Charles Hamilton Fasson. PMID- 29831744 TI - Bedsteads. PMID- 29831745 TI - Diet in Disease: X.-Digestion-Absorption-Excretion. PMID- 29831746 TI - Notes and News. PMID- 29831747 TI - Miss Ethel M. Warner and Mr. Lawson Tait. PMID- 29831748 TI - The Attitude of Great Writers Towards Disease: XVII. Charles Kingsley. PMID- 29831749 TI - The Treatment of Spinal Disease. PMID- 29831750 TI - The Hospital Nursing Supplement. PMID- 29831751 TI - Bedsteads I. PMID- 29831752 TI - Everybody's Page. PMID- 29831753 TI - The Hospital for Curing the Poor in Their Own Homes of Loss of Movement from Paralysis, Rheumatism, and Deformity. PMID- 29831754 TI - Notes and News. PMID- 29831755 TI - Anti-Vivisectionists and Their Mistakes. PMID- 29831757 TI - Cremation or Burial? PMID- 29831756 TI - Annotations. PMID- 29831758 TI - Asylums of New Zealand. PMID- 29831759 TI - Bollingbroke House Pay Hospital. PMID- 29831760 TI - The Middlesex Hospital. PMID- 29831761 TI - Diet in Disease: VIII.-Digestion. PMID- 29831762 TI - Treatment of Inflammation of the Middle Ear. PMID- 29831763 TI - The Sunday Fund Meeting. PMID- 29831764 TI - Medical History from the Earliest Times: XXXIV.-The Darkest Age. PMID- 29831765 TI - The Treatment of Enteric Fever. PMID- 29831766 TI - The Hospital Nursing Supplement. PMID- 29831768 TI - Diet in Disease: XI.-Invalid Foods. PMID- 29831767 TI - Medical History from the Earliest Times: XXXVII.-The Ladies of Salerno. PMID- 29831769 TI - Annotations. PMID- 29831770 TI - Foul Language in Public Places. PMID- 29831771 TI - Everybody's Page. PMID- 29831772 TI - Notes and News. PMID- 29831774 TI - The Treatment of Some Forms of Heart Disease. PMID- 29831773 TI - The Social Horizon. PMID- 29831775 TI - New Drugs, Appliances, and Things Medical: An Antiseptic Hypodermic Syringe. PMID- 29831777 TI - The Treatment of Injuries to the Hand. PMID- 29831776 TI - Cheyne Hospital for Sick and Incurable Children, Cheyne Walk, Chelsea. PMID- 29831778 TI - The Treatment of Slighter Forms of In-Knee. PMID- 29831779 TI - Christmas Fare for the Children. PMID- 29831781 TI - To Will and to Do. PMID- 29831780 TI - This above All. PMID- 29831783 TI - The "W. H. Smith" Isolation Hospital, Henley-On-Thames. PMID- 29831782 TI - Diet in Disease: IV.-Stimulants: The Coca of Peru-Coca Wine. PMID- 29831784 TI - The Aberdeen Hospital for Sick Children. PMID- 29831785 TI - Morningside Asylum, Edinburgh. PMID- 29831786 TI - The Public School Boy's Body. PMID- 29831787 TI - Everybody's Page. PMID- 29831788 TI - Annotations. PMID- 29831790 TI - The Wisdom of the Moderns. PMID- 29831789 TI - Medical History from the Earliest Times: XXVIII.-Arabic Medicine-(1) The Translators. PMID- 29831791 TI - Treatment of Burns and Scalds. PMID- 29831792 TI - The Hospital Nursing Supplement. PMID- 29831793 TI - The Treatment of Typhoid Fever. PMID- 29831794 TI - The Central London Throat and Ear Hospital. PMID- 29831796 TI - The Treatment of Sprains of the Ankle. PMID- 29831795 TI - Notes and News. PMID- 29831797 TI - New Drugs, Appliances, and Things Medical: The "Carboline" Disinfectant. PMID- 29831798 TI - Construction Notes. PMID- 29831800 TI - The Worth of Inflammation. PMID- 29831799 TI - British Home for Incurables, Clapham Rise. PMID- 29831802 TI - Notes and News. PMID- 29831801 TI - The "Ordeal of Pauperism". PMID- 29831803 TI - Annotations. PMID- 29831804 TI - The Treatment of Post Nasal Adenoids. PMID- 29831806 TI - Moral Antiseptics. PMID- 29831805 TI - The Treatment of Colles's Fracture. PMID- 29831807 TI - The Treatment of Tubercular Disease of the Knee-Joint. PMID- 29831809 TI - The Attitude of Great Writers Towards Disease: XVI. Boccaccio. PMID- 29831808 TI - Medical History from the Earliest Times: XXXIII.-General Survey of Arabic Medicine. PMID- 29831810 TI - Diet in Disease: VI.-Water.-Salts. PMID- 29831811 TI - Opening of the New Medical Wing University College, Bristol. PMID- 29831812 TI - New Drugs. Appliances. And Things Medical. PMID- 29831813 TI - The Hospital Nursing Supplement. PMID- 29831814 TI - Notes and News. PMID- 29831816 TI - Where Are the Donors? PMID- 29831815 TI - Diet in Disease: III.-Stimulants: Alcohol. PMID- 29831817 TI - The Attitude of Great Writers Towards Disease: XIII. Elizabeth Barrett Browning. PMID- 29831818 TI - The Treatment of Corneal Ulcers. PMID- 29831819 TI - Medical History from the Earliest Times: XXVII-Byzantine Medicine. PMID- 29831820 TI - The Bitter Cry of Motherhood. PMID- 29831821 TI - Turning over New Leaves. PMID- 29831822 TI - The Treatment of Fractures of the Shaft of the Femur. PMID- 29831823 TI - Around the Hospitals. PMID- 29831824 TI - Special Hospitals: Ophthalmic and Miscellaneous: Cost of Management. PMID- 29831825 TI - New Drugs, Appliances, and Things Medical. PMID- 29831826 TI - Devon and Exeter Hospital. PMID- 29831827 TI - The London Homoeopathic Hospital. PMID- 29831828 TI - The Treatment of Diphtheria. PMID- 29831829 TI - The Hospital Nursing Supplement. PMID- 29831830 TI - Annotations. PMID- 29831831 TI - The Ethics of Controversy. PMID- 29831832 TI - The Under-Five Citizen. PMID- 29831833 TI - President of King Edward's Hospital Fund. PMID- 29831834 TI - The Outbreak of Rabies: Are More Widespread Measures Necessary? PMID- 29831835 TI - The War and German Child-Life. PMID- 29831836 TI - Round the Hospitals. PMID- 29831837 TI - The Labour Party and a State Medical Service. PMID- 29831838 TI - The Therapeutic Value of a Becoming Costume. PMID- 29831839 TI - The Heating of Operating-Theatres. PMID- 29831840 TI - Hospital Annual Meetings. PMID- 29831842 TI - Critics of Present Conditions: Dawn of a Brighter Era: College Plans. PMID- 29831841 TI - A Final Duty on Demobilisation. PMID- 29831844 TI - Legal Notes for Institutional Workers. PMID- 29831843 TI - Its Frequency and a Remedy. PMID- 29831846 TI - Hospital and Institutional News. PMID- 29831845 TI - A Modern Idea of Gout. PMID- 29831847 TI - Hospitals in Native Regiments. PMID- 29831848 TI - Inclusive Fees for Private Patients. PMID- 29831849 TI - A Grave Scandal. PMID- 29831850 TI - Parliament and the Professions. PMID- 29831852 TI - Round the Hospitals. PMID- 29831851 TI - The Pneumonia Mortality: With Special Reference to the Influenza Complication. PMID- 29831853 TI - The Mechanical Genius and the Pen. PMID- 29831854 TI - The River past and God Forgotten. PMID- 29831855 TI - Australian Notes. PMID- 29831856 TI - Wound Shock: Lessons Derived from the War. PMID- 29831858 TI - Scheme of Development. PMID- 29831857 TI - Hospital and Institutional News. PMID- 29831859 TI - A Eugenic Problem. PMID- 29831860 TI - Rooks in Brighton. PMID- 29831862 TI - Betrayal Not Compromise. PMID- 29831861 TI - Health and the House. PMID- 29831864 TI - Subsidies for Consumptives. PMID- 29831863 TI - The Awakening of the Hospitals. PMID- 29831865 TI - The Treatment of Suppuration: With a Note on Maggots. PMID- 29831867 TI - Discussion in Standing Committee-Second Reading. PMID- 29831866 TI - The Army Chaplain. PMID- 29831869 TI - Hospital Annual Meetings. PMID- 29831868 TI - The Danger Lurking in the Bill. PMID- 29831871 TI - The Special Meeting of the B.M.A. PMID- 29831870 TI - The Dysenteries: A Review of Recent Experience. PMID- 29831873 TI - New Building Decided on. PMID- 29831872 TI - The Position of the Factory Nurse. PMID- 29831874 TI - Parliament and the Professions. PMID- 29831875 TI - Hospital and Institutional News. PMID- 29831877 TI - Wall Surfaces. PMID- 29831876 TI - High Sea Wanderings. PMID- 29831879 TI - The Need for Play. PMID- 29831878 TI - The Red Cross and the Nurse. PMID- 29831881 TI - Dangers of Middle Class Restaurants, Coffee Stalls and Some Public Houses. PMID- 29831880 TI - Round the Hospitals. PMID- 29831882 TI - Anaesthesia: The Promise of Future Refinement. PMID- 29831883 TI - The Real Test of the Nursing Spirit. PMID- 29831884 TI - District Nursing. PMID- 29831885 TI - The House of Lords Proves Its Value. PMID- 29831887 TI - Round the Hospitals. PMID- 29831886 TI - The Appearance of Plague. PMID- 29831888 TI - The College Bill in the House of Lords. PMID- 29831889 TI - No Gentlemen Need Apply. PMID- 29831890 TI - Margarine. PMID- 29831891 TI - V.A.D.'s Casualty Clearing Stations. PMID- 29831893 TI - Hospital and Institutional News. PMID- 29831892 TI - Landlords and Slums. PMID- 29831894 TI - The Ministry of Health and the Medical Profession. PMID- 29831895 TI - Edith Cavell's Home-Coming: With Many Illustrations. PMID- 29831896 TI - The Causes of Industrial Accidents. PMID- 29831897 TI - A Year's Work at Guy's Hospital. PMID- 29831898 TI - Re Working Hours of Private Nurses. PMID- 29831899 TI - Presentation at the Royal Society of Medicine. PMID- 29831900 TI - St. Dunstan's Methods for Civilian Institutions. PMID- 29831901 TI - Hospital Airships. PMID- 29831902 TI - Reform in Welfare Teaching. PMID- 29831903 TI - Well-Paid Matrons. PMID- 29831904 TI - Improvement in Drainage Systems. PMID- 29831905 TI - Parliament and the Profession. PMID- 29831907 TI - Civil Treatment of Accident Cases. PMID- 29831906 TI - Round the Hospitals. PMID- 29831908 TI - Prohibition or Freedom. PMID- 29831909 TI - The Marriage of Syphilitics. PMID- 29831910 TI - Gymkhana at Cardiff. PMID- 29831911 TI - Ierne Finds a Task for Every Member of the College. PMID- 29831912 TI - A Notable Anniversary. PMID- 29831913 TI - The Duties of a Sister-Tutor: The Strain of Constant Teaching. PMID- 29831915 TI - Hospital and Institutional News. PMID- 29831914 TI - The Question of Alcohol. PMID- 29831916 TI - Training-Schools and Business Habits. PMID- 29831917 TI - Hospital and Institutional News. PMID- 29831918 TI - The Standing Committee. PMID- 29831920 TI - Poor-Law Buildings and State Hospitals. PMID- 29831919 TI - The College Salaries Committee. PMID- 29831922 TI - Cerebro-Spinal Fever: A Triumph for Medical Investigation. PMID- 29831921 TI - Nursing Staff Salaries: Increase from the Top. PMID- 29831924 TI - The Action of King Edward's Hospital Fund for London. PMID- 29831923 TI - State Registration: A Jeremiad. PMID- 29831926 TI - Parliament and the Professions. PMID- 29831925 TI - Amendments to Be Moved by Colonel Raw on Behalf of the College of Nursing, Limited. PMID- 29831928 TI - Mental Nursing. PMID- 29831927 TI - Scheme for the Counties: The Needs of London. PMID- 29831929 TI - Committee Proceedings on the Bill. PMID- 29831930 TI - The Future of Vaccine Therapy. PMID- 29831932 TI - Water Supply on Active Service: Purification and Distribution Problems. PMID- 29831931 TI - Round the Hospitals. PMID- 29831934 TI - The Proposal to Erect the New Hospital on Clapham Common. PMID- 29831933 TI - Hospital Annual Meetings. PMID- 29831935 TI - The Two Registration Bills: A Matron's View. PMID- 29831937 TI - Round the Hospitals. PMID- 29831936 TI - From Sir Henry Burdett, to the Editor, "The Times". PMID- 29831938 TI - State Controlled and Voluntary Hospitals. PMID- 29831939 TI - Immunisation against Measles. PMID- 29831941 TI - Report of the Work of the past Quarter. PMID- 29831940 TI - From Mr. Herbert J. Paterson, to the Editor, "The Times." PMID- 29831942 TI - Stockport Infirmary. PMID- 29831943 TI - Hospital and Institutional News. PMID- 29831944 TI - The Carrel-Dakin and Allied Methods. PMID- 29831945 TI - The Working Hours of Private Nurses. PMID- 29831946 TI - The House of Lords and Nurse Registration. PMID- 29831947 TI - Toxidermias. PMID- 29831948 TI - Summer Time. PMID- 29831949 TI - A Substitute for Finsen Light. PMID- 29831950 TI - Report of the Salaries Committee of the College of Nursing. PMID- 29831951 TI - The Present Fate of the British Nurse? PMID- 29831952 TI - The Clearing of the Slums. PMID- 29831953 TI - A Supplementary Register for Fever Nursing. PMID- 29831954 TI - New Era Dawning under State Auspices: Nurses' Pensions: The Poor-Law Nurse. PMID- 29831955 TI - Conference at Central Hall, Westminster. PMID- 29831956 TI - The Power of Personal Service. PMID- 29831958 TI - Nurses and the League of Nations. PMID- 29831957 TI - An Historic Annual Meeting. PMID- 29831960 TI - Minor Thyroid Insufficiency: A Condition Met with Daily. PMID- 29831959 TI - Metropolitan Tuberculosis Difficulties. PMID- 29831961 TI - The Prevention of Cholera. PMID- 29831962 TI - Gum-Saline in Wound-Shock and Similar States. PMID- 29831963 TI - Rays and the Cancer Problem: Their Value and Limitations. PMID- 29831964 TI - Hospital and Institutional News. PMID- 29831965 TI - Round the Hospitals. PMID- 29831966 TI - The Health of the Collier: His Comparative Immunity from Phthisis. PMID- 29831967 TI - Impressions of a Visitor from the Provinces. PMID- 29831968 TI - Further Meditations on Gout. PMID- 29831969 TI - The Dangers of Big Panels. PMID- 29831970 TI - Poplar's Measures of Disinfection. PMID- 29831972 TI - Round the Hospitals. PMID- 29831971 TI - Hospital and Institutional News. PMID- 29831974 TI - Specially Trained Matrons in Demand. PMID- 29831973 TI - Convert Probation into Pupilage: A Golden Opportunity. PMID- 29831976 TI - Tuberculous Soldiers on the Land. PMID- 29831975 TI - The Patient's Posture in Bed. PMID- 29831978 TI - Cytology of the Blood. PMID- 29831977 TI - Formalin Treatment of Bed Sores. PMID- 29831979 TI - Hospital Reconstruction and Rebuilding: Cost per Bed for Building Alone. PMID- 29831980 TI - Charges of Medical Breakdown: The Official Reply. PMID- 29831981 TI - Special Building Materials. PMID- 29831983 TI - The Afghan War Scandals. PMID- 29831982 TI - The Action of Poison Gases. PMID- 29831985 TI - What Happens to Patients' Leavings? PMID- 29831984 TI - The Association of Hospital Matrons. PMID- 29831987 TI - Will Influenza Return? PMID- 29831986 TI - Practitioners, and the Marriage of Syphilitics. PMID- 29831989 TI - Round the Hospitals. PMID- 29831988 TI - Gun-Shot Fractures of the Femur. PMID- 29831991 TI - Tuberculosis Notes. PMID- 29831990 TI - The Royal British Nurses' Association. PMID- 29831992 TI - Newman's Fortreviver. PMID- 29831993 TI - Hospital and Institutional News. PMID- 29831995 TI - Overseas Nursing Association. PMID- 29831994 TI - Who Can the Lady Be? PMID- 29831997 TI - An Attractive Field for Research. PMID- 29831996 TI - Miller General Hospital. PMID- 29831999 TI - The Future of the Voluntary System. PMID- 29831998 TI - The Central Committee's Bill. PMID- 29832000 TI - Nurses and University Training. PMID- 29832001 TI - Great Possibilities in Prospect for the Nursing Profession. PMID- 29832003 TI - Hospital Gazettes for July. PMID- 29832002 TI - Madness and Marriage. PMID- 29832005 TI - Compulsory Segregation of Consumptives: Powers of Health Authorities. PMID- 29832004 TI - The Escape. PMID- 29832006 TI - Round the Hospitals. PMID- 29832007 TI - A Demonstration of Artificial Limbs. PMID- 29832009 TI - Hospital and Institutional News. PMID- 29832008 TI - Parliament and the Professions. PMID- 29832011 TI - The Preserving of Food: A Sketch of Some Objects in Research. PMID- 29832010 TI - The River's Tale. PMID- 29832012 TI - The Great Water Pageant: Tens of Thousands of People Present. PMID- 29832013 TI - A Business Girl's Views on the Slum Troubles. PMID- 29832014 TI - The Physical Side of the Probationer's Training. PMID- 29832015 TI - Some Points in Artificial Immunity. PMID- 29832016 TI - The Art of Diagnosis. PMID- 29832017 TI - Hospital Annual Meetings. PMID- 29832018 TI - The Choice of Names. PMID- 29832019 TI - Hospital and Institutional News. PMID- 29832020 TI - State Registration at Hand. PMID- 29832021 TI - Round the Hospitals. PMID- 29832022 TI - Barrasford Sanatorium's Finances. PMID- 29832024 TI - Rickets as a Dietetic Disease: An Outline of Recent Research. PMID- 29832023 TI - Parliament and the Professions. PMID- 29832026 TI - The College of Nursing and the State Recognition of Nurses. PMID- 29832025 TI - The Apotheosis of Kipps. PMID- 29832028 TI - A Remarkable Meeting. PMID- 29832027 TI - The Nursing Profession: Reconstruction v. Destruction. PMID- 29832029 TI - Second Reading Passed on Friday, March 28: The Debate. PMID- 29832030 TI - A Deliberate Suppression of the Facts. PMID- 29832032 TI - A Chapter on Business Method. PMID- 29832031 TI - Is This the End of an Old Difficulty? PMID- 29832033 TI - Our Defences against Smallpox. PMID- 29832034 TI - The Pocket-Handkerchief-A Seed-Sack of Death. PMID- 29832035 TI - Fees for Notification of Infectious Diseases. PMID- 29832036 TI - New Scale of Salaries at the London Hospital: Increase of L7,259 a Year. PMID- 29832037 TI - War Gratuities for Regular Officers. PMID- 29832038 TI - The Medical Research Committee: Fourth Annual Report. PMID- 29832039 TI - The Victimisation of V.A.D.s. PMID- 29832040 TI - Malaria in England. PMID- 29832041 TI - Erratum. AB - [This corrects the article on p. 566 in vol. 66.]. PMID- 29832042 TI - Queen Charlotte's Hospital and Its Nursing Staff. PMID- 29832043 TI - Celluloid Splinting from Plaster Casts. PMID- 29832044 TI - Some Possible Clinical Units. PMID- 29832045 TI - Round the Hospitals. PMID- 29832046 TI - Nuns as Nurses: Trained Nurses Superseded? PMID- 29832047 TI - Twenty-One Years' Financial Progress. PMID- 29832048 TI - A Million for the Hospitals. PMID- 29832049 TI - A Small Independent Inquiry Commission Called for. PMID- 29832050 TI - A General's Criticism. PMID- 29832051 TI - Hospital and Institutional News. PMID- 29832053 TI - Pensions for All Mothers. PMID- 29832052 TI - Vincent's Angina: A Note of Recent Observations. PMID- 29832055 TI - How to Pay for Memorial Schemes: A Criticism and a Suggestion. PMID- 29832054 TI - The Open Coal-Fire. PMID- 29832057 TI - The Reorganisation of the Teaching of Medicine and Surgery. PMID- 29832056 TI - A Nurses' Club for Dublin. PMID- 29832058 TI - The Art of Attracting Probationers. PMID- 29832060 TI - The Voluntary Hospital Essential to Public Safety: Its Position of Financial Strength. PMID- 29832059 TI - The Secretary's Statements. PMID- 29832062 TI - After-War Reorganisation. PMID- 29832061 TI - Charles Mercier's Life Reflected in His Work. PMID- 29832063 TI - What of the Man? PMID- 29832064 TI - Report of the County Medical Officer of Health. PMID- 29832065 TI - The Filter-Passing Virus. PMID- 29832066 TI - Round the Hospitals. PMID- 29832067 TI - A Suggestion within Their Means. PMID- 29832068 TI - Tenement Houses: Some Drastic Changes Called for. PMID- 29832070 TI - Ca'-ing Canny Throughout the Nation? PMID- 29832069 TI - The Meaning of an Eight-Hour Day. PMID- 29832071 TI - Leicester Royal Infirmary. PMID- 29832072 TI - Hospital and Institutional News. PMID- 29832074 TI - Apothecaries' Assistants and Pharmacists. PMID- 29832073 TI - Metropolitan Hospital Sunday Fund. PMID- 29832076 TI - Parliament and the Professions. PMID- 29832075 TI - Should the Garden Cities Be Extended? PMID- 29832077 TI - Women in Industry: A Review of Cause and Effect. PMID- 29832078 TI - Plague and the I.M.S. PMID- 29832079 TI - The Policy of Waiting. PMID- 29832080 TI - Cases Which May Benefit from Surgical Measures. PMID- 29832081 TI - Average Occupied Beds at St. George's Hospital. PMID- 29832082 TI - The Demobilisation of Temporary Officers in the R.A.M.C. PMID- 29832084 TI - Plastic and Reconstructive Surgery. PMID- 29832083 TI - Road to Efficient Health Maintenance Via the Hospitals. PMID- 29832085 TI - Hospital and Institutional News. PMID- 29832086 TI - A Convert to the Voluntary System. PMID- 29832087 TI - A Warning to the Government. PMID- 29832088 TI - The After-Effects of Lumbar Puncture. PMID- 29832089 TI - Its Coat of Arms and Badge. An Attractive Competition. PMID- 29832091 TI - The Exceptional Child in Ontario. PMID- 29832090 TI - State Registration and Mystery. PMID- 29832092 TI - Urgent Work for Press and Parliament. PMID- 29832093 TI - The Opportunity of the Smaller Hospitals. PMID- 29832095 TI - Hospital and Institutional News. PMID- 29832094 TI - Round the Hospitals. PMID- 29832097 TI - Effects of Louse Bites. PMID- 29832096 TI - The Church, Practitioners, and the Marriage of Syphilitics. PMID- 29832099 TI - The Society of Chemical Industry and Its Work. PMID- 29832098 TI - Round the Hospitals. PMID- 29832100 TI - Peace Celebrations at King Edward VII. Hospital, Cardiff. PMID- 29832101 TI - Foundation Meeting. PMID- 29832103 TI - Disease and Accident. PMID- 29832102 TI - Functional Diagnosis in Albuminuria. PMID- 29832105 TI - The Plague of Examinations. PMID- 29832104 TI - The Peace Celebration, July 19, 1919. PMID- 29832107 TI - The Voluntary Spirit v. State Control. PMID- 29832106 TI - Peace and Local Saturday Societies. The New Value of Money. PMID- 29832109 TI - Ante-Natal and Intra-Natal Care. PMID- 29832108 TI - The Conference at Leicester. PMID- 29832110 TI - The Endowment of Motherhood. PMID- 29832111 TI - Women in the Victory March, July 19, 1919. PMID- 29832112 TI - Parliament and the Profession. PMID- 29832114 TI - The Control of Hydrophobia: A More Simplified Procedure Necessary. PMID- 29832113 TI - Women's Holidays. PMID- 29832115 TI - Convalescence Amid Trees and Flowers. PMID- 29832116 TI - The Red Cross in Ireland: Something Wrong Somewhere. PMID- 29832117 TI - The New Health Regime: Consultative Councils. PMID- 29832118 TI - The Localisation of Missiles. PMID- 29832120 TI - The British Science Guild's Second Exhibition. PMID- 29832119 TI - Night Nurses' Meals. PMID- 29832122 TI - External Toxidermias. PMID- 29832121 TI - Round the Hospitals. PMID- 29832124 TI - Central Committee's Bill. PMID- 29832123 TI - Thanksgiving for Peace. PMID- 29832125 TI - The Hospital Treatment of Epidemic Diarrhoea. PMID- 29832126 TI - The Victory of King Edward's Hospital Fund for London. PMID- 29832127 TI - Parliament and the Profession. PMID- 29832128 TI - Tuberculosis and the War: Some Views on Future Developments. PMID- 29832130 TI - Should the Probationary System Be Revolutionised? PMID- 29832129 TI - Peace and the Profession. PMID- 29832132 TI - The Coming of Peace and Its Awakening Powers. PMID- 29832131 TI - Hospital and Institutional News. PMID- 29832134 TI - The Ministry of Health and National Baby Week. PMID- 29832133 TI - Physiognomy. PMID- 29832136 TI - The Necessity for Making Registration Attractive. PMID- 29832135 TI - The Marriage of Syphilitics. PMID- 29832137 TI - Bilharziasis and Its History: An Example of Recent Success. PMID- 29832138 TI - A Passive but Grave Menace. PMID- 29832139 TI - Hospital Affairs in Ireland: Radical Reforms Called for. PMID- 29832140 TI - The Eight-Hours' Day in Private Nursing. PMID- 29832142 TI - Queen Charlotte's Hospital and its Nursing Staff. PMID- 29832141 TI - Pearls in Food. PMID- 29832143 TI - Round the Hospitals. PMID- 29832144 TI - An Economical Substitute for Fresh Milk. PMID- 29832146 TI - Hospital and Institutional News. PMID- 29832145 TI - Structure and Management of Modern Dwellings. PMID- 29832147 TI - The White Operating-Theatre. PMID- 29832148 TI - Heatstroke and Allied Conditions: Types Seen in the Eastern Campaigns. PMID- 29832149 TI - A Bulwark of Security for the Patient. PMID- 29832150 TI - Staff Conditions in Hospitals. PMID- 29832151 TI - Ranyard Nurses. PMID- 29832153 TI - Free Midwives: The Practice in Big Towns. PMID- 29832152 TI - Tuberculosis at Home and Abroad. PMID- 29832154 TI - The Effort Syndrome: Soldier's Heart. PMID- 29832155 TI - An Insufficient Medical Service. PMID- 29832157 TI - The Details of Splint Application. PMID- 29832156 TI - Hospital and Institutional News. PMID- 29832158 TI - Headquarters' Failure in India. PMID- 29832159 TI - Royal Gwent Hospital: Grant of Arms. PMID- 29832160 TI - Hospitals' Reply to Lord Crawford. PMID- 29832161 TI - Tuberculosis in Private Practice: Some Points in Early Diagnosis and Prevention. PMID- 29832162 TI - The Future of Unqualified Nurses. PMID- 29832163 TI - Parliament and the Professions. PMID- 29832164 TI - Results; and Proposed Chair of Tuberculosis. PMID- 29832166 TI - Round the Hospitals. PMID- 29832165 TI - Income-Tax Liabilities and Claims. PMID- 29832167 TI - Neurasthenia and Its Cure: The Effect of Handicraft on Mind and Body. PMID- 29832168 TI - The Novice in General Practice. PMID- 29832170 TI - The Kata-Thermometer. PMID- 29832169 TI - Nurses the Exclusive Occupiers of a New Field. PMID- 29832171 TI - From Mr. Herbert J. Paterson, to the Editor of "The Times." PMID- 29832172 TI - The Mortality of Child-Bearing: Reasons for Continued High Figures. PMID- 29832173 TI - Hospital and Institutional News. PMID- 29832175 TI - Self-Determination for Nurses. PMID- 29832174 TI - The New Nurses' Prospects. PMID- 29832176 TI - The Need for Common Sense Extension. PMID- 29832177 TI - Royal Hospital and Home for Incurables, Putney. PMID- 29832178 TI - Nurses v. Trade Unions. PMID- 29832179 TI - Lessons Learnt and the Need to Apply Them. PMID- 29832180 TI - Report of the Salaries Committee of the College of Nursing. PMID- 29832181 TI - Round the Hospitals. PMID- 29832182 TI - Professional Secrecy. PMID- 29832183 TI - Helping the Architect. PMID- 29832184 TI - The Individual and the Homestead. PMID- 29832185 TI - Hospital Libraries: A Scheme for Centralisation. PMID- 29832187 TI - Parliament and the Professions. PMID- 29832186 TI - From Sir Henry Burdett, to the Editor of "The Times." PMID- 29832188 TI - The River Past, God Forgotten, and the Ferryman Punished. PMID- 29832189 TI - Parliament and the Profession. PMID- 29832191 TI - The Differential Diagnosis of Smallpox. PMID- 29832190 TI - Gum-Saline in Wound-Shock and Similar States. PMID- 29832193 TI - Teaching of Preventive Medicine. PMID- 29832192 TI - The Decline in Population. PMID- 29832195 TI - The New Union among Matrons. PMID- 29832194 TI - Representative Inaugural Meeting at St. Thomas's Hospital. PMID- 29832197 TI - At the Ocean Gates of Britain. PMID- 29832196 TI - The R.A.M.C. War Memorial. PMID- 29832198 TI - A General Introduction. PMID- 29832199 TI - Hospital and Institutional News. PMID- 29832200 TI - The Central Committee's Nurse Registration Bill. PMID- 29832201 TI - The Housing Bill: Objects and Finance. PMID- 29832202 TI - Sitting Tight While Others Fight. PMID- 29832204 TI - The British Farmers' Hospital. PMID- 29832203 TI - The Working Hours of the Private Nurse: A Problem to Be Solved. PMID- 29832206 TI - Round the Hospitals. PMID- 29832205 TI - One-Story versus Many-Story Methods. PMID- 29832207 TI - Hospital Annual Meetings. PMID- 29832208 TI - The Victory Parade and After: Something Worth Attention by Each Man and Woman. PMID- 29832209 TI - Round the Hospitals. PMID- 29832210 TI - How Immediate and Urgent Needs Are Met. PMID- 29832211 TI - Wound Shock and Surgical Shock. PMID- 29832212 TI - The New Spirit among Probationers. PMID- 29832213 TI - Hospital and Institutional News. PMID- 29832214 TI - As They Are Viewed by Their Fellow-Nurses. PMID- 29832215 TI - Work for the V.A.D.s. PMID- 29832216 TI - Blood Transfusion: An Outline of the Technique and Applications. PMID- 29832218 TI - The Super-Child: Progressive Ideas and a Nation's Simple Duty. PMID- 29832217 TI - Surgery of the Knee: Notes of a Recent Development. PMID- 29832219 TI - Some of the Examination Questions. PMID- 29832220 TI - Books and the War. PMID- 29832221 TI - Pensions Problems. PMID- 29832222 TI - The London Hospital "Gazette." PMID- 29832223 TI - The Case of the Neurasthenic. PMID- 29832224 TI - Compound Fractures. PMID- 29832225 TI - The Improvement of Food Supplies. PMID- 29832226 TI - Masked Men at Guy's Hospital. PMID- 29832227 TI - Are Many Hospitals to Be Closed? PMID- 29832228 TI - The Call to Members of the College. PMID- 29832229 TI - The Church, Practitioners, and the Marriage of Syphilitics. PMID- 29832230 TI - Nurses' Registration. PMID- 29832231 TI - The Church and the Marriage of Syphilitics. PMID- 29832232 TI - The College of Nursing. PMID- 29832233 TI - The Royal Army Medical Corps. PMID- 29832234 TI - Registration and the Ministry of Health. PMID- 29832235 TI - Islington War Memorial. PMID- 29832236 TI - Doctors' War Bonus Increased. PMID- 29832237 TI - Hospital and Institutional News. PMID- 29832238 TI - Demobilisation and the Y.M.C.A. PMID- 29832240 TI - Report of the Salaries Committee of the College of Nursing. PMID- 29832239 TI - Hospitals and Dental Service. PMID- 29832241 TI - Round the Hospitals. PMID- 29832242 TI - Modern Treatment of Burns. PMID- 29832243 TI - The Modern London Training-School for Nurses. PMID- 29832244 TI - The Primary Suture of Wounds. PMID- 29832245 TI - An Optimum Population. PMID- 29832246 TI - Hospital and Institutional News. PMID- 29832247 TI - The Relation of Voluntary Hospitals to the State. PMID- 29832248 TI - The Working Hours of the Private Nurse. PMID- 29832249 TI - The Editor's Letter-Box. PMID- 29832250 TI - Association of Hospital Matrons. PMID- 29832251 TI - Hospital Annual Meetings. PMID- 29832252 TI - The Vulgar Person. PMID- 29832253 TI - Hospitals in the Arctic. PMID- 29832254 TI - The Control of the Sale of Drink. PMID- 29832255 TI - Edith Cavell: At Erpingham Gate, Norwich Cathedral. PMID- 29832256 TI - Viscount Burnham and Maitre De Leval on Nurse Cavell: Her Last Words Recorded. PMID- 29832257 TI - The Smoking Habit. PMID- 29832258 TI - An Outline of the Allen Method. PMID- 29832259 TI - Round the Hospitals. PMID- 29832261 TI - Hospital and Institutional News. PMID- 29832260 TI - Norfolk and Norwich Hospital. PMID- 29832262 TI - The Uses of Costing. PMID- 29832263 TI - In War and in the Future. PMID- 29832265 TI - A Comparison with Civil Practice. PMID- 29832264 TI - Prospects and Opportunities Soon to Be Encountered. PMID- 29832266 TI - The Medical Schools of the United Kingdom. PMID- 29832267 TI - Oxford University Course. PMID- 29832268 TI - Dentistry as a Profession. PMID- 29832269 TI - Medical Schools in Scotland. PMID- 29832270 TI - The Fellowship of the Royal College of Surgeons. PMID- 29832271 TI - The Certainties and Uncertainties of the Medical Outlook. PMID- 29832272 TI - Medical Schools in Ireland. PMID- 29832273 TI - The Future Outlook. PMID- 29832274 TI - London University Course. PMID- 29832275 TI - Qualification and Registration. PMID- 29832276 TI - Navy, Army, Air and Colonial Services. PMID- 29832277 TI - Higher Diplomas. PMID- 29832278 TI - More Evils of German and Austrian Clinics. PMID- 29832279 TI - Ophthalmic Education in Egypt. PMID- 29832280 TI - The Public Health Services. PMID- 29832281 TI - Some Outstanding Points in Clinical Medicine. PMID- 29832282 TI - The English Conjoint Course. PMID- 29832284 TI - Medical Schools in the Provinces. PMID- 29832283 TI - The College of Nursing: Wanted Potential Energy! PMID- 29832285 TI - Cambridge University Course. PMID- 29832286 TI - New Orders Affecting Service Nurses. PMID- 29832288 TI - The Clifford Allbutt Presentation. PMID- 29832287 TI - Fourth Annual Meeting at Manchester. PMID- 29832290 TI - Hospitals and Their Special Needs. PMID- 29832289 TI - Vitamines: A Brief Summary with a Forecast. PMID- 29832291 TI - Medical Mission Work in Frontier Hospitals. PMID- 29832292 TI - The Importance of a Low Registration Fee. PMID- 29832293 TI - The Voluntary Hospitals' Budget. PMID- 29832294 TI - The Central Committee's Bill and Nurses in Practice. PMID- 29832296 TI - Hospital and Institutional News. PMID- 29832295 TI - Professional Secrecy-Dr. Hawthorne's View. PMID- 29832298 TI - Round the Hospitals. PMID- 29832297 TI - St. Paul's Cathedral, June 13, 1919. PMID- 29832299 TI - The Archbishop of Canterbury Speaks to the People. PMID- 29832300 TI - Annual and Other Meetings. PMID- 29832301 TI - Hospital Sunday, 1919. PMID- 29832302 TI - Ierne Speaks out and Strikes Home. PMID- 29832303 TI - Over 1,600,000 Sufferers Helped by Our Hospitals: A Single Year's Roll-Call of the Sick. PMID- 29832304 TI - 1918. A Year's Work in the Hospitals and Medical Charities of London. PMID- 29832305 TI - On Physiognomy. PMID- 29832306 TI - Reconstruction and the Sunday Fund. PMID- 29832308 TI - The Medico-Psychological Society. PMID- 29832307 TI - Hospital Life in Jerusalem. PMID- 29832309 TI - The Poor Man's Home.-II. PMID- 29832310 TI - The Art of Longevity. PMID- 29832311 TI - Progress in Surgery. PMID- 29832312 TI - Asylum Officials and Their Pensions. PMID- 29832313 TI - "The Hospital" Nursing Mirror. PMID- 29832314 TI - Notes and News. PMID- 29832315 TI - The Growth and Scope of Voluntary Hospitals in London. PMID- 29832316 TI - The Story of the Insane from Year to Year. PMID- 29832317 TI - Around the Hospitals. PMID- 29832318 TI - New Appliances and Things Medical. PMID- 29832319 TI - The Truth of Sensational Paragraphs. PMID- 29832320 TI - Notes of Hospital Clinics. PMID- 29832321 TI - Progress in Medicine. PMID- 29832322 TI - Annotations. PMID- 29832323 TI - Notes and News. PMID- 29832324 TI - The Chemists' Exhibition. PMID- 29832325 TI - Execution by Electricity. PMID- 29832326 TI - "The Hospital" Nursing Mirror. PMID- 29832327 TI - The Morals of Children. PMID- 29832328 TI - Progress in Medicine. PMID- 29832329 TI - Annotations. PMID- 29832330 TI - Around the Hospitals. PMID- 29832331 TI - Notes of Hospital Clinics. PMID- 29832332 TI - Progress in Surgery. PMID- 29832333 TI - The Poor Man's Home.-I. PMID- 29832334 TI - The Growth and Scope of Voluntary Hospitals in London. PMID- 29832335 TI - The Story of the Insane from Year to Year. PMID- 29832336 TI - Doctor or Not Doctor? PMID- 29832337 TI - Annotations. PMID- 29832338 TI - Sea-Sickness. PMID- 29832340 TI - New Appliances and Things Medical. PMID- 29832339 TI - Progress in Medicine. PMID- 29832341 TI - Notes and News. PMID- 29832342 TI - "The Hospital" Nursing Mirror. PMID- 29832343 TI - The Plague and Anti-Toxic Serum. PMID- 29832344 TI - The Abuse of the Forceps. PMID- 29832345 TI - The Growth and Scope of Voluntary Hospitals in London. PMID- 29832346 TI - The Poor Man's Home.-V: Health Laws in Many Lands. PMID- 29832347 TI - The Story of the Insane from Year to Year. PMID- 29832348 TI - Mutual Admiration Societies. PMID- 29832350 TI - Chemistry and Pathology. PMID- 29832349 TI - Sanitary Administration in America. PMID- 29832351 TI - Progress in Surgery. PMID- 29832352 TI - Royal Medical and Chirurgical Society. PMID- 29832353 TI - Serum Treatment and Its Limitations. PMID- 29832354 TI - Practical Departments. PMID- 29832355 TI - Hospital Meetings, &c. PMID- 29832356 TI - Sanitation for Scotland. PMID- 29832357 TI - Medical Education. PMID- 29832358 TI - Progress in Medicine. PMID- 29832359 TI - Annotations. PMID- 29832360 TI - The Oration of the Medical Society of London. PMID- 29832362 TI - Asylums Board Report on Antitoxic Serum. PMID- 29832361 TI - Notes and News. PMID- 29832363 TI - "The Hospital" Nursing Mirror. PMID- 29832364 TI - Progress in Surgery. PMID- 29832365 TI - Hereditary Neuroses in Children.-III. PMID- 29832366 TI - Periscope of Dermatology. PMID- 29832367 TI - The Treatment of Synovitis of the Knee-Joint. PMID- 29832368 TI - Nursing in Workhouses. PMID- 29832369 TI - "The Hospital" Nursing Mirror. PMID- 29832371 TI - The Medical Schools of the Metropolis. PMID- 29832370 TI - Guy's Hospital: A Case of Rupture of the Bladder. PMID- 29832373 TI - Annotations. PMID- 29832372 TI - The Poor Man's Home.-III. PMID- 29832374 TI - Cottage Hospital Administration. PMID- 29832375 TI - The Victoria Hospital, Blackpool. PMID- 29832377 TI - Notes and News. PMID- 29832376 TI - Medical Education in Scotland. PMID- 29832379 TI - The Qualified Dentist. PMID- 29832378 TI - The Growth and Scope of Voluntary Hospitals in London. PMID- 29832381 TI - The Expenditure at the Mary Wardell Convalescent Home. PMID- 29832380 TI - New Appliances and Things Medical. PMID- 29832383 TI - Progress in Medicine. PMID- 29832382 TI - Progress in Surgery. PMID- 29832385 TI - Medicine as a Profession. PMID- 29832384 TI - Medicine as a Study. PMID- 29832386 TI - Editor's Letter-Box. PMID- 29832387 TI - Education of the Judgment. PMID- 29832388 TI - Annotations. PMID- 29832389 TI - Notes and News. PMID- 29832390 TI - Hereditary Neuroses in Children.-II. PMID- 29832391 TI - The Charity Organisation Society and the Hospitals. PMID- 29832392 TI - The Blackwall Tunnel from a Medical Point of View. PMID- 29832393 TI - Periscope of Dermatology. PMID- 29832394 TI - Some Resources in the Diagnosis of Nervous Diseases. PMID- 29832395 TI - Hospital Meetings, &c. PMID- 29832396 TI - Progress in Surgery. PMID- 29832397 TI - The Workmen's Compensation Bill. PMID- 29832398 TI - The Housing of the Working Classes Act. PMID- 29832399 TI - The Prince of Wales' Hospital Stamps. PMID- 29832400 TI - "The Hospital" Nursing Mirror. PMID- 29832401 TI - Progress in Medicine. PMID- 29832402 TI - The Story of the Insane from Year to Year. PMID- 29832403 TI - Progress in Surgery. PMID- 29832405 TI - The Rating of Voluntary Hospitals. PMID- 29832404 TI - Notes and News. PMID- 29832406 TI - The Growth and Scope of Voluntary Hospitals in London. PMID- 29832408 TI - Practical Departments. PMID- 29832407 TI - The "Medical Press" and the Hospital Sunday Fund. PMID- 29832410 TI - Notes from the Congresses. PMID- 29832409 TI - The Poor Man's Home.-IV. PMID- 29832412 TI - "The Hospital" Nursing Mirror. PMID- 29832411 TI - Annotations. PMID- 29832414 TI - The Congresses. PMID- 29832413 TI - Holidays. PMID- 29832415 TI - Annotations. PMID- 29832416 TI - Around the Hospitals. PMID- 29832418 TI - Church and Sanitation. PMID- 29832417 TI - The Dietetic Treatment of Diabetes. PMID- 29832420 TI - Diphtheria and Sanitation. PMID- 29832419 TI - Progress in Surgery. PMID- 29832421 TI - The Poor Man's Home.-VI: Health Laws in Many Lands (continued). PMID- 29832422 TI - New Appliances and Things Medical. PMID- 29832424 TI - The Rating of Voluntary Hospitals. PMID- 29832423 TI - "The Hospital" Nursing Mirror. PMID- 29832426 TI - Hospitals, Charity, and Organisations. PMID- 29832425 TI - Yellow Fever. PMID- 29832427 TI - Progress in Medicine. PMID- 29832428 TI - The Growth and Scope of Voluntary Hospitals in London. PMID- 29832429 TI - Impressions of a Russian Hospital. PMID- 29832430 TI - Progress in State Medicine. PMID- 29832431 TI - Notes and News. PMID- 29832432 TI - The Radical Cure of Femoral Hernia. PMID- 29832433 TI - The Vacancy in the General Medical Council. PMID- 29832434 TI - The Story of the Insane from Year to Year. PMID- 29832436 TI - Skin Transplantation. PMID- 29832435 TI - "Official" or "Unofficial". PMID- 29832438 TI - Hospital Meetings, &c. PMID- 29832437 TI - Hospital Reform Association. PMID- 29832439 TI - The Yarrow Convalescent Home. PMID- 29832440 TI - Immunity to Bee Stings. PMID- 29832441 TI - Progress in Medicine. PMID- 29832442 TI - Intra-Muscular Injections of Mercury in the Treatment of Syphilis. PMID- 29832443 TI - The Plague in India. PMID- 29832444 TI - "The Hospital" Nursing Mirror. PMID- 29832446 TI - Blocking of the Larynx by a Caseous Gland. PMID- 29832447 TI - The Dangers of Uterine Myomata. PMID- 29832449 TI - Notes. PMID- 29832448 TI - Serous Pleuritic Effusion Treated by Incision. PMID- 29832450 TI - A Case of Pneumonia with Cerebral Complications. PMID- 29832452 TI - West African Fevers. PMID- 29832451 TI - Annotations. PMID- 29832453 TI - Progress in Surgery. PMID- 29832454 TI - The Manchester Royal Infirmary. PMID- 29832456 TI - Notes and News. PMID- 29832455 TI - The Poor Man's Home.-XXVII: Building Societies. PMID- 29832457 TI - The "Treatment" of Measles by Nurses. PMID- 29832458 TI - Annotations. PMID- 29832460 TI - Progress in Medicine. PMID- 29832459 TI - "Official" or "Unofficial". PMID- 29832461 TI - Lady Doctors in Germany. PMID- 29832462 TI - The Darenth Scandal. PMID- 29832464 TI - The Plague. PMID- 29832463 TI - Editor's Letter-Box. PMID- 29832465 TI - Hospital Meetings, &c. PMID- 29832466 TI - "The Hospital" Nursing Mirror. PMID- 29832467 TI - The Poor Man's Home.-XXIV: Model Lodging-Houses (continued). PMID- 29832468 TI - Progress in Surgery. PMID- 29832469 TI - The Maidstone Epidemic. PMID- 29832470 TI - Notes and News. PMID- 29832471 TI - Deaths from Anaesthetics. PMID- 29832472 TI - Progress in Ophthalmology. PMID- 29832473 TI - Prince of Wales's Hospital Fund for London. PMID- 29832474 TI - New Appliances and Things Medical. PMID- 29832476 TI - Extra-Uterine Gestation. PMID- 29832475 TI - The Diagnosis of Syphilitic Skin Affections. PMID- 29832478 TI - The Poor Man's Home.-XXVI: Ticketed Rooms and Other Lodgings. PMID- 29832477 TI - Rectal Surgery. PMID- 29832479 TI - Progress in Medicine. PMID- 29832480 TI - A Case of Pneumonia with Cerebral Complications. PMID- 29832483 TI - The British Laryngological, Rhinological, and Otological Society. PMID- 29832481 TI - Libel Actions by Medical Practitioners. PMID- 29832484 TI - Progress in Surgery. PMID- 29832485 TI - Notes and News. PMID- 29832487 TI - Hospital Meetings, &c. PMID- 29832486 TI - Asylum Worthies. PMID- 29832489 TI - The Regulation or the Abolition of Midwives. PMID- 29832488 TI - "Complete" and "Incomplete" Operations. PMID- 29832490 TI - Annotations. PMID- 29832491 TI - The "Star" on Vivisection. PMID- 29832492 TI - "The Hospital" Nursing Mirror. PMID- 29832493 TI - Economics of Philanthropy. PMID- 29832495 TI - New Appliances and Things Medical. PMID- 29832494 TI - Operations for Breast Cancer. PMID- 29832496 TI - Notes and News. PMID- 29832497 TI - Progress in Medicine. PMID- 29832499 TI - Hospital Meetings, &c. PMID- 29832498 TI - The Colony for Epileptics. PMID- 29832501 TI - Disinfection. PMID- 29832500 TI - New Appliances and Things Medical. PMID- 29832502 TI - The Prince of Wales's Hospital Fund Stamps. PMID- 29832503 TI - "The Hospital" Nursing Mirror. PMID- 29832505 TI - The Hospitals and Vivisection. PMID- 29832504 TI - Royal Medical and Chirurgical Society. PMID- 29832507 TI - Hereditary Neuroses in Children.-I. PMID- 29832506 TI - Annotations. PMID- 29832508 TI - The Neuroses of the Menopause. PMID- 29832509 TI - Progress in Surgery. PMID- 29832510 TI - Periscope of Dermatology. PMID- 29832511 TI - The Question of Operation in Chronic Non-Suppurative Ear Disease. PMID- 29832512 TI - Death by Fire. PMID- 29832513 TI - Co-Operation and Charity. PMID- 29832515 TI - Lunatics in Unlicensed Houses. PMID- 29832514 TI - Nursing in Workhouses. PMID- 29832516 TI - "The Hospital" Nursing Mirror. PMID- 29832517 TI - Annotations. PMID- 29832518 TI - Notes and News. PMID- 29832519 TI - The Poor Man's Lawyer. PMID- 29832520 TI - German Statistics Regarding Anaesthetics. PMID- 29832521 TI - Hospital Construction. PMID- 29832522 TI - A Note on the Bacteriological Conditions Present in Ulcers Treated by Oxygen Gas. PMID- 29832523 TI - Epidemiological Society. PMID- 29832524 TI - Progress in Medicine. PMID- 29832526 TI - The Fumigation of an Ambassador. PMID- 29832525 TI - Hospital Meetings, &c. PMID- 29832528 TI - Workmen's Compensation: Its Medical Aspect. PMID- 29832527 TI - Harveian Society. PMID- 29832530 TI - Progress in Surgery. PMID- 29832529 TI - The Story of the Insane from Year to Year. PMID- 29832532 TI - Annotations. PMID- 29832531 TI - Phimosis. PMID- 29832533 TI - Pitfalls in Bacteriological Diagnosis. PMID- 29832534 TI - The Workhouse Swill-Tub. PMID- 29832536 TI - Progress in Gynaecology. PMID- 29832535 TI - Notes and News. PMID- 29832538 TI - "The Hospital" Nursing Mirror. PMID- 29832537 TI - The Furnishing and Appliances of a Cottage Hospital. PMID- 29832540 TI - New Appliances and Things Medical. PMID- 29832539 TI - The Muzzling Order and Its Effects. PMID- 29832542 TI - Progress in Medicine. PMID- 29832541 TI - Vibrator Massage of the Uterus. PMID- 29832544 TI - The Decadence of the Negro. PMID- 29832543 TI - The Story of the Insane from Year to Year. PMID- 29832545 TI - Child Life under Queen Victoria: XI. The Society for the Prevention of Cruelty to Children. PMID- 29832546 TI - Progress in Surgery. PMID- 29832547 TI - Treatment before Diagnosis. PMID- 29832548 TI - Malaria and Its Mode of Access. PMID- 29832550 TI - Annotations. PMID- 29832549 TI - The Means by Which the Temperature of the Body Is Maintained in Health and Disease: Lecture IV. PMID- 29832552 TI - New Appliances and Things Medical. PMID- 29832551 TI - The Adelaide Hospital and the British Medical Association. PMID- 29832554 TI - Around the Hospitals. PMID- 29832553 TI - Progress in Surgery. PMID- 29832555 TI - Notes and News. PMID- 29832556 TI - Technical Education in London. PMID- 29832558 TI - Oxygen Home. PMID- 29832557 TI - Hospital Construction. PMID- 29832559 TI - The Story of the Insane from Year to Year. PMID- 29832560 TI - Sanitation and Superstition. PMID- 29832561 TI - Modern Views as to the Surgical Treatment of Fibro-Myomata of the Uterus. PMID- 29832563 TI - Spectacles and Asthenopia. PMID- 29832562 TI - Street Collections. PMID- 29832565 TI - "The Hospital" Nursing Mirror. PMID- 29832564 TI - Some Cape Town Institutions. PMID- 29832567 TI - Electricity and Dust. PMID- 29832566 TI - Progress in Medicine. PMID- 29832568 TI - Child Life under Queen Victoria: XII. What Remains to Be Done. PMID- 29832569 TI - "The Hospital" Nursing Mirror. PMID- 29832571 TI - Population Statistics for 1895. PMID- 29832570 TI - Progress in Gynaecology. PMID- 29832573 TI - Annotations. PMID- 29832572 TI - New Appliances and Things Medical. PMID- 29832575 TI - The Causes and Treatment of Chloroform Syncope. PMID- 29832574 TI - The Pay System in Hospitals. PMID- 29832577 TI - Royal Medical and Chirurgical Society. PMID- 29832576 TI - Notes and News. PMID- 29832578 TI - Manual Training in Surgery. PMID- 29832579 TI - Progress in Medicine. PMID- 29832581 TI - The Story of the Insane from Year to Year. PMID- 29832580 TI - Hospital Construction. PMID- 29832583 TI - Construction Notes. PMID- 29832582 TI - A Healthy Little Town! PMID- 29832585 TI - Deaths under Anaesthetics. PMID- 29832584 TI - The Microbes of Seborrhoea and of Acne. PMID- 29832587 TI - The Distribution of the Hospital Sunday Fund. PMID- 29832586 TI - Solitary Confinement and Insanity. PMID- 29832589 TI - The Story of the Insane from Year to Year. PMID- 29832588 TI - Hospital Meetings, &c. PMID- 29832590 TI - Metropolitan Hospital Sunday Fund. PMID- 29832591 TI - Typhus Fever. PMID- 29832593 TI - "The Hospital" Nursing Mirror. PMID- 29832592 TI - Notes and News. PMID- 29832594 TI - Progress in Medicine. PMID- 29832595 TI - The Growth and Scope of Voluntary Hospitals in London. PMID- 29832596 TI - Notes of Hospital Clinics. PMID- 29832597 TI - Annotations. PMID- 29832599 TI - Metropolitan Asylums Board. PMID- 29832598 TI - New Appliances and Things Medical. PMID- 29832600 TI - The Causes of Sudden Death. PMID- 29832601 TI - The Means by Which the Temperature of the Body Is Maintained in Health and Disease: Lecture III. PMID- 29832602 TI - Annotations. PMID- 29832603 TI - "The Hospital" Nursing Mirror. PMID- 29832604 TI - Progress in Surgery. PMID- 29832605 TI - English Doctors Abroad. PMID- 29832607 TI - Hospital Construction. PMID- 29832606 TI - Notes and News. PMID- 29832608 TI - Practical Departments. PMID- 29832609 TI - Around the Hospitals. PMID- 29832610 TI - The Treatment of Intestinal Obstruction. PMID- 29832611 TI - The Story of the Insane from Year to Year. PMID- 29832612 TI - Progress in Medicine. PMID- 29832613 TI - Gratitude to the Hospitals. PMID- 29832614 TI - Hereditary Neuroses in Children.-VII. PMID- 29832615 TI - Progress in Medicine. PMID- 29832616 TI - Hereditary Neuroses in Children.-VI. PMID- 29832617 TI - Technical Education. PMID- 29832618 TI - Medico-Legal Intelligence. PMID- 29832619 TI - Practical Observations on the Treatment of Common Deformities Caused by Rickets. PMID- 29832620 TI - The Means by Which the Temperature of the Body Is Maintained in Health and Disease: Lecture II. PMID- 29832621 TI - The Rontgen Society. PMID- 29832622 TI - Notes and News. PMID- 29832623 TI - Practical Points. PMID- 29832624 TI - Medical Science and the Anti-Vivisectionists. PMID- 29832626 TI - Hospital Sunday and the Queen's Commemoration. PMID- 29832625 TI - "The Hospital" Nursing Mirror. PMID- 29832628 TI - Hospital Reports. PMID- 29832627 TI - Progress in Surgery. PMID- 29832629 TI - Annotations. PMID- 29832630 TI - Off His Game. PMID- 29832632 TI - The Hospitals and Their Supporters in South London. PMID- 29832631 TI - New Appliances and Things Medical. PMID- 29832634 TI - Dermatology. PMID- 29832633 TI - Epidemiological Society. PMID- 29832636 TI - Practical Departments. PMID- 29832635 TI - On Renal Calculus. PMID- 29832638 TI - Progress in Medicine. PMID- 29832637 TI - Child Life under Queen Victoria: VIII. Ragged and Industrial Schools. PMID- 29832639 TI - The Serum Test for Typhoid Fever. PMID- 29832640 TI - Hospital Meetings, &c. PMID- 29832642 TI - The Story of the Insane from Year to Year. PMID- 29832641 TI - Royal Medical and Chirurgical Society. PMID- 29832643 TI - The Hospital Saturday Fund's System of Distribution. PMID- 29832645 TI - Annotations. PMID- 29832644 TI - Clinical Remarks on Vasectomy or Division of the Vasa Deferentia for Some Forms of Vesical Fistulae Associated with a Large Prostate. PMID- 29832646 TI - The Conveyance of Infection. PMID- 29832647 TI - Notes and News. PMID- 29832648 TI - Clinical Society. PMID- 29832650 TI - "The Hospital" Nursing Mirror. PMID- 29832649 TI - Delusional Insanity. PMID- 29832651 TI - Progress in Surgery. PMID- 29832652 TI - "The Hospital" to Its Readers. PMID- 29832653 TI - Construction Notes. PMID- 29832654 TI - State Control of Medical Practice. PMID- 29832655 TI - Hospital Meetings, &c. PMID- 29832656 TI - "The Hospital" Nursing Mirror. PMID- 29832657 TI - Progress in State Medicine. PMID- 29832658 TI - The Army Medical Service. PMID- 29832659 TI - Notes and News. PMID- 29832660 TI - Progress in Medicine. PMID- 29832661 TI - Child Life under Queen Victoria: IX. Canal-Boat Children. PMID- 29832662 TI - Editor's Letter-Box. PMID- 29832663 TI - Hospital Construction. PMID- 29832664 TI - The Surgical Uses of Anti-Streptococcic Serum. PMID- 29832665 TI - The Hospital Saturday Fund's Method of Distribution. PMID- 29832666 TI - Harveian Society. PMID- 29832667 TI - Some Points of Preventive Treatment in the Diseases of Women. PMID- 29832669 TI - The Specialist and the Practitioner. PMID- 29832668 TI - The Clinical Research Association. PMID- 29832670 TI - Surgical Aid Society. PMID- 29832671 TI - Progress in Surgery. PMID- 29832672 TI - Annotations. PMID- 29832673 TI - Progress in State Medicine. PMID- 29832675 TI - Annotations. PMID- 29832674 TI - Notes and News. PMID- 29832677 TI - Progress in Surgery. PMID- 29832676 TI - Remedies for Cancer. PMID- 29832678 TI - Progress in Gynaecology. PMID- 29832679 TI - Progress in Medicine. PMID- 29832680 TI - New Appliances and Things Medical. PMID- 29832681 TI - Clinical Society. PMID- 29832682 TI - "The Hospital" Nursing Mirror. PMID- 29832683 TI - Hospital Meetings, &c. PMID- 29832685 TI - The R.B.N.A. and Mental Nurses. PMID- 29832684 TI - A Question of Administration. PMID- 29832686 TI - Child Life under Queen Victoria: X. The Law and Education. PMID- 29832687 TI - The Hospital Saturday Fund's System of Distribution. PMID- 29832688 TI - Public Swimming Baths. PMID- 29832689 TI - Purification of Sewage. PMID- 29832691 TI - Notification of Measles. PMID- 29832690 TI - The Medical Council and the Apothecaries' Hall of Ireland. PMID- 29832693 TI - Medical Debts. PMID- 29832692 TI - Royal Medical and Chirurgical Society. PMID- 29832694 TI - The Medico-Psychological Society and Mental Nurses. PMID- 29832695 TI - Construction Notes. PMID- 29832697 TI - Endocarditis. PMID- 29832696 TI - The Council of the Royal College of Surgeons. PMID- 29832698 TI - "The Hospital" Nursing Mirror. PMID- 29832699 TI - Progress in Medicine. PMID- 29832700 TI - Medical Science in the Queen's Reign. PMID- 29832701 TI - Notes and News. PMID- 29832702 TI - Antiseptics in Medical Cases. PMID- 29832703 TI - Diphtheria and Anti-Toxin. PMID- 29832704 TI - Hospital Construction. PMID- 29832705 TI - Hereditary Neuroses in Children.-V. PMID- 29832706 TI - The Means by Which the Temperature of the Body Is Maintained in Health and Disease: Lecture I. PMID- 29832707 TI - Optic Neuritis in Typhoid Fever. PMID- 29832708 TI - Annotations. PMID- 29832709 TI - Special Hospital Sunday Supplement. PMID- 29832710 TI - Hospital Meetings, &c. PMID- 29832712 TI - New Appliances and Things Medical. PMID- 29832711 TI - Practical Observations on the Treatment of Common Deformities Caused by Rickets. PMID- 29832713 TI - What to Do with the Jubilee Stamps. PMID- 29832714 TI - Progress in Surgery. PMID- 29832716 TI - Notes and News. PMID- 29832715 TI - Progress in State Medicine. PMID- 29832717 TI - "The Hospital" Nursing Mirror. PMID- 29832718 TI - To Tap or to Explore? PMID- 29832719 TI - Annotations. PMID- 29832720 TI - Societies and Transactions. PMID- 29832721 TI - Hospital Meetings, &c. PMID- 29832722 TI - The Dangers of Hairdressing. PMID- 29832724 TI - Practical Points. PMID- 29832723 TI - The Growth and Scope of Voluntary Hospitals in London. PMID- 29832725 TI - Improved Accommodation for Inquests. PMID- 29832726 TI - Dandruff and Baldness. PMID- 29832727 TI - The Story of the Insane from Year to Year. PMID- 29832728 TI - Adaptation in Pathology. PMID- 29832730 TI - The Medical, Surgical, and Hygienic Exhibition. PMID- 29832729 TI - The Education of the Dairymaid. PMID- 29832731 TI - Progress in Medicine. PMID- 29832732 TI - Doctors in Camera. PMID- 29832734 TI - The London General Hospitals and the Central Hospital Board. PMID- 29832733 TI - Water Supply and Typhoid Fever. PMID- 29832736 TI - A Manoeuvre in Abdominal Surgery. PMID- 29832735 TI - Progress in Medicine. PMID- 29832737 TI - The Story of the Insane from Year to Year. PMID- 29832738 TI - Notes and News. PMID- 29832740 TI - New Appliances and Things Medical. PMID- 29832739 TI - An "Anti-Vivisection" Hospital. PMID- 29832741 TI - Construction Notes. PMID- 29832742 TI - Glycerinated Calf Lymph. PMID- 29832743 TI - Royal Medical and Chirurgical Society. PMID- 29832744 TI - Annotations. PMID- 29832746 TI - Asylum Construction. PMID- 29832745 TI - Hereditary Neuroses in Children.-IV. PMID- 29832747 TI - Lumbago. PMID- 29832748 TI - "The Hospital" Nursing Mirror. PMID- 29832750 TI - Medical Education in America. PMID- 29832749 TI - The New Light on the Nervous System. PMID- 29832751 TI - The Treatment of Gout by Hot Dry Air. PMID- 29832752 TI - Notes of Hospital Clinics. PMID- 29832753 TI - Progress in Surgery. PMID- 29832754 TI - Notes and News. PMID- 29832755 TI - Progress in Medicine. PMID- 29832756 TI - The Story of the Insane from Year to Year. PMID- 29832758 TI - The Prince of Wales's Hospital Fund for London. PMID- 29832757 TI - The Treatment of Fracture. PMID- 29832759 TI - Annotations. PMID- 29832760 TI - That Mystery-The Child. PMID- 29832761 TI - What Happens to All the Bromides? PMID- 29832762 TI - Hospital Construction. PMID- 29832763 TI - "The Hospital" Nursing Mirror. PMID- 29832764 TI - Verminous Persons. PMID- 29832766 TI - New Appliances and Things Medical. PMID- 29832765 TI - Epidemic Infantile Paralysis. PMID- 29832767 TI - The Growth and Scope of Voluntary Hospitals in London. PMID- 29832768 TI - The St. John Ambulance Association. PMID- 29832770 TI - Annotations. PMID- 29832769 TI - The Deep Effects of the "X" Rays. PMID- 29832771 TI - Notes and News. PMID- 29832772 TI - Fever Hospitals and the Profession. PMID- 29832773 TI - A Court Appointment. PMID- 29832774 TI - Progress in Medicine. PMID- 29832775 TI - Hospital Meetings, &c. PMID- 29832776 TI - Is the Plague Contagious? PMID- 29832777 TI - "The Hospital" Nursing Mirror. PMID- 29832778 TI - The Health of the Army in India. PMID- 29832779 TI - Erratum: Books Received. AB - [This corrects the article on p. 307 in vol. 22.]. PMID- 29832780 TI - The Problems of Burial Insurance. PMID- 29832781 TI - A Jubilee Eviction. PMID- 29832782 TI - The Question of the Slaughter-Houses. PMID- 29832783 TI - Progress in Surgery. PMID- 29832784 TI - Progress in Medicine. PMID- 29832785 TI - The Perils of Medical Practice. PMID- 29832787 TI - Annotations. PMID- 29832788 TI - The Story of the Insane from Year to Year. PMID- 29832786 TI - The Increase in Lunacy. PMID- 29832790 TI - "The Hospital" Nursing Mirror. PMID- 29832789 TI - Hospital Meetings, &c. PMID- 29832791 TI - Notes and News. PMID- 29832793 TI - The Growth and Scope of Voluntary Hospital in London. PMID- 29832792 TI - Cholera Nostras and Cholera Asiatica. PMID- 29832794 TI - The Aseptic Finger as a Tourniquet. PMID- 29832795 TI - Hospital Meetings, &c. PMID- 29832796 TI - Practical Departments. PMID- 29832797 TI - The Prince of Wales's Hospital Fund for London. PMID- 29832799 TI - Epidemiological Society. PMID- 29832798 TI - The Suppression of Quackery. PMID- 29832800 TI - "The Hospital" Nursing Mirror. PMID- 29832801 TI - The Charity Organisation Society and the Hospitals. PMID- 29832803 TI - Annotations. PMID- 29832802 TI - The Prince and Princess See the Stamps Printed. PMID- 29832805 TI - Meeting at Marlborough House. PMID- 29832804 TI - The Session of the General Medical Council. PMID- 29832807 TI - In the Hospitals Sixty Years Ago. PMID- 29832806 TI - Progress in State Medicine. PMID- 29832809 TI - Notes and News. PMID- 29832808 TI - Periscope of Dermatology. PMID- 29832811 TI - Umbilical Sepsis. PMID- 29832810 TI - Progress in Surgery. PMID- 29832812 TI - Shelter for the Homeless. PMID- 29832813 TI - Treatment of Ulcers of the Leg by Scabbing. PMID- 29832814 TI - New Appliances and Things Medical. PMID- 29832815 TI - Counter Irritants in Sciatica. PMID- 29832816 TI - Hospitals for Measles-Infected Children. PMID- 29832817 TI - Notes and News. PMID- 29832818 TI - The Poor Man's Home.-XV: Housing in France (continued). PMID- 29832819 TI - The Prince of Wales's Hospital Fund. PMID- 29832821 TI - Hospital Construction. PMID- 29832820 TI - Periscope of Dermatology. PMID- 29832823 TI - Hospital Reform. PMID- 29832822 TI - Cardiac Pain and Angina Pectoris. PMID- 29832824 TI - Practical Departments. PMID- 29832825 TI - The Growth and Scope of Voluntary Hospitals in London. PMID- 29832827 TI - The Pollution of Water Supplies. PMID- 29832826 TI - The Diagnosis and Treatment of Diphtheria. PMID- 29832828 TI - "The Hospital" Nursing Mirror. PMID- 29832829 TI - The Royal British Nurses' Association. PMID- 29832830 TI - Medical Society: The Treatment of Pyo-pneumothorax. PMID- 29832832 TI - Annotations. PMID- 29832831 TI - Tuberculous Peritonitis. PMID- 29832834 TI - Annotations. PMID- 29832833 TI - Progress in Medicine. PMID- 29832835 TI - Reform of the Medical Acts. PMID- 29832836 TI - Hospital Construction. PMID- 29832838 TI - Progress in Medicine. PMID- 29832837 TI - A Lepers' Home. PMID- 29832839 TI - Notes and News. PMID- 29832840 TI - Mental Nursing. PMID- 29832842 TI - The Incidence of Plague on Different Classes. PMID- 29832841 TI - The Identification of Children at Fever Hospitals. PMID- 29832844 TI - The Prevention of Rabies. PMID- 29832843 TI - The Growth and Scope of Voluntary Hospitals in London. PMID- 29832845 TI - Progress in Surgery. PMID- 29832846 TI - The Poor Man's Home.-XX: Housing in Germany (continued). PMID- 29832847 TI - Complete Removal of the Stomach. PMID- 29832848 TI - "The Hospital" Nursing Mirror. PMID- 29832849 TI - New Appliances and Things Medical. PMID- 29832850 TI - The Maidstone Epidemic. PMID- 29832851 TI - The Recrudescence of Quarantine. PMID- 29832852 TI - A Tropical Poor House. PMID- 29832854 TI - The Outbreak of Typhoid at University College Hospital. PMID- 29832853 TI - The Growth and Scope of Voluntary Hospitals in London. PMID- 29832856 TI - Progress in Surgery. PMID- 29832855 TI - Annotations. PMID- 29832857 TI - A Lying-In Hospital for Leeds. PMID- 29832858 TI - "The Hospital" Nursing Mirror. PMID- 29832860 TI - Hospital Reform. PMID- 29832859 TI - Oophorectomy for Cancer. PMID- 29832861 TI - Practical Points. PMID- 29832862 TI - Varicose Veins and Their Complications.-II. PMID- 29832863 TI - New Appliances and Things Medical. PMID- 29832864 TI - Notes and News. PMID- 29832865 TI - The Initial Defect in Weak-Sighted Children. PMID- 29832867 TI - Hospital Administration. PMID- 29832868 TI - The Clinical Society. PMID- 29832870 TI - Vomiting While under an AEsthetics. PMID- 29832869 TI - On the Investigation of Some of the Nervous Disorders of the Heart. PMID- 29832872 TI - Typhoid Fever and London Water. PMID- 29832871 TI - The Poor Man's Home.-IX: The Municipal Landlord. PMID- 29832873 TI - Boils, Carbuncles, and Whitlows. PMID- 29832874 TI - The Local Government Board on Country Water Supplies. PMID- 29832876 TI - Diphtheria Anti-Toxin in Epidemic Measles. PMID- 29832875 TI - Progress in Ophthalmology. PMID- 29832878 TI - The New Pharmacopoeia. PMID- 29832877 TI - Progress in Surgery. PMID- 29832879 TI - The Diminishing Mortality from Infectious Diseases. PMID- 29832880 TI - Sequelae of Typhoid Fever. PMID- 29832881 TI - Sterilisation by "Frying". PMID- 29832882 TI - The Treatment of Measles a "Mere Matter of Routine". PMID- 29832884 TI - Notes and News. PMID- 29832883 TI - "The Hospital" Nursing Mirror. PMID- 29832886 TI - New Appliances and Things Medical. PMID- 29832885 TI - Hospital Meetings, &c. PMID- 29832887 TI - Annotations. PMID- 29832888 TI - Progress in State Medicine. PMID- 29832890 TI - The Hospitals on Christmas Day. PMID- 29832889 TI - The Poor Man's Home.-XXI: Housing in Germany (concluded). PMID- 29832891 TI - Fever Instruction at the Metropolitan Asylums Board Hospitals. PMID- 29832892 TI - Buildings and Fittings in the Older Hospitals. PMID- 29832893 TI - Prince of Wales's Hospital Fund. PMID- 29832894 TI - "The Hospital" Nursing Mirror. PMID- 29832896 TI - Editor's Letter-Box. PMID- 29832895 TI - Progress in Medicine. PMID- 29832898 TI - Progress in Surgery. PMID- 29832897 TI - Annotations. PMID- 29832900 TI - Alcohol and Cirrhosis. PMID- 29832899 TI - Notes and News. PMID- 29832901 TI - 1897: A Retrospect. PMID- 29832902 TI - Workhouse Infirmaries. PMID- 29832903 TI - New Appliances and Things Medical. PMID- 29832904 TI - Unqualified Medical "Assistants". PMID- 29832906 TI - Hospital Construction. PMID- 29832905 TI - Reciprocity in Medicine. PMID- 29832907 TI - Infection by Third Persons. PMID- 29832908 TI - Asylum Construction. PMID- 29832909 TI - The General Medical Council. PMID- 29832910 TI - "The Hospital" Nursing Mirror. PMID- 29832912 TI - Clinical Society. PMID- 29832911 TI - Editor's Letter-Box. PMID- 29832913 TI - Hospitals and Their Detractors. PMID- 29832914 TI - A Woman's Reason. PMID- 29832916 TI - Deaths from Chloroform. PMID- 29832915 TI - New Appliances and Things Medical. PMID- 29832917 TI - Cardiac Pain and Angina Pectoris. PMID- 29832918 TI - Moveable Kidney. PMID- 29832920 TI - Notes and News. PMID- 29832919 TI - Progress in Medicine. PMID- 29832921 TI - The Story of the Insane from Year to Year. PMID- 29832922 TI - The Poor Man's Home.-XVI: Housing in France (concluded). PMID- 29832923 TI - Annotations. PMID- 29832924 TI - Hospital Reform. PMID- 29832925 TI - British Laryngological, Rhinological, and Otological Association. PMID- 29832926 TI - Hospital Reform. PMID- 29832928 TI - "The Hospital" Nursing Mirror. PMID- 29832927 TI - Periscope of Dermatology. PMID- 29832929 TI - Hospital Construction. PMID- 29832930 TI - Annotations. PMID- 29832931 TI - Guardians and Operation Fees. PMID- 29832932 TI - Facts and Principles as to Hospital Reform. PMID- 29832934 TI - New Appliances and Things Medical. PMID- 29832933 TI - The Growth and Scope of Voluntary Hospitals in London. PMID- 29832936 TI - Progress in Surgery. PMID- 29832935 TI - Gynaecology in General Practice. PMID- 29832938 TI - Clinical Society. PMID- 29832937 TI - Notes and News. PMID- 29832939 TI - The Poor Man's Home.-XIV: Housing in France. PMID- 29832941 TI - Progress in Medicine. PMID- 29832940 TI - Cardiac Pain and Angina Pectoris. PMID- 29832943 TI - Granular Kidney and Vascular Changes. PMID- 29832942 TI - Hospital Meetings, &c. PMID- 29832945 TI - Successful Ovariotomy in a Child Four Months Old. PMID- 29832944 TI - New Appliances and Things Medical. PMID- 29832946 TI - The Patient Insisted upon Under-Going Abdominal Section! PMID- 29832947 TI - Pain in the Ear: II. Its Treatment. PMID- 29832948 TI - The Open-Air Treatment of Phthisis in England. PMID- 29832949 TI - Annotations. PMID- 29832951 TI - Notes. PMID- 29832950 TI - Hospital Meetings, &c. PMID- 29832953 TI - The Frequency of Extra-Uterine Pregnancy. PMID- 29832952 TI - Erratum. AB - [This corrects the article on p. 392 in vol. 23.]. PMID- 29832955 TI - The Proposed London University. PMID- 29832954 TI - Progress in Surgery. PMID- 29832956 TI - The Story of the Insane from Year to Year. PMID- 29832957 TI - The Curative Influence of Exploratory Incisions. PMID- 29832959 TI - Prison Training and Administration. PMID- 29832958 TI - Chloroform and Polemics. PMID- 29832960 TI - "The Hospital" Nursing Mirror. PMID- 29832961 TI - The Extravagance of Small Fever Hospitals. PMID- 29832963 TI - Notes and News. PMID- 29832962 TI - Progress in Medicine. PMID- 29832964 TI - Thyroid Extract for Backward Children. PMID- 29832965 TI - Economics of Philanthropy. PMID- 29832967 TI - The London School Board. PMID- 29832966 TI - Within the Hospitals. PMID- 29832969 TI - The Growth and Scope of Voluntary Hospitals in London. PMID- 29832968 TI - Notes and News. PMID- 29832970 TI - The Royal College of Surgeons of England. PMID- 29832971 TI - The Poor Man's Home.-X: The Municipal Landlord (continued). PMID- 29832972 TI - "The Hospital" Nursing Mirror. PMID- 29832973 TI - Progress in Medicine. PMID- 29832974 TI - The Harveian Oration. PMID- 29832975 TI - New Appliances and Things Medical. PMID- 29832976 TI - Annotations. PMID- 29832977 TI - Microbes and Internal Medication. PMID- 29832979 TI - Secondary Typhoid. PMID- 29832978 TI - Progress in Surgery. PMID- 29832980 TI - The Swansea Hospital. PMID- 29832981 TI - Vaginal Douching after Parturition. PMID- 29832982 TI - Chilly Churches. PMID- 29832983 TI - The Hospital Nursing Supplement. PMID- 29832985 TI - Around the Hospitals. PMID- 29832984 TI - Treatment of Simple Fracture of the Femur. PMID- 29832986 TI - The Social Horizon. PMID- 29832987 TI - Medical History from the Earliest Times: XLVIII.-Paracelsus. PMID- 29832989 TI - The Treatment of Pleural Effusion. PMID- 29832988 TI - Construction Notes. PMID- 29832990 TI - Annotations. PMID- 29832991 TI - New Drugs, Appliances, and Things Medical: Milled Toilet Soads. PMID- 29832993 TI - Gleanings in Science and Medicine. PMID- 29832992 TI - Experiment and Experience. PMID- 29832994 TI - Contemporary Theory and Research. PMID- 29832995 TI - Notes and News. PMID- 29832996 TI - Diet in Disease: XVIII.-Indigestion. PMID- 29832998 TI - Notes and News. PMID- 29832997 TI - The Poor Man's Home.-XVII: Housing in America. PMID- 29833000 TI - Hospital Meetings, &c. PMID- 29832999 TI - Free Speech at Medical Societies. PMID- 29833002 TI - Endemic Typhoid. PMID- 29833001 TI - The Story of the Insane from Year to Year. PMID- 29833004 TI - Annotations. PMID- 29833003 TI - Milk Diet. PMID- 29833006 TI - Periscope of Dermatology. PMID- 29833005 TI - Wild Beasts and Snakes. PMID- 29833008 TI - "The Hospital" Nursing Mirror. PMID- 29833007 TI - Progress in Medicine. PMID- 29833009 TI - The Unqualified Assistant: The Other Side. PMID- 29833010 TI - Progress in Surgery. PMID- 29833011 TI - Asylum Construction. PMID- 29833012 TI - Tuberculous Peritonitis. PMID- 29833013 TI - The Notification Act. PMID- 29833014 TI - "The Hospital" Nursing Mirror. PMID- 29833016 TI - Progress in Surgery. PMID- 29833015 TI - Annotations. PMID- 29833017 TI - Foreign Bodies in the Air Passages. PMID- 29833018 TI - What Do General Practitioners Want? PMID- 29833020 TI - Notes and News. PMID- 29833019 TI - The Poor Man's Home.-VII: "Philanthropy and 4 per cent". PMID- 29833021 TI - Typhoid Fever at Maidstone. PMID- 29833022 TI - Operations on the Insane. PMID- 29833024 TI - Hospital Construction. PMID- 29833023 TI - The Growth and Scope of Voluntary Hospitals in London. PMID- 29833025 TI - Progress in Medicine. PMID- 29833026 TI - Public Health. PMID- 29833028 TI - The Climatic Treatment of Phthisis. PMID- 29833027 TI - Notes of Hospital Clinics. PMID- 29833029 TI - Progress in Medicine. PMID- 29833030 TI - British Orthopaedic Society. PMID- 29833031 TI - Progress in Surgery. PMID- 29833032 TI - Charing Cross Hospital. PMID- 29833033 TI - The County Infirmary, Leicester. PMID- 29833034 TI - Medical Society. PMID- 29833035 TI - Winter Quarters. PMID- 29833036 TI - Annotations. PMID- 29833037 TI - The Poor Man's Home.-XIII: Master and Man (concluded). PMID- 29833038 TI - The Mechanics of Defaecation. PMID- 29833039 TI - Royal Medical and Chirurgical Society. PMID- 29833040 TI - The Inauguration of the Rontgen Society. PMID- 29833041 TI - The Glasgow Western Infirmary. PMID- 29833042 TI - Cardiac Pain and Angina Pectoris. PMID- 29833044 TI - "The Hospital" Nursing Mirror. PMID- 29833043 TI - Notes and News. PMID- 29833046 TI - Hospital Meetings, &c. PMID- 29833045 TI - New Appliances and Things Medical. PMID- 29833047 TI - New Appliances and Things Medical. PMID- 29833048 TI - "The Hospital" Nursing Mirror. PMID- 29833049 TI - Annotations. PMID- 29833050 TI - Notes from Australia. PMID- 29833051 TI - A Case of Pneumonia with Cerebral Complications. PMID- 29833052 TI - Hospital Construction. PMID- 29833054 TI - Quack Medicines. PMID- 29833053 TI - Progress in Medicine. PMID- 29833055 TI - Influenza. PMID- 29833056 TI - Deaths from Anaesthetics. PMID- 29833057 TI - The Story of the Insane from Year to Year. PMID- 29833058 TI - The Poor Man's Home.-XXV. PMID- 29833059 TI - Our Position on the Vivisection Question. PMID- 29833060 TI - Nasal Polypi and Their Treatment. PMID- 29833062 TI - Economics of Philanthropy. PMID- 29833061 TI - Progress in Surgery. PMID- 29833064 TI - Prince of Wales's Hospital Fund. PMID- 29833063 TI - Notes and News. PMID- 29833066 TI - Progress in Medicine. PMID- 29833065 TI - The Combination of Antagonistic Drugs. PMID- 29833067 TI - Two Cases of Operation on the Kidney. PMID- 29833069 TI - Milk Laboratories. PMID- 29833068 TI - "The Hospital" Nursing Mirror. PMID- 29833071 TI - The Colonial Lunatic Asylum, Berbice. PMID- 29833070 TI - Glycerinated Vaccine Lymph. PMID- 29833073 TI - Notes and News. PMID- 29833072 TI - Post-Mortem Examinations on Hospital Patients. PMID- 29833074 TI - Hospital Construction. PMID- 29833075 TI - The Treatment of Ulcers of the Cornea in Children. PMID- 29833076 TI - New Appliances and Things Medical. PMID- 29833077 TI - The Poor Man's Home.-XIX: Housing in Germany. PMID- 29833079 TI - Wounds of the Heart. PMID- 29833080 TI - Annotations. PMID- 29833078 TI - Progress in Surgery. PMID- 29833081 TI - The Serum Treatment of Yellow Fever. PMID- 29833082 TI - Ear Disease and "Head Symptoms" in Infants. PMID- 29833083 TI - The Out-Patient Problem. PMID- 29833084 TI - Metropolitan Hospital Sunday Fund. PMID- 29833085 TI - Royal Medical and Chirurgical Society. PMID- 29833086 TI - The Pathological Society. PMID- 29833087 TI - Vaccination against Typhoid Fever. PMID- 29833088 TI - The Poor Man's Home.-XI: Master and Man. PMID- 29833089 TI - The Neuron and Disease. PMID- 29833090 TI - New Appliances and Things Medical. PMID- 29833091 TI - Annotations. PMID- 29833093 TI - Hospital Reform. PMID- 29833092 TI - Notes and News. PMID- 29833095 TI - Early Vaginal Incision in Septic Pelvic Disease. PMID- 29833094 TI - Progress in Surgery. PMID- 29833097 TI - "The Hospital" Nursing Mirror. PMID- 29833096 TI - Medical Society. PMID- 29833098 TI - The Hospital Reform Association. PMID- 29833099 TI - Progress in Medicine. PMID- 29833100 TI - Annotations. PMID- 29833101 TI - Royal Medical and Chirurgical Society. PMID- 29833102 TI - Muzzling or Rabies. PMID- 29833103 TI - Notes and News. PMID- 29833104 TI - "The Hospital" Nursing Mirror. PMID- 29833105 TI - Prosperity and Cancer. PMID- 29833107 TI - New Appliances and Things Medical. PMID- 29833106 TI - A Knock-Out Blow. PMID- 29833108 TI - Christmas Appeal Supplement. PMID- 29833109 TI - Hospital Construction. PMID- 29833111 TI - Progress in Medicine. PMID- 29833110 TI - On Two Cases of Hysteria. PMID- 29833113 TI - The Story of the Insane from Year to Year. PMID- 29833112 TI - Hospital Meetings, &c. PMID- 29833114 TI - Hospital Construction. PMID- 29833115 TI - The Poor Man's Home.-XVIII: Housing in America (concluded). PMID- 29833117 TI - Devizes Hospital Collection. PMID- 29833116 TI - Progress in Surgery. PMID- 29833119 TI - The Mental Side of the Sense of Hearing. PMID- 29833118 TI - Progress in Medicine. PMID- 29833121 TI - Relapse in Typhoid Fever. PMID- 29833120 TI - "The Hospital" Nursing Mirror. PMID- 29833122 TI - Training the Sight. PMID- 29833123 TI - Annotations. PMID- 29833124 TI - Economics of Philanthropy. PMID- 29833125 TI - The Debate on Cancer of the Breast. PMID- 29833126 TI - Notes and News. PMID- 29833127 TI - Progress in Surgery. PMID- 29833129 TI - Heredity in Regard to Length of Life. PMID- 29833130 TI - The Story of the Insane from Year to Year. PMID- 29833131 TI - Hospital Meetings, &c. PMID- 29833132 TI - The Poor Man's Home.-XXVIII: Conclusion. PMID- 29833133 TI - Creasote as an Internal Antiseptic. PMID- 29833134 TI - The Midwife Difficulty in New York. PMID- 29833135 TI - Zymotic Death-Rates in 1897. PMID- 29833136 TI - Notes. PMID- 29833137 TI - Pain in the Ear. PMID- 29833138 TI - Whooping-Cough Cases in Children's Hospitals. PMID- 29833140 TI - A Defect in Medical Education. PMID- 29833139 TI - "The Hospital" Nursing Mirror. PMID- 29833141 TI - Notes and News. PMID- 29833142 TI - Annotations. PMID- 29833143 TI - The Story of the Insane from Year to Year. PMID- 29833144 TI - The Growth Scope of Voluntary Hospitals in London. PMID- 29833145 TI - Medical M.P.s at Work. PMID- 29833146 TI - Introductory Addresses. PMID- 29833147 TI - General Hospitals and Infectious Diseases. PMID- 29833148 TI - Progress in Medicine. PMID- 29833149 TI - The Medical Session. PMID- 29833151 TI - Progress in Surgery. PMID- 29833150 TI - Varicose Veins and Their Complications.-I. PMID- 29833153 TI - Notes. PMID- 29833152 TI - The Poor Man's Home.-VIII: "Philanthropy and 4 per cent" (continued). PMID- 29833155 TI - Notes and News. PMID- 29833154 TI - Nursing in Rural Districts. PMID- 29833156 TI - Expert Witnesses. PMID- 29833157 TI - Hospital Meetings, &c. PMID- 29833159 TI - Economics of Philanthropy. PMID- 29833158 TI - Subphrenic Abscess. PMID- 29833161 TI - Radiant Heat for the Relief of Pain. PMID- 29833160 TI - New Appliances and Things Medical. PMID- 29833163 TI - An Abnormal Case of Pneumonia. PMID- 29833162 TI - Progress in Surgery. PMID- 29833164 TI - Operations on the Liver. PMID- 29833165 TI - "The Hospital" Nursing Mirror. PMID- 29833166 TI - Annotations. PMID- 29833167 TI - Two Points in Administering Anaesthetics. PMID- 29833169 TI - Retention and Extravasation of Urine in Children. PMID- 29833168 TI - Prison Administration and the Training of Prison Officials.-II. PMID- 29833170 TI - Metropolitan Hospital Sunday Fund. PMID- 29833171 TI - Harveian Society. PMID- 29833172 TI - Around the Hospitals. PMID- 29833173 TI - Progress in Medicine. PMID- 29833174 TI - The Hospitals Association. PMID- 29833175 TI - The "Peculiar People". PMID- 29833176 TI - New Appliances and Things Medical. PMID- 29833177 TI - Annotations. PMID- 29833179 TI - Clinical Society. PMID- 29833178 TI - Varicose Veins and Their Complications.-III. PMID- 29833181 TI - Notes and News. PMID- 29833180 TI - "The Hospital" Nursing Mirror. PMID- 29833182 TI - Laying the Foundation-Stone of the Children's Convalescent Home, Bognor. PMID- 29833183 TI - Metropolitan Hospital Saturday Fund and Street Collections. PMID- 29833184 TI - The Poor Man's Home.-XII: Master and Man (continued). PMID- 29833185 TI - Cleanliness. PMID- 29833186 TI - Scarlet Fever. PMID- 29833187 TI - The North London Hospital for Consumption. PMID- 29833189 TI - Invalid Chairs, II. PMID- 29833188 TI - The Hospital Nursing Supplement. PMID- 29833190 TI - Children's Hospitals in East London. PMID- 29833191 TI - The Proposed Central Hospitals Board for London. PMID- 29833193 TI - The East London Hospital for Children. PMID- 29833192 TI - Annotations. PMID- 29833194 TI - Gleanings in Science and Medicine. PMID- 29833195 TI - Equal Service, Equal Honour. PMID- 29833196 TI - Medical History from the Earliest Times: LII.-Medical Practice in the Sixteenth Century. PMID- 29833197 TI - Around the Hospitals. PMID- 29833198 TI - Notes and News. PMID- 29833199 TI - Contemporary Theory and Research. PMID- 29833200 TI - The Treatment of Rhinitis. PMID- 29833202 TI - Construction Notes. PMID- 29833201 TI - Treatment of Simple Fractures of the Femur. PMID- 29833204 TI - The Redcliffe Infirmary, Oxford. PMID- 29833203 TI - Great Achievements under Suffering: I. Prof. H. Fawcett. PMID- 29833205 TI - Operations on Hysterical Patients. PMID- 29833206 TI - Notes and News. PMID- 29833208 TI - The Vaccination Bill. PMID- 29833207 TI - Operations on the Liver. PMID- 29833209 TI - Mr. Leonard Hill on Dr. Lauder Brunton. PMID- 29833210 TI - Hospital Meetings, &c. PMID- 29833212 TI - Progress in Medicine. PMID- 29833211 TI - "The Hospital" Nursing Mirror. PMID- 29833214 TI - The Mother in the Factory. PMID- 29833213 TI - The Private Clinic. PMID- 29833216 TI - Certificates of the Cause of Death. PMID- 29833215 TI - Uric Acid. PMID- 29833217 TI - Notes. PMID- 29833218 TI - New Appliances and Things Medical. PMID- 29833220 TI - Dr. Playfair on Mediaevalism at the Royal Colleges. PMID- 29833219 TI - Perforating Wounds of the Knee Joint. PMID- 29833222 TI - Progress in Surgery. PMID- 29833221 TI - Sunstroke. PMID- 29833224 TI - Annotations. PMID- 29833223 TI - A Very Complete Hysterectomy. PMID- 29833226 TI - Smoke-Consuming Stoves. PMID- 29833225 TI - The London Poor and Their Medical Needs. PMID- 29833228 TI - Gleanings in Science and Medicine. PMID- 29833227 TI - Annotations. PMID- 29833229 TI - Contemporary Theory and Research. PMID- 29833230 TI - The Hospital Nursing Supplement. PMID- 29833231 TI - The Treatment of Acute Rheumatism. PMID- 29833232 TI - Notes and News. PMID- 29833233 TI - Around the Hospitals. PMID- 29833234 TI - Prescribing in the Dark. PMID- 29833236 TI - New Hospital for Children at Leipzig. PMID- 29833235 TI - Medical History from the Earliest Times: XLIX.-Similars, Sympathy, and Signatures. PMID- 29833237 TI - Diet in Disease: XIX.-Indigestion. PMID- 29833239 TI - The Treatment of Flat Foot, Bow Legs, and Knock Knee. PMID- 29833238 TI - Treatment of Fractured Patella. PMID- 29833240 TI - Construction Notes. PMID- 29833241 TI - New Drugs, Appliances, and Things Medical: A New Laundry Soap. PMID- 29833242 TI - The Treatment of Cold Abscess. PMID- 29833243 TI - The Treatment of Club Foot. PMID- 29833244 TI - School Hygiene. PMID- 29833245 TI - Around the Hospitals. PMID- 29833247 TI - The Hospital Nursing Supplement. PMID- 29833246 TI - Construction Notes. PMID- 29833249 TI - Medical History from the Earliest Times: L.-The Great Anatomists. PMID- 29833248 TI - Hospitals of the World: IV.-Nursing Systems Abroad. PMID- 29833251 TI - Notes and News. PMID- 29833250 TI - Gleanings in Science and Medicine. PMID- 29833253 TI - Contemporary Theory and Research. PMID- 29833252 TI - Annotations. PMID- 29833255 TI - Fire Escapes. PMID- 29833254 TI - Nebuchadnezzar's Feast. PMID- 29833257 TI - Special Journals for Hospital Saturday Funds. PMID- 29833256 TI - New Drugs. Appliances, and Things Medical. PMID- 29833258 TI - Hospital Accounts. PMID- 29833259 TI - Annotations. PMID- 29833260 TI - Hints to Practitioners. PMID- 29833261 TI - The Bacillus of Plague. PMID- 29833263 TI - Notes and News. PMID- 29833262 TI - The Action of Alcohol in Acute Disease. PMID- 29833264 TI - Drunk or Dying. PMID- 29833265 TI - Progress in Surgery. PMID- 29833267 TI - New Appliances and Things Medical. PMID- 29833266 TI - Hospital Reform : A Reverie. PMID- 29833268 TI - "The Hospital" Nursing Mirror. PMID- 29833269 TI - Modern Operations for Cancer. PMID- 29833271 TI - The Reorganisation of the University of London. PMID- 29833270 TI - The Poor Man's Home.-XXIII: Model Lodging-Houses. PMID- 29833272 TI - Hospitals and Vivisection. PMID- 29833273 TI - Progress in Medicine. PMID- 29833274 TI - Deaths from Anaesthetics. PMID- 29833275 TI - Victoria House, Chalfont St. Peter. PMID- 29833277 TI - The Diamond Jubilee and the Hospitals. PMID- 29833276 TI - The Prevention of Measles. PMID- 29833279 TI - The Hospitals Association. PMID- 29833278 TI - The Diagnosis of Syphilitic Skin Affections. PMID- 29833280 TI - Annotations. PMID- 29833281 TI - Contemporary Theory and Research. PMID- 29833282 TI - Construction Notes. PMID- 29833283 TI - Antitoxic Serum in Tetanus. PMID- 29833284 TI - The Treatment of Stone in the Bladder. PMID- 29833285 TI - The Memorial Hospital, Mirfield. PMID- 29833287 TI - Notes and News. PMID- 29833286 TI - Famous Poisoners in Fiction: II. A Daughter of Darkness. PMID- 29833288 TI - The Work of the Hospitals Association. PMID- 29833289 TI - Fighting the Microbe. PMID- 29833291 TI - Treatment of Pulmonary Phthisis: II. Chronic Phthisis. PMID- 29833290 TI - Around the Hospitals. PMID- 29833293 TI - The Hospital Nursing Supplement. PMID- 29833292 TI - Great Achievements under Suffering: II. The Blind Poet. PMID- 29833294 TI - Duodenal Indigestion. PMID- 29833295 TI - The Story of the Insane from Year to Year. PMID- 29833296 TI - The Hospital Nursing Supplement. PMID- 29833297 TI - Notes and News. PMID- 29833299 TI - Three Cottage Hospitals. PMID- 29833298 TI - L.K. Batteries. PMID- 29833300 TI - Annotations. PMID- 29833301 TI - New Drugs, Appliances, and Things Medical: Malto-Pepsine. PMID- 29833303 TI - The Treatment of Abscesses. PMID- 29833302 TI - How to Keep Well in Africa: I. Prevention. PMID- 29833305 TI - Why Do Doctors Not Advertise? PMID- 29833304 TI - Rhinoscopy. PMID- 29833306 TI - Contemporary Theory and Research. PMID- 29833307 TI - The Orphan Working School, Haverstock Hill. PMID- 29833308 TI - The Story of the Insane from Year to Year. PMID- 29833310 TI - Gleanings in Science and Medicine. PMID- 29833309 TI - The Surgical Treatment of Gallstones. PMID- 29833311 TI - The North-Eastern Hospital for Children. PMID- 29833312 TI - Construction Notes. PMID- 29833314 TI - British Home for Incurables, Clapham. PMID- 29833313 TI - Around the Hospitals. PMID- 29833316 TI - Annotations. PMID- 29833315 TI - Medical History from the Earliest Times: LIV.-Van Helmont. PMID- 29833318 TI - Notes and News. PMID- 29833317 TI - The Poor Man's Home.-XXII: Patching Up Old Property. PMID- 29833319 TI - Posture in Percussion of the Heart. PMID- 29833320 TI - A Short Way with Anti-Vaccinators. PMID- 29833322 TI - Responsibility of the Insane. PMID- 29833321 TI - Typhoid Fever and Its Prevention. PMID- 29833324 TI - Progress in Surgery. PMID- 29833323 TI - Constipation and the Corset. PMID- 29833326 TI - The Legal Control of "Dispensaries" in New York. PMID- 29833325 TI - "The Hospital" Nursing Mirror. PMID- 29833327 TI - New Appliances and Things Medical. PMID- 29833328 TI - Hospital Reform Association. PMID- 29833330 TI - The Workmen's Compensation Act, 1897. PMID- 29833329 TI - Progress in Ophthalmology. PMID- 29833331 TI - Vaccination in Germany. PMID- 29833332 TI - The Diamond Jubilee and the Hospitals. PMID- 29833333 TI - Hints to Practitioners. PMID- 29833334 TI - Progress in State Medicine. PMID- 29833336 TI - Construction Notes. PMID- 29833335 TI - Influenza in Children. PMID- 29833337 TI - The North-Eastern Hospital for Children. PMID- 29833338 TI - The Hospital Nursing Supplement. PMID- 29833339 TI - The Drink Question in Switzerland. PMID- 29833340 TI - Gleanings in Science and Medicine. PMID- 29833341 TI - The Richmond Hospital. PMID- 29833342 TI - New Drugs. Appliances, and Things Medical: New Sponge-Holding Electrode. PMID- 29833343 TI - Recreation for Middle Age. PMID- 29833344 TI - Around the Hospitals. PMID- 29833345 TI - The Treatment of Injuries to the Scalp. PMID- 29833346 TI - Treatment of Tubercular Joints. PMID- 29833347 TI - The Metropolitan Hospital. PMID- 29833348 TI - Notes and News. PMID- 29833349 TI - Senile Gangrene. PMID- 29833350 TI - Leith Fever Hospital. PMID- 29833352 TI - Annotations. PMID- 29833351 TI - Contemporary Theory and Research. PMID- 29833353 TI - Cheshire County Asylum at Macclesfield. PMID- 29833354 TI - Medical History from the Earliest Times: LIII.-Harvey and the New Physiology. PMID- 29833355 TI - Diet in Disease: XXV.-On Thinning and Fattening. PMID- 29833356 TI - Medical History from the Earliest Times: LX.-The Vitalists. PMID- 29833357 TI - Around the Hospitals. PMID- 29833358 TI - Notes and News. PMID- 29833359 TI - Annotations. PMID- 29833360 TI - Gleanings in Science and Medicine. PMID- 29833361 TI - The Treatment of Fractures of the Nose. PMID- 29833362 TI - The Royal Wedding. PMID- 29833363 TI - Furniture for Nurses' Rooms. PMID- 29833365 TI - Festival Dinners and Meetings. PMID- 29833364 TI - The Newcastle Eye Infirmary. PMID- 29833366 TI - New Appliances and Things Medical: Messrs. Allen and Hanbury's Preparations. PMID- 29833367 TI - The Treatment of Scarlet Fever by Antiseptic Inunction. PMID- 29833368 TI - Some Simple Uses of Carbolic Acid. I. PMID- 29833370 TI - Contemporary Theory and Research. PMID- 29833369 TI - The Naphthols as Intestinal Anti-Infectants. PMID- 29833371 TI - Construction Notes. PMID- 29833372 TI - The Hospital Nursing Supplement. PMID- 29833373 TI - Gleanings in Science and Medicine. PMID- 29833374 TI - Analgen. PMID- 29833375 TI - Contemporary Theory and Research. PMID- 29833376 TI - Notes and News. PMID- 29833377 TI - Treatment of Tonsillitis. PMID- 29833378 TI - The Treatment of Tubercular Enteritis. PMID- 29833379 TI - Physical Education. PMID- 29833380 TI - Treatment of Hammer Toe. PMID- 29833381 TI - The Hospital Nursing Supplement. PMID- 29833382 TI - Great Achievements under Suffering: III. The Deaf Musician. PMID- 29833383 TI - Annotations. PMID- 29833384 TI - Hospital Meetings. PMID- 29833385 TI - The Baby: Its Manners and Its Morals. PMID- 29833386 TI - Around the Hospitals. PMID- 29833387 TI - Workers and Weariness. PMID- 29833388 TI - Special Hospitals: III. Children's. PMID- 29833390 TI - Notes and News. PMID- 29833389 TI - Fish and Cholera. PMID- 29833391 TI - Dental Schools in London. PMID- 29833392 TI - From Chemist's Shop to Physic's Throne. PMID- 29833393 TI - Metropolitan Medical Schools. PMID- 29833394 TI - Annotations. PMID- 29833395 TI - Metropolitan Medical Schools and Their Common Interests. PMID- 29833396 TI - The Hospital Nursing Supplement. PMID- 29833398 TI - The Cost of a Medical Education. PMID- 29833397 TI - How a Lady May Become a Doctor. PMID- 29833399 TI - New Appliances and Things Medical. PMID- 29833400 TI - The Late Surgeon-Major Parke. PMID- 29833401 TI - Medical Education in Scotland. PMID- 29833402 TI - Society for the Study of Inebriety. PMID- 29833403 TI - Notes and News. PMID- 29833404 TI - Gleanings in Science and Medicine. PMID- 29833405 TI - Around the Hospitals. PMID- 29833406 TI - Annotations. PMID- 29833407 TI - Disinfection of Scarlet Fever by Antiseptic Inunction. PMID- 29833409 TI - Poplar Hospital for Accidents. PMID- 29833408 TI - Medical History from the Earliest Times: LXII.-The Surgery of the Eighteenth Century. PMID- 29833411 TI - North London Hospital for Consumption. PMID- 29833410 TI - The Relations of Hospitals to Public Health. PMID- 29833412 TI - Belle Vue Hospital, New York. PMID- 29833413 TI - Ward Waggons. PMID- 29833414 TI - Chamber Portable Closet. PMID- 29833415 TI - National Dental Hospital. PMID- 29833416 TI - The Hospital Nursing Supplement. PMID- 29833417 TI - Grindelia Robusta in Asthma and Chronic Bronchitis. PMID- 29833418 TI - Construction Notes: Additions to Cookridge Hospital. PMID- 29833419 TI - On the Treatment of Pernicious Anaemia by Transfusion of Blood. PMID- 29833420 TI - English and American Doctors. PMID- 29833421 TI - Treatment of Pulmonary Phthisis-I. PMID- 29833422 TI - New Appliances and Things Medical. PMID- 29833423 TI - Sponges. PMID- 29833424 TI - The Sisters' Hospital, St. Alban's. PMID- 29833426 TI - The Care of the Feeble-Minded: I.-In Childhood. PMID- 29833425 TI - The Treatment of Tubercular Enteritis. PMID- 29833427 TI - Women's Work in South Africa. PMID- 29833428 TI - Annotations. PMID- 29833429 TI - Famous Poisoners in Fiction: IV. A Royal Poisoner. PMID- 29833430 TI - Gleanings in Science and Medicine. PMID- 29833431 TI - Analgen. PMID- 29833432 TI - Around the Hospitals. PMID- 29833434 TI - Notes and News. PMID- 29833433 TI - Diet in Disease: XXIX.-Chronic Bright's Disease. PMID- 29833436 TI - The Hospital Nursing Supplement. PMID- 29833435 TI - The Mystery of Influenza. PMID- 29833437 TI - Inunction in Scarlet Fever. PMID- 29833438 TI - New Appliances and Things Medical: New Preparations from the Sanitas Company. PMID- 29833439 TI - Construction Notes. PMID- 29833440 TI - The Treatment of Some Forms of Chronic Ulcer. PMID- 29833441 TI - Practical Experience in Poultice Making. PMID- 29833442 TI - New Appliances and Things Medical. PMID- 29833444 TI - Treatment of Glaucoma. PMID- 29833443 TI - Royal Victoria Hospital, Montreal. PMID- 29833445 TI - Notes and News. PMID- 29833446 TI - Annotations.-Experiment in Vaccination. PMID- 29833447 TI - The Hospital Nursing Supplement. PMID- 29833448 TI - Treatment of the Lateral Curvature of the Spine. PMID- 29833449 TI - Around the Hospitals. PMID- 29833450 TI - Construction Notes. PMID- 29833451 TI - King's College Hospital. PMID- 29833452 TI - Medical History from the Earliest Times: LXIV.-The Origin of Modern Medicine. PMID- 29833453 TI - Light, More Light. PMID- 29833454 TI - The Treatment of Pleurisy and Empyema. PMID- 29833455 TI - Contemporary Theory and Research. PMID- 29833457 TI - The "Pall Mall Gazette" and the London Hospital. PMID- 29833456 TI - Editor's Letter-Box. PMID- 29833459 TI - Annotations. PMID- 29833458 TI - Gleanings in Science and Medicine. PMID- 29833461 TI - Famous Poisoners in Fiction: V. The Poison Maid. PMID- 29833460 TI - Infantile Paralysis. PMID- 29833462 TI - Boot Warmer and Drier. PMID- 29833463 TI - Inunction in Scarlet Fever. PMID- 29833464 TI - The British Association. PMID- 29833465 TI - The Hospital Nursing Supplement. PMID- 29833466 TI - Special Hospitals: IV. Lying-In and Women. PMID- 29833467 TI - Fracture and Dislocation of the Spine. PMID- 29833468 TI - Notes and News. PMID- 29833469 TI - The Hygiene and Advantage of Illness. PMID- 29833471 TI - Contemporary Theory and Research. PMID- 29833470 TI - The Death at the London Hospital. PMID- 29833472 TI - Treatment of Ague. PMID- 29833473 TI - Construction Notes. PMID- 29833475 TI - Around the Hospitals. PMID- 29833474 TI - Gleanings in Science and Medicine. PMID- 29833477 TI - The Hospital Nursing Supplement. PMID- 29833476 TI - The Story of the Insane from Year to Year. PMID- 29833479 TI - Construction Notes. PMID- 29833478 TI - New Appliances and Things Medical: Oleusaban Disinfectants-Whole Wheat Flour with Hypophosphites. PMID- 29833481 TI - Great Achievements under Suffering: IV. The Blind Observer. PMID- 29833480 TI - Gleanings in Science and Medicine. PMID- 29833482 TI - How to Diminish the Numbers of Doctors. PMID- 29833483 TI - The Story of the Insane from Year to Year. PMID- 29833484 TI - Ingrowing Toe-Nail: I. Pathology. PMID- 29833486 TI - Around the Hospitals. PMID- 29833485 TI - The Student at the Apex. PMID- 29833487 TI - Annotations. PMID- 29833488 TI - Notes and News. PMID- 29833489 TI - Subcutaneous Injections of Strychnine. PMID- 29833490 TI - The History and Capabilities of Herbal Simples: The Gooseberry. PMID- 29833491 TI - Caries of the Spine. PMID- 29833492 TI - Famous Poisoners in Fiction: VI. A Mother's Love. PMID- 29833493 TI - In Later Life. PMID- 29833494 TI - Dressing Waggon. PMID- 29833496 TI - The Hospital Nursing Supplement. PMID- 29833495 TI - Special Hospitals: V. Ophthalmic and Miscellaneous-Cost of Management. PMID- 29833497 TI - Contemporary Theory and Research. PMID- 29833499 TI - The Treatment of Bronchitis. PMID- 29833498 TI - Chronic Intraventricular Effusion of Chronic Hydrocephalus. PMID- 29833501 TI - Famous Poisoners in Fiction: III. Catherine. PMID- 29833500 TI - Emergency Case. PMID- 29833502 TI - Temperature, Food, and Dress. PMID- 29833503 TI - Treatment of Cleft Palate. PMID- 29833504 TI - Wasps' Nurseries. PMID- 29833505 TI - Construction Notes. PMID- 29833507 TI - Hospitals in India: The Bengal Presidency-(2) Charitable Dispensaries under the Government of Bengal. PMID- 29833506 TI - The Attitude of Great Writers Towards Disease: Pepys on the Great Plague. PMID- 29833508 TI - Gleanings in Science and Medicine. PMID- 29833509 TI - Notes and News. PMID- 29833510 TI - Special Hospitals. PMID- 29833511 TI - Around the Hospitals. PMID- 29833512 TI - The London and Counties Medical Protection Society (Limited). PMID- 29833513 TI - Gas Stoves, &c. PMID- 29833514 TI - Annotations. PMID- 29833515 TI - Paddington Green Children's Hospital. PMID- 29833517 TI - Contemporary Theory and Research. PMID- 29833516 TI - Treatment of Club-Foot. PMID- 29833518 TI - The International Hospital Congress at Chicago. PMID- 29833519 TI - The Uses of Hospitals. PMID- 29833520 TI - The Methods and Applications of Skin Grafting. PMID- 29833522 TI - The Hospital Nursing Supplement. PMID- 29833521 TI - Diet in Disease: XXII.-Under-Feeding and Overeating. PMID- 29833524 TI - Notes and News. PMID- 29833523 TI - The London Hospital.-II. PMID- 29833525 TI - Medical History from the Earliest Times: LVII.-The Clinicians. PMID- 29833526 TI - Around the Hospitals. PMID- 29833527 TI - Annotations. PMID- 29833528 TI - Rhinoscopy: IV. Examination of the Nose. PMID- 29833529 TI - Gleanings in Science and Medicine. PMID- 29833530 TI - Construction Notes. PMID- 29833531 TI - How to Make Both Ends Meet: An Interview with the Rev. Canon Palmer. PMID- 29833532 TI - The London Hospital-I. PMID- 29833533 TI - The "Braloo" Window. PMID- 29833534 TI - The British Home for Incurables, Clapham. PMID- 29833535 TI - Hospital for Sick Children, Great Ormond Street. PMID- 29833536 TI - A Paternal Kingdom. PMID- 29833537 TI - Notes and News. PMID- 29833538 TI - Hospital Sweetness and Light. PMID- 29833539 TI - The Hospital Nursing Supplement. PMID- 29833540 TI - Around the Hospitals. PMID- 29833542 TI - Annotations. PMID- 29833541 TI - May the Children Help? PMID- 29833543 TI - Eucalyptus in the Treatment of Scarlet Fever by Inunction. PMID- 29833544 TI - Around the Hospitals. PMID- 29833545 TI - Should Adults Be Re Vaccinated? PMID- 29833547 TI - The Cost of the Royal Portsmouth Hospital, Portsmouth. PMID- 29833546 TI - Diet in Disease: XX.-Under-Feeding and Over-Eating. PMID- 29833548 TI - The Hospital Nursing Supplement. PMID- 29833549 TI - The Treatment of Asthma. PMID- 29833550 TI - King's College Hospital. PMID- 29833551 TI - Invalid Chairs. PMID- 29833553 TI - The Treatment of Rheumatism. PMID- 29833552 TI - Construction Notes. PMID- 29833554 TI - Gleanings in Science and Medicine. PMID- 29833555 TI - Notes and News. PMID- 29833557 TI - Contemporary Theory and Research. PMID- 29833556 TI - Medical History from the Earliest Times: LI.-The Reform of Surgery. PMID- 29833559 TI - Notes and News. PMID- 29833558 TI - Annotations. PMID- 29833560 TI - London Editors and London Hospitals. PMID- 29833561 TI - Famous Poisoners in Fiction: I.-Introductory. PMID- 29833562 TI - "Sanitas" Oil and Inunction. PMID- 29833564 TI - The London Hospital and the "Pall Mall Gazette". PMID- 29833563 TI - Diet in Disease: XXVII.-Ulcer of the Stomach. PMID- 29833565 TI - What Becomes of Stillborn Children? PMID- 29833566 TI - The Hospital Nursing Supplement. PMID- 29833567 TI - Around the Hospitals. PMID- 29833568 TI - The Treatment of Appendicitis. PMID- 29833569 TI - The Treatment of Pleurisy and Empyema. PMID- 29833570 TI - Gleanings in Science and Medicine. PMID- 29833571 TI - Metropolitan Hospital Sunday Fund. PMID- 29833572 TI - Annotations. PMID- 29833573 TI - Metropolitan Hospital Sunday Fund. PMID- 29833575 TI - Reading Stands. PMID- 29833574 TI - Antiseptic Treatment and Disinfection of Scarlet Fever: Remarks on the Method of Using Inunction. PMID- 29833576 TI - Convalescent Home for Charing Cross Hospital. PMID- 29833577 TI - Annotations. PMID- 29833578 TI - How to Keep Well in Africa: II. Cure. PMID- 29833579 TI - Huxley's Logic and Life. PMID- 29833580 TI - The Treatment of Gall-Stones at Leeds General Infirmary. PMID- 29833581 TI - Gleanings in Science and Medicine. PMID- 29833582 TI - Construction Notes. PMID- 29833583 TI - Treatment of His Simple Fracture of the Tibia and Fibula. PMID- 29833584 TI - New Appliances and Things Medical: Digestive Agents and Concentrated Food Stuffs. PMID- 29833585 TI - Medical History from the Earliest Times: LVI.-The Iatromechanical School. PMID- 29833586 TI - Notes and News. PMID- 29833587 TI - The Story of the Insane from Year to Year. PMID- 29833588 TI - The Hospital Nursing Supplement. PMID- 29833589 TI - Salophen. PMID- 29833590 TI - Contemporary Theory and Research. PMID- 29833591 TI - The Great Northern Central Hospital. PMID- 29833592 TI - Hospital for Women, Soho Square. PMID- 29833593 TI - What the Hospitals Do for the Public. PMID- 29833595 TI - Ward's Ambulance Trolly. PMID- 29833594 TI - Rhinoscopy: III. Examination of the Nose. PMID- 29833597 TI - The Claybury Asylum. PMID- 29833596 TI - The Hospitals of New York. PMID- 29833598 TI - The Treatment of Cosmetic Defects-II. PMID- 29833600 TI - Medical History from the Earliest Times: LIX.-The Animists. PMID- 29833599 TI - Chloralamide. PMID- 29833601 TI - The Hospital Nursing Supplement. PMID- 29833602 TI - Acromegale. PMID- 29833603 TI - Gleanings in Science and Medicine. PMID- 29833604 TI - The Royal British Nurses' Association. PMID- 29833605 TI - Annotations. PMID- 29833606 TI - North-Eastern Hospital for Children. PMID- 29833608 TI - Contemporary Theory and Research. PMID- 29833607 TI - The Treatment of Disinfection of Scarlet Fever by Antiseptic Inunction. PMID- 29833609 TI - New Appliances and Things Medical: Aminol-Elixir Picis Co.(Layne). PMID- 29833610 TI - Mr. Jonathan Hutchinson, F.R.S., on Doctors' Defences. PMID- 29833611 TI - Homes for Working Boys in London. PMID- 29833613 TI - Hospital Furniture. PMID- 29833612 TI - Diet in Disease: XXIV. Uric Acid as a Cause of Disease, and Its Prevention by Diet. PMID- 29833614 TI - Notes and News. PMID- 29833615 TI - Notes and News. PMID- 29833616 TI - Gleanings in Science and Medicine. PMID- 29833617 TI - The Opium Question. PMID- 29833618 TI - Warren's Cooking Pot. PMID- 29833619 TI - The Treatment of Intestinal Cancer. PMID- 29833620 TI - What Some of the Preachers Said. PMID- 29833621 TI - Foods for Arctic Explorers. PMID- 29833623 TI - The Treatment of Cosmetic Defects.-I. PMID- 29833622 TI - Annotations. PMID- 29833624 TI - New Appliances and Things Medical. PMID- 29833625 TI - The Disinfection of Wounds. PMID- 29833626 TI - Contemporary Theory and Research. PMID- 29833628 TI - The "Gourmet" Boiler. PMID- 29833627 TI - Diet in Disease: XXIII.-Food for the Aged. PMID- 29833629 TI - Medical History from the Earliest Times: LVIII.-The Clinicians. PMID- 29833630 TI - A Reminder for Absentees. PMID- 29833631 TI - The Morrell Mackenzie Controversy. PMID- 29833632 TI - The Hospital Nursing Supplement. PMID- 29833634 TI - The Hospital Nursing Supplement. PMID- 29833633 TI - Treatment of Otorrhoea. PMID- 29833635 TI - New Appliances and Things Medical: Dr. Langen's Sugar of Milk. PMID- 29833636 TI - Contemporary Theory and Research. PMID- 29833637 TI - Alumnol. PMID- 29833638 TI - Notes and News. PMID- 29833639 TI - Some Points in the Treatment of Scirrhus of the Breast. PMID- 29833640 TI - Bed Rest. PMID- 29833641 TI - Medical History from the Earliest Times: LV.-The Chemical School of Medicine. PMID- 29833642 TI - A Co-Operative Tour to Rome. PMID- 29833643 TI - On the Alleged Increase of Cancer. PMID- 29833644 TI - Rhinoscopy. II. PMID- 29833645 TI - Construction Notes. PMID- 29833646 TI - Bed Tables. PMID- 29833647 TI - Hospital for Epilepsy and Paralysis. PMID- 29833648 TI - The London Hospital. PMID- 29833649 TI - Royal Hospital for Children and Women. PMID- 29833650 TI - Diet in Disease: XXI.-Under-Feeding and Over-Eating. PMID- 29833652 TI - The German Hospital, Dalston. PMID- 29833651 TI - Some Neglected Medical Obligations. PMID- 29833654 TI - Annotations. PMID- 29833653 TI - The Charity Commissioners and the Lords Committee. PMID- 29833656 TI - Watford Cottage Hospital. PMID- 29833655 TI - Gleanings in Science and Medicine. PMID- 29833658 TI - Furniture for Nurses' Rooms. PMID- 29833657 TI - On a Form of Indigestion and Its Treatment. PMID- 29833659 TI - Treatment of Cancer of the Breast. PMID- 29833660 TI - Medical History from the Earliest Times: LXIII.-The Brunonian System. PMID- 29833661 TI - Notes and News. PMID- 29833662 TI - The History and Capabilities of Herbal Simples: Garlic and the Onion. PMID- 29833663 TI - Contemporary Theory and Research. PMID- 29833664 TI - Treatment of Stiff Joints. PMID- 29833665 TI - The Story of the Insane from Year to Year. PMID- 29833666 TI - New Appliances and Things Medical. PMID- 29833667 TI - Diet in Disease: XXVI.-On Thinning and Fattening. PMID- 29833668 TI - Annotations. PMID- 29833669 TI - Construction Notes. PMID- 29833670 TI - The Treatment of Cough as a Symptom in Phthisis. PMID- 29833671 TI - Guy's Hospital. PMID- 29833672 TI - Festival Dinners and Meetings. PMID- 29833673 TI - The Hospital Nursing Supplement. PMID- 29833674 TI - Around the Hospitals. PMID- 29833675 TI - Will Specialists Become Extinct? PMID- 29833676 TI - A New Order of General Practitioners. PMID- 29833677 TI - The Editor's Letter-Box. PMID- 29833679 TI - The Diagnosis and Treatment of Cystic Tumours in the Scalp. PMID- 29833678 TI - Ambulance Equipments. PMID- 29833680 TI - Construction Notes. PMID- 29833681 TI - Annotations. PMID- 29833682 TI - Around the Hospitals. PMID- 29833683 TI - Notes and News. PMID- 29833685 TI - General Hospitals. PMID- 29833684 TI - The History and Capabilities of Herbal Simples: Garlic and the Onion. PMID- 29833687 TI - Treatment of Compound Fractures. PMID- 29833686 TI - The Story of the Insane from Year to Year. PMID- 29833689 TI - Gleanings in Science and Medicine. PMID- 29833688 TI - Paraldehyde. PMID- 29833691 TI - The Hospital Nursing Supplement. PMID- 29833690 TI - Notes on the Treatment of Diabetes Mellitus. PMID- 29833692 TI - The Apotheosis of the Pawnbroker. PMID- 29833693 TI - Diet in Disease: XXVIII.-Chronic Bright's Disease. PMID- 29833695 TI - Hygienic Teapots. PMID- 29833694 TI - Construction Notes. PMID- 29833696 TI - Notes and News. PMID- 29833697 TI - The Present Position of Nursing. PMID- 29833698 TI - Contemporary Theory and Research. PMID- 29833699 TI - Around the Hospitals. PMID- 29833701 TI - St. Mary's Hospital. PMID- 29833700 TI - The Hospital Nursing Supplement. PMID- 29833702 TI - Treatment of Pulmonary Phthisis. PMID- 29833703 TI - Our Weaker Brethren. PMID- 29833704 TI - Gleanings in Science and Medicine. PMID- 29833705 TI - Annotations. PMID- 29833706 TI - Some Simple Uses of Carbolic Acid. PMID- 29833707 TI - Medical History from the Earliest Times: LXI.-The Organicists. PMID- 29833708 TI - Antiseptic Inunction in Scarlet Fever. PMID- 29833709 TI - Arrangement for Electrical Treatment. PMID- 29833710 TI - Toilet Tray. PMID- 29833711 TI - The Illinois Training School for Nurses. PMID- 29833712 TI - Earlswood Asylum. PMID- 29833713 TI - Notes and News. PMID- 29833714 TI - The Nurture of Royal Infants. PMID- 29833716 TI - Epilepsy and Paralysis. PMID- 29833715 TI - Miss Ethel M. Warner and Mr. Lawson Tait. PMID- 29833717 TI - Women. PMID- 29833718 TI - Miscellaneous Special. PMID- 29833719 TI - Lying-In. PMID- 29833720 TI - Children. PMID- 29833721 TI - General Hospitals. PMID- 29833722 TI - The Doctor's Christmas. PMID- 29833724 TI - Consumption. PMID- 29833723 TI - Our Christmas Tableaux Vivants. PMID- 29833725 TI - The Christmas Numbers. PMID- 29833726 TI - The Out-Patient. PMID- 29833727 TI - St. Mary's Hospital, Paddington: The Clarence Memorial Wing. PMID- 29833728 TI - Christmas Thoughts at the National Gallery. PMID- 29833729 TI - Oxford at Its Best. PMID- 29833730 TI - One Merry Christmas Bell. PMID- 29833731 TI - The Hospital Nursing Supplement. PMID- 29833733 TI - A Few Other Charities. PMID- 29833732 TI - Where to Send Christmas Boxes. PMID- 29833734 TI - A Nursing Centre for the Empire. PMID- 29833735 TI - Laying the Foundation-Stone. PMID- 29833737 TI - Clearing-House for Unmarried Mothers. PMID- 29833736 TI - Statistical Report on Expenditure of London Hospitals. PMID- 29833738 TI - Control of Parenthood. PMID- 29833739 TI - Secret Remedies of the Past. PMID- 29833740 TI - The National Council of Women. PMID- 29833741 TI - The New Call for Visiting Nurses. PMID- 29833743 TI - A Pioneer Scheme. PMID- 29833742 TI - Tuberculosis in Jugo-Slavia. PMID- 29833745 TI - Important Meeting of Pharmacists. PMID- 29833744 TI - A Colony for Defectives. PMID- 29833747 TI - The New Abertillery and District Hospital. PMID- 29833746 TI - Is It Possible? PMID- 29833749 TI - Then and Now. PMID- 29833748 TI - Salaries of Health Visitors and Sanitary Inspectors. PMID- 29833751 TI - The Red Cross Market. PMID- 29833750 TI - The Australasian Medical Congress. PMID- 29833752 TI - The Cost of the Unit. PMID- 29833753 TI - General Nursing Council Decides against Publicity. PMID- 29833755 TI - Round the Hospitals. PMID- 29833754 TI - Death and the Doctors. PMID- 29833756 TI - An Advisory and Treatment Centre. PMID- 29833757 TI - Hospital and Institutional News. PMID- 29833758 TI - A Grateful Patient. PMID- 29833759 TI - Strike's Effect on Health. PMID- 29833760 TI - Sir George Newman on the Ministry of Health's Position. PMID- 29833761 TI - Some Notes from a Personal Experience. PMID- 29833762 TI - A "Gunpowder Plot". PMID- 29833763 TI - Meeting at the Mansion House. PMID- 29833764 TI - Hospital and Institutional News. PMID- 29833765 TI - An Atlas of the Cutaneous Nerves. PMID- 29833766 TI - In Theory and in Practice. PMID- 29833767 TI - The South Shields Sanatorium. PMID- 29833768 TI - London's New Club. PMID- 29833769 TI - The Foes of Hospital Economy. PMID- 29833771 TI - Income Tax on "Profits" of Charities. PMID- 29833770 TI - Central Council for District Nursing in London. PMID- 29833772 TI - The College of Nursing (Limited by Guarantee). PMID- 29833773 TI - The Hospital Crisis Once More. PMID- 29833774 TI - The Way to Industrial Health. PMID- 29833775 TI - Hospital Pharmacists as Examiners. PMID- 29833776 TI - Cheap Medicine for All. PMID- 29833777 TI - Private Nurses and the College. PMID- 29833778 TI - The Best School Discipline. PMID- 29833779 TI - The Schools of Anatomy. PMID- 29833780 TI - Plague and the Rat. PMID- 29833782 TI - Round the Hospitals. PMID- 29833781 TI - The Association of Certificated Blind Masseurs. PMID- 29833783 TI - The Royal Medical Benevolent Fund Guild. PMID- 29833784 TI - The Position of Women at Cambridge. PMID- 29833785 TI - As Depicted by Engraved Views.-I. PMID- 29833786 TI - Nurses and the Unemployment Act. PMID- 29833787 TI - Verbatim Report of the Extraordinary General Meeting. PMID- 29833788 TI - Two Kinds of Health. PMID- 29833789 TI - Passing Events and Topics. PMID- 29833791 TI - Meeting of the East Midlands District Regional Committee. PMID- 29833790 TI - Are Nurses Necessary? PMID- 29833792 TI - Unnecessary Noise. PMID- 29833793 TI - Some Cars for Professional Men. PMID- 29833794 TI - The New Ideals of District Nursing. PMID- 29833795 TI - An Old Comrades' Guild. PMID- 29833796 TI - Nursing Problems and Their Solution. PMID- 29833797 TI - Mixed Views on Alcohol. PMID- 29833798 TI - Married Health Visitors. PMID- 29833799 TI - The Gift of Expression. PMID- 29833800 TI - Women and Public Health. PMID- 29833801 TI - Some Records from Insurance Practice. PMID- 29833802 TI - Patients' Payments. PMID- 29833803 TI - Concerning Propaganda. PMID- 29833804 TI - The Foundress of St. Columba's. PMID- 29833805 TI - Hospital Problems in India. PMID- 29833806 TI - State Registration and Its Values. PMID- 29833807 TI - The Minimum Age for Training. PMID- 29833808 TI - What Is Sleep? PMID- 29833809 TI - Model Milk. PMID- 29833810 TI - The Cumberland Infirmary Inquiry. PMID- 29833811 TI - The Spread of Venereal Disease. PMID- 29833812 TI - Round the Hospitals. PMID- 29833813 TI - Sir Napier Burnett's Confidential Report. PMID- 29833815 TI - Hospital and Institutional News. PMID- 29833814 TI - Concerning Clothes. PMID- 29833816 TI - "Safety First" Campaign. PMID- 29833817 TI - Round the Hospitals. PMID- 29833818 TI - A New Era for Poor-Law Nurses. PMID- 29833819 TI - The Editor's Letter-Box. PMID- 29833821 TI - A "Barrage" against Disease. PMID- 29833820 TI - Radiant Motherhood. PMID- 29833822 TI - The College of Nursing. (Limited by Guarantee). PMID- 29833823 TI - The Bournville Productions. PMID- 29833825 TI - Noise and Health. PMID- 29833824 TI - Welfare Workers in Industry. PMID- 29833826 TI - Harley Street Associations. PMID- 29833827 TI - How Long Halt Ye? PMID- 29833828 TI - Conference to Form a London Region. PMID- 29833829 TI - The Uses of Advertisement. PMID- 29833830 TI - The Editor's Letter-Box. PMID- 29833831 TI - A Common Symptom Complex Explained. PMID- 29833832 TI - The Earliest European Hospital. PMID- 29833834 TI - The Resilience of Hospital Finance. PMID- 29833833 TI - The London Regional Committee. PMID- 29833835 TI - Public Pharmacists' Association. PMID- 29833836 TI - Official Report of the Financial Position. PMID- 29833838 TI - Hospital and Institutional News. PMID- 29833837 TI - The Fight against Tuberculosis. PMID- 29833839 TI - A Medical Service for All. PMID- 29833840 TI - A Friend of Many Years. PMID- 29833841 TI - Mental Treatment for Crime. PMID- 29833842 TI - The Economic Development of the Nursing Services. PMID- 29833843 TI - Cumberland Infirmary. PMID- 29833844 TI - The General Nursing Council for Scotland. PMID- 29833845 TI - The Surgery of the "Crusades". PMID- 29833846 TI - The Future of Orthopaedic Surgery. PMID- 29833847 TI - Hospital and Institutional News. PMID- 29833849 TI - Grants to Medical Schools of London. PMID- 29833848 TI - Report of the Distribution Committee. PMID- 29833850 TI - New Ways of Dealing with an Old Problem. PMID- 29833851 TI - Hours of Employment: Council's Answer to Labour Minister. PMID- 29833852 TI - Housing the Nursing Staff. PMID- 29833853 TI - The Living-Out System. PMID- 29833854 TI - Cross-Currents in the General Nursing Council. PMID- 29833855 TI - Substantial Annual Distribution. PMID- 29833856 TI - A Guide to Christmas Benefactors. PMID- 29833857 TI - Placing the Responsibility. PMID- 29833858 TI - A Christmas Opportunity. PMID- 29833859 TI - Tuberculosis Notes. PMID- 29833860 TI - National "Unfits". PMID- 29833861 TI - The College of Nursing (Limited by Guarantee). PMID- 29833862 TI - How Long Halt Ye? PMID- 29833863 TI - How Many Hospital Beds Are Required to Train a Nurse? PMID- 29833864 TI - Round the Hospitals. PMID- 29833865 TI - Anticipation and Realisation. PMID- 29833866 TI - As Depicted by Engraved Views.-III. PMID- 29833867 TI - Nurses' Work for the Poor. PMID- 29833868 TI - Dental Treatment in Schools. PMID- 29833870 TI - The Ministry of Health. PMID- 29833869 TI - The Territorial Force Nursing Service. PMID- 29833872 TI - The Dangerous Drugs Act Regulations. PMID- 29833871 TI - Some Curious Fashions, Old and New. PMID- 29833874 TI - Sanatorium Treatment of Tuberculosis. PMID- 29833873 TI - What the Local Centres Are Doing. PMID- 29833876 TI - The Coming College Elections. PMID- 29833875 TI - Passing Events and Topics. PMID- 29833877 TI - Round the Hospitals. PMID- 29833878 TI - The Middle-Aged Man. PMID- 29833879 TI - Hospital and Institutional News. PMID- 29833880 TI - Who Will Voice the Nurse? PMID- 29833881 TI - Opinions Urgently Needed. PMID- 29833882 TI - The Salaries of Fever Nurses. PMID- 29833883 TI - Municipal Representation on Hospital Committees. PMID- 29833884 TI - News from South Africa. PMID- 29833885 TI - Future of Poor-Law Infirmaries. PMID- 29833886 TI - Midwifery in 1919-1920. PMID- 29833887 TI - Achievements of the past and Hopes for the Future. PMID- 29833888 TI - The Localisation of Haemoptysis. PMID- 29833890 TI - With Special Reference to the Children of To-Day. PMID- 29833889 TI - Small-Holdings and Hospitals. PMID- 29833891 TI - The Physical Factor in Emigration. PMID- 29833892 TI - The Committee on Voluntary Hospitals. PMID- 29833893 TI - Housing and Health. PMID- 29833894 TI - Sleeping Sickness. PMID- 29833895 TI - The General and Medical Work of a Deserving Mission. PMID- 29833896 TI - Lady Cowdray's Great Ideal. PMID- 29833898 TI - The Nineteen-Year-Old Probationer. PMID- 29833897 TI - Dr. Gordon Dill's Provident Scheme. PMID- 29833899 TI - Furthermore Concerning Propaganda. PMID- 29833900 TI - Women Doctors. PMID- 29833901 TI - Complement Fixation. PMID- 29833902 TI - American Help for Child Welfare. PMID- 29833903 TI - Problems of Venereal Disease. PMID- 29833904 TI - State Control in Recruiting Probationers. PMID- 29833905 TI - Chartered Society of Massage and Remedial Gymnastics. PMID- 29833906 TI - The College of Nursing (Limited by Guarantee). PMID- 29833907 TI - The Dignity of Life. PMID- 29833908 TI - Impressions of a Visit. PMID- 29833909 TI - Round the Hospitals. PMID- 29833910 TI - Dust on the Underground. PMID- 29833911 TI - A Review of the Present Position. PMID- 29833912 TI - Everybody's Day. PMID- 29833914 TI - Hospital and Institutional News. PMID- 29833913 TI - The Gift of Expression. PMID- 29833915 TI - The Right to Motherhood. PMID- 29833916 TI - Passing Events and Topics. PMID- 29833917 TI - The Middlesex Training School. PMID- 29833918 TI - An X-Rays Laboratory. PMID- 29833920 TI - The Liking for Hospitals. PMID- 29833919 TI - Pathological Research. PMID- 29833921 TI - Our Medical Schools' Reopening. PMID- 29833922 TI - Advertising for Probationers. PMID- 29833923 TI - Hospital Gazettes and Journals. PMID- 29833924 TI - A Public Health Fund. PMID- 29833925 TI - Amalgamation at Weymouth. PMID- 29833926 TI - Agricultural Subscribers. PMID- 29833928 TI - Working Women and Maternity. PMID- 29833927 TI - Payments by Patients. PMID- 29833929 TI - Health and Artistry. PMID- 29833930 TI - Subscriptions from Members of the College. PMID- 29833931 TI - Advice from the Health Ministry. PMID- 29833932 TI - A Son of Life, and Other Poems. PMID- 29833933 TI - Round the Hospitals. PMID- 29833934 TI - Team Work among Nurses. PMID- 29833936 TI - Hospital and Institutional News. PMID- 29833935 TI - Rest and Recreation. PMID- 29833937 TI - Progress of the Principle of Patients' Payments. PMID- 29833938 TI - Tuberculosis Heresies? PMID- 29833939 TI - Dietary Scale in a Poor-Law Infirmary. PMID- 29833940 TI - The General Practitioner. PMID- 29833941 TI - Red Cross Conference in Cardiff. PMID- 29833942 TI - The Conservation of Motherhood. PMID- 29833943 TI - What It Might Achieve. PMID- 29833944 TI - Contributed by One of Them. PMID- 29833945 TI - Schools and London Hospitals. PMID- 29833946 TI - Hospital Problems in India. PMID- 29833947 TI - New Licensing Rules of the L.C.C. PMID- 29833948 TI - The New Hospital in Shillong, Assam. PMID- 29833949 TI - Death from Starvation. PMID- 29833951 TI - Unemployment Insurance. PMID- 29833950 TI - Suggestion as an Aid in Nursing. PMID- 29833952 TI - Crime Films. PMID- 29833953 TI - Report of the Convalescent Homes Committee. PMID- 29833955 TI - A Medical Service for All. PMID- 29833954 TI - Report of the Distribution Committee. PMID- 29833957 TI - A Christmas Appeal. PMID- 29833956 TI - Child Welfare and Nutrition. PMID- 29833959 TI - The Fellowship of Christmas. PMID- 29833958 TI - The New Scheme of the Hospital Officers' Association. PMID- 29833960 TI - An Open Letter to Private Nurses. PMID- 29833961 TI - A Century of Technical Publishing. PMID- 29833962 TI - The City of London (Chest) Hospital. PMID- 29833963 TI - Hospital and Institutional News. PMID- 29833964 TI - On Agitation. PMID- 29833965 TI - The Sick and Wounded. PMID- 29833966 TI - Hospitals as Training Centres for Nurses. PMID- 29833967 TI - Round the Hospitals. PMID- 29833968 TI - The Rejected Bill. PMID- 29833969 TI - A Historical Sketch and Some Aspects of Sterility. PMID- 29833970 TI - The Living-Out System. PMID- 29833971 TI - The Festival of Healing. PMID- 29833972 TI - The League of Mercy and the Red Cross. PMID- 29833973 TI - Women and a New World. PMID- 29833974 TI - Why It Appeals to Me. PMID- 29833975 TI - Parliament and the Professions. PMID- 29833976 TI - The College of Nursing (Limited by Guarantee). PMID- 29833977 TI - Juvenile Delinquents. PMID- 29833978 TI - Housing the Nursing Staff. PMID- 29833979 TI - An Invention to Improve Both Efficiency and Economy. PMID- 29833980 TI - Conference to Consider State or Rate Hospital Question. PMID- 29833982 TI - The Great Northern Appeal. PMID- 29833981 TI - Round the Hospitals. PMID- 29833983 TI - An Echo of the Nineteenth Century. PMID- 29833984 TI - A Central Test for Candidates. PMID- 29833985 TI - Healthier Factories. PMID- 29833986 TI - War on Disease. PMID- 29833987 TI - The Child's Psychology. PMID- 29833988 TI - A Memorable Home-Coming. PMID- 29833990 TI - The Fruits of the Harvest. PMID- 29833989 TI - An International Medical Degree. PMID- 29833991 TI - Children and the Cinema. PMID- 29833992 TI - The Future of the Poor-Law Hospital. PMID- 29833993 TI - The Eight-Hour Day-Myth or Reality. PMID- 29833994 TI - Our War Nurses. PMID- 29833995 TI - The Opening Events of the New Session. PMID- 29833996 TI - Tuberculosis. PMID- 29833997 TI - Their Keeping Properties. PMID- 29833998 TI - Some Noticeable Features. PMID- 29833999 TI - A Volume of Smoke and Very Little Fire. PMID- 29834000 TI - The End of the Prince of Wales' Tour. PMID- 29834001 TI - The Gift of Expression. PMID- 29834003 TI - Some Comments on the Methods of To-Day. PMID- 29834002 TI - The College Studentships. PMID- 29834005 TI - Is the Rising Birth-Rate a Blessing? PMID- 29834004 TI - Some Questions to Sir Napier Burnett. PMID- 29834007 TI - The Dangerous Drugs Act 1920 and Hospitals. PMID- 29834006 TI - Hospital and Institutional News. PMID- 29834009 TI - The Editor's Letter-Box. PMID- 29834008 TI - A Real Pioneer. PMID- 29834011 TI - The Press and the Nursing Council. PMID- 29834010 TI - Warwickshire's Record. PMID- 29834012 TI - Australian Notes. PMID- 29834013 TI - The Guild of St. Thomas. PMID- 29834014 TI - A Stores Superintendent's Views. PMID- 29834015 TI - The Fever Epidemic. PMID- 29834016 TI - Private Nursing under a State Service. PMID- 29834017 TI - The Hospitals' Future in the Balance. PMID- 29834019 TI - A Review, and a Forecast. PMID- 29834018 TI - Nursing at the London Hospital. PMID- 29834021 TI - The Importance of Breast-Feeding. PMID- 29834020 TI - The Editor's Letter-Box. PMID- 29834022 TI - The Position of Women at Cambridge. PMID- 29834023 TI - The Financial Side. PMID- 29834024 TI - Tuberculosis Topics. PMID- 29834025 TI - A Little Shock for Tobacco Smokers. PMID- 29834027 TI - The Views and Aims o the Hospital Almoners' Council. PMID- 29834026 TI - Dr. Marie Stopes' Utopia. PMID- 29834029 TI - Cardiff Mental Hospital. PMID- 29834028 TI - American Women and Birth Control. PMID- 29834031 TI - The College Election Puzzle. PMID- 29834030 TI - Public Pharmacists' Association. PMID- 29834032 TI - Round the Hospitals. PMID- 29834033 TI - Infant Mortality in Europe. PMID- 29834034 TI - Hospital and Institutional News. PMID- 29834035 TI - Trade Subscriptions. PMID- 29834036 TI - Nursing Hours and Nursing Institutions. PMID- 29834037 TI - Twenty-First Annual Meeting of Presidents. PMID- 29834038 TI - Liverpool and Venereal Disease. PMID- 29834039 TI - Experimental Nursery Schools. PMID- 29834040 TI - Grants to Foster-Mothers. PMID- 29834041 TI - A Policy for the New Year. PMID- 29834042 TI - Hours and State Control. PMID- 29834043 TI - Will There Be Two Grades of Nurses? PMID- 29834044 TI - The Editor's Letter-Box. PMID- 29834045 TI - Round the Hospitals. PMID- 29834046 TI - Hospital and Institutional News. PMID- 29834047 TI - The Dowager Lady Roberts. PMID- 29834048 TI - How Long Halt Ye? PMID- 29834050 TI - Its Uses and Technique. PMID- 29834049 TI - Physical Training in Continuation Schools. PMID- 29834051 TI - Housing the Nursing Staffs. PMID- 29834052 TI - The Hospitals' Christmas. PMID- 29834053 TI - The Editor's Letter-Box. PMID- 29834055 TI - The Physique of School Teachers. PMID- 29834054 TI - Wills of Medical Men. PMID- 29834056 TI - The Plight of the Scottish Jubilee Institute. PMID- 29834057 TI - Prescription Writing. PMID- 29834058 TI - The Medical Standpoint. PMID- 29834059 TI - The Nurses' Co-Operation. PMID- 29834060 TI - Hospital and Institutional News. PMID- 29834061 TI - Nurse-Teachers for Invalid Children. PMID- 29834062 TI - Scotch Doctors and the Voluntary System. PMID- 29834063 TI - Incipient Mental Diseases. PMID- 29834064 TI - Workhouse Waste. PMID- 29834065 TI - How Long Halt Ye? PMID- 29834066 TI - The System of Living-In. PMID- 29834067 TI - London County Council and Tuberculosis Dispensaries. PMID- 29834068 TI - Books for Sick Men. PMID- 29834069 TI - Sickness and the New Poor. PMID- 29834070 TI - Uniform Scale of Salaries in Poor-Law Infirmaries. PMID- 29834071 TI - Women in Factories. PMID- 29834072 TI - The College of Nursing and Affiliated Training Schools. PMID- 29834073 TI - As Depicted by Engraved Views.-II. PMID- 29834074 TI - The Medical Future. PMID- 29834075 TI - Round the Hospitals. PMID- 29834076 TI - The Unchampioned Nurse. PMID- 29834078 TI - Nurses' Needlework Guild. PMID- 29834077 TI - The Unmarried Mother and Her Child. PMID- 29834080 TI - The Diagnosis and Treatment of Tuberculous Infections. PMID- 29834079 TI - Surgical Treatment of Sub-Acute Nephritis. PMID- 29834081 TI - The Royal Institute of Public Health. PMID- 29834082 TI - The Position of Women at Cambridge. PMID- 29834083 TI - Holiday Camp Schools. PMID- 29834084 TI - The Nurses' Co-Operation. PMID- 29834085 TI - Some Problems and Our Steps to Solve Them. PMID- 29834086 TI - University Diplomas in Nursing. PMID- 29834088 TI - Discussion by the Harveian Society. PMID- 29834087 TI - Midwives (Scotland) Act, 1915. PMID- 29834089 TI - Brown and White Sugars. PMID- 29834090 TI - The Piper Calls the Tune. PMID- 29834092 TI - Post-Graduate Education in London. PMID- 29834091 TI - Mr. James Sutherland. PMID- 29834093 TI - Problems of Sanitation. PMID- 29834094 TI - The Utility Bed. PMID- 29834095 TI - A Gruesome Controversy. PMID- 29834096 TI - Physical Tests for School Children. PMID- 29834098 TI - Obtaining Relief by False Pretences. PMID- 29834097 TI - Scottish Local Authorities and Sanatorium Treatment. PMID- 29834099 TI - An Emblem of Decay. PMID- 29834100 TI - The Manifesto of the Voluntary System. PMID- 29834102 TI - Army Schools of Hygiene. PMID- 29834101 TI - Hospital and Institutional News. PMID- 29834103 TI - Policy of King Edward's Hospital Fund. PMID- 29834104 TI - The Resolutions Adopted. PMID- 29834105 TI - Birth-Rates and World Wars. PMID- 29834106 TI - Private Hospitals. PMID- 29834108 TI - The Society of Radiographers. PMID- 29834107 TI - The Best Form of Medical Service. PMID- 29834109 TI - British Hospitals Association: Scottish Regional Committee. PMID- 29834110 TI - Round the Hospitals. PMID- 29834111 TI - The College Very Much Alive. PMID- 29834112 TI - Fighting Disease by Propaganda. PMID- 29834113 TI - Civic League Lectures. PMID- 29834114 TI - In a Budapesth Hospital. PMID- 29834115 TI - King Edward's Hospital Fund for London. PMID- 29834116 TI - Words and Deeds. PMID- 29834117 TI - Teachers in Conference. PMID- 29834118 TI - The London County Westminster and Parr's Bank Ltd. PMID- 29834119 TI - The College Scale of Minimum Salaries. PMID- 29834121 TI - Intra-Abdominal Adhesions. PMID- 29834120 TI - Psycho-Analysis and Other Fashions. PMID- 29834122 TI - Monsters. PMID- 29834123 TI - Spinal Anaesthesia. PMID- 29834125 TI - As Depicted by Engraved Views.-IV. PMID- 29834124 TI - Should Medical Practitioners Dispense Medicines? PMID- 29834126 TI - "Wasting" Money in Public Health. PMID- 29834127 TI - Passing Events and Topics. PMID- 29834128 TI - Please Keep Step. PMID- 29834129 TI - Unemployed and Unemployables. PMID- 29834130 TI - Will College Members Please Note. PMID- 29834131 TI - Birth-Rate Factors. PMID- 29834132 TI - How Long Halt Ye? PMID- 29834133 TI - The Protest against Unemployment Insurance. PMID- 29834134 TI - Round the Hospitals. PMID- 29834135 TI - Hospital and Institutional News. PMID- 29834136 TI - Education in Army Hospitals. PMID- 29834138 TI - Brawn or Brains-Or Both? PMID- 29834137 TI - Hospital Problems in India. PMID- 29834139 TI - Anti-Typhus Appeal. PMID- 29834140 TI - What "Panel-Prying" Really Is. PMID- 29834141 TI - The Suggested Scale of Miniumum Salaries. PMID- 29834142 TI - The Dean of St. Paul's on Eugenics. PMID- 29834143 TI - The Care of Cripples. PMID- 29834144 TI - New Subscription Scheme Confirmed. PMID- 29834145 TI - Morality and Marriage. PMID- 29834146 TI - Ministry of Health or Ministry of Labour. PMID- 29834147 TI - The American Society in London. PMID- 29834148 TI - Two Chairmen on the Crisis. PMID- 29834150 TI - Incrustations in Soil-Pipes. PMID- 29834149 TI - The Anti-Tuberculosis Campaign. PMID- 29834151 TI - Nursing the Baby. PMID- 29834152 TI - Open-Air Schools. PMID- 29834154 TI - Old Age and Death. PMID- 29834153 TI - The Future of the Hospitals. PMID- 29834155 TI - A Position They Soon Must Hold. PMID- 29834156 TI - Resettlement in New Zealand. PMID- 29834158 TI - Passing Events and Topics. PMID- 29834157 TI - How Long Halt Ye? PMID- 29834159 TI - Parliament and the Professions. PMID- 29834160 TI - Round the Hospitals. PMID- 29834161 TI - The Essential Function of the Health Visitor. PMID- 29834162 TI - Is the College Too Young? PMID- 29834163 TI - The Foes of Hospital Economy. PMID- 29834165 TI - A Strong Policy Outlined. PMID- 29834164 TI - Scotland's Record Marriage Figures. PMID- 29834167 TI - Report of Nine Months' Work. PMID- 29834166 TI - How It Concerns Nurses. PMID- 29834168 TI - Hospital and Institutional News. PMID- 29834169 TI - A Dividing Line Impossible? PMID- 29834170 TI - The Case of Morphine Poisoning. PMID- 29834171 TI - More about the Cowdray Gifts. PMID- 29834172 TI - Service and Self-Surrender. PMID- 29834173 TI - Words and Deeds. PMID- 29834174 TI - Heresy or Truth? PMID- 29834175 TI - The Secrets of the Panel. PMID- 29834176 TI - A Strange Isolation Hospital. PMID- 29834177 TI - Tuberculosis Notes. PMID- 29834178 TI - The Prognosis in Renal Cases. PMID- 29834179 TI - Private Nursing Fees. PMID- 29834180 TI - What Is the Truth about Bradford? PMID- 29834181 TI - Entire State Control. PMID- 29834182 TI - Provision of Hospital Accommodation. PMID- 29834183 TI - Hospital and Institutional News. PMID- 29834184 TI - New Sanatoria. PMID- 29834185 TI - The Best Form of Medical Service. PMID- 29834186 TI - Should Public Health Services Be Scrapped? PMID- 29834187 TI - The Year-Book of Charity. PMID- 29834188 TI - Women Jurors. PMID- 29834189 TI - Nursing at the Royal Infirmary of Edinburgh. PMID- 29834190 TI - Importance of the 1921 Census. PMID- 29834191 TI - General Nursing Council for Scotland. PMID- 29834192 TI - The State Doctor and the Home. PMID- 29834194 TI - A Year of Progress and Financial Prosperity. PMID- 29834193 TI - The Coventry Programme. PMID- 29834195 TI - Round the Hospitals. PMID- 29834196 TI - How Long Halt Ye? PMID- 29834198 TI - The Dawn of the Professional Spirit. PMID- 29834197 TI - The College of Nursing (Limited by Guarantee). PMID- 29834200 TI - The Labour Ministry and Unemployment Insurance. PMID- 29834199 TI - Co-Operation or Chaos? PMID- 29834201 TI - Private Nurses and the Hours of Employment Bill. PMID- 29834202 TI - The Medical Research Council's Annual Report. PMID- 29834203 TI - Doctor and Patient. PMID- 29834205 TI - Passing Events and Topics. PMID- 29834204 TI - Massage and Medical Gymnastics. PMID- 29834206 TI - "Propaganda" Films and Censorship. PMID- 29834207 TI - The Hospitals' Christmas. PMID- 29834208 TI - Hospital and Institutional News. PMID- 29834209 TI - First Meeting of the London Regional Committee. PMID- 29834211 TI - Alterations in the Poison Schedule under the Poisons and Pharmacy Act. PMID- 29834210 TI - The Discussion of a Policy. PMID- 29834213 TI - How Old Is a Man at Forty? PMID- 29834212 TI - Round the Hospitals. PMID- 29834215 TI - Eugenics in the School. PMID- 29834214 TI - The Nurse and Her Advocates. PMID- 29834217 TI - How Beds Are Endowed at Leicester. PMID- 29834216 TI - The Registrar-General's Figures. PMID- 29834218 TI - Cleanliness by Law. PMID- 29834219 TI - Nursing in the Bethlem Royal Hospital. PMID- 29834220 TI - How to Use the New Journalism. PMID- 29834221 TI - Venereal Disease Problems. PMID- 29834222 TI - Children's Hospital, Birmingham. PMID- 29834223 TI - New Sanatoria. PMID- 29834225 TI - An Unsentimental Appeal. PMID- 29834224 TI - Public Pharmacists' Association. PMID- 29834227 TI - Hospital and Institutional News. PMID- 29834226 TI - Fair and Dark. PMID- 29834229 TI - Defects in London Methods. PMID- 29834228 TI - Nurses and Trade Unions. PMID- 29834231 TI - Paying Patients and Doctors' Fees. PMID- 29834230 TI - Provision of Hospital Accommodation. PMID- 29834233 TI - Passing Events and Topics. PMID- 29834232 TI - Round the Hospitals. PMID- 29834234 TI - Many Important Matters Decided. PMID- 29834235 TI - Is Fatigue a Disease? PMID- 29834236 TI - The New Basis of Nursing Education. PMID- 29834237 TI - Voluntary Hospitals. PMID- 29834238 TI - Those Record Cards. PMID- 29834239 TI - A Disquieting Document. PMID- 29834240 TI - Hospital Employees and Unemployment Insurance. PMID- 29834241 TI - The New System of Paying Patients. PMID- 29834242 TI - The Doubtful Case of Diphtheria. PMID- 29834243 TI - Reform of the Poor Law. PMID- 29834244 TI - The Importance of Nursery Schools. PMID- 29834245 TI - Sunday Games. PMID- 29834246 TI - More about Private Hospitals. PMID- 29834247 TI - Its History and Development: The Missions' Share. PMID- 29834248 TI - Public Education. PMID- 29834249 TI - The Best Form of Medical Service. PMID- 29834251 TI - Round the Hospitals. PMID- 29834250 TI - Caveats for Dispensers. PMID- 29834252 TI - Both Wrong and Right Methods Explained. PMID- 29834254 TI - Health and Economy. PMID- 29834253 TI - The Nation's Fund for Nurses. PMID- 29834255 TI - The Editor's Letter-Box. PMID- 29834256 TI - British Hospitals Association. PMID- 29834258 TI - The Norfolk Plan. PMID- 29834257 TI - Tropical Diseases in the Navy. PMID- 29834260 TI - An Invention to Convey the Meaning of Ordinary Print. PMID- 29834259 TI - Some Early Reports. PMID- 29834261 TI - The Film in Schools. PMID- 29834262 TI - The Tuberculosis Cure? PMID- 29834264 TI - The Breakdown in Training Mental Nurses. PMID- 29834263 TI - L10,000 for Portsmouth Hospital. PMID- 29834266 TI - Hospital and Institutional News. PMID- 29834265 TI - Private Nurses' Fees. PMID- 29834267 TI - Poverty and the Baby. PMID- 29834268 TI - The Queen at St. Bartholomew's. PMID- 29834269 TI - The Royal General Dispensary. PMID- 29834270 TI - Reply to Mrs. Stopes' Letter. PMID- 29834271 TI - The Health of School Children. PMID- 29834272 TI - Lay Service in Ambulance Work. PMID- 29834274 TI - Some Interesting Theories. PMID- 29834273 TI - Social Notes. PMID- 29834276 TI - The Principle of Patients' Payments. PMID- 29834275 TI - The Metropolitan Hospital. PMID- 29834277 TI - An Eventful Week. PMID- 29834278 TI - Hookworm Prevalence in England. PMID- 29834279 TI - Vaccination. PMID- 29834280 TI - Women in Industry. PMID- 29834281 TI - The New Pathological and Orthopaedic Blocks. PMID- 29834282 TI - Insured Patients and the Radcliffe Infirmary. PMID- 29834283 TI - Fever Nurses in Scotland. PMID- 29834284 TI - Regulation of Nurses' Hours. PMID- 29834285 TI - Certificated Blind Masseurs. PMID- 29834286 TI - Hospital and Institutional News. PMID- 29834287 TI - Dr. Addison and Cottage Nurses. PMID- 29834288 TI - What Is the Good of the College? PMID- 29834289 TI - The College of Nursing (Limited by Guarantee). PMID- 29834291 TI - Congress of Universities. PMID- 29834290 TI - The Care of Crippled Children. PMID- 29834293 TI - Radiant Motherhood. PMID- 29834292 TI - International Health and the League. PMID- 29834294 TI - The Proposed Hospital Enquiry. PMID- 29834295 TI - Mental Treatment for Crime. PMID- 29834297 TI - The Place of the Medical Officer of Health. PMID- 29834296 TI - Extended Weekly Contributions in London. PMID- 29834298 TI - A Great Hospital for Egypt. PMID- 29834299 TI - Mr. Verity's Amalgamation Scheme. PMID- 29834301 TI - The Editor's Letter-Box. PMID- 29834300 TI - West Kent General Hospital. PMID- 29834302 TI - Round the Hospitals. PMID- 29834303 TI - Pressmen and Weekly Contributions. PMID- 29834304 TI - The Future of the Creche. PMID- 29834305 TI - An Old Comrade's Association. PMID- 29834306 TI - Association of Hospital Matrons. PMID- 29834307 TI - Adverse Report of the Local Advisory Committee. PMID- 29834309 TI - The Clean Milk Demonstration. PMID- 29834308 TI - Provision of Hospital Accommodation. PMID- 29834311 TI - The Middlesex Hospital's Exhibit. PMID- 29834310 TI - Efficiency in National Health. PMID- 29834312 TI - The Doctor's New Role. PMID- 29834313 TI - Efficiency at Olympia. PMID- 29834314 TI - St. Mary's on Medical Education. PMID- 29834316 TI - Good News for the Nation. PMID- 29834315 TI - The Draft Regulations under the Dangerous Drugs Act. PMID- 29834318 TI - Northampton's Feat. PMID- 29834317 TI - Royalty and St. Bartholomew's. PMID- 29834319 TI - Round the Hospitals. PMID- 29834320 TI - Discussion by the British Hospitals Association. PMID- 29834321 TI - Hospitals and the Approved Societies' Surplus. PMID- 29834322 TI - The Right of the Child. PMID- 29834324 TI - Winsley Sanatorium. PMID- 29834323 TI - Success of the Eight-Hour Day. PMID- 29834326 TI - Hospital and Institutional News. PMID- 29834325 TI - Achievements of the British Women's Hospital Committee. PMID- 29834327 TI - The Accumulated Health Insurance Funds. PMID- 29834328 TI - The Wellcome Historical Museum. PMID- 29834329 TI - Ambulance Facilities and Telephone Efficiency. PMID- 29834331 TI - A Great Social Experiment. PMID- 29834330 TI - Nurses and Trade Unions. PMID- 29834332 TI - The Health Ministry's Record. PMID- 29834333 TI - British Hospitals Association and Portsmouth. PMID- 29834334 TI - An Interesting Recital. PMID- 29834335 TI - Sickness Amongst Nurses. PMID- 29834336 TI - The Meldrum Forced-Draught Furnace. PMID- 29834337 TI - "Diet and Hygiene" Campaign. PMID- 29834339 TI - The Prevention of Crime. PMID- 29834338 TI - Should Nurses Smoke? PMID- 29834340 TI - Hospitals and Insured Persons' Fees. PMID- 29834341 TI - The Prince of Wales's Hospital, Cardiff. PMID- 29834343 TI - Greenock Nursing Association. PMID- 29834342 TI - The Pay of the Nurse: II. Under-paid Private Nurses. PMID- 29834345 TI - The Worker's Leisure. PMID- 29834344 TI - The Certificate of the Certifying Surgeon. PMID- 29834346 TI - International Tuberculosis Conference in London. PMID- 29834347 TI - General Nursing Council for Ireland. PMID- 29834349 TI - Round the Hospitals. PMID- 29834348 TI - Voluntary Hospital Staff Conference in Scotland. PMID- 29834350 TI - The Importance of an Educational Standard. PMID- 29834351 TI - Hospital and Institutional News. PMID- 29834352 TI - Annual Meetings of Hospitals. PMID- 29834353 TI - Parliament and the Professions. PMID- 29834354 TI - The Birth of a Great Profession. PMID- 29834355 TI - Passing Events and Topics. PMID- 29834357 TI - London's Record Epidemic. PMID- 29834356 TI - The Objects and Process of Its Manufacture. PMID- 29834359 TI - Investiture by the King. PMID- 29834358 TI - The Standardisation of Sera. PMID- 29834360 TI - The Human Factor in Industry. PMID- 29834361 TI - Dentists or Charlatans? PMID- 29834362 TI - Private Hospitals and the Trained Nurse's Responsibility. PMID- 29834363 TI - Small-Pox or Tuberculosis. PMID- 29834364 TI - Patients Pay L10,000. PMID- 29834365 TI - Red Cross Balance Distributed. PMID- 29834367 TI - A Higher Curriculum for Educated Probationers. PMID- 29834366 TI - The Problems of Venereal Disease. PMID- 29834368 TI - The Control of the Feeble-Minded. PMID- 29834369 TI - A Valuable Report to the Medical Research Council. PMID- 29834371 TI - Women in Industry. PMID- 29834370 TI - Farmers' Funds for Hospitals. PMID- 29834372 TI - The Truth about Medical Record Cards. PMID- 29834373 TI - Round the Hospitals. PMID- 29834375 TI - Proposed Extension to Professional Classes. PMID- 29834374 TI - Annual Meetings of Hospitals. PMID- 29834377 TI - The Under-Paid District Nurse. PMID- 29834376 TI - How Goes the Fight? PMID- 29834379 TI - Voluntary Hospital Staff Conference in Scotland. PMID- 29834378 TI - Welfare Work among Boys. PMID- 29834380 TI - The Ex-Service Welfare Society. PMID- 29834381 TI - The Way of Research. PMID- 29834383 TI - Hospital and Institutional News. PMID- 29834382 TI - Parliament and the Professions. PMID- 29834384 TI - The Venereal Report Appears. PMID- 29834386 TI - British Hospitals Association. PMID- 29834385 TI - Teacher or Nurse? PMID- 29834388 TI - Two Modern Schools and Hospitals. PMID- 29834387 TI - Passing Events and Topics. PMID- 29834390 TI - Clothing and Health. PMID- 29834389 TI - Public or Private Schools. PMID- 29834392 TI - The Story of a Great Change. PMID- 29834391 TI - The Medical Training of Missionaries. PMID- 29834394 TI - The Futility of Flogging. PMID- 29834393 TI - The Collective Voice of Medicine. PMID- 29834396 TI - What the Local Centres Are Doing. PMID- 29834395 TI - A Praiseworthy Investigation. PMID- 29834397 TI - A Postscript on Sunday Games. PMID- 29834399 TI - Parliament and the Professions. PMID- 29834398 TI - Hospital and Institutional News. PMID- 29834400 TI - Passing Events and Topics. PMID- 29834401 TI - Social Service in America. PMID- 29834402 TI - The Coming of the Mob. PMID- 29834404 TI - The Magazines of the Medical Schools. PMID- 29834403 TI - Truro Nursing Association. PMID- 29834406 TI - King Edward's Hospital Fund for London. PMID- 29834405 TI - Should Nurses Smoke? PMID- 29834407 TI - Round the Hospitals. PMID- 29834408 TI - The Castle of Indolence. PMID- 29834410 TI - The Almoner Question. PMID- 29834409 TI - Points from Annual Reports. PMID- 29834411 TI - The Healthy Heart. PMID- 29834412 TI - Annual Meetings of Hospitals and Societies. PMID- 29834414 TI - The Action of Animal Poisons. PMID- 29834413 TI - The Art of Keeping Clean. PMID- 29834416 TI - Marriage Law Reform. PMID- 29834415 TI - The State and Nursing Education. PMID- 29834418 TI - The College Nominations. PMID- 29834417 TI - Health by Knowledge. PMID- 29834419 TI - Unemployment Insurance: Minister's Decision. PMID- 29834421 TI - Paying Patients in Bermondsey Infirmary. PMID- 29834420 TI - Voluntary Hospitals Committee. PMID- 29834423 TI - Passing Events and Topics. PMID- 29834422 TI - Fielding Johnson of Leicester. PMID- 29834425 TI - British Hospitals Association. PMID- 29834424 TI - Anonymity for Young Criminals. PMID- 29834427 TI - The Nation's Fund for Nurses. PMID- 29834426 TI - Practical Uses and Advantages. PMID- 29834429 TI - The Pay of the Nurse: III. The Value of Board and Lodging. PMID- 29834428 TI - Erratum: Addendum. AB - [This corrects the article on p. 2 in vol. 69.]. PMID- 29834430 TI - Medical Treatment of London Scholars. PMID- 29834431 TI - Hospital and Institutional News. PMID- 29834433 TI - Round the Hospitals. PMID- 29834432 TI - Conditions of Childbirth in India. PMID- 29834434 TI - Parliament and the Professions. PMID- 29834435 TI - Health Dangers in Unemployment. PMID- 29834436 TI - Wills of Medical Men. PMID- 29834437 TI - To Eat Well or to Live Ill. PMID- 29834439 TI - Should Nurses Smoke? PMID- 29834438 TI - Six Papers by Lord Lister. PMID- 29834440 TI - Interim Report of the Cave Committee. PMID- 29834441 TI - The Case against Maintenance Charges. PMID- 29834443 TI - The League of Mercy and Gifts in Kind. PMID- 29834442 TI - Annual Meetings of Hospitals and Societies. PMID- 29834444 TI - Ex-Service Men and a Sussex Hospital. PMID- 29834445 TI - The Almoner Question. PMID- 29834447 TI - Lord Denbigh's Idea. PMID- 29834446 TI - The Coming of the Mob. PMID- 29834448 TI - A Carefully Thought-Out System. PMID- 29834449 TI - Multiplication of the Unfit. PMID- 29834450 TI - Housing and Child Welfare. PMID- 29834451 TI - General Nursing Council for Scotland. PMID- 29834452 TI - The College of Nursing (Limited by Guarantee). PMID- 29834453 TI - The Hospital Nursing Supplement. PMID- 29834454 TI - A Clerical Publican. PMID- 29834455 TI - Notes and News. PMID- 29834456 TI - Prescriptions and Their Owners. PMID- 29834457 TI - Everybody's Page. PMID- 29834458 TI - On the Pharmacology of Iron. PMID- 29834459 TI - The History and Capabilities of Herbal Simples: XXX.-The Dock. PMID- 29834460 TI - Voting Charities. PMID- 29834462 TI - The Lords' Committee. PMID- 29834461 TI - New Drugs and Appliances. PMID- 29834464 TI - Annotations. PMID- 29834463 TI - The Microscope in Medicine: XII.-The Examination of Urinary Deposits. PMID- 29834465 TI - Ingleby Lectures: Lecture III. PMID- 29834466 TI - Hepatic Colic. PMID- 29834467 TI - New Drugs, Appliances, and Things Medical. PMID- 29834468 TI - Ingleby Lectures: Lecture I. PMID- 29834469 TI - Radcliffe Infirmary, Oxford. PMID- 29834470 TI - Hospitals and Lifeboats. PMID- 29834472 TI - Shall Children Be Insured? PMID- 29834471 TI - Glottic Spasm. PMID- 29834473 TI - Annotations. PMID- 29834474 TI - The Hospital Nursing Supplement. PMID- 29834476 TI - Empyema of the Antrum of Highmore. PMID- 29834475 TI - Notes and News. PMID- 29834477 TI - Is Electricity Life? PMID- 29834478 TI - Poisons and Poisoners,-II: Arsenic: Madeline Smith. PMID- 29834480 TI - Everybody's Page. PMID- 29834479 TI - Epilepsy. PMID- 29834482 TI - New Drugs, Appliances, and Things Medical: Antiseptic Dressings, &c. PMID- 29834481 TI - The Treatment of Peritonitis. PMID- 29834483 TI - Fifty Thousand Pounds. PMID- 29834484 TI - Not All Condemned to Die. PMID- 29834485 TI - Notes and News. PMID- 29834486 TI - Ulcerative Endocarditis. PMID- 29834488 TI - A Vote of Confidence. PMID- 29834487 TI - The Microscope in Medicine: XI.-The Examination of Urinary Deposits. PMID- 29834490 TI - Annotations. PMID- 29834489 TI - Poisons and Poisoners: Arsenic: Madeline Smith. PMID- 29834492 TI - Higher Education for Women in America. PMID- 29834491 TI - A Hint from America. PMID- 29834494 TI - Trephining for Intracranial Pressure. PMID- 29834493 TI - Hydrastis Canadensis. PMID- 29834495 TI - The Hospital Nursing Supplement. PMID- 29834496 TI - New Drugs, Appliances, and Things Medical. PMID- 29834498 TI - The Aniline Dyes. PMID- 29834497 TI - The Disestablishment of the Poor House. PMID- 29834499 TI - The Hospital Nursing Supplement. PMID- 29834500 TI - Treatment of Appendicitis. PMID- 29834502 TI - Everybody's Page. PMID- 29834501 TI - The Ex-Premier and the Poet. PMID- 29834503 TI - Notes and News. PMID- 29834504 TI - The Indian Medical Service. PMID- 29834506 TI - Fathers Ancient and Modern. PMID- 29834505 TI - The History and Capabilities of Herbal Simples: XXXII.-Strawberries. PMID- 29834507 TI - Syringomyelia.-I. PMID- 29834508 TI - Annotations. PMID- 29834509 TI - Sugar of Milk. PMID- 29834510 TI - The Nude at the Seaside. PMID- 29834511 TI - New Drugs, Appliances, and Things Medical. PMID- 29834512 TI - Everybody's Page. PMID- 29834513 TI - Doctors and Directors. PMID- 29834514 TI - The Story of the Insane from Year to Year. PMID- 29834515 TI - Diseases of the Fingers : B-Paronychia. PMID- 29834516 TI - Annotations. PMID- 29834518 TI - Notes and News. PMID- 29834517 TI - A Bureau of Information. PMID- 29834519 TI - Co-Operative Production and Profit-Sharing. PMID- 29834520 TI - The Hospital Nursing Supplement. PMID- 29834521 TI - A Quarter of a Century of Medicine. PMID- 29834522 TI - Gastrectasis. PMID- 29834523 TI - Annotations. PMID- 29834525 TI - Diseases of the Fingers: C.-Contractions. PMID- 29834524 TI - "Mad Doctors"-A Protest. PMID- 29834526 TI - The Hospital Nursing Supplement. PMID- 29834527 TI - Rheumatic Hyperpyrexia. PMID- 29834529 TI - The Story of the Insane from Year to Year. PMID- 29834528 TI - Notes and News. PMID- 29834530 TI - Everybody's Page. PMID- 29834531 TI - Treatment of Otorrhoea. PMID- 29834533 TI - Recreation in Relation to the Health of the People: VII. Among the Mining Population. PMID- 29834532 TI - The International Congress of Hygiene and Demography. PMID- 29834535 TI - English Lunacy in 1890. PMID- 29834534 TI - The Personal Element. PMID- 29834537 TI - Annotations. PMID- 29834536 TI - The History and Capabilities of Herbal Simples: XXXVI.-Ferns. PMID- 29834538 TI - Notes and News. PMID- 29834539 TI - Facts for Preachers and Speakers. PMID- 29834540 TI - The Hospital Nursing Supplement. PMID- 29834541 TI - Metropolitan National Nursing Association. PMID- 29834542 TI - Medical Sanity. PMID- 29834543 TI - A Live-Long Day. PMID- 29834545 TI - Shall the Radcliffe Infirmary Be Rebuilt? PMID- 29834544 TI - Hospital Sunday. PMID- 29834547 TI - Ingleby Lectures: Lecture II.-The Injuries of Bones. PMID- 29834546 TI - Under Which Flag? PMID- 29834549 TI - Bassorin Paste. PMID- 29834548 TI - The Hospital Nursing Supplement. PMID- 29834551 TI - A Good Example. PMID- 29834550 TI - Everybody's Page. PMID- 29834553 TI - The Old Family Doctor. PMID- 29834552 TI - Notes and News. PMID- 29834555 TI - Annotations. PMID- 29834554 TI - Tract Ninety-One : An Oxford Object Lesson. PMID- 29834556 TI - The Radcliffe Infirmary, Oxford. PMID- 29834557 TI - Professional Labels. PMID- 29834558 TI - Cold Baths in Typhoid Fever. PMID- 29834559 TI - The British Pasteur Institute. PMID- 29834561 TI - Poison and Poisoners: Aconitia; Dr. Lamson. PMID- 29834560 TI - Absorption of Fats. PMID- 29834562 TI - New Drugs, Appliances, and Things Medical. PMID- 29834563 TI - The Action of Caffeine, Morphine, Atropine, Ergot, and Digitalis on the Arterial Blood Pressure. PMID- 29834564 TI - Annotations. PMID- 29834565 TI - Literature and Science. PMID- 29834566 TI - Trained Attendants and Nurses for the Insane. PMID- 29834567 TI - Bazaars and Bankruptcy. PMID- 29834568 TI - Everybody's Page. PMID- 29834569 TI - The Hospital Nursing Supplement. PMID- 29834570 TI - Notes and News. PMID- 29834571 TI - Syringomyelia.-II. PMID- 29834572 TI - The Surgery of the Spinal Cord. PMID- 29834573 TI - Annotations. PMID- 29834574 TI - Notes and News. PMID- 29834575 TI - Eugenia Jambolana in Diabetes Mellitus. PMID- 29834577 TI - Portals of Health. PMID- 29834576 TI - Everybody's Page. PMID- 29834578 TI - New Drugs, Appliances, and Things Medical. PMID- 29834579 TI - Results. PMID- 29834580 TI - Neuritis of the Peripheral Nerves, III. PMID- 29834582 TI - The Teaching of Hygiene in Board Schools. PMID- 29834581 TI - The Influenza. PMID- 29834584 TI - The Hospital Nursing Supplement. PMID- 29834583 TI - The R.B.N.A. at Bay. PMID- 29834586 TI - Derby and Oxford. PMID- 29834585 TI - Editor's Letter Box. PMID- 29834588 TI - The Duke and the Hospital. PMID- 29834587 TI - The Surgery of Joints. PMID- 29834590 TI - Can a Sixpenny Doctor Be Honest? PMID- 29834589 TI - The Hospital Nursing Supplement. PMID- 29834592 TI - Employments for Women: I. Lady Dressmakers. PMID- 29834591 TI - Annotations. PMID- 29834593 TI - Harvey: An Experimenter. PMID- 29834594 TI - Notes and News. PMID- 29834595 TI - The Estimation of Hydrochloric Acid in Gastric Disorders. PMID- 29834596 TI - The Programme of the Hospital Saturday Fund. PMID- 29834598 TI - Everybody's Page. PMID- 29834597 TI - The History of Capabilities of Herbal Simples: XXXV.-Eyebright. PMID- 29834599 TI - The Rational Treatment of Serous Iritis. PMID- 29834601 TI - Iodide of Potash. PMID- 29834600 TI - Doctors' Fees. PMID- 29834602 TI - The Story of the Insane from Year to Year. PMID- 29834603 TI - Annotations. PMID- 29834604 TI - Lady Strangford Hospital, Port Said. PMID- 29834605 TI - On the Use of Creosote in Phthisis. PMID- 29834606 TI - Employments for Women: III. Gardening. PMID- 29834607 TI - The Hospital Nursing Supplement. PMID- 29834609 TI - Notes and News. PMID- 29834608 TI - Municipalities and Public Health. PMID- 29834610 TI - Diseases of the Fingers : C-Contractions. PMID- 29834611 TI - Rooks and Retribution. PMID- 29834612 TI - More Than Brothers. PMID- 29834613 TI - On the Action of Salicylates in Certain Rheumatic Diseases. PMID- 29834614 TI - Everybody's Page. PMID- 29834615 TI - Gastrectasis B-Diagnosis. PMID- 29834617 TI - The Radcliffe Infirmary, Oxford. PMID- 29834616 TI - Everybody's Page. PMID- 29834619 TI - Vivisection Questioned. PMID- 29834618 TI - Renal Torpidity. PMID- 29834621 TI - Quebracho. PMID- 29834620 TI - The Hospital Nursing Supplement. PMID- 29834623 TI - The Norwich Neophyte. PMID- 29834622 TI - Costly Sacrifices. PMID- 29834625 TI - Annotations. PMID- 29834624 TI - Notes and News. PMID- 29834626 TI - Carbuncle and Furuncle. PMID- 29834627 TI - Neuritis of the Peripheral Nerves. PMID- 29834628 TI - New Drugs, Appliances, and Things Medical. PMID- 29834629 TI - Ingleby Lectures: Lecture VI: Naevus. PMID- 29834631 TI - On the Chemistry and Physiological Action of the Salicyl Compounds. PMID- 29834630 TI - Suburban Doctors and Suburban Hospitals. PMID- 29834632 TI - Diseases of the Fingers D.-Diseases of the Phalangeal Bones and Joints. PMID- 29834633 TI - Hypnotism. PMID- 29834634 TI - Everybody's Page. PMID- 29834635 TI - The Hospital Nursing Supplement. PMID- 29834636 TI - Annotations. PMID- 29834637 TI - The Eastern Hospital Inquiry: The Report of the Local Government Board. PMID- 29834639 TI - Notes and News. PMID- 29834638 TI - A Gift of Days. PMID- 29834641 TI - Gastrectasis. C-Treatment. PMID- 29834640 TI - Wanted Fair Play for the Voluntary Hospitals. PMID- 29834642 TI - New Drugs, Appliances, and Things Medical. PMID- 29834643 TI - Oxford on Its Mettle. PMID- 29834644 TI - The Lords' Committee. PMID- 29834645 TI - Charity Dinners. PMID- 29834647 TI - The Cholera. PMID- 29834646 TI - Sale of Professor Koch's Lymph. PMID- 29834648 TI - Euphrasia Officinalis. PMID- 29834650 TI - Natura Non Facit Saltum. PMID- 29834649 TI - The Microscope in Medicine: XIV.-The Examination of Vomit, Faeces, and Morbid Fluids. PMID- 29834652 TI - Everybody's Page. PMID- 29834651 TI - Notes and News. PMID- 29834654 TI - Ingleby Lectures: Lecture V. PMID- 29834653 TI - The Hospital Nursing Supplement. PMID- 29834656 TI - New Drugs, Appliances, and Things Medical: The "Titan" Patent Soap. PMID- 29834655 TI - Annotations. PMID- 29834657 TI - Hydrochlorate of Phenocoll. PMID- 29834658 TI - Diseases of the Fingers : A.-The Nails. PMID- 29834659 TI - Recreation in Relation to the Health of the People: VI. In the Country. PMID- 29834660 TI - On Some Points in the Ordinary Process of Inflammation. PMID- 29834661 TI - Husbands. PMID- 29834662 TI - The Princess and the Second Thousand. PMID- 29834664 TI - The Beginning of the End. PMID- 29834663 TI - Metropolitan Hospital Sunday Fund, 1891. PMID- 29834666 TI - Proposed Alterations at the Oxford Infirmary. PMID- 29834665 TI - Annotations. PMID- 29834667 TI - The Hospital Nursing Supplement. PMID- 29834668 TI - Notes and News. PMID- 29834670 TI - Everybody's Page. PMID- 29834669 TI - Everybody's Page. PMID- 29834672 TI - Styrone. PMID- 29834671 TI - The Infinitely Small. PMID- 29834674 TI - Annotations. PMID- 29834673 TI - Varix of the Tongue. PMID- 29834676 TI - Influenza. PMID- 29834675 TI - The Programme of the Saturday Fund. PMID- 29834678 TI - Articles of Scientific Faith. PMID- 29834677 TI - The History and Capabilities of Herbal Simples: XXXIII.-The Elder-Elecampane. PMID- 29834680 TI - The Hospital Nursing Supplement. PMID- 29834679 TI - Deviations of the Nasal Septum. PMID- 29834681 TI - Notes and News. PMID- 29834682 TI - New Drugs, Appliances, and Things Medical. PMID- 29834683 TI - Recreation in Relation to the Health of the People: IV. Recreation for the Mind. PMID- 29834684 TI - Annotations. PMID- 29834686 TI - A Disgraceful West-End Club. PMID- 29834685 TI - On the Side of the Commandments. PMID- 29834687 TI - The University of Strasburg. PMID- 29834688 TI - Recreation in Relation to the Health of the People: V. Recreation for the Body. PMID- 29834689 TI - The Surgical Treatment of Purulent Pericarditis. PMID- 29834690 TI - The Source of the Bile Pigment. PMID- 29834692 TI - The Hospital Nursing Supplement. PMID- 29834691 TI - The Programme of the Hospital Saturday Fund. PMID- 29834693 TI - Pulsatilla. PMID- 29834694 TI - Notes and News. PMID- 29834695 TI - Everybody's Page. PMID- 29834696 TI - The History and Capabilities of Herbal Simples: XXXIV.-Fennel. PMID- 29834697 TI - The Treatment of Whooping Cough. PMID- 29834698 TI - The Pathology and Treatment of Erysipelas. PMID- 29834699 TI - Antiseptics in Obstetric Nursing. PMID- 29834700 TI - Employments for Women: II. Type-Writing for Ladies. PMID- 29834701 TI - Preparing for Flight. PMID- 29834702 TI - Annotations. PMID- 29834703 TI - Notes and News. PMID- 29834704 TI - The Hospital Nursing Supplement. PMID- 29834705 TI - The Princess of Wales' Fund for Mrs. Grimwood. PMID- 29834706 TI - Everybody's Page. PMID- 29834708 TI - "Continentalising" the Sunday. PMID- 29834707 TI - The National Liver. PMID- 29834709 TI - Surgery of the Pericardium. PMID- 29834710 TI - Auscultatory Percussion. PMID- 29834711 TI - Thuja Occidentalis. PMID- 29834712 TI - The Lords' Committee. PMID- 29834713 TI - London Samaritan Society's Convalescent Homes. PMID- 29834714 TI - New Drugs, Appliances, and Things Medical. PMID- 29834715 TI - The Radcliffe Infirmary, Oxford. PMID- 29834716 TI - The Hospital Nursing Supplement. PMID- 29834718 TI - Prescriptions and Their Owners. PMID- 29834717 TI - New Drugs Appliances, and Things Medical: Coca-Wine-Pure Cane Sugar. PMID- 29834719 TI - Notes and News. PMID- 29834721 TI - An Early Victim. PMID- 29834720 TI - Is Philanthropy a Duty? PMID- 29834723 TI - A Funeral Oration. PMID- 29834722 TI - The Microscope in Medicine: XIII.-Examination of the Blood. PMID- 29834725 TI - Died of Acute Pneumonia. PMID- 29834724 TI - Ingleby Lectures : Lecture IV. PMID- 29834726 TI - Anaemia. PMID- 29834727 TI - Turning over New Leaves. PMID- 29834729 TI - Piperazidine. PMID- 29834728 TI - The Royal British Nurses' Association and the Nurse Training Schools. PMID- 29834730 TI - Annotations. PMID- 29834731 TI - Scotch Medical Schools. PMID- 29834733 TI - On Some Points in the Treatment of Diabetes-II. PMID- 29834732 TI - How Doctors Are Made. PMID- 29834735 TI - The Hospital Nursing Supplement. PMID- 29834734 TI - The Histology of the Conscience. PMID- 29834737 TI - Medicine as a Calling. PMID- 29834736 TI - Annotations. PMID- 29834739 TI - The Stress and Strain of Medicine. PMID- 29834738 TI - Diseases of the Fingers: F-Abnormalities of Circulation. PMID- 29834741 TI - The Existence of a Phthisical Contagium. PMID- 29834740 TI - Notes and News. PMID- 29834743 TI - Cactus Grandiflora. PMID- 29834742 TI - The Manchester Chloroform Cases. PMID- 29834744 TI - Sterno-Mastoid Tumour. PMID- 29834745 TI - The Programme of the Hospital Saturday Fund. PMID- 29834746 TI - The Hospital Nursing Supplement. PMID- 29834747 TI - Everybody's Page. PMID- 29834749 TI - Swansea Hospital. PMID- 29834748 TI - Annotations. PMID- 29834750 TI - Influenza. PMID- 29834751 TI - Home for the Dying. PMID- 29834752 TI - Mad from Life's History. PMID- 29834753 TI - The Lords' Committee. PMID- 29834754 TI - Naevoid Lipoma and Its Association with Hypertrophy of the Toes. PMID- 29834755 TI - Annotations. PMID- 29834756 TI - The Hospital Nursing Supplement. PMID- 29834757 TI - Dr. A. R. Wallace and the Vaccination Commission. PMID- 29834758 TI - The Position of the Provincial Medical Schools. PMID- 29834759 TI - Ametropia and the Cardio-Vascular System. PMID- 29834760 TI - Everybody's Page. PMID- 29834761 TI - Shall Nurses Cease to Be Lay Women?-I. PMID- 29834762 TI - The Story of the Insane from Year to Year. PMID- 29834763 TI - Diseases of the Fingers: E.-Diseases of the Tendons. PMID- 29834764 TI - The Bodies and Minds of Children. PMID- 29834765 TI - Some Points in the Treatment of Diabetes-I. PMID- 29834766 TI - Notes and News. PMID- 29834767 TI - New Drugs, Appliances, and Things Medical. PMID- 29834768 TI - The Dangers of Chloroform. PMID- 29834769 TI - Midnight Oil or Midnight Sleep? PMID- 29834770 TI - The Hospital Nursing Supplement. PMID- 29834772 TI - Medicus Nascitur, Non Fit. PMID- 29834771 TI - Annotations. PMID- 29834774 TI - Shall Nurses Cease to Be Laywomen?-II. PMID- 29834773 TI - Some Points in the Diagnosis of Hip Disease in Children. PMID- 29834776 TI - Corn and Husks. PMID- 29834775 TI - Notes and News. PMID- 29834777 TI - Everybody's Page. PMID- 29834778 TI - How Doctors Are Made. PMID- 29834779 TI - Somnal. PMID- 29834780 TI - New Drugs, Appliances, and Things Medical. PMID- 29834782 TI - Shall Nurses Cease to Be Laywomen?-III. PMID- 29834781 TI - Diseases of the Fingers: G.-The Skin, &c. PMID- 29834784 TI - Everybody's Page. PMID- 29834783 TI - The Woman Question in India. PMID- 29834786 TI - New Drugs, Appliances, and Things Medical: New Nurses' Case. PMID- 29834785 TI - Village Anthropology. PMID- 29834787 TI - Notes and News. PMID- 29834788 TI - Genu Valgum.-I. PMID- 29834790 TI - Haematuria : The Diagnosis of Its Cause. PMID- 29834789 TI - Cycling and Health. PMID- 29834791 TI - Annotations. PMID- 29834792 TI - Some Ludicrous Aspects of Human Misery. PMID- 29834793 TI - The Hospital Nursing Supplement. PMID- 29834794 TI - Antiseptic Treatment of Typhoid Fever. PMID- 29834796 TI - Dust and Disease. PMID- 29834795 TI - Repentance. PMID- 29834797 TI - Physic, Law, and Drunkenness. PMID- 29834798 TI - Everybody's Page. PMID- 29834800 TI - Treatment of Abscesses in Cavities with Rigid Walls. PMID- 29834799 TI - Scleroderma. PMID- 29834801 TI - A Sermon for the Kitchen. PMID- 29834802 TI - The Hospital Problem: I.-Hospital Income and Expenditure. PMID- 29834803 TI - Paracentesis in Empyema. PMID- 29834804 TI - Cure of Flat-Foot by Message. PMID- 29834805 TI - The History and Capabilities of Herbal Simples: VI.-The Common Barberry-Sweet Basil. PMID- 29834806 TI - Annotations. PMID- 29834807 TI - Diagnosis and Treatment of the Several Forms of Rheumatism. PMID- 29834808 TI - New Drugs, Appliances, and Things Medical. PMID- 29834809 TI - Dengue in Europe. PMID- 29834810 TI - Arrest of Erysipelas. PMID- 29834811 TI - Cystinuria. PMID- 29834812 TI - The Taunton and Somerset Hospital. PMID- 29834813 TI - Cutis Laxa. PMID- 29834814 TI - The Nursing Supplement. PMID- 29834815 TI - Notes and News. PMID- 29834816 TI - Iodoform in Articular Tuberculosis. PMID- 29834818 TI - Prevention of Vomiting. PMID- 29834817 TI - Colour Blindness. PMID- 29834820 TI - Evacuation of Vertebral and Psoas Abscesses. PMID- 29834819 TI - Reduction of Strangulated Herniae by Coughing. PMID- 29834821 TI - Small Special Hospitals. PMID- 29834822 TI - St. George's Hospital. PMID- 29834823 TI - Everybody's Page. PMID- 29834824 TI - Forgiveness of Sin. PMID- 29834825 TI - The Sheffield Medical School. PMID- 29834826 TI - St. Thomas's Hospital. PMID- 29834827 TI - Fracture Patella. PMID- 29834828 TI - The Nursing Supplement. PMID- 29834829 TI - Introductory Addresses. PMID- 29834830 TI - Westminster Hospital. PMID- 29834831 TI - The Yorkshire College, Leeds. PMID- 29834832 TI - New Drugs, Appliances, and Things Medical: "Christia" and Modern Day Poultices. PMID- 29834833 TI - Bumbledom at Birmingham. PMID- 29834834 TI - A Fresh Start. PMID- 29834835 TI - Annotations. PMID- 29834836 TI - Royal Hospital for Diseases of the Chest. PMID- 29834838 TI - Microbes. PMID- 29834837 TI - Notes and News. PMID- 29834839 TI - Scurvy. PMID- 29834840 TI - Ainhum. PMID- 29834841 TI - Progressive Paralysis. PMID- 29834842 TI - Transfusion of Blood. PMID- 29834844 TI - A Phase of Modern Medicine. PMID- 29834843 TI - The Borderland of Madness. PMID- 29834845 TI - Detection of Human Blood. PMID- 29834847 TI - University College Hospital. PMID- 29834846 TI - Hypnotism. PMID- 29834848 TI - Acute Catarrh of the Stomach. PMID- 29834849 TI - The Hospital for the Insane. PMID- 29834850 TI - Methyl-Acetandilide. PMID- 29834851 TI - The Way They Died Then. PMID- 29834853 TI - Exophthalmic Goitre. PMID- 29834852 TI - Everybody's Page. PMID- 29834855 TI - Mourning. PMID- 29834854 TI - Notes and News. PMID- 29834856 TI - Spending, Mending, or Ending. PMID- 29834857 TI - Difficult Diagnosis. PMID- 29834858 TI - Annotations. PMID- 29834859 TI - Hampstead Provident Dispensary. PMID- 29834860 TI - Impurites of Salicylic Acid. PMID- 29834861 TI - Acetanilide in Enteric Fever. PMID- 29834862 TI - A Sunday Lecturer. PMID- 29834863 TI - Hepatic Abscess. PMID- 29834865 TI - West of England Sanatorium. PMID- 29834864 TI - Naphthol in Dyspepsia. PMID- 29834866 TI - The Nursing Supplement. PMID- 29834867 TI - The Hospital Problem: III.-Hospital Audit and Bookkeeping. PMID- 29834869 TI - Stricture. PMID- 29834868 TI - The Constitution of Man. PMID- 29834870 TI - Cottage Industries in Scotland. PMID- 29834871 TI - Proteid Poisons of Jequirity. PMID- 29834873 TI - New Drugs, Appliances, and Things Medical: Chancellors' Budgets and Cadbury's Cocoa. PMID- 29834872 TI - Changes after Death. PMID- 29834874 TI - Everybody's Page. PMID- 29834875 TI - Shock. PMID- 29834876 TI - National Pension Fund for Nurses. PMID- 29834877 TI - Foreign Bodies in the Eye. PMID- 29834878 TI - Physiological Candles. PMID- 29834879 TI - Notes and News. PMID- 29834880 TI - Annotations. PMID- 29834881 TI - The Sure Foundation. PMID- 29834882 TI - Transfusion. PMID- 29834883 TI - In the Wards at the Royal Free. PMID- 29834885 TI - Hospital Doctors under Surveillance. PMID- 29834884 TI - Ethical. PMID- 29834886 TI - The Nursing Supplement. PMID- 29834888 TI - Purpura. PMID- 29834887 TI - The Christian Church and the Bodily Health. PMID- 29834889 TI - Antiseptics. PMID- 29834890 TI - Treatment of Goitre by Electricity. PMID- 29834892 TI - The Doctor's Domestic Intellect. PMID- 29834891 TI - Noises in the Ears. PMID- 29834894 TI - The Nursing Supplement. PMID- 29834893 TI - Antiseptic after Treatment of Vaccination. PMID- 29834895 TI - Everybody's Page. PMID- 29834896 TI - The Squandering of Posthumous Gifts to Charity. PMID- 29834898 TI - Annotations. PMID- 29834897 TI - Good Friday. PMID- 29834899 TI - Dangers of Sulphonal. PMID- 29834900 TI - Penitentiary Patients. PMID- 29834902 TI - The Doctor in History. PMID- 29834901 TI - Notes and News. PMID- 29834904 TI - A True Stomachic. PMID- 29834903 TI - Excipient for External Application. PMID- 29834906 TI - Balsam of Peru in Phthisis. PMID- 29834905 TI - New Drugs, Appliances, and Things Medical: Robinson's Patent Groats and Patent Barley. PMID- 29834907 TI - Dieulafoy on the Treatment of Asthma. PMID- 29834908 TI - Treatment of Dengue. PMID- 29834909 TI - Oil of Eucalyptus in Scarlatina and Other Infectious Diseases. PMID- 29834910 TI - Out of Physic: Into-What? PMID- 29834911 TI - In the Wards at Great Ormond-Street Hospital for Children. PMID- 29834912 TI - Annotations. PMID- 29834914 TI - Below Par. PMID- 29834913 TI - The Practitioner's Outlook and Retrospect. PMID- 29834916 TI - Unqualified Assistants and Death Certificates. PMID- 29834915 TI - The Story of the Insane from Year to Year: Asylum Reports: Summary. PMID- 29834917 TI - Notes and News. PMID- 29834918 TI - Everybody's Page. PMID- 29834919 TI - German System of National Insurance. PMID- 29834920 TI - Peace. PMID- 29834921 TI - London Empty. PMID- 29834922 TI - The Nursing Supplement. PMID- 29834923 TI - Heredity. PMID- 29834924 TI - Removal of Accessory Limb. PMID- 29834925 TI - Notes and News. PMID- 29834926 TI - The General Hospital at Birmingham. PMID- 29834928 TI - Salol. PMID- 29834927 TI - The Nursing Supplement. PMID- 29834929 TI - Necrosis of the Jaw. PMID- 29834930 TI - Phthisis. PMID- 29834932 TI - Joy. PMID- 29834931 TI - Conscience. PMID- 29834933 TI - The Work of the Hospitals Association. PMID- 29834934 TI - Lithotomy. PMID- 29834935 TI - Ovarian Disease. PMID- 29834936 TI - Sea-Sickness. PMID- 29834937 TI - Everybody's Page. PMID- 29834938 TI - Physiological Candles: Development. PMID- 29834939 TI - The Royal Chest Hospital Scandal: A Statement of the Facts. PMID- 29834940 TI - Annotations. PMID- 29834942 TI - Temperature. PMID- 29834941 TI - Cancer. PMID- 29834944 TI - Notes and News. PMID- 29834943 TI - Dentition. PMID- 29834945 TI - Ought Members of the Active Medical Staff to Sit upon Hospital Boards? PMID- 29834946 TI - New Drugs, Appliances, and Things Medical. PMID- 29834947 TI - Acne. PMID- 29834948 TI - Hospital Book-Keeping and Accounts. PMID- 29834949 TI - An Impeached Committee. PMID- 29834950 TI - The Nursing Supplement. PMID- 29834951 TI - Vaccination. PMID- 29834952 TI - The Hospital Problem: II.-What Is Wanted. PMID- 29834953 TI - The Town Dweller: Life in Town and Country. PMID- 29834954 TI - Unstable Mental Equilibrium. PMID- 29834955 TI - Fracture of the Patella. PMID- 29834956 TI - Mikulicz's Operation. PMID- 29834957 TI - Injuries of the Neck of the Femur. PMID- 29834958 TI - Statistics of Insanity in England. PMID- 29834959 TI - Herpes Zoster. PMID- 29834960 TI - Hernia. PMID- 29834961 TI - Perseverance. PMID- 29834963 TI - Doctors' Fees in Germany. PMID- 29834962 TI - "Working Men" and Hospital Committees. PMID- 29834964 TI - The Right to Perform Operations in Hospitals. PMID- 29834965 TI - Electricity. PMID- 29834966 TI - Everybody's Page. PMID- 29834967 TI - Annotations. PMID- 29834968 TI - Distribution of Disease. PMID- 29834969 TI - Notes and News. PMID- 29834970 TI - Everybody's Page. PMID- 29834972 TI - Annotations. PMID- 29834971 TI - A Bishop's Ambition. PMID- 29834973 TI - Physiological Candles: "Wonder" or "Form". PMID- 29834974 TI - Military Hygiene. PMID- 29834975 TI - Sulphonal. PMID- 29834976 TI - The General Practitioners and Dr. Rentoul's Scheme. PMID- 29834977 TI - Popular Pastimes as Aids to Hospital Funds. PMID- 29834979 TI - Thoughts. PMID- 29834978 TI - Travelling for Health. PMID- 29834980 TI - The Nursing Supplement. PMID- 29834981 TI - The Cesspools of Chichester: A Courageous Speech. PMID- 29834982 TI - Spinal Injuries. PMID- 29834983 TI - The Birmingham General Dispensary. PMID- 29834984 TI - Hammer Nose. PMID- 29834985 TI - The Electro-Magnet in Ophthalmic Surgery. PMID- 29834986 TI - Scrofula. PMID- 29834987 TI - Hypnotism or Mesmerism. PMID- 29834988 TI - Professional Pressure. PMID- 29834989 TI - The Clapham Maternity Hospital. PMID- 29834990 TI - New Drugs, Appliances, and Things Medical. PMID- 29834992 TI - Cooks and Cooking. PMID- 29834991 TI - Modern Socialism. PMID- 29834993 TI - Bleeding. PMID- 29834994 TI - Heredity. PMID- 29834995 TI - Locomotor Ataxy. PMID- 29834996 TI - Cases Treated by Ice. PMID- 29834997 TI - Notes and News. PMID- 29834999 TI - Everybody's Page. PMID- 29834998 TI - Antiseptic Ventilation for Hospitals and Sanatoriums. PMID- 29835001 TI - The Medication of the Mind. PMID- 29835000 TI - The Jaffray Suburban Hospital, Birmingham. PMID- 29835003 TI - Annotations. PMID- 29835002 TI - Microbes. PMID- 29835005 TI - Hernia Cerebri. PMID- 29835004 TI - Long Suffering. PMID- 29835006 TI - Phthisis. PMID- 29835007 TI - Trephining for Epilepsy. PMID- 29835008 TI - Typhoid Fevers. PMID- 29835009 TI - Invalid Children's Aid Association. PMID- 29835010 TI - Albuminuria in Pregnacy. PMID- 29835011 TI - Notes and News. PMID- 29835013 TI - Pernicious Anaemia. PMID- 29835012 TI - Everybody's Page. PMID- 29835014 TI - Alcohol in Medicine. PMID- 29835015 TI - Atropine. PMID- 29835017 TI - An Asylum Infirmary for 100 Beds: With Full Plans. PMID- 29835016 TI - Joy. PMID- 29835018 TI - Treatment of Yellow Fever. PMID- 29835019 TI - Help for the London Poor. PMID- 29835021 TI - Charitable Appeals and Charities. PMID- 29835020 TI - A Home to Die in. PMID- 29835022 TI - Annotations. PMID- 29835023 TI - The Nursing Supplement. PMID- 29835025 TI - Prayer. PMID- 29835024 TI - The Ice Treatment. PMID- 29835026 TI - The Birmingham District Nursing Society. PMID- 29835027 TI - Morphia Injections. PMID- 29835028 TI - Antipyrin, &c. PMID- 29835029 TI - Classification of the Poor in Workhouses. PMID- 29835030 TI - Notes and News. PMID- 29835031 TI - Hypnotism v. Dypsomania. PMID- 29835032 TI - Annotations. PMID- 29835033 TI - The Home of Rest for Horses. PMID- 29835034 TI - The Queen's Hospital, Birmingham. PMID- 29835035 TI - Quinine. PMID- 29835036 TI - Life and Living. PMID- 29835037 TI - The Hospitals Again Vindicated! PMID- 29835038 TI - The Nursing Supplement. PMID- 29835039 TI - New Drugs, Appliances, and Things Medical. PMID- 29835040 TI - Within the Wards: Some Probable Causes of Cancer. PMID- 29835041 TI - Antefebrin. PMID- 29835042 TI - Everybody's Page. PMID- 29835043 TI - Hyoscine as a Sedative. PMID- 29835044 TI - Paradise. PMID- 29835045 TI - Nutrition and Propagation of Flowers and Trees. PMID- 29835047 TI - John Chinaman, M.D. PMID- 29835046 TI - Scarlatina Treatment and Results. PMID- 29835048 TI - Antiseptic Drainage of the Lung. PMID- 29835049 TI - Ununited Fractures. PMID- 29835050 TI - The Proposed Registration of Nurses. PMID- 29835051 TI - Goodwill Towards Men. PMID- 29835053 TI - Renal Calculi. PMID- 29835052 TI - Everybody's Page. PMID- 29835054 TI - Presystolic Murmur. PMID- 29835055 TI - Surgical Cases. PMID- 29835057 TI - Malaria v. More Recognisable Causes of Disease. PMID- 29835056 TI - The Nursing Supplement. PMID- 29835058 TI - M. Daudet's Darwinism. PMID- 29835059 TI - Surgical Dressings. PMID- 29835060 TI - The Registration of Nurses. PMID- 29835061 TI - Leprosy. PMID- 29835062 TI - Going Abroad. PMID- 29835063 TI - Hysteria in the Male. PMID- 29835064 TI - Appeals. PMID- 29835065 TI - King's College Hospital. PMID- 29835066 TI - A Suburban Medical Lecture. PMID- 29835068 TI - Notes and News. PMID- 29835067 TI - The British Nurses' Association and the Medical Council. PMID- 29835069 TI - Annotations. PMID- 29835070 TI - Alcoholic Paralysis. PMID- 29835072 TI - The Nursing Supplement. PMID- 29835071 TI - New Drugs, Appliances, and Things Medical: The Derbyshire Respirator. PMID- 29835073 TI - Confusion Worse Confounded. PMID- 29835074 TI - January. PMID- 29835075 TI - Annotations. PMID- 29835076 TI - The Philanthropist's Vade Mecum. PMID- 29835078 TI - Notes and News. PMID- 29835077 TI - The History and Capabilities of Herbal Simples: II. A Eulogy, and Some Ancient Authorities. PMID- 29835079 TI - A Happy New Year. PMID- 29835080 TI - A Promise of Dawn. PMID- 29835081 TI - Everybody's Page. PMID- 29835082 TI - Uterine Cancer. PMID- 29835084 TI - Tubercle Infection. PMID- 29835083 TI - Secretaries and Their Limitations. PMID- 29835085 TI - Annotations. PMID- 29835086 TI - Muscular Atrophy in Tabes Dorsalis. PMID- 29835087 TI - No More Insomnia. PMID- 29835088 TI - Hypnotism. PMID- 29835089 TI - Accumulation in the Organism of Bromide of Potassium. PMID- 29835090 TI - Iodides for Scrofulous Children. PMID- 29835092 TI - Darwinism on the Stage. PMID- 29835091 TI - Communicability of Cerebrospinal Meningitis. PMID- 29835094 TI - Renal Lesions. PMID- 29835093 TI - New Drugs, Appliances, and Things Medical: Dahl's Pure Milk. PMID- 29835096 TI - Among the Pines at Bournemouth. PMID- 29835095 TI - Absinthe. PMID- 29835097 TI - The Proposed Registration of Nurses. PMID- 29835098 TI - Hospital Abuse. PMID- 29835099 TI - Notes and News. PMID- 29835100 TI - Fruit. PMID- 29835102 TI - Treatment of Anaemia by Enemata of Defibrinated Blood. PMID- 29835101 TI - Charity's Financial Outlook. PMID- 29835103 TI - Physiological Candles: The Moral Fruits of Darwinism. PMID- 29835104 TI - Everybody's Page. PMID- 29835105 TI - The Nursing Supplement. PMID- 29835106 TI - Tonsil Slitting. PMID- 29835108 TI - Some Unpleasant Truths about Food and Luxuries. PMID- 29835107 TI - The Poplar Hospital. PMID- 29835109 TI - Notes and News. PMID- 29835110 TI - Treatment of Dysentery. PMID- 29835111 TI - The Hyderabad Commission on the Action of Chloroform. PMID- 29835112 TI - Light. PMID- 29835113 TI - Use of Tobacco. PMID- 29835114 TI - A Few Old Simples. PMID- 29835115 TI - Leprosy and Leper Houses. PMID- 29835116 TI - New Drugs, Appliances, and Things Medical. PMID- 29835117 TI - Leprosy. PMID- 29835118 TI - Physiological Candles: "Then" and "Now". PMID- 29835120 TI - Miss Cobbe's Doctors. PMID- 29835119 TI - Cremation and Urn-Burial. PMID- 29835121 TI - Everybody's Page. PMID- 29835122 TI - Wounds of the Brain. PMID- 29835123 TI - The Nursing Supplement. PMID- 29835124 TI - Annotations. PMID- 29835125 TI - Thick Darkness. PMID- 29835126 TI - Annotations. PMID- 29835127 TI - The Oppression of the Medical Practitioner. PMID- 29835128 TI - Everybody's Page. PMID- 29835130 TI - Hypnotism. PMID- 29835129 TI - The Recent Hospital Dispute. PMID- 29835131 TI - A Word for Daudet. PMID- 29835132 TI - Professional Pressure. PMID- 29835133 TI - Enteric Fever in India. PMID- 29835134 TI - New Drugs, Appliances, and Things Medical. PMID- 29835135 TI - Notes and News. PMID- 29835136 TI - The Registration of Midwives and Nurses: Important Decision of the General Council of Medical Education and Registration. PMID- 29835138 TI - The Nursing Supplement. PMID- 29835137 TI - Treatment of Diphtheria. PMID- 29835139 TI - Meat Diet. PMID- 29835140 TI - The Emigrant's Hospital at Ward Island. PMID- 29835141 TI - Minor Operations. PMID- 29835142 TI - Registration of Midwives and Nurses. PMID- 29835143 TI - Physiological Candles. PMID- 29835144 TI - Surgical Cases. PMID- 29835145 TI - Scarlet Fever in a Family of Five Children. PMID- 29835146 TI - Injuries from Electricity. PMID- 29835147 TI - The Proposed Registration of Nurses. PMID- 29835148 TI - Everybody's Page. PMID- 29835150 TI - Chronic Suppurative Pyelitis. PMID- 29835149 TI - Christmas "Outward and Visible". PMID- 29835151 TI - Epidemics and Ambulances. PMID- 29835152 TI - Old Cures for Hydrophobia. PMID- 29835153 TI - The Babe of Bethlehem. PMID- 29835154 TI - Fish as Food. PMID- 29835155 TI - Cycling in Its Relation to Health. PMID- 29835156 TI - Annotations. PMID- 29835157 TI - Influenza. PMID- 29835158 TI - Prevention of Cholera. PMID- 29835159 TI - A Hospital of All the Virtues. PMID- 29835160 TI - Cottage Hospital Ward Walls. PMID- 29835161 TI - Hay Fever. PMID- 29835162 TI - Mr. Besant's Latest Morality. PMID- 29835163 TI - The Nursing Supplement. PMID- 29835164 TI - Notes and News. PMID- 29835165 TI - Colotomy. PMID- 29835166 TI - The History and Capabilities of Herbal Simples: I. Introductory and Historical. PMID- 29835167 TI - St. Luke's Hospital for the Insane. PMID- 29835168 TI - Notes from Scandinavia. PMID- 29835169 TI - Clergyman's Sore Throat. PMID- 29835171 TI - Winter Cough. PMID- 29835170 TI - The Effect of the Entrance of Air into the Circulation. PMID- 29835172 TI - A Novelty in Disinfectants. PMID- 29835173 TI - Influenza. PMID- 29835175 TI - Trephining for Cerebral Tumour. PMID- 29835174 TI - Gifts to Christ. PMID- 29835176 TI - Knee-Joint Disease. PMID- 29835177 TI - Do Working Men Think? PMID- 29835178 TI - Everybody's Page. PMID- 29835179 TI - New Drugs, Appliances, and Things Medical. PMID- 29835180 TI - Destitute Workmen's Aid Society. PMID- 29835181 TI - Notes and News. PMID- 29835183 TI - Hepatic Abscess. PMID- 29835182 TI - Annotations. PMID- 29835184 TI - Medical and Common Morality. PMID- 29835185 TI - The Abuse of Hospitals. PMID- 29835186 TI - Rhinitis. PMID- 29835187 TI - St. Luke's Hospital for the Insane. PMID- 29835188 TI - Pauperism in London.-II. PMID- 29835189 TI - The Hospital Sunday Fund and Institution for the Incurables. PMID- 29835191 TI - Calendrier de Sante, 1890. PMID- 29835190 TI - Hysterical Amaurosis. PMID- 29835193 TI - The Nursing Supplement. PMID- 29835192 TI - Incompatibles. PMID- 29835194 TI - Antipyrin. PMID- 29835195 TI - Accumulation of Arsenic in Spongy Bone. PMID- 29835196 TI - Treatment of Goitre by Iodine. PMID- 29835197 TI - Everybody's Page. PMID- 29835198 TI - The Nursing Supplement. PMID- 29835199 TI - An Infantile Complication. PMID- 29835200 TI - Diabetes in Childhood. PMID- 29835201 TI - Notes and News. PMID- 29835202 TI - Great and Enduring Deeds. PMID- 29835203 TI - Cancer of the Tongue. PMID- 29835205 TI - Treatment of Malarial Fever. PMID- 29835204 TI - Nerves and Epidemics. PMID- 29835206 TI - New Drugs, Appliances, and Things Medical. PMID- 29835207 TI - Ophthalmia Neonatorum. PMID- 29835208 TI - Pauperism in London. PMID- 29835209 TI - Charity Lotteries. PMID- 29835210 TI - Popular Pastimes as Aids to Hospital Funds. PMID- 29835211 TI - Tetanus a Communicable Disease. PMID- 29835212 TI - Knowing Christ. PMID- 29835213 TI - The History and Capabilities of Herbal Simples: III. The Wood-Anemone, Angelica, Aniseed. PMID- 29835214 TI - Antisepsis. PMID- 29835216 TI - Biliary Calculi and Olive Oil. PMID- 29835215 TI - Annotations. PMID- 29835217 TI - The Proposed Registration of Nurses. PMID- 29835218 TI - A Vade Mecum for New Year's Givers. PMID- 29835219 TI - Aortic Aneurysm. PMID- 29835220 TI - More Voyages in Vacation.-II. PMID- 29835221 TI - Monotonous Diet. PMID- 29835222 TI - Albuminuria. PMID- 29835223 TI - Hypnotism. PMID- 29835224 TI - The Saturday Fund and St. John's Hospital. PMID- 29835225 TI - Obstructed Breathing from Anaethesia. PMID- 29835226 TI - Malingering. PMID- 29835227 TI - The Dignity of Work. PMID- 29835228 TI - Colour-Blindness. PMID- 29835230 TI - Variations of Symptoms from the Type. PMID- 29835229 TI - The Nursing Supplement. PMID- 29835231 TI - Notes and News. PMID- 29835232 TI - Treatment of Ague. PMID- 29835234 TI - Microbes. PMID- 29835233 TI - Life Seeds and Disinfection. PMID- 29835236 TI - The Cyprus Society: Hospital Work. PMID- 29835235 TI - Second Report of the Hyderabad Chloroform Commission. PMID- 29835238 TI - Annotations. PMID- 29835237 TI - Popular Pastimes as Aids to Hospital Funds. PMID- 29835240 TI - February. PMID- 29835239 TI - Everybody's Page. PMID- 29835241 TI - Diagnosis of Sickness in the Street. PMID- 29835242 TI - In Self-Defence. PMID- 29835243 TI - The Infancy of Christ. PMID- 29835244 TI - Ovariotomy and Listerism. PMID- 29835245 TI - The Nursing Supplement. PMID- 29835246 TI - Notes and News. PMID- 29835247 TI - The Third-Class Carriage. PMID- 29835248 TI - Everybody's Page. PMID- 29835250 TI - Robert Browning's Views of Life and Death. PMID- 29835249 TI - Foetal Malaria. PMID- 29835251 TI - Popular Pastimes as Aids to Hospital Funds: Demonstrations. PMID- 29835252 TI - Hospital Out-Patient Reform and Provident Dispensaries. PMID- 29835253 TI - Cancer. PMID- 29835254 TI - Food for Invalids. PMID- 29835255 TI - The Hospital Saturday Fund Awards. PMID- 29835256 TI - Annotations. PMID- 29835257 TI - Treatment of Carbuncle and Boils. PMID- 29835258 TI - The Extension of the Pension Fund. PMID- 29835259 TI - Cause of Typhoid Fever. PMID- 29835260 TI - Cottage Nurses and Their Training: An Abstract of Miss Broadwood's Paper. PMID- 29835261 TI - The Richmond Union Infirmary. PMID- 29835263 TI - Intestinal Strangulation. PMID- 29835262 TI - Pernicious Anaemia. PMID- 29835265 TI - Notes and News. PMID- 29835264 TI - Village Charities: II. Occasional Gifts. PMID- 29835266 TI - Epidemics past and Present. PMID- 29835267 TI - A Visit to a Training School for the Deaf: From a Travelling Correspondent. PMID- 29835268 TI - Transplantation of Rabbits' Conjunctiva to the Human Eye. PMID- 29835269 TI - Phthisis. PMID- 29835271 TI - Treatment of Disease by Electricity. PMID- 29835270 TI - Latent Gout. PMID- 29835273 TI - Annotations. PMID- 29835272 TI - "Hugh Woods, M.D.," and the Newspapers. PMID- 29835274 TI - Adulteration of Drugs. PMID- 29835275 TI - Operative Treatment of Dislocated Shoulder. PMID- 29835276 TI - Pathology of Chorea. PMID- 29835277 TI - Everybody's Page. PMID- 29835278 TI - The Nursing Supplement. PMID- 29835279 TI - Lady Dufferin's Fund. PMID- 29835281 TI - Syphillis. PMID- 29835280 TI - Man's Wants. PMID- 29835283 TI - Influenza Personally Conducted. PMID- 29835282 TI - Medicine and Socialism. PMID- 29835284 TI - Freedom. PMID- 29835285 TI - Winter Climate of the Nile. PMID- 29835286 TI - Annotations. PMID- 29835287 TI - The New Antiseptic, "Periodate Crystals Weavers". PMID- 29835288 TI - Alum Injection for Dysentery. PMID- 29835289 TI - Croup. PMID- 29835291 TI - A New Symptom. PMID- 29835290 TI - Haemorrhoids. PMID- 29835292 TI - March. PMID- 29835293 TI - Saccharin. PMID- 29835295 TI - Hypnotism Medically Considered. PMID- 29835294 TI - Goitre. PMID- 29835296 TI - Food and Force. PMID- 29835297 TI - Insects in Drugs. PMID- 29835299 TI - The Use of Antimony. PMID- 29835298 TI - Notes and News. PMID- 29835300 TI - Everybody's Page. PMID- 29835301 TI - New Drugs, Appliances, and Things Medical. PMID- 29835302 TI - Earlswood as It Is. PMID- 29835303 TI - Infants' Food. PMID- 29835304 TI - The "Diphtheria House" at Zurich. PMID- 29835305 TI - The Nursing Supplement. PMID- 29835306 TI - The Ice Treatment. PMID- 29835307 TI - Vertigo. PMID- 29835309 TI - Novel Use of Mercury. PMID- 29835308 TI - Ought Members of the Active Medical Staffs to Sit upon Hospital Boards? PMID- 29835310 TI - Diseases of the Chest. PMID- 29835311 TI - The Town Dweller. PMID- 29835312 TI - Hydrophobia. PMID- 29835313 TI - Cornwall as a Winter Resort. PMID- 29835314 TI - Ought Members of the Active Medical Staff to Sit upon Hospital Boards? PMID- 29835315 TI - The Temporary Ligature. PMID- 29835316 TI - Notes and News. PMID- 29835317 TI - The Moral Basis of Private Property.-I. PMID- 29835318 TI - Elixers and Inoculations. PMID- 29835319 TI - The Nursing Supplement. PMID- 29835320 TI - Everybody's Page. PMID- 29835321 TI - New Drugs, Appliances, and Things Medical. PMID- 29835323 TI - The Surgical Aspect of Hepatic Abscess. PMID- 29835322 TI - Sulphonal. PMID- 29835324 TI - Cocaine. PMID- 29835325 TI - Annotations. PMID- 29835327 TI - Puerperal Fevers. PMID- 29835326 TI - Milk for Infants. PMID- 29835328 TI - Diphtheretic Paralysis. PMID- 29835329 TI - Perfection. PMID- 29835331 TI - A Rare Event. PMID- 29835330 TI - The Hospital for the Insane. PMID- 29835332 TI - "Hugh Woods, M.D.," and the Newspapers. PMID- 29835333 TI - The History and Capabilities of Herbal Simples: V. The Common Arum, Asparagus, and Balm. PMID- 29835334 TI - Milk Poisoning. PMID- 29835335 TI - False Croup. PMID- 29835336 TI - Tracheotomy in Diphtheria. PMID- 29835337 TI - Unsatisfied. PMID- 29835338 TI - Is Vaccination a Fraud? PMID- 29835339 TI - Village Charities: I. Hard and Fast Rules of Distribution. PMID- 29835340 TI - Subjects of Social Welfare. PMID- 29835341 TI - A More Excellent Way. PMID- 29835343 TI - Meat Diet. PMID- 29835342 TI - New Drugs, Applances, and Things Medical. PMID- 29835344 TI - The Christian Origin of Hospitals. PMID- 29835345 TI - Everybody's Page. PMID- 29835346 TI - Mental Blindness. PMID- 29835347 TI - Silk as a Dressing. PMID- 29835349 TI - Chats at St. Ampelio. PMID- 29835348 TI - Acetanilide. PMID- 29835350 TI - A Plea for the Disappointed. PMID- 29835351 TI - Compression of the Thorax for Relieving the Pain of Pleurisy. PMID- 29835353 TI - Cure of Leprosy. PMID- 29835352 TI - The Nursing Supplement. PMID- 29835354 TI - Annotations. PMID- 29835355 TI - Ralph Ellison's Opportunity. PMID- 29835356 TI - The History and Capabilities of Herbal Simples: IV. The Apple. PMID- 29835357 TI - Injury to the Phrenic Nerve. PMID- 29835358 TI - A Kirmes at Buffalo. PMID- 29835359 TI - The Temperature in Influenza. PMID- 29835360 TI - Eczema. PMID- 29835361 TI - The History and Capabilities of Herbal Simples: XXXI.-The Elder. PMID- 29835362 TI - New Drugs, Appliances, and Things Medical. PMID- 29835363 TI - Gelsemium Sempervirens. PMID- 29835364 TI - Neuritis of the Peripheral Nerves. - II. PMID- 29835366 TI - Everybody's Page. PMID- 29835365 TI - Noodles and Newspapers. PMID- 29835367 TI - Diabetic Coma. PMID- 29835368 TI - Annotations. PMID- 29835369 TI - The Hospital Nursing Supplement. PMID- 29835370 TI - Racial Science and Modern Politics. PMID- 29835372 TI - Notes and News. PMID- 29835371 TI - Putting the House in Order. PMID- 29835373 TI - The Dulness of Domestic Service. PMID- 29835374 TI - Progress in Medicine. PMID- 29835376 TI - Construction Notes. PMID- 29835375 TI - The Causes and Treatment of Ununited Fracture. PMID- 29835377 TI - Sewage in Scotch Lochs. PMID- 29835378 TI - Notes and News. PMID- 29835379 TI - Sixty Thousand Pounds for the London Hospitals. PMID- 29835381 TI - Progress in Laryngology. PMID- 29835380 TI - The Diagnosis of Aneurism. PMID- 29835382 TI - Health in the Schoolroom. PMID- 29835383 TI - New Appliances and Things Medical. PMID- 29835385 TI - The Metropolitan Hospital Sunday Fund, 1895. PMID- 29835384 TI - Progress in Rhinology. PMID- 29835387 TI - The Hospital Nursing Supplement. PMID- 29835386 TI - The Story of the Insane from Year to Year. PMID- 29835388 TI - The Stock Exchange and the Hospitals. PMID- 29835389 TI - Annotations. PMID- 29835390 TI - Morbid Growths. PMID- 29835391 TI - The Hospital Nursing Supplement. PMID- 29835392 TI - School Board Certificates. PMID- 29835393 TI - Down with the Butcher. PMID- 29835394 TI - The Story of the Insane from Year to Year. PMID- 29835395 TI - Education in Anthropology. PMID- 29835396 TI - Annotations. PMID- 29835397 TI - On the Differential Diagnosis of Popliteal Swellings. PMID- 29835399 TI - New Appliances and Things Medical. PMID- 29835398 TI - Anaemia, Leukaemia, and Lymphadenoma. PMID- 29835400 TI - Hospital Expenditure.-The Commissariat. PMID- 29835401 TI - General Pathology. PMID- 29835402 TI - The Proper Business of the Coroner. PMID- 29835403 TI - Metropolitan Hospital Sunday Fund. PMID- 29835404 TI - Notes and News. PMID- 29835405 TI - The Hospital Nursing Supplement. PMID- 29835406 TI - The Fallacies of Crude Statistics. PMID- 29835407 TI - The Study of Man in the British Association. PMID- 29835408 TI - Progress in Laryngology. PMID- 29835409 TI - The Examinations of the Future. PMID- 29835410 TI - Construction Notes. PMID- 29835411 TI - Early Marriages: Royal and Otherwise. PMID- 29835413 TI - Practical Departments. PMID- 29835412 TI - The Treatment of Patients after Abdominal Operations. PMID- 29835414 TI - Notes and News. PMID- 29835415 TI - New Appliances and Things Medical. PMID- 29835416 TI - Hospital Expenditure.-The Commissariat. PMID- 29835417 TI - The Story of the Insane from Year to Year. PMID- 29835418 TI - Progress in Surgery. PMID- 29835420 TI - Annotations. PMID- 29835419 TI - The Sir Andrew Clark Memorial. PMID- 29835422 TI - Around the Hospitals. PMID- 29835421 TI - Progress in Medicine. PMID- 29835424 TI - Progress in Otology. PMID- 29835423 TI - Sleep and Its Disorders.-I. PMID- 29835426 TI - Hospital Expenditure.-The Commissariat. PMID- 29835425 TI - Restrictions in the Use of Unproved Remedies. PMID- 29835428 TI - Notes and News. PMID- 29835427 TI - Administration of Anaesthetics.-II. PMID- 29835430 TI - The Hospital Nursing Supplement. PMID- 29835429 TI - The Anti-Vivisection Societies and the Hospitals. PMID- 29835432 TI - General Surgery. PMID- 29835431 TI - Dr. Waldo and the Salvation Army. PMID- 29835433 TI - Typhoid Fever. PMID- 29835434 TI - New Appliances and Things Medical. PMID- 29835435 TI - Practical Departments. PMID- 29835436 TI - Street Noises. PMID- 29835438 TI - Hospital Meetings. PMID- 29835437 TI - Climates of the past. PMID- 29835439 TI - Annotations. PMID- 29835440 TI - Helpers or Rivals? The Nurse Question. PMID- 29835442 TI - Notes and News. PMID- 29835441 TI - Hospital Meetings. PMID- 29835444 TI - Physical Treatment in Heart Disease. PMID- 29835443 TI - Death Certificates. PMID- 29835446 TI - New Appliances and Things Medical. PMID- 29835447 TI - The Clinical Society. PMID- 29835449 TI - The British Army as a Fighting Force. PMID- 29835448 TI - Progress in Medicine. PMID- 29835450 TI - Carbohydrate Starvation in Typhoid Fever. PMID- 29835452 TI - Annotations. PMID- 29835451 TI - The Treatment of Fractures of the Patella. PMID- 29835453 TI - The Hospital Nursing Supplement. PMID- 29835454 TI - On Modern Progress in Ophthalmic Medicine and Surgery: Latent Squint (Heterophoria). PMID- 29835455 TI - Construction Notes. PMID- 29835457 TI - The Hospital Nursing Supplement. PMID- 29835456 TI - On Modern Progress in Ophthalmic Medicine and Surgery: Squint. PMID- 29835458 TI - The Three Congresses: Their Lessons for Medicine. PMID- 29835459 TI - Annotations. PMID- 29835460 TI - Progress in Laryngology. PMID- 29835461 TI - Hospital and Asylum Construction. PMID- 29835462 TI - Dr. J. S. Billings. PMID- 29835463 TI - The Physiology of OEdema. PMID- 29835465 TI - Hospital Expenditure.-The Commissariat. PMID- 29835464 TI - The Schott Treatment for Heart Disease. PMID- 29835466 TI - Notes and News. PMID- 29835467 TI - Practical Departments. PMID- 29835468 TI - Medicine and Pauperism in Country Districts. PMID- 29835469 TI - Hospital Meetings. PMID- 29835470 TI - Hospital Committees and Hospital Secretaries. PMID- 29835471 TI - Construction Notes. PMID- 29835472 TI - Adulterated Boots. PMID- 29835473 TI - Surgery of the Nerves. PMID- 29835474 TI - New Appliances and Things Medical. PMID- 29835475 TI - Movable Kidney. PMID- 29835476 TI - The Hospital Nursing Supplement. PMID- 29835477 TI - The Story of the Insane from Year to Year. PMID- 29835478 TI - The Relation between Haemic and Organic Cardiac Murmurs. PMID- 29835480 TI - Annus Medicus, 1895. PMID- 29835479 TI - Diseases of the Pancreas. PMID- 29835482 TI - Diseases of the Lungs and Pleurae. PMID- 29835481 TI - Annotations. PMID- 29835483 TI - Notes and News. PMID- 29835484 TI - Penology. PMID- 29835486 TI - Infantile Diarrhoea and Artificial Feeding. PMID- 29835485 TI - Annotations. PMID- 29835487 TI - Diseases of the Stomach. PMID- 29835488 TI - Diseases of the Nervous System. PMID- 29835489 TI - Leg versus Arm Vaccination. PMID- 29835490 TI - On Modern Progress in Ophthalmic Medicine and Surgery: Latent Squint. PMID- 29835493 TI - Notes and News. PMID- 29835492 TI - New Appliances and Things Medical. PMID- 29835494 TI - The Hospital Nursing Supplement. PMID- 29835495 TI - The Ethics of Operations. PMID- 29835496 TI - Hospital Meetings. PMID- 29835497 TI - Self-Help and Charitable Aid. PMID- 29835499 TI - New Appliances and Things Medical. PMID- 29835498 TI - Construction Notes. PMID- 29835500 TI - The Surgery of the Chest. PMID- 29835501 TI - The Place of Research in Education. PMID- 29835502 TI - Annotations. PMID- 29835503 TI - Hospital Secretaries and Their Salaries. PMID- 29835504 TI - Latency of Infection. PMID- 29835505 TI - Hospital Construction. PMID- 29835506 TI - On Modern Progress in Ophthalmic Medicine and Surgery: Squint. PMID- 29835508 TI - Notes and News. PMID- 29835507 TI - The Schott Treatment for Heart Disease. PMID- 29835510 TI - Diseases of the Upper Air Passages. PMID- 29835509 TI - Infective Diseases. PMID- 29835511 TI - The Hospital Nursing Supplement. PMID- 29835512 TI - The Throat Hospital, Golden Square. PMID- 29835513 TI - The Hospital Nursing Supplement. PMID- 29835514 TI - Diseases of the Stomach. PMID- 29835515 TI - The Treatment of Patients after Abdominal Operations. PMID- 29835516 TI - The Hospital: A Medical Journal. PMID- 29835517 TI - Surgery of the Nerves. PMID- 29835518 TI - Pharynx. PMID- 29835520 TI - Brain Surgery. PMID- 29835519 TI - Notes and News. PMID- 29835522 TI - New Appliances and Things Medical. PMID- 29835521 TI - The Criminal Type. PMID- 29835524 TI - Hospital Festivals, Meetings, &c. PMID- 29835523 TI - Hospital Expenditure.-The Commissariat.-I. PMID- 29835525 TI - On Modern Progress in Ophthalmic Medicine and Surgery. PMID- 29835526 TI - Argonine and Argentamine. PMID- 29835527 TI - Construction Notes. PMID- 29835528 TI - Practical Departments. PMID- 29835529 TI - Annotations. PMID- 29835530 TI - The Charity Organisation Society. PMID- 29835531 TI - On Modern Progress in Ophthalmic Medicine and Surgery: Squint. PMID- 29835532 TI - Doctors versus Drink. PMID- 29835533 TI - Progress in Medicine. PMID- 29835534 TI - The Epileptic Colony at Chalfont St. Peter. PMID- 29835535 TI - Notes and News. PMID- 29835536 TI - The Vindication of Water. PMID- 29835537 TI - The Hospital Nursing Supplement. PMID- 29835539 TI - The Rotunda Hospital, Dublin. PMID- 29835538 TI - Annotations. PMID- 29835540 TI - The Holloway Sanatorium. PMID- 29835541 TI - Hospital Construction. PMID- 29835542 TI - The General Medical Council. PMID- 29835543 TI - Progress in Surgery. PMID- 29835544 TI - Hospital Meetings. PMID- 29835546 TI - Annotations. PMID- 29835545 TI - Some Effects of Tight Lacing on Certain of the Abdominal Contents. PMID- 29835547 TI - A Forgotten Medical Hero. PMID- 29835548 TI - A Stage in the Evolution of Medicine. PMID- 29835550 TI - Notes and News. PMID- 29835549 TI - New Appliances and Things Medical. PMID- 29835551 TI - Ischio-Rectal Abscess and Fistula. PMID- 29835552 TI - Hunger as a Test of Poverty. PMID- 29835553 TI - Metropolitan Hospital Sunday Fund. PMID- 29835554 TI - Hospital Expenditure.-The Commissariat. PMID- 29835555 TI - Progress in Surgery. PMID- 29835556 TI - The Diagnosis of Aneurism. PMID- 29835558 TI - Winter Quarters. PMID- 29835557 TI - The Hospital Nursing Supplement. PMID- 29835560 TI - The Hospital Nursing Supplement. PMID- 29835559 TI - Progress in Otology. PMID- 29835561 TI - The Factors of National Health. PMID- 29835562 TI - The Story of the Insane from Year to Year. PMID- 29835563 TI - Progress in Surgery. PMID- 29835564 TI - Dyspepsia and Consumption: II. The Forms of Dyspepsia. PMID- 29835565 TI - Progress in Medicine. PMID- 29835566 TI - Hospital Meetings. PMID- 29835567 TI - Annotations. PMID- 29835568 TI - Trimmer's Cottage Hospital, Farnham. PMID- 29835569 TI - Hospital Construction. PMID- 29835571 TI - The Out-Patient System and Its Abuse. PMID- 29835570 TI - Acute Necrosis. PMID- 29835572 TI - The Ophthalmology of the Poets. PMID- 29835573 TI - Practical Departments. PMID- 29835574 TI - Notes and News. PMID- 29835575 TI - New Appliances and Things Medical. PMID- 29835576 TI - Sunshine on the South Coast. PMID- 29835577 TI - Notes and News. PMID- 29835579 TI - Hotel-Dieu Du Creusot. PMID- 29835578 TI - Practical Departments. PMID- 29835580 TI - New Appliances and Things Medical. PMID- 29835581 TI - Some Observations on Typhoid Fever. PMID- 29835583 TI - A Hospital for Lepers in Iceland. PMID- 29835582 TI - Three Cases of Diphtheria Treated with Ruffer's Curative Serum. PMID- 29835584 TI - Annotations. PMID- 29835585 TI - The Multiplication of Vaccines. PMID- 29835587 TI - The Andrew Clark Memorial. PMID- 29835586 TI - Diseases of the Lungs and Pleurae. PMID- 29835588 TI - In Praise of High Feeding. PMID- 29835589 TI - Renal Medicine. PMID- 29835590 TI - The Treatment of Aneurism. PMID- 29835591 TI - The Hospital Nursing Supplement. PMID- 29835592 TI - A New Hospital for Valparaiso. PMID- 29835593 TI - Philanthropists among the London Poor. PMID- 29835594 TI - Progress in Surgery. PMID- 29835595 TI - New Appliances and Things Medical. PMID- 29835596 TI - Laundry and Sanitary Exhibition at the Agricultural Hall. PMID- 29835597 TI - The Financial Condition of the North-Eastern Hospital for Children. PMID- 29835598 TI - Progress in Obstetrics. PMID- 29835599 TI - Hospital Expenditure. - The Commissariat. PMID- 29835600 TI - Practical Departments. PMID- 29835601 TI - Practical Anthropology. PMID- 29835602 TI - Hospital Meetings. PMID- 29835603 TI - Ischio-Rectal Abscess and Fistula. PMID- 29835604 TI - Tubcrculosis in Cattle. PMID- 29835605 TI - Notes and News. PMID- 29835606 TI - The Water Drinker Three Centuries Ago. PMID- 29835607 TI - Annotations. PMID- 29835608 TI - Progress in Otology. PMID- 29835609 TI - The Hospital Nursing Supplement. PMID- 29835610 TI - Hospital Festivals Meetings, &c. PMID- 29835611 TI - Metropolitan Hospital Sunday Fund. PMID- 29835612 TI - Practical Departments. PMID- 29835613 TI - Annotations. PMID- 29835614 TI - Some Unutilized Resources of Civilisation. PMID- 29835615 TI - The Fate of Colour-Blind Sailors. PMID- 29835617 TI - Fifteen Thousand Pounds for the Charities. PMID- 29835616 TI - Around the Hospitals. PMID- 29835619 TI - The Hospital Nursing Supplement. PMID- 29835618 TI - An Appeal to Appealers. PMID- 29835620 TI - The Treatment of Abscess in Pott's Disease. PMID- 29835621 TI - Progress in Rhinology. PMID- 29835623 TI - New Appliances and Things Medical. PMID- 29835622 TI - Hospital Expenditure.-The Commissariat. PMID- 29835624 TI - Construction Notes. PMID- 29835625 TI - Administration of Anaesthetics. PMID- 29835627 TI - Progress in Medicine. PMID- 29835626 TI - Notes and News. PMID- 29835628 TI - Hospital Expenditure: The Commissariat. PMID- 29835629 TI - Surgery of the Liver and Gall Bladder. PMID- 29835630 TI - Lunacy and Pauperism. PMID- 29835631 TI - The Hospital Nursing Supplement. PMID- 29835632 TI - On the Treatment of Femoral Hernia: Reducible Femoral Hernia. PMID- 29835633 TI - Diseases of the Nervous System. PMID- 29835634 TI - Annotations. PMID- 29835635 TI - Notes and News. PMID- 29835636 TI - Vaccination Officers. PMID- 29835637 TI - The Presidency of the Royal College of Physicians. PMID- 29835638 TI - Diseases of the Intestines. PMID- 29835640 TI - The Old and the New Vitalism. PMID- 29835639 TI - Dyspepsia and Consumption: III. Treatment. PMID- 29835642 TI - Hospital Meetings. PMID- 29835641 TI - New Appliances and Things Medical. PMID- 29835644 TI - Practical Points. PMID- 29835643 TI - Graves' Disease. PMID- 29835646 TI - Hospital Expenditure. - The Commissariat. PMID- 29835645 TI - The Treatment of Abscess in Pott's Disease. PMID- 29835648 TI - Hospital Festivals, Meetings, &c. PMID- 29835647 TI - Diseases of the Digestive Organs. PMID- 29835650 TI - Some Practical Aspects of Bovine Tuberculosis. PMID- 29835649 TI - Electricity and the Processes of Life. PMID- 29835651 TI - Notes and News. PMID- 29835652 TI - Construction Notes. PMID- 29835654 TI - Editor's Letter-Box. PMID- 29835653 TI - Annotations. PMID- 29835655 TI - On Modern Progress in Ophthalmic Medicine and Surgery: Squint. PMID- 29835656 TI - Progress in Obstetrics. PMID- 29835657 TI - Metropolitan Hospital Sunday Fund. PMID- 29835658 TI - The Hospital Nursing Supplement. PMID- 29835659 TI - A Social Reform Club. PMID- 29835660 TI - Cottage Hospital, Wood Green. PMID- 29835661 TI - Physical Treatment in Heart Disease. PMID- 29835662 TI - New Appliances and Things Medical. PMID- 29835663 TI - The Localisation of Tumours of the Spinal Cord Amenable to Surgical Treatment. PMID- 29835664 TI - Hospital Sunday Fund. PMID- 29835665 TI - Progress in Medicine. PMID- 29835666 TI - The Treatment of Criminals. PMID- 29835667 TI - A Prophylactic Clothes Philosophy. PMID- 29835668 TI - Notes and News. PMID- 29835669 TI - The New Radiant Energy. PMID- 29835671 TI - Progress in Surgery. PMID- 29835670 TI - The Hospital Nursing Supplement. PMID- 29835672 TI - Annotations. PMID- 29835674 TI - Charity or Business? PMID- 29835673 TI - The Treatment of Aneurism. PMID- 29835675 TI - New Appliances and Things Medical. PMID- 29835676 TI - Is Crime Decreasing? PMID- 29835677 TI - The Vaccination Commission. PMID- 29835678 TI - Progress in Medicine. PMID- 29835679 TI - Hospital Expenditure: The Commissariat. PMID- 29835680 TI - Annotations. PMID- 29835681 TI - Construction Notes. PMID- 29835683 TI - Progress in Surgery. PMID- 29835682 TI - The Hospital Nursing Supplement. PMID- 29835684 TI - Hospital Meetings. PMID- 29835685 TI - The Leucocyte in Disease. PMID- 29835687 TI - Notes and News. PMID- 29835689 TI - Municipal Dwellings for Working Men. PMID- 29835688 TI - Clinical Recollections. PMID- 29835691 TI - The Discontent in the British Medical Association. PMID- 29835690 TI - Hospital Expenditure: The Commissariat. PMID- 29835693 TI - The Hospital Nursing Supplement. PMID- 29835692 TI - An Appreciation of "The Hospital." PMID- 29835694 TI - On Aneurisms. PMID- 29835695 TI - Hospital Construction. PMID- 29835696 TI - The Care of the Sick in Prisons. PMID- 29835697 TI - Hospital Meetings. PMID- 29835698 TI - The Coming of Easter. PMID- 29835699 TI - Notes and News. PMID- 29835700 TI - The Treatment of Acquired Flat-Foot. PMID- 29835701 TI - Annotations. PMID- 29835702 TI - Periscope of Dermatology. PMID- 29835703 TI - Progress in Surgery. PMID- 29835704 TI - New Appliances and Things Medical. PMID- 29835705 TI - The Hospital Nursing Supplement. PMID- 29835706 TI - Progress in Medicine. PMID- 29835708 TI - The Dead Weight of the Sick. PMID- 29835707 TI - Practical Departments. PMID- 29835710 TI - The Demoralising Tendency of Reformatory and Industrial Schools. PMID- 29835709 TI - Annotations. PMID- 29835711 TI - New Appliances and Things Medical. PMID- 29835712 TI - Construction Notes. PMID- 29835713 TI - The Colliery Disaster. PMID- 29835714 TI - Notes and News. PMID- 29835715 TI - Haemorrhoids: Causes and Symptoms. PMID- 29835716 TI - Progress in Surgery. PMID- 29835717 TI - Physical Treatment in Heart Disease. PMID- 29835718 TI - Anthropology at the Universities. PMID- 29835719 TI - Clinical Recollections. PMID- 29835720 TI - Trimmer's Cottage Hospital, Farnham. PMID- 29835721 TI - The Salaries of Hospital Secretaries. PMID- 29835723 TI - New Appliances and Things Medical. PMID- 29835722 TI - Boston Hospital Tent Service. PMID- 29835724 TI - The Hospital Nursing Supplement. PMID- 29835725 TI - Rectal Surgery. PMID- 29835727 TI - Surgery of the Spine. PMID- 29835726 TI - Surgical Fees at Charity Hospitals. PMID- 29835729 TI - The "Gorham" Bed. PMID- 29835728 TI - Sleep and Its Disorders.-II. PMID- 29835731 TI - The Physiology of Fighting. PMID- 29835732 TI - On Modern Progress in Ophthalmic Medicine and Surgery: Squint. PMID- 29835733 TI - Diseases of the Lungs. PMID- 29835734 TI - Notes and News. PMID- 29835736 TI - The Wastrels of Modern Cities. PMID- 29835735 TI - Annotations. PMID- 29835737 TI - The Story of the Insane from Year to Year. PMID- 29835738 TI - Annotations. PMID- 29835739 TI - New Appliances and Things Medical. PMID- 29835741 TI - Abdominal Surgery. PMID- 29835740 TI - The Treatment of Fractures of the Patella. PMID- 29835742 TI - Discretionary Bequests. PMID- 29835743 TI - Dyspepsia and Consumption: I. Dyspepsia as a Cause and Complication. PMID- 29835744 TI - The Influence of Mind upon Body. PMID- 29835745 TI - Notes and News. PMID- 29835747 TI - Alcohol and Longevity. PMID- 29835748 TI - The United States Army Medical Department. PMID- 29835749 TI - The Ophthalmology of the Poets. PMID- 29835750 TI - The Hospital Nursing Supplement. PMID- 29835751 TI - Orthopaedic Surgery. PMID- 29835752 TI - Coroners and Practitioners. PMID- 29835754 TI - British Balneological and Climatological Society. PMID- 29835753 TI - New Hospital for Burton-On-Trent. PMID- 29835756 TI - The Mechanism of Motion. PMID- 29835755 TI - The Hospital Nursing Supplement. PMID- 29835757 TI - Practical Points. PMID- 29835758 TI - Hospital Construction. PMID- 29835760 TI - Around the Hospitals. PMID- 29835759 TI - Notes and News. PMID- 29835762 TI - The Limits of Medical Competition. PMID- 29835761 TI - Annotations. PMID- 29835765 TI - Progress in Medicine. PMID- 29835763 TI - Haemorrhoids: Causes and Symptoms. PMID- 29835766 TI - Progress in Surgery. PMID- 29835768 TI - Is a Small-Pox Hospital a Nuisance? PMID- 29835767 TI - The Use of Sedatives in Phthisis. PMID- 29835769 TI - Construction Notes. PMID- 29835770 TI - Hospital Meetings. PMID- 29835771 TI - Practical Departments. PMID- 29835772 TI - Genito-Urinary Surgery. PMID- 29835773 TI - Annotations. PMID- 29835774 TI - The "Coromandel": The Hospital Ship for the Ashanti Expedition. PMID- 29835775 TI - The Hospital.-Christmas Appeal Supplement. PMID- 29835776 TI - Around the Hospitals. PMID- 29835778 TI - Hospital Expenditure.-The Commissariat. PMID- 29835777 TI - The Case for Vaccination.-From a Pathological Standpoint. PMID- 29835779 TI - Heredity and the Race. PMID- 29835780 TI - General Surgery. PMID- 29835782 TI - Carrying-Chair. PMID- 29835781 TI - The Treatment of Epilepsy. PMID- 29835783 TI - New Appliances and Things Medical. PMID- 29835784 TI - General Pathology. PMID- 29835785 TI - Notes and News. PMID- 29835786 TI - Can the Treatment of the Insane Be Improved? PMID- 29835788 TI - The Dispensaries of North-West India. PMID- 29835787 TI - The Hospital Nursing Supplement. PMID- 29835789 TI - Medical Offenders. PMID- 29835790 TI - Modern Sociology. PMID- 29835791 TI - Professional Secrecy. PMID- 29835792 TI - Annotations. PMID- 29835793 TI - The Story of the Insane from Year to Year. PMID- 29835794 TI - The Prevention of Shock. PMID- 29835795 TI - New Appliances and Things Medical. PMID- 29835796 TI - Absence of Hydrochloric Acid in Cancer of the Stomach. PMID- 29835797 TI - Some Clinical Aspects of Granular Kidney. PMID- 29835798 TI - Progress in Medicine. PMID- 29835799 TI - The Classification of the Insane. PMID- 29835800 TI - Therapeutical Notes. PMID- 29835801 TI - "The Hospital" Nursing Mirror. PMID- 29835802 TI - Registration of Midwives. PMID- 29835804 TI - Progress in Surgery. PMID- 29835803 TI - Hospital Meetings, &c. PMID- 29835805 TI - Notes and News. PMID- 29835806 TI - Plymouth Isolation Hospital. PMID- 29835807 TI - Progress in Surgery. PMID- 29835808 TI - Progress in Medicine. PMID- 29835809 TI - Dislocations of the Finger. PMID- 29835810 TI - Notes on the Use of Bacteriological Methods of Diagnosis in Private Practice. III. PMID- 29835812 TI - The Water Supply of East London. PMID- 29835811 TI - Lunacy in Scotland. PMID- 29835813 TI - Annotations. PMID- 29835814 TI - Stamps and Hospitals. PMID- 29835816 TI - New Appliances and Things Medical. PMID- 29835815 TI - "The Hospital" Nursing Mirror. PMID- 29835817 TI - Modern Sociology. PMID- 29835818 TI - An Organised Boycott. PMID- 29835819 TI - The Physician as Pessimist. PMID- 29835821 TI - Early and Free Operation for Breast Cancer. PMID- 29835820 TI - On Chronic Joint Diseases as Seen in Medical Out-Patients.-II. PMID- 29835822 TI - Hospital Meetings, &c. PMID- 29835823 TI - Experimentation and Hospitals. PMID- 29835825 TI - Annotations. PMID- 29835824 TI - Modern Sociology. PMID- 29835826 TI - Notes and News. PMID- 29835827 TI - Midwifery and General Practice. PMID- 29835829 TI - Phosphorus Poisoning. PMID- 29835828 TI - A Warning in Regard to the Reduction of Dislocation of the Humerus. PMID- 29835831 TI - Pancreatic Cysts. PMID- 29835830 TI - Architecture and Sanitation. PMID- 29835832 TI - Therapeutical Notes. PMID- 29835833 TI - "The Hospital" Nursing Mirror. PMID- 29835835 TI - The Government Stamp on Proprietary Medicines. PMID- 29835834 TI - New Appliances and Things Medical. PMID- 29835836 TI - Women and the Medical Societies. PMID- 29835837 TI - Green Vision in a Tabetic Patient. PMID- 29835838 TI - Progress in Surgery. PMID- 29835839 TI - The Open Air Treatment of Phthisis. PMID- 29835840 TI - The "Times" on Lead Poisoning. PMID- 29835841 TI - The Bacteriological Diagnosis of Diphtheria. PMID- 29835843 TI - The Story of the Insane from Year to Year. PMID- 29835842 TI - Progress in Medicine. PMID- 29835844 TI - Annotations. PMID- 29835845 TI - Progress in Surgery. PMID- 29835846 TI - Modern Sociology. PMID- 29835847 TI - Christian Scientists. PMID- 29835848 TI - Notes. PMID- 29835849 TI - The Hospital System in Ireland. PMID- 29835850 TI - "The Hospital" Nursing Mirror. PMID- 29835851 TI - New Appliances and Things Medical. PMID- 29835852 TI - Gas Stoves in Bed-Rooms. PMID- 29835853 TI - Progress in Medicine. PMID- 29835854 TI - The Value of General Treatment in Diseases of Throat, Nose, and Ear. PMID- 29835855 TI - Hospital Meetings, &c. PMID- 29835856 TI - Modern Sociology. PMID- 29835857 TI - Annotations. PMID- 29835858 TI - After San Juan. PMID- 29835859 TI - Notes and News. PMID- 29835860 TI - Paraldehyde in the Treatment of Asthma. PMID- 29835861 TI - Some Clinical Aspects of Granular Kidney. PMID- 29835862 TI - "The Hospital" Nursing Mirror. PMID- 29835864 TI - The Government and Vaccination. PMID- 29835863 TI - Nottingham Children's Hospital. PMID- 29835866 TI - New Appliances and Things Medical. PMID- 29835865 TI - Removal of the Uterus for "Unavoidable Haemorrhage". PMID- 29835868 TI - "The Hospital" Nursing Mirror. PMID- 29835867 TI - Hospital Stamps and Out-Patients. PMID- 29835870 TI - Annotations. PMID- 29835869 TI - Fleas as Carriers of Infection. PMID- 29835871 TI - Notes and News. PMID- 29835872 TI - Institutional Amenities. PMID- 29835874 TI - British Laryngological, Rhinological, and Otological Association. PMID- 29835873 TI - Tropical Diseases. PMID- 29835876 TI - The Future of Midwifery Practice. PMID- 29835875 TI - Progress in Surgery. PMID- 29835877 TI - OEdema of the Upper Extremity Following Injuries to the Olecranon Bursae. PMID- 29835878 TI - New Appliances and Things Medical. PMID- 29835879 TI - Helouan. PMID- 29835880 TI - Progress in Medicine. PMID- 29835881 TI - Hospital Meetings, &c. PMID- 29835882 TI - Annotations. PMID- 29835883 TI - Exercise and Over-Exercise. PMID- 29835884 TI - The Title of "Physician". PMID- 29835885 TI - Bromoform. PMID- 29835886 TI - A Preliminary Incision. PMID- 29835887 TI - The Postage of Periodicals. PMID- 29835888 TI - The Prince of Wales's Fund. PMID- 29835889 TI - Progress in Ophthalmology. PMID- 29835890 TI - Notes and News. PMID- 29835891 TI - "The Hospital" Nursing Mirror. PMID- 29835892 TI - Hospital Meetings, &c. PMID- 29835893 TI - Belladonna in Broncho-Pneumonia in Children. PMID- 29835894 TI - New Appliances and Things Medical. PMID- 29835895 TI - Modern Sociology. PMID- 29835896 TI - Progress in Medicine. PMID- 29835897 TI - Children's Hospital, Nottingham. PMID- 29835898 TI - Practical Points. PMID- 29835899 TI - A Grumble about Anaesthetics. PMID- 29835900 TI - The Typhoid Bacillus and Its Associates. PMID- 29835901 TI - Symphysiotomy. PMID- 29835902 TI - Therapeutical Notes. PMID- 29835903 TI - Hospital Meetings, &c. PMID- 29835904 TI - Annotations. PMID- 29835906 TI - "The Hospital" Nursing Mirror. PMID- 29835905 TI - Diphtheria Antitoxin in General Practice. PMID- 29835907 TI - Experimentation and Hospitals. PMID- 29835908 TI - Progress in Medicine. PMID- 29835910 TI - Typhoid Infection. PMID- 29835909 TI - Progress in Surgery. PMID- 29835911 TI - The Workmen's Compensation Act. PMID- 29835912 TI - Notes and News. PMID- 29835914 TI - Progress in Ophthalmology. PMID- 29835913 TI - On Chronic Joint Diseases as Seen in Medical Out-Patients.-I. PMID- 29835916 TI - The London Government Bill. PMID- 29835915 TI - Vanishing Tumours. PMID- 29835917 TI - New Appliances and Things Medical. PMID- 29835918 TI - Progress in State Medicine. PMID- 29835919 TI - Coxa Vara Treated by Division of the Femur below the Trochanters. PMID- 29835920 TI - Hospital Construction. PMID- 29835921 TI - Modern Sociology. PMID- 29835922 TI - Progress in Medicine. PMID- 29835923 TI - Urinary Tuberculosis. PMID- 29835924 TI - "The Hospital" Nursing Mirror. PMID- 29835925 TI - Late Injections of Diphtheria Antitoxin. PMID- 29835926 TI - Dual Consciousness and Allied States. PMID- 29835928 TI - Notes and News. PMID- 29835927 TI - Progress in Surgery. PMID- 29835930 TI - Dangerous Illuminants. PMID- 29835929 TI - Nottingham Children's Hospital. PMID- 29835931 TI - Army Convalescent Homes. PMID- 29835932 TI - Hospital Meetings, &c. PMID- 29835933 TI - Our National Almshouses. PMID- 29835934 TI - Ectopic Gestation. PMID- 29835935 TI - Annotations. PMID- 29835936 TI - Nitrous Oxide and Oxygen. PMID- 29835938 TI - Progress in Surgery. PMID- 29835937 TI - Plague and Quarantine. PMID- 29835939 TI - Annotations. PMID- 29835940 TI - The Cases of Collins and Whitmarsh. PMID- 29835941 TI - "The Hospital" Nursing Mirror. PMID- 29835942 TI - New Appliances and Things Medical. PMID- 29835944 TI - Typhoid Fever in Relation to Privies, Water-Closets, and Rateable Value. PMID- 29835943 TI - Institutional Amenities. PMID- 29835946 TI - Hospital Saturday Fund. PMID- 29835945 TI - The Treatment of Ulcers of the Cornea. PMID- 29835947 TI - Modern Sociology. PMID- 29835948 TI - Periscope of Dermatology. PMID- 29835949 TI - Contused Wounds of the Abdomen. PMID- 29835950 TI - Infantile Diarrhoea. PMID- 29835951 TI - Notes and News. PMID- 29835952 TI - The Search for Specifics. PMID- 29835953 TI - Modern Sociology. PMID- 29835954 TI - The Operative Treatment of Cancer of the Breast. PMID- 29835955 TI - Progress in Surgery. PMID- 29835956 TI - "The Hospital" Nursing Mirror. PMID- 29835957 TI - Annotations. PMID- 29835958 TI - A Professor on Tour. PMID- 29835959 TI - New Appliances and Things Medical. PMID- 29835960 TI - Notes and News. PMID- 29835961 TI - Progress in Medicine. PMID- 29835962 TI - Ill-Behaved Patients. PMID- 29835963 TI - Unqualified Assistants. PMID- 29835964 TI - Chronic Discharges from the Ear and Their Treatment. PMID- 29835965 TI - Hospital Meetings, &c. PMID- 29835966 TI - The General Medical Council. PMID- 29835967 TI - Puerperal Fever: Its Definition and Its Notification. PMID- 29835968 TI - The League of Mercy. PMID- 29835969 TI - New Appliances and Things Medical. PMID- 29835970 TI - Progress in Surgery. PMID- 29835971 TI - The Extirpation of Aneurysms. PMID- 29835972 TI - Hospital Meetings, &c. PMID- 29835973 TI - "The Hospital" Nursing Mirror. PMID- 29835974 TI - Exploratory Incisions. PMID- 29835975 TI - Modern Sociology. PMID- 29835976 TI - Progress in State Medicine. PMID- 29835977 TI - Therapeutical Notes. PMID- 29835978 TI - The Prince of Wales's Hospital Fund for London. PMID- 29835979 TI - The Provident Dispensary. PMID- 29835980 TI - National Hysteria. PMID- 29835981 TI - Annotations. PMID- 29835982 TI - Notes and News. PMID- 29835984 TI - Operations on Typhoid Ulcers. PMID- 29835983 TI - Progress in Medicine. PMID- 29835985 TI - Some Clinical Aspects of Granular Kidney. PMID- 29835986 TI - New Appliances and Things Medical. PMID- 29835987 TI - Hospital Administration. PMID- 29835989 TI - Winter Health Resorts. PMID- 29835988 TI - On Retention of Urine and Its Treatment. PMID- 29835991 TI - "The Hospital" Nursing Mirror. PMID- 29835990 TI - The Opening Session. PMID- 29835992 TI - Hospital Construction. PMID- 29835993 TI - Progress in Orthopaedics. PMID- 29835994 TI - Progress in Medicine. PMID- 29835995 TI - Annotations. PMID- 29835997 TI - The National Society for Aid to the Sick and Wounded in War. PMID- 29835996 TI - Professor Virchow. PMID- 29835999 TI - Queen's Jubilee Hospital. PMID- 29835998 TI - Education-General and Technical. PMID- 29836001 TI - "The Hospital" Nursing Mirror. PMID- 29836000 TI - Notes and News. PMID- 29836002 TI - Children's Hospital, Nottingham. PMID- 29836003 TI - Therapeutical Notes. PMID- 29836005 TI - Children's Hospital, Nottingham. PMID- 29836004 TI - Grave Injuries to the Abdominal Walls. PMID- 29836007 TI - Progress in Surgery. PMID- 29836006 TI - Children's Hospital, Nottingham. PMID- 29836009 TI - Progress in Medicine. PMID- 29836008 TI - New Appliances and Things Medical. PMID- 29836010 TI - Hospital Meetings, &c. PMID- 29836011 TI - Children's Hospital, Nottingham. PMID- 29836013 TI - Annotations. PMID- 29836012 TI - Epidemic Cerebrospinal Meningitis. PMID- 29836014 TI - Superheated Dry Air. PMID- 29836015 TI - Tuberculosis in Children. PMID- 29836016 TI - Local Infiltration Analgesia. PMID- 29836017 TI - The Measurement of Arterial Blood Pressure. PMID- 29836019 TI - Flies and Infection. PMID- 29836018 TI - Progress in Surgery. PMID- 29836021 TI - The Red Cross Society. PMID- 29836020 TI - What Is Eczema? PMID- 29836022 TI - Modern Sociology. PMID- 29836023 TI - Malignant Disease of the Vocal Cords. PMID- 29836024 TI - Royal Medical and Chirurgical Society. PMID- 29836025 TI - The Etiology of "Return" Cases of Scarlet Fever. PMID- 29836026 TI - New Appliances and Things Medical. PMID- 29836027 TI - Annotations. PMID- 29836028 TI - Institutional Amenities. PMID- 29836029 TI - Periscope of Dermatology. PMID- 29836030 TI - Severe Abdominal Injuries without External Wound. PMID- 29836031 TI - Bromide of Strontium in the Treatment of Epilepsy. PMID- 29836032 TI - The Plague. PMID- 29836033 TI - Notes and News. PMID- 29836035 TI - "The Hospital" Nursing Mirror. PMID- 29836034 TI - Notes on the Use of Bacteriological Methods of Diagnosis in Private Practice.-IV. PMID- 29836036 TI - Progress in Orthopaedics. PMID- 29836037 TI - The Red Cross in the Soudan. PMID- 29836038 TI - Legal Restrictions on Practice by Quacks. PMID- 29836039 TI - Prince of Wales's Hospital Fund for London. PMID- 29836040 TI - Progress in Medicine. PMID- 29836041 TI - Progress in Surgery. PMID- 29836042 TI - The Purity of Milk. PMID- 29836043 TI - Notes and News. PMID- 29836044 TI - Hospital Meetings, &c. PMID- 29836045 TI - Operation in Cancer of the Uterus. PMID- 29836046 TI - Schools and Diphtheria. PMID- 29836047 TI - Artificial Lighting for Public Institutions. PMID- 29836048 TI - Chronic Discharges from the Ear and Their Treatment. PMID- 29836049 TI - Addenbrooke's Hospital. PMID- 29836050 TI - Annotations. PMID- 29836052 TI - Therapeutical Notes. PMID- 29836051 TI - Dispensing by Nurses. PMID- 29836053 TI - The General Medical Council. PMID- 29836054 TI - "The Hospital" Nursing Mirror. PMID- 29836055 TI - A New Urinary Disinfectant. PMID- 29836056 TI - "The Hospital" Nursing Mirror. PMID- 29836057 TI - Antiseptics at Guy's Hospital. PMID- 29836058 TI - Progress in Surgery. PMID- 29836060 TI - The Obstetrical Society. PMID- 29836059 TI - The Treatment of Strumous Glands in the Neck. PMID- 29836062 TI - New Appliances and Things Medical. PMID- 29836061 TI - Notes and News. PMID- 29836064 TI - Annotations. PMID- 29836063 TI - Modern Sociology. PMID- 29836066 TI - Progress in Medicine. PMID- 29836065 TI - Ventilating the Nose. PMID- 29836067 TI - Cottage Hospital Expenditure. PMID- 29836068 TI - Unreliable Medical Certificates. PMID- 29836070 TI - The Harveian Oration. PMID- 29836069 TI - The Swansea Hospital Dispute. PMID- 29836071 TI - Progress in Orthopaedics. PMID- 29836072 TI - Verification of the Cause of Death. PMID- 29836074 TI - Chlorosis: Its Complications and Treatment. PMID- 29836073 TI - Institutional Amenities. PMID- 29836075 TI - The Prince of Wales's Hospital Fund. PMID- 29836076 TI - Progress in Surgery. PMID- 29836077 TI - The Care of Semi-Lunatics. PMID- 29836079 TI - Progress in State Medicine. PMID- 29836078 TI - The Diagnosis of Malignant Endocarditis. PMID- 29836080 TI - Constipation. PMID- 29836081 TI - Organised Charity Abroad. PMID- 29836083 TI - Annotations. PMID- 29836082 TI - New Appliances and Things Medical. PMID- 29836084 TI - Notes and News. PMID- 29836085 TI - "The Hospital" Nursing Mirror. PMID- 29836086 TI - The Heart and Its Difficulties. PMID- 29836087 TI - The Story of the Insane from Year to Year. PMID- 29836088 TI - Royal Medical and Chirurgical Society. PMID- 29836089 TI - Progress in Medicine. PMID- 29836090 TI - Medicine in Government. PMID- 29836091 TI - Therapeutical Notes. PMID- 29836093 TI - Annotations. PMID- 29836092 TI - The Old Year. PMID- 29836095 TI - A New Midwives Bill. PMID- 29836094 TI - The Victoria Hospital for Children. PMID- 29836097 TI - Notes and News. PMID- 29836096 TI - Progress in Medicine. PMID- 29836098 TI - The Story of the Insane from Year to Year. PMID- 29836099 TI - New Appliances and Things Medical. PMID- 29836100 TI - Organised Charity Abroad. PMID- 29836101 TI - The Need of Idiot Asylums. PMID- 29836103 TI - Modern Sociology. PMID- 29836102 TI - Progress in Surgery. PMID- 29836105 TI - "The Hospital" Nursing Mirror. PMID- 29836104 TI - Prince of Wales's Hospital Fund for London. PMID- 29836107 TI - The Employment of Midwives by Medical Men. PMID- 29836106 TI - Hospital Construction. PMID- 29836108 TI - Progress in Medicine. PMID- 29836109 TI - New Appliances and Things Medical. PMID- 29836111 TI - Modern Sociology. PMID- 29836110 TI - The Treatment of Typhoid Fever. PMID- 29836112 TI - Periscope of Dermatology. PMID- 29836113 TI - Cerebro-Spinal Fluid Escaping from the Nose. PMID- 29836115 TI - The Volunteer Medical Department. PMID- 29836114 TI - Institutional Amenities. PMID- 29836116 TI - "The Hospital" Nursing Mirror. PMID- 29836117 TI - Progress in Surgery. PMID- 29836119 TI - The Jenner Society. PMID- 29836118 TI - St. Bartholomew's Hospital. PMID- 29836121 TI - Notes and News. PMID- 29836120 TI - The Treatment of Acute Intestinal Obstruction. PMID- 29836122 TI - Annotations. PMID- 29836123 TI - The Use of Rabbit Bone in Surgery. PMID- 29836124 TI - The Story of the Insane from Year to Year. PMID- 29836125 TI - The Crusade against Consumption. PMID- 29836126 TI - Resection of Ribs in Apical Phthisis. PMID- 29836127 TI - Progress in Medicine. PMID- 29836128 TI - Periscope of Dermatology. PMID- 29836129 TI - Annotations. PMID- 29836130 TI - The Decentralisation of Great Cities. PMID- 29836131 TI - Modern Sociology. PMID- 29836132 TI - Progress in Surgery. PMID- 29836133 TI - Diagnosis or "Proof." PMID- 29836135 TI - The Royal College of Surgeons. PMID- 29836134 TI - The Treatment of Uterine Myomata. PMID- 29836136 TI - "The Hospital" Nursing Mirror. PMID- 29836138 TI - Notes and News. PMID- 29836137 TI - Artificial Lighting for Public Institutions. PMID- 29836139 TI - Dispensing by Nurses. PMID- 29836140 TI - The Physique of Schoolboys. PMID- 29836141 TI - Pregnancy with Persistent Hymen. PMID- 29836142 TI - New Appliances and Things Medical. PMID- 29836143 TI - Hospital Meetings, &c. PMID- 29836144 TI - Modern Sociology. PMID- 29836145 TI - Children's Christmas Parties. PMID- 29836146 TI - Notes and News. PMID- 29836147 TI - Progress in Surgery. PMID- 29836148 TI - The New Neurology. PMID- 29836149 TI - Compulsory Medical Service. PMID- 29836150 TI - Removal of Lens for Extreme Myopia. PMID- 29836151 TI - The Liability of Hospital Trustees. PMID- 29836152 TI - The Children's Hospital at Nottingham. PMID- 29836154 TI - Progress in Medicine. PMID- 29836153 TI - "The Hospital" Nursing Mirror. PMID- 29836155 TI - The Relations of the General Committee and Medical Staff of a Hospital. PMID- 29836156 TI - Annotations. PMID- 29836158 TI - The Treatment of Aneurism. PMID- 29836157 TI - The Electric Bath for Chilblains. PMID- 29836159 TI - New Appliances and Things Medical. PMID- 29836160 TI - The Prince of Wales's Hospital Fund. PMID- 29836162 TI - Progress in Surgery. PMID- 29836161 TI - The Diagnosis of Malignant Endocarditis. PMID- 29836163 TI - Annotations. PMID- 29836164 TI - Therapeutical Notes. PMID- 29836166 TI - Hospital Meetings, &c. PMID- 29836165 TI - The Liabilities of Hospital Trustees. PMID- 29836167 TI - Surgery in Dublin. PMID- 29836168 TI - Organised Charity Abroad. PMID- 29836169 TI - Liberty and Tuberculosis. PMID- 29836170 TI - Medical Certificates Again. PMID- 29836171 TI - A Consulting Institution. PMID- 29836172 TI - Progress in Medicine. PMID- 29836174 TI - The Endowment of Research. PMID- 29836173 TI - On the Preparation for and After-Treatment of Abdominal Operations. PMID- 29836176 TI - What Is a Consultant's Fee? PMID- 29836175 TI - Modern Sociology. PMID- 29836177 TI - "The Hospital" Nursing Mirror. PMID- 29836178 TI - Professional Custom and Professional Caste. PMID- 29836179 TI - Notes and News. PMID- 29836180 TI - In Honour of Francis Joseph. PMID- 29836182 TI - Annotations. PMID- 29836181 TI - Hospital Housekeeping. PMID- 29836183 TI - On the Preparation for and After-Treatment of Abdominal Operations. PMID- 29836184 TI - An Object Lesson in Public Water Services. PMID- 29836185 TI - The Prevention of Short Leg in Hip Disease. PMID- 29836186 TI - Hospital Meetings, &c. PMID- 29836187 TI - "The Hospital" Nursing Mirror. PMID- 29836188 TI - Notes and News. PMID- 29836189 TI - Insanitary Areas and Rehousing. PMID- 29836190 TI - Progress in Medicine. PMID- 29836191 TI - Progress in Surgery. PMID- 29836192 TI - Hospital Construction. PMID- 29836193 TI - Obstetrical Society. PMID- 29836195 TI - Drains and Diphtheria. PMID- 29836194 TI - The Clinical Society. PMID- 29836196 TI - Commissions. PMID- 29836197 TI - New Appliances and Things Medical. PMID- 29836199 TI - Chloroform Administration in the Midlands. PMID- 29836198 TI - The Prince's Power for Good. PMID- 29836200 TI - Modern Sociology. PMID- 29836201 TI - The Story of the Middlesbrough Small-Pox Epidemic. PMID- 29836202 TI - The Liability of Hospital Trustees. PMID- 29836203 TI - Purulent Ophthalmia a Source of Gonococcus Joint Disease in Infants. PMID- 29836204 TI - Notes and News. PMID- 29836205 TI - New Appliances and Things Medical. PMID- 29836206 TI - Progress in Surgery. PMID- 29836207 TI - London Water Supply. PMID- 29836208 TI - Polymyositis. PMID- 29836209 TI - The Control of Tuberculosis. PMID- 29836210 TI - Nursery Aid Society and Medical Relief. PMID- 29836211 TI - "The Hospital" Nursing Mirror. PMID- 29836213 TI - The Localisation of Kidney Tuberculosis. PMID- 29836212 TI - The Story of the Insane from Year to Year. PMID- 29836214 TI - Annotations. PMID- 29836215 TI - Modern Sociology. PMID- 29836216 TI - Hospital Construction. PMID- 29836217 TI - Hospital Meetings, &c. PMID- 29836218 TI - Consumption and Overcrowding. PMID- 29836219 TI - Progress in Medicine. PMID- 29836220 TI - The Stereoscope. PMID- 29836221 TI - The Hospital.-Christmas Appeal Supplement. PMID- 29836222 TI - Annotations. PMID- 29836223 TI - Notes and News. PMID- 29836224 TI - Modern Sociology. PMID- 29836225 TI - Chronic Discharges from the Ear and Their Treatment. PMID- 29836226 TI - "The Hospital" Nursing Mirror. PMID- 29836227 TI - A Study in Nomenclature. PMID- 29836229 TI - Hospital Meetings, &c. PMID- 29836228 TI - The Peculiar People. PMID- 29836231 TI - The Union of Wounds. PMID- 29836230 TI - Pressure in the Treatment of Wounds. PMID- 29836232 TI - Progress in Surgery. PMID- 29836233 TI - Home Vaccination. PMID- 29836234 TI - Self Help for Hospitals and Their Patients. PMID- 29836235 TI - Progress in Medicine. PMID- 29836236 TI - New Appliances and Things Medical. PMID- 29836237 TI - Everybody's Page. PMID- 29836238 TI - An Ishmaelite. PMID- 29836239 TI - A Plea for the London Hospital. PMID- 29836240 TI - Constitution Building. PMID- 29836242 TI - Home Colonisation. PMID- 29836241 TI - Notes and News. PMID- 29836243 TI - Annotations: A Homoeopathic Earl-Something like a Secretary.-Hospital Patients and Stimulants. PMID- 29836244 TI - The Elberfeld System. PMID- 29836246 TI - The Nursing Supplement. PMID- 29836245 TI - Aids to Nursing. PMID- 29836248 TI - The Vinnicombe Bequest: A Narrative of Hospital Work and Hospital Wants. PMID- 29836247 TI - A Hard Case. PMID- 29836249 TI - Points for Preachers, Churchworkers, and Pressmen. PMID- 29836250 TI - Speakers and Speech. PMID- 29836252 TI - A Year's Work in the Hospitals and Medical Charities of London. PMID- 29836251 TI - The Nursing Supplement. PMID- 29836253 TI - Christianity and the Sick. PMID- 29836254 TI - Facts and Figures. PMID- 29836255 TI - An Ishmaelite. PMID- 29836256 TI - Annotations: The Extension of the Leeds Infirmary-Anti-Vaccination Tactics: The Borax Trick-Roses in the Rain. PMID- 29836257 TI - The Bones of the Upper Limb. PMID- 29836258 TI - The "Universal Review". PMID- 29836259 TI - Awards and Criticisms. PMID- 29836260 TI - Notes and News. PMID- 29836261 TI - The Waste of Brain Resources. PMID- 29836262 TI - Everybody's Page. PMID- 29836263 TI - Is a General Register for Nurses Desirable? PMID- 29836265 TI - The Bitter Cry of the General Practitioner. PMID- 29836264 TI - The Nursing Supplement. PMID- 29836266 TI - Popular Fallacies about Cancer. PMID- 29836267 TI - The Nursing Supplement. PMID- 29836268 TI - A Hard Case. PMID- 29836269 TI - Aids to Nursing. PMID- 29836270 TI - Round about the Asylums.-VI. PMID- 29836272 TI - Annotations: Sources of Small-Pox.-Calmer Weather at the Rotherham Hospital.-A Real University for London. PMID- 29836271 TI - The Bright Side of Hospital Life.-A Rejoinder. PMID- 29836273 TI - Patients' Contributions to Hospitals. PMID- 29836274 TI - Labourers' Wages and Labourers' Homes. PMID- 29836276 TI - Notes and News. PMID- 29836275 TI - An Ishmaelite. PMID- 29836277 TI - Everybody's Page. PMID- 29836278 TI - The British Home for Incurables. PMID- 29836279 TI - Watchman, What of the Night? PMID- 29836280 TI - A Governess Protests! PMID- 29836281 TI - The Sufferings of Christ. PMID- 29836282 TI - In and out among the Hospitals. PMID- 29836283 TI - Phlebotomy in Excelsis. PMID- 29836285 TI - The Paddington Fund for the Unemployed. PMID- 29836284 TI - Notes and News. PMID- 29836287 TI - Everybody's Page. PMID- 29836286 TI - An Ishmaelite. PMID- 29836288 TI - Hints for the Sick-Room. PMID- 29836290 TI - Opiates and Anaesthetics. PMID- 29836289 TI - The Hospitals Association and Patients' Contributions. PMID- 29836291 TI - Annotations: Profane Demonstrations by Friendly Societies.- Nurse Farming. PMID- 29836292 TI - A Word to M.Ps. PMID- 29836293 TI - The Nursing Supplement. PMID- 29836294 TI - The Uses of a Health Resort. PMID- 29836295 TI - Legislative Social Reforms. PMID- 29836296 TI - Physical Improvement and Technical Training. PMID- 29836298 TI - Annotations: Asylum Attendants.-Faults on Both Sides.-The Public Demands an Inquiry. PMID- 29836297 TI - Everybody's Page. PMID- 29836300 TI - The Doctor's Pulpit. PMID- 29836299 TI - Patients' Contributions to Hospitals. PMID- 29836301 TI - Free Rest for Hospital Nurses. PMID- 29836302 TI - An Ishmaelite. PMID- 29836303 TI - The Nursing Supplement. PMID- 29836304 TI - Notes and News. PMID- 29836305 TI - Labourers' Wages and Labourers' Homes. PMID- 29836306 TI - Comparative Expenditure of Hospitals. PMID- 29836307 TI - Annotations: A Medical Prodigy at Glasgow.-An Interesting Centenary at York.-Are Midwives Despised? PMID- 29836308 TI - Voluntary versus State-Supported Hospitals. PMID- 29836309 TI - An Ishmaelite. PMID- 29836310 TI - Physiology and Its Uses. PMID- 29836311 TI - Everybody's Page. PMID- 29836312 TI - Round about the Asylums.-IV. PMID- 29836313 TI - Out of the Depths. PMID- 29836314 TI - Nerve-Tides. PMID- 29836315 TI - Facts about the London Hospital. PMID- 29836316 TI - Notes and News. PMID- 29836317 TI - The Sufferings of Christ. PMID- 29836318 TI - The Nursing Supplement. PMID- 29836319 TI - The Obligations of Knowledge. PMID- 29836320 TI - Scotch Physicians and Surgeons: James Syme. PMID- 29836321 TI - Healthy Hospitals. PMID- 29836322 TI - An Ishmaelite. PMID- 29836324 TI - Bones and Backbones. PMID- 29836323 TI - Patients' Contributions to Hospitals. PMID- 29836325 TI - Constitution Building. PMID- 29836326 TI - Annotations: Will Workmen Give?-Can Workmen Pay?-Pasteurism and Hydrophobia. PMID- 29836327 TI - Everybody's Page. PMID- 29836328 TI - The Sufferings of Christ. PMID- 29836329 TI - Buried Alive! PMID- 29836330 TI - Notes and News. PMID- 29836331 TI - The Nursing Supplement. PMID- 29836332 TI - Everybody's Page. PMID- 29836334 TI - The Growth of Hospital Opinion. PMID- 29836333 TI - A Plea for the London Hospital. PMID- 29836336 TI - The Mildmay Cottage Hospital. PMID- 29836335 TI - The Nursing Supplement. PMID- 29836337 TI - Annotations: Sympathy and Congratulation.-The Care of Consumption.-The Case for Hanging. PMID- 29836338 TI - Hospitals and the Drama. PMID- 29836339 TI - Medicine Men of the World. PMID- 29836340 TI - Patients' Contributions to Hospitals. PMID- 29836341 TI - Tonics. PMID- 29836342 TI - Round about the Asylums. VII. PMID- 29836343 TI - Notes and News. PMID- 29836344 TI - Scotch Physicians and Surgeons. PMID- 29836345 TI - An Ishmalite. PMID- 29836346 TI - The Discovery of Natural Gifts. PMID- 29836347 TI - Vegetarianism. PMID- 29836348 TI - Notes and News. PMID- 29836349 TI - The Jaeger Revolution. PMID- 29836350 TI - An Ishmaelite. PMID- 29836351 TI - The Dangers of Celebrity. PMID- 29836352 TI - The Land of Golden Day. PMID- 29836354 TI - The Nursing Supplement. PMID- 29836353 TI - Scotch Physicians and Surgeons: James Syme. PMID- 29836355 TI - Round about the Asylums.-V. PMID- 29836356 TI - Comparative Expenditure in Hospitals. PMID- 29836357 TI - Constitution Building. PMID- 29836359 TI - The Sufferings of Christ. PMID- 29836358 TI - Vegetarianism. PMID- 29836360 TI - The New Great Northern Central Hospital. PMID- 29836361 TI - Annotations: Lying-In Hospitals.-Total Abstinence and Poor Relief.-Women and Faddists. PMID- 29836363 TI - Nurse-Training Schools and Registration. PMID- 29836362 TI - In and out among the Hospitals. PMID- 29836364 TI - Everybody's Page. PMID- 29836365 TI - Notes and News. PMID- 29836366 TI - St. Katherine's Hospital. PMID- 29836367 TI - The Choice of a Health Resort. PMID- 29836368 TI - Thunderstorms and Lightning Accidents, etc. PMID- 29836369 TI - The Hospitals Association and Patients' Contributions. PMID- 29836370 TI - Our First Hospital Saturday. PMID- 29836371 TI - Everybody's Page. PMID- 29836372 TI - Round about the Asylums.-X. PMID- 29836373 TI - The Needs of Bachelors. PMID- 29836374 TI - An Ishmaelite. PMID- 29836375 TI - The General Practitioner's Indictment of the Hospitals. PMID- 29836376 TI - Annotations: Summer Underclothing.-Wealth for Women, etc. PMID- 29836377 TI - Hints for the Sick-Room. PMID- 29836379 TI - The Nursing Supplement. PMID- 29836378 TI - Great Wit and Madness. PMID- 29836381 TI - Nerve-Storms. PMID- 29836380 TI - Phrenology: A Protest. PMID- 29836382 TI - The Nursing Mirror. PMID- 29836383 TI - An Ishmaelite: Father and Son. PMID- 29836385 TI - Everybody's Page. PMID- 29836384 TI - Notes and News. PMID- 29836386 TI - Supplement to the Hospital. PMID- 29836387 TI - Four Worlds. PMID- 29836388 TI - The Open-Door System. PMID- 29836389 TI - To "E. P. M." PMID- 29836390 TI - The Sufferings of Christ. PMID- 29836391 TI - London Hospitals and Metropolitan Members. PMID- 29836393 TI - Lady Dufferin's Fund. PMID- 29836392 TI - A Temple of Lucifer. PMID- 29836395 TI - Scotch Physicians and Surgeons: Sir Robert Christison. PMID- 29836394 TI - Aids to Nursing: Food and Feeding. PMID- 29836397 TI - Notes and News. PMID- 29836396 TI - Annotations: The Presidency of the College of Physicians.-Infectious Cases: Temporary or Permanent Hospitals.-Mr. Walter Besant's Craze about Women. PMID- 29836398 TI - The Leicester Provident Dispensary. PMID- 29836400 TI - Patients' Contributions to Hospitals. PMID- 29836399 TI - In and out among the Hospitals. PMID- 29836402 TI - The Nursing Supplement. PMID- 29836401 TI - An Ishmaelite. PMID- 29836403 TI - The Needs and Backbone of the Hospital System. PMID- 29836404 TI - Our Hospital System. PMID- 29836405 TI - Sailors and Anti-Scorbutics. PMID- 29836406 TI - Labourers' Wages and Labourers' Homes. PMID- 29836407 TI - Everybody's Page. PMID- 29836408 TI - Annotations: The Site of St. Mary's Hospital.-Cheap Houses for Ladies.-An Unsavoury Subject. PMID- 29836409 TI - Difficult Cases. PMID- 29836410 TI - Nurse-Training Schools and Registration. PMID- 29836411 TI - Army Recollections. PMID- 29836412 TI - The Dispenser's Column. PMID- 29836413 TI - Annotations: Paupers for Farmers.-Cottage Industries in Ireland.-The Progress of Self-Help among Workmen. PMID- 29836415 TI - Metropolitan Hospital Sunday Fund, 1888. PMID- 29836414 TI - Hints for the Sick-Room. PMID- 29836416 TI - The Nursing Supplement. PMID- 29836417 TI - Everybody's Page. PMID- 29836418 TI - Human Barometers. PMID- 29836419 TI - An Ishmaelite. PMID- 29836420 TI - New Remedies and Appliances. PMID- 29836422 TI - Lonely. PMID- 29836421 TI - Round about the Asylums-XI. PMID- 29836423 TI - Notes and News. PMID- 29836424 TI - The Medical Profession and Income Tax. PMID- 29836425 TI - Within the Wards. PMID- 29836426 TI - Malingering. PMID- 29836427 TI - A Homily for Hospital Sunday Reading. PMID- 29836428 TI - An Ishmalite. PMID- 29836429 TI - A Few Words about Our Hospitals. PMID- 29836430 TI - A Census of Hospital Workers. PMID- 29836431 TI - The Nursing Supplement. PMID- 29836432 TI - Bedrests-A Sad Though Simple Story. PMID- 29836433 TI - Notes and News. PMID- 29836434 TI - Patients' Contributions to Hospitals. PMID- 29836436 TI - Everybody's Page. PMID- 29836435 TI - Preachers and Subjects for Hospital Sunday. PMID- 29836437 TI - Children's Country Hospitals. PMID- 29836438 TI - A Fresh Start with the Summer. PMID- 29836439 TI - In and out among the Hospitals. PMID- 29836441 TI - Annotations. PMID- 29836440 TI - The Leicester Provident Dispensary.-A Rejoinder. PMID- 29836442 TI - Play. PMID- 29836443 TI - Dr. Bristowe on the Registration of Nurses. PMID- 29836444 TI - The Connexion between Out-Patients and Annual Subscriptions. PMID- 29836445 TI - Everybody's Page. PMID- 29836446 TI - Difficult Cases. PMID- 29836447 TI - Dr. Wendell Holmes and the Secret of the Universe. PMID- 29836448 TI - Within the Wards. PMID- 29836449 TI - Notes and News. PMID- 29836450 TI - The Surgery of the Past. PMID- 29836452 TI - Provident and Improvident Hospitals. PMID- 29836451 TI - The British Nurses' Association. PMID- 29836453 TI - The Dead Emperor. PMID- 29836454 TI - An Ishmaelite. PMID- 29836455 TI - Annotations: The Dorset County Asylum-The Massacre of the Innocents.-An Apostle of Long Life. PMID- 29836456 TI - The Crown Prince William and His Left Arm. PMID- 29836457 TI - The Nursing Supplement. PMID- 29836459 TI - New Remedies and Appliances. PMID- 29836458 TI - Hints for the Sick-Room: Leeches, Cupping, and Blisters. PMID- 29836460 TI - The Puddingless Patients. PMID- 29836461 TI - The Dispensers' Column. PMID- 29836462 TI - Annotations: The Decay of Family Feeling, etc. PMID- 29836463 TI - An Ishmaelite. PMID- 29836464 TI - A New Art. PMID- 29836465 TI - Frederick III., Emperor and King. PMID- 29836467 TI - The Human Skull. PMID- 29836466 TI - Round about the Asylums. VIII. PMID- 29836469 TI - The "Universal Review" and Our Critics. PMID- 29836468 TI - Notices and Reviews. PMID- 29836470 TI - Lines Written in Winchester Hospital. PMID- 29836471 TI - Patients' Contributions to Hospitals. PMID- 29836472 TI - Bolingbroke House, Wandsworth Common. PMID- 29836473 TI - Anonymous Slanderers and Working Men. PMID- 29836474 TI - Notes and News. PMID- 29836475 TI - A Day in Bed. PMID- 29836476 TI - The Nursing Supplement. PMID- 29836477 TI - Minor Aids to Medical Study. PMID- 29836478 TI - Everybody's Page. PMID- 29836479 TI - An Ishmaelite. PMID- 29836480 TI - The Bones of the Hand. PMID- 29836481 TI - Everybody's Page. PMID- 29836482 TI - A Splendid Special Hospital. PMID- 29836483 TI - The Nursing Supplement. PMID- 29836484 TI - Malingering. PMID- 29836485 TI - The Odium Medicum and Homoeopathy in America. PMID- 29836486 TI - In the Midst of Life. PMID- 29836487 TI - Maiming by Firearms, etc. PMID- 29836488 TI - A Defence of the Old Hospital System. PMID- 29836490 TI - Notes and News. PMID- 29836489 TI - The Science and Art of Housekeeping. PMID- 29836491 TI - Not Charity, Nurses, but Self-Help. PMID- 29836492 TI - Aids to Memory. PMID- 29836493 TI - Annotations: Pity the Poor Practitioner.-Child-Cheats.-The Insurance of Children. PMID- 29836494 TI - Voluntary Imbecility. PMID- 29836495 TI - Climate and Suicide. PMID- 29836496 TI - Hospital Finance and Economy. PMID- 29836497 TI - How to Grow Beautiful. PMID- 29836498 TI - Round about the Asylums.-XIII. PMID- 29836499 TI - Annotations: Ambulances Wanted.-The Weather Notwith-Standing.-The Value of a Little Medical Knowledge. PMID- 29836500 TI - The Nursing Supplement. PMID- 29836501 TI - Everybody's Page. PMID- 29836502 TI - A Medical Plan of Campaign. PMID- 29836503 TI - Notes and News. PMID- 29836505 TI - Swiss Small-Pox Statistics. PMID- 29836504 TI - An Ishmaelite. PMID- 29836506 TI - Hints for the Sick-Room. PMID- 29836507 TI - The Claims of Hospitals. PMID- 29836508 TI - An Ishmaelite. PMID- 29836509 TI - The Immediate Treatment of Accidents and Sudden Illness. PMID- 29836510 TI - Annotations: Ambulances Still Wanted.-The Money Value of a Live Man.-Poor John Aldcroft! PMID- 29836512 TI - A New Inquisition. PMID- 29836511 TI - Notes and News. PMID- 29836513 TI - Everybody's Page. PMID- 29836514 TI - The Nursing Supplement. PMID- 29836515 TI - "In Hot Haste," etc. PMID- 29836516 TI - Marriage-Or What? PMID- 29836517 TI - The Unemployed. PMID- 29836518 TI - Workmen's Payments to Sunderland Hospitals. PMID- 29836519 TI - Hospital Finance-A Disclaimer. PMID- 29836520 TI - A Question of Smoke. PMID- 29836521 TI - Annotations: The Celt and the Teuton.-Certain Knaves and Certain Fools. PMID- 29836522 TI - Woodhall. PMID- 29836523 TI - In and out among the Hospitals. PMID- 29836524 TI - Venus or AEsculapius? PMID- 29836525 TI - The Nursing Supplement. PMID- 29836526 TI - London Hospitals "the Pay System". PMID- 29836527 TI - General Practitioners and Paying Patients. PMID- 29836528 TI - An Ishmaelite. PMID- 29836529 TI - Everybody's Page. PMID- 29836530 TI - Notes and News. PMID- 29836532 TI - An Indian Woman's Tribute to Lady Dufferin. PMID- 29836531 TI - The Hospitals Association. PMID- 29836533 TI - A Medical Olive Branch. PMID- 29836534 TI - The Children's Convalescent Home at Great Yarmouth. PMID- 29836535 TI - The Seaside Season. PMID- 29836536 TI - A New Surgical Operation. PMID- 29836538 TI - Everybody's Page. PMID- 29836537 TI - An Ishmaelite. PMID- 29836540 TI - The Nursing Supplement. PMID- 29836539 TI - Round about the Asylums.-XII. PMID- 29836541 TI - Heat-Stroke. PMID- 29836542 TI - Annotations: The British Medical Association.-The Women's Jubilee Offering. PMID- 29836543 TI - Doctors and Patients. PMID- 29836545 TI - Notes and News. PMID- 29836544 TI - Fever and Cholera Precautions. PMID- 29836546 TI - Notes and News. PMID- 29836547 TI - Everybody's Page. PMID- 29836548 TI - Within the Wards. PMID- 29836549 TI - The Art of Embalming. PMID- 29836550 TI - Children and Crime. PMID- 29836551 TI - In and out among the Hospitals. PMID- 29836553 TI - Marriage and Morals. PMID- 29836552 TI - An Ishmaelite. PMID- 29836554 TI - Hints for the Sick-Room. PMID- 29836555 TI - The King of Causes of Disease. PMID- 29836556 TI - Operation. PMID- 29836557 TI - Annotations: The National Pension Fund and Its One Adverse Critic.-The Stable Door.-The Cancer Hospital at Brompton. PMID- 29836559 TI - The Nursing Supplement. PMID- 29836558 TI - The Claims of Hospitals. PMID- 29836561 TI - Voluntary Chaplains. PMID- 29836560 TI - Hints for the Sick-Room. PMID- 29836562 TI - Notes and News. PMID- 29836563 TI - The Nursing Supplement. PMID- 29836565 TI - Mental Depression. PMID- 29836564 TI - A Great Scottish Hospital. PMID- 29836566 TI - Portents and Epidemics. PMID- 29836568 TI - Everybody's Page. PMID- 29836567 TI - The Editor's Letter-Box. PMID- 29836569 TI - Voyages in Vacation. I. PMID- 29836570 TI - New Remedies and Appliances. PMID- 29836571 TI - The Bones of the Leg. PMID- 29836572 TI - Annotations: Brag or Benevolence?-A "Sweated" Lady.-Committee-Men and Business Contracts. PMID- 29836574 TI - The Nursing Supplement. PMID- 29836573 TI - An Ishmaelite. PMID- 29836575 TI - An "Unvarnished Tale." PMID- 29836576 TI - The Plea of the Patient. PMID- 29836577 TI - Medical Schools and Medical Students. PMID- 29836579 TI - A Garden Party at the Cancer Hospital. PMID- 29836580 TI - Annotations. PMID- 29836578 TI - Hints for the Sick-Room. PMID- 29836581 TI - Everybody's Page. PMID- 29836583 TI - Notes and News. PMID- 29836582 TI - Hospital Clothing and Bedding. PMID- 29836584 TI - The Student's Bitter Cry. PMID- 29836585 TI - A Hypochondriacal Patient's Song. PMID- 29836587 TI - The Discipline of Medical Schools. PMID- 29836586 TI - An Ishmaelite. PMID- 29836588 TI - Malingering under the Old Regime. PMID- 29836589 TI - The Doctor in the West-End Mews. PMID- 29836590 TI - Benighted. PMID- 29836591 TI - The Nursing Supplement. PMID- 29836592 TI - Middle Age. PMID- 29836593 TI - Vanity or Madness? PMID- 29836594 TI - An Ishmaelite. PMID- 29836595 TI - In and out among the Hospitals. PMID- 29836596 TI - The Hospitals Association and Patients' Contributions. PMID- 29836598 TI - An Asylum Romance: Being the Tale of a Traveller. PMID- 29836597 TI - Constructive Charity. PMID- 29836599 TI - Annotations: Fresh Fruit as Food.-The Battle of the Diets. PMID- 29836600 TI - Notes and News. PMID- 29836601 TI - The National Pension Fund. PMID- 29836603 TI - Everybody's Page. PMID- 29836602 TI - Hints for the Sick-Room. PMID- 29836604 TI - Foreign Hospital Intelligence. PMID- 29836605 TI - Social Pathology and Education. PMID- 29836606 TI - The Story of the Insane from Year to Year. PMID- 29836607 TI - Small-Pox. PMID- 29836609 TI - Hospital Festivals, Meetings, &c. PMID- 29836608 TI - Electricity and Its Use in Medicine: I. The Effect upon the Body in Health. PMID- 29836610 TI - Pneumonia. PMID- 29836611 TI - Construction Notes. PMID- 29836612 TI - The Field of Science. PMID- 29836613 TI - Annotations. PMID- 29836615 TI - Rectal Surgery. PMID- 29836614 TI - A Teaching University for London. PMID- 29836616 TI - The Hospital Nursing Supplement. PMID- 29836617 TI - The Irish Lunacy Blue Book. PMID- 29836618 TI - Around the Hospitals. PMID- 29836619 TI - Consumption and Infection. PMID- 29836620 TI - Practical Departments. PMID- 29836621 TI - On Modern Progress in Ophthalmic Medicine and Surgery. PMID- 29836622 TI - The International Medical Congress at Rome. PMID- 29836623 TI - Notes and News. PMID- 29836624 TI - Modern Medico-Psychology and Psychiatry: VI. The Men Who Have Made Modern Psychiatry. PMID- 29836625 TI - Notes and News. PMID- 29836626 TI - Hospital Festivals and Meetings. PMID- 29836627 TI - Practical Apects of Medical Science. PMID- 29836628 TI - Researches on Hydrides and Hydrates. PMID- 29836629 TI - The Hospital Nursing Supplement. PMID- 29836630 TI - The Lives We Have Bid to Be. PMID- 29836632 TI - The General Medical Council. PMID- 29836631 TI - Spinal Surgery. PMID- 29836633 TI - Diseases of the Nervous System. PMID- 29836635 TI - New Drugs and Preparations. PMID- 29836634 TI - Pelvic Peritonitis and Its Treatment. PMID- 29836636 TI - The Birmingham Hospital Saturday Fund. PMID- 29836637 TI - Exophthalmic Goitre and Its Relation to Diseases of the Thyroid Gland. PMID- 29836639 TI - New Appliances and Things Medical. PMID- 29836638 TI - Annotations. PMID- 29836640 TI - The Urine in Typhoid Fever. PMID- 29836641 TI - Annotations. PMID- 29836642 TI - Construction Notes. PMID- 29836643 TI - Myoma Uteri and Its Treatment. PMID- 29836644 TI - The Library of the Physician. PMID- 29836645 TI - Hospital Festivals and Meetings. PMID- 29836646 TI - The General Medical Council. PMID- 29836647 TI - Quinine in Malaria. PMID- 29836648 TI - New Drugs and Preparations. PMID- 29836649 TI - Surgery of the Intestines. PMID- 29836651 TI - Practical Departments. PMID- 29836650 TI - Exophthalmic Goitre and Its Relation to Diseases of the Thyroid Gland. PMID- 29836653 TI - The Field of Science. PMID- 29836652 TI - On Modern Progress in Ophthalmic Medicine and Surgery. PMID- 29836654 TI - Surgery of the OEsophagus and Stomach. PMID- 29836655 TI - The Birmingham Hospital Saturday Fund. PMID- 29836656 TI - Medical Aid Associations. PMID- 29836657 TI - The Hospital Nursing Supplement. PMID- 29836658 TI - Typhus Fever and Difficulties in Diagnosis. PMID- 29836659 TI - Notes and News. PMID- 29836661 TI - North London Hospital for Consumption. PMID- 29836660 TI - Around the Hospitals. PMID- 29836662 TI - Modern Medico-Psychology and Psychiatry: VII. Men Who Have Made Modern Psychiatry. PMID- 29836664 TI - The Humanity of Medicine. PMID- 29836663 TI - "The Hospital's" Special Hospital Sunday Supplement. 1894. PMID- 29836666 TI - Acute Intussusception. I. PMID- 29836665 TI - St. Mary's Hospital Festival Dinner. PMID- 29836667 TI - Researches on the Hydrides and Hydrates. PMID- 29836669 TI - Progress in Nervous Diseases. PMID- 29836668 TI - Some Aspects of Medical Science. PMID- 29836670 TI - How Workers Live. PMID- 29836671 TI - Observations Regarding Chronic Heart Disease Complicating Pregnancy and Labour. PMID- 29836673 TI - Notes and News. PMID- 29836672 TI - Around the Hospitals. PMID- 29836674 TI - Gonorrhoea and Its Effects. PMID- 29836675 TI - Annotations. PMID- 29836676 TI - The Hospital Nursing Supplement. PMID- 29836677 TI - The Birmingham Hospital Saturday Fund. PMID- 29836678 TI - Practical Points. PMID- 29836679 TI - New Appliances and Things Medical. PMID- 29836680 TI - The Hospital Nursing Supplement. PMID- 29836681 TI - Pulmonary Tuberculosis. PMID- 29836682 TI - Asylums in India: V. The Punjab. PMID- 29836683 TI - Hospital Festivals, Meetings, &c. PMID- 29836684 TI - Around the Hospitals. PMID- 29836685 TI - Annotations. PMID- 29836687 TI - Modern Views of Malaria. I. PMID- 29836686 TI - Loretine. PMID- 29836688 TI - Construction Notes. PMID- 29836689 TI - Patients' Payments. PMID- 29836691 TI - Notes and News. PMID- 29836690 TI - Famous Poisoners in Fiction: IX. The Favourite Poisons amongst Authors and Dramatists. Part I. PMID- 29836692 TI - Electricity and Its Use in Medicine. II. PMID- 29836693 TI - Modern Medico-Psychology and Psychiatry: III. Legislative and State Measures and their Effects. PMID- 29836694 TI - Drug Making and Drug Taking. PMID- 29836695 TI - Practical Departments. PMID- 29836696 TI - Dilatation of the Stomach. PMID- 29836697 TI - Malignant Growths. PMID- 29836698 TI - Ubi Est Morbus? PMID- 29836700 TI - Birmingham Hospital Saturday Fund. PMID- 29836699 TI - The International Medical Congress at Rome. PMID- 29836701 TI - The Hospital Nursing Supplement. PMID- 29836702 TI - Pleurisy. PMID- 29836703 TI - Congenital Displacement of the Head of the Femur and Its Treatment. PMID- 29836705 TI - Cysts and Fistula Arising in Connection with a Persistent Thyro-Glossal Duct. PMID- 29836704 TI - Mr. Gladstone on Medicine. PMID- 29836707 TI - London Hospital-Treatment of Acute Iritis. PMID- 29836706 TI - Practical Departments. PMID- 29836708 TI - Annotations. PMID- 29836709 TI - New Appliances and Things Medical. PMID- 29836710 TI - Sub-Diaphragmatic Abcess. PMID- 29836711 TI - Artificial Respiration in Chloroform Collapse. PMID- 29836712 TI - Hospital Festivals and Meetings. PMID- 29836713 TI - Our Doctors. PMID- 29836715 TI - Surgery of the Lungs and Pleurae. PMID- 29836714 TI - The Memorial to Sir Andrew Clark. PMID- 29836716 TI - New Drugs and Praparations. PMID- 29836717 TI - Around the Hospitals. PMID- 29836718 TI - Notes and News. PMID- 29836719 TI - Modern Medico-Psychology and Psychiatry: V. The Men Who Have Made Modern Psychiatry. PMID- 29836720 TI - The Field of Science. PMID- 29836721 TI - Hospital Festivals and Meetings. PMID- 29836723 TI - Fevers and Infectious Diseases. PMID- 29836722 TI - First Traces and Their Interpretation. PMID- 29836724 TI - Observations Regarding Chronic Heart Disease Complicating Pregnancy and Labour. PMID- 29836725 TI - Acute Intussusception. II. PMID- 29836726 TI - Around the Hospitals. PMID- 29836727 TI - Notes and News. PMID- 29836729 TI - On Modern Progress in Ophthalmic Medicine and Surgery. PMID- 29836728 TI - Eucalyptus Oil. PMID- 29836730 TI - Birmingham Hospital Saturday Fund. PMID- 29836731 TI - Surgery of the Intestines. PMID- 29836732 TI - The Mansion House Hospital Sunday Conversazione. PMID- 29836733 TI - St. Thomas's Hospital Medical School. PMID- 29836734 TI - Annotations. PMID- 29836735 TI - The Decay of Surgery. PMID- 29836736 TI - Reactionary Medicine. PMID- 29836737 TI - New Appliances and Things Medical. PMID- 29836738 TI - The Hospital Nursing Supplement. PMID- 29836739 TI - Some Aspects of Medical Science. PMID- 29836740 TI - Hospital Festivals and Meetings. PMID- 29836741 TI - On Some Manifestations of Scorbutic Disease in Children. PMID- 29836742 TI - Around the Hospitals. PMID- 29836744 TI - Notes and News. PMID- 29836743 TI - Diseases of the Ear: I. The Examination of the Ear. PMID- 29836745 TI - Medical Ethics. PMID- 29836746 TI - Practical Points. PMID- 29836747 TI - Language and Race. PMID- 29836748 TI - The Field of Science. PMID- 29836750 TI - Annotations. PMID- 29836749 TI - Malignant Growths. PMID- 29836751 TI - The Hospital Nursing Supplement. PMID- 29836752 TI - The Story of the Insane from Year to Year. PMID- 29836753 TI - The Homoeopathic Hospital, Great Ormond Street. PMID- 29836755 TI - A Physician to Physicians. PMID- 29836754 TI - Liver and Gall Bladder. PMID- 29836757 TI - The Library of the Chirurgeon. PMID- 29836756 TI - New Appliances and Things Medical. PMID- 29836758 TI - Typhoid. PMID- 29836759 TI - Surgery of Pancreas and Spleen. PMID- 29836760 TI - St. Thomas's Hospital. PMID- 29836761 TI - A Provident Scheme. PMID- 29836762 TI - Hernia. PMID- 29836764 TI - Notes and News. PMID- 29836763 TI - Some Simple Uses of Carbolic Acid. II. PMID- 29836765 TI - New Appliances and Things Medical. PMID- 29836766 TI - Remarks on the Gravity of Any Discharge from the Ear. PMID- 29836767 TI - Hospital Festivals and Meetings. PMID- 29836768 TI - Construction Notes. PMID- 29836769 TI - Typhoid Fever. PMID- 29836770 TI - Paris. PMID- 29836771 TI - The Plagues of the Bible. PMID- 29836772 TI - Germs Not Pathological. PMID- 29836774 TI - The Hospital Nursing Supplement. PMID- 29836773 TI - The Birmingham Hospital Saturday Fund. PMID- 29836775 TI - The History and Capabilities of Herbal Simples: Hemlock and Henbane. PMID- 29836777 TI - Appendicitis. PMID- 29836776 TI - Modern Medico Psychology and Psychiatry: The Forms and Classification of Mental Diseases. PMID- 29836778 TI - Annotations. PMID- 29836779 TI - Some Further Notes on the Hydrides. PMID- 29836781 TI - How Workers Live. PMID- 29836780 TI - New Drugs and Preparations. PMID- 29836782 TI - Construction Notes. PMID- 29836783 TI - Abdominal Surgery. PMID- 29836784 TI - Middlesex Hospital Festival Dinner. PMID- 29836785 TI - New Appliances and Things Medical. PMID- 29836786 TI - Madness or What?: I. Jeanne d'Arc. PMID- 29836787 TI - Tinea Tonsurans. PMID- 29836788 TI - On Modern Progress in Ophthalmic Medicine and Surgery. PMID- 29836789 TI - The First English Translations. PMID- 29836790 TI - The Hospital Nursing Supplement. PMID- 29836791 TI - School Fevers. PMID- 29836792 TI - Treatment of Club-Foot. PMID- 29836793 TI - New Drugs and Praparations. PMID- 29836794 TI - Practical Departments. PMID- 29836795 TI - Annotations. PMID- 29836796 TI - Around the Hospitals. PMID- 29836797 TI - Notes and News. PMID- 29836798 TI - Pulmonary Tuberculosis. PMID- 29836799 TI - The Homes of England. PMID- 29836800 TI - How to Avoid the Troubles Which Are Due to Uric Acid. II. PMID- 29836801 TI - Progress in Surgery. PMID- 29836802 TI - The Defects of Medical Assurance. PMID- 29836803 TI - Around the Hospitals. PMID- 29836804 TI - Modern Views of Malaria. II. PMID- 29836805 TI - On Modern Progress in Ophthalmic Medicine and Surgery. PMID- 29836807 TI - The Hospital Nursing Supplement. PMID- 29836806 TI - Gout in Hospitals. PMID- 29836808 TI - The Cure of Stammering. PMID- 29836809 TI - Medical Progress. PMID- 29836810 TI - New Drugs and Preparations. PMID- 29836811 TI - Metropolitan and National Nursing Association. PMID- 29836812 TI - Modern Surgery. PMID- 29836813 TI - Annotations. PMID- 29836814 TI - The Educational Treatment of Idiots, Imbeciles, and Feeble-Minded Children: II. PMID- 29836815 TI - On the Causes of Haemorrhage during Pregnancy. PMID- 29836817 TI - Notes and News. PMID- 29836816 TI - New Appliances and Things Medical. PMID- 29836818 TI - Metropolitan Hospital Dinner. PMID- 29836819 TI - The Localisation of Sensation in the Brain. PMID- 29836820 TI - Rational Therapeutics and Therapeuticians. PMID- 29836822 TI - Notes and News. PMID- 29836821 TI - Intra-Uterine Syringing in Puerperal Septicaemia. PMID- 29836823 TI - The Hospital Nursing Supplement. PMID- 29836824 TI - Hospital Administration. PMID- 29836825 TI - Construction Notes. PMID- 29836826 TI - The Story of the Insane from Year to Year. PMID- 29836828 TI - Progress in Dermatology. PMID- 29836827 TI - Hospital Festivals and Meetings. PMID- 29836829 TI - Annotations. PMID- 29836830 TI - Tuberculosis. PMID- 29836832 TI - The Library of the Physician. PMID- 29836831 TI - The Field of Science. PMID- 29836833 TI - On Modern Progress in Ophthalmic Medicine and Surgery. PMID- 29836834 TI - Around the Hospitals. PMID- 29836835 TI - New Appliances and Things Medical. PMID- 29836837 TI - New Appliances and Things Medical. PMID- 29836836 TI - Cranial Surgery. PMID- 29836838 TI - Preventable Mortality at Sea. PMID- 29836839 TI - Diseases of the Eye. PMID- 29836841 TI - The Field of Science. PMID- 29836840 TI - Pulmonary Tuberculosis. PMID- 29836843 TI - Annotations. PMID- 29836842 TI - Practical Departments. PMID- 29836844 TI - Around the Hospitals. PMID- 29836845 TI - Artificial Respiration in Chloroform Collapse. PMID- 29836846 TI - The Place of Medicine in Civilisation. PMID- 29836847 TI - Construction Notes. PMID- 29836848 TI - Notes and News. PMID- 29836849 TI - New Drugs and Preparations. PMID- 29836850 TI - Modern Medico-Psychology and Psychiatry: IV. PMID- 29836852 TI - Prospects for the Future. PMID- 29836851 TI - On Temperature Charts. PMID- 29836853 TI - Hospital Festivals, Meetings, &c. PMID- 29836854 TI - The Diagnostic Significance of Certain Signs and Symptoms in Joint Disease. PMID- 29836855 TI - Peritonitis. PMID- 29836856 TI - The Hospital Nursing Supplement. PMID- 29836857 TI - Practical Aspects of Medical Science. PMID- 29836858 TI - The History and Capabilities of Herbal Simples: The Common Ragwort. PMID- 29836859 TI - Modern Medico-Psychology and Psychiatry: IX. Forms and Classification of Mental Disease. PMID- 29836861 TI - The Hospital Nursing Supplement. PMID- 29836860 TI - Diseases of the Ear: II. The Examination of the Ear. PMID- 29836862 TI - Kidney Diseases. PMID- 29836863 TI - Hospitals in India: II. The Madras Presidency (1). PMID- 29836864 TI - Some Aspects of Medical Science. PMID- 29836865 TI - On Modern Progress in Ophthalmic Medicine and Surgery: Senile Cataract (continued). PMID- 29836867 TI - Renal Surgery. PMID- 29836866 TI - Construction Notes. PMID- 29836868 TI - Notes and News. PMID- 29836869 TI - Paris. PMID- 29836870 TI - Hospital Festivals and Meetings. PMID- 29836871 TI - Around the Hospitals. PMID- 29836872 TI - Vaccination: A New Research. PMID- 29836873 TI - New Appliances and Things Medical. PMID- 29836875 TI - General Surgery. PMID- 29836874 TI - Gastric Ulcer and Its Treatment. PMID- 29836876 TI - The Story of the Insane from Year to Year. PMID- 29836877 TI - Finance Administration. PMID- 29836879 TI - Annotations. PMID- 29836878 TI - The Treatment of Wounds. PMID- 29836880 TI - How Workers Live-The Woollen Industry. PMID- 29836881 TI - Practical Departments. PMID- 29836883 TI - Annotations. PMID- 29836882 TI - New Appliances and Things Medical. PMID- 29836884 TI - The Annual Museum. PMID- 29836885 TI - The Treatment of Fractures by Some of the Simpler Methods. PMID- 29836886 TI - Ethics and Administration. PMID- 29836887 TI - Bone, Joint, and Orthopaedic Surgery. PMID- 29836888 TI - Health and Holiness. PMID- 29836889 TI - Operative Surgeons.-The Great Untaught. PMID- 29836890 TI - Queen's Jubilee Hospital. PMID- 29836891 TI - The Hospital Nursing Supplement. PMID- 29836892 TI - Construction Notes. PMID- 29836893 TI - Notes and News. PMID- 29836894 TI - Around the Hospitals. PMID- 29836895 TI - Diseases of the Vascular System. PMID- 29836896 TI - Hospitals in India. PMID- 29836898 TI - Fry's Cocoas and Chocolates. PMID- 29836897 TI - Modern Medico-Psychology and Psychiatry: X. Condition of Mental Exaltation and Excitement. PMID- 29836900 TI - Curiosities of American Lunacy. PMID- 29836899 TI - The Story of the Insane from Year to Year. PMID- 29836902 TI - The Costliness of Modern Treatment. PMID- 29836901 TI - The Hospital Nursing Supplement. PMID- 29836903 TI - Notes and News. PMID- 29836904 TI - Fibro-Myomatous Tumours of the Uterus Producing Bladder Symptoms. PMID- 29836905 TI - Street Collections. PMID- 29836906 TI - The Early History of the Hospital Sunday and Saturday Funds. PMID- 29836907 TI - Potassium Ethylate. PMID- 29836908 TI - The Story of the Insane from Year to Year. PMID- 29836909 TI - The Annual Museum. PMID- 29836910 TI - Cocoas and Chocolates. PMID- 29836911 TI - Construction Notes. PMID- 29836912 TI - The Earliest Herbals. PMID- 29836913 TI - Around the Hospitals. PMID- 29836915 TI - New Appliances and Things Medical. PMID- 29836914 TI - The Treatment of Habitual Constipation. PMID- 29836916 TI - Annotations. PMID- 29836917 TI - Progress in Medicine. PMID- 29836918 TI - Around the Hospitals. PMID- 29836919 TI - The Educational Treatment of Idiots, Imbeciles, and Feeble Minded Children: V. Results of Special Training. PMID- 29836921 TI - Annotations. PMID- 29836920 TI - Continental Notes from a Holiday Correspondent. PMID- 29836922 TI - The Hospital Nursing Supplement. PMID- 29836923 TI - Notes and News. PMID- 29836924 TI - General Hospitals. PMID- 29836925 TI - Surgery of the Lungs and Pleura. PMID- 29836927 TI - Bone, Joint, and Orthopaedic Surgery. PMID- 29836926 TI - Chronic Catarrh of the Middle Ear.-III. PMID- 29836928 TI - New Appliances and Things Medical. PMID- 29836929 TI - The Story of the Insane from Year to Year. PMID- 29836930 TI - On Modern Progress in Ophthalmic Medicine and Surgery: Laminar Cataract. PMID- 29836931 TI - Holiday Thoughts for Health Makers. PMID- 29836932 TI - The British Medical Association at Bristol. PMID- 29836933 TI - A Visit to the Hospitals at Montreal. PMID- 29836934 TI - Practical Departments. PMID- 29836935 TI - Modern Medico-Psychology and Psychiatry: XI.-Conditions of Mental Exaltation and Excitement. PMID- 29836936 TI - Around the Hospitals. PMID- 29836937 TI - Annotations. PMID- 29836938 TI - The Medical Student's Vade Mecum: The Metropolitan Medical Schools.-The London Hospital College-Guy's-St. Bartholomew's-St Thomas's-University College-King's College-Middlesex-St. George's-St. Mary's-Charing Cross-Westminster-The School of Medicine for Women-Fees. PMID- 29836940 TI - Student Life in the Sixteenth Century. PMID- 29836939 TI - The International Congress at Buda Pesth. PMID- 29836942 TI - The Hospital Nursing Supplement. PMID- 29836941 TI - Notes and News. PMID- 29836943 TI - Labour and Health.-II. Wanted, More Air. PMID- 29836944 TI - Progress in Medicine. PMID- 29836945 TI - Around the Hospitals. PMID- 29836946 TI - Medical Education in Scotland. PMID- 29836947 TI - Koch on Cholera. PMID- 29836948 TI - Construction Notes. PMID- 29836949 TI - Notes on the Methods of Performing Paracentesis of the Various Cavitives. PMID- 29836950 TI - Medical Education in the Provinces. PMID- 29836951 TI - The Cost of Provisions. PMID- 29836952 TI - Practical Points. PMID- 29836953 TI - On Toxic Neutralisations: I.-Isomeric Variation. PMID- 29836954 TI - The Field of Science. PMID- 29836955 TI - Reminiscences of Buda Pesth and the International Congress of Hygiene. PMID- 29836957 TI - Notes and News. PMID- 29836956 TI - The Hospital Nursing Supplement. PMID- 29836959 TI - Annotations. PMID- 29836958 TI - Diseases of the Ear: V.-The Artificial Membrana Tympani. PMID- 29836960 TI - Hospital Laundries. PMID- 29836961 TI - Chronic Catarrh of the Middle Ear. PMID- 29836962 TI - Annotations. PMID- 29836963 TI - Madness Or-What?: II. The Terrible Czar. PMID- 29836965 TI - Practical Departments. PMID- 29836964 TI - Hospital Festivals and Meetings. PMID- 29836966 TI - Around the Hospitals. PMID- 29836968 TI - The Convalescent Home of the Royal Infirmary of Edinburgh, Corstorphine. PMID- 29836967 TI - On Modern Progress in Ophthalmic Medicine and Surgery: Laminar Cataract (continued). PMID- 29836969 TI - Doctors in Council. PMID- 29836970 TI - Construction Notes. PMID- 29836971 TI - Diseases of Children. PMID- 29836972 TI - The Hospital Nursing Supplement. PMID- 29836973 TI - Metropolitan Hospital Sunday Fund. PMID- 29836974 TI - New Appliances and Things Medical. PMID- 29836975 TI - Bone, Joint, and Orthopaedic Surgery. PMID- 29836976 TI - Notes and News. PMID- 29836977 TI - On Modern Progress in Ophthalmic Medicine and Surgery: Laminar Cataract. PMID- 29836978 TI - The Educational Treatment of Idiots, Imbeciles, and Feeble-Minded Children: III. PMID- 29836979 TI - Notes and News. PMID- 29836980 TI - The Operative Treatment of Cancer with Special Reference to Cancer of the Breast. PMID- 29836981 TI - Diseases of the Ear: IV. Foreign Bodies in the Ear. PMID- 29836982 TI - Annotations. PMID- 29836983 TI - The New Derbyshire Royal Infirmary. PMID- 29836984 TI - The Doctor Afloat. PMID- 29836985 TI - Diseases of Children. PMID- 29836986 TI - The Story of the Insane from Year to Year. PMID- 29836987 TI - Famous Poisoners in Fiction: X. The Favourite Poisons of Authors and Dramatists. Part II. PMID- 29836989 TI - Editor's Letter-Box. PMID- 29836988 TI - The Hospital Nursing Supplement. PMID- 29836991 TI - General Surgery. PMID- 29836990 TI - Around the Hospitals. PMID- 29836992 TI - Continental Notes from a Holiday Correspondent. PMID- 29836993 TI - The Field of Science. PMID- 29836994 TI - Asylums in India: VI. Burma: The Rangoon Asylum. PMID- 29836995 TI - The Royal Visit to Birmingham. PMID- 29836997 TI - The Story of the Insane from Year to Year. PMID- 29836996 TI - Around the Hospitals. PMID- 29836998 TI - Diseases of the Heart and Vascular System. II. PMID- 29836999 TI - Chronic Catarrh of the Middle Ear -IV. PMID- 29837000 TI - New Appliances and Things Medical. PMID- 29837001 TI - Vaccination and Compulsory Vaccination. PMID- 29837002 TI - The Hospital Laundry. PMID- 29837003 TI - The British Medical Association at Bristol. PMID- 29837004 TI - A Bureau of Autopsy. PMID- 29837005 TI - Annotations. PMID- 29837006 TI - The Hospital Nursing Supplement. PMID- 29837007 TI - Labour and Health. PMID- 29837008 TI - Notes and News. PMID- 29837009 TI - Small-Pox and Vaccination at Leicester. PMID- 29837010 TI - Construction Notes. PMID- 29837011 TI - Madness Or-What? III.-The Kings of Spain. PMID- 29837013 TI - Baden-Baden. PMID- 29837012 TI - Surgery of the Lungs and Pleura. PMID- 29837015 TI - The Ethylates, or Caustic Alcohols. PMID- 29837014 TI - The British Medical Association. PMID- 29837016 TI - Practical Departments. PMID- 29837017 TI - Notes and News. PMID- 29837018 TI - Some Aspects of Medical Science. PMID- 29837019 TI - Periscope of Dermatology. PMID- 29837020 TI - Around the Hospitals. PMID- 29837021 TI - Canon Ainger's True Physician. PMID- 29837022 TI - Annotations. PMID- 29837024 TI - The Hospital Nursing Supplement. PMID- 29837023 TI - Innocent Tumours of the Rectum. PMID- 29837026 TI - Bacteriology in the Diagnosis of Diphtheria. PMID- 29837025 TI - Construction Notes. PMID- 29837028 TI - Notes and News. PMID- 29837027 TI - Genito-Urinary Surgery. PMID- 29837029 TI - Periscope of Dermatology. PMID- 29837030 TI - The Educational Treatment of Idiots, Imbeciles, and Feeble-Minded Children: IV. The Industrial Training of the Imbecile. PMID- 29837032 TI - Continental Notes from a Holiday Correspondent. PMID- 29837031 TI - Hygiene in University Education. PMID- 29837033 TI - On Malignant Tumours of the Rectum. PMID- 29837034 TI - The British Medical Association at Bristol. PMID- 29837035 TI - The Hospital Nursing Supplement. PMID- 29837037 TI - Annotations. PMID- 29837036 TI - Lord Salisbury's Address. PMID- 29837039 TI - The Ethylates, or Caustic Alcohols. PMID- 29837038 TI - Notes and News. PMID- 29837041 TI - Dr. Pavy's Researches on Diabetes. PMID- 29837040 TI - A Lunatic's Relatives. PMID- 29837042 TI - Around the Hospitals. PMID- 29837043 TI - Chelsea Hospital for Women. PMID- 29837044 TI - Chronic Catarrh of the Middle Ear. PMID- 29837045 TI - Annotations. PMID- 29837046 TI - Diseases of Children. PMID- 29837047 TI - Hospital Festivals and Meetings. PMID- 29837049 TI - The Hospital Nursing Supplement. PMID- 29837048 TI - General Surgery. PMID- 29837050 TI - The Chelsea Hospital for Women. PMID- 29837051 TI - Bone, Joint, and Orthopaedic Surgery. PMID- 29837052 TI - Practical Departments. PMID- 29837053 TI - New Appliances and Things Medical. PMID- 29837055 TI - Practical Departments. PMID- 29837054 TI - Chelsea Hospital for Women. PMID- 29837056 TI - Scarlet Fever. PMID- 29837057 TI - The Role of Bromine in Therapeutics and Bromal Hydrate. PMID- 29837058 TI - The Treatment of Angular Deformity of the Spine, or Spinal Caries. PMID- 29837059 TI - Practical Points. PMID- 29837060 TI - How Workers Live-The Cotton Industry. PMID- 29837062 TI - The Secrets of Alexis. PMID- 29837061 TI - Some Aspects of Medical Science. PMID- 29837063 TI - New Drugs and Preparations. PMID- 29837064 TI - Construction Notes. PMID- 29837065 TI - Notes and News. PMID- 29837066 TI - The New Derbyshire Royal Infirmary. PMID- 29837067 TI - The Hospital Nursing Supplement. PMID- 29837068 TI - Annotations. PMID- 29837070 TI - Diseases of the Ear: III. PMID- 29837069 TI - Around the Hospitals. PMID- 29837071 TI - New Appliances and Things Medical. PMID- 29837072 TI - Hospital Festivals and Meetings. PMID- 29837073 TI - The Summits of Medical Progress. PMID- 29837074 TI - Away with Quacks and Prescribing Chemists. PMID- 29837076 TI - Nasal Reflexes. PMID- 29837075 TI - Story of the Insane from Year to Year. PMID- 29837077 TI - Further Observations on the Arrest of Puerperal Fever by Inhibition of the Pulse. PMID- 29837079 TI - Progress in Surgery. PMID- 29837078 TI - Note on Intraperitoneal Injections. PMID- 29837080 TI - Hospital Notes. PMID- 29837081 TI - Annotations. PMID- 29837082 TI - Construction Notes. PMID- 29837083 TI - The Notification of Tuberculosis. PMID- 29837084 TI - Hospital Meetings, &c. PMID- 29837085 TI - Progress in Medicine. PMID- 29837086 TI - Quarantine. PMID- 29837087 TI - Notes and News. PMID- 29837088 TI - Fire or Frost in Medicine? PMID- 29837089 TI - Child Life under Queen Victoria: VI. Agricultural Gangs. PMID- 29837091 TI - "The Hospital" Nursing Mirror. PMID- 29837090 TI - New Appliances and Things Medical. PMID- 29837092 TI - The Harveian Society. PMID- 29837093 TI - Progress in Medicine. PMID- 29837095 TI - Notes and News. PMID- 29837094 TI - Annotations. PMID- 29837096 TI - A Disgrace to England. PMID- 29837097 TI - "The Hospital" Nursing Mirror. PMID- 29837099 TI - Progress in Surgery. PMID- 29837098 TI - Medical Society. PMID- 29837100 TI - Hospital Meetings, &c. PMID- 29837101 TI - Child Life under Queen Victoria: VII. Merely Players. PMID- 29837102 TI - The Dangers of Anaesthetics. PMID- 29837103 TI - Editor's Letter-Box. PMID- 29837105 TI - The Waning of the Plague. PMID- 29837104 TI - The Diagnosis of Cancer of the Uterus. PMID- 29837106 TI - New Appliances and Things Medical. PMID- 29837107 TI - Progress in Medicine. PMID- 29837108 TI - The Oxygen Treatment of Ulcers. PMID- 29837109 TI - Hospital Construction. PMID- 29837110 TI - Annotations. PMID- 29837111 TI - Royal Medical and Chirurgical Society. PMID- 29837112 TI - Hospital Expenditure-The Commissariat. PMID- 29837113 TI - Child Life under Queen Victoria: V. The Climbing Boys. PMID- 29837114 TI - The Oxygen Treatment of Ulcers-An Anonymous Symposium. PMID- 29837115 TI - New Appliances and Things Medical. PMID- 29837116 TI - Influenza and Insanity. PMID- 29837117 TI - The Medical Society. PMID- 29837118 TI - "The Hospital" Nursing Mirror. PMID- 29837119 TI - Hospital Meetings, &c. PMID- 29837120 TI - Progress in Surgery. PMID- 29837121 TI - Notes and News. PMID- 29837122 TI - Hospitals, Tenders, and Contractors. PMID- 29837123 TI - Editor's Letter-Box. PMID- 29837125 TI - The Hospital Nursing Supplement. PMID- 29837124 TI - Annotations. PMID- 29837127 TI - Waiting Mortuaries. PMID- 29837126 TI - Progress in Medicine. PMID- 29837128 TI - Clinical Society. PMID- 29837129 TI - Notes and News. PMID- 29837130 TI - Practical Points. PMID- 29837131 TI - Progress in Surgery. PMID- 29837132 TI - New Appliances and Things Medical. PMID- 29837133 TI - Prognosis in Scarlet Fever. PMID- 29837134 TI - Modern Sociology. PMID- 29837135 TI - The Riddle of Pain. PMID- 29837137 TI - New Appliances and Things Medical. PMID- 29837136 TI - Within the Hospitals. PMID- 29837138 TI - Progress in Surgery. PMID- 29837139 TI - Alcohol in Acute Disease. PMID- 29837140 TI - The Hospital Nursing Supplement. PMID- 29837142 TI - The Medical Society. PMID- 29837144 TI - Modern Sociology. PMID- 29837143 TI - Annotations. PMID- 29837145 TI - The Jubilee of Anaesthesia. PMID- 29837146 TI - Hospital Expenditure-The Commissariat. PMID- 29837147 TI - The Clinical Society. PMID- 29837148 TI - The Jubilee of Anaesthetics. PMID- 29837149 TI - Infectious Diseases in Dublin. PMID- 29837150 TI - Notes and News. PMID- 29837151 TI - Progress in State Medicine. PMID- 29837152 TI - The Medical Society. PMID- 29837153 TI - Notes and News. PMID- 29837154 TI - Progress in Surgery. PMID- 29837155 TI - Modern Sociology. PMID- 29837156 TI - Instrumental Aids to the Administration of Anaesthetics. PMID- 29837157 TI - The Hospital Nursing Supplement. PMID- 29837159 TI - Should Doctors Be Peers? PMID- 29837158 TI - Angina Ludovici. PMID- 29837160 TI - The Clinical Society. PMID- 29837161 TI - The Guild of St. Luke. PMID- 29837162 TI - The Transport of Invalids by Rail. PMID- 29837163 TI - The Story of the Insane from Year to Year. PMID- 29837164 TI - Progress in Medicine. PMID- 29837165 TI - Annotations. PMID- 29837167 TI - The Medical Society. PMID- 29837166 TI - Progress in Medicine. PMID- 29837168 TI - New Appliances and Things Medical. PMID- 29837169 TI - Progress in Surgery. PMID- 29837171 TI - The Isolation of Scarlet Fever Patients. PMID- 29837170 TI - Annotations. PMID- 29837172 TI - Notes and News. PMID- 29837173 TI - Physical Inferiority and Crime. PMID- 29837174 TI - Hospital Meetings, &c. PMID- 29837175 TI - "The Hospital" Nursing Mirror. PMID- 29837176 TI - Child Life under Queen Victoria: III. The First Factory Acts. PMID- 29837177 TI - Hospital Construction. PMID- 29837178 TI - The Harveian Society. PMID- 29837179 TI - Royal Statistical Society. PMID- 29837180 TI - Bunions and Their Treatment. PMID- 29837181 TI - Hospital Expenditure-The Commissariat. PMID- 29837182 TI - New Appliances and Things Medical. PMID- 29837183 TI - Annotations. PMID- 29837184 TI - The Story of the Insane from Year to Year. PMID- 29837185 TI - The Hospital Nursing Supplement. PMID- 29837187 TI - The Fate of the Infirm. PMID- 29837186 TI - Progress in Surgery. PMID- 29837189 TI - Construction Notes. PMID- 29837188 TI - The Infection of Scarlet Fever. PMID- 29837190 TI - The Introductory Addresses at the Medical Schools. PMID- 29837191 TI - Around the Hospitals. PMID- 29837192 TI - The Asylums Board and London Fevers. PMID- 29837193 TI - Practical Departments. PMID- 29837195 TI - Hospital Construction. PMID- 29837194 TI - Notes and News. PMID- 29837196 TI - Annotations. PMID- 29837197 TI - The Serum Treatment of Puerperal Fever. PMID- 29837199 TI - The London Water Supply. PMID- 29837198 TI - Notes and News. PMID- 29837201 TI - Pathological Society. PMID- 29837200 TI - Modern Sociology. PMID- 29837203 TI - The Hospital Nursing Supplement. PMID- 29837202 TI - The Early Diagnosis of Insanity. PMID- 29837204 TI - Surgical Ritual. PMID- 29837205 TI - Progress in Surgery. PMID- 29837206 TI - New Appliances and Things Medical. PMID- 29837207 TI - Progress in Medicine. PMID- 29837208 TI - The Hospital Nursing Supplement. PMID- 29837209 TI - Annotations. PMID- 29837211 TI - The Retrogression of Cancer. PMID- 29837210 TI - The Trade in Oysters. PMID- 29837212 TI - New Appliances and Things Medical. PMID- 29837213 TI - Hospital Administration. PMID- 29837214 TI - A Clinical Demonstration. PMID- 29837215 TI - Construction Notes. PMID- 29837216 TI - The General Medical Council. PMID- 29837217 TI - Servants and Medical Men. PMID- 29837218 TI - Notes and News. PMID- 29837220 TI - Modern Sociology. PMID- 29837219 TI - Cottage Hospitals and Medical Fees. PMID- 29837221 TI - A Vaccination Crusade. PMID- 29837222 TI - Royal Medical and Chirurgical Society. PMID- 29837223 TI - Notes and News. PMID- 29837224 TI - New Appliances and Things Medical. PMID- 29837226 TI - Clinical Society. PMID- 29837225 TI - Some Moral Aspects of the C. D. Acts. PMID- 29837228 TI - Child Life under Queen Victoria: IV. The Colliery Children. PMID- 29837227 TI - "Shelters" and Sanitation. PMID- 29837230 TI - The Anti-Vaccinators' Case in the Report of the Vaccination Commission. PMID- 29837229 TI - Epidemiological Society. PMID- 29837231 TI - The Oxygen Treatment of Wounds. PMID- 29837232 TI - "The Hospital" Nursing Mirror. PMID- 29837233 TI - Annotations. PMID- 29837234 TI - The Bill for the Registration of Midwives, 1897. PMID- 29837235 TI - Hospital Meetings, &c. PMID- 29837236 TI - On the Undiminished Mortality from Puerperal Fever in England and Wales. PMID- 29837238 TI - Progress in Surgery. PMID- 29837237 TI - Progress in Medicine. PMID- 29837240 TI - Notes and News. PMID- 29837239 TI - New Appliances and Things Medical. PMID- 29837242 TI - Annotations. PMID- 29837241 TI - Progress in Surgery. PMID- 29837244 TI - "The Hospital" Nursing Mirror. PMID- 29837243 TI - Progress in Medicine. PMID- 29837245 TI - A House Divided against Itself. PMID- 29837246 TI - The Treatment of Infectious Diseases Arising in Children's Hospitals. PMID- 29837248 TI - The Medical Society. PMID- 29837249 TI - Modern Sociology. PMID- 29837251 TI - Hospital Administration. PMID- 29837250 TI - The Story of the Insane from Year to Year. PMID- 29837253 TI - The Pathological Society. PMID- 29837252 TI - Modern Sociology. PMID- 29837255 TI - What Is a Cure? PMID- 29837254 TI - Progress in Medicine. PMID- 29837256 TI - The Harveian Society. PMID- 29837257 TI - The Complete Diagnosis of Disease of the Heart. PMID- 29837258 TI - Notes and News. PMID- 29837261 TI - The Prevention and Cure of Tuberculosis. PMID- 29837259 TI - The Story of the Insane from Year to Year. PMID- 29837263 TI - Editor's Letter-Box. PMID- 29837262 TI - Hospital Construction. PMID- 29837265 TI - The Hospital Nursing Supplement. PMID- 29837264 TI - Annotations. PMID- 29837267 TI - The Hospital Nursing Supplement. PMID- 29837266 TI - Instrumental Aids to the Administration of Anaesthetics. PMID- 29837269 TI - The Story of the Insane from Year to Year. PMID- 29837268 TI - Hospital Administration. PMID- 29837271 TI - New Appliances and Things Medical. PMID- 29837270 TI - "The Hospital" to Its Readers. PMID- 29837273 TI - A Doctors' Union. PMID- 29837272 TI - Progress in Surgery. PMID- 29837274 TI - Annotations. PMID- 29837275 TI - On the Treatment of Tuberculous Disease of the Hip-Joint. PMID- 29837276 TI - Erichsen and Humphry. PMID- 29837277 TI - Modern Sociology. PMID- 29837278 TI - Progress in Medicine. PMID- 29837280 TI - Notes and News. PMID- 29837281 TI - Llangammarch Wells as a Health Resort. PMID- 29837282 TI - Hospital Construction. PMID- 29837284 TI - Progress in Medicine. PMID- 29837283 TI - Cottage Hospitals and Medical Fees. PMID- 29837285 TI - 1896: A Retrospect. PMID- 29837286 TI - Annotations. PMID- 29837288 TI - Construction Notes. PMID- 29837287 TI - Some Pitfalls of Practice. PMID- 29837289 TI - Hospital Notes. PMID- 29837290 TI - The "Censure" on the Metropolitan Hospital. PMID- 29837291 TI - Tramways and Healthy Dwellings. PMID- 29837292 TI - "The Hospital" Nursing Mirror. PMID- 29837294 TI - The Medico-Psychological Association and Their Nurses. PMID- 29837293 TI - Practical Departments. PMID- 29837295 TI - Ununited Fracture: Its Causes and Treatment. PMID- 29837296 TI - Progress in Surgery. PMID- 29837297 TI - Progress in Medicine. PMID- 29837298 TI - The Plague. PMID- 29837299 TI - New Appliances and Things Medical. PMID- 29837300 TI - Annotations. PMID- 29837302 TI - Progress in Surgery. PMID- 29837301 TI - Hospital Meetings, &c. PMID- 29837303 TI - Whitlow. PMID- 29837304 TI - Hospital Nurses in Asylum Service. PMID- 29837305 TI - Notes and News. PMID- 29837306 TI - Dermatology. PMID- 29837307 TI - Antiseptics in Lying-In Hospitals. PMID- 29837308 TI - The Story of the Insane from Year to Year. PMID- 29837310 TI - The Pathological Society. PMID- 29837309 TI - Child Life under Queen Victoria: II. Textile Factories: the Children's Wrongs. PMID- 29837311 TI - Asylum Administration. PMID- 29837312 TI - Clinical Society. PMID- 29837313 TI - The Hospital Problem and the Prince's Fund. PMID- 29837314 TI - "The Hospital" Nursing Mirror. PMID- 29837315 TI - The Hospital Nursing Supplement. PMID- 29837316 TI - The Story of the Insane from Year to Year. PMID- 29837318 TI - New Appliances and Things Medical. PMID- 29837317 TI - The Thames and the Sewage. PMID- 29837319 TI - The Difficulties of Organising the Profession. PMID- 29837320 TI - Colour-Blind Sailors and the Board of Trade. PMID- 29837321 TI - Royal Medical and Chirurgical Society. PMID- 29837322 TI - Medical Society of London. PMID- 29837323 TI - Progress in Ophthalmology. PMID- 29837324 TI - Progress in Surgery. PMID- 29837325 TI - The Birmingham Hospital Saturday Fund. PMID- 29837326 TI - Hospital Expenditure-The Commissariat. PMID- 29837327 TI - Modern Sociology. PMID- 29837328 TI - Annotations. PMID- 29837329 TI - Notes and News. PMID- 29837330 TI - The Bradshaw Lecture on Subjective Sensation of Sound. PMID- 29837331 TI - The Medical Society. PMID- 29837333 TI - Nerve Study in a Nervous Age. PMID- 29837332 TI - A Clinical Lecture on Cancer of the Tongue. PMID- 29837334 TI - The Hospital Nursing Supplement. PMID- 29837335 TI - The Story of the Insane from Year to Year. PMID- 29837336 TI - The Howard Association. PMID- 29837337 TI - Construction Notes. PMID- 29837339 TI - The Harveian Society. PMID- 29837338 TI - Notes and News. PMID- 29837340 TI - Modern Sociology. PMID- 29837341 TI - Annotations. PMID- 29837342 TI - The Isolation Hospitals Act. PMID- 29837343 TI - Progress in Surgery. PMID- 29837344 TI - New Appliances and Things Medical. PMID- 29837345 TI - Hospital Construction. PMID- 29837347 TI - Progress in Surgery. PMID- 29837346 TI - The Livingstone College. PMID- 29837349 TI - Notes and News. PMID- 29837348 TI - New Appliances and Things Medical. PMID- 29837352 TI - Ringworm: Its Nature, Diagnosis, and Treatment. PMID- 29837351 TI - The Infirmary Question at Manchester. PMID- 29837354 TI - Doctors, Nurses, Patients, and Lady Priestley. PMID- 29837353 TI - The First Medical Peer. PMID- 29837356 TI - Bubonic Plague. PMID- 29837355 TI - Progress in Medicine. PMID- 29837358 TI - Annotations. PMID- 29837357 TI - Pathological Society. PMID- 29837359 TI - The Medico-Psychological Association and Their Nurses. PMID- 29837360 TI - "The Hospital" Nursing Mirror. PMID- 29837361 TI - Modern Sociology. PMID- 29837362 TI - New Appliances and Things Medical. PMID- 29837364 TI - Progress in Surgery. PMID- 29837363 TI - Clinical Society. PMID- 29837366 TI - Construction Notes. PMID- 29837365 TI - Modern Sociology. PMID- 29837368 TI - Progress in Medicine. PMID- 29837367 TI - The Education of the Deaf and Dumb. PMID- 29837370 TI - Hospital Expenditure-The Commissariat. PMID- 29837369 TI - Notes and News. PMID- 29837371 TI - The Medico-Psychological Association and Its Nurses. PMID- 29837372 TI - English Medicine in the Victorian Era. PMID- 29837373 TI - Cholera in January! PMID- 29837375 TI - The Story of the Insane from Year to Year. PMID- 29837374 TI - Ringworm: Its Nature, Diagnosis, and Treatment. PMID- 29837376 TI - "The Hospital" Nursing Mirror. PMID- 29837377 TI - Royal Medical and Chirurgical Society. PMID- 29837378 TI - Annotations. PMID- 29837379 TI - The Training of the Brain. PMID- 29837380 TI - Construction Notes. PMID- 29837381 TI - Notes and News. PMID- 29837382 TI - The British Parliament and the British Army. PMID- 29837383 TI - Indian Famine and English Hospitals. PMID- 29837384 TI - Progress in Medicine. PMID- 29837385 TI - Epidemiological Society. PMID- 29837387 TI - On Flat Foot and Its Treatment. PMID- 29837386 TI - "The Hospital" Nursing Mirror. PMID- 29837389 TI - Medical Society. PMID- 29837388 TI - Progress in Surgery. PMID- 29837391 TI - Annotations. PMID- 29837390 TI - Hospital Construction. PMID- 29837392 TI - Modern Sociology. PMID- 29837393 TI - The Mixture to Be Taken as before. PMID- 29837394 TI - Torture of the Dying. PMID- 29837395 TI - The Danger of False Teeth. PMID- 29837396 TI - New Appliances and Things Medical. PMID- 29837397 TI - The Sick in Scottish Prisons. PMID- 29837398 TI - Caged Children and Christian Civilisation. PMID- 29837400 TI - Progress in Ophthalmology. PMID- 29837401 TI - The Clinical Society. PMID- 29837402 TI - Psoriasis. PMID- 29837404 TI - Bimanual Examination of the Bladder. PMID- 29837403 TI - Notes and News. PMID- 29837405 TI - The Thames and the Sewage. PMID- 29837406 TI - Injuries of the Eye. PMID- 29837407 TI - The Hospital Nursing Supplement. PMID- 29837408 TI - Patients' Consent to Operations. PMID- 29837410 TI - Progress in Surgery. PMID- 29837409 TI - New Appliances and Things Medical. PMID- 29837412 TI - Modern Sociology. PMID- 29837411 TI - The Hospital Saturday Fund and Street Collections. PMID- 29837413 TI - Annotations. PMID- 29837414 TI - Hospital Expenditure-The Commissariat. PMID- 29837415 TI - Modern Sociology. PMID- 29837416 TI - Annotations. PMID- 29837417 TI - Notes and News. PMID- 29837418 TI - Dermatology. PMID- 29837419 TI - "The Hospital" Nursing Mirror. PMID- 29837421 TI - Construction Notes. PMID- 29837420 TI - On Flat Foot and Its Treatment. PMID- 29837423 TI - The Medico-Psychological Association and Their Nurses. PMID- 29837422 TI - New Appliances and Things Medical. PMID- 29837425 TI - The Central Hospital Board Question. PMID- 29837424 TI - The Sixpenny Doctor. PMID- 29837426 TI - Progress in Surgery. PMID- 29837427 TI - Royal Medical and Chirurgical Society. PMID- 29837429 TI - Writers' Diabetes. PMID- 29837428 TI - Progress in State Medicine. PMID- 29837430 TI - "The Hospital" Nursing Mirror. PMID- 29837431 TI - Ophthalmia in the Army.-A Contrast. PMID- 29837432 TI - The Medico-Psychological Association and Their Nurses. PMID- 29837433 TI - Hospital Meetings, &c. PMID- 29837435 TI - Annotations. PMID- 29837434 TI - In-Growing Toe-Nail. PMID- 29837436 TI - The Health of School Girls. PMID- 29837437 TI - Queen Victoria's Commemoration. PMID- 29837438 TI - Child Life under Queen Victoria: I. Preliminary: the Domestic System. PMID- 29837439 TI - New Appliances and Things Medical. PMID- 29837441 TI - Ormskirk Cottage Hospital. PMID- 29837440 TI - Royal Medical and Chirurgical Society. PMID- 29837444 TI - Progress in Surgery. PMID- 29837442 TI - Progress in Medicine. PMID- 29837445 TI - Oxygen, Ulcers, and Micrococci. PMID- 29837446 TI - The Toxins of Pneumonia. PMID- 29837447 TI - Notes and News. PMID- 29837448 TI - Chemistry, Real and Examinational. PMID- 29837449 TI - New Appliances and Things Medical. PMID- 29837450 TI - Hospital Expenditure-The Commissariat. PMID- 29837452 TI - "The Hospital" Nursing Mirror. PMID- 29837451 TI - Ophthalmia in the Army-A Contrast. PMID- 29837453 TI - The Story of the Insane from Year to Year. PMID- 29837454 TI - Double Orchectomy for Prostatic Enlargement. PMID- 29837455 TI - Progress in Medicine. PMID- 29837456 TI - Medical Certificates. PMID- 29837458 TI - Annotations. PMID- 29837457 TI - The Medico-Psychological Association and Their Nurses. PMID- 29837459 TI - Hospitals and Milkmen. PMID- 29837460 TI - Progress in Surgery. PMID- 29837461 TI - Modern Sociology. PMID- 29837462 TI - Dermatology. PMID- 29837464 TI - Practical Points. PMID- 29837463 TI - Hospital Meetings, &c. PMID- 29837465 TI - Practical Departments. PMID- 29837466 TI - The Pathological Society. PMID- 29837467 TI - End-To-End Approximation of Cut Arteries. PMID- 29837468 TI - Notes and News. PMID- 29837469 TI - Death of Sir Spencer Wells. PMID- 29837470 TI - Hospital Expenditure-The Commissariat. PMID- 29837471 TI - The Pulse. PMID- 29837472 TI - The Hospital.-Christmas Appeal Supplement. PMID- 29837473 TI - New Appliances and Things Medical. PMID- 29837474 TI - Progress in Medicine. PMID- 29837475 TI - The Bradshaw Lecture. PMID- 29837476 TI - Progress in Surgery. PMID- 29837477 TI - Modern Sociology. PMID- 29837478 TI - Notes and News. PMID- 29837479 TI - The Clinical Society. PMID- 29837480 TI - Could the Plague Attack England? PMID- 29837481 TI - The Physician, the Hospital, and the Community. PMID- 29837482 TI - Annotations. PMID- 29837483 TI - Guy's Hospital. PMID- 29837485 TI - "The Hospital" Nursing Mirror. PMID- 29837486 TI - Hospital Meetings, &c. PMID- 29837487 TI - Medico-Legal. PMID- 29837488 TI - Notes and News. PMID- 29837489 TI - Genu Valgum.-II. PMID- 29837491 TI - Annotations. PMID- 29837490 TI - Poisons and Poisoners: Antimony: Dr. Pritchard. PMID- 29837492 TI - Dr. Collie Again. PMID- 29837493 TI - Peace or War? PMID- 29837495 TI - New Methods of Treatment in Phthisis. I.-The Roussel Treatment. PMID- 29837494 TI - The History and Capabilities of Herbal Simples: XXXVII.-Ferns. PMID- 29837496 TI - Shall Nurses Cease to Be Laywomen?-IV. PMID- 29837497 TI - Ouida against the Physiologists. PMID- 29837498 TI - The Hospital Nursing Supplement. PMID- 29837499 TI - New Drugs, Appliances, and Things Medical: At the British Medical Association. PMID- 29837500 TI - Salol in Typhoid Fever. PMID- 29837502 TI - Everybody's Page. PMID- 29837501 TI - Treatment of Scarlet Fever and Diphtheria by Diniodide of Mercury. PMID- 29837504 TI - Dr. Thorne Thorne on Diphtheria. PMID- 29837503 TI - The Hospital Nursing Supplement. PMID- 29837505 TI - Science at the Church Congress. PMID- 29837506 TI - The Therapeutics of Music. PMID- 29837508 TI - Notes and News. PMID- 29837507 TI - Digitalis in Pneumonia. PMID- 29837510 TI - New Method of Treatment in Phthisis. III.-Cantharidinate of Potash. PMID- 29837509 TI - Talks about Food: II. The Relation of Food to Labour. PMID- 29837511 TI - A Peep at Russia and Home by Sweden. PMID- 29837512 TI - Annotations. PMID- 29837513 TI - Recent Investigation into the Pathology of Tetanus and the Production of Immunity in Animals. PMID- 29837514 TI - Letters from Far Japan. PMID- 29837516 TI - Dr. Oscar Bloch on Removal of Ovaries. PMID- 29837515 TI - Iritis. PMID- 29837518 TI - The Hospital Nursing Supplement. PMID- 29837517 TI - Some American Hospitals: I. Introductory. PMID- 29837520 TI - How Is It Done? PMID- 29837519 TI - New Drugs, Appliances, and Things Medical: At the British Medical Association. PMID- 29837522 TI - Notes and News. PMID- 29837521 TI - Annotations. PMID- 29837524 TI - Some Scientific Aspects of Insanity: VI. Early Stages. PMID- 29837523 TI - "Antiseptic" and "Aseptic" Surgery. PMID- 29837526 TI - The Bacteriology of Diphtheria. PMID- 29837525 TI - A Warning Outbreak. PMID- 29837527 TI - Everybody's Page. PMID- 29837528 TI - Thyroid Grafting in Myxoedema. PMID- 29837529 TI - The Most Interesting Hospital in the World. PMID- 29837530 TI - Notes and News. PMID- 29837531 TI - On Cerebral Haemorrhage in the Aged. PMID- 29837532 TI - The Hospital Nursing Supplement. PMID- 29837533 TI - Inside and out. PMID- 29837535 TI - Some Scientific Aspects of Insanity: V. Causes of Insanity. PMID- 29837534 TI - A Model Hospital. PMID- 29837536 TI - Annotations. PMID- 29837537 TI - Feelings and Beliefs. PMID- 29837538 TI - Shall Nurses Cease to Be Laywomen?-V. PMID- 29837539 TI - The Need for Female Factory Inspectors. PMID- 29837541 TI - Confusion Worse Confounded. PMID- 29837540 TI - New Methods of Treatment in Phthisis: II.-The Gibbes-Shurly Method. PMID- 29837543 TI - Scientific Scoundrelism. PMID- 29837542 TI - Notes and News. PMID- 29837544 TI - On Some Affections of the Thyroid. PMID- 29837545 TI - The Hospital Nursing Supplement. PMID- 29837547 TI - Liverpool Royal Infirmary. PMID- 29837546 TI - Antiseptic Treatment of Scarlet Fever. PMID- 29837549 TI - Annotations. PMID- 29837548 TI - Talks about Food: I. The Relation of Food to Labour. PMID- 29837551 TI - New Drugs, Appliances, and Things Medical. PMID- 29837550 TI - Notes and News. PMID- 29837553 TI - Fogs. PMID- 29837552 TI - Some American Hospitals: VIII. The University of Pennsylvania Hospital. PMID- 29837555 TI - Everybody's Column. PMID- 29837554 TI - Gastric Hyperaesthesia and Acidity. PMID- 29837557 TI - Annotations. PMID- 29837556 TI - Salvationism and the Care of the Sick. PMID- 29837559 TI - The Ticket System. PMID- 29837558 TI - Some Scientific Aspects of Insanity: XIII. Dementia. PMID- 29837560 TI - Some American Hospitals: IX. Garfield Memorial Hospital, Washington. PMID- 29837561 TI - The Hospital Nursing Supplement. PMID- 29837562 TI - Ungrateful Patients. PMID- 29837563 TI - Tubercular Ulcers of the Tongue. PMID- 29837564 TI - A Physiologist's View of Smoking. PMID- 29837565 TI - The Queen and the Cold Weather. PMID- 29837566 TI - New Drugs, Appliances, and Things Medical: Frame Food. PMID- 29837567 TI - Some Scientific Aspects of Insanity: II. Brain and Spinal Cord. PMID- 29837569 TI - The Hospital Nursing Supplement. PMID- 29837568 TI - Nurses' Grievances at Glasgow. PMID- 29837570 TI - The Hospitals Association. PMID- 29837572 TI - New Methods of Treatment in Phthisis: V. Loebinger's Insufflations in Phthisis. PMID- 29837571 TI - The Hospitals Association. PMID- 29837573 TI - Amblyopia from Errors of Refraction. PMID- 29837574 TI - Harvest Festivals. PMID- 29837576 TI - Obesity: Its Causes and Treatment: II.-Treatment. PMID- 29837575 TI - Everybody's Page. PMID- 29837577 TI - Notes and News. PMID- 29837578 TI - Annotations. PMID- 29837580 TI - Talks about Food: III. How the Rich Live. PMID- 29837579 TI - The History and Capabilities of Herbal Simples: XXXVIII.-Feverfew. PMID- 29837582 TI - Everybody's Page. PMID- 29837581 TI - Exeunt. PMID- 29837583 TI - New Drugs, Appliances, and Things Medical: Newly Invented Hip Disease Chair. PMID- 29837584 TI - An American Sensation. PMID- 29837586 TI - Some Scientific Aspects of Insanity: XVI. The Insanities of the Various Periods of Life. PMID- 29837585 TI - Notes and News. PMID- 29837588 TI - A Persecuted Hospital. PMID- 29837587 TI - The Hospital Nursing Supplement. PMID- 29837590 TI - Treatment of Diphtheria by Sub-Membranous Injections. PMID- 29837589 TI - The Chloroform and Ether Controversy. PMID- 29837591 TI - Annotations. PMID- 29837592 TI - New Drugs, Appliances, and Things Medical: The Baby Carrier. PMID- 29837593 TI - Everybody's Page. PMID- 29837594 TI - Theosophy and Mrs. Besant. PMID- 29837595 TI - Notes and News. PMID- 29837596 TI - Annotations. PMID- 29837598 TI - The Hospital Annual. PMID- 29837597 TI - Ophthalmia Neonatorum. PMID- 29837600 TI - Medical Politics. PMID- 29837599 TI - Some Scientific Aspects of Insanity: I. Brain Tissue. PMID- 29837602 TI - Cheap Benevolence. PMID- 29837601 TI - Obesity: Its Causes and Treatment. PMID- 29837603 TI - New Methods of Treatment in Phthisis: IV.-Transfusion of the Blood of Refractory Animals. PMID- 29837604 TI - The Hospital Nursing Supplement. PMID- 29837605 TI - The Ordeal of Burial. PMID- 29837607 TI - Are All Writers Men of Genius? PMID- 29837606 TI - Some American Hospitals: IV. Denver. PMID- 29837609 TI - Everybody's Page. PMID- 29837608 TI - On Some Urine Tests. II. PMID- 29837611 TI - Some Scientific Aspects of Insanity: IX. Attention Due to Maniacs. PMID- 29837610 TI - The Hospital Nursing Supplement. PMID- 29837613 TI - Annotations. PMID- 29837612 TI - The Nurses' Tribute to the Dead Prince. PMID- 29837616 TI - The Story of the Insane from Year to Year. PMID- 29837615 TI - Notes and News. PMID- 29837614 TI - Blepharospasm. PMID- 29837617 TI - Notes and News. PMID- 29837619 TI - Annotations. PMID- 29837618 TI - The Most Interesting Hospital in the World. PMID- 29837621 TI - The Hospital Nursing Supplement. PMID- 29837620 TI - The Woman or the Man? PMID- 29837623 TI - Save Us from Our Friends. PMID- 29837622 TI - Old Doctors or New? PMID- 29837625 TI - Some Scientific Aspects of Insanity: IV. Consciousness and Mind. PMID- 29837624 TI - The New General Hospital at Eppendorf Hamburg. PMID- 29837627 TI - A Weak Spot in the Popular Religion. PMID- 29837626 TI - Some Modern Theories of Gout. PMID- 29837629 TI - The Princess of Wales and Her Son. PMID- 29837628 TI - Nursing Institutions. PMID- 29837631 TI - General Hospitals. PMID- 29837630 TI - A Few Other Charities. PMID- 29837633 TI - Notes and News. PMID- 29837632 TI - London without Hospitals. PMID- 29837635 TI - The Hospital Nursing Supplement. PMID- 29837634 TI - Proportionate Giving. PMID- 29837636 TI - New Drugs, Appliances, and Things Medical. PMID- 29837637 TI - Christmas at the Hospitals. PMID- 29837638 TI - Everybody's Page. PMID- 29837639 TI - Special Hospitals. PMID- 29837640 TI - An Exhibition of Caterers. PMID- 29837641 TI - Two Pleas for Mrs. Besant. PMID- 29837643 TI - New Methods of Treatment in Phthisis: VI.-The Picot Method. PMID- 29837642 TI - On Flushing. PMID- 29837644 TI - A Puzzle. PMID- 29837646 TI - The Varieties of Lymphangitis. PMID- 29837645 TI - Tipping the Porter. PMID- 29837647 TI - Medical History from the Earliest Times: I.-Introductory. PMID- 29837648 TI - Annotations. PMID- 29837650 TI - The Increase of Diabetes. PMID- 29837649 TI - The Hospital Nursing Supplement. PMID- 29837652 TI - The Cambridge Executioner. PMID- 29837651 TI - Notes and News. PMID- 29837654 TI - The Surgical Aspect of Abdominal Tuberculosis. PMID- 29837653 TI - Some Scientific Aspects of Insanity: XV. Secondary Dementia. PMID- 29837656 TI - Overlapping. PMID- 29837655 TI - Notes and News. PMID- 29837657 TI - The Physiology of OEdema. PMID- 29837658 TI - Payn on Physic. PMID- 29837659 TI - Some American Hospitals: X. The Massachusetts General Hospital, Boston. PMID- 29837660 TI - Everybody's Column. PMID- 29837661 TI - Annotations. PMID- 29837662 TI - To Our Readers. PMID- 29837664 TI - The Hospital Nursing Supplement. PMID- 29837663 TI - Charity-Limited. PMID- 29837666 TI - Some of the Difficulties in the Diagnosis of Sarcoma of Bone. PMID- 29837665 TI - Foreign Bodies in the Conjunctival Sac. PMID- 29837667 TI - Talks about Food: V. The Staff of Life. PMID- 29837668 TI - Some Scientific Aspects of Insanity: XVIII. Climacteric Insanity. PMID- 29837670 TI - Annotations. PMID- 29837669 TI - The Hospital Nursing Supplement. PMID- 29837672 TI - Notes and News. PMID- 29837671 TI - Hospital Work Abroad. PMID- 29837673 TI - A New Method of Treatment of Diphtheria. PMID- 29837674 TI - Already! PMID- 29837675 TI - Prognosis in Cirrhosis of the Liver. PMID- 29837676 TI - The New and the Old. PMID- 29837677 TI - Recuperation. PMID- 29837678 TI - Everybody's Page. PMID- 29837679 TI - The Medical Digest. PMID- 29837680 TI - The Proposed Russian Famine Fund. PMID- 29837681 TI - New Drugs, Appliances, and Things Medical.-Addendum. PMID- 29837682 TI - Annotations. PMID- 29837683 TI - Old Doctors or New? PMID- 29837684 TI - New Methods of Treatment in Phthisis: VII.-The Lannelongue Treatment of Tubercular Joints and Bones. PMID- 29837686 TI - Hospitals of the North-West: I. Winnepeg and Medicine Hat. PMID- 29837685 TI - Notes and News. PMID- 29837688 TI - Everybody's Page. PMID- 29837687 TI - Mydriatics. PMID- 29837689 TI - The Antivivisection Memorial. PMID- 29837690 TI - The Hospital Nursing Supplement. PMID- 29837691 TI - A Peep at Russia, and Home by Sweden. PMID- 29837692 TI - Some American Hospitals: II. San Francisco. PMID- 29837693 TI - The Surgical Treatment of Septic Thrombosis and Other Complications of the Middle Ear Disease.-II. PMID- 29837694 TI - Obscurantism. PMID- 29837695 TI - Some Scientific Aspects of Insanity: VIII. The Care and Treatment of Melancholia. PMID- 29837696 TI - Diseases of the Arteries, Capillaries, and Veins. PMID- 29837697 TI - Acute Mastitis. PMID- 29837698 TI - Annotations. PMID- 29837699 TI - The Doctor's Christmas Box. PMID- 29837700 TI - Social Detectives. PMID- 29837701 TI - Notes and News. PMID- 29837703 TI - New Drugs, Appliances, and Things Medical. PMID- 29837702 TI - Hospital Obscurantism. PMID- 29837704 TI - The Hospital Nursing Supplement. PMID- 29837705 TI - Effects of Anaemia on the Eye. PMID- 29837707 TI - Everybody's Page. PMID- 29837706 TI - The Diagnosis and Surgical Treatment of Septic Thrombosis of the Lateral Sinus. PMID- 29837708 TI - Annotations. PMID- 29837709 TI - 1891. PMID- 29837710 TI - English Isolation Hospitals. PMID- 29837711 TI - The Hospital Nursing Supplement. PMID- 29837713 TI - Funds and Fair-Play for the Voluntary Hospitals of London. PMID- 29837712 TI - New Drugs, Appliances, and Things Medical: Condensed Milk. PMID- 29837714 TI - Notes and News. PMID- 29837715 TI - The Jokes of Serious People. PMID- 29837717 TI - London Voluntary Hospitals and Their Critics. PMID- 29837716 TI - The "Pall Mall Gazette" and the Hospitals. PMID- 29837718 TI - Multiple Cancellous Exostoses. PMID- 29837719 TI - The Story of the Insane from Year to Year. PMID- 29837721 TI - America and Her Hospital Workers. PMID- 29837720 TI - Survivors. PMID- 29837723 TI - Some Scientific Aspects of Insanity: III. Nerve Tissue. PMID- 29837722 TI - Notes and News. PMID- 29837724 TI - Hospitals of the North-West: II. Vancouver. PMID- 29837725 TI - On the Question of Excision in Tubercular Hip Disease. PMID- 29837727 TI - Annotations. PMID- 29837726 TI - Professor Germane and the Medical Experts. PMID- 29837729 TI - The Sick in Uncivilised Lands. PMID- 29837728 TI - Some Points in the Treatment of Dyspepsia. PMID- 29837731 TI - Christianity, Editorship, and Nurses. PMID- 29837730 TI - The Hospital Nursing Supplement. PMID- 29837732 TI - The Address of the Saturday Fund Chairman. PMID- 29837733 TI - New Drugs, Appliances, and Things Medical. PMID- 29837734 TI - The Symptoms and Treatment of Rhus Poisoning. PMID- 29837735 TI - The Hospital Nursing Supplement. PMID- 29837736 TI - Notes and News. PMID- 29837737 TI - Some Scientific Aspects of Insanity: XIV. Secondary Dementia. PMID- 29837739 TI - Suppurative Keratitis. PMID- 29837738 TI - Some Rays of Hope. PMID- 29837740 TI - Letters from Far Japan: II.-Hospitals and Medical Education. Part II. PMID- 29837741 TI - Annotations. PMID- 29837742 TI - Vivisection. PMID- 29837743 TI - The Hospital Saturday Fund. PMID- 29837744 TI - Papillomatous Ovarian Growths. PMID- 29837746 TI - The Hospital Sunday Fund. PMID- 29837745 TI - New Drugs, Appliances, and Things Medical. PMID- 29837747 TI - The Story of the Insane from Year to Year. PMID- 29837748 TI - Letters from Far Japan. PMID- 29837750 TI - Annotations. PMID- 29837749 TI - Cactus in Functional Affections of the Heart. PMID- 29837751 TI - Hospital Saturday Fund. PMID- 29837752 TI - Everybody's Page. PMID- 29837754 TI - Notes and News. PMID- 29837753 TI - Is It English? PMID- 29837755 TI - Opacities of the Cornea. PMID- 29837756 TI - Hospital Reform. PMID- 29837758 TI - Popular Journalism. PMID- 29837757 TI - The Hospital Nursing Supplement. PMID- 29837760 TI - The Story of the Insane from Year to Year. PMID- 29837759 TI - Some Scientific Aspects of Insanity: VII. Melancholia. PMID- 29837762 TI - Eye Complications in Influenza. PMID- 29837761 TI - Some American Hospitals: Vi. The Philadelphia Hospital, Blockley. PMID- 29837763 TI - Annotations. PMID- 29837764 TI - Pegging Away. PMID- 29837765 TI - Gastric Dyspepsia. PMID- 29837768 TI - Everybody's Column. PMID- 29837766 TI - New Drugs, Appliances, and Things Medical. PMID- 29837767 TI - Notes and News. PMID- 29837770 TI - The Stable Door and the Stolen Steed. PMID- 29837769 TI - Some Scientific Aspects of Insanity: XI. Epileptics. PMID- 29837771 TI - The Hospital Sunday Fund. PMID- 29837772 TI - Letters from Far Japan: II.-Hospitals and Medical Education in Japan. Part I. PMID- 29837773 TI - The Hospital Nursing Supplement. PMID- 29837774 TI - On a New Styptic. PMID- 29837775 TI - The Man of Genius. PMID- 29837776 TI - Everybody's Page. PMID- 29837777 TI - Notes and News. PMID- 29837779 TI - Annotations. PMID- 29837778 TI - The Hospital Nursing Supplement. PMID- 29837781 TI - No Faith in Physic. PMID- 29837780 TI - New Drugs, Appliances, and Things Medical. PMID- 29837782 TI - Uniform Hospital Accounts. PMID- 29837783 TI - Some Scientific Aspects of Insanity: X. Monomania. PMID- 29837784 TI - Some American Hospitals: V. Military Hospitals. PMID- 29837785 TI - A Reflection. PMID- 29837787 TI - Venesection in Infantile Diseases. PMID- 29837786 TI - The Epidemic: Preventive Measures. PMID- 29837788 TI - Phlyctenular Ulceration of the Cornea. PMID- 29837789 TI - Some Scientific Aspects of Insanity: XII. General Paralysis. PMID- 29837791 TI - The Hospital Nursing Supplement. PMID- 29837790 TI - Everybody's Page. PMID- 29837793 TI - Some American Hospitals: VII. Pennsylvania Hospital. PMID- 29837792 TI - Intubation of the Larynx. PMID- 29837794 TI - New Drugs, Appliances, and Things Medical: The Invigorator Corset. PMID- 29837795 TI - Death in the Church. PMID- 29837796 TI - Notes and News. PMID- 29837797 TI - Inebriety and the Legislature. PMID- 29837798 TI - Congenital Displacement of the Hips. PMID- 29837799 TI - Breakers Ahead. PMID- 29837800 TI - The Farming of Patients. PMID- 29837801 TI - Annotations. PMID- 29837802 TI - Everybody's Page. PMID- 29837803 TI - Three Weeks in a Hospital. PMID- 29837804 TI - On Some Urinary Tests I. PMID- 29837805 TI - Some American Hospitals: III. Salt Lake City. PMID- 29837806 TI - Influenza Specifics. PMID- 29837807 TI - Barker's Method of Excising the Hip Joint in Tuberculous Disease. PMID- 29837809 TI - Writers' Brains. PMID- 29837808 TI - Notes and News. PMID- 29837810 TI - Electricity up to Date. PMID- 29837811 TI - Annotations. PMID- 29837812 TI - The Harvest of the Sick Poor. PMID- 29837813 TI - Diseases of the Arteries, Veins, and Capillaries. PMID- 29837815 TI - Some Scientific Aspects of Insanity: IX. Mania. PMID- 29837814 TI - New Drugs, Appliances, and Things Medical. PMID- 29837816 TI - The Hospital Nursing Supplement. PMID- 29837817 TI - Talks about Food: IV. Sucking the Honey from the Bee. PMID- 29837819 TI - The Festival Season. PMID- 29837818 TI - Salophene. PMID- 29837820 TI - Everybody's Page. PMID- 29837821 TI - Notes and News. PMID- 29837822 TI - Hypnotism in America. PMID- 29837823 TI - Some Scientific Aspects of Insanity: XVII. The Insanities of the Puerperal State. PMID- 29837824 TI - Letters from Far Japan: III.-Medical Banquets. PMID- 29837825 TI - The Therapeutics of Oxygen Gas. PMID- 29837826 TI - Some Uses of Antimony. PMID- 29837827 TI - Annotations. PMID- 29837828 TI - New Drugs, Appliances, and Things Medical. PMID- 29837829 TI - The Hospital Nursing Supplement. PMID- 29837830 TI - Some Conditions of Medical Progress. PMID- 29837831 TI - Hospital Meetings. PMID- 29837833 TI - Dilatation of the Bronchial Tubes in Children. PMID- 29837832 TI - British Institutions for the Care of the Inebriate-IV. PMID- 29837834 TI - New Appliances and Things Medical. PMID- 29837835 TI - Danish Medical Institutions: II. The Private Clinics. PMID- 29837836 TI - The Education of the Consumptive. PMID- 29837837 TI - Non-Medicinal Treatment of Constipation. PMID- 29837838 TI - The Future of St. Bartholomew's Hospital. PMID- 29837840 TI - Annotations. PMID- 29837839 TI - Infective Endocarditis. PMID- 29837841 TI - The Hospital. Nursing Section. PMID- 29837842 TI - Progress in State Medicine. PMID- 29837844 TI - The Future of St. Bartholomew's Hospital. PMID- 29837843 TI - Progress in Disease of Digestive Organs. PMID- 29837845 TI - The Terrible Imposture and Force of Words. PMID- 29837846 TI - The Physical Factors in Photo-Therapy. PMID- 29837848 TI - Construction Notes. PMID- 29837847 TI - Progress in Neurology. PMID- 29837849 TI - Notes and News. PMID- 29837850 TI - Adherent Pericardium. PMID- 29837852 TI - The Future of St. Bartholomew's Hospital. PMID- 29837851 TI - King's College Hospital Removal Fund. PMID- 29837854 TI - The Food of the People. PMID- 29837853 TI - New Appliances and Things Medical. PMID- 29837856 TI - The Hospital. Nursing Section. PMID- 29837855 TI - Visits to Private Asylums. PMID- 29837858 TI - Progress in Psychiatry. PMID- 29837857 TI - Respiratory Diseases. PMID- 29837860 TI - Annotations. PMID- 29837859 TI - Cancer of the Prostate. PMID- 29837861 TI - Congenital Hypertrophic Stenosis of the Pylorus. PMID- 29837862 TI - The Treatment of Uterine Fibroids. PMID- 29837863 TI - Notes and News. PMID- 29837864 TI - Progress in Neurology. PMID- 29837865 TI - The Crisis at St. Bartholomew's Hospital. PMID- 29837866 TI - Dr. Otto Schmidt's Specific Treatment of Cancer. PMID- 29837867 TI - Progress in Nerve Surgery. PMID- 29837868 TI - Chronic Nephritis without Albuminuria. PMID- 29837869 TI - Annotations. PMID- 29837870 TI - Improvements at Charing Cross Hospital. PMID- 29837871 TI - Glances at the Hospitals. PMID- 29837872 TI - Roman Catholic Inebriates and Their Religion. PMID- 29837873 TI - Treatment of Addison's Disease. PMID- 29837874 TI - Pathology of Gall-Stones. PMID- 29837876 TI - The Value of Blood Examinations in Appendicitis. PMID- 29837875 TI - British Institutions for the Care of the Inebriate.-II. PMID- 29837877 TI - The Science and the Art of Feeding. PMID- 29837878 TI - Enlarged Tonsils. PMID- 29837879 TI - Rise and Growth of Vaccination Law.-II. PMID- 29837880 TI - Progress in Phototherapy and Electro-Therapeutics. PMID- 29837881 TI - Progress in Surgery of the Stomach. PMID- 29837882 TI - Notes and News. PMID- 29837883 TI - The Hospital. Nursing Section. PMID- 29837884 TI - New Appliances and Things Medical. PMID- 29837885 TI - Intra-Cranial Abscess and Middle Ear Disease. PMID- 29837886 TI - Around the Hospitals. PMID- 29837887 TI - Notes and News. PMID- 29837888 TI - Modern Sociology. PMID- 29837889 TI - Food and Taxation. PMID- 29837890 TI - Research and Post-Graduate Study in Medicine. PMID- 29837891 TI - British Institutions for the Care of the Inebriate.-III. PMID- 29837893 TI - The Hospital. Nursing Section. PMID- 29837892 TI - Modern Hospital and Institutional Fittings.-I. PMID- 29837894 TI - The First Garden City. PMID- 29837895 TI - Progress in State Medicine. PMID- 29837896 TI - The Treatment of Diabetes. PMID- 29837898 TI - Gonorrhoeal Arthritis and Ophthalmia Neo-Natorum. PMID- 29837897 TI - Annotations. PMID- 29837900 TI - Paroxysmal Haemoglobinuria. PMID- 29837899 TI - New Appliances and Things Medical. PMID- 29837901 TI - Progress in Surgery of the Liver and Gall Bladder. PMID- 29837902 TI - Progress in Opthalmology. PMID- 29837903 TI - Gangrene of the Leg Following Pneumonia. PMID- 29837904 TI - The Mount Vernon Hospital for Consumption. PMID- 29837905 TI - The Hospital. Nursing Section. PMID- 29837906 TI - Urinary Casts. PMID- 29837907 TI - Notes and News. PMID- 29837908 TI - Progress in Genito-Urinary Surgery. PMID- 29837909 TI - A Public Health Minister. PMID- 29837910 TI - Tumours of the Bladder. PMID- 29837912 TI - Notification in Tuberculosis. PMID- 29837911 TI - Progress in Bacteriology. PMID- 29837913 TI - Materia Medica and the Medical Curriculum. PMID- 29837914 TI - Roman Catholic Inebriates and Their Religion. PMID- 29837915 TI - The Royal Waterloo Hospital for Women and Children. PMID- 29837916 TI - St. Bartholomew's Hospital and the Nation. PMID- 29837917 TI - The Ultimate Results Obtained in the Open-Air Treatment of Pulmonary Tuberculosis. PMID- 29837919 TI - New Appliances and Things Medical. PMID- 29837918 TI - Annotations. PMID- 29837920 TI - Progress in State Medicine. PMID- 29837921 TI - Diffuse Gonococcus Infection. PMID- 29837923 TI - The Elimination of the Inebriate. PMID- 29837922 TI - The Kelling Sanatorium, Holt, Norfolk. PMID- 29837924 TI - The Hospital. Nursing Section. PMID- 29837925 TI - The King Edward VII. Sanatorium. PMID- 29837926 TI - Progress in Psychiatry. PMID- 29837927 TI - Dislocation of the Outer End of the Clavicle. PMID- 29837929 TI - Respiratory Diseases. PMID- 29837928 TI - Modern Sociology. PMID- 29837931 TI - Difficulty in Swallowing. PMID- 29837930 TI - Modern Hospital and Institutional Fittings.-II. PMID- 29837932 TI - Food: Cooking and Catering. PMID- 29837933 TI - Perforation of the Colon by Small Foreign Bodies. PMID- 29837934 TI - Annotations. PMID- 29837935 TI - Feeding and Disease. PMID- 29837936 TI - The Care of Rheumatic Children. PMID- 29837937 TI - The Use of Copper in Syphilis. PMID- 29837939 TI - Notes and News. PMID- 29837938 TI - Rise and Growth of Vaccination Law.-III. PMID- 29837941 TI - Progress in Disease of Digestive Organs. PMID- 29837940 TI - Progress in Medicine. PMID- 29837942 TI - Annotations. PMID- 29837943 TI - Food Adulteration in 1902. PMID- 29837945 TI - Progress in Bacteriology. PMID- 29837944 TI - Modern Sociology. PMID- 29837946 TI - Macroglossia. PMID- 29837947 TI - The Future of St. Bartholomew's Hospital. PMID- 29837948 TI - Progress in State Medicine. PMID- 29837949 TI - Infective Endocarditis. PMID- 29837950 TI - Ethyl Chloride as a General Anaesthetic. PMID- 29837951 TI - New Appliances and Things Medical. PMID- 29837952 TI - Operative Treatment of Tuberculous Glands in the Neck. PMID- 29837954 TI - St. Bartholomew's Hospital. PMID- 29837953 TI - The Hospital. Nursing Section. PMID- 29837955 TI - The Uniform System of Accounts for Hospitals and Institutions. PMID- 29837956 TI - British Institutions for the Care of the Inebriate-V. PMID- 29837958 TI - Notes and News. PMID- 29837957 TI - The Treatment of Nephritis. PMID- 29837959 TI - Post-Graduation Teaching in London. PMID- 29837960 TI - King's College Hospital. PMID- 29837961 TI - Notes and News. PMID- 29837962 TI - Danish Medical Institutions. PMID- 29837964 TI - Hachish in the Old Testament. PMID- 29837963 TI - Progress in Surgery of the Liver and Gall Bladder. PMID- 29837965 TI - Ankylostomiasis in Cornwall. PMID- 29837966 TI - Progress in Phototherapy and Electro-Therapeutics. PMID- 29837968 TI - The Hospital. Nursing Section. PMID- 29837967 TI - Progress in Nerve Surgery. PMID- 29837970 TI - Cardiac Aneurysms. PMID- 29837969 TI - New Appliances and Things Medical. PMID- 29837971 TI - Glances at the Hospitals. PMID- 29837972 TI - King's College Hospital. PMID- 29837974 TI - Operation in Carcinoma of the Breast. PMID- 29837973 TI - Carbolic Acid and the Treatment of Plague. PMID- 29837976 TI - Annotations. PMID- 29837975 TI - Typhoid Fever in Infancy and Childhood. PMID- 29837978 TI - The Cost of Small-Pox. PMID- 29837977 TI - The Surgical Treatment of Colitis. PMID- 29837979 TI - Progress in Surgery of the Stomach. PMID- 29837980 TI - The Sunderland Union Infirmary. PMID- 29837981 TI - Notes and News. PMID- 29837982 TI - The Hospital. Nursing Section. PMID- 29837983 TI - New Appliances and Things Medical. PMID- 29837984 TI - Post Typhoid Sepsis. PMID- 29837985 TI - The Urban Treatment of Surgical Tuberculosis. PMID- 29837986 TI - Medical Teaching in the Fifteenth Century. PMID- 29837987 TI - Progress in Dermatology. PMID- 29837988 TI - Cerebro-Spinal Fluid in General Paralysis. PMID- 29837989 TI - The Public Health and the Duty of the Daily Press. PMID- 29837990 TI - Annotations. PMID- 29837991 TI - Glances at the Hospitals. PMID- 29837992 TI - Progress in Surgery of the Pancreas and Spleen. PMID- 29837993 TI - Danish Medical Institutions: I. The Finsen Institute. PMID- 29837994 TI - When to Operate in Cleft Palate. PMID- 29837996 TI - Visits to Private Asylums. PMID- 29837995 TI - The Progress of Cancer Research. PMID- 29837997 TI - Progress in Phototherapy and Electro-Therapeutics. PMID- 29837998 TI - The Prevention of Heart Disease in Children. PMID- 29837999 TI - New Appliances and Things Medical. PMID- 29838000 TI - Progress in Genito-Urinary Surgery. PMID- 29838001 TI - Modern Sociology. PMID- 29838002 TI - The Physiological Limits of Motor Speed. PMID- 29838004 TI - Finsen Light. PMID- 29838003 TI - Organacidia Gastrica. PMID- 29838005 TI - Acute Infantile Bronchopneumonia. PMID- 29838006 TI - Progress in Surgery of the Brain and Nerves. PMID- 29838007 TI - Finsen Light. PMID- 29838008 TI - A Popular Drug. PMID- 29838010 TI - Notes and News. PMID- 29838009 TI - Annotations. PMID- 29838011 TI - Disinfection. PMID- 29838012 TI - Editor's Letter-Box. PMID- 29838013 TI - Temperance and Education. PMID- 29838014 TI - Chemical Physiology. PMID- 29838015 TI - Progress in Skin Diseases. PMID- 29838016 TI - Beriberi. PMID- 29838017 TI - The Law Relating to Infectious Diseases.-VI. PMID- 29838018 TI - The Hospital. Nursing Section. PMID- 29838019 TI - Progress in Genito-Urinary Surgery. PMID- 29838020 TI - Progress in Ophthalmology. PMID- 29838021 TI - An Educational Problem. PMID- 29838022 TI - Bronchoscopy. PMID- 29838023 TI - New Appliances and Things Medical. PMID- 29838024 TI - The British Medical Association. PMID- 29838026 TI - The Treatment of Inoperable Cancer. PMID- 29838025 TI - Infant Feeding. PMID- 29838027 TI - Modern Sociology. PMID- 29838028 TI - Progress in Skin Diseases. PMID- 29838029 TI - Notes and News. PMID- 29838030 TI - Metropolitan Hospital Sunday Fund. PMID- 29838032 TI - Lead Poisoning. PMID- 29838031 TI - The Hospital. Nursing Section. PMID- 29838034 TI - Annotations. PMID- 29838033 TI - Dilatation of the Stomach. PMID- 29838035 TI - The Manchester Royal Infirmary. PMID- 29838036 TI - Tottenham Hospital. PMID- 29838037 TI - The West London Hospital. PMID- 29838038 TI - Hospital for Sick Children, Great Ormond Street. PMID- 29838039 TI - The Miller Hospital. PMID- 29838040 TI - Royal Hospital for Diseases of the Chest, City Road. PMID- 29838041 TI - The Royal Orthopaedic Hospital. PMID- 29838042 TI - The Surgical Treatment of Irremovable Cancer of the Uterus. PMID- 29838043 TI - The Hospital. Nursing Section. PMID- 29838044 TI - No Flies. PMID- 29838045 TI - Universal Revaccination. PMID- 29838046 TI - The Law Relating to Infectious Diseases.-III. PMID- 29838047 TI - Therapeutic Uses of Normal Saline. PMID- 29838049 TI - Annotations. PMID- 29838048 TI - The Etiology of Chronic Nephritis. PMID- 29838051 TI - Progress in Genito-Urinary Surgery. PMID- 29838050 TI - Dermatitis Caused by Plants. PMID- 29838053 TI - Progress in State Medicine. PMID- 29838052 TI - New Appliances and Things Medical. PMID- 29838054 TI - Anomalous Cases of Tabes Dorsalis. PMID- 29838055 TI - Notes and News. PMID- 29838056 TI - Progress in Neurology. PMID- 29838057 TI - The Royal Hospital of the Innocents. PMID- 29838058 TI - The Story of the Insane from Year to Year. PMID- 29838059 TI - Posterior Drainage in Gunshot Wounds of the Abdomen. PMID- 29838061 TI - Progress in Cancer. PMID- 29838060 TI - Enterectomy Contrasted with Artificial Anus. PMID- 29838063 TI - Bonesetters and Their Methods. PMID- 29838062 TI - Annotations. PMID- 29838065 TI - Mount Vernon Hospital. PMID- 29838064 TI - Victoria Hospital, Folkestone. PMID- 29838067 TI - Anti-Vivisection Methods. PMID- 29838066 TI - The Midwives Bill. PMID- 29838068 TI - Modern Sociology. PMID- 29838069 TI - National Hospital for the Paralysed and Epileptic. PMID- 29838070 TI - Hospital Floors. PMID- 29838071 TI - The Diagnosis of Appendicitis. PMID- 29838072 TI - Progress in Surgery of the Pancreas and Spleen. PMID- 29838073 TI - The Story of the Insane from Year to Year. PMID- 29838074 TI - The Hospital. Nursing Section. PMID- 29838075 TI - Notes and News. PMID- 29838077 TI - Patent Foods. PMID- 29838076 TI - The Diagnosis of Cancer of the Uterus. PMID- 29838078 TI - Variola and Varicella. PMID- 29838079 TI - The New Hospital for Women. PMID- 29838080 TI - Progress in Renal Diseases. PMID- 29838081 TI - National Hospital for the Paralysed and Epileptic. PMID- 29838082 TI - Diagnostic Tapping of the Chest. PMID- 29838083 TI - Tonsillotomy. PMID- 29838084 TI - Notes and News. PMID- 29838085 TI - Trades Unionism in High Places. PMID- 29838087 TI - Arsenic in the Human Body. PMID- 29838086 TI - Annotations. PMID- 29838088 TI - The Treatment of Insomnia by Drugs. PMID- 29838089 TI - Special Hospital Sunday Supplement. PMID- 29838090 TI - The Midwives Bill. PMID- 29838091 TI - The King's Hospital Fund-The Coronation Gift. PMID- 29838092 TI - Surgery of the Peritoneum, Etc. PMID- 29838093 TI - Progress in Surgery. PMID- 29838094 TI - Progress in Bacteriology. PMID- 29838095 TI - Hydrophobia in South Wales. PMID- 29838096 TI - Ether v. Chloroform. PMID- 29838097 TI - Retroflexion of the Uterus. PMID- 29838098 TI - Hospital Sunday. PMID- 29838099 TI - New Appliances and Things Medical. PMID- 29838100 TI - Editor's Letter-Box. PMID- 29838101 TI - Middlesex Hospital. PMID- 29838103 TI - The Hospital. Nursing Section. PMID- 29838102 TI - The London Hospital. PMID- 29838104 TI - The London Hospitals: Messages from Great Personages. PMID- 29838105 TI - Inaccuracy of Language. PMID- 29838107 TI - Progress in Diseases of the Blood. PMID- 29838106 TI - The London Lock Hospital. PMID- 29838109 TI - Electrolysis for the Removal of Superfluous Hairs. PMID- 29838108 TI - Progress in Bacteriology. PMID- 29838111 TI - The Hospital. Nursing Section. PMID- 29838110 TI - The Seton. PMID- 29838112 TI - Annotations. PMID- 29838113 TI - Notes and News. PMID- 29838114 TI - St. Mark's Hospital. PMID- 29838115 TI - London Fever Hospital. PMID- 29838116 TI - Hyoscine in Paralysis Agitans. PMID- 29838117 TI - Progress in Ophthalmology. PMID- 29838118 TI - The Dangers of Arsenic. PMID- 29838119 TI - New Appliances and Things Medical. PMID- 29838120 TI - The Innocent Victims of a Conscience Clause. PMID- 29838121 TI - The Dietetic Value of Pasteurised Milk. PMID- 29838122 TI - King's College Hospital. PMID- 29838123 TI - Naughty Children. PMID- 29838124 TI - Health or Fashion? PMID- 29838125 TI - The Royal Orthopaedic Hospital. PMID- 29838126 TI - Metallic Mercury as a Purgative. PMID- 29838127 TI - Progress in Ophthalmology. PMID- 29838128 TI - Progress in Cancer. PMID- 29838129 TI - Gordon Hospital. PMID- 29838130 TI - Chloroform Administration. PMID- 29838131 TI - Notes and News. PMID- 29838132 TI - The Hospital. Nursing Section. PMID- 29838133 TI - Metropolitan Hospital. PMID- 29838134 TI - St. George's Hospital. PMID- 29838135 TI - Habits. PMID- 29838137 TI - Chronic Suppuration of the Antrum. PMID- 29838136 TI - "Conservative" Obstetrics. PMID- 29838138 TI - West London Hospital. PMID- 29838139 TI - The Localisation of the Mental Faculties. PMID- 29838140 TI - Abiotrophy. PMID- 29838141 TI - The Treatment of Bronchiectasis. PMID- 29838143 TI - A Climax at Torbay Hospital. PMID- 29838142 TI - New Appliances and Things Medical. PMID- 29838144 TI - Thyrotomy. PMID- 29838145 TI - Progress in Fevers. PMID- 29838146 TI - The Samaritan Free Hospital. PMID- 29838147 TI - Annotations. PMID- 29838148 TI - The Metropolitan Hospital Sunday Fund. PMID- 29838149 TI - Voice Strain in Teachers. PMID- 29838150 TI - Progress in Ophthalmology. PMID- 29838151 TI - Pyrexia in the Puerperium. PMID- 29838152 TI - The Spa Physician. PMID- 29838153 TI - Notes and News. PMID- 29838155 TI - Where to Vaccinate. PMID- 29838154 TI - Progress in Genito-Urinary Surgery. PMID- 29838156 TI - An Example of Compulsory Vaccination. PMID- 29838157 TI - The Hospital. Nursing Section. PMID- 29838158 TI - The Miller Hospital, Greenwich. PMID- 29838159 TI - New Appliances and Things Medical. PMID- 29838160 TI - Cardiac Failure in Diphtheria. PMID- 29838161 TI - The Subcutaneous Injection of Paraffin in the Treatment of Saddle Nose. PMID- 29838162 TI - Modern Sociology. PMID- 29838163 TI - The Quiescent Period in Acute Abdominal Affections. PMID- 29838164 TI - Cancer Research. PMID- 29838165 TI - Bile Burns. PMID- 29838166 TI - Annotations. PMID- 29838167 TI - Progress in Bacteriology. PMID- 29838168 TI - The Story of the Insane from Year to Year. PMID- 29838169 TI - Royal Orthopaedic Hospital. PMID- 29838170 TI - Paddington Green Children's Hospital. PMID- 29838171 TI - Glances at the Hospitals. PMID- 29838173 TI - Degrees and Diplomas. PMID- 29838172 TI - Leucocytosis in Appendicitis. PMID- 29838174 TI - The Medical Curriculum. PMID- 29838175 TI - Methylated Spirit Drinking. PMID- 29838176 TI - Our Inconsistencies. PMID- 29838177 TI - Annotations. PMID- 29838178 TI - The Medical Schools. PMID- 29838179 TI - Rupture of the Perineum. PMID- 29838180 TI - When Does Labour Begin? PMID- 29838181 TI - Banti's Disease. PMID- 29838182 TI - The Study of Medicine. PMID- 29838183 TI - Industrial Phthisis. PMID- 29838184 TI - Notes and News. PMID- 29838185 TI - The Misuse of Glasses. PMID- 29838186 TI - New Appliances and Things Medical. PMID- 29838187 TI - Progress in Fevers. PMID- 29838188 TI - Progress in X-Ray Therapeutics. PMID- 29838189 TI - The Hospital. Nursing Section. PMID- 29838190 TI - Progress in Neurology. PMID- 29838191 TI - Glances at the Hospitals. PMID- 29838193 TI - Progress in Anaesthetics. PMID- 29838192 TI - Hospital Floors. PMID- 29838194 TI - Advertising in Its Various Grades. PMID- 29838195 TI - The Hospital. Nursing Section. PMID- 29838196 TI - Acute Septic Arthritis of the Knee. PMID- 29838197 TI - Progress in Bacteriology. PMID- 29838198 TI - New Appliances and Things Medical. PMID- 29838199 TI - The Story of the Insane from Year to Year. PMID- 29838201 TI - Pineapple Juice in Medicine. PMID- 29838200 TI - The Treatment of Tuberculous Peritonitis. PMID- 29838202 TI - Annotations. PMID- 29838203 TI - Notes and News. PMID- 29838205 TI - An Experiment in Regard to Cancer. PMID- 29838204 TI - Clinical Lecture on Tubal Abortion. PMID- 29838206 TI - Displacement of Tendons. PMID- 29838207 TI - Diet in Typhoid Fever. PMID- 29838208 TI - Progress in Surgery of the Liver and Gall Bladder. PMID- 29838209 TI - The Law Relating to Infectious Diseases.-I. PMID- 29838210 TI - The School Nurses' Society. PMID- 29838211 TI - Our Sham Civilisation. PMID- 29838212 TI - Progress in Surgery of the Intestines. PMID- 29838213 TI - New Appliances and Things Medical. PMID- 29838214 TI - Charing Cross Hospital. PMID- 29838216 TI - A New Way of Fixing the Kidney. PMID- 29838215 TI - Trypanosoma. PMID- 29838217 TI - The Hospital. Nursing Section. PMID- 29838218 TI - The Story of the Insane from Year to Year. PMID- 29838219 TI - Anti-Vivisection Methods. PMID- 29838220 TI - Progress of the Surgery of the Vermiform Appendix. PMID- 29838222 TI - King's College Hospital. PMID- 29838221 TI - Problems in Cancer. PMID- 29838223 TI - The Royal Sea-Bathing Hospital, Margate. PMID- 29838224 TI - Exercise in Heart Disease. PMID- 29838225 TI - Annotations. PMID- 29838226 TI - American Views on the Treatment of Appendicitis. PMID- 29838228 TI - Appendicitis. PMID- 29838229 TI - Notes and News. PMID- 29838227 TI - The King's Illness. PMID- 29838230 TI - Progress in Cancer. PMID- 29838231 TI - Amputation at the Hip Joint. PMID- 29838232 TI - Notes and News. PMID- 29838233 TI - The Holidays. PMID- 29838234 TI - Addenbrooke's Hospital, Cambridge. PMID- 29838235 TI - Spasmodic Dysmenorrhoea. PMID- 29838237 TI - Modern Sociology. PMID- 29838236 TI - His Majesty and the Hospitals. PMID- 29838238 TI - Annotations. PMID- 29838239 TI - The Treatment of Gall Stones. PMID- 29838240 TI - British Home and Hospital for Incurables, Streatham. PMID- 29838241 TI - Progress in State Medicine. PMID- 29838243 TI - A Modern Lettre De Cachet. PMID- 29838242 TI - Progress in Genito-Urinary Surgery. PMID- 29838245 TI - Ovarian Dysmenorrhoea. PMID- 29838244 TI - North-Eastern Hospital for Children. PMID- 29838246 TI - King Edward's Hospital Fund. PMID- 29838247 TI - New Appliances and Things Medical. PMID- 29838248 TI - The Treatment of Naevi by Electricity. PMID- 29838249 TI - Malaria in England. PMID- 29838250 TI - Progress in General Surgery. PMID- 29838251 TI - Editor's Letter-Box. PMID- 29838252 TI - The Hospital. Nursing Section. PMID- 29838253 TI - Operation in Breast Cancer. PMID- 29838254 TI - The Story of the Insane from Year to Year. PMID- 29838255 TI - Annotations. PMID- 29838256 TI - Oowana: A New Toilet Soap. PMID- 29838257 TI - Summer Diarrhoea. PMID- 29838258 TI - New Appliances and Things Medical. PMID- 29838259 TI - Plague as a Soil Infection. PMID- 29838260 TI - Hospital Expenditure.-II. PMID- 29838261 TI - Notes and News. PMID- 29838262 TI - Modern Sociology. PMID- 29838263 TI - Epilepsy and Crime. PMID- 29838265 TI - Practical Departments. PMID- 29838264 TI - Health Resorts. PMID- 29838266 TI - Give Him Air; He'll Straight Be Well. PMID- 29838267 TI - The Hospital. Nursing Section. PMID- 29838269 TI - Progress in Orthopaedic Surgery. PMID- 29838268 TI - Electrical Treatment of Abdominal Viscera. PMID- 29838270 TI - Weather and Mortality. PMID- 29838271 TI - Transperitoneal Ligature of the Internal Iliac Artery. PMID- 29838272 TI - Progress in State Medicine. PMID- 29838273 TI - Glances at the Hospitals. PMID- 29838274 TI - Arsenic and Cancer. PMID- 29838275 TI - The Hospital. Nursing Section. PMID- 29838277 TI - The Story of the Insane from Year to Year. PMID- 29838276 TI - Progress in Surgery of the Liver and Gall Bladder. PMID- 29838278 TI - Treatment of Obstructed Labour. PMID- 29838279 TI - Mosquitos and Sea-Borne Malaria. PMID- 29838280 TI - New Appliances and Things Medical. PMID- 29838281 TI - Heterogenesis. PMID- 29838282 TI - Annotations. PMID- 29838283 TI - Convalescence after Appendicitis. PMID- 29838284 TI - Notes and News. PMID- 29838285 TI - Progress in Obstetrics. PMID- 29838287 TI - Whooping Cough Statistics. PMID- 29838286 TI - Modern Sociology. PMID- 29838289 TI - Early Mental Cases. PMID- 29838288 TI - Progress in Ophthalmology. PMID- 29838290 TI - The Hospital of St. Francis. PMID- 29838291 TI - The Midwives of the Future. PMID- 29838292 TI - Practical Department. PMID- 29838293 TI - Leucocytosis in Appendicitis. PMID- 29838294 TI - The Medical, Surgical, and Hygienic Exhibition. PMID- 29838295 TI - Punctuality in Infant Feeding. PMID- 29838297 TI - Victoria Hospital for Children, Queen's Road, Chelsea. PMID- 29838296 TI - Progress in Neurology. PMID- 29838298 TI - Alexandra Hospital for Children with Hip Disease. PMID- 29838299 TI - Modern Sociology. PMID- 29838300 TI - The New Operating Department of the London Hospital. PMID- 29838301 TI - Hypnotism. PMID- 29838302 TI - North-Eastern Hospital for Children. PMID- 29838303 TI - Tenotomy in Fractures. PMID- 29838304 TI - Education-Past and Future. PMID- 29838305 TI - Blood Counting in General Practice. PMID- 29838306 TI - The Medical Aspects of the West Indian Islands. PMID- 29838308 TI - Addison's Anaemia. PMID- 29838307 TI - The Hospital. Nursing Section. PMID- 29838309 TI - Friedenheim Hospital. PMID- 29838310 TI - Notes and News. PMID- 29838311 TI - Coley's Fluid in Sarcoma. PMID- 29838313 TI - Surgical Uses of Linen Thread. PMID- 29838312 TI - Progress in Psychiatry. PMID- 29838314 TI - Annotations. PMID- 29838315 TI - Annotations. PMID- 29838316 TI - The General Medical Council. PMID- 29838317 TI - Leprosy. PMID- 29838318 TI - Soil and Seed. PMID- 29838319 TI - The Hospital. Nursing Section. PMID- 29838320 TI - Sham Nursing Homes. PMID- 29838321 TI - The Composition of Douches. PMID- 29838323 TI - Brompton Consumption Hospital. PMID- 29838322 TI - Progress in Surgery of the Stomach. PMID- 29838324 TI - Hospital for Sick Children. PMID- 29838325 TI - Progress in Surgery. PMID- 29838326 TI - A Case of Acquired Nerve Deafness. PMID- 29838327 TI - Chelsea Hospital for Women. PMID- 29838329 TI - The League of Mercy at Marlborough House. PMID- 29838328 TI - Progress in Neurology. PMID- 29838330 TI - Hampstead Hospital Biennial Festival Dinner. PMID- 29838331 TI - The Victims of the War. PMID- 29838332 TI - Lunacy Statistics. PMID- 29838333 TI - Notes and News. PMID- 29838334 TI - New Appliances and Things Medical. PMID- 29838335 TI - Arthritis Accompanying Ophthalmia Neonatorum. PMID- 29838337 TI - Gold Miners' Phthisis. PMID- 29838336 TI - Erysipelas and Puerperal Fever. PMID- 29838338 TI - Contract Practice. PMID- 29838339 TI - Paratyphoid Infections. PMID- 29838341 TI - The King's Chocolate. PMID- 29838340 TI - The London Hospitals: Messages from Great Personages. PMID- 29838342 TI - Lumbago and Its Counterfeits. PMID- 29838343 TI - Health Resorts. PMID- 29838344 TI - The Hospital. Nursing Section. PMID- 29838345 TI - The Dowsing Radiant Heat Baths. PMID- 29838346 TI - New Appliances and Things Medical. PMID- 29838347 TI - Pregnancy after Double Ovariotomy. PMID- 29838348 TI - Annotations. PMID- 29838349 TI - Progress in Psychiatry. PMID- 29838350 TI - The Coronation and the Weather. PMID- 29838351 TI - Extraneous Organisms in Vaccine Lymph. PMID- 29838353 TI - Progress in Neurology. PMID- 29838352 TI - The Chemists' Exhibition. PMID- 29838355 TI - Notes and News. PMID- 29838354 TI - Progress in Bacteriology. PMID- 29838356 TI - Presidential Address. PMID- 29838358 TI - The Hospital. Nursing Section. PMID- 29838357 TI - Annotations. PMID- 29838359 TI - Cholera in Egypt. PMID- 29838360 TI - The Law Relating to Infectious Diseases.-II. PMID- 29838362 TI - Health Resorts. PMID- 29838361 TI - Cancer Research. PMID- 29838364 TI - Progress in Diabetes. PMID- 29838363 TI - Notes and News. PMID- 29838365 TI - St. Thomas's Hospital. PMID- 29838366 TI - Hospital Meetings: The Hospital for Epilepsy and Paralysis. PMID- 29838367 TI - London Lock Hospital. PMID- 29838368 TI - The Address in Medicine. PMID- 29838369 TI - The Address in Obstetrics. PMID- 29838370 TI - Progress in Skin Diseases. PMID- 29838371 TI - Modern Sociology. PMID- 29838372 TI - Manchester Meeting. PMID- 29838373 TI - New Appliances and Things Medical. PMID- 29838374 TI - The Law Relating to Infectious Diseases.-IV. PMID- 29838375 TI - Progress in Neurology. PMID- 29838376 TI - Town and Village Typhoid. PMID- 29838377 TI - The Vital Theory of the Causation of Carcinoma. PMID- 29838379 TI - The Wants of the Hop-Picking Mission. PMID- 29838378 TI - The Hospital. Nursing Section. PMID- 29838380 TI - Progress in Fevers. PMID- 29838381 TI - Lunacy in Scotland. PMID- 29838382 TI - Health Resorts. PMID- 29838383 TI - Progress in X-Ray Therapeutics. PMID- 29838385 TI - The Imperial Vaccination League. PMID- 29838384 TI - Coxa Vara. PMID- 29838386 TI - Rest in Heart Disease. PMID- 29838387 TI - Notes and News. PMID- 29838388 TI - A New Use for the Appendix. PMID- 29838389 TI - The Chronometry of Life. PMID- 29838390 TI - The Story of the Insane from Year to Year. PMID- 29838391 TI - Annotations. PMID- 29838392 TI - Modern Sociology. PMID- 29838393 TI - Idiosyncrasy. PMID- 29838395 TI - Progress in Neurology. PMID- 29838394 TI - Practical Departments. PMID- 29838396 TI - Annotations. PMID- 29838397 TI - West Ham Hospital. PMID- 29838398 TI - Pyrexia and Open Air. PMID- 29838399 TI - The Treatment of Club Foot. PMID- 29838400 TI - The Hospital. Nursing Section. PMID- 29838401 TI - Death from the Use of Atropine Drops. PMID- 29838402 TI - Cancer of the Uterus. PMID- 29838403 TI - Fires and the Architects. PMID- 29838404 TI - Leprosy. PMID- 29838405 TI - Complete Amputation of Two Limbs. PMID- 29838406 TI - The Middlesex Hospital. PMID- 29838407 TI - Notes and News. PMID- 29838409 TI - Race and Physical Education. PMID- 29838408 TI - The Royal School for Midwives at Munich. PMID- 29838410 TI - New Appliances and Things Medical. PMID- 29838411 TI - The Midwives Bill. PMID- 29838412 TI - Progress in Surgery. PMID- 29838413 TI - Progress in State Medicine. PMID- 29838414 TI - The Removal of Adenoids. PMID- 29838415 TI - Notes and News. PMID- 29838416 TI - Temperature in Phthisis. PMID- 29838417 TI - The "Offa" Ventilator. PMID- 29838419 TI - Beer and Cancer. PMID- 29838418 TI - The Royal Army Medical Corps. PMID- 29838420 TI - Progress in General Surgery. PMID- 29838421 TI - The Radical Cure of Bunions. PMID- 29838422 TI - The Hospital. Nursing Section. PMID- 29838423 TI - Annotations. PMID- 29838424 TI - A Warning Concerning Drainage Tubes. PMID- 29838425 TI - The Choice of Operation for Prostatic Enlargement. PMID- 29838426 TI - Modern Sociology. PMID- 29838428 TI - London Homoeopathic Hospital. PMID- 29838427 TI - Progress in Genito-Urinary Surgery. PMID- 29838429 TI - Bilharzia Disease. PMID- 29838430 TI - The Evelina Hospital. PMID- 29838431 TI - Arterio-Venous Aneurysm. PMID- 29838432 TI - Hospital and Home for Incurable Children. PMID- 29838434 TI - University College Hospital. PMID- 29838433 TI - Progress in Neurology. PMID- 29838435 TI - North-Eastern Hospital for Children. PMID- 29838436 TI - Salt Infusion in Morphia Poisoning. PMID- 29838437 TI - Royal Ophthalmic Hospital. PMID- 29838438 TI - The Mount Vernon Hospital: Country Branch. PMID- 29838439 TI - The Treatment of Fever Following Delivery.-Serum Therapy in Puerperal Fever. PMID- 29838440 TI - Sale and Purchase of a Medical Practice. PMID- 29838442 TI - Perforation in Typhoid Fever. PMID- 29838441 TI - "The Hospital" Nursing Mirror. PMID- 29838444 TI - Hospital Meetings, &c. PMID- 29838443 TI - Institutional Questions. PMID- 29838445 TI - The Evolution of Cataract Extraction. PMID- 29838446 TI - The War. PMID- 29838448 TI - Searching out the Secrets of Nature. PMID- 29838447 TI - Diphtheria. PMID- 29838449 TI - Consumption in Asylums. PMID- 29838450 TI - Tuberculosis and Slight Ailments. PMID- 29838452 TI - Progress in Medicine. PMID- 29838451 TI - Annotations. PMID- 29838453 TI - The Prince of Wales's Hospital Fund for London. PMID- 29838454 TI - Progress in Surgery. PMID- 29838455 TI - New Appliances and Things Medical. PMID- 29838456 TI - Notes and News. PMID- 29838458 TI - Progress in Medicine. PMID- 29838457 TI - A Note on Chronic Frontal Sinusitis. PMID- 29838459 TI - The Treatment of Congenital Dislocation of the Hip. PMID- 29838460 TI - Annotations. PMID- 29838461 TI - The General Meetings of the British Medical Association. PMID- 29838462 TI - Diphtheria. PMID- 29838463 TI - Progress in Surgery. PMID- 29838464 TI - Hospital Construction. PMID- 29838465 TI - Modern Sociology. PMID- 29838466 TI - The "Map of Life." PMID- 29838467 TI - Vaginal Coeliotomy. PMID- 29838468 TI - "The Hospital" Nursing Mirror. PMID- 29838469 TI - Searching out the Secrets of Nature. PMID- 29838470 TI - The Treatment of Gunshot Wound of the Abdomen. PMID- 29838472 TI - New Appliances and Things Medical. PMID- 29838471 TI - The Medical Society. PMID- 29838474 TI - The Geneva Convention. PMID- 29838473 TI - Notes and News. PMID- 29838475 TI - Institutional Questions. PMID- 29838476 TI - Modern Sociology. PMID- 29838477 TI - A Hat-Pin in the Stomach. PMID- 29838478 TI - "The Hospital" Nursing Mirror. PMID- 29838479 TI - Moveable Kidney: A Cause of Hepatic Colic. PMID- 29838480 TI - The English Education Exhibition. PMID- 29838482 TI - New Appliances and Things Medical. PMID- 29838481 TI - The Story of the Insane from Year to Year. PMID- 29838483 TI - Annotations. PMID- 29838484 TI - The Herbert Hospital, Woolwich-A Grave Scandal. PMID- 29838485 TI - St. George's Hospital. PMID- 29838486 TI - Progress in Bacteriology. PMID- 29838488 TI - Progress in Medicine. PMID- 29838487 TI - Uric Acid. PMID- 29838489 TI - The Nursing of Our Soldiers.-A Serious Difficulty. PMID- 29838490 TI - Notes and News. PMID- 29838491 TI - The Treatment of Minor Epilepsy. PMID- 29838492 TI - The Treatment of Internal Derangement of the Knee-Joint. PMID- 29838493 TI - Progress in Obstetrics. PMID- 29838494 TI - Gonorrhoeal Ophthalmia. PMID- 29838495 TI - The Mechanical Hypothesis as to the Origin of Cancer. PMID- 29838496 TI - "The Hospital" Nursing Mirror. PMID- 29838497 TI - The Story of the Insane from Year to Year. PMID- 29838498 TI - Glances at the Hospitals. PMID- 29838499 TI - Progress in Ophthalmology. PMID- 29838500 TI - Progress in Medicine. PMID- 29838501 TI - Institutional Questions. PMID- 29838503 TI - New Appliances and Things Medical. PMID- 29838502 TI - Insomnia. PMID- 29838504 TI - The Complete Mastoid Operation. PMID- 29838505 TI - Notes and News. PMID- 29838506 TI - Arthrectomy of the Knee Joint for Tuberculous Disease. PMID- 29838507 TI - Annotations. PMID- 29838508 TI - Hospital Construction. PMID- 29838509 TI - Modern Sociology. PMID- 29838510 TI - The Treatment of Appendicitis. PMID- 29838511 TI - The Royal College of Surgeons of England. PMID- 29838512 TI - Inoculation for Typhoid Fever. PMID- 29838513 TI - An Excessive Dose of Sulphonal. PMID- 29838515 TI - Progress in Medicine. PMID- 29838514 TI - War and Fever. PMID- 29838517 TI - The Treatment of Typhoid Fever. PMID- 29838516 TI - Notes on Health Resorts. PMID- 29838519 TI - Glances at the Hospitals. PMID- 29838518 TI - "The Hospital" Nursing Mirror. PMID- 29838521 TI - Food "Preservatives." PMID- 29838520 TI - The War Fund. PMID- 29838523 TI - A Calm Editor. PMID- 29838522 TI - The Story of the Insane from Year to Year. PMID- 29838525 TI - Modern Sociology. PMID- 29838524 TI - Typhoid Fever without Abdominal Symptoms. PMID- 29838526 TI - Progress in Gynaecology. PMID- 29838527 TI - New Appliances and Things Medical. PMID- 29838529 TI - The Treatment of High Degrees of Myopia. PMID- 29838528 TI - Acute Appendicitis. PMID- 29838531 TI - Notes and News. PMID- 29838530 TI - Tobacco-Amblyopia. PMID- 29838532 TI - Skin Grafting. PMID- 29838533 TI - Annotations. PMID- 29838534 TI - Hospital Construction. PMID- 29838535 TI - Chemical Preservatives in Food. PMID- 29838536 TI - Shock. PMID- 29838537 TI - Hospital Reform Conference. PMID- 29838539 TI - Annotations. PMID- 29838538 TI - Progress in Medicine. PMID- 29838541 TI - The Medical Society. PMID- 29838540 TI - Insanitary Pavements. PMID- 29838542 TI - Progress in Ophthalmology. PMID- 29838543 TI - Institutional Questions. PMID- 29838544 TI - Racial Stamina. PMID- 29838545 TI - Diphtheria. PMID- 29838546 TI - The Stomach Tube in Practical Medicine. PMID- 29838547 TI - "The Hospital" Nursing Mirror. PMID- 29838548 TI - New Appliances and Things Medical. PMID- 29838550 TI - Notes and News. PMID- 29838549 TI - On Beri-Beri in Asylums. PMID- 29838552 TI - Annotations. PMID- 29838551 TI - Progress in Surgery. PMID- 29838554 TI - The Sale of Poisons. PMID- 29838553 TI - Modern Sociology. PMID- 29838556 TI - The Treatment of Pericarditis with Effusion. PMID- 29838555 TI - Adiposis Dolorosa. PMID- 29838558 TI - Expert Evidence. PMID- 29838557 TI - "The Hospital" Nursing Mirror. PMID- 29838559 TI - Appendicitis. PMID- 29838560 TI - Editor's Letter-Box. PMID- 29838562 TI - Notes and News. PMID- 29838563 TI - Legal Notes. PMID- 29838561 TI - Therapeutical Notes. PMID- 29838564 TI - Thoroughness in Surgery. PMID- 29838565 TI - Institutional Questions. PMID- 29838566 TI - Sympathetic Ophthalmia. PMID- 29838567 TI - Hospital Meetings, &c. PMID- 29838568 TI - Progress in Medicine. PMID- 29838569 TI - Puerperal Insanity. PMID- 29838570 TI - The Leicester Guardians. PMID- 29838572 TI - The Radcliffe Infirmary and Its Chaplain. PMID- 29838571 TI - New Appliances and Things Medical. PMID- 29838573 TI - The Aix-La-Chapelle Treatment of Syphilis. PMID- 29838574 TI - Clinical Notes on Rickets. PMID- 29838576 TI - "The Hospital" Nursing Mirror. PMID- 29838575 TI - Some Details as to Aseptic Operation. PMID- 29838577 TI - Anti-Plague Inoculation. PMID- 29838578 TI - Falmouth Sanitation. PMID- 29838579 TI - New Appliances and Things Medical. PMID- 29838580 TI - The Spread of Plague. PMID- 29838581 TI - Modern Sociology. PMID- 29838582 TI - Notes and News. PMID- 29838583 TI - Progress in Medicine. PMID- 29838584 TI - Progress in Surgery. PMID- 29838585 TI - Institutional Questions. PMID- 29838586 TI - Surgery outside the Hospitals. PMID- 29838588 TI - Hospital Meetings, &c. PMID- 29838587 TI - Annotations. PMID- 29838589 TI - Notes and News. PMID- 29838590 TI - "The Hospital" Nursing Mirror. PMID- 29838591 TI - The War Funds-Not by Public Subscription. PMID- 29838592 TI - A Fatal Omen. PMID- 29838593 TI - Milk Inspection in New York. PMID- 29838594 TI - Annotations. PMID- 29838596 TI - Branch Hospitals for Convalescents. PMID- 29838595 TI - Legislation for Midwives. PMID- 29838598 TI - Progress in Surgery. PMID- 29838597 TI - New Appliances and Things Medical. PMID- 29838599 TI - Old Wives' Physic. PMID- 29838600 TI - Hospital Meetings, &c. PMID- 29838601 TI - Baby Farming. PMID- 29838602 TI - The Midwives Bill. PMID- 29838603 TI - Medical Practice by Commercial Companies. PMID- 29838604 TI - Progress in Medicine. PMID- 29838605 TI - Royal Medical and Chirurgical Society. PMID- 29838606 TI - Prolonged Syphilitic Taint in the Ova. PMID- 29838607 TI - Children and Malaria. PMID- 29838609 TI - Artificial Menopause. PMID- 29838608 TI - Notes and News. PMID- 29838611 TI - The Forty-First Annual Report of the Commissioners in Lunacy for Scotland. PMID- 29838610 TI - Progress in Psychiatry. PMID- 29838613 TI - Metropolitan Extension. PMID- 29838612 TI - Institutional Questions. PMID- 29838615 TI - The Sanatorium Treatment of Tuberculosis. PMID- 29838614 TI - The Bacterial Treatment of Sewage. PMID- 29838616 TI - The Adulteration of Drugs. PMID- 29838617 TI - Diphtheria. PMID- 29838618 TI - Progress in Medicine. PMID- 29838619 TI - The Prince of Wales's Hospital Fund for London. PMID- 29838620 TI - Editor's Letter-Box. PMID- 29838621 TI - Civilisation and Obstetrics. PMID- 29838623 TI - Provident Dispensaries. PMID- 29838622 TI - New Appliances and Things Medical. PMID- 29838625 TI - Annotations. PMID- 29838624 TI - "The Hospital" Nursing Mirror. PMID- 29838626 TI - Koch on Malaria. PMID- 29838627 TI - Provident Dispensaries. PMID- 29838629 TI - The Flying Hospital. PMID- 29838628 TI - Progress in Ophthalmology. PMID- 29838630 TI - Hospital Construction. PMID- 29838631 TI - The Causes of Insanity. PMID- 29838633 TI - Notes and News. PMID- 29838632 TI - New Appliances and Things Medical. PMID- 29838635 TI - Progress in Surgery. PMID- 29838634 TI - Cerebro-Spinal Meningitis. PMID- 29838636 TI - The Story of the Insane from Year to Year. PMID- 29838637 TI - Plague in India. PMID- 29838638 TI - The Case of Mrs. Crook. PMID- 29838639 TI - Sir William Banks on the Origin of Cancer. PMID- 29838640 TI - "The Hospital" Nursing Mirror. PMID- 29838641 TI - Progress in Medicine. PMID- 29838642 TI - Annotations. PMID- 29838643 TI - Opening of the New Italian Hospital. PMID- 29838644 TI - Hospital Meetings, &c. PMID- 29838645 TI - Typhoid Fever in America. PMID- 29838646 TI - London Sewage. PMID- 29838647 TI - The Wages of Prosperity. PMID- 29838649 TI - The Treatment of Fractured Patella. PMID- 29838648 TI - Hospital Meetings, &c. PMID- 29838651 TI - Progress in Surgery. PMID- 29838650 TI - Institutional Questions. PMID- 29838653 TI - Notes and News. PMID- 29838652 TI - Surgery in Gastric Dilatation. PMID- 29838654 TI - The Ophthalmoscope in General Practice. PMID- 29838655 TI - Modern Sociology. PMID- 29838657 TI - Progress in Medicine. PMID- 29838656 TI - Massage in the Treatment of Fractures. PMID- 29838658 TI - "The Hospital" Nursing Mirror. PMID- 29838659 TI - Intermittent Painless Haematuria. PMID- 29838660 TI - The Moral Condition of London. PMID- 29838661 TI - Addenbrooke's Hospital. PMID- 29838662 TI - "Open Air" and Tuberculosis. PMID- 29838663 TI - Annotations. PMID- 29838664 TI - Immobilisation of the Flaps after Amputation. PMID- 29838665 TI - The Mortality from Influenza. PMID- 29838666 TI - Fighting Consumption in Manchester. PMID- 29838667 TI - New Appliances and Things Medical. PMID- 29838669 TI - Accidental Electric Shocks. PMID- 29838668 TI - The Treatment of Eclampsia. PMID- 29838670 TI - Annotations. PMID- 29838671 TI - Poplar Hospital for Accidents. PMID- 29838672 TI - Drill in Schools. PMID- 29838673 TI - The Disinfection of Rooms. PMID- 29838674 TI - London Temperance Hospital. PMID- 29838675 TI - Progress in State Medicine. PMID- 29838676 TI - Progress in Psychiatry. PMID- 29838677 TI - Surgery in Mitral Stenosis. PMID- 29838678 TI - "Motoring" for Health. PMID- 29838679 TI - Isolation in Scarlet Fever. PMID- 29838680 TI - The National Hospital for the Paralysed. PMID- 29838681 TI - The Treatment of Gout. PMID- 29838682 TI - Progress in Disease of Digestive Organs. PMID- 29838683 TI - Cotton-Wool Sandwiches. PMID- 29838684 TI - The Hospital. Nursing Section. PMID- 29838685 TI - Practical Departments. PMID- 29838687 TI - Notes and News. PMID- 29838686 TI - St. Peter's Hospital. PMID- 29838688 TI - Infants at School. PMID- 29838689 TI - Editor's Letter-Box. PMID- 29838690 TI - Scientific Education. PMID- 29838691 TI - The Hospital. Nursing Section. PMID- 29838692 TI - The Prevalence of Lunacy in England and Wales. PMID- 29838693 TI - The Decadence of the "Civilised" Negro. PMID- 29838694 TI - Alcohol, Tuberculosis, and the Public-House. PMID- 29838695 TI - The Story of the Insane from Year to Year. PMID- 29838696 TI - Placenta Praevia. PMID- 29838697 TI - Progress in Gynaecology. PMID- 29838698 TI - Glances at the Hospitals. PMID- 29838699 TI - An Error in the Use of Statistics. PMID- 29838700 TI - Modern Sociology. PMID- 29838701 TI - New Appliances and Things Medical. PMID- 29838702 TI - Liverpool Sanatorium for Consumptives. PMID- 29838703 TI - Notes and News. PMID- 29838705 TI - Anaesthetics in Short Operations on the Throat and Nose. PMID- 29838704 TI - Annotations. PMID- 29838706 TI - Progress in Genito-Urinary Surgery. PMID- 29838707 TI - Compulsory but Unpaid Professional Services. PMID- 29838708 TI - Half-Timers. PMID- 29838709 TI - Progress in Neurology. PMID- 29838711 TI - Drainage and Irrigation in Urethrotomy. PMID- 29838710 TI - The Law Relating to Infectious Diseases.-V. PMID- 29838712 TI - Institutional Questions. PMID- 29838713 TI - Tuberculosis in Cows. PMID- 29838714 TI - Erin Go Bragh. PMID- 29838715 TI - Progress in Medicine. PMID- 29838716 TI - The Artificial Feeding of Infants.-A Rational Method. PMID- 29838717 TI - The Late Sir Andrew Clark. PMID- 29838718 TI - Notes and News. PMID- 29838719 TI - The Prevention of Malaria. PMID- 29838721 TI - Working-Class Members of Hospital Committees. PMID- 29838720 TI - Annotations. PMID- 29838722 TI - The Army Medical Department. PMID- 29838723 TI - The Skin Affections Met with in Bright's Disease. PMID- 29838724 TI - Acute Rheumatism and Valvular Disease. PMID- 29838725 TI - Progress in Surgery. PMID- 29838726 TI - The "Princess Christian" Hospital. PMID- 29838727 TI - Legislation for Midwives. PMID- 29838728 TI - "The Hospital" Nursing Mirror. PMID- 29838729 TI - Hospital Meetings, &c. PMID- 29838730 TI - Progress in Surgery. PMID- 29838731 TI - Modern Sociology. PMID- 29838732 TI - Hospital Construction. PMID- 29838733 TI - The Sale of Food and Drugs Act, 1899. PMID- 29838734 TI - Annotations. PMID- 29838735 TI - London Sanitation. PMID- 29838737 TI - Progress in Medicine. PMID- 29838736 TI - Progress in Ophthalmology. PMID- 29838738 TI - Institutional Questions. PMID- 29838739 TI - Diet in Typhoid Fever. PMID- 29838740 TI - Rupture of the Uterus. PMID- 29838741 TI - "The Hospital" Nursing Mirror. PMID- 29838742 TI - The Tuberculous Convalescent. PMID- 29838743 TI - Excision of a Tuberculous Vesicula Seminalis. PMID- 29838744 TI - Notes and News. PMID- 29838745 TI - Influenza and Pneumonia. PMID- 29838746 TI - Cancer of the Penis. PMID- 29838747 TI - Periscope of Dermatology. PMID- 29838748 TI - Institutional Questions. PMID- 29838749 TI - Modern Sociology. PMID- 29838750 TI - The Story of the Insane from Year to Year. PMID- 29838751 TI - New Appliances and Things Medical. PMID- 29838752 TI - Notes and News. PMID- 29838753 TI - On the Value of Widal's Reaction. PMID- 29838754 TI - A Bullet with Low Velocity. PMID- 29838755 TI - Progress in Medicine. PMID- 29838756 TI - The General Medical Council. PMID- 29838757 TI - Progress in Surgery. PMID- 29838758 TI - The Feeding of an Army. PMID- 29838759 TI - High Velocity Bullets. PMID- 29838760 TI - The Treatment of Tinea Capitis. PMID- 29838761 TI - Annotations. PMID- 29838763 TI - Rigors. PMID- 29838762 TI - Notes on Health Resorts. PMID- 29838764 TI - "The Hospital" Nursing Mirror. PMID- 29838765 TI - The Diagnosis of Meningitis. PMID- 29838767 TI - The Cage Treatment of Superficial Wounds. PMID- 29838766 TI - Annotations. PMID- 29838768 TI - English and Foreign Spas. PMID- 29838769 TI - Anaesthetics and Insanity. PMID- 29838771 TI - Tuberculosis in Mammals and in Birds. PMID- 29838770 TI - Notes and News. PMID- 29838772 TI - New Applicances and Things Medical. PMID- 29838773 TI - Institutional Questions. PMID- 29838775 TI - A Board of Guardians Heavily Fined. PMID- 29838774 TI - The Lunatic Asylums of Bengal. PMID- 29838777 TI - The Story of the Insane from Year to Year. PMID- 29838776 TI - "The Hospital" Nursing Mirror. PMID- 29838778 TI - Sunday Entertainments. PMID- 29838780 TI - Itching. PMID- 29838779 TI - Some Plaster of Paris Splints. PMID- 29838782 TI - Hospital Construction. PMID- 29838781 TI - The Open-Air Treatment of Tuberculosis. PMID- 29838784 TI - Progress in Medicine. PMID- 29838783 TI - Vaccination Officers and Their Duties. PMID- 29838785 TI - Treatment of Epistaxis by a Sponge Plug. PMID- 29838786 TI - Enlarged Prostate. PMID- 29838788 TI - Typhoidette. PMID- 29838787 TI - The Story of the Insane from Year to Year. PMID- 29838790 TI - Progress in Fevers. PMID- 29838789 TI - The Hospital. PMID- 29838791 TI - Divided Sanitary Responsibility. PMID- 29838792 TI - Annotations. PMID- 29838793 TI - Fatigue as a Cause of Consumption. PMID- 29838794 TI - Hospital Reform in France. PMID- 29838796 TI - Modern Sociology. PMID- 29838795 TI - The Treatment of Infantile Paralysis. PMID- 29838798 TI - Notes and News. PMID- 29838797 TI - Antitoxin at Colchester. PMID- 29838799 TI - North-West London Hospital. PMID- 29838800 TI - Hospital Dispute at Torquay. PMID- 29838801 TI - Surgical Treatment of Gall-Stones. PMID- 29838802 TI - Progress in Disease of Digestive Organs. PMID- 29838804 TI - Amputation in the Course of Diabetes. PMID- 29838803 TI - Progress in Psychiatry. PMID- 29838805 TI - British Lying-In Hospital. PMID- 29838806 TI - Progress in Gynaecology. PMID- 29838808 TI - Doctors and Municipal Socialism. PMID- 29838807 TI - Modern Sociology. PMID- 29838809 TI - Annotations. PMID- 29838810 TI - Prophylactic Inoculation. PMID- 29838811 TI - Glances at the Hospitals. PMID- 29838812 TI - Extension in Pott's Disease. PMID- 29838813 TI - Spina Bifida. PMID- 29838814 TI - The Surgical Treatment of Spastic Infantile Paralysis. PMID- 29838815 TI - Anti-Typhoid Inoculation. PMID- 29838816 TI - Naso-Pharyngeal Lesions in Childhood. PMID- 29838817 TI - Hospital Expenditure. PMID- 29838818 TI - Nurses' Home at the City of Dublin Hospital. PMID- 29838819 TI - The London Hospital. PMID- 29838820 TI - The Hospital. Nursing Section. PMID- 29838821 TI - The Education of the Public. PMID- 29838822 TI - Progress in Bacteriology. PMID- 29838823 TI - Notes and News. PMID- 29838824 TI - Progress in Cancer. PMID- 29838825 TI - Plague in Honolulu. PMID- 29838826 TI - Annotations. PMID- 29838827 TI - Reform of the Medical Acts. PMID- 29838828 TI - Progress in Surgery. PMID- 29838829 TI - Cerebro-Spinal Meningitis. PMID- 29838830 TI - Myasthenia. PMID- 29838831 TI - Feeble-Minded Children. PMID- 29838832 TI - Ventilation. PMID- 29838833 TI - The Tenements of New York. PMID- 29838834 TI - "The Hospital" Nursing Mirror. PMID- 29838835 TI - The Origin of Cancer. PMID- 29838836 TI - Notes and News. PMID- 29838837 TI - Progress in Medicine. PMID- 29838838 TI - New Appliances and Things Medical. PMID- 29838839 TI - "Florence Warden" on Sandgate Convalescent Homes. PMID- 29838840 TI - St. Mark's Hospital and the Prince of Wales's Fund. PMID- 29838842 TI - 1900. PMID- 29838841 TI - Hospital Meetings, &c. PMID- 29838843 TI - Modern Sociology. PMID- 29838844 TI - Progress in State Medicine. PMID- 29838846 TI - Progress in Medicine. PMID- 29838845 TI - Dentists and the War. PMID- 29838847 TI - Notes and News. PMID- 29838848 TI - The Story of the Insane from Year to Year. PMID- 29838849 TI - Scurvy-Rickets and Civilisation. PMID- 29838850 TI - "The Hospital" Nursing Mirror. PMID- 29838851 TI - New Appliances and Things Medical. PMID- 29838852 TI - Hiccough and Its Treatment. PMID- 29838853 TI - Travel in the Treatment of Diseases of the Nervous System. PMID- 29838854 TI - Annotations. PMID- 29838856 TI - Hospital Construction. PMID- 29838855 TI - Glances at the Hospitals. PMID- 29838857 TI - Progress in Obstetrics. PMID- 29838858 TI - Gunshot Wounds of the Abdomen. PMID- 29838859 TI - Royal Orthopaedic Hospital. PMID- 29838860 TI - St. Mary's Hospital Extension. PMID- 29838861 TI - New Appliances and Things Medical. PMID- 29838862 TI - Primary Tuberculosis of the Cervix Simulating Carcinoma. PMID- 29838863 TI - Notes and News. PMID- 29838864 TI - The Influence of Acute Diseases upon Insanity. PMID- 29838865 TI - The Hospital. Nursing Section. PMID- 29838866 TI - Victoria Hospital, Folkestone. PMID- 29838867 TI - Hallux Valgus, or Bunion. PMID- 29838868 TI - Progress in Disease of Digestive Organs. PMID- 29838869 TI - National Sanitary Organisation. PMID- 29838871 TI - Malignant Endocarditis. PMID- 29838870 TI - Progress in Fevers. PMID- 29838872 TI - The Peculiar People and the Law. PMID- 29838873 TI - Progress in Surgery. PMID- 29838875 TI - Treatment of Loose Cartilage in the Knee Joint. PMID- 29838874 TI - The Origin of Cancer. PMID- 29838876 TI - Annotations. PMID- 29838877 TI - Health and House Warming. PMID- 29838878 TI - The Story of the Insane from Year to Year. PMID- 29838879 TI - The Saline Treatment of Dysentery. PMID- 29838881 TI - The Increase in the Number of the Insane. PMID- 29838880 TI - Mental Dissolution. PMID- 29838882 TI - Progress in Medicine. PMID- 29838883 TI - "The Hospital" Nursing Mirror. PMID- 29838885 TI - The Prince of Wales's Hospital Fund for London. PMID- 29838884 TI - Progress in Psychiatry. PMID- 29838887 TI - A Consultation Hospital. PMID- 29838886 TI - Notes and News. PMID- 29838888 TI - A Medical Globe-Trotter. PMID- 29838889 TI - The Tuberculin Test. PMID- 29838890 TI - Modern Sociology. PMID- 29838891 TI - Hospital Construction. PMID- 29838892 TI - Annotations. PMID- 29838893 TI - Therapeutical Notes. PMID- 29838895 TI - Malaria. PMID- 29838894 TI - Micro-Organisms as a Cause of Chronic Disease. PMID- 29838897 TI - Mauser Bullet Wounds. PMID- 29838896 TI - Institutional Questions. PMID- 29838899 TI - Annotations. PMID- 29838898 TI - Hospital Meetings, &c. PMID- 29838900 TI - The Story of the Insane from Year to Year. PMID- 29838901 TI - Pericardial Corns. PMID- 29838902 TI - The Midwives Bill. PMID- 29838903 TI - Micro-Organisms as a Cause of Chronic Disease. PMID- 29838905 TI - Progress in Medicine. PMID- 29838904 TI - Progress in State Medicine. PMID- 29838907 TI - South Africa. PMID- 29838906 TI - Progress in Surgery. PMID- 29838908 TI - "The Hospital" Nursing Mirror. PMID- 29838909 TI - The Dosage of Chloroform. PMID- 29838910 TI - Modern Sociology. PMID- 29838911 TI - The Results of Resection of Intestine. PMID- 29838912 TI - How to Gargle. PMID- 29838913 TI - Notes and News. PMID- 29838915 TI - Glances at the Hospitals. PMID- 29838914 TI - The Treatment of Uterine Fibroids. PMID- 29838916 TI - Hospital Meetings, &c. PMID- 29838917 TI - Glances at the Hospitals. PMID- 29838918 TI - Notes and News. PMID- 29838919 TI - Underfed Children. PMID- 29838921 TI - Aerated Waters. PMID- 29838920 TI - "The Hospital" Nursing Mirror. PMID- 29838922 TI - Modern Sociology. PMID- 29838923 TI - Progress in Surgery. PMID- 29838925 TI - The Treatment of Seborrhoea of the Scalp. PMID- 29838924 TI - The Antiseptic Instinct. PMID- 29838926 TI - Institutional Questions. PMID- 29838927 TI - The Story of the Insane from Year to Year. PMID- 29838928 TI - The Pathological Society. PMID- 29838929 TI - Some Plaster of Paris Splints. PMID- 29838930 TI - Headache. PMID- 29838931 TI - Intestinal Antiseptics. PMID- 29838932 TI - Sale and Purchase of a Medical Practice. PMID- 29838933 TI - Annotations. PMID- 29838934 TI - The Adulteration of Drugs. PMID- 29838935 TI - Progress in Medicine. PMID- 29838936 TI - Hospital Construction. PMID- 29838937 TI - Excision of the Knee-Joint. PMID- 29838938 TI - The Rulers of South London. PMID- 29838939 TI - Hospital Meetings, &c. PMID- 29838940 TI - Notes and News. PMID- 29838941 TI - The Story of the Insane from Year to Year. PMID- 29838942 TI - Editor's Letter-Box. PMID- 29838943 TI - "The Hospital" Nursing Mirror. PMID- 29838944 TI - English and Foreign Hospitals. PMID- 29838945 TI - Food Preservatives. PMID- 29838946 TI - Modern Sociology. PMID- 29838947 TI - New Appliances and Things Medical. PMID- 29838948 TI - Progress in Surgery. PMID- 29838949 TI - Wild Oats. PMID- 29838951 TI - Cancer of the Uterus. PMID- 29838950 TI - Progress in Medicine. PMID- 29838952 TI - Unqualified Dispensers. PMID- 29838953 TI - Hospital Construction. PMID- 29838954 TI - Annotations. PMID- 29838955 TI - Night-Blindness. PMID- 29838956 TI - Notes and News. PMID- 29838957 TI - Progress in Surgery. PMID- 29838958 TI - Diphtheria. PMID- 29838960 TI - The Medical Addresses. PMID- 29838959 TI - The Functions of a University. PMID- 29838962 TI - A Case of Ankylosis of Both Temporo-Maxillary Joints. PMID- 29838961 TI - North London Consumption Hospital. PMID- 29838964 TI - Notes on Health Resorts. PMID- 29838963 TI - Modern Sociology. PMID- 29838965 TI - Institutional Questions. PMID- 29838966 TI - Hospital Construction. PMID- 29838968 TI - Floating Liver. PMID- 29838967 TI - Recent Progress in Radiography. PMID- 29838970 TI - "The Hospital" Nursing Mirror. PMID- 29838969 TI - New Appliances and Things Medical. PMID- 29838972 TI - Phototherapy. PMID- 29838971 TI - Annotations. PMID- 29838973 TI - Medicine, Pharmacy, and Dispensing. PMID- 29838974 TI - Teetotalism and Philanthropy. PMID- 29838975 TI - The Decline of Tuberculosis. PMID- 29838977 TI - Hospital Meetings, &c. PMID- 29838979 TI - Chronic Rigidity of the Spine. PMID- 29838978 TI - Tuberculous Peritonitis. PMID- 29838981 TI - Therapeutical Notes. PMID- 29838980 TI - Progress in Psychiatry. PMID- 29838983 TI - "The Hospital" Nursing Mirror. PMID- 29838982 TI - Progress in Medicine. PMID- 29838984 TI - Hospital Meetings, &c. PMID- 29838985 TI - Impurities in London Water. PMID- 29838987 TI - Diphtheria. PMID- 29838986 TI - Annotations. PMID- 29838989 TI - Notes and News. PMID- 29838988 TI - Women on Hospital Boards. PMID- 29838990 TI - Prince of Wales's Hospital Fund for London. PMID- 29838991 TI - New Appliances and Things Medical. PMID- 29838992 TI - Institutional Questions. PMID- 29838993 TI - Puerperal Insanity. PMID- 29838994 TI - "Diabetic" Gangrene. PMID- 29838995 TI - The Christmas Season and the Dying Year. PMID- 29838996 TI - Cadge, of Norwich. PMID- 29838997 TI - Notes and News. PMID- 29838998 TI - Progress in Medicine. PMID- 29838999 TI - Addenbrooke's Hospital, Cambridge. PMID- 29839000 TI - Progress in Surgery. PMID- 29839001 TI - Institutional Questions. PMID- 29839002 TI - Diphtheria of the Conjunctiva. PMID- 29839003 TI - Legal Intelligence. PMID- 29839005 TI - Case-Mortality in Pneumonia. PMID- 29839004 TI - Military Service and National Health. PMID- 29839007 TI - New Appliances and Things Medical. PMID- 29839006 TI - The Secrecy of the Proceedings at "Committees." PMID- 29839009 TI - "The Hospital" Nursing Mirror. PMID- 29839008 TI - The Restoration of Function after Section of Nerve Trunks. PMID- 29839010 TI - Hospital Meetings, &c. PMID- 29839011 TI - The Prince of Wales's Fund and St. Mark's Hospital. PMID- 29839012 TI - The Proper Scope of Legislation for Midwives. PMID- 29839013 TI - The Indian Famine. PMID- 29839014 TI - Annotations. PMID- 29839015 TI - A New Method of Vaccination. PMID- 29839016 TI - Modern Sociology. PMID- 29839017 TI - Phthisis and Pneumonia. PMID- 29839019 TI - Therapeutical Notes. PMID- 29839018 TI - Haemopneumothorax. PMID- 29839020 TI - Dr. Savage on the Relation between Post-Mortem Appearances and Pathological Processes. PMID- 29839021 TI - Sir William Gowers on Premature Nervous Decay. PMID- 29839022 TI - The Treatment of Tabes Dorsalis. PMID- 29839023 TI - Annotations. PMID- 29839024 TI - Notes on Health Resorts. PMID- 29839025 TI - "The Hospital" Nursing Mirror. PMID- 29839026 TI - The Ownership of Sanatoria. PMID- 29839027 TI - Christmas Appeal Supplement. PMID- 29839028 TI - The Relief Funds for the War. PMID- 29839029 TI - Legal Notes. PMID- 29839030 TI - Progress in Medicine. PMID- 29839031 TI - Hospital Meetings, &c. PMID- 29839033 TI - Aneurism of the Aorta. PMID- 29839032 TI - Puerperal Insanity. PMID- 29839034 TI - Progress in Surgery. PMID- 29839035 TI - Notes and News. PMID- 29839037 TI - A New Method of Colostomy. PMID- 29839036 TI - Benzoic Acid and the Benzoates as Urinary Antiseptics. PMID- 29839038 TI - News and Events of the Week. PMID- 29839039 TI - The Action of Certain Drugs on the Heart. PMID- 29839040 TI - "The Hospital" Medico-Sociological Supplement. No. III. PMID- 29839041 TI - Annotations. PMID- 29839042 TI - New Appliances and Things Medical. PMID- 29839044 TI - The Week's Work. PMID- 29839043 TI - Institutional Notes and News. PMID- 29839045 TI - Nerve in Surgery. PMID- 29839046 TI - The Largest Hospitals. PMID- 29839048 TI - Eminent Chairman Series, VI. The Hon. W. F. D. Smith. PMID- 29839047 TI - Parliament and Publications. PMID- 29839050 TI - Comedo Extractor. PMID- 29839049 TI - Experimental Biology. PMID- 29839051 TI - Medical Opinion and Movement. PMID- 29839052 TI - Bilharziosis of the Appendix. PMID- 29839053 TI - The Responsibility at Law of the Parent. PMID- 29839054 TI - Annotations. PMID- 29839055 TI - The Week's Work. PMID- 29839056 TI - News and Events of the Week. PMID- 29839057 TI - The Ward Floor: I. General Considerations. PMID- 29839058 TI - The Operative Treatment of Fractures. PMID- 29839059 TI - The Proper Relation of the Superintendent to the Trustees of a Hospital. PMID- 29839060 TI - Gas in the Stomach and Its Treatment. PMID- 29839061 TI - The Thymus Treatment of Inoperable Cancer. PMID- 29839062 TI - The Week in the Courts. PMID- 29839063 TI - Hospitals and the Law in 1910. PMID- 29839064 TI - International Committee for Post-Graduate Medical Education. PMID- 29839065 TI - Drug Eruptions: Their Nature and Varieties. PMID- 29839066 TI - Dermatobia Noxialis. PMID- 29839067 TI - Medical Opinion and Movement. PMID- 29839068 TI - The Hospital World. PMID- 29839069 TI - Australian Notes. PMID- 29839071 TI - Institutional Notes and News. PMID- 29839070 TI - Parliament and Publications. PMID- 29839072 TI - A Year's Progress in Animal Protection. PMID- 29839074 TI - New Appliances and Things Medical. PMID- 29839073 TI - Sanatorium Treatment for the Poor. PMID- 29839076 TI - The Practice Market: I. Introductory Article. PMID- 29839075 TI - Treatment of Fistula in Ano. PMID- 29839077 TI - Institutional Notes and News. PMID- 29839078 TI - Medical Opinion and Movement. PMID- 29839079 TI - Metropolitan Hospital Sunday Fund. PMID- 29839080 TI - Parliament and Publications. PMID- 29839081 TI - Hospital World. PMID- 29839082 TI - Annotations. PMID- 29839084 TI - The Week's Work. PMID- 29839083 TI - The Hospital for Sick Children, Great Ormond St. PMID- 29839085 TI - News and Events of the Week. PMID- 29839086 TI - Mr. Shaw Again. PMID- 29839087 TI - Ionisation. PMID- 29839088 TI - Medical Defence. PMID- 29839090 TI - Haematuria and Nephritis of Sudden Onset as an Initial Symptom of Typhoid Fever. PMID- 29839089 TI - Infective Arthritis.-I. PMID- 29839091 TI - Medical Opinion and Movement. PMID- 29839092 TI - The Week's Work. PMID- 29839094 TI - A New Type of Motor Ambulance. PMID- 29839093 TI - Variation and Environment in Disease. PMID- 29839096 TI - The Surgical Uses of Iodine. PMID- 29839095 TI - The Hospital World. PMID- 29839098 TI - Hospital Architecture and Construction. PMID- 29839097 TI - Hospital Architecture. PMID- 29839099 TI - The Tropics and Life Assurance. PMID- 29839100 TI - Home and Continental Spas: II. Droitwich. PMID- 29839101 TI - Jaundice in Secondary Syphilis. PMID- 29839102 TI - The Week in the Courts. PMID- 29839103 TI - Cutaneous Diphtheria. PMID- 29839104 TI - Annotations. PMID- 29839106 TI - Gas in the Stomach; Its Causation and Treatment. PMID- 29839105 TI - A Probable New Human Trypanosome. PMID- 29839107 TI - Institutional Notes and News. PMID- 29839108 TI - News and Events of the Week. PMID- 29839109 TI - By the Way. PMID- 29839110 TI - Parliament and Publications. PMID- 29839111 TI - The Operative Treatment of Fractures. PMID- 29839112 TI - Hospital Relief in Holland. PMID- 29839113 TI - Institutional Notes and News. PMID- 29839114 TI - Clothing for the British Climate. PMID- 29839115 TI - Parliament and Publications. PMID- 29839117 TI - News and Events of the Week. PMID- 29839116 TI - Drug Eruptions: Their Nature and Varieties. PMID- 29839118 TI - Medical Education in the United States. PMID- 29839119 TI - The Week's Work. PMID- 29839120 TI - New Appliances and Things Medical. PMID- 29839121 TI - Hospital Architecture and Construction. PMID- 29839122 TI - Annotations. PMID- 29839123 TI - The Hospital World. PMID- 29839125 TI - Hospital Administration and Organisation in South Africa. PMID- 29839124 TI - Medical Opinion and Movement. PMID- 29839127 TI - Money, Mind, and Molars. PMID- 29839126 TI - Dioxydiamidoarsenobenzol. PMID- 29839129 TI - Parliament and Publications. PMID- 29839128 TI - Turin International Exhibition 1911. The British Section. PMID- 29839131 TI - An American Cottage Hospital. PMID- 29839130 TI - Irish Books and English Reviewers. PMID- 29839132 TI - The Week's Work. PMID- 29839133 TI - Transillumination of the Nasal Accessory Cavities. PMID- 29839135 TI - Infantile Mortality and Amateur Hygienists. PMID- 29839134 TI - Medical Opinion and Movement. PMID- 29839136 TI - Notes on Hospital Planning. PMID- 29839137 TI - Annotations. PMID- 29839139 TI - The Week in the Courts. PMID- 29839138 TI - Institutional Notes and News. PMID- 29839140 TI - Pit Ponies. PMID- 29839141 TI - The Hospital World. PMID- 29839142 TI - What Is Meant by Insanity. PMID- 29839143 TI - News and Events of the Week. PMID- 29839144 TI - The Lighting of Hospitals. PMID- 29839146 TI - The Lighting of Hospitals. PMID- 29839145 TI - New Appliances and Things Medical. PMID- 29839147 TI - Practical Notes on Diagnosis and Treatment. PMID- 29839148 TI - Medical Opinion and Movement. PMID- 29839150 TI - News and Events of the Week. PMID- 29839149 TI - New Appliances and Things Medical. PMID- 29839151 TI - "Bovril" Specialties. PMID- 29839152 TI - The Week's Work. PMID- 29839154 TI - Institutional Notes and News. PMID- 29839153 TI - The Lack of Calcium Salts in the Food of Troops on Active Service as a Predisposing Cause of Enteric Fever and Dysentery. PMID- 29839155 TI - Research Defence Society. PMID- 29839156 TI - Medical Fees. PMID- 29839158 TI - Annotations. PMID- 29839157 TI - Skin Affections of the Beard Region Due to Micro-Organisms, and Their Treatment. PMID- 29839159 TI - An Excellent Example. PMID- 29839160 TI - The Hospital World. PMID- 29839161 TI - Notes on Hospital Planning. PMID- 29839163 TI - The Hospital World. PMID- 29839162 TI - The Norfolk and Norwich Hospital. PMID- 29839164 TI - Bath. PMID- 29839165 TI - Medical Charges. PMID- 29839166 TI - News and Events of the Week. PMID- 29839167 TI - The Venom of Scorpions. PMID- 29839168 TI - The Operative Treatment of Fractures. PMID- 29839169 TI - The Reform of Medical Education in France. PMID- 29839170 TI - Institutional Notes and News. PMID- 29839171 TI - Relating to Out-Patients Only. PMID- 29839173 TI - Annotations. PMID- 29839172 TI - Aortic Compression. PMID- 29839175 TI - The Week's Work. PMID- 29839174 TI - The Week in the Courts. PMID- 29839176 TI - Medical Portraiture. PMID- 29839177 TI - The Treatment of Corneal Ulcers. PMID- 29839178 TI - The Reform of Medical Education in France. PMID- 29839179 TI - Hospitals and the Law in 1910. PMID- 29839180 TI - The Ward Floor: II. Practical Details. PMID- 29839181 TI - Medical Opinion and Movement. PMID- 29839182 TI - Practical Notes on Surgical Diagnosis and Treatment. PMID- 29839184 TI - The Week in the Courts. PMID- 29839183 TI - Some Points in the Treatment of Scarlet Fever. PMID- 29839185 TI - The New King's College Hospital, Denmark Hill. PMID- 29839186 TI - Strangulated Hernia. PMID- 29839188 TI - News and Events of the Week. PMID- 29839187 TI - Institutional Notes and News. PMID- 29839189 TI - Practical Notes on Diagnosis and Treatment. PMID- 29839190 TI - The Week's Work. PMID- 29839191 TI - King's College Hospital. PMID- 29839192 TI - The Bubonic Plague and Chinese Remedies. PMID- 29839193 TI - Sweating and Anaesthesia. PMID- 29839194 TI - Medical Opinion and Movement. PMID- 29839195 TI - Annotations. PMID- 29839196 TI - The Late King and the Hospitals. PMID- 29839198 TI - The Hospital World. PMID- 29839197 TI - Royal Portsmouth Hospital. PMID- 29839199 TI - Parliament and Publications. PMID- 29839200 TI - Doctors and International Peace. PMID- 29839202 TI - Some Spinal Cord Lesions: I. Primary Spastic and Ataxic Paraplegia. PMID- 29839201 TI - A Controlling Authority for Voluntary Hospitals. PMID- 29839203 TI - The General Practitioner-His Book. PMID- 29839204 TI - New Appliances and Things Medical. PMID- 29839206 TI - Water Supply. PMID- 29839205 TI - The Hospital World. PMID- 29839207 TI - News and Events of the Week. PMID- 29839208 TI - An Unusual Source of Lead Poisoning. PMID- 29839209 TI - Infective Arthritis.-II. PMID- 29839210 TI - Parliament and Publications. PMID- 29839211 TI - Electric Clocks for Hospitals. PMID- 29839212 TI - Stage Children. PMID- 29839213 TI - Public Hospitals and Their Maintenance. PMID- 29839215 TI - Buxton. PMID- 29839214 TI - Legacies to Hospitals. PMID- 29839216 TI - Surgical and InstitutionalAppliances: Hospital Equipment and Instruments for the General Practitioner. PMID- 29839217 TI - Primary Sarcoma of the Appendix. PMID- 29839219 TI - Regimental Camp Sanitary Reports. PMID- 29839218 TI - The Future of the Metropolitan Hospital Sunday Fund. PMID- 29839220 TI - Institutional Notes and News. PMID- 29839221 TI - The Smallpox Outbreak. PMID- 29839223 TI - The Week's Work. PMID- 29839222 TI - New Appliances &c. PMID- 29839224 TI - The Practice Market: II. Selling a Practice. PMID- 29839226 TI - Annotations. PMID- 29839225 TI - Some New Remedies in Use. PMID- 29839227 TI - The Week in the Courts. PMID- 29839228 TI - Medical Opinion and Movement. PMID- 29839229 TI - Retreading of Tyres. PMID- 29839230 TI - Stage Management at a Hospital. PMID- 29839231 TI - Institutional Questions. PMID- 29839232 TI - Artificial Serum in Puerperal Septicaemia. PMID- 29839233 TI - The Dispensaries of Assam. PMID- 29839234 TI - Biliary Colic. PMID- 29839235 TI - The Role of the "Liver." PMID- 29839236 TI - Street Cleansing. PMID- 29839237 TI - New Appliances and Things Medical. PMID- 29839238 TI - Progress in Psychiatry. PMID- 29839239 TI - The Story of the Insane from Year to Year. PMID- 29839240 TI - Heredity in Disease. PMID- 29839242 TI - Statistics. PMID- 29839241 TI - Hospital Construction. PMID- 29839244 TI - Apomorphine. PMID- 29839243 TI - Progress in Surgery. PMID- 29839245 TI - Annotations. PMID- 29839246 TI - Normal Saline in Septic Cases. PMID- 29839248 TI - "The Hospital" Nursing Mirror. PMID- 29839247 TI - Notes and News. PMID- 29839249 TI - Modern Sociology. PMID- 29839250 TI - Non-Diabetic Glycosuria. PMID- 29839251 TI - The Medical Charities of Manchester. PMID- 29839252 TI - Physical Education. PMID- 29839253 TI - The Hospital Section at the Woman's Exhibition. PMID- 29839254 TI - New Appliances and Things Medical. PMID- 29839255 TI - "The Hospital" Nursing Mirror. PMID- 29839256 TI - Hospitals and the Limited Liability Act. PMID- 29839258 TI - Gunshot Wounds. PMID- 29839257 TI - Thirst. PMID- 29839259 TI - Ambulant Small-Pox. PMID- 29839260 TI - Notes and News. PMID- 29839261 TI - Hospital Meetings, &c. PMID- 29839262 TI - Dressing a Case. PMID- 29839264 TI - Progress in Surgery. PMID- 29839263 TI - Annotations. PMID- 29839265 TI - Progress in Medicine. PMID- 29839266 TI - Legislation for Midwives. PMID- 29839267 TI - The Sea and Its Dead. PMID- 29839268 TI - Operation in Simple Fractures. PMID- 29839269 TI - Progress in Otology. PMID- 29839270 TI - Hospital Meetings, &c. PMID- 29839272 TI - Infant Symptoms and Modification of Food. PMID- 29839271 TI - Urotropine in Typhoid Fever. PMID- 29839273 TI - Progress in Psychiatry. PMID- 29839274 TI - The Right to Die. PMID- 29839275 TI - Notes and News. PMID- 29839276 TI - The Treatment of Cirrhosis. PMID- 29839278 TI - "The Hospital" Nursing Mirror. PMID- 29839277 TI - The Royal London Ophthalmic Hospital (Moorfields). PMID- 29839279 TI - Backache. PMID- 29839280 TI - The Percentage of Fat in Infants' Food. PMID- 29839281 TI - Climate and Clothing. PMID- 29839282 TI - The Cancer Wards at the Middlesex Hospital. PMID- 29839283 TI - Annotations. PMID- 29839284 TI - Progress in Surgery. PMID- 29839285 TI - The Roosevelt Hospital. PMID- 29839286 TI - "The Hospital" Nursing Mirror. PMID- 29839287 TI - Annotations. PMID- 29839288 TI - Notes and News. PMID- 29839289 TI - Modern Sociology. PMID- 29839290 TI - Life of the Late Sir Andrew Clark. PMID- 29839291 TI - Holidays. PMID- 29839292 TI - The Present-Day Treatment of Syphilis. PMID- 29839294 TI - Architects and Modern Hospitals. PMID- 29839293 TI - Instinct versus Discipline. PMID- 29839295 TI - Experiments upon Animals. PMID- 29839296 TI - Progress in Medicine. PMID- 29839297 TI - The Over-Feeding of Infants. PMID- 29839298 TI - Hospital Meetings, &c. PMID- 29839299 TI - New Appliances and Things Medical. PMID- 29839300 TI - Schools and Measles. PMID- 29839301 TI - Progress in Surgery. PMID- 29839302 TI - The Story of the Insane from Year to Year. PMID- 29839303 TI - "The Hospital" Nursing Mirror. PMID- 29839304 TI - Some Errors about Cancer of the Breast. PMID- 29839305 TI - Food Poisoning. PMID- 29839306 TI - Progress in Surgery. PMID- 29839307 TI - Rest in Rheumatism. PMID- 29839308 TI - Hospital Construction. PMID- 29839309 TI - Institutional Questions. PMID- 29839310 TI - Hospital Meetings, &c. PMID- 29839311 TI - Progress in Bacteriology. PMID- 29839312 TI - Annotations. PMID- 29839313 TI - Therapeutical Notes. PMID- 29839314 TI - The Newer Knowledge on Typhoid Fever. PMID- 29839315 TI - Faeculent Vomiting Which Is Sometimes Curative. PMID- 29839316 TI - Gout. PMID- 29839317 TI - New Appliances and Things Medical. PMID- 29839318 TI - Notes and News. PMID- 29839320 TI - The Treatment of Disease by Baths and Waters. PMID- 29839319 TI - Practical Departments. PMID- 29839321 TI - Eucaine Anaesthesia. PMID- 29839322 TI - Hospital Meetings, &c. PMID- 29839323 TI - Glances at the Hospitals. PMID- 29839324 TI - Brains and Railway Accidents. PMID- 29839326 TI - Quinine and Malaria. PMID- 29839325 TI - Practice by Companies. PMID- 29839327 TI - Pathology and Treatment of Insanity. PMID- 29839328 TI - Erratum. AB - [This corrects the article on p. 220a in vol. 28.]. PMID- 29839330 TI - Annotations. PMID- 29839329 TI - Notes and News. PMID- 29839332 TI - Progress in Surgery. PMID- 29839331 TI - Progress in Medicine. PMID- 29839333 TI - New Appliances and Things Medical. PMID- 29839334 TI - "The Hospital" Nursing Mirror. PMID- 29839335 TI - The Physical Treatment of Insomnia. PMID- 29839336 TI - Lead Poisoning among Women. PMID- 29839338 TI - Annotations. PMID- 29839337 TI - New Appliances and Things Medical. PMID- 29839339 TI - Progress in State Medicine. PMID- 29839340 TI - On Some Pathological Problems of To-Day. PMID- 29839341 TI - Cigarette Smoking. PMID- 29839342 TI - Notes and News. PMID- 29839343 TI - Hospital Meetings, &c. PMID- 29839344 TI - "The Hospital" Nursing Mirror. PMID- 29839345 TI - Institutional Questions. PMID- 29839346 TI - Progress in Medicine. PMID- 29839347 TI - The Artificial Feeding of Infants. PMID- 29839348 TI - Puerperal Fever. PMID- 29839350 TI - Drink and Heredity. PMID- 29839349 TI - The Unconventional Inspector. PMID- 29839352 TI - Progress in Gynaecology. PMID- 29839351 TI - Hospitals and Rates. PMID- 29839353 TI - Hospital Meetings, &c. PMID- 29839354 TI - Massage in Recent Fractures. PMID- 29839355 TI - Progress in Medicine. PMID- 29839356 TI - Sutures after Abdominal Incisions. PMID- 29839357 TI - New Appliances and Things Medical. PMID- 29839359 TI - Annotations. PMID- 29839358 TI - The Various Forms of Meningitis. PMID- 29839360 TI - Progress in Psychiatry. PMID- 29839361 TI - The Physics of Steam Sterilisation. PMID- 29839363 TI - Epidemic Measles. PMID- 29839362 TI - Displacement of the Dilated Stomach. PMID- 29839364 TI - Eternal Vigilance. PMID- 29839365 TI - "The Hospital" Nursing Mirror. PMID- 29839366 TI - The Incubation of Plague. PMID- 29839367 TI - Therapeutical Notes. PMID- 29839369 TI - Progress in Otology. PMID- 29839368 TI - Medical Fees from Hospital Patients. PMID- 29839371 TI - The Princess Christian Hospital Train. PMID- 29839370 TI - Notes and News. PMID- 29839373 TI - Tannate of Mercury. PMID- 29839372 TI - "The Hospital" Nursing Mirror. PMID- 29839374 TI - Legislation for Midwives. PMID- 29839375 TI - The Proctologist. PMID- 29839377 TI - Notes and News. PMID- 29839376 TI - Progress in Surgery. PMID- 29839378 TI - The Lime-Juice Ration. PMID- 29839379 TI - Mafeking. PMID- 29839380 TI - Annotations. PMID- 29839381 TI - Diet in Diabetes. PMID- 29839383 TI - Progress in Gynaecology. PMID- 29839382 TI - The X Ray in the Law Courts. PMID- 29839384 TI - New Appliances and Things Medical. PMID- 29839385 TI - Gout, Rheumatism, and Rheumatoid Arthritis. PMID- 29839386 TI - Progress in Medicine. PMID- 29839387 TI - Hospital Meetings, &c. PMID- 29839388 TI - The Story of the Insane from Year to Year. PMID- 29839389 TI - The Treatment of Septic Peritonitis. PMID- 29839390 TI - Our "Consulting Surgeons." PMID- 29839391 TI - Hospital Meetings, &c. PMID- 29839393 TI - Institutional Questions. PMID- 29839392 TI - The Gynaecological Society. PMID- 29839394 TI - The Lunatic Asylums of India. PMID- 29839395 TI - Progress in Medicine. PMID- 29839397 TI - Progress in Surgery. PMID- 29839396 TI - Annotations. PMID- 29839398 TI - Bacteria and Sewage. PMID- 29839399 TI - "The Hospital" Nursing Mirror. PMID- 29839400 TI - Doubtful Tumours of the Breast. PMID- 29839401 TI - A Mining Accident. PMID- 29839402 TI - New Appliances and Things Medical. PMID- 29839403 TI - The Negro. PMID- 29839404 TI - Sponge Counting. PMID- 29839405 TI - Modern Sociology. PMID- 29839406 TI - The Modern Treatment of Uterine Fibroids. PMID- 29839407 TI - Glances at the Hospitals. PMID- 29839408 TI - Isolation within Isolation Hospitals. PMID- 29839409 TI - Progress in Otology. PMID- 29839410 TI - Notes and News. PMID- 29839411 TI - The Story of the Insane from Year to Year. PMID- 29839413 TI - New Appliances and Things Medical. PMID- 29839412 TI - Therapeutical Notes. PMID- 29839414 TI - Progress in Medicine. PMID- 29839415 TI - "The Hospital" Nursing Mirror. PMID- 29839416 TI - The Red Cross. PMID- 29839417 TI - Notes and News. PMID- 29839419 TI - Sir T. Lauder Brunton on Indigestion. PMID- 29839418 TI - Post-Mortem Examinations in Asylums. PMID- 29839420 TI - Women and Warfare. PMID- 29839421 TI - The Verulam Review and the British Medical Association. PMID- 29839422 TI - Progress in Gynaecology. PMID- 29839423 TI - The Treatment of Lupus by X-Rays. PMID- 29839425 TI - Hospital Meetings, &c. PMID- 29839424 TI - Modern Sociology. PMID- 29839426 TI - A Consultation at the Polyclinic. PMID- 29839427 TI - Progress in Surgery. PMID- 29839428 TI - Annotations. PMID- 29839429 TI - The Yeomanry Hospital. PMID- 29839430 TI - Progress in Surgery. PMID- 29839431 TI - Medical Ethics in the Sixteenth Century. PMID- 29839432 TI - The Cause of Diabetes. PMID- 29839433 TI - "The Hospital" Nursing Mirror. PMID- 29839434 TI - Progress in Anaesthetics. PMID- 29839435 TI - The National Hospital. PMID- 29839436 TI - Progress in Dermatology. PMID- 29839437 TI - Annotations. PMID- 29839439 TI - New Appliances and Things Medical. PMID- 29839438 TI - Notes and News. PMID- 29839440 TI - The Treatment of Lupus by Concentrated Light. PMID- 29839441 TI - Gout and Hay-Fever. PMID- 29839442 TI - Enteric Fever among Soldiers. PMID- 29839443 TI - Legislation for Midwives. PMID- 29839445 TI - Institutional Questions. PMID- 29839444 TI - Food Preservatives. PMID- 29839447 TI - Medical Inspection of Schools. PMID- 29839446 TI - Light and Vision. PMID- 29839449 TI - Mosquitos Again. PMID- 29839448 TI - The Imperial Yeomanry Hospital. PMID- 29839450 TI - The Chemists' Exhibition, 1900. PMID- 29839451 TI - Notes and News. PMID- 29839452 TI - Old Men's Children. PMID- 29839453 TI - Hospital Meetings, &c. PMID- 29839454 TI - Glances at the Hospitals. PMID- 29839455 TI - Mind Your Own Business. PMID- 29839456 TI - Progress in Surgery. PMID- 29839457 TI - Editor's Letter-Box. PMID- 29839458 TI - The Blood-Stained Pillow. PMID- 29839459 TI - Annotations. PMID- 29839461 TI - Institutional Questions. PMID- 29839460 TI - Clinical Lecture on Eclampsia. PMID- 29839462 TI - "The Hospital" Nursing Mirror. PMID- 29839463 TI - The Prince of Wales's Hospital Fund. PMID- 29839465 TI - Two Old-Fashioned Remedies in Gout. PMID- 29839464 TI - Anti-Typhoid Inoculation. PMID- 29839466 TI - How to Give Digitalis. PMID- 29839467 TI - Professional Prospects. PMID- 29839468 TI - The Medical Schools. PMID- 29839469 TI - Annotations. PMID- 29839470 TI - Notes and News. PMID- 29839471 TI - Medical Qualifications. PMID- 29839472 TI - Progress in Medicine. PMID- 29839473 TI - "The Hospital" Nursing Mirror. PMID- 29839474 TI - Progress in Surgery. PMID- 29839475 TI - A Word to Would-Be Students on the Course of Study. PMID- 29839476 TI - The Medical Profession in the United States. PMID- 29839477 TI - Progress in Psychiatry. PMID- 29839479 TI - Rupture of the Liver. PMID- 29839478 TI - The Errors of Radiography. PMID- 29839480 TI - Progress in Surgery. PMID- 29839481 TI - "The Hospital" Nursing Mirror. PMID- 29839482 TI - Institutional Questions. PMID- 29839483 TI - Modern Sociology. PMID- 29839484 TI - Progress in Medicine. PMID- 29839485 TI - Notes and News. PMID- 29839487 TI - Anderson v. Moeller. PMID- 29839486 TI - The Aix Douche-Massage. PMID- 29839489 TI - Annotations. PMID- 29839488 TI - The "Plague of Women". PMID- 29839490 TI - Antiseptics in Minor Surgery. PMID- 29839491 TI - Therapeutical Notes. PMID- 29839492 TI - Post-Mortem Examinations in Asylums. PMID- 29839493 TI - Glances at the Hospitals. PMID- 29839494 TI - Lessons from the War. PMID- 29839495 TI - The Story of the Insane from Year to Year. PMID- 29839496 TI - The Malaria Parasite. PMID- 29839497 TI - A Mosquito-Proof Dwelling-House. PMID- 29839498 TI - Legislation for Midwives. PMID- 29839500 TI - The Enforcement of Sanitary Law. PMID- 29839499 TI - New Appliances and Things Medical. PMID- 29839502 TI - Diabetes from Nerve Strain. PMID- 29839501 TI - Hospital Meetings, &c. PMID- 29839503 TI - Therapeutical Notes. PMID- 29839504 TI - Notification and Isolation. PMID- 29839506 TI - Advertising Dentists. PMID- 29839505 TI - Lunacy Scandals. PMID- 29839508 TI - The Treatment of Cancer by Arsenic. PMID- 29839507 TI - Muscular Rigidity in Acute Peritonitis. PMID- 29839510 TI - Stricture of the Urethra. PMID- 29839509 TI - Hospital Meetings, &c. PMID- 29839512 TI - Progress in Psychiatry. PMID- 29839511 TI - Modern Sociology. PMID- 29839513 TI - Marriage of First Cousins. PMID- 29839514 TI - Asylum Expenditure. PMID- 29839515 TI - Appendicitis. PMID- 29839516 TI - Gangrene of the Penis. PMID- 29839517 TI - Progress in Otology. PMID- 29839518 TI - Progress in Medicine. PMID- 29839520 TI - Glances at the Hospitals. PMID- 29839519 TI - Annotations. PMID- 29839521 TI - The Medical, Surgical, and Hygienic Exhibition, 1900. PMID- 29839522 TI - "The Hospital" Nursing Mirror. PMID- 29839523 TI - Legislation for Midwives.-A Reply. PMID- 29839524 TI - Notes and News. PMID- 29839525 TI - Hospital Meetings, &c. PMID- 29839526 TI - Progress in Bacteriology. PMID- 29839528 TI - Notes and News. PMID- 29839527 TI - "The Hospital" Nursing Mirror. PMID- 29839529 TI - Circumcision. PMID- 29839530 TI - Annotations. PMID- 29839531 TI - Procedures Relative to the Single Care of Insane Persons. PMID- 29839532 TI - Progress in Ophthalmology. PMID- 29839533 TI - Institutional Questions. PMID- 29839534 TI - The Hospitals Inquiry. PMID- 29839535 TI - New Appliances and Things Medical. PMID- 29839536 TI - Industrial Lead Poisoning. PMID- 29839537 TI - How to Measure for a Truss. PMID- 29839538 TI - Porro's Operation and Caesarian Section. PMID- 29839539 TI - Hospital Construction. PMID- 29839540 TI - Progress in Surgery. PMID- 29839541 TI - Glances at the Hospitals. PMID- 29839542 TI - The Ipswich Meeting of the British Medical Association. PMID- 29839543 TI - Progress in Surgery. PMID- 29839544 TI - Ptomaine Poisoning. PMID- 29839545 TI - Progress in Psychiatry. PMID- 29839546 TI - Notes and News. PMID- 29839547 TI - The League of Mercy. PMID- 29839548 TI - The Royal Military Benevolent Fund. PMID- 29839549 TI - New Appliances and Things Medical. PMID- 29839550 TI - On the Prevention of Insanity. PMID- 29839552 TI - Glances at the Hospitals. PMID- 29839551 TI - The President's Address. PMID- 29839553 TI - The Address in Surgery. PMID- 29839554 TI - Institutional Questions. PMID- 29839555 TI - Annotations. PMID- 29839556 TI - Progress in Medicine. PMID- 29839557 TI - "The Hospital" Nursing Mirror. PMID- 29839558 TI - The Butchers and Tuberculous Meat. PMID- 29839559 TI - Army Doctors in the Future. PMID- 29839560 TI - Metropolitan Hospital Sunday Fund. PMID- 29839561 TI - Glances at the Hospitals. PMID- 29839562 TI - Progress in Medicine. PMID- 29839563 TI - Women as Organisers. PMID- 29839565 TI - The Study of Inebriety. PMID- 29839564 TI - "The Hospital" Nursing Mirror. PMID- 29839566 TI - The Use of a Rubber Dam in Abdominal Operations. PMID- 29839567 TI - Modern Sociology. PMID- 29839569 TI - Progress in Psychiatry. PMID- 29839568 TI - Notes and News. PMID- 29839570 TI - Progress in Surgery. PMID- 29839571 TI - Scurvy among the Troops. PMID- 29839572 TI - The Treatment of Perforation in Typhoid Fever. PMID- 29839573 TI - Open-Air "Cures" and Open-Air Work. PMID- 29839575 TI - The Hot Air Treatment. PMID- 29839574 TI - The British Medical Association and the O'Hara Case. PMID- 29839577 TI - Annotations. PMID- 29839576 TI - Hospital Construction. PMID- 29839578 TI - Preliminary Rashes in Measles. PMID- 29839579 TI - The Automobile in Country Practice. PMID- 29839580 TI - Ruts and Routine. PMID- 29839582 TI - Swindling in Life Assurance. PMID- 29839581 TI - Annotations. PMID- 29839583 TI - Progress in Dermatology. PMID- 29839584 TI - Procedures Relative to the Single Care of Insane Persons. PMID- 29839585 TI - New Appliances and Things Medical. PMID- 29839587 TI - Fracture by Torsion. PMID- 29839586 TI - Progress in Surgery. PMID- 29839588 TI - Notes and News. PMID- 29839589 TI - Hospital Construction. PMID- 29839590 TI - Anti-Typhoid Inoculation. PMID- 29839591 TI - Hospital Meetings, &c. PMID- 29839593 TI - "The Hospital" Nursing Mirror. PMID- 29839592 TI - The Mortality of Abdominal Section. PMID- 29839594 TI - Progress in Medicine. PMID- 29839595 TI - The So-Called Lunacy "Scandals". PMID- 29839596 TI - Who Is to Standardise Drugs? PMID- 29839597 TI - Burdett's Hospitals and Charities. PMID- 29839599 TI - Hospital Construction. PMID- 29839598 TI - Lead Poisoning and Insanity. PMID- 29839600 TI - The Civil Dispensaries of the Police Hospitals of Burma. PMID- 29839601 TI - Speed in Operations. PMID- 29839603 TI - The Future of the Army Medical Service. PMID- 29839602 TI - The Treatment of Fractures by Movement and Massage. PMID- 29839604 TI - The National Hospital for the Paralysed and Epileptic. PMID- 29839605 TI - Annotations. PMID- 29839606 TI - Notes and News. PMID- 29839607 TI - Holidays. PMID- 29839608 TI - The Provision of Pure Drinking Water for Troops on the March. PMID- 29839609 TI - Progress in Surgery. PMID- 29839610 TI - Progress in Medicine. PMID- 29839611 TI - "The Hospital" Nursing Mirror. PMID- 29839612 TI - New Appliances and Things Medical. PMID- 29839613 TI - Modern Sociology. PMID- 29839615 TI - Glances at the Hospitals. PMID- 29839614 TI - Hot-Air Treatment. PMID- 29839617 TI - Notes and News. PMID- 29839616 TI - The Prevention of the Humped Back of Spinal Disease. PMID- 29839619 TI - The Medical Institutions of the Presidency Town of Madras. PMID- 29839618 TI - Annotations. PMID- 29839621 TI - "The Hospital" Nursing Mirror. PMID- 29839620 TI - Painless Labour. PMID- 29839622 TI - New Appliances and Things Medical. PMID- 29839623 TI - Vagrants. PMID- 29839624 TI - Notification of Puerperal Fever. PMID- 29839625 TI - The Metropolitan Asylums Board of London and Its Work.-1. PMID- 29839626 TI - The Story of the Insane from Year to Year. PMID- 29839627 TI - Railway Carriages and Infection. PMID- 29839628 TI - Progress in Surgery. PMID- 29839629 TI - Glances at the Hospitals. PMID- 29839630 TI - Notes on the Imperial Yeomanry Base Hospital at Deelfontein. PMID- 29839631 TI - Forcible Straightening of Carious Spines. PMID- 29839632 TI - Tuberculous Joint Lesions. PMID- 29839633 TI - Progress in Laryngology. PMID- 29839634 TI - Operation in Appendicitis. PMID- 29839635 TI - The British Association and "Malaria". PMID- 29839636 TI - Progress in Laryngology. PMID- 29839637 TI - Modern Sociology. PMID- 29839638 TI - Ambulance Arrangements. PMID- 29839639 TI - Some Exploded Theories about Bullet Wounds. PMID- 29839640 TI - Notes and News. PMID- 29839641 TI - Annotations. PMID- 29839642 TI - Field Dressings. PMID- 29839643 TI - The Story of the Insane from Year to Year. PMID- 29839645 TI - The Expectancy of Life in Cases of Cancer of the Breast. PMID- 29839644 TI - Hospital Meetings, &c. PMID- 29839646 TI - Progress in Surgery. PMID- 29839647 TI - Hospital Construction. PMID- 29839649 TI - New Appliances and Things Medical. PMID- 29839648 TI - Glances at the Hospitals. PMID- 29839650 TI - The Concurrence of Typhoid and Malarial Fever. PMID- 29839651 TI - "The Hospital" Nursing Mirror. PMID- 29839652 TI - The Isolation Hospital, Southampton. PMID- 29839653 TI - The London Water Supply. PMID- 29839654 TI - Modern Sociology. PMID- 29839655 TI - Notes and News. PMID- 29839656 TI - Progress in Psychiatry. PMID- 29839657 TI - Glances at the Hospitals. PMID- 29839659 TI - The National Hospital for the Paralysed and Epileptic. PMID- 29839658 TI - Progress in Gynaecology. PMID- 29839660 TI - Hospital Meetings, &c. PMID- 29839661 TI - Ambulance Tongas from India for South Africa. PMID- 29839662 TI - New Appliances and Things Medical. PMID- 29839663 TI - Boer and British Sanitation. PMID- 29839665 TI - The International Medical Congress. PMID- 29839664 TI - Death by Starvation. PMID- 29839667 TI - Political Assassination. PMID- 29839666 TI - Annotations. PMID- 29839669 TI - Progress in Medicine. PMID- 29839668 TI - "The Hospital" Nursing Mirror. PMID- 29839670 TI - Rupture of the OEsophagus. PMID- 29839671 TI - Procedures Relative to the Single Care of Insane Persons. PMID- 29839673 TI - Progress in Surgery. PMID- 29839672 TI - A Mouldy Stomach. PMID- 29839674 TI - Annotations. PMID- 29839675 TI - Sexual Function and Insanity. PMID- 29839677 TI - Glances at the Hospitals. PMID- 29839676 TI - The Treatment of Acne. PMID- 29839678 TI - An Indirect Sewage Nuisance. PMID- 29839679 TI - The General Election. PMID- 29839680 TI - The Institutional Treatment of Disease. PMID- 29839681 TI - Progress in State Medicine. PMID- 29839682 TI - Modern Sociology. PMID- 29839683 TI - Anti-Typhoid Inoculation. PMID- 29839684 TI - "The Hospital" Nursing Mirror. PMID- 29839685 TI - Poisoning by Paraldehyde. PMID- 29839687 TI - The "Colony Treatment" of Epileptics. PMID- 29839686 TI - Progress in Laryngology. PMID- 29839688 TI - Institutional Questions. PMID- 29839689 TI - The Story of the Insane from Year to Year. PMID- 29839690 TI - Notes and News. PMID- 29839691 TI - Therapeutical Notes. PMID- 29839692 TI - Annotations. PMID- 29839693 TI - Progress in Medicine. PMID- 29839694 TI - Seccotine in Surgery. PMID- 29839695 TI - Progress in Otology. PMID- 29839696 TI - Progress in Surgery. PMID- 29839697 TI - Editor's Letter-Box. PMID- 29839698 TI - Notes and News. PMID- 29839699 TI - Fracture of the Patella and of the Olecranon. PMID- 29839700 TI - Metropolitan Hospital Sunday Fund. PMID- 29839701 TI - The Abuse of Exercise. PMID- 29839702 TI - The Imperial Yeomanry Hospital. PMID- 29839704 TI - The Static Method in X Ray Work. PMID- 29839703 TI - Hypertrophic Pyloric Stenosis in Infancy. PMID- 29839706 TI - The Medical, Surgical, and Hygienic Exhibition, 1900. PMID- 29839705 TI - New Appliances and Things Medical. PMID- 29839707 TI - Expanding Mauser Bullets. PMID- 29839708 TI - The Ice-Bag in the Treatment of Pneumonia. PMID- 29839710 TI - Special Hospital Sunday Supplement. PMID- 29839709 TI - "The Hospital" Nursing Mirror. PMID- 29839712 TI - Arsenical Phosphate of Soda. PMID- 29839711 TI - Hospital Meetings, &c. PMID- 29839714 TI - The Effects of Drugging in Life and in Literature. PMID- 29839713 TI - The Interim Report of the Fabian Society. PMID- 29839716 TI - Overfeeding and Hygienic Management. PMID- 29839715 TI - The Status of Institutional Dispensers. PMID- 29839717 TI - Vegetable Soups in the Treatment of Children's Anaemias. PMID- 29839718 TI - Fellow-Workers and Their Doings. PMID- 29839720 TI - Varied Experiences in a Surgical Ward. PMID- 29839719 TI - The Origin and Evolution of the 18th Century Hospital Movement. PMID- 29839721 TI - The Skin. PMID- 29839722 TI - A Workable System of Cottage Hospital Book-Keeping. PMID- 29839723 TI - The National Medical Union (Official): Resolutions on Policy. The Profession of Medicine. PMID- 29839724 TI - Women Doctors and the Ban on Marriage. PMID- 29839725 TI - Wild Life in a Hospital Barrack-Square. PMID- 29839726 TI - The Results of Flight upon Normal Health. PMID- 29839727 TI - Research and Remedies. PMID- 29839728 TI - Hospital and Institutional News. PMID- 29839729 TI - Westminster Hospital and Clapham Common. PMID- 29839730 TI - Buildings Contemplated and in Progress. PMID- 29839731 TI - A Simple Means of Making Carbon Dioxide Snow. PMID- 29839732 TI - The Editor's Letter-Box. PMID- 29839734 TI - The Value and Risks of Water Exercise. PMID- 29839733 TI - Salaries of Poor-Law Medical Officers. PMID- 29839735 TI - The Marriage Law and Mental Disease. PMID- 29839737 TI - For Hospital Workers. PMID- 29839736 TI - Hospital and Institutional News. PMID- 29839739 TI - Doctors' Wills. PMID- 29839738 TI - The National Medical Union (Official): Resolutions on Policy. PMID- 29839740 TI - The Simplification of Colour-Matching. PMID- 29839741 TI - The Solvency of Approved Societies. PMID- 29839742 TI - Sanatoria Patients and Dental Benefit. PMID- 29839744 TI - The River Ambulance Service. PMID- 29839743 TI - Research and Remedies. PMID- 29839745 TI - The Truth about the Milne Treatment. PMID- 29839746 TI - The Interim Report of the Fabian Society. PMID- 29839747 TI - Reports on Hospitals of the United Kingdom: Benenden Sanatorium, Kent. PMID- 29839748 TI - A Convenient Method of Moving Patients. PMID- 29839749 TI - A Criticism of the New Nomenclature. PMID- 29839750 TI - Age Limits for Institutional Posts. PMID- 29839751 TI - Personalia. PMID- 29839752 TI - The Salaries of Poor-Law Medical Officers. PMID- 29839753 TI - Fellow-Workers and Their Doings. PMID- 29839754 TI - The Central Point of the Chaplain's Work. PMID- 29839755 TI - Non-Panel Men and the Medical Directory. PMID- 29839756 TI - Sanatoria Buildings at L88 per Bed. PMID- 29839757 TI - Hospital and Institutional News. PMID- 29839758 TI - A Rare Problem of School Work. PMID- 29839759 TI - Fellow-Workers and Their Doings. PMID- 29839760 TI - The Modern Medical Bureaucrat. PMID- 29839761 TI - Insuring Babies' Lives. PMID- 29839762 TI - Reports on Hospitals of the United Kingdom: General Kent and Centerbury Hospital. PMID- 29839763 TI - Buildings Contemplated. PMID- 29839764 TI - The Patients' Column. PMID- 29839765 TI - The National Medical Union (Official): Report of Council Meeting. The Medical Benefit "Surplus Funds". PMID- 29839767 TI - An Alternative to Institutional Segregation. PMID- 29839766 TI - The Treatment of Puerperal Sepsis in General Practice. PMID- 29839768 TI - Doctors' Wills. PMID- 29839769 TI - The Debate on the Marriage Question. PMID- 29839771 TI - Lightning Conductors and Their Tests. PMID- 29839770 TI - A Mental Hospital Sketch. PMID- 29839772 TI - Personalia. PMID- 29839773 TI - Married Women Doctors and Their Appointments. PMID- 29839774 TI - The Artificial Pneumothorax Association and Journal. PMID- 29839776 TI - Women Doctors and the London County Council. PMID- 29839775 TI - Radium in the Treatment of Deafness. PMID- 29839777 TI - Provincial Hospital Arrangements: Barnsley-Bath-Barnstaple-A Southern Territorial Hospital-Bristol-Cambridge-Essex-Hospital Co-Operation in Exeter-Gravesend Guildford-Ipswich-Lancashire-Leicester-Lincolnshire-Middlesbrough-Oldham Portsmouth-Hartshill, Staffordshire-Stalybridge-Torquay-Tunbridge Wells-Wakefield Walsall (Staffs)-Yarmouth. PMID- 29839778 TI - The Problem before the London Hospitals. PMID- 29839779 TI - The London Hospital's Arrangements: Guy's Hospital-Metropolitan Hospital-St. George's Hospital-St. Mary's Hospital-Westminster Hospital-University College Hospital. PMID- 29839781 TI - The Hospital Necessities of the Civil Population. PMID- 29839780 TI - Some Dangers and Mistakes to Be Avoided. PMID- 29839782 TI - Territorial Hospitals and Nursing Service. PMID- 29839783 TI - Some Non-Combatant Responsibilities. PMID- 29839785 TI - Grateful Thanks to Our War Correspondents. PMID- 29839784 TI - Hospital and Institutional News. PMID- 29839786 TI - Position of the Voluntary Hospitals. PMID- 29839787 TI - The Charity Organisation Society and the Treatment of Tuberculosis in London. PMID- 29839789 TI - Maternity and Mothering: The Influence of the Insurance Act upon the Practice of Midwifery. PMID- 29839788 TI - From the Nurses' Point of View: A Reply to the Criticisms of a Patient. PMID- 29839790 TI - Buildings Contemplated. PMID- 29839791 TI - Enteritis at Southwark Infirmary. PMID- 29839793 TI - Hospital Statistics. I.-Methods of Keeping the Records of Patients. PMID- 29839792 TI - Bath Workhouse Infirmary. PMID- 29839795 TI - The Nurses' Home at the Massachusetts General Hospital. PMID- 29839794 TI - Medical Defence. PMID- 29839796 TI - Toxaemia in the Acute Specific Fevers. PMID- 29839797 TI - Institutional Organisation in America: II. A Lesson from the Massachusetts General Hospital, Boston. PMID- 29839798 TI - Reports on Hospitals of the United Kingdom: Caterham Cottage Hospital. The Epsom and Ewell Cottage Hospital (Second Notice). PMID- 29839800 TI - China Medical Missionary Association. PMID- 29839799 TI - Children's Country Holidays Fund. PMID- 29839802 TI - The Shortage in the Naval Medical Service. PMID- 29839801 TI - The Theory of Fowler's Posture. PMID- 29839803 TI - Over-Insurance. PMID- 29839804 TI - A Hospital Equerry for the King. PMID- 29839805 TI - Fellow-Workers and Their Doings. PMID- 29839806 TI - The Relation of the School Doctor to the Private Practitioner. PMID- 29839807 TI - Hospital and Institutional News. PMID- 29839808 TI - Some Historic Children's Hospital Cots. PMID- 29839809 TI - The Tuberculosis Society. PMID- 29839810 TI - Personalia. PMID- 29839811 TI - New Developments at "The London": How the Growth of Work Is Being Met. PMID- 29839813 TI - Fellow-Workers and Their Doings. PMID- 29839812 TI - Medical Hydrology. PMID- 29839814 TI - A List of Non-Panel Men. PMID- 29839815 TI - Prevention of Sickness under the Act. PMID- 29839817 TI - The Poor-Law Medical Officers' Association. PMID- 29839816 TI - The Editor's Letter-Box. PMID- 29839818 TI - The Retrograde Policy of the Bath Guardians. PMID- 29839819 TI - The Orthopaedic Department: VIII. The Plaster Room (continued). Modern Methods in Celluloid Work. PMID- 29839820 TI - Hospital and Institutional News. PMID- 29839822 TI - The Treatment of Frontal Sinus Suppuration. PMID- 29839821 TI - A Simple Treatment for Post-Partum Haemorrhage. PMID- 29839823 TI - The Nursing and Care of the Sick Prior to 1850. PMID- 29839825 TI - Poor-Law Medical Officers and Post-Mortems. PMID- 29839824 TI - The National Medical Union (Official): Report of Provisional Federating Council. National Medical Union Dinner. PMID- 29839827 TI - Hospitals and the Dust Nuisance. PMID- 29839826 TI - Economy in the Generation and Use of Steam: III. Prevention of Waste. PMID- 29839829 TI - Buildings Contemplated. PMID- 29839828 TI - The Department of Modern Nursing: St. Mary's Hospital. PMID- 29839830 TI - Personalia. PMID- 29839831 TI - Working Men and Representation: Mr. Roden Orde on the Principle and Its Application. PMID- 29839833 TI - Johns Hopkins Hospital. PMID- 29839832 TI - Collargol Pyelography: A Warning. PMID- 29839834 TI - Hospital and Institutional News. PMID- 29839835 TI - The Treatment of Ankylostoma Anaemia. PMID- 29839837 TI - Certain Provincial Hospitals: Their Dissolution or Reform. PMID- 29839836 TI - Disablement Benefit-The Last of the Benefits to Come into Operation. PMID- 29839839 TI - Panel Practitioners and Chemists. PMID- 29839838 TI - The Problem of Functional Paralysis. PMID- 29839841 TI - Fellow-Workers and Their Doings. PMID- 29839840 TI - British Pharmaceutical Conference. PMID- 29839843 TI - The Ambulance Attendant: A Curious Case. PMID- 29839842 TI - The History of Charing Cross Hospital and School. PMID- 29839844 TI - The Progress of Mental Treatment in Scotland: Boarding-Out or Institutional Treatment? PMID- 29839845 TI - The Royal National Sanatorium. PMID- 29839846 TI - The Repetition of Prescriptions. PMID- 29839847 TI - The Examination of Proposers for Life Insurance. PMID- 29839848 TI - Reports on Hospitals of the United Kingdom: The Royal Southern Hospital, Liverpool. The Holmesdale Cottage Hospital, Sevenoaks. PMID- 29839850 TI - The Administration of the Willesden Workhouse. PMID- 29839849 TI - The Metropolitan Hospital. PMID- 29839851 TI - New Developments at Leicester. PMID- 29839852 TI - The Causation of Apoplexy. PMID- 29839854 TI - New Infirmary Scheme at Bristol: The Reorganisation of the Indoor Medical Work. PMID- 29839853 TI - The Secretaryship of St. Mark's. PMID- 29839856 TI - Americans on the Voluntary System: The Criticisms of Visiting Surgeons. PMID- 29839855 TI - The Clinical Congress. PMID- 29839857 TI - The Department of Modern Nursing: North London or University College Hospital. PMID- 29839858 TI - The Distribution Committee. PMID- 29839859 TI - Report of the Committee of Distribution to the Council. PMID- 29839860 TI - War and Insanity. PMID- 29839861 TI - The Administrative Problem of Workhouse Nursing. PMID- 29839862 TI - The Second Annual Report. PMID- 29839863 TI - Fellow-Workers and Their Doings. PMID- 29839864 TI - Medical Services and Hospitals of the Crown: A Survey of Our Organisation. PMID- 29839865 TI - Reply to the Criticisms of a Patient. PMID- 29839866 TI - Hospital and Institutional News. PMID- 29839867 TI - The Electrical and Radio-Therapeutic Department of the Cancer Hospital (Free), London: Details of Equipment and Cost. PMID- 29839869 TI - Description of the Buildings. PMID- 29839868 TI - Hospital Saturday, the Truck Act and Workmen's Contributions. PMID- 29839870 TI - Some Details of the Scheme. PMID- 29839871 TI - Aerial Conveyance of Infectious Diseases: A Hint for Fever Hospital Administrators. PMID- 29839872 TI - The National Medical Union Dinner. PMID- 29839874 TI - Pensions for Hospital Employees: The Discussion on Mr. Michelli's Paper. PMID- 29839873 TI - Voluntary Hospitals in Relation to Social Service Work: The Discussion on Councillor Shaw's Paper. PMID- 29839875 TI - A Ministry of Public Health. PMID- 29839877 TI - The Colour Problem in Hospital Life: Coloured Students: Factors in the Controversy. PMID- 29839876 TI - Proposed Amendment of the Truck Acts, 1831 to 1896, and How It May Affect the Voluntary Hospitals: The Discussion on Mr. Straker's Paper. The Business Meeting. The Next Conference. PMID- 29839878 TI - Hospital and Institutional News. PMID- 29839879 TI - The Bath Workhouse Infirmary. PMID- 29839880 TI - Ground Floor Plan. PMID- 29839881 TI - Institutional Defalcations. PMID- 29839882 TI - The Doctors' Wives Association. PMID- 29839883 TI - Architects' Description of the Buildings. PMID- 29839884 TI - Reports on Hospitals of the United Kingdom: Three Leicester Hospitals: (1) The Faire Hospital-(2) The Maternity Hospital-(3) The Highfield Hospital. PMID- 29839886 TI - Opening of a Large New Wing. PMID- 29839885 TI - The New Insurance Books. PMID- 29839887 TI - The Electrical and Radio-Therapeutic Department of the Cancer Hospital (Free), London. PMID- 29839888 TI - Employers' Subscriptions and Compensation Cases. PMID- 29839889 TI - Early Treatment of Mental Cases: Proposed Use for Reception Homes and Observation Wards. PMID- 29839890 TI - The Visit of North American Surgeons. PMID- 29839891 TI - East Suffolk and Ipswich Hospital. PMID- 29839892 TI - The Clinical Congress of Surgeons of North America. PMID- 29839893 TI - Surgeons and Nurses: A Change in the Former's Behaviour. PMID- 29839894 TI - The Decay of Moral Force. PMID- 29839895 TI - Research and Remedies. PMID- 29839896 TI - The British Medical Association Meeting. PMID- 29839897 TI - Opening of a New Ward and Laboratory for Tropical Diseases. PMID- 29839899 TI - Hospital and Institutional News. PMID- 29839898 TI - The Secretaryship of St. Mark's. PMID- 29839900 TI - Institutional Organisation in America: III. Reforms in Gynaecological Out-Patient Clinics. PMID- 29839901 TI - Fellow-Workers and Their Doings. PMID- 29839903 TI - Poor-Law Infirmaries and the War. PMID- 29839902 TI - The Royal Portsmouth Hospital. PMID- 29839904 TI - The War and the Poor-Law Infirmaries. PMID- 29839905 TI - Buildings Contemplated. PMID- 29839907 TI - Hospital and Institutional News. PMID- 29839906 TI - The City of London. PMID- 29839909 TI - The Problem for Hospital Staffs and the Colleges. PMID- 29839908 TI - A Newcastle Hospital Pioneer. PMID- 29839910 TI - The Position of Sailors and Soldiers. PMID- 29839911 TI - Extemporised Hospitals. PMID- 29839912 TI - Quacks and the Bounds of Human Credulity. PMID- 29839913 TI - The Arrangements at Edinburgh and Dundee. PMID- 29839914 TI - Lord Haldane's Territorial Hospitals and Nursing Service. PMID- 29839915 TI - Fellow-Workers and Their Doings. PMID- 29839916 TI - Dr. Addison's New Post. PMID- 29839917 TI - A View of the Hospital Arrangements. PMID- 29839918 TI - Minor Hospital War News. PMID- 29839919 TI - Institutional Organisation in America: IV. Conundrums about Hospital Efficiency. PMID- 29839920 TI - What the Country Is Doing. PMID- 29839922 TI - Free Treatment for Those Affected. PMID- 29839921 TI - Linking up New Hospital Units. PMID- 29839924 TI - Medical Representatives on Insurance Committees. PMID- 29839923 TI - St. Mark's Hospital. PMID- 29839925 TI - Royal Hospital for Diseases of the Chest. PMID- 29839926 TI - The Colour Problem in Hospital Life. PMID- 29839928 TI - A Great City's Hospital Work. PMID- 29839927 TI - The Friendly Societies' Conferences. PMID- 29839929 TI - Dr. F. J. Waldo on Imperial and Local Government. PMID- 29839930 TI - Hospital and Institutional News. PMID- 29839931 TI - Strike of German Doctors. PMID- 29839932 TI - The Annual Meeting of the Poor-Law Medical Officers' Association of England and Wales. PMID- 29839934 TI - The British Medical Association in Scotland. PMID- 29839933 TI - Hospital Equipment. PMID- 29839936 TI - Institutional Organisations in America: I. Some Reforms in Children's Out-Patient Clinics. PMID- 29839935 TI - Hospital Plans and Their Selection. PMID- 29839937 TI - The Pure Milk Bills. PMID- 29839938 TI - British versus Continental Spas: A Plea for Home-Made Hydrotherapy. PMID- 29839939 TI - National Insurance and the Poorer Hospitals. PMID- 29839940 TI - Relations of Hospitals with Panel Practitioners: The London Panel Committee and the Budget Grants. PMID- 29839941 TI - Emetine in the Dysentery of Children. PMID- 29839942 TI - Proceedings at General Meeting. PMID- 29839943 TI - Buildings Contemplated and in Progress. PMID- 29839944 TI - Fellow-Workers and Their Doings. PMID- 29839945 TI - Reports on Hospitals of the United Kingdom: The North Evington Infirmary, Leicester: Report of the Guardians' Committee on Sir Henry Burdett's Report. PMID- 29839946 TI - The Nascent Iodine Treatment of Tuberculosis. PMID- 29839947 TI - The Glasgow Royal Infirmary Chairman. PMID- 29839949 TI - The Department of Modern Nursing: IV. West London Hospital. PMID- 29839948 TI - Graceful Giving. PMID- 29839951 TI - The Wage-Earning Value of the One-Eyed Man. PMID- 29839950 TI - Insurance Act Visitors. PMID- 29839953 TI - The Asylum Workers' Association: Speeches at the Annual Meeting. PMID- 29839952 TI - St. George's and the Westminster Hospitals. PMID- 29839954 TI - Buildings Contemplated. PMID- 29839955 TI - The Uckfield Cottage Hospital. PMID- 29839956 TI - Recurring Jaundice in Successive Pregnancies. PMID- 29839957 TI - Hospital and Institutional News. PMID- 29839958 TI - A Deportment Coronet. PMID- 29839959 TI - Forthcoming Developments Indicated in the Budget. PMID- 29839960 TI - Reports on Hospitals of the United Kingdom: Croydon General Hospital. PMID- 29839961 TI - The Staff at Gravesend Hospital. PMID- 29839962 TI - Two Bed-Lifters Described. PMID- 29839964 TI - The Orthopaedic Department: VII. The Plaster Room (continued). Modern Methods in Plaster Work. PMID- 29839963 TI - The Abuse of Tuberculin. PMID- 29839965 TI - The Royal, the Humorous, the Heroic. PMID- 29839966 TI - The Secret of Institutional Discipline. PMID- 29839967 TI - The National Medical Union (Official): Medical Forethought in State Medicine. PMID- 29839968 TI - Human Hibernation. PMID- 29839969 TI - Fellow-Workers and Their Doings. PMID- 29839970 TI - The Editor's Letter-Box. PMID- 29839972 TI - The Surgical Congress: July 27-31: Institutional Personalities. PMID- 29839971 TI - Treatment of Hay-Fever-Emetine in Tuberculosis. PMID- 29839973 TI - What Keeps a Man off the Panel? PMID- 29839975 TI - Perfunctory Exercises in Schools: The Inner Problem of Organised Games. PMID- 29839974 TI - The Future Relations of Medicine and the State. PMID- 29839977 TI - Relaxation by Aeroplane. PMID- 29839976 TI - A Year's Work at the Radium Institute. PMID- 29839978 TI - The Ward Locker Competition: The Successful Designs. PMID- 29839979 TI - The Risk of Premature Burial. PMID- 29839980 TI - The Inspection of Public Institutions. PMID- 29839981 TI - An Overlooked Factor in the Appeal for the Blind. PMID- 29839982 TI - The National Medical Union (Official): Final Meeting of Provisional Federating Council. The Profession of Medicine. PMID- 29839983 TI - Economy in the Generation and Use of Steam: I. Sources of Waste in the Older Boilers. PMID- 29839984 TI - London County Council Tuberculosis Scheme: The Position of the Hospitals. PMID- 29839986 TI - The Isolation Hospital Movement: An Authoritative Institutional Textbook. PMID- 29839985 TI - The Duration of Pregnancy. PMID- 29839987 TI - More about Abderhalden's Reaction. PMID- 29839988 TI - Fellow-Workers and Their Doings. PMID- 29839990 TI - Asylum Workers' Association. PMID- 29839989 TI - A Poor-Law Medical Officer and the Use of Brandy. PMID- 29839992 TI - Cost of Hospital Treatment Claimed from a Doctor. PMID- 29839991 TI - Panel Doctors and Professional Cowardice. PMID- 29839994 TI - The London Panel Committee. PMID- 29839993 TI - Reports on Hospitals of the United Kingdom: North Evington Poor-Law Infirmary, Leicester. PMID- 29839995 TI - A Linen Guild's Work at Leeds. PMID- 29839996 TI - Hospital and Institutional News. PMID- 29839997 TI - St. George's Hospital. PMID- 29839998 TI - A Speech Delivered on Behalf of Ancoats Hospital. PMID- 29839999 TI - What Keeps a Man off the Panel? PMID- 29840000 TI - Buildings Contemplated and in Progress. PMID- 29840001 TI - Legal Notes for Institutional Workers: A Mental Specialist's Fees-Education Authorities and Medical Associations-Bequest to an Attendant-A Point for Public Health Officers. PMID- 29840003 TI - Practical Points in Hospital Mechanics: The Control of Air Temperature by Thermostats. PMID- 29840002 TI - Mental Hospitals and After-Care. PMID- 29840005 TI - One Hundred and Thirty Patients a Day! PMID- 29840004 TI - Royal Chest Hospital Dinner. PMID- 29840006 TI - Heating by Gas. PMID- 29840007 TI - Reports on Hospitals of the United Kingdom: Margate Cottage Hospital. Royal Sea Bathing Hospital, Margate. Uckfield Cottage Hospital. PMID- 29840008 TI - Should the Chairmanship Go Round? PMID- 29840010 TI - Premature Burial. PMID- 29840009 TI - The Danger of a Short Sanatorium Course. PMID- 29840012 TI - Hospital Facts for an Interested Public. PMID- 29840011 TI - Hospital and Institutional News. PMID- 29840014 TI - The Department of Modern Nursing: St. Bartholomew's Hospital. PMID- 29840013 TI - The National Medical Union (Official): The London Organisation Committee. PMID- 29840015 TI - The Rural Workhouse Infirmary. PMID- 29840016 TI - The Marriage of Faith and Science. PMID- 29840017 TI - The History of St. George's Hospital: Some Eighteenth Century Institutional Officers. PMID- 29840018 TI - Fellow-Workers and Their Doings. PMID- 29840019 TI - The Facts of Syphilis on the Stage: Plays by an English Doctor and a French Poet. PMID- 29840020 TI - >The Tendency of Medico-Psychology: Freud's Theory and Its Critics. PMID- 29840021 TI - The London Clinical Congress. PMID- 29840022 TI - Doctors' Wills. PMID- 29840023 TI - Personalia. PMID- 29840024 TI - Reports on Hospitals of the United Kingdom: The Ashford Cottage Hospital. PMID- 29840025 TI - The Welchman Memorial Hospital, Guadalcanar. PMID- 29840026 TI - Personalia. PMID- 29840027 TI - The Complexity of Diphtheria Toxin. PMID- 29840028 TI - The Future of the Deposit Contributor. PMID- 29840029 TI - Institutional Needs. PMID- 29840030 TI - A Unique Hospital Chapel. PMID- 29840031 TI - Fellow-Workers and Their Doings. PMID- 29840032 TI - An Aid to Prognosis for the School Doctor. PMID- 29840033 TI - Their Place in the Hospital Budget. PMID- 29840034 TI - Good Work Done and More to Follow at Leicester. PMID- 29840035 TI - Hospital and Institutional News. PMID- 29840037 TI - The Government of the Royal College of Surgeons. PMID- 29840036 TI - Women Doctors and the London County Council. PMID- 29840038 TI - The Editor's Letter-Box. PMID- 29840039 TI - The "Cardiac Sign" of Malignant Disease. PMID- 29840040 TI - Doctors' Wills. PMID- 29840041 TI - The Diary of a "Chronic Appendix". PMID- 29840042 TI - The National Medical Union (Official): Dr. Macevoy on the Constitution. PMID- 29840043 TI - The Editor's Letter-Box. PMID- 29840044 TI - Non-Panel Men and the "Medical Directory". PMID- 29840045 TI - The Picture Palace and the Spread of Disease. PMID- 29840046 TI - Their Desirability in General Hospitals. PMID- 29840047 TI - The National Medical Union (Official): Meeting of Executive Committee. Sanatorium Benefit Statistics. PMID- 29840048 TI - Non-Panel Men and the "Medical Directory". PMID- 29840049 TI - Public Pharmacists' Bohemian Concert. PMID- 29840050 TI - The Passing of Parasyphilis. PMID- 29840051 TI - Hospital and Institutional News. PMID- 29840052 TI - A Disclaimer. PMID- 29840053 TI - In an Urban District Infectious Hospital. PMID- 29840055 TI - Boy Scouts and a Hospital Toy Service. PMID- 29840054 TI - Imperial Health Conference. PMID- 29840056 TI - Treatment by Tuberculin. PMID- 29840057 TI - How to Vote. PMID- 29840058 TI - The Latest Treatment for Eclampsia. PMID- 29840059 TI - Neo-Salvarsan for Scarlet Fever. PMID- 29840060 TI - The National Insurance Act (Part II.) Amendment Bill. PMID- 29840061 TI - Fellow-Workers and Their Doings. PMID- 29840062 TI - Our First Competition. PMID- 29840063 TI - Annual Meeting of Governors and General Council. PMID- 29840065 TI - The Treatment of Cancer of the Cervix Uteri: Wertheim's Operation, the Bumm and Werder Methods. PMID- 29840064 TI - Personalia. PMID- 29840066 TI - Reports on Hospitals of the United Kingdom: West Kent General Hospital, Maidstone. PMID- 29840067 TI - The Strength of Metropolitan Voluntary Hospitals. PMID- 29840068 TI - The Voting Paper and the Prizes. PMID- 29840069 TI - Suggestions for an Ideal Locker: The Six Selected Designs. PMID- 29840070 TI - Hospitals from the Patients' Point of View: Three Weeks in a Pay-Ward. PMID- 29840071 TI - Buildings Contemplated and in Progress. PMID- 29840072 TI - Synthetic Germs. PMID- 29840073 TI - Fellow-Workers and Their Doings. PMID- 29840075 TI - Doctors' Wills. PMID- 29840074 TI - A Novel Request. PMID- 29840076 TI - A Question of Professional Conduct. PMID- 29840077 TI - The Newcastle Conference: The Place and Personalities of the Week. PMID- 29840078 TI - Working-Class Support and Representation. PMID- 29840079 TI - Common Errors in Diagnosis: The Chest. PMID- 29840080 TI - The Council Election of the English Royal College of Surgeons. PMID- 29840081 TI - Hospital and Institutional News. PMID- 29840083 TI - The Question of Linked-Up Illnesses. PMID- 29840082 TI - Medical Etiquette Tested by Practice. PMID- 29840084 TI - The Tuberculosis Society. PMID- 29840085 TI - Institutional Needs. PMID- 29840086 TI - Hospital Advertising. PMID- 29840088 TI - Institutional Defalcations: The Assistant Secretary's Responsibility. PMID- 29840087 TI - Reports on Hospitals of the United Kingdom: The Epsom and Ewell Cottage Hospital. Faversham Cottage Hospital. PMID- 29840089 TI - The Failure of Incipient Insanity Bills. PMID- 29840090 TI - Personalia. PMID- 29840092 TI - Acrosyl. PMID- 29840091 TI - Hospital and Institutional News. PMID- 29840093 TI - The National Insurance (Navy and Army) Act, 1914: The Position of Lord Kitchener's Armies. PMID- 29840094 TI - Reports on Hospitals of the United Kingdom: The Cumberland Infirmary, Carlisle. PMID- 29840095 TI - Fellow-Workers and the Roll of Honour. PMID- 29840096 TI - Buildings Contemplated. PMID- 29840097 TI - "What Can I Do to Help My Country?": Defend the Families of Our Sailors and Soldiers. PMID- 29840098 TI - Committees and the Shortage of Resident Medical Officers : Is There Shortage? PMID- 29840099 TI - The War and Professional Prospects: The Outlook for Education and Practice. PMID- 29840100 TI - The After-Histories of Sanatorium Patients: A Report from Frimley. PMID- 29840101 TI - Losses in the Royal Army Medical Corps. PMID- 29840102 TI - Open-Air Hospitals in War-Time. PMID- 29840103 TI - Soldiers in the Provincial Hospitals. PMID- 29840104 TI - Our Warriors' Dependants and "Relief". PMID- 29840105 TI - Radium in Deafness: Hyoscine Injections and a Captious Critic. PMID- 29840106 TI - The Orthopaedic Department: VI. The Plaster Room. PMID- 29840107 TI - Infant Hygiene in the Medical Curriculum. PMID- 29840108 TI - Concerning the First Rib. PMID- 29840109 TI - Actual Results of the Test. PMID- 29840111 TI - The Harrow Cottage Hospital: Its Architecture and Its Critics. PMID- 29840110 TI - The Editor's Letter-Box. PMID- 29840112 TI - Maternity Homes in Industrial Life: The State and the Environment of Pregnancy. PMID- 29840113 TI - Doctor's Precaution against Premature Burial. PMID- 29840114 TI - The King Edward VII. Sanatorium Report. PMID- 29840115 TI - The Diagnosis of Paternity. PMID- 29840116 TI - Buildings Contemplated. PMID- 29840117 TI - Recovery from Sleeping Sickness. PMID- 29840118 TI - Reports on Hospitals of the United Kingdom: Ramsgate General Hospital and Seamen's Infirmary. PMID- 29840119 TI - Colloid Metals in Therapeutics. PMID- 29840120 TI - Salaries of Poor-Law Medical Officers. PMID- 29840122 TI - The National Medical Union (Official): The Constitution Committee's Recommendations. PMID- 29840121 TI - The Editor's Letter-Box. PMID- 29840123 TI - The Patients' Column.-III. A London and a Provincial General Hospital Experience. PMID- 29840124 TI - The Problem of Syphilis in Poor-Law Infirmaries. PMID- 29840125 TI - A Workpeople's Gathering at Leicester. PMID- 29840126 TI - Hospital and Institutional News. PMID- 29840127 TI - Personalia. PMID- 29840128 TI - Fellow-Workers and Their Doings. PMID- 29840129 TI - Non-Panel Men and the "Medical Directory". PMID- 29840131 TI - Doctors' Wills. PMID- 29840132 TI - Drinking-Water and Dental Caries. PMID- 29840130 TI - Colloid Metals. PMID- 29840134 TI - Institutional Needs. PMID- 29840133 TI - Committees and the Shortage of Resident Officers. PMID- 29840135 TI - Physical Fitness and Military Efficiency: Are the Medical Tests for Recruits Too Severe? PMID- 29840136 TI - Reception of the Wounded at St. Thomas's Hospital. PMID- 29840137 TI - The Provincial Hospitals' Arrangements: Bristol, Cambridge-Chatham District: German Prisoners-Gravesend-Ipswich-Leicester: Arrival of Wounded-Leamington Spa Manchester Men on Active Service-Middlesbrough-Norwich-The Temporary Wards at Newcastle-Sheffield: Wounded from Mons-Tunbridge Wells and District. PMID- 29840139 TI - An Exposure of Quackery: The Select Committee's Report on Patent Medicines. PMID- 29840138 TI - Managers and Statutory Funds. PMID- 29840140 TI - View of a London Secretary. PMID- 29840141 TI - Arrangements in Edinburgh and Dundee: Dundee-Edinburgh: Arrival of Navy Men. PMID- 29840142 TI - Buildings Contemplated. PMID- 29840143 TI - Fellow-Workers and Their Doings. PMID- 29840145 TI - Our Sick and Wounded Home Again. PMID- 29840144 TI - Hospital and Institutional News. PMID- 29840146 TI - The After-Care of the Wounded. PMID- 29840147 TI - A Judge on Medical Witnesses' Fees. PMID- 29840148 TI - The Welsh War Hospital Scheme. PMID- 29840149 TI - Motor-Car Cots. PMID- 29840150 TI - The Voluntary Hospital: On Its Trial. PMID- 29840151 TI - Buildings Contemplated and in Progress. PMID- 29840152 TI - A Research Ward at St. Thomas's Hospital. PMID- 29840153 TI - Fifth Annual Conference at Newcastle-On-Tyne, June 18 to 20, 1914. PMID- 29840154 TI - The Chamberlain Memorial: Mr. Harcourt at the Albert Dock Hospital. PMID- 29840155 TI - Fellow-Workers and Their Doings. PMID- 29840156 TI - The Hospital Conference at Newcastle: Some Lessons and Suggestions. PMID- 29840157 TI - The Voluntary Hospital: The Discussion. PMID- 29840158 TI - The Reply by Dr. Hume. PMID- 29840160 TI - Some Hospitals and Municipal Institutions. PMID- 29840159 TI - Competitive Designs at Burnley. PMID- 29840161 TI - Lord Knutsford and Sir Victor Horsley. PMID- 29840163 TI - The Voluntary Hospitals and Grants in Aid. PMID- 29840162 TI - Hospital and Institutional News. PMID- 29840165 TI - Hospital Plans and Their Selection: Right and Wrong Methods: A Case in Point. PMID- 29840164 TI - The New Pharmacopoeia. PMID- 29840167 TI - Anti-Typhoid Inoculation in the Army. PMID- 29840166 TI - The Shortage of Medical Officers: An Appeal to the Colonies. PMID- 29840168 TI - Hospital and Institutional News. PMID- 29840169 TI - Good Ambulance Work in Glasgow. PMID- 29840171 TI - Tuberculosis Pavilions at Isolation Hospitals: Problems Involved in the Present Arrangements. PMID- 29840170 TI - Free Treatment with Free Medicine. PMID- 29840173 TI - The Work of London Hospitals and Infirmaries. West End Hospital: News from the Staff in Belgium-A London Secretary as Artillery Officer-New Headquarters of British Red Cross Society-Homerton and Bow Infirmaries. PMID- 29840172 TI - Public Grants to Schools for Mothers: The Board of Education's Proposals. PMID- 29840174 TI - The Belgian Refugees at Alexandra Palace: Dr. H. Cuff, Medical Superintendent, on Emergency Administration. PMID- 29840175 TI - Cottage Hospital, Staines. PMID- 29840176 TI - Soldiers in the Provincial Hospitals: Ashton-Under-Lyne: Anti-Typhoid Inoculation Bradford-Bristol: Supplementary Hospital-Cambridge: New Quarters of the 1st Eastern General Hospital-Gravesend and District-Leicester: Further Wounded Arrive Lincoln: 110 Wounded Received-Sheffield: Embarrassing Sympathisers. PMID- 29840178 TI - The Beginnings of the London Hospital: A New Light on Its Early Days. PMID- 29840177 TI - Personalia. PMID- 29840180 TI - A Scientific Mattress. PMID- 29840179 TI - The Lesson of the Metropolitan Asylums Board Report. PMID- 29840181 TI - Buildings Contemplated. PMID- 29840182 TI - Hospital Appeals in Time of War. PMID- 29840183 TI - Fellow-Workers and the Roll of Honour. PMID- 29840184 TI - What Should Our Policy Be? PMID- 29840185 TI - The Legal Position in Maternity Cases: The Law, the Nurse, and the Compromise. PMID- 29840186 TI - The Drain on the Hospitals' Special Departments. PMID- 29840187 TI - The Equipment of Emergency Hospitals. PMID- 29840188 TI - The London Hospitals' Arrangements: St. Bartholomew's Hospital-West Ham and Eastern General Hospital-The London. PMID- 29840189 TI - Organisation and Control. PMID- 29840190 TI - Schools for Mothers. PMID- 29840191 TI - The Red Cross Society: The Red Cross Expedition to Belgium-The Red Cross Motor Car Corps-Progress of the Arrangements for Stores-The War Office and Private Offers-A Link between Firing Line and Hospital-How Offers of Help Are Dealt With A Lady-Resident Volunteers-Red Cross Work at Cambridge-The Hospital Unit at Greenwich for Receiving Wounded in the Thames. PMID- 29840192 TI - The Heart of the British People. PMID- 29840193 TI - Poor-Law Infirmaries and the War Office: Birkenhead-Offers of Poor-Law Institutions-South Shields-An East Coast Town's Preparations. PMID- 29840194 TI - Temporary Hospital Provision in War-Time. PMID- 29840195 TI - A Noted Worker at Oldham. PMID- 29840196 TI - Minor Hospital War News. PMID- 29840197 TI - The Rights of the Civil Population. PMID- 29840199 TI - Scotch Servants and Hospital Problems. PMID- 29840198 TI - Preparations in Scotland: Aberdeen, Glasgow, and Perth-Kilmarnock-Stirling-The Scottish Red Cross Society. PMID- 29840201 TI - Hospital and Institutional News. PMID- 29840200 TI - The War and University Studies. PMID- 29840202 TI - Hospitals and the War: Brighton. PMID- 29840203 TI - Provincial Hospital Arrangements: Aylesbury-Barnsley-Chatham District-Coventry and Warwickshire Hospital-Croydon-Doncaster and District-Felixstowe-Gloucester Gravesend: An Emergency Test-Lancaster-Leamington-Salisbury Infirmary-St. Leonards, Hastings-Wakefield and District-Wolverhampton. PMID- 29840204 TI - Fellow-Workers and Their Doings. PMID- 29840205 TI - The Fellowship of the Royal College of Surgeons. PMID- 29840206 TI - The Royal Army Medical Corps: A Review of the Prospects and Pay. PMID- 29840208 TI - Higher Diplomas. PMID- 29840207 TI - Provincial Schools. PMID- 29840210 TI - The Royal Naval Medical Service: What It Offers to the Newly Qualified Medical Man. PMID- 29840209 TI - Qualification and Registration. PMID- 29840211 TI - The English Conjoint Course. PMID- 29840212 TI - Opportunities for Graduate Study in Special Hospitals. PMID- 29840213 TI - The Poor-Law Service and the War. PMID- 29840214 TI - The London University Course. PMID- 29840215 TI - London Post-Graduate Institutions: West London Post-Graduate College-The London Polyclinic-The London School of Clinical Medicine (Post-Graduate)-North-East London Post-Graduate College. PMID- 29840216 TI - Hospital and Institutional News. PMID- 29840217 TI - Royal Naval Medical Service. PMID- 29840218 TI - Scotland. PMID- 29840219 TI - London. PMID- 29840220 TI - The Cambridge University Course. PMID- 29840221 TI - Life in the Indian Medical Service: The Attractions of Medicine and Sport. PMID- 29840222 TI - Oxford University. PMID- 29840223 TI - The Study of Tropical Medicine in London, Liverpool, and Edinburgh. PMID- 29840224 TI - The Indian Medical Service. PMID- 29840226 TI - The Provincial Hospitals' Arrangements: Bath-Bradford-Leeds-Leicester-Lincoln North Devon Division-Sheffield. PMID- 29840225 TI - Personalia. PMID- 29840228 TI - War Patients at the Hospital. PMID- 29840227 TI - The Colonial Medical Service. PMID- 29840229 TI - Institutional Needs. PMID- 29840230 TI - The Royal Army Medical Corps. PMID- 29840231 TI - Ireland. PMID- 29840232 TI - Medicine as a Career. PMID- 29840233 TI - Reports on Hospitals of the United Kingdom: Kent County Ophthalmic Hospital, Maidstone. PMID- 29840234 TI - The "Jenner" Lifting Pole. PMID- 29840235 TI - The Risk of Premature Burial. PMID- 29840236 TI - Co-Operation Centres, Prescribing and Fees. PMID- 29840237 TI - The Romance of Camphor. PMID- 29840239 TI - The Hampshire Tuberculosis Officership. PMID- 29840238 TI - Institutional Defalcations : The Assistant-Secretary's Responsibility. PMID- 29840241 TI - Economy in the Generation and Use of Steam: II. The Principal Apparatus Described. PMID- 29840240 TI - Pharmacists and the Cocaine Snuff Habit. PMID- 29840242 TI - The Retrograde Policy of the Bath Guardians. PMID- 29840243 TI - Buildings Contemplated. PMID- 29840244 TI - The Patients' Column. PMID- 29840245 TI - A Question of Professional Conduct. PMID- 29840247 TI - Trade Hostility to Hospital Research: The Ideal Antiseptic for Obstetric Work. PMID- 29840246 TI - Major Surgery and Human Character : A Novel. PMID- 29840248 TI - New Developments at "The London": Mr. W. T. Paulin on the Effect of the Insurance Act. PMID- 29840249 TI - Hospital and Institutional News. PMID- 29840251 TI - Old-Age and Eyesight. PMID- 29840250 TI - A Radium Week by Artizan Workers. PMID- 29840252 TI - The National Medical Union (Official). PMID- 29840254 TI - Mental Symptoms and Patients' Thoughts: The Methods of Psycho-Analysis. PMID- 29840253 TI - The Prevention of Typhoid Fever. PMID- 29840256 TI - The Laymen's Influence in Public Medicine. PMID- 29840255 TI - Symptoms That May Lead to the Police Court. PMID- 29840257 TI - The London Hospital. PMID- 29840258 TI - Should Surgeons Mask While Operating? The Deadliness of a Sneeze. PMID- 29840259 TI - Legal Notes for Institutional Workers. PMID- 29840260 TI - Institutional Residents and Recreation: The Escape from the Common-Room Atmosphere. PMID- 29840262 TI - Fellow-Workers and Their Doings. PMID- 29840261 TI - Colloid Metals in the Clinical Laboratory. PMID- 29840263 TI - Parliament and Publications. PMID- 29840264 TI - The Week's Work. PMID- 29840265 TI - Annotations. PMID- 29840266 TI - The Abuse of the Hospital and Its Cure. PMID- 29840267 TI - The Meaning of Diathesis. PMID- 29840268 TI - Ionic Medication. PMID- 29840270 TI - Mob Psychology. PMID- 29840269 TI - The Hospital World. PMID- 29840272 TI - Practical Notes on Diagnosis and Treatment. PMID- 29840271 TI - Medical Opinion and Movement. PMID- 29840273 TI - News and Events of the Week. PMID- 29840274 TI - Institutional Notes and News. PMID- 29840276 TI - Tubercle Bacilli in the Faeces in Tuberculosis. PMID- 29840275 TI - The Treatment of Everyday Cases-Headache. PMID- 29840277 TI - Some Notes on the Treatment of Puerperal Septic Disease. PMID- 29840278 TI - Some Common Causes of Pain in the Foot-II. PMID- 29840279 TI - On a Fatal Variety of Ulcerative Sore-Throat. PMID- 29840281 TI - Practical Notes on Diagnosis and Treatment. PMID- 29840280 TI - A Case of Hysterical Photophobia in a Child. PMID- 29840282 TI - New Appliances and Things Medical. PMID- 29840283 TI - Medical Opinion and Movement. PMID- 29840284 TI - Annotations. PMID- 29840285 TI - Inflammation of the Iris. PMID- 29840286 TI - Parliament and Publications. PMID- 29840287 TI - The Ethnology of the American Medical Profession. PMID- 29840288 TI - The Hospital World. PMID- 29840289 TI - Hospital Contracts and Prices. PMID- 29840290 TI - News and Events of the Week. PMID- 29840292 TI - Institutional Notes and News. PMID- 29840291 TI - The Social Policy of Voluntary Hospitals. PMID- 29840294 TI - The Week's Work. PMID- 29840293 TI - An Epitome of Pediatrics. PMID- 29840296 TI - The Nationalisation of the Profession. PMID- 29840295 TI - The Heritage School of Arts and Crafts for Crippled Boys, Chailey, Sussex. PMID- 29840297 TI - The Modern Treatment of Fractures. PMID- 29840298 TI - Galvanic Treatment for Comedones. PMID- 29840299 TI - Institutional Notes and News. PMID- 29840300 TI - Human Botryomycosis. PMID- 29840301 TI - Annotations. PMID- 29840302 TI - Unqualified Medical Practice. PMID- 29840303 TI - Death and Dying in Plastic and Pictorial Art. PMID- 29840304 TI - The Problems of Nephritis. PMID- 29840305 TI - Practical Notes on Diagnosis and Treatment. PMID- 29840306 TI - Medical Opinion and Movement. PMID- 29840307 TI - The Hospital World. PMID- 29840308 TI - The Week's Work. PMID- 29840310 TI - News and Events of the Week. PMID- 29840309 TI - The Need of an Intermediate Single-Room Service in Hospitals. PMID- 29840312 TI - Insects as Carriers of Tropical Diseases. PMID- 29840311 TI - The Bacillus Influenzae. PMID- 29840314 TI - Metropolitan Hospital Sunday Fund. PMID- 29840313 TI - Parliament and Publications. PMID- 29840315 TI - Medicated Squab Pie. PMID- 29840316 TI - Hospital Medical Schools and the King's Fund. PMID- 29840317 TI - The Park Hospital for Sick Children. PMID- 29840319 TI - Tuberculosis of the Air-Passages above the Larynx. PMID- 29840318 TI - A Simple and Efficient Method of Removing Tonsils. PMID- 29840320 TI - By the Way. PMID- 29840321 TI - Annotations. PMID- 29840323 TI - The Practitioner: Reputed and Actual. PMID- 29840322 TI - The League of Mercy. PMID- 29840324 TI - Metropolitan Hospital Sunday Fund. PMID- 29840325 TI - Meals for Necessitous School Children during the Christmas Holidays. PMID- 29840326 TI - Nature Notes-VIII. PMID- 29840328 TI - The Week's Work. PMID- 29840327 TI - The Compilation of a Local History. PMID- 29840329 TI - Colonial Drugs. PMID- 29840330 TI - The Week in the Courts. PMID- 29840332 TI - Parliament and Publications. PMID- 29840331 TI - Hospital Medical Schools and the King's Fund. PMID- 29840333 TI - Practical Notes on Diagnosis and Treatment. PMID- 29840334 TI - The Newcastle Infirmary Resignations. PMID- 29840336 TI - Erratum. AB - [This corrects the article on p. 335 in vol. 49.]. PMID- 29840335 TI - Institutional Notes and News. PMID- 29840337 TI - News and Events of the Week. PMID- 29840338 TI - The Hospital World. PMID- 29840339 TI - A Medical Worthy of the Early Eighteenth Century. PMID- 29840340 TI - The Stethoscope. PMID- 29840342 TI - Institutional Notes and News. PMID- 29840341 TI - Humanitarianism. PMID- 29840343 TI - Medical Opinion and Movement. PMID- 29840344 TI - Parliament and Publications. PMID- 29840345 TI - The King's Fund and Hospital Medical Schools. PMID- 29840346 TI - Annotations. PMID- 29840348 TI - The New Parliament. PMID- 29840347 TI - Quack Advertisements. PMID- 29840349 TI - The AEtiology of Hydrophobia. PMID- 29840350 TI - The Week in the Courts. PMID- 29840351 TI - News and Events of the Week. PMID- 29840352 TI - The Week's Work. PMID- 29840353 TI - Orthopaedics in General Practice. PMID- 29840354 TI - The Hospital World. PMID- 29840355 TI - Carbon Monoxide Poisoning on a Motor Launch. PMID- 29840356 TI - Radiography. PMID- 29840357 TI - Practical Notes on Diagnosis and Treatment. PMID- 29840359 TI - News and Events of the Week. PMID- 29840358 TI - King Edward's Hospital Fund for London. PMID- 29840361 TI - The Week's Work. PMID- 29840360 TI - The Care of the Feeble-Minded at Leicester. PMID- 29840362 TI - After-Results of Magnet Extraction. PMID- 29840363 TI - Coma Due to Acute Yellow Atrophy of the Liver. PMID- 29840365 TI - The Physical Signs of Enlargement of the Gall-Bladder. PMID- 29840364 TI - Medical Opinion and Movement. PMID- 29840367 TI - Hospital Medical Schools and the King's Fund. PMID- 29840366 TI - The State Children's Association. PMID- 29840369 TI - Public Grants for Voluntary Hospitals. PMID- 29840368 TI - Parliament and Publications. PMID- 29840370 TI - Annotations. PMID- 29840371 TI - Some Prescription Difficulties. PMID- 29840372 TI - Demonstration of Cases of Nervous Disease. PMID- 29840373 TI - New Appliances and Things Medical. PMID- 29840374 TI - Medical Reasons for Divorce. PMID- 29840375 TI - A Study in Economic Medicine. PMID- 29840377 TI - Institutional Notes and News. PMID- 29840376 TI - The Hospital World. PMID- 29840379 TI - The Typhoid Carrier. PMID- 29840378 TI - An American View of State Aid for Hospitals. PMID- 29840381 TI - On the Use of Plasters in Dermatology. PMID- 29840380 TI - Eminent Chairman Series: III. Mr. Cosmo Bonsor, D.L. PMID- 29840382 TI - Women's Work in War. PMID- 29840384 TI - Workmen's Compensation Cases. PMID- 29840383 TI - Essex County Hospital. PMID- 29840385 TI - Medical Opinion and Movement. PMID- 29840386 TI - The Hospital World. PMID- 29840388 TI - New Appliances and Things Medical. PMID- 29840387 TI - Parliament and Publications. PMID- 29840389 TI - The Enteric Fever "Carrier". PMID- 29840391 TI - The Early Recognition of Measles. PMID- 29840390 TI - The Prognosis of Cancer. PMID- 29840392 TI - News and Events of the Week. PMID- 29840393 TI - The St. John Ambulance Association and the Voluntary Aid Detachments. PMID- 29840394 TI - The Week's Work. PMID- 29840395 TI - Institutional Notes and News. PMID- 29840396 TI - Annotations. PMID- 29840397 TI - New Appliances and Things Medical. PMID- 29840398 TI - Australian Notes. PMID- 29840399 TI - Institutional Notes and News. PMID- 29840400 TI - Difficulties in Removing the Tracheotomy Tube after Diphtheria. PMID- 29840401 TI - Medical Opinion and Movement. PMID- 29840402 TI - Public Grants for Voluntary Hospitals. PMID- 29840403 TI - The Week's Work. PMID- 29840405 TI - Parliament and Publications: The Hospitals of Kedah. PMID- 29840404 TI - Multiple Crises in Tabes Dorsalis. PMID- 29840406 TI - North Midland Poor-Law Conference. PMID- 29840407 TI - Royal Albert Edward Infirmary, Wigan, New Mortuary. PMID- 29840409 TI - The Coming of a Unified County Medical Service, and How It Will Affect the Voluntary Hospital. PMID- 29840408 TI - News and Events of the Week. PMID- 29840410 TI - Haematology-IX. PMID- 29840411 TI - Medical Tuition by Correspondence. PMID- 29840412 TI - Melanuria. PMID- 29840413 TI - The Hospital World. PMID- 29840414 TI - Annotations. PMID- 29840415 TI - Mental Evolution and the Insanities of To-Day. PMID- 29840417 TI - Severe Poisoning by Homatropin Used as an Eye Instillation. PMID- 29840416 TI - The Crippen Case. PMID- 29840418 TI - Erratum: The Treatment of Everyday Cases-Headache. AB - [This corrects the article on p. 107 in vol. 49.]. PMID- 29840419 TI - The Danger of Flannelette. PMID- 29840420 TI - Practical Notes on Diagnosis and Treatment. PMID- 29840422 TI - Practical Notes on Diagnosis and Treatment. PMID- 29840421 TI - Osteopathy. PMID- 29840423 TI - Inflammation of the Iris. PMID- 29840424 TI - Osteopathy. PMID- 29840425 TI - Identity of the Living and Dead. PMID- 29840426 TI - The Spread of Poliomyelitis in America. PMID- 29840427 TI - Inquests after Operations. PMID- 29840428 TI - Annotations. PMID- 29840430 TI - The Hebrew Physicians of Mediaeval Avignon. PMID- 29840429 TI - Tinea Cruris. PMID- 29840432 TI - News and Events of the Week. PMID- 29840431 TI - The British Hospitals Association. PMID- 29840434 TI - The Hospital World. PMID- 29840433 TI - The Green Lady Hostel. PMID- 29840435 TI - Parliament and Publications. PMID- 29840436 TI - Scottish Asylums. PMID- 29840438 TI - The Croydon Cottage Hospital for Felixstowe and Walton. PMID- 29840437 TI - The Week's Work. PMID- 29840439 TI - The Legal Relations of Hospital, Hospital Staff, and Patient. PMID- 29840440 TI - Institutional Notes and News. PMID- 29840441 TI - Medical Opinion and Movement. PMID- 29840442 TI - The Importance of Examining the Teeth. PMID- 29840444 TI - The Medical Year. PMID- 29840443 TI - The Microbacillus of Acne. PMID- 29840446 TI - The Evolution of Joint Surgery. PMID- 29840445 TI - Style in Medical Authorship. PMID- 29840447 TI - "The West London Appointment": an Official Disclaimer. PMID- 29840448 TI - German Hospital, Dalston. PMID- 29840449 TI - The Height of Antisepsis. PMID- 29840451 TI - Parliament and Publications. PMID- 29840450 TI - Vincent's Angina. PMID- 29840453 TI - News and Events of the Week. PMID- 29840452 TI - Practical Notes on Diagnosis and Treatment. PMID- 29840455 TI - "The West London Appointment": an Official Disclaimer. PMID- 29840454 TI - The Anaesthetist's Outfit. PMID- 29840456 TI - Hospital Relief in Holland. PMID- 29840458 TI - An Advance Announcement. PMID- 29840457 TI - Royal Southern Hospital, Liverpool. PMID- 29840460 TI - The Week's Work. PMID- 29840459 TI - Medical Opinion and Movement. PMID- 29840461 TI - Annotations. PMID- 29840462 TI - Institutional Notes and News. PMID- 29840463 TI - Grain Itch. PMID- 29840464 TI - The Hospital World. PMID- 29840465 TI - The Question Box. PMID- 29840466 TI - Some Untoward Consequences of Phimosis and of Circumcision. PMID- 29840467 TI - New Appliances and Things Medical. PMID- 29840468 TI - Epidemic Parotitis. PMID- 29840469 TI - The Westminster Hospital Medical School. PMID- 29840470 TI - A Clinical Lecture on Stone in the Ureter. PMID- 29840472 TI - The Week's Work. PMID- 29840471 TI - The Hospital World. PMID- 29840473 TI - Medical Opinion and Movement. PMID- 29840475 TI - Annotations. PMID- 29840474 TI - Hospitals and Insurance Systems. PMID- 29840477 TI - The Middlesex Hospital Appeal. PMID- 29840476 TI - News and Events of the Week. PMID- 29840479 TI - The Significance of Pericardial Fluid in Cases of Presumed Overlying. PMID- 29840478 TI - A New Treatment for Impetigo Contagiosa. PMID- 29840481 TI - Practical Notes on Diagnosis and Treatment. PMID- 29840480 TI - Institutional Notes and News. PMID- 29840483 TI - Forty Years of Lunacy Work. PMID- 29840482 TI - Parliament and Publications. PMID- 29840485 TI - National Children's Home and Orphanage Sanatorium, Harpenden. PMID- 29840484 TI - Authority versus Independence in Medicine. PMID- 29840487 TI - The Middlesex Hospital Appeal. PMID- 29840486 TI - New Appliances and Things Medical. PMID- 29840489 TI - The Modern Medical Journal. PMID- 29840488 TI - Voluntary Work and the Voluntary Hospitals. PMID- 29840491 TI - A Bird-Watcher's Camp-III. PMID- 29840490 TI - A New Field of Medical Treatment. PMID- 29840492 TI - Relaxations and Hobbies. PMID- 29840493 TI - Some Appreciations and a Suggestion. PMID- 29840494 TI - Mr. Percy Raiment and Mr. Gordon R. Ward. PMID- 29840495 TI - Hospital Statistics: Some Criticisms and Suggestions. PMID- 29840496 TI - Present Tendencies and Future Developments. PMID- 29840498 TI - The Gas Exhibition. II.-Institutional Applications Demonstrated. PMID- 29840497 TI - Quinine as a Hypnotic. PMID- 29840499 TI - The Value of Petrol at Operations. PMID- 29840500 TI - National Insurance: The Distribution of the Medical Benefit Fund. PMID- 29840501 TI - The Non-Panel Movement. PMID- 29840502 TI - Recent Advances in Orthopaedics. PMID- 29840503 TI - The Future Tuberculosis Institution Resident. PMID- 29840504 TI - Telephones for Hospital Use. PMID- 29840505 TI - Hospital and Institutional News. PMID- 29840507 TI - German and English Medical Education. PMID- 29840506 TI - The Hospital Isolation of Infectious Diseases: IV. Administrative Difficulties in Small Isolation Hospitals. PMID- 29840508 TI - Red Cross Uses of Aerial Transport. PMID- 29840509 TI - The Bacteriology of Food Poisoning: "Ptomaine Poisoning" and Modern Research. PMID- 29840510 TI - Worcester Infirmary and the Jubilee Fund. PMID- 29840511 TI - Legal Notes for Institutional Workers. PMID- 29840512 TI - The Unsatisfactory Panel System. PMID- 29840513 TI - Buildings Contemplated and in Progress. PMID- 29840514 TI - Personalia. PMID- 29840515 TI - Certificates for Hospital Life Governors. PMID- 29840516 TI - Hospital and Institutional News. PMID- 29840517 TI - Insurance Sanatorium Construction: Hints to Architects by a Sanatorium Superintendent. PMID- 29840518 TI - The Lesson of the Manchester System. PMID- 29840519 TI - Blind-Alley Hospital Employments: The Case of the Laboratory Boy. PMID- 29840520 TI - Institutional Needs. PMID- 29840521 TI - The Bane of Influence in Phthisis Work. PMID- 29840522 TI - New Admission Block at Royal Victoria Infirmary, Newcastle. PMID- 29840523 TI - The British Medical Association and Its Critics. PMID- 29840524 TI - The Salvation Army Mothers' Hospital. PMID- 29840525 TI - Present and Future of the Poor-Law Infirmary: The Resident Medical Officer's Point of View. PMID- 29840526 TI - National Military Training. PMID- 29840529 TI - The Non-Panel Movement. PMID- 29840527 TI - Sir Almroth Wright on Woman Suffrage. PMID- 29840528 TI - Hospital and Institutional News. PMID- 29840530 TI - The Present State of Panel Medical Practice. PMID- 29840531 TI - The Threatened Strike of Asylum Nurses. PMID- 29840532 TI - Effect of Insurance Legislation on National Character in Germany. PMID- 29840533 TI - The National Medical Union Conference. PMID- 29840534 TI - The Clinical Laboratory: Alimentary Diseases. PMID- 29840535 TI - The Examination of "Leavers". PMID- 29840536 TI - The Structure of the Red Blood Corpuscle. PMID- 29840538 TI - Appointments in the Tuberculosis Service: Allegations of Corruption. PMID- 29840537 TI - The International Congress: Recent Surgical Developments. PMID- 29840540 TI - Grave Position at St. George's Hospital: The Causes of the Present Deadlock. Cease Personal Intrigues. Make the Hospital's Interests Paramount. PMID- 29840539 TI - Buildings Contemplated. PMID- 29840542 TI - Panel Work in Theory and Practice. PMID- 29840541 TI - British Workers in Foreign Countries: Hospital Life in Kashmir. PMID- 29840544 TI - Ionic Treatment of Dental Sepsis: The Prevalence and Prevention of the Disease. PMID- 29840543 TI - Hospital and Institutional News. PMID- 29840545 TI - The Investment of Funds. PMID- 29840546 TI - The London Ambulance Question: Its History and Present Position. PMID- 29840547 TI - State Hospitals: Why English Men and Women Can Never Suffer Them. PMID- 29840548 TI - The National Medical Union. PMID- 29840549 TI - Insured Patients. PMID- 29840550 TI - The New Poor-Law Orders. PMID- 29840551 TI - The Evolution of the Isolation Hospital. PMID- 29840552 TI - Reports on Hospitals of the United Kingdom: Report on West Norfolk and Lynn Hospital, King's Lynn. PMID- 29840553 TI - Effects of Fog in Institutions. PMID- 29840554 TI - Patients and Their Beauty Sleep. PMID- 29840555 TI - Personalia. PMID- 29840556 TI - The New Poor-Law Orders: Their Substance and Effect on Infirmary Work. PMID- 29840558 TI - The Last Days for Entering Insurance on Special Terms. PMID- 29840557 TI - Registered Hospitals and Asylums. PMID- 29840559 TI - Statistical Tables of Recoveries: The Value of Recovery Rates. PMID- 29840560 TI - Hospital and Institutional News. PMID- 29840561 TI - The Work of the Darenth Industiral Colony, Dartford: Dr. A. Rotherham on his Patients' Productivity. PMID- 29840562 TI - Cooking and Catering in Mental Hospitals: The Cause and Cure of "Institutional Cooking". PMID- 29840563 TI - Mental Research and Government Grants: How Best to Assist Existing Laboratories. PMID- 29840565 TI - The Mental Deficiency Act, 1913: The General Scope of Its Provisions. PMID- 29840564 TI - The Lord Mayor and Hospital Saturday. PMID- 29840566 TI - Four Practical Aspects of the Mental Deficiency Act, 1913. PMID- 29840567 TI - The Threatened Strike of Asylum Nurses: A Blow to their Prestige and Position in the Nursing World. PMID- 29840568 TI - The Feeble-Minded as Producers: Their Permanent Care in Industrial and Farm Colonies. PMID- 29840569 TI - Trade Unionism in Mental Hospitals: The Organisation of Asylum Workers. PMID- 29840570 TI - Mental Hospitals: Past and Present. PMID- 29840571 TI - The Sterilsation of the Unfit. PMID- 29840572 TI - The Gas Exhibition. I.-Model Laundry, Cooking Stoves, and Hospital Ranges. PMID- 29840573 TI - The Founder of the Red Cross Association. PMID- 29840574 TI - Eminent Chairman Series: II. Sir Edward Wood. PMID- 29840575 TI - News and Events of the Week. PMID- 29840576 TI - New Appliances and Things Medical. PMID- 29840577 TI - The Maxims of John Arderne, Master Surgeon. PMID- 29840578 TI - Workmen's Compensation Cases. PMID- 29840579 TI - Bilharziosis in Girls and Women. PMID- 29840580 TI - The Plague. PMID- 29840581 TI - Institutional Treatment of Tuberculosis. PMID- 29840582 TI - The Plague in Suffolk. PMID- 29840583 TI - Institutional Notes and News. PMID- 29840584 TI - The Late Prince Francis of Teck and the Middlesex Hospital. PMID- 29840585 TI - Practical Notes on Diagnosis and Treatment. PMID- 29840586 TI - The Week's Work. PMID- 29840587 TI - Annotations. PMID- 29840588 TI - Medical Opinion and Movement. PMID- 29840589 TI - The Hospital World. PMID- 29840591 TI - Chronic Gonorrhoea in the Female. PMID- 29840590 TI - The Girdle-Test (l'Epreuve de la Sangle). PMID- 29840593 TI - Winter Fads. PMID- 29840592 TI - Hope Hospital, Salford. PMID- 29840594 TI - Annotations. PMID- 29840595 TI - Some Points in the Choice of a Car. PMID- 29840596 TI - News and Events of the Week. PMID- 29840597 TI - Some Cases of Diabetes. PMID- 29840598 TI - The Hospital World. PMID- 29840599 TI - Reports on the Hospitals of the United Kingdom: LV. Essex County Hospital, Colchester. PMID- 29840600 TI - The Becket Hospital, Barnsley. PMID- 29840601 TI - Institutional Notes and News. PMID- 29840602 TI - The After-Care and Employment of Consumptives. PMID- 29840603 TI - Medical Opinion and Movement. PMID- 29840604 TI - The Week's Work. PMID- 29840605 TI - Private Rooms in Fever Hospitals. PMID- 29840606 TI - A Bad Beginning. PMID- 29840607 TI - The Detection of Blood Pigments in the Faeces. PMID- 29840608 TI - Acute Primary Pyelitis-Coli Bacilluria-in Children. PMID- 29840610 TI - The Tuberculin Test of Cattle as a Guarantee of Tubercle Free Milk. PMID- 29840609 TI - Parliament and Publications. PMID- 29840612 TI - Sunday Observance. PMID- 29840611 TI - Ambulance Arrangements for Hospitals. PMID- 29840614 TI - Pain in Some Foot Cases-III. PMID- 29840613 TI - Public Grants for Voluntary Hospitals. PMID- 29840616 TI - News and Events of the Week. PMID- 29840615 TI - Some Cases of Diabetes. PMID- 29840618 TI - Environment and Operation. PMID- 29840617 TI - Annotations. PMID- 29840620 TI - The American Hospital Association. PMID- 29840619 TI - Medical Opinion and Movement. PMID- 29840622 TI - The Hospital World. PMID- 29840621 TI - Charing Cross Hospital. PMID- 29840623 TI - Carbon Dioxide Snow. PMID- 29840624 TI - Some Points in the Choice of a Car-II. PMID- 29840626 TI - The Week's Work. PMID- 29840625 TI - The Value of Acetyl-Salicylic Acid in Certain Affections of the Eye. PMID- 29840627 TI - An Appeal for the Queen's. PMID- 29840628 TI - Institutional Notes and News. PMID- 29840630 TI - Urbs in Rure. PMID- 29840629 TI - Parliament and Publications. PMID- 29840631 TI - Infective Endocarditis Due to an Organism Not Hitherto Described. PMID- 29840632 TI - The Centre of Christmas Blessedness. PMID- 29840633 TI - Why This World Is like a Hospital. PMID- 29840634 TI - The League of Mercy: Annual Meeting at St. James's Palace: Prince Alexander of Teck's Address. The Results in 1913. How to Raise L50,000. The Triumph of the Voluntary System. PMID- 29840635 TI - The Meeting of Practitioners at Hammersmith: The Coming Crisis of 1915. Need for a Safe Fighting Fund. The Position of Medical M.P.s. The Marquis of Zetland v. the B.M.A. What Strength Has the Guild? PMID- 29840637 TI - My Impression of the Hospital: The Unaided Composition of a Patient Aged Eleven. PMID- 29840636 TI - National Medical Union Notes. PMID- 29840639 TI - Hospital and Institutional News. PMID- 29840638 TI - The Business of Charity: Remarkable Examples. PMID- 29840640 TI - The Elimination of the Middle Classes. PMID- 29840642 TI - What It Has Come to in Wales. PMID- 29840641 TI - The Hammersmith Meeting: An Impracticable Programme. PMID- 29840643 TI - Special Court Negatives the Proposed Changes: Text of the Amendment. Criticism and Interruptions. The Questions of Amalgamation and Site. An Independent Committee to Select a Site. PMID- 29840644 TI - The Metropolitan Hospital Sunday Fund: The Discussion at the Annual Meeting. A Serious Decrease in Income. Don't Grow Weary but Work for the Hospitals. PMID- 29840645 TI - The Campaign against Syphilis: An Anticipation of the Royal Commission's Report. PMID- 29840646 TI - The National Medical Union (Official). PMID- 29840647 TI - Reports on Hospitals of the United Kingdom: The Royal Surrey County Hospital, Guildford. PMID- 29840648 TI - The Liverpool Psycho-Therapeutic Institution. PMID- 29840649 TI - Workpeople's Contributions to Hospitals: Threatened with Legislative Destruction. PMID- 29840650 TI - Automatic Telephones for Institutions: The Composite Installation at New "King's". PMID- 29840651 TI - Polylactol. PMID- 29840653 TI - The Mental Hospital Service: Action by the Medical Officers. PMID- 29840652 TI - The Central Poor-Law Conference: Boards of Guardians and the Insurance Act. PMID- 29840654 TI - Benefits for Exempt Persons. PMID- 29840655 TI - The Origin and Evolution of the 18th Century Hospital Movement. PMID- 29840656 TI - Buildings Contemplated. PMID- 29840657 TI - Another Light on the Milk Problem: The Keeping Properties of Condensed Milks. PMID- 29840658 TI - Hospital and Institutional News. PMID- 29840659 TI - Race Improvement. PMID- 29840660 TI - Poor-Law Guardians and the Feeble-Minded. PMID- 29840661 TI - Treatment of Sciatica. PMID- 29840663 TI - Fellow-Workers and Their Doings. PMID- 29840662 TI - The Surgery of Malignant Disease. PMID- 29840664 TI - Research and Remedies. PMID- 29840665 TI - British Hospital Progress-1887-1913. PMID- 29840666 TI - Further Light on Irish Problems. PMID- 29840667 TI - A Review of Mr. Burns' Administration. PMID- 29840668 TI - Buildings Contemplated. PMID- 29840669 TI - The Tragedy and Comedy of the Act. PMID- 29840670 TI - The Position of Employed Contributors Now Entering Insurance. PMID- 29840671 TI - St. George's Hospital: The Special Court of Governors. PMID- 29840672 TI - The National Medical Union. PMID- 29840673 TI - The Insurance Acts and the Hospitals. PMID- 29840674 TI - The Open Basement. PMID- 29840676 TI - Mental Hospital Magazines: The Existing Product and a Gap to Be Filled. PMID- 29840675 TI - Pure Milk or Raw Milk? A Sidelight on the Milk Problem. PMID- 29840677 TI - Cardiology-Abderhalden's Test-Leukaemia-Sciatica. PMID- 29840678 TI - Hospital and Institutional News. PMID- 29840679 TI - Fellow-Workers and Their Doings. PMID- 29840680 TI - Reports on Hospitals of the United Kingdom: The St. Albans and Mid-Herts Hospital. Harrow Cottage Hospital. PMID- 29840681 TI - The Cardiff Medical School. PMID- 29840682 TI - Guardians and the Mental Deficiency Act. PMID- 29840683 TI - Post-Mortem Examinations. PMID- 29840684 TI - Institutional Needs. PMID- 29840685 TI - Staff Changes at Claybury. PMID- 29840686 TI - The Artificial Pneumothorax Operation. PMID- 29840687 TI - Flat Foot in School Children. PMID- 29840688 TI - National Medical Union. PMID- 29840689 TI - South Shields Guardians Withdraw Their Resolution. PMID- 29840690 TI - State Endowment of Unqualified Practice. PMID- 29840691 TI - Public Pharmacists' Association. PMID- 29840692 TI - Put St. George's Hospital First: The Past, the Present, and the Future. PMID- 29840694 TI - New Units at the Royal Infirmary, Sheffield. PMID- 29840693 TI - North Staffordshire Infirmary. PMID- 29840695 TI - Artificial Pneumothorax-Treatment of Aneurysm-Diathermy. PMID- 29840696 TI - Treatment in Mental Hospitals. PMID- 29840698 TI - The Convoy Corps in the Balkans. PMID- 29840697 TI - Reports on Hospitals of the United Kingdom: Bedford County Hospital. PMID- 29840699 TI - Doctor's Wills. PMID- 29840700 TI - The New Regulations as to Arrears of Contributions. PMID- 29840701 TI - Hospital Staff Appointments. PMID- 29840702 TI - A Warning to Non-Panel Men. PMID- 29840703 TI - Fellow-Workers and Their Doings. PMID- 29840705 TI - The Health Temples of Ancient Greece. PMID- 29840704 TI - Instruction in Psycho Therapy. PMID- 29840707 TI - The National Medical Union. PMID- 29840706 TI - Some Impressions of Continental Hospitals. PMID- 29840709 TI - St. George's Hospital. PMID- 29840708 TI - Hospital and Institutional News. PMID- 29840710 TI - Modern Methods of Transplantation. PMID- 29840711 TI - The National Medical Union's Latest Undertaking. PMID- 29840712 TI - More Panel Incidents at Dundee and Wisbech. PMID- 29840713 TI - The Editor's Letter-Box. PMID- 29840714 TI - Mr. J. F. Peart, F.R.C.S.I., on the Clinic Movement. PMID- 29840715 TI - A Dental Surgery in a Factory. PMID- 29840716 TI - The Camberwell Infirmary Case: Dr. W. J. C. Keats Awarded Damages for Libel. PMID- 29840717 TI - Sir George Newman's Report: The Year's Work in School Medical Inspection. PMID- 29840719 TI - Round the World. PMID- 29840718 TI - Dr. Midelton on Treatment by Continuous Counter-Irritation. PMID- 29840721 TI - Patients and Their "Beauty Sleep". PMID- 29840720 TI - Reports on Hospitals of the United Kingdom: Addenbrooke's Hospital, Cambridge. PMID- 29840722 TI - Examination Questions for Red Cross Students. PMID- 29840723 TI - The Origin and Evolution of the 18th Century Hospital Movement. PMID- 29840724 TI - The Hospitals and the Coal-Porters' Strike. PMID- 29840725 TI - Research and Remedies. PMID- 29840726 TI - A Pocketful of Reminiscences. PMID- 29840727 TI - Rate-Aided Clinical Pathology. PMID- 29840728 TI - Article 10 of the Poor-Law Orders. PMID- 29840730 TI - The Women's Hospital for Children, Harrow Road: An Institution Attempting Too Much. PMID- 29840729 TI - Hospital and Institutional News. PMID- 29840731 TI - London Staff Appointments. PMID- 29840732 TI - The Statistical Report of King Edward's Hospital Fund. IV. PMID- 29840733 TI - The Need for Specialism. PMID- 29840734 TI - A Test Case at Torquay. PMID- 29840736 TI - The Organisation of the Profession in Ireland. PMID- 29840735 TI - A German School of Recovery: The Example of the Mannheim Municipality. PMID- 29840737 TI - Sanatoria Treatment and the Poor Law. PMID- 29840738 TI - The Bradford Royal Infirmary Project. PMID- 29840739 TI - The Origin and Evolution of the 18th Century Hospital Movement. PMID- 29840740 TI - Mr. George's Panel Statistics. PMID- 29840741 TI - National Medical Union. PMID- 29840743 TI - Welsh Sanatorium Construction and Equipment: A Discussion at the Sanitary Institute. PMID- 29840742 TI - The Altheat Stove. PMID- 29840745 TI - Fellow-Workers and Their Doings. PMID- 29840744 TI - South Shields Guardians and the Use of Alcohol. PMID- 29840746 TI - Hospital and Institutional News. PMID- 29840748 TI - Penalties for Non-Payment of Arrears. PMID- 29840747 TI - The Control of the Invalid Children's Aid Association. PMID- 29840749 TI - Doctors' Wills. PMID- 29840750 TI - The Bradford Infirmary Project. PMID- 29840751 TI - Examination Questions for Red Cross Students. PMID- 29840753 TI - The Elimination of the Middle Class. PMID- 29840752 TI - Reports on Hospitals of the United Kingdom. PMID- 29840754 TI - Surgical Treatment of Diseases of Metabolism. PMID- 29840755 TI - The National Medical Union. PMID- 29840756 TI - The Poor-Law Institutions Order: The Duties of Workhouse Medical Officers. PMID- 29840757 TI - Hospital and Institutional News. PMID- 29840758 TI - The Best Side of a Man. PMID- 29840759 TI - Contributions from Approved Societies to Hospitals. PMID- 29840761 TI - London Medical Committee. PMID- 29840760 TI - National Medical Union, Manchester. PMID- 29840762 TI - Drug Markets at Home and Abroad. PMID- 29840763 TI - Dr. Keats on Infirmary Discipline. PMID- 29840765 TI - A Lesson in Self-Experimentation. PMID- 29840764 TI - Free Choice of Herbalist. PMID- 29840766 TI - Sir E. T. Cook's "Florence Nightingale": The Real Character of the Lady with the Lamp. PMID- 29840768 TI - South London Hospital. PMID- 29840767 TI - The Secrets of Economy in Institutional Housekeeping. PMID- 29840769 TI - Opening of the Marple Cripples' Home. PMID- 29840770 TI - Garden Cities for Consumptives : II. The Initial Organisation. PMID- 29840772 TI - Reports on Hospitals of the United Kingdom: Some Cottage Hospitals in Suffolk and Cambs. PMID- 29840771 TI - Modern Orthopaedy: Recent Advances and What They Mean. PMID- 29840774 TI - Staff Appointments at the Cardiff Medical School. PMID- 29840773 TI - The British Attitude Towards Vaccination Laws. PMID- 29840776 TI - The New Institution for Diseases of the Heart: A Tour of the New Buildings with the Secretary. PMID- 29840775 TI - Fellow-Workers and Their Doings. PMID- 29840777 TI - Where Is the Limit to Christmas Festivities. PMID- 29840778 TI - The New Poor-Law Orders: The Duties, and a Policy for Medical Officers. PMID- 29840779 TI - Westminster Hospital. PMID- 29840780 TI - Gastro-Radiography-Metallic Meals. PMID- 29840781 TI - Sir R. J. Collie on a State Medical Service. PMID- 29840783 TI - Hospital and Institutional News. PMID- 29840782 TI - Report on Some Cottage Hospitals in Norfolk and Suffolk: The Victoria Jubilee Hospital, Swaffham, Norfolk. Thetford Cottage Hospital. Mildenhall Cottage Hospital. PMID- 29840784 TI - Infantile Paralysis: Vast Strides in Recent Researches. PMID- 29840785 TI - The National Medical Union. PMID- 29840786 TI - The Grave Position at St. George's Hospital: How Matters Stand. Mr. West and St. George's Hospital. PMID- 29840787 TI - The Origin and Evolution of the 18th Century Hospital Movement. PMID- 29840788 TI - The Crisis at St. George's Hospital. PMID- 29840790 TI - Personalia. PMID- 29840789 TI - L'Affaire Lazarus-Barlow. PMID- 29840792 TI - The Statistical Report of King Edward's Hospital Fund-III. PMID- 29840791 TI - Alterations in Administration of Maternity Benefit. PMID- 29840793 TI - The Latest Developments of National Insurance. PMID- 29840794 TI - The Possibility of a Central Bureau. PMID- 29840796 TI - War against the Act. PMID- 29840795 TI - Marriage and Malthus. PMID- 29840797 TI - Reports on Hospitals of the United Kingdom: Essex County Hospital and the Braintree and Bocking Cottage Hospital. PMID- 29840798 TI - The Heel of Achilles in Hospital Diet. PMID- 29840799 TI - The Evolution of the Isolation Hospital. PMID- 29840800 TI - Progress under the Mental Deficiency Act. PMID- 29840801 TI - Children in Workhouses. PMID- 29840802 TI - Dr. W. J. C. Keats on Practical Points in Infirmary Work. PMID- 29840804 TI - The Special Examination of Mental Defectives. PMID- 29840803 TI - The Provision of a Punishment Book at Camberwell Infirmary. PMID- 29840806 TI - National Insurance. The Approved Societies and the Hospitals. PMID- 29840805 TI - The London Nerve Clinic. PMID- 29840807 TI - Electric Motors as Food Carriers. PMID- 29840808 TI - Common Errors in Diagnosis: Errors in Clinical Pathology. PMID- 29840810 TI - Collective Research for General Practitioners. PMID- 29840809 TI - British Workers in Foreign Countries: II. With the Wounded in Bulgaria. PMID- 29840811 TI - A Medical Woman to Her Sex. PMID- 29840812 TI - The Capitation Grant for Unallotted Persons. PMID- 29840813 TI - Hospital and Institutional News. PMID- 29840814 TI - Why an Orthopaedic Department Is Necessary. PMID- 29840816 TI - Garden Cities for Consumptives: A Plea for a National Scheme. PMID- 29840815 TI - Hospital Statistics. II.-A Suggested Remedy for the Present Chaos. PMID- 29840817 TI - A Woman's Experience in a London General Hospital. PMID- 29840819 TI - The Non-Panel Movement. PMID- 29840818 TI - Present State of Panel Practice. PMID- 29840821 TI - Personalia. PMID- 29840822 TI - Research and Remedies. PMID- 29840820 TI - Hospital Statistics. PMID- 29840824 TI - Hospital and Institutional News. PMID- 29840823 TI - Doctor's Wills. PMID- 29840826 TI - The Committee's Reply to Sir Cooper Perry's Report. PMID- 29840825 TI - The Control of Private Hospitals. PMID- 29840827 TI - The Value of a Man. PMID- 29840828 TI - The Effect of the Insurance Amendment Act on Hospital Finance. PMID- 29840829 TI - Reports on Hospitals of the United Kingdom: Chelmsford and Essex Hospital. PMID- 29840830 TI - Punishment in Poor-Law Infirmaries. PMID- 29840831 TI - The Examination of the Stomach Contents. PMID- 29840832 TI - Institutional Needs. PMID- 29840833 TI - Problems in Administrative Medicine: The Training of Institutional Porters and Male Attendants. PMID- 29840834 TI - Forcible Feeding and the Penal Reform League. PMID- 29840835 TI - The Non-Panel Movement. PMID- 29840837 TI - Hospital and Institutional News. PMID- 29840836 TI - The Alterations at Rochdale Infirmary. PMID- 29840838 TI - Practitioners and Nursing Homes: A Suggested Reform. PMID- 29840839 TI - Personalia. PMID- 29840840 TI - The Crisis at Camberwell Infirmary: The Committee's Report on the Medical Staff. PMID- 29840841 TI - An Experience in a Special Hospital. PMID- 29840842 TI - London County Council and Tuberculosis. PMID- 29840843 TI - The New Mental Board of Control. PMID- 29840844 TI - Public Pharmacists' and Dispensers' Association. PMID- 29840845 TI - With the Wounded in Bulgaria. PMID- 29840846 TI - Common Errors in Diagnosis: The Pitfalls of Panel and Private Practice. PMID- 29840847 TI - Buildings Contemplated and in Progress. PMID- 29840848 TI - The Treatment of "Dull" and "Defective" Children. PMID- 29840849 TI - A Peep behind the Scenes. PMID- 29840850 TI - Hospital and Institutional News. PMID- 29840851 TI - West Ham and Eastern General Hospital Dinner. PMID- 29840852 TI - Proposed New Regulations as to Medical Benefit. PMID- 29840854 TI - The Latest Hospital History. PMID- 29840853 TI - The Burden of Routine in Mental Hospitals. PMID- 29840855 TI - The Senghenydd Disaster. PMID- 29840856 TI - The Statistical Report of King Edward's Hospital Fund. PMID- 29840857 TI - Reports on Hospitals of the United Kingdom: Reports on Halstead and Cromer Cottage Hospitals. PMID- 29840858 TI - Garden Cities for Consumptives: Administrative Problems. PMID- 29840859 TI - The Non-Panel Movement. PMID- 29840860 TI - Vae Victis. Prophecy of Non-Panel Practitioners Fulfilled. PMID- 29840861 TI - Mission Hospitals of the Empire: Their Achievement and Position To-Day. PMID- 29840862 TI - A Patient's Appreciation. PMID- 29840863 TI - Personalia. PMID- 29840864 TI - Resident Medical Officers and Matrons. PMID- 29840865 TI - The Lay-Medical Dinner. PMID- 29840866 TI - Sir Felix Schuster on Hospital Finance. PMID- 29840867 TI - The Modern Orthopaedic Unit. PMID- 29840868 TI - The Worcester General Infirmary. PMID- 29840869 TI - Refusal of Benefits. PMID- 29840870 TI - Doctor's Will. PMID- 29840871 TI - A New Notion of Chloroma. PMID- 29840872 TI - Tuberculosis Dispensaries in Theory and Practice. PMID- 29840873 TI - The Modern Orthopaedic Unit: IV. The Out-Patient Division (continued). PMID- 29840874 TI - The Harley Institute. PMID- 29840875 TI - Some Likely Effects of Excessive Sickness Claims. PMID- 29840876 TI - Origin and Evolution of the 18th Century Hospital Movement. PMID- 29840877 TI - Confidential Reports and Their Abuses. PMID- 29840878 TI - Differing Systems of Patients' Contributions. PMID- 29840879 TI - Combination of Mental Hospital Staffs. PMID- 29840880 TI - St. George's Hospital. PMID- 29840881 TI - A Central Public Laboratory Clinic in Hospital and Private Practice. PMID- 29840882 TI - The Children's Hospital, Sunderland, Illustrated with Plans. PMID- 29840884 TI - Panel or Anti-Panel? Why Practitioners Must Make Their Choice! PMID- 29840883 TI - Reports on Hospitals of the United Kingdom: Great Yarmouth Hospital. PMID- 29840885 TI - Hospital and Institutional News. PMID- 29840886 TI - The Statistical Report of King Edward's Fund. PMID- 29840887 TI - The Panel and the Politician. PMID- 29840888 TI - Discontent in the Mental Hospital Service: Combination among Assistant Medical Officers. PMID- 29840889 TI - Fire at Winsley Sanatorium. PMID- 29840890 TI - Hospital Consultants and Panel Practice. PMID- 29840891 TI - What Will the Profession Gain by Combinations? PMID- 29840892 TI - An Epidemic and a Play at Manchester. PMID- 29840893 TI - Santa Claus in Great Ormond Street. PMID- 29840894 TI - Hospital and Institutional News. PMID- 29840895 TI - Institutional Needs. PMID- 29840896 TI - The Ansell Fortune. PMID- 29840897 TI - Children's Day at the Metropolitan. PMID- 29840898 TI - The Year's Work: "The Hospital's" Review of 1913. PMID- 29840899 TI - "Peter Pan" in a Private Mental Hospital. PMID- 29840901 TI - The National Medical Union. PMID- 29840900 TI - A Medical Retrospect of 1913: The Lessons of Experience. PMID- 29840903 TI - Another Sanatorium Christmas. PMID- 29840902 TI - The Clinic Movement: A New Medico-Psychological Institution. PMID- 29840905 TI - The Scheme for Raising Funds at Beckett Hospital, Barnsley. PMID- 29840904 TI - The Voluntary Hospitals' Outlook. PMID- 29840907 TI - Without Decorations at Grimsby. PMID- 29840906 TI - Board of Education and the Tuberculous Child. PMID- 29840908 TI - My First Christmas in Hospital. PMID- 29840909 TI - Reports on Hospitals of the United Kingdom: Report on the Norfolk and Norwich Hospital. PMID- 29840910 TI - Tango Decorations at Leeds. PMID- 29840911 TI - "A Christmas Dream" at Birmingham. PMID- 29840912 TI - A Ward Snowstorm at Bath. PMID- 29840914 TI - Novel Decorations at Wakefield Mental Hospital. PMID- 29840913 TI - Buildings Contemplated and in Progress. PMID- 29840915 TI - The First Christmas at Dagenham Sanatorium. PMID- 29840916 TI - Punch and Judy in the City Road. PMID- 29840917 TI - The Control of the Invalid Children's Aid Association. PMID- 29840918 TI - Important Conference of Non-Panel Practitioners. PMID- 29840920 TI - Personalia. PMID- 29840919 TI - Licensed Homes for Inebriates. PMID- 29840921 TI - What Is Wrong with St. George's Hospital? PMID- 29840922 TI - Buildings Contemplated. PMID- 29840923 TI - Worn-Out Hospital Officials. PMID- 29840924 TI - Reports on Hospitals of the United Kingdom: The East Suffolk and Ipswich Hospital. PMID- 29840925 TI - The Radcliffe Infirmary, Oxford: Its Re-Creation Completed. PMID- 29840927 TI - The London Ambulance Scheme. PMID- 29840926 TI - Common Errors in Diagnosis. Sprains and Fractures. PMID- 29840929 TI - The National Medical Union. PMID- 29840928 TI - Massage in England in 1913. PMID- 29840930 TI - London Healing Wells. PMID- 29840931 TI - Within the Hospitals: The London. PMID- 29840933 TI - Oxford and Modern Medicine. PMID- 29840932 TI - Hospital and Institutional News. PMID- 29840934 TI - National Insurance Act: The Prospect of the First Valuation. PMID- 29840935 TI - The Evolution of the Isolation Hospital. PMID- 29840936 TI - Fellow-Workers and Their Doings. PMID- 29840937 TI - Hospitals from the Patients' Point of View: Experiences in a Provincial Isolation Hospital. PMID- 29840938 TI - Questions Raised at the Private Visit. PMID- 29840939 TI - Sidelights on the Mineral Water Hospital, Bath. PMID- 29840940 TI - Public Pharmacists in Council. PMID- 29840941 TI - The National Medical Union (Official). PMID- 29840942 TI - Institutional Needs. PMID- 29840943 TI - A Legacy Question at Cardiff. PMID- 29840944 TI - Recent Progress in Genito-Urinary Surgery. PMID- 29840946 TI - The Soldiers' Daughters' Home, Hampstead: A Grave Scandal: Where Are the Health Authorities? PMID- 29840945 TI - Reports on Hospitals of the United Kingdom: The Northampton General Hospital. Letter from the Chairman. PMID- 29840948 TI - Hospital Economics.-V. The Statistical Report of King Edward's Hospital Fund. PMID- 29840947 TI - The Problem of Incipient Insanity. PMID- 29840949 TI - Ambulance Problems Solved and Unsolved. PMID- 29840950 TI - The Invention of Domiciliary Benefit. PMID- 29840952 TI - The Future of St. Katharine's Hospital. PMID- 29840951 TI - Working Men and Hospital Legacies. PMID- 29840953 TI - Hospital and Institutional News. PMID- 29840954 TI - Comparative Merits of Some Urinary Antiseptics: A Clue to the Vagaries of Urinary Sepsis. PMID- 29840955 TI - Doctors' Wills. PMID- 29840956 TI - A Novel King Edward Memorial. PMID- 29840957 TI - The Origin and Evolution of the 18th Century Hospital Movement. PMID- 29840958 TI - The State of the Tuberculosis Service. PMID- 29840960 TI - Children and Homoepathy. PMID- 29840959 TI - Institutional Needs. PMID- 29840961 TI - The National Medical Union (Official): The Resolutions Adopted Last Saturday. The Profession of Medicine. PMID- 29840962 TI - The Production of Braille Books. PMID- 29840963 TI - Fellow-Workers and Their Doings. PMID- 29840964 TI - Research and Remedies. PMID- 29840965 TI - Reports on Hospitals of the United Kingdom: Horsham Cottage Hospital. The Eliot Cottage Hospital, Hayward's Heath. PMID- 29840966 TI - Some Recent Novelties in Diagnostic Technique. PMID- 29840967 TI - Hospital Co-Operation in Hackney. PMID- 29840968 TI - Vacant Accommodation in London Workhouses. PMID- 29840969 TI - The Non-Panel Movement: Dr. Edwin Smith on Its Position and Prospects. PMID- 29840970 TI - Radium in the Treatment of Deafness. PMID- 29840971 TI - Electricity and Obesity: Treatment by Electrically Excited Exercise. PMID- 29840972 TI - Hospital and Institutional News. PMID- 29840974 TI - The Interim Report of the Fabian Society. PMID- 29840973 TI - Anti-Phthisis Activities in Berkshire. PMID- 29840975 TI - Co-Operative Buying for Hospitals: A Comparison of Methods in London and New York. PMID- 29840976 TI - Northampton General Hospital. PMID- 29840977 TI - Fellow-Workers and Their Doings. PMID- 29840978 TI - Anti-Phthisis Activities in Berkshire. PMID- 29840979 TI - Disease as an Accident. PMID- 29840980 TI - The Psycho-Therapeutics of Insanity. PMID- 29840981 TI - Research and Remedies. PMID- 29840982 TI - The County Council's New Scheme Explained. PMID- 29840984 TI - Miscellaneous Notes and Comments. PMID- 29840983 TI - Specialism and Hospital Committees. PMID- 29840985 TI - The National Medical Union (Official). PMID- 29840986 TI - Personalia. PMID- 29840987 TI - Doctors' Wills. PMID- 29840988 TI - The Clinical Application of Hormones. PMID- 29840989 TI - Institutional Needs. PMID- 29840991 TI - Reports on Hospitals of the United Kingdom: Cranleigh Village Cottage Hospital. PMID- 29840990 TI - Sanatoria and Convalescent Homes. PMID- 29840993 TI - Hospital and Institutional News. PMID- 29840992 TI - Buildings Contemplated. PMID- 29840994 TI - German Hospital Development: An Expert Continental Review. PMID- 29840995 TI - Dr. L. M. Guilding on the Effect of the Poor-Law Orders. PMID- 29840997 TI - Harley Institute. PMID- 29840996 TI - The Origin and Evolution of the 18th Century Hospital Movement. PMID- 29840998 TI - The Mortality from Phthisis: The Question of Personal Infection. PMID- 29840999 TI - A Winter in the Upper Engadine, 1885. PMID- 29841000 TI - Staff Changes at Camberwell Infirmary. PMID- 29841001 TI - Out-Patient Statistics and Cost: Supplementary Memorandum Issued by the Hospital Funds. PMID- 29841002 TI - The National Medical Union: Meeting of the Provisional Council. PMID- 29841004 TI - The New Empire Pay Hospital. PMID- 29841003 TI - Deficiencies and How They Will Be Made Good. PMID- 29841006 TI - King Edward's Hospital Fund. PMID- 29841005 TI - Ancoats Hospital and Amateur Actors. PMID- 29841007 TI - Trade or a Learned Profession? PMID- 29841008 TI - Hospital Almoners' Council. PMID- 29841009 TI - Hospital and Institutional News. PMID- 29841010 TI - The County Council and an Ambulance Service: The Report and Debate at Tuesday's Meeting. PMID- 29841011 TI - The National Medical Guild. PMID- 29841012 TI - Discontent in Mental Hospitals. PMID- 29841014 TI - Hospital Prophylaxis: The Prevention of Accidents. PMID- 29841013 TI - Dr. Walsh's Proposed Laboratory Clinic. PMID- 29841015 TI - Censorship to an Extreme. PMID- 29841016 TI - The Approved Societies and Their Medical Referees. PMID- 29841017 TI - A Successful Matinee. PMID- 29841019 TI - King Edward's Hospital Fund for London: Annual Meeting to Award Grants. PMID- 29841018 TI - Reports on Hospitals of the United Kingdom: Lowestoft Hospital. PMID- 29841020 TI - The Mental Hospital Service. PMID- 29841021 TI - Application and Dosage. PMID- 29841022 TI - Dangers and Reactions of Radium Treatment. PMID- 29841023 TI - Consultants and Press Announcements. PMID- 29841025 TI - Cost, and the Varieties of Radiations. PMID- 29841024 TI - Medico-Psychology. PMID- 29841026 TI - A Radium Policy for Poor-Law Unions. PMID- 29841027 TI - The First Essential to Successful Co-Operation. PMID- 29841028 TI - An Independent Organisation. PMID- 29841030 TI - The Therapeutic Applications of Radiations. PMID- 29841029 TI - Anniversary Meeting at Leicester Royal Infirmary. PMID- 29841031 TI - The Results of Radium Therapy. PMID- 29841032 TI - The Purchasing Power of a Sovereign. PMID- 29841033 TI - The First Step to Success. PMID- 29841034 TI - The Humbug of Closing Beds. PMID- 29841035 TI - A Free Service and Purchasing Agency. PMID- 29841036 TI - The National Medical Union (Official). PMID- 29841037 TI - Institutional Needs: A Provincial Centre for Hospital Furniture-"Hero" Liqueur Whisky-The "Eureka" Bandage-Invalid Lifters-"Regulin"-Institutional Waste Disposal. PMID- 29841038 TI - Sir Arthur Downes on Poor-Law Progress: New Theatre at Tynemouth Union. PMID- 29841039 TI - Fellow-Workers and Their Doings. PMID- 29841040 TI - A Bureau of Information. PMID- 29841041 TI - Hospital and Institutional News. PMID- 29841042 TI - Co-Operation. PMID- 29841043 TI - How Help May Be Given. PMID- 29841044 TI - Annotations. PMID- 29841045 TI - Mr. Gladstone and the Medical Profession. PMID- 29841046 TI - Around the Hospitals. PMID- 29841047 TI - The Attitude of Great Writers towards Disease: VI. Robert Burton. PMID- 29841048 TI - Thyroid Extract for Myxoedema. II. PMID- 29841050 TI - The Operative Treatment of Empyena and Abscess of the Lung. PMID- 29841049 TI - Everybody's Page. PMID- 29841052 TI - The New Hospital, Aden. PMID- 29841051 TI - Royal South Hants Infirmary, Southampton. PMID- 29841053 TI - Phenocoll Hydrochlorate. PMID- 29841054 TI - Medical History from the Earliest Times: XVIII.-The Methodic School. PMID- 29841055 TI - Lunacy in Scotland. PMID- 29841056 TI - Putting into Practice. PMID- 29841057 TI - Hospital Administration: III. Finance. PMID- 29841058 TI - The Hospital Nursing Supplement. PMID- 29841059 TI - Some Conditions Simulating Renal Calculus. PMID- 29841060 TI - The Multiplication of Metropolitan Hospitals. PMID- 29841061 TI - Notes and News. PMID- 29841062 TI - Notes and News. PMID- 29841064 TI - Asylums of the World. IV.-The Construction of Asylums. PMID- 29841063 TI - Street Collections. PMID- 29841065 TI - The Hospital Nursing Supplement. PMID- 29841066 TI - Editor's Letter Box. PMID- 29841067 TI - Everybody's Page. PMID- 29841068 TI - The Convalescent Home at Bonchurch. PMID- 29841069 TI - Faith Healing. PMID- 29841070 TI - Adonis Vernalis. PMID- 29841071 TI - The Royal Hospital for Incurables, Putney. PMID- 29841072 TI - Medical History from the Earliest Times: XIX.-Celsus and Ancient Surgery. PMID- 29841073 TI - The Crisis of the Voluntary Hospital. PMID- 29841074 TI - Paracentesis Pericardii. PMID- 29841075 TI - Conditions Simulating Renal Calculus II. PMID- 29841077 TI - Around the Hospitals. PMID- 29841076 TI - Proposed Central Board. PMID- 29841079 TI - The Attitude of Great Writers towards Disease: VII. Dante. PMID- 29841078 TI - Annotations. PMID- 29841081 TI - Annotations. PMID- 29841080 TI - Special Hospitals. PMID- 29841083 TI - The Cost of Out-Patients at Special Hospitals. PMID- 29841082 TI - An Account of the North Kensington Friendly Workers among the Poor. PMID- 29841085 TI - Hospitals Closed for Repairs. PMID- 29841084 TI - Tumours of the Bladder: Their Pathology and Diagnosis. PMID- 29841087 TI - On Some of the Relations between Chorea and Rheumatism. PMID- 29841086 TI - Everybody's Page. PMID- 29841088 TI - Quackery and Christianity. PMID- 29841089 TI - The Military (Alexander) Hospital. Warsaw. PMID- 29841090 TI - Notes and News. PMID- 29841091 TI - The History and Capabilities of Herbal Simples: Garlic and the Onion. PMID- 29841092 TI - First Lines of Defence. PMID- 29841093 TI - Facts about Cholera. PMID- 29841095 TI - Disease the Monitor. PMID- 29841094 TI - The Treatment of Lupus Vulgaris. PMID- 29841097 TI - The Treatment of Sleeplessness Complicating Other Diseases. PMID- 29841096 TI - The Hospital Nursing Supplement. PMID- 29841098 TI - Annotations. PMID- 29841099 TI - House Governor or Medical Superintendent?-II. PMID- 29841100 TI - Ladywell Sanatorium, Salford. PMID- 29841101 TI - Royal Hospital for Incurables. PMID- 29841102 TI - The Asylum Attendant of To-Day. PMID- 29841104 TI - Asylum or Hospital? PMID- 29841103 TI - The Attitude of Great Writers towards Disease: X. Keats and Shelley. PMID- 29841106 TI - The Choice of Calcium Salts. PMID- 29841105 TI - The Collapse of Matteism. PMID- 29841108 TI - The Hospital Nursing Supplement. PMID- 29841107 TI - Hospital Saturday Fund. PMID- 29841110 TI - The Medical Treatment of Perityphilitis and Appendicitis. PMID- 29841109 TI - Medical History from the Earliest Times: XXII.-Official Medicine in Ancient Rome. PMID- 29841111 TI - Hospital Administration: Finance. PMID- 29841112 TI - Notes and News. PMID- 29841113 TI - The Multiplication of Metropolitan Hospitals. PMID- 29841114 TI - The Present Treatment of Simple Pleurisy. PMID- 29841115 TI - Everybody's Page. PMID- 29841116 TI - The Attitude of Great Writers towards Disease: IX. Dickens-His Medical Science. PMID- 29841117 TI - The History and Capabilities of Herbal Simples: The Common Flag. PMID- 29841118 TI - Specialism and Individualism. PMID- 29841119 TI - Notes and News. PMID- 29841121 TI - Annotations. PMID- 29841120 TI - Medical History from the Earliest Times: XXI.-The Medical Profession in Rome. PMID- 29841123 TI - The Abortive Treatment of Coryza. PMID- 29841122 TI - New Drugs, Appliances, and Things Medical: Sanitas. PMID- 29841124 TI - Bacteriology and the Medical Art. PMID- 29841125 TI - Trephining for Epilepsy. PMID- 29841126 TI - Street Troughs and Glanders. PMID- 29841127 TI - The Hospital Nursing Supplement. PMID- 29841128 TI - House Governor or Medical Superintendent? I. PMID- 29841130 TI - Notes and News. PMID- 29841129 TI - The Nottingham General Hospital. PMID- 29841132 TI - The State and the Shop. PMID- 29841131 TI - Everybody's Page. PMID- 29841133 TI - Asaprol. PMID- 29841134 TI - Madmen and Their Friends. PMID- 29841135 TI - The Attitude of Great Writers towards Disease: XI. The Literature of Despair. PMID- 29841136 TI - An Account of the North Kensington Friendly Workers among the Poor. PMID- 29841138 TI - Phenocoll Hydrochlerate. PMID- 29841137 TI - The Service of Meals in Asylums. PMID- 29841140 TI - The Hospital Nursing Supplement. PMID- 29841139 TI - The Discussion on the Treatment of Spinal Abscess at the Nottingham Meeting of the British Medical Association. PMID- 29841141 TI - Annotations. PMID- 29841142 TI - Scarlet Fever. PMID- 29841143 TI - New Drugs, Appliances, and Things Medical: Diagram of the Mouth, Fauces and Larynx. PMID- 29841144 TI - The Manchester Crematorium. PMID- 29841145 TI - General Hospitals. PMID- 29841146 TI - House Governor or Medical Superintendent?-III. PMID- 29841147 TI - Hypnotism and Hysteria. PMID- 29841148 TI - Lifeboat Saturday. PMID- 29841149 TI - The British Medical Association. PMID- 29841150 TI - Spasmodic Torticollis: Treatment by Resection of Cervical Nerves. PMID- 29841151 TI - Annotations. PMID- 29841153 TI - Everybody's Page. PMID- 29841152 TI - Medical History from the Earliest Times: XX.-Galen. PMID- 29841154 TI - The Royal Hospital for Incurables, Putney. PMID- 29841155 TI - The Hospital Nursing Supplement. PMID- 29841157 TI - The Attitude of Great Writers towards Disease: VIII. Dickens. PMID- 29841156 TI - The Latest Criticism. PMID- 29841158 TI - Erysipelas. PMID- 29841159 TI - Metropolitan Hospital Sunday Fund. PMID- 29841161 TI - Notes and News. PMID- 29841160 TI - Finance. PMID- 29841162 TI - The Meaning of Pain. PMID- 29841163 TI - The Invalid Children's Aid Association. PMID- 29841164 TI - Around the Hospitals. PMID- 29841165 TI - Coronilla Varia. PMID- 29841167 TI - Forres Leanchoil Hospital. PMID- 29841166 TI - New Drugs, Appliances, and Things Medical. PMID- 29841168 TI - Past and Present. PMID- 29841169 TI - Friends in Need. PMID- 29841170 TI - The Laundry. PMID- 29841171 TI - Notes and News. PMID- 29841173 TI - Diet in Enteric Fever. PMID- 29841172 TI - An Account of the North Kensington Friendly Workers among the Poor. PMID- 29841175 TI - Not out of Danger. PMID- 29841174 TI - The Brine Bath Treatment of Cholera. PMID- 29841176 TI - Treatment of Acute Pleuritis. PMID- 29841177 TI - Ephedra Vulgaris. PMID- 29841178 TI - Annotations. PMID- 29841179 TI - Pedants of Superlative Calibre. PMID- 29841180 TI - New South Wales Asylum. PMID- 29841181 TI - Football. PMID- 29841183 TI - The Hospital Nursing Supplement. PMID- 29841182 TI - Medical History from the Earliest Times: XXIII.-Roman Military Medicine. PMID- 29841184 TI - Women as Workers: I. Where Women Must Fail. PMID- 29841185 TI - An Account of the North Kensington Friendly Workers among the Poor. PMID- 29841186 TI - The Pleasantries of the Mob. PMID- 29841188 TI - The Hospital Nursing Supplement. PMID- 29841187 TI - Medical History from the Earliest Times: XXIV.-The Influence of Christianity on Medicine. PMID- 29841190 TI - Mr. William John Nixon. PMID- 29841189 TI - Cholera Precautions. PMID- 29841192 TI - The Treatment of Internal Haemorrhage. PMID- 29841191 TI - Notes and News. PMID- 29841193 TI - Women as Workers: II. Where Women Need Not Fail. PMID- 29841194 TI - Diabetes. PMID- 29841195 TI - Cholera Inoculation. PMID- 29841196 TI - Everybody's Page. PMID- 29841198 TI - Annotations. PMID- 29841197 TI - The Laundry. PMID- 29841199 TI - On Chronic Pharyngitis. PMID- 29841201 TI - Annotations. PMID- 29841200 TI - The Hospital Boom. PMID- 29841202 TI - Notes and News. PMID- 29841203 TI - Around the Hospitals. PMID- 29841204 TI - The Hospital Nursing Supplement. PMID- 29841206 TI - With Modern Eyes. PMID- 29841205 TI - The Sunlight Cure. PMID- 29841207 TI - Medical History from the Earliest Times: VI.-Hindoo Medicine. PMID- 29841208 TI - Practical Points. PMID- 29841209 TI - Poisons and Poisoners: Strychnia-Dr. Palmer. PMID- 29841210 TI - Amoebic Dysentery. PMID- 29841211 TI - In Reversion. PMID- 29841212 TI - Royal Berkshire Hospital, Reading. PMID- 29841213 TI - The Question of Surgical Interference in Cases of Perityphlitis. PMID- 29841214 TI - The Royal South London Ophthalmic Hospital. PMID- 29841215 TI - The Hospital Nursing Supplement. PMID- 29841216 TI - Asylum for the Insane, Waterbury, Vermont. PMID- 29841217 TI - Laminectomy for Compression Paraplegia Due to Spinal Caries. PMID- 29841218 TI - New Drugs. Appliances, and Things Medical. PMID- 29841219 TI - Injuries to the Fingers. PMID- 29841221 TI - Annotations. PMID- 29841220 TI - The Hospital Problem. PMID- 29841223 TI - Home Libraries in Boston. PMID- 29841222 TI - The Chronic Indigence of Our Hospitals, with Some Suggestions for Its Remedy: III.-The Material Deficit. PMID- 29841225 TI - Medical History from the Earliest Times: IV.-Medicine in Ancient Egypt. PMID- 29841224 TI - Notes and News. PMID- 29841226 TI - Saturday Fund Statistics. PMID- 29841227 TI - Impatient Science. PMID- 29841228 TI - Hospital in Hong Kong. PMID- 29841229 TI - Epiphora. PMID- 29841230 TI - Everybody's Page. PMID- 29841231 TI - Notes and News. PMID- 29841232 TI - The Hospital Nursing Supplement. PMID- 29841233 TI - Unmarried Hampstead: Much Married Whitechapel. PMID- 29841235 TI - Gloucester Asylum. PMID- 29841234 TI - Practical Points. PMID- 29841236 TI - More Room, or Better Room? PMID- 29841237 TI - New Drugs. Appliances, and Things Medical: Sedox Absorbent Dressings. PMID- 29841238 TI - Medical History from the Earliest Times: III.-Medicine as Practised by Uncivilised Man. PMID- 29841239 TI - The Story of the Insane from Year to Year. PMID- 29841240 TI - The Diagnosis, Localisation, and Surgical Treatment of Tumours Pressing on the Spinal Cord. PMID- 29841241 TI - Annotations. PMID- 29841242 TI - The New Hall for Operations at the Large Municipal Hospital, Copenhagen. PMID- 29841244 TI - Everybody's Page. PMID- 29841243 TI - The Chronic Indigence of Our Hospitals, with Some Suggestions for Its Remedy: II. Difficulties of Hospital Finance. PMID- 29841245 TI - Rumination in Human Beings. PMID- 29841246 TI - Mud and Muddle. PMID- 29841247 TI - The Abuse of Mercury in the Treatment of Eye Diseases. PMID- 29841248 TI - The Alice Memorial Hospital, Hong Kong. PMID- 29841249 TI - Drunkenness and Crime. PMID- 29841250 TI - Notes and News. PMID- 29841251 TI - The Student in Vienna. PMID- 29841252 TI - The Royal Infirmary and Medical School, Newcastle-On-Tyne. PMID- 29841253 TI - The Hospital Nursing Supplement. PMID- 29841254 TI - The Medicine of the Future. PMID- 29841255 TI - Around the Hospitals. PMID- 29841256 TI - Annotations. PMID- 29841258 TI - To First Year's Men. PMID- 29841257 TI - An Account of the North Kensington Friendly Workers among the Poor. PMID- 29841260 TI - On Resection of Intestine. PMID- 29841259 TI - Everybody's Page. PMID- 29841262 TI - Medical Schools and Degrees. PMID- 29841261 TI - Mr. Nixon's Resignation at the London Hospital. PMID- 29841264 TI - The Fleming Memorial Hospital for Sick Children, Newcastle-On-Tyne. PMID- 29841263 TI - Metropolitan and Provincial Medical Schools: Their Cost and Course. PMID- 29841265 TI - List of Hospitals and Medical Schools. PMID- 29841266 TI - A New Post-Mortem Table. PMID- 29841267 TI - Around the Hospitals. PMID- 29841268 TI - The Chronic Indigence of Our Hospitals, with Some Suggestions for Its Remedy: IV. What Might Be. PMID- 29841269 TI - Annotations. PMID- 29841271 TI - Canon Newbolt on Suffering and Good-Will. PMID- 29841270 TI - Pensions without Penalties. PMID- 29841272 TI - On the Feeding of Infants. PMID- 29841273 TI - New York Children's Aid Society. PMID- 29841275 TI - The Secret of Youth. PMID- 29841274 TI - Medical History from the Earliest Times: V.-Medicine in Ancient Egypt. PMID- 29841276 TI - Notes and News. PMID- 29841277 TI - The Hospital Nursing Supplement. PMID- 29841278 TI - Everybody's Page. PMID- 29841279 TI - On the Treatment of Nasal Polypi. PMID- 29841281 TI - Mucocele. PMID- 29841280 TI - The Attitude of the Great Writers towards Disease: I. Sir Walter Scott. PMID- 29841282 TI - Annotations. PMID- 29841283 TI - Oxygen at Oxford. PMID- 29841284 TI - Notes and News. PMID- 29841285 TI - The Chronic Indigence of Our Hospitals, with Some Suggestions for Its Remedy: I. A Bird's Eye View. PMID- 29841286 TI - Everybody's Page. PMID- 29841287 TI - New Drugs. Appliances, and Things Medical: Improvement in Syphons. PMID- 29841289 TI - The Long-Suffering Middle-Class. PMID- 29841288 TI - The Hospital Nursing Supplement. PMID- 29841291 TI - The Mary Hitchcock Memorial Hospital, Hanover, N.H., U.S.A. PMID- 29841290 TI - The Story of the Insane from Year to Year. PMID- 29841293 TI - The Symptoms of Surgical Affections of the Kidneys. PMID- 29841292 TI - A Model Prison. PMID- 29841294 TI - Medical History from the Earliest Times: II. Medicine in Prehistoric Times. PMID- 29841295 TI - Intubation in Laryngeal Tuberculosis. PMID- 29841296 TI - Phagocytosis. PMID- 29841297 TI - The Hospitals and Hospital Saturday. PMID- 29841298 TI - Everybody's Page. PMID- 29841299 TI - Notes and News. PMID- 29841300 TI - Anarchism in Physic. PMID- 29841301 TI - The Radcliffe Infirmary. PMID- 29841303 TI - An Ideal Scheme of Co-Operation. PMID- 29841302 TI - Medical History from the Earliest Times: VII.-Chaldean and Persian Medicine. PMID- 29841304 TI - A Model Slop Sink. PMID- 29841305 TI - New Drugs, Appliances, and Things Medical: A Noiseless Pail. PMID- 29841306 TI - Chronic Ulcer of the Legs. PMID- 29841307 TI - The Story of the Insane from Year to Year. PMID- 29841308 TI - The Hospital Nursing Supplement. PMID- 29841309 TI - Wages versus Comfort: A Scottish Sketch. PMID- 29841310 TI - The Treatment of Nocturnal Incontinence. PMID- 29841311 TI - Inebriates. PMID- 29841313 TI - Annotations. PMID- 29841312 TI - Around the Hospitals. PMID- 29841315 TI - Annotations. PMID- 29841314 TI - Close Times. PMID- 29841316 TI - The Orphan Working School. PMID- 29841317 TI - Notes and News. PMID- 29841318 TI - Alteration at Rotherhithe Infirmary. PMID- 29841319 TI - Salicylic Acid in the Treatment of Acute Rheumatism. PMID- 29841320 TI - Medical History from the Earliest Times: IX.-The Philosophers-Democedes-The AEsclepiadae. PMID- 29841321 TI - Royal National Hospital for Consumption, Ventnor. PMID- 29841322 TI - Around the Hospitals. PMID- 29841323 TI - Elongated Uvula. PMID- 29841324 TI - The Hospital Nursing Supplement. PMID- 29841325 TI - King's College Hospital. PMID- 29841326 TI - Everybody's Page. PMID- 29841327 TI - The Eight Hours Day. PMID- 29841328 TI - Treatment of Trachoma. PMID- 29841329 TI - The Attitude of Great Writers towards Disease: II. Shakespeare. PMID- 29841330 TI - Secret Remedies. PMID- 29841332 TI - Notes and News. PMID- 29841331 TI - Must. PMID- 29841333 TI - Anaesthetics. PMID- 29841334 TI - Medical History from the Earliest Times: XII.-The Successors of Hippocrates-The Dogmatic School. PMID- 29841336 TI - The Hospital Nursing Supplement. PMID- 29841335 TI - Faith and Science at the Hospitals. PMID- 29841338 TI - Poisons and Poisoners: The Marquise De Brinvilliers. PMID- 29841337 TI - Infectious Diseases in Private Houses. PMID- 29841339 TI - Everybody's Page. PMID- 29841340 TI - The Work of the Hospitals: Hospital Accommodation for Bread-Winners. II.-Hospital Accomodation for Women. III.-What the Hospitals Do for the Middle Classes. IV. With the Children. V.-The Chronic Diseases of Children; Incurable Homes; and Other Supplementary Work. PMID- 29841342 TI - Annotations. PMID- 29841341 TI - Annotations. PMID- 29841343 TI - Some American Hospitals. PMID- 29841344 TI - Sympathetic Ophthalmitis. PMID- 29841345 TI - Air and Water. PMID- 29841346 TI - The Hospital Nursing Supplement. PMID- 29841347 TI - Bronchitis or Tracheotomy Kettle. PMID- 29841348 TI - The Attitude of Great Writers towards Disease: III. French Satirists and the Doctors. PMID- 29841350 TI - National Hospital for the Paralysed and Epileptic. PMID- 29841349 TI - Suffering London. PMID- 29841351 TI - City of London Hospital for Diseases of the Chest. PMID- 29841352 TI - Suffering London: The "Globe's" Parable. PMID- 29841354 TI - Bryonia. PMID- 29841353 TI - The Story of the Insane from Year to Year. PMID- 29841356 TI - Vicarious Benevolence. PMID- 29841355 TI - Drainage of the Ventricles in Meningitis. PMID- 29841358 TI - North London Hospital for Consumption. PMID- 29841357 TI - The Treatment of Cough in Phthisis. PMID- 29841359 TI - Bucket Fire Extinguisher. PMID- 29841360 TI - Great Ormond Street Children's Hospital. PMID- 29841361 TI - Around the Hospitals. PMID- 29841363 TI - Notes and News. PMID- 29841362 TI - Medical History from the Earliest Times: XI.-The Schools of Cos and Cnidus. PMID- 29841364 TI - Notes and News. PMID- 29841365 TI - The Story of the Insane from Year to Year. PMID- 29841366 TI - New Drugs, Appliances, and Things Medical: Jelly Carnis (Caffyn). PMID- 29841367 TI - The Appeal of the Insane to Science. PMID- 29841369 TI - Impotent Oxford and Its Melancholy Hospital. PMID- 29841368 TI - A New Departure. PMID- 29841371 TI - Carrying, Commode, and Bath Chairs. PMID- 29841370 TI - The Causation and Pathology of Rickets. PMID- 29841373 TI - Around the Hospitals. PMID- 29841372 TI - Post Pharyngeal Abscess. PMID- 29841375 TI - Practical Points. PMID- 29841374 TI - Annotations. PMID- 29841377 TI - The Hospital Nursing Supplement. PMID- 29841376 TI - Hyperaemia of the Conjunctiva - Simple Conjunctivitis. PMID- 29841379 TI - On the Special Requirements of Ophthalmic Hospitals. PMID- 29841378 TI - Excreta or Bed-Pan Cage. PMID- 29841380 TI - Everybody's Page. PMID- 29841381 TI - Juvenile Smokers. PMID- 29841383 TI - Medical History from the Earliest Times: VIII.-The Earliest Greek Medicine-Homer AEsculapius. PMID- 29841382 TI - A New Form of Hospital Slop Sink. PMID- 29841384 TI - Medical History from the Earliest Times: X.-Hippocrates. PMID- 29841385 TI - Wanted-Locality. PMID- 29841386 TI - Cinder-Bin and Sifter. PMID- 29841387 TI - Notes and News. PMID- 29841389 TI - Temporary Hospitals. PMID- 29841388 TI - Annotations. PMID- 29841390 TI - Bed Rests. PMID- 29841391 TI - New Drugs, Appliances, and Things Medical: Ingrowing Toe-Nails. PMID- 29841393 TI - The Clarence Memorial Wing at St. Mary's Hospital. PMID- 29841392 TI - Poor Man's Gout. PMID- 29841395 TI - Everybody's Page. PMID- 29841394 TI - Around the Hospitals. PMID- 29841397 TI - Suffering London. PMID- 29841396 TI - The Hospital Nursing Supplement. PMID- 29841399 TI - Bed Table. PMID- 29841398 TI - Radcliffe Infirmary, Oxford. PMID- 29841400 TI - The Royal London Ophthalmic Hospital. PMID- 29841401 TI - Prisons at Home and Abroad. PMID- 29841402 TI - Colles's Fracture. PMID- 29841403 TI - Horse Civilisation in Shetland and Wales. PMID- 29841404 TI - Is Laminectomy Desirable in Traumatic Compression of the Cord? PMID- 29841405 TI - The Hospitals Association. PMID- 29841407 TI - A Centenary Collapse. PMID- 29841406 TI - Mr. Keir Hardie and the Miners. PMID- 29841409 TI - The Royal Portsmouth, Portsea, and Gosport Hospital. PMID- 29841408 TI - Medical History from the Earliest Times: XIV.-Heraclides and the Empiric School. PMID- 29841411 TI - Compulsory Vaccination. PMID- 29841410 TI - Is Vivisection Irreligious, Immoral, or Inhumane? PMID- 29841412 TI - Suffering London: Stirring Addresses by Sir Andrew Clark and Mr. A. Egmont Hake. PMID- 29841414 TI - New Drugs, Appliances, and Things Medical. PMID- 29841413 TI - Annotations. PMID- 29841416 TI - Notes and News. PMID- 29841417 TI - Around the Hospitals. PMID- 29841415 TI - The Hospital Nursing Supplement. PMID- 29841418 TI - The Position of the Medical Examiner for Life Assurance.-II. PMID- 29841419 TI - A Central Council. PMID- 29841420 TI - Everybody's Page. PMID- 29841422 TI - Asylums of the World : II.-Treatment. PMID- 29841421 TI - Some of the Less Frequently Recognised Affections of Joints. PMID- 29841423 TI - The Royal Hants County Hospital, Winchester. PMID- 29841424 TI - Around the Hospitals. PMID- 29841426 TI - Practical Points. PMID- 29841425 TI - Medical History from the Earliest Times: XVI.-The Medical Profession in Ancient Greece. PMID- 29841427 TI - Bill Sykes's Son. PMID- 29841428 TI - Everybody's Page. PMID- 29841430 TI - Notes and News. PMID- 29841429 TI - New Drugs, Appliances, and Things Medical: Mellin's Food. PMID- 29841432 TI - The Ideals of Science. PMID- 29841431 TI - Special Hospitals. PMID- 29841434 TI - Some "Bloated Aristocrats" of Physic. PMID- 29841433 TI - On the Treatment of Cystic Goitre. PMID- 29841435 TI - The Death-Rate of Pneumonia. PMID- 29841436 TI - The Hospital Nursing Supplement. PMID- 29841437 TI - The Lords and the Nurses. PMID- 29841438 TI - Is Vivisection Immoral? PMID- 29841440 TI - Annotations. PMID- 29841439 TI - Hypermetropic Headaches. PMID- 29841441 TI - "Barraque" Wards. PMID- 29841442 TI - Hospital Administration: II. Admission of Patients. PMID- 29841444 TI - New Drugs, Appliances, and Things Medical. PMID- 29841443 TI - Annotations. PMID- 29841446 TI - The Story of the Insane from Year to Year. PMID- 29841445 TI - Medical History from the Earliest Times: XIII.-The Alexandrine Anatomists. PMID- 29841447 TI - Around the Hospitals. PMID- 29841448 TI - Samaritans Ancient and Modern. PMID- 29841449 TI - Everybody's Page. PMID- 29841450 TI - The Position of the Medical Examiner in Life Assurance.-I. PMID- 29841451 TI - The Hospital Nursing Supplement. PMID- 29841452 TI - Notes and News. PMID- 29841453 TI - A Year's Work in the Hospitals and Medical Charities of London. PMID- 29841454 TI - The History and Capabilities of Herbal Simples: XXXIX.-The Fig. PMID- 29841456 TI - The Sincerity of Modern Medicine. PMID- 29841455 TI - A Central Council. PMID- 29841457 TI - Diagnosis in Stricture of the OEsophagus. PMID- 29841458 TI - The Attitude of Great Writers towards Disease: V. Lord Tennyson. PMID- 29841459 TI - Medical History from the Earliest Times: XVII.-Early Roman Medicine. PMID- 29841460 TI - Around the Hospitals. PMID- 29841461 TI - The Hospital Nursing Supplement. PMID- 29841463 TI - Society for the Study of Inebriety. PMID- 29841462 TI - Asylums of the World. III.-Administration and Nursing. PMID- 29841464 TI - Everybody's Page. PMID- 29841465 TI - Thyroid Extract for Myxoedema. PMID- 29841467 TI - Interstitial Keratuis. PMID- 29841466 TI - Notes and News. PMID- 29841468 TI - The Metropolitan Hospital. PMID- 29841469 TI - Annotations. PMID- 29841471 TI - Hospital Committees, Trained Nurses, and the Public. PMID- 29841470 TI - Employments for Women: IV. Lecturing for the County Councils. PMID- 29841472 TI - Addenbrooke's Hospital, Cambridge. PMID- 29841473 TI - Medical History from the Earliest Times: XV.-Military Medicine in Ancient Greece. PMID- 29841474 TI - The Other Cheek. PMID- 29841475 TI - Around the Hospitals. PMID- 29841477 TI - Organisation. PMID- 29841476 TI - The Position of the Medical Examiner for Life Assurance.-III. PMID- 29841478 TI - Notes and News. PMID- 29841479 TI - Gangrene. PMID- 29841480 TI - The Attitude of Great Writers towards Disease: IV. Jane Austen. PMID- 29841481 TI - Paddington Infirmary. PMID- 29841483 TI - The Report on Metropolitan Hospitals. PMID- 29841482 TI - Asylums of the World : I. History and Early Treatment. PMID- 29841485 TI - Victory. PMID- 29841484 TI - The Report of the Lords Committee. PMID- 29841487 TI - Everybody's Page. PMID- 29841486 TI - The Therapeutical Action of the Salts of Strontium. PMID- 29841489 TI - Annotations. PMID- 29841488 TI - The Hospital Nursing Supplement. PMID- 29841490 TI - The Modern Orthopaedic Unit. PMID- 29841491 TI - Raise Your Standard of Efficiency. PMID- 29841492 TI - The Local Government Board's Annual Report. PMID- 29841493 TI - Reports on Hospitals of the United Kingdom: Huntingdon County Hospital. Bury St. Edmund's Hospital. PMID- 29841494 TI - Hospitals and the Truck Act. PMID- 29841496 TI - Dental Treatment at Tuberculosis Dispensaries. PMID- 29841495 TI - The Alterations at Chichester Infirmary. PMID- 29841497 TI - The Decline in the Tuberculosis Death-Rate. PMID- 29841498 TI - The Trend of Research in Mental Hospitals. PMID- 29841499 TI - On Going out of Insurance. PMID- 29841500 TI - Hospital and Institutional News. PMID- 29841501 TI - A Point for Sanatoria Committees. PMID- 29841503 TI - Once More the Wrong Method. PMID- 29841502 TI - The National Medical Union. PMID- 29841505 TI - Inexpensive Mental Homes for the Middle Classes. PMID- 29841504 TI - Fellow-Workers and Their Doings. PMID- 29841506 TI - Hospitals and Vaccine Therapy. PMID- 29841507 TI - St. George's Hospital: A Settlement in Sight. PMID- 29841508 TI - A Winter in the Upper Engadine, 1885. PMID- 29841509 TI - Article 10 of the Poor-Law Orders. PMID- 29841510 TI - Reforms in County Council Mental Hospitals. PMID- 29841511 TI - Voluntary Hospitals and Paying Patients. PMID- 29841512 TI - What We Owe to Experiments on Animals: II. Pathology, Bacteriology, and Therapeutics (continued). PMID- 29841513 TI - On the Etiology of Carcinoma. PMID- 29841514 TI - The Royal Alexandra Hospital for Children, Rhyl. PMID- 29841515 TI - St. Bartholomew's Hospital. PMID- 29841516 TI - Glances at the Hospitals. PMID- 29841517 TI - Floor Covering for Hospitals. PMID- 29841518 TI - St. Bartholomew's Hospital. PMID- 29841520 TI - Annotations. PMID- 29841519 TI - The Value of Ureteral Catheterisation and Cryoscopy of the Urine. PMID- 29841522 TI - Permanent Military Hospitals. PMID- 29841521 TI - Nursing Section. PMID- 29841524 TI - The Treatment of Fractures from a Common-Sense Point of View: IX. Fractures in the Neighbourhood of the Elbow. PMID- 29841523 TI - The British Pharmaceutical Codex. PMID- 29841525 TI - The Electrolytic Destruction of Bacilli. PMID- 29841526 TI - The Administration of Anaesthetics. PMID- 29841527 TI - Psychasthenia: Its Evolution, Course, Diagnosis, and Treatment. PMID- 29841528 TI - To a Club Patient. PMID- 29841529 TI - The Hospital Saturday Fund. PMID- 29841530 TI - Prescriptions and Dispensing. PMID- 29841531 TI - The Problem of Rural Midwifery. PMID- 29841532 TI - Treatment of Foreign Bodies in the Cornea and Their Possible Sequelae. PMID- 29841533 TI - Medical Opinion and Movement. PMID- 29841535 TI - Microscopical Examination of Tissues during Operation. PMID- 29841534 TI - Mr. Bernard Hollander. PMID- 29841536 TI - Professional Freedom. PMID- 29841537 TI - What Is Disease? What Diagnosis?: II. Medicine, Surgery, and Specialism in Relation to Science and Art. PMID- 29841538 TI - News and Coming Events. PMID- 29841539 TI - Acute Bright's Disease Simulated by Renal Calculus. PMID- 29841540 TI - The Common Task. PMID- 29841541 TI - Annotations. PMID- 29841543 TI - Practical Points. PMID- 29841542 TI - Practical Notes on Diagnosis and Treatment. PMID- 29841544 TI - The Melbourne Hospitai. PMID- 29841546 TI - The Medical Department of the New Territorial Army. PMID- 29841545 TI - Syphilitic Arthritis. PMID- 29841547 TI - Jaundice in the New-Born. PMID- 29841548 TI - Prescriptions and Dispensing. PMID- 29841549 TI - Colostomy. PMID- 29841550 TI - The Treatment of Tuberculous Laryngitis. PMID- 29841551 TI - Medical Opinion and Movement. PMID- 29841552 TI - The Value of Internal Medication in Diseases of the Skin. PMID- 29841554 TI - Diphtherial Relapses. PMID- 29841553 TI - Diseases of the Nervous System in Old Age. PMID- 29841555 TI - Hints to Junior House Surgeons. PMID- 29841556 TI - The Treatment of Fractures from a Common-Sense Point of View: X. Fractures of the Bones of the Forearm. PMID- 29841557 TI - New Appliances and Things Medical. PMID- 29841558 TI - On Metastases in Malignant Disease. PMID- 29841559 TI - The American Hospital Association. PMID- 29841560 TI - The Surreptitious Abolition of Compulsory Vaccination. PMID- 29841561 TI - Nature's Method and the Food Supply. PMID- 29841562 TI - Professional Freedom. PMID- 29841564 TI - Practical Notes on Diagnosis and Treatment. PMID- 29841563 TI - The Problem of Rural Midwifery. PMID- 29841565 TI - The London Provident Dispensaries Council. PMID- 29841566 TI - Herpes Zoster and Paralysis. PMID- 29841567 TI - Some Medical Aspects of the Peace Conference. PMID- 29841568 TI - Concerning Operations for Otorrhoea: II. Steele's Original, and the Radical Mastoid, Operations. PMID- 29841569 TI - Annotations. PMID- 29841570 TI - News and Coming Events. PMID- 29841571 TI - The Advantages to Be Gained by the Administration of Morphia in Certain Conditions. PMID- 29841572 TI - The Inebriates Acts, 1897-1900. PMID- 29841573 TI - Some Illustrative Cases. PMID- 29841574 TI - Dr. Purves Stewart's Reply. PMID- 29841575 TI - The Treatment of Tuberculous Laryngitis. PMID- 29841577 TI - Religious Equality in Institutions. PMID- 29841576 TI - Gonorrhoeal Infection in the Female and Its Treatment. PMID- 29841578 TI - Colostomy. PMID- 29841579 TI - Hypnotism in Its Relation to Hysteria and to Psychasthenia. PMID- 29841580 TI - Professional Freedom. PMID- 29841582 TI - Practical Notes on Diagnosis and Treatment. PMID- 29841581 TI - The Treatment of Bacteriuria. PMID- 29841583 TI - The Common Task. PMID- 29841584 TI - The Early Notification of Births Act. PMID- 29841585 TI - Social Problems at the Church Congress. PMID- 29841586 TI - Wanted-A State Examination. PMID- 29841588 TI - Annotations. PMID- 29841587 TI - Rheumatic Pericarditis and Its Consequences. PMID- 29841590 TI - Medical Opinion and Movement. PMID- 29841589 TI - Story of the Insane from Year to Year. PMID- 29841591 TI - Anaesthetic Cases. PMID- 29841592 TI - The Treatment of Fractures from a Common-Sense Point of View: XII. Fractures of the Shaft of the Femur. PMID- 29841593 TI - News and Coming Events. PMID- 29841594 TI - Concerning Operations for Otorrhoea: II. Steele's Original, and the Radical Mastoid, Operations. PMID- 29841596 TI - The Caird Cancer Hospital, Dundee Royal Infirmary. PMID- 29841595 TI - Prescriptions and Dispensing. PMID- 29841597 TI - The Hospital Officers' Association. PMID- 29841598 TI - Injuries to the Eye. PMID- 29841600 TI - Indigo-Uria. PMID- 29841599 TI - The Prussian Blue Reaction of the Liver in Pernicious Anaemia. PMID- 29841601 TI - Medical Opinion and Movement. PMID- 29841602 TI - Archaeology and the Collection of Antiques. PMID- 29841603 TI - The Treatment of Fractures from a Common-Sense Point of View: XI. Fractures of the Neck of the Femur. PMID- 29841604 TI - Prescriptions and Dispensing. PMID- 29841606 TI - The Third Report of the Royal Commission on Vivisection. PMID- 29841605 TI - Colostomy. PMID- 29841608 TI - Disease and National Efficiency. PMID- 29841607 TI - The New Buildings at St. Bartholomew's Hospital. PMID- 29841610 TI - News and Coming Events. PMID- 29841609 TI - Practical Notes on Diagnosis and Treatment. PMID- 29841611 TI - Post-Hemiplegic Athetosis. PMID- 29841613 TI - St. Mary's Hospital. PMID- 29841612 TI - Arterio-Sclerosis. PMID- 29841615 TI - Annotations. PMID- 29841614 TI - Committees and Justice. PMID- 29841617 TI - The Common Form of Dysmenorrhoea of Young Women. PMID- 29841616 TI - Acute Yellow Atrophy of the Liver. PMID- 29841618 TI - Pathology for General Practitioners: The Apparatus Required for Simple Investigations. PMID- 29841619 TI - Fretfulness in Infancy. PMID- 29841620 TI - The Common Task. PMID- 29841621 TI - The Temporary Relief of Turbinal Distension. PMID- 29841622 TI - The Neglected Art of Prescription Writing. PMID- 29841623 TI - Some Remarks on Puerperal Sapraemia. PMID- 29841625 TI - Social and Poor-Law Problems. PMID- 29841624 TI - The Operative Treatment of Internal Piles. PMID- 29841626 TI - Annotations. PMID- 29841627 TI - The Common Task. PMID- 29841628 TI - New Appliances and Things Medical. PMID- 29841630 TI - The Nurses' Home. PMID- 29841629 TI - How to Perform a Post-Mortem Examination: The Experience of a Lifetime, and Its Practical Teaching. PMID- 29841631 TI - The Grip of the Specialist. PMID- 29841632 TI - Pemphigus. PMID- 29841634 TI - Where Is "That Man from Sheffield"? PMID- 29841633 TI - The Bristol Royal Infirmary Impasse. PMID- 29841636 TI - The Treatment of Fractures from a Common-Sense Point of View: VIII. Fracture of the Olecranon. PMID- 29841635 TI - The Treatment of Frontal Sinusitis. PMID- 29841637 TI - Cervico-Facial Actinomycosis. PMID- 29841638 TI - What Is a Disease: What Is the Meaning of Diagnosis? PMID- 29841639 TI - Raynaud's Disease Affecting Tongue as Well as Extremities: The Tongue as well as Extremities Affected. PMID- 29841640 TI - Diagram of the Weekly Death Rate in 1907. PMID- 29841641 TI - News and Coming Events. PMID- 29841642 TI - Medical Opinion and Movement. PMID- 29841644 TI - Pathology for General Practitioners. PMID- 29841643 TI - The Prevalence of Drug Habits. PMID- 29841645 TI - The "Rideal-Walker" Method of Standardising Disinfectants. PMID- 29841646 TI - Practical Notes on Diagnosis and Treatment. PMID- 29841647 TI - The Smegma Bacillus and Urinary Tuberculosis. PMID- 29841648 TI - The "Ad Hoc" Principle in Local Government. PMID- 29841649 TI - King Edward's Hospital Fund. PMID- 29841650 TI - The Hospital Sunday Fund. PMID- 29841651 TI - King Edward's Hospital Fund for London. PMID- 29841653 TI - Further Notes on Compulsory Notification. PMID- 29841652 TI - Resident Medical Officers' Department. PMID- 29841654 TI - Annotations. PMID- 29841655 TI - Some Effects of Adenoids. PMID- 29841656 TI - Dislocation of the Shoulder. PMID- 29841657 TI - Prescriptions and Dispensing. PMID- 29841658 TI - Medical Opinion and Movement. PMID- 29841659 TI - The Ultimate Results of Inoperable Gynaecological Cases. PMID- 29841661 TI - Some Diseases of the Male Genital System: I. Hydrocele of the Tunica Vaginalis. PMID- 29841660 TI - Justus' Test for Syphilis. PMID- 29841662 TI - Endothelial Tumours. PMID- 29841663 TI - The Incorporate Institute of Hygiene. PMID- 29841665 TI - The True Position of the Specialist. PMID- 29841664 TI - Annotations. PMID- 29841666 TI - Medical Opinion and Movement. PMID- 29841667 TI - Pernicious Vomiting of Pregnancy. PMID- 29841669 TI - Chronic Colitis. PMID- 29841668 TI - A Simple Method of Determining the Blood Coagulation Time. PMID- 29841671 TI - St. George's Hospital. PMID- 29841670 TI - Practical Notes on Diagnosis and Treatment. PMID- 29841673 TI - Osteo-Arthritis. PMID- 29841672 TI - Concerning Operation for Abscess of the Brain Associated with Otorrhoea. PMID- 29841675 TI - New Dental Hospital at Melbourne, Australia. PMID- 29841674 TI - The Registration of Nursing Homes. PMID- 29841678 TI - Protection against Fire in London. PMID- 29841677 TI - Medical Education and the London University. PMID- 29841679 TI - News and Coming Events. PMID- 29841680 TI - Some Medical Haemorrhages. PMID- 29841681 TI - "Rudimentary" Forms of Tabes. PMID- 29841683 TI - Maragliano's Serum in Phthisis. PMID- 29841682 TI - The Treatment of Fractures from a Common-Sense Point of View: XVI. Pott's Fracture. PMID- 29841685 TI - Infectious Diseases in General Hospitals. PMID- 29841684 TI - The War Efficiency of the Medical Volunteer. PMID- 29841686 TI - Homes for Inebriates. PMID- 29841687 TI - Meteorology as Study and Pastime. PMID- 29841688 TI - The Advertisement of Quack Remedies. PMID- 29841689 TI - Some Diseases of the Male Genital System: II. The Diagnosis of Vaginal Hydrocele. PMID- 29841691 TI - The Hygienic Superiority of Gas Lighting. PMID- 29841690 TI - League of Mercy. PMID- 29841693 TI - Annotations. PMID- 29841692 TI - The Passing of 1907. PMID- 29841694 TI - News and Coming Events. PMID- 29841695 TI - Infantile OEdema of the Lower Limbs. PMID- 29841697 TI - The Three Glass Test in Cases of Pyuria. PMID- 29841696 TI - Haemoptysis and Nitrite of Amyl. PMID- 29841698 TI - Medical Opinion and Movement. PMID- 29841699 TI - Practical Notes on Diagnosis and Treatment. PMID- 29841700 TI - The Failing Heart. PMID- 29841701 TI - Dermatitis Venenata. PMID- 29841702 TI - The Treatment of Acute Inflammation by Passive Congestion. Bier's Method. PMID- 29841703 TI - Empyema. PMID- 29841704 TI - The Common Task. PMID- 29841705 TI - The Reduction of Adipose Tissue by Fucus Vesiculosus. PMID- 29841706 TI - Soot and Smoke. PMID- 29841707 TI - The Administration of Charity. PMID- 29841708 TI - News and Coming Events. PMID- 29841709 TI - Erythema Nodosum. PMID- 29841710 TI - The Common Task. PMID- 29841711 TI - New Appliances for Hospital Use. PMID- 29841712 TI - Infarction and Rupture of the Heart. PMID- 29841714 TI - Paratyphoid Fever. PMID- 29841713 TI - Laboratory Methods. PMID- 29841716 TI - Professional Freedom. PMID- 29841715 TI - Erratum: The Diagnosis of Pancreatic Disease. AB - [This corrects the article on p. 660 in vol. 42.]. PMID- 29841718 TI - The Hygiene of the Public Telephone. PMID- 29841717 TI - A Supreme National Health Authority. PMID- 29841719 TI - How to Perform a Post-Morterm Examination: The Experience of a Lifetime, and Its Practical Teaching. PMID- 29841721 TI - Race Progress and the Declining Birth-Rate. PMID- 29841720 TI - Sane Persons in Asylums. PMID- 29841722 TI - New Infirmary for the Wharfedale Union at Otley, Yorkshire. PMID- 29841723 TI - The Bristol Royal Infirmary Impasse. PMID- 29841724 TI - The Nursing Institute. PMID- 29841725 TI - The Habits of the Medical Student Past and Present. PMID- 29841726 TI - Annotations. PMID- 29841727 TI - Prescriptions and Dispensing. PMID- 29841728 TI - Practical Notes on Diagnosis and Treatment. PMID- 29841729 TI - The Treatment of Fractures from a Common-Sense Point of View: VII. Fractures of the Upper End of the Humerus. PMID- 29841730 TI - Medical Opinion and Movement. PMID- 29841731 TI - The Poor-Law Infirmary. PMID- 29841733 TI - The Registration of Nursing Homes. PMID- 29841732 TI - Gravel and Stone. Clinical Remarks on Their Formation and Treatment. PMID- 29841735 TI - The Poplar Hospital for Accidents. PMID- 29841734 TI - Annotations. PMID- 29841736 TI - Practical Notes on Diagnosis and Treatment. PMID- 29841737 TI - The Medical Inspection of Children in Public Elementary Schools. PMID- 29841738 TI - Pensions and the Medical Profession. PMID- 29841739 TI - News and Coming Events. PMID- 29841740 TI - The Persistence of Typhoid Bacilli in Organs for Years. PMID- 29841742 TI - The Hampstead General Hospital. PMID- 29841741 TI - Stains for Fat. PMID- 29841743 TI - A Bill for the Prevention of Premature Burial. PMID- 29841744 TI - The Medical Inspection of School Children. PMID- 29841745 TI - Medical Opinion and Movement. PMID- 29841746 TI - Osteo-Arthritis. PMID- 29841747 TI - The Use and Abuse of Soap. PMID- 29841748 TI - Local Applications to the Upper Air Passages. PMID- 29841749 TI - Treatment of Pulmonary Phthisis. PMID- 29841750 TI - The Royal Free Hospital. PMID- 29841752 TI - The Treatment of Fractures from a Common-Sense Point of View: XV. Fractures of the Tibia and Fibula. PMID- 29841751 TI - Senile Respiratory Disorders. PMID- 29841753 TI - Prescriptions and Dispensing. PMID- 29841754 TI - Rudimentary Forms of Disseminated Sclerosis. PMID- 29841755 TI - Some Diseases of the Male Genital System: III. The Treatment of Vaginal Hydrocele. PMID- 29841757 TI - Quackery and Its Prevention. PMID- 29841756 TI - Medical Education and the London University. PMID- 29841759 TI - News and Coming Events. PMID- 29841758 TI - Two Simple Methods of Curing Pediculosis Capitis Quickly. PMID- 29841760 TI - Hospital Construction. PMID- 29841761 TI - Bacteriology and the Medical Treatment of Disease. PMID- 29841762 TI - Secret Remedies and Branded Products. PMID- 29841763 TI - Blood Coagulation Time in Disease. PMID- 29841764 TI - Hospital Progress in 1907. PMID- 29841765 TI - The R.M.O. and the County Court: I. Things to Keep in Mind. PMID- 29841766 TI - Rhinitis Sicca. PMID- 29841767 TI - Sleeping Sickness. PMID- 29841768 TI - Social and Poor-Law Problems. PMID- 29841769 TI - Self-Sacrifice or Cowardice. PMID- 29841770 TI - Medical Opinion and Movement. PMID- 29841771 TI - The General Examination of the Child's Skin. PMID- 29841772 TI - Soot and Smoke. PMID- 29841773 TI - Empyema-II. PMID- 29841774 TI - Annotations. PMID- 29841775 TI - Retroversion of the Gravid Uterus. PMID- 29841776 TI - Medical Opinion and Movement. PMID- 29841777 TI - Old Masters of Medicine. PMID- 29841778 TI - Longitudinal and Other Sinus Thrombosis. PMID- 29841779 TI - Diseases of the Tear Passages. PMID- 29841780 TI - Overworked Matrons: Educate the Committees. PMID- 29841782 TI - Some Points in the Treatment of Chorea. PMID- 29841781 TI - The Need for Trained Workhouse Matrons. PMID- 29841783 TI - The Common Task. PMID- 29841784 TI - Practical Notes on Diagnosis and Treatment. PMID- 29841786 TI - Annotations. PMID- 29841785 TI - A Discussion on the Complications of Pneumonia. PMID- 29841787 TI - The Ramsey Cottage Hospital. PMID- 29841788 TI - Concerning Operations for Otorrhoea: III. With Lateral Sinus Thrombosis. PMID- 29841789 TI - A Case of Red Granular Kidney. PMID- 29841790 TI - News and Coming Events. PMID- 29841791 TI - Prescriptions and Dispensing. PMID- 29841792 TI - Gastric Digestion in Babies. PMID- 29841793 TI - Liability of Operators and Anaesthetists. PMID- 29841794 TI - Fibro Adenomata of the Breast. PMID- 29841795 TI - Some Diseases of the Male Genital System: IV. The Rarer Forms of Hydrocele. PMID- 29841797 TI - King Edward's Hospital Fund for London. PMID- 29841796 TI - Spinal Caries. PMID- 29841798 TI - Current Hospital Topics. PMID- 29841799 TI - The Physician in Art. PMID- 29841800 TI - Injuries to the Eye. PMID- 29841801 TI - Medical Education and the London University. PMID- 29841803 TI - The Sick and Infirm. PMID- 29841802 TI - Abdominal Tuberculosis in Childhood. PMID- 29841804 TI - Albuminuria in Phthisis. PMID- 29841805 TI - Diagram of the Weekly Death Rate in 1907. PMID- 29841806 TI - Maternal Nursing. PMID- 29841807 TI - Prescriptions and Dispensing. PMID- 29841809 TI - Annotations. PMID- 29841808 TI - Practical Points. PMID- 29841810 TI - Practical Notes on Diagnosis and Treatment. PMID- 29841811 TI - Hyperpyrexia. PMID- 29841813 TI - The Lymphatic Glands of the Face. PMID- 29841812 TI - The Treatment of Fractures from a Common-Sense Point of View: XIV. Fractures in the Neighbourhood of the Knee-Joint. PMID- 29841815 TI - Spontaneous Fragmentation of Urinary Calculi. PMID- 29841814 TI - News and Coming Events. PMID- 29841816 TI - Relapses in Diphtheria. PMID- 29841817 TI - Concerning Operations for Otorrhoea. PMID- 29841819 TI - Medical Opinion and Movement. PMID- 29841818 TI - The Cinematograph in Medicine. PMID- 29841821 TI - The Bristol Royal Infirmary. PMID- 29841820 TI - The Registration of Nursing Homes. PMID- 29841822 TI - Picric Acid Poisoning. PMID- 29841823 TI - Nurse-Matrons', Sisters', and Dispensers' Certificates. PMID- 29841824 TI - Some Medico-Legal Reminiscences. PMID- 29841825 TI - The Cold Summer and the Death Rate. PMID- 29841827 TI - Some of the Newer Dermatological Remedies and Their Value. PMID- 29841826 TI - The Medical Graduates' College and Polyclinic. PMID- 29841829 TI - The "Referee" Children's Dinner Fund. PMID- 29841828 TI - Hospitals for the Paralysed. PMID- 29841830 TI - Diseases of Twins. PMID- 29841831 TI - Medical Students as Nurses-II. PMID- 29841832 TI - The Treatment of Fractures from a Common-Sense Point of View: XIII. Fracture of the Patella. PMID- 29841833 TI - The Significance of Persistory Pyrexia. PMID- 29841834 TI - Medical Opinion and Movement. PMID- 29841835 TI - New Appliances and Things Medical. PMID- 29841836 TI - The Royal Free Hospital. PMID- 29841837 TI - Acetonaemia and Acetonuria. PMID- 29841838 TI - Local Applications to the Upper Air Passages. PMID- 29841840 TI - Epithelioma of the Penis. PMID- 29841839 TI - The Late Mr. Reginald Lund. PMID- 29841841 TI - Hospitals and Suicidal Patients. PMID- 29841842 TI - The Bismuth Skiagram in Investigating Gastro Intestinal Disorders. PMID- 29841843 TI - Temperature Variations in Pulmonary Tuberculosis. PMID- 29841844 TI - Brachial Neuritis and Similar Conditions Involving the Arms. PMID- 29841845 TI - The Importance of Localising the Heart's Apex Beat. PMID- 29841847 TI - Practical Notes on Diagnosis and Treatment. PMID- 29841846 TI - Professional Freedom. PMID- 29841849 TI - Annotations. PMID- 29841848 TI - Sanatorium Experiences. PMID- 29841850 TI - The Registration of Nursing Homes. PMID- 29841851 TI - The Charite Hospital, Paris. PMID- 29841852 TI - Infectious Diseases in General Hospitals. PMID- 29841854 TI - The Senile Cardio-Vascular System. PMID- 29841853 TI - Painless Effusion into the Knee-Joint. PMID- 29841855 TI - The Sanitary Organisation of the Territorial Army. PMID- 29841856 TI - Medical Students as Nurses-I. PMID- 29841858 TI - Foreign Bodies in the Air Passages. PMID- 29841857 TI - Insanity and Mental Disorder. PMID- 29841860 TI - The Registration of Nursing Homes. PMID- 29841859 TI - Some Notes on Progress in Medicine. PMID- 29841861 TI - Simulation of Phthisis by Disease of Pharynx and Nose. PMID- 29841862 TI - Anaemia in Tropical Diseases. PMID- 29841863 TI - Warrington Infirmary. PMID- 29841864 TI - Medical Opinion and Movement. PMID- 29841866 TI - Gynaecology in General Practice. PMID- 29841865 TI - On Phagocytosis. PMID- 29841868 TI - Medical Men, Medical Papers, and Insurance. PMID- 29841867 TI - Chronic Diseases of the Joints. PMID- 29841870 TI - The Optic Nerve and the Accessory Sinuses of the Nose. PMID- 29841869 TI - Pyrexia in Malignant Disease of the Liver. PMID- 29841872 TI - Social and Poor-Law Problems. PMID- 29841871 TI - The Official Scheme for the Medical Service of the Territorial Army. PMID- 29841873 TI - The Tendency of Certain Diseases to Die out. PMID- 29841874 TI - Trigeminal Neuralgia and Its Surgical Treatment. PMID- 29841876 TI - Hospital Finance at Its Best. PMID- 29841875 TI - Thalamic Hemiplegia. PMID- 29841878 TI - Annotations. PMID- 29841877 TI - Otitis Media in Infancy and Early Childhood. PMID- 29841879 TI - News and Coming Events. PMID- 29841880 TI - Miss Nightingale and the City of London. PMID- 29841881 TI - Trypanosomiasis. PMID- 29841882 TI - Practical Hints for X-Ray Work. PMID- 29841884 TI - Medical Opinion and Movement. PMID- 29841883 TI - Annotations. PMID- 29841885 TI - Authority and Teaching. PMID- 29841887 TI - Fever Nursing. PMID- 29841886 TI - Clean or Pasteurised Milk. PMID- 29841889 TI - Changes in the Vaccination Laws. PMID- 29841888 TI - Two Cases of Restlessness-I. PMID- 29841890 TI - Some Diseases of the Male Genital System: XI. Syphilitic Orchitis. PMID- 29841891 TI - Acute Nephritis with Extreme Haematuria. PMID- 29841892 TI - Current Hospital Topics. PMID- 29841893 TI - Musical Bruits and Accidents to Workmen. PMID- 29841894 TI - Social and Poor Law Problems. PMID- 29841895 TI - Nasal Obstruction and Operation for Rectifying Obstructive Deformities of the Nasal Septum. PMID- 29841896 TI - Operations for Otorrhoea. PMID- 29841897 TI - Economy in Nursing Department. PMID- 29841898 TI - Annotations. PMID- 29841899 TI - Secretin. PMID- 29841900 TI - The Hospital Chapel. PMID- 29841902 TI - Still-Birth Certificates. PMID- 29841901 TI - The Spontaneous Disappearance of Malignant Growths. PMID- 29841904 TI - News and Coming Events. PMID- 29841903 TI - Veronal Rashes. PMID- 29841905 TI - Influenza in Babies. PMID- 29841906 TI - Prescriptions and Dispensing. PMID- 29841908 TI - Medical Opinion and Movement. PMID- 29841907 TI - The Vagaries of the Drug Market. PMID- 29841909 TI - A Demonstration of Selected Skin Cases. PMID- 29841910 TI - Damages for Libel: Successful Action by a Medical Man. PMID- 29841912 TI - The Royal Free Hospital. PMID- 29841911 TI - Movable Kidney-II. PMID- 29841913 TI - Sex and Character. PMID- 29841914 TI - The Children's Bill. PMID- 29841916 TI - Intestinal Worms in Children and Their Treatment. PMID- 29841915 TI - Spinal Hemiplegia-II: With Anaesthesia on the Same Side. PMID- 29841918 TI - Uterine Polypi-I. PMID- 29841917 TI - The Hospital Chapel. PMID- 29841919 TI - Heart-Block. PMID- 29841920 TI - Miniature Rifle Shooting. PMID- 29841921 TI - The Certainties and Uncertainties of Tuberculosis. PMID- 29841922 TI - The Skin in Winter. PMID- 29841923 TI - News and Coming Events. PMID- 29841924 TI - Psoas Abscess. PMID- 29841926 TI - Medical Opinion and Movement. PMID- 29841925 TI - Nephritis Associated with Scarlet Fever. PMID- 29841927 TI - Cancer of the Larynx. PMID- 29841929 TI - The London Hospital. PMID- 29841928 TI - Prostatectomy and Bladder Stone. PMID- 29841930 TI - Some Diseases of the Male Genital System: VI. Retained Testis. PMID- 29841931 TI - The Hospitals of Paris. PMID- 29841932 TI - The Poor-Law Midwifery Schools. PMID- 29841933 TI - The Declining Birth-Rate. PMID- 29841935 TI - Hospital Sunday Collections in London in 1907. PMID- 29841934 TI - The Accidents Which May Happen to Ovarian Cystic Tumours. PMID- 29841936 TI - Annotations. PMID- 29841937 TI - Intestinal Digestion in Babies. PMID- 29841938 TI - Concerning Operations for Otorrhoea: III. With Laterial Sinus Thrombosis (concluded). PMID- 29841939 TI - On the Arrangements for the Operation Theatre for a Small Hospital. PMID- 29841941 TI - A Mental Clinic for London. PMID- 29841940 TI - Surgery and the General Practitioner. PMID- 29841942 TI - Some Conditions Which May Simulate Appendicitis. PMID- 29841943 TI - News and Coming Events. PMID- 29841945 TI - Bilateral Facial Paralysis. PMID- 29841944 TI - Medical Opinion and Movement. PMID- 29841946 TI - The Prognosis of Valvular Heart Disease. PMID- 29841947 TI - The Royal Commission on Whiskey and Potable Spirits. PMID- 29841948 TI - The Modern Treatment of Ophthalmia Neonatorum. PMID- 29841949 TI - Annotations. PMID- 29841950 TI - The Case-History of Haemorrhages in the Early Months of Pregnancy. PMID- 29841951 TI - Secret Remedies and Branded Products-III. PMID- 29841952 TI - Dermatology. PMID- 29841953 TI - Practical Sociology: Ill-Health as a Cause of Pauperism. PMID- 29841954 TI - Answers to Correspondents. PMID- 29841955 TI - Graves' Disease and Acute Rheumatism. PMID- 29841956 TI - Fever Nursing. PMID- 29841957 TI - Pneumothorax. PMID- 29841958 TI - An Interesting Outbreak of Typhoid Fever. PMID- 29841960 TI - The Diseases of Historical Characters. PMID- 29841959 TI - Movable Kidney-I. PMID- 29841961 TI - Fever Nursing. PMID- 29841962 TI - Practical Notes on Diagnosis and Treatment. PMID- 29841963 TI - Clean Milk or Pasteurised Milk. PMID- 29841964 TI - Annotations. PMID- 29841965 TI - Some Diseases of the Male Genital System: X. Tuberculosis of the Testis and Epididymis (Continued). PMID- 29841966 TI - An Impasse at the Royal Victoria Infirmary, Newcastle. PMID- 29841967 TI - News and Coming Events. PMID- 29841968 TI - Claudius Galenus and His System. PMID- 29841969 TI - Social and Poor-Law Problems. PMID- 29841970 TI - Medical Opinion and Movement. PMID- 29841972 TI - Chronic Rheumatism and Rheumatoid Arthritis. PMID- 29841971 TI - Lupus of the Upper Air Passages. PMID- 29841974 TI - Posterior Basal and Epidemic Cerebro-Spinal Meningitis. PMID- 29841973 TI - The Relation of Post Diphtheritic Paralysis to Antitoxin. PMID- 29841975 TI - Valvular Murmurs in Relation to the Treatment of Cardiac Disease. PMID- 29841978 TI - Annotations. PMID- 29841976 TI - Pure Carbolic in the Treatment of Boils. PMID- 29841977 TI - Alcohol and Physical Deterioration. PMID- 29841979 TI - Medical Opinion and Movement. PMID- 29841980 TI - News and Coming Events. PMID- 29841981 TI - Deaths under Anaesthetics. PMID- 29841982 TI - Some Diseases of the Male Genital System: VIII. Tuberculous Disease of the Testis and Epididymis. PMID- 29841983 TI - Solution to the Case for Diagnosis. PMID- 29841984 TI - Von Noorden's Dietary in Mucous Colitis. PMID- 29841985 TI - On the Use of Pessaries. PMID- 29841987 TI - Practical Notes on Diagnosis and Treatment. PMID- 29841986 TI - The Mental Disorders of Childhood. PMID- 29841988 TI - Tuberculous Disease Affecting the Tarsus. PMID- 29841989 TI - Graduate Study in London. PMID- 29841990 TI - New Appliances and Things Medical. PMID- 29841991 TI - The Admission of Women to the London Colleges. PMID- 29841992 TI - The Examination of Urine for Sugar.-II. PMID- 29841993 TI - Over-Worked Matrons. PMID- 29841994 TI - On Certain Skin Diseases. PMID- 29841995 TI - Acute Gout.-II. PMID- 29841997 TI - Thoracic Aortic Aneurysms. PMID- 29841996 TI - The Dysphagia of Tuberculous Laryngitis. PMID- 29841998 TI - Operations for Otorrhoea. PMID- 29841999 TI - Typhoid Carriers. PMID- 29842000 TI - News and Coming Events. PMID- 29842001 TI - Secret Remedies and Branded Products-IV. PMID- 29842002 TI - Annotations. PMID- 29842003 TI - X-Rays and Other Tests for Death. PMID- 29842004 TI - King Edward's Hospital Fund for London. PMID- 29842005 TI - District Nursing Committees: A Danger. PMID- 29842006 TI - Some Diseases of the Male Genital System: XII. Malignant Disease of the Testis. PMID- 29842007 TI - Functional Diseases. PMID- 29842008 TI - The Legal Liability of the Anaesthetist. PMID- 29842009 TI - Prescriptions and Dispensing. PMID- 29842010 TI - Bilharziasis. PMID- 29842011 TI - The Diagnosis and Treatment of Adenoids. PMID- 29842012 TI - Uterine Polypi.-II. PMID- 29842014 TI - Practical Notes on Diagnosis and Treatment. PMID- 29842013 TI - Haemorrhage after Operative Cure of Intussusception. PMID- 29842016 TI - Re-Education of the Tabetic. PMID- 29842015 TI - The General Practitioner and Research. PMID- 29842017 TI - Absorption of Drugs through the Skin. PMID- 29842018 TI - Medical Opinion and Movement. PMID- 29842020 TI - Some Diseases of the Male Genital System: IX. Tuberculosis of the Testis and Epididymis. PMID- 29842019 TI - Rodent Ulcer. PMID- 29842021 TI - Hospital Administration: Hospital Committees and Overwork. PMID- 29842023 TI - Surgery and the General Practitioner. PMID- 29842022 TI - Dysphagia in Tuberculous Laryngitis. PMID- 29842025 TI - Details of Medical Inspection. PMID- 29842024 TI - Anti-Typhoid Vaccine. PMID- 29842026 TI - Medical Opinion and Movement. PMID- 29842027 TI - The Experimental Transmission of Cancer. PMID- 29842028 TI - The R.M.O. and the County Court: II. Medical Fees in Legal Cases. PMID- 29842029 TI - Dermatology. PMID- 29842031 TI - Annotations. PMID- 29842030 TI - News and Coming Events. PMID- 29842032 TI - Prescriptions and Dispensing. PMID- 29842033 TI - The Cortical Centre for Hearing. PMID- 29842035 TI - Spinal Hemiplegia. PMID- 29842034 TI - The Common Task. PMID- 29842037 TI - Intra-Thoracic New Growths. PMID- 29842036 TI - Graduate Study in London. PMID- 29842038 TI - Puerperal Fever in London in 1906. PMID- 29842039 TI - Annotations. PMID- 29842040 TI - Some Surgical Complications of Typhoid Fever. PMID- 29842041 TI - Isolation Hospital Expenses. PMID- 29842043 TI - A Case of Spontaneous Rupture of a Coronary Artery. PMID- 29842042 TI - Some Diseases of the Male Genital System: V. Haematocele. PMID- 29842044 TI - Antistreptococcic Serum in Phthisis with Cavitation. PMID- 29842045 TI - A Note on Co-Existent Infectious Diseases. PMID- 29842046 TI - Syphilitic Disease of the Joints. PMID- 29842048 TI - Proprietary Preparations. PMID- 29842047 TI - Medical Opinion and Movement. PMID- 29842049 TI - Current Hospital Topics. PMID- 29842050 TI - One More Central Authority for Charity. PMID- 29842051 TI - Oxygen Inhalations Should Be Warmed. PMID- 29842052 TI - Report of the Medical Officer of the Education Committee of the London County Council. PMID- 29842054 TI - Architecture and History. PMID- 29842053 TI - Diagram of the Weekly Death Rate in 1907. PMID- 29842056 TI - News and Coming Events. PMID- 29842055 TI - Cancer of the Larynx. PMID- 29842057 TI - Practical Notes on Diagnosis and Treatment. PMID- 29842058 TI - Rat Extermination. PMID- 29842059 TI - "The Tribune" Exhibition of Winter Foods and Drinks. PMID- 29842060 TI - Streptothrix Infections. PMID- 29842061 TI - Northampton General Hospital. PMID- 29842062 TI - Acute Nephritis with Extreme Haematuria. PMID- 29842063 TI - Cysts in the Floor of the Mouth. PMID- 29842064 TI - A Case of Ischaemic Paralysis. PMID- 29842066 TI - Acute Intestinal Obstruction with Abnormal Features. PMID- 29842065 TI - Endometritis and the Operation of Curettage. PMID- 29842067 TI - Proprietary Preparations. PMID- 29842068 TI - New Appliances and Things Medical. PMID- 29842069 TI - Medical Opinion and Movement. PMID- 29842071 TI - Old Masters of Medicine. PMID- 29842070 TI - A Suggested Reform of the Lunacy Laws. PMID- 29842073 TI - The United Kingdom Hospitals Conference in March. PMID- 29842072 TI - The Treatment of Some Common Ailments. PMID- 29842074 TI - Prescriptions and Dispensing. PMID- 29842075 TI - Social and Poor-Law Problems. PMID- 29842077 TI - Dr. Newsholme, Medical Officer of the Local Government Board. PMID- 29842076 TI - Asthma in Infants and Young Children. PMID- 29842079 TI - News and Coming Events. PMID- 29842078 TI - Annotations. PMID- 29842080 TI - Social Questions and the Medical Profession. PMID- 29842081 TI - The Poor-Law Midwifery Schools. PMID- 29842082 TI - A Case for Diagnosis. PMID- 29842083 TI - Wanted, Lady Mission Doctors. PMID- 29842085 TI - Acute Gout. PMID- 29842084 TI - Social and Poor-Law Problems. PMID- 29842087 TI - Wanted, Lady Mission Doctors. PMID- 29842086 TI - Unqualified Practice, the Medical Profession and the Public. PMID- 29842088 TI - Should Consumptives Be Segregated? PMID- 29842089 TI - Transmission of Acquired Characteristics. PMID- 29842090 TI - Secret Remedies and Proprietary Products.-II. PMID- 29842091 TI - Oral Sepsis and Its Relation to Abdominal Disease. PMID- 29842093 TI - The Poor-Law Midwifery Schools. PMID- 29842092 TI - The North-Eastern Hospital for Children. PMID- 29842094 TI - Tonbridge Cottage Hospital. PMID- 29842095 TI - A Case for Diagnosis. PMID- 29842096 TI - Prescriptions and Dispensing. PMID- 29842097 TI - Psoas Abscess.-II. PMID- 29842098 TI - The Examination of the Urine for Sugar. PMID- 29842099 TI - The Common Task. PMID- 29842100 TI - Medical Opinion and Movement. PMID- 29842101 TI - The Training of Officers. PMID- 29842103 TI - Annotations. PMID- 29842102 TI - News and Coming Events. PMID- 29842104 TI - The Mission to Lepers in India and the East. PMID- 29842105 TI - Some Diseases of the Male Genital System: VII. The Treatment of Retained Testis. PMID- 29842106 TI - House Appointments at Small Hospitals. PMID- 29842108 TI - The Treatment of Periosteal Sarcoma. PMID- 29842107 TI - The London Hospital. PMID- 29842109 TI - Degrees and Diplomas. PMID- 29842111 TI - A Criticism of Homoeopathy. PMID- 29842110 TI - The Causation of Sex. PMID- 29842113 TI - The Bristol Hospital for Sick Children. PMID- 29842112 TI - Literary Notes. PMID- 29842114 TI - St. Bartholomew's Hospital Appeal. PMID- 29842115 TI - The Agnes Memorial Sanatorium at Denver, Colorado. PMID- 29842116 TI - Hospital Architecture and Construction. PMID- 29842117 TI - The College of Nursing. PMID- 29842119 TI - A Serious Question. PMID- 29842118 TI - The Profession and the National Health Commissioners: Incapable of Work. PMID- 29842120 TI - The Alleged Inhumanity at Guy's. PMID- 29842122 TI - Tuberculosis Topics. PMID- 29842121 TI - Questions and Answers. PMID- 29842123 TI - A Drab, Inexpressibly Dreary Neighbourhood. PMID- 29842124 TI - Nursing Affairs in Ireland. PMID- 29842126 TI - Tragedies of War Bread. PMID- 29842125 TI - Discharged Soldiers as Male Attendants. PMID- 29842127 TI - The Latest Types of Invalid Lifter. PMID- 29842128 TI - Legal Notes for Institutional Workers. PMID- 29842129 TI - A London Pharmacist's Forecast. PMID- 29842130 TI - Queen Alexandra and King Edward Memorials. PMID- 29842132 TI - Hospital Needs. PMID- 29842131 TI - Ward Fireplaces: A New Design. PMID- 29842133 TI - Ill-Health Amongst Plymouth School Children. PMID- 29842135 TI - Distribution Committee's Report and Awards. PMID- 29842134 TI - The Late Matron and Worcester General Infirmary. PMID- 29842137 TI - Institutional Notes and News. PMID- 29842136 TI - Pure Air in Hospitals. PMID- 29842139 TI - Parliament and Publications. PMID- 29842138 TI - News and Events of the Week. PMID- 29842141 TI - Parliament and Publications. PMID- 29842142 TI - Parliament and Publications. PMID- 29842140 TI - Parliament and Publications. PMID- 29842143 TI - Erratum: A Correction. AB - [This corrects the article on p. 221 in vol. 50.]. PMID- 29842144 TI - The Views of Hospital Secretaries. PMID- 29842145 TI - News and Events of the Week. PMID- 29842146 TI - New Appliances & Things Medical. PMID- 29842147 TI - News and Events of the Week. PMID- 29842148 TI - New Appliances & Things Medical. PMID- 29842149 TI - News and Events of the Week. PMID- 29842150 TI - Parliament and Publications. PMID- 29842151 TI - Institutional Notes and News. PMID- 29842153 TI - Central Midwives Board for Scotland. PMID- 29842152 TI - Everybody's Page. PMID- 29842154 TI - The Oxford Plan for Devonshire? PMID- 29842155 TI - Transplantation of Eyes. PMID- 29842157 TI - Sailors and Defective Vision. PMID- 29842156 TI - New Drugs, Appliances, and Things Medical. PMID- 29842159 TI - Patience. PMID- 29842158 TI - New Drugs, Appliances, and Things Medical. PMID- 29842161 TI - Annual Meeting of Constituents. PMID- 29842160 TI - Erratum. AB - [This corrects the article on p. 271 in vol. 67.]. PMID- 29842162 TI - H.R.H. the Prince of Wales in the Chair. PMID- 29842163 TI - A Record of Wonderful Development. PMID- 29842164 TI - The Meaning of Research. PMID- 29842165 TI - The State in Relation to Chronic Disease. PMID- 29842166 TI - Hygiene and the Health of Our Children. PMID- 29842167 TI - After War, Armistice. After Armistice, Peace? PMID- 29842168 TI - The Institutional Worker. PMID- 29842169 TI - The True Inwardness of State Registration. PMID- 29842170 TI - Hospital and Institutional News. PMID- 29842171 TI - Some Urgently Needed Reforms. PMID- 29842172 TI - Some Views on the Present Crisis. PMID- 29842173 TI - Round the Hospitals. PMID- 29842175 TI - Description from the Account of the German Army Chaplain Paul De Seur. PMID- 29842174 TI - The Matron's Winter Holiday. PMID- 29842176 TI - Passing Positions of the Moment. PMID- 29842177 TI - How to Get All the Money Required. PMID- 29842178 TI - The Institutional Worker. PMID- 29842179 TI - Australian Notes. PMID- 29842180 TI - St. Dunstan's-And after. PMID- 29842181 TI - "Ierne" on Guard. PMID- 29842183 TI - Walking the Hospital in Johannesburg. PMID- 29842182 TI - After-War Developments for the Voluntary Hospital. PMID- 29842184 TI - Round the Hospitals. PMID- 29842185 TI - Parliament and the Professions. PMID- 29842187 TI - The Grafting of Glands: A Record of French Experience. PMID- 29842186 TI - The Nurses' Enabling Bill. PMID- 29842188 TI - Pituitary Extract: Some Applications and Their Value. PMID- 29842189 TI - Hospital and Institutional News. PMID- 29842191 TI - Establishment of Degrees in Commerce. PMID- 29842190 TI - Hospitals and Mental Cases. PMID- 29842192 TI - Care of the Disabled. PMID- 29842193 TI - Awakening Efforts in Hospital Finance. PMID- 29842194 TI - Film Pictures of Normal Labour and Delivery. PMID- 29842195 TI - A Taste for Horseflesh: Dr. Killick Millard's Experience. PMID- 29842197 TI - Parliament and the Professions. PMID- 29842196 TI - Hospital and Institutional News. PMID- 29842199 TI - Round the Hospitals. PMID- 29842198 TI - Flies and Dysentery. PMID- 29842200 TI - Is It Her Swan Song? PMID- 29842201 TI - A Romance of Charity. PMID- 29842203 TI - Some Notes from the Olympia Motor Show. PMID- 29842202 TI - Oxford's Great Memorial to Valiant Men. PMID- 29842204 TI - Must They Be Driven to a Last Refuge? PMID- 29842205 TI - Some Nurses' Problems. PMID- 29842206 TI - A "Memorial" Hospital. PMID- 29842207 TI - On the Etiology of Certain Cases of Alopecia. PMID- 29842208 TI - Mental Nursing. PMID- 29842209 TI - Some Varieties and Their Treatment. PMID- 29842210 TI - The Pause before State Registration. PMID- 29842212 TI - Australian Notes. PMID- 29842211 TI - Round the Hospitals. PMID- 29842214 TI - Voluntary Hospital Finance. The Position and Outlook Better. PMID- 29842213 TI - The Hospital Journals and Gazettes. PMID- 29842216 TI - Parliament and the Profession. PMID- 29842215 TI - The Administration of Ovarian and Other Extracts. PMID- 29842218 TI - The Institutional Worker. PMID- 29842217 TI - A Medical Education for Working Class Children. PMID- 29842219 TI - Will Her Citizens Lead Voluntary Hospital Finance? PMID- 29842220 TI - Hospital Library. PMID- 29842221 TI - A Lesson of the War. PMID- 29842223 TI - Unpopularity of Private Nursing with Hospital Staffs. PMID- 29842222 TI - Society for the Prevention and Relief of Cancer. PMID- 29842224 TI - Their True Relationship. PMID- 29842226 TI - The Opportunity for the Wise. PMID- 29842225 TI - Hospital and Institutional News. PMID- 29842227 TI - The Fundus Oculi: A Review of Some Common Disorders. PMID- 29842228 TI - The Hospitals' Huge Contribution to the Cost of the War. PMID- 29842229 TI - "Ierne" at Fault. PMID- 29842230 TI - The Forty-Eight-Hour Week. PMID- 29842231 TI - The Wise Women of Nursing. PMID- 29842232 TI - Statistical Report of Expenditure of 109 London Hospitals. PMID- 29842233 TI - The New Panel Agreements. PMID- 29842235 TI - The Treatment of Gonococcal Infections: A Review of Modern Developments. PMID- 29842234 TI - Unpopularity of Private Nursing with Hospital Staffs. PMID- 29842236 TI - Effect of Hot Weather on Fatigue. PMID- 29842237 TI - Scarlet Fever Outbreaks: With Special Reference to the Latest Epidemics. PMID- 29842238 TI - The Institutional Worker. PMID- 29842239 TI - Nursing and Municipal Economy. PMID- 29842240 TI - Round the Hospitals. PMID- 29842241 TI - The Hospital Crisis: How Not to Get Money. PMID- 29842242 TI - The Demand for Reconstruction. PMID- 29842243 TI - What the College of Nursing Has Accomplished. PMID- 29842245 TI - Some Thoughts for Nurses. PMID- 29842244 TI - The Necessity for the Human Element. PMID- 29842247 TI - The College of Nursing's Traducers. PMID- 29842246 TI - Hospital and Institutional News. PMID- 29842248 TI - Parliament and the Professions. PMID- 29842249 TI - Needle, Holder and Ligature in One Instrument. PMID- 29842250 TI - The Registration of Nurses Bill. PMID- 29842251 TI - Solving the Hospital Financial Crisis. PMID- 29842252 TI - Hospital and Institutional News. PMID- 29842253 TI - Is the Cost per Occupied Bed the Only Criterion of Efficency and Economy? PMID- 29842254 TI - Health Teaching for the Young. PMID- 29842255 TI - The Early Evolution of Surgery. PMID- 29842256 TI - The Probationers' Forty-Eight-Hour Week. PMID- 29842257 TI - Views of the L.C.C. PMID- 29842258 TI - Round the Hospitals. PMID- 29842259 TI - The Institutional Worker. PMID- 29842260 TI - The Corruption of Charity. PMID- 29842261 TI - Parliament and the Professions. PMID- 29842262 TI - King Edward's Hospital Fund for London. PMID- 29842263 TI - King George's Fund for Sailors. PMID- 29842264 TI - Lord Knutsford's 'Impossible'. PMID- 29842265 TI - The Work Ahead and How to Accomplish It. PMID- 29842266 TI - Christmas in the Hospitals. PMID- 29842267 TI - Erratum. AB - [This corrects the article on p. 215b in vol. 67.]. PMID- 29842268 TI - Will It Revert to Pageantry and Burlesque? PMID- 29842269 TI - Guy's Hospital: Christmas Decorations. PMID- 29842270 TI - The Enlargement of Small Hospitals. PMID- 29842272 TI - Health Records of 1918. PMID- 29842271 TI - The School Medical Service: Its Educative Possibilities. PMID- 29842273 TI - Sir Arbuthnot Lane on Venereal Disease. PMID- 29842274 TI - London Hospitals with Medical Schools. PMID- 29842275 TI - The Steady Growth of the Voluntary System. PMID- 29842276 TI - Hospital and Institutional News. PMID- 29842278 TI - At Home-Somewhere in France. PMID- 29842277 TI - A Record Distribution: L230,000. PMID- 29842279 TI - Report of the Distribution Committee. PMID- 29842280 TI - Grants Recommended by the Distribution Committee. PMID- 29842281 TI - The Recent Outbreaks and a Great Need. PMID- 29842282 TI - London Hospitals without Medical Schools. PMID- 29842284 TI - The Administration of Anaesthetics. PMID- 29842283 TI - Grants Recommended by the Convalescent Homes Committee. PMID- 29842286 TI - Miscellaneous London Hospitals. PMID- 29842285 TI - Report of the Convalescent Homes Committee. PMID- 29842287 TI - How to Organise the Country. PMID- 29842288 TI - Chairmen's Reports of Provincial Hospitals. PMID- 29842289 TI - The Nurse's Lack of Business Habits. PMID- 29842290 TI - Festival Dinner. PMID- 29842291 TI - A Note with a Zoological Interest. PMID- 29842292 TI - Round the Hospitals. PMID- 29842294 TI - Lord Knutsford's "Impossible." PMID- 29842293 TI - The Alternative to State Aid. Local Voluntary Effort. PMID- 29842296 TI - Mechanical Disabilities of the Feet: The First of Two Post-Graduate Lectures. PMID- 29842295 TI - Medical Aspects of Sterility in Women. PMID- 29842297 TI - Army Orders.-September, 1917. Part III.-Nurses Disabled. PMID- 29842298 TI - Queen Charlotte's Lying-In Hospital. PMID- 29842299 TI - Hospital and Institutional News. PMID- 29842300 TI - Which Devour Widows' Houses. PMID- 29842301 TI - St. Bartholomew's Hospital. PMID- 29842303 TI - The Place of Reading in the Training-School. PMID- 29842302 TI - The Kindness Cure. PMID- 29842304 TI - The Care of Soldiers' Children. PMID- 29842305 TI - Round the Hospitals. PMID- 29842307 TI - How a Brighter Outlook Has Been Brought about. PMID- 29842306 TI - Certificated Nurses and Trades Unions: A Better and More Effective Alternative. PMID- 29842308 TI - The Institutional Worker. PMID- 29842309 TI - Demobilisation and Venereal Diseases. PMID- 29842310 TI - The Condition Revealed in the Report. PMID- 29842311 TI - A Universal Principle Illustrated. PMID- 29842312 TI - Mortality among the Insane. PMID- 29842313 TI - Tombolas and Their Critics. PMID- 29842315 TI - Queen Charlotte's Lying-In Hospital. PMID- 29842314 TI - The Editor's Letter-Box. PMID- 29842316 TI - Some Considerations in Roofing. PMID- 29842317 TI - St. Bartholomew's Hospital. PMID- 29842318 TI - Ministry of Health Action and Other Matters. PMID- 29842319 TI - Mme. Montessori Speaks for Herself. PMID- 29842321 TI - Round the Hospitals. PMID- 29842320 TI - A Set of Progressive Needs. PMID- 29842323 TI - Pensions for Nurses. PMID- 29842322 TI - Hospital and Institutional News. PMID- 29842324 TI - The Nursing Club in Dublin. PMID- 29842325 TI - The Work of the Medical Branch. PMID- 29842326 TI - The Practice of Prevention. PMID- 29842327 TI - Old Age and the Thyroid Gland: A Criticism. PMID- 29842328 TI - The Quality-Not Quantity-Of the Work. PMID- 29842330 TI - The Ministry and Unregistered Dentists. PMID- 29842329 TI - Pensions and Gratuities for Disabled Nurses. PMID- 29842331 TI - International Health Work. PMID- 29842333 TI - Safe Milk. PMID- 29842332 TI - Humans or Dogs? PMID- 29842334 TI - Comradeship in Hospital Life. PMID- 29842335 TI - Annual Meetings of Hospitals. PMID- 29842336 TI - Round the Hospitals. PMID- 29842337 TI - The Sanitary Blocks of Hospitals. PMID- 29842338 TI - Radiography in Hepatic Conditions: A Valuable Aid to Diagnosis. PMID- 29842339 TI - Hospital and Institutional News. PMID- 29842340 TI - Cleansing the Air. PMID- 29842341 TI - The Institutional Worker. PMID- 29842342 TI - Contributions from Patients. PMID- 29842343 TI - Statement by King Edward's Hospital Fund. PMID- 29842344 TI - King Edward's Fund and the London Voluntary Hospitals. PMID- 29842345 TI - Care of the Unborn. PMID- 29842346 TI - Some Reports of the Work of 1919. PMID- 29842347 TI - Scrapping the Trained Nurse. PMID- 29842348 TI - The Severer Forms of Laryngitis: Early Diagnosis and Treatment. PMID- 29842349 TI - Adopted Children. PMID- 29842350 TI - Chronic Intestinal Stasis: New Discoveries in This Disease. PMID- 29842351 TI - Rate Aid for Unmarried Mothers. PMID- 29842352 TI - The Universities and the Nursing Profession. PMID- 29842354 TI - Industrial Medicine. PMID- 29842353 TI - Expert Opinion. PMID- 29842356 TI - Maesteg and District General Hospital, Maesteg. PMID- 29842355 TI - Parliament and the Professions. PMID- 29842358 TI - Sheffield and the Red Cross Grant. PMID- 29842357 TI - Training Facilities in Little Hospitals. PMID- 29842360 TI - Some Points to Be Borne in Mind. PMID- 29842359 TI - Food Conditions in Germany: A Situation the World Must Realise. PMID- 29842362 TI - Sketches from the Front. PMID- 29842361 TI - The L.C.C.'s Employment of Uncertified Nurses. PMID- 29842363 TI - Some Landmarks in Flanders: From the Notebooks of a Medical Officer. PMID- 29842365 TI - Joint Working of the Two Corporations. PMID- 29842364 TI - The College of Nursing and the Minister of Health: Safeguarding the Public Interest. PMID- 29842366 TI - Joint Women's V.A.D. Department. PMID- 29842367 TI - Hospital and Institutional News. PMID- 29842368 TI - The Next Influenza Wave. PMID- 29842369 TI - The Electro-Chemical Treatment of Seed Grain. PMID- 29842370 TI - Woman Workers' World. PMID- 29842371 TI - Round the Hospitals. PMID- 29842373 TI - With a Garrison Battalion to Africa. PMID- 29842372 TI - Members' Conference. PMID- 29842375 TI - From across the Seas. PMID- 29842374 TI - Queen Charlotte's Hospital. PMID- 29842377 TI - Health in Factories. PMID- 29842376 TI - Nurse Registration in Victoria. PMID- 29842379 TI - Serum Treatment of Pneumonia: Some Experiences and a Forecast. PMID- 29842378 TI - Parliament and the Profession. PMID- 29842380 TI - The Administration of Anaesthetics. PMID- 29842381 TI - Round the Hospitals. PMID- 29842382 TI - Not a Produce Broker. PMID- 29842383 TI - Hospital and Institutional News. PMID- 29842384 TI - Dinner to Dame Sidney Browne, Matron-In-Chief, T.F.N.S. PMID- 29842385 TI - Fevers from the East: A Plea for Greater Care and Accuracy. PMID- 29842386 TI - Sanatorium Complaints. PMID- 29842387 TI - How to Organise the Country. PMID- 29842388 TI - The College of Nursing Coat of Arms and Badge. PMID- 29842389 TI - This Statement Is Absolutely Untrue! PMID- 29842390 TI - A Forty-Eight Hour Week. PMID- 29842392 TI - Not Charity but Humanity. PMID- 29842391 TI - Some Anti-Plague Measures. PMID- 29842393 TI - The Bona Fide Nurse. PMID- 29842394 TI - Luncheon to the Uniformed Auxiliary Services. PMID- 29842395 TI - Our Dear Ones and Ourselves. PMID- 29842396 TI - Is She a Nurse or Not? PMID- 29842398 TI - Legal Notes for Institutional Workers. PMID- 29842397 TI - The Last Contribution of a Great Authority. PMID- 29842399 TI - Sickness among Animals. PMID- 29842400 TI - The Wild Women of Mortimer Hall. PMID- 29842402 TI - Cottage Benefit Nursing Association. PMID- 29842401 TI - After War Conditions. PMID- 29842404 TI - Hospital and Institutional News. PMID- 29842403 TI - Nurses Unemployed and Underpaid. PMID- 29842405 TI - Some Women Who Lost Their Heads. PMID- 29842406 TI - Paralytic Deformities and Disabilities of the Feet: The Second of Two Post Graduate Lectures. PMID- 29842408 TI - Nurses and the Ministry of Health. PMID- 29842407 TI - A Treasured Remembrance and Great Opportunity. PMID- 29842409 TI - Round the Hospitals. PMID- 29842410 TI - The Institutional Worker. PMID- 29842411 TI - Inasmuch. PMID- 29842412 TI - A Plea for More Frequent Employment. PMID- 29842413 TI - Three Years' Training Adopted. PMID- 29842414 TI - After-War Developments and Changes. PMID- 29842415 TI - Increased Death-Rate in Nervous Disease: A Result of the past Hostilities. PMID- 29842416 TI - A Visit to Bethlem Hospital. PMID- 29842417 TI - Parliament and the Professions. PMID- 29842418 TI - Round the Hospitals. PMID- 29842419 TI - Recent Tuberculosis Work. PMID- 29842420 TI - London Homoeopathic Hospital. PMID- 29842421 TI - Suggestions for a New Policy. PMID- 29842422 TI - The Hospital Crisis: A Dangerous Misapprehension. PMID- 29842423 TI - Nurses' Remuneration and Justice for All. PMID- 29842424 TI - Changes in Staff, Salaries, Departments. PMID- 29842426 TI - How the L100,000 Is to Be Distributed. PMID- 29842425 TI - Ierne, You May Safely Leave the Woman in the Wards. PMID- 29842427 TI - Alcohol and the Human Body: Some Recent Experiments upon Its Action. PMID- 29842428 TI - Presentation to a Hospital Engineer. PMID- 29842429 TI - Hospital and Institutional News. PMID- 29842430 TI - How It Affects the Nurses' Welfare. PMID- 29842432 TI - A Recent Lecture Outlined. PMID- 29842431 TI - The Institutional Worker. PMID- 29842434 TI - The Eight-Hour Day in Private Nursing. PMID- 29842433 TI - How to Arrange for Scattered Areas. PMID- 29842435 TI - Staff Conditions in Maternity Hospitals. PMID- 29842436 TI - The Institutional Worker. PMID- 29842437 TI - Round the Hospitals. PMID- 29842438 TI - The Nurse Who Thinks. PMID- 29842440 TI - Hospital and Institutional News. PMID- 29842439 TI - Legal Notes for Institutional Workers. PMID- 29842442 TI - Records from Port Sanitary Authority of Liverpool. PMID- 29842441 TI - The Victimisation of V.A.D.s. PMID- 29842444 TI - A Conflict of Testimony. PMID- 29842443 TI - The Editor's Letter-Box. PMID- 29842445 TI - The Rates of Tax. PMID- 29842447 TI - Some Laws of Health. PMID- 29842446 TI - The Doctor and Increased Production. PMID- 29842449 TI - Dust. PMID- 29842448 TI - The New Era in Teaching. PMID- 29842450 TI - Advanced Cases of Tuberculosis: Compulsory Removal Proposed. PMID- 29842451 TI - The Institutional Worker. PMID- 29842453 TI - Hospital and Institutional News. PMID- 29842452 TI - The Meditative Patient. PMID- 29842455 TI - The Private Houses of London. PMID- 29842454 TI - East Suffolk and Ipswich Hospital Makes Good. PMID- 29842457 TI - State Aid or State Advice. PMID- 29842456 TI - The District Nurse and the Measles Campaign. PMID- 29842458 TI - The Permanent Maintenance of the Voluntary Hospital. PMID- 29842459 TI - Red Cross Chairman's Proposal. PMID- 29842461 TI - New Quarters in Regent's Park. PMID- 29842460 TI - Flying and "Air Sickness." PMID- 29842463 TI - Round the Hospitals. PMID- 29842462 TI - The Young Man's Opportunity. PMID- 29842465 TI - The Problem of Venereal Disease. PMID- 29842464 TI - Dr. Addison and the First Council. PMID- 29842466 TI - The Nurses' Co-Operation. PMID- 29842467 TI - A Happy Vision. PMID- 29842469 TI - Receiving the Charge of Governor and President. PMID- 29842468 TI - Great Expectations in Durham. PMID- 29842471 TI - Association of Certificated Blind Masseurs. PMID- 29842470 TI - A Much Underpaid Profession. PMID- 29842472 TI - The Best Women in the Kingdom. PMID- 29842474 TI - Further "Times" Correspondence. PMID- 29842473 TI - The Uniform System of Accounts. PMID- 29842475 TI - The College of Nursing and the Nurses' Curriculum. PMID- 29842476 TI - Parliament and the Professions. PMID- 29842478 TI - Hospitals and the Tax-Payer. PMID- 29842477 TI - Census of Health: Tentative Suggestions. PMID- 29842479 TI - Hospital and Institutional News. PMID- 29842480 TI - Ex-Soldiers and Trade Unions. PMID- 29842481 TI - Premier Impressed. PMID- 29842482 TI - Red Cross League's Programme. PMID- 29842484 TI - The Necessity for Yet Further Extension of Clinics. PMID- 29842483 TI - Round the Hospitals. PMID- 29842486 TI - Massage. PMID- 29842485 TI - The Value of Routine Lumbar Puncture. PMID- 29842488 TI - Prices Still Rising. PMID- 29842487 TI - The Medical Correspondent. PMID- 29842490 TI - County Nursing Associations and Registration. PMID- 29842489 TI - Maternity Homes. PMID- 29842492 TI - Hospital and Institutional News. PMID- 29842491 TI - Temperamental Selection of Institutional Patients. PMID- 29842493 TI - Geelong's Thankoffering for Peace. PMID- 29842494 TI - Compulsory Registration of Nurses and the Untrained: A Suggestion. PMID- 29842495 TI - Round the Hospitals. PMID- 29842496 TI - Parliament and the Professions. PMID- 29842497 TI - The Campaign against Measles: Effects and Advantages of the New Regulations. PMID- 29842498 TI - The Feebleminded. PMID- 29842499 TI - Eyes Front! PMID- 29842501 TI - Dancing in Relation to the Use of Artificial Legs: A Novel and Interesting Development. PMID- 29842500 TI - The 48-Hours Bill Applied to Working Nurses. PMID- 29842502 TI - The Poor Children's Palace of Desire. PMID- 29842503 TI - The Future of Pharmacy. PMID- 29842504 TI - The Government and the Voluntary Hospitals. PMID- 29842505 TI - The Art of Health Visiting. PMID- 29842507 TI - War Conditions in the near East (I.). PMID- 29842506 TI - Christmas in the Hospitals. PMID- 29842509 TI - The Necessity for Endowing the Nursing Profession. PMID- 29842508 TI - Gleanings from the January Issues. PMID- 29842511 TI - Milk Improvement. PMID- 29842510 TI - Farm Colony Scheme Started. PMID- 29842512 TI - Doctors Disagree. PMID- 29842513 TI - Some Criticisms Worthy of Attention. PMID- 29842514 TI - New Employers' Subscription Scheme in Detail. PMID- 29842515 TI - Institutional Needs. PMID- 29842517 TI - The Institutional Worker. PMID- 29842516 TI - Ideal Homes. PMID- 29842519 TI - Large Improvements and Future Outlook. PMID- 29842518 TI - A Memorable Ceremony at Guy's Hospital. PMID- 29842520 TI - Towards a New Era. PMID- 29842521 TI - A Nurses' Club in Dublin. PMID- 29842523 TI - Hospital and Institutional News. PMID- 29842522 TI - Public Health Offenders. PMID- 29842525 TI - Round the Hospitals. PMID- 29842524 TI - Plan That Safeguards Healthy Labour. PMID- 29842526 TI - Training Colonies. PMID- 29842527 TI - The Voluntary Hospitals Made Secure. PMID- 29842528 TI - A Valuable Aid to Diphtheria Control? PMID- 29842529 TI - National Insurance Medical Benefit Act, 1913, and the Amendment Bill, 1920. PMID- 29842530 TI - England, Wales and Scotland Awakening. PMID- 29842531 TI - Hospital and Institutional News. PMID- 29842532 TI - No Forcible Eviction. PMID- 29842533 TI - Children and Cinemas. PMID- 29842535 TI - Some Considerations of a Wide Subject. PMID- 29842534 TI - The Royal Institute of Public Health. PMID- 29842536 TI - Limitations of Common Bacteriological Media. PMID- 29842537 TI - Milestones. PMID- 29842539 TI - Mothers Who Work. PMID- 29842538 TI - Mothercraft Hostels. PMID- 29842540 TI - The Association of Surgeons. PMID- 29842541 TI - The Ministry's Suggestions. PMID- 29842542 TI - The Institutional Worker. PMID- 29842543 TI - Round the Hospitals. PMID- 29842544 TI - Institutional Needs. PMID- 29842545 TI - Women and Emigration. PMID- 29842546 TI - Registration and Nursing Reforms. PMID- 29842547 TI - Maternity and Child Welfare. PMID- 29842548 TI - Home-Helps. PMID- 29842549 TI - The Pay of Panel Doctors. PMID- 29842551 TI - The First Fruits of Co-Ordination. PMID- 29842550 TI - A Mother's Ordeal. PMID- 29842553 TI - Cheap Child Labour. PMID- 29842552 TI - Sanatoria and Their Critics. PMID- 29842554 TI - English and American Children. PMID- 29842555 TI - Secrecy in Venereal Diseases. PMID- 29842556 TI - Dispensing and Dr. Addison. PMID- 29842557 TI - Five Momentous Months: Will the Voluntary Hospitals Be Made Secure? PMID- 29842558 TI - King Edward's Hospital Fund for London Statistical Report. PMID- 29842560 TI - Influential Plan to Spread Knowledge. PMID- 29842559 TI - The Nursery School. PMID- 29842562 TI - Food Prices. PMID- 29842561 TI - Stage Children. PMID- 29842564 TI - Doctors and Patients as Artists See Them. PMID- 29842563 TI - The Nursing of Rural Fever Patients. PMID- 29842566 TI - Value for Money. PMID- 29842565 TI - Nurses' Eight Hours' Work. PMID- 29842568 TI - Hospital and Institutional News. PMID- 29842567 TI - After-War Crime. PMID- 29842569 TI - Sanatorium Results. PMID- 29842570 TI - Cardiff Showing the Way. PMID- 29842572 TI - The Nurses' Co-Operation. PMID- 29842571 TI - Physical Training and the Board of Education. PMID- 29842573 TI - Health and Recreation. PMID- 29842574 TI - Wages, Hours, and Prices. PMID- 29842576 TI - Women and Children Workers. PMID- 29842575 TI - Round the Hospitals. PMID- 29842577 TI - The British Red Cross and Order of St. John Come to the Help of the Voluntary Hospitals. PMID- 29842578 TI - A Future English Prospect. PMID- 29842580 TI - Health in Factories. PMID- 29842579 TI - The St. Andrew's Institute. PMID- 29842582 TI - Literary Medicos. PMID- 29842581 TI - Surgical Aspects of Spinal Tumours: A Classical Clinical Case. PMID- 29842583 TI - Hospital and Institutional News. PMID- 29842584 TI - From across the Seas. PMID- 29842585 TI - Birth-Rate Problem. PMID- 29842586 TI - Psychic Power and Boxing. PMID- 29842588 TI - Annual Meeting. PMID- 29842587 TI - Health and the Rural Districts. PMID- 29842589 TI - Tuberculous Soldiers. PMID- 29842590 TI - Psychology in the Nurse's Training. PMID- 29842591 TI - The Presentation to Sir E. Cooper Perry: Detailed Report of the Speeches. PMID- 29842592 TI - The Friendly Policeman. PMID- 29842593 TI - What Every Woman Knows. PMID- 29842594 TI - The Salaries of Hospital Officers. PMID- 29842595 TI - Church and Social Welfare. PMID- 29842596 TI - Round the Hospitals. PMID- 29842597 TI - Child Welfare in Birmingham. PMID- 29842598 TI - The Educational Possibilities of Brieux's Drama. PMID- 29842600 TI - Women Who Are Not Trained Nurses. PMID- 29842599 TI - Unemployed Women. PMID- 29842601 TI - Training Health Workers. PMID- 29842602 TI - City Hospitals as Casualty Stations. PMID- 29842603 TI - London County Westminster and Parr's Bank Annual Meeting. PMID- 29842604 TI - Excess of Women. PMID- 29842606 TI - London Child Labour. PMID- 29842605 TI - The Severer Forms of Laryngitis: Early Diagnosis and Treatment. PMID- 29842607 TI - Typhus Epidemics: Their Potentialities and Limitations. PMID- 29842608 TI - Promotion of Health. PMID- 29842610 TI - The Sins of the Fathers. PMID- 29842609 TI - The Institutional Worker. PMID- 29842611 TI - The House of Charity in Soho. PMID- 29842612 TI - New Medical Appeal Boards. PMID- 29842613 TI - The Response to Enthusiasm. PMID- 29842614 TI - Health and Psychology. PMID- 29842615 TI - International Health Bureau. PMID- 29842616 TI - War Memories at Winchester. PMID- 29842618 TI - The Shortage of Subjects for Anatomical Dissection. PMID- 29842617 TI - From the West Suffolk General Hospital, Bury St. Edmund's. PMID- 29842619 TI - Child Welfare. PMID- 29842621 TI - Round the Hospitals. PMID- 29842620 TI - Hospital Accounts. PMID- 29842623 TI - Parliament and the Professions. PMID- 29842622 TI - The Possibilities Now before Us. PMID- 29842624 TI - Unemployment Insurance for Nurses. PMID- 29842625 TI - Hospital and Institutional News. PMID- 29842627 TI - To Which Mr. H. E. Smithers Replies as Follows. PMID- 29842626 TI - Surplus of Women. PMID- 29842628 TI - A Practical Demonstration. PMID- 29842629 TI - The Uniform System of Accounts. PMID- 29842631 TI - Social Work in America. PMID- 29842630 TI - Save the Children. PMID- 29842632 TI - Nurses' Contributions.-First Instalment. PMID- 29842633 TI - The Question of Dairy Produce. PMID- 29842635 TI - Alcohol and Infancy. PMID- 29842634 TI - A Great National Duty. PMID- 29842636 TI - The Push-Button Automatic Lift. PMID- 29842637 TI - A Subject of Overwhelming Importance. PMID- 29842639 TI - Hospitals and Medical Teaching. PMID- 29842638 TI - Better Health Information. PMID- 29842641 TI - Some Facts Concerning a "New Disease." PMID- 29842640 TI - The Institutional Worker. PMID- 29842643 TI - Great Task Ahead. PMID- 29842642 TI - Working and Learning. PMID- 29842644 TI - Parliament and the Professions. PMID- 29842645 TI - Serious Food Aspect. PMID- 29842646 TI - "Recommends" for Insured Persons. PMID- 29842647 TI - Some Points in Urine Examination. PMID- 29842648 TI - Disabled Nurses and Their Dependants. PMID- 29842649 TI - The Pessimist Again. PMID- 29842651 TI - The Medical Report of the Late L.G.B.: The Last of a Famous Series. PMID- 29842650 TI - A Significant Event. PMID- 29842653 TI - Round the Hospitals. PMID- 29842652 TI - National Physical Education. PMID- 29842654 TI - The Collective Interests of Nurses. PMID- 29842655 TI - A Much Underpaid Profession. PMID- 29842656 TI - Women and the State. PMID- 29842657 TI - Hospital and Institutional News. PMID- 29842658 TI - Viscount Knutsford on Nurses' Hours. PMID- 29842660 TI - War Conditions in the near East--II. PMID- 29842659 TI - Serious Financial Problem and Suggested Remedy. PMID- 29842661 TI - Twilight Sleep. PMID- 29842662 TI - The Nurse and the Nation. PMID- 29842663 TI - Legislative Advisers. PMID- 29842664 TI - Hospital Annual Meetings. PMID- 29842666 TI - National Physical Training: The Outline of a New Scheme. PMID- 29842665 TI - Nursing Salaries at Royal Infirmary, Wigan. PMID- 29842667 TI - Statistics in Medicine. PMID- 29842668 TI - The Staff of Bermondsey Hospital. PMID- 29842669 TI - A Hospital Lead. PMID- 29842670 TI - Healthy Perturbation. PMID- 29842671 TI - The Institutional Worker. PMID- 29842672 TI - The New Scheme at King's College Hospital. PMID- 29842673 TI - A Much Under-Paid Profession. PMID- 29842674 TI - The Possible Remedial Measures. PMID- 29842675 TI - Does the Practice of Massage Provide a Livelihood? PMID- 29842676 TI - Public Pharmacists' Association. PMID- 29842677 TI - Diverticulitis and Its Treatment. PMID- 29842678 TI - Health Organisation in Great Towns. PMID- 29842679 TI - An Institute of General Pathology and Preventive Medicine. PMID- 29842680 TI - Medical or Surgical Treatment for Disabled Nurses. PMID- 29842681 TI - The New Nursing Standard for Rate-Supported Institutions. PMID- 29842682 TI - Scrapping the Trained Nurse. PMID- 29842683 TI - Recognition of Benefactors. PMID- 29842685 TI - Unwanted and Illegitimate. PMID- 29842684 TI - The Real Lack in Hospital Finance. PMID- 29842686 TI - Charity and Commercialism. PMID- 29842687 TI - Hospital and Institutional News. PMID- 29842688 TI - Round the Hospitals. PMID- 29842689 TI - The Adoption of "Summer Time." PMID- 29842690 TI - A Further Thyroid "Discovery." PMID- 29842691 TI - Other Schemes and Views. PMID- 29842693 TI - Is an Absolute Barrier Imposed? PMID- 29842692 TI - A Regrettable Misunderstanding. PMID- 29842695 TI - Hospital Annual Meetings. PMID- 29842694 TI - The King's National Roll. PMID- 29842696 TI - Earl Beatty and the Nation's Duty. PMID- 29842697 TI - Unveiling the Edith Cavell Memorial: A Beautiful and Memorable Ceremony. PMID- 29842698 TI - Cerebro-Spinal Involvement in Hereditary Syphilis. PMID- 29842699 TI - Aiding 30,000 Blind. PMID- 29842700 TI - More Health Co-Ordination Needed. PMID- 29842701 TI - Cleansing Milk. PMID- 29842702 TI - Hospital and Institutional News. PMID- 29842703 TI - The Prisoners of War Fund and the Hospitals. PMID- 29842704 TI - Further Views and Alternatives. PMID- 29842705 TI - A Great Match and a Memorable Day. PMID- 29842707 TI - The New Nurse. PMID- 29842706 TI - The Medical School Gazettes for March. PMID- 29842708 TI - Village Centres for the Disabled. PMID- 29842709 TI - The Treatment of Sea-Sickness: A New Method and Its Theory. PMID- 29842710 TI - Accommodation for Maternity Cases. PMID- 29842711 TI - A Factor in Abdominal Disease: Theories and a Remedy. PMID- 29842712 TI - Round the Hospitals. PMID- 29842713 TI - Report of the General Board for Scotland. PMID- 29842714 TI - An Urgent Problem. PMID- 29842715 TI - Tobacco Next? PMID- 29842716 TI - The Planning of Maternity Hospitals and Homes: Official Notes on Design and Organisation. PMID- 29842717 TI - Parliament and the Professions. PMID- 29842718 TI - King George's Fund for Sailors. PMID- 29842719 TI - New Insurance Plans. PMID- 29842721 TI - Divorce Law. PMID- 29842720 TI - Municipalisation Proposal. PMID- 29842723 TI - The College of Nursing (Limited by Guarantee). PMID- 29842722 TI - The Institutional Worker. PMID- 29842724 TI - The Institutional Worker. PMID- 29842725 TI - The Institutional Worker. PMID- 29842726 TI - Parliament and the Professions. PMID- 29842727 TI - The College of Nursing (Limited by Guarantee). PMID- 29842728 TI - Healthy Physical and Mental Development of Children. PMID- 29842729 TI - The College of Nursing (Limited by Guarantee). PMID- 29842731 TI - The Institutional Worker. PMID- 29842730 TI - The National Baby Week Council. PMID- 29842732 TI - The College of Nursing (Limited by Guarantee). PMID- 29842733 TI - The College of Nursing (Limited by Guarantee). PMID- 29842734 TI - The Institutional Worker. PMID- 29842735 TI - Queen Mary's Home for St. Bartholomew's Nurses. PMID- 29842736 TI - Passing Events and Topics. PMID- 29842737 TI - The Institutional Worker. PMID- 29842739 TI - The College of Nursing (Limited by Guarantee). PMID- 29842738 TI - Invalid and Crippled Children. PMID- 29842740 TI - Passing Events and Topics. PMID- 29842741 TI - A Nurses' Protest. PMID- 29842743 TI - The Institutional Worker. PMID- 29842742 TI - The College of Nursing (Limited by Guarantee). PMID- 29842744 TI - The Institutional Worker. PMID- 29842745 TI - The College of Nursing (Limited by Guarantee). PMID- 29842746 TI - An Interesting Lecture. PMID- 29842747 TI - Central Midwives Board for Scotland. PMID- 29842749 TI - The Institutional Worker. PMID- 29842748 TI - MacCallum v. Burdett and Others. PMID- 29842750 TI - Farewell to Wigan Matron. PMID- 29842751 TI - The College of Nursing (Limited by Guarantee). PMID- 29842752 TI - The Institutional Worker. PMID- 29842753 TI - The Social Worker in the United States. PMID- 29842754 TI - The College of Nursing (Limited by Guarantee). PMID- 29842755 TI - The Institutional Worker. PMID- 29842756 TI - The Institutional Worker. PMID- 29842757 TI - The College of Nursing (Limited by Guarantee). PMID- 29842758 TI - The Institutional Worker. PMID- 29842759 TI - The College of Nursing (Limited by Guarantee). PMID- 29842761 TI - A United Policy in the Coming Elections. PMID- 29842760 TI - An Old Friend. PMID- 29842762 TI - What the Local Centres Are Doing. PMID- 29842763 TI - Provident Scheme for Sussex. PMID- 29842764 TI - Erratum: Caveats for Dispensers. AB - [This corrects the article on p. 494 in vol. 69.]. PMID- 29842765 TI - The College of Nursing (Limited by Guarantee). PMID- 29842766 TI - The Old Order Changeth. PMID- 29842767 TI - A Chairman on the Cave Committee. PMID- 29842768 TI - Minimum Salaries Recommended for Fever Nurses. PMID- 29842769 TI - The College of Nursing. PMID- 29842770 TI - Charing Cross Hospital: Abstract of Clinical Lecture of the Treatment of Empyema. PMID- 29842771 TI - Hospital Saturday in London. PMID- 29842772 TI - A Year's Work in the Medical Charities of London. PMID- 29842773 TI - Taming Radical Pairs in Nanocrystalline Ketones: Photochemical Synthesis of Compounds with Vicinal Stereogenic All-Carbon Quaternary Centers. AB - Here we describe the use of crystalline ketones to control the fate of the radical pair intermediates generated in the Norrish type I photodecarbonylation reaction to render it a powerful tool in the challenging synthesis of sterically congested carbon-carbon bonds. This methodology makes the synthetically more accessible hexasubstituted ketones ideal synthons for the construction of adjacent, all-carbon substituted, stereogenic quaternary stereocenters. We describe here the structural and thermochemical parameters required of the starting ketone in order to react in the solid state. Finally, the scope and scalability of the reaction and its application in the total synthesis of two natural products is described. PMID- 29842774 TI - Catalytic Activation of Trimethylsilylacetylenes: A One-Pot Route to Unsymmetrical Acetylenes and Heterocycles. AB - For the synthesis of unsymmetrical acetylenes, a Sonogashira coupling deprotection-Sonogashira coupling reaction sequence is often used. Removal of protecting groups requires harsh conditions or an excess of difficult to handle and expensive reagents. Herein, we disclose a novel catalytic method for the selective deprotection of trimethylsilylacetylenes in Sonogashira reaction. The reagent hexafluorosilicic acid, an inexpensive nontoxic compound, was used to promote the selective desilylation. This method enables the efficient synthesis of unsymmetric acetylenes with other silylated functional groups present. Further possibilities of the method were explored by synthesis of heterocycles. PMID- 29842775 TI - Peptide-Programmable Nanoparticle Superstructures with Tailored Electrocatalytic Activity. AB - Biomaterials derived via programmable supramolecular protein assembly provide a viable means of constructing precisely defined structures. Here, we present programmed superstructures of AuPt nanoparticles (NPs) on carbon nanotubes (CNTs) that exhibit distinct electrocatalytic activities with respect to the nanoparticle positions via rationally modulated peptide-mediated assembly. De novo designed peptides assemble into six-helix bundles along the CNT axis to form a suprahelical structure. Surface cysteine residues of the peptides create AuPt specific nucleation site, which allow for precise positioning of NPs onto helical geometries, as confirmed by 3-D reconstruction using electron tomography. The electrocatalytic model system, i.e., AuPt for oxygen reduction, yields electrochemical response signals that reflect the controlled arrangement of NPs in the intended assemblies. Our design approach can be expanded to versatile fields to build sophisticated functional assemblies. PMID- 29842776 TI - Vapor-Phase Synthesis of ZIF-8 MOF Thick Film by Conversion of ZnO Nanorod Array. AB - ZIF-8 metal organic framework "micrometer-thick" films were constructed from ZnO precursor by a vapor-phase synthesis. The ZnO-to-ZIF-8 crystal transformation proceeded in the presence of 2-methylimidazole (Hmim) vapor. Continuous coatings of intergrown ZIF-8 crystals require control of a nucleation density. The dependence of ZnO crystal plane on the ZnO-to-ZIF-8 crystal transformation was investigated using four bulk ZnO single crystals: a-plane (11-20), c-plane (0001), m-plane (10-10), and r-plane (10-11). It was revealed that the m-plane (10-10) of ZnO is more effectively transformed into ZIF-8. In this work, highly oriented ZnO nanorod array film was used to provide the transport pathway of Hmim molecules and volume expansion space of ZnO-to-ZIF-8 crystal transformation for nucleation and crystal intergrowth. The high conversion of ZnO nanorod array into ZIF-8 in a short time could be achieved because (1) such mass transfer is easy due to the uniform internanorod distance being maintained during reaction and (2) the surface of the nanorod array is dominated by the highly reactive m-plane (10 10). PMID- 29842777 TI - Osmolytes and Protein-Protein Interactions. AB - Cells survive fluctuations in osmolality by accumulating and depleting highly soluble, usually neutral, small organic compounds. Natural selection has converged on a small set of such molecules, called osmolytes. The biophysical characterization of osmolytes, with respect to proteins, has centered on tertiary structure stability. Data about their effect on protein assemblies, whose formation is driven by surface interactions, is lacking. Here, we investigate the effects of osmolytes and related molecules on the stabilities of a protein and a protein complex. The results demonstrate that osmolytes are not differentiated from other cosolutes by their stabilizing influences on protein tertiary structure but by their compatibility with the interactions between protein surfaces that organize the cellular interior. PMID- 29842778 TI - Burn Rate of Calcium Sulfate Dihydrate-Aluminum Thermites. AB - The energetics of cast calcium sulfate dihydrate-aluminum thermites were investigated. The casts were prepared from water slurries with a solids content below 65 wt %. The base case thermite comprised 60 wt % calcium sulfate dihydrate as the oxidizer with 40 wt % aluminum as fuel. The heat of hydration of the base case was 83 +/- 4 kJ.kg-1 (dihydrate basis) and the initial setting time was about 100 min. The compressive strength reached 2.9 +/- 0.2 MPa after 3 days of drying in ambient air. The open air burn rate was 12.0 +/- 1.6 mm. s-1 and a maximum surface temperature of 1370 +/- 64 degrees C was recorded with a pyrometer. Bomb calorimetry indicated an energy output of 8.0 +/- 1.1 MJ.kg-1, slightly lower than predicted by the Ekvi thermodynamic simulation. Substitution of 10 wt % of the oxidant with copper sulfate pentahydrate significantly decreased the initial setting time of the casts to less than 30 min but a secondary aluminum oxidation reaction commenced after 2 h. The density of the castings was varied by either adding hollow sodium borosilicate microspheres or by adding excess water during the casting process. The addition of the hollow glass microspheres caused a decrease in the burning rate. Dehydration of the casts by thermal treatments at either 155 or 200 degrees C led to significant increases in the burning rate. PMID- 29842779 TI - Influence of Boron Nitride Nanosheets on the Crystallization and Polymorphism of Poly(l-lactide). AB - This work reports on the impact of delaminated boron nitride nanosheets (BNNSs) on the crystallization behavior and crystalline structure of melt-crystallized poly-L-lactic acid (PLLA). Wide-angle X-ray diffraction and scanning electron microscopy data revealed that the addition of lower loadings of BNNSs (~0.5 wt %) resulted in the highly dispersed PLLA nanocomposites, whereas the higher loading of BNNSs (>=1 wt %) leads to the agglomerated nanocomposites. It is shown that the presence of lower loadings of the BNNSs (~0.5 wt %) induces the formation of ordered alpha form when crystallizing from the melt at a cooling rate of 10 degrees C/min, but the mixture of alpha' and alpha forms is formed in the presence of higher loading of BNNSs (>=1 wt %). Polarized optical microscopy images revealed that the crystallization rate of PLLA was significantly enhanced in the presence of lower loading of BNNSs (~0.5 wt %) as corroborated by the increasing number of tiny spherulites. The strong interaction between the highly dispersed BNNSs and PLLA chains induces the conformationally ordered alpha form, and the various experimental techniques revealed that crystallization of PLLA occurred rapidly with the narrow distribution of crystal size and degree of crystal perfection in highly dispersed nanocomposites. Furthermore, the thermal conductivity of PLLA/BNNSs nanocomposites was found to increase significantly with BNNSs loading. PMID- 29842780 TI - Resistance and Permselectivity of 3D Printed Micropatterned Anion Exchange Membranes. AB - It has been demonstrated that a micropatterned surface can decrease the resistance of anion exchange membranes (AEMs) and can induce desirable flow properties in devices, such as mixing. Previously, a model that related the resistance of flat and patterned membranes with the same equivalent thickness was proposed, which used the patterned area and thickness ratio of the features to describe the membrane resistance. Here, we explored the validity of the parallel resistance model for a variety of membrane surface designs and area ratios. We demonstrated that the model can predict the resistance of a wide range of patterned AEMs. We showed that the resistance is independent of the spatial ordering of the design by examining random patterns, which is relevant for applications that require, for example, increased turbulent liquid flow in multilayered devices. Some experimental values of resistance obtained for patterned membranes presented deviations from the model. Scanning electron microscopy (SEM) images of the patterned membranes revealed resolution variations and pattern replication errors due to the stereolithographic process. A geometric correction of the target ratios improved the fit of the modelled data to the experimental values, showing that light bleeding during curing was a source of error. Two additional experimental factors were not accounted for in the model: a distinct interface between the bottom and top layer, and overcuring of the bottom layer during successive steps. These sources of error were investigated by examining the resistance of single and double layered membranes, and single layer membranes with different curing times. The differences obtained in the resistances for control samples demonstrated that both the interface and overcuring influence the resistance of the membrane. The results obtained in this study enlighten the discussion relating membrane surface morphology and transport properties, as well as the optimization of 3D printed membranes using a stereolithography process. PMID- 29842781 TI - Microfluidic Low-Input Fluidized-Bed Enabled ChIP-seq Device for Automated and Parallel Analysis of Histone Modifications. AB - Genome-wide epigenetic changes, such as histone modifications, form a critical layer of gene regulations and have been implicated in a number of different disorders such as cancer and inflammation. Progress has been made to decrease the input required by gold-standard genome-wide profiling tools like chromatin immunoprecipitation followed by sequencing (i.e., ChIP-seq) to allow scarce primary tissues of a specific type from patients and lab animals to be tested. However, there has been practically no effort to rapidly increase the throughput of these low-input tools. In this report, we demonstrate LIFE-ChIP-seq (low-input fluidized-bed enabled chromatin immunoprecipitation followed by sequencing), an automated and high-throughput microfluidic platform capable of running multiple sets of ChIP assays on multiple histone marks in as little as 1 h with as few as 50 cells per assay. Our technology will enable testing of a large number of samples and replicates with low-abundance primary samples in the context of precision medicine. PMID- 29842782 TI - Opal-like Multicolor Appearance of Self-Assembled Photonic Array. AB - Molecular self-assembly of short peptide building blocks leads to the formation of various material architectures that may possess unique physical properties. Recent studies had confirmed the key role of biaromaticity in peptide self assembly, with the diphenylalanine (FF) structural family as an archetypal model. Another significant direction in the molecular engineering of peptide building blocks is the use of fluorenylmethoxycarbonyl (Fmoc) modification, which promotes the assembly process and may result in nanostructures with distinctive features and macroscopic hydrogel with supramolecular features and nanoscale order. Here, we explored the self-assembly of the protected, noncoded fluorenylmethoxycarbonyl beta,beta-diphenyl-Ala-OH (Fmoc-Dip) amino acid. This process results in the formation of elongated needle-like crystals with notable aromatic continuity. By altering the assembly conditions, arrays of spherical particles were formed that exhibit strong light scattering. These arrays display vivid coloration, strongly resembling the appearance of opal gemstones. However, unlike the Rayleigh scattering effect produced by the arrangement of opal, the described optical phenomenon is attributed to Mie scattering. Moreover, by controlling the solution evaporation rate, i.e., the assembly kinetics, we were able to manipulate the resulting coloration. This work demonstrates a bottom-up approach, utilizing self assembly of a protected amino acid minimal building block, to create arrays of organic, light-scattering colorful surfaces. PMID- 29842783 TI - Evidence for Prenucleated Fibrilogenesis of Acid-Mediated Self-Assembling Oligopeptides via Molecular Simulation and Fluorescence Correlation Spectroscopy. AB - An important step in controlling biomimetic amyloid systems is understanding the self-assembly reaction kinetics. We are interested in a family of such materials characterized by symmetric sequences of amino acids flanking a pi-conjugated functional core. Many of these materials rapidly self-assemble into long fibers upon protonation in an acidic environment. Despite extensive investigation of these materials' properties, little is yet understood regarding their reaction kinetics. Based on previous studies, we have chosen DFAG-4T-GAFD as a representative system and conducted molecular dynamics simulations to show that although large-scale assembly is induced by lowering pH, some degree of assembly is thermodynamically favorable in high-pH nonprotonating environments. These results are consistent with findings for other systems such as DFAG-OPV-GAFD. The nonprotonated aggregation also appears to be concentration dependent, occurring at concentrations of 100 nM and above. Single molecule measurements using fluorescence correlation spectroscopy provide experimental support for these computational predictions. We find evidence of spontaneous aggregation in aqueous solutions of peptides with concentrations as low as 100 nM; however, 10 nM solutions appear to be largely homogeneous solutions of unassembled monomer. These results indicate that the simplest explanations for kinetics of acid mediated assembly-protonation-induced nucleation by monomeric addition followed by subsequent stages of aggregation and elongation-are inappropriate in this system. In fact, the system only exists as pure monomer in very low concentrations, nucleation actually occurs in the absence of protonating elements at concentrations typically used for experiments, and pH triggered assembly proceeds from these preassembled aggregates. Accordingly, triggered assembly must be considered to operate outside the domain of nucleation-dependent models. PMID- 29842784 TI - Nanomechanics of Pectin-Linked beta-Lactoglobulin Nanofibril Bundles. AB - Nanofibrils of beta-lactoglobulin can be assembled into bundles by site-specific noncovalent cross-linking with high-methoxyl pectin (Hettiarachchi et al. Soft Matter 2016, 12, 756). Here we characterized the nanomechanical properties of bundles using atomic force microscopy and force spectroscopy. Bundles had Gaussian cross sections and a mean height of 17.4 +/- 1.4 nm. Persistence lengths were calculated using image analysis with the mean-squared end-to-end model. The relationship between the persistence length and the thickness had exponents of 1.69-2.30, which is consistent with previous reports for other fibril types. In force spectroscopy experiments, the bundles stretched in a qualitatively different manner to fibrils, and some of the force curves were consistent with peeling fibrils away from bundles. The flexibility of pectin-linked nanofibril bundles is likely to be tunable by modulating the stiffness and length of fibrils and the ratio of pectin to fibrils, giving rise to a wide range of structures and functionalities. PMID- 29842785 TI - Multiplex Lateral Flow Assay for Rapid Visual Blood Group Genotyping. AB - Conventional blood group phenotyping by hemagglutination assays, carried out pretransfusion, is unsuitable in certain clinical situations. Molecular typing offers an alternative method, allowing the deduction of blood group phenotype from genotype. However, current methods require a long turnaround time and are not performed on-site, limiting their application in emergency situations. Here, we report the development of a novel, rapid multiplex molecular method to identify seven alleles in three clinically relevant blood group systems (Kidd, Duffy, and MNS). Our test, using a dry-reagent allele-specific lateral flow biosensor, does not require DNA extraction and allows easy visual determination of blood group genotype. Multiplex linear-after-the-exponential (LATE)-PCR and lateral flow parameters were optimized with a total processing time of 1 h from receiving the blood sample. Our assay had a 100% concordance rate between the deduced and the standard serological phenotype in a sample from 108 blood donors, showing the accuracy of the test. Owing to its simple handling, the assay can be operated by nonskilled health-care professionals. The proposed assay offers the potential for the development of other relevant single nucleotide polymorphism (SNP) panels for immunohematology and new applications, such as for infectious diseases, in the near future. PMID- 29842786 TI - Colloidal Stability of Apolar Nanoparticles: The Role of Particle Size and Ligand Shell Structure. AB - Being able to predict and tune the colloidal stability of nanoparticles is essential for a wide range of applications, yet our ability to do so is currently poor due to a lack of understanding of how they interact with one another. Here, we show that the agglomeration of apolar particles is dominated by either the core or the ligand shell depending on the particle size and materials. We do this by using small-angle X-ray scattering and molecular dynamics simulations to characterize the interaction between hexadecanethiol passivated gold nanoparticles in decane solvent. For smaller particles, the agglomeration temperature and interparticle spacing are determined by ordering of the ligand shell into bundles of aligned ligands that attract one another and interlock. In contrast, the agglomeration of larger particles is driven by van der Waals attraction between the gold cores, which eventually becomes strong enough to compress the ligand shell. Our results provide a microscopic description of the forces that determine the colloidal stability of apolar nanoparticles and explain why classical colloid theory fails. PMID- 29842787 TI - Dimerization of Substituted Arylacetylenes-Quantum Chemical Calculations and Kinetic Studies. AB - The dimerization of substituted arylacetylenes is a very interesting tool to generate 1,3-butadiene 1,4-diradicals. Recently, it was shown that electron withdrawing groups attached to the triple bond reduce the activation barrier and increase the stability of the diradical intermediates. Here, we investigate the influence of the pi donor character of substituents, which are bound to the aryl system, on the dimerization reaction of arylacetylenes. Both quantum chemical calculations and kinetic studies reveal that the higher the pi donor character of substituents, the lower the activation barrier. The highest observed difference between the model systems amounts to 4.0 kcal/mol, which represents an acceleration by a factor of 700. However, according to the calculations the pi donor character of the substituents increases the diradical character of the intermediates. PMID- 29842788 TI - Thiol Specific and Mitochondria Selective Fluorogenic Benzofurazan Sulfide for Live Cell Nonprotein Thiol Imaging and Quantification in Mitochondria. AB - Cellular thiols are divided into two major categories: nonprotein thiols (NPSH) and protein thiols (PSH). Thiols are unevenly distributed inside the cell and compartmentalized in subcellular structures. Most of our knowledge on functions/dysfunctions of cellular/subcellular thiols is based on the quantification of cellular/subcellular thiols through homogenization of cellular/subcellular structures followed by a thiol quantification method. We would like to report a thiol-specific mitochondria-selective fluorogenic benzofurazan sulfide {7,7'-thiobis( N-rhodamine-benzo[c][1,2,5]oxadiazole-4 sulfonamide) (TBROS)} that can effectively image and quantify live cell NPSH in mitochondria through fluorescence intensity. Limited methods are available for imaging thiols in mitochondria in live cells especially in a quantitative manner. The thiol specificity of TBROS was demonstrated by its ability to react with thiols and inability to react with biologically relevant nucleophilic functional groups other than thiols. TBROS, with minimal fluorescence, formed strong fluorescent thiol adducts (lambdaex = 550 nm, lambdaem = 580 nm) when reacting with NPSH confirming its fluorogenicity. TBROS failed to react with PSH from bovine serum albumin and cell homogenate proteins. The high mitochondrial thiol selectivity of TBROS was achieved by its mitochondria targeting structure and its higher reaction rate with NPSH at mitochondrial pH. Imaging of mitochondrial NPSH in live cells was confirmed by two colocalization methods and use of a thiol depleting reagent. TBROS effectively imaged NPSH changes in a quantitative manner in mitochondria in live cells. The reagent will be a useful tool in exploring physiological and pathological roles of mitochondrial thiols. PMID- 29842789 TI - Microbial hydroxylation and glycosidation of oleanolic acid by Circinella muscae and their anti-inflammatory activities. AB - Biotransformation of oleanolic acid (OA) by Circinella muscae AS 3.2695 was investigated. Nine hydroxylated and glycosylated metabolites (1-9) were obtained. Their structures were elucidated as 3beta,7beta-dihydroxyolean-12-en-28-oic acid (1), 3beta,7beta,21beta-trihydroxyolean-12-en-28-oic acid (2), 3beta,7alpha,21beta-trihydroxyolean-12-en- 28-oic acid (3), 3beta,7beta,15alpha trihydroxyolean-12-en-28-oic acid (4), 7beta,15alpha-dihydroxy- 3-oxo-olean-12-en 28-oic acid (5), 7beta-hydroxy-3-oxo-olean-12-en-28-oic acid (6), oleanolic acid 28-O-beta-D-glucopyranosyl ester (7), 3beta,21beta-dihydroxyolean-12-en-28- oic acid-28-O-beta-D-glucopyranosyl ester (8), and 3beta,7beta,15alpha trihydroxyolean-12-en- 28-oic acid-28-O-beta-D-glucopyranosyl ester (9) by spectroscopic analysis. Among them, compounds 4 and 9 were new compounds. In addition, anti-inflammatory activities were assayed and evaluated for the isolated metabolites. Most of the metabolites exhibited significant inhibitory activities on lipopolysaccharides-induced NO production in RAW 264.7 cells. PMID- 29842790 TI - Mucoadhesive chitosan-coated PLGA nanoparticles for oral delivery of ferulic acid. AB - This paper describes the development and in vitro evaluation of poly(lactic-co glycolic acid) (PLGA) nanoparticles coated with chitosan (CS) for oral delivery of ferulic acid (FA). Nanoparticles were obtained by an emulsion evaporation technique and characterized. Furthermore, we evaluated the scavenging activity over hypochlorous acid (HOCl), the cytotoxicity over tumour cells and the in vitro intestinal permeability. Nanoparticles were spherical with a mean diameter of 242 nm, positive zeta potential and 50% of encapsulation efficiency. The in vitro release in phosphate buffered saline (PBS) (pH 7.4) demonstrated a prolonged and biphasic profile diffusion-controlled. In simulated gastrointestinal fluids, about 15% of FA was released in gastric fluid and a negligible release was observed in the intestinal fluid. In the HOCl scavenging activity and cytotoxicity over B16-F10 and HeLa cells, FA-loaded nanoparticles presented the same efficacy of the free drug. Besides, in the antioxidant and cytotoxic assay, CS contributed to FA effects. In the intestinal permeability study, FA-loaded nanoparticles exhibited a permeation of 6% through the Caco-2 monolayer and 20% through the Caco-2/HT29-MTX/Raji B co-culture. CS-coated PLGA nanoparticles are promising carriers for oral delivery of FA. PMID- 29842791 TI - Screening for selective anticancer activity of plants from Grazalema Natural Park, Spain. AB - Since plants are an important source of anticancer drugs, we have carried out a random screening for selective anticancer activity of 57 extracts from 45 plants collected in Grazalema Natural Park, an area in the South of Spain of high plant diversity and endemism. Using lung cancer cells (A549) and lung non-malignant cells (MRC-5), we found that several extracts were more cytotoxic and selective against the cancer cells than the standard anticancer agent cisplatin. Five active extracts were further tested in cancer and normal cell lines from other tissues, including three skin cell lines with increasing degree of malignancy. An extract from the leaves of Daphne laureola L. (Thymelaeaceae) showed a striking potency and selectivity on lung cancer cells and leukemia cells; the IC50 values against these cancer cells were approximately 10,000-fold lower than against the normal cells. Daphnane-type diterpene orthoesters may be responsible for this highly selective anticancer activity. PMID- 29842792 TI - Fast and non-derivative method based on high-performance liquid chromatography charged aerosol detection for the determination of fatty acids from Agastache rugosa (Fisch. et Mey.) O. Ktze. seeds. AB - This study utilised response surface methodology to optimise the conditions for the extraction of A. rugosa seeds oil (ARO). Single-factor experiment and response surface methodology (RSM) were performed to identify the extraction time, liquid-solid ratio and extraction temperature that provided the highest yield of ARO. The optimal extraction time, liquid-solid ratio and extraction temperature were 8 h, 4:1 mL/g and 55 degrees C. The fatty acids (FAs) content and oil yield obtained through the optimised impregnation-extraction process were 19.67 mg/g and 32.1%. These values matched well with the predicted values. Linolenic acid was identified to be the main active ingredient of ARO. The high performance liquid chromatography-charged aerosol detection method presented here is fast and does not require derivatisation. Therefore, it could be used to quantitatively analyse the FAs present in ARO and applied to detect compounds with low or no ultraviolet response. PMID- 29842793 TI - Breast cancer drug trastuzumab induces cardiac toxicity: evaluation of human epidermal growth factor receptor 2 as a potential diagnostic and prognostic marker. AB - Breast cancer is one of the most prevalent forms of cancer in the United States and worldwide. Cancer occurs through the uncontrolled development of new abnormal cell growth. Clinicians and researchers strive to improve diagnostics and treatments in pursuit of remedying breast cancer, while limiting or removing any potential side effects that may arise. Unfortunately, traditional treatments, such as anthracyclines (i.e., doxorubicin), can damage the cardiovascular system. Recent strategies have utilized antibody-based compounds as singular treatments, or in conjunction with other treatments, with the aim to minimize side effects. The human epidermal growth factor receptor 2 (HER2) protein has been the target of numerous antibody-based breast cancer therapies, such as trastuzumab (TZM) and trastuzumab emtansine (T-DM1). This review will discuss the HER2 receptor as a diagnostic marker in targeting breast cancer using the therapeutic agents TZM and T-DM1, as well as discuss the induced cardiac toxicity following TZM and T-DM1 treatments. PMID- 29842794 TI - Evaluation of antioxidant capacity of endemic plant Marrubium astracanicum subsp. macrodon: Identification of its phenolic contents by using HPLC-MS/MS. AB - Antioxidant properties of Marrubium astracanicum subsp. macrodon solvent extracts were measured by both cupric ion reducing antioxidant capacity (CUPRAC) and ferric reducing antioxidant power (FRAP) methods. According to the results, ethanol extract of the plant has high potential of reducing antioxidant activity on CUPRAC method. However, water extract of the plant has lower antioxidant potential. Furthermore, both water and ethanol extracts showed lower reducing antioxidant activity compare to standards on FRAP method. Moreover, the composition and content of plant leaves were detected by UHPLC-ESI-MS/MS. High concentrations of quinic acid, p-coumaric acid and malic acid were determined. PMID- 29842795 TI - Two new echinocystic acid derivatives catalyzed by filamentous fungus Gliocladium roseum CGMCC 3.3657. AB - Biotransformation of Echinocystic acid (EA,1) using G. roseum CGMCC 3.3657 has been investigated, which leads to the isolation and identification of two novel Echinocystic acid derivatives, 4, 16alpha-dihydroxy-3,4-seco-olean-12-en-3,28 dioic acid (2) and 16alpha-hydroxy, A-homo-3alpha-oxa-olean-12-en-3-one-28-oic acid (3). Their structures have been elucidated by analysis of spectroscopic data. This biocatalysis could serve as an efficient tool complementary to classical chemical methods for the transformation of EA. PMID- 29842797 TI - Corrigendum. PMID- 29842796 TI - Assessment of the safety and feasibility of 24-hour hospitalization after thyroidectomy. AB - This study assessed the safety and feasibility of 24-hour hospitalization after thyroid surgery. A randomized controlled trial study was performed for 432 patients scheduled for thyroidectomy in Guangdong General Hospital between January 2014 and January 2016. Group A cases (n = 216) were 24-hour hospital stay and group B cases (n = 216) were inpatient. Preoperative patient characteristics and operative characteristics as well surgical complications were evaluated. Two hundred and fourteen patients (99%) of group A were discharged after a 24-hour postoperative observation except 1 patient hospitalized 2 days for persistent nausea after surgery, and 1 patient who was hospitalized for 2 days for fear of the complication after the operation. The complication rates were similar between the 2 groups (9/216, 11/216; P > 0.05) and no one was readmitted for operation. The overall complication rate of 24-hour hospital stay procedure was low, and there were no differences in the rate of complications between these 2 groups. Thyroid surgery with 24-hour hospital stay is feasible and safe by experienced surgeon in a setting of appropriate facility and management protocol. PMID- 29842798 TI - Chemical investigations of male and female leaf extracts from Schinus molle L. AB - The pepper-tree Schinus molle is an evergreen ornamental plant with various and diversified list of medical uses. In this article we analysed the chemical composition of male and female leaves of this plant during the off-flowering and flowering seasons. The leaf extracts were obtained by using a sequential extraction with solvents of different polarities and the chemical composition was investigated by GC-MS. The results showed a total of twenty-three components, in which elemol is the most abundant constituent followed by bicyclogermacrene, gamma-eudesmol, alpha-eudesmol, beta-eudesmol and isocalamendiol. The petroleum ether and diethyl ether extracts from male and female flowering and off-flowering leaves consisted of sesquiterpene hydrocarbons as a major constituent followed by monoterpene hydrocarbons, while the acetone extracts showed a different composition. The obtained results show differences in the chemical composition between male and female and flowering and not flowering. PMID- 29842799 TI - Exploring the regulatory role of nitric oxide (NO) and the NO-p38MAPK/cGMP pathway in larval settlement of the bryozoan Bugula neritina. AB - The bryozoan Bugula neritina is a cosmopolitan marine fouling species that causes major fouling problems in sub-tropical waters. Settlement of B. neritina larvae can be triggered without an obvious external cue. Here, the negative regulatory role of nitric oxide (NO) during larval settlement of B. neritina was demonstrated to be mediated by cyclic guanosine monophosphate (cGMP). Although the regulatory role of the NO-p38 MAPK signaling axis in larval settlement was not evident, inhibition of nitric oxide synthase (NOS) led to the deactivation of p38 MAPK. Exclusive localization of NO and NO signaling components in sensory related organs of the larvae is consistent with its signal transduction function in metamorphosis. Overall, this study provides new insights into the regulatory roles of the NO-p38MAPK/cGMP pathway in B. neritina settlement. PMID- 29842800 TI - Excessive exercise in endurance athletes: Is atrial fibrillation a possible consequence? AB - Moderate physical activity levels are associated with increased longevity and lower risk of atrial fibrillation (AF). However, the relative risk of lone AF is 3-5-fold higher in intensive endurance-trained athletes compared with healthy adults. There is growing concern that "excessive" endurance exercise may promote cardiac remodelling, leading to long-term adverse consequences. The pathogenesis of exercise-induced AF is thought to arise from an interplay of multiple acute and chronic factors, including atrial enlargement, pro-fibrotic tendency, high vagal tone, and genotypic profile, which collectively promote adverse atrial remodelling. Clinical management of athletes with AF, while challenging, can be achieved using various strategies that may allow continued, safe exercise. Based on the overall risk-benefit evidence, it is premature to suggest that excessive exercise is unsafe or should be curtailed. Evidence-based assessment and treatment guidelines are required to ensure optimal and safe exercise among the growing number of endurance athletes with AF. PMID- 29842801 TI - An update on efflux and uptake transporters as determinants of statin response. AB - INTRODUCTION: Statins are used in the treatment of dyslipidemia promoting primary and secondary prevention against detrimental cardiovascular events. ATP-binding cassette (ABC) and solute carrier (SLC) membrane transporters transport statins across the cell membrane. Differences in drug transporter tissue expression and activity contribute to variability in statin pharmacokinetics (PK) and response. Areas covered: The purpose of this review is to discuss factors impacting transporter expression and the effect this has on statin efficacy and safety. Previous studies have demonstrated that genetic polymorphisms, drug-drug interactions (DDI), nuclear receptors, and microRNAs affect statin PK and pharmacodynamics. Expert opinion: Genetic variants of ABCG2 and SLCO1B1 transporters affect statin PK and, as a result, the intended lipid-lowering response. However, the effect size is small, limiting its applicability in clinical practice. Furthermore, genetic variants do not totally explain the observed intervariability in statin response. Thus, it is likely that transcriptional and post-transcriptional regulation of drug transporters are also highly involved. Further studies are required to understand the contribution of each of these new factors in statin disposition and toxicity. PMID- 29842802 TI - How to make handmade bicanalicular silicone ring. PMID- 29842803 TI - Clinical evaluation of NIPS for women at advanced maternal age: a multicenter retrospective study. AB - OBJECTIVE: To explore the clinical effect of noninvasive prenatal screening (NIPS) for the women at advanced maternal age (AMA) and discuss the relationship between women's age and NIPS effect. METHODS: Fourteen thousand thirty-five women at AMA who accepted NIPS from two prenatal diagnosis centers were recruited for this study. NIPS were checked by Illumina Next CN 500. All the AMA women received prenatal genetic counseling, selected prenatal diagnosis and different clinical treatments according to the results of NIPS. RESULTS: A total of 114 cases (0.81%) got the NIPS-positive results of T21/T18/T13. One hundred four cases of them accepted prenatal diagnosis and 87 cases were proved as true positive. The sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were 100, 99.88, 92.55 and 100%, respectively. Seventy-four women (0.53%) showed NIPS-positive results of sex chromosomal aneuploidies (SCAs). After informed consent, 46 women (62.2%) accepted fetus karyotype analysis. Nineteen cases were identified as true positive results, while 27 cases were false positive results. The PPV for SCAs in AMA women was 41.3%. The PPV of T21/T18/T13 in AMA women over 40 was 100%, while it was 81.91% for the women whose age was 35 ~ 40 years old. There was also rising trend in PPV of fetal sex chromosome with the increased age (62.50 versus 36.84%). CONCLUSIONS: NIPS is a good choice for AMA pregnant women. It can not only achieve satisfactory clinical effect, but also greatly reduce invasive prenatal diagnosis. We will get better effect of NIPS by further managing AMA women stratified by their age. PMID- 29842804 TI - The prevalence and risk factors of visual impairment among rural residents aged 50 years and above in Yugan county, China. AB - PURPOSE: The purpose of the study is to assess the prevalence of visual impairment (PVI) among rural residents aged 50 years and above in Yugan county, China. Researchers analyzed risk factors and obtained scientific baseline information for blindness prevention and control. METHODS: Stratified cluster random sampling was used in randomly selecting 5540 rural residents aged >=50 in Yugan county. Eligible residents were invited to receive visual acuity measurement via ophthalmic examinations. Multivariable logistic regression was performed to analyze any risk factors. RESULTS: A total of 5119 rural residents participated the ophthalmic examination and investigation. The PVI was 19.2%. The prevalence of moderate and severe visual impairment (>=20/400 and <20/60) was 16.9%, and blindness (<20/400) was 2.27%. Multivariable logistic regression showed that age, gender, education, occupation, marital status, drinking attitude, dietary habits, amount of sleep, and daily fruit intake were the main factors that were most predictive of the PVI. CONCLUSION: The PVI among rural residents aged 50 years and above in Yugan county was higher than many other districts. Preventive work in Yuan and other local regions should be focused on older, separated/divorced, or widowed individuals, and those with a lower level of education. Strengthening public awareness consists of educating the public about visual health promotion and blindness intervention, including healthy diet and healthy habits, which will help to reduce visual impairment of the population. PMID- 29842805 TI - The MEF2A and MEF2D function as scaffold proteins that interact with HDAC1 or p300 in SOD3 expression in THP-1 cells. AB - Superoxide dismutase 3 (SOD3) is a SOD isozyme and plays a key role in extracellular redox homeostasis. We previously demonstrated that histone acetylation is involved in 12-O-tetra-decanoylphorbol-13-acetate (TPA)-elicited SOD3 expression in human monocytic THP-1 cells; however, the molecular mechanisms responsible for its expression have not yet been elucidated in detail. The results of the present study demonstrated that the binding of histone deacetylase 1 (HDAC1) to the SOD3 promoter region contributed to SOD3 silencing in basal THP 1 cells. On the other hand, the dissociation of HDAC1 from the SOD3 promoter region and the enrichment of p300, a histone acetyltransferase (HAT), within that region were observed in TPA-induced THP-1 cells. Myocyte enhancer factor 2 (MEF2) functions as a scaffold protein that interacts with histone deacetylases (HDAC) or HAT and regulates gene expression. The present results showed that the MEF2A and MEF2D function as mediators for TPA-elicited SOD3 expression by interacting with HDAC or p300. Additionally, the knockdown of MEF2A or MEF2D in human skin fibroblasts suppressed SOD3 expression at the mRNA and protein levels. Our results provide an insight into epigenetic regulation of redox gene expression, and may ultimately contribute to suppressing the progression of tumours and vascular diseases. PMID- 29842806 TI - Systematic review and meta-analysis of Spanish studies regarding the association between maternal 25-hydroxyvitamin D levels and perinatal outcomes. AB - OBJECTIVE: This systematic review and meta-analysis of Spanish studies assessed the association of maternal 25-hydroxyvitamin D [25(OH)D] levels on perinatal outcomes. METHODS: PubMed, Cochrane Library, Embase, Scielo, Scopus, and Web of Science research databases were searched from inception through December 30 2017 using the terms 'vitamin D', 'pregnancy', and 'Spain'. Studies that compared first or second half of pregnancy normal 25(OH)D (>=30.0 ng/mL) versus insufficient (20.0-29.9 ng/mL) or deficient (<20.0 ng/mL) circulating levels and perinatal outcomes were systematically extracted. Data are presented as pooled odds ratios and their 95% confidence intervals (CIs) for categorical variables or mean differences and CIs for continuous variables. Risk of bias was evaluated with the Newcastle-Ottawa Scale. RESULTS: Five cohort studies met inclusion criteria. The risk of gestational diabetes mellitus, preeclampsia, preterm birth, and small-for-gestational-age infants, and birthweight was not influenced by first half of pregnancy maternal 25(OH)D levels. In addition, second half of pregnancy 25(OH) levels did not affect birthweight. CONCLUSION: Maternal 25(OH)D levels during pregnancy did not affect studied perinatal outcomes and birthweight. PMID- 29842807 TI - Dabigatran affects thrombin-dependent platelet aggregation after a week-long therapy. AB - OBJECTIVE: Dabigatran is a direct thrombin inhibitor. As the main adverse event is bleeding, it is relevant whether dabigatran has additional effects on platelet function. If so, it could affect the bleeding risk. We aimed to assess in vitro aggregation in patients with atrial fibrillation (AF) receiving dabigatran. DESIGN: We evaluated 32 AF patients treated with dabigatran (study group) and 18 non-anticoagulated non-AF blood donors (control group). We assessed light transmittance platelet aggregation (LTA) with 100 nmol/L gamma-thrombin in both groups. The LTA was performed at two time-points in our dabigatran group of patients. RESULTS: The thrombin-induced platelet aggregation was significantly lower two hours after dabigatran was taken compared to baseline measurement (9% +/- 6% vs. 29% +/- 21%) in our study group. Moreover, we observed that the baseline value of platelet aggregation in patients on dabigatran treatment was significantly lower compared to healthy volunteers (29% +/- 21% vs. 89 +/- 8). However, one subanalysis showed that this significant reduction in platelet aggregation at baseline was only observed in patients who received dabigatran for over a week. CONCLUSION: The thrombin-induced platelet aggregation is reduced in non-valvular AF patients receiving dabigatran after a week-long therapy. PMID- 29842808 TI - Social circus program (Cirque du Soleil) promoting social participation of young people living with physical disabilities in transition to adulthood: a qualitative pilot study. AB - PURPOSE: To explore the perceived impact of a social circus program on the participation level of young adults' living with physical disabilities from their own and their parents' perspective. METHOD: Exploratory phenomenological qualitative design. A social circus program was offered for nine months. Perceived participation level was documented through pre and post semi-structured interviews. A pretested interview guide was used. Interviews were transcribed and coded by two independent researchers. RESULTS: The average age of the participants (n = 9) was 20.0 +/- 1.4 years with 2/9 being female. Participation was perceived as being improved after the intervention from both perspectives (participants and parents) mainly for communication, mobility, relationships, community life and responsibilities. The intervention was perceived as strengthening self-perception and self-efficacy, which in turn enhanced participation level and decreased parents' bounding. CONCLUSION: The results show promises for social circus as a new approach in adult physical rehabilitation for this population in transition. PMID- 29842809 TI - Role of granulosa cell mitogen-activated protein kinase 3/1 in gonadotropin mediated meiotic resumption from diplotene arrest of mammalian oocytes. AB - In mammals, preovulatory oocytes are encircled by several layers of granulosa cells (GCs) in follicular microenvironment. These follicular oocytes are arrested at diplotene arrest due to high level of cyclic nucleotides from encircling GCs. Pituitary gonadotropin acts at the level of encircling GCs and increases adenosine 3',5'-cyclic monophosphate (cAMP) and guanosine 3',5'-cyclic monophosphate (cGMP) and activates mitogen-activated protein kinase 3/1 (MAPK3/1) signaling pathway. The MAPK3/1 disrupts the gap junctions between encircling GCs and oocyte. The disruption of gap junctions interrupts the transfer of cyclic nucleotides to the oocyte that results a drop in intraoocyte cAMP level. A transient decrease in oocyte cAMP level triggers maturation promoting factor (MPF) destabilization. The destabilized MPF finally triggers meiotic resumption from diplotene arrest in follicular oocyte. Thus, MAPK3/1 from GCs origin plays important role in gonadotropin-mediated meiotic resumption from diplotene arrest in follicular oocyte of mammals. PMID- 29842810 TI - Comparing the outcomes of severe versus mild/moderate ptosis using closed posterior levator advancement. AB - Traditionally, posterior eyelid surgical approaches such as Muller's muscle conjunctival resection (MMCR) have been utilised with great success for mild cases of ptosis, with external levator approaches having been used for more severe cases of ptosis. We present a new technique which we label closed posterior levator advancement (CPLA) for the correction of all grades of ptosis. This article is a retrospective cohort study reviewing patients with mild, moderate, and severe ptosis over a 6-year period, treated by a single surgeon using CPLA. Minimum follow-up was 3 months. Patients with good levator function (levator palpebrae superioris (LPS) function >10 mm) without concomitant procedures were subdivided based on margin-to-reflex-distance-1 (MRD1) into mild to-moderate ptosis (MRD1 > 1.5 mm) and severe ptosis (MRD1 <= 1.5 mm) cohorts. The outcome measures were preoperative and postoperative MRD1, lid contour, intereye symmetry, complications, and revision rates. 393 eyes of 313 patients were identified. 91 eyes in the mild-to-moderate cohort had a preoperative MRD1 of 2.38 mm, and 302 eyes in the severe cohort had a preoperative MRD1 of 0.27 mm. Postoperatively, MRD1 was 3.86 mm and 3.49 mm, respectively. There were no significant complications in both cohorts, and revision rates were 3.3% (3 of 91 eyes) in the mild-to-moderate and 2% (6 of 302 eyes) in the severe cohorts. Upper eyelid contour was satisfactory in 98.2% of eyes, and 97.5% intereye symmetry within 1 mm was observed. Our results show an effective correction of all ptosis grades with satisfactory cosmetic outcomes and low complication and revision rates. PMID- 29842811 TI - Pharmacological treatment options for severe hypertriglyceridemia and familial chylomicronemia syndrome. AB - INTRODUCTION: A spectrum of disorders, ranging from rare severe cases of homozygous null lipoprotein lipase deficiency (LPLD)-familial chylomicronemia syndrome (FCS) to heterozygous missense LPLD or polygenic causes, result in hypertriglyceridemia and pancreatitis. The effects of mutations are exacerbated by environmental factors such as diet, pregnancy, and insulin resistance. Areas covered: In this review, authors discuss chronic treatment of FCS by ultra-low fat diets allied with the use of fibrates, omega-3 fatty acids, niacin, statins, and insulin-sensitizing therapies depending on the extent of residual lipoprotein lipase (LPL) activity; novel therapies in development target triglyceride (TG) rich lipoprotein particle clearance. Previously, a gene therapy approach to LPL alipogene tiparvovec showed that direct targeting of LPL function reduced pancreatitis events. An antisense oligonucleotide to apolipoprotein-C3, volanesorsen has been shown to decrease TGs by 70-80% and possibly to reduce rates of pancreatitis admissions. Studies are underway to validate its long-term efficacy and safety. Other approaches investigating the role of LPL modulating proteins such as angiopoietin-like petide-3 (ANGPTL3) are under consideration. Expert opinion: Current therapeutic options are not sufficient for management of many cases of FCS. The availability of antisense anti-apoC3 therapies and, in the future, ANGPTL3 therapies may remedy this. PMID- 29842812 TI - Management of CHAOS by intact cord resuscitation: case report and literature review. AB - BACKGROUND: Congenital high airway obstruction syndrome (CHAOS) is a near fatal condition, except when the ex utero intrapartum treatment (EXIT) procedure is performed as rescue. After antenatal diagnosis of the condition, counseling regarding prognosis and outcome needs to be provided. CASE: We describe here a case with CHAOS due to isolated fetal laryngeal atresia, presented at our center at 33-week gestation. After counseling regarding the uncertain outcome, consent for elective caesarean was not given. Intact cord resuscitation (ICR) was done as a rescue by a well-coordinated team during delivery. Tracheostomy was performed successfully under local anesthesia within five minutes, while the cord was still attached to the placenta. The baby had supraglottic stenosis on CT scan. Reconstructive surgery is planned after 8 months. The literature review showed 24 reports of 28 cases with intrinsic airway obstruction managed by EXIT, laryngeal atresia was the most common cause (18/28). The outcome was poor in tracheal agenesis (1/4 survived) whereas those having laryngeal web or small communication (4/4 survived) had better outcome. Tracheal reconstruction was done in 3/28 cases only. CONCLUSIONS: The case emphasizes that ICR and tracheostomy during vaginal delivery can rescue the baby. The literature reviewed provided insight into the outcome of CHAOS cases in world literature. PMID- 29842813 TI - Changes in phase-angle under light-dark cycles influenced by nonphotic stimulation. AB - Most work looking at nonphotic effects on circadian rhythms is conducted when animals are held under freerunning conditions, usually constant darkness. However, for nonphotic effects to be functionally significant, they should be demonstrable under conditions in which most animals live, i.e., a 24-hr light dark cycle (LD). Syrian hamsters held in LD 6:18 were administered nonphotic stimulation in the form of a 3-hr confinement to a novel wheel starting about 6 hr before the start of their normal nightly activity bout. This resulted in a 2.5 hr advance of their activity rhythm on the next day that gradually receded to about 1.5 hr over the next 10 days. When hamsters held in LD 6:18 were given five novel wheel confinements over 13 days their nightly activity onset advanced 3 hr and remained at that phase for at least 2 weeks. Home cage wheel deprivation experiments indicated that high levels of home cage activity are necessary to maintain the advanced phase. These results show that nonphotic stimulation can have large, long-lasting effects on daily rhythms in LD and suggest a possible mechanism whereby nocturnal rodents might achieve phase flexibility in response to seasonal changes. PMID- 29842814 TI - A case report on dermal filler-related periorbital granuloma formation. AB - We report a case of a 49-year old East-Asian female who presented with delayed onset granuloma formation at the right medial lower eyelid area. The clinical and radiologic presentation with pathologic correlation following synthetic hyaluronic acid filler injection and its management are described along with a review of literature following dermal-filler injections types. Dermal-filler related granuloma formation should be included in the differential diagnoses of periorbital inflammatory and mass lesions. It is recommended that clinicians who perform this procedure should discuss these risks and possible late complications with patients and provide them with the relevant product information of the injected filler for appropriate management should such early or late complications occur. PMID- 29842815 TI - Proton range shift analysis on brain pseudo-CT generated from T1 and T2 MR. AB - BACKGROUND: In radiotherapy, MR imaging is only used because it has significantly better soft tissue contrast than CT, but it lacks electron density information needed for dose calculation. This work assesses the feasibility of using pseudo CT (pCT) generated from T1w/T2w MR for proton treatment planning, where proton range comparisons are performed between standard CT and pCT. MATERIAL AND METHODS: MR and CT data from 14 glioblastoma patients were used in this study. The pCT was generated by using conversion libraries obtained from tissue segmentation and anatomical regioning of the T1w/T2w MR. For each patient, a plan consisting of three 18 Gy beams was designed on the pCT, for a total of 42 analyzed beams. The plan was then transferred onto the CT that represented the ground truth. Range shift (RS) between pCT and CT was computed at R80 over 10 slices. The acceptance threshold for RS was according to clinical guidelines of two institutions. A gamma-index test was also performed on the total dose for each patient. RESULTS: Mean absolute error and bias for the pCT were 124 +/- 10 and -16 +/- 26 Hounsfield Units (HU), respectively. The median and interquartile range of RS was 0.5 and 1.4 mm, with highest absolute value being 4.4 mm. Of the 42 beams, 40 showed RS less than the clinical range margin. The two beams with larger RS were both in the cranio-caudal direction and had segmentation errors due to the partial volume effect, leading to misassignment of the HU. CONCLUSIONS: This study showed the feasibility of using T1w and T2w MRI to generate a pCT for proton therapy treatment, thus avoiding the use of a planning CT and allowing better target definition and possibilities for online adaptive therapies. Further improvements of the methodology are still required to improve the conversion from MRI intensities to HUs. PMID- 29842816 TI - Athletes underestimate sleep quantity during daytime nap opportunities. AB - This study examined the difference between athletes' self-reported and objective sleep durations during two nap opportunities. Twelve well-trained male soccer players' sleep durations were assessed using polysomnography and a self-report question during a 60- and 120-min nap opportunity. Participants underestimated sleep compared to objective sleep assessments for both the 60-min nap opportunity (p = 0.004) and 120-min nap opportunity (p = 0.001). Soccer players underestimated their sleep duration by approximately 10 min per hour of nap opportunity. It is yet to be determined if athletes are likely to underestimate sleep duration during their main nighttime sleep period. PMID- 29842817 TI - Factors predicting community participation in patients living with stroke, in the Western Cape, South Africa. AB - PURPOSE: An important focus of poststroke rehabilitation is the attainment of community participation. However, several factors may influence participation some of which vary from setting to setting. The aim of this study is to investigate the factors influencing community participation among community dwelling stroke survivors in the Western Cape, South Africa. MATERIALS AND METHODS: The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) and the Social Support Questionnaire 6 (SSQ6) were the instruments used to collect data. Participant demographics, clinical features and domain-specific scores of the WHODAS 2.0 were used as potential predictors. Correlation analysis and multiple regression models were used to examine determinants of community participation. All assessments were conducted using face-to-face interviews. RESULTS: One hundred and six stroke survivors enrolled in this cross-sectional study. Risk factors, cognition, mobility, self-care, getting along with people, household activities and total WHODAS 2.0 score were associated with participation. Four predictors of community participation were identified from multiple regression, namely mobility (38%), cognition (11%), life activities (4%) and stroke risk factors (1%). Determinants varied by gender and age group. Mobility predominated in males and younger adults, while cognition was more pronounced in females and the elderly. Lastly, the influence of social support on community participation was largely defined by the gender and age of stroke survivors. CONCLUSION: The findings suggest focusing stroke rehabilitation on important factors such as mobility, cognition, life activities and risk factors to advance patients' participation. It also emphasizes giving specific consideration to key factors specific for gender and age of stroke survivors. Implications for Rehabilitation Community participation in the general population of stroke survivors' is largely determined by their mobility function. Determinants of community participation among stroke survivors essentially vary according to age and gender. Clinically, this study suggests that focusing on specific determinants of improved community participation according to stroke patients' demographic categories (gender and age) may be an important impetus to enhance rehabilitation outcome. PMID- 29842818 TI - Selol nanocapsules with a poly(methyl vinyl ether-co-maleic anhydride) shell conjugated to doxorubicin for combinatorial chemotherapy against murine breast adenocarcinoma in vivo. AB - Nanocapsules containing selol and doxorubicin (NCS-DOX) with an oily core of selol and a shell of poly(methyl vinyl ether-co-maleic anhydride) covalently conjugated to doxorubicin were developed in a previous work. In this study, these nanocapsules showed a similar antitumour effect in comparison to the free doxorubicin (DOX) treatment, but showed no evident DOX-related cardiotoxicity, as evidenced by serum creatine kinase-MB (CK-MB) activity. The histopathological analysis showed that the free DOX treatment induced more intense morphological damage to myocardial tissues in comparison to NCS-DOX treatment. Animals treated with free DOX presented important muscle fibre degradation and animals treated with NCS-DOX, heart tissue did not present signals of muscle fibre degeneration. These results indicate that the cardiotoxicity related to DOX is reduced when this drug is carried by the NCS-DOX. Noteworthy, biodistribution analyses showed that NCS-DOX accumulated more intensely in tumours than the free DOX. Thus, this study reinforces the importance of the development of nanocapsules as drug carriers for the treatment of cancer. PMID- 29842819 TI - Investigational cannabinoids in seizure disorders, what have we learned thus far? AB - INTRODUCTION: The anticonvulsant activity of cannabinoids attracted much attention in the last decade. Cannabinoids that are currently investigated with the intention of making them drugs for the treatment of epilepsy are cannabidiol, cannabidivarin, Delta9-tetrahydrocannabivarin, and Delta9-tetrahydrocannabinolic acid. Areas covered:In this review, the authors look at the results of preclinical and clinical studies with investigational cannabinoids. Relevant literature was searched for in MEDLINE, SCOPUS, EBSCO, GOOGLE SCHOLAR, and SCINDEX databases. Expert opinion: Preclinical studies confirmed anticonvulsant activity of cannabidiol and cannabidivarin in a variety of epilepsy models. While the results of clinical trials with cannabidivarin are still awaited, cannabidiol showed clear therapeutic benefit and good safety in patients with therapy resistant seizures associated with Dravet syndrome and in patients with Lennox Gastaut syndrome who have drop seizures. However, the full therapeutic potential of cannabinoids in treatment-resistant epilepsy needs to be investigated in the near future. PMID- 29842820 TI - Epidemiological trends of infective endocarditis in a single center in Italy between 2003-2015. AB - OBJECTIVE: Changes in the incidence, clinical features and microbiology of infective endocarditis (IE) observed in a single center in Italy were compared between the period 2003-2010 and 2011-2015. METHODS: All cases of IE, defined as definite or possible according to the modified Duke criteria, observed at the 'L. Sacco' Hospital in Milan, Italy between 2003 and 2015 were retrospectively reviewed. RESULTS: 366 episodes of IE were identified in 325 patients. The mean number of incident IE over the period 2003-2015 was 1.43 (range: 0.6-2.1) cases per 1000 admissions, with a significantly increasing trend from a mean of 1.28 1.72 cases per 1000 admissions/year in 2003-2010 and 2011-2015, respectively (+34%; p = .04). Staphylococci remain the leading pathogens causing IE (29%) with a relative increase of methicillin-resistant Staphylococcus aureus between the two periods. Streptococci and enterococci account for 26% and 18% of IE, respectively. We found an increase in the proportion of cases due to enterococci (from 14% in 2003-2010 to 22% in 2011-2015). The rate of in-hospital mortality was 19%, similar in the two periods studied. CONCLUSION: The incidence of IE continuously increased in our cohort over the past decade and, along with the aging of the population, a raise in the incidence of health care-associated infections and a change in the distribution of prevalent pathogens were observed. Surgery was independently associated with higher in-hospital survival (AOR, 95% CI: 0.38, 0.19-0.74; p = .005). A constant surveillance is required to guide the optimal management of the changing epidemiology of IE. PMID- 29842821 TI - Maternal exposure to endocrine disruptors and placental transmission: a pilot study. AB - Endocrine disruptors (EDs) are known to affect maternal and child health. The objective of our study was to identify the association between some of the most important endocrine-disruptive substances (perfluorooctane sulfonate [PFOS], perfluorooctanoic acid [PFOA], di2-ethylhexyl-phthalate [DEHP] and mono2 ethylhexyl-phthalate [MEHP]) and both pregnancy variability and birth outcomes. We measured the concentration of the EDs in maternal and cord blood samples of 29 mother-newborn pairs from the Pertini Hospital in Rome between March and June 2016. Each mother reported demographic, life style and diet information. We compared concentrations of the endocrine disruptors between mother and newborn, and among different molecules. We analyzed differences and trends of each ED substance according to the demography and diet information. PFOA levels in maternal blood showed a negative association with newborn weight. Concentration levels of PFOA in both maternal and cord blood of those with physiological progression of pregnancy were higher in than in those with pathological pregnancies. MEHP trend showed a positive association with maternal age. These results confirm the maternal-to-fetus transfer of EDs through the placenta and the impact that endocrine disruptors have on pregnancy and birth outcomes. PMID- 29842822 TI - Biosynthesized composites of Au-Ag nanoparticles using Trapa peel extract induced ROS-mediated p53 independent apoptosis in cancer cells. AB - The current study highlights rapid, sustainable, and cost-effective biosynthesis of silver (Ag), gold (Au) nanoparticles (NPs), and bimetallic Au-AgNPs composites using bio-waste extract of Trapa natans. Growth of the NPs was monitored spectrophotometrically and peak was observed at ~525 nm, ~450 nm, and ~495 nm corresponding to Plasmon absorbance of AuNPs, AgNPs, and Au-AgNPs, respectively. Transmission electron microscopy (TEM) revealed the size of AgNPs (~15 nm), AuNPs (~25 nm), and Au-AgNPs (~26-90 nm). Synthesized NPs follow the Gaussian bell curve and its crystalline nature was identified by X-ray diffraction (XRD). Furthermore, Au-AgNPs induced cytotoxicity in various cancer cells (HCT116, MDA MB-231, and HeLa) effectively at 200 MUg/mL. Au-AgNPs-exposed cancer cells exhibited apoptotic features such as nuclear condensation, mitochondrial membrane potential loss, and cleavage of casp-3 and poly (ADP-ribose) polymerase-1 (PARP). Au-AgNPs exposure enhanced reactive oxygen species (ROS) and upon inhibition of ROS, apoptosis was reduced effectively. NPs treatment killed HCT116 WT and p53 knockout cells without any significant difference. Mechanistically, Au-AgNPs derived with Trapa peel extract significantly enhance ROS which trigger p53 independent apoptosis in various cancer cells effectively. Our study explores the use of bio-waste for the green synthesis of NPs, which can be attractive candidates for cancer therapy. PMID- 29842823 TI - Rapid identification of Streptomyces tetracycline producers by MALDI-TOF mass spectrometry. AB - The main objective of this study was using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) for assembling of DSM (German Collection of Microorganisms) Streptomyces spectral database and identification of wild Streptomyces cultures, which were clustered by MALDI-TOF Biotyper OC software as well as for teracycline detection by observing of obtained spectra using flexAnalysis software. Production of tetracycline was confirmed by thin-layer chromatography. Presence of tetracycline mass spectrum was verified by several tetracycline producers (Streptomyces aureofaciens LMG 5968, S. aureofaciens 84/25, and S. aureofaciens BMK) and by pure tetracycline mass. Our results showed that it is possible to use MALDI-TOF MS for identification of tetracycline producers within Streptomyces genera by several easy steps. The purpose of this study was to establish cheap and quick detection of tetracycline producers. PMID- 29842824 TI - Injuries in formal and informal non-professional soccer - an overview of injury context, causes, and characteristics. AB - The objective of this study is to analyse context, causes, and characteristics of injuries in non-professional soccer. Therefore, a retrospective telephone survey was carried out with persons who were injured while playing soccer and who reported this accident to the Swiss National Accident Insurance Fund (Suva). Based on these data, an analysis of 708 soccer injuries was performed. The findings show that 30.1% of the injuries occurred during informal soccer play, and 75.4% of the injured persons were soccer club members. 53.0% of all injuries were caused by contact and 29.5% by foul play. Foul play was not associated with injury severity. With respect to injury severity, twisting/turning and being tackled by an opponent were identified as the most influental injury causes. Moreover, the risk of being severely injured was particularly high players of the 30+/40+ amateur leagues. In conclusion, the findings highlight that 30+/40+ league players are a major target group for the prevention of severe soccer injuries. Soccer clubs may constitute an appropriate multiplier for implementing prevention strategies such as fair play education, healthy play behaviours, and prevention programmes. Finally, a better understanding of injury situations leading to severe injuries is needed to improve injury prevention. PMID- 29842825 TI - Accuracy and precision of loadsol(r) insole force-sensors for the quantification of ground reaction force-based biomechanical running parameters. AB - Force plates represent the "gold standard" in measuring running kinetics to predict performance or to identify the sources of running-related injuries. As these measurements are generally limited to laboratory analyses, wireless high quality sensors for measuring in the field are needed. This work analysed the accuracy and precision of a new wireless insole forcesensor for quantifying running-related kinetic parameters. Vertical ground reaction force (GRF) was simultaneously measured with pit-mounted force plates (1 kHz) and loadsol(r) sensors (100 Hz) under unshod forefoot and rearfoot running-step conditions. GRF data collections were repeated four times, each separated by 30 min treadmill running, to test influence of extended use. A repeated-measures ANOVA was used to identify differences between measurement devices. Additionally, mean bias and Bland-Altman limits of agreement (LoA) were calculated. We found a significant difference (p < .05) in ground contact time, peak force, and force rate, while there was no difference in parameters impulse, time to peak, and negative force rate. There was no influence of time point of measurement. The mean bias of ground contact time, impulse, peak force, and time to peak ranged between 0.6% and 3.4%, demonstrating high accuracy of loadsol(r) devices for these parameters. For these same parameters, the LoA analysis showed that 95% of all measurement differences between insole and force plate measurements were less than 12%, demonstrating high precision of the sensors. However, highly dynamic behaviour of GRF, such as force rate, is not yet sufficiently resolved by the insole devices, which is likely explained by the low sampling rate. PMID- 29842826 TI - Effects of cyclodextrin on the stereoselectivity inhibition of acetylcholinesterase by isomalathion. AB - In attempt to evaluate the effects of cyclodextrins (CDs) on enantioselectivity of chiral pesticides toxicity, this study investigated effects of three kinds of cyclodextrins including alpha-CD, beta-CD and randomly methylated beta-CD (RAMEB) on toxicity of four enantiomers of isomalathion including (1R, 3R)-isomalathion, (1S, 3S)-isomalathion, (1S, 3R)-isomalathion and (1R, 3S)-isomalathion. Generally, the addition of alpha-CD and RAMEB (1.5 g/L to 3.5 g/L concentration) could lead to reduction of isomalathion toxicity in most cases, while the presence of beta-CD (0.3 g/L to 1.5 g/L concentration) enhanced the toxicity of isomalathion. It was speculated that higher electronic cloud density and lower water solubility of beta-CD than alpha-CD and RAMEB might favor to combination between acetylcholinesterase (AChE) and isomalathion included by beta-CD. With respect for alpha-CD and RAMEB, isomalathion included by them could be easily dissolved in water because of high water solubility of the two CDs. Therefore, alpha-CD and RAMEB can be used as remediation regent for the pollution of isomalathion, and beta-CD can act as an additive in improving bioactivity of such pesticides. In addition, the presence of CDs can alter enantioselectivity of chiral pesticides. The differences on the extent of enantioselectivity variation of isomalathion induced by alpha-CD, RAMEB and beta-CD might be ascribe to the different cavity, electron cloud density and solubility among the three CDs. In conclusion, the above results gave researchers a possibility to change enantioselectivity of chiral pesticides from undesirable outcomes to desirable ones. PMID- 29842827 TI - Pesticide binding and urea-induced controlled release applications with calixarene naphthalimide molecules by host-guest complexation. AB - Three novel calix[4]arene molecule-based 1,8 naphthalimide fluoroionophore for the selective determination of kesoxim-methyl were synthesized and used in pesticide binding studies. The possible interaction between pesticides and fluorescent calix[4]arene molecules was monitored by UV/Vis absorption and fluorescence spectroscopy. When compared the studied pesticides, kesoxim-methyl was strongly quenched the fluorescence intensity of upper rim-modified calix[4]arene. UV and fluorescence titration experiments were also studied to determine both the quenching mechanism and stoichiometric ratio consisted in complex formation. Furthermore, pesticide release experiments were also performed with a fertilizing agent as urea by using fluorescence spectroscopy technique. PMID- 29842828 TI - Motivations of South African physicians specialising in public health. AB - BACKGROUND: South African physicians can specialise in public health through a four-year 'registrar' programme. Despite national health policies that seemingly value public health (PH) approaches, the Public Health Medicine (PHM) speciality is largely invisible in the health services. Nevertheless, many physicians enrol for specialist training. OBJECTIVES: This study investigated physicians' motivations for specialising in PHM, their intended career paths, perceptions of training, and perspectives about the future of the speciality. METHODS: Focus groups and in-depth interviews were conducted with specialists-in-training and newly qualified specialists, and thematic analysis of transcripts was performed. RESULTS: Motivations, often driven by difficult experiences as young physicians in poorly resourced clinical settings, stemmed from a commitment to improving communities' health and desire to impact on perceived failing health systems. Rather than 'exiting' the South African health service, selecting PHM specialist training enacted participants' 'loyalty' to population health. Participants anticipated carving out their own careers due to an absence of public sector career paths. They believed specialists' contribution centred on providing 'public health intelligence' - finding and interpreting information; supporting services through management and leadership; and inputting into policymaking and planning. CONCLUSIONS: Competencies of PHM specialists should be refined to inform and improve management of this scarce human resource for health. This is particularly important given the proposed major health reforms towards universal health coverage in South Africa presently. In addition, findings highlight the importance of physicians' early work experiences where avenues for expressing 'voice', mediated by 'loyalty', could be utilised to improve public sector health systems. PMID- 29842829 TI - Copper attenuates early and late biochemical alterations induced by inorganic mercury in young rats. AB - : Mercury (Hg), a divalent metal, produces adverse effects predominantly in the renal and central nervous systems. The aim of this study was to determine the effectiveness of copper (Cu) in prevention of mercuric mercury (Hg2+)-mediated toxic effects as well as the role metallothioneins (MT) play in this protective mechanism in young rats. Wistar rats were treated subcutaneously with saline (Sal) or CuCl2.2H2O (Cu 2.6 mg/kg/day) from 3 to 7 days old and with saline or HgCl2 (Hg 3.7 mg/kg/day) from 8 to 12 days old. The experimental groups were (1) Sal-Sal, (2) Cu-Sal, (3) Sal-Hg, and (4) Cu-Hg. MTs and metal contents were determined at 13 and 33 days of age. Porphobilinogen synthase (PBG-synthase) activity as well as renal and hepatic parameters were measured at 33 days. At 13 day, Hg2+ exposure increased hepatic MT, Hg, zinc (Zn) and iron (Fe) levels, in kidney elevated Cu and Hg and decreased renal Fe concentrations, accompanied by elevated blood Hg levels. At 33 days, Hg2+ exposure inhibited renal PBG-synthase activity, increased serum urea levels and lowered Fe and Mg levels. Copper partially prevented the rise in blood Hg and liver Fe noted at 13 days; and completely blocked urea rise and diminished renal PBG-synthase activity inhibition at 33 days. In 13-day-old rats, Cu exposure redistributed the Hg in the body, decreasing hepatic and blood levels while increasing renal levels, accompanied by elevated renal and hepatic MT levels in Hg2+-exposed animals. These results suggest that hepatic MT might bind to hepatic and blood Hg for transport to the kidney in order to be excreted. ABBREVIATIONS: MT: metallothioneins; PBG-synthase: porphobilinogen synthase. PMID- 29842830 TI - The key risk indicators of road traffic crashes in Serbia, Nis region. AB - Traffic crashes are a serious public health and socio-economic problem, and they are one of leading causes of death of males in Serbia. In order to determine the main causes of road traffic crashes in Nis region, Republic of Serbia, nine key risk indicators of road traffic crashes are identified, organized into four groups (number and structure of crashes, consequences of traffic crashes, temporal and spatial location of traffic crashes, causes and sanctions), and described in detail. The indicators are ranked based on group fuzzy analytic hierarchy process (AHP), where experts from insurance companies, professionally engaged in the process of risk assessment, with different previous experience present different impact on the final ranking. In relation to the most influential factors in the assessment of traffic crashes, improper and unadjusted vehicle speed, overtaking and passing, as well as the physical condition of the driver have the highest effect. PMID- 29842831 TI - Response of brain-derived neurotrophic factor to combining cognitive and physical exercise. AB - PURPOSE: Brain-derived neurotrophic factor (BDNF) is well known for its potential to promote brain plasticity. It has been proposed that combining cognitive and physical exercise (CCPE) may have the potential to generate more synergistic benefits in cognitive function than either cognitive exercise (CE) or physical exercise (PE) alone. The purpose of this study was to examine acute responses of peripheral BDNF levels and cognitive performance to CE, PE, and CCPE. METHODS: Thirteen healthy adult men participated in four experimental sessions; a 30-min CE, a 30-min cycling PE at an intensity of 60% peak oxygen uptake, a 30-min CCPE at the same intensity as PE, and a 30-min session of complete rest. Plasma BDNF levels and cognitive performance were measured before and after each session. RESULTS: Both PE and CCPE significantly increased plasma BDNF levels (p < .05). CE led to no significant increase (p >= .05), and there was no significant difference in peripheral BDNF levels between PE and CCPE (p >= .05). No session induced a significant change in cognitive performance (p >= .05). CONCLUSIONS: Our study suggests that CE and PE have different responses of peripheral BDNF levels and that CCPE had no additional or synergistic effect on peripheral BDNF levels compared with PE alone. This study offers further insights into the potential mechanisms underlying the respective roles of CE, PE, and CCPE for peripheral BDNF levels and cognitive performance. PMID- 29842832 TI - Performance of a novel real-time respirator seal integrity monitor on firefighters: Simulated workplace pilot study. AB - Millions of workers, including firefighters, use respiratory protective device. The key aspect in assuring the intended protection level of a respirator is its fit. However, even if the respirator originally fits well, the faceseal may be breached during its use. Until now, there have been no practically viable, inexpensive means to monitor the performance of a respirator during actual use. A novel Respirator Seal Integrity Monitor (ReSIM) was developed and recently evaluated on manikins by our team. The objective of this study was to evaluate the ReSIM effectiveness on respirator-wearing firefighters exposed to aerosols while performing simulated routine operational activities. Initially, 15 subjects were recruited for the study. Following a preliminary investigation that resulted in modifications in the ReSIM prototype and testing protocol, a subset of nine firefighters was chosen for a full-scale evaluation. The testing was conducted in a 24.3-m3 exposure chamber using NaCl as the challenge aerosol. Controlled faceseal leaks were established by opening a solenoid valve for 10, 15, or 20 sec. Leaks were also established as the tested firefighter slightly repositioned the respirator on his/her face. During the testing, the ReSIM measured particles inside a full-face elastomeric respirator with a 72.7% leak detection sensitivity (probability of correct leak identification) and an 84.2% specificity (probability of correct identification of the intervals which are absent of any leak). After adjusting for false negatives and persistent false positives, sensitivity and specificity increased to 83.6% and 92.2%, respectively. The factors causing minor limitations in leak detection sensitivity and specificity can be attributed to variability among subjects, moisture's effect on the particle sensor, and some in-mask sampling bias. In conclusion, the ReSIM can promptly detect the breach in a respirator faceseal with high sensitivity and specificity. Due to its capability to alert the wearer of possible overexposure to hazardous aerosols, the ReSIM concept has a remarkable potential to be applied in various working environments, where respirators are used. PMID- 29842833 TI - Eco-friendly approach to the synthesis of silver nanoparticles and their antibacterial activity against Staphylococcus spp. and Escherichia coli. AB - The aim of this study was to assess bactericidal properties of nanosilver obtained with ascorbic acid (vitamin C) as a reducing substance, against environmental strains of Gram-positive (Staphylococcus) and Gram-negative bacteria (Escherichia coli). Silver nanoparticles were obtained by a simple and fast method of chemical reduction in mild synthesis condition using substrates not classified as dangerous and commonly found in plants. Bacterial susceptibility to nanosilver was determined using the disk-diffusion method. Gram positive bacteria were less susceptible to bactericidal action of nanosilver and minimum inhibitory concentration was higher for these bacteria. However, susceptibility of individual isolates of different species to nanosilver was very diverse. The range of growth inhibition zones indicates that the resistance to different concentrations of nanosilver was a strain-characteristic, not species related feature. The study of effective nanomaterials synthesis and applicability appears to be an extremely important element in the development of nanotechnology, especially in terms of the risks assessment. Obtained results have a real chance to be an important step toward creating a new generation of disinfectants without toxic effects on the environment and higher organisms. PMID- 29842834 TI - High-Throughput Flow Cytometry Drug Combination Discovery with Novel Synergy Analysis Software, SynScreen. AB - Classical therapeutic regimens are subject to toxicity, low efficacy, and/or the development of drug resistance. Thus, the discovery of synergistic drug combinations would permit treatment with lower, tolerable dosages of each agent and restored sensitivity. We describe the development and use of the SynScreen software application, which allows for visual and mathematical determinations of compound concentrations that produce super-additive effects. This software uses nonlinear regression fits of dose responses to determine synergism by the Bliss independence and Loewe additivity analysis models. We demonstrate the utility of SynScreen with data analysis from in vitro high-throughput flow cytometry (HTFC) combination screens with repurposed drugs and multiplexed synergy analysis of multiple biologic parameters in parallel. The applicability of SynScreen was confirmed by testing open-source data sets used in published drug combination literature. A key benefit of SynScreen for high-throughput drug combination screening is that observed measurements are graphically depicted in comparison with a three-dimensional surface that represents the theoretical responses at which Bliss additivity would occur. These images and summary tables for the calculated drug interactions are automatically exported. This allows for substantial data sets to be visually assessed, expediting the quick identification of efficacious drug combinations and thereby facilitating the design of confirmatory studies and clinical trials. PMID- 29842835 TI - Use of Protein Kinase-Focused Compound Libraries for the Discovery of New Inositol Phosphate Kinase Inhibitors. AB - Inositol hexakisphosphate kinases (IP6Ks) regulate a myriad of cellular processes, not only through their catalytic activity (which synthesizes InsP7, a multifunctional inositol pyrophosphate signaling molecule) but also through protein-protein interactions. To further study the enzymatic function and distinguish between these different mechanisms, specific inhibitors that target IP6K catalytic activity are required. Only one IP6K inhibitor is commonly used: N2-( m-(trifluoromethyl)benzyl) N6-( p-nitrobenzyl)purine (TNP). TNP is, however, compromised by weak potency, inability to distinguish between IP6K isoenzymes, off-target activities, and poor pharmacokinetic properties. Herein, we describe a new inhibitor discovery strategy, based on the high degree of structural conservation of the nucleotide-binding sites of IP6Ks and protein kinases; we screened for novel IP6K2 inhibitors using a focused set of compounds with features known, or computationally predicted, to target nucleotide binding by protein kinases. We developed a time-resolved fluorescence resonance energy transfer (TR-FRET) assay of adenosine diphosphate (ADP) formation from adenosine triphosphate (ATP). Novel hit compounds for IP6K2 were identified and validated with dose-response curves and an orthogonal assay. None of these inhibitors affected another inositol pyrophosphate kinase, PPIP5K. Our screening strategy offers multiple IP6K2 inhibitors for future development and optimization. This approach will be applicable to inhibitor discovery campaigns for other inositol phosphate kinases. PMID- 29842836 TI - Modern dietary guidelines for healthy pregnancy; maximising maternal and foetal outcomes and limiting excessive gestational weight gain. AB - Maternal dietary habits influence maternal and foetal health, representing a pathway for intervention to maximise pregnancy outcomes. Advice on energy intake is provided on a trimester basis, with no additional calories required in the first trimester and an additional 340 kcal d-1 and 452 kcal d-1 needed for the second and third trimesters. Energy intake depends on pre-gravid body mass index (BMI); underweight women are recommended an increase of 150, 200 and 300 kcal d-1 during the first, second and third trimester, normal weight women an increase of 0, 350 and 500 kcal d-1 and obese women an increase of 0, 450 and 350 kcal day-1. The recommendations for carbohydrate and protein intake are 175 g d-1 and 0.88 1.1 g kgBM d-1, with no change to fat intake. The number of pre-gravid obese women is rising; therefore, we need to regulate weight in women of childbearing age and limit gestational weight gain to within the recommended ranges [overweight women 6.8-11.3 kg and obese women 5.0-9.1 kg]. This can be achieved using nutritional interventions, as dietary changes have been shown to help with gestational weight management. As pregnancy has been identified as a risk factor for the development of obesity, normal weight women should gain 11.5-16.0 kg during pregnancy. While some research has shown that dietary interventions help to regulate gestational weight gain and promote postpartum weight loss to some extent, future research is needed to provide safe and effective guidelines to maximise these effects, while benefitting maternal and foetal health. PMID- 29842837 TI - Dissipation of terbuthylazine, metolachlor, and mesotrione in soils with contrasting texture. AB - This study evaluates the dissipation of terbuthylazine, metolachlor, and mesotrione at different depths in soils with contrasting texture. The field trial was conducted at the Padua University Experimental Farm, north-east Italy. The persistence of three herbicides was studied in three different soil textures (clay soil, sandy soil, and loamy soil) at two depths (0-5 and 5-15 cm). Soil organic carbon content was highest in the clay (1.10%) followed by loam (0.67%) and sandy soil (0.24%); the pH of soils was sub-alkaline. Terbuthylazine, metolachlor, and mesotrione were applied on maize as a formulated product (Lumax(r)) at a dose of 3.5 L ha-1. Their dissipation in the treated plots was followed for 2 months after application. The concentrations of herbicides were analyzed by liquid chromatography-mass spectrometry. The dissipation of terbuthylazine, metolachlor, and mesotrione could be described by a pseudo first order kinetics. Terbuthylazine showed the highest DT50, followed by metolachlor and mesotrione. Considering the tested soil, the highest DT50 value was found in clay soil for terbuthylazine and metolachlor, whereas for mesotrione there was no difference among soils. Significant differences were found between the two soil depths for terbuthylazine and metolachlor, whereas none were found for mesotrione. These results suggest that soil texture and depth have a strong influence on the dissipation of terbuthylazine and metolachlor, whereas no influence was observed on mesotrione because of its chemical and physical properties. PMID- 29842838 TI - Laparoscopic salpingectomy and removal of Essure hysteroscopic sterilisation device: a case series. AB - OBJECTIVES: Tubal sterilisation using Essure is a minimally invasive technique for permanent contraception, with high rates of patient satisfaction. However, some women subsequently choose removal of the inserts, due to side effects such as pelvic pain, abnormal bleeding, dyspareunia or allergic dermatitis. This case series presents the management of eight women who underwent laparoscopic removal of Essure inserts in conjunction with salpingectomy. We describe our surgical technique, its underlying principles and immediate surgical outcomes. METHODS: Eight patients were identified as having undergone removal of Essure inserts, via an electronic search of the surgical procedures database. A retrospective review of case records was undertaken. The primary outcome was safety and feasibility of the laparoscopic salpingectomy approach. Secondary outcome measures included implant fracture rate, operative time, blood loss and length of patient stay. RESULTS: All eight women were able to undergo laparoscopic salpingectomy and removal of the Essure inserts without the need for laparotomy or hysterectomy. There were no incidences of fracture or incomplete removal of the insert. Immediate postoperative recovery was uncomplicated in all eight women; the mean length of stay was 17 h. One patient had a small bowel serosal tear attributed to laparoscopic entry. CONCLUSION: This case series suggests that laparoscopic salpingectomy for removal of Essure inserts is safe and feasible. We acknowledge that the numbers were small. However, consistent use of a laparoscopic approach in these eight patients indicates that this procedure is a feasible and suitable alternative to hysterectomy. PMID- 29842839 TI - Effect of Acellular Amniotic Membrane Matrix Patch on Healing of Cut Surface After Sleeve Gastrectomy in Rats. AB - BACKGROUND: The aim of this study was to evaluate the effect of acellular amniotic membrane matrix patch on healing cut surface after sleeve gastrectomy in rats. METHODS: Thirty male Wistar albino rats were divided into three groups: control (n = 10), Experiment-1 (n = 10), and Experiment-2 (n = 10) groups. Control group rats underwent only sleeve gastrectomy with primary gastrorrhaphy. Experiment-1 group rats underwent sleeve gastrectomy, primary gastrorrhaphy and covered with acellular amniotic membrane matrix patch. Experiment-2 group rats underwent sleeve gastrectomy, incomplete primary gastrorrhaphy and covered with acellular amniotic membrane matrix patch. All rats were sacrificed on the fifth postoperative day. Macroscopic findings and histopathologic alterations were evaluated and compared. RESULTS: There was a statistically significant difference between levels of PMNs, granulation formation and vascularization, distributions of edema, type of mucosal epithelium, and fibroblastic proliferation according to groups (p < 0.05). The PMNs level in the Experiment-1 group was significantly lower than the control group (p < 0.05). In experiment groups, the level of granulation tissue, vascularization and fibroblastic proliferation was significantly higher than the control group (p < 0.05). The levels of edema and type of mucosal epithelium of the experiment groups were significantly lower than the control group (p < 0.05). CONCLUSION: Covering sleeve gastrectomy cut surface area with acellular amniotic membrane matrix results better healing. Moreover, acellular amniotic membrane matrix provides safe healing even in incomplete sutured area. PMID- 29842840 TI - Inhibition of di(2-ethylhexyl) phthalate (DEHP)-induced endocrine disruption by co-treatment of vitamins C and E and their mechanism of action. AB - The endocrine disrupting actions of di(2-ethylhexyl) phthalate (DEHP) on testicular functions are postulated to involve excess free radical generation. Thus the aim of this study was to examine the ability of antioxidant vitamins C and E to prevent DEHP-induced testicular disruption in male Sprague-Dawley (SD) rats. SD male rats were administered DEHP alone or DEHP with vitamin C and/or vitamin E for 30 days. DEHP alone increased the levels of testosterone (T) and reduced estradiol (E2) concentrations. Supplementation with antioxidant vitamins diminished or restored serum T levels noted in DEHP-treated rats to control values. In contrast vitamins C and E increased E2 levels to control in rats administered DEHP. Antioxidants significantly improved the decreased testicular levels of reduced glutathione and activity of superoxide dismutase compared to DEHP-treatment alone. Co-treatment of vitamins C and E also markedly improved the reduced epididymal sperm head counts and elevated levels of malondialdehyde (MDA) or 8-hydroxydeoxyguanosine (8-OHdG) induced by DEHP treatment. These results support the concept that the adverse actions of DEHP may be related to increased free radical generation while co-treatment with vitamins C and E significantly blocked the actions of DEHP on male testicular functions. PMID- 29842841 TI - Correction to: Georges et al., Quality assessment in Belgian arrhythmology: the Belgian heart rhythm association (BeHRA) databases. PMID- 29842842 TI - Erratum. PMID- 29842843 TI - Interval running with self-selected recovery: Physiology, performance, and perception. AB - This study (1) compared the physiological responses and performance during a high intensity interval training (HIIT) session incorporating externally regulated (ER) and self-selected (SS) recovery periods and (2) examined the psychophysiological cues underpinning SS recovery durations. Following an incremental maximal exercise test to determine maximal aerobic speed (MAS), 14 recreationally active males completed 2 HIIT sessions on a non-motorised treadmill. Participants performed 12 * 30 s running intervals at a target intensity of 105% MAS interspersed with 30 s (ER) or SS recovery periods. During SS, participants were instructed to provide themselves with sufficient recovery to complete all 12 efforts at the required intensity. A semi-structured interview was undertaken following the completion of SS. Mean recovery duration was longer during SS (51 +/- 15 s) compared to ER (30 +/- 0 s; p < .001; d = 1.46 +/- 0.46). Between-interval heart rate recovery was higher (SS: 19 +/- 9 b min-1; ER: 8 +/- 5 b min-1; p < .001; d = 1.43 +/- 0.43) and absolute time >=90% maximal heart rate (HRmax) was lower (SS: 335 +/- 193 s; ER: 433 +/- 147 s; p = .075; d = 0.52 +/- 0.39) during SS compared to ER. Relative time >=105% MAS was greater during SS (90 +/- 6%) compared to ER (74 +/- 20%; p < .01; d = 0.87 +/- 0.40). Different sources of afferent information underpinned decision-making during SS. The extended durations of recovery during SS resulted in a reduced time >=90% HRmax but enhanced time >=105% MAS, compared with ER exercise. Differences in the afferent cue utilisation of participants likely explain the large levels of inter individual variability observed. PMID- 29842844 TI - Anxiety sensitivity cognitive concerns drive the relation between anxiety sensitivity and symptoms of depression. AB - Depression is typically treated as a homogeneous construct despite evidence for distinct cognitive, affective, and somatic symptom dimensions. Anxiety sensitivity (AS; the fear of consequences of anxiety symptoms) is a cognitive risk factor implicated in the development of depressive symptoms. However, it is unclear how lower order AS dimensions (i.e. physical, cognitive, and social concerns) relate to depressive symptom factors. Confirmatory factor analysis, followed by structural equation modeling, were conducted to examine the factor structure of depression and to then examine the relations between these factors and the lower order factors of AS. This study was conducted in a sample of 374 adults (M age = 35.5, 54.3% female) with elevated levels of psychopathology (89.2% meeting criteria for at least one DSM-5 diagnosis, 25.6% primary depressive disorder). In this study a two-factor model of depression, composed of Cognitive and Affective/Somatic factors, was superior to one- and three-factor solutions. AS cognitive concerns were related to both cognitive and affective/somatic symptoms of depression. Neither of the other AS dimensions was related to depression symptom dimensions. These findings provide a better understanding of the relations between AS and depression symptoms. PMID- 29842845 TI - Portable Systems for Metered Dispensing of Aggressive Liquids. AB - Precise metering in liquid dispensing applications often requires application specific solutions due to incompatibilities of the sensor and actuator components with the dispensed liquids. Some reoccurring challenges are aggressive liquids that would damage the sensors or tubing, the need for sterile liquids while the pumps or sensors cannot be sterilized, or media that can clog the sensor channels. Two different dispensing systems are here presented where the dispensing flow rate or volume is indirectly measured through a coupled pressure change or airflow, thus avoiding contact between the sensor and liquid. The controlled pressure-driven dispensing (cPDD) system builds an overpressure in the liquid reservoir by pumping air and controls the opening of the liquid output valve based on the internal pressure development. The FlowCap system uses a liquid pump on the outlet, controlled by the measured inflow of air to the reservoir. Both systems are designed for compactness and portability and offer independent operation, as well as control and communication, over a wireless interface. PMID- 29842846 TI - Metal contents and potential health risk assessment of crops grown in a former mining district (Romania). AB - The Cd, Cu, Pb and Zn contents in home-grown crops in a former mining district were determined in order to evaluate the non-carcinogenic long-term potential health risk related to crop consumption. The potential health risk was investigated by estimating the daily intake and the hazard quotients. For all crop categories, the daily intake and the target hazard quotient were below the threshold values for Cd, Cu, and Zn. The daily intake of Pb exceeded the oral reference dose, while the target hazard quotient for vegetables was above 1, indicating a potential health risk. The total target hazard quotient for the individual metals decreased in the following order: Pb>Cd>Cu>Zn. This study confirmed that the daily consumption of crops grown in contaminated soils could pose health risks to humans. PMID- 29842847 TI - Removal of odorous compounds emitted from a food-waste composting facility in Korea using a pilot-scale scrubber. AB - Monitoring and control of odorous compound emissions have been enforced by the Korean government since 2005. One of the point sources for these emissions was from food waste composting facilities. In this study, a pilot-scale scrubber installed in a composting facility was evaluated for its performance in the removal of malodorous compounds. The exhaust stream contained ammonia and methylamine as the major odorants detected by the threshold odor test and various instrumental techniques (GC-FID, FPD, MS and HPLC/UV). For the scrubber operation, the column was randomly packed with polypropylene Hi-Rex 200, while aqueous sulfuric acid was selected as the scrubbing solution. To achieve 95% removal, the scrubber must be operated by using H2SO4 solution with pH at < 6.5, liquid to gas ratio > 4.5, gas loading rate < 1750 m3/m3-hr and contact time < 0.94 s. The scrubber performance was further evaluated by determining the mass transfer coefficients and then monitoring for 355 days of operation. The pilot scale scrubber maintained > 95% ammonia and methylamine removal efficiencies despite the fluctuations in the inlet (from composting facility exhaust stream) concentration. The optimum operating conditions and scrubber performance indicators determined in this study provides a basis for the design of a plant scale scrubber for treatment of composting facility gas emissions. PMID- 29842848 TI - Lactobacillus gasseri PA-3, but not L. gasseri OLL2996, reduces the absorption of purine nucleosides in rats. AB - Lactobacillus gasseri PA-3 (PA-3) is a bacterial strain with a strong ability to degrade purine nucleosides. We previously showed that PA-3 incorporates purines in vitro and that oral administration of PA-3 and purines to rats attenuated their absorption of purines. It remains unclear whether these effects of PA-3 depend on bacterial strains. This study therefore compared the abilities of PA-3 and another bacterial strain of L. gasseri, OLL2996, which has shown decreased ability to degrade purine nucleosides in vitro, to incorporate purine nucleosides and to inhibit the absorption of purines fed to rats. Each bacterial strain was incubated in the presence of 14C-adenosine or 14C-inosine and the incorporation of each purine was evaluated by measuring their radioactivity. In vivo, rats were fed 14C-labeled purines along with PA-3 or OLL2996 and the absorption of these 14C-labeled purines was evaluated by analyzing radioactivity of blood samples. PA 3 incorporated about twice as much 14C-adenosine and 14C-inosine as OLL2996. The elevation of radioactivity levels in blood was 10-20% lower in rats treated with PA-3 than in control rats, after feeding with both 14C-adenosine and 14C-inosine as purines. In contrast, treatment with OLL2996 did not have statistically significant effects on radioactivity compared with the control group. These results indicate that the magnitude of bacterial inhibition of purine absorption is dependent on bacterial strain, correlating at least partly with the ability to incorporate and degrade purines. PMID- 29842849 TI - Structural insights into pharmacophore-assisted in silico identification of protein-protein interaction inhibitors for inhibition of human toll-like receptor 4 - myeloid differentiation factor-2 (hTLR4-MD-2) complex. AB - Toll-like receptor 4 (TLR4) is a member of Toll-Like Receptors (TLRs) family that serves as a receptor for bacterial lipopolysaccharide (LPS). TLR4 alone cannot recognize LPS without aid of co-receptor myeloid differentiation factor-2 (MD-2). Binding of LPS with TLR4 forms a LPS-TLR4-MD-2 complex and directs downstream signaling for activation of immune response, inflammation and NF-kappaB activation. Activation of TLR4 signaling is associated with various pathophysiological consequences. Therefore, targeting protein-protein interaction (PPI) in TLR4-MD-2 complex formation could be an attractive therapeutic approach for targeting inflammatory disorders. The aim of present study was directed to identify small molecule PPI inhibitors (SMPPIIs) using pharmacophore mapping based approach of computational drug discovery. Here, we had retrieved the information about the hot spot residues and their pharmacophoric features at both primary (TLR4-MD-2) and dimerization (MD-2-TLR4*) protein-protein interaction interfaces in TLR4-MD-2 homo-dimer complex using in silico methods. Promising candidates were identified after virtual screening, which may restrict TLR4-MD-2 protein-protein interaction. In silico off-target profiling over the virtually screened compounds revealed other possible molecular targets. Two of the virtually screened compounds (C11 and C15) were predicted to have an inhibitory concentration in MUM range after HYDE assessment. Molecular dynamics simulation study performed for these two compounds in complex with target protein confirms the stability of the complex. After virtual high throughput screening we found selective hTLR4-MD-2 inhibitors, which may have therapeutic potential to target chronic inflammatory diseases. PMID- 29842850 TI - A Single-Step Self-Assembly Approach for the Fabrication of Aligned and Multilayered Three-Dimensional Tissue Constructs Using Multidomain Peptide Hydrogel. AB - Hydrogels are homogenous materials that are limited in their ability to form oriented multilayered architecture in three-dimensional (3D) tissue constructs. Current techniques have led to advancements in this area. Such techniques often require extra devices and/or involve complex processes that are inaccessible to many laboratories. Here is described a one-step methodology that permits reliable alignment of cells into multiple layers using a self-assembling multidomain peptide (MDP) hydrogels. We characterized the structural features, viability, and molecular properties of dental pulp cells fabricated with MDP and demonstrated that manipulation of the layering of cells in the scaffolds was achieved by decreasing the weight by volume percentage (w/v%) of MDP contained within the scaffold. This approach allows cells to remodel their environment and enhanced various gene expression profiles, such as cell proliferation, angiogenesis, and extracellular matrix (ECM) remodeling-related genes. We further validated our approach for constructing various architectural configurations of tissues by fabricating cells into stratified multilayered and tubular structures. Our methodology provides a simple, rapid way to generate 3D tissue constructs with multilayered architectures. This method shows great potential to mimic in vivo microenvironments for cells and may be of benefit in modeling more complex tissues in the field of regenerative medicine. PMID- 29842851 TI - Axial mechanical and structural characterization of keratoconus corneas. AB - PURPOSE: Previous studies indicate that there is an axial gradient of collagen lamellar branching and anastomosing leading to regional differences in corneal tissue stiffness that may control corneal shape. To further test this hypothesis we have measured the axial material stiffness and quantified the collagen lamellar complexity in ectatic and mechanically weakened keratoconus corneas (KC). METHODS: Acoustic radiation force elastic microscopy (ARFEM) was used to probe the axial mechanical properties of the cone region of three donor KC buttons. 3 Dimensional second harmonic generation microscopy (3D-SHG) was used to qualitatively evaluate lamellar organization in 3 kC buttons and quantitatively measure lamellar branching point density (BPD) in a separate KC button that had been treated with epikeratophakia (Epi-KP). RESULTS: The mean elastic modulus for the KC corneas was 1.67 +/- 0.44 kPa anteriorly and 0.970 +/- 0.30 kPa posteriorly, substantially below that previously measured for normal human cornea. 3D-SHG of KC buttons showed a simplified collagen lamellar structure lacking noticeable angled lamellae in the region of the cone. BPD in the anterior, posterior, central and paracentral regions of the KC cornea were significantly lower than in the overlying Epi-KP lenticule. Additionally, BPD in the cone region was significantly lower than the adjacent paracentral region in the KC button. CONCLUSIONS: The KC cornea exhibits an axial gradient of mechanical stiffness and a BPD that appears substantially lower in the cone region compared to normal cornea. The findings reinforce the hypothesis that collagen architecture may control corneal mechanical stiffness and hence corneal shape. PMID- 29842852 TI - The modifying effect of kidney function on the association of cadmium exposure with blood pressure and cardiovascular mortality: NHANES 1999-2010. AB - OBJECTIVE: We hypothesized that the associations of urinary Cd with blood pressure and cardiovascular disease (CVD) mortality may be modified by renal function. METHODS: We tested these hypotheses using data from the National Health and Nutrition Examination Survey (NHANES, 1999-2010). RESULTS: Both systolic blood pressure (SBP) and diastolic blood pressure (DBP) were positively associated with blood Cd. DBP was positively related to urinary Cd whereas SBP was inversely associated with urinary Cd. In the stratified analyses by level of eGFR, the associations between SBP and urinary Cd were not statistically significant among those with normal renal function and those with mildly reduced renal function whereas SBP significantly positively associated with urinary Cd among those with moderately or severely decreased renal function (p for trend, 0.0004). Renal function appeared to be a modifying factor of the association between urinary Cd and mortality. CVD mortality risks (p for trend, 0.04) were significantly increased with increasing urinary Cd with hazard ratios (HRs) (95% CIs) of 2.18 (0.68-7.01) for the highest quartile of urinary Cd compared to the lowest. The association between urinary Cd and CVD mortality became stronger in the stratified analyses by renal function and these associations became more consistent in those who never smoked. CONCLUSIONS: The inverse association between urinary Cd and blood pressure observed in previous studies may be due to lack of consideration of renal function as an effect modifier. The strength of the association between urinary Cd and CVD mortality may be underestimated without considering renal function. PMID- 29842853 TI - Reproducible model development in the cardiac electrophysiology Web Lab. AB - The modelling of the electrophysiology of cardiac cells is one of the most mature areas of systems biology. This extended concentration of research effort brings with it new challenges, foremost among which is that of choosing which of these models is most suitable for addressing a particular scientific question. In a previous paper, we presented our initial work in developing an online resource for the characterisation and comparison of electrophysiological cell models in a wide range of experimental scenarios. In that work, we described how we had developed a novel protocol language that allowed us to separate the details of the mathematical model (the majority of cardiac cell models take the form of ordinary differential equations) from the experimental protocol being simulated. We developed a fully-open online repository (which we termed the Cardiac Electrophysiology Web Lab) which allows users to store and compare the results of applying the same experimental protocol to competing models. In the current paper we describe the most recent and planned extensions of this work, focused on supporting the process of model building from experimental data. We outline the necessary work to develop a machine-readable language to describe the process of inferring parameters from wet lab datasets, and illustrate our approach through a detailed example of fitting a model of the hERG channel using experimental data. We conclude by discussing the future challenges in making further progress in this domain towards our goal of facilitating a fully reproducible approach to the development of cardiac cell models. PMID- 29842854 TI - Repeated weight cycling in obese mice causes increased appetite and glucose intolerance. AB - Obesity is an ongoing global public health problem. For many people dieting is the preferred method of combating elevated body fat. Weight lost during caloric restriction is often soon regained and so a pattern of recurrent dieting develops. Here an individual's food intake fluctuates up and down with intermittent periods of normal eating and restrained eating. The metabolic consequences of 'yoyo dieting' or 'weight cycling' are not well understood. Here we monitor the effects of multiple, repeated dieting periods on body composition and metabolic health in overweight mice. Compared to mice that were continuously fed a high fat diet, the energy expenditure of diet-cycled mice was reduced. This resulted in mice rapidly regaining body weight upon the reintroduction of high fat chow diet subsequent to periods of caloric restriction. Diet cycling also increased the appetite for high fat chow and diminished glucose tolerance. These data demonstrate the detrimental effects of diet cycling upon metabolic health. PMID- 29842855 TI - The benefits of social buffering are maintained regardless of the stress level of the subject rat and enhanced by more conspecifics. AB - Social buffering is a phenomenon in which the presence of an affiliative conspecific (associate) mitigates stress responses in a subject. We assessed the relationship between the stress level of subjects and the benefit of social buffering. In Experiment 1, subjects fear-conditioned using 0.15-mA, 0.45-mA, or 0.70-mA foot shocks were re-exposed to a conditioned stimulus (CS) either alone or with an associate on the day following fear conditioning. We found that behavioral responses were reduced by the presence of an associate. The intensity of this decrease was similar among all subjects. These results suggest that the intensity of social buffering was similar regardless of the stress level of the subject. The high stress subjects showed residual stress responses after receiving social buffering, indicating that the residual stress responses may have been resistant to social buffering. To further examine this, subjects fear conditioned using 0.70-mA foot shocks were re-exposed to the CS either alone, with one associate, or with three associates in Experiment 2. We found that behavioral responses decreased as the number of associates increased. These results suggest that residual stress responses are further ameliorated when the number of associates increases. Therefore, the residual stress responses were also sensitive to buffering. Taken together, our data indicate that the benefits of social buffering are maintained regardless of the stress level of the subject rat and enhanced by more conspecifics. PMID- 29842856 TI - The first-trimester maternal serum cyclophilin A concentrations in women with complicated pregnancy as preeeclampsia. AB - BACKGROUND: Cyclophilin A (CyPA) is a potential mediator of inflammation. We assessed the predictive value of the first-trimester maternal serum CyPA concentrations for complicated pregnancy. METHODS: The first-trimester serum CyPA concentrations were quantified in 100 women with normal pregnancy and in 351 women with complicated pregnancy, including 102 pre-eclampsia women, 131 gestational hypertension (GH) women and 118 gestational diabetes mellitus (GDM) women. Its association with complicated pregnancy was ascertained using multivariate analysis. RESULTS: Median CyPA concentrations were significantly higher in women developing complicated pregnancy as pre-eclampsia, GH or GDM than in women with normal pregnancy. CyPA concentrations were independently correlated with C-reactive protein concentrations in complicated pregnancy as pre-eclampsia, GH or GDM women. Serum CyPA and body mass index were independently associated with the development of complicated pregnancy as pre-eclampsia, GH or GDM. Serum CyPA possessed significantly high area under receiver operating characteristic curve. Meanwhile, CyPA significantly improved the predictive value of body mass index. CONCLUSIONS: Serum CyPA might be utilized as a potential inflammatory biomarker for complicated pregnancy and assessment of serum CyPA might aid in the prediction of complicated pregnancy. PMID- 29842857 TI - Plasma concentration of diamine oxidase (DAO) predicts 1-month mortality of acute on-chronic hepatitis B liver failure. AB - BACKGROUND: Acute-on-chronic hepatitis B liver failure (ACHBLF) has high 1-month mortality but it is difficult to predict. This present study was aimed to determine the diagnostic value of plasma diamine oxidase (DAO) in predicting the 1-month mortality of ACHBLF. METHODS: A total of 106 consecutive newly diagnosed ACHBLF patients were retrospectively collected. The plasma expression of DAO was determined using enzyme-linked immunosorbent assay (ELISA). RESULTS: The plasma DAO level of survivals [14.0 (7.1; 26.5) ng/mL] was significantly lower than the nonsurvivals [58.6 (32.5; 121.3) ng/mL, P < .001]. The plasma DAO level, hepatic encephalopathy, spontaneous bacterial peritonitis and model for end-stage liver disease (MELD) score were independent factors associated with the 1-month mortality for ACHBLF. The cut-off point of 15.2 ng/mL for plasma DAO level with sensitivity of 95.45%, specificity of 62.5%, 22.6 for MELD score with sensitivity of 90.91%, specificity of 67.5%, 0.07 for DAO plus MELD with sensitivity of 87.88%, specificity of 80% were selected to discriminate 1-month morality of ACHBLF. Furthermore, DAO plus MELD score showed high AUROC than MELD score for predicting 1-month (0.916 vs. 0.843, P < .01). CONCLUSIONS: The plasma DAO level plus MELD > 0.07 predicts poor 1-month mortality of ACHBLF. PMID- 29842858 TI - Pharmacological inhibition of 2-arachidonoilglycerol hydrolysis enhances memory consolidation in rats through CB2 receptor activation and mTOR signaling modulation. AB - The endocannabinoid system is a key modulator of memory consolidation for aversive experiences. We recently found that the fatty acid amide hydrolase (FAAH) inhibitor URB597, which increases anandamide levels by inhibiting its hydrolysis, facilitates memory consolidation through a concurrent activation of both cannabinoid receptor type 1 (CB1) and 2 (CB2). Here, we investigated the role played on memory consolidation by the other major endocannabinoid, 2 arachidonoylglycerol (2-AG). To this aim, we tested the effects of pharmacological inhibition of monoacylglycerol lipase (MAGL) through systemic administration of the MAGL inhibitor JZL184 to rats immediately after training of the inhibitory avoidance task. Pharmacological enhancement of 2-AG tone facilitated memory consolidation through activation of CB2 receptor signaling. Moreover, we found that increased 2-AG signaling prevented the activation of the mammalian target of rapamycin (mTOR) signaling pathway in the hippocampus through a CB2-dependent mechanism. Our results identify a fundamental role for 2-AG and CB2 receptors in the modulation of memory consolidation for aversive experiences. PMID- 29842859 TI - I must have missed that: Alpha-band oscillations track attention to spoken language. AB - Attention is critical to the construction of mental representations of language context during comprehension. We investigated the consequences of momentary lapses in attention during listening comprehension on neural activity and behavior. Participants listened to two full-length stories while EEG was recorded, and afterwards completed multiple choice comprehension questions. Listening was periodically interrupted by attention probes, in which participants were asked whether their attention immediately preceding the probe's appearance was focused on the story. The results showed that (1) participants spent a substantial amount of time off-task, endorsing attention lapses on over 30% of probes; (2) for probes on which an attention lapse was endorsed, later accuracy on comprehension questions querying pre-probe information was decreased; (3) the pre-probe period just before the endorsement of an attention lapse was characterized by a greater percentage of above-threshold oscillations in the alpha-band (8-12 Hz) compared to just prior to the endorsement of on-task or split-attention listening; and (4) when participants made "I have no idea" responses to comprehension questions, their EEG record revealed a greater percentage of above-threshold alpha oscillations during the original presentation of the information queried by the comprehension questions, compared to correct responses or incorrect guesses. These results connect changes in neural activity in the alpha band to episodes of mind-wandering during listening comprehension, and in turn to decreased comprehension accuracy. This demonstrates how alpha can be used to track attentional engagement during language comprehension, and illustrates the dependence of successful language comprehension on attention. PMID- 29842860 TI - Dexmedetomidine attenuated early brain injury in rats with subarachnoid haemorrhage by suppressing the inflammatory response: The TLR4/NF-kappaB pathway and the NLRP3 inflammasome may be involved in the mechanism. AB - Early brain injury (EBI) plays a pivotal role in the prognosis of patients with subarachnoid haemorrhage (SAH). Dexmedetomidine (DEX), a highly selective alpha2 receptor agonist, is reported to exert multiple protective effects in many neurological diseases. This study was designed to investigate whether DEX had neuroprotective functions in EBI after SAH, and to explore the possible mechanisms. The SAH model was established by an endovascular perforation in adult male Sprague-Dawley (SD) rats. DEX (25 ug/kg) or vehicle was administered intraperitoneally 2 h after SAH. Neurological deficits, brain oedema, inflammation, BBB damage, and cell apoptosis at 24 h after SAH were evaluated. Additionally, the expression of components of the Toll-like receptor 4 (TLR4)/nuclear factor-kappaB (NF-kappaB) pathway, and the nucleotide-binding oligomerization domain-like receptor family pyrin domain-containing 3 (NLRP3) inflammasome were also assessed. We demonstrated that DEX treatment improved neurological scores, alleviated brain oedema, reduced the permeability of the blood-brain barrier (BBB), and up-regulated the expression of tight junction proteins. DEX treatment could reduce the neutrophil infiltration, microglial activation, and pro-inflammatory factor release. In addition, DEX alleviated cell apoptosis at 24 h after SAH. Notably, DEX could also suppress the activation of the TLR4/NF-kappaB pathway and the NLRP3 inflammasome. These findings suggested that treatment with DEX after SAH attenuated SAH-induced EBI, partially through the suppression of the TLR4/NF-kappaB pathway and the NLRP3 inflammasome. PMID- 29842861 TI - Neuroprotective effect of acute prior inflammation with lipopolysaccharide for adult male rat facial motoneurones. AB - Increases in inflammatory cytokines are reported to have both neuroprotective and neurotoxic effects depending on the type and age of neurones studied. This study aimed to determine the effect of experimental inflammation induced by Lipopolysaccharide (LPS) on the survival of injured male adult rat facial motoneurones. Time- and dose-response studies were done to optimise the LPS administration time and dose, to best correlate with inflammatory levels previously reported for aged rats. 12 cytokines were assayed through multiplex analysis. 24 h after intraperitoneal injection of 0.5 mg/kg Lipopolysaccharide in rats, IL-1beta, IL-5 and IL-12p70 levels were elevated, with no observed LPS associated sickness behaviour. In other groups of 5-6 adult rats, the facial nerve was either crushed (as mild injury) or avulsed (as severe injury) after the LPS priming injection. Stereology revealed that most motoneurones survived 28 days after nerve crush only and LPS- or saline-priming preceding nerve crush. Most motoneurones died following nerve avulsion only, whereas over half survived when LPS-priming preceded nerve avulsion. We suggest that elevated levels of experimental inflammation are neuroprotective for severely injured adult male rat facial motoneurones. PMID- 29842862 TI - Investigation of binding characteristics of immobilized toll-like receptor 3 with poly(I:C) for potential biosensor application. AB - Toll-like receptor 3 (TLR3), a pathogen recognition receptor of the innate immune response, recognizes and is activated by double-stranded RNA (dsRNA), which is indicative of viral exposure. A sensor design exercise was conducted, using surface plasmon resonance detection, through the examination of several immobilization approaches for TLR3 as a biorecognition element (BRE) onto a modified gold surface. To examine the TLR3-dsRNA interaction a synthetic analogue mimic, poly (I:C), was used. The interaction binding characteristics were determined and compared to literature data to establish the optimal immobilization method for the TLR3 BRE. A preliminary evaluation of the efficacy of the selected TLR3 surface as a broad-spectrum viral biosensor was also performed. Amine-coupling was found to be the most reliable method for manufacturing repeatable and consistent TLR3 BRE sensor surfaces, although this immobilization schema is not tailored to place the receptor in a spatially specific orientation. The equilibrium dissociation constant (KD) measured for this immobilized TLR3-poly (I:C) interaction was 117 +/- 3.30 pM. This evaluation included a cross-reactivity study using a selection of purified E. coli and synthetic double- and single-stranded nucleic acids. The results of this design exercise and ligand binding study will inform future work towards the development of a broad-spectrum viral sensor device. PMID- 29842863 TI - Molecular basis of growth hormone daily mRNA and protein synthesis in rats. AB - AIMS: Daily and seasonal rhythms coordinate the endocrine and metabolic functions. The pituitary gland is the master regulator of several endocrine activities, and its function is classically regulated by endocrine signals from its target glands as well as from the hypothalamus. The growth hormone (GH) produced and secreted by the anterior pituitary presents a pulsatile secretion throughout the 24-hour cycle. However, the molecular mechanisms regulating the daily pattern of GH secretion are still unclear. Herein we investigated whether circadian GH mRNA and protein synthesis is modulated by acute adjustments in the stability and expression of GH mRNA. MAIN METHODS: GH mRNA and protein content were evaluated by real-time PCR and Western blotting, respectively, in pituitary gland of rats euthanized every 3 h during a 24-h period at the Zeitgeber times (ZT3 to ZT24). The GH mRNA poly(A) tail length was determined by RACE-PAT assay. KEY FINDINGS: We identified two main peaks of GH mRNA level in the pituitary gland of rats; one in the middle of the light-cycle and another in the middle of the dark-cycle. The latter was associated with an increase in pituitary GH protein content. Interestingly, an increment in the poly(A) tail length of the GH transcript was observed in association to reduced migration rate of the GH transcript and increased mRNA content in the dark-cycle period. SIGNIFICANCE: Our findings provide evidence that changes in the GH mRNA poly(A) length may underlie the circadian pattern of GH mRNA and protein levels in the pituitary gland of rats. PMID- 29842864 TI - New thinking about thinking, part two. Theoretical articles for Alzheimer's & Dementia. PMID- 29842865 TI - Historical record-setting trends in IUD use in the United States. PMID- 29842866 TI - With-in host dynamics of L. monocytogenes and thresholds for distinct infection scenarios. AB - The case fatality and illness rates associated with L. monocytogenes continue to pose a serious public health burden despite the significant efforts and control protocol administered by private and public sectors. Due to the advance in surveillance and improvement in detection methodology, the knowledge of sources, transmission routes, growth potential in food process units and storage, effect of pH and temperature are well understood. However, the with-in host growth and transmission mechanisms of L. monocytogenes, particularly within the human host, remain unclear, largely due to the limited access to scientific experimentation on the human population. In order to provide insight towards the human immune response to the infection caused by L. monocytogenes, we develop a with-in host mathematical model. The model explains, in terms of biological parameters, the states of asymptomatic infection, mild infection and systemic infection leading to listeriosis. The activation and proliferation of T-cells are found to be critical for the susceptibility of the infection. Utilizing stability analysis and numerical simulation, the ranges of the critical parameters relative to infection states are established. Bifurcation analysis shows the impact of the differences of these parameters on the dynamics of the model. Finally, we present model applications in regards to predicting the risk potential of listeriosis relative to the susceptible human population. PMID- 29842867 TI - Characterization of the honeybee venom proteins C1q-like protein and PVF1 and their allergenic potential. AB - Honeybee (Apis mellifera) venom (HBV) represents an ideal model to study the role of particular venom components in allergic reactions in sensitized individuals as well as in the eusociality of Hymenoptera species. The aim of this study was to further characterize the HBV components C1q-like protein (C1q) and PDGF/VEGF-like factor 1 (PVF1). C1q and PVF1 were produced as recombinant proteins in insect cells. Their allergenic properties were examined by determining the level of specific IgE antibodies in the sera of HBV-allergic patients (n = 26) as well as by their capacity to activate patients' basophils (n = 11). Moreover, the transcript heterogeneity of PVF1 was analyzed. It could be demonstrated that at least three PVF1 variants are present in the venom gland, which all result from alternative splicing of one transcript. Additionally, recombinant C1q and PVF1 from Spodoptera frugiperda insect cells exhibited specific IgE reactivity with approximately 38.5% of sera of HBV-allergic patients. Interestingly, both proteins were unable to activate basophils of the patients, questioning their role in the context of clinically relevant sensitization. Recombinant C1q and PVF1 can build the basis for a deeper understanding of the molecular mechanisms of Hymenoptera venoms. Moreover, the conflicting results between IgE sensitization and lack of basophil activation, might in the future contribute to the identification of factors that determine the allergenic potential of proteins. PMID- 29842868 TI - Effect of beef ingestion by humans on plasma concentrations of creatinine, urea, and cystatin C. AB - PURPOSE: The effect of eating meat on serum concentrations of creatinine has varied among previous reports, with some finding no effect and others finding 50 100% increases, which appears related to how the beef is cooked. For other analytes related to kidney function, urea is well known to increase following a protein meal, and the effect of eating meat on cystatin C concentrations has been studied once. METHODS: We had 32 participants eat a measured amount of cooked beef (5-6 or 10-12 oz; 142-170 or 284-340 g) and collected blood for measurements at 1 h before and immediately before eating beef, then at 1, 2, and 4 h after eating the beef. We measured creatinine using both alkaline picrate and enzymatic methods, cystatin C using a nephelometric immunoassay, and urea using an enzymatic method. RESULTS: For creatinine, both the picrate and enzymatic methods showed similar responses, with a peak average increases of 5.9 MUmol/L (0.07 mg/dL) and 4.6 MUmol/L (0.05 mg/dL), respectively, at 2 h. Cystatin C had a very slightly maximal decrease of -0.037 mg/L at 2 h. Urea had the largest change, increasing by 0.30 and 0.77 mmol/L at 2 and 4 h respectively. CONCLUSIONS: Healthy individuals were found to have minor increases in serum creatinine (~5 MUmol/L) following the ingestion of 5/6 or 10/12 oz of fried beef. Cystatin C appears to decrease very slightly in some people after beef ingestion, possibly due either to circadian variation or to a hormonal effect of eating. We conclude that ingesting these amounts of fried beef has a small effect on plasma creatinine concentrations. Although these increases would likely not affect the diagnosis of a kidney impairment in this population or in those with kidney disease, eating meat before collecting blood for creatinine measurement should be avoided. PMID- 29842869 TI - Effect of vitrification on human oocyte maturation rate during in vitro maturation procedure: A systematic review and meta-analysis. AB - Combination of in vitro maturation (IVM) and cryopreservation offers new opportunities for women with contraindication in ovarian stimulation, and females who desire to postpone the childbearing due to different problems. There are still controversies regarding IVM procedure and its impact on oocytes fertilization capability. This systematic review and meta-analysis were conducted to evaluate the impact of vitrification on human oocyte maturation rate during IVM procedure. In this review, we searched Medline, Embase, Scopus and ISI web of science to identify English-language studies. The last search was implemented on 3 February 2018. The original articles which assessed maturation rate after vitrification of MI or GV oocytes were included. Animal trials and the studies that performed cryopreservation using slow-freeze method were excluded. Bias and quality assessments were performed. 2476 articles were screened primarily. After duplication removing and the application of inclusion and exclusion criteria, 14 studies included for the analysis. All studies compared maturation rate between the oocytes that were vitrified at the GV or MI stage before maturation and oocytes which were matured in vitro without vitrification. Meta-analysis showed that oocyte vitrification at GV stage had a significant negative impact on maturation rate (RR = 0.76, 95% CI: 0.66-0.88); I2 = 85.2%; P = 0.000). Finally, based on our results, oocyte vitrification decreases the maturation rate by 24%. PMID- 29842871 TI - Serum derived from ulcerative colitis mouse changes the metabolism of the fluorescent substrate by P450 depending on the degree of disease progression. AB - Ulcerative colitis (UC) is characterized by erosions of the intestinal mucosa. The number of patients with UC has recently been increasing rapidly. Since the diagnosis of UC is complex and difficult, a simple, rapid, noninvasive technique for diagnosing UC is needed urgently. The expression of cytochrome P450 (P450 or CYP) species in mouse liver is known to be changed dependent on the disease. Various components such as P450 substrates and P450 metabolites in the blood may possibly change with the UC-specific way in mouse. In this study, in order to evaluate UC-specific components in UC mouse serum, we analyzed the influence of serum derived from UC mice on the results of fluorescent P450 inhibition assays based on 12 human P450 enzymes, such as CYP1A1, CYP2C8, CYP2E1,CYP3A4, CYP1A2, CYP2D6, CYP2A13, CYP2B6, CYP2C9, CYP2C18, CYP2C19, and CYP3A5. At first, in order to induce UC, mice received 4,4-dimethyl-4-silapentane-1-sulfonic acid (DSS) dissolved in their drinking water for 7 days. Next, these 12 human P450 enzymes were expressed in E. coli cells. Then, P450 fluorescent competition reaction was performed using these P450 enzymes and serum of UC mice. We found that the metabolism of fluorescent substrates by CYP2B6, CYP2C19, CYP2E1, and CYP1A1 in the presence of serum obtained from DSS-treated mice was activated by 42%, 37%, 37%, and 23%, respectively, relative to that associated with sera from control mice. A receiver operating characteristic (ROC) curve analysis was carried out with the 31 samples of UC mice and healthy mice. Area under the ROC curve (AUC) value was calculated from ROC curve. AUC value of CYP2E1 and CYP2C19 showed 0.921 and 0.892, respectively. Therefore, it was shown that CYP2C19 and CYP2E1 could be used as biomarkers for evaluating ulcerative colitis. From these results, it is suggested that these simple fluorescent P450 inhibition assays have potential as a new diagnostic procedure for UC in mouse. This study is the first report on a simple non-invasive method for evaluating UC using P450 enzyme and serum interaction. PMID- 29842870 TI - Impact of prepubertal exposure to dietary protocatechuic acid on the hypothalamic pituitary-testicular axis in rats. AB - Protocatechuic acid (PCA; 3, 4-dihydroxybenzoic acid) is a phenolic compound widely found in many edible fruits, vegetables, grape wine and plant-derived beverages. The present study investigated the impact of PCA on the hypothalamic pituitary-testicular axis of rats orally treated with PCA during the period of prepubertal development to adulthood. Protocatechuic acid was administered to prepubertal male rats at doses of 0, 5, 10, 50 and 100 mg/kg body for 45 consecutive days. The results revealed no treatment-related changes in the body weight gain and organo-somatic indices of the hypothalamus, testes, epididymis, prostate gland and seminal vesicle in rats administered with PCA when compared with control. However, prepubertal exposure to PCA significantly enhanced antioxidant enzyme activities and glutathione level whereas it markedly decreased biomarkers of inflammation and oxidative stress in the hypothalamus, testes and epididymis of the treated rats. Protocatechuic acid significantly increased circulatory concentrations of luteinizing hormone and follicle-stimulating hormone with concomitant increase in serum and intra-testicular testosterone levels. Moreover, PCA-treated rats exhibited significant increase in marker enzymes of testicular function namely acid phosphatase, alkaline phosphatase, lactate dehydrogenase and glucose-6-phosphate dehydrogenase without statistically significant increase in spermatogenesis and sperm functional characteristics including sperm count, motility and viability. Light microscopic examination of the hypothalamus, testes and epididymis of rats treated with PCA showed histo architectures similar to control. In conclusion, prepubertal exposure to PCA is safe and positively impacted reproductive function at sexual maturity in male rats. The observed beneficial effects of PCA is related to its anti-inflammatory and redox regulatory mechanisms. PMID- 29842872 TI - Inability to work due to Chikungunya virus infection: impact on public service during the first epidemic in the State of Ceara, northeastern Brazil. PMID- 29842873 TI - Hypokalemia in an End-Stage Renal Disease Patient. PMID- 29842874 TI - Influence of resveratrol on interactions between negatively charged DPPC/DPPG membranes and positively charged poly-l-lysine. AB - Resveratrol (Res), a natural polyphenol present in different plants and vegetables, exhibits potential therapeutic activity with cardioprotective, antineurodegenerative, antioxidant, and antitumor action. In this study, the effect of Res on the mutual interactions between positively charged poly-l-lysine (PLL) and negatively charged dipalmitoylphosphatidylcholine/dipalmitoylphosphatidylglycerol (DPPC/DPPG) membranes was studied using Fourier-transform infrared (FTIR) spectroscopy supported by principal component analysis (PCA). The interactions between PLL and DPPC/DPPG membranes were strongly affected by the presence of Res molecules. Depending on the Res concentration and method of its supply (through the water or lipid phase) to the studied peptide-membrane systems, the membrane-induced transition of PLL from an alpha-helix to an extended left-handed polyproline II helix (PPII) occurred at different temperatures, with different cooperativity, or was even completely suppressed. The influence of PLL on the conformational (trans/gauche) state of the hydrocarbon chain region of the lipid membranes and the hydration state of the polar/apolar membrane interface was also modulated by Res, depending on the membrane phase state. PMID- 29842875 TI - Peripheral gabapentin regulates mosquito allergy-induced itch in mice. AB - The antipruritic activity of gabapentin, an anticonvulsant, was studied in a mouse model of allergic itch. In mice sensitized by an extract of the salivary glands of the mosquito (ESGM), an intradermal injection of ESGM elicited scratching and increased peripheral nerve firing. Oral or intradermal administration of gabapentin at the ESGM injection site inhibited ESGM-induced scratching and peripheral nerve firing. However, gabapentin did not affect histamine-induced scratching. The distributions of immunoreactivity to the voltage-dependent calcium channel alpha2delta-1 subunit, a site of gabapentin action, and the histamine H1 receptor differed in the mouse dorsal root ganglia. The alpha2delta-1 subunit was mainly found in neurons that were 15-20 um in diameter, whereas the H1 receptor was mainly in 20-30 um neurons. In addition, alpha2delta-1 subunit immunoreactivity co-localized with that of transient receptor potential vanilloid 1 (TRPV1). These results suggest that gabapentin regulates allergic itch by acting on the calcium channel alpha2delta-1 subunit in peripheral TRPV1-positive neurons. PMID- 29842876 TI - Vascular endothelial growth factor aggravates cerebral ischemia and reperfusion induced blood-brain-barrier disruption through regulating LOC102640519/HOXC13/ZO 1 signaling. AB - BACKGROUND/OBJECTIVE: Vascular endothelial growth factor (VEGF) has been recognized to be a potential pharmaceutical target for treating ischemic stroke, but its severe side effects hinder its widely application. Here, the present study was designed to investigate the effects of VEGF on blood-brain-barrier (BBB) disruption and the underlying mechanisms. METHODS: A mouse model of middle cerebral artery occlusion (MCAO) was constructed and treated with or without VEGF. Meanwhile, mice brain microvascular endothelial cells in co-culture with astrocytes were subjected to 1, 2 and 4 h oxygen-glucose deprivation followed by 24 h of reperfusion (OGD/R) in the absence or presence of VEGF. The mRNA and protein expression were assessed by real-time PCR and Western blotting. Fluorescence in situ hybridization (FISH) was utilized to validate LOC102640519 expression in OGD/R cell models. Chromatin Immunoprecipitation (ChIP) assay was used to confirm the regulatory mechanism of LOC102640519 to HOXC13. Interactions between HOXC13 and ZO-1 were measured by a luciferase reporter assay and RNA pull down assay. RESULTS: Our results showed that administration of VEGF significantly aggravated BBB by upregulating LOC102640519 and HOXC13 expression in vitro and vitro model of cerebral ischemia. Furthermore, LOC102640519 positively regulated the expression of HOXC13, thus negatively regulated the expression of ZO-1, Occludin and Claudin-5 in OGD/R model in the absence or presence of VEGF. CONCLUSIONS: VEGF aggravated BBB disruption after cerebral I/R-induced injury probably by increasing LOC102640519 and HOXC13 through inhibition of ZO-1, Occludin and Claudin-5. PMID- 29842877 TI - Heterogeneity of adult masseter muscle satellite cells with cardiomyocyte differentiation potential. AB - Although resident cardiac stem cells have been reported, regeneration of functional cardiomyocytes (CMs) remains a challenge. The present study identifies an alternative progenitor source for CM regeneration without the need for genetic manipulation or invasive heart biopsy procedures. Unlike limb skeletal muscles, masseter muscles (MM) in the mouse head are developed from Nkx2-5 mesodermal progenitors. Adult masseter muscle satellite cells (MMSCs) display heterogeneity in developmental origin and cell phenotypes. The heterogeneous MMSCs that can be characterized by cell sorting based on stem cell antigen-1 (Sca1) show different lineage potential. While cardiogenic potential is preserved in Sca1+ MMSCs as shown by expression of cardiac progenitor genes (including Nkx2-5), skeletal myogenic capacity is maintained in Sca1- MMSCs with Pax7 expression. Sca1+ MMSC derived beating cells express cardiac genes and exhibit CM-like morphology. Electrophysiological properties of MMSC-derived CMs are demonstrated by calcium transients and action potentials. These findings show that MMSCs could serve as a novel cell source for cardiomyocyte replacement. PMID- 29842878 TI - The development of methods for primary mast cells in vitro and ex vivo: An historical review. AB - Mast cells (MCs) are tissue-based stationary effector cells that form the immune system's first-line defense against various challenges. They are developed from the bone marrow-derived progenitors to complete their differentiation and maturation in the tissues where they eventually establish residence. MCs have been implicated in many diseases, such as allergy, parasitic infection, and neoplastic disorders. Immortalized MC lines, such as RBL-2H3, HMC-1, and LAD-2, are useful for investigating the biological functions of MC only to some extents due to the restriction of degranulation evaluation, in vivo injection and other factors. Over the past few decades, technologies for acquiring primarily MCs have been continually optimized, and novel protocols have been proposed. However, no relevant publications have analyzed and summarized these techniques. In this review, the classical approaches for extracting MCs are generalized, and new methods with potential values are introduced. We also evaluate the advantages and applicability of diverse MC models. Since MCs exhibit substantial plasticity and functional diversity due to different origins, it is both necessary and urgent to select a reliable and suitable source of MCs for a particular study. PMID- 29842879 TI - Oxaliplatin and irinotecan induce heterogenous changes in the EMT markers of metastasizing colorectal carcinoma cells. AB - In patients with advanced colorectal cancer (CRC), surgery is complemented with systemic therapy - chemotherapy and radiochemotherapy. Although the patients' overall survival has been significantly improved, tumor resistance is still a frequent cause of chemotherapy failure. Several factors contribute to chemoresistance of tumor cells including changes related with epithelial mesenchymal transition (EMT). The present study was designed to verify the presence of EMT markers in paired CRC primary cell lines obtained from primary tumor sites and lymph node metastases of three patients and to investigate the effect of irinotecan and oxaliplatin treatment on these markers as well. The samples of the higher stage of CRC and positive for angioinvasion were selected and qPCR, western blot analysis, migration assay, cytotoxicity testing was performed. Results confirmed the increased expression of several markers characteristic of EMT and invasiveness in lymph node metastatic cells, with a significant variability between individual samples. Irinotecan and oxaliplatin decreased migration activity of the cells and to the varying degree affected the expression of EMT and invasiveness markers. In conclusion, in CRC EMT is present in metastatic cells over a phenotypic continuum whose expression is altered heterogeneously upon irinotecan and oxaliplatin treatment. PMID- 29842880 TI - Differential transcription factor expression by human epithelial cells of buccal and urothelial derivation. AB - Identification of transcription factors expressed by differentiated cells is informative not only of tissue-specific pathways, but to help identify master regulators for cellular reprogramming. If applied, such an approach could generate healthy autologous tissue-specific cells for clinical use where cells from the homologous tissue are unavailable due to disease. Normal human epithelial cells of buccal and urothelial derivation maintained in identical culture conditions that lacked significant instructive or permissive signaling cues were found to display inherent similarities and differences of phenotype. Investigation of transcription factors implicated in driving urothelial-type differentiation revealed buccal epithelial cells to have minimal or absent expression of PPARG, GATA3 and FOXA1 genes. Retroviral overexpression of protein coding sequences for GATA3 or PPARy1 in buccal epithelial cells resulted in nuclear immunolocalisation of the respective proteins, with both transductions also inducing expression of the urothelial differentiation-associated claudin 3 tight junction protein. PPARG1 overexpression alone entrained expression of nuclear FOXA1 and GATA3 proteins, providing objective evidence of its upstream positioning in a transcription factor network and identifying it as a candidate factor for urothelial-type transdifferentiation or reprogramming. PMID- 29842881 TI - Sodium benzoate induced developmental defects, oxidative stress and anxiety-like behaviour in zebrafish larva. AB - Sodium benzoate (SB) is a common food preservative. Its FDA described safety limit is 1000 ppm. Lately, increased use of SB has prompted investigations regarding its effects on biological systems. Data regarding toxicity of SB is divergent and controversial with studies reporting both harmful and beneficial effects. Therefore, we did a systematic dose dependent toxicity study of SB using zebrafish vertebrate animal model. We also investigated oxidative stress and anxiety-like behaviour in zebrafish larva treated with SB. Our results indicate that SB induced developmental (delayed hatching), morphological (pericardial edema, yolk sac edema and tail bending), biochemical (oxidative stress) and behavioural (anxiety-like behaviour) abnormalities in developing zebrafish larva. LC50 of SB induced toxicity was approximately 400 ppm after 48 h of SB exposure. Our study strongly supports its harmful effects on vertebrates at increasing doses. Thus, we suggest caution in the excessive use of this preservative in processed and convenience foods. PMID- 29842882 TI - Histone methyltransferase SETD2 regulates osteosarcoma cell growth and chemosensitivity by suppressing Wnt/beta-catenin signaling. AB - SETD2 is a histone methyltransferase that catalyzes the trimethylation of lysine 36 on histone 3. SETD2 is frequently found to be mutated or deleted in a variety of human tumors, whereas the role of SETD2 in oncogenesis of osteosarcoma has never been defined. Here in our study, we uncovered that SETD2 regulates tumor growth and chemosensitivity of osteosarcoma. Overexpression of SETD2 significantly inhibited osteosarcoma cell growth in vitro and in vivo. Moreover, SETD2 significantly enhanced cisplatin-induced apoptosis in osteosarcoma cells and inhibited cancer stem cell properties in OS cells. SETD2 regulates Wnt/beta catenin signaling and its downstream gene c-myc, CD133 and cyclin D1. We further revealed that SETD2 upregulates H3K36me3 modification in GSK3B loci and promotes its transcription, which lead to beta-catenin degradation. Together, our study delineates SETD2 function in osteosarcoma as an important regulator of Wnt/beta catenin signaling, and suggests SETD2 as a novel target in diagnosis and combined chemotherapy of osteosarcoma. PMID- 29842883 TI - Expression and effects of TSP50 in mouse embryo and cardiac myocyte development. AB - TSP50, a testis-specific gene encoding a serine protease-like protein, was specifically expressed in the spermatocytes of testes but abnormally activated and expressed in many different kinds of cancers. Here, we aimed to analyze the expression of TSP50 in mouse embryo and its function in early embryonic development. Firstly, the distribution of TSP50 in oocytes and embryonic development was characterized by immunofluorescence, RT-PCR and western blotting, and the results showed that TSP50 was detected at all studied stages with a dynamic expression pattern. When overexpressed TSP50 in zygotes by microinjection, the zygotes development was highly accelerated. On the contrary, knocking down TSP50 expression by RNA interference greatly retarded the zygote development. Furthermore, TSP50 expression at embryonic day 6.5 (E6.5), day 8.5 (E8.5) and day 10.5 (E10.5) were increasingly enhanced, However, the expression of TSP50 decreased gradually in the development and differentiation of cardiac myocyte from E12.5 to postnatal (P0). Additionally, we found that TSP50 expression was decreased during cardiac myocyte differentiation of P19 cells. Overexpression of TSP50 could decrease the expression of GATA-4, and knockdown of TSP50 markedly increase the expression of GATA-4. Taken together, our data indicate that TSP50 may play an important role during the process of mouse embryonic development as well as myocardial cell differentiation. PMID- 29842884 TI - Novel localization of Aurora A kinase in mouse testis suggests multiple roles in spermatogenesis. AB - Male germ cells are transformed from undifferentiated stem cells into spermatozoa through a series of highly regulated steps together termed spermatogenesis. Spermatogonial stem cells undergo mitosis and differentiation followed by two rounds of meiotic division and then proceed through a series of dramatic cell shape changes to form highly differentiated spermatozoa. Using indirect immunofluorescence, we investigated a role for the mitotic kinase, Aurora A (AURKA), in these events through localization of this protein in mouse testis and spermatozoa. AURKA is expressed in several cell types in the testis. Spermatogonia and spermatocytes express AURKA as expected based on the known role of this kinase in cell division. Surprisingly, we also found AURKA localized to spermatids and the flagellum of spermatozoa. Total AURKA and activated AURKA are expressed in different compartments of the sperm flagellum with total AURKA found in the principal piece and its phosphorylated and activated form found in the sperm midpiece. In addition, active AURKA is enriched in the flagellum of motile sperm isolated from cauda epididymis. These results provide evidence for a unique role for AURKA in spermatogenesis and sperm motility. Defining the signaling mechanisms that govern spermatogenesis and sperm cell function is crucial to understanding and treating male infertility as well as for development of new contraceptive strategies. PMID- 29842885 TI - m6A demethylase FTO facilitates tumor progression in lung squamous cell carcinoma by regulating MZF1 expression. AB - N6-Methyladenosine (m6A) represents the most prevalent internal modification in mammalian mRNAs. Emerging evidences suggest that m6A modification is profoundly implicated in many biological processes, including cancer development. However, limited knowledge is available about the functional importance of m6A in lung cancer. In this study, by data mining The Cancer Genome Atlas (TCGA) database, we first identified fat mass- and obesity-associated protein (FTO) as a prognostic factor for lung squamous cell carcinoma (LUSC). Then we showed that FTO, but not other m6A modification genes including METTL3, METTL14 and ALKBH5, was the major dysregulated factor responsible for aberrant m6A modification in LUSC. Loss-of function studies suggested that FTO knockdown effectively inhibited cell proliferation and invasion, while promoted cell apoptosis of L78 and NCI-H520 cells. Furthermore, overexpression of FTO, but not its mutant form, facilitated the malignant phenotypes of CHLH-1 cells. Mechanistically, FTO enhanced MZF1 expression by reducing m6A levels and mRNA stability in MZF1 mRNA transcript, leading to oncogenic functions. Taken together, our study demonstrates the functional importance of FTO in the tumor progression of LUSC and provides a potential therapeutic target for LUSC treatment. PMID- 29842886 TI - Circular RNA circZFR contributes to papillary thyroid cancer cell proliferation and invasion by sponging miR-1261 and facilitating C8orf4 expression. AB - In recent years, more and more circular RNAs (circRNAs) have been identified in multiple tissues and cells. Increasing evidences show circRNAs play important roles in human cancers. However, the role of circRNAs in papillary thyroid carcinoma (PTC) remains largely unknown. In this study, we identified a new circRNA circZFR that was significantly upregulated in PTC tissues compared to adjacent normal tissues. Furthermore, circZFR expression level was negatively correlated with clinical severity. We found that circZFR knockdown dramatically inhibited the proliferation, migration and invasion of PTC cells in vitro. Mechanistically, we found circZFR could promote C8orf4 expression via serving as a competing endogenous RNA (ceRNA) of miR-1261 in PTC cells. Rescue assays indicated that restoration of C8orf4 significantly attenuated the inhibitory effects of circZFR knockdown on PTC cell proliferation, migration and invasion. In summary, our findings demonstrated that circRNA circZFR exerted oncogenic roles via regulating miR-1261/C8orf4 axis in PTC, which suggested circZFR might be a potential therapeutic target. PMID- 29842888 TI - Cyclodextrin-grafted poly(anhydride) nanoparticles for oral glibenclamide administration. In vivo evaluation using C. elegans. AB - The aim of this work was to prepare and evaluate cyclodextrins-modified poly(anhydride) nanoparticles to enhance the oral administration of glibenclamide. A conjugate polymer was synthesized by incorporating hydroxypropyl beta-cyclodextrin to the backbone of poly(methylvinyl ether-co-maleic anhydride) via Steglich reaction. The degree of substitution of anhydride rings by cyclodextrins molecules was calculated to be 4.9% using H-NMR spectroscopy. A central composite design of experiments was used to optimize the preparative process. Under the optimal conditions, nanoparticles displayed a size of about 170 nm, a surface charge of -47 mV and a drug loading of 69 ug GB/mg. X-ray diffraction studies confirmed the loss of the crystalline structure of GB due to its dispersion into the nanoparticles, either included into cyclodextrin cavities or entrapped in the polymer chains. Glibenclamide was mainly release by Fickian diffusion in simulated intestinal fluid. GB-loaded nanoparticles produced a hypolipidemic effect over C. elegans N2 wild-type and daf-2 mutant. The action mechanism included daf-2 and daf-28 genes, both implicated in the insulin signaling pathway of C. elegans. In summary, the covalent linkage of cyclodextrin to the poly(anhydride) backbone could be an interesting strategy to prepare nanoparticles for the oral administration of glibenclamide. PMID- 29842889 TI - Toxicity of imidazoles ionic liquid [C16mim]Cl to HepG2 cells. AB - Ionic liquids have garnered increasing attention due to their capacity for low vapor pressure, lack of flammability, designability, good stability, and as a asubstitute for conventional organic solvents. However, their toxicity to various organisms has caused growing concern in recent years. Our study aims to evaluate the toxicity of 1-hexadecyl-3-methylimidazolium chloride ([C16min]Cl) to human hepatocellular carcinoma (HepG2) cells, including cell viability, genotoxicity, oxidative stress, apoptosis, cell cycle, and apoptosis-related gene expression. Our results with HepG2 cells suggested that [C16min]Cl inhibited cellular growth, decreased cell viability, induced DNA damage and apoptosis, inhibited superoxide dismutase, decreased glutathione content, increased cellular malondialdehyde levels as well as altering the cell cycle. Moreover, the induction of [C16min]Cl altered the transcription of p53, Bax and Bcl-2, which are critical for controlling cell cycles progression and death, which suggests its involvement with cytotoxicity and apoptosis induced by [C16min]Cl in HepG2 cells. Taken together, these results revealed that [C16min]Cl exerted genotoxicity, oxidative stress and induced apoptosis in HepG2 cells; hence, it is not a healthy solvent. PMID- 29842887 TI - Thalamic integration of social stimuli regulating parental behavior and the oxytocin system. AB - Critically important components of the maternal neural circuit in the preoptic area robustly activated by suckling were recently identified. In turn, suckling also contributes to hormonal adaptations to motherhood, which includes oxytocin release and consequent milk ejection. Other reproductive or social stimuli can also trigger the release of oxytocin centrally, influencing parental or social behaviors. However, the neuronal pathways that transfer suckling and other somatosensory stimuli to the preoptic area and oxytocin neurons have been poorly characterized. Recently, a relay center of suckling was determined and characterized in the posterior intralaminar complex of the thalamus (PIL). Its neurons containing tuberoinfundibular peptide 39 project to both the preoptic area and oxytocin neurons in the hypothalamus. The present review argues that the PIL is a major relay nucleus conveying somatosensory information supporting maternal behavior and oxytocin release in mothers, and may be involved more generally in social cue evoked oxytocin release, too. PMID- 29842890 TI - mRNA expression of transient receptor potential melastatin (TRPM) channels 2 and 7 in perinatal brain development. AB - TRPM7 and TRPM2 are non-specific cation channels of the Transient Receptor Potential channel superfamily. Each channel has gained attention for their potential to mediate oxidative and anoxic cell death (Rama and Garcia, 2016; Naziroglu, 2011a; Abiria et al., 2017; Sun, 2017), however their physiological expression and roles in the developing brain remain poorly defined. We employed real-time reverse transcription PCR to examine mRNA expression of TRPM7 and TRPM2 in the developing rat brain and brain-specific cell types. We determined the temporal and spatial expression patterns at four developmental time points (postnatal day 7, 14, 21, and 90) in four critical regions of the brain (cortex, hippocampus, striatum, and cerebellum) and examined gene expression in neuronal, astrocytic, and microglial primary cell cultures. Our results revealed that TRPM7 mRNA expression peaks in the cortex at 2-weeks after birth, and thus correlates most closely with a period of rat brain development associated with neurite outgrowth, which is heightened at 2-weeks after birth. Our cell-specific gene expression assays revealed that TRPM7 was expressed at equivalent levels in neurons, astrocytes, and microglia. Conversely, TRPM2 was most highly expressed in microglia with little expression in neurons and astrocytes. In the hippocampus and striatum, the expression profile of TRPM2 parallels the perinatal expression timeline for microglial infiltration and maturation in the rat brain. Microglial maturation is highest from the time of birth, up to 7-days, but subsequently declines. The latter developmental expression profiles indicate a role for TRPM2 in microglial activation. PMID- 29842891 TI - Pattern of tyrosine hydroxylase expression during aging of mesolimbic pathway of the rat. AB - Senescence is a physiological and progressive event that leads to the impairment of normal functions of the organism. The nervous system is one of the most affected systems during aging, presenting both structural and functional alterations associated with a decline in normal brain functions. In the present study we aimed to evaluate the impact of senescence on the mesolimbic pathway (nucleus accumbens - NAc and ventral tegmental area - VTA) of the rat, through immunohistochemistry for tyrosine hydroxylase (TH) enzyme, in young (3 months old), middle-aged (10 months old) and aged animals (18 months old). There was a significant decrease in the TH-immunoreactivity across NAc in aged animals as compared to the young and middle-aged ones, as revealed by optical densitometry. Medium and caudal regions of the VTA in the young animals possessed a higher number of TH-immunoreactive neurons as compared to the more aged groups. Comparisons among VTA regions in young animals revealed a difference in the number of cell bodies when the medium region was compared to the rostral and caudal regions whilst in both the middle-aged and aged groups comparisons between rostral vs caudal and medium vs caudal regions were significant. Our results show that aging impacts the mesolimbic pathway across its rostrocaudal axis, with a decrease of TH-reactivity in NAc and loss of neurons in VTA. These events may be involved with behavioral alterations observed throughout aging. PMID- 29842892 TI - Calcium signaling and the therapeutic targeting of cancer cells. AB - The calcium signal is implicated in a variety of processes important in tumor progression (e.g. proliferation and invasiveness). The calcium signal has also been shown to be important in other processes important in cancer progression including the development of resistance to current cancer therapies. In this review, we discuss how Ca2+ channels, pumps and exchangers may be drug targets in some cancer types. We consider what factors should be taken into account when considering an optimal Ca2+ channel, pump or exchanger as a candidate for further assessment as a novel drug target in cancer. We also present and summarize how some therapies for the treatment of cancer intersect with Ca2+ signaling and how pharmacological manipulation of the machinery of Ca2+ signaling could promote the effectiveness of some therapies. We also review new therapeutic opportunities for Ca2+ signal modulators in the context of the tumor microenvironment. PMID- 29842893 TI - Lethal (2) giant larvae regulates pleural mesothelial cell polarity in pleural fibrosis. AB - Pleural fibrosis is barely reversible and the underlying mechanisms are poorly understood. Pleural mesothelial cells (PMCs) which have apical-basal polarity play a key role in pleural fibrosis. Loss of cell polarity is involved in the development of fibrotic diseases. Partition defective protein (PAR) complex is a key regulator of cell polarity. However, changes of PMC polarity and PAR complex in pleural fibrosis are still unknown. In this study, we observed that PMC polarity was lost in fibrotic pleura. Next we found increased Lethal (2) giant larvae (Lgl) bound with aPKC and PAR-6B competing against PAR-3A in PAR complex, which led to cell polarity loss. Then we demonstrated that Lgl1 siRNA prevented cell polarity loss in PMCs, and Lgl1 conditional knockout (ER-Cre+/ Lgl1flox/flox) attenuated pleural fibrosis in a mouse model. Our data indicated that Lgl1 regulates cell polarity of PMCs, inhibition of Lgl1 and maintenance of cell polarity in PMCs could be a potential therapeutic treatment approach for pleural fibrosis. PMID- 29842894 TI - Non-structured spike sequences of hippocampal neuronal ensembles in awake animals. AB - The hippocampal network generates synchronized spikes of a large population of pyramidal neurons associated with sharp-wave ripples in local field potential signals. Ample evidence demonstrates that the synchronized spikes are created by sequential activation of hippocampal place cells that correspond to the animal's past or future trajectories and are hypothesized to play instrumental roles in mnemonic functions. However, not all place-cell spike sequences are precisely organized, and some sequences are composed of spikes from non-spatial cells, implying that not all hippocampal synchronized events directly replicate learned behavioral episodes. While less attention has been given to such non-ordered spike sequences, variable and dynamic selection of active neuronal assemblies may be optimal mechanisms for rapidly reorganizing functional circuits and self developing novel representations to enable flexible decision-making processes. We recently showed that specific neurons, including both spatial and non-spatial cells, are preferentially recruited in synchronous events for particular time periods, suggesting that there are temporally fluctuating background states of the hippocampal network that determine active neuronal ensembles. Based on recent reports, this review discusses potential roles of the low-fidelity, heterogeneous repertoire of synchronized spike sequences of hippocampal neurons. PMID- 29842895 TI - CD8dim but not CD8bright cells positive to CD56 dominantly express KIR and are cytotoxic during visceral leishmaniasis. AB - This study reports a structural and functional heterogeneity of CD8+CD56+NKT cells, which usually decrease quantitatively during visceral leishmaniasis. Based on fluorescence intensity of CD8 receptors on CD56+NKT cells, two populations of CD8+CD56+NKT cells have been identified. These cells were recognized as CD8dimCD56+NKT and CD8brightCD56+NKT cells. We further analyzed the functional nature of CD8dim and CD8bright positive CD56+NKT cells. In comparison to CD8brightCD56+NKT cells, a significantly higher percentage of CD8dimCD56+NKT cells expressed KIR during VL. The percentage of CD8dimCD56+NKT cells expressing KIR was found 4 fold higher in VL as compared to healthy subjects. But, the difference was insignificant in case of CD8brightCD56+NKT cells. CD8+CD56+NKT cells release granzyme B to kill the infected cells. A categorical difference was also observed in the function of CD8dimCD56+NKT and CD8brightCD56+NKT cells during visceral leishmaniasis. The percentage of granzyme B expressing CD8dimCD56+NKT cells was 2.83 fold higher in VL compared to healthy subjects. But, there was no significant difference in granzyme B expressing CD8brightCD56+NKT cells in samples from healthy and VL subjects. However, within VL subject, the percentage of granzyme B expressing CD8dimCD56+NKT cells was 5.7 fold higher in comparison to CD8brightCD56+NKT cells. This study concludes that CD8dimCD56+NKT cells are more cytotoxic than CD8brightCD56+NKT cells during VL. PMID- 29842896 TI - Oxygen: NIRS and dear to our heart... and brain. PMID- 29842897 TI - Clinical effects of low body mass index on geriatric status in elderly patients. AB - BACKGROUND: There is limited information on the relationship of low body mass index (BMI) to the geriatric conditions in elderly patients. OBJECTIVE: The objective of this study is to investigate whether low BMI associates with geriatric status in elderly patients by calculating suitable cut-off point of BMI for assessment of geriatric conditions. METHOD: A total of 1223 elderly patients was enrolled (male/female: N = 472/751), and cut-off point of the BMI values to assess the geriatric status such as aspiration pneumonia, cognitive impairment was determined by receiver operating characteristic (ROC) analyses. Logistic regression analyses were performed to examine the association between several geriatric status and low BMI. Of these patients, 262 patients (male/female: 101/161) had received standard rehabilitation treatment. Functional Independence Measure (FIM) scores were measured both at admission and discharge to calculate FIM gain and efficiency, and retrospective cohort study was performed. RESULTS: Cut-off point of BMI value to assess the geriatric status was determined (19.0 kg/m2). Significant associations of low BMI to several geriatric factors such as loss of posterior occlusion, cognitive impairment were observed in both male and female. FIM scores in above cut-off point group were significantly higher than in below cut-off point group in female (FIM gain, P = 0.0005; FIM efficiency, P = 0.0025, Mann-Whitney U test). On the other hand, there were no significant differences between low and above BMI cut-off point in FIM scores of male patients. CONCLUSION: Low BMI might be a useful parameter to evaluate the geriatric status, and the viewpoint would contribute to decide the care plan for the good end-of-life of elderly. PMID- 29842898 TI - Novel murine model for delayed wound healing using a biological wound dressing with Pseudomonas aeruginosa biofilms. AB - Bacterial biofilms impair healing in 60% of chronic skin wounds. Various animal models (mice, rats, rabbits, and pigs) have been developed to replicate biofilm infected wounds in vivo. We developed a sustained wound infection model by applying preformed Pseudomonas aeruginosa biofilms on a wound dressing to full thickness murine skin wounds. We bathed a commercially available wound dressing in P. aeruginosa for 48 h, allowing a biofilm to establish on the dressing prior to application to the wound. Dressings were removed from the wounds after 3 days at which time the wound beds contained ~108 bacterial cells per gram tissue. Significant numbers of P. aeruginosa persisted within the skin wounds for up to 21 days. Un-inoculated wounds reached closure between 9 and 12 days. In contrast, biofilm-inoculated wounds achieved closure between 18 and 21 days. Histologic analysis confirmed decreased re-epithelialization and collagen deposition, coupled with increased inflammation, in the biofilm-inoculated wounds compared to un-inoculated controls. This novel model of delayed healing and persistent infection of full-thickness murine skin wounds may provide a robust in vivo system in which to test novel treatments to prevent wound infection by bacterial biofilms. PMID- 29842899 TI - The Alzheimer's disease-associated TREM2 gene is regulated by p53 tumor suppressor protein. AB - TREM2 mutations evoke neurodegenerative disorders, and recently genetic variants of this gene were correlated to increased risk of Alzheimer's disease. The signaling cascade originating from the TREM2 membrane receptor includes its binding partner TYROBP, BLNK adapter protein, and SYK kinase, which can be activated by p53. Moreover, in silico identification of a putative p53 response element (RE) at the TREM2 promoter led us to hypothesize that TREM2 and other pathway elements may be regulated in p53-dependent manner. To stimulate p53 in synergistic fashion, we exposed A549 lung cancer cells to actinomycin D and nutlin-3a (A + N). In these cells, exposure to A + N triggered expression of TREM2, TYROBP, SYK and BLNK in p53-dependent manner. TREM2 was also activated by A + N in U-2 OS osteosarcoma and A375 melanoma cell lines. Interestingly, nutlin 3a, a specific activator of p53, acting alone stimulated TREM2 in U-2 OS cells. Using in vitro mutagenesis, chromatin immunoprecipitation, and luciferase reporter assays, we confirmed the presence of the p53 RE in TREM2 promoter. Furthermore, activation of TREM2 and TYROBP by p53 was strongly inhibited by CHIR 98014, a potent and specific inhibitor of glycogen synthase kinase-3 (GSK-3). We conclude that TREM2 is a direct p53-target gene, and that activation of TREM2 by A + N or nutlin-3a may be critically dependent on GSK-3 function. PMID- 29842900 TI - alpha-Lipoic acid attenuates oxidative stress and neurotoxicity via the ERK/Akt dependent pathway in the mutant hSOD1 related Drosophila model and the NSC34 cell line of amyotrophic lateral sclerosis. AB - Amyotrophic lateral sclerosis (ALS) is a degenerative disease with a progressive loss of motor neurons in the central nervous system (CNS). However, there are unsolved problems with the therapies for this disease. alpha-Lipoic acid (LA) is a natural, universal antioxidant capable of scavenging hydroxyl radicals as well as regenerating a series of antioxidant enzymes that has been widely used in clinical settings. This study aimed to evaluate the antioxidant and neuroprotective effects of LA in ALS cell and Drosophila models with mutant G85R and G93A hSOD1 genes. The biological effects of LA and the protein levels of several antioxidant factors were examined, as were those of phospho-Akt and phospho-ERK. Furthermore, specific inhibitors of the PI3K/Akt and MEK/ERK signaling pathways were used to analyze their effects on LA-induced antioxidant expression in vivo and in vitro. Evidences showed that the mutant hSOD1 resulted in the increased oxidative stress, abnormal antioxidant signaling and pathological behaviors in motor performance and survival compared with non-mutant hSOD1 models, treatment with LA improved motor activity and survival in transgenic flies, prevented NSC34 cells from mutant hSOD1 or H2O2 induced decreased antioxidant enzymes as well as increased ROS levels. In addition, LA regulated the expression levels of antioxidant proteins in a dose- and periodical time-dependent manner, which might be mediated by ERK/Akt pathway activation and independent from the mutant hSOD1 gene. Our observations suggest that LA exerts strong and positive antioxidant and neuroprotective effects through the activation of the ERK-Akt pathway in hSOD1 ALS models. PMID- 29842901 TI - MACS - a new SPM toolbox for model assessment, comparison and selection. AB - BACKGROUND: In cognitive neuroscience, functional magnetic resonance imaging (fMRI) data are widely analyzed using general linear models (GLMs). However, model quality of GLMs for fMRI is rarely assessed, in part due to the lack of formal measures for statistical model inference. NEW METHOD: We introduce a new SPM toolbox for model assessment, comparison and selection (MACS) of GLMs applied to fMRI data. MACS includes classical, information-theoretic and Bayesian methods of model assessment previously applied to GLMs for fMRI as well as recent methodological developments of model selection and model averaging in fMRI data analysis. RESULTS: The toolbox - which is freely available from GitHub - directly builds on the Statistical Parametric Mapping (SPM) software package and is easy to-use, general-purpose, modular, readable and extendable. We validate the toolbox by reproducing model selection and model averaging results from earlier publications. COMPARISON WITH EXISTING METHODS: A previous toolbox for model diagnosis in fMRI has been discontinued and other approaches to model comparison between GLMs have not been translated into reusable computational resources in the past. CONCLUSIONS: Increased attention on model quality will lead to lower false-positive rates in cognitive neuroscience and increased application of the MACS toolbox will increase the reproducibility of GLM analyses and is likely to increase the replicability of fMRI studies. PMID- 29842902 TI - The effect of surface treatments on dental zirconia: An analysis of biaxial flexural strength, surface roughness and phase transformation. AB - OBJECTIVES: This study investigates the effect of selected surface finishing techniques on the biaxial flexural strength, surface roughness and phase transformation of a zirconia dental restorative material. MATERIALS AND METHODS: Fully-sintered zirconia discs (?19.5 mm * 0.85 mm) were treated on one side with a single or a combination of the following treatments: diamond and/or tungsten carbide burs without water coolant in an air-turbine handpiece, air-particle abrasion, rubber-point polishing in a contra-angle handpiece, or no treatment (control). Biaxial flexural strength (BFS) (eleven groups, n = 10) was determined using a universal testing machine and surface roughness (thirteen groups, n = 6) was assessed using a profilometer. Results were analysed using one-way ANOVA and Student-Newman-Keuls Post-hoc test (alpha = 0.05) with Bonferroni correction. Specimens were observed under scanning electron microscopy (SEM) and x-ray diffraction (XRD) for their microstructure and crystalline phases respectively. RESULTS: Grinding with diamond burs did not weaken zirconia (p > 0.0045) but produced rougher surfaces than the control group (p < 0.0038). Tungsten-carbide burs smoothened diamond ground specimens (p < 0.0038) for both grits of diamond. Specimens ground by tungsten-carbide burs have significantly reduced mean BFS (p < 0.0045) by up to two-thirds and SEM revealed fine surface cracks. Air-particle abrasion restored the mean BFS of tungsten-carbide ground specimens to control levels (p > 0.0045) and surface cracks were not observed. Phase transformation was not detected by XRD. CONCLUSIONS: Dental zirconia ground dry with tungsten carbide burs has a significantly reduced BFS and a smooth but defective surface. These defects may be removed and BFS restored by air-particle abrasion. CLINICAL SIGNIFICANCE: The use of tungsten-carbide burs for grinding dental zirconia should be cautioned. Diamond grinding does not weaken zirconia but requires further polishing. PMID- 29842903 TI - A randomized, controlled trial of mindfulness-based stress reduction in HIV infection. AB - OBJECTIVE: Evidence links depression and stress to more rapid progression of HIV 1 disease. We conducted a randomized controlled trial to test whether an intervention aimed at improving stress management and emotion regulation, mindfulness-based stress reduction (MBSR), would improve immunological (i.e. CD4+ T-cell counts) and psychological outcomes in persons with HIV-1 infection. METHODS: We randomly assigned participants with HIV-1 infection and CD4 T-cell counts >350 cells/MUl who were not on antiretroviral therapy in a 1:1 ratio to either an MBSR group (n = 89) or an HIV disease self-management skills group (n = 88). The study was conducted at the University of California at San Francisco. We assessed immunologic (CD4, c-reactive protein, IL-6, and d-dimer) and psychological measures (Beck Depression Inventory for depression, modified Differential Emotions Scale for positive and negative affect, Perceived stress scale, and mindfulness) at 3, 6 and 12 months after initiation of the intervention; we used multiple imputation to address missing values. RESULTS: We observed statistically significant improvements from baseline to 3-months within the MBSR group in depression, positive and negative affect, perceived stress, and mindfulness; between group differences in change were significantly greater in the MBSR group only for positive affect (per item difference on DES-positive 0.25, 95% CI 0.049, 0.44, p = .015). By 12 months the between group difference in positive affect was not statistically significant, although both groups had trends toward improvements compared to baseline in several psychological outcomes that were maintained at 12-months; these improvements were only statistically significant for depression and negative affect in the MBSR group and perceived stress for the control group. The groups did not differ significantly on rates of antiretroviral therapy initiation (MBSR = 39%, control = 29%, p = .22). After 12 months, the mean decrease in CD4+ T-cell count was 49.6 cells/MUl in participants in the MBSR arm, compared to 54.2 cells/MUl in the control group, a difference of 4.6 cells favoring the MBSR group (95% CI, -44.6, 53.7, p = .85). The between group differences in other immunologic-related outcomes (c-reactive protein, IL 6, HIV-1 viral load, and d-dimer) were not statistically significant at any time point. CONCLUSIONS: MBSR improved positive affect more than an active control arm in the 3 months following the start of the intervention. However, this difference was not maintained over the 12-month follow-up and there were no significant differences in immunologic outcomes between intervention groups. These results emphasize the need for further carefully designed research if we are to translate evidence linking psychological states to immunological outcomes into evidence based clinical practices. PMID- 29842904 TI - Molecular mechanisms underlying the neuroprotective role of atrial natriuretic peptide in experimental acute ischemic stroke. AB - Along with its role in regulating blood pressure and fluid homeostasis, the natriuretic peptide system could be also part of an endogenous protective mechanism against brain damage. We aimed to assess the possibility that exogenous atrial natriuretic peptide (ANP) could protect against acute ischemic stroke, as well as the molecular mechanisms involved. Three groups of rats subjected to transient middle cerebral artery occlusion (tMCAO, intraluminal filament technique, 60 min) received intracerebroventricular vehicle, low-dose ANP (0.5 nmol) or high-dose ANP (2.5 nmol), at 30 min reperfusion. Neurofunctional condition, and brain infarct and edema volumes were measured at 24 h after tMCAO. Apoptotic cell death and expression of natriuretic peptide receptors (NPR-A and NPR-C), K+ channels (KATP, KV and BKCa), and PI3K/Akt and MAPK/ERK1/2 signaling pathways were analyzed. Significant improvement in neurofunctional status, associated to reduction in infarct and edema volumes, was shown in the high-dose ANP group. As to the molecular mechanisms analyzed, high-dose ANP: 1) reduced caspase-3-mediated apoptosis; 2) did not modify the expression of NPR-A and NPR C, which had been downregulated by the ischemic insult; 3) induced a significant reversion of ischemia-downregulated KATP channel expression; and 4) induced a significant reversion of ischemia-upregulated pERK2/ERK2 expression ratio. In conclusion, ANP exerts a significant protective role in terms of both improvement of neurofunctional status and reduction in infarct volume. Modulation of ANP on some molecular mechanisms involved in ischemia-induced apoptotic cell death (KATP channels and MAPK/ERK1/2 signaling pathway) could account, at least in part, for its beneficial effect. Therefore, ANP should be considered as a potential adjunctive neuroprotective agent improving stroke outcome after successful reperfusion interventions. PMID- 29842905 TI - Investigating the role of the human CIA2A-CIAO1 complex in the maturation of aconitase. AB - BACKGROUND: The CIA2A protein, in complex with CIAO1, has been proposed to be exclusively implicated in the maturation of cytosolic aconitase. However, how the CIA2A-CIAO1 complex generates active aconitase is still unknown and the available structural information has not provided any crucial insights into the molecular function of CIA2A. METHODS: In this work we have characterized the Fe/S cluster binding properties of CIA2A and of the CIA2A-CIAO1 complex via NMR, UV - vis absorption and EPR spectroscopies and we have investigated how the Fe/S cluster is transferred to inactive aconitase/IRP1 protein. RESULTS: We found that an heterotrimeric species formed by two molecules of CIA2A and one of CIAO1 can bind one [4Fe-4S] cluster and that residue Cys90 of CIA2A is one of the cluster ligand. The holo trimeric complex is able to transfer the [4Fe-4S] cluster to apo IRP1 thus generating the active form of aconitase. CONCLUSIONS AND GENERAL SIGNIFICANCE: These findings, which highlight a functional role for CIA2A-CIAO1 complex in aconitase maturation, raises a broad interest and can have a high impact on the community studying metal trafficking and iron-sulfur protein biogenesis. The present study can provide solid bases for further investigation of the molecular mechanisms involving also other CIA machinery proteins. PMID- 29842906 TI - The phosphatidic acid paradox: Too many actions for one molecule class? Lessons from plants. AB - Phosphatidic acid (PA) is a simple phospholipid observed in most organisms. PA acts as a key metabolic intermediate and a second messenger that regulates many cell activities. In plants, PA is involved in numerous cell responses induced by hormones, stress inputs and developmental processes. Interestingly, PA production can be triggered by opposite stressors, such as cold and heat, or by hormones that are considered to be antagonistic, such as abscisic acid and salicylic acid. This property questions the specificity of the responses controlled by PA. Are there generic responses to PA, meaning that cell regulation triggered by PA would be always the same, even in opposite physiological situations? Alternatively, do the responses to PA differ according to the physiological context within the cells? If so, the mechanisms that regulate the divergence of PA-controlled reactions are poorly defined. This review summarizes the latest opinions on how PA signalling is directed in plant cells and examines the intrinsic properties of PA that enable its regulatory diversity. We propose a concept whereby PA regulatory messages are perceived as complex "signatures" that take into account their production site, the availability of target proteins and the relevant cellular environments. PMID- 29842907 TI - Sterigmatocystin: A mycotoxin to be seriously considered. AB - Sterigmatocystin is a carcinogenic compound that affects several species of crops and several species of experimental animals. The sterigmatocystin biosynthetic pathway is the best known and most studied. The International Agency for Research on Cancer classifies sterigmatocystin in the Group 2B. Three groups of analytical methods to determine sterigmatocystin in food can be found: chromatographic, ELISA immunoassays and chemical sensors. In addition, sterigmatocystin is a precursor of aflatoxin B1 in those cases where cereals and/or food are contaminated with fungi capable of producing aflatoxins. Chemical structures of sterigmatocystin and aflatoxin B1 are similar. These mycotoxins are pathogens of animals and cereals, producing a major economic impact on biotechnology and agricultural and food industries. This review summarizes different aspects related to sterigmatocystin such as its biosynthesis, toxicological studies and analytical methods for its determination. PMID- 29842908 TI - Parameters affecting the exposure to furfuryl alcohol from coffee. AB - Recently, furfuryl alcohol (FFA) was labelled a human potential carcinogen (group 2B) by the International Agency for Research on Cancer. Its alimentary exposure is mostly from coffee since in any other foods the concentrations are significantly lower. The various storage conditions of roasted coffee, the different brewing techniques applied and the bioaccessibility after ingestion are potential parameters that might alter the exposure to FFA from coffee. An 8 weeks stability study at varying temperatures showed that FFA is stable in the ground coffee matrix. Moreover, different brewing techniques extracted different amounts of FFA and affected its final concentration. The evaluation of the relative exposure to four furans (FFA, 5-hydroxymethyl-furaldehyde, 2-furoic acid, and 5 hydroxymethyl-2-furoic acid) revealed that FFA amounts were at least 2-fold the amounts of other studied furans in the same brew. A 22-fold variation in the concentration of the four furans in brews prepared using different coffee grounds and brewing techniques could be observed. 90% of the four furans were extracted by the first 25-30% fraction of the filter brew. A significant decrease of FFA is observed after stressing with simulated gastric fluid. However, this decrease could not be reproduced when mimicking a regular coffee ingestion situation. PMID- 29842909 TI - Editorial: Alternative tobacco products: Toxicology and health issues. PMID- 29842910 TI - Activation of the p53 pathway with digiferrol isolated from Rubia philippinensis induces cell cycle arrest, apoptosis, and autophagy in colon cancer cells. PMID- 29842911 TI - Identification and characterization of chitin deacetylase2 from the American white moth, Hyphantria cunea (Drury). AB - Chitin deacetylases (CDAs) are enzymes that catalyze the conversion of chitin into chitosan, thereby influence the mechanical and permeability properties of structures such as the cuticle and peritrophic matrices. The full length cDNAs of chitin deacetylase2 (CDA2) genes from Hyphantria cunea were fully cloned by PCR amplification. Two cDNA sequences of HcCDA2 were searched from transcriptome of H. cunea and named as HcCDA2a and HcCDA2b. The deduced protein sequences showed that HaCDA2a and HaCDA2b are synthesized as preproteins of 524 and 518 amino acid residues with an 18-amino acid signal peptide, respectively. HcCDA2a and HcCDA2b contained a chitin-binding domain (ChBD), a low-density lipoprotein receptor class A domain (LDLa) and a polysaccharide deacetylase-like catalytic domain (CDA). Gene expression analyses results showed that HcCDA2a and HcCDA2b were both expressed at the head, integument, foregut, midgut, hindgut, Malpighian tubules and fat body, as well as the 1st to 5th days of fifth instar larvae. Western blot analyses revealed that HcCDA2 protein was highly abundant in the head and integument, and the developmental expression result in the fifth instars showed that HcCDA2 was highly present at the first two days. Besides, RT-PCR results showed that HcCDA2a and HcCDA2b were both expressed in integument and head, whether in molting stage or feeding stage. No visiable phenotypic changes were observed after injection of dsHcCDA2b, while lethal phenotypes of cuticle shedding failure and high mortality were resulted from injection of dsHcCDA2a. The silence of HcCDA2a leads to the ecdysis failure and death of H. cunea. These results suggest that HcCDA2 plays an important role during insect development, and provide new candidate targets and basis for developing environment-friendly pesticides. PMID- 29842912 TI - Associations of interleukin-6 gene polymorphisms with cancer risk: Evidence based on 49,408 cancer cases and 61,790 controls. AB - Many molecular epidemiologic studies have shown that interleukin-6 (IL-6) polymorphisms are significantly associated with susceptibility for various cancers. However, the conclusions of these studies are inconsistent. The purpose of the present study was to explore the association between three common IL-6 loci (rs1800795, rs1800796, and rs1800797) and the risk for various cancers. We systematically searched the PubMed, Web of Science, Wanfang and China national knowledge infrastructure (CNKI) databases for relevant publications and obtained 108 eligible studies, involving 49,408 cancer patients and 61,790 cancer-free controls. Odds ratio (OR), 95% confidence interval (CI), and false positive reporting probability (FPRP) were used to evaluate cancer risk. All statistical analyses were performed using the R software meta package. We observed a non significant association between rs1800795 and overall cancer risk, while rs1800797 was found to have a false positive association with overall risk of cancer. Subgroup analyses of rs1800797 also suggested non-significant association and rs1800795 played a protective role in liver cancer. Rs1800796 was found to be associated with overall cancer risk, particularly in Asian patients and those with prostate cancer. These findings provide evidence that IL-6 polymorphisms may affect cancer risk. PMID- 29842913 TI - Baculovirus for gene delivery to mammalian cells: Past, present and future. AB - Baculovirus is an insect virus which has been used for more than thirty years for production of recombinant proteins in insect cells. However, baculovirus can also be harnessed for efficient gene delivery to mammalian cells if it is equipped with mammalian promoters. This technology is known as BacMam and has been used for gene delivery to immortalized cell lines, stem cells, and primary cells, as well as for gene delivery in animals. Baculovirus has unique features when compared to mammalian viruses. Besides the fact that it is replication incompetent and does not integrate into the host genome, it has large capacity for foreign DNA. This capacity can for example be used to deliver multiple genes for reprogramming of stem cells, or for delivery of large homology constructs for genome editing. In this review, we provide a brief overview of baculovirus-based gene delivery and its recent applications in therapy and basic research. We also describe how baculovirus is manipulated for efficient transduction in mammalian cells and we highlight possible future improvements. PMID- 29842914 TI - Genetic diversity of the human adenovirus species C DNA polymerase. AB - BACKGROUND: Human Adenovirus (HAdV) are responsible for severe infections in hematopoietic stem cells transplant (HSCT) recipient, species C viruses being the most commonly observed in this population. There is no approved antiviral treatment yet. Cidofovir (CDV), a cytidine analog, is the most frequently used and its lipophilic conjugate, brincidofovir (BCV), is under clinical development. These drugs target the viral DNA polymerase (DNA pol). Little is known about the natural polymorphism of HAdV DNA pol in clinical strains. METHODS: We assessed the inter- and intra-species variability of the whole gene coding for HAdV DNA pol of HAdV clinical strains of species C. The study included 60 species C HAdV (21 C1, 27 C2 and 12 C5) strains isolated from patients with symptomatic infections who had never experienced CDV or BCV treatments and 20 reference strains. We also evaluated the emergence of mutations in thrirteen patients with persistent HAdV infection despite antiviral treatment. RESULTS: We identified 356 polymorphic nucleotide positions (9.9% of the whole gene), including 102 positions with nonsynonymous mutations (28.0%) representing 8.7% of all amino acids. The mean numbers of nucleotide and amino acid mutations per strain were 23.1 (+/-6.2) and 5.2 (+/-2.4) respectively. Most of amino acid substitutions (60.6%) were observed in one instance only. A minority (13.8%) were observed in more than 10% of all strains. The most variable region was the NH2 terminal domain (44.2% of amino acid mutations). Mutations in the exonuclease domain accounted for 27.8%. The binding domains for the terminal protein (TPR), TPR1 and TPR2, presented a limited number of mutations, which were nonetheless frequently observed (62.5% and 58.8% of strains for TPR1 and TPR2, respectively). None of the mutations associated with CDV or BCV resistance were detected. In patients receieving antiviral drugs with persistent HAdV replication, we identified a new mutation in the NH2 terminal region. CONCLUSIONS: Our study shows a high diversity in HAdV DNA pol sequences in clinical species C HAdV and provides a comprehensive mapping of its natural polymorphism. These data will contribute to the interpretation of HAdV DNA pol mutations selected in patients receiving antiviral treatments. PMID- 29842915 TI - Cathodal transcranial direct current stimulation over right dorsolateral prefrontal cortex improves language control during language switching. AB - Currently, there is increasing attention on how to best improve language control efficiency and minimize cross-language interference in bilinguals. Previous studies have demonstrated that right dorsolateral prefrontal cortex (rDLPFC) plays an important role in inhibiting unrelated stimuli. The current study applied transcranial direct current stimulation (tDCS) during language switching to determine whether modulation of rDLPFC would affect language control mechanisms. All the participants have undergone three types of stimulations: cathodal stimulation, anodal stimulation and sham stimulation. The sequence of three stimulations was counterbalanced across participants. After each stimulation, participants performed picture naming task for language switching. Unbalanced bilinguals exhibited a larger late positive component (LPC) in switching to the weaker language than to the dominant one and similar L1 and L2 switch costs only in the cathodal tDCS (C-tDCS) session. Further analyses showed that the differences of switch costs (L1 switch costs - L2 switch costs) in the C tDCS session were smaller than in the sham-tDCS (S-tDCS) session. Results were largely consistent with the assumption that cathodal stimulation improving inhibitory control abilities of unbalanced bilinguals to help them better inhibit interference. Another possibility is that cathodal stimulation also worked in other brain areas (e.g., supplementary motor area), which potentially altered unbalanced bilinguals' speech planning or abilities to encode task sets. PMID- 29842916 TI - High fat diet feeding induced insulin resistance exacerbates 6-OHDA mediated neurotoxicity and behavioral abnormalities in rats. AB - Some of the clinical reports suggest that insulin resistance could be a risk factor for Parkinson's disease (PD) development, however experimental data is scarce. Our previous work has suggested that insulin resistance could be an important factor that leads to diabetes associated neurodegeneration. In the present study, we evaluated whether insulin resistance is linked to PD pathology or not. For this purpose, we first standardized an animal model which could mimic the co-morbid insulin resistance and PD condition. For development of insulin resistance, we fed the male Wistar rats with high fat diet (HFD) for eight weeks, followed by 6-hydroxydopamine (6-OHDA) administration, a toxin widely used for PD induction, in medial forebrain bundle (MFB) of rats. The 6-OHDA treatment resulted in neuronal damage and loss of striatal dopamine level. This dopamine loss was correlated with impaired performance in behavioral tasks such as rotarod, narrow beam walk test and locomotor activity. Interestingly, we found that exposure to HFD exacerbated the effects of 6-OHDA on striatal dopamine loss and behavioral parameters in rats, indicating that HFD-induced insulin resistance is associated with a diminished capacity of dopaminergic neurons to cope with 6 OHDA mediated neurotoxicity. Based upon these findings, it can be suggested that HFD feeding induced insulin resistance exacerbates the PD pathology. PMID- 29842917 TI - Therapeutic targeting of cathepsin C: from pathophysiology to treatment. AB - Cathepsin C (CatC) is a highly conserved tetrameric lysosomal cysteine dipeptidyl aminopeptidase. The best characterized physiological function of CatC is the activation of pro-inflammatory granule-associated serine proteases. These proteases are synthesized as inactive zymogens containing an N-terminal pro dipeptide, which maintains the zymogen in its inactive conformation and prevents premature activation, which is potentially toxic to the cell. The activation of serine protease zymogens occurs through cleavage of the N-terminal dipeptide by CatC during cell maturation in the bone marrow. In vivo data suggest that pharmacological inhibition of pro-inflammatory serine proteases would suppress or attenuate deleterious effects mediated by these proteases in inflammatory/auto immune disorders. The pathological deficiency in CatC is associated with Papillon Lefevre syndrome (PLS). The patients however do not present marked immunodeficiency despite the absence of active serine proteases in immune defense cells. Hence, the transitory pharmacological blockade of CatC activity in the precursor cells of the bone marrow may represent an attractive therapeutic strategy to regulate activity of serine proteases in inflammatory and immunologic conditions. A variety of CatC inhibitors have been developed both by pharmaceutical companies and academic investigators, some of which are currently being employed and evaluated in preclinical/clinical trials. PMID- 29842918 TI - Intra-articular clearance of labeled dextrans from naive and arthritic rat knee joints. AB - OBJECTIVE: Determine the effects of arthritis on the trans-synovial clearance of small and large model compounds following local delivery to the knee joint in a rat model. DESIGN: Intra-articular delivery was studied in rat knee joints in an osteoarthritis model of joint instability (medial collateral ligament and meniscus transection model or MMT). Fluorescently-labeled 10 kDa or 500 kDa dextran was injected in the arthritic or unoperated control (naive) joints 3 weeks after surgical destabilization, and the temporal clearance pattern was evaluated via in vivo regional fluorescence imaging, dextran concentrations in plasma and draining lymph nodes, and by quantification of fluorescence in histological synovium sections. Together these data were used to evaluate the effect of osteoarthritis and solute size on the rate of drug clearance from the joint. RESULTS: Clearance of 10 kDa dextran from the joint space quantified using in vivo fluorescence imaging of the knee joint region was not significantly different between naive and MMT joints. In contrast, clearance of 500 kDa dextran was significantly reduced for MMT joints when compared to naive joints by fluorescence in vivo imaging. Drug accumulation in lymph nodes and plasma were lower for the 500 kDa dextran as compared to 10 kDa dextran, and lymph node levels were further reduced with the presence of osteoarthritis. Furthermore, synovium was significantly thicker in MMT joints than in naive joints and image analysis of joint tissue sections revealed different trans-synovial distributions of 10 and 500 kDa dextran. CONCLUSION: Large macromolecules were retained in the arthritic joint longer than in the healthy joint, while smaller molecules were cleared similarly in healthy and arthritic joints. In vivo fluorescence imaging, plasma and lymph node concentrations, and spatial distributions of drug fluorescence identified differences in higher molecular weight clearance between naive and arthritic disease states. Findings may relate to a thickening of synovium for joints with induced arthritis, and support the concept that intra articular drug delivery effectiveness may vary with the state of joint pathology. PMID- 29842919 TI - Sustained therapeutic efficacy of budesonide-loaded chitosan swellable microparticles after lung delivery: Influence of in vitro release, treatment interval and dose. AB - Sustained drug delivery to the respiratory tract is highly desirable for local treatment of chronic lung diseases. In this context, a correlation of in vitro drug release with in vivo efficacy data is essential to accelerate the application of sustained drug delivery system for inhalation into the clinical setting. In this study, budesonide was incorporated into distinct chitosan-based swellable microparticles, which were characterized, and the in vitro drug release behavior determined. The particles were then given to an allergic asthma animal model as single and successive administrations, and the therapeutic response was determined by measuring cell counts, IL-4 and IL-5 levels in bronchoalveolar lavage fluid, IL-4 and IL-5 mRNA in the lung and by histopathologic examination of lung tissues. After a single administration, the time-dependent therapeutic effect of the swellable microparticles was correlated with the in vitro release behavior, which lasted for 12 or 18 h depending on the molecular weight of the chitosan. After seven days of successive treatment, the number of eosinophils decreased further and IL-4 and IL-5 mRNA expression in the lung tissue was more greatly inhibited. Moreover, the chitosan-based swellable microparticles allowed longer administration intervals (every two days), which decreased the required dose for effectiveness by 50%. These results demonstrate that chitosan-based swellable microparticles can sustain the therapeutic effect of budesonide in the respiratory tract which in principal can be applied to other drugs for the treatment of local lung diseases. PMID- 29842920 TI - Could a tax on unhealthy products sold for weight loss reduce consumer use? A novel estimation of potential taxation effects. AB - Abuse of widely available, over-the-counter (OTC) drugs and supplements such as diet pills, laxatives, and diuretics by adolescents for weight control is well documented, yet manufacturers and retailers can sell them to minors without restriction. The aim of our study was to estimate the effect of added taxation of OTC drugs and dietary supplements sold for weight loss on household purchases of these products. With data from 60,538 U.S. households in the 2012 waves of the Nielsen/IRi National Consumer Panel (NCP) and the Nielsen/IRi Retail Scanner (NRS) datasets, we conducted analyses in 2017 to tally annual quantities and expenditures on OTC drugs or dietary supplements making weight-loss, cleanse/detox, or diuretic claims. We estimated the percent reduction in household purchases due to a simulated 20% added tax on each category. Among the 14,151 households reporting at least one purchase in the three claims categories, a 20% higher average price of weight-loss products was associated with a 5.2% lower purchases of those products. Among households with children ages 12 to 17 years old present, purchases were 17.5% lower, and among households with a daughter present, purchases were 10.3% lower. Taxation may be an effective public health strategy to reduce purchasing of potentially dangerous OTC drugs and supplements sold for weight loss, especially for households that include children ages 12-17 years old or a daughter. PMID- 29842921 TI - Anatomy of rodent and human livers: What are the differences? AB - The size of the liver of terrestrial mammals obeys the allometric scaling law over a weight range of >3 * 106. Since scaling reflects adaptive changes in size or scale among otherwise similar animals, we can expect to observe more similarities than differences between rodent and human livers. Obvious differences, such as the presence (rodents) or absence (humans) of lobation and the presence (mice, humans) or absence (rats) of a gallbladder, suggest qualitative differences between the livers of these species. After review, however, we conclude that these dissimilarities represent relatively small quantitative differences. The microarchitecture of the liver is very similar among mammalian species and best represented by the lobular concept, with the biggest difference present in the degree of connective tissue development in the portal tracts. Although larger mammals have larger lobules, increasing size of the liver is mainly accomplished by increasing the number of lobules. The increasing role of the hepatic artery in lobular perfusion of larger species is, perhaps, the most important and least known difference between small and large livers, because it profoundly affects not only interventions like liver transplantations, but also calculations of liver function. PMID- 29842922 TI - MitoQ protects dopaminergic neurons in a 6-OHDA induced PD model by enhancing Mfn2-dependent mitochondrial fusion via activation of PGC-1alpha. AB - Parkinson's disease (PD) is characterized by the degeneration of dopaminergic neurons in the substantia nigra compacta (SNc). Although mitochondrial dysfunction is the critical factor in the pathogenesis of PD, the underlying molecular mechanisms are not well understood, and as a result, effective medical interventions are lacking. Mitochondrial fission and fusion play important roles in the maintenance of mitochondrial function and cell viability. Here, we investigated the effects of MitoQ, a mitochondria-targeted antioxidant, in 6 hydroxydopamine (6-OHDA)-induced in vitro and in vivo PD models. We observed that 6-OHDA enhanced mitochondrial fission by decreasing the expression of Mfn1, Mfn2 and OPA1 as well as by increasing the expression of Drp1 in the dopaminergic (DA) cell line SN4741. Notably, MitoQ treatment particularly upregulated the Mfn2 protein and mRNA levels and promoted mitochondrial fusion in the presence of 6 OHDA in a Mfn2-dependent manner. In addition, MitoQ also stabilized mitochondrial morphology and function in the presence of 6-OHDA, which further suppressed the formation of reactive oxygen species (ROS), as well as ameliorated mitochondrial fragmentation and cellular apoptosis. Moreover, the activation of peroxisome proliferator-activated receptor gamma coactivator 1alpha (PGC-1alpha) was attributed to the upregulation of Mfn2 induced by MitoQ. Consistent with these findings, administration of MitoQ in 6-OHDA-treated mice significantly rescued the decrease of Mfn2 expression and the loss of DA neurons in the SNc. Taken together, our findings suggest that MitoQ protects DA neurons in a 6-OHDA induced PD model by activating PGC-1alpha to enhance Mfn2-dependent mitochondrial fusion. PMID- 29842924 TI - Quality Improvement Initiative to Improve Human Papillomavirus Vaccine Initiation at 9 Years of Age. AB - OBJECTIVE: Adolescent human papillomavirus (HPV) vaccine rates remain low. Early vaccination may improve the efficacy of the vaccine and immunization rates; however, clinicians have not routinely made a strong recommendation for younger adolescents. This study assessed the feasibility of routine vaccination at 9 years of age. METHODS: Three sequential quality improvement (QI) interventions were implemented to shift the initiation of the HPV vaccine to 9 years of age in a primary care network in low-income neighborhoods in Columbus, Ohio. The first intervention changed the electronic medical record alert for the HPV vaccine from 11 to 9 years of age and focused on cancer prevention when discussing the vaccine with families. The second intervention was formation of an HPV QI team. The third intervention was a clinic incentive for HPV captured opportunity rates. Immunization rates were monitored using statistical process control charts to compare the HPV immunization rate in a sample of 9- and 10-year-old children with a sample of 11- and 12-year-old children. RESULTS: The percentage of patients receiving an HPV vaccine before 11 years increased from 4.6% to 35.7% during the 6 months after the QI initiative began and to 60.8% 18 months after the project began. In comparison, the HPV vaccination rate in the sample of 11- and 12-year olds increased from 78.7% to 82.8% 18 months later. CONCLUSIONS: This QI project used multiple interventions to increase HPV vaccination at 9 years of age in a large primary care network serving a diverse low-income population. PMID- 29842923 TI - Antibacterial, antifungal, anticancer activities and structural bioinformatics analysis of six naturally occurring temporins. AB - Antimicrobial peptides are a special class of natural products with potential applications as novel therapeutics. This study focuses on six temporins (four with no activity data and two as positive controls). Using synthetic peptides, we report antibacterial, antifungal, and anticancer activities of temporins-CPa, CPb, 1Ga, 1Oc, 1Ola, and 1SPa. While temporin-1Ga and temporin-1OLa showed higher antifungal and anticancer activity, most of these peptides were active primarily against Gram-positive bacteria. Temporin-1OLa, with the highest cell selectivity index, could preferentially kill methicillin-resistant Staphylococcus aureus (MRSA), consistent with a reduced hemolysis in the presence of bacteria. Mechanistically, temporin-1OLa rapidly killed MRSA by damaging bacterial membranes. Using micelles as a membrane-mimetic model, we determined the three dimensional structure of temporin-1OLa by NMR spectroscopy. The peptide adopted a two-domain structure where a hydrophobic patch is followed by a classic amphipathic helix covering residues P3-I12. Such a structure is responsible for anti-biofilm ability in vitro and in vivo protection of wax moths Galleria mellonella from staphylococcal infection. Finally, our bioinformatic analysis leads to a classification of temporins into six types and confers significance to this NMR structure since temporin-1OLa shares a sequence model with 62% of temporins. Collectively, our results indicate the potential of temporin-1OLa as a new anti-MRSA compound, which shows an even better anti-biofilm capability in combination with linezolid. PMID- 29842925 TI - Adaptation to the coupling of glycolysis to toxic methylglyoxal production in tpiA deletion strains of Escherichia coli requires synchronized and counterintuitive genetic changes. AB - Methylglyoxal is a highly toxic metabolite that can be produced in all living organisms. Methylglyoxal was artificially elevated by removal of the tpiA gene from a growth optimized Escherichia coli strain. The initial response to elevated methylglyoxal and its toxicity was characterized, and detoxification mechanisms were studied using adaptive laboratory evolution. We found that: 1) Multi-omics analysis revealed biological consequences of methylglyoxal toxicity, which included attack on macromolecules including DNA and RNA and perturbation of nucleotide levels; 2) Counter-intuitive cross-talk between carbon starvation and inorganic phosphate signalling was revealed in the tpiA deletion strain that required mutations in inorganic phosphate signalling mechanisms to alleviate; and 3) The split flux through lower glycolysis depleted glycolytic intermediates requiring a host of synchronized and coordinated mutations in non-intuitive network locations in order to re-adjust the metabolic flux map to achieve optimal growth. Such mutations included a systematic inactivation of the Phosphotransferase System (PTS) and alterations in cell wall biosynthesis enzyme activity. This study demonstrated that deletion of major metabolic genes followed by ALE was a productive approach to gain novel insight into the systems biology underlying optimal phenotypic states. PMID- 29842926 TI - Facile assembly and fluorescence-based screening method for heterologous expression of biosynthetic pathways in fungi. AB - Heterologous expression of multi-gene biosynthetic pathways in eukaryotic hosts is limited by highly regulated individual monocistrons. Dissimilar to prokaryotes, each eukaryotic gene is strictly controlled by its own regulatory elements, such as promoter and terminator. Consequently, parallel transcription can occur only when a group of genes is synchronously activated. A strategy to circumvent this limitation is the concerted expression of multiple genes as a polycistron. By exploiting the "stop-carry on" mechanism of picornaviruses, we have designed a sophisticated, yet easy-to-assemble vector system to heterologously express multiple genes under the control of a single promoter. For facile selection of correctly transformed colonies by basic fluorescence microscopy, our vector includes a split gene for a fluorescent reporter protein. This method was successfully applied to produce the psychotropic mushroom alkaloid psilocybin in high yields by heterologous expression of the entire biosynthetic gene cluster in the mould Aspergillus nidulans. PMID- 29842927 TI - Endothelial progenitor cells and rheumatic disease modifying therapy. AB - Rheumatic diseases are associated with accelerated atherosclerosis and with increased risk of cardiovascular morbidity and mortality. The mechanisms underlying the higher prevalence of cardiovascular disease are not completely clarified, but it is likely that a pivotal role is played by vascular inflammation and consequently to altered vascular endothelium homeostasis. Also, high prevalence of traditional risk factors, proatherogenic activation and endothelial dysfunction further contribute to vascular damage. Circulating endothelial progenitor cells (EPCs) can restore dysfunctional endothelium and protect against atherosclerotic vascular disease. However, abnormalities in number and function of these cells in patients with rheumatic condition have been extensively reported. During the last years, growing interest in the mechanisms of endothelial renewal and its potential as a therapy for CVD has been shown; in addition, pioneering studies show that EPC dysfunction might be improved with pharmacological strategies. However, how to restore EPC function, and whether achieving this aim may be effective in preventing cardiovascular complications in rheumatic disease, remain to be established. In this review we report an overview on the current stand of knowledge on the effect of pharmaceutical and lifestyle intervention in improving EPCs number and function in rheumatic disease. PMID- 29842928 TI - HPV E6 oncoproteins and nucleic acids in neck lymph node fine needle aspirates and oral samples from patients with oropharyngeal squamous cell carcinoma. AB - Commercial assays measuring HPV E6 viral oncoproteins, E6/E7 mRNA or DNA were used to test neck lymph node fine needle aspirates (FNA) and oropharyngeal samples (saliva and oral swabs) from 59 Canadian patients with oropharyngeal squamous cell carcinomas (OPSCC). Overall agreements of p16 antigen staining of tumors to FNA tested for OncoE6TM, Aptima HPV E6/E7 mRNA and cobas HPV DNA were 81.4% (k 0.53), 94.9% (k 0.83) and 91.1% (k 0.73) respectively. Using HPV presence in a subset of 25 tumors as the comparator, overall agreement was 64.0% (k 0.08) with OncoE6TM, 88.0% (k 0.65) with Aptima HPV E6/E7 mRNA and 91.7% (k 0.70) with cobas HPV DNA. HPV testing of oropharyngeal samples yielded lower agreements with tumor markers; 23.7-24.0% (k 0.02), 55.9-68.0% (k 0.24-0.37) and 78.9-86.9% (k 0.49-0.58) in the 3 respective tests. HPV 16 was present in 93.7 100% of the samples tested and showed 100% genotype agreement between FNA and tumors. The high rates for HPV E6 oncoproteins and E6/E7 mRNA suggests most patients were experiencing transcriptionally active HPV-related OPSCC. Results from these commercial assays performed on FNA but not oropharyngeal samples showed moderate to very good agreements with p16 and HPV testing of tumors. PMID- 29842929 TI - Antagonism of Transcription Factor MYC2 by EDS1/PAD4 Complexes Bolsters Salicylic Acid Defense in Arabidopsis Effector-Triggered Immunity. AB - In plant immunity, pathogen-activated intracellular nucleotide binding/leucine rich repeat (NLR) receptors mobilize disease resistance pathways, but the downstream signaling mechanisms remain obscure. Enhanced disease susceptibility 1 (EDS1) controls transcriptional reprogramming in resistance triggered by Toll Interleukin1-Receptor domain (TIR)-family NLRs (TNLs). Transcriptional induction of the salicylic acid (SA) hormone defense sector provides one crucial barrier against biotrophic pathogens. Here, we present genetic and molecular evidence that in Arabidopsis an EDS1 complex with its partner PAD4 inhibits MYC2, a master regulator of SA-antagonizing jasmonic acid (JA) hormone pathways. In the TNL immune response, EDS1/PAD4 interference with MYC2 boosts the SA defense sector independently of EDS1-induced SA synthesis, thereby effectively blocking actions of a potent bacterial JA mimic, coronatine (COR). We show that antagonism of MYC2 occurs after COR has been sensed inside the nucleus but before or coincident with MYC2 binding to a target promoter, pANAC019. The stable interaction of PAD4 with MYC2 in planta is competed by EDS1-PAD4 complexes. However, suppression of MYC2 promoted genes requires EDS1 together with PAD4, pointing to an essential EDS1 PAD4 heterodimer activity in MYC2 inhibition. Taken together, these results uncover an immune receptor signaling circuit that intersects with hormone pathway crosstalk to reduce bacterial pathogen growth. PMID- 29842930 TI - FmLC6: An ultimate dual-CRD C-type lectin from Fenneropenaeus merguiensis mediated its roles in shrimp defense immunity towards bacteria and virus. AB - C-type lectins are a member of pattern recognition receptors (PRRs) that can interact with pathogen-associated molecular patterns of invading microorganisms by using their conserved motifs in carbohydrate recognition domain (CRD). The binding can trigger various immune responses in both direct and indirect mechanisms. Hereby, an ultimate C-type lectin with dual CRDs each of which containing a different motif was identified from hepatopancreas of Fenneropenaeus merguiensis (mentioned as FmLC6). The full-length cDNA of FmLC6 consisted of 1148 bp comprising one 1005 bp open reading frame (ORF) encoding a signal peptide and a mature protein of 317 residues. FmLC6 was composed of two CRDs with a highly conserved QPD (Gln-Pro-Asp) motif and one variant EPQ (Glu-Pro-Gln) motif for illustrating the carbohydrate binding affinity. The transcription of FmLC6 was detected only in hepatopancreas of normal shrimp. After injection with pathogens or immunostimulants, the expression of FmLC6 was significantly up-regulated and reached the highest level at 12 h post-injection except with lipoteichoic acid challenge. The FmLC6 expression was severely suppressed by knockdown based silencing. This gene silencing with co-injection by Vibrio parahaemolyticus caused increasing in cumulative mortality and reduction of the median lethal time. Purified recombinant proteins of an entire ORF and two individual CRDs of FmLC6 produced in Escherichia coli could induce a broad spectrum of microbial agglutination with calcium dependence. The agglutination induced by rFmLC6, rCRD1 and rCRD2 was suppressed by galactose plus mannose, galactose and mannose, respectively which this event was confirmed by the inhibition of hemagglutination. All three recombinant proteins possessed ability to inhibit the bacterial growth with a dose-response. Purified rFmLC6 could bind directly to white spot syndrome virus particles and also its recombinant proteins including VP15, VP39A and VP28 with different affinity. Altogether, these results indicate that FmLC6 acts as a PRR to recognize invading microorganisms and leads to mediating the immune response to cooperation in pathogenic elimination via the binding, agglutination and antimicrobial activity. PMID- 29842931 TI - Safety of laparoscopic resection for colorectal cancer in patients with liver cirrhosis: A retrospective cohort study. AB - BACKGROUND: Patients with liver cirrhosis represent a high risk group for colorectal surgery. The safety and effectiveness of laparoscopy in colorectal surgery for cirrhotic patients is not clear. The aim of this study was to compare the outcomes of laparoscopic colorectal surgery with those of open procedure for colorectal cancer in patients with liver cirrhosis. MATERIALS AND METHODS: A total of 62 patients with cirrhosis who underwent radical resections for colorectal cancer from 2005 to 2014 were identified retrospectively from a prospective database according to the technique adopted (laparoscopic or open). Short- and long-term outcomes were compared between the two groups. RESULTS: Comparison of laparoscopic group and open group revealed no significant differences at baseline. In the laparoscopic group, the laparoscopic surgery was associated with reduced estimated blood loss (136 vs. 266 ml, p = 0.015), faster first flatus (3 vs. 4 days, p = 0.002) and shorter days to first oral intake (4 vs. 5 days, p = 0.033), but similar operative times (p = 0.856), number of retrieved lymph nodes (p = 0.400) or postoperative hospital stays (p = 0.170). Despite the similar incidence of overall complications between the two groups (50.0% vs. 68.8%, p = 0.133), we observed lower morbidities in laparoscopic group in terms of the rate of Grade II complication (20.0% vs. 50.0%, p = 0.014). Long term of overall and Disease-free survival rates did not differ between the two groups. CONCLUSION: Laparoscopic colorectal surgery appears to be a safe and less invasive alternative to open surgery in some elective cirrhotic patients in terms of less blood loss or early recovery and does not result in additional harm in terms of the postoperative complications or long-term oncological outcomes. PMID- 29842932 TI - Increased yield of full GBA sequencing in Ashkenazi Jews with Parkinson's disease. AB - BACKGROUND: Variants in GBA are the most common genetic risk factor for Parkinson's disease (PD), and are especially prevalent in the Ashkenazi Jewish (AJ) population. However, most studies on GBA in AJ genotype only seven selected Gaucher-associated pathogenic variants rather than sequencing the whole gene, which may leave carriers of PD-associated GBA variants undiscovered. METHODS: GBA was fully sequenced using molecular inversion probes (MIPs) and Sanger sequencing in 735 AJ PD patients and 662 AJ controls, from Israel and New York. Additional AJ control data (n = 3044) from the Inflammatory Bowel Disease Exome Portal was used. RESULTS: Full GBA sequencing increased the number of variants discovered by 17.4%, compared to targeted genotyping. An additional 17 PD patients were identified with GBA-associated PD. The p.E326K variant was found in 1.6% of AJ PD patients, making it the second most common PD-associated GBA variant in AJ. GBA variants were found in 18% of PD patients and 7.5% of controls (OR = 2.7, 95%CI = 1.9-3.8, p < 0.0001). CONCLUSION: Without full sequencing of GBA, or at minimum including p.E326K in the genotyping panel, a significant proportion of variant carriers go undiscovered and may be incorrectly assigned as non-carriers in studies or clinical trials. PMID- 29842933 TI - A case of food-dependent exercise-induced angioedema. PMID- 29842934 TI - Enhancing the therapeutic effect via elimination of hepatocellular carcinoma stem cells using Bmi1 siRNA delivered by cationic cisplatin nanocapsules. AB - Resistance of hepatocellular carcinoma (HCC) to systemic chemotherapy is partially due to presence of drug-resistant cancer stem cells. Bmi1 protein is essential for survival and proliferation of HCC cancer stem cells (CSCs). Here, we report that Bmi1 siRNA (Bmi1siR) loaded in cationic nanocapsules of cisplatin (NPC) eliminated stem cells in situ HCC in mice. NPC/Bmi1siR was fabricated via electrostatic complexation of Bmi1 siRNA to NPCs, which had cores composed of cisplatin and were coated with cationic lipids. In vivo, NPC/Bmi1siR showed higher anti-tumor activity in HCC bearing mice compared with cisplatin or NPC. Critically, both flow cytometry (FACS) analysis in vitro and histological examination in vivo revealed that side population or CD133+ HCC cells were dramatically decreased by NPC/Bmi1siR treatment, suggesting that HCC CSCs were eliminated. Altogether, our results suggest that drug resistance of HCC can be overcome by co-delivering Bmi1 siRNA with cisplatin in cationic nanocapsules. PMID- 29842935 TI - Block of Kir channels by flonicamid disrupts salivary and renal excretion of insect pests. AB - Flonicamid is a selective insecticide for the control of sap-sucking insects; it exerts toxic effects by inhibiting insect feeding. However, its molecular target remains elusive. In this study, we functionally characterized NlKir1 channels of the brown planthopper (Nilaparvata lugens) in HEK293 cells. Homomeric NlKir1 channels generated inward-rectifying K+ currents. Flonicamid inhibited NlKir1 channels at nanomolar concentrations. Furthermore, flonicamid inhibited honeydew and salivary secretions of planthoppers, and reduced the renal excretion of female mosquitoes in a dose-dependent manner. The inhibitory effect of flonicamid on fluid secretion of isolated Malpighian tubules from Culex pipiens pullens was comparable to that of the selective Kir1 inhibitor. The observed physiological alterations by flonicamid are likely mediated by Kir1 channels and could lead to the disruption of feeding behaviors and eventually lethality. Our study establishes the Kir1 channel as the target of flonicamid and provided new insights into the mode of action of flonicamid. PMID- 29842936 TI - Plant Biotechnology: Green for Good IV. PMID- 29842937 TI - Is the independence of medical research at stake? On the forces shaping the research agenda. PMID- 29842938 TI - A Case of Psoas Muscle Endometriosis: A Distinct Approach to Diagnosis and Management. AB - Endometriosis is a common disease in women of childbearing age. Here, we report a case of psoas muscle endometriosis and our approach to treatment. A 28-year-old woman presented with an 8-month history of lower left abdominal and back pain. She was incorrectly diagnosed and treated for a psoas abscess at a previous hospital. Based on imaging results and previous history of severe dysmenorrhea, a diagnosis of psoas muscle endometriosis was considered. The patient underwent treatment with gonadotropin-releasing hormones and laparoscopic surgery and currently reports alleviation of symptoms. Psoas muscle endometriosis is rare, and the diagnosis can be difficult. It is important to recognize signs and symptoms to determine adequate treatment. PMID- 29842939 TI - Regarding "Evaluation of a Spray-type Novel Dextrin Hydrogel Adhesion Barrier under Laparoscopic Conditions in a Porcine Uterine Horn Adhesion Model". PMID- 29842940 TI - A quantitative metric for knee osteoarthritis: reference values of joint space loss. AB - OBJECTIVES: Knee osteoarthritis (OA) onset and progression has been defined with transitions in Kellgren-Lawrence (KL) grade or Osteoarthritis Research Society International (OARSI) Joint Space Narrowing (JSN) grade. We quantitatively describe one-year transitions in KL grade and JSN, using fixed joint space width (fJSW), among knees with or at risk of OA. METHODS: Radiographic assessments from the Osteoarthritis Initiative (OAI) were used to identify transitions in KLG and JSN grade between consecutive annual visits. The fJSW was measured in the medial and lateral compartments. The distribution of change in fJSW for KLG and JSN transitions were described, and mean change in fJSW was estimated using mixed models. RESULTS: KL grade and JSN scores were available for about 20,000 annual transitions from 6047 knees contributed by 3389 participants. Knees that remained stable in KL or OARSI-JSN over 1 year had mean medial fJSW loss between -0.06 and -0.19 mm/year. Transition from KL grade 0 to 1, 0 to 2, and KL 1 to 2 were similar with respect to mean medial fJSW loss (0.18-0.28 mm). Greatest annual changes in medial fJSW corresponded to KL 0 to 3 (1.62 mm), KL 2 to 4 (1.23 mm) and JSN 0 to 2 (1.85 mm). CONCLUSIONS: Anchoring quantitatively measured loss of joint space width to transitions in KL grade and JSN provides reference values based on traditional definitions of knee OA onset and progression. PMID- 29842941 TI - Signal intensity alteration within infrapatellar fat pad predicts knee replacement within 5 years: data from the Osteoarthritis Initiative. AB - OBJECTIVE: To investigate whether infrapatellar fat pad (IPFP) signal intensity (SI) alteration predicts the occurrence of knee replacement (KR) in knee osteoarthritis (OA) patients over 5 years. DESIGN: The subjects were selected from Osteoarthritis Initiative (OAI) study. Case knees (n = 127) were defined as those who received KR during 5 years follow-up visit. They were matched by gender, age and radiographic status with control knees (n = 127). We used T2 weighted MR images to measure IPFP SI alteration using a newly developed algorithm in MATLAB. The measurements were assessed at baseline (BL), T0 (the visit just before KR) and 1 year before T0 (T-1). Conditional logistic regression was used to analyse the associations between IPFP SI alterations and the risk of KR. RESULTS: Participants were mostly female (57%), with an average age of 63.7 years old and a mean body mass index (BMI) of 29.5 kg/m2. In multivariable analysis, the standard deviation (SD) of IPFP SI [sDev (IPFP)] and the ratio of high SI region volume to whole IPFP volume [Percentage (H)] measured at BL were significantly associated with increased risks of KR after adjustment for covariates. IPFP SI alterations measured at T-1 including sDev (IPFP), Percentage (H) and clustering effect of high SI [Clustering factor (H)] were significantly associated with higher risks of KR. All measurements were significantly associated with higher risks of KR at T0. CONCLUSIONS: IPFP SI is associated with the occurrence of KR suggesting it may play a role in end-stage knee OA. PMID- 29842942 TI - Cardiac resynchronisation therapy in paediatric patients with pacing induced cardiomyopathy - A single centre experience. PMID- 29842943 TI - AMPA receptor complex constituents: Control of receptor assembly, membrane trafficking and subcellular localization. AB - Fast excitatory transmission at synapses of the central nervous system is mainly mediated by AMPA receptors (AMPARs). Synaptic AMPAR number and function correlates with synaptic strength. AMPARs are thus key proteins of activity dependent plasticity in neuronal communication. Up- or down-regulation of synaptic AMPAR number is a tightly controlled dynamic process that involves export of receptors from the endoplasmic reticulum (ER) and Golgi apparatus, exocytosis and endocytosis as well as lateral diffusion of the receptors in the cell membrane. The four AMPAR subunits are embedded into a dynamic network of more than 30 interacting proteins. Many of these proteins are known to modulate receptor gating, trafficking and subcellular localization. Here, we will review the influence that AMPAR interacting proteins exert on trafficking and subcellular localization of the receptors by controlling their assembly, ER/Golgi apparatus export, and synaptic anchoring. PMID- 29842944 TI - Fungal mediated innate immune memory, what have we learned? AB - The binary classification of mammalian immune memory is now obsolete. Innate immune cells carry memory characteristics. The overall capacity of innate immune cells to remember and alter their responses is referred as innate immune memory and the induction of a non-specific memory resulting in an enhanced immune status is termed "trained immunity". Historically, trained immunity was first described as triggered by the human fungal pathogen Candida albicans. Since, numerous studies have accumulated and deciphered the main characteristics of trained immunity mediated by fungi and fungal components. This review aims at presenting the newly described aspect of memory in innate immunity with an emphasis on the historically fungal mediated one, covering the known molecular mechanisms associated with training. In addition, the review uncovers the numerous non specific effect that beta-glucans trigger in the context of infectious diseases and septicaemia, inflammatory diseases and cancer. PMID- 29842945 TI - Circulating integrin alpha4/beta7+ lymphocytes targeted by vedolizumab have a pro inflammatory phenotype. AB - Integrin alpha4/beta7 on circulating lymphocytes identifies them as gut-tropic, and can be targeted by the humanized antibody vedolizumab to treat inflammatory bowel disease (IBD). We found lymphocytes expressing alpha4/beta7 were significantly more responsive to the pro-inflammatory cytokines IL-6, IL-7, and IL-21, and less responsive to the regulatory T cell (Treg)-supporting cytokine IL 2. Alpha4/beta7 was expressed by a smaller percent of FOXP3 + Helios+ thymically derived Tregs (tTregs) than FOXP3 + Helios- peripherally-derived Tregs (pTregs) or FOXP3- effector T cells. Integrin alpha4/beta7+ CD4 T cells were also rare among cells expressing the Th2 marker CRTh2, but enriched in cells bearing the circulating T follicular helper cell marker CXCR5. Thus the effect of this anti integrin therapy on the mucosal immune system may be more qualitative than quantitative, and selectively replace pro-inflammatory effector cells with Tregs and Th2 cells to facilitate immune tolerance in the mucosa without globally depleting lymphocytes from the intestinal mucosa. PMID- 29842946 TI - Combination of anti-citrullinated protein antibodies and rheumatoid factor is associated with increased systemic inflammatory mediators and more rapid progression from preclinical to clinical rheumatoid arthritis. AB - The development of rheumatoid factor (RF) and/or anti-citrullinated protein antibodies (ACPAs) can be observed years prior to clinical diagnosis of rheumatoid arthritis (RA). Nevertheless, the interaction between these two autoantibodies and their combined effect on development of RA is unclear. We measured RF, cytokines, and ACPA subtypes in serial pre-clinical serum samples collected from 83 US veterans who all developed RA. Levels of cytokines and ACPAs were compared between the following groups: anti-cyclic citrullinated peptide (anti-CCP)-/RF- (double negative), anti-CCP+/RF-, anti-CCP-/RF+, or anti-CCP+/RF+ (double-positive). The double-positive subgroup had significantly higher levels of 20 inflammatory cytokines and 29 ACPA reactivities, and the shortest interval, 1.3 years, between the preclinical sample timepoint and diagnosis of RA. Thus, the combined presence of ACPAs and RF is associated with a more rapid progression to RA, suggesting that anti-CCP+/RF+ individuals have a more advanced preclinical disease state and that the onset of RA may be imminent. PMID- 29842947 TI - Use of Partial Least Squares improves the efficacy of removing unwanted variability in differential expression analyses based on RNA-Seq data. AB - RNA-Seq technology has revolutionized the face of gene expression profiling by generating read count data measuring the transcript abundances for each queried gene on multiple experimental subjects. But on the downside, the underlying technical artefacts and hidden biological profiles of the samples generate a wide variety of latent effects that may potentially distort the actual transcript/gene expression signals. Standard normalization techniques fail to correct for these hidden variables and lead to flawed downstream analyses. In this work I demonstrate the use of Partial Least Squares (built as an R package 'SVAPLSseq') to correct for the traces of extraneous variability in RNA-Seq data. A novel and thorough comparative analysis of the PLS based method is presented along with some of the other popularly used approaches for latent variable correction in RNA Seq. Overall, the method is found to achieve a substantially improved estimation of the hidden effect signatures in the RNA-Seq transcriptome expression landscape compared to other available techniques. PMID- 29842948 TI - GB2sequin - A file converter preparing custom GenBank files for database submission. AB - The typical wet lab user often annotates smaller sequences in the GenBank format, but resulting files are not accepted for database submission by NCBI. This makes submission of such annotations a cumbersome task. Here we present "GB2sequin" an easy-to-use web application that converts custom annotations in the GenBank format into the NCBI direct submission format Sequin. Additionally, the program generates a "five-column, tab-delimited feature table" and a FASTA file. Those are required for submission through BankIt or the update of an existing GenBank entry. We specifically developed "GB2sequin" for the regular wet lab researcher with strong focus on user-friendliness and flexibility. The application is equipped with an intuitive graphical interface and a comprehensive documentation. It can be employed to prepare any GenBank file for database submission and is freely available online at https://chlorobox.mpimp golm.mpg.de/GenBank2Sequin.html. PMID- 29842949 TI - Evaluation of computational techniques for predicting non-synonymous single nucleotide variants pathogenicity. AB - The human genetic diseases associated with many factors, one of these factors is the non-synonymous Single Nucleotide Variants (nsSNVs) cause single amino acid change with another resulting in protein function change leading to disease. Many computational techniques have been released to expect the impacts of amino acid alteration on protein function and classify mutations as pathogenic or neutral. Here in this article, we assessed the performance of eight techniques; FATHMM, SIFT, Provean, iFish, Mutation Assessor, PANTHER, SNAP2, and PON- P2 using a VaribenchSelectedPure dataset of 2144 pathogenic variants and 3777 neutral variants extracted from the free standard database "Varibench." The first five techniques achieve (45.60-83.75) % specificity, (52.64-94.13) % sensitivity, (51.00-88.90) % AUC, and (49.76-88.24) % ACC on whole dataset, while all eight techniques achieve (36.54-77.88) % specificity, (50.00-75.00) % sensitivity, (51.00-76.40) % AUC, and (25.00-77.78) % ACC on random sample dataset. We also created a Meta classifier (CSTJ48) that combines FATHMM, iFish, and Mutation Assessor. It registers 96.33% specificity, 86.07% sensitivity, 91.20% AUC, and 91.89 ACC. By comparing the results, it's clear that FATHMM gives the highest performance over the seven individual techniques, where it achieves 83.75% and 77.88% specificity, 94.13%, and 75.00% sensitivity, 88.90% and 76.40% AUC, and 88.24% and 77.78% ACC on whole and random sample dataset, respectively. Also, the launched Meta classifier (CSTJ48) is outperforming over all the eight individual tools that compared here. PMID- 29842950 TI - pLoc_bal-mGpos: Predict subcellular localization of Gram-positive bacterial proteins by quasi-balancing training dataset and PseAAC. AB - Knowledge of protein subcellular localization is vitally important for both basic research and drug development. With the avalanche of protein sequences emerging in the post-genomic age, it is highly desired to develop computational tools for timely and effectively identifying their subcellular localization purely based on the sequence information alone. Recently, a predictor called "pLoc-mGpos" was developed for identifying the subcellular localization of Gram-positive bacterial proteins. Its performance is overwhelmingly better than that of the other predictors for the same purpose, particularly in dealing with multi-label systems in which some proteins, called "multiplex proteins", may simultaneously occur in two or more subcellular locations. Although it is indeed a very powerful predictor, more efforts are definitely needed to further improve it. This is because pLoc-mGpos was trained by an extremely skewed dataset in which some subset (subcellular location) was over 11 times the size of the other subsets. Accordingly, it cannot avoid the bias consequence caused by such an uneven training dataset. To alleviate such bias consequence, we have developed a new and bias-reducing predictor called pLoc_bal-mGpos by quasi-balancing the training dataset. Rigorous target jackknife tests on exactly the same experiment-confirmed dataset have indicated that the proposed new predictor is remarkably superior to pLoc-mGpos, the existing state-of-the-art predictor in identifying the subcellular localization of Gram-positive bacterial proteins. To maximize the convenience for most experimental scientists, a user-friendly web-server for the new predictor has been established at http://www.jci-bioinfo.cn/pLoc_bal-mGpos/, by which users can easily get their desired results without the need to go through the detailed mathematics. PMID- 29842951 TI - Effect of solution plasma process with hydrogen peroxide on the degradation and antioxidant activity of polysaccharide from Auricularia auricula. AB - Solution plasma process (SPP) in combination with hydrogen peroxide (H2O2) were adopted to the degradation of Auricularia auricula polysaccharide (AAP). The results showed that SPP irradiation with H2O2 was effective for the AAP degradation. The intrinsic viscosity ([eta]) of AAP solution decreased exponentially with increase in irradiation time. The degradation reaction closely fitted to the first order kinetics. The degradation rate constant after SPP irradiation with H2O2 was approximately 4.2 times that with SPP irradiation alone. GPC analysis showed that the molecular weight distribution of AAP was narrowed during degradation. FTIR and 13C NMR analysis revealed that primary structure of APP was not changed by the combination method. In vitro antioxidant activity of the polysaccharides was evaluated by determining their reducing power and radical (ABTS radical and superoxide radical) scavenging abilities. It was found that the degraded AAP possessed the higher antioxidant activity. The results suggested that SPP with H2O2 was an effective means for AAP degradation. PMID- 29842952 TI - Structural characterization and alpha-glucosidase inhibitory activity of polysaccharides extracted from Chinese traditional medicine Huidouba. AB - In this research, the crude polysaccharides were extracted from Chinese traditional medicine Huidouba and then isolated and purified by DEAE-52 cellulose and Sephadex G-100 chromatographic columns. The hypoglycemic activities of two fractions were determined by alpha-glucosidase inhibitory activity in vitro. The fraction HDBP-3A showed the best alpha-glucosidase inhibitory activity with an IC50 of 0.0075 mg/mL, which was lower than the acarbose positive control (IC50 of 0.092 mg/mL). The structural features of HDBP-3A was investigated by the high performance gel permeation chromatography (HPGPC), gas chromatography(GC), UV spectroscopy, FT-IR, periodate oxidation and Smith degradation. The results demonstrated that the HDBP-3A with a molecular weight of 86,749 Da mainly composed of l-rhamnose, d-fucose, l-arabinose, d-xylose, d-mannose, d-glucose and d-galactose with the molar ratio of 2.33:1.58:1.00:1.37:4.86:4.00:7.30. The branches of HDBP-3A were composed of (1 -> 4)-linked, (1 -> 6)-linked, (1 -> 2) linked or (1 -> 3)-linked. The IR spectrum implied that beta-pyranoside linkage and alpha-configurations existed in HDBP-3A simultaneously. PMID- 29842953 TI - Engineering and characterization of a novel low temperature active and thermo stable esterase from marine Enterobacter cloacae. AB - Esterases are one of the most important industrial enzymes. Here, a novel estA was cloned from Enterobacter sp. and characterized. The sequence alignment results showed that it was a novel esterase. The purified EstA had a molecular weight of 26 KDa with an optimum temperature and pH of 40 degrees C and 9.0. EstA retained >70% activity between 0 degrees C and 20 degrees C, indicating it was a low temperature active enzyme. EstA exhibited low activity after incubation at 45 degrees C for 120 min or 50 degrees C for 30 min. In the presence of organic solvents, detergents and different concentrations of NaCl, EstA retained high activity. In order to improve thermal stability, a mutant A92D with better thermal stability than EstA was obtained by random mutation. ESTA92D showed high activity at 45 degrees C for 120 min and maintained 85% of the original activity at 50 degrees C for 30 min, approximately a 3.4-fold increase over EstA. Homology modeling analysis showed that the improved thermostability of ESTA92D was attributed to hydrophilic Asp rather than hydrophobic Ala, leading to an increase of the interaction and solubility as well as the surrounding area. The improved thermostability of low-temperature-active EstA suggests its immense applications in industrial applications. PMID- 29842954 TI - Characterization of a novel thermostable GH7 endoglucanase from Chaetomium thermophilum capable of xylan hydrolysis. AB - A new endoglucanase encoding gene (ctendo7) was cloned from the thermophilic fungus Chaetomium thermophilum and heterologously expressed in Pichia pastoris. The recombinant CTendo7 enzyme was purified by Ni2+ affinity chromatography and subsequently characterized. CTendo7 belongs to glycoside hydrolase family 7, and exhibited considerable activity against sodium carboxymethyl cellulose (CMC-Na) and xylan of 1.91 IU/mg and 3.05 IU/mg at the optimum reaction condition of 55 degrees C, pH 5.0, respectively. The purified enzyme displayed relatively good thermostability. The residual endoglucanase and xylanase activities were 74.3% and 66.2% after a 60 min pre-incubation at 70 degrees C. Additionally, Ag+, Fe3+ and Cu2+ negatively affected the enzyme's activity, while the presence of 1 mM and 5 mM Mn2+ significantly enhanced both endoglucanase and xylanase activities. Generation of soluble oligosaccharides from lignocellulose is a critical step in bioethanol production, and it is noteworthy that CTendo7 produced cello oligosaccharides and xylo-oligosaccharides from the continuous enzymatic saccharification of CMC-Na and xylan, respectively. This is the first detailed report on a novel bifunctional endoglucanase/xylanase enzyme from C. thermophilum. Furthermore, the excellent properties of CTendo7 distinguish it as a promising candidate for industrial lignocellulosic biomass conversion. PMID- 29842955 TI - Interfacial and emulsion stabilized behavior of lysozyme/xanthan gum nanoparticles. AB - Interfacial adsorption kinetics and stabilizing emulsion behavior of lysozyme/xanthan gum nanoparticles (Ly/XG NPs) by variation of particle size and energy input. The interfacial rheology indicated that interfacial adsorption behavior of Ly/XG NPs displayed in a particle size manner. Increasing the particle size of Ly/XG NPs hindered its initial diffusion onto the interface. Smaller size was helpful for its fast diffusion to the interface. KP (rate constant of penetration) and KR (rate constant of penetration) of Ly/XG NPs were both affected by particle size. The KP for adsorbed Ly/XG NPs increased as the particle sizes increased. KR was considerably higher than KP, indicating the structural rearrangement of adsorbed Ly/XG NPs played an important part in interfacial film formation. The morphology of Pickering emulsion indicated its drop sizes were determined by the oil/aqueous volume fraction and prepared style. The higher energy input the size become smaller. Based on interfacial adsorption kinetics and microstructure of Pickering emulsions, the stabilization behavior was related to particle-particle associations and conformational changes of Ly/XG NPs. This work confirmed Ly/XG NPs could form Pickering emulsion by selecting different particle size and emulsification process, and offer promising prospects in stabilizing emulsion with the demands of surfactant-free. PMID- 29842956 TI - Preparation of a bio-composite of sericin-g-PMMA via HRP-mediated graft copolymerization. AB - Silk sericin (SS) derived from silkworms has the characteristics of anti oxidation, antibacterial, and biocompatibility, however, high solubility in water restricted its applications in biomedical fields. In the present work, SS was enzymatically graft-copolymerized with a hydrophobic vinyl monomer of methyl methacrylate (MMA), through a free radical reaction, through the combination use of hydrogen peroxide and horseradish peroxidase (HRP). Efficacy of the HRP mediated reaction was examined by means of FTIR, SDS-PAGE, and SEC chromatogram. A bio-composite of SS-graft-polymethyl methacrylate (SS-g-PMMA) was constructed subsequently, the corresponding wettability, thermal behavior, and biocompatibility of the obtained composite were examined, respectively. The data reveal that MMA was successfully copolymerized with the reactive sites in sericin chains, resulting in a noticeable increase in the molecular weight. For the membrane of SS-g-PMMA, the surface hydrophobicity was evidently improved compared to that of the untreated, according to the determined data of water contact angle and dissolution ratio. The current work develops an eco-friendly technique for reuse of the industrial waste like sericin, and provides a novel method for preparation of the sericin-based biomaterials as well. PMID- 29842957 TI - Effects of functional beta-glucan on proliferation, differentiation, metabolism and its anti-fibrosis properties in muscle cells. AB - Skeletal muscles plays a crucial role in metabolism and exercise. Fuctional beta glucan is polysaccharide that is found in the cell walls of cereal, which is known to reduce cholesterol and lipid, prevent diabetes, cancer and cardiovascular diseases. In an attempt to identify beta-glucan that could promote skeletal muscle function, we analyzed the proliferation, differentiation, metabolism and anti-fibrotic properties of beta-glucan in C2C12 muscle cells. Treatment of beta-glucan in C2C12 myoblasts led to increased proliferation and differentiation. Besides that, we found that C2C12 myotubes treated with beta glucan displayed a fast-to-slow muscle fiber conversion and improved oxidative metabolism. Further study revealed that beta-glucan treatment could prevent myotubes from becoming myofibroblasts. Together, our study suggests that functional beta-glucan might have a therapeutic potential to improve skeletal muscle function, which might contribute to the development of beta-glucan. PMID- 29842958 TI - Structural, morphological, optical and biological properties of pure ZnO and agar/zinc oxide nanocomposites. AB - In this work, ZnO nanoparticles were prepared by in situ chemical precipitation method in the presence of Agar biopolymer. The influence of Agar concentrations on the structural, morphological and optical properties of ZnO have been investigated. The XRD pattern of Pure ZnO and Agar/ZnO nanocomposites indicates the hexagonal wurtzite phase of ZnO. The crystallite size of pure ZnO and Agar/ZnO nanocomposites was found to be in the range of 35.5 to 19.73 nm. Pure ZnO and Agar/ZnO nanocomposites showed nanospheroid and nanopaddy shaped morphology from FESEM studies. The interplanar distance observed from the HRTEM image confirms the plane of the prepared material. The elemental composition of the samples were characterized by EDX. The optical properties of Pure ZnO and Agar/ZnO nanocomposites were characterized by UV, FTIR and PL. The band gap of Agar/ZnO nanocomposites were varied with the Agar concentration. Oxygen vacancy induced photoluminescence of ZnO are observed and its intensity is found to be increased linearly with the Agar concentration. The antibacterial activity of ZnO and Agar/ZnO nanocomposites was evaluated by disc diffusion method against Gram positive (B.subtilis) and Gram-negative (P. aeruginosa) bacteria. The cytotoxicity of Agar/ZnO nanocomposites was studied against Normal (L929) and Breast cancer cell line (MB231). The result of this investigation reveals that the Agar/ZnO nanocomposites deliver a dose dependent toxicity in normal and cancer cell line. PMID- 29842959 TI - Effects of JAK2 V556F mutation on the JAK2's activity, structural stability and the transformation of Ba/F3 cells. AB - Although roles of somatic JAK2 mutations in clonally myeloproliferative neoplasms (MPNs) are well established, roles of germline JAK2 mutations in the pathogenesis of MPNs remain unclear. Recently, a novel activating, germline JAK2 F556V mutation was identified and involved in the pathogenesis of MPNs, but, its pathogenesis mechanism was still unknown. In this study, homology models of JAK2 demonstrated that F556 located between two threonine residues which interacted with ATP phosphate groups by hydrogen bonds, Thr555 with the gamma-phosphate and Thr557 with the beta-phosphate in the active site of JAK2's JH2 domain. Moreover, the hydrogen bond between Thr557 and Arg715 played vital roles in sustaining the structural conformation of JH2's active site and JH1-JH2 domains' interactions. When F556 was replaced by other amino acids except Trp, the hydrogen bond, JH2 domain's structural conformation and JH1-JH2 domains' interactions disrupted for changing the helix between beta2 and beta3 strands which finally caused JAK2 activation. Mechanistic and functional studies showed that JAK2 F556V mutation disrupted JAK2 JH2 domain's activity, caused JAK2-STAT5 pathway activation and promoted the proliferation of BaF3 cells. Thus, our results herein may provide clues to understand the pathogenesis mechanism of JAK2 F556V mutation in the MPNs. PMID- 29842960 TI - Conformational change of lysozyme on the interaction with gene carrier polyethyleneimine. AB - Polyethyleneimine (PEI) has been considered as "golden standard" for polymeric gene delivery carriers, however also induces cytotoxicity. To reveal the molecular basis of PEI cytotoxicity, absorption, resonance Rayleigh scattering, fluorescence, circular dichroism and isothermal titration calorimetry were conducted to investigate the interaction between PEI (average molecular weight 25,000 Da) and lysozyme and its influence on the conformation of the enzyme. PEI is an amphiphilic polymer with strong hydrogen bonding capability and weak hydrophobicity due to dense amine groups and methyl groups. However, the hydropathic characteristics that hydrophobic methyl groups and hydrophilic amine groups distributed alternatively along the polymer chain made it difficult to penetrate into the hydrophobic core, but subject to binding onto the surface of lysozyme via hydrophobic interaction and hydrogen bond, leading to a more compact conformation and an increased surface hydrophobicity of the enzyme. PMID- 29842961 TI - The enhancing effect of Aubang Gahl Soo on the hippocampal synaptic plasticity and memory through enhancing cholinergic system in mice. AB - ETHNOPHARMACOLOGICAL RELEVANCE: Aubang Gahl Soo (AGS) is a Korean traditional drink manufactured from medicinal plants and fruits using sugar or honey. Although traditional old book stated its effects on body, there is no scientific evidence yet. Therefore, in the present study, we tested AGS on brain functions. AIM OF THIS STUDY: In this study, we tried to uncover the effect of on brain functions. To do this we examined the action of AGS on the hippocampal synaptic function and memory in mice. MATERIALS AND METHODS: To examine the effect of AGS on synaptic plasticity, we observed input-output curves (I/O curve), paired-pulse facilitation (PPF), and long-term potentiation (LTP) using mouse hippocampal slices. Moreover, to investigate the functional relevance of the effect of AGS on synaptic plasticity, we conducted passive avoidance, Y-maze and Morris water maze tests. To examine relevant mechanism, acetylcholinesterase (AChE) activity and acetylcholine (ACh) level assay were also conducted. RESULTS: In the basal synaptic transmission study, we found that AGS did not affect I/O curves and PPF. However, AGS facilitated hippocampal LTP in a concentration-dependent manner. Moreover, AGS blocked AChE activity (IC50 = 485 MUg/ml). Moreover, ACh level was increased by AGS (100 MUg/ml) treatment. Along with this, facilitating effect of AGS on hippocampal LTP also blocked by scopolamine, a muscarinic acetylcholine receptor antagonist. Moreover, AGS also ameliorated memory impairments induced by scopolamine in passive avoidance, Y-maze, and Morris water maze tests. CONCLUSIONS: These results suggest that AGS facilitates hippocampal LTP through activating cholinergic system and ameliorates cholinergic dysfunction-induced memory deficit. PMID- 29842962 TI - Bioactive compounds and health benefits of some palm species traditionally used in Africa and the Americas - A review. AB - ETHNOPHARMACOLOGICAL RELEVANCE: According to previous ethno-medicinal reviews, Cocos nucifera, Elaeis guineensis and Phoenix dactylifera are among the main palms which are often used on the American and African continents to treat infections, infestations and disorders in the digestive, respiratory, genito urinary, dermal, endocrine, cardiovascular, muscular-skeletal, mental and neural systems, as well as neoplasms, dental issues and metabolic and nutritional disorders. In addition, one or more species of the wild genera Acrocomia, Areca, Astrocaryum, Attalea, Bactris, Borassus, Calamus, Chamaedorea, Chamaerops, Euterpe, Hyphaene, Mauritia, Oenocarpus and Syagrus have a high number of records of these ethno-medicinal uses. The most used parts of the palm tree are the fruits, followed by roots, seeds, leaves and flower sap. AIM OF THE STUDY: This review discusses the phytochemical composition and the pharmacological properties of these important ethno-medicinal palms, aiming to provide a contribution to future research prospects. MATERIALS AND METHODS: Significant information was compiled from an electronic search in widely used international scientific databases (Google Scholar, Science Direct, SciFinder, Web of Science, PubMed, Wiley on line Library, Scielo, ACS Publications), and additional information was obtained from dissertations, theses, books and other relevant websites. RESULTS: Palms, in general, are rich in oils, terpenoids and phenolic compounds. Fruits of many species are notable for their high content of healthy oils and fat-soluble bioactive compounds, mainly terpenoids, such as pigment carotenoids (and provitamin A), phytosterols, triterpene pentacyclics and tocols (and vitamin E), while other species stood out for their phenolic compounds derived from benzoic and cinnamic acids, along with flavan-3-ol, flavone, flavonol, and stilbene compounds or anthocyanin pigments. In addition to fruits, other parts of the plant such as seeds, leaves, palm heart, flowers and roots are also sources of many bioactive compounds. These compounds are linked to the ethno-medicinal use of many palms that improve human health against infections, infestations and disorders of human systems. CONCLUSIONS: Palms have provided bioactive samples that validate their effectiveness in traditional medicine. However, the intensive study of all palm species related to ethno-medicinal use is needed, along with selection of the most appropriate palm accessions, ripe stage of the fruit and /or part of the plant. Furthermore, the complete profiles of all phytochemicals, their effects on animal models and human subjects, and toxicological and clinical trials are suggested, which, added to the incorporation of improved technological processes, should represent a significant advance for the implementation of new opportunities with wide benefits for human health. PMID- 29842963 TI - The use of medicinal plants by pregnant women in Africa: A systematic review. AB - ETHNOPHARMACOLOGICAL RELEVANCE: Medicinal plant (MP) use during pregnancy is common in Africa and may have profound effects on both the mother and the developing foetus. A lack of overview complicates monitoring and regulating the use of MPs during pregnancy. AIM OF THE STUDY: This systematic review analyses prevalence of use of MPs during pregnancy, regional distribution, types and prevalence, MP properties, potential health risks, and consensus of MPs use, and suggests relevant measures to mitigate negative effects on pregnancy. MATERIALS AND METHODS: A search was undertaken using a range of scientific databases (Medline, Embase, African Journals OnLine, Google Scholar and Biological Abstracts), non-governmental organisations, various African universities and regulatory websites for original published and unpublished studies that assess and indicate the prevalence of use of MPs during pregnancy in Africa. Additional articles were located by exploring pertinent bibliographies, and contacting experts. RESULTS: A total of 3659 MP-use studies were found, but only 303 articles received full-text assessment for eligibility and finally only 50 scientific papers were eligible for the systematic review. The prevalence of MP use by pregnant women varied widely from 2% to 100%. Twenty-eight studies (56%) specified one or more plant species used as MP during pregnancy. The major reasons for MP use were relief of nausea and vomiting during pregnancy (NVP), stimulation of labour, and facilitation of childbirth. The most commonly cited MP species were Zingiber officinale Roscoe, Allium sativum L. and Cucurbita pepo L. and these were used for relief of NVP, motion sickness and as a nutritional supplement. Route of administration was most commonly oral, and few adverse effects were reported. CONCLUSIONS: The use of MPs among pregnant women in Africa is prevalent, and the most commonly used plant species are not known to have harmful foetal effects during pregnancy. However, many of the MP species are poorly studied and teratogenic effects cannot be ruled out. Collaboration between healthcare providers and traditional practitioners to inform about the safe use of MPs may promote safer pregnancies and better health for mothers and infants. PMID- 29842964 TI - Diuretic herb Gomphrena celosioides Mart. (Amaranthaceae) promotes sustained arterial pressure reduction and protection from cardiac remodeling on rats with renovascular hypertension. AB - ETHNOPHARMACOLOGICAL RELEVANCE: Gomphrena celosioides Mart., belonging to the Amaranthaceae family, is a weed known as "perpetua," and its ethnopharmacological use is to treat of urinary tract disorders and kidney stones. Urinary tract disorders and kidney stones could include several pathological conditions such hypertension, diuretic and lithiasic problems. In the present work a model of renovascular hypertension was developed in vivo to investigate its usefulness as an antihypertensive drug. AIM OF THE STUDY: Evaluate the effect of acute and 28 day oral administration of G. celosioides extract on systemic arterial pressure and diuresis of renovascular-hypertensive rats, as well as its effect on cardiac remodeling and vascular reactivity. MATERIALS AND METHODS: Ethanolic extract of G. celosioides (EEGC) was used. To induce renovascular hypertension, adult male Wistar rats were submitted to Goldblatt 1K1C or 2K1C surgery. The mean arterial pressure (MAP) of 1K1C animals was directly assessed by cannulation of the carotid artery before and after intraduodenal acute administration of 30, 100 or 300 mg/kg of EEGC. For the 4-week assay, 2K1C animals received daily treatments with water (control group), 100 mg/kg EEGC or 15 mg/kg enalapril for 28 days. Diuresis and caudal blood pressure were assessed weekly, and at the 28th day of treatment, the MAP was directly quantified shortly before euthanasia. Internal organs were removed, weighed and routinely processed for histology and the left ventricle wall was measured. Blood was collected for biochemical analysis and mechanism investigation by quantification of angiotensin converting enzyme (ACE) activity and aldosterone, nitrite and thiobarbituric acid reactive substances (TBARS) concentration. The rats' mesenteric beds were isolated and cannulated to have their pressure variation assessed after crescent doses of phenylephrine (Phe), acetylcholine (ACh) and sodium nitroprusside (SNP). RESULTS: EEGC acutely reduced MAP the dose of 100 mg/kg. In the 4-week assay, EEGC acted as diuretic after acute administration after 1, 2, 3 and 4 weeks of treatment. EEGC also acted as an antihypertensive and it showed significant difference already after 1 week (and after 3 and 4 weeks) compared to control, with its MAP close to pre surgery values at the end of the experiment. It promoted ACE inhibition, which led to lower aldosterone levels. The lower TBARS and higher nitrite concentration found in the EEGC group suggest antioxidant activity and NO maintenance. Moreover, EEGC counteracted the impairment of vascular reactivity induced by renovascular hypertension. The extract group presented thinner left ventricle wall compared to the control, meaning reduced hypertension-induced cardiac remodeling. CONCLUSIONS: The G. celosioides diuretic effect is maintained on renovascular hypertensive rats and can reduce the blood pressure after the first week of treatment by inhibiting ACE and these effects are longstanding and strong enough to promote protection against cardiac remodeling. Therefore, it shows potential as an antihypertensive drug. PMID- 29842965 TI - Trichosanthis Fructus: botany, traditional uses, phytochemistry and pharmacology. AB - ETHNOPHARMACOLOGICAL RELEVANCE: Trichosanthis Fructus (ripe fruits of Trichosanthes kirilowii Maxim. and Trichosanthes rosthornii Harms) is an essential traditional Chinese medicine to treat thoracic obstruction, angina, cardiac failure, myocardial infarction, pulmonary heart disease, some cerebral ischaemic diseases, etc. The present report reviews the advancements in research on the botany, traditional uses, phytochemistry and pharmacology of Trichosanthis Fructus. Finally, perspectives on future research and its possible directions are discussed. AIM OF THE STUDY: This review provides up-to-date information about the botany, traditional uses, phytochemistry, pharmacology, toxicity and quality control of Trichosanthis Fructus and discusses the perspectives on future research and possible directions of this traditional Chinese Medicine and its origin plants. MATERIALS AND METHODS: The information on Trichosanthes kirilowii Maxim. and Trichosanthes rosthornii Harms was collected from published scientific materials, including books; monographs on medicinal plants; pharmacopoeia and electronic databases such as SCI finder, PubMed, Web of Science, ACS, Science Direct, Wiley, Springer, Taylor, CNKI and Google Scholar. RESULTS: Approximately 162 compounds, including terpenoids, phytosterols, flavonoids, nitrogenous compounds and lignans, have been isolated and identified from Trichosanthes kirilowii Maxim. and Trichosanthes rosthornii Harms. Numerous studies have shown that the extracts and compounds isolated from these two plants exhibit pharmacological activities, including protection against myocardial ischaemia, calcium antagonist, endothelial cell protection, anti-hypoxic, anti-platelet aggregation, expectorant, anti-inflammatory, cytotoxic and antioxidant. CONCLUSIONS: Trichosanthis Fructus is an essential traditional Chinese medicine with pharmacological activities that mainly affect the cardiovascular system. This review summarises its botany, traditional uses, phytochemistry and pharmacology. Future research is needed to clarify the different uses of the seeds, pericarps and fruits. Quality control of investigations of the fruits should be improved, and the potential uses of the flesh, leaves and twigs should be further explored. PMID- 29842966 TI - Development of the Trying New Foods Scale: A preschooler self-assessment of willingness to try new foods. AB - Food neophobia, or reluctance to try new foods, emerges typically in early childhood and can impact child food acceptance and dietary quality. Measures of child neophobia have largely been developed from an adult point of view and the items focusing on fear and disgust were created from observations of children's behaviors or from adult assumptions regarding the source of children's reluctance to try new foods. Using group interviews with 3-5-y-old children (n = 229) we investigated what the experience of being asked trying new foods is like for preschoolers. From their answers, we crafted a new assessment, The Trying New Foods Scale, designed to ask children about their self-competence to try new foods. Next, we measured preschoolers' responses (n = 233; 3-5 years of age; 107 boys, 126 girls) to these items and observed their willingness to taste 7 novel foods and their affective ratings of the foods as measures of criterion validity. A principal components analysis (PCA) revealed a single 9-item component for the Trying New Foods Scale (mean +/- s.d. = 3.08 +/- 0.70; alpha = 0.88). Children's Trying New Foods Scale score positively correlated with their willingness to try foods ratio (r = 0.21, p = .001). Initial findings indicate that the Trying New Foods Scale for preschoolers has good psychometric characteristics, including preliminary evidence of criterion validity. Children who perceived themselves as more willing to try foods actually performed the behavior of trying more foods and rated the foods more favorably than children who reported lower self competence to try foods. Understanding neophobia from the perspective of the young child, and their perceptions of self-competence related to trying new foods, may facilitate our ability to evaluate young children's food acceptance patterns. PMID- 29842967 TI - Parental feeding practices associated with children's eating and weight: What are parents of toddlers and preschool children doing? AB - Parental feeding practices are associated with children's eating behaviours and weight, yet current use of such practices lacks detailed description. This limits our understanding of which behaviours to target to promote healthy growth. We explored the frequency with which a range of parental feeding practices occurs in mothers of toddler and preschool children. Combined data from four Australasian trials of healthy feeding and growth were utilized, each using the Comprehensive Feeding Practices Questionnaire (CFPQ). Data were included from mothers of toddlers (1.3-2 years; n = 1344) and preschool children (4-6 years; n = 795). Means and standard deviations for each CFPQ dimension were calculated for the two age groups. Scores were categorised by frequency, and percentages in each category calculated. Linear regression analysis determined associations between socio-demographics and feeding practices. In both age groups, mothers reported extensive use of some CFPQ dimensions including modelling, encouraging balance and variety, and healthy food environment (between 84% and 100% reported using these practices 'usually' to 'often'). Greater variation existed for other practices including pressure to eat and restriction for health. Food as a reward and pressure to eat were used more with preschool children (M = 2.5, SD = 1.0 and M = 3.1 SD = 0.9) than with toddlers (M = 1.7, SD = 0.8 and M = 2.5 SD = 0.9). For both age groups, mothers' age, education, SEP and BMI category, or the child's BMI, sex, or age predicted use of some feeding practices. Feeding practices such as modelling and providing a healthy food environment are important, but interventions are unlikely to detect effects as most parents report following best practice. In contrast, given greater variability in reported use of other feeding practices like pressure to eat and restriction for health these constructs may be more likely to detect change. PMID- 29842968 TI - In adolescence a higher 'eveningness in energy intake' is associated with higher total daily energy intake. AB - The present manuscript addressed two hypotheses: (i) As children age, energy intake is shifted from morning (energy intake <11am) to evening hours (energy intake >6pm) (ii) A higher 'eveningness in energy intake' (i.e. evening minus morning energy intake) is associated with a higher total daily energy intake. Data were analyzed from 262 DONALD cohort study participants, who had completed at least one 3-day weighed dietary record in the age groups 3/4, 5/6, 7/8, 9/10, 11/12, 13/14, 15/16 and 17/18 years (y). 'Eveningness in energy intake' was compared across age groups and related to total daily energy intake for each age group (multiple cross-sectional analyses). 'Eveningness' increased progressively from age group 3/4y to age group 17/18y. A median surplus of evening energy intake (i.e. when evening intake exceeded morning intake) was firstly observed for age group 11/12y. From age group 11/12y onwards, a higher 'eveningness' was associated with a higher total daily energy intake (all p < 0.04). Difference in total daily energy intake between the highest and the lowest tertile of 'eveningness' was largest for age group 17/18y, amounting to an 11% higher intake among adolescents in the highest as compared to those in the lowest tertile. In conclusion, energy intake progressively shifts from morning to evening hours as children age. Once evening energy intake exceeds morning energy intake, a higher 'eveningness in energy intake' is associated with higher total daily energy intake. PMID- 29842969 TI - Serglycin promotes breast cancer cell aggressiveness: Induction of epithelial to mesenchymal transition, proteolytic activity and IL-8 signaling. AB - Serglycin is an intracellular proteoglycan that is expressed and constitutively secreted by numerous malignant cells, especially prominent in the highly invasive, triple-negative MDA-MB-231 breast carcinoma cells. Notably, de novo expression of serglycin in low aggressive estrogen receptor alpha (ERalpha) positive MCF7 breast cancer cells promotes an aggressive phenotype. In this study, we discovered that serglycin promoted epithelial to mesenchymal transition (EMT) in MCF7 cells as shown by increased expression of mesenchymal markers vimentin, fibronectin and EMT-related transcription factor Snail2. These phenotypic traits were also associated with the development of drug resistance toward various chemotherapy agents and induction of their proteolytic potential as shown by the increased expression of matrix metalloproteinases, including MMP 1, MMP-2, MMP-9, MT1-MMP and up-regulation of urokinase-type plasminogen activator. Knockdown of serglycin markedly reduced the expression of these proteolytic enzymes in MDA-MB-231 cells. In addition, serglycin expression was closely linked to a pro-inflammatory gene signature including the chemokine IL-8 in ERalpha-negative breast cancer cells and tumors. Notably, serglycin regulated the secretion of IL-8 in breast cancer cells independently of their ERalpha status and promoted their proliferation, migration and invasion by triggering IL 8/CXCR2 downstream signaling cascades including PI3K, Src and Rac activation. Thus, serglycin promotes the establishment of a pro-inflammatory milieu in breast cancer cells that evokes an invasive mesenchymal phenotype via autocrine activation of IL-8/CXCR2 signaling axis. PMID- 29842970 TI - Bypass for Innominate Artery Occlusive Disease. AB - The innominate artery, also known as the brachiocephalic artery, is the first vessel off the aortic arch and provides blood to the right arm, neck, and head. Occlusion of the innominate artery can be treated with endarterectomy, angioplasty, stenting, and bypass grafting. Bypass grafting describes a surgical procedure during which a bypass from the ascending aorta to the innominate artery is created. Our case depicts a patient post innominate artery bypass graft with a less commonly encountered postsurgical anatomy. PMID- 29842971 TI - Mechanically robust cryogels with injectability and bioprinting supportability for adipose tissue engineering. AB - : Bioengineered adipose tissues have gained increased interest as a promising alternative to autologous tissue flaps and synthetic adipose fillers for soft tissue augmentation and defect reconstruction in clinic. Although many scaffolding materials and biofabrication methods have been investigated for adipose tissue engineering in the last decades, there are still challenges to recapitulate the appropriate adipose tissue microenvironment, maintain volume stability, and induce vascularization to achieve long-term function and integration. In the present research, we fabricated cryogels consisting of methacrylated gelatin, methacrylated hyaluronic acid, and 4arm poly(ethylene glycol) acrylate (PEG-4A) by using cryopolymerization. The cryogels were repeatedly injectable and stretchable, and the addition of PEG-4A improved the robustness and mechanical properties. The cryogels supported human adipose progenitor cell (HWA) and adipose derived mesenchymal stromal cell adhesion, proliferation, and adipogenic differentiation and maturation, regardless of the addition of PEG-4A. The HWA laden cryogels facilitated the co-culture of human umbilical vein endothelial cells (HUVEC) and capillary-like network formation, which in return also promoted adipogenesis. We further combined cryogels with 3D bioprinting to generate handleable adipose constructs with clinically relevant size. 3D bioprinting enabled the deposition of multiple bioinks onto the cryogels. The bioprinted flap-like constructs had an integrated structure without delamination and supported vascularization. STATEMENT OF SIGNIFICANCE: Adipose tissue engineering is promising for reconstruction of soft tissue defects, and also challenging for restoring and maintaining soft tissue volume and shape, and achieving vascularization and integration. In this study, we fabricated cryogels with mechanical robustness, injectability, and stretchability by using cryopolymerization. The cryogels promoted cell adhesion, proliferation, and adipogenic differentiation and maturation of human adipose progenitor cells and adipose derived mesenchymal stromal cells. Moreover, the cryogels also supported 3D bioprinting on top, forming vascularized adipose constructs. This study demonstrates the potential of the implementation of cryogels for generating volume-stable adipose tissue constructs and provides a strategy to fabricate vascularized flap-like constructs for complex soft tissue regeneration. PMID- 29842972 TI - Accelerated hardening of nanotextured 3D-plotted self-setting calcium phosphate inks. AB - : Direct ink writing (DIW) techniques open up new possibilities for the fabrication of patient-specific bone grafts. Self-setting calcium phosphate inks, which harden at low temperature, allow obtaining nanostructured scaffolds with biomimetic properties and enhanced bioactivity. However, the slow hardening kinetics hampers the translation to the clinics. Different hydrothermal treatments for the consolidation of DIW scaffolds fabricated with an alpha tricalcium phosphate /pluronic F127 ink were explored, comparing them with a biomimetic treatment. Three different scaffold architectures were analysed. The hardening process, associated to the conversion of alpha-tricalcium phosphate to hydroxyapatite was drastically accelerated by the hydrothermal treatments, reducing the time for complete reaction from 7 days to 30 minutes, while preserving the scaffold architectural integrity and retaining the nanostructured features. beta-tricalcium phosphate was formed as a secondary phase, and a change of morphology from plate-like to needle-like crystals in the hydroxyapatite phase was observed. The binder was largely released during the treatment. The hydrothermal treatment resulted in a 30% reduction of the compressive strength, associated to the residual presence of beta-tricalcium phosphate. Biomimetic and hydrothermally treated scaffolds supported the adhesion and proliferation of rat mesenchymal stem cells, indicating a good suitability for bone tissue engineering applications. STATEMENT OF SIGNIFICANCE: 3D plotting has opened up new perspectives in the bone regeneration field allowing the customisation of synthetic bone grafts able to fit patient-specific bone defects. Moreover, this technique allows the control of the scaffolds' architecture and porosity. The present work introduces a new method to harden biomimetic hydroxyapatite 3D plotted scaffolds which avoids high-temperature sintering. It has two main advantages: i) it is fast and simple, reducing the whole fabrication process from the several days required for the biomimetic processing to a few hours; and ii) it retains the nanostructured character of biomimetic hydroxyapatite and allows controlling the porosity from the nano- to the macroscale. Moreover, the good in vitro cytocompatibility results support its suitability for cell-based bone regeneration therapies. PMID- 29842973 TI - Competency guidance for the provision of travel health services. PMID- 29842974 TI - Isolation and antimicrobial resistance of Escherichia coli isolated from farm chickens in Taif, Saudi Arabia. AB - OBJECTIVES: Poultry is one of the main sources of food in the world. Antimicrobial-resistant Escherichia coli can be transmitted to humans by contact with poultry waste or by contaminated poultry products, contributing to the increasing crisis of antimicrobial resistance. This study aimed to determine the incidence of antimicrobial resistance in E. coli isolated from chickens in Taif province, Saudi Arabia, and to identify the genes responsible for any resistance observed. METHODS: A total of 150 cloacal swabs were aseptically obtained from chickens from different farms, from which 180 colonies of E. coli were identified using standard microbiology procedures. Antimicrobial susceptibility testing was performed by the Kirby-Bauer disk diffusion method. The genes blaSHV, aac(3)-IV, tet(A), tet(B), aadA1, catA1, cmlA, ere(A) and sul1 were detected by PCR. RESULTS: Most of the E. coli isolates showed resistance to oxacillin (99%), lincomycin (98%) and oxytetracycline (97%). The prevalence of resistance to chloramphenicol (73%), ciprofloxacin (59%) and ampicillin (51%) was lower. Genes conferring resistance to beta-lactams (blaSHV) and tetracyclines [tet(A) and tet(B)] were observed at prevalences of 96% and 95%, respectively, among the E. coli isolates. Chloramphenicol (catA1 and cmlA) and erythromycin [ere(A)] resistance genes showed prevalences of 72% and 15%, respectively, whereas gentamicin [aac(3)-IV], streptomycin (aadA1) and sulfonamide (sul1) resistance genes were detected in 20%, 20% and 10% of the studied isolates, respectively. CONCLUSION: A significant prevalence of antimicrobial resistance genes was observed among E. coli isolates from farm chickens, supporting strict regulatory procedures for the use of antimicrobial agents. PMID- 29842975 TI - Prevalence and predictors of spontaneous bacterial peritonitis due to ceftriaxone resistant organisms at a large tertiary centre in the USA. AB - OBJECTIVES: The epidemiology of spontaneous bacterial peritonitis (SBP) due to ceftriaxone-resistant organisms has not been well studied in the USA. The primary objective of this study was to assess the prevalence and predictors of ceftriaxone-resistant SBP at a large US tertiary-care centre. METHODS: This 1:1:4 case-case-control study included 141 adults with liver cirrhosis admitted from November 2011 to March 2016. Case group 1 were patients with SBP with a ceftriaxone-resistant organism (n=21). Case group 2 were patients with SBP with a ceftriaxone-susceptible organism (n=26). The control group were patients without SBP (n=94). Multiple logistic regression analysis was used to identify predictors of ceftriaxone-resistant SBP. RESULTS: Fifty isolates were identified from 47 patients with culture-positive SBP (case groups 1 and 2). Of these 50 isolates, 32 (64%) were Gram-negatives [mostly Enterobacteriaceae (91%)], 15 (30%) were Gram-positives and 3 (6%) were Candida spp. The prevalence of ceftriaxone resistance in patients with culture-positive SBP was 45% (21/47). The most common ceftriaxone-resistant organisms were ESBL-producing Enterobacteriaceae (45%). Independent predictors of ceftriaxone-resistant SBP included duration of beta lactam therapy in the past 90days (aOR=1.07, 95% CI 1.01-1.13) and recent invasive gastrointestinal procedure (aOR=12.47, 95% CI 2.74-56.67). CONCLUSIONS: The prevalence of ceftriaxone-resistant SBP was significant at a US tertiary centre. Local epidemiological data and identification of risk factors associated with ceftriaxone-resistant SBP, e.g. increased usage of previous beta-lactam therapy and invasive gastrointestinal procedure, may help clinicians identify patients requiring alternative empirical antibiotics. PMID- 29842976 TI - PNGM-1, a novel subclass B3 metallo-beta-lactamase from a deep-sea sediment metagenome. AB - OBJECTIVES: In order to find antimicrobial resistance gene(s) pre-dating the use of antibiotics through metagenomics, functional screening of a metagenomic library from the deep-seep sediments of Edison Seamount (ca. 10000 years old) was performed. METHODS: Among 60 antimicrobial-resistant clones, a single clone with the highest minimum inhibitory concentration (MIC) for ampicillin was selected. Sequence analysis revealed a new metallo-beta-lactamase (MBL) gene, designated as blaPNGM-1. PNGM-1 retains a zinc ion-binding motif (H116XH118XD120H121, H196 and H263), conserved in subclass B3 MBLs. The catalytic parameters of purified PNGM-1 and the MICs of beta-lactams for Escherichia coli TOP10 transformants harbouring the blaPNGM-1 gene were assessed. RESULTS: Antimicrobial susceptibility testing indicated reduced susceptibility to penicillins, narrow- and extended-spectrum cephalosporins, and carbapenems in E. coli TOP10 transformants harbouring the blaPNGM-1 gene. In addition, kinetic analyses revealed that PNGM-1 hydrolysed almost all beta-lactams. CONCLUSIONS: The PNGM-1 enzyme is the first case of a subclass B3 MBL derived from a functional metagenomic library of a deep-sea sediment that pre-dates the antibiotic era. PMID- 29842977 TI - Antimicrobial resistance and genetic diversity of Salmonella Infantis isolated from foods and human samples in Morocco. AB - OBJECTIVES: Genotyping of Salmonella strains is an important molecular tool to discriminate isolates and to improve epidemiological studies when an outbreak occurs. Among the DNA-based genotyping methods, pulsed-field gel electrophoresis (PFGE) is currently used to subtype Salmonella isolates. In this study, the feasibility of genotyping Salmonella enterica serotype Infantis strains using XbaI restriction enzyme was evaluated. Separation of restricted fragments was performed by PFGE. METHODS: To test the possibility of applying this methodology to epidemiological investigation, a collection of 26 Salmonella Infantis strains were tested for their susceptibility to 14 antimicrobial agents and were analysed by XbaI macrorestriction followed by PFGE. Detection of class 1 integrons as well as intI1 and blaTEM genes in resistant strains was also studied. RESULTS: Antimicrobial susceptibility testing showed that 84.6% (22/26) of Salmonella Infantis isolates were susceptible to all of the antimicrobials tested, whereas 7.7% (2/26) had low-level resistance to beta-lactams and harboured the blaTEM gene. A class 1 integron (0.8kb) and the intI1 gene (898bp) were detected in one Salmonella Infantis strain. However, five different PFGE profiles were defined by XbaI macrorestriction. CONCLUSIONS: The PFGE method demonstrated adequate typing ability and represents a powerful tool to discriminate the serotype Salmonella Infantis. PMID- 29842978 TI - High-frequency ultrasonic methods for determining corrosion layer thickness of hollow metallic components. AB - Corrosion in internal cavity is one of the most common problems occurs in many hollow metallic components, such as pipes containing corrosive fluids and high temperature turbines in aircraft. It is highly demanded to non-destructively detect the corrosion inside hollow components and determine the corrosion extent from the external side. In this work, we present two high-frequency ultrasonic non-destructive testing (NDT) technologies, including piezoelectric pulse-echo and laser-ultrasonic methods, for detecting corrosion of Ni superalloy from the opposite side. The determination of corrosion layer thickness below ~100 um has been demonstrated by both methods, in comparison with X-CT and SEM. With electron microscopic examination, it is found that with multilayer corrosion structure formed over a prolonged corrosion time, the ultrasonic NDT methods can only reliably reveal outer corrosion layer thickness because of the resulting acoustic contrast among the multiple layers due to their respective different mechanical parameters. A time-frequency signal analysis algorithm is employed to effectively enhance the high frequency ultrasonic signal contrast for the piezoelectric pulse echo method. Finally, a blind test on a Ni superalloy turbine blade with internal corrosion is conducted with the high frequency piezoelectric pulser-receiver method. PMID- 29842979 TI - Spatio-temporal distribution of PfMDR1 polymorphism among uncomplicated Plasmodium falciparum malaria cases along international border of north east India. AB - PfMDR1 single nucleotide polymorphisms (SNP) are good correlate markers for antimalarial drug resistance worldwide. Present study is a comprehensive view of screening of PfMDR1 polymorphism to antimalarials practiced with geography and time. Study sites Mizoram, Tripura, Meghalaya chosen are at multivariate drug pressure due to cross border migration and transmission. Mizoram is gateway to south east Asia through Myanmar whereas Tripura, Meghalaya share porous border with Bangladesh. Baseline finger pricked blood stained filter paper for confirmed uncomplicated Plasmodium falciparum infected patients (year 2015) were obtained from National Institute of Malaria Research, New Delhi, India. PfMDR1 polymorphism for codon N86Y, Y184F, D1246Y was determined by PCR-RFLP, further confirmed by sequencing. There observed marked predominance of Plasmodium isolates with PfMDR1 wild type alleles for all codons under study i.e. 86, 184, 1246. Spatially, Plasmodium isolates from Mizoram were most diverse with co existence of PfMDR1 genotype with NYD, YYD, NFD haplotypes, followed by Tripura. Isolates from Meghalaya were of all NYD haplotype. Reports, referring to screening of PfMDR1 SNPs to CQ/SP/AS-SP across India, were archived. Temporal study show distinct rise in proportion of PfMDR1 wild type N86 allele since introduction of Artemether-Lumefantrine as first line antimalarial. Hence spatio temporal screening of Plasmodium population with PfMDR1 single nucleotide polymorphism accounts for its association with antimalarial susceptibility and validate PfMDR1 SNPs as antimalarial drug resistant marker. PMID- 29842980 TI - Upsurge and spread of G3 rotaviruses in Eastern India (2014-2016): Full genome analyses reveals heterogeneity within Wa-like genomic constellation. AB - Advent of new strains and shift in predominantly circulating genotypes are characteristics of group- A rotavirus (RVA), one of the major causes of childhood gastroenteritis. During diarrheal disease surveillance at Kolkata, India (2014 2016), a shift in circulating RVA strains from G1P[8] to G3P[8] was seen. Stool samples from children (n = 3048) with acute gastroenteritis were tested of which 38.7% were RVA positive. G1 was the predominant strain (65.3%) in 2014-2015 whereas in late 2015 and 2016, G3 became the preponderant strain (44.6%). In the past decade G3 strains were not observed in this region, we conducted whole genome sequencing of representative strains to gain insight into the phenomenon of emergence and genetic constellation of these circulating human G3 strains. The analyses revealed intergenogroup reassortment in G3P[4] strains (among Wa and DS 1-like genogroup) whereas G3P[8] strains were authentic Wa-like. Phylogenetic analysis revealed Kolkata G3 strains as polymorphic and thus they formed two sub clusters due to antigenic differences in their VP7 protein. One of the sub clusters had the wild-type threonine at 87 amino acid position while another sub cluster had an isoleucine mutation. Presence of additional N-linked glycosylation site at amino acid 283 of VP7 glycoprotein suggests that the major neutralizing epitope on the VP7 (G3) of RotaTeq vaccine differs from the currently circulating G3 strains. The study is important as efficiency of rotavirus vaccine depends on the circulating heterogeneous genotype constellations. Continuous monitoring of circulating RVA strains in endemic settings like India is therefore important in pre- and post-vaccination period to monitor the emergence of new reassortant genotypes in addition to assessing vaccine efficacy. PMID- 29842981 TI - Genetic diversity of bat orthohepadnaviruses in China and a proposed new nomenclature. AB - The orthohepadnaviruses, which include the major human pathogen hepatitis B virus, exist in a wide range of hosts. Since 2013, a large group of orthohepadnaviruses has been identified in bats worldwide and classified as 4 species within the genus Orthohepadnavirus. To further investigate orthohepadnaviruses in the Chinese bat population, 554 archived bat samples from 20 colonies covering 3 southern provinces were screened with results showing that 9 (1.6%) were positive. A systematic phylogenetic analysis has indicated the need for a new nomenclature for bat hepatitis B virus-like viruses: BtHBV, with the addition of 3 new species, one being divided into 6 genotypes. Viruses identified here shared 9.0-19.2% full genome divergence and classified into 3 different genotypes. This study illustrates the genetic diversity of orthohepadnaviruses in the Chinese bat population, and emphasizes need for further investigation of their public health significance. PMID- 29842982 TI - Mosquito-borne viral diseases and potential transmission blocking vaccine candidates. AB - Mosquito-borne viral diseases (MBVDs) have a complex biological cycle involving vectors and vertebrate hosts. These viruses are responsible for many deadly diseases worldwide. Although MBVDs threaten mostly developing countries, there is growing evidence indicating that they are also of concern in western countries where local transmission of arboviruses such as West Nile, Zika, Chikungunya and Dengue viruses have been recently reported. The rapid rise in human infections caused by these viruses is attributed to rapid climate change and travel facilities. Usually, the only way to control these diseases relies on the control of vectors in the absence of licensed vaccines and specific treatments. However, the overuse of insecticides has led to the emergence of insecticide resistance in vector populations, posing significant challenges for their control. An alternative method for reducing MBVDs can be the use of Transmission Blocking Vaccines (TBVs) that limits viral infection at the mosquito vector stage. Some successes have been obtained confirming the potential application of TBVs against viruses; however, this approach remains at the developmental stage and still needs improvements. The present review aims to give an update on MBVDs and to discuss the application as well as usage of potential TBVs for the control of mosquito-borne viral infections. PMID- 29842983 TI - eIF4A2 is a host factor required for efficient HIV-1 replication. AB - Host factors are required for efficient HIV-1 replication. To identify these factors, genome-wide RNA interference screening was performed using a human T cell line. In the present study, we assessed whether eukaryotic translation initiation factor 4A isoform 2 (eIF4A2), a DEAD-box protein identified in our screen, is necessary for efficient HIV-1 replication. Exploiting MT4C5 cells depleted of eIF4A2 by stable expression of eIF4A2-specific short-hairpin RNA (shRNA) using a lentiviral system, we found that depletion of eIF4A2 markedly inhibited the infection of a replication-competent reporter HIV-1. eIF4A2 depletion reduced the efficiency of viral cDNA synthesis with virion entry into target cells being unaffected. Depletion of eIF4A2 also inhibited HIV-1 spreading infection in a knockdown level-dependent manner. These results suggest that HIV-1 requires eIF4A2 for optimal replication in human T cells. PMID- 29842984 TI - On the role of retinoic acid in virus induced inflammatory response in cornea. AB - Ocular infection with herpes simplex virus (HSV) can result in a chronic immune inflammatory lesion that is a significant cause of human blindness. A key to controlling stromal keratitis (SK) lesion severity is to identify cellular and molecular events responsible for tissue damage and to counteract them. One potentially useful approach to achieve such therapy is Retinoic Acid (RA). Here we show that RA therapy reduces the severity of SK by having inhibitory effects on the T effector subtypes responsible for orchestrating SK. RA also served to stabilize the function of regulatory T cell (Treg) which counteract inflammatory cell activity. The Treg stabilizing effect was demonstrated by in vitro studies where RA was shown to retain Foxp3 expression when exposed to proinflammatory conditions such as IL-12 and IL-6+TGF-beta. in vivo studies revealed that RA exerted its stabilizing effects by downregulating IL-6R expression on Treg after HSV-1 infection and this helped to control the progression of SK. Since the therapy was effective when used both early and after the initiation of lesions, it may represent a valuable means of therapy when used alone or along with additional therapies. PMID- 29842985 TI - Inflammasome components caspase-1 and adaptor protein apoptosis-associated speck like proteins are important in resistance to Cryptosporidium parvum. AB - Cryptosporidium spp. are opportunistic protozoan parasites that infect epithelial cells in the intestinal tract and cause a flu-like diarrheal illness. Innate immunity is key to limiting the expansion of parasitic stages early in infection. One mechanism in which it does this is through the generation of early cytokines, such as IL-18. The processing and secretion of mature IL-18 (and IL-1beta) is mediated by caspase-1 which is activated within an inflammasome following the engagement of inflammasome-initiating sensors. We examined how the absence of caspase-1 and caspase-11, the adapter protein Asc, and other inflammasome components affects susceptibility to cryptosporidial infection by these and other key cytokines in the gut. We found that Casp-11-/-Casp-1-/- knockout mice have increased susceptibility to Cryptosporidium parvum infection as demonstrated by the 35-fold higher oocyst production (at peak infection) compared to wild-type mice. Susceptibility correlated with a lack of IL-18 in caspase-1 and caspase1/11 knockout mice, whereas IL-18 is significantly elevated in wildtype mice. IL-1beta was not generated in any significant amount following infection nor was any increased susceptibility observed in IL-1beta knockout mice. We also show that the adapter protein Asc is important to susceptibility, and that the caspase-1 canonical inflammasome signaling pathway is the dominant pathway in C. parvum resistance. PMID- 29842986 TI - NIR-controlled morphology transformation and pulsatile drug delivery based on multifunctional phototheranostic nanoparticles for photoacoustic imaging-guided photothermal-chemotherapy. AB - Stimuli-responsive nanoparticles are focused to promote the pathological specificity and controlled therapeutic activation in biomedicine, but the multifunctional modulation remains challenging. Herein, size and morphology switchable phototheranostic nanoparticles are developed for photoacoustic (PA) imaging-guided photothermal-chemotherapy. Multifunctional polypyrrole (PPy) nanoparticles with the template of upper critical solution temperature (UCST) polymers are designed to achieve light-controlled pulsatile drug release and concurrent activation of photothermal therapy (PTT). Wherein the UCST-featured inner core is loaded with camptothecin (CPT), the outer corona is tethered with thermo-cleavable doxorubicin (DOX) prodrug and further in-situ coated with PPy, affording the resultant CPT@DOX-UCST/PPy nanoparticles. Upon 808 nm continuous laser illumination, significant heating generated from light-absorbable PPy results in DOX prodrug cleavage and considerable size swelling (~125-fold), which in turn promotes simultaneous dual drug release, and thus triggering the combined therapeutic activation of PTT and chemotherapy. When laser is switched off, the discontinued photothermal generation makes the nanoparticle shrink back, thereby avoiding the leakage of CPT and DOX. In vivo experiments demonstrate the favorable tumor accumulation and prolonged tumor retention (>24 h) for long-term PA imaging-guided combination therapy. Current multifunctional nanoparticles integrated with light-controlled swelling/shrinking and synergistic therapeutic activation/silence represent a promising platform for precision cancer theranostics. PMID- 29842987 TI - Green synthesis and characterizations of gold nanoparticles using Thyme and survey cytotoxic effect, antibacterial and antioxidant potential. AB - Nowadays, green chemistry methods are noticeable for synthesis metal nanoparticles due to affordable, easy and high reaction rate. In the present study gold nanoparticles (Au NPs) were eco-friendly synthesized using Thyme extract at the room temperature for 30 min to provide non-toxic, which can be used for different applications. Identifying properties of synthesized gold nanoparticles was done by various analytical technique including UV-Vis absorption spectroscopy approved presence of Au NPs in the solution, the functional groups of Thyme extract in the reduction and capping process of Au NPs are determined by FT-IR, Crystalline with the fcc plane approved by X-ray diffraction (XRD) pattern, energy dispersive spectroscopy (EDS) determined existence of elements in the sample, surface morphology, diverse shapes and size of present Au NPs were showed by scanning electron microscopy (SEM), atomic force microscopy (AFM) and Transmission electron microscopy (TEM). Beginning and end destroy temperature of the gold nanoparticles were determined by thermal gravimetric spectroscopy (TGA). In addition, antibacterial, antioxidant, and cytotoxicity properties of Au NPs were studied. Antibacterial activity of Au NPs was investigated on gram-positive (Bacillus) and gram-negative (Escherichia coli) by disk diffusion; also MIC (Minimum Inhibitory Concentration) and MBC (Minimum Bactericidal Concentration) were determined. DPPH free radical scavenging assay was used for antioxidant property and compared to butylated hydroxy toluene (BHT) as a standard antioxidant that showed high antioxidant activity. Synthesized Au NPs have great cell viability in a dose-depended manner and demonstrate that this method provided nontoxic for synthesis gold nanoparticles. The average diameter of synthesized Au NPs was about 35 nm. PMID- 29842988 TI - Moral hindsight for good actions and the effects of imagined alternatives to reality. AB - Five experiments identify an asymmetric moral hindsight effect for judgments about whether a morally good action should have been taken, e.g., Ann should run into traffic to save Jill who fell before an oncoming truck. Judgments are increased when the outcome is good (Jill sustained minor bruises), as Experiment 1 shows; but they are not decreased when the outcome is bad (Jill sustained life threatening injuries), as Experiment 2 shows. The hindsight effect is modified by imagined alternatives to the outcome: judgments are amplified by a counterfactual that if the good action had not been taken, the outcome would have been worse, and diminished by a semi-factual that if the good action had not been taken, the outcome would have been the same. Hindsight modification occurs when the alternative is presented with the outcome, and also when participants have already committed to a judgment based on the outcome, as Experiments 3A and 3B show. The hindsight effect occurs not only for judgments in life-and-death situations but also in other domains such as sports, as Experiment 4 shows. The results are consistent with a causal-inference explanation of moral judgment and go against an aversive-emotion one. PMID- 29842989 TI - When learning goes beyond statistics: Infants represent visual sequences in terms of chunks. AB - Much research has documented infants' sensitivity to statistical regularities in auditory and visual inputs, however the manner in which infants process and represent statistically defined information remains unclear. Two types of models have been proposed to account for this sensitivity: statistical models, which posit that learners represent statistical relations between elements in the input; and chunking models, which posit that learners represent statistically coherent units of information from the input. Here, we evaluated the fit of these two types of models to behavioral data that we obtained from 8-month-old infants across four visual sequence-learning experiments. Experiments examined infants' representations of two types of structures about which statistical and chunking models make contrasting predictions: illusory sequences (Experiment 1) and embedded sequences (Experiments 2-4). In all four experiments, infants discriminated between high probability sequences and low probability part sequences, providing strong evidence of learning. Critically, infants also discriminated between high probability sequences and statistically-matched sequences (illusory sequences in Experiment 1, embedded sequences in Experiments 2-3), suggesting that infants learned coherent chunks of elements. Experiment 4 examined the temporal nature of chunking, and demonstrated that the fate of embedded chunks depends on amount of exposure. These studies contribute important new data on infants' visual statistical learning ability, and suggest that the representations that result from infants' visual statistical learning are best captured by chunking models. PMID- 29842990 TI - The development of human digital Meissner's and Pacinian corpuscles. AB - Meissner's and Pacinian corpuscles are cutaneous mechanoreceptors responsible for different modalities of touch. The development of these sensory formations in humans is poorly known, especially regarding the acquisition of the typical immunohistochemical profile related to their full functional maturity. Here we used a panel of antibodies (to specifically label the main corpuscular components: axon, Schwann-related cells and endoneurial-perineurial-related cells) to investigate the development of digital Meissner's and Pacinian corpuscles in a representative sample covering from 11 weeks of estimated gestational age (wega) to adulthood. Development of Pacinian corpuscles starts at 13 wega, and it is completed at 4 months of life, although their basic structure and immunohistochemical characteristics are reached at 36 wega. During development, around the axon, a complex network of S100 positive Schwann-related processes is progressively compacted to form the inner core, while the surrounding mesenchyme is organized and forms the outer core and the capsule. Meissner's corpuscles start to develop at 22 wega and complete their typical morphology and immunohistochemical profile at 8 months of life. In developing Meissner's corpuscles, the axons establish complex relationships with the epidermis and are progressively covered by Schwann-like cells until they complete the mature arrangement late in postnatal life. The present results demonstrate an asynchronous development of the Meissner's and Pacini's corpuscles and show that there is not a total correlation between morphological and immunohistochemical maturation. The correlation of the present results with touch-induced cortical activity in developing humans is discussed. PMID- 29842991 TI - Key molecules in lymphatic development, function, and identification. AB - While both blood and lymphatic vessels transport fluids and thus share many similarities, they also show functional and structural differences, which can be used to differentiate them. Specific visualization of lymphatic vessels has historically been and still is a pivot point in lymphatic research. Many of the proteins that are investigated by molecular biologists in lymphatic research have been defined as marker molecules, i.e. to visualize and distinguish lymphatic endothelial cells (LECs) from other cell types, most notably from blood vascular endothelial cells (BECs) and cells of the hematopoietic lineage. Among the factors that drive the developmental differentiation of lymphatic structures from venous endothelium, Prospero homeobox protein 1 (PROX1) is the master transcriptional regulator. PROX1 maintains lymphatic identity also in the adult organism and thus is a universal LEC marker. Vascular endothelial growth factor receptor-3 (VEGFR-3) is the major tyrosine kinase receptor that drives LEC proliferation and migration. The major activator for VEGFR-3 is vascular endothelial growth factor-C (VEGF-C). However, before VEGF-C can signal, it needs to be proteolytically activated by an extracellular protein complex comprised of Collagen and calcium binding EGF domains 1 (CCBE1) protein and the protease A disintegrin and metallopeptidase with thrombospondin type 1 motif 3 (ADAMTS3). This minireview attempts to give an overview of these and a few other central proteins that scientific inquiry has linked specifically to the lymphatic vasculature. It is limited in scope to a brief description of their main functions, properties and developmental roles. PMID- 29842992 TI - Neurotrophins and Trk receptors in the developing and adult ovary of Coturnix coturnix japonica. AB - NGF, BDNF, NT-3 and their specific receptors TrkA, TrkB and TrkC are known to be involved in the development and maintenance of vertebrates' nervous system. However, these molecules play a role also in non-neuronal tissue, such as in the reproductive system. In this study we investigated the presence and localization of neurotrophins and Trk receptors to unravel their potential role in the developing and adult ovary of Japanese quail, a model species well suited for reproduction studies. Western blotting analysis on ovaries of three month old quails in the period of egg laying showed the presence of pro and mature forms of neurotrophins and splice variants of Trk receptors. Immunohistochemical investigation reported that in embryonic ovaries from the 9th day of incubation to the hatching NGF and NT-3 were observed in the cortical and medullar areas respectively, whereas Trk receptors were observed in both areas. In adult ovary, all NTs were detected in glandular stromal cells, NGF and NT-3 also in the nervous component. Regarding follicle components, NGF and BDNF were observed in oocytes and follicular cells. All TrK receptors were present in nervous components and only TrkA in glandular stromal cells. In follicles, TrkA was present in oocyte cytoplasm and TrkB in theca cells. The results suggest an involvement of the neurotrophin system in the quail ovary physiology, promoting the oocyte development and follicular organization in the embryo, as well as oocyte and follicular maturation in adults. PMID- 29842993 TI - Coexpression of p-IGF-1R and MMP-7 Modulates Panitumumab and Cetuximab Efficacy in RAS Wild-Type Metastatic Colorectal Cancer Patients. AB - INTRODUCTION: The coexpression of pIGF-1R and MMP-7 (double-positive phenotype, DP) correlates with poor overall survival (OS) in KRAS wild-type (WT) (exon 2) metastatic colorectal cancer (mCRC) patients treated with irinotecan-cetuximab in second/third line. METHODS: We analyzed two prospective biomarker design trials of newly diagnosed RAS-WT mCRC patients treated with panitumumab-FOLFOX6 (PULSE trial; NCT01288339) or cetuximab plus either FOLFOX6/FOLFIRI (POSIBA trial; NCT01276379). The main exposure was DP phenotype (DP/non-DP), as assessed by two independent pathologists. DP cases were defined by immunohistochemistry as >70% expression of moderate or strong intensity for both MMP-7 and pIGF-1R. Primary endpoint: progression-free survival (PFS); secondary endpoints: OS and response rate. PFS and OS were adjusted by baseline characteristics using multivariate Cox models. RESULTS: We analyzed 67 patients (30 non-DP, 37 DP) in the PULSE trial and 181 patients in the POSIBA trial (158 non-DP, 23 DP). Response rates and PFS were similar between groups in both studies. DP was associated with prolonged OS in PULSE (adjusted HR: 0.23; 95%CI: 0.11-0.52; P=.0004) and with shorter OS in POSIBA (adjusted HR: 1.67; 95%CI: 0.96-2.90; P=.07). CONCLUSION: A differential effect of anti-EGFRs on survival by DP phenotype was observed. Panitumumab might be more beneficial for RAS-WT mCRC patients with DP phenotype, whereas cetuximab might improve OS in non-DP. PMID- 29842995 TI - From mother to child: Maternal betrayal trauma and risk for maltreatment and psychopathology in the next generation. AB - The objective of this study was to investigate whether experiences of high betrayal trauma (BT; maltreatment by a parent/caregiver) during mothers' own childhoods may influence the intergenerational transmission of maltreatment and its associated psychopathology from mothers to their children. A prospective, longitudinal design was utilized to assess maternal physical and sexual betrayal trauma in relation to children's own maltreatment experiences, and child mood and behavioral symptoms during pre-adolescence. Data from 706 mothers and children who participated in the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN) was analyzed, including: mothers' physical and sexual maltreatment histories, child protective services' documented physical and sexual maltreatment during children's first twelve years of life, and mother- and child-reports of child internalizing and externalizing symptoms at age 12. Children of mothers who survived high BT (maltreatment by a caregiver) were 4.52 times more likely to experience maltreatment than children of no BT mothers (mothers whom were not maltreated), and 1.58 times more likely than children whose mothers survived low BT (maltreatment by a non-caregiver). Higher levels of maternal physical BT significantly predicted more internalizing and externalizing symptoms in children at age 12, according to both mother (CBCL) and child (YSR) reports. More incidents of child physical maltreatment partially mediated associations between maternal physical BT and child symptoms. Incidents of sexual maltreatment also partially mediated associations between maternal sexual BT and child internalizing and externalizing symptoms (CBCL only). These findings have implications for understanding the role of betrayal trauma in perpetuating the cycle of maltreatment across generations. PMID- 29842996 TI - The role of sleep in adolescents' daily stress recovery: Negative affect spillover and positive affect bounce-back effects. AB - The present study examined the role of sleep in daily affective stress recovery processes in adolescents. Eighty-nine American adolescents recorded their emotions and stress through daily surveys and sleep with Fitbit devices for two weeks. Results show that objectively measured sleep (sleep onset latency and sleep debt) moderated negative affective responses to previous-day stress, such that stress-related negative affect spillover effects became more pronounced as amount of sleep decreased. Total sleep time and sleep debt moderated cross-day positive affect "bounce-back" effects. With more sleep, morning positive affect on days following high stress tended to bounce back to the levels that were common following low stress days. Conversely, if sleep was short following high stress days, positive affect remained low the next morning. No evidence for subjective sleep quality as a moderator of spillover/bounce-back effects was found. This research suggests that sleep quantity could relate to overnight affective stress recovery. PMID- 29842994 TI - Tumor-Specific Mitochondrial DNA Variants Are Rarely Detected in Cell-Free DNA. AB - The use of blood-circulating cell-free DNA (cfDNA) as a "liquid biopsy" in oncology is being explored for its potential as a cancer biomarker. Mitochondria contain their own circular genomic entity (mitochondrial DNA, mtDNA), up to even thousands of copies per cell. The mutation rate of mtDNA is several orders of magnitude higher than that of the nuclear DNA. Tumor-specific variants have been identified in tumors along the entire mtDNA, and their number varies among and within tumors. The high mtDNA copy number per cell and the high mtDNA mutation rate make it worthwhile to explore the potential of tumor-specific cf-mtDNA variants as cancer marker in the blood of cancer patients. We used single molecule real-time (SMRT) sequencing to profile the entire mtDNA of 19 tissue specimens (primary tumor and/or metastatic sites, and tumor-adjacent normal tissue) and 9 cfDNA samples, originating from 8 cancer patients (5 breast, 3 colon). For each patient, tumor-specific mtDNA variants were detected and traced in cfDNA by SMRT sequencing and/or digital PCR to explore their feasibility as cancer biomarker. As a reference, we measured other blood-circulating biomarkers for these patients, including driver mutations in nuclear-encoded cfDNA and cancer-antigen levels or circulating tumor cells. Four of the 24 (17%) tumor specific mtDNA variants were detected in cfDNA, however at much lower allele frequencies compared to mutations in nuclear-encoded driver genes in the same samples. Also, extensive heterogeneity was observed among the heteroplasmic mtDNA variants present in an individual. We conclude that there is limited value in tracing tumor-specific mtDNA variants in blood-circulating cfDNA with the current methods available. PMID- 29842997 TI - Longitudinal associations between time spent using technology and sleep duration among adolescents. AB - Technology use has been the focus of much concern for adolescents' sleep health. However, few studies have investigated the bidirectional association between sleep duration and time spent using technology. The aim of this study was to test whether time spent using technology predicted shorter sleep duration, and/or vice versa using cross-lagged analyses over one year. Participants were 1620 high school students in the 8th and 9th grade at baseline from 17 public schools in three middle Sweden communities. Students completed questionnaires at school during the spring of 2015 and 2016. Time spent using technology was self-reported and sleep duration was calculated from reported bed-times, wake-times and sleep onset latency. Time spent using technology significantly predicted shorter subsequent sleep duration and vice versa. Public health advocates educating others about the negative impacts of technology on sleep must also be mindful of the opposite, that many young people may turn to technological devices when experiencing difficulty sleeping. PMID- 29842998 TI - Involvement of aquaporin NIP1;1 in the contrasting tolerance response to root hypoxia in Prunus rootstocks. AB - Prunus species have been classified as moderately sensitive to root hypoxia, but with a certain intrageneric tolerance degree to oxygen deficiency. Previously, RNA-seq analysis described the transcriptomic reconfiguration of two Prunus rootstocks contrasting to root hypoxia, which included the shift from aerobic to anaerobic metabolism. Here, we studied the relationship between lactate accumulation and the functionality of an aquaporin differentially expressed in 'Mariana 2624', a plum-based (Prunus cerasifera x Prunus munsoniana) rootstock tolerant to root hypoxia stress, and 'Mazzard F12/1', a cherry-based (Prunus avium) rootstock sensitive to root hypoxia stress. In the root hypoxia-sensitive rootstock, higher levels of lactate and LDH1 gene expression were found in roots exposed to oxygen deprivation. Concomitantly, we detected an increase in the mRNA abundance of Prunus spp. NIP1;1, a putative lactic acid transporter. Intriguingly, the high expression of PruavNIP1;1 is not linked to a lower lactic acid content in the roots of 'Mazzard F12/1'. To study this phenomenon, we calculated the force required for the transit of a lactic acid molecule through Prunus spp. NIP1;1 channels. Comparing the calculated forces, we identified steric hindrances in PruavNIP1;1 given by the residues Phe107 and Trp88 in the NPA region and ar/R filter, respectively. The functionality of both channels was corroborated by the restoration of the lactic acid transport and the differential lactic acid sensitive-phenotypes of the yeast strain Deltajen1 complemented with PruavNIP1;1 and PrucxmNIP1;1. Our findings provide new insights into the mechanisms involved in determining hypoxia tolerance between closely related species, such as plum and cherry. PMID- 29842999 TI - Gallium(III) complexes of alpha-N-heterocyclic piperidylthiosemicarbazones: Synthesis, structure-activity relationship, cellular uptake and activation of caspases-3/7/9. AB - Two types of alpha-N-heterocyclic piperidylthiosemicarbazone ligands and related Ga(III) complexes were synthesized. The structure of Ga4 and Ga5 were characterized by X-ray single crystal diffraction. We generated the related alpha N-heterocycliperidinylthiosemicarbazone analogs to examine the effect of aldehydes or ketones in the Schiff base. The antitumor activity of both type ligands increased after coordination with gallium. Interestingly, the antitumor activity of gallium complexes containing pyridyl groups (first type ligands) is higher than that of pyrazine group-containing (second type ligands) complexes. Gallium complexes significantly depleted cellular iron, resulting in upregulation of transferrin receptor-1 and downregulation of ferritin. They also effectively activate the caspase family proteins (caspase-3/7/9), promote the release of cytochromes from the mitochondria, and ultimately lead to apoptosis. PMID- 29843000 TI - Gender differences in schizophrenia: A multicentric study from three Latin America countries. AB - This study was aimed to explore clinical differences between women and men with schizophrenia (SZ) in Latin-America. It was conducted in public mental health centers in Bolivia, Peru and Chile. Two hundred forty-seven SZ patients participated in the study, 83 (33.6%) were women and 115 (46.6%) were Aymara. Compared to men, SZ women had slightly lower negative symptoms, reported slightly less social cognitive impairments, lower Family Relationships scores and higher Sentimental Life scores, independently of marital status, illness duration, age at illness onset and type of mental health treatment. All these differences have been replicated in the Aymara subgroup except for Sentimental Life scores. Aymara SZ women reported to be significantly less adherent into treatment compared to Aymara men. SZ women were found to have a better clinical profile and higher sentimental life scores than men. However, while SZ women reported more impaired Family Relationships compared to men, they were found to receive less psychotherapy in addition to pharmacological treatment. SZ Aymara women were also identified as a specific subgroup that may be targeted for increased observance strategies. PMID- 29843001 TI - An evaluation of mindfulness-based childbirth and parenting courses for pregnant women and prospective fathers/partners within the UK NHS (MBCP-4-NHS). AB - : An evaluation of mindfulness-based childbirth and parenting courses for pregnant women and prospective fathers/partners within the UK NHS (MBCP-4-NHS). OBJECTIVE: To explore the usefulness within the National Health Service (NHS) of a brief (four week, ten hour) course based upon the Mindfulness Based Childbirth and Parenting (MBCP) programme (Duncan and Bardacke, 2010) described here as MBCP 4-NHS. BACKGROUND: The National Maternity Review (2016) and report of The Independent Mental Health Taskforce to the NHS (2016a, 2016b) in England highlight the need for significant investment into perinatal mental health services, with the Government pledging funding to improve such services through a range of measures. Whilst the field of mindfulness during the perinatal period is in need of well controlled trials and studies exploring the mechanisms of action (Hall et al., 2016) the limited research to date supports the potential for mindfulness based interventions in pregnancy and the need for further scientific study in this area (Dhillon et al., 2017; Shi and Macbeth, 2017). Particularly because it may broaden women's repertoire of coping strategies with the potential to improve the developmental trajectory of both parents and infants (Dunn et al., 2012; Duncan and Bardacke, 2010; Vieten and Astin, 2008). However, most of the studies to date have involved lengthy courses of around 8-9 weeks (24 h) duration, which may not be feasible or economical within a UK NHS setting and therefore, would be unlikely to be adopted as routine practice. DESIGN: An initial pilot study to discover if MBCP-4-NHS is acceptable and feasible within NHS maternity services, comparing maternal and paternal pre and post intervention self-report measures of mental health to begin to explore the effectiveness of this intervention. SETTING: NHS antenatal education classes held in children's centres for expectant parents across Oxfordshire. PARTICIPANTS: All expectant parents receiving Oxfordshire maternity services between October 2014 and January 2015 were invited to self-refer into the intervention, of which 155 individuals (86 women and 69 men) took part. INTERVENTION: 'MBCP-4-NHS' - A brief (four week, ten hour) course developed from the nine week Mindfulness Based Childbirth and Parenting (MBCP) intervention. MEASURES: Self-report measures of mental health including low mood/depression, mindfulness, stress, anxiety, pregnancy related distress and experiences. FINDINGS: The results showed a significant increase in both maternal and paternal mental health with women demonstrating a significant improvement in symptoms of stress, anxiety, depression, pregnancy-related distress, labour worry and positive and negative pregnancy experiences; and men improving significantly in symptoms of anxiety, depression and showing a trend for improvement in self-reported symptoms of perceived stress. CONCLUSIONS: This is a promising antenatal intervention that can be feasibly implemented within NHS which might have the potential to impact upon parental mental health and, therefore, possibly also the health of next generation. However, caution is needed interpreting these findings given that this study did not include an active control group. IMPLICATIONS FOR PRACTICE: This research provides a clear rationale and justification for a large randomised control trial of this intervention within the NHS, which should include a more diverse population, across multiple centres and should explore both the potential health benefits for parents and infants/children as well as potential economic costs/benefits. PMID- 29843002 TI - Isolation of primitive mouse extraembryonic endoderm (pXEN) stem cell lines. AB - Mouse blastocysts contain the committed precursors of the extraembryonic endoderm (ExEn), which express the key transcription factor Oct4, depend on LIF/LIF-like factor-driven Jak/Stat signaling, and initially exhibit lineage plasticity. Previously described rat blastocyst-derived ExEn precursor-like cell lines (XENP cells/HypoSCs) also show these features, but equivalent mouse blastocyst-derived cell lines are lacking. We now present mouse blastocyst-derived cell lines, named primitive XEN (pXEN) cells, which share these and additional characteristics with the XENP cells/HypoSCs, but not with previously known mouse blastocyst-derived XEN cell lines. Otherwise, pXEN cells are highly similar to XEN cells by morphology, lineage-intrinsic differentiation potential, and multi-gene expression profile, although the pXEN cell profile correlates better with the blastocyst stage. Finally, we show that pXEN cells easily convert into XEN-like cells but not vice versa. The findings indicate that (i) pXEN cells are more representative than XEN cells of the blastocyst stage; (ii) mouse pXEN, rather than XEN, cells are homologs of rat XENP cells/HypoSCs, which we propose to call rat pXEN cells. PMID- 29843003 TI - Interventions to reduce stigma towards people with severe mental illness: Systematic review and meta-analysis. AB - This review evaluates the evidence on what interventions are effective in reducing public stigma towards people with severe mental illness, defined as schizophrenia, psychosis or bipolar disorder. We included 62 randomised controlled trials of contact interventions, educational interventions, mixed contact and education, family psychoeducation programs, and hallucination simulations. Contact interventions led to small-to-medium reductions in stigmatising attitudes (d = 0.39, 95% CI: 0.22 to 0.55) and desire for social distance (d = 0.59, 95% CI: 0.37 to 0.80) post-intervention, but these were reduced after adjusting for publication bias (d = 0.24 and d = 0.40, respectively). Effects did not vary by type or length of contact. Effects at follow-up were smaller and not significant. Education interventions led to small to-medium reductions in stigmatising attitudes (d = 0.30, 95% CI: 0.14 to 0.47) and desire for social distance (d = 0.27, 95% CI: 0.08 to 0.46) post intervention. Small improvements in social distance persisted up to 6 months later (d = 0.27, 95% CI: 0.05 to 0.49), but not attitudes (d = 0.03, 95% CI: 0.12 to 0.18). The combination of contact and education showed similar effects to those that presented either intervention alone, and head-to-head comparisons did not show a clear advantage for either kind of intervention. Family psychoeducation programs showed reductions in stigma post-intervention (d = 0.41, 95% CI: 0.11 to 0.70). The effectiveness of hallucination simulations was mixed. In conclusion, contact interventions and educational interventions have small-to medium immediate effects upon stigma, but further research is required to investigate how to sustain benefits in the longer-term, and to understand the active ingredients of interventions to maximise their effectiveness. PMID- 29843004 TI - An ultra-sensitive Abbott ARCHITECT(r) assay for the detection of hepatitis B virus surface antigen (HBsAg). AB - BACKGROUND: Critical to the identification of HBV infection and the prevention of transfusion transmitted disease is the sensitive and accurate detection of Hepatitis B virus surface antigen (HBsAg). Improvements in HBsAg assay sensitivity approaching the performance of nucleic acid testing (NAT) are essential to further reduce the detection window for acute HBV infection in regions where NAT is not widely available. OBJECTIVES AND STUDY DESIGN: An improved HBsAg assay on the fully-automated Abbott ARCHITECT(r) platform was developed to improve sensitivity, mutant and genotype detection. RESULTS: The analytical sensitivity of the improved prototype assay is 5.2 mIU/ml, which is 3.86- to 14.54-fold more sensitive than comparator assays based on the WHO International Reference Standard. The enhanced sensitivity was also demonstrated with 27 HBV seroconversion panels, detecting more panel members (191 of 364) vs. the ARCHITECT(r) Qual I (144), Qual II (160) and PRISM(r) (148) HBsAg assays. Further, the assay detected 7 of 12 HBV DNA positive/HBsAg negative samples, and detected all evaluated mutants and genotypes with higher sensitivity than the comparator assays. The improvement in sensitivity did not diminish assay specificity, attaining 100% (95% CI, 99.97-100%) on 10,633 blood donors. CONCLUSIONS: An Abbott ARCHITECT(r) HBsAg assay with clinical performance approaching that of mini-pool NAT (approximately 100 copies/ml was developed. The assay has superior HBsAg mutant and genotype detection and specificity, all of which are important for the diagnosis and management of HBV infection. PMID- 29843005 TI - Spatial and temporal variation in vertical migration of dissolved 137Cs passed through the litter layer in Fukushima forests. AB - We examined spatial variation in vertical 137Cs flux from the litter layer using lysimeters combined with copper-substituted Prussian blue in two forests (deciduous broad-leaved and Japanese cedar (Cryptomeria japonica)), approximately 40 km northwest of the Fukushima Daiichi Nuclear power plant. The study ran from August 2016 to February 2017 in three periods; summer (10 Aug-4 Oct), autumn (5 Oct-30 Nov) and winter (1 Dec-27 Feb). Twenty-five and 15 lysimeters were installed in the deciduous broad-leaved and the Japanese cedar sites within 400 and 300 m2 areas with 3-5 m intervals, respectively. The geometric means of the flux in the deciduous broad-leaved site were 0.51, 0.085 and 0.060 kBq/m2/month in summer, autumn and winter periods, respectively. In the Japanese cedar site, the mean fluxes were 0.45, 0.036 and 0.023 kBq/m2/month. The ratio of 137Cs flux during the survey period to litter 137Cs inventory was 6% and 1% on average in the deciduous broad-leaved and Japanese cedar sites, respectively. The 137Cs flux in the summer period was much larger than those in other periods, resulting from higher precipitation in the summer. Our fine scale observation with 5 m interval showed very large spatial variation in the 137Cs flux and the differences between maximum and minimum range from 8 to 104 times, but were mostly 20-25 times. The spatial variations in the 137Cs flux were affected positively by those in the litter 137Cs inventory and negatively by canopy openness. PMID- 29843006 TI - Simultaneous determination of parecoxib and its main metabolites valdecoxib and hydroxylated valdecoxib in mouse plasma with a sensitive LC-MS/MS method to elucidate the decreased drug metabolism of tumor bearing mice. AB - Parecoxib (PX), a prodrug of valdecoxib (VX), is an injectable selective COX-2 inhibitor, and is recommended for the treatment of cancer pain. PX can be rapidly hydrolyzed into its active metabolite VX, and VX is further metabolized into hydroxylated valdecoxib (OH-VX) by cytochrome P450 enzymes. However, cancer patients have been reported to possess reduced drug metabolism ability, which might cause excessive drug accumulation. Such overdose of PX significantly increased the risk of renal safety and cardiovascular events. Therefore, it is necessary to elucidate the concentration profiles of PX and its metabolites in cancer status. In this study, a sensitive, rapid and specific LC-MS/MS method for quantification of PX, VX and OH-VX in the plasma of tumor bearing mouse was developed and validated. After protein precipitation, all the analytes were separated on an Agilent ZORBAX Extend-C18 HPLC column (2.1 * 100 mm, 3.5 MUm) with gradient elution. The analytes were detected by an electrospray negative ionization mass spectrometry in the multiple reaction monitoring mode. The transition m/z 369.0 -> 119.0, m/z 312.9 -> 117.9, m/z 329.0 -> 196.0, and m/z 307.1 -> 161.3 were used for monitoring PX, VX, OH-VX and IS respectively. The calibration curves of the analytes showed good linearity over the concentration range of 3-3000 ng/mL for PX and VX, and 3-1000 ng/mL for OH-VX. Intra- and inter batch accuracies (in terms of relative error, RE < 9.9%) and precisions (in terms of relative standard deviation, RSD < 8.8%) satisfied the standard of validation. The matrix effect, recovery and stability were also within acceptable criteria. The method was successfully applied to the pharmacokinetics study of PX in tumor bearing mice, and PX and VX levels were found elevated with the growth of tumor volume, which might increase the risk of drug overdose. PMID- 29843007 TI - Simultaneous determination of tryptophan, kynurenine, kynurenic acid and two monoamines in rat plasma by HPLC-ECD/DAD. AB - A high-performance liquid chromatography method with a diode array and an electrochemical detection (HPLC-ECD/DAD) was developed to determine the levels of tryptophan (TRP), kynurenine (KYN), kynurenic acid (KYA), 5-hydroxytryptamine (5 HT) and 5-hydroxyindoleacetic acid (5-HIAA) in rat plasma. The prepared samples were separated on a BDS column (4.6 mm * 250 mm, 5 mm) with column oven temperature of 25 degrees C. The mobile phase consisted of 5% acetonitrile and a buffer solution, which contained 25 mmol/L sodium acetate and 0.01 mmol/L EDTA, adjusting pH to 4.5 with acetic acid, and it was pumped at a flow-rate of 1.0 mL/min. KYN and KYA were measured by a variable wavelength detector at wavelengths 360 nm and 333 nm respectively, TRP and vanillic acid (as IS) both were measured at 280 nm. Determination of 5-HT and 5-HIAA was accomplished at the electrochemical working potential of 700 mV. Total run time was 14 min. Several parameters of the developed method were validated including linearity, accuracy precision, and stability. The results showed the established method had good LOD and separation for all of the five compounds and IS in the biological matrix. The method is simple, fast, economical and accurate. The analytical method and the results could provide a reference for the clinical and scientific research of depression. PMID- 29843008 TI - Calibration of the inertial consistency index to assess road safety on horizontal curves of two-lane rural roads. AB - One of every four road fatalities occurs on horizontal curves of two-lane rural roads. To this regard, many studies have been undertaken to analyze the crash risk on this road element. Most of them were based on the concept of geometric design consistency, which can be defined as how drivers' expectancies and road behavior relate. However, none of these studies included a variable which represents and estimates drivers' expectancies. This research presents a new local consistency model based on the Inertial Consistency Index (ICI). This consistency parameter is defined as the difference between the inertial operating speed, which represents drivers' expectations, and the operating speed, which represents road behavior. The inertial operating speed was defined as the weighted average operating speed of the preceding road section. In this way, different lengths, periods of time, and weighting distributions were studied to identify how the inertial operating speed should be calculated. As a result, drivers' expectancies should be estimated considering 15 s along the segment and a linear weighting distribution. This was consistent with drivers' expectancies acquirement process, which is closely related to Short-Term Memory. A Safety Performance Function was proposed to predict the number of crashes on a horizontal curve and consistency thresholds were defined based on the ICI. To this regard, the crash rate increased as the ICI increased. Finally, the proposed consistency model was compared with previous models. As a conclusion, the new Inertial Consistency Index allowed a more accurate estimation of the number of crashes and a better assessment of the consistency level on horizontal curves. Therefore, highway engineers have a new tool to identify where road crashes are more likely to occur during the design stage of both new two-lane rural roads and improvements of existing highways. PMID- 29843009 TI - Bicycle-related injuries among children treated in US emergency departments, 2006 2015. AB - OBJECTIVE: One of the leading causes of non-fatal injury among children is bicycling. Past studies indicate that helmets are protective against bicycle related injuries and involvement of motor vehicles is associated with severe injuries, but research utilizing a nationally representative data set for this population and focusing on these risk factors does not exist. The objective of this study was to describe the epidemiology of bicycle-related injuries among children treated in hospital emergency departments (EDs) in the United States (US). METHODS: A retrospective analysis was conducted with data from the National Electronic Injury Surveillance System for children 5-17 years of age who were treated in US EDs from 2006 through 2015 for a bicycle-related injury. Helmet use and motor vehicle involvement were two variables that were created and coded using keyword searches of the case narratives. Rates of injuries over time were described. Multivariate logistic regression along with 95% confidence intervals (CIs) were used to contrast types of injuries sustained among injured helmet users with non-users. RESULTS: An estimated 2 219 742 (95% CI: 1 871 120-2 568 363) children 5-17 years of age were treated in US EDs for bicycle-related injuries over the 10-year study period, an average of 608 injuries per day. Most injuries (45.7%) involved children 10-14 years of age. The rate of bicycle related injuries significantly decreased from 447.4 per 100 000 children in 2006 to 321.1 per 100 000 children in 2015 (P < 0.001). Helmet use at the time of injury was significantly associated with lower likelihood of head and neck injuries (OR: 0.52 [95% CI: 0.40-0.59]) and hospitalizations (OR: 0.71 [95% CI: 0.54-0.94]), but there was no significant change in the rate of injury among helmet users over the study period (P = 0.224). Motor vehicle involvement increased the odds of bicycle-related traumatic brain injuries (TBIs) (OR: 1.98 [95% CI: 1.49-2.64]) as well as injury-related hospitalizations (OR: 4.04 [95% CI: 3.33-4.89]). CONCLUSIONS: Despite decreasing injury rates, bicycling remains an important source of injury for children. Helmet use has demonstrated significant protective effects for TBIs, head and neck injuries, and hospitalizations. Motor vehicle involvement increased the risk of hospitalization. More efforts are needed to promote use of helmets and to reduce the possibility of bicycle-motor vehicle collisions to prevent bicycle-related injuries among children. PMID- 29843011 TI - From Muller to mechanism: How LNT became the default model for cancer risk assessment. AB - This paper summarizes the historical and scientific foundations of the Linear No Threshold (LNT) cancer risk assessment model. The story of cancer risk assessment is an extraordinary one as it was based on an initial incorrect gene mutation interpretation of Muller, the application of this incorrect assumption in the derivation of the LNT single-hit model, and a series of actions by leading radiation geneticists during the 1946-1956 period, including a National Academy of Sciences (NAS) Biological Effects of Atomic Radiation (BEAR) I Genetics Panel (Anonymous, 1956), to sustain the LNT belief via a series of deliberate obfuscations, deceptions and misrepresentations that provided the basis of modern cancer risk assessment policy and practices. The reaffirming of the LNT model by a subsequent and highly influential NAS Biological Effects of Ionizing Radiation (BEIR) I Committee (NAS/NRC, 1972) using mouse data has now been found to be inappropriate based on the discovery of a significant documented error in the historical control group that led to incorrect estimations of risk in the low dose zone. Correction of this error by the original scientists and the application of the adjusted/corrected data back to the BEIR I (NAS/NRC, 1972) report indicates that the data would have supported a threshold rather than the LNT model. Thus, cancer risk assessment has a poorly appreciated, complex and seriously flawed history that has undermined policies and practices of regulatory agencies in the U.S. and worldwide to the present time. PMID- 29843012 TI - Species removal from aqueous radioactive waste by deep-bed filtration. AB - Performances of aqueous suspension treatment by deep-bed sand filtration were experimentally studied and simulated. A semiempirical deterministic model and a stochastic model were used to predict the removal of clay particles (20 MUm) from diluted suspensions. Model parameters, which were fitted based on experimental data, were linked by multiple linear correlations to the process factors, i.e., sand grain size (0.5 and 0.8 mm), bed depth (0.2 and 0.4 m), clay concentration in the feed suspension (1 and 2 kgp/m3), suspension superficial velocity (0.015 and 0.020 m/s), and operating temperature (25 and 45 degrees C). These relationships were used to predict the bed radioactivity determined by the deposition of radioactive suspended particles (>50 nm) from low and medium level aqueous radioactive waste. A deterministic model based on mass balance, kinetic, and interface equilibrium equations was developed to predict the multicomponent sorption of 60Co, 137Cs, 241Am, and 3H radionuclides (0.1-0.3 nm). A removal of 98.7% of radioactive particles was attained by filtering a radioactive wastewater volume of 10 m3 (0.5 mm sand grain size, 0.3 m bed depth, 0.223 kgp/m3 suspended solid concentration in the feed suspension, 0.003 m/s suspension superficial velocity, and 25 degrees C operating temperature). Predicted results revealed that the bed radioactivity determined by the sorption of radionuclides (0.01 kBq/kgb) was significantly lower than the bed radioactivities caused by the deposition of radioactive particles (0.5-1.8 kBq/kgb). PMID- 29843010 TI - In utero exposure to fine particulate matter results in an altered neuroimmune phenotype in adult mice. AB - Environmental exposure to air pollution has been linked to a number of health problems including organ rejection, lung damage and inflammation. While the deleterious effects of air pollution in adult animals are well documented, the long-term consequences of particulate matter (PM) exposure during animal development are uncertain. In this study we tested the hypothesis that environmental exposure to PM 2.5 MUm in diameter in utero promotes long term inflammation and neurodegeneration. We evaluated the behavior of PM exposed animals using several tests and observed deficits in spatial memory without robust changes in anxiety-like behavior. We then examined how this affects the brains of adult animals by examining proteins implicated in neurodegeneration, synapse formation and inflammation by western blot, ELISA and immunohistochemistry. These tests revealed significantly increased levels of COX2 protein in PM2.5 exposed animal brains in addition to changes in synaptophysin and Arg1 proteins. Exposure to PM2.5 also increased the immunoreactivity for GFAP, a marker of activated astrocytes. Cytokine concentrations in the brain and spleen were also altered by PM2.5 exposure. These findings indicate that in utero exposure to particulate matter has long term consequences which may affect the development of both the brain and the immune system in addition to promoting inflammatory change in adult animals. PMID- 29843013 TI - Lead-based paint in children's toys sold on China's major online shopping platforms. AB - Lead in paint is a major public health concern and has drawn much attention from international organizations such as the World Health Organization (WHO) and the United Nations Environmental Programme (UNEP). However, there is limited research on lead-based paint, especially its use in toys, which poses an explicit health risk to vulnerable children. The present study sampled 100 different toys purchased from the three largest online shopping platforms in China: JD, Taobao (TB) and Tmall (TM). These selected toys have been sold nearly 3 million times in total, suggesting that they may have reached the dwellings of millions of children. It was found that the toys sold by JD and TM, which are considered organized sellers, had average lead concentrations of 25 mg/kg and 32 mg/kg, respectively, much lower than that of toys sold by unorganized sellers on the TB platform, at 219 mg/kg. Approximately 12% of the toys purchased from TB contained paint with total lead concentrations exceeding China's regulatory standard for paints in toy manufacturing, and nearly 36% of the toys purchased from TB exceeded the equivalent US regulatory standard and EU standard. These results suggest that further action is needed to verify the health and safety standards of toys sold by such unorganized sellers. Moreover, this study found that China's regulatory standard (90 mg/kg) based on soluble lead may underestimate the risk posed by lead in paints, and it is suggested that future regulatory thresholds for lead levels in paints for toy manufacture be based on total rather than soluble lead concentrations. The present study also explored various influencing factors on lead concentration, and found that lead concentrations were related to toy price, age group, color, and sales volume. PMID- 29843014 TI - Fluorotelomer alcohols (FTOHs), brominated flame retardants (BFRs), organophosphorus flame retardants (OPFRs) and cyclic volatile methylsiloxanes (cVMSs) in indoor air from occupational and home environments. AB - Indoor air samples were collected from private homes and various occupational indoor environments using passive air sampler and analysed for fluorotelomer alcohols (FTOHs), brominated flame retardants (BFRs), organophosphorus flame retardants (OPFRs) and cyclic volatile methyl siloxanes (cVMSs). The aim was to investigate their occurrence in indoor air, factors that may affect their presence and human daily exposure dose (DED) via inhalation. In general, levels of cVMSs were 3-4 orders of magnitude greater than the other compound classes. OPFRs concentration was found significantly higher than BFRs in indoor air. The most abundant compounds in each chemical class were 8:2 FTOH, 2,4,6-TBP, TNBP and TCEP and decamethylcyclopentasiloxane (D5). Home samples contained higher level of FTOHs, BFRs and cVMSs than occupational environments, whereas concentration of OPFRs in office samples were higher. BFRs concentrations were significantly correlated with building age and with the number of electronic/electrical devices at the sampling sites. Moreover, significantly lower levels of FTOHs and cVMSs were observed in rooms with forced-ventilation system. Estimated DED via inhalation was significantly higher at home than in office and the total DED was on average 3-5 orders of magnitude lower than the reference value. PMID- 29843015 TI - Biotransformation of tetrabromobisphenol A dimethyl ether back to tetrabromobisphenol A in whole pumpkin plants. AB - As the metabolites of tetrabromobisphenol A (TBBPA), tetrabromobisphenol A mono- and di-methyl ethers (TBBPA MME and TBBPA DME) have been detected in various environmental media. However, knowledge of the contribution of plants to their environmental fates, especially to the interactions between TBBPA DME and TBBPA, is quite limited. In this study, the metabolism and behaviors of TBBPA DME was studied with pumpkin plants through 15-day hydroponic exposure. The TBBPA were also studied separately using in-lab hydroponic exposure for comparison. The results showed that more TBBPA DME accumulated in pumpkin roots and translocated up to stems and leaves compared with TBBPA. Transformation of TBBPA DME occurred later and more slowly than that of TBBPA. Interconversion between TBBPA DME and TBBPA was verified in intact plants for the first time. Namely, TBBPA DME can be biotransformed to TBBPA MME (transformation ratio in mole mass, TRMM 0.50%) and to TBBPA (TRMM 0.53%) within pumpkin; and TBBPA can be biotransformed to TBBPA MME (TRMM 0.58%) and to TBBPA DME (TRMM 0.62%). In addition, two single benzene ring metabolites, 2,6-dibromo-4-(2-(2-hydroxyl)-propyl)-anisole (DBHPA, TRMM 3.4%) with an O-methyl group and 2,6-dibromo-4-(2-(2-hydroxyl)-propyl)-phenetole (DBHPP, TRMM 0.57%) with an O-ethyl group, were identified as the transformation products in the TBBPA exposure experiments. The transformation and interconversion from TBBPA DME back to TBBPA is reported as a new pathway and potential source for TBBPA in the environment. PMID- 29843016 TI - Abiotic, biotic and photolytic degradation affinity of 14 antibiotics and one metabolite - batch experiments and a model framework. AB - In this study, degradation affinities of 14 antibiotics and one metabolite were determined in batch experiments. A modelling framework was applied to decrypt potential ranges of abiotic, biotic and photolytic degradation coefficients. In detail, we performed batch experiments with three different sewages in the dark at 7 degrees C and 22 degrees C. Additionally, we conducted further batch experiments with artificial irradiation and different dilutions of the sewage at 30 degrees C - de novo three different sewages were used. The batch experiments were initially spiked with a stock solution with 14 antibiotics and one metabolite to increase background concentrations by 1 MUg L-1 for each compound. The final antibiotic concentrations were sub-inhibitory with regard to sewage bacteria. The here presented modelling framework based on the Activated Sludge Model No. 3 in combination with adsorption and desorption processes. The model was calibrated with monitored standard sewage compounds before antibiotic degradation rates were quantified. The model decrypted ranges of abiotic, biotic and photolytic degradation coefficients. In detail, six antibiotics were not abiotic degradable at 7 degrees C, five antibiotics not at 22 degrees C and only 2 antibiotics at 30 degrees C. Finally, nine antibiotics were not significantly biodegradable at 7 degrees C and 22 degrees C. The model determined the link between adsorption characteristics and biodegradation rates. In detail, the rate was significantly affected by the bio-solid partition coefficient and the duration until adsorption was balanced. All antibiotics and the metabolite were photolytic degradable. In general, photolytic degradation was the most efficient elimination pathway of presented antibiotics except for the given metabolite and penicillin antibiotics. PMID- 29843017 TI - Blended capitation and incentives: Fee codes inside and outside the capitated basket. AB - Blended capitation physician payment models incorporating fee-for-service (FFS), pay-for-performance and/or other payment elements seek to avoid the extremes of both FFS and capitation. However, evidence is limited regarding physicians' responses to blended models, and potential shifts in service provision across payment categories within the practice. We examine the switch from FFS to a blended capitation-FFS model for primary care physicians in group practice. The empirical analysis shows patients experiencing 9-14% reductions in capitated services and simultaneous increases of 10-22% in FFS services from their rostering physicians. Unusually, our data permit changes among non-rostering physicians to be observed. Other physicians within the rostering group reduce the provision of capitated fee codes, with no net change in FFS services. All other physicians in the jurisdiction reduce both capitated and FFS services, which is consistent with patients concentrating their primary care with one provider as a result of capitation. PMID- 29843018 TI - Main and interaction effects of childhood trauma and the MAOA uVNTR polymorphism on psychopathy. AB - Psychopathy is characterized by callous affect, interpersonal manipulation, a deviant lifestyle, and antisocial behavior. Previous research has linked psychopathic traits to childhood trauma, but also to the upstream variable number tandem repeat (uVNTR) polymorphism of the monoamine oxidase A (MAOA) gene. An interaction between childhood trauma and MAOA genotype has been associated with antisocial behavior, but so far little is known about interaction effects of childhood trauma and the MAOA uVNTR on psychopathy. In order to bridge this gap, we used data of 1531 male and 1265 female twins and their siblings from a Finnish community sample to estimate structural equation models. The psychopathy and childhood trauma constructs were conceptualized as bifactor models with one general and two orthogonal group factors. Data comprised self-reports on childhood trauma and psychopathic traits as well as MAOA uVNTR genotype. In both genders, childhood trauma was associated with the general factor that represents the overarching psychopathy construct, and with the group factor that captures social deviance, but not with the group factor capturing psychopathic core personality traits. Women with a low activity variant of the MAOA uVNTR reported slightly higher levels of psychopathy than those with a high activity allele, but only with respect to the general psychopathy factor. There was no evidence for an interaction effect between MAOA uVNTR genotype and childhood trauma on psychopathy in either gender. Our results suggest that psychopathy in general and social deviance in particular are associated with childhood trauma in men and women, and that psychopathic traits are subject to variation in the MAOA uVNTR genotype in women. PMID- 29843019 TI - Endoplasmic reticulum stress in bipolar disorder? - BiP and CHOP gene expression- and XBP1 splicing analysis in peripheral blood. AB - BACKGROUND: Endoplasmic Reticulum stress activates the Unfolded Protein Response, which is partially impaired in Bipolar Disorder (BD) according to previous in vitro studies. Thus, BiP and CHOP gene expression and XBP1 splicing were analyzed in peripheral blood of study participants with BD and controls. METHODS: RNA was isolated from fasting blood of study participants with BD (n = 81) and controls (n = 54) and reverse transcribed into cDNA. BiP and CHOP gene expression was analyzed with quantitative RT-PCR. Atypical splicing of XBP1 mRNA was measured by semi-quantitative RT-PCR, gel-electrophoresis and densitometry. ANCOVAs with the covariates age, BMI, sex, lithium and anticonvulsants intake were used with SPSS. Bonferroni correction was used to correct for multiple testing (adjusted p = 0.0083). RESULTS: BiP gene expression was significantly higher in BD than in controls (F(1/128) = 10.076, p = 0.002, Partial eta2 = 0.073). Total XBP1 (F(1/126) = 9.550, p = 0.002, Partial eta2 = 0.070) and unspliced XBP1 (F(1/128)= 8.803, p= 0.004, Patial eta2 = 0.065) were significantly decreased in BD. Spliced XBP1 (F(1/126) = 5.848, p = 0.017, Partial eta2 = 0.044) and the ratio spliced XBP1/ unspliced XBP1 did not differ between BD and controls (F(1/126) = 0.599, p = 0.441, Partial eta2 = 0.005). Gene expression did not differ between euthymia, depression and mania. DISCUSSION: BiP gene expression was significantly higher in BD compared to controls. Total and unspliced XBP1 were significantly lower in BD than in the control group. Thus, both genes may be considered as putative trait markers. Nevertheless, XBP1 splicing itself did not differ between both groups. PMID- 29843020 TI - Role of apoptosis in the Post-traumatic stress disorder model-single prolonged stressed rats. AB - Post-traumatic stress disorder (PTSD) is a stress-related mental disorder which occurs following exposure to traumatic events. A number of brain neuroimaging studies have revealed that PTSD patients have reduced volume and abnormal functions in the hippocampus and the amygdala. However, the pathogenesis of abnormalities in certain brain regions, as induced by PTSD, remains unclear. Recent studies, using the single prolonged stress (SPS) model, an animal model of PTSD, have found that abnormal apoptosis in certain brain regions, including the hippocampus, the amygdala, and the medial prefrontal cortex (mPFC); these areas are closely associated with emotion and cognition. In this review, we summarize the mechanism of apoptosis in SPS rats, including the endoplasmic reticulum (ER) and the mitochondria pathways. For the ER pathway, three individual pathways: PERK, IRE1, and ATF6 showed different roles on apoptosis and neuroprotection. Three key factors are thought to be involved in the mitochondrial pathway and PTSD-induced apoptosis: corticosteroid receptors, apoptosis-related factors, and anti-apoptosis factors. We have investigated the role of these factors and have attempted to identify which factors of the pathways are more focused towards neuronal protection, and which are more direct towards apoptosis. We also discussed the role of autophagy and the specific differences between autophagy and apoptosis in SPS rats. Finally, we discussed emerging researches related to anti-apoptosis treatment, including PERK inhibitors, IRE1 inhibitors, and metformin; collectively, these were exciting, but limited, This review provides a summary of the current understanding of apoptosis in SPS rats and the potential anti-apoptosis treatment strategies for PTSD. PMID- 29843021 TI - Self-assembled three-dimensional reduced graphene oxide-based hydrogel for highly efficient and facile removal of pharmaceutical compounds from aqueous solution. AB - Herein, self-assembled three-dimensional reduced graphene oxide (RGO)-based hydrogels were synthesized and characterized in detail. A thorough investigation on the uptake of three widely used pharmaceutical drugs, viz. Naproxen (NPX), Ibuprofen (IBP) and Diclofenac (DFC) was carried out from aqueous solutions. To ensure the sustainability of developed hydrogel assembly, practically important parameters such as desorption, recyclability and applicability to real samples were also evaluated. Using the developed 3D hydrogels as adsorptive platforms, excellent decontamination for the above mentioned persistent pharmaceutical drugs was achieved in acidic pH with a removal efficiency in the range of 70-80%. These hydrogels showed fast adsorption kinetics and experimental findings were fitted to different kinetic models, such as pseudo-first order, pseudo-second order, intra-particle and the Elovich models in an attempt to better understand the adsorption kinetics. Furthermore, equilibrium adsorption data was fitted to the Langmuir and Freundlich models, where relatively higher R2 values obtained in case of former one suggested that monolayer adsorption played an important part in drug uptake. Thermodynamic aspects were also studied and negative DeltaG0 values obtained indicated the spontaneous nature of adsorption process. The study was also extended to check practical utility of as-prepared hydrogels by spiking real aqueous samples with drug solution, where high % recoveries obtained for NPX, IBP and DFC were of particular importance with regard to prospective application in wastewater treatment systems. We advocate RGO-based hydrogels as environmentally benign, readily recoverable/recyclable material with excellent adsorption capacity for application in wastewater purification. PMID- 29843022 TI - Investigating the target organs of novel anti-diabetic zinc complexes with organo selenium ligands. AB - Diabetes mellitus (DM) is a serious problem worldwide and is becoming increasingly prevalent. Previously, we reported the use of various zinc (Zn) complexes as new anti-diabetic agents. In this study, we synthesized novel organo selenium (Se) Zn complexes with hydroxy-pyrone derivatives that have a Zn(Se2O2) coordination mode. The results of in vitro insulin-mimetic analyses showed that the compound bis(3-hydroxy-2-methyl-4(H)-pyran-4-seleno)Zn ([Zn(hmps)2]) exhibited the strongest activity among all the complexes. In the in vivo studies of Zn complexes with 3-hydroxy-2-methyl-4(H)-pyran-4-one, maltol, (hmpo) derivatives, [Zn(hmps)2] exhibited a stronger anti-diabetic effect than bis(3 hydroxy-2-methyl-4(H)-pyran-4-one)Zn ([Zn(hmpo)2]), which had a Zn(O4) coordination mode. Additionally, we investigated the organ distribution of both Zn and Se by determining the amounts of these elements in the organs of [Zn(hmps)2]-administered mice. We then evaluated the effect of treatment with Zn complexes on hepatic lipid accumulation and pancreatic islet hypertrophy by hematoxylin and eosin (HE) histological staining. Zn complexes were found to improve the hypertrophy in the pancreas. There were some reports that Se containing Zn complexes such as di(2-selenopyridine-N-oxidato)Zn(II) ([ZPS]) were effective for treating diabetes mellitus, so in this study, we examined different types of zinc complexes with organo-selenium ligands. PMID- 29843023 TI - Differences in sleep functioning between individuals with seasonal affective disorder and major depressive disorder in Finland. AB - BACKGROUND: Sleep problems are commonly reported in seasonal affective disorder (SAD) and major depressive disorder (MDD). However, the specific characteristics of sleep difficulties differ. Frequent sleep problems in MDD are insomnia and night awakenings, whereas SAD patients complain of hypersomnia and daytime sleepiness. No previous studies have reported differences in sleep functioning between these two disorders. METHODS: We interviewed 4554 subjects from the Health 2011 survey and included 4153 individuals in this study. We selected participants who fulfilled the criteria for SAD (n = 223), nonseasonal-MDD (n = 238), SAD + MDD (n = 65), and controls (n = 3627). They completed the World Health Organization Composite International Diagnostic Interview, Munich version (M-CIDI), the Seasonal Pattern Assessment Questionnaire (SPAQ), The Beck Depression Inventory (BDI), the EuroQoL (EQ-5), the Alcohol Use Disorders Identification Test (AUDIT) and several questions about sleeping, based on the Basic Nordic Sleep Questionnaire (BNSQ). RESULTS: We found Significant differences between groups for "enough sleep", "breathing interruptions during sleep", "tiredness during the day", and "sleeping difficulties". Controls reported better functioning in all sleep variables. SAD + MDD individuals showed more problems in "enough sleep" than SAD, more "breathing interruptions during sleep" than SAD and nonseasonal-MDD, felt more "tired during the day" than SAD and nonseasonal-MDD, and reported more "sleeping difficulties" than SAD and nonseasonal-MDD. Finally, nonseasonal-MDD individuals felt more "tired during the day" than SAD. CONCLUSION: Individuals with SAD + MDD show generalized sleeping problems. However, when SAD and nonseasonal-MDD appear separately, similar sleep functioning is observed. Nonseasonal-MDD subjects report to be more tired during the day than SAD. PMID- 29843024 TI - Profile of neuropsychological impairment in Sleep-related Hypermotor Epilepsy. AB - OBJECTIVE: The aim of this study was to characterize the neuropsychological features of a representative sample of Sleep-related Hypermotor Epilepsy (SHE) patients and to highlight clinical associations. METHODS: This cross-sectional study included 60 consecutive patients with video/video-electroencephalography documented SHE. All were assessed by measures of intelligence. Individuals with normal scores underwent a standardized battery of tests. The Fisher exact test and Wilcoxon rank-sum test for statistical analysis. RESULTS: Mean total IQ was 96.96 +/- 21.50, with significant differences between verbal and performance scores (p < 0.0001). Nine patients (15%) had intellectual disability (ID)/cognitive deterioration. Of the 49 assessed by the extensive battery, 23 (46.9%) showed deficits in at least one test evaluating phonemic fluency (24.5%), memory (24.5%), inhibitory control (22.4%), or working memory (10.2%). Patients with mutations in SHE genes had lower IQ than patients without mutations, irrespective of the specific gene (p = 0.0176). Similarly, pathological neurological examination (NE) and "any underlying brain disorder" (at least one among pathological NE, abnormal brain magnetic resonance imaging findings, perinatal insult) were associated with ID (p = 0.029, p = 0.036). A higher seizure frequency at last assessment and poor prognosis correlated with worse scores in visuo-spatial memory (p = 0.038, p = 0.040) and visuo-spatial abilities (p = 0.016). Status epilepticus (p = 0.035), poor response to antiepileptic drugs (p = 0.033), and poor prognosis (p = 0.020) correlated with lower shifting abilities, whereas bilateral convulsive seizures correlated with worse working memory (p = 0.049). CONCLUSION: In all, 53.3% of SHE patients had neuropsychological deficits. The profile of impairment showed worse verbal IQ, as well as deficits in extrafrontal and selective frontal functions. Our data support the contribution of genetics in ID by different biological mechanisms. Variables of clinical severity affect memory and executive functioning. PMID- 29843025 TI - Occurence of legacy and novel brominated flame retardants in food and feed in France for the period 2014 to 2016. AB - Determination of the occurrence levels of legacy and novel BFRs is today required to better understand the trends of BFRs contamination in food consecutive to the EU PBDEs restrictions and to proceed to a recent human food exposure in parallel. Therefore, concentrations of a large set of brominated flame retardants (BFRs) (n = 27) including PBDEs, HBCDDs, TBBPA and novel flame retardants (nBFRs) have been determined in more than 600 food and feed samples collected between 2014 and 2016 in the context of French monitoring plans. Although legacy BFRs had already been studied in France, such a survey constituted the very first determination of nBFRs occurrence in foodstuffs at the national level. The concentration levels measured in fish and fish products were in general higher than in the other food categories. PBDEs were detected in 70% of the samples and were observed as the most abundant congeners (representing 80% of the sum of the monitored BFRs), while alpha-HBCDD could also be considered as a predominant congener (up to 26% of the sum of the monitored BFRs in fishes). nBFRs concentration levels were most of the time below the LOQ, except PBT, PBBz and HBBz which were more frequently detected at low levels. Also investigated in the study, BRPs exhibited high concentration levels in crustaceous (maximum value > 2700 pg/g ww). PMID- 29843026 TI - Polyethylenimine-functionalized silk sericin beads for high-performance remediation of hexavalent chromium from aqueous solution. AB - The enhancement of the metal adsorption and remediation performance of biomass based adsorbents is an important challenge in heavy metal removal processes. One of the most viable and practical approaches in accomplishing a high metal removal efficiency is the surface modification of natural polymer adsorbents with functional polymeric materials. In the present study, polyethylenimine (PEI) modified silk sericin beads were fabricated. The PEI modification process was confirmed and analyzed by Fourier transform infrared spectroscopy (FTIR), field emission-scanning electron microscopy (FE-SEM), and energy-dispersive X-ray spectroscopy (EDS)-based elemental analysis. The Cr(VI) remediation capabilities of PEI-modified sericin beads were analyzed by testing Cr(VI) removal from contaminated water. The results show that the Cr(VI) removal capacity of PEI modified sericin beads was 365.3 mg/g, which is significantly higher than that of pristine sericin beads (34.56 mg/g). During the Cr(VI) removal process, Cr(VI) adsorption and reduction to Cr(III) occurred simultaneously. The results herein reveal that the synthesized PEI-modified sericin beads are a promising material for Cr(VI) adsorption and detoxification of aqueous solution. PMID- 29843027 TI - Reply to discussion by John Heinze on "occurrence, fate and environmental risk of linear alkylbenzene sulfonate in the langat and Selangor River basins, Malaysia". PMID- 29843028 TI - Simultaneous analysis of 310 pesticide multiresidues using UHPLC-MS/MS in brown rice, orange, and spinach. AB - In this study, we developed a multiresidue method for the analysis of 310 pesticides in representative agricultural produce (brown rice, orange, and spinach) using ultra high performance liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS) combined with a modified QuEChERS procedure. The optimal mobile phase composition (Methanol containing 5 mM ammonium formate and 0.1% formic acid) produced high sensitivity and reliable results. Also, the relationship between injection volume and repeatability of peak area was investigated. Most of the target pesticides had a limit of quantitation under 10 ng g-1, and correlation coefficients (r2) > 0.99 in matrix-matched standards within the range of 1-100 ng g-1. To validate the optimized method, recovery tests were performed with each of the crops at 10 and 50 ng g-1 spiking levels (n = 5). Satisfactory recoveries were achieved showing that 86.8-88.7% (at 10 ng g 1) and 91.9-96.1% (at 50 ng g-1) of the pesticides met the validation criteria (recoveries in the range of 70-120% and relative standard deviation <= 20%). Fifteen compounds were found to show a loss of recovery due to adsorption by primary and secondary amine or graphite carbon black. In the case of brown rice, 86.1% of pesticides showed an insignificant matrix effect (<+/-20%), while 35.2% and 41.6% of pesticides in orange and spinach were in that range, respectively. Sixteen apple samples from local markets were analyzed to evaluate the applicability of the optimized method. Nineteen pesticides were detected, of which the concentrations were lower than the maximum residue limit. PMID- 29843029 TI - Ferrihydrite-impregnated granular activated carbon (FH@GAC) for efficient phosphorus removal from wastewater secondary effluent. AB - Adsorptive removal of phosphorus from wastewater effluents has attracted attention because of its reduced sludge production and potential P recovery. In this study, we investigated granular activated carbons (GACs) impregnated with amorphous ferrihydrite (FH@GAC) for the sorption of phosphorus from aqueous solutions. Preoxidation of intact GAC surfaces using an oxidant (e.g., hypochlorite) and strong acids (e.g., HNO3/H2SO4) was performed to create active functional groups (e.g., carboxyl or phenolic) for enhanced iron binding, leading to greater phosphorus uptake. Both the rate and the capacity of phosphorus sorption onto FH@GAC had significant, positive relationships (Pearson correlation coefficient r > 0.9) with the product of surface area and Fe content. The pseudo second-order reaction kinetics explained the P sorption rate better than the pseudo-first-order reaction kinetics, whereas the Langmuir model fit the P sorption isotherm better than the Freundlich model. The iron content in the FH@GAC increased significantly (>10 mg/g) when GAC (e.g., BMC1050) was preoxidized by a 1:1 (w/w) concentrated HNO3/H2SO4 mixture. The Langmuir maximum P sorption capacity of a functionalized FH@BMC1050 adsorbent prepared with acid pretreatment was estimated to be substantial (5.73 mg P/g GAC corresponding to 526 mg P/g Fe). This sorption capacity was superior to that of a FH slurry, possibly because the nano-sized FH formed inside the GAC pores (<2.5 nm) can bind phosphate ions more effectively than FH aggregates. Fixed-bed column reactor operation with bicarbonate regeneration showed potential for efficient, continuous phosphorus removal by FH@GAC media. PMID- 29843030 TI - Adsorption of estrone with few-layered boron nitride nanosheets: Kinetics, thermodynamics and mechanism. AB - Boron nitride Nanosheets (BNNSs) was fabricated with a method of heating the mixture of boric acid and urea in N2 atmosphere and used to remove estrone (E1) from water. The obtained BNNSs exhibited a higher surface area of 896 m2/g, a large pore volume of 0.76 cm3/g, and only few layers (0.398 nm) with the boric acid and urea ratio of 1:80. The layer number of BNNSs decreased from 15 to 4 with the mole ratio of boric acid and urea decreasing from 1:20 to 1:80, which was identified by SEM, TEM, AFM and BET measurements. More importantly, BNNSs presented an outstanding adsorption performance for estrone with the adsorption capacity of 249.15 mg E1/g BNNSs. The adsorption process could be best fitted by pseudo second-order kinetic model and the equilibrium data at different temperatures were well fitted by Langmuir isotherm model. The thermodynamics analysis revealed that E1 adsorption on BNNSs was spontaneous (DeltaG = -29.33 kJ mol-1), enthalpy-retarded (DeltaH = 29.75 kJ mol-1), entropy-driven (DeltaS = 198.26 J mol-1 K-1), and mostly chemical adsorption. The adsorption rates of E1 in water were sharply enhanced with thinner BNNSs as absorbents and removal efficiency by BN-60 regenerated after 6 times was above 95%, it was shown that the surface areas, mesopores and remarkable structure played important roles in the adsorption process. The firmness of E1 onto BNNSs and the stability of adsorption efficiency made BNNSs as a potential absorbent for efficient removal of E1 from wastewater. PMID- 29843031 TI - Activation of persulfate by homogeneous and heterogeneous iron catalyst to degrade chlortetracycline in aqueous solution. AB - This study investigates the removal of chlortetracycline (CTC) antibiotic using sulfate radical-based oxidation process. Sodium persulfate (PS) was used as a source to generate sulfate radicals by homogeneous (Fe2+) and heterogeneous (zero valent iron, ZVI) iron as a catalyst. Increased EDTA concentration was used to break the CTC-Fe metal complexes during CTC estimation. The influence of various parameters, such as PS concentration, iron (Fe2+ and ZVI) concentration, PS/iron molar ratio, and pH were studied and optimum conditions were reported. CTC removal was increased with increasing concentration of PS and iron at an equal molar ratio of PS/Fe2+ and PS/ZVI processes. PS/Fe2+ and PS/ZVI oxidation processes at 1:2 (500 MUM PS and 1000 MUM) molar ratio showed 76% and 94% of 1 MUM CTC removal in 2 h. Further increased molar ratio 1:2 onwards, PS/Fe2+ process showed a slight increase in CTC degradation whereas in PS/ZVI process showed similar degradation to 1:2 (PS/Fe) ratio at constant PS 500 MUM concentration. Slower activation of persulfate which indirectly indicates the slower generation of sulfate radicals in PS/ZVI process showed higher degradation efficiency of CTC. The detected transformation products and their estrogenicity results stated that sulfate radicals seem to be efficient in forming stable and non-toxic end products. PMID- 29843032 TI - Is it the time to study air pollution effects under environmental conditions? A case study to support the shift of in vitro toxicology from the bench to the field. AB - Air pollution and particulate matter are recognised cause of increased disease incidence in exposed population. The toxicological processes underlying air pollution associated effects have been investigated by in vivo and/or in vitro experimentation. The latter is usually performed by exposing cells cultured under submerged condition to particulate matter concentration quite far from environmental exposure expected in humans. Here we report for the first time the feasibility of a direct exposure of air liquid interface cultured cells to environmental concentration of particulate matter. Inflammatory proteins release was analysed in cell medium while differential expression of selected genes was analysed in cells. Significant association of anti-oxidant genes was observed with secondary and aged aerosol, while cytochrome activation with primary and PAHs enriched ultrafine particles. The results obtained clearly show the opportunity to move from the lab bench to the field for properly understanding the toxicological effects also of ultrafine particles on selected in vitro models. PMID- 29843033 TI - Application of persulfate-oxidation foam spraying as a bioremediation pretreatment for diesel oil-contaminated soil. AB - This study investigated a persulfate-bioaugmentation serial foam spraying technique to remove total petroleum hydrocarbons (TPHs) present in diesel contaminated unsaturated soil. Feeding of remedial agents by foam spraying increased the infiltration/unsaturated hydraulic conductivity of reagents into the unsaturated soil. Persulfate mixed with a surfactant solution infiltrated the soil faster than peroxide, resulting in relatively even soil moisture content. Persulfate had a higher soil infiltration tendency, which would facilitate its distribution over a wide soil area, thereby enhancing subsequent biodegradation efficiency. Nearly 80% of soil-TPHs were degraded by combined persulfate bioaugmentation foam spraying, while bioaugmentation foam spraying alone removed 52%. TPH fraction analysis revealed that the removal rate for the biodegradation recalcitrant fraction (C18 to C22) in deeper soil regions was higher for persulfate-bioaugmentation serial foam application than for peroxide bioaugmentation foam application. Persulfate-foam spraying may be superior to peroxide for TPH removal even at a low concentration (50 mN) because persulfate foam is more permeable, persistent, and does not change soil pH in the subsurface. Although the number of soil microbes declines by oxidation pretreatment, bioaugmentation-foam alters the microbial population exponentially. PMID- 29843034 TI - Effects of two strobilurins (azoxystrobin and picoxystrobin) on embryonic development and enzyme activities in juveniles and adult fish livers of zebrafish (Danio rerio). AB - Azoxystrobin and picoxystrobin are two primary strobilurin fungicides used worldwide. This study was conducted to test their effects on embryonic development and the activity of several enzyme in the zebrafish (Danio rerio). After fish eggs were separately exposed to azoxystrobin and picoxystrobin from 24 to 144 h post fertilization (hpf), the mortality, hatching, and teratogenetic rates were measured. Additionally, effects of azoxystrobin and picoxystrobin on activities of three important antioxidant enzymes [catalase (CAT), superoxide dismutase (SOD) and peroxidase (POD)] and two primary detoxification enzymes [carboxylesterase (CarE) and glutathione S-transferase (GST)] and malondialdehyde (MDA) content in zebrafish larvae (96 h) and livers of adult zebrafish of both sexes were also assessed for potential toxicity mechanisms. Based on the embryonic development test results, the mortality, hatching, and teratogenetic rates of eggs treated with azoxystrobin and picoxystrobin all showed significant dose- and time-dependent effects, and the 144-h LC50 values of azoxystrobin and picoxystrobin were 1174.9 and 213.8 MUg L-1, respectively. In the larval zebrafish (96 h) test, activities of CAT, POD, CarE, and GST and MDA content in azoxystrobin and picoxystrobin-treated zebrafish larvae increased significantly with concentrations of the pesticides compared with those in the control. We further revealed that azoxystrobin and picoxystrobin exposure both caused significant oxidative stress in adult fish livers and the changes differed between the sexes. Our results indicated that picoxystrobin led to higher embryonic development toxicity and oxidative stress than azoxystrobin in zebrafish and the male zebrafish liver had stronger ability to detoxify than that of the females. PMID- 29843035 TI - Novel sulfonated graphene oxide incorporated polysulfone nanocomposite membranes for enhanced-performance in ultrafiltration process. AB - A novel polysulfone (PSf) nanocomposite ultrafiltration (UF) membrane using sulfonated graphene oxide (SGO) as additives was fabricated and investigated. SGO nanoparticles were chemically synthesized from graphene oxide (GO) by using sulfuric acid (H2SO4) and were confirmed by Raman and Fourier transform infrared (FTIR) spectroscopy. The morphology of prepared membranes was characterized by scanning electron microscopy (SEM), energy dispersive x-ray (EDX) and atomic force microscopy (AFM). Results showed that adding small amount (less than 0.3 wt%) of SGO improved wettability, porosity and mean pore size of PSf/SGO membranes compared to the pristine PSf membrane and significantly enhanced the water flux of SGO incorporated PSf membranes. In UF performance, the nanocomposite membrane prepared by adding 1.5 w/w% SGO of PSf (designated as M1.5) showed the highest water flux result, which was 125% higher than the control PSf membrane (no SGO addition). Interestingly, there was no trade-off between water flux and bovine serum albumin (BSA) rejection, i.e more than 98% BSA rejection. The addition of SGO hydrophilic additives also showed better results in long-term BSA separation performance. The enhancement of hybrid membrane's properties was attributed to the hydrophilicity of sulfonic acid group (SO3H) on the surface of SGO additive. This study suggested that the SGO nanoparticle is a promising candidate to modify the PSf UF membranes. PMID- 29843036 TI - Is the aquatic environment sufficiently protected from chemicals discharged with treated ballast water from vessels worldwide? - A decadal environmental perspective and risk assessment. AB - Ballast water managements systems (BWMS) installed on vessels may use active substances to inactivate or kill organisms in the ballast water. This paper provides new insights in this global issue - discharge of hazardous disinfection by-products with ballast water and related risk assessment for the environment. Considering the possible extent of this issue, the International Maritime Organization (IMO) engaged the Joint Group of Experts on the Scientific Aspects of Marine Environmental Protection (GESAMP)-Ballast Water Working Group (BWWG) to oversee the evaluation process of BWMS that make use of active substances to prevent negative effects. We analysed all BWMS that received IMO final approval over a decade until 2017 and provide an overview of active substances used for ballast water treatment and disinfection by-products in the discharged ballast water. A risk assessment was conducted using the GESAMP-BWWG methodology for two very different commercial ports (Koper, Slovenia and Hamburg, Germany). Some relevant chemicals (chloropicrin, monochloroacetic acid, and dibromoacetonitrile) and other chemicals (isocyanuric acid and sodium thiosulphate) reached levels of concern, indicating a risk for aquatic organisms after discharge of that ballast water. From this analysis, it became clear GESAMP-BWWG worst-case scenario assumptions do not fully account for the potential environmental risks. We provide recommendations how to make this risk assessment more robust, recommend further research, and urge for policy as well as regulatory responses. PMID- 29843037 TI - Wetlands with greater degree of urbanization improve PM2.5 removal efficiency. AB - In recent decades, China has experienced both rapid urbanization and heavy air pollution and the rapid urbanization trend would be continue in the next decade. Wetlands have been shown to be efficient in particle removal, primarily through dry deposition and leaf accumulation. Thus, a more comprehensive understanding of PM2.5 removal by wetlands during urbanization processes could inform urban planning. In the current study, three wetland plots, Cuihu Lake Park (CL), Summer Palace (SP), and Olympic Park (OP), were selected as low, medium, and highly degrees of urbanization site respectively based on the proportions of building and traffic district areas to compare the removal efficiencies. Results show the average dry deposition velocity in OP was significantly higher than CL and SP. Dry deposition is mainly influenced by meteorological conditions. Buildings and other infrastructure make the meteorological conditions conducive to deposition, resulting in higher wind velocity, higher temperature, and more intense turbulence between buildings. Variation in leaf accumulation was not statistically significant between the three plots, and plant species was the major factor affecting the amount of accumulation. The dry deposition contribution to particle removal increases with degree of urbanization. The average dry deposition accounted for 39.74%, 52.55%, and 62.75% at low, middle and high level respectively. Therefore, Wetlands with greater degree of urbanization improve PM2.5 removal efficiency primarily by accelerating the dry deposition process. The result emphasizes the importance of wetlands in particle removal in highly urbanized areas and thus more wetlands should be preserved and/or created during urban expansion. PMID- 29843038 TI - Chlorination of 5-fluorouracil: Reaction mechanism and ecotoxicity assessment of chlorinated products. AB - What happens to drugs in the chlorinating environment? Degradation products may vary in pharmacological profiles and in ecotoxicity potentials compared to the parent compound. This study combines synthesis, NMR spectroscopy, quantum chemical calculations, and toxicity experiments on Daphnia magna to investigate chemical fate of antineoplastic drug 5-fluorouracil (5-FU) in chlorinated environment, which is common in waste-water treatment procedures, but also endogenous in activated neutrophils. A reduction of toxicity (EC50 after 48 h is 50% higher than for the parent 5-FU) was observed after the first chlorination step, in which a chlorohydrin 5-chloro-5-fluoro-6-hydroxy-5,6-dihydrouracil was formed. Further chlorination leads to N-chlorinated intermediate, that undergoes the pyrimidine ring opening reaction. The final product, 2-chloro-2-fluoro-3,3 dihydroxypropanoic acid was obtained after the loss of the chlorinated urea fragment. This is the most potent compound in the reaction sequence, with toxicity parameter EC50, after 48 h, more than twice lower compared to the parent 5-FU. Clearly, the contact time between chlorinating species and degradation products provide different ecotoxicological properties of reaction mixtures. Interplay between experimental and theoretical procedures, to properly describe reaction pathways and provide more information on toxicity profiles, is a way forward in environmental science research. PMID- 29843039 TI - Perceived family relationship quality and use of poly-tobacco products during early and late adolescence. AB - BACKGROUND: The role of family relationship in adolescent use of emerging tobacco products, which have become increasingly popular, is unknown. We examined the associations of perceived family relationship quality with current use of poly tobacco products including cigarettes, electronic cigarettes (e-cigarettes), waterpipe and smokeless tobacco in adolescents. METHODS: Data from a representative sample of 42,250 US grade 7-12 equivalent students (mean +/- SD age 14.6 +/- 1.9 years; 51.3% boys) from 75 randomly selected secondary schools in Hong Kong (2012-13) were analysed. Logistic regressions yielded adjusted odds ratios (AORs) for current (past 30-day) use of cigarettes, e-cigarettes, waterpipe, smokeless tobacco and poly-tobacco (>=2 products) in relation to perceived family relationship quality, adjusted for age, sex, perceived family affluence, parental education, family structure, parental and sibling smoking and secondhand smoke exposure at home. Subgroup analyses were conducted to compare the associations in early (aged <=14 years) versus late (>14) adolescents. RESULTS: The odds of current use increased with worse perceived family relationship quality with AORs (95% confidence interval) of up to 2.92 (2.32 3.68) for cigarettes, 7.28 (4.71-11.2) for e-cigarettes, 5.04 (3.44-7.40) for waterpipe, 8.09 (4.87-13.4) for smokeless tobacco and 5.25 (3.45-8.01) for poly tobacco products use (all P for trend <.001). The associations for all tobacco use outcomes were stronger in early than late adolescents (all P for interaction <.001). CONCLUSIONS: Dose-response relationships were found between negatively perceived family relationship quality and current poly- and individual tobacco product use by Hong Kong Chinese secondary students. The associations were stronger for alternative tobacco products and in early adolescents. PMID- 29843040 TI - Transition to drug co-use among adolescent cannabis users: The role of decision making and mental health. AB - BACKGROUND: Co-use of cannabis and drugs other than cannabis (DOTC) influences the risk of experiencing cannabis disorders. Accordingly, we explored whether speed of transition to drug co-use, the number of DOTC used, and/or being an experimental cannabis-only user, a regular cannabis-only user, or a regular cannabis user who co-uses DOTC (i.e., cannabis-plus user) were associated with decision-making (DM), mental health disorder symptoms, or cannabis use-related characteristics. METHODS: We analyzed baseline data from a sub-sample of 266 adolescent (ages 14 to 16) cannabis users (CU) participating in an ongoing longitudinal study. Assessments included semi-structured interviews, self-report questionnaires, and measures of drug use, DM (measured via the Iowa Gambling Task), mental health disorders, and cannabis use-related problems. RESULTS: Endorsing a larger number of mood disorders symptoms was associated with being a regular cannabis-plus user rather than a regular cannabis-only user (AOR = 1.08, C.I.95% 1.01, 1.15). Poorer DM was associated with a faster transition to co-use, such that for each one unit increase in DM performance, the years to onset of drug co-use increased by 1% (p = 0.032). Endorsing a larger number of cannabis use-related problems was positively associated with endorsing a larger number of DOTC used (p = 0.001). CONCLUSIONS: This study provides new evidence on the process of drug co-use among CU. Specifically, mood disorder symptoms were associated with use of DOTC among regular CU. Furthermore, poorer DM was associated with a faster transition to drug co-use. Poorer DM and mood disorder symptoms may aggravate or accelerate the onset of adverse consequences among adolescent CU. PMID- 29843041 TI - Endothelial growth factor receptor-targeted and reactive oxygen species responsive lung cancer therapy by docetaxel and resveratrol encapsulated lipid polymer hybrid nanoparticles. AB - Special targeted therapy like endothelial growth factor receptor (EGFR) targeted therapy is available for the treatment of advanced non-small cell lung cancer (NSCLC). Biodegradable core-shell lipid-polymer hybrid nanoparticles (LPNs) can combine the beneficial properties of lipid and polymeric NPs for controlled drug delivery. In the present study, epidermal growth factor (EGF) conjugated LPNs were fabricated to co-deliver docetaxel (DTX) and resveratrol (RSV). In vitro and in vivo studies demonstrated that EGF DTX/RSV LPNs have significant synergistic effects, best tumor inhibition ability and the lowest systemic toxicity. The results indicate that EGF DTX/RSV LPNs may be a promising strategy for treatment of NSCLC. PMID- 29843042 TI - Taxifolin binds with LXR (alpha & beta) to attenuate DMBA-induced mammary carcinogenesis through mTOR/Maf-1/PTEN pathway. AB - AIM: 7,12-dimethylbenz(a)anthracene(DMBA), a PAH derivative initializes cascades of signaling events that alters a variety of enzymes responsible for lipid and glucose homeostasis resulting in enhanced availability and consumption of energy producing molecules for the development of carcinogenesis. 3-hydroxy-3 methylglutaryl-coenzyme A reductase (HMG-CoAR) is a key enzyme regulating the pathway of synthesis of cholesterol whereas liver-X-receptor (LXR) regulates lipid, carbohydrate metabolism in various malignancies including mammary carcinogenesis (MC). In this study Taxifolin (TAX), a potential flavanoid has been subjected to evaluate its anti-cancer potential on (MC). METHODS: We designed to screen the molecular docking analysis of TAX on LXRalpha, LXRbeta, HMG-CoAR, mTOR and PTEN using MAESTRO tool comparing with their reference ligands. MC was developed by the administration of DMBA in the air pouch (under the mammary fat pad) of the female Sprague-Dawley rats (55 days old). After 90 days of cancer induction, the chemotherapeutic potential of TAX was evaluated by administering TAX at different doses (10, 20 and 40 mg/kg b.w./day). Then western blot and RT-qPCR analysis were performed for determination of the protein and mRNA expressions respectively. RESULTS: The docking analysis revealed significant interaction with LXR (alpha&beta), HMG-CoAR, mTOR and PTEN. The docking results were validated with the enzyme inhibition assay using HMG-CoAR (EC 1.1.1.34). TAX inhibited the HMG-CoAR activity with an IC50 value of 97.54 +/- 2.5 nM whereas the reference molecule pavastatin revealed an IC50 value of 84.35 +/- 1.2 nM. Moreover, TAX modulated the energy regulation on DMBA-induced MC in SD-rats by significantly restoring the cancer-induced alterations in body weight, tumor growth and lipid, lipoproteins, lipid metabolizing enzymes and glycolytic enzymes. TAX interacted with LXRs, HMG-CoAR, metabolic enzymes and restored the altered metabolism that accelerates uncontrolled cell proliferation in MC. Moreover, TAX also altered the mRNA and protein expressions of HMG-CoAR, LXR (alpha,beta), Maf1, PTEN, phosphoinositide 3-kinase (PI3K), Akt, mTOR, fatty acid synthase (FASN) and acetyl-CoA carboxylase 1 (ACC1) in a dose dependent manner. CONCLUSION: These results validate the anti-cancer potential of TAX in DMBA induced MC through LXR-mTOR/Maf1/PTEN axis. PMID- 29843043 TI - Resveratrol inhibits pulmonary fibrosis by regulating miR-21 through MAPK/AP-1 pathways. AB - OBJECTIVE: To explore the molecular mechanism of Res in regulation of pulmonary fibrosis (PF). METHODS: Rats were injected with bleomycin (BLM) to establish a PF model and treated with resveratrol (Res) and/or miR-21 agomir. After 14 days, lung tissues were collected for Hematoxylin-eosin and Masson's staining, and real time quantitative polymerase chain reaction and Western blot were performed to detect fibrosis-related protein expression and the activation of the TGF beta1/Smad pathway. In vitro, MRC-5 cells were pretreated with TGF-beta1, Res, and/or miR-21 agomir. After 48 h, total soluble collagen was detected with a Sircol Soluble Collagen Assay. Subsequently, a miR-21 mimic was transfected into MRC-5 cells, and a luciferase reporter assay was employed to verify whether miR 21 targeted Smad7. RESULTS: Res reversed the increased levels of miR-21 induced by BLM and alleviated serious PF symptoms, but agomiR-21 treatment effectively impaired the above manifestations. In vivo, miR-21 inhibited the decreases of TGF beta1 and p-Smad2/3 that were induced by Res. In vitro, miR-21 significantly disrupted the positive effect of Res on TGF-beta-induced collagen deposition, as well as the levels of Fn, alpha-SMA, p-Smad2, and Smad7. In addition, Smad7 was found to be a direct target of miR-21-5p. TGF-beta stimulation led to an enormous increase in p-c-Jun, c-Jun, and c-Fos, which were significantly reduced by Res. Finally, miR-21 sharply reduced the increased phosphorylation levels of ERK, JNK and p38 that were induced by Res. CONCLUSION: Res inhibits BLM-induced PF by regulating miR-21 through MAPK/AP-1 pathways. PMID- 29843044 TI - The antidepressant-like effects of Chaihu Shugan San: Dependent on the hippocampal BDNF-TrkB-ERK/Akt signaling activation in perimenopausal depression like rats. AB - Chaihu Shugan San (CSS), a traditional Chinese medicine formula, has been used to treat depression for hundreds of years. Recently, the antidepressant-like mechanism of CSS has been increasingly evaluated and demonstrated. However, there are few studies focused on the involvement of the neurotrophic system in mediating the antidepressant-like effects of CSS. Considering the high prevalence of perimenopausal depression around the world, the goal of the present study was to determine whether brain-derived neurotrophic factor (BDNF) signaling is required for the antidepressant-like effects of CSS in perimenopausal depressive like rats. The results indicate that CSS reverses depressive-like behaviors and attenuates the downregulation of BDNF in the hippocampus of perimenopausal rats exposed to chronic unpredictable mild stress (CUMS). We found that the TrkB antagonist K252 not only blocks the effects of CSS on behavioral improvement but also abolishes the activation of CSS in BDNF-TrkB signaling. As a result, the downstream targets of BDNF signaling, such as the ERK and Akt pathways, are significantly inhibited by K252a. Furthermore, CSS increases hippocampal neurogenesis, while K252a fully prevents this action. In conclusion, the present results demonstrate that the activation of the hippocampal BDNF-TrkB-ERK/Akt signaling pathway is required for the antidepressant-like effects of CSS on the depressive-like state during perimenopause. Additionally, this study also demonstrates that neurogenesis is required for the effects of antidepressants in aging perimenopausal animals and provides fundamental evidence for the clinical application of CSS. PMID- 29843045 TI - Drug metabolizing enzymes and their inhibitors' role in cancer resistance. AB - Despite continuous research on chemotherapeutic agents, different mechanisms of resistance have become a major pitfall in cancer chemotherapy. Although, exhaustive efforts are being made by several researchers to target resistance against chemotherapeutic agents, there is another class of resistance mechanism which is almost carrying on unattended. This class of resistance includes pharmacokinetics resistance such as efflux by ABC transporters and drug metabolizing enzymes. ABC transporters are the membrane bound proteins which are responsible for the movement of substrates through the cell membrane. Drug metabolizing enzymes are an integral part of phase-II metabolism that helps in the detoxification of exogenous, endogenous and xenobiotics substrates. These include uridine diphospho-glucuronosyltransferases (UGTs), glutathione-S transferases (GSTs), dihydropyrimidine dehydrogenases (DPDs) and thiopurine methyltransferases (TPMTs). These enzymes may affect the role of drugs in both positive as well negative manner, depending upon the type of tissue and cells present and when present in tumors, can result in drug resistance. However, the underlying mechanism of resistance by drug metabolizing enzymes is still not clear. Here, we have tried to cover various aspects of these enzymes in relation to anticancer drugs. PMID- 29843046 TI - Osteoactivin inhibits dexamethasone-induced osteoporosis through up-regulating integrin beta1 and activate ERK pathway. AB - BACKGROUNDS: Dexamethasone (Dex) is widely used in autoimmune diseases and inflammation treatment. A sever side effect of prolonged exposure to Dex is increased risk of osteoporosis (OP) or even femoral head necrosis, which would cause much suffer to patients. To reveal the mechanism behind this phenomenon, provide therapeutic guidance and potential target, we analyzed the inhibitory mechanism of Dex on osteogenesis of rat-BMSC. METHODS: Rat BMSC were obtained and characterized with FACS analysis. Osteogenesis and adipogenesis abilities were detected with Oil-O-Red staining, Alizarin Red staining and ALP activity analysis. These BMSC were then treated with Dex in combination with recombinant OA or not and detected for osteogenesis related gene expression with qRT-PCR. Protein interaction and expression were detected by Co-Immunoprecipitation and western blot. RESULTS: Osteoactivin (OA) could promote integrin beta 1 expression and interact with this protein physically, leading to ERK activation and promoting osteogenesis related genes' expression including Runx2, Col1a and OCN in BMSC. Dex, however, could block expression of several upstream genes of OA and decrease OA mRNA and protein level, and eventually suppress integrin beta1-ERK activation and lead to decreased osteogenesis, which could finally develop into OP. CONCLUSION: Recombinant OA treated BMSC exerted better osteogenesis potency even with Dex administration. This is because additional OA in medium counter acts with Dex's influence and rescued osteoblast differentiation via up regulating integrin beta1 and activate ERK/MAPK pathway which promotes osteogenesis. Hence, OA/integrin beta1 could serve as potential therapeutic target for OP. PMID- 29843047 TI - Melatonin ameliorates bisphenol A-induced perturbations of the prostate gland of adult Wistar rats. AB - Bisphenol A (BPA) is an endocrine disrupting chemical (EDC) that has been demonstrated to induce alterations in reproductive organs while melatonin (ML), an antioxidant, present in plants and animals, is capable of protecting against EDC-induced alterations. Adult male Wistar rats (average weight, 240 + 10 g) were divided into four groups of ten animals each: Rats in group I (control) received oral 0.2 ml 1% dimethyl sulfoxide (DMSO)/99% canola oil as vehicle; group II received intra-peritoneal 10 mg/kg BW/day ML. Group III received oral BPA dissolved in DMSO and solubilized in canola oil at 10 mg/kg BW/day. Group IV were treated with same dose of BPA as group III with a concomitant intra-peritoneal 10 mg/kg BW/day ML. All treatments lasted for 14 days. BPA significantly increased the prostatic index of the rats while ML ameliorated it. BPA significantly increased serum levels of estrogen as well as prostate-specific antigen but decreased serum testosterone in the rats while concomitant treatment with ML ameliorated these alterations. Also, BPA caused vascular congestion, hyperplasia (functional, reactive and atypical) of prostatic epithelium as well as tubular atrophy the rats while ML attenuated the observed lesions. Decreased localization of alphaSmooth muscle actin, vimentin and S100 proteins were observed in the BPA treated rats while these decreases were ameliorated by ML. The present study has shown that sub-acute oral administration of BPA induced alterations in prostatic index, serum hormone levels, down-regulated protein localization and induced morphological lesions of the prostate gland in rats while concomitant treatment with intra-peritoneal ML ameliorated these conditions. Hence, low dose of ML can protect against BPA-induced toxicity of the prostate gland of rats. PMID- 29843048 TI - Reduction of the molecular chaperone binding immunoglobulin protein (BiP) accentuates the effect of aging on sleep-wake behavior. AB - Sleep and wake quality, quantity, and architecture become modified with aging. Sleep and wake quality decline coinciding with increased fragmentation of both states across aging. We have previously shown that this age-related decline in sleep-wake quality is associated with increased endoplasmic reticular (ER) stress and decreased expression of the major ER chaperone binding immunoglobulin protein (BiP). BiP, also known as glucose-regulated protein 78, plays a key role in controlling the cellular response to ER stress, acting as a regulator of a protein homeostatic signaling pathway known as the unfolded protein response. Induction of BiP during cellular stress is part of an adaptive prosurvival mechanism. Here, using mice heterozygous for BiP, we investigated the effect of reduced BiP expression on sleep-wake behavior across aging; complete knockdown of BiP is embryonic lethal. We report that BiP heterozygosity accentuates the aging sleep-wake phenotype. Sleep and wake fragmentation was more pronounced in the BiP heterozygotes across the 3 ages examined. In mice lacking 1 functional copy of BiP, we observed an age-related significant reduction in wake bout duration and increase in wake bout numbers during the active period, as well as an increase in non rapid eye movement and rapid eye movement bout numbers accompanied by reduced bout durations of both non rapid eye movement and rapid eye movement during the sleep period. In addition, we observed increased ER stress in orexin neurons and occurrence of aggregates immunopositive for orexin at the terminals and projections of orexin neurons in the middle-aged BiP heterozygotes. Taken together, our data indicate that a reduction in the molecular chaperone BiP impacts sleep architecture across aging and that orexin processing is likely to be affected. PMID- 29843049 TI - Tumor necrosis and clinical outcomes following neoadjuvant therapy in soft tissue sarcoma: A systematic review and meta-analysis. AB - BACKGROUND: The prognostic role of tumor necrosis following neoadjuvant therapy is established in bone sarcomas but remains unclear in soft tissue sarcomas (STS). METHODS: We searched MEDLINE, MEDLINE in progress, EMBASE and Cochrane to identify studies that investigated neoadjuvant therapy in STS. Studies were required to report survival data based on extent of necrosis, or provided individual patient data allowing estimation thereof. Hazard ratios (HR) for relapse-free (RFS) and overall survival (OS) and odds ratios (OR) for recurrence at 3 years and for death at 5 years were pooled in a random effect meta-analysis. Associations between patient characteristics and attainment of >=90% necrosis were explored. RESULTS: 21 studies comprising 1663 patients were included. Extremity tumors were most common (n = 1554; 93%). Induction regimens included chemotherapy with radiotherapy (n = 924; 56%), chemotherapy alone (n = 412; 25%), radiotherapy alone (n = 78; 5%), isolated limb perfusion (ILP) (n = 231; 14%), and targeted therapy/radiotherapy (n = 18; 1%). Patients with <90% necrosis had higher hazard of recurrence (hazard ratio [HR] 1.47; 95% CI: 1.06-2.04; p = 0.02) and death (HR 1.86; 95% CI: 1.41-2.46; p < 0.001). Risk of recurrence at 3 years (OR = 3.35; 95% CI: 2.27-4.92; p < 0.001) and of death at 5 years (OR 2.60; 95% CI: 1.59-4.26; p < 0.001) were similarly increased. Compared to other modalities, ILP was associated with higher odds of achieving >=90% necrosis (OR 12.1; 95% CI: 3.69-39.88; p < 0.001). CONCLUSION: Tumour necrosis <90% following neoadjuvant therapy is associated with increased recurrence risk and inferior OS in patients with STS. PMID- 29843050 TI - Gram-negative synthase-dependent exopolysaccharide biosynthetic machines. AB - Bacteria predominantly exist as matrix embedded communities of cells called biofilms. The biofilm matrix is made up of a variety of self-produced extracellular components including DNA, proteins, and exopolysaccharides. Bacterial exopolysaccharides have been implicated in surface adhesion, resistance to antibiotics, and protection from host immune systems. Herein we review the structure and function of the proteins involved in the production of the Gram negative synthase-dependent exopolysaccharides: alginate, poly-beta(1,6)-N-acetyl d-glucosamine (PNAG), cellulose, and the Pel polysaccharide. We highlight the similarities and differences that exist at the molecular level in these synthase systems. PMID- 29843051 TI - Kangaroo mother care and infant biopsychosocial outcomes in the first year: A meta-analysis. AB - AIM: A systematic review and meta-analysis was conducted to examine the relationship between KMC and infant/toddler biopsychosocial outcomes. METHOD: PubMed, MEDLINE (OvidSP), MEDLINE in Process (OvidSP), Embase (OvidSP), PsycINFO (OvidSP), and AMED (OvidSP) were searched. Observational studies and randomized control trials through October 2015 that investigated the association between KMC intervention and infant/toddler biopsychosocial outcomes were included. Studies with <10 participants, those using skin-to-skin only during painful procedures or only on the day of birth, and those that did not report quantitative outcomes were excluded. Data were extracted by two coders and estimates were examined using random-effects. RESULTS: 3177 studies were screened with 13 meeting inclusion criteria and representing 5 child outcomes (cognitive, motor, self regulation, socio-emotional and temperament). Among LBW/premature neonates, KMC compared to conventional care was associated with improved infant self regulation. Moderated effects were identified for cognitive (duration of KMC) and motor development (duration of KMC, country-level mortality ratio, and infant gender). INTERPRETATIONS: KMC administered to vulnerable neonates during a sensitive period of brain development has a lasting impact on self-regulation skills later in infancy. Further research examining the longer-term effect of KMC on cognitive and motor development, socioemotional skills, and temperament is needed. PMID- 29843052 TI - Expression of cyp1a induced by benzo(A)pyrene and related biochemical and genotoxic biomarkers in the neotropical freshwater fish Prochilodus lineatus. AB - The goal of this work was to design specific cyp1a primers for the fish Prochilodus lineatus to study the expression of this gene and its relation to the activity of biotransformation phase I enzyme (ethoxyresorufin O-deethylase - EROD) and genotoxic damage after 6 and 24 h of benzo(a)pyrene (B(a)P) intraperitoneal injection. In comparison to fish injected only with canola oil (vehicle), the expression of cyp1a and EROD activity both in the liver and gills were significantly higher after 6 and 24 h of B(a)P injection. A significant increase in DNA damage was detected in liver and blood cells after 6 h of B(a)P injection and in the gill cells after both times, probably caused by intermediate metabolites of B(a)P. Thus, the expression of cyp1a and its relationship with the corresponding enzyme activity is a potential biomarker for evaluation P. lineatus exposure to organic compounds. PMID- 29843053 TI - Clinical and radiographic periodontal status and whole salivary cotinine, IL 1beta and IL-6 levels in cigarette- and waterpipe-smokers and E-cig users. AB - The aim was to compare the clinical (plaque index [PI], bleeding on probing [BOP], probing pocket depth [PPD] and clinical attachment loss [CAL]) and radiographic (marginal bone loss [MBL]) periodontal parameters and whole salivary cotinine, interleukin (IL)-1beta and IL-6 levels among cigarette-smokers, waterpipe-smokers, E-cig users and never-smokers. In total, 154 male individuals (39 cigarette-smokers, 40 waterpipe-smokers, 37 E-cig users and 38 never-smokers) were included. Full mouth PI, BOP, PPD and CAL were measured on all teeth (excluding third molars); and MBL was measured in digital intra-oral radiographs. Unstimulated whole salivary flow rate (UWSFR) and whole salivary cotinine, IL 1beta and IL-6 levels were measured. Group comparisons were performed using one way analysis of variance and Bonferroni post-hoc tests. P-values less than 0.05 were considered statistically significant. There was no difference in UWSFR among the groups. Cotinine levels were significantly higher among cigarette- (P < 0.001) and waterpipe-smokers (P < 0.001) and E-cig users (P < 0.001) than never smokers. IL-1beta (P < 0.01) and IL-6 (P < 0.01) levels were significantly higher among cigarette- and waterpipe-smokers than E-cig users and never-smokers. There was no difference in PPD, CAL, mesial and distal MBL and whole salivary IL-1beta and IL-6 levels among E-cig users and never-smokers. In conclusion, clinical and radiographic parameters of periodontal inflammation were poorer in cigarette and waterpipe smokers than E-cig users and never-smokers; and whole salivary cotinine levels were similar in all groups. Whole salivary IL-1beta and IL-6 levels were higher in cigarette- and waterpipe-smokers than E-cig users and never-smokers. PMID- 29843054 TI - Identification of Strawberry vein banding virus encoded P6 as an RNA silencing suppressor. AB - RNA silencing is a common mechanism that plays a key role in antiviral defense. To overcome host defense responses, plant viruses encode silencing-suppressor proteins to target one or several key steps in the silencing machinery. Here, we report that the P6 protein encoded by Strawberry vein banding virus (SVBV) is an RNA silencing suppressor through Agrobacterium-mediated co-infiltration assays. SVBV P6 protein can suppress green fluorescent protein (GFP) gene silencing induced by single-stranded RNA but not by double-stranded RNA. The P6 protein can also inhibit systemic silencing of GFP through interfering the systemic spread of GFP silencing signal. Subcellular localization study indicated that P6 protein formed irregular bodies and distributed in both cytoplasm and nucleus of Nicotiana benthamiana cells. Furthermore, deletion analysis indicated that a nuclear localization signal (NLS, aa 402-426) in the P6 protein is responsible for the silencing suppression efficiency. In addition, expression of the P6 protein via a Potato virus X (PVX)-based vectors induced more severe mosaic symptoms in N. benthamiana leaves, and transgenic N. benthamiana plants expressing P6 showed obvious vein yellowing as well as severe mosaic symptoms in leaves. Taken together, our results demonstrates that SVBV P6 is a suppressor of RNA silencing, possibly acting at a upstream step for dsRNA generation. PMID- 29843055 TI - Aging may negatively impact movement smoothness during stair negotiation. AB - Stairs represent a barrier to safe locomotion for some older adults, potentially leading to the adoption of a cautious gait strategy that may lack fluidity. This strategy may be characterized as unsmooth; however, stair negotiation smoothness has yet to be quantified. The aims of this study were to assess age- and task related differences in head and body center of mass (COM) acceleration patterns and smoothness during stair negotiation and to determine if smoothness was associated with the timed "Up and Go" (TUG) test of functional movement. Motion data from nineteen older and twenty young adults performing stair ascent, stair descent, and overground straight walking trials were analyzed and used to compute smoothness based on the log-normalized dimensionless jerk (LDJ) and the velocity spectral arc length (SPARC) metrics. The associations between TUG and smoothness measures were evaluated using Pearson's correlation coefficient (r). Stair tasks increased head and body COM acceleration pattern differences across groups, compared to walking (p < 0.05). LDJ smoothness for the head and body COM decreased in older adults during stair descent, compared to young adults (p <= 0.015) and worsened with increasing TUG for all tasks (-0.60 <= r <= -0.43). SPARC smoothness of the head and body COM increased in older adults, regardless of task (p < 0.001), while correlations showed improved SPARC smoothness with increasing TUG for some tasks (0.33 <= r <= 0.40). The LDJ outperforms SPARC in identifying age-related stair negotiation adaptations and is associated with performance on a clinical test of gait. PMID- 29843056 TI - Mast cell activators as novel immune regulators. AB - Mast cells are an important cell type of the innate immune system that when activated, play a crucial role in generating protective innate host responses after bacterial and viral infection. Additionally, activated mast cells influence lymph node composition to regulate the induction of adaptive immune responses. The recognition that mast cells play a beneficial role in host responses to microbial infection and induction of adaptive immunity has provided the rationale to evaluate mast cell activators for use as antimicrobials or vaccine adjuvants. This review summarizes the role of mast cell activators in antimicrobial responses while also discussing the use of different classes of mast cell activators as potent vaccine adjuvants that enhance the induction of protective immune responses. PMID- 29843057 TI - DNA-assisted synthesis of nickel cobalt sulfide nanosheets as high-performance battery-type electrode materials. AB - Nickel-cobalt sulfide (NiCo2S4) nanosheets were successfully fabricated by an environment-friendly hydrothermal method with the assistance of DNA molecules. Different morphological samples were prepared by adjusting the concentrations of DNA. The NiCo2S4 nanosheets derived from 0.2 MUg/mL DNA (denoted as DS2) exhibited a desirable mesoporous feature with superior electrochemical performance compared with other samples. As a battery-type electrode material, it exhibited a high specific capacity of 644C g-1 at the current density of 1 A/g, superior rate capability of 74.3% retention at 15 A/g and remarkable cycling stability of 90.5% after 1500 cycles. Thus, the electrode material of NiCo2S4 nanosheets assisted by DNA molecule offered great potential in eco-friendly energy storage device applications. PMID- 29843058 TI - Synthesis of hierarchical hollow sodium titanate microspheres and their application for selective removal of organic dyes. AB - Titanate-based materials are attractive inorganic adsorbents for wastewater treatment. In this study, hierarchical hollow sodium titanate microspheres (HHSTMs) were successfully synthesized via a template-assisted method. Silica microspheres were selected as hard templates, with a uniformly smooth TiO2 shell first grown onto the surface of the SiO2 cores. Then, through an alkaline hydrothermal process, the silica core was removed and the TiO2 shell gradually converted into a sodium titanate shell with a preserved morphology. The as synthesized HHSTMs are constructed from twined nanobelts, with a high surface area of 308 m2 g-1. A typical organic dye, methylene blue, was employed to investigate the adsorption properties of the HHSTMs. The adsorption process matched well with the Langmuir isothermal model, with the maximum adsorption capacity of methylene blue reaching 443 mg g-1. Moreover, the resulting HHSTMs can be used to selectively capture of methylene blue from a cationic-anionic dye binary system due to their negatively charged surface. All adsorption processes were very fast and could complete in ten minutes. PMID- 29843059 TI - Effect of protein adsorption on the radial wicking of blood droplets in paper. AB - HYPOTHESES: (1) The equilibrium size and characteristics of a radially wicked fluid on porous material such as paper is expected to be dependent on the fluid properties and therefore could serve as a diagnostic tool. (2) The change in wicked stain size between biological fluids is dependent on a change in solid liquid surface interfacial energy due to protein adsorption. EXPERIMENTS: Sessile droplets of increasing volume of blood, its components, and model fluids were deposited onto paper and the equilibrium stain size after coming to a halt was recorded. The contact angle of fluid droplets on model cellulose surfaces was measured to quantify the effect that blood protein adsorption at the solid-liquid interface has on radially wicked equilibrium size. Finally the significance of droplet evaporation for the time scale of interest was analysed. FINDINGS: The final stain area of all fluids tested on paper scales remarkably linearly with droplet volume. Different fluids were compared and the gradient of this linear relation was measured. Model fluids varying in surface tension and viscosity all behave similarly and exhibit a constant gradient. Blood and its components produce smaller stains, demonstrated by lower gradients. The gradient is a function of protein concentration, thus the mechanism of this phenomenon was identified as protein adsorption at the cellulose-liquid interface. The slope of the area/volume relationship for droplets is an important quantitative mechanistic variable. PMID- 29843060 TI - Hollow mesoporous organosilica nanospheres templated with flower-like micelles of pentablock copolymers. AB - We present a facile preparation of hollow mesoporous organosilica nanospheres with well-defined, uniform mesopores by controlling the morphology of pentablock copolymer templates under acidic conditions. The CBABC type poly(lactic acid-co glycolic acid)-b-poly(ethylene oxide)-b-poly(propylene oxide)-b-poly(ethylene oxide)-b-poly(lactic acid-co-glycolic acid) (PLGA-b-PEO-b-PPO-b-PEO-b-PLGA) pentablock copolymers were synthesized via a step-growth and ring-opening polymerization method using Pluronic F68 and F108 as macro-initiators. Two kinds of pentablock copolymers, (LA45GA12)EO75PO30EO75(LA45GA12) and (LA28GA9)EO141PO54 EO141(LA28GA9), were used as single soft templates to prepare mesoporous ethane silica and benzene-silica hollow nanospheres by sol-gel chemistry in acidic aqueous solutions. The inner cavity diameter was controlled up to ~20 nm by varying acidity and the chain length of the hydrophobic PLGA block without using additional swelling agents. The evolution of hollow nanospheres could be explained by single flower-like micelle template mechanism and the variation of morphology of pentablock copolymers upon solution acidity. Moreover, the amine functionalized hollow benzene-silica nanospheres showed high carbon dioxide adsorption at ambient conditions. The hollow organosilica nanospheres were characterized by small-angle X-ray scattering, nitrogen adsorption-desorption, solid-state 13C- and 29Si nuclear magnetic resonance, and scanning and transmission electron microscopy and so on. PMID- 29843061 TI - Controlled construction of gold nanoparticles in situ from beta-cyclodextrin based unimolecular micelles for in vitro computed tomography imaging. AB - The development of nanomaterials as highly efficient contrast agents for tumor computed tomography (CT) imaging still remains a huge challenge. In this study, a novel and facile approach to fabricate unimolecular micelles-stablized gold nanoparticles (AuNPs) without external reductant for in vitro targeted CT imaging was described. Amphiphilic 21-arm star-like polymers beta-cyclodextrin-g-{poly(2 (dimethylamino)ethyl methacrylate)-poly(2-hydroxyethyl methacrylate) poly[poly(ethylene glycol) methyl ether methacrylate]} [beta-CD-g-(PDMA-b-PHEMA-b PPEGMA)] was firstly synthesized and proved to form unimolecular core-middle layer-shell-type micelles in water through experimental and computer simulation results. Taking advantage of the reducing groups of PDMA block, AuNPs were decorated in the micellar PDMA block because of the in situ reduction of gold ions, which were absorbed by the PDMA chains in the core layer with a narrow nanoparticle size distribution. This strategy could prevent aggregation of AuNPs, which were capable of being employing as a highly effective probe for specific CT imaging in vitro. Importantly, the beta-CD-g-(PDMA-b-PHEMA-b-PPEGMA)/AuNPs incubated with HepG2 cells, displayed more intense X-ray attenuation property (>37%) than conventional iodine-based CT imaging agent (Omnipaque) and also possessed a satisfying cytocompatibility in the given concentration range. The facile fabrication procedures and the efficiency of CT imaging render the novel hybrid unimolecular micelles to become potent candidates for applications in tumor-targeted CT imaging. PMID- 29843063 TI - Rupture of ultrathin solution films on planar solid substrates induced by solute crystallization. AB - On-line optical imaging of continuously thinning planar films in a spin cast configuration reveals the rupture behavior of ultra-thin films of binary mixtures of a volatile solvent and a nonvolatile solute. The pure solvents completely wet the silica substrates whereas the solution films rupture at certain film thicknesses, hrupture, which depend on, c0, the initial weighing in solute concentrations. With small c0, hrupture increases proportional to c0. With high c0, all films rupture at hrupture~50nm, independent of c0. The findings can be explained by the solute enrichment during the evaporative thinning. Solute crystallization at the liquid/substrate interface upon reaching solute supersaturation leads to locally different wetting properties. This induces locally the rupture of the film as soon as it is sufficiently thin. A proper data rescaling based on this scenario yields a universal rupture behavior of various different solvent/solute mixtures. PMID- 29843062 TI - Phosphate removal from aqueous solution using iron oxides: Adsorption, desorption and regeneration characteristics. AB - Dynamics of phosphate (PO43-) adsorption, desorption and regeneration characteristics of three lab-synthesized iron oxides, ferrihydrite (F), goethite (G), and magnetite (M) were evaluated in this study. Batch experiments were conducted to evaluate the impact of several adsorption parameters including adsorbent dosage, reaction time, temperature, pH, and ionic strength. The results showed that PO43- adsorption increased with reaction time and temperature while it decreased with an increase in solution pH. Adsorption isotherm data exhibited good agreement with the Freundlich and Langmuir model with maximum monolayer adsorption capacities of 66.6 mg.g-1 (F), 57.8 mg.g-1 (M), and 50.5 mg.g-1 (G). A thermodynamics evaluation produced DeltaG < 0, DeltaH > 0, and DeltaS > 0, demonstrating that PO43- adsorption onto tested minerals is endothermic, spontaneous, and disordered. The PO43- removal mostly occurred via electrostatic attraction between the sorbate and sorbent surfaces. Moreover, the PO43- sorption was reversible and could be desorbed at varying rates in both neutral and alkaline environments. The good desorption capacity has practical benefits for potential regeneration and re-use of the saturated particles in wastewater treatment systems. PMID- 29843065 TI - The poisoning effect of PbO and PbCl2 on CeO2-TiO2 catalyst for selective catalytic reduction of NO with NH3. AB - The poisoning effect of PbO and PbCl2 on CeO2-TiO2 catalyst for selective catalytic reduction of NO with NH3 was investigated and compared. Both Pb species could deactivate the CeO2-TiO2 catalyst and PbO had a stronger poisoning effect than PbCl2. From the characterization results of BET, XRD, XPS, NH3-TPD and H2 TPR, it was concluded that the more serious deactivation by PbO could be ascribed to smaller BET surface area, fewer surface Ce3+ and chemisorbed oxygen, stronger interaction between PbO and CeO2-TiO2 catalyst, lower redox properties and surface acidity. The in situ DRIFT study results revealed that the NH3-SCR reaction over CeO2-TiO2 catalyst was governed by both E-R and L-H mechanisms, which wasn't changed over the Pb-poisoned samples. The greater loss of Bronsted acid sites attributed to fewer surface Ce3+ and more serious inhibition of NO oxidation to NO2 due to fewer surface chemisorbed oxygen were two key factors responsible for more serious deactivation by PbO. Furthermore, the presence of Pb species inhibited the NH3 adsorption on the Lewis acid sites, aggravating the deactivation of CeO2-TiO2 catalyst. PMID- 29843064 TI - Synthesis of zinc ferrite/silver iodide composite with enhanced photocatalytic antibacterial and pollutant degradation ability. AB - ZnFe2O4/AgI composites were first prepared successfully with a hydrothermal method, and ZnFe2O4 nanoparticles were uniformly decorated on the surface of AgI particles. The photocatalytic activities of the obtained ZnFe2O4/AgI composites were investigated by the degradation of organic pollutants and the inactivation of bacteria under visible light irradiation. The results showed that the introduction of ZnFe2O4 greatly enhanced the light harvesting ability and improved the separation efficiency of the photogenerated charge carriers, which contributed to the enhanced generation of reactive species and thus promoted the photocatalytic performance. The 5% ZnFe2O4/AgI composite exhibited the optimal photocatalytic disinfection of E. coli (100% removal efficiency in 80 min) as well as the photocatalytic degradation of rhodamine B (RhB) (98.5% removal rate in 40 min). Furthermore, four consecutive cycles also demonstrated the stable photocatalytic activity of the as-prepared ZnFe2O4/AgI composites. In addition, H2O2 was identified as the predominant active species in the photocatalytic inactivation of bacteria. This study indicated that ZnFe2O4/AgI composites are a promising candidate for the treatment of wastewater. PMID- 29843066 TI - Fabrication of SiO2 wrapped polystyrene microcapsules by Pickering polymerization for self-lubricating coatings. AB - The facile and efficient encapsulation of a lubricant oil in SiO2 wrapped polystyrene microcapsules is accomplished using a Pickering polymerization technique. Triton X-100-IPTS fumed SiO2 nanoparticles are used as emulsifiers for the formation of O/W Pickering emulsions and the stability factor of the Pickering emulsions was investigated. The as-obtained microcapsules are characterized by scanning electron microscope, thermogravimetric analysis, Fourier transform infrared spectra and dynamic laser scattering. These results suggest that the microcapsules display a spherical shape with a core content of ~38.3%, an average diameter of 3.3 MUm, a shell thickness is ~900 nm and outstanding thermal stability for lubricant oil with a decomposition temperature of 250 degrees C. Moreover, the microcapsules are embedded into an epoxy resin for self-lubricating coatings. On the basis of frictional coefficient measurements and wear testing, the self-lubricating microcapsules-incorporated epoxy coatings on an aluminum plate indicate the excellent dispersibility of the microcapsules in coatings and the favorable antifriction effects. PMID- 29843067 TI - Micellar HPLC-UV method for the simultaneous determination of levodopa, carbidopa and entacapone in pharmaceuticals and human plasma. AB - A method based on micellar liquid chromatography to quantify levodopa, carbidopa and entacapone in plasma is reported. The sample pretreatment was a simple dilution in a pure micellar solution then filtration and direct injection, without requiring extraction or purification steps. The three drugs were resolved from the matrix in 7 min, using an aqueous solution of 0.1 M sodium dodecyl sulphate-10% n-propanol-0.3 tiethylamine, adjusted at pH 2.8 with 0.02 M orthophosphoric acid as mobile phase, running under isocratic mode at 1.0 mL/ min through VP-ODS column. The detection was done by UV (ultraviolet) absorbance at 225 nm. The method was successfully validated by the International Conference Harmonization guidelines in terms of: selectivity, linearity (r2 > 0.998) over the concentration ranges of 0.025-1.2, 0.05-1.0 and 0.3-2.0 MUg mL-1 with limits of detection of 0.01, 6.16 * 10-3 and 0.02 MUg mL-1 and limits of quantification of 0.03, 0.02 and 0.07 MUg mL-1 for levodopa, carbidopa and entacapone, respectively. The proposed method was applied successfully for quantification of the studied drugs in their different dosage forms. Moreover, the method was further extensive to the quantification of the studied drugs in spiked human plasma and was successfully validated by the guidelines of the European Medicines Agency. The proposed procedures were successfully evaluated to determine the studied drugs in real human plasma. The procedure was found reliable, practical, cost-effective, available, short period, easy-to-handle, low-cost, environmental friendly, secure, useful for the analysis of numerous samples per day. Lastly, the method was performed to the analysis of incurred, using quality control samples in the same analytical run, with adequate results. Therefore, it can be implementable for custom analysis in clinical laboratories. PMID- 29843068 TI - When should foetal pH measurements be performed after a prolonged deceleration? An experimental study in a fetal sheep model. AB - OBJECTIVE: The aim of fetal heart rate monitoring during labour is to identify and prevent foetal distress, but its evaluation is not perfect. Fetal scalp blood sampling for pH measurement is one of the second-line methods of monitoring when fetal heart rate is classified as suspicious. This study aims to determine when pH testing should be performed after a prolonged deceleration. STUDY DESIGN: This was an experimental study in a fetal sheep model. A partial umbilical cord occlusion was performed for seven minutes followed by a recuperation period of 30 min. Hemodynamic parameters (heart rate, mean blood pressure and intra-amniotic pressure) and blood gases were recorded before occlusion (T0), during occlusion (T4), just after the end of occlusion (T7), and then 10, 20 and 30 min after occlusion (T17, T27 and T37 respectively). RESULTS: Ten experiments were carried out. During partial cord occlusion, the fetal pH decreased significantly to acidosis. After a prolonged deceleration with fetal acidosis, the pH recovered to a normal value, defined by a pH greater than or equal to 7.25, after 20 min of recuperation. CONCLUSION: After a prolonged deceleration, fetal pH normalizes between 20 and 30 min thereafter. Thus, if a foetal blood sample is indicated, this delay must be respected in order to avoid inducing an unnecessary intervention decision. PMID- 29843069 TI - Evaluation of cMET aberration by immunohistochemistry and fluorescence in situ hybridization (FISH) in triple negative breast cancers. AB - PURPOSE: To evaluate the incidence of cMET proto-oncogene aberration in a cohort of triple negative breast cancers using immunohistochemistry and fluorescence in situ hybridization (FISH) methods and correlated with patient outcome. PATIENTS AND METHODS: One hundred and six female patients with diagnosis of triple negative invasive breast carcinoma at The University of Texas-M D Anderson Cancer Center from 1983 to 2009 were included in the study. Expression of cMET was assessed by IHC using rabbit monoclonal anti-total cMET antibody (SP44 from Ventana). Staining intensity was scored on a scale of 0, 1+, 2+ and 3+. cMET overexpression was defined as at least moderate membranous/cytoplasmic staining in >=50% of tumor cells (score >= 2+). FISH analysis was performed using MET (7q31) specific probe (BAC clone RP11-95i20, Abbott Molecular Inc.) and the centromere probe (CEP7/D7Z1, Abbott Molecular Inc.) as internal control. cMET amplification was defined as gene copy numbers >=4 per cell or cMET/CEP7 ratio >= 2. cMET status was tested for correlation using Fisher's exact test with other clinicopathological parameters. The Kaplan-Meier product limit method was used to estimate the survival outcomes. Cox proportional hazards models were fit to determine the association of cMET status by IHC, or by FISH, or by copy number with survival outcomes after adjustment for other patient and disease characteristics. RESULTS: Medium follow up is 69.4 months (range 9-317 months). cMET was successfully evaluated by both IHC and FISH methods in ninety-six patients. There were 13 patients whose tumors overexpressed cMET was by IHC. Two patients had cMET amplification by FISH using definitive of cMET/CEP7 ratio of >=2 and four patients had cMET copy number >4. Only one patient showed cMET/CEP7 ratio of 2.53 and one was positive for cMET overexpression by IHC. No significant association between cMET overexpression by IHC and by FISH using cut-off of with either cMET/CEP7 ratio of >=2 or cMET copy number of >4 (P = 1.0). There was no significant correlation between the cMET overexpression and other clinicopathological characteristics, such as patient demographics, tumor grade, stage, or chemotherapy treatment history. cMET overexpression and gene amplification did not correlate with the prognosis of TNBC regarding OS or DFS. CONCLUSION: MET amplification is a rare incidence in TNBCs. cMET overexpression is infrequent in TNBCs and may not be driven by gene amplification. Neither have significant prognostic value nor do they correlate with other clinicopathological characteristics in this TNBC cohort. PMID- 29843070 TI - Influence of nicotine on orthodontic tooth movement: A systematic review of experimental studies in rats. AB - OBJECTIVE: The objective of this systematic review was to assess the impact of nicotine administration on orthodontic tooth movement (OTM). METHODS: A systematic search was conducted in PubMed, Scopus, EMBASE, MEDLINE (OVID) and Web of Knowledge databases and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Studies evaluating the influence of nicotine on OTM, and with the presence of a control group (OTM without nicotine administration), were included. Quality assessment of the selected studies was performed following the Animal Research Reporting in Vivo Experiment (ARRIVE) guidelines. RESULTS: Six of the initially identified 108 articles fulfilled the inclusion criteria and were selected. All included studies were performed in male rats, which underwent OTM with or without nicotine administration. Since there was a variation among the included studies regarding nicotine dosage and the duration and magnitude of force application during OTM only a qualitative analysis could be performed. The studies reported that nicotine administration accelerated OTM by inducing alveolar bone resorption around the moving teeth. It was also found that nicotine increased root resorption during experimental OTM. More standardized animal research or clinical studies are warranted to further evaluate the impact of nicotine on OTM. CONCLUSIONS: On an experimental level, nicotine exposure in rats jeopardizes OTM by increasing alveolar bone loss and root resorption. From a clinical perspective, further studies are needed to assess the impact of habitual use of tobacco products on OTM. PMID- 29843071 TI - Prevalence of early neurological deterioration after I.V - thrombolysis in acute ischaemic stroke patients - A hospital-based cohort study. AB - OBJECTIVES: Early Neurological Deterioration (END) occur in up to 25% of patients with ischaemic stroke receiving stroke-unit-care and in 11-13.8% of patients treated with iv-tissue-Plasmniogen-Activator (iv-tPA). The aim of the study was to establish and compare the prevalence of END and symptomatic Intracranial Hemorrhage (sICH) in a prospectively designed registry of consecutive patients treated with iv-tPA to a historic cohort of iv-tPA eligible patients whom were hospitalized prior to implementation of iv-tPA-treatment but receiving otherwise comparable acute stroke care. PATIENTS AND METHODS: Single center registry from a public Danish stroke-unit. Three-hundred-sixty-one unselected consecutive iv-tPA treated patients admitted within 4.5 h from symptom-onset with symptoms of acute stroke and >17 years of age. The iv-tPA-treated cohort was compared to a pre-tPA cohort of 246 iv-tPA-eligible patients who were admitted to the same stroke center from 1998 to 2001. Acute stroke care apart from iv-tPA was comparable. Outcome measures was assessed on admission and at 24 h; END as any increase in National Institute of Health Stroke Scale (NIHSS) and symptomatic Intracranial Hemorrhage (sICH) with use of CT-head-scan. RESULTS: END was observed in 27 (7.5%) of the 361 patients in the tPA-cohort and 43 (17.5%) of 246 in the pre-tPA cohort, p < 0.0001. Any ICH was detected in 23 (6.4%) and sICH in 3 (0.8%) of the iv-tPA-treated patients. CONCLUSION: END is significantly less frequent in acute stroke patients treated with iv-tPA. Deterioration due to ICH was rare and of limited severity in this population. END though remains a significant complication after stroke why more detailed knowledge on the various causes of END is needed to further improve patient outcome. PMID- 29843072 TI - Variability and bias between magnetoencephalography systems in non-invasive localization of the primary somatosensory cortex. AB - OBJECTIVES: Magnetoencephalography (MEG) provides functional neuroimaging data for pre-surgical planning in patients with epilepsy or brain tumour. For mapping the primary somatosensory cortex (S1), MEG data are acquired while a patient undergoes median nerve stimulation (MNS) to localize components of the somatosensory evoked field (SEF). In clinical settings, only one MEG imaging session is usually possible due to limited resources. As such, it is important to have an a priori estimate of the expected variability in localization. Variability in S1 localization between mapping sessions using the same MEG system has been previously measured as 8 mm. There are different types of MEG systems available with varied hardware and software, and it is not known how using a different MEG system will impact on S1 localization. PATIENTS AND METHODS: In our study, healthy participants underwent the MNS procedure with two different MEG systems (Vector View and CTF). We compared the location, amplitude and latency of SEF components between data from each system to quantify variability and bias between MEG systems. RESULTS: We found 8-11 mm variability in S1 localization between the two MEG systems, and no evidence for a systematic bias in location, amplitude or latency between the two systems. CONCLUSION: These findings suggest that S1 localization is not biased by the type of MEG system used, and that differences between the two systems are not a major contributor to variability in localization. PMID- 29843073 TI - Breast and cervical cancer incidence and mortality trends in Russia 1980-2013. AB - BACKGROUND: Breast and cervical cancer are among the leading causes of preventable cancer deaths in women in Russia. The aim of this study is to analyze changes in breast and cervical cancer incidence and mortality trends using data from the Russian State Cancer Registry. METHODS: The age-standardized rates of cervical cancer incidence (1993-2013) and mortality (1980-2013) were analyzed using piecewise linear regression. Age-period-cohort models were used to estimate the temporal effects and provide future predictions. RESULTS: Breast and cervical cancer incidence rates uniformly increased over two decades from 33.0 to 47.0 per 100,000 and from 10.6 to 14.2 per 100,000, respectively. Breast cancer mortality rates however declined from 17.6 to 15.7 in 2013, while cervical cancer mortality increased steadily from 5.6 to 6.7. Breakpoints in the risk occurred in cohorts born 1937-1953, indicating a recent generational decrease in breast cancer mortality, but a concomitant increase in cervical cancer. Cervical cancer has already surpassed breast cancer in terms of years of life lost (YLL) (23.4 per death vs 18.5 in 2009-2013), while future projections suggest that the annual YLL could reach 1.2 million for cervical cancer and (decline to) 1.8 million for breast cancer by the year 2030. CONCLUSION: The temporal patterns of breast cancer incidence and mortality in Russia are in line with other countries in Europe, although cervical cancer rates and the risk of occurrence in recent generations is rapidly increasing; these trends underscore the need to place immediate priority in national cervical vaccination and screening programs. PMID- 29843075 TI - The use of continuous Erector Spinae Plane blockade for analgesia following major abdominal surgery in a one-day old neonate. PMID- 29843074 TI - Changing sex risk behaviors, gender norms, and relationship dynamics among couples in Cape Town, South Africa: Efficacy of an intervention on the dyad. AB - RATIONALE: South Africa continues to experience new HIV infections, with the highest risk among Black Africans living in poor communities. Most HIV prevention interventions target women or men separately and only a small number target couples jointly. OBJECTIVE: This study examines varying strategies to engage women and men around HIV prevention and improved couple interactions. METHODS: The study comprises three arms: (1) a couple-based intervention delivered to women and men jointly; (2) women and men both offered a gender-focused intervention that is delivered to them separately; and (3) an intervention offered to women only and their male partners receive standard HIV testing and counseling (comparison arm). Between June 2010 and April 2012, men were identified in and around drinking establishments in a large disadvantaged community in Cape Town and asked to participate in the study if they drink regularly, had recent unprotected sex with their partner, and have a female partner who was willing to participate in the study. RESULTS: A total of 299 couples completed the baseline assessment and 276 were included in the analysis of sexual risk, partner communication, conflict resolution, and gender norm outcomes at baseline and six-month follow-up. Couples that participated in the couple-level intervention and couples where both partners received the intervention separately had better couple-level gender norms than couples in the comparison arm (women only receive intervention). Further, couples in the couple level intervention and the both partners exposed separately arms were more likely to have the man only report consistent condom use than neither partner report consistent condom use than couples in the comparison arm. CONCLUSION: Community based HIV prevention intervention programs need to consider strategies to engage women and men and, if feasible, reach both partners jointly. Couple-level interventions are promising to improve gender norms and subsequently improve health outcomes, including reduced HIV risk among women, men, and couples. PMID- 29843076 TI - How are the beliefs about mental health first aid among adults? PMID- 29843077 TI - Construction of population-specific Indian MRI brain template: Morphometric comparison with Chinese and Caucasian templates. AB - OBJECTIVE: Spatial normalization of brain MR images is highly dependent on the choice of target brain template. Morphological differences caused by factors like genetic and environmental exposures, generates a necessity to construct population specific brain templates. Brain image analysis performed using brain templates from Caucasian population may not be appropriate for non-Caucasian population. In this study, our objective was to construct an Indian brain template from a large population (N = 157 subjects) and compare the morphometric parameters of this template with that of Chinese-56 and MNI-152 templates. In addition, using an independent MRI data of 15 Indian subjects, we also evaluated the potential registration accuracy differences using these three templates. METHODS: Indian brain template was constructed using iterative routines as per established procedures. We compared our Indian template with standard MNI-152 template and Chinese template by measuring global brain features. We also examined accuracy of registration by aligning 15 new Indian brains to Indian, Chinese and MNI templates. Furthermore, we supported our measurement protocol with inter-rater and intra-rater reliability analysis. RESULTS: Our results showed that there were significant differences in global brain features of Indian template in comparison with Chinese and MNI brain templates. The results of registration accuracy analysis revealed that fewer deformations are required when Indian brains are registered to Indian template as compared to Chinese and MNI templates. CONCLUSION: This study concludes that population specific Indian template is likely to be more appropriate for structural and functional image analysis of Indian population. PMID- 29843079 TI - Tricellular junctions: a hot corner of epithelial biology. AB - As the result of an intricate interplay between mechanical and biochemical cues, coordinated cell dynamics are at the basis of tissue development, homeostasis and repair. Numerous studies have addressed the interplay between these two inputs and their impact on cellular dynamics. These studies largely focus on bicellular junctions (BCJs). Recent works have illuminated that tricellular junctions (TCJs), the junctions where three cells contact, play important roles in epithelial tissues beyond their well-known structural function in preserving epithelial barrier integrity. Indeed, TJCs have recently been implicated in the regulation of collective cell migration, division orientation, cell proliferation and cell mechanical properties. More generally, the TCJ distribution aligns with the cell shape and mechanical stress orientation within the tissue, while their number encapsulates the packing topology. Importantly, known regulators of growth signalling and of cell mechanical properties are also localized at TCJs. Therefore, TCJs emerge as spatial sites to sense and integrate biochemical and mechanical inputs to guide epithelial tissue dynamics. PMID- 29843078 TI - Quantifying the uncertainty in model parameters using Gaussian process-based Markov chain Monte Carlo in cardiac electrophysiology. AB - Model personalization requires the estimation of patient-specific tissue properties in the form of model parameters from indirect and sparse measurement data. Moreover, a low-dimensional representation of the parameter space is needed, which often has a limited ability to reveal the underlying tissue heterogeneity. As a result, significant uncertainty can be associated with the estimated values of the model parameters which, if left unquantified, will lead to unknown variability in model outputs that will hinder their reliable clinical adoption. Probabilistic estimation of model parameters, however, remains an unresolved challenge. Direct Markov Chain Monte Carlo (MCMC) sampling of the posterior distribution function (pdf) of the parameters is infeasible because it involves repeated evaluations of the computationally expensive simulation model. To accelerate this inference, one popular approach is to construct a computationally efficient surrogate and sample from this approximation. However, by sampling from an approximation, efficiency is gained at the expense of sampling accuracy. In this paper, we address this issue by integrating surrogate modeling of the posterior pdf into accelerating the Metropolis-Hastings (MH) sampling of the exact posterior pdf. It is achieved by two main components: (1) construction of a Gaussian process (GP) surrogate of the exact posterior pdf by actively selecting training points that allow for a good global approximation accuracy with a focus on the regions of high posterior probability; and (2) use of the GP surrogate to improve the proposal distribution in MH sampling, in order to improve the acceptance rate. The presented framework is evaluated in its estimation of the local tissue excitability of a cardiac electrophysiological model in both synthetic data experiments and real data experiments. In addition, the obtained posterior distributions of model parameters are interpreted in relation to the factors contributing to parameter uncertainty, including different low-dimensional representations of the parameter space, parameter non identifiability, and parameter correlations. PMID- 29843080 TI - Thermal inactivation of human norovirus surrogates in oyster homogenate. AB - Human norovirus (HNV) is the most frequent causative agent of foodborne diseases in the US. Raw and undercooked oysters are commonly associated with outbreaks caused by HNV. Many guidelines recommend that shucked oysters be boiled for at least 3 min, but it is not clear this thermal treatment can inactivate HNV. The objective of this research was to evaluate whether this recommendation was sufficient to inactivate two HNV surrogates, murine norovirus (MNV-1) and Tulane virus (TV) in oyster homogenate as well as to determine their thermal inactivation kinetics. Inoculated oyster homogenate was heated in boiling water and circulating water bath at 49 to 67 degrees C for different time durations. After 3 min of boiling, both MNV-1 and TV titers decreased to below the detection limits. First-order model and Weibull model were used to describe thermal inactivation kinetics. TD = 1 values from Weibull mode are used as an analog to D values in first-order model. The D values of MNV-1 and TD = 1 values ranged from 28.17 to 0.88 min and 26.64 to 0.78 min at 49 to 67 degrees C, respectively. The D values of TV and TD = 1 values ranged from 18.18 to 1.56 min and 19.35 to 1.56 min at 49 to 63 degrees C, respectively. The kinetics demonstrated that at temperatures > 58 degrees C, TV was much more heat sensitive than MNV-1. As the temperature increased over 58 degrees C, the inactivation of both viruses occurred at a faster rate. Boiling treatment for 3 min as recommended by FDA for cooking shucked oysters, inactivated MNV-1 and TV in oyster homogenate below detection limit. One minute heating of TV at 63 degrees C or MNV-1 at 67 degrees C in contaminated oyster homogenate reduced the viral titers below the detection limits. Our research identified effective combinations of time and temperature to inactivate two HNV surrogate viruses, and thus provides insights on thermal processing to reduce the risk of foodborne viral illness outbreaks associated with consumption of oysters. PMID- 29843081 TI - The expression of kisspeptin and its receptor in the domestic cat ovary and uterus in different stages of the ovarian cycle. AB - Kisspeptin is well known for its indispensable role in the regulation of reproduction, mainly through controlling the release of GnRH at the hypothalamic level. Recent studies have shown that kisspeptin and the kisspeptin receptor are expressed in the ovary and uterus, indicating an additional local function in reproduction at the extra-hypothalamic level. In this study, we aimed: (1) to investigate the localization pattern of kisspeptin and its receptor in the domestic cat ovary and uterus throughout the ovarian cycle using immunohistochemistry; and (2) to compare the relative expression of ovarian Kiss1 mRNA levels at different ovarian stages with qPCR analysis. Ovaries and uteri were collected and classified into three ovarian stages (inactive, follicular and luteal stages (n = 7 in each stage)) according to the ovarian morphology, vaginal cytology and serum progesterone. Kisspeptin immunoreactivity (Kp-IR) and kisspeptin receptor immunoreactivity (KpR-IR) were present in the ovaries and uteri at all ovarian stages, with no notable differences in the localization patterns between the ovarian stages. In the ovary, Kp-IR and KpR-IR were present in various ovarian compartments, including the follicles at all classes and the corpus luteum (CL). In the follicles, Kp-IR and KpR-IR were present in the oocytes, granulosa cells and theca cells. Kp-IR was also detected in the follicular fluid of antral follicles. In CL, a strong intensity of Kp-IR was present in the periphery CL of development/maintenance, with a relatively fainter intensity in the central CL. By contrast, KpR-IR was present in both peripheral and central CL at the same intensity. In the uterus, Kp-IR and KpR-IR were present in the uterine glands, myometrium and perimetrium. The relative ovarian Kiss1 mRNA level was higher in the follicular stage than in the luteal stage (P < 0.05). We concluded that kisspeptin and its receptor are present in the cat ovary and uterus, suggesting possible local functions of kisspeptin at the extra hypothalamic level, such as folliculogenesis, oocyte survival and uterine adenogenesis. PMID- 29843082 TI - Tri-dimensional pattern analysis of foodstuff bitemarks - A pilot study of tomographic database. AB - The analysis of bitemarks has been mostly done through analogical methods. The advent of current technologies brings new and more reliable tools for analyzing evidence. Bitemarks can now be turned into more consistent evidence by using a digital tridimensional (3D) analysis. The aim of this study is to propose a reliable, accurate and monitorized approach of 3D bitemark analysis. 12 cranium Cone Beam Computed Tomographic (CBCT) files were randomly selected from a clinical database (Coimbra Hospital and University Center/Faculty of Medicine of the University of Coimbra). The individuals were recalled to bite an apple (golden delicious 65/80) immediately subjected to a CBCT scan. The 3D rendering of every bitemark was compared with the 3D upper dental arches obtained from the CBCT cranium scans of the simulated suspects. The research team was composed by 5 elements. The matching process consists of corresponding landmark points, in both the bitemark and the suspects' dentition (upper dental arch). 144 comparisons were obtained. The Kappa statistics analysis was performed. Cohen's Kappa values were obtained between 0,690 and 0,910. Fleiss Kappa obtained a value of 0,767. The Friedman's test was performed and the normality assumption was not verified (p>0,05). A non-destructive protocol of bitemark study by 3D analysis of tomographic volumes was presented. The statistic analysis supports its accuracy and reliability. This experimental study opens doors to a future where bitemark analysis could be done through software that searches for matching dentitions in a CBCT database. PMID- 29843083 TI - SIRT7 regulates the TGF-beta1-induced proliferation and migration of mouse airway smooth muscle cells by modulating the expression of TGF-beta receptor I. AB - Accumulating evidence shows that sirtuin 7 (SIRT7), a key mediator of many cellular activities, plays an important role in the pathogenesis of various diseases; however, little is known about the role of SIRT7 in asthma, which is characterized by airway remodeling. This study investigated the potential role of SIRT7 in regulating the proliferation and migration of airway smooth muscle (ASM) cells, which are critical events during airway remodeling in asthmatic conditions. The results demonstrated that SIRT7 expression was significantly upregulated in ASM cells treated with transforming growth factor-beta 1 (TGF beta1). Knockdown of SIRT7 inhibited the proliferation, promoted the apoptosis, and suppressed the migration of TGF-beta1-treated ASM cells, while overexpression of SIRT7 had the opposite effect. Moreover, knockdown of SIRT7 inhibited protein expression of the TGF-beta receptor I (TbetaRI), whilst overexpression of SIRT7 promoted the expression of TbetaRI. Importantly, knockdown of TbetaRI partially reversed the stimulatory effect of SIRT7 overexpression on the TGF-beta1-induced proliferation and migration of ASM cells. Taken together, these results demonstrate that SIRT7 is involved in regulating TGF-beta1-induced ASM cell proliferation and migration by regulating the expression of TbetaRI, thus indicating an important role of SIRT7 during airway remodeling in asthma. PMID- 29843084 TI - Chronic hyponatremia - Why care? A case report. PMID- 29843085 TI - Accurate source imaging based on high resolution scalp electroencephalography and individualized finite difference head models in epilepsy pre-surgical workup. AB - PURPOSE: High-density electroencephalographic source imaging (HD-ESI) has emerged as a useful tool for pre-surgical epilepsy workup. However, it is not routinely used in clinical evaluations due to several factors, one of which is the challenge associated with creating anatomically accurate head models. Reasonable solutions now exist and the present study aims to evaluate the use of these highly resolved individual head models in pre-surgical epilepsy evaluation. METHODS: Nine patients with intractable epilepsy who were candidates for resective epilepsy surgeries participated in the study. For each patient, 256 channel electroencephalography data were acquired along with individual structural MRI data that was used to construct individual finite difference models (iFDM). Accuracy of HD-ESI based on iFDM (HD-ESI-iFDM) was evaluated using multiple criteria, including concordance with intracranial electroencephalography (icEEG) and location of surgical resection. Performance of HD-ESI-iFDM was also compared against MRI and positron emission tomography (PET) results. RESULTS: In all but one patient resective surgeries resulted in seizure-free outcome. Source locations derived from HD-ESI-iFDM demonstrated concordance with surgical resection and with icEEG data, when available. The HD-ESI-iFDM also contributed to the planning of intracranial electrodes implantation. Compared to MRI or PET, HD-ESI-iFDM provided more accurate localization of the epileptogenic zone. CONCLUSION: When acquired with high-density sensor arrays and source imaging is performed with anatomically accurate head models, electroencephalography can contribute meaningfully to epilepsy pre-surgical workup for localization of the epileptogenic zone. Now that both high-density electroencephalography and individualized FDM models can be routinely obtained, it can be incorporated as part of clinical practice. PMID- 29843086 TI - The factor Xa inhibitor rivaroxaban reduces cardiac dysfunction in a mouse model of myocardial infarction. AB - INTRODUCTION: Rivaroxaban selectively inhibits factor Xa (FXa), which plays a central role in blood coagulation. In addition, FXa activates protease-activated receptor-2 (PAR-2). We have shown that PAR-2-/- mice exhibit less cardiac dysfunction after cardiac injury. MATERIAL AND METHODS: Wild-type (WT) and PAR-2 /- mice were subjected to left anterior descending artery (LAD) ligation to induce cardiac injury and heart failure. Mice received either placebo or rivaroxaban chow either starting at the time of surgery or 3 days after surgery and continued up to 28 days. Cardiac function was measured by echocardiography pre-surgery and 3, 7 and 28 days after LAD ligation. We also measured anticoagulation, intravascular thrombi, infarct size, cardiac hypertrophy and inflammation at various times. RESULTS: Rivaroxaban increased the prothrombin time and inhibited the formation of intravascular thrombi in mice subjected to LAD ligation. WT mice receiving rivaroxaban immediately after surgery had similar infarct sizes at day 1 as controls but exhibited significantly less impairment of cardiac function at day 3 and beyond compared to the placebo group. Rivaroxaban also inhibited the expansion of the infarct at day 28. Rivaroxaban did not significantly affect the expression of inflammatory mediators or a neutrophil marker at day 2 after LAD ligation. Delaying the start of rivaroxaban administration until 3 days after surgery failed to preserve cardiac function. In addition, rivaroxaban did not reduce cardiac dysfunction in PAR-2-/- mice. CONCLUSIONS: Early administration of rivaroxaban preserves cardiac function in mice after LAD ligation. PMID- 29843087 TI - Persistence to direct oral anticoagulants for acute venous thromboembolism. AB - BACKGROUND: Currently, direct oral anticoagulants (DOACs) are the treatment of choice for venous thromboembolism (VTE) in the Netherlands. The main advantages of DOACs over vitamin K antagonists (VKAs) are that they are safer than VKA and that neither monitoring nor dose titrations are needed. A main drawback is a potential risk of lower drug persistence, as compared with VKA treatment, which is strictly controlled by anticoagulation clinics in the Netherlands. OBJECTIVES: The primary aim of this study was to audit the persistence to DOAC treatment for acute VTE during the first 2 months in daily clinical practice. METHODS: Dispensing data from the Dutch Foundation of Pharmaceutical Statistics were used to monitor persistence to DOAC for treatment of VTE from 1 January 2012-1 April 2016. Non-persistence was defined as the cumulative incidence of patients who completely stopped DOAC or VKA treatment. In addition, we estimated the persistence to VKA treatment for VTE in data from the Anticoagulation Clinic Leiden. RESULTS: 1834 patients were selected as DOAC users for the indication VTE. The 2-month cumulative incidence of completely stopping DOAC was 20% (95% confidence interval [CI] 18-24). In the population of 4910 VKA users, 9.1% (95%CI 8.3-9.9) stopped prematurely with VKA. CONCLUSION: The stopping rate of 20% we found is in line with other cardiovascular treatments. Further research into the reasons and consequences of prematurely stopping DOAC treatment for acute VTE is urgently needed. PMID- 29843088 TI - Optimization of rotational speed and hydraulic retention time of a rotational sponge reactor for sewage treatment. AB - A rotational sponge (RS) reactor was proposed as an alternative sewage treatment process. Prior to the application of an RS reactor for sewage treatment, this study evaluated reactor performance with regard to organic removal, nitrification, and nitrogen removal and sought to optimize the rotational speed and hydraulic retention time (HRT) of the system. RS reactor obtained highest COD removal, nitrification, and nitrogen removal efficiencies of 91%, 97%, and 65%, respectively. For the optimization, response surface methodology (RSM) was employed and optimum conditions of rotational speed and HRT were 18 rounds per hour and 4.8 h, respectively. COD removal, nitrification, and nitrogen removal efficiencies at the optimum conditions were 85%, 85%, and 65%, respectively. Corresponding removal rates at optimum conditions were 1.6 kg-COD m-3d-1, 0.3 kg NH4+-N m-3d-1, and 0.12 kg-N m-3d-1. Microbial community analysis revealed an abundance of nitrifying and denitrifying bacteria in the reactor, which contributed to nitrification and nitrogen removal. PMID- 29843089 TI - Photocatalytic-oxidation and photo-persulfate-oxidation of sulfadiazine in a laboratory-scale reactor: Analysis of catalyst support, oxidant dosage, removal rate and degradation pathway. AB - The extent of sulfadiazine (SDZ) removal via photo-degradation (UV-C), photocatalysis with TiO2 (UV-C/TiO2) and photo-persulfate-oxidation (UV-C/PS) was investigated in a batch reactor under different UV-C power levels (i.e. 14, 28, 42 and 56 W). Moreover, effects of suspended/immobilized catalyst, i.e. TiO2 slurry/TiO2 supported on granular activated carbon (GAC-TiO2), on SDZ removal and corresponding SDZ degradation kinetics under different catalyst loading (1-6 g/L) were explored. Around 41.7% SDZ removal was observed after 120 min in UV-C system at the highest power level, i.e. 56 W. On the other hand, photocatalysis with TiO2 and GAC-TiO2 has shown better SDZ removal than photo-degradation. In UV C/TiO2 (4 g/L and 28 W) and UV-C/GAC-TiO2 (5 g/L and 28 W) systems, SDZ removals were 91.8% after 120 min and 100% after 60 min, respectively; however, TOC analysis has revealed that 45.4% and 60.8% SDZ was mineralized in these systems, respectively. In UV-C/PS system, near complete degradation of SDZ (99.8%) was observed within 10 min under 50 mg/L of PS and 28 W UV illumination. On the other hand, complete SDZ removal was observed in PS alone system at a dosage of 1000 mg/L but the formation of SO42- was found to be a drawback. In photolysis and photocatalysis systems, SDZ removal followed pseudo-first-order kinetics whereas the kinetics followed pseudo-second-order in UV-C/PS system. The comparison of electrical energy consumed (EEO) in different systems revealed that UV-C/GAC-TiO2 and UV-C/PS system were energy efficient compared with other systems. The LC-MS analysis has confirmed the cleavage of C-N bonds in the pyrimidine ring followed by S-N bonds in the sulfonyl group, which was found to be the major degradation pathway of SDZ. PMID- 29843090 TI - Adaptive governance good practice: Show me the evidence! AB - Adaptive governance has emerged in the last decade as an intriguing avenue of theory and practice for the holistic management of complex environmental problems. Research on adaptive governance has flourished since the field's inception, probing the process and mechanisms underpinning the new approach while offering various justifications and prescriptions for empirical use. Nevertheless, recent reviews of adaptive governance reveal some important conceptual and practical gaps in the field, particularly concerning challenges in its application to real-world cases. In this paper, we respond directly to the empirical challenge of adaptive governance, specifically asking: which methods contribute to the implementation of successful adaptive governance process and outcomes in practice and across cases and contexts? We adopt a systematic literature review methodology which considers the current body of empirical literature on adaptive governance of social-ecological systems in order to assess and analyse the methods affecting successful adaptive governance practice across the range of existing cases. We find that methods contributing to adaptive governance in practice resemble the design recommendations outlined in previous adaptive governance scholarship, including meaningful collaboration across actors and scales; effective coordination between stakeholders and levels; building social capital; community empowerment and engagement; capacity development; linking knowledge and decision-making through data collection and monitoring; promoting leadership capacity; and exploiting or creating governance opportunities. However, we critically contextualise these methods by analysing and summarising their patterns-in-use, drawing examples from the cases to explore the specific ways they were successfully or unsuccessfully applied to governance issues on-the-ground. Our results indicate some important underlying shared patterns, trajectories, and lessons learned for evidence-based adaptive governance good practice within and across diverse sectors, issues, and contexts. PMID- 29843091 TI - Sustainable biodegradation of phenol by immobilized Bacillus sp. SAS19 with porous carbonaceous gels as carriers. AB - In this study, high-efficient phenol-degrading bacterium Bacillus sp. SAS19 which was isolated from activated sludge by resuscitation-promoting factor (Rpf) addition, were immobilized on porous carbonaceous gels (CGs) for phenol degradation. The phenol-degrading capabilities of free and immobilized Bacillus sp. SAS19 were evaluated under various initial phenol concentrations. The obtained results showed that phenol could be removed effectively by both free and immobilized Bacillus sp. SAS19. Furthermore, for degradation of phenol at high concentrations, long-term utilization and recycling were more readily achieved for immobilized bacteria as compared to free bacteria. Immobilized bacteria exhibited significant increase in phenol-degrading capabilities in the third cycle of recycling and reuse, which demonstrated 87.2% and 100% of phenol (1600 mg/L) degradation efficiency at 12 and 24 h, respectively. The present study revealed that immobilized Bacillus sp. SAS19 can be potentially used for enhanced treatment of synthetic phenol-laden wastewater. PMID- 29843092 TI - Novel hybrid linear stochastic with non-linear extreme learning machine methods for forecasting monthly rainfall a tropical climate. AB - A novel hybrid approach is presented that can more accurately predict monthly rainfall in a tropical climate by integrating a linear stochastic model with a powerful non-linear extreme learning machine method. This new hybrid method was then evaluated by considering four general scenarios. In the first scenario, the modeling process is initiated without preprocessing input data as a base case. While in other three scenarios, the one-step and two-step procedures are utilized to make the model predictions more precise. The mentioned scenarios are based on a combination of stationarization techniques (i.e., differencing, seasonal and non-seasonal standardization and spectral analysis), and normality transforms (i.e., Box-Cox, John and Draper, Yeo and Johnson, Johnson, Box-Cox-Mod, log, log standard, and Manly). In scenario 2, which is a one-step scenario, the stationarization methods are employed as preprocessing approaches. In scenario 3 and 4, different combinations of normality transform, and stationarization methods are considered as preprocessing techniques. In total, 61 sub-scenarios are evaluated resulting 11013 models (10785 linear methods, 4 nonlinear models, and 224 hybrid models are evaluated). The uncertainty of the linear, nonlinear and hybrid models are examined by Monte Carlo technique. The best preprocessing technique is the utilization of Johnson normality transform and seasonal standardization (respectively) (R2 = 0.99; RMSE = 0.6; MAE = 0.38; RMSRE = 0.1, MARE = 0.06, UI = 0.03 &UII = 0.05). The results of uncertainty analysis indicated the good performance of proposed technique (d-factor = 0.27; 95PPU = 83.57). Moreover, the results of the proposed methodology in this study were compared with an evolutionary hybrid of adaptive neuro fuzzy inference system (ANFIS) with firefly algorithm (ANFIS-FFA) demonstrating that the new hybrid methods outperformed ANFIS-FFA method. PMID- 29843093 TI - Influence of post coating heat treatment on microstructural, mechanical and electrochemical corrosion behaviour of vacuum plasma sprayed reinforced hydroxyapatite coatings. AB - In the present study, reinforced hydroxyapatite (HA) coatings (HA + 10 wt% Al2O3 and HA + 10 wt% ZrO2) were deposited on SS-316 L substrate with an intermediate layer (bond coat) of zirconia by vacuum plasma spray technique. The so-formed reinforced HA coatings were heat treated at 700 degrees C for 1 h. The influence of post coating heat treatment on phase composition, microstructure, mechanical and electrochemical corrosion properties were investigated. As-sprayed and heat treated coatings were characterized by x-ray diffraction, scanning electron microscope, surface roughness, porosity and crystallinity. Results showed that after post coating heat treatment, the structural integrity of HA has been completely re-established. Moreover, significant drop in porosity has been observed due to the sintering effect produced by heat treatment. Considerable improvement in nanohardness and shear strength was witnessed; however, the nanohardness of top layer was decreased after annealing due to the weak bonding of partially melted and un-melted particles with fully melted splats caused by diffusion process. As-sprayed coatings exhibited higher wear resistance compared to heat treated coatings. Nevertheless, post coating heat treatment effectively enhanced the corrosion resistance of coatings, since, the heat treatment lead to densification of coatings microstructure which further reduces the active sites for dissolution. PMID- 29843094 TI - Integrating MRI-based geometry, composition and fiber architecture in a finite element model of the human intervertebral disc. AB - Intervertebral disc degeneration is a common disease that is often related to impaired mechanical function, herniations and chronic back pain. The degenerative process induces alterations of the disc's shape, composition and structure that can be visualized in vivo using magnetic resonance imaging (MRI). Numerical tools such as finite element analysis (FEA) have the potential to relate MRI-based information to the altered mechanical behavior of the disc. However, in terms of geometry, composition and fiber architecture, current FE models rely on observations made on healthy discs and might therefore not be well suited to study the degeneration process. To address the issue, we propose a new, more realistic FE methodology based on diffusion tensor imaging (DTI). For this study, a human disc joint was imaged in a high-field MR scanner with proton-density weighted (PD) and DTI sequences. The PD image was segmented and an anatomy specific mesh was generated. Assuming accordance between local principal diffusion direction and local mean collagen fiber alignment, corresponding fiber angles were assigned to each element. Those element-wise fiber directions and PD intensities allowed the homogenized model to smoothly account for composition and fibrous structure of the disc. The disc's in vitro mechanical behavior was quantified under tension, compression, flexion, extension, lateral bending and rotation. The six resulting load-displacement curves could be replicated by the FE model, which supports our approach as a first proof of concept towards patient specific disc modeling. PMID- 29843095 TI - Adaptive critic designs for optimal control of uncertain nonlinear systems with unmatched interconnections. AB - In this paper, we develop a novel optimal control strategy for a class of uncertain nonlinear systems with unmatched interconnections. To begin with, we present a stabilizing feedback controller for the interconnected nonlinear systems by modifying an array of optimal control laws of auxiliary subsystems. We also prove that this feedback controller ensures a specified cost function to achieve optimality. Then, under the framework of adaptive critic designs, we use critic networks to solve the Hamilton-Jacobi-Bellman equations associated with auxiliary subsystem optimal control laws. The critic network weights are tuned through the gradient descent method combined with an additional stabilizing term. By using the newly established weight tuning rules, we no longer need the initial admissible control condition. In addition, we demonstrate that all signals in the closed-loop auxiliary subsystems are stable in the sense of uniform ultimate boundedness by using classic Lyapunov techniques. Finally, we provide an interconnected nonlinear plant to validate the present control scheme. PMID- 29843096 TI - High-resolution Self-Organizing Maps for advanced visualization and dimension reduction. AB - Kohonen's Self Organizing feature Map (SOM) provides an effective way to project high dimensional input features onto a low dimensional display space while preserving the topological relationships among the input features. Recent advances in algorithms that take advantages of modern computing hardware introduced the concept of high resolution SOMs (HRSOMs). This paper investigates the capabilities and applicability of the HRSOM as a visualization tool for cluster analysis and its suitabilities to serve as a pre-processor in ensemble learning models. The evaluation is conducted on a number of established benchmarks and real-world learning problems, namely, the policeman benchmark, two web spam detection problems, a network intrusion detection problem, and a malware detection problem. It is found that the visualization resulted from an HRSOM provides new insights concerning these learning problems. It is furthermore shown empirically that broad benefits from the use of HRSOMs in both clustering and classification problems can be expected. PMID- 29843097 TI - Image registration of low signal-to-noise cryo-STEM data. AB - Combining multiple fast image acquisitions to mitigate scan noise and drift artifacts has proven essential for picometer precision, quantitative analysis of atomic resolution scanning transmission electron microscopy (STEM) data. For very low signal-to-noise ratio (SNR) image stacks - frequently required for undistorted imaging at liquid nitrogen temperatures - image registration is particularly delicate, and standard approaches may either fail, or produce subtly specious reconstructed lattice images. We present an approach which effectively registers and averages image stacks which are challenging due to their low-SNR and propensity for unit cell misalignments. Registering all possible image pairs in a multi-image stack leads to significant information surplus. In combination with a simple physical picture of stage drift, this enables identification of incorrect image registrations, and determination of the optimal image shifts from the complete set of relative shifts. We demonstrate the effectiveness of our approach on experimental, cryogenic STEM datasets, highlighting subtle artifacts endemic to low-SNR lattice images and how they can be avoided. High-SNR average images with information transfer out to 0.72 A are achieved at 300 kV and with the sample cooled to near liquid nitrogen temperature. PMID- 29843098 TI - Determination of phenolic acids in extra virgin olive oil using supercritical fluid chromatography coupled with single quadrupole mass spectrometry. AB - Phenolic acids represent one third of the total phenolic compounds in extra virgin olive oil (EVOO) and contribute greatly to the biological and sensory properties of EVOO. In the present research, an analytical method based on supercritical fluid chromatography coupled with single quadrupole mass spectrometry (SFC-MS) was developed for the analysis of phenolic acids in EVOOs. The chromatographic and MS conditions were optimized in terms of selectivity, peak shape and sensitivity. Satisfactory separation of 12 phenolic acids was achieved within 20 min on a Platisil CN column (250 mm * 4.6 mm, 5 MUm) using 7% (v/v) water and 0.5% (v/v) formic acid in MeOH as mobile phase additives at the backpressure of 140 bar and temperature of 60 degrees C. The developed method was validated by evaluating the linearity, sensitivity, repeatability, intermediate precision and accuracy. The limits of detection (LODs) and limits of quantification (LOQs) of the SFC-MS method for phenolic acids ranged from 0.03 to 5.00 MUg/mL and 0.08 to 15.0 MUg/mL, respectively. The relative standard deviations (RSDs) for intraday and interday precision were lower than 9.91% and the recoveries ranged from 80.2 to 117% and 80.9 to 118% for low-level and high level concentrations of standards spiked in olive oil, respectively. Compared to an HPLC method, the SFC method was about three times faster and provided better selectivity. Finally, the SFC-MS method was successfully employed for the quantitative analysis of phenolic acids in EVOOs. Differences in individual and total phenolic acid contents were observed between six varieties. PMID- 29843099 TI - Probing DNA damage induced by common antiviral agents using multiple analytical techniques. AB - Hepatocellular carcinoma is one of the most common malignant tumors in the world. Chronic hepatitis B and C infections are the most common etiologies of hepatocellular carcinoma worldwide. In this study, we explore the potential DNA damaging effect of some FDA-approved antiviral drugs which may be able to serve as anticancer agents for hepatocellular carcinoma, in order to better elucidate their mode of action. Five antiviral drugs were selected; ribavirin, sofosbuvir, tenofovir disoproxil fumerate, daclatasvir and ledipasvir. Several methods, including absorption spectroscopy, MALDI-TOF mass spectrometry and fluorimetric analysis using the EvaGreen (EG) intercalating dye, were used to probe the drug induced DNA damage. Results show that only daclatasvir and ledipasvir induced DNA damage. Absorption spectroscopy showed hyperchromicity in the 260-nm DNA absorption band of DNA samples incubated with each drug, indicating disruption of the double-strand structure. Mass spectra for DNA samples incubated with each of the two drugs showed a disappearance of the DNA molecular ion peak with a concomitant appearance of peaks with smaller m/z, indicating DNA strand breaks. EG fluorescence was observed to decrease with increasing incubation time of daclatasvir and ledipasvir with DNA, indicating that the EG detaches from the DNA, likely due to DNA damage. All of these results are consistent with DNA damage, proposed as oxidative damage to both nucleobase and deoxyribose moieties of DNA as the mode of action for these two drugs. Moreover, these results are dependent on the antiviral drug concentration and show that DNA regions rich in guanine are affected more than other regions by these two drugs. Therefore, such antiviral drugs may present a promising therapeutic alternative to the currently used anticancer agents, especially for hepatitis B and C patients with hepatocellular carcinoma resistant to conventional treatment approaches. PMID- 29843100 TI - A novel NAE/UAE dual inhibitor LP0040 blocks neddylation and ubiquitination leading to growth inhibition and apoptosis of cancer cells. AB - NEDD8 activating enzyme (NAE) plays an important role in regulating intracellular proteins with key parts in a broad array of cellular functions. On the basis of previously work, a series of 2H-chromen-2-one based NAE inhibitors were designed and synthesized. Through enzyme-based and cell-based assays, LP0040 was identified as a non-nucleoside NAE/UAE dual inhibitor. It could inhibit NAE/UAE activities and downregulated degradations of related substrates in AGS cells, promoting apoptosis in low micromole concentrations. LP0040 possessed anti proliferation activities with IC50 values of 0.76-3.29 MUM against multiple human cancer lines and had synergistic effect with bortezomib. Thus LP0040 represented valuable starting points for future development of NAE/UAE dual inhibitors. PMID- 29843101 TI - Pyridinium and indole orientation determines the mitochondrial uncoupling and anti-cancer efficiency of F16. AB - F16 is a mitochondria-targeted, broad-spectrum anticancer agent in the pre-clinic cancer therapy. Here we developed two fluorescent isomers of F16 (o-F16 and m F16) with entirely different photophysical properties, uncoupling activity, and cytotoxicity by merely modifying the linking orientation of pyridinium and indole units. Individually, o-F16 acted as a strong uncoupler to reduce the mitochondrial respiration efficiency, while m-F16 could hardly uncouple the mitochondrial respiration due to its poor proton dissociation capability. Owing to their intrinsic fluorescence, o-F16 and m-F16 could specifically image mitochondria in the green and red channel, respectively. This work could provide useful information for the development of uncouplers and design of mitochondrial targeted drugs. PMID- 29843102 TI - Acylguanidine derivatives of zanamivir and oseltamivir: Potential orally available prodrugs against influenza viruses. AB - Zanamivir (ZA) and guanidino-oseltamivir carboxylic acid (GOC) are very potent inhibitors against influenza neuraminidase (NA). The guanidinium moiety plays an important role in NA binding; however, its polar cationic nature also hinders the use of ZA and GOC from oral administration. In this study, we investigated the use of ZA and GOC acylguanidine derivatives as possible orally available prodrugs. The acylguanidine derivatives were prepared by coupling with either n octanoic acid or (S)-naproxen. The lipophilic acyl substituents were verified to improve cell permeability, and may also improve the bioavailability of acylguanidine compounds. In comparison, the acylguanidines bearing linear octanoyl chain showed better NA inhibitory activity and higher hydrolysis rate than the corresponding derivatives having bulky branched naproxen moiety. Our molecular docking experiments revealed that the straight octanoyl chain could extend to the 150-cavity and 430-cavity of NA to gain extra hydrophobic interactions. Mice receiving the ZA octanoylguanidine derivative survived from influenza infection better than those treated with ZA, whereas the GOC octanoylguanidine derivative could be orally administrated to treat mice with efficacy equal to oseltamivir. Our present study demonstrates that incorporation of appropriate lipophilic acyl substituents to the polar guanidine group of ZA and GOC is a feasible approach to develop oral drugs for influenza therapy. PMID- 29843103 TI - Synthesis, cytotoxic evaluation and target identification of thieno[2,3 d]pyrimidine derivatives with a dithiocarbamate side chain at C2 position. AB - Two series of thieno[2,3-d]pyrimidine derivatives bearing a dithiocarbamate side chain at the C2 position were synthesized and evaluated for cytotoxic activity in human lung cancer A549 and colon cancer HCT-116 cell lines. Compound 3n exhibited the most cytotoxic effect on A549 cells with an IC50 value of 4.87 MUM, inducing a cell cycle arrest at G2/M phase and activating the spindle assembly checkpoint (SAC). To identify the target protein(s) of 3n, we incorporated biotin with 3n through a three-carbon chain and an amide bond to synthesize probe 10. The targeted proteins were pulled down from the A549 total cell lysate by biotin streptavidin affinity purification and analyzed by mass spectrometry. Tubulin was the only protein identified, which is related to the SAC and directly binds to probe 10 both in vivo and in vitro. Furthermore, compound 3n inhibited tubulin polymerization in vitro in a dose-dependent manner, competed with taxol in binding to tubulin, exerting cytotoxic activity toward taxol-resistant A549 cells. These results demonstrate that thieno[2,3-d]pyrimidine derivative 3n exhibits cytotoxicity in cancer cells by targeting tubulin to activate the SAC and potentially acts as a therapeutic lead compound for taxol-resistant cancers. PMID- 29843104 TI - Nuclear event zero time determination using analytical solutions of radioxenon activities under in-growth condition. AB - Motivated by simplifying the calculation process of radioxenon isotopic activity used by scientist community in nuclear event characterization, the analytical formulas of the numbers of nuclides and isotopic activities of CTBT relevant radioxenon Xe-135, Xe-133m, Xe-133 and Xe-131m proposed in this work can be useful and incorporated in the calculation algorithms for nuclear event studies. The calculated ages using analytical formulas and radioxenon activity data from real observations compare well with the reported ages and show good results of event timing precision. PMID- 29843105 TI - Selenium accumulation and the effects on the liver of topmouth gudgeon Pseudorasbora parva exposed to dissolved inorganic selenium. AB - Selenite(IV) and selenate(VI) are the major forms of Se in aquatic ecosystem. In this study, Pseudorasbora parva were exposed to 10, 200 and 1000 MUg L-1 selenite and selenate for 28 days. Selenium accumulation, antioxidant enzyme levels, glutathione concentrations, lipid peroxidation and histology were evaluated in livers following exposure. Our results showed that Se(IV) and Se(VI) caused different accumulation patterns in the liver, with a more rapid accumulation of Se with Se(IV) treatment. Both Se species increased hepatic lipid peroxidation after 14 and 28 d (~ 30%). Among the antioxidants examined, the activity of SOD (except day 28) and the cellular levels of GSH were induced by 72-137% at lower concentrations, while the activity of GST was at least 24% lower than that of the control at 200 and 1000 MUg L-1 for both Se species at all sampling points. Both forms of Se reduced the hepatosomatic index at 1000 MUg L-1 after 28 d. In addition, marked histopathological alterations (10-31%) were observed in the liver of P. parva after exposure to both Se species, with higher frequency in the Se(IV) exposed fish. Liver local necrosis was observed only in the liver of fish exposed to 1000 MUg L-1 of Se(IV) (~ 20%). Our results suggest that the ecological impacts of dissolved Se in this freshwater species may also contribute to overall toxicity. PMID- 29843106 TI - Regression models evaluating THMs, HAAs and HANs formation upon chloramination of source water collected from Yangtze River Delta Region, China. AB - Present study aimed to generate multiple regression models to estimate the formation of trihalomethanes (THMs), haloacetonitriles (HANs) and haloacetic acids (HAAs) during chloramination of source water obtained from Yangtze River Delta Region, China. The results showed that the regression models for trichloromethane (TCM), dichloroacetonitrile (DCAN), dichloroacetic acid (DCAA), dihaloacetic acids (DHAAs), 5 HAAs species regulated by U.S. EPA (HAA5) and total haloacetic acids (HAA9) have good evaluation ability (prediction accuracy reached 81-94%), while the models for total haloacetonitriles (HAN4), trichloroacetic acid (TCAA), trihaloacetic acids (THAAs) and total trihalomethanes (THM4), they appeared relative low prediction accuracy (58-72%). For THMs, dissolved organic nitrogen (DON) was their key organic precursor, yet for HAN, DHAAs and THAAs, UVA254 played the dominant role. The other key factors influencing DBP formation included the bromide (THM4, DHAAs and HAA9), reaction time (DCAN, HAN4), chloramine dose (TCM, DCAA, TCAA, HAA5 and THAAs). These results provided important information for water works to optimize the water treatment process to control DBPs, and give an evaluating method for DBPs levels when estimating the health risks related with DBP exposure during chloramination. PMID- 29843107 TI - MEK inhibition may increase survival of NRAS-mutated melanoma patients treated with checkpoint blockade: Results of a retrospective multicentre analysis of 364 patients. AB - BACKGROUND: Melanoma harbours genetic alterations in genes such as BRAF, NRAS and KIT. Activating NRAS mutations are present in about 20% of melanomas. Even though BRAF mutations can be effectively targeted with specific inhibitors, this approach has proven more challenging in cases of NRAS mutations. Previous reports suggested that immunotherapy might be more successful in NRAS-mutated compared to BRAF-mutated or BRAF/NRAS wildtype melanoma. PATIENTS AND METHODS: In this study, overall survival and response to anti-PD-1 (nivolumab, pembrolizumab) and anti CTLA-4 (ipilimumab) therapy of 364 patients with metastatic melanoma were assessed comparing 236 NRAS-mutated patients with 128 NRAS wildtype patients. Subtyping of NRAS mutation in 211 cases revealed 12 different genotypes of which Q61 mutations were predominant (95%). RESULTS: Patients with NRAS mutant melanoma showed similar response rates to checkpoint inhibitor therapy compared to NRAS wildtype patients with 15% versus 13% for ipilimumab (P = 0.731), 21% versus 13% for anti-PD-1 monotherapy (P = 0.210) and 40% versus 39% for ipilimumab and anti PD-1 therapy in combination or sequence (P = 0.859). Nevertheless, median overall survival of patients with NRAS mutant melanoma was significantly lower with 21 months compared to 33 months in NRAS wildtype melanoma patients (P = 0.034). Therapy with oral MEK inhibitors before or after checkpoint inhibitor therapy showed a trend toward a survival benefit in patients with NRAS mutant melanoma. CONCLUSIONS: Immune checkpoint inhibition shows comparable response rates in NRAS mutated and NRAS wildtype melanoma even though survival is less favourable in case of NRAS mutation. Additional MEK inhibition might improve clinical benefit. PMID- 29843108 TI - Binding mechanism investigations guiding the synthesis of novel condensed 1,4 dihydropyridine derivatives with L-/T-type calcium channel blocking activity. AB - Nifedipine and isradipine are prominent examples of calcium channel blockers with a 1,4-dihydropyridine (DHP) scaffold. Although successfully used in clinics since decades for the treatment of hypertension, the binding mechanism to their target, the L-type voltage-gated calcium channel Cav1.2, is still incompletely understood. Recently, novel DHP derivatives with a condensed ring system have been discovered that show distinct selectivity profiles to different calcium channel subtypes. This property renders this DHP class as a promising tool to achieve selectivity towards distinct calcium channel subtypes. In this study, we identified a common binding mode for prominent DHPs nifedipine and isradipine using docking and pharmacophore analysis that is also able to explain the structure-activity relationship of a small subseries of DHP derivatives with a condensed ring system. These findings were used to guide the synthesis of twenty two novel DHPs. An extensive characterization using 1H NMR, 13C NMR, mass spectra and elemental analysis was followed by whole cell patch clamp assays for analyzing activity at Cav1.2 and Cav3.2. Two compounds were identified with significant activity against Cav1.2. Additionally, we identified four compounds active against Cav3.2 of which three were selective over Cav1.2. Novel binding modes were analyzed using docking and pharmacophore analysis as well as molecular dynamics simulations. PMID- 29843109 TI - Is family history of alcohol dependence a risk factor for disturbed sleep in alcohol dependent subjects? AB - BACKGROUND: Disturbed sleep and a family history of alcohol dependence (AD) are risk factors for developing AD, yet the underlying relationship between them is unclear among individuals with AD. Understanding these inherited associations will help us not only identify risk for development of these comorbid disorders, but also individualize treatment at this interface. We evaluated whether a first degree family history of AD (FH+) was a risk factor for sleep continuity disturbance in patients with AD. We also evaluated whether alcohol use or mood disturbance moderated the relationship between FH and sleep. METHODS: We analyzed cross-sectional baseline data from an alcohol clinical trial in a sample of individuals with AD (N = 280). Their family history of AD among nuclear family members, sleep complaints, alcohol use (over the last 90 days), and mood disturbance were assessed using the Family History Interview for Substance and Mood Disorders, Medical Outcomes Study Sleep Scale, Time Line Follow-Back Interview, and Profile of Mood States-Short Form, respectively. RESULTS: A FH + status (65% of subjects) was significantly associated with lower model estimated mean sleep adequacy (beta = - 7.05, p = 0.02) and sleep duration (beta = - 0.38, p = 0.04) scale scores. FH was not associated with sleep disturbance scale. No significant moderating effect involving alcohol use or mood disturbance was seen. CONCLUSION: Family history of AD is a unique risk factor for sleep complaints in AD. Non-restorative sleep and sleep duration may be noteworthy phenotypes to help probe for underlying genotypic polymorphisms in these comorbid disorders. PMID- 29843110 TI - Association between cytochrome P450 2D6 polymorphisms and body fluid methamphetamine concentrations in Japanese forensic autopsy cases. AB - Methamphetamine (MA) is an illicit stimulant that affects the central nervous system. Cytochrome P450 2D6 (CYP2D6) plays an important role in MA metabolism. Numerous allelic variants confer substantial variation in CYP2D6 activity among individuals. In the present study, we examined the frequencies of CYP2D6 alleles, including CYP2D6*1, *2, *4, *5, *10, *14A, *14B, *18, and *36, and multiplication, in 82 forensic autopsy cases of MA abusers and 567 autopsy cases in which MA was not detected (controls). Ultrarapid metabolizer (UM), extensive metabolizer (EM), intermediate metabolizer (IM), and poor metabolizer (PM) phenotypes were predicted from CYP2D6 genotypes. Of MA abusers, 64 subjects were predicted to be EM, 17 were IM, and 1 was UM. No MA abuser had the predicted PM phenotype. No significant differences in CYP2D6 phenotype frequencies were found between MA abusers and controls. MA and amphetamine (AMP) concentrations were measured in the right heart blood, left heart blood, peripheral external iliac blood, urine, pericardial fluid, and bone marrow of MA abusers. MA concentrations in urine and bone marrow were significantly higher in IM than in EM. AMP concentration was not associated with CYP2D6 phenotype in any body fluid. These results suggest that the MA concentration in body fluids is influenced by CYP2D6 phenotypes in the Japanese population. PMID- 29843111 TI - Microwave-assisted efficient depolymerization of alkaline lignin in methanol/formic acid media. AB - Microwave-assisted degradation of alkaline lignin in methanol/formic acid media was investigated, concerning the effect of formic acid (FA) amount, reaction temperature, and reaction time on lignin depolymerization. The highest bio-oil yield of 72.0 wt% including 6.7 wt% monomers was achieved at 160 degrees C and a FA-to-lignin mass ratio of 4 after a reaction time of 30 min. Among the monomers, the yield of 2,3-dihydrobenzofuran was the highest (3.00 wt%), followed by p coumaric acid (1.59 wt%). Formic acid acted mainly through acid-catalyzed cleavage of the linkages in lignin. Oligomers in bio-oil were mainly composed of dimers (molecular weight: 253-378) and trimers (molecular weight: 379-510) according to the Matrix-Assisted Laser Desorption/Ionization Time-of-Flight Mass Spectrometry (MALDI-TOF MS) analysis. A possible mechanism about microwave assisted depolymerization of lignin in methanol/formic acid media was proposed. This study will provide an efficient approach for lignin depolymerization. PMID- 29843112 TI - Biodesulfurization of sulfide wastewater for elemental sulfur recovery by isolated Halothiobacillus neapolitanus in an internal airlift loop reactor. AB - The biodesulfurization of sulfide wastewater for elemental sulfur recovery by isolated Halothiobacillus neapolitanus in an internal airlift loop reactor (IALR) was investigated. The flocculant producer Pseudomonas sp. strain N1-2 was used to deposit the produced elemental sulfur during biodesulfurization. The functional group analysis indicated that biofloculation was closely associated with NH and CO. The biodesulfurization system performed well under moderate water quality fluctuations (1.29-3.88 kg.m-3.d-1 COD; 1.54-3.08 kg.m-3.d-1.S2-) as it maintained stable S2- removal and sulfur flocculation rates. Meanwhile, the qRT PCR analysis indicated that the transcriptional level of cbbL decreased in the presence of organic carbon, while the expressions of sqr, sat, and cytochrome C3 increased under higher sulfide stress. Moreover, the relative proportions of Halothiobacillus was strengthened via microbial intervention of the LJN1-3 strain. The S2- removal efficiency and elemental sulfur production was further improved by 32.5% and 28.2%, respectively, in an IALR. PMID- 29843113 TI - Catalytic performance of quinone and graphene-modified polyurethane foam on the decolorization of azo dye Acid Red 18 by Shewanella sp. RQs-106. AB - Quinone-modified graphene powder is not reusable in bio-treatment systems, and the roles of quinone and graphene during extracellular electron-transfer processes remain unclear. In this study, we prepared anthraquinone-2-sulfonate and reduced graphene-oxide-modified polyurethane foam (AQS-rGO-PUF) and found that AQS-rGO-PUF exhibited higher catalytic performance on Acid Red 18 (AR 18) bio-decolorization compared with AQS-PUF and rGO-PUF. We observed a significant synergistic effect between AQS and rGO in AQS-rGO-PUF-mediated system in the presence of 50 MUM AQS and 1.63 mg/L rGO. The synergistic effect was mainly attributed to electron transfer from AQS to rGO either directly or via flavins secreted by strain RQs-106, and ultimately to AR 18, accounting for ~33.47% of AR 18 removal during AQS-rGO-PUF-mediated decolorization. Additionally, AQS-rGO-PUF exhibited good mechanical properties and maintained its macroporous structure. Furthermore, after eight rounds of experiments using AQS-rGO-PUF, the bio decolorization efficiency of AR 18 retained >98.18% of its original value. These results indicate that the combination of AQS-rGO-PUF and Shewanella strains show potential efficacy for enhancing the treatment of azo-dye-containing wastewater. PMID- 29843114 TI - Auto-antibodies against the angiotensin II type I receptor in women with uteroplacental acute atherosis and preeclampsia at delivery and several years postpartum. AB - BACKGROUND: Uteroplacental acute atherosis is a pregnancy-specific lesion resembling early stages of atherosclerosis found frequently in preeclampsia. Preeclampsia is associated with an increased risk for future maternal atherosclerotic cardiovascular disease. The renin-angiotensin-system plays a role both in atherosclerosis and in preeclampsia. Circulating agonistic autoantibodies at the angiotensin-II type 1 receptor (AT1-AA) are increased in preeclampsia. We hypothesized an association between AT1-AA at delivery and postpartum with acute atherosis in pregnancy. MATERIAL AND METHODS: Maternal serum and decidua basalis tissue was collected at elective cesarean section (n = 41; 24 preeclampsia, 17 normotensive controls). Circulating AT1-AA were detected by a bioassay using spontaneously beating rat cardiomyocytes at delivery (n = 41) and 5-8 years postpartum in a subgroup (n = 10). Decidual acute atherosis was assessed by immunohistochemistry. RESULTS: Significantly less normotensive controls (18%; 3/17) than women with preeclampsia (58%; 14/24) were AT1-AA positive at delivery, p<0.01. Uteroplacental acute atherosis and circulating AT1-AA at delivery were not significantly correlated. Postpartum, 2 prior preeclamptic women had circulating AT1-AA, both without acute atherosis in pregnancy. CONCLUSIONS: Our results confirm that circulating AT1-AA are present significantly more often in preeclampsia than in normotensive pregnancy, however without association to acute atherosis. Whether circulating maternal AT1-AA or acute atherosis target young women at increased long-term cardiovascular risk warrants further investigations. PMID- 29843116 TI - Nontoxic fluorescent carbon nanodot serving as a light conversion material in plant for UV light utilization. AB - In this study, water-soluble fluorescent carbon nanodots (CNDs) were directly injected into the leaf of nicotiana tabacum. With the help of UV-to-blue light conversion nanomaterial, the photosynthetic rate of the leaf was improved 18% upon additional 6 W UV irradiation. The photostability and toxicity of different kinds of CNDs were discussed. The results showed that CNDs functionalized with NH2-groups on their surfaces could maintain good fluorescence in plant leaf, and CNDs with complex surface groups tended to have high toxicity to the plant. The NH2-functionalized CNDs with non-toxicity and good photostability were used as in vivo light conversion material for direct utilization of UV light in the solar energy. PMID- 29843115 TI - Expression of Androgen Receptor and Cancer Stem Cell Markers (CD44+/CD24- and ALDH1+): Prognostic Implications in Invasive Breast Cancer. AB - BACKGROUND: Androgen receptor (AR) has emerged as a significant prognostic marker in early breast cancer (BCa). Association of AR with cancer stem cell (CSC) markers in BCa is unknown. Aim of the present study was to evaluate the immunohistochemical expression of AR, CD44, CD24 and ALDH1 in a cohort of Pakistani patients diagnosed with invasive BCa and to correlate the expression with 5- year disease free survival. PATIENTS AND METHODS: We evaluated immunohistochemical expression AR, CD44, CD24 and ALDH1 in formalin fixed paraffin embedded archival blocks of 166 cases of primary invasive BCa (stage I III) and correlated the expression with clinicopathological variables and outcome using univariable and multivariable analysis. Survival data was computed by Kaplan Meier curves. RESULTS: Expression of AR was observed in 62.7% tumors whereas CD44, CD24 and ALDH1 were expressed in 61.4%, 44% and 30.1% tumors, respectively. AR expression was significantly associated with T1-T2 tumors, lower grade, estrogen and progesterone receptor expression (P < .05) and remained an independent prognostic indicator in multivariable analysis (adjusted HR 0.33, 95% CI 0.13-0.81; P = .016). Significant association was observed between concordant expression of AR and CD24 (P = .001) with a favorable impact on survival (P = .007) whereas expression of CSC phenotypes (CD44+, CD44+/CD24- and ALDH1+) did not correlate with adverse outcome (P > .05). However, AR expression retained the association with better prognosis even in patients whose tumors exhibited a CSC phenotype. CONCLUSIONS: Expression of AR and CD24 in stage I-III invasive BCa correlates with favorable clinicopathological features and delineates a subgroup of patients with better disease-free survival. PMID- 29843117 TI - Palladium nanoparticle-decorated 2-D graphene oxide for effective photodynamic and photothermal therapy of prostate solid tumors. AB - Intratumoral injection of nanoparticles is a viable alternative for treating solid tumors. In this study, we used intratumorally-injected palladium nanoparticle (Pd NP)-decorated graphene oxide (GO) (GO-Pd NPs) for the treatment of solid prostate tumors. GO was synthesized using the modified Hummer's method and GO-Pd NPs were prepared using the one pot synthesis method. Studies on physicochemical characterization and in vitro/in vivo anticancer properties were performed using GO-Pd NPs. Successful preparation of GO-Pd NPs was confirmed by transmission electron microscopy, Fourier transform infrared spectroscopy, energy dispersive X-ray spectroscopy, and X-ray photoelectron spectroscopy. Compared to GO or Pd NPs alone, GO-Pd NPs showed higher cytotoxic effects in prostate cancer 3 (PC3) cells. Irradiation of treated cells with near infrared (NIR) laser considerably enhanced apoptosis induced by synergistic photothermal effect and reactive oxygen species (ROS) generation. Intratumorally-injected GO-Pd NPs showed promising in vivo localized distribution, photothermal ablation, and anti tumor effects in the PC3 xenograft mouse model. Furthermore, the minimal organ toxicity of GO-Pd NPs was an added advantage. Hence, GO-Pd NPs could be a potential formulation for localized treatment of prostate solid tumors. PMID- 29843118 TI - Whole body organization during a symmetric bimanual pick up task for children with unilateral cerebral palsy. AB - BACKGROUND: Information on whole-body coordination involving bimanual coordination for children with unilateral spastic cerebral palsy (USCP) is limited. RESEARCH QUESTION: The purpose of the current study is to test the hypothesis that during a whole-body pick up task, children with USCP will organize their whole- body movements and bimanual coordination differently than typically-developing children (TDC). METHODS: Twelve children with USCP (average age: 8.3; MACS levels: I-II) and twelve age-matched TDC participated in the study. Children were asked to reach down, grasp, and pick up an empty box to waist height while Kinematic and Kinetic data were recorded and analyzed using a VICON system and two AMTI force plates. RESULTS: Children with USCP had longer overall movement time, reaching down time, and grasping movement time (all P < 0.05) than TDC. Less bimanual coordination was indicated by greater finger vertical position differences and movement onset and offset timing differences (all P < 0.05). Additionally, greater bilateral joint position on differences were found for shoulder, elbow, hip, and knee when reaching down and for shoulder and elbow at the end of the task (all P < 0.05). Greater asymmetric bilateral ground reaction force and greater lateral and anterior center of pressure excursion were also found in children with USCP (all P < 0.05). SIGNIFICANCE: Impairments in both bimanual and whole-body coordination were found during a simple whole-body task in children with USCP. Future treatments or assessments should consider whole-body tasks involving dual task constraints. PMID- 29843119 TI - Giant siliconoma mimicking locally advanced breast cancer: A case report and review of literature. AB - INTRODUCTION: Silicone prosthetics are widely used for breast augmentation and reconstruction. These devices may extrude free silicone into surrounding tissue, stimulating a granulomatous foreign body reaction. The resulting mass can mimic breast cancer. PRESENTATION OF CASE: 71 year old female with a history of a ruptured silicone implant presents with an enlarging left breast mass. Exam demonstrated and ulcerated, fungating mass with active infection. CT scan demonstrated a 23 * 15 cm mass involving the breast and chest wall with axillary lymphadenopathy. Preoperative biopsies were inconclusive and the patient underwent a modified radical mastectomy. Pathology demonstrated a siliconoma. DISCUSSION: While benign, silicone granulomas of the breast can present similarly to malignancy and are an important differential in the diagnosis of a breast or axillary mass for appropriate patients. MRI is the study of choice and core needle biopsies cannot always establish the diagnosis preoperatively. PET scans can be falsely positive and the diagnosis requires an extensive workup to rule out cancer. CONCLUSION: Siliconomas develop as a result of implant rupture and present with many of the signs and symptoms of breast cancer. The majority of patients should undergo surgery for symptom relief or to rule out cancer. PMID- 29843120 TI - Evaluation of the LC-1000 Flow Cytometry Screening System for Cervical Cancer Screening in Routine Health Checkups. AB - OBJECTIVE: This study evaluated the performance of a flow cytometry system (LC 1000) in screening cervical precancerous lesions at routine health checkups. STUDY DESIGN: In total, 928 health examinees were enrolled at 16 health promotion centers in 13 Korean cities between 2016 and 2017. All participants underwent liquid-based cervical cytology and flow cytometry testing to determine the cell proliferation index (CPIx). RESULTS: The positivity rate of the LC-1000 system increased with the severity of the cervical cytology findings (p for trend < 0.001). When low-grade squamous intraepithelial lesion (LSIL) or higher (including LSIL, high-grade squamous intraepithelial lesion [HSIL], and atypical squamous cells without excluding HSIL [ASC-H]) was defined as gold-standard positivity, the sensitivity, specificity, PPV, and NPV of LC-1000 were 75.3% (95% confidence interval [CI], 66.8-83.7), 58.5% (95% CI, 55.2-61.9), 18.1% (95% CI, 14.5-21.8), and 95.1% [95% CI, 93.2-97.0], respectively. The median CPIx increased significantly from normal cytology to HSIL (p < 0.001). The median CPIx was higher in high-risk human papillomavirus (HR-HPV)-positive cases than in HR HPV-negative cases (0.23 vs. 0.17, p < 0.001), while it did not differ between HR HPV-positive and HR-HPV-negative cases with normal cytology findings (0.16 vs. 0.16, p = 0.700). CONCLUSION: The LC-1000 system is potentially useful for screening cervical precancer and cancer, especially when excluding normal or ASC of undetermined significance cases in routinely screened populations. PMID- 29843121 TI - Alterations of Cortisol Metabolism in Human Disorders. AB - The interconversion of active and inactive corticosteroids - cortisol and cortisone, respectively, in humans - is modulated by isozymes of 11beta hydroxysteroid dehydrogenase (11-HSD). Studies of this process have provided crucial insights into glucocorticoid effects in a wide variety of tissues. The 11 HSD1 isozyme functions mainly as an oxoreductase (cortisone to cortisol) and is expressed at high levels in the liver and other glucocorticoid target tissues. Because it is required for full physiological effects of cortisol, it has emerged as a drug target for metabolic syndrome and type 2 diabetes. Mutations in the corresponding HSD11B1 gene, or in the H6PD gene encoding hexose-6-phosphate dehydrogenase (which supplies the NADPH required for the oxoreductase activity of 11-HSD1), cause apparent cortisone reductase deficiency, a rare syndrome of adrenocortical hyperactivity and hyperandrogenism. In contrast, the 11-HSD2 isozyme functions as a dehydrogenase (cortisol to cortisone) and is expressed mainly in mineralocorticoid target tissues, where it bars access of cortisol to the mineralocorticoid receptor. Mutations in the HSD11B2 gene encoding 11-HSD2 cause the syndrome of apparent mineralocorticoid excess, a severe form of familial hypertension. The role of this enzyme in the pathogenesis of common forms of low-renin hypertension remains uncertain. PMID- 29843122 TI - Comprehensive and Integrative Analysis Reveals the Diagnostic, Clinicopathological and Prognostic Significance of Polo-Like Kinase 1 in Hepatocellular Carcinoma. AB - BACKGROUND/AIMS: Liver cancer has the second highest cancer-related death rate globally and has relatively few targeted therapeutics. Polo-like kinase 1 (PLK1) is a fascinating trigger of the cell cycle; however, the still-rudimentary understanding of PLK1 at present is a significant barrier to its clinical applications. Here, we comprehensively clarified the clinicopathological value and potential functions of PLK1 in hepatocellular carcinoma (HCC). METHODS: HCC related microarrays, RNA-sequencing datasets and published studies were deeply mined and integrated from The Cancer Genome Atlas, Gene Expression Omnibus, ArrayExpress, Oncomine, literature databases, and immunohistochemistry experiments. Meanwhile, the associations between PLK1 expression and its clinicopathological implications and prognostic value in HCC patients were assessed. The standardized mean difference, summary receiver operating characteristic curve and the corresponding area under the curve, hazard ratios, odds ratios (ORs), and their 95% confidence intervals (CIs) were examined by STATA 12.0. Additionally, several bioinformatics methods were used to identify the potential function of PLK1 in HCC. RESULTS: Comprehensive analyses revealed that PLK1 was significantly increased in HCC (standardized mean difference = 1.34, 95% CI: 1.03-1.65, P < 0.001). The results of diagnostic tests specified that in the summary receiver operating characteristic curve, the area under the curve was 0.88 (95% CI: 0.85-0.90). Furthermore, an elevated PLK1 level significantly predicted unfavorable overall survival (hazard ratio = 1.78, 95% CI: 1.10-2.88, P = 0.019) and was correlated with female gender (OR = 0.73, 95% CI: 0.56-0.95, P = 0.017), tumor thrombus (OR = 3.97, 95% CI: 1.46-10.78, P < 0.001), metastasis (OR = 3.46, 95% CI: 1.33-9.01, P = 0.011), pathologic stage (OR = 1.56, 95% CI: 1.17-2.07, P = 0.002), Barcelona Clinic Liver Cancer stage (OR = 5.76, 95% CI: 2.17-15.28, P < 0.001) and histologic grade (OR = 2.33, 95% CI: 1.12-487, P = 0.024). Through bioinformatics methods, we determined that enhancing the proliferative effect of PLK1 in HCC was associated with a series of hub genes and the activation of the cell cycle pathway. CONCLUSIONS: These findings substantiated that PLK1 may be an independent prognostic biomarker in HCC and may facilitate the development of targeted precision oncology. PMID- 29843123 TI - The Critical Role of PTEN/PI3K/AKT Signaling Pathway in Shikonin-Induced Apoptosis and Proliferation Inhibition of Chronic Myeloid Leukemia. AB - BACKGROUND/AIMS: Chronic myeloid leukemia (CML) is a myeloproliferative neoplasm. Tyrosine kinase inhibitors (TKIs) are commonly used to treat CML; however, drug resistance of CML cells to TKIs has limited their clinical application. Shikonin, a traditional Chinese herb, has long been used to treat leukemia in China, but the roles and related molecular mechanisms of shikonin treatment in CML remain unclear. Here, we aimed to evaluate the effects of shikonin on the proliferation, apoptosis, and migration of K562 cells, a CML cell line. METHODS: Firstly, K562 cell proliferation and apoptosis were tested by CCK8 assay and flow cytometry with Annexin V-FITC/PI staining. Cell migration was measured by Transwell migration assay. In addition, western blot was performed to determine the proteins (PI3K, Bax, Bcl-2, cleaved caspase-3, PTEN, p-AKT, AKT, CXCR4, SDF-1, CD44) involved in the mechanism of action of shikonin. Finally, neutrophils from peripheral blood of CML patients were obtained, and cell proliferation and apoptosis were tested by CCK8 assay and flow cytometry. RESULTS: Shikonin reduced the proliferation of K562 cells in a time- and dose-dependent manner and promoted the apoptosis of K562 cells. Moreover, shikonin increased the PTEN level and inactivated the PI3K/AKT signaling pathway, subsequently upregulating BAX in K562 cells. In addition, shikonin could block K562 cell migration via the CXCR4/SDF-1 axis. Finally, shikonin significantly inhibited the proliferation and promoted the apoptosis of neutrophils from CML patients. CONCLUSION: These results demonstrated that shikonin inhibits CML proliferation and migration and induces apoptosis by the PTEN/PI3K/AKT pathway, revealing the effects of shikonin therapy on CML. PMID- 29843124 TI - Fluid Intake Habits in Type 1 Diabetes Individuals during Typical Training Bouts. AB - BACKGROUND/AIMS: Hyperglycemia may influence the hydration status in diabetic individuals. During exercise, type 1 diabetes mellitus (T1DM) individuals may be challenged by a higher risk of dehydration due to a combination of fluid losses from sweat and increased urine output via glycosuria. So far, no study has characterised spontaneous fluid intake in T1DM individuals during active trainings. METHODS: A validated questionnaire was used to assess T1DM participants' diabetes therapy, sports characteristics and fluid intake during training; results were then compared to an age- and sport-matched sample of non diabetic individuals. RESULTS: Ninety individuals completed the survey (n = 45 T1DM individuals, n = 45 matched controls). A proportion of T1DM -individuals reported blood glucose levels greater than 10.0 mmol at both the start (28.9%) and end (24.4%) of the exercise. The mean self-reported fluid intake was greater in T1DM (0.60 +/- 0.47 L.h-1) compared to that of the control (0.37 +/- 0.28 L.h 1, p < 0.05). In spite of drinking fluid volumes in line with international guidelines, 84.4% of those with T1DM reported that they were still feeling thirsty at the end of their training session. CONCLUSIONS: T1DM individuals self report spontaneously consuming fluid adequate volumes suggested by sport nutrition guidelines for non-diabetic athletes. Discrepancies in the T1DM subjectively reported feelings of thirst suggest that more education on hydration during exercise is needed for this population to adequately compensate for elevated blood glucose levels. It remains to be established whether fluid volumes suggested for healthy athletes are adequate for maintaining euhydration in T1DM patients due to their altered diuresis. PMID- 29843125 TI - Mucin 4 Gene Silencing Reduces Oxidative Stress and Calcium Oxalate Crystal Formation in Renal Tubular Epithelial Cells Through the Extracellular Signal Regulated Kinase Signaling Pathway in Nephrolithiasis Rat Model. AB - BACKGROUND/AIMS: Nephrolithiasis plagues a great number of patients all over the world. Increasing evidence shows that the extracellular signal-regulated kinase (ERK) signaling pathway and renal tubular epithelial cell (RTEC) dysfunction and attrition are central to the pathogenesis of kidney diseases. Mucin 4 (MUC4) is reported as an activator of ERK signaling pathway in epithelial cells. In this study, using rat models of calcium oxalate (CaOx) nephrolithiasis, the present study aims to define the roles of MUC4 and ERK signaling pathway as contributors to oxidative stress and CaOx crystal formation in RTEC. METHODS: Data sets of nephrolithiasis were searched using GEO database and a heat flow map was drawn. Then MUC4 function was predicted. Wistar rats were prepared for the purpose of model establishment of ethylene glycol and ammonium chloride induced CaOx nephrolithiasis. In order to assess the detailed regulatory mechanism of MUC4 silencing on the ERK signaling pathway and RTEC, we used recombinant plasmid to downregulate MUC4 expression in Wistar rat-based models. Samples from rat urine, serum and kidney tissues were reviewed to identify oxalic acid and calcium contents, BUN, Cr, Ca2+ and P3+ levels, calcium crystal formation in renal tubules and MUC4 positive expression rate. Finally, RT-qPCR, Western blot analysis, and ELISA were employed to access oxidative stress state and CaOx crystal formation in RTEC. RESULTS: Initially, MUC4 was found to have an influence on the process of nephrolithiasis. MUC4 was upregulated in the CaOx nephrolithiasis model rats. We proved that the silencing of MUC4 triggered the inactivation of ERK signaling pathway. Following the silencing of MUC4 or the inhibition of ERK signaling pathway, the oxalic acid and calcium contents in rat urine, BUN, Cr, Ca2+ and P3+ levels in rat serum, p-ERK1/2, MCP-1 and OPN expressions in RTEC and H2O2 and MDA levels in the cultured supernatant were downregulated, but the GSH-Px, CAT and SOD levels in the cultured supernatant were increased. Moreover, MUC4 silencing or ERK signaling pathway inactivation may decrease the formation of CaOx crystals. CONCLUSION: Taken together, silencing of MUC4 can inactivate the ERK signaling pathway and further restrain oxidative stress and CaOx crystal formation in RTEC. Thus, MUC4 represents a potential investigative focus target in nephrolithiasis. PMID- 29843126 TI - The Relationship between Cardiorespiratory Fitness and Montreal Cognitive Assessment Scores in Older Adults. AB - BACKGROUND: Relatively little is known regarding the association between objective measures of physical function such as cardiorespiratory fitness (CRF) and cognitive function tests in healthy older adults. OBJECTIVE: To evaluate the relationship between CRF and cognitive function in adults aged 55 and older. METHODS: Between 2008 and 2017, 4,931 men and women underwent a comprehensive preventive physical exam at the Cooper Clinic in Dallas, Texas. CRF was determined by duration of a maximal treadmill exercise test. Cognitive function was evaluated with the Montreal Cognitive Assessment (MoCA). In a multivariate model, adjusted odds ratios with 95% confidence intervals for MoCA scores < 26 (i.e., cognitive impairment) were determined by using CRF as both a continuous and a categorical variable. RESULTS: The mean age of the sample was 61.0 +/- 6.0 years; mean maximal MET values were 10.0 +/- 2.2. Mean MoCA scores were 26.9 +/- 2.2; 23.4% of the sample had MoCA scores indicative of cognitive impairment. The odds ratio for cognitive impairment was 0.93 (0.88-0.97) per 1-MET increment in CRF. When examined as a categorical variable, and using the lowest CRF quintile as the referent, there was a significantly reduced likelihood for cognitive impairment across the remaining ordered CRF categories (p trend = 0.004). CONCLUSION: The association between CRF and MoCA score in older adults suggests that meeting or exceeding public health guidelines for physical activity is likely to increase CRF in low fit individuals, maintain CRF in those with a moderate to high level of CRF, and thereby help to maintain cognitive function in healthy older adults. PMID- 29843127 TI - Obesity and Migraine: Effect Modification by Gender and Perceived Stress. AB - BACKGROUND: The association between obesity and migraine has been established; however, it is unclear whether it varies by perceived stress within each gender. METHODS: This cross-sectional study used data from the ongoing NutriNet-Sante e cohort with enrollees from the general population. Anthropometric and migraine data were provided via self-report questionnaires (2013-2016). Migraine was defined using established criteria. Perceived stress was assessed with Cohen's Perceived Stress Scale-10. Associations were estimated via gender- and stress stratified multivariable polytomous logistic regression models. RESULTS: Among 32,835 participants with complete data (75% women; mean age = 51.9 +/- 13.8 years), 34% reported no headache, 44% non-migraine headache, and 22% migraine with or without aura during one's lifetime. In these groups, obesity was present in 8.6, 9.9, and 11.6%, respectively. Stress was a significant moderator of the obesity-migraine association only among women. The largest significant adjusted odds ratio (aOR) was found between obesity and migraine in women with high stress (aOR 1.61, 95% CI 1.35-1.91). CONCLUSIONS: We found support for gender- and stress-dependent associations between obesity and migraine using a large, heterogeneous adult sample. This underscores the need for evidence-based strategies for weight loss and stress reduction for female migraineurs. PMID- 29843128 TI - Zurampic Protects Pancreatic beta-Cells from High Uric Acid Induced-Damage by Inhibiting URAT1 and Inactivating the ROS/AMPK/ERK Pathways. AB - BACKGROUND/AIMS: Zurampic is a US FDA approved drug for treatment of gout. However, the influence of Zurampic on pancreatic beta-cells remains unclear. The study aimed to evaluate the effects of Zurampic on high uric acid-induced damage of pancreatic beta-cells and the possible underlying mechanisms. METHODS: INS-1 cells and primary rat islets were stimulated with Zurampic and the mRNA expression of urate transporter 1 (URAT1) was assessed by qRT-PCR. Cells were stimulated with uric acid or uric acid plus Zurampic, and cell viability, apoptosis and ROS release were measured by MTT and flow cytometry assays. Western blot analysis was performed to evaluate the expressions of active Caspase-3 and phosphorylation of AMPK and ERK. Finally, cells were stimulated with uric acid or uric acid plus Zurampic at low/high level of glucose (2.8/16.7 mM glucose), and the insulin release was assessed by ELISA. RESULTS: mRNA expression of URAT1 was decreased by Zurampic in a dose-dependent manner. Uric acid decreased cell viability, promoted cell apoptosis and induced ROS release. Uric acid-induced alterations could be reversed by Zurampic. Activation of Caspase-3 and phosphorylation of AMPK and ERK were enhanced by uric acid, and the enhancements were reversed by Zurampic. Decreased phosphorylation of AMPK and ERK, induced by Zurampic, was further reduced by adding inhibitor of AMPK or ERK. Besides, uric acid inhibited high glucose-induced insulin secretion and the inhibition was rescued by Zurampic. CONCLUSIONS: Zurampic has a protective effect on pancreatic beta-cells against uric acid induced-damage by inhibiting URAT1 and inactivating the ROS/AMPK/ERK pathway. PMID- 29843129 TI - Appetite-Related Eating Behaviours: An Overview of Assessment Methods, Determinants and Effects on Children's Weight. AB - Identifying the underlying child-eating behaviours that contribute to weight differences across growth has been a constant challenge. This report reviews the various literature approaches for assessing appetite regulation. In doing so, it attempts to understand how appetite control develops and determines the eating habits in early childhood, and its effects on children's weight status. The interaction between homeostatic and hedonic mechanisms largely explains the appetite regulation process. Homeostatic mechanisms are mediated by the biological need to maintain the body's energy reserves, increasing the motivation to eat. On the contrary, the hedonic mechanisms are mediated by food reward, increasing the craving for high-palatable foods and triggering the release of dopamine and serotonin. There are many biological methods (plasma measurements of hormones, like leptin, ghrelin and insulin) and behavioural evaluation methods of appetite. The Children's Eating Behaviour Questionnaire is most commonly used, due to its adequate psychometric properties tested in several population settings. The development of eating behaviours begins in utero, and several determinants may contribute to a decrease in the ability to self-regulate dietary intake. Examples include genetic predisposition, the first taste experiences and the family environment, a key determinant in this process. Several eating behaviours contribute most to childhood obesity. Among them, are the external eating (eating by external stimuli, such as the mere presence of the food or its smell), food restriction (which may potentiate the uninhibited increased intake of the restricted foods) and emotional eating (intake due to emotional variations, especially negative feelings). These eating behaviours have been linked to childhood obesity. PMID- 29843130 TI - Depletion of Cholesterol Reduces ENaC Activity by Decreasing Phosphatidylinositol 4,5-Bisphosphate in Microvilli. AB - BACKGROUND/AIMS: The epithelial sodium channel (ENaC) in cortical collecting duct (CCD) principal cells plays a critical role in regulating systemic blood pressure. We have previously shown that cholesterol (Cho) in the apical cell membrane regulates ENaC; however, the underlying mechanism remains unclear. METHODS: Patch-clamp technique and confocal microscopy were used to evaluate ENaC activity and density. RESULTS: Here we show that extraction of membrane Cho with methyl-beta-cyclodextrin (MbetaCD) significantly reduced amiloride-sensitive current and ENaC single-channel activity. The effects were reproduced by inhibition of Cho synthesis in the cells with lovastatin. We have previously shown that phosphatidylinositol-4,5-bisphosphate (PIP2), an ENaC activator, is predominantly located in the microvilli, a specialized apical membrane domain. Here, our confocal microscopy data show that alpha-ENaC was co-localized with PIP2 in the microvilli and that Cho was also co-localized with PIP2 in the microvilli. Either extraction of Cho with MbetaCD or inhibition of Cho synthesis with lovastatin consistently reduced the levels of Cho, PIP2, and ENaC in the microvilli. CONCLUSIONS: Since PIP2 can directly stimulate ENaC and also affect ENaC trafficking, these data suggest that depletion of Cho reduces ENaC apical density and activity at least in part by decreasing PIP2 in the microvilli. PMID- 29843131 TI - Intermittent Hypoxia Disrupts Glucose Homeostasis in Liver Cells in an Insulin Dependent and Independent Manner. AB - BACKGROUND/AIMS: Obstructive sleep apnea is associated with diabetes and insulin resistance, but the underlying mechanisms remain unclear. The purpose of the current study was to determine the molecular effects of intermittent hypoxia (IH) on hepatic insulin signaling and glucose homeostasis, and whether c-Jun NH2 terminal-kinase (JNK) contributed to metabolic responses to IH in liver cells. METHODS: The human HepG2 cells and rat FAO cells were exposed to 10, 30, 120, 240 or 360 cycles of IH (1% O2 for 60 s followed by 21% O2 for 60s, 7.5 cycles per hour) or normoxia as a control. In a subgroup, we exposed cells to 360 cycles of IH with the JNK inhibitor SP600125. After IH exposure, cell glycogen content and glucose output were measured using colorimetric assay kits. Canonical insulin signaling and gluconeogenic genes were measured by western blot and quantitative polymerase chain reaction. RESULTS: IH decreased insulin-stimulated protein kinase B (AKT)/glycogen synthase kinase-3beta (GSK-3beta) phosphorylation in a time-dependent manner, while inhibiting forkhead box protein O1 (FOXO1) expression and phosphoenolpyruvate carboxykinase (PEPCK) transcription independent of insulin signaling. JNK inhibitor SP600125 partially restored AKT/ GSK-3beta phosphorylation and glycogen synthesis, but did not affect other IH induced glucose metabolic changes. CONCLUSION: IH in vitro impaired insulin signal transduction in liver cells as assessed by inhibited AKT/GSK-3beta phosphorylation via JNK activation. IH inhibited FOXO1 and gluconeogenesis in an insulin-independent manner. PMID- 29843132 TI - Experience of a Tertiary-Level Urology Center in the Clinical Urological Events of Rare and Very Rare Incidence. III. Psychourological Events: 1. Psychic Anuria. AB - INTRODUCTION: Psychic anuria is an old term, referring to a very rare psycho urological event that has scarcely been studied so far. MATERIALS AND METHODS: A retrospective study of the patients with psychic anuria presented to Assiut Urology and Nephrology Hospital during the period July 1991-June 2016 was done. Psychic anuria was defined, and the demographic and clinical characteristics including the methods of diagnosis and management were studied. RESULTS: Of more than 3,800 cases of anuria, 9 female patients (0.24%) experienced psychic anuria in the age range of 17-43 years. Cardinal clinical findings included anuria for 36-72 h with absence of organic causes and normal renal function tests. Psychosocial risk factors were reported in the 9 cases. Anuria was documented by reliable history (56%) or observable urine collection (44%). Diagnosis was done by exclusion, where the investigations revealed no organic causes. Seven cases responded to the placebo intervention and 2 cases were self-limiting and resolved spontaneously. CONCLUSIONS: Psychic anuria is an extremely rare urological emergency that presents, mainly, in young adult females with unknown mechanisms. Renal vasoconstriction following psychosocial stressors is suggested. It is diagnosed by exclusion and resolves spontaneously or responds to placebo intervention as a mental distraction technique. PMID- 29843134 TI - Effect of Emotion and Type of Encoding on Memory for Actions: Verbal and Subject Performed Tasks. AB - BACKGROUND: The present study examines whether the interaction between emotion and the enactment effect (body involvement) improves memory in people with Alzheimer disease (AD). METHODS: Two experiments with drawings of actions were conducted, in which two types of encoding were used: motor and verbal. In experiment 1, with 13 AD patients and 13 older healthy adults, the encoding was incidental. In experiment 2, with 17 mild AD patients and 21 older healthy adults, it was intentional. RESULTS: In experiment 1, no effect of enactment or emotion was observed in the AD patients. In experiment 2, effects of enactment and emotion (better recall for negative actions) were observed in the AD patients. This pattern of results was also observed in the elderly control adults in both experiments. CONCLUSION: These results confirm effects observed in normal ageing and indicate a more subtle effect on AD. PMID- 29843133 TI - Niclosamide Exhibits Potent Anticancer Activity and Synergizes with Sorafenib in Human Renal Cell Cancer Cells. AB - BACKGROUND/AIMS: As the most lethal urological cancers, renal cell carcinoma (RCC) comprises a heterogeneous group of cancer with diverse genetic and molecular alterations. There is an unmet clinical need to develop efficacious therapeutics for advanced, metastatic and/or relapsed RCC. Here, we investigate whether anthelmintic drug Niclosamide exhibits anticancer activity and synergizes with targeted therapy Sorafenib in suppressing RCC cell proliferation. METHODS: Cell proliferation and migration were assessed by Crystal violet staining, WST-1 assay, cell wounding and cell cycle analysis. Gene expression was assessed by qPCR. In vivo anticancer activity was assessed in xenograft tumor model. RESULTS: We find that Niclosamide effectively inhibits cell proliferation, cell migration and cell cycle progression, and induces apoptosis in human renal cancer cells. Mechanistically, Niclosamide inhibits the expression of C-MYC and E2F1 while inducing the expression of PTEN in RCC cells. Niclosamide is further shown to synergize with Sorafenib in suppressing RCC cell proliferation and survival. In the xenograft tumor model, Niclosamide is shown to effectively inhibit tumor growth and suppress RCC cell proliferation. CONCLUSIONS: Niclosamide may be repurposed as a potent anticancer agent, which can potentiate the anticancer activity of the other agents targeting different signaling pathways in the treatment of human RCC. PMID- 29843135 TI - Circulating alpha-Klotho is Related to Plasma Aldosterone and Its Follow-Up Change Predicts CKD Progression. AB - BACKGROUND/AIMS: We aimed to determine if soluble alpha-klotho level was an indicator of chronic kidney disease (CKD) progression and whether alpha-klotho interacted with aldosterone during the course of further renal damage. METHODS: 112 adults with stages 1-5 CKD were enrolled into our cohort study. All of the patients were followed up for 6 years (from January 2010 to December 2015). Serum soluble alpha-klotho and aldosterone were measured at baseline and at 1.5-years follow-up. The primary outcome was the initiation of renal replacement therapy (RRT) and the secondary outcome was the occurrence of cardio-cerebrovascular events. Long-term progression to RRT and cardio-cerebrovascular events in patients was analyzed with a risk-adjusted Cox proportional hazards regression model. Adjustment included age, gender, eGFR, mean arterial pressure, 24-h protein excretion and the change in alpha-klotho level from baseline at 1.5-years follow-up. RESULTS: Baseline circulating alpha-klotho levels were positively associated with baseline estimated glomerular filtration rate (eGFR; r = 0.224, p = 0.017), but not age, calcium, phosphate, or parathyroid hormone levels. The change in alpha-klotho level from baseline at 1.5-years follow-up (p = 0.002) was independently associated with renal replace treatment (RRT) initiation after adjustment for age, gender, eGFR, mean arterial pressure, and 24-h protein excretion in Cox regression analysis. Aldosterone levels were positively associated with CKD stage, and were inversely correlated with circulating alpha klotho levels. CONCLUSION: The change in concentration of soluble alpha-klotho during the 1.5-years follow-up was an indicator of CKD progression. Renal damage associated with a reduction of alpha-klotho may involve the upregulation of plasma aldosterone. Future studies are needed to validate our findings, and to investigate the underlying mechanism by which alpha-klotho and aldosterone may cause renal damage. PMID- 29843136 TI - The Effects of Angelica Sinensis Polysaccharide on Tumor Growth and Iron Metabolism by Regulating Hepcidin in Tumor-Bearing Mice. AB - BACKGROUND/AIMS: Iron plays a fundamental role in cell biology and its concentration must be precisely regulated. It is well documented that excess iron burden contributes to the occurrence and progression of cancer. Hepcidin secreted by liver plays an essential role in orchestrating iron metabolism. In the present study, we aimed to investigate the ability of angelica sinensis polysaccharide (ASP) to decrease iron burden in tumor-bearing mice and the mechanism of ASP regulation hepcidin expression. METHODS: Western blot, RT-PCR, immunohistochemistry (IHC), and enzyme-linked immunosorbent assay (ELISA) were used to detect the regulation of hepcidin and related cytokines by ASP. The role of ASP in tumor proliferation was investigated using in vivo assays. Iron depositions and iron concentrations in organs were determined by hematoxylin eosin (H&E) staining and atomic absorption spectrophotometer. RESULTS: We found that ASP could inhibit tumor growth in mice xenografted with 4T1 and H22 cancer cells. In vivo experiments also showed that ASP could potently regulate hepcidin expression in liver and serum and decrease iron burden in liver, spleen and grafted tumors in mouse model. Treatment with ASP in hepatic cell lines reproduced comparable results in decreasing hepcidin as in mouse liver. Furthermore, we found that ASP markedly suppressed the expression of interleukin 6 (IL-6), JAK2, p-STAT3, and p-SMAD1/5/8 in liver, suggesting that JAK/STAT and BMP-SMAD pathways were involved in the regulation of hepcidin expression by ASP. We also found down-regulation of iron-related cytokines in ASP treated mice. CONCLUSION: The present study provides new evidence that ASP decreases hepcidin expression, which can reduce iron burden and inhibit tumor proliferation. These findings might aid ASP developed as a potential candidate for cancer treatment in patients with iron overload. PMID- 29843137 TI - Reactive Astrogliosis in an Experimental Model of Fibromyalgia: Effect of Dexmedetomidine. AB - To our knowledge, this is the first study which investigates the induction of neuroinflammation in rats using an acidic-saline model of fibromyalgia. It is well known that the hippocampus has a fundamental role in pain perception, and astrocytes play a crucial role in pain signaling. Our aim is to evaluate the ability of dexmedetomidine to attenuate the inflammatory responses induced in astrocytes. In a group of healthy rats, induction of chronic muscle pain by intramuscular injection of 100 uL of acidic saline on days 0 and 5 resulted in peripheral sensitization (measured using the von Frey test) and significant (p < 0.05) increases in IL-1beta (160.2 +/- 1.1 to 335.2 +/- 1.8), IL-6 (100.1 +/- 1.4 to 202.4 +/- 1.1), and TNF-alpha (60.0 +/- 0.7 to 115.5 +/- 1). Light and electron microscopy revealed degenerative changes in the hippocampus and reactive astrogliosis. Immunohistochemistry showed increased expression of glial fibrillary acid protein and inducible nitric oxide synthase. Surprisingly, treatment with a single dose of an alpha2-adrenergic agonist, dexmedetomidine (5 ug/kg i.p.), attenuated these changes. This trial suggests that dexmedetomidine possibly directly acts on astrocytes, and a peripheral action is also suggested. PMID- 29843138 TI - HOTAIR: An Oncogenic Long Non-Coding RNA in Human Cancer. AB - Long non-coding RNAs (LncRNAs) represent a novel class of noncoding RNAs that are longer than 200 nucleotides without protein-coding potential and function as novel master regulators in various human diseases, including cancer. Accumulating evidence shows that lncRNAs are dysregulated and implicated in various aspects of cellular homeostasis, such as proliferation, apoptosis, mobility, invasion, metastasis, chromatin remodeling, gene transcription, and post-transcriptional processing. However, the mechanisms by which lncRNAs regulate various biological functions in human diseases have yet to be determined. HOX antisense intergenic RNA (HOTAIR) is a recently discovered lncRNA and plays a critical role in various areas of cancer, such as proliferation, survival, migration, drug resistance, and genomic stability. In this review, we briefly introduce the concept, identification, and biological functions of HOTAIR. We then describe the involvement of HOTAIR that has been associated with tumorigenesis, growth, invasion, cancer stem cell differentiation, metastasis, and drug resistance in cancer. We also discuss emerging insights into the role of HOTAIR as potential biomarkers and therapeutic targets for novel treatment paradigms in cancer. PMID- 29843139 TI - HSP70/HSP90-Organizing Protein Contributes to Gastric Cancer Progression in an Autocrine Fashion and Predicts Poor Survival in Gastric Cancer. AB - BACKGROUND/AIMS: HSP70/HSP90-organizing protein (HOP) is an adaptor protein that mediates heat shock protein 70 (HSP70) and HSP90 folding. HOP can be secreted by cancer cells and promote malignant cell growth in an autocrine manner. Here, we studied its role in gastric cancer (GC). METHODS: HOP mRNA and protein levels were detected by quantitative real-time PCR and western blotting, respectively, and enzyme-linked immunosorbent assay was used to determine the serum levels. Immunohistochemistry was performed to analyze HOP expression in 117 GC tissues and 32 adjacent normal tissues. The Cell Counting Kit-8 cell viability assay, flow cytometry, and western blotting were used to analyze the effects of HOP on cell proliferation and apoptosis, and the potential underlying mechanisms. RESULTS: HOP mRNA and protein levels were significantly higher in GC tissues than in normal tissues in our medical center (P< 0.001) and in The Cancer Genome Atlas database (P< 0.001). GC patients had higher serum levels of HOP than age-matched healthy controls (P< 0.001); however, once tumors were removed, serum levels significantly decreased (P< 0.01). In human GC tissues, increased HOP expression was associated with tumor progression and poor survival. Notably, autocrine HOP promoted cell proliferation through the phospholipase Cgamma1-extracellular signal-regulated kinase 1/2-dependent pathway, and inhibited cell apoptosis by regulating the activities of caspase 9, caspase 3, and B-cell lymphoma 2. Blocking extracellular HOP with neutralizing antibody reduced proliferation and enhanced fluorouracil-induced apoptosis of GC cells. CONCLUSIONS: Our findings demonstrate that HOP is an important molecular marker and prognostic factor for GC, and functionally contributes to tumor cell growth and survival. These results provide a rationale for considering HOP as a potential therapeutic target and chemosensitizer in GC. PMID- 29843140 TI - Aerobic Exercise Protects from Pseudomonas aeruginosa-Induced Pneumonia in Elderly Mice. AB - BACKGROUND: Pseudomonas aeruginosa (PS) infection results in severe morbidity and mortality, especially in immune-deficient populations. Aerobic exercise (AE) modulates the immune system, but its effects on the outcomes of pulmonary PS infection in elderly mice are unknown. METHODS: BALB/c mice (24 weeks old) were randomized to sedentary, exercise (EX), PS, and PS + EX groups for the acute experimental setting, and PS and PS + EX groups for the chronic setting. Low intensity AE was performed for 5 weeks, 60 min/day; 24 h after the final AE session, mice were inoculated with 5 * 104 colony-forming units (CFU) of PS, and 24 h and 14 days after PS inoculation, mice were studied. RESULTS: AE inhibited PS colonization (p < 0.001) and lung inflammation (total cells, neutrophils, lymphocytes [p < 0.01] in bronchoalveolar lavage [BAL]), with significant differences in BAL levels of IL-1beta (p < 0.001), IL-6 (p < 0.01), CXCL1 (p < 0.001), and TNF-alpha (p < 0.001), as well as parenchymal neutrophils (p < 0.001). AE increased BAL levels of IL-10 and parenchymal (p < 0.001) and epithelial (p < 0.001) IL-10 expression, while epithelial (p < 0.001) and parenchymal (p < 0.001) NF-kappaB expression was decreased. AE diminished pulmonary lipid peroxidation (p < 0.001) and increased glutathione peroxidase (p < 0.01). Pre-incubation of BEAS-2B with IL-10 inhibited PS-induced epithelial cell expression of TNF-alpha (p < 0.05), CD40 (p < 0.01), and dichlorodihydrofluorescein diacetate (p < 0.05). CONCLUSIONS: AE inhibits PS induced lung inflammation and bacterial colonization in elderly mice, involving IL-10/NF-kappaB, and redox signaling. PMID- 29843141 TI - A Novel LncRNA-miRNA-mRNA Triple Network Identifies LncRNA RP11-363E7.4 as An Important Regulator of miRNA and Gene Expression in Gastric Cancer. AB - BACKGROUND/AIMS: Recent evidence has shown that some long non-coding RNAs (lncRNAs) play important roles in various biological processes. However, the regulatory mechanism of lncRNA in gastric cancer (GC) remains unclear. METHODS: We reannotated the GC gene expression profile into a lncRNA-mRNA biphasic profile and integrated the microRNA target data to construct a global GC triple network. A further clustering and random walk with restart analyses was performed on the triple network from the level of topology analyses. Quantitative real-time PCR was used to determine expression of lncRNA RP11-363E7.4. Kaplan-Meier analyses was performed to evaluate the prognostic value of lncRNA RP11-363E7.4. RESULTS: We constructed a gastric cancer lncRNA-miRNA-mRNA network (GCLMN) including six lncRNAs, 332 mRNAs, and 3,707 edges. For the shared lncRNA RP11-363E7.4, the interacting gene and microRNA functional enrichment studies implied that lncRNA RP11-363E7.4 might function as a new regulator in GC. The expression of lncRNA RP11-363E7.4 was downregulated compared with that of paracarcinoma tissues in five GC samples. High expression of lncRNA RP11-363E7.4 was found to be correlated to better overall survival (OS) for GC patients. CONCLUSIONS: This study focused on GC lncRNA-miRNA-mRNA regulatory networks, and found that lncRNA RP11-363E7.4 was a new GC risk lncRNA, which might provide novel insight into a better understanding of the pathogenesis of GC. PMID- 29843143 TI - The Role of Salvage High-Dose Chemotherapy in Relapsed Male Germ Cell Tumors. AB - Germ cell tumors (GCT) are a unique tumor entity with excellent cure rates if guideline-endorsed treatment is thoroughly applied. Even patients with widespread metastatic disease can often be cured with cisplatin-based combination chemotherapy as part of a multimodal treatment approach. However, about 30% of patients with metastatic disease at initial presentation, corresponding to about 5-10% of all GCT patients, relapse or progress despite first-line treatment and therefore require salvage chemotherapy. Salvage systemic treatment either consists of conventional-dose cisplatin-based combination chemotherapy or sequential high-dose treatment with carboplatin and etoposide plus subsequent autologous stem cell support. This review is based on a comprehensive literature search of MEDLINE and conference proceedings of ESMO, ASCO, and EAU meetings until 2018 and provides an overview of current treatment options for germ cell cancer patients relapsing after or progressing during first-line cisplatin-based combination chemotherapy. PMID- 29843142 TI - Aromatase/Seladin-1 Interactions in Human Neuronal Cell Culture, the Hippocampus of Healthy Rats and Transgenic Alzheimer's Disease Mice. AB - BACKGROUND/AIMS: Decreasing levels of aromatase and seladin-1 could be one of the molecular mechanisms of Alzheimer's disease (AD). Aromatase is an enzyme that catalyzes estrogen biosynthesis from androgen precursors, and seladin-1 is an enzyme that converts desmosterol to cholesterol, which is the precursor of all hormones. Verifying the potential relationship between these proteins and accordingly determining new therapeutic targets constitute the aims of this study. METHODS: Changes in protein levels were compared in vitro in aromatase and seladin-1 inhibitor-administered human neuroblastoma (SH-SY5Y) cells in vivo in intracerebroventricular (icv) aromatase or seladin-1 inhibitor-administered rats, as well as in transgenic AD mice in which the genes encoding these proteins were knocked out. RESULTS AND CONCLUSIONS: In the cell cultures, we observed that seladin-1 protein levels increased after aromatase enzyme inhibition. The hippocampal aromatase protein levels decreased following chronic seladin-1 inhibition in icv inhibitor-administered rats; however, the aromatase levels in the dentate gyrus of seladin-1 knockout (SelKO) AD male mice increased. These findings indicate a partial relationship between these proteins and their roles in AD pathology. PMID- 29843144 TI - Erratum. PMID- 29843145 TI - Meetings and Conferences. PMID- 29843146 TI - Haploinsufficiency of the Mouse Atp6v1b1 Gene Leads to a Mild Acid-Base Disturbance with Implications for Kidney Stone Disease. AB - BACKGROUND/AIMS: Homozygous mutations or deletion of the ATP6V1B1 gene encoding for the B1 subunit of the vacuolar H+-ATPase leads to distal renal tubular acidosis in man and mice. In humans, heterozygous carriers of B1 mutations can develop incomplete dRTA with nephroclacinosis. Here, we investigated whether Atp6v1b1+/- mice also develop acid-base disturbances during an HCl acid load. METHODS: We subjected Atp6v1b1+/+, Atp6v1b1+/-, Atp6v1b1-/- to an HCl-load for 7 days and investigated acid-base status, kidney function, and expression of renal acid-base transport proteins. RESULTS: Atp6v1b1-/- mice had more alkaline urine and low ammoniuria, whereas Atp6v1b1+/- mice showed no difference in their urine parameters but higher blood chloride and lower blood pCO2 compared to controls. Subcellular localization of a4 and B2 subunits of H+-ATPase were unchanged within the 3 genotypes and Atp6v1b1+/+ and Atp6v1b1+/- mice exhibited a similar luminal localization of B1 subunit in intercalated cells. However, B1, B2 and a4 expression were decreased in renal membrane fractions from Atp6v1b1+/- mice compared to Atp6v1b1+/+ while B2 and a4 were unchanged and B1 protein was reduced in Atp6v1b+-/- kidneys. Compensatory mechanisms of B1 ablation were found only in the collecting duct with a down-regulation of pendrin in Atp6v1b1-/- mice. CONCLUSIONS: In conclusion, 1) Atp6v1b1+/- mice developed a mild incomplete dRTA. dRTA is partly compensated by respiration. 2) Compensatory mechanisms for the absence of B1 take place only in the collecting duct of Atp6v1b1-/- kidneys. PMID- 29843147 TI - Roles and Mechanisms of Human Cathelicidin LL-37 in Cancer. AB - LL-37, the C-terminal peptide of human cathelicidin antimicrobial peptide (CAMP, hCAP18), reportedly increases resistance to microbial invasion and exerts important physiological functions in chemotaxis, promotion of wound closure, and angiogenesis. Accumulating evidence indicates that LL-37 also plays a significant role in human cancer. LL-37 induces tumorigenic effects in cancers of the ovary, lung, breast, prostate, pancreas, as well as in malignant melanoma and skin squamous cell carcinoma. In contrast, LL-37 displays an anti-cancer effect in colon cancer, gastric cancer, hematologic malignancy and oral squamous cell carcinoma. Mechanistically, LL-37-induced activation of membrane receptors and subsequent signaling pathways lead to alteration of cellular functions. Different membrane receptors on various cancer cells appear to be responsible for the tissue-specific effects of LL-37. Meanwhile, the findings that vitamin D dependent induction of cathelicidin in human macrophages activates the anti cancer activity of tumor-associated macrophages (TAMs) and enhances antibody dependent cellular cytotoxicity (ADCC) support critical roles of vitamin D dependent induction of cathelicidin in cancer progression. This review describes novel advances involving the roles and mechanisms of human cathelicidin LL-37 in cancer. PMID- 29843148 TI - Target Door-to-Needle Time for Tissue Plasminogen Activator Treatment with Magnetic Resonance Imaging Screening Can Be Reduced to 45 min. AB - OBJECTIVE: The purpose of this study was to demonstrate that the median door-to needle (DTN) time for intravenous tissue plasminogen activator (tPA) treatment can be reduced to 45 min in a primary stroke centre with MRI-based screening for acute ischaemic stroke (AIS). METHODS: From February 2015 to February 2017, the stroke unit of Perpignan general hospital, France, implemented a quality improvement (QI) process. During this period, patients who received tPA within 4.5 h after AIS onset were included in the QI cohort. Their clinical characteristics and timing metrics were compared each semester and also with those of 135 consecutive patients with AIS treated by tPA during the 1-year pre QI period (pre-QI cohort). RESULTS: In the QI cohort, 274 patients (92.5%) underwent MRI screening. While the demographic and baseline characteristics were not significantly different between cohorts, the median DTN time was significantly lower in the QI than in the pre-QI cohort (52 vs. 84 min; p < 0.00001). Within the QI cohort, the median DTN time for each semester decreased from 65 to 44 min (p < 0.00001) and the proportion of treated patients with a DTN time <=45 min increased from 25 to 58.9% (p < 0.0001). Overall, DTN time improvement was associated with a better outcome at 3 months (patients with a modified Rankin Scale score between 0 and 2: 61.8% in the QI vs. 39.3% in the pre QI cohort; p < 0.0001). CONCLUSIONS: A QI process can reduce the DTN within 45 min with MRI as a screening tool. PMID- 29843149 TI - LINC01121 Inhibits Cell Apoptosis While Facilitating Proliferation, Migration, and Invasion Though Negative Regulation of the Camp/PKA Signaling Pathway via GLP1R. AB - BACKGROUND/AIMS: Pancreatic cancer is an aggressive malignancy as a result of highly metastatic potential. The current study was carried out to alter the expression of LINC01121 in pancreatic cancer, with the aim of elucidating its effects on the biological processes of cell proliferation, migration, invasion, and apoptosis. We hypothesized that both the GLP1R gene and cAMP/PKA signaling pathway participate in the aforementioned process. METHODS: Microarray data (GSE14245, GSE27890 and GSE16515) and annotating probe files linked to pancreatic cancer were downloaded through the GEO database. The Multi Experiment Matrix (MEM) site was used to predict the target gene of lncRNA. Both pancreatic cancer tissues (n = 56) and paracancerous tissues (n = 45) were collected from patients diagnosed with pancreatic cancer. Immunohistochemistry was applied to identify the positive expression rate of GLP1R protein. Isolated pancreatic cancer cells and PANC-1 cells were independently classified into the blank, negative control (NC), LINC01121 vector, siRNA-LINC01121, siRNA-GLP1R and siRNA-LINC01121 + siRNA GLP1R groups. Reverse transcription quantitative polymerase chain reaction (RT qPCR) and Western blot analysis were applied to detect the expressions of LINC01121, GLP1R, cAMP, PKA, CREB, Bcl-2, Bad and PCNA. Cell proliferation, migration, invasion, cycle progression, and apoptosis were examined by MTT assay, scratch test, Transwell assay and flow cytometry analyses of Annexin V-FITC/PI staining. RESULTS: Observations were made indicating that LINC01121 was highly expressed, while low expressions of GLP1R in pancreatic cancer were detected based on microarray data, which was largely in consistent with the data collected of LINC01121 and GLP1R within the tissues. The target prediction program and luciferase activity analysis was testament to the notion suggesting that GLP1R was indeed a target of LINC01121. In contrast to the blank and NC groups, the LINC01121 vector group exhibited increased expressions of LINC01121; decreased mRNA and protein levels of GLP1R, Bad, cAMP, and PKA; increased protein levels of CREB, Bcl-2, PCNA, p-PKA and p-CREB; increased cell proliferation, migration and invasion; and decreased cell apoptosis. There was no significant difference detected among the blank, NC, and siRNA-LINC01121 + siRNA-GLP1R groups, except that decreased LINC01121 expression was determined in the siRNA-LINC01121 + siRNA GLP1R group. Parallel data were observed in the pancreatic cancer cells and PANC 1 cells. CONCLUSION: The current study presents evidence indicating that LINC01121 might inhibit apoptosis while acting to promote proliferation, migration, and invasion of pancreatic cancer cells, supplementing the stance held that LINC01121 functions as a tumor promoter by means of its involvement in the process of translational repression of the GLP1R and inhibition of the cAMP/PKA signaling pathway. PMID- 29843150 TI - Repetitive Transient Ischemia-Induced Cardiac Angiogenesis is Mediated by Camkii Activation. AB - BACKGROUND/AIMS: Coronary angiogenesis is an important protective mechanism in response to myocardial ischemia in coronary artery disease. However, the underlying mechanisms remain largely unclear. Here, we investigated the role of CaMKII activation in ischemia-induced cardiac angiogenesis. METHODS: Repetitive transient ischemia model was established in C57/BL6 mice by daily multiple episodes (3 times/day) of short time (5 min) occlusion of the left anterior descending coronary artery for 7 days. Coronary angiogenesis was detected by immunofluorescent staining. RT-qPCR and Western blot analyses were used to detect the mRNA and protein levels of CaMKII, p-CaMKII and VEGF. Primary cardiac microvascular endothelial cells (CMECs) were isolated to investigate the effects of KN93 on cell proliferation and migration in hypoxic condition. RESULTS: We found that angiogenesis was induced in the ischemic myocardium and suppressed by chronic intraperitoneal injection of CaMKII inhibitor KN93. RT-qPCR and Western blot analyses showed that myocardial ischemia induced an increased expression and autophosphorylation of CaMKII. VEGF expression was increased in the ischemia model but blunted by KN93. Moreover, KN93 suppressed the proliferation and migration of cardiac endothelial cells in hypoxic condition in which the protein expression of CaMKII, p-CaMKII and VEGF was increased. CONCLUSION: CaMKII is an important mediator for the ischemia-induced coronary angiogenesis, in which CaMKII-triggered VEGF expression plays a key role. PMID- 29843151 TI - Impact of Metamorphopsia on Quality of Life after Successful Retinal Detachment Surgery. AB - PURPOSE: To determine the impact of metamorphopsia on quality of life after successful retinal detachment (RD) surgery and to determine which retinal changes are related to the most severe distortions. DESIGN: This was a prospective, observational, consecutive study. METHODS: The study included 58 eyes of 58 consecutive patients who underwent successful RD surgery. At 6 months postoperatively, the incidence and severity of metamorphopsia were assessed by a quality-of-life questionnaire. Microstructure retinal changes were studied with spectral domain optical coherence tomography (OCT). The questionnaire score was compared with pre- and postoperative OCT findings. RESULTS: Overall, 20 patients (34.5%) had metamorphopsia. Outer retinal folds (ORFs) and the macular status before surgery, together with postoperative ORFs and decrease in ellipsoid and/or interdigitation photoreceptor zone reflectivity, were identified as risk factors of developing metamorphopsia (relative risk, 1.7-4.8). The most severe visual distortions were associated with ORFs. CONCLUSION: Metamorphopsia is a frequent occurrence after RD surgery and its impact on patients' quality of life appears to be limited. While it may be difficult to prevent photoreceptor loss occurring after surgery, limiting postoperative ORFs may be helpful in reducing their incidence. PMID- 29843152 TI - Raddeanin a Suppresses Glioblastoma Growth by Inducing ROS Generation and Subsequent JNK Activation to Promote Cell Apoptosis. AB - BACKGROUND/AIMS: Raddeanin A (RA), an active pharmacological ingredient from Anemone raddeana Regel, plays an important role in tumor suppression. In this study, we assessed the potentially therapeutic effect of RA on glioblastoma and its underlying mechanisms. METHODS: Cell viability was examined using the MTT assay. Invasive and migratory capacities were examined using Transwell and wound healing assays. Apoptosis was determined by Hoechst staining, flow cytometry, DCFH-fluorescent probe and immunohistochemical staining. Autophagy was detected by transmission electron microscopy and western blotting. A U251 glioma xenograft model was established to evaluate the effect of RA in vivo. RESULTS: The data demonstrated that RA inhibited viability, and abrogated the invasive/migratory abilities of glioblastoma cells. In addition, RA induced apoptosis by reactive oxygen species (ROS)/ Jun N-terminal kinase (JNK) signaling in glioblastoma. Conversely, the antioxidant N-Acetyl-L-cysteine (NAC) and pan-caspase inhibitor z VAD-fmk attenuated RA-induced apoptosis by scavenging ROS and inactivating caspase-3. Furthermore, the inhibition of autophagy by 3-MA exacerbated apoptosis through ROS generation and JNK phosphorylation. In vivo, RA exhibited a curative effect on U251-derived xenografts in nude mice. CONCLUSIONS: The results of this study suggest that RA suppressed the growth of glioblastoma, thus serving as a promising and potential strategy for glioblastoma chemotherapy. PMID- 29843154 TI - Erratum. PMID- 29843153 TI - Erythropoietin Protects the Kidney by Regulating the Effect of TNF-alpha in L NAME-Induced Hypertensive Rats. AB - BACKGROUND/AIMS: Hypertension is the leading cause of death worldwide. Chronic high blood pressure induces inflammation. Tumor necrosis factor (TNF)-alpha plays a major role in inflammation and also depresses the synthesis of erythropoietin, which exerts protective effects on tissue; however, the mechanism is still unclear. We investigated the protective effect of erythropoietin against tissue damage caused by hypertension in the kidney and whether this effect was suppressed by TNF-alpha. METHODS: First, we detected the optimum chronic dose for darbepoetin-alpha (Depo), which is a long-acting erythropoietin analog for rats. We separated 60 female adult rats into 6 groups: control, Nomega-nitro-L-arginine methyl ester hydrochloride (L-NAME), L-NAME+Depo, L-NAME+Remicade (an anti-TNF alpha antibody), L-NAME+Depo+Remicade, Depo, and control. After 1 month of treatment, we measured cardiovascular parameters, took blood samples, sacrificed the rats, and removed kidneys for analyses. RESULTS: The apoptotic index and the plasma and kidney mRNA levels of TNF-alpha increased in the L-NAME group and decreased in all other treatment groups. Macrophage accumulation increased in the L-NAME and L-NAME+Remicade groups, while it decreased in the Depo group. The mRNA abundance of TNF receptor 1 (TNFR1) decreased slightly in the Depo group and TNFR2 increased significantly in the same group. CONCLUSION: Erythropoietin protects kidney tissue against hypertension by preventing the apoptotic effects of TNF-alpha by blocking macrophage accumulation, decreasing TNF-alpha levels, and switching the TNF-alpha receptors from the apoptotic receptor TNFR1 to the proliferative receptor TNFR2. PMID- 29843155 TI - Hydrogen Sulfide Decreases Blood-Brain Barrier Damage via Regulating Protein Kinase C and Tight Junction After Cardiac Arrest in Rats. AB - BACKGROUND/AIMS: Hydrogen sulfide (H2S) can decrease blood-brain barrier (BBB) permeability after cardiac arrest (CA) and resuscitation; however, the underlying mechanisms are not understood clearly. METHODS: We investigated the effects of inhalation of H2S on CA and resuscitation in a rat model of CA. We used Evans blue to detect the integrity of BBB and Western blot to assess the activation of protein kinase c (PKC) isozymes and the expression of Claudin-5, Occludin, and ZO 1. Neurological deficit scales and the 14-days survival rate were measured. RESULTS: We determined that inhalation of 40 p.p.m or 80 p.p.m H2S significantly decreased brain water content and Evans blue leakage, ameliorated neurologic deficit scale and improved 14-days survival rate. H2S inhibited the activation of PKC-alpha, beta I, beta II and delta, impelled the activation of PKC-epsilon, and increased the expression of Claudin-5, Occludin and ZO-1. CONCLUSIONS: H2S improved the integrity of BBB, mitigated brain edema; improved neurological outcome and 14-days survival rate in rats after CA and resuscitation. The beneficial effects of H2S may be associated with inhibiting the activation of PKC alpha, beta I, beta II and delta, promoting the activation of PKC-epsilon, and increasing the expression of Claudin-5, Occludin and ZO-1. PMID- 29843156 TI - Resveratrol Protects Murine Chondrogenic ATDC5 Cells Against LPS-Induced Inflammatory Injury Through Up-Regulating MiR-146b. AB - BACKGROUND/AIMS: Resveratrol (RSV) has been reported as a promising oral supplementation for osteoarthritis treatment, while the mechanism of its action is still unclear. The specific aim of this study is to decode one of the mechanisms by which RSV protects chondrocyte. METHODS: Mouse chondrogenic cell line ATDC5 was treated with 30 uM RSV for 24 h, and 10 ug/ml LPS for 12 h, after which cell viability, apoptosis, and the release of pro-inflammatory cytokines were assessed. The expression of miR-146b in ATDC5 cells was silenced by the specific inhibitor transfection, and then cell viability, apoptosis and inflammation were re-assessed. RESULTS: The IC50 value of LPS in ATDC5 cells was about 10.27 ug/ml. LPS with a dosage of 10 ug/ml repressed cell viability, induced apoptosis, and increased the release of IL-1beta, IL-6 and TNF-alpha. RSV pre-treatment (30 uM) significantly alleviated LPS-induced apoptosis and inflammation. More importantly, miR-146b was up-regulated by RSV, and the protective functions of RSV on ATDC5 cells were attenuated by miR-146b silence. Further, NF-kappaB and p38MAPK pathways were activated by LPS, and were deactivated by RSV. Besides, RSV-induced the deactivation of NF-kappaB and p38MAPK pathways was reversed by miR-146b silence. CONCLUSIONS: Our findings suggest that RSV protects ATDC5 cells from LPS-induced inflammatory and apoptotic injury via up-regulation of miR-146b and thereby deactivation of NF-kappaB and p38MAPK pathways. PMID- 29843159 TI - Video Comment on Andre A. Neves et al. PMID- 29843160 TI - Video Comment on Andrew C. Storm et al. PMID- 29843161 TI - Video Comment on Alberto Tringali et al. PMID- 29843157 TI - Barrett's Esophagus after Bimodality Therapy in Patients with Esophageal Adenocarcinoma. AB - INTRODUCTION: Barrett's esophagus (BE) may be present in patients with esophageal adenocarcinoma (EAC) after bimodality therapy (BMT). There is no specific guidance for follow-up of these patients with regard to the presence of BE or dysplasia. In this study, we assessed the outcomes of patients who, after BMT, had BE and those who did not. METHOD: Patients with EAC who had BMT were identified and analyzed retrospectively in two groups, with and without BE. We compared patient characteristics and outcome variables (local, distant, and no recurrence). RESULTS: Of 228 patients with EAC, 68 (29.8%) had BE before BMT. Ninety-eight (42.9%) had BE after BMT, and endoscopic intervention was done in 11 (11.2%). With a median follow-up of 37 months, the presence of post-BMT BE was not significantly associated with overall survival (OS) and local recurrence-free survival (LRFS). Similarly, endoscopic intervention was not significantly associated with OS and LRFS. Fifty (73.5%) patients with BE before BMT had BE after BMT (p < 0.0001). CONCLUSION: The presence of BE after BMT was not associated with increased risk of local recurrence. The local recurrence rate was not influenced by endoscopic intervention. Prospective studies are warranted to generate guidance for intervention, if necessary, for this group of EAC patients. PMID- 29843158 TI - Factors associated with changing indications for adenotonsillectomy: A population based longitudinal study. AB - OBJECTIVE: Adenotonsillectomy (AT) is one of the most common surgical procedures performed in children and adults. We aim to assess the factors associated with changes in the incidence of and indications for AT using population-level data. STUDY DESIGN: This retrospective cohort study investigated patients who underwent AT between 1997 and 2010 by using data from the Taiwan National Health Insurance Research Database. We examined surgical rates and indications by the calendar year as well as age, sex, hospital level, and insured residence areas for the correlating factors. RESULTS: The average annual incidence rate of AT was 14.7 per 100,000 individuals during 1997-2010. Pediatric (<18 years) patients represented 48.2% of the total AT population. More than 99% of the patients underwent the AT procedures as an inpatient intervention. Longitudinal data demonstrated an increasing trend in the pediatric AT rates from 1997 (4.3/100,000) to 2010 (5.7/100,000) (p = 0.029). In the adult subgroup, a decreasing prevalence of infectious indications (p = 0.014) coincided with an increasing neoplastic indications (p = 0.001). In the pediatric subgroup, the prevalence of obstructive indications increased (p = 0.002). The logistic regression analyses indicated that the significant factors associated with the changing surgical indications for AT were the age in the adult subgroup and hospital level in the pediatric subgroup. CONCLUSIONS: This study revealed a low AT rate in Taiwan than that in other countries. Pediatric AT incidence increased during 1997-2010. Although a rising prevalence of obstructive and neoplastic indications was noted, infection remained the most common indications for AT. Age in the adult subgroup and hospital level in the pediatric subgroup were factors associated with the changing indications for AT. PMID- 29843162 TI - Finding the middle ground in bile duct injury: the evolving role of biliary rendezvous. PMID- 29843163 TI - Continuing progress in endoscopic drainage of walled-off pancreatic necrosis. PMID- 29843164 TI - Endoscopic submucosal dissection for large protruding colorectal neoplasms: it still is a challenging procedure! PMID- 29843165 TI - Efficacy of self-expandable metal stents compared with multiple plastic stents in benign biliary strictures. PMID- 29843167 TI - [French comment on article A double-reprocessing high-level disinfection protocol does not eliminate positive cultures from the elevators of duodenoscopes]. PMID- 29843166 TI - [French comment on article Delineation of the extent of early gastric cancer by magnifying narrow-band imaging and chromoendoscopy: a multicenter randomized controlled trial]. PMID- 29843168 TI - [French comment on article Early removal of biflanged metal stents in the management of pancreatic walled-off necrosis: a prospective study]. PMID- 29843169 TI - [French comment on article Short-term outcomes following endoscopic submucosal dissection of large protruding colorectal neoplasms]. PMID- 29843170 TI - Which mode and potency of electrocoagulation yields the Smallest Unobstructed Area of the Fallopian Tubes? AB - OBJECTIVE: To determine which mode and potency of electrocoagulation, using a modern electrosurgical generator, yields the smallest unobstructed area of the Fallopian tubes. METHODS: In an experimental study, tubes from 48 hysterectomies or tubal ligation were evaluated. Tubes were randomly allocated to one of the following groups: group A) 25 W x 5 seconds (n = 17); group B) 30 W x 5 seconds (n = 17); group C) 35 W x 5 seconds (n = 18), group D) 40 W x 5 seconds (n = 20); group E) 40 W x 5 seconds with visual inspection (blanch, swells, collapse) (n = 16); group F) 50 W x 5 seconds (n = 8). Bipolar electrocoagulation was performed in groups A to E, and monopolar electrocoagulation was performed in group F. Coagulation mode was used in all groups. Digital photomicrography of the transversal histological sections of the isthmic segment of the Fallopian tube were taken, and the median percentage of unobstructed luminal area (mm2) was measured with ImageJ software (ImageJ, National Institutes of Health, Bethesda, MD, USA). The Kruskal-Wallis test or analysis of variance (ANOVA) was used for statistical analysis. RESULTS: Ninety-six Fallopian tube sections were analyzed. The smallest median occluded area (%; range) of the Fallopian tube was obtained in the group with 40 W with visual inspection (8.3%; 0.9-40%), followed by the groups 25 W (9.1%; 0-35.9%), 40 W (14.2; 0.9-43.2%), 30 W (14.2; 0.9-49.7%), 35 W (15.1; 3-46.4%) and 50 W (38.2; 3.1-51%). No statistically significant difference was found among groups (p = 0.09, Kruskal-Wallis test). CONCLUSION: The smallest unobstructed area was obtained with power setting at 40 W with visual inspection using a modern electrosurgical generator. However, no statistically significant difference in the unobstructed area was observed among the groups using these different modes and potencies. PMID- 29843173 TI - Diagnosis and Treatment of Pulmonary Embolism in Challenging Populations. AB - Although the diagnostic and therapeutic approach to pulmonary embolism (PE) has been considerably improved and standardized in recent years, special populations such as pregnant patients and those with impaired renal function or cancer still represent a clinical challenge and a detailed knowledge about the available diagnostic and therapeutic alternatives is mandatory to provide best evidence based care for these difficult-to-treat patients. Although this review aimed to summarize the most important aspects in this field, the reader is referred to the original studies cited here and dedicated guideline and guidance documents for more detailed information. PMID- 29843172 TI - Initial and Long-Term Treatment of Pulmonary Embolism: Current Approach and Future Perspectives. AB - Pulmonary embolism is associated with variable risk of early mortality, ranging from less than 1% to more than 15%. Risk stratification, based on clinical variables and signs of right ventricular dysfunction, is crucial to decide the best management and treatment strategy. Home therapy may be an option for low risk patients, whereas patients at intermediate risk need to be hospitalized and some of them, at intermediate high risk, may require more intensive monitoring to early detect signs of haemodynamic decompensation. The initial treatment is based on anticoagulants with rapid onset of action, either parenteral (heparin/fondaparinux) or oral (direct oral anticoagulants, DOACs). Thereafter, DOACs (or, if contraindicated, vitamin K antagonists) needs to be continued for at least 3 months. Beyond this period, an individual re-evaluation of the risk-to benefit ratio of anticoagulation should be performed, based on several factors, including the type of index event, age, sex, D-dimer and residual venous obstruction. Possibly safer strategies can be offered to higher risk patients requiring extended duration of treatment, including the DOACs apixaban and rivaroxaban at reduced dose. PMID- 29843174 TI - Reperfusion Treatment for Acute Pulmonary Embolism. AB - Due to the manifold treatment options for the management of acute pulmonary embolism, state-of-the-art management requires risk stratification for choosing the adapted treatment for each patient. Reperfusion therapy is an integral part of therapy for patients with pulmonary embolism at high risk for mortality, but its role in patients with intermediate risk pulmonary embolism is more debated. The largest amount of evidence exists for systemic thrombolysis, which is an efficient therapy, but at the prize of an increased bleeding risk. In recent years, various types of catheter-based reperfusion therapies have been introduced, and evidence is growing that this therapy is as efficient as systemic thrombolysis, but with a more favourable safety profile. Surgical embolectomy remains a good alternative for unstable patients, especially for those with absolute contraindications for thrombolysis or after failed systemic thrombolysis. While the early benefits of reperfusion therapy are well documented, evidence for long-term benefit is still scarce. The scope of this review is to summarize the evidence for the currently available reperfusion therapies in the management of acute pulmonary embolism. PMID- 29843175 TI - [Emergency Neurology]. PMID- 29843176 TI - [Acute unconsciousness]. AB - Emergency treatment of unconscious patients is a complex task and should follow a standardised algorithm. Stabilisation of vital parameters, diagnostic procedures, and therapeutic interventions should be carried out in part simultaneously and require interdisciplinary teamwork. Diagnosis has to be made under high time pressure in order to recognize life threatening causes and initiate specific treatments. Often, the earlier the treatment starts, the better the outcome is. PMID- 29843177 TI - [Status epilepticus]. AB - Status epilepticus is a neurologic emergency manifested by prolonged seizure activity or multiple seizures without full recovery of previous condition in between. The most important aim of treatment is early seizure termination, because duration of status epilepticus correlates with a higher rate of morbidity and mortality. Based on evidence from clinical trials and guidelines strategies for management of status epilepticus are provided. PMID- 29843178 TI - [Meningism]. AB - A thorough neurological examination in emergency situations requires the evaluation of meningeal signs. Even though in most settings, evaluation of meningism is technically not very demanding, the interpretation of findings may prove difficult. As opposed to a widely held belief, clinical signs of meningism are neither specific nor highly sensitive for detection of meningitis or subarachnoid hemorrhage. A meaningful evaluation of meningeal signs, therefore, requires careful consideration of both clinical findings and other accessory symptoms. PMID- 29843179 TI - [Myasthenic Crisis]. AB - Myasthenic crisis is the life threatening maximal manifestation of myasthenia gravis. Severe dysphagia and respiratory insufficiency demand admission to an intensive care unit (ICU). At variance, the timely recognition and treatment of myasthenic exacerbation may prevent a manifesting crisis. This reviews deals with red flags that pronounce exacerbation and crisis. Myasthenic crisis is an important differential diagnosis of bulbar symptoms and dysphagia. We elaborate on a structured and comprehensive approach to myasthenic crisis on the ICU. Hallmarks of therapy are symptomatic treatment with acetylcholine esterase inhibitors, plasmapheresis or immunoadsorption, polyvalent immunoglobulins, an early start of steroids and immunosuppressants, namely azathioprine, and a consequent escalation to monoclonal antibody therapy, with rituximab being the first choice. Special demands in ICU treatments are a structured weaning concept, consequent treatment of comorbidities and complications, first and foremost infections, dysphagia management, and comprehensive prevention and treatments of delirium. PMID- 29843180 TI - [Circadian rhythms and depression]. AB - Depressive disorders are associated with various neurobiological alterations like hyperactivity of the hypothalamic-pituitary-adrenal axis, altered neuroplasticity and altered circadian rhythms. Relating to the circadian symptoms, a process is adopted in which individual genetic factors together with social, psychological and physical stressors may lead to a decompensation of the circadian system. The causal connections between depressive disorders and disturbed circadian rhythms have not been completely clarified. Chronobiological therapy is based on these disturbed processes. For the treatment of the circadian symptoms, various scientifically tested chronotherapeutics are available with however different effectiveness and evidence like light therapy or sleep deprivation. The successful treatment of depression also frequently leads to a improvement in altered circadian rhythm. PMID- 29843181 TI - De Novo Transcriptome Assembly and Characterization of Lithospermum officinale to Discover Putative Genes Involved in Specialized Metabolites Biosynthesis. AB - Lithospermum officinale is a valuable source of bioactive metabolites with medicinal and industrial values. However, little is known about genes involved in the biosynthesis of these metabolites, primarily due to the lack of genome or transcriptome resources. This study presents the first effort to establish and characterize de novo transcriptome assembly resource for L. officinale and expression analysis for three of its tissues, namely leaf, stem, and root. Using over 4Gbps of RNA-sequencing datasets, we obtained de novo transcriptome assembly of L. officinale, consisting of 77,047 unigenes with assembly N50 value as 1524 bps. Based on transcriptome annotation and functional classification, 52,766 unigenes were assigned with putative genes functions, gene ontology terms, and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways. KEGG pathway and gene ontology enrichment analysis using highly expressed unigenes across three tissues and targeted metabolome analysis showed active secondary metabolic processes enriched specifically in the root of L. officinale. Using co-expression analysis, we also identified 20 and 48 unigenes representing different enzymes of lithospermic/chlorogenic acid and shikonin biosynthesis pathways, respectively. We further identified 15 candidate unigenes annotated as cytochrome P450 with the highest expression in the root of L. officinale as novel genes with a role in key biochemical reactions toward shikonin biosynthesis. Thus, through this study, we not only generated a high-quality genomic resource for L. officinale but also propose candidate genes to be involved in shikonin biosynthesis pathways for further functional characterization. PMID- 29843182 TI - A Cyclotide Isolated from Noisettia orchidiflora (Violaceae). AB - Biologically active cyclotides have been found on some flowering plants species and are involved in the role of the plant protection. As part of studies focusing on peptides from Brazilian plant species, we are reporting the detection by LC-MS of several cyclotides from leaves and stems of Noisettia orchidiflora (Violaceae). From stems it was possible to isolate and characterize a cyclotide named Nor A. Its primary structure (amino acid sequence) was established by MALDI TOF-MS, based on the y- and b-type ion series, after reduction and alkylation reactions, as well as enzymatic digestion using the enzymes endoproteinase glutamic acid (endoGlu-C), trypsin, and chymotrypsin. Furthermore, the amino acid analysis was also described. PMID- 29843183 TI - The Integration of Metabolomics and Next-Generation Sequencing Data to Elucidate the Pathways of Natural Product Metabolism in Medicinal Plants. AB - Plants have always been used as medicines since ancient times to treat diseases. The knowledge around the active components of herbal preparations has remained nevertheless fragmentary: the biosynthetic pathways of many secondary metabolites of pharmacological importance have been clarified only in a few species, while the chemodiversity present in many medicinal plants has remained largely unexplored. Despite the advancements of synthetic biology for production of medicinal compounds in heterologous hosts, the native plant species are often the most reliable and economic source for their production. It thus becomes fundamental to investigate the metabolic composition of medicinal plants to characterize their natural metabolic diversity and to define the biosynthetic routes in planta of important compounds to develop strategies to further increase their content. We present here a number of case studies for selected classes of secondary metabolites and we review their health benefits and the historical developments in their structural elucidation and characterization of biosynthetic genes. We cover the cases of benzoisoquinoline and monoterpenoid indole alkaloids, cannabinoids, caffeine, ginsenosides, withanolides, artemisinin, and taxol; we show how the "early" biochemical or the more recent integrative approaches-based on omics-analyses-have helped to elucidate their metabolic pathways and cellular compartmentation. We also summarize how the knowledge generated about their biosynthesis has been used to develop metabolic engineering strategies in heterologous and native hosts. We conclude that following the advent of novel, high-throughput and cost-effective analytical technologies, the secondary metabolism of medicinal plants can now be examined under the lens of systems biology. PMID- 29843184 TI - [Spinal cord injury with neurogenic lower urinary tract dysfunction as a potential risk factor for bladder carcinoma]. AB - INTRODUCTION AND OBJECTIVES: Life expectancy for people with spinal cord injury/disease (SCI/D) is increasing, due to modern advances in treatment methods and in neuro-urology. However, with the increased life expectancy the risk of developing urinary bladder cancer is gaining importance. How is this patient group different from the general population? METHODS: Single-centre retrospective evaluation of consecutive patient data with spinal cord injury and proven urinary bladder cancer. RESULTS: Between January 1st 1998 and March 31st 2017, 32 (3 female, 29 male) out of a total of 6432 patients with SCI/D were diagnosed with bladder cancer.The average age at bladder cancer diagnosis was 54.5 years, which is well below the average for bladder cancer cases in the general population (male: 74, female: 75).Twenty-seven patients suffered from urodynamically confirmed neurogenic detrusor overactivity, while five patients (all male) had detrusor acontractility.The median latency period between the onset of SCI/D and tumor diagnosis was 29.5 years. Temporary indwelling catheterisation was found in four patients for only 1.61 % of the overall latency period of all patients.The majority of the patients (n = 27) had transitional cell carcinoma, while five had squamous cell carcinoma. Of the 32 patients, 25 (78 %) had muscle invasive bladder cancer at >= T2 at the time of diagnosis. Regarding tumour grading, 23 out of 32 patients showed a histologically poorly differentiated G3 carcinoma; two patients each had G2 and G1 tumours repectively (no information on tumour grading was available in five patients).The median survival for all patients was 11.5 months. The prognosis of patients with squamous cell carcinoma was even worse; 4 out of 5 died within 7 months (median 4 months). CONCLUSIONS: The significantly younger age at onset and the frequency of invasive, poorly differentiated tumour at diagnosis indicate that SCI/D influences both bladder cancer risk and prognosis significantly. The latency period between paralysis and tumour disease seems to be a decisive risk parameter.The type of neurogenic bladder dysfunction and the form of bladder drainage do not appear to influence the risk. Long-term indwelling catheter drainage played only a minor role in the investigated patients.Early detection of bladder cancer in patients with spinal cord injury remains a challenge. PMID- 29843185 TI - Off-Pump Coronary Artery Bypass Graft Versus Drug-Eluting Stent Implantation in Patients with Multivessel Disease Involving the Right Coronary Artery. AB - BACKGROUND: Whether percutaneous coronary intervention (PCI) is superior to coronary artery bypass grafting (CABG) for the right coronary territory is unknown. The aim of this study was to compare the outcomes and patency in the right coronary territory after CABG or PCI. METHODS: We studied 2,467 multivessel coronary artery disease patients from January 2001 to December 2011; 1,672 were off-pump CABG patients and 795 were PCI. The graft patency and the presence of major adverse cardiac and cerebrovascular events (MACCEs) including death, myocardial infarction, target vessel revascularization, and stroke were analyzed. RESULTS: After propensity score matching, cardiac-related survival was found to be significantly higher in the CABG group than in the PCI group (hazard ratio (HR) for the PCI group: 2.445, p = 0.006). The PCI group showed higher rates of myocardial infarction (HR: 2.571, p = 0.011) and target vessel revascularization (HR: 3.337, p < 0.001). In the right coronary territory, the right internal thoracic artery patency was not different in the PCI group compared with the CABG group (p = 0.248). In CABG group, low right coronary artery graft patency was associated with cardiac-related death (HR: 0.17, p = 0.003) and the occurrence of MACCEs (HR: 0.22, p < 0.001). CONCLUSION: CABG was superior to PCI in patients with multivessel disease. Low graft patency in the right coronary territory was associated with cardiac-related death and the occurrence of MACCEs. PMID- 29843186 TI - Predictive Factors of Thoracic Lymph Node Metastasis Accompanying Pulmonary Metastasis from Colorectal Cancer. AB - BACKGROUND: The aim of this study was to identify the factors predicting thoracic lymph node (LN) metastases for pulmonary resection from colorectal cancer (CRC). METHODS: The records of 160 patients who underwent pulmonary metastasectomy for CRC were retrospectively reviewed. Clinicopathologic factors were analyzed with chi-square test or t-test and logistic regression to identify predictable factors for LN metastases. RESULTS: Sixty patients (37.5%) underwent LN dissection during pulmonary metastasectomy, and LN metastases were found in five patients. Twenty-three patients had LN recurrence among the 100 patients (62.5%) without LN dissection during the follow-up period. Twenty-eight patients out of 160 (17.5%) had LN metastases. By multivariate analysis, the number of pulmonary metastasis and metastasis from colon cancers were independent factors predicting LN metastases. CONCLUSION: The number of pulmonary metastasis and metastasis from colon cancers were independent factors predicting LN metastases. LN sampling should be performed especially in cases with strong predictive factors to improve staging and help guide further treatment. PMID- 29843187 TI - Comparing Part-Solid and Pure-Solid Tumors in the TNM Classification of Lung Cancer (Eighth Edition). AB - BACKGROUND: In the eighth edition of the TNM classification, the lung tumors that have the same solid components are categorized either as part-solid or pure solid tumors. However, this is debatable since the tumors in the same T component categories were evaluated without considering this categorization, and was based on a more malignant behavior and a poorer prognosis of pure-solid tumors. The aim of this study was to investigate and compare the prognosis between part-solid and pure-solid tumors. METHODS: We retrospectively analyzed 530 patients who were diagnosed with clinical-T1a-cN0M0 non-small-cell lung cancer (NSCLC) and were treated surgically. The subjects were divided into part-solid and pure-solid tumor groups using thin-section computed tomography. The prognosis was compared between the groups. RESULTS: Although relapse-free survival (RFS) was significantly shorter in the pure-solid tumor group (p = 0.016), no significant differences were observed in the overall survival (OS) between the two groups (p = 0.247). In 137 propensity score-matched pairs, including variables such as age, gender, Brinkman index, body mass index, forced expiratory volume in 1 second/forced vital capacity, Charlson comorbidity index, carcinoembryonic antigen levels, clinical-T status, surgical procedure, and extent of surgery, no significant differences were seen in the RFS and OS between the two groups (p = 0.709 and p = 0.517, respectively). CONCLUSION: In the eighth edition of the TNM classification of clinical-T1a-cN0M0 NSCLC, the prognosis of part-solid and pure solid tumors showed no significant differences. Solid component size of the tumor is considered important prognostic factor in early-stage NSCLC. PMID- 29843188 TI - Fear of cancer recurrence and death anxiety. AB - In 2013, 3 systematic reviews of fear of cancer recurrence (FCR) and its predictors were published. All 3 concurred that FCR is a highly prevalent problem and amongst the largest unmet needs of cancer survivors, even 5 or more years after treatment. However, between them they identified only 1 study that had investigated the relationship between death anxiety and FCR. This is surprising because it is well acknowledged that a diagnosis of cancer, a potentially life threatening illness, is associated with a number of existential issues that give rise to psychological sequelae such as intrusive thoughts about death and other post-traumatic symptoms. Outside the cancer literature, there has recently been a call to identify death anxiety as a transdiagnostic construct that underlies many anxiety disorders even in healthy people. And yet, the relevance of death anxiety to FCR has not been studied. We explore the barriers to the study of death anxiety and FCR and the reasons that a potential link between the 2 might have important theoretical and clinical implications. We conclude that establishing the relationship between death anxiety, FCR and other existential issues is essential in order to fully understand FCR, particularly in the context of advanced disease. We further conclude that whether death anxiety underlies FCR has important clinical implications which would potentially allow us to optimise currently available evidence-based treatments. PMID- 29843189 TI - Re-validation and screening capacity of the 6-item version of the Cancer Worry Scale. AB - OBJECTIVE: Fear of cancer recurrence (FCR) is one of the major existential unmet needs of cancer survivors. Due to growing availability of evidenced-based interventions for high FCR, valid and reliable brief measures of FCR are needed. This study aimed to validate the 6-item Cancer Worry Scale (CWS) and to establish a cut-off score for high FCR. METHODS: Participants in this study were 1033 cancer survivors and patients recruited as part of 5 existing studies on FCR involving patients and survivors with gastro-intestinal stromal tumors, colorectal, breast, and prostate cancer. De-identified data of the CWS, Fear of Cancer Recurrence Inventory (FCRI), Impact of Event Scale, Hospital Anxiety and Depression Scale, and EORTC-QLQ-C30 were amalgamated for the analyses. Confirmatory factor analysis of the CWS was performed. Sensitivity and specificity were tested with the FCRI as gold standard. RESULTS: Results confirmed that the 6-item version of the CWS maintained good construct validity, convergent and divergent validity, and high internal consistency (alpha 0.90). The optimal cut-off for the 6-item CWS was 9 versus 10 using the 12 vs 13 FCRI-SF score (sensitivity 82%, specificity 83%) and the 15 vs 16 FCRI-SF score (sensitivity 88%, specificity 73%). Using the highest FCRI-SF cut-off (21 vs 22), the optimal CWS cut-off was 11 vs 12 (sensitivity 88%, specificity 81%). CONCLUSIONS: The present results provide researchers and clinicians with a brief valid and reliable measure of FCR which is suitable for measuring FCR in cancer patients and survivors. PMID- 29843191 TI - "Spirituality" hardly facilitates our understanding of existential distress-But "everyday life" might. PMID- 29843190 TI - The relationship between cancer-related worry and posttraumatic growth in adolescent and young adult cancer survivors. AB - OBJECTIVES: To examine cancer-related worry in adolescent and young adult (AYA) cancer survivors and its relationship with posttraumatic growth over time, as the relationship between these constructs has not been assessed longitudinally in this population. METHODS: A total of 153 AYA cancer survivors completed measures of cancer-related worry and posttraumatic growth 3 times across approximately 1 year. Descriptive statistics were calculated for cancer-related worry items, and mixed-effects modeling assessed the relationship between cancer-related worry and posttraumatic growth. RESULTS: Most participants reported at least moderate cancer-related worry in at least 1 area at each assessment (88.2-93.9% across time points). Worry about future health was the most prevalent concern (65.4% 83.7% across time points). Cancer-related worry was positively related to posttraumatic growth in the mixed-effects model. However, post hoc analyses indicated that cancer-related worry and posttraumatic growth were modestly related; there was no evidence that either construct predicted the other over time. CONCLUSIONS: Cancer-related worry appears to be a common psychosocial outcome in AYA cancer survivors. However, cancer-related worry appears to be only modestly related to the development of posttraumatic growth, implying that these may be independent constructs despite theoretical literature suggesting that posttraumatic growth may stem from posttraumatic distress. Thus, it is necessary to assess AYA survivors for cancer-related worry and posttraumatic growth, and develop interventions to target cancer-related worry and foster posttraumatic growth. PMID- 29843192 TI - CD73, CD90, CD105 and Cadherin-11 RT-PCR Screening for Mesenchymal Stem Cells from Cryopreserved Human Cord Tissue. AB - Background and Objectives: Mesenchymal stem cells (MSCs) are self-renewing, non specialized cells used clinically in tissue regeneration and sourced from bone marrow, peripheral blood, umbilical cord blood and umbilical cord tissue (UCT). To demonstrate an alternative method for MSC detection, cryopreserved UCT and expanded MSC were screened for MSC markers CD73, CD90, CD105 and CDH-11 by RT PCR. Methods and Results: Human UCT were washed, sectioned, cryopreserved with 10% DMSO and stored in the vapor phase of liquid nitrogen. Fresh and frozen UCT samples were expanded for MSC. UCT and MSC were processed for RNA and screened for CD73, CD90, CD105 and CDH-11 mRNA by RT-PCR. CD73, CD90 and CD105 were detected by flow cytometry and CDH-11 was detected by Western blotting. Short and long-term frozen UCT shows a loss of mRNA expression for CD73 at 33.2+/-34.0%, CD90 at 6.2+/-8.2%, CD105 at 17.7+/-21.6% and CDH-11 at 30.1+/-26.7% but was not statistically significant to indicate the deterioration. Expanded MSCs from fresh UCT expressed 0.09+/-0.07-fold CD73, 0.17+/-0.11-fold CD90, 0.04+/-0.06-fold CD105 and 0.14+/-0.08-fold CDH-11. Expanded MSCs from frozen UCTs expressed 0.09+/-0.06-fold CD73, 0.13+/-0.06-fold CD90, 0.04+/-0.05-fold CD105 and 0.11+/ 0.06-fold CDH-11 and confirmed by flow cytometry and Western blotting. Conclusion: CD73, CD90, CD105 and CDH-11 were detected by RT-PCR in cryopreserved UCT and MSC expansion. CDH-11 appears as a useful single target MSC marker for quick screening. PMID- 29843193 TI - Large-scale Isolation, Expansion and Characterization of Human Amniotic Epithelial Cells. AB - Background and Objectives: The human Amniotic epithelial cells (AME) derived from amniotic membrane of placenta have been considered as the potential fetal stem cell source with minimal or no ethical concerns and are important therapeutic tool for anti-fibrotic and regenerative therapies. Methods and Results: Here, we evaluated the isolation, media screening, scale-up and characterization of AME cells. The isolation, expansion of AMEs were performed by sequential passaging and growth kinetics studies. The AMEs were characterized using immunocytochemistry, immunophenotyping, In-vitro differentiation, and anti fibrotic assays. The growth kinetics study revealed that the AME cultured in Ultraculture (UC) and DMEM knockout (DMEM-KO) have prominently higher growth rate compared to others. Overall, the AMEs cultured from 5 different media retained basic morphological characteristics and the functional characteristics. Conclusions: Our result suggests that the AMEs can be successfully cultured in UC based complete media without losing its epithelial cell characteristics even after passaging for passage 2 (P2). However, a careful and methodical pre clinical and clinical translation studies need to be conducted to show its safety and efficacy. PMID- 29843194 TI - The Role of Microenvironment in Preserving the Potency of Adult Porcine Pulmonary Valve Stem Cells In Vitro. AB - Background and Objective: The potency of tissue resident stem cells is regulated primarily by inputs from the local microenvironment. Isolation of stem cells through enzymatic digestion of tissue may affect epigenetic regulation of cell fate and performance. Here we employ a non-enzymatic method to harvest and investigate tissue resident stem cells from the adult porcine pulmonary valve. Methods and Results: The presence of c-Kit+ stem cells within the valve tissue was confirmed by immunohistochemistry. An in vitro culture of minced valve leaflets was developed under the standard conditions (37 degrees C with 5% CO2). The viability of the cellular outgrowths was evaluated over the subsequent 12 weeks. Under this culture condition, we identified a population of non-adherent c Kit+ cells and multiple cellular structures mimicking the phenotype of embryonic stem cells at different stages of development. Formation of multinucleated cells through cell fusion provided an active niche area for homing and interaction of the non-adherent c-Kit+ cells. Expression of pluripotency markers Oct-4 and Nanog was detected in the newly formed multinucleated cells but not in mature colonies. Partial cell fusion was shown by fluorescent live-cell tracking, which confirmed intercellular molecular exchange between donor and recipient cells, resulting in altered cytoplasmic protein expression by the recipient cell. Conclusions: These results suggest a role for the microenvironment in decrypting the potential of the valve somatic stem cells in vitro. In addition, our data provide evidence for cell fusion, which may play a critical role in reversing somatic cell fate and spontaneous cellular reprogramming. PMID- 29843195 TI - Anterior Cruciate Ligament Reconstruction: The Long Road from Science to Clinical Relevance. PMID- 29843196 TI - A Comparison of Results after Anterior Cruciate Ligament Reconstruction in over 40 and under 40 Years of Age: A Meta-Analysis. AB - Purpose: Anterior cruciate ligament (ACL) injury is one of the most common injuries that occur in the knee, and ACL reconstruction (ACLR) is commonly performed for preventing aggravation of degenerative changes and restoring of knee stability in young, athletic patients. This meta-analysis has a purpose of evaluating the clinical and arthrometrical outcomes of ACLR in a group of middle age patients (40 years and older) and comparing with patients under 40 years of age. Methods: MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials, Web of Science, and SCOPUS electronic databases were searched for relevant articles comparing the outcomes of ACLR between younger and older than 40 years of age until December 2016. Data searching, extraction, analysis, and quality assessment were performed based on the Cochrane Collaboration guidelines. Clinical outcomes were evaluated and compared between groups. The results were presented as mean difference for continuous outcomes with 95% confidence intervals whereas risk ratio for binary outcomes. Results: Seven studies were included in the meta-analysis. Based on International Knee Documentation Committee classification, side-to-side difference, Tegner activity score, Lysholm knee score, there were no significant clinical and mechanical differences between the groups. Conclusions: This meta-analysis confirmed that after ACLR, middle age (>40 years) and young age (<40 years) patients did not present with significant difference in clinical and arthrometric results. PMID- 29843197 TI - Two-Stage Reimplantation in Infected Total Knee Arthroplasty. AB - Two-stage reimplantation is considered the gold standard for the management of periprosthetic joint infection. The first stage involves the removal of the prosthesis, followed by extensive debridement of all nonviable tissues, synovectomy, irrigation, and reaming of the medullary canals. Once the joint has been prepared, antibiotic-impregnated cement beads and/or spacer are inserted. Antibiotic-impregnated spacers are now more commonly used, and an increasing number of orthopaedic surgeons are using articulating spacers if indicated. Antibiotics are then prescribed to the patient based on the sensitivities of the infecting organism. The duration of systemic antibiotic use is decreasing, and short courses of antibiotic therapy have been shown to be as efficacious as prolonged therapy between the first and second stages. The second stage of the procedure involves removal of the antibiotic-impregnated cement beads and/or spacer, repeat irrigation and debridement, and final reconstruction with revision components. While two-stage reimplantation was considered the gold standard in many parts of the world, recent studies have demonstrated that it is associated with a considerable failure rate. This may be due to the lack of accurate diagnostic tools for infection eradication, and future investigation of risk factors for failure of the two-stage reimplantation should be conducted. PMID- 29843198 TI - Intraoperative Graft Isometry in Anatomic Single-Bundle Anterior Cruciate Ligament Reconstruction. AB - Purpose: Little is known about the isometry of anatomic single-bundle anterior cruciate ligament (ACL) tunnel positions in vivo although it is closely related to graft tension throughout the range of motion. The purpose of this study was to evaluate intraoperative graft isometry in anatomic single-bundle ACL reconstruction in vivo. Materials and Methods: Graft length changes were assessed before bio-screw fixation in the tibial tunnel by pulling the graft with tensions of 20 lbs and 30 lbs in full extension at flexion angles of 30 degrees , 60 degrees , 90 degrees , and 120 degrees . Results: At the flexion angle of 30 degrees , 20 lbs and 30 lbs of tension showed -0.4 mm and -0.6 mm length changes, respectively. The greater the flexion angle of the knee, the shorter the graft length in the joint. At the flexion angles of 90 degrees and 120 degrees , there was significant difference in the graft length change between 20 lbs and 30 lbs of tension. Conclusions: Anatomic single-bundle ACL reconstruction was non isometric. The graft length was the longest in full extension. The tension of graft became loose in flexion. At the flexion angles of 90 degrees and 120 degrees , there was significant difference in the graft length change between 20 lbs and 30 lbs of tension. PMID- 29843199 TI - Does Adductor Canal Block Have a Synergistic Effect with Local Infiltration Analgesia for Enhancing Ambulation and Improving Analgesia after Total Knee Arthroplasty? AB - Purpose: We compared a single-injection adductor canal block (ACB) with or without local infiltration analgesia (LIA) for accelerating functional recovery and reducing postoperative pain after total knee arthroplasty (TKA). Materials and Methods: Sixty-two patients undergoing TKA with simple spinal analgesia and ACB were randomized to receive either LIA (group A+L) or placebo LIA (group A). Postoperative visual analog scale (VAS) score for pain, Timed Up and Go (TUG) test and quadriceps strength, total dosage of rescue analgesia, time to first rescue analgesia, and adverse events were serially evaluated from postoperative day 1 to 3 months. Results: There were no differences between both groups in pre- and postoperative VAS, TUG test, quadriceps strength 2 days, 3 days, 2 weeks, 6 weeks, and 3 months postoperatively. There were no differences in Knee Society clinical and function scores at 6 months and 1 year. However, group A+L had a significantly longer time for postoperative rescue analgesia (491 minutes vs. 143 minutes, p=0.04) with less patients requiring rescue analgesia during 6 hours after surgery (16.7% vs. 43.3%, p=0.024). Both groups had similarly high rates of patient satisfaction with low adverse event rates. Conclusions: Combined ACB and LIA in TKA enhanced early ambulation with reduced and delayed rescue analgesia. PMID- 29843200 TI - Safety and Efficacy of 6.2 mm Patellar Button in Resurfacing Less than 20 mm Thin Patella: A Matched Pair Analysis. AB - Purpose: Restoring the native patellar thickness after patellar resurfacing provides optimal function of the knee after arthroplasty and minimises complications related to the patellofemoral articulation. The aim of this study was to assess the usefulness of a thin patellar button (6.2 mm) in patients with a patella thickness of less than 20 mm during total knee arthroplasty. Materials and Methods: This is a retrospective case control study. A total of 54 female patients with an intraoperative patellar thickness of <20 mm, resurfaced with a patellar button of 6.2 mm in thickness were identified (group 1). They were matched with 54 patients with a patellar thickness of 20-23 mm, resurfaced with a patellar button of 8 mm (group 2), based on age, sex, body mass index, and deformity. A clinical and radiological evaluation was done at a minimum 2-year follow-up. Results: The preoperative mean patellar thickness was 18.94+/-1.07 mm and was restored to 19.06+/-0.79 mm in group 1, as compared to 21.63+/-0.99 mm and 21.72+/-0.99 mm in group 2. The mean postoperative range of motion was 122.22 degrees +/-9.25 degrees in group 1 and 123.52 degrees +/-8.72 degrees in group 2 (p=0.13). No patellar bone or button related complications were observed in any patient in either group. Conclusions: The 6.2 mm thin patella is useful to restore the native thickness in patients with a patellar thickness of less than 20 mm without risk of button fracture, loosening or overstuffing. PMID- 29843201 TI - Comparison of Revision Rates Due to Aseptic Loosening between High-Flex and Conventional Knee Prostheses. AB - Purpose: The purpose was to evaluate and compare the revision rate due to aseptic loosening between a high-flex prosthesis and a conventional prosthesis. Materials and Methods: Two thousand seventy-eight knees (1,377 patients) with at least 2 years of follow-up after total knee arthroplasty were reviewed. Two types of implants were selected (LPS-Flex and LPS, Zimmer) to compare revision and survival rates and sites of loosened prosthesis component. Results: The revision rate of the LPS-Flex (4.9%) was significantly higher than that of the conventional prosthesis (0.6%) (p<0.001). The 5-, 10-, and 15-year survival rates were 98.9%, 96.2% and 92.0%, respectively, for the LPS-Flex and 99.8%, 98.5% and 93.5%, respectively, for the LPS. The survival rate of the high-flex prosthesis was significantly lower than that of the conventional prosthesis, especially in the mid-term period (range, 5 to 10 years; p=0.002). The loosening rate of the femoral component was significantly higher in the LPS-Flex prosthesis (p=0.001). Conclusions: The LPS-Flex had a higher revision rate due to aseptic loosening than the LPS prosthesis in the large population series with a long follow-up. The LPS-Flex should be used carefully considering the risk of femoral component aseptic loosening in the mid-term (range, 5 to 10 years) follow-up period after initial operation. PMID- 29843203 TI - Comparison of priming versus slow injection for reducing etomidate-induced myoclonus: a randomized controlled study. AB - Background: Etomidate injection is often associated with myoclonus. Etomidate injection technique influences the incidence of myoclonus. This study was designed to clarify which of the two injection techniques-slow injection or priming with etomidate-is more effective in reducing myoclonus. Methods: This prospective randomized controlled study was conducted on 189 surgical patients allocated to three study groups. Control group (Group C, n = 63) received 0.3 mg/kg etomidate (induction dose) over 20 s. Priming group (Group P, n = 63) received pretreatment with 0.03 mg/kg etomidate, followed after 1 min by an etomidate induction dose over 20 s. Slow injection group (Group S, n = 63) received etomidate (2 mg/ml) induction dose over 2 min. The patients were observed for occurrence and severity of myoclonus for 3 min from the start of injection of the induction dose. Results: The incidence of myoclonus in Group P (38/63 patients [60.3%], 95% CI [48-71.5%]) was significantly lower than in Group C (53/63 patients [84.1%], 95% CI [72.9-91.3%], P = 0.003) and Group S (49/63 patients [77.8%], 95% CI [66-86.4%], P = 0.034). Myoclonus of moderate or severe grade occurred in significantly more patients in Group C (68.3%) than in Group P (36.5%, P < 0.001) and Group S (50.8%, P = 0.046), but the difference between Groups P and S was not significant (P = 0.106). Conclusions: Priming is more effective than slow injection in reducing the incidence of myoclonus, but their effects on the severity of myoclonus are comparable. PMID- 29843202 TI - The effect of magnesium sulfate concentration on the effective concentration of rocuronium, and sugammadex-mediated reversal, in isolated left phrenic nerve hemi diaphragm preparations from the rat. AB - BACKGROUND: Perioperative magnesium sulfate (MgSO4) is used for analgesic, anti arrhythmic, and obstetric purposes. The effects of MgSO4 on the neuromuscular blockade (NMB) induced by rocuronium, and the sugammadex reversal thereof, have not been clearly quantified. We investigated the effect of various MgSO4 concentrations on the NMB by rocuronium, and sugammadex reversal, in isolated left phrenic nerve hemi-diaphragm (PNHD) preparations from the rat. METHODS: Rat PNHD preparations were randomly allocated to one of four groups varying in terms of MgSO4 concentration (1, 2, 3, and 4 mM, each n = 10, in Krebs solution). The train-of-four (TOF) and twitch height responses were recorded mechanomyographically. The preparations were treated with incrementally increasing doses of rocuronium and each group's effective concentration (EC)50, EC90, and EC95 of rocuronium were calculated via nonlinear regression. Then, sugammadex was administered in doses equimolar to rocuronium. The recovery index, time to T1 height > 95% of control, and the time to a TOF ratio > 0.9 after sugammadex administration were measured. RESULTS: The EC50, EC90, and EC95 of rocuronium fell significantly as the magnesium level increased. The EC50, EC90, and EC95 of rocuronium did not differ between the 3 and 4 mM groups. The recovery index, time to T1 height > 95% of control, and time to a TOF ratio > 0.9 after sugammadex administration did not differ among the four groups. CONCLUSIONS: Increases in the magnesium concentration in rat PNHD preparations proportionally enhanced the NMB induced by rocuronium but did not affect reversal by equimolar amounts of sugammadex. PMID- 29843204 TI - Differential Connectivity in Colorectal Cancer Gene Expression Network AB - Background: Colorectal cancer (CRC) is one of the challenging types of cancers; thus, exploring effective biomarkers related to colorectal could lead to significant progresses toward the treatment of this disease. Methods: In the present study, CRC gene expression datasets have been reanalyzed. Mutual differentially expressed genes across 294 normal mucosa and adjacent tumoral samples were then utilized in order to build two independent transcriptional regulatory networks. By analyzing the networks topologically, genes with differential global connectivity related to cancer state were determined for which the potential transcriptional regulators including transcription factors were identified. Results: The majority of differentially connected genes (DCGs) were up-regulated in colorectal transcriptome experiments. Moreover, a number of these genes have been experimentally validated as cancer or CRC-associated genes. The DCGs, including GART, TGFB1, ITGA2, SLC16A5, SOX9, and MMP7, were investigated across 12 cancer types. Functional enrichment analysis followed by detailed data mining exhibited that these candidate genes could be related to CRC by mediating in metastatic cascade in addition to shared pathways with 12 cancer types by triggering the inflammatory events. Discussion: Our study uncovered correlated alterations in gene expression related to CRC susceptibility and progression that the potent candidate biomarkers could provide a link to disease. PMID- 29843205 TI - Simultaneous identification and quantification of polymethoxyflavones, coumarin and phenolic acids in Ageratum conyzoides by UPLC-ESI-QToF-MS and UPLC-PDA. AB - Ageratum conyzoides L. is a plant widely used in traditional medicine of tropical and subtropical regions for its anti-inflammatory and antinociceptive properties. Nevertheless, the chemical composition of its medicinal preparation has not been yet accurately established. In this study, chromatographic methods were developed for the simultaneous identification and quantification of the main compounds in A. conyzoides aqueous extract, using UPLC-PDA-ESI-QToF-MS. The qualitative analyses defined by MS/MS analysis allowed the identification of 27 compounds in the aqueous extract, including the toxic pyrrolizidine alkaloids, phenolic acids, coumarin and polymethoxyflavones. Among the metabolites, twelve were detected for the first time in the species. The quantitative method was validated according to the official guidelines, demonstrating to be specific, linear, precise, accurate and sensitive for the quantification of chlorogenic acid, coumaric acid, coumarin (1,2-benzopyranone), 5,6,7,3',4',5'-hexamethoxyflavone, nobiletin, 5' methoxynobiletin and eupalestin. PMID- 29843206 TI - Use of ionic liquids as headspace gas chromatography diluents for the analysis of residual solvents in pharmaceuticals. AB - In this study, two ionic liquids (ILs), 1-butyl-3-methylimidazolium bis[(trifluoromethyl)sulfonyl]imide ([BMIM][NTf2]) and trihexyltetradecylphosphonium bis[(trifluoromethyl)sulfonyl]imide ([P66614][NTf2]) were examined as contemporary diluents for residual solvent analysis using static headspace gas chromatography (SHS-GC) coupled with flame ionization detection (FID). ILs are a class of non-molecular solvents featuring negligible vapor pressure and high thermal stabilities. Owing to these favorable properties, ILs have potential to enable superior sensitivity and reduced interference, compared to conventional organic diluents, at high headspace incubation temperatures. By employing the [BMIM][NTf2] IL as a diluent, a 25-fold improvement in limit of detection (LOD) was observed with respect to traditional HS-GC diluents, such as N-methylpyrrolidone (NMP). The established IL-based method demonstrated LODs ranging from 5.8 parts-per-million (ppm) to 20ppm of residual solvents in drug substances. The optimization of headspace extraction conditions was performed prior to method validation. An incubation temperature of 140 degrees C and a 15min incubation time provided the best sensitivity for the analysis. Under optimized experimental conditions, the mass of residual solvents partitioned in the headspace was higher when using [BMIM][NTf2] than NMP as a diluent. The analytical performance was demonstrated by determining the repeatability, accuracy, and linearity of the method. Linear ranges of up to two orders of magnitude were obtained for class 3 solvents. Excellent analyte recoveries were obtained in the presence of three different active pharmaceutical ingredients. Owing to its robustness, high throughput, and superior sensitivity, the HS-GC IL-based method can be used as an alternative to existing residual solvent methods. PMID- 29843207 TI - Activity of invasive slug Limax maximus in relation to climate conditions based on citizen's observations and novel regularization based statistical approaches. AB - Citizen science is a powerful tool that can be used to resolve the problems of introduced species. An amateur naturalist and author of this paper, S. Watanabe, recorded the total number of Limax maximus (Limacidae, Pulmonata) individuals along a fixed census route almost every day for two years on Hokkaido Island, Japan. L. maximus is an invasive slug considered a pest species of horticultural and agricultural crops. We investigated how weather conditions were correlated to the intensity of slug activity using for the first time in ecology the recently developed statistical analyses, Bayesian regularization regression with comparisons among Laplace, Horseshoe and Horseshoe+ priors for the first time in ecology. The slug counts were compared with meteorological data from 5:00 in the morning on the day of observation (OT- and OD-models) and the day before observation (DBOD-models). The OT- and OD-models were more supported than the DBOD-models based on the WAIC scores, and the meteorological predictors selected in the OT-, OD- and DBOD-models were different. The probability of slug appearance was increased on mornings with higher than 20-year-average humidity (%) and lower than average wind velocity (m/s) and precipitation (mm) values in the OT-models. OD-models showed a pattern similar to OT-models in the probability of slug appearance, but also suggested other meteorological predictors for slug activities; positive effect of solar radiation (MJ) for example. Five meteorological predictors, mean and highest temperature ( degrees C), wind velocity (m/s), precipitation amount (mm) and atmospheric pressure (hPa), were selected as the effective factors for the counts in the DBOD-models. Therefore, the DBOD-models will be valuable for the prediction of slug activity in the future, much like a weather forecast. PMID- 29843208 TI - High expression of TACC2 in hepatocellular carcinoma is associated with poor prognosis. AB - BACKGROUND: Transforming acidic coiled-coil protein 2 (TACC2) is a member of TACC family proteins which is mainly involved in the stabilization of spindles and regulation of microtubule dynamics through interactions with molecules involved in centrosomes/microtubules. TACC2 is involved in tumorigenesis of variety of cancers but the clinical significance of TACC2 protein in hepatocellular carcinoma (HCC) is still unclear. OBJECTIVE: This study aims to investigate the expression of TACC2 in HCC and determine if clinical significance and prognostic relevance exists. METHODS: We performed quantitative PCR (qPCR) and western blot to examine TACC2 mRNA and protein expression in paired HCC tissues and matched adjacent non-cancerous tissues. Immunohistochemistry was performed in 106 postoperative HCC samples. RESULTS: There was higher expression of TACC2 protein and mRNA in HCC tissue. Immunohistochemistry analysis showed high expression of TACC2 in HCC tissue and was significantly associated with the capsular extension, tumor recurrence and shortened overall and disease free survival. The Cox regression analysis suggested that a high expression of TACC2 was an independent prognostic factor for HCC patients. CONCLUSION: This finding suggests that TACC2 may be a useful tool as a candidate biomarker to predict the recurrence and prognosis of HCC. PMID- 29843209 TI - Upregulated miR-221/222 promotes cell proliferation and invasion and is associated with invasive features in retinoblastoma. AB - BACKGROUND AND OBJECTIVES: MicroRNA (miR-221/222) is frequently overexpressed in many cancers and is associated with poor prognosis. However, the role of miR 221/222 in retinoblastoma (RB) remains unclear. This study aimed to detect the clinical significance of miR-221/222 in RB patients and explore its role in RB cells in vitro. METHODS: Expression of miR-221/222 was assessed in fresh RB tissue collected from 64 eyes and normal retinal tissues from 18 unrelated donor cadaver eyes by quantitative real time RT-PCR analysis (qRT-PCR), and correlated with the histopathological findings. Human RB Y79 cells were transfected with miR 221/222 precursors or inhibitors to overexpress or downregulate miR-221/222 expression, respectively, using Lipofectamine 2000 reagent. The biological effects of miR-221/222 were then assessed by cell viability assays, colony formation assays, apoptosis detection assays, Matrigel(r) invasion assays, and wound-healing assays. RESULTS: Higher miR-221/222 expression was detected in RB tissues compared to that of the normal retinal tissues (p< 0.001). Higher miR 221/222 expression was correlated with invasion in patients with RB. Targeting of miR-221/222 induced apoptosis and inhibited Y79 cell proliferation, migration, and invasion in vitro. However, overexpression of miR-221/222 promoted Y79 cell proliferation, migration, and invasion in vitro. CONCLUSIONS: Overexpression of miR-221/222 was associated with tumor invasiveness in patients with RB. The miR 221/222 cluster might be used as a potential therapeutic strategy in clinical practice. PMID- 29843210 TI - Study on the methylation status of SPINT2 gene and its expression in cervical carcinoma. AB - BACKGROUND: Cervical cancer is one of the malignant tumors which seriously threaten the women health worldwide. SPINT2 is an endogenous inhibitor of hepatocyte growth factor activator and down regulated or even silenced in many human malignant tumors. OBJECTIVE: This study was performed to explore the promoter methylation status of SPINT2 gene and the effect on its expression in cervical carcinoma. METHODS: HPV-positive and -negative cervical cancer cell lines, 50 cases of cervical carcinoma tissues, and 20 cases of normal cervical tissues were used for this study. The methylation status of promoter and the first exon of SPINT2 gene were analyzed. The expression of SPINT2 was analyzed by qRT-PCR. RESULTS: HPV E6/E7 infection affects SPINT2 methylation rate in cell lines. SPINT2 methylation rate of HT-3E6/E7 was 8.8%, while the methylation rate of SPINT2 in HT-3 was 0%. In cervical tissues, the methylation rate of SPINT2 in cervical cancers was 54%, while the methylation rate of SPINT2 in normal cervical samples was 25%. As for cervical cancers, the methylation rate of SPINT2 gene was higher in grade 3 than those of grade 2. CONCLUSIONS: The expression of SPINT2 gene is regulated by its methylation status, and the methylation status of SPINT2 is altered by HPV infection. The aberrant methylation status of SPINT2 gene may play an important role in the development of cervical cancer. PMID- 29843211 TI - Significance of preoperative ischemia- modified albumin in operable and advanced gastric cancer. AB - BACKGROUND: Oxidative stress plays an important role in promoting proliferation and metastases of cancer, which can be represented by ischemia-modified albumin (IMA). The purpose of this study was to evaluate serum IMA level in patients with operable advanced gastric cancer and analyze its prognostic significance. MATERIALS AND METHODS: A total of 274 patients with primary stage III gastric cancer underwent curative operation were enrolled in this study. Serum IMA level was measured within 24 hours before surgery, comparing with 112 healthy donors. The correlation between serum IMA level and survival outcome was analyzed by the Kaplan-Meier with Log-Rank test and Cox's regression methods, respectively. RESULTS: Serum IMA level from gastric cancer was higher than healthy control (0.41 +/- 0.12 VS 0.23 +/- 0.08; P< 0.001). Finally, 173 and 181 patients out of all 274 patients studied had died and recurrent, respectively. All patients were stratified into two groups using the optimal cutoff value (0.45) of IMA level using a sensitivity of 92.5% and a specificity of 65.2% as optimal conditions from receiver operating curve analysis. Patients with a IMA ? 0.45 had poorer mean overall survival (44.68 months VS 30.94 months, P= 0.010) and mean recurrence free survival (42.36 months VS 28.82 months, p= 0.01) than patients with a IMA < 0.45 in univariate analysis and IMA also been confirmed as independent predictor for survival for GC patients in multivariate analysis (OR, 0.731; 95% CI: 0.329-1.282; p= 0.023). CONCLUSIONS: Serum IMA level can be considered as an independent prognostic factor for operable and advanced gastric cancer. PMID- 29843212 TI - Quantum dot-based immunofluorescent imaging and quantitative detection of DNER and prognostic value in prostate cancer. AB - DNER, Delta/Notch-like epidermal growth factor (EGF)-related receptor, is a neuron-specific transmembrane protein carrying extracellular EGF-like repeats. The prognostic value of DNER in prostate cancer has not been evaluated. Here we showed that the up-regulation of DNER protein was observed in prostate cancer detected by immunohistochemistry (IHC) and quantum dot-based immunofluorescent imaging and quantitative analytical system (QD-IIQAS). However, a higher accuracy of measurements of DNER expression in prostate cancer was found by QD-IIQAS than by IHC (AUC = 0.817 and 0.617, respectively). DNER was significantly higher in patients undergoing bone metastasis (P = 0.045, RR = 3.624). In addition, DNER overexpression was associated with poor overall survival (OS) (P = 0.028, adjusted HR = 8.564) and recurrence-free survival (RFS) (P = 0.042, adjusted HR = 3.474) in patients suffering prostate cancer. Thus, QD-IIQAS is an easy and accurate method for assessing DNER and the DNER expression was an independent prognostic factor in prostate cancer. PMID- 29843213 TI - Clinical potential of miR-940 as a diagnostic and prognostic biomarker in breast cancer patients. AB - BACKGROUND: Breast cancer remains the most invasive female malignancy worldwide. Functional role of microRNA-940 (miR-940) have been investigated in various cancer. The purpose of this study was to assess the serum miR-940 expression and its clinical significance in breast cancer. METHODS: Expression of miR-940 was measured by quantitative real-time polymerase chain reaction (qRT-PCR). The diagnostic value of miR-940 was analyzed with receiver operating characteristics (ROC) analysis. To explore the prognostic performance of miR-940, Kaplan-Meier survival assay and Cox regression analysis were performed. RESULTS: Downregulated miR-940 was detected in the breast cancer patients compared with the healthy controls (P< 0.001). The miR-940 expression was correlated with lymph node metastasis (P= 0.014) and TNM stage (P= 0.003). The area under the ROC curve (AUC) was 0.905, with sensitivity and specificity of 94.5% and 78.6%. From the survival curves, patients with low miR-940 expression had poor overall survival compare with those with high expression (log-rank P= 0.009). The Cox analysis indicated that miR-940 was an independent prognostic factor (HR = 2.645, 95% CI = 1.426-4.906 and P= 0.002). Decreased miR-940 expression was also been found in triple-negative breast cancer (TNBC) samples, and might predict poor prognosis in TNBC patients. CONCLUSIONS: Serum downregulated miR-940 may serve as a reliable diagnostic and prognostic biomarker in breast cancer patients. PMID- 29843214 TI - Screening and function analysis of hub genes and pathways in hepatocellular carcinoma via bioinformatics approaches. AB - BACKGROUND: Liver carcinoma is a major cause of cancer-related death worldwide. Up to date, the mechanisms of liver cancerigenesis and development have not been fully understood. Multi-genes and pathways were involved in the tumorigenesis of liver cancer. OBJECTIVE: The aim of the present study was to screen key genes and pathways in liver cancerigenesis and development by using bioinformatics methods. METHODS: A dataset GSE64041 were retrieved from GEO database and the differentially expressed genes (DEGs) were screened out. Then the DEG functions were annotated by gene ontology (GO) and pathway enrichment analysis, respectively. The hub genes were further selected by protein-protein interaction (PPI) analysis. Afterwards, the mRNA and protein expressions as well as the prognostic values of the hub genes were assessed. RESULTS: As a result, 208 up regulated and 82 down-regulated genes were screened out. These DEGs were mainly enriched in cell cycle and metabolism-related pathways. Through PPI analysis, TOP2A, PRDM10, CDK1, AURKA, BUB1, PLK1, CDKN3, NCAPG, BUB1B and CCNA2 were selected as hub genes, which were all over-expressed in liver cancers relative to those in normal tissues, respectively. Among them, PLK1 and CCNA2 were suggested to be prognostic factors for liver carcinoma. CONCLUSION: In conclusion, the present study identified several hub genes, and cell cycle and metabolism-related pathways that may play critical roles in the tumorigenesis of liver cancer. Future validation laboratory experiments are required to confirm the results. PMID- 29843215 TI - The correlation between mammographic densities and molecular pathology in breast cancer. AB - This study aimed to analyze the correlation between mammographic density obtained by density analysis software (DAS)/radiologists visual (RV) classification with molecular subtype, and the expression levels of estrogen receptor (ER), progesterone receptor (PR), Ki67 antigen (Ki-67), p53 gene (p53), and human epidermal growth factor receptor-2 (HER2). A total of 688 breast cancer patients with digital mammography and complete molecular pathological results in Tianjin Medical University Cancer Institute and Hospital between February 2015 and February 2016 were collected. The DAS-density grade (DASD) and the radiologists visually classified density grade (RVD) were evaluated by 3 radiologists. The correlation between density grade and the expression levels of ER, PR, Ki-67, p53, HER2 and breast cancer molecular subtype (PMS) were analyzed. The agreement between DASD and RVD was explored. ER, PR and HER-2 positive rate were significantly different among patients with different RVD grades (P< 0.05). HER2 positive rates showed an increasing trend following RVD upgrading (P??????????< 0.05). HER-2 positive rate in RVD D1 + D2 was 7.69%, which was higher than that in D3 + D4 (P< 0.05). The ER and Ki-67 expressions in patients were markedly different among DASD (P= 0.009 and 0.002) and RVD (P= 0.012 and 0.036) with different grades. The kappa value of each DASD to RVD was 0.31 (P< 0.01). The RVD 3 proportion was 14.58% (63/432) in HER2 Over-expressing subtype, which was apparently higher than RVD1 (2.43%, 1/41) (P< 0.05). Breast density may be partial correlated with molecular pathology in breast cancer. PMID- 29843216 TI - Transcription factor KLF13 inhibits AKT activation and suppresses the growth of prostate carcinoma cells. AB - BACKGROUND: Kruppel-like factor 13 (KLF13), a member of the KLF family, is involved in the development of immunological diseases and tumor progression. However, the expression patterns and potential functions of KLF13 in prostate carcinoma are still unknown. Here, we aimed to study the roles and mechanisms of KLF13 in prostate cancer. METHODS: The expression levels of KLF13 was detected by Immunohistochemistry in prostate tumor tissues and the paired non-tumor tissues. The effects of KLF13 up-regulation was tested by performing CCK8, cell colon formation, flow cytometric analysis and measurement of tumor proliferation in nude mice. Signaling pathway was analyzed by Western blot. RESULTS: The current study, for the first time, found that KLF13 was downregulated in prostate tumor tissues as compared to the paired non-tumor tissues. The overexpression of KLF13 dramatically inhibited cell proliferation and induced apoptosis by suppressing the AKT pathway in human prostate cancer cells. Moreover, the ectopic expression of KLF13 efficiently delayed the onset of PC3 xenografts and inhibited the tumor growth in vivo. CONCLUSIONS: KLF13 functions as a tumor suppressor protein in PCa, and the pharmacological activation of KLF13 might represent a potential approach for the treatment of prostate cancer. PMID- 29843217 TI - Sulfatase 1 expression in pancreatic cancer and its correlation with clinicopathological features and postoperative prognosis. AB - BACKGROUND: Recent studies have shown that Sulfatase 1 (SULF1) plays a crucial role in the genesis, development, and progression of tumors. However, there have been few studies on the role of SULF1 in pancreatic cancer. OBJECTIVE: The present study examined the differences in SULF1 expression levels between pancreatic cancer and normal tissues, and their correlation with the clinicopathological features and prognosis. METHODS: A total of 65 pancreatic cancer samples were enrolled in this study. An immunohistochemical assay were used in this study. The relationship between SULF1 expression and clinicopathological features were tested using chi2 test or Fisher's exact test. The Kaplan-Meier method was used to calculate the cumulative survival rates of the patients. RESULTS: The study showed that the SULF1 expression level was higher in pancreatic cancer tissues than in normal tissues. Analysis of the clinical and pathological data of patients revealed that high SULF1 expression was associated with later T, N, and TNM stages, higher CA19-9 levels, smaller tumor size, and poorer prognosis. CONCLUSIONS: These findings suggested that SULF1 could be an indicator of the clinicopathological features and prognosis of pancreatic cancer. PMID- 29843218 TI - Reduced mean platelet volume is associated with poor prognosis in esophageal cancer. AB - BACKGROUND: Esophageal cancer (EC) is the sixth most common cause of death from cancer. Altered mean platelet volume (MPV) levels were found in patients with malignancies. OBJECTIVE: The present study investigated whether MPV can predict the survival in EC patients. MEHTODS: The clinical data of 236 consecutive EC patients between January 2009 and December 2009 in our center were retrospectively analyzed. The overall survival rate was estimated using Kaplan Meier method. Cox proportional hazards models were fitted to model the relationships between patient characteristics and prognosis. RESULTS: Decreased MPV was significantly correlated with tumor location and tumor differentiation (p< 0.001). Moreover, survival analysis revealed that the overall survival of patients with MPV ? 7.4 fL was significantly shorter than that of those with MPV > 7.4 fL. Multivariate analysis identified MPV as an independent poor prognostic factor for overall survival. CONCLUSIONS: Reduced MPV is associated with worse survival outcome in EC. PMID- 29843219 TI - The clinicopathological and prognostic significances of Dkk3 expression in cancers: A bioinformatics analysis. AB - BACKGROUND: Dkk3 protein attenuates the expression of Wnt3a, Wnt5a and LRP6, and their interaction, and interacts with betaTrCP to suppress wnt/beta-catenin pathway. METHODS: We performed a bioinformatics analysis of Dkk3 mRNA expression through Oncomine, TCGA and Kaplan-Meier databases up to July 10, 2017. RESULTS: Up-regulated Dkk3 expression was higher in gastric, breast, and ovarian cancers than normal tissues (p< 0.05). Bitter's database showed a higher Dkk3 expression in ovarian cytoadenocarcinoma than clear cell adenocarcinoma (p< 0.05). Dkk3 was more expressed in ductal breast cancer in situ than invasive ductal breast cancer (p< 0.05), in mixed lobular and ductal cancer, and lobular cancer than ductal breast cancer (p< 0.05). In TCGA data, Dkk3 expression was lower in gastric cancers with than without Barret's esophagus (p< 0.05), and in the cancers of elder than younger patients (p< 0.05). Dkk3 expression was higher in squamous cell carcinoma than adenocarcinoma (p< 0.05). Dkk3 expression was higher in ductal than lobular breast cancer, or in younger than elder patients with breast cancer (p< 0.05). According to Kaplan-Meier plotter, Dkk3 expression was negatively correlated with overall, progression-free, relapse-free or distant metastasis-free survival rate of gastric, breast or ovarian cancer patients, but versa for lung cancer patients (p< 0.05). CONCLUSION: Dkk3 expression might be employed as a potential marker to indicate carcinogenesis and histogenesis, even prognosis. PMID- 29843220 TI - Long non-coding RNA GHET1 promotes human breast cancer cell proliferation, invasion and migration via affecting epithelial mesenchymal transition. AB - OBJECTIVE: Breast cancer is a common malignancy in women and long non-coding RNAs (lncRNAs) have been shown to play key roles in the development and progression of breast cancer. In the present study, we examined the biological role of lncRNA gastric carcinoma highly expressed transcript 1 (GHET1) in breast cancer. METHODS: The expression of GHET1 was determined by qRT-PCR assay; CCK-8, colony formation, Transwell invasion and migration assays detected breast cancer cell proliferation, invasion and migration; cell apoptosis and cell cycle were determined by flow cytometry; protein levels were determined by western blot assay. RESULTS: GHET1 was up-regulated in breast cancer tissues and cell lines, and the up-regulation of GHET1 was positively correlated with larger tumor size, advanced clinical stage, lymph node metastasis and shorter overall survival. Knockdown of GHET1 suppressed cell proliferation, invasion and migration, and induced apoptosis and G0/G1 cell cycle arrest in MCF-cells. Knockdown of GHET1 also suppressed the protein levels of N-cadherin, vimentin, and decreased the protein level of E-cadherin in MCF-7 cells. On the other hand, overexpression of GHET1 promoted cell proliferation, invasion and migration, and inhibited cell apoptosis and increased cell population at S phase in BT-20 cells. Overexpression of GHET1 also promoted epithelial mesenchymal transition (EMT) in BT-20 cells. Furthermore, knockdown of GHET1 also suppressed in vivo tumor growth of MCF-7 cells, and also decreased the protein levels of N-cadherin and vimentin, and increased the protein levels of E-cadherin in the tumor tissues from the nude mice. CONCLUSIONS: Our results demonstrated that GHET1 was up-regulated in breast cancer tissues and cell lines, and promoted breast cancer cell proliferation, invasion and migration by affecting EMT. Our study for the first time revealed the biological functions of GHET1 in breast cancer. PMID- 29843221 TI - Serum miR-126 level combined with multi- detector computed tomography in the preoperative prediction of lymph node metastasis of gastric cancer. AB - BACKGROUND: Predicting lymph node metastasis (LNM) accurately is vital to design optimal treatment strategies preoperatively for gastric cancer (GC) patients. However, conventional tumor biomarkers and imaging techniques are not sufficient to predict LNM before surgery. miR-126 has been reported to play important roles in tumor metastasis which may represent a novel tumor biomarker. OBJECTIVE: To assess the utility of the combination of serum miR-126 and multi-detector computed tomography (MDCT) in predicting LNM preoperatively in GC. METHODS: Quantitative real-time polymerase chain reaction was performed to examine the serum miR-126 expression levels in 338 GC patients. MDCT was also performed. The cut-off value of preoperative serum miR-126 level for LNM was determined by receiver characteristic curve (ROC) analysis. Logistic regression analysis was used to determine independent predictors for LNM. RESULTS: The serum miR-126 levels of GC patients with LNM were significantly lower compared with those without LNM (p< 0.05). In addition, the later the N stage was, the lower the serum miR-126 level was in GC patients (p< 0.05). With a cut-off value of 63.4, the sensitivity, specificity, accuracy, positive predictive value and negative predictive value of serum miR-126 for predicating LNM were 83.2%, 79.0%, 81.9%, 90.4% and 66.4%, respectively. The combination of serum miR-126 level and MDCT increased the accuracy of MDCT prediction for LNM from 69.2% to 86.7%. Serum miR 126 was an independent predictor for LNM. CONCLUSIONS: These results indicate for the first time that the combination of serum miR-126 and MDCT is useful for the prediction of LNM in GC. PMID- 29843222 TI - Effect of Bmi-1-mediated NF-kappaB signaling pathway on the stem-like properties of CD133+ human liver cancer cells. AB - OBJECTIVE: To investigate the impact of Bmi-1-mediated NF-kappaB pathway on the biological characteristics of CD133+ liver cancer stem cells (LCSCs). METHODS: Flow cytometry was used to isolate CD133+ LCSC cells from Huh7, Hep3B, SK-hep1, and PLC/PRF-5 cells. CD133+ Huh7 cells were divided into Control, Blank, Bmi-1 siRNA, JSH-23 (NF-kappaB pathway inhibitor), and Bmi-1 + JSH-23 groups. The properties of CD133+ Huh7 cells were detected by the colony-formation and sphere forming assays. Besides, Transwell assay was applied for the measurement of cell invasion and migration, immunofluorescence staining for the detection of NF kappaB p65 nuclear translocation, and qRT-PCR and Western blotting for the determination of SOX2, NANOG, OCT4, Bmi-1, and NF-kappaB p65 expression. RESULTS: CD133+ Huh-7 cells were chosen as the experiment subjects after flow cytometry. Compared with CD133- Huh-7 cells, the expression of CD133, OCT4, SOX2, NANOG, Bmi 1, and NF-kappaB p65, the nuclear translocation of NF-kappaB p65, the number of cell colonies and Sphere formation, as well as the abilities of invasion and migration were observed to be increased in CD133+ Huh-7 cells, which was inhibited after treated with Bmi-1 siRNA or JSH-23, meanwhile, the cell cycle was arrested at the G0/G1 and S phases with apparently enhanced cell apoptosis. Importantly, no significant differences in the biological characteristics of CD133 + Huh-7 cells were found between the Blank group and Bmi-1 + JSH-23 group. CONCLUSION: Down-regulating Bmi-1 may inhibit the biological properties of CD133+ LCSC by blocking NF-kappaB signaling pathway, which lays a scientific foundation for the clinical treatment of liver cancer. PMID- 29843223 TI - Up-regulation of long noncoding RNA uc.338 predicts poor survival in non-small cell lung cancer. AB - BACKGROUND: Long noncoding RNA ultraconserved element 338 (uc.338) is a long non coding RNA reported to function as a promoter in non-small cell lung cancer (NSCLC). However, the function and potential mechanism of uc.338 in NSCLC is still unclear. OBJECTIVE: The aim of the present study was to assess the effect of uc.338 on the prognosis of patients with NSCLC. METHODS: The expression levels of uc.338 in NSCLC tissues and matched normal lung tissues were examined by real time quantitative PCR. Then the association between uc.338 levels with clinical variables as well as survival time was investigated. RESULTS: We found that uc.338 expression levels were significantly upregulated in NSCLC compared with the matched noncancerous lung tissues (P< 0.01). In addition, increased uc.338 expression was significantly associated with TNM stage (P< 0.003), lymph node metastasis (P< 0.006) and distant metastasis (P< 0.002). More importantly, Kaplan Meier survival analysis demonstrated that higher uc.338 expression levels were associated with a shorter overall survival (P< 0.0016) and disease-free survival (p< 0.0001) in NSCLC patients. Finally, univariate and multivariate Cox regression analyses revealed that uc.338 was an independent risk factor for overall survival and disease-free survival. CONCLUSIONS: Our results show that uc.338 may play an important role in tumorigenesis and progression and could serve as a potential independent prognostic biomarker for patients with NSCLC. PMID- 29843224 TI - Up-regulation of regulatory T cells, CD200 and TIM3 expression in cytogenetically normal acute myeloid leukemia. AB - BACKGROUND: The bone marrow immunosuppressive microenvironment of AML patients sustains and modulates proliferation, survival and drug resistance of AML through deregulation of both innate and adaptive immune response. We aimed to investigate the level of Tregs, expression of Tim-3 on peripheral blood T cells, expression of CD200 in myeloid blasts in newly diagnosed AML patients with normal cytogenetics (AML-NC) and their prognostic impact. PATIENTS AND METHODS: This study included 40 patients with de novo AML-NC and 20 healthy controls. Flow cytometry was used for detection of CD4+CD25+high FoxP3+ regulatory T cells, Tim 3 expression on peripheral blood T cells and CD200 expression on myeloid blasts. RESULTS: The percentages of CD4+CD25+high and CD4+CD25+high Foxp3+ Tregs were significantly increased in AML patients than controls. The levels of Tregs, Tim 3/CD4+, Tim-3/CD8+, CD200 and MFI of CD200 were significantly lower in responding patients than in those with persistent leukemia. Only high CD200 expression (> 50%) showed statistically significant worse OS with P< 0.04. CONCLUSION: The increased levels of Tregs, Tim-3 expression on peripheral blood T cells and CD200 expression in myeloid blast in AML patients could play a role in the development of AML. Analysis of these markers could serve as prognostic markers and might guide the therapy in AML patients in the future. PMID- 29843225 TI - Acoustic radiation force impulse elastography in evaluation of triple-negative breast cancer: A preliminary experience. AB - PURPOSE: To assess the elastographic features of triple-negative breast cancers and evaluate the diagnostic value of acoustic radiation force impulse imaging (ARFI) for the characterization of triple-negative breast cancers. MATERIALS AND METHODS: This study analyzed data from 234 women with breast cancer. Patients were categorized into three groups; 1) triple-negative breast cancers (n = 48); 2) ER-positive tumors (n = 128) and 3) HER2-positive tumors (n = 58). Mean tumor stiffness was evaluated by virtual touch tissue imaging (VTI) and virtual touch tissue quantification (VTQ) and quantified as both qualitative scores (1-5) and shear wave velocity (SWV) (m/s). The relationship between mean SWV and tumor parameters, including tumor size, tumor type, histologic grade and lymph node status, were investigated using multiple linear regression. RESULTS: Triple negative tumor were more likely to have a large invasive size (p = 0.002), high histological grade (p < 0.001), lymph node involvement (p = 0.022) and strong ki 67 expression (p < 0.001). The highest mean SWV value were recorded in triple negative tumors (7.36 m/s+/-1.83), followed by HER2+ tumors (6.65 m/s+/-2.26) and ER+ tumors (6.60 m/s+/-2.35) (p = 0.122). Triple-negative tumors were also associated with increased stiffness than ER+ tumors and HER2+ tumors (p = 0.016), as measured by qualitative VTI scores. Tumor size was independently associated with mean SWV value on adjusted regression (p < 0.001). CONCLUSIONS: Triple negative breast cancer is associated with high stiffness scores and SWV in ARFI. The latter may be considered a useful complementary tool in evaluation of triple negative breast cancer. PMID- 29843226 TI - Preinterventional hydrocortisone sustains the endothelial glycocalyx in cardiac surgery. AB - BACKGROUND: Patients undergoing cardiac surgery commonly develop systemic inflammation associated with tissue edema, which impairs outcome. One main pathomechanism leading to the edema is the deterioration of the endothelial glycocalyx, a key component of the vascular barrier. In animal models hydrocortisone has proved to be protective for the glycocalyx. OBJECTIVE: This trial evaluates the effect of hydrocortisone on glycocalyx integrity in patients undergoing cardiac surgery with cardiopulmonary bypass. METHODS: In a prospective, randomized interventional pilot trial, 30 patients received either hydrocortisone (100 mg over 10 min) or placebo (saline control) before surgery. Plasma concentrations of glycocalyx constituents (syndecan-1, heparan sulfate) and various clinical parameters (respiratory and renal function, inflammatory markers, use of vasopressors, length of stay at the intensive care unit) were measured. Primary endpoint was a significant difference of glycocalyx constituents in plasma. Comparisons were made with Friedman's and Wilcoxon tests (paired data), or the Kruskal-Wallis and Mann-Whitney U tests (unpaired data). Holm-Bonferroni method was used for post-hoc corrections. RESULTS: Heparan sulfate and syndecan-1 increased significantly during and after cardiac surgery with cardiopulmonary bypass in both groups. Whereas the maximum increase of heparan sulfate was 12.3-fold in the control vs. 3.8-fold in the pretreated group (p < 0.05), syndecan-1 values showed no significant difference between the groups (maximal increase 3-fold). The inflammatory markers C-reactive protein and interleukin-6 were also higher in the control than in the hydrocortisone group, but there was no difference in patient mortality (zero), or in any clinical parameters. CONCLUSIONS: Pretreatment with hydrocortisone ameliorated shedding of heparan sulfate, a major constituent of the endothelial glycocalyx, in patients undergoing cardiac surgery with cardiopulmonary bypass, but had no relevant influence on various clinical parameters or patient mortality. The relatively small number of patients in this pilot study probably precluded detection of positive outcome differences. PMID- 29843227 TI - Impact of plasma viscosity on microcirculatory flow after traumatic haemorrhagic shock: A prospective observational study. AB - BACKGROUND: Preclinical studies report that higher plasma viscosity improves microcirculatory flow after haemorrhagic shock and resuscitation, but no clinical study has tested this hypothesis. OBJECTIVE: We investigated the relationship between plasma viscosity and sublingual microcirculatory flow in patients during resuscitation for traumatic haemorrhagic shock (THS). METHODS: Sublingual video microscopy was performed for 20 trauma patients with THS as soon as feasible in hospital, and then at 24 h and 48 h. Values were obtained for total vessel density, perfused vessel density, proportion of perfused vessels, microcirculatory flow index (MFI), microcirculatory heterogeneity index (MHI), and Point of Care Microcirculation (POEM) scores. Plasma viscosity was measured using a Wells-Brookfield cone and plate micro-viscometer. Logistic regression analyses examined relationships between microcirculatory parameters and plasma viscosity, adjusting for covariates (systolic blood pressure, heart rate, haematocrit, rate and volume of fluids, and rate of noradrenaline). RESULTS: Higher plasma viscosity was not associated with improved microcirculatory parameters. Instead, there were weakly significant associations between higher plasma viscosity and lower (poorer) MFI (p = 0.040), higher (worse) MHI (p = 0.033), and lower (worse) POEM scores (p = 0.039). CONCLUSIONS: The current study did not confirm the hypothesis that higher plasma viscosity improves microcirculatory flow dynamics in patients with THS. Further clinical investigations are warranted to determine whether viscosity is a physical parameter of importance during resuscitation of these patients. PMID- 29843228 TI - The efficacy of added shear wave elastography (SWE) in breast screening for women with inconsistent mammography and conventional ultrasounds(US). AB - PURPOSE: To evaluate the efficacy of added shear wave elastography (SWE) in breast screening for women with results inconsistent between mammography and conventional ultrasounds (US). MATERIALS AND METHODS: The study consisted of 282 pathologically proven breast lesions. The cancer probability from screening by mammography and conventional US were scored using Breast Imaging Reporting and Data System (BI-RADS). Elastography was used to re-evaluate inconsistent conventional US and mammography results. The diagnostic performance of conventional US, mammography, and Combined conventional clinical imaging and SWE was compared. The clinicopathological features of all breast cancer patients with inconsistent (and consistent) conventional US and mammography findings were compared. RESULT: Finally, 147 lesions were confirmed benign and 135 were malignant. The AUC of Combined conventional clinical imaging plus elastography imaging (0.870) was significantly higher than mammography (0.735, p < 0.001) or conventional US (0.717, p < 0.001) alone. Among the 135 breast cancers, 79 of the conventional US and mammography findings were consistent and 56 were inconsistent. Younger age(<50y) (p = 0.035), non-invasive (p = 0.037), smaller size (p = 0.002) and negative lymph node status (p = 0.026) were significantly associated with inconsistent findings. CONCLUSION: The added SWE in breast screening when inconsistent results from mammography and conventional US occurred is necessary and effective. PMID- 29843229 TI - Comparison of two substrate materials used as negative control in endothelialization studies: Glass versus polymeric tissue culture plate. AB - The endothelialization of synthetic surfaces applied as cardiovascular implant materials is an important issue to ensure the anti-thrombotic quality of a biomaterial. However, the rapid and constant development of a functionally confluent endothelial cell monolayer is challenging. In order to investigate the compatibility of potential implant materials with endothelial cells several in vitro studies are performed. Here, glass and tissue culture plates (TCP) are often used as reference materials for in vitro pre-testing. However, a direct comparison of both substrates is lacking.Therefore, a comparison of study results is difficult, since results are often related to various reference materials. In this study, the endothelialization of glass and TCP was investigated in terms of adherence, morphology, integrity, viability and function using human umbilical vein endothelial cells (HUVEC).On both substrates an almost functionally confluent HUVEC monolayer was developed after nine days of cell seeding with clearly visible cell rims, decreased stress fiber formation and a pronounced marginal filament band. The viability of HUVEC was comparable for both substrates nine days after cell seeding with only a few dead cells. According to that, the cell membrane integrity as well as the metabolic activity showed no differences between TCP and glass. However, a significant difference was observed for the secretion of IL-6 and IL-8. The concentration of both cytokines, which are associated with migratory activity, was increased in the supernatant of HUVEC seeded on TCP. This result matches well with the slightly increased number of adherent HUVEC on TCP.In conclusion, these findings indicate that both reference materials are almost comparable and can be used equivalently as control materials in in vitro endothelialization studies. PMID- 29843230 TI - Pneumococcal disease burden, clinical presentations and vaccine coverage in the Jamaican population. AB - BACKGROUND: Pneumococcal serotypes circulating in any population vary over time and between countries and impacts the effectiveness of pneumococcal vaccination. OBJECTIVE: This study investigated the epidemiology of pneumococcal disease in Jamaica. METHODS: Streptococcus pneumoniae isolates (n= 349) along with demographic and clinical information were collected from patients presenting at the 4 major hospitals in Jamaica over a 2-year period. Serotyping was done using latex agglutination tests and the Quellung reaction assay. RESULTS: Invasive pneumococcal disease (IPD) incidence was 45.4/100,000 in children under 5 yrs and 16.3/100,000 in adults over 65 yrs. Thirteen serogroups were identified among the 120 isolates subjected to grouping; the most common being serogroups: 19 (22/120,18.3%), 6 (20/120,16.7%), 14 (20/120,16.7%), 23 (18/120,15.0%), 3 (11/120,9.2%) and nontypeable (8/120,2.3%). The estimated vaccine coverage rates for the PCV7 and PCV13 vaccines in children less than 5 yrs were 82.5% and 88.7% respectively. The 23-valent PPV23 provided 100% coverage rate in adults over 65 yrs and 82.9% coverage rate for the entire population. CONCLUSIONS: Pneumococcal vaccine coverage rates in Jamaica are comparable to those reported in certain developed countries and higher than in other developing countries. The high incidence of IPD in the paediatric population indicates that routine vaccination would be beneficial. PMID- 29843231 TI - TNF-alpha -308G/A gene polymorphism in bullous pemphigoid and alopecia areata. AB - BACKGROUND: TNF-alpha -308G/A polymorphism has been investigated in few studies for an association with susceptibility to bullous pemphigoid (BP) and alopecia areata (AA). Yet, these findings had so far not been independently replicated, and no data on a possible association of TNFalpha -308G/A polymorphism with these diseases in Iranian population were available. OBJECTIVES: In the present study, a possible effect of TNF-alpha -308G/A variation on susceptibility to BP or AA disease was evaluated. METHODS: Genomic DNA was extracted from the blood of the patients with BP and AA as well as control subjects which genotyped for the TNF alpha -308 G/A polymorphism. TNF-alpha gene expression levels were analyzed by real-time RT-PCR. RESULTS: No association was observed between the TNF-alpha -308 G/A variation and susceptibility to BP or AA diseases in our Iranian cohort. In contrast to AA patients, expression of TNF-alpha gene was significantly higher in BP patients compared to control group. TNF-alpha gene was found to be similarly expressed in mutant and wild-type genotypes. CONCLUSIONS: TNF-alpha -308G/A polymorphism is not associated with the risk to develop of BP and AA in our Iranian cohort. Furthermore, this polymorphism is contributed to altering the levels of gene expression in BP disease. PMID- 29843232 TI - A 'Framingham-like' Algorithm for Predicting 4-Year Risk of Progression to Amnestic Mild Cognitive Impairment or Alzheimer's Disease Using Multidomain Information. AB - BACKGROUND: There are no agreed-upon variables for predicting progression from unimpaired cognition to amnestic mild cognitive impairment (aMCI), or from aMCI to Alzheimer's disease (AD). OBJECTIVE: Use ADNI data to develop a 'Framingham like' prediction model for a 4-year period. METHODS: We developed models using the strongest baseline predictors from six domains (demographics, neuroimaging, CSF biomarkers, genetics, cognitive tests, and functional ability). We chose the best predictor from each domain, which was dichotomized into more versus less harmful. RESULTS: There were 224 unimpaired individuals and 424 aMCI subjects with baseline data on all predictors, of whom 37 (17% ) and 150 (35% ) converted to aMCI and AD, respectively, during 4 years of follow-up. For the unimpaired, CSF tau/Abeta ratio, hippocampal volume, and a memory score predicted progression. For those aMCI at baseline, the same predictors plus APOE4 status and functional ability predicted progression. Demographics and family history were not important predictors for progression for either group. The fit statistic was good for the unimpaired-aMCI model (C-statistic 0.80) and very good for the aMCI-AD model (C-statistic 0.91). Among the unimpaired, those with no harmful risk factors had a 4-year predicted 2% risk of progression, while those with the most harmful risk factors had a predicted 35% risk. The aMCI subjects with no harmful risk factors had a predicted 1% risk of progression those with all six harmful risk factors had a predicted 90% risk. CONCLUSION: Our parsimonious model accurately predicted progression from unimpaired to aMCI with three variables, and from aMCI to AD with five variables. PMID- 29843233 TI - Pink1 Regulates Tyrosine Hydroxylase Expression and Dopamine Synthesis. AB - PTEN induced putative kinase 1 (PINK1), also known as PARK6, is causally linked to familial Parkinsonism, and heterozygous loss of PINK1 is a risk factor for sporadic Parkinson's disease. However, little is known about its physiological function. Its deficiency was shown to decrease dopamine without significant loss of dopaminergic neurons. We investigated the mechanistic basis for this observation in the present study using dopaminergic MN9D cells. We found that PINK1 knockdown resulted in dopamine content to decrease with suppressed tyrosine hydroxylase expression in cells. Conversely, PINK1 overexpression increased tyrosine hydroxylase protein level. We also found that PINK1 deficiency blocked the nuclear translocation and activity of nuclear receptor-related 1, a transcription factor regulating tyrosine hydroxylase gene expression. These data suggest that PINK1 regulates tyrosine hydroxylase gene expression and dopamine content by modulating the transcriptional activity of nuclear receptor-related 1. Taken together, our results reveal a novel function of PINK1 in dopamine homeostasis. PMID- 29843234 TI - Total MRI Small Vessel Disease Burden Correlates with Cognitive Performance, Cortical Atrophy, and Network Measures in a Memory Clinic Population. AB - BACKGROUND: Recent evidence suggests that combining individual imaging markers of cerebral small vessel disease (SVD) may more accurately reflect its overall burden and better correlate with clinical measures. OBJECTIVE: We wished to establish the clinical relevance of the total SVD score in a memory clinic population by investigating the association with SVD score and cognitive performance, cortical atrophy, and structural network measures, after adjusting for amyloid-beta burden. METHODS: We included 243 patients with amnestic mild cognitive impairment (MCI), Alzheimer's disease dementia, subcortical vascular MCI, or subcortical vascular dementia. All underwent MR and [11C] PiB-PET scanning and had standardized cognitive testing. Multiple linear regression was used to evaluate the relationships between SVD score and cognition, cortical thickness, and structural network measures. Path analyses were performed to evaluate whether network disruption mediates the effects of SVD score on cortical thickness and cognition. RESULTS: Total SVD score was associated with the performance of frontal (beta - 4.31, SE 2.09, p = 0.040) and visuospatial (beta - 0.95, SE 0.44, p = 0.032) tasks, and with reduced cortical thickness in widespread brain regions. Total SVD score was negatively correlated with nodal efficiency, as well as changes in brain network organization, with evidence of reduced integration and increasing segregation. Path analyses showed that the associations between SVD score and frontal and visuospatial scores were partially mediated by decreases in their corresponding nodal efficiency and cortical thickness. CONCLUSION: Total SVD burden has clinical relevance in a memory clinic population and correlates with cognition, and cortical atrophy, as well as structural network disruption. PMID- 29843235 TI - Parkinsonism is a Phenotypical Signature of Amyloidopathy in Patients with Gait Disorders. AB - BACKGROUND: Central neurological gait abnormalities (CNGA) are frequently associated with parkinsonism in older adults. However, the neuropathological substrates and the clinical impact of parkinsonism have been not described in CNGA. OBJECTIVE: This cross-sectional study aims to compare the CSF total tau, Abeta1-42, and phosphorylated tau levels in non-Parkinson's disease (PD) patients with CNGA with and without parkinsonism and to study the clinical impact of parkinsonism on gait and cognition. METHODS: CSF biomarkers were measured by ELISA in 49 non-PD patients with CNGA (77.7+/-6.6 years; 32.7% women). Gait was quantified with an optoelectronic system and cognition with a comprehensive neuropsychological assessment. Parkinsonism was defined by presence of bradykinesia and at least one of the following signs among muscular rigidity, rest tremor, or postural instability. RESULTS: Parkinsonism was identified in 14 CNGA patients (28.6% ). CSF Abeta1-42 level was decreased in CNGA patients with parkinsonism (beta: - 189.4; 95% CI [- 352.3; - 26.6]; p = 0.024) even after adjusting for age, gender, comorbidities, and total white matter burden; while CSF total tau and phosphorylated tau levels were similar between CNGA patients with and without parkinsonism. CNGA patients with parkinsonism presented decreased attentional and executive performances but similar gait parameters than those without parkinsonism. CONCLUSION: Parkinsonism represents a phenotype related with amyloidopathy-decreased CSF Abeta1-42 level-in non-PD patients with CNGA. This phenotype is clinically associated with impaired cognition, but similar quantitative gait parameters in comparison to CNGA patients without parkinsonism. PMID- 29843236 TI - Immunohistochemical Analysis of Activin Receptor-Like Kinase 1 (ACVRL1/ALK1) Expression in the Rat and Human Hippocampus: Decline in CA3 During Progression of Alzheimer's Disease. AB - The pathophysiology of Alzheimer's disease (AD) includes signaling defects mediated by the transforming growth factor beta-bone morphogenetic protein-growth and differentiation factor (TGFbeta-BMP-GDF) family of proteins. In animal models of AD, administration of BMP9/GDF2 improves memory and reduces amyloidosis. The best characterized type I receptor of BMP9 is ALK1. We characterized ALK1 expression in the hippocampus using immunohistochemistry. In the rat, ALK1 immunoreactivity was found in CA pyramidal neurons, most frequently and robustly in the CA2 and CA3 fields. In addition, there were sporadic ALK1-immunoreactive cells in the stratum oriens, mainly in CA1. The ALK1 expression pattern in human hippocampus was similar to that of rat. Pyramidal neurons within the CA2, CA3, and CA4 were strongly ALK1-immunoreactive in hippocampi of cognitively intact subjects with no neurofibrillary tangles. ALK1 signal was found in the axons of alveus and fimbria, and in the neuropil across CA fields. Relatively strongest ALK1 neuropil signal was observed in CA1 where pyramidal neurons were occasionally ALK1-immunoractive. As in the rat, horizontally oriented neurons in the stratum oriens of CA1 were both ALK1- and GAD67-immunoreactive. Analysis of ALK1 immunoreactivity across stages of AD pathology revealed that disease progression was characterized by overall reduction of the ALK1 signal in CA3 in advanced, but not early, stages of AD. These data suggest that the CA3 pyramidal neurons may remain responsive to the ALK1 ligands, e.g., BMP9, during initial stages of AD and that ALK1 may constitute a therapeutic target in early and moderate AD. PMID- 29843237 TI - Serum Copper is not Altered in Frontotemporal Lobar Degeneration. AB - Meta-analyses show copper dyshomeostasis in Alzheimer's disease. However, a study evaluating copper changes in other neurodegenerative forms of dementia has not yet been performed. In this study, we assessed copper, ceruloplasmin, copper not bound to ceruloplasmin, and copper to ceruloplasmin ratio in 85 patients affected by frontotemporal lobar degeneration (FTLD) and 55 healthy controls. Data were analyzed through multivariate ANOVA models taking into account age and sex as covariates and the stratification for FTLD variants, after calculating power analysis to ensure the reliability of the conclusions drawn. The study revealed no difference between the groups. PMID- 29843238 TI - Oxidative Stress in Elderly with Different Cognitive Status: My Mind Project. AB - BACKGROUND: Biomarkers of oxidative stress have been associated with cognitive status in humans and have been proposed to guide prognosis/treatment in Alzheimer's disease (AD) and mild cognitive impairment (MCI). OBJECTIVE: The aim of this study was to compare oxidative stress status in the plasma of mild moderate AD, MCI, and healthy elderly with normal cognition (HE) undergoing a non pharmacological intervention including multi-modal cognitive training ("My Mind Project"). METHODS: A prospective randomized trial involving 321 elderly people enrolled in Marche Region, Italy. Each subject was randomly assigned to an experimental (cognitive training) or to a control group. Cognitive performances and biomarkers have been analyzed before intervention (baseline), immediately after termination (follow-up 1), after 6 months (follow-up 2), and after 2 years (follow-up 3). The biological antioxidant potential (BAP) to Diacron reactive oxygen metabolites (d-ROM) ratio has been used as an indicator of oxidative stress status and as outcome variable. RESULTS: We have found no differences in the oxidative status among AD, MCI, and HE. Neither did we find a significant effect of the intervention within experimental groups. Gender was the sole factor with a strong significant effect on BAP/d-ROM. CONCLUSIONS: Based on these results, the utility of biomarkers of oxidative stress to guide prognosis/treatment in AD or MCI seems to be limited by lack of specificity, large interindividual variability, and gender bias. PMID- 29843239 TI - A Survey of Patient and Partner Outcome and Treatment Preferences in Mild Cognitive Impairment. AB - BACKGROUND: The patient-centered movement in health care is increasing efforts to design studies and interventions that address the outcomes that matter most to patients and their families. Research has not adequately addressed Alzheimer's disease patient and caregiver preferences. OBJECTIVE: To survey the outcome and treatment preferences of patients and caregivers who had completed a multicomponent behavioral intervention for mild cognitive impairment (MCI). METHODS: Extending prior work, we conducted an online survey regarding outcome and intervention preferences. Participants were patients with MCI and partners who completed the HABIT Healthy Action to Benefit Independence & Thinking (r) program. RESULTS: Both patient and partner respondents ranked patient quality of life as the highest priority, followed by patient self-efficacy, functional status, patient mood, and patient memory performance. Distressing behaviors and caregiver outcomes (burden, mood, and self-efficacy) had low rankings. Regarding the importance of HABIT (r) program components, memory compensation training was ranked highest and wellness education lowest by all groups. CONCLUSION: Additional research should compare patient preference for patient reported outcomes, traditional neuropsychological and clinician outcomes, and modern biomarker outcomes. PMID- 29843240 TI - Three Decades of Dementia Research: Insights from One Small Community of Indomitable Rotterdammers. AB - The most commonly encountered opening sentence in scientific publications about dementia undoubtedly relates to the overwhelming burden of disease. Finding an effective preventive or therapeutic intervention against dementia has been considered the most important unmet need in contemporary medicine. While efforts on tackling this devastating disease have increased exponentially, it is difficult to imagine that in the 1980s and early-1990s, the disease did not feature prominently on any public health report. Yet, it was already then that epidemiologists recognized the growing societal burden of dementia and rationalized that dementia is not necessarily part of aging. Indeed, the conviction that dementia is pathologically distinct from aging led to various efforts in search of unravelling its risk factors and understanding its pre clinical phase. Among the early pioneers, the population-based Rotterdam Study was initiated in 1990 clearly aiming on chronic diseases including dementia, and among this Alzheimer's disease, as one of its focus points. Ever since, the Rotterdam Study has been an important cornerstone in increasing our knowledge about dementia from an epidemiological perspective. Here, we summarize the main findings originating from this study, and put these into perspective with previous and current work in the field. With an expanding scope of the Rotterdam Study over the years, we discuss findings on occurrence, modifiable risk factors, imaging, and its genetic underpinnings. Importantly, we conclude with recommendations- or, perhaps better stated, a wish list- for future research which may help us reach our finish line: finding an effective preventive or therapeutic intervention against dementia. PMID- 29843243 TI - Decoupling of Local Metabolic Activity and Functional Connectivity Links to Amyloid in Alzheimer's Disease. AB - BACKGROUND: Both ongoing local metabolic activity (LMA) and corresponding functional connectivity (FC) with remote brain regions are progressively impaired in Alzheimer's disease (AD), particularly in the posterior default mode network (pDMN); however, it is unknown how these impairments interact. It is well known that decreasing mean synaptic activity of a region, i.e., decreasing LMA, reduces the region's sensitivity to afferent input from other regions, i.e., FC. OBJECTIVE: We hypothesized progressive decoupling between LMA and FC in AD, which is linked to amyloid-beta pathology (Abeta). METHODS: Healthy adults (n=20) and Abeta+patients without memory impairment (n=9), early MCI (n=21), late MCI (n=18) and AD (n=22) were assessed by resting-state fMRI, FDG-PET, and AV-45-PET to measure FC, LMA, and Abeta of the pDMN. Coupling between LMA and FC (rLA/FC) was estimated by voxelwise correlation. RESULTS: RLMA/FC decreased with disease severity (F=20.09, p<0.001). This decrease was specifically associated with pDMN Abeta (r=-0.273, p=0.029) but not global Abeta (r=-0.112, p=0.378) and with the impact of Abeta on FC (i.e., rAbeta/FC,r=-0.339; p=0.006). In multiple regression models rLMA/FC was also associated with memory impairment, reduced cognitive speed and flexibility, outperforming global Abeta, pDMN Abeta, pDMN LMA, and pDMN FC, respectively. CONCLUSION: Results demonstrate increasing decoupling of LMA from its FC in AD. Data suggest that decoupling is driven by local Abeta and contributes to memory decline. PMID- 29843244 TI - Multisensory Stimulation and Individualized Music Sessions on Older Adults with Severe Dementia: Effects on Mood, Behavior, and Biomedical Parameters. AB - BACKGROUND: Multisensory stimulation and individualized music have shown to be good in handling the psychological and behavioral symptoms in people with severe dementia. OBJECTIVE: Explore the effects of two nonpharmacological interventions, multisensory stimulation environment (MSSE) in a Snoezelen room and individualized music sessions, on mood, behavior, and biomedical parameters of institutionalized elderly patients with severe dementia. METHODS: Randomized trial of 21 patients aged >=65 years randomly assigned to two groups (MSSE and individualized music). Interventions administered in two-weekly sessions lasted 30 minutes for a period of 12 weeks. Main outcomes were recorded before, during, and at the end of the intervention. RESULTS: Both groups had immediate positive effects on mood and behavior. Participants were more happy/more content (p < 0.001), talked more spontaneously (p = 0.009), related to people better (p = 0.002), were more attentive to/focused on their environment (p < 0.001), enjoyed themselves (p = 0.003), were less bored/inactive (p = 0.004), and more relaxed/content (p = 0.003). The MSSE group performed a better visual follow-up of the stimuli (p = 0.044), and the music group were more relaxed and happy (p = 0.003). A decrease in heart rate (p = 0.013) and an increase in oxygen saturation (p = 0.011) were observed from before to after interventions in both groups, with no significant differences between them. CONCLUSIONS: Both interventions seem to be effective at managing mood and behavioral disturbances in the short term and at improving physiological rates, highlighting the efficacy of nonpharmacological treatments in patients with severe dementia. PMID- 29843242 TI - A Clinicopathological Investigation of White Matter Hyperintensities and Alzheimer's Disease Neuropathology. AB - BACKGROUND: White matter hyperintensities (WMH) on magnetic resonance imaging (MRI) have been postulated to be a core feature of Alzheimer's disease. Clinicopathological studies are needed to elucidate and confirm this possibility. OBJECTIVE: This study examined: 1) the association between antemortem WMH and autopsy-confirmed Alzheimer's disease neuropathology (ADNP), 2) the relationship between WMH and dementia in participants with ADNP, and 3) the relationships among cerebrovascular disease, WMH, and ADNP. METHODS: The sample included 82 participants from the National Alzheimer's Coordinating Center's Data Sets who had quantitated volume of WMH from antemortem FLAIR MRI and available neuropathological data. The Clinical Dementia Rating (CDR) scale (from MRI visit) operationalized dementia status. ADNP+ was defined by moderate to frequent neuritic plaques and Braak stage III-VI at autopsy. Cerebrovascular disease neuropathology included infarcts or lacunes, microinfarcts, arteriolosclerosis, atherosclerosis, and cerebral amyloid angiopathy. RESULTS: 60/82 participants were ADNP+. Greater volume of WMH predicted increased odds for ADNP (p = 0.037). In ADNP+ participants, greater WMH corresponded with increased odds for dementia (CDR>=1; p = 0.038). WMH predicted cerebral amyloid angiopathy, microinfarcts, infarcts, and lacunes (ps < 0.04). ADNP+ participants were more likely to have moderate-severe arteriolosclerosis and cerebral amyloid angiopathy compared to ADNP-participants (ps < 0.04). CONCLUSIONS: This study found a direct association between total volume of WMH and increased odds for having ADNP. In patients with Alzheimer's disease, FLAIR MRI WMH may be able to provide key insight into disease severity and progression. The association between WMH and ADNP may be explained by underlying cerebrovascular disease. PMID- 29843245 TI - Platelets: Peripheral Biomarkers of Dementia? AB - Dementia continues to be the most burdening neurocognitive disorder, having a negative impact on the lives of millions. The search for biomarkers to improve the clinical diagnosis of dementia is ongoing, with the focus on effective use of readily accessible peripheral markers. In this review, we concentrate on platelets as biomarkers of dementia and analyze their potential as easily accessible clinical biomarkers for various subtypes of dementia. Current platelet protein biomarkers that have been investigated for their clinical utility in the diagnosis of dementia, in particular Alzheimer's disease, include amyloid-beta protein precursor (AbetaPP), the AbetaPP secretases (BACE1 and ADAM10), alpha synuclein, tau protein, serotonin, cholesterol, phospholipases, clusterin, IgG, surface receptors, MAO-B, and coated platelets. Few of them, i.e., platelet tau, AbetaPP (particularly with regards to coated platelets) and secreted ADAM10 and BACE1 show the most promise to be taken forward into clinical setting to diagnose dementia. Aside from protein biomarkers, changes in factors such as mean platelet volume have the potential to play a very specific role in both the dementia diagnosis and prognosis. This review raises a number of research questions for consideration before application of the above biomarkers to routine clinical setting. It is without doubt that there is a need for more clarification on the effects of dementia on platelet morphology and protein content before these changes can be clinically applied as dementia biomarkers and explored further in differentiating distinct dementia subtypes. PMID- 29843247 TI - Behavioral Assessment of Stress Compensation in Minipigs Transgenic for the Huntington Gene Using Cortisol Levels: A Proof-of-Concept Study. AB - BACKGROUND: Huntington's disease (HD) is an autosomal-dominant, progressive neurodegenerative disorder with motor, cognitive, behavioral and metabolic symptoms. HD patients exhibit an altered response to stress which is reflected in changes of cortisol levels. Large animal models of HD such as the Libechov minipig are currently explored in preclinical studies to improve translational reliability and assessing behavior is of interest. OBJECTIVE: This study aimed to investigate whether cortisol metabolism and response to stress are changed in minipigs transgenic for the Huntington gene (tgHD) compared to wildtype (wt) animals suggesting that cortisol may be used as a marker for stress in minipigs. METHODS: Thirty-two Libechov minipigs (14 tgHD and 18 wt) were tested before, during and after a stressor, i.e., a hoof trimming procedure, was applied at baseline and after one year. A total of six saliva samples were collected at each assessment and cortisol was measured. In addition, body temperature and respiratory rate were assessed at three pre-determined points during each hoof trimming procedure. RESULTS: All minipigs showed a rise of cortisol in response to the hoof trimming stressor similarly to cortisol changes induced by stress observed in humans. No relevant differences were detected between tgHD and wt minipigs. CONCLUSION: Cortisol testing for the assessment of stress compensation, e.g., during hoof trimming, is feasible and well tolerated in wt and tgHD minipigs. To elucidate the time profile of cortisol responses to stressors further studies with assessments at multiple time points and exploration of the diurnal profiles of cortisol in minipigs are recommended. PMID- 29843241 TI - The Amyloid-beta Oligomer Hypothesis: Beginning of the Third Decade. AB - The amyloid-beta oligomer (AbetaO) hypothesis was introduced in 1998. It proposed that the brain damage leading to Alzheimer's disease (AD) was instigated by soluble, ligand-like AbetaOs. This hypothesis was based on the discovery that fibril-free synthetic preparations of AbetaOs were potent CNS neurotoxins that rapidly inhibited long-term potentiation and, with time, caused selective nerve cell death (Lambert et al., 1998). The mechanism was attributed to disrupted signaling involving the tyrosine-protein kinase Fyn, mediated by an unknown toxin receptor. Over 4,000 articles concerning AbetaOs have been published since then, including more than 400 reviews. AbetaOs have been shown to accumulate in an AD dependent manner in human and animal model brain tissue and, experimentally, to impair learning and memory and instigate major facets of AD neuropathology, including tau pathology, synapse deterioration and loss, inflammation, and oxidative damage. As reviewed by Hayden and Teplow in 2013, the AbetaO hypothesis "has all but supplanted the amyloid cascade." Despite the emerging understanding of the role played by AbetaOs in AD pathogenesis, AbetaOs have not yet received the clinical attention given to amyloid plaques, which have been at the core of major attempts at therapeutics and diagnostics but are no longer regarded as the most pathogenic form of Abeta. However, if the momentum of AbetaO research continues, particularly efforts to elucidate key aspects of structure, a clear path to a successful disease modifying therapy can be envisioned. Ensuring that lessons learned from recent, late-stage clinical failures are applied appropriately throughout therapeutic development will further enable the likelihood of a successful therapy in the near-term. PMID- 29843246 TI - Striatal Mutant Huntingtin Protein Levels Decline with Age in Homozygous Huntington's Disease Knock-In Mouse Models. AB - BACKGROUND: Huntington's disease (HD) is a progressive neurodegenerative disorder associated with aging, caused by an expanded polyglutamine (polyQ) repeat within the Huntingtin (HTT) protein. In HD, degeneration of the striatum and atrophy of the cortex are observed while cerebellum is less affected. OBJECTIVE: To test the hypothesis that HTT protein levels decline with age, which together with HTT mutation could influence disease progression. METHODS: Using whole brain cell lysates, a unique method of SDS-PAGE and western analysis was used to quantitate HTT protein, which resolves as a monomer and as a high molecular weight species that is modulated by the presence of transglutaminase 2. HTT levels were measured in striatum, cortex and cerebellum in congenic homozygous Q140 and HdhQ150 knock in mice and WT littermate controls. RESULTS: Mutant HTT in both homozygous knock in HD mouse models and WT HTT in control striatal and cortical tissues significantly declined in a progressive manner over time. Levels of mutant HTT in HD cerebellum remained high during aging. CONCLUSIONS: A general decline in mutant HTT levels in striatum and cortex is observed that may contribute to disease progression in homozygous knock-in HD mouse models through reduction of HTT function. In cerebellum, sustained levels of mutant HTT with aging may be protective to this tissue which is less overtly affected in HD. PMID- 29843248 TI - Human Immunodeficiency Virus Infection in Huntington's Disease is Associated with an Earlier Age of Symptom Onset. AB - BACKGROUND: Huntington Disease (HD) and human immunodeficiency virus (HIV) are both associated with neurodegeneration in the cerebral cortex and striatum. The rate of striatal degeneration is a known predictor of symptom onset in HD indicating a potential neurobiological link between HD and HIV. OBJECTIVE: To determine if the presence of pre-existing HIV infection would trigger a significantly earlier age of symptom onset (ASO) in HD-mutation carriers when compared to non-infected HD subjects. METHODS: This was a retrospective analysis of the Enroll-HD database that included participants with a CAG repeat of at least 36. Participants with HD and a comorbidity of HIV that was diagnosed prior to their reported ASO were identified and compared to participants with HD who did not have HIV. An ANCOVA analysis was performed to investigate the differences in ASO between the HIV and non-HIV groups. Sex, drug use, and CAG repeat number were used as covariates. RESULTS: The average ASO of HD subjects with previous HIV infection (n = 8) was 9.1 years earlier than non-HIV infected HD subjects (n = 3259) [F (1, 3267) =10.05, p = 0.002]. Despite low numbers of participants in the HIV group, the calculated effect size of this difference was 1.07. CONCLUSION: The known neurobiological changes caused by HIV seem to hasten the ASO in patients with HD. These results may enhance our understanding of the neuropathology of HD in a way that will help with the identification of novel targets for future therapies. PMID- 29843249 TI - Circadian Rhythm, Cognition, and Mood Disorders in Huntington's Disease. AB - BACKGROUND: Sleep disturbances are an early and prominent feature of Huntington's disease (HD). OBJECTIVE: The current study investigated the relation between sleep quality impairment and cognitive and psychiatric symptoms in patients with HD. METHODS: Sleep quality, daytime sleepiness, and neurocognitive symptoms were assessed in 38 mutation carriers (23 premanifest and 15 early stage) and 38 age and sex-matched controls using standardized questionnaires (the Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, the cognitive section of the Unified Huntington's Disease Rating Scale, the Hospital Anxiety and Depression Scale, and the Irritability Scale). RESULTS: Compared to controls, HD patients had worse sleep quality (p = 0.016), which was associated with more severe cognitive impairment and higher anxiety, depression and irritability scores. These findings suggest that HD patients may have a delayed sleep phase, as indicated by the increased sleep onset latency (p = 0.019) and later wake-up time (0.013), which was associated with worse cognitive performance and greater depressive and anxiety symptoms. CONCLUSIONS: Our data provide further evidence for an association between sleep quality in HD and cognitive performance and psychiatric symptoms. PMID- 29843250 TI - Huntington's Disease Outpatient Clinic for Functional Diagnosis and Treatment: Coming to Consensus: How Long Term Care Facility Procedures Complement Specialist Diagnosis and Treatment. AB - Huntington's disease (HD) patients and families deserve expert treatment and care throughout their lives, but uniformity in functional diagnosis and treatment was lacking. In the aim of reaching this uniformity on day-to-day treatment and care offered by multidisciplinary outreach teams from Dutch long term care facilities for ambulatory HD patients, a consensus trajectory was started to harmonise our care programme with international standards and within the country. The consensus statements, given as supplementary material, should lead to expert treatment and care for HD families throughout the Netherlands and this manuscript should contribute and revitalise a global discussion on standards of treatment and care. PMID- 29843251 TI - Cognitive Impairment and Mortality in a Population-Based Parkinson's Disease Cohort. AB - BACKGROUND: Parkinson's disease (PD) is a heterogeneous disorder with variability in phenotype and progression. OBJECTIVE: We describe characteristics of PD patients in the largest population-based cohort followed for progression to date, and evaluate clinical risk factors for cognitive impairment and mortality. METHODS: We collected longitudinal data using the Unified Parkinson's Disease Rating Scale (UPDRS), Mini-Mental State Exam (MMSE), and Geriatric Depression Scale (GDS) in 242 new-onset PD patients followed for progression. We compared those who developed cognitive impairment (MMSE<=24) with those who did not, using t-tests, chi-square tests, and Cox proportional hazards regression. Mortality risk factors were assessed in all 360 patients enrolled at baseline. RESULTS: Thirty-four patients developed cognitive impairment during follow-up. Baseline characteristics predictive of faster time to cognitive impairment were older age at diagnosis, fewer years of education, and longer average sleep duration reported. The 197 patients who died were older at diagnosis, reported longer average sleep duration, had lower baseline MMSE scores, higher UPDRS-III scores, and a higher proportion were of the postural instability gait difficulty (PIGD) subtype. Patients with the tremor dominant (TD) subtype at baseline were less likely to develop cognitive impairment or die during follow-up. Progression of cognitive, depressive, and motor symptoms occurred in parallel. CONCLUSIONS: Motor symptom severity and subtype influence the incidence of cognitive impairment and mortality in PD, with the TD motor subtype being relatively protective. In addition, we newly found that longer average sleep duration at baseline predicts faster progression to cognitive impairment and mortality. PMID- 29843252 TI - The Effect of Short Pulse Width Settings on the Therapeutic Window in Subthalamic Nucleus Deep Brain Stimulation for Parkinson's disease. AB - BACKGROUND: Subthalamic nucleus deep brain stimulation (STN-DBS) is an established treatment for selected Parkinson's disease (PD) patients, but therapy is often limited by side effects. Previous studies indicate an inverse relationship of the therapeutic window (TW) to pulse width (PW) settings down to 60MUs, but there is limited data available on the effect of shorter PWs. OBJECTIVE: To define the TW of STN-DBS in PD at PW of 30MUs (PW30) relative to standard PW settings at 60MUs (PW60), and to compare speed of gait and speech intelligibility on the two PW conditions. METHODS: Monopolar review data of 15 consecutive PD patients who had screening of contacts performed at PW60 and PW30 was used to calculate the TW at each contact. We compared the TWs of the most efficacious contact per STN, and a secondary analysis was performed comparing all contacts. Speed of gait with a timed 10 metre walk test, speech intelligibility, and perceptual characteristics of speech were also compared at the efficacy thresholds for PW60 and PW30. RESULTS: The TW was significantly greater at PW30 [3.8+/-1.6mA] than at PW60 [1.7+/-1.1mA]. In the secondary analysis, 110 TWs could be calculated and these remained significantly higher at PW30. The timed 10 metre walk at PW30 was faster than at PW60, and perceptual rating scores of speech were significantly improved at PW30. CONCLUSIONS: STN-DBS in PD patients using a PW of 30MUs significantly increases the TW compared to standard PW settings, and this effect is consistent across all contacts of an electrode. Speed of gait and perceptual speech scores are also improved at 30MUs settings. PMID- 29843253 TI - Cardinal Motor Features of Parkinson's Disease Coexist with Peak-Dose Choreic Type Drug-Induced Dyskinesia. AB - BACKGROUND: Clinical and anecdotal observations propose that patients with Parkinson's disease (PD) may show drug-induced dyskinesia (DID) concomitantly with cardinal motor features. However, the extent of the concomitant presence of DID and cardinal features remains to be determined. OBJECTIVES: This cross sectional study measured peak-dose choreic-type DID in a quantitative manner in patients diagnosed with PD, and determined whether symptoms such as tremor, bradykinesia, rigidity, postural instability or freezing of gait (FoG) were still detectable in these patients. METHODS: 89 patients diagnosed with PD were recruited and assessed using a combination of quantitative measures using inertial measurement units to capture DID, tremor, bradykinesia, and FoG. Clinical evaluations were also used to assess rigidity and postural instability. Motor symptoms of PD were assessed 3 times during the testing period, and a series of activities of daily living were repeated twice, in between clinical tests, during which the level of DID was quantified. Peak-dose was identified as the period during which patients had the highest levels of DID. Levels of tremor, rigidity, bradykinesia, postural instability, and FoG were used to determine the percentage of patients showing these motor symptoms simultaneously with DID. RESULTS: 72.4% of patients tested presented with measurable DID during the experiment. Rest, postural and kinetic tremor (12.7% , 38.1% , and 15.9% respectively), bradykinesia (28.6% ), rigidity (55.6% ), postural instability (71.4% ) and FoG (9.5% ) were detected simultaneously with DID. CONCLUSIONS: PD symptomatology remains present in patients showing peak-dose choreic-type DID, illustrating the challenge facing physicians when trying to avoid dyskinesia while attempting to alleviate motor symptoms. PMID- 29843254 TI - What Effects Might Exenatide have on Non-Motor Symptoms in Parkinson's Disease: A Post Hoc Analysis. AB - BACKGROUND: Exenatide is a GLP-1 receptor agonist that was recently studied for potential disease-modifying effects in a randomised, placebo-controlled clinical trial in patients with moderate stage Parkinson's disease, and showed positive effects on the motor severity of the disease which were sustained 12 weeks beyond the period of exenatide exposure. Analysis of pre-defined secondary outcomes revealed no statistically significant differences between patients treated with exenatide in total non-motor symptom burden and overall quality of life measures. OBJECTIVE: The response of individual non-motor symptoms to an intervention may vary and thus this post hoc analysis was conducted to explore the possible effects of exenatide compared to placebo on individual non-motor symptoms. RESULTS: Compared to placebo, patients treated with exenatide-once weekly had greater improvements in individual domains assessing mood/depression across all observer-rated outcome measures after 48 weeks including the "mood/apathy" domain of the NMSS, - 3.3 points (95% CI - 6.2, - 0.4), p = 0.026; the "mood" score (Q1.3+Q1.4 of the MDS-UPDRS Part 1), - 0.3 points (95% CI - 0.6, - 0.1), p = 0.034; and a trend in the MADRS total score, - 1.7 points (95% CI - 3.6, 0.2), p = 0.071. In addition, there was an improvement in the "emotional well-being" domain of the PDQ-39 of 5.7 points ((95% CI - 11.3, - 0.1), p = 0.047 though these improvements were not sustained 12 weeks after exenatide withdrawal. At 48 weeks these changes were of a magnitude that would be subjectively meaningful to patients and were not associated with changes in motor severity or other factors, suggesting exenatide may exert independent effects on mood dysfunction. CONCLUSIONS: These exploratory findings will contribute to the design of future trials to confirm the extent of motor and non-motor symptom effects of exenatide in larger cohorts of patients. PMID- 29843255 TI - Underutilization of the reports of adverse events in an Argentine hospital. AB - BACKGROUND: An adverse event is defined as any unintentional harm that results in temporary or permanent disability and/or prolongation of hospitalization time, or death of a patient; as a consequence of health care provided by any staff member of the health institution. OBJECTIVES: The aim was to describe the adverse events that affect patient safety, reported in 2015 in a private hospital in the city of Cordoba, Argentina. METHODS: We analyzed 678 events reported through the computer system on the hospital's intranet. RESULTS: The highest frequency of events reported corresponded to the nursing professionals (40.7% ). Problems related to drug therapy process showed the highest frequency of reports (17.7% ), followed by communication failures (11.1% ) and patient's fall (10.3% ). In the notification of the causes of the incident, 51.9% of "No answer" was observed. CONCLUSION: In the case of this hospital, this valuable tool is being underutilized. The reports should allow identifying the entire chain of events that lead to the incidents to address effective interventions in patient safety that involve all hospital staff, with greater emphasis on senior staff. PMID- 29843256 TI - Developing a model for hospital inherent safety assessment: Conceptualization and validation. AB - BACKGROUND: Paying attention to the safety of hospitals, as the most crucial institute for providing medical and health services wherein a bundle of facilities, equipment, and human resource exist, is of significant importance. OBJECTIVE: The present research aims at developing a model for assessing hospitals' safety based on principles of inherent safety design. METHODS: Face validity (30 experts), content validity (20 experts), construct validity (268 examples), convergent validity, and divergent validity have been employed to validate the prepared questionnaire; and the items analysis, the Cronbach's alpha test, ICC test (to measure reliability of the test), composite reliability coefficient have been used to measure primary reliability. The relationship between variables and factors has been confirmed at 0.05 significance level by conducting confirmatory factor analysis (CFA) and structural equations modeling (SEM) technique with the use of Smart-PLS. RESULTS: R-square and load factors values, which were higher than 0.67 and 0.300 respectively, indicated the strong fit. Moderation (0.970), simplification (0.959), substitution (0.943), and minimization (0.5008) have had the most weights in determining the inherent safety of hospital respectively. CONCLUSIONS: Moderation, simplification, and substitution, among the other dimensions, have more weight on the inherent safety, while minimization has the less weight, which could be due do its definition as to minimize the risk. PMID- 29843257 TI - The Monsanto Papers: Poisoning the scientific well. AB - OBJECTIVE: Examination of de-classified Monsanto documents from litigation in order to expose the impact of the company's efforts to influence the reporting of scientific studies related to the safety of the herbicide, glyphosate. METHODS: A set of 141 recently de-classified documents, made public during the course of pending toxic tort litigation, In Re Roundup Products Liability Litigation were examined. RESULTS: The documents reveal Monsanto-sponsored ghostwriting of articles published in toxicology journals and the lay media, interference in the peer review process, behind-the-scenes influence on retraction and the creation of a so-called academic website as a front for the defense of Monsanto products. CONCLUSION: The use of third-party academics in the corporate defense of glyhphosate reveals that this practice extends beyond the corruption of medicine and persists in spite of efforts to enforce transparency in industry manipulation. PMID- 29843258 TI - Hemodynamic instability associated with increased risk of death or brain injury in neonates with hypoxic ischemic encephalopathy. AB - OBJECTIVE: To determine the association between hemodynamic instability requiring inotropes and brain injury or death in neonates with hypoxic ischemic encephalopathy (HIE). METHODS: Retrospective cohort study of 221 neonates with HIE. Brain injury was defined using four HIE patterns based on MRI diffusion or T1 changes. The primary outcome was death or brain injury. Secondary outcomes were abnormal MRI, death, and abnormal EEG. Logistic regression was used to examine the risk of death or brain injury with the use of inotropes while adjusting for confounding factors. RESULTS: Brain injury or death occurred more often in neonates who received inotropes (71.1%, 69/97) compared to those who did not (44.3%, 55/124). The use of inotropes was associated with increased risk of death or brain injury (OR 3.11; 95% CI 1.39-7.004) and abnormal MRI (OR 2.78; 95% CI 1.22-6.34) after adjusting for confounding factors. Mortality was significantly higher in neonates exposed to inotropes (21.6%, 21/97) compared with those who did not receive inotropes (4%, 5/124), P < 0.001. CONCLUSION: In infants with HIE, hemodynamic instability requiring inotropes in the first 72 hours of life was associated with increased risk of death or brain injury detected by MRI. PMID- 29843259 TI - Unusual complication of fulminant congenital cytomegalovirus infection. AB - Persistent pulmonary hypertension of newborn (PPHN) is a very rare manifestation of congenital cytomegalovirus (CMV) infection. PPHN associated with CMV can be severe but is usually transient and responds well to antiviral therapy. We report a rare case of PPHN that occurred in the setting of fulminant congenital CMV infection and successful treatment with antiviral therapy along with review of the very few cases reported in literature. A male appropriate for gestational Age (AGA) newborn developed rapidly progressive respiratory distress starting at 11 hours of life requiring ventilatory support and 100% oxygen. He developed hypotension and wide difference between pre and postductal saturations. Echocardiography revealed findings consistent with severe PPHN. Examination also revealed multiple purpuric skin lesions and soft hepatosplenomegaly. MRI Brain showed intraventricular hemorrhage, bilateral periventricular calcification, bilateral cerebral and cerebellar intraparenchymal hemorrhage. Complete Cell Count (CBC) revealed severe thrombocytopenia and blood serum showed positive Immunoglobulin M (IgM) for CMV and Urinary CMV was positive by nucleic acid test. He was treated with ganciclovir, inhaled nitric oxide and inotropes. He recovered and was discharged on day 24 of life. Severe PPHN is a rare manifestation of congenital CMV infection and carries a high risk of morbidity and mortality. Congenital CMV should be considered in neonates with PPHN of unknown etiology. Early institution of antiviral therapy in these babies is associated with favorable outcome. PMID- 29843260 TI - Is Breast Best? Examining the effects of alcohol and cannabis use during lactation. AB - Maternal drug use during lactation may have adverse effects on the health of their children. Two common drugs used during this period are alcohol and cannabis. A literature search was conducted using PubMed, CINAHL, Nursing and Allied Health, and Google Scholar with the following search terms: marijuana, cannabis, THC, alcohol, ethanol, breastfeeding, lactation, and breastmilk. The search strategy was restricted to papers since the year 2000, and limited to English language journals. Reference lists were also used to capture any articles that were missed from the database searches. In total, 19 articles were found related to alcohol and breastfeeding (n = 17 original research papers; n = 2 systematic reviews), and 4 articles were specific to cannabis (n = 2 original papers; n = 2 systematic reviews). The most common outcomes associated with alcohol consumption and breastfeeding included changes in sleep patterns, reduced milk production and flow, lower milk intake, and impaired immune function. Maternal outcomes related to cannabis consumption included panic attacks, delayed response time, increased heart rate, reduced short-term memory, dizziness, and impaired motor performance; infant outcomes associated with maternal cannabis use and breastfeeding were reduced muscular tonus, poor sucking, and growth delay and restriction. Mothers should be advised to refrain from substance use during the lactation period for the health and safety of their children. PMID- 29843261 TI - Analysis of clinical diagnosis for all patients receiving antenatal betamethasone in a community hospital. AB - OBJECTIVE: Identify which obstetrical diagnoses are associated with suboptimal antenatal betamethasone administration. METHODS: We present a retrospective, cohort study of patients who received betamethasone due to a risk for preterm delivery, between 7/2013 and 9/2016 at our institution. Details of betamethasone administration were recorded including the diagnosis leading to betamethasone. Optimal administration was defined as two doses of betamethasone given 24 hours apart, with delivery occurring at greater than 24 hours but less than seven days after completion of the second dose of betamethasone. Suboptimal administration included any betamethasone dosing that did not meet the optimal criteria. RESULTS: 428 patients were identified for the study with 20.1% of patients receiving optimal betamethasone. Patients presenting with hypertensive disorders of pregnancy (36.1%) and preterm premature rupture of membranes (PPROM) (22.1%) were more likely to receive optimal betamethasone, while patients presenting with preterm labor (PTL) (41.8%) and placental abruption (24.6%) were more likely to receive suboptimal betamethasone (p-value < 0.0001). Among PTL patients, those presenting with contractions and cervical dilation/short cervix (19.15%) were more likely to receive optimal betamethasone (p-value 0.0349). Optimal betamethasone decreased the incidence of respiratory distress syndrome (RDS) among 32.1 to 34 week neonates. CONCLUSION: Hypertensive disorders of pregnancy and PPROM are associated with optimal betamethasone, whereas PTL and placental abruption are associated with suboptimal betamethasone. PMID- 29843262 TI - The perception of pre- and post-natal marijuana exposure on health outcomes: A content analysis of twitter messages. AB - The prevalence of marijuana use during pregnancy ranges from 3- 30% , and most of this is for recreational purposes. Marijuana exposure during pregnancy has been linked with low birth weight babies and other adverse child health outcomes. Twitter is a popular news and social networking outlet, and is frequently used to access information about population health and behavior. The primary objective of this study was to investigate the types of messages disseminated on Twitter about marijuana use and infant and maternal health. The secondary objective was to describe the reported health outcomes associated with prenatal and postnatal marijuana use. Tweets were collected from the inception of Twitter (2006) until April 2017. If tweets included links, these links were examined to investigate the source of the message and to clarify the user's intent. In total, 550 tweets were captured, with most tweets (77.6%) having a neutral tweet tone, suggesting uncertainty about the health effects associated with pre- and post-natal marijuana exposure. The sources attached to the original tweets, however, were more likely to report on negative health outcomes. The most common health outcomes associated with prenatal marijuana exposure were: poor brain development (27.3%), inadequate development of the nervous system (23.6%), low birth weight (23.3%), poor behavioral outcomes (21.0%), and infant memory issues (19.3%). The inverse association between marijuana use and the quality and quantity of milk produced by the mother was the most commonly reported tweet for the lactation period. PMID- 29843263 TI - Successful exchange transfusion in extremely preterm infant after symptomatic lipid overdose. AB - BACKGROUND: Complications of intravenous lipid administration are relatively uncommon. However, inadvertent rapid infusion of intravenous fat emulsion (IVFE) is an inherent risk when fats are infused separately from the dextrose-amino acid solution. CASE REPORT: Extremely preterm infant, born at 25 weeks and 6 days of gestational age weighing 920 g, who inadvertently received a massive overdose of IVFE due to a device failure. He developed lethargy, apnea, metabolic acidosis and hemodynamic instability requiring mechanical ventilation and inotropic support. Despite discontinuation of IVFE and supportive care, clinical course and metabolic acidosis worsened, so a double-volume exchange transfusion was performed. The procedure was well tolerated, without complications. Serum triglyceride concentration as well as other laboratory data normalized immediately after the exchange transfusion. The patient was extubated to continuous positive airway pressure and inotropic support was discontinued 24 hours after the procedure. He was discharged home at 40 weeks of corrected age with normal magnetic resonance imaging and neurological examination. CONCLUSION: In cases of profound, symptomatic hypertriglyceridemia due to lipid overdose, double-volume exchange transfusion should be considered, even in extremely preterm infants. PMID- 29843264 TI - A rare case of fetal extensive intracranial hemorrhage and whole-cerebral hypoplasia due to latent maternal vitamin K deficiency. AB - We present here a late preterm infant with extensive brain lesions resulting from vitamin K deficiency. A female infant was born after 35 weeks of gestation by emergent cesarean section because of non-reassuring fetal status. Her mother had severe eating disorder and recurrent vomiting since early pregnancy. She was immediately intubated and ventilated because she was extremely pale, hypotonic, and non-reactive. Cerebral magnetic resonance imaging immediately after birth showed intraparenchymal hemorrhage in the left frontal lobe and cerebellum, marked cerebral edema, and cerebellar hypoplasia. Coagulation studies of the infant showed hepaplastin test <5%, prolonged PT and APTT, and a marked elevation of protein induced by vitamin K absence or antagonist-II. This case highlighted a potential risk of intracranial bleeding due to maternal vitamin K deficiency and difficulty in its prediction before delivery. Vitamin K supplementation to high risk mothers might be indispensable for preventing severe fetal vitamin K deficiency. Even when coagulation studies in mothers is normal, it is imperative to provide vitamin K supplementation for total protection. PMID- 29843265 TI - Risk factors of stillbirth in Yemen. AB - BACKGROUND: Yemen has the highest stillbirth rate among the Arab countries. However, the risk factors of this high rate are lacking. This study aimed to determine the maternal, newborn, and service related risk factors for stillbirths at the main maternity hospital in Sana'a city. METHODS: A case-control study was conducted in the main maternity hospital in Sana'a city, Yemen. Case and controls were selected prospectively during the study period. Cases were women who delivered stillbirths after 24 weeks of gestation. Risk factors data for mothers and their neonates were collected using face-to-face interview and data abstraction from medical records. RESULTS: The study included 101 women with stillbirths and 202 women with singleton live births. Mothers older than 35 years (Odds ratio (OR) = 4.9) and those with low level of education were significantly more likely to give stillbirths. Prolonged labor (OR = 5.8), mothers' anemia (OR = 2.1), less than 4 antenatal visits (OR = 5.1) and meconium stained amniotic fluid (OR = 11.5) were significantly associated with increased odds of stillbirth. Prematurity (OR = 27), umbilical complications (OR = 6.4), low birth weight (OR = 17.7), and congenital complications (OR = 40.6) were significantly associated with higher odds of stillbirths. CONCLUSIONS: This study identified many risk factors of stillbirth that are amenable to intervention. Encouraging women to deliver at health facilities, providing better management of obstetrical complications, proper antenatal care, and prompt referral services are essential for reduction of stillbirths in Yemen. PMID- 29843266 TI - Correlation of maternal A1c with glucose infusion rate requirements in the newborn. AB - OBJECTIVE: Fetal hyperinsulinemia and neonatal hyperglycemia are complications of poor maternal glycemic control and may result in increased glucose infusion rate (GIR) requirements in infants of diabetic mothers (IDMs). The objectives of this study were to correlate maternal A1c levels with GIR requirements in IDMs, establish an A1c threshold predictive for GIR requirements, and identify associations between A1c levels and complications in IDMs. STUDY DESIGN: A retrospective review of paired maternal A1c values and GIR requirements of IDMs were compared via logistic regression analysis. A likelihood ratio was calculated to correlate A1c levels with GIR requirements, and identify a maternal A1c threshold. RESULTS: Increasing A1c values were significantly correlated with GIR>=5 mg/kg/min (OR, 1.37; 95% CI 1.04-1.79, p = 0.021). Macrosomia was the most frequent complication (OR, 1.31; 95% CI 1.04-1.67, p = 0.022) and A1c > 6.8% was predictive for increased GIR requirements. CONCLUSION: Increased A1c values were significantly associated with GIR requirements>=5 mg/kg/min. Increased maternal A1c is significantly associated with complications in newborns, specifically macrosomia. A maternal A1c of 6.8% was identified as a threshold predictive of increased GIR requirements. PMID- 29843267 TI - Impact of a neuro-intensive care service for newborns. AB - BACKGROUND: Advances in treating the injured neonatal brain have given rise to neuro-intensive care services for newborns. This study assessed the impact of one such service in a cohort of newborns treated with therapeutic hypothermia. METHODS: Our newborn neuro-intensive care service was started in November 2012. From January 2008 to October 2016, a cohort of 158 newborns was treated with therapeutic hypothermia, 29 before and 129 after the inception of the service. This study compared the outcomes of newborns treated by the service with those of newborns treated before. Multivariate regression analysis associating length-of stay and treatment pre- or post-service was adjusted for five-minute Apgar score, time-to-target temperature, seizures, and mortality. RESULTS: The neuro-intensive care service was also associated with a decrease in mortality (17% before service to 5.4% with the service, p = 0.03), though this association is likely multifactorial and reflects the application of therapeutic hypothermia to a wider variety of patients. However, the service was independently associated with decreased length-of-stay (mean 22 pre-service to 13 days with the service, p < 0.0005.)CONCLUSIONS:The service educated referring hospitals in recognizing therapeutic hypothermia candidates, which increased the number of treated newborns, and created a number of procedures to streamline the delivery of treatment. While the increasing number and variety of patients treated could spuriously reduce length-of-stay, length-of-stay was still significantly reduced after adjustment, providing evidence that neuro-intensive care services for newborns can improve hospital outcomes. PMID- 29843268 TI - Occult large epidural hemorrhage in a newborn infant after in-hospital fall. AB - Management of newborn infants fell in-hospital is especially challenging given the limited signs and symptoms of intracranial hemorrhage in this age group. We present a case of a four day old well appearing newborn infant found to have a severe epidural hemorrhage requiring emergent surgical drainage. Development of imaging protocols for newborn infants suffering in-hospital falls need to consider the potential consequences of missing actionable intracranial hemorrhage when relying on clinical observation as a management strategy. PMID- 29843269 TI - Bronchopulmonary dysplasia appropriateness as a surrogate marker for long-term pulmonary outcomes: A Systematic review. AB - BACKGROUND: Bronchopulmonary dysplasia (BPD) is used to clinically describe the severity of lung disease and to serve as a common surrogate endpoint for long term pulmonary morbidity in clinical trials, but its performance as a surrogate end-point warrants evaluation. Our objective was to assess real-world performance of BPD as a surrogate marker for long-term pulmonary outcomes. METHODS: We performed a systematic review of large, multi-centered, blinded, randomized control trials to evaluate the use of BPD as a surrogate marker for long-term pulmonary outcomes. Long-term pulmonary outcomes occurred within two years and included measures of hospital utilization, respiratory illness, respiratory medication, and mortality. Direction and magnitude of effect were evaluated using number needed to treat analysis. RESULTS: Five studies were included in our review. Studies varied in definition of BPD and in long-term outcomes measured. Only one study found a significant, consistent risk reduction in both BPD and any long-term pulmonary outcome. Two studies found significant reductions in long term pulmonary outcomes with a non-significant reduction in BPD. CONCLUSIONS: BPD is an imperfect surrogate marker for long-term pulmonary outcomes. It did not consistently predict the magnitude or direction of the effect of an intervention on longer-term pulmonary outcomes. Furthermore, there was significant variation in the definitions of BPD and in the long-term pulmonary outcomes used. There is a need for future work to identify more predictive surrogate markers and a need for better standardization of assessments of long-term pulmonary outcomes. PMID- 29843270 TI - Effect of probiotics on C-reactive protein levels in preterm infants: Secondary analysis of a randomized controlled trial. AB - BACKGROUND: Excessive inflammation is associated with adverse outcomes in preterm infants. C- reactive protein (CRP) is a marker of inflammation/infection. Probiotics have anti-inflammatory properties. Randomized controlled trials (RCTs) in preterm infants have not reported effect of probiotics on CRP. AIM: To evaluate effect of probiotics on CRP in preterm infants who had participated in a RCT of Bifidobacterium breve (B. breve) m-16v. METHODS: Data on all infants (GA <33 weeks, n = 159) enrolled in the RCT was analyzed. For study purpose, CRP <15 mg/L and <=10 mg/L was considered normal for the first week, and thereafter respectively. Mixed logistic regression modelling was used to assess probiotic effect on CRP levels. RESULTS: There were 1579 CRP measurements (Probiotic: 851 vs. Placebo: 728). Baseline characteristics and number [Median (IQR)] of CRP estimations per infant [l0 (5, 20) vs. 10 (6, 17), p = 0.861] were comparable between probiotic vs. placebo group. There was no significant difference in the proportion of infants with high CRP over time (treatment by weekly time points interaction, p = 0.187), and across all time points between probiotic and placebo group (adjusted OR: 1.62, 95% CI: 0.91-2.88, p = 0.102)CONCLUSION:B. breve m-16v did not decrease CRP levels in preterm infants born <33 weeks. PMID- 29843271 TI - Early prediction of a significant patent ductus arteriosus in infants <32 weeks gestational age. AB - BACKGROUND: The optimal thresholds for identification of preterm infants at greatest risk for adverse sequelae related to patent ductus arteriosus have not been well delineated. Our aim was to determine hemodynamic parameters in the first 24 hours using continuous non-invasive vital and structural measurements to predict which infants required PDA treatment in our institution. METHODS: Retrospective secondary analysis of data from infants born 23 to 32 weeks gestational age with cardiac output and stroke volume via electrical cardiometry, cerebral tissue oximetry measurements, mean arterial blood pressure (BP), heart rate, and oxygen saturation and functional echocardiography results at 12 hours of life were recorded when available (93 percent of subjects). RESULTS: A total of 292 infants, of which 55 (26+/-2 weeks, 862+/-268 grams) were treated for PDA. Treated infants demonstrated increased left ventricular output (p < 0.001) and lower mean BP (p = 0.010). The optimal area under the receiver operating characteristic curve (AUC) for predicting PDA treatment in our all gestations cohort is a mean BP at 15 hours of life of <33 mm Hg (AUC = 0.854, p < 0.001, 95% CI 0.792, 0.916). For infants <28 weeks a mean BP at 13 hours of life of <33 mm Hg (AUC = 0.741, p < 0.050, 95% CI 0.642, 0.839). CONCLUSIONS: In our cohort increased left ventricular output and lower mean BP predicted a clinically significant PDA requiring treatment. PMID- 29843272 TI - Slow enteral feeding decreases risk of transfusion associated necrotizing enterocolitis. AB - BACKGROUND: Necrotizing Enterocolitis (NEC) is a multifactorial condition where PRBC transfusion is associated with necrotizing enterocolitis (TANEC) in about a third of all cases of NEC. We have investigated the role of feeding practices in incidence of TANEC. We sought to compare infants diagnosed with TANEC versus infants diagnosed with classic NEC and investigated the effects of a standardized slow enteral feeding (SSEF) protocol on TANEC incidence as well as the effects of SSEF on growth of infants with NEC. METHODS: We conducted a retrospective cohort study, where medical records of infants born in a tertiary care neonatal intensive care unit (level IIIb) from January 1997 to May 2014 with birth weight < 1500 grams and gestational age<=34 weeks with NEC stage IIa or greater according to the modified Bell's staging were reviewed. RESULTS: During the study period, 111 infants developed NEC, and 41/111 (37%) were diagnosed with TANEC. Infants with TANEC were smaller, more premature, had higher SNAPPE scores and were more anemic prior to transfusion compared with infants with 'classic NEC'. The severity of NEC did not differ between the two groups, however, infants with TANEC had worse outcomes and longer NICU stays. Introduction of SSEF protocol, led to a significant decrease in TANEC. There was no difference in weight and head circumference of infants in the two groups at 2 years corrected age. CONCLUSION: SSEF led to a significant reduction in the incidence of TANEC without impairing growth at 2 years corrected age. PMID- 29843273 TI - Post-discharge outcomes of failed car seat tolerance screens: A case-control and follow-up study. AB - BACKGROUND: Despite widespread implementation, limited data exists relating morbidity or adverse outcomes to Car Seat Tolerance Screen (CSTS) result in preterm and low birth weight (LBW) neonates. The objective of this study was to determine longer term post-discharge outcomes of infants who failed a CSTS. METHODS: We performed a case control study evaluating outcomes of infants born over one year who failed vs. passed an initial CSTS, utilizing both retrospective medical record review and parental survey data 2-3 years after discharge. Subjects were matched one case of failed CSTS to two controls who passed CSTS based on sex, gestational age, and BW. We performed bivariate analysis of clinical and demographic risk factors comparing those who passed vs. failed CSTS. RESULTS: We identified 19 subjects who failed and matched to 37 controls. Cases were significantly more likely to be diagnosed with obstructive sleep apnea (p = 0.027), asthma (p = 0.016), and be treated with albuterol (p = 0.008). We did not find differences in frequency of urgent care visits or hospital admissions between the groups. Although more of the cases were noted to have developmental delays, the difference was not statistically significant. CONCLUSION: This is the first study to evaluate longer term post-discharge outcomes of subjects having undergone CSTS. Subjects who failed CSTS had significantly increased incidence of respiratory diagnoses such as OSA and asthma than matched controls by 2-3 years after discharge. Larger studies are necessary to further evaluate these findings, but this does provide data that CSTS may be useful in identifying at risk neonates. PMID- 29843274 TI - Decreasing NICU admissions of asymptomatic infants of women with pregestational diabetes mellitus improves breastfeeding initiation rates. AB - BACKGROUND: Asymptomatic infants born to women with pregestational diabetes mellitus (PGDM) are usually admitted to the well baby nursery (WBN) while those who are symptomatic or in need of specialized care are admitted to the neonatal intensive care unit (NICU). OBJECTIVE: To determine if changes in the NICU admission rate of asymptomatic infants born to women with PGDM during two different epochs affected breastfeeding (BF) initiation rates. DESIGN/METHODS: Retrospective cohort investigation of 386 women with PGDM and their infants who delivered in 2008-11 (epoch 1) and 457 who delivered in 2013-16 (epoch 2) at a single institution. RESULTS: NICU admissions: Comparison between epoch 1 and epoch 2 showed a decrease in the number of admissions from 243 (63%) to 175 (38%) *(chi square *p < 0.05). Respiratory distress (39 and 43%) and prematurity (28 and 23%) as admission diagnoses remained unchanged. Admissions for prevention of hypoglycemia declined (32% to 21%)*. At discharge from the NICU, exclusive BF (12 to 19%)* and any BF increased (41 to 55%)* while formula feeding (FF) decreased (59 to 45%)*. Admission to the NICU remained a strong predictor of BF initiation failure (a OR 0.6, 95% , CI 0.4-0.9, p 0.005).WBN admissions: Comparison between epoch 1 and epoch 2 showed an increase in the number of admissions from 143 (37%) to 282 (62%)*. The incidence of hypoglycemia (31% and 38%) and its correction with oral feedings (76% and 71%) remained unchanged. At discharge from the WBN, exclusive BF (15 to 27%)* and any BF (52 to 62%)* increased while FF decreased (48 to 38%)*. CONCLUSIONS: A decrease in the number of NICU admissions of asymptomatic infants born to women with PGDM is associated with improvements in BF initiation rates. PMID- 29843275 TI - eHealth solutions and nonurgent visits in emergency departments. PMID- 29843276 TI - Effects of robot-assisted training on upper limb functional recovery during the rehabilitation of poststroke patients. AB - BACKGROUND: The study aims to determine the effectiveness of robot-assisted training in the recovery of stroke-affected arms using an exoskeleton robot Armeo Spring. OBJECTIVE: To identify the effect of robot training on functional recovery of the arm. METHODS: A total of 34 stroke patients were divided into either an experimental group (EG; n= 17) or a control group (n= 17). EG was also trained to use the Armeo Spring during occupational therapy. Both groups were clinically assessed before and after treatment. Statistical comparison methods (i.e. one-tailed t-tests for differences between two independent means and the simplest test) were conducted to compare motor recovery using robot-assisted training or conventional therapy. RESULTS: Patients assigned to the EG showed a statistically significant improvement in upper extremity motor function when compared to the CG by FIM (P< 0.05) and ACER (P< 0.05). The calculated treatment effect in the EG and CG was meaningful for shoulder and elbow kinematic parameters. CONCLUSIONS: The findings show the benefits of robot therapy in two areas of functional recovery. Task-oriented robotic training in rehabilitation setting facilitates recovery not only of the motor function of the paretic arm but also of the cognitive abilities in stroke patients. PMID- 29843277 TI - Application of Zebris dynamometric platform and Arch Index in assessment of the longitudinal arch of the foot. AB - BACKGROUND: Assessment of the foot arch is an important element of posture examination. In clinical practice, different methods are used. Reliability and repeatability of the techniques raises many doubts. OBJECTIVE: Development and verification of our own, automated diagnostic algorithm for evaluation of the longitudinal arch of the foot with the use of the Zebris FDM-S dynamometric platform. METHODS: This paper presents selected footprints assessment methods and Zebris dynamometric platform to assess the longitudinal arch of the foot. RESULTS: The results were compared to standard plantography examination. The outcomes show high correlation of the investigated parameters methods used. The ambiguity of classification criteria of foot arch was observed. CONCLUSIONS: 1/Examination confirmed strong linear correlation between the Arch Index results obtained during examinations on a stabilometric platform and plantography examination. 2/The proposed algorithm for AI evaluation using the Zebris FDM-S dynamometric platform enables simultaneous analysis of stabilometric and pedobarometric variables as well classifying the type of disorder arch longitudinal arch of the foot. 3/Qualitative analysis of the arch, based on plantography results and the Arch Index, shows inconsistency in results obtained with different methods. 4/The obtained results show further necessity to conduct more studies to develop methods of standardization of foot arch assessment. PMID- 29843278 TI - Investigation of the backflows and outlet boundary conditions for computations of the patient-specific aortic valve flows. AB - BACKGROUND: Simulation divergence due to the backflow through the outlet boundary is a common, but not fully addressed challenge in patient-specific simulations of the aortic valve flows. OBJECTIVE: The purpose of this study is to develop the outlet boundary conditions aiming to improve convergence of the patient-specific aortic valve computations and to control the backflow in the case of partial reversal of the flow through the outlet. METHODS: Haemodynamic analysis of the aortic valve flows governed by the Navier-Stokes equations is performed by using the finite volume method. The pressure distribution, obtained from the convergent computations driven by the outflow boundary condition, is approximated by the parabolic surface of revolution and prescribed on the outlet as the novel pressure boundary condition. RESULTS: Various types of outlet boundary conditions are investigated to evaluate their influence on the resulting backflows. The outflow boundary condition produces a smaller backflow than other investigated boundary conditions, but it causes the solution divergence. The proposed outlet boundary condition allows for continuing the solution and preserving the expected backflow. CONCLUSIONS: The proposed outlet boundary condition helps to achieve a convergent solution and to conserve the observed backflow by varying the convexity of the specified pressure surface. PMID- 29843279 TI - Shoulder torques resulting from luggage handling tasks in non-inertial frames. AB - BACKGROUND: This paper reports on the torques developed in the shoulder joint experienced by occupants of moving vehicles during manual handling tasks. Handling heavy weights can cause musculoskeletal injuries, especially if handling is done with arms extended or at high levels. OBJECTIVE: The aim of the study was to measure the longitudinal and lateral accelerations in a variety of passenger vehicles together with the postures of subjects lifting luggage onto storage shelves. This data enabled the application of inverse dynamics methods in a non inertial reference frame to calculate the shoulder joint torques. METHODS: The subjects lifted 3 pieces of luggage of masses of 5 kg, 10 kg and 14 kg onto shelving which were at heights of 1.2 m, 1.6 m and 1.8 m. The movement of subjects was measured using a 12 camera, 3-dimensional optical tracking system. The subjects stood on force plates to measure the ground reaction forces. RESULTS: Sixty-three trials were completed, although 9 trials were aborted because subjects felt unable to complete the task. It was found that the shoulder torques exceeded the levels recommend by the UK Health and Safety Executive for manual handling. A lift assistance device is suggested to reduce the shoulder torques required for luggage handling. PMID- 29843280 TI - The IR-thermal imaging method for evaluation of the status of myocardial coronary vessels under the condition of artificial blood circulation. AB - BACKGROUND: In this paper a method is proposed to evaluate the heart's coronary vessels' status based on the elimination of large coronary branches from IR thermal image. This method makes it possible to determine nutrient cardiac blood circulation by calculation of the rate of heat spreading in small coronary vessels in the myocardium at hypothermia and hyperthermia under the conditions of artificial blood circulation. OBJECTIVE: The objective of the paper includes a theoretical substantiation of the proposed method for evaluation of the heart's coronary vessels' status and an experimental investigation of the efficiency of the method. METHODS: In the experiment, the dynamics of temperature distribution in the myocardium were registered by using thermal imaging cameras Flir i7 and Thermo Cam E300. RESULTS: Processing of the myocardium's thermographic images and the results of heat spreading modeling make it possible to single out the temperature profiles of the visible myocardium zones and to establish the presence of coronary arteries in them. CONCLUSIONS: The method makes it possible to monitor the heart temperature at hypothermia and hyperthermia; additionally, it makes it possible to evaluate the efficiency of the coronary artery bypass graft surgery performed during open heart operation. PMID- 29843281 TI - A dynamic model of a device with a parallel-serial structure to support the human lower limb. AB - BACKGROUND: Support systems designed for human lower limbs are usually characterized by a serial kinematic structure taking into account only one lower limb. To overcome the mobility range limitations, a new structure of the exoskeleton is proposed in this paper. OBJECTIVE: The design process of the dynamic model for the support structure characterized by a parallel-serial mechanism is presented in the paper. The structure works as an exoskeleton and is designed to assist motion of the human lower limb in the process of rehabilitation. METHODS: The structure of the support model was divided into linear (executive system) and nonlinear (the mechanical skeleton of the system) parts. The model of the executive system was designed and its parameters were estimated in the course of tests on a laboratory stand, as well as identification procedures. The nonlinear model was expressed by mathematical equations. The characteristic coefficients in the equation were determined based on a 3d CAD model. RESULTS: To analyze the behavior of the mechanism, a simulation of dynamic responses was compared with experimental results for a real system consisting of a mechatronic device, actuator drivers, a controller, and programmed software. CONCLUSIONS: The proposed new structure enables an increase of the range of rotation angles and can be fitted to an individual person. The derived model is in the analytical form and can also be easily adopted to the different versions of the exoskeleton and used in the design of control systems. PMID- 29843282 TI - A pilot study on the influence of exercising on unstable training machine on balance control and trunk muscles activity. AB - BACKGROUND: The main position of the working population is becoming sitting. Immobile prolonged sedentary time may cause negative effects including reduced intervertebral discs nutrition. Main ways of mitigating them are regular position changes and exercising. OBJECTIVE: To evaluate influence of the short term training on unstable training machine on balance control and trunk muscles activity in patients with lower back pain. METHODS: Participants (n=16) experiencing lower back pain were trained on an unstable sculling machine "Rehabili". Their balance tested by (Biodex Balance System) and rectus abdominis, externus oblique, transverse abdominis, multifidus and erector spine muscles activity (measured by surface electromyography) while sitting and standing with usual and aligned body postures both before and after six weeks of training (three 15 minutes sessions per week) were compared in between. RESULTS: Balance control improved after the training program. Besides, more symmetrical activation of both sides rectus and transversus abdominis muscles, as well as increased transversus abdominis muscle activation of 19% (p< 0.05), were observed. CONCLUSIONS: Six weeks short sessions training on unstable training machine improved balance control and increased trunk muscles activity especially in aligned body posture when standing or sitting on unstable surface. PMID- 29843283 TI - Estimation of ground reaction forces and joint moments on the basis on plantar pressure insoles and wearable sensors for joint angle measurement. AB - BACKGROUND: Gait analysis is a useful tool medical staff use to support clinical decision making. There is still an urgent need to develop low-cost and unobtrusive mobile health monitoring systems. OBJECTIVE: The goal of this study was twofold. Firstly, a wearable sensor system composed of plantar pressure insoles and wearable sensors for joint angle measurement was developed. Secondly, the accuracy of the system in the measurement of ground reaction forces and joint moments was examined. METHODS: The measurements included joint angles and plantar pressure distribution. To validate the wearable sensor system and examine the effectiveness of the proposed method for gait analysis, an experimental study on ten volunteer subjects was conducted. The accuracy of measurement of ground reaction forces and joint moments was validated against the results obtained from a reference motion capture system. RESULTS: Ground reaction forces and joint moments measured by the wearable sensor system showed a root mean square error of 1% for min. GRF and 27.3% for knee extension moment. The correlation coefficient was over 0.9, in comparison with the stationary motion capture system. CONCLUSIONS: The study suggests that the wearable sensor system could be recommended both for research and clinical applications outside a typical gait laboratory. PMID- 29843284 TI - Necessity of early-stage verticalization in patients with brain and spinal cord injuries: Preliminary study. AB - BACKGROUND: Integration of the verticalization robot, Erigo, with functional electric stimulation and passive leg movements in the postacute rehabilitation of neurological patients could reduce the risk of secondary complications and improve functional outcomes (i.e. orthostatic hypotension, postural control and walking ability). OBJECTIVE: The aim of this study was to estimate and quantify changes in the postacute stage, mainly related to heart rate and blood pressure in functional recovery, postural parameters, walking ability and psychoemotional reactions, during training using the verticalization robot Erigo. METHODS: Six patients [three suffering from a stroke (ST) and three with spinal cord injuries (SCI)] participated in 10 sessions of physical therapy with the verticalization robot during primary inpatient rehabilitation. Functional state changes were assessed using clinical tests before and after the treatment, and the loading tolerance during Erigo training was noted. RESULTS: In early rehabilitation, Erigo training was safe and effective at improving orthostatic tolerance, posture and positive emotional reactions in both the ST and SCI patients (P< 0.05). In addition, advanced technologies were more effective at boosting the orthostatic tolerance in SCI patients, while they were more effective at increasing the dynamic balance and walking ability in ST patients (P< 0.05). PMID- 29843285 TI - Experimental investigation of the determination for the safe operating regime of ultrasound tube-shaped waveguide wire for internal blood vessel debulking. AB - BACKGROUND: Majority of limb amputations are caused by circulatory disturbances such as vascular occlusions and strictures. Discovery of modern and more advanced ultrasonic interventional vascular debulking methodology would likely save limbs of CVD patients and their lives in an economical way. However, there is a lack of researches regarding the ultrasound's effect on physiological functions of human blood cells. The tube-shaped ultrasound waveguide wire with orifices at its operational end was offered as the alternative to some currently patented interventional thrombosis treatment solutions. OBJECTIVE: To establish the safe operating regime of the proposed device. METHODS: The temperature rise induced by the cavitation process and friction between the waveguide and surrounding fluids was measured and microscopic pictures of human blood were made. RESULTS: Blood insonation lasting 15 seconds, leads to blood clot formation. If insonation continues for 30 seconds some cells are totally destroyed. In addition, the safe operating regime was established. To avoid heating of the environment to the temperature harmful for the medium (blood) and surrounding tissues, is achieved when the system should be on for 40%, and of for 60% of the period of 1 second. CONCLUSIONS: The safe operating regime of the proposed device was established. PMID- 29843286 TI - Numerical simulation of transapical off-pump mitral valve repair with neochordae implantation. AB - BACKGROUND: Transapical off-pump mitral valve (MV) repair is a novel minimally invasive surgical technique, allowing to correct mitral regurgitation (MR) caused by chordae tendineae rupture. While numerical simulation of the MV structure has proven to be useful to evaluate the effects of the MV surgical repair techniques, no numerical simulation studies on the outcomes of transapical MV repair have been done up to now. OBJECTIVE: The purpose of this study is to evaluate the transapical MV repair using finite element modeling and to determine the effect of the neochordal length on the function of the prolapsing MV. METHODS: The reconstruction of the MV geometry based on the patient-specific data was performed. In order to simulate prolapse, chordae inserted into the middle segment of the posterior leaflet (P2) were ruptured. A total of four virtual transapical repairs using neochordae of different length were performed. The function of the MV before and after virtual repairs was simulated. RESULTS: The evaluation of the effect of the neochordal length on post-repair MV function showed that the length of the implanted neochordae has a significant impact on the correction of MR caused by chordae tendineae rupture. CONCLUSIONS: The presented results can improve the understanding of the effects of transapical MV repair. PMID- 29843287 TI - Quantitative assessment of upper extremities motor function in multiple sclerosis. AB - BACKGROUND: Upper extremity (UE) motor function deficits are commonly noted in multiple sclerosis (MS) patients and assessing it is challenging because of the lack of consensus regarding its definition. Instrumented biomechanical analysis of upper extremity movements can quantify coordination with different spatiotemporal measures and facilitate disability rating in MS patients. OBJECTIVE: To identify objective quantitative parameters for more accurate evaluation of UE disability and relate it to existing clinical scores. METHODS: Thirty-four MS patients and 24 healthy controls (CG) performed a finger-to-nose test as fast as possible and, in addition, clinical evaluation kinematic parameters of UE were measured by using inertial sensors. RESULTS: Generally, a higher disability score was associated with an increase of several temporal parameters, like slower task performance. The time taken to touch their nose was longer when the task was fulfilled with eyes closed. Time to peak angular velocity significantly changed in MS patients (EDSS > 5.0). The inter-joint coordination significantly decreases in MS patients (EDSS 3.0-5.5). Spatial parameters indicated that maximal ROM changes were in elbow flexion. CONCLUSIONS: Our findings have revealed that spatiotemporal parameters are related to the UE motor function and MS disability level. Moreover, they facilitate clinical rating by supporting clinical decisions with quantitative data. PMID- 29843288 TI - Low cost self-made pressure distribution sensors for ergonomic chair: Are they suitable for posture monitoring? AB - BACKGROUND: Long sitting causes many health problems for people. Healthy sitting monitoring systems, like real-time pressure distribution measuring, is in high demand and many methods of posture recognition were developed. Such systems are usually expensive and hardly available for the regular user. OBJECTIVE: The aim of study is to develop low cost but sensitive enough pressure sensors and posture monitoring system. METHODS: New self-made pressure sensors have been developed and tested, and prototype of pressure distribution measuring system was designed. RESULTS: Sensors measured at average noise amplitude of a = 56 mV (1.12%), average variation in sequential measurements of the same sensor s = 17 mV (0.34%). Signal variability between sensors averaged at 100 mV (2.0%). Weight to signal dependency graph was measured and hysteresis calculated. Results suggested the use of total sixteen sensors for posture monitoring system with accuracy of < 1.5% after relaxation and repeatability of around 2%. CONCLUSION: Results demonstrate that hand-made sensor sensitivity and repeatability are acceptable for posture monitoring, and it is possible to build low cost pressure distribution measurement system with graphical visualization without expensive equipment or complicated software. PMID- 29843289 TI - The impact of body mass on spine alterations in pregnant women: A preliminary study. AB - BACKGROUND: Weight gain is the most significant change during pregnancy. The lack of consensus among scientists as far as significant spine alterations are concerned requires basic knowledge to be increased. OBJECTIVE: The aim of the paper is to determine changes in spine parameters occurring during pregnancy accompanying the increasing body gain. METHODS: Twelve pregnant women were included in this study. Winspine Pointer, a three-dimensional motion analysis system, was applied for the tests. The output measurements were: pelvic torsion, pelvic obliquity, pelvic/shoulder obliquity, thoracic kyphosis angle, lumbar lordosis angle, and sacral angle. The correlation between the BMI index and the spine parameters was investigated using Spearman's correlation coefficient. RESULTS: Differences between women in the 2nd and 3rd trimester of pregnancy were found for thoracic kyphosis angle and lumbar lordosis angle (P< 0.05). A statistically significant relationship was revealed between the BMI and the thoracic kyphosis in the 3rd trimester of pregnancy (R = 0.50, p= 0.005). With the increase of the BMI, the measured parameter also increased. CONCLUSIONS: Understanding the changes in spine parameters during pregnancy is important as far as prevention and treatment are concerned. PMID- 29843290 TI - Novel techniques for a wireless motion capture system for the monitoring and rehabilitation of disabled persons for application in smart buildings. AB - BACKGROUND: Due to the problem of aging societies, there is a need for smart buildings to monitor and support people with various disabilities, including rheumatoid arthritis. OBJECTIVE: The aim of this paper is to elaborate on novel techniques for wireless motion capture systems for the monitoring and rehabilitation of disabled people for application in smart buildings. METHODS: The proposed techniques are based on cross-verification of distance measurements between markers and transponders in an environment with highly variable parameters. To their verification, algorithms that enable comprehensive investigation of a system with different numbers of transponders and varying ambient parameters (temperature and noise) were developed. In the estimation of the real positions of markers, various linear and nonlinear filters were used. Several thousand tests were carried out for various system parameters and different marker locations. RESULTS: The results show that localization error may be reduced by as much as 90%. It was observed that repetition of measurements reduces localization error by as much as one order of magnitude. CONCLUSIONS: The proposed system, based on wireless techniques, offers a high commercial potential. However, it requires extensive cooperation between teams, including hardware and software design, system modelling, and architectural design. PMID- 29843291 TI - Modelling of silk-reinforced PDMS properties for soft tissue engineering applications. AB - BACKGROUND: Polydimethylsiloxane (PDMS) is widely used in biomedical research and technology, but its mechanical properties should be tuned according to the desired product specifications. Mixing ratio of base polymer to curing agent or additives enables its mechanical properties to be manipulated and fit to mechanical properties of biological tissues. OBJECTIVE: In this paper, we analysed the effect of mechanical load on silk-reinforced PDMS depending on silk concentration. METHODS: We prepared cylinder-type PDMS samples with different silk concentrations and performed cyclic uniaxial compression tests with a fixed magnitude of applied strain. Next, we analysed the mechanical charascteristics of PDMS using computational modelling. RESULTS: The stress-strain data within the large-strain region of different PDMS cylinders without silk and with 1%, 5% and 10% silk concentrations was fitted to non-linear second order Mooney-Rivlin, and third-order Ogden models. The results show the equivalence of both models for investigated strain region of PDMS. On the other hand, PDMS cylinders with 10% silk concentration allowed the successful fitting of experimental data just for the second-order Mooney-Rivlin model, while all numerical probes to find an appropriate fitting parameters for third-order Ogden models were unsuccessful. CONCLUSIONS: The second-order Mooney-Rivlin model is preferable for analysing the properties of silk-reinforced PDMS over the entire measurement range. PMID- 29843292 TI - Editorial. PMID- 29843293 TI - Impact of Tumarkin attacks on complaints and work ability in Meniere's disease. AB - The purpose of the present study was to characterize the occurrence of Tumarkin attacks in patients with Meniere'sdisease (MD), and to study its association with reported complaints, severity of consequences, and also self-reported work ability. The study used a cross-sectional design. Data obtained from the Finnish Meniere Federation using an electronic survey was analyzed. 602 people with MD responded to the survey (62% response rate) with a mean age of 56.7 years and a mean duration of the disease 12.4 years. 49% of the respondents experienced Tumarkin attacks, which lasted for a few seconds to a few minutes. There were significant differences in complaints reported by MD patients with and without Tumarkin attacks. Respondents with Tumarkin attacks experienced various consequences, including tripping, falls, fear, anxiety, problems in dyadic life, and even transient loss of consciousness. Respondents with Tumarkin attacks had more frequently applied for pension than those not having Tumarkin attacks. On an average, respondents with Tumarkin attacks had less self-reported working ability when compared to those without Tumarkin attacks. The current study results suggest various differences in terms of complaints reported, severity of consequences, and the self-reported working ability in MD patients with and without Tumarkin attacks. Hearing healthcare professionals must examine Tumarkin attacks and their consequences in patients with MD during clinical examinations. In addition, the therapy should focus on alleviating the consequences and improving work ability. PMID- 29843294 TI - A literature review of anthropometric studies of school students for ergonomics purposes: Are accuracy, precision and reliability being considered? AB - BACKGROUND: Despite offering many benefits, direct manual anthropometric measurement method can be problematic due to their vulnerability to measurement errors. OBJECTIVE: The purpose of this literature review was to determine, whether or not the currently published anthropometric studies of school children, related to ergonomics, mentioned or evaluated the variables precision, reliability or accuracy in the direct manual measurement method. METHODS: Two bibliographic databases, and the bibliographic references of all the selected papers were used for finding relevant published papers in the fields considered in this study. RESULTS: Forty-six (46) studies met the criteria previously defined for this literature review. However, only ten (10) studies mentioned at least one of the analyzed variables, and none has evaluated all of them. Only reliability was assessed by three papers. Moreover, in what regards the factors that affect precision, reliability and accuracy, the reviewed papers presented large differences. This was particularly clear in the instruments used for the measurements, which were not consistent throughout the studies. Additionally, it was also clear that there was a lack of information regarding the evaluators' training and procedures for anthropometric data collection, which are assumed to be the most important issues that affect precision, reliability and accuracy. CONCLUSIONS: Based on the review of the literature, it was possible to conclude that the considered anthropometric studies had not focused their attention to the analysis of precision, reliability and accuracy of the manual measurement methods. Hence, and with the aim of avoiding measurement errors and misleading data, anthropometric studies should put more efforts and care on testing measurement error and defining the procedures used to collect anthropometric data. PMID- 29843295 TI - Road casualties in work-related and private contexts: occupational medical impact. Results from the ESPARR cohort. AB - BACKGROUND: Road accidents may impact victims' physical and/or mental health and socio-occupational life, notably including return to work. OBJECTIVES: To assess whether the occupational medical consequences sustained by subjects injured in road accidents occurring in a work-related context differ from those associated with private accidents. METHODS: 778 adults who were in work or occupational training at the time of their accident were included. Two groups were distinguished: 354 (45.5%) injured in road accidents occurring in a work-related context (commuting or on duty) and 424 (54.5%) injured in a private accident. The groups were compared on medical and occupational factors assessed on prospective follow-up at 6 months and 1 and 3 years. Multivariate analysis explored for factors associated at 6 months and 1 year with sick leave following the accident and duration of sick leave. RESULTS: There were no significant differences between groups for demographic data apart from a slightly higher injury severity in private accidents (32.5% of private accidents with MAIS3+(Maximum Abbreviated Injury Scale greater or equal to 3) vs. 23.7% for work-related accidents, p = 0.007). Victims of work-related accidents were more often on sick leave (OR = 1.8; 95% CI, 1.1-2.9). Although the length of sick leave is higher for work related accidents that for private accidents, multivariate analysis showed that the injury severity and the post-traumatic stress disorder (PTSD) are significant factors to explain the time to return to work. There were no significant differences according to occupational impact during follow-up, notably including sick-leave duration, number of victims returning to work within 3 years and number of victims out of work due to incapacity. CONCLUSIONS: In the ESPARR (follow-up study of a road-accident population in the Rhone administrative county: Etude de Suivi d'une Population d'Accidentes de la Route dans le Rhone) cohort, the fact that a road accident occurred in a work-related context did not affect the occupational consequences. PMID- 29843296 TI - Workplace relationships impact self-rated health: A survey of Swedish municipal health care employees. AB - BACKGROUND: The impact of positive social relationships on the health of municipal employees in the elder care sector in Sweden needs further examination. OBJECTIVE: To explore the association between health and relationships among elderly care employees using a salutogenic perspective. METHOD: Survey of all employees (n = 997) in special housing, home care and Disabled Support and Services in a Swedish municipality. The questionnaire, which had a salutogenic perspective, included information on self-rated health from the previously validated SHIS (Salutogenic Health Indicator Scale), psychosocial work environment and experiences, social climate, and health-promoting workplace relationships. RESULTS: The response rate was 69% . Results of a multivariable linear regression model showed four significant predictors of health: general work experiences, colleague belongingness and positive relationships with managers and care recipients. In another model, colleague belongingness was significantly related to satisfaction with care recipients, work, length of employment as well as general work experiences and relationships with managers. CONCLUSION: Strengthening of positive work relationships, not only between workmates but also with managers and care recipients, seems to be an essential area for employee health promotion. Colleague belongingness may be deepened by development of a positive work climate, including satisfactory work experiences, positive manager relationships and a stable work force. PMID- 29843297 TI - Enriched environment at work: Disassociated from stress and burnout. AB - BACKGROUND: Enriched environment at work (EEW), in terms of high mental demands at work, may be of great relevance for preventative efforts against cognitive decline and dementia as previous studies have shown. Yet, there is the concern that high EEW mental demands may accelerate stress and cause burnout. OBJECTIVE: The aim of our study was to investigate how EEW mental demands are related to stress and burnout. METHOD: A convenience sample of employees in the city area of Leipzig, Germany, was asked to fill out the Copenhagen Burnout Inventory and indicate for each EEW mental demand the level experienced, demandingness, and stressfulness. RESULTS: Multivariate linear regression and structural equation modelling suggested that only some EEW mental demands were perceived as stressful when the level of the respective EEW mental demand was high. Higher stressfulness was associated with burnout symptoms - however, high levels of EEW mental demands were not significantly associated with burnout (neither directly nor indirectly). CONCLUSIONS: Our findings implied that subjectively perceived stressfulness seems to be a more relevant aspect than the actual level of the demand itself. However, further studies are necessary to validate our findings. PMID- 29843298 TI - Preferential strengthening of VMO muscle during selected biomechanical rehabilitative exercises of automotive workers with patellofemoral pain syndrome. AB - BACKGROUND: Automotive workers are engaged in occupational activities like engine tune-ups, oil changes, tire rotation, wheel balancing, replacing filters etc. These activities involve prolonged sitting, awkward postures, squatting and kneeling, which are known risk factors to cause patellofemoral pain syndrome (PFPS). OBJECTIVE: This paper aims to investigate the effects of selected biomechanical rehabilitative exercises (BRE) on integrated electromyography (iEMG) activity of vastus medialis oblique (VMO) and vastus lateralis (VL) muscles so as to identify suitable ones to alleviate PFPS of automotive workers. METHODS: Eleven subjects, automotive workers having PFPS, performed four BRE: (1) short arc quad with neutral hip position (SAQN), (2) short arc quad with externally rotated hip position (SAQER), (3) medial tibial rotation (MTR), and (4) hip adduction (HA). RESULTS: Mean iEMG activity of VMO muscle is more than that of VL muscle during all BRE. However, one way ANOVA with repeated measures indicates that mean iEMG activity of VMO muscle is significantly higher than that of VL muscle during SAQER only. VMO/VL ratio is not significantly different across the four BRE. CONCLUSIONS: Results suggest a range of options for choosing appropriate BRE for treating automotive workers with PFPS. However, SAQER may directly be recommended for preferential strengthening of VMO muscle. PMID- 29843299 TI - Physician decision-making in the management of work related upper extremity injuries. AB - BACKGROUND: Physicians working in a tertiary care injured worker clinic are faced with clinical decision-making that must balance the needs of patients and society in managing complex clinical problems that are complicated by the work-workplace context. OBJECTIVE: The purpose of this study is to describe and characterize the decision-making process of upper extremity specialized surgeons when managing injured workers within a specialized worker's compensation clinic. METHOD: Surgeons were interviewed in a semi-structured manner. Following each interview, the surgeon was also observed in a clinic visit during a new patient assessment, allowing observation of the interactional patterns between surgeon and patient, and comparison of the process described in the interview to what actually occurred during clinic visits. RESULTS: The primary central theme emerging from the surgeon interviews and the clinical observation was the focus on the importance of comprehensive assessment to make the first critical decision: an accurate diagnosis. Two subthemes were also found. The first of these involved the decision whether to proceed to management strategies or to continue with further investigation if the correct diagnosis is uncertain. Once the central theme of diagnosis was achieved, a second subtheme was highlighted; selecting appropriate management options, given the complexities of managing the injured worker, the workplace, and the compensation board. CONCLUSIONS: This study illustrates that upper extremity surgeons rely on their training and experience with upper extremity conditions to follow a sequential but iterative decision making process to provide a more definitive diagnosis and treatment plan for workers with injuries that are often complex. The surgeons are challenged by the context which takes them out of their familiar zone of typical clinical practice to deal with the interactions between the injury, worker, work, workplace and insurer. PMID- 29843300 TI - Critical factors for the return-to-work process among people with affective disorders: Voices from two vocational approaches. AB - BACKGROUND: Depression is among the major causes of disability with a negative impact on both daily life and work performance. Whilst depression is the primary cause of sick-leave and unemployment in today's workplace there is a lack of knowledge of the needs of individuals with depression regarding their return-to work (RTW) process. OBJECTIVE: To explore which factors are of critical importance for people suffering from depression and who also are unemployed in their RTW-process and to explore the impact of two vocational approaches on the service users' experiences. The study included participants in two vocational rehabilitation approaches; Individual Enabling and Support (IES) and Traditional Vocational Rehabilitation (TVR). METHOD: Qualitative methods were applied to explore critical factors in the RTW-process. Individuals with affective disorders including depression and bipolar disorder were included.RESULTSThree themes emerged as critical factors; Experiencing hope and power, professionals' positive attitudes, beliefs and behaviours, and employing a holistic perspective and integrating health and vocational service.CONCLUSIONThis study has demonstrated critical factors for the return-to-work process as experienced by persons with depression. To experience hope and power, to meet professionals that believe "you can work", who use a person-centred and holistic service approach, are such factors necessary for gaining a real job. In particular, professionals in TVR need to embrace this understanding since their services were not experienced as including these elements. PMID- 29843302 TI - From the Editor. PMID- 29843301 TI - Development of new hard hat dimensions using user-centered design approach among oil palm harvesters. AB - BACKGROUND: Hard hats are among the personal protective equipment (PPE) used in many industries to reduce the impact of any falling object on the skull and also to prevent head and brain injuries. However, the practice of wearing a safety helmet during working hours is still low. This is due to the physical discomfort perceived by safety helmet users. OBJECTIVE: Given the unpopularity of the current hard hat, the general perception of workers concerning its use and its measurements are the determining factors in the development of a new hard hat. METHOD: A cross-sectional study was conducted in which 132 male oil palm harvesters between 19 and 60 years of age were selected from among the employees of the same oil palm harvesting company. A set of questionnaires was developed to collect their socio-demographic information as well as their perceptions of comfort and the prevalence of head injury. In addition, a set of measuring instruments, including Martin's anthropometry set, was used for head measurement and data collection in respect of the current hard hat. In this research, six respondents were randomly selected to attend an interview session for qualitative assessment.RESULTSBased on the questionnaires, the unpopularity in the use of the hard hat was largely influenced by factors related to poor design, in general, and, specifically, poor ventilation (64%), load (67% ), and physical discomfort (42% ). The measurements of the anthropometric parameters and the dimensions of the hard hat also showed a significant mismatch. CONCLUSION: The unpopularity of the current hard hat among oil palm harvesters stemmed from the discomfort from wearing, which showed that the development of a new hard hat could lead to better usage and the greater likelihood of wearing a hard hat throughout the working day. PMID- 29843304 TI - Treatment of Depression in India. PMID- 29843303 TI - Helicobacter pylori. PMID- 29843305 TI - Testicular histology and gonadotropin levels in infertile men with non obstructive oligo-/azoospermia. AB - The common histological abnormalities on testicular histology in 79 infertile virile men were hypospermatogenesis (35%), severe testicular atrophy (29%) and maturation arrest (19%). Sperm counts showed no correlation with testicular size, gonadotropin levels and histological classification. There was elevation of mean follicle stimulating hormone levels in males with maturation arrest (5.8+/-3.8 lUlL) and Sertoli-cell only syndrome (21.7+/-3.4 lUlL). Patients with severe testicular atrophy had elevated luteinizing hormone (15.1+/-11.8 lUlL) as well as follicle stimulating hormone (49.8+/-11.4 lUlL) levels. Patients with hypospermatogenesis and focal atrophy had normal luteinizing hormone and follicle stimulating hormone levels and all of them had normal testosterone and prolactin levels. Treatment with gonadotropins or clomiphene citrate was ineffective. PMID- 29843307 TI - The infant's cry in health and disease. PMID- 29843306 TI - Interleukin-2 and lymphokine activated killer cell phenomenon: Biological considerations and clinical applications. PMID- 29843308 TI - Parkinson's disease and deprenyl. PMID- 29843309 TI - Vitamins, minerals and intelligence of school children. PMID- 29843310 TI - The Primitives knew best: Squatting during labour. PMID- 29843311 TI - Dilated cardiomyopathy. PMID- 29843312 TI - Splints in emergency care. PMID- 29843313 TI - The management of traumatic paraplegia. PMID- 29843314 TI - Research data management in health-related studies. PMID- 29843315 TI - Sher-i-Kashmir Institute of Medical Sciences, Srinagar. PMID- 29843316 TI - Letter from North America. PMID- 29843317 TI - Letter from London. PMID- 29843318 TI - Letter from Moscow. PMID- 29843319 TI - Family Planning and Kerala. PMID- 29843320 TI - Prevention of blindness in India. PMID- 29843321 TI - The Sun and the Skin. PMID- 29843322 TI - Anti-thrombotic Therapy in Acute Coronary Occlusion. PMID- 29843323 TI - A comparison of extra-amniotic physiological saline and ethacridine dye instillation for induction of mid-trimester abortion. AB - In a prospective, randomized study of 209 patients, we induced mid-trimester abortion by instilling either normal saline (105cases) or ethacridine dye (Emcredil(r)) (104cases) extra-amniotically. The mean induction-abortion interval for saline was 18 hours 25 minutes and for emcredil20 hours 12minutes. For a 'cut off' time of30 hours there were 9 failures with normal saline and 7 failures with ethacridine but all women eventually aborted without surgical intervention. In the saline group the induction-abortion interval was longer in the more advanced than in the less advanced pregnancies. No difference was observed in bacteriological studies from samples collected before and 24 hours after instillation of the solution. We conclude that normal saline is a cheap, easily available and safe abortifacient. PMID- 29843324 TI - Ultrasound guided percutaneous intervention in the complicated renal transplant. AB - We successfully performed 19 ultrasound guided percutaneous interventional procedures on 10 renal transplant recipients with urological complications. Seven of the procedures were diagnostic (antegrade pyelograms) and 12 therapeutic (aspiration of pelvic fluid collections 9, and percutaneous nephrostomies 3). All procedures were without major complications. The diagnostic procedures provided information which' contributed to better patient management. The therapeutic procedures improved the renal functions of patients and stabilized them for surgical management when necessary. We conclude that ultrasound guided percutaneous interventional procedures are safe and they may be helpful in the management of urological complications in renal transplant recipients. PMID- 29843325 TI - Nosocomial complicated urinary tract infections: A rural based referral hospital study. AB - A three-year retrospective study of urinary tract infection in 891 patients was conducted at a rural based hospital in coastal Karnataka, South India. Eighty eight per cent of the patients had complicated urinary tract infections with predominantly nosocomial organisms such as Klebsiella as opposed to the normally more common uncomplicated infection with E. coli. The reasons for this seem to be the delay in referral, resulting in late correction of the underlying structural causes of the infections. In our series of patients, the association of prolonged indwelling catheter drainage with complicated urinary tract infection suggests that non-urologists should adopt alternative measures such as clean intermittent catheterization, and reduce the period of indwelling catheters to the shortest time possible. More judicious selection and timing of antibiotic therapy might prevent the development of resistant organisms. PMID- 29843326 TI - Autopsy report of a case of AIDS. AB - We describe the autopsy findings in a prostitute, aged 38, who had recurrent fever, lymphadenopathy, anorexia and progressiveweight loss. Serology confirmed the presence of HTLV III antibodies. There was evidence of immunodeficiency with widespread opportunistic infections by candida, cryptococcus, mycobacteria and the cytomegalovirus. PMID- 29843327 TI - Antigen detection for diagnosing pneumococcal pneumonia. PMID- 29843328 TI - Breast cancer screening in Edinburgh. PMID- 29843329 TI - The topoisomerase 'poisons'. PMID- 29843330 TI - Subacute mountain sickness. PMID- 29843331 TI - A man with diarrhoea, weight loss and a rectal mass. PMID- 29843332 TI - Liver biopsy. PMID- 29843333 TI - The optimal use of health resources by a functional classification of diseases. PMID- 29843334 TI - Eminent Indians in medicine. PMID- 29843335 TI - Letter from London. PMID- 29843336 TI - Letter from Moscow. PMID- 29843337 TI - Letter from North America. PMID- 29843338 TI - Large volume paracentesis. PMID- 29843339 TI - Mahatma Gandhi Institute of Medical Sciences and Kasturba Hospital, Sevagram, Wardha. PMID- 29843340 TI - Breastfeeding in the 1990s. PMID- 29843341 TI - Cardiac Surgery in Infancy. PMID- 29843342 TI - Private doctors and public health: The case of leprosy in Bombay, India. AB - People in India tend to prefer private medical care to the existing government health services. Nevertheless, the large private health care sector has hitherto been virtually alienated from activities of public health importance including priority disease control programmes. This study of 106private general practitioners (GPs), practising in the slums of Bombay, shows a gross lack of knowledge and awareness about leprosy and also about the National Leprosy Control Programme. Active involvementof GPs in the National Programme should facilitate both the integration and better implementation of leprosy control activities. The study also highlights some areas for intervention at both the primary and secondary health care levels and the need for a strategy to train and make private doctors help control diseases which are of major public health concern. PMID- 29843343 TI - Ultrasonographic evaluation of carcinoma of the gall bladder. AB - Out of 6018 patients who were evaluated ultrasonographically for gastrointestinal problems over a four-and-a-half year period, 201 patients with a mean age of 53 years were diagnosed to have carcinoma of the gall bladder (3.3%). In 191 of these the diagnosis was confirmed by laparotomy and histopathological examination and in 3 other patients ultrasound guided fine needle aspiration cytology yielded malignant cells. In the remaining 7 patients the diagnosis was not confirmed by tissue examination-3 had metastases and 4 refused further investigation. Two sets of features were detected on ultrasonography: type I-a mass occupying the gall bladder fossa and obliterating the lumen (144 patients), and type 11-a polypoid lesion projecting into the gall bladder lumen (57 patients). Gallstones were present in 157 patients (78%) but more often in patients with the type I features. Associated ultrasonographic features such as liver and lymph node involvement, dilatation of intrahepatic bile ducts and ascites were also assessed. We conclude that abdominal realtime ultrasonography is a reliable method for diagnosing carcinoma of the gall bladder. PMID- 29843344 TI - Evaluation of the single tube osmotic fragility test in detection of beta thalassaemia trait. AB - NESTROFT (the Naked Eye Single Tube Red Cell Osmotic Fragility Test) is a simpleand inexpensivemethod for detecting the beta-thalassaemiatrait in the general population. Its results, however, depend on visual interpretation. We assessed interobserver variability in the recording of results by three individuals on 380 samples of blood collected intravenously. We also tested 745 samples by finger prick using a drop of blood or a uniform (20 MUl) volume and found that when a uniform volume was tested the proportion of false positive results was7% (28/380)as compared to 22% (79/365) when a drop was used. We found that although there-was little variation in recording negative results, there was more variation in recording positive or doubtful results.We conclude that when the NESTROFT in field tests is positive or doubtful, then the blood should be further tested in a laboratory for Hb A2 and a uniform volume of blood rather than an arbitrary drop should be used in the test. NESTROFT is suitable for large scale preliminary screening for the beta-thalassaemiatrait in India. PMID- 29843345 TI - Occupational medicine. PMID- 29843346 TI - Tuberculosis-The search for optimal treatment. PMID- 29843347 TI - HTLV-l related diseases: New risks from blood transfusion. PMID- 29843348 TI - Chemotherapy for abdominal tuberculosis. PMID- 29843349 TI - Hypoglycaemia in childhood diarrhoea. PMID- 29843350 TI - Viral Hepatitis: Agents and the Disease. PMID- 29843351 TI - Family Planning and Kerala. AB - The population control policies of the state of Kerala are reviewed and analysed. The historical factors which laid the foundation for present-day achievements in Kerala were the enlightened attitudes of the rulers of Travancore and Cochin, and the influence of Christianity on education. The reasons for the indifferent progress in family planning in the rest of India are discussed, and some suggestions are made as to how the Kerala experience could be implemented in the other states. The most important factor in a successful population control policy is the order in which changes should occur; improved health services resulting in a fall in infant and child mortality rates; increased female education; redistributive economic policies; and easily accessible and freely available family planning services. PMID- 29843352 TI - Letter from London. PMID- 29843353 TI - Letter from Moscow. PMID- 29843355 TI - Trade in human organs: Should it be allowed? PMID- 29843354 TI - Letter from North America. PMID- 29843356 TI - Doctor or deity? PMID- 29843357 TI - One-Stop Dispensing: Hospital Costs and Patient Perspectives on Self-Management of Medication. AB - (1) Objective: To assess hospital medication costs and staff time between One Stop Dispensing (OSD) and the Traditional Medication System (TMS), and to evaluate patient perspectives on OSD. (2) Methods: The study was conducted at Hvidovre Hospital, University of Copenhagen, Denmark in an elective gastric surgery and acute orthopedic surgery department. This study consists of three sub studies including adult patients able to self-manage medication. In Sub-study 1, staff time used to dispense and administer medication in TMS was assessed. Medication cost and OSD staff time were collected in Sub-study 2, while patient perspectives were assessed in Sub-study 3. Medication costs with two days of discharge medication were compared between measured OSD cost and simulated TMS cost for the same patients. Measured staff time in OSD was compared to simulated staff time in TMS for the same patients. Patient satisfaction related to OSD was evaluated by a questionnaire based on a five-point Likert scale ('very poor' (1) to 'very good' (5)). (3) Results: In total, 78 elective and 70 acute OSD patients were included. Overall, there was no significant difference between OSD and TMS in medication cost per patient ($2.03 [95% CI -0.57-4.63]) (p = 0.131). Compared with TMS, OSD significantly reduced staff time by an average of 12 min (p <= 0.001) per patient per hospitalization. The patients' satisfaction for OSD was high with an average score of 4.5 +/- 0.7. (4) Conclusion: There were no differences in medication costs, but staff time was significantly lower in OSD and patients were overall satisfied with OSD. PMID- 29843358 TI - Angucycline Glycosides from Mangrove-Derived Streptomycesdiastaticus subsp. SCSIO GJ056. AB - Nine new angucycline glycosides designated urdamycins N1-N9 (1-9), together with two known congener urdamycins A (10) and B (11), were obtained from a mangrove derived Streptomycesdiastaticus subsp. SCSIO GJ056. The structures of new compounds were elucidated on the basis of extensive spectroscopic data analysis. The absolute configurations of 6-9 were assigned by electronic circular dichroism calculation method. Urdamycins N6 (6) and N9 (9) represent the first naturally occurring (5R, 6R)-angucycline glycosides, which are diastereomers of urdamycins N7 (7) and N8 (8), respectively. PMID- 29843359 TI - Development of an Experimental Model for Analyzing Drug Resistance in Colorectal Cancer. AB - Colorectal cancer (CRC) is one of the most common cancers, for which combination treatment of chemotherapy is employed. However, most patients develop drug resistance during the course of treatment. To clarify the mechanisms of drug resistance, various research models have been developed. Recently, we established a human CRC patients-derived three-dimensional (3D) culture system using an air liquid interface organoid method. It contained numerous cancer stem cells and showed resistance to 5-fluorouracil and Irinotecan. In this review, we introduce conventional and our established models for studying drug resistance in CRC. PMID- 29843360 TI - Social Medicine: Twitter in Healthcare. AB - Social media enables the public sharing of information. With the recent emphasis on transparency and the open sharing of information between doctors and patients, the intersection of social media and healthcare is of particular interest. Twitter is currently the most popular form of social media used for healthcare communication; here, we examine the use of Twitter in medicine and specifically explore in what capacity using Twitter to share information on treatments and research has the potential to improve care. The sharing of information on Twitter can create a communicative and collaborative atmosphere for patients, physicians, and researchers and even improve quality of care. However, risks involved with using Twitter for healthcare discourse include high rates of misinformation, difficulties in verifying the credibility of sources, overwhelmingly high volumes of information available on Twitter, concerns about professionalism, and the opportunity cost of using physician time. Ultimately, the use of Twitter in healthcare can allow patients, healthcare professionals, and researchers to be more informed, but specific guidelines for appropriate use are necessary. PMID- 29843361 TI - The Growth Proliferation, Apoptotic Prevention, and Differentiation Induction of the Gelatin Hydrolysates from Three Sources to Human Fetal Osteoblasts (hFOB 1.19 Cells). AB - Gelatins from the skin of bovine, porcine, and tilapia were hydrolyzed to three degrees of hydrolysis (DH) by alcalase, neutrase, and papain, respectively. These hydrolysates at 0.02-0.1 g/L promoted the growth of human fetal osteoblasts by 101.4-135.7%, while higher DH or using papain and tilapia gelatins resulted in higher proliferation. The hydrolysates from porcine and tilapia gelatins at 0.05 g/L prevented induced apoptosis (decreasing total apoptotic proportions from 28.4% or 35.2% to 10.3-17.5% or 16.0-23.6%), and had differentiation induction (increasing alkaline phosphatase activity by 126.9-246.7% in early differentiation stage, or enhancing osteocalcin production by 4.1-22.5% in later differentiation stage). These hydrolysates had a similar amino acid profile; however, tilapia gelatin hydrolysates by papain with DH 15.4% mostly displayed higher activity than others. Tilapia gelatin hydrolysate could up-regulate beta catenin, Wnt 3a, Wnt 10b, cyclin D1, and c-Myc expression at mRNA levels by 1.11 3.60 folds, but down-regulate GSK 3beta expression by 0.98 fold. Of note, beta catenin in total cellular and nuclear protein was up-regulated by 1.14-1.16 folds but unchanged in cytoplasmic protein, Wnt 10b, cyclin D1, and c-Myc expression were up-regulated by 1.27-1.95 folds, whilst GSK 3beta expression was down regulated by 0.87 fold. Activation of Wnt/beta-catenin pathway is suggested to mediate cell proliferation and differentiation. PMID- 29843362 TI - Phenytoin Cream for the Treatment for Neuropathic Pain: Case Series. AB - BACKGROUND: Neuropathic pain can be disabling, and is often difficult to treat. Within a year, over half of all patients stop taking their prescribed neuropathic pain medication, which is most probably due to side effects or disappointing analgesic results. Therefore, new therapies are needed to alleviate neuropathic pain. As such, topical analgesics could be a new inroad in the treatment of neuropathic pain. In 2014, we developed a new topical formulation containing either phenytoin or sodium phenytoin. After optimization of the formulation, we were able to reach a 10% concentration and combine phenytoin with other co analgesics in the same base cream. OBJECTIVE: To describe a series of 70 neuropathic pain patients who were treated with phenytoin cream. MATERIAL AND METHODS: Cases treated with phenytoin 5% or 10% creams were gathered. The mean onset of pain relief, the duration of effect, and reduction in pain intensity measured on the 11-point numerical rating scale (NRS) were all studied. A single blind response test with phenytoin 10% and placebo creams was conducted on 12 patients in order to select responders prior to prescribing the active cream. Plasma phenytoin concentrations were measured in 16 patients. RESULTS: Nine patients applied phenytoin 5% cream, and 61 patients used phenytoin 10% cream. After grouping the effects of all of the patients, the mean onset of pain relief was 16.3 min (SD: 14.8), the mean duration of analgesia was 8.1 h (SD: 9.1), and the mean pain reduction on the NRS was 61.2% (SD: 25.0). The mean pain reduction on the NRS while using phenytoin cream was statistically significant compared with the baseline, with a reduction of 4.5 (CI: 4.0 to 5.0, p < 0.01). The 12 patients on whom a single-blind response test was performed experienced a statistically significant reduction in pain in the area where the phenytoin 10% cream was applied in comparison to the area where the placebo cream was applied (p < 0.01). Thirty minutes after the test application, the mean pain reduction on the NRS in the areas where the phenytoin 10% cream and the placebo cream were applied was 3.3 (CI: 2.3 to 4.4, p < 0.01) and 1.1 (CI: 0.4 to 1.9, p < 0.05), respectively. In all 16 patients, the phenytoin plasma levels were below the limit of detection. So far, no systemic side effects were reported. Two patients only reported local side effects: a transient burning aggravation and skin rash. CONCLUSION: In this case series, the phenytoin cream had reduced neuropathic pain considerably, with a fast onset of analgesic effect. PMID- 29843363 TI - Effect of CNT/PDMS Nanocomposites on the Dynamics of Pioneer Bacterial Communities in the Natural Biofilms of Seawater. AB - In this study, the antifouling (AF) performance of different carbon nanotubes (CNTs)-modified polydimethylsiloxane (PDMS) nanocomposites (PCs) was examined directly in the natural seawater, and further analyzed using the Multidimensional Scale Analyses (MDS) method. The early-adherent bacterial communities in the natural biofilms adhering to different PC surfaces were investigated using the single-stranded conformation polymorphism (SSCP) technique. The PCs demonstrated differences and reinforced AF properties in the field, and they were prone to clustering according to the discrepancies within different CNT fillers. Furthermore, most PC surfaces only demonstrated weak modulating effects on the biological colonization and successional process of the early bacterial communities in natural biofilms, indicating that the presence of the early colonized prokaryotic microbes would be one of the primary causes of colonization and deterioration of the PCs. C6 coating seems to be promising for marine AF applications, since it has a strong perturbation effect on pioneer prokaryotic colonization. PMID- 29843364 TI - Enhancing Thermoelectric Properties through Control of Nickel Interstitials and Phase Separation in Heusler/Half-Heusler TiNi1.1Sn Composites. AB - Thermoelectric devices, which allow direct conversion of heat into electrical energy, require materials with improved figures of merit ( z T ) in order to ensure widespread adoption. Several techniques have been proposed to increase the z T of known thermoelectric materials through the reduction of thermal conductivity, including heavy atom substitution, grain size reduction and inclusion of a semicoherent second phase. The goal in these approaches is to reduce thermal conductivity through phonon scattering without modifying the electronic properties. In this work, we demonstrate that Ni interstitials in the half-Heusler thermoelectric TiNiSn can be created and controlled in order to improve physical properties. Ni interstitials in TiNi 1.1 Sn are not thermodynamically stable and, instead, are kinetically trapped using appropriate heat treatments. The Ni interstitials, which act as point defect phonon scattering centers and modify the electronic states near the Fermi level, result in reduced thermal conductivity and enhance the Seebeck coefficient. The best materials tested here, created from controlled heat treatments of TiNi 1.1 Sn samples, display z T = 0.26 at 300 K, the largest value reported for compounds in the Ti-Ni-Sn family. PMID- 29843365 TI - A Simplified Hollow-Core Photonic Crystal Fiber SERS Probe with a Fully Filled Photoreduction Silver Nanoprism. AB - In this paper, a simplified hollow-core photonic crystal fiber surface-enhanced Raman scattering (SERS) probe is presented. Silver nanoprisms are grown with a photoreduction method and account for the SERS, which have better electromagnetic enhancement than spherical silver nanoparticles at 785 nm. Due to the antiresonant reflecting guidance mechanism, the excited laser and SERS signal are effectively guided in such a fully filled hollow-core photonic crystal fiber SERS probe and complicated selective filling with target sample is avoided. Rhodamine 6G molecules are used as probe molecules and the simplified hollow-core photonic crystal fiber SERS probe is test. Detection of low concentration Rhodamine 6G down to 10-8 M is achieved with a short integration time of 300 ms. PMID- 29843366 TI - DNA Damage-Response Pathway Heterogeneity of Human Lung Cancer A549 and H1299 Cells Determines Sensitivity to 8-Chloro-Adenosine. AB - Human lung cancer H1299 (p53-null) cells often display enhanced susceptibility to chemotherapeutics comparing to A549 (p53-wt) cells. However, little is known regarding to the association of DNA damage-response (DDR) pathway heterogeneity with drug sensitivity in these two cells. We investigated the DDR pathway differences between A549 and H1299 cells exposed to 8-chloro-adenosine (8-Cl Ado), a potential anticancer drug that can induce DNA double-strand breaks (DSBs), and found that the hypersensitivity of H1299 cells to 8-Cl-Ado is associated with its DSB overaccumulation. The major causes of excessive DSBs in H1299 cells are as follows: First, defect of p53-p21 signal and phosphorylation of SMC1 increase S phase cells, where replication of DNA containing single-strand DNA break (SSB) produces more DSBs in H1299 cells. Second, p53 defect and no available induction of DNA repair protein p53R2 impair DNA repair activity in H1299 cells more severely than A549 cells. Third, cleavage of PARP-1 inhibits topoisomerase I and/or topoisomerase I-like activity of PARP-1, aggravates DNA DSBs and DNA repair mechanism impairment in H1299 cells. Together, DDR pathway heterogeneity of cancer cells is linked to cancer susceptibility to DNA damage based chemotherapeutics, which may provide aid in design of chemotherapy strategy to improve treatment outcomes. PMID- 29843367 TI - Prognostic Value of RNASEH2A-, CDK1-, and CD151-Related Pathway Gene Profiling for Kidney Cancers. AB - The nucleotide degrading enzyme gene RNASEH2A (ribonuclease H2 subunit A) has been found to be overexpressed in cancers. Our aim was to understand the role of RNASEH2A in cancer prognostication and to establish a scoring system based on the expressions of genes interacting with RNASEH2A. We screened the nucleotide degrading enzyme gene expression in RNAseq data of 14 cancer types derived from The Cancer Genome Atlas (TCGA) and found that RNASEH2A overexpression was associated with poor patient survival only in renal cell carcinomas (RCCs). Further cluster analyses of samples with poor outcomes revealed that cluster of differentiation 151 (CD151) upregulation correlated with low cyclin dependent kinase 1 (CDK1) and high RNASEH2A expression. The combination of low CD151 expression and high RNASEH2A expression resulted in impaired proliferation in four kidney cancer cell lines, suggesting potential synthetic dosage lethality (SDL) interactions between the two genes. A prognostication scoring system was established based on the expression levels of RNASEH2A-, CDK1-, and CD151-related genes, which could effectively predict the overall survival in a TCGA clear cell RCC cohort (n = 533, 995.3 versus 2242.2 days, p < 0.0001), in another clear cell renal cell carcinoma (ccRCC) cohort E-GEOD-22541 (n = 44, 390.0 versus 1889.2 days, p = 0.0007), and in a TCGA papillary RCC (pRCC) cohort (n = 287, 741.6 versus 1623.7 days, p < 0.0001). Our results provide a clinically applicable prognostication scoring system for renal cancers. PMID- 29843368 TI - Palladacyclic Conjugate Group Promotes Hybridization of Short Oligonucleotides. AB - Short oligonucleotides with cyclopalladated benzylamine moieties at their 5' termini have been prepared to test the possibility of conferring palladacyclic anticancer agents sequence-selectivity by conjugation with a guiding oligonucleotide. Hybridization of these oligonucleotides with natural counterparts was studied by UV and CD (circular dichroism) melting experiments in the absence and presence of a competing ligand (2-mercaptoethanol). Cyclopalladated benzylamine proved to be strongly stabilizing relative to unmetalated benzylamine and modestly stabilizing relative to an extra A*T base pair. The stabilization was largely abolished in the presence of 2 mercaptoethanol, suggesting direct coordination of Pd(II) to a nucleobase of the complementary strand. In all cases, fidelity of Watson-Crick base pairing between the two strands was retained. Hybridization of the cyclopalladated oligonucleotides was characterized by relatively large negative enthalpy and entropy, consistent with stabilizing Pd(II) coordination partially offset by the entropic penalty of imposing conformational constraints on the flexible diethylene glycol linker between the oligonucleotide and the palladacyclic moiety. PMID- 29843369 TI - Health Monitoring of Bolted Spherical Joint Connection Based on Active Sensing Technique Using Piezoceramic Transducers. AB - Bolted spherical joints are widely used to form space steel structures. The stiffness and load capacity of the structures are affected by the looseness of bolted spherical joint connections in the structures. The looseness of the connections, which can be caused by fabrication error, low modeling accuracy, and "false twist" in the installation process, may negatively impact the load capacity of the structure and even lead to severe accidents. Furthermore, it is difficult to detect bolted spherical joint connection looseness from the outside since the bolts connect spheres with rods together from the inside. Active sensing methods are proposed in this paper to monitor the tightness status of the bolted spherical connection using piezoceramic transducers. A triangle-on triangle offset grid composed of bolted spherical joints and steel tube bars was fabricated as the specimen and was used to validate the active sensing methods. Lead Zirconate Titanate (PZT) patches were used as sensors and actuators to monitor the bolted spherical joint tightness status. One PZT patch mounted on the central bolted sphere at the upper chord was used as an actuator to generate a stress wave. Another PZT patch mounted on the bar was used as a sensor to detect the propagated waves through the bolted spherical connection. The looseness of the connection can impact the energy of the stress wave propagated through the connection. The wavelet packet analysis and time reversal (TR) method were used to quantify the energy of the transmitted signal between the PZT patches by which the tightness status of the connection can be detected. In order to verify the effectiveness, repeatability, and consistency of the proposed methods, the experiments were repeated six times in different bolted spherical connection positions. The experimental results showed that the wavelet packet analysis and TR method are effective in detecting the tightness status of the connections. The proposed active monitoring method using PZT transducers can monitor the tightness levels of bolted spherical joint connections efficiently and shows its potential to guarantee the safety of space steel structures in construction and service. PMID- 29843370 TI - Antiproliferative Phenothiazine Hybrids as Novel Apoptosis Inducers against MCF-7 Breast Cancer. AB - We designed a series of novel phenothiazine-1,2,3-triazole hybrids by the molecular hybridization strategy and evaluated their antiproliferative activity against three cancer cell lines (MDA-MB-231, MDA-MB-468 and MCF-7). For the structure-activity relationships, the importance of 1,2,3-triazole and substituents on phenyl ring was explored. Among these phenothiazine-1,2,3 triazole hybrids, compound 9f showed the most potent inhibitory effect against MCF-7 cells, with an IC50 value of 0.8 MUM. Importantly, compound 9f could induce apoptosis against MCF-7 cells by regulating apoptosis-related proteins (Bcl-2, Bax, Bad, Parp, and DR5). These potent phenothiazine-1,2,3-triazole hybrids as novel apoptosis inducers might be used as antitumor agents in the future. PMID- 29843371 TI - Strategies for Enhancing the Permeation of CNS-Active Drugs through the Blood Brain Barrier: A Review. AB - Background: The blood brain barrier (BBB) is a dynamic and functional structure which poses a vast challenge in the development of drugs acting on the central nervous system (CNS). While most substances are denied BBB crossing, selective penetration of substances mainly occurs through diffusion, carrier mediated transport, or receptor mediated transcytosis. Methods: Strategies in enhancing BBB penetration have been reviewed and summarized in accordance with their type of formulation. Highlights in monoclonal antibodies, peptide-vectors, nanoparticles, and simple prodrugs were included. Conclusion: Nanoparticles and simple prodrugs, for example, can be used for efficient BBB penetration through inhibition of efflux mechanisms, however, monoclonal antibodies are the most promising strategy in BBB penetration. Close follow-up of future development in this area should confirm our expectation. PMID- 29843373 TI - Energy Modeling of IoT Mobile Terminals on WiFi Environmental Impacts ?. AB - With the popularity of various IoT mobile terminals such as mobile phones and sensors, the energy problems of IoT mobile terminals have attracted increasingly more attention. In this paper, we explore the impacts of some important factors of WiFi environments on the energy consumption of mobile phones, which are typical IoT end devices. The factors involve the WiFi signal strength under good signal conditions, the type and the amount of protocol packets that are initiated by WiFi APs (Access Points) to maintain basic network communication with the phones. Controlled experiments are conducted to quantitatively study the phone energy impacts by the above WiFi environmental factors. To describe such impacts, we construct a time-based signal strength-aware energy model and packet type/amount-aware energy models. The models constructed in the paper corroborate the following user experience on phone energy consumption: (1) a phone's energy is drawn faster under higher WiFi signal strengths than under lower ones even in normal signal conditions; (2) phones consume energy faster in a public WiFi network than in a private one even in the basic phone state. The energy modeling methods proposed in the paper enable ordinary developers to analyze phone energy draw conveniently by utilizing inexpensive power meters as measurement tools. The modeling methods are general and are able to be used for phones of any type and any platform. PMID- 29843372 TI - Assisted Tip Sonication Approach for Graphene Synthesis in Aqueous Dispersion. AB - Graphene (G) is a newcomer material that holds promising properties for many applications. The production of high quality G with a good yield is a long standing goal for many researchers. This work emphasizes synthesis of dispersed graphene nanoplatelets (DGP) through aqueous dispersion technique in surfactant/water solution with the aid of tip sonication. A chemical method was also used to prepare graphene oxide (GO) and reduced graphene oxide (RGO) for comparison. Elemental analysis revealed the C:O ratio to be 12:1 for DGP but much lower for other graphene structures. Optical characterization of DGP, GO and RGO with UV and Raman spectroscopy confirmed the ideal structure of DGP. Moreover, X ray diffraction (XRD) revealed the amorphous structure of DGP. Transmission electron microscope (TEM) imaging showed that DGP was composed of a few flat layers, unlike the wrinkled and partially bent multilayered G. Topological study of the DGP surface with scanning electron microscope (SEM) depicted its rough surface with (ra) value of 35 nm, as revealed using an atomic force microscope (AFM). Electrochemical measurements confirmed the higher conductivity of DGP over graphene prepared by chemical method due to lack of structural defects. Its perfect structure facilitates the mobility of charge carriers that makes it preferable in optoelectronic applications. PMID- 29843374 TI - Miniaturized Sensors Registering the Long-Term Course of Suture Tension In Vivo under Varying Intra-Abdominal Pressure. AB - BACKGROUND: Failure of laparotomy closure develops after up to 20% of abdominal operations. Suture tension has an influence on the quality of tissue regeneration. No sensors are available to register suture tension dynamics in vivo. METHODS: In a series of animal experiments, the effect of suture tension on the ultrastructure of the healing incision was examined. Surgeons' ability to suture with target tension was tested. An implantable sensor and data logger were developed and tested experimentally in sutures closing midline laparotomies in pigs both under normal and elevated intra-abdominal pressure. RESULTS: High suture tension has a negative influence on the regeneration of laparotomy incisions. Running sutures for laparotomy closure lose 45% of their initial tension over periods of 23 h. Intermittent elevation of intra-abdominal pressure to 30 mm Hg leads to a near total loss of suture tension after 23 h. CONCLUSION: Surgeons are not able to control and reproduce suture tension. Suture tension dynamics can be measured in vivo by the sensor developed. Further research is needed to define a tissue-specific suture tension optimum to reduce the incidence of complications after laparotomy. Techniques for laparotomy closure need to be modified. PMID- 29843375 TI - Benzothiadiazole and B-Aminobutyricacid Induce Resistance to Ectropis Obliqua in Tea Plants (Camellia Sinensis (L.) O. Kuntz). AB - In order to investigate the effect of benzothiadiazole (BTH) and beta aminobutyric acid (BABA) on the resistance of tea plants (Camellia sinensis) to tea geometrid (Ectropis obliqua), three levels each of benzothiadiazole (BTH) and beta-aminobutyric acid (BABA) were sprayed on 10-year-old tea plants. Generally PPO and PAL activities increased with low concentrations of BTH and BABA treatments. Quantitative RT-PCR revealed a 1.43 and 2.72-fold increase in PPO gene expression, and 3.26 and 3.99-fold increase in PAL gene expression with 75 mg/L BTH and 400 mg/L BABA respectively. Analysis of hydrolysis of synthetic substrates also revealed that chymotrypsin-like enzyme activity present in larval midgut extracts was not significantly inhibited by BTH and BABA. However, proteinase activity was found to be inversely proportional to the age of tea geometrid. Larvae pupation rate decreased by 8.10, 10.81 and 21.62% when tea geometrid were fed with leaves treated with 25, 50 and 75 mg/L BTH solutions, while 100, 200 and 400 mg/L BABA solutions decreased same by 8.10, 16.21 and 13.51% respectively. Also, larvae development period delayed to 23.33 and 26.33 days with 75 mg/L BTH and 400 mg/L BABA treatments respectively. The results in this study; therefore, suggest that benzothiadiazole (BTH) and beta-aminobutyric acid (BABA) play a role in inducing resistance in tea plants to tea geometrid, with the optimal effect achieved at BTH-3 (75 mg/L) and BABA-3 (400 mg/L), respectively. PMID- 29843376 TI - Influence of Surface Defects and Size on Photochemical Properties of SnO2 Nanoparticles. AB - We report the successful synthesis of surface defective small size (SS) SnO2 nanoparticles (NPs) by adopting a low temperature surfactant free solution method. The structural properties of the NPs were analyzed using X-ray diffraction (XRD), field emission scanning electron microscopy (FESEM), and transmission electron microscopy (TEM). The presence of surface defects, especially oxygen vacancies, in the sample were characterized using micro-Raman spectroscopy, X-ray photoelectron spectroscopy (XPS), and photoluminescence emission. The Brunauer-Emmet-Teller (BET) nitrogen adsorption-desorption isotherms demonstrated the superior textural properties (high surface area and uniform pore size) of SS SnO2 compared to large size (LS) SnO2. A comparable study was drawn between SS SnO2 and LS SnO2 NPs and a significant decrease in the concentration of surface defects was observed for the LS sample. The results showed that surface defects significantly depend upon the size of the NPs. The surface defects formed within the band gap energy level of SnO2 significantly participated in the recombination process of photogenerated charge carriers, improving photochemical properties. Moreover, the SS SnO2 showed superior photoelectrochemical (PEC) and photocatalytic activities compared to the LS SnO2. The presence of a comparatively large number of surface defects due to its high surface area may enhance the photochemical activity by reducing the recombination rate of the photogenerated charges. PMID- 29843377 TI - Weight Concerns and Use of Cigarettes and E-Cigarettes among Young Adults. AB - Higher weight concerns have been associated with higher cigarette smoking, particularly among women, partly because smoking is perceived to limit appetite for food. E-cigarettes are increasingly used as an alternative to combustible cigarettes and are widely believed to be less harmful than cigarettes. Currently it is not known whether weight concerns are associated with e-cigarette use among young adults. In this study, we tested the association between weight concerns and cigarette and e-cigarette use and use susceptibility among young adults. Cross-sectional data were collected from college students (N = 470; M age = 20.9; SD = 2.1; 65% women). Results indicated that weight concerns were significantly associated with lifetime and current cigarette smoking status, current cigarette smoking frequency and cigarette use susceptibility (among never smokers), adjusting for demographics variables. Weight concerns were not associated with lifetime or current e-cigarette use status or e-cigarette use susceptibility, adjusting for demographics and cigarette use status. However, higher weight concerns were associated with higher frequency of current e-cigarette use, adjusting for demographic variables and current cigarette smoking frequency. These findings imply that even though weight concerns may not motivate e cigarette use as strongly as cigarette use, weight concerns may influence higher intensity of e-cigarette use among users. PMID- 29843378 TI - Comments to: A Novel Low-Cost Instrumentation System for Measuring the Water Content and Apparent Electrical Conductivity of Soils, Sensors, 15, 25546-25563. AB - The article comments on claims made by Rego et al. about the sensor they developed to determine soil water content and its salinity via the admittance measurement of electrodes embedded in the soil. Their sensor is not based on a self-balanced bridge, as stated, but on a more common technique relying on Ohm's law. A bridge is a zero method of measurement which can provide direct voltages proportional to soil permittivity and conductivity with a high resolution. Thanks to modern electronics the method can be adapted for fast and continuous monitoring in a remote site. Because of this confusion about the different measurement techniques among available admittance or capacitance sensors, we give a succinct review of them and indicate how they compare to the two techniques under discussion. We also question the ability of Rego et al.'s current sensor to determine both soil water content and salinity due first to instrument biases and then to the soil complexity as a dielectric medium. In particular, the choice of sensor frequencies is crucial in the two steps. In addition, the procedure to determine and account for temperature influences on readings is not presented clearly enough. It is important to distinguish between the effect resulting from electronics sensitivity, and those that are soil-specific. The comment does not invalidate the design of the sensor, but indicates points, especially parasitic contributions, which must be dealt with to avoid major errors. PMID- 29843379 TI - Which Patients Are Prescribed Escitalopram?: Predictors for Escitalopram Prescriptions and Functional Outcomes among Patients with Acute Ischemic Stroke. AB - Recent studies have demonstrated that antidepressants could enhance functional recovery via neuroplasticity beyond solely treating depression. However, since Koreans typically show a greater aversion to seeking psychiatric care than citizens of Western countries, the number of antidepressant prescriptions is low. Through this study, we aim to identify the factors that lead to the prescription of antidepressants in subjects with acute ischemic stroke (AIS) in clinical practice. A total of 775 patients with ischemic stroke (IS) participated in this study from March 2010 to May 2013. We used binary logistic regression to find predictors for escitalopram prescriptions. To reveal predictors for short-term functional outcomes, we used an adjusted regression model using a propensity score. Among the 775 participants, 39 (5.03%) were prescribed escitalopram. The duration of hospital stay (odds ratio (OR) = 1.07; 95% confidence interval (CI) = 1.04-1.10) and the use of mechanical ventilation were significantly more closely related to escitalopram prescriptions as compared to non-escitalopram prescriptions (OR = 5.15; 95% CI = 1.53-17.40). The use of escitalopram, on the other hand, was not significantly associated with short-term functional outcomes (OR = 1.27; 95% CI = 0.50-3.25). Duration of hospital stay and use of mechanical ventilation were significantly related to escitalopram prescriptions. PMID- 29843380 TI - Protective Effect of Selenium-Enriched Ricegrass Juice against Cadmium-Induced Toxicity and DNA Damage in HEK293 Kidney Cells. AB - Cadmium (Cd) contamination in food is a problem endangering human health. Cd detoxication is an interesting topic particularly using food which provides no side effects. Ricegrass juice is a squeezed juice from young rice leaves which is introduced as a functional drink rich in polyphenol components. Se-enrichment into ricegrass is initiated to provide extra advantages of their functional properties. The protective role of ricegrass juice (RG) and Se-enriched ricegrass juice (Se-RG) against Cd toxicity during pre-, co- and post-treatment on HEK293 kidney cells were investigated. Results confirmed that RG and Se-RG had very low toxicity for kidney cells. Both extracts showed a protective role during pre treatment and co-treatment against Cd toxicity by exerting a reduction in malondialdehyde (MDA) content and the percentage of DNA damage in tail and tail length of the comets over the Cd-treated cells. However, the Se-RG indicated additional benefits in all properties over RG. High Se content in Se-RG resulted in more protective effects of the regular ricegrass juice. In summary, this study provides clear evidence that Se-enriched ricegrass juice has potential to be developed as a functional food to protect the human body from Cd contamination via the reduction of oxidative stress and DNA damage. PMID- 29843381 TI - Elevated LV Mass and LV Mass Index Sign on the Athlete's ECG: Athletes' Hearts are Prone to Ventricular Arrhythmia. AB - OBJECTIVES: Intense exercise elevates all heart chambers' dimensions, left ventricular mass (LV mass), and left ventricular mass index (LV mass index). The relationship between increased ventricular arrhythmias and sudden cardiac death with LV dilatation and elevated LV mass has been previously demonstrated. We investigated whether sports-related LV dilatation and elevated LV mass and LV mass index cause an increase in ventricular repolarization heterogeneity. PATIENTS AND METHODS: This prospective observational study recruited 565 participants. There were 226 (female: 28) athletes and 339 (female: 45) healthy controls between 17 and 42 years of age. They were evaluated using 12-lead electrocardiography and transthoracic echocardiography. Electrocardiograms were obtained at a rate of 50 mm/s and an amplitude of 10 mV, including at least 3 QRS complexes for each derivation. They were taken with 12 standard deviations. Transmural dispersion of repolarization indexes (TDR) (Tp-Te interval, Tp-Te/QT ratio and Tp-Te/QTc ratio, Tp-Te(d)) were measured from precordial derivations. Measurements weretakenwith a program which was generated with MATLAB codes. RESULTS: Tp-Te interval, Tp-Te/QT ratio, Tp-Te/QTc ratio, Tp-Te(d), PW (posterior wall thickness), IVS (interventricular septal thickness), LVEDD (left ventricular end-diastolic diameter), LV mass (left ventricular mass), and LV mass index (left ventricular mass index) for the athlete group were significantly higher than for the control group. Correlation analyses revealed that TDR indexes significantly correlated with PW, IVS, LVEDD, LV mass, and LV mass index. CONCLUSION: LV mass and LV mass index increase in well-trained athletes, and this increase leads to an increase in TDR indexes. The increased frequency of ventricular arrhythmia and sudden cardiac death may be explained with increasing ventricular repolarization heterogeneity in these individuals. PMID- 29843382 TI - Tensile, Quasistatic and Dynamic Fracture Properties of Nano-Al2O3-Modified Epoxy Resin. AB - Epoxy resin, modified with different particle sizes (50 nm, 100 nm, 200 nm) and contents (1 wt %, 3 wt %, 5 wt %, 7 wt %) was manufactured. The mechanical behaviors of tensile, quasistatic fracture and dynamic fracture under SHPB (split Hopkinson pressure bar) loading were investigated. The dynamic fracture behaviors of the composites were evaluated by 2D-DIC (digital image correlation) and the strain gauge technique, and the fracture surface was examined by SEM (scanning electron microscope). According to the results, the tensile modulus and strength significantly increased for epoxy resin modified with 5 wt % Al2O3 of 50 nm. The quasistatic fracture toughness of modified epoxy resin increased with the particle content. However, the fracture toughness of epoxy resin modified with high content fillers decreased for particle agglomeration that existed in epoxy resin. The crack propagation velocity can be decreased for epoxy resin modified with particles under dynamic loading. The dynamic initiation fracture toughness of modified epoxy resin increases with both particle size and content, but when the fillers have a high content, the particle size effects are weak. For the composite under dynamic loading conditions, the toughening mechanism is also affected by particle size. PMID- 29843383 TI - CRISPR-Mediated Reactivation of DKK3 Expression Attenuates TGF-beta Signaling in Prostate Cancer. AB - The DKK3 gene encodes a secreted protein, Dkk-3, that inhibits prostate tumor growth and metastasis. DKK3 is downregulated by promoter methylation in many types of cancer, including prostate cancer. Gene silencing studies have shown that Dkk-3 maintains normal prostate epithelial cell homeostasis by limiting TGF beta/Smad signaling. While ectopic expression of Dkk-3 leads to prostate cancer cell apoptosis, it is unclear if Dkk-3 has a physiological role in cancer cells. Here, we show that treatment of PC3 prostate cancer cells with the DNA methyltransferase (DNMT) inhibitor decitabine demethylates the DKK3 promoter, induces DKK3 expression, and inhibits TGF-beta/Smad-dependent transcriptional activity. Direct induction of DKK3 expression using CRISPR-dCas9-VPR also inhibited TGF-beta/Smad-dependent transcription and attenuated PC3 cell migration and proliferation. These effects were not observed in C4-2B cells, which do not respond to TGF-beta. TGF-beta signals can regulate gene expression directly via SMAD proteins and indirectly by increasing DNMT expression, leading to promoter methylation. Analysis of genes downregulated by promoter methylation and predicted to be regulated by TGF-beta found that DKK3 induction increased expression of PTGS2, which encodes cyclooxygenase-2. Together, these observations provide support for using CRISPR-mediated induction of DKK3 as a potential therapeutic approach for prostate cancer and highlight complexities in Dkk-3 regulation of TGF-beta signaling. PMID- 29843384 TI - Alcoholism: A Multi-Systemic Cellular Insult to Organs. AB - Alcohol abuse can affect more than the heart and the liver. Many observers often do not appreciate the complex and differing aspects of alcohol's effects in pathophysiologies that have been reported in multiple organs. Chronic alcohol abuse is known to be associated with pathophysiological changes that often result in life-threatening clinical outcomes, e.g., breast and colon cancer, pancreatic disease, cirrhosis of the liver, diabetes, osteoporosis, arthritis, kidney disease, immune system dysfunction, hypertension, coronary artery disease, cardiomyopathy, and can be as far-reaching as to cause central nervous system disorders. In this review article, we will discuss the various organs impacted by alcohol abuse. The lack of clear guidelines on the amount and frequency of alcohol intake, complicated by personal demographics, make extrapolations to real life practices at best difficult for public health policy-makers. PMID- 29843385 TI - Design of Compressed Sensing Algorithm for Coal Mine IoT Moving Measurement Data Based on a Multi-Hop Network and Total Variation. AB - As the application of a coal mine Internet of Things (IoT), mobile measurement devices, such as intelligent mine lamps, cause moving measurement data to be increased. How to transmit these large amounts of mobile measurement data effectively has become an urgent problem. This paper presents a compressed sensing algorithm for the large amount of coal mine IoT moving measurement data based on a multi-hop network and total variation. By taking gas data in mobile measurement data as an example, two network models for the transmission of gas data flow, namely single-hop and multi-hop transmission modes, are investigated in depth, and a gas data compressed sensing collection model is built based on a multi-hop network. To utilize the sparse characteristics of gas data, the concept of total variation is introduced and a high-efficiency gas data compression and reconstruction method based on Total Variation Sparsity based on Multi-Hop (TVS MH) is proposed. According to the simulation results, by using the proposed method, the moving measurement data flow from an underground distributed mobile network can be acquired and transmitted efficiently. PMID- 29843386 TI - Precision Agriculture Design Method Using a Distributed Computing Architecture on Internet of Things Context. AB - The Internet of Things (IoT) has opened productive ways to cultivate soil with the use of low-cost hardware (sensors/actuators) and communication (Internet) technologies. Remote equipment and crop monitoring, predictive analytic, weather forecasting for crops or smart logistics and warehousing are some examples of these new opportunities. Nevertheless, farmers are agriculture experts but, usually, do not have experience in IoT applications. Users who use IoT applications must participate in its design, improving the integration and use. In this work, different industrial agricultural facilities are analysed with farmers and growers to design new functionalities based on IoT paradigms deployment. User-centred design model is used to obtain knowledge and experience in the process of introducing technology in agricultural applications. Internet of things paradigms are used as resources to facilitate the decision making. IoT architecture, operating rules and smart processes are implemented using a distributed model based on edge and fog computing paradigms. A communication architecture is proposed using these technologies. The aim is to help farmers to develop smart systems both, in current and new facilities. Different decision trees to automate the installation, designed by the farmer, can be easily deployed using the method proposed in this document. PMID- 29843387 TI - The Effect of Overexpressed DdRabS on Development, Cell Death, Vesicular Trafficking, and the Secretion of Lysosomal Glycosidase Enzymes. AB - Rab GTPases are essential regulators of many cellular processes and play an important role in downstream signaling vital to proper cell function. We sought to elucidate the role of novel D. discoideum GTPase RabS. Cell lines over expressing DdRabS and expressing DdRabS N137I (dominant negative (DN)) proteins were generated, and it was determined that DdRabS localized to endosomes, ER Golgi membranes, and the contractile vacuole system. It appeared to function in vesicular trafficking, and the secretion of lysosomal enzymes. Interestingly, microscopic analysis of GFP-tagged DdRabS (DN) cells showed differential localization to lysosomes and endosomes compared to GFP-tagged DdRabS overexpressing cells. Both cell lines over-secreted lysosomal glycosidase enzymes, especially beta-glucosidase. Furthermore, DdRabS overexpressing cells were defective in aggregation due to decreased cell-cell cohesion and sensitivity to cAMP, leading to abnormal chemotactic migration, the inability to complete development, and increased induced cell death. These data support a role for DdRabS in trafficking along the vesicular and biosynthetic pathways. We hypothesize that overexpression of DdRabS may interfere with GTP activation of related proteins essential for normal development resulting in a cascade of defects throughout these processes. PMID- 29843388 TI - Relationship between Body Mass Index, Cardiorespiratory and Musculoskeletal Fitness among South African Adolescent Girls. AB - Background: Cardiorespiratory and musculoskeletal fitness are important health indicators that support optimal physical functioning. Understanding the relationship between body mass index and these health markers may contribute to the development of evidence-based interventions to address obesity-related complications. The relationship between body mass index, cardiorespiratory and musculoskeletal fitness has not been well explored, particularly in female adolescents. The aim of this study was to investigate the association between body mass index, cardiorespiratory and musculoskeletal fitness among South African adolescent girls in low-income communities. Methods: This cross-sectional study included 151 adolescent girls, aged 13-16 years. Cardiorespiratory fitness was measured using the 20 m shuttle run test and musculoskeletal fitness was assessed using a variety of field-based tests. Height and weight were measured with standardised procedures and body mass index (BMI) was derived by the formula [BMI = weight (kg)/height (m)2]. Participants were categorised into three BMI groups using the International Obesity Task Force age- and gender-specific cut off points. Pearson correlations were used to determine the association between body mass index, cardiorespiratory fitness and measures of musculoskeletal fitness at p <= 0.05. Results: Overweight and obese girls were found to have lower cardiorespiratory fitness, decreased lower extremity muscular strength, greater grip strength, and more hypermobile joints compared to normal-weight peers. BMI was negatively associated with cardiorespiratory fitness and lower extremity muscular strength. Conclusions: The findings indicate that increased body mass correlates with decreased cardiorespiratory and musculoskeletal fitness. Interventions should be developed to target these important components of physical fitness in this demographic group. PMID- 29843389 TI - Environmental Lead Exposure and Adult Literacy in Myanmar: An Exploratory Study of Potential Associations at the Township Level. AB - Environmental lead exposure is a population health concern in many low- and middle-income countries. Lead is found throughout Myanmar and prior to the 1940s the country was the largest producer of lead worldwide. The aim of this study was to examine any potential association between lead mining and adult literacy rates at the level of 330 townships in Myanmar. Townships were identified as lead or non-lead mining areas and 2015 census data were examined with association being identified using descriptive, analytical and spatial statistical methods. Overall, there does appear to be a significant relationship between lead mining activity and adult literacy levels among townships with both low access (p = 0.05; OR = 2.701 (1.136-6.421)) as well with high access to safe sanitation (p = 0.01; OR = 18.40 (1.794-188.745)). Local Indicators of Spatial Association (LISA) cluster maps confirm these findings. This exploratory analysis is a first step in the examination of potential environmental lead exposure and its implications in Myanmar. PMID- 29843390 TI - A Capsule-Type Electromagnetic Acoustic Transducer for Fast Screening of External Corrosion in Nonmagnetic Pipes. AB - For fuel transmission and structural strengthening, small-diameter pipes of nonmagnetic materials are extensively adopted in engineering fields including aerospace, energy, transportation, etc. However, the hostile and corrosive environment leaves them vulnerable to external corrosion which poses a severe threat to structural integrity of pipes. Therefore, it is imperative to nondestructively detect and evaluate the external corrosion in nonmagnetic pipes. In light of this, a capsule-type Electromagnetic Acoustic Transducer (EMAT) for in-situ nondestructive evaluation of nonmagnetic pipes and fast screening of external corrosion is proposed in this paper. A 3D hybrid model for efficient prediction of responses from the proposed transducer to external corrosion is established. Closed-form expressions of field quantities of electromagnetics and EMAT signals are formulated. Simulations based on the hybrid model indicate feasibility of the proposed transducer in detection and evaluation of external corrosion in nonmagnetic pipes. In parallel, experiments with the fabricated transducer have been carried out. Experimental results are supportive of the conclusion drawn from simulations. The investigation via simulations and experiments implies that the proposed capsule-type EMAT is capable of fast screening of external corrosion, which is beneficial to the in-situ nondestructive evaluation of small-diameter nonmagnetic pipes. PMID- 29843392 TI - Evaluation of Self-Propelled High-Energy Ultrasonic Atomizer on Azoxystrobin and Tebuconazole Application in Sunlit Greenhouse Tomatoes. AB - In this study, a self-propelled high-energy ultrasonic atomizer was evaluated in terms of deposition on the canopy, the loss to the ground, and fungicide residues in cherry tomato and tomato. Artificial collectors fixed to the upper side and underside of the leaves at different depths and heights were used to collect the depositions. A reliable analytical method for determination of azoxystrobin and tebuconazole in artificial collectors and residue samples was developed by using liquid chromatography triple-quadrupole mass spectrometry. The results showed that the atomizer distributed the droplets evenly throughout the greenhouse with good uniformity (CVs below 39%). The ratio of depositions on the internal and external sides was 66-83%, and the ratio of depositions on the underside and upper side was 39-50%. There were no significant differences in depositions between two different height crops. The residues of azoxystrobin and tebuconazole in tomato and cherry tomato fruits were far below the maximum residue limits at harvest time. In general, self-propelled high-energy ultrasonic atomizer used in a greenhouse could increase the depositions, especially on the underside and internal side of the canopies, and lead to a reduction of operator exposure risk. PMID- 29843393 TI - Comparing Palm Oil, Tocotrienol-Rich Fraction and alpha-Tocopherol Supplementation on the Antioxidant Levels of Older Adults. AB - BACKGROUND: Tocotrienol and tocopherol are known to prevent numerous degenerative diseases. The aim of this study is to compare the effects of tocotrienol-rich fraction (TRF) with alpha-tocopherol (alpha-TF) on the antioxidant status of healthy individuals aged between 50 and 55 years. METHODS: Volunteers were divided into groups receiving placebo (n = 23), alpha-TF (n = 24) and TRF (n = 24). Fasting venous blood samples were taken at baseline (0 month), 3 months and 6 months of supplementation for the determination of superoxide dismutase (SOD), catalase (CAT), and glutathione peroxidase (GPx) activities as well as for reduced glutathione (GSH) and oxidized glutathione (GSSG) concentrations. RESULTS: CAT and GPx were unaffected by TRF and alpha-TF supplementations. SOD activity increased significantly after six months of TRF supplementation. Analysis by gender showed that only female subjects had significant increases in SOD and GPx activities after six months of TRF supplementation. GPx activity was also significantly higher in females compared to males after six months of TRF supplementation. The GSH/GSSG ratio increased significantly after six months of TRF and alpha-TF supplementation in only the female subjects. CONCLUSION: TRF and alpha-TF supplementation exhibited similar effects to the antioxidant levels of older adults with TRF having more significant effects in females. PMID- 29843391 TI - Phage Therapy: What Have We Learned? AB - In this article we explain how current events in the field of phage therapy may positively influence its future development. We discuss the shift in position of the authorities, academia, media, non-governmental organizations, regulatory agencies, patients, and doctors which could enable further advances in the research and application of the therapy. In addition, we discuss methods to obtain optimal phage preparations and suggest the potential of novel applications of phage therapy extending beyond its anti-bacterial action. PMID- 29843394 TI - Racial Disparities and Preventive Measures to Renal Cell Carcinoma. AB - Kidney cancer ranks among the top 10 cancers in the United States. Although it affects both male and female populations, it is more common in males. The prevalence rate of renal cell carcinoma (RCC), which represents about 85% of kidney cancers, has been increasing gradually in many developed countries. Family history has been considered as one of the most relevant risk factors for kidney cancer, although most forms of an inherited predisposition for RCC only account for less than four percent. Lifestyle and other factors such as occupational exposure, high blood pressure, poor diet, and heavy cigarette smoking are highly associated with its incidence and mortality rates. In the United States, White populations have the lowest prevalence of RCC compared to other ethnic groups, while Black Americans suffer disproportionally from the adverse effects of RCC. Hence, this review article aims at identifying the major risk factors associated with RCC and highlighting the new therapeutic approaches for its control/prevention. To achieve this specific aim, articles in peer-reviewed journals with a primary focus on risk factors related to kidney cancer and on strategies to reduce RCC were identified. The review was systematically conducted by searching the databases of MEDLINE, PUBMED Central, and Google Scholar libraries for original articles. From the search, we found that the incidence and mortality rates of RCC are strongly associated with four main risk factors, including family history (genetics), lifestyle (poor diet, cigarette smoking, excess alcohol drinking), environment (community where people live), and occupation (place where people work). In addition, unequal access to improvement in RCC cancer treatment, limited access to screening and diagnosis, and limited access to kidney transplant significantly contribute to the difference observed in survival rate between African Americans and Caucasians. There is also scientific evidence suggesting that some physicians contribute to racial disparities when performing kidney transplant among minority populations. New therapeutic measures should be taken to prevent or reduce RCC, especially among African Americans, the most vulnerable population group. PMID- 29843395 TI - Potential Alternative Strategy against Drug Resistant Tuberculosis: A Proteomics Prospect. AB - Mycobacterium tuberculosis is one of the deadliest human pathogen of the tuberculosis diseases. Drug resistance leads to emergence of multidrug-resistant and extremely drug resistant strains of M. tuberculosis. Apart from principal targets of resistance, many explanations have been proposed for drug resistance but some resistance mechanisms are still unknown. Recently approved line probe assay (LPA) diagnostics for detecting the resistance to first and second line drugs are unable to diagnose the drug resistance in M. tuberculosis isolates which do not have the mutations in particular genes responsible for resistance. Proteomics and bioinformatic tools emerged as direct approaches for identification and characterization of novel proteins which are directly and indirectly involved in drug resistance that could be used as potential targets in future. In future, these novel targets might reveal new mechanism of resistance and can be used in diagnostics or as drug targets. PMID- 29843396 TI - Dietary Nutrients and Bioactive Substances Modulate Heat Shock Protein (HSP) Expression: A Review. AB - Interest in the heat shock proteins (HSPs), as a natural physiological toolkit of living organisms, has ranged from their chaperone function in nascent proteins to the remedial role following cell stress. As part of the defence system, HSPs guarantee cell tolerance against a variety of stressors, including exercise, oxidative stress, hyper and hypothermia, hyper and hypoxia and improper diets. For the past couple of decades, research on functional foods has revealed a number of substances likely to trigger cell protection through mechanisms that involve the induction of HSP expression. This review will summarize the occurrence of the most easily inducible HSPs and describe the effects of dietary proteins, peptides, amino acids, probiotics, high-fat diets and other food derived substances reported to induce HSP response in animals and humans studies. Future research may clarify the mechanisms and explore the usefulness of this natural alternative of defense and the modulating mechanism of each substance. PMID- 29843397 TI - Hybrid Density Functional Study on the Photocatalytic Properties of Two dimensional g-ZnO Based Heterostructures. AB - In this work, graphene-like ZnO (g-ZnO)-based two-dimensional (2D) heterostructures (ZnO/WS2 and ZnO/WSe2) were designed as water-splitting photocatalysts based on the hybrid density functional. The dependence of photocatalytic properties on the rotation angles and biaxial strains were investigated. The bandgaps of ZnO/WS2 and ZnO/WSe2 are not obviously affected by rotation angles but by strains. The ZnO/WS2 heterostructures with appropriate rotation angles and strains are promising visible water-splitting photocatalysts due to their appropriate bandgap for visible absorption, proper band edge alignment, and effective separation of carriers, while the water oxygen process of the ZnO/WSe2 heterostructures is limited by their band edge positions. The findings pave the way to efficient g-ZnO-based 2D visible water-splitting materials. PMID- 29843398 TI - Reader Architectures for Wireless Surface Acoustic Wave Sensors. AB - Wireless surface acoustic wave (SAW) sensors have some unique features that make them promising for industrial metrology. Their decisive advantage lies in their purely passive operation and the wireless readout capability allowing the installation also at particularly inaccessible locations. Furthermore, they are small, low-cost and rugged components on highly stable substrate materials and thus particularly suited for harsh environments. Nevertheless, a sensor itself does not carry out any measurement but always requires a suitable excitation and interrogation circuit: a reader. A variety of different architectures have been presented and investigated up to now. This review paper gives a comprehensive survey of the present state of reader architectures such as time domain sampling (TDS), frequency domain sampling (FDS) and hybrid concepts for both SAW resonators and reflective SAW delay line sensors. Furthermore, critical performance parameters such as measurement accuracy, dynamic range, update rate, and hardware costs of the state of the art in science and industry are presented, compared and discussed. PMID- 29843399 TI - Persistence of Salmonella Typhimurium in Well Waters from a Rural Area of Changchun City, China. AB - Salmonella-contaminated well water could cause major infection outbreaks worldwide, thus, it is crucial to understand their persistence in those waters. In this study, we investigated the persistence of Salmonella enterica serovar Typhimurium in 15 well waters from a rural area of Changchun City, China. Results illustrated that the time to reach detection limit (ttd), first decimal reduction time (delta), and the shape parameter (p) ranged from 15 to 80 days, from 5.6 to 66.9 days, and from 0.6 to 6.6, respectively. Principal component analysis showed that ttds of S. Typhimurium were positively correlated with total organic carbon, pH, NH4+-N, and total phosphate. Multiple stepwise regression analysis revealed that ttds could be best predicted by NH4+-N and pH. Canonical correspondence analysis and variation partition analysis revealed that NH4+-N and pH, and the rest of the water parameters, could explain 27.60% and 28.15% of overall variation of the survival behavior, respectively. In addition, ttds were found to be correlated (p < 0.01) with delta and p. Our results showed that the longer survival (>2.5 months) S. Typhimurium could constitute an increased health risk to the local communities, and provided insights into the close linkage between well water quality and survival of S. Typhimurium. PMID- 29843400 TI - The Impact of Industrial Odors on the Subjective Well-Being of Communities in Colorado. AB - Odor pollution was identified as a top priority of the community of North Denver. Previous studies that investigated the impact of air pollution in North Denver focused on adverse health effects, rather than mental well-being. This study assessed the impact of odors from industrial sources on the subjective well-being (SWB) of North Denver residents, and of four similar communities in Colorado for comparison. An online survey was sent to participants from Greeley, Fort Collins, Fort Lupton, North Denver, and Pueblo, asking questions about SWB and odors in their areas (n = 351). The evaluation of SWB was performed using a novel approach that appraises three aspects of SWB. This approach of evaluating SWB has not been used in odor exposure studies. A proportional odds logistic regression model was used to estimate nine measures of SWB. The results showed that participants who reported that the air is very fresh or the odor is highly acceptable had higher levels of SWB. This association suggests that residents who live in areas exposed to strong industrial odors had lower levels of SWB. A subset of participants in this study took the survey four times in one year. Longitudinal analysis showed that evaluative satisfaction was slightly associated with seasonality. Both satisfaction with how life turned out and satisfaction with standards of living slightly increased during the fourth quarter of the year. The study also found that four of the nine measures can be used to represent SWB in future studies. Two of those measures were evaluative SWB, and the other two were positive hedonic SWB measures. A comparison between the five communities showed that well being levels in North Denver and Greeley were not significantly different than those in Fort Collins or Fort Lupton. The comparison, however, showed that Pueblo had the lowest levels of well-being among all communities. PMID- 29843402 TI - Uncertainty and Motivation to Seek Information from Pharmacy Automated Communications. AB - Pharmacy personnel often answer telephones to respond to pharmacy customers (subjects) who received messages from automated systems. This research examines the communication process in terms of how users interact and engage with pharmacies after receiving automated messages. No study has directly addressed automated telephone calls and subjects' interactions. The purpose of this study is to test the interpersonal communication (IC) process of uncertainty in subjects in receipt of automated telephone calls ATCs from pharmacies. Subjects completed a survey of validated scales for Satisfaction (S); Relevance (R); Quality (Q); Need for Cognitive Closure (NFC). Relationships between S, R, Q, NFC, and subject preference to ATCs were analyzed to determine whether subjects contacting pharmacies display information seeking behavior. Results demonstrated that seeking information occurs if subjects: are dissatisfied with the content of the ATC; perceive that the Q of ATC is high and like receiving the ATC, or have a high NFC and do not like receiving ATCs. Other interactions presented complexities amongst uncertainty and tolerance of NFC within the IC process. PMID- 29843401 TI - Consensus in Gestational Diabetes MELLITUS: Looking for the Holy Grail. AB - The world's pre-eminent diabetes, obstetric, endocrine, and health organizations advocate a plethora of diverse algorithms for the screening, diagnosis, management, and follow-up of gestational diabetes mellitus (GDM). Additionally, there are regional recommendations of local health societies. Several of these proposals for GDM are contentious because some of them were developed from unscientific studies, based on expert-opinion, catered to preserve resources, and subjectively modified for convenience. Due to the wide variety of choices available, the approach to GDM can be extremely diverse even within the same hospital. This lack of consensus creates major problems in addressing prevalence, complications, efficacy of treatment, and follow-up of GDM. Moreover, it becomes nearly impossible to compare the numerous studies. Furthermore, the lack of consensus confuses the health care providers of obstetric health who look to the experts for guidance. Therefore, a clear, objective, "evidence-based" global approach, which is simple, easy to follow, and validated by corroborative research, is crucial. We contend that, despite decades of research, a single acceptable global guideline is not yet on the horizon. PMID- 29843403 TI - Neighborhood Socioeconomic Deprivation and Allostatic Load: A Scoping Review. AB - Residing in socioeconomically deprived neighborhoods may pose substantial physiological stress, which can then lead to higher allostatic load (AL), a marker of biological wear and tear that precedes disease. The aim of the present study was to map the current evidence about the relationship between neighborhood socioeconomic deprivation and AL. A scoping review approach was chosen to provide an overview of the type, quantity, and extent of research available. The review was conducted using three bibliographic databases (PubMed, SCOPUS, and Web of Science) and a standardized protocol. Fourteen studies were identified. Studies were predominantly from the USA, cross-sectional, focused on adults, and involved different races and ethnic groups. A wide range of measures of AL were identified: the mode of the number of biomarkers per study was eight but with large variability (range: 6-24). Most studies (n = 12) reported a significant association between neighborhood deprivation and AL. Behaviors and environmental stressors seem to mediate this relationship and associations appear more pronounced among Blacks, men, and individuals with poor social support. Such conclusions have important public health implications as they enforce the idea that neighborhood environment should be improved to prevent physiological dysregulation and consequent chronic diseases. PMID- 29843404 TI - Mechanistic Potential and Therapeutic Implications of Cannabinoids in Nonalcoholic Fatty Liver Disease. AB - Nonalcoholic fatty liver disease (NAFLD) is comprised of nonalcoholic fatty liver (NAFL) and nonalcoholic steatohepatitis (NASH). It is defined by histologic or radiographic evidence of steatosis in the absence of alternative etiologies, including significant alcohol consumption, steatogenic medication use, or hereditary disorders. NAFLD is now the most common liver disease, and when NASH is present it can progress to fibrosis and hepatocellular carcinoma. Different mechanisms have been identified as contributors to the physiology of NAFLD; insulin resistance and related metabolic derangements have been the hallmark of physiology associated with NAFLD. The mainstay of treatment has classically involved lifestyle modifications focused on the reduction of insulin resistance. However, emerging evidence suggests that the endocannabinoid system and its associated cannabinoid receptors and ligands have mechanistic and therapeutic implications in metabolic derangements and specifically in NAFLD. Cannabinoid receptor 1 antagonism has demonstrated promising effects with increased resistance to hepatic steatosis, reversal of hepatic steatosis, and improvements in glycemic control, insulin resistance, and dyslipidemia. Literature regarding the role of cannabinoid receptor 2 in NAFLD is controversial. Exocannabinoids and endocannabinoids have demonstrated some therapeutic impact on metabolic derangements associated with NAFLD, although literature regarding direct therapeutic use in NAFLD is limited. Nonetheless, the properties of the endocannabinoid system, its receptors, substrates, and ligands remain a significant arena warranting further research, with potential for a pharmacologic intervention for a disease with an anticipated increase in economic and clinical burden. PMID- 29843405 TI - Aspergoterpenins A-D: Four New Antimicrobial Bisabolane Sesquiterpenoid Derivatives from an Endophytic Fungus Aspergillus versicolor. AB - Aspergoterpenins A-D (1-4), four new bisabolane sesquiterpenoid derivatives, were obtained from the endophytic fungus, Aspergillus versicolor, together with eight known compounds (5-12), and their structures were elucidated by a comprehensive analysis of their NMR (Nuclear Magnetic Resonance), MS (Mass Spectrum) and CD (Circular Dichroism) spectra. Aspergoterpenin A (1) was the first example with a characteristic ketal bridged-ring part in the degraded natural bisabolane-type sesquiterpene structures. The compounds 1-12 displayed no significant activities against four cancer cell lines (A549, Caski, HepG2 and MCF-7). Further, the antimicrobial activities to Erwinia carotovora sub sp. Carotovora were evaluated, and the results showed that compounds 1-12 displayed antimicrobial activities with MIC values ranging from 15.2 to 85.2 MUg/mL. PMID- 29843406 TI - Therapeutics for Inflammatory-Related Diseases Based on Plasmon-Activated Water: A Review. AB - It is recognized that the properties of liquid water can be markedly different from those of bulk one when it is in contact with hydrophobic surfaces or is confined in nano-environments. Because our knowledge regarding water structure on the molecular level of dynamic equilibrium within a picosecond time scale is far from completeness all of water's conventionally known properties are based on inert "bulk liquid water" with a tetrahedral hydrogen-bonded structure. Actually, the strength of water's hydrogen bonds (HBs) decides its properties and activities. In this review, an innovative idea on preparation of metastable plasmon-activated water (PAW) with intrinsically reduced HBs, by letting deionized (DI) water flow through gold-supported nanoparticles (AuNPs) under resonant illumination at room temperature, is reported. Compared to DI water, the created stable PAW can scavenge free hydroxyl and 2,2-diphenyl-1-picrylhydrazyl radicals and effectively reduce NO release from lipopolysaccharide-induced inflammatory cells. Moreover, PAW can dramatically induce a major antioxidative Nrf2 gene in human gingival fibroblasts. This further confirms its cellular antioxidative and anti-inflammatory properties. In addition, innovatively therapeutic strategy of daily drinking PAW on inflammatory-related diseases based on animal disease models is demonstrated, examples being chronic kidney disease (CKD), chronic sleep deprivation (CSD), and lung cancer. PMID- 29843407 TI - Handling Complexity in Animal and Plant Science Research-From Single to Functional Traits: Are We There Yet? AB - The current knowledge of the main factors governing livestock, crop and plant quality as well as yield in different species is incomplete. For example, this can be evidenced by the persistence of benchmark crop varieties for many decades in spite of the gains achieved over the same period. In recent years, it has been demonstrated that molecular breeding based on DNA markers has led to advances in breeding (animal and crops). However, these advances are not in the way that it was anticipated initially by the researcher in the field. According to several scientists, one of the main reasons for this was related to the evidence that complex target traits such as grain yield, composition or nutritional quality depend on multiple factors in addition to genetics. Therefore, some questions need to be asked: are the current approaches in molecular genetics the most appropriate to deal with complex traits such as yield or quality? Are the current tools for phenotyping complex traits enough to differentiate among genotypes? Do we need to change the way that data is collected and analysed? PMID- 29843408 TI - Graphitized Carbon: A Promising Stable Cathode Catalyst Support Material for Long Term PEMFC Applications. AB - Stability of cathode catalyst support material is one of the big challenges of polymer electrolyte membrane fuel cells (PEMFC) for long term applications. Traditional carbon black (CB) supports are not stable enough to prevent oxidation to CO2 under fuel cell operating conditions. The feasibility of a graphitized carbon (GC) as a cathode catalyst support for low temperature PEMFC is investigated herein. GC and CB supported Pt electrocatalysts were prepared via an already developed polyol process. The physical characterization of the prepared catalysts was performed using transmission electron microscope (TEM), X-ray Powder Diffraction (XRD) and inductively coupled plasma optical emission spectrometry (ICP-OES) analysis, and their electrochemical characterizations were conducted via cyclic voltammetry(CV), rotating disk electrode (RDE) and potential cycling, and eventually, the catalysts were processed using membrane electrode assemblies (MEA) for single cell performance tests. Electrochemical impedance spectroscopy (EIS) and scanning electrochemical microscopy (SEM) have been used as MEA diagonostic tools. GC showed superior stability over CB in acid electrolyte under potential conditions. Single cell MEA performance of the GC supported catalyst is comparable with the CB-supported catalyst. A correlation of MEA performance of the supported catalysts of different Brunauer-Emmett-Teller (BET) surface areas with the ionomer content was also established. GC was identified as a promising candidate for catalyst support in terms of both of the stability and the performance of fuel cell. PMID- 29843409 TI - One-Step Hydrothermal Synthesis of Zeolite X Powder from Natural Low-Grade Diatomite. AB - Zeolite X powder was synthesized using natural low-grade diatomite as the main source of Si but only as a partial source of Al via a simple and green hydrothermal method. The microstructure and surface properties of the obtained samples were characterized by powder X-ray diffraction (XRD), scanning electron microscopy (SEM), wavelength dispersive X-ray fluorescence (XRF), calcium ion exchange capacity (CEC), thermogravimetric-differential thermal (TG-DTA) analysis, and N2 adsorption-desorption technique. The influence of various synthesis factors, including aging time and temperature, crystallization time and temperature, Na2O/SiO2 and H2O/Na2O ratio on the CEC of zeolite, were systematically investigated. The as-synthesized zeolite X with binary meso microporous structure possessed remarkable thermal stability, high calcium ion exchange capacity of 248 mg/g and large surface area of 453 m2/g. In addition, the calcium ion exchange capacity of zeolite X was found to be mainly determined by the crystallization degree. In conclusion, the synthesized zeolite X using diatomite as a cost-effective raw material in this study has great potential for industrial application such as catalyst support and adsorbent. PMID- 29843410 TI - Theoretical Study of Aluminum Hydroxide as a Hydrogen-Bonded Layered Material. AB - In many layer-structured materials, constituent layers are bound through van der Waals (vdW) interactions. However, hydrogen bonding is another type of weak interaction which can contribute to the formation of multi-layered materials. In this work, we investigate aluminum hydroxide [Al(OH) 3 ] having hydrogen bonding as an interlayer binding mechanism. We study the crystal structures and electronic band structures of bulk, single-layer, and multi-layer Al(OH) 3 using density functional theory calculations. We find that hydrogen bonds across the constituent layers indeed give rise to interlayer binding stronger than vdW interactions, and a reduction of the band gap occurs for an isolated layer as compared to bulk Al(OH) 3 which is attributed to the emergence of surface states. We also consider the alkali-halide intercalation between layers and examine how the intercalated atoms affect the atomic and electronic structures of Al(OH) 3 . PMID- 29843411 TI - Special Issue "Decision Models in Green Growth and Sustainable Development". PMID- 29843412 TI - Food Modulation Controls Astaxanthin Accumulation in Eggs of the Sea Urchin Arbacia lixula. AB - The carotenoid astaxanthin has strong antioxidant properties with beneficial effects for various degenerative diseases. This carotenoid is produced by some microalgae species when cultivated in particular conditions, and, interestingly, it is a predominant carotenoid in aquatic animals throughout a broad range of taxa. Recently, astaxanthin was detected in the eggs of the sea urchin Arbacia lixula in relevant concentrations when this organism was maintained in culture. These results have paved the way for deeper research into astaxanthin production by this species, particularly in regards to how astaxanthin production can be modulated by diet. Results showed that the highest content of astaxanthin in eggs was observed in sea urchins fed on a diet enriched with Spirulina platensis. This result was confirmed by the high antioxidant activity recorded in the egg extracts of these animals. Our results suggest that (i) the sea urchin A. lixula is able to synthesize astaxanthin from precursors obtained from food, and (ii) it is possible to modulate the astaxanthin accumulation in sea urchin eggs by modifying the proportions of different food ingredients provided in their diet. This study demonstrates the large potential of sea urchin cultivation for the eco sustainable production of healthy supplements for nutraceutical applications. PMID- 29843413 TI - Detection of Hemiplegic Walking Using a Wearable Inertia Sensing Device. AB - Hemiplegia is a symptom that is caused by reduced sensory and motor ability on one side of the body due to stroke-related neural defects. Muscular weakness and abnormal sensation that is induced by hemiplegia usually lead to motor impairments, such as difficulty in controlling the trunk, unstable balance, and poor walking ability. Therefore, most hemiplegia patients show defective and asymmetric gait pattern. The purpose of this study is to distinguish hemiplegic gait by extracting simple characteristics of acceleration signals that are caused by asymmetry during walking using a wearable system. The devised wearable system was equipped with a three-axis accelerometer and a three-axis gyroscope. We selected 165 candidate features without step detection. A random forest algorithm was used for the classification, and the forward search algorithm was also used for optimal feature selection. The developed system and algorithms were verified clinically in 15 normal subjects and 20 hemiplegia patients that were undergoing stroke treatment, and 26 subject's data was used for training, including validation, and nine subject's data used for test. As a result of test set, the accuracy, sensitivity, specificity and positive predictive value were 100.0%, with the two classification attributes of standard deviation of points perpendicular to the axis of line of identity of Poincare plot of angular velocity around vertical axis and kurtosis of frequency of angular velocity around longitudinal axis. PMID- 29843414 TI - Estimation of Temporal Gait Parameters Using a Human Body Electrostatic Sensing Based Method. AB - Accurate estimation of gait parameters is essential for obtaining quantitative information on motor deficits in Parkinson's disease and other neurodegenerative diseases, which helps determine disease progression and therapeutic interventions. Due to the demand for high accuracy, unobtrusive measurement methods such as optical motion capture systems, foot pressure plates, and other systems have been commonly used in clinical environments. However, the high cost of existing lab-based methods greatly hinders their wider usage, especially in developing countries. In this study, we present a low-cost, noncontact, and an accurate temporal gait parameters estimation method by sensing and analyzing the electrostatic field generated from human foot stepping. The proposed method achieved an average 97% accuracy on gait phase detection and was further validated by comparison to the foot pressure system in 10 healthy subjects. Two results were compared using the Pearson coefficient r and obtained an excellent consistency (r = 0.99, p < 0.05). The repeatability of the purposed method was calculated between days by intraclass correlation coefficients (ICC), and showed good test-retest reliability (ICC = 0.87, p < 0.01). The proposed method could be an affordable and accurate tool to measure temporal gait parameters in hospital laboratories and in patients' home environments. PMID- 29843415 TI - Drivers Are More Physically Active Than Non-Drivers in Older Adults. AB - Car use has been identified as sedentary behavior, although it may enhance mobility, particularly in the older population. This cross-sectional study aimed to compare the time spent in objectively determined sedentary behavior (SB) and physical activity (PA) between older drivers and non-drivers. Four hundred and fifty Japanese older adults (74.3 +/- 2.9 years) who had valid accelerometer data were included. They were asked to respond to a questionnaire and wear an accelerometer (HJA-350IT, Omron Healthcare) on their waist for 7 consecutive days in 2015. To compare activity time between drivers and non-drivers, we calculated estimated means using analysis of covariance, adjusting for sociodemographic, physical, and psychological factors and accelerometer wear time. Compared to non drivers, drivers engaged in more light-intensity PA (LPA) (drivers: 325.0 vs. non drivers: 289.0 min/day) and moderate-to-vigorous PA (drivers: 37.5 vs. non drivers: 30.0 min/day) and less SB (drivers: 493.4 vs. non-drivers: 535.9 min/day) (all p < 0.05). After stratification by age, sex, and residential area, larger effect of driving on PA time was found in older-older adults, in men, and in rural residents. Older drivers were found to be more physically active than non-drivers, suggesting more access to outdoor activities or expanding social network. PMID- 29843416 TI - Identifying Degenerative Brain Disease Using Rough Set Classifier Based on Wavelet Packet Method. AB - Population aging has become a worldwide phenomenon, which causes many serious problems. The medical issues related to degenerative brain disease have gradually become a concern. Magnetic Resonance Imaging is one of the most advanced methods for medical imaging and is especially suitable for brain scans. From the literature, although the automatic segmentation method is less laborious and time consuming, it is restricted in several specific types of images. In addition, hybrid techniques segmentation improves the shortcomings of the single segmentation method. Therefore, this study proposed a hybrid segmentation combined with rough set classifier and wavelet packet method to identify degenerative brain disease. The proposed method is a three-stage image process method to enhance accuracy of brain disease classification. In the first stage, this study used the proposed hybrid segmentation algorithms to segment the brain ROI (region of interest). In the second stage, wavelet packet was used to conduct the image decomposition and calculate the feature values. In the final stage, the rough set classifier was utilized to identify the degenerative brain disease. In verification and comparison, two experiments were employed to verify the effectiveness of the proposed method and compare with the TV-seg (total variation segmentation) algorithm, Discrete Cosine Transform, and the listing classifiers. Overall, the results indicated that the proposed method outperforms the listing methods. PMID- 29843417 TI - The Preparation, Characterization and Formation Mechanism of a Calcium Phosphate Conversion Coating on Magnesium Alloy AZ91D. AB - The poor corrosion resistance of magnesium alloys is one of the main obstacles preventing their widespread usage. Due to the advantages of lower cost and simplicity in operation, chemical conversion coating has drawn considerable attention for its improvement of the corrosion resistance of magnesium alloys. In this study, a calcium phosphate coating was prepared on magnesium alloy AZ91D by chemical conversion. For the calcium phosphate coating, the effect of processing parameters on the microstructure and corrosion resistance was studied by scanning electron microscope (SEM) and electrochemical methods, and the coating composition was characterized by X-ray diffraction (XRD). The calcium phosphate coating was mainly composed of CaHPO4.2H2O (DCPD), with fewer cracks and pores. The coating with the leaf-like microstructure provided great corrosion resistance to the AZ91D substrate, and was obtained under the following conditions: 20 min, ambient temperature, and no stirring. At the same time, the role of NH4H2PO4 as the coating-forming agent and the acidifying agent in the conversion process was realized, and the formation mechanism of DCPD was discussed in detail in this work. PMID- 29843418 TI - Planetary Gear Fault Diagnosis via Feature Image Extraction Based on Multi Central Frequencies and Vibration Signal Frequency Spectrum. AB - Poor working environment leads to frequent failures of planetary gear trains. However, complex structure and variable transmission make the vibration signal strongly non-linear and non-stationary, which brings big problems to fault diagnosis. A method of planetary gear fault diagnosis via feature image extraction based on multi central frequencies and vibration signal frequency spectrum is proposed. The original vibration signal is decomposed by variational mode decomposition (VMD), and four components with narrow bands and independent central frequencies are decomposed. In order to retain the feature spectrum of the original vibration signal as far as possible, the corresponding feature bands are intercepted from the frequency spectrum of original vibration signal based on the central frequency of each component. Then, the feature images of fault signals are constructed as the inputs of the convolution neural network (CNN), and the parameters of the neural network are optimized by sample training. Finally, the optimized CNN is used to identify fault signals. The overall fault recognition rate is up to 98.75%. Compared with the feature bands extracted directly from the component spectrums, the extraction method of the feature bands proposed in this paper needs fewer iterations under the same network structure. The method of planetary gear fault diagnosis proposed in this paper is effective. PMID- 29843419 TI - Standard Polymeric Formula Tube Feeding in Neurologically Impaired Children: A Five-Year Retrospective Study. AB - Malnutrition is frequent in neurologically impaired (NI) children. Enteral feeding via gastrostomy tube is increasingly being used to provide adequate nutrition. Our aim was to assess the outcomes of exclusive gastrostomy tube feeding with standard polymeric formula in children with NI, severe oro-motor dysfunction, and malnutrition, and to investigate the role of the underlying NI associated disease. A five-year retrospective study from January 2013 to November 2017 was conducted. The primary aim was to assess the nutritional outcomes of exclusive gastrostomy tube feeding with standard polymeric formula in malnourished NI children. The secondary aim was to investigate gastrostomy complications and the impact of the underlying NI-associated disease on the nutritional outcomes. We enrolled 110 consecutive children with NI. Of these patients, 34.5% (N = 38) were categorized as malnourished and started exclusive enteral feeding with a standard (1.0 kcal/mL) polymeric formula (Nutrini, Nutricia) after percutaneous endoscopic gastrostomy (PEG) placement. Seventy three percent of patients (N = 28) had cerebral palsy (CP); other diagnoses included metabolic (13%, N = 5) and genetic (13%, N = 5) diseases. Tricep skinfold thickness had significantly improved in all patients at 12-months follow up, while body weight and body mass index showed significant increases mainly in children with CP. No serious complications occurred. We found that standard polymeric formula via gastrostomy tube represents a safe and efficient nutritional intervention in children with NI and malnutrition. PMID- 29843420 TI - Incobotulinumtoxin A for Sialorrhea in Neurological Disorders: A Real-Life Experience. AB - Botulinum toxin type A is one of the most useful treatments of sialorrhea in neurological disorders. Evidence for the use of incobotulinumtoxin A (inco-A) in the treatment of sialorrhea is limited. Thirty-six patients with sialorrhea were treated with infiltrations of inco-A into both parotid glands. The severity of sialorrhea was evaluated by the Drooling Severity Scale (DSS), and the Drooling Frequency Scale (DFS). Patients' perceptions of clinical benefit were recorded via the Patient Global Impression of Improvement (PGI-I) scale. Following treatment, there was a significant difference in both the DFS and the DSS (p < 0.001). Clinical benefits on the basis of the PGI-I were present in up to 90% of patients. PMID- 29843421 TI - Effect of Cardiac Rehabilitation on Quality of Life, Depression and Anxiety in Asian Patients. AB - This study explored the effect of cardiac rehabilitation on quality of life, depression, and anxiety in Asian patients in Singapore. Out of the 194 patients who were recruited into the study, 139 patients (71.6%) completed both the pre- and post-cardiac rehabilitation questionnaires. Their ages ranged from 28 to 80 (M = 56.66, SD = 8.88), and 103 patients (74.1%) were males and 21 patients (15.1%) were females. As hypothesized, there was a statistically significant difference between the pre- and post-cardiac rehabilitation scores on the combined dependent variables, F (4, 135) = 34.84, p < 0.001; Wilks' Lambda = 0.49; partial eta squared = 0.51. An inspection of the mean scores indicated that patients reported higher levels of physical and mental quality of life and lower levels of depression post-cardiac rehabilitation. The findings were discussed in regards to implications in cardiac rehabilitation in Singapore. PMID- 29843422 TI - Characterization of Magnesium Silicate Hydrate (MSH) Gel Formed by Reacting MgO and Silica Fume. AB - Magnesium silicate hydrate (MSH) gel was formed by reacting magnesium oxide (MgO) with silica fume (SF) in distilled water. The MSH was prepared using a MgO/SF molar ratio of 1.0 (40:60 weight ratio). Samples were analyzed during hydration process up to 300 days at room temperature. The MSH characterization has been carried out using a range of analytical techniques. Quantitative analysis was achieved using thermogravimetric analysis (TG/DTG) with a de-convolution technology. The structure of MSH gel was characterized using solid state nuclear magnetic resonance (29Si NMR) and Fourier transform infrared (FT-IR) spectroscopy. Transmission electron microscopy (TEM) was used to investigate MSH microstructure. Compared with natural magnesium silicate hydrate minerals, the structure of MSH gel is highly disordered and generates on the surface of particles, producing a shell structure with cavity. The molecular structure of MSH phase is layered. The results also show that the extent of polymerization of MSH gel is related to the solution pH during hydration. PMID- 29843423 TI - Obstacles and Future Prospects: Considerations on Health Promotion Activities for Older Workers in Europe. AB - The ageing of workers is one of the most important issues for occupational health and safety in Europe. The ageing of the active population means that health promotion is a necessity rather than a mere option. This review considers barriers and perspectives for workplace health promotion for older workers. Lack of awareness on the part of management and inflexibility in the occupational health and safety system appear to be major barriers. To overcome these, it will be necessary to disseminate knowledge regarding the effectiveness of health promotion actions for older workers, encourage greater involvement on the part of social partners, recover resources by replacing medical consumerism and bureaucratic practices, adopt an integrated approach combining the prevention of occupational risks and the promotion of healthy lifestyles, and recognize subsidiarity and the ability of working communities to regulate themselves. PMID- 29843424 TI - Red to Far-Red Light Ratio Modulates Hormonal and Genetic Control of Axillary bud Outgrowth in Chrysanthemum (Dendranthema grandiflorum 'Jinba'). AB - Single-flower cut Chrysanthemum (Dendranthema grandiflorum 'Jinba') holds a unique status in global floriculture industry. However, the extensive axillary bud outgrowth presents a major drawback. Shade is an environment cue that inhibits shoot branching. Present study was aimed at investigating the effect of ratio of red to far-red light (R:FR) in regulating the lateral bud outgrowth of Chrysanthemum and the detailed mechanism. Results showed that the fate of axillary buds at specific positions in stem exhibited difference in response to R:FR. Decreasing R:FR resulted in elevation of abscisic acid (ABA) accumulation in axillary buds. Expression of ABA, indole-3-acetic acid (IAA) and strigolactones (SL) -related metabolism and signal transduction genes was significantly changed in response to low R:FR. In addition, low R:FR caused the re-distribution of sucrose across the whole plant, driving more sucrose towards bottom buds. Our results indicate that low R:FR not always inhibits bud outgrowth, rather its influence depends on the bud position in the stem. ABA, SL and auxin pathways were involved in the process. Interestingly, sucrose also appears to be involved in the process which is necessary to pay attention in the further studies. The present study also lays the foundation for developing methods to regulate axillary bud outgrowth in Chrysanthemum. PMID- 29843426 TI - Neuromodulatory Treatments for Alcohol Use Disorder: A Review. AB - Alcohol use disorder (AUD) is a prevalent condition characterized by chronic alcohol-seeking behaviors and has become a significant economic burden with global ramifications on public health. While numerous treatment options are available for AUD, many are unable to sustain long-term sobriety. The nucleus accumbens (NAcc) upholds an integral role in mediating reward behavior and has been implicated as a potential target for deep brain stimulation (DBS) in the context of AUD. DBS is empirically thought to disrupt pathological neuronal synchrony, a hallmark of binge behavior. Pre-clinical animal models and pilot human clinical studies utilizing DBS for the treatment of AUD have shown promise for reducing alcohol-related cravings and prolonging abstinence. In this review, we outline the various interventions available for AUD, and the translational potential DBS has to modulate functionality of the NAcc as a treatment for AUD. PMID- 29843427 TI - One-Step Synthesis of Au-Ag Nanowires through Microorganism-Mediated, CTAB Directed Approach. AB - Synthesis and applications of one dimensional (1D) metal nanostructures have attracted much attention. However, one-step synthesis of bimetallic nanowires (NWs) has remained challenging. In this work, we developed a microorganism mediated, hexadecyltrimethylammonium bromide (CTAB)-directed (MCD) approach to synthesize closely packed and long Au-Ag NWs with the assistance of a continuous injection pump. Characterization results confirmed that the branched Au-Ag alloy NWs was polycrystalline. And the Au-Ag NWs exhibited a strong absorbance at around 1950 nm in the near-infrared (NIR) region, which can find potential application in NIR absorption. In addition, the Au-Ag NWs showed excellent surface-enhanced Raman scattering (SERS) enhancement when 4-mercaptobenzoic acid (MBA) and rhodamine 6G (R6G) were used as probe molecules. PMID- 29843428 TI - Small Intestinal Permeability and Gut-Transit Time Determined with Low and High Molecular Weight Fluorescein Isothiocyanate-Dextrans in C3H Mice. AB - Protocols for intestinal permeability measurements in mice using 4-kDa fluorescein isothiocyanate-conjugated (FITC) dextran differ considerably among laboratories on the blood-sampling time. To find the optimal point in time for blood sampling, we administered 4-kDa FITC dextran to C3H mice and monitored the marker in plasma over 8 h. We also determined gut-transit time using 70-kDa FITC dextran, which does not cross the intestinal epithelium. The 4-kDa FITC dextran concentration in plasma reached its maximum 45 min after administration. The 70 kDa FITC dextran reached the jejunum after 15 min and passed the entire small intestine within 1 h after its administration, demonstrating that 4-kDa FITC dextran measured in plasma 1 h after its oral application is a marker of small intestinal permeability. PMID- 29843425 TI - Functional Role of Non-Coding RNAs during Epithelial-To-Mesenchymal Transition. AB - Epithelial-to-mesenchymal transition (EMT) is a key biological process involved in a multitude of developmental and pathological events. It is characterized by the progressive loss of cell-to-cell contacts and actin cytoskeletal rearrangements, leading to filopodia formation and the progressive up-regulation of a mesenchymal gene expression pattern enabling cell migration. Epithelial-to mesenchymal transition is already observed in early embryonic stages such as gastrulation, when the epiblast undergoes an EMT process and therefore leads to the formation of the third embryonic layer, the mesoderm. Epithelial-to mesenchymal transition is pivotal in multiple embryonic processes, such as for example during cardiovascular system development, as valve primordia are formed and the cardiac jelly is progressively invaded by endocardium-derived mesenchyme or as the external cardiac cell layer is established, i.e., the epicardium and cells detached migrate into the embryonic myocardial to form the cardiac fibrous skeleton and the coronary vasculature. Strikingly, the most important biological event in which EMT is pivotal is cancer development and metastasis. Over the last years, understanding of the transcriptional regulatory networks involved in EMT has greatly advanced. Several transcriptional factors such as Snail, Slug, Twist, Zeb1 and Zeb2 have been reported to play fundamental roles in EMT, leading in most cases to transcriptional repression of cell-cell interacting proteins such as ZO-1 and cadherins and activation of cytoskeletal markers such as vimentin. In recent years, a fundamental role for non-coding RNAs, particularly microRNAs and more recently long non-coding RNAs, has been identified in normal tissue development and homeostasis as well as in several oncogenic processes. In this study, we will provide a state-of-the-art review of the functional roles of non coding RNAs, particularly microRNAs, in epithelial-to-mesenchymal transition in both developmental and pathological EMT. PMID- 29843429 TI - A Study on Photostability of Amphetamines and Ketamine in Hair Irradiated under Artificial Sunlight. AB - Drugs incorporated into hair are exposed to the environment, and cosmetic and chemical treatments, with possible decreases in their content. Knowledge concerning the effect of sunlight on drug content in hair can be helpful to forensic toxicologists, in particular, when investigating drug concentrations above or below pre-determined cut-offs. Twenty authentic positive hair samples were selected which had previously tested positive for amphetamines and/or ketamine. Washed hair were divided into two identical strands, with the former exposed at 765 W/m2 (300-800 nm spectrum of irradiance) for 48 h in a solar simulator, and the latter kept in the dark. Hair samples were extracted and analyzed by liquid chromatography high-resolution mass spectrometry detection. The percentage of photodegradation was calculated for each analyte (i.e., amphetamine, methamphetamine, methylendioxyamphetamine, ketamine, and norketamine). In parallel, photodegradation processes of standard molecules dissolved in aqueous and organic solutions were studied. In 20 hair samples positive for the targeted analytes, exposure to artificial sunlight induced an appreciable decrease in drug concentrations. The concentration ranges in the non irradiated hair samples were 0.01-24 ng/mg, and 65% of samples exhibited a decrease in post-irradiation samples, with reduction from 3% to 100%. When more drugs were present in the same hair sample (i.e., MDMA and ketamine) the degradation yields were compound dependent. A degradation product induced by irradiation of ketamine in aqueous and methanol solutions was identified; it was also found to be present in a true positive hair sample after irradiation. Ketamine, amphetamines, and their metabolites incorporated in the hair of drug users undergo degradation when irradiated by artificial sunlight. Only for ketamine was a photoproduct identified in irradiated standard solutions and in true positive irradiated hair. When decisional cut-offs are applied to hair analysis, photodegradation must be taken into account since sunlight may produce false negative results. Moreover, new markers could be investigated as evidence of illicit drug use. PMID- 29843430 TI - ENABLE 2017, the First EUROPEAN PhD and Post-Doc Symposium. Session 4: From Discovery to Cure: The Future of Therapeutics. AB - The EUROPEAN ACADEMY FOR BIOMEDICAL SCIENCE (ENABLE) is an initiative funded by the European Union Horizon 2020 program involving four renowned European Research Institutes (Institute for Research in Biomedicine-IRB Barcelona, Spain; Radboud Institute for Molecular Life Sciences-RIMLS, the Netherlands; Novo Nordisk Foundation Center for Protein Research-NNF CPR, Denmark; European School of Molecular Medicine-SEMM, Italy) and an innovative science communication agency (Scienseed). With the aim of promoting biomedical science of excellence in Europe, ENABLE organizes an annual three-day international event. This gathering includes a top-level scientific symposium bringing together leading scientists, PhD students, and post-doctoral fellows; career development activities supporting the progression of young researchers and fostering discussion about opportunities beyond the bench; and outreach activities stimulating the interaction between science and society. The first European PhD and Postdoc Symposium, entitled "Breaking Down Complexity: Innovative Models and Techniques in Biomedicine", was hosted by the vibrant city of Barcelona. The scientific program of the conference was focused on the most recent advances and applications of modern techniques and models in biomedical research and covered a wide range of topics, from synthetic biology to translational medicine. Overall, the event was a great success, with more than 200 attendees from all over Europe actively participating in the symposium by presenting their research and exchanging ideas with their peers and world-renowned scientists. PMID- 29843432 TI - Facile Synthesis of Porous ZnCo2O4 Nanosheets and the Superior Electrochemical Properties for Sodium Ion Batteries. AB - ZnCo2O4 nanosheets with large surface area and mesoporous structure were synthesized using a facile hydrothermal method followed with a calcination process. When applied as the anode material in sodium ion batteries, the ZnCo2O4 nanosheets demonstrated a high initial charge capacity of 415.1 mAh/g at the current density of 100 mA/g. Even though the reversible capacity decreased in the first 20 cycles, it stayed relatively stable afterwards and retained 330 mAh/g after 100 cycles. This result was superior to those of many reported works of ZnO and Co3O4-based anodes for sodium ion batteries, which might be due to the synergistic effect of both Zn and Co, and the refined porous nanosheet-like structure which facilitates electrochemical reactions by providing more reaction sites and ensures cycling stability by providing more space to accommodate the structural strains during cycles. PMID- 29843431 TI - Multifunctionalized Reduced Graphene Oxide Biosensors for Simultaneous Monitoring of Structural Changes in Amyloid-beta 40. AB - Determination of the conformation (monomer, oligomer, or fibril) of amyloid peptide aggregates in the human brain is essential for the diagnosis and treatment of Alzheimer's disease (AD). Accordingly, systematic investigation of amyloid conformation using analytical tools is essential for precisely quantifying the relative amounts of the three conformations of amyloid peptide. Here, we developed a reduced graphene oxide (rGO) based multiplexing biosensor that could be used to monitor the relative amounts of the three conformations of various amyloid-beta 40 (Abeta40) fluids. The electrical rGO biosensor was composed of a multichannel sensor array capable of individual detection of monomers, oligomers, and fibrils in a single amyloid fluid sample. From the performance test of each sensor, we showed that this method had good analytical sensitivity (1 pg/mL) and a fairly wide dynamic range (1 pg/mL to 10 ng/mL) for each conformation of Abeta40. To verify whether the rGO biosensor could be used to evaluate the relative amounts of the three conformations, various amyloid solutions (monomeric Abeta40, aggregated Abeta40, and disaggregated Abeta40 solutions) were employed. Notably, different trends in the relative amounts of the three conformations were observed in each amyloid solution, indicating that this information could serve as an important parameter in the clinical setting. Accordingly, our analytical tool could precisely detect the relative amounts of the three conformations of Abeta40 and may have potential applications as a diagnostic system for AD. PMID- 29843435 TI - An Unambiguous Delay-And-Multiply Acquisition Scheme for GPS L1C Signals. AB - The GPS provides positioning information almost anytime and anywhere on Earth, regardless of the weather conditions, and has become an essential technology for positioning and navigation. As a modernization program, the fourth civil GPS signal, denoted as L1C, will be transmitted from Block III satellites. One distinction of the L1C signal from the former signals is the use of binary offset carrier (BOC) modulation, which is necessary for compatibility and the reduction of interference between the legacy L1 signal and L1C signal, despite their use of the same carrier frequency. One drawback of using BOC modulation is the ambiguity problem, which comes from the multiple peaks in the correlation function and causes difficulties finding the code phase in the acquisition process. In this paper we suggest two delay-and-multiply (DM) methods for the L1C signal to solve the ambiguity problem. For the DM acquisition schemes we suggest the optimal delay time for the delay signal, and prove that the correlation function of the received DM signal and the generated DM signal has a triangular shape, as seen in the legacy GPS L1 signal. The noise characteristics of the decision variable are obtained and the performance of the DM acquisition scheme is given in terms of the probability of detection, and compared with that of the conventional method. We provide the procedure to find the Doppler frequency after obtaining the code phase through the proposed DM method. PMID- 29843433 TI - Stress Response and Cognitive Performance Modulation in Classroom versus Natural Environments: A Quasi-Experimental Pilot Study with Children. AB - Stress during childhood can have mental and somatic health influences that track throughout life. Previous research attributes stress-reducing effects to natural environments, but has mainly focused on adults and often following leisurely relaxation in natural environments. This pilot study explores the impact of natural environments on stress response during rest and mental load and cognitive performance in 47 children aged 10-12 years in a school context. Heart rate variability measures indexing tonic, event, and phasic vagal tone and attention scores were compared across classroom and natural environments. Tonic vagal tone was higher in the natural environment than the classrooms, but no differences were found in event or phasic vagal tone or cognitive performance measures. These findings suggest a situational aspect of the conditions under which natural environments may give rise to stress-buffering influences. Further research is warranted to understand the potential benefits in a real-life context, in particular with respect to the underpinning mechanisms and effects of accumulated exposure over time in settings where children spend large proportions of time in natural environments. PMID- 29843434 TI - Project SoL-A Community-Based, Multi-Component Health Promotion Intervention to Improve Eating Habits and Physical Activity among Danish Families with Young Children. Part 1: Intervention Development and Implementation. AB - Project SoL was implemented over a period of four years from 2012-2015 with the aim to promote healthy eating and physical activity among families with children aged 3-8 years, living in selected communities in two Danish municipalities. This was done by applying the supersetting approach to implement complex multi component interventions in a participatory, coordinated, and integrated manner in childcare centres, schools, and supermarkets in three local communities, as well as in local media during a 19-month period in the Regional Municipality of Bornholm, which served as the intervention site. The matching municipality of Odsherred served as a control site based on its similarity to Bornholm regarding several socio-demographic and health indicators. The present paper describes the design of Project SoL as well as the processes of developing and implementing its complex interventions. Moreover, the theoretical and conceptual framework of the project is described together with its organisational structure, concrete activities, and sustainability measures. The paper discusses some of the key lessons learned related to participatory development and the implementation of a multi-component intervention. The paper concludes that coordinated and integrated health promotion activities that are implemented together with multiple stakeholders and across multiple settings in the local community are much more powerful than individual activities carried out in single settings. The supersetting approach was a useful conceptual framework for developing and implementing a complex multi-component health promotion intervention and for fostering ownership and sustainability of the intervention in the local community. The research and evaluation approach of the project is described in a separate paper (Part 2). PMID- 29843436 TI - Research on a Novel MEMS Sensor for Spatial DC Electric Field Measurements in an Ion Flows Field. AB - Thus far, despite the development of electric field sensors (EFSs) such as field mills, optoelectronic EFSs and microelectromechanical system (MEMS)-based EFSs, no sensor can accurately measure an electric field in space due to the existence of space charge and the influence of charge attachment. To measure a spatial synthetic electric field in an ion flow field, a double potential independent differential EFS based on MEMS is proposed. Compared with other EFSs, this method has the advantages of independent potential (without grounding) and the ability to support the measurement of the synthetic ion flow electric field in space. First, to analyse the charge distribution after the sensor is involved exposed to an electric field, a simulation model was constructed. Then, given the redistribution of the spatial electric field in space and the influence of the surface charge on the sensor, the quantitative relationship between the electric field to be measured and that measured by the proposed sensor was obtained. To improve the performance of the EFS, a set of synthetic field strength sensor calibration systems that consider spatial ion flow injection was established. Furthermore, the parameter lambda, which is related to the relative position of the differential chips, was determined. Finally, a series of comparative experiments indicated that the differential EFS highlighted in the present study exhibits good linearity and accuracy. PMID- 29843437 TI - Expectation-Maximization Model for Substitution of Missing Values Characterizing Greenness of Organic Solvents. AB - Organic solvents are ubiquitous in chemical laboratories and the Green Chemistry trend forces their detailed assessments in terms of greenness. Unfortunately, some of them are not fully characterized, especially in terms of toxicological endpoints that are time consuming and expensive to be determined. Missing values in the datasets are serious obstacles, as they prevent the full greenness characterization of chemicals. A featured method to deal with this problem is the application of Expectation-Maximization algorithm. In this study, the dataset consists of 155 solvents that are characterized by 13 variables is treated with Expectation-Maximization algorithm to predict missing data for toxicological endpoints, bioavailability, and biodegradability data. The approach may be particularly useful for substitution of missing values of environmental, health, and safety parameters of new solvents. The presented approach has high potential to deal with missing values, while assessing environmental, health, and safety parameters of other chemicals. PMID- 29843438 TI - Two-Dimensional Direction-of-Arrival Fast Estimation of Multiple Signals with Matrix Completion Theory in Coprime Planar Array. AB - In estimating the two-dimensional (2D) direction-of-arrival (DOA) using a coprime planar array, the main issues are the high complexity of spectral peak search and the limited degree of freedom imposed by the number of sensors. In this paper, we present an algorithm based on the matrix completion theory in coprime planar array that reduces the computational complexity and obtains a high degree of freedom. The algorithm first analyzes the covariance matrix of received signals to estimate the covariance matrix of a virtual uniform rectangular array, which has the same aperture as the coprime planar array. Matrix completion theory is then applied to estimate the missing elements of the virtual array covariance matrix. Finally, a closed-form DOA solution is obtained using the unitary estimation signal parameters via rotational invariance techniques (Unitary ESPRIT). Simulation results show that the proposed algorithm has a high degree of freedom, enabling the estimation of more signal DOAs than the number of sensors. The proposed algorithm has reduced computational complexity because the spectral peak search is replaced by Unitary-ESPRIT, but attains similarly high levels accuracy to those of the 2D multiple signal classification algorithm. PMID- 29843439 TI - Gender and Sexual Orientation Differences in Human Papillomavirus (HPV) Vaccine Uptake among Chinese Young Adults. AB - To date, empirical studies on HPV vaccine uptake are still limited in Chinese populations and mainly conducted in female cohorts. In order to inform health services planning and health promotion programmes for HPV vaccination, this cross sectional study aimed to report the prevalence of self-reported HPV vaccination status and to examine gender and sexual orientation differences in the uptake of HPV vaccine in Chinese college students. The overall prevalence of HPV vaccine uptake was 27.6% (n = 242), with a significantly higher prevalence in females (39.7%) than in males (4.7%). 91.4% of subjects heard about HPV vaccination, with a significantly higher prevalence in females (93.8%) than in males (86.8%). The prevalence of HPV vaccine uptake was only 2.6% for bisexual/ homosexual males and 5.0% for heterosexual males. Only 45.8% of the overall subjects knew HPV vaccination is not for females only, with a significantly higher prevalence in females (49.7%) than in males (38.6%). The low prevalence of male HPV vaccine uptake and awareness called for the need to have more male-specific HPV campaigns to promote HPV vaccination awareness and uptake in males to reduce the overall prevalence of HPV infection. PMID- 29843440 TI - Effect of Fucoidan on Anterior Cruciate Ligament Transection and Medial Meniscectomy Induced Osteoarthritis in High-Fat Diet-Induced Obese Rats. AB - Osteoarthritis (OA) has become one of the most common disabilities among elders, especially in females. Obesity and mechanical injuries caused by OA are attributed to joint loading, cartilage disintegration, and bone loss, as well as inflammation. Pharmacological and non-pharmacological treatments can be used for OA. Fucoidan possesses several bioactivities such as antitumor, antiviral, anticoagulation, anti-obesity, and immunomodulation. This study aims to investigate the effect of fucoidan in surgery-induced OA on rats with diet induced obesity. OA was induced by an anterior cruciate ligament transection and a partial medial meniscectomy (ACLT + MMx). The male SD rats were fed with a high fat diet (HFD) for 4 weeks to induce obesity before causing ACLT + MMx to induce OA. The OA rats were administered with intragastric water or fucoidan in three different concentrations (32 mg/kg, 64 mg/kg, and 320 mg/kg) after the surgeries for 40 days with an HFD. We observed that the swelling in the knee joint was alleviated and the hind paw weight distribution was rectified after feeding them with fucoidan and that there was no significant effect on the weight gain and feed intake. Fucoidan administration indicated no significant variation on the high-density lipoprotein (HDL)-Cholesterol level, but it did indicate reduced plasma triglycerides and low-density lipoprotein (LDL)-Cholesterol levels. In addition, the weight-bearing tests showed an improvement in the fucoidan-treated group. Our results suggested that fucoidan may improve meniscal/ligamentous injury and obesity-induced OA. PMID- 29843441 TI - Electrodegradation of Resorcinol on Pure and Catalyst-Modified Ni Foam Anodes, Studied under Alkaline and Neutral pH Conditions. AB - This work reports on the kinetics of electrochemical degradation of the resorcinol molecule, examined on nickel foam-based electrodes in contact with 0.1 M NaOH and 0.5 M Na2SO4 supporting electrolytes. The electrooxidation of resorcinol was examined on as-received, as well as on Pd-modified, nickel foam catalyst materials, produced via spontaneous deposition of trace amounts of palladium element. Electrochemical (cyclic voltammetry and a.c. impedance) experiments were carried out by means of a three-compartment, pyrex glass electrochemical cell, whereas continuous resorcinol electrooxidation tests were conducted galvanostatically (or potentistatically) with a laboratory-size, single cell electrolyzer unit. In addition, quantitative determination of resorcinol and its possible electrodegradation products was performed by means of instrumental HPLC: High-Performance Liquid Chromatography/MS: Mass Spectrometry methodology. Also, SEM (Scanning Electron Microscopy) and EDX (Energy Dispersive X-ray spectroscopy) techniques were employed for Ni foam (Pd-modified Ni foam) surface characterizations. PMID- 29843442 TI - Nonlinear Buckling Analysis of Functionally Graded Graphene Reinforced Composite Shallow Arches with Elastic Rotational Constraints under Uniform Radial Load. AB - The buckling behavior of functionally graded graphene platelet-reinforced composite (FG-GPLRC) shallow arches with elastic rotational constraints under uniform radial load is investigated in this paper. The nonlinear equilibrium equation of the FG-GPLRC shallow arch with elastic rotational constraints under uniform radial load is established using the Halpin-Tsai micromechanics model and the principle of virtual work, from which the critical buckling load of FG-GPLRC shallow arches with elastic rotational constraints can be obtained. This paper gives special attention to the effect of the GPL distribution pattern, weight fraction, geometric parameters, and the constraint stiffness on the buckling load. The numerical results show that all of the FG-GPLRC shallow arches with elastic rotational constraints have a higher buckling load-carrying capacity compared to the pure epoxy arch, and arches of the distribution pattern X have the highest buckling load among four distribution patterns. When the GPL weight fraction is constant, the thinner and larger GPL can provide the better reinforcing effect to the FG-GPLRC shallow arch. However, when the value of the aspect ratio is greater than 4, the flakiness ratio is greater than 103, and the effect of GPL's dimensions on the buckling load of the FG-GPLRC shallow arch is less significant. In addition, the buckling model of FG-GPLRC shallow arch with elastic rotational constraints is changed as the GPL distribution patterns or the constraint stiffness changes. It is expected that the method and the results that are presented in this paper will be useful as a reference for the stability design of this type of arch in the future. PMID- 29843444 TI - Multi-Target Risk Assessment of Potentially Toxic Elements in Farmland Soil Based on the Environment-Ecological-Health Effect. AB - There are potential impacts of Potentially Toxic Elements (PTEs) (e.g., Cd, Cr, Ni, Cu, As, Zn, Hg, and Pb) in soil from the perspective of the ecological environment and human health, and assessing the pollution and risk level of soil will play an important role in formulating policies for soil pollution control. Lingyuan, in the west of Liaoning Province, China, is a typical low-relief terrain of a hilly area. The object of study in this research is the topsoil of farmland in this area, of which 71 soil samples are collected. In this study, research methods, such as the Nemerow Index, Potential Ecological Hazard Index, Ecological Risk Quotient, Environmental Exposure Hazard Analysis, Positive Matrix Factorization Model, and Land Statistical Analysis, are used for systematical assessment of the pollution scale, pollution level, and source of PTEs, as well as the ecological environmental risks and health risks in the study area. The main conclusions are: The average contents of As, Cd, Cr, Cu, Hg, Zn, Ni, and Pb of the soil are 5.32 mg/kg, 0.31 mg/kg, 50.44 mg/kg, 47.05 mg/kg, 0.03 mg/kg, 79.36 mg/kg, 26.01 mg/kg, and 35.65 mg/kg, respectively. The contents of Cd, Cu, Zn, and Pb exceed the background value of local soil; Cd content of some study plots exceeds the National Soil Environmental Quality Standard Value (0.6 mg/kg), and the exceeding standard rate of study plots is 5.63%; the comprehensive potential ecological hazard assessment in the study area indicates that the PTEs are at a slight ecological risk; probabilistic hazard quotient assessment indicates that the influence of PTEs on species caused by Cu is at a slight level (p = 10.93%), and Zn, Pb, and Cd are at an acceptable level. For the ecological process, Zn is at a medium level (p = 25.78%), Cu is at a slight level (19.77%), and the influence of Cd and Pb are acceptable; human health hazard assessment states that the Non-carcinogenic comprehensive health hazard index HI = 0.16 < 1, indicating that PTEs in soil have no significant effect on people's health through exposure; the PMF model (Positive Matrix Factorization) shows that the contribution rates of agricultural source, industrial source, atmospheric dust source, and natural source are 13.15%, 25.33%, 18.47%, and 43.05%, respectively. PMID- 29843445 TI - Time to Rethink Refugee and Migrant Health in Europe: Moving from Emergency Response to Integrated and Individualized Health Care Provision for Migrants and Refugees. AB - In the last three years, the European Union (EU) is being confronted with the most significant influx of migrants and refugees since World War II. Although the dimensions of this influx-taking the global scale into account-might be regarded as modest, the institutional response to that phenomenon so far has been suboptimal, including the health sector. While inherent challenges of refugee and migrant (R&M) health are well established, it seems that the EU health response oversees, to a large extend, these aspects. A whole range of emergency-driven health measures have been implemented throughout Europe, yet they are failing to address adequately the changing health needs and specific vulnerabilities of the target population. With the gradual containment of the migratory and refugee waves, three years after the outbreak of the so-called 'refugee crisis', we are, more than ever, in need of a sustainable and comprehensive health approach that is aimed at the integration of all of migrants and refugees-that is, both the new and old population groups that are already residing in Europe-in the respective national health systems. PMID- 29843446 TI - Reply to Comments: A Novel Low-Cost Instrumentation System for Measuring the Water Content and Apparent Electrical Conductivity of Soils, Sensors, 15, 25546 25563. AB - In this article we respond to the comments made by Chavanne et al., who have questioned: (i) the name of the technique used; (ii) the ability of the system to determine both soil water content and salinity due to potential instrument biases and choice of sensor frequencies; and (iii) the procedure used to determine temperature effect on readings presented in the article "A Novel Low-Cost Instrumentation System for Measuring the Water Content and Apparent Electrical Conductivity of Soils" (Sensors 2015, 15, 25546-25563). We have carefully analyzed the arguments in the comment, and have concluded that they only partially affect the previous conclusions, as will be discussed in this reply. We show here that the findings and conclusions previously drawn are valid and supported by the many experiments previously conducted. PMID- 29843443 TI - Maternal Circulating Vitamin Status and Colostrum Vitamin Composition in Healthy Lactating Women-A Systematic Approach. AB - Colostrum is the first ingested sole nutritional source for the newborn infant. The vitamin profile of colostrum depends on the maternal vitamin status, which in turn is influenced by diet and lifestyle. Yet, the relationship between maternal vitamin status and colostrum vitamin composition has not been systematically reviewed. This review was conducted with the aim to generate a comprehensive overview on the relationship between maternal serum (plasma) vitamin concentration and corresponding colostrum composition. Three electronic databases, Embase (Ovid), Medline (Ovid), and Cochrane, were systematically searched based on predefined inclusion and exclusion criteria. Finally, a total of 11 eligible publications were included that examined the vitamins A, C, D, E, and K in both biological fluids. Maternal vitamin A, D, E, and K blood levels were unrelated to colostrum content of the respective vitamins, and serum vitamin A was inversely correlated with colostrum vitamin E. Colostrum versus maternal serum vitamins were higher for vitamins A, C, and K, lower for vitamin D, and divergent results were reported for vitamin E levels. Colostrum appears typically enriched in vitamin A, C, and K compared to maternal serum, possibly indicative of active mammary gland transport mechanisms. Inter-individual and inter-study high variability in colostrum's vitamin content endorses its sensitivity to external factors. PMID- 29843447 TI - Particulate Matter and Gaseous Pollutions in Three Metropolises along the Chinese Yangtze River: Situation and Implications. AB - The situation of criteria atmospheric pollutants, including particulate matter and trace gases (SO2, NO2, CO and O3), over three metropolises (Chongqing, Wuhan, and Nanjing), representing the upstream, midstream and downstream portions of the Yangtze River Basin from September 2015 to August 2016 were analyzed. The maximum annual mean PM2.5 and PM10 concentrations were 61.3 and 102.7 MUg/m3 in Wuhan, while highest annual average gaseous pollutions occurred in Nanjing, with 49.6 and 22.9 ppb for 8 h O3 and NO2, respectively. Compared to a few years ago, SO2 and CO mass concentrations have dropped to well below the qualification standards, and the O3 and NO2 concentrations basically meet the requirements though occasionally is still high. In contrary, about 13%, 25%, 22% for PM2.5, and 4%, 17%, 15% for PM10 exceed the Chinese Ambient Air Quality Standard (CAAQS) Grade II. Particulate matter, especially PM2.5, is the most frequent major pollutant to poor air quality with 73%, 64% and 88% accounting for substandard days. Mean PM2.5 concentrations on PM2.5 episode days are 2-3 times greater than non-episode days. On the basis of calculation of PM2.5/PM10 and PM2.5/CO ratios, the enhanced particulate matter pollution on episode days is closely related to secondary aerosol production. Except for O3, the remaining five pollutants exhibit analogous seasonal patterns, with the highest magnitude in winter and lowest in summer. The results of back trajectories show that air pollution displays synergistic effects on local emissions and long range transport. O3 commonly demonstrated negative correlations with other pollutants, especially during winter, while moderate to strong positive correlation between particulate matter and NO2, SO2, CO were seen. Compared to pollutant substandard ratios over three megacities in eastern China (Beijing, Shanghai, and Guangzhou), the situation in our studied second-tier cities are also severe. The results in this paper provide basic knowledge for pollution status of three cities along Chinese Yangtze River and are conductive to mitigating future negative air quality levels. PMID- 29843448 TI - Viability, Enzymatic and Protein Profiles of Pseudomonas aeruginosa Biofilm and Planktonic Cells after Monomeric/Gemini Surfactant Treatment. AB - This study set out to investigate the biological activity of monomeric surfactants dodecyltrimethylammonium bromide (DTAB) and the next generation gemini surfactant hexamethylene-1,6-bis-(N,N-dimethyl-N-dodecylammonium bromide) (C6) against the environmental strain Pseudomonas aeruginosa PB_1. Minimal inhibitory concentrations (MIC) were determined using the dilution method. The viability of the planktonic cells and biofilm was assessed using the plate count method. Enzymatic profile was determined using the API-ZYM system. Proteins were extracted from the biofilm and planktonic cells and analysed using SDS-PAGE. The MIC of the gemini surfactants was 70 times lower than that of its monomeric analogue. After 4 h of treatment at MIC (0.0145 mM for C6 and 1.013 mM for DTAB), the number of viable planktonic cells was reduce by less than 3 logarithm units. At the concentration >=MIC, a reduction in the number of viable cells was observed in mature biofilms (p < 0.05). Treatment for 4 h with gemini surfactant at 20 MIC caused complete biofilm eradication. At sub-MIC, the concentration of some enzymes reduced and their protein profiles changed. The results of this study show that due to its superior antibacterial activity, gemini compound C6 can be applied as an effective microbiocide against P. aeruginosa in both planktonic and biofilm forms. PMID- 29843449 TI - Are Front-of-Package Warning Labels More Effective at Communicating Nutrition Information than Traffic-Light Labels? A Randomized Controlled Experiment in a Brazilian Sample. AB - BACKGROUND: Brazil is currently debating the implementation of front-of-package labels. This study tested if Warning labels (WLs) improved consumer understanding, perceptions, and purchase intentions compared to Traffic-Light labels (TLLs) in 1607 Brazilian adults. METHODS: In this online, randomized controlled experiment participants saw images of 10 products and answered questions twice-once in a no-label, control condition and then again in a randomly assigned label condition. The relative differences in responses between WLs and TLLs between control and label conditions were estimated using one-way ANOVAs or Chi-square tests. RESULTS: Presenting WLs on products compared to TLLs helped participants: (i) improve their understanding of excess nutrient content (27.0% versus 8.2%, p < 0.001); (ii) improve their ability to identify the healthier product (24.6% versus 3.3%, p < 0.001); (iii) decrease perceptions of product healthfulness; and (iv) correctly identify healthier products (14.0% versus 6.9%, p < 0.001), relative to the control condition. With WLs, there was also an increase in the percentage of people: (v) expressing an intention to purchase the relatively healthier option (16.1% versus 9.8%, p < 0.001); and (vi) choosing not to buy either product (13.0% versus 2.9%, p < 0.001), relative to the control condition. The participants in the WL condition had significantly more favorable opinions of the labels compared to those in the TLL group. CONCLUSIONS: WLs would be more effective at improving consumer food choices. PMID- 29843450 TI - Structural Biology of STAT3 and Its Implications for Anticancer Therapies Development. AB - Transcription factors are proteins able to bind DNA and induce the transcription of specific genes. Consequently, they play a pivotal role in multiple cellular pathways and are frequently over-expressed or dysregulated in cancer. Here, we will focus on a specific "signal transducer and activator of transcription" (STAT3) factor that is involved in several pathologies, including cancer. For long time, the mechanism by which STAT3 exerts its cellular functions has been summarized by a three steps process: (1) Protein phosphorylation by specific kinases, (2) dimerization promoted by phosphorylation, (3) activation of gene expression by the phosphorylated dimer. Consequently, most of the inhibitors reported in literature aimed at blocking phosphorylation and dimerization. However, recent observations reopened the debate and the entire functional mechanism has been revisited stimulating the scientific community to pursue new inhibition strategies. In particular, the dimerization of the unphosphorylated species has been experimentally demonstrated and specific roles proposed also for these dimers. Despite difficulties in the expression and purification of the full length STAT3, structural biology investigations allowed the determination of atomistic structures of STAT3 dimers and several protein domains. Starting from this information, computational methods have been used both to improve the understanding of the STAT3 functional mechanism and to design new inhibitors to be used as anticancer drugs. In this review, we will focus on the contribution of structural biology to understand the roles of STAT3, to design new inhibitors and to suggest new strategies of pharmacological intervention. PMID- 29843451 TI - In Vitro and In Silico Studies of the Molecular Interactions of Epigallocatechin 3-O-gallate (EGCG) with Proteins That Explain the Health Benefits of Green Tea. AB - Green tea has been shown to have beneficial effects on many diseases such as cancer, obesity, inflammatory diseases, and neurodegenerative disorders. The major green tea component, epigallocatechin-3-O-gallate (EGCG), has been demonstrated to contribute to these effects through its anti-oxidative and pro oxidative properties. Furthermore, several lines of evidence have indicated that the binding affinity of EGCG to specific proteins may explain its mechanism of action. This review article aims to reveal how EGCG-protein interactions can explain the mechanism by which green tea/EGCG can exhibit health beneficial effects. We conducted a literature search, using mainly the PubMed database. The results showed that several methods such as dot assays, affinity gel chromatography, surface plasmon resonance, computational docking analyses, and X ray crystallography have been used for this purpose. These studies have provided evidence to show how EGCG can fit or occupy the position in or near functional sites and induce a conformational change, including a quaternary conformational change in some cases. Active site blocking, steric hindrance by binding of EGCG near an active site or induced conformational change appeared to cause inhibition of enzymatic activity and other biological activities of proteins, which are related to EGCG's biological oligomer and formation of their toxic aggregates, leading to the prevention of neurodegenerative diseases and amyloidosis. In conclusion, these studies have provided useful information on the action of green tea/catechins and would lead to future studies that will provide further evidence for rational EGCG therapy and use EGCG as a lead compound for drug design. PMID- 29843452 TI - Linear Aminolipids with Moderate Antimicrobial Activity from the Antarctic Gram Negative Bacterium Aequorivita sp. AB - The combination of LC-MS/MS based metabolomics approach and anti-MRSA activity guided fractionation scheme was applied on the Gram-negative bacterium Aequorivita sp. isolated from shallow Antarctic sea sediment using a miniaturized culture chip technique. This methodology afforded the isolation of three new (1 3) and four known (4-7) N-terminal glycine- or serine-bearing iso-fatty acid amides esterified with another iso-fatty acid through their C-3 hydroxy groups. The chemical structures of the new compounds were elucidated using a set of spectroscopic (NMR, [alpha]D and FT-IR) and spectrometric (HRMS, HRMS/MS) methods. The aminolipids possessing an N-terminal glycine unit (1, 2, 4, 5) showed moderate in vitro antimicrobial activity against MRSA (IC50 values 22-145 MUg/mL). This is the first in-depth chemistry and biological activity study performed on the microbial genus Aequorivita. PMID- 29843453 TI - Waveform Optimization for Target Estimation by Cognitive Radar with Multiple Antennas. AB - A new scheme based on Kalman filtering to optimize the waveforms of an adaptive multi-antenna radar system for target impulse response (TIR) estimation is presented. This work aims to improve the performance of TIR estimation by making use of the temporal correlation between successive received signals, and minimize the mean square error (MSE) of TIR estimation. The waveform design approach is based upon constant learning from the target feature at the receiver. Under the multiple antennas scenario, a dynamic feedback loop control system is established to real-time monitor the change in the target features extracted form received signals. The transmitter adapts its transmitted waveform to suit the time invariant environment. Finally, the simulation results show that, as compared with the waveform design method based on the MAP criterion, the proposed waveform design algorithm is able to improve the performance of TIR estimation for extended targets with multiple iterations, and has a relatively lower level of complexity. PMID- 29843454 TI - Experimental Effects of Acute Exercise and Meditation on Parameters of Cognitive Function. AB - Single bouts of aerobic exercise and meditation have been shown to improve cognitive function. Yet to be examined in the literature, we sought to examine the effects of a combination of acute bouts of aerobic exercise and meditation on cognitive function among young adults. Participants (n = 66, mean (SD) age = 21 (2)) were randomly assigned to walk then meditate, meditate then walk, or to sit (inactive control). All walking and meditation bouts were 10 min in duration. Participants' cognition was monitored before and after the intervention using Identification, Set Shifting, Stroop, and Trail Making tasks. Additionally, a subjective assessment of cognitive function was implemented before and after the intervention. Significant group by time interaction effects were observed when examining the Stroop congruent trials (P = 0.05). Post hoc paired t-tests revealed that reaction time significantly decreased from baseline to post intervention in both combination groups (P < 0.001 for both), but not in the control group (P = 0.09). Regarding all other cognitive assessments, there were no significant group by time interaction effects (P > 0.05). Cognitive function was not substantially affected by a combination of brief meditation and exercise, though there is evidence to suggest that this combination may have beneficial effects on certain aspects of cognition. Future work should be conducted to evaluate the influences of different doses of exercise and meditation on cognitive functioning. PMID- 29843455 TI - Changes in Photosynthetic Pigments, Total Phenolic Content, and Antioxidant Activity of Salvia coccinea Buc'hoz Ex Etl. Induced by Exogenous Salicylic Acid and Soil Salinity. AB - Salvia coccinea (Lamiaceae) is a promising source of potential antioxidants, and its extracts can be used in pharmaceutical industry, as well as in food products and cosmetics. Salicylic acid (SA) affects many physiological and metabolic processes in vascular plants under salinity stress. The aim of this study was to investigate the response of S. coccinea to either SA, or sodium chloride (NaCl), or a combination of both. The plants were sprayed with a solution of 0.5 or 1.0 mM SA and watered with 0, 100, 200, or 300 mM NaCl. Exogenous application of SA increased the number of branches, fresh herbal weight, and total chlorophyll content vs control plants. Salinity-exposed plants showed reduced growth, content of photosynthetic pigments total polyphenols, and antioxidant activity. However, foliar application of SA relieved the adverse effects of 100 mM NaCl, as demonstrated by increased number of branches, greater fresh herbal weight, higher content of total chlorophyll, total carotenoids, and total polyphenols, as well as antioxidant potential, detected using ferric-reducing ability of plasma (FRAP) and 2.2'-azino-bis(3-ethylbenzothiazoline-6-sulfonic acid) diammonium salt (ABTS), compared with untreated plants. PMID- 29843456 TI - Carbon Nanotube Field Emitters Synthesized on Metal Alloy Substrate by PECVD for Customized Compact Field Emission Devices to Be Used in X-Ray Source Applications. AB - In this study, a simple, efficient, and economical process is reported for the direct synthesis of carbon nanotube (CNT) field emitters on metal alloy. Given that CNT field emitters can be customized with ease for compact and cold field emission devices, they are promising replacements for thermionic emitters in widely accessible X-ray source electron guns. High performance CNT emitter samples were prepared in optimized plasma conditions through the plasma-enhanced chemical vapor deposition (PECVD) process and subsequently characterized by using a scanning electron microscope, tunneling electron microscope, and Raman spectroscopy. For the cathode current, field emission (FE) characteristics with respective turn on (1 MUA/cm2) and threshold (1 mA/cm2) field of 2.84 and 4.05 V/MUm were obtained. For a field of 5.24 V/MUm, maximum current density of 7 mA/cm2 was achieved and a field enhancement factor beta of 2838 was calculated. In addition, the CNT emitters sustained a current density of 6.7 mA/cm2 for 420 min under a field of 5.2 V/MUm, confirming good operational stability. Finally, an X-ray generated image of an integrated circuit was taken using the compact field emission device developed herein. PMID- 29843458 TI - Association between Serum 25-Hydroxy Vitamin D Levels and the Prevalence of Adult Onset Asthma. AB - The major circulating metabolite of vitamin D (25(OH)D) has been implicated in the pathogenesis for atopic dermatitis, asthma and other allergic diseases due to downstream immunomodulatory effects. However, a consistent association between 25(OH)D and asthma during adulthood has yet to be found in observational studies. We aimed to test the association between 25(OH)D and asthma during adulthood and hypothesised that this association would be stronger in non-atopic participants. Using information collected on the participants of the 1958 birth cohort, we developed a novel measure of atopic status using total and specific IgE values and reported history of eczema and allergic rhinitis. We designed a nested case control analysis, stratified by atopic status, and using logistic regression models investigated the association between 25(OH)D measured at age 46 years with the prevalence of asthma and wheezy bronchitis at age 50 years, excluding participants who reported ever having asthma or wheezy bronchitis before the age of 42. In the fully adjusted models, a 10 nmol/L increase in serum 25(OH)D prevalence had a significant association with asthma (aOR 0.94; 95% CI 0.88 1.00). There was some evidence of an atopic dependent trend in the association between 25(OH)D levels and asthma. Further analytical work on the operationalisation of atopy status would prove useful to uncover whether there is a role for 25(OH)D and other risk factors for asthma. PMID- 29843457 TI - Taurine Supplementation Alleviates Puromycin Aminonucleoside Damage by Modulating Endoplasmic Reticulum Stress and Mitochondrial-Related Apoptosis in Rat Kidney. AB - Taurine (TAU) is a sulfur-containing beta amino acid that is not involved in protein composition and anabolism, conditionally essential in mammals provided through diet. Growing evidence supports a protective role of TAU supply in osmoregulation, calcium flux, and reduction of inflammation and oxidant damage in renal diseases like diabetes. Endoplasmic reticulum (ER) stress, due to abnormal proteostasis, is a contributor to nephrotic syndrome and related renal damage. Here, we investigated the effect of dietary TAU (1.5% in drinking water for 15 days) in an established rat model that mimics human minimal change nephrosis, consisting of a single puromycin aminonucleoside (PAN) injection (intraperitoneally 15 mg/100 g body weight), with sacrifice after eight days. TAU limited proteinuria and podocytes foot processes effacement, and balanced slit diaphragm nephrin and glomerular claudin 1 expressions. In cortical proximal tubules, TAU improved lysosomal density, ER perimeter, restored proper ER mitochondria tethering and mitochondrial cristae, and decreased inflammation. Remarkably, TAU downregulated glomerular ER stress markers (GRP78, GRP94), pro apoptotic C/EBP homologous protein, activated caspase 3, tubular caspase1, and mitochondrial chaperone GRP75, but maintained anti-apoptotic HSP25. In conclusion, TAU, by targeting upstream ER stress separate from mitochondria dysfunctions at crucial renal sites, might be a promising dietary supplement in the treatment of the drug-resistant nephrotic syndrome. PMID- 29843459 TI - Temporal Stability of GPS Transmitter Group Delay Variations. AB - The code observable of global navigation satellite systems (GNSS) is influenced by group delay variations (GDV) of transmitter and receiver antennas. For the Global Positioning System (GPS), the variations can sum up to 1 m in the ionosphere-free linear combination and thus can significantly affect precise code applications. The contribution of the GPS transmitters can amount to 0.8 m peak to-peak over the entire nadir angle range. To verify the assumption of their time invariance, we determined daily individual satellite GDV for GPS transmitter antennas over a period of more than two years. Dual-frequency observations of globally distributed reference stations and their multipath combination form the basis for our analysis. The resulting GPS GDV are stable on the level of a few centimeters for C1, P2, and for the ionosphere-free linear combination. Our study reveals that the inconsistencies of the GDV of space vehicle number (SVN) 55 with respect to earlier studies are not caused by temporal instabilities, but are rather related to receiver properties. PMID- 29843460 TI - Coextrusion-Based 3D Plotting of Ceramic Pastes for Porous Calcium Phosphate Scaffolds Comprised of Hollow Filaments. AB - This paper demonstrates the utility of coextrusion-based 3D plotting of ceramic pastes (CoEx-3DP) as a new type of additive manufacturing (AM) technique, which can produce porous calcium phosphate (CaP) ceramic scaffolds comprised of hollow CaP filaments. In this technique, green filaments with a controlled core/shell structure can be produced by coextruding an initial feedrod, comprised of the carbon black (CB) core and CaP shell, through a fine nozzle in an acetone bath and then deposited in a controlled manner according to predetermined paths. In addition, channels in CaP filaments can be created through the removal of the CB cores during heat-treatment. Produced CaP scaffolds had two different types of pores with well-defined geometries: three-dimensionally interconnected pores (~360 * 230 MUm2 in sizes) and channels (>100 MUm in diameter) in hollow CaP filaments. The porous scaffolds showed high compressive strengths of ~12.3 +/- 2.2 MPa at a high porosity of ~73 vol % when compressed parallel to the direction of the hollow CaP filaments. In addition, the mechanical properties of porous CaP scaffolds could be tailored by adjusting their porosity, for example, compressive strengths of 4.8 +/- 1.1 MPa at a porosity of ~82 vol %. The porous CaP scaffold showed good biocompatibility, which was assessed by in vitro cell tests, where several the cells adhered to and spread actively with the outer and inner surfaces of the hollow CaP filaments. PMID- 29843461 TI - Inverse Piezoresistive Nanocomposite Sensors for Identifying Human Sitting Posture. AB - Sitting posture is the position in which one holds his/her body upright against gravity while sitting. Poor sitting posture is regarded as an aggravating factor for various diseases. In this paper, we present an inverse piezoresistive nanocomposite sensor, and related deciphering neural network, as a new tool to identify human sitting postures accurately. As a low power consumption device, the proposed tool has simple structure, and is easy to use. The strain gauge is attached to the back of the user to acquire sitting data. A three-layer BP neural network is employed to distinguish normal sitting posture, slight hunchback and severe hunchback according to the acquired data. Experimental results show that our method is both realizable and effective, achieving 98.75% posture identification accuracy. This successful application of inverse piezoresistive nanocomposite sensors reveals that the method could potentially be used for monitoring of diverse physiological parameters in the future. PMID- 29843462 TI - Testing the Domino Theory of Gene Loss in Buchnera aphidicola: The Relevance of Epistatic Interactions. AB - The domino theory of gene loss states that when some particular gene loses its function and cripples a cellular function, selection will relax in all functionally related genes, which may allow for the non-functionalization and loss of these genes. Here we study the role of epistasis in determining the pattern of gene losses in a set of genes participating in cell envelope biogenesis in the endosymbiotic bacteria Buchnera aphidicola. We provide statistical evidence indicating pairs of genes in B. aphidicola showing correlated gene loss tend to have orthologs in Escherichia coli known to have alleviating epistasis. In contrast, pairs of genes in B. aphidicola not showing correlated gene loss tend to have orthologs in E. coli known to have aggravating epistasis. These results suggest that during the process of genome reduction in B. aphidicola by gene loss, positive or alleviating epistasis facilitates correlated gene losses while negative or aggravating epistasis impairs correlated gene losses. We interpret this as evidence that the reduced proteome of B. aphidicola contains less pathway redundancy and more compensatory interactions, mimicking the situation of E. coli when grown under environmental constrains. PMID- 29843463 TI - Zinc Metallochaperones as Mutant p53 Reactivators: A New Paradigm in Cancer Therapeutics. AB - Restoration of wild-type structure and function to mutant p53 with a small molecule (hereafter referred to as "reactivating" mutant p53) is one of the holy grails in cancer therapeutics. The majority of TP53 mutations are missense which generate a defective protein that is targetable. We are currently developing a new class of mutant p53 reactivators called zinc metallochaperones (ZMCs) and, here, we review our current understanding of them. The p53 protein requires the binding of a single zinc ion, coordinated by four amino acids in the DNA binding domain, for proper structure and function. Loss of the wild-type structure by impairing zinc binding is a common mechanism of inactivating p53. ZMCs reactivate mutant p53 using a novel two-part mechanism that involves restoring the wild-type structure by reestablishing zinc binding and activating p53 through post translational modifications induced by cellular reactive oxygen species (ROS). The former causes a wild-type conformation change, the later induces a p53 mediated apoptotic program to kill the cancer cell. ZMCs are small molecule metal ion chelators that bind zinc and other divalent metal ions strong enough to remove zinc from serum albumin, but weak enough to donate it to mutant p53. Recently we have extended our understanding of the mechanism of ZMCs to the role of cells' response to this zinc surge. We found that cellular zinc homeostatic mechanisms, which normally function to maintain free intracellular zinc levels in the picomolar range, are induced by ZMCs. By normalizing zinc levels, they function as an OFF switch to ZMCs because zinc levels are no longer sufficiently high to maintain a wild-type structure. This on/off switch leads to a transient nature to the mechanism of ZMCs in which mutant p53 activity comes on in a few hours and then is turned off. This finding has important implications for the translation of ZMCs to the clinic because it indicates that ZMC concentrations need not be maintained at high levels for their activity. Indeed, we found that short exposures (as little as 15 min) were adequate to observe the mutant p53 reactivating activity. This switch mechanism imparts an advantage over other targeted therapeutics in that efficacy can be accomplished with minimal exposure which minimizes toxicity and maximizes the therapeutic window. This on/off switch mechanism is unique in targeted cancer therapeutics and will impact the design of human clinical trials. PMID- 29843464 TI - Involving Patients and Families in the Analysis of Suicides, Suicide Attempts, and Other Sentinel Events in Mental Healthcare: A Qualitative Study in The Netherlands. AB - Involving patients and families in mental healthcare is becoming more commonplace, but little is known about how they are involved in the aftermath of serious adverse events related to quality of care (sentinel events, including suicides). This study explores the role patients and families have in formal processes after sentinel events in Dutch mental healthcare. We analyzed the existing policies of 15 healthcare organizations and spoke with 35 stakeholders including patients, families, their counselors, the national regulator, and professionals. Respondents argue that involving patients and families is valuable to help deal with the event emotionally, provide additional information, and prevent escalation. Results indicate that involving patients and families is only described in sentinel event policies to a limited extent. In practice, involvement consists mostly of providing aftercare and sharing information about the event by providers. Complexities such as privacy concerns and involuntary admissions are said to hinder involvement. Respondents also emphasize that involvement should not be obligatory and stress the need for patients and families to be involved throughout the process of treatment. There is no one-size fits-all strategy for involving patients and families after sentinel events. The first step seems to be early involvement during treatment process itself. PMID- 29843465 TI - Coronary Stents: History, Design, and Construction. AB - The history of percutaneous coronary intervention (PCI) is marked by rapid technological advancements that have taken place over the past 40 years. After a period of balloon angioplasty, which was marred by risk of abrupt vessel closure and vessel recoil, balloon expandable metal alloy stents were the mainstay of PCI. The introduction of drug eluting stents (DES) targeted in-stent restenosis, a common mode of stent failure, and ushered in the current PCI era. Since the first generation of DES, advances in polymer science and stent design have advanced the field. The current generation of DES has thin struts, are highly deliverable, have biocompatible or absorbable polymers, and outstanding safety and efficacy profiles. In this review, we discuss the technological advancements in stent development, design, and construction, with an emphasis on balloon expandable stents. The aspects of stent properties, metal alloys, bioresorbable vascular scaffolds, drug elution, and polymers will be covered. PMID- 29843466 TI - Beneficial Effects of Green Tea Catechins on Neurodegenerative Diseases. AB - Tea is one of the most consumed beverages in the world. Green tea, black tea, and oolong tea are made from the same plant Camellia sinensis (L.) O. Kuntze. Among them, green tea has been the most extensively studied for beneficial effects on diseases including cancer, obesity, diabetes, and inflammatory and neurodegenerative diseases. Several human observational and intervention studies have found beneficial effects of tea consumption on neurodegenerative impairment, such as cognitive dysfunction and memory loss. These studies supported the basis of tea's preventive effects of Parkinson's disease, but few studies have revealed such effects on Alzheimer's disease. In contrast, several human studies have not reported these favorable effects with regard to tea. This discrepancy may be due to incomplete adjustment of confounding factors, including the method of quantifying consumption, beverage temperature, cigarette smoking, alcohol consumption, and differences in genetic and environmental factors, such as race, sex, age, and lifestyle. Thus, more rigorous human studies are required to understand the neuroprotective effect of tea. A number of laboratory experiments demonstrated the benefits of green tea and green tea catechins (GTCs), such as epigallocatechin gallate (EGCG), and proposed action mechanisms. The targets of GTCs include the abnormal accumulation of fibrous proteins, such as Abeta and alpha-synuclein, inflammation, elevated expression of pro-apoptotic proteins, and oxidative stress, which are associated with neuronal cell dysfunction and death in the cerebral cortex. Computational molecular docking analysis revealed how EGCG can prevent the accumulation of fibrous proteins. These findings suggest that GTCs have the potential to be used in the prevention and treatment of neurodegenerative diseases and could be useful for the development of new drugs. PMID- 29843467 TI - Effects on Fatty Acid Metabolism of a New Powdered Human Milk Fortifier Containing Medium-Chain Triacylglycerols and Docosahexaenoic Acid in Preterm Infants. AB - Preterm infants require fortification of human milk (HM) with essential fatty acids (FA) to ensure adequate post-natal development. As part of a larger randomized controlled study, we investigated FA metabolism in a subset of 47 clinically stable preterm infants (birth weight <=1500 g or gestational age <=32 weeks). Infants were randomized to receive HM supplemented with either a new HM fortifier (nHMF; n = 26) containing 12.5 g medium-chain FA (MCFA), 958 mg linoleic acid (LA), 417 mg alpha-linolenic acid (ALA), and 157 mg docosahexaenoic acid (DHA) per 100 g of powder (in compliance with the latest guidelines) or a fat-free HMF (cHMF; n = 21). Plasma phospholipid (PL) and triacylglycerol (TAG), and red blood cell phosphatidylcholine (RBC-PC) and phosphatidylethanolamine (RBC PE) FA profiles were assessed before and after 21 days of feeding. In the nHMF group, significantly increased levels of n-9 monounsaturated fatty acids were observed, formed most likely by elongation and desaturation of dietary saturated fatty acids present in HM. ALA fortification increased ALA assimilation into plasma TAG. Similarly, DHA fortification enriched the DHA content in RBC-PE, which, in this compartment, was not associated with lower arachidonic acid levels as observed in plasma TAG and phospholipids. RBC-PE, a reliable indicator of FA metabolism and accretion, was the most sensitive compartment in this study. PMID- 29843468 TI - Influence of Personality Traits on the Severity of Alcohol Use Disorders. AB - INTRODUCTION: Alcohol Use Disorders (AUD) are the most prevalent psychiatric diagnosis in the general population. The study of personality characteristics, using Cloninger Personality Inventory (TCI-R), allows us to know the evolution of these patients at the beginning of treatment. MATERIAL AND METHOD: We conducted a cross-sectional, observational and descriptive study for 3 years with a total of 304 patients. We studied the severity of their alcohol disorder by the Alcohol Dependency Intensity Scale (EIDA), Scale of Obsessive Consumption Compulsive (OCDS) and European version of the Addiction Severity Index (EUROPASI); we studied the relationship with the personality traits of TCI-R. RESULTS AND CONCLUSIONS: The personality lines influence the evolution of alcohol use disorder (AUD). People with higher scores on Reward Dependency (RD), Persistence (P), Cooperation (CO) and Autotranscendence (ST) have a better prognosis while people with higher scores on Search for Novelty (SN) and Avoidance of Damage (AD) have a worst prognosis. Women present differences in consumption in relation to men, as a consequence of their personality. Women have lower scores in Persistence (P) y Self-Transcendence (ST) which are associated with the greater severity of their addiction. PMID- 29843469 TI - LDLR rs688 TT Genotype and T Allele Are Associated with Increased Susceptibility to Coronary Artery Disease-A Case-Control Study. AB - PURPOSE: The low-density lipoprotein receptor is responsible for the binding and uptake of plasma LDL particles and plays a critical role in maintaining cellular cholesterol homeostasis. LDLR gene SNP rs688 has been reported to be associated with increased plasma total and LDL cholesterol in several populations and can lead to elevated plasma LDL levels, resulting in an increased risk for atherosclerosis and coronary artery disease. This study aimed to explore genetic LDLR variant rs688 for its potential roles in coronary artery disease. METHODOLOGY: This study recruited 200 coronary artery disease patients and 200 healthy individuals. Genotyping of LDLR-rs688C > T gene variations was performed using the allele specific PCR method. Correlation of LDLR-rs688C > T gene variants with different clinicopathological features of coronary artery disease patients was performed. Pooled odds ratios (ORs) and 95% confidence intervals (CIs) were applied to evaluate the correlation of this microRNA polymorphism with coronary artery disease risk. RESULTS: A significant difference was observed in genotype distribution among the coronary artery disease and matched healthy controls (p = 0.003). The frequencies of all three genotypes CC, CT, TT reported in the patient samples were 14%, 65% and 21% and in the healthy controls samples were 18%, 73% and 9%, respectively. The increased risk of developing CAD in Indian patients was found to be associated with LDLR rs688 TT genotype (OR = 3.0, 95% CI, 1.43 * 6.2; p = 0.003) RR 1.87 (1.20-2.91) p = 0.0037) and also the increased risk of developing CAD was reported to be associated with LDLR rs688 T allele (OR = 0.74, 95% CI, 1.57-0.97; p = 0.03) RR 0.85 (0.73-0.99) p = 0.03) compared to the C allele. Therefore, it was observed that more than a 3.0- and 0.74-fold increase risk of developing CAD was associated with TT genotype and T allele in Indian coronary artery disease patients. CONCLUSION: The findings indicated that LDLR rs688 TT genotype and T allele are associated with an increased susceptibility to coronary artery disease patients. LDLR-rs688C > T gene variation can be used as a predisposing genetic marker for coronary artery disease. Further studies with larger sample sizes are necessary to confirm our findings. PMID- 29843471 TI - The Selectivity of Polymers Imprinted with Amines. AB - One of the main reasons for making molecularly imprinted polymers (MIPs) has been that MIPs interact selectively with a specific target compound. This claim is investigated here with the example of a widely used type of noncovalent MIP, the MIP for the beta blocker propranolol. Adsorption isotherms of this MIP and of a nonimprinted control polymer (NIP), respectively, have been measured with a series of compounds in the porogen solvent acetonitrile. The results, visualized as "selectivity ladders", show that the MIP binds propranolol and many other amines better than the NIP does, but the selectivity of the MIP is actually inferior to that of the NIP. The selectivity of either polymer for propranolol is modest against many amines, but is remarkable with respect to other compounds. The contribution of imprinting towards selectivity can be better appreciated when three MIPs, made with different amine templates, are compared among themselves. Each MIP is seen to bind its own template slightly better than the other two MIPs do. In media different from the porogen, the selectivity patterns may change substantially. Propranolol seems to have properties that make it stand high on the selectivity scale in different solvents, albeit for different reasons. PMID- 29843470 TI - Recognizing Depression from the Microbiota-Gut-Brain Axis. AB - Major depression is one of the leading causes of disability, morbidity, and mortality worldwide. The brain-gut axis functions are disturbed, revealed by a dysfunction of the brain, immune system, endocrine system, and gut. Traditional depression treatments all target the brain, with different drugs and/or psychotherapy. Unfortunately, most of the patients have never received any treatment. Studies indicate that gut microbiota could be a direct cause for the disorder. Abnormal microbiota and the microbiota-gut-brain dysfunction may cause mental disorders, while correcting these disturbance could alleviate depression. Nowadays, the gut microbiota modulation has become a hot topic in treatment research of mental disorders. Depression is closely related with the health condition of the brain-gut axis, and maintaining/restoring the normal condition of gut microbiota helps in the prevention/therapy of mental disorders. PMID- 29843472 TI - Transcriptional Profiles of SmWRKY Family Genes and Their Putative Roles in the Biosynthesis of Tanshinone and Phenolic Acids in Salvia miltiorrhiza. AB - Salvia miltiorrhiza Bunge is a Chinese traditional herb for treating cardiovascular and cerebrovascular diseases, and tanshinones and phenolic acids are the dominated medicinal and secondary metabolism constituents of this plant. WRKY transcription factors (TFs) can function as regulators of secondary metabolites biosynthesis in many plants. However, studies on the WRKY that regulate tanshinones and phenolics biosynthesis are limited. In this study, 69 SmWRKYs were identified in the transcriptome database of S. miltiorrhiza, and phylogenetic analysis indicated that some SmWRKYs had closer genetic relationships with other plant WRKYs, which were involved in secondary metabolism. Hairy roots of S. miltiorrhiza were treated by methyl jasmonate (MeJA) to detect the dynamic change trend of SmWRKY, biosynthetic genes, and medicinal ingredients accumulation. Base on those date, a correlation analysis using Pearson's correlation coefficient was performed to construct gene-to metabolite network and identify 9 SmWRKYs (SmWRKY1, 7, 19, 29, 45, 52, 56, 58, and 68), which were most likely to be involved in tanshinones and phenolic acids biosynthesis. Taken together, this study has provided a significant resource that could be used for further research on SmWRKY in S. miltiorrhiza and especially could be used as a cue for further investigating SmWRKY functions in secondary metabolite accumulation. PMID- 29843473 TI - In Vitro Studies of Lipopolysaccharide-Mediated DNA Release of Podovirus HK620. AB - Gram-negative bacteria protect themselves with an outermost layer containing lipopolysaccharide (LPS). O-antigen-specific bacteriophages use tailspike proteins (TSP) to recognize and cleave the O-polysaccharide part of LPS. However, O-antigen composition and structure can be highly variable depending on the environmental conditions. It is important to understand how these changes may influence the early steps of the bacteriophage infection cycle because they can be linked to changes in host range or the occurrence of phage resistance. In this work, we have analyzed how LPS preparations in vitro trigger particle opening and DNA ejection from the E. coli podovirus HK620. Fluorescence-based monitoring of DNA release showed that HK620 phage particles in vitro ejected their genome at velocities comparable to those found for other podoviruses. Moreover, we found that HK620 irreversibly adsorbed to the LPS receptor via its TSP at restrictive low temperatures, without opening the particle but could eject its DNA at permissive temperatures. DNA ejection was solely stimulated by LPS, however, the composition of the O-antigen dictated whether the LPS receptor could start the DNA release from E. coli phage HK620 in vitro. This finding can be significant when optimizing bacteriophage mixtures for therapy, where in natural environments O-antigen structures may rapidly change. PMID- 29843475 TI - Surface Characterization of Mesoporous CoOx/SBA-15 Catalyst upon 1,2 Dichloropropane Oxidation. AB - The active combustion catalyst that is based on 30 wt % cobalt oxide on mesoporous SBA-15 has been tested in 1,2-dichloropropane oxidation and is characterized by means of FT-IR (Fourier transform infrared spectroscopy) and ammonia-TPD (temperature-programmed desorption). In this work, we report the spectroscopic evidence for the role of surface acidity in chloroalkane conversion. Both Lewis acidity and weakly acidic silanol groups from SBA support are involved in the adsorption and initial conversion steps. Moreover, total oxidation reaction results in the formation of new Bronsted acidic sites, which are likely associated with the generation of HCl at high temperature and its adsorption at the catalyst surface. Highly dispersed Co oxide on the mesoporous support and Co-chloride or oxychloride particles, together with the presence of several families of acidic sites originated from the conditioning effect of reaction products may explain the good activity of this catalyst in the oxidation of Chlorinated Volatile Organic Compounds. PMID- 29843474 TI - Candidate Genes for Yellow Leaf Color in Common Wheat (Triticum aestivum L.) and Major Related Metabolic Pathways according to Transcriptome Profiling. AB - The photosynthetic capacity and efficiency of a crop depends on the biosynthesis of photosynthetic pigments and chloroplast development. However, little is known about the molecular mechanisms of chloroplast development and chlorophyll (Chl) biosynthesis in common wheat because of its huge and complex genome. Ygm, a spontaneous yellow-green leaf color mutant of winter wheat, exhibits reduced Chl contents and abnormal chloroplast development. Thus, we searched for candidate genes associated with this phenotype. Comparative transcriptome profiling was performed using leaves from the yellow leaf color type (Y) and normal green color type (G) of the Ygm mutant progeny. We identified 1227 differentially expressed genes (DEGs) in Y compared with G (i.e., 689 upregulated genes and 538 downregulated genes). Gene ontology and pathway enrichment analyses indicated that the DEGs were involved in Chl biosynthesis (i.e., magnesium chelatase subunit H (CHLH) and protochlorophyllide oxidoreductase (POR) genes), carotenoid biosynthesis (i.e., beta-carotene hydroxylase (BCH) genes), photosynthesis, and carbon fixation in photosynthetic organisms. We also identified heat shock protein (HSP) genes (sHSP, HSP70, HSP90, and DnaJ) and heat shock transcription factor genes that might have vital roles in chloroplast development. Quantitative RT-PCR analysis of the relevant DEGs confirmed the RNA-Seq results. Moreover, measurements of seven intermediate products involved in Chl biosynthesis and five carotenoid compounds involved in carotenoid-xanthophyll biosynthesis confirmed that CHLH and BCH are vital enzymes for the unusual leaf color phenotype in Y type. These results provide insights into leaf color variation in wheat at the transcriptional level. PMID- 29843477 TI - Flavor Compounds in Pixian Broad-Bean Paste: Non-Volatile Organic Acids and Amino Acids. AB - Non-volatile organic acids and amino acids are important flavor compounds in Pixian broad-bean paste, which is a traditional Chinese seasoning product. In this study, non-volatile organic acids, formed in the broad-bean paste due to the metabolism of large molecular compounds, are qualitatively and quantitatively determined by high-performance liquid chromatography (HPLC). Amino acids, mainly produced by hydrolysis of soybean proteins, were determined by the amino acid automatic analyzer. Results indicated that seven common organic acids and eighteen common amino acids were found in six Pixian broad-bean paste samples. The content of citric acid was found to be the highest in each sample, between 4.1 mg/g to 6.3 mg/g, and malic acid were between 2.1 mg/g to 3.6 mg/g ranked as the second. Moreover, fumaric acid was first detected in fermented bean pastes albeit with a low content. For amino acids, savory with lower sour taste including glutamine (Gln), glutamic acid (Glu), aspartic acid (Asp) and asparagines (Asn) were the most abundant, noted to be 6.5 mg/g, 4.0 mg/g, 6.4 mg/g, 4.9 mg/g, 6.2 mg/g and 10.2 mg/g, and bitter taste amino acids followed. More importantly, as important flavor materials in Pixian broad-bean paste, these two groups of substances are expected to be used to evaluate and represent the flavor quality of Pixian broad-bean paste. Moreover, the results revealed that citric acid, glutamic acid, methionine and proline were the most important flavor compounds. These findings are agreat contribution for evaluating the quality and further assessment of Pixian broad-bean paste. PMID- 29843476 TI - Manipulation of Innate and Adaptive Immunity by Staphylococcal Superantigens. AB - Staphylococcal superantigens (SAgs) constitute a family of potent exotoxins secreted by Staphylococcus aureus and other select staphylococcal species. SAgs function to cross-link major histocompatibility complex (MHC) class II molecules with T cell receptors (TCRs) to stimulate the uncontrolled activation of T lymphocytes, potentially leading to severe human illnesses such as toxic shock syndrome. The ubiquity of SAgs in clinical S. aureus isolates suggests that they likely make an important contribution to the evolutionary fitness of S. aureus. Although the apparent redundancy of SAgs in S. aureus has not been explained, the high level of sequence diversity within this toxin family may allow for SAgs to recognize an assorted range of TCR and MHC class II molecules, as well as aid in the avoidance of humoral immunity. Herein, we outline the major diseases associated with the staphylococcal SAgs and how a dysregulated immune system may contribute to pathology. We then highlight recent research that considers the importance of SAgs in the pathogenesis of S. aureus infections, demonstrating that SAgs are more than simply an immunological diversion. We suggest that SAgs can act as targeted modulators that drive the immune response away from an effective response, and thus aid in S. aureus persistence. PMID- 29843479 TI - A Kinect-Based Segmentation of Touching-Pigs for Real-Time Monitoring. AB - Segmenting touching-pigs in real-time is an important issue for surveillance cameras intended for the 24-h tracking of individual pigs. However, methods to do so have not yet been reported. We particularly focus on the segmentation of touching-pigs in a crowded pig room with low-contrast images obtained using a Kinect depth sensor. We reduce the execution time by combining object detection techniques based on a convolutional neural network (CNN) with image processing techniques instead of applying time-consuming operations, such as optimization based segmentation. We first apply the fastest CNN-based object detection technique (i.e., You Only Look Once, YOLO) to solve the separation problem for touching-pigs. If the quality of the YOLO output is not satisfied, then we try to find the possible boundary line between the touching-pigs by analyzing the shape. Our experimental results show that this method is effective to separate touching pigs in terms of both accuracy (i.e., 91.96%) and execution time (i.e., real-time execution), even with low-contrast images obtained using a Kinect depth sensor. PMID- 29843478 TI - Clinical Importance of Epstein-Barr Virus-Associated Gastric Cancer. AB - Epstein-Barr virus-associated gastric carcinoma (EBVaGC) is the most common malignancy caused by EBV infection. EBVaGC has definite histological characteristics similar to gastric carcinoma with lymphoid stroma. Clinically, EBVaGC has a significantly low frequency of lymph node metastasis compared with EBV-negative gastric cancer, resulting in a better prognosis. The Cancer Genome Atlas of gastric adenocarcinomas proposed a molecular classification divided into four molecular subtypes: (1) EBVaGC; (2) microsatellite instability; (3) chromosomal instability; and (4) genomically stable tumors. EBVaGC harbors a DNA methylation phenotype, PD-L1 and PD-L2 overexpression, and frequent alterations in the PIK3CA gene. We review clinical importance of EBVaGC and discuss novel therapeutic applications for EBVaGC. PMID- 29843480 TI - Heating Characteristics and Induced Healing Efficiencies of Asphalt Mixture via Induction and Microwave Heating. AB - This paper investigates the heating characteristics and induced healing efficiencies of asphalt mixture containing steel fiber under induction heating and microwave heating. The heating characteristics of an asphalt mixture with different heating methods were studied with an infrared camera. The healing performance of the asphalt mixture specimens in different healing conditions were investigated by observing the crack closure and testing the fracture resistance recovery after healing. The results showed that the heating speed at the surface of asphalt mixture with induction heating was much higher than that with microwave machine heating, under a similar output power and the same method of radiation. While the temperature distribution within the asphalt mixture under induction heating was quite uneven, microwave heating resulted in a more uniform temperature distribution. The effective heating depth of microwave heating is much higher than that of induction heating. Gradient healing occurred within the sample heated with induction healing, while a uniform healing effect can be achieved with microwave heating. PMID- 29843481 TI - Enhanced Enzymatic Hydrolysis and Structural Features of Corn Stover by NaOH and Ozone Combined Pretreatment. AB - A two-step pretreatment using NaOH and ozone was performed to improve the enzymatic hydrolysis, compositions and structural characteristics of corn stover. Comparison between the unpretreated and pretreated corn stover was also made to illustrate the mechanism of the combined pretreatment. A pretreatment with 2% (w/w) NaOH at 80 degrees C for 2 h followed by ozone treatment for 25 min with an initial pH 9 was found to be the optimal procedure and the maximum efficiency (91.73%) of cellulose enzymatic hydrolysis was achieved. Furthermore, microscopic observation of changes in the surface structure of the samples showed that holes were formed and lignin and hemicellulose were partially dissolved and removed. X ray Diffraction (XRD), Fourier Transform Infrared Spectroscopy (FTIR) and Cross Polarization Magic Angle Spinning Carbon-13 Nuclear Magnetic Resonance (CP/MAS 13C-NMR) were also used to characterize the chemical structural changes after the combined pretreatment. The results were as follows: part of the cellulose I structure was destroyed and then reformed into cellulose III, the cellulose crystal indices were also changed; a wider space between the crystal layer was observed; disruption of hydrogen bonds in cellulose and disruption of ester bonds in hemicellulose; cleavage of bonds linkage in lignin-carbohydrate complexes; removal of methoxy in lignin and hemicellulose. As a result, all these changes effectively reduced recalcitrance of corn stover and promoted subsequent enzymatic hydrolysis of cellulose. PMID- 29843482 TI - Deciphering RNA-Recognition Patterns of Intrinsically Disordered Proteins. AB - Intrinsically disordered regions (IDRs) and protein (IDPs) are highly flexible owing to their lack of well-defined structures. A subset of such proteins interacts with various substrates; including RNA; frequently adopting regular structures in the final complex. In this work; we have analysed a dataset of protein-RNA complexes undergoing disorder-to-order transition (DOT) upon binding. We found that DOT regions are generally small in size (less than 3 residues) for RNA binding proteins. Like structured proteins; positively charged residues are found to interact with RNA molecules; indicating the dominance of electrostatic and cation-pi interactions. However, a comparison of binding frequency shows that interface hydrophobic and aromatic residues have more interactions in only DOT regions than in a protein. Further; DOT regions have significantly higher exposure to water than their structured counterparts. Interactions of DOT regions with RNA increase the sheet formation with minor changes in helix forming residues. We have computed the interaction energy for amino acids-nucleotide pairs; which showed the preference of His-G; Asn-U and Ser-U at for the interface of DOT regions. This study provides insights to understand protein-RNA interactions and the results could also be used for developing a tool for identifying DOT regions in RNA binding proteins. PMID- 29843483 TI - Minimally Invasive Limited Ligation Endoluminal-Assisted Revision (MILLER): A Review of the Available Literature and Brief Overview of Alternate Therapies in Dialysis Associated Steal Syndrome. AB - Dialysis associated steal syndrome (DASS) is a relatively rare but debilitating complication of arteriovenous fistulas. While mild symptoms can be observed, if severe symptoms are left untreated, DASS can result in ulcerations and limb threatening ischemia. High-flow with resultant heart failure is another documented complication following dialysis access procedures. Historically, open surgical procedures have been the mainstay of therapy for both DASS as well as high-flow. These procedures included ligation, open surgical banding, distal revascularization-interval ligation, revascularization using distal inflow, and proximal invasion of arterial inflow. While effective, open surgical procedures and general anesthesia are preferably avoided in this high-risk population. Minimally invasive limited ligation endoluminal-assisted revision (MILLER) offers both a precise as well as a minimally invasive approach to treating both dialysis associated steal syndrome as well as high-flow with resultant heart failure. MILLER is not ideal for all DASS patients, particularly those with low-flow fistulas. We aim to briefly describe the open surgical therapies as well as review both the technical aspects of the MILLER procedure and the available literature. PMID- 29843484 TI - Cellular Aging and Death. PMID- 29843485 TI - Expression and Introduction of Macromolecules into Cells. PMID- 29843486 TI - Microscopy. PMID- 29843488 TI - Fluorescent Protein Technology. PMID- 29843487 TI - Organelle Motility. PMID- 29843490 TI - In Vitro Reconstitution. PMID- 29843489 TI - Protein Trafficking. PMID- 29843492 TI - Comparison of antiplatelet treatment in patients with clopidogrel nonresponders with or without carriage of CYP2C19 polymorphism. AB - Background/Aims: Several interventions exist for overcoming high platelet reactivity (HPR) on clopidogrel therapy. The goal of this study was to identify strategies that improve inhibition of platelet reactivity in clopidogrel nonresponders with or without loss of function CYP2C19 genotypes, resulting in platelet reactivity similar to that in responders. Methods: A total of 376 patients with stenting for coronary artery disease underwent platelet function testing in three centers. Blinded platelet function tests were performed after 75 mg daily clopidogrel treatment for 28 days. In total, 183 nonresponders were genotyped, were randomized to four treatment groups with each treatment lasting approximately 28 days, and underwent repeated measurements of platelet reactivity after treatment. Results: With 75 mg of daily clopidogrel, nonresponders had significantly higher HPR than did responders (multiple electrode aggregometry [MEA, arbitrary platelet aggregation unit]: mean, 71.4; 95% confidence intervals [CI], 68.6 to 74.3; and mean, 27.5; 95% CI, 26.0 to 28.9, respectively; p < 0.001). Ticagrelor or ticlopidine treatment in nonresponders resulted in platelet reactivity similar to that in responders in intermediate metabolizers (mean, 24.0; 95% CI, 19.6 to 28.4; p > 0.05; and mean, 30.0; 95% CI, 24.7 to 37.5; p > 0.05, respectively) and poor metabolizers (mean, 23.2; 95% CI, 18.0 to 28.3; p > 0.05; and mean, 30.3; 95% CI, 24.5 to 6.0; p > 0.05, respectively). However, in extensive metabolizers, only ticagrelor treatment showed platelet reactivity similar to that in responders (mean, 26.1; 95% CI, 24.1 to 28.0; p > 0.05). Conclusions: Among clopidogrel nonresponders with cardiovascular disease on 75 mg daily clopidogrel, ticagrelor resulted in a comparable degree of platelet inhibition in all nonresponders compared with 150 mg daily clopidogrel or triple therapy with clopidogrel and cilostazol, irrespective of phenotype. PMID- 29843491 TI - Clinical significance of Th17 cells in kidney transplantation. AB - Transplantation research has focused on cytotoxic T-cell and plasma cell/B-cell targeted strategies, but little attention has been paid to the role of T helper 17 (Th17) cells in allograft dysfunction. However, accumulating evidence suggests that Th17 cells contribute to the development of acute and chronic allograft injury after transplantation of various organs, including the kidney. This review summarizes recent reports on the role of Th17 cells in kidney transplantation. Means of improving allograft outcomes by targeting the Th17 pathway are also suggested. PMID- 29843493 TI - Surrogate decision making of chemotherapy consent: do we really provide informed consent of chemotherapy for patients? AB - Background/Aims: Despite increased demand for cancer patient's to make their own decisions based on an adequate understanding of what is involved in chemotherapy, the primary signing agent and the reasons for surrogate signing have not been appropriately evaluated. Methods: The ethics committee of the palliative medicine subgroup of the Korean Cancer Study Group designed this study and solid cancer patients to whom chemotherapy was offered, from seven institutions, were evaluated. The details relating to surrogate's signing of chemotherapy consent were evaluated. Then, we analyzed the factors associated with surrogate's signing according to patient's demographics and characteristics related to chemotherapy consent. Results: Surrogate's signing was noted for 20.7% (84/405) of patient and over half of surrogate signings were performed by the patients' son or daughter (60.7%). Two main reasons for surrogate signing were patient's incapacity (34.5%) and taking over authorization from patients (33.3%). The factors associated with more frequent surrogate's signing were absence of spouse, lower education level, outpatient, and when residents played a role as a principle provider of chemotherapy consent. Conclusions: This study suggests the lack of patients' own decision making for chemotherapy in some situations. This ethical dilemma must be considered for adequately informed decision making for chemotherapy while ensuring the patients' autonomy is maintained. PMID- 29843494 TI - Prolonged low-dose cyclophosphamide treatment after pulse therapy attenuates lung injury in rats with paraquat intoxication. AB - BACKGROUND/AIMS: This study tested the hypothesis that prolonged low-dose cyclophosphamide (CTX) treatment after pulse therapy attenuate paraquat (PQ) induced lung injury in rats. METHODS: PQ (25 mg/kg) was administered intraperitoneally to induce PQ-intoxicated rat model. The rats were randomly divided into four groups: control group (1 mL/day saline solution for 14 days), PQ group (1 mL/day saline solution for 14 days after PQ exposure), pulse group (15 mg/kg/day CTX in 1 mL of saline solution for 2 days and subsequent 1 mL/day saline solution for 12 days), and prolonged low-dose group (15 mg/kg/day CTX in 1 mL of saline solution for 2 days and subsequent 1.5 mg/kg/day CTX in 1 mL of saline solution for 12 days). A 14-day follow-up was conducted to determine the survival rat, and lung hydroxyproline (HYP), wet-to-dry weight ratios (W/Dc) and histopathological changes were evaluated. RESULTS: Results showed similar survival rate (55% vs. 50%, p > 0.05) between prolonged low-dose and pulse groups. Lung W/Dc (4.94 +/- 0.38 vs. 5.47 +/- 0.28, p < 0.01), HYP (3.34 +/- 0.29 ug/mg vs. 3.65 +/- 0.19 ug/mg, p < 0.001), and fibrosis score (2.69 +/- 0.84 vs. 3.13 +/- 0.63, p < 0.05) were lower in prolonged low-dose group than those in the pulse group. CONCLUSION: These findings suggested prolonged low-dose CTX treatment after pulse therapy could attenuate PQ-induced lung injury in rats. PMID- 29843495 TI - Age at menarche and risk of colorectal adenoma. AB - Background/Aims: Limited data are available regarding the association between age at menarche and the risk of colorectal adenoma. Therefore, we aimed to evaluate the relationship between reproductive factors including age at menarche and the risk of colorectal adenoma. Methods: A cross-sectional study was performed on asymptomatic female subjects who underwent colonoscopy between 2010 and 2014 as part of a comprehensive health screening program in Korea. The association between reproductive factors including age at menarche and the presence of adenomas was assessed using multivariate logistic regression analysis. Results: Among 32,620 asymptomatic female subjects, the proportion of patients with menarche at 10 to 11, 12 to 13, 14 to 15, 16 to 17, and 18 to 19 years of age was 4.1%, 31.7%, 45.4%, 14.9%, and 4.0%, respectively. Age at menarche was not significantly associated with the risk of any adenoma (adjusted odds ratio [AOR], 0.99; 95% confidence interval [CI], 0.97 to 1.02; p = 0.500) or advanced adenoma (AOR, 0.98; 95% CI, 0.91 to 1.04; p = 0.468) after adjusting for confounding factors. Age at menarche was not significantly associated with the risk of adenoma even among similar age groups. In addition, parity, use of female hormones, and menopause were not associated with the risk of adenoma. Conclusions: Age at menarche, parity, use of female hormones, and menopause were not significantly associated with the risk of colorectal adenoma. Our findings indicate that reproductive factors including age at menarche do not affect the development of colorectal adenoma. PMID- 29843496 TI - Validity and Reliability of the Turkish Chronic Pain Acceptance Questionnaire AB - Background: Pain acceptance is the process of giving up the struggle with pain and learning to live a worthwhile life despite it. In assessing patients with chronic pain in Turkey, making a diagnosis and tracking the effectiveness of treatment is done with scales that have been translated into Turkish. However, there is as yet no valid and reliable scale in Turkish to assess the acceptance of pain. Aims: To validate a Turkish version of the Chronic Pain Acceptance Questionnaire developed by McCracken and colleagues. Study Design: Methodological and cross sectional study. Methods: A simple randomized sampling method was used in selecting the study sample. The sample was composed of 201 patients, more than 10 times the number of items examined for validity and reliability in the study, which totaled 20. A patient identification form, the Chronic Pain Acceptance Questionnaire, and the Brief Pain Inventory were used to collect data. Data were collected by face-to-face interviews. In the validity testing, the content validity index was used to evaluate linguistic equivalence, content validity, construct validity, and expert views. In reliability testing of the scale, Cronbach's alpha coefficient was calculated, and item analysis and split-test reliability methods were used. Principal component analysis and varimax rotation were used in factor analysis and to examine factor structure for construct concept validity. Results: The item analysis established that the scale, all items, and item-total correlations were satisfactory. The mean total score of the scale was 21.78. The internal consistency coefficient was 0.94, and the correlation between the two halves of the scale was 0.89. Conclusion: The Chronic Pain Acceptance Questionnaire, which is intended to be used in Turkey upon confirmation of its validity and reliability, is an evaluation instrument with sufficient validity and reliability, and it can be reliably used to examine patients' acceptance of chronic pain. PMID- 29843497 TI - Rare Fibroepithelial Polyp Extending Along the Ureter: A Case Report AB - Background: Fibroepithelial polyps of the urinary tract are rare tumors, and their occurrence in the upper urinary tract is highly unusual. Case Report: This study reports a 9-year-old boy who presented to our clinic with complaints of unilateral flank pain and macroscopic hematuria. The direct urinary system graph did not show stone formation; therefore, magnetic resonance urography was performed. This revealed a filling defect in the left proximal ureter. On cystoscopy, a polyp was seen in the orifice of the left ureter, extending along the ureter. The polyp was resected by laser ablation and removed from the ureter. Histopathologic examination revealed a fibroepithelial polyp comprising fibrovascular stroma covered with transitional epithelium. Conclusion: Although extremely rare, a fibroepithelial polyp should be considered in the differential diagnosis when a young patient presents with flank pain and macroscopic hematuria. Endoscopic procedures may be the treatment of choice for polyps located in the upper ureter. PMID- 29843498 TI - Successful Management of Aggressive Fibromatosis of the Neck: A Case Report AB - Background: Aggressive fibromatoses are histologically benign fibrous neoplasms originating from musculoaponeurotic structures throughout the body. They are locally invasive and erode adjacent vital structures. The head and neck region constitutes 7-25% of all extra-abdominal cases. Case Report: Here, we report the case of a patient with aggressive fibromatosis in the left side of the neck. While the tumor deeply invaded the scalene muscles, the lesion was successfully treated by surgery followed by radiotherapy. The patient has been disease free for the last 7 years following treatment. Conclusion: Due to its unusual location in the head and neck region, aggressive fibromatosis should be considered in the differential diagnosis of invading lesions of the neck. PMID- 29843499 TI - Endoscopic treatment of early esophageal squamous neoplasia. AB - Esophageal squamous cell carcinoma (ESCC) remains the most common esophageal cancer in the world, though a rising incidence of esophageal adenocarcinoma could be seen during the last decade in the western world. There are several known risk factors for ESCC, such as smoking, alcohol consumption, radiation or others. As there is a risk of lymph node metastasis already in early stages, early endoscopic detection is crucial for curative endoscopic treatment options. Therefore, newest technical improvements such as enhancement techniques or virtual chromoendoscopy are helpful for the diagnosis of mucosal carcinoma. Lugol's iodine remains the gold standard to detect early esophageal cancer, however, it should be combined with these newer techniques. For the prediction of invasion depth, a new classification was developed by the Japan Esophageal society. By using magnifying endoscopy and Narrow Band Imaging, the microvascular morphology allows a prediction of invasion depth of early squamous cell carcinoma. Endoscopic resection is suitable for patients with early-stage ESCC (m1-m2), because of the low risk of lymph node metastasis. EMR should be performed if the lesion is smaller than 15 mm, because a R0 resection can be achieved. Larger lesions (>15 mm) should be resected via endoscopic submucosal dissection to reach an en bloc resection, a lower recurrence rate and a R0 situation. PMID- 29843500 TI - Percutaneous catheter drainage combined with peritoneal dialysis for treating acute severe pancreatitis: a single-center prospective study. AB - BACKGROUND: To investigate the efficacy of percutaneous catheter drainage (PCD) and peritoneal dialysis (PD) in the treatment of severe acute pancreatitis (SAP) and its underlying mechanism. METHODS: Totally 64 SAP patients were included in our study and randomly assigned into PCD + PD group (the combination group, N = 32) and convention group (N = 32). SAP patients in the combination group were treated with percutaneous catheter drainage combined with peritoneal dialysis, while those in the convention group were treated with conventional method. The treatment efficacy of both methods were evaluated by comparing levels of plasma inflammatory cytokines (IL-6, IL-8, TNF-alpha, C-reactive protein, procalcitonin and leukocyte count), relative indexes of important organs (aspartate aminotransferase, alanine aminotransferase, creatinine and urea nitrogen) and other clinical data (amelioration time of abdominal pain and abdominal distension, Balthazar CT scores, acute physiology and chronic health enquiry II score, length of hospital stay, complications and prognosis). RESULTS: The expression levels of inflammatory cytokines were significantly decreased in the combination group in a time-dependent manner in comparison with those of the convention group. In addition, the amelioration time of abdominal pain and abdominal distension, length of hospital stay, Balthazar CT scores and the acute physiology and chronic health care II scores in the combination group were also significantly decreased in comparison with those of the convention group. CONCLUSIONS: The combination treatment of PCD and PD effectively relieves the clinical symptoms of SAP by clearing plasma inflammatory cytokines. PMID- 29843501 TI - Surgical technique in robotic right colonic resection. AB - Minimally invasive surgery (MIS) has produced an important improvement in terms of peri-operative outcomes. Laparoscopic colorectal surgery presents comparable outcomes vs open approach from an oncological standpoint. However, there are some technical challenges/hurdles that laparoscopy may have. Worldwide there are still too many colonic/rectal operations carried out by the open approach. The robotic technology may be useful in solving some of the potential laparoscopic issues and potentially it may increase the number of procedures performed in a minimally invasive way. This is a description of our standardized operative technique for Robotic Right Colonic Resection. Conceivably, this manuscript may be useful to collect more repeatable data in the future. Moreover, it might be a guide to learn the robotic technique and also for the expert surgeons as an additional tool which they may find useful during their teaching activity. In this manuscript, taking advantage of the long and extensive expertise in minimally invasive colorectal resections, connected to a robotic experience started by Giulianotti et al1 in October 2000, we present our standardized technique for the robotic right colonic resection. The currently available literature data have proven that robotic colorectal surgery is safe/feasible. From the literature data, and from our experience as well, we think that these are the following main points: 1) The right colectomy is often an operation which can be performed in a relatively simple way even with traditional laparoscopy. However, the robotic approach is easier to standardize and this operation is very useful from a teaching standpoint in order to master multiple robotic surgical skills (that can be applied in more complex colorectal operations); 2) The robotic surgery may increase the MIS penetrance in this field. 3) The robotic third arm (R3) is an important technical advantage which can potentially increase the range of surgical options available; 4) The robotic technology is relatively recent. Most of the available data are retrospective and there is literature heterogenity (this affects also the conclusions of the currently available meta-analysis results, which sometimes are conflicting); 5) We need more data from prospective randomized well-powered studies (with standardized technique). Achieving a standardized technical approach will be essential in robotic colorectal surgery. PMID- 29843502 TI - Multiple Loops of External and Internal Carotid Arteries Vulnerable in Surgical and Radiological Procedures PMID- 29843503 TI - Amlodipine toxicity and lipid emulsion. PMID- 29843504 TI - Initial experience with the unrestricted introduction of sugammadex at a large academic medical center: a retrospective observational study examining postoperative mechanical ventilation and efficiency outcomes. AB - BACKGROUND: Sugammadex rapidly reverses deep neuromuscular blockade, but owing to cost, questions remain about its optimal utilization. After the unrestricted introduction of sugammadex at Emory University Hospital, we hypothesized that reductions would be demonstrated in the primary outcome of post-anesthesia care unit (PACU) mechanical ventilation (MV) and secondary outcomes of PACU length of stay (LOS) and emergence time (surgery end to anesthesia end time in the PACU). METHODS: This retrospective observational study included patients undergoing general anesthesia over a 12-month period. Using multiple variable penalized logistic regression in a one-group before-and-after design, we compared the categorized rates of PACU MV to examine the effect of sugammadex introduction following a post-hoc chart review to ascertain the reason for postoperative MV. Additionally, multiple variable linear regression was used to assess for differences in PACU LOS and emergence time within a propensity-matched set of patients receiving neostigmine or sugammadex. RESULTS: In total, 7,217 surgical cases met the inclusion criteria: 3,798 before and 3,419 after sugammadex introduction. The incidence of PACU MV was 2.3% before and 1.8% after (P = 0.118) sugammadex introduction. PACU MV due to residual neuromuscular blockade (rNMB) decreased from 0.63% to 0.20% (P = 0.005). Ventilation because of other causes was unchanged. PACU LOS and emergence time were unchanged in the propensity matched set of 1,444 patients. CONCLUSIONS: rNMB was an important contributor to PACU MV utilization and its incidence significantly decreased after sugammadex introduction. The selected efficiency measures may not have been sufficiently granular to identify improvements following introduction. PMID- 29843505 TI - Significance of outer diameter of endotracheal tube: a parameter less known. PMID- 29843506 TI - A bench study comparing between scalpel-bougie technique and cannula-to-Melker technique in emergency cricothyroidotomy in a porcine model. AB - BACKGROUND: The ideal emergency cricothyroidotomy technique remains a topic of ongoing debate. This study aimed to compare the cannula-to-Melker technique with the scalpel-bougie technique and determine whether yearly training in cricothyroidotomy techniques is sufficient for skill retention. METHODS: We conducted an observational crossover bench study to compare the cannula-to-Melker with the scalpel-bougie technique in a porcine tracheal model. Twenty-eight anesthetists participated. The primary outcome was time taken for device insertion. Secondary outcomes were first-pass success rate, incidence of tracheal trauma, and technique preference. We also compared the data on outcome measures with the data obtained in a similar workshop a year ago. RESULTS: The scalpel bougie technique was significantly faster than the cannula-to-Melker technique for cricothyroidotomy (median time of 45.2 s vs. 101.3 s; P = 0.001). Both techniques had 100% success rate within two attempts; there were no significant differences in the first-pass success rates and incidence of tracheal wall trauma (P > 0.999 and P = 0.727, respectively) between them. The relative risks of inflicting tracheal wall trauma after a failed cricothyroidotomy attempt were 6.9 (95% CI 1.5-31.1), 2.3 (95% CI 0.3-20.7) and 3.0 (95% CI 0.3-25.9) for the scalpel-bougie, cannula-cricothyroidotomy, and Melker-Seldinger airway, respectively. The insertion time and incidence of tracheal wall trauma were lower when the present data were compared with data from a similar workshop conducted the previous year. CONCLUSIONS: This study supports the use of a scalpel-bougie technique for cricothyroidotomy by anesthetists and advocates a yearly training program for skill retention. PMID- 29843507 TI - Evaluation of efficacy of Valsalva maneuver for attenuating propofol injection pain: a prospective, randomized, single blind, placebo controlled study. AB - BACKGROUND: Pain on injection is a limitation with propofol use. The effect of the Valsalva maneuver on pain during propofol injection has not been studied. This maneuver reduces pain through the sinoaortic baroreceptor reflex arc and by distraction. We aimed to assess the efficacy of the Valsalva maneuver in reducing pain during propofol injection. METHODS: Eighty American Society of Anesthesiologists class I adult patients undergoing general anesthesia were enrolled and divided into two groups of 40 each. Group I (Valsalva) patients blew into a sphygmomanometer tube raising the mercury column up to 30 mmHg for 20 seconds, while Group II (Control) patients did not. Anesthesia was induced with 1% propofol immediately afterwards. Pain was assessed on a 10-point visual analog scale (VAS), where 0 represented no pain, and 10, the worst imaginable pain, and a 4-point withdrawal response score, where 0 represented no pain, and 3, the worst imaginable pain. Scores were presented as median (interquartile range). RESULTS: We analyzed the data of 70 patients. The incidence of pain was significantly lower in the Valsalva than in the control group (53% vs. 78%, P = 0.029). The withdrawal response score was significantly lower in the Valsalva group (1.00 [0.00-1.00] vs. 2.00 [2.00-3.00], P < 0.001). The VAS score was significantly lower in the Valsalva group (1.00 [0.00-4.00] vs. 7.00 [6.25-8.00], P < 0.001). CONCLUSIONS: A prior Valsalva maneuver is effective in attenuating injection pain due to propofol; it is advantageous in being a non pharmacological, safe, easy, and time-effective technique. PMID- 29843508 TI - Dexmedetomidine and propofol sedation requirements in an autistic rat model. AB - Background: Autism is a challenging neurodevelopmental disorder. Previous clinical observations suggest altered sedation requirements for autistic children. Our study aimed to test this observation experimentally with an animal model and, to explore its possible mechanisms. Methods: Eight adult pregnant female Sprague Dawley rats were randomly selected into two groups. Four were injected with intraperitoneal sodium valproate on the gestational day 12 and four were injected with normal saline. On post-natal day 28 the newborn male rats were subjected to an open field test to confirm autistic features. Each rat was injected intraperitoneally with a single dose of propofol (50 mg/kg) or dexmedetomidine (0.2 mg/kg). Times to Loss of Righting Reflex (LORR) and to Return of Righting Reflex (RORR) were recorded. On the next day, all rats were re sedated and their EEGs were recorded. The rats were sacrificed and hippocampal GABAA and glutamate NMDA receptor gene expression were assessed. Results: Autistic rats showed significantly longer time to LORR and a shorter time to RORR compared to controls (Median time to LORR: 12.0 versus 5.0 for dexmedetomidine and 22.0 and 8.0 for propofol; p < 0.05). EEG showed a low frequency, high amplitude wave pattern two minutes after LORR in control rats. Autistic rats showed a high frequency, low amplitude awake pattern. Hippocampal GABAA receptor gene expression was significantly less in autistic rats and NMDA gene expression was greater. Conclusions: This study in rat supports the clinical observations of increased anesthetic sedative requirements in autistic children and proposes a mechanism for it. PMID- 29843509 TI - Aprepitant in combination with palonosetron for the prevention of postoperative nausea and vomiting in female patients using intravenous patient-controlled analgesia. AB - BACKGROUND: The aim of this study was to evaluate aprepitant in combination with palonosetron as compared to palonosetron alone for the prevention of postoperative nausea and vomiting (PONV) in female patients receiving fentanyl- based intravenous patient-controlled analgesia (IV-PCA). METHODS: In this randomized single-blinded study, 100 female patients scheduled for elective surgery under general anesthesia were randomized to two groups: Group AP (80 mg aprepitant plus 0.075 mg palonosetron, n = 50) and Group P (0.075 mg palonosetron, n = 50). The patients in group AP received 80 mg aprepitant per oral 1-3 h before surgery, while all patients received 0.075 mg palonosetron after induction of standardized anesthesia. All patients had postoperative access to fentanyl-based IV-PCA. The incidence of nausea and vomiting, use of rescue medication, and severity of nausea were evaluated at 6 and 24 h after surgery. RESULTS: The incidence of nausea (54%) and vomiting (2%) in group AP did not differ significantly from that in group P (48% and 14%, respectively) during the first 24 h after surgery (P > 0.05). Patient requirements for rescue medication in group AP (29%) were similar to those in group P (32%) at 24 h after surgery (P > 0.05). There was no difference between the groups in severity of nausea during the first 24 h after surgery (P > 0.05). CONCLUSIONS: Aprepitant combined with palonosetron did not reduce the incidence of PONV as compared to palonosetron alone within 24 h of surgery in women receiving fentanyl-based IV-PCA. PMID- 29843510 TI - Author Correction: MRI Vessel Wall Imaging and Treatment of an Aneurysm at the Atlanto-Axial Segment of an Aberrant Vertebral Artery. PMID- 29843511 TI - Author Correction: Treatment of Intracranial Aneurysms with the Pipeline Embolization Device Only: a Single Center Experience. PMID- 29843513 TI - Collisional Excitation and Weak Maser Action of Interstellar Methanimine. AB - The inelastic cross sections and rate coefficients for the rotational excitation of methanimine (CH2NH) by cold H2 have been determined quantum mechanically based on a new highly correlated five-dimensional potential energy surface. This surface was fitted to more than 60 000 ab initio points with a root-mean-square error of ~1-2 cm-1 in the region of the potential well whose depth is -374.0 cm 1. The rotationally inelastic rate coefficients have been combined with spectroscopic data to generate the nonequilibrium spectrum of CH2NH toward the interstellar molecular cloud Sgr B2(N). The transition 110 -> 111 at 5.29 GHz is found to be inverted, and the predicted weak maser emission spectrum is in excellent agreement with new observations performed with the 100 m Green Bank Telescope. PMID- 29843512 TI - Dissociative Chemisorption of O2 on Al(111): Dynamics on a Correlated Wave Function-Based Potential Energy Surface. AB - Dissociative chemisorption of O2 on the Al(111) surface represents an extensively studied prototype for understanding the interaction between O2 and metal surfaces. It is well known that the experimentally observed activation barrier for O2 dissociation is not captured by conventional density functional theory. The interpretation of this barrier as a result of spin transitions along the reaction path has been challenged by recent embedded correlated wave function (ECW) calculations that naturally yield an adiabatic barrier. However, the ECW calculations have been limited to a static analysis of the reaction pathways and have not yet been tested by dynamics simulations. We present a global six dimensional potential energy surface (PES) for this system parametrized with ECW data points. This new PES provides a reasonable description of the site-specific and orientation-dependent activation barriers. Quasi-classical trajectory calculations on this PES semiquantitatively reproduce both the observed translational energy dependence of the sticking probability and steric effects with aligned O2 molecules. PMID- 29843514 TI - 10beta,17alpha-Dihydroxyestra-1,4-dien-3-one: A Bioprecursor Prodrug Preferentially Producing 17alpha-Estradiol in the Brain for Targeted Neurotherapy. AB - Uterotrophic effect of 17alpha-estradiol, the C17 epimer of the main human estrogen 17beta-estradiol, was shown to manifest in animal models at doses lower than those necessary for central outcome raising concerns about its potential to treat maladies of the central nervous system. We introduce here 10beta,17alpha dihydroxyestra-1,4-dien-3-one (alpha-DHED) that acts as a bioprecursor prodrug producing 17alpha-estradiol with remarkable selectivity to the brain and, therefore, without appreciable exposure of the periphery to the parent steroid. This distinguishing feature of alpha-DHED is shown by using an estrogen responsive mouse model with complementary LC-MS/MS measurement of drug contents in target tissues. Our data warrant further research to fully establish the potential of alpha-DHED for a safe and efficacious 17alpha-estradiol-based neurotherapy. PMID- 29843516 TI - Risk factors associated with gastric cancer in Mexico: education, breakfast and chili. AB - BACKGROUND AND AIM: the aim of the study was to use a validated questionnaire to identify factors associated with the development of gastric cancer (GC) in the Mexican population. METHODS: the study included cases and controls that were paired by sex and +/- 10 years of age at diagnosis. In relation to cases, 46 patients with a confirmed histopathological diagnosis of adenocarcinoma-type GC, as reported in the hospital records, were selected, and 46 blood bank donors from the same hospital were included as controls. The previously validated Questionnaire to Find Factors Associated with Gastric Cancer (QUFA-GC(c)) was used to collect data. Odds ratio (OR) and 95% confidence interval (IC) were estimated via univariate analysis (paired OR). Multivariate analysis was performed by logistic regression. A decision tree was constructed using the J48 algorithm. RESULTS: an association was found by univariate analysis between GC risk and a lack of formal education, having smoked for >= 10 years, eating rapidly, consuming very hot food and drinks, a non-suitable breakfast within two hours of waking, pickled food and capsaicin. In contrast, a protective association against GC was found with taking recreational exercise and consuming fresh fruit and vegetables. No association was found between the development of GC and having an income that reflected poverty, using a refrigerator, perception of the omission of breakfast and time period of alcoholism. In the final multivariate analysis model, having no formal education (OR = 17.47, 95% CI = 5.17-76.69), consuming a non-suitable breakfast within two hours of waking (OR = 8.99, 95% CI = 2.85-35.50) and the consumption of capsaicin ? 29.9 mg capsaicin per day (OR = 3.77, 95% CI = 1.21-13.11) were factors associated with GC. CONCLUSIONS: an association was found by multivariate analysis between the presence of GC and education, type of breakfast and the consumption of capsaicin. These variables are susceptible to intervention and can be identified via the QUFA-GC PMID- 29843517 TI - Determining the feasibility and preliminary efficacy of a stroke instructional and educational DVD in a multinational context: a randomized controlled pilot study. AB - OBJECTIVE: To assess the feasibility of conducting a randomized controlled trial of an instructional and educational stroke DVD and determine the feasibility and preliminary efficacy of this intervention in a multinational context. DESIGN: Non funded, pilot randomized controlled trial of intervention versus usual care. SETTING: International, multicentre, community-based. PARTICIPANTS: Community living adults up to three years post stroke with moderate to severe disability and their nominated informal caregivers. INTERVENTIONS: Intervention patients viewed and practised rehabilitation techniques demonstrated in the DVD over six weeks. MAIN MEASURES: Trial feasibility by number of active recruitment sites, recruitment efficiency, randomization and follow-up. Intervention feasibility by patient and caregiver impressions. Preliminary efficacy by the quality of life - 5-level EuroQol-5D (EQ-5D) health status measure, General Health Questionnaire and Centre for Epidemiological Studies-Depression at two months. RESULTS: In total, 14 recruitment sites were established across eight countries. Recruitment was achieved at nine (64%) sites. Over 16 months, 66 participants were recruited (mean (SD) age = 63.5 (12.47) years) and randomized to intervention ( n = 34) and control ( n = 32) groups. In total, 54 (82%) completed a follow-up assessment. Patient and/or caregiver comments about the benefits and barriers to accessing the intervention were mixed. There were no significant between-group differences in outcomes at two months ( P > 0.05). CONCLUSION: Conducting a multinational trial of a stroke DVD requires full funding. The intervention was acceptable to some patients and their caregivers, yet a generalized education approach did not fully meet their needs and/or expectations. A more individualized method may be required to meet peoples' changing needs during stroke recovery. PMID- 29843518 TI - Correlates of viral suppression among HIV-infected men who have sex with men and transgender women in Lima, Peru. AB - In Peru, HIV is concentrated among men who have sex with men (MSM) and transgender women (TGW). Between June 2015 and August 2016, 591 HIV-positive MSM and TGW were recruited at five clinical care sites in Lima, Peru. We found that 82.4% of the participants had achieved viral suppression (VS; VL < 200) and 73.6% had achieved maximal viral suppression (MVS; VL < 50). Multivariable modeling indicated that patients reporting transportation as a barrier to HIV care were less likely to achieve VS (aOR = 0.47; 95% CI = 0.30-0.75) and MVS (aOR = 0.56; 95% CI = 0.37-0.84). Alcohol use disorders were negatively associated with MVS (aOR = 0.62; 95% CI = 0.30-0.75) and age was positively associated with achieving MVS (aOR = 1.29; 95% CI = 1.04-1.59). These findings underscore the need for more accessible HIV care with integrated behavioral health services in Lima, Peru. PMID- 29843519 TI - Experience and Views of Oncology and Palliative Care Professionals on a Corounding Model of Care for Inpatients With Advanced Cancer. AB - BACKGROUND: Palliative care is associated with better outcomes in advanced cancer, but there is limited research comparing different models of palliative care delivery alongside oncology care. For inpatients with cancer, palliative care is mostly delivered through a consult service, primarily relying on oncologist-initiated referrals to a separate specialist palliative care team. In our hospital setting, we piloted a palliative care and oncology corounding model of care. AIM: To explore the views and experience of oncology and palliative care professionals on the corounding model compared to an inpatient consult service. DESIGN: A qualitative study nested within a pre-post study of the corounding model of care, with semistructured interviews using thematic analysis. SETTING/PARTICIPANTS: Eleven doctors and nurses involved in the pilot corounding model were interviewed. RESULTS: Two main themes emerged: (1) the efficiency of care delivery and (2) quality of patient care. The theme on the efficiency of care delivery was related to access to palliative care input, team communications, and parallel workflow. The quality of patient care was described in terms of holistic approach to cancer care and rapport building with patients and their families. Most participants acknowledged positive aspects of the corounding model, yet some minor concerns were reported, such as disagreements between oncology and palliative care professionals. CONCLUSIONS: This study provides insights into the benefits and drawbacks of a corounding model of care for inpatients. The views of health-care professionals can be incorporated into the development of integrated oncology and palliative care models to improve care for patients with advanced cancer. PMID- 29843520 TI - Effectiveness of mobilization with movement (Mulligan concept techniques) on low back pain: a systematic review. AB - OBJECTIVE: To evaluate evidence on the effectiveness of Mulligan techniques on low back pain. DATA SOURCES: PubMed/Medline, Scopus, Ovid, CINAHL, Embase, PEDro, Google Scholar, and Cochrane Library were searched from inception to 31 March 2018 for randomized clinical trials reporting outcomes of pain or disability in adult patients (?18 years) with low back pain. REVIEW METHODS: Two authors screened the results and extracted data for use in this review. The risk of bias was evaluated using the Cochrane criteria. Basic information and treatment protocols were also extracted. In addition, the level of evidence of each study and strength of conclusion for pain and disability were determined. RESULTS: A total of 20 studies with 693 patients were included. Nine trials focused on sustained natural apophyseal glide, three on spinal mobilization with limb movement and seven on bent leg raise. The results showed that Mulligan techniques can decrease pain and disability and increase range of motion in patients with low back pain; however, the strength of conclusion for pain and disability was moderate. Furthermore, inconclusive results were observed for the effectiveness of Mulligan techniques on movement speed. In this review, eight studies were categorized as low risk of bias, while 12 studies had high risk of bias. Level of evidence analysis revealed that 17 studies were classified as level of evidence B, while three studies were classified as level of evidence A2. CONCLUSION: Current evidence is insufficient in supporting the benefits of Mulligan techniques on pain, disability, and range of motion in low back pain patients. PMID- 29843521 TI - Responsiveness of five measures of arm function in acute stroke rehabilitation. AB - OBJECTIVE: To determine the responsiveness of five arm function measures in people receiving acute inpatient stroke rehabilitation. DESIGN: Inception cohort study. SETTING: Comprehensive stroke unit providing early rehabilitation. SUBJECTS: A total of 64 consecutively admitted stroke survivors with moderately severe disability (Modified Rankin Scale score median (interquartile range (IQR)): 4.0 (1.0)). MAIN MEASURES: Responsiveness was analyzed by calculating effect size, standardized response mean and median-based effect size. Floor/ceiling effects were calculated as the percentage of participants scoring the lowest/highest possible scores. RESULTS: Average length of stay and number of therapy days were 34 (SD = 27.9) and 12 (SD = 13.1), respectively. Box and Block Test and Functional Independence Measure-Self-Care showed the highest responsiveness with values in the moderate-large range (effect size = 1.09, standardized response mean = 1.07 and median-based effect size = 0.76; effect size = 0.94, standardized response mean = 1.04 and median-based effect size = 1.0). Responsiveness of Action Research Arm Test and Upper Limb-Motor Assessment Scale were moderate (effect size = 0.58, standardized response mean = 0.69 and median-based effect size = 0.59; effect size = 0.62, standardized response mean = 0.75 and median-based effect size = 0.67). For Manual Muscle Test, responsiveness was in the small-moderate range (effect size = 0.42, standardized response mean = 0.59 and median-based effect size = 0.5). Box and Block Test showed the largest floor effect on admission (28%), and Action Research Arm Test and Manual Muscle Test showed the largest ceiling effect on discharge (31%). CONCLUSION: These five measures varied in their ability to detect change with responsiveness ranging from the small to large range. Box and Block Test and Functional Independence Measure-Self-Care showed a greater ability to detect change; both demonstrated moderate-large responsiveness. PMID- 29843522 TI - Culturally responsive approaches to health promotion for Native Hawaiians and Pacific Islanders. AB - CONTEXT: Obesity, diabetes and cardiovascular disease (CVD) have reached epidemic proportions among Native Hawaiians/Pacific Islanders (NHPI). Culturally responsive interventions that account for their interpersonal, sociocultural and socioeconomic realities are a public health priority. OBJECTIVE: To describe cultural adaptation and culturally grounded approaches to developing health interventions for NHPI and to review the culturally responsive approaches used by, and outcomes from, two long-standing community-based participatory research projects (CBPR) in Hawai'i: PILI 'Ohana and KaHOLO Projects. METHODS: A literature review of 14 studies from these two projects was done to exemplify the methods applied to culturally adapting existing evidence-based interventions and to developing novel interventions from the 'ground up' to address health disparities in NHPI. Of the 14 studies reviewed, 11 were studies of the clinical and behavioural outcomes of both types of interventions. RESULTS: Both culturally adapted and culturally grounded approaches using community-based assets and NHPI cultural values/practices led to establishing sustainable and scalable interventions that significantly improved clinical measures of obesity, diabetes and hypertension. CONCLUSION: Several recommendations are provided based on the lessons learned from the PILI 'Ohana and KaHOLO Projects. Multidisciplinary and transdisciplinary research using CBPR approaches are needed to elucidate how human biology is impacted by societal, environmental and psychological factors that increase the risk for cardiometabolic diseases among NHPI to develop more effective health promotion interventions and public health policies. PMID- 29843524 TI - 5th International Workshop on Lung Health-Poster Awards' Winners Abstracts. PMID- 29843523 TI - Short- and long-term effects of pulmonary rehabilitation for idiopathic pulmonary fibrosis: a systematic review and meta-analysis. AB - OBJECTIVE: To investigate the short- and long-term effects of pulmonary rehabilitation in patients with idiopathic pulmonary fibrosis (IPF). DATA SOURCES: An electronic search of MEDLINE, Embase and Cochrane Central databases along with hand search of relevant papers were performed on 15 March 2018. REVIEW METHODS: This study was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We searched the literature for randomized controlled trials of pulmonary rehabilitation in IPF patients. The outcomes were exercise capacity and health-related quality of life. Two authors independently extracted data, assessed trial eligibility and risk of bias. Meta-analyses were performed using RevMan and STATA software. RESULTS: We extracted data from four randomized controlled trials (142 participants). At short-term follow-up, pulmonary rehabilitation significantly enhanced 6-minute walk distance (6-MWD; weighted mean difference (WMD) = 38.38, 95% confidence interval (CI) = 4.64-72.12, I2 = 60.7%; P < 0.05), reduced St. George's Respiratory Questionnaire (SGRQ)/IPF-specific SGRQ (SGRQ-I) total score (WMD = -8.40, 95% CI = -11.44 to -5.36, I2 = 0%; P < 0.00001). At long-term follow-up, pulmonary rehabilitation could not enhance 6-MWD (WMD = 17.02, 95% CI = -26.87 to 60.81, I2 = 36.3%; P = 0.43) or reduce SGRQ/SGRQ-I total score (WMD = -3.45, 95% CI = -8.55 to 1.64, I2 = 38.3%; P = 0.088). CONCLUSION: In patients with IPF, pulmonary rehabilitation showed short-term effects in enhancing exercise capacity and health-related quality of life, while it had no detectable effects at long-term follow-up. PMID- 29843525 TI - The effects of inspiratory muscle training on exercise capacity, dyspnea and respiratory functions in lung transplantation candidates: a randomized controlled trial. AB - OBJECTIVE: To investigate whether inspiratory muscle training would contribute to the improvement of exercise capacity, dyspnea perception and respiratory functions in lung transplantation candidates. DESIGN: Prospective randomized controlled trial. SETTING: Pulmonary Rehabilitation center. SUBJECTS: A total of 34 patients with severe lung disease requiring lung transplantation were randomly allocated to either pulmonary rehabilitation plus inspiratory muscle training group (PR + IMT group, n = 17) or pulmonary rehabilitation group (PR group, n = 17) before any lung transplantation operation. METHODS: All patients underwent supervised pulmonary rehabilitation program on two days per week for three months. The PR + IMT group received inspiratory muscle training in addition to the standard pulmonary rehabilitation program. The 6-minute walk test, maximal inspiratory pressure, modified Medical Research Concile dyspnea scores and spirometric parameters were measured for each patient. RESULTS: The PR + IMT group had statistically significantly increased in walking distance (100 m, P = 0.03), maximum inspiratory pressure (26 cmH2O, P = 0.001) and alveolar volume ratio of carbonmonoxide diffusion capacity (9%, P = 0.02) than PR group. Although both groups demonstrated a statistically significant decrease in the dyspnea score, no significant differences were found between the groups ( P = 0.075). There was no change in spirometric variables in both groups. CONCLUSION: A greater increase in exercise capacity was observed in the PR + IMT group. Our study showed that inspiratory muscle training improved exercise capacity even further and increased the benefits provided by pulmonary rehabilitation. PMID- 29843526 TI - The Role of Palliative Medicine in Assessing Hereditary Cancer Risk. AB - BACKGROUND:: Hereditary cancer assessment and communication about family history risks can be critical for surviving relatives. Palliative care (PC) is often the last set of providers before death. METHODS:: We replicated a prior study of the prevalence of hereditary cancer risk among patients with cancer receiving PC consultations, assessed the history in the electronic medical record (EMR), and explored patients' attitudes toward discussions about family history. This study was conducted at an academic urban hospital between June 2016 and March 2017. RESULTS:: The average age of the 75 adult patients with cancer was 60 years, 49 (55%) male and 49 (65%) white. A total of 19 (25%) patients had no clear documentation of family history in the EMR, sometimes because no family history was included in the admission template or an automatically imported template lacked content. In all, 24 (32%) patients had high-risk pedigrees that merited referral to genetic services. And, 48 (64%) patients thought that PC was an appropriate venue to discuss the implications of family history. The mean comfort level in addressing these questions was high. CONCLUSIONS:: At an academic center, 25% of patients had no family history documented in the EMR. And, 32% of pedigrees warranted referral to genetic services, which was rarely documented. There is substantial room for quality improvement for oncologists and PC specialists-often the last set of providers-to address family cancer risk before death and to increase use and ease of documenting family history in the EMR. Addressing cancer family history could enhance prevention, especially among high risk families. PMID- 29843527 TI - Small GTPase RIT1 in Mouse Retina; Cellular and Functional Analysis. AB - PURPOSE: Ras-like without CAAX 1 (RIT1/Rit) is a member of the Ras subfamily of small GTP-binding proteins with documented roles in regulating neuronal function, including contributions to neurotrophin signaling, neuronal survival, and neurogenesis. The aim of the study was to (1) examine the expression of RIT1 protein in mouse retina and retinal cell types and (2) determine whether RIT1 contributes to retinal ganglion cell (RGC) survival and synaptic stability following excitotoxic stress. MATERIALS AND METHODS: Gene expression and immunohistochemical analysis were used to examine RIT1 expression in the mouse retina. Primary RGC and Muller glia cultures were used to validate novel RIT1 lentiviral RNAi silencing reagents, and to demonstrate that RIT1 loss does not alter RGC morphology. Finally, in vitro glutamate exposure identified a role for RIT1 in the adaptation of RGCs to excitotoxic stress. RESULTS: Gene expression analysis and immunohistochemical studies in whole eyes and primary cell culture demonstrate RIT1 expression throughout the retina, including Muller glia and RGCs. While genetic RIT1 knockout (RIT1-KO) does not affect gross retinal anatomy, including the thickness of constituent retinal layers or RGC cell numbers, RNAi-mediated RIT1 silencing results in increased RGC death and synaptic loss following exposure to excitotoxic stress. CONCLUSIONS: RIT1 is widely expressed in the murine retina, including both Muller glia and RGCs. While genetic deletion of RIT1 does not result in gross retinal abnormalities, these studies identify a novel role for RIT1 in the adaptation of RGC to excitotoxic stress, with RIT1 promoting both neuronal survival and the retention of PSD-95+ synapses. PMID- 29843528 TI - A pilot randomised controlled trial of a home-based writing intervention for individuals with seizures. AB - OBJECTIVE: We investigated the feasibility, acceptability and preliminary effectiveness of a writing intervention for individuals with epilepsy or psychogenic nonepileptic seizures. METHODS: Individuals were randomised to write about potentially 'therapeutic' topics (n = 43) or about their daily events (n = 25). Participants were asked to write on four separate occasions for at least 20 min. Repeated-measures analysis of variance was used to investigate change in measures of health-related quality of life (NEWQoL-6D), depression (NDDI-E), anxiety (GAD-7) and illness perception (B-IPQ) from baseline to one and three month follow-ups. Qualitative and quantitative data taken from a Writing Task Questionnaire was analysed between the two conditions. RESULTS: Recruitment was acceptable with 52% of those randomised completing the full writing intervention. In both conditions, participants wrote for longer than 20 min suggesting those who completed the study engaged well with the procedure. Greater benefits were observed in the 'therapeutic' condition (p < 0.05), which was associated with an improvement in health-related quality of life at one-month follow-up (p = 0.02). No differences were found in the other measures. CONCLUSIONS: A writing intervention is acceptable in this population. Self-reported benefits were modest, suggesting therapeutic writing may be more suitable as a supplement to other therapies rather than a stand-alone therapeutic intervention. PMID- 29843529 TI - Investigating the combined effect of pelvic floor muscle exercise and mindfulness on sexual function in women with multiple sclerosis: a randomized controlled trial. AB - OBJECTIVE: To evaluate the combined effect of pelvic floor muscle exercise and mindfulness on sexual function in women with multiple sclerosis. DESIGN: It was a three-arm parallel randomized clinical trial study. SETTING: Outpatient clinic. SUBJECTS: Patients with multiple sclerosis. INTERVENTIONS: Participants in the intervention groups completed an eight-week program consisting of pelvic floor muscle exercise, mindfulness, and pelvic floor muscle exercise along with mindfulness. MAIN MEASURES: The main measure was the Female Sexual Function Index. RESULTS: In total, 70 patients completed the study. The results showed that the total mean scores of the participants' sexual function in pelvic floor muscle exercise group before interventions (i.e. baseline), 8 weeks after the baseline, and 12 weeks after the baseline were 18.8 +/- 6.3, 23.7 +/- 5.1, and 22.3 +/- 4.7, respectively, while total mean scores obtained for the sexual function of mindfulness group were 19.5 +/- 6.4, 26.9 +/- 4.8, and 25.6 +/- 4.5, respectively. Moreover, mean scores obtained for pelvic floor muscle exercise along with mindfulness were 19.6 +/- 5.9, 25.3 +/- 5.4, and 25 +/- 4.8, respectively. There was no significant difference in their effects on sexual function ( P > 0.05). CONCLUSION: Mindfulness and pelvic floor muscle exercise do not have any significant impact upon sexual dysfunction of people with multiple sclerosis. PMID- 29843530 TI - Repeated phytoextraction of metal contaminated calcareous soil by hyperaccumulator Sedum plumbizincicola. AB - Most studies on the phytoextraction of cadmium (Cd) and zinc (Zn) by the hyperaccumulator Sedum plumbizincicola (S. plumbizincicola) have been conducted in metal contaminated acid and neutral soils. However, little information is available on phytoremediation of calcareous soils. Two experiments were conducted to investigate the phytoextraction efficiency of S. plumbizincicola in a contaminated calcareous soil in He'nan province, north China. In a field experiment there was no significant decrease in shoot biomass production or metal (Cd and Zn) concentration in the shoots after three successive repeated phytoextractions. Repeated phytoextraction had no significant effect on the percentage distribution of Cd or Zn fractions in the soil even though the soil total Cd and Zn concentrations decreased by 32.8 and 19.7%, respectively. In a pot experiment the shoot biomass production and Zn and Cd uptake by S. plumbizincicola increased significantly with growth in metal contaminated calcareous soil amended with organic fertilizer, perlite and vermiculite. The results indicate that S. plumbizincicola can maintain sustainable uptake of Cd and Zn from the calcareous soil and enhancement of soil fertility and structure will significantly increase the phytoextraction efficiency. PMID- 29843531 TI - A New Model for Acquiescence at the Interface of Psychometrics and Cognitive Psychology. AB - When measuring psychological traits, one has to consider that respondents often show content-unrelated response behavior in answering questionnaires. To disentangle the target trait and two such response styles, extreme responding and midpoint responding, Bockenholt ( 2012a ) developed an item response model based on a latent processing tree structure. We propose a theoretically motivated extension of this model to also measure acquiescence, the tendency to agree with both regular and reversed items. Substantively, our approach builds on multinomial processing tree (MPT) models that are used in cognitive psychology to disentangle qualitatively distinct processes. Accordingly, the new model for response styles assumes a mixture distribution of affirmative responses, which are either determined by the underlying target trait or by acquiescence. In order to estimate the model parameters, we rely on Bayesian hierarchical estimation of MPT models. In simulations, we show that the model provides unbiased estimates of response styles and the target trait, and we compare the new model and Bockenholt's model in a recovery study. An empirical example from personality psychology is used for illustrative purposes. PMID- 29843533 TI - Erratum. PMID- 29843532 TI - Increased GOLM1 Expression Independently Predicts Unfavorable Overall Survival and Recurrence-Free Survival in Lung Adenocarcinoma. AB - Golgi membrane protein 1 (GOLM1) is a transmembrane glycoprotein of the Golgi cisternae, which is implicated in carcinogenesis of multiple types of cancer. In this study, using data from the Gene Expression Omnibus and The Cancer Genome Atlas, we compared the expression of GOLM1 in lung adenocarcinoma (LUAD) and lung squamous cell carcinoma (LUSC) and studied its prognostic value in terms of overall survival (OS) and recurrence-free survival (RFS) in these 2 subtypes of non-small cell lung cancer (NSCLC). Results showed that GOLM1 was significantly upregulated in both LUAD and LUSC tissues compared to the normal controls. However, GOLM1 expression was higher in LUAD tissues than in LUSC tissues. More importantly, using over 10 years' survival data from 502 patients with LUAD and 494 patients with LUSC, we found that high GOLM1 expression was associated with unfavorable OS and RFS in patients with LUAD, but not in patients with LUSC. The following univariate and multivariate analyses confirmed that increased GOLM1 expression was an independent prognostic indicator of poor OS (hazard ratio [HR]: 1.30, 95% confidence interval [CI]: 1.11-1.54, P = .002) and RFS (HR: 1.37, 95% CI: 1.14-1.64, P = .001) in patients with LUAD. Of 511 cases with LUAD, 248 (48.5%) had heterozygous loss (-1), while 28 (5.5%) of 511 cases with LUAD had low-level copy gain (+1). In addition, we also found that the methylation status of 1 CpG site (chr9: 88,694,942-88,694,944) showed a weak negative correlation with GOLM1 expression (Pearson r = -0.25). Based on these findings, we infer that GOLM1 might serve as a valuable prognostic biomarker in LUAD, but not in LUSC. In addition, DNA copy number alterations and methylation might be 2 important mechanisms of dysregulated GOLM1 in LUAD. PMID- 29843534 TI - Racial/ethnic differences in correlates of psychological distress among five Asian-American subgroups and non-Hispanic Whites. AB - OBJECTIVE: Despite their vastly different historical backgrounds, unique languages and variable pre- and post-immigration experiences, Asian-Americans are considered to share stressors surrounding immigration, but there is a gap in describing manifestations of possible mental distress. Thus, the purpose of this study was to explore and compare differences in factors associated with psychological distress among Asian subgroups including Chinese, Filipino, Vietnamese, Korean, Japanese, and non-Hispanic Whites. DESIGN: Using a cross sectional study design, California Health Interview Survey (CHIS) 2011/2012 data were analyzed. The sample consisted of 29,142 participants: 25,645 non-Hispanic Whites, 3497 non-Hispanic Asian-Americans, 1156 Chinese, 471 Filipinos, 864 Vietnamese, 704 Koreans, and 302 Japanese. Sociodemographic characteristics included gender, age group, marital status, education, poverty level, working status, health insurance, level of acculturation, social cohesion, neighborhood safety, and civic engagement. Physical health status included disability and chronic illness. Psychological distress was evaluated using the Kessler 6 (K6) scale. RESULTS: Results showed that psychological distress levels ranged between 1.96 and 4.52 (p < .05) out of 24 and associated factors were significantly different among the five Asian subgroups and non-Hispanic Whites. CONCLUSIONS: The current study highlights the differences in characteristics of psychological distress among Asian subgroups. It underscores the significance of understanding individualized cultural and historical background in each Asian subgroup and subsequently developing and applying appropriate interventions for those groups. In addition, different influencing factors should be applied to assess and prioritize the needs of Asian subgroups to improve psychological distress. The study also warrants further investigation and careful description of each Asian subgroups. PMID- 29843535 TI - Ability of the Public to Recognize Dogs Considered to Be Dangerous under the Dangerous Dogs Act in the United Kingdom. AB - Canine aggression came into the public eye in the United Kingdom in the late 1980s prompting enactment of the UK Dangerous Dogs Act , which prohibits four breeds or "types" of dogs. The act faced strong opposition surrounding correct identification of prohibited dogs. A questionnaire was distributed to the public via an online platform, especially targetting those who have worked with dogs. The questionnaire assessed respondents' abilities to identify the four banned types of dogs from other breeds and their capability to identify Pit Bull Terrier types from other similar dog types. Identification of both banned breeds, F(1, 20) = 57.746, p < .001, and bull breeds, F(1, 20) = 9.293, p = .006, was significantly lower than identification of other breeds. Recognition of Pit Bull Terrier types from similar types of dogs was generally poor, although people in a dog-related profession, as opposed to those in other professions, could correctly distinguish more pit bull-type dogs (U = 46,164.0, n1 = 187, n2 = 575, p = .003). Findings suggest public understanding of dangerous dogs is poor, and it may impact societal perceptions of dogs more widely. PMID- 29843536 TI - Identification and treatment of residual and relapsed idiopathic clubfoot in 88 children. AB - Background and purpose - The Ponseti treatment is successful in idiopathic clubfoot. However, approximately 11-48% of all clubfeet maintain residual deformities or relapse. Early treatment, which possibly reduces the necessity for additional surgery, requires early identification of these problematic clubfeet. We identify deformities of residual/relapsed clubfeet and the treatments applied to tackle these deformities in a large tertiary clubfoot treatment center. Patients and methods - Retrospective chart review of patients who visited our clinic between 2012 and 2015 focused on demographics, deformities of the residual/relapsed clubfoot, and applied treatment. Residual deformities were defined as deformities that were never fully corrected and needed additional treatment. We defined relapse as any deformity of the clubfoot reoccurring, after initial successful treatment, with necessity for additional treatment. Results - We identified 33 patients with residual and 55 patients with relapsed clubfeet. In both groups decreased dorsal flexion and adduction were the most often registered deformities. Furthermore, often equinus/decreased dorsiflexion, active supination, and varus occurred. In more than half, typical profiles of combined deformities were found. Relapses occurred at all stages of treatment and follow up; half of the residual or relapsed clubfeet were identified before the end of the bracing period. In half of the patients, additional treatment consisted of the Ponseti treatment, one-quarter also required adaptation of the brace protocol, and one-quarter needed additional surgery. The Ponseti treatment was mainly reapplied if feet presented with relapses or residues until the age of 5. Interpretation - Practitioners should especially be aware of equinus/decreased dorsiflexion, adduction, and active supination as a sign of a residual or relapsed clubfoot. Due to the heterogeneous profiles of these clubfeet, treatment strategy should be based on a step-by step approach including recasting, bracing, and if necessary surgical intervention. PMID- 29843537 TI - Antenatal Diagnosis of Fetal Retinoid Syndrome at 20 Weeks of Gestation: A Case Report. AB - INTRODUCTION: Isotretinoin, a synthetic derivative of vitamin A, is one of the most potent human teratogens, and is mainly utilized for the treatment of severe recalcitrant nodular acne. Retinoic acid embryopathy is well defined in the literature. CASE REPORT: The mother was referred for a fetal posterior fossa abnormality, first detected at 20 weeks of gestation. The mother used isotretinoin until 18 weeks gestation. Ultrasound examination revealed hypertelorism, cerebellar hypoplasia, vermian agenesis, truncus arteriosus, anotia, thymic aplasia, corpus callosum hypoplasia. An intrauterine diagnosis of fetal retinoid syndrome was confirmed by fetopsy after termination of pregnancy. CONCLUSION: The typical findings of fetal retinoid syndrome can be visualized with ultrasound in early second trimester. PMID- 29843538 TI - Social support and clinical and functional outcome in people with schizophrenia. AB - PURPOSE: The impact of Social Support (SS) on the clinical and functional evolution of patients diagnosed with schizophrenia was studied from a multidimensional concept of SS in the framework of the vulnerability-stress model. METHODS: In total, 152 patients diagnosed with schizophrenia according to the International Classification of Diseases, Tenth Edition (ICD-10) treated in a Community Mental Health Unit were assessed using the Mannheim Interview on Social Support (MISS) and the Brief Psychiatric Rating Scale (BPRS). Then they were followed up for 3 years with a final assessment for the period using the Social Functioning Scale. The impact of SS was explored in clinical and functional measurements with a multiple regression analysis in a 3-year longitudinal prospective design. RESULTS: The quality of Global Social Support (GSS) and satisfaction with GSS appeared to be protective factors from frequency and duration of hospital admissions, with explanatory intensity varying from 9% in survival time to relapse to 13% in number of relapses. Concerning functional measurements, GSS quantity, quality and satisfaction showed an explanatory power for several different dimensions of social functioning, varying from 12% in isolation to 20% in communication. CONCLUSION: The results confirm SS as a protective factor in the evolution of schizophrenia patients and enable the SS variables with the most explanatory power in their clinical and functional evolution to be identified. PMID- 29843539 TI - Pharmacophore modeling, molecular docking and molecular dynamics studies on natural products database to discover novel skeleton as non-purine xanthine oxidase inhibitors. AB - Gout is a common inflammatory arthritis caused by the deposition of urate crystals within joints. It is increasingly in prevalence during the past few decades as shown by the epidemiological survey results. Xanthine oxidase (XO) is a key enzyme to transfer hypoxanthine and xanthine to uric acid, whose overproduction leads to gout. Therefore, inhibiting the activity of xanthine oxidase is an important way to reduce the production of urate. In the study, in order to identify the potential natural products targeting XO, pharmacophore modeling was employed to filter databases. Here, two methods, pharmacophore based on ligand and pharmacophore based on receptor-ligand, were constructed by Discovery Studio. Then GOLD was used to refine the potential compounds with higher fitness scores. Finally, molecular docking and dynamics simulations were employed to analyze the interactions between compounds and protein. The best hypothesis was set as a 3D query to screen database, returning 785 and 297 compounds respectively. A merged set of the above 1082 molecules was subjected to molecular docking, which returned 144 hits with high-fitness scores. These molecules were clustered in four main kinds depending on different backbones. What is more, molecular docking showed that the representative compounds established key interactions with the amino acid residues in the protein, and the RMSD and RMSF of molecular dynamics results showed that these compounds can stabilize the protein. The information represented in the study confirmed previous reports. And it may assist to discover and design new backbones as potential XO inhibitors based on natural products. PMID- 29843540 TI - The Impact of Micropapillary Component Ratio on the Prognosis of Patients With Invasive Micropapillary Breast Carcinoma. AB - BACKGROUND AND OBJECTIVES: Invasive micropapillary carcinoma (IMPC) of the breast is a rare and aggressive variant of invasive ductal carcinoma characterized by high-grade lymphovascular invasion and high rates of nodal metastasis. The prognostic significance of the micropapillary component (MC) ratio that constitutes this aggressive variation is controversial. In this study, we aimed to investigate the effect of the MC ratio on the prognosis of these patients. METHODS: The data of 47 patients with IMPC were retrospectively reviewed. Patients were divided into two groups: MC ratio of 10-75% (Group 1) and greater than 75% (Group 2). The demographic characteristics of the patients, histopathologic features of the tumors, and survival rates were compared. RESULTS: We detected no significant difference in demographic characteristics between groups 1 and 2 (p = 0.21). No significant difference was detected in terms of tumor diameter, lymph node metastasis, lymphovascular invasion, histologic grade, multicentricity, local recurrence, distant metastasis, and overall survival. CONCLUSION: In the micropapillary subgroup of invasive ductal carcinoma, although positive receptor characteristics are directly proportional to the increase in MC ratio, recurrence and survival rates are not affected by micropapillary component level. PMID- 29843541 TI - Hemoadsorption in cardiac shock with bi ventricular failure and giant-cell myocarditis: A case report. AB - PURPOSE: Giant-cell myocarditis represents a rare and often fatal autoimmune disorder. Despite extracorporeal life support being a valid treatment option, alternatives to control the underlying inflammatory response remain sparse. A new hemoadsorption device (CytoSorb) has recently been introduced to treat patients with an excessive inflammatory response. METHODS: A 57-year-old patient developed fulminant right heart failure, respiratory insufficiency, hemodynamic instability, and oliguric-anuric renal failure. An extracorporeal life support together with an Impella was implanted for circulatory support. Due to non pulsatility, acontractility of the left ventricle and a heavily reduced right ventricular function, a left ventricular assist device implantation and change from extracorporeal life support to veno-pulmonary arterial extracorporeal membrane oxygenation was performed. Since adequate hemodynamic stabilization could not be achieved and due to increasing inflammatory mediators and bilirubin levels, the decision was made to additionally integrate a CytoSorb hemoadsorber into the system. RESULTS: The combined treatment resulted in a clear and steady improvement in hemodynamics and the inflammatory condition with marked reductions in all measured parameters throughout the treatment period. Metabolic acidosis resolved and liver function improved. CONCLUSION: Extracorporeal life support therapy represents a bridging approach to heart transplantation or to cardiac recovery and can be complemented by CytoSorb as an independent therapeutic option. The patient described herein with giant-cell myocarditis and fulminant cardiac failure who received substantial extracorporeal support in combination with CytoSorb hemoadsorption therapy benefited in terms of an improvement of organ function and his inflammatory situation. PMID- 29843542 TI - A Fully Automated High-Throughput Flow Cytometry Screening System Enabling Phenotypic Drug Discovery. AB - The goal of high-throughput screening is to enable screening of compound libraries in an automated manner to identify quality starting points for optimization. This often involves screening a large diversity of compounds in an assay that preserves a connection to the disease pathology. Phenotypic screening is a powerful tool for drug identification, in that assays can be run without prior understanding of the target and with primary cells that closely mimic the therapeutic setting. Advanced automation and high-content imaging have enabled many complex assays, but these are still relatively slow and low throughput. To address this limitation, we have developed an automated workflow that is dedicated to processing complex phenotypic assays for flow cytometry. The system can achieve a throughput of 50,000 wells per day, resulting in a fully automated platform that enables robust phenotypic drug discovery. Over the past 5 years, this screening system has been used for a variety of drug discovery programs, across many disease areas, with many molecules advancing quickly into preclinical development and into the clinic. This report will highlight a diversity of approaches that automated flow cytometry has enabled for phenotypic drug discovery. PMID- 29843543 TI - Use of a fracture prevention screening algorithm predicts self-reported falls in postmenopausal women. AB - BACKGROUND AND PURPOSE: The prevention of falls and fall-related fractures following menopause is an important health initiative. The Fracture Prevention Screening Algorithm (FPSA) uniquely uses fracture risk to prompt fall risk assessment to classify both fall and fracture risk in individuals. The purpose of this study was to determine whether use of the FPSA accurately predicted self reported falls in post-menopausal women over one year. METHODS: 142 postmenopausal women were recruited. Based on Fracture Risk Assessment Tool (FRAX(r)) scores, women with a >=3% 10-year probability of hip fracture (high risk), or who self-identified as having balance problems or a fall history, underwent the Functional Gait Assessment (FGA) to estimate fall risk (high risk = <=22/30). This allowed classification on the FPSA into one of four risk categories: low fall/low fracture risk; low fall/high fracture risk; high fall/low fracture risk; high fall/high fracture risk. Participants were contacted monthly for one year to determine fall and injury occurrence. RESULTS: Fall/injury surveillance was conducted with 136 subjects over one year. Compared to women in the low fall/low fracture risk group, both high fall risk groups demonstrated significantly greater fall rates. Falls were 81-89% more likely in women with FGA scores of 22/30 or less. All injuries were rare events across all risk strata and did not differ between risk groups. CONCLUSION: These findings support the use of fracture risk as a trigger for fall screening to comprehensively classify risk in post-menopausal women as proposed by the FPSA. PMID- 29843545 TI - Using Twitter to recruit participants for health research: An example from a caregiving study. AB - Twitter has the potential to optimize research conduct, but more research is needed around the nature of study-related tweets and strategies for optimizing reach. In the context of our caregiving study, we aimed to describe the nature and extent of study-related tweets, the extent to which they were shared by others, and their potential reach. To do so, we conducted a secondary analysis of our Twitter recruitment. We aggregated and categorized study-related tweets and analyzed the reach of the 10 most retweeted tweets. Results indicated that of 71 caregivers, 27 were recruited via Twitter. General recruitment tweets were most shared by users. Tweet reach ranged from 5273 to 62,144 users. Twitter caregivers were demographically comparable to non-Twitter caregivers but had higher Internet proficiency and fewer children. Overall, using a personal Twitter account can expand the reach of study recruitment. Future research should compare different recruitment strategies and explore characteristics that may challenge the heterogeneity of Twitter samples. PMID- 29843544 TI - Validation of in vitro assays in three-dimensional human dermal constructs. AB - Three-dimensional cell culture systems are urgently needed for cytocompatibility testing of biomaterials. This work aimed at the development of three-dimensional in vitro dermal skin models and their optimization for cytocompatibility evaluation. Initially "murine in vitro dermal construct" based on L929 cells was generated, leading to the development of "human in vitro dermal construct" consisting of normal human dermal fibroblasts in rat tail tendon collagen type I. To assess the viability of the cells, different assays CellTiter-Blue(r), RealTime-GloTM MT, and CellTiter-Glo(r) (Promega) were evaluated to optimize the best-suited assay to the respective cell type and three-dimensional system. Z stack imaging (Live/Dead and Phalloidin/DAPI-Promokine) was performed to visualize normal human dermal fibroblasts inside matrix revealing filopodia-like morphology and a uniform distribution of normal human dermal fibroblasts in matrix. CellTiter-Glo was found to be the optimal cell viability assay among those analyzed. CellTiter-Blue reagent affected the cell morphology of normal human dermal fibroblasts (unlike L929), suggesting an interference with cell biological activity, resulting in less reliable viability data. On the other hand, RealTime-Glo provided a linear signal only with a very low cell density, which made this assay unsuitable for this system. CellTiter-Glo adapted to three dimensional dermal construct by optimizing the "shaking time" to enhance the reagent penetration and maximum adenosine triphosphate release, indicating 2.4 times higher viability value by shaking for 60 min than for 5 min. In addition, viability results showed that cells were viable inside the matrix. This model would be further advanced with more layers of skin to make a full thickness model. PMID- 29843546 TI - Collaboration is key to accelerating diagnostics access to optimize benefits of precision medicines. PMID- 29843547 TI - Prediction of spontaneous preterm birth: salivary progesterone assay and transvaginal cervical length assessment after 24 weeks of gestation, another critical window of opportunity. AB - OBJECTIVES: Measurement of salivary progesterone (SP4) levels and cervical length (CL) after 24 weeks to assess their potential predictive value among asymptomatic women at high risk of spontaneous preterm birth (PTB). METHODS: This prospective observational (noninterventional) study consecutively recruited asymptomatic women at high risk of spontaneous PTB. SP4 and CL were measured at recruitment (24-28 weeks of gestation) then repeated after 3-4 weeks. All recruited women were followed up regularly till delivery. The primary outcome measure was the occurrence of spontaneous PTB. RESULTS: One hundred and thirty four women completed the study, 22 (16.4%) and 32 (23.9%) women had early (<34 weeks) and late (>=34 weeks) PTB, respectively. Initially, the mean CL was 3.2 +/- 0.6 cm and the mean SP4 was 4062.8 +/- 814.6 pg/ml; with follow up, the mean CL became 3.0 +/- 0.6 cm and the mean SP4 became 3871.6 +/- 1136.9. Women with early PTB had significantly lower initial and follow up CL and SP4 measures when compared to women with late PTB and those who had birth at term. The rate of drop in SP4 and CL measurements between the two visits was also significantly higher among women with early PTB than those with late PTB and term birth. Receiver-operating characteristic (ROC) curves showed that, CL was a good predictor but SP4 was a better predictor of PTB as the area under the curve (AUC) for CL was less than that for SP4 at both visits (i.e. 0.858 and 0.868 versus 0.986 and 0.990 at the initial and follow up visits, respectively). There was a statistically significant correlation between CL and SP4 measurements. Multivariable binary logistic regression analysis revealed that follow up SP4 measurement was the only independent predictor of spontaneous PTB, and neither BMI, maternal age, SP4 nor CL were independent predictors of early spontaneous PTB. CONCLUSIONS: After 24 gestational weeks, SP4 assessment is a simple and reliable promising tool to predict spontaneous PTB among asymptomatic high-risk women, with a little superior performance than CL measurement. PMID- 29843549 TI - Associations Between Initial Subjective Experiences with Tobacco and Self Reported Recent Use in Young Adulthood. AB - BACKGROUND: Youth tobacco use behaviors are predictive of patterns in adulthood and effect long-term health outcomes. Yet, few studies have examined the effect of initial subjective experiences (ISEs) during first tobacco use, which has been found to be an indicator of individuals. sensitivity to nicotine and vulnerability to dependence. OBJECTIVE: The present study aimed to determine the prevalence of ISEs across a variety of tobacco products, evaluate the factor structure of ISEs by first tobacco product used, and examine the relationship between ISEs and recent (30-day) use of tobacco products across time, using a university sample. METHODS: Exploratory factor analyses were conducted to identify latent factors present with respect to items measuring ISEs with tobacco, separately by tobacco product (e.g. cigarettes, cigars, hookah, e cigarettes). Factor scores for positive and negative ISEs were calculated. Multiple logistic regression analyses were conducted to examine associations between ISEs and recent use of each tobacco product, adjusted for age at first use, sex, race/ethnicity, and cohort. RESULTS: ISEs differ by the first tobacco product used. Associations between factor scores for positive and negative ISEs and recent use were found across a variety of tobacco products. Overall, positive ISEs were more strongly associated with recent use, relative to negative ISEs. CONCLUSIONS: Further research is needed to identify genetic and biological pathways and social contexts influencing initial subjective experiences with tobacco use, in efforts to delay the initiation for tobacco use and reduce risk for continued use among young adults. PMID- 29843550 TI - The polymorphisms of growth factor genes (VEGFA & EGF) were associated with response to acitretin in psoriasis. AB - AIM: VEGF and EGF are assumed to be involved in the pathogenesis of psoriasis, while the impacts of their polymorphisms on psoriasis are inconsistent. Therefore, we hope to clarify these relationships in the Chinese Han population. METHODS: A total of 131 patients with psoriasis vulgaris and 176 controls were enrolled. The polymorphisms rs833061 (T > C), rs10434 (G > A) in VEGFA, and rs4444903 (G > A), rs2237051 (A > G) in EGF of each participant were detected. The patients were treated with calcipotriol plus acitretin 30 mg/day for 8 weeks. RESULTS: No SNPs of rs833061, rs10434, rs4444903 and rs2237051 were found to be associated with psoriasis susceptibility and efficacy. Although the mutation of rs10434A was associated with baseline disease severity (p = 0.026), and rs2237051G allele was associated with increased erythema during treatment (p = 0.015). CONCLUSION: The allele of rs2237051 G increased the erythema during the treatment, and no polymorphism of VEGF and EGF gene was found to be associated with the susceptibility and efficacy in psoriasis. PMID- 29843548 TI - Cannabis regulatory science: risk-benefit considerations for mental disorders. AB - The evolving legal cannabis landscape in the US continues to present novel regulatory challenges that necessitate the development of a Cannabis Regulatory Science. Two specific issues of concern within Cannabis Regulatory Science are (1) the impact that cannabis use has on the incidence, prevalence, and severity of mental disorders, and (2) how cannabis laws and regulations modify this impact. This paper first provides several conceptual points that are useful for evaluating the relationship between cannabis use and mental disorders. Second, it selectively reviews and comments on data relevant to the relationship between cannabis use and depression, several forms of anxiety, post-traumatic stress disorder, schizophrenia, and bipolar disorder. Next, regulatory and public health parallels between the nascent cannabis industry and the pharmaceutical, tobacco, and alcohol industries are discussed. The focus is on specific types of industry practices that may harm those with or at risk for mental disorders. Recommendations are then offered for legal cannabis regulations that could mitigate this harm. Last, future research goals are discussed for building the field of Cannabis Regulatory Science and addressing the potential negative impact of cannabis on those with mental disorders. PMID- 29843551 TI - Rupture of a true brachial artery aneurysm in a kidney transplant patient after arteriovenous fistula ligation: A rare presentation of an unusual disease. PMID- 29843552 TI - Electrospun poly(vinyl) alcohol/collagen nanofibrous scaffold hybridized by graphene oxide for accelerated wound healing. AB - PURPOSE: In this study, a blend of synthetic polymer (poly(vinyl) alcohol), natural polymer (collagen type I from fish bone), and graphene oxide nanoparticles is used to fabricate a composite nanofibrous scaffold, by electrospinning, for their potential application in accelerated wound healing. METHODS: The scaffold was characterized for its physicochemical and mechanical properties. In vitro studies were carried out using human keratinocyte cell line (HaCaT) which proved the biocompatibility of the scaffold. In vivo study using mice model was carried out and the healing pattern was evaluated using histopathological studies. RESULTS: Scaffold prepared from poly(vinyl) alcohol, collagen type I from fish bone, and graphene oxide possessed better physicochemical and mechanical properties. In addition, in vivo and in vitro studies showed its accelerated wound healing properties. CONCLUSION: The scaffold with required strength and biocompatibility may be tried as a wound dressing material in large animals after getting necessary approval. PMID- 29843553 TI - Efficacy of ferrous bis-glycinate versus ferrous glycine sulfate in the treatment of iron deficiency anemia with pregnancy: a randomized double-blind clinical trial. AB - OBJECTIVE: The aim of this study is to compare the efficacy and tolerability of oral ferrous bis-glycinate versus ferrous glycine sulfate in the treatment of iron deficiency anemia (IDA) with pregnancy. METHODS: A randomized double-blind clinical trial (NCT02590224) conducted at a tertiary University Hospital in the period between 1 January 2016 and 31 July 2017 included pregnant women at 14-18 weeks of gestation with mild to moderate IDA. Patients were randomized into two groups: (Group I) received oral ferrous bis-glycinate tablets once daily for eight consecutive weeks and (Group II) received oral ferrous glycine sulfate capsules in the same dose and duration. The primary outcome of the study was the rate of increase of hemoglobin (HB) level after 8 weeks of iron treatment. RESULTS: The study included 187 women in the final analysis. The mean increase in HB level after 8 weeks of treatment in ferrous bis-glycinate group was 2.48 +/- 0.12 g/dL versus 1.32 +/- 0.18 g/dL in ferrous glycine sulfate group (p <= .0001). The percentage of women with HB level more than 11 g/dL after 8 weeks of treatment was 89.2% in ferrous bis-glycinate group versus 71.3% in ferrous glycine sulfate group (p < .0001). The rate of adverse effects was significantly higher in ferrous glycine sulfate group (p = .001). CONCLUSIONS: Pregnant women with second trimester IDA could be supplied with ferrous bis-glycinate which is more efficient in increasing HB level. Moreover, it has tolerable adverse effects and high compliance than ferrous glycine sulfate. PMID- 29843554 TI - Early cannulation grafts for haemodialysis: An updated systematic review. AB - PURPOSE: Early cannulation grafts are specifically designed for dialysis, whereas standard expanded polytetrafluoroethylene grafts were not. There is developing collective experience and literature available to allow the assessment of outcomes of these early cannulation grafts. The aim of this review was to review the evidence for both short- and long-term outcomes of early cannulation grafts. METHODS: Using standardized searches of electronic databases in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses, the primary outcomes for this study were primary and secondary patency rates for early cannulation grafts for dialysis at 12 months and beyond. Secondary outcomes were timing of first cannulation, rates of access thrombosis, steal syndrome, pseudo aneurysm and infection. RESULTS: A total of 19 studies were identified and included. These were divided into different graft types. FlixeneTM, AvfloTM, AcusealTM and VectraTM grafts all showed that early cannulation within 72 h is possible. Twelve-month pooled primary and secondary patency rates were 43.3% (95% confidence interval: 31.6-55.4) and 73.4% (95% confidence interval: 63-82.7) for the Flixene graft, 58.2% (95% confidence interval: 48-68.1) and 79.2% (95% confidence interval: 68-88.7) for the Avflo graft, 43.6% (95% confidence interval: 30.7-56.9) and 70.5% (95% confidence interval: 49.7-87.8) for the Acuseal graft and 63.7% (95% confidence interval: 53.4-73.4) and 85.8% (95% confidence interval: 82.9-88.4) for the Vectra graft. Data for outcome beyond 12 months were limited to the more recent studies. CONCLUSION: This review confirms that early cannulation is not detrimental on the early outcome of early cannulation graft patencies. It has also shown that both Vectra and Avflo grafts have adequate long-term patencies. The data do not allow specific graft recommendations, as comparative trials would be required. PMID- 29843555 TI - Prevalence and correlates of major depression in Granada, Spain: Results from the GranadSigmap study. AB - BACKGROUND: Major depression is one of the world's leading causes of disability. Up-to-date information about the epidemiology of this disorder is key to health care planning. AIM: The aim of our study is to report prevalence and correlates of current major depressive disorder (MDD) in the province of Granada, Southern Spain. METHODS: The GranadSigmap is a cross-sectional study based on a community dwelling adult population living in the province of Granada, Southern Spain. Community-dwelling adults aged 18-80 years ( n = 810) were interviewed using the Mini-International Neuropsychiatric Interview (MINI). A variety of exposure assessments were also undertaken. RESULTS: Point (2 weeks) prevalence of MDD in the Granada population was 5.6%. Positive family history of mental illness, high degree of neuroticism, high number of life threatening events (LTE), poor physical health status, cognitive impairment and cannabis use were independently associated with MDD in the multivariate regression model. Being female was also associated with MDD, but the significance disappeared after adjusting for neuroticism and physical health. CONCLUSION: Prevalence of MDD in the Granada population is higher than expected. The effects of the financial crisis could be partially accountable for this excess in prevalence. Six variables were found to be independently associated with MDD. Association between female sex and depression may be partially explained by the confounding effect of neuroticism. PMID- 29843556 TI - Assessing workload in neuropsychology: An illustration with the Tower of Hanoi test. AB - Workload is a common and useful construct in human factors research that has been largely overlooked in other areas of psychology, including neuropsychology, where it could be effectively employed both theoretically and practically. A popular subjective measure of workload, the NASA-Task Load Index (NASA-TLX), is illustrated with a computerized version of the Tower of Hanoi (TOH), a typical neuropsychological test of executive function. Reported workload, especially as an overall measure and also for the Mental Demand and Effort subscales, was greater in the more difficult TOH conditions and was positively correlated with number of moves to complete the TOH as well as completion time. Thus, results support the utility or construct validity of the NASA-TLX in reflecting workload states in the individual as well as various demands of the neuropsychological test (the timing, physical demands, etc.). It is argued that workload can be a useful construct in neuropsychological assessment, providing an additional channel of information on patient status. For instance, what does it mean if test performance for a patient is at a typical level (indicating no deficit) but workload is exceptionally high? PMID- 29843557 TI - Preparation of carbon nanofibers/tubes using waste tyres pyrolysis oil and coal fly ash derived catalyst. AB - In this study, two waste materials namely; coal fly ash (CFA) and waste tyres pyrolysis oil, were successfuly utilized in the synthesis of carbon nanofibers/tubes (CNF/Ts). In addition, Fe-rich CFA magnetic fraction (Mag-CFA) and ethylene gas were also used for comparison purposes. The carbons obtained from CFA were found to be anchored on the surface of the cenosphere and consisted of both CNTs and CNFs, whereas those obtained from Mag-CFA consisted of only multi-walled carbon nanotubes (MWCNTs). The study further showed that the type of carbon precursor and support material played an important role in determining the nanocarbon growth mechanism. The findings from this research have demonstrated that it is possible to utilize waste tyres pyrolysis oil vapor as a substitute for some expensive commercial carbonaceous gases. PMID- 29843558 TI - Neuroencorine Tumor Arising within a Tailgut Cyst in an Adolescent Boy. AB - INTRODUCTION: Neuroendocrine tumors (NET) within tailgut cysts (TC) are usually seen in middle-aged females. A 14 year-old boy who underwent surgical excision of NET within TC is presented to discuss the clinical features, diagnosis and treatment options. CASE REPORT: A 14-year-old boy with rectal bleeding and constipation had a 5 * 4 cm mass detected upon rectal examination. The cystic mass was totally excised. The histopathological evaluation revealed a low-grade NET within mucularis layer of the cyst showing a positive immunhistochemical staining for cytokeratin and synaptophysin. CONCLUSION: Although, the malignant transition of TC is commonly observed in middle age females, males and children can also be affected. This is first report of a pediatric TC with malignant transformation. Total surgical excision of cysts is mandatory for local control of the disease and chemotherapy should be reserved for the patients who have positive surgical margins. PMID- 29843559 TI - No consensus on physicians' preferences on vascular access management after kidney transplantation: Results of a multi-national survey. AB - OBJECTIVE: Arteriovenous fistulas for hemodialysis vascular access are a burden for the cardiovascular system. After successful kidney transplantation, prophylactic arteriovenous fistula ligation may improve cardiac outcomes; however, evidence is scarce. This survey investigates physicians' preference for management of arteriovenous fistulas and identifies the factors associated with preference for either arteriovenous fistula ligation or maintenance. MATERIALS AND METHODS: A survey was sent to members of eight national and international Nephrology and Vascular Surgery societies. The survey comprised eight case vignettes of asymptomatic patients with a functioning arteriovenous fistula after kidney transplantation. Characteristics possibly associated with treatment preferences were arteriovenous fistula flow, left ventricular ejection fraction, and patient age. Respondents were asked to state preference to maintain or ligate the arteriovenous fistula. Linear mixed-effects models were used to investigate the association of treatment preference with case characteristics. RESULTS: A total of 585 surveys were returned. A reduced left ventricular ejection fraction of 30% (beta 0.60, 95% confidence interval 0.55; 0.65) and a high flow of 2500 mL/min (beta 0.46, 95% confidence interval 0.41; 0.51) were associated with a higher preference for arteriovenous fistula ligation. Disagreement among respondents was considerable, as in four out of eight cases less than 70% of respondents agreed on the arteriovenous fistula management strategy. CONCLUSION: Although respondents recognize a reduced left ventricular ejection fraction and a high flow as the risk factors, the high disagreement on management preferences suggests that evidence is inconclusive to recommend arteriovenous fistula ligation or maintenance after kidney transplantation. More research is needed to determine optimal arteriovenous fistula management after successful kidney transplantation. PMID- 29843560 TI - Anhedonia as a clinical correlate of inflammation in adolescents across psychiatric conditions. AB - OBJECTIVES: Peripheral inflammation has been associated with multiple psychiatric disorders, particularly with depression. However, findings remain inconsistent and unreproducible, most likely due to the disorder's heterogeneity in phenotypic presentation. Therefore, in the present study, in an effort to account for inter individual differences in symptom severity, we utilised a dimensional approach to assess the relationships between a broad panel of inflammatory cytokines and key psychiatric symptoms (i.e. depression, anhedonia, anxiety, fatigue and suicidality) in adolescents across psychiatric disorders. We hypothesised that only anhedonia (reflecting deficits of reward function) will be associated with inflammation. METHODS: Participants were 54 psychotropic medication-free adolescents with diverse psychiatric conditions and 22 healthy control (HC) adolescents, aged 12-20. We measured 41 cytokines after in vitro lipopolysaccharide stimulation. Mann-Whitney U and Spearman correlation tests examined group comparison and associations, respectively, while accounting for multiple comparisons and confounds, including depression severity adolescent. RESULTS: There were no group differences in cytokine levels. However, as hypothesised, within the psychiatric group, only anhedonia was associated with 19 cytokines, including haematopoietic growth factors, chemokines, pro-inflammatory cytokines, and anti-inflammatory cytokines. CONCLUSIONS: Our findings suggest that general inflammation may induce reward dysfunction, which plays a salient role across psychiatric conditions, rather than be specific to one categorical psychiatric disorder. PMID- 29843561 TI - Spontaneous Ectopic Choroid Plexus with Sclerosis in Adult Beagle Dogs. AB - Microscopic examination of the brain of adult Beagle dogs from four different general toxicity studies revealed the presence of ectopic choroid plexus tissue in six individual dogs (4 females and 2 males) with ages ranging from 12 to 18 months. In each dog, this finding was characterized by a well-circumscribed mass localized to a region above and along the corpus callosum without any apparent compression of adjacent brain tissue. Each mass was composed of columnar ependymal cells forming tubular structures surrounded by variable amounts of fibrovascular connective tissue and had the appearance of small rests of ependymal cells that had been penetrated by the leptomeninges during neural development. There were no associated clinical signs or macroscopic correlates. Based on morphologic appearance, a diagnosis of spontaneous ectopic choroid plexus with secondary sclerosis was made. To the authors' knowledge, ectopic choroid plexus has not been reported in Beagle dogs and is rare in humans and horses. PMID- 29843562 TI - Computational and experimental validation of morin as adenosine deaminase inhibitor. AB - Adenosine deaminase (ADA) is one of the major enzymes involved in purin metabolism, it has a significant role in cell growth and differentiation. Over activity of ADA has been noticed in some pathology, like malignancy and inflammation and makes it an attractive target for the development of drugs for such diseases. In the present study, ADA inhibitory activity of morin, a bioactive flavonoid, was assessed through computational and biophysical methods. The enzyme kinetics data showed that morin is a competitive inhibitor of ADA. Binding energy calculated from ITC analysis was -7.11 kcal/mol. Interaction of morin with ADA was also studied using fluorescence quenching method. Molecular docking studies revealed the structural details of the interaction. Molecular dynamics study in explicit solvent was also conducted to assess the structural stability of protein ligand complex. PMID- 29843563 TI - Subcritical water extraction of thyreostats from bovine muscle followed by liquid chromatography-tandem mass spectrometry. AB - Thyreostats can be used fraudulently to promote a rapid increase in weight of breeding animals at low cost. Their severe toxicological effects impose the development of reliable analytical methods to be used in monitoring plans. This work describes an alternative approach to isolate residues of thiouracil, methyl thiouracil, propyl-thiouracil, phenyl-thiouracil, tapazole and mercaptobenzimidazole from bovine muscle tissue. The developed procedure is based on the following three steps: i) matrix solid-phase dispersion with C18 for the preliminary sample preparation; ii) subcritical water extraction (SWE) at 160 degrees C and 100 bar; iii) clean-up on an Oasis HLB cartridge. The quantitative determination was performed by LC-MS/MS in dual polarity ionization by using internal standardization. The SWE-LC-MS/MS method was validated according to the identification criteria of the Commission decision 2002/657/EC. The relative recoveries ranged from 72 to 97%; within-lab reproducibility was less than 18%. The decision limit and the detection capability of all analytes were below the recommended concentration, set at 10 ug kg-1, but the validation results demonstrated that this method could only be applied for screening of thiouracil and methyl-thiouracil. Besides the analytical advantages related to the use of water as solvent extraction, the procedure allowed significant removal of lipids, whose detrimental effects on instrumentation and MS sensitivity are well-known. PMID- 29843564 TI - Age-related changes in physical and perceptual markers of recovery following high intensity interval cycle exercise. AB - BACKGROUND: The purpose of this study was to compare physical performance, perceptual and haematological markers of recovery in well-trained masters and young cyclists across 48 h following a bout of repeated high-intensity interval exercise. METHODS: Nine masters (mean +/- SD; age = 55.6 +/- 5.0 years) and eight young (age = 25.9 +/- 3.0 years) cyclists performed a high-intensity interval exercise session consisting of 6 * 30 s intervals at 175% peak power output with 4.5 min rest between efforts. Maximal voluntary contraction (MVC), 10 s sprint (10SST), 30-min time trial (30TT) performance, creatine kinase concentration (CK) and perceptual measures of motivation, total recovery, fatigue and muscle soreness were collected at baseline and at standardised time points across the 48 h recovery period. RESULTS: No significant group-time interactions were observed for performance of MVC, 10SST, 30TT and CK (P > 0.05). A significant reduction in 10SST peak power was found in both masters (P = 0.002) and young (P = 0.003) cyclists at 1 h post exercise, however, both groups physically recovered at similar rates. Neither group showed significant (P > 0.05) or practically meaningful increases in CK (%? < 10%). A significant age-related difference was found for perceptual fatigue (P = 0.01) and analysis of effect size (ES) showed that perceptual recovery was delayed with masters cyclists reporting lower motivation (ES +/-90%CI = 0.69 +/- 0.77, moderate), greater fatigue (ES = 0.75 +/ 0.93, moderate) and muscle soreness (ES = 0.61 +/- 0.70, moderate) after 48 h of recovery. CONCLUSION: The delay in perceived recovery may have negative effects on long-term participation to systematic training. PMID- 29843565 TI - A Schema of Denial: The Influence of Rape Myth Acceptance on Beliefs, Attitudes, and Processing of Affirmative Consent Campaign Messages. AB - This study aims to examine the influence of rape myth acceptance (RMA) and the perceived salience of sexual violence on the cognitive processing of an affirmative consent campaign active on the campus where research was conducted. As part of a midcourse evaluation of the Consent is Sexy (CIS) campaign (N = 285), a subsample of participants who reported prior exposure to campaign posters (N = 182) was asked to review four campaign posters and indicate the extent to which they processed the message in the posters systematically. Robust gender differences in perceived salience of sexual violence, supportive attitudes, and perceived behavioral control (PBC) toward establishing consent were mediated by RMA. Moreover, robust gender differences in the systematic processing of the campaign were mediated by RMA and perceived salience in serial. Implications of the influence of rape myths and perceived salience on the cognitive processing of affirmed consent campaigns are discussed with respect to both campaign message design and implementation. PMID- 29843566 TI - Urinary aflatoxin exposure monitoring in rural and semi-urban populations in Ogun state, Nigeria. AB - Aflatoxins are a major class of fungal toxins that have food safety importance due to their economic and health impacts. This pilot aflatoxin exposure biomonitoring study on 84 individuals was conducted in a rural (Ilumafon) and a semi-urban community (Ilishan Remo) of Ogun state, Nigeria, to compare aflatoxin exposures among the two population cohorts. First morning urine samples were obtained from the participants, and the urinary aflatoxin M1 (AFM1) levels were measured by a quantitative Helica Biosystems Inc. ELISA kit assay. About 99% (83 out of 84) of the urine samples had detectable AFM1 levels in the range of 0.06 to 0.51 ng mL-1 (median: 0.27 ng mL-1). The mean urinary AFM1 levels were significantly (p = 0.001) higher in the semi-urban population (0.31 +/- 0.09 ng mL-1) compared to the rural population (0.24 +/- 0.07 ng mL-1). There were, however, no significant differences in mean urinary AFM1 levels of males and females, and among children, adolescents and adults. This study indicates high aflatoxin exposure to the extent of public health concerns in the studied populations. Thus, more efforts are required for aflatoxin exposure monitoring and control in high-risk regions. PMID- 29843567 TI - Practice Patterns of Fenestrated Aortic Aneurysm Repair: Nationwide Comparison of Z-Fen Adoption at Academic and Community Centers Since Commercial Availability. AB - CONTEXT: Over the past decade, a number of endovascular approaches have evolved to treat aortic aneurysms with anatomy that is not amenable to traditional endovascular repair, although the optimal practice and referral patterns remain in question. The Zenith fenestrated (Z-Fen) endograft (Cook Medical) represents the first commercially available fenestrated graft product in the United States. OBJECTIVE: We aim to quantify practice patterns in Z-Fen use during the first 5 years of commercial availability, and we identify predictors of high and low uptake. DESIGN, SETTING, AND PATIENTS: This is a retrospective review of complete order records for Z-Fen endografts since June 2012. We performed univariate and multivariate regressions of predictors that surgeons and centers would be in the top and bottom quartiles of annual Z-Fen use. RESULTS: Since June 15, 2012, 744 surgeons have been trained to use Z-Fen, and 4133 cases have been performed at 409 trained centers. The average annual number of cases per trained surgeon was 4.46 [95% confidence interval (CI), 3.58-5.70]; however, many surgeons performed few or no cases following training, and there was a skew toward users with low average annual volumes (25th percentile 1.23, 50th percentile 2.35, 75th percentile 4.93, and 99th percentile 33.29). Predictors of high annual use in the years following training included academic center (aOR 5.87, P = .001) and training within the first 2 years of availability (aOR 46.23, P < .001). CONCLUSION: While there is literature supporting the safety and efficacy of Z Fen, adoption has been relatively slow in an era when the vast majority of vascular surgeons have advanced endovascular skills. Given the training and resources required to use fenestrated or branched aortic endovascular devices, referral patterns should be determined and training should be focused on centers with high expected volumes. PMID- 29843568 TI - The status of research ethics in social work. AB - Research ethics provide important and necessary standards related to the conduct and dissemination of research. To better understand the current state of research ethics discourse in social work, a systematic literature search was undertaken and numbers of publications per year were compared between STEM, social science, and social work disciplines. While many professions have embraced the need for discipline-specific research ethics subfield development, social work has remained absent. Low publication numbers, compared to other disciplines, were noted for the years (2006-2016) included in the study. Social work published 16 (1%) of the 1409 articles included in the study, contributing 3 (>1%) for each of the disciplines highest producing years (2011 and 2013). Comparatively, psychology produced 75 (5%) articles, psychiatry produced 64 (5%) articles, and nursing added 50 (4%) articles. The STEM disciplines contributed 956 (68%) articles between 2006 and 2016, while social science produced 453 (32%) articles. Examination of the results is provided in an extended discussion of several misconceptions about research ethics that may be found in the social work profession. Implications and future directions are provided, focusing on the need for increased engagement, education, research, and support for a new subfield of social work research ethics. PMID- 29843569 TI - Spironolactone in Combination with alpha-glycosyl Isoquercitrin Prevents Steatosis-related Early Hepatocarcinogenesis in Rats through the Observed NADPH Oxidase Modulation. AB - Administration of the diuretic, spironolactone (SR), can inhibit chronic liver diseases. We determined the effects of SR alone or in combination with the antioxidant alpha-glycosyl isoquercitrin (AGIQ) on hyperlipidemia- and steatosis related precancerous lesions in high-fat diet (HFD)-fed rats subjected to a two stage hepatocarcinogenesis model. Rats were fed with control basal diet or HFD, which was administered with SR alone or in combination with an antioxidant AGIQ in drinking water. An HFD increased body weight, intra-abdominal fat (adipose) tissue weight, and plasma lipids, which were reduced by coadministration of SR and AGIQ. SR and AGIQ coadministration also reduced hepatic steatosis and preneoplastic glutathione S-transferase placental form-positive foci, in association with decrease in NADPH oxidase (NOX) subunit p22phox-positive cells and an increase in active-caspase-3-positive cells in the foci. Hepatic gene expression analysis revealed that the coadministration of SR and AGIQ altered mRNA levels of lipogenic enzymes ( Scd1 and Fasn), antioxidant-related enzymes ( Catalase), NOX component ( P67phox), and anti-inflammatory transcriptional factor ( Pparg). Our results indicated that SR in combination with AGIQ had the potential of suppressing hyperlipidemia- and steatosis-related early hepatocarcinogenesis through the reduced expression of NOX subunits. PMID- 29843570 TI - Body dissatisfaction in normal weight children - sports activities and motives for engaging in sports. AB - Body dissatisfaction is a phenomenon that may already occur in childhood and is linked to a variety of psychosocial risks. As the role of physical activity in the context of body dissatisfaction is still ambivalent, a cross-sectional study with 602 normal weight children (50.2% girls; Mage = 9.23 years; SD = 0.79) was conducted. The children filled in the MoMo-Questionnaire, including items about their physical activities and motives for being physically active, as well as Bender's Body Esteem and Muscularity Concern Scale with the three subscales "body satisfaction", "weight and shape concerns", and "muscularity concerns". Independent t-tests revealed that girls were less worried about muscularity than boys (Mgirls = 1.94, SDgirls = 1.11 vs. Mboys = 3.12, SDboys = 1.43; t(560) = 11.33, p < .001, Cohen's d = 0.92), whereas girls showed greater weight and shape concerns than boys (Mgirls = 2.24, SDgirls = 0.97 vs. Mboys = 2.05, SDboys = 0.92; t(549) = 2.32, p = .02, d = 0.20). In boys, physical activity is associated with less muscularity, weight, and shape concerns. Body satisfaction increases with health and fitness motives. In girls, the role of physical activity is ambivalent: girls who engage in sports do not differ in body dissatisfaction from non-active girls. In sportive girls, weight and shape concerns increased with more health and fitness motives. Finally, the study provides first insights into body dissatisfaction and the different role of physical activity in boys and girls in childhood. PMID- 29843571 TI - Formal volunteering as a protector of health in the context of social losses. AB - This study aims to examine the effect of the death of a family member or friend on psychological well-being, specifically the moderating effects of first-time volunteering and social network. With the sample of 354 volunteers from the Experience Corps(r) (EC) programs, Analysis of covariance (ANCOVA) estimated the differences in psychological well-being. Among volunteers who had experienced the death of a family member or friend, new volunteers showed significant improvement in positive affect compared to experienced volunteers. EC members gained additional social contacts through volunteering. Formal volunteering has a salutatory effect on older adults' health after the loss of family members. PMID- 29843572 TI - Dietary heavy metal exposure of Finnish children of 3 to 6 years. AB - The dietary exposure of Finnish 3-year-old and 6-year-old children to cadmium, lead, arsenic and mercury was determined using concentration data from Finland and individual food consumption data as well as individual weights of the children. Using middle bound estimates, 88% of the 3-year-olds and 64% of the 6 year-olds exceeded the tolerable weekly intake of cadmium. The benchmark dose for neurological damage caused by lead was exceeded by 14% and 1%, while the lowest benchmark dose of inorganic arsenic was exceeded by 43% and 29% for the 3-year olds and 6-year-olds, respectively. The exposure of both age groups was below the tolerable weekly intake for inorganic mercury and methyl mercury. Although high, the exposures calculated with predominantly national concentration data were lower than previously estimated by EFSA, due to, for example, lower average concentrations in some much-consumed foods. The heavy metal exposure levels of the girls and the boys were also compared. Exposure to cadmium and lead was significantly higher for the boys than for the girls in both age groups, and exposure to inorganic arsenic was significantly higher for the 6-year-old boys than the girls of same age. PMID- 29843573 TI - Advance Directives Information Delivery in Medicare/Medicaid-Funded Agencies: An Exploratory Study. AB - To encourage citizens to plan their end-of-life care to protect their autonomy, Congress passed the Patient Self-Determination Act (PSDA) in 1990. Under the PSDA, all Medicare/Medicaid-funded agencies are required to ask if all the patients, upon admission, have advance directives (ADs). If they have not formulated an AD, agencies need to inform that they have a right to do so and provide them with the written information. Although this is required by law, there is no universal procedure or set standard approach to deliver the information to patients in these agencies. It is often unclear who provides and explains information on ADs, and what materials are provided. The purpose of this study was to understand the procedures and challenges presented in the delivery of information about ADs in agencies in response to the PSDA requirements. Using a case study approach, semi-structured interviews with personnel in nine agencies were analyzed and three overarching themes were identified: organizational procedures, staff interactions, and staff perceptions. The findings indicated that there is a need for AD-specific training for staff responsible for delivering AD information to their clients. Implementation of a formalized procedure/guidelines for information delivery would be helpful to maintain quality standards across agencies. PMID- 29843574 TI - Scientific and Regulatory Policy Committee Points to Consider: Data Visualization for Clinical and Anatomic Pathologists. AB - Assessment and communication of toxicology data are fundamental components of the work performed by veterinary anatomic and clinical pathologists involved in toxicology research. In recent years, there has been an evolution in the number and variety of software tools designed to facilitate the evaluation and presentation of toxicity study data. A working group of the Society of Toxicologic Pathology Scientific and Regulatory Policy Committee reviewed existing and emerging visualization technologies. This Points to Consider article reviews some of the currently available data visualization options, describes the utility of different types of graphical displays, and explores potential areas of controversy and ambiguity encountered with the use of these tools. PMID- 29843575 TI - Talaromyces borbonicus, sp. nov., a novel fungus from biodegraded Arundo donax with potential abilities in lignocellulose conversion. AB - A novel fungal species able to synthesize enzymes with potential synergistic actions in lignocellulose conversion was isolated from the biomass of Arundo donax during biodegradation under natural conditions in the Gussone Park of the Royal Palace of Portici (Naples, Italy). In this work, this species was subjected to morphological and phylogenetic analyses. Sequencing of its genome was performed, resulting in 28 scaffolds that were assembled into 27.05 Mb containing 9744 predicted genes, among which 396 belong to carbohydrate-active enzyme (CAZyme)-encoding genes. Here we describe and illustrate this previously unknown species, which was named Talaromyces borbonicus, by a polyphasic approach combining phenotypic, physiological, and sequence data. PMID- 29843576 TI - Dietary intake of dioxins in Japan in 2016 with time trends since 1998. AB - Total diet samples collected from seven regions throughout Japan in 2016 were analysed for polychlorinated dibenzo-p-dioxins, polychlorinated dibenzofurans and dioxin-like polychlorinated biphenyls (DL-PCBs), known collectively as dioxins. This led to estimates of the latest dietary intake of these contaminants for the general Japanese population (>=1 year old). The average daily intake of dioxins for a person weighing 50 kg, calculated at non-detected congener concentrations assumed to be equal to zero, was estimated to be 0.54 pg TEQ (toxic equivalents) kg-1 body weight (bw) day-1. This value is well below the tolerable daily intake of 4 pg TEQ kg-1 bw day-1 for dioxins in Japan. The average intake was highest from fish and shellfish, followed by meat and eggs. The TEQ contribution of the fish and shellfish group to the total dietary TEQs was significant (89%). The DL PCBs accounted for about 67% of the dioxin intake. The latest dioxin intake level was compared with previous estimates from total diet study results obtained annually since 1998 to determine the time trends in the dietary intake of dioxins in Japan. Overall, the average dioxin intake appeared to be decreasing gradually during the period of study. The previous average intakes of dioxins ranged from 0.58 to 1.9 pg TEQ kg-1 bw day-1. The latest average intake was the lowest since 1998 and was about one-third of the average intake in 1998. This decreasing trend in the dietary intake of dioxins was mainly influenced by the decreased dioxin intakes from two food groups, fish and shellfish, and meat and eggs. PMID- 29843577 TI - Adjuvant Hormonal Therapy for Low-Grade Endometrial Stromal Sarcoma. AB - OBJECTIVE: To compare aromatase inhibitors (AIs) with progestins as adjuvant hormonal therapy(AHT) for low-grade endometrial stromal sarcomas (LGESSs). METHODS: We reviewed cases with LGESS at our institution from 1984 to 2017. Disease recurrence and recurrence-free survival (RFS) were assessed among patients who received AI, progestins, or no AHT. RESULTS: Among 39 patients with LGESS, 18 received progestins, 13 received AI, and 8 received no AHT. Thirty patients had stage I disease, and 9 had stage II to IV disease. All underwent hysterectomies. Disease recurred in 70% (7/10) of stage I patients who received no AHT, compared to 14.3% (1/7) receiving AI, and 7.7% (1/13) receiving progestins ( P = .003). Among stage I patients taking AI, mean RFS was 153.1 months (95% confidence interval [CI]: 110-195.6) versus 306.2 months (95% CI: 259.7-352.6) for progestin patients and 90.8 months (95% CI: 56.8-124.9) for those who received no AHT. In stage II to IV patients, mean RFS was 148.5 months (95% CI: 148.5-148.5) and 120.8 months (95% CI: 55.8-185.9) for the AI and progestin groups, respectively. All stage II to IV patients received AHT. Among stage I patients, median follow-up time for RFS was 159.1 months for progestin patients, 52.6 months for AI, and 53.1 months for those who received no AHT. Of this, 69% of stage I patients taking progestins reduced/stopped treatment prematurely due to side effects. None of the patients taking AI discontinued treatment early. CONCLUSION: Aromatase inhibitor is associated with longer RFS in patients with advanced LGESS, is better tolerated than progestins, and can be primary AHT for LGESS. PMID- 29843578 TI - Percutaneous Retrieval of IVC Filters With Struts Penetrating the Vertebral Body. AB - INTRODUCTION: Inferior vena cava (IVC) filter penetration of the caval wall is a well-documented complication. Less frequently, the struts of an IVC filter can penetrate a vertebral body that can lead to symptoms of abdominal pain. Vertebral penetration poses a management challenge, and characteristics for successful endovascular retrieval of such filters has not been reported. CASE DESCRIPTION: We present 2 cases of IVC filters with vertebral body penetration that were successfully retrieved through an endovascular approach. On preprocedure computed tomography, both patients had a small zone of osteolysis surrounding the penetrated struts into the vertebral body. The procedures were done via right internal jugular access using an Ensnare device. In one of the cases, the hangman technique was used to release the filter apex from the vessel wall. Both filters were able to be retrieved without using excessive force, follow-up venacavograms showed no sign of extravasation, and no postprocedure complications developed. DISCUSSION: Preprocedure CT imaging is essential prior to IVC filter removal if vertebral penetration is suspected. The zone of osteolysis seen around the struts in both cases are likely the result of constant cardiorespiratory motion of the filter. Based on the fact that in both cases the filter legs were able to be disengaged from the vertebral body without the use of excessive force, we hypothesize that if a zone of osteolysis surrounding the struts can be confirmed on preprocedural CT, the filter removal can be safely attempted by the standard percutaneous endovascular approach. PMID- 29843579 TI - The CD40/CD40L system regulates rat cerebral microvasculature after focal ischemia/reperfusion via the mTOR/S6K signaling pathway. AB - OBJECTIVE: The role of CD40/CD40 ligand (CD40L) in microvascular thrombosis is now widely accepted. However, the exact mechanisms linking the CD40/CD40L system and the soluble form of CD40L (sCD40L) with microvascular thrombosis are currently a topic of intensive research. The objective of this study was to assess the potential mechanisms in CD40/CD40L system-regulated microvascular thrombosis after focal ischemia/reperfusion (I/R). METHODS: Rats were subjected to 60-min transient middle cerebral artery occlusion (MCAO). The experiments were divided into three groups: sham operation, MCAO, and MCAO + CD40 antagonist. Dynamic changes of serum-free sCD40L levels for 0, 1, 3, 5, 6, and 12 h by ELISA detecting kit after focal I/R were observed, and the CD40 expression levels in both platelet surface and vascular endothelial cell surface were measured by flow cytometry and immunofluorescence, respectively. Cerebral infarct volume was analyzed 12 h after reperfusion. mTOR/S6K signaling was determined by Western blot. RESULTS: A comparison of thrombus formation between MCAO and CD40 antagonist treatment rats revealed a role for CD40 and/or CD40L in the inflammation-enhanced thrombosis responses in both of the platelet and vascular endothelial cell. MCAO rats yielded an acceleration of thrombus formation that was accompanied by increased CD40 levels in serum. The brain infarction was significantly decreased in CD40 antagonist treatment group compared to MCAO model group. The mTOR/S6K signaling was activated in MACO model than that of CD40 antagonist treatment group. CONCLUSIONS: Our findings indicate that CD40/CD40L system contributes to microvascular thrombosis and brain infarction induced by MCAO and reperfusion. The mTOR/S6K signaling pathway is involved in the regulation of cerebral microvasculature after focal I/R by CD40/CD40L. ABBREVIATIONS: AKT: protein kinase B; CD40L: CD40 ligand; CSF: cerebrospinal fluid; FITC: fluorescein isothiocyanate; I/R: ischemia/reperfusion; MCAO: middle cerebral artery occlusion; mTOR: mechanistic target of rapamycin; PE: P phycoerythrin; sCD40L: soluble form of CD40L; TNF-a: tumor necrosis factor-alpha; WT: wild type. PMID- 29843580 TI - Force Control Characteristics for Generation and Relaxation in the Lower Limb. AB - We investigated the characteristics for force generation and relaxation using graded isometric contractions of the knee extensors. Participants performed the following tasks as quickly and accurately as possible. For the force generation task, force was increased from 0% to 20%, 40% and 60% of the maximal voluntary force (MVF). For the force relaxation task, force was decreased from 60% to 40%, 20% and 0%. The following parameters of the recorded force were calculated: error, time, and rate of force development. The error was consistently greater for force relaxation than generation. Reaction and adjustment times were independent of the tasks. The control strategy was markedly different for force relaxation and generation, this tendency was particularly evident for the lower limb compared to the upper limb. PMID- 29843581 TI - Factors that assist and hinder efforts towards recovery from eating disorders: A comparison of collegiate female athletes and non-athletes. AB - This study compared female intercollegiate athletes' and non-athletes' experiences of working towards recovery from an eating disorder. Participants (55 athletes, 99 non-athletes) responded to open-ended questions about factors that influenced their progress towards recovery. Both subgroups reported that Supportive Relationships and Cognitive/Emotional Shifts were most helpful. The third most frequent helpful factor for athletes was Sport Performance Concerns, for non-athletes it was Treatment. Athletes' most frequent hindering factors were Negative Emotions/Cognitions, Sport Pressures, and Hurtful Modelling, while non athletes reported Negative Emotions/Cognitions, Lack of Support, and Hurtful Modelling. Sport-specific factors were among the most common themes in athletes' responses; therefore, athletes' recovery experiences and treatment needs appear unique. PMID- 29843582 TI - Molecular and morphological data validate the new combination of Lysurus sphaerocephalum from Argentina, with some additional records on Phallales (Agaricomycetes). AB - On the basis of morphological and molecular analysis of several specimens of Lysurus periphragmoides collected in Argentina, the examination of materials collected in the type locality of Simblum sphaerocephalum (nowadays known as L. periphragmoides), also collected in Argentina (Cordoba), and the examination of specimens of L. periphragmoides from the old world, we conclude that Argentinean and South American material identified and synonymized to L. periphragmoides by Dring in 1980 should be emended as L. sphaerocephalum. As this species lacks type material designated on its protologue, and there is no type material either, we propose a lectotype and an epitype for L. sphaerocephalum. On the basis of species descriptions found in literature, we constructed a table with relevant differences between these two species: L. periphragmoides and L. sphaerocephalum. We fully describe L. sphaerocephalum, including lecto- and epitypes, and its position within the Lysuraceae clade. This work also includes descriptions and images of Blumenavia rhacodes, Itajahya galericulata, L. cruciatus, and Phallus indusiatus from Argentina, with the aim of expanding our knowledge of their distribution ranges in the studied regions. PMID- 29843583 TI - The Undergraduate Training in Genomics (UTRIG) Initiative: early & active training for physicians in the genomic medicine era. AB - Genomic medicine is transforming patient care. However, the speed of development has left a knowledge gap between discovery and effective implementation into clinical practice. Since 2010, the Training Residents in Genomics (TRIG) Working Group has found success in building a rigorous genomics curriculum with implementation tools aimed at pathology residents in postgraduate training years 1-4. Based on the TRIG model, the interprofessional Undergraduate Training in Genomics (UTRIG) Working Group was formed. Under the aegis of the Undergraduate Medical Educators Section of the Association of Pathology Chairs and representation from nine additional professional societies, UTRIG's collaborative goal is building medical student genomic literacy through development of a ready to-use genomics curriculum. Key elements to the UTRIG curriculum are expert consensus-driven objectives, active learning methods, rigorous assessment and integration. PMID- 29843584 TI - The Neural Correlates of Self-Regulatory Fatigability During Inhibitory Control of Eye Blinking. AB - The capacity to regulate urges is an important human characteristic associated with a range of social and health outcomes. Self-regulatory capacity has been postulated to have a limited reserve, which when depleted leads to failure. The authors aimed to investigate the neural correlates of self-regulatory fatigability. Functional MRI was used to detect brain activations in 19 right handed healthy subjects during inhibition of eye blinking, in a block design. The increase in number of blinks during blink inhibition from the first to the last block was used as covariate of interest. There was an increase in the number of eye blinks escaping inhibitory control across blink inhibition blocks, whereas there was no change in the number of eye blinks occurring during rest blocks. Inhibition of blinking activated a wide network bilaterally, including the inferior frontal gyrus, dorsolateral prefrontal cortex, dorsal anterior cingulate cortex, supplementary motor area, and caudate. Deteriorating performance was associated with activity in orbitofrontal cortex, ventromedial prefrontal cortex, rostroventral anterior cingulate cortex, precuneus, somatosensory, and parietal areas. As anticipated, effortful eye-blink control resulted in activation of prefrontal control areas and regions involved in urge and interoceptive processing. Worsening performance was associated with activations in brain areas involved in urge, as well as regions involved in motivational evaluation. These findings suggest that self-regulatory fatigability is associated with relatively less recruitment of prefrontal cortical regions involved in executive control. PMID- 29843585 TI - Huntington's Disease Gene Expansion Carriers Are Aware of Their Degree of Apathy. AB - Huntington's disease is characterized by motor and behavioral symptoms as well as cognitive decline. Apathy is a common behavioral symptom, and its severity is related to disease progression. It has been suggested that Huntington's disease gene expansion carriers (HDGECs) are unaware of the signs and symptoms of the disease, which may account for their own level of awareness of their apathy. Therefore, the authors investigated the level of agreement on the degree of apathy severity between HDGECs and their proxies by using a self-report questionnaire. A total of 109 REGISTRY participants (premotormanifest, N=31; early motormanifest, N=49; and late motormanifest, N=29) and their proxies completed the Apathy Evaluation Scale. The authors used the Wilcoxon signed-rank test to assess whether gene expansion carriers and their proxies agreed on apathy severity. Scores on the Apathy Evaluation Scale significantly increased from the early motormanifest stage to the late motormanifest stage. Premotormanifest carriers scored themselves significantly higher on the Apathy Evaluation Scale than their proxies, whereas no differences were found between all motormanifest carriers and their proxies. Apathy severity increases in the motormanifest stages of Huntington's disease. HDGECs can adequately assess their level of apathy on a self-report questionnaire. These results also suggest that slight changes in the degree of apathy among premotormanifest gene expansion carriers remain unnoticed by their proxies. PMID- 29843586 TI - Relationships Between Confabulations and Mental Time Travel in Alzheimer's Disease. AB - The authors assessed the relationship between confabulations in Alzheimer's disease and the ability to mentally travel in time to reexperience memories. Twenty-seven patients with Alzheimer's disease were administered evaluations of provoked confabulations, spontaneous confabulations, and mental time travel. Provoked and spontaneous confabulations were evaluated with questions probing personal and general knowledge and with a scale rated by nursing and medical staff. Mental time travel was assessed by asking patients to retrieve personal memories. After each memory, participants had to provide a "remember" response if they were able to retrieve the event with their encoding context or a "know" response if they knew that the event had occurred but were unable to recall any contextual details. Results showed significant negative correlations between confabulations and "remember" responses. These findings reflect a relationship between the occurrence of confabulations in patients with Alzheimer's disease and impairments in their ability to mentally project themselves in time when retrieving the context in which confabulated memories were originally encoded. PMID- 29843587 TI - Changes in sound-source localization for children with bilateral severe to profound hearing loss following simultaneous bilateral cochlear implantation. AB - BACKGROUND: Sound localization is a valuable skill that children can develop to some extent via bilateral cochlear implants (biCIs). However, little is known regarding the change that can be expected in sound-source localization accuracy (SLA) pre- and post-biCI for children with bilateral, severe-to-profound hearing impairment who spent their early years listening via bilateral hearing aids (biHAs). This study therefore aimed to prospectively assess SLA in a group of children before, and at one year after, receiving simultaneous biCIs. METHODS: Ten children aged 5-18 years were tested. SLA was assessed using loudspeakers positioned at -60, -30, 0, +30, and +60 degrees azimuth. Root mean square (RMS) errors and percentage correct scores were calculated. Changes in SLA were analysed via paired t-tests and potential relationships between hearing threshold levels (HTLs) and SLA via correlation analyses. Response distributions via biHAs and biCIs were examined via scatterplots. RESULTS: The mean within-subject changes in SLA were a significant improvement in RMS error of 11.9 degrees (p < 0.05) and in per cent correct by 21.5% (p < 0.05). Scatterplots demonstrated a trend towards better localization of sounds from 0 degrees azimuth via biCIs compared to via biHAs. No significant associations were found between any measures of SLA and HTLs. CONCLUSIONS: The findings of the present study demonstrate that simultaneous biCIs lead to improved sound localization in children with bilateral, severe to profound sensorineural hearing loss who previously used biHAs. SLA via biHAs or biCIs could not be predicted from children's audiograms, and therefore should be measured directly. PMID- 29843588 TI - Recommending plant taxa for supporting on-site species identification. AB - BACKGROUND: Predicting a list of plant taxa most likely to be observed at a given geographical location and time is useful for many scenarios in biodiversity informatics. Since efficient plant species identification is impeded mainly by the large number of possible candidate species, providing a shortlist of likely candidates can help significantly expedite the task. Whereas species distribution models heavily rely on geo-referenced occurrence data, such information still remains largely unused for plant taxa identification tools. RESULTS: In this paper, we conduct a study on the feasibility of computing a ranked shortlist of plant taxa likely to be encountered by an observer in the field. We use the territory of Germany as case study with a total of 7.62M records of freely available plant presence-absence data and occurrence records for 2.7k plant taxa. We systematically study achievable recommendation quality based on two types of source data: binary presence-absence data and individual occurrence records. Furthermore, we study strategies for aggregating records into a taxa recommendation based on location and date of an observation. CONCLUSION: We evaluate recommendations using 28k geo-referenced and taxa-labeled plant images hosted on the Flickr website as an independent test dataset. Relying on location information from presence-absence data alone results in an average recall of 82%. However, we find that occurrence records are complementary to presence-absence data and using both in combination yields considerably higher recall of 96% along with improved ranking metrics. Ultimately, by reducing the list of candidate taxa by an average of 62%, a spatio-temporal prior can substantially expedite the overall identification problem. PMID- 29843589 TI - RnaSeqSampleSize: real data based sample size estimation for RNA sequencing. AB - BACKGROUND: One of the most important and often neglected components of a successful RNA sequencing (RNA-Seq) experiment is sample size estimation. A few negative binomial model-based methods have been developed to estimate sample size based on the parameters of a single gene. However, thousands of genes are quantified and tested for differential expression simultaneously in RNA-Seq experiments. Thus, additional issues should be carefully addressed, including the false discovery rate for multiple statistic tests, widely distributed read counts and dispersions for different genes. RESULTS: To solve these issues, we developed a sample size and power estimation method named RnaSeqSampleSize, based on the distributions of gene average read counts and dispersions estimated from real RNA seq data. Datasets from previous, similar experiments such as the Cancer Genome Atlas (TCGA) can be used as a point of reference. Read counts and their dispersions were estimated from the reference's distribution; using that information, we estimated and summarized the power and sample size. RnaSeqSampleSize is implemented in R language and can be installed from Bioconductor website. A user friendly web graphic interface is provided at http://cqs.mc.vanderbilt.edu/shiny/RnaSeqSampleSize/ . CONCLUSIONS: RnaSeqSampleSize provides a convenient and powerful way for power and sample size estimation for an RNAseq experiment. It is also equipped with several unique features, including estimation for interested genes or pathway, power curve visualization, and parameter optimization. PMID- 29843590 TI - SemaTyP: a knowledge graph based literature mining method for drug discovery. AB - BACKGROUND: Drug discovery is the process through which potential new medicines are identified. High-throughput screening and computer-aided drug discovery/design are the two main drug discovery methods for now, which have successfully discovered a series of drugs. However, development of new drugs is still an extremely time-consuming and expensive process. Biomedical literature contains important clues for the identification of potential treatments. It could support experts in biomedicine on their way towards new discoveries. METHODS: Here, we propose a biomedical knowledge graph-based drug discovery method called SemaTyP, which discovers candidate drugs for diseases by mining published biomedical literature. We first construct a biomedical knowledge graph with the relations extracted from biomedical abstracts, then a logistic regression model is trained by learning the semantic types of paths of known drug therapies' existing in the biomedical knowledge graph, finally the learned model is used to discover drug therapies for new diseases. RESULTS: The experimental results show that our method could not only effectively discover new drug therapies for new diseases, but also could provide the potential mechanism of action of the candidate drugs. CONCLUSIONS: In this paper we propose a novel knowledge graph based literature mining method for drug discovery. It could be a supplementary method for current drug discovery methods. PMID- 29843591 TI - Correction to: Mandibulate convergence in an armoured Cambrian stem chelicerate. AB - The original article [1] had 4 paragraphs which contained erroneous information. In this correction article the correct and incorrect information is shown. PMID- 29843592 TI - Diversity and signature of small RNA in different bodily fluids using next generation sequencing. AB - BACKGROUND: Small RNAs are critical components in regulating various cellular pathways. These molecules may be tissue-associated or circulating in bodily fluids and have been shown to associate with different tumors. Next generation sequencing (NGS) on small RNAs is a powerful tool for profiling and discovery of microRNAs (miRNAs). RESULTS: In this study, we isolated total RNA from various bodily fluids: blood, leukocytes, serum, plasma, saliva, cell-free saliva, urine and cell-free urine. Next, we used Illumina's NGS platform and intensive bioinformatics analysis to investigate the distribution and signature of small RNAs in the various fluids. Successful NGS was accomplished despite the variations in RNA concentrations among the different fluids. Among the fluids studied, blood and plasma were found to be the most promising fluids for small RNA profiling as well as novel miRNA prediction. Saliva and urine yielded lower numbers of identifiable molecules and therefore were less reliable in small RNA profiling and less useful in predicting novel molecules. In addition, all fluids shared many molecules, including 139 miRNAs, the most abundant tRNAs, and the most abundant piwi-interacting RNAs (piRNAs). Fluids of similar origin (blood, urine or saliva) displayed closer clustering, while each fluid still retains its own characteristic signature based on its unique molecules and its levels of the common molecules. Donor urine samples showed sex-dependent differential clustering, which may prove useful for future studies. CONCLUSIONS: This study shows the successful clustering and unique signatures of bodily fluids based on their miRNA, tRNA and piRNA content. With this information, cohorts may be differentiated based on multiple molecules from each small RNA class by a multidimensional assessment of the overall molecular signature. PMID- 29843593 TI - Identification and analysis of ribosome-associated lncRNAs using ribosome profiling data. AB - BACKGROUND: Although the number of discovered long non-coding RNAs (lncRNAs) has increased dramatically, their biological roles have not been established. Many recent studies have used ribosome profiling data to assess the protein-coding capacity of lncRNAs. However, very little work has been done to identify ribosome associated lncRNAs, here defined as lncRNAs interacting with ribosomes related to protein synthesis as well as other unclear biological functions. RESULTS: On average, 39.17% of expressed lncRNAs were observed to interact with ribosomes in human and 48.16% in mouse. We developed the ribosomal association index (RAI), which quantifies the evidence for ribosomal associability of lncRNAs over various tissues and cell types, to catalog 691 and 409 lncRNAs that are robustly associated with ribosomes in human and mouse, respectively. Moreover, we identified 78 and 42 lncRNAs with a high probability of coding peptides in human and mouse, respectively. Compared with ribosome-free lncRNAs, ribosome-associated lncRNAs were observed to be more likely to be located in the cytoplasm and more sensitive to nonsense-mediated decay. CONCLUSION: Our results suggest that RAI can be used as an integrative and evidence-based tool for distinguishing between ribosome-associated and free lncRNAs, providing a valuable resource for the study of lncRNA functions. PMID- 29843594 TI - The effects of repeated whole genome duplication events on the evolution of cytokinin signaling pathway. AB - BACKGROUND: It is thought that after whole-genome duplications (WGDs), a large fraction of the duplicated gene copies is lost over time while few duplicates are retained. Which factors promote survival or death of a duplicate remains unclear and the underlying mechanisms are poorly understood. According to the model of gene dosage balance, genes encoding interacting proteins are predicted to be preferentially co-retained after WGDs. Among these are genes encoding proteins involved in complexes or in signal transduction. RESULTS: We have investigated the way that repeated WGDs during land plant evolution have affected cytokinin signaling to study patterns of gene duplicability and co-retention in this important signal transduction pathway. Through the integration of phylogenetic analyses with comparisons of genome collinearity, we have found that signal input mediated by cytokinin receptors proved to be highly conserved over long evolutionary time-scales, with receptors showing predominantly gene loss after repeated WGDs. However, the downstream elements, e,g. response regulators, were mainly retained after WGDs and thereby formed gene families in most plant lineages. CONCLUSIONS: Gene dosage balance between the interacting components indicated by co-retention after WGDs seems to play a minor role in the evolution of cytokinin signaling pathway. Overall, core genes of cytokinin signaling show a highly heterogeneous pattern of gene retention after WGD, reflecting complex relationships between the various factors that shape the long-term fate of a duplicated gene. PMID- 29843595 TI - Comparative expression analysis identifies the respiratory transition-related miRNAs and their target genes in tissues of metamorphosing Chinese giant salamander (Andrias davidianus). AB - BACKGROUND: Chinese giant salamander (Andrias davidianus) undergoes a metamorphosis from aquatic larvae to terrestrial adults, with concomitant transfer of respiration from gills to lungs prior to metamorphosis. These two tissues, as well as skin, were sampled to identify the differentially expressed miRNAs. RESULTS: High-coverage reference transcriptome was generated from combined gill, lung and skin tissues of metamorphosing juveniles, and lung tissue of adults: 86,282 unigenes with total length of approximately 77,275,634 bp and N50 of 1732 bp were obtained. Among these, 13,246 unigenes were assigned to 288 pathways. To determine the possible involvement of miRNAs in the respiratory transition, small RNA libraries were sequenced; 282 miRNAs were identified, 65 among which were known and 217 novel. Based on the hierarchical clustering analysis, the twelve studied samples were classified into three major clusters using differentially expressed miRNAs. We have validated ten differentially expressed miRNAs and some of their related target genes using qPCR. These results largely corroborated the results of transcriptomic and miRNA analyses. Finally, an miRNA-gene-network was constructed. Among them, two miRNAs with target genes related to oxygen sensing were differentially expressed between gill and lung tissues. Three miRNAs were differentially expressed between the lungs of larvae and lungs of adults. CONCLUSIONS: This study provides the first large-scale miRNA expression profile overview during the respiration transition from gills to lungs in Chinese giant salamander. Five differentially expressed miRNAs and their target genes were identified among skin, gill and lung tissues. These results suggest that miRNA profiles in respiratory tissues play an important role in the regulation of respiratory transition. PMID- 29843596 TI - Association genetics studies on frost tolerance in wheat (Triticum aestivum L.) reveal new highly conserved amino acid substitutions in CBF-A3, CBF-A15, VRN3 and PPD1 genes. AB - BACKGROUND: Understanding the genetic basis of frost tolerance (FT) in wheat (Triticum aestivum L.) is essential for preventing yield losses caused by frost due to cellular damage, dehydration and reduced metabolism. FT is a complex trait regulated by a number of genes and several gene families. Availability of the wheat genomic sequence opens new opportunities for exploring candidate genes diversity for FT. Therefore, the objectives of this study were to identity SNPs and insertion-deletion (indels) in genes known to be involved in frost tolerance and to perform association genetics analysis of respective SNPs and indels on FT. RESULTS: Here we report on the sequence analysis of 19 candidate genes for FT in wheat assembled using the Chinese Spring IWGSC RefSeq v1.0. Out of these, the tandem duplicated C-repeat binding factors (CBF), i.e. CBF-A3, CBF-A5, CBF-A10, CBF-A13, CBF-A14, CBF-A15, CBF-A18, the vernalisation response gene VRN-A1, VRN B3, the photoperiod response genes PPD-B1 and PPD-D1 revealed association to FT in 235 wheat cultivars. Within six genes (CBF-A3, CBF-A15, VRN-A1, VRN-B3, PPD-B1 and PPD-D1) amino acid (AA) substitutions in important protein domains were identified. The amino acid substitution effect in VRN-A1 on FT was confirmed and new AA substitutions in CBF-A3, CBF-A15, VRN-B3, PPD-B1 and PPD-D1 located at highly conserved sites were detected. Since these results rely on phenotypic data obtained at five locations in 2 years, detection of significant associations of FT to AA changes in CBF-A3, CBF-A15, VRN-A1, VRN-B3, PPD-B1 and PPD-D1 may be exploited in marker assisted breeding for frost tolerance in winter wheat. CONCLUSIONS: A set of 65 primer pairs for the genes mentioned above from a previous study was BLASTed against the IWGSC RefSeq resulting in the identification of 39 primer combinations covering the full length of 19 genes. This work demonstrates the usefulness of the IWGSC RefSeq in specific primer development for highly conserved gene families in hexaploid wheat and, that a candidate gene association genetics approach based on the sequence data is an efficient tool to identify new alleles of genes important for the response to abiotic stress in wheat. PMID- 29843597 TI - Understanding the regulatory mechanisms of milk production using integrative transcriptomic and proteomic analyses: improving inefficient utilization of crop by-products as forage in dairy industry. AB - BACKGROUND: Bovine milk is an important nutrient source for humans. Forage plays a vital role in dairy husbandry via affecting milk quality and quantity. However, the differences in mammary metabolism of dairy cows fed different forages remain elucidated. In this study, we utilized transcriptomic RNA-seq and iTRAQ proteomic techniques to investigate and integrate the differences of molecular pathways and biological processes in the mammary tissues collected from 12 lactating cows fed corn stover (CS, low-quality, n = 6) and alfalfa hay (AH, high-quality, n = 6). RESULTS: A total of 1631 differentially expressed genes (DEGs; 1046 up-regulated and 585 down-regulated) and 346 differentially expressed proteins (DEPs; 138 increased and 208 decreased) were detected in the mammary glands between the CS- and AH-fed animals. Expression patterns of 33 DEPs (18 increased and 15 decreased) were consistent with the expression of their mRNAs. Compared with the mammary gland of AH-fed cows, the marked expression changes found in the mammary gland of CS group were for genes involved in reduced mammary growth/development (COL4A2, MAPK3, IKBKB, LGALS3), less oxidative phosphorylation (ATPsynGL, ATP6VOA1, ATP5H, ATP6VOD1, NDUFC1), enhanced lipid uptake/metabolism (SLC27A6, FABP4, SOD2, ACADM, ACAT1, IDH1, SCP2, ECHDC1), more active fatty acid beta oxidation (HMGCS1), less amino acid/protein transport (SLC38A2, SLC7A8, RAB5a, VPS18), reduced protein translation (RPS6, RPS12, RPS16, RPS19, RPS20, RPS27), more proteasome- (PSMC2, PSMC6, PSMD14, PSMA2, PSMA3) and ubiquitin-mediated protein degradation (UBE2B, UBE2H, KLHL9, HSPH1, DNAJA1 and CACYBP), and more protein disassembly-related enzymes (SEC63, DNAJC3, DNAJB1, DNAJB11 and DNAJC12). CONCLUSION: Our results indicate that the lower milk production in the CS-fed dairy cows compared with the AH-fed cows was associated with a network of mammary gene expression changes, importantly, the prime factors include decreased energy metabolism, attenuated protein synthesis, enhanced protein degradation, and the lower mammary cell growth. The present study provides insights into the effects of the varying quality of forages on mammary metabolisms, which can help the improvement of strategies in feeding dairy cows with CS-based diet. PMID- 29843599 TI - JCDSA: a joint covariate detection tool for survival analysis on tumor expression profiles. AB - BACKGROUND: Survival analysis on tumor expression profiles has always been a key issue for subsequent biological experimental validation. It is crucial how to select features which closely correspond to survival time. Furthermore, it is important how to select features which best discriminate between low-risk and high-risk group of patients. Common features derived from the two aspects may provide variable candidates for prognosis of cancer. RESULTS: Based on the provided two-step feature selection strategy, we develop a joint covariate detection tool for survival analysis on tumor expression profiles. Significant features, which are not only consistent with survival time but also associated with the categories of patients with different survival risks, are chosen. Using the miRNA expression data (Level 3) of 548 patients with glioblastoma multiforme (GBM) as an example, miRNA candidates for prognosis of cancer are selected. The reliability of selected miRNAs using this tool is demonstrated by 100 simulations. Furthermore, It is discovered that significant covariates are not directly composed of individually significant variables. CONCLUSIONS: Joint covariate detection provides a viewpoint for selecting variables which are not individually but jointly significant. Besides, it helps to select features which are not only consistent with survival time but also associated with prognosis risk. The software is available at http://bio-nefu.com/resource/jcdsa . PMID- 29843598 TI - Cryptic Plutella species show deep divergence despite the capacity to hybridize. AB - BACKGROUND: Understanding genomic and phenotypic diversity among cryptic pest taxa has important implications for the management of pests and diseases. The diamondback moth, Plutella xylostella L., has been intensively studied due to its ability to evolve insecticide resistance and status as the world's most destructive pest of brassicaceous crops. The surprise discovery of a cryptic species endemic to Australia, Plutella australiana Landry & Hebert, raised questions regarding the distribution, ecological traits and pest status of the two species, the capacity for gene flow and whether specific management was required. Here, we collected Plutella from wild and cultivated brassicaceous plants from 75 locations throughout Australia and screened 1447 individuals to identify mtDNA lineages and Wolbachia infections. We genotyped genome-wide SNP markers using RADseq in coexisting populations of each species. In addition, we assessed reproductive compatibility in crossing experiments and insecticide susceptibility phenotypes using bioassays. RESULTS: The two Plutella species coexisted on wild brassicas and canola crops, but only 10% of Plutella individuals were P. australiana. This species was not found on commercial Brassica vegetable crops, which are routinely sprayed with insecticides. Bioassays found that P. australiana was 19-306 fold more susceptible to four commonly-used insecticides than P. xylostella. Laboratory crosses revealed that reproductive isolation was incomplete but directionally asymmetric between the species. However, genome-wide nuclear SNPs revealed striking differences in genetic diversity and strong population structure between coexisting wild populations of each species. Nuclear diversity was 1.5-fold higher in P. australiana, yet both species showed limited variation in mtDNA. Infection with a single Wolbachia subgroup B strain was fixed in P. australiana, suggesting that a selective sweep contributed to low mtDNA diversity, while a subgroup A strain infected just 1.5% of P. xylostella. CONCLUSIONS: Despite sympatric distributions and the capacity to hybridize, strong genomic and phenotypic divergence exists between these Plutella species that is consistent with contrasting colonization histories and reproductive isolation after secondary contact. Although P. australiana is a potential pest of brassicaceous crops, it is of secondary importance to P. xylostella. PMID- 29843600 TI - Study of spontaneous mutations in the transmission of poplar chloroplast genomes from mother to offspring. AB - BACKGROUND: Chloroplasts have their own genomes, independent from nuclear genomes, that play vital roles in growth, which is a major targeted trait for genetic improvement in Populus. Angiosperm chloroplast genomes are maternally inherited, but the chloroplast' variation pattern of poplar at the single-base level during the transmission from mother to offspring remains unknown. RESULTS: Here, we constructed high-quality and almost complete chloroplast genomes for three poplar clones, 'NL895' and its parents, 'I69' and 'I45', from the short read datasets using multi-pass sequencing (15-16 times per clone) and ultra-high coverage (at least 8500* per clone), with the four-step strategy of Simulation Assembly-Merging-Correction. Each of the three resulting chloroplast assemblies contained contigs covering > 99% of Populus trichocarpa chloroplast DNA as a reference. A total of 401 variant loci were identified by a hybrid strategy of genome comparison-based and mapping-based single nucleotide polymorphism calling. The genotypes of 94 variant loci were different among the three poplar clones. However, only 1 of the 94 loci was a missense mutation, which was located in the exon region of rpoC1 encoding the beta' subunit of plastid-encoded RNA polymerase. The genotype of the loci in NL895 and its female parent (I69) was different from that of its male parent (I45). CONCLUSIONS: This research provides resources for further chloroplast genomic studies of a F1 full-sibling family derived from a cross between I69 and I45, and will improve the application of chloroplast genomic information in modern Populus breeding programs. PMID- 29843601 TI - Genomic prediction of crown rust resistance in Lolium perenne. AB - BACKGROUND: Genomic selection (GS) can accelerate genetic gains in breeding programmes by reducing the time it takes to complete a cycle of selection. Puccinia coronata f. sp lolli (crown rust) is one of the most widespread diseases of perennial ryegrass and can lead to reductions in yield, persistency and nutritional value. Here, we used a large perennial ryegrass population to assess the accuracy of using genome wide markers to predict crown rust resistance and to investigate the factors affecting predictive ability. RESULTS: Using these data, predictive ability for crown rust resistance in the complete population reached a maximum of 0.52. Much of the predictive ability resulted from the ability of markers to capture genetic relationships among families within the training set, and reducing the marker density had little impact on predictive ability. Using permutation based variable importance measure and genome wide association studies (GWAS) to identify and rank markers enabled the identification of a small subset of SNPs that could achieve predictive abilities close to those achieved using the complete marker set. CONCLUSION: Using a GWAS to identify and rank markers enabled a small panel of markers to be identified that could achieve higher predictive ability than the same number of randomly selected markers, and predictive abilities close to those achieved with the entire marker set. This was particularly evident in a sub-population characterised by having on-average higher genome-wide linkage disequilibirum (LD). Higher predictive abilities with selected markers over random markers suggests they are in LD with QTL. Accuracy due to genetic relationships will decay rapidly over generations whereas accuracy due to LD will persist, which is advantageous for practical breeding applications. PMID- 29843602 TI - Combining RNA-seq data and homology-based gene prediction for plants, animals and fungi. AB - BACKGROUND: Genome annotation is of key importance in many research questions. The identification of protein-coding genes is often based on transcriptome sequencing data, ab-initio or homology-based prediction. Recently, it was demonstrated that intron position conservation improves homology-based gene prediction, and that experimental data improves ab-initio gene prediction. RESULTS: Here, we present an extension of the gene prediction program GeMoMa that utilizes amino acid sequence conservation, intron position conservation and optionally RNA-seq data for homology-based gene prediction. We show on published benchmark data for plants, animals and fungi that GeMoMa performs better than the gene prediction programs BRAKER1, MAKER2, and CodingQuarry, and purely RNA-seq based pipelines for transcript identification. In addition, we demonstrate that using multiple reference organisms may help to further improve the performance of GeMoMa. Finally, we apply GeMoMa to four nematode species and to the recently published barley reference genome indicating that current annotations of protein coding genes may be refined using GeMoMa predictions. CONCLUSIONS: GeMoMa might be of great utility for annotating newly sequenced genomes but also for finding homologs of a specific gene or gene family. GeMoMa has been published under GNU GPL3 and is freely available at http://www.jstacs.de/index.php/GeMoMa . PMID- 29843603 TI - Genome-wide association study reveals a QTL and strong candidate genes for umbilical hernia in pigs on SSC14. AB - BACKGROUND: Umbilical hernia is one of the most prevalent congenital defect in pigs, causing economic losses and substantial animal welfare problems. Identification and implementation of genomic regions controlling umbilical hernia in breeding is of great interest to reduce incidences of hernia in commercial pig production. The aim of this study was to identify such regions and possibly identify causative variation affecting umbilical hernia in pigs. A case/control material consisting of 739 Norwegian Landrace pigs was collected and applied in a GWAS study with a genome-wide distributed panel of 60 K SNPs. Additionally candidate genes were sequenced to detect additional polymorphisms that were used for single SNP and haplotype association analyses in 453 of the pigs. RESULTS: The GWAS in this report detected a highly significant region affecting umbilical hernia around 50 Mb on SSC14 (P < 0.0001) explaining up to 8.6% of the phenotypic variance of the trait. The region is rather broad and includes 62 significant SNPs in high linkage disequilibrium with each other. Targeted sequencing of candidate genes within the region revealed polymorphisms within the Leukemia inhibitory factor (LIF) and Oncostatin M (OSM) that were significantly associated with umbilical hernia (P < 0.001). CONCLUSIONS: A highly significant QTL for umbilical hernia in Norwegian Landrace pigs was detected around 50 Mb on SSC14. Resequencing of candidate genes within the region revealed SNPs within LIF and OSM highly associated with the trait. However, because of extended LD within the region, studies in other populations and functional studies are needed to determine whether these variants are causal or not. Still without this knowledge, SNPs within the region can be used as genetic markers to reduce incidences of umbilical hernia in Norwegian Landrace pigs. PMID- 29843604 TI - TSVdb: a web-tool for TCGA splicing variants analysis. AB - BACKGROUND: Collaborative projects such as The Cancer Genome Atlas (TCGA) have generated various -omics and clinical data on cancer. Many computational tools have been developed to facilitate the study of the molecular characterization of tumors using data from the TCGA. Alternative splicing of a gene produces splicing variants, and accumulating evidence has revealed its essential role in cancer related processes, implying the urgent need to discover tumor-specific isoforms and uncover their potential functions in tumorigenesis. RESULT: We developed TSVdb, a web-based tool, to explore alternative splicing based on TCGA samples with 30 clinical variables from 33 tumors. TSVdb has an integrated and well proportioned interface for visualization of the clinical data, gene expression, usage of exons/junctions and splicing patterns. Researchers can interpret the isoform expression variations between or across clinical subgroups and estimate the relationships between isoforms and patient prognosis. TSVdb is available at http://www.tsvdb.com , and the source code is available at https://github.com/wenjie1991/TSVdb . CONCLUSION: TSVdb will inspire oncologists and accelerate isoform-level advances in cancer research. PMID- 29843605 TI - DnaJ homolog subfamily A member1 (DnaJ1) is a newly discovered anti-apoptotic protein regulated by azadirachtin in Sf9 cells. AB - BACKGROUND: Azadirachtin, one of the most promising botanical insecticides, has been widely used for pest control. Azadirachtin induces apoptosis in insect cell lines, including Sf9, SL-1 and BTI-Tn-5B1-4. Mitochondrial and lysosomal pathways are likely involved in the azadirachtin-induced apoptosis, however, detailed molecular mechanisms remain largely undefined. RESULTS: Azadirachtin-induced apoptosis in Sf9 cells was verified by morphological observation, Hoechst 33258 staining, and a Caspase-3-based analysis. Comparative two-dimensional gel electrophoresis (2-DE) coupled with a linear ion trap quadrupole (LTQ)-MS/MS analysis identified 12 prominent, differentially expressed proteins following azadirachtin treatment. These differentially expressed genes are involved in regulating cytoskeleton development, signal transduction, gene transcription, and cellular metabolism. Knockdown gene expression of a gene encoding a DnaJ homolog enhanced apoptosis induced by azadirachtin in Sf9 cells. CONCLUSION: Azadirachtin treatment induces apoptosis in Sf9 cells and affects expression of multiple genes with functions in cytoskeleton development, signal transduction, gene regulation, and cellular metabolisms. Azadirachtin induces apoptosis at least partially by down-regulation of Sf-DnaJ in Sf9 cells. PMID- 29843606 TI - Landscape of copy number variations in Bos taurus: individual - and inter-breed variability. AB - BACKGROUND: The number of studies of Copy Number Variation in cattle has increased in recent years. This has been prompted by the increased availability of data on polymorphisms and their relationship with phenotypes. In addition, livestock species are good models for some human phenotypes. In the present study, we described the landscape of CNV driven genetic variation in a large population of 146 individuals representing 13 cattle breeds, using whole genome DNA sequence. RESULTS: A highly significant variation among all individuals and within each breed was observed in the number of duplications (P < 10-15) and in the number of deletions (P < 10-15). We also observed significant differences between breeds for duplication (P = 0.01932) and deletion (P = 0.01006) counts. The same variation CNV length - inter-individual and inter-breed differences were significant for duplications (P < 10-15) and deletions (P < 10-15). Moreover, breed-specific variants were identified, with the largest proportion of breed specific duplications (9.57%) found for Fleckvieh and breed-specific deletions found for Brown Swiss (5.00%). Such breed-specific CNVs were predominantly located in intragenic regions, however in Simmental, one deletion present in five individuals was found in the coding sequence of a novel gene ENSBTAG00000000688 on chromosome 18. In Brown Swiss, Norwegian Red and Simmental breed-specific deletions were located within KIT and MC1R genes, which are responsible for a coat colour. The functional annotation of coding regions underlying the breed specific CNVs showed that in Norwegian Red, Guernsey, and Simmental significantly under- and overrepresented GO terms were related to chemical stimulus involved in sensory perception of smell and the KEGG pathways for olfactory transduction. In addition, specifically for the Norwegian Red breed, the dopaminergic synapse KEGG pathway was significantly enriched within deleted parts of the genome. CONCLUSIONS: The CNV landscape in Bos taurus genome revealed by this study was highly complex, with inter-breed differences, but also a significant variation within breeds. The former, may explain some of the phenotypic differences among analysed breeds, and the latter contributes to within-breed variation available for selection. PMID- 29843607 TI - A potential protective element of myocardial bridge against severe obstructive atherosclerosis in the whole coronary system. AB - BACKGROUND: Myocardial bridge (MB) is generally described as a congenital benign variation. Previous studies have suggested that MB prevents atherosclerotic plaques from accumulating within the bridge segment but promotes coronary stenosis in the proximal segment adjacent to MB. However, it is still not clear whether MB has positive or negative effects on severe obstructive atherosclerosis in the whole coronary artery system. METHODS: In this study, 6774 patients with symptoms of angina who were clinically diagnosed coronary artery disease (CAD) or suspected CAD underwent coronary angiography (CAG) in our center. The presence of MB was diagnosed, and a retrospective analysis was performed between MB and severe obstructive CAD requiring percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) in the whole coronary system. RESULTS: Among 6774 patients, 3583 (52.89%) were diagnosed with severe obstructive CAD (SOCAD) requiring a treatment of PCI or CABG and enrolled into the SOCAD group; and 3191 (47.11%) without SOCAD into the non-SOCAD group. Non-SOCAD and SOCAD groups had 512(16.05%) and 66(1.84%) patients with MB, respectively (P < 0.0001). The rate of SOCAD requiring PCI or CABG in patients with MB was much lower than that in patients without MB (11.42% vs. 56.76%, P < 0.0001). After adjusting for sex, age, diabetes mellitus, hypertension, and other risk factors, MB still had some positive role in preventing severe obstructive CAD (log-OR = - 2.134, p-value < 0.0001) through logistic regression. CONCLUSIONS: Our results provided a clue that MB might act as a potential protective element against severe obstructive atherosclerosis in the whole coronary artery system. PMID- 29843608 TI - Transcription profiling of butanol producer Clostridium beijerinckii NRRL B-598 using RNA-Seq. AB - BACKGROUND: Thinning supplies of natural resources increase attention to sustainable microbial production of bio-based fuels. The strain Clostridium beijerinckii NRRL B-598 is a relatively well-described butanol producer regarding its genotype and phenotype under various conditions. However, a link between these two levels, lying in the description of the gene regulation mechanisms, is missing for this strain, due to the lack of transcriptomic data. RESULTS: In this paper, we present a transcription profile of the strain over the whole fermentation using an RNA-Seq dataset covering six time-points with the current highest dynamic range among solventogenic clostridia. We investigated the accuracy of the genome sequence and particular genome elements, including pseudogenes and prophages. While some pseudogenes were highly expressed, all three identified prophages remained silent. Furthermore, we identified major changes in the transcriptional activity of genes using differential expression analysis between adjacent time-points. We identified functional groups of these significantly regulated genes and together with fermentation and cultivation kinetics captured using liquid chromatography and flow cytometry, we identified basic changes in the metabolism of the strain during fermentation. Interestingly, C. beijerinckii NRRL B-598 demonstrated different behavior in comparison with the closely related strain C. beijerinckii NCIMB 8052 in the latter phases of cultivation. CONCLUSIONS: We provided a complex analysis of the C. beijerinckii NRRL B-598 fermentation profile using several technologies, including RNA-Seq. We described the changes in the global metabolism of the strain and confirmed the uniqueness of its behavior. The whole experiment demonstrated a good reproducibility. Therefore, we will be able to repeat the experiment under selected conditions in order to investigate particular metabolic changes and signaling pathways suitable for following targeted engineering. PMID- 29843609 TI - A multi-scale analysis of bull sperm methylome revealed both species peculiarities and conserved tissue-specific features. AB - BACKGROUND: Spermatozoa have a remarkable epigenome in line with their degree of specialization, their unique nature and different requirements for successful fertilization. Accordingly, perturbations in the establishment of DNA methylation patterns during male germ cell differentiation have been associated with infertility in several species. While bull semen is widely used in artificial insemination, the literature describing DNA methylation in bull spermatozoa is still scarce. The purpose of this study was therefore to characterize the bull sperm methylome relative to both bovine somatic cells and the sperm of other mammals through a multiscale analysis. RESULTS: The quantification of DNA methylation at CCGG sites using luminometric methylation assay (LUMA) highlighted the undermethylation of bull sperm compared to the sperm of rams, stallions, mice, goats and men. Total blood cells displayed a similarly high level of methylation in bulls and rams, suggesting that undermethylation of the bovine genome was specific to sperm. Annotation of CCGG sites in different species revealed no striking bias in the distribution of genome features targeted by LUMA that could explain undermethylation of bull sperm. To map DNA methylation at a genome-wide scale, bull sperm was compared with bovine liver, fibroblasts and monocytes using reduced representation bisulfite sequencing (RRBS) and immunoprecipitation of methylated DNA followed by microarray hybridization (MeDIP chip). These two methods exhibited differences in terms of genome coverage, and consistently, two independent sets of sequences differentially methylated in sperm and somatic cells were identified for RRBS and MeDIP-chip. Remarkably, in the two sets most of the differentially methylated sequences were hypomethylated in sperm. In agreement with previous studies in other species, the sequences that were specifically hypomethylated in bull sperm targeted processes relevant to the germline differentiation program (piRNA metabolism, meiosis, spermatogenesis) and sperm functions (cell adhesion, fertilization), as well as satellites and rDNA repeats. CONCLUSIONS: These results highlight the undermethylation of bull spermatozoa when compared with both bovine somatic cells and the sperm of other mammals, and raise questions regarding the dynamics of DNA methylation in bovine male germline. Whether sperm undermethylation has potential interactions with structural variation in the cattle genome may deserve further attention. PMID- 29843610 TI - Bias due to censoring of deaths when calculating extra length of stay for patients acquiring a hospital infection. AB - BACKGROUND: In many studies the information of patients who are dying in the hospital is censored when examining the change in length of hospital stay (cLOS) due to hospital-acquired infections (HIs). While appropriate estimators of cLOS are available in literature, the existence of the bias due to censoring of deaths was neither mentioned nor discussed by the according authors. METHODS: Using multi-state models, we systematically evaluate the bias when estimating cLOS in such a way. We first evaluate the bias in a mathematically closed form assuming a setting with constant hazards. To estimate the cLOS due to HIs non parametrically, we relax the assumption of constant hazards and consider a time inhomogeneous Markov model. RESULTS: In our analytical evaluation we are able to discuss challenging effects of the bias on cLOS. These are in regard to direct and indirect differential mortality. Moreover, we can make statements about the magnitude and direction of the bias. For real-world relevance, we illustrate the bias on a publicly available prospective cohort study on hospital-acquired pneumonia in intensive-care. CONCLUSION: Based on our findings, we can conclude that censoring the death cases in the hospital and considering only patients discharged alive should be avoided when estimating cLOS. Moreover, we found that the closed mathematical form can be used to describe the bias for settings with constant hazards. PMID- 29843611 TI - Comparative analysis of plant MKK gene family reveals novel expansion mechanism of the members and sheds new light on functional conservation. AB - BACKGROUND: Mitogen-activated protein kinase (MAPK) cascades play critical functions in almost every aspect of plant growth and development, which regulates many physiological and biochemical processes. As a middle nodal point of the MAPK cascades, although evolutionary analysis of MKK from individual plant families had some reports, their evolutionary history in entire plants is still not clear. RESULTS: To better understand the evolution and function of plant MKKs, we performed systematical molecular evolutionary analysis of the MAPKK gene family and also surveyed their gene organizations, sequence features and expression patterns in different subfamilies. Phylogenetic analysis showed that plant MAPKK fall into five different groups (Group A-E). Majority orthology groups seemed to be a single or low-copy genes in all plant species analyzed in Group B, C and D, whereas group A MKKs undergo several duplication events, generating multiple gene copies. Further analysis showed that these duplication events were on account of whole genome duplications (WGDs) in plants and the duplicate genes maybe have undergone functional divergence. We also found that group E MKKs had mutation with one change of serine or theronine might lead to inactivity originated through the ancient tandem duplicates in monocots. Moreover, we also identified MKK3 integrated NTF2 domain that might have gradually lost the cytoplasmic nuclear trafficking activity, which suggests that they may involve with the gene function more and more sophistication in the evolutionary process. Moreover, expression analyses indicated that plant MKK genes play probable roles in UV-B signaling. CONCLUSION: In general, ancient gene and genome duplications are significantly conducive to the expansion of the plant MKK gene family. Our study reveals two distinct evolutionary patterns for plant MKK proteins and sheds new light on the functional evolution of this gene family. PMID- 29843612 TI - EqualTDRL: illustrating equivalent tandem duplication random loss rearrangements. AB - BACKGROUND: To study the differences between two unichromosomal circular genomes, e.g., mitochondrial genomes, under the tandem duplication random loss (TDRL) rearrangement it is important to consider the whole set of potential TDRL rearrangement events that could have taken place. The reason is that for two given circular gene orders there can exist different TDRL rearrangements that transform one of the gene orders into the other. Hence, a TDRL event cannot always be reconstructed only from the knowledge of the circular gene order before a TDRL event and the circular gene order after it. RESULTS: We present the program EqualTDRL that computes and illustrates the complete set of TDRLs for pairs of circular gene orders that differ by only one TDRL. EqualTDRL considers the circularity of the given genomes and certain restrictions on the TDRL rearrangements. Examples for the latter are sequences of genes that have to be conserved during a TDRL or pairs of genes that frame intergenic regions which might represent remnants of duplicated genes. Additionally, EqualTDRL allows to determine the set of TDRLs that are minimum with respect to the number of duplicated genes. CONCLUSION: EqualTDRL supports scientists to study the complete set of TDRLs that possibly could have taken place in the evolution of mitochondrial genomes. EqualTDRL is implemented in C++ using the ggplot2 package of the open source programming language R and is freely available from http://pacosy.informatik.uni-leipzig.de/equaltdrl . PMID- 29843613 TI - Identification of genes regulating traits targeted for domestication of field cress (Lepidium campestre) as a biennial and perennial oilseed crop. AB - BACKGROUND: The changing climate and the desire to use renewable oil sources necessitate the development of new oilseed crops. Field cress (Lepidium campestre) is a species in the Brassicaceae family that has been targeted for domestication not only as an oilseed crop that produces seeds with a desirable industrial oil quality but also as a cover/catch crop that provides valuable ecosystem services. Lepidium is closely related to Arabidopsis and display significant proportions of syntenic regions in their genomes. Arabidopsis genes are among the most characterized genes in the plant kingdom and, hence, comparative genomics of Lepidium-Arabidopsis would facilitate the identification of Lepidium candidate genes regulating various desirable traits. RESULTS: Homologues of 30 genes known to regulate vernalization, flowering time, pod shattering, oil content and quality in Arabidopsis were identified and partially characterized in Lepidium. Alignments of sequences representing field cress and two of its closely related perennial relatives: L. heterophyllum and L. hirtum revealed 243 polymorphic sites across the partial sequences of the 30 genes, of which 95 were within the predicted coding regions and 40 led to a change in amino acids of the target proteins. Within field cress, 34 polymorphic sites including nine non-synonymous substitutions were identified. The phylogenetic analysis of the data revealed that field cress is more closely related to L. heterophyllum than to L. hirtum. CONCLUSIONS: There is significant variation within and among Lepidium species within partial sequences of the 30 genes known to regulate traits targeted in the present study. The variation within these genes are potentially useful to speed-up the process of domesticating field cress as future oil crop. The phylogenetic relationship between the Lepidium species revealed in this study does not only shed some light on Lepidium genome evolution but also provides important information to develop efficient schemes for interspecific hybridization between different Lepidium species as part of the domestication efforts. PMID- 29843614 TI - Analysis of randomised trials with long-term follow-up. AB - Randomised trials with long-term follow-up can provide estimates of the long-term effects of health interventions. However, analysis of long-term outcomes in randomised trials may be complicated by problems with the administration of treatment such as non-adherence, treatment switching and co-intervention, and problems obtaining outcome measurements arising from loss to follow-up and death of participants. Methods for dealing with these issues that involve conditioning on post-randomisation variables are unsatisfactory because they may involve the comparison of non-exchangeable groups and generate estimates that do not have a valid causal interpretation. We describe approaches to analysis that potentially provide estimates of causal effects when such issues arise. Brief descriptions are provided of the use of instrumental variable and propensity score methods in trials with imperfect adherence, marginal structural models and g-estimation in trials with treatment switching, mixed longitudinal models and multiple imputation in trials with loss to follow-up, and a sensitivity analysis that can be used when trial follow-up is truncated by death or other events. Clinical trialists might consider these methods both at the design and analysis stages of randomised trials with long-term follow-up. PMID- 29843615 TI - Parallel evolution of storage roots in morning glories (Convolvulaceae). AB - BACKGROUND: Storage roots are an ecologically and agriculturally important plant trait that have evolved numerous times in angiosperms. Storage roots primarily function to store carbohydrates underground as reserves for perennial species. In morning glories, storage roots are well characterized in the crop species sweetpotato, where starch accumulates in storage roots. This starch-storage tissue proliferates, and roots thicken to accommodate the additional tissue. In morning glories, storage roots have evolved numerous times. The primary goal of this study is to understand whether this was through parallel evolution, where species use a common genetic mechanism to achieve storage root formation, or through convergent evolution, where storage roots in distantly related species are formed using a different set of genes. Pairs of species where one forms storage roots and the other does not were sampled from two tribes in the morning glory family, the Ipomoeeae and Merremieae. Root anatomy in storage roots and fine roots was examined. Furthermore, we sequenced total mRNA from storage roots and fine roots in these species and analyzed differential gene expression. RESULTS: Anatomical results reveal that storage roots of species in the Ipomoeeae tribe, such as sweetpotato, accumulate starch similar to species in the Merremieae tribe but differ in vascular tissue organization. In both storage root forming species, more genes were found to be upregulated in storage roots compared to fine roots. Further, we find that fifty-seven orthologous genes were differentially expressed between storage roots and fine roots in both storage root forming species. These genes are primarily involved in starch biosynthesis, regulation of starch biosynthesis, and transcription factor activity. CONCLUSIONS: Taken together, these results demonstrate that storage roots of species from both morning glory tribes are anatomically different but utilize a common core set of genes in storage root formation. This is consistent with a pattern of parallel evolution, thus highlighting the importance of examining anatomy together with gene expression to understand the evolutionary origins of ecologically and economically important plant traits. PMID- 29843616 TI - Long-term clinical outcomes of catheter ablation in patients with atrial fibrillation predisposing to tachycardia-bradycardia syndrome: a long pause predicts implantation of a permanent pacemaker. AB - BACKGROUND: There is a controversy as to whether catheter ablation should be the first-line therapy for tachycardia-bradycardia syndrome (TBS) in patients with atrial fibrillation (AF). METHODS: We aimed to investigate long-term clinical outcomes of catheter ablation in patients with TBS and AF. Among 145 consecutive patients who underwent catheter ablation of AF with TBS, 121 patients were studied. RESULTS: Among 121 patients, 11 (9.1%) received implantation of a permanent pacemaker during a mean 21 months after ablation. Length of pause on termination of AF was significantly greater in patients who received pacemaker implantation after ablation than those who underwent ablation only (7.9 +/- 3.5 vs. 5.1 +/- 2.1 s, p < 0.001). Using a multivariate model, a long pause of 6.3 s or longer after termination of AF was associated with the requirement to implant a permanent pacemaker after ablation (HR 1.332, 95% CI 1.115-1.591, p = 0.002). CONCLUSION: This study suggests that, in patients with AF predisposing to TBS, long pause on termination of AF predicts the need to implant a permanent pacemaker after catheter ablation. PMID- 29843617 TI - Genome sequencing and protein domain annotations of Korean Hanwoo cattle identify Hanwoo-specific immunity-related and other novel genes. AB - BACKGROUND: Identification of genetic mechanisms and idiosyncrasies at the breed level can provide valuable information for potential use in evolutionary studies, medical applications, and breeding of selective traits. Here, we analyzed genomic data collected from 136 Korean Native cattle, known as Hanwoo, using advanced statistical methods. RESULTS: Results revealed Hanwoo-specific protein domains which were largely characterized by immunoglobulin function. Furthermore, domain interactions of novel Hanwoo-specific genes reveal additional links to immunity. Novel Hanwoo-specific genes linked to muscle and other functions were identified, including protein domains with functions related to energy, fat storage, and muscle function that may provide insight into the mechanisms behind Hanwoo cattle's uniquely high percentage of intramuscular fat and fat marbling. CONCLUSION: The identification of Hanwoo-specific genes linked to immunity are potentially useful for future medical research and selective breeding. The significant genomic variations identified here can crucially identify genetic novelties that are arising from useful adaptations. These results will allow future researchers to compare and classify breeds, identify important genetic markers, and develop breeding strategies to further improve significant traits. PMID- 29843618 TI - Plasma levels of free fatty acid differ in patients with left ventricular preserved, mid-range, and reduced ejection fraction. AB - BACKGROUND: Free fatty acids (FFAs) predicted the risk of heart failure (HF) and were elevated in HF with very low left ventricular ejection fraction (LVEF) compared to healthy subjects. The aim of this study was to investigate whether total levels of FFA in plasma differed in patients with HF with preserved (HFpEF), mid-range (HFmrEF), and reduced ejection fraction (HFrEF) and the association with the three categories. METHODS: One hundred thirty-nine patients with HFpEF, HFmrEF and HFrEF were investigated in this study. Plasma FFA levels were measured using commercially available assay kits, and LVEF was calculated by echocardiography with the Simpson biplane method. Dyspnea ranked by New York Heart Association (NYHA) was also identified. RESULTS: FFA concentrations were higher in HFrEF than in HFmrEF and HFpEF, respectively (689 +/- 321.5 MUmol/L vs. 537.9 +/- 221.6 MUmol/L, p = 0.036; 689 +/- 321.5 MUmol/L vs. 527.5 +/- 185.5 MUmol/L, p = 0.008). No significant differences in FFA levels were found between HFmrEF and HFpEF (537.9 +/- 221.6 MUmol/L vs. 527.5 +/- 185.5 MUmol/L, p = 0.619). In addition, we found a negative correlation between FFA levels and LVEF (regression coefficient: - 0.229, p = 0.004) and a positive correlation between FFAs and NYHA class (regression coefficient: 0.214, p = 0.014) after adjustment for clinical characteristic, medical history and therapies. ROC analysis revealed that FFAs predicted HFrEF across the three categories (AUC: 0.644, p = 0.005) and the optimal cut-off level to predict HFrEF was FFA levels above 575 MUmol/L. CONCLUSIONS: FFA levels differed across the three categories, which suggests that energy metabolism differs between HFpEF, HFmrEF and HFrEF. PMID- 29843619 TI - Patient empowerment and general self-efficacy in patients with coronary heart disease: a cross-sectional study. AB - BACKGROUND: In managing a life with coronary heart disease and the possibility of planning and following a rehabilitation plan, patients' empowerment and self efficacy are considered important. However, currently there is limited data on levels of empowerment among patients with coronary heart disease, and demographic and clinical characteristics associated with patient empowerment are not known. The purpose of this study was to assess the level of patient empowerment and general self-efficacy in patients six to 12 months after the cardiac event. We also aimed to explore the relationship between patient empowerment, general self efficacy and other related factors such as quality of life and demographic variables. METHODS: A sample of 157 cardiac patients (78% male; age 68 +/- 8.5 years) was recruited from a Swedish hospital. Patient empowerment was assessed using the SWE-CES-10. Additional data was collected on general self-efficacy and well-being (EQ5D and Ladder of Life). Demographic and clinical variables were collected from medical records and interviews. RESULTS: The mean levels of patient empowerment and general self-efficacy on a 0-4 scale were 3.69 (+/-0.54) and 3.13 (+/-0.52) respectively, and the relationship between patient empowerment and general self-efficacy was weak (r = 0.38). In a simple linear regression, patient empowerment and general self-efficacy were significantly correlated with marital status, current self-rated health and future well-being. Multiple linear regressions on patient empowerment (Model 1) and general self-efficacy (Model 2) showed an independent significant association between patient empowerment and current self-rated health. General self-efficacy was not independently associated with any of the variables. CONCLUSIONS: Patients with a diagnosis of coronary heart disease reported high levels of empowerment and general self-efficacy at six to 12 months after the event. Clinical and demographic variables were not independently associated with empowerment or low general self-efficacy. Patient empowerment and general self-efficacy were not mutually interchangeable, and therefore both need to be measured when planning for secondary prevention in primary health care. TRIAL REGISTRATION: NCT01462799 . PMID- 29843620 TI - Paternal characteristics associated with maternal periconceptional use of folic acid supplementation. AB - BACKGROUND: Maternal predictors of folic acid (FA) supplementation use to reduce offspring risk of neural tube defects are well known, while paternal determinants for maternal FA use are less known. Such knowledge is important to increase women's compliance to recommended periconceptional FA use. METHODS: In a nation wide study of 683,785 births registered in the Medical Birth Registry of Norway during 1999-2010, the associations between paternal characteristics (age, education, occupation, country of origin) and maternal FA use were estimated by relative risks (RR) with 95% confidence intervals (CI), using log-binomial regression. RESULTS: Maternal FA use before and during pregnancy (adequate FA use) was found in 16% of the births. The association between paternal age and adequate FA use was inversely U-shaped; adjusted RRs for adequate FA use were 0.35 (95% CI 0.28-0.43) and 0.72 (95% CI 0.71-0.74) for paternal age < 20 and >= 40 years, respectively, comparing age 30-34 years. Compulsory education (1-9 years) among fathers was compared to tertiary education; the RR was 0.69 (95% CI 0.68-0.71) for adequate FA use. The lower risk of adequate FA use for paternal compulsory education was present in all categories of maternal education. Occupation classes other than "Higher professionals" were associated with decreased risk of adequate FA use, compared with the reference "Lower professionals". RR for adequate FA use was 0.58 (95% CI 0.56-0.60) comparing fathers from "Low/middle-income countries" with fathers born in Norway. CONCLUSION: Adequate FA use in the periconceptional period was lower when fathers were younger or older than 30-34 years, had shorter education, had manual or self employed occupations, or originated from low/middle-income countries. Partners may contribute to increase women's use of periconceptional FA supplementation. PMID- 29843621 TI - Summary results of the 2014-2015 DARPA Chikungunya challenge. AB - BACKGROUND: Emerging pathogens such as Zika, chikungunya, Ebola, and dengue viruses are serious threats to national and global health security. Accurate forecasts of emerging epidemics and their severity are critical to minimizing subsequent mortality, morbidity, and economic loss. The recent introduction of chikungunya and Zika virus to the Americas underscores the need for better methods for disease surveillance and forecasting. METHODS: To explore the suitability of current approaches to forecasting emerging diseases, the Defense Advanced Research Projects Agency (DARPA) launched the 2014-2015 DARPA Chikungunya Challenge to forecast the number of cases and spread of chikungunya disease in the Americas. Challenge participants (n=38 during final evaluation) provided predictions of chikungunya epidemics across the Americas for a six-month period, from September 1, 2014 to February 16, 2015, to be evaluated by comparison with incidence data reported to the Pan American Health Organization (PAHO). This manuscript presents an overview of the challenge and a summary of the approaches used by the winners. RESULTS: Participant submissions were evaluated by a team of non-competing government subject matter experts based on numerical accuracy and methodology. Although this manuscript does not include in depth analyses of the results, cursory analyses suggest that simpler models appear to outperform more complex approaches that included, for example, demographic information and transportation dynamics, due to the reporting biases, which can be implicitly captured in statistical models. Mosquito-dynamics, population specific information, and dengue-specific information correlated best with prediction accuracy. CONCLUSION: We conclude that with careful consideration and understanding of the relative advantages and disadvantages of particular methods, implementation of an effective prediction system is feasible. However, there is a need to improve the quality of the data in order to more accurately predict the course of epidemics. PMID- 29843622 TI - Do provider birth attitudes influence cesarean delivery rate: a cross-sectional study. AB - BACKGROUND: When used judiciously, cesarean sections can save lives; but in the United States, prior research indicates that cesarean birth rates have risen beyond the threshold to help women and infants and become a contributor to increased maternal mortality and rising healthcare costs. Healthy People 2020 has set the goal for nulliparous, term, singleton, vertex (NTSV) cesarean birth rate at no more than 23.9% of births. Currently, cesarean rates vary from 6% to 69% in US hospitals, unexplained by clinical or demographic factors. This wide variation in cesarean use is also seen among individual providers of intrapartum care. Previous research of birth attitudes found providers of intrapartum care hold widely differing views, which may be a key underlying factor influencing practice variation; however, further study is needed to determine if differences in attitudes are associated with differences in clinical outcomes. The purpose of this study was to estimate the association between individual provider attitudes towards birth and their low-risk primary cesarean rate. METHODS: Four hundred providers were drawn from a stratified random sample of all California providers of intrapartum care in 2013 and surveyed for their attitudes towards various aspects of labor and birth. Providers' NTSV cesarean birth rates were obtained for 2013 and 2014. Covariates included gender, years of experience, practice location, and primary hospital's NTSV cesarean rate. We used adjusted multivariate Poisson regression to compare cesarean rates and linear regression to compare attitude scores of providers meeting versus not meeting the Healthy People 2020 (HP2020) goal. RESULTS: Two hundred nine total participants (obstetricians, family physicians, and midwives) completed surveys, of which 109 perform cesareans. Providers' NTSV cesarean rate was significantly associated with their composite attitudes score [IRR for each one-point increase 1.21 (95% CI 1.002-1.45)]. Physicians meeting the HP2020 goal held attitudes which were significantly more favorable towards vaginal birth: mean 2.70 (95% CI 2.58-2.83) versus 2.91 (95% CI 2.82-3.00), p < 0.01. CONCLUSIONS: Provider attitudinal differences are associated with NTSV cesarean rates. Those meeting the HP2020 goal hold attitudes more favorable towards vaginal birth. These findings may present a modifiable target for quality improvement initiatives to decrease low risk primary cesareans. PMID- 29843623 TI - An assistant workforce to improve screening rates and quality of care for older patients in the emergency department: findings of a pre- post, mixed methods study. AB - BACKGROUND: Older people who present to the Emergency Department (ED) experience high rates of prevalent and incident delirium. This study aimed to determine whether an assistant workforce in the ED could effectively conduct screening to inform assessment and care planning for older people as well as enhance supportive care activities for prevention of delirium. METHODS: Using a pre-post design, data was collected before and after the introduction of Older Person Technical Assistants (OPTAs) in the ED. OPTA activity was recorded during the intervention period and a medical record audit undertaken prior to and 9 months after implementation. Data were analysed using descriptive statistics for OPTA activities. Weighted Kappa scores were calculated comparing concordance in screening scores between OPTAs and Aged Services Emergency Team Registered Nurses. Changes in the rates of documented screening and supportive care were analysed using Chi-square tests. Focus groups were conducted to explore clinicians' experiences of the OPTA role. RESULTS: Three thousand five hundred fourty two people were seen by OPTAs in 4563 ED Presentations between 1st July 2011 and 2012. The reproducibility of all screening tools were found to be high between the OPTAs and the RNs, with Kappas and ICCs generally all above 0.9. The medical record audit showed significant improvement in the rates of documented screening, including cognition from 1.5 to 38% (p < 0.001) and review of pain from 29 to 75% (p < 0.001). Supportive care such as being given fluids or food also improved from 13 to 49% (p < 0.001) and pressure care from 4.8 to 30% (p < 0.001). This was accomplished with no increase in ED length of stay among this age group. Focus group interviews described mixed responses and support for the OPTA role. CONCLUSIONS: An assistant workforce in an ED setting was found to provide comparable screening results and improve the rates of documented screening and supportive care provided to older people with or at risk of developing delirium in the ED. There is a need for a shared philosophy to the care of older people in the ED. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registration number is ACTRN12617000742370. It was retrospectively registered on 22nd May 2017. PMID- 29843624 TI - Dyke-Davidoff-Masson syndrome: a case report. AB - BACKGROUND: Dyke-Davidoff-Masson syndrome is a rare condition of unknown frequency resulting from brain injury due to a multitude of causes; especially in early life. Characteristics include cerebral hemiatrophy/hypoplasia, contralateral hemiparesis, seizures, and compensatory osseous hypertrophy. CASE PRESENTATION: We present a case of a 13-year-old girl who initially presented with headaches, followed by episodic complex-partial seizures; which was controlled via medication. She also had right sided hemiparesis. Computed tomography (CT) showed evidence of left parieto-temporal infarct with cerebral atrophy. Complementary magnetic resonance imaging (MRI) did not reveal additional information. Workup for young stroke was negative. Upon further evaluation by Neuroradiology, features suggesting Dyke-Davidoff-Masson syndrome were confirmed. Patient has been under Neurology follow up since. CONCLUSIONS: Due to its rarity, Dyke-Davidoff-Masson syndrome may easily be missed by the majority of treating clinicians. Knowledge of its features on imaging enables timely and accurate diagnosis - allowing appropriate management. PMID- 29843625 TI - Clinical and genetic characterization of a Chanarin Dorfman Syndrome patient born to diseased parents. AB - BACKGROUND: Chanarin Dorfman Syndrome (CDS) is a rare autosomal recessive disorder characterized by ichthyosiform non-bullous erythroderma and variable involvement of the liver and the neuromuscular system. In CDS patients, the accumulation of neutral lipids inside cytoplasmic lipid droplets has been demonstrated in different tissues. To date, ninety families with this disease have been described worldwide; most of them are from Mediterranean countries. CASE PRESENTATION: In this report, we describe a consanguineous Turkish family with typical features of CDS. The parents are first cousins and are both diseased. At the age of eight, their child presented CDS with non-bullous congenital ichthyosiform erythroderma, hepatosteatosis, hepatomegaly and ectropion. Electromyographic examination is compatible with myopathy. A five-year old cousin of the child is also affected by CDS. She was born to non-affected consanguineous parents. Mutation analysis of the ABHD5 gene revealed the previously reported mutation, N209X, which is the most frequent in Turkish patients. Lipid vacuoles, also known as Jordan's anomaly, are detectable in their leucocytes. CONCLUSIONS: To the best of our knowledge, this is the first report of a CDS family in which both parents and their child are affected by CDS. To date, the child does not present a more severe clinical phenotype compared with those of his relatives or other CDS patients of the same age. These findings suggest that high levels of triacylglycerol accumulation, that may be supposed to be present in high amount inside the ooplasm, did not affect embryo development and foetal growth. PMID- 29843626 TI - Survival of low birthweight neonates in Uganda: analysis of progress between 1995 and 2011. AB - BACKGROUND: Although low birthweight (LBW) babies represent only 15.5% of global births, it is the leading underlying cause of deaths among newborns in countries where neonatal mortality rates are high. In Uganda, like many other sub-Saharan African countries, the progress of reducing neonatal mortality has been slow and the contribution of low birthweight to neonatal deaths over time is unclear. The aim of this study is to investigate the association between low birthweight and neonatal mortality and to determine the trends of neonatal deaths attributable to low birthweight in Uganda between 1995 and 2011. METHODS: Cross-sectional survey datasets from Uganda Demographic and Health Surveys between 1995 and 2011 were analyzed using binary logistic regression with 95% confidence interval (CI) and Kaplan-Meier survival analysis to examine associations and trends of neonatal mortalities with respect to LBW. A total of 5973 singleton last-born live births with measured birthweights were included in the study. RESULTS: The odds of mortality among low birthweight neonates relative to normal birthweight babies were; in 1995, 6.2 (95% CI 2.3 -17.0), in 2000-2001, 5.3 (95% CI 1.7 -16.1), in 2006, 4.3 (95% CI 1.3 - 14.2) and in 2011, 3.8 (95% CI 1.3 - 11.2). The proportion of neonatal deaths attributable to LBW in the entire population declined by more than half, from 33.6% in 1995 to 15.3% in 2011. Neonatal mortality among LBW newborns also declined from 83.8% to 73.7% during the same period. CONCLUSION: Low birthweight contributes to a substantial proportion of neonatal deaths in Uganda. Although significant progress has been made to reduce newborn deaths, about three-quarters of all LBW neonates died in the neonatal period by 2011. This implies that the health system has been inadequate in its efforts to save LBW babies. A holistic strategy of community level interventions such as improved nutrition for pregnant mothers, prevention of teenage pregnancies, use of mosquito nets during pregnancy, antenatal care for all, adequate skilled care during birth to prevent birth asphyxia among LBW babies, and enhanced quality of postnatal care among others could effectively reduce the mortality numbers. PMID- 29843627 TI - Risk factors for peripartum hysterectomy among women with postpartum haemorrhage: analysis of data from the WOMAN trial. AB - BACKGROUND: Peripartum hysterectomy can cause significant morbidity and mortality. Most studies of peripartum hysterectomy are from high income countries. This cohort study examined risk factors for peripartum hysterectomy using data from Africa, Asia, Europe and the Americas. METHODS: We used data from the World Maternal Antifibrinolytic (WOMAN) trial carried out in 193 hospitals in 21 countries. Peripartum hysterectomy was defined as hysterectomy within 6 weeks of delivery as a complication of postpartum haemorrhage. Univariable and multivariable random effects logistic regression models were used to analyse risk factors. A hierarchical conceptual framework guided our multivariable analysis. RESULTS: Five percent of women had a hysterectomy (1020/20,017). Haemorrhage from placenta praevia/accreta carried a higher risk of hysterectomy (17%) than surgical trauma/tears (5%) and uterine atony (3%). The adjusted odds ratio (AOR) for hysterectomy in women with placenta praevia/accreta was 3.2 (95% CI: 2.7 3.8), compared to uterine atony. The risk of hysterectomy increased with maternal age. Caesarean section was associated with fourfold higher odds of hysterectomy than vaginal delivery (AOR 4.3, 95% CI: 3.6-5.0). Mothers in Asia had a higher hysterectomy incidence (7%) than mothers in Africa (5%) (AOR: 1.2, 95% CI: 0.9 1.7). CONCLUSIONS: Placenta praevia/accreta is associated with a higher risk of peripartum hysterectomy. Other risk factors for hysterectomy are advanced maternal age, caesarean section and giving birth in Asia. PMID- 29843628 TI - "Appropriateness of colonoscopy according to EPAGE II in a low resource setting: a cross sectional study from Sri Lanka". AB - BACKGROUND: Due to finite resources, the clinical decision to subject a patient to colonoscopy needs to be based on the evidence, regardless of its availability, affordability and safety. This study assessed the appropriateness of colonoscopies conducted in selected study settings in Sri Lanka. In the absence of local guidelines, audit was based on European Panel on Appropriateness of Gastrointestinal Endoscopy II (EPAGE II) criteria. METHODS: This cross-sectional study assessed consecutive patients who underwent colonoscopy between June to August 2015 at four main hospitals in Sri Lanka. Interviewer administered questionnaire and secondary data were collected by trained health staff. Indications were assessed according to EPAGE II criteria. RESULTS: Out of 325 patients, male female proportions were 57.2 and 42.8%. Mean (SD) age was 54.9 (12.1) years. Colonoscopies were appropriate in 61.2% (95% CI 55.8-66.3), uncertain in 28.6% (95% CI 23.9-33.7) and inappropriate in 10.2% (95% CI 7.3 13.9). Colonoscopy to evaluate abdominal pain has highest percentage of inappropriateness of 10.0%. However, 9.5% of these colonoscopies revealed Colo Rectal Cancer (CRC), reflecting differences in the profile of local CRC patients. Colonoscopies with appropriate or uncertain indications are three times more likely to have a relevant finding than inappropriate indications (42.5% vs. 18.2%; OR 3.32, 95% CI 1.33-8.3; P = 0.008). CONCLUSIONS: Majority of colonoscopies are appropriate. However, it cannot be neglected that every one in ten patients undergo inappropriate colonoscopy. Proportion of inappropriateness was highest for the indication of chronic abdominal pain, of which, 9.5% of patients were diagnosed with CRC. This may reflect the different profile of local CRC patients in terms of symptom manifestation and other characteristics. In conclusion, the authors recommend formulation of national guidelines for colonoscopy indications based on current best evidence and local patient profile. Use of such prepared local guidelines will improve the efficient use of finite resources. PMID- 29843629 TI - Antidepressant use during pregnancy and the risk of developing gestational hypertension: a retrospective cohort study. AB - BACKGROUND: Prior studies reported that exposure to antidepressants during pregnancy may be associated with gestational hypertension. The aim of this study is to assess the association between the use of antidepressants during pregnancy and the risk of developing gestational hypertension. METHODS: A retrospective cohort study using the prescription database IADB.nl was conducted among nulliparous women with singleton pregnancies between 1994 and 2015 in the Netherlands. Logistic regression analysis was used to estimate odds ratios (OR), adjusted OR (aOR) and their corresponding 95% confidence intervals (95% CI). Gestational hypertension as main outcome measure was defined as at least one dispensed record of an antihypertensive drug (methyldopa, nifedipine, labetalol, ketanserin, nicardipine) after 20 weeks of gestation until 14 days after delivery. Sub-analyses were conducted for class of antidepressant, duration and amount of use of antidepressant (<=30, >=30 Defined Daily Doses or DDDs), and maternal age. Sensitivity analyses to assess uncertainties were conducted. RESULTS: Twenty-eight thousand twenty women were included, of which 539 (1.92%) used antidepressants. The risk of gestational hypertension was doubled for women using antidepressant (aOR 2.00 95% CI 1.28-3.13). Significant associations were also found for the subgroup selective serotonin reuptake inhibitors (SSRIs) (aOR 2.07 95% CI 1.25-3.44), >=30 DDDs (aOR 2.50 95% CI 1.55-3.99) and maternal age of 30-34 years (aOR 2.59 95% CI 1.35-4.98). Varying the theoretical gestational age showed comparable results. CONCLUSION: Prolonged use of antidepressants during the first 20 weeks of gestation appeared to be associated with an increased risk of developing gestational hypertension. When balancing the benefits and risks of using these drugs during pregnancy, this should be taken into account. PMID- 29843630 TI - Unusual presentation of a skull base mass lesion in sarcoidosis mimicking malignant neoplasm: a case report. AB - BACKGROUND: Sarcoidosis is a multi-organ disease of unknown etiology characterised by the presence of epithelioid granulomas, without caseous necrosis. Systemic sarcoidosis is rare among children, while neurosarcoidosis in children is even rarer whether it is systemic or not. CASE PRESENTATION: We described the case of a 12-year-old boy who presented with monocular vision loss accompanied by unusual MRI features of an extensive meningeal infiltrating mass lesion. The patient underwent surgical resection (biopsy) via a frontotemporal craniotomy to establish a definitive diagnosis based on the histopathology, since neurosarcoidosis remains a very difficult diagnosis to establish from neuroradiogenic imagings. Based on the histopathology of the resected mass lesion, neurosarcoidosis was diagnosed. On follow-up after 3 months of steroid therapy, the patient displayed a good response on the imaging studies. MRI revealed that the preexisting mass lesion had regressed extremely. We also conducted a small literature review on imaging studies, manifestations, appropriate treatments, etc., in particular neurosarcoidosis including children. CONCLUSION: Although extremely rare, neurosarcoidosis, even in children, should be considered in the differential diagnosis of skull base mass lesions to avoid unnecessary aggressive surgery and delay in treatment, since surgery may have little role in the treatment of sarcoidosis. PMID- 29843631 TI - Urine IP-10 as a biomarker of therapeutic response in patients with active pulmonary tuberculosis. AB - BACKGROUND: Prior to clinical trials of new TB drugs or therapeutic vaccines, it is necessary to develop monitoring tools to predict treatment outcomes in TB patients. Urine interferon gamma inducible protein 10 (IP-10) is a potential biomarker of treatment response in chronic hepatitis C virus infection and lung diseases, including tuberculosis. In this study, we assessed IP-10 levels in urine samples from patients with active TB at diagnosis, during treatment, and at completion, and compared these with levels in serum samples collected in parallel from matched patients to determine whether urine IP-10 can be used to monitor treatment response in patients with active TB. METHODS: IP-10 was measured using enzyme-linked immunosorbent assays in urine and serum samples collected concomitantly from 23 patients with active TB and 21 healthy adults (44 total individuals). The Mann-Whitney U test and Wilcoxon matched-pairs signed rank test were used for comparisons among healthy controls and patients at three time points, and LOESS regression was used for longitudinal data. RESULTS: The levels of IP-10 in urine increased significantly after 2 months of treatment (P = 0.0163), but decreased by the completion of treatment (P = 0.0035). Serum IP-10 levels exhibited a similar trend, but did not increase significantly after 2 months of treatment in patients with active TB. CONCLUSIONS: Unstimulated IP-10 in urine can be used as a biomarker to monitor treatment response in patients with active pulmonary TB. PMID- 29843632 TI - Faecal colonization of E. coli and Klebsiella spp. producing extended-spectrum beta-lactamases and plasmid-mediated AmpC in Mozambican university students. AB - BACKGROUND: In recent years, the world has seen a surge in Enterobacteriaceae resistant to broad-spectrum beta-lactam antibiotics due to the production of extended-spectrum beta-lactamases (ESBLs) or plasmid-mediated AmpC (pAmpC) enzymes. Data on the epidemiology of cephalosporin-resistant Enterobacteriaceae in Sub-Saharan Africa are still limited. METHODS: Two hundred seventy-five non repetitive stool samples were collected from Mozambican university students of both sexes. Samples were cultured on MacConkey agar with and without ceftriaxone (1 mg/L) for selection of third-generation cephalosporin-resistant isolates, which were subjected to antimicrobial susceptibility testing by disc diffusion, characterization of resistance genes by PCR and ERIC-PCR analysis for strain clonality. RESULTS: Among the 275 students, 55 (20%) carried a total of 56 E. coli (n = 35) and Klebsiella spp. (n = 21) isolates resistant to ceftriaxone and phenotypically positive for ESBL- and/or pAmpC-production. Forty-three percent of the isolates (24/56) contained only ESBL genes, 11% (6/56) only pAmpC genes, and 36% (20/56) both ESBL and pAmpC genes. The remaining six isolates were negative for the CTX-M/pAmpC genes included in the test panel. E. coli and Klebsiella spp. combined demonstrated 70% resistance to tetracycline and co-trimoxazole, 63% to ceftazidime and 34% to ciprofloxacin. In total, 89% of ESBL/pAmpC-positive isolates were defined as multi-resistant by being resistant to three or more antibiotic classes. ERIC-PCR fingerprinting demonstrated low similarity among isolates. None of the participants reported recent hospitalization and just 12.5% had taken antibiotics 3 months prior to the study. CONCLUSION: This study demonstrated 20% colonization with multi-resistant E. coli and Klebsiella spp. among Mozambican students with a diversity of ESBL and pAmpC genes. Colonization was not related to prior hospitalization or antimicrobial consumption. PMID- 29843633 TI - Changes in ovarian cancer survival during the 20 years before the era of targeted therapy. AB - BACKGROUND: The survival of patients with ovarian cancer has improved because of surgery and chemotherapy. This study aimed to estimate the changes in survival rates among Korean women with ovarian cancer prior to the introduction of targeted therapy for ovarian cancer. METHODS: Data were obtained from the Korea Central Cancer Registry regarding patients who were diagnosed with epithelial ovarian cancer between 1995 and 2014. The relative survival rates were calculated for 5-year periods using the Ederer II method. Cox proportional hazard models were created to assess the associations of demographic and clinicopathological factors with ovarian cancer survival. RESULTS: During the study period, 22,880 women were diagnosed with epithelial ovarian cancer. The 5-year relative survival rate improved from 57.2% during 1995-1999 to 63.8% during 2010-2014 (P < 0.001). Survival outcomes improved between 1995 and 1999 and 2010-2014 for the serous and endometrioid carcinoma subtypes (P < 0.001). However, no improvements were observed for the mucinous and clear cell carcinoma subtypes (P = 0.189 and P = 0.293, respectively). Multivariate analysis revealed that younger age, early stage, recent diagnosis, primary surgical treatment, and non-serous histological subtype were favorable prognostic factors. CONCLUSION: Survival outcomes have improved for serous and endometrioid epithelial ovarian cancer in the last 20 years. However, no improvement was observed for patients with mucinous and clear cell carcinoma subtypes. PMID- 29843634 TI - GMDS knockdown impairs cell proliferation and survival in human lung adenocarcinoma. AB - BACKGROUND: Lung adenocarcinoma is the most common type of lung cancer and one of the most lethal and prevalent cancers. Aberrant glycosylation was common and essential in tumorigenesis, with fucosylation as one of the most common types disrupted in cancers. However, it is still unknown whether genes involved in fucosylation are important for lung adenocarcinoma development and process. METHODS: GMDS is involved in cellular fucosylation. Here we examined GMDS expression level at both mRNA and protein level in lung adenocarcinoma. The impact of GMDS knockdown on lung adenocarcinoma in vitro and in vivo was investigated. Transcriptome changes with GMDS knockdown in lung adenocarcinoma cells were also examined to provide insights into related molecular mechanisms. RESULTS: GMDS expression is significantly upregulated in lung adenocarcinoma at both mRNA and protein levels. Lentivirus-mediated shRNA strategy inhibited GMDS expression efficiently in human lung adenocarcinoma cells A549 and H1299, and GMDS knockdown impaired cell proliferation, colony formation ability, induced cell cycle arrest, and apoptosis in both cell lines. Furthermore, GMDS knockdown inhibited tumorigenesis in a xenograft mice model of lung adenocarcinoma. Microarray analysis explored the GMDS-mediated molecular network and revealed that the CASP8-CDKN1A axis might be critical for lung adenocarcinoma development. CONCLUSIONS: These findings suggest that GMDS upregulation is critical for cell proliferation and survival in human lung adenocarcinoma and might serve as a potential biomarker for lung adenocarcinoma diagnosis and treatment. PMID- 29843635 TI - Polypharmacy among HIV positive older adults on anti-retroviral therapy attending an urban clinic in Uganda. AB - BACKGROUND: Polypharmacy has not been investigated in patients living with HIV in developing countries. The aims of this study were to determine the prevalence of polypharmacy, the factors associated with polypharmacy and whether polypharmacy was associated with adverse effects among older adults on anti-retroviral therapy (ART). METHODS: Cross-sectional study in older adults aged 50 and over on ART attending an outpatient HIV/AIDS care centre in Uganda. Demographic and clinical data collected on number and type of medications plus supplements, possible medication related side-effects, comorbidity, frailty, cognitive impairment, current CD4 count and viral load. RESULTS: Of 411 participants, 63 (15.3, 95% C.I. 11.9, 18.8) had polypharmacy (>= 4 non- HIV medications). In multivariate analyses, polypharmacy was associated with one or more hospitalisations in the last year (Prevalence Ratio PR = 1.8, 95% C.I. 1.1, 3.1, p = 0.02), prescription by an internist (PR = 3.6, 95% C.I. 1.3, 10.5, p = 0.02) and frailty index scores of 5 to 6 (PR = 10.6, 95% C.I. 1.4, 78, p = 0.02), and 7 or more (PR = 17.4, 95% C.I. 2.4, 126.5, p = 0.005). Polypharmacy was not associated with frequency and severity of possible medication related side effects and falls. CONCLUSION: Polypharmacy is common among older HIV infected patients in sub-Saharan Africa. It's more prevalent among frail people, who have been in hospital in the last year and who have been seen by an internist. We found no evidence that polypharmacy results in any harm but this is worth exploring further. PMID- 29843636 TI - A novel TSC2 missense variant associated with a variable phenotype of tuberous sclerosis complex: case report of a Chinese family. AB - BACKGROUND: Tuberous sclerosis complex (TSC) is an autosomal dominant genetic disorder characterized by the development of hamartomas in multiple organs, including the brain, heart, skin, kidney, lung and retina. A diagnosis of TSC is established with a recently revised clinical/radiological set of criteria and/or a causative mutation in TSC1 or TSC2 gene. CASE PRESENTATION: We report a Chinese TSC family with two siblings presenting with multiple hypomelanotic macules, cardiac rhabdomyomas and cortical tubers associated with a small subependymal nodule. The older child had seizures. A novel heterozygous missense variant in the TSC2 gene (c.899G > T, p.G300 V) was identified and shown to be inherited from their father as well as paternal grandfather, both of whom presented with variable TSC-associated signs and symptoms. CONCLUSION: We identified a novel heterozygous TSC2 variant c.899G > T as the causative mutation in a Chinese family with TSC, resulting in wide intrafamilial phenotypic variability. Our study illustrates the importance of clinical evaluation and genetic testing for family members of the patient affected with TSC. PMID- 29843637 TI - ARL2 overexpression inhibits glioma proliferation and tumorigenicity via down regulating AXL. AB - BACKGROUND: Glioma is the most common primary brain tumor in adults with a poor prognosis. As a member of ARF subfamily GTPase, ARL2 plays a key role in regulating the dynamics of microtubules and mitochondrial functions. Recently, ARL2 has been identified as a prognostic and therapeutic target in a variety range of malignant tumors. However, the biological functional role of ARL2 in glioma still remains unknown. The aim of this study was to explore the expression and functional role of ARL2 in glioma. METHODS: In this study, we investigated the expression of ARL2 in glioma samples by using RT-PCR, immunohistochemistry and western blot. The correlation between ARL2 expression and the outcomes of glioma patients was evaluated with survival data from TCGA, CGGA and Rembrandt dataset. Lentiviral technique was used for ARL2 overexpression in U87 and U251 cells. CCK8 assay, colony formation assay, wound healing test, transwell invasion assay and in vivo subcutaneous xenograft model were performed to investigated the biological functions of ARL2. RESULTS: ARL2 expression was down-regulated in glioma, and was inversely associated with poor prognosis in glioma patients. Furthermore, exogenous ARL2 overexpression attenuated the growth and colony formation abilities of glioma cells, as well as their migration and invasive capabilities. Moreover, elevated expression of ARL2 inhibited in vivo tumorigenicity of glioma cells. Mechanistically, ARL2 regulated AXL expression, which was known as an important functional regulator of proliferation and tumorigenicity in glioma cells. CONCLUSION: Our study suggests that ARL2 inhibits the proliferation, migration and tumorigenicity of glioma cells by regulating the expression of AXL and may conduct as a new prognostic and therapeutic target for glioma. PMID- 29843639 TI - Lessons learned from the 2009-2010 H1N1 outbreak for the management of the 2013 silent polio outbreak. AB - BACKGROUND: The Israeli Ministry of Health (MoH) encountered two substantial outbreaks during the past decade: the H1N1 swine flu outbreak during 2009-2010 and the silent polio outbreak during 2013. Although both outbreaks share several similar characteristics, the functioning of the Israeli MoH was different for each case. The aim of this study was to identify factors that contributed to the change in the MoH response to the polio outbreak in light of the previous 2009 2010 H1N1 outbreak. METHODS: We conducted a qualitative research using semi structured interviews with 18 Israeli policymakers from the MoH, relevant specialists and politicians. Each interview was transcribed and a thematic analysis was conducted independently by two researchers. RESULTS: Three main themes were found in the interview analysis, which reflect major differences in the MoH management policy during the polio outbreak. 1) clinical and epidemiological differences between the two disease courses, 2) differences in the functioning of the MoH during the outbreaks, 3) differences in the risk communication strategies used to reach out to the local health community and the general public. Most interviewees felt that the experience of the 2009-2010 H1N1 outbreak which was perceived as unsuccessful, fueled the MoH engagement and proactiveness in the later polio outbreak. CONCLUSION: These findings highlight the importance of learning processes within health care organizations during outbreaks and may contribute to better performance and higher immunization rates. PMID- 29843638 TI - Estrogen receptor alpha dependent regulation of estrogen related receptor beta and its role in cell cycle in breast cancer. AB - BACKGROUND: Breast cancer (BC) is highly heterogeneous with ~ 60-70% of estrogen receptor positive BC patient's response to anti-hormone therapy. Estrogen receptors (ERs) play an important role in breast cancer progression and treatment. Estrogen related receptors (ERRs) are a group of nuclear receptors which belong to orphan nuclear receptors, which have sequence homology with ERs and share target genes. Here, we investigated the possible role and clinicopathological importance of ERRbeta in breast cancer. METHODS: Estrogen related receptor beta (ERRbeta) expression was examined using tissue microarray slides (TMA) of Breast Carcinoma patients with adjacent normal by immunohistochemistry and in breast cancer cell lines. In order to investigate whether ERRbeta is a direct target of ERalpha, we investigated the expression of ERRbeta in short hairpin ribonucleic acid knockdown of ERalpha breast cancer cells by western blot, qRT-PCR and RT-PCR. We further confirmed the binding of ERalpha by electrophoretic mobility shift assay (EMSA), chromatin immunoprecipitation (ChIP), Re-ChIP and luciferase assays. Fluorescence-activated cell sorting analysis (FACS) was performed to elucidate the role of ERRbeta in cell cycle regulation. A Kaplan-Meier Survival analysis of GEO dataset was performed to correlate the expression of ERRbeta with survival in breast cancer patients. RESULTS: Tissue microarray (TMA) analysis showed that ERRbeta is significantly down-regulated in breast carcinoma tissue samples compared to adjacent normal. ER + ve breast tumors and cell lines showed a significant expression of ERRbeta compared to ER-ve tumors and cell lines. Estrogen treatment significantly induced the expression of ERRbeta and it was ERalpha dependent. Mechanistic analyses indicate that ERalpha directly targets ERRbeta through estrogen response element and ERRbeta also mediates cell cycle regulation through p18, p21cip and cyclin D1 in breast cancer cells. Our results also showed the up regulation of ERRbeta promoter activity in ectopically co-expressed ERalpha and ERRbeta breast cancer cell lines. Fluorescence-activated cell sorting analysis (FACS) showed increased G0/G1 phase cell population in ERRbeta overexpressed MCF7 cells. Furthermore, ERRbeta expression was inversely correlated with overall survival in breast cancer. Collectively our results suggest cell cycle and tumor suppressor role of ERRbeta in breast cancer cells which provide a potential avenue to target ERRbeta signaling pathway in breast cancer. CONCLUSION: Our results indicate that ERRbeta is a negative regulator of cell cycle and a possible tumor suppressor in breast cancer. ERRbeta could be therapeutic target for the treatment of breast cancer. PMID- 29843640 TI - Two in One: Epithelioid angiomyolipoma within a classic kidney angiomyolipoma - a case report. AB - BACKGROUND: Epithelioid angiomyolipoma is defined as potentially malignant mesenchymal neoplasm, characterized by proliferating epithelioid cells, whereas classic angiomyolipoma, composed of fat, smooth muscle cells and dysmorphic vessels, is defined as a potentially benign. The usual or classic angiomyolipoma is often found incidentally on imaging studies, relatively easily identified due to the presence of fat, in contrast to the epithelioid angiomyolipoma that can pose diagnostic challenges. CASE PRESENTATION: We report a 51-year-old female patient in which an ultrasonography examination showed a solid mass close to the right renal pelvis with hypoechoic and hyperechoic areas. A differential diagnosis of atypical sinus lipomatosis, lipoma and a transitional cell carcinoma was postulated whereas in a subsequent computed tomography a classic angiomyolipoma was postulated. A re-examination by contrast enhanced ultrasound revealed a striking perfusion difference of the hypoechoic and hyperechoic areas. The hypoechoic area showed homogenous and prolonged enhancement whereas the hypoechoic area displayed a marked slower contrast material flooding and a relatively rapid wash out. The histological analysis from the biopsy of the hyperechoic area showed a classic angiomyolipoma, whereas the sample of the hypoechoic central portion revealed an epithelioid angiomyolipoma. A nephrectomy was performed because of the malignant potential of the epithelioid variant of the angiomyolipoma. CONCLUSIONS: A solid kidney mass with two sharply defined parts, one-part compatible with a classical angiomyolipoma and the other being suspected of carcinoma, is rare, but also illustrative and instructive. The combination of different imaging modalities in the work up of a solid renal mass facilitated to discriminate benign from malignant areas. PMID- 29843641 TI - Progression into sepsis: an individualized process varying by the interaction of comorbidities with the underlying infection. AB - BACKGROUND: Development of sepsis is a process with significant variation among individuals. The precise elements of this variation need to be defined. This study was designed to define the way in which comorbidities contribute to sepsis development. METHODS: Three thousand five hundred nine patients with acute pyelonephritis (AP), community-acquired pneumonia (CAP), intraabdominal infections (IAI) or primary bacteremia (BSI) and at least two signs of the systemic inflammatory response syndrome were analyzed. The study primary endpoint was to define how comorbidities as expressed in the Charlson's comorbidity index (CCI) and the underlying type of infection contribute to development of organ dysfunction. The precise comorbidities that mediate sepsis development and risk for death among 18 comorbidities recorded were the secondary study endpoints. RESULTS: CCI more than 2 had an odds ratio of 5.67 for sepsis progression in patients with IAI between significantly higher than AP and BSI. Forward logistic regression analysis indicated seven comorbidities that determine transition into sepsis in patients with AP, four comorbidities in CAP, six comorbidities in IAI and one in BSI. The odds ratio both for progression to sepsis and death with one comorbidity or with two and more comorbidities was greater than in the absence of comorbidities. CONCLUSIONS: The study described how different kinds of infection vary in the degree to which they lead to sepsis. The number of comorbidities that enhances the risk of sepsis and death varies depending on the underlying infections. PMID- 29843642 TI - Gestational weight gain in Chinese women -- results from a retrospective cohort in Changsha, China. AB - BACKGROUND: The generalizability of the gestational weight gain (GWG) ranges recommended by the Institute of Medicine (IOM) to Chinese women is disputed. METHODS: In 2016, 16,780 pregnant women who gave birth to live singletons in Changsha, China, were enrolled. First, subjects with optimal pregnancy outcomes were identified for the GWG percentile distribution description and for comparison to the IOM recommendations. Second, all subjects with optimal GWG according to the IOM body mass index (BMI) cutoffs and those with optimal GWG according to the Asian BMI cutoffs were selected. Pregnancy outcomes were compared between those two groups. RESULTS: A total of 13,717 births with optimal pregnancy outcomes were selected to describe the GWG distribution. The height and central position of the GWG distributions determined by the Asian BMI cutoffs differed from those determined by the IOM BMI cutoffs among the overweight and obese groups. The recommended IOM GWG ranges were narrower than and shifted to the left of the observed distributions. In both BMI classification schemes, however, the IOM-recommended ranges were within the middle 70% (Pc 15th-85th) and 50% (Pc 25th-75th) of the observed distribution. A total of 6438 (38.37%) and 6110 (36.41%) women gained optimal GWG, according to the IOM and Asian BMI classifications, respectively. Compared with those with optimal GWG according to IOM BMI cutoffs, women with optimal GWG according to the Asian BMI cutoffs had lower risks of both macrosomia (adjusted OR = 0.79, 95%CI: 0.67-0.94) and large for-gestational age (adjusted OR = 0.86, 95%CI: 0.76, 0.98). However, no significantly different risks of preterm, low birthweight, small-for-gestational age, pregnancy-induced hypertension, or gestational diabetes were found between them. CONCLUSIONS: The IOM-recommended GWG ranges are within the middle 70% of the distributions in Chinese women, and pre-pregnancy weight status should be determined by the Asian BMI cut-off points for monitoring and making GWG recommendations to Chinese women. PMID- 29843643 TI - A pill for the partner via the chlamydia patient? Results from a mixed method study among sexual health care providers in the Netherlands. AB - BACKGROUND: Chlamydia prevalence in the Netherlands remains high despite targeted efforts. Effective Partner Notification (PN) and Partner Treatment (PT) can interrupt transmission and prevent re-infections. Patient Initiated Partner Treatment (PIPT) may strengthen chlamydia control. This study explores the current practice of PN and PT, and benefits of, and barriers and facilitators for PIPT among professionals in sexual health care in the Netherlands. METHODS: A qualitative study was performed among GPs, GP-assistants (GPAs), physicians and nurses working at Sexual Health Clinics (SHC) and key-informants on ethnical diversity using topic lists in focus groups (N = 40) and semi-structured questionnaires in individual interviews (N = 9). Topics included current practices regarding PN and PT, attitude regarding PIPT, and perceived barriers and facilitators for PIPT. Interviews were taped, transcribed verbatim, and coded using ATLAS.ti. A quantitative online questionnaire on the same topics was sent to all physicians and nurses employed at Dutch SHC (complete response rate 26% (84/321)). RESULTS: The qualitative study showed that all professionals support the need for more attention to PN, and that they saw advantages in PIPT. Mentioned barriers included unwilling PN-behaviour, Dutch legislation, several medical considerations and inadequate skills of GPs. Also, concerns about limited knowledge of cultural sensitivity around PN and PT were raised. Mentioned facilitators of PIPT were reliable home based test-kits, phone-contact between professionals and notified partners, more consultation time for GPs or GPAs and additional training. The online questionnaire showed that SHC employees agreed that partners should be treated as soon as possible, but also that they were reluctant towards PIPT without counselling and testing. CONCLUSIONS: Professionals saw advantages in PIPT, but they also identified barriers hampering the potential introduction of PIPT. Improving PN and counselling skills with specific focus on cultural sensitivity is needed. PIPT could be considered for specific partners. PIPT in combination with home based testing and using e healthcare should be further explored and developed. PMID- 29843644 TI - Protocol of an ongoing randomized controlled trial of care management for comorbid depression and hypertension: the Chinese Older Adult Collaborations in Health (COACH) study. AB - BACKGROUND: Depression and hypertension are common, costly, and destructive conditions among the rapidly aging population of China. The two disorders commonly coexist and are poorly recognized and inadequately treated, especially in rural areas. METHODS: The Chinese Older Adult Collaborations in Health (COACH) Study is a cluster randomized controlled trial (RCT) designed to test the hypotheses that the COACH intervention, designed to manage comorbid depression and hypertension in older adult, rural Chinese primary care patients, will result in better treatment adherence and greater improvement in depressive symptoms and blood pressure control, and better quality of life, than enhanced Care-as-Usual (eCAU). Based on chronic disease management and collaborative care principles, the COACH model integrates the care provided by the older person's primary care provider (PCP) with that delivered by an Aging Worker (AW) from the village's Aging Association, supervised by a psychiatrist consultant. One hundred sixty villages, each of which is served by one PCP, will be randomly selected from two counties in Zhejiang Province and assigned to deliver eCAU or the COACH intervention. Approximately 2400 older adult residents from the selected villages who have both clinically significant depressive symptoms and a diagnosis of hypertension will be recruited into the study, randomized by the villages in which they live and receive primary care. After giving informed consent, they will undergo a baseline research evaluation; receive treatment for 12 months with the approach to which their village was assigned; and be re-evaluated at 3, 6, 9, and 12 months after entry. Depression and HTN control are the primary outcomes. Treatment received, health care utilization, and cost data will be obtained from the subjects' electronic medical records (EMR) and used to assess adherence to care recommendations and, in a preliminary manner, to establish cost and cost effectiveness of the intervention. DISCUSSION: The COACH intervention is designed to serve as a model for primary care-based management of common mental disorders that occur in tandem with common chronic conditions of later life. It leverages existing resources in rural settings, integrates social interventions with the medical model, and is consistent with the cultural context of rural life. TRIAL REGISTRATION: ClinicalTrials.gov ID: NCT01938963 ; First posted: September 10, 2013. PMID- 29843645 TI - MIG-6 suppresses endometrial epithelial cell proliferation by inhibiting phospho AKT. AB - BACKGROUND: Aberrant hyperactivation of epithelial proliferation, AKT signaling, and association with unopposed estrogen (E2) exposure is the most common endometrial cancer dysfunction. In the normal uterus, progesterone (P4) inhibits proliferation by coordinating stromal-epithelial cross-talk, which we previously showed is mediated by the function of Mitogen-inducible gene 6 (Mig-6). Despite their attractive characteristics, non-surgical conservative therapies based on progesterone alone have not been universally successful. One barrier to this success has been the lack of understanding of the P4 effect on endometrial cells. METHOD: To further understand the role of Mig-6 and P4 in controlling uterine proliferation, we developed a Sprr2f-cre driven mouse model where Mig-6 is specifically ablated only in the epithelial cells of the uterus (Sprr2f cre+ Mig 6 f/f ). We examined P4 effect and regulation of AKT signaling in the endometrium of mutant mice. RESULTS: Sprr2f cre+ Mig-6 f/f mice developed endometrial hyperplasia. P4 treatment abated the development of endometrial hyperplasia and restored morphological and histological characteristics of the uterus. P4 treatment reduced cell proliferation which was accompanied by decreased AKT signaling and the restoration of stromal PGR and ESR1 expression. Furthermore, our in vitro studies revealed an inhibitory effect of MIG-6 on AKT phosphorylation as well as MIG-6 and AKT protein interactions. CONCLUSIONS: These data suggest that endometrial epithelial cell proliferation is regulated by P4 mediated Mig-6 inhibition of AKT phosphorylation, uncovering new mechanisms of P4 action. This information may help guide more effective non-surgical interventions in the future. PMID- 29843646 TI - Knock-down of LRP/LR promotes apoptosis in early and late stage colorectal carcinoma cells via caspase activation. AB - BACKGROUND: Cancer remains one of the leading causes of death around the world, where incidence and mortality rates are at a constant increase. Tumourigenic cells are characteristically seen to over-express the 37 kDa/67 kDa laminin receptor (LRP/LR) compared to their normal cell counterparts. This receptor has numerous roles in tumourigenesis including metastasis, angiogenic enhancement, telomerase activation, cell viability and apoptotic evasion. This study aimed to expose the role of LRP/LR on the cellular viability of early (SW-480) and late (DLD-1) stage colorectal cancer cells. METHODS: siRNA were used to down-regulate the expression of LRP/LR in SW-480 and DLD-1 cells which was assessed using western blotting. Subsequently, cell survival was evaluated using the MTT cell survival assay and confocal microscopy. Thereafter, Annexin V-FITC/PI staining and caspase activity assays were used to investigate the mechanism underlying the cell death observed upon LRP/LR knockdown. The data was analysed using Student's t-test with a confidence interval of 95%, with p-values of less than 0.05 seen as significant. RESULTS: Here we reveal that siRNA-mediated knock-down of LRP led to notable decreases in cell viability through increased levels of apoptosis, apparent by compromised membrane integrity and significantly high caspase-3 activity. Down-regulated LRP resulted in a significant increase in caspase-8 and 9 activity in both cell lines. CONCLUSIONS: These findings show that the receptor is critically implicated in apoptosis and that LRP/LR down-regulation induces apoptosis in early and late stage colorectal cancer cells through both apoptotic pathways. Thus, this study suggests that siRNA-mediated knock-down of LRP could be a possible therapeutic strategy for the treatment of early and late stage colorectal carcinoma. PMID- 29843647 TI - Haemophagocytic lymphohistiocytosis occurred during induction chemotherapy in an acute monocytic leukemia patient with FLT3-ITD and DNMT3A mutations. AB - BACKGROUND: Haemophagocytic lymphohistiocytosis (HLH) is considered to be a large challenge for clinicians due to the variable overlaps of symptoms with other severe diseases and a high rate of mortality. Prompt diagnosis and treatment are crucial to avoid a fatal outcome. However, very limited reports have focused on HLH during chemotherapy (Ch-HLH) due to a low incidence and insufficient knowledge. CASE PRESENTATION: A 22-year-old male was diagnosed with acute monocytic leukemia with FLT3-ITD and DNMT3A mutations and pulmonary infection. He received IA regimen (Idarubicin, 8 mg/m2/d for 3 days and cytarabine, 100 mg/m2/d for 7 days) chemotherapy, anti-infection drugs and blood components transfusions. During the stage of bone marrow suppression, he presented with a fever, cytopenia (WBC, 0.43 * 109/L; Hb, 73 g/L and PLT, 1 * 109/L), refractory coagulation dysfunction (APTT, 104.0 s; PT, 30.5 s and Fbg, 0.87 g/L), splenomegaly (3 cm below the costal margin), hyperferritinemia (SF > 3000 MUg/L), increased soluble interleukin-II receptors (sIL-2R > 7500 u/mL) and haemophagocytosis in the bone marrow and was diagnosed with HLH. After he was treated with methylprednisolone at 500 mg/d for 3 days, 120 mg/d for 3 days and 80 mg/d for 3 days, followed by a gradually reduced dose combined with powerful anti-infection drugs, his symptoms subsided and his abnormal parameters recovered to normal levels. CONCLUSION: Patients with HLH in acute leukemia have a high rate of mortality. This case report provides helpful clinical experiences relative to the recognition and treatment of Ch-HLH for clinicians. PMID- 29843648 TI - Comparison of the seventh and eighth editions of the UICC/AJCC staging system for nasopharyngeal carcinoma: analysis of 1317 patients treated with intensity modulated radiotherapy at two centers. AB - BACKGROUND: In the intensity-modulated radiotherapy (IMRT) era, great improvement has been made in survival of nasopharyngeal carcinoma (NPC). The 7th edition of the International Union against Cancer/American Joint Committee on Cancer (UICC/AJCC) staging system seems "outdated " as it mainly based on the study in 2D/3D era, and thus the 8th edition has made some amendments according to recent studies. We aimed to compare and evaluate these two editions of staging system for NPC in patients treated with intensity-modulated radiotherapy. METHODS: A total of 1317 patients with biopsy-proven, non-metastatic NPC treated with IMRT between 2009 and 2014 at two institutions were retrospectively assessed. All patients were assessed by magnetic resonance imaging and restaged according to the 7th and 8th editions. Prognostic factors for local relapse-free survival (LRFS), distant metastasis-free survival (DMFS), disease-free survival (DFS) and overall survival (OS) were assessed and compared using the Kaplan-Meier method and log-rank test. The Cox proportional hazards model was also used to calculate the hazard ratio (HR). RESULTS: In both 7th and 8th edition, insignificant difference could be observed between T2 and T3 disease, T2 and T4 disease (all P > 0.05) for LRFS, while the difference of LRFS between T3 and T4 disease was significant in the previous edition (P = 0.001) but insignificant (P = 0.279) after revision. For OS, highly similar survival curve could be seen between T2 and T3 disease in both edition (all P > 0.1). DMFS and OS were not significantly different between N3a and N1-3b categories of the 7th edition (all P > 0.05). In contrast, obvious segregation was observed between N3 and the other N categories after the revision and combination in the 8th edition (all P < 0.05). DFS and OS were not significantly different between stage IVA and IVB of the 7th edition (P = 0.057 and P = 0.365, respectively); therefore, combining these stages in the 8th edition was reasonable. CONCLUSION: The overall stages and N categories of the 8th edition of the UICC/AJCC staging system provide better segregation of survival outcomes than the 7th edition. The 8th edition is also more clinically applicable as it has reduced ambiguity and revised out-of-date definitions. However, the T categories need further optimizing as the 8th edition failed to solve the problem of similar survival between adjacent T-classification, which has been exited since 7th edition. PMID- 29843649 TI - Age effect on the prediction of risk of prolonged length hospital stay in older patients visiting the emergency department: results from a large prospective geriatric cohort study. AB - BACKGROUND: With the rapid growth of elderly patients visiting the Emergency Department (ED), it is expected that there will be even more hospitalisations following ED visits in the future. The aim of this study was to examine the age effect on the performance criteria of the 10-item brief geriatric assessment (BGA) for the prolonged length of hospital stay (LHS) using artificial neural networks (ANNs) analysis. METHODS: Based on an observational prospective cohort study, 1117 older patients (i.e., aged >= 65 years) ED users were admitted to acute care wards in a University Hospital (France) were recruited. The 10-items of BGA were recorded during the ED visit and prior to discharge to acute care wards. The top third of LHS (i.e., >= 13 days) defined the prolonged LHS. Analysis was successively performed on participants categorized in 4 age groups: aged >= 70, >= 75, >= 80 and >= 85 years. Performance criteria of 10-item BGA for the prolonged LHS were sensitivity, specificity, positive predictive value [PPV], negative predictive value [NPV], likelihood ratios [LR], area under receiver operating characteristic curve [AUROC]). The ANNs analysis method was conducted using the modified multilayer perceptron (MLP). RESULTS: Values of criteria performance were high (sensitivity> 89%, specificity>= 96%, PPV > 87%, NPV > 96%, LR+ > 22; LR- <= 0.1 and AUROC> 93), regardless of the age group. CONCLUSIONS: Age effect on the performance criteria of the 10-item BGA for the prediction of prolonged LHS using MLP was minimal with a good balance between criteria, suggesting that this tool may be used as a screening as well as a predictive tool for prolonged LHS. PMID- 29843650 TI - Horizontal gaze palsy with progressive scoliosis: a case report with magnetic resonance tractography and electrophysiological study. AB - BACKGROUND: Horizontal gaze palsy with progressive scoliosis (HGPPS) is a rare autosomal recessive congenital anomaly characterized by horizontal gaze limitation and progressive scoliosis. We investigated the underlying pathogenesis by incorporating diffusion tensor imaging and an electrophysiological study. CASE PRESENTATION: A 55-year-old female patient presented to our clinic due to a chronic history of eye movement limitation since childhood. Her eye problem was followed by a progressive scoliotic change in her torso during junior high school. Neurological examinations revealed remarkable conjugate horizontal but not vertical gaze palsy. Her pupils were isocoric, with a prompt response to light reflex and convergence. Her vision, including visual acuity and field, were normal. No pathological signs of muscle tone, muscle power, deep tendon reflex or coordination were revealed. There was no associated family history, and no diseases involving other systems were noted. On reviewing her past medical history, X-rays revealed scoliotic changes of her thoracic and lumbar spine. Brain magnetic resonance imaging showed a midline cleavage at the tegmentum (split pons sign) and butterfly configuration of the medulla, consistent with HGPPS. Color-coded diffusion tensor imaging in our patient revealed absence of decussation of the superior cerebellar peduncle. In tractography, the pontocerebellar tracts and fibers within the inferior cerebellar peduncle, deemed to be primarily dorsal spinocerebellar and vestibulocerebellar tracts, appeared to be agenetic. The tegmentum was compromised secondary to dorsal displacement of the corticospinal tracts. Of note, the bilateral corticospinal tracts remained uncrossed at the level presumed to be the pyramidal decussation. A somatosensory evoked potential study also revealed predominantly ipsilateral cortical sensory responses. CONCLUSIONS: Our study confirmed that a compromised tegmentum secondary to dorsal displacement of the corticospinal tracts and poorly-developed afferent fibers within the pontocerebellar tracts and inferior cerebellar peduncle to be the main neuroanatomical anomalies responsible for the clinical presentations of HGPPS. In addition, the uncrossed nature of the majority of pyramidal and proprioceptive sensory systems was confirmed. PMID- 29843651 TI - Clinical and genetic characteristics of pulmonary arterial hypertension in Lebanon. AB - BACKGROUND: Pulmonary arterial hypertension (PAH) is a rare disease with an incidence rate of 2-6 cases per million per year. Our knowledge of the disease in the Middle East and North Africa (MENA) region is limited by the small number of clinical studies and the complete absence of genetic studies. METHODS: Our aim was to shed light on the clinical and genetic characteristics of PAH in Lebanon and the region by using exome sequencing on PAH patients referred to the American University of Beirut Medical Center (AUBMC). Twenty-one idiopathic, hereditary and Congenital Heart Disease (CHD) PAH patients were prospectively recruited, their clinical data summarized, and sequencing performed. RESULTS: The mean age at diagnosis was 33 years with a female preponderance of 70%. The mean pulmonary artery pressure at the time of diagnosis was 55. Genetic testing showed that 5 out of 19 idiopathic and Congenital Heart Disease PAH patients had Bone Morphogenetic Protein Receptor 2 (BMPR2) mutations at 25% prevalence, with 2 of these patients exhibiting a novel mutation. It also showed the presence of 1 BMPR2 mutation with 100% penetrance in a heritable PAH family. In the remaining cases, the lack of a complete genotype/phenotype correlation entailed a multigenic inheritance; suspected interactions involved previously associated genes T-box transcription factor 4 (TBX4), Bone Morphogenic Protein 10 (BMP10) and Growth Differentiation Factor 2 (GDF2). CONCLUSIONS: This is the first study that looks into the genetic causes of PAH, including known and new BMPR2 mutations, in the MENA region. It is also the first study to characterize the clinical features of the disease in Lebanon. PMID- 29843652 TI - Public rental housing and its association with mortality - a retrospective, cohort study. AB - BACKGROUND: Socioeconomic status (SES) is a well-established determinant of health status and home ownership is a commonly used composite indicator of SES. Patients in low-income households often stay in public rental housing. The association between public rental housing and mortality has not been examined in Singapore. METHODS: A retrospective, cohort study was conducted involving all patients who utilized the healthcare facilities under SingHealth Regional Health (SHRS) Services in Year 2012. Each patient was followed up for 5 years. Patients who were non-citizens or residing in a non-SHRS area were excluded from the study. RESULTS: A total of 147,004 patients were included in the study, of which 7252 (4.9%) patients died during the study period. The mean age of patients was 50.2 +/- 17.2 years old and 7.1% (n = 10,400) of patients stayed in public rental housing. Patients who passed away had higher utilization of healthcare resources in the past 1 year and a higher proportion stayed in public rental housing (p < 0.001). They also had higher rates of co-morbidities such as hypertension, hyperlipidaemia and diabetes. (p < 0.001) After adjustment for demographic and clinical covariates, residence in public rental housing was associated with increased risk of all-cause mortality (Adjusted hazard ratio: 1.568, 95% CI: 1.469-1.673). CONCLUSION: Public rental housing was an independent risk factor for all-cause mortality. More studies should be conducted to understand health seeking behavior and needs of public rental housing patients, to aid policymakers in formulating better plans for improving their health outcomes. PMID- 29843653 TI - A case of scleritis associated rheumatoid arthritis accompanying an intraocular elevated lesion. AB - BACKGROUND: Scleritis and/or uveitis sometimes accompanies patients who suffer from rheumatoid arthritis. However, few studies have reported scleritis and/or uveitis accompanying a fundus elevated lesion, such as an intraocular tumor. In this study, we report a case of rheumatoid uveitis associated with an intraocular elevated lesion. CASE PRESENTATION: A 66-year-old female visited another eye clinic and was diagnosed as bilateral anterior uveitis, and was prescribed steroid eye drops for treatment. She had previously been diagnosed as rheumatoid arthritis at the age of 30 years. Due to vitreous opacity that appeared in her right eye, we increased the instillation of steroid eye drops and the amount of oral prednisolone. Although the inflammation had improved, anterior uveitis relapsed, and an intraocular whitish elevated lesion resembling an intraocular tumor at the superior nasal retina appeared. We speculated this lesion to be a granuloma complicated with rheumatoid arthritis. Thus, we increased the amount of prednisolone administration, and the lesion began to shrink and ultimately fully disappeared. CONCLUSIONS: We strongly believe that our case's lesion was a subretinal granuloma related with rheumatoid arthritis, as it disappeared by increased corticosteroid treatment. Our findings show that we should consider rheumatoid arthritis in a differential diagnosis of such types of fundus elevated lesions. PMID- 29843654 TI - Promoting sunscreen use and skin self-examination to improve early detection and prevent skin cancer: quasi-experimental trial of an adolescent psycho-educational intervention. AB - BACKGROUND: Skin cancer rates are increasing. Interventions to increase adolescent sunscreen use and skin self-examination (SSE) are required. METHODS: Quasi-experimental design; 1 control and 4 intervention group schools in Scotland, UK. Participants were 15-16 year old students on the school register. The intervention was a theoretically-informed (Common-Sense Model and Health Action Process Approach) 50-min presentation, delivered by a skin cancer specialist nurse and young adult skin cancer survivor, to students in a classroom, supplemented by a home-based assignment. Outcome variables were sunscreen use intention, SSE intention/behaviour, planning, illness perceptions and skin cancer communication behaviour, measured 2 weeks pre- and 4 weeks post- intervention using self-completed pen and paper survey. School attendance records were used to record intervention up-take; students self-reported completion of the home-based assignment. Pearson's chi-square test, analysis of variance, and non-parametric Wilcoxon Signed Ranks Test were used to measure outcomes and associations between variables. Focus groups elicited students' (n = 29) views on the intervention. Qualitative data were analysed thematically. RESULTS: Five of 37 invited schools participated. 639 (81%) students in intervention schools received the intervention; 33.8% completed the home-based assignment. 627 (69.6%) of students on the school register in intervention and control schools completed a questionnaire at baseline; data for 455 (72.6%) students were available at baseline and follow-up. Focus groups identified four themes - personal experiences of skin cancer, distaste for sunscreen, relevance of SSE in adolescence, and skin cancer conversations. Statistically significant (p < 0.05) changes were observed for sunscreen use, SSE, planning, and talk about skin cancer in intervention schools but not the control. Significant associations were found between sunscreen use, planning and 2 illness perceptions (identity and consequence) and between SSE, planning and 3 illness perceptions (timeline, causes, control). CONCLUSIONS: It is feasible to promote sunscreen use and SSE in the context of an adolescent school-based psychoeducation intention. Further research is required to improve study uptake, intervention adherence and effectiveness. TRIAL REGISTRATION: ISRCTN11141528. PMID- 29843655 TI - The role of oxytocin receptor gene (OXTR) DNA methylation (DNAm) in human social and emotional functioning: a systematic narrative review. AB - BACKGROUND: The neuropeptide Oxytocin (OXT) plays a central role in birthing, mother-infant bonding and a broad range of related social behaviours in mammals. More recently, interest has extended to epigenetic programming of genes involved in oxytocinergic neurotransmission. This review brings together early findings in a rapidly developing field of research, examining relationships between DNA methylation (DNAm) of the Oxytocin Receptor Gene (OXTR) and social and emotional behaviour in human populations. METHOD: A systematic search across Web of Knowledge/Science, Scopus, Medline and EMBASE captured all published studies prior to June 2017 examining the association between OXTR DNAm and human social and emotional outcomes. Search terms included 'oxytocin gene' or 'oxytocin receptor gene' and 'epigenetics' or 'DNA methylation'. Any article with a focus on social and emotional functioning was then identified from this set by manual review. RESULTS: Nineteen studies met eligibility criteria. There was considerable heterogeneity of study populations, tissue samples, instrumentation, measurement, and OXTR site foci. Only three studies examined functional consequences of OXTR DNAm on gene expression and protein synthesis. Increases in OXTR DNAm were associated with callous-unemotional traits in youth, social cognitive deficits in Autistic Spectrum Disorder (ASD), rigid thinking in anorexia nervosa, affect regulation problems, and problems with facial and emotional recognition. In contrast, reductions in DNAm were associated with perinatal stress, postnatal depression, social anxiety and autism in children. CONCLUSIONS: Consistent with an emerging field of inquiry, there is not yet sufficient evidence to draw conclusions about the role of OXTR DNAm in human social and emotional behaviour. However, taken together, findings point to increased OXTR DNAm in general impairments in social, cognitive and emotional functioning, and decreased OXTR DNAm in specific patterns of impairment related to mood and anxiety disorders (but not in all). Future progress in this field would be enhanced by adequately powered designs, greater phenotypic precision, and methodological improvements including longitudinal studies with multiple time points to facilitate causal inference. PMID- 29843656 TI - Assessment of sexual dysfunction and associated factors among patients with schizophrenia in Ethiopia, 2017. AB - BACKGROUND: Sexual dysfunction is remarkably prevalent amongst psychiatric patients than general population. This might be due to either the nature of the illness itself or the unwanted effect of the medication they are taking for the illness which limits the capability of forming interpersonal and sexual relationships. This issue is rarely raised in developing countries, and the aim of this study was to assess magnitude and factors contributing to sexual dysfunction among patients with Schizophrenia. METHOD: Hospital based cross sectional study was conducted at Amanuel Mental Specialized Hospital from January to June 2017. The sample required for this study was determined by using single population proportion formula and the final sample size was 423; and systematic random sampling was used to select participants. We used Change in Sexual Functioning Questionnaire to measure sexual dysfunction. The collected data was cleaned, interred in to Epi data and transferred to SPSS version 20 for farther analysis. The OR with 95% CI was used to measure association and P-value < 0.05 was used as statistically significant. RESULT: A total of 422 patients with Schizophrenia were involved in the study. The prevalence of General Sexual dysfunction was 82.7%; and in male and female patients the prevalence was 84.5 and 78.6% respectively. Marital status (Unmarried, Divorced and widowed, history of relapse and poor quality of life were associated significantly to global sexual dysfunction. CONCLUSION: The magnitude of Sexual dysfunction was found to be high among patients with schizophrenia and it is associated with different factors like unmarried, divorced, widowed, relapse and poor quality of life. Treating physicians should be conscious to sexual dysfunction during evaluation and treatment of patients with Schizophrenia. Special attention should be given to single, divorced, widowed patients and patients with history of relapse to improve quality of life of this patients. PMID- 29843657 TI - Sexual activity and sexual health among young adults with and without mild/moderate intellectual disability. AB - BACKGROUND: There is widespread concern about the sexual 'vulnerability' of young people with intellectual disabilities, but little evidence relating to sexual activity and sexual health. METHOD: This paper describes a secondary analysis of the nationally representative longitudinal Next Steps study (formerly the Longitudinal Survey of Young People in England), investigating sexual activity and sexual health amongst young people with mild/moderate intellectual disabilities. This analysis investigated family socio-economic position, young person socio-economic position, household composition, area deprivation, peer victimisation, friendships, sexual activity, unsafe sex, STIs, pregnancy outcomes and parenting. RESULTS: Most young people with mild/moderate intellectual disabilities have had sexual intercourse by age 19/20, although young women were less likely to have sex prior to 16 than their peers and both men and women with intellectual disabilities were more likely to have unsafe sex 50% or more of the time than their peers. Women with intellectual disabilities were likely to have been pregnant and more likely to be a mother. CONCLUSION: Most young people with mild/moderate intellectual disabilities have sex and are more likely to have unsafe sex than their peers. Education and health services need to operate on the assumption that most young people with mild/moderate intellectual disabilities will have sex. PMID- 29843658 TI - Exploring psychosocial predictors of STI testing in University students. AB - BACKGROUND: To explore university students' Sexually Transmitted Infection (STI) testing knowledge, psychosocial and demographic predictors of past STI testing behaviour, intentions to have an STI test, and high risk sexual behaviour, to inform interventions promoting STI testing in this population. METHODS: A cross sectional, quantitative online survey was conducted in March 2016, recruiting university students from North East Scotland via an all-student email. The anonymous questionnaire assessed student demographics (e.g. sex, ethnicity, age), STI testing behaviours, sexual risk behaviours, knowledge and five psychological constructs thought to be predictive of STI testing from theory and past research: attitudes, perceived susceptibility to STIs, social norms, social fear and self efficacy. RESULTS: The sample contained 1294 sexually active students (response rate 10%) aged 18-63, mean age = 23.61 (SD 6.39), 888 (69%) were female. Amongst participants, knowledge of STIs and testing was relatively high, and students held generally favourable attitudes. 52% reported ever having an STI test, 13% intended to have one in the next month; 16% reported unprotected sex with more than one 'casual' partner in the last six months. Being female, older, a postgraduate, longer UK residence, STI knowledge, perceived susceptibility, subjective norms, attitudes and self-efficacy all positively predicted past STI testing behaviour (p < 0.01). Perceived susceptibility to STIs and social norms positively predicted intentions to have an STI test in the next month (p < 0.05); perceived susceptibility also predicted past high-risk sexual behaviour (p < 0.01). CONCLUSIONS: Several psychosocial predictors of past STI testing, of high-risk sexual behaviour and future STI intentions were identified. Health promotion STI testing interventions could focus on male students and target knowledge, attitude change, and increasing perceived susceptibility to STIs, social norms and self-efficacy towards STI-testing. PMID- 29843659 TI - Longitudinal study of health, disease and access to care in rural Victoria: the Crossroads-II study: methods. AB - BACKGROUND: High quality, contemporary data regarding patterns of chronic disease is essential for planning by health services, policy makers and local governments, but surprisingly scarce, including in rural Australia. This dearth of data occurs despite the recognition that rural Australians live with high rates of ill health, poor health behaviours and restricted access to health services. Crossroads-II is set in the Goulburn Valley, a rural region of Victoria, Australia 100-300 km north of metropolitan Melbourne. It is primarily an irrigated agricultural area. The aim of the study is to identify changes in the prevalence of key chronic health conditions including the extent of undiagnosed and undermanaged disease, and association with access to care, over a 15 year period. METHODS/DESIGN: This study is a 15 year follow up from the 2000 2003 Crossroads-I study (2376 households participated). Crossroads-II includes a similar face to face household survey of 3600 randomly selected households across four towns of sizes 6300 to 49,800 (50% sampled in the larger town with the remainder sampled equally from the three smaller towns). Self-reported health, health behaviour and health service usage information is verified and supplemented in a nested sub-study of 900 randomly selected adult participants in 'clinics' involving a range of additional questionnaires and biophysical measurements. The study is expected to run from October 2016 to December 2018. DISCUSSION: Besides providing epidemiological and health service utilisation information relating to different diseases and their risk factors in towns of different sizes, the results will be used to develop a composite measure of health service access. The importance of access to health services will be investigated by assessing the correlation of this measure with rates of undiagnosed and undermanaged disease at the mesh block level. Results will be shared with partner organisations to inform service planning and interventions to improve health outcomes for local people. PMID- 29843660 TI - Gene expression profiling of 1200 pancreatic ductal adenocarcinoma reveals novel subtypes. AB - BACKGROUND: Pancreatic ductal adenocarcinoma (PDAC) is the fourth leading cause of cancer related death in the world with a five-year survival rate of less than 5%. Not all PDAC are the same, because there exist intra-tumoral heterogeneity between PDAC, which poses a great challenge to personalized treatments for PDAC. METHODS: To dissect the molecular heterogeneity of PDAC, we performed a retrospective meta-analysis on whole transcriptome data from more than 1200 PDAC patients. Subtypes were identified based on non-negative matrix factorization (NMF) biclustering method. We used the gene set enrichment analysis (GSEA) and survival analysis to conduct the molecular and clinical characterization of the identified subtypes, respectively. RESULTS: Six molecular and clinical distinct subtypes of PDAC: L1-L6, are identified and grouped into tumor-specific (L1, L2 and L6) and stroma-specific subtypes (L3, L4 and L5). For tumor-specific subtypes, L1 (~ 22%) has enriched carbohydrate metabolism-related gene sets and has intermediate survival. L2 (~ 22%) has the worst clinical outcomes, and is enriched for cell proliferation-related gene sets. About 23% patients can be classified into L6, which leads to intermediate survival and is enriched for lipid and protein metabolism-related gene sets. Stroma-specific subtypes may contain high non-epithelial contents such as collagen, immune and islet cells, respectively. For instance, L3 (~ 12%) has poor survival and is enriched for collagen-associated gene sets. L4 (~ 14%) is enriched for various immune-related gene sets and has relatively good survival. And L5 (~ 7%) has good clinical outcomes and is enriched for neurotransmitter and insulin secretion related gene sets. In the meantime, we identified 160 subtype-specific markers and built a deep learning-based classifier for PDAC. We also applied our classification system on validation datasets and observed much similar molecular and clinical characteristics between subtypes. CONCLUSIONS: Our study is the largest cohort of PDAC gene expression profiles investigated so far, which greatly increased the statistical power and provided more robust results. We identified six molecular and clinical distinct subtypes to describe a more complete picture of the PDAC heterogeneity. The 160 subtype-specific markers and a deep learning based classification system may be used to better stratify PDAC patients for personalized treatments. PMID- 29843661 TI - High prevalence rates for multiple psychiatric conditions among inmates at French Guiana's correctional facility: diagnostic and demographic factors associated with violent offending and previous incarceration. AB - BACKGROUND: French Guiana has the highest incarceration rate among French territories, it is higher than that of Brazil, Colombia or Venezuela. It is well known that mental health problems are over-represented in correctional facilities. Our objectives were to describe the prevalence of various psychiatric conditions and to study factors associated with violence and repeated offenses among arriving detainees at the sole correctional facility of French Guiana. METHODS: The study was cross-sectional. All consenting new adult prisoners incarcerated between 18/09/2013 and 31/12/2014 at the penitentiary centre of French Guiana were included. The Mini International Neuropsychiatric Interview (MINI) was used to screen for psychiatric diagnoses. In addition sociodemographic data was collected. RESULTS: Overall 647 men and 60 women were included. The participation rate was 90%.Overall 72% of patients had at least one psychiatric diagnosis (Fig. 2). Twenty percent had three or more diagnoses. Violent index offences were not more frequent among those with a psychiatric diagnosis (crude odds ratio 1.3 (95%CI = 0.9-2), P = 0.11. Multivariate analysis showed that after adjusting for sex and age, psychosis, suicidality and post-traumatic stress disorder were independently associated with violent offences. Generalized anxiety disorder was less likely to be associated with incarceration for violent offences. Having a history of a previous incarceration was significantly associated with a psychiatric condition in general (any diagnosis) OR = 3 (95%CI = 2-4.3), P < 0.0001. Calculations of the population attributable risks showed that in the sample 31.4% of repeat incarcerations were attributable to antisocial personality disorder, 28.3% to substance addiction, 17.3% to alcohol addiction, 8.7% to depression and 7% to psychosis. CONCLUSIONS: The very high prevalence of psychiatric disorders observed in our sample, and the relative lack of psychiatric facilities, suggest that part of the problem of very high incarceration rate may be explained by transinstitutionalization. Improving psychiatric care in prison and coordination with psychiatric care in the community after release is likely to be important. PMID- 29843662 TI - Associations between loneliness and perceived social support and outcomes of mental health problems: a systematic review. AB - BACKGROUND: The adverse effects of loneliness and of poor perceived social support on physical health and mortality are established, but no systematic synthesis is available of their relationship with the outcomes of mental health problems over time. In this systematic review, we aim to examine the evidence on whether loneliness and closely related concepts predict poor outcomes among adults with mental health problems. METHODS: We searched six databases and reference lists for longitudinal quantitative studies that examined the relationship between baseline measures of loneliness and poor perceived social support and outcomes at follow up. Thirty-four eligible papers were retrieved. Due to heterogeneity among included studies in clinical populations, predictor measures and outcomes, a narrative synthesis was conducted. RESULTS: We found substantial evidence from prospective studies that people with depression who perceive their social support as poorer have worse outcomes in terms of symptoms, recovery and social functioning. Loneliness has been investigated much less than perceived social support, but there is some evidence that greater loneliness predicts poorer depression outcome. There is also some preliminary evidence of associations between perceived social support and outcomes in schizophrenia, bipolar disorder and anxiety disorders. CONCLUSIONS: Loneliness and quality of social support in depression are potential targets for development and testing of interventions, while for other conditions further evidence is needed regarding relationships with outcomes. PMID- 29843663 TI - Anti-vascular endothelial growth factor for neovascular age-related macular degeneration: a meta-analysis of randomized controlled trials. AB - BACKGROUND: To evaluate the relative efficacy and safety of anti-vascular endothelial growth factor (anti-VEGF) agents for the treatment of neovascular age related macular degeneration (AMD). METHODS: Systematic literature review identifying RCTs comparing anti-VEGF agents to another treatment published before June 2016. Efficacy assessed by mean change in best corrected visual acuity (BCVA) and central macular thickness (CMT) from baseline at up to 2 years followup. Safety assessed by proportions of patients with death, arteriothrombotic and venous thrombotic events, and at least one serious systemic adverse event at up to 2 years of followup. RESULTS: Fifteen RCTs selected for meta-analysis (8320 patients). Two trials compared pegaptanib, and three trials compared ranibizumab versus control. Eight trials compared bevacizumab with ranibizumab. Two trials compared aflibercept with ranibizumab. There were no significant differences between bevacizumab and ranibizumab for BCVA at 1 or 2 years (weighted mean difference = - 0.57, 95% CI - 1.55 to 0.41, P = 0.25 and weighted mean difference = - 0.76, 95% CI - 2.25 to 0.73, P = 0.32, respectively). Ranibizumab was more effective in reducing CMT at 1 year (weighted mean difference = 4.49, 95% CI 1.13 to 7.84, P = 0.009). Risk ratios comparing rates of serious systemic adverse events at 1 and 2 years were slightly out of favour for bevacizumab. Aflibercept compared with ranibizumab demonstrated similar mean change in BCVA, reduction in CMT, and safety at 1 year. CONCLUSIONS: Bevacizumab and ranibizumab had equivalent efficacy for BCVA, while ranibizumab had greater reduction in CMT and less rate of serious systemic adverse events. Aflibercept and ranibizumab had comparable efficacy for BCVA and CMT. This provides information to balance comparable effects on vision and risk of adverse events between anti-VEGF agents. PMID- 29843664 TI - Predictors of latent tuberculosis infection treatment completion in the US private sector: an analysis of administrative claims data. AB - BACKGROUND: Factors that affect latent tuberculosis infection (LTBI) treatment completion in the US have not been well studied beyond public health settings. This gap was highlighted by recent health insurance-related regulatory changes that are likely to increase LTBI treatment by private sector healthcare providers. We analyzed LTBI treatment completion in the private healthcare setting to facilitate planning around this important opportunity for tuberculosis (TB) control in the US. METHODS: We analyzed a national sample of commercial insurance medical and pharmacy claims data for people ages 0 to 64 years who initiated daily dose isoniazid treatment between July 2011 and March 2014 and who had complete data. All individuals resided in the US. Factors associated with treatment completion were examined using multivariable generalized ordered logit models and bivariate Kruskal-Wallis tests or Spearman correlations. RESULTS: We identified 1072 individuals with complete data who initiated isoniazid LTBI treatment. Treatment completion was significantly associated with less restrictive health insurance, age < 15 years, patient location, use of interferon gamma release assays, non-poverty, HIV diagnosis, immunosuppressive drug therapy, and higher cumulative counts of clinical risk factors. CONCLUSIONS: Private sector healthcare claims data provide insights into LTBI treatment completion patterns and patient/provider behaviors. Such information is critical to understanding the opportunities and limitations of private healthcare in the US to support treatment completion as this sector's role in protecting against and eliminating TB grows. PMID- 29843665 TI - Network meta-analysis: users' guide for pediatricians. AB - BACKGROUND: Network meta-analysis (NMA) is a powerful analytic tool that allows simultaneous comparison between several management/treatment alternatives even when direct comparisons of the alternatives (such as the case in which treatments are compared against placebo and have not been compared against each other) are unavailable. Though there are still a limited number of pediatric NMAs published, the rapid increase in NMAs in other areas suggests pediatricians will soon be frequently facing this new form of evidence summary. DISCUSSION: Evaluating the NMA evidence requires serial judgments on the creditability of the process of NMA conduct, and evidence quality assessment. First clinicians need to evaluate the basic standards applicable to any meta-analysis (e.g. comprehensive search, duplicate assessment of eligibility, risk of bias, and data abstraction). Then evaluate specific issues related to NMA including precision, transitivity, coherence, and rankings. CONCLUSIONS: In this article we discuss how clinicians can evaluate the credibility of NMA methods, and how they can make judgments regarding the quality (certainty) of the evidence. We illustrate the concepts using recent pediatric NMA publications. PMID- 29843666 TI - The level of lipopolysaccharide-binding protein is elevated in adult patients with obstructive sleep apnea. AB - BACKGROUND: lipopolysaccharide-binding protein (LBP) has been to be a surrogate marker of inflammation in OSA. This study aimed to test the hypothesis that the concentration of LBP is elevated in adult patients with obstructive sleep apnea (OSA). METHODS: A total of 90 patients were enrolled into the study, 50 subjects were divided into OSA groups and 40 in healthy control according to PSG examination. Subsequently, patients with apnea-hypopnea index (AHI) ? 5, were divided into different subgroups according to blood pressure, gender, body mass index (BMI) and AHI. Venous blood samples were collected for detection after polysomnography. The serum levels of LBP and proinflammatory cytokines (interleukin (IL)-1beta, IL-6, tumor necrosis factor (TNF)-alpha) were tested by ELISA. RESULTS: The present study demonstrated that the serum levels of both LBP and proinflammatory cytokines were elevated in OSA patients. A stratified analysis conducted to analyze differences among subgroups indicated that OSA patients with a higher AHI or BMI had an increased level of LBP and proinflammatory cytokines (all p < 0.05). Furthermore, a significant correlations were observed between LBP and inflammation and AHI. Multivariate regression analysis also demonstrated that AHI, LSaO2 and BMI had impact on the concentration of LBP. CONCLUSION: The research showed that the serum level of LBP and proinflammatory cytokines were elevated in adult patients with OSA, and an association with severity of disease and BMI were established. Furthermore, sleep apnea and BMI had effect on the concentration of LBP. PMID- 29843667 TI - Access to HIV care and treatment for migrants between Lesotho and South Africa: a mixed methods study. AB - BACKGROUND: HIV treatment and care for migrants is affected by their mobility and interaction with HIV treatment programs and health care systems in different countries. To assess healthcare needs, preferences and accessibility barriers of HIV-infected migrant populations in high HIV burden, borderland districts of Lesotho. METHODS: We selected 15 health facilities accessed by high patient volumes in three districts of Maseru, Leribe and Mafeteng. We used a mixed methods approach by administering a survey questionnaire to consenting HIV infected individuals on anti-retroviral therapy (ART) and utilizing a purposive sampling procedure to recruit health care providers for qualitative in-depth interviews across facilities. RESULTS: Out of 524 HIV-infected migrants enrolled in the study, 315 (60.1%) were from urban and 209 (39.9%) from rural sites. Of these, 344 (65.6%) were women, 375 (71.6%) were aged between 26 and 45 years and 240 (45.8%) were domestic workers. A total of 486 (92.7%) preferred to collect their medications primarily in Lesotho compared to South Africa. From 506 who responded to the question on preferred dispensing intervals, 63.1% (n = 319) preferred 5-6 month ARV refills, 30.2% (n = 153) chose 3-4 month refills and only 6.7% (n = 34) opted for the standard-of-care 1-2 month refills. A total of 126 (24.4%) defaulted on their treatment and the primary reason for defaulting was failure to get to Lesotho to collect medication (59.5%, 75/126). Treatment default rates were higher in urban than rural areas (28.3% versus 18.4%, p = 0.011). Service providers indicated a lack of transfer letters as the major drawback in facilitating care and treatment for migrants, followed by discrimination based on nationality or language. Service providers indicated that most patients preferred all treatment services to be rendered in Lesotho, as they perceive the treatment provided in South Africa to be different often less strong or with more serious side effects. CONCLUSION: Existing healthcare systems in both South Africa and Lesotho experience challenges in providing proper care and treatment for HIV infected migrants. A need for a differentiated model of ART delivery to HIV infected migrants that allows for multi-month scripting and dispensing is warranted. PMID- 29843668 TI - Correlation of subfoveal choroidal thickness with axial length, refractive error, and age in adult highly myopic eyes. AB - BACKGROUND: Subfoveal choroidal thickness (SFCT) in highly myopic eyes was found to be correlated with increasing age, refractive error (spherical equivalent), and axial length. Which factor is the most significant predictor of SFCT remains controversial. METHODS: A hospital-based cohort of highly myopic eyes (with spherical equivalent equal to or over 6.00 diopter) were retrospectively screened. Data from only right eye in those bilateral high myopia, and unilateral high myopia in any eye, were used for analysis. Correlations among the four biometric factors were analyzed. Linear correlation was performed to analyze the predictors of SFCT. RESULTS: A cohort of 312 eyes from 312 adults (98 men) was enrolled. Statistical analysis showed that axial length (R = - 0.592), spherical equivalent (R = - 0.471), and age (R = - 0.296) were significantly correlated with SFCT (P < 0.001). No significant correlation was found between age and axial length, or age and spherical equivalent. Partial correlation with controlled age confirmed that axial length (R = - 0.628) was a more significant predictor of SFCT than spherical equivalent (R = - 0.507). CONCLUSIONS: SFCT was inversely correlated with increasing age, spherical equivalent and axial length, with axial length as the most significant predictor of SFCT, in adult highly myopic eyes. PMID- 29843669 TI - Expression of MyoD, insulin like growth factor binding protein, thioredoxin and p27 in secondarily overacting inferior oblique muscles with superior oblique palsy. AB - BACKGOUND: To identify and compare specific protein levels between overacting inferior oblique (IO) muscles in superior oblique (SO) palsy patients and normal IO muscles. METHODS: We obtained 20 IO muscle samples from SO palsy patients with IO overaction >= + 3 who underwent IO myectomies (IOOA group), and 20 IO samples from brain death donors whose IO had functioned normally, according to their ophthalmological chart review (control group). We used MyoD for identifying satellite cell activation, insulin-like growth factor binding protein 5 (IGFBP5) for IGF effects, thioredoxin for oxidative stress, and p27 for satellite cell activation or oxidative stress in both groups. Using immunohistochemistry and Western blot, we compared expression levels of the four proteins (MyoD, IGFBP5, thioredoxin, and p27). RESULTS: Levels of thioredoxin and p27 were decreased significantly in the IOOA group. MyoD and IGFBP5 levels showed no significant difference between the groups. CONCLUSIONS: Based on these findings, the overacting IOs of patients with SO palsy had been under oxidative stress status versus normal IOs. Pathologically overacting extraocular muscles may have an increased risk of oxidative stress compared with normal extraocular muscles. PMID- 29843670 TI - Study protocol: intervention in maternal perception of preschoolers' weight among Mexican and Mexican-American mothers. AB - BACKGROUND: Childhood obesity is a public health issue negatively affecting children's physical and psychosocial health. Mothers are children's primary caregivers, thus key players in childhood obesity prevention. Studies have indicated that mothers underestimate their children's weight. If mothers are unaware of their children's weight problem, they are less likely to participate in activities preventing and treating excess weight. The "Healthy Change" intervention is designed to change maternal perception of child's weight (MPCW) through peer-led group health education in childcare settings. METHODS/DESIGN: The "Healthy Change" is a multicenter two-arm randomized trial in four centers. Three centers are in Mexican States (Nuevo Leon, Tamaulipas, and Zacatecas). The fourth center is in San Antonio, Texas, USA. A total of 360 mother-child pairs (90 pairs per center) are to be randomly and evenly allocated to either the intervention or the control group. Intervention group will receive four-session group obesity prevention education. Control group will receive a four-session personal and food hygiene education. The education is delivered by trained peer mother promotoras. Data will be collected using questionnaires and focus groups. The primary outcome is a change in proportion of mothers with accurate MPCW. Secondary outcomes include change in maternal feeding styles and practices, maternal self-efficacy and actions for managing child excessive weight gain. McNemar's Test will be used to test the primary outcome. The GLM Univariate procedure will be used to determine intervention effects on secondary outcomes. The models will include the secondary outcome measures as the dependent variables, treatment condition (intervention/control) as the fixed factor, and confounding factors (e.g., mother's education, children's gender and age) as covariates. Sub-analyses will be performed to compare intervention effects on primary and secondary outcomes between the samples from Mexico and Texas, USA. Qualitative data will be analyzed through analysis of inductive content. A combined coding model will be developed and used to code transcripts using the NVivo software. DISCUSSION: Healthy Change intervention could help change MPCW, an initial step for obesity prevention among preschoolers. This study presents a first of its kind intervention available in Spanish and English targeting Mexican and Mexican-American mothers in Mexico and USA. TRIAL REGISTRATION: ISRCTN12281648. PMID- 29843671 TI - Insomnia and depressive symptoms in relation to unhealthy eating behaviors in bariatric surgery candidates. AB - BACKGROUND: Alongside obesity, insomnia and depression are common public health problems. Sleep problems are currently believed to be associated with excessive food intake and metabolic disturbances. Therefore, we aimed to explore a relationship between insomnia, depressive symptoms and eating habits as well as metabolic parameters in bariatric surgery candidates. METHODS: A total of 361 unrelated obese subjects were included in this study. Severity of sleep problems was measured with Athens Insomnia Scale (AIS) and the severity of depressive symptoms was assessed with the Beck Depression Inventory (BDI-II). Obstructive sleep apnea (OSA) was assessed by the Apnea Hypopnoea Index (AHI). Information was obtained about demographics, eating habits and lifestyle. Blood samples were collected to measure concentration of lipids (cholesterol, triglyceride, HDL cholesterol, LDL-cholesterol), and glucose. RESULTS: The median (interquartile range) score for AIS in the study participants was 5 (3-8) with a range of 0-24 and 47% (171) participants scored >=6 (met criteria for diagnosis of insomnia). Statistically significant correlations were found between the AIS scores and serum triglycerides and glucose concentrations, and BDI-II total scores. The highest scores on AIS and BDI-II were found in participants with high frequency of snack food consumption, in physically inactive individuals as well as in those who self-reported eating at night or who declared more than 3 intense emotions associated with a desire-to-eat. Adjusted multivariate logistic regression analysis revealed that clinical insomnia was most strongly associated with daily consumption of snack foods, with the odds ratio of 3.26 (95% CI: 1.74-6.11), while depressive symptoms were strongly associated with both eating in response to >=3 specific emotions with OR = 2.93 (95% CI: 1.26-6.78) as well as with daily consumption of snack foods with OR = 2.87 (95% CI: 1.16-5.14). CONCLUSIONS: The results indicate that insomnia and depression in obese individuals are associated with eating habits, and suggest that in some patients these associations appears as major factors affecting obesity development. PMID- 29843672 TI - Effects of controlled abnormal joint movement on the molecular biological response in intra-articular tissues during the acute phase of anterior cruciate ligament injury in a rat model. AB - BACKGROUND: The anterior cruciate ligament (ACL) is responsible for braking forward movement of the tibia relative to the femur and for tibial rotation. After ACL injury, this braking performance deteriorates, inducing abnormal joint movement. The purpose of this study was to clarify the effects of controlled abnormal joint movement on the molecular biological response in intra-articular tissues during the acute phase of ACL injury. METHODS: Eighty-four mature Wistar male rats were randomly assigned to a controlled abnormal movement (CAM) group, an ACL-transection (ACL-T) group, a sham-operated group, or an intact group. The ACL was completely transected at its midportion in the ACL-T and CAM groups, and a nylon suture was used to control abnormal tibial translation in the CAM group. The sham-operated group underwent skin and joint capsule incisions and tibial drilling without ACL transection. Animals were not restricted activity until sacrifice 1, 3, or 5 days after surgery for histological and gene expression assessments. Acute-phase inflammation requires an important balance between degenerative and biosynthetic processes and is controlled by the activities of matrix metalloproteinases (MMPs) and tissue inhibitors of metalloproteinases (TIMPs). Both types of gene were analyzed in this study. RESULTS: The ACL-T and CAM groups exhibited cleavage of the ACL at all time points. However, for the CAM group, the gap in the ligament stump was extremely small, and fibroblast proliferation was observed around the stump. Relative to the ACL-T group, the CAM group demonstrated significantly lower expression of MMP-13 mRNA and a lower MMP 13/TIMP-1 ratio on days 1 and 5 in the ACL, the medial meniscus and the lateral meniscus. The expression of TIMP-1 mRNA was not significantly different between the ACL-T and CAM groups. CONCLUSIONS: The study results suggested that controlling abnormal movement inhibited the inflammatory reaction in intra articular tissues after ACL injury. This reaction was down-regulated in intra articular tissues in the CAM group. Abnormal joint control caused prolonged inflammation and inhibited remodeling during the acute phase of ACL rupture. PMID- 29843673 TI - Early rehabilitation for volumetric muscle loss injury augments endogenous regenerative aspects of muscle strength and oxidative capacity. AB - BACKGROUND: Volumetric muscle loss (VML) injuries occur due to orthopaedic trauma or the surgical removal of skeletal muscle and result in debilitating long-term functional deficits. Current treatment strategies do not promote significant restoration of function; additionally appropriate evidenced-based practice physical therapy paradigms have yet to be established. The objective of this study was to develop and evaluate early rehabilitation paradigms of passive range of motion and electrical stimulation in isolation or combination to understand the genetic and functional response in the tissue remaining after a multi-muscle VML injury. METHODS: Adult male mice underwent an ~ 20% multi-muscle VML injury to the posterior compartment (gastrocnemius, soleus, and plantaris muscle) unilaterally and were randomized to rehabilitation paradigm twice per week beginning 2 days post-injury or no treatment. RESULTS: The most salient findings of this work are: 1) that the remaining muscle tissue after VML injury was adaptable in terms of improved muscle strength and mitigation of stiffness; but 2) not adaptable to improvements in metabolic capacity. Furthermore, biochemical (i.e., collagen content) and gene (i.e., gene arrays) assays suggest that functional adaptations may reflect changes in the biomechanical properties of the remaining tissue due to the cellular deposition of non-contractile tissue in the void left by the VML injury and/or differentiation of gene expression with early rehabilitation. CONCLUSIONS: Collectively this work provides evidence of genetic and functional plasticity in the remaining skeletal muscle with early rehabilitation approaches, which may facilitate future evidenced-based practice of early rehabilitation at the clinical level. PMID- 29843674 TI - Decreased choroidal thickness in vitiligo patients. AB - BACKGROUND: Vitiligo is a disease characterized by depigmented macules and patches that occur as a result of the loss of functional melanocytes from the affected skin through a mechanism which has not been elucidated yet. Destruction of pigment cells in vitiligo may not remain limited to the skin; the eyelashes, iris, ciliary body, choroid, retinal pigment epithelium and meninges may also be affected. This study aims to compare the choroidal thickness of patients with and without vitiligo using optical coherence tomography (OCT). METHODS: Spectral domain optical coherence tomography (SD-OCT) (Retina Scan Advanced RS-3000 NIDEK, Japan) instrument (with lambda = 840 nm, 27,000 A-scans/second and 5 MUm axial resolution) was used for the imaging. Statistical analysis was performed using SPSS 21.0 software package. RESULTS: In all values except optic nevre area measurements, the choroidal thickness of all vitiligo patients was found out to be thinner compared to the control group. CONCLUSIONS: In vitiligo, the choroidal thickness may be affected by the loss of melanocytes. PMID- 29843675 TI - Mixed pneumonic plague and nosocomial MDR-bacterial infection of lung: a rare case report. AB - BACKGROUND: Plague is a life-threatening disease caused by the bacterium, Yersinia pestis. Madagascar is the leading country for human plague cases worldwide. Human plague is a serious disease, particularly in its septicaemic and pneumonic forms. We report a case of pneumonic plague co-infected by a MDR Stenotrophomonas maltophilia. CASE PRESENTATION: A 24 year-old man originated from Soavinandriana, a plague focus, felt uneasy and developed high fever with chills. He started treatment by himself, by private medical care and by a traditional healer for nine days moving several times from place to place. His condition had deteriorated when he presented to a district hospital with a syndrome of dyspnea, bronchial rale and altered state of consciousness. Two days later, plague diagnosis, performed as a last resort, revealed a positive F1 antigen on rapid diagnostic test. Additional tests (pla PCR and plague serology) evidenced a Y. pestis infection. However, streptomycin treatment did not achieve a complete recovery as the course of disease was complicated by the presence of MDR-S. maltophilia in his lung. This opportunistic infection could have been favored by an immunosuppression due to Y. pestis pulmonary infection and probably been acquired during his stay at a District Hospital. He was treated with a combination of ciprofloxacin and gentamycin and recovered fully. CONCLUSIONS: Pneumonic plague infection may promote another virulent or avirulent bacterial infection particularly when it is not initially suspected. However, coinfection is rarely described and its occurrence frequency is unknown. In middle or low resources areas, which is the case of most plague endemic countries, control and prevention of infections in health facilities is not optimal. Co-infection with an opportunistic pathogen agent, such as S. maltophilia, is a risk which must not be disregarded as demonstrated by this case report. When deciding of a national control strategy, it should be taken into account in the choice of the first line treatment. PMID- 29843676 TI - Predictors of medication adherence among patients with severe psychiatric disorders: findings from the baseline assessment of a randomized controlled trial (Tecla). AB - BACKGROUND: Schizophrenia and bipolar disorder are characterized by a high disease burden. Antipsychotic medication is an essential part of the treatment. However, non-adherence is a major problem. Our aim was to examine potential determinants of non-adherence for patients with severe mental disorders. METHODS: Baseline data of the study "Post stationary telemedical care of patients with severe psychiatric disorders" (Tecla) were used. Medication adherence was assessed with the Medication Adherence Report Scale German version (MARS-D). A logistic regression was calculated with age, sex, education, employment status, level of global functioning, social support and intake of typical and atypical antipsychotics as predictors. RESULTS: N = 127 participants were included in the analysis (n = 73 men, mean age 42 years). The mean MARS-D Score was 23.4 (SD 2.5). The most common reason for non-adherence was forgetting to take the medicine. Significant positive determinants for adherence were older age (OR 1.02, 95% CI 1.011-1.024, p < 0.0001), being employed (OR 2.46, 95% CI 1.893 3.206, p < 0.0001), higher level of global functioning (overall measure of how patients are doing) (OR 1.02, 95% CI 1.012-1.028, p < 0.0001), having social support (OR 1.02, 95% CI 1.013-1.026, p < 0.0001), and intake of typical antipsychotics (OR 2.389, 95% CI 1.796-3.178, p < 0.0001). A negative determinant was (female) sex (OR 0.73, 95% CI 0.625-0.859, p = 0.0001). CONCLUSIONS: Especially employment, functioning and social support could be promising targets to facilitate adherence in patients with schizophrenia or bipolar disorder. TRIAL REGISTRATION: This study is retrospectively registered at the German Clinical Trials Register with the trial registration number DRKS00008548 at 21/05/2015. PMID- 29843677 TI - Stability of gene expression by primary bronchial epithelial cells over increasing passage number. AB - BACKGROUND: An increasing number of studies using primary human bronchial epithelial cells (BECs) have reported intrinsic differences in the expression of several genes between cells from asthmatic and non-asthmatic donors. The stability of gene expression by primary BECs with increasing cell passage number has not been well characterized. METHODS: To determine if expression by primary BECs from asthmatic and non-asthmatic children of selected genes associated with airway remodeling, innate immune response, immunomodulatory factors, and markers of differentiated airway epithelium, are stable over increasing cell passage number, we studied gene expression patterns in passages 1, 2, 3, 4, and 5 BECs from asthmatic (n = 6) and healthy (n = 6) subjects that were differentiated at an air-liquid interface. RNA was harvested from BECs and RT-PCR was performed for TGFbeta1, TGFbeta2, activin A, FSTL3, MUC5AC, TSLP, IL-33, CXCL10, IFIH1, p63, KT5, TUBB4A, TJP1, OCLN, and FOXJ1. RESULTS: Expression of TGFbeta1, TGFbeta2, activin A, FSTL3, MUC5AC, CXCL10, IFIH1, p63, KT5, TUBB4A, TJP1, OCLN, and FOXJ1 by primary BECs from asthmatic and healthy children was stable with no significant differences between passages 1, 2 and 3; however, gene expression at cell passages 4 and 5 was significantly greater and more variable compared to passage 1 BECs for many of these genes. IL-33 and FOXJ1 expression was also stable between passages 1 through 3, however, expression at passages 4 and 5 was significantly lower than by passage 1 BECs. TSLP, p63, and KRT5 expression was stable across BEC passages 1 through 5 for both asthmatic and healthy BECs. CONCLUSIONS: These observations illustrate the importance of using BECs from passage <=3 when studying gene expression by asthmatic and non-asthmatic primary BECs and characterizing the expression pattern across increasing cell passage number for each new gene studied, as beyond passage 3 genes expressed by primary BECs appear to less accurately model in vivo airway epithelial gene expression. PMID- 29843678 TI - When helping helps: exploring health benefits of cancer survivors participating in for-cause physical activity events. AB - BACKGROUND: Over 15.5 million Americans live with cancer and 5-year survival rates have risen to 69%. Evidence supports important health benefits of regular physical activity for cancer survivors, including increased strength and quality of life, and reduced fatigue, recurrence, and mortality. However, physical activity participation among cancer survivors remains low. Cancer organizations provide various resources and support for cancer survivors, including emotional, instrumental, informational, and appraisal support. Many cancer organizations, like the LIVESTRONG Foundation, support the cancer community by sponsoring and hosting for-cause physical activity events, providing opportunities for anyone (including cancer survivors) to "help"/support those living with cancer. The concept of helping others has been positively related with wellbeing, physical activity, and multiple health behaviors for those helping. However, the role of helping others has not been examined in the context of being physically active to help others or its relationship with overall physical activity and quality of life among those helping. Therefore, we developed a path model to examine relationships between cancer survivors' (1) desire to help others with cancer, (2) physically active LIVESTRONG participation to help others, (3) regular physical activity engagement, and (4) quality of life. METHODS: In 2010, 3257 cancer survivors responded to an online survey sent to all people involved with the LIVESTRONG organization at any level. The hypothesized path model was tested using path analysis (Mplus 8). RESULTS: After list-wise deletion of missing responses, our final sample size was 3122 (61.8% female, mean age: 48.2 years [SD = 12.7]). Results indicated that the model yielded perfect fit indexes. Controlling for age, sex, income, and survivorship length, desire to help was positively related with physically active LIVESTRONG participation (beta = .11, p < .001), which was positively related with regular physical activity (beta = .30, p < .001), and regular physical activity was positively related with quality of life (beta = .194, p < .001). CONCLUSIONS: Results suggest that cancer survivors can benefit from participating in for-cause physical activity events, including more regular physical activity. Researchers need to further investigate the role of helping others when examining health behaviors and outcomes, and cancer organizations should continue encouraging cancer survivors to help others by participating in physical activity events. PMID- 29843679 TI - Direct-acting antiviral treatment in real world patients with hepatitis C not associated with psychiatric side effects: a prospective observational study. AB - BACKGROUND: Treatment of Hepatitis C virus (HCV) infection has evolved from interferon (IFN)-based treatments to direct-acting antivirals (DAAs). Patients with HCV have an elevated psychiatric morbidity (including substance abuse) and patients with such comorbidity have often been excluded from treatment with IFN. To date, little is known about psychiatric adverse effects of DAA-based regimens. We therefore aimed to study the psychiatric side effects of new IFN-free treatment for HCV (including depressive symptoms and sleep) in real world patients also including those with a history of psychiatric diagnosis, substance abuse or drug dependence. METHODS: Consecutive patients were monitored during treatment with three of the latest DAA agents (sofosbuvir, simeprevir and daclatasvir). Repeated expert psychiatric assessments from baseline to 12 weeks post-treatment were performed with the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) clinical version and the self-report versions of the Montgomery Asberg Depression Rating Scale (MADRS-S) and the Pittsburgh Sleep Quality Index (PSQI). Friedman's test was performed to calculate differences in the MADRS-S and PSQI over time. In a post-hoc analysis Wilcoxon's test was used to compare baseline depressive symptoms with those at post-treatment. Spearman's rank correlation test was conducted in another post-hoc analysis to evaluate the correlation between symptoms of depression and HCV viral load at baseline. RESULTS: At baseline, 15/17 patients (88%) had a history of any psychiatric diagnosis; 11 (65%) had a history of substance abuse or dependence; and 11 (65%) had previously been treated with IFN and six of those had experienced psychiatric side effects. There was no correlation between depressive symptoms and HCV viral load at baseline. Symptoms of depression did not increase during DAA treatment and were lower 12 weeks post-treatment compared with baseline: MADRS-S 10.7 vs. 8.3 (p = 0.01). This observation held when excluding patients taking antidepressant medication. Sleep quality did not significantly change during treatment. Adherence to treatment was estimated to 95% and sustained virological response was 88%. CONCLUSIONS: Despite high psychiatric morbidity, including previous substance abuse, patients successfully completed DAA treatment without increasing depressive symptoms or sleep disturbance. Symptoms of depression were significantly reduced 12 weeks after DAA treatment. PMID- 29843680 TI - Outcomes and early revision rate after medial unicompartmental knee arthroplasty: prospective results from a non-designer single surgeon. AB - BACKGROUND: This prospective study evaluates outcomes and reoperation rates for unicompartmental knee arthroplasty (UKA) from a single non-designer surgeon using relatively extended criteria of degenerative changes of grade 2 or above in either or both non-operated compartments. METHODS: 187 consecutive medial mobile bearing UKA implants were included after history, clinical assessment and radiological evaluation. 91 patients had extended clinical outcomes. Post operative assessment included functional scoring with the Oxford Knee Score (OKS) and radiographic review. Survivorship curves were constructed using the life table method, with 95% confidence intervals calculated using Rothman's equation. Separate endpoints were examined: revision for any reason and revision for confirmed loosening. RESULTS: The mean follow-up was 3.5 years. The pre-operative OKS improved from a mean of 21.2 to 38.9 (Mann-Whitney U Test, p = < 0.001). Twelve Patients required further operations including 9 revisions. No patients developed deep infection and no surviving implants were loose radiographically. Survivorship at 7 years with endpoints of re-operation, revision and aseptic loosening at surgery or radiographically was 88.4% (95% CI 79.6-93.7), 93.1% (95% CI 85.5-96.9) and 97.3% (95% CI 91.2-99.2) respectively. The presence of pre operative mild contralateral tibiofemoral or any extent of patellofemoral joint degeneration was of no consequence. DISCUSSION: The indications for UKA are being expanded to include patients with greater deformity, more advanced disease in the patellofemoral joint and even certain features in the lateral compartment indicative of an anteromedial pattern of osteoarthritis (OA). However, much of the supporting literature remains available only from designer centres. This study represents a group of patients with what we believe to be wider indications, along with decisions to treat made on clinical grounds and radiographs alone. CONCLUSION: This study shows comparable clinical outcomes of UKA for extended indications from a high volume, high-usage non-designer unit. PMID- 29843681 TI - Prevalence and risk factors of testicular microlithiasis in patients with hypospadias: a retrospective study. AB - BACKGROUND: It has been described that the incidence of testicular microlithiasis is high in several congenital disorders which may be associated with testicular impairment and infertility. Several reports have shown that a prepubertal or pubertal hormonal abnormality in the pituitary-gonadal axis was identified in some patients with hypospadias that is one of the most common disorders of sex development. However, exact prevalence or risk factors of testicular microlithiasis in patients with hypospadias have not reported so far. In the present study, to clarify the prevalence and risk factors of testicular microlithiasis in patients with hypospadias, a retrospective chart review was performed. METHODS: Children with hypospadias who underwent testicular ultrasonography between January 2010 and April 2016 were enrolled in the present study. Severity of hypospadias was divided into mild and severe. The prevalence and risk factors of testicular microlithiasis or classic testicular microlithiasis were examined. RESULTS: Of 121 children, mild and severe hypospadias were identified in 66 and 55, respectively. Sixteen children had undescended testis. Median age at ultrasonography evaluation was 1.7 years old. Testicular microlithiasis and classic testicular microlithiasis were documented in 17 children (14.0%) and 8 (6.6%), respectively. Logistic regression analysis revealed that presence of undescended testis was only a significant factor for testicular microlithiasis and classic testicular microlithiasis. The prevalence of testicular microlithiasis or classic testicular microlithiasis was significantly higher in children with undescended testis compared to those without undescended testis (testicular microlithiasis; 43.8% versus 9.5% (p = 0.002), classic testicular microlithiasis; 37.5% versus 1.9% (p < 0.001). CONCLUSIONS: The current study demonstrated that the presence of undescended testis was only a significant risk factor for testicular microlithiasis or classic testicular microlithiasis in patients with hypospadias. As co-existing undescended testis has been reported as a risk factor for testicular dysfunction among patients with hypospadias, the current findings suggest that testicular microlithiasis in children with hypospadias may be associated with impaired testicular function. Conversely, patients with isolated HS seem to have lower risks for testicular impairment. Further investigation with longer follow-up will be needed to clarify these findings. PMID- 29843682 TI - Changes in attitudes towards hastened death among Finnish physicians over the past sixteen years. AB - BACKGROUND: The ethics of hastened death are complex. Studies on physicians' opinions about assisted dying (euthanasia or assisted suicide) exist, but changes in physicians' attitudes towards hastened death in clinical decision-making and the background factors explaining this remain unclear. The aim of this study was to explore the changes in these attitudes among Finnish physicians. METHODS: A questionnaire including hypothetical patient scenarios was sent to 1182 and 1258 Finnish physicians in 1999 and 2015, respectively. Two scenarios of patients with advanced cancer were presented: one requesting an increase in his morphine dose to a potentially lethal level and another suffering a cardiac arrest. Physicians' attitudes towards assisted death, life values and other background factors were queried as well. The response rate was 56%. RESULTS: The morphine dose was increased by 25% and 34% of the physicians in 1999 and 2015, respectively (p < 0.001). Oncologists approved the increase most infrequently without a significant change between the study years (15% vs. 17%, p = 0.689). Oncological specialty, faith in God, female gender and younger age were independent factors associated with the reluctance to increase the morphine dose. Euthanasia, but not assisted suicide, was considered less reprehensible in 2015 (p = 0.008). In both years, most physicians (84%) withheld cardiopulmonary resuscitation. CONCLUSION: Finnish physicians accepted the risk of hastening death more often in 2015 than in 1999. The physicians' specialty and many other background factors influenced this acceptance. They also regarded euthanasia as less reprehensible now than they did 16 years ago. PMID- 29843683 TI - Does hallux valgus impair physical function? AB - BACKGROUND: The relationships between radiographic hallux valgus (HV) and various physical functions independent of knee osteoarthritis (KOA) were examined among residents of a mountain village in Japan. METHODS: Study participants were recruited from mountain village residents aged >=50 years. Participants' height, weight, and body mass index (BMI) were measured, and baseline data, including age, sex, and foot pain, were obtained using interviews and questionnaires. Radiography of the feet and knees was performed to assess the presence of HV (HV angle >=20 degrees ) and KOA (Kellgren-Lawrence grade >= II). Grip strength, 6-m walk at usual and maximum speeds, single-leg stance time, and stand up from a chair time were evaluated as physical function performance tests. Plantar pressure patterns were also examined. RESULTS: Moderate-severe HV (HV angle >=30 degrees), impaired grip strength and maximum walking speed, and painful HV reduced usual and maximum walking speeds independent of KOA. Hallux plantar pressure decreased according to the HV angle. Hallux plantar pressure was significantly lower in painful HV than in the no HV feet or painless HV. CONCLUSIONS: Moderate-severe HV deformity and HV-related pain impaired physical function independent of KOA. By controlling the pain and severe deformity of HV by treatments such as surgery, the physical function of HV patients might be improved. PMID- 29843684 TI - The production of a recombinant tandem single chain fragment variable capable of binding prolamins triggering celiac disease. AB - BACKGROUND: Celiac disease (CD) is one of the most common food-related chronic disorders. It is mediated by the dietary consumption of prolamins, which are storage proteins of different grains. So far, no therapy exists and patients are bound to maintain a lifelong diet to avoid symptoms and long-term complications. To support those patients we developed a tandem single chain Fragment variable (tscFv) acting as a neutralizing agent against prolamins. We recombinantly produced this molecule in E. coli, but mainly obtained misfolded product aggregates, so-called inclusion bodies, independent of the cultivation strategy we applied. RESULTS: In this study, we introduce this novel tscFv against CD and present our strategy of obtaining active product from inclusion bodies. The refolded tscFv shows binding capabilities towards all tested CD-triggering grains. Compared to a standard polyclonal anti-PT-gliadin-IgY, the tscFv displays a slightly reduced affinity towards digested gliadin, but an additional affinity towards prolamins of barley. CONCLUSION: The high binding specificity of tscFv towards prolamin-containing grains makes this novel molecule a valuable candidate to support patients suffering from CD in the future. PMID- 29843685 TI - Life after pelvic organ prolapse surgery: a qualitative study in Amhara region, Ethiopia. AB - BACKGROUND: Women living in resource constrained settings often have limited knowledge of and access to surgical treatment for pelvic organ prolapse. Additionally, little is known about experiences during recovery periods or about the reintegration process for women who do gain access to medical services, including surgery. This study aimed to explore women's experiences related to recovery and reintegration after free surgical treatment for pelvic organ prolapse in a resource-constrained setting. METHODS: The study had a qualitative design and used in-depth interviews in the data collection with a purposive sample of 25 participants, including 12 women with pelvic organ prolapse. Recruitment took place at the University of Gondar Hospital, Ethiopia, where women with pelvic organ prolapse had been admitted for free surgical treatment. In-depth interviews were carried out with women at the hospital prior to surgery and in their homes 5-9 months following surgery. Interviews were also conducted with health-care providers (8), representatives from relevant organizations (3), and health authorities (2). The fieldwork was carried out in close collaboration with a local female interpreter. RESULTS: The majority of the women experienced a transformation after prolapse surgery. They went from a life dominated by fear of disclosure, discrimination, and divorce due to what was perceived as a shameful and strongly prohibitive condition both physically and socially, to a life of gradually regained physical health and reintegration into a social life. The strong mobilization of family-networks for most of the women facilitated work related help and social support during the immediate post-surgery period as well as on a long-term basis. The women with less extensive social networks expressed greater challenges, and some struggled to meet their basic needs. All the women openly disclosed their health condition after surgery, and several actively engaged in creating awareness about the condition. CONCLUSIONS: Free surgical treatment substantially improved the health and social life for most of the study participants. The impact of the surgery extended to the communities in which the women lived through increased openness and awareness and thus had the potential to ensure increased disclosure among other women who suffer from this treatable condition. PMID- 29843686 TI - Experiences of being screened for intimate partner violence during pregnancy: a qualitative study of women in Japan. AB - BACKGROUND: Intimate partner violence (IPV) is physical, sexual or psychological violence by a current or former intimate partner. IPV threatens women's health, and during pregnancy women are more vulnerable to violence. Therefore, IPV screening has been recommended during antenatal care; however, health care providers have expressed concern about the negative impact on women and therefore have been reluctant in conducting IPV screening. Consequently our objective was to investigate pregnant women's experiences of reading and completing an IPV screening questionnaire. METHODS: Semi-structured interviews were conducted with postpartum women who had received IPV screening during pregnancy to investigate their experiences using the IVP Violence Against Women Screen (VAWS). Qualitative data were analyzed based on content analysis. RESULTS: A total of 43 women participated in this study. There were eight (18.6%) women positive for IPV screening during pregnancy. Content analysis for all participants revealed three themes: necessity, acceptability and optimality. 'Necessity' referred to benefits for women from IPV screening, and was supported by three categories: 'redefining the relationship', 'promoting IPV awareness' and 'opportunity to initiate support'. 'Acceptability' of IPV screening was also supported by three categories: 'comfortable', 'quickly completed' and 'difficulty'. 'Optimality' meant IPV screening during pregnancy was appropriate timing for women who had been screened as either positive or negative. CONCLUSIONS: The majority of women, including women experiencing IPV, had positive responses to IPV screening during pregnancy. Future diffusion of IPV screening requires safe environments for IPV screening and improved awareness of health care providers towards IPV. PMID- 29843687 TI - Sexual initiation and associated factors among young women in West Shoa, Ambo Town, Ethiopia: a community-based cross-sectional study. AB - BACKGROUND: For physiological as well as behavioral reasons, sexual debut increases young individuals' risk for infection with sexually transmitted infection including HIV. It is fundamental to recognize the factors related to sexual debut in a broader context for designing and implementing effective interventions targeting youth. METHODS: Community-based cross-sectional study was employed from January to May, 2013 among females of Ambo town. A multistage sampling technique was applied. The participants were selected using simple random sampling technique. Face to face interview using structured and pretested questionnaires were used to collect thedata from the study participants. Bivariate and multivariate logistic regression analysis was used to determine the predictors of sexual initiation. RESULTS: Three hundred seventeen (49.9%) of the respondents have ever had sex. The mean age at first sexual initiation was 16.6 (SD +/-2.3) years. Being in age group 20-24 [Adjusted Odds Ratio (AOR) & (95% CI) = 2.75 (1.74, 4.34)], Educational level [AOR& (95% CI) = 0.20 (0.08, 0.48)], being in school [AOR& (95% CI) = 0.19 (0.11, 0.33)], having paid job [AOR& (95% CI) = 2.20 (1.19, 4.07)], peer pressure [AOR& (95% CI) = 3.20 (2.08, 4.94)], alcohol consumption [AOR& (95% CI) = 2.17 (1.43, 3.28)], and pornographic materials [AOR& (95% CI) = 2.27 (1.43, 3.61)] had significant association with sexual initiation. CONCLUSION: Substantial numbers of females had started sexual activity that might expose them to different reproductive health problems. In general age group, peer pressure, alcohol consumption and watching pornographic materials were found to be predictors for the sexual debut. Therefore, building life skills, establishing youth friendly clubs should be intensified. PMID- 29843688 TI - Huatuo Zaizao pill ameliorates cognitive impairment of APP/PS1 transgenic mice by improving synaptic plasticity and reducing Abeta deposition. AB - BACKGROUND: It is well known that Alzheimer's disease (AD) is a progressive neurodegenerative disease characterized by memory deficits and cognitive decline. Amyloid-beta (Abeta) deposition and synaptic dysfunction play important roles in the pathophysiology of Alzheimer's disease (AD). The Huatuo Zaizao pill (HT) is a Traditional Chinese Medicine (TCM) that has been used clinically for many years in China, mainly for post-stroke rehabilitation and cognitive decline; however, the mechanism of cognitive function is not clear. In this study, we investigated the effect of HT on hippocampal synaptic function, Amyloid-beta (Abeta) deposition in APP/PS1 AD transgenic mice. METHOD: Six-month-old APP/PS1 transgenic (Tg) mice were randomly divided into control, HT-treated, and memantine (MEM)-treated groups. Then, these groups were orally administered vehicle (for the control), HT (0.25 g/kg) and MEM (5 mg/kg) respectively for 4 weeks. The Morris water maze, Novel Object Recognition, and Open field tests were used to assess cognitive behavioral changes. We evaluated the effects of HT on neuronal excitability, membrane ion channel activity, and synaptic plasticity in acute hippocampal slices by combining electrophysiological extracellular tests. Synaptic morphology in the hippocampus was investigated by electron microscopy. Western blotting was used to assess synaptic-associated protein and Abeta production and degrading levels. Immunofluorescence staining was used to determine the relative integrated density. RESULTS: HT can ameliorate hippocampus dependent memory deficits and improve synaptic dysfunction by reversing LTP impairment in APP/PS1 transgenic mice. Moreover, HT reduces amyloid plaque deposition by regulating alpha-secretase and gamma-secretase levels. CONCLUSION: HT can improve the learning and memory function of APP/PS1 transgenic mice by improving synaptic function and reducing amyloid plaque deposition. PMID- 29843689 TI - Widening interest, widening participation: factors influencing school students' aspirations to study medicine. AB - BACKGROUND: Under-representation of some socio-economic groups in medicine is rooted in under-representation of those groups in applications to medical school. This study aimed to explore what may deter school-age children from applying to study medicine. METHODS: Workshops were undertaken with school students aged 16 17 years ('Year 12', n = 122 across three workshops) and 13-14 years ('Year 9', n = 295 across three workshops). Workshops used a variety of methods to identify and discuss participants' perceptions of medicine, medical school and the application process. Year 12 workshops focused on applications and medical school, while Year 9 took a broader approach reflecting their relative distance from applying. Subsequent workshops were informed by the findings of earlier ones. RESULTS: The main finding was that potential applicants had limited knowledge about medicine and medical school in several areas. Older students would benefit from accessible information about medical degrees and application processes, access to work experience opportunities and personal contact with medical students and junior doctors, particularly those from a similar background. Younger students demonstrated a lack of awareness of the breadth of medical careers and a limited understanding of what medicine encompasses. Many Year 9 students were attracted by elements of practice which they did not associate with medicine, such as 'talking to people with mental health problems'. An exercise addressing this elicited an increase in their interest in medicine. These issues were identified by participants as being more marked for those without knowledgeable support at home or school. It was apparent that school teachers may not be equipped to fill these knowledge gaps. CONCLUSION: Gaps in knowledge and support may reflect the importance of 'social capital' in facilitating access to medical school. Medical schools could act as hubs to introduce students to resources which are essential for widening participation. Outreach and support to schools may ensure that fundamental knowledge gaps are equitably addressed for all prospective applicants. More generally, a focus on medicine which under-emphasises aspects of medical practice involving communication may deter some students and have longer term impact on recruitment to careers including general practice and psychiatry. PMID- 29843690 TI - Effects of dental treatment and systemic disease on oral health-related quality of life in Korean pediatric patients. AB - BACKGROUND: The findings that not only dental caries but also systemic disease can exert a negative effect on oral health-related quality of life (OHRQoL), and that dental treatment can improve OHRQoL have been confirmed in multiple studies. The purpose of this study is to investigate the impact of dental treatment on OHRQoL of Korean pediatric patients and the differences in OHRQoL between patients with and without systemic disease. METHODS: All the primary caregivers of pediatric patients who underwent dental treatments under either general anesthesia or intravenous deep sedation at Seoul National University Dental Hospital completed abbreviated versions of the Child Oral Health Impact Profile (COHIP-14) and Family Impact Scale (FIS-12) surveys on OHRQOL pre- and post treatment (average: 2.4 +/- 1.7 months after dental treatment). This is a case control study with patients divided into two groups according to the presence or absence of systemic disease. RESULTS: Data from 93 pediatric patients (46 male and 47 female, average patient age: 5.0 +/- 3.4 years) were analyzed to compare OHRQoL before and after treatment with the Wilcoxon signed-rank test and to calculate the effect size using Cohen's d. All of the patients exhibited an improvement in OHRQoL (COHIP-14: p < 0.001, effect size = 1.0; FIS-12: p < 0.001, effect size = 0.7). Patients with systemic diseases demonstrated lower OHRQoL in both pre- and post-treatment surveys than patients without systemic diseases (Wilcoxon Rank-sum test, both COHIP-14 and FIS-12: p < 0.05). The COHIP 14 appears to have a greater impact on the FIS-12 in patients with systemic disease than those without (explanatory power of 65.3 and 44.6%, respectively). CONCLUSIONS: Based on the primary caregivers' perceptions, dental treatment can improve the OHRQoL in Korean pediatric patients. Systemic disease results in a reduced OHRQoL, and the awareness of patients' oral health appeared to have a greater impact on OHRQoL for family members of patients with a systemic disease. TRIAL REGISTRATION: KCT0002473 (Clinical Research Information Service, Republic of Korea) and 22 Sep 2017, retrospectively registered. PMID- 29843691 TI - Impacts of online and group perinatal education: a mixed methods study protocol for the optimization of perinatal health services. AB - BACKGROUND: Prenatal education is a core component of perinatal care and services provided by health institutions. Whereas group prenatal education is the most common educational model, some health institutions have opted to implement online prenatal education to address accessibility issues as well as the evolving needs of future parents. Various studies have shown that prenatal education can be effective in acquisition of knowledge on labour and delivery, reducing psychological distress and maximising father's involvement. However, these results may depend on educational material, organization, format and content. Furthermore, the effectiveness of online prenatal education compared to group prenatal education remains unclear in the literature. This project aims to evaluate the impacts of group prenatal education and online prenatal education on health determinants and users' health status, as well as on networks of perinatal educational services maintained with community-based partners. METHODS: This multipronged mixed methods study uses a collaborative research approach to integrate and mobilize knowledge throughout the process. It consists of: 1) a prospective cohort study with quantitative data collection and qualitative interviews with future and new parents; and 2) a multiple case study integrating documentary sources and interviews with stakeholders involved in the implementation of perinatal information service networks and collaborations with community partners. Perinatal health indicators and determinants will be compared between prenatal education groups (group prenatal education and online prenatal education) and standard care without these prenatal education services (control group). DISCUSSION: This study will provide knowledge about the impact of online prenatal education as a new technological service delivery model compared to traditional group prenatal education. Indicators related to the complementarity of these interventions and those available in community settings will refine our understanding of regional perinatal services networks. Results will assist decision-making regarding service organization and delivery models of prenatal education services. PROTOCOL VERSION: Version 1 (February 9 2018). PMID- 29843692 TI - Quality improvement strategies at primary care level to reduce inequalities in diabetes care: an equity-oriented systematic review. AB - BACKGROUND: There is evidence that disparities exist in diabetes prevalence, access to diabetes care, diabetes-related complications, and the quality of diabetes care. A wide range of interventions has been implemented and evaluated to improve diabetes care. We aimed to review trials of quality improvement (QI) interventions aimed to reduce health inequities among people with diabetes in primary care and to explore the extent to which experimental studies addressed and reported equity issues. METHODS: Pubmed, EMBASE, CINAHL, and the Cochrane Library were searched to identify randomized controlled studies published between January 2005 and May 2016. We adopted the PROGRESS Plus framework, as a tool to explore differential effects of QI interventions across sociodemographic and economic factors. RESULTS: From 1903 references fifty-eight randomized trials met the inclusion criteria (with 17.786 participants), mostly carried out in USA. The methodological quality was good for all studies. Almost all studies reported the age, gender/sex and race distribution of study participants. The majority of trials additionally used at least one further PROGRESS-Plus factor at baseline, with education being the most commonly used, followed by income (55%). Large variation was observed between these studies for type of interventions, target populations, and outcomes evaluated. Few studies examined differential intervention effects by PROGRESS-plus factors. Existing evidence suggests that some QI intervention delivered in primary care can improve diabetes-related health outcomes in social disadvantaged population subgroups such as ethnic minorities. However, we found very few studies comparing health outcomes between population subgroups and reporting differential effect estimates of QI interventions. CONCLUSIONS: This review provides evidence that QI interventions for people with diabetes is feasible to implement and highly acceptable. However, more research is needed to understand their effective components as well as the adoption of an equity-oriented approach in conducting primary studies. Moreover, a wider variety of socio-economic characteristics such as social capital, place of residence, occupation, education, and religion should be addressed. PMID- 29843693 TI - First right lobe living-donor hepatectomy after sleeve gastrectomy. AB - BACKGROUND: Obesity presents one of the leading causes of many chronic liver disorders and injuries. Nowadays, non-alcoholic steatohepatitis (NASH) demonstrates a challenging issue for the global health system. NASH can progress to life-threatening conditions such as cirrhosis and hepatocellular or cholangio carcinoma. Currently, NASH cirrhosis is a major indication for liver transplant (LT). CASE PRESENTATION: We present the case of a 37 year-old male who has lost 74 kg after undergoing successful laparoscopic sleeve gastrectomy (SG) four years ago. Recently, he underwent right hepatectomy in the course of living-donor liver transplantation for his sick father in our clinic. Before the SG was conducted four years ago, his weight was at 157 kg and his Body Mass Index (BMI) at 49 kg/m2. At that time, Ultrasound examination showed severe fatty liver changes and intraoperative inspection of the liver was consistent with that observation. At the time of surgery, he weighed 83 kg and his BMI was at 27 kg/m2. An effective weight reduction after bariatric surgery might protect NASH patients from further deterioration of their medical condition. CONCLUSION: To our knowledge, we report the first successful case of a right lobe living-donor hepatectomy in a patient who previously underwent successful laparoscopic sleeve gastrectomy (LSG). PMID- 29843694 TI - Cancer detection rate of prebiopsy MRI with subsequent systematic and targeted biopsy are superior to non-targeting systematic biopsy without MRI in biopsy naive patients: a retrospective cohort study. AB - BACKGROUND: To determine whether prebiopsy multiparametric magnetic resonance imaging (mpMRI) with subsequent systematic plus targeted biopsies for suspicious lesions improve prostate cancer detection compared with standard non-targeting systematic biopsies without mpMRI in biopsy-naive patients. METHODS: Patients who underwent their first prostate biopsy due to suspicion of prostate cancer were analyzed retrospectively to compare the biopsy outcomes between patients who received prebiopsy mpMRI (215 patients) and those who did not (281 patients). mpMRI was performed to determine pre-biopsy likelihood of the presence of prostate cancer using a three-point scale (1 = low level of suspicion, 2 = equivocal, and 3 = high level of suspicion). Systematic biopsies were performed in both groups. Targeted biopsies were added for a high level of suspicious lesions on mpMRI. All biopsies were performed by transperineal biopsy technique. After biopsy, Prostate Imaging Reporting and Data System ver. 2 (PIRADS-2) scoring was performed to describe the mpMRI findings and predictive value of PIRADS-2 was evaluated. RESULTS: The detection rate of total and clinically significant prostate cancer was significantly higher in patients who received prebiopsy mpMRI than in those who did not (55.3 and 46.0% vs. 42.0 and 35.2%, respectively; p = 0.004 and p = 0.016). The clinically insignificant prostate cancer detection rate was similar between the two groups (9.3% vs. 6.8%; p = 0.32). Of 86 patients who underwent systematic plus targeted biopsy in the MRI cohort and were diagnosed with prostate cancer, seven patients were detected by addition of targeted biopsy whereas 29 patients were missed by targeted biopsy but detected by systematic biopsy. There was a correlation between the PIRADS-2 and prostate cancer detection rate, and a receiver-operator curve analysis yielded an area under the curve of 0.801 (p < 0.0001). CONCLUSIONS: Prebiopsy mpMRI with subsequent systematic plus targeted biopsies for suspicious lesions can yield a higher cancer detection rate than non-targeting systematic biopsies. PIRADS-2 scoring is useful for predicting the biopsy outcome. PMID- 29843695 TI - Factors associated with low vs increased perceived mastery of clinical work over ten years of practice: a prospective study of Norwegian doctors. AB - BACKGROUND: A higher sense of mastery of doctors' clinical work could benefit not only their own mental health but also their work performance and patient care. However, we know little about factors associated with perceived mastery of clinical work among physicians. Our aim was therefore to study characteristics of those with stable low levels and of those with increased levels of mastery over a period of ten years of medical practice. METHODS: N = 631 doctors were surveyed in their final year of medical school in 1993/94 (T1) and 10 (T2), 15 (T3) and 20 (T4) years later. Low and increased perceived mastery of clinical work were measured between T2, T3 and T4. Response rates for all items measuring low and increased mastery were 238/522 (46%) and 256/522 (49%) respectively. The following explanatory variables were included: demographics, medical school factors, personality and contextual work-related and non-work-related factors. RESULTS: N = 73 (31%) of the doctors reported stable low mastery from T2 to T4. The following variables were significantly associated with low mastery in the adjusted analyses: vulnerability (OR: 1.30, P < .000, CI: 1.12 to 1.50), drinking alcohol to cope with stress during medical school (OR: 2.66, P = .04, CI: 1.03 to 6.85) and social support (OR: 0.78, P = .002, CI: 0.66 to 0.91). N = 39 (15%) reported increased mastery during the ten-year period from T2 to T4. Perceived job demands (OR: 0.66, P = .02, CI: 0.45 to 0.98) and taking up a leading position (OR: 3.04, P = .01, CI: 1.31 to 7.07) were associated with increased mastery after adjustment. CONCLUSIONS: Stable low sense of mastery over time is associated with having a vulnerable personality, a history of having used alcohol to cope with stress during medical school and lack of contemporary social support. Conversely, increased sense of mastery is associated with taking up a leading position and having the perception that job demands are decreasing over time. These findings indicate that perceived mastery of clinical work may not be a trait, but a state modifiable over time. PMID- 29843696 TI - Implementation of a patient-facing genomic test report in the electronic health record using a web-application interface. AB - BACKGROUND: Genomic medicine is emerging into clinical care. Communication of genetic laboratory results to patients and providers is hampered by the complex technical nature of the laboratory reports. This can lead to confusion and misinterpretation of the results resulting in inappropriate care. Patients usually do not receive a copy of the report leading to further opportunities for miscommunication. To address these problems, interpretive reports were created using input from the intended end users, patients and providers. This paper describes the technical development and deployment of the first patient-facing genomic test report (PGR) within an electronic health record (EHR) ecosystem using a locally developed standards-based web-application interface. METHODS: A patient-facing genomic test report with a companion provider report was configured for implementation within the EHR using a locally developed software platform, COMPASSTM. COMPASSTM is designed to manage secure data exchange, as well as patient and provider access to patient reported data capture and clinical display tools. COMPASSTM is built using a Software as a Service (SaaS) approach which exposes an API that apps can interact with. RESULTS: An authoring tool was developed that allowed creation of patient-specific PGRs and the accompanying provider reports. These were converted to a format that allowed them to be presented in the patient portal and EHR respectively using the existing COMPASSTM interface thus allowing patients, caregivers and providers access to individual reports designed for the intended end user. CONCLUSIONS: The PGR as developed was shown to enhance patient and provider communication around genomic results. It is built on current standards but is designed to support integration with other tools and be compatible with emerging opportunities such as SMART on FHIR. This approach could be used to support genomic return of results as the tool is scalable and generalizable. PMID- 29843697 TI - Life-history responses of insects to water-deficit stress: a case study with the aphid Sitobion avenae. AB - BACKGROUND: Drought may become one of the greatest challenges for cereal production under future warming scenarios, and its impact on insect pest outbreaks is still controversial. To address this issue, life-history responses of the English grain aphid, Sitobion avenae (Fabricius), from three areas of different drought levels were compared under three water treatments. RESULTS: Significant differences were identified in developmental time, fecundity and adult weight among S. avenae clones from moist, semiarid and arid areas under all the three water treatments. Semiarid and arid area clones tended to have higher heritability for test life-history traits than moist area clones. We identified significant selection of water-deficit on the developmental time of 1st instar nymphs and adult weight for both semiarid and arid area clones. The impact of intermediate and severe water-stress on S. avenae's fitness was neutral and negative (e.g., decreased fecundity and weight), respectively. Compared with arid area clones, moist- and semiarid-area clones showed higher extents of adaptation to the water-deficit level of their respective source environment. Adult weight was identified as a good indicator for S. avenae's adaptation potential under different water-stress conditions. After their exposure to intermediate water deficit stress for only five generations, adult weight and fecundity tended to decrease for moist- and semiarid-area clones, but increase for arid-area clones. CONCLUSIONS: It is evident from our study that S. avenae clones from moist, semiarid and arid areas have diverged under different water-deficit stress, and such divergence could have a genetic basis. The impact of drought on S. avenae's fitness showed a water-level dependent pattern. Clones of S. avenae were more likely to become adapted to intermediate water-deficit stress than severe water deficit stress. After continuous water-deficit stress of only five generations, the adaptation potential of S. avenae tended to decrease for moist and semiarid area clones, but increase for arid area clones. The rapid shift of aphids' life history traits and adaptation potential under drought could have significant implications for their evolutionary dynamics and outbreak risks in future climate change scenarios. PMID- 29843698 TI - Screening pregnant women for suicidal behavior in electronic medical records: diagnostic codes vs. clinical notes processed by natural language processing. AB - BACKGROUND: We examined the comparative performance of structured, diagnostic codes vs. natural language processing (NLP) of unstructured text for screening suicidal behavior among pregnant women in electronic medical records (EMRs). METHODS: Women aged 10-64 years with at least one diagnostic code related to pregnancy or delivery (N = 275,843) from Partners HealthCare were included as our "datamart." Diagnostic codes related to suicidal behavior were applied to the datamart to screen women for suicidal behavior. Among women without any diagnostic codes related to suicidal behavior (n = 273,410), 5880 women were randomly sampled, of whom 1120 had at least one mention of terms related to suicidal behavior in clinical notes. NLP was then used to process clinical notes for the 1120 women. Chart reviews were performed for subsamples of women. RESULTS: Using diagnostic codes, 196 pregnant women were screened positive for suicidal behavior, among whom 149 (76%) had confirmed suicidal behavior by chart review. Using NLP among those without diagnostic codes, 486 pregnant women were screened positive for suicidal behavior, among whom 146 (30%) had confirmed suicidal behavior by chart review. CONCLUSIONS: The use of NLP substantially improves the sensitivity of screening suicidal behavior in EMRs. However, the prevalence of confirmed suicidal behavior was lower among women who did not have diagnostic codes for suicidal behavior but screened positive by NLP. NLP should be used together with diagnostic codes for future EMR-based phenotyping studies for suicidal behavior. PMID- 29843699 TI - Differences in the determinants of health insurance enrolment among working-age adults in two regions in Ghana. AB - BACKGROUND: Ghana's National Health Insurance Scheme (NHIS) has achieved varying levels of enrolment within the regions with different rural-urban populations with associated income inequalities. This study sought to investigate the differences in the determinants of enrolment between the Greater Accra (GAR) and Western (WR) regions of Ghana to inform the NHIS reforms. METHOD: Data from 4214 adults, 18 years and above from a household survey conducted in the two regions was analyzed. Bivariate analysis (t-test for continuous and Pearson chi-square for categorical) was performed to examine differences in respondents characteristics (socio-economic and insurance enrolment) between the two regions for the total, urban and rural samples. Logistic regression estimation was performed to establish differences in determinant of enrolment between the regions. RESULTS: Age, sex, educational level, marital status, health status and travel time to nearest health facility were identified as determinants of enrolment in both regions and among the rural and urban residents within the regions. Although the rich and richest in both regions are more likely to enroll than the poor and poorest, the odds of enrolment for the urban richest in the WR is about twice that of GAR whiles the odds of enrolment for the rural richest in the GAR is also about twice that of the WR. Those who visit public facilities in the GAR are more likely to enroll than those in WR for the total and urban samples. However, those who visit private facilities in rural communities in both regions are more likely to enroll. CONCLUSION: Differences in the NHIS enrolment between the regions is as a result of differences in socio-economic factors that are intrinsic in the regions and impact on the inhabitants' ability to afford insurance premium. Policymakers should determine NHIS premium differently at the district level based on socio-economic activities and income levels within the districts. PMID- 29843700 TI - Comparison of health-related quality of Life (HRQOL) among patients with pre diabetes, diabetes and normal glucose tolerance, using the 15D-HRQOL questionnaire in Greece: the DEPLAN study. AB - BACKGROUND: Diabetes mellitus is usually preceded by a pre-diabetic stage before the clinical presentation of the disease, the influence of which on persons' quality of life is not adequately elucidated. The purpose of this study was to compare the Health-Related Quality of Life (HRQOL) of persons with pre-diabetes with that of diabetes or normal glucose tolerance (NGT), using the validated HRQOL-15D questionnaire. METHODS: The HRQOL-15D scores of 172 people with pre diabetes (108 with Impaired Fasting Glucose [IFG], 64 with Impaired Glucose Tolerance [IGT], aged 58.3 +/- 10.3 years) and 198 with NGT (aged 54.4 +/- 10.1 years) from the Greek part of the DEPLAN study (Diabetes in Europe - Prevention using Lifestyle, Physical Activity and Nutritional Intervention), were compared to 100 diabetes patients' scores (aged 60.9 +/- 12.5 years, diabetes duration 17.0 +/- 10.0 years, HbA1c 7.2 +/- 1.2%), derived from the outpatient Diabetes Clinic of a University Hospital. RESULTS: The diabetes patients' HRQOL-15D score (0.8605) was significantly lower than the pre-diabetes' (0.9008) and the controls' (0.9092) (p < 0.001). There were no differences in the total score between the controls and the group with pre-diabetes. However, examination of individual parameters of the score showed that people with IGT had lower scores compared to the control group, as related to the parameters of "mobility" and "psychological distress". No differences were found in any component of the HRQOL 15D score between the control group and the IFG group, nor between the two groups with pre-diabetes (IFG vs. IGT). CONCLUSIONS: Persons with pre-diabetes had a similar HRQOL score with healthy individuals, and a higher score than persons with diabetes. Specific components of the score, however, were lower in the IGT group compared to the controls. These findings help clarify the issue of HRQOL of persons with pre-diabetes and its possible impact on prevention. PMID- 29843701 TI - Comparison of solvate ionic liquids and DMSO as an in vivo delivery and storage media for small molecular therapeutics. AB - BACKGROUND: Solvate ionic liquids (SILs) are a new class of ionic liquids that are equimolar solutions of lithium bistrifluoromethanesulfonimide in either triglyme or tetraglyme, referred to as G3LiTFSA and G4LiTFSA, respectively. SILs play a role in energy storage lithium batteries, and have been proposed as potential alternatives to traditional organic solvents such as DMSO. G3TFSA and G4TFSA have been shown to exhibit no toxicity in vivo up to 0.5% (v/v), and solubilize small compounds (N,N-diethylaminobenzaldehyde) with full penetrance, similar to DMSO delivered DEAB. Herein, we compare the effects of storage (either at room temperature or - 20 degrees C) on DEAB solubilized in either DMSO, G3TFSA or G4TFSA to investigate compound degradation and efficacy. RESULTS: The findings show that DEAB stored at room temperature (RT) for 4 months solubilized in either G3TFSA, G4TFSA or DMSO displayed no loss of penetrance. The same was observed with stock solutions stored at - 20 degrees C for 4 months; however G4TFSA remained in a liquid state compared to both G3TFSA and DMSO. Moreover, we examined the ability of G3TFSA and G4TFSA to solubilize another small molecular therapeutic, the FGFR antagonist SU5402. G4TFSA, unlike G3TFSA solubilized SU5402 and displayed similar phenotypic characteristics and reduced dlx2a expression as reported and shown with SU5402 in DMSO; albeit more penetrative. CONCLUSION: This study validates the use of these ionic liquids as a potential replacement for DMSO in vivo as organic solubilizing agents. PMID- 29843702 TI - Sustainability in Health care by Allocating Resources Effectively (SHARE) 11: reporting outcomes of an evidence-driven approach to disinvestment in a local healthcare setting. AB - BACKGROUND: This is the final paper in a thematic series reporting a program of Sustainability in Health care by Allocating Resources Effectively (SHARE) in a local healthcare setting. The SHARE Program was established to explore a systematic, integrated, evidence-based organisation-wide approach to disinvestment in a large Australian health service network. This paper summarises the findings, discusses the contribution of the SHARE Program to the body of knowledge and understanding of disinvestment in the local healthcare setting, and considers implications for policy, practice and research. DISCUSSION: The SHARE program was conducted in three phases. Phase One was undertaken to understand concepts and practices related to disinvestment and the implications for a local health service and, based on this information, to identify potential settings and methods for decision-making about disinvestment. The aim of Phase Two was to implement and evaluate the proposed methods to determine which were sustainable, effective and appropriate in a local health service. A review of the current literature incorporating the SHARE findings was conducted in Phase Three to contribute to the understanding of systematic approaches to disinvestment in the local healthcare context. SHARE differed from many other published examples of disinvestment in several ways: by seeking to identify and implement disinvestment opportunities within organisational infrastructure rather than as standalone projects; considering disinvestment in the context of all resource allocation decisions rather than in isolation; including allocation of non-monetary resources as well as financial decisions; and focusing on effective use of limited resources to optimise healthcare outcomes. CONCLUSION: The SHARE findings provide a rich source of new information about local health service decision making, in a level of detail not previously reported, to inform others in similar situations. Multiple innovations related to disinvestment were found to be acceptable and feasible in the local setting. Factors influencing decision making, implementation processes and final outcomes were identified; and methods for further exploration, or avoidance, in attempting disinvestment in this context are proposed based on these findings. The settings, frameworks, models, methods and tools arising from the SHARE findings have potential to enhance health care and patient outcomes. PMID- 29843703 TI - The degree of bother and healthcare seeking behaviour in women with symptoms of pelvic organ prolapse from a developing gulf country. AB - BACKGROUND: The healthcare-seeking behaviour of women with pelvic organ prolapse (POP) is affected by several factors including the cultural background. There is limited number of studies which addressed the healthcare-seeking behaviour in women with POP. The aim of this study was to determine the degree of bother, social impact and healthcare seeking behaviour of symptoms of POP in one of the Gulf countries and compare the results to published data from other areas. METHODS: All women who attended the three family development centres in our city between January 2010 and January 2011 and who had symptoms suggestive of POP were included in the study. The data was collected by well-trained interviewers. RESULTS: One hundred twenty-seven women reported symptoms of POP (mean age: 38.2 years; range: 18-71). Out of these, 111 (87.4%) had at least one activity (physical, social or prayers) or sexual relationship affected by POP symptoms. In 49 women (38%), the effect on at least one of these activities or relationships has been described as moderate and in 18 women (14%), the effect was severe. Sixty-nine women (54%) did not seek medical advice due to: embarrassment to see medical doctors (51%), the belief that POP is normal among women (51%), hope for spontaneous resolution (48%), embarrassment to see male doctors (33%) and unawareness of the existence of medical treatment (30%). On univariate analysis, the need to insert the finger in the vagina to empty the bladder or bowel and the interference of symptoms with physical activities, had significantly determined healthcare seeking attitude (P < 0.05 for all). However, on multivariate analysis interference with physical activities was the only significant determinant (P = 0.04). CONCLUSIONS: Although POP had affected the quality of life in the majority of the affected women, unlike some other societies, more than half failed to seek healthcare advice mainly due to shyness and embarrassment and lack of proper knowledge about the condition. Interference of symptoms with physical activities was the main significant determinants of healthcare-seeking behaviour. Additional teaching campaigns designed according to cultural backgrounds in each society are required to address these sensitive issues. PMID- 29843704 TI - Clinical significance of three-dimensional skeleton-arterial model in the management of delayed reconstruction of acetabular fractures. AB - BACKGROUND: Delayed reconstruction of acetabular fractures remains a challenging task for orthopedists because of malunion, fracture line absorption, and scar formation. Accurate osteotomy, interfragmentary release, and proper adaptation of plates are keys to successful surgery. Prevention of superior gluteal artery (SGA) injury induced by cleaning of the osteotylus and reduction of the sciatic notch is also important. Therefore, sufficient preoperative planning is essential. However, traditional planning methods do not readily provide direct visual and tactile feedback to surgeons. Rapid prototyping (RP) models have provided new opportunities in the preoperative planning of delayed reconstruction of acetabular fractures. We hypothesized that a three-dimensional (3D) skeleton arterial model would improve both preoperative planning in the management of fractures and arteries and intraoperative assistance during delayed reconstruction of complex acetabular fractures. METHODS: Eight patients were enrolled in this study. Data on the skeleton and arteries were obtained from computed tomography and angiography scans and used to produce RP models. Preoperative surgical planning and intraoperative assistance were performed using these models as references. RESULTS: All 3D skeleton-arterial models were extremely accurate. Reduction and fixation were performed programmatically and smoothly, and management of the SGA was reliably executed according to a thorough preoperative plan. The mean surgical time and intraoperative blood loss were 224.4 min and 1250 ml, respectively. Among the eight patients, four underwent anatomic reduction and five had excellent functional outcomes at the final follow up. No significant complications occurred. CONCLUSIONS: This 3D skeleton-arterial model is helpful for orthopedists in preoperative planning and intraoperative assistance. PMID- 29843705 TI - Application of a sub-specialties management model improves quality control in a central sterile supply department. AB - BACKGROUND: The management of medical devices is crucial to safe, high-quality surgical care, but has received little attention in the medical literature. This study explored the effect of a sub-specialties management model in the Central Sterile Supply Department (CSSD). METHODS: A traditional routine management model (control) was applied from September 2015 through April 2016, and a newly developed sub-specialties management model (observation) was applied from July 2016 through February 2017. Health personnel from various clinical departments were randomly selected to participate as the control (n = 86) and observation (n = 90) groups, respectively. The groups were compared for rates of personnel satisfaction, complaints regarding device errors, and damage of medical devices. RESULTS: The satisfaction score of the observation group (95.8 +/- 1.2) was significantly higher than that of the control (90.2 +/- 2.3; P = 0.000). The rate of complaints of the observation group (3.3%) was significantly lower than that of the control (11.6%; P = 0.035). The quality control regarding recycle and packing was significantly higher during the observation period than the control period, which favorably influenced the scores for satisfaction. The rate of damage to specialist medical devices during the observation period (0.40%) was lower than during the control period (0.61%; P = 0.003). The theoretical knowledge and practical skills of the CSSD professionals improved after application of the sub-specialties management model. CONCLUSIONS: A management model that considers the requirements of specialist medical devices can improve quality control in the CSSD. PMID- 29843706 TI - The product of fasting plasma glucose and triglycerides improves risk prediction of type 2 diabetes in middle-aged Koreans. AB - BACKGROUND: Screening for risk of type 2 diabetes mellitus (T2DM) is an important public health issue. Previous studies report that fasting plasma glucose (FPG) and triglyceride (TG)-related indices, such as lipid accumulation product (LAP) and the product of fasting glucose and triglyceride (TyG index), are associated with incident T2DM. We aimed to evaluate whether FPG or TG-related indices can improve the predictive ability of a diabetes risk model for middle-aged Koreans. METHODS: 7708 Koreans aged 40-69 years without diabetes at baseline were eligible from the Korean Genome and Epidemiology Study. The overall cumulative incidence of T2DM was 21.1% (766 cases) in men and 19.6% (797 cases) in women. Therefore, the overall cumulative incidence of T2DM was 20.3% (1563 cases). Multiple logistic regression analysis was conducted to compare the odds ratios (ORs) for incident T2DM for each index. The area under the receiver operating characteristic curve (AROC), continuous net reclassification improvement (cNRI), and integrated discrimination improvement (IDI) were calculated when each measure was added to the basic risk model for diabetes. RESULTS: All the TG-related indices and FPG were more strongly associated with incident T2DM than WC in our study population. The adjusted ORs for the highest quartiles of WC, TG, FPG, LAP, and TyG index compared to the lowest, were 1.64 (95% CI, 1.13-2.38), 2.03 (1.59 2.61), 3.85 (2.99-4.97), 2.47 (1.82-3.34), and 2.79 (2.16-3.60) in men, and 1.17 (0.83-1.65), 2.42 (1.90-3.08), 2.15 (1.71-2.71), 2.44 (1.82-3.26), and 2.85 (2.22 3.66) in women, respectively. The addition of TG-related parameters or FPG, but not WC, to the basic risk model for T2DM (including age, body mass index, family history of diabetes, hypertension, current smoking, current drinking, and regular exercise) significantly increased cNRI, IDI, and AROC in both sexes. CONCLUSIONS: Adding either TyG index or FPG into the basic risk model for T2DM increases its prediction and reclassification ability. Compared to FPG, TyG index was a more robust T2DM predictor in the stratified sex and fasting glucose level. Therefore, TyG index should be considered as a screening tool for identification of people at high risk for T2DM in practice. PMID- 29843707 TI - Collecting sexual assault history and forensic evidence from adult women in the emergency department: a retrospective study. AB - BACKGROUND: The objective of this retrospective study was to examine the discrepancy between information derived from written medical reports and the results of forensic DNA analyses on swabs collected from the victims in 122 cases of alleged sexual assault treated at the Emergency Department of Padua Hospital. The examination of discrepant results has proved useful to support a broader application of sexual assault management, particularly during the taking of case history. METHODS: The Laboratory of Forensic Genetics of Padua University have processed samples from 122 sexual assault cases over a period of 5 years. RESULTS: Of the 103 cases in which the victim reported a penetration and ejaculation, only 67 (55% of all the samples) correlated with positive feedback match from the laboratory. In 36 cases in which the patient reported penetration with ejaculation, no male DNA was found in the samples collected. Therefore, there was a total of 41 cases in which the patient's report were not supported by laboratory data. In the remaining ten cases, which had an ambiguous history, 3 tested positively for the presence of male DNA. CONCLUSIONS: To avoid discrepancies between the medical reporting and reconstruction of sex crimes, it is crucial to deploy strategies which focus not only on the technical aspects of evidence collection, but also on how the victim's story is recorded; such efforts could lead to better management of sexual assault victims, and to a strengthened legal impact of forensic evidence and of crime reconstruction. PMID- 29843708 TI - Hindering the formation and promoting the dispersion of medical biofilms: non lethal effects of seagrass extracts. AB - BACKGROUND: Biofilms have great significance in healthcare-associated infections owing to their inherent tolerance and resistance to antimicrobial therapies. New approaches to prevent and treat unwanted biofilms are urgently required. To this end, three seagrass species (Enhalus acoroides, Halophila ovalis and Halodule pinifolia) collected in Vietnam and in India were investigated for their effects in mediating non-lethal interactions on sessile bacterial (Escherichia coli) and fungal (Candida albicans) cultures. The present study was focused on anti-biofilm activities of seagrass extracts, without killing cells. METHODS: Methanolic extracts were characterized, and major compounds were identified by MS/MS analysis. The antibiofilm properties of the seagrass extracts were tested at sub lethal concentrations by using microtiter plate adhesion assay. The performance of the most promising extract was further investigated in elegant bioreactors to reproduce mature biofilms both at the solid/liquid and the solid/air interfaces. Dispersion and bioluminescent assays were carried out to decipher the mode of action of the bioactive extract. RESULTS: It was shown that up to 100 ppm of crude extracts did not adversely affect microbial growth, nor do they act as a carbon and energy source for the selected microorganisms. Seagrass extracts appear to be more effective in deterring microbial adhesion on hydrophobic surfaces than on hydrophilic. The results revealed that non-lethal concentrations of E. acoroides leaf extract: i) reduce bacterial and fungal coverage by 60.9 and 73.9%, respectively; ii) affect bacterial biofilm maturation and promote dispersion, up to 70%, in fungal biofilm; iii) increase luminescence in Vibrio harveyi by 25.8%. The characterization of methanolic extracts showed the unique profile of the E. acoroides leaf extract. CONCLUSIONS: E. acoroides leaf extract proved to be the most promising extract among those tested. Indeed, the selected non-lethal concentrations of E. acoroides leaf extract were found to exert an antibiofilm effect on C. albicans and E. coli biofilm in the first phase of biofilm genesis, opening up the possibility of developing preventive strategies to hinder the adhesion of microbial cells to surfaces. The leaf extract also affected the dispersion and maturation steps in C. albicans and E. coli respectively, suggesting an important role in cell signaling processes. PMID- 29843709 TI - Genetic diversity of Coxiella burnetii in domestic ruminants in central Italy. AB - BACKGROUND: As the epidemiology of human Q Fever generally reflects the spread of Coxiella burnetii in ruminant livestock, molecular characterization of strains is essential to prevent human outbreaks. In this study we report the genetic diversity of C. burnetii in central Italy accomplished by MST and MLVA-6 on biological samples from 20 goat, sheep and cow farms. RESULTS: Five MST and ten MLVA profiles emerged from the analysis establishing a part of C. burnetii strain world atlas. In particular, ST32 occurred on 12 farms (60%), prevalently in goat specimens, while ST12 (25%) was detected on 4 sheep and 1 goat samples. ST8 and a variant of this genotype were described on 2 different sheep farms, whereas ST55 was observed on a goat farm. Five complete MLVA profiles different from any other published genotypes were described in this study in addition to 15 MLVA incomplete panels. Despite this, polymorphic markers Ms23, Ms24 and Ms33 enabled the identification of samples sharing the same MST profile. CONCLUSIONS: Integration of such data in international databases can be of further help in the attempt of building a global phylogeny and epidemiology of Q fever in animals, with a "One Health" perspective. PMID- 29843710 TI - Gene expression of the liver of vaccination-protected mice in response to early patent infections of Plasmodium chabaudi blood-stage malaria. AB - BACKGROUND: The role of the liver for survival of blood-stage malaria is only poorly understood. In experimental blood-stage malaria with Plasmodium chabaudi, protective vaccination induces healing and, thus, survival of otherwise lethal infections. This model is appropriate to study the role of the liver in vaccination-induced survival of blood-stage malaria. METHODS: Female Balb/c mice were vaccinated with a non-infectious vaccine consisting of plasma membranes isolated in the form of erythrocyte ghosts from P. chabaudi-infected erythrocytes at week 3 and week 1 before infection with P. chabaudi blood-stage malaria. Gene expression microarrays and quantitative real-time PCR were used to investigate the response of the liver, in terms of expression of mRNA and long intergenic non coding (linc)RNA, to vaccination-induced healing infections and lethal P. chabaudi malaria at early patency on day 4 post infection, when parasitized erythrocytes begin to appear in peripheral blood. RESULTS: In vaccination-induced healing infections, 23 genes were identified to be induced in the liver by > tenfold at p < 0.01. More than one-third were genes known to be involved in erythropoiesis, such as Kel, Rhag, Ahsp, Ermap, Slc4a1, Cldn13 Gata1, and Gfi1b. Another group of > tenfold expressed genes include genes involved in natural cytotoxicity, such as those encoding killer cell lectin-like receptors Klrb1a, Klrc3, Klrd1, the natural cytotoxicity-triggering receptor 1 Ncr1, as well as the granzyme B encoding Gzmb. Additionally, a series of genes involved in the control of cell cycle and mitosis were identified: Ccnb1, Cdc25c, Ckap2l were expressed > tenfold only in vaccination-protected mice, and the expression of 22 genes was at least 100% higher in vaccination-protected mice than in non-vaccinated mice. Furthermore, distinct lincRNA species were changed by > threefold in livers of vaccination-protected mice, whereas lethal malaria induced different lincRNAs. CONCLUSION: The present data suggest that protective vaccination accelerates the malaria-induced occurrence of extramedullary erythropoiesis, generation of liver resident cytotoxic cells, and regeneration from malaria-induced injury in the liver at early patency, which may be critical for final survival of otherwise lethal blood-stage malaria of P. chabaudi. PMID- 29843711 TI - Operational assessment of point-of-care diagnostics in rural primary healthcare clinics of KwaZulu-Natal, South Africa: a cross-sectional survey. AB - BACKGROUND: The World Health Organization (WHO) called for new clinical diagnostic for settings with limited access to laboratory services. Access to diagnostic testing may not be uniform in rural settings, which may result in poor access to essential healthcare services. The aim of this study is to determine the availability, current usage, and need for point-of-care (POC) diagnostic tests among rural primary healthcare (PHC) clinics in South Africa's KwaZulu Natal (KZN) province. METHODS: We used the KZN's Department of Health (DoH) clinic classification to identify the 232 rural PHC clinics in KZN, South Africa. We then randomly sampled 100 of 232 rural PHC clinics. Selected health clinics were surveyed between April to August 2015 to obtain clinic-level data for health worker volume and to determine the accessibility, availability, usage and need for POC tests. Professional healthcare workers responsible for POC testing at each clinic were interviewed to assess the awareness of POC testing. Data were survey weighted and analysed using Stata 13. RESULTS: Among 100 rural clinics, the average number of patients seen per week was 2865 +/- 2231 (range 374 11,731). The average number of POC tests available and in use was 6.3 (CI: 6.2 6.5) out of a potential of 51 tests. The following POC tests were universally available in all rural clinics: urine total protein, urine leukocytes, urine nitrate, urine pregnancy, HIV antibody and blood glucose test. The average number of desired POC diagnostic tests reported by the clinical staff was estimated at 15 (CI: 13-17) per clinic. The most requested POC tests reported were serum creatinine (37%), CD4 count (37%), cholesterol (32%), tuberculosis (31%), and HIV viral load (23%). CONCLUSION: Several POC tests are widely available and in use at rural PHC clinics in South Africa's KZN province. However, healthcare workers have requested additional POC tests to improve detection and management of priority disease conditions. TRIAL REGISTRATION: Clinical Trials.gov Identifier: NCT02692274. PMID- 29843712 TI - FGF23C-tail improves diabetic nephropathy by attenuating renal fibrosis and inflammation. AB - BACKGROUND: High level of serum fibroblast growth factor 23 (FGF23) is implicated in the development and progression of diabetic nephropathy (DN), making it a crucial factor in the pathogenesis of DN. FGF23 is also tightly correlated with inflammation in the progression of DN. The aim of this study was to explore whether the C-terminal of FGF23 (FGF23C-tail), an antagonist that can block the FGF23 signaling pathway by competing with intact FGF23, could exhibit a therapeutic effect on DN. RESULTS: Biochemical data and histological examination showed that FGF23 C-tail administration ameliorated the functional and morphological abnormalities of db/db mice with DN without changing the levels of circulating FGF23 and phosphate. Evaluation of morphology and fibrosis by Masson's trichrome staining and IHC staining of fibronectin, PCR, and western blot analysis showed that FGF23C-tail prevents diabetes-induced fibrosis in db/db mice. Importantly, FGF23C-tail decreased the levels of inflammatory cytokines in serum and renal tissues. CONCLUSION: FGF23C-tail may improve diabetic nephropathy by decreasing inflammation and fibrosis in db/db mice, suggesting that blocking of FGF23 action remains an important therapeutic target for the prevention or attenuation of the progression of DN. PMID- 29843713 TI - Development of a high-throughput flexible quantitative suspension array assay for IgG against multiple Plasmodium falciparum antigens. AB - BACKGROUND: Antibody responses to Plasmodium falciparum play a critical role in disease control. Finding reliable IgG biomarkers of protection is complicated by a parasite proteome of over 5000 proteins, some with polymorphisms. Studies of anti-malarial naturally acquired and vaccine immunity would benefit from a standard high-throughput immunoassay to measure multiple antibodies. A multiplex quantitative suspension assay to measure antigen-specific IgGs was developed and its precision (reproducibility and repeatability), dynamic range, limits of detection and quantification, and non-specific binding to different P. falciparum proteins tested. A set of 288 human plasma samples from a malaria-endemic region were analysed twice by two different operators. Another set of samples from 9 malaria-naive and 10 malaria-exposed individuals were repetitively assayed during 22 consecutive days. Positive controls, negative controls, blanks and microspheres coated with bovine serum albumin were included in all assays. RESULTS: The multiplex quantitative suspension assay demonstrated low non specific signal and good estimates of precision and reproducibility between operators. The overall mean of non-specific binding measured in 288 plasma samples was 32.83 to +/- 44.81 median fluorescence intensity (MFI). Repeatability was 7.66% +/- 15.89 between triplicates for all antigens and samples, being lower in samples from malaria-exposed than malaria-naive individuals. No evidence of significantly different variance across days in MFI or arbitrary units (AU)/mL was found, assuming homogeneity of variance between days of analysis. Intra-class correlation coefficient between 22 days of analysis was 0.98 (0.97-0.98) for MFI units and 0.9 (0.87-0.93) for AU/mL. Reproducibility between operators for all samples and antigens had an overall adjusted correlation of 0.929 for MFI and 0.836 for AU/mL. CONCLUSIONS: This high-throughput multiplex immunoassay is simple and highly reproducible. This represents an asset for malaria vaccine studies involving CSP-specific antibodies and selected antigens for sero epidemiological purposes. Measuring a multiplex antigen panel in a single reaction will help to assess not only vaccine immunogenicity but also potential malaria vaccine effects on naturally acquired immune responses. This will accelerate the identification of immune correlates of protection, down-selection of vaccine formulations, antigen discovery and guide second-generation vaccine design. PMID- 29843715 TI - Differences in physical environmental characteristics between adolescents' actual and shortest cycling routes: a study using a Google Street View-based audit. AB - BACKGROUND: The objective evaluation of the physical environmental characteristics (e.g. speed limit, cycling infrastructure) along adolescents' actual cycling routes remains understudied, although it may provide important insights into why adolescents prefer one cycling route over another. The present study aims to gain insight into the physical environmental characteristics determining the route choice of adolescent cyclists by comparing differences in physical environmental characteristics between their actual cycling routes and the shortest possible cycling routes. METHODS: Adolescents (n = 204; 46.5% boys; 14.4 +/- 1.2 years) recruited at secondary schools in and around Ghent (city in Flanders, northern part of Belgium) were instructed to wear a Global Positioning System device in order to identify cycling trips. For all identified cycling trips, the shortest possible route that could have been taken was calculated. Actual cycling routes that were not the shortest possible cycling routes were divided into street segments. Segments were audited with a Google Street View based tool to assess physical environmental characteristics along actual and shortest cycling routes. RESULTS: Out of 160 actual cycling trips, 73.1% did not differ from the shortest possible cycling route. For actual cycling routes that were not the shortest cycling route, a speed limit of 30 km/h, roads having few buildings with windows on the street side and roads without cycle lane were more frequently present compared to the shortest possible cycling routes. A mixed land use, roads with commercial destinations, arterial roads, cycle lanes separated from traffic by white lines, small cycle lanes and cycle lanes covered by lighting were less frequently present along actual cycling routes compared to the shortest possible cycling routes. CONCLUSIONS: Results showed that distance mainly determines the route along which adolescents cycle. In addition, adolescents cycled more along residential streets (even if no cycle lane was present) and less along busy, arterial roads. Local authorities should provide shortcuts free from motorised traffic to meet adolescents' preference to cycle along the shortest route and to avoid cycling along arterial roads. PMID- 29843714 TI - Towards a Dynamic Interaction Network of Life to unify and expand the evolutionary theory. AB - The classic Darwinian theory and the Synthetic evolutionary theory and their linear models, while invaluable to study the origins and evolution of species, are not primarily designed to model the evolution of organisations, typically that of ecosystems, nor that of processes. How could evolutionary theory better explain the evolution of biological complexity and diversity? Inclusive network based analyses of dynamic systems could retrace interactions between (related or unrelated) components. This theoretical shift from a Tree of Life to a Dynamic Interaction Network of Life, which is supported by diverse molecular, cellular, microbiological, organismal, ecological and evolutionary studies, would further unify evolutionary biology. PMID- 29843716 TI - The VEGF and PEDF levels in the follicular fluid of patients co- treated with LETROZOLE and gonadotropins during the stimulation cycle. AB - BACKGROUND: Previous studies have shown that androgens, in addition to serving as precursors for ovarian estrogen synthesis, also have a fundamental role in primate ovarian follicular development by augmentation of FSH receptor expression on granulosa cells. Recent studies have shown that aromatase inhibitor, letrozole, improves ovarian response to FSH in normal and poor responder patients, possibly by increasing intraovarian androgen levels. Studies in mice also showed an effect of letrozole to increase pigment epithelium-derived factor (PEDF) and to lower vascular epithelial growth factor (VEGF), which might be expected to reduce the risk of ovarian hyperstimulation syndrome (OHSS) with stimulation. The aim of this study was to compare the VEGF and PEDF levels in the follicular fluids of normal responders treated with letrozole and gonadotropins during the ovarian stimulation with patients treated with gonadotropins only. METHODS: A single center, prospective clinical trial. We collected follicular fluid from 26 patients, on a GnRH antagonist protocol, dual triggered with hCG and GnRH agonist. The patients in one group were co-treated with letrozole and gonadotropins during the ovarian stimulation and the patients in the other group were treated with gonadotropins only. VEGF, PEDF, estrogen, progesterone and testosterone levels were measured by ELISA kits. RESULTS: The age of the patients, the total dose of gonadotropins and the number of oocytes were comparable between the two groups. In the follicular fluid, the estrogen levels (2209 nmol/l vs. 3280 nmol/l, p = 0.02) were significantly decreased, and the testosterone levels (246.5 nmol/l vs. 40.7 nmol/l, p < 0.001) were significantly increased in the letrozole group compared to the gonadotropin only group. The progesterone levels (21.4 MUmol/l vs. 17.5 p = NS) were comparable between the two groups. The VEGF levels (2992 pg/ml vs. 1812 pg/ml p = 0.02) were significantly increased and the PEDF levels (9.7 ng/ml vs 17.3 ng/ml p < 0.001) were significantly decreased in the letrozole group. CONCLUSIONS: Opposite to observations in the mouse, we found that VEGF levels were increased and PEDF levels were decreased in the follicular fluid in patients treated with letrozole during the stimulation cycles. Further investigation is required to determine if patients treated with letrozole during the IVF stimulation protocol are at increased risk for developing OHSS as a result of these findings. PMID- 29843717 TI - Monitoring health systems readiness and inpatient malaria case-management at Kenyan county hospitals. AB - BACKGROUND: Change of severe malaria treatment policy from quinine to artesunate, a major malaria control advance in Africa, is compromised by scarce data to monitor policy translation into practice. In Kenya, hospital surveys were implemented to monitor health systems readiness and inpatient malaria case management. METHODS: All 47 county referral hospitals were surveyed in February and October 2016. Data collection included hospital assessments, interviews with inpatient health workers and retrospective review of patients' admission files. Analysis included 185 and 182 health workers, and 1162 and 1224 patients admitted with suspected malaria, respectively, in all 47 hospitals. Cluster-adjusted comparisons of the performance indicators with exploratory stratifications were performed. RESULTS: Malaria microscopy was universal during both surveys. Artesunate availability increased (63.8-85.1%), while retrospective stock-outs declined (46.8-19.2%). No significant changes were observed in the coverage of artesunate trained (42.2% vs 40.7%) and supervised health workers (8.7% vs 12.8%). The knowledge about treatment policy improved (73.5-85.7%; p = 0.002) while correct artesunate dosing knowledge increased for patients < 20 kg (42.7 64.6%; p < 0.001) and > 20 kg (70.3-80.8%; p = 0.052). Most patients were tested on admission (88.6% vs 92.1%; p = 0.080) while repeated malaria testing was low (5.2% vs 8.1%; p = 0.034). Artesunate treatment for confirmed severe malaria patients significantly increased (69.9-78.7%; p = 0.030). No changes were observed in artemether-lumefantrine treatment for non-severe test positive patients (8.0% vs 8.8%; p = 0.796). Among test negative patients, increased adherence to test results was observed for non-severe (68.6-78.0%; p = 0.063) but not for severe patients (59.1-62.1%; p = 0.673). Overall quality of malaria case management improved (48.6-56.3%; p = 0.004), both for children (54.1-61.5%; p = 0.019) and adults (43.0-51.0%; p = 0.041), and in both high (51.1-58.1%; p = 0.024) and low malaria risk areas (47.5-56.0%; p = 0.029). CONCLUSION: Most health systems and malaria case-management indicators improved during 2016. Gaps, often specific to different inpatient populations and risk areas, however remain and further programmatic interventions including close monitoring is needed to optimize policy translation. PMID- 29843718 TI - Keys to the avian malaria parasites. AB - BACKGROUND: Malaria parasites (genus Plasmodium) are widespread in birds. These pathogens cause pathology of blood and various organs, often resulting in severe avian malaria. Numerous recent studies have reported DNA sequences of avian malaria parasites, indicating rich genetic diversity and the possible existence of many undescribed species. However, the majority of reported Plasmodium lineages remain unidentified to species level, and molecular characterization is unavailable for the majority of described Plasmodium parasites. During the past 15 years, numerous new Plasmodium species have been described. However, keys for their identification are unavailable or incomplete. Identification of avian malaria parasites remains a difficult task even for experts, and this precludes development of avian malariology, particularly in wildlife. Here, keys for avian malaria parasites have been developed as a baseline for assisting academic and veterinary medicine researchers in identification of these pathogens. The main obstacles and future research priorities have been defined in the taxonomy of avian Plasmodium species. METHODS: The data were considered from published articles and type and voucher material, which was accessed in museums in Europe, the USA and Australia. Blood films containing various blood stages of the majority of described species were examined and used for the development of dichotomous keys for avian Plasmodium species. RESULTS: In all, 164 published articles were included in this review. Blood stages of avian Plasmodium parasites belonging to subgenera Haemamoeba, Giovannolaia, Novyella, Bennettinia and Huffia were analysed and compared. Illustrated keys for identification of subgenera and species of these parasites were developed. Lists of invalid and synonymous Plasmodium parasite names as well as names of doubtful identity were composed. CONCLUSION: This study shows that 55 described species of avian Plasmodium can be readily identified using morphological features of their blood stages. These were incorporated in the keys. Numerous synonymous names of Plasmodium species and also the names belonging to the category species inquirenda exist, and they can be used as reserves for future taxonomy studies. Molecular markers are unavailable for 58% of described Plasmodium parasites, raising a task for the current avian malaria researchers to fill up this gap. PMID- 29843719 TI - The Ramazzini Institute 13-week study on glyphosate-based herbicides at human equivalent dose in Sprague Dawley rats: study design and first in-life endpoints evaluation. AB - BACKGROUND: Glyphosate-based herbicides (GBHs) are the most widely used pesticides worldwide, and glyphosate is the active ingredient of such herbicides, including the formulation known as Roundup. The massive and increasing use of GBHs results in not only the global burden of occupational exposures, but also increased exposure to the general population. The current pilot study represents the first phase of a long-term investigation of GBHs that we are conducting over the next 5 years. In this paper, we present the study design, the first evaluation of in vivo parameters and the determination of glyphosate and its major metabolite aminomethylphosphonic acid (AMPA) in urine. METHODS: We exposed Sprague-Dawley (SD) rats orally via drinking water to a dose of glyphosate equivalent to the United States Acceptable Daily Intake (US ADI) of 1.75 mg/kg bw/day, defined as the chronic Reference Dose (cRfD) determined by the US EPA, starting from prenatal life, i.e. gestational day (GD) 6 of their mothers. One cohort was continuously dosed until sexual maturity (6-week cohort) and another cohort was continuously dosed until adulthood (13-week cohort). Here we present data on general toxicity and urinary concentrations of glyphosate and its major metabolite AMPA. RESULTS: Survival, body weight, food and water consumption of the animals were not affected by the treatment with either glyphosate or Roundup. The concentration of both glyphosate and AMPA detected in the urine of SD rats treated with glyphosate were comparable to that observed in animals treated with Roundup, with an increase in relation to the duration of treatment. The majority of glyphosate was excreted unchanged. Urinary levels of the parent compound, glyphosate, were around 100-fold higher than the level of its metabolite, AMPA. CONCLUSIONS: Glyphosate concentrations in urine showed that most part of the administered dose was excreted as unchanged parent compound upon glyphosate and Roundup exposure, with an increasing pattern of glyphosate excreted in urine in relation to the duration of treatment. The adjuvants and the other substances present in Roundup did not seem to exert a major effect on the absorption and excretion of glyphosate. Our results demonstrate that urinary glyphosate is a more relevant marker of exposure than AMPA in the rodent model. PMID- 29843720 TI - Soluble epoxide hydrolase inhibitors, t-AUCB, downregulated miR-133 in a mouse model of myocardial infarction. AB - BACKGROUND: It has been demonstrated that soluble epoxide hydrolase inhibitors (sEHIs) are protective against ischemia-induced lethal arrhythmias, but the mechanisms involved are unknown. Previously, we showed that sEHIs might reduce the incidence of ischemic arrhythmias by suppressing microRNA-1 (miR-1) in the myocardium. As miR-1 and miR-133 have the same proarrhythmic effects in the heart, we assumed that the beneficial effects of sEHIs might also relate to the regulation of miR-133. METHODS: A mouse model of myocardial infarction (MI) was established by ligating the coronary artery. The sEHI t-AUCB (trans-4-[4-(3 adamantan-1-yl-ureido)-cyclohexyloxy]-benzoic acid) was administered daily for 7 days before MI. Myocardial infarct size and cardiac function was assessed at 24 h post-MI. The miRNA expression profiles of sham and MI mice treated with or without t-AUCB were determined by microarray and verified by real-time PCR. The incidence of arrhythmias was assessed by in vivo electrophysiologic studies. The mRNA levels of miR-133, its target genes (KCNQ1 [potassium voltage-gated channel subfamily Q member 1] and KCNH2 [potassium voltage-gated channel subfamily H member 2]), and serum response factor (SRF) were measured by real-time PCR; KCNQ1, KCNH2, and SRF protein levels were assessed by western blotting. RESULTS: We demonstrated that the treatment with sEHIs could reduce infarct size, improve cardia function, and prevent the development of cardiac arrhythmias in MI mice. The expression levels of 14 miRNAs differed between the sham and MI groups. t AUCB treatment altered the expression of eight miRNAs: two were upregulated and six were downregulated. Of these, the muscle-specific miR-133 was downregulated in the ischemic myocardium. In line with this, up-regulation of miR-133 and down regulation of KCNQ1 and KCNH2 mRNA/protein were observed in ischemic myocaridum, whereas administration of sEHIs produced an opposite effect. In addition, miR-133 overexpression inhibited expression of the target mRNA, whereas t-AUCB reversed the effects. Furthermore, SRF might participate in the negative regulation of miR 133 by t-AUCB. CONCLUSIONS: In MI mice, sEHI t-AUCB can repress miR-133, consequently stimulating KCNQ1 and KCNH2 mRNA and protein expression, suggesting a possible mechanism for its potential therapeutic application in ischemic arrhythmias. PMID- 29843721 TI - Comparison of visual and automated Deki Reader interpretation of malaria rapid diagnostic tests in rural Tanzanian military health facilities. AB - BACKGROUND: Although microscopy is a standard diagnostic tool for malaria and the gold standard, it is infrequently used because of unavailability of laboratory facilities and the absence of skilled readers in poor resource settings. Malaria rapid diagnostic tests (RDT) are currently used instead of or as an adjunct to microscopy. However, at very low parasitaemia (usually < 100 asexual parasites/ul), the test line on malaria rapid diagnostic tests can be faint and consequently hard to visualize and this may potentially affect the interpretation of the test results. Fio Corporation (Canada), developed an automated RDT reader named Deki ReaderTM for automatic analysis and interpretation of rapid diagnostic tests. This study aimed to compare visual assessment and automated Deki Reader evaluations to interpret malaria rapid diagnostic tests against microscopy. Unlike in the previous studies where expert laboratory technicians interpreted the test results visually and operated the device, in this study low cadre health care workers who have not attended any formal professional training in laboratory sciences were employed. METHODS: Finger prick blood from 1293 outpatients with fever was tested for malaria using RDT and Giemsa-stained microscopy for thick and thin blood smears. Blood samples for RDTs were processed according to manufacturers' instructions automated in the Deki Reader. Results of malaria diagnoses were compared between visual and the automated devise reading of RDT and microscopy. RESULTS: The sensitivity of malaria rapid diagnostic test results interpreted by the Deki Reader was 94.1% and that of visual interpretation was 93.9%. The specificity of malaria rapid diagnostic test results was 71.8% and that of human interpretation was 72.0%. The positive predictive value of malaria RDT results by the Deki Reader and visual interpretation was 75.8 and 75.4%, respectively, while the negative predictive values were 92.8 and 92.4%, respectively. The accuracy of RDT as interpreted by DR and visually was 82.6 and 82.1%, respectively. CONCLUSION: There was no significant difference in performance of RDTs interpreted by either automated DR or visually by unskilled health workers. However, despite the similarities in performance parameters, the device has proven useful because it provides stepwise guidance on processing RDT, data transfer and reporting. PMID- 29843722 TI - Light sheet theta microscopy for rapid high-resolution imaging of large biological samples. AB - BACKGROUND: Advances in tissue clearing and molecular labeling methods are enabling unprecedented optical access to large intact biological systems. These developments fuel the need for high-speed microscopy approaches to image large samples quantitatively and at high resolution. While light sheet microscopy (LSM), with its high planar imaging speed and low photo-bleaching, can be effective, scaling up to larger imaging volumes has been hindered by the use of orthogonal light sheet illumination. RESULTS: To address this fundamental limitation, we have developed light sheet theta microscopy (LSTM), which uniformly illuminates samples from the same side as the detection objective, thereby eliminating limits on lateral dimensions without sacrificing the imaging resolution, depth, and speed. We present a detailed characterization of LSTM, and demonstrate its complementary advantages over LSM for rapid high-resolution quantitative imaging of large intact samples with high uniform quality. CONCLUSIONS: The reported LSTM approach is a significant step for the rapid high resolution quantitative mapping of the structure and function of very large biological systems, such as a clarified thick coronal slab of human brain and uniformly expanded tissues, and also for rapid volumetric calcium imaging of highly motile animals, such as Hydra, undergoing non-isomorphic body shape changes. PMID- 29843723 TI - Measuring outcomes of community aged care programs: challenges, opportunities and the Australian Community Outcomes Measurement ACCOM tool. AB - Measuring health and wellbeing outcomes of community aged care programs is a complex task given the diverse settings in which care takes place and the intersection of numerous factors affecting an individual's quality of life outcomes. Knowledge of a strong causal relationship between services provided and the final outcome enables confidence in assuming the care provided was largely responsible for the outcome achieved (Courtney et al., Aust J Adv Nurs 26:49-57, 2009). The Department of Health has recently reported on the findings of The National Aged Care Quality Indicator Program - Home Care Pilot (KPMG, National Aged Care Quality Indicator Program - Home Care Pilot, 2017). The Program sought to test various tools to measure quality of life outcomes of their community aged care programs. Some of the key issues raised in the study reiterate the findings from The Australian Community Care Outcome Measurement (ACCOM) pilot study (Cardona et al., Australas J Ageing 36: 69-71, 2017), including the value of the ASCOT SCT4 tool (Adult Social care Outcomes Toolkit, http://www.pssru.ac.uk/ascot/downloads/questionnaires/sct4.pdf ) to measure social care related quality of life (SCRQoL) in community aged care programs in the Australian context, the collection of additional data to map the relationship of various variables such as functional ability, demographic characteristics and quality of life scores and the governance and administration of measurement tools for the purpose of quality reporting and consumer choice. PMID- 29843724 TI - Therapeutic effects of adipose-tissue-derived mesenchymal stromal cells and their extracellular vesicles in experimental silicosis. AB - BACKGROUND: Silicosis is an occupational disease that affects workers who inhale silica particles, leading to extensive lung fibrosis and ultimately causing respiratory failure. Mesenchymal stromal cells (MSCs) have been shown to exert therapeutic effects in lung diseases and represent an alternative treatment for silicosis. Recently, it has been suggested that similar effects can be achieved by the therapeutic use of extracellular vesicles (EVs) obtained from MSCs. The aim of this study was to investigate the effects of adipose-tissue-derived MSCs (AD-MSCs) or their EVs in a model of silicosis. METHODS: Silicosis was induced by intratracheal instillation of silica in C57BL/6 mice. After the onset of disease, animals received saline, AD-MSCs, or EVs, intratracheally. RESULTS: At day 30, AD MSCs and EVs led to a reduction in collagen fiber content, size of granuloma, and in the number of macrophages inside granuloma and in the alveolar septa. In addition, the expression levels of interleukin 1beta and transforming growth factor beta in the lungs were decreased. Higher dose of EVs also reduced lung static elastance when compared with the untreated silicosis group. CONCLUSIONS: Both AD-MSCs and EVs, locally delivered, ameliorated fibrosis and inflammation, but dose-enhanced EVs yielded better therapeutic outcomes in this model of silicosis. PMID- 29843725 TI - The Ramazzini Institute 13-week pilot study on glyphosate and Roundup administered at human-equivalent dose to Sprague Dawley rats: effects on the microbiome. AB - BACKGROUND: Glyphosate-based herbicides (GBHs) are broad-spectrum herbicides that act on the shikimate pathway in bacteria, fungi, and plants. The possible effects of GBHs on human health are the subject of an intense public debate for both its potential carcinogenic and non-carcinogenic effects, including its effects on microbiome. The present pilot study examines whether exposure to GBHs at doses of glyphosate considered to be "safe" (the US Acceptable Daily Intake - ADI - of 1.75 mg/kg bw/day), starting from in utero, may modify the composition of gut microbiome in Sprague Dawley (SD) rats. METHODS: Glyphosate alone and Roundup, a commercial brand of GBHs, were administered in drinking water at doses comparable to the US glyphosate ADI (1.75 mg/kg bw/day) to F0 dams starting from the gestational day (GD) 6 up to postnatal day (PND) 125. Animal feces were collected at multiple time points from both F0 dams and F1 pups. The gut microbiota of 433 fecal samples were profiled at V3-V4 region of 16S ribosomal RNA gene and further taxonomically assigned and assessed for diversity analysis. We tested the effect of exposure on overall microbiome diversity using PERMANOVA and on individual taxa by LEfSe analysis. RESULTS: Microbiome profiling revealed that low-dose exposure to Roundup and glyphosate resulted in significant and distinctive changes in overall bacterial composition in F1 pups only. Specifically, at PND31, corresponding to pre-pubertal age in humans, relative abundance for Bacteriodetes (Prevotella) was increased while the Firmicutes (Lactobacillus) was reduced in both Roundup and glyphosate exposed F1 pups compared to controls. CONCLUSIONS: This study provides initial evidence that exposures to commonly used GBHs, at doses considered safe, are capable of modifying the gut microbiota in early development, particularly before the onset of puberty. These findings warrant future studies on potential health effects of GBHs in early development such as childhood. PMID- 29843726 TI - Predicting health-related quality of life (EQ-5D-5 L) and capability wellbeing (ICECAP-A) in the context of opiate dependence using routine clinical outcome measures: CORE-OM, LDQ and TOP. AB - BACKGROUND: Economic evaluation normally requires information to be collected on outcome improvement using utility values. This is often not collected during the treatment of substance use disorders making cost-effectiveness evaluations of therapy difficult. One potential solution is the use of mapping to generate utility values from clinical measures. This study develops and evaluates mapping algorithms that could be used to predict the EuroQol-5D (EQ-5D-5 L) and the ICEpop CAPability measure for Adults (ICECAP-A) from the three commonly used clinical measures; the CORE-OM, the LDQ and the TOP measures. METHODS: Models were estimated using pilot trial data of heroin users in opiate substitution treatment. In the trial the EQ-5D-5 L, ICECAP-A, CORE-OM, LDQ and TOP were administered at baseline, three and twelve month time intervals. Mapping was conducted using estimation and validation datasets. The normal estimation dataset, which comprised of baseline sample data, used ordinary least squares (OLS) and tobit regression methods. Data from the baseline and three month time periods were combined to create a pooled estimation dataset. Cluster and mixed regression methods were used to map from this dataset. Predictive accuracy of the models was assessed using the root mean square error (RMSE) and the mean absolute error (MAE). Algorithms were validated using sample data from the follow-up time periods. RESULTS: Mapping algorithms can be used to predict the ICECAP-A and the EQ-5D-5 L in the context of opiate dependence. Although both measures can be predicted, the ICECAP-A was better predicted by the clinical measures. There were no advantages of pooling the data. There were 6 chosen mapping algorithms, which had MAE scores ranging from 0.100 to 0.138 and RMSE scores ranging from 0.134 to 0.178. CONCLUSION: It is possible to predict the scores of the ICECAP-A and the EQ-5D-5 L with the use of mapping. In the context of opiate dependence, these algorithms provide the possibility of generating utility values from clinical measures and thus enabling economic evaluation of alternative therapy options. TRIAL REGISTRATION: ISRCTN22608399 . Date of registration: 27/04/2012. Date of first randomisation: 14/08/2012. PMID- 29843727 TI - Preferred and actual retirement age of oral and maxillofacial surgeons aged 55 and older in the Netherlands: a longitudinal study from 2003 to 2016. AB - BACKGROUND: In workforce planning for oral and maxillofacial surgeons in the Netherlands, it is important to plan timely, as these dental specialists are required to earn both medical and dental degrees. An important factor to take into account in workforce planning is the outflow of the profession through retirement. In the workforce planning in the Netherlands, it was assumed that retirement plans are a predictor for the actual moment of retirement. The purpose of this study was to investigate this assumption. METHODS: A standardised survey to investigate the work activity and retirement plans of oral and maxillofacial surgeons was conducted seven times between 2003 and 2016. With some minor variations, in every edition, all oral and maxillofacial surgeons aged 55 years and older who did not indicate to be retired in an earlier edition were invited to participate. The data of all seven editions was analysed to investigate what factors influence the actual retirement age. For the analyses of the data, ANOVA and linear regression were employed. RESULTS: The response rate was at least 80% in all editions. For all editions combined, 185 surgeons were invited one or more times, of whom 170 responded at least once. Between 2003 and 2016, the mean preferred retirement age increased from 63.7 to 66.7. Two thirds of the respondents who participated in more than one edition had revised their preferred retirement age upwards. Regarding the difference between preferred and actual retirement age, 45% of the oral and maxillofacial surgeons retired at a higher age than originally preferred and another 14% was still working at the age the originally preferred to retire. Linear regression shows that preferred retirement age is associated with sex and the number of working hours and that actual retirement age is associated with preferred retirement age, earlier preference to decrease working hours and working in non-academic hospitals. CONCLUSION: Altogether, it seems that in this group the preferred retirement age has some predictive value, but the oral and maxillofacial surgeons tend to retire at a higher age than they originally preferred to. PMID- 29843728 TI - A home monitoring program including real-time wireless home spirometry in idiopathic pulmonary fibrosis: a pilot study on experiences and barriers. AB - In idiopathic pulmonary fibrosis (IPF), home monitoring experiences are limited, not yet real-time available nor implemented in daily care. We evaluated feasibility and potential barriers of a new home monitoring program with real time wireless home spirometry in IPF. Ten patients with IPF were asked to test this home monitoring program, including daily home spirometry, for four weeks. Measurements of home and hospital spirometry showed good agreement. All patients considered real-time wireless spirometry useful and highly feasible. Both patients and researchers suggested relatively easy solutions for the identified potential barriers regarding real-time home monitoring in IPF. PMID- 29843729 TI - The need for independent research on the health effects of glyphosate-based herbicides. AB - BACKGROUND: Glyphosate, formulated as Roundup, is the world's most widely used herbicide. Glyphosate is used extensively on genetically modified (GM) food crops designed to tolerate the herbicide, and global use is increasing rapidly. Two recent reviews of glyphosate's health hazards report conflicting results. An independent review by the International Agency for Research on Cancer (IARC) found that glyphosate is a "probable human carcinogen". A review by the European Food Safety Agency (EFSA) found no evidence of carcinogenic hazard. These differing findings have produced regulatory uncertainty. REGULATORY ACTIONS: Reflecting this regulatory uncertainty, the European Commission on November 27 2017, extended authorization for glyphosate for another 5 years, while the European Parliament opposed this decision and issued a call that pesticide approvals be based on peer-reviewed studies by independent scientists rather than on the current system that relies on proprietary industry studies. RAMAZZINI INSTITUTE RESPONSE: The Ramazzini Institute has initiated a pilot study of glyphosate's health hazards that will be followed by an integrated experimental research project. This evaluation will be independent of industry support and entirely sponsored by worldwide crowdfunding. The aim of the Ramazzini Institute project is to explore comprehensively the effects of exposures to glyphosate based herbicides at current real-world levels on several toxicological endpoints, including carcinogenicity, long-term toxicity, neurotoxicity, endocrine disrupting effects, prenatal developmental toxicity, the microbiome and multi generational effects. PMID- 29843730 TI - The effect of inlet and outlet boundary conditions in image-based CFD modeling of aortic flow. AB - BACKGROUND: Computational modeling of cardiovascular flow is a growing and useful field, but such simulations usually require the researcher to guess the flow's inlet and outlet conditions since they are difficult and expensive to measure. It is critical to determine the amount of uncertainty introduced by these assumptions in order to evaluate the degree to which cardiovascular flow simulations are accurate. Our work begins to address this question by examining the sensitivity of flow to several different assumed velocity inlet and outlet conditions in a patient-specific aorta model. METHODS: We examined the differences between plug flow, parabolic flow, linear shear flows, skewed cubic flow profiles, and Womersley flow at the inlet. Only the shape of the inlet velocity profile was varied-all other parameters were identical among these simulations. Secondary flow in the form of a counter-rotating pair of vortices was also added to parabolic axial flow to study its effect on the solution. In addition, we examined the differences between two-element Windkessel, three element Windkessel and the outflow boundary conditions. In these simulations, only the outlet boundary condition was varied. RESULTS: The results show axial and in-plane velocities are considerably different close to the inlet for the cases with different inlet velocity profile shapes. However, the solutions are qualitatively similar beyond 1.75D, where D is the inlet diameter. This trend is also observed in other quantities such as pressure and wall shear stress. Normalized root-mean-square deviation, a measure of axial velocity magnitude differences between the different cases, generally decreases along the streamwise coordinate. The linear shear inlet velocity boundary condition and plug velocity boundary condition solution exhibit the highest time-averaged wall shear stress, approximately [Formula: see text] higher than the parabolic inlet velocity boundary condition. Upstream of 1D from the inlet, adding secondary flow has a significant impact on temporal wall shear stress distributions. This is especially observable during diastole, when integrated wall shear stress magnitude varies about [Formula: see text] between simulations with and without secondary flow. The results from the outlet boundary condition study show the Windkessel models differ from the outflow boundary condition by as much as [Formula: see text] in terms of time-averaged wall shear stress. Furthermore, normalized root-mean-square deviation of axial velocity magnitude, a measure of deviation between Windkessel and the outflow boundary condition, increases along the streamwise coordinate indicating larger variations near outlets. CONCLUSION: It was found that the selection of inlet velocity conditions significantly affects only the flow region close to the inlet of the aorta. Beyond two diameters distal to the inlet, differences in flow solution are small. Although additional studies must be performed to verify this result, the data suggest that it is important to use patient-specific inlet conditions primarily if the researcher is concerned with the details of the flow very close to the inlet. Similarly, the selection of outlet conditions significantly affects the flow in the vicinity of the outlets. Upstream of five diameters proximal to the outlet, deviations between the outlet boundary conditions examined are insignificant. Although the inlet and outlet conditions only affect the flow significantly in their respective neighborhoods, our study indicates that outlet conditions influence a larger percentage of the solution domain. PMID- 29843731 TI - Tyrphostin AG17 inhibits adipocyte differentiation in vivo and in vitro. AB - BACKGROUND: Excessive subcutaneous adiposity in obesity is associated to positive white adipocyte tissue (WAT) differentiation (adipogenesis) and WAT expandability. Here, we hypothesized that supplementation with the insulin inhibitor and mitochondrial uncoupler, Tyrphostin (T-AG17), in vitro and in vivo inhibits adipogenesis and adipocyte hypertrophy. METHODS: We used a 3T3-L1 proadipocyte cell line to identify the potential effect of T-AG17 on adipocyte differentiation and fat accumulation in vitro. We evaluated the safety of T-AG17 and its effects on physiological and molecular metabolic parameters including hormonal profile, glucose levels, adipogenesis and adipocyte hypertrophy in a diet-induced obesity model using C57BL/6 mice. RESULTS: We found that T-AG17 is effective in preventing adipogenesis and lipid synthesis in the 3T3-L1 cell line, as evidenced by a significant decrease in oil red staining (p < 0.05). In obese C57BL/6 mice, oral administration of T-AG17 (0.175 mg/kg for 2 weeks) lead to decreased fat accumulation and WAT hypertrophy. Further, T-AG17 induced adipocyte apoptosis by activating caspase-3. In the hepatocytes of obese mice, T-AG17 promoted an increase in the size of lipid inclusions, which was accompanied by glycogen accumulation. T-AG17 did not alter serum biochemistry, including glucose, insulin, leptin, free fatty acids, creatinine, and aspartate aminotransferase. CONCLUSION: T-AG17 promotes adipocyte apoptosis in vivo and is an effective modulator of adipocyte differentiation and WAT hypertrophy in vitro and in vivo. Therefore, T-AG17 may be useful as a pharmacological obesity treatment. PMID- 29843732 TI - Measuring the efficiency of Palestinian public hospitals during 2010-2015: an application of a two-stage DEA method. AB - BACKGROUND: While health needs and expenditure in the Occupied Palestinian Territories (OPT) are growing, the international donations are declining and the economic situation is worsening. The purpose of this paper is twofold, to evaluate the productive efficiency of public hospitals in West Bank and to study contextual factors contributing to efficiency differences. METHODS: This study examined technical efficiency among 11 public hospitals in West Bank from 2010 through 2015 targeting a total of 66 observations. Nationally representative data were extracted from the official annual health reports. We applied input-oriented Data Envelopment Analysis (DEA) models to estimate efficiency scores. To elaborate further on performance, we used Tobit regression to identify contextual factors whose impact on inefficient performance is statistically significant. RESULTS: Despite the increase in efficiency mean scores by 4% from 2010 to 2015, findings show potential savings of 14.5% of resource consumption without reducing the volume of the provided services. The significant Tobit model showed four predictors explaining the inefficient performance of a hospital (p < 0.01) are: bed occupancy rate (BOR); the outpatient-inpatient ratio (OPIPR); hospital's size (SIZE); and the availability of primary healthcare centers within the hospital's catchment area (PRC). There is a strong effect of OPIPR on efficiency differences between hospitals: A one unit increase in OPIPR will lead a decrease of 19.7% in the predicted inefficiency level holding all other factors constant. CONCLUSION: To date, no previous studies have examined the efficiency of public hospitals in the OPT. Our work identified their efficiency levels for potential improvements and the determinants of efficient performance. Based on the measurement of efficiency, the generated information may guide hospitals' managers, policymakers, and international donors improving the performance of the main national healthcare provider. The scope of this study is limited to public hospitals in West Bank. For a better understanding of the Palestinian market, further research on private hospitals and hospitals in Gaza Strip will be useful. PMID- 29843733 TI - Development of pooled testing system for porcine epidemic diarrhoea using real time fluorescent reverse-transcription loop-mediated isothermal amplification assay. AB - BACKGROUND: Porcine epidemic diarrhoea (PED) is an emerging disease in pigs that causes massive economic losses in the swine industry, with high mortality in suckling piglets. Early identification of PED virus (PEDV)-infected herd through surveillance or monitoring strategies is necessary for mass control of PED. However, a common working diagnosis system involves identifying PEDV-infected animals individually, which is a costly and time-consuming approach. Given the above information, the thrusts of this study were to develop a real-time fluorescent reverse transcription loop-mediated isothermal amplification (RtF-RT LAMP) assay and establish a pooled testing system using faecal sample to identify PEDV-infected herd. RESULTS: In this study, we developed an accurate, rapid, cost effective, and simple RtF- RT-LAMP assay for detecting the PEDV genome targeting M gene. The pooled testing system using the RtF-RT-LAMP assay was optimized such that a pool of at least 15 individual faecal samples could be analysed. CONCLUSIONS: The developed RtF-RT-LAMP assay in our study could support the design and implementation of large-scaled epidemiological surveys as well as active surveillance and monitoring programs for effective control of PED. PMID- 29843734 TI - An innovative diagnostic technology for the codon mutation C580Y in kelch13 of Plasmodium falciparum with MinION nanopore sequencer. AB - BACKGROUND: The recent spread of artemisinin (ART)-resistant Plasmodium falciparum represents an emerging global threat to public health. In Southeast Asia, the C580Y mutation of kelch13 (k13) is the dominant mutation of ART resistant P. falciparum. Therefore, a simple method for the detection of C580Y mutation is urgently needed to enable widespread routine surveillance in the field. The aim of this study is to develop a new diagnostic procedure for the C580Y mutation using loop-mediated isothermal amplification (LAMP) combined with the MinION nanopore sequencer. RESULTS: A LAMP assay for the k13 gene of P. falciparum to detect the C580Y mutation was successfully developed. The detection limit of this procedure was 10 copies of the reference plasmid harboring the k13 gene within 60 min. Thereafter, amplicon sequencing of the LAMP products using the MinION nanopore sequencer was performed to clarify the nucleotide sequences of the gene. The C580Y mutation was identified based on the sequence data collected from MinION reads 30 min after the start of sequencing. Further, clinical evaluation of the LAMP assay in 34 human blood samples collected from patients with P. falciparum malaria in Indonesia revealed a positive detection rate of 100%. All LAMP amplicons of up to 12 specimens were simultaneously sequenced using MinION. The results of sequencing were consistent with those of the conventional PCR and Sanger sequencing protocol. All procedures from DNA extraction to variant calling were completed within 3 h. The C580Y mutation was not found among these 34 P. falciparum isolates in Indonesia. CONCLUSIONS: An innovative method combining LAMP and MinION will enable simple, rapid, and high sensitivity detection of the C580Y mutation of P. falciparum, even in resource limited situations in developing countries. PMID- 29843736 TI - Automatic liver segmentation in computed tomography using general-purpose shape modeling methods. AB - BACKGROUND: Liver segmentation in computed tomography is required in many clinical applications. The segmentation methods used can be classified according to a number of criteria. One important criterion for method selection is the shape representation of the segmented organ. The aim of the work is automatic liver segmentation using general purpose shape modeling methods. METHODS: As part of the research, methods based on shape information at various levels of advancement were used. The single atlas based segmentation method was used as the simplest shape-based method. This method is derived from a single atlas using the deformable free-form deformation of the control point curves. Subsequently, the classic and modified Active Shape Model (ASM) was used, using medium body shape models. As the most advanced and main method generalized statistical shape models, Gaussian Process Morphable Models was used, which are based on multi dimensional Gaussian distributions of the shape deformation field. RESULTS: Mutual information and sum os square distance were used as similarity measures. The poorest results were obtained for the single atlas method. For the ASM method in 10 analyzed cases for seven test images, the Dice coefficient was above 55[Formula: see text], of which for three of them the coefficient was over 70[Formula: see text], which placed the method in second place. The best results were obtained for the method of generalized statistical distribution of the deformation field. The DICE coefficient for this method was 88.5[Formula: see text] CONCLUSIONS: This value of 88.5 [Formula: see text] Dice coefficient can be explained by the use of general-purpose shape modeling methods with a large variance of the shape of the modeled object-the liver and limitations on the size of our training data set, which was limited to 10 cases. The obtained results in presented fully automatic method are comparable with dedicated methods for liver segmentation. In addition, the deforamtion features of the model can be modeled mathematically by using various kernel functions, which allows to segment the liver on a comparable level using a smaller learning set. PMID- 29843735 TI - Collaborative and partnership research for improvement of health and social services: researcher's experiences from 20 projects. AB - BACKGROUND: Getting research into policy and practice in healthcare is a recognised, world-wide concern. As an attempt to bridge the gap between research and practice, research funders are requesting more interdisciplinary and collaborative research, while actual experiences of such processes have been less studied. Accordingly, the purpose of this study was to gain more knowledge on the interdisciplinary, collaborative and partnership research process by investigating researchers' experiences of and approaches to the process, based on their participation in an inventive national research programme. The programme aimed to boost collaborative and partnership research and build learning structures, while improving ways to lead, manage and develop practices in Swedish health and social services. METHODS: Interviews conducted with project leaders and/or lead researchers and documentation from 20 projects were analysed using directed and conventional content analysis. RESULTS: Collaborative approaches were achieved by design, e.g. action research, or by involving practitioners from several levels of the healthcare system in various parts of the research process. The use of dual roles as researcher/clinician or practitioner/PhD student or the use of education designed especially for practitioners or 'student researchers' were other approaches. The collaborative process constituted the area for the main lessons learned as well as the main problems. Difficulties concerned handling complexity and conflicts between different expectations and demands in the practitioner's and researcher's contexts, and dealing with human resource issues and group interactions when forming collaborative and interdisciplinary research teams. The handling of such challenges required time, resources, knowledge, interactive learning and skilled project management. CONCLUSIONS: Collaborative approaches are important in the study of complex phenomena. Results from this study show that allocated time, arenas for interactions and skills in project management and communication are needed during research collaboration to ensure support and build trust and understanding with involved practitioners at several levels in the healthcare system. For researchers, dealing with this complexity takes time and energy from the scientific process. For practitioners, this puts demands on understanding a research process and how it fits with on going organisational agendas and activities and allocating time. Some of the identified factors may be overlooked by funders and involved stakeholders when designing, performing and evaluating interdisciplinary, collaborative and partnership research. PMID- 29843737 TI - The advantages and limitations of guideline adaptation frameworks. AB - BACKGROUND: The implementation of evidence-based guidelines can improve clinical and public health outcomes by helping health professionals practice in the most effective manner, as well as assisting policy-makers in designing optimal programs. Adaptation of a guideline to suit the context in which it is intended to be applied can be a key step in the implementation process. Without taking the local context into account, certain interventions recommended in evidence-based guidelines may be infeasible under local conditions. Guideline adaptation frameworks provide a systematic way of approaching adaptation, and their use may increase transparency, methodological rigor, and the quality of the adapted guideline. This paper presents a number of adaptation frameworks that are currently available. We aim to compare the advantages and limitations of their processes, methods, and resource implications. These insights into adaptation frameworks can inform the future development of guidelines and systematic methods to optimize their adaptation. ANALYSIS: Recent adaptation frameworks show an evolution from adapting entire existing guidelines, to adapting specific recommendations extracted from an existing guideline, to constructing evidence tables for each recommendation that needs to be adapted. This is a move towards more recommendation-focused, context-specific processes and considerations. There are still many gaps in knowledge about guideline adaptation. Most of the frameworks reviewed lack any evaluation of the adaptation process and outcomes, including user satisfaction and resources expended. The validity, usability, and health impact of guidelines developed via an adaptation process have not been studied. Lastly, adaptation frameworks have not been evaluated for use in low income countries. CONCLUSION: Despite the limitations in frameworks, a more systematic approach to adaptation based on a framework is valuable, as it helps to ensure that the recommendations stay true to the evidence while taking local needs into account. The utilization of frameworks in the guideline implementation process can be optimized by increasing the understanding and upfront estimation of resource and time needed, capacity building in adaptation methods, and increasing the adaptability of the source recommendation document. PMID- 29843738 TI - Correction to: Lewy body-like alpha-synuclein inclusions trigger reactive microgliosis prior to nigral degeneration. AB - After publication of the original article [1] it was noted that the name of author, D. Luke Fisher, was erroneously typeset in both the PDF and online formats of the manuscript as Luke D. Fisher. PMID- 29843739 TI - Reconstruction of a genome-scale metabolic model for Actinobacillus succinogenes 130Z. AB - BACKGROUND: Actinobacillus succinogenes is a promising bacterial catalyst for the bioproduction of succinic acid from low-cost raw materials. In this work, a genome-scale metabolic model was reconstructed and used to assess the metabolic capabilities of this microorganism under producing conditions. RESULTS: The model, iBP722, was reconstructed based on the functional reannotation of the complete genome sequence of A. succinogenes 130Z and manual inspection of metabolic pathways, covering 1072 enzymatic reactions associated with 722 metabolic genes that involve 713 metabolites. The highly curated model was effective in capturing the growth of A. succinogenes on various carbon sources, as well as the SA production under various growth conditions with fair agreement between experimental and predicted data. Calculated flux distributions under different conditions show that a number of metabolic pathways are affected by the activity of some metabolic enzymes at key nodes in metabolism, including the transport mechanism of carbon sources and the ability to fix carbon dioxide. CONCLUSIONS: The established genome-scale metabolic model can be used for model driven strain design and medium alteration to improve succinic acid yields. PMID- 29843740 TI - Standardizing an approach to the evaluation of implementation science proposals. AB - BACKGROUND: The fields of implementation and improvement sciences have experienced rapid growth in recent years. However, research that seeks to inform health care change may have difficulty translating core components of implementation and improvement sciences within the traditional paradigms used to evaluate efficacy and effectiveness research. A review of implementation and improvement sciences grant proposals within an academic medical center using a traditional National Institutes of Health framework highlighted the need for tools that could assist investigators and reviewers in describing and evaluating proposed implementation and improvement sciences research. METHODS: We operationalized existing recommendations for writing implementation science proposals as the ImplemeNtation and Improvement Science Proposals Evaluation CriTeria (INSPECT) scoring system. The resulting system was applied to pilot grants submitted to a call for implementation and improvement science proposals at an academic medical center. We evaluated the reliability of the INSPECT system using Krippendorff's alpha coefficients and explored the utility of the INSPECT system to characterize common deficiencies in implementation research proposals. RESULTS: We scored 30 research proposals using the INSPECT system. Proposals received a median cumulative score of 7 out of a possible score of 30. Across individual elements of INSPECT, proposals scored highest for criteria rating evidence of a care or quality gap. Proposals generally performed poorly on all other criteria. Most proposals received scores of 0 for criteria identifying an evidence-based practice or treatment (50%), conceptual model and theoretical justification (70%), setting's readiness to adopt new services/treatment/programs (54%), implementation strategy/process (67%), and measurement and analysis (70%). Inter-coder reliability testing showed excellent reliability (Krippendorff's alpha coefficient 0.88) for the application of the scoring system overall and demonstrated reliability scores ranging from 0.77 to 0.99 for individual elements. CONCLUSIONS: The INSPECT scoring system presents a new scoring criteria with a high degree of inter-rater reliability and utility for evaluating the quality of implementation and improvement sciences grant proposals. PMID- 29843741 TI - Distinct mutations with different inheritance mode caused similar retinal dystrophies in one family: a demonstration of the importance of genetic annotations in complicated pedigrees. AB - BACKGROUND: Retinitis pigmentosa (RP) is the most common form of inherited retinal dystrophy presenting remarkable genetic heterogeneity. Genetic annotations would help with better clinical assessments and benefit gene therapy, and therefore should be recommended for RP patients. This report reveals the disease causing mutations in two RP pedigrees with confusing inheritance patterns using whole exome sequencing (WES). METHODS: Twenty-five participants including eight patients from two families were recruited and received comprehensive ophthalmic evaluations. WES was applied for mutation identification. Bioinformatics annotations, intrafamilial co-segregation tests, and in silico analyses were subsequently conducted for mutation verification. RESULTS: All patients were clinically diagnosed with RP. The first family included two siblings born to parents with consanguineous marriage; however, no potential pathogenic variant was found shared by both patients. Further analysis revealed that the female patient carried a recurrent homozygous C8ORF37 p.W185*, while the male patient had hemizygous OFD1 p.T120A. The second family was found to segregate mutations in two genes, TULP1 and RP1. Two patients born to consanguineous marriage carried homozygous TULP1 p.R419W, while a recurrent heterozygous RP1 p.L762Yfs*17 was found in another four patients presenting an autosomal dominant inheritance pattern. Crystal structural analysis further indicated that the substitution from arginine to tryptophan at the highly conserved residue 419 of TULP1 could lead to the elimination of two hydrogen bonds between residue 419 and residues V488 and S534. All four genes, including C8ORF37, OFD1, TULP1 and RP1, have been previously implicated in RP etiology. CONCLUSIONS: Our study demonstrates the coexistence of diverse inheritance modes and mutations affecting distinct disease causing genes in two RP families with consanguineous marriage. Our data provide novel insights into assessments of complicated pedigrees, reinforce the genetic complexity of RP, and highlight the need for extensive molecular evaluations in such challenging families with diverse inheritance modes and mutations. PMID- 29843742 TI - C-reactive protein, glucose and iron concentrations are significantly altered in dogs undergoing open ovariohysterectomy or ovariectomy. AB - BACKGROUND: There are relatively few studies about the canine surgical stress response, a sequence of events orchestrated by the body in response to a surgical trauma which is sometimes, as shown in human surgery, deleterious to the patient. There is a need to identify objective markers to quantify this response in order to estimate tissue trauma and use the markers as potential early indicators of surgical complications. The study objective was to investigate the surgical stress response, measured by C-reactive protein (CRP), glucose and iron serum concentrations, to gonadectomy in female dogs, and to compare the response to ovariohysterectomy (OHE) with the response to ovariectomy (OVE). A randomized clinical trial was performed on a sample of 42 female dogs, which were divided into two groups: one group underwent OHE, the other OVE. RESULTS: Blood samples were collected immediately before surgery (T0), and at 1 (T1), 6 (T6), and 24 (T24) h after surgery, and serum frozen and stored at - 80 degrees C for later analysis. Upon thawing, the serum samples were subjected to measurement of CRP, glucose and iron concentration. Seventeen dogs in the OHE group and 19 dogs in the OVE group were included in the statistical analysis. There was a significant increase in glucose concentration at all time points compared with T0, and an increase of CRP at T6 and T24. Iron concentration was significantly decreased at T6 and T24. Differences between the two groups could not be detected for any of the three variables. CONCLUSIONS: The study showed that both OHE and OVE induce a moderate surgical stress response in female dogs, measured by CRP, glucose and iron. A difference between the surgical techniques could not be detected for any of the variables, and hence; with regards to the parameters studied recommendations of one procedure over the other cannot be made and preferred technique remains the surgeon's choice. PMID- 29843743 TI - The GRADE Evidence to Decision (EtD) framework for health system and public health decisions. AB - OBJECTIVE: To describe a framework for people making and using evidence-informed health system and public health recommendations and decisions. BACKGROUND: We developed the GRADE Evidence to Decision (EtD) framework for health system and public health decisions as part of the DECIDE project, in which we simultaneously developed frameworks for these and other types of healthcare decisions, including clinical recommendations, coverage decisions and decisions about diagnostic tests. DEVELOPING THE FRAMEWORK: Building on GRADE EtD tables, we used an iterative approach, including brainstorming, consultation of the literature and with stakeholders, and an international survey of policy-makers. We applied the framework to diverse examples, conducted workshops and user testing with health system and public health guideline developers and policy-makers, and observed and tested its use in real-life guideline panels. FINDINGS: All the GRADE EtD frameworks share the same basic structure, including sections for formulating the question, making an assessment and drawing conclusions. Criteria listed in the assessment section of the health system and public health framework cover the important factors for making these types of decisions; in addition to the effects and economic impact of an option, the priority of the problem, the impact of the option on equity, and its acceptability and feasibility are important considerations that can inform both whether and how to implement an option. Because health system and public health interventions are often complex, detailed implementation considerations should be made when making a decision. The certainty of the evidence is often low or very low, but decision-makers must still act. Monitoring and evaluation are therefore often important considerations for these types of decisions. We illustrate the different components of the EtD framework for health system and public health decisions by presenting their application in a framework adapted from a real-life guideline. DISCUSSION: This framework provides a structured and transparent approach to support policy-making informed by the best available research evidence, while making the basis for decisions accessible to those whom they will affect. The health system and public health EtD framework can also be used to facilitate dissemination of recommendations and enable decision-makers to adopt, and adapt, recommendations or decisions. PMID- 29843744 TI - "Freshman's week": characteristics associated with participation and experiencing adverse effects. AB - BACKGROUND: "Freshman's week" (FW) is a Norwegian initiation ritual to higher education. Previous research has suggested that FW-participation is associated with better social adjustment to the student setting, as well as heavy alcohol use both during and after the event. In this study, we aimed to identify characteristics associated with participation in FW and characteristics associated with experiencing adverse effects of alcohol use during FW. METHODS: Students in the city of Bergen, Norway participated in a survey during fall 2015, shortly after FW. The current sample consisted of the first-year students (N = 4, 401, estimated response rate: 49%). The sample's mean age was 24 years (range: 17 73 years), 65% were females, and the majority were born in Norway (93%). Logistic regressions were conducted to identify characteristics associated with participation in FW and experiencing adverse effects. RESULTS: A total of 64% of the first-year students reported participation in FW, and 27% of these reported experiencing at least one adverse alcohol-related effect during FW. Participation in FW was positively associated with being single (OR = 1.29), extroversion (OR = 1.18), and alcohol use (OR = 1.28), and inversely associated with age (OR = 0.70), and having children (OR = 0.36). Several characteristics (e.g., alcohol use (OR = 1.84), extroversion (OR = 0.60), symptoms of depression (OR = 1.60)) were associated with an increased risk of experiencing adverse effects of alcohol use during participation. CONCLUSION: The current results suggest that initiatives for increasing the participation rate in FW, reducing alcohol use during FW, and decreasing the occurrence of adverse alcohol effects during FW are warranted. Aiming to reduce the focus on alcohol use during FW, and seeking to make FW more available and enjoyable for students with other priorities, students who do not match the stereotype of the typical first-year student, and less sociable students, might both increase participation rate and prevent the occurrence of adverse alcohol effects. Future studies should aim to develop and assess interventions designed to increase participation in FW and reduce the occurrence of adverse effects related to participation. PMID- 29843745 TI - Novel splice site IDUA gene mutation in Tunisian pedigrees with hurler syndrome. AB - BACKGROUND: The mucopolysaccharidosis type I (MPS I) is a lysosomal storage disease resulting from the defective activity of the enzyme alpha-L-iduronidase (IDUA). The disease has three major clinical subtypes (severe Hurler syndrome, intermediate Hurler-Scheie syndrome and attenuated Scheie syndrome). We aim to identify the genetic variants in MPS I patients and to investigate the effect of the novel splice site mutation on splicing of IDUA- mRNA variability using bioinformatics tools. METHODS: The IDUA mutations were determined in four MPS I patients from four families from Northern Tunisia, by amplifying and sequencing each of the IDUA exons and intron-exon junctions. RESULTS: One novel splice site IDUA mutation, c.1650 + 1G > T in intron 11 and two previously reported mutations, p.A75T and p.R555H, were detected. The patients in families 1 and 2 who have the Hurler phenotype were homozygotes for the novel splice site mutation c.1650 + 1G > T. The patient in family 3, who also had the Hurler phenotype, was a compound heterozygote for the novel splice site mutation c.1650 + 1G > T and for the previously reported missense mutation p.A75T. The patient in family 4 who had the Hurler-Scheie phenotype was a compound heterozygote for the novel splice site mutation c.1650 + 1G > T and for the previously reported missense mutation p.R555H. In addition, four known IDUA polymorphisms were identified. Bioinformatics tools allowed us to associate the variant c.1650 + 1G > T with the severe clinical phenotype of MPS I. This variant affects the essential nucleotide + 1 (G to T) of the donor splice site of IDUA intron 11. The G > T in intron 11 leads to wild type donor site broken with minus 19.97% value compared to normal value with 0%, hence the new splice site acceptor has plus 5.59%. CONCLUSIONS: The present findings indicate that the identified mutations facilitate the accurate carrier detection (genetic counseling of at-risk relatives) and the molecular prenatal diagnosis in Tunisia. PMID- 29843746 TI - miR-519a enhances chemosensitivity and promotes autophagy in glioblastoma by targeting STAT3/Bcl2 signaling pathway. AB - BACKGROUND: Chemoresistance to temozolomide (TMZ) is a major challenge in the treatment of glioblastoma (GBM). We previously found that miR-519a functions as a tumor suppressor in glioma by targeting the signal transducer and activator of transcription 3 (STAT3)-mediated autophagy oncogenic pathway. Here, we investigated the effects of miR-519a on TMZ chemosensitivity and autophagy in GBM cells. Furthermore, the underlying molecular mechanisms and signaling pathways were explored. METHODS: In the present study, two stable TMZ-resistant GBM cell lines were successfully generated by exposure of parental cells to a gradually increasing TMZ concentration. After transfecting U87-MG/TMZ and U87-MG cells with miR-519a mimic or inhibitor, a series of biochemical assays such as MTT, apoptosis, and colony formation were performed to determine the chemosensitive response to TMZ. The autophagy levels in GBM cells were detected by transmission electron microscopy, LC3B protein immunofluorescence, and Western blotting analysis. Stable knockdown and overexpression of miR-519a in GBM cells were established using lentivirus. A xenograft nude mouse model and in situ brain model were used to examine the in vivo effects of miR-519a. Tumor tissue samples were collected from 48 patients with GBM and were used to assess the relationship between miR-519a and STAT3 expression. RESULTS: TMZ treatment significantly upregulated miR-519a in U87-MG cells but not in U87-MG/TMZ cells. Moreover, the expression of miR-519a and baseline autophagy levels was lower in U87-MG/TMZ cells as compared to U87-MG cells. miR-519a dramatically enhanced TMZ-induced autophagy and apoptotic cell death in U87-MG/TMZ cells, while inhibition of miR 519a promoted TMZ resistance and reduced TMZ-induced autophagy in U87-MG cells. Furthermore, miR-519a induced autophagy through modification of STAT3 expression. The in vivo results showed that miR-519a can enhance apoptosis and sensitized GBM to TMZ treatment by promoting autophagy and targeting the STAT3/Bcl-2/Beclin-1 pathway. In human GBM tissues, we found an inverse correlation between miR-519a and STAT3 expression. CONCLUSIONS: Our results suggested that miR-519a increased the sensitivity of GBM cells to TMZ therapy. The positive effects of miR-519a may be mediated through autophagy. In addition, miR-519a overexpression can induce autophagy by inhibiting STAT3/Bcl-2 pathway. Therefore, a combination of miR-519a and TMZ may represent an effective therapeutic strategy in GBM. PMID- 29843747 TI - A predictive score for optimal cytoreduction at interval debulking surgery in epithelial ovarian cancer: a two- centers experience. AB - BACKGROUND: Optimal cytoreduction (macroscopic Residual Tumor, RT = 0) is the best survival predictor factor in epithelial ovarian cancer (EOC). It doesn't exist a consolidated criteria to predict optimal surgical resection at interval debulking surgery (IDS). The aim of this study is to develop a predictive model of complete cytoreduction at IDS. METHODS: We, retrospectively, analyzed 93 out of 432 patients, with advanced EOC, underwent neoadjuvant chemotherapy (NACT) and IDS from January 2010 to December 2016 in two referral cancer centers. The correlation between clinical-pathological variables and residual disease at IDS has been investigated with univariate and multivariate analysis. A predictive score of cytoreduction (PSC) has been created by combining all significant variables. The performance of each single variable and PSC has been reported and the correlation of all significant variables with progression free survival (PFS) has been assessed. RESULTS: At IDS, 65 patients (69,8%) had complete cytoreduction with no residual disease (R = 0). Three criteria independently predicted R > 0: age >= 60 years (p = 0.014), CA-125 before NACT > 550 UI/dl (p = 0.044), and Peritoneal Cancer Index (PCI) > 16 (p < 0.001). A PSC >= 3 has been associated with a better accuracy (85,8%), limiting the number of incomplete surgeries to 16,5%. Moreover, a PCI > 16, a PSC >= 3 and the presence of R > 0 after IDS were all significantly associated with shorter PFS (p < 0.001, p < 0.001 and p = 0.004 respectively). CONCLUSIONS: Our PSC predicts, in a large number of patients, complete cytoreduction at IDS, limiting the rate of futile extensive surgeries in case of presence of residual tumor (R > 0). The PSC should be prospectively validated in a larger series of EOC patients undergoing NACT IDS. PMID- 29843748 TI - Serum levels of PIICP, PIIANP, and PIIBNP are decreased in patients with an endemic osteochondropathy, Kashin-Beck disease. AB - BACKGROUND: Kashin-Beck disease (KBD) is an endemic, chronic, degenerative osteoarthropathy. KBD is usually diagnosed by using X-ray image and clinical symptoms, lacking of serological biomarkers. The serum level of PIICP, PIIANP, and PIIBNP can specifically reflect the damage of the cartilage. So, in this study, the serum levels of PIICP, PIIANP, and PIIBNP were detected in order to determine whether they can be used as potential biomarkers for the diagnosis of KBD. METHOD: Using a status survey, the survey sites were selected in the KBD historical endemic areas and non-endemic areas in Jilin and Heilongjiang provinces. All local residents have undergone clinical examination, X-ray examination of the hands and knees, and questionnaire survey. A total of 554 people were surveyed, and 184 residents who are eligible for inclusion criteria were selected as our subjects. Fifty-six cases were diagnosed as KBD and 63 individuals were included as internal control and 65 subjects were included as external control. And blood samples of surveyed subjects were collected, and the serum was separated to detect the levels of PIICP, PIIANP, and PIIBNP by ELISA. Statistical analysis was performed using the SPSS software. RESULTS: There were no statistically significant differences in age and sex among the three groups. The Kruskal-Wallis H test showed that the serum levels of PIICP, PIIANP, and PIIBNP were significantly different among the three groups. Multiple comparisons using Dunnett's T3 test revealed that serum levels of PIICP, PIIANP, and PIIBNP were significantly lower in KBD patients than in internal and external control. However, there was no significant difference between the internal and external control. CONCLUSIONS: The results preliminarily indicated that the levels of PIICP, PIIANP, and PIIBNP in serum could reflect the abnormal synthesis of type II collagen in KBD patients and suggested that these indicators might be used as potential biomarkers for the diagnosis of KBD. PMID- 29843749 TI - Hip pathology: the diagnostic accuracy of magnetic resonance imaging. AB - BACKGROUND: Hip arthroscopy has led to a greater understanding of intra-articular hip pathology. Non-contrast magnetic resonance imaging (MRI) is currently the gold standard in non-invasive imaging diagnosis, with high sensitivity in identifying labral pathology but equivocal results for ligamentum teres damage and chondral defects. The aim of this study is to determine the accuracy of non contrast MRI for diagnosis of intra-articular hip derangements and identify radiological features that could increase the accuracy of the diagnosis. METHODS: A prospective study of 71 hips on 68 patients undergoing hip arthroscopy was conducted comparing pre-operative analysis of MRI imaging versus an arthroscopic examination. Two musculoskeletal radiologists reported the data independently. All hip arthroscopies were performed by a single surgeon. Patients with MRIs performed within 6 months before hip arthroscopy were included. Outcome measures included observer accuracy identifying ligamentum teres tears, labral lesions, and chondral rim damage. Secondary outcome measures included inter-observer variability and correctly staged ligamentum teres tears. RESULTS: The accuracy of radiology reporting for ligamentum teres tears, labral damage, and chondral rim lesions was 85.92% for each instance. The MRI findings most consistent with labral tears include the presence of linear high signal traversing the articular surface into the labrum, presence of intra-labral fluid signal, and loss of homogenous low signal triangular morphology. Chondral rim damage was difficult to diagnose, but abnormal signal at the chondrolabral junction with partial thickness defects would suggest damage. Ligamentum teres tears are commonly found but poorly graded. Thickening and increased signal suggests synovitis while discontinuity and fraying suggests partial tearing. CONCLUSION: Conventional non arthrographic MRI offers an accurate non-invasive method to screen patients with symptoms referable to the hip by revealing the presence of labral tears, chondral defects, and ligamentum teres tears/synovitis. This study demonstrates that tears and synovitis of the ligamentum teres as potential sources of hip pain can be accurately identified on conventional non-arthrographic MRI. However, MRI has poor specificity and negative predictive value, and thus, a negative MRI result may warrant further investigation. PMID- 29843750 TI - Torque teno virus dynamics during the first year of life. AB - BACKGROUND: Torque teno virus is a small chronically persisting circular negative ssDNA virus reaching near 100% prevalence. It is reported to be a marker for immune function in immunocompromised patients. The possibility of vertical maternal-fetal transmission remains controversial but incidence rate of TTV DNA in children increased with age. TTV dynamics well studied for allogeneic hematopoietic stem cell transplantation as a predictor of post-transplant complications but there is no viral proliferation kinetics data for other patient groups or healthy individuals. The aim of this study was to determine TTV dynamics during the first year of life of healthy infants. METHODS: Ninety eight clinically healthy breastfeeding infants (1-12 months of age) were analyzed by quantitative PCR for the whole blood TTV load with the test sensitivity of about 1000 viral copies per milliliter of blood (total number of samples including repeatedly tested infants was 109). RESULTS: 67% of all analyzed samples were TTV positive demonstrating significant positive correlation between age and TTV load (r = 0.81, p < 0.01). CONCLUSIONS: This is the first study to suggest that viral load increases during the first year of life reaching a plateau after 6 months with strong proliferation for the first 60 days. Our data well correlates with TTV dynamics in patients following allogeneic hematopoietic stem cell transplantation. PMID- 29843751 TI - Immediate reduction under general anesthesia and combined anterior and posterior fusion in the treatment of distraction-flexion injury in the lower cervical spine. AB - BACKGROUND: Distraction-flexion of the lower cervical spine is a severe traumatic lesion, frequently resulting in paralysis. The optimal surgical treatment is controversial. It has been a challenge for orthopedic surgeons to manage distraction-flexion injury in the lower cervical spine while avoiding the risk of iatrogenic damage. Thus, safer strategies need to be designed and adopted.This study aimed to evaluate the clinical efficacy of immediate reduction under general anesthesia and combined anterior and posterior fusion in the treatment of distraction-flexion injury in the lower cervical spine. METHODS: Twenty-four subjects of traumatic lower cervical spinal distraction-flexion were retrospectively analyzed from January 2010 to December 2013. Traffic accident was the primary cause of injury, with patients presenting with dislocated segments in C4-5 (n = 8), C5-6 (n = 10), and C6-7 (n = 6). Sixteen patients had unilateral facet dislocation and eight had bilateral facet dislocation. Spinal injuries were classified according to the American Spinal Injury Association (ASIA) impairment scale (2000 edition amended), with four cases of grade A, four cases of grade B, ten cases of grade C, four cases of grade D, and two cases of grade E. On admission, all patients underwent immediate reduction under general anesthesia and combined anterior and posterior fusion. The mean follow-up time was 3.5 years. RESULTS: All operations were completed successfully, with no major complications. Postoperative X-rays showed satisfactory height for the cervical intervertebral space and recovery of the vertebral sequence. Bone fusion was completed within 4 to 6 months after surgery. Surgery also significantly improved neurological function in all patients. CONCLUSION: Immediate reduction under general anesthesia and combined anterior and posterior fusion can be used to successfully treat distraction-flexion injury in the lower cervical spine, obtaining completed decompression, safe spinal re-alignment, and excellent immediate postoperative stability. PMID- 29843752 TI - Stereotactic body radiation therapy (SBRT) in patients with hepatocellular carcinoma and oligometastatic liver disease. AB - BACKGROUND: To report our experience with SBRT in primary and secondary liver tumors. METHODS: We retrospectively analysed 55 patients (70 lesions) with a median follow-up of 10 months (range 1-57) treated from 2011 to 2016. All patients had not been eligible for other local treatment options. Median age was 64 years and 64% were male. 27 patients (36 lesions) suffered from hepatocellular carcinoma (HCC, Child A:78%, Child B:18%, Child C:4%), 28 patients (34 lesions) had oligometastatic liver disease (MD). Treatment planning was based on 4D-CT usually after placement of fiducials. Dose and fractionation varied depending on localization and size, most commonly 3 * 12.5 Gy (prescribed to the surrounding 65%-isodose) in 56% and 5x8Gy (80% isodose) in 20% of the treated lesions. RESULTS: Local recurrence was observed in 7 patients (13%) and 8 lesions (11%), resulting in estimated 1- and 2-year local control rates (LC) of 91 and 74%. Estimated 1- and 2-year rates of Freedom from hepatic failure (FFHF) were 42 and 28%. Number of lesions was predictive for LC and FFHF in the entire cohort. Estimated 1- and 2-year overall survival (OS) was 76 and 57%. OS was significantly affected by number of treated lesions and performance status. In the HCC subgroup, pretreatment liver function and gender were also predictive for OS. Maximum acute non-hepatic toxicity was grade 1 in 16% and grade 2 in 10% of the patients. Three HCC patients (11%) developed marked deterioration of liver function (grade 3/4). CONCLUSIONS: SBRT resulted in high local control and acceptable survival rates in patients with HCC or MD not amendable to other locally-ablative treatment options with limited toxicity. Care should be taken in HCC patients with Child B cirrhosis. PMID- 29843753 TI - Mechanical CPR: Who? When? How? AB - In cardiac arrest, high quality cardiopulmonary resuscitation (CPR) is a key determinant of patient survival. However, delivery of effective chest compressions is often inconsistent, subject to fatigue and practically challenging.Mechanical CPR devices provide an automated way to deliver high quality CPR. However, large randomised controlled trials of the routine use of mechanical devices in the out-of-hospital setting have found no evidence of improved patient outcome in patients treated with mechanical CPR, compared with manual CPR. The limited data on use during in-hospital cardiac arrest provides preliminary data supporting use of mechanical devices, but this needs to be robustly tested in randomised controlled trials.In situations where high-quality manual chest compressions cannot be safely delivered, the use of a mechanical device may be a reasonable clinical approach. Examples of such situations include ambulance transportation, primary percutaneous coronary intervention, as a bridge to extracorporeal CPR and to facilitate uncontrolled organ donation after circulatory death.The precise time point during a cardiac arrest at which to deploy a mechanical device is uncertain, particularly in patients presenting in a shockable rhythm. The deployment process requires interruptions in chest compression, which may be harmful if the pause is prolonged. It is recommended that use of mechanical devices should occur only in systems where quality assurance mechanisms are in place to monitor and manage pauses associated with deployment.In summary, mechanical CPR devices may provide a useful adjunct to standard treatment in specific situations, but current evidence does not support their routine use. PMID- 29843754 TI - Immune checkpoint therapy in liver cancer. AB - Immune checkpoints include stimulatory and inhibitory checkpoint molecules. In recent years, inhibitory checkpoints, including cytotoxic T lymphocyte-associated antigen 4 (CTLA-4), programmed cell death protein-1 (PD-1), and programmed cell death ligand 1 (PD-L1), have been identified to suppress anti-tumor immune responses in solid tumors. Novel drugs targeting immune checkpoints have succeeded in cancer treatment. Specific PD-1 blockades were approved for treatment of melanoma in 2014 and for treatment of non-small-cell lung cancer in 2015 in the United States, European Union, and Japan. Preclinical and clinical studies show immune checkpoint therapy provides survival benefit for greater numbers of patients with liver cancer, including hepatocellular carcinoma and cholangiocarcinoma, two main primary liver cancers. The combination of anti-PD 1/PD-L1 with anti-CTLA-4 antibodies is being evaluated in phase 1, 2 or 3 trials, and the results suggest that an anti-PD-1 antibody combined with locoregional therapy or other molecular targeted agents is an effective treatment strategy for HCC. In addition, studies on activating co-stimulatory receptors to enhance anti tumor immune responses have increased our understanding regarding this immunotherapy in liver cancer. Epigenetic modulations of checkpoints for improving the tumor microenvironment also expand our knowledge of potential therapeutic targets in improving the tumor microenvironment and restoring immune recognition and immunogenicity. In this review, we summarize current knowledge and recent developments in immune checkpoint-based therapies for the treatment of hepatocellular carcinoma and cholangiocarcinoma and attempt to clarify the mechanisms underlying its effects. PMID- 29843755 TI - Randomized, phase I/II study of gemcitabine plus IGF-1R antagonist (MK-0646) versus gemcitabine plus erlotinib with and without MK-0646 for advanced pancreatic adenocarcinoma. AB - BACKGROUND: Binding of insulin-like growth factor-I (IGF-1) to its receptor (IGF 1R) initiates downstream signals that activate PI3K/Akt/mTOR and MEK/Erk pathways, which stimulate cancer cell proliferation and induce drug resistance. Cross talk between IGF-1R and epidermal growth factor receptor (EGFR) mediates resistance to anti-EGFR agents. We studied safety, tolerability, and outcomes of MK-0646, IGF-1 monoclonal antibody, in combination with gemcitabine (G) +/- erlotinib (E) in metastatic pancreatic cancer. METHODS: Our study included a phase I dose escalation and phase II randomization and expansion cohorts. A 3 + 3 dose escalation protocol was used to determine MK-0646 maximum tolerable dose (MTD) in combination with G +/- E standard doses. For phase II, patients were randomized to arm A (G + MK), arm B (G + MK + E), or arm C (G + E). Primary endpoint was progression-free survival (PFS). Secondary endpoints were overall survival (OS), disease control rate, toxicity, and correlation between OS and IGF 1 in patients treated with MK-0646. RESULTS: MK-0646 MTD was 10 mg/kg in combination with G and 5 mg/kg in combination with G + E. In randomization cohort, 15 patients were treated in each arm. Disease control rates were 50, 60, and 40% respectively. PFS was not different between the three arms. OS was significantly different between arm A (10.4 months) and C (5.7 months) (P = 0.02). However, addition of erlotinib in arm B yielded no OS benefit compared to arm A (P = 0.6). Plasma and tissue IGF-1 levels did not correlate with OS (P = 0.64, 0.87). Grade 3-4 toxicity during phase II cohorts were neutropenia (10/arm A, 14/arm B, 5/arm C), leukopenia (5/A, 5/B, 7/C), thrombocytopenia (8/A, 9/B, 2/C), hyponatremia (1/A, 3/B), and hyperglycemia (8/A, 1/B). CONCLUSIONS: MK-0646 was tolerable in combination with G and associated with improvement in OS but not PFS as compared with G + E. Tissue and serum IGF-1 did not correlate with clinical outcome. TRIAL REGISTRATION: This trial is registered in ClinicalTrial.gov under the Identifier NCT00769483 and registration date was October 9, 2008. PMID- 29843756 TI - Clinical comparison of liquid-based and conventional cytology of oral brush biopsies: a randomized controlled trial. AB - BACKGROUND: Exfoliative cytology performed on oral brush samples can help dentists to decide, whether a given oral lesion is (pre-) malignant. The use of non-invasive brush biopsies as an auxiliary tool in the diagnosis of oral mucosal lesions has gained renewed interest since improvements in cytological techniques such as the development of adjuvant diagnostic tools and liquid-based cell preparation techniques. METHODS: The aim of this study was to compare the quality of two different preparation techniques (cell collectors): the conventional transfer procedure to glass slides and the so-called liquid-based cytology preparation method. Cell smears were collected from 10 orally healthy individuals (mean age: 24 years) from the palatine mucosa at two different times (baseline and 4 weeks later). Slides of both techniques were stained by Giemsa (n = 40) and May-Gruenwald Giemsa (n = 40). The statistical analysis was performed with Excel. RESULTS: On specimen analysis, the liquid-based cytology showed statistically significant improvement compared to conventional glass sides (p < 0.001). Thin layers, which were performed by liquid-based cytology showed significantly better results in the parameters (p < 0.001): uniform distribution, cellular overlapping, cellular disformation, mucus, microbial colonies and debris. The conventional glass slides approach showed more cell overlapping and contamination with extraneous material than thin layers, which were performed by Orcellex(r) Brush cell collectors. CONCLUSIONS: Both techniques are diagnostically reliable. The liquid-based method showed an overall improvement on sample preservation, specimen adequacy, visualization of cell morphology and reproducibility. Liquid based cytology simplifies cell collection due to easier handling and less transfer errors by dentists. PMID- 29843757 TI - Ch'ol nomenclature for soil classification in the ejido Oxolotan, Tacotalpa, Tabasco, Mexico. AB - BACKGROUND: The traditional ecological knowledge of land of the Ch'ol originary people from southeast Mexico forms part of their cultural identity; it is local and holistic and implies an integrated physical and spiritual worldview that contributes to improve their living conditions. We analyzed the nomenclature for soil classification used in the Mexican state of Tabasco by the Ch'ol farmers with the objective of contributing to the knowledge of the Maya soil classification. METHODS: A map of the study area was generated from the digital database of parcels in the ejido Oxolotan in the municipality of Tacotalpa, to which a geopedological map was overlaid in order to obtain modeled topographic profiles (Zavala-Cruz et al., Ecosistemas y Recursos Agropecuarios 3:161-171, 2016). In each modeled profile, a soil profile was made and classified according to IUSS Working Group WRB (181, 2014) in order to generate a map of soil groups, which was used to survey the study area with the participation of 245 local Ch'ol farmers for establishing an ethnopedological soil classification (Ortiz et al.: 62, 1990). In addition, we organized a participatory workshop with 35 people to know details of the names of the soils and their indicators of fertility and workability, from which we selected 15 participants for field trips and description of soil profiles. RESULTS: The color, texture, and stoniness are attributes important in the Ch'ol nomenclature, although the names do not completely reflect the visible characteristic of the soil surface. On the other hand, the mere presence of stones is sufficient to name a land class, while according to IUSS Working Group WRB (181, 2014), a certain amount and distribution of stones in the soil profiles is necessary to be taken into consideration in the name. Perception of soil quality by local farmers considers the compaction or hardness of the cultivable soil layer, because of which black or sandy soils are perceived as better for cultivation of banana, or as secondary vegetation in fallow. Red, yellow, or brown soils are seen as of less quality and are only used for establishing grasslands, while maize is cultivated in all soil classes. CONCLUSIONS: Farmers provided the Ch'ol nomenclature, perceived problems, and uses of each class of soil. Translation of Ch'ol soil names and comparison with descriptions of soil profiles revealed that the Ch'ol soil nomenclature takes into account the soil profile, given it is based on characteristics of both surface and subsurface horizons including color of soil matrix and mottles, stoniness, texture, and vegetation. PMID- 29843758 TI - Preoperative assessment of ovarian tumors using a modified multivariate index assay. AB - BACKGROUND: Preoperative differentiation between benign and malignant masses can be challenging. The aim of this research was to evaluate the performance of a modified multivariate index assay (MIA) in detecting ovarian cancer and to compare the effectiveness of gynecologist assessment, cancer antigen (CA) 125, and MIA for identifying ovarian masses with high suspicion of malignancy. RESULTS: This prospective observational study included 150 women with ovarian masses who underwent surgery in the Maternity Teaching Hospital from December 2014 to May 2016. Preoperative estimation of modified MIA, assessment by a gynecologist, and CA 125 level correlated with the surgical histopathology. A modified MIA was implemented because of lack of access to the software typically used. Among 150 enrolled women there were 30 cases of malignancy, including 8 cases (26%) of early-stage ovarian cancer and 22 cases (74%) of late-stage cancer. MIA showed high specificity (96.7%) in detecting cancer and a sensitivity of 70%, with a positive predictive value of 84% and a negative predictive value of 92.8%. No significant differences were detected between the MIA results and the histopathology results (P = 0.267). For early-stage ovarian cancer, the sensitivity of MIA was 100% compared with 75% for CA 125 alone. CONCLUSION: MIA seems to be effective for evaluation of ovarian tumors with higher specificity and positive predictive value than CA 125 while maintaining high negative predictive value and with only a slightly lower overall sensitivity. For evaluation of early-stage ovarian cancer, MIA showed a much higher sensitivity that markedly outperformed CA 125 alone. This modified MIA strategy may be particularly useful in low resource setting. PMID- 29843759 TI - Neuroinflammation is increased in the parietal cortex of atypical Alzheimer's disease. AB - BACKGROUND: While most patients with Alzheimer's disease (AD) present with memory complaints, 30% of patients with early disease onset present with non-amnestic symptoms. This atypical presentation is thought to be caused by a different spreading of neurofibrillary tangles (NFT) than originally proposed by Braak and Braak. Recent studies suggest a prominent role for neuroinflammation in the spreading of tau pathology. METHODS: We aimed to explore whether an atypical spreading of pathology in AD is associated with an atypical distribution of neuroinflammation. Typical and atypical AD cases were selected based on both NFT distribution and amnestic or non-amnestic clinical presentation. Immunohistochemistry was performed on the temporal pole and superior parietal lobe of 10 typical and 9 atypical AD cases. The presence of amyloid-beta (N terminal; IC16), pTau (AT8), reactive astrocytes (GFAP), microglia (Iba1, CD68, and HLA-DP/DQ/DR), and complement factors (C1q, C3d, C4b, and C5b-9) was quantified by image analysis. Differences in lobar distribution patterns of immunoreactivity were statistically assessed using a linear mixed model. RESULTS: We found a temporal dominant distribution for amyloid-beta, GFAP, and Iba1 in both typical and atypical AD. Distribution of pTau, CD68, HLA-DP/DQ/DR, C3d, and C4b differed between AD variants. Typical AD cases showed a temporal dominant distribution of these markers, whereas atypical AD cases showed a parietal dominant distribution. Interestingly, when quantifying for the number of amyloid beta plaques instead of stained surface area, atypical AD cases differed in distribution pattern from typical AD cases. Remarkably, plaque morphology and localization of neuroinflammation within the plaques was different between the two phenotypes. CONCLUSIONS: Our data show a different localization of neuroinflammatory markers and amyloid-beta plaques between AD phenotypes. In addition, these markers reflect the atypical distribution of tau pathology in atypical AD, suggesting that neuroinflammation might be a crucial link between amyloid-beta deposits, tau pathology, and clinical symptoms. PMID- 29843760 TI - Feasibility of optical coherence tomography angiography to assess changes in retinal microcirculation in ovine haemorrhagic shock. AB - BACKGROUND: This study aimed to investigate the feasibility of optical coherence tomography angiography (OCT-A) for quantitative analysis of flow density to assess changes in retinal perfusion in an experimental model of haemorrhagic shock. METHODS: Haemorrhagic shock was induced in five healthy, anaesthetized sheep by stepwise blood withdrawal of 3 * 10 ml?kg- 1 body weight. OCT-A imaging of retinal perfusion was performed using an OCT device. Incident dark-field illumination microscopy videos were obtained for the evaluation of conjunctival microcirculation. Haemodynamic variables and flow density data in the OCT angiogram were analysed before and during progressive haemorrhage resulting in haemorrhagic shock as well as after fluid resuscitation with 10 ml?kg- 1 body weight of balanced hydroxyethyl starch solution (6% HES 130/0.4). Videos of the conjunctival microcirculation were recorded at baseline, in haemorrhagic shock, and after resuscitation. Data are presented as median with interquartile range. Comparisons between time points were made using Friedman's test and the degree of correlation between two variables was expressed as Spearman's rank correlation coefficient. RESULTS: Mean arterial pressure and cardiac index (CI) decreased and lactate concentration increased after induction of shock, and haemodynamics recovered after resuscitation. The flow density in the superficial retinal OCT angiogram decreased significantly after shock induction (baseline 44.7% (40.3; 50.5) vs haemorrhagic shock 34.5% (32.8; 40.4); P = 0.027) and recovered after fluid resuscitation (46.9% (41.7; 50.7) vs haemorrhagic shock; P = 0.027). The proportion of perfused vessels of the conjunctival microcirculation showed similar changes. The flow density measured using OCT-A correlated with the conjunctival microcirculation (perfused vessel density: Spearman's rank correlation coefficient rho = 0.750, P = 0.001) and haemodynamic parameters (CI: rho = 0.693, P < 0.001). CONCLUSIONS: Retinal flow density, measured using OCT-A, significantly decreased in shock and recovered after fluid therapy in an experimental model of haemorrhagic shock. OCT-A is feasible to assess changes in retinal perfusion in haemorrhagic shock and fluid resuscitation. PMID- 29843761 TI - Efficacy and safety of electro-acupuncture treatment in improving the consciousness of patients with traumatic brain injury: study protocol for a randomized controlled trial. AB - BACKGROUND: Traumatic brain injury (TBI) has become a leading cause of death among young people worldwide. Survivors may live with a long-term TBI-related disability or even develop a disorder of consciousness resulting in poor life quality and shortened life expectancy. Thus far, very few approaches have been found to be effective in the consciousness recovery of these patients. Acupuncture has long been used in the treatment of neurological disorders in China. However, its efficacy and safety in consciousness recovery remain to be proved. METHODS: Here, we present a study design and protocol of a randomized, blinded, controlled study to evaluate the efficacy and safety of electro acupuncture in the consciousness recovery of patients with TBI. A total of 150 patients with initial Glasgow coma scale score of less than 8 points will be recruited in the trial and randomized into acupuncture or control groups. Patients in the control group will receive routine pharmacological treatment alone while patients in the acupuncture group will receive electro-acupuncture treatment for 10 days in addition to routine treatment. The efficacy will be assessed with the changes in Glasgow coma scale score and mismatch negativity of event-related brain potentials before and after treatment. Moreover, Glasgow outcome scale and Barthel index of activities of daily living will be compared between the two groups at 3 months after treatment. The secondary outcome measures are the length of stay in ICU and hospital, expenses in ICU and hospital, as well as the incidence of coma-related complications. The safety of electro-acupuncture will be assessed by monitoring the incidence of adverse events and changes in vital signs during the study. DISCUSSION: Results from this trial will significantly add to the current body of evidence on the role of electro-acupuncture in the consciousness recovery of patients with severe TBI. In addition, a more convenient and consistent electro-acupuncture method can be set up for clinical practice. If found to be effective and safe, electro-acupuncture will be a valuable complementary option for comatose patients with TBI. TRIAL REGISTRATION: Chinese Clinical Trial Registry: ChiCTR-INR-17011674 . Registered on 16 June 2016. PMID- 29843762 TI - Mechanisms of electrical vasoconstriction. AB - BACKGROUND: Electrical vasoconstriction is a promising approach to control blood pressure or restrict bleeding in non-compressible wounds. We explore the neural and non-neural pathways of electrical vasoconstriction in-vivo. METHODS: Charge balanced, asymmetric pulses were delivered through a pair of metal disc electrodes. Vasoconstriction was assessed by measuring the diameter of rat saphenous vessels stimulated with low-voltage (20 V, 1 ms) and high-voltage (150 V, 10 MUs) stimuli at 10 Hz for 5 min. Activation pathways were explored by topical application of a specific neural agonist (phenylephrine, alpha-1 receptor), a non-specific agonist (KCl) and neural inhibitors (phenoxybenzamine, 25 mg/ml; guanethidine, 1 mg/ml). Acute tissue damage was assessed with a membrane permeability (live-dead) fluorescent assay. The Joule heating in tissue was estimated using COMSOL Multiphysics modeling. RESULTS: During stimulation, arteries constricted to 41 +/- 8% and 37 +/- 6% of their pre-stimulus diameter with low- and high-voltage stimuli, while veins constricted to 80 +/- 18% and 40 +/- 11%, respectively. In arteries, despite similar extent of constriction, the recovery time was very different: about 30 s for low-voltage and 10 min for high voltage stimuli. Neural inhibitors significantly reduced low-voltage arterial constriction, but did not affect high-voltage arterial or venous constriction, indicating that high-voltage stimuli activate non-neural vasoconstriction pathways. Adrenergic pathways predominantly controlled low-voltage arterial but not venous constriction, which may involve a purinergic pathway. Viability staining confirmed that stimuli were below the electroporation threshold. Modeling indicates that heating of the blood vessels during stimulation (< 0.2 degrees C) is too low to cause vasoconstriction. CONCLUSIONS: We demonstrate that low-voltage stimuli induce reversible vasoconstriction through neural pathways, while high-voltage stimuli activate non-neural pathways, likely in addition to neural stimulation. Different stimuli providing precise control over the extent of arterial and venous constriction as well as relaxation rate could be used to control bleeding, perfusion or blood pressure. PMID- 29843763 TI - Trainer in a pocket - proof-of-concept of mobile, real-time, foot kinematics feedback for gait pattern normalization in individuals after stroke, incomplete spinal cord injury and elderly patients. AB - BACKGROUND: Walking disabilities negatively affect inclusion in society and quality of life and increase the risk for secondary complications. It has been shown that external feedback applied by therapists and/or robotic training devices enables individuals with gait abnormalities to consciously normalize their gait pattern. However, little is known about the effects of a technically assisted over ground feedback therapy. The aim of this study was to assess whether automatic real-time feedback provided by a shoe-mounted inertial-sensor based gait therapy system is feasible in individuals with gait impairments after incomplete spinal cord injury (iSCI), stroke and in the elderly. METHODS: In a non-controlled proof-of-concept study, feedback by tablet computer-generated verbalized instructions was given to individuals with iSCI, stroke and old age for normalization of an individually selected gait parameter (stride length, stance or swing duration, or foot-to-ground angle). The training phase consisted of 3 consecutive visits. Four weeks post training a follow-up visit was performed. Visits started with an initial gait analysis (iGA) without feedback, followed by 5 feedback training sessions of 2-3 min and a gait analysis at the end. A universal evaluation and FB scheme based on equidistant levels of deviations from the mean normal value (1 level = 1 standard deviation (SD) of the physiological reference for the feedback parameter) was used for assessment of gait quality as well as for automated adaptation of training difficulty. Overall changes in level over iGAs were detected using a Friedman's Test. Post-hoc testing was achieved with paired Wilcoxon Tests. The users' satisfaction was assessed by a customized questionnaire. RESULTS: Fifteen individuals with iSCI, 11 after stroke and 15 elderly completed the training. The average level at iGA significantly decreased over the visits in all groups (Friedman's test, p < 0.0001), with the biggest decrease between the first and second training visit (4.78 +/- 2.84 to 3.02 +/- 2.43, p < 0.0001, paired Wilcoxon test). Overall, users rated the system's usability and its therapeutic effect as positive. CONCLUSIONS: Mobile, real-time, verbalized feedback is feasible and results in a normalization of the feedback gait parameter. The results form a first basis for using real-time feedback in task-specific motor rehabilitation programs. TRIAL REGISTRATION: DRKS00011853 , retrospectively registered on 2017/03/23. PMID- 29843764 TI - Babesia vesperuginis in insectivorous bats from China. AB - BACKGROUND: To increase understanding of human bacterial and parasitic pathogens in bats, we investigated the prevalence of Babesia spp., Rickettsia spp., Anaplasma spp. and Coxiella burnetii in bats from China. METHODS: Bats were captured from Mengyin County, Shandong Province of China using nets. DNA was extracted from the blood and spleen of bats for molecular detection of Babesia spp., Rickettsia spp., Anaplasma spp. and Coxiella burnetii with specific primers for each species. RESULTS: A total of 146 spleen samples and 107 blood samples of insectivorous bats, which belonged to 6 species within two families, were collected from Mengyin County, Shandong Province of China. We found that two Eptesicus serotinus (2/15, 13.3%) were positive for Babesia vesperuginis. We were unable to detect genomic sequences for Rickettsia spp., Anaplasma spp. and Coxiella burnetii. CONCLUSIONS: To our knowledge, our study showed for the first time the presence of Babesia vesperuginis in Eptesicus serotinus collected from China, suggesting that Babesia vesperuginis has a broad host species and geographical distribution. PMID- 29843765 TI - Clinical analysis of chemo-resistance risk factors in endometriosis associated ovarian cancer. AB - BACKGROUND: To analyze the clinical characteristics and chemo-resistance related factors of patients with resistant and non-resistant endometriosis-associated ovarian cancer (ovarian clear cell carcinoma and endometrioid carcinoma) by reviewing the data of epithelial ovarian cancer patients who received initial treatment in our hospital over a 12-year period. RESULTS: Among the 304 patients, 17.1% were seen with platinum-based drug resistance. The ROC curve of continuous variables was drawn according to resistance situation, then they were grouped by age (< 48 or >= 48 years), tumor size (< 7 cm or >= 7 cm) and Ca125 (< 90 and >= 90 U/ml). In univariate analysis, age >= 48 years, initial symptom of abdominal distension or weight loss, abnormal preoperative serum Ca125, Ca125 < 90 U/ml, advanced FIGO stage, absence of endometriosis, bilateral tumors, lack of lymphadenectomy, positive lymph nodes, unsatisfactory initial cytoreduction surgery and history of breast cancer were all related to drug resistance in ovarian cancer. In multivariate analysis, advanced stage, lack of lymphadenectomy, positive lymph nodes and history of breast cancer were independent risk factors related to platinum-based drug resistance (P < 0.05). CONCLUSION: For patients of endometriosis-related ovarian cancer, platinum-based drug resistance were associated with advanced FIGO stage, lack of lymphadenectomy, positive lymph nodes and history of breast cancer. PMID- 29843766 TI - Evaluation of the clinical effectiveness of bioactive glass (S53P4) in the treatment of non-unions of the tibia and femur: study protocol of a randomized controlled non-inferiority trial. AB - BACKGROUND: Treatment of non-union remains challenging and often necessitates augmentation of the resulting defect with an autologous bone graft (ABG). ABG is limited in quantity and its harvesting incurs an additional surgical intervention leaving the risk for associated complications and morbidities. Therefore, artificial bone graft substitutes that might replace autologous bone are needed. S53P4-type bioactive glass (BaG) is a promising material which might be used as bone graft substitute due to its osteostimulative, conductive and antimicrobial properties. In this study, we plan to examine the clinical effectiveness of BaG as a bone graft substitute in Masquelet therapy in comparison with present standard Masquelet therapy using an ABG with tricalciumphosphate to fill the bone defect. METHODS/DESIGN: This randomized controlled, clinical non-inferiority trial will be carried out at the Department of Orthopedics and Traumatology at Heidelberg University. Patients who suffer from tibial or femoral non-unions with a segmental bone defect of 2-5 cm and who are receiving Masquelet treatment will be included in the study. The resulting bone defect will either be filled with autologous bone and tricalciumphosphate (control group, N = 25) or BaG (S53P4) (study group, N = 25). Subsequent to operative therapy, all patients will receive the same standardized follow-up procedures. The primary endpoint of the study is union achieved 1year after surgery. DISCUSSION: The results from the current study will help evaluate the clinical effectiveness of this promising biomaterial in non-union therapy. In addition, this randomized trial will help to identify potential benefits and limitations regarding the use of BaG in Masquelet therapy. Data from the study will increase the knowledge about BaG as a bone graft substitute as well as identify patients possibly benefiting from Masquelet therapy using BaG and those who are more likely to fail, thereby improving the quality of non-union treatment. TRIAL REGISTRATION: German Clinical Trials Register (DRKS), ID: DRKS00013882 . Registered on 22 January 2018. PMID- 29843767 TI - Algorithm-based decision support for symptom self-management among adults with Cancer: results of usability testing. AB - BACKGROUND: It is essential that cancer patients understand anticipated symptoms, how to self-manage these symptoms, and when to call their clinicians. However, patients are often ill-prepared to manage symptoms at home. Clinical decision support (CDS) is a potentially innovative way to provide information to patients where and when they need it. The purpose of this project was to design and evaluate a simulated model of an algorithm-based CDS program for self-management of cancer symptoms. METHODS: This study consisted of three phases; development of computable algorithms for self-management of cancer symptoms using a modified ADAPTE process, evaluation of a simulated model of the CDS program, and identification of design objectives and lessons learned from the evaluation of patient-centered CDS. In phase 1, algorithms for pain, constipation and nausea/vomiting were developed by an expert panel. In phase 2, we conducted usability testing of a simulated symptom assessment and management intervention for self-care (SAMI-Self-Care) CDS program involving focus groups, interviews and surveys with cancer patients, their caregivers and clinicians. The Acceptability E-scale measured acceptability of the program. In phase 3, we developed design objectives and identified barriers to uptake of patient-centered CDS based on the data gathered from stakeholders. RESULTS: In phase 1, algorithms were reviewed and approved through a consensus meeting and majority vote. In phase 2, 24 patients & caregivers and 13 clinicians participated in the formative evaluation. Iterative changes were made in a simulated SAMI-Self-Care CDS program. Acceptability scores were high among patients, caregivers and clinicians. In phase 3, we formulated CDS design objectives, which included: 1) ensure patient safety, 2) communicate clinical concepts effectively, 3) promote communication with clinicians, 4) support patient activation, and 5) facilitate navigation and use. We identified patient barriers and clinician concerns to using CDS for symptom self-management, which were consistent with the chronic care model, a theoretical framework used to enhance patient-clinician communication and patient self-management. CONCLUSION: Patient safety and tool navigation were critical features of CDS for patient self-management. Insights gleaned from this study may be used to inform the development of CDS resources for symptom self-management in patients with other chronic conditions. PMID- 29843768 TI - Egr-1 increases angiogenesis in cartilage via binding Netrin-1 receptor DCC promoter. AB - BACKGROUND: Osteoarthritis (OA) is a joint disease characterized by degradation of cartilage. The etiology of OA is still unclear. Vascular endothelial growth factor (VEGF) plays a key role of angiogenesis in the pathogenesis of OA and contributes to the angiogenesis of NT-1/DCC. Whether or not NT-1/DCC and VEGF interact in regulating angiogenesis of OA cartilage is not known. METHODS: Histological studies for CD34, VEGF, and safranin-O staining were performed to determine angiogenesis and cartilage tissue injury. ELISA indicated the level of pro-inflammation cytokines. Immunoblotting, immunoprecipitation, and electrophoretic mobility shift assay (EMSA) were performed to assay the expression and function of NT-1/DCC-VEGF signaling pathway. RESULTS: Our data indicated that VEGF expression was increased in cartilage tissue from OA rats, while the chondrocytes were disorganized, and cartilage degeneration was increasing in OA rats. The inflammation factors in articular cavity fluid were higher in the OA rats than in the sham. The protein expression of NT-1, DCC, and VEGF were increased in osteoarthritic cartilage. DCC was involved in the positive regulation of osteoarthritic angiogenesis by VEGF. Egr-1 expression was higher in OA rats than in sham rats. Egr-1 is a regulator of DCC promoter activity, and the binding is higher in OA rats than in sham rats. CONCLUSION: Our present study provides a mechanism by which Egr-1 induced angiogenesis via NT-1/DCC-VEGF pathway. PMID- 29843769 TI - Penile cancer in Maranhao, Northeast Brazil: the highest incidence globally? AB - BACKGROUND: The objectives of this study were to determine the minimum incidence of penile cancer in the poorest Brazilian state, and to describe the epidemiologic and clinical characteristics of patients diagnosed with the disease. METHODS: A retrospective study of 392 patients diagnosed with penile cancer in the three most important referral center in the state was conducted during 2004-2014. RESULTS: The age-standardized incidence was 6.15 per 100,000 and the crude annual incidence was 1.18 per 100,000. More than half (61.1%) of the tumors were histological grades 2 and 3, and 66.4% of tumors were classified as at least stage T2. The average age of patients was 58.6 +/- 15.7 years (range, 18 to 103 years), with 20.8% of patients <=40 years of age at diagnosis. The vast majority underwent penectomy (93%). Only 41.8% underwent lymphadenectomy, 58 patients (14.8%) received chemotherapy, and 54 patients (13.8%) received radiotherapy. Stage 3/4 and vascular invasion were statically significant at disease-free survival analysis. CONCLUSION: The state of Maranhao has the highest incidence of penile cancer in Brazil and globally. Tumors are locally advanced and at the time of diagnosis, and there is a high frequency among young individuals. Patients have a low socioeconomic status, making it difficult to complete treatment and receive appropriate follow-up. PMID- 29843770 TI - Modelling the impact of larviciding on the population dynamics and biting rates of Simulium damnosum (s.l.): implications for vector control as a complementary strategy for onchocerciasis elimination in Africa. AB - BACKGROUND: In 2012, the World Health Organization set goals for the elimination of onchocerciasis transmission by 2020 in selected African countries. Epidemiological data and mathematical modelling have indicated that elimination may not be achieved with annual ivermectin distribution in all endemic foci. Complementary and alternative treatment strategies (ATS), including vector control, will be necessary. Implementation of vector control will require that the ecology and population dynamics of Simulium damnosum (sensu lato) be carefully considered. METHODS: We adapted our previous SIMuliid POPulation dynamics (SIMPOP) model to explore the impact of larvicidal insecticides on S. damnosum (s.l.) biting rates in different ecological contexts and to identify how frequently and for how long vector control should be continued to sustain substantive reductions in vector biting. SIMPOP was fitted to data from large scale aerial larviciding trials in savannah sites (Ghana) and small-scale ground larviciding trials in forest areas (Cameroon). The model was validated against independent data from Burkina Faso/Cote d'Ivoire (savannah) and Bioko (forest). Scenario analysis explored the effects of ecological and programmatic factors such as pre-control daily biting rate (DBR) and larviciding scheme design on reductions and resurgences in biting rates. RESULTS: The estimated efficacy of large-scale aerial larviciding in the savannah was greater than that of ground based larviciding in the forest. Small changes in larvicidal efficacy can have large impacts on intervention success. At 93% larvicidal efficacy (a realistic value based on field trials), 10 consecutive weekly larvicidal treatments would reduce DBRs by 96% (e.g. from 400 to 16 bites/person/day). At 70% efficacy, and for 10 weekly applications, the DBR would decrease by 67% (e.g. from 400 to 132 bites/person/day). Larviciding is more likely to succeed in areas with lower water temperatures and where blackfly species have longer gonotrophic cycles. CONCLUSIONS: Focal vector control can reduce vector biting rates in settings where a high larvicidal efficacy can be achieved and an appropriate duration and frequency of larviciding can be ensured. Future work linking SIMPOP with onchocerciasis transmission models will permit evaluation of the impact of combined anti-vectorial and anti-parasitic interventions on accelerating elimination of the disease. PMID- 29843771 TI - Neutrophil extracellular traps induce aggregation of washed human platelets independently of extracellular DNA and histones. AB - BACKGROUND: The release of neutrophil extracellular traps (NETs), a mesh of DNA, histones and neutrophil proteases from neutrophils, was first demonstrated as a host defence against pathogens. Recently it became clear that NETs are also released in pathological conditions. NETs released in the blood can activate thrombosis and initiate a cascade of platelet responses. However, it is not well understood if these responses are mediated through direct or indirect interactions. We investigated whether cell-free NETs can induce aggregation of washed human platelets in vitro and the contribution of NET-derived extracellular DNA and histones to platelet activation response. METHODS: Isolated human neutrophils were stimulated with PMA to produce robust and consistent NETs. Cell free NETs were isolated and characterised by examining DNA-histone complexes and quantification of neutrophil elastase with ELISA. NETs were incubated with washed human platelets to assess several platelet activation responses. Using pharmacological inhibitors, we explored the role of different NET components, as well as main platelet receptors, and downstream signalling pathways involved in NET-induced platelet aggregation. RESULTS: Cell-free NETs directly induced dose dependent platelet aggregation, dense granule secretion and procoagulant phosphatidyl serine exposure on platelets. Surprisingly, we found that inhibition of NET-derived DNA and histones did not affect NET-induced platelet aggregation or activation. We further identified the molecular pathways involved in NET activated platelets. The most potent single modulator of NET-induced platelet responses included NET-bound cathepsin G, platelet Syk kinase, and P2Y12 and alphaIIbbeta3 receptors. CONCLUSIONS: In vitro-generated NETs can directly induce marked aggregation of washed human platelets. Pre-treatment of NETs with DNase or heparin did not reduce NET-induced activation or aggregation of human washed platelets. We further identified the molecular pathways activated in platelets in response to NETs. Taken together, we conclude that targeting certain platelet activation pathways, rather than the NET scaffold, has a more profound reduction on NET-induced platelet aggregation. PMID- 29843772 TI - Effectiveness of a standardized electronic admission order set for acute exacerbation of chronic obstructive pulmonary disease. AB - BACKGROUND: Variation in hospital management of patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) may prolong length of stay, increasing the risk of hospital-acquired complications and worsening quality of life. We sought to determine whether an evidence-based computerized AECOPD admission order set could improve quality and reduce length of stay. METHODS: The order set was designed by a provincial COPD working group and implemented voluntarily among three physician groups in a Canadian tertiary-care teaching hospital. The primary outcome was length of stay for patients admitted during order set implementation period, compared to the previous 12 months. Secondary outcomes included length of stay of patients admitted with and without order set after implementation, all-cause readmissions, and emergency department visits. RESULTS: There were 556 admissions prior to and 857 admissions after order set implementation, for which the order set was used in 47%. There was no difference in overall length of stay after implementation (median 6.37 days (95% confidence interval 5.94, 6.81) pre-implementation vs. 6.02 days (95% confidence interval 5.59, 6.46) post-implementation, p = 0.26). In the post-implementation period, order set use was associated with a 1.15-day reduction in length of stay (95% confidence interval - 0.5, - 1.81, p = 0.001) compared to patients admitted without the order set. There was no difference in readmissions. CONCLUSIONS: Use of a computerized guidelines-based admission order set for COPD exacerbations reduced hospital length of stay without increasing readmissions. Interventions to increase order set use could lead to greater improvements in length of stay and quality of care. PMID- 29843773 TI - Paraquat induced acute kidney injury and lung fibrosis: a case report from Bangladesh. AB - BACKGROUND: Since Bangladesh government issued a ban on the use of highly toxic WHO Class I pesticides, annual consumption of herbicides like Paraquat have been sharply increasing in the markets. Paraquat poisoning is an emerging public health threat and its high mortality rate is responsible for a significant number of deaths. Diagnostic limitations and unavailable sample at presentation have resulted in under-reporting and lack of awareness among the treating physicians, making Paraquat poisoning one of the most neglected toxicological emergencies. Herein, we present a case of Paraquat induced multi-organ failure and emphasis on pitfalls in the management. CASE PRESENTATION: An 18-years-old healthy male was admitted in Sylhet M.A.G Osmani Medical College Hospital with history of attempted suicide by Paraquat ingestion. On admission, he had high serum creatinine but otherwise asymptomatic. He was discharged on day 10 when his renal functions returned to normal. But On day 15, he started having respiratory symptoms-unresponsive to any of the local treatments he received, and by day 30, he developed overt lung fibrosis. We present sequential blood picture, radiographs and CT scans demonstrating Paraquat induced kidney and lung injury over the course of 30 days. CONCLUSION: Paraquat poisoning can lead to death and fatal long-term consequences. All cases of Paraquat poisoning, regardless of symptoms, must be hospitalized and observed for early detection of complications. Distribution of Paraquat should be restricted and/or banned as 38 other countries have done so, which we believe will greatly reduce poisoning related mortality. PMID- 29843774 TI - Post-trial follow-up methodology in large randomised controlled trials: a systematic review. AB - BACKGROUND: Randomised controlled clinical trials typically have a relatively brief in-trial follow-up period which can underestimate safety signals and fail to detect long-term hazards, which may take years to appear. Extended follow-up after the scheduled closure of the trial allows detection of both persistent or enhanced beneficial effects following cessation of study treatment (i.e. a legacy effect) and the emergence of possible adverse effects (e.g. development of cancer). METHODS: A systematic review was conducted following PRISMA guidelines to qualitatively compare post-trial follow-up methods used in large randomised controlled trials. Five bibliographic databases, including Medline and the Cochrane Library, and one trial registry were searched. All large randomised controlled trials (more than 1000 adult participants) published from March 2006 to April 2017 were evaluated. Two reviewers screened and extracted data attaining > 95% concordance of papers checked. Assessment of bias in the trials was evaluated using the Cochrane Risk of Bias tool. RESULTS: Fifty-seven thousand three hundred and fifty-two papers were identified and 65 trials which had post trial follow-up (PTFU) were included in the analysis. The majority of trials used more than one type of follow-up. There was no evidence of an association between the retention rates of participants in the PTFU period and the type of follow-up used. Costs of PTFU varied widely with data linkage being the most economical. It was not possible to assess associations between risk of bias during the in-trial period and proportions lost to follow-up during the PTFU period. DISCUSSION: Data captured during the post-trial follow-up period can add scientific value to a trial. However, there are logistical and financial barriers to overcome. Where available, data linkage via electronic registries and records is a cost-effective method which can provide data on a range of endpoints. SYSTEMATIC REVIEW REGISTRATION: Not applicable for PROSPERO registration. PMID- 29843775 TI - On the journey from nematode to human, scientists dive by the zebrafish cell lineage tree. AB - Three recent single-cell papers use novel CRISPR-Cas9-sgRNA genome editing methods to shed light on the zebrafish cell lineage tree. PMID- 29843776 TI - Fatigue independently predicts different work disability dimensions in etanercept treated rheumatoid arthritis and ankylosing spondylitis patients. AB - BACKGROUND: Work disability remains a significant problem in ankylosing spondylitis (AS) and rheumatoid arthritis (RA), despite biological therapy. This study aimed to test the hypothesis that the prevalent symptom of fatigue longitudinally predicts work disability among RA and AS patients commencing etanercept. METHODS: Two observational studies, comprising RA and AS etanercept commencers, respectively, were analysed. Both provided data on work disability over 1 year and a comprehensive set of putative predictors, including fatigue. A series of repeated measures models were conducted, including baseline variables, visit (6/12 months), and the interaction between visit and each of the explanatory variables. RESULTS: A total of 1003 AS and 1747 RA patients were assessed. For AS, fatigue was significantly associated with presenteeism (linear mixed model coefficient 3.75, 95% confidence interval (CI) 2.14 to 5.36) and activity impairment (2.62, 1.26 to 3.98), but not with work productivity loss (1.81, -0.40 to 4.02) or absenteeism (generalised linear mixed model odds ratio (OR) 1.18, 95% CI 0.92 to 1.51). In RA, fatigue was associated with presenteeism (coefficient 3.44, 95% CI 2.17 to 4.70), activity impairment (1.52, 0.79 to 2.26), work productivity loss (4.16, 2.47 to 5.85), and absenteeism (OR 1.23, 95% CI 1.02 to 1.49). The lack of significant interactions between fatigue and visit supported a consistent effect of baseline fatigue over time. CONCLUSIONS: Among patients beginning etanercept therapy, fatigue has a significant and independent effect on absenteeism, presenteeism, productivity loss, and activity impairment for RA patients and a significant but dimension-selective effect on work disability among AS patients. TRIAL REGISTRATION: ClinicalTrials.gov, NCT00544557 . Registered on 16 October 2007. ClinicalTrials.gov, NCT00488475 . Registered on 20 June 2006. PMID- 29843777 TI - Rare copy number variants analysis identifies novel candidate genes in heterotaxy syndrome patients with congenital heart defects. AB - BACKGROUND: Heterotaxy (Htx) syndrome comprises a class of congenital disorders resulting from malformations in left-right body patterning. Approximately 90% of patients with heterotaxy have serious congenital heart diseases; as a result, the survival rate and outcomes of Htx patients are not satisfactory. However, the underlying etiology and mechanisms in the majority of Htx cases remain unknown. The aim of this study was to investigate the function of rare copy number variants (CNVs) in the pathogenesis of Htx. METHODS: We collected 63 sporadic Htx patients with congenital heart defects and identified rare CNVs using an Affymetrix CytoScan HD microarray and real-time polymerase chain reaction. Potential candidate genes associated with the rare CNVs were selected by referring to previous literature related to left-right development. The expression patterns and function of candidate genes were further analyzed by whole mount in situ hybridization, morpholino knockdown, clustered regularly interspaced short palindromic repeats (CRISPR)/CRISPR-associated protein 9 (Cas9) mediated mutation, and over-expressing methods with zebrafish models. RESULTS: Nineteen rare CNVs were identified for the first time in patients with Htx. These CNVs include 5 heterozygous genic deletions, 4 internal genic duplications, and 10 complete duplications of at least one gene. Further analyses of the 19 rare CNVs identified six novel potential candidate genes (NUMB, PACRG, TCTN2, DANH10, RNF115, and TTC40) linked to left-right patterning. These candidate genes exhibited early expression patterns in zebrafish embryos. Functional testing revealed that downregulation and over-expression of five candidate genes (numb, pacrg, tctn2, dnah10, and rnf115) in zebrafish resulted in disruption of cardiac looping and abnormal expression of lefty2 or pitx2, molecular markers of left right patterning. CONCLUSIONS: Our findings show that Htx with congenital heart defects in some sporadic patients may be attributed to rare CNVs. Furthermore, DNAH10 and RNF115 are Htx candidate genes involved in left-right patterning which have not previously been reported in either humans or animals. Our results also advance understanding of the genetic components of Htx. PMID- 29843779 TI - Grifolic acid induces GH3 adenoma cell death by inhibiting ATP production through a GPR120-independent mechanism. AB - BACKGROUND: Grifolic acid is a derivative of grifolin, an antitumor natural compound, and it was reported as an agonist of free fatty acid receptor GPR120. Little is known about its antitumor effects and the involvement of GPR120. METHODS: GH3 cells, the rat anterior pituitary adenoma cells, were cultured and the cell death was measured by MTT assay and Annexin V/PI staining. The mitochondrial membrane potential (MMP) of GH3 cells was measured by JC-1 staining. Cellular ATP levels and the intracellular NAD/NADH ratio were measured. GPR120 expression in GH3 cells was observed by RT-PCR and Western Blot, and siRNA was used to inhibit GPR120 expression in GH3 cells. RESULTS: Grifolic acid dose- and time-dependently induced the necrosis of GH3 cells. Grifolic acid significantly reduced the mitochondrial membrane potential (MMP) and decreased cellular ATP levels in GH3 cells. In contrast, the MMP of isolated mitochondria was not decreased by grifolic acid. The intracellular NAD/NADH ratio was significantly increased by grifolic acid. GPR120 is expressed in GH3 cells, but GPR120 agonists such as EPA, GW9508 and TUG891 did not affect the viability of GH3 cells. Moreover, GPR120 siRNA knockdown showed no significant influence on grifolic acid-induced GH3 cell death. CONCLUSION: Grifolic acid induces GH3 cell death by decreasing MMP and inhibiting ATP production, which may be due to the inhibition of NADH production through a GPR120-independent mechanism. PMID- 29843778 TI - Searching for the proverbial needle in a haystack: advances in mosquito-borne arbovirus surveillance. AB - Surveillance is critical for the prevention and control of mosquito-borne arboviruses. Detection of elevated or emergent virus activity serves as a warning system to implement appropriate actions to reduce outbreaks. Traditionally, surveillance of arboviruses has relied on the detection of specific antibodies in sentinel animals and/or detection of viruses in pools of mosquitoes collected using a variety of sampling methods. These methods, although immensely useful, have limitations, including the need for a cold chain for sample transport, cross reactivity between related viruses in serological assays, the requirement for specialized equipment or infrastructure, and overall expense. Advances have recently been made on developing new strategies for arbovirus surveillance. These strategies include sugar-based surveillance, whereby mosquitoes are collected in purpose-built traps and allowed to expectorate on nucleic acid preservation cards which are submitted for virus detection. New diagnostic approaches, such as next generation sequencing, have the potential to expand the genetic information obtained from samples and aid in virus discovery. Here, we review the advancement of arbovirus surveillance systems over the past decade. Some of the novel approaches presented here have already been validated and are currently being integrated into surveillance programs. Other strategies are still at the experimental stage, and their feasibility in the field is yet to be evaluated. PMID- 29843780 TI - The implementation of the free maternal health policy in rural Northern Ghana: synthesised results and lessons learnt. AB - OBJECTIVE: A free maternal health policy was implemented under Ghana's National Health Insurance Scheme to promote the use of maternal health services. Under the policy, women are entitled to free services throughout pregnancy and at childbirth. A mixed methods study involving women, providers and insurance managers was carried out in the Kassena-Nankana municipality of Ghana. It explored the affordability, availability, acceptability and quality of services. In this manuscript, we present synthesised results categorised as facilitators and barriers to access as well as lessons learnt (implications). RESULTS: Reasonable waiting times, cleanliness of facilities as well as good interpersonal relationships with providers were the facilitators to access. Barriers included out of pocket payments, lack of, or inadequate supply of drugs and commodities, equipment, water, electricity and emergency transport. Four lessons (implications) were identified. Firstly, out of pocket payments persisted. Secondly, the health system was not strengthened before implementing the free maternal health policy. Thirdly, lower level facilities were poorly resourced. Finally, the lack of essential inputs and infrastructure affected quality of care and therefore, access to care. It is suggested that the Government of Ghana, the Health Insurance Scheme and other stakeholders improve the provision of resources to facilities. PMID- 29843781 TI - Daptomycin versus placebo as an adjunct to beta-lactam therapy in the treatment of Staphylococcus aureus bacteremia: study protocol for a randomized controlled trial. AB - BACKGROUND: Staphylococcus aureus bacteremia is associated with significant morbidity and mortality. To treat this infection, the current standard of care includes intravenous anti-staphylococcal beta-lactam antibiotics and obtaining adequate source control. Combination therapy with an aminoglycoside or rifampin, despite early promise, can no longer be routinely recommended due to an absence of proven benefit and risk of harm. Daptomycin is a rapidly acting bactericidal antibiotic that is approved for the treatment of Staphylococcus aureus bacteremia as monotherapy but has not been shown to be superior to the current standard of care. As demonstrated in vitro, the addition of daptomycin to beta-lactam therapy may result in enhanced anti-staphylococcal activity. Our objective is to assess the efficacy and safety of prescribing the combination of daptomycin with cefazolin or cloxacillin for the treatment of methicillin-susceptible Staphylococcus aureus (MSSA) bacteremia in adults. We hypothesize that adjunctive therapy with daptomycin will reduce the duration of bacteremia in this population. METHODS: The DASH-RCT trial is a randomized, double blind, placebo controlled trial designed per the Standard Protocol Items: Recommendation for Interventional Trials (SPIRIT) and Consolidated Standards of Reporting Trials (CONSORT) guidelines. We recruit adults with confirmed MSSA bacteremia, at the McGill University Health Center. Patients are eligible if they are 18 years or older, can receive cefazolin or cloxacillin monotherapy, and are enrolled within 72 h of the first blood culture being drawn. Exclusion criteria include anaphylaxis to study drugs, having polymicrobial bacteremia, anticipated hospital admission for < 5 days, and healthcare team refusal. While receiving standard of care, study patients are randomized to a 5-day course of adjunctive daptomycin or placebo. The trial began in December 2016 and is expected to end in December 2018, after recruiting an estimated 102 patients. DISCUSSION: The DASH-RCT will compare the use of daptomycin as an adjunct to an anti-staphylococcal beta-lactam versus placebo in the treatment of MSSA bacteremia. We believe that a short course of dual therapy will result in earlier eradication of bacteremia and that subsequent research could evaluate effects on metastatic infection, relapse, and/or mortality. Ongoing issues in the trial include a delay between presentation of infection, enrollment in the trial, and the potential for unrecognized deep foci of infection at diagnosis. TRIAL REGISTRATION: ClinicalTrials.gov, NCT02972983 . Registered on 25 November 2016. Trial protocol: http://individual.utoronto.ca/leet/dash/dashprotocol.pdf. PMID- 29843782 TI - Spontaneous regression of mantle cell lymphoma: a report of four cases. AB - BACKGROUND: Spontaneous regression has been reported in some indolent forms of lymphoma. Mantle cell lymphoma (MCL) is an aggressive lymphoid neoplasm and has a poor prognosis. However, approximately 30% of MCL patients can exhibit indolent clinical behavior. To date, complete spontaneous regression of MCL has not been reported. CASE PRESENTATION: We describe four cases of spontaneous regression of MCL. At the time of presentation, these patients were asymptomatic, with lymph node enlargement and mild to moderate fluorodeoxyglucose (FDG) uptake on FDG positron emission tomography combined with computed tomography. One of the possible mechanisms of spontaneous regression of the tumor could be due to the host immune response through humoral and cellular immunity, which may have a role in the clearance of tumor cells. CONCLUSIONS: In this report, we support the use of a "wait and watch" strategy for MCL patients with no risk factors and indolent behavior. This strategy helps spare patients from further potentially harmful chemotherapy. In addition, we describe the phenomenon of spontaneous regression in MCL patients who are asymptomatic and have low-volume disease. PMID- 29843783 TI - Plasmodium falciparum msp1 and msp2 genetic diversity and allele frequencies in parasites isolated from symptomatic malaria patients in Bobo-Dioulasso, Burkina Faso. AB - BACKGROUND: In Burkina Faso, malaria remains the overall leading cause of morbidity and mortality accounting for 35.12% of consultations, 40.83% of hospitalizations and 37.5% of deaths. Genotyping of malaria parasite populations remains an important tool to determine the types and number of parasite clones in an infection. The present study aimed to evaluate the merozoite surface protein 1 (msp1) and merozoite surface protein 2 (msp2) genetic diversity and allele frequencies in Bobo-Dioulasso, Burkina Faso. METHOD: Dried blood spots (DBS) were collected at baseline from patients with uncomplicated malaria in urban health centers in Bobo-Dioulasso. Parasite DNA was extracted using chelex-100 and species were identified using nested PCR. Plamodium falciparum msp1 and msp2 genes were amplified by nested polymerase chain reaction (PCR) and PCR products were analyzed by electrophoresis on a 2.5% agarose gel. Alleles were categorized according to their molecular weight. RESULTS: A total of 228 blood samples were analyzed out of which 227 (99.9%) were confirmed as P. falciparum-positive and one sample classified as mixed infection for P. malaria and P. falciparum. In msp1, the K1 allelic family was predominant with 77.4% (162/209) followed respectively by the MAD20 allelic family with 41.3% and R033 allelic family with 36%. In msp2, the 3D7 allelic family was the most frequently detected with 93.1 % compared to FC27 with 41.3%. Twenty-one different alleles were observed in msp1 with 9 alleles for K1, 8 alleles for MAD20 and 4 alleles for R033. In msp2, 25 individual alleles were detected with 10 alleles for FC27 and 15 alleles for 3D7. The mean multiplicity of falciparum infection was 1.95 with respectively 1.8 (1.76-1.83) and 2.1 (2.03-2.16) for msp1 and msp2 (P = 0.01). CONCLUSIONS: Our study showed high genetic diversity and allelic frequencies of msp1 and msp2 in Plasmodium falciparum isolates from symptomatic malaria patients in Bobo Dioulasso. PMID- 29843784 TI - Effect of the nematophagous fungus Pochonia chlamydosporia on soil content of ascarid eggs and infection levels in exposed hens. AB - BACKGROUND: The nematophagous fungus Pochonia chlamydosporia can degrade ascarid (e.g. Ascaridia galli) eggs in agar and soil in vitro. However, it has not been investigated how this translates to reduced infection levels in naturally exposed chickens. We thus tested the infectivity of soil artificially contaminated with A. galli (and a few Heterakis gallinarum) eggs and treated with P. chlamydosporia. Sterilised and non-sterilised soils were used to examine any influence of natural soil biota. METHODS: Unembryonated eggs were mixed with sterilised (S)/non-sterilised (N) soil, either treated with the fungus (F) or left as untreated controls (C) and incubated (22 degrees C, 35 days) to allow eggs to embryonate and fungus to grow. Egg number in soil was estimated on days 0 and 35 post-incubation. Hens were exposed to the soil (SC/SF/NC/NF) four times over 12 days by mixing soil into the feed. On day 42 post-first-exposure (p.f.e.), the hens were euthanized and parasites were recovered. Serum A. galli IgY level and ascarid eggs per gram of faeces (EPG) were examined on days -1 and 36 (IgY) or 40 p.f.e. (EPG). RESULTS: Egg recovery in SF soil was substantially lower than in SC soil, but recovery was not significantly different between NF and NC soils. SF hens had a mean worm count of 76 whereas the other groups had means of 355-453. Early mature/mature A. galli were recovered from SF hens whereas hens in the other groups harboured mainly immature A. galli. Heterakis gallinarum counts were low overall, especially in SF. The SF post-exposure IgY response was significantly lower while EPG was significantly higher compared to the other groups. CONCLUSIONS: Pochonia chlamydosporia was very effective in reducing ascarid egg numbers in sterilised soil and thus worm burdens in the exposed hens. However, reduced exposure of hens shifted A. galli populations toward a higher proportion of mature worms and resulted in a higher faecal egg excretion within the study period. This highlights a fundamental problem in ascarid control: if not all eggs in the farm environment are inactivated, the resulting low level infections may result in higher contamination levels with associated negative long-term consequences. PMID- 29843785 TI - Oxidative stress impairs energy metabolism in primary cells and synovial tissue of patients with rheumatoid arthritis. AB - BACKGROUND: In this study, we examined the effect of oxidative stress on cellular energy metabolism and pro-angiogenic/pro-inflammatory mechanisms of primary rheumatoid arthritis synovial fibroblast cells (RASFC) and human umbilical vein endothelial cells (HUVEC). METHODS: Primary RASFC and HUVEC were cultured with the oxidative stress inducer 4-hydroxy-2-nonenal (4-HNE), and extracellular acidification rate, oxygen consumption rate, mitochondrial function and pro angiogenic/pro-inflammatory mechanisms were assessed using the Seahorse analyser, complex I-V activity assays, random mutation mitochondrial capture assays, enzyme linked immunosorbent assays and functional assays, including angiogenic tube formation, migration and invasion. Expression of angiogenic growth factors in synovial tissue (ST) was assessed by IHC in patients with rheumatoid arthritis (RA) undergoing arthroscopy before and after administration of tumour necrosis factor inhibitors (TNFi). RESULTS: In RASFC and HUVEC, 4-HNE-induced oxidative stress reprogrammed energy metabolism by inhibiting mitochondrial basal, maximal and adenosine triphosphate-linked respiration and reserve capacity, coupled with the reduced enzymatic activity of oxidative phosphorylation complexes III and IV. In contrast, 4-HNE elevated basal glycolysis, glycolytic capacity and glycolytic reserve, paralleled by an increase in mitochondrial DNA mutations and reactive oxygen species. 4-HNE activated pro-angiogenic responses of RASFC, which subsequently altered HUVEC invasion and migration, angiogenic tube formation and the release of pro-angiogenic mediators. In vivo markers of angiogenesis (vascular endothelial growth factor, angiopoietin 2 [Ang2], tyrosine kinase receptor [Tie2]) were significantly associated with oxidative damage and oxygen metabolism in the inflamed synovium. Significant reduction in ST vascularity and Ang2/Tie2 expression was demonstrated in patients with RA before and after administration of TNFi. CONCLUSIONS: Oxidative stress promotes metabolism in favour of glycolysis, an effect that may contribute to acceleration of inflammatory mechanisms and subsequent dysfunctional angiogenesis in RA. PMID- 29843786 TI - ELISA based on a recombinant Paragonimus heterotremus protein for serodiagnosis of human paragonimiasis in Thailand. AB - BACKGROUND: Paragonimus heterotremus is the main causative agent of paragonimiasis in Thailand. In Western blot diagnostic assays for paragonimiasis, the 35 kDa band present in crude P. heterotremus somatic extracts represents one of the known diagnostic bands. This study aimed to use a P. heterotremus cDNA library to create a recombinant version of this antigen for use in immunodiagnosis of paragonimiasis. METHODS: To accomplish this aim a cDNA expression library was constructed from adult worm mRNA and immuno-screened using antibodies from mice that had been immunized with the 35 kDa antigen. Screening resulted in the identification of an immunoreactive protein encoded by clone CE3, which contained an inserted sequence composed of 1292 base pairs. This clone was selected for use in the construction of a recombinant P. heterotremus protein because of its similarity to proactivator polypeptide. For recombinant protein expression, the CE3 gene sequence was inserted into the plasmid vector pRset and the resulting product had the expected molecular weight of 35 kDa. An IgG-ELISA based on the CE3 recombinant protein was evaluated by using sera from healthy individuals, from patients with paragonimiasis and other parasitic infections. This ELISA was performed by using human sera diluted at 1:2000, an optimized antigen concentration of 1 MUg/ml, and anti-human IgG diluted at 1:4000. RESULTS: The cut-off optical density value was set as the mean + 2 standard deviations (0.54), which resulted in the test having a sensitivity of 88.89% and a specificity of 95.51%. The recombinant antigen could react with antibodies from P. heterotremus, P. pseudoheterotremus and P. westermani infections. Cross reactivity occurred with a few cases of Blastocystis hominis infection (2/3), Bancroftian filariasis (1/10), opisthorchiasis (3/10), strongyloidiasis (4/10) and neurocysticercosis (1/11). CONCLUSIONS: Given the high test sensitivity and specificity, reflected in the low level of heterologous infection cross reactivity (11/215 serum samples), observed in the IgG-ELISA, this 35 kDa antigen may be useful for the detection of paragonimiasis. PMID- 29843787 TI - Sex differences in basal hypothalamic anorectic and orexigenic gene expression and the effect of quantitative and qualitative food restriction. AB - BACKGROUND: Research into energy balance and growth has infrequently considered genetic sex, yet there is sexual dimorphism for growth across the animal kingdom. We test the hypothesis that in the chicken, there is a sex difference in arcuate nucleus neuropeptide gene expression, since previous research indicates hypothalamic AGRP expression is correlated with growth potential and that males grow faster than females. Because growth has been heavily selected in some chicken lines, food restriction is necessary to improve reproductive performance and welfare, but this increases hunger. Dietary dilution has been proposed to ameliorate this undesirable effect. We aimed to distinguish the effects of gut fullness from nutritional feedback on hypothalamic gene expression and its interaction with sex. METHODS: Twelve-week-old male and female fast-growing chickens were either released from restriction and fed ad libitum or a restricted diet plus 15% w/w ispaghula husk, a non-nutritive bulking agent, for 2 days. A control group remained on quantitative restriction. Hypothalamic arcuate nucleus neuropeptides were measured using real-time PCR. To confirm observed sex differences, the experiment was repeated using only ad libitum and restricted fed fast-growing chickens and in a genetically distinct breed of ad libitum fed male and female chickens. Linear mixed models (Genstat 18) were used for statistical analysis with transformation where appropriate. RESULTS: There were pronounced sex differences: expression of the orexigenic genes AGRP (P < 0.001) and NPY (P < 0.002) was higher in males of the fast-growing strain. In genetically distinct chickens, males had higher AGRP mRNA (P = 0.002) expression than females, suggesting sex difference was not restricted to a fast-growing strain. AGRP (P < 0.001) expression was significantly decreased in ad libitum fed birds but was high and indistinguishable between birds on a quantitative versus qualitative restricted diet. Inversely, gene expression of the anorectic genes POMC and CART was significantly higher in ad libitum fed birds but no consistent sex differences were observed. CONCLUSION: Expression of orexigenic peptides in the avian hypothalamus are significantly different between sexes. This could be useful starting point of investigating further if AGRP is an indicator of growth potential. Results also demonstrate that gut fill alone does not reduce orexigenic gene expression. PMID- 29843788 TI - The lack of association between the burden of monosodium urate crystals assessed with dual-energy computed tomography or ultrasonography with cardiovascular risk in the commonly high-risk gout patient. AB - BACKGROUND: Gout is associated with higher cardiovascular risk that increases with disease severity. The objective of this study was to explore the relationship between the extent of monosodium urate (MSU) crystal deposition, assessed with ultrasonography (US) and dual-energy computed tomography (DECT), and cardiovascular risk. METHODS: Gout patients were included in this cross sectional study to undergo DECT scans for the assessment of total MSU volume deposition in the knees and feet, and US to evaluate the number of joints with the double contour (DC) sign. Participants were screened for traditional cardiovascular risk factors, and levels of the American College of Cardiology (ACC)/American Heart Association (AHA) 10-year risk for heart disease or stroke were calculated. The primary endpoint was the Spearman correlation coefficient rho between DECT MSU volume and cardiovascular risk. RESULTS: A total of 42 patients were included; they were predominantly male (40/42) and aged 63.0 +/- 13.2 years. Overall, 28/42 patients presented with the metabolic syndrome and the average 10-year coronary event or stroke risk according to the ACC/AHA (n = 33) was 21 +/- 15%. Correlations between DECT volumes of MSU deposits in the knees, feet, and knees + feet and cardiovascular risk according to the ACC/AHA were very poor, with rho = 0.18, -0.01, and 0.13, respectively. The was no correlation between the number of joints with the DC sign and cardiovascular risk (rho = 0.07). DECT MSU deposit volume was similar in patients with and without metabolic syndrome (p = 0.29). CONCLUSIONS: The extent of MSU burden does not increase the estimated risk of cardiovascular events in gout patients. PMID- 29843789 TI - An optimized library for reference-based deconvolution of whole-blood biospecimens assayed using the Illumina HumanMethylationEPIC BeadArray. AB - Genome-wide methylation arrays are powerful tools for assessing cell composition of complex mixtures. We compare three approaches to select reference libraries for deconvoluting neutrophil, monocyte, B-lymphocyte, natural killer, and CD4+ and CD8+ T-cell fractions based on blood-derived DNA methylation signatures assayed using the Illumina HumanMethylationEPIC array. The IDOL algorithm identifies a library of 450 CpGs, resulting in an average R2 = 99.2 across cell types when applied to EPIC methylation data collected on artificial mixtures constructed from the above cell types. Of the 450 CpGs, 69% are unique to EPIC. This library has the potential to reduce unintended technical differences across array platforms. PMID- 29843790 TI - Systematic evaluation of CRISPR-Cas systems reveals design principles for genome editing in human cells. AB - BACKGROUND: While CRISPR-Cas systems hold tremendous potential for engineering the human genome, it is unclear how well each system performs against one another in both non-homologous end joining (NHEJ)-mediated and homology-directed repair (HDR)-mediated genome editing. RESULTS: We systematically compare five different CRISPR-Cas systems in human cells by targeting 90 sites in genes with varying expression levels. For a fair comparison, we select sites that are either perfectly matched or have overlapping seed regions for Cas9 and Cpf1. Besides observing a trade-off between cleavage efficiency and target specificity for these natural endonucleases, we find that the editing activities of the smaller Cas9 enzymes from Staphylococcus aureus (SaCas9) and Neisseria meningitidis (NmCas9) are less affected by gene expression than the other larger Cas proteins. Notably, the Cpf1 nucleases from Acidaminococcus sp. BV3L6 and Lachnospiraceae bacterium ND2006 (AsCpf1 and LbCpf1, respectively) are able to perform precise gene targeting efficiently across multiple genomic loci using single-stranded oligodeoxynucleotide (ssODN) donor templates with homology arms as short as 17 nucleotides. Strikingly, the two Cpf1 nucleases exhibit a preference for ssODNs of the non-target strand sequence, while the popular Cas9 enzyme from Streptococcus pyogenes (SpCas9) exhibits a preference for ssODNs of the target strand sequence instead. Additionally, we find that the HDR efficiencies of Cpf1 and SpCas9 can be further improved by using asymmetric donors with longer arms 5' of the desired DNA changes. CONCLUSIONS: Our work delineates design parameters for each CRISPR-Cas system and will serve as a useful reference for future genome engineering studies. PMID- 29843791 TI - The role of adrenaline in cardiopulmonary resuscitation. AB - Adrenaline has been used in the treatment of cardiac arrest for many years. It increases the likelihood of return of spontaneous circulation (ROSC), but some studies have shown that it impairs cerebral microcirculatory flow. It is possible that better short-term survival comes at the cost of worse long-term outcomes. This narrative review summarises the rationale for using adrenaline, significant studies to date, and ongoing research. PMID- 29843792 TI - Safety and efficacy of obinutuzumab in Chinese patients with B-cell lymphomas: a secondary analysis of the GERSHWIN trial. AB - BACKGROUND: Patients with relapsed/refractory B-cell lymphomas have limited treatment options. GERSHWIN is an open-label, single-arm, phase Ib study of obinutuzumab monotherapy in Chinese patients with histologically documented CD20+ relapsed/refractory chronic lymphocytic leukemia (CLL), diffuse large B-cell lymphoma (DLBCL), or follicular lymphoma (FL). The primary outcome measure of pharmacokinetics has been previously reported. We now present data on the secondary endpoint measures (e.g., safety, and efficacy and pharmacodynamics). METHODS: Patients received 1000 mg obinutuzumab intravenously on days 1, 8, and 15 of cycle 1 (CLL patients; first dose split over 2 days), and on day 1 of cycles 2-8. Each cycle lasted for 21 days; the treatment period was 24 weeks. All subjects receiving at least one dose of obinutuzumab were included in the analysis of safety, efficacy, as well as pharmacodynamics. RESULTS: A total of 48 patients (> 18 years of age) were enrolled (CLL: 12; DLBCL: 23; FL: 13). The subjects received a median of two lines of anticancer treatment prior to the enrollment. Thirty-five patients (72.9%) had at least one adverse event (AE). The most frequent AE was infusion-related reactions (15 patients; 31.3%), followed by pyrexia (11 patients; 22.9%). Treatment-related AEs were reported in 28 patients (58.3%), and included one death (interstitial lung disease). End-of-treatment (EoT) response rate was 33.3%. Best overall response rate was 47.9%. Most CLL patients achieved a partial response at EoT (58.3%). CD19+ depletion occurred in 75.0% of the patients with CLL, and all patients with FL and DLBCL. CONCLUSIONS: The safety and efficacy of obinutuzumab monotherapy in Chinese patients with B cell lymphomas were similar to that observed in previous studies in non-Chinese patients; no new safety signals were observed. Clinical trial registration ID NCT01680991. PMID- 29843793 TI - Triglyceride to high-density lipoprotein cholesterol (HDL-C) ratio and arterial stiffness in Japanese population: a secondary analysis based on a cross-sectional study. AB - BACKGROUND: Previous studies have revealed that triglyceride to high-density lipoprotein cholesterol (HDL-C) ratio (henceforth TG/HDL-C) is one of major risk factors of cardiovascular diseases, insulin resistance and metabolism syndrome. However, there are fewer scientific dissertations about the correlation between TG/HDL-C and bapWV. This study was undertaken to investigate the relationship between Triglyceride (TG) to high-density lipoprotein cholesterol (HDL-C) ratio and brachial-ankle pulse wave velocity (baPWV) in Japanese. METHODS: The present study was a cross-sectional study. 912 Japanese men and women, aging 24-84 years old, received a health medical a health check-up program including the results from baPWV inspection and various standardized questionnaire in a health examination Center in Japan. Main outcome measures included TG/HDL-C ratio, baPWV, fatty liver, postmenopausal status. Abdominal ultrasonography was used to diagnose fatty liver. Postmenopausal state was defined as beginning 1 year after the cessation of menses. It was noted that the entire study was completed by Fukuda et al., and uploaded the data to the DATADRYAD website. The author only used this data for secondary analysis. RESULTS: After adjusting potential confounders (age, sex, BMI, SBP, DBP, AST, ALT, GGT, uric acid, fasting glucose, TC, LDL, eGFR, smoking and exercise status, fatty liver, alcohol consumption and ABI), non-linear relationship was detected between TG/HDL-C and baPWV, whose point was 5.6. The effect sizes and the confidence intervals on the left and right sides of inflection point were 12.7 (1.9 to 23.5) and - 16.7 (- 36.8 to 3.3), respectively. Subgroup analysis showed, in participants with excessive alcohol consumption (more than 280 g/week), that TG/HDL-C had a negative correlation with BAPWV (beta = - 30.7, 95%CI (- 53.1, - 8.4)), and the P for interaction was less than 0.05, CONCLUSION: The relationship between TG/HDL-C and baPWV is non-linear. TG/HDL-C was positively related with baPWV when TG/HDL-C is less than 5.6. In addition, while the trend is opposite in excessive alcoholic subjects. PMID- 29843794 TI - The opposite roles of PAS-5 and Galectin-1 in immune response during the early infection of Angiostrongylus cantonensis. AB - BACKGROUND: Angiostrongylus cantonensis is a human zoonotic nematode parasite. Our previous studies found that PAS-5 and Galectin-1 (Gal-1) proteins of A. cantonensis could be strongly recognized by sera from mice infected with A. cantonensis. In this study, we further evaluated the potential roles of these two proteins in the induction of immune response in mice. METHODS: Mice were immunized with recombinant PAS-5 or Gal-1 and then challenged with 30 infective A. cantonensis larvae following the last immunization. We then examined the infected mice for changes in serum antibodies and cytokines by ELISA, CD4+ T cells and CD4+CD25+FoxP3+ regulatory T cells (Tregs) by flow cytometry, and tissue damage severity by hematoxylin-eosin (H&E) staining. RESULTS: Compared with control mice, the PAS-5-immunized mice exhibited increased levels of serum antibodies and cytokines (except for IL-10) at different time points post infection. PAS-5 immunization promoted significant proliferation of CD4+ T cells, and caused more damage in the brain tissue. Vaccination with Gal-1 inhibited the production of antibodies (except for IgG1) and IFN-gamma, but promoted the expression of IL-4 and IL-10. Gal-1 immunization results in significant increases in the levels of CD4+CD25+FoxP3+ Tregs, and mild inflammatory changes. CONCLUSIONS: Taken together, our findings show that PAS-5 enhances, but Gal-1 inhibits the immune response in the early stage of A. cantonensis infections. PMID- 29843795 TI - Is telephone health coaching a useful population health strategy for supporting older people with multimorbidity? An evaluation of reach, effectiveness and cost effectiveness using a 'trial within a cohort'. AB - BACKGROUND: Innovative ways of delivering care are needed to improve outcomes for older people with multimorbidity. Health coaching involves 'a regular series of phone calls between patient and health professional to provide support and encouragement to promote healthy behaviours'. This intervention is promising, but evidence is insufficient to support a wider role in multimorbidity care. We evaluated health coaching in older people with multimorbidity. METHODS: We used the innovative 'Trials within Cohorts' design. A cohort was recruited, and a trial was conducted using a 'patient-centred' consent model. A randomly selected group within the cohort were offered the intervention and were analysed as the intervention group whether they accepted the offer or not. The intervention sought to improve the skills of patients with multimorbidity to deal with a range of long-term conditions, through health coaching, social prescribing and low intensity support for low mood. RESULTS: We recruited 4377 older people, and 1306 met the eligibility criteria (two or more long-term conditions and moderate 'patient activation'). We selected 504 for health coaching, and 41% consented. More than 80% of consenters received the defined 'dose' of 4+ sessions. In an intention-to-treat analysis, those selected for health coaching did not improve on any outcome (patient activation, quality of life, depression or self-care) compared to usual care. We examined health care utilisation using hospital administrative and self-report data. Patients selected for health coaching demonstrated lower levels of emergency care use, but an increase in the use of planned services and higher overall costs, as well as a quality-adjusted life year (QALY) gain. The incremental cost per QALY was L8049, with a 70-79% probability of being cost-effective at conventional levels of willingness to pay. CONCLUSIONS: Health coaching did not lead to significant benefits on the primary measures of patient-reported outcome. This is likely related to relatively low levels of uptake amongst those selected for the intervention. Demonstrating effectiveness in this design is challenging, as it estimates the effect of being selected for treatment, regardless of whether treatment is adopted. We argue that the treatment effect estimated is appropriate for health coaching, a proactive model relevant to many patients in the community, not just those seeking care. TRIAL REGISTRATION: International Standard Randomised Controlled Trial Number ( ISRCTN12286422 ). PMID- 29843796 TI - Level of modern health care seeking behaviors among mothers having under five children in Dangila town, north West Ethiopia, 2016: a cross sectional study. AB - BACKGROUND: Health seeking behavior is an action taken by an individual who perceive to have a health problem. In most developing countries including Ethiopia the health of the children is strongly dependant on maternal health care behavior. Most childhood morbidities and mortalities are associated with low level of mothers health care seeking behavior. Therefore, the objective of this study was to assess level of modern health care seeking behavior among mothers having under five children in Dangila town, North West Ethiopia. METHODS: Community based quantitative cross-sectional study was conducted from April 15 to May 15, 2016. Systematic random sampling technique was used to select study participants. A total of273 mothers with children less than five years were included in this study. The data was collected from all five Kebeles using interviewer administered questionnaire. Descriptive and inferential statistics were used to present the data. Both bivariate and multivariate logistic regression analyses were used to identify factors associated with level of modern health care seeking behavior. RESULTS: Prevalence of modern health care seeking behavior was 82.1%. Age of mothers (AOR = 2.4(1.1, 5.3), age of the child (AOR = 6.7(2.8, 22.2), severity of illness (AOR = 5.2(1.2, 22.6) and family number (AOR = 6.4(2.1, 20.2) were predictors of modern health care seeking behavior among mothers. CONCLUSIONS: Majority of the mothers preferred to take their children to modern health care when they got illness. Age of children, age of mother, number of family and severity of illness were the determinant factors for modern health care seeking behavior. Therefore, health care services should be strengthened at community level through community integrated management of childhood illness, information, education communication / behavioral change communication strategies to improve mothers health care seeking behaviors. PMID- 29843797 TI - Preparation of an epitope-based recombinant diagnostic antigen specific to anti phospholipase A2 receptor 1 antibodies. AB - BACKGROUND: According to recent studies, the phospholipase A2 receptor 1 (PLA2R1) may be used as a biomarker to diagnose idiopathic membranous nephropathy (iMN). Moreover, the immune-dominant regions of PLA2R1 have been identified. The aim of the present study was to construct a diagnostic antigen based on the immune dominant region of PLA2R1 and develop a specific serological detection method for PLA2R1 antibodies. RESULTS: The tandem multi-epitope diagnostic antigen (designated 'R101'), which includes aa 39-130 (CysR), aa 238-356 (CTLD1), and aa 1136-1234 (CTLD7) of PLA2R1; thioredoxin at the N-terminus; and a His tag at the C-terminus, was prepared at a concentration of 2.36 mg/mL and purity of 97.32% using Escherichia coli expression and affinity and anion exchange chromatography purification. The integrity and antigenicity of the R101 protein was demonstrated by western blot analysis using anti-Trx, anti-His, and anti-PLA2R1 monoclonal antibodies as the primary antibodies. By analysing 120 positive serum samples identified by biopsy-proven iMN (gold standard) and 240 negative samples identified by an established ELISA based on R101 protein, we concluded that the cut-off value, kappa value, sensitivity, specificity, and agreement rate were 0.305, 0.881, 91.67, 96.25, and 94.72% respectively. The receiver operating characteristic (ROC) curve illustrated that the diagnostic accuracy and practicability of the ELISA was excellent. The area under the curve was 0.986. CONCLUSIONS: Using prokaryotic expression and chromatography purification, immune dominant regions of PLA2R1 with excellent antigenicity can be prepared and applied to serological detection of PLA2R1 antibodies. PMID- 29843798 TI - The NK1 receptor antagonist NKP608 inhibits proliferation of human colorectal cancer cells via Wnt signaling pathway. AB - BACKGROUND: Neurokinin1 (NK1) receptor has played a vital role in the development of tumor. However, NKP608 as a NK1 receptor antagonist whether has the effect of the resistance of colorectal cancer is still unclear. Thereby, in this study, we investigated the role of NKP608 on human colorectal cancer and explored the underlying mechanism. METHODS: The cell proliferation of colorectal cancer cells was detected by cell counting kit-8 (CCK8) assay, cell migration and invasion were assessed by transwell assay, the apoptotic ratio of cells was assessed by Annexin V-fluorescein isothiocyanate/propidium iodide stained and flow cytometry. The involvement of molecular mechanisms was examined by western blot. RESULTS: In this study, we found that NKP608 inhibited the proliferation, migration/invasion of HCT116 cells. In addition, NKP608 reduced expressions of Wnt-3a, beta-catenin, Cyclin D1, and (vascular endothelial growth factor) VEGF while induced expression of E-Cadherin. Furthermore, flow cytometry analyzed that NKP608 induced apoptosis of HCT116 cells, consistently, western blotting detecting of apoptosis-related proteins revealed that NKP608 downregulated Bcl-2 while upregulated Bax and Active-Caspase-3. CONCLUSIONS: Taken together, our results demonstrated that NKP608 inhibited colorectal cancer cell proliferation, migration and invasion via suppressing the Wnt/beta-catenin signaling pathway. Therefore, NKP608 might represent a promising therapeutic agent in the treatment of colorectal cancer. PMID- 29843799 TI - The impact of chronic airway disease on symptom severity and global suffering in Canadian rhinosinusitis patients. AB - BACKGROUND: Patients with Chronic Rhinosinusitis (CRS) can suffer from a significant decline in their quality of life. CRS patients have a high prevalence of comorbid conditions and it is important to understand the impact of these conditions on their CRS-related quality of life. This study measures the impacts of chronic pulmonary comorbidities on quality of life, pain, and depression scores among patients with CRS awaiting Endoscopic Sinus Surgery (ESS). METHODS: This study is based on cross-sectional analysis of prospectively collected patient-reported outcome data collected pre-operatively from patients waiting for ESS. Surveys were administered to patients to assess sino-nasal morbidity (SNOT 22), depression and pain. The impact of pulmonary comorbidity on SNOT-22 scores, pain and depression was measured. RESULTS: Two hundred fifthy-three patients were included in the study, 91 with chronic pulmonary comorbidity. The mean SNOT-22 scores were significantly higher among patients with chronic pulmonary comorbidities than among patients without (37 and 48, respectively). This difference is large enough to be clinically significant. Patients with chronic pulmonary comorbidities reported slightly higher depression scores than those without. CONCLUSIONS: This study found that among CRS patients waiting for ESS, chronic pulmonary comorbidities are strongly associated with significantly higher symptom burden. PMID- 29843800 TI - Is there a survival benefit from adjuvant chemotherapy for patients with liver oligometastases from colorectal cancer after curative resection? AB - BACKGROUND: Although colorectal oligometastases to the liver can potentially be cured with aggressive local ablation, the efficacy of adjuvant chemotherapy (ACT) for such metastasis remains unclear. The present study explored the effects of ACT on patients with colorectal liver oligometastases (CLO) after curative resections and aimed to identify patients who could benefit from ACT. METHODS: We retrospectively analyzed 264 eligible patients with CLO who underwent curative resection between September 1999 and June 2015. Recurrence-free survival (RFS) and overall survival (OS) were analyzed using the Kaplan-Meier method and log rank test; prognostic factors were a by Cox regression modeling. RESULTS: Among 264 patients, 200 (75.8%) patients received ACT and 64 (24.2%) did not receive ACT. These two groups did not significantly differ in clinicopathologic characteristics, and had comparable 3-year OS and RFS rates (RFS: 42.1% vs. 45.7%, P = 0.588; OS: 69.7% vs. 62.7%, P = 0.446) over a median follow-up duration of 35.5 months, irrespective of preoperative chemotherapy. ACT markedly improved 3-year OS in high-risk patients with Memorial Sloan-Kettering Cancer Center clinical risk scores (MSKCC-CRS) of 3-5 (68.2% vs. 33.8%, P = 0.015), but presented no additional benefit in patients with MSKCC-CRS of 0-2 (72.2% vs. 78.6%, P = 0.834). In multivariate analysis, ACT was independently associated with improved OS in patients with MSKCC-CRS of 3-5. CONCLUSIONS: ACT might offer a prognostic benefit in high-risk patients with CLOs after curative liver resection, but not in low-risk patients. Therefore, patients' risk status should be determined before ACT administration to optimize postoperative therapeutic strategies. PMID- 29843801 TI - When symptoms don't fit: a case series of conversion disorder in the pediatric otolaryngology practice. AB - BACKGROUND: Conversion disorder refers to functional bodily impairments that can be precipitated by high stress situations including trauma and surgery. Symptoms of conversion disorder may mimic or complicate otolaryngology diseases in the pediatric population. CASE PRESENTATION: In this report, the authors describe 3 cases of conversion disorder that presented to a pediatric otolaryngology-head and neck surgery practice. This report highlights a unique population of patients who have not previously been investigated. The clinical presentation and management of these cases are discussed in detail. Non-organic otolaryngology symptoms of conversion disorder in the pediatric population are reviewed. In addition, we discuss the challenges faced by clinicians in appropriately identifying and treating these patients and present an approach to management of their care. CONCLUSION: In this report, the authors highlight the importance of considering psychogenic illnesses in patients with atypical clinical presentations of otolaryngology disorders. PMID- 29843802 TI - Challenges to the Israeli healthcare system: attracting medical students to primary care and to the periphery. AB - BACKGROUND: The greatest challenges facing healthcare systems include ensuring a sufficient supply of primary care physicians and physicians willing to work in rural or peripheral areas. Especially challenging is enticing young physicians to practice primary care in rural/peripheral areas. Identifying medical students interested in primary care and in residencies in Israel's periphery should aid the healthcare leadership. It may be particularly important to do so during the clinical years, as this is the stage at which many future physicians begin to crystallize their specialty and location preferences. METHODS: Questionnaires, distributed to 6 consecutive 5th-year classes of the Hebrew University - Hadassah School of Medicine, from 2010 to 2016, elicited information on criteria for choosing a career specialty, criteria for choosing a residency program and whether one-time monetary grants authorized in the 2011 physicians' union contract would attract students to residencies in the periphery. RESULTS: Completed questionnaires were returned by 511 of 740 (69%) students. Ninety-eight (19%) were interested in a primary care residency, 184 (36%) were unsure and 229 (45%) were not interested. Students interested in primary care were significantly less interested in specialties that perform procedures/surgeries and in joining a medical school faculty, while being more inclined towards specialties dealing with social problems, controllable lifestyles and working limited hours. The percentage of students interested in primary care was stable during the study period. Forty-eight of the students indicated interest in residencies in the country's periphery, and 42% of them were also interested in primary care residencies. Overall, only 3.7% of students were interested in both a primary care residency and a residency in the periphery. Thirty percent of the students indicated that the monetary incentives tempted them to consider a residency in the periphery. Fifty-three percent of these students reported that they did not yet know the geographic area where they wished to do their residency, as compared to only 22% among those not interested in incentives. CONCLUSIONS: This study provides the healthcare leadership with information on the characteristics of the students at a centrally-located medical school who tend to be more interested in primary care and in working in the periphery. Specifically, the study found that students interested in primary care desire a positive life/work balance, something that Israeli non-hospital primary care practice provides. Students considering residencies in the periphery were similarly inclined. Moreover, about a third of students had positive thoughts about monetary incentives for residencies in peripheral hospitals. These students should be identified early during their clinical experience so that attempts to recruit them to the periphery can commence before their specialty and location preferences have fully crystallized. Parallel studies should be performed at additional Israeli medical schools. PMID- 29843803 TI - Immunohistochemical expression and prognostic value of PD-L1 in Extrapulmonary small cell carcinoma: a single institution experience. AB - BACKGROUND: Extrapulmonary small cell carcinomas (ESCC) are rare but aggressive tumors. Relapses are common despite treatment with chemotherapy and/or radiotherapy. Prospective data for treatment of ESCC are lacking; treatment of these cancers usually incorporates lung small cell carcinoma treatment recommendations. Cancer staging remains the most important prognostic factor. Cancer immunotherapy targeting the PD-1/PD-L1 pathway has shown efficacy in multiple tumor types, and could be an appealing treatment strategy for these rare tumors. METHODS: We investigated PD-L1 expression by immunochemistry (IHC) in ESCCs diagnosed at University of Massachusetts Medical Center, from 1999 to 2016. 34 cases with sufficient material were selected for PD-L1 IHC analysis using clone E1L3N. PD-L1 expression was evaluated using the combined positive score (CPS). Retrospective chart review was performed. We evaluated the incidence and prognostic value of PD-L1 expression in ESCC at our institution. RESULTS: Twelve out 34 cases (35%) had PD-L1 CPS scores >=1. Ten cases had CPS scores ranging 1 5, whereas 2 cases had CPS scores > 80. The overall response rate to the standard chemotherapy with/without radiotherapy in the PD-L1 positive group was 80% versus 67% for the PDL-1 negative group (p-value 0.67). The median overall survival for the PD-L1 positive group, regardless of stage, was 11.5 months versus 7 months for PD-L1 negative group (p-value 0.34). Patients with limited stage disease with positive PD-L1 had a median survival of 53 months compared to 15 months for patients with PD-L1 negative limited stage (p-value 0.80). CONCLUSIONS: This study showed that at least one third of our ESCC tissue samples expressed PD-L1. There was a trend for higher response rates to the standard chemotherapy with/without radiotherapy and improved survival in PD-L1 positive patients. Further studies are required to understand the implications of immune dysregulation in these aggressive tumors. PD-L1/PD-1 inhibitors should be investigated in this group of patients. PMID- 29843804 TI - Building a patient-centered and interprofessional training program with patients, students and care professionals: study protocol of a participatory design and evaluation study. AB - BACKGROUND: A common approach to enhance patient-centered care is training care professionals. Additional training of patients has been shown to significantly improve patient-centeredness of care. In this participatory design and evaluation study, patient education and medical education will be combined by co-creating a patient-centered and interprofessional training program, wherein patients, students and care professionals learn together to improve patient-centeredness of care. METHODS: In the design phase, scientific literature regarding interventions and effects of student-run patient education will be synthesized in a scoping review. In addition, focus group studies will be performed on the preferences of patients, students, care professionals and education professionals regarding the structure and content of the training program. Subsequently, an intervention plan of the training program will be constructed by combining these building blocks. In the evaluation phase, patients with a chronic disease, that is rheumatoid arthritis, diabetes and hypertension, and patients with an oncologic condition, that is colonic cancer and breast cancer, will learn together with medical students, nursing students and care professionals in training program cycles of three months. Process and effect evaluation will be performed using the plan-do study-act (PDSA) method to evaluate and optimize the training program in care practice and medical education. A modified control design will be used in PDSA cycles to ensure that students who act as control will also benefit from participating in the program. DISCUSSION: Our participatory design and evaluation study provides an innovative approach in designing and evaluating an intervention by involving participants in all stages of the design and evaluation process. The approach is expected to enhance the effectiveness of the training program by assessing and meeting participants' needs and preferences. Moreover, by using fast PDSA cycles and a modified control design in evaluating the training program, the training program is expected to be efficiently and rapidly implemented into and adjusted to care practice and medical education. PMID- 29843805 TI - Systemic overexpression of SQSTM1/p62 accelerates disease onset in a SOD1H46R expressing ALS mouse model. AB - Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease characterized by a selective loss of upper and lower motor neurons. Recent studies have shown that mutations in SQSTM1 are linked to ALS. SQSTM1 encodes SQSTM1/p62 that regulates not only autophagy via the association with MAP1LC3/LC3 and ubiquitinated proteins but also the KEAP1-NFE2L2/Nrf2 anti-oxidative stress pathway by interacting with KEAP1. Previously, we have demonstrated that loss of SQSTM1 exacerbates disease phenotypes in a SOD1H46R-expressing ALS mouse model. To clarify the effects of SQSTM1 overexpression in this model, we generated SQSTM1 and SOD1 H46R double-transgenic (SQSTM1;SOD1 H46R ) mice. SQSTM1;SOD1 H46R mice exhibited earlier disease onset and shorter lifespan than did SOD1 H46R mice. Conversely, disease progression after the onset rather slightly but significantly slowed in SQSTM1;SOD1 H46R mice. However, there were observable differences neither in the number of Nissl positive neurons nor in the distribution of ubiquitin-positive and/or SQSTM1-positive aggregates between SOD1 H46R and SQSTM1;SOD1 H46R mice. It was noted that these protein aggregates were mainly observed in neuropil, and partly localized to astrocytes and/or microglia, but not to MAP2-positive neuronal cell bodies and dendrites at the end-stage of disease. Nonetheless, the biochemically-detectable insoluble SQSTM1 and poly ubiquitinated proteins were significantly and progressively increased in the spinal cord of SQSTM1;SOD1 H46R mice compared to SOD1 H46R mice. These results suggest that overexpression of SQSTM1 in SOD1 H46R mice accelerates disease onset by compromising the protein degradation pathways. PMID- 29843807 TI - What is the impact of regulatory guidance and expiry of drug patents on dementia drug prescriptions in England? A trend analysis in the Clinical Practice Research Datalink. AB - BACKGROUND: Drugs for dementia have been available in England since 1997. Since their launch, there have been several changes to national guidelines and initiatives that may have influenced prescribing. These include changes in National Institute for Health and Care Excellence (NICE) guidance, several government dementia strategies, the addition of dementia to the Quality and Outcomes Framework (QOF), and the expiry of drug patents. Despite this, there has been little research into the effect of these events on prescribing. This paper examines prescribing trends in England using data from the U.K. Clinical Practice Research Datalink since the launch of drugs for dementia up to 1st January 2016. METHODS: We considered the monthly proportion of patients eligible for treatment, with a diagnosis of probable Alzheimer's disease, receiving their first prescription for each drug class-namely, acetylcholinesterase (AChE) inhibitors (donepezil, rivastigmine, galantamine) and N-methyl-D-aspartate (NMDA) receptor antagonists (memantine). Trend analysis using joinpoint models was then applied to identify up to two trend changes per treatment of interest. RESULTS: The overall trend was for increasing prescriptions in each drug class over the period in which they were studied. This was indicated by the average monthly percentage change, which was 6.0% (95% CI, - 6.4 to 19.9; June 1997 to December 2015) for AChE inhibitors and 15.4% (95% CI, - 77.1 to 480.9; January 2003 to December 2015) for NMDA receptor antagonists. Prescriptions of AChE inhibitors increased at the end of 2012, probably in response to the patent expiry of these drugs earlier that year. The Prime Minister's Dementia Challenge launched in May 2012 may also have contributed to the observed increase. However, neither this strategy nor patent expiry appeared to influence prescriptions of NMDA receptor antagonists. Instead trend changes in this drug class were driven by NICE guidance released in 2011 that allowed access to these drugs outside of clinical trials. CONCLUSIONS: Dementia drug prescribing does not always respond to factors such as regulatory guidance, recommendations, or patent expiry, and when it does, not necessarily in a predictable way. This suggests that communication with clinicians may need to be improved to use drugs for dementia more cost effectively. PMID- 29843808 TI - Long-term use of selective digestive decontamination in an ICU highly endemic for bacterial resistance. AB - BACKGROUND: We examined whether long-term use of selective digestive tract decontamination (SDD) was effective in reducing intensive care unit (ICU) acquired infection and antibiotic consumption while decreasing colistin-, tobramycin-, and most of the antibiotic-resistant colonization rates in a mixed ICU with a high endemic level of multidrug-resistant bacteria (MDRB). METHODS: In this cohort study, which was conducted in a 30-bed medical-surgical ICU, clinical outcomes before (1 year, non-SDD group) and after (4 years) implementation of SDD were compared. ICU patients who were expected to require tracheal intubation for > 48 hours were given a standard prophylactic SDD regimen. Oropharyngeal and rectal swabs were obtained on admission and once weekly thereafter. RESULTS: ICU acquired infections occurred in 110 patients in the non-SDD group and in 258 in the SDD group. A significant (P < 0.001) reduction of infections caused by MDRB (risk ratio [RR], 0.31; 95% CI, 0.23-0.41) was found after SDD and was associated with low rates of colistin- and tobramycin-resistant colonization. Colistin- and tobramycin-acquired increasing rate of ICU colonization resistance by 1000 days, adjusted by the rate of resistances at admission, was nonsignificant (0.82; 95% CI, 0.56 to 1.95; 1.13; 95% CI, 0.75 to 1.70, respectively). SDD was also a protective factor for ICU-acquired infections caused by MDR gram-negative pathogens and Acinetobacter baumannii in the multivariate analysis. In addition, a significant (P < 0.001) reduction of ventilator-associated pneumonia (VAP) (RR, 0.43; 95% CI, 0.32-0.59) and secondary bloodstream infection (BSI) (RR, 0.35; 95% CI, 0.24-0.52) was found. A decrease in antibiotic consumption was also observed. CONCLUSIONS: Treatment with SDD during 4 years was effective in an ICU setting with a high level of resistance, with clinically relevant reductions of infections caused by MDRB, and with low rates of colistin- and tobramycin resistant colonization with nonsignificant increasing rate of ICU colonization resistance by 1000 days, adjusted by the rate of resistances at ICU admission. In addition, VAP and secondary BSI rates were significantly lower after SDD. Notably, a decrease in antimicrobial consumption was also observed. PMID- 29843806 TI - A computational framework for complex disease stratification from multiple large scale datasets. AB - BACKGROUND: Multilevel data integration is becoming a major area of research in systems biology. Within this area, multi-'omics datasets on complex diseases are becoming more readily available and there is a need to set standards and good practices for integrated analysis of biological, clinical and environmental data. We present a framework to plan and generate single and multi-'omics signatures of disease states. METHODS: The framework is divided into four major steps: dataset subsetting, feature filtering, 'omics-based clustering and biomarker identification. RESULTS: We illustrate the usefulness of this framework by identifying potential patient clusters based on integrated multi-'omics signatures in a publicly available ovarian cystadenocarcinoma dataset. The analysis generated a higher number of stable and clinically relevant clusters than previously reported, and enabled the generation of predictive models of patient outcomes. CONCLUSIONS: This framework will help health researchers plan and perform multi-'omics big data analyses to generate hypotheses and make sense of their rich, diverse and ever growing datasets, to enable implementation of translational P4 medicine. PMID- 29843809 TI - Validation of two scales for measuring participation and perceived stigma in Chinese community-based rehabilitation programs. AB - BACKGROUND: The World Health Organization has asserted the importance of enhancing participation of people with disabilities within the International Classification of Functioning, Disability and Health framework. Participation is regarded as a vital outcome in community-based rehabilitation. The actualization of the right to participate is limited by social stigma and discrimination. To date, there is no validated instrument for use in Chinese communities to measure participation restriction or self-perceived stigma. This study aimed to translate and validate the Participation Scale and the Explanatory Model Interview Catalogue (EMIC) Stigma Scale for use in Chinese communities with people with physical disabilities. METHODS: The Chinese versions of the Participation Scale and the EMIC stigma scale were administered to 264 adults with physical disabilities. The two scales were examined separately. The reliability analysis was studied in conjunction with the construct validity. Reliability analysis was conducted to assess the internal consistency and item-total correlation. Exploratory factor analysis was conducted to investigate the latent patterns of relationships among variables. A Rasch model analysis was conducted to test the dimensionality, internal validity, item hierarchy, and scoring category structure of the two scales. RESULTS: Both the Participation Scale and the EMIC stigma scale were confirmed to have good internal consistency and high item-total correlation. Exploratory factor analysis revealed the factor structure of the two scales, which demonstrated the fitting of a pattern of variables within the studied construct. The Participation Scale was found to be multidimensional, whereas the EMIC stigma scale was confirmed to be unidimensional. The item hierarchies of the Participation Scale and the EMIC stigma scale were discussed and were regarded as compatible with the cultural characteristics of Chinese communities. CONCLUSION: The Chinese versions of the Participation Scale and the EMIC stigma scale were thoroughly tested in this study to demonstrate their robustness and feasibility in measuring the participation restriction and perceived stigma of people with physical disabilities in Chinese communities. This is crucial as it provides valid measurements to enable comprehensive understanding and assessment of the participation and stigma among people with physical disabilities in Chinese communities. PMID- 29843810 TI - A new Aura virus isolate in Brazil shows segment duplication in the variable region of the nsP3 gene. AB - BACKGROUND: A new isolate of Aura virus serendipitously discovered as a cell culture contaminant is reported in this manuscript. Aura virus belongs to the family Togaviridae and is classified in the genus Alphavirus. There are only two reports of Aura virus isolation from mosquitoes in the scientific literature, and the existence of a vertebrate host is still unknown. The discovery of this new isolate was based on transmission electron microscopy and nucleic acid amplification through a non-specific RT-PCR amplification protocol followed by sequencing. RESULTS: Genetic analysis has shown that the new virus shares a high degree of identity with the previously described isolate (GenBank: AF126284.1). A major difference was observed in the nsP3 gene in which a 234-nucleotide duplication has been identified. Furthermore, a pronounced difference was observed in cell cultures compared to the data available for the previously described isolate. Cell permissiveness and phenotypic characteristics in C6/36, Vero and BHK-21 cells were found to differ from previous reports. This may be due to the genetic differences that have been observed. CONCLUSIONS: The genetic and biological characteristics of the new Aura virus isolate are suggestive of viral adaptation to the cell substrate. The development of a cDNA clone will lend a perspective and better understanding of these results as well as open avenues for its use as a biotechnological tool, as seen for other alphaviruses. PMID- 29843811 TI - First results on survival from a large Phase 3 clinical trial of an autologous dendritic cell vaccine in newly diagnosed glioblastoma. AB - BACKGROUND: Standard therapy for glioblastoma includes surgery, radiotherapy, and temozolomide. This Phase 3 trial evaluates the addition of an autologous tumor lysate-pulsed dendritic cell vaccine (DCVax(r)-L) to standard therapy for newly diagnosed glioblastoma. METHODS: After surgery and chemoradiotherapy, patients were randomized (2:1) to receive temozolomide plus DCVax-L (n = 232) or temozolomide and placebo (n = 99). Following recurrence, all patients were allowed to receive DCVax-L, without unblinding. The primary endpoint was progression free survival (PFS); the secondary endpoint was overall survival (OS). RESULTS: For the intent-to-treat (ITT) population (n = 331), median OS (mOS) was 23.1 months from surgery. Because of the cross-over trial design, nearly 90% of the ITT population received DCVax-L. For patients with methylated MGMT (n = 131), mOS was 34.7 months from surgery, with a 3-year survival of 46.4%. As of this analysis, 223 patients are >= 30 months past their surgery date; 67 of these (30.0%) have lived >= 30 months and have a Kaplan-Meier (KM) derived mOS of 46.5 months. 182 patients are >= 36 months past surgery; 44 of these (24.2%) have lived >= 36 months and have a KM-derived mOS of 88.2 months. A population of extended survivors (n = 100) with mOS of 40.5 months, not explained by known prognostic factors, will be analyzed further. Only 2.1% of ITT patients (n = 7) had a grade 3 or 4 adverse event that was deemed at least possibly related to the vaccine. Overall adverse events with DCVax were comparable to standard therapy alone. CONCLUSIONS: Addition of DCVax-L to standard therapy is feasible and safe in glioblastoma patients, and may extend survival. Trial registration Funded by Northwest Biotherapeutics; Clinicaltrials.gov number: NCT00045968; https://clinicaltrials.gov/ct2/show/NCT00045968?term=NCT00045968&rank=1 ; initially registered 19 September 2002. PMID- 29843812 TI - A cohort study on acute ocular motility disorders in pediatric emergency department. AB - BACKGROUND: Acute ocular motility disorders (OMDs) in children admitted to Emergency Department (ED) represents a not so rare condition with a wide spectrum of different etiologies. The emergency physician must be skilled in rapidly identifying patients with potentially life threatening (LT) forms, requiring further diagnostic procedures. The aim of the study was to assess characteristics of children with acute Ocular Motility Disorders (OMDs), and to identify "red flags" for recognition of underlying life-threatening (LT) conditions. METHODS: A retrospective cohort study evaluated children (2 months-17 years) admitted to a tertiary Emergency Department in 2009-2014. A subgroup analysis was performed comparing children with and without LT conditions. RESULTS: Of 192 visits for OMDs, the isolated strabismus occurred most frequently (55.6%), followed by pupil disorders (31.8%), ptosis (5.2%) and combined OMDs (11.5%). The majority of acute OMDs involved no underlying LT conditions (n = 136) and most of them were infants or toddlers (50%). In a multivariable analysis, LT conditions included especially children over 6 years of age, increasing the odds ratio by 2% for each months of age (p = 0.009). LT etiologies were 16 times more likely in combined OMDs (p = 0.018), were over 13 times more likely to report associated extra-ocular signs/symptoms (p = 0.017) and over 50 times more likely to report co-morbidity (p = 0.017). CONCLUSION: OMDs are not an uncommon presentation at ED. Although most of them involve non-LT conditions, the ED physician should consider potential "red flags" for appropriate management of children such as age > 6 years, combined OMDs, extra-ocular symptoms and co-morbidity. PMID- 29843813 TI - Stratification of ovarian tumor pathology by expression of programmed cell death 1 (PD-1) and PD-ligand- 1 (PD-L1) in ovarian cancer. AB - BACKGROUND: Ovarian cancer is the major cause of death among gynecologic cancers with 75% of patients diagnosed with advanced disease, and only 20% of these patients having a survival duration of five years. Treatments blocking immune checkpoint molecules, programmed cell death (PD-1) or its ligand PD-ligand- I (PD L1) have produced a beneficial and prolonged effect in a subgroup of these patients. However, there is debate in the literature concerning the prognostic value of the expression of these molecules in tumors, with immunotherapy responsiveness, and survival. We evaluated the immune landscape of the ovarian tumor microenvironment of patients, by measuring the impact of the expression of tumor PD-1, PD-L1 and infiltrating lymphocytes on stage and grade of tumors and survival, in a cohort of 55 patients with gynecologic malignancies. Most patients under study were diagnosed with advanced disease ovarian cancer. RESULTS: Our studies revealed that a low density of PD-1 and of PD-L1 expressing cells in tumor tissue were significantly associated with advanced disease (P = 0.028 and P = 0.033, respectively). Moreover, PD-L1 was expressed significantly more often in high grade tumors (41.5%) than in low grade tumors of patients (7.7%) (P = 0.040). The presence of CD3 or of FoxP3 infiltrating cells with PD-L1 in patient tumors did not impact the significance of the association of PD-L1 with high grade tumors (P = 0.040), and our analyses did not show an association between the presence of PD-1 or PD-L1 and survival. CONCLUSIONS: We conclude that a subgroup of advanced disease ovarian cancer patients with high grade tumors, expressing PD-L1, may be prime candidates for immunotherapy targeting PD-1 signaling. PMID- 29843815 TI - Re-exploring the value of surveillance cultures in predicting pathogens of late onset neonatal sepsis in a tertiary care hospital in southern Sri Lanka. AB - OBJECTIVE: To identify the validity of surveillance cultures in predicting causative organism(s) of late onset neonatal sepsis. RESULTS: Prospective analytical study was conducted from January to April 2011 at the Neonatal Intensive Care Unit, Teaching Hospital, Karapitiya, Galle, Sri Lanka. Fifty neonates were screened on admission and weekly thereafter for colonization with potential pathogens. On suspicion of infection, relevant samples were cultured and tested for antibiotic sensitivity. There were 55 episodes of clinically suspected infections including 33 nosocomial infections. One-third (17/55) of all clinically suspected infections were culture positive. Out of 55, only 33 episodes were clinically suspected nosocomial infections. Clinically suspected nosocomial infection rate was 50/1000 patient-days. Culture proven nosocomial infection rate was 13.61/1000 patient-days. Coliforms were the commonest clinical isolate (76%) and 2/3 of them produced extended spectrum beta lactamase. More than 80% of the isolates causing late onset sepsis were sensitive to carbapenems and aminoglycosides. Sensitivity, specificity, positive predictive value and negative predictive value of surveillance cultures were 77.8, 37.5, 31.8 and 81.8%, respectively. Surveillance samples can be used to predict pathogens of late-onset sepsis. Broad-spectrum antibiotics (carbapenems, aminoglycosides) are recommended as empirical therapy for late-onset neonatal sepsis. PMID- 29843814 TI - 'It's because I like things... it's a status and he buys me airtime': exploring the role of transactional sex in young women's consumption patterns in rural South Africa (secondary findings from HPTN 068). AB - BACKGROUND: 'Transactional sex', defined as a non-marital, non-commercial sexual relationship in which money or material goods are exchanged for sex, is associated with young women's increased vulnerability to HIV infection. Existing research illustrates that the motivations for transactional sex are complex. The fulfilment of psycho-social needs such as the need to belong to a peer group are important factors underlying young women's desires to obtain certain consumption items and thus engage in transactional sex. METHODS: We use a mixed-methods approach to explore the relationship between transactional sex and consumption patterns among young women in rural Mpumalanga province, South Africa. In the secondary analysis of 693 sexually active young women, we use factor analysis to group the different consumption items and we use multivariable logistic regression to demonstrate the relationship between transactional sex and consumption patterns. The qualitative study uses five focus group discussions and 19 in-depth interviews to explore further young women's motivations for acquiring different consumption items. RESULTS: The quantitative results show that young women that engage in transactional sex have higher odds of consuming items for entertainment (e.g., movie tickets) than on practical items (e.g., food and groceries). The qualitative findings also revealed that young women's perceptions of items that were considered a 'need' were strongly influenced by peer pressure and a desire for improved status. Further, there was a perception that emerged from the qualitative data that relationships with sugar daddies offered a way to acquire consumer goods associated with a 'modern lifestyle', such as items for personal enhancement and entertainment. However, young women seem aware of the risks associated with such relationships. More importantly, they also develop relationship with partners of similar age, albeit with the continued expectation of material exchange, despite engaging in the relationship for love. CONCLUSION: This study shows that young women are willing to take certain risks in order to have a degree of financial independence. Interventions that provide alternative methods of attaining this independence, such as the provision of cash transfers may have potential in preventing them from engaging in transactional relationships. Further, the psycho-social reasons that drive young women's motivations for consumption items resulting in risky sexual behaviours need to be better understood. PMID- 29843816 TI - Response to flutamide, as second-line therapy after bicalutamide, predicts efficacy of abiraterone, not that of enzalutamide. AB - OBJECTIVE: The objective of this retrospective study was to evaluate whether the effect of second-line therapy of flutamide after bicalutamide can predict the response to abiraterone. RESULTS: Thirty-four patients received abiraterone and 32 received enzalutamide after treatment with second-line flutamide for castration-resistant prostate cancer. Prostate-specific antigen-progression-free survival during treatment with abiraterone or enzalutamide was the endpoint. The response to flutamide therapy was defined as any decrease in prostate-specific antigen compared to baseline prostate-specific antigen. Among the abiraterone treated patients, those for whom flutamide after bicalutamide was effective showed significantly lower prostate-specific antigen changes than those for whom it was ineffective (P = 0.0175). Prostate-specific antigen-progression-free survival was significantly higher in the abiraterone patients when flutamide was effective than in the patients when it was ineffective (P = 0.027). However, in enzalutamide-treated patients, the prostate-specific antigen changes were not significantly different between those for whom flutamide after bicalutamide was effective and those for whom it was ineffective (P = 0.75). In the enzalutamide patients, prostate-specific antigen-progression-free survival was not significantly different between those for whom flutamide was effective and those for whom it was ineffective (P = 0.92). Therefore, the response to second-line flutamide predicts the efficacy of abiraterone. This information should be helpful when choosing between abiraterone and enzalutamide for patients with castration-resistant prostate cancer. PMID- 29843817 TI - BGP: identifying gene-specific branching dynamics from single-cell data with a branching Gaussian process. AB - High-throughput single-cell gene expression experiments can be used to uncover branching dynamics in cell populations undergoing differentiation through pseudotime methods. We develop the branching Gaussian process (BGP), a non parametric model that is able to identify branching dynamics for individual genes and provide an estimate of branching times for each gene with an associated credible region. We demonstrate the effectiveness of our method on simulated data, a single-cell RNA-seq haematopoiesis study and mouse embryonic stem cells generated using droplet barcoding. The method is robust to high levels of technical variation and dropout, which are common in single-cell data. PMID- 29843818 TI - Sex and cardiovascular disease status differences in attitudes and willingness to participate in clinical research studies/clinical trials. AB - BACKGROUND: While women are under-represented in research on cardiovascular disease (CVD), little is known about the attitudes of men and women with CVD regarding participation in clinical research studies/clinical trials. METHODS: Patients with CVD (and/or risk factors) and patients with other chronic conditions from Iowa were recruited from a commercial panel. An on-line survey assessed willingness to participate (WTP) and other attitudes towards aspects of clinical research studies. RESULTS: Based on 504 respondents, there were no differences in WTP in patients with CVD compared to patients with other chronic diseases. Across all respondents, men had 14% lower WTP (relative risk (RR) for men, 0.86, 95% CI, 0.72-1.02). Among patients with CVD, there was no significant difference in WTP between women (RR for women = 1) and men (RR for men, 0.96, 95% CI, 0.82-1.14). There were no significant differences based on sex or CVD status for attitudes on randomization, blinding, side effects, conflict of interest, experimental treatments or willingness to talk to one's physician. Women had more favorable attitudes about participants being treated like "guinea pigs" (RR for men, 0.84, 95% CI, 0.73-0.98) and clinical trials being associated with terminally ill patients (RR for men, 0.93, 95% CI, 0.86-1.00). CONCLUSIONS: The findings reported here suggest that the observed lower levels of participation by women are due to factors other than a lower WTP or to women having more negative attitudes towards aspects of study participation. Patients with CVD have similar attitudes and WTP as patients with other chronic conditions. PMID- 29843819 TI - The effect of lipopolysaccharide on the expression level of immunomodulatory and immunostimulatory factors of human amniotic epithelial cells. AB - OBJECTIVE: Human amniotic epithelial cells (hAECs) are a novel source of stem cells and have immunomodulatory effects on both the innate and adoptive immune system. hAECs can differentiate into multiple cell lineages that make them a suitable cell source for regenerative medicine. These cells express multiple toll like receptors (TLRs) and respond to various TLR ligands. This study aimed to evaluate the effect of lipopolysaccharide (LPS), a TLR4 ligand, on the level of immunomodulatory and immunostimulatory factors of hAECs. RESULTS: Our results indicated that LPS had the ability to up-regulate the expression of prostaglandin E2 synthase and transforming growth factor-beta1 in hAECs. However, there was no change in the level of interleukin-1beta, interleukin-6 and interleukin-10 in hAECs when were stimulated with LPS. In addition, we observed tumor necrosis factor-alpha was only expressed at very low level in some of hAECs samples which its expression was independent of the effects of LPS. PMID- 29843820 TI - Successful treatment of primary bone marrow Hodgkin lymphoma with brentuximab vedotin: a case report and review of the literature. AB - BACKGROUND: Hodgkin lymphoma usually presents with sequential enlargement of peripheral lymph nodes, and bone marrow invasion rarely occurs (approximately 3 5%). However, several cases have been reported as "primary" bone marrow Hodgkin lymphoma, especially among patients with human immunodeficiency virus and the elderly. This type of Hodgkin lymphoma is characterized by no peripheral lymphadenopathies and has been reported to have poorer prognosis. CASE PRESENTATION: A 38-year-old Japanese man was admitted to our hospital because of fever of unknown origin and pancytopenia without lymphadenopathies. Bone marrow examination revealed Hodgkin cells mimicking abnormal cells. These were positive for CD30, EBER-1, CD15, PAX-5, and Bob-1 and negative for Oct-2, CD3, CD20, surface immunoglobulin, CD56. On the basis of systemic evaluation and bone marrow examination, he was diagnosed with primary bone marrow Hodgkin lymphoma. We initiated therapy with DeVIC (dexamethasone, etoposide, ifosfamide, and carboplatin) therapy, but remission was not achieved. Then, the patient was treated with brentuximab vedotin combined with systemic chemotherapy (Adriamycin, vinblastine and dacarbazine), which was effective. CONCLUSIONS: There is no established treatment strategy for Hodgkin lymphoma, and therapeutic outcomes using ABVD (Adriamycin, bleomycin, vinblastine and dacarbazine)-like or CHOP (cyclophosphamide, Adriamycin, vincristine, and prednisone)-like regimens are reportedly poor. Only a few patients have been reported to achieve long-term remission. Through this case report, we suggest an alternative therapeutic option for primary bone marrow Hodgkin lymphoma. PMID- 29843821 TI - On-orbit sleep problems of astronauts and countermeasures. AB - Sufficient sleep duration and good sleep quality are crucial to ensure normal physical and mental health, cognition and work performance for the common people, as well as astronauts. On-orbit sleep problem is very common among astronauts and has potential detrimental influences on the health of crewmembers and the safety of flight missions. Sleep in space is becoming a new medical research frontier. In this review we summarized on-orbit sleep problems of astronauts and six kinds of causes, and we presented the effects of lack of sleep on performance as well as mental and physical health, then we proposed seven kinds of countermeasures for sleep disturbance in spaceflight, including pharmacologic interventions, light treatment, crew selection and training, Traditional Chinese Medicine and so on. Furthermore, we discussed and oriented the prospect of researches on sleep in space. PMID- 29843822 TI - Co-transfer of tumor-specific effector and memory CD8+ T cells enhances the efficacy of adoptive melanoma immunotherapy in a mouse model. AB - BACKGROUND: Adoptive cell transfer (ACT) is a promising cancer immunotherapeutic strategy that remains ineffective for a large subset of patients. ACT with memory CD8+ T cells (Tmem) has been shown to have superior efficacy compared to traditional ACT with effector CD8+ T cells (Teff). Teff and Tmem have complementary physiological advantages for immunotherapy, but previous publications have not examined ACT using a combination of Teff and Tmem. METHODS: Splenocytes harvested from Ly5.1+/C57BL/6 mice during and after infection with lymphocytic choriomeningitis virus (LCMV) were used to generate bona fide effector and memory CD8+ T cells specific for the LCMV epitope peptide GP33. Congenic Ly5.2+/C57BL/6 mice were inoculated with B16F10 melanoma cells transfected to express very low levels of GP33, then treated with ACT 7 days later with GP33-specific Teff, Tmem, or a combination of Teff + Tmem. RESULTS: Inhibition of melanoma growth was strongest in mice receiving combinatorial ACT. Although combinatorial ACT and memory ACT resulted in maximal intratumoral infiltration of CD8+ T cells, combinatorial ACT induced stronger infiltration of endogenous CD8+ T cells than Tmem ACT and a stronger systemic T cell responsiveness to tumor antigen. In vitro assays revealed rapid but transient melanoma inhibition with Teff and gradual but prolonged melanoma inhibition with Tmem; the addition of Tmem enhanced the ability of Teff to inhibit melanoma in a manner that could be reproduced using conditioned media from activated Tmem and blocked by the addition of anti-IL-2 blocking antibody. CONCLUSIONS: These findings suggest that a novel combinatorial approach that takes advantage of the unique and complementary strengths of tumor-specific Teff and Tmem may be a way to optimize the efficacy of adoptive immunotherapy. PMID- 29843823 TI - A novel canine model for Duchenne muscular dystrophy (DMD): single nucleotide deletion in DMD gene exon 20. AB - BACKGROUND: Boys with Duchenne muscular dystrophy (DMD) have DMD gene mutations, with associated loss of the dystrophin protein and progressive muscle degeneration and weakness. Corticosteroids and palliative support are currently the best treatment options. The long-term benefits of recently approved compounds such as eteplirsen and ataluren remain to be seen. Dogs with naturally occurring dystrophinopathies show progressive disease akin to that of DMD. Accordingly, canine DMD models are useful for studies of pathogenesis and preclinical therapy development. A dystrophin-deficient, male border collie dog was evaluated at the age of 5 months for progressive muscle weakness and dysphagia. CASE PRESENTATION: Dramatically increased serum creatine kinase levels (41,520 U/L; normal range 59 895 U/L) were seen on a biochemistry panel. Histopathologic changes characteristic of dystrophinopathy were seen. Dystrophin was absent in the skeletal muscle on immunofluorescence microscopy and western blot. Whole genome sequencing, polymerase chain reaction, and Sanger sequencing revealed a frameshift, single nucleotide deletion in canine DMD exon 20, position 27,626,466 (c.2841delT mRNA), resulting in a stop codon six nucleotides downstream. Semen was archived for future line perpetuation. CONCLUSIONS: This spontaneous canine dystrophinopathy occurred due to a novel mutation in the minor DMD mutation hotspot (between exons 2 through 20). Perpetuating this line could allow for preclinical testing of genetic therapies targeted to this area of the DMD gene. PMID- 29843824 TI - The risk of urban yellow fever resurgence in Aedes-infested American cities. AB - Aedes aegypti, historically known as yellow fever (YF) mosquito, transmits a great number of other viruses such as Dengue, West Nile, Chikungunya, Zika, Mayaro and perhaps Oropouche, among others. Well established in Africa and Asia, Aedes mosquitoes are now increasingly invading large parts of the American continent, and hence the risk of urban YF resurgence in the American cities should because of great concern to public health authorities. Although no new urban cycle of YF was reported in the Americas since the end of an Aedes eradication programme in the late 1950s, the high number of non-vaccinated individuals that visit endemic areas, that is, South American jungles where the sylvatic cycle of YF is transmitted by canopy mosquitoes, and return to Aedes infested urban areas, increases the risk of resurgence of the urban cycle of YF. We present a method to estimate the risk of urban YF resurgence in dengue-endemic cities. This method consists in (1) to estimate the number of Aedes mosquitoes that explains a given dengue outbreak in a given region; (2) calculate the force of infection caused by the introduction of one infective individual per unit area in the endemic area under study; (3) using the above estimates, calculate the probability of at least one autochthonous YF case per unit area produced by one single viraemic traveller per unit area arriving from a YF endemic or epidemic sylvatic region at the city studied. We demonstrate that, provided the relative vector competence, here defined as the capacity to being infected and disseminate the virus, of Ae. aegypti is greater than 0.7 (with respect to dengue), one infected traveller can introduce urban YF in a dengue endemic area. PMID- 29843825 TI - Association of influenza outbreaks with advanced pediatric medical support. AB - Retrospective data evaluated increases in advanced medical support for children with medically attended acute respiratory illness (MAARI) during influenza outbreak periods (IOP). Advanced support included hospitalisation, intensive care unit admission, or mechanical ventilation, for children aged 0-17 years hospitalised in Maryland's 50 acute-care hospitals over 12 influenza seasons. Weekly numbers of positive influenza tests in the Maryland area defined IOP for each season as the fewest consecutive weeks, including the peak week containing at least 85% of positive tests with a 2-week buffer on either side of the IOP. Peak IOP (PIOP) was defined as four consecutive weeks containing the peak week with the most number of positive influenza tests. Off-PIOP was defined as the 'shoulder' weeks during each IOP. Non-influenza season (NIS) was the remaining weeks of that study season. Rate ratios of mean daily MAARI-related admissions resulting in advanced medical support outcomes during PIOP or Off-PIOP were compared with the NIS and were significantly elevated for all 12 study seasons combined. The results suggest that influenza outbreaks are associated with increased advanced medical support utilisation by children with MAARI. We feel that this data may help preparedness for severe influenza epidemics or pandemic. PMID- 29843826 TI - Reinfection hazard of hand-foot-mouth disease in Wuhan, China, using Cox proportional hazard model. AB - Hand-foot-mouth disease (HFMD) is an acute infectious disease caused by serotypes of the enterovirus (EV) family. HFMD reinfection occurs commonly in lack of cross protection between different EV serotypes. In this study, we investigated the hazards of HFMD reinfection using Cox-proportional hazard model. Retrospective data of 95 209 HFMD cases in Wuhan during 2008-2015 was used. Kaplan-Meier survival methods and Cox-proportional hazard model were used to estimate the hazard probabilities. Of the all HFMD cases, about 2% experienced reinfection (1842/95 209). Kaplan-Meier curves revealed the reinfection risk sharply increased before 40 months from first infection. Higher hazards of reinfection were detected among those who were males, aged 3 years and below, scattered children, belonging to urban areas and first infected with coxsackievirus (CV) A16 compared with their respective counterparts. Cox-proportional hazard model suggested that gender, age, group, living area and serotypes of first infection had significant effect on reinfection even after adjusting for potential confounding effects of other selected factors considered in the study. These results indicate that boys aged 3 years and below, especially those living in urban areas and first infected with CV-A16 are more prone to reinfection. Interventions should be imposed on these high-risk populations. PMID- 29843827 TI - Serological survey on Leptospira infection in slaughtered swine in North-Central Italy. AB - Swine can act as asymptomatic carriers of some Leptospira serovars. In this study, 1194 sera from 61 farms located in five different Regions of North-West Italy were collected from slaughtered healthy pigs. Presence of antibody against four Leptospira serovars was evaluated. Overall, 52.5% of analysed farms presented at least one positive animal and 34.4% presented at least one positive swine with titre ?1:400. A percentage of 16.6% sera was positive and 5.9% samples presented a positive titre ?1:400. Tuscany and Lombardy showed the highest percentage of positive farms (64.3% and 54.6%, respectively) and sera (28.5% and 13.3%, respectively), probably due to environmental conditions and potential risk factors, which promote maintenance and spreading of Leptospira in these areas. The main represented serogroups were Australis (21.3% positive farms, 8.2% positive sera) and Pomona (18.0% positive farms, 8.1% positive sera). In swine, these serogroups are the most detected worldwide; however, our results seem to highlight a reemerging of serogroup Pomona in pigs in investigated areas. A low percentage of sera (0.6%) scored positive to Canicola, leaving an open question on the role of pigs in the epidemiology of this serovar. Higher antibody titres were detected for serogroups Australis and Pomona. Swine leptospirosis is probably underestimated in Italy and could represent a potential risk for animal and human health. PMID- 29843828 TI - Assessment of Executive Functions in Preschool Children With Sickle Cell Anemia. AB - OBJECTIVES: Children with sickle cell anemia (SCA) are commonly reported to experience executive dysfunction. However, the development of executive function (EF) in preschool-age children without stroke in this patient population has not been investigated so it is unclear when and how these deficits emerge. METHODS: This case-control study examines the feasibility of assessing the early development of executive functioning in 22 preschool children years with SCA in the domains of processing speed, working memory, attention, inhibitory control, and cognitive flexibility, as well as everyday function, in comparison to matched control children. RESULTS: A pattern of potential deficits in early emerging executive skills was observed in the domains of inhibitory control and cognitive flexibility. Parents reported no differences for everyday EF and no significant differences were observed for working memory and processing speed. CONCLUSIONS: Results suggest that deficits in everyday executive difficulties, working memory, and processing speed, as commonly reported for older children with SCA, may not yet have emerged at this early developmental stage, despite specific deficits in cognitive flexibility and inhibitory control on behavioral measures. The feasibility of using available executive measures with preschool age children to characterize the development of early EF skills is discussed. (JINS, 2018, 24, 949-954). PMID- 29843829 TI - The validity of mid-upper arm circumference as an indicator of low BMI in population screening for undernutrition: a study among adult slum dwellers in eastern India. AB - OBJECTIVE: To explore the possibility for a statistically appropriate value of mid-upper arm circumference (MUAC) to identify the state of severe undernutrition, based on very low BMI, among adult Indian slum dwellers. DESIGN: Cross-sectional study on adults. Height and MUAC were recorded and BMI was computed. Chronic energy deficiency (CED) was determined using the WHO international guidelines as BMI<18.5 kg/m2 and normal as BMI>=18.5 kg/m2. Besides calculating mean, sd and 25th, 50th and 75th percentile values, multiple linear regression analysis was undertaken to assess the associations between age, MUAC and BMI. Receiver-operating characteristic curve analysis was performed to determine the best MUAC cut-off to identify CED status. The chi 2 test was used to assess significance of the difference in CED prevalence across MUAC categories. SETTING: An urban slum in Midnapore town, West Bengal State, India. SUBJECTS: Male (n 467) and female (n 488) Indian slum dwellers. RESULTS: MUAC of 22.7 and 21.9 cm, respectively, in males and females were the best cut-off points to differentiate CED from non-CED. CONCLUSIONS: Results supported the validity of the WHO-recommended MUAC cut-offs for adults. There is still a need to establish statistically appropriate MUAC cut-offs to predict undernutrition and morbidity. PMID- 29843830 TI - Applying the zero-inflated Poisson model with random effects to detect abnormal rises in school absenteeism indicating infectious diseases outbreak. AB - Records of absenteeism from primary schools are valuable data for infectious diseases surveillance. However, the analysis of the absenteeism is complicated by the data features of clustering at zero, non-independence and overdispersion. This study aimed to generate an appropriate model to handle the absenteeism data collected in a European Commission granted project for infectious disease surveillance in rural China and to evaluate the validity and timeliness of the resulting model for early warnings of infectious disease outbreak. Four steps were taken: (1) building a 'well-fitting' model by the zero-inflated Poisson model with random effects (ZIP-RE) using the absenteeism data from the first implementation year; (2) applying the resulting model to predict the 'expected' number of absenteeism events in the second implementation year; (3) computing the differences between the observations and the expected values (O-E values) to generate an alternative series of data; (4) evaluating the early warning validity and timeliness of the observational data and model-based O-E values via the EARS 3C algorithms with regard to the detection of real cluster events. The results indicate that ZIP-RE and its corresponding O-E values could improve the detection of aberrations, reduce the false-positive signals and are applicable to the zero inflated data. PMID- 29843831 TI - Burden of Frailty in Post-Disaster Low-Income Countries: An Example From Nepal. PMID- 29843832 TI - Maternal vitamin D concentrations are associated with faster childhood reaction time and response speed, but not with motor fluency and flexibility, at the age of 5-6 years: the Amsterdam Born Children and their Development (ABCD) Study. AB - About 57 % of the pregnant European women have 25-hydroxyvitamin D (25(OH)D) concentrations below 50 nmol/l. However, as data on the impact of gestational vitamin D deficiency on maternal and fetal health are limited, the WHO does not advocate vitamin D supplementation as part of routine antenatal care. We explored associations between first trimester maternal 25(OH)D status and childhood cognition at 5-6 years of age (n 1854, primarily Caucasian). Median serum 25(OH)D was determined at 13 (interquartile range 12-14) weeks of gestation. Childhood attention, motor fluency and flexibility and executive function were assessed using the Amsterdam Neuropsychological Tasks. Restricted cubic splines and linear regression analyses were used to analyse the data while adjusting for many maternal and child related covariates. Higher 25(OH)D status (nmol/l) was associated with better attention and executive functioning as shown by a faster reaction time (beta -0.30 (sd 0.14) ms, P=0.03), faster response speed (beta 0.58 (sd 0.21) ms, P=0.006), and better response speed stability (beta -0.45 (sd 0.17) ms, P=0.009). No associations were observed of serum 25(OH)D with motor fluency and flexibility. Associations were most pronounced among children of African origin (n 205) as compared with those of Caucasian or another origin, for example attention (reaction time, beta -2.06 (sd 0.70) ms, P=0.004) and executive function (response speed, beta -1.95 (sd 0.94) ms, P=0.04). Concluding, maternal 25(OH)D status was significantly associated with childhood attention and executive function, while no associations were observed for 25(OH)D status with motor fluency and flexibility. PMID- 29843833 TI - Effects of chito-oligosaccharide on piglet jejunal explants: an histological approach. AB - Antibiotics have been widely used in piglet diets to promote growth performance and reduce diarrhea incidence. However, the resistance of pathogens to antibiotics and the risk of residues of antibiotics in animal products induced a growing interest in the use of alternatives to in-feed antibiotics. Chito oligosaccharide (COS), a natural alkaline polymer of glucosamine is currently being tested as a substitute for in-feed antibiotics. In weaned piglets, COS has positive effects on promoting growth, which may be related to its action on intestinal morphology, immune ability and beneficial microbiota. However, previous studies shown variable results with effective doses ranging from 30 mg/kg to 5 g/kg. Therefore, the goal of this study was to test the hypothesis that the use of COS can be an alternative to in-feed antibiotics by improve the intestinal morphology of piglets, using the jejunal explant model. The intestinal explants were exposed for 4 h to following treatments: control - only culture media and culture media with COS in doses of 0.025 mg/ml, 0.05 mg/ml, 0.1 mg/ml and 0.15 mg/ml. After the incubation period the explants were processed for histological and morphometrical analysis. The histological changes were evaluated using an adapted histological score based on the intensity and severity of lesions. Mild histological changes were observed in jejunal explants exposed to different treatments; however, no significant difference in the histological score, villi height, crypt depth or villus : crypt ratio were observed between the COS-groups and the control. In addition, goblet cells density in intestinal explants exposed to COS remained statistically similar to control group. Our results indicate that COS exposure in levels ranging from 0.025 to 0.15 mg/ml induced no effect on intestinal morphology of pig's explants. The research will provide guidance on the low dosage of COS supplementation on weaning pigs. PMID- 29843834 TI - Molecular detection of Anaplasma phagocytophilum DNA in the lesser horseshoe bat (Rhinolophus hipposideros) guano. AB - Although bats are increasingly recognised as potential reservoir hosts of human zoonotic pathogens, bacteria in bats are still poorly studied. To investigate the DNA faecal prevalence of the bacterium Anaplasma phagocytophilum, we sampled 23 lesser horseshoe bat (Rhinolophus hipposideros) maternity colonies located in buildings (churches, barns) in rural villages of eastern France. A total of 552 faecal samples were collected from 278 individuals. Anaplasma phagocytophilum DNA was detected in the faeces of 63 individuals (22.7%). Such high prevalence might suggest persistent infection in bats and/or a frequent consumption of insect preys carrying bacteria. Faecal DNA prevalence varied highly among colonies but was not related to the colony size. Faecal DNA prevalence was the highest in the Jura Department, where the density of ticks is known to be the highest across the study area. Because the sampled bats live in close proximity to humans, we discuss how concerning the presence of A. phagocytophilum DNA in bat guano is for humans frequenting places of worship that shelter bats. We also advocate future research to understand what a high faecal DNA prevalence in bat guano really implicates in terms of bacteria transmission. PMID- 29843835 TI - Positive predictive value of infective endocarditis in the Danish National Patient Registry: a validation study. AB - The positive predictive value of an infective endocarditis diagnosis is approximately 80% in the Danish National Patient Registry. However, since infective endocarditis is a heterogeneous disease implying long-term intravenous treatment, we hypothesiszed that the positive predictive value varies by length of hospital stay. A total of 100 patients with first-time infective endocarditis in the Danish National Patient Registry were identified from January 2010 - December 2012 at the University hospital of Aarhus and regional hospitals of Herning and Randers. Medical records were reviewed. We calculated the positive predictive value according to admission length, and separately for patients with a cardiac implantable electronic device and a prosthetic heart valve using the Wilson score method. Among the 92 medical records available for review, the majority of the patients had admission length ?2 weeks. The positive predictive value increased with length of admission. In patients with admission length <2 weeks the positive predictive value was 65% while it was 90% for admission length ?2 weeks. The positive predictive value was 81% for patients with a cardiac implantable electronic device and 87% for patients with a prosthetic valve. The positive predictive value of the infective endocarditis diagnosis in the Danish National Patient Registry is high for patients with admission length ?2 weeks. Using this algorithm, the Danish National Patient Registry provides a valid source for identifying infective endocarditis for research. PMID- 29843836 TI - Economic Community of West African States Disaster Preparedness Tabletop Exercise: Building Regional Capacity to Enhance Health Security. AB - OBJECTIVE: The West African Disaster Preparedness Initiative held a disaster preparedness tabletop exercise with representatives from the Economic Community of West African States (ECOWAS) in November 2015. The tabletop exercise was hosted by the Republic of Ghana's National Disaster Management Organization and partners in Accra, Ghana. METHODS: ECOWAS Commission delegates and representatives from 10 member states were confronted with a series of simulated crises. Participants utilized existing national preparedness plans and web-based information technologies to research and communicate about internal disaster threats and those from neighboring countries. After each of the exercise's three phases, facilitators distributed participant surveys. RESULTS: A total of 106 individuals participated in the tabletop exercise. During the exercise, national teams utilizing well-developed disaster contingency plans and emergency operations center (EOC) standard operating procedures (SOPs) reached out to help less-prepared national teams. Key issues identified in the survey were language and cultural issues as barriers, effectiveness of disaster management agencies linked to heads of state, and the need for data sharing and real-time communication for situational awareness and multisector coordination. CONCLUSION: This tabletop exercise helped improve and refine the ECOWAS regional and member states' national SOPs that teams will employ to prepare for, respond to, and recover from future disasters. (Disaster Med Public Health Preparedness. 2018;page 1 of 5). PMID- 29843837 TI - Application of quality improvement analytic methodology in emergency medicine research: A comparative evaluation. AB - OBJECTIVE: Quality improvement (QI) analytic methodology is rarely encountered in the emergency medicine literature. We sought to comparatively apply QI design and analysis techniques to an existing data set, and discuss these techniques as an alternative to standard research methodology for evaluating a change in a process of care. METHODS: We used data from a previously published randomized controlled trial on triage-nurse initiated radiography using the Ottawa ankle rules (OAR). QI analytic tools were applied to the data set from this study and evaluated comparatively against the original standard research methodology. RESULTS: The original study concluded that triage nurse-initiated radiographs led to a statistically significant decrease in mean emergency department length of stay. Using QI analytic methodology, we applied control charts and interpreted the results using established methods that preserved the time sequence of the data. This analysis found a compelling signal of a positive treatment effect that would have been identified after the enrolment of 58% of the original study sample, and in the 6th month of this 11-month study. CONCLUSIONS: Our comparative analysis demonstrates some of the potential benefits of QI analytic methodology. We found that had this approach been used in the original study, insights regarding the benefits of nurse-initiated radiography using the OAR would have been achieved earlier, and thus potentially at a lower cost. In situations where the overarching aim is to accelerate implementation of practice improvement to benefit future patients, we believe that increased consideration should be given to the use of QI analytic methodology. PMID- 29843838 TI - Trends in proportion of older HIV-infected people in care in Latin America and the Caribbean: a growing challenge. AB - We aimed to quantify the proportion of people receiving care for HIV-infection that are 50 years or older (older HIV patients) in Latin America and the Caribbean between 2000 and 2015 and to estimate the contribution to the growth of this population of people enrolled before (<50yo) and after 50 years old (yo) (?50yo). We used a series of repeated, cross-sectional measurements over time in the Caribbean, Central and South American network (CCASAnet) cohort. We estimated the percentage of patients retained in care each year that were older HIV patients. For every calendar year, we divided patients into two groups: those who enrolled before age 50 and after age 50. We used logistic regression models to estimate the change in the proportion of older HIV patients between 2000 and 2015. The percentage of CCASAnet HIV patients over 50 years had a threefold increase (8% to 24%) between 2000 and 2015. Most of the growth of this population can be explained by the increasing proportion of people that enrolled before 50 years and aged in care. These changes will impact needs of care for people living with HIV, due to multiple comorbidities and high risk of disability associated with aging. PMID- 29843839 TI - Posterior Cerebellar Volume and Executive Function in Young Adults With Congenital Heart Disease. AB - OBJECTIVES: As the number of adolescents and young adults (AYAs) surviving congenital heart disease (CHD) grows, studies of long-term outcomes are needed. CHD research documents poor executive function (EF) and cerebellum (CB) abnormalities in children. We examined whether AYAs with CHD exhibit reduced EF and CB volumes. We hypothesized a double dissociation such that the posterior CB is related to EF while the anterior CB is related to motor function. We also investigated whether the CB contributes to EF above and beyond processing speed. METHODS: Twenty-two AYAs with CHD and 22 matched healthy controls underwent magnetic resonance imaging and assessment of EF, processing speed, and motor function. Volumetric data were calculated using a cerebellar atlas (SUIT) developed for SPM. Group differences were compared with t tests, relationships were tested with Pearson's correlations and Fisher's r to z transformation, and hierarchical regression was used to test the CB's unique contributions to EF. RESULTS: CHD patients had reduced CB total, lobular, and white matter volume (d=.52-.99) and poorer EF (d=.79-1.01) compared to controls. Significant correlations between the posterior CB and EF (r=.29-.48) were identified but there were no relationships between the anterior CB and motor function nor EF. The posterior CB predicted EF above and beyond processing speed (ps<.001). CONCLUSIONS: This study identified a relationship between the posterior CB and EF, which appears to be particularly important for inhibitory processes and abstract reasoning. The unique CB contribution to EF above and beyond processing speed alone warrants further study. (JINS, 2018, 24, 939-948). PMID- 29843840 TI - Understanding why older adults choose to seek non-urgent care in the emergency department: the patient's perspective. AB - CLINICIAN'S CAPSULE What is known about the topic? While EDs serve a critical role in the care of older adults, about 25% of visits made by older adults are classified as "non-urgent". What did this study ask? What are older adults' reasons for seeking non-urgent care in EDs? What did this study find? Comprehensiveness and convenience of diagnostic and treatment services in a single location were the primary motivations for older adults to seek treatment in the ED. Why does this study matter to clinicians? Novel partnerships between EDs, primary and community care are needed to better address the non-urgent care needs of older adults. PMID- 29843842 TI - Safety of psychotropic medicines: contribution from observational evidence. AB - The risks associated with psychotropic drugs use should be accurately documented at the population level in view of the growing number of persons exposed to these drugs. The strengths of observational studies regarding the identification of drug-related harms mirror the limitations of randomised controlled trials and vice-versa. Observational studies can be carried out in large samples of unselected participants treated in real-life conditions and who may be followed up over long periods. Serious adverse effects undetected during pre-marketing clinical trials may be observed only in post-marketing use, such as metabolic effects of second-generation antipsychotics. Observational studies play a key role in the identification of teratogenic risks, such as those induced by prenatal exposure to anticonvulsants. These studies are the main source of information to investigate the long-term effects of drugs, such as the possible increased risk of dementia in benzodiazepine users. They may also contribute to the accurate assessment at population level of risks overestimated by studies carried out in non-representative samples, such as the risk of congenital heart diseases in babies prenatally exposed to lithium. Owing to the lack of random allocation of drugs, confounding by indication or by disease severity are the major sources of biases in observational studies exploring drug safety. An adverse outcome may be wrongly imputed to drug exposure while it is a symptom/outcome of the disease motivating the decision to prescribe. Such a bias may occur in studies investigating the link between exposure to antidepressants and suicidality. As several methods have been developed to lessen the impact of such biases, pharmaco-epidemiological studies based upon stringent methodological designs should be regarded as a valid approach for assessing psychotropic drug safety. PMID- 29843841 TI - Ice cream rounds: The adaptation, implementation, and evaluation of a peer support wellness rounds in an emergency medicine resident training program. AB - : Introduction/Innovation ConceptEmergency medicine (EM) requires physicians to deal with acutely ill patients in a fast-paced and dynamic environment, which creates a barrier to debriefing after critical events. These unique challenges can negatively impact wellness. We sought to adapt and implement a peer-support wellness program called 'Ice Cream Rounds' in an EM residency setting. METHODS: A needs assessment survey was conducted among EM residents at The University of Ottawa to gauge interest and obtain resident input regarding program design. The structure of the sessions was adapted from similar initiatives in Canadian Pediatric Residency programs.Curriculum, Tool or MaterialConfidential peer support sessions were created and piloted. Residents preferred peer facilitators, rather than staff, so two residents obtained training the Faculty of Medicine's Wellness Program to lead sessions. Attendance at rounds was voluntary; however, overall attendance was recorded along with feedback from pilot sessions. Discussion topics included difficult patient encounters, poor patient outcomes, challenges in residency, and ethical issues. Post implementation feedback demonstrated that Ice Cream Rounds was a helpful forum for residents to discuss important issues with colleagues. CONCLUSIONS: This is the first Canadian EM training program to adapt, implement, and evaluate peer-support wellness rounds for debriefing, and this initiative can be easily adopted by any EM training program. PMID- 29843843 TI - Impact of feeder space on laying hen feeding behavior and production performance in enriched colony housing. AB - Current feeder space recommendations in laying hen welfare guidelines are inconsistent among and within countries. One determining criterion forming the recommendations (e.g. 12.0 cm/hen for the EU guideline) is that all birds can feed simultaneously. However, if there are other resources in the environment, as in enriched colony housing (ECH), it is unknown whether group-housed hens will choose to feed simultaneously. This study assesses the impact of feeder space on feeding behavior of 60 laying hens (W-36) in ECH using a ultra-high frequency radio-frequency identification-based tracking system. The feeder spaces investigated were 12.0, 9.5, 8.5 and 6.5 cm/hen, achieved by blocking portions of the overall feeder access to keep hens at the same stocking density. Each feeder space treatment, randomly assigned over the course of the experiment, lasted for 7 consecutive days. Feeding behaviors were characterized as daily time spent at the feeder (TS, min/hen-day), daily frequency of visits to the feeder (FV, #/hen day), and maximum or average percentage of hens feeding simultaneously (MPB, APB, %). Group-average daily feed intake (FI, g/hen-day), water use (WU, g/hen-day), and hen-day egg production (HDEP, %) were also measured. The results revealed that at 12.0 cm/hen, where unoccupied feeder space was present, a maximum of 59.0+/-1.4% (average of 31.7+/-0.3%) hens fed simultaneously. No significant differences were detected among 12.0, 9.5 and 8.5 cm/hen in TS (293+/-10, 286+/ 10 and 281+/-10 min/hen-day) and MPB (59.0+/-1.4, 57.3+/-1.4 and 53.3+/-1.4%) (P>0.05). The outcome of no significant differences also held true between 12.0 and 9.5 cm/hen in APB (31.7+/-0.3 v. 30.8+/-0.3%) and between 9.5 and 8.5 cm/hen in all response variables measured (P>0.05). However, there were significant differences in APB between 6.5 cm/hen and all other treatments; in TS and FV between 6.5 and 9.5 cm/hen; and in MPB between 6.5 and 12 cm/hen (P0.05). The results revealed that synchronous feeding of hens in the ECH did not increase with increasing feeder space. However, it is worth noting that lower feeder space may lead to aggression or frustration which was not quantified in the current study. PMID- 29843845 TI - Rabies - ghastly deaths are vaccine preventable. PMID- 29843844 TI - Childhood infectious diseases and risk of multiple myeloma: an analysis of the Italian multicentre case-control study. AB - Common childhood infectious diseases have been associated with a reduced risk of following haematopoietic malignancies, but investigations on multiple myeloma (MM) are scarce. Information about 213 MM cases and 1128 healthy controls were obtained from a multicentre population-based Italian case-control study. The association between chickenpox, measles, mumps, pertussis and rubella and the MM risk was estimated by unconditional logistic regression, adjusting for age, gender and residence area. No association was found between MM risk and any considered infectious disease. The number of infections was slightly inversely associated with the risk of MM, but statistical significance was not reached (OR 0.87, 95% CI 0.55-1.4 for 1-2 diseases vs. none and OR 0.68, 95% CI 0.41-1.1 for 3-5 diseases, respectively, P = 0.131). We did not find a clear evidence that common infections during childhood are associated with the subsequent risk of developing MM. PMID- 29843846 TI - Palliative care for drug-resistant tuberculosis: An urgent call to action. PMID- 29843847 TI - Unpacking Recommendation 16 of the Health Ombud's report on the Life Esidimeni tragedy. PMID- 29843848 TI - Back-to-the-future potential for autochthonous transmission of Aedes aegypti transmitted viruses in eThekwini and urban coastal KwaZulu-Natal Province, South Africa. PMID- 29843849 TI - The Life Esidimeni tragedy: Moral pathology and an ethical crisis. AB - The Life Esidimeni tragedy highlights several ethical transgressions. Health professionals' ethics are put to the test when their own interests are balanced against competing claims. Core values of compassion, competence and autonomy, together with respect for fundamental human rights, serve as the foundation of ethical practice in healthcare. These values are increasingly being challenged by governments and other third parties. The duties conferred on healthcare practitioners require them to act responsibly and be accountable for their actions. Codes in healthcare serve as a source of moral authority. The Gauteng health authorities exerted tremendous power and created a culture of fear and disempowerment among healthcare practitioners. When health professionals choose to support state interests instead of those of patients, problematic dual-loyalty conflicts arise. PMID- 29843850 TI - Co-infection with Streptococcus pneumoniae and Listeria monocytogenes in an immunocompromised patient. AB - A 34-year-old HIV-positive man with a history of chronic substance abuse was admitted with dual infection of Streptococcus pneumoniae and Listeria monocytogenes. Combined bacteraemia with S. pneumoniae and L. monocytogenes is very rare. To the best of our knowledge, this is the first such case documented at our institution and in South Africa. Ampicillin should be added to antibiotic regimens to improve patient outcome if L. monocytogenes infection is suspected. Co-infections that occur with L. monocytogenes may have conflicting antibiotic treatment options. This case report emphasises the need for a good relationship between the local microbiology pathologist and physician to select appropriate antibiotic treatment before definitive results are available. PMID- 29843851 TI - Fulminant hepatitis B virus (HBV) infection in an infant following mother-to child transmission of an e-minus HBV mutant: Time to relook at HBV prophylaxis in South African infants. AB - The prevalence of hepatitis B virus (HBV) infection in pregnant women is high in South Africa (SA), yet prophylaxis to prevent mother-to-child transmission (MTCT) falls short of international recommendations. We describe a 10-week-old infant who developed fulminant hepatic failure following MTCT. The mother was hepatitis e-antibody positive and had a viral load of only 760 IU/mL. Genetic analysis of virus from mother and infant showed that both had the G1896A mutation in the preC/C gene, which truncates hepatitis e antigen (HBeAg) during translation, causing an HBeAg-negative phenotype. HBeAg attenuates antiviral immune responses, and its absence was probably responsible for the infant's fulminant hepatitis, due to an uncontrolled immune attack on infected liver cells. Pregnant women are not tested for HBV infection in SA and MTCT rates are unknown. Addition of a birth dose of vaccine, HBV screening of pregnant women and antiviral prophylaxis to positive mothers should be prioritised. PMID- 29843852 TI - Fanconi anaemia in South Africa: Past, present and future. AB - Fanconi anaemia (FA) is an inherited genetic disorder characterised by somatic anomalies, bone marrow failure and an increased predisposition to solid tumours and haematological malignancies. South African (SA) black and Afrikaner individuals are at higher than average risk for this condition owing to genetic founder mutations in certain Fanconi-associated genes. This review explores the epidemiology, clinical presentation, diagnostic modalities and recommended care of affected patients, focusing on the founder population groups in SA. The early diagnosis of FA is important and provides improved opportunities for early intervention, but remains challenging. PMID- 29843853 TI - Differentiating Crohn's disease from intestinal tuberculosis at presentation in patients with tissue granulomas. AB - BACKGROUND: Overlapping clinical, endoscopic, radiographic and histological features, coupled with poor microbiological yield, make differentiating Crohn's disease (CD) from intestinal tuberculosis (ITB) challenging. Granulomas are present in both diseases; in CD they predict the need for immunosuppressive therapy that requires ITB to be excluded before initiation. OBJECTIVES: To compare granuloma-positive CD and ITB, to identify factors that may aid in diagnosis. METHODS: This was a retrospective cohort study evaluating granuloma positive CD and ITB identified from a pathology database. RESULTS: Sixty-eight ITB and 48 CD cases were identified. Patients with ITB were more likely to be male, and to have HIV infection, isolated colitis, night sweats and tachycardia. ITB was also associated with lower serum albumin and haemoglobin and higher C reactive protein levels, a chest radiograph showing active tuberculosis, and lymph nodes >1 cm on imaging. Extraintestinal manifestations (EIMs) were predictive of CD. There were no significant differences in smoking status, symptom duration or perianal disease. On multivariate analysis, HIV positivity (odds ratio (OR) 29.72, 95% confidence interval (CI) 2.15 - 410.96; p=0.01), isolated colitis (OR 6.17, 95% CI 1.17 - 32.52; p=0.03) and the absence of EIMs (OR 0.10, 95% CI 0.01 - 0.65; p=0.02) remained significant risk factors for ITB. CONCLUSION: This is the first study to identify clinical and biochemical factors to aid in differentiating granuloma-positive ITB from CD. EIMs support a diagnosis of CD, while isolated colitis and HIV are predictors of ITB. PMID- 29843854 TI - The 'ins and outs' of faecal microbiota transplant for recurrent Clostridium difficile diarrhoea at Wits Donald Gordon Medical Centre, Johannesburg, South Africa. AB - BACKGROUND: Clostridium difficile-associated diarrhoea (CDAD) is a potentially life-threatening condition that is becoming increasingly common. A persistent burden of this infectious illness has been demonstrated over the past 4 years at Wits Donald Gordon Medical Centre (WDGMC), Johannesburg, South Africa, through implementation of active surveillance of hospital-acquired infections as part of the infection prevention and control programme. Oral treatment with metronidazole or vancomycin is recommended, but there is a major problem with symptomatic recurrence after treatment. Replacement of normal flora by the administration of donor stool through colonoscopy or nasogastric/duodenal routes is becoming increasingly popular. OBJECTIVES: To identify risk factors for the development of CDAD in patients referred for faecal microbiota transplant (FMT) and evaluate the safety of administration of donor stool as an outpatient procedure, including via the nasogastric route. METHODS: A retrospective record review of patients with recurrent CDAD referred for FMT at WDGMC between 1 January 2012 and 31 December 2016 was conducted. RESULTS: Twenty-seven patients were identified, all of whom fulfilled the criteria for recurrent CDAD. One-third were aged >65 years, and the majority were female. The most common risk factors were prior exposure to antibiotics or proton-pump inhibitors and underlying inflammatory bowel disease. Three procedures were carried out as inpatients and 24 in the outpatient gastroenterology unit. At 4-week follow-up, all patients reported clinical resolution of their diarrhoea after a single treatment and there were no recurrences. The FMT procedure was associated with no morbidity (with particular reference to the risk of aspiration when administered via the nasogastric route) or mortality. CONCLUSIONS: This case series confirms that FMT is a safe and effective therapy for recurrent CDAD. In most cases it can be administered via the nasogastric route in the outpatient department. We propose that the recently published South African Gastroenterology Society guidelines be reviewed with regard to recommendations for the route of administration of FMT and hospital admission. Meticulous prescription practice by clinicians practising in hospitals and outpatient settings, with particular attention to antimicrobials and chronic medication, is urgently required to prevent this debilitating and potentially life-threatening condition. PMID- 29843855 TI - Incidence of myocardial injury after non-cardiac surgery: Experience at Groote Schuur Hospital, Cape Town, South Africa. AB - BACKGROUND: Myocardial injury after non-cardiac surgery (MINS) is a newly recognised entity identified as an independent risk factor associated with increased 30-day all-cause mortality. MINS increases the risk of death in the perioperative period by ~10-fold. More than 80% of patients with MINS are asymptomatic, so the majority of diagnoses are missed. Awareness of MINS is therefore important for perioperative physicians. OBJECTIVES: To investigate the incidence of MINS after elective elevated-risk non-cardiac surgery at Groote Schuur Hospital, Cape Town, South Africa (SA). METHODS: Patients aged >=45 years undergoing elective elevated-risk non-cardiac surgery were enrolled via convenience sampling. The new fifth-generation high-sensitivity cardiac troponin T blood test was used postoperatively to identify MINS. Preoperative troponin levels were not measured. RESULTS: Among 244 patients included in the study, the incidence of MINS was 4.9% (95% confidence interval (CI) 2.8 - 8.5), which was not significantly different from that in a major international prospective observational study (VISION) (8.0% (95% CI 7.5 - 8.4)); p=0.080. CONCLUSIONS: Our SA cohort had a lower cardiovascular risk profile but a similar incidence of MINS to that described in international literature. The impact of MINS on morbidity and mortality is therefore likely to be proportionally higher in SA than in published international studies. The limited sample size and lower event rate weaken our conclusions. Larger studies are required to establish patient and surgical risk factors for MINS, allowing for revision of cardiovascular risk prediction models in SA. PMID- 29843856 TI - A raised serum lactate level is an independent predictor of in-hospital mortality in patients with isolated cerebral gunshot wounds. AB - BACKGROUND: Cerebral gunshot wounds (CGSWs) represent a highly lethal form of traumatic brain injury, and triaging these patients is difficult. The prognostic significance of the serum lactate level in the setting of CGSWs is largely unknown. OBJECTIVES: To examine the relationship between elevated serum lactate levels and mortality in patients with isolated CGSWs. METHODS: A retrospective review of the regional trauma registry was undertaken at the Pietermaritzburg Metropolitan Trauma Service, South Africa, over a 5-year period from 1 January 2010 to 31 December 2014. All patients with an isolated CGSW were included. RESULTS: A total of 102 patients with isolated CGSWs were identified. Of these, 92.2% (94/102) were male. The mean age (standard deviation) was 29 (8) years, and the in-hospital mortality rate was 21.6% (22/102). The mean serum lactate level was significantly higher among non-survivors than among survivors (6.1 mmol/L v. 1.3 mmol/L; p<0.001). Lactate levels among non-survivors were <2 mmol/L in 4.5%, 2 - 3.99 mmol/L in 9.1%, 4 - 5.99 mmol/L in 36.4% and >=6 mmol/L in 50.0%. The odds ratio for mortality with a lactate level of 4 - 5.99 mmol/L was 67 (95% confidence interval (CI) 1.7 - 2 674.2), while for a lactate level of >=6 mmol/L it was 1 787 (95% CI 9.0 - 354 116.1). The serum lactate level accurately predicted mortality even after adjustment for other variables. Based on a receiver operating curve analysis, an optimal cut-off of 3.3 mmol/L for serum lactate as a predictor for mortality was identified (area under the curve = 0.957). CONCLUSIONS: CGSWs are associated with significant mortality, and a raised serum lactate level appears to be an independent predictor of in-hospital mortality. It is a potentially useful adjunct in the resuscitation room for identifying patients with a very poor prognosis. PMID- 29843857 TI - Healthcare-associated infections in paediatric and neonatal wards: A point prevalence survey at four South African hospitals. AB - BACKGROUND: Healthcare-associated infections (HAIs) cause substantial morbidity, mortality and healthcare costs. The prevalence of neonatal/paediatric HAI at South African (SA) district and regional hospitals is unknown. OBJECTIVES: To document HAI rates, antimicrobial use for HAI, infection prevention staffing, hand hygiene (HH) provisions and HH compliance rates in neonatal and paediatric wards in two district and two regional hospitals in the Western Cape Province, SA. METHODS: An HAI point prevalence survey (PPS) was conducted in neonatal and paediatric wards at two district and two regional hospitals in the Western Cape during December 2016, applying National Healthcare Safety Network HAI definitions. HAI events and antimicrobial therapy active at 08h00 on the PPS day and during the preceding 7 days (period prevalence) were documented. Provisions for HH and HH compliance rates were observed on each ward using the World Health Organization's HH surveillance tool. RESULTS: Pooled point and period HAI prevalence were 9.9% (15/151; 95% confidence interval (CI) 6 - 15.8) and 12.6% (19/151; 95% CI 8 - 18.9), respectively. Hospital-acquired pneumonia (5/15, 33.3%), bloodstream infection (3/15, 20.0%) and urinary tract infection (3/15, 20.0%) were predominant HAI types. Risk factors for HAI were a history of recent hospitalisation (8/19, 42.1% v. 17/132, 12.9%; p<0.001) and underlying comorbidity (17/19, 89.5% v. 72/132, 54.5%; p<0.004). HH provisions (handwash basins/alcohol hand rub) were available and functional. HH compliance was higher in neonatal than in paediatric wards (125/243, 51.4% v. 25/250, 10.0%; p<0.001). Overall HH compliance rates were higher among mothers (46/107, 43.0%) than nurses (73/265, 27.8%) and doctors (29/106, 27.4%). CONCLUSIONS: Neonatal and paediatric HAIs are common adverse events at district and regional hospitals. This at-risk population should be prioritised for HAI surveillance and prevention through improved infection prevention practices and HH compliance. PMID- 29843858 TI - The costs and outcomes of paediatric tuberculosis treatment at primary healthcare clinics in Johannesburg, South Africa. AB - BACKGROUND: Little up-to-date information is available about the costs of providing drug-susceptible tuberculosis (DS-TB) treatment to paediatric patients in South Africa (SA), nor have actual costs incurred at clinics been compared with costs expected from guidelines. OBJECTIVES: To estimate actual and guideline treatment costs by means of a retrospective cohort analysis. METHODS: We report patient characteristics, outcomes and treatment costs from a retrospective cohort of paediatric and adolescent (<18 years) DS-TB patients registered for treatment from 1 April 2011 to 31 March 2013 at three primary healthcare clinics in Johannesburg, SA. Actual treatment costs in 2015 SA rands and US dollars were estimated from the provider perspective using a standard bottom-up microcosting approach and compared with an estimate of guideline costs. RESULTS: We enrolled 88 DS-TB patients (median age 4 years (interquartile range 1.0 - 9.5), 44.3% female, 22.7% HIV co-infected, 92.0% pulmonary TB). Treatment success was high (89.8%; 13.6% cured, 76.1% completed treatment), and the mean (standard deviation (SD)) cost per patient with treatment success was ZAR1 820/USD143 (ZAR593/USD46), comprising fixed costs (44.0%), outpatient visits (30.7%), medication (19.3%) and laboratory investigations (6.0%). This was 17% more than the mean (SD) cost estimated by applying treatment guidelines (ZAR1 553/USD122 (ZAR1 620/USD127)), with differences due mainly to higher laboratory costs and more outpatient visits taking place than were recommended in national guidelines. CONCLUSIONS: These results are the first reported estimates of paediatric DS-TB treatment costs in SA and show the potential cost savings of closer adherence to national treatment guidelines. The findings were robust in sensitivity analyses and are lower than previous cost estimates in adults. PMID- 29843859 TI - Short-term outcomes of down-referral in provision of paediatric antiretroviral therapy at Red Cross War Memorial Children's Hospital, Cape Town, South Africa: A retrospective cohort study. AB - BACKGROUND: The large scale-up of paediatric HIV care necessitated down-referral of many children receiving antiretroviral therapy (ART) from Red Cross War Memorial Children's Hospital (RCWMCH), Cape Town, South Africa. Few published data exist on the outcomes of these children. OBJECTIVES: To assess outcomes of children receiving ART in the first 12 months after down-referral to primary healthcare (PHC) clinics and identify determinants of successful down-referral. METHODS: A retrospective cohort study of children <15 years of age who initiated ART at RCWMCH and were subsequently down-referred to one of two PHC clinics between January 2006 and December 2012 was completed. Baseline characteristics of patients and caregivers as well as CD4+ counts, viral loads (VLs) and weights were collected 6 and 12 months after down-referral. Outcomes included retention in care and viral suppression. RESULTS: Of 116 children down-referred to the two study PHC clinics, 81.9% arrived at the designated PHC clinic and a further 8.6% continued care at other clinics, the remaining 9.5% being lost to follow-up. Of those successfully down-referred, 11.4% took >8 weeks to present, possibly experiencing treatment interruption. At 12 months after down-referral, only 81.0% remained in care. No factors were associated with retention in care in multivariable analysis. For children who remained in care at the designated PHC clinics, the clinical and immunological gains achieved prior to down-referral were sustained through 12 months of follow-up, and 54.7% of this cohort had documented viral suppression at 12 months. However, if only children with VL results are considered, 75.9% (41/54) were virally suppressed 12 months after down-referral. CONCLUSIONS: Down-referral of children on ART is complex, with risk of loss to follow-up and treatment interruption. PMID- 29843860 TI - Assessing the value of Western Cape Provincial Government health administrative data and electronic pharmacy records in ascertaining medicine use during pregnancy. AB - BACKGROUND: In African settings, where there is a high disease burden, there is a need to improve the science of documenting and analysing accurate information regarding medicine exposures in women immediately before and during pregnancy to assess the extent of use and safety in pregnant women and their unborn children. OBJECTIVES: To compare evidence of medicine use during pregnancy, as documented in paper-based clinical records (maternity case records (MCRs)) against electronic health information resources (Provincial Health Data Centre (PHDC)) and assess the level of concordance between the two as part of baseline investigations before piloting a provincial pregnancy exposure registry and birth defect surveillance system. The PHDC consolidates electronic clinical and pharmacy data. METHODS: A folder review of completed pregnancies between November 2013 and January 2016 was conducted on randomly selected MCRs from midwife-run obstetric units and a secondary maternity hospital in Cape Town, South Africa. Medication exposures in the MCR were captured and compared with a customised PHDC data extract. The type and timing of drug exposures were compared. Total exposures were compiled from all data sources. RESULTS: Two hundred and six MCRs from three facilities were sampled: 83 women had documented antiretroviral therapy (ART) exposure; all but 1 (1%) had been recorded in the PHDC extract. There was no evidence of ART use in the MCRs of 4 (5%) cases, despite evidence in the PHDC. There were imprecise drug names in the MCRs of 14 (17%) ART patients, discordant dates of onset between the MCRs and PHDC extracts in 10/83 (12%) and inaccurate medicine names and incorrect dates in 1 (1%) case each. Nine of 10 (90%) women who were administered antituberculosis medication were recorded in the PHDC extract. Ten of 21 (48%) isoniazid preventive therapy treatments appeared in the MCRs and PHDC; 9 (42%) in the PHDC only and 2 (10%) in the MCRs only. Half (n=18/36) of all antibiotic use was reflected only in the MCRs, while 13/36 (36%) appeared only in the PHDC extract. In the former cases, antibiotics used for treatment of sexually transmitted infections and urinary tract infections were dispensed from ward stock and not captured electronically. Antibiotics reflected only in the PHDC were either dispensed at a referral facility or before the first recorded antenatal clinic visit. Folic acid and iron were mostly documented in the MCR only (n=79/99 (80%) and n=107/128 (84%), respectively). However, analgesics and antihistamines more often appeared in the PHDC extract only (n=11/16 (73%) and n=5/5 (100%), respectively). CONCLUSIONS: The PHDC extract provided a better and more complete reflection of chronic drug exposures compared with the MCRs, especially when women sought care at facilities other than the antenatal care unit where they first attended, or when exposures occurred before the initial antenatal visit. The exception was antibiotics dispensed from ward stock to treat sexually transmitted and urinary tract infections. PMID- 29843861 TI - Determination of Eight Sulfonylurea Herbicide Residues by LC/MS/MS Using a Sample Separation Technique with Ethyl Acetate. AB - Background: Sulfonylureas are an important group of systemic herbicides mainly used for the control of weeds in cereals and other crops in early growth stages of their cultivations. Sulfonylureas are characterized by their broad spectrum weed control and their good crop selectivity. Objective: In the present study, the determination of eight sulfonylureas has been tested in wheat flour by applying the SweEt multiresidue method modified for dry products. Method: The method involves sample preparation with extraction with ethyl acetate (EEA) and determination of the analytes with LC/MS/MS-electrospray ionization. Its performance was compared with the quick, easy, cheap, effective, rugged, and safe (QuEChERS) method. Both methods were validated in three fortification levels according to European Union requirements. Results: The proposed method gave acceptable results as far as validation criteria are concerned, while QuEChERS did not result in successful recoveries in the lowest validation level, which is equal to the respective maximum residue limits (MRLs). Conclusions: The obtained results showed that the tested method showed good separation, sensitivity, linearity, precision, and accuracy for quantitative and qualitative analysis of sulfonylurea herbicides in cereals at low levels, as required by legislation. The analytical techniques were successfully applied to different samples of cereals, and no residues were determined above the reporting limit, as established at the lowest concentration level of each analyte being validated with acceptable accuracy. Highlights: Low recoveries for QuEChERS in the concentrations equal to the MRL. Acceptable recoveries for the EEA method in all fortification levels. Correlation coefficients above 0.99. Positive findings only with EEA in real samples. PMID- 29843862 TI - Multiresidue Method of Analysis of Pesticides in Medical Cannabis. AB - Three related analytical methods were developed and validated for the determination of pesticides in cannabis leaves, dried cannabis flowers, and cannabis oil. The methods follow the generic sequence of an acetonitrile extraction, followed by solid-phase extraction cleanup and analysis by HPLC tandem mass spectrometry (HPLC-MS/MS), GC-MS/MS, and GC-MS. These methods were developed to accommodate sample quantity and lipid content of the different matrices. Validation at a spiking level of 0.01 MUg/g was successful for 39 pesticides in cannabis leaves and 40 pesticides in cannabis oil, and at 0.02 MUg/g for 32 pesticides in cannabis flowers, with the majority of analytes showing recoveries within the acceptable range of 70-130%. With these methods established, unannounced inspections of Canadian licensed producers of cannabis revealed that out of 144 samples collected, 26 showed the presence of unauthorized pest control products. PMID- 29843864 TI - Simultaneous Preconcentration and Determination of Brilliant Blue and Sunset Yellow in Foodstuffs by Solid-Phase Extraction Combined UV-Vis Spectrophotometry. AB - Background: Brilliant Blue and Sunset Yellow, two highly water-soluble synthetic food dyes, are the most popular food dyes used and consumed. Although they are not highly toxic, some health problems can be observed when excessive amounts of food products containing these dyes are consumed. Objectives: The aim of the study was to develop a simultaneous UV-Vis combined solid-phase extraction method, based on the adsorption onto Amberlite XAD-8 resin, for determination of Brilliant Blue and Sunset Yellow dyes. Methods: Sample solution was poured into the reservoir of the column and permitted to gravitationally pass through the column at 2 mL/min flow rate. Adsorbed dyes were eluted to 5 mL of final volume with 1 mol/L HNO3 in ethanol solution by applying a 2 mL/min flow rate. Dye concentrations of the solution were determined at 483 and 630 nm for Sunset Yellow and Brilliant Blue, respectively. Results: The detection limits of the method for Brilliant Blue and Sunset Yellow were determined as 0.13 and 0.66 ng/mL, respectively. Preconcentration factor was 80. Brilliant Blue contents of real food samples were found to be between 11 and 240 MUg/g. Sunset Yellow concentrations of foodstuffs were determined to be between 19 and 331 MUg/g. Conclusions: Economical, effective, and simple simultaneous determination of Brilliant Blue and Sunset Yellow was achieved by using a solid-phase extraction combined UV-Vis spectrometry method. Highlights: The method is applicable and suitable for routine analysis in quality control laboratories without the need for expert personnel and high operational costs because the instrumentation is simple and inexpensive. PMID- 29843863 TI - Superparamagnetic Iron Oxide-enhanced Magnetic Resonance Imaging of Spontaneous Hepatic Neoplasia in a Cynomolgus Macaque (Macaca fascicularis). AB - Although the number of reports describing tumors in aged NHP has increased, spontaneous neoplasias in NHP are extremely rare, with the notable exception of prosimians, in which spontaneous hepatic neoplasms arise. In addition to radiography and ultrasonography, superparamagnetic iron oxide (SPIO)-enhanced MRI tends to be applied in human practice to non-invasively locate, identify, and size liver tumors and to define the border between neoplastic and normal tissues. Here we report a 13-y-old female cynomolgus monkey with anorexia and serologically normal liver enzymes. After fluid therapy, the condition remained in remission for several months. Later, however, a palpable mass was assessed by using ultrasonography, radiology, and SPIO-MRI; T2-weighted images revealed a clear border between a hepatocellular carcinoma and normal liver tissue. Findings at necropsy supported the imaging data. Serologic assessment after euthanasia revealed a positive reaction to an abnormal form of prothrombin (PIVKA-II). We recommend SPIO-MRI as a practical and useful for diagnosing hepatocellular neoplasias in NHP. This study is the first to demonstrate the applicability of SPIO-MRI for the identification of hepatocellular carcinoma in NHP. PMID- 29843865 TI - Manufacture of Gluten Free Oats for Gluten Compliance at the Serving Level: An Attainable Industrial Standard. PMID- 29843866 TI - Performance Comparison Between Monolithic, Core-Shell, and Totally Porous Particulate Columns for Application in Greener and Faster Chromatography. AB - Background: The introduction of monolithic rods and core-shell particles as new morphologies of packing materials different from the conventional totally porous particles resulted in a leap forward for performance in LC. Meanwhile, environmental safety has become increasingly important in many areas, especially in industry and research laboratories. Objective: This study compared the efficiencies of commercially available columns of different lengths and diameters when greener chromatographic conditions were utilized. The main purpose of this study is to help practitioners select the most appropriate stationary phase for faster and greener analysis. Methods: The three types of stationary phases were compared in terms of separation efficiency, number of theoretical plates, peak shape, selectivity, resolution, analysis time, mobile phase consideration, and permeability using six drug molecules. Results: Results indicated that core-shell and monolithic stationary phases had superiority over the conventional totally porous particles in terms of efficiency and speed of analysis. Monolithic rods had lower column backpressure and higher permeability, so they are more suitable for higher mobile phase flow rates and viscosities. However, core-shell particles provided enhanced peak shapes and number of theoretical plates. Conclusions: The choice will depend on the main purpose of analysis and the composition of the mobile phase. Compromise must be made to obtain the best trade-off between separation efficiency and analysis speed. Highlights: This study is the first to consider green chromatography concepts for the selection of the best stationary phase of new morphologies. PMID- 29843867 TI - Simultaneous Detection of Yersinia Enterocolitica and Listeria Monocytogenes in Foodstuffs by Capillary Electrophoresis and Microchip Capillary Electrophoresis Laser-Induced Fluorescence Detector. AB - Background: Food safety is one of the most important public health problems in the world, and pathogenic bacterium is a major factor causing serious foodborne diseases. Objective: Two methods of duplex PCR combined with capillary electrophoresis laser-induced fluorescence detector (CE-LIF) and microchip capillary electrophoresis laser-induced fluorescence detector (MCE-LIF) have been developed for the simultaneous detection of Yersinia Enterocolitica and Listeria Monocytogenes in various foods. The specific conservative sequences of these two bacteria were amplified. Methods: After labelled with nucleic acid dye SYBR Gold and SYBR Orange, the PCR products were analyzed by CE-LIF and MCE-LIF, respectively. Under the optimal conditions, the detection of PCR products of the target bacteria was achieved in less than 15 min by CE-LIF and within 6 min by MCE-LIF. Results: The alignment analysis demonstrated that the PCR products had good agreement with the sequences published in GenBank. The CE-LIF method could detect 10 CFU/mL Y. enterocolitica and L. monocytogenes, and the MCE-LIF method could detect 100 CFU/mL Y. enterocolitica and L. monocytogenes. The intraday precisions of migration time and peak area of DNA markers and PCR products were in the range of 1.13 to 1.18% and 1.60 to 6.29%, respectively, for CE-LIF and 1.18 to 1.48% and 2.85 to 4.06%, respectively, for MCE-LIF. Conclusions: The proposed methods could be applied to target bacterial detection infood samples rapidly, sensitively, and specifically. Highlights: Two new methods based on CE and MCE have been developed for the simultaneous detection of Y. enterocolitica and L. monocytogenes in foodstuffs, and they can detect the bacteria directly without any enrichment because of their high sensitivity. PMID- 29843868 TI - Ultrasensitive DNA Detection with Hydrodynamic Separation of Plasmonic Nanoparticles and Isothermal Amplification. AB - Nucleic acid based assays are routinely used to detect diseases and monitor medical treatment. Here, we demonstrated a novel approach for colorimetric DNA detection using plasmonic gold nanoparticles (AuNPs) as hydrodynamic separators coupled with differential centrifugation. This approach relies upon the change in the sedimentation rate of AuNPs when conjugated to DNA amplicons. Isothermal nucleic acid amplification results in the formation of unique DNA amplicons that is large enough to prevent the sedimentation of conjugated AuNPs at a specific centrifugal force. In contrast, free nanoparticles are readily centrifuged and the solution color changes to colorless, enabling accurate and quantitative detection of the targeted DNA. This approach was challenged for the detection of sdfI gene of Salmonella. The decline of the red color intensity of AuNPs was linear to the concentration of the targeted DNA from 1.2 * 101 copies/ml to 1.2 * 107 copies/ml and the detection limit was as low as 120 copies/ml (S/N = 3). This simple platform could be used to establish inexpensive and sensitive assays for clinical and in-field diagnostic applications. PMID- 29843869 TI - Optimal Design of Novel Functionalized Nanoconjugates Based on Polymalic Acid for Efficient Tumor Endocytosis with Enhanced Anticancer Activity. AB - To overcome the strong negative charge and improve the endocytosis of poly-beta malic acid (PMLA) as a drug carrier, a pH-sensitive nanoconjugate of PMLA/hyd PEG5000/PEG2000-TAT/DOX (PHPTD) was developed. The trans activator of transcription (TAT) modified with polyethylene glycol2000(PEG2000) was conjugated with the PMLA backbone which improved the endocytosis of PMLA. PEG5000 was utilized to shield TAT by a pH-sensitive hydrazone (Hyd) bond. In order to decrease the potential risk of accelerated blood clearance (ABC) phenomenon by anti-PEG IgM, the minimal content of TAT for penetrating tumor cells and the optimal protecting layer density of PEG5000 were screened. The result showed that 0.3 mol% TAT was enough to efficiently improve cellular uptake of PMLA (30 kda). The cytotoxicity and the 1H-NMR results indicated that 3.6 mol% PEG5000-modified nanoconjugates could shield 0.3 mol% TAT. The antitumor effect in breast cancer cells (MDA-MB-231) in tumor-bearing BALB/C mice demonstrated that this nanoconjugates exhibits high therapeutic efficiency in artificial solid tumors and low toxicity to normal tissues. It is indicated that TAT could be hidden in the long chain of PEG5000 at a neutral pH, when arrival to the tumor extracellular microenvironment, PEG5000 was cleaved from the nanoconjugates through the hydrazone bond due to the acidic tumor environment. Then, TAT was exposed, allowing the nanoconjugates to be transported into tumor cells. Our findings provide important and detailed information regarding the optimal content of TAT and the shielded density of PEG5000 and reveal their abilities of tumor penetration and potential for the efficient drug carrier. PMID- 29843870 TI - Self-Assembled Nanocomplex for Co-Delivery of Arsenic-Retinoic Acid Prodrug into Acute Promyelocytic Leukemia Cells. AB - The synergistic effect of arsenic (As) and all-trans retinoic acid in acute promyelocytic leukemia (APL) has been well documented. However, several major issues impeding the efficient delivery of these drugs for APL therapy remain unsolved. The low solubility of retinoic acid in physiological solutions makes drug delivery cumbersome, and the high systemic cytotoxicity of arsenic trioxide leads to unwanted side effects. In the present study, a new organo-arsenic molecule was synthesized via template-directed ring-opening esterification of an epoxy arsenic hydride (2-chloro-1,3,2-dioxaarsolane, CDA) under a nucleophilic attack exposing the hydroxyl terminus. The additional single step conjugation with retinoic acid (RA) and polyethylene glycol (PEG) yielded the amphiphilic prodrug PEG-As-RA that readily self-assembles into nanoparticles in the aqueous phase. The assembled nanoparticles containing both arsenic and RA exhibit high water solubility and good biocompatibility. In addition, they are highly stable in physiological buffers and are efficiently taken up by human APL cells. In vivo imaging results showed that the nanoparticles are characterized by prolonged blood circulation, and release both RA and As via hydrolysis to provide combination therapy for human APL. This novel organo-arsenic molecule conjugated with RA offers a new approach to the treatment of APL. PMID- 29843871 TI - Construction of High Sensitive CD133 Immune PLGA Magnetic Spheres Platform for Lung Cancer Stem Cells Isolation and Its Property Evaluation. AB - High sensitive immune CD133 PLGA magnetic spheres platform is constructed to isolate and enrich lung cancer stem cells in order to study their biological characteristics, such as their proliferation, self-renewal and invasion and metastasis in vitro. The expression of the specific transcription factors Oct 4 and Nanog genes of stem cells were detected by immunofluorescence and RT-PCR. The tumorigenic capacity of lung cancer cells were studied using the tumorigenesis experiment in nude mice in vivo. The results indicated that the CD133 immune PLGA magnetic beads (with diameter 356.25 +/- 0.64 nm) can effectively separate more lung cancer stem cells under the serum-free suspension culture compared with MACS CD133 MicroBead Kit. Some A549 cells sorted magnetically could form stable tumor suspended spheres that were able to undergo passage stably after 3 to 6 days. The self-renewal, clonal formation and invasion and metastasis capacities of the suspended spheres were higher than those of the parent cells (P < 0.05). The expressions of Oct 4 and Nanog mRNA in stem cells were significantly elevated (P < 0.05), and the A549 suspended spheres could significantly improve the in vivo tumorigenic capacity of nude mice. Among the peripheral blood of 20 patients with lung adenocarcinoma, CD133+ cells were isolated from the peripheral blood of 14 (70%), and CD133+ cells sorted from 11 (55%) patients were cultured into spheres. PMID- 29843872 TI - Comparative Analysis of microRNA Expression Profiles of Exosomes Derived from Normal and Hypoxic Preconditioning Human Neural Stem Cells by Next Generation Sequencing. AB - Stroke recovery is associated with neural stem cell (NSC) development and neurovascular unit reconstruction. The exosome, as an important intercellular player in neurovascular communication, mediates neuro-restorative events by transferring exosomal protein and RNA cargoes. In this study, we explored the role of exosomal microRNAs (miRNAs) in human NSCs (hNSCs), and analyzed the expression profiles of miRNAs in hNSC-derived and hypoxic preconditioning hNSC derived exosomes with the help of next generation sequencing (NGS). The results demonstrated that a certain proportion of miRNAs were differentially expressed in both exosomes. In addition, target gene prediction and Gene Ontology (GO) enrichment analysis showed that these genes were associated with differential miRNAs primarily participating in biological processes (regulation of cellular process), cellular component (intracellular membrane-bounded organelle), and molecular function (binding). Kyoto Encyclopedia of Genes and Genomes pathway (KEGG) pathway enrichment data suggested that most of targeted genes involved in PI3K-Akt, Hippo, MAPK, mTOR, and Endocytosis etc. signaling pathways. We identified the interesting and important expressed miRNA and considered that miR 98-3p might be a special hNSC-derived exosomal-miRNA which was significantly downregulated under hypoxic preconditioning. The hNSCs-derived exosomes were capable of modulating gene expression or promoting stroke therapy. We observed that after hypoxic preconditioning, the functions of these exosomes were changed, and exosomal-miRNAs expression profile was different. In summary, our study suggested that hNSC-derived exosomal miRNAs including hypoxic preconditioning exosomal miRNAs provided a new strategy for the diagnosis and treatment of stroke patients. PMID- 29843873 TI - Immunomagnetic Lipid Separation and Plastin Identification for Pancreatic Cancer Cells and Its Clinical Application. AB - Circulating tumour cells isolated from the peripheral blood of patients have the advantage of being non-invasive. The aim of this study was to develop an effective method for detecting pancreatic cancer micrometastasis from peripheral blood and explore the clinical application value of the separation of circulating pancreatic cancer cells using epithelial cell adhesion molecule (EpCAM) lipid magnetic spheres (ELMS) and plastin monoclonal antibody for identification. The pancreatic cancer PANC-1 cells were respectively added to phosphate-buffered saline (PBS) and fresh blood provided by healthy volunteers to detect cell recovery using ELMS. Moreover, trials were conducted using nude mice with tumour and samples from patients with pancreatic cancer to evaluate the effect of CTC isolation and identification. The prepared ELMS captured PANC-1 cells from blood with high efficiency, which was similar to the efficiency obtained with nude mice with tumour and the samples from patients with pancreatic cancer, in agreement with the clinical test results. This study is based on the high efficiency of the EpCAM magnetic nanolipid sphere separation system capturing CTC of pancreatic cancer, which provides a strong support for investigating pancreatic cancer, in terms of its early diagnosis, preoperative and post-operative analysis and analysing the treatment effects. PMID- 29843874 TI - Polydimethylsiloxane (PDMS)-Based Flexible Optical Electrodes with Conductive Composite Hydrogels Integrated Probe for Optogenetics. AB - Optical electrodes are important tools for optogenetic research. Flexible optical electrodes represent a refinement over traditional fiber-based electrodes because they contact with target cells gently by reducing mechanical mismatch, thereby enhancing their long-term, stable signal acquisition capability. Until now, little attention has been paid to flexible intracortical optical electrodes. Here, we reported a novel flexible penetrating optical electrode with a probe made of composite hydrogels. We used polydimethylsiloxane (PDMS), a kind of transparent material, to fabricate waveguide by capillary assembly method with two tungsten wires inside providing mechanic support. Then one tungsten wire was withdrawn out and the microchannel was filled with hydrogel composed of polyvinyl alcohol (PVA), multi-walled carbon nanotubes (MWCNT), poly(3,4 ethylenedioxythiophene) (PEDOT), and polystyrene sulfonate (PSS) as an electrical recording and stimulation probe. With PDMS as the waveguide and PVA/MWCNT/PEDOT/PSS hydrogel as the electroprobe, the optical electrode becomes a flexible package. The morphology observed by scanning electron microscopy showed that the PVA/MWCNT/PEDOT/PSS hydrogel had a loose surface structure, which would allow the effective adhesion to target neurons. A buckling test showed that our electrode maintained bending strength comparable to that of previously reported flexible penetrating electrodes. Finally, the electrical properties showed a lower impedance and higher charge capacity after PEDOT/PSS modification. The flexible penetrating optical electrode we developed may be used for long-term in vivo optogenetics studies. PMID- 29843875 TI - Redox-Responsive Supramolecular Micelles for Targeted Imaging and Drug Delivery to Tumor. AB - The tumor-selective drug delivery system based on supramolecular micelles that were self-assembled by amphiphilic beta-cyclodextrins (beta-CD) with redox responsiveness and fluorescence have been developed. The amphiphilic beta-CD were formed by anthraquinone (AQ) and cyclodextrins with disulfide bond in between. The disulfide bond is in charge of the responsiveness, while the AQ moiety serves as fluorescent probe. The tumor targeting was introduced by the host-guest inclusion complex between beta-CD and folate (FA), due to the known folate receptor mediated endocytosis. The responsive disintegration of this beta-CD-AQ FA micelles and coinstantaneous drug releases happened with cleavage of disulfide bond following tumor targeting and cell endocytosis, which was triggered by massive glutathione in the cytoplasm of tumor cells. The highly selective particle uptake by tumor cells and subsequent efficient drug delivery to these cells, which were directly demonstrated by fluorescence microscopy, resulted in an over twofold efficacy against tumor cells compared with normal cells, as well as higher tumor cytotoxicity than that caused by free drugs. These results indicate that these beta-CD-AQ-FA micelles, with performance of selective drug delivery, responsive drug release, effective drug tracking and tumor labeling, could be a promising platform for better therapeutic effects in cancer treatment. PMID- 29843876 TI - Highly Sensitive Detection of Glucose by a "Turn-Off-On" Fluorescent Probe Using Gadolinium-Doped Carbon Dots and Carbon Microparticles. AB - Carbon dots, as a potential substitute for semiconductor quantum dots, have drawn great interest in recent years. The preparation of fluorescent carbon dots has been made easy with many significant advances, but the complicated purifying processes, low quantum yield, and blue emission wavelength still limit its wider application in biosensors, biomedicine, and photonic devices. Here we report a strategy to synthesis Gd-doped carbon dots (Gd-Cdots) of super-high quantum yield with a microwave assisted hydrothermal method. The Gd-Cdots, with a diameter of 47~8 nm, can be purified easily with conventional centrifugal techniques. Carbon microparticles (CMPs) have also been synthesized with a similar procedure. Meanwhile, we demonstrated a novel "turn-off-on" fluorescent biosensor, which has been developed for highly sensitive detection of glucose using Gd-doped carbon dots as probes. The proposed biosensor has exhibited low-cost and non-toxic properties, with high sensitivity and good specificity. In addition, the results in real blood samples further confirmed it as a promising application in diabetes diagnosis. PMID- 29843877 TI - Anticancer Supramolecular Hydrogel of D/L-Peptide with Enhanced Stability and Bioactivity. AB - Supramolecular nanofibers based on D-amino acid-containing peptide self-assembly have attracted increased interest recently because of their superior biostability. However, the construction of nanostructures containing D-amino acids is still insufficient at present, and their application in biomedical fields should be further explored. Herein, we demonstrated that the aggregation property of hydrophobic anticancer tyroservaltide (YSV) could be decreased by introducing D-amino acids. Using such strategy, we fabricated a novel anticancer hydrogelator based on the D/L-peptide of NapGDFDFDYGYSV (D-YSV). Through a heating-cooling process, NapGDFDFDYGYSV self-assembled into a stable hydrogel, while its control peptide of NapGFFYGYSV (L-YSV) self-assembled into an unstable suspension. The nanofiber of D-YSV exhibited an excellent resistance to proteinase digestion comparing with that of L-YSV, and a better anticancer efficiency in vitro due to its improved cellular uptake. Moreover, D-YSV possessed good biocompatibility and showed a prominent tumour inhibition capacity in vivo via tail vein injection. Our study demonstrates a powerful strategy to reduce the aggregation property and construct supramolecular hydrogels of bioactive hydrophobic L-peptides. PMID- 29843878 TI - Doxorubicin-Loaded Dextran-Modified GoldMag Nanoparticles for Targeting Hepatocellular Carcinoma. AB - Doxorubicin (Dox) is one of the most widely used chemotherapeutic agents for many types of cancer, including hepatocellular carcinoma. However, clinical applications of Dox are limited due to its non-selective cytotoxicity that results in severe adverse effects. To tackle this problem targeted delivery of Dox exclusively to tumour milieu has become clinically prioritised. In this study, we first synthesized and validated Dextran coated GoldMag Nanoparticles (DGMNs) as a potential delivery vehicle for Dox. We then evaluated the cytotoxicity of Dox-DGMNs, the drug and carrier composites, under guidance of external magnetic field (EMF) in hepatocellular carcinoma cell lines and in tumour grafts. Intriguingly, DGMNs exhibited the capacity to prolong Dox release in vitro; hence, Dox-DGMNs significantly enhanced the therapeutic efficiency of the drug in vitro and in vivo, especially under EMF. However, DGMNs were able to significantly decrease systemic adverse effects and inhibit tumour growth compared to the intravenous application of free Dox. Molecular analysis revealed that tumour cells were more affected by Dox-DGMNs with EMF than Dox-DGMNs or Dox alone in terms of apoptosis and DNA damage marker expression. Overall, DGMNs exhibited a substantial potential to serve as a promising drug delivery carrier for magnetically targeted cancer therapy. PMID- 29843879 TI - Inhibition of Al(III)-Induced Abeta42 Fibrillation and Reduction of Neurotoxicity by Epigallocatechin-3-Gallate Nanoparticles. AB - RATIONAL: Accumulation of amyloid beta fibrils is the pathological hallmark of Alzheimer's disease. Epigallocatechin-3-gallate (EGCG) has shown to possess potent anti-amyloidogenic, metal chelation and antioxidant properties. However, its therapeutic potential is limited in-vivo due to its poor bioavailability and stability. Therefore, the present study aims to evaluate the neuroprotective role of EGCG nanoparticles (nanoEGCG) against Al(III)-induced Abeta42 fibrillation in vitro. METHOD: NanoEGCG was synthesized and its physiochemical characterization was performed. In-vitro release profiles and stability of nanoEGCG in simulated gastro-intestinal fluids, along with its antioxidant and metal chelation potential was evaluated. The anti-amyloidogenic potential of nanoEGCG on Abeta42 secondary structure and its morphology was evaluated via induction with Al(III) and nanoEGCG treatment. Further, the effect of Abeta42 on cellular toxicity was also assessed. RESULT: NanoEGCG with 96% encapsulation efficiency and a hydrodynamic diameter of 300 nm with spherical to slightly ellipsoid shape was synthesized. EGCG release from the nanoparticle occurred in a sustained manner and was stable when released in simulated gastro-intestinal fluids. The antioxidant and metal chelation potential of nanoEGCG over time was better than its free form. Effective inhibition of both Abeta42 and Al(III) induced Abeta42 fibrillation with nanoEGCG treatment was noted. This was achieved through the generation of soluble Abeta42 amorphous aggregates instead of insoluble Abeta42 oligomers and fibril generation. Significant reduction in cellular toxicity was also noted when treated with nanoEGCG. CONCLUSION: In conclusion, this study strengthens the hypothesis that EGCG nanoparticles can inhibit Al(III)-induced Abeta42 fibrillation and its neurotoxicity in-vitro. PMID- 29843880 TI - Multifunctional Bismuth Ferrite Nanoparticles as Magnetic Localized Dose Enhancement in Radiotherapy and Imaging. AB - Recently bismuth-based nanoparticles have drawn extensive attention as radiosensitizer in radiotherapy due to high atomic number, low toxicity, and low cost. This study aims to introduce the applicability of bismuth ferrite nanoparticles (BFO, BiFeO3) as a new multifunctional theranostic agent for radiotherapy, magnetic resonance imaging (MRI), and computed tomography (CT) as well as magnetic hyperthermia mediator. After evaluation of BFO nanoparticles biocompatibility which were synthesized by conventional sol-gel method, we investigated dose enhancement property of BFO nanoparticles with gel dosimetry, clonogenic, and cck8 assay. According to clonogenic assay, sensitizer enhancement ratios (SERs) were obtained as 1.35 and 1.76 for nanoparticle concentrations of 0.05 mg/ml and 0.1 mg/ml, respectively. For high concentration (0.5 mg/ml), dose enhancement effect of BFO nanoparticles was demonstrated by gel dosimetry. To prove the contrast enhancement of BFO nanoparticles in MR and CT imaging, the relaxation time rate (R2) and Hounsfield unit (HU) were measured, respectively. It was found that the R2 and Hu have linear relationship with the nanoparticle concentrations. Moreover, whereas BFO nanoparticles have magnetic properties, we measured inductive heating property of the nanoparticles in external alternative magnetic field to evaluate their applicability as magnetic hyperthermia mediator. A rapid temperature increment was detected under alternative magnetic field (12.2 kAm-1 and 17.2 kAm-1, frequency 480 kHz) owing to the high concentration of BFO nanoparticles. Collectively, our experimental investigation results proved that the multifunctional BFO nanoparticles could be employed as a multimodal imaging and radio-thermotherapeutic agent to enhance theranostic efficacy. PMID- 29843881 TI - The Preparation of C-Reactive Protein Immunosensor Based on Nano-Mimetic Enzyme Co3O4. AB - In this work, a nano-mimetic enzyme Co3O4 nanoparticles with catalytic effect on the reduction of H2O2, was synthesized and used to label C-reactive protein antibody. Au nanoparticles (Au NPs) were loaded on COF-TpPa-1 to form Au NPs@COF TpPa-1 with good biocompatibility and adsorption ability. A sandwich C-reactive protein immunosensor was prepared using Au NPs @COF-TpPa-1 as the immobilization matrix. The catalytic current of Co3O4 nanoparticles to the reduction of H2O2 was measured by the chronoamperometry which is in proportion to the concentration of CRP. The linear range of this immunosensor was 0.05-80 ng/mL with the linear correlation coefficient of 0.9955. The method demonstrated a good sensitivity with a detection limit of 0.017 ng/mL (S/N = 3) for CRP. When the C-reactive protein immunosensor was applied to real serum samples analysis, the satisfied results were obtained, indicating that the immunosensor is of prospect of application. PMID- 29843882 TI - Neural Stem Cells Alleviate Inflammation via Neutralization of IFN-gamma Negative Effect in Ischemic Stroke Model. AB - Inflammatory response generated by ischemic stroke commonly affects functional or structural recovery. The aim of this study was to examine the IFN-gamma caused inflammatory effects on NSCs in vitro and in vivo. We found that IFN-gamma did not affect NSCs proliferation but increased the SOD2 level of inflammatory oxidative stress in NSCs culturing. High dose IFN-gamma (500 ng) injection aggravated the level of inflammation in the cerebral ischemic model but did not alter the repairing functions of the NSCs in vivo. NSCs based treatment, including the NSCs-IFN-gamma combined treatment, significantly improved the ischemic microenvironment by decreasing CD4+, CD8+ T cells and microglia infiltration. Furthermore, anti-inflammatory cytokines IL-10 and TGF-beta1 expression were increased in the NSCs and combined treatment groups, but the level of pro-inflammatory cytokines (IL-1 beta, IL-6, IFN-gamma, and TNF-alpha) were decreased. The IFN-gamma/Stat1 signaling pathway was also activated. NSCs transplantation therefore promoted the neurological recovery of ischemic stroke rats mainly by altering the inflammatory microenvironment, neutralizing the negative effect of IFN-gamma. In conclusion, in addition to promoting cell replacement or engraftment, the NSCs-based transplantation also enhanced the therapeutic effects of transplantation by optimizing its immune microenvironment of ischemic areas. PMID- 29843883 TI - Survey of Musculoskeletal Disorders Among Indian Dancers in Mumbai and Mangalore. AB - Classical Indian dance has earned recognition across the globe; however, the health of dancers who are carrying forth this heritage has not received due attention. Therefore, this study aimed to explore musculoskeletal pain and injury prevailing among Indian dancers in Mumbai and Mangalore. A secondary aim was to compare pain tolerance levels between dancers and non-dancers. Fifty-one dancers trained in different traditional Indian and Western dance forms and 164 recreational dancers were recruited as participants. An indigenous questionnaire was designed and validated by physical therapists across various levels of experience and dancers across various training levels. The questionnaire recorded dance, pain, and injury profiles. Additionally, pain tolerance was evaluated using the Pain Sensitivity Questionnaire among dancers and healthy age- and gender-matched controls (N = 200). Descriptive statistical analysis was performed to present results of the site of current pain, site of past injury, perceived causes of injury, and exercise routine. The Student's t-test was used to compare Pain Sensitivity Questionnaire scores between dancers and non-dancers, and independent one-way ANOVA was used to compare scores among dancers practicing different dance forms. For both current pain and past injury, dancers reported the back (42.5%) followed by the knee (28.3%) and ankle (18.6%) as the most common sites. Stress was the most commonly perceived cause of injury (34.4%), followed by over work (24.7%), tiredness (17.2%), and falls (13.5%). Warm-up exercises were always performed by 43.30% of dancers, whereas only 20% performed stretching after dance. Almost 60% of dancers participated in forms of exercise other than dance, e.g., swimming, yoga, and aerobics. Pain sensitivity was not significantly different between dancers and non-dancers (p = 0.159). Level of training and gender did not influence pain. PMID- 29843884 TI - Lower Extremity Horizontal Work, But Not Vertical Power, Predicts Balance Performance in Female Collegiate Dancers. AB - Dancers, similar to other athletes, often perform vertical and horizontal jumps. Lower extremity (LE) work, power, and balance are important in performing these movements. However, whether these qualities are inter-related in dancers remains unclear. Our purposes were to examine if 1. LE horizontal work, vertical power, and balance were inter-related, and 2. LE horizontal work and vertical power would predict balance in female collegiate dancers. Sixty-one collegiate female dancers (18.3 +/- 0.7 years; 164.7 +/- 7.3 cm; 61.7 +/- 9.5 kg) performed Single Leg Hops (SLH, m), and Vertical Jumps (VJ, cm). The resulting distances were used to calculate horizontal work (hWork, joules = weight[N] * SLH), and vertical power (vPower, watts = 78.5 * VJ + 60.6 * mass[kg] 15.3 * height [cm] 1,308). Balance was operationally defined as the bilateral composite Star Excursion Balance Test (SEBTcom, % leg-length-LL) reach scores in the anterior, posterolateral, and posteromedial directions. Pearson correlation coefficients examined relationships among hWork, vPower, and SEBTcom. A stepwise linear regression examined whether hWork and vPower predicted balance (p <= 0.05). SEBTcom (75.7 +/- 6.2% LL) showed moderate correlations to hWork (800.3 +/- 191 joules; r = 0.59, p < 0.001), and fair correlations to vPower (3289.1 +/- 1047.7 watts; r = 0.31, p = 0.02). hWork showed moderatestrong correlations to vPower (r = 0.70, p < 0.001). hWork predicted 32.4% of the balance score variance (p < 0.001), but vPower did not enter the regression model. Overall, LE horizontal work, vertical power, and balance were positively correlated in female collegiate dancers. LE horizontal but not vertical power predicted almost one-third of the changes in balance. The similar horizontal directional task demands in both the SEBT and SLH versus the differing horizontal and vertical directional task demands in the SEBT and the VJ, respectively, may partially explain these findings. As LE work, power, and balance are interrelated, whether dancers' participation in training programs can improve their jumping, landing, and balance performance needs further examination. PMID- 29843885 TI - The Effect of Physical Therapist Involvement in the Diagnosis and Treatment of Youth and Adolescent Dancers' Injuries. AB - In studies of major dance companies that employ mostly adult dancers, measuring the effect of comprehensive medical management that includes daily on-site physical therapy has shown a decrease in the incidence of dance injuries, days missed from dance, injury-related costs, and Workers Compensation claims. As no comparable data have been collected with regard to youth and adolescent dancers, we sought to assess the effect of physical therapist involvement in the care of injuries sustained by young dancers on the incidence and amount of time missed from dancing. A cross sectional study was conducted by questionnaire of 55 students attending a US school for the arts summer dance program. Dancers ranged in age from 13 to 17 years, with a mean age of 15.0 +/- 1.0. Most (87.3%) were female. Participants reported dancing a mean of 4.4 +/- 2.6 hours per day prior to arrival at the program. They recorded 37 prior injuries, most of which (51.4%) were diagnosed by a physician, although a substantial proportion were diagnosed by a physical therapist (43.2%). Dancers whose injuries were diagnosed by a physician were more likely to miss dance class than those diagnosed by a physical therapist (100% vs. 50%; p = 0.014). When an injury did result in missed dance time, the median number of days missed was greater when the diagnosis was made by a physician as opposed to a physical therapist, although this finding was not statistically significant (6.0 vs. 2.5 days; p = 0.203). This supports previous literature showing a beneficial effect of health care management that involves physical therapists, especially those with expertise in dance injuries, on outcomes from dance injuries sustained by adult dancers. PMID- 29843886 TI - The Effect of Footwear on Free Moments During a Rotational Movement in Country Swing Dance. AB - Footwear in dance has been studied for support and cushioning, but little research has been conducted on free moments, which may result from high frictional coefficients. Conversely, insufficient friction between shoes and floors may increase the risk of falls and compromise dance performance. The purpose of this study was to examine the effect of different types of footwear with different coefficients of friction on peak and average free moments during a rotational movement in country swing dance. Fifteen country swing dancers completed a rotational movement under four footwear conditions: barefoot, rubber bottom boots, leather-bottom boots, and running shoes. The peak and average free moments applied to the left and right legs were measured using two force plates. Coefficients of static friction between different shoes and force plate surfaces were quantified and found to be greater for the rubber-bottom boots and running shoes than the leather-bottom boots. For the left (push off) leg, free moments were greater for the running shoe and rubber-bottom boot conditions compared to the barefoot and leather-bottom boot conditions. For the right (rotating) leg, free moments were greatest for the running shoe condition, second greatest for the barefoot and rubber-bottom boot conditions, and least for the leather-bottom boot condition. The leatherbottom boots may decrease twisting loads resulting from free moments. Coefficients of friction and free moments should be considered for future longitudinal studies to investigate potential cause-effect relationships among footwear, potential for injury, and dance performance. PMID- 29843887 TI - Pain and Injury in Elite Adolescent Irish Dancers: A Cross-Sectional Study. AB - Dance is an extremely popular activity among adolescents and has a range of associated physical and psychological health benefits. However, pain and injury in young elite dancers is pervasive, and the underlying risk factors are poorly understood. This study investigated the incidence of pain and injury in elite adolescent Irish dancers and examined a range of potentially associated biopsychosocial risk factors. Thirty-seven championship level Irish dancers completed baseline questionnaires recording any episode of pain or injury over the previous 12 months. Additionally, dancers provided information regarding their dance practices, general health, sleep, eating habits, and a range of psychological factors including mood, catastrophizing, passion for dance, and achievement motivation. A baseline physical screening protocol including assessment of balance, fitness, flexibility, endurance, and functional movement was conducted. Subjects were separated into a "more pain and injury (MPI)" group (N = 17) or "less pain and injury (LPI)" group (N = 20) based on their reported pain and injury history over the previous year. Statistical analysis was conducted using independent samples ttest, the Mann-Whitney U test for skewed variables, and the test of independence for categorical variables as appropriate. Eighty-four percent of subjects recorded at least one pain or injury during the previous year. The lower limb, particularly the foot and ankle, was most commonly affected. Factors significantly associated with pain and injury included having an unusual number of troublesome body parts (p = 0.002), often or always dancing in pain (p = 0.033), and high levels of anger or hostility (p = 0.045). This study demonstrates that elite adolescent Irish dance is associated with a substantial risk of pain and injury that appears to be greater than that incurred by young dancers from other genres. Proposed explanations include inappropriate technique progression, unique choreographic features, and an overly arduous calendar of competitive events. A prospective study nearing completion will help clarify causal factors in these dancers. PMID- 29843888 TI - Shame and Anxiety: The Mediating Role of Childhood Adversity in Dancers. AB - The combination of shame, anxiety, and a history of childhood maltreatment can have devastating effects on self-esteem and on the morbidity and mortality of an individual. Shame is a natural emotion evoked in social evaluative settings. Without some degree of shame, goal attainment is less likely. However, high levels of shame may increase pathology and decrease performance. In this crosssectional study, pre-professional and professional dancers were divided into two shame groupings: low (N = 193) and high (N = 25). Chi square and multivariate analyses of covariance (age and gender as covariates) were conducted to determine group differences for cumulative adverse childhood experiences (ACEs), anxiety, self-esteem, and shame factors. The high shame group had a greater distribution of childhood adversity (especially emotional, physical and sexual abuse, and emotional neglect). They also had clinical levels of anxiety and low self-esteem. In the path analyses, the causal model demonstrated that childhood adversity had a direct effect on anxiety and shame and an indirect effect on self-esteem. Shame and anxiety had a direct effect on self-esteem. Helping dancers become resistant to shame may decrease anxiety and buffer the effects of a history of childhood adversity. As internalized shame decreases, dancers may enhance their self esteem, wellbeing, and ability to pursue and achieve their career goals. PMID- 29843891 TI - The effect of elevated non-esterified fatty acid concentrations on bovine spermatozoa and on oocyte invitro fertilisation. AB - Elevated non-esterified fatty acid (NEFA) concentrations, present in follicular and oviductal fluid, have been postulated as a causative link between metabolic disorders and subfertility. High NEFA conditions can directly disrupt oocyte maturation and developmental capacity after fertilisation. However, their influence on sperm function and the fertilisation process is not known. This study investigated the fertilisation process under high NEFA conditions. To differentiate between effects on both spermatozoa and oocytes or on spermatozoa only, different experiments were conducted. In the first experiment both gametes were simultaneously incubated during IVF under different conditions: (1) NEFA free, solvent-free control conditions, (2) solvent control, (3) physiological concentrations of oleic (OA), palmitic (PA) and stearic (SA) acids or (4) pathophysiological concentrations of OA, PA and SA. In the second experiment spermatozoa were incubated (4h) under the same treatment conditions prior to routine IVF. Gamete co-incubation resulted in reduced fertilisation and cleavage rates and increased prevalence of polyspermy. In the second experiment embryo developmental capacity and quality were not affected, although sperm motility and plasma membrane integrity were decreased. In conclusion, lipolytic conditions affected the fertilisation process mainly through an effect on the oocyte. Spermatozoa were still able to fertilise even though these conditions reduced sperm function. PMID- 29843892 TI - Insulin-like growth factor-1 (IGF-1) promotes primordial follicle growth and reduces DNA fragmentation through the phosphatidylinositol 3-kinase/protein kinase B (PI3K/AKT) signalling pathway. AB - We investigated the effects of insulin-like growth factor 1 (IGF-1) on the morphology and follicular activation of ovine preantral follicles cultured in situ and whether the phosphatidylinositol 3-kinase/protein kinase B (PI3K/AKT) pathway is involved in IGF-1 action in the sheep ovary. Ovine ovarian fragments were fixed for histological and terminal deoxynucleotidyl transferase dUTP nick end labelling (TUNEL) analyses (fresh control) or cultured in supplemented alpha minimum essential medium (alpha-MEM+; control) or alpha-MEM+ with IGF-1 (1, 10, 50, 100 or 200ngmL-1) for 7 days. Follicles were classified as normal or atretic, primordial or growing and the oocyte and follicle diameters were measured. DNA fragmentation was evaluated by TUNEL assay. Proliferating cell nuclear antigen (PCNA) immunohistochemistry was performed on the fresh control, alpha-MEM+ and 100ngmL-1 IGF-1 samples. Inhibition of PI3K activity was performed through pretreatment with the PI3K inhibitor LY294002 and phosphorylated AKT (pAKT) expression was analysed after culture in the absence or presence of LY294002. IGF 1 at 100ngmL-1 increased (P<0.05) follicular activation compared with alpha-MEM+ and decreased TUNEL-positive cells (P<0.05) compared with other treatments. PCNA positive cells also increased (P<0.05) in 100ngmL-1 IGF-1. LY294002 significantly inhibited follicular activation stimulated by alpha-MEM+ and 100ngmL-1 IGF-1 and reduced pAKT expression in follicles. Overall, IGF-1 at 100ngmL-1 promoted primordial follicle activation, cell proliferation and reduced DNA fragmentation after in situ culture through the PI3K/AKT pathway. PMID- 29843893 TI - Boar sperm hyperactivated motility is induced by temperature via an intracellular calcium-dependent pathway. AB - Herein we describe a new protocol to induce boar sperm hypermotility: temperature induced hypermotility (TIH). Briefly, spermatozoa stored at 17 degrees C in a calcium-free Tyrode's basal medium (containing EGTA) were exposed to increased temperature by incubation at 38.5 degrees C. Hypermotility induced by the calcium ionophore A23187 was used as a control (calcium ionophore-induced hyperactivity (CIIH)). The increase in temperature led to an increase in the percentage of hypermotile spermatozoa. When the slope of the temperature increase is near zero, sperm hyperactivity becomes a more progressive movement. Motility parameters of sperm hyperactivation induced by TIH were different from those following CIIH. Cluster analysis revealed that these two populations of hyperactivated spermatozoa are different. TIH is independent of extracellular Ca2+ but dependent on intracellular Ca2+ release. Moreover, TIH is unaffected by protein kinase A (PKA) inhibition, whereas CIIH is reduced by half in the presence of a PKA inhibitor. In conclusion, we have demonstrated that: (1) a temperature increase in boar spermatozoa is a stimulus that can induce a hyperactive population, which is differs from the hyperactive sperm population induced by calcium ionophore; (2) the temperature increase in spermatozoa triggers the release of Ca2+ from intracellular stores; (3) extracellular calcium is not required for TIH; and (4) TIH in boar spermatozoa is independent of PKA activity. PMID- 29843894 TI - Diffuse Erythema and Acral Hyperkeratosis in a Newborn. PMID- 29843895 TI - Single versus double column fixation in transverse fractures of the acetabulum: A randomised controlled trial. AB - INTRODUCTION: Biomechanical studies have compared fixation methods in transverse acetabular fractures, yet there is not enough clinical data to suggest an optimal fixation method. The aim of this randomized controlled trail was to compare fracture stability in posterior plating alone versus posterior plating and anterior column lag-screw fixation in treatment of transverse and transverse with posterior wall acetabular fractures. METHODS: Thirty patients were randomized to one of two groups, either posterior fixation alone (single column group), or posterior plating and anterior fixation with percutaneous anterior column screw (double column group). Patients were followed up with serial radiographic assessments documenting any loss of reduction, utilizing Matta's radiological criteria, measuring the roof arc angles and by measuring any change in the femoral head offset. RESULTS: Fifteen patients were randomized to each group. Mean patient age was 31 years, mean follow up period was 19 months (range 12-24). There was no significant differences between the two groups with regards the quality of post-operative reduction, blood loss, hospital stay and functional score using the modified Merle D'Aubinge and Postel score. The operative time was significantly longer in the double column fixation group (130 min versus 104 min). There was no loss of reduction observed in either of the two groups. CONCLUSION: Single poster column fixation in transverse and transverse posterior wall fractures showed similar result to double column fixation, in terms of fractures stability in the follow up period, quality of reduction and early functional outcome. PMID- 29843896 TI - Episodic memory for natural and transformed food. AB - It has been proposed that the conceptual knowledge of food and its putative subdivision into natural (i.e., fruit/vegetables) and transformed (i.e., food that underwent thermic or non-thermic processing) may follow the living/non living distinction. In the present study, we investigated whether the advantage for living things compared to non-living things observed in episodic memory (the so-called animacy effect) extends to natural foods and transformed foods respectively. We pursued this issue in two experiments. In Experiment 1, we measured episodic memory for natural and transformed foods in young participants. In Experiment 2, we enrolled dementia-free centenarians, patients with Alzheimer's disease (DAT), Progressive primary aphasia (PPA), and healthy controls whose episodic memory was also tested for living/non-living things. Results showed that young participants had better recognition memory for transformed foods compared to natural foods. This difference disappeared in centenarians and patients. However, centenarians and PPA exhibited enhanced levels of false alarms (FA) with natural food, and DAT patients with both natural and transformed food. As far as the living/non-living distinction is concerned, the episodic memory for the living category appears more resilient to the decline compared to the non-living category in patients, particularly those with PPA. In conclusion, our study shows that transformed food is better remembered than natural food, suggesting that it is more salient and possibly relevant from an evolutionary perspective. The natural/transformed distinction appears susceptible to erosion only in the presence of a high degree of episodic memory impairment. These results offer novel insight on episodic memory of food, and also extend the current knowledge on the animacy effect in episodic memory. PMID- 29843897 TI - Major bleeding with old and novel oral anticoagulants: How to manage it. Focus on reversal agents. AB - Even though vitamin K antagonists (VKAs) have been employed for >50 years, there is still some uncertainty about the best strategy to reverse anticoagulation due to VKAs in cases of major bleeding. Furthermore, there is also scarce evidence about the most appropriate way to treat serious bleeding associated with non vitamin K antagonist oral anticoagulants. This review analyses the main advantages and disadvantages of the various forthcoming therapeutic options to restore a normal coagulation status in anticoagulated patients with ongoing serious bleeding. It discusses the role of fresh frozen plasma, prothrombin complex concentrates and recombinant factor VII activated. Moreover, we report updated evidence on antidotes currently available or in development. Finally, this article proposes a comprehensive algorithm that summarizes major bleeding management during treatment with oral anticoagulants. PMID- 29843898 TI - Association of ibuprofen use with post-tonsillectomy bleeding in older children. AB - OBJECTIVE: Evaluate post-tonsillectomy outcomes in children discharged with ibuprofen versus those without. METHODS: This was a retrospective review of children who underwent tonsillectomy +/- adenoidectomy from 2012 to 2016 at a tertiary care children's hospital. Main outcome measures included bleed rates, ER visits, and nurse phone calls. RESULTS: Seven hundred and seventy-three patients were included; 504 had ibuprofen at discharge (ID) and 269 did not (NID). There were significant differences in mean age, 6.7 years in the ID group years versus 8.6 for the NID group (P < 0.001). Indication for surgery was sleep apnea in 70.5% of ID patients and 44.0% of NID patients (P < 0.001). Post-tonsillectomy bleeds occurred in 8.7% in the ID group and 5.9% of the NID group (P = 0.168). Other outcome measures revealed no significant differences between the two groups. There was no significant difference in the outcome measures between patients with sleep apnea or recurrent tonsillitis. Age was important; 12.1% of children 9-18 years versus 4.8% in children 3.1-6 years (P = 0.006) had post tonsillectomy bleeding. For children 9-18 years old, 16.7% in the ID group bled versus 7.5% in the NID group (P = 0.039). Logistical regression revealed that age contributed to post-op bleeding, and ibuprofen contributed to number of ER visits. CONCLUSION: Ibuprofen is associated with significantly elevated post tonsillectomy bleeding in older children, further research is needed and other analgesics should be considered. PMID- 29843899 TI - Randomized phase II trial evaluating pain response in patients with spinal metastases following stereotactic body radiotherapy versus three-dimensional conformal radiotherapy. AB - BACKGROUND: To report the primary endpoint of a randomized trial comparing pain response following palliative stereotactic body radiation therapy (SBRT) versus conventionally-fractionated 3D-conformal radiotherapy (3DCRT) for previously untreated spinal metastases. METHODS: Fifty-five patients with histologically/radiologically confirmed painful spinal metastases were analyzed in this single-institutional, non-blinded, randomized explorative trial. Participants were randomly assigned (1:1) to receive single-fraction SBRT (24 Gy) or 3DCRT (30 Gy in 10 fractions). The primary endpoint was pain relief of >2 points on the visual analog scale (VAS) measured within the irradiated region at 3 months following radiotherapy completion. Other recorded parameters included pain response (per International Bone Consensus response definitions), use of concurrent medications and opioid usage (oral morphine equivalent dose, OMED). All parameters were assessed at baseline and at three and six months after RT. Intention-to-treat analysis was applied. This trial is registered with ClinicalTrials.gov, number NCT02358720. FINDINGS: Despite no significant differences for VAS at 3 months between groups (p = 0.13), pain values decreased faster within this time period in the SBRT arm (p = 0.01). At 6 months following RT, significantly lower VAS values were reported in the SBRT group (p = 0.002). There were no differences in OMED consumption at 3 (p = 0.761) and 6 months (p = 0.174). There was a trend toward improved pain response in the SBRT arm at 3 months (p = 0.057), but significantly so after 6 months (p = 0.003). No patient in the SBRT group experienced grade >=3 toxicities according to the Common Terminology Criteria for Adverse Events v.4.03. CONCLUSIONS: This randomized trial demonstrates the utility of palliative SBRT for spinal metastases, which was associated with a quicker and improved pain response. Larger ongoing randomized studies will assist in further addressing these endpoints. PMID- 29843900 TI - Serum 25-hydroxyvitamin D level is negatively associated with serum phosphorus level among stage 3a-5 chronic kidney disease patients. AB - BACKGROUND: Serum 25-hydroxyvitamin D (25(OH)D) negatively correlates with serum phosphorus level of stage 3a-5 chronic kidney disease (CKD) patients. So far, no explanation has been provided for this negative association. OBJECTIVE: To confirm this negative association and determine if this relationship is mediated through other known co-morbid factors. CASES AND METHODS: One hundred (57 male and 43 female) pre-dialysis stage 3a-5 CKD patients were selected. Estimated glomerular filtration rate (eGFR), serum calcium (Ca), phosphorus (P), 25(OH)D, parathyroid hormone (PTH), and intact fibroblast growth factor-23 (FGF23) were assessed. A correlation analysis between serum 25(OH)D and the different parameters studied was performed. Multivariate linear regression analysis was carried out to determine predictors of 25(OH)D. RESULTS: The negative association between serum 25(OH)D and serum P was confirmed in univariate and multivariate correlation analysis. On the other hand, we failed to detect a significant association between 25(OH)D and serum FGF23. Serum P is the most important independent predictor of 25(OH)D in these patients (partial R2=0.15, p<0.0001). CONCLUSION: Serum P is likely to have a direct negative impact on serum 25(OH)D. Further studies are needed to determine the underlying mechanism. PMID- 29843901 TI - Slaintecare - A ten-year plan to achieve universal healthcare in Ireland. AB - In May 2017, an Irish cross-party parliamentary committee published the 'Houses of the Oireachtas Committee on the Future of Healthcare "Slaintecare" report'. The report, known as 'Slaintecare', is unique and historic as it is the first time there has been a cross-party political consensus on major health reform in Ireland. Slaintecare sets out a high level policy roadmap to deliver whole system reform and universal healthcare, phased over a ten year period and costed. Slaintecare details reform proposals which, if delivered, will establish; a universal, single-tier health service where patients are treated solely on the basis of health need; the reorientation of the health system 'towards integrated primary and community care, consistent with the highest quality of patient safety in as short a time-frame as possible'. Slaintecare has five interrelated components: population health; entitlements and access to healthcare; integrated care; funding; and implementation. In this article, the authors use documents in the public domain (parliamentary reports, public hearings, submissions to the Committee, media coverage, the final report of the Committee, speeches by Committee members) to describe the policy process and the main contents of the proposed Slaintecare reforms. It is too soon tell if the political consensus in the policy formation can hold for its implementation. PMID- 29843902 TI - Non-inflammatory causes of emergency consultation in patients with multiple sclerosis. AB - OBJECTIVES: To describe non-relapse-related emergency consultations of patients with multiple sclerosis (MS): causes, difficulties in the diagnosis, clinical characteristics, and treatments administered. METHODS: We performed a retrospective study of patients who attended a multiple sclerosis day hospital due to suspected relapse and received an alternative diagnosis, over a 2-year period. Demographic data, clinical characteristics, final diagnosis, and treatments administered were evaluated. Patients who were initially diagnosed with pseudo-relapse and ultimately diagnosed with true relapse were evaluated specifically. As an exploratory analysis, patients who consulted with non inflammatory causes were compared with a randomly selected cohort of patients with true relapses who attended the centre in the same period. RESULTS: The study included 50 patients (33 were women; mean age 41.4+/-11.7years). Four patients (8%) were initially diagnosed with pseudo-relapse and later diagnosed as having a true relapse. Fever and vertigo were the main confounding factors. The non inflammatory causes of emergency consultation were: neurological, 43.5% (20 patients); infectious, 15.2% (7); psychiatric, 10.9% (5); vertigo, 8.6% (4); trauma, 10.9% (5); and miscellaneous, 10.9% (5). CONCLUSIONS: MS-related symptoms constituted the most frequent cause of non-inflammatory emergency consultations. Close follow-up of relapse and pseudo-relapse is necessary to detect incorrect initial diagnoses, avoid unnecessary treatments, and relieve patients' symptoms. PMID- 29843903 TI - Second neoplasms in patients infected with HIV. PMID- 29843904 TI - Predicting adhesion and biofilm formation boundaries on stainless steel surfaces by five Salmonella enterica strains belonging to different serovars as a function of pH, temperature and NaCl concentration. AB - This study aimed to assess the capability of 97 epidemic S. enterica strains belonging to 18 serovars to form biofilm. Five strains characterized as strong biofilm-producers, belonging to distinct serovars (S. Enteritidis 132, S. Infantis 176, S. Typhimurium 177, S. Heidelberg 281 and S. Corvallis 297) were assayed for adhesion/biofilm formation on stainless steel surfaces. The experiments were conducted in different combinations of NaCl (0, 2, 4, 5, 6, 8 and 10% w/v), pH (4, 5, 6 and 7) and temperatures (8 degrees C, 12 degrees C, 20 degrees C and 35 degrees C). Only adhesion was assumed to occur when S. enterica counts were >=3 and <5 log CFU/cm2, whereas biofilm formation was defined as when the counts were >=5 log CFU/cm2. The binary responses were used to develop models to predict the probability of adhesion/biofilm formation on stainless steel surfaces by five strains belonging to different S. enterica serovars. A total of 99% (96/97) of the tested S. enterica strains were characterized as biofilm-producers in the microtiter plate assays. The ability to form biofilm varied (P < 0.05) within and among the different serovars. Among the biofilm-producers, 21% (20/96), 45% (43/96), and 35% (34/96) were weak, moderate and strong biofilm-producers, respectively. The capability for adhesion/biofilm formation on stainless steel surfaces under the experimental conditions studied varied among the strains studied, and distinct secondary models were obtained to describe the behavior of the five S. enterica tested. All strains showed adhesion at pH 4 up to 4% of NaCl and at 20 degrees C and 35 degrees C. The probability of adhesion decreased when NaCl concentrations were >8% and at 8 degrees C, as well as in pH values <= 5 and NaCl concentrations > 6%, for all tested strains. At pH 7 and 6, biofilm formation for S. Enteritidis, S. Infantis, S. Typhimurium, S. Heidelberg was observed up to 6% of NaCl at 35 degrees C and 20 degrees C. The predicted boundaries for adhesion were pH values < 5 and NaCl >= 4% and at temperatures <20 degrees C. For biofilm formation, the predicted boundaries were pH values < 5 and NaCl concentrations >= 2% and at temperatures <20 degrees C for all strains. The secondary models obtained describe the variability in boundaries of adhesion and biofilm formation on stainless steel by five strains belonging to different S. enterica serovars. The boundary models can be used to predict adhesion and biofilm formation ability on stainless steel by S. enterica as affected by pH, NaCl and temperature. PMID- 29843905 TI - Real-world data on antiviral treatments for hepatitis C virus infections: Can we define intention to treat or per protocol analyses? PMID- 29843906 TI - Endometrial cancer: Molecular markers and management of advanced stage disease. AB - Endometrial cancer is the most prevalent gynecologic cancer in the United States. Over the last 10 years, death rates from endometrial cancer have been rising about 1.4% per year. Traditionally endometrial cancer treatment has been driven by stage and histology. Recent studies have, however, shown that cancers of the same stage and histology have very distinct molecular and genomic profiles. Translational research is progressing rapidly and endometrial cancer-specific precision medicine is evolving. The first tissue agnostic therapy based on the molecular profile of the tumor was approved by the FDA this year. The approval of immune checkpoint inhibitor, pembrolizumab (anti-PD-1), for all solid tumors with defective DNA mismatch repair, could benefit 20-30% of patients with advanced endometrial cancer. Other genomic changes and molecular markers in endometrial cancer, such as hormone receptor status, could lead to more tailored therapy in the future. Pre-clinical and clinical investigations of targeted therapies suggest efficacy for some agents. Single agent targeted therapies, however, have modest activity. Identifying biomarkers that effectively determine response to targeted therapy remains a challenge. The next generation of clinical trials will focus on novel combinations and how to best utilize the advances that have been made in sequencing technology and bioinformatics. Although there is currently an immense body of data and many options for obtaining genomic characteristics of endometrial cancer, how to interpret and utilize this data is still being explored. This review will summarize the important trials that have led to the treatment options we have for advanced and/or recurrent endometrial cancer and discuss the important studies that have led to a better understanding of the distinctive molecular and genomic profiles within endometrial cancer. We will review the current status of biomarker-driven targeted therapy in endometrial cancer and the rationale behind ongoing clinical trials that are utilizing novel targeted agents. PMID- 29843907 TI - Abdominal stab wound injury in children: Do we need different approach? AB - BACKGROUND: Penetrating stab wounds in children are relatively rare and no clear recommendations for the optimal evaluation have been devised. An acceptable traditional approach to the patient with an abdominal stab wound who does not require urgent surgery is selective nonoperative management and serial exams. The use of routine computed tomography remains an actively utilized investigation for these patients at many institutions. PURPOSE: We hypothesize that the approach to pediatric stab wound victims should be distinctly different than that of adult counterparts in order to minimize radiation exposure. METHODS: A retrospective cohort study involving abdominal stab wounds among pediatric trauma patients (age < 14) compared with adults between the years 1997 and 2016 was conducted utilizing the Israeli National Trauma Registry. RESULTS: A total of 92 children and 4444 adults were identified from the registry for inclusion. Among the children 20 (21.7%) patients had intraabdominal injury compared to 1730 (38.9%) among adult counterparts. Four children were hemodynamically unstable, two of them were referred directly to operating room and two others were treated without surgery. Among the remaining 88 children there was no observed mortality. CONCLUSIONS: The majority of pediatric stab wounds trauma victims have minor abdominal injuries. We do not recommend the routine utilization of abdominal CT scan in the evaluation of abdominal stab wounds. Observation with serial exams and minimization of radiation exposure from CT are warranted in this unique population. TYPE OF STUDY: Retrospective comparative study. LEVEL OF EVIDENCE: 3. PMID- 29843908 TI - Malnutrition increases the risk of 30-day complications after surgery in pediatric patients with Crohn disease. AB - BACKGROUND: Pediatric patients with Crohn disease (CD) are frequently malnourished, yet how this affects surgical outcomes has not been evaluated. This study aims to determine the effects of malnourishment in children with CD on 30 day outcomes after surgery. STUDY DESIGN: The ACS NSQIP-Pediatric database from 2012 to 2015 was used to select children aged 5-18 with CD who underwent bowel surgery. BMI-for-age Z-scores were calculated based on CDC growth charts and 2015 guidelines of pediatric malnutrition were applied to categorize severity of malnutrition into none, mild, moderate, or severe. Malnutrition's effects on 30 day complications. Propensity weighted multivariable regression was used to determine the effect of malnutrition on complications were evaluated. RESULTS: 516 patients were included: 349 (67.6%) without malnutrition, 97 (18.8%) with mild, 49 (9.5%) with moderate, and 21 (4.1%) with severe malnutrition. There were no differences in demographics, ASA class, or elective/urgent case type. Overall complication rate was 13.6% with malnutrition correlating to higher rates: none 9.7%, mild 18.6%, moderate 20.4%, and severe 28.6% (p < 0.01). In propensity matched, multivariable analysis, malnutrition corresponded with increased odds of complications in mild and severely malnourished patients (mild OR = 2.1 [p = 0.04], severe OR 3.26 [p = 0.03]). CONCLUSION: Worsening degrees of malnutrition directly correlate with increasing risk of 30-day complications in children with CD undergoing major bowel surgery. These findings support BMI for-age z scores as an important screening tool for preoperatively identifying pediatric CD patients at increased risk for postoperative complications. Moreover, these scores can guide nutritional optimization efforts prior to elective surgery. LEVEL OF EVIDENCE: IV. PMID- 29843909 TI - Molluscan indicator species and their potential use in ecological status assessment using species distribution modeling. AB - Marine habitat assessment using indicator species through Species Distribution Modeling (SDM) was investigated. The bivalves: Corbula gibba and Flexopecten hyalinus were the indicator species characterizing disturbed and undisturbed areas respectively in terms of chlorophyll a concentration in Greece. The habitat suitability maps of these species reflected the overall ecological status of the area. The C. gibba model successfully predicted the occurrence of this species in areas with increased physical disturbance driven by chlorophyll a concentration, whereas the habitat map for F. hyalinus showed an increased probability of occurrence in chlorophyll-poor areas, affected mainly by salinity. We advocate the use of C. gibba as a proxy for eutrophication and the incorporation of this species in monitoring studies through SDM methods. For the Mediterranean Sea we suggest the use of F. hyalinus in SDM as an indicator of environmental stability and a possible forecasting tool for salinity fluctuations. PMID- 29843910 TI - Impact of inadvertent enterotomy on short-term outcomes after ventral hernia repair: An AHSQC analysis. AB - BACKGROUND: Patients undergoing ventral hernia repair (VHR) are at risk of an inadvertent enterotomy during surgery. Inadvertent enterotomies potentially contaminate the surgical field presenting a management dilemma for the surgeon. The aim of our study was to define the incidence and risk factors for a recognized inadvertent enterotomy and determine its impact on short-term outcomes after ventral hernia repair. METHODS: Using a nationwide hernia registry, the Americas Hernia Society Quality Collaborative, we reviewed all ventral hernia repair performed between 2013 and 2017. Patients were assessed for full-thickness inadvertent enterotomies at the time of surgery. Patients with inadvertent enterotomies and without enterotomies were compared to assess differences in 30 day outcomes, using regression modeling. RESULTS: A total of 5,916 patients were included. The incidence of inadvertent enterotomy was 1.9%, with no difference between open and laparoscopic approaches. Inadvertent enterotomies did not increase surgical site occurrences but there were more surgical site infections (OR: 2.20 [95% CI: 1.24-3.90], P = .007). Patients were less likely to receive mesh if there was an enterotomy. Inadvertent enterotomies led to higher rates of reoperations, readmission, enterocutaneous fistulas, and mortality. CONCLUSION: Inadvertent enterotomies are more common in complex cases of ventral hernia repair and have an overall incidence of 1.9%. These patients are at increased risk of surgical site infections, reoperations, readmission, and mortality. Although definitive hernia repair with mesh can be safely performed, surgeons should consider multiple factors, including type of mesh and location of mesh in the abdominal wall, before proceeding with definitive repair in any case of an enterotomy. PMID- 29843911 TI - Reconsideration of tumor size threshold for total thyroidectomy in differentiated thyroid cancer. AB - BACKGROUND: The optimal extent of surgery for differentiated thyroid cancer may not be well recognized initially. Identification of intermediate-risk features on surgical pathology may prompt the need for completion thyroidectomy if a lobectomy is performed. In this study, we examined the factors in relation to the need for completion thyroidectomy. METHODS: We studied consecutive patients who underwent thyroidectomy for differentiated thyroid cancer from 2008 to 2017. Total thyroidectomy was indicated when tumor size >4 cm, clinical extrathyroidal extension, clinical lymph node metastasis, or distant metastasis was present. The need for completion thyroidectomy was defined as the presence of aggressive histology, extrathyroidal extension, lymphovascular invasion, or non-low-risk nodal metastasis. RESULTS: Among 771 patients, 155 (20%) were definitely indicated for total thyroidectomy. The need for completion thyroidectomy was identified in 273 (44%) of the 616 patients initially eligible for lobectomy. The proportions of patients requiring completion thyroidectomy were 18% and 57% for microcarcinomas and tumors of 1-4 cm, respectively. Receiver operating characteristic curve analysis indicated that tumor size >=1.1 cm had the highest accuracy of prediction. Multivariate logistic regression revealed that tumor size and BRAF V600E mutation were independent factors predicting the risk of requiring completion thyroidectomy. CONCLUSION: A substantial portion of patients with differentiated thyroid cancer who are preoperatively eligible for lobectomy would be found to have intermediate-risk pathologic features. This should be incorporated into the shared decision making before surgery. PMID- 29843912 TI - Association Between Utilization of Chiropractic Services for Treatment of Low Back Pain and Risk of Adverse Drug Events. AB - OBJECTIVES: Mortality rates due to adverse drug events (ADEs) are escalating in the United States. Analgesics are among the drug classes most often associated with occurrence of an ADE. Utilization of nonpharmacologic chiropractic services for treatment of low back pain could lead to reduced risk of an ADE. The objective of this investigation was to evaluate the association between utilization of chiropractic services and likelihood of an ADE. METHODS: We employed a retrospective cohort design to analyze health insurance claims data from the state of New Hampshire. After inversely weighting each participant by their propensity to be in their cohort, we employed logistic regression to compare recipients of chiropractic services to nonrecipients with regard to likelihood of occurrence of an ADE in an outpatient setting. RESULTS: The risk of an ADE was significantly lower among recipients of chiropractic services as compared with nonrecipients. The adjusted likelihood of an ADE occurring in an outpatient setting within 12 months was 51% lower among recipients of chiropractic services as compared to nonrecipients (OR 0.49; P = .0002). The reported ADEs were nonspecific with regard to drug category in the majority of incidents that occurred in both cohorts. CONCLUSIONS: Among New Hampshire adults with office visits for low back pain, the adjusted likelihood of an ADE was significantly lower for recipients of chiropractic services as compared to nonrecipients. No causal relationship was established between utilization of chiropractic care and risk of an ADE. Future research should employ larger databases, rigorous methods to reduce risk of bias, and more sensitive means of identifying ADEs. PMID- 29843913 TI - Controversial points in the obesity paradox in patients with coronary artery disease. PMID- 29843914 TI - Escaping the atherogenic trap: Preventing LDL fusion and binding in the intima. PMID- 29843916 TI - Reply to: "Anthropometric measures in the risk assessment of obese individuals". PMID- 29843915 TI - Update on peripheral artery disease: Epidemiology and evidence-based facts. PMID- 29843917 TI - Nationwide cohort study of mitral valve repair versus replacement for infective endocarditis. AB - OBJECTIVES: The feasibility and long-term outcomes of mitral valve (MV) repair in patients with infective endocarditis (IE) remain unclear. METHODS: Using Taiwan's National Health Insurance Research Database, we identified 1999 patients who underwent MV surgery for IE during 2000 to 2013. The patients were more likely to have undergone valve replacement (1575 patients; 78.8%) than valve repair (424 patients; 21.2%). After 1:1 propensity score matching, 352 patients in each group were included for analysis. Perioperative outcomes and late composite end points, comprising all-cause mortality, MV reoperation, any stroke, major bleeding, and readmission for heart failure, were compared. RESULTS: Patients who received MV repair had fewer perioperative complications, lower in-hospital mortality rates (6.3% vs 10.8%; P = .031), and lower risks of late mortality (hazard ratio [HR], 0.59; 95% confidence interval [CI], 0.44-0.80), and composite end point (HR, 0.67; 95% CI, 0.52-0.87) during a mean follow-up of 4.8 years. Subgroup analysis revealed a trend in which the beneficial effect of MV repair was not apparent when surgeries were performed in hospitals within the lowest volume quartile (P for interaction = .091). In patients who underwent surgery during active IE, MV repair was also related to a lower rate of late mortality (HR, 0.64; 95% CI, 0.48 0.85). CONCLUSIONS: Mitral repair for IE has better perioperative and late outcomes than mitral replacement. Mitral repair performed by an experienced team is recommended for IE patients instead of MV replacement whenever possible, even with an active infection status. PMID- 29843918 TI - Prevalence and correlates of bleeding and emotional harms in a national US sample of patients with venous thromboembolism: A cross-sectional structural equation model. AB - INTRODUCTION: Venous thromboembolism (VTE) including deep vein thrombosis (DVT) or pulmonary embolism (PE) is associated with reduced survival, poorer quality of life, and substantial health-care-costs. Limited research, primarily qualitative, suggests that those with VTE may have elevated fear of recurrence, and associated emotional dysfunction and distress. METHODS: A national online survey was administered to 907 patients who had experienced a VTE event in the past two years. The survey assessed for the prevalence of self-reported bleeding harms associated with VTE, the levels of anxiety, depression, cognitive dysfunction and distress experienced by patients, and a range of potential psychosocial correlates that may be associated with these bleeding or emotional harms. RESULTS: The majority (63.0%) of respondents had experienced at least one bleeding related harm following their VTE diagnosis, and 40.6% indicated they experienced fear of another clot often or almost all the time. One-in-four (24.7%) and one-in-ten (11.6%) had abnormal levels of anxiety and depression, respectively. Structural equation modeling was used to define two composite latent bleeding harm and emotional harm factors. Emotional and bleeding harms were associated with younger age, a belief that one's health is due to luck, having multiple comorbidities, having a history of prior VTE events, having multiple barriers to VTE care, and experiencing medical mistakes in diagnosis or treatment. Emotional harms were uniquely predicted by having poorer health literacy, having low self-reported medication adherence, belief others are responsible for one's health, and more recent VTE events. Bleeding harms were uniquely predicted by having a lower frequency of primary care provider contact and having a history of switching between warfarin and direct oral anticoagulants for VTE treatment. CONCLUSIONS: The findings show high levels of self-reported bleeding and emotional harms in a general population of VTE sufferers that are clearly associated with readily identifiable demographic, health status, and psychosocial characteristics. These represent targets for intervention and changes in clinical practice. PMID- 29843919 TI - Morphometry and hemodynamics of posterior communicating artery aneurysms: Ruptured versus unruptured. AB - Posterior communicating artery (PCoA) aneurysms frequently rupture in small size (<7 mm). The aim of the study is to demonstrate morphometric and hemodynamic analyses in ruptured and unruptured PCoA aneurysms to improve predictive accuracy for rupture. Geometrical models were reconstructed from rotational DSA images of 57 ruptured and 22 unruptured side-wall PCoA aneurysms, which were classified into four two-dimensional (2D) groups by a combination of H/D and H/S ratios (H: dome height, D: dome diameter, and S: semi-axis height). Surface area ratio (SAR) of low time-averaged wall shear stress (TAWSS, <=4 dynes cm-2) and high oscillatory shear index (OSI, >=0.15) were computed in aneurysms. We hypothesized that a two-step analysis method, i.e., one-dimensionally morphometric and hemodynamic analyses in each 2D group, can enhance accuracy of PCoA aneurysm rupture evaluation. There was the highest incidence of H/D > 1 and H/S <= 2 with the largest surface area and SAR-TAWSS, but the lowest incidence of H/D <= 1 and H/S > 2 with the smallest surface area and SAR-TAWSS in ruptured PCoA aneurysms. PCoA aneurysms of H/D > 1 and H/S <= 2 with surface area > 70 mm2, H/D <= 1 and H/S > 2 with neck diameter > 2.3 mm, H/D <= 1 and H/S <= 2 with aneurysmal height/parent diameter ratio > 1.0, and H/D > 1 and H/S > 2 with aneurysmal angle > 115 degrees need special attention for clinical diagnosis and treatment. The study highlighted the importance of the two-step analysis method for clinical evaluation of PCoA aneurysm rupture. PMID- 29843920 TI - Direct characterization of cytoskeletal reorganization during blood platelet spreading. AB - Blood platelets are the key cellular players in blood clotting and thus of great biomedical importance. While spreading at the site of injury, they reorganize their cytoskeleton within minutes and assume a flat appearance. As platelets possess no nucleus, many standard methods for visualizing cytoskeletal components by means of fluorescence tags fail. Here we employ silicon-rhodamine actin and tubulin probes for imaging these important proteins in a time-resolved manner. We find two distinct timescales for platelet spread area development and for cytoskeletal reorganization, indicating that although cell spreading is most likely associated with actin polymerization at the cell edges, distinct, stress fiber-like actin structures within the cell, which may be involved in the generation of contractile forces, form on their own timescale. Following microtubule dynamics allows us to distinguish the role of myosin, microtubules and actin during early spreading. PMID- 29843921 TI - Transcriptional analysis of Myceliophthora thermophila on soluble starch and role of regulator AmyR on polysaccharide degradation. AB - Thermophilic fungus Myceliophthora thermophila has great capacity for biomass degradation and is an attractive option for use as cell factory to produce chemicals directly from renewable polysaccharides, such as starch, rather than monomer glucose. To date, there has been no transcriptomic analysis of this thermophilic fungus on starch. This study determined the transcriptomic profile of M. thermophila responding to soluble starch and a 342-gene set was identified as a "starch regulon", including the major amylolytic enzyme (Mycth_72393). Its overexpression led to increased amylase activities on starch by 35%. Furthermore, overexpressing the key amylolytic enzyme regulator AmyR in M. thermophila significantly increased amylase activity by 30%. Deletion of amyR by the CRISPR/Cas9 system led to the relief of carbon catabolite repression and 3-fold increased lignocellulase activities on cellulose. This study will accelerate rational fungal strain engineering for biochemical production from biomass substrates such as raw corn starch and even crop straw. PMID- 29843922 TI - Embryonal brain tumor with unknown primary lesion and massive cerebrospinal fluid dissemination: A case report. AB - The 2007 World Health Organization Classification of Tumors of the Central Nervous System (CNS) categorized embryonal tumors of the CNS into three classes: medulloblastoma, CNS primitive neuroectodermal tumor, and atypical teratoid/rhabdoid tumor. Due to the lack of specific histological features, it was sometimes difficult to accurately differentiate CNS embryonal tumors pathologically. Here, we report a case of a young man, who presented with headache. Gadolinium-enhanced magnetic resonance imaging demonstrated massive lesions in the cerebrospinal fluid space, which strongly suggested leptomeningeal dissemination of a brain tumor. The histology showed the tumor comprised densely packed, small cells with scant cytoplasm. Immunoreactivities were positive for synaptophysin and chromogranin A, and negative for glial fibrillary acidic protein, S-100, EMA, and CD20. Because the tumors were located in multiple sites and most of them were within the cerebrospinal fluid space, the primary lesion could not be determined. We diagnosed this case as 'CNS primitive neuroectodermal tumor' by the patient age and predominantly supratentorial distribution of the lesions. After the induction therapy, WHO published its updated classification in 2016. Considering the possibility that the diagnosis is medulloblastoma, we performed additional immunohistochemical analyses, and diagnosed Group 3 medulloblastoma because of the expression of natriuretic peptide receptor 3. PMID- 29843924 TI - Factors associated with antimuscarinic drug persistence and increasing drug persistence after switching to mirabegron for overactive bladder patients. AB - PURPOSE: To evaluate long-term antimuscarinic drug persistence and its associated characteristics in patients with overactive bladder (OAB) treated with antimuscarinic agents. We also assessed the efficacy and safety of switching from solifenacin to mirabegron in patients refractory to antimuscarinic therapy. METHODS: In this prospective, open-label, 48-month study, 416 patients (mean age, 70.6 +/- 12.4 years) were enrolled. All patients completed the overactive bladder symptom score and urgency severity score questionnaires, along with initial and follow-up uroflowmetry. All patients received antimuscarinic solifenacin 5 mg daily. Mirabegron (25 mg daily) was suggested in patients that were refractory to antimuscarinic therapy or had intolerable side effects. RESULTS: The mean solifenacin persistence was 6.6 +/- 8.1 months (range, 0.5-48 months). Only 81 (19.5%) patients had drug persistence of >=12 months. Male sex, age, cerebral vascular accident, maximum flow rate, and post-void residual were associated with solifenacin persistence in the univariate analysis. Age (odds ratio [OR], 0.14; 95% CI, 0.08-0.21) was the only independent predictor in the multivariate logistic regression. Of the 416 patients, 171 (60.8%) changed from solifenacin to mirabegron for due to the persistence of OAB symptoms. The switch resulted in a significantly longer period of actual OAB pharmacotherapy (9.3 +/- 9.2 vs 13.3 +/ 9.3 months, p < 0.001). CONCLUSION: Long-term drug persistence of solifenacin was low during the 2-year follow-up. Age was an independent factor associated with longer drug persistence. Switching from solifenacin to mirabegron was an effective and safe alternative for OAB patients that were refractory to solifenacin treatment. PMID- 29843923 TI - Surface Area to Volume Ratio: A Natural Variable for Bacterial Morphogenesis. AB - An immediately observable feature of bacteria is that cell size and shape are remarkably constant and characteristic for a given species in a particular condition, but vary quantitatively with physiological parameters such as growth rate, indicating both genetic and environmental regulation. However, despite decades of research, the molecular mechanisms underlying bacterial morphogenesis have remained incompletely characterized. We recently demonstrated that a wide range of bacterial species exhibit a robust surface area to volume ratio (SA/V) homeostasis. Because cell size, shape, and SA/V are mathematically interconnected, if SA/V is indeed the natural variable that cells actively monitor, this finding has critical implications for our understanding of bacterial morphogenesis, placing fundamental constraints on the sizes and shapes that cells can adopt. In this Opinion article we discuss the broad implications that this novel perspective has for the field of bacterial growth and morphogenesis. PMID- 29843925 TI - Extranodal NK/T-cell lymphoma of the nasal cavity developed in a patient with intestinal Epstein-Barr virus-positive T/NK-cell lymphoproliferative disorder. AB - Extranodal NK/T cell lymphoma, nasal type (ENKL) developed in a patient with intestinal Epstein-Barr virus (EBV)-positive T/NK-cell lymphoproliferative disorder (LPD). The patient was a 46-year-old Chinese man who complained of diarrhea and abdominal pain without immune-deficiency. Endoscopy demonstrated ileum ulcers like Crohn's disease, without histological granulomas. His symptoms continued waxing and waning for 3 years until he developed overt lymphoma (ENKL) in the nasal cavity. The ileum lesions exacerbated into a large deep ulcer, and the biopsy specimens from the ileum, including the one 3 years ago, showed infiltration of small lymphocytes containing many EBV-positive T/NK cells without atypia. Thus, the patient illness of intestine was revealed as intestinal EBV positive T/NK-cell LPD, which might be closely associated with development of ENKL in this patient. In cases of inflammatory bowel disease without typical clinical courses and histological findings, check-up of EBV in the biopsy might help correct diagnosis. PMID- 29843926 TI - Lanthanum deposition corresponds to white lesions in the stomach. AB - OBJECTIVE: Although lanthanum deposition in the stomach has been most frequently reported to occur as white lesions, no study has investigated whether the white lesions observed during esophagogastroduodenoscopy are truly lanthanum-related. Here, we retrospectively investigated the amount of lanthanum in endoscopic biopsy specimens. METHODS: We reviewed four patients showing gastric white spots or annular whitish mucosa in the gastric white lesions (Bw) and peripheral mucosa where the white substance was not endoscopically observed (Bp) during biopsy. We also reviewed three patients with diffuse whitish mucosa and three patients with no whitish lesions. We performed scanning electron microscopy and energy dispersive X-ray spectrometry to quantify the lanthanum elements (wt%) in the biopsy specimens. RESULTS: The amount of lanthanum in the Bw ranged from 0.15 0.31 wt%, whereas that of Bp was 0.00-0.13 wt%. The difference was statistically significant (P < 0.05). The amount of lanthanum in the Bw, endoscopically presented with white spots or annular whitish mucosa, was significantly higher than that of no whitish lesions (0.05-0.14 wt%, P < 0.05). The amount of lanthanum was also higher in the diffuse whitish mucosa (0.21-0.23 wt%) compared with no whitish lesions (P < 0.01). CONCLUSIONS: This study is the first to reveal that pathological lanthanum deposition corresponds to the endoscopically observed white lesions in the gastric mucosa. Therefore, during esophagogastroduodenoscopy, physicians should pay attention to possible presence of white lesions in patients treated with oral lanthanum carbonate to ensure prompt identification of associated issues. PMID- 29843927 TI - Hepatic endometrial stromal sarcoma. AB - Endometrial stromal sarcomas are rare tumors that may recur or metastasize many years after their initial presentation. Though most recurrences are within the pelvis, distant metastases can occur, and are most common to the lungs. Metastases to the liver are extremely rare. Herein we report two cases of endometrial stromal sarcoma with metastases to the liver without a prior history of endometriosis, accompanied by their histology, immunohistochemistry, and molecular analysis in the context of a relevant literature review. PMID- 29843928 TI - Polytrauma from Unintentional Pressure Cooker Explosion: A Case Report. AB - BACKGROUND: Pressure cookers are common kitchen appliances with a good safety record and only rare associated explosions. CASE REPORT: Here we present a case of unintentional pressure cooker explosion leading to polytrauma with injuries including pneumothorax, intracranial hemorrhage, open skull fracture, and multiple facial fractures. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Extreme forces and temperatures are involved in pressure cooking. Given the infrequent but real risk of mechanical failure and the increasing use of such devices to create intentional explosions, emergency physicians should be aware of the potentially significant blast injuries that can be associated with them. PMID- 29843929 TI - MicroRNA-4497 functions as a tumor suppressor in laryngeal squamous cell carcinoma via negatively modulation the GBX2. AB - OBJECTIVE: MicroRNAs (miRNAs) are aberrantly expressed in various tumors and play a critical role in the progression and development of tumors. However, there is little information about the role of miR-4497 in laryngeal squamous cell carcinoma (LSCC). The aim of this study is to investigate the role of miR-4497 in LSCC. METHODS: MiR-4497 expression in tumor tissues and adjacent normal tissues was measured by RT-PCR. The effects of miR-4497 on cell viability and apoptosis were evaluated by the MTT assay, Flow cytometry and caspase-3 activity assay. Western blot analysis was used to measure the expression of various proteins. Bioinformatic analysis and luciferase reporter assay were applied to investigate the relationship between miR-4497 and GBX2. RESULTS: We found that miR-4497 expression was downregulated in LSCC tumor tissues and cell lines compared to the normal counterparts. Overexpression of miR-4497 inhibits the proliferation and induces apoptosis of LSCC cells accompanied by the down-regulation of anti apoptotic Bcl-2 proteins. Mechanisms investigation revealed that GBX2 is a direct target of miR-4497. miR-4497 expression was inversely correlated with GBX2 expression in LSCC tissues. Moreover, overexpression of miR-4497 leads to the activation of ERK, JNK but not p38. Inhibition of ERK by specific inhibitor SCH772984 could interfere the apoptosis induced by overexpression of miR-4497. CONCLUSION: Therefore, our results indicate that miR-4497 may play a suppressive role in LSCC by targeting GBX2, which offer new insights into the tumorigenesis of LSCC. PMID- 29843930 TI - Cardiogenic shock in acute myocardial infarction: Stratify to prevent. PMID- 29843931 TI - Blepharoplasty in the works of Aulo Cornelio Celso. PMID- 29843932 TI - Transconjunctival suturing of the scleral flap in late hypotony maculopathy after non-penetrating deep sclerectomy. AB - CLINICAL CASE: A 63-year-old man presents with late hypotony maculopathy after non-penetrating deep sclerectomy. Hypotonia and visual acuity are improved after transconjunctival suturing of the scleral flap. DISCUSSION: Hypotony maculopathy may occur as a late complication after glaucoma surgery. Transconjunctival suturing of the scleral flap can be useful when conservative measures have failed. PMID- 29843933 TI - Patient perspectives on racial and ethnic implicit bias in clinical encounters: Implications for curriculum development. AB - OBJECTIVE: Patients describe feelings of bias and prejudice in clinical encounters; however, their perspectives on restoring the encounter once bias is perceived are not known. Implicit bias has emerged as a target for curricular interventions. In order to inform the design of novel patient-centered curricular interventions, this study explores patients' perceptions of bias, and suggestions for restoring relationships if bias is perceived. METHODS: The authors conducted bilingual focus groups with purposive sampling of self-identified Black and Latino community members in the US. Data were analyzed using grounded theory. RESULTS: Ten focus groups (in English (6) and Spanish (4)) with N = 74 participants occurred. Data analysis revealed multiple influences patients' perception of bias in their physician encounters. The theory emerging from the analysis suggests if bias is perceived, the outcome of the encounter can still be positive. A positive or negative outcome depends on whether the physician acknowledges this perceived bias or not, and his or her subsequent actions. CONCLUSIONS: Participant lived experience and physician behaviors influence perceptions of bias, however clinical relationships can be restored following perceived bias. PRACTICE IMPLICATIONS: Providers might benefit from skill development in the recognition and acknowledgement of perceived bias in order to restore patient-provider relationships. PMID- 29843934 TI - An N of one. PMID- 29843935 TI - Associations of multiple unhealthy lifestyle behaviors with overweight/obesity and abdominal obesity among Brazilian adolescents: A country-wide survey. AB - BACKGROUND AND AIMS: Physical inactivity, unhealthy diet, smoking and heavy drinking are four key unhealthy lifestyle behaviors (ULB) that may influence body weight and obesity development. More recently, sedentary time has been recognized as another potentially emerging ULB related to obesity. We therefore investigated the association of multiple ULB with overweight/obesity and abdominal obesity among Brazilian adolescents. METHODS AND RESULTS: This cross-sectional study involved 62,063 students (12-17 years). Physical inactivity, high screen time, low fiber intake, binge drinking and smoking were self-reported and combined to a ULB risk score, ranging from zero to five. Participants were classified as overweight/obese or with abdominal obesity using sex and age-specific cut-off points for BMI and waist circumference, respectively. Poisson regression models were used to examine the associations between ULB with overweight/obesity and abdominal obesity, adjusted for socio-demographic variables. Overall, 2.3%, 18.9%, 43.9%, 32.3% and 2.6% of participants reported zero, one, two, three and four/five ULB, respectively. Higher ULB risk score was associated with overweight/obesity and abdominal obesity in a dose-response gradient. Among 32 possible combinations of ULB, the three most prevalent combinations (physical inactivity + low fiber intake; high screen time + low fiber intake; physical inactivity + high screen time + low fiber intake) were positively associated with general and abdominal obesity. CONCLUSIONS: Our findings suggest a synergistic relationship between ULB and general and abdominal obesity. Preventive efforts targeting combined ULB should be sought to reduce the prevalence of general and abdominal obesity in Brazilian youth. PMID- 29843936 TI - Corrigendum to "How does questioning influence nursing students' clinical reasoning in problem-based learning? A scoping review" [Nurse Educ. Today 65 (2018) 108-115]. PMID- 29843937 TI - Prognostic significance of circumferential resection margin involvement in patients receiving potentially curative treatment for oesophageal cancer. AB - INTRODUCTION: The utility of Circumferential Resection Margin (CRM) status in predicting prognosis in oesophageal cancer is controversial, with different definitions used by the College of American Pathologists and the Royal College of Pathologists. We aimed to determine prognostic significance of CRM involvement and evaluate which system is the best predictor of prognosis. METHODS: A cohort of 390 patients who had potentially curative oesophagectomy (- + neoadjuvant chemotherapy) were analysed. Associations between CRM involvement and patient outcome were assessed for the whole cohort, and for pre-specified subgroups of T3 tumours and those who received neo-adjuvant chemotherapy. RESULTS: CRM involvement was associated with higher T and N stage, tumour differentiation, increased tumour length and both lymphovascular and perineural invasion. Overall Survival (OS) and Recurrence Free Survival (RFS) significantly worsened with CRM involvement (p = 0.001, p < 0.001). R1a (<1 mm but no macroscopic involvement) resulted in significantly improved OS (p = 0.037) and RFS (P = 0.026) compared to R1b (macroscopic involvement), but did not differ significantly from R0 (>=1 mm). The association between CRM-involvement and both OS and RFS remained significant regardless of whether neoadjuvant chemotherapy was given. However, CRM involvement was not a significant prognostic marker in T3 patients (p = 0.148). Multivariable analysis found N stage, lymphovascular invasion, patient age and neoadjuvant chemotherapy to be significantly predictive of patient outcome. CRM involvement was not a significant independent prognostic marker. CONCLUSIONS: CRM involvement was not found to be independently predictive of prognosis, after accounting for other prognostic markers. As such, CRM should not be considered a major prognostic factor in patients with oesophageal cancer. PMID- 29843938 TI - Reply to: Dissecting the therapeutic implications of the complex SMAD4 regulatory network in metastatic colorectal cancer. PMID- 29843939 TI - Identification of algal growth inhibitors in treated waste water using effect directed analysis based on non-target screening techniques. AB - Growth inhibition of freshwater microalga Pseudokirchneriella subcapitata caused by a waste water treatment plant (WWTP) effluent extract was investigated using an effect directed analysis (EDA) approach. The objective was to identify compounds responsible for the toxicity by combining state-of-the-art sampling, bioanalytical, fractionation and non-target screening techniques. Three fractionation steps of the whole extract were performed and bioactive fractions were analysed with GC (xGC)-MS and LC-HRMS. In total, 383 compounds were tentatively identified, and their toxicity was characterized using US EPA Ecotox database, open scientific literature or modelled by ECOSAR. Among the top-ranking drivers of toxicity were pesticides and their transformation products, pharmaceuticals (barbiturate derivatives and macrolide antibiotics e.g. azithromycin), industrial compounds or caffeine and its metabolites. Several of the top-ranking pesticides are no longer registered for use in plant protection products or biocides in the Czech Republic (e.g. prometryn, atrazine, acetochlor, resmethrin) and some are approved only for use in biocides (e.g. terbutryn, carbendazim, phenothrin), which indicates that their non-agricultural input into aquatic environment via WWTPs should be carefully considered. The study demonstrated a functional strategy of combining biotesting, fractionation and non target screening techniques in the EDA study focused on the identification of algal growth inhibitors in WWTP effluent. PMID- 29843940 TI - Thiamine for preventing dementia development among patients with alcohol use disorder: A nationwide population-based cohort study. AB - OBJECTIVE OF STUDY: Alcohol use disorder is one of the most important factors contributing to dementia. This study examined the protective effect of thiamine administration on the incidence of dementia among patients with alcohol use disorder in Taiwan by evaluating a nationwide database. METHODS: We retrieved data for this retrospective cohort study from the Longitudinal Health Insurance Database 1995-2000. Patients receiving thiamine therapy after the diagnosis of alcohol use disorder were recruited as the thiamine therapy (TT) group, and the comparison group without TT (NTT group) included randomly assigned and age-, sex , and index year-matched individuals with alcohol use disorder. Demographic data, comorbid medical disorders, and psychotropic medication use were evaluated and controlled. The cumulative defined daily dose (DDD) was analyzed to demonstrate the dose effect. RESULTS: Each group had 5059 patients. The TT group had a lower crude hazard ratio (0.76; 95% confidence interval: 0.60-0.96) of dementia than the NTT group. After adjusting for demographic data, comorbidity, and psychotropic medication use, the adjusted hazard ratio was 0.54 (95% confidence interval: 0.43-0.69). The significance existed among TT subjects with cumulative DDD higher than 23. The Kaplan-Meier analysis demonstrated a lower cumulative incidence of dementia in the TT group than in the NTT group. CONCLUSION: The results indicated that thiamine therapy could be a protective factor for dementia development in patients with alcohol use disorder. Thiamine therapy should be a crucial part of the treatment plan and health policies to prevent dementia development or progression among patients with alcohol use disorder. PMID- 29843941 TI - Glyphosate affects swine ovarian and adipose stromal cell functions. AB - Although Glyphosate (GLY) is a widely used pesticide, its effects on ovarian function and stem cell differentiation are still largely unknown. Therefore, as a contribution on this subject, the present work reports an investigation of the in vitro effects of GLY on swine granulosa cells and adipose stromal cells (ASCs). The effect of GLY at different doses (0.2, 4 and 16 MUg/mL) was evaluated on granulosa cells growth (BrDU incorporation and ATP production), steroidogenesis (17-beta estradiol and progesterone secretion) and redox status (superoxide and nitric oxide production and non-enzymatic scavenging activity). GLY has been shown to inhibit cell growth, 17-beta estradiol and non-enzymatic scavenging activity and to increase progesterone and nitric oxide secretion (P < 0.05). In addition, GLY significantly decreased the viability of ASCs (P < 0.001), and inhibited their adipogenic differentiation. These data indicate that GLY alters the main features of granulosa cells and ASCS thus suggesting that GLY could affect both reproductive function and adipose tissues homeostasis. PMID- 29843942 TI - Involvement of lipopolysaccharide in ovarian cystic follicles in dairy cow: Expressions of LPS receptors and steroidogenesis-related genes in follicular cells of cystic follicles. AB - In ovarian cystic follicles, molecular changes in the growing follicle may have a local action and contribute to anovulation and cystic formation. One of the candidate molecules that affect the steroid and gonadotropin signaling systems of cystic follicles is lipopolysaccharide (LPS), a cell wall component of gram negative bacteria. To examine the molecular characteristics of bovine cystic follicles, we analyzed LPS concentration in follicular fluid of cystic follicles, and the expression of LPS receptors and steroidogenesis-related genes in granulosa and theca cells. Cystic follicles were categorized as estradiol (E2) active (EACF) and E2-inactive cystic follicle (EICF). Overall, LPS concentration in follicular fluid of EACF and EICF was higher compared with healthy preovulatory follicles (POF). Expression of luteinizing hormone receptor (LHR) in granulosa and thecal cells was decreased in EACF and EICF compared with POF. Expression of CYP19 in granulosa cells of EACF and EICF was lower than POF. High expression of StAR in granulosa and thecal cells was observed in EICF. In granulosa cells, the expression of TLR4 and TLR2 mRNA was higher in EICF than other follicles. By contrast, higher expression of TLR2 in thecal cells was observed in EICF. Thus, high LPS concentration in follicular fluid of cystic follicles may be associated with the regulation of expression of steroidogenesis related genes in granulosa and theca cells. These finding revealed the molecular characteristics of bovine ovarian cysts and possible involvement of LPS in the pathology of cystic follicle diseases. PMID- 29843943 TI - Designing flexible low-viscous sieving media for capillary electrophoresis analysis of ribonucleic acids. AB - Modified messenger RNA (mRNA) has recently become a new prospective class of drug product. Consequently, stability indicating separation methods are needed to progress pharmaceutical development of mRNA. A promising separation technique for the analysis of mRNA is capillary gel electrophoresis (CGE). We designed a flexible, low-viscous sieving medium for CGE, based on high mass linear polyvinylpyrrolidone (PVP) and glycerol. A Central Composite Face-centered design resulted in a strong model that allowed us to predict suitable sieving media compositions by using multi-objective optimization. The way of working proposed in this paper gives analysts the freedom to design a suitable sieving medium for their response(s) of interest, for purity and stability analysis of polynucleotides with a size around 100-1000 bases. Depending on the criteria for the analysis there will be a trade-off between different suitable conditions. By using this method, we created a sieving medium that was able to improve resolution, peak height and analysis time of an RNA ladder compared to the current commercially available separation gels. PMID- 29843944 TI - Theoretical and experimental investigation of the focusing position in asymmetrical flow field-flow fractionation (AF4). AB - To better understand the focusing process and to determine the focusing position (zfoc) in Asymmetrical Flow Field-Flow Fractionation (AF4), theoretical and experimental studies were performed. A new theoretical expression that allows the calculation of zfoc in AF4 channels of any shape having an axial plane of symmetry was established. The equation was then applied to the particular case of a trapezoidal AF4 channel with tapered ends. The applicability of this equation was verified by comparing the calculated results with the experimental measures of the focusing position obtained using blue dextran dye under different flow conditions. The calculated values and the experimental results were in good agreement. The total uncertainty associated with the calculated zfoc was evaluated and was lower than 10%. A good repeatability and reproducibility of the focusing position was obtained. Moreover, the effects of the sample-injection position, the spacer thickness, the membrane aging, and the nature of the injected sample on the focusing position were investigated: zfoc was not influenced by these parameters, proving the universal applicability of the equation given in this work for predicting the focusing position, when the assumption of constancy of the cross-flow velocity at the membrane, which underlies this equation, is fulfilled. Additionally, it is notable that this theoretical expression is suitable for different models of AF4 channel and not peculiar to specific suppliers. PMID- 29843945 TI - Isolation of biofunctional bovine immunoglobulin G from milk- and colostral whey with mixed-mode chromatography at lab and pilot scale. AB - The aim of the present work was to develop a new scalable and cost-efficient process to isolate bovine immunoglobulin G from colostral whey with high purity and minimal loss of activity. The mixed mode material Mercapto-Ethyl-Pyridine HypercelTM was identified appropriate for direct capture of immunoglobulin G. The binding mechanism is primarily based on hydrophobic interactions at physiological conditions. As compared to immunoglobulin G, all other low molecular whey proteins such as alpha-Lactalbumin or beta-Lactoglobulin, except lactoperoxidase, are more hydrophilic and were therefore found in the flow-through fraction. In order to remove lactoperoxidase as an impurity the column was combined in series with a second mixed mode material (CaptoTM- with N-benzoyl-homocysteine as ligand) using the same binding conditions. At pH 7.5 the carboxyl group of this ligand is negatively charged and can hence bind the positively charged lactoperoxidase, whose isoelectric point is at pH 9.6. After sample application, the columns were eluted separately. By combining the two columns it was possible to obtain immunoglobulin G with a purity of >96.1% and yield of 65-80%. The process development was carried out using 1 mL columns and upscaling was performed in three steps up to a column volume of 8800 mL for the HypercelTM column and 3000 mL for the CaptoTM- column. At this scale it is possible to obtain 130-150 g pure immunoglobulin G from 3 L colostrum within five hours, including the regeneration of both columns. Additionally, the impact of freeze drying on the isolated immunoglobulin G was studied. The nativity of the freeze dried immunoglobulin was above 95%, which was proven by reversed phase liquid chromatography and validated by differential scanning calorimetry. The activity of immunoglobulin G was preserved over the isolation process and during drying as measured by enzyme-linked immunosorbent assay. In conclusion, by applying the proposed isolation process, it becomes feasible to obtain pure, active and stable imunnunoglobulin G at large scale. PMID- 29843946 TI - Design keys for paper-based concentration gradient generators. AB - The generation of concentration gradients is an essential operation for several analytical processes implemented on microfluidic paper-based analytical devices. The dynamic gradient formation is based on the transverse dispersion of chemical species across co-flowing streams. In paper channels, this transverse flux of molecules is dominated by mechanical dispersion, which is substantially different than molecular diffusion, which is the mechanism acting in conventional microchannels. Therefore, the design of gradient generators on paper requires strategies different from those used in traditional microfluidics. This work considers the foundations of transverse dispersion in porous substrates to investigate the optimal design of microfluidic paper-based concentration gradient generators (MUPGGs) by computer simulations. A set of novel and versatile MUPGGs were designed in the format of numerical prototypes, and virtual experiments were run to explore the ranges of operation and the overall performance of such devices. Then physical prototypes were fabricated and experimentally tested in our lab. Finally, some basic rules for the design of optimized MUPGGs are proposed. Apart from improving the efficiency of mixers, diluters and MUPGGs, the results of this investigation are relevant to attain highly controlled concentration fields on paper-based devices. PMID- 29843947 TI - Intracochlear pressure measurements during acoustic shock wave exposure. AB - INTRODUCTION: Injuries to the peripheral auditory system are among the most common results of high intensity impulsive acoustic exposure. Prior studies of high intensity sound transmission by the ossicular chain have relied upon measurements in animal models, measurements at more moderate sound levels (i.e. < 130 dB SPL), and/or measured responses to steady-state noise. Here, we directly measure intracochlear pressure in human cadaveric temporal bones, with fiber optic pressure sensors placed in scala vestibuli (SV) and tympani (ST), during exposure to shock waves with peak positive pressures between ~7 and 83 kPa. METHODS: Eight full-cephalic human cadaver heads were exposed, face-on, to acoustic shock waves in a 45 cm diameter shock tube. Specimens were exposed to impulses with nominal peak overpressures of 7, 28, 55, & 83 kPa (171, 183, 189, & 192 dB pSPL), measured in the free field adjacent to the forehead. Specimens were prepared bilaterally by mastoidectomy and extended facial recess to expose the ossicular chain. Ear canal (EAC), middle ear, and intracochlear sound pressure levels were measured with fiber-optic pressure sensors. Surface-mounted sensors measured SPL and skull strain near the opening of each EAC and at the forehead. RESULTS: Measurements on the forehead showed incident peak pressures approximately twice that measured by adjacent free-field and EAC entrance sensors, as expected based on the sensor orientation (normal vs tangential to the shock wave propagation). At 7 kPa, EAC pressure showed gain, calculated from the frequency spectra, consistent with the ear canal resonance, and gain in the intracochlear pressures (normalized to the EAC pressure) were consistent with (though somewhat lower than) previously reported middle ear transfer functions. Responses to higher intensity impulses tended to show lower intracochlear gain relative to EAC, suggesting sound transmission efficiency along the ossicular chain is reduced at high intensities. Tympanic membrane (TM) rupture was observed following nearly every exposure 55 kPa or higher. CONCLUSIONS: Intracochlear pressures reveal lower middle-ear transfer function magnitudes (i.e. reduced gain relative to the ear canal) for high sound pressure levels, thus revealing lower than expected cochlear exposure based on extrapolation from cochlear pressures measured at more moderate sound levels. These results are consistent with lowered transmissivity of the ossicular chain at high intensities, and are consistent with our prior report measuring middle ear transfer functions in human cadaveric temporal bones with high intensity tone pips. PMID- 29843948 TI - Sandwich osteotomy for the reconstruction of deficient alveolar bone. AB - Alveolar bone deficiency is a very common problem encountered by the practitioner when planning dental implants. The severity of the deficiency is variable. Many practitioners perform augmentation using the method they feel comfortable with and do not necessarily use the most appropriate method. This is a retrospective study on 21 patients between the ages of 25 and 63 years exhibiting moderate vertical alveolar bone deficiency and treated by the sandwich technique. Mean vertical bone gain was 7.5mm. Sixty-one dental implants were inserted showing a survival rate of 96.7% with a median of 3.1 years follow-up. Main advantages of the method include minimal relapse, single operation and preservation of the native cortical bone in the occlusal surface. We believe the surgeon should maintain the capability of using different augmentation techniques and utilize them appropriately for different severities of deficiency. We wish to establish a paradigm for using different augmentation methods We recommend using the sandwich technique in the moderate deficient cases as described in this work, using alveolar distraction osteogenesis for the severe cases as described in our previous work, where lack of soft tissue for proper closure is a major limitation, and using guided bone regeneration for minor deficiencies. PMID- 29843949 TI - Comparison of osseous healing after sagittal split ramus osteotomy and intraoral vertical ramus osteotomy. AB - The sagittal split ramus osteotomy (SSRO) is generally associated with greater postoperative stability than the intraoral vertical ramus osteotomy (IVRO); however, it entails a risk of inferior alveolar nerve damage. In contrast, IVRO has the disadvantages of slow postoperative osseous healing and projection of the antegonial notch, but inferior alveolar nerve damage is believed to be less likely. The purposes of this study were to compare the osseous healing processes associated with SSRO and IVRO and to investigate changes in mandibular width after IVRO in 29 patients undergoing mandibular setback. On computed tomography images, osseous healing was similar in patients undergoing SSRO and IVRO at 1year after surgery. Projection of the antegonial notch occurred after IVRO, but returned to the preoperative state within 1year. The results of the study indicate that IVRO is equivalent to SSRO with regard to both bone healing and morphological recovery of the mandible. PMID- 29843950 TI - Short implants versus bone augmentation in combination with standard-length implants in posterior atrophic partially edentulous mandibles: systematic review and meta-analysis with the Bayesian approach. AB - The use of short implants as an alternative to bone reconstruction techniques for the placement of standard-length dental implants is a debated topic. The aim of this study was to perform a systematic review and meta-analysis in order to assist in the clinical decision making about the most appropriate approach for the fixed rehabilitation of the posterior atrophic partially edentulous lower jaws. Only randomized trials with at least 1-year follow-up were included. Of the 1024 studies initially retrieved, 14 articles were selected and independently evaluated by two reviewers. Finally, four studies were included, and underwent data extraction and meta-analysis with the Bayesian approach. Both treatment approaches provide high implant survival rate after 1year of function. However, the probability of survival rate of short implants being greater than standard length implants is 84%, and the probability of complications using short implants being greater than standard-length implants is 15.7%. In spite of similar survival rates when the residual bone is sufficient for placement of short implants, the latter should be preferred to augmentation techniques and standard length implants due to fewer complications, lower morbidity and greater comfort for patients. PMID- 29843951 TI - Man as a living bioreactor: Long-term histological aspects of a mandibular replacement engineered in the patient's own body. AB - In 2016, we reported the world's first reconstruction of a mandibular discontinuity defect using a custom-made bone transplant that had been prefabricated in the gastrocolic omentum using tissue engineering strategies. However, the tissue of an engineered human neomandible has not been evaluated histologically until now. The current study assessed the long-term histological characteristics of biopsies of the neomandible 9months after transplantation. Histological analysis showed an increased amount of vital mineralized bone tissue after 10months, in comparison to biopsies obtained earlier. The engineered bone covered the surface of the bone substitute material but also grew out typical structures of cancellous bone tissue without a core of BioOss. The amount of induced bone tissue was 32% in the biopsy. In addition, the soft tissue showed an alignment of the connective tissue fibres parallel to the trabecular bone. Increasing time and mechanical forces at the mandible led to an increased amount of mineralized tissue and remodelling of the connective tissue fibres after transplantation. Further research should focus on developing advanced scaffold materials, as the outer titanium mesh cage leads to complications. PMID- 29843952 TI - Jugular foramen tumour resulting in hypoglossal denervation pseudohypertrophy: a rare and significant cause for tongue asymmetry. AB - Paragangliomas of the jugular foramen are rare. They may present with symptoms of compression of the glossopharyngeal or vagus nerves, or due to secretion of catecholamines from chromaffin cells within the tumour. This case describes a rare presentation of glomus tumour. A 67-year-old patient presented with a 2 month history of right-sided tongue swelling. She was found to have an obvious swelling on the right side of the tongue but no obvious weakness or fasciculation on initial examination. Ultrasound confirmed diffuse muscle swelling, but no lesion within the tongue. Magnetic resonance imaging of the neck revealed an ipsilateral glomus jugulare tumour that extended to the hypoglossal canal, and had resulted in ipsilateral denervation pseudohypertrophy of the lingual muscles. This paper reviews presentation of glomus jugulare tumours and contributes a novel presentation of a rare entity. PMID- 29843953 TI - Clinicopathological and prognostic significance of preoperative serum epidermal growth factor levels in patients with oral squamous cell carcinoma. AB - Epidermal growth factor (EGF) promotes tumourigenesis and tissue repair of epithelial and mesenchymal cells and has a role in chemotaxis, mitogenesis, cell motility, and cytoprotection. It also enhances the growth of cancers. EGF may therefore have a role in the initiation or promotion of oral carcinogenesis. The cases of 152 patients with oral squamous cell carcinoma whose preoperative serum EGF level was determined by enzyme-linked immunosorbent assay were analyzed retrospectively, along with those of 40 age- and sex-matched controls. Patients with higher levels of EGF were more likely to have neck lymph node metastasis (P=0.026), advanced stage cancer (P=0.04), and a worse survival status (P=0.0019). Multivariate analysis using the Cox proportional hazards model indicated that the EGF level was an independent predictor of poor survival (hazard ratio 1.99, P=0.018). Patients with higher preoperative serum EGF levels had significantly poorer cancer-specific survival by Kaplan-Meier analysis (P=0.032). This study indicates that a higher preoperative serum EGF level is associated with neck lymph node metastasis, more advanced stage, and poor survival. EGF should be considered as a potential prognostic biomarker and a therapeutic target for patients with oral cancer. PMID- 29843954 TI - Practice variation on use of antibiotics: An international survey among pediatric urologists. AB - INTRODUCTION AND BACKGROUND: Although there is abundance in literature focusing on the use of prophylactic antibiotics for adult urological procedures, the evidence for using antibiotics following common pediatric urological procedures is limited with no specific guidelines for use. Consequently, current practices on antibiotic usage for common interventions may be variable among practicing pediatric urologists, lacking evidence-based support. OBJECTIVE: The aim was to evaluate the current practice pattern on antibiotic usage for common interventions amongst pediatric urologists (PU) practicing in four English speaking sectors of the world. MATERIALS AND METHODS: An anonymous survey of five scenarios with multiple choice options was disseminated to all active practicing members of the Pediatric Urologist of Canada (PUC) and Society of Pediatric Urology of Australia and New Zealand (SPUNZA), as well as all those attending the 2016 British Association of Pediatric Urology (BAPU) and 2017 American Association of Pediatric Urology (AAPU) meetings. The response for each scenario was summarized for overall practice pattern variation and the pattern for each sector was compared using the Fisher exact test. RESULTS: A total of 126 respondents completed the survey (68.5% response rate) with at least a 65% response rate for each of the four sectors. The majority of respondents do not use antibiotics for indwelling urethral (46.8%) and suprapubic catheters (53.4%); however, they do give antibiotics for J-J stent placement (65.1%) and hypospadias surgery (84.9%), and use antibiotics after hypospadias surgery where catheters or stents are left indwelling (80.9%, 84.2%, respectively). Among those surveyed, the PUC members and AAPU PU demonstrated similar practice patterns which often significantly differed from that of SPUNZA members and BAPU attendees. Specifically, a significantly larger proportion of the North American pediatric urologists do not use antibiotics for common procedures compared with Australia, New Zealand, and the UK (Table). DISCUSSION: In the absence of prospective studies in antibiotic use for pediatric patients to guide clinicians, there is a clear variability among sectors in the use of antibiotics for most clinical scenarios investigated. With increasing resistance patterns and possible adverse effects of antibiotics, it is important that the international pediatric urology community engage in discussions and collaborations to address this issue. CONCLUSION: Practice patterns in antibiotic usage amongst PU varies widely, some of which may be associated with their local "culture." There is a need to understand these differences and begin to standardize treatment in the hopes of increasing appropriate use of antibiotics internationally. PMID- 29843955 TI - MicroRNA-148b Targets the TGF-beta Pathway to Regulate Angiogenesis and Endothelial-to-Mesenchymal Transition during Skin Wound Healing. AB - Transforming growth factor beta (TGF-beta) is crucial for regulation of the endothelial cell (EC) homeostasis. Perturbation of TGF-beta signaling leads to pathological conditions in the vasculature, causing cardiovascular disease and fibrotic disorders. The TGF-beta pathway is critical in endothelial-to mesenchymal transition (EndMT), but a gap remains in our understanding of the regulation of TGF-beta and related signaling in the endothelium. This study applied a gain- and loss-of function approach and an in vivo model of skin wound healing to demonstrate that miR-148b regulates TGF-beta signaling and has a key role in EndMT, targeting TGFB2 and SMAD2. Overexpression of miR-148b increased EC migration, proliferation, and angiogenesis, whereas its inhibition promoted EndMT. Cytokine challenge decreased miR-148b levels in ECs while promoting EndMT through the regulation of SMAD2. Finally, in a mouse model of skin wound healing, delivery of miR-148b mimics promoted wound vascularization and accelerated closure. In contrast, inhibition of miR-148b enhanced EndMT in wounds, resulting in impaired wound closure that was reversed by SMAD2 silencing. Together, these results demonstrate for the first time that miR-148b is a key factor controlling EndMT and vascularization. This opens new avenues for therapeutic application of miR-148b in vascular and tissue repair. PMID- 29843956 TI - Differential but Complementary HIF1alpha and HIF2alpha Transcriptional Regulation. AB - Effective vascular regeneration could provide therapeutic benefit for multiple pathologies, especially in chronic peripheral artery disease (PAD) and myocardial ischemia. The hypoxia inducible factors (HIFs) mediate the cellular transcriptional response to hypoxia and regulate multiple processes that are required for angiogenesis to ultimately restore perfusion and oxygen supply. In endothelial cells, both HIF1alpha and HIF2alpha are known to contribute to this role; however, the extent and individual roles of each of these HIFalpha remain unclear. To characterize the individual roles of HIFalpha, we sequenced the transcriptional outputs of stabilized forms of HIF1alpha and HIF2alpha, where they regulated 701 and 1,454 genes, respectively. HIF1alpha transcription primarily regulated metabolic reprogramming, whereas HIF2alpha exerted a larger role in regulating angiogenic extracellular signaling, guidance cues, and extracellular matrix remodeling factors. Furthermore, HIF2alpha almost exclusively regulated a large and diverse subset of transcription factors and coregulators that contribute to its diverse roles in hypoxia. Further understanding of how HIFs regulate cellular processes in hypoxia and angiogenesis could offer new avenues to modulate physiological angiogenesis to enhance revascularisation in ischemic conditions and other pathologies. PMID- 29843957 TI - Modelling of enterobacterial loads to the Baie des Veys (Normandy, France). AB - The Baie des Veys (Normandy, France) has abundant stocks of shellfish (oyster and cockle farms). Water quality in the bay is affected by pollutant inputs from a 3500 km2 watershed and notably occasional episodes of contamination by faecal coliforms. In order to characterise enterobacterial loads and develop a plan of action to improve the quality of seawater and shellfish in the bay, a two-stage modelling procedure was adopted. This focused on Escherichia coli and included a catchment model describing the E. coli releases, and the transport and die-off of this bacteria up to the coast. The output from this model then served as input for a marine model used to determine the concentration of E. coli in seawater. A total 60 scenarios were tested, including different wind, tidal, rainfall and temperature conditions and accidental pollution events, for both current situations and future scenarios. The modelling results highlighted the impact of rainfall on E. coli loadings to the sea, as well as the effects of sluice gates and tidal cycles, which dictated the use of an hourly timescale for the modelling process. The coupled models also made it possible to identify the origin of these enterobacteria as found in shellfish harvesting areas, both in terms of the contributing watercourses and the sources of contamination of those watercourses. The tool can accordingly be used to optimise remedial action. PMID- 29843958 TI - Survival outcome of tonsillar squamous cell carcinoma (TSCC) in the context of human papillomavirus (HPV): A systematic review and meta-analysis. AB - OBJECTIVE: The objective of our study was to assess whether HPV-positive TSCC had better survival and prognosis rates, when compared to HPV-negative TSCC. METHOD: A systematic review and meta-analysis was performed comparing HPV status in TSCC patients. TSCC was confirmed with histopathology and HPV status was confirmed with PCR, immunohistochemistry and/or in-situ-hybridisation. The primary endpoints were overall survival (OS) and disease free survival (DFS). RESULTS: Twenty-four studies were identified, involving 1921 TSCC cases, of which 56.2% (1079) were HPV positive. OS was significantly higher in patients with HPV positive compared to HPV-negative TSCC in years 1-5 (OR 2.54, P < 0.01; OR 2.93 P < 0.01; OR 2.74 P < 0.01; OR 2.20 P < 0.01, and OR 2.14 P < 0.01 respectively). Similarly, DFS was also significantly higher in patients with HPV-positive compared to HPV-negative TSCC in years 1-3 (OR 2.86, P < 0.01; OR 2.60 P < 0.02; and OR 2.60 P < 0.01 respectively), which was attenuated in years 4 and 5 (OR 1.83, P = 0.10 and OR 1.50, P = 0.12). CONCLUSION: This is the largest meta analysis with 1921 patients, comparing non-HPV induced TSCC and HPV induced TSCC, looking at outcome and survival. HPV-positive had better OS and DFS. PMID- 29843959 TI - Liver-Microbiome Axis in Health and Disease. AB - The intestinal and hepatobiliary tract exhibits host-specific commensal colonization. The resident microbiota has emerged as a key player in intestinal and hepatic diseases. Alcoholic and nonalcoholic fatty liver diseases (ALD/NAFLD), primary sclerosing cholangitis (PSC), liver cirrhosis, and some of their clinical complications, such as hepatic encephalopathy (HE), have been linked to a microbial signature, as also observed for severe liver inflammation in alcoholic hepatitis. In turn, the liver impacts, and communicates with, the microbiota through hepatic mediators, such as bile acids or inflammatory signals. Therefore, a liver-microbiome bidirectional crosstalk appears to be critical in health and various liver diseases and could be therapeutically targeted, such as by fecal microbiota transplantation. PMID- 29843960 TI - Injury risk-workload associations in NCAA American college football. AB - OBJECTIVES: To determine injury risk-workload associations in collegiate American Football. DESIGN: Retrospective analysis. METHODS: Workload and injury data was recorded from 52 players during a full NCAA football season. Acute, chronic, and a range of acute:chronic workload ratios (ACWR: 7:14, 7:21 and 7:28 day) calculated using rolling and exponentially weighted moving averages (EWMA) were plotted against non-contact injuries (regardless of time lost or not) sustained within 3- and 7-days. Injury risks were also determined relative to position and experience. RESULTS: 105 non-contact injuries (18 game- and 87 training-related) were observed with almost 40% sustained during the pre-season. 7-21 day EWMA ACWR's with a 3-day injury lag were most closely associated with injury (R2=0.54). Relative injury risks were >3* greater with high compared to moderate and low ratios and magnified when combined with low 21-day chronic workloads (injury probability=92.1%). Injury risks were similar across positions. 'Juniors' presented likely and possibly increased overall injury risk compared to 'Freshman' (RR: 1.94, CI 1.07-3.52) and 'Seniors' (RR: 1.7, CI 0.92-3.14), yet no specific ACWR - experience or - position interactions were identified. CONCLUSIONS: High injury rates during college football pre-season training may be associated with high acute loads. In-season injury risks were greatest with high ACWR and evident even when including (more common and less serious) non-time loss injuries. Substantially increased injury risks when low 21-day chronic workloads and concurrently high EWMA ACWR highlights the importance of load management for individuals with chronic game- (non-involved on game day) and or training (following injury) absences. PMID- 29843961 TI - Vasovagal syncope-role of closed loop stimulation pacing. AB - The benefit of conventional pacing in vasovagal syncope remains controversial and is currently recommended for patients with recurrent syncope and documented asystole. In the last two decades, a growing body of evidence has emerged supporting the use of a new sensing technique called closed loop stimulation or CLS, to treat refractory vasovagal syncope. CLS uses a sensing algorithm that can detect variation in cardiac contractility and respond to drop in blood pressure by increasing the heart rate. Multiple observational and randomized studies have assessed its efficacy and showed its superiority to conventional pacing in reducing the burden of syncopal attacks in patients with cardio-inhibitory vasovagal syncope. PMID- 29843962 TI - Serological inflammatory factors as biomarkers for anatomic response in diabetic macular edema treated with anti-VEGF. AB - PURPOSE: To study the relationship between systemic pro-inflammatory factors and macular structural response to intravitreal bevacizumab for diabetic macular edema (DME). METHODS: Prospective study including 30 cases with DME, treated with bevacizumab and a minimum follow-up of 6 months. All cases underwent baseline laboratory testing for cardiovascular risk (high sensitivity C-reactive protein (hsCRP), homocystein), dyslipidemia, renal dysfunction and glucose control. Serum levels of VEGF, soluble ICAM-1, MCP-1 and TNF-alpha were assessed by enzyme linked immunosorbent assay kits. Significant associations between systemic factors and quantitative and qualitative spectral-domain optical coherence macular features were analyzed. RESULTS: A mean of 4.82 +/- 0.56 intravitreal injections was performed, resulting in significant improvement of central foveal thickness (CFT) (p < 0.001). A significant association with third month CFT decrease <10% was found for hsCRP (3.33 +/- 2.01 vs 1.39 +/- 1.15 mg/l, p = 0.007) and ICAM1 (975.54 +/- 265.49 vs 727.07 +/- 336.09 pg/ml, p = 0.012). ROC curve analysis indicated hsCRP and ICAM1 as significant biomarkers for 3rd month reduced anatomic response (area under the curve (AUC) = 0.807, p = 0.009 for hsCRP; AUC = 0.788, p = 0.014 for ICAM1). ROC curve analysis revealed hsCRP as a significant biomarker for 6th month CFT decrease <10% (AUC = 0.903, p < 0.001, cutoff value = 1.81 mg/l). A significant association with 6th month CFT decrease >=25% was found for serum MCP1 (244.69 +/- 49.34 pg/ml vs 319.24 +/- 94.88 pg/ml, p = 0.017) and serum VEGF (90.84 +/- 37.33 vs 58.28 +/- 25.19 pg/ml, p = 0.027). The combined model of serum VEGF and LDL-cholesterol was found to be predictive of 6th month hard exudate severity (p = 0.001, r2 = 0.463). CONCLUSIONS: Increased levels of hsCRP and ICAM1 were found to be significant biomarkers for early reduced anatomic response to anti-VEGF treatment. Cases with higher serum levels of such factors had increased CFT values, despite treatment, suggesting inner blood-retinal barrier breakdown that is not adequately responsive to anti VEGF monotherapy. PMID- 29843963 TI - Cognitive and behavioral functioning and quality of life in older adults. PMID- 29843965 TI - New Components of the Lignin Biosynthetic Metabolon. AB - Lignin biosynthetic enzymes form a complex on the ER. Here we highlight how the recent identification of the membrane steroid binding proteins (MSBPs) as the structural component of the complex have revealed the molecular mechanism underlying the monolignol metabolon formation. PMID- 29843966 TI - CD59 deficiency presenting as polyneuropathy and Moyamoya syndrome with endothelial abnormalities of small brain vessels. AB - CD59 is involved in lymphocyte signal transduction and regulates complement mediated cell lysis by inhibiting the membrane attack complex. In the cases reported so far, congenital isolated CD59 deficiency was associated with recurrent episodes of hemolytic anemia, peripheral neuropathy, and strokes. Here, we report on a patient from a consanguineous Turkish family, who had a first episode of hemolytic anemia at one month of age and presented at 14 months with acute Guillain-Barre syndrome (GBS). The child suffered repeated infection triggered relapses leading to the diagnosis of chronic inflammatory demyelinating polyneuropathy (CIDP). Although partly steroid-responsive, the polyneuropathy failed to be stabilized by a number of immunosuppressive agents. At the age of 6 years, he developed acute hemiparesis and showed progressive stenosis of proximal cerebral arteries, evolving into Moyamoya syndrome (MMS) with recurrent infarctions leading to death at 8 years of age. Post-mortem genetic analysis revealed a pathogenic p.(Asp49Valfs*31) mutation in CD59. Re-analysis of brain biopsy specimens showed absent CD59 expression and severe endothelial damage. Whereas strokes are a known feature of CD59 deficiency, MMS has not previously been described in this condition. Therefore, we conclude that in MMS combined with hemolysis or neuropathy CD59 deficiency should be considered. Establishing the diagnosis and targeted therapy with eculizumab might have prevented the lethal course in our patient. PMID- 29843967 TI - The value of the doctorate dissertation seminar to personal development. PMID- 29843964 TI - Latent toxoplasma infection in real-world schizophrenia: Results from the national FACE-SZ cohort. AB - OBJECTIVE: Latent Toxoplasma infection has been associated with widespread brain immune activation, increased blood brain barrier permeability, neural disruption, increased dopamine release in dopaminergic neurons, with NMDA activation and with schizophrenia (SZ) onset risk. Toxoplasma has been suggested to be a source of chronic low-grade inflammation and this inflammation has been associated with cognitive impairment in SZ. The objective of the present study were (i) to determine if latent Toxoplasma infection was associated with specific clinical features in stabilized SZ subjects, with cognitive impairment and with increased low-grade peripheral inflammation and (ii) to determine if Treatments with Anti Toxoplasmic Activity (TATA) were associated with improved outcomes in subjects with latent Toxoplasma infection. METHODS: A comprehensive 2 daylong clinical and neuropsychological battery was administered in 250 SZ subjects included between 2015 and 2017 in the national FondaMental Expert Center (FACE-SZ) Cohort. Solid phase-enzyme microplate immunoassay methods were used to measure IgG class of antibodies to T. gondii in blood sample. Latent Toxoplasma infection was defined by T. gondii IgG ratio >=0.8, equivalent to >=10 international units. Chronic peripheral inflammation was defined by highly sensitive C reactive protein blood level >= 3 mg/L. RESULTS: Latent Toxoplasma infection has been found in 184 (73.6%) of this national multicentric sample. In the multivariate analyses, latent Toxoplasma infection has been significantly associated with higher PANSS negative (aOR = 1.1 [1.1-1.1], p = 0.04) and excitement subscores (aOR = 1.3 [1.1 1.6], p = 0.01), with two specific symptoms (i.e., reference delusion (aOR = 3.6 [1.2-10.6] p = 0.01) and alogia (aOR = 16.7 [2.0-134.7], p = 0.008)) and with chronic low-grade peripheral inflammation (27.2% vs. 7.6%, aOR = 3.8 [1.4-10.3], p = 0.004). Extrapyramidal symptoms remained significantly associated with latent Toxoplasma infection. On the opposite, no significant association of latent Toxoplasma infection with age, gender, age at SZ onset, suicide behavior or cognitive deficits has been found in these models (all p > 0.05). TATA were associated with lower depressive symptoms (aOR = 0.8[0.7-0.9], p = 0.01), and with lower rates of chronic peripheral inflammation (20.9% vs. 48.6%, aOR = 3.5 [1.5-7.9], p = 0.003) but not with higher cognitive scores (p > 0.05). CONCLUSION: The present findings suggest that Toxoplasma is almost 3 times more frequent in SZ population compared to general population in France. The potential cerebral underpinnings of the association of latent Toxoplasma infection and the above-mentioned outcomes have been discussed. Future studies should confirm that TATA may be effective to reduce Toxoplasma-associated depressive symptoms and low grade peripheral inflammation. PMID- 29843968 TI - Reasonable cholecystectomy of gallbladder polyp - 10 years of experience. AB - BACKGROUND AND OBJECTIVE: Although the incidence of carcinoma is not high in gallbladder polyps, it is essential to diagnose gallbladder cancer at an early stage to achieve a good therapeutic outcome. Therefore, the aim of this study was to define the characteristics of gallbladder polyps to establish sound criteria for surgical indications. METHODS: In the current study, data from 516 patients with gallbladder polyps who underwent cholecystectomy were reviewed to correlate clinical features with histopathologic findings and identify risk factors with receiver-operating characteristic curves (ROCs). RESULTS: Among the 516 patients who underwent cholecystectomy, 24 patients (4.6%) had cancerous change. The cancer group was significantly older (65.5 years (median, range 35-85)) than the non-cancer group (42 years (median, range 23-82)) (p < 0.001). Among the cancer group, the preoperative polyp size on ultrasonography was significantly larger (14 mm (median, range 9-30)) than the polyps in the non-cancer group (10.4 mm (median, range 1.9-45)) (p < 0.001). Using the ROC curve and considering the sensitivity and specificity for predicting malignant polyps, 12 mm may be a reasonable cutoff for considering a malignant polyp. CONCLUSIONS: Gallbladder polyps with 10-11 mm in asymptomatic young patients (less than 50 years old) have low risk of malignancy, and therefore, a careful "wait and see with follow up by using ultrasonography strategy" might be more appropriate than immediate cholecystectomy. PMID- 29843969 TI - Adolescent Health Providers' Willingness to Prescribe Pre-Exposure Prophylaxis (PrEP) to Youth at Risk of HIV Infection in the United States. AB - PURPOSE: HIV disproportionately affects young men who have sex with men. Pre exposure prophylaxis (PrEP) can prevent HIV acquisition; however, youth access to PrEP is limited by provider willingness to prescribe PrEP. METHODS: We conducted an online survey of clinicians working with adolescents (aged 13-17 years) and young adults (aged 18-26 years) in the United States through the Society of Adolescent Health and Medicine. We used multivariate logistic regression to assess provider beliefs associated with willingness to provide PrEP. RESULTS: Nearly all (93.2%) providers had heard of PrEP, and 57 (35.2%) had prescribed PrEP. While almost all providers (95%) agreed that PrEP prevents HIV, fewer were willing to prescribe to young adults (77.8%) or adolescents (64.8%). Willingness to prescribe PrEP was strongly associated with the belief that providers had enough knowledge to safely provide PrEP to adolescents (OR 2.11, confidence interval [CI]: 1.18-3.76, p = .01) and young adults (odds ratio 5.19, CI: 2.15 12.50, p <= .001), and that adolescents would be adherent (odds ratio 3, CI: 1.30 6.90, p = .01). Response rate was 17%. CONCLUSIONS: Almost all providers had heard of PrEP and most providers were willing to prescribe PrEP. Provider education and tools to promote provider self-efficacy and adolescent adherence might improve provider willingness to provide PrEP. PMID- 29843970 TI - [Venous invasions in colonic adenocarcinoma: Value of elastic stain]. AB - : The aim of our study was to assess the value of Elastic stain in the diagnosis of venous invasion (VI) in colonic adenocarcinoma. MATERIAL AND METHODS: All patients who undergone surgery for colonic adenocarcinoma at the University Hospital of Amiens, between 2004 and 2007, were included. Hematein-phloxin saffron (HPS) stained slides of colectomy specimens were reviewed by two pathologists. Tumor blocks were stained with Elastic Stain (Roche - Ventana(r)). The presence or absence of VI, their number and localization were correlated with overall survival. RESULTS: Two hundred and thirty-one cases were investigated and 3274 slides were examined. VI were more often diagnosed by Elastic Stain than HPS stain (66% vs. 40%). Ninety percent of VI were revealed within the first 6 HPS slides, and from the first 5 in Elastic Stain. The presence of VI revealed by Elastic Stain and/or HPS was significantly associated with decreased overall survival in multivariate analysis (P=0.029), especially for stage IIA tumors (P=0.016). Tumor differentiation (P=0.006) and pTNM stage (P=0.001) were also independent prognostic factors. The localization and the number of VI were not prognostic factors. CONCLUSION: Our study confirms the prognostic value of VI, revealed by an elastic stain, in colonic adenocarcinoma. A systematic elastic stain of all tumor blocks (number at least 5) could be considered in the future, during pathological examination of colectomy for adenocarcinoma. PMID- 29843971 TI - [Learning pathologic anatomy during medical formation: Understanding the contribution of the motivation]. AB - INTRODUCTION: The motivations of medical students for Pathologic Anatomy are little known although they can strongly influence their academic performance. Our work focused on the analysis of the relationship between performance and motivation for Pathologic Anatomy. MATERIALS AND METHODS: Second-year students (n=268) from the University of Nantes were contacted to complete a motivation questionnaire and to provide indicators of performance and attendance. The responses were analyzed in order to establish the psychometric reliability and the factorial structure of the questionnaire. The relationship between motivation and performance was explored by correlation and by linear regression studies. A cluster analysis was performed to specify the distribution of the two variables in our sample. RESULTS: The sample corresponded to 168 respondents with a F/M ratio similar to that of our population. Our data demonstrated the reliability of the questionnaire and a structure described by 5 motivation factors (self determination, self-efficacy, career, grade and intrinsic motivation). The academic performance was not significantly correlated with the overall motivation or with student attendance. However, it was predicted by self-determination and self-efficacy. Our work revealed gender differences as well as the existence of two distinct clusters defined by the motivation and performance of the students. DISCUSSION/CONCLUSION: This work constitutes the first study of the motivations of French medical students for cyto-pathology. It validates a quantitative assessment tool for motivation. Finally, it explores the heterogeneity of the distribution of motivation and academic performance within a population of learners. PMID- 29843972 TI - Pathology assessment of pancreatic cancer following neoadjuvant treatment: Time to move on. AB - Neoadjuvant treatment has increasingly become an integral part of the multimodal management of patients with pancreatic cancer. In patients who are able to undergo surgery following preoperative therapy, tumour regression grading remains the diagnostic gold standard for the histomorphological assessment of the effect of neoadjuvant treatment. In recent years, however, there has been growing concern about inherent flaws of tumour regression grading systems as well as their imprecise and impractical criteria that result in divergence of practice and lack of interobserver agreement. Furthermore, existing tumour regression systems differ in their defining criteria and thresholds, leading to incomparability of data. In this review, the principles and limitations of the main existing tumour regression systems are discussed, and potential alternative assessment approaches and novel markers are presented. PMID- 29843973 TI - Prevalence and Outcomes of Undiagnosed Peripheral Arterial Disease Among High Risk Patients in Australia: An Australian REACH Sub-Study. AB - BACKGROUND: Compared with other manifestations of cardiovascular disease, peripheral arterial disease (PAD) is under-diagnosed. This study aims to investigate the prevalence, risk profile and cardiovascular outcomes of undiagnosed PAD in Australian general practices. METHOD: A sub-study of the Australian Reduction of Atherothrombosis for Continued Health (REACH) Registry, a prospective cohort study of patients at high risk of atherothrombosis recruited from Australian general practices. Eligible patients for this study had no previous clinical diagnosis of PAD and had an ankle-brachial index (ABI) <=1.4 at recruitment. RESULTS: Peripheral arterial disease was undiagnosed in 34% Australian REACH participants, 28% patients had low ABI (ABI<0.9) and 11% had intermittent claudication (IC) based on responses to the Edinburgh Claudication Questionnaire (ECQ). We found no significant differences in risk factor control between patient with or without PAD. Intermittent claudication patients had higher risks of non-fatal cardiovascular events and PAD interventions at one year, whereas all-cause mortality rate was higher among patients with ABI<0.9, especially in those who also reported IC. Finally, an ABI<0.9, together with poorly controlled risk factors were independent predictors of incident IC at one year. CONCLUSIONS: This study suggests a high rate of undiagnosed PAD among high risk patients in Australian primary health care. These patients are at high risk of events and therefore would potentially benefit from better secondary prevention measures. PMID- 29843974 TI - Prognostic Importance of Increased Right Ventricular Afterload in Orthotopic Liver Transplantation Recipients with Endstage Cirrhosis. AB - BACKGROUND: Severely increased right ventricular (RV) afterload is considered a contra-indication for orthotopic liver transplantation (OLT). This study assesses the effects of mildly increased RV afterload on long-term outcome after OLT in relation to RV function. METHODS: 139 OLT recipients (53+/-12years, 76% male) were included. Preoperative RV afterload was assessed invasively or, if not available, echocardiographically and categorised as normal, high-normal (mean pulmonary artery pressure [PAP] 20-25mmHg or echocardiographic systolic PAP 35 40mmHg) or mildly elevated (mean PAP 25-35mmHg or systolic PAP 40-50mmHg). The association between level of RV afterload, echocardiographic RV function and postoperative outcome was assessed. RESULTS: Right ventricular afterload was high normal in 17% and mildly elevated in 12% of patients. Patients with elevated RV afterload had higher echocardiographic RV dimensions and left ventricular filling pressures. RV functional parameters were within normal range and not associated with RV afterload. Increased RV afterload was associated with a higher incidence of postoperative haemodynamic complications (8%, 17%, and 29% for normal, high normal and mildly elevated RV afterload, respectively, p=0.03) and worse survival (8-year survival 74%, 41% and 37% respectively, p=0.01). Preoperative RV function was not associated with outcome after OLT. CONCLUSIONS: Increased RV afterload was associated with increased haemodynamic complications and worse long-term survival in OLT recipients. Right ventricular function in patients with increased RV afterload was within normal range and not associated with postoperative outcome. PMID- 29843975 TI - Comorbidities and Ventricular Dysfunction Drive Excess Mid-Term Morbidity in an Indigenous Australian Coronary Revascularisation Cohort. AB - BACKGROUND: There is a paucity of data in regards to longer term morbidity outcomes in Indigenous Australian patients undergoing coronary artery bypass grafting (CABG). No comparative data on re-infarction, stroke or reintervention rates exist. Outcome data following percutaneous coronary intervention (PCI) is also extremely limited. Addressing this gap in knowledge forms the major aim of our study. METHODS: This was a single centre cohort study conducted at the Townsville Hospital, Australia which provides tertiary adult cardiac surgical services to the northern parts of the state of Queensland. It incorporated consecutive patients (n=350) undergoing isolated CABG procedures, 2008-2010, 20.9% (73/350) of whom were Indigenous Australians. The main outcome measures were major adverse cardiac or cerebrovascular events (MACCE) at mid-term follow up (mean 38.9 months). RESULTS: The incidence of MACCE among Indigenous Australian patients was approximately twice that of non-Indigenous patients at mid-term follow-up (36.7% vs. 18.6%; p=0.005; OR 2.525 (1.291-4.880)). Following adjustment for preoperative and operative variables, Indigenous Australian status itself was not significantly associated with MACCE (AOR 1.578 (0.637-3.910)). Significant associations with MACCE included renal impairment (AOR 2.198 (1.010 4.783)) and moderate-severe left ventricular impairment (AOR 3.697 (1.820 7.508)). An association between diabetes and MACCE failed to reach statistical significance (AOR 1.812 (0.941-3.490)). CONCLUSIONS: Indigenous Australians undergoing CABG suffer an excess of MACCE when followed-up in the longer term. High rates of comorbidities in the Indigenous Australian population likely play an aetiological role. PMID- 29843976 TI - Comparison of standard renal denervation procedure versus novel distal and branch vessel ablation with brachial arterial access. AB - OBJECTIVES: We assessed a novel approach to percutaneous renal denervation for uncontrolled hypertension consisting of ablation beyond the proximal main renal artery (Y-pattern), including the primary branches, and compared it to the standard procedure applied only within the main vessel. We also assessed the safety and practicality of a brachial access approach. METHODS AND RESULTS: Renal denervation was performed on 119 consecutive patients (60 +/- 13 years). In 68 of the patients, femoral arterial vascular approach was used and in 51 brachial. In 80 patients treated with the standard ablation, 12.0 +/- 3.0 total ablations (both sides) were applied while 20.4 +/- 3.9 total ablations were delivered for the group of 39 patients with Y-pattern denervation (P < 0.001). Technically successful renal denervation was achieved in all patients. Office blood-pressure levels at baseline were 170 +/- 17/93 +/- 10 mm Hg for the standard group and 169 +/- 13/96 +/- 9 mm Hg for the Y-pattern group. No major adverse events occurred during the procedure or in the postprocedural in-hospital period. Renal denervation was associated with significant decreases in both office and ambulatory systolic and diastolic blood pressure in both groups. The reduction in 24-hour mean ambulatory systolic blood pressure at 6 months was significantly greater (P = 0.002) for the Y-Pattern group (-22.1 +/- 15.4 mm Hg) compared to the Standard group (-11.8 +/- 16.2 mm Hg). Changes in diastolic office and ambulatory pressure were also significantly greater at 6 months in the Y-pattern ablation group. Indices of blood pressure variability improved in both groups. CONCLUSION: Renal denervation using a Y-pattern ablation strategy combined with a greater number of lesions is safe and resulted in significant greater decreases in mean 24-hour ambulatory systolic and diastolic blood pressure compared to the conventional approach in this single-centre matched cohort study. Brachial artery access was shown to be feasible and safe for renal denervation. PMID- 29843977 TI - Type 2 diabetes: A protective factor for COPD? AB - BACKGROUND: Chronic obstructive pulmonary disease (COPD) and type 2 diabetes (T2DM) are common comorbidities. COPD is a known risk factor for incident T2DM, however few studies have examined the relationship in reverse. The primary aim of this study was to compare the incidence of COPD in people with and without T2DM. MATERIALS AND METHODS: We conducted a retrospective case-control study using a long-established English general practice network database (n=894,646). We matched 29,217 cases of T2DM with controls, adjusting for age, gender, smoking status, BMI and social deprivation, to achieve 1:1 propensity matching and compared the rate of incident COPD over eight years of follow-up. We performed a secondary analysis to investigate the effect of insulin, metformin and sulphonylureas on COPD incidence. RESULTS: People with T2DM had a reduced risk of COPD compared to matched controls over the follow-up period (HR 0.89, 95%CI 0.79 0.93). 48.5% of those with T2DM were ex-smokers compared with 27.3% of those without T2DM. Active smoking rates were 20.4% and 23.7% respectively. Insulin, metformin and sulphonylureas were not associated with incident COPD. CONCLUSIONS: People with T2DM are less likely to be diagnosed with COPD than matched controls. This may be due to positive lifestyle changes, such as smoking cessation in those with T2DM. PMID- 29843978 TI - Piezoelectric surgery versus conventional drilling for implant site preparation: a meta-analysis. AB - PURPOSE: To answer the PICO question: "Among patients to whom an implant is placed, does the piezoelectric surgery (PS) compared to the conventional drilling (CS) achieve higher implant stability, increase surgical time or improve implant survival rate?" STUDY SELECTION: Two independent authors screened the literature through MEDLINE, Cochrane Library and Scopus. Randomized or non-randomized controlled trials, prospective and retrospective cohort studies comparing implant stability and/or clinical outcomes with PS versus CS used for implant site preparation published in the last 10 years were included in the search. RESULTS: Five of the 177 articles initially found were included in the meta-analysis. No statistically significant differences were found between PS and CS for implant stability quotient (ISQ) at baseline (SMD: 0.31; 95 %CI: -0.59 to 1.20; p=0.5). However, ISQ values were significantly higher at 2 months (SMD: 0.52; 95 %CI: 0.03-1.00; p=0.04) and at 3 months (SMD: 0.74; 95 %CI: 0.17-1.32; p=0.01) for CS. PS needed significantly more time than CS (SMD: 1.74; 95 %CI: 0.42-3.06; p=0.01) in order to be performed. No differences for implant survival rates were found when comparing both techniques (RR: 0.52; 95 %CI: 0.09-2.88; p=0.45). CONCLUSIONS: PS has not demonstrated superiority to conventional drilling for implant stability during the healing period. PS needs significantly longer surgery time than CS. Differences for implant survival rate were not found between the two techniques. PMID- 29843979 TI - Staphylococcus aureus requires less virulence to establish an infection in diabetic hosts. AB - Staphylococcus aureus is the most frequent pathogen causing diabetic foot infections. Here, we investigated the degree of bacterial virulence required to establish invasive tissue infections in diabetic organisms. Staphylococcal isolates from diabetic and non-diabetic foot ulcers were tested for their virulence in in vitro functional assays of host cell invasion and cytotoxicity. Isolates from diabetes mellitus type I/II patients exhibited less virulence than isolates from non-diabetic patients, but were nevertheless able to establish severe infections. In some cases, non-invasive isolates were detected deep within diabetic wounds, even though the strains were non-pathogenic in cell culture models. Testing of defined isolates in murine footpad injection models revealed that both low- and high-virulent bacterial strains persisted in higher numbers in diabetic compared to non-diabetic hosts, suggesting that hyperglycemia favors bacterial survival. Additionally, the bacterial load was higher in NOD mice, which have a compromised immune system, compared to C57Bl/6 mice. Our results reveal that high as well as low-virulent staphylococcal strains are able to cause soft tissue infections and to persist in diabetic humans and mice, suggesting a reason for the frequent and endangering infections in patients with diabetes. PMID- 29843980 TI - Functional analysis reveals differential effects of glutamate and MCH neuropeptide in MCH neurons. AB - OBJECTIVES: Melanin-concentrating hormone (MCH) neurons in the lateral hypothalamus (LH) regulate food intake and body weight, glucose metabolism and convey the reward value of sucrose. In this report, we set out to establish the respective roles of MCH and conventional neurotransmitters in these neurons. METHODS: MCH neurons were profiled using Cre-dependent molecular profiling technologies (vTRAP). MCHCre mice crossed to Vglut2fl/flmice or to DTRfl/flwere used to identify the role of glutamate in MCH neurons. We assessed metabolic parameters such as body composition, glucose tolerance, or sucrose preference. RESULTS: We found that nearly all MCH neurons in the LH are glutamatergic and that a loss of glutamatergic signaling from MCH neurons from a glutamate transporter (VGlut2) knockout leads to a reduced weight, hypophagia and hyperkinetic behavior with improved glucose tolerance and a loss of sucrose preference. These effects are indistinguishable from those seen after ablation of MCH neurons. These findings are in contrast to those seen in mice with a knockout of the MCH neuropeptide, which show normal glucose preference and do not have improved glucose tolerance. CONCLUSIONS: Overall, these data show that the vast majority of MCH neurons are glutamatergic, and that glutamate and MCH signaling mediate partially overlapping functions by these neurons, presumably by activating partially overlapping postsynaptic populations. The diverse functional effects of MCH neurons are thus mediated by a composite of glutamate and MCH signaling. PMID- 29843981 TI - Blind biliary limb dilatation (Candy cane syndrome) of jejuno-jejunal anastomosis after Roux en Y Gastric Bypass (with video). PMID- 29843982 TI - Operative technique: Robotic transaxillary thyroid lobectomy. PMID- 29843983 TI - HbA1c and retinal sensitivity in diabetics using microperimetry. AB - PURPOSE: The purpose of this study was to determine the relationship between HbA1c values and retinal sensitivity at central 10 degrees using the MP-1 microperimeter. METHODS: A prospective study was carried out on 32 healthy subjects (control group) and 60 diabetic patients. The diabetic patients were divided into 2 groups. Group 1 comprised of 30 patients without diabetic retinopathy (DR) and group 2 had 30 patients with mild non-proliferative DR. A full-threshold microperimetry of the central 10 degrees of retina (the macula) was performed on all subjects, utilizing 32 points with the MP-1. The relationship between light sensitivity and HbA1c value was calculated using linear regression analysis. RESULTS: Total mean sensitivity at 10 degrees for group 1 without DR, group 2 with mild NPDR and control group were 18.67+/-0.83, 17.98+/-1.42 and 19.45+/-0.34 (dB), respectively. There was a significant difference in total mean retinal sensitivity at 10 degrees between the 3 groups (F(2,89)=18.14, p=0.001). A simple linear regression was calculated to predict HbA1c based on retinal sensitivity. A significant regression equation was found (F(1,90)=107.61, p=0.0001, with an R2 of 0.545). The linear regression analysis revealed that there was a 0.64dB decline in mean retinal sensitivity within the central 10 degrees diameter with an increase of 1mmHg of HbA1c. CONCLUSION: Retinal sensitivity at the central 10 degrees of the macula is affected by changes in HbA1c values. PMID- 29843984 TI - Comparison of clinical characteristics of radiological forms of autoimmune pancreatitis. AB - BACKGROUND: There is limited understanding of the clinical characteristics of different radiological forms of autoimmune pancreatitis (AIP). This retrospective study compared the clinical features of radiological forms of AIP. METHODS: A retrospective review was conducted of patients with AIP treated from 2005 to 2015. Based on radiological features, these AIP cases were classified as diffuse (D) or focal (F), and the latter further stratified as head (H), or body and/or tail (B/T). The clinical characteristics and laboratory indices were compared. RESULTS: Among the 119 patients, 66 (55.5%), 40 (33.6%), and 13 (10.9%) were respectively classified as D-, H-, and B/T-type. Compared with the others, the B/T-type patients were younger at onset, the percentage of men was lower, loss of appetite and weight were less common, and these patients had fewer extrapancreatic lesions (P < 0.05, each). Compared with the other groups, the B/T type patients showed significantly lower levels of liver enzymes, direct bilirubin, and total bilirubin. No B/T-type patient displayed jaundice or pruritus. Three B/T-type patients progressed to D-type during the natural course of illness. CONCLUSIONS: D-type and H-type AIP patients had similar clinical features. The B/T-type group differed significantly from the other two types. B/T type can progress to D-type. PMID- 29843985 TI - Intrapancreatic accessory spleen: a diagnostic dilemma. AB - BACKGROUND: As intrapancreatic accessory spleen (IPAS) is rarely encountered during clinical practice, the aim of this review was to summarize the epidemiologic features, the diagnosis and treatment of IPAS. METHODS: MEDLINE and EMBASE were searched for articles reporting on IPAS. Categorical variables were reported as frequency and percentage. Continuous variables were reported as median (range). RESULTS: A total of 105 patients were included, of which 73% were detected incidentally. The male/female ratio was 1.23. The size of IPAS in patients who had previously undergone splenectomy was larger than that of patients without prior splenectomy (2.5 cm vs 1.5 cm; p = 0.020). No preoperative examination was able to make a definite diagnosis for all IPASs. More than half of the patients (55%) received surgical treatment, most of which (87%) were suspected as pancreatic neuroendocrine tumors (p-net) preoperatively. CONCLUSIONS: Although rare, IPAS should be considered in the differential of patients with suspected incidental p-net, especially if there has been a past history of splenectomy. Preoperative diagnosis is important as unnecessary surgery can be avoided. As it is difficult to make a definite diagnosis of IPAS by one single examination, multiple techniques may be required. PMID- 29843986 TI - Intention-to-treat analysis of liver transplantation, resection and thermal ablation for hepatocellular carcinoma in a single centre. AB - BACKGROUND: potentially curative treatment options for hepatocellular carcinoma (HCC) include liver transplantation (LT), liver resection (LR) and thermal ablation (TA). Long term intent-to-treat (ITT) analysis from a single-centre using all three modalities contemporaneously has not been published. METHODS: An ITT analysis was undertaken of all patients with HCC listed for LT, or have undergone LR or TA. RESULTS: 444 patients were identified; 145 were listed for LT (121 underwent LT), 190 underwent LR and 109 underwent TA. One and 3-year overall survival (OS) was similar among LT, LR and TA (88/77%, 88/64% and 95/72%) whereas 5-year OS was higher following LT than LR or TA (73% vs. 54% vs. 49%). Disease free survival at 1- and 5-years was higher for LT (97% and 84%) than LR (66% and 35%) or TA (73%, and 19%). CONCLUSION: LT offered the lowest rate of cancer recurrence and highest chance of long-term survival. Differences in outcome likely reflect a combination of cancer-related factors (AFP, micro- and macrovascular invasion), patient-related factors (performance status, co morbidities and psychosocial issues) and treatment type. Two thirds of patients treated by LR and three quarters treated by TA had HCC recurrence by 5 years, reinforcing the need for close long-term surveillance. PMID- 29843987 TI - Patterns of Distant Failure by Intrinsic Breast Cancer Subtype in Premenopausal Women Treated With Neoadjuvant Chemotherapy. AB - PURPOSE: To identify patterns of distant failure (DF) in premenopausal women receiving neoadjuvant chemotherapy (NAC) for breast cancer. PATIENTS AND METHODS: Premenopausal patients treated with NAC between 2005 and 2015 at a single institution were retrospectively reviewed. Timing and location of local, regional, and distant metastases were described. Predictors for DF and overall survival (OS) were analyzed. RESULTS: Of 225 patients, there were 24 (10.7%) local, 30 (13.3%) regional, and 63 (28.0%) distant recurrences. Cumulative incidence of DF was higher in patients younger than age 40 (P = .01), in those with residual tumor size > 2 cm (P < .0001), in those with positive lymph nodes after NAC (P = .0003), and in those without pathologic complete response (P < .0001). Cumulative incidence of brain metastases was most common in patients with human epidermal growth factor receptor 2 (HER2)-positive disease (P = .05). Time from development of metastatic disease to death varied by breast cancer subtype (P = .019), as did 5-year OS (P = .024). Women with HER2-positive and triple negative disease had the highest incidence of brain metastases and the shortest time from development of metastases to death. On multivariable analysis, luminal B subtype (P = .025), pathologic complete response (P = .0014), young age (P = .0008), lack of hormone therapy (P < .0001), lymphovascular space involvement (P < .0001), and pathologic size of the primary tumor (P < .0001) were all significant predictors for DF. CONCLUSION: Patterns of DF after NAC in premenopausal women vary by breast cancer subtype, with DF more common than locoregional failure. Young age remains an independent poor prognostic factor, and OS differs by breast cancer subtype. PMID- 29843988 TI - Oncologic Safety of Gonadotropin-Releasing Hormone Agonist for Ovarian Function Protection During Breast Cancer Chemotherapy. AB - BACKGROUND: Receipt of a gonadotropin-releasing hormone (GnRH) agonist has been reported to protect against ovarian failure. We sought to determine the oncologic effect of a GnRH agonist with chemotherapy for breast cancer patients. PATIENTS AND METHODS: Data from 1160 patients aged 20 to 40 years with stage I to III breast cancer who received chemotherapy from 5 hospitals in Korea from 2002 to 2012 were reviewed. A GnRH agonist was provided to 406 patients for ovarian protection during chemotherapy, and 754 patients received chemotherapy without ovarian protection. An individual score-matching strategy was used to create sets matched by age, tumor stage, hormone receptor status, neoadjuvant or adjuvant chemotherapy, and institute. RESULTS: Survival analysis by Cox regression showed that the GnRH agonist group had better distant metastasis-free survival (hazard ratio [HR], 0.59; 95% confidence interval [CI], 0.39-0.89) and disease-free survival (HR, 0.72; 95% CI, 0.52-0.99) than the chemotherapy-alone group. Among patients with hormone receptor-positive breast cancer, the benefit was significant for distant metastasis-free survival (HR, 0.53; 95% CI, 0.29-0.99) and disease-free survival (HR, 0.58; 95% CI, 0.35-0.96). CONCLUSION: Ovarian protection using a GnRH agonist can be safely considered for premenopausal breast cancer patients for whom chemotherapy is planned. PMID- 29843989 TI - Type testing of a locally made LiF:Mg,Ti + PTFE TLD for its use as a personal dosimeter. AB - Our research group has developed a thermoluminescence dosimeter (TLD) based on pellets of LiF:Mg,Ti mixed with polytetrafluoroethylene (LiF:Mg,Ti +PTFE). This TLD can be used as a personal dosimeter. Extensive type testing, carried out with reference to the International Electrotechnical Commission (IEC) Standard, were performed for the purpose of accepting the LiF:Mg,Ti+PTFE as a personal TL dosimeter. Tests performed include repeatability, batch homogeneity, linearity, detection threshold, and light sensitivity. Results showed that locally made LiF:Mg,Ti+PTFE TLDs met all the standard requirements. PMID- 29843990 TI - Small Intestine Neuroendocrine Tumor in a Patient With MUTYH Adenomatous Polyposis-Case Report and SEER Analysis. PMID- 29843992 TI - Editorial overview: Personality disorders: Personality pathology is what personality pathologists do. PMID- 29843991 TI - Lassa virus glycoprotein: stopping a moving target. AB - The structure of a prefusion arenavirus GPC was enigmatic for many years, owing to the metastable and non-covalent nature of the association between the receptor binding and fusion subunits. Recent engineering efforts to stabilize the glycoprotein of the Old World arenavirus Lassa in a native, yet cleaved state, allowed the first structure of any arenavirus prefusion GPC trimer to be determined. Comparison of this structure with the structures of other arenavirus glycoprotein subunits reveals surprising findings: that the receptor binding subunit, GP1, of Lassa virus is conformationally labile, while the GP1 subunit of New World arenaviruses is not, and that the arenavirus GPC adopts a trimeric state unlike other glycoproteins with similar fusion machinery. Structural analysis, combined with recent biochemical data regarding antibody epitopes and receptor binding requirements, provides a basis for rational vaccine design. PMID- 29843993 TI - A case control study on HDL associated PON1 enzyme level in Northern Indian type 2 diabetes mellitus patients. AB - AIM: To evaluate the serum paraoxonase 1 activity and determine its association with duration in type 2 Diabetes mellitus patients. METHODS: A total of 80 cases from type 2 diabetes mellitus and healthy controls were enrolled in the present case control study. Human serum PON1 concentration was measured by ELISA and western blotting and it activity was determined spectrophotometrically using 4 nitrophenyle acetate. Diagnostic accuracy of serum PON1 to identify type 2 Diabetes mellitus was calculated with ROC analysis. RESULT: Serum concentration of LDL, VLDL, TG, A1C, FBS and TC levels showed significantly higher levels in type 2 diabetes patients as compared to healthy controls, however there were no significant differences found in the level of HDL. Serum PON1 concentration and activity monitored in patients with >1 year diabetes showed higher level (75.1 +/ 6.8 ng/mL) as compared to patients with >3 years diabetes (65.24 +/- 1.6 ng/mL), its level was further decreased in patients with >5 (53.8 +/- 2.6 ng/mL) and >7 years (48.1 +/- 2.7 ng/mL) of diabetes. PON1 concentration decreased as the duration of diabetes increased. PON1 level was further decreased due to habits like smoking and alcohol consumption. CONCLUSION: Serum PON1 levels decrease in states of high oxidative stress like metabolic syndrome, obesity, uncontrolled diabetes, and dyslipidemia. It can be used as diagnostic marker for diabetes mellitus along with increased TG, LDL, VLDL and FBG. PMID- 29843994 TI - Autophagy and GLUT4: The missing pieces. AB - BACKGROUND: Autophagy is a process devoted to degrade and recycle cellular components inside mammalian cells through lysosomal system. It plays a main function in the pathophysiology of several diseases. In type 2 diabetes, works demonstrated the dual functions of autophagy in diabetes biology. Studies had approved the role of autophagy in promoting different routes for movement of integral membrane proteins to the plasma membrane. But its role in regulation of GLUT4 trafficking has not been widely observed. In normal conditions, insulin promotes GLUT4 translocation from intracellular membrane compartments to the plasma membrane, while in type 2 diabetes defects occur in this translocation. METHOD: Intriguing evidences discussed the contribution of different intracellular compartments in autophagy membrane formation. Furthermore, autophagy serves to mobilise membranes within cells, thereby promoting cytoplasmic components reorganisation. The intent of this review is to focus on the possibility of autophagy to act as a carrier for GLUT4 through regulating GLUT4 endocytosis, intracellular trafficking in different compartments, and translocation to cell membrane. RESULTS: The common themes of autophagy and GLUT4 have been highlighted. The review discussed the overlapping of endocytosis mechanism and intracellular compartments, and has shown that autophagy and GLUT4 utilise similar proteins (SNAREs) which are used for exocytosis. On top of that, PI3K and AMPK also control both autophagy and GLUT4. CONCLUSION: The control of GLUT4 trafficking through autophagy could be a promising field for treating type 2 diabetes. PMID- 29843995 TI - Interaction between Albuminuria and Treatment Group Outcomes for Patients with Renal Artery Stenosis: The NITER Study. AB - PURPOSE: To perform a post-hoc analysis of the Nephropathy Ischemic Therapy (NITER) trial, which enrolled patients with atherosclerotic renal artery stenosis, to evaluate whether medical therapy plus stent placement is superior to medical therapy alone in patients without elevated albuminuria. MATERIALS AND METHODS: Data from 51 patients were analyzed and stratified into 2 cohorts by median urinary albumin (UAlb) levels: cohort 1 ("low albuminuria," UAlb <=0.04 g/24h) and cohort 2 ("high albuminuria," UAlb >0.04g/24h). Interaction effect between treatment arms and UAlb cohorts was calculated using Cox regression analysis. Survival analysis was followed by test for effect size, power analysis, and construction of a Kaplan-Meier survival table. RESULTS: At study completion, 13 patients had an outcome event: 6 (23%) from cohort 1 and 7 (28%) from cohort 2. Patients in cohort 1 had event-free survival of 83% at 3.9 +/- 0.3 years from the primary endpoints of all-cause mortality, dialysis, and cardiovascular events when treated with interventional therapy, compared to 45% when treated with medical therapy alone (P = .501), which showed a 62% treatment effect for stent placement. In cohort 2, event-free survival rates were 64% for medical therapy versus 52% for medical plus interventional therapy (P = .64). Using Cox regression analysis, the interaction effect between treatment arms and UAlb cohorts was not significant (P = .32). The power of the study to detect an interaction effect, if one existed, was only 15%. CONCLUSIONS: Inference cannot be drawn for similar populations because of inadequate sample size, but, in this sample, patients treated with stent placement who had low albuminuria had better outcomes than patients treated with medical therapy alone. PMID- 29843996 TI - Radioembolization for Hepatocellular Carcinoma: A Nationwide 10-Year Experience. AB - PURPOSE: To examine the US nationwide experience with transarterial radioembolization (TARE) for hepatocellular carcinoma (HCC) in the years 2003 2012 and the prognostic factors associated with overall survival. MATERIALS AND METHODS: A retrospective cohort study from the National Cancer Database included 110,139 adult patients with HCC between 2003 and 2012, of whom 1,222 received TARE. Primary outcome of interest was mortality after treatment. Univariate and multivariate analyses for factors predicting mortality were performed for 961 patients treated between 2003 and 2011. Overall survival was estimated by Kaplan Meier method. RESULTS: There was a steady increase in utilization of TARE in the past decade. Most patients were white men with median age of 64 years. Of those patients, 67% received treatment at an academic institution, 42% were American Joint Committee on Cancer stage I or II, and 10% had metastatic disease at the time of treatment. Median overall survival was 13.3 months. Overall survival varied by patient and tumor characteristics. Female patients with tumors < 5 cm or stage I or II disease benefited the most from treatment. Outcomes were the same across all age groups. Patients who were African American or had metastatic disease tended to have worse outcomes. CONCLUSIONS: Use of TARE in patients with HCC has been increasing. Several factors are significantly associated with a less favorable outcome after TARE, including male sex, large tumors, and extrahepatic disease. These data can be used for designing future radioembolization trials. PMID- 29843997 TI - Percutaneous Transanastomotic Stent Graft Deployment to Salvage Dysfunctional Native Forearm Radiocephalic Fistulae: Feasibility and Primary Patency at 12 Months. AB - PURPOSE: To evaluate feasibility and efficacy of transanastomotic self-expandable polytetrafluoroethylene stent graft placement for salvage of radiocephalic arteriovenous fistulae (RCAVFs). MATERIALS AND METHODS: From 2008 to 2016, 26 patients (21 male; age, 38-80 y) with dysfunctional RCAVFs for juxtaanastomotic lesions that were unresponsive to angioplasty underwent transanastomotic stent graft placement. Stenotic and thrombotic lesions were included. All were deemed unsuitable for surgical revision. Patency rates were calculated per Kaplan-Meier method. A Cox analysis was used to identify influencing factors. RESULTS: Thirty two stent grafts (6 patients had 2 stents) were deployed. Anatomic and clinical success were achieved in all patients; no major complications occurred. Mechanical and/or pharmacologic thrombolysis was performed in 6 cases before stent graft deployment. During follow-up (median, 34.7 mo; range, 1.9-102.7 mo), 17 repeat interventions were required in 10 patients (43 procedures overall), for an endovascular intervention rate of 0.27 per year. At 3, 6, 12, and 24 months, primary patency (PP) rates were 96% +/- 4 (95% CI, 75%-99%), 83% +/- 7 (95% CI, 61%-93%), 78% +/- 8 (95% CI, 55%-90%), and 69% +/- 10 (95% CI, 46%-84%). The corresponding assisted PP rates were 96% +/- 4 (95% CI, 76%-99%), 96% +/- 4 (95% CI, 76%-99%), 92% +/- 5 (95% CI, 71%-98%), and 82% +/- 8 (95% CI, 60%-93%). Five AVFs were ultimately abandoned. Per Cox analysis, arterial diameter >= 4 mm was associated with better PP (P = .032). CONCLUSIONS: Transanastomotic stent graft placement for RCAVF salvage is feasible and safe, providing patency rates comparable with historical endovascular and surgical data. Its role should be evaluated in larger studies. PMID- 29843998 TI - Combination drug treatment prolongs survival of experimentally infected mice with silver-haired bat rabies virus. AB - Rabies is a lethal disease in humans and animals, killing approximately 60,000 people every year. Currently, there is no treatment available, except post exposure prophylaxis (PEP) that can be administered whenever exposure to a rabid animal took place. Here we describe the beneficial effects of a combination treatment initiated at day 4 post infection, containing anti-viral drugs and immune modulators in infected mice. Combination therapy resulted in significant increase in survival time (P < 0.05) and significantly lowers viral RNA in the brain and spinal cord (P < 0.05). Furthermore, treatment influenced markers of pyroptosis and apoptosis and early inflammatory response as measured by the levels of TNF-alpha. Morphological lesions were absent in rabies virus infected mice with few signs of inflammation. However, these were not significant between the different groups. PMID- 29843999 TI - Can genotype mismatch really affect the level of protection conferred by Newcastle disease vaccines against heterologous virulent strains? AB - Newcastle disease (ND), caused by virulent class II avian paramyxovirus 1 (Newcastle disease virus, NDV), occurs sporadically in poultry despite their having been immunized with commercial vaccines. These vaccines were all derived from NDV strains isolated around 70 years ago. Since then, class II NDV strains have evolved into 18 genotypes. Whether the vaccination failure results from genotype mismatches between the currently used vaccine strains and field circulating velogenic strains or from an impaired immune response in the vaccination remains unclear. To test the first hypothesis, we performed a heterologous genotype II vaccine/genotype XI challenge in one-day old specific pathogen free (SPF) chicks and reproduced viral shedding. We then produced two attenuated strains of genotype II and XI by reverse genetics and used them to immunize two-week old SPF chickens that were subsequently challenged with velogenic strains of genotypes II, VII and XI. We found that both vaccines could induce antibodies with hemagglutination inhibition titers higher than 6.5 log2. Vaccination also completely prevented disease, viral shedding in swabs, and blocked viral replication in tissues from different genotypes in contrast to unvaccinated chickens that died shortly after challenge. Taken together, our results support the hypothesis that, in immunocompetent poultry, genotype mismatch is not the main reason for vaccination failure. PMID- 29844000 TI - Improved timely birth dose coverage of hepatitis B vaccine narrows the socio economic inequality in western China in 2011-2016. AB - OBJECTIVE: To compare timely birth dose (TBD) coverage of hepatitis B vaccine and socio-economic inequality distribution of TBD coverage between 2011 and 2016 in rural areas of western China. METHODS: In western China, using multi-stage probability proportion to size sampling, 2633 and 1929 children aged 0-35 months with an immunization card were selected from 14 rural counties in 2011 and 2016, respectively. Socio-economic characteristics were obtained from face-to-face questionnaire survey and copies of vaccination certificates. We performed multivariate logistic regression models to identify the determinants of TBD coverage of hepatitis B vaccine. We grouped TBD coverage by wealth quintiles, calculated inequality using the difference base on coverage in richest (quintile 5) and poorest (quintile 1) household wealth quintiles. FINDINGS: From 2011 to 2016, the overall TBD coverage of hepatitis B vaccine among children aged 0-35 months in rural areas of western China increased from 52.8% (95% confidence interval, CI: 42.4-62.8) to 80.2% (95% CI: 69.5-87.8). The absolute difference in TBD coverage between richest and poorest quintiles was 20.6 (95%CI: 9.4-31.8) and 15.8 (95%CI: 1.4-30.2) in 2011 and 2016, respectively. CONCLUSION: The socioeconomic inequality in TBD coverage decreased over the study period, but such inequality still existed in 2016. To improve inequality in TBD, the government should pay more attention to the disadvantaged groups, especially the children who were delivered at home, or whose caregivers were ethnic minority or who have a lower level of education. PMID- 29844001 TI - Docetaxel Down-Regulates PD-1 Expression via STAT3 in T Lymphocytes. AB - BACKGROUND: Lung tumor is a major cause of cancer incidence and patient death. Chemotherapy is the primary therapy used to treat lung cancer. In addition to direct cytotoxic effect on tumor cells, chemotherapeutic drugs activate immune responses to exert antitumor function. Here, the effects of docetaxel on the inhibitory molecules, programmed cell death 1 (PD-1), cytotoxic T-lymphocyte associated antigen 4 (CTLA-4), and T-cell immunoglobulin and mucin domain 3 (TIM 3) in T lymphocytes were explored in patients with lung adenocarcinoma. PATIENTS AND METHODS: Peripheral blood mononuclear cells were isolated from lung adenocarcinoma patients receiving cisplatin-docetaxel chemotherapy. By flow cytometry and PCR, the expressions of CTLA-4, PD-1 and TIM-3 in T cell subsets were analyzed. Health subjects were used as control group. RESULTS: During chemotherapy, suppressive markers were down-regulated in peripheral CD4+ and CD8+ T cells from patients with partial remission or stable disease. Additionally, interferon-gamma production was also augmented during this period. In vitro assay showed that docetaxel reduced the expression of PD-1 on T-cell subsets without altering cell death. Further tests in Jurkat T cells demonstrated that docetaxel activated signal transduction and activator of transcription 3 (STAT3) signaling to suppress PD-1 expression, whereas STAT3 inhibition reversed the down regulation of PD-1. CONCLUSION: Our data support the hypothesis that chemotherapeutic drugs are not only purely cytotoxic but are also immune modulators. PMID- 29844002 TI - Programmed Cell Death Ligand 1 Expression in Non-Small-cell Lung Cancer Patients With Interstitial Lung Disease: A Matched Case-control Study. AB - BACKGROUND: Programmed cell death protein 1 (PD-1)/programmed cell death ligand 1 (PD-L1) checkpoint inhibitors have demonstrated antitumor activity, and immunohistochemical analysis of PD-L1 expression has been used to identify the response in patients with non-small-cell lung cancer (NSCLC). Recently, considerable interest has ensued toward extending the benefit of these inhibitors to high-risk patients, such as those with NSCLC and interstitial lung disease (ILD). However, no studies have compared PD-L1 expression in NSCLC patients with and without ILD. Therefore, we conducted a case-control study to evaluate PD-L1 expression and stromal CD8+ lymphocyte density in these patients. MATERIALS AND METHODS: The data from patients with pathologic stage I or II NSCLC who had undergone surgery from January 2007 to January 2016 were analyzed. RESULTS: We identified 62 patients with pathologic stage I or II NSCLC and ILD. We compared these patients with 1:1-matched cohort. In both groups with and without ILD, approximately 60% were PD-L1+. Tumor cell PD-L1 expression was similar between the groups (median, 1%; interquartile range, 0%-5%; vs. median, 1%; interquartile range, 0%-5%; P = .49). The proportion of patients with positive (>= 1%) and strongly positive (>= 50%) PD-L1 expression was also similar between the 2 groups (P = .46 and P = 1.00, respectively). Additionally, the CD8+ lymphocyte density did not differ between patients with and without ILD. CONCLUSION: PD-L1 expression and stromal CD8+ lymphocyte density were comparable between the NSCLC patients with and without ILD. PD-1 axis inhibitors might be effective for NSCLC patients with ILD. PMID- 29844003 TI - Antifungal susceptibility of clinical isolates of 25 genetically confirmed Aspergillus species collected from Taiwan and Mainland China. AB - BACKGROUND: To investigate the in vitro antifungal susceptibilities of 25 genetically confirmed Aspergillus species collected from Taiwan and Mainland China. METHODS: A total of 390 non-duplicate and consecutive Aspergillus isolates representing of 25 species recovered from clinical sources at two teaching hospitals in Taiwan and Mainland china were preserved for this study. In vitro antifungal susceptibility testing (AFST) of those Aspergillus isolates against seven antifungal agents was performed using Sensititre YeastOne (SYO) system. The susceptibility profiles of isolates were analyzed according to the general interpretation code drawn from the SYO instruction. The CYP51A gene sequencing analysis was performed for triazole-resistant Aspergillusfumigatus isolates. RESULTS: Among the 390 Aspergillus isolates, 76.7% (n = 299) exhibited complete susceptibility to all the tested antifungals, and 23.3% (91/390) of different Aspergillus species isolates showed resistance to one or two classes of antifungal agents with higher minimum inhibitory concentrations (MICs) of >2 mg/L. Resistance to amphotericin B was found in 91.2% (83/91) of those less susceptible isolates and most of them focused on species being resistant to Amphotericin B innately. The total rate of triazole resistance in this study was low (3.3%, 13/390), and only 3 (2.8%) A. fumigatus isolates were resistant to at least one of the triazoles with mutations of TR34/L98H or TR46/Y121F/T289A in CYP51A gene. The echinocandins were highly potent to the tested Aspergillus isolates. CONCLUSION: The existence of triazole resistance among A. fumigatus isolates in Taiwan and Mainland China indicates the need for continuous monitoring from now on. PMID- 29844004 TI - Transcatheter Device Closure of Aortopulmonary Window. Is There a Need for an Alternative Strategy to Surgery? PMID- 29844005 TI - Tako-tsubo Cardiomyopathy Complicated With Cardiac Tamponade and Cardiogenic Shock. PMID- 29844006 TI - Phenotype-modifying Factors in Hypertrophic Cardiomyopathy. PMID- 29844007 TI - Case Report: Chemotherapy in Conjunction With Blood-Brain Barrier Disruption for a Patient With Germ Cell Tumor With Multiple Brain Metastases. PMID- 29844008 TI - Heterogeneity of Second-Line Treatment for Patients With Multiple Myeloma in the Connect MM Registry (2010-2016). AB - BACKGROUND: The treatment landscape for multiple myeloma (MM) has undergone recent changes with the regulatory approval of several new therapies indicated for second- and later-line disease. Using data from Connect MM, the largest multisite, primarily community-based, prospective, observational registry of MM patients in the United States, selection of second-line treatments was evaluated during a 5-year period from 2010 to 2016. PATIENTS AND METHODS: Eligible patients were aged >= 18 years, had newly diagnosed MM <= 2 months before study entry, and were followed for up to 8 years. Patients who received >= 2 lines of therapy were analyzed. "Tepee" plots of stacked area graphs differentiated treatments by color to allow visualization of second-line treatment trends in MM patients. RESULTS: As of February 2017, 855 of 2897 treated patients had progressed to second-line treatment. Treatment selection was heterogeneous; shifting patterns of treatment choices coincided with the approval status of newer agents. The most common treatment regimens in the early part of the decade were lenalidomide and/or bortezomib, with or without dexamethasone, with increasing use of newer agents (carfilzomib, pomalidomide, daratumumab, and elotuzumab) and triplet combinations over time. The influence of the baseline patient characteristics of age, history of diabetes, peripheral neuropathy, and renal function on treatment choice was also examined. CONCLUSION: These findings indicate that community physicians are current in their MM management practices, with uptake of new drugs and acquaintance with results of randomized clinical trials using combinations almost concurrent with their regulatory approval and publication. PMID- 29844009 TI - Workflow and efficiency in MRI-based high-dose-rate brachytherapy for cervical cancer in a high-volume brachytherapy center. AB - PURPOSE: We report the clinical workflow and time required for MRI-based image guided brachytherapy (MR-IGBT) of cervical cancer patients in a high-volume brachytherapy center with 10 years of experiences to provide a practical guideline for implementing MR-IGBT into clinical use. METHODS AND MATERIALS: We recorded the time and workflow of each procedure step within the 40 consecutive ring and tandem applicator fractions of MR-IGBT by our multidisciplinary team. We divided the entire procedure into four sections based on where the procedure was performed: (1) applicator insertion under sedation, (2) MR imaging, (3) planning, and (4) treatment delivery. In addition, we compared the current procedure time to the initial procedure time when first implementing MR-IGBT in 2007-2008 via a retrospective review. RESULTS: Mean total procedure time was 149.3 min (SD 17.9, ranges 112-178). The multidisciplinary team included an anesthesia team, radiologist, radiation oncologist, nurses, radiation therapists, MRI technicians, dosimetrists, and physicists. The mean procedure time and ranges for each section (min) were as follows: (1) 56.2 (28.0-103.0), (2) 31.0 (19.0-70.0), (3) 44.3 (21.0-104.0), and (4) 17.8 (9.0-34.0). Under current setting, the combined mean procedure time for MR imaging and planning was 63.2 min. In comparison, the same procedure took 137.7 min in 2007-2008 period, which was significantly longer than the current workflow (p < 0.001). CONCLUSIONS: A skilled and dedicated multidisciplinary team is required for an efficient clinical workflow and delivery of MR-IGBT. Over the years, we have improved efficiency with clinical experience and continuous efforts in staff education. PMID- 29844010 TI - Possible Sources of Bias in Primary Care Electronic Health Record Data Use and Reuse. AB - BACKGROUND: Enormous amounts of data are recorded routinely in health care as part of the care process, primarily for managing individual patient care. There are significant opportunities to use these data for other purposes, many of which would contribute to establishing a learning health system. This is particularly true for data recorded in primary care settings, as in many countries, these are the first place patients turn to for most health problems. OBJECTIVE: In this paper, we discuss whether data that are recorded routinely as part of the health care process in primary care are actually fit to use for other purposes such as research and quality of health care indicators, how the original purpose may affect the extent to which the data are fit for another purpose, and the mechanisms behind these effects. In doing so, we want to identify possible sources of bias that are relevant for the use and reuse of these type of data. METHODS: This paper is based on the authors' experience as users of electronic health records data, as general practitioners, health informatics experts, and health services researchers. It is a product of the discussions they had during the Translational Research and Patient Safety in Europe (TRANSFoRm) project, which was funded by the European Commission and sought to develop, pilot, and evaluate a core information architecture for the learning health system in Europe, based on primary care electronic health records. RESULTS: We first describe the different stages in the processing of electronic health record data, as well as the different purposes for which these data are used. Given the different data processing steps and purposes, we then discuss the possible mechanisms for each individual data processing step that can generate biased outcomes. We identified 13 possible sources of bias. Four of them are related to the organization of a health care system, whereas some are of a more technical nature. CONCLUSIONS: There are a substantial number of possible sources of bias; very little is known about the size and direction of their impact. However, anyone that uses or reuses data that were recorded as part of the health care process (such as researchers and clinicians) should be aware of the associated data collection process and environmental influences that can affect the quality of the data. Our stepwise, actor- and purpose-oriented approach may help to identify these possible sources of bias. Unless data quality issues are better understood and unless adequate controls are embedded throughout the data lifecycle, data-driven health care will not live up to its expectations. We need a data quality research agenda to devise the appropriate instruments needed to assess the magnitude of each of the possible sources of bias, and then start measuring their impact. The possible sources of bias described in this paper serve as a starting point for this research agenda. PMID- 29844011 TI - USP22 deficiency leads to myeloid leukemia upon oncogenic Kras activation through a PU.1-dependent mechanism. AB - Ras mutations are commonly observed in juvenile myelomonocytic leukemia (JMML) and chronic myelomonocytic leukemia (CMML). JMML and CMML transform into acute myeloid leukemia (AML) in about 10% and 50% of patients, respectively. However, how additional events cooperate with Ras to promote this transformation are largely unknown. We show that absence of the ubiquitin-specific peptidase 22 (USP22), a component of the Spt-Ada-GCN5-acetyltransferase chromatin-remodeling complex that is linked to cancer progression, unexpectedly promotes AML transformation in mice expressing oncogenic KrasG12D/+ USP22 deficiency in KrasG12D/+ mice resulted in shorter survival compared with control mice. This was due to a block in myeloid cell differentiation leading to the generation of AML. This effect was cell autonomous because mice transplanted with USP22-deficient KrasG12D/+ cells developed an aggressive disease and died rapidly. The transcriptome profile of USP22-deficient KrasG12D/+ progenitors resembled leukemic stem cells and was highly correlated with genes associated with poor prognosis in AML. We show that USP22 functions as a PU.1 deubiquitylase by positively regulating its protein stability and promoting the expression of PU.1 target genes. Reconstitution of PU.1 overexpression in USP22-deficient KrasG12D/+ progenitors rescued their differentiation. Our findings uncovered an unexpected role for USP22 in Ras-induced leukemogenesis and provide further insights into the function of USP22 in carcinogenesis. PMID- 29844012 TI - Transhumanism: five minutes with . . . Mark O'Connell. PMID- 29844015 TI - Margaret McCartney: We must look at the whole impact of revalidation. PMID- 29844014 TI - An allosteric propofol-binding site in kinesin disrupts kinesin-mediated processive movement on microtubules. AB - Microtubule-based molecular motors mediate transport of intracellular cargo to subdomains in neurons. Previous evidence has suggested that the anesthetic propofol decreases the average run-length potential of the major anterograde transporters kinesin-1 and kinesin-2 without altering their velocity. This effect on kinesin has not been observed with other inhibitors, stimulating considerable interest in the underlying mechanism. Here, we used a photoactive derivative of propofol, meta-azipropofol (AziPm), to search for potential propofol-binding sites in kinesin. Single-molecule motility assays confirmed that AziPm and propofol similarly inhibit kinesin-1 and kinesin-2. We then applied AziPm in semiquantitative radiolabeling and MS microsequencing assays to identify propofol binding sites within microtubule-kinesin complexes. The radiolabeling experiments suggested preferential AziPm binding to the ATP-bound microtubule-kinesin complex. The photolabeled residues were contained within the kinesin motor domain rather than at the motor domain-beta-tubulin interface. No residues within the P loop of kinesin were photolabeled, indicating an inhibitory mechanism that does not directly affect ATPase activity and has an effect on run length without changing velocity. Our results also indicated that when the kinesin motor interacts with the microtubule during its processive run, a site forms in kinesin to which propofol can then bind and allosterically disrupt the kinesin microtubule interaction, resulting in kinesin detachment and run termination. The discovery of the propofol-binding allosteric site in kinesin may improve our understanding of the strict coordination of the motor heads during the processive run. We hypothesize that propofol's potent effect on intracellular transport contributes to various components of its anesthetic action. PMID- 29844013 TI - Alcohol intake in relation to non-fatal and fatal coronary heart disease and stroke: EPIC-CVD case-cohort study. AB - OBJECTIVE: To investigate the association between alcohol consumption (at baseline and over lifetime) and non-fatal and fatal coronary heart disease (CHD) and stroke. DESIGN: Multicentre case-cohort study. SETTING: A study of cardiovascular disease (CVD) determinants within the European Prospective Investigation into Cancer and nutrition cohort (EPIC-CVD) from eight European countries. PARTICIPANTS: 32 549 participants without baseline CVD, comprised of incident CVD cases and a subcohort for comparison. MAIN OUTCOME MEASURES: Non fatal and fatal CHD and stroke (including ischaemic and haemorrhagic stroke). RESULTS: There were 9307 non-fatal CHD events, 1699 fatal CHD, 5855 non-fatal stroke, and 733 fatal stroke. Baseline alcohol intake was inversely associated with non-fatal CHD, with a hazard ratio of 0.94 (95% confidence interval 0.92 to 0.96) per 12 g/day higher intake. There was a J shaped association between baseline alcohol intake and risk of fatal CHD. The hazard ratios were 0.83 (0.70 to 0.98), 0.65 (0.53 to 0.81), and 0.82 (0.65 to 1.03) for categories 5.0-14.9 g/day, 15.0-29.9 g/day, and 30.0-59.9 g/day of total alcohol intake, respectively, compared with 0.1-4.9 g/day. In contrast, hazard ratios for non fatal and fatal stroke risk were 1.04 (1.02 to 1.07), and 1.05 (0.98 to 1.13) per 12 g/day increase in baseline alcohol intake, respectively, including broadly similar findings for ischaemic and haemorrhagic stroke. Associations with cardiovascular outcomes were broadly similar with average lifetime alcohol consumption as for baseline alcohol intake, and across the eight countries studied. There was no strong evidence for interactions of alcohol consumption with smoking status on the risk of CVD events. CONCLUSIONS: Alcohol intake was inversely associated with non-fatal CHD risk but positively associated with the risk of different stroke subtypes. This highlights the opposing associations of alcohol intake with different CVD types and strengthens the evidence for policies to reduce alcohol consumption. PMID- 29844016 TI - The trimeric coiled-coil HSBP1 protein promotes WASH complex assembly at centrosomes. AB - The Arp2/3 complex generates branched actin networks that exert pushing forces onto different cellular membranes. WASH complexes activate Arp2/3 complexes at the surface of endosomes and thereby fission transport intermediates containing endocytosed receptors, such as alpha5beta1 integrins. How WASH complexes are assembled in the cell is unknown. Here, we identify the small coiled-coil protein HSBP1 as a factor that specifically promotes the assembly of a ternary complex composed of CCDC53, WASH, and FAM21 by dissociating the CCDC53 homotrimeric precursor. HSBP1 operates at the centrosome, which concentrates the building blocks. HSBP1 depletion in human cancer cell lines and in Dictyostelium amoebae phenocopies WASH depletion, suggesting a critical role of the ternary WASH complex for WASH functions. HSBP1 is required for the development of focal adhesions and of cell polarity. These defects impair the migration and invasion of tumor cells. Overexpression of HSBP1 in breast tumors is associated with increased levels of WASH complexes and with poor prognosis for patients. PMID- 29844018 TI - Review of L10 000 gender pay gap in medicine is launched. PMID- 29844017 TI - Quantitative Morphological Variation in the Developing Drosophila Wing. AB - Quantitative genetic variation in morphology is pervasive in all species and is the basis for the evolution of differences among species. The measurement of morphological form in adults is now beginning to be combined with comparable measurements of form during development. Here we compare the shape of the developing wing to its adult form in a holometabolous insect, Drosophila melanogaster We used protein expression patterns to measure shape in the developing precursors of the final adult wing. Three developmental stages were studied: late larval third instar, post-pupariation and in the adult fly. We studied wild-type animals in addition to mutants of two genes (shf and ds) that have known effects on adult wing shape and size. Despite experimental noise related to the difficulty of comparing developing structures, we found consistent differences in wing shape and size at each developmental stage between genotypes. Quantitative comparisons of variation arising at different developmental stages with the variation in the final structure enable us to determine when variation arises, and to generate hypotheses about the causes of that variation. In addition we provide linear rules allowing us to link wing morphology in the larva, with wing morphology in the pupa. Our approach provides a framework to analyze quantitative morphological variation in the developing fly wing. This framework should help to characterize the natural variation of the larval and pupal wing shape, and to measure the contribution of the processes occurring during these developmental stages to the natural variation in adult wing morphology. PMID- 29844020 TI - David Oliver: "Ghost wards" and rota gaps show the need for official safe staffing levels. PMID- 29844021 TI - Correction to: 2016 ACC/AHA Clinical Performance and Quality Measures for Adults With Atrial Fibrillation or Atrial Flutter: A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures. PMID- 29844019 TI - Bone remodeling induced by mechanical forces is regulated by miRNAs. AB - The relationship between mechanical force and alveolar bone remodeling is an important issue in orthodontics because tooth movement is dependent on the response of bone tissue to the mechanical force induced by the appliances used. Mechanical cyclical stretch (MCS), fluid shear stress (FSS), compression, and microgravity play different roles in the cell differentiation and proliferation involved in bone remodeling. However, the underlying mechanisms are unclear, particularly the molecular pathways regulated by non-coding RNAs (ncRNAs) that play essential roles in bone remodeling. Amongst the various ncRNAs, miRNAs act as post-transcriptional regulators that inhibit the expression of their target genes. miRNAs are considered key regulators of many biologic processes including bone remodeling. Here, we review the role of miRNAs in mechanical force-induced bone metabolism. PMID- 29844023 TI - Shifting the Paradigm: The Quiet Revolution of Pediatric Procedural Sedation Practice. PMID- 29844022 TI - A Central Extended Amygdala Circuit That Modulates Anxiety. AB - Both the amygdala and the bed nucleus of the stria terminalis (BNST) have been implicated in maladaptive anxiety characteristics of anxiety disorders. However, the underlying circuit and cellular mechanisms have remained elusive. Here we show that mice with Erbb4 gene deficiency in somatostatin-expressing (SOM+) neurons exhibit heightened anxiety as measured in the elevated plus maze test and the open field test, two assays commonly used to assess anxiety-related behaviors in rodents. Using a combination of electrophysiological, molecular, genetic, and pharmacological techniques, we demonstrate that the abnormal anxiety in the mutant mice is caused by enhanced excitatory synaptic inputs onto SOM+ neurons in the central amygdala (CeA), and the resulting reduction in inhibition onto downstream SOM+ neurons in the BNST. Notably, our results indicate that an increase in dynorphin signaling in SOM+ CeA neurons mediates the paradoxical reduction in inhibition onto SOM+ BNST neurons, and that the consequent enhanced activity of SOM+ BNST neurons is both necessary for and sufficient to drive the elevated anxiety. Finally, we show that the elevated anxiety and the associated synaptic dysfunctions and increased dynorphin signaling in the CeA-BNST circuit of the Erbb4 mutant mice can be recapitulated by stress in wild-type mice. Together, our results unravel previously unknown circuit and cellular processes in the central extended amygdala that can cause maladaptive anxiety.SIGNIFICANCE STATEMENT The central extended amygdala has been implicated in anxiety-related behaviors, but the underlying mechanisms are unclear. Here we found that somatostatin-expressing neurons in the central amygdala (CeA) controls anxiety through modulation of the stria terminalis, a process that is mediated by an increase in dynorphin signaling in the CeA. Our results reveal circuit and cellular dysfunctions that may account for maladaptive anxiety. PMID- 29844025 TI - Sixty seconds on . . . digitalisation of pharma. PMID- 29844024 TI - Apnea in Preterm and Term Infants After Deep Sedation and General Anesthesia. AB - OBJECTIVES: Determine the incidence of apnea in preterm and term infants after deep sedation (DS) compared with general anesthesia (GA). METHODS: A retrospective chart review was performed on infants who underwent elective DS or GA from January 2008 to December 2013, were <60 weeks postmenstrual age if preterm or <50 weeks postmenstrual age if term, and were monitored for apnea as inpatients after DS or GA. Gestational age, postmenstrual age, chronologic age, anesthetic and sedative medications, procedure indication, and postsedation events were collected. RESULTS: There were 61 DS encounters (24 preterm and 37 term) and 175 GA encounters (120 preterm and 55 term) that met inclusion criteria. No recorded apneic events in either preterm or term infants were recorded after DS. After GA, 1.7% of infants had apneic events (2.5% preterm and 0 term; P = .57 versus DS). All events occurred within 2 hours of monitoring in recovery. CONCLUSIONS: None of the infants had apnea after DS. Rates from the literature would suggest that 2 to 6 of the preterm DS subjects should have experienced postsedation apnea. Sampled GA subjects had a rate of 2.5% in preterm infants exhibiting apnea after GA. Although the post-DS apnea rate is lower than what has been previously published, the small sample size and limitations of a retrospective design prevent us from directing a change in postsedation monitoring recommendations. However, we do support the need for prospective studies with strict monitoring criteria to reveal the true risk of post-DS apnea. PMID- 29844026 TI - Inherited DNA methylation primes the establishment of accessible chromatin during genome activation. AB - For animals, epigenetic modifications can be globally or partially inherited from gametes after fertilization, and such information is required for proper transcriptional regulation, especially during the process of zygotic genome activation (ZGA). However, the mechanism underlying how the inherited epigenetic signatures affect transcriptional regulation during ZGA remains poorly understood. Here, we performed genome-wide profiling of chromatin accessibility during zebrafish ZGA, which is closely related to zygotic transcriptional regulation. We observed a clear trend toward a gradual increase in accessible chromatin during ZGA. Furthermore, accessible chromatin at the promoters displayed a sequential priority of emergence, and the locations of the accessible chromatin were precisely primed by the enrichment of unmethylated CpGs that were fully inherited from gametes. On the other hand, distal regions with high methylation levels that were inherited from the sperm facilitated the binding of DNA methylation-preferred transcription factors, such as Pou5f3 and Nanog, which contributed to the establishment of accessible chromatin at these loci. Our results demonstrate a model whereby inherited DNA methylation signatures from gametes prime the establishment of accessible chromatin during zebrafish ZGA through two distinct mechanisms. PMID- 29844027 TI - Low Serum Calcium and Magnesium Levels and Rupture of Intracranial Aneurysms. AB - BACKGROUND AND PURPOSE: Both low serum calcium and magnesium levels have been associated with the extent of bleeding in patients with intracerebral hemorrhage, suggesting hypocalcemia- and hypomagnesemia-induced coagulopathy as a possible underlying mechanism. We hypothesized that serum albumin-corrected total calcium and magnesium levels are associated with ruptured intracranial aneurysms. METHODS: The medical records of 4701 patients, including 1201 prospective patients, diagnosed at the Brigham and Women's Hospital and Massachusetts General Hospital between 1990 and 2016 were reviewed and analyzed. One thousand two hundred seventy-five patients had available serum calcium, magnesium, and albumin values within 1 day of diagnosis. Individuals were divided into cases with ruptured aneurysms and controls with unruptured aneurysms. Univariable and multivariable logistic regression analyses were performed to determine the association between serum albumin-corrected total calcium and magnesium levels and ruptured aneurysms. RESULTS: In multivariable analysis, both albumin corrected calcium (odds ratio, 0.33; 95% confidence interval, 0.27-0.40) and magnesium (odds ratio, 0.40; 95% confidence interval, 0.28-0.55) were significantly and inversely associated with ruptured intracranial aneurysms. CONCLUSIONS: In this large case-control study, hypocalcemia and hypomagnesemia at diagnosis were significantly associated with ruptured aneurysms. Impaired hemostasis caused by hypocalcemia and hypomagnesemia may explain this association. PMID- 29844028 TI - Taurine Reduces tPA (Tissue-Type Plasminogen Activator)-Induced Hemorrhage and Microvascular Thrombosis After Embolic Stroke in Rat. AB - BACKGROUND AND PURPOSE: Taurine (2-aminoethansulfolic amino acid) exerts neuroprotective actions in experimental stroke. Here, we investigated the effect of taurine in combination with delayed tPA (tissue-type plasminogen activator) on embolic stroke. METHODS: Rats subjected to embolic middle cerebral artery occlusion were treated with taurine (50 mg/kg) at 4 hours in combination with tPA (10 mg/kg) at 6 hours. Control groups consisted of ischemic rats treated with either taurine (50 mg/kg) or saline at 4 hours or tPA (10 mg/kg) alone at 2 or 6 hours after middle cerebral artery occlusion. RESULTS: We found that combination treatment with taurine and tPA robustly reduced infarct volume and neurological deficits 3 days after stroke, whereas treatment with taurine alone had a less significant protective effect. tPA alone at 6 hours had no effects on infarct volume but instead induced intracerebral hemorrhage. The combination treatment with taurine prevented tPA-associated hemorrhage and reduced intravascular deposition of fibrin/fibrinogen and platelets in downstream microvessels and hence improved microvascular patency. These protective effects are associated with profound inhibition of CD147 (cluster of differentiation 147)-dependent MMP 9 (matrix metalloproteinase-9) pathway in ischemic brain endothelium by taurine. Notably, targeted inhibition of CD147 by intracerebroventricular injection of the rat CD147 siRNA profoundly inhibited ischemia-induced and tPA-enhanced MMP-9 activity in ischemic brain endothelium and blocked tPA-induced cerebral hemorrhage. Finally, the combination treatment with taurine and tPA improved long term outcome at least 45 days after stroke compared with saline-treated group. CONCLUSIONS: Our results suggest that taurine in combination with tPA may be a clinically feasible approach toward future attempts at combination stroke therapy. PMID- 29844029 TI - Diverse Inflammatory Response After Cerebral Microbleeds Includes Coordinated Microglial Migration and Proliferation. AB - BACKGROUND AND PURPOSE: Cerebral microbleeds are linked to cognitive decline, but it remains unclear how they impair neuronal function. Infarction is not typically observed near microbleeds, suggesting more subtle mechanisms, such as inflammation, may play a role. Because of their small size and largely asymptomatic nature, real-time detection and study of spontaneous cerebral microbleeds in humans and animal models are difficult. METHODS: We used in vivo 2 photon microscopy through a chronic cranial window in adult mice to follow the inflammatory response after a cortical microhemorrhage of ~100 um diameter, induced by rupturing a targeted cortical arteriole with a laser. RESULTS: The inflammatory response included the invasion of blood-borne leukocytes, the migration and proliferation of brain-resident microglia, and the activation of astrocytes. Nearly all inflammatory cells responding to the microhemorrhage were brain-resident microglia, but a small number of CX3CR1+ and CCR2+ macrophages, ultimately originating from the invasion of blood-borne monocytes, were also found near the lesion. We found a coordinated pattern of microglia migration and proliferation, where microglia within 200 um of the microhemorrhage migrated toward the lesion over hours to days. In contrast, microglia proliferation was not observed until ~40 hours after the lesion and occurred primarily in a shell shaped region where the migration of microglia decreased their local density. These data suggest that local microglia density changes may trigger proliferation. Astrocytes activated in a similar region as microglia but delayed by a few days. By 2 weeks, this inflammatory response had largely resolved. CONCLUSIONS: Although microhemorrhages are small in size, the brain responds to a single bleed with an inflammatory response that involves brain-resident and blood derived cells, persists for weeks, and may impact the adjacent brain microenvironment. PMID- 29844030 TI - Continuation or Discontinuation of Anticoagulation in the Early Phase After Acute Ischemic Stroke. AB - BACKGROUND AND PURPOSE: There is no consensus on whether anticoagulation should be continued or temporarily stopped in patients suffering acute ischemic stroke while using anticoagulation. We assessed treatment variations and outcomes in these patients. METHODS: Post hoc analysis of PASS (Preventive Antibiotics in Stroke Study). We included patients with acute ischemic stroke who used anticoagulation at admission. We compared clinical outcomes, thrombotic, and major bleeding events at 3 months. RESULTS: Nine percent (192/2101) of the patients with acute ischemic stroke used anticoagulation at admission (186 vitamin K antagonists). Anticoagulation was discontinued in 35/192 (18%) patients. These patients had higher National Institutes of Health Stroke Scale scores than patients in whom anticoagulation was continued (median, 13 versus 4; P<0.001). Thrombotic events occurred more frequently in patients in whom anticoagulation was discontinued (11% versus 3%; P=0.038). There were no major bleeding events in either group. Mortality and clinical outcomes at 90 days were worse in patients in whom anticoagulation was discontinued (mortality, 31% versus 15%; P=0.019 and modified Rankin Scale score of 0-2, 20% versus 55%; P<0.001). After adjustment for potential confounders, there were no statistically significant differences between groups. CONCLUSIONS: In our study, clinicians tended to continue anticoagulation in patients with acute ischemic stroke. Discontinuation was associated with an increased risk of thrombotic events and worse clinical outcome. Risk of major bleeding was not increased in patients in whom anticoagulation was continued. CLINICAL TRIAL REGISTRATION: URL: https://www.controlled-trials.com. Unique identifier: ISRCTN66140176. PMID- 29844031 TI - Impact of Transcranial Doppler Ultrasound on Logistics and Outcomes in Stroke Thrombolysis: Results From the SITS-ISTR. AB - BACKGROUND AND PURPOSE: Diagnostic transcranial Doppler ultrasound (TCD) is commonly used in patients with acute stroke before or during treatment with intravenous thrombolysis (IVT). We aimed to assess how much TCD delays IVT initiation and whether TCD influences outcomes. METHODS: We analyzed data from the SITS-ISTR (Safe Implementation of Thrombolysis in Stroke-International Stroke Thrombolysis Register) collected from December 2002 to December 2011. Outcomes were door-to-needle time, symptomatic intracerebral hemorrhage, functional outcome per the modified Rankin Scale, and mortality at 3 months. RESULTS: In hospitals performing any TCD pre-IVT, 1701 of 11 265 patients (15%) had TCD before IVT initiation. Door-to-needle time was higher in patients with pre-IVT TCD (74 versus 60 minutes; P<0.001). At hospitals performing any TCD during IVT infusion, of 9044 patients with IVT, 747 were examined with TCD during IVT. No treatment delay was seen with TCD during IVT. After multivariate adjustment, TCD during IVT was independently associated with modestly increased excellent functional outcome (modified Rankin Scale, 0-1; adjusted odds ratio, 1.28; 95% confidence interval, 1.06-1.55; P=0.012) and lower mortality (adjusted odds ratio, 0.73; 95% confidence interval, 0.55-0.95; P=0.022). CONCLUSIONS: We recommend that TCD, if performed, should be done during IVT infusion, to avoid treatment delay. The association of hyperacute TCD with beneficial outcomes suggests potential impact on patient management, which warrants further study. PMID- 29844032 TI - Surface display of small affinity proteins on Synechocystis sp. PCC 6803 mediated by fusion to the major type IV pilin PilA1. AB - Functional surface display of small affinity proteins, namely Affibodies (6.5 kDa), was evaluated for the model cyanobacterium Synechocystis sp. PCC 6803, through anchoring to native surface structures. These structures included confirmed or putative subunits of the type IV pili, the S-layer protein, and the heterologous Escherichia coli autotransporter antigen 43 system. The most stable display system was determined to be through C-terminal fusion to PilA1, the major type IV pili subunit in Synechocystis, in a strain unable to retract these pili (DeltapilT1). Type IV pili synthesis was upheld, albeit reduced, when fusion proteins were incorporated. However, pili-mediated functions such as motility and transformational competency were negatively affected. Display of Affibodies on Synechocystis and the complementary anti-idiotypic Affibodies on E. coli or Staphylococcus carnosus was able to mediate interspecies cell-cell binding by Affibody complex formation. The same strategy was however not able to drive cell cell binding and aggregation of Synechocystis-only mixtures. Successful Affibody tagging of the putative minor pilin PilA4 showed that it locates to the type IV pili in Synechocystis, and that its extracellular availability depends on PilA1. In addition, Affibody-tagging of the S-layer protein indicated that the domains responsible for anchoring and secretion of this protein are located at the N- and C-terminus, respectively. This study can serve as a basis for future surface display of proteins on Synechocystis for biotechnological applications.Importance Cyanobacteria are gaining interest for their potential as autotrophic cell factories. Development of efficient surface display strategies could improve their suitability for large-scale applications by providing options for designed microbial consortia, cell immobilization, and biomass harvesting. Here, surface display of small affinity proteins was realized by fusing them to the major subunit of the native type IV pili in Synechocystis sp. PCC 6803. Display of complementary affinity proteins allowed specific cell-cell binding between Synechocystis and Escherichia coli or Staphylococcus carnosus Additionally, successful tagging of the putative pilin PilA4, helped determine its localization to the type IV pili. Analogous tagging of the S-layer protein shed light on the regions involved in its secretion and surface anchoring. PMID- 29844034 TI - Benign acute myositis in an adult patient. AB - The benign acute childhood myositis presents as a marked and painful oedema of leg muscles in the days following a viral illness. This disease is often considered as occurring only in children. We report the case of a 32-year-old patient who presented with severe pain and oedema of both legs associated with motor deficit of lower extremities. He suffered from a grippal syndrome for 4 days. Creatine kinase blood level rose up to 39 394 IU/L (n<200) and a muscle biopsy of left tibialis anterior found necrosisand regeneration of myocytes without inflammatory infiltrates. All clinical and paraclinical abnormalities spontaneously disappeared in a few days. This case illustrates that a disorder similar to benign acute childhood myositis may occur in adult patients. Muscle biopsy might be avoided in typical cases because of the favourable evolution. PMID- 29844033 TI - Resistance to UV Irradiation Caused by Inactivation of nurA and herA Genes in Thermus thermophilus. AB - NurA and HerA are thought to be essential proteins for DNA end resection in archaeal homologous recombination systems. Thermus thermophilus, an extremely thermophilic eubacterium, has proteins that exhibit significant sequence similarity to archaeal NurA and HerA. To unveil the cellular function of NurA and HerA in T. thermophilus, we performed phenotypic analysis of disruptant mutants of nurA and herA with or without DNA-damaging agents. The nurA and herA genes were not essential for survival, and their deletion had no effect on cell growth and genome integrity. Unexpectedly, these disruptants of T. thermophilus showed increased resistance to UV irradiation and mitomycin C treatment. Further, these disruptants and the wild type displayed no difference in sensitivity to oxidative stress and a DNA replication inhibitor. T. thermophilus NurA had nuclease activity, and HerA had ATPase. The overexpression of loss-of-function mutants of nurA and herA in the respective disruptants showed no complementation, suggesting their enzymatic activities were involved in the UV sensitivity. In addition, T. thermophilus NurA and HerA interacted with each other in vitro and in vivo, forming a complex with 2:6 stoichiometry. These results suggest that the NurA HerA complex has an architecture similar to that of archaeal counterparts but that it impairs, rather than promotes, the repair of photoproducts and DNA cross links in T. thermophilus cells. This cellular function is distinctly different from that of archaeal NurA and HerA.IMPORTANCE Many nucleases and helicases are engaged in homologous recombination-mediated DNA repair. Previous in vitro analyses in archaea indicated that NurA and HerA are the recombination-related nuclease and helicase. However, their cellular function had not been fully understood, especially in bacterial cells. In this study, we performed in vivo analyses to address the cellular function of nurA and herA in an extremely thermophilic bacterium, Thermus thermophilus As a result, T. thermophilus NurA and HerA exhibited an interfering effect on the repair of several instances of DNA damage in the cell, which is in contrast to the results in archaea. This finding will facilitate our understanding of the diverse cellular functions of the recombination-related nucleases and helicases. PMID- 29844035 TI - Keratinising squamous cell metaplasia: when is it safe to stop looking? AB - Keratinising squamous cell metaplasia (KSCM) is an uncommon diagnosis in the West. Patients typically present with lower urinary tract symptoms: haematuria (visible and non-visible), dysuria, urgency and frequency. Investigation is rigid cystoscopy. Abnormal bladder wall tissue should be resected and biopsies sent for histopathology to confirm KSCM. This is a preneoplastic condition with strong associations with squamous cell carcinoma. Due to a significant lag time, annual cystoscopy with multiple biopsies is recommended. PMID- 29844036 TI - Thoracic oesophageal cancer as a cause of stridor: a literature review. AB - An 83-year-old woman, with a background of treated squamous cell oesophageal cancer, presented with a 3-week history of stridor. Of note, the patient had no risk factors for oesophageal cancer other than age. Clinical examination was unremarkable apart from stridor. Laboratory investigations, including arterial blood gas on room air, were unremarkable. Radiological examination revealed a 4.5*3.5*3.6 cm mass involving the posterior trachea and invading the tracheal orifice. Oesophagogastroduodenoscopy and rigid bronchoscopy confirmed an extensive tumour arising from the lower oesophagus and invading the trachea, causing 90% airway obstruction for a 6 mm length ending 1.5 cm above the carina. Biopsy revealed a poorly differentiated carcinoma with foci of squamous cell carcinoma. Unfortunately, the patient passed away 2 months after palliative tracheal stent placement. PMID- 29844037 TI - Acute non-cardiogenic pulmonary oedema due to contralateral pulmonary re expansion after thoracentesis: an uncommon complication. PMID- 29844038 TI - Antibacterial Spectrum of a Tetrazole-Based Reversible Inhibitor of Serine beta Lactamases. AB - CTX-M is the most prevalent family of extended-spectrum beta-lactamases. We recently developed a tetrazole-derived noncovalent inhibitor of CTX-M-9. Here, we present the biochemical and microbiological activity of this inhibitor across a representative panel of serine beta-lactamases and Gram-negative bacteria. The compound displayed significant activity against all major subgroups of CTX-M, including CTX-M-15, while it exhibited some low-level inhibition of other serine beta-lactamases. Complex crystal structures with the CTX-M-14 S237A mutant and CTX-M-27 illustrate the binding contribution of specific active-site residues on the beta3 strand. In vitro pharmacokinetic studies revealed drug-like properties and positive prospects for further optimization. These studies suggest that tetrazole-based compounds can provide novel chemotypes for future serine beta lactamase inhibitor discovery. PMID- 29844039 TI - Nephrotoxicity Associated with Intravenous Polymyxin B Once- versus Twice-Daily Dosing Regimen. AB - Nephrotoxicity is a known adverse effect of polymyxin B (PMB). Animal data suggest that once-daily dosing may reduce the rate and delay the onset of acute kidney injury (AKI). In a multicenter retrospective study, we evaluated adult patients with a creatinine clearance (CrCl) of >=30 ml/min who received >=48 h of PMB therapy. The primary endpoint was the difference in rate of AKI comparing once- and twice-daily PMB dosing. The secondary endpoints included the time to AKI and the recovery of renal function. Of 273 eligible patients, 100 from each group were matched on the basis of propensity scores. In the matched groups, nephrotoxicity, defined according to risk, injury, failure, loss, and end-stage renal disease (RIFLE) criteria, was more frequent with once- than with twice daily dosing (47% versus 17%, respectively; P = 0.0005). After adjusting for residual differences by multivariate conditional logistic regression, once-daily dosing was more likely to result in nephrotoxicity (adjusted odds ratio, 2.5; 95% confidence interval [CI], 1.413 to 4.541; P = 0.002). Among 64 patients who developed AKI, the median onsets were similar between the groups (7 days with once versus 6 days with twice-daily dosing, P = 0.095). Of 37 patients who had their serum creatinine evaluated subsequently, 29/37 (78%) had recovery of renal function. No patient required renal replacement therapy. Our findings suggest that AKI is significantly more common with PMB once daily than with twice-daily dosing with no difference in time to AKI. A prospective randomized study is warranted to validate these results. PMID- 29844040 TI - Fragments of the Nonlytic Proline-Rich Antimicrobial Peptide Bac5 Kill Escherichia coli Cells by Inhibiting Protein Synthesis. AB - Unlike most antimicrobial peptides (AMPs), the main mode of action of the subclass of proline-rich antimicrobial peptides (PrAMPs) is not based on disruption of the bacterial membrane. Instead, PrAMPs exploit the inner membrane transporters SbmA and YjiL/MdtM to pass through the bacterial membrane and enter the cytosol of specific Gram-negative bacteria, where they exert an inhibitory effect on protein synthesis. Despite sharing a high proline and arginine content with other characterized PrAMPs, the PrAMP Bac5 has a low sequence identity with them. Here we investigated the mode of action of three N-terminal Bac5 fragments, Bac5(1-15), Bac5(1-25), and Bac5(1-31). We show that Bac5(1-25) and Bac5(1-31) retained excellent antimicrobial activity toward Escherichia coli and low toxicity toward eukaryotic cells, whereas Bac5(1-15) was inactive. Bac5(1-25) and Bac5(1-31) inhibited bacterial protein synthesis in vitro and in vivo Competition assays suggested that the binding site of Bac5 is within the ribosomal tunnel, where it prevents the transition from the initiation to the elongation phase of translation, as reported for other PrAMPs, such as the bovine PrAMP Bac7. Surprisingly, unlike Bac7, Bac5(1-25) exhibited species-specific inhibition, being an excellent inhibitor of protein synthesis on E. coli ribosomes but a poor inhibitor on Thermus thermophilus ribosomes. This indicates that while Bac5 most likely has an overlapping binding site with Bac7, the mode of interaction is distinct, suggesting that Bac5 fragments may be interesting alternative lead compounds for the development of new antimicrobial agents. PMID- 29844041 TI - Chromosomally Encoded mcr-5 in Colistin-Nonsusceptible Pseudomonas aeruginosa. AB - Whole-genome sequencing (WGS) of historical Pseudomonas aeruginosa clinical isolates identified a chromosomal copy of mcr-5 within a Tn3-like transposon in P. aeruginosa MRSN 12280. The isolate was nonsusceptible to colistin by broth microdilution, and genome analysis revealed no mutations known to confer colistin resistance. To the best of our knowledge, this is the first report of mcr in colistin-nonsusceptible P. aeruginosa. PMID- 29844042 TI - Lipopeptide Paenipeptin Analogues Potentiate Clarithromycin and Rifampin against Carbapenem-Resistant Pathogens. AB - Two paenipeptin analogues at 4 MUg/ml potentiated clarithromycin and rifampin against carbapenem-resistant Acinetobacter baumannii and Klebsiella pneumoniae strains. The combined treatment significantly increased their antibacterial efficacy in a microbiological medium and in human serum in vitro at therapeutically relevant concentrations. Moreover, these two paenipeptin analogues showed low cytotoxicity against a human kidney cell line. Therefore, combination therapy with paenipeptins may be an option for the treatment of antibiotic-resistant bacterial infections. PMID- 29844043 TI - Comparison of In Vitro Activity and MIC Distributions between the Novel Oxazolidinone Delpazolid and Linezolid against Multidrug-Resistant and Extensively Drug-Resistant Mycobacterium tuberculosis in China. AB - Oxazolidinones are efficacious in treating mycobacterial infections, including tuberculosis (TB) caused by drug-resistant Mycobacterium tuberculosis In this study, we compared the in vitro activities and MIC distributions of delpazolid, a novel oxazolidinone, and linezolid against multidrug-resistant TB (MDR-TB) and extensively drug-resistant TB (XDR-TB) in China. Additionally, genetic mutations in 23S rRNA, rplC, and rplD genes were analyzed to reveal potential mechanisms underlying the observed oxazolidinone resistance. A total of 240 M. tuberculosis isolates were included in this study, including 120 MDR-TB isolates and 120 XDR TB isolates. Overall, linezolid and delpazolid MIC90 values for M. tuberculosis isolates were 0.25 mg/liter and 0.5 mg/liter, respectively. Based on visual inspection, we tentatively set epidemiological cutoff (ECOFF) values for MIC determinations for linezolid and delpazolid at 1.0 mg/liter and 2.0 mg/liter, respectively. Although no significant difference in resistance rates was observed between linezolid and delpazolid among XDR-TB isolates (P > 0.05), statistical analysis revealed a significantly greater proportion of linezolid-resistant isolates than delpazolid-resistant isolates within the MDR-TB group (P = 0.036). Seven (53.85%) of 13 linezolid-resistant isolates were found to harbor mutations within the three target genes. Additionally, 1 isolate exhibited an amino acid substitution (Arg126His) within the protein encoded by rplD that contributed to high-level resistance to linezolid (MIC of >16 mg/liter), compared to a delpazolid MIC of 0.25. In conclusion, in vitro susceptibility testing revealed that delpazolid antibacterial activity was comparable to that of linezolid. A novel mutation within rplD that endowed M. tuberculosis with linezolid, but not delpazolid, resistance was identified. PMID- 29844045 TI - Disruption of mpl Activates beta-Lactamase Production in Stenotrophomonas maltophilia and Pseudomonas aeruginosa Clinical Isolates. AB - The hyperproduction of chromosomally encoded beta-lactamases is a key method of acquired resistance to ceftazidime, aztreonam, and, when seen in backgrounds having reduced envelope permeability, carbapenems. Here, we show that the loss of Mpl, a UDP-muramic acid/peptide ligase, is a common and previously overlooked cause of chromosomally encoded beta-lactamase hyperproduction in clinical isolates of Stenotrophomonas maltophilia and Pseudomonas aeruginosa, important pathogens notorious for their beta-lactam-resistant phenotypes. PMID- 29844044 TI - Antitrypanosomal 8-Hydroxy-Naphthyridines Are Chelators of Divalent Transition Metals. AB - The lack of information regarding the mechanisms of action (MoA) or specific molecular targets of phenotypically active compounds can prove a barrier to their development as chemotherapeutic agents. Here, we report the results of our orthogonal genetic, molecular, and biochemical studies to determine the MoA of a novel 7-substituted 8-hydroxy-1,6-naphthyridine (8-HNT) series that displays promising activity against Trypanosoma brucei and Leishmania donovani High throughput loss-of-function genetic screens in T. brucei highlighted two probable zinc transporters associated with resistance to these compounds. These transporters localized to the parasite Golgi apparatus. Directed by these findings, the role of zinc and other divalent cations in the MoA of these compounds was investigated. 8-HNT compounds were found to directly deplete intracellular levels of Zn2+, while the addition of exogenous Zn2+ and Fe2+ reduced the potency of compounds from this series. Detailed biochemical analyses confirmed that 8-HNT compounds bind directly to a number of divalent cations, predominantly Zn2+, Fe2+, and Cu2+, forming 2:1 complexes with one of these cations. Collectively, our studies demonstrate transition metal depletion, due to chelation, as the MoA of the 8-HNT series of compounds. Strategies to improve the selectivity of 8-HNT compounds are discussed. PMID- 29844046 TI - Recommendations To Address the Difficulties Encountered When Determining Linezolid Resistance from Whole-Genome Sequencing Data. AB - Mutations associated with linezolid resistance within the V domain of 23S rRNA are annotated using an Escherichia coli numbering system. The 23S rRNA gene varies in length, nucleotide sequence, and copy number among bacterial species. Consequently, this numbering system is not intuitive and can lead to confusion when mutation sites are being located using whole-genome sequencing data. Using the mutation G2576T as an example, we demonstrate the difficulties associated with using the E. coli numbering system. PMID- 29844047 TI - Clofazimine for the Treatment of Mycobacterium kansasii. AB - Mycobacterium kansasii pulmonary infection is a global problem. Standard combination therapy consists of isoniazid at 300 mg/day, rifampin at 600 mg/day, and ethambutol at 15 mg/kg of body weight/day for 18 months. Coincubation of M. kansasii with different clofazimine concentrations over 7 days in test tubes resulted in a maximal kill (maximum effect [Emax]) of 2.03 log10 CFU/ml below the day 0 bacterial burden. The concentration associated with Emax was 110 times the MIC. Next, the effects of human-like concentration-time profiles of clofazimine human-equivalent doses ranging from 0 to 200 mg daily for 21 days were examined in the hollow-fiber model of intracellular M. kansasii (HFS-Mkn). On day 14, when the clofazimine microbial effect was maximal, the Emax was 2.57 log10 CFU/ml, while the dose associated with Emax was 100 mg/day. However, no dose killed M. kansasii to levels below the day 0 bacterial burden. Thus, the antimicrobial effect of clofazimine monotherapy in the HFS-Mkn was modest. Human-equivalent concentration-time profiles of standard combination therapy and doses were used as comparators in the HFS-Mkn On day 14, standard therapy killed to a level 2.32 log10 CFU/ml below the day 0 bacterial burden. The effect of standard therapy was consistent with a biexponential decline, with kill rate constants of 1.85 per day (half-life = 0.37 days) and 0.06 per day (half-life = 12.76 days) (r2 > 0.99). This means that standard therapy would take 9.3 to 12 months to completely eliminate M. kansasii in the model, which is consistent with clinical observations. This observation for standard therapy means that the modest to poor effect of clofazimine on M. kansasii identified here is likely to be the same in the clinic. PMID- 29844048 TI - Iron Restriction to Clinical Isolates of Candida albicans by the Novel Chelator DIBI Inhibits Growth and Increases Sensitivity to Azoles In Vitro and In Vivo in a Murine Model of Experimental Vaginitis. AB - Candida albicans is an important opportunistic pathogen causing various human infections that are often treated with azole antifungals. The U.S. CDC now regards developing candidal antifungal resistance as a threat, creating a need for new and more effective antifungal treatments. Iron is an essential nutrient for all living cells, and there is growing evidence that interference with iron homeostasis of C. albicans can improve its response to antifungals. This study was aimed at establishing whether withholding iron by currently used medical iron chelators and the novel chelator DIBI could restrict growth and also enhance the activity of azoles against clinical isolates of C. albicans DIBI, but not deferoxamine or deferiprone, inhibited the growth of C. albicans at relatively low concentrations in vitro, and this inhibition was reversed by iron addition. DIBI in combination with various azoles demonstrated stronger growth inhibition than the azoles alone and greatly prolonged the inhibition of cell multiplication. In addition, the administration of DIBI along with fluconazole (FLC) to mice inoculated with an FLC-sensitive isolate in a model of experimental C. albicans vaginitis showed a markedly improved clearance of infection. These results suggest that iron chelation by DIBI has the potential to enhance azole efficacy for the treatment of candidiasis. PMID- 29844049 TI - Analysis of the Tunicamycin Biosynthetic Gene Cluster of Streptomyces chartreusis Reveals New Insights into Tunicamycin Production and Immunity. AB - The tunicamycin biosynthetic gene cluster of Streptomyces chartreusis consists of 14 genes (tunA to tunN) with a high degree of apparent translational coupling. Transcriptional analysis revealed that all of these genes are likely to be transcribed as a single operon from two promoters, tunp1 and tunp2. In-frame deletion analysis revealed that just six of these genes (tunABCDEH) are essential for tunicamycin production in the heterologous host Streptomyces coelicolor, while five (tunFGKLN) with likely counterparts in primary metabolism are not necessary, but presumably ensure efficient production of the antibiotic at the onset of tunicamycin biosynthesis. Three genes are implicated in immunity, namely, tunI and tunJ, which encode a two-component ABC transporter presumably required for export of the antibiotic, and tunM, which encodes a putative S adenosylmethionine (SAM)-dependent methyltransferase. Expression of tunIJ or tunM in S. coelicolor conferred resistance to exogenous tunicamycin. The results presented here provide new insights into tunicamycin biosynthesis and immunity. PMID- 29844050 TI - Antimicrobial Efficacy and Safety of a Novel Gas Plasma-Activated Catheter Lock Solution. AB - Antimicrobial lock solutions are important for prevention of microbial colonization and infection of long-term central venous catheters. We investigated the efficacy and safety of a novel antibiotic-free lock solution formed from gas plasma-activated disinfectant (PAD). Using a luminal biofilm model, viable cells of methicillin-resistant Staphylococcus aureus, Staphylococcus epidermidis, Pseudomonas aeruginosa, and Candida albicans in mature biofilms were reduced by 6 to 8 orders of magnitude with a PAD lock for 60 min. Subsequent 24-h incubation of PAD-treated samples resulted in no detectable regrowth of viable bacteria or fungi. As a comparison, the use of a minocycline-EDTA-ethanol lock solution for 60 min led to regrowth of bacteria and fungi, up to 107 to 109 CFU/ml, in 24 h. The PAD lock solution had minimal impact on human umbilical vein endothelial cell viability, whereas the minocycline-EDTA-ethanol solution elicited cell death in nearly half of human endothelial cells. Additionally, PAD treatment caused little topological change to catheter materials. In conclusion, PAD represents a novel antibiotic-free, noncytotoxic lock solution that elicits rapid and broad-spectrum eradication of biofilm-laden microbes and shows promise for the prevention and treatment of intravascular catheter infections. PMID- 29844051 TI - Miltefosine Has a Postantifungal Effect and Induces Apoptosis in Cryptococcus Yeasts. AB - Cryptococcus spp. are common opportunistic fungal pathogens, particularly in HIV patients. The approved drug miltefosine (MFS) has potential as an alternative antifungal against cryptococcosis; however, the mechanism of action of MFS in Cryptococcus is poorly understood. Here, we examined the effects of MFS on C. neoformans and C. gattii yeasts (planktonic and biofilm lifestyles) to clarify its mechanism of action. MFS presented inhibitory and fungicidal effects against planktonic Cryptococcus cells, with similar activities against dispersion biofilm cells, while sessile biofilm cells were less sensitive to MFS. Interestingly, MFS had postantifungal effect on Cryptococcus, with a proliferation delay of up to 8.15 h after a short exposure to fungicidal doses. MFS at fungicidal concentrations increased the plasma membrane permeability, likely due to a direct interaction with ergosterol, as suggested by competition assays with exogenous ergosterol. Moreover, MFS reduced the mitochondrial membrane potential, increased reactive oxygen species (ROS) production, and induced DNA fragmentation and condensation, all of which are hallmarks of apoptosis. Transmission electron microscopy analysis showed that MFS-treated yeasts had a reduced mucopolysaccharide capsule (confirmed by morphometry with light microscopy), plasma membrane irregularities, mitochondrial swelling, and a less conspicuous cell wall. Our results suggest that MFS increases the plasma membrane permeability in Cryptococcus via an interaction with ergosterol and also affects the mitochondrial membrane, eventually leading to apoptosis, in line with its fungicidal activity. These findings confirm the potential of MFS as an antifungal against C. neoformans and C. gattii and warrant further studies to establish clinical protocols for MFS use against cryptococcosis. PMID- 29844052 TI - R-Ras2 is required for germinal center formation to aid B cells during energetically demanding processes. AB - Upon antigen recognition within peripheral lymphoid organs, B cells interact with T cells and other immune cells to transiently form morphological structures called germinal centers (GCs), which are required for B cell clonal expansion, immunoglobulin class switching, and affinity maturation. This process, known as the GC response, is an energetically demanding process that requires the metabolic reprogramming of B cells. We showed that the Ras-related guanosine triphosphate hydrolase (GTPase) R-Ras2 (also known as TC21) plays an essential, nonredundant, and B cell-intrinsic role in the GC response. Both the conversion of B cells into GC B cells and their expansion were impaired in mice lacking R Ras2, but not in those lacking a highly related R-Ras subfamily member or both the classic H-Ras and N-Ras GTPases. In the absence of R-Ras2, activated B cells did not exhibit increased oxidative phosphorylation or aerobic glycolysis. We showed that R-Ras2 was an effector of both the B cell receptor (BCR) and CD40 and that, in its absence, B cells exhibited impaired activation of the PI3K-Akt mTORC1 pathway, reduced mitochondrial DNA replication, and decreased expression of genes involved in glucose metabolism. Because most human B cell lymphomas originate from GC B cells or B cells that have undergone the GC response, our data suggest that R-Ras2 may also regulate metabolism in B cell malignancies. PMID- 29844053 TI - Thrombospondin-1 promotes matrix homeostasis by interacting with collagen and lysyl oxidase precursors and collagen cross-linking sites. AB - Fibrillar collagens of the extracellular matrix are critical for tissue structure and physiology; however, excessive or abnormal deposition of collagens is a defining feature of fibrosis. Regulatory mechanisms that act on collagen fibril assembly potentially offer new targets for antifibrotic treatments. Tissue weakening, altered collagen fibril morphologies, or both, are shared phenotypes of mice lacking matricellular thrombospondins. Thrombospondin-1 (TSP1) plays an indirect role in collagen homeostasis through interactions with matrix metalloproteinases and transforming growth factor-beta1 (TGF-beta1). We found that TSP1 also affects collagen fibril formation directly. Compared to skin from wild-type mice, skin from Thbs1-/- mice had reduced collagen cross-linking and reduced prolysyl oxidase (proLOX) abundance with increased conversion to catalytically active LOX. In vitro, TSP1 bound to both the C-propeptide domain of collagen I and the highly conserved KGHR sequences of the collagen triple-helical domain that participate in cross-linking. TSP1 also bound to proLOX and inhibited proLOX processing by bone morphogenetic protein-1. In human dermal fibroblasts (HDFs), TSP1 and collagen I colocalized in intracellular vesicles and on extracellular collagen fibrils, whereas TSP1 and proLOX colocalized only in intracellular vesicles. Inhibition of LOX-mediated collagen cross-linking did not prevent the extracellular association between collagen and TSP1; however, treatment of HDFs with KGHR-containing, TSP1-binding, triple-helical peptides disrupted the collagen-TSP1 association, perturbed the collagen extracellular matrix, and increased myofibroblastic differentiation in a manner that depended on TGF-beta receptor 1. Thus, the extracellular KGHR-dependent interaction of TSP1 with fibrillar collagens contributes to fibroblast homeostasis. PMID- 29844054 TI - Phagocytosed photoreceptor outer segments activate mTORC1 in the retinal pigment epithelium. AB - The retinal pigment epithelium (RPE) transports nutrients and metabolites between the microvascular bed that maintains the outer retina and photoreceptor neurons. The RPE removes photoreceptor outer segments (POS) by receptor-mediated phagocytosis, a process that peaks in the morning. Uptake and degradation of POS initiates signaling cascades in the RPE. Upstream stimuli from various metabolic activities converge on mechanistic target of rapamycin complex 1 (mTORC1), and aberrant mTORC1 signaling is implicated in aging and age-related degeneration of the RPE. We measured mTORC1-mediated responses to RPE phagocytosis in vivo and in vitro. During the morning burst of POS shedding, there was transient activation of mTORC1-mediated signaling in the RPE. POS activated mTORC1 through lysosome independent mechanisms, and engulfed POS served as a docking platform for mTORC1 assembly. The identification of POS as endogenous stimuli of mTORC1 in the RPE provides a mechanistic link underlying the photoreceptor-RPE interaction in the outer retina. PMID- 29844055 TI - Dual phosphorylation of Ric-8A enhances its ability to mediate G protein alpha subunit folding and to stimulate guanine nucleotide exchange. AB - Resistance to inhibitors of cholinesterase-8A (Ric-8A) and Ric-8B are essential biosynthetic chaperones for heterotrimeric G protein alpha subunits. We provide evidence for the direct regulation of Ric-8A cellular activity by dual phosphorylation. Using proteomics, Western blotting, and mutational analyses, we determined that Ric-8A was constitutively phosphorylated at five serines and threonines by the protein kinase CK2. Phosphorylation of Ser435 and Thr440 in rat Ric-8A (corresponding to Ser436 and Thr441 in human Ric-8A) was required for high affinity binding to Galpha subunits, efficient stimulation of Galpha subunit guanine nucleotide exchange, and mediation of Galpha subunit folding. The CK2 consensus sites that contain Ser435 and Thr440 are conserved in Ric-8 homologs from worms to mammals. We found that the homologous residues in mouse Ric-8B, Ser468 and Ser473, were also phosphorylated. Mutation of the genomic copy of ric 8 in Caenorhabditis elegans to encode alanine in the homologous sites resulted in characteristic ric-8 reduction-of-function phenotypes that are associated with defective Gq and Gs signaling, including reduced locomotion and defective egg laying. The C. elegans ric-8 phosphorylation site mutant phenotypes were partially rescued by chemical stimulation of Gq signaling. These results indicate that dual phosphorylation represents a critical form of conserved Ric-8 regulation and demonstrate that Ric-8 proteins are needed for effective Galpha signaling. The position of the CK2-phosphorylated sites within a structural model of Ric-8A reveals that these sites contribute to a key acidic and negatively charged surface that may be important for its interactions with Galpha subunits. PMID- 29844056 TI - Clinical Pharmacology in HIV Therapy. AB - The success of combination antiretroviral therapy in the treatment of HIV-1 positive individuals has shifted clinical attention toward combination antiretroviral drug regimens that optimize tolerability, long-term safety, and durable efficacy. Wherever patients have access to treatment, morbidity and mortality are increasingly driven by non-HIV-associated comorbidities, which may be observed earlier than in age-matched controls and despite the best available combination antiretroviral therapy. Similarly, HIV-1-positive individuals are now diagnosed and treated earlier with anticipated lifelong therapy. The contribution of specific antiretroviral agents to long-term morbidity and mortality is dependent on the pharmacologic characteristics of these agents, and it is increasingly important in this context. PMID- 29844057 TI - Riboswitches and Translation Control. AB - A growing collection of bacterial riboswitch classes is being discovered that sense central metabolites, coenzymes, and signaling molecules. Included among the various mechanisms of gene regulation exploited by these RNA regulatory elements are several that modulate messenger RNA (mRNA) translation. In this review, the mechanisms of riboswitch-mediated translation control are summarized to highlight both their diversity and potential ancient origins. These mechanisms include ligand-gated presentation or occlusion of ribosome-binding sites, control of alternative splicing of mRNAs, and the regulation of mRNA stability. Moreover, speculation on the potential for novel riboswitch discoveries is presented, including a discussion on the potential for the discovery of a greater diversity of mechanisms for translation control. PMID- 29844058 TI - A Teenage Girl with Unexpected Pubertal Changes. PMID- 29844059 TI - Commentary. PMID- 29844060 TI - Commentary. PMID- 29844061 TI - Argininemia, Hyperornithinemia, and 3-Hydroxyisovaleric Aciduria. PMID- 29844062 TI - Waiting for Severe Hyperbilirubinemia. PMID- 29844063 TI - A 69-Year-Old Woman with Markedly Decreased Cholesterol. PMID- 29844064 TI - "Quiet Waters". PMID- 29844067 TI - Safe staffing legislation will be introduced in Scotland. PMID- 29844065 TI - The Interaction between the Ribosomal Stalk Proteins and Translation Initiation Factor 5B Promotes Translation Initiation. AB - Ribosomal stalk proteins recruit translation elongation GTPases to the factor binding center of the ribosome. Initiation factor 5B (eIF5B in eukaryotes and aIF5B in archaea) is a universally conserved GTPase that promotes the joining of the large and small ribosomal subunits during translation initiation. Here we show that aIF5B binds to the C-terminal tail of the stalk protein. In the cocrystal structure, the interaction occurs between the hydrophobic amino acids of the stalk C-terminal tail and a small hydrophobic pocket on the surface of the GTP-binding domain (domain I) of aIF5B. A substitution mutation altering the hydrophobic pocket of yeast eIF5B resulted in a marked reduction in ribosome dependent eIF5B GTPase activity in vitro In yeast cells, the eIF5B mutation affected growth and impaired GCN4 expression during amino acid starvation via a defect in start site selection for the first upstream open reading frame in GCN4 mRNA, as observed with the eIF5B deletion mutant. The deletion of two of the four stalk proteins diminished polyribosome levels (indicating defective translation initiation) and starvation-induced GCN4 expression, both of which were suppressible by eIF5B overexpression. Thus, the mutual interaction between a/eIF5B and the ribosomal stalk plays an important role in subunit joining during translation initiation in vivo. PMID- 29844068 TI - Biased G Protein-Coupled Receptor Signaling: Changing the Paradigm of Drug Discovery. PMID- 29844066 TI - DIFFERENTIAL ROLE OF THE RasGEFs SOS1 AND SOS2 IN MOUSE SKIN HOMEOSTASIS AND CARCINOGENESIS. AB - Using Sos1-KO, Sos2-KO and Sos1/2-DKO mice, we assessed the functional role of Sos1 and Sos2 in skin homeostasis under physiological and/or pathological conditions. Sos1 depletion resulted in significant alterations of skin homeostasis including reduced keratinocyte proliferation, altered hair follicle and blood vessel integrity in dermis, and reduced adipose tissue in hypodermis. These defects worsened significantly when both Sos1 and Sos2 were absent. Simultaneous Sos1/2 disruption led to severe impairment of the ability to repair skin wounds as well as to almost complete ablation of the neutrophil-mediated inflammatory response in the injury site. Furthermore, Sos1 disruption delayed the onset of tumor initiation, decreased tumor growth and prevented malignant progression of papillomas in a DMBA/TPA-induced skin carcinogenesis model. Finally, Sos1 depletion in preexisting chemically-induced papillomas resulted also in decreased tumor growth, probably linked to significantly reduced underlying keratinocyte proliferation.Our data unveil novel, distinctive mechanistic roles of Sos 1 and Sos2 in physiological control of skin homeostasis and wound repair as well as in pathological development of chemically induced skin tumors. These observations underscore the essential role of Sos proteins in cellular proliferation and migration and support the consideration of these RasGEFs as potential biomarkers/therapy targets in Ras-driven epidermal tumors. PMID- 29844069 TI - Public Reporting III: Improving the Value of Public Physician Quality Information. PMID- 29844070 TI - Suboptimal Outcome of Myocardial Infarction After Noncardiac Surgery: Physicians Can and Should Do More. PMID- 29844071 TI - Hypertension in China: Time to Transition From Knowing the Problem to Implementing the Solution. PMID- 29844072 TI - New Therapeutic Approaches in Pulmonary Arterial Hypertension: The Pantheon Is Getting Crowded. PMID- 29844073 TI - Energetics of Blood Flow in Cardiovascular Disease: Concept and Clinical Implications of Adverse Energetics in Patients With a Fontan Circulation. AB - Visualization and quantification of the adverse effects of distorted blood flow are important emerging fields in cardiology. Abnormal blood flow patterns can be seen in various cardiovascular diseases and are associated with increased energy loss. These adverse energetics can be measured and quantified using 3-dimensional blood flow data, derived from computational fluid dynamics and 4-dimensional flow magnetic resonance imaging, and provide new, promising hemodynamic markers. In patients with palliated single-ventricular heart defects, the Fontan circulation passively directs systemic venous return to the pulmonary circulation in the absence of a functional subpulmonary ventricle. Therefore, the Fontan circulation is highly dependent on favorable flow and energetics, and minimal energy loss is of great importance. A focus on reducing energy loss led to the introduction of the total cavopulmonary connection (TCPC) as an alternative to the classical Fontan connection. Subsequently, many studies have investigated energy loss in the TCPC, and energy-saving geometric factors have been implemented in clinical care. Great advances have been made in computational fluid dynamics modeling and can now be done in 3-dimensional patient-specific models with increasingly accurate boundary conditions. Furthermore, the implementation of 4-dimensional flow magnetic resonance imaging is promising and can be of complementary value to these models. Recently, correlations between energy loss in the TCPC and cardiac parameters and exercise intolerance have been reported. Furthermore, efficiency of blood flow through the TCPC is highly variable, and inefficient blood flow is of clinical importance by reducing cardiac output and increasing central venous pressure, thereby increasing the risk of experiencing the well-known Fontan complications. Energy loss in the TCPC will be an important new hemodynamic parameter in addition to other well-known risk factors such as pulmonary vascular resistance and can possibly be improved by patient-specific surgical design. This article describes the theoretical background of mechanical energy of blood flow in the cardiovascular system and the methods of calculating energy loss, and it gives an overview of geometric factors associated with energy efficiency in the TCPC and its implications on clinical outcome. Furthermore, the role of 4 dimensional flow magnetic resonance imaging and areas of future research are discussed. PMID- 29844074 TI - Letter by Hernandez-Gonzalez et al Regarding Article, "Phenotypic Characterization of EIF2AK4 Mutation Carriers in a Large Cohort of Patients Diagnosed Clinically With Pulmonary Arterial Hypertension". PMID- 29844075 TI - Response by Hadinnapola et al to Letter Regarding Article, "Phenotypic Characterization of EIF2AK4 Mutation Carriers in a Large Cohort of Patients Diagnosed Clinically With Pulmonary Arterial Hypertension". PMID- 29844076 TI - Letter by Lowe et al Regarding Article, "Low-Density Lipoprotein Cholesterol Lowering for the Primary Prevention of Cardiovascular Disease Among Men With Primary Elevations of Low-Density Lipoprotein Cholesterol Levels of 190 mg/dL or Above: Analyses From the WOSCOPS (West of Scotland Coronary Prevention Study) 5 Year Randomized Trial and 20-Year Observational Follow-Up". PMID- 29844077 TI - Letter by Koh Regarding Article, "Low-Density Lipoprotein Cholesterol Lowering for the Primary Prevention of Cardiovascular Disease Among Men With Primary Elevations of Low-Density Lipoprotein Cholesterol Levels of 190 mg/dL or Above: Analyses From the WOSCOPS (West of Scotland Coronary Prevention Study) 5-Year Randomized Trial and 20-Year Observational Follow-Up". PMID- 29844078 TI - Response by Vallejo-Vaz et al to Letters Regarding Article, "Low-Density Lipoprotein Cholesterol Lowering for the Primary Prevention of Cardiovascular Disease Among Men With Primary Elevations of Low-Density Lipoprotein Cholesterol Levels of 190 mg/dL or Above: Analyses From the WOSCOPS (West of Scotland Coronary Prevention Study) 5-Year Randomized Trial and 20-Year Observational Follow-Up". PMID- 29844079 TI - Letter by Campochiaro et al Regarding Article, "Clinical Features, Management, and Outcomes of Immune Checkpoint Inhibitor-Related Cardiotoxicity". PMID- 29844080 TI - Response by Thuny et al to Letter Regarding Article, "Clinical Features, Management, and Outcomes of Immune Checkpoint Inhibitor-Related Cardiotoxicity". PMID- 29844081 TI - Letter by Lema Regarding Article, "The Value of Preoperative Assessment Before Noncardiac Surgery in the Era of Value-Based Care". PMID- 29844082 TI - Correction to: Angiography Versus Hemodynamics to Predict the Natural History of Coronary Stenoses: Fractional Flow Reserve Versus Angiography in Multivessel Evaluation 2 Substudy. PMID- 29844083 TI - Clinical presentation and management of corneal fistula. AB - PURPOSE: To describe the clinical features and management of corneal fistula in patients of healed keratitis. METHODS: Medical records of all patients of healed keratitis presenting to the cornea clinic from November 2016 to September 2017 were reviewed. Eightcases of corneal fistula (six true fistulas, two closed fistulas) were identified. Six patients were managed with autologous tenon patch graft while two patients were managed medically. Various risk factors and treatment outcomes of corneal fistulisation were evaluated. RESULTS: The patients included two patients of failed therapeutic keratoplasty (with resolved graft infection) and six patients of healed keratitis. The age of the patients ranged between 10 and 60 years. Five of the patients were male while three were female. The size of the fistula measured between 1 and 2 mm. A surrounding cystic area of diameter ranging between 1 and 4.5 mm was seen in all the patients. In all of the patients, the treating physician missed the diagnosis. Complete healing was noted at 6-8 weeks in all the patients who underwent tenon graft. One patient refused to undergo any surgery and was lost to follow-up. In another case, surgery was deferred due to uncontrolled hypertension and he developed anterior staphyloma subsequently. CONCLUSION: Corneal fistula can often be missed in an apparently healed perforated corneal ulcer. Tenon patch graft is an effective technique for the management of corneal fistula. PMID- 29844084 TI - Acute macular neuroretinopathy: pathogenetic insights from optical coherence tomography angiography. AB - AIM: To describe the optical coherence tomography angiography (OCT-A) features of patients affected by acute macular neuroretinopathy (AMN). METHODS: This is a prospective, observational, cross-sectional study. Multimodal imaging, including spectral domain OCT (Spectralis HRA+OCT; Heidelberg Engineering, Heidelberg, Germany) and 6*6 mm swept source OCT-A (ZEISS PLEX Elite 9000; ZEISS, Dublin, California), was performed on all patients. The primary outcome measure was assessment of the vascular alterations of the superficial (SCP) and deep (DCP) capillary plexuses and choriocapillaris (CC). A segmentation of the AMN lesions using enface OCT images of photoreceptors-retinal pigment epithelium complex was used to discriminate intralesional and extralesional regions on the OCT-A enface slabs of the DCP and CC reconstructions. Each OCT-A slab was imported into ImageJ V.1.50 and digitally binarised for quantitative analyses. RESULTS: Overall, seven patients (mean age 19.4+/-3.2 years, six women) affected by AMN were included. The mean best-corrected visual acuity was 0.00+/-0.00 logarithm of the minimum angle of resolution. Twelve healthy age-matched subjects (mean age 22+/-3.4 years, 10 women) represented the control group. The quantitative analysis of global vessel densities showed that the CC vessel density was significantly lower in patients with AMN (0.495+/-0.03) compared with the age-matched controls (0.545+/-0.02) (corrected p=0.0003). The intralesional vessel density of the DCP was 0.349+/-0.04 in AMN and vs 0.497+/-0.02 in the controls (corrected p=0.0002). CONCLUSIONS: Our study confirmed inner choroidal vascular flow void as a possible pathogenetic mechanism of AMN. We also found a focal impairment of the DCP within the AMN lesions. Future studies are needed to clarify which is the primary location of the vascular insult in this condition. PMID- 29844085 TI - Outcomes of ultrathin Descemet stripping automated endothelial keratoplasty (UT DSAEK) performed in eyes with failure of primary Descemet membrane endothelial keratoplasty (DMEK). AB - AIM: To evaluate the outcomes of ultrathin Descemet stripping automated endothelial keratoplasty (UT-DSAEK) performed in eyes after failure of primary Descemet membrane endothelial keratoplasty (DMEK). METHODS: This was a retrospective, non-comparative interventional case series done in a tertiary care hospital. The study group included 21 eyes of patients which underwent UT-DSAEK following the failure of primary DMEK. Outcome measures included best spectacle corrected visual acuity (BSCVA) and endothelial cell density (ECD) both recorded 6 and 12 months postoperatively as well as central graft thickness (CGT) measured 6 months after UT-DSAEK. RESULTS: When considering only eyes without comorbidities (17 of 21), 12 months after UT-DSAEK, BSCVA was >=20/25 in 12/13 (92%) eyes and >=20/20 in 4/13 (30%) eyes. Mean ECD loss rate was 38.9% at 12 months postoperatively (range 8%-57%). Six months postoperatively, CGT averaged at 81+/-34 um (range 34-131 um). No intraoperative complications were recorded. Postoperatively, one patient (no. 8) had graft wrinkles that were fixed 2 days following UT-DSAEK. Four patients have developed intraocular lens (IOL) opacification, and two of them underwent IOL exchange. No other postoperative complications were recorded. CONCLUSIONS: UT-DSAEK is instrumental in the management of primary DMEK graft failure, allowing visual rehabilitation which is comparable with that of repeat DMEK. PMID- 29844086 TI - White matter microstructural alterations in amblyopic adults revealed by diffusion spectrum imaging with systematic tract-based automatic analysis. AB - BACKGROUND/AIM: We investigated the microstructural changes in white matter of adults with amblyopia using diffusion spectrum imaging with systematic tract based automatic analysis of the whole brain. METHODS: Ten adults with amblyopia (six women and four men, 33.6+/-10.6 years old on average) and 20 age- and sex matched normal-sighted controls were enrolled. The mean generalised fractional anisotropy (GFA) was measured in 76 white matter tracts and compared between the experimental and control groups using a threshold-free cluster-weighted method and t-test. A 2-percentile cut-off was used to identify segments with the greatest differences between the two groups. RESULTS: Participants with amblyopia had significantly lower GFA values than the controls in 11 segments located in nine white matter tracts, which included the following: left arcuate fasciculus, left frontal aslant tract, left fornix and left inferior fronto-occipital fasciculus of the association fibres; left thalamic radiations of the auditory nerve and bilateral optic radiations of the projection fibres; and genu and middle temporal gyrus of the callosal fibres. Amblyopic participants had statistically higher GFA values in the bilateral uncinate fasciculus than those of the controls. CONCLUSION: This preliminary study using whole-brain tractographic analysis of white matter reveals association between abnormal early visual processing and alterations in brain architecture, which may be related to various higher-level deficits, such as audiovisual integration and hand-eye coordination in patients with amblyopia. PMID- 29844087 TI - Reducing inequity of cataract blindness and vision impairment is a global priority, but where is the evidence? AB - Throughout the world, people who are socially or economically disadvantaged disproportionately experience blindness and vision impairment caused by cataract. Reducing vision loss from cataract and its unequal distribution must be a priority if the WHO's aim of 'universal eye health' is to be realised. To help achieve this, decision-makers and service planners need evidence on which strategies improve access to cataract services among disadvantaged populations, and under what circumstances. Unfortunately, despite many strategies to improve cataract services being implemented in recent decades, evidence of what works, for who and in what circumstances is not readily available. This paper summarises the extent of the evidence on interventions to reduce inequity of vision loss from cataract and makes suggestions for how the evidence base can be strengthened. PMID- 29844088 TI - Repeatability, interocular correlation and agreement of quantitative swept-source optical coherence tomography angiography macular metrics in healthy subjects. AB - PURPOSE: To investigate the repeatability, interocular correlation and agreement of quantitative swept-source optical coherence tomography angiography (SS-OCTA) metrics in healthy subjects. METHODS: Thirty-three healthy normal subjects were enrolled. The macula was scanned four times by an SS-OCTA system using the 3 mm*3 mm mode. The superficial capillary map images were analysed using a MATLAB program. A series of parameters were measured: foveal avascular zone (FAZ) area, FAZ perimeter, FAZ circularity, parafoveal vessel density, fractal dimension and vessel diameter index (VDI). The repeatability of four scans was determined by intraclass correlation coefficient (ICC). Then the averaged results were analysed for intereye difference, correlation and agreement using paired t-test, Pearson's correlation coefficient (r), ICC and Bland-Altman plot. RESULTS: The repeatability assessment of the macular metrics exported high ICC values (ranged from 0.853 to 0.996). There is no statistically significant difference in the OCTA metrics between the two eyes. FAZ area (ICC=0.961, r=0.929) and FAZ perimeter (ICC=0.884, r=0.802) showed excellent binocular correlation. Fractal dimension (ICC=0.732, r=0.578) and VDI (ICC=0.707, r=0.547) showed moderate binocular correlation, while parafoveal vessel density had poor binocular correlation. Bland-Altman plots showed the range of agreement was from -0.0763 to 0.0954 mm2 for FAZ area and from -0.0491 to 0.1136 for parafoveal vessel density. CONCLUSIONS: The macular metrics obtained using SS-OCTA showed excellent repeatability in healthy subjects. We showed high intereye correlation in FAZ area and perimeter, moderate correlation in fractal dimension and VDI, while vessel density had poor correlation in normal healthy subjects. PMID- 29844089 TI - Why Is DNA Double Stranded? The Discovery of DNA Excision Repair Mechanisms. AB - The persistence of hereditary traits over many generations testifies to the stability of the genetic material. Although the Watson-Crick structure for DNA provided a simple and elegant mechanism for replication, some elementary calculations implied that mistakes due to tautomeric shifts would introduce too many errors to permit this stability. It seemed evident that some additional mechanism(s) to correct such errors must be required. This essay traces the early development of our understanding of such mechanisms. Their key feature is the cutting out of a section of the strand of DNA in which the errors or damage resided, and its replacement by a localized synthesis using the undamaged strand as a template. To the surprise of some of the founders of molecular biology, this understanding derives in large part from studies in radiation biology, a field then considered by many to be irrelevant to studies of gene structure and function. Furthermore, genetic studies suggesting mechanisms of mismatch correction were ignored for almost a decade by biochemists unacquainted or uneasy with the power of such analysis. The collective body of results shows that the double-stranded structure of DNA is critical not only for replication but also as a scaffold for the correction of errors and the removal of damage to DNA. As additional discoveries were made, it became clear that the mechanisms for the repair of damage were involved not only in maintaining the stability of the genetic material but also in a variety of biological phenomena for increasing diversity, from genetic recombination to the immune response. PMID- 29844091 TI - Corrigendum. PMID- 29844093 TI - C-peptide prevents SMAD3 binding to alpha promoters to inhibit collagen type IV synthesis. AB - Activation of transforming growth factor beta1 (TGFB1)/SMAD3 signaling may lead to additional synthesis of collagen type IV (COL4), which is a major contributor to extracellular matrix (ECM) accumulation in diabetic nephropathy (DN). C peptide can attenuate fibrosis to have unique beneficial effects in DN. However, whether and how C-peptide affects TGFB1/SMAD3-activated COL4 synthesis is unclear. In this study, pathological changes, expression of COL4 a1-a5 chains (Col4a1-a5), COL4 distribution and protein and TGFB1 and SMAD3 protein were first assessed in a rat model of diabetes. Then, rat mesangial cells were treated with high glucose (HG) and/or C-peptide to investigate the underlying mechanism. Col4a1-a5 expression, COL4 protein and secretion, TGFB1 protein, SMAD3 nuclear translocation and binding of SMAD3 to its cognate sites in the promoters of Col4a1a2, Col4a3a4 and Col4a5 were measured. It was found that C-peptide attenuated glomerular pathological changes and suppressed renal Col4a1-a5 mRNA expression, COL4 protein content and TGFB1 protein content. C-peptide had a dose dependent effect to inhibit Col4a1-a5 mRNA expression, COL4 protein content and secretion, in HG-stimulated mesangial cells. In addition, the HG-induced increase in TGFB1 protein content was significantly reduced by C-peptide. Although not apparently affecting SMAD3 nuclear translocation, C-peptide prevented SMAD3 from binding to its sites in the Col4a1a2, Col4a3a4 and Col4a5 promoters in HG stimulated mesangial cells. In conclusion, C-peptide could prevent SMAD3 from binding to its sites in the Col4a1a2, Col4a3a4 and Col4a5 promoters, to inhibit COL4 generation. These results may provide a mechanism for the alleviation of fibrosis in DN by C-peptide. PMID- 29844094 TI - PAPP-A and cancer. AB - The zinc metalloproteinase, PAPP-A, enhances local insulin-like growth factor (IGF) action through cleavage of inhibitory IGF-binding proteins, thereby increasing IGF available for IGF receptor-mediated cell proliferation, migration and survival. In many tumors, enhanced IGF receptor signaling is associated with tumor growth, invasion and metastasis. We will first discuss PAPP-A structure and function, and post-translational inhibitors of PAPP-A expression or proteolytic activity. We will then review the evidence supporting an important role for PAPP A in many cancers, including breast, ovarian and lung cancer, and Ewing sarcoma. PMID- 29844090 TI - Development and Function of the Drosophila Tracheal System. AB - The tracheal system of insects is a network of epithelial tubules that functions as a respiratory organ to supply oxygen to various target organs. Target-derived signaling inputs regulate stereotyped modes of cell specification, branching morphogenesis, and collective cell migration in the embryonic stage. In the postembryonic stages, the same set of signaling pathways controls highly plastic regulation of size increase and pattern elaboration during larval stages, and cell proliferation and reprograming during metamorphosis. Tracheal tube morphogenesis is also regulated by physicochemical interaction of the cell and apical extracellular matrix to regulate optimal geometry suitable for air flow. The trachea system senses both the external oxygen level and the metabolic activity of internal organs, and helps organismal adaptation to changes in environmental oxygen level. Cellular and molecular mechanisms underlying the high plasticity of tracheal development and physiology uncovered through research on Drosophila are discussed. PMID- 29844095 TI - Mexican Carriers of the HNF1A p.E508K Variant Do Not Experience an Enhanced Response to Sulfonylureas. AB - OBJECTIVE: To assess whether an ethnic-specific variant (p.E508K) in the maturity onset diabetes of the young (MODY) gene hepatocyte nuclear factor-1alpha (HNF1A) found in Mexicans is associated with higher sensitivity to sulfonylureas, as documented in patients with MODY3. RESEARCH DESIGN AND METHODS: We recruited 96 participants (46 variant carriers and 50 age- and sex-matched noncarriers). Response to glipizide (one 2.5-5.0-mg dose), metformin (four 500-mg doses), and an oral glucose challenge was evaluated using a previously validated protocol. Glucose and insulin levels and their areas under the curve (AUCs) were compared between groups. RESULTS: Carriers of the p.E508K variant had a lower maximum insulin peak during the glipizide challenge as compared with noncarriers with diabetes (P < 0.05). Also, carriers had a lower insulin response after the oral glucose challenge. Following an oral glucose tolerance test in the presence of metformin, carriers of the p.E508K variant with diabetes had a lower maximum insulin peak and total and incremental insulin AUC value as compared with noncarriers with diabetes (P < 0.05). A similar but nonsignificant trend was seen in participants without type 2 diabetes. CONCLUSIONS: Carriers of variant p.E508K in HNF1A have a reduced insulin response rather than the increased sensitivity to sulfonylureas seen in patients with MODY3. PMID- 29844096 TI - Saturated Fat Is More Metabolically Harmful for the Human Liver Than Unsaturated Fat or Simple Sugars. AB - OBJECTIVE: Nonalcoholic fatty liver disease (i.e., increased intrahepatic triglyceride [IHTG] content), predisposes to type 2 diabetes and cardiovascular disease. Adipose tissue lipolysis and hepatic de novo lipogenesis (DNL) are the main pathways contributing to IHTG. We hypothesized that dietary macronutrient composition influences the pathways, mediators, and magnitude of weight gain induced changes in IHTG. RESEARCH DESIGN AND METHODS: We overfed 38 overweight subjects (age 48 +/- 2 years, BMI 31 +/- 1 kg/m2, liver fat 4.7 +/- 0.9%) 1,000 extra kcal/day of saturated (SAT) or unsaturated (UNSAT) fat or simple sugars (CARB) for 3 weeks. We measured IHTG (1H-MRS), pathways contributing to IHTG (lipolysis ([2H5]glycerol) and DNL (2H2O) basally and during euglycemic hyperinsulinemia), insulin resistance, endotoxemia, plasma ceramides, and adipose tissue gene expression at 0 and 3 weeks. RESULTS: Overfeeding SAT increased IHTG more (+55%) than UNSAT (+15%, P < 0.05). CARB increased IHTG (+33%) by stimulating DNL (+98%). SAT significantly increased while UNSAT decreased lipolysis. SAT induced insulin resistance and endotoxemia and significantly increased multiple plasma ceramides. The diets had distinct effects on adipose tissue gene expression. CONCLUSIONS: Macronutrient composition of excess energy influences pathways of IHTG: CARB increases DNL, while SAT increases and UNSAT decreases lipolysis. SAT induced the greatest increase in IHTG, insulin resistance, and harmful ceramides. Decreased intakes of SAT could be beneficial in reducing IHTG and the associated risk of diabetes. PMID- 29844098 TI - Changes to sharing medical records could damage research, report warns. PMID- 29844097 TI - Universal Health Coverage in Francophone Sub-Saharan Africa: Assessment of Global Health Experts' Confidence in Policy Options. AB - Many countries rely on standard recipes for accelerating progress toward universal health coverage (UHC). With limited generalizable empirical evidence, expert confidence and consensus plays a major role in shaping country policy choices. This article presents an exploratory attempt conducted between April and September 2016 to measure confidence and consensus among a panel of global health experts in terms of the effectiveness and feasibility of a number of policy options commonly proposed for achieving UHC in low- and middle-income countries, such as fee exemptions for certain groups of people, ring-fenced domestic health budgets, and public-private partnerships. To ensure a relative homogeneity of contexts, we focused on French-speaking sub-Saharan Africa. We initially used the Delphi method to arrive at expert consensus, but since no consensus emerged after 2 rounds, we adjusted our approach to a statistical analysis of the results from our questionnaire by measuring the degree of consensus on each policy option through 100 (signifying total consensus) minus the size of the interquartile range of the individual scores. Seventeen global health experts from various backgrounds, but with at least 20 years' experience in the broad region, participated in the 2 rounds of the study. The results provide an initial "mapping" of the opinions of a group of experts and suggest interesting lessons. For the 18 policy options proposed, consensus emerged only on strengthening the supply of quality primary health care services (judged as being effective with a confidence score of 79 and consensus score of 90), and on fee exemptions for the poorest (judged as being fairly easy to implement with a confidence score of 66 and consensus score of 85). For none of the 18 common policy options was there consensus on both potential effectiveness and feasibility, with very diverging opinions concerning 5 policy options. The lack of confidence and consensus within the panel seems to reflect the lack of consistent evidence on the proposed policy options. This suggests that experts' opinions should be framed within strengthened inclusive and "evidence-informed deliberative processes" where the trade-offs along the 3 dimensions of UHC-extending the population covered against health hazards, expanding the range of services and benefits covered, and reducing out-of-pocket expenditures-can be discussed in a transparent and contextualized setting. PMID- 29844099 TI - Qualitative, multimethod study of behavioural and attitudinal responses to cochlear implantation from the patient and healthcare professional perspective in Australia and the UK: study protocol. AB - INTRODUCTION: The growing prevalence of adults with 'severe or greater' hearing loss globally is of great concern, with hearing loss leading to diminished communication, and impacting on an individual's quality of life (QoL). Cochlear implants (CI) are a recommended device for people with severe or greater, sensorineural hearing loss, who obtain limited benefits from conventional hearing aids (HA), and through improved speech perception, CIs can improve the QoL of recipients. Despite this, utilisation of CIs is low. METHODS AND ANALYSIS: This qualitative, multiphase and multimethod dual-site study (Australia and the UK) explores patients' and healthcare professionals' behaviours and attitudes to cochlear implantation. Participants include general practitioners, audiologists and older adults with severe or greater hearing loss, who are HA users, CI users and CI candidates. Using purposive time frame sampling, participants will be recruited to take part in focus groups or individual interviews, and will each complete a demographic questionnaire and a qualitative proforma. The study aims to conduct 147 data capture events across a sample of 49 participants, or until data saturation occurs. Schema and thematic analysis with extensive group work will be used to analyse data alongside reporting of demographic and participant characteristics. ETHICS AND DISSEMINATION: Ethics approval for this study was granted by Macquarie University (HREC: 5201700539), and the study will abide by Australian National Health and Medical Research Council ethical guidelines. Study findings will be published through peer-reviewed journal articles, and disseminated through public and academic conference presentations, participant information sheets and a funders' final report. PMID- 29844100 TI - Validation, Intrarater and Interrater Reliability Study of the Lateral-Anterior Drawer Test for Detecting Posterior Cruciate Ligament Ruptures: Study Protocol of a Prospective Controlled Single-Blinded Cross-Sectional Study. AB - INTRODUCTION: Commonly used clinical tests for posterior cruciate ligament (PCL) rupture detection exhibit several limitations, thus requiring more precise clinical PCL tests. The lateral-anterior drawer (LAD) test has been proposed as a manually applied testing alternative but not yet been evaluated in vivo. METHODS AND ANALYSIS: Fifteen patients presenting with an MRI-confirmed acute or chronic unilateral PCL rupture and 15 subjects with no prior knee injury in their medical history will be included in this prospective single-blinded cross-sectional cohort study. Three examiners with different lengths of working experience (range 1-30 years), blinded to MRI outcomes and patient history, will use the LAD test on both knees of each participant to test for PCL integrity. Examiners will independently document the PCL status of each knee on a blank case report form. Fleiss-Kappa values will be calculated to investigate whether the LAD test shows clinically significant interrater and intrarater reliability. Furthermore, LAD test outcomes will be compared with MRI which serves as reference standard to check for concurrent validity. Moreover, LAD test accuracy with respect to tester experience will be evaluated. ETHICS AND DISSEMINATION: The study will be conducted in agreement with the World Medical Association Declaration of Helsinki (2013). Ethical permission (EK16-081-0616) to conduct this study was obtained from the review board of the city of Vienna on 1 September 2016. All personal and research data will be used in accordance with the Austrian Federal Data Protection Act and will be anonymised before publication in relevant international peer-reviewed journals. TRIAL REGISTRATIONNUMBER: DRKS00013268; Pre results. PMID- 29844101 TI - Understanding patient preference for physician attire: a cross-sectional observational study of 10 academic medical centres in the USA. AB - OBJECTIVE: Several large studies have shown that improving the patient experience is associated with higher reported patient satisfaction, increased adherence to treatment and clinical outcomes. Whether physician attire can affect the patient experience-and how this influences satisfaction-is unknown. Therefore, we performed a national, cross-sectional study to examine patient perceptions, expectations and preferences regarding physicians dress. SETTING: 10 academic hospitals in the USA. PARTICIPANTS: Convenience sample of 4062 patients recruited from 1 June 2015 to 31 October 2016. PRIMARY AND SECONDARY OUTCOMES MEASURES: We conducted a questionnaire-based study of patients across 10 academic hospitals in the USA. The questionnaire included photographs of a male and female physician dressed in seven different forms of attire. Patients were asked to rate the provider pictured in various clinical settings. Preference for attire was calculated as the composite of responses across five domains (knowledgeable, trustworthy, caring, approachable and comfortable) via a standardised instrument. Secondary outcome measures included variation in preferences by respondent characteristics (eg, gender), context of care (eg, inpatient vs outpatient) and geographical region. RESULTS: Of 4062 patient responses, 53% indicated that physician attire was important to them during care. Over one-third agreed that it influenced their satisfaction with care. Compared with all other forms of attire, formal attire with a white coat was most highly rated (p=0.001 vs scrubs with white coat; p<0.001 all other comparisons). Important differences in preferences for attire by clinical context and respondent characteristics were noted. For example, respondents>=65 years preferred formal attire with white coats (p<0.001) while scrubs were most preferred for surgeons. CONCLUSIONS: Patients have important expectations and perceptions for physician dress that vary by context and region. Nuanced policies addressing physician dress code to improve patient satisfaction appear important. PMID- 29844102 TI - Impact of body weight, low energy diet and gastric bypass on drug bioavailability, cardiovascular risk factors and metabolic biomarkers: protocol for an open, non-randomised, three-armed single centre study (COCKTAIL). AB - INTRODUCTION: Roux-en-Y gastric bypass (GBP) is associated with changes in cardiometabolic risk factors and bioavailability of drugs, but whether these changes are induced by calorie restriction, the weight loss or surgery per se, remains uncertain. The COCKTAIL study was designed to disentangle the short-term (6 weeks) metabolic and pharmacokinetic effects of GBP and a very low energy diet (VLED) by inducing a similar weight loss in the two groups. METHODS AND ANALYSIS: This open, non-randomised, three-armed, single-centre study is performed at a tertiary care centre in Norway. It aims to compare the short-term (6 weeks) and long-term (2 years) effects of GBP and VLED on, first, bioavailability and pharmacokinetics (24 hours) of probe drugs and biomarkers and, second, their effects on metabolism, cardiometabolic risk factors and biomarkers. The primary outcomes will be measured as changes in: (1) all six probe drugs by absolute bioavailability area under the curve (AUCoral/AUCiv) of midazolam (CYP3A4 probe), systemic exposure (AUCoral) of digoxin and rosuvastatin and drug:metabolite ratios for omeprazole, losartan and caffeine, levels of endogenous CYP3A biomarkers and genotypic variation, changes in the expression and activity data of the drug-metabolising, drug transport and drug regulatory proteins in biopsies from various organs and (2) body composition, cardiometabolic risk factors and metabolic biomarkers. ETHICS AND DISSEMINATION: The COCKTAIL protocol was reviewed and approved by the Regional Committee for Medical and Health Research Ethics (Ref: 2013/2379/REK sorost A). The results will be disseminated to academic and health professional audiences and the public via presentations at conferences, publications in peer-reviewed journals and press releases and provided to all participants. TRIAL REGISTRATION NUMBER: NCT02386917. PMID- 29844104 TI - Pfizer pays $24m to settle kickback claims over patient assistance charity. PMID- 29844103 TI - Establishing a protocol for building a pan-Canadian population-based monitoring system for early childhood development for children with health disorders: Canadian Children's Health in Context Study (CCHICS). AB - INTRODUCTION: Health disorders early in life have tremendous impact on children's developmental trajectories. Almost 80% of children with health disorders lack the developmental skills to take full advantage of school-based education relative to 27% of children without a health disorder. In Canada, there is currently a dearth of nationally representative data on the social determinants of early childhood development for children with health disorders. Evidence from Canada and other countries indicate that poorer developmental outcomes in typically developing children are associated with lower socioeconomic status (SES). However, to date, it is not known whether this relationship is stronger among children with health disorders. The study's objectives are to estimate the prevalence and to investigate social determinants of developmental outcomes for young children with health disorders, using the Early Development Instrument (EDI). METHODS AND ANALYSIS: Study objectives will be achieved through three steps. First, using existing EDI data for 10 provinces and 2 territories collected from 2004 to 2015, we will investigate differences in developmental health outcomes among children with identified health disorders. Second, population-level EDI data will be linked with neighbourhood sociodemographic census data to explore associations between socioeconomic characteristics and rates of specific diagnoses among children aged 5-6 years, including trends over time. Third, for 3 of these 12 regions, additional health and/or education databases will be linked at an individual level. These data will be used to establish differences in EDI outcomes in relation to the age-of-onset of diagnosis, and presence of intervention or treatment. ETHICS AND DISSEMINATION: Study methodologies have been approved by the Hamilton Integrated Research Ethics Board. The results of the analyses of developmental health outcomes for children with health disorders combined with SES will have implications for both health service delivery and school-based intervention strategies. Results will contribute to a framework for public policy. PMID- 29844105 TI - Inhibition of SF3B1 by molecules targeting the spliceosome results in massive aberrant exon skipping. AB - The recent identification of compounds that interact with the spliceosome (sudemycins, spliceostatin A, and meayamycin) indicates that these molecules modulate aberrant splicing via SF3B1 inhibition. Through whole transcriptome sequencing, we have demonstrated that treatment of Rh18 cells with sudemycin leads to exon skipping as the predominant aberrant splicing event. This was also observed following reanalysis of published RNA-seq data sets derived from HeLa cells after spliceostatin A exposure. These results are in contrast to previous reports that indicate that intron retention was the major consequence of SF3B1 inhibition. Analysis of the exon junctions up-regulated by these small molecules indicated that these sequences were absent in annotated human genes, suggesting that aberrant splicing events yielded novel RNA transcripts. Interestingly, the length of preferred downstream exons was significantly longer than the skipped exons, although there was no difference between the lengths of introns flanking skipped exons. The reading frame of the aberrantly skipped exons maintained a ratio of 2:1:1, close to that of the cassette exons (3:1:1) present in naturally occurring isoforms, suggesting negative selection by the nonsense-mediated decay (NMD) machinery for out-of-frame transcripts. Accordingly, genes involved in NMD and RNAs encoding proteins involved in the splicing process were enriched in both data sets. Our findings, therefore, further elucidate the mechanisms by which SF3B1 inhibition modulates pre-mRNA splicing. PMID- 29844107 TI - Correction for Ballarino et al., "Novel Long Noncoding RNAs (lncRNAs) in Myogenesis: a miR-31 Overlapping lncRNA Transcript Controls Myoblast Differentiation". PMID- 29844106 TI - tRNA fragments (tRFs) guide Ago to regulate gene expression post transcriptionally in a Dicer-independent manner. AB - tRNA related RNA fragments (tRFs), also known as tRNA-derived RNAs (tdRNAs), are abundant small RNAs reported to be associated with Argonaute proteins, yet their function is unclear. We show that endogenous 18 nucleotide tRFs derived from the 3' ends of tRNAs (tRF-3) post-transcriptionally repress genes in HEK293T cells in culture. tRF-3 levels increase upon parental tRNA overexpression. This represses target genes with a sequence complementary to the tRF-3 in the 3' UTR. The tRF-3 mediated repression is Dicer-independent, Argonaute-dependent, and the targets are recognized by sequence complementarity. Furthermore, tRF-3:target mRNA pairs in the RNA induced silencing complex associate with GW182 proteins, known to repress translation and promote the degradation of target mRNAs. RNA-seq demonstrates that endogenous target genes are specifically decreased upon tRF-3 induction. Therefore, Dicer-independent tRF-3s, generated upon tRNA overexpression, repress genes post-transcriptionally through an Argonaute-GW182 containing RISC via sequence matches with target mRNAs. PMID- 29844108 TI - Correction for Deng et al., "HMGN1 Modulates Nucleosome Occupancy and DNase I Hypersensitivity at the CpG Island Promoters of Embryonic Stem Cells". PMID- 29844109 TI - Genomic and Geographic Context for the Evolution of High-Risk Carbapenem Resistant Enterobacter cloacae Complex Clones ST171 and ST78. AB - Recent reports have established the escalating threat of carbapenem-resistant Enterobacter cloacae complex (CREC). Here, we demonstrate that CREC has evolved as a highly antibiotic-resistant rather than highly virulent nosocomial pathogen. Applying genomics and Bayesian phylogenetic analyses to a 7-year collection of CREC isolates from a northern Manhattan hospital system and to a large set of publicly available, geographically diverse genomes, we demonstrate clonal spread of a single clone, ST171. We estimate that two major clades of epidemic ST171 diverged prior to 1962, subsequently spreading in parallel from the Northeastern to the Mid-Atlantic and Midwestern United States and demonstrating links to international sites. Acquisition of carbapenem and fluoroquinolone resistance determinants by both clades preceded widespread use of these drugs in the mid 1980s, suggesting that antibiotic pressure contributed substantially to its spread. Despite a unique mobile repertoire, ST171 isolates showed decreased virulence in vitro While a second clone, ST78, substantially contributed to the emergence of CREC, it encompasses diverse carbapenemase-harboring plasmids, including a potentially hypertransmissible IncN plasmid, also present in other sequence types. Rather than heightened virulence, CREC demonstrates lineage specific, multifactorial adaptations to nosocomial environments coupled with a unique potential to acquire and disseminate carbapenem resistance genes. These findings indicate a need for robust surveillance efforts that are attentive to the potential for local and international spread of high-risk CREC clones.IMPORTANCE Carbapenem-resistant Enterobacter cloacae complex (CREC) has emerged as a formidable nosocomial pathogen. While sporadic acquisition of plasmid-encoded carbapenemases has been implicated as a major driver of CREC, ST171 and ST78 clones demonstrate epidemic potential. However, a lack of reliable genomic references and rigorous statistical analyses has left many gaps in knowledge regarding the phylogenetic context and evolutionary pathways of successful CREC. Our reconstruction of recent ST171 and ST78 evolution represents a significant addition to current understanding of CREC and the directionality of its spread from the Eastern United States to the northern Midwestern United States with links to international collections. Our results indicate that the remarkable ability of E. cloacae to acquire and disseminate cross-class antibiotic resistance rather than virulence determinants, coupled with its ability to adapt under conditions of antibiotic pressure, likely led to the wide dissemination of CREC. PMID- 29844110 TI - Reply to Das and Berkhout, "How Polypurine Tract Changes in the HIV-1 RNA Genome Can Cause Resistance against the Integrase Inhibitor Dolutegravir". PMID- 29844111 TI - A New Family of Capsule Polymerases Generates Teichoic Acid-Like Capsule Polymers in Gram-Negative Pathogens. AB - Group 2 capsule polymers represent crucial virulence factors of Gram-negative pathogenic bacteria. They are synthesized by enzymes called capsule polymerases. In this report, we describe a new family of polymerases that combine glycosyltransferase and hexose- and polyol-phosphate transferase activity to generate complex poly(oligosaccharide phosphate) and poly(glycosylpolyol phosphate) polymers, the latter of which display similarity to wall teichoic acid (WTA), a cell wall component of Gram-positive bacteria. Using modeling and multiple-sequence alignment, we showed homology between the predicted polymerase domains and WTA type I biosynthesis enzymes, creating a link between Gram negative and Gram-positive cell wall biosynthesis processes. The polymerases of the new family are highly abundant and found in a variety of capsule-expressing pathogens such as Neisseria meningitidis, Actinobacillus pleuropneumoniae, Haemophilus influenzae, Bibersteinia trehalosi, and Escherichia coli with both human and animal hosts. Five representative candidates were purified, their activities were confirmed using nuclear magnetic resonance (NMR) spectroscopy, and their predicted folds were validated by site-directed mutagenesis.IMPORTANCE Bacterial capsules play an important role in the interaction between a pathogen and the immune system of its host. During the last decade, capsule polymerases have become attractive tools for the production of capsule polymers applied as antigens in glycoconjugate vaccine formulations. Conventional production of glycoconjugate vaccines requires the cultivation of the pathogen and thus the highest biosafety standards, leading to tremendous costs. With regard to animal husbandry, where vaccines could avoid the extensive use of antibiotics, conventional production is not sufficiently cost-effective. In contrast, enzymatic synthesis of capsule polymers is pathogen-free and fast, offers high stereo- and regioselectivity, and works with high efficacy. The new capsule polymerase family described here vastly increases the toolbox of enzymes available for biotechnology purposes. Representatives are abundantly found in human pathogens but also in animal pathogens, paving the way for the exploitation of polymerases for the development of a new generation of vaccines for animal husbandry. PMID- 29844113 TI - Increased Usage of Antiseptics Is Associated with Reduced Susceptibility in Clinical Isolates of Staphylococcus aureus. AB - Hospital-acquired infection is a major cause of morbidity and mortality, and regimes to prevent infection are crucial in infection control. These include the decolonization of vulnerable patients with methicillin-resistant Staphylococcus aureus (MRSA) carriage using antiseptics, including chlorhexidine and octenidine. Concern has been raised, however, regarding the possible development of biocide resistance. In this study, we assembled a panel of S. aureus isolates, including isolates collected before the development of chlorhexidine and octenidine and isolates, from a major hospital trust in the United Kingdom during a period when the decolonization regimes were altered. We observed significant increases in the MIC and minimum bactericidal concentration (MBC) of chlorhexidine in isolates from periods of high usage of chlorhexidine. Isolates with increased MICs and MBCs of octenidine rapidly emerged after octenidine was introduced in the trust. There was no apparent cross-resistance between the two biocidal agents. A combination of variable-number tandem repeat (VNTR) analysis, PCR for qac genes, and whole-genome sequencing was used to type isolates and examine possible mechanisms of resistance. There was no expansion of a single strain associated with decreased biocide tolerance, and biocide susceptibility did not correlate with carriage of qac efflux pump genes. Mutations within the NorA or NorB efflux pumps, previously associated with chlorhexidine export, were identified, however, suggesting that this may be an important mechanism of biocide tolerance. We present evidence that isolates are evolving in the face of biocide challenge in patients and that changes in decolonization regimes are reflected in changes in susceptibility of isolates.IMPORTANCE Infection in hospitals remains a major cause of death and disease. One way in which we combat this is by decolonizing at risk patients from carriage of bacteria which can cause disease such as MRSA. This is done with antiseptics, including chlorhexidine and octenidine. There is concern, however, that bacteria may be able to become resistant to these antiseptics. In this study, we looked at isolates of MRSA and found that there was a correlation between the use of antiseptics and increased resistance in the isolates. We also suggest that the mechanism by which these more tolerant isolates may become resistant to antiseptics is that of changing a transport pump that exports these agents. This information suggests that we need to study the impact of antiseptics on clinically important bacteria more closely. PMID- 29844112 TI - Fungal Isocyanide Synthases and Xanthocillin Biosynthesis in Aspergillus fumigatus. AB - Microbial secondary metabolites, including isocyanide moieties, have been extensively mined for their repertoire of bioactive properties. Although the first naturally occurring isocyanide (xanthocillin) was isolated from the fungus Penicillium notatum over half a century ago, the biosynthetic origins of fungal isocyanides remain unknown. Here we report the identification of a family of isocyanide synthases (ICSs) from the opportunistic human pathogen Aspergillus fumigatus Comparative metabolomics of overexpression or knockout mutants of ICS candidate genes led to the discovery of a fungal biosynthetic gene cluster (BGC) that produces xanthocillin (xan). Detailed analysis of xanthocillin biosynthesis in A. fumigatus revealed several previously undescribed compounds produced by the xan BGC, including two novel members of the melanocin family of compounds. We found both the xan BGC and a second ICS-containing cluster, named the copper responsive metabolite (crm) BGC, to be transcriptionally responsive to external copper levels and further demonstrated that production of metabolites from the xan BGC is increased during copper starvation. The crm BGC includes a novel type of fungus-specific ICS-nonribosomal peptide synthase (NRPS) hybrid enzyme, CrmA. This family of ICS-NRPS hybrid enzymes is highly enriched in fungal pathogens of humans, insects, and plants. Phylogenetic assessment of all ICSs spanning the tree of life shows not only high prevalence throughout the fungal kingdom but also distribution in species not previously known to harbor BGCs, indicating an untapped resource of fungal secondary metabolism.IMPORTANCE Fungal ICSs are an untapped resource in fungal natural product research. Their isocyanide products have been implicated in plant and insect pathogenesis due to their ability to coordinate transition metals and disable host metalloenzymes. The discovery of a novel isocyanide-producing family of hybrid ICS-NRPS enzymes enriched in medically and agriculturally important fungal pathogens may reveal mechanisms underlying pathogenicity and afford opportunities to discover additional families of isocyanides. Furthermore, the identification of noncanonical ICS BGCs will enable refinement of BGC prediction algorithms to expand on the secondary metabolic potential of fungal and bacterial species. The identification of genes related to ICS BGCs in fungal species not previously known for secondary metabolite-producing capabilities (e.g., Saccharomyces spp.) contributes to our understanding of the evolution of BGC in fungi. PMID- 29844114 TI - Rational Design of Biosafety Level 2-Approved, Multidrug-Resistant Strains of Mycobacterium tuberculosis through Nutrient Auxotrophy. AB - Multidrug-resistant (MDR) tuberculosis, defined as tuberculosis resistant to the two first-line drugs isoniazid and rifampin, poses a serious problem for global tuberculosis control strategies. Lack of a safe and convenient model organism hampers progress in combating the spread of MDR strains of Mycobacterium tuberculosis We reasoned that auxotrophic MDR mutants of M. tuberculosis would provide a safe means for studying MDR M. tuberculosis without the need for a biosafety level 3 (BSL3) laboratory. Two different sets of triple auxotrophic mutants of M. tuberculosis were generated, which were auxotrophic for the nutrients leucine, pantothenate, and arginine or for leucine, pantothenate, and methionine. These triple auxotrophic strains retained their acid-fastness, their ability to generate both a drug persistence phenotype and drug-resistant mutants, and their susceptibility to plaque-forming mycobacterial phages. MDR triple auxotrophic mutants were obtained in a two-step fashion, selecting first for solely isoniazid-resistant or rifampin-resistant mutants. Interestingly, selection for isoniazid-resistant mutants of the methionine auxotroph generated isolates with single point mutations in katG, which encodes an isoniazid activating enzyme, whereas similar selection using the arginine auxotroph yielded isoniazid-resistant mutants with large deletions in the chromosomal region containing katG These M. tuberculosis MDR strains were readily sterilized by second-line tuberculosis drugs and failed to kill immunocompromised mice. These strains provide attractive candidates for M. tuberculosis biology studies and drug screening outside the BSL3 facility.IMPORTANCE Elimination of Mycobacterium tuberculosis, the bacterium causing tuberculosis, requires enhanced understanding of its biology in order to identify new drugs against drug-susceptible and drug resistant M. tuberculosis as well as uncovering novel pathways that lead to M. tuberculosis death. To circumvent the need for a biosafety level 3 (BSL3) laboratory when conducting research on M. tuberculosis, we have generated drug susceptible and drug-resistant triple auxotrophic strains of M. tuberculosis suitable for use in a BSL2 laboratory. These strains originate from a double auxotrophic M. tuberculosis strain, H37Rv DeltapanCD DeltaleuCD, which was reclassified as a BSL2 strain based on its lack of lethality in immunocompromised and immunocompetent mice. A third auxotrophy (methionine or arginine) was introduced via deletion of metA or argB, respectively, since M. tuberculosis DeltametA and M. tuberculosis DeltaargB are unable to survive amino acid auxotrophy and infect their host. The resulting triple auxotrophic M. tuberculosis strains retained characteristics of M. tuberculosis relevant for most types of investigations. PMID- 29844115 TI - Erratum for Xu et al., "Disruption of Early Tumor Necrosis Factor Alpha Signaling Prevents Classical Activation of Dendritic Cells in Lung-Associated Lymph Nodes and Development of Protective Immunity against Cryptococcal Infection". PMID- 29844116 TI - Core Concept: "Twisted" light beams promise an optical revolution. PMID- 29844118 TI - Integrative Modeling Identifies Key Determinants of Inhibitor Sensitivity in Breast Cancer Cell Lines. AB - Cancer cell lines differ greatly in their sensitivity to anticancer drugs as a result of different oncogenic drivers and drug resistance mechanisms operating in each cell line. Although many of these mechanisms have been discovered, it remains a challenge to understand how they interact to render an individual cell line sensitive or resistant to a particular drug. To better understand this variability, we profiled a panel of 30 breast cancer cell lines in the absence of drugs for their mutations, copy number aberrations, mRNA, protein expression and protein phosphorylation, and for response to seven different kinase inhibitors. We then constructed a knowledge-based, Bayesian computational model that integrates these data types and estimates the relative contribution of various drug sensitivity mechanisms. The resulting model of regulatory signaling explained the majority of the variability observed in drug response. The model also identified cell lines with an unexplained response, and for these we searched for novel explanatory factors. Among others, we found that 4E-BP1 protein expression, and not just the extent of phosphorylation, was a determinant of mTOR inhibitor sensitivity. We validated this finding experimentally and found that overexpression of 4E-BP1 in cell lines that normally possess low levels of this protein is sufficient to increase mTOR inhibitor sensitivity. Taken together, our work demonstrates that combining experimental characterization with integrative modeling can be used to systematically test and extend our understanding of the variability in anticancer drug response.Significance: By estimating how different oncogenic mutations and drug resistance mechanisms affect the response of cancer cells to kinase inhibitors, we can better understand and ultimately predict response to these anticancer drugs.Graphical Abstract: http://cancerres.aacrjournals.org/content/canres/78/15/4396/F1.large.jpg Cancer Res; 78(15); 4396-410. (c)2018 AACR. PMID- 29844119 TI - Notch-Induced Myeloid Reprogramming in Spontaneous Pancreatic Ductal Adenocarcinoma by Dual Genetic Targeting. AB - Despite advances in our understanding of the genetics of pancreatic ductal adenocarcinoma (PDAC), the efficacy of therapeutic regimens targeting aberrant signaling pathways remains highly limited. Therapeutic strategies are greatly hampered by the extensive desmoplasia that comprises heterogeneous cell populations. Notch signaling is a contentious pathway exerting opposite roles in tumorigenesis depending on cellular context. Advanced model systems are needed to gain more insights into complex signaling in the multilayered tumor microenvironment. In this study, we employed a dual recombinase-based in vivo strategy to modulate Notch signaling specifically in myeloid cells to dissect the tumorigenic role of Notch in PDAC stroma. Pancreas-specific KrasG12D activation and loss of Tp53 was induced using a Pdx1-Flp transgene, whereas Notch signaling was genetically targeted using a myeloid-targeting Lyz2-Cre strain for either activation of Notch2-IC or deletion of Rbpj. Myeloid-specific Notch activation significantly decreased tumor infiltration by protumorigenic M2 macrophages in spontaneous endogenous PDAC, which translated into significant survival benefit. Further characterization revealed upregulated antigen presentation and cytotoxic T effector phenotype upon Notch-induced M2 reduction. This approach is the first proof of concept for genetic targeting and reprogramming of myeloid cells in a complex disease model of PDAC and provides evidence for a regulatory role of Notch signaling in intratumoral immune phenotypes.Significance: This study provides insight into the role of myeloid-dependent NOTCH signaling in PDAC and accentuates the need to dissect differential roles of signaling pathways in different cellular components within the tumor microenvironment. Cancer Res; 78(17); 4997-5010. (c)2018 AACR. PMID- 29844121 TI - Restraining Network Response to Targeted Cancer Therapies Improves Efficacy and Reduces Cellular Resistance. AB - A key tool of cancer therapy has been targeted inhibition of oncogene-addicted pathways. However, efficacy has been limited by progressive emergence of resistance as transformed cells adapt. Here, we use Drosophila to dissect response to targeted therapies. Treatment with a range of kinase inhibitors led to hyperactivation of overall cellular networks, resulting in emergent resistance and expression of stem cell markers, including Sox2. Genetic and drug screens revealed that inhibitors of histone deacetylases, proteasome, and Hsp90 family of proteins restrained this network hyperactivation. These "network brake" cocktails, used as adjuncts, prevented emergent resistance and promoted cell death at subtherapeutic doses. Our results highlight a general response of cells, transformed and normal, to targeted therapies that leads to resistance and toxicity. Pairing targeted therapeutics with subtherapeutic doses of broad-acting "network brake" drugs may provide a means of extending therapeutic utility while reducing whole body toxicity.Significance: These findings with a strong therapeutic potential provide an innovative approach of identifying effective combination treatments for cancer. Cancer Res; 78(15); 4344-59. (c)2018 AACR. PMID- 29844120 TI - Specific Targeting of MTAP-Deleted Tumors with a Combination of 2'-Fluoroadenine and 5'-Methylthioadenosine. AB - Homozygous deletion of the methylthioadenosine phosphorylase (MTAP) gene is a frequent event in a wide variety of human cancers and is a possible molecular target for therapy. One potential therapeutic strategy to target MTAP-deleted tumors involves combining toxic purine analogues such as 6'-thioguanine (6TG) or 2'-fluoroadenine (2FA) with the MTAP substrate 5'-deoxy-5'-methylthioadenosine (MTA). The rationale is that excess MTA will protect normal MTAP+ cells from purine analogue toxicity because MTAP catalyzes the conversion of MTA to adenine, which then inhibits the conversion of purine base analogues into nucleotides. However, in MTAP- tumor cells, no protection takes place because adenine is not formed. Here, we examine the effects of 6TG and 2FA in combination with MTA in vitro and in vivoIn vitro, MTA protected against both 6TG and 2FA toxicity in an MTAP-dependent manner, shifting the IC50 concentration by one to three orders of magnitude. However, in mice, MTA protected against toxicity from 2FA but failed to protect against 6TG. Addition of 100 mg/kg MTA to 20 mg/kg 2FA entirely reversed the toxicity of 2FA in a variety of tissues and the treatment was well tolerated by mice. The 2FA+MTA combination inhibited tumor growth of four different MTAP- human tumor cell lines in mouse xenograft models. Our results suggest that 2FA+MTA may be a promising combination for treating MTAP-deleted tumors.Significance: Loss of MTAP occurs in about 15% of all human cancers; the MTAP protection strategy presented in this study could be very effective in treating these cancers. Cancer Res; 78(15); 4386-95. (c)2018 AACR. PMID- 29844122 TI - Radiotherapy and CD40 Activation Separately Augment Immunity to Checkpoint Blockade in Cancer. AB - Immunotherapy in pancreatic ductal adenocarcinoma (PDA) remains a difficult clinical problem despite success in other disease types with immune checkpoint blockade (ICB) and chimeric antigen receptor T-cell therapy. Mechanisms driving immunosuppression and poor T-cell infiltration in PDA are incompletely understood. Here, we use genetically engineered mouse models of PDA that recapitulate hallmarks of human disease to demonstrate that CD40 pathway activation is required for clinical response to radiotherapy and ICB with alphaCTLA-4 and alphaPD-1. The combination of an agonist alphaCD40 antibody, radiotherapy, and dual ICB eradicated irradiated and unirradiated (i.e., abscopal) tumors, generating long-term immunity. Response required T cells and also short-lived myeloid cells and was dependent on the long noncoding RNA myeloid regulator Morrbid Using unbiased random forest machine learning, we built unique, contextual signatures for each therapeutic component, revealing that (i) radiotherapy triggers an early proinflammatory stimulus, ablating existing intratumoral T cells and upregulating MHC class I and CD86 on antigen-presenting cells, (ii) alphaCD40 causes a systemic and intratumoral reorganization of the myeloid compartment, and (iii) ICB increases intratumoral T-cell infiltration and improves the CD8 T-cell:regulatory T-cell ratio. Thus, alphaCD40 and radiotherapy nonredundantly augment antitumor immunity in PDA, which is otherwise refractory to ICB, providing a clear rationale for clinical evaluation.Significance: Radiotherapy and alphaCD40 disrupt key links between innate and adaptive immunity, ameliorating resistance to immune checkpoint blockade in pancreatic cancer via multiple cellular mechanisms. Cancer Res; 78(15); 4282-91. (c)2018 AACR. PMID- 29844123 TI - Combined c-Met/Trk Inhibition Overcomes Resistance to CDK4/6 Inhibitors in Glioblastoma. AB - Glioblastoma (GBM) is the most common primary brain malignancy and carries an extremely poor prognosis. Recent molecular studies revealed the CDK4/6-Rb-E2F axis and receptor tyrosine kinase (RTK) signaling to be deregulated in most GBM, creating an opportunity to develop more effective therapies by targeting both pathways. Using a phospho-RTK protein array, we found that both c-Met and TrkA-B pathways were significantly activated upon CDK4/6 inhibition in GBM cells. We therefore investigated the efficacy of combined CDK4/6 and c-Met/TrkA-B inhibition against GBM. We show that both c-Met and TrkA-B pathways transactivate each other, and targeting both pathways simultaneously results in more efficient pathway suppression. Mechanistically, inhibition of CDK4/6 drove NF-kappaB mediated upregulation of hepatocyte growth factor, brain-derived neurotrophic factor, and nerve growth factor that in turn activated both c-Met and TrkA-B pathways. Combining the CDK4/6 inhibitor abemaciclib with the c-Met/Trk inhibitor altiratinib or the corresponding siRNAs induced apoptosis, leading to significant synergy against GBM. Collectively, these findings demonstrate that the activation of c-Met/TrkA-B pathways is a novel mechanism involved in therapeutic resistance of GBM to CDK4/6 inhibition and that dual inhibition of c-Met/Trk with CDK4/6 should be considered in future clinical trials.Significance: CDK4/6 inhibition in glioblastoma activates the c-Met and TrkA-B pathways mediated by NF-kappaB and can be reversed by a dual c-Met/Trk inhibitor. Cancer Res; 78(15); 4360-9. (c)2018 AACR. PMID- 29844124 TI - Twist1 Regulates Vimentin through Cul2 Circular RNA to Promote EMT in Hepatocellular Carcinoma. AB - Twist is a critical epithelial-mesenchymal transition (EMT)-inducing transcription factor that increases expression of vimentin. How Twist1 regulates this expression remains unclear. Here, we report that Twist1 regulates Cullin2 (Cul2) circular RNA to increase expression of vimentin in EMT. Twist1 bound the Cul2 promoter to activate its transcription and to selectively promote expression of Cul2 circular RNA (circ-10720), but not mRNA. circ-10720 positively correlated with Twist1, tumor malignance, and poor prognosis in hepatocellular carcinoma (HCC). Twist1 promoted vimentin expression by increasing levels of circ-10720, which can absorb miRNAs that target vimentin. circ-10720 knockdown counteracted the tumor-promoting activity of Twist1 in vitro and in patient-derived xenograft and diethylnitrosamine-induced TetOn-Twist1 transgenic mouse HCC models. These data unveil a mechanism by which Twist1 regulates vimentin during EMT. They also provide potential therapeutic targets for HCC treatment and provide new insight for circular RNA (circRNA)-based diagnostic and therapeutic strategies.Significance: A circRNA-based mechanism drives Twist1-mediated regulation of vimentin during EMT and provides potential therapeutic targets for treatment of HCC.Graphical Abstract: http://cancerres.aacrjournals.org/content/canres/78/15/4150/F1.large.jpg Cancer Res; 78(15); 4150-62. (c)2018 AACR. PMID- 29844126 TI - The Tumor Suppressor CIC Directly Regulates MAPK Pathway Genes via Histone Deacetylation. AB - Oligodendrogliomas are brain tumors accounting for approximately 10% of all central nervous system cancers. CIC is a transcription factor that is mutated in most patients with oligodendrogliomas; these mutations are believed to be a key oncogenic event in such cancers. Analysis of the Drosophila melanogaster ortholog of CIC, Capicua, indicates that CIC loss phenocopies activation of the EGFR/RAS/MAPK pathway, and studies in mammalian cells have demonstrated a role for CIC in repressing the transcription of the PEA3 subfamily of ETS transcription factors. Here, we address the mechanism by which CIC represses transcription and assess the functional consequences of CIC inactivation. Genome wide binding patterns of CIC in several cell types revealed that CIC target genes were enriched for MAPK effector genes involved in cell-cycle regulation and proliferation. CIC binding to target genes was abolished by high MAPK activity, which led to their transcriptional activation. CIC interacted with the SIN3 deacetylation complex and, based on our results, we suggest that CIC functions as a transcriptional repressor through the recruitment of histone deacetylases. Independent single amino acid substitutions found in oligodendrogliomas prevented CIC from binding its target genes. Taken together, our results show that CIC is a transcriptional repressor of genes regulated by MAPK signaling, and that ablation of CIC function leads to increased histone acetylation levels and transcription at these genes, ultimately fueling mitogen-independent tumor growth.Significance: Inactivation of CIC inhibits its direct repression of MAPK pathway genes, leading to their increased expression and mitogen-independent growth.Graphical Abstract: http://cancerres.aacrjournals.org/content/canres/78/15/4114/F1.large.jpg Cancer Res; 78(15); 4114-25. (c)2018 AACR. PMID- 29844125 TI - FGFR1-Activated Translation of WNT Pathway Components with Structured 5' UTRs Is Vulnerable to Inhibition of EIF4A-Dependent Translation Initiation. AB - Cooperativity between WNT and FGF signaling is well documented in embryonic development and cancer progression, but the molecular mechanisms underlying this cross-talk remain elusive. In this study, we interrogated the dynamics of RNA levels, ribosome occupancy, and protein expression as a function of inducible FGF signaling in mouse mammary glands with constitutive WNT hyperactivation. Multiomics correlation analysis revealed a substantial discrepancy between RNA and ribosome occupancy levels versus protein levels. However, this discrepancy decreased as cells became premalignant and dynamically responded to FGF signaling, implicating the importance of stringent gene regulation in nontransformed cells. Analysis of individual genes demonstrated that acute FGF hyperactivation increased translation of many stem cell self-renewal regulators, including WNT signaling components, and decreased translation of genes regulating cellular senescence. WNT pathway components translationally upregulated by FGF signaling had long and structured 5' UTRs with a high frequency of polypurine sequences, several of which harbored (CGG)4 motifs that can fold into either stable G-quadruplexes or other stable secondary structures. The FGF-mediated increase in translation of WNT pathway components was compromised by silvestrol, an inhibitor of EIF4A that clamps EIF4A to polypurine sequences to block 43S scanning and inhibits its RNA-unwinding activity important for translation initiation. Moreover, silvestrol treatment significantly delayed FGF-WNT-driven tumorigenesis. Taken together, these results suggest that FGF signaling selectively enhances translation of structured mRNAs, particularly WNT signaling components, and highlight their vulnerability to inhibitors that target the RNA helicase EIF4A.Significance: The RNA helicase EIF4A may serve as a therapeutic target for breast cancers that require FGF and WNT signaling. Cancer Res; 78(15); 4229-40. (c)2018 AACR. PMID- 29844127 TI - SNHG6 Acts as a Genome-Wide Hypomethylation Trigger via Coupling of miR-1297 Mediated S-Adenosylmethionine-Dependent Positive Feedback Loops. AB - Aberrant genome-wide hypomethylation and long noncoding RNA (lncRNA) dysregulation are associated with hepatocarcinogenesis. However, whether a relationship between the two exists remains largely unknown. S-adenosylmethionine (SAMe)-dependent methylation is a critical factor in genomic methylation. We previously found that SNHG6 lncRNA acted as an oncogene in hepatocarcinogenesis and could be considered a potential prognostic indicator for hepatocellular carcinoma (HCC). Here we verify that SNHG6 leads to genome-wide hypomethylation in hepatoma cells and that SNHG6 negatively correlates with the steady-state SAMe concentration in vivo and in vitro SNHG6 suppressed MAT1A protein expression by activating the miR-1297/FUS pathway to regulate nucleocytoplasmic shuttling of MAT1A mRNA. In addition, SNHG6 promoted expression of MAT2A by suppressing direct binding of miR-1297 to the MAT2A 3'UTR. SNHG6 regulated steady-state SAMe levels via coupling of two miR-1297-mediated SAMe-dependent positive feedback loops. Interestingly, the effect of SNHG6 on genome-wide methylation was inhibited by exogenous SAMe within a certain concentration range. These results suggest that single lncRNA dysregulation can lead to aberrant genome-wide hypomethylation by inhibiting SAMe production in HCC and that exogenous SAMe may be beneficial in the treatment of HCC.Significance: These findings explore the role of SNHG6 lncRNA in suppressing production of the universal methyl donor SAMe and its impact on global DNA methylation levels in liver cancer and highlight the potential benefit of SAMe for the treatment of liver cancer. Cancer Res; 78(14); 3849-64. (c)2018 AACR. PMID- 29844128 TI - Target-Based Screening against eIF4A1 Reveals the Marine Natural Product Elatol as a Novel Inhibitor of Translation Initiation with In Vivo Antitumor Activity. AB - Purpose: The DEAD-box RNA helicase eIF4A1 carries out the key enzymatic step of cap-dependent translation initiation and is a well-established target for cancer therapy, but no drug against it has entered evaluation in patients. We identified and characterized a natural compound with broad antitumor activities that emerged from the first target-based screen to identify novel eIF4A1 inhibitors.Experimental Design: We tested potency and specificity of the marine compound elatol versus eIF4A1 ATPase activity. We also assessed eIF4A1 helicase inhibition, binding between the compound and the target including binding site mutagenesis, and extensive mechanistic studies in cells. Finally, we determined maximum tolerated dosing in vivo and assessed activity against xenografted tumors.Results: We found elatol is a specific inhibitor of ATP hydrolysis by eIF4A1 in vitro with broad activity against multiple tumor types. The compound inhibits eIF4A1 helicase activity and binds the target with unexpected 2:1 stoichiometry at key sites in its helicase core. Sensitive tumor cells suffer acute loss of translationally regulated proteins, leading to growth arrest and apoptosis. In contrast to other eIF4A1 inhibitors, elatol induces markers of an integrated stress response, likely an off-target effect, but these effects do not mediate its cytotoxic activities. Elatol is less potent in vitro than the well studied eIF4A1 inhibitor silvestrol but is tolerated in vivo at approximately 100* relative dosing, leading to significant activity against lymphoma xenografts.Conclusions: Elatol's identification as an eIF4A1 inhibitor with in vivo antitumor activities provides proof of principle for target-based screening against this highly promising target for cancer therapy. Clin Cancer Res; 24(17); 4256-70. (c)2018 AACR. PMID- 29844129 TI - Phase Ib Study of Binimetinib with Paclitaxel in Patients with Platinum-Resistant Ovarian Cancer: Final Results, Potential Biomarkers, and Extreme Responders. AB - Purpose: Epithelial ovarian cancer (EOC) is a molecularly diverse disease. MEK inhibition targets tumors harboring MAPK pathway alterations and enhances paclitaxel-induced apoptosis in EOC. This phase Ib study evaluated the MEK inhibitor binimetinib combined with paclitaxel in patients with platinum resistant EOC.Patients and Methods: Patients received intravenous weekly paclitaxel with oral binimetinib in three different administration schedules. Outcomes were assessed by RECIST and CGIC CA-125 response criteria. Tumor samples were analyzed using next-generation sequencing.Results: Thirty-four patients received >=1 binimetinib dose. A 30-mg twice-a-day continuous or 45-mg twice-a day intermittent binimetinib dose was deemed the recommended phase II dose (RP2D) in combination with 80 mg/m2 i.v. weekly paclitaxel. Rate of grade 3/4 adverse events was 65%. The best overall response rate was 18%-one complete (CR) and four partial responses (PR)-among 28 patients with RECIST-measurable disease. Eleven patients achieved stable disease (SD), yielding a clinical benefit rate (CR+PR+SD) of 57%. Response rates, per both RECIST and CA-125 criteria, were highest in the 45-mg twice-a-day continuous cohort and lowest in the 45-mg twice a-day intermittent cohort. All four evaluable patients with MAPK pathway-altered tumors experienced clinical benefit.Conclusions: The combination of binimetinib and intravenous weekly paclitaxel was tolerable in this patient population. The RP2D of binimetinib in combination with paclitaxel was 30 mg twice a day as a continuous or 45 mg twice a day as an intermittent dose. Although response rates were modest, a higher clinical benefit rate was seen in patients harboring alterations affecting the MAPK pathway. Clin Cancer Res; 24(22); 5525-33. (c)2018 AACR. PMID- 29844130 TI - Detection of Gastric Cancer with Novel Methylated DNA Markers: Discovery, Tissue Validation, and Pilot Testing in Plasma. AB - Purpose: Gastric adenocarcinoma is the third most common cause of cancer mortality worldwide. Accurate and affordable noninvasive detection methods have potential value for screening and surveillance. Herein, we identify novel methylated DNA markers (MDM) for gastric adenocarcinoma, validate their discrimination for gastric adenocarcinoma in tissues from geographically separate cohorts, explore marker acquisition through the oncogenic cascade, and describe distributions of candidate MDMs in plasma from gastric adenocarcinoma cases and normal controls.Experimental Design: Following discovery by unbiased whole methylome sequencing, candidate MDMs were validated by blinded methylation specific PCR in archival case-control tissues from U.S. and South Korean patients. Top MDMs were then assayed by an analytically sensitive method (quantitative real-time allele-specific target and signal amplification) in a blinded pilot study on archival plasma from gastric adenocarcinoma cases and normal controls.Results: Whole-methylome discovery yielded novel and highly discriminant candidate MDMs. In tissue, a panel of candidate MDMs detected gastric adenocarcinoma in 92% to 100% of U.S. and South Korean cohorts at 100% specificity. Levels of most MDMs increased progressively from normal mucosa through metaplasia, adenoma, and gastric adenocarcinoma with variation in points of greatest marker acquisition. In plasma, a 3-marker panel (ELMO1, ZNF569, C13orf18) detected 86% (95% CI, 71-95) of gastric adenocarcinomas at 95% specificity.Conclusions: Novel MDMs appear to accurately discriminate gastric adenocarcinoma from normal controls in both tissue and plasma. The point of aberrant methylation during oncogenesis varies by MDM, which may have relevance to marker selection in clinical applications. Further exploration of these MDMs for gastric adenocarcinoma screening and surveillance is warranted. Clin Cancer Res; 24(22); 5724-34. (c)2018 AACR. PMID- 29844132 TI - Glycosyltransferase Gene Expression Identifies a Poor Prognostic Colorectal Cancer Subtype Associated with Mismatch Repair Deficiency and Incomplete Glycan Synthesis. AB - Purpose: We aimed to discover glycosyltransferase gene (glycogene)-derived molecular subtypes of colorectal cancer associated with patient outcomes.Experimental Design: Transcriptomic and epigenomic datasets of nontumor, precancerous, cancerous tissues, and cell lines with somatic mutations, mismatch repair status, clinicopathologic and survival information were assembled (n = 4,223) and glycogene profiles were analyzed. IHC for a glycogene, GALNT6, was conducted in adenoma and carcinoma specimens (n = 403). The functional role and cell surface glycan profiles were further investigated by in vitro loss-of function assays and lectin microarray analysis.Results: We initially developed and validated a 15-glycogene signature that can identify a poor-prognostic subtype, which closely related to deficient mismatch repair (dMMR) and GALNT6 downregulation. The association of decreased GALNT6 with dMMR was confirmed in multiple datasets of tumors and cell lines, and was further recapitulated by IHC, where approximately 15% tumors exhibited loss of GALNT6 protein. GALNT6 mRNA and protein was expressed in premalignant/preinvasive lesions but was subsequently downregulated in a subset of carcinomas, possibly through epigenetic silencing. Decreased GALNT6 was independently associated with poor prognosis in the IHC cohort and an additional microarray meta-cohort, by multivariate analyses, and its discriminative power of survival was particularly remarkable in stage III patients. GALNT6 silencing in SW480 cells promoted invasion, migration, chemoresistance, and increased cell surface expression of a cancer-associated truncated O-glycan, Tn-antigen.Conclusions: The 15-glycogene signature and the expression levels of GALNT6 mRNA and protein each serve as a novel prognostic biomarker, highlighting the role of dysregulated glycogenes in cancer-associated glycan synthesis and poor prognosis. Clin Cancer Res; 24(18); 4468-81. (c)2018 AACR. PMID- 29844131 TI - TMPRSS2-ERG Controls Luminal Epithelial Lineage and Antiandrogen Sensitivity in PTEN and TP53-Mutated Prostate Cancer. AB - Purpose: Deletions or mutations in PTEN and TP53 tumor suppressor genes have been linked to lineage plasticity in therapy-resistant prostate cancer. Fusion-driven overexpression of the oncogenic transcription factor ERG is observed in approximately 50% of all prostate cancers, many of which also harbor PTEN and TP53 alterations. However, the role of ERG in lineage plasticity of PTEN/TP53 altered tumors is unclear. Understanding the collective effect of multiple mutations within one tumor is essential to combat plasticity-driven therapy resistance.Experimental Design: We generated a Pten-negative/Trp53-mutated/ERG overexpressing mouse model of prostate cancer and integrated RNA-sequencing with ERG chromatin immunoprecipitation-sequencing (ChIP-seq) to identify pathways regulated by ERG in the context of Pten/Trp53 alteration. We investigated ERG dependent sensitivity to the antiandrogen enzalutamide and cyclin-dependent kinase 4 and 6 (CDK4/6) inhibitor palbociclib in human prostate cancer cell lines, xenografts, and allografted mouse tumors. Trends were evaluated in TCGA, SU2C, and Beltran 2016 published patient cohorts and a human tissue microarray.Results: Transgenic ERG expression in mice blocked Pten/Trp53 alteration-induced decrease of AR expression and downstream luminal epithelial genes. ERG directly suppressed expression of cell cycle-related genes, which induced RB hypophosphorylation and repressed E2F1-mediated expression of mesenchymal lineage regulators, thereby restricting adenocarcinoma plasticity and maintaining antiandrogen sensitivity. In ERG-negative tumors, CDK4/6 inhibition delayed tumor growth.Conclusions: Our studies identify a previously undefined function of ERG to restrict lineage plasticity and maintain antiandrogen sensitivity in PTEN/TP53-altered prostate cancer. Our findings suggest ERG fusion as a biomarker to guide treatment of PTEN/TP53-altered, RB1-intact prostate cancer. Clin Cancer Res; 24(18); 4551-65. (c)2018 AACR. PMID- 29844133 TI - Loss of Elongation-Like Factor 1 Spontaneously Induces Diverse, RNase H-Related Suppressor Mutations in Schizosaccharomyces pombe. AB - A healthy individual may carry a detrimental genetic trait that is masked by another genetic mutation. Such suppressive genetic interactions, in which a mutant allele either partially or completely restores the fitness defect of a particular mutant, tend to occur between genes that have a confined functional connection. Here we investigate a self-recovery phenotype in Schizosaccharomyces pombe, mediated by suppressive genetic interactions that can be amplified during cell culture. Cells without Elf1, an AAA+ family ATPase, have severe growth defects initially, but quickly recover growth rates near to those of wild-type strains by acquiring suppressor mutations. elf1Delta cells accumulate RNAs within the nucleus and display effects of genome instability such as sensitivity to DNA damage, increased incidence of lagging chromosomes, and mini-chromosome loss. Notably, the rate of phenotypic recovery was further enhanced in elf1Delta cells when RNase H activities were abolished and significantly reduced upon overexpression of RNase H1, suggesting that loss of Elf1-related genome instability can be resolved by RNase H activities, likely through eliminating the potentially mutagenic DNA-RNA hybrids caused by RNA nuclear accumulation. Using whole genome sequencing, we mapped a few consistent suppressors of elf1Delta including mutated Cue2, Rpl2702, and SPBPJ4664.02, suggesting previously unknown functional connections between Elf1 and these proteins. Our findings describe a mechanism by which cells bearing mutations that cause fitness defects and genome instability may accelerate the fitness recovery of their population through quickly acquiring suppressors. We propose that this mechanism may be universally applicable to all microorganisms in large-population cultures. PMID- 29844135 TI - Identifying opportunities to advance practice at a large academic medical center using the ASHP Ambulatory Care Self-Assessment Tool. AB - PURPOSE: The use of the ASHP Ambulatory Care Self-Assessment Tool to advance pharmacy practice at 8 ambulatory care clinics of a large academic medical center is described. SUMMARY: The ASHP Ambulatory Care Self-Assessment Tool was developed to help ambulatory care pharmacists assess how their current practices align with the ASHP Practice Advancement Initiative. The Henry Ford Hospital Ambulatory Care Advisory Group (ACAG) opted to use the "Practitioner Track" sections of the tool to assess pharmacy practices within each of 8 ambulatory care clinics individually. The responses to self-assessment items were then compiled and discussed by ACAG members. The group identified best practices and ways to implement action items to advance ambulatory care practice throughout the institution. Three recommended action items were common to most clinics: (1) identify and evaluate solutions to deliver financially viable services, (2) develop technology to improve patient care, and (3) optimize the role of pharmacy technicians and support personnel. The ACAG leadership met with pharmacy administrators to discuss how action items that were both feasible and deemed likely to have a medium-to-high impact aligned with departmental goals and used this information to develop an ambulatory care strategic plan. This process informed and enabled initiatives to advance ambulatory care pharmacy practice within the system. CONCLUSION: The ASHP Ambulatory Care Self-Assessment Tool was useful in identifying opportunities for practice advancement in a large academic medical center. PMID- 29844134 TI - The Effect of Strong Purifying Selection on Genetic Diversity. AB - Purifying selection reduces genetic diversity, both at sites under direct selection and at linked neutral sites. This process, known as background selection, is thought to play an important role in shaping genomic diversity in natural populations. Yet despite its importance, the effects of background selection are not fully understood. Previous theoretical analyses of this process have taken a backward-time approach based on the structured coalescent. While they provide some insight, these methods are either limited to very small samples or are computationally prohibitive. Here, we present a new forward-time analysis of the trajectories of both neutral and deleterious mutations at a nonrecombining locus. We find that strong purifying selection leads to remarkably rich dynamics: neutral mutations can exhibit sweep-like behavior, and deleterious mutations can reach substantial frequencies even when they are guaranteed to eventually go extinct. Our analysis of these dynamics allows us to calculate analytical expressions for the full site frequency spectrum. We find that whenever background selection is strong enough to lead to a reduction in genetic diversity, it also results in substantial distortions to the site frequency spectrum, which can mimic the effects of population expansions or positive selection. Because these distortions are most pronounced in the low and high frequency ends of the spectrum, they become particularly important in larger samples, but may have small effects in smaller samples. We also apply our forward time framework to calculate other quantities, such as the ultimate fates of polymorphisms or the fitnesses of their ancestral backgrounds. PMID- 29844137 TI - The Cycle of Child Protection Services Involvement: A Cohort Study of Adolescent Mothers. AB - OBJECTIVES: To determine if adolescent mothers who were in the care of child protection services (CPS) when they gave birth to their first child are more likely to have that child taken into CPS care before the child's second birthday than adolescent mothers who were not in the care of CPS. METHODS: Linkable administrative data were used to create a population-based cohort of adolescent mothers whose first child was born in Manitoba, Canada between April 1, 1998, and March 31, 2013 (n = 5942). Adjusted odds ratios (aOR) of having that first child taken into care before their second birthday were compared between mothers who were in care (n = 576) and mothers who were not in care (n = 5366) at the birth of their child by using logistic regression models. RESULTS: Adolescent mothers who were in care had greater odds of having their child taken into care before the child's second birthday (aOR = 7.53; 95% confidence interval [CI] = 6.19 9.14). Specifically, their children had higher odds of being taken into care in their first week of life (aOR = 11.64; 95% CI = 8.83-15.34), between 1 week and their first birthday (aOR = 3.63; 95% CI = 2.79-4.71), and between their first and second birthday (aOR = 2.21; 95% CIl = 1.53-3.19). CONCLUSIONS: Findings support an intergenerational cycle of involvement with CPS. More and better services are required for adolescent mothers who give birth while in care of CPS. PMID- 29844136 TI - A novel high-affinity inhibitor against the human ATP-sensitive Kir6.2 channel. AB - The adenosine triphosphate (ATP)-sensitive (KATP) channels in pancreatic beta cells couple the blood glucose level to insulin secretion. KATP channels in pancreatic beta cells comprise the pore-forming Kir6.2 and the modulatory sulfonylurea receptor 1 (SUR1) subunits. Currently, there is no high-affinity and relatively specific inhibitor for the Kir6.2 pore. The importance of developing such inhibitors is twofold. First, in many cases, the lack of such an inhibitor precludes an unambiguous determination of the Kir6.2's role in certain physiological and pathological processes. This problem is exacerbated because Kir6.2 knockout mice do not yield the expected phenotypes of hyperinsulinemia and hypoglycemia, which in part, may reflect developmental adaptation. Second, mutations in Kir6.2 or SUR1 that increase the KATP current cause permanent neonatal diabetes mellitus (PNDM). Many patients who have PNDM have been successfully treated with sulphonylureas, a common class of antidiabetic drugs that bind to SUR1 and indirectly inhibit Kir6.2, thereby promoting insulin secretion. However, some PNDM-causing mutations render KATP channels insensitive to sulphonylureas. Conceptually, because these mutations are located intracellularly, an inhibitor blocking the Kir6.2 pore from the extracellular side might provide another approach to this problem. Here, by screening the venoms from >200 animals against human Kir6.2 coexpressed with SUR1, we discovered a small protein of 54 residues (SpTx-1) that inhibits the KATP channel from the extracellular side. It inhibits the channel with a dissociation constant value of 15 nM in a relatively specific manner and with an apparent one-to-one stoichiometry. SpTx-1 evidently inhibits the channel by primarily targeting Kir6.2 rather than SUR1; it inhibits not only wild-type Kir6.2 coexpressed with SUR1 but also a Kir6.2 mutant expressed without SUR1. Importantly, SpTx-1 suppresses both sulfonylurea-sensitive and -insensitive, PNDM-causing Kir6.2 mutants. Thus, it will be a valuable tool to investigate the channel's physiological and biophysical properties and to test a new strategy for treating sulfonylurea-resistant PNDM. PMID- 29844138 TI - Understanding the Intergenerational Cycle of Child Protective Service Involvement. PMID- 29844139 TI - Safety of Oral Propranolol for Infantile Hemangioma. AB - OBJECTIVES: The safety of oral propranolol for infantile hemangioma has not yet been studied at population level since the pediatric use marketing authorization was obtained in Europe. METHODS: A survey of a nationwide, claim-based observational cohort of children <3 years old, with at least 1 delivery of oral propranolol between July 2014 and June 2016, was performed by using the database of the French National Health Insurance system. Standardized morbidity ratios (SMRs) were calculated by using, from the same database, a representative random sample of nonexposed subjects. The main outcomes were hospitalizations for cardiovascular (conduction disorders, bradycardia, and hypotension), respiratory (bronchial hyperactivity and bronchospasm), or metabolic events (hypoglycemia and hyperkalaemia), identified through the hospitalization diagnostic codes of the International Classification of Diseases, 10th Revision. The main analysis was conducted separately on "healthy" children (N = 1484), that is, free from of any prespecified underlying disease and on children with 1 of these underlying diseases (N = 269). RESULTS: In all, 1753 patients <3 years of age had at least 2 deliveries of oral propranolol. In the healthy population, we observed 2 cardiovascular events (SMR = 2.8 [0-6.7]), 51 respiratory events (SMR = 1.7 [1.2 2.1]), and 3 metabolic events (SMR = 5.1 [0-10.9]). In the population with an underlying disease (mainly congenital heart disease), we observed 11 cardiovascular events leading to an SMR of 6.0 (2.5-9.6). SMRs were not significantly raised for respiratory or metabolic events in this "nonhealthy" population. CONCLUSIONS: In this study on a large continuous nationwide claims database, we confirm the safety profile of oral propranolol in healthy children to be good. PMID- 29844140 TI - Fabrication of a Corneal Model Composed of Corneal Epithelial and Endothelial Cells via a Collagen Vitrigel Membrane Functioned as an Acellular Stroma and Its Application to the Corneal Permeability Test of Chemicals. AB - A collagen vitrigel membrane (CVM) we developed can function as both a scaffold for cells and a pathway for chemicals. To extrapolate the corneal permeability of chemicals in vivo, we proposed six corneal models using the CVM. Thin and thick CVMs were used as models for Bowman's membrane (BM) and an acellular stroma (AS), respectively. Models for a corneal epithelium (CEpi), a CEpi-AS, a CEpi endothelium (Endo), and a CEpi-AS-Endo were fabricated by culturing corneal epithelial cells and/or corneal endothelial cells on the surface of CVMs. Subsequently, the permeability coefficient (Papp) value of each model was calculated using five chemicals with different molecular radii; cyanocobalamin and four fluorescein isothiocyanate-dextrans (FD) (FD-4, FD-10, FD-20, and FD 40). The slopes of Papp versus molecular radii of those chemicals in the both BM and AS models were almost similar to data using an excised rabbit corneal stroma. The ratios of Papp values in models for BM, CEpi, and CEpi-Endo against those in data using an excised rabbit cornea were calculated as 75.4-fold, 6.4-fold, and 4.5-fold for FD-4, and 38.7-fold, 10.0-fold, and 4.2-fold for FD-10, respectively. Similarly, those in models for AS, CEpi-AS, and CEpi-AS-Endo were calculated as 26.1-fold, 2.5-fold, and 0.6-fold for FD-4, and 26.1-fold, 1.5 fold, and 0.6-fold for FD-10, respectively. These results suggest that the CEpi AS-Endo model with both the barrier function of corneal cell layers and the diffusion capacity of chemicals in thick CVM is most appropriate for extrapolating the corneal permeability of chemicals in vivo. PMID- 29844141 TI - Interdisciplinary Models for Research and Clinical Endeavors in Genomic Medicine: A Scientific Statement From the American Heart Association. AB - The completion of the Human Genome Project has unleashed a wealth of human genomics information, but it remains unclear how best to implement this information for the benefit of patients. The standard approach of biomedical research, with researchers pursuing advances in knowledge in the laboratory and, separately, clinicians translating research findings into the clinic as much as decades later, will need to give way to new interdisciplinary models for research in genomic medicine. These models should include scientists and clinicians actively working as teams to study patients and populations recruited in clinical settings and communities to make genomics discoveries-through the combined efforts of data scientists, clinical researchers, epidemiologists, and basic scientists-and to rapidly apply these discoveries in the clinic for the prediction, prevention, diagnosis, prognosis, and treatment of cardiovascular diseases and stroke. The highly publicized US Precision Medicine Initiative, also known as All of Us, is a large-scale program funded by the US National Institutes of Health that will energize these efforts, but several ongoing studies such as the UK Biobank Initiative; the Million Veteran Program; the Electronic Medical Records and Genomics Network; the Kaiser Permanente Research Program on Genes, Environment and Health; and the DiscovEHR collaboration are already providing exemplary models of this kind of interdisciplinary work. In this statement, we outline the opportunities and challenges in broadly implementing new interdisciplinary models in academic medical centers and community settings and bringing the promise of genomics to fruition. PMID- 29844142 TI - Guidance is needed on valproate in pregnancy for those without capacity. PMID- 29844143 TI - Dynamic Regulation of Cerebral Blood Flow in Patients With Alzheimer Disease. AB - Cerebral autoregulation and baroreflex sensitivity are key mechanisms that maintain cerebral blood flow. This study assessed whether these control mechanisms are affected in patients with dementia and mild cognitive impairment due to Alzheimer disease, as this would increase the risks of antihypertensive treatment. We studied 53 patients with dementia (73.1 years [95% confidence interval (CI), 71.4-74.8]), 37 patients with mild cognitive impairment (69.2 years [95% CI, 66.4-72.0]), and 47 controls (69.4 years [95% CI, 68.3-70.5]). Beat-to-beat blood pressure (photoplethysmography), heart rate, and cerebral blood flow velocity (transcranial Doppler) were measured during 5-minute rest (sitting) and 5 minutes of orthostatic challenges, using repeated sit-to-stand maneuvers. Cerebral autoregulation was assessed using transfer function analysis and the autoregulatory index. Baroreflex sensitivity was estimated with transfer function analysis and by calculating the heart rate response to blood pressure changes during the orthostatic challenges. Dementia patients had the lowest cerebral blood flow velocity (P=0.004). During rest, neither transfer function analysis nor the autoregulatory index indicated impairments in cerebral autoregulation. During the orthostatic challenges, higher autoregulatory index (P=0.011) and lower transfer function gain (P=0.017), indicating better cerebral autoregulation, were found in dementia (4.56 arb. unit [95% CI, 4.14-4.97]; 0.59 cm/s per mm Hg [95% CI, 0.51-0.66]) and mild cognitive impairment (4.59 arb. unit [95% CI, 4.04-5.13]; 0.51 cm/s per mm Hg [95% CI, 0.44-0.59]) compared with controls (3.71 arb. unit [95% CI, 3.35-4.07]; 0.67 cm/s per mm Hg [95% CI, 0.59 0.74]). Baroreflex sensitivity measures did not differ between groups. In conclusion, the key mechanisms to control blood pressure and cerebral blood flow are not reduced in 2 stages of Alzheimer disease compared with controls, both in rest and during orthostatic changes that reflect daily life challenges. PMID- 29844144 TI - Vascular Nox (NADPH Oxidase) Compartmentalization, Protein Hyperoxidation, and Endoplasmic Reticulum Stress Response in Hypertension. AB - Vascular Nox (NADPH oxidase)-derived reactive oxygen species and endoplasmic reticulum (ER) stress have been implicated in hypertension. However, relationships between these processes are unclear. We hypothesized that Nox isoforms localize in a subcellular compartment-specific manner, contributing to oxidative and ER stress, which influence the oxidative proteome and vascular function in hypertension. Nox compartmentalization (cell fractionation), O2- (lucigenin), H2O2 (amplex red), reversible protein oxidation (sulfenylation), irreversible protein oxidation (protein tyrosine phosphatase, peroxiredoxin oxidation), and ER stress (PERK [protein kinase RNA-like endoplasmic reticulum kinase], IRE1alpha [inositol-requiring enzyme 1], and phosphorylation/oxidation) were studied in spontaneously hypertensive rat (SHR) vascular smooth muscle cells (VSMCs). VSMC proliferation was measured by fluorescence-activated cell sorting, and vascular reactivity assessed in stroke-prone SHR arteries by myography. Noxs were downregulated by short interfering RNA and pharmacologically. In SHR, Noxs were localized in specific subcellular regions: Nox1 in plasma membrane and Nox4 in ER. In SHR, oxidative stress was associated with increased protein sulfenylation and hyperoxidation of protein tyrosine phosphatases and peroxiredoxins. Inhibition of Nox1 (NoxA1ds), Nox1/4 (GKT137831), and ER stress (4-phenylbutyric acid/tauroursodeoxycholic acid) normalized SHR vascular reactive oxygen species generation. GKT137831 reduced IRE1alpha sulfenylation and XBP1 (X box binding protein 1) splicing in SHR. Increased VSMC proliferation in SHR was normalized by GKT137831, 4-phenylbutyric acid, and STF083010 (IRE1-XBP1 disruptor). Hypercontractility in the stroke-prone SHR was attenuated by 4 phenylbutyric acid. We demonstrate that protein hyperoxidation in hypertension is associated with oxidative and ER stress through upregulation of plasmalemmal-Nox1 and ER-Nox4. The IRE1-XBP1 pathway of the ER stress response is regulated by Nox4/reactive oxygen species and plays a role in the hyperproliferative VSMC phenotype in SHR. Our study highlights the importance of Nox subcellular compartmentalization and interplay between cytoplasmic reactive oxygen species and ER stress response, which contribute to the VSMC oxidative proteome and vascular dysfunction in hypertension. PMID- 29844145 TI - Modeling Superimposed Preeclampsia Using Ang II (Angiotensin II) Infusion in Pregnant Stroke-Prone Spontaneously Hypertensive Rats. AB - Hypertensive disorders of pregnancy are the second leading cause of maternal deaths worldwide. Superimposed preeclampsia is an increasingly common problem and often associated with impaired placental perfusion. Understanding the underlying mechanisms and developing treatment options are crucial. The pregnant stroke prone spontaneously hypertensive rat has impaired uteroplacental blood flow and abnormal uterine artery remodeling. We used Ang II (angiotensin II) infusion in pregnant stroke-prone spontaneously hypertensive rats to mimic the increased cardiovascular stress associated with superimposed preeclampsia and examine the impact on the maternal cardiovascular system and fetal development. Continuous infusion of Ang II at 500 or 1000 ng/kg per minute was administered from gestational day 10.5 until term. Radiotelemetry and echocardiography were used to monitor hemodynamic and cardiovascular changes, and urine was collected prepregnancy and throughout gestation. Uterine artery myography assessed uteroplacental vascular function and structure. Fetal measurements were made at gestational day 18.5, and placentas were collected for histological and gene expression analyses. The 1000 ng/kg per minute Ang II treatment significantly increased blood pressure (P<0.01), reduced cardiac output (P<0.05), and reduced diameter and increased stiffness of the uterine arteries (P<0.01) during pregnancy. The albumin:creatinine ratio was increased in both Ang II treatment groups (P<0.05; P<0.0001). The 1000 ng/kg per minute-treated fetuses were significantly smaller than vehicle treatment (P<0.001). Placental expression of Ang II receptors was increased in the junctional zone in 1000 ng/kg per minute Ang II-treated groups (P<0.05), with this zone showing depletion of glycogen content and structural abnormalities. Ang II infusion in pregnant stroke-prone spontaneously hypertensive rats mirrors hemodynamic, cardiac, and urinary profiles observed in preeclamptic women, with evidence of impaired fetal growth. PMID- 29844146 TI - Activin A and Late Postpartum Cardiac Dysfunction Among Women With Hypertensive Disorders of Pregnancy. AB - Women with hypertensive disorders of pregnancy have an increased risk of subsequent heart failure and cardiovascular disease when compared with women with normotensive pregnancies. Although the mechanisms underlying these findings are unclear, elevated levels of the biomarker activin A are associated with myocardial dysfunction and may have predictive value. We hypothesized that elevated levels of antepartum activin A levels would correlate with postpartum cardiac dysfunction in women with hypertensive disorders of pregnancy. We prospectively studied 85 women to determine whether increased antepartum activin A levels were associated with cardiac dysfunction at 1 year postpartum as measured by global longitudinal strain. Thirty-two patients were diagnosed with preeclampsia, 28 were diagnosed with gestational or chronic hypertension, and the remainder were nonhypertensive controls. Activin A levels were measured with ELISA both in the third antepartum trimester and at 1 year postpartum. Comprehensive echocardiograms including measurement of global longitudinal strain were also performed at enrollment and at 1 year postpartum. Antepartum activin A levels correlated with worsening antepartum global longitudinal strain (r=0.70; P=0.0001). Across the entire cohort, elevated antepartum activin A levels were associated with the development of abnormal global longitudinal strain at 1 year (C statistic 0.74; P=0.004). This association remained significant after multivariable adjustment for clinically relevant confounders (C statistic 0.93; P=0.01). Postpartum activin A levels also correlated with increasing left ventricular mass index (P=0.02), increasing mean arterial pressures (P=0.02), and decreasing E' values (P=0.01). Activin A may be a useful tool for identifying and monitoring patients at risk for postpartum development of cardiovascular disease. PMID- 29844147 TI - Stay in Shape With BH4: Loss of Endothelial Tetrahydrobiopterin Promotes Aortic Aneurysm Development in Mice. PMID- 29844148 TI - Blood Pressure and Cerebral Blood Flow in Alzheimer Disease. PMID- 29844149 TI - When Guideline Authors Ignore Their Own Guidelines. PMID- 29844150 TI - To Be, or Nox to Be, Endoplasmic Reticulum Stress in Hypertension. PMID- 29844151 TI - Cerebrospinal Fluid Protein Changes in Preeclampsia. AB - The molecular mechanisms underlying seizure susceptibility in preeclampsia are unknown. We hypothesized that altered expression of distinct proteins in the cerebrospinal fluid (CSF) may reflect pathophysiological changes in the central nervous system that contribute to the neurological manifestations of severe preeclampsia. We obtained CSF samples from 13 patients with preeclampsia and 14 control patients during spinal anesthesia before delivery and analyzed them by SOMAscan, an aptamer-based proteomics platform for alterations in 1310 protein levels. Ingenuity Pathway Analysis was conducted to highlight relationships between preeclampsia-specific proteins found to be significantly altered. For 2 of the target proteins, we validated the difference in CSF concentrations by ELISA. SOMAscan revealed 82 proteins, whose expression levels were significantly different (P<0.05) in CSF from patients with preeclampsia versus controls. Principal component analysis achieved perfect separation of the preeclampsia and control groups in 2 dimensions. The differentially expressed proteins converge around 4 signaling molecules: TGF-beta (transforming growth factor-beta), VEGFA (vascular endothelial growth factor A), angiotensinogen, and IL-6 (interleukin 6). Within the TGF-beta pathway, upregulation of activin A (301.6+/-47.4 versus 151.6+/-20.5 pg/mL; P=0.0074) and follistatin-related gene (5129+/-347 versus 3016+/-188 pg/mL; P<0.0001) in preeclampsia was confirmed by ELISA. In summary, signaling pathways important for vascular remodeling, inflammation, and neuronal growth, signaling, and electrophysiology were well represented among the proteins found to be altered in CSF in patients with preeclampsia. PMID- 29844153 TI - Preeclampsia: What Does the Brain Tell Us? Can We Blame the Eclampsia Risk on a Malperfused Placenta? PMID- 29844152 TI - Endothelial Cell Tetrahydrobiopterin Modulates Sensitivity to Ang (Angiotensin) II-Induced Vascular Remodeling, Blood Pressure, and Abdominal Aortic Aneurysm. AB - GTPCH (GTP cyclohydrolase 1, encoded by Gch1) is required for the synthesis of tetrahydrobiopterin; a critical regulator of endothelial NO synthase function. We have previously shown that mice with selective loss of Gch1 in endothelial cells have mild vascular dysfunction, but the consequences of endothelial cell tetrahydrobiopterin deficiency in vascular disease pathogenesis are unknown. We investigated the pathological consequence of Ang (angiotensin) II infusion in endothelial cell Gch1 deficient (Gch1fl/fl Tie2cre) mice. Ang II (0.4 mg/kg per day, delivered by osmotic minipump) caused a significant decrease in circulating tetrahydrobiopterin levels in Gch1fl/fl Tie2cre mice and a significant increase in the Nomega-nitro-L-arginine methyl ester inhabitable production of H2O2 in the aorta. Chronic treatment with this subpressor dose of Ang II resulted in a significant increase in blood pressure only in Gch1fl/fl Tie2cre mice. This finding was mirrored with acute administration of Ang II, where increased sensitivity to Ang II was observed at both pressor and subpressor doses. Chronic Ang II infusion in Gch1fl/fl Tie2ce mice resulted in vascular dysfunction in resistance mesenteric arteries with an enhanced constrictor and decreased dilator response and medial hypertrophy. Altered vascular remodeling was also observed in the aorta with an increase in the incidence of abdominal aortic aneurysm formation in Gch1fl/fl Tie2ce mice. These findings indicate a specific requirement for endothelial cell tetrahydrobiopterin in modulating the hemodynamic and structural changes induced by Ang II, through modulation of blood pressure, structural changes in resistance vessels, and aneurysm formation in the aorta. PMID- 29844154 TI - Prescribing in pregnancy shows the weaknesses in pharmacovigilance. PMID- 29844155 TI - QnAs with Joanne Chory. PMID- 29844156 TI - TAp73 contributes to the oxidative stress response by regulating protein synthesis. AB - TAp73 is a transcription factor that plays key roles in brain development, aging, and cancer. At the cellular level, TAp73 is a critical homeostasis-maintaining factor, particularly following oxidative stress. Although major studies focused on TAp73 transcriptional activities have indicated a contribution of TAp73 to cellular metabolism, the mechanisms underlying its role in redox homeostasis have not been completely elucidated. Here we show that TAp73 contributes to the oxidative stress response by participating in the control of protein synthesis. Regulation of mRNA translation occupies a central position in cellular homeostasis during the stress response, often by reducing global rates of protein synthesis and promoting translation of specific mRNAs. TAp73 depletion results in aberrant ribosomal RNA (rRNA) processing and impaired protein synthesis. In particular, polysomal profiles show that TAp73 promotes the integration of mRNAs that encode rRNA-processing factors in polysomes, supporting their translation. Concurrently, TAp73 depletion causes increased sensitivity to oxidative stress that correlates with reduced ATP levels, hyperactivation of AMPK, and translational defects. TAp73 is important for maintaining active translation of mitochondrial transcripts in response to oxidative stress, thus promoting mitochondrial activity. Our results indicate that TAp73 contributes to redox homeostasis by affecting the translational machinery, facilitating the translation of specific mitochondrial transcripts. This study identifies a mechanism by which TAp73 contributes to the oxidative stress response and describes a completely unexpected role for TAp73 in regulating protein synthesis. PMID- 29844157 TI - Genome-wide regulation of light-controlled seedling morphogenesis by three families of transcription factors. AB - Three families of transcription factors have been reported to play key roles in light control of Arabidopsis seedling morphogenesis. Among them, bHLH protein PIFs and plant-specific protein EIN3/EIN3-LIKE 1 (EIN3/EIL1) accumulate in the dark to maintain skotomorphogenesis. On the other hand, HY5 and HY5 HOMOLOG (HYH), two related bZIP proteins, are stabilized in light and promote photomorphogenic development. To systemically investigate the transcriptional regulation of light-controlled seedling morphogenesis, we generated HY5ox/pifQein3eil1, which contained mutations of EIN3/EIL1 and four PIF genes (pifQein3eil1) and overexpression of HY5 Our results show that dark-grown HY5ox/pifQein3eil1 seedlings display a photomorphogenesis highly similar to that of wild-type seedlings grown in continuous light, with remarkably enhanced photomorphogenic phenotypes compared with the pifQ mutants. Consistent with the genetic evidence, transcriptome analysis indicated that PIFs, EIN3/EIL1, and HY5 are dominant transcription factors in collectively mediating a wide range of light-caused genome-wide transcriptional changes. Moreover, PIFs and EIN3/EIL1 independently control the expression of light-regulated genes such as HLS1 to cooperatively regulate apical hook formation, hypocotyl elongation, and cotyledon opening and expansion. This study illustrates a comprehensive regulatory network of transcription activities that correspond to specific morphological aspects in seedling skotomorphogenesis and photomorphogenesis. PMID- 29844159 TI - Mediator subunit MED31 is required for radial patterning of Arabidopsis roots. AB - Stem cell specification in multicellular organisms relies on the precise spatiotemporal control of RNA polymerase II (Pol II)-dependent gene transcription, in which the evolutionarily conserved Mediator coactivator complex plays an essential role. In Arabidopsis thaliana, SHORTROOT (SHR) and SCARECROW (SCR) orchestrate a transcriptional program that determines the fate and asymmetrical divisions of stem cells generating the root ground tissue. The mechanism by which SHR/SCR relays context-specific regulatory signals to the Pol II general transcription machinery is unknown. Here, we report the role of Mediator in controlling the spatiotemporal transcriptional output of SHR/SCR during asymmetrical division of stem cells and ground tissue patterning. The Mediator subunit MED31 interacted with SCR but not SHR. Reduction of MED31 disrupted the spatiotemporal activation of CYCLIND6;1 (CYCD6;1), leading to defective asymmetrical division of stem cells generating ground tissue. MED31 was recruited to the promoter of CYCD6;1 in an SCR-dependent manner. MED31 was involved in the formation of a dynamic MED31/SCR/SHR ternary complex through the interface protein SCR. We demonstrate that the relative protein abundance of MED31 and SHR in different cell types regulates the dynamic formation of the ternary complex, which provides a tunable switch to strictly control the spatiotemporal transcriptional output. This study provides valuable clues to understand the mechanism by which master transcriptional regulators control organ patterning. PMID- 29844158 TI - Protein kinase Calpha gain-of-function variant in Alzheimer's disease displays enhanced catalysis by a mechanism that evades down-regulation. AB - Conventional protein kinase C (PKC) family members are reversibly activated by binding to the second messengers Ca2+ and diacylglycerol, events that break autoinhibitory constraints to allow the enzyme to adopt an active, but degradation-sensitive, conformation. Perturbing these autoinhibitory constraints, resulting in protein destabilization, is one of many mechanisms by which PKC function is lost in cancer. Here, we address how a gain-of-function germline mutation in PKCalpha in Alzheimer's disease (AD) enhances signaling without increasing vulnerability to down-regulation. Biochemical analyses of purified protein demonstrate that this mutation results in an ~30% increase in the catalytic rate of the activated enzyme, with no changes in the concentrations of Ca2+ or lipid required for half-maximal activation. Molecular dynamics simulations reveal that this mutation has both localized and allosteric effects, most notably decreasing the dynamics of the C-helix, a key determinant in the catalytic turnover of kinases. Consistent with this mutation not altering autoinhibitory constraints, live-cell imaging studies reveal that the basal signaling output of PKCalpha-M489V is unchanged. However, the mutant enzyme in cells displays increased sensitivity to an inhibitor that is ineffective toward scaffolded PKC, suggesting the altered dynamics of the kinase domain may influence protein interactions. Finally, we show that phosphorylation of a key PKC substrate, myristoylated alanine-rich C-kinase substrate, is increased in brains of CRISPR-Cas9 genome-edited mice containing the PKCalpha-M489V mutation. Our results unveil how an AD-associated mutation in PKCalpha permits enhanced agonist-dependent signaling via a mechanism that evades the cell's homeostatic down-regulation of constitutively active PKCalpha. PMID- 29844160 TI - Selection of Plasmodium falciparum cytochrome B mutants by putative PfNDH2 inhibitors. AB - Malaria control is threatened by a limited pipeline of effective pharmaceuticals against drug-resistant strains of Plasmodium falciparum Components of the mitochondrial electron transport chain (ETC) are attractive targets for drug development, owing to exploitable differences between the parasite and human ETC. Disruption of ETC function interferes with metabolic processes including de novo pyrimidine synthesis, essential for nucleic acid replication. We investigated the effects of ETC inhibitor selection on two distinct P. falciparum clones, Dd2 and 106/1. Compounds CK-2-68 and RYL-552, substituted quinolones reported to block P. falciparum NADH dehydrogenase 2 (PfNDH2; a type II NADH:quinone oxidoreductase), unexpectedly selected mutations at the quinol oxidation (Qo) pocket of P. falciparum cytochrome B (PfCytB). Selection experiments with atovaquone (ATQ) on 106/1 parasites yielded highly resistant PfCytB Y268S mutants seen in clinical infections that fail ATQ-proguanil treatment. In contrast, ATQ pressure on Dd2 yielded moderately resistant parasites carrying a PfCytB M133I or K272R mutation. Strikingly, all ATQ-selected mutants demonstrated little change or slight increase of sensitivity to CK-2-68 or RYL-552. Molecular docking studies demonstrated binding of all three ETC inhibitors to the Qo pocket of PfCytB, where Y268 forms strong van der Waals interactions with the hydroxynaphthoquinone ring of ATQ but not the quinolone ring of CK-2-68 or RYL-552. Our results suggest that combinations of suitable ETC inhibitors may be able to subvert or delay the development of P. falciparum drug resistance. PMID- 29844161 TI - Exceptionally high levels of lead pollution in the Balkans from the Early Bronze Age to the Industrial Revolution. AB - The Balkans are considered the birthplace of mineral resource exploitation and metalworking in Europe. However, since knowledge of the timing and extent of metallurgy in southeastern Europe is largely constrained by discontinuous archaeological findings, the long-term environmental impact of past mineral resource exploitation is not fully understood. Here, we present a high-resolution and continuous geochemical record from a peat bog in western Serbia, providing a clear indication of the extent and magnitude of environmental pollution in this region, and a context in which to place archaeological findings. We observe initial evidence of anthropogenic lead (Pb) pollution during the earliest part of the Bronze Age [~3,600 years before Common Era (BCE)], the earliest such evidence documented in European environmental records. A steady, almost linear increase in Pb concentration after 600 BCE, until ~1,600 CE is observed, documenting the development in both sophistication and extent of southeastern European metallurgical activity throughout Antiquity and the medieval period. This provides an alternative view on the history of mineral exploitation in Europe, with metal-related pollution not ceasing at the fall of the western Roman Empire, as was the case in western Europe. Further comparison with other Pb pollution records indicates the amount of Pb deposited in the Balkans during the medieval period was, if not greater, at least similar to records located close to western European mining regions, suggestive of the key role the Balkans have played in mineral resource exploitation in Europe over the last 5,600 years. PMID- 29844162 TI - NT3-chitosan enables de novo regeneration and functional recovery in monkeys after spinal cord injury. AB - Spinal cord injury (SCI) often leads to permanent loss of motor, sensory, and autonomic functions. We have previously shown that neurotrophin3 (NT3)-loaded chitosan biodegradable material allowed for prolonged slow release of NT3 for 14 weeks under physiological conditions. Here we report that NT3-loaded chitosan, when inserted into a 1-cm gap of hemisectioned and excised adult rhesus monkey thoracic spinal cord, elicited robust axonal regeneration. Labeling of cortical motor neurons indicated motor axons in the corticospinal tract not only entered the injury site within the biomaterial but also grew across the 1-cm-long lesion area and into the distal spinal cord. Through a combination of magnetic resonance diffusion tensor imaging, functional MRI, electrophysiology, and kinematics-based quantitative walking behavioral analyses, we demonstrated that NT3-chitosan enabled robust neural regeneration accompanied by motor and sensory functional recovery. Given that monkeys and humans share similar genetics and physiology, our method is likely translatable to human SCI repair. PMID- 29844164 TI - QnAs with Caroline Dean. PMID- 29844163 TI - Doc2-mediated superpriming supports synaptic augmentation. AB - Various forms of synaptic plasticity underlie aspects of learning and memory. Synaptic augmentation is a form of short-term plasticity characterized by synaptic enhancement that persists for seconds following specific patterns of stimulation. The mechanisms underlying this form of plasticity are unclear but are thought to involve residual presynaptic Ca2+ Here, we report that augmentation was reduced in cultured mouse hippocampal neurons lacking the Ca2+ sensor, Doc2; other forms of short-term enhancement were unaffected. Doc2 binds Ca2+ and munc13 and translocates to the plasma membrane to drive augmentation. The underlying mechanism was not associated with changes in readily releasable pool size or Ca2+ dynamics, but rather resulted from superpriming a subset of synaptic vesicles. Hence, Doc2 forms part of the Ca2+-sensing apparatus for synaptic augmentation via a mechanism that is molecularly distinct from other forms of short-term plasticity. PMID- 29844165 TI - The glycerol backbone of phospholipids derives from noncarbohydrate precursors in starved lung cancer cells. AB - Cancer cells are reprogrammed to consume large amounts of glucose to support anabolic biosynthetic pathways. However, blood perfusion and consequently the supply with glucose are frequently inadequate in solid cancers. PEPCK-M (PCK2), the mitochondrial isoform of phosphoenolpyruvate carboxykinase (PEPCK), has been shown by us and others to be functionally expressed and to mediate gluconeogenesis, the reverse pathway of glycolysis, in different cancer cells. Serine and ribose synthesis have been identified as downstream pathways fed by PEPCK in cancer cells. Here, we report that PEPCK-M-dependent glycerol phosphate formation from noncarbohydrate precursors (glyceroneogenesis) occurs in starved lung cancer cells and supports de novo glycerophospholipid synthesis. Using stable isotope-labeled glutamine and lactate, we show that PEPCK-M generates phosphoenolpyruvate and 3-phosphoglycerate, which are at least partially converted to glycerol phosphate and incorporated into glycerophospholipids (GPL) under glucose and serum starvation. This pathway is required to maintain levels of GPL, especially phosphatidylethanolamine (PE), as shown by stable shRNA mediated silencing of PEPCK-M in H23 lung cancer cells. PEPCK-M shRNA led to reduced colony formation after starvation, and the effect was partially reversed by the addition of dioleyl-PE. Furthermore, PEPCK-M silencing abrogated cancer growth in a lung cancer cell xenograft model. In conclusion, glycerol phosphate formation for de novo GPL synthesis via glyceroneogenesis is a newly characterized anabolic pathway in cancer cells mediated by PEPCK-M under conditions of severe nutrient deprivation. PMID- 29844166 TI - Limiting global-mean temperature increase to 1.5-2 degrees C could reduce the incidence and spatial spread of dengue fever in Latin America. AB - The Paris Climate Agreement aims to hold global-mean temperature well below 2 degrees C and to pursue efforts to limit it to 1.5 degrees C above preindustrial levels. While it is recognized that there are benefits for human health in limiting global warming to 1.5 degrees C, the magnitude with which those societal benefits will be accrued remains unquantified. Crucial to public health preparedness and response is the understanding and quantification of such impacts at different levels of warming. Using dengue in Latin America as a study case, a climate-driven dengue generalized additive mixed model was developed to predict global warming impacts using five different global circulation models, all scaled to represent multiple global-mean temperature assumptions. We show that policies to limit global warming to 2 degrees C could reduce dengue cases by about 2.8 (0.8-7.4) million cases per year by the end of the century compared with a no policy scenario that warms by 3.7 degrees C. Limiting warming further to 1.5 degrees C produces an additional drop in cases of about 0.5 (0.2-1.1) million per year. Furthermore, we found that by limiting global warming we can limit the expansion of the disease toward areas where incidence is currently low. We anticipate our study to be a starting point for more comprehensive studies incorporating socioeconomic scenarios and how they may further impact dengue incidence. Our results demonstrate that although future climate change may amplify dengue transmission in the region, impacts may be avoided by constraining the level of warming. PMID- 29844167 TI - Diverse AR-V7 cistromes in castration-resistant prostate cancer are governed by HoxB13. AB - The constitutively active androgen receptor (AR) splice variant 7 (AR-V7) plays an important role in the progression of castration-resistant prostate cancer (CRPC). Although biomarker studies established the role of AR-V7 in resistance to AR-targeting therapies, how AR-V7 mediates genomic functions in CRPC remains largely unknown. Using a ChIP-exo approach, we show AR-V7 binds to distinct genomic regions and recognizes a full-length androgen-responsive element in CRPC cells and patient tissues. Remarkably, we find dramatic differences in AR-V7 cistromes across diverse CRPC cells and patient tissues, regulating different target gene sets involved in CRPC progression. Surprisingly, we discover that HoxB13 is universally required for and colocalizes with AR-V7 binding to open chromatin across CRPC genomes. HoxB13 pioneers AR-V7 binding through direct physical interaction, and collaborates with AR-V7 to up-regulate target oncogenes. Transcriptional coregulation by HoxB13 and AR-V7 was further supported by their coexpression in tumors and circulating tumor cells from CRPC patients. Importantly, HoxB13 silencing significantly decreases CRPC growth through inhibition of AR-V7 oncogenic function. These results identify HoxB13 as a pivotal upstream regulator of AR-V7-driven transcriptomes that are often cell context-dependent in CRPC, suggesting that HoxB13 may serve as a therapeutic target for AR-V7-driven prostate tumors. PMID- 29844169 TI - How electrostatic networks modulate specificity and stability of collagen. AB - One-quarter of the 28 types of natural collagen exist as heterotrimers. The oligomerization state of collagen affects the structure and mechanics of the extracellular matrix, providing essential cues to modulate biological and pathological processes. A lack of high-resolution structural information limits our mechanistic understanding of collagen heterospecific self-assembly. Here, the 1.77-A resolution structure of a synthetic heterotrimer demonstrates the balance of intermolecular electrostatics and hydrogen bonding that affects collagen stability and heterospecificity of assembly. Atomistic simulations and mutagenesis based on the solved structure are used to explore the contributions of specific interactions to energetics. A predictive model of collagen stability and specificity is developed for engineering novel collagen structures. PMID- 29844168 TI - Activated integrins identify functional antigen-specific CD8+ T cells within minutes after antigen stimulation. AB - Immediate beta2-integrin activation upon T cell receptor stimulation is critical for effective interaction between T cells and their targets and may therefore be used for the rapid identification and isolation of functional T cells. We present a simple and sensitive flow cytometry-based assay to assess antigen-specific T cells using fluorescent intercellular adhesion molecule (ICAM)-1 multimers that specifically bind to activated beta2-integrins. The method is compatible with surface and intracellular staining; it is applicable for monitoring of a broad range of virus-, tumor-, and vaccine-specific CD8+ T cells, and for isolating viable antigen-reacting cells. ICAM-1 binding correlates with peptide-MHC multimer binding but, notably, it identifies the fraction of antigen-specific CD8+ T cells with immediate and high functional capability (i.e., expressing high levels of cytotoxic markers and cytokines). Compared with the currently available methods, staining of activated beta2-integrins presents the unique advantage of requiring activation times of only several minutes, therefore delivering functional information nearly reflecting the in vivo situation. Hence, the ICAM-1 assay is most suitable for rapid and precise monitoring of functional antigen specific T cell responses, including for patient samples in a variety of clinical settings, as well as for the isolation of functional T cells for adoptive cell transfer immunotherapies. PMID- 29844170 TI - Structural basis for MTR4-ZCCHC8 interactions that stimulate the MTR4 helicase in the nuclear exosome-targeting complex. AB - The nuclear exosome-targeting (NEXT) complex functions as an RNA exosome cofactor and is involved in surveillance and turnover of aberrant transcripts and noncoding RNAs. NEXT is a ternary complex composed of the RNA-binding protein RBM7, the scaffold zinc-knuckle protein ZCCHC8, and the helicase MTR4. While RNA interactions with RBM7 are known, it remains unclear how NEXT subunits collaborate to recognize and prepare substrates for degradation. Here, we show that MTR4 helicase activity is enhanced when associated with RBM7 and ZCCHC8. While uridine-rich substrates interact with RBM7 and are preferred, optimal activity is observed when substrates include a polyadenylated 3' end. We identify a bipartite interaction of ZCCHC8 with MTR4 and uncover a role for the conserved C-terminal domain of ZCCHC8 in stimulating MTR4 helicase and ATPase activities. A crystal structure reveals that the ZCCHC8 C-terminal domain binds the helicase core in a manner that is distinct from that observed for Saccharomyces cerevisiae exosome cofactors Trf4p and Air2p. Our results are consistent with a model whereby effective targeting of substrates by NEXT entails recognition of elements within the substrate and activation of MTR4 helicase activity. PMID- 29844171 TI - Dynamic action potential clamp predicts functional separation in mild familial and severe de novo forms of SCN2A epilepsy. AB - De novo variants in SCN2A developmental and epileptic encephalopathy (DEE) show distinctive genotype-phenotype correlations. The two most recurrent SCN2A variants in DEE, R1882Q and R853Q, are associated with different ages and seizure types at onset. R1882Q presents on day 1 of life with focal seizures, while infantile spasms is the dominant seizure type seen in R853Q cases, presenting at a median age of 8 months. Voltage clamp, which characterizes the functional properties of ion channels, predicted gain-of-function for R1882Q and loss-of function for R853Q. Dynamic action potential clamp, that we implement here as a method for modeling neurophysiological consequences of a given epilepsy variant, predicted that the R1882Q variant would cause a dramatic increase in firing, whereas the R853Q variant would cause a marked reduction in action potential firing. Dynamic clamp was also able to functionally separate the L1563V variant, seen in benign familial neonatal-infantile seizures from R1882Q, seen in DEE, suggesting a diagnostic potential for this type of analysis. Overall, the study shows a strong correlation between clinical phenotype, SCN2A genotype, and functional modeling. Dynamic clamp is well positioned to impact our understanding of pathomechanisms and for development of disease mechanism-targeted therapies in genetic epilepsy. PMID- 29844173 TI - Correction for Nepomnyachiy et al., Complex evolutionary footprints revealed in an analysis of reused protein segments of diverse lengths. PMID- 29844172 TI - Mesenchymal MAPKAPK2/HSP27 drives intestinal carcinogenesis. AB - Mesenchymal cells in the microenvironment of cancer exert important functions in tumorigenesis; however, little is known of intrinsic pathways that mediate these effects. MAPK signals, such as from MAPKAPK2 (MK2) are known to modulate tumorigenesis, yet their cell-specific role has not been determined. Here, we studied the cell-specific role of MK2 in intestinal carcinogenesis using complete and conditional ablation of MK2. We show that both genetic and chemical inhibition of MK2 led to decreased epithelial cell proliferation, associated with reduced tumor growth and invasive potential in the Apcmin/+ mouse model. Notably, this function of MK2 was not mediated by its well-described immunomodulatory role in immune cells. Deletion of MK2 in intestinal mesenchymal cells (IMCs) led to both reduced tumor multiplicity and growth. Mechanistically, MK2 in IMCs was required for Hsp27 phosphorylation and the production of downstream tumorigenic effector molecules, dominantly affecting epithelial proliferation, apoptosis, and angiogenesis. Genetic ablation of MK2 in intestinal epithelial or endothelial cells was less effective in comparison with its complete deletion, leading to reduction of tumor size via modulation of epithelial apoptosis and angiogenesis associated proliferation, respectively. Similar results were obtained in a model of colitis-associated carcinogenesis, indicating a mesenchymal-specific role for MK2 also in this model. Our findings demonstrate the central pathogenic role of mesenchymal-specific MK2/Hsp27 axis in tumorigenesis and highlight the value of mesenchymal MK2 inhibition in the treatment of cancer. PMID- 29844174 TI - Face recognition accuracy of forensic examiners, superrecognizers, and face recognition algorithms. AB - Achieving the upper limits of face identification accuracy in forensic applications can minimize errors that have profound social and personal consequences. Although forensic examiners identify faces in these applications, systematic tests of their accuracy are rare. How can we achieve the most accurate face identification: using people and/or machines working alone or in collaboration? In a comprehensive comparison of face identification by humans and computers, we found that forensic facial examiners, facial reviewers, and superrecognizers were more accurate than fingerprint examiners and students on a challenging face identification test. Individual performance on the test varied widely. On the same test, four deep convolutional neural networks (DCNNs), developed between 2015 and 2017, identified faces within the range of human accuracy. Accuracy of the algorithms increased steadily over time, with the most recent DCNN scoring above the median of the forensic facial examiners. Using crowd-sourcing methods, we fused the judgments of multiple forensic facial examiners by averaging their rating-based identity judgments. Accuracy was substantially better for fused judgments than for individuals working alone. Fusion also served to stabilize performance, boosting the scores of lower performing individuals and decreasing variability. Single forensic facial examiners fused with the best algorithm were more accurate than the combination of two examiners. Therefore, collaboration among humans and between humans and machines offers tangible benefits to face identification accuracy in important applications. These results offer an evidence-based roadmap for achieving the most accurate face identification possible. PMID- 29844176 TI - Correction for Spence et al., Revealing the specificity of regulatory T cells in murine autoimmune diabetes. PMID- 29844175 TI - Increase in chemokine CXCL1 by ERbeta ligand treatment is a key mediator in promoting axon myelination. AB - Estrogen receptor beta (ERbeta) ligands promote remyelination in mouse models of multiple sclerosis. Recent work using experimental autoimmune encephalomyelitis (EAE) has shown that ERbeta ligands induce axon remyelination, but impact peripheral inflammation to varying degrees. To identify if ERbeta ligands initiate a common immune mechanism in remyelination, central and peripheral immunity and pathology in mice given ERbeta ligands at peak EAE were assessed. All ERbeta ligands induced differential expression of cytokines and chemokines, but increased levels of CXCL1 in the periphery and in astrocytes. Oligodendrocyte CXCR2 binds CXCL1 and has been implicated in normal myelination. In addition, despite extensive immune cell accumulation in the CNS, all ERbeta ligands promoted extensive remyelination in mice at peak EAE. This finding highlights a component of the mechanism by which ERbeta ligands mediate remyelination. Hence, interplay between the immune system and central nervous system may be responsible for the remyelinating effects of ERbeta ligands. Our findings of potential neuroprotective benefits arising from the presence of CXCL1 could have implications for improved therapies for multiple sclerosis. PMID- 29844177 TI - Functional diversification of Arabidopsis SEC1-related SM proteins in cytokinetic and secretory membrane fusion. AB - Sec1/Munc18 (SM) proteins contribute to membrane fusion by interacting with Qa SNAREs or nascent trans-SNARE complexes. Gymnosperms and the basal angiosperm Amborella have only a single SEC1 gene related to the KEULE gene in Arabidopsis However, the genomes of most angiosperms including Arabidopsis encode three SEC1 related SM proteins of which only KEULE has been functionally characterized as interacting with the cytokinesis-specific Qa-SNARE KNOLLE during cell-plate formation. Here we analyze the closest paralog of KEULE named SEC1B. In contrast to the cytokinesis defects of keule mutants, sec1b mutants are homozygous viable. However, the keule sec1b double mutant was nearly gametophytically lethal, displaying collapsed pollen grains, which suggests substantial overlap between SEC1B and KEULE functions in secretion-dependent growth. SEC1B had a strong preference for interaction with the evolutionarily ancient Qa-SNARE SYP132 involved in secretion and cytokinesis, whereas KEULE interacted with both KNOLLE and SYP132. This differential interaction with Qa-SNAREs is likely conferred by domains 1 and 2a of the two SM proteins. Comparative analysis of all four possible combinations of the relevant SEC1 Qa-SNARE double mutants revealed that in cytokinesis, the interaction of SEC1B with KNOLLE plays no role, whereas the interaction of KEULE with KNOLLE is prevalent and functionally as important as the interactions of both SEC1B and KEU with SYP132 together. Our results suggest that functional diversification of the two SEC1-related SM proteins during angiosperm evolution resulted in enhanced interaction of SEC1B with Qa-SNARE SYP132, and thus a predominant role of SEC1B in secretion. PMID- 29844179 TI - Experimental evidence for delayed contingent cooperation among wild dwarf mongooses. AB - Many animals participate in biological markets, with strong evidence existing for immediate cooperative trades. In particular, grooming is often exchanged for itself or other commodities, such as coalitionary support or access to food and mates. More contentious is the possibility that nonhuman animals can rely on memories of recent events, providing contingent cooperation even when there is a temporal delay between two cooperative acts. Here we provide experimental evidence of delayed cross-commodity grooming exchange in wild dwarf mongooses (Helogale parvula). First, we use natural observations and social-network analyses to demonstrate a positive link between grooming and sentinel behavior (acting as a raised guard). Group members who contributed more to sentinel behavior received more grooming and had a better social-network position. We then used a field-based playback experiment to test a causal link between contributions to sentinel behavior and grooming received later in the day. During 3-h trial sessions, the perceived sentinel contributions of a focal individual were either up-regulated (playback of its surveillance calls, which are given naturally during sentinel bouts) or unmanipulated (playback of its foraging close calls as a control). On returning to the sleeping refuge at the end of the day, focal individuals received more grooming following surveillance-call playback than control-call playback and more grooming than a matched individual whose sentinel contributions were not up-regulated. We believe our study therefore provides experimental evidence of delayed contingent cooperation in a wild nonprimate species. PMID- 29844178 TI - Fluctuating hydrogen-bond networks govern anomalous electron transfer kinetics in a blue copper protein. AB - We combine experimental and computational methods to address the anomalous kinetics of long-range electron transfer (ET) in mutants of Pseudomonas aeruginosa azurin. ET rates and driving forces for wild type (WT) and three N47X mutants (X = L, S, and D) of Ru(2,2'-bipyridine)2 (imidazole)(His83) azurin are reported. An enhanced ET rate for the N47L mutant suggests either an increase of the donor-acceptor (DA) electronic coupling or a decrease in the reorganization energy for the reaction. The underlying atomistic features are investigated using a recently developed nonadiabatic molecular dynamics method to simulate ET in each of the azurin mutants, revealing unexpected aspects of DA electronic coupling. In particular, WT azurin and all studied mutants exhibit more DA compression during ET (>2 A) than previously recognized. Moreover, it is found that DA compression involves an extended network of hydrogen bonds, the fluctuations of which gate the ET reaction, such that DA compression is facilitated by transiently rupturing hydrogen bonds. It is found that the N47L mutant intrinsically disrupts this hydrogen-bond network, enabling particularly facile DA compression. This work, which reveals the surprisingly fluctional nature of ET in azurin, suggests that hydrogen-bond networks can modulate the efficiency of long-range biological ET. PMID- 29844181 TI - Mapping an ancient city with a century of remotely sensed data. AB - The rapidly growing global population places cultural heritage at great risk, and the encroachment of modern settlement on archaeological sites means that valuable information about how past societies worked and interacted with the environment is lost. To manage and mitigate these risks, we require knowledge about what has been lost and what remains, so we can actively decide what should be investigated and what should be preserved for the future. Remote sensing provides archaeologists with some of the tools we need to do this. In this paper we explore the application of multitemporal, multisensor data to map features and chart the impacts of urban encroachment on the ancient city of Jerash (in modern Jordan) by combining archives of aerial photography dating back to 1917 with state-of-the-art airborne laser scanning. The combined results revealed details of the water distribution system and the ancient city plan. This demonstrates that by combining historical images with modern aerial and ground-based data we can successfully detect and contextualize these features and thus achieve a better understanding of life in a city in the past. These methods are essential, given that much of the ancient city has been lost to modern development and the historical imagery is often our only source of information. PMID- 29844182 TI - MINFLUX monitors rapid molecular jumps with superior spatiotemporal resolution. AB - Compared with localization schemes solely based on evaluating patterns of molecular emission, the recently introduced single-molecule localization concept called MINFLUX and the fluorescence nanoscopies derived from it require up to orders of magnitude fewer emissions to attain single-digit nanometer resolution. Here, we demonstrate that the lower number of required fluorescence photons enables MINFLUX to detect molecular movements of a few nanometers at a temporal sampling of well below 1 millisecond. Using fluorophores attached to thermally fluctuating DNA strands as model systems, we demonstrate that measurement times as short as 400 microseconds suffice to localize fluorescent molecules with ~2-nm precision. Such performance is out of reach for popular camera-based localization by centroid calculation of emission diffraction patterns. Since theoretical limits have not been reached, our results show that emerging MINFLUX nanoscopy bears great potential for dissecting the motions of individual (macro)molecules at hitherto-unattained combinations of spatial and temporal resolution. PMID- 29844180 TI - In vitro reconstitution of sortase-catalyzed pilus polymerization reveals structural elements involved in pilin cross-linking. AB - Covalently cross-linked pilus polymers displayed on the cell surface of Gram positive bacteria are assembled by class C sortase enzymes. These pilus-specific transpeptidases located on the bacterial membrane catalyze a two-step protein ligation reaction, first cleaving the LPXTG motif of one pilin protomer to form an acyl-enzyme intermediate and then joining the terminal Thr to the nucleophilic Lys residue residing within the pilin motif of another pilin protomer. To date, the determinants of class C enzymes that uniquely enable them to construct pili remain unknown. Here, informed by high-resolution crystal structures of corynebacterial pilus-specific sortase (SrtA) and utilizing a structural variant of the enzyme (SrtA2M), whose catalytic pocket has been unmasked by activating mutations, we successfully reconstituted in vitro polymerization of the cognate major pilin (SpaA). Mass spectrometry, electron microscopy, and biochemical experiments authenticated that SrtA2M synthesizes pilus fibers with correct Lys Thr isopeptide bonds linking individual pilins via a thioacyl intermediate. Structural modeling of the SpaA-SrtA-SpaA polymerization intermediate depicts SrtA2M sandwiched between the N- and C-terminal domains of SpaA harboring the reactive pilin and LPXTG motifs, respectively. Remarkably, the model uncovered a conserved TP(Y/L)XIN(S/T)H signature sequence following the catalytic Cys, in which the alanine substitutions abrogated cross-linking activity but not cleavage of LPXTG. These insights and our evidence that SrtA2M can terminate pilus polymerization by joining the terminal pilin SpaB to SpaA and catalyze ligation of isolated SpaA domains in vitro provide a facile and versatile platform for protein engineering and bio-conjugation that has major implications for biotechnology. PMID- 29844183 TI - Fluctuating radiocarbon offsets observed in the southern Levant and implications for archaeological chronology debates. AB - Considerable work has gone into developing high-precision radiocarbon (14C) chronologies for the southern Levant region during the Late Bronze to Iron Age/early Biblical periods (~1200-600 BC), but there has been little consideration whether the current standard Northern Hemisphere 14C calibration curve (IntCal13) is appropriate for this region. We measured 14C ages of calendar dated tree rings from AD 1610 to 1940 from southern Jordan to investigate contemporary 14C levels and to compare these with IntCal13. Our data reveal an average offset of ~19 14C years, but, more interestingly, this offset seems to vary in importance through time. While relatively small, such an offset has substantial relevance to high-resolution 14C chronologies for the southern Levant, both archaeological and paleoenvironmental. For example, reconsidering two published studies, we find differences, on average, of 60% between the 95.4% probability ranges determined from IntCal13 versus those approximately allowing for the observed offset pattern. Such differences affect, and even potentially undermine, several current archaeological and historical positions and controversies. PMID- 29844184 TI - Consequences of resistance evolution in a Cas9-based sex conversion-suppression gene drive for insect pest management. AB - The use of a site-specific homing-based gene drive for insect pest control has long been discussed, but the easy design of such systems has become possible only with the recent establishment of CRISPR/Cas9 technology. In this respect, novel targets for insect pest management are provided by new discoveries regarding sex determination. Here, we present a model for a suppression gene drive designed to cause an all-male population collapse in an agricultural pest insect. To evaluate the molecular details of such a sex conversion-based suppression gene drive experimentally, we implemented this strategy in Drosophila melanogaster to serve as a safe model organism. We generated a Cas9-based homing gene-drive element targeting the transformer gene and showed its high efficiency for sex conversion from females to males. However, nonhomologous end joining increased the rate of mutagenesis at the target site, which resulted in the emergence of drive resistant alleles and therefore curbed the gene drive. This confirms previous studies that simple homing CRISPR/Cas9 gene-drive designs will be ineffective. Nevertheless, by performing population dynamics simulations using the parameters we obtained in D. melanogaster and by adjusting the model for the agricultural pest Ceratitis capitata, we were able to identify adequate modifications that could be successfully applied for the management of wild Mediterranean fruit fly populations using our proposed sex conversion-based suppression gene-drive strategy. PMID- 29844185 TI - Unimolecular reaction of acetone oxide and its reaction with water in the atmosphere. AB - Criegee intermediates (i.e., carbonyl oxides with two radical sites) are known to be important atmospheric reagents; however, our knowledge of their reaction kinetics is still limited. Although experimental methods have been developed to directly measure the reaction rate constants of stabilized Criegee intermediates, the experimental results cover limited temperature ranges and do not completely agree well with one another. Here we investigate the unimolecular reaction of acetone oxide [(CH3)2COO] and its bimolecular reaction with H2O to obtain rate constants with quantitative accuracy comparable to experimental accuracy. We do this by using CCSDT(Q)/CBS//CCSD(T)-F12a/DZ-F12 benchmark results to select and validate exchange-correlation functionals, which are then used for direct dynamics calculations by variational transition state theory with small-curvature tunneling and torsional and high-frequency anharmonicity. We find that tunneling is very significant in the unimolecular reaction of (CH3)2COO and its bimolecular reaction with H2O. We show that the atmospheric lifetimes of (CH3)2COO depend on temperature and that the unimolecular reaction of (CH3)2COO is the dominant decay mode above 240 K, while the (CH3)2COO + SO2 reaction can compete with the corresponding unimolecular reaction below 240 K when the SO2 concentration is 9 * 1010 molecules per cubic centimeter. We also find that experimental results may not be sufficiently accurate for the unimolecular reaction of (CH3)2COO above 310 K. Not only does the present investigation provide insights into the decay of (CH3)2COO in the atmosphere, but it also provides an illustration of how to use theoretical methods to predict quantitative rate constants of medium-sized Criegee intermediates. PMID- 29844187 TI - Correction for Ponce de Leon et al., Human bony labyrinth is an indicator of population history and dispersal from Africa. PMID- 29844186 TI - Implications of Zika virus and congenital Zika syndrome for the number of live births in Brazil. AB - An increase in microcephaly, associated with an epidemic of Zika virus (ZIKV) in Brazil, prompted the World Health Organization to declare a Public Health Emergency of International Concern in February 2016. While knowledge on biological and epidemiological aspects of ZIKV has advanced, demographic impacts remain poorly understood. This study uses time-series analysis to assess the impact of ZIKV on births. Data on births, fetal deaths, and hospitalizations due to abortion complications for Brazilian states, from 2010 to 2016, were used. Forecasts for September 2015 to December 2016 showed that 119,095 fewer births than expected were observed, particularly after April 2016 (a reduction significant at 0.05), demonstrating a link between publicity associated with the ZIKV epidemic and the decline in births. No significant changes were observed in fetal death rates. Although no significant increases in hospitalizations were forecasted, after the ZIKV outbreak hospitalizations happened earlier in the gestational period in most states. We argue that postponement of pregnancy and an increase in abortions may have contributed to the decline in births. Also, it is likely that an increase in safe abortions happened, albeit selective by socioeconomic status. Thus, the ZIKV epidemic resulted in a generation of congenital Zika syndrome (CZS) babies that reflect and exacerbate regional and social inequalities. Since ZIKV transmission has declined, it is unlikely that reductions in births will continue. However, the possibility of a new epidemic is real. There is a need to address gaps in reproductive health and rights, and to understand CZS risk to better inform conception decisions. PMID- 29844188 TI - KDM4B protects against obesity and metabolic dysfunction. AB - Although significant progress has been made in understanding epigenetic regulation of in vitro adipogenesis, the physiological functions of epigenetic regulators in metabolism and their roles in obesity remain largely elusive. Here, we report that KDM4B (lysine demethylase 4B) in adipose tissues plays a critical role in energy balance, oxidation, lipolysis, and thermogenesis. Loss of KDM4B in mice resulted in obesity associated with reduced energy expenditure and impaired adaptive thermogenesis. Obesity in KDM4B-deficient mice was accompanied by hyperlipidemia, insulin resistance, and pathological changes in the liver and pancreas. Adipocyte-specific deletion of Kdm4b revealed that the adipose tissues were the main sites for KDM4B antiobesity effects. KDM4B directly controlled the expression of multiple metabolic genes, including Ppargc1a and Ppara Collectively, our studies identify KDM4B as an essential epigenetic factor for the regulation of metabolic health and maintaining normal body weight in mice. KDM4B may provide a therapeutic target for treatment of obesity. PMID- 29844189 TI - Potent and selective antitumor activity of a T cell-engaging bispecific antibody targeting a membrane-proximal epitope of ROR1. AB - T cell-engaging bispecific antibodies (biAbs) present a promising strategy for cancer immunotherapy, and numerous bispecific formats have been developed for retargeting cytolytic T cells toward tumor cells. To explore the therapeutic utility of T cell-engaging biAbs targeting the receptor tyrosine kinase ROR1, which is expressed by tumor cells of various hematologic and solid malignancies, we used a bispecific ROR1 * CD3 scFv-Fc format based on a heterodimeric and aglycosylated Fc domain designed for extended circulatory t1/2 and diminished systemic T cell activation. A diverse panel of ROR1-targeting scFv derived from immune and naive rabbit antibody repertoires was compared in this bispecific format for target-dependent T cell recruitment and activation. An ROR1-targeting scFv with a membrane-proximal epitope, R11, revealed potent and selective antitumor activity in vitro, in vivo, and ex vivo and emerged as a prime candidate for further preclinical and clinical studies. To elucidate the precise location and engagement of this membrane-proximal epitope, which is conserved between human and mouse ROR1, the 3D structure of scFv R11 in complex with the kringle domain of ROR1 was determined by X-ray crystallography at 1.6-A resolution. PMID- 29844191 TI - Metaproteomics method to determine carbon sources and assimilation pathways of species in microbial communities. AB - Measurements of stable carbon isotope ratios (delta13C) are widely used in biology to address questions regarding food sources and metabolic pathways used by organisms. The analysis of these so-called stable isotope fingerprints (SIFs) for microbes involved in biogeochemical cycling and microbiota of plants and animals has led to major discoveries in environmental microbiology. Currently, obtaining SIFs for microbial communities is challenging as the available methods either only provide low taxonomic resolution, such as the use of lipid biomarkers, or are limited in throughput, such as nanoscale secondary ion MS imaging of single cells. Here we present "direct protein-SIF" and the Calis-p software package (https://sourceforge.net/projects/calis-p/), which enable high throughput measurements of accurate delta13C values for individual species within a microbial community. We benchmark the method using 20 pure culture microorganisms and show that the method reproducibly provides SIF values consistent with gold-standard bulk measurements performed with an isotope ratio mass spectrometer. Using mock community samples, we demonstrate that SIF values can also be obtained for individual species within a microbial community. Finally, a case study of an obligate bacteria-animal symbiosis shows that direct protein-SIF confirms previous physiological hypotheses and can provide unexpected insights into the symbionts' metabolism. This confirms the usefulness of this approach to accurately determine delta13C values for different species in microbial community samples. PMID- 29844192 TI - QnAs with Rafael Radi. PMID- 29844190 TI - Local apoptotic-like mechanisms underlie complement-mediated synaptic pruning. AB - C1q, a member of the immune complement cascade, is implicated in the selective pruning of synapses by microglial phagocytosis. C1q-mediated synapse elimination has been shown to occur during brain development, while increased activation and complement-dependent synapse loss is observed in neurodegenerative diseases. However, the molecular mechanisms underlying C1q-controlled synaptic pruning are mostly unknown. This study addresses distortions in the synaptic proteome leading to C1q-tagged synapses. Our data demonstrated the preferential localization of C1q to the presynapse. Proteomic investigation and pathway analysis of C1q-tagged synaptosomes revealed the presence of apoptotic-like processes in C1q-tagged synapses, which was confirmed experimentally with apoptosis markers. Moreover, the induction of synaptic apoptotic-like mechanisms in a model of sensory deprivation-induced synaptic depression led to elevated C1q levels. Our results unveiled that C1q label-based synaptic pruning is triggered by and directly linked to apoptotic-like processes in the synaptic compartment. PMID- 29844194 TI - Geometric hydrodynamics via Madelung transform. AB - We introduce a geometric framework to study Newton's equations on infinite dimensional configuration spaces of diffeomorphisms and smooth probability densities. It turns out that several important partial differential equations of hydrodynamical origin can be described in this framework in a natural way. In particular, the Madelung transform between the Schrodinger equation and Newton's equations is a symplectomorphism of the corresponding phase spaces. Furthermore, the Madelung transform turns out to be a Kahler map when the space of densities is equipped with the Fisher-Rao information metric. We describe several dynamical applications of these results. PMID- 29844193 TI - Gene cluster conservation provides insight into cercosporin biosynthesis and extends production to the genus Colletotrichum. AB - Species in the genus Cercospora cause economically devastating diseases in sugar beet, maize, rice, soy bean, and other major food crops. Here, we sequenced the genome of the sugar beet pathogen Cercospora beticola and found it encodes 63 putative secondary metabolite gene clusters, including the cercosporin toxin biosynthesis (CTB) cluster. We show that the CTB gene cluster has experienced multiple duplications and horizontal transfers across a spectrum of plant pathogenic fungi, including the wide-host range Colletotrichum genus as well as the rice pathogen Magnaporthe oryzae Although cercosporin biosynthesis has been thought to rely on an eight-gene CTB cluster, our phylogenomic analysis revealed gene collinearity adjacent to the established cluster in all CTB cluster harboring species. We demonstrate that the CTB cluster is larger than previously recognized and includes cercosporin facilitator protein, previously shown to be involved with cercosporin autoresistance, and four additional genes required for cercosporin biosynthesis, including the final pathway enzymes that install the unusual cercosporin methylenedioxy bridge. Lastly, we demonstrate production of cercosporin by Colletotrichum fioriniae, the first known cercosporin producer within this agriculturally important genus. Thus, our results provide insight into the intricate evolution and biology of a toxin critical to agriculture and broaden the production of cercosporin to another fungal genus containing many plant pathogens of important crops worldwide. PMID- 29844196 TI - An intermediate along the recovery stroke of myosin VI revealed by X-ray crystallography and molecular dynamics. AB - Myosins form a class of actin-based, ATPase motor proteins that mediate important cellular functions such as cargo transport and cell motility. Their functional cycle involves two large-scale swings of the lever arm: the force-generating powerstroke, which takes place on actin, and the recovery stroke during which the lever arm is reprimed into an armed configuration. Previous analyses of the prerecovery (postrigor) and postrecovery (prepowerstroke) states predicted that closure of switch II in the ATP binding site precedes the movement of the converter and the lever arm. Here, we report on a crystal structure of myosin VI, called pretransition state (PTS), which was solved at 2.2 A resolution. Structural analysis and all-atom molecular dynamics simulations are consistent with PTS being an intermediate along the recovery stroke, where the Relay/SH1 elements adopt a postrecovery conformation, and switch II remains open. In this state, the converter appears to be largely uncoupled from the motor domain and explores an ensemble of partially reprimed configurations through extensive, reversible fluctuations. Moreover, we found that the free energy cost of hydrogen bonding switch II to ATP is lowered by more than 10 kcal/mol compared with the prerecovery state. These results support the conclusion that closing of switch II does not initiate the recovery stroke transition in myosin VI. Rather, they suggest a mechanism in which lever arm repriming would be mostly driven by thermal fluctuations and eventually stabilized by the switch II interaction with the nucleotide in a ratchet-like fashion. PMID- 29844197 TI - Seminal fluid enhances competitiveness of territorial males' sperm in a fish with alternative male reproductive tactics. AB - The most common adaptation to sperm competition in males is represented by an increase in the sperm number and/or quality released at mating, to raise their probability of egg fertilization. However, rapidly mounting evidence highlights that seminal fluid may directly influence the competitive fertilization success of a male by affecting either own and/or rival sperm performance. In the black goby, Gobius niger, an external fertilizer with guard-sneaker mating tactics and high sperm competition level, sneaker ejaculates contain less seminal fluid and more sperm, that are also of better quality, than those of territorial males. However, territorial males gain a higher paternity success inside natural nests. Here, we ask whether the seminal fluid can contribute to the reproductive success of territorial males by enhancing their sperm performance and/or by decreasing that of sneaker males. Using sperm and seminal fluid manipulation and in vitro fertilization tests, we found that own seminal fluid influences the velocity and fertilization ability of sperm only in territorial males, making them as fast as those of sneakers and with a similar fertilization rate. Moreover, both sneaker and territorial sperm remain unaffected by the seminal fluid of rival males. Thus, black goby males respond to the different level of sperm competition faced by differential allocation of sperm and non-sperm components of the ejaculate, with sneakers primarily investing in sperm of intrinsic high quality and territorial males relying on the effect of seminal fluid to increase the lower intrinsic quality of their sperm. PMID- 29844198 TI - Can physiological engineering/programming increase multi-generational thermal tolerance to extreme temperature events? AB - Organisms increasingly encounter higher frequencies of extreme weather events as a consequence of global climate change. Currently, few strategies are available to mitigate climate change effects on animals arising from acute extreme high temperature events. We tested the capacity of physiological engineering to influence the intra- and multi-generational upper thermal tolerance capacity of a model organism, Artemia, subjected to extreme high temperatures. Enhancement of specific physiological regulators during development could affect thermal tolerance or life-history attributes affecting subsequent fitness. Using experimental Artemia populations, we exposed F0 individuals to one of four treatments: heat hardening (28 degrees C to 36 degrees C, 1 degrees C per 10 min), heat hardening plus serotonin (0.056 MUg ml-1), heat hardening plus methionine (0.79 mg ml-1) and a control treatment. Regulator concentrations were based on previous literature. Serotonin may promote thermal tolerance, acting upon metabolism and life history. Methionine acts as a methylation agent across generations. For all groups, measurements were collected for three performance traits of individual thermal tolerance (upper sublethal thermal limit, lethal limit and dysregulation range) over two generations. The results showed that no treatment increased the upper thermal limit during acute thermal stress, although serotonin-treated and methionine-treated individuals outperformed controls across multiple thermal performance traits. Additionally, some effects were evident across generations. Together, these results suggest that phenotypic engineering provides complex outcomes, and if implemented with heat hardening can further influence performance in multiple thermal tolerance traits, within and across generations. Potentially, such techniques could be up-scaled to provide resilience and stability in populations susceptible to extreme temperature events. PMID- 29844199 TI - Almost like a whale - first evidence of suction feeding in a seabird. AB - Little auks (Alle alle) are one of the most numerous seabird species in the world and feed primarily on copepods in arctic waters. Their high daily energy requirements leave them vulnerable to current changes in the arctic plankton community, where a smaller, less-profitable copepod species (Calanus finmarchicus) becomes increasingly abundant. Little auks have been estimated to require ~60,000 copepods per day, necessitating prey capture rates of ~6 copepods per second underwater. To achieve such performance, it has been suggested that little auks capture their prey by (non-visual) filter feeding. We tested this hypothesis by exposing little auks to varying copepod densities within a shallow experimental pool and filming their prey capture behaviour. At none of the copepod densities tested did birds filter feed. Instead, all birds captured copepods by what we identified as visually guided suction feeding, achieved through an extension of their sub-lingual pouch. Suction feeding is very common in fish and marine mammals, but to the best of our knowledge, this is the first time that it has been specifically identified in a seabird species. While presumably less efficient than filter feeding, this behaviour may allow little auks to foster higher resilience when facing the consequences of arctic climate change. PMID- 29844195 TI - CFH and VIPR2 as susceptibility loci in choroidal thickness and pachychoroid disease central serous chorioretinopathy. AB - Central serous chorioretinopathy (CSC) is a common disease affecting younger people and may lead to vision loss. CSC shares phenotypic overlap with age related macular degeneration (AMD). As recent studies have revealed a characteristic increase of choroidal thickness in CSC, we conducted a genome-wide association study on choroidal thickness in 3,418 individuals followed by TaqMan assays in 2,692 subjects, and we identified two susceptibility loci: CFH rs800292, an established AMD susceptibility polymorphism, and VIPR2 rs3793217 (P = 2.05 * 10-10 and 6.75 * 10-8, respectively). Case-control studies using patients with CSC confirmed associations between both polymorphisms and CSC (P = 5.27 * 10-5 and 5.14 * 10-5, respectively). The CFH rs800292 G allele is reportedly a risk allele for AMD, whereas the A allele conferred risk for thicker choroid and CSC development. This study not only shows that susceptibility genes for CSC could be discovered using choroidal thickness as a defining variable but also, deepens the understanding of differences between CSC and AMD pathophysiology. PMID- 29844200 TI - Foraging strategy of wasps - optimisation of intake rate or energetic efficiency? AB - In endothermic wasps, foraging is an expensive activity. To maximise the benefit for the colony, wasps can optimise either the intake rate or energetic efficiency of a foraging trip. We investigated the foraging behaviour of vespine wasps under variable environmental and reward conditions. We trained them to forage for 0.5 mol l-1 sucrose solution from an artificial flower in a flow-through respiratory measurement chamber, and simultaneously measured their body temperature using infrared thermography to investigate interactions between thermoregulation and energetics. Measurement of carbon dioxide release (for energetic calculations) and load mass enabled the direct determination of foraging efficiency. An unlimited reward increased the wasps' energetic effort to increase the suction speed through high body temperatures. With reduced reward (limited flow), when an increased body temperature could not increase suction speed, the wasps decreased their body temperature to reduce the metabolic effort. Solar heat gain was used differently, either to increase body temperature without additional metabolic effort or to save energy. The foraging efficiency was mainly determined by the flow rate, ambient temperature and solar heat gain. In shade, an unlimited sucrose flow and a high ambient temperature yielded the highest energetic benefit. A limited flow reduced foraging efficiency in the shade, but only partly in sunshine. Solar radiation boosted the efficiency at all reward rates. Wasps responded flexibly to varying reward conditions by maximising intake rate at unlimited flow and switching to the optimisation of foraging efficiency when the intake rate could not be enhanced due to a limited flow rate. PMID- 29844201 TI - Low thermal dependence of the contractile properties of a wing muscle in the bat Carollia perspicillata. AB - Temperature affects contractile rate properties in muscle, which may affect locomotor performance. Endotherms are known to maintain high core body temperatures, but temperatures in the periphery of the body can fluctuate. Such a phenomenon occurs in bats, whose wing musculature is relatively poorly insulated, resulting in substantially depressed temperatures in the distal wing. We examined a wing muscle in the small-bodied tropical bat Carollia perspicillata and a hindlimb muscle in the laboratory mouse at 5 degrees C intervals from 22 to 42 degrees C to determine the thermal dependence of the contractile properties of both muscles. We found that the bat extensor carpi radialis longus had low thermal dependence from near body temperature to 10 degrees C lower, with Q10 values of less than 1.5 for relaxation from contraction and shortening velocities in that interval, and with no significant difference in some rate properties in the interval between 32 and 37 degrees C. In contrast, for all temperature intervals below 37 degrees C, Q10 values for the mouse extensor digitorum longus were 1.5 or higher, and rate properties differed significantly across successive temperature intervals from 37 to 22 degrees C. An ANCOVA analysis found that the thermal dependencies of all measured isometric and isotonic rate processes were significantly different between the bat and mouse muscles. The relatively low thermal dependence of the bat muscle likely represents a downward shift of its optimal temperature and may be functionally significant in light of the variable operating temperatures of bat wing muscles. PMID- 29844202 TI - Transverse anisotropy in the deformation of the muscle during dynamic contractions. AB - When pennate muscle fibres shorten, the transverse deformation of fibres results in an increase in pennation angle of fascicles (bundles of fibres) and transverse deformation of muscle belly. Transverse shape changes of a muscle can influence force generation. Recent modelling studies predicted asymmetrical transverse deformations in the muscle fascicles in the gastrocnemii. However, these predictions have not been tested experimentally. As muscle is a 3D entity, it is important to explore the structural changes in a 3D perspective to enhance our understanding of the underlying structural mechanisms that have functional implications. The medial and lateral gastrocnemius muscles from 12 subjects were imaged during plantarflexion movements on a dynamometer. The muscle belly was simultaneously scanned from two orthogonal directions using two ultrasound probes. Fascicle deformations were measured from the two orthogonal ultrasound scans to provide 3D information of muscle geometry. Whilst transverse deformations in the medial gastrocnemius were similar from the two directions, the data for the lateral gastrocnemius confirm that transverse anisotropy can occur in the muscle fascicles. As the lateral gastrocnemius fascicle length shortened, the pennation angle increased and the fascicles bulged transversally in one direction (closest to the typical 2D scanning plane) while thinning in the other orthogonal direction. We suggest that the transverse deformation of the muscle fascicles depends on the stiffness of the aponeuroses, properties of connective tissue structures surrounding muscle, and compressive forces both internal and external to the muscle. These results highlight that muscle fascicles do not bulge uniformly and the implications for this behaviour on muscle function remain largely unexplored. PMID- 29844203 TI - Clinical, molecular, and immunological responses to pembrolizumab treatment of synchronous melanoma and acute myeloid leukemia. PMID- 29844204 TI - Plasma hepcidin is associated with future risk of venous thromboembolism. AB - Red cell distribution width (RDW) is associated with venous thromboembolism (VTE), but the underlying mechanism(s) is unclear. Iron deficiency is associated with high RDW, and studies suggest an association between iron deficiency and VTE. To assess whether iron deficiency is a risk factor for VTE that explains the association between RDW and VTE, we conducted a nested case-control study of 390 patients with VTE and 802 age- and sex-matched controls selected from the population-based cohort of the Tromso Study. Physical measurements and blood samples were collected from 1994 to 1995. Logistic regression models were used to calculate odds ratios (ORs) with 95% confidence intervals (CIs) for VTE by RDW, hepcidin, and ferritin light chain (FtL). RDW was inversely associated with hepcidin, FtL, and hemoglobin. The risk of VTE increased linearly across categories of higher plasma hepcidin levels. Participants with hepcidin in the highest quartile had an OR for VTE of 1.32 (95% CI, 1.00-2.42), and those in the >90% percentile had an OR for VTE of 1.66 (95% CI, 1.14-2.42) compared with the reference group (quartiles 2 and 3). The risk estimates remained similar after adjustment for C-reactive protein. The risk of VTE increased by categories of higher RDW and was strengthened after inclusion of hepcidin and FtL in the multivariable model. Our findings reject the hypothesis that iron deficiency explains the association between RDW and VTE and suggest, in contrast, that high body iron levels might increase the risk of VTE. PMID- 29844205 TI - Comparison of pediatric allogeneic transplant outcomes using myeloablative busulfan with cyclophosphamide or fludarabine. AB - Busulfan combined with cyclophosphamide (BuCy) has long been considered a standard myeloablative conditioning regimen for allogeneic hematopoietic cell transplantation (HCT), including both nonmalignant conditions and myeloid diseases. Substituting fludarabine for cyclophosphamide (BuFlu) to reduce toxicity without an increase in relapse has been increasingly performed in children, but without comparison with BuCy. We retrospectively analyzed 1781 children transplanted from 2008 to 2014 to compare the effectiveness of BuCy with BuFlu. Nonmalignant and malignant disease populations were analyzed separately. Overall mortality was comparable for children with nonmalignant conditions who received BuFlu or BuCy (relative risk [RR], 1.14, P = .52). Lower incidences of sinusoidal obstruction syndrome (P = .04), hemorrhagic cystitis (P = .04), and chronic graft-versus-host disease (P = .02) were observed after BuFlu, but the influence of the conditioning regimen could not be assessed by multivariate analysis because of the low frequency of these complications. Children transplanted for malignancies were more likely to receive BuFlu if they had higher hematopoietic cell transplantation-comorbidity index scores (P < .001) or their donor was unrelated and HLA-mismatched (P = .004). Nevertheless, there were no differences in transplant toxicities and comparable transplant-related mortality (RR, 1.2; P = .46), relapse (RR, 1.2; P = .15), and treatment failure (RR, 1.2; P = .12). BuFlu was associated with higher overall mortality (RR, 1.4; P = .008) related to inferior postrelapse survival (P = .001). Our findings demonstrated that outcomes after BuFlu are similar to those for BuCy for children, but for unclear reasons, those receiving BuFlu for malignancy may be at risk for shorter postrelapse survival. PMID- 29844206 TI - Activation of the vitamin D receptor transcription factor stimulates the growth of definitive erythroid progenitors. AB - The pathways that regulate the growth of erythroid progenitors are incompletely understood. In a computational analysis of gene expression changes during erythroid ontogeny, the vitamin D receptor (Vdr) nuclear hormone receptor transcription factor gene was identified in fetal and adult stages, but not at the embryonic stage of development. Vdr was expressed in definitive erythroid (EryD) progenitors and was downregulated during their maturation. Activation of Vdr signaling by the vitamin D3 agonist calcitriol increased the outgrowth of EryD colonies from fetal liver and adult bone marrow, maintained progenitor potential, and delayed erythroid maturation, as revealed by clonogenic assays, suspension culture, cell surface phenotype, and gene expression analyses. The early (cKit+CD71lo/neg), but not the late (cKit+CD71hi), EryD progenitor subset of LinnegcKit+ cells was responsive to calcitriol. Culture of cKit+CD71lo/neg progenitors in the presence of both vitamin D3 and glucocorticoid receptor ligands resulted in an increase in proliferation that was at least additive compared with either ligand alone. Lentivirus shRNA-mediated knockdown of Vdr expression abrogated the stimulation of early erythroid progenitor growth by calcitriol. These findings suggest that Vdr has a cell-intrinsic function in early erythroid progenitors. Targeting of downstream components of the Vdr signaling pathway may lead to new approaches for the expansion of erythroid progenitors ex vivo. PMID- 29844209 TI - Incorporating a Nebulizer System Into High-Flow Nasal Cannula Improves Comfort in Infants With Bronchiolitis. AB - BACKGROUND: High-flow nasal cannula (HFNC) is increasingly used to provide respiratory support in infants with bronchiolitis. The delivery of aerosol therapy through a jet nebulizer is widely indicated despite its controversial efficacy and poor tolerability. METHODS: This randomized cross-over study aimed to evaluate the comfort and satisfaction of the delivery of aerosol therapy using a nebulization system integrated into HFNC compared with the standard practice of using a jet nebulizer with a face mask. The COMFORT-Behavior (COMFORT-B) scale, a visual analog scale, and a numeric rating scale were used by health professionals and caregivers to assess subjects' levels of comfort and satisfaction. RESULTS: A total of 113 nebulizations (64 via nebulizer with HFNC; 49 via jet nebulizer) were delivered to the 6 subjects included in the study. Use of the nebulizer with HFNC showed increased comfort and satisfaction during nebulization compared to use of the jet nebulizer, as measured by the COMFORT-B scale, the visual analog scale, and the numeric rating scale, with the following median (interquartile range) scores: 10.7 (7-16) versus 14.5 (10-20) (P = .006), 8.5 (6-10) versus 7 (4 9) (P = .02), and 3.84 (3.61-4.07) versus 1.83 (1.58-2.08) (P < .001), respectively. Correlation between the COMFORT-B scale and the visual analog scale using Spearman's rho was -0.757 (P < .001). The intraclass correlation coefficient for the COMFORT-B scale, visual analog scale, and numeric rating scale, as measured by 2 different nurses, was between 0.75 and 0.87. CONCLUSIONS: The use of a nebulizer incorporated into HFNC therapy results in an increased level of comfort and satisfaction compared to the use of a conventional jet nebulizer in subjects with bronchiolitis who required HFNC therapy. Further studies are needed to determine whether aerosol therapy delivered through HFNC improves the clinical course of this pathology. PMID- 29844207 TI - Cardiometabolic risk in polycystic ovary syndrome. AB - Polycystic ovary syndrome (PCOS) is a common disorder in women of reproductive age. Besides hyperandrogenism, oligomenorrhea and fertility issues, it is associated with a high prevalence of metabolic disorders and cardiovascular risk factors. Several genetic polymorphisms have been identified for possible associations with cardiometabolic derangements in PCOS. Different PCOS phenotypes differ significantly in their cardiometabolic risk, which worsens with severity of androgen excess. Due to methodological difficulties, longer time-scale data about cardiovascular morbidity and mortality in PCOS and about possible beneficial effects of different treatment interventions is missing leaving many issues regarding cardiovascular risk unresolved. PMID- 29844208 TI - Mechanisms of Crystalloid versus Colloid Osmosis across the Peritoneal Membrane. AB - Background Osmosis drives transcapillary ultrafiltration and water removal in patients treated with peritoneal dialysis. Crystalloid osmosis, typically induced by glucose, relies on dialysate tonicity and occurs through endothelial aquaporin 1 water channels and interendothelial clefts. In contrast, the mechanisms mediating water flow driven by colloidal agents, such as icodextrin, and combinations of osmotic agents have not been evaluated.Methods We used experimental models of peritoneal dialysis in mouse and biophysical studies combined with mathematical modeling to evaluate the mechanisms of colloid versus crystalloid osmosis across the peritoneal membrane and to investigate the pathways mediating water flow generated by the glucose polymer icodextrin.ResultsIn silico modeling and in vivo studies showed that deletion of aquaporin-1 did not influence osmotic water transport induced by icodextrin but did affect that induced by crystalloid agents. Water flow induced by icodextrin was dependent upon the presence of large, colloidal fractions, with a reflection coefficient close to unity, a low diffusion capacity, and a minimal effect on dialysate osmolality. Combining crystalloid and colloid osmotic agents in the same dialysis solution strikingly enhanced water and sodium transport across the peritoneal membrane, improving ultrafiltration efficiency over that obtained with either type of agent alone.Conclusions These data cast light on the molecular mechanisms involved in colloid versus crystalloid osmosis and characterize novel osmotic agents. Dialysis solutions combining crystalloid and colloid particles may help restore fluid balance in patients treated with peritoneal dialysis. PMID- 29844210 TI - Efficacy of Interventions to Improve Respiratory Function After Stroke. AB - BACKGROUND: The aim of this study was to systematically review all current interventions that have been utilized to improve respiratory function and activity after stroke. METHODS: Specific searches were conducted. The experimental intervention had to be planned, structured, repetitive, purposive, and delivered with the aim of improving respiratory function. Outcomes included respiratory strength (maximum inspiratory pressure [PImax], maximum expiratory pressure [PEmax]) and endurance, lung function (FVC, FEV1, and peak expiratory flow [PEF]), dyspnea, and activity. The quality of the randomized trials was assessed by the PEDro scale using scores from the Physiotherapy Evidence Database (www.pedro.org.au), and risk of bias was assessed in accordance with the Cochrane Handbook for Systematic Reviews of Interventions. RESULTS: The 17 included trials had a mean PEDro score of 5.7 (range 4-8) and involved 616 participants. Meta analyses showed that respiratory muscle training significantly improved all outcomes of interest: PImax (weighted mean difference 11 cm H2O, 95% CI 7-15, I2 = 0%), PEmax (8 cm H2O, 95% CI 2-15, I2 = 65%), FVC (0.25 L, 95% CI 0.12-0.37, I2 = 29%), FEV1 (0.24 L, 95% CI 0.17-0.30, I2 = 0%), PEF (0.51 L/s, 95% CI 0.10 0.92, I2 = 0%), dyspnea (standardized mean difference -1.6 points, 95% CI -2.2 to -0.9; I2 = 0%), and activity (standardized mean difference 0.78, 95% CI 0.22 1.35, I2 = 0%). Meta-analyses found no significant results for the effects of breathing exercises on lung function. For the remaining interventions (ie, aerobic and postural exercises) and the addition of electrical stimulation, meta analyses could not be performed. CONCLUSIONS: This systematic review reports 5 possible interventions used to improve respiratory function after stroke. Respiratory muscle training proved to be effective for improving inspiratory and expiratory strength, lung function, and dyspnea, and benefits were carried over to activity. However, there is still no evidence to accept or refute the efficacy of aerobic, breathing, and postural exercises, or the addition of electrical stimulation in respiratory function. PMID- 29844211 TI - Performances of CPAP Devices With an Oronasal Mask. AB - BACKGROUND: The aim of this bench study was to investigate the performances of 8 devices for noninvasive CPAP. METHODS: Eight devices for noninvasive CPAP with an orofacial mask were studied: Ventumask, Ventumask 30, EasyVent, EasyVent Emergency, Compact Model II, Flowone, Superflow, Boussignac CPAP valve. Each device was tested at oxygen input flows from 5 to 20 L/min, and the output gas flow was measured in static conditions. Each device was evaluated during a eupneic and a tachypneic simulated breathing test. RESULTS: The gas output flow generated by each device increased with higher oxygen input flow; EasyVent and Flowone produced the highest output flow (P < .001). At the simulated eupneic breathing test, Superflow and EasyVent showed a more stable pressure swing at different PEEP levels, whereas the other masks had a greater swing, between 10 and 15 cm H2O PEEP (P = .002 for all pairwise comparisons). During the tachypneic breathing test, the pressure swing was stable with Flowone and EasyVent (P = .055), whereas it had increased with other masks (P = .002 for all pairwise comparisons). CONCLUSIONS: We found a significant variation in the performances of the 8 CPAP devices examined in this study. The technical characteristics and limitations of different CPAP devices should be considered when using in patients with hypoxemic acute respiratory failure. PMID- 29844212 TI - Mechanical Ventilation-Related Safety Incidents in General Care Wards and ICU Settings. AB - BACKGROUND: Although the ICU is the most appropriate place to care for mechanically ventilated patients, a considerable number are ventilated in general medical care wards all over the world. However, adverse events focusing on mechanically ventilated patients in general care have not been explored. METHODS: Data from the Japan Council for Quality Health Care database were analyzed. Patient safety incidents from January 2010 to November 2017 regarding mechanical ventilation were collected, and comparisons of patient safety incidents between ICUs/high care units (HCUs) and general care wards were made. RESULTS: We identified 261 adverse events (with at least 20 adverse events resulting in death) and 702 near-miss events related to mechanical ventilation in Japan between 2010 and 2017. Furthermore, among all adverse events, 19% (49 of 261 events) caused serious harm (residual disability or death). Human-factor issues were most frequent in both ICU/HCU and general care settings (55% and 53%, respectively), while knowledge-based errors were higher in the general care setting. CONCLUSIONS: Human-factor issues were the most frequent reasons in both settings, while knowledge-based error rates were higher in general care. Our results suggest that proper education and training is needed to minimize patient safety incidents in facilities without respiratory therapists. PMID- 29844213 TI - Positive Correlation Between Regional Cerebral Oxygen Saturation and Mixed Venous Oxygen Saturation During Off-Pump Coronary Artery Bypass Surgery. AB - BACKGROUND: The balance of oxygen delivery and consumption is essential in patients who are critically ill. Mixed venous oxygen saturation (SvO2 ) is a standard method to evaluate oxygen delivery and consumption during anesthesia. However, SvO2 is monitored through a pulmonary artery catheter, which is invasive. Regional cerebral oxygenation (rScO2) reflects oxygen saturation in a small region of the frontal lobes and is monitored noninvasively through near infrared spectroscopy. In the present study, the correlation between rScO2 and SvO2 was calculated during off-pump coronary artery bypass grafting surgery to determine whether a positive correlation exists between rScO2 and SvO2 . METHODS: A total of 56 subjects were consecutively enrolled in the study. Then rScO2 and SvO2 were simultaneously monitored. The parameters were recorded at 5 time points: T1, 10 min after intubation (1.0 FIO2 for 10 min); T2, 20 min after intubation (0.60 FIO2 for 10 min); T3, at the end of the revascularization of the left anterior descending artery (0.60 FIO2 ); T4, after protamine infusion (0.60 FIO2 ); and T5, 10 min after protamine infusion (1.0 FIO2 for 10 min). The correlation between rScO2 and SvO2 and the variation trend between rScO2 and SvO2 when FIO2 increased from 0.60 to 1.0 were analyzed. RESULTS: There was a significant positive correlation between rScO2 and SvO2 at these 5 time points (r 2 = 0.77, 0.81, 0.70, 0.83, and 0.92, respectively). There also was a significant positive correlation between Delta rScO2 and Delta SvO2 (n = 112, r 2 = 0.72, P < .001). Linear regression analysis revealed that SvO2 had a positive correlation with rScO2 and cardiac output (r 2 = 0.68, P = .013). CONCLUSIONS: There was a positive correlation between rScO2 and SvO2 during off-pump coronary artery bypass grafting surgery, and there also was a positive correlation in the variation trend between rScO2 and SvO2 . PMID- 29844214 TI - The Effect of Different Closed Suction Catheter Designs and pMDI Adapters on Aerosol Delivery in Simulated Adult Mechanical Ventilation With and Without Exhaled Humidity. AB - BACKGROUND: Closed suction catheters are commonly used with pressurized metered dose inhalers (pMDIs) in ventilator-dependent patients receiving bronchodilator therapy. Although heated/humidified circuits result in a decrease in drug delivery, no studies have investigated the impact of a closed suction catheter with a pMDI on aerosol delivery during mechanical ventilation. We sought to quantify aerosol delivery with a variety of closed suction catheters and pMDI adapters in a simulated ventilator-dependent adult lung model with and without exhaled humidity. METHODS: A ventilator (tidal volume 450 mL, PEEP 5 cm H2O, breathing frequency 15 breaths/min, peak flow 60 L/min, and bias flow 2 L/min) was attached to 3 closed suction catheter designs (T-piece, double swivel elbow, and a multi-access port) with pMDI adapters (small- and large-unidirectional adapters, a bidirectional adapter, and a built-in port) connected to an endotracheal tube (ETT) with a collecting filter and a passive test lung. To simulate exhaled humidity, a heated humidifier was placed between the collection filter and the distal tip of the ETT, set at 36 degrees C. Experiments without exhaled humidity were performed with no heat and humidification. For each test, 4 puffs of albuterol sulfate (432 MUg) were administered. The drug was eluted from the collecting filter and analyzed via spectrophotometer (276 nm). Each experiment was run 3 times. RESULTS: Delivery efficiency of the bidirectional adapter was greatest compared to other adapters tested in this study (P = .01). Aerosol deposition obtained from the combination of the T-piece closed suction catheter and the bidirectional adapter was more than that from the multi-access port (P = .42) and double swivel closed suction catheter (P = .27). Drug delivery without exhaled humidity exceeded values with exhaled humidity by 20-90% using the small unidirectional, large unidirectional, and bidirectional adapters (P = .01, P = .02 and P = .02, respectively). CONCLUSIONS: Closed suction catheter, pMDI spacer/adapters, and exhalation conditions have an impact on drug delivery during simulated adult mechanical ventilation. Aerosol delivery without exhaled humidity appears to report unrealistically high values in comparison to the more accurate values with simulated exhalation humidity. PMID- 29844215 TI - Comparison of Flow Resistance Characteristics and Placement of Two Endotracheal Tubes. AB - BACKGROUND: In a traditional endotracheal tube (ETT), there is a linear outward pull through its attachment to the ventilator tubing that leads to risk of accidental dislodgement. This study was conducted to assess the ETT flow characteristics and to evaluate providers' intubation experience using two ETT's in a simulated setting. METHODS: Respiratory pressure-volume dynamics for the 2 ETTs were studied in a simulation laboratory by using 3 different flow settings and 2 different test lungs. The time taken for successful intubation on a mannikin was compared by direct observation of 33 separate intubation attempts by 11 different providers. Comfort with intubation by using both tubes was assessed with a Likert scale- based survey. The potential increase in physical and cognitive work load of nurses and respiratory therapists was assessed by the NASA task load index. RESULTS: There were slightly lower average tidal volumes delivered with SecureTube compared with the standard tube at different peak inspiratory pressures. Similarly, the same tidal volume delivered with a different flow and bag compliance required slightly higher peak inspiratory pressure compared with the standard ETT. Among providers, there was no difference in the average time to intubate when using either tube. All survey respondents (N = 11) rated intubation attempts with the SecureTube to be very easy compared with the standard tube. The NASA task load index (N = 26) showed very low task loads on all the tasks. CONCLUSIONS: There was minimal impact on flow resistance on pressure or volume with the SecureTube compared with the standard tube. Most providers felt comfortable intubating with the SecureTube and took a comparable amount of time to intubate in a simulated setting. We observed low task load scores for securement, maintenance, and manipulation per nurses and respiratory therapists. PMID- 29844216 TI - Acute Effects of Mechanical Insufflation-Exsufflation on the Breathing Pattern in Stable Subjects With Duchenne Muscular Dystrophy. AB - BACKGROUND: Duchenne muscular dystrophy (DMD) is characterized by progressive degeneration, wasting, and weakness of skeletal musculature, including respiratory muscles. Cough is also compromised with disease progression. Among cough-augmentation techniques, mechanical insufflation-exsufflation (MI-E) has demonstrated several clinical benefits in patients with chronic airway secretion obstruction and muscular weakness. In clinical practice, the use of MI-E in DMD patients is also suggested when they are stable with no airway infections. However, there is a paucity of studies that consider the effect of MI-E specifically on stable DMD patients who have adapted to the use of MI-E. METHODS: Twenty subjects with DMD with no active upper airway or lung infections, who used MI-E device regularly at home, were enrolled. They received a single MI-E treatment consisting of 5 cycles of 5 insufflations-exsufflations with their customary settings. Volume variations during quiet breathing, vital capacity, and cough before and after treatment were measured with optoelectronic plethysmography (OEP). RESULTS: A decrease in breathing frequency (P = .001) and the rapid shallow breathing index emerged (P = .007), while cough peak flow (Spirometer P = .86, OEP P = .58), vital capacity (Spirometer P = .78, OEP total chest wall P = .57), and end-expiratory volumes (Total chest wall P = .97, Ribcage P = .14, Abdomen P = .10) were not affected by the treatment. An increment of the chest wall volume variation during the expiratory cough phase was identified (P = .001), particularly due to an increase in abdominal expansion (P = .005). CONCLUSIONS: A single treatment of MI-E in subjects with stable DMD already adapted to the device can provide beneficial changes in breathing pattern through a significant decrease in breathing frequency and rapid shallow breathing. These findings suggest an improvement in short-term dyspnea, although there were no changes in lung-volume recruitment or unassisted cough peak flow. PMID- 29844218 TI - Adaptive Immune Responses in Hepatitis A Virus and Hepatitis E Virus Infections. AB - Both hepatitis A virus (HAV) and hepatitis E virus (HEV) cause self-limited infections in humans that are preventable by vaccination. Progress in characterizing adaptive immune responses against these enteric hepatitis viruses, and how they contribute to resolution of infection or liver injury, has therefore remained largely frozen for the past two decades. How HAV and HEV infections are so effectively controlled by B- and T-cell immunity, and why they do not have the same propensity to persist as HBV and HCV infections, cannot yet be adequately explained. The objective of this review is to summarize our understanding of the relationship between patterns of virus replication, adaptive immune responses, and acute liver injury in HAV and HEV infections. Gaps in knowledge, and recent studies that challenge long-held concepts of how antibodies and T cells contribute to control and pathogenesis of HAV and HEV infections, are highlighted. PMID- 29844219 TI - Characterizing the Cancer Genome in Blood. AB - Cell-free circulating tumor DNA (ctDNA) and circulating tumor cells (CTCs) can be found in the bloodstream of individuals with cancer and are increasingly being explored as biomarkers in various aspects of cancer management. The application of next-generation sequencing (NGS) technologies to ctDNA and CTC analysis are providing new opportunities to characterize the cancer genome from a simple blood test and can facilitate the ease with which tumor-specific genomic changes can be followed over time. The serial analysis of ctDNA and CTCs has enormous potential to provide insights into intratumor heterogeneity and clonal evolution during disease progression, and may ultimately allow noninvasive molecular disease monitoring to guide therapeutic decisions and improve patient outcomes. PMID- 29844220 TI - Neuroendocrine Differentiation in Prostate Cancer: Emerging Biology, Models, and Therapies. AB - Although a de novo clinical presentation of small cell neuroendocrine carcinoma of the prostate is rare, a subset of patients previously diagnosed with prostate adenocarcinoma may develop neuroendocrine features in later stages of castration resistant prostate cancer (CRPC) progression as a result of treatment resistance. Despite sharing clinical, histologic, and some molecular features with other neuroendocrine carcinomas, including small cell lung cancer, castration-resistant neuroendocrine prostate cancer (CRPC-NE) is clonally derived from prostate adenocarcinoma. CRPC-NE therefore retains early prostate cancer genomic alterations and acquires new molecular changes making them resistant to traditional CRPC therapies. This review focuses on recent advances in our understanding of CRPC-NE biology, the transdifferentiation/plasticity process, and development and characterization of relevant CRPC-NE preclinical models. PMID- 29844221 TI - Molecular Composition of Vestibular Hair Bundles. AB - The vertebrate hair bundle, responsible for transduction of mechanical signals into receptor potentials in sensory hair cells, is an evolutionary masterpiece. Composed of actin-filled stereocilia of precisely regulated length, width, and number, the structure of the hair bundle is optimized for sensing auditory and vestibular stimuli. Recent developments in identifying the lipids and proteins constituting the hair bundle, obtained through genetics, biochemistry, and imaging, now permit a description of the consensus composition of vestibular bundles of mouse, rat, and chick. PMID- 29844217 TI - The AMPK agonist 5-aminoimidazole-4-carboxamide ribonucleotide (AICAR), but not metformin, prevents inflammation-associated cachectic muscle wasting. AB - Activation of AMPK has been associated with pro-atrophic signaling in muscle. However, AMPK also has anti-inflammatory effects, suggesting that in cachexia, a syndrome of inflammatory-driven muscle wasting, AMPK activation could be beneficial. Here we show that the AMPK agonist AICAR suppresses IFNgamma/TNFalpha induced atrophy, while the mitochondrial inhibitor metformin does not. IFNgamma/TNFalpha impair mitochondrial oxidative respiration in myotubes and promote a metabolic shift to aerobic glycolysis, similarly to metformin. In contrast, AICAR partially restored metabolic function. The effects of AICAR were prevented by the AMPK inhibitor Compound C and were reproduced with A-769662, a specific AMPK activator. AICAR and A-769662 co-treatment was found to be synergistic, suggesting that the anti-cachectic effects of these drugs are mediated through AMPK activation. AICAR spared muscle mass in mouse models of cancer and LPS induced atrophy. Together, our findings suggest a dual function for AMPK during inflammation-driven atrophy, wherein it can play a protective role when activated exogenously early in disease progression, but may contribute to anabolic suppression and atrophy when activated later through mitochondrial dysfunction and subsequent metabolic stress. PMID- 29844222 TI - The Role of Next-Generation Sequencing in Pharmacogenetics and Pharmacogenomics. AB - Inherited genetic variations in pharmacogenetic loci are widely acknowledged as important determinants of phenotypic differences in drug response, and may be actionable in the clinic. However, recent studies suggest that a considerable number of novel rare variants in pharmacogenes likely contribute to a still unexplained fraction of the observed interindividual variability. Next-generation sequencing (NGS) represents a rapid, relatively inexpensive, large-scale DNA sequencing technology with potential relevance as a comprehensive pharmacogenetic genotyping platform to identify genetic variation related to drug therapy. However, many obstacles remain before the clinical use of NGS-based test results, including technical challenges, functional interpretation, and strict requirements for diagnostic tests. Advanced computational analyses, high throughput screening methodologies, and generation of shared resources with cell based and clinical information will facilitate the integration of NGS data into candidate genotyping approaches, likely enhancing future drug phenotype predictions in patients. PMID- 29844223 TI - Whole-Genome Sequencing in Cancer. AB - Genome sequencing of cancer has fundamentally advanced our understanding of the underlying biology of this disease, and more recently has provided approaches to characterize and monitor tumors in the clinic, guiding and evaluating treatment. Although cancer research is relying more on whole-genome characterization, the clinical application of genomics is largely limited to targeted sequencing approaches, tailored to capture specific clinically relevant biomarkers. However, as sequencing costs reduce, and the tools to effectively analyze complex and large-scale data improve, the ability to effectively characterize whole genomes at scale in a clinically relevant time frame is now being piloted. This ability effectively blurs the line between clinical cancer research and the clinical management of the disease. This leads to a new paradigm in cancer management in which real-time analysis of an individual's disease can have a rapid and lasting impact on our understanding of how clinical practices need to change to exploit novel therapeutic rationales. In this article, we will discuss how whole-genome sequencing (WGS), often combined with transcriptome analysis, has been used to understand cancer and how this approach is uniquely positioned to provide a comprehensive view of an evolving disease in response to therapy. PMID- 29844225 TI - Effects of micronutrients on placental function: evidence from clinical studies to animal models. AB - Micronutrient deficiencies are common in pregnant women due to low dietary intake and increased requirements for fetal development. Low maternal micronutrient status is associated with a range of pregnancy pathologies involving placental dysfunction, including fetal growth restriction (FGR), small-for-gestational age (SGA), pre-eclampsia and preterm birth. However, clinical trials commonly fail to convincingly demonstrate beneficial effects of supplementation of individual micronutrients, attributed to heterogeneity and insufficient power, potential interactions and lack of mechanistic knowledge of effects on the placenta. We aimed to provide current evidence of relationships between selected micronutrients (vitamin D, vitamin A, iron, folate, vitamin B12) and adverse pregnancy outcomes, combined with understanding of actions on the placenta. Following a systematic literature search, we reviewed data from clinical, in vitro and in vivo studies of micronutrient deficiency and supplementation. Key findings are potential effects of micronutrient deficiencies on placental development and function, leading to impaired fetal growth. Studies in human trophoblast cells and rodent models provide insights into underpinning mechanisms. Interestingly, there is emerging evidence that deficiencies in all micronutrients examined induce a pro-inflammatory state in the placenta, drawing parallels with the inflammation detected in FGR, pre-eclampsia, stillbirth and preterm birth. Beneficial effects of supplementation are apparent in vitro and in animal models and for combined micronutrients in clinical studies. However, greater understanding of the roles of these micronutrients, and insight into their involvement in placental dysfunction, combined with more robust clinical studies, is needed to fully ascertain the potential benefits of supplementation in pregnancy. PMID- 29844226 TI - Peri-ovarian adipose tissue contributes to intraovarian control during folliculogenesis in mice. AB - Peri-ovarian adipose tissue (POAT) is a kind of intra-abdominal white adipose tissue that is present surrounding the ovaries in rodents. Recent studies demonstrated that POAT-deficient mice displayed a phenotype of delayed antral follicular development, for which decreases in serum estrogen, serum FSH and FSHR levels were responsible. However, folliculogenesis is regulated by endocrine signals and also modulated by a number of locally produced intraovarian factors whose acts are both autocrine and paracrine. Here, we used a model of surgical removal of POAT unilaterally and contralateral ovaries as controls, as both were under the same endocrine control, to assess the paracrine effect of the POAT on folliculogenesis. Surgical removal of unilateral POAT resulted in delayed antral follicular development and the increased number of atretic follicles, accompanied by decreased levels of intraovarian adipokines and growth factors, lipid accumulation and steroidogenic enzyme expression. POAT-deficient ovaries displayed compensatory increased expressions of intraovarian genes, such as Vegf and Adpn for angiogenesis, Acc, Fasn, and Gapdh involved in lipogenesis and Fshr in response to FSH stimulation. Furthermore, we demonstrated that removal of POAT promoted follicular apoptosis, caused retention of cytoplasmic YAP and inhibited PTEN-AKT-mTOR activation. These alterations were observed only in the POAT deficient ovaries but not in the contralateral ovaries (with POAT), which suggests that a paracrine interaction between POAT and ovaries is important for normal folliculogenesis. PMID- 29844224 TI - Genome-Wide Association Study of Serum Fructosamine and Glycated Albumin in Adults Without Diagnosed Diabetes: Results From the Atherosclerosis Risk in Communities Study. AB - Fructosamine and glycated albumin are potentially useful alternatives to hemoglobin A1c (HbA1c) as diabetes biomarkers. The genetic determinants of fructosamine and glycated albumin, however, are unknown. We performed genome-wide association studies of fructosamine and glycated albumin among 2,104 black and 7,647 white participants without diabetes in the Atherosclerosis Risk in Communities (ARIC) Study and replicated findings in the Coronary Artery Risk Development in Young Adults (CARDIA) study. Among whites, rs34459162, a novel missense single nucleotide polymorphism (SNP) in RCN3, was associated with fructosamine (P = 5.3 * 10-9) and rs1260236, a known diabetes-related missense mutation in GCKR, was associated with percent glycated albumin (P = 5.9 * 10-9) and replicated in CARDIA. We also found two novel associations among blacks: an intergenic SNP, rs2438321, associated with fructosamine (P = 6.2 * 10-9), and an intronic variant in PRKCA, rs59443763, associated with percent glycated albumin (P = 4.1 * 10-9), but these results did not replicate. Few established fasting glucose or HbA1c SNPs were also associated with fructosamine or glycated albumin. Overall, we found genetic variants associated with the glycemic information captured by fructosamine and glycated albumin as well as with their nonglycemic component. This highlights the importance of examining the genetics of hyperglycemia biomarkers to understand the information they capture, including potential glucose-independent factors. PMID- 29844227 TI - Candidate Enzymes for Saffron Crocin Biosynthesis Are Localized in Multiple Cellular Compartments. AB - Saffron is the dried stigmas of Crocus sativus and is the most expensive spice in the world. Its red color is due to crocins, which are apocarotenoid glycosides that accumulate in the vacuole to a level up to 10% of the stigma dry weight. Previously, we characterized the first dedicated enzyme in the crocin biosynthetic pathway, carotenoid cleavage dioxygenase2 (CsCCD2), which cleaves zeaxanthin to yield crocetin dialdehyde. In this work, we identified six putative aldehyde dehydrogenase (ALDH) genes expressed in C. sativus stigmas. Heterologous expression in Escherichia coli showed that only one of corresponding proteins (CsALDH3I1) was able to convert crocetin dialdehyde into the crocin precursor crocetin. CsALDH3I1 carries a carboxyl-terminal hydrophobic domain, similar to that of the Neurospora crassa membrane-associated apocarotenoid dehydrogenase YLO 1. We also characterized the UDP-glycosyltransferase CsUGT74AD1, which converts crocetin to crocins 1 and 2'. In vitro assays revealed high specificity of CsALDH3I1 for crocetin dialdehyde and long-chain apocarotenals and of CsUGT74AD1 for crocetin. Following extract fractionation, CsCCD2, CsALDH3I1, and CsUGT74AD1 were found in the insoluble fraction, suggesting their association with membranes or large insoluble complexes. Analysis of protein localization in both C. sativus stigmas and following transgene expression in Nicotiana benthamiana leaves revealed that CsCCD2, CsALDH3I, and CsUGT74AD1 were localized to the plastids, the endoplasmic reticulum, and the cytoplasm, respectively, in association with cytoskeleton-like structures. Based on these findings and current literature, we propose that the endoplasmic reticulum and cytoplasm function as transit centers for metabolites whose biosynthesis starts in the plastid and are accumulated in the vacuole. PMID- 29844228 TI - Asexual Female Gametogenesis Involves Contact with a Sexually-Fated Megaspore in Apomictic Hieracium. AB - Apomixis results in asexual seed formation where progeny are identical to the maternal plant. In ovules of apomictic species of the Hieracium subgenus Pilosella, meiosis of the megaspore mother cell generates four megaspores. Aposporous initial (AI) cells form during meiosis in most ovules. The sexual pathway terminates during functional megaspore (FM) differentiation, when an enlarged AI undergoes mitosis to form an aposporous female gametophyte. Then, the mitotically programmed FM dies along with the three other megaspores by unknown mechanisms. Transcriptomes of laser-dissected AIs, ovule cells, and ovaries from apomicts and AI-deficient mutants were analyzed to understand the pathways involved. The steps leading to AI mitosis and sexual pathway termination were determined using antibodies against arabinogalactan protein epitopes found to mark both sexual and aposporous female gametophyte lineages at inception. At most, four AIs differentiated near developing megaspores. The first expanding AI cell to contact the FM formed a functional AI that underwent mitosis soon after megaspore degeneration. Transcriptome analyses indicated that the enlarged, laser captured AIs were arrested in the S/G2 phase of the cell cycle and were metabolically active. Further comparisons with AI-deficient mutants showed that AIs were enriched in transcripts encoding homologs of genes involved in, and potentially antagonistic to, known FM specification pathways. We propose that AI and FM cell contact provides cues required for AI mitosis and megaspore degeneration. Specific candidates to further interrogate AI-FM interactions were identified here and include Hieracium arabinogalactan protein family genes. PMID- 29844229 TI - Reproductive Long Intergenic Noncoding RNAs Exhibit Male Gamete Specificity and Polycomb Repressive Complex 2-Mediated Repression. AB - Long noncoding RNAs (lncRNAs) have been characterized extensively in animals and are involved in several processes, including homeobox gene expression and X chromosome inactivation. In comparison, there has been much less detailed characterization of plant lncRNAs, and the number of distinct lncRNAs encoded in plant genomes and their regulation by developmental and epigenetic mechanisms remain largely unknown. Here, we analyzed transcriptome data from Asian rice (Oryza sativa) and identified 6,309 long intergenic noncoding RNAs (lincRNAs), focusing on their expression in reproductive tissues and organs. Most O. sativa lincRNAs were expressed in a highly tissue-specific manner, with an unexpectedly high fraction specifically expressed in male gametes. Mutation of a component of the Polycomb Repressive Complex2 (PRC2) resulted in derepression of another large class of lincRNAs, whose expression is correlated with H3K27 trimethylation in developing panicles. Overlap with the sperm cell-specific lincRNAs suggests that epigenetic repression of lincRNAs in the panicles was partially relieved in the male germline. Expression of a subset of lincRNAs also showed modulation by drought in reproductive tissues. Comparison with other cereal genomes showed that the lincRNAs generally have low levels of conservation at both the sequence and structural levels. Use of a novelty detection support vector machine model enabled the detection of nucleotide sequence and structural homology in ~10% and ~4% of the lincRNAs in genomes of purple false brome (Brachypodium distachyon) and maize (Zea mays), respectively. This is the first study to report on a large number of lncRNAs that are targets of repression by PRC2 rather than mediating regulation via PRC2. That the vast majority of the lincRNAs reported here do not overlap with those of other rice studies indicates that these are a significant addition to the known lincRNAs in rice. PMID- 29844230 TI - Standardisation of perioperative urinary catheter use to reduce postsurgical urinary tract infection: an interrupted time series study. AB - BACKGROUND: Prevention of healthcare-associated urinary tract infection (UTI) has been the focus of a national effort, yet appropriate indications for insertion and removal of urinary catheters (UC) among surgical patients remain poorly defined. METHODS: We developed and implemented a standardised approach to perioperative UC use to reduce postsurgical UTI including standard criteria for catheter insertion, training of staff to insert UC using sterile technique and standardised removal in the operating room and surgical unit using a nurse initiated medical directive. We performed an interrupted time series analysis up to 2 years following intervention. The primary outcome was the proportion of patients who developed postsurgical UTI within 30 days as measured by the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP). Process measures included monthly UC insertions, removals in the operating room and UC days per patient-days on surgical units. RESULTS: At baseline, 22.5% of patients were catheterised for surgery, none were removed in the operating room and catheter-days per patient-days were 17.4% on surgical units. Following implementation of intervention, monthly catheter removal in the operating room immediately increased (range 12.2%-30.0%) while monthly UC insertion decreased more slowly before being sustained below baseline for 12 months (range 8.4%-15.6%). Monthly catheter-days per patient-days decreased to 8.3% immediately following intervention with a sustained shift below the mean in the final 8 months. Postsurgical UTI decreased from 2.5% (95% CI 2.0-3.1%) to 1.4% (95% CI 1.1-1.9; p=0.002) during the intervention period. CONCLUSIONS: Standardised perioperative UC practices resulted in measurable improvement in postsurgical UTI. These appropriateness criteria for perioperative UC use among a broad range of surgical services could inform best practices for hospitals participating in ACS NSQIP. PMID- 29844231 TI - Celecoxib Does Not Protect against Fibrosis and Inflammation in a Carbon Tetrachloride-Induced Model of Liver Injury. AB - The cyclooxygenase-2 (COX-2) selective inhibitor celecoxib is widely used in the treatment of pain and inflammation. Celecoxib has been explored as a possible treatment of liver fibrosis with contradictory results, depending on the model. The present study reports the effect of celecoxib in a 5-week carbon tetrachloride (CCl4)-induced liver fibrosis mouse model. Celecoxib alone and in combination with inhibitors of the enzyme-soluble epoxide hydrolase (sEH), as well as a dual inhibitor that targets both COX-2 and sEH, were administered via osmotic minipump to mice receiving intraperitoneal injections of CCl4 Collagen deposition was elevated in the mice treated with both celecoxib and CCl4 compared with the control or CCl4-only groups, as assessed by trichrome staining. Histopathology revealed more extensive fibrosis and cell death in the animals treated with both celecoxib and CCl4 compared with all other experimental groups. Although some markers of fibrosis, such as matrix metalloprotease, were unchanged or lowered in the animals treated with both celecoxib and CCl4, overall, hepatic fibrosis was more severe in this group. Cotreatment with celecoxib and an inhibitor of sEH or treatment with a dual inhibitor of COX-2 and sEH decreased the elevated levels of fibrotic markers observed in the group that received both celecoxib and CCl4 Oxylipid analysis revealed that celecoxib reduced the level of prostaglandin E2 relative to the CCl4 only group. Overall, celecoxib treatment did not decrease liver fibrosis in CCl4-treated mice. PMID- 29844232 TI - Biochemical Characterization of Isoniazid-resistant Mycobacterium tuberculosis: Can the Analysis of Clonal Strains Reveal Novel Targetable Pathways? AB - Tuberculosis (TB) continues to be an important public health threat worldwide, due in part to drug resistant Mycobacterium tuberculosis (Mtb) strains. The United States recently reported a shortage of isoniazid (INH), which could drive higher INH resistance rates. Changes in the Mtb proteome before and after acquisition of INH resistance in a clean genetic background remain understudied and may elucidate alternate drug targets. Here, we focused on Mtb clonal strains to characterize the consequences of INH resistance on mycobacterial metabolism. Proteomic analysis was conducted by liquid-chromatography tandem mass spectrometry (LC-MS/MS) of cellular and secreted fractions, followed by a normalized spectral counting (NSAF) analysis (data are available via ProteomeXchange with identifier PXD009549). Two different Mtb clonal pairs representing a specific genetic lineage (one clinical and one generated in the laboratory) but sharing a katG mutation associated with INH resistance, were used in our analysis. Overall, we found 26 Mtb proteins with altered abundances after acquisition of INH resistance across both Mtb genetic lineages studied. These proteins were involved in ATP synthesis, lipid metabolism, regulatory events, and virulence, detoxification, and adaptation processes. Proteomic findings were validated by Western blotting analyses whenever possible. Mycolic acid (MA) analysis through LC/MS in the clonal Mtb pairs did not reveal a common trend in the alteration of these fatty acids across both INHr strains but revealed a significant reduction in levels of the two more abundant alpha-MA features in the clinical INHr strain. Interestingly, the clinical clonal pair demonstrated more variation in the abundance of the proteins involved in the FAS II pathway. Together, the proteomic and lipidomic data highlight the identification of potential drug targets such as alternative lipid biosynthetic pathways that may be exploited to combat clinically relevant Mtb INHr strains. PMID- 29844233 TI - Interleukin-21 Induces Short-Lived Effector CD8+ T Cells but Does Not Inhibit Their Exhaustion after Mycobacterium bovis BCG Infection in Mice. AB - Interleukin 21 (IL-21) is a pleiotropic common cytokine receptor gamma chain cytokine that promotes the effector functions of NK cells and CD8+ T cells and inhibits CD8+ T cell exhaustion during chronic infection. We found that the absolute number of short-lived effector CD8+ T cells (SLECs) (KLRG1high CD127low) decreased significantly in IL-21 receptor-deficient (IL-21R-/-) mice during Mycobacterium bovis bacillus Calmette-Guerin (BCG) infection. Early effector CD8+ T cells (EECs) (KLRG1low CD127low) were normally generated in IL-21R-/- mice after infection. Exhausted CD8+ T cells (PD-1high KLRG1low) were also normally generated in IL-21R-/- mice after infection. Mixed bone marrow (BM) chimera and transfer experiments showed that IL-21R on CD8+ T cells was essential for the proliferation of EECs, allowing them to differentiate into SLECs after BCG infection. On the other hand, the number of SLECs increased significantly after infection with recombinant BCG (rBCG) that secreted an antigen 85B (Ag85B)-IL-21 fusion protein (rBCG-Ag85B-IL-21), but the number of exhausted CD8+ T cells did not change after rBCG-Ag85B-IL-21 infection. These results suggest that IL-21 signaling drives the differentiation of SLECs from EECs but does not inhibit the exhaustion of CD8+ T cells following BCG infection in mice. PMID- 29844234 TI - Spatial, Temporal, and Functional Assessment of LC3-Dependent Autophagy in Shigella flexneri Dissemination. AB - Shigella flexneri disseminates within the colonic mucosa by displaying actin based motility in the cytosol of epithelial cells. Motile bacteria form membrane protrusions that project into adjacent cells and resolve into double-membrane vacuoles (DMVs) from which the bacteria escape, thereby achieving cell-to-cell spread. During dissemination, S. flexneri is targeted by LC3-dependent autophagy, a host cell defense mechanism against intracellular pathogens. The S. flexneri type III secretion system effector protein IcsB was initially proposed to counteract the recruitment of the LC3-dependent autophagy machinery to cytosolic bacteria. However, a recent study proposed that LC3 was recruited to bacteria in DMVs formed during cell-to-cell spread. To resolve the controversy and clarify the role of autophagy in S. flexneri infection, we tracked dissemination using live confocal microscopy and determined the spatial and temporal recruitment of LC3 to bacteria. This approach demonstrated that (i) LC3 was exclusively recruited to wild-type or icsB bacteria located in DMVs and (ii) the icsB mutant was defective in cell-to-cell spread due to failure to escape LC3-positive as well as LC3-negative DMVs. Failure of S. flexneri to escape DMVs correlated with late LC3 recruitment, suggesting that LC3 recruitment is the consequence and not the cause of DMV escape failure. Inhibition of autophagy had no positive impact on the spreading of wild-type or icsB mutant bacteria. Our results unambiguously demonstrate that IcsB is required for DMV escape during cell-to-cell spread, regardless of LC3 recruitment, and do not support the previously proposed notion that autophagy counters S. flexneri dissemination. PMID- 29844235 TI - Phosphatidylinositol-(3,4,5)-Trisphosphate Induces Phagocytosis of Nonmotile Pseudomonas aeruginosa. AB - Pathogenic bacteria that establish chronic infections in immunocompromised patients frequently undergo adaptation or selection for traits that are advantageous for their growth and survival. Clinical isolates of Pseudomonas aeruginosa, a Gram-negative, opportunistic bacterial pathogen, exhibit a temporal transition from a motile to a nonmotile phenotype through loss of flagellar motility during the course of chronic infection. This progressive loss of motility is associated with increased resistance to both antibiotic and immune clearance. We have previously shown that loss of bacterial motility enables P. aeruginosa to evade phagocytic clearance both in vitro and in vivo and fails to activate the phosphatidylinositol 3-kinase (PI3K)/Akt-dependent phagocytic pathway. Therefore, we tested the hypothesis that clearance of phagocytosis resistant bacteria could be induced by exogenously pretreating innate immune cells with the Akt-activating molecule phosphatidylinositol-(3,4,5)-trisphosphate (PIP3). Here, we demonstrate that PIP3 induces the uptake of nonmotile P. aeruginosa by primary human neutrophils >25-fold, and this effect is phenocopied with the use of murine phagocytes. However, surprisingly, mechanistic studies revealed that the induction of phagocytosis by PIP3 occurs because polyphosphoinositides promote bacterial binding by the phagocytes rather than bypassing the requirement for PI3K. Moreover, this induction was selective since the uptake of other nonmotile Gram-negative, but not Gram-positive, bacteria can also be induced by PIP3 Since there is currently no treatment that effectively eradicates chronic P. aeruginosa infections, these findings provide novel insights into a potential methodology by which to induce clearance of nonmotile pathogenic bacteria and into the endogenous determinants of phagocytic recognition of P. aeruginosa. PMID- 29844236 TI - Intestinal Lamina Propria CD4+ T Cells Promote Bactericidal Activity of Macrophages via Galectin-9 and Tim-3 Interaction during Salmonella enterica Serovar Typhimurium Infection. AB - The intestinal immune system is crucial for protection from pathogenic infection and maintenance of mucosal homeostasis. We studied the intestinal immune microenvironment in a Salmonella enterica serovar Typhimurium intestinal infection mouse model. Intestinal lamina propria macrophages are the main effector cells in innate resistance to intracellular microbial pathogens. We found that S Typhimurium infection augmented Tim-3 expression on intestinal lamina propria CD4+ T cells and enhanced galectin-9 expression on F4/80+ CD11b+ macrophages. Moreover, CD4+ T cells promoted the activation and bactericidal activity of intestinal F4/80+ CD11b+ macrophages via the Tim-3/galectin-9 interaction during S Typhimurium infection. Blocking the Tim-3/galectin-9 interaction with alpha-lactose significantly attenuated the bactericidal activity of intracellular S Typhimurium by macrophages. Furthermore, the Tim-3/galectin-9 interaction promoted the formation and activation of inflammasomes, which led to caspase-1 cleavage and interleukin 1beta (IL-1beta) secretion. The secretion of active IL-1beta further improved bactericidal activity of macrophages and galectin-9 expression on macrophages. These results demonstrated the critical role of the cross talk between CD4+ T cells and macrophages, particularly the Tim 3/galectin-9 interaction, in antimicrobial immunity and the control of intestinal pathogenic infections. PMID- 29844237 TI - A Novel Sialylation Site on Neisseria gonorrhoeae Lipooligosaccharide Links Heptose II Lactose Expression with Pathogenicity. AB - Sialylation of lacto-N-neotetraose (LNnT) extending from heptose I (HepI) of gonococcal lipooligosaccharide (LOS) contributes to pathogenesis. Previously, gonococcal LOS sialyltransterase (Lst) was shown to sialylate LOS in Triton X-100 extracts of strain 15253, which expresses lactose from both HepI and HepII, the minimal structure required for monoclonal antibody (MAb) 2C7 binding. Ongoing work has shown that growth of 15253 in cytidine monophospho-N-acetylneuraminic acid (CMP-Neu5Ac)-containing medium enables binding to CD33/Siglec-3, a cell surface receptor that binds sialic acid, suggesting that lactose termini on LOSs of intact gonococci can be sialylated. Neu5Ac was detected on LOSs of strains 15253 and an MS11 mutant with lactose only from HepI and HepII by mass spectrometry; deleting HepII lactose rendered Neu5Ac undetectable. Resistance of HepII lactose Neu5Ac to desialylation by alpha2-3-specific neuraminidase suggested an alpha2-6 linkage. Although not associated with increased factor H binding, HepII lactose sialylation inhibited complement C3 deposition on gonococci. Strain 15253 mutants that lacked Lst or HepII lactose were significantly attenuated in mice, confirming the importance of HepII Neu5Ac in virulence. All 75 minimally passaged clinical isolates from Nanjing, China, expressed HepII lactose, evidenced by reactivity with MAb 2C7; MAb 2C7 was bactericidal against the first 62 (of 75) isolates that had been collected sequentially and were sialylated before testing. MAb 2C7 effectively attenuated 15253 vaginal colonization in mice. In conclusion, this novel sialylation site could explain the ubiquity of gonococcal HepII lactose in vivo Our findings reinforce the candidacy of the 2C7 epitope as a vaccine antigen and MAb 2C7 as an immunotherapeutic antibody. PMID- 29844238 TI - The Periplasmic Trehalase Affects Type 1 Fimbria Production and Virulence of Extraintestinal Pathogenic Escherichia coli Strain MT78. AB - Extraintestinal pathogenic Escherichia coli (ExPEC) is responsible for various infections outside the gastrointestinal tract in humans and other animals. ExPEC strain MT78 is invasive to various nonphagocytic cells and highly virulent in vivo To identify genes required for invasion of nonphagocytic cells by this strain, we applied signature-tagged mutagenesis to generate a library of mutants and tested them for invasion of avian fibroblasts. Mutants showing reduced cellular invasion included those with insertions in the fim operon, encoding type 1 fimbriae. Another attenuated mutant showed a disruption in the treA gene, which encodes a periplasmic trehalase. The substrate of TreA, trehalose, can be metabolized and used as a carbon source or can serve as an osmoprotectant under conditions of osmotic stress in E. coli K-12. We generated and characterized mutant MT78DeltatreA In contrast to the wild type, MT78DeltatreA was able to grow under osmotic stress caused by 0.6 M urea but not in minimal M9 medium with trehalose as the only carbon source. It presented decreased association and invasion of avian fibroblasts, decreased yeast agglutination titer, and impaired type 1 fimbria production. In a murine model of urinary tract infection, MT78DeltatreA was less able to colonize the bladder. All phenotypes were rescued in the complemented mutant. Our results show that the treA gene is needed for optimal production of type 1 fimbriae in ExPEC strain MT78 and that loss of treA significantly reduces its cell invasion capacity and colonization of the bladder in a murine model of urinary tract infection. PMID- 29844239 TI - The Fructose-Specific Phosphotransferase System of Klebsiella pneumoniae Is Regulated by Global Regulator CRP and Linked to Virulence and Growth. AB - Klebsiella pneumoniae is an opportunistic pathogen, and its hypervirulent variants cause serious invasive community-acquired infections. A genomic view of K. pneumoniae NTUH-2044 for the carbohydrate phosphotransferase system (PTS) found a putative fructose PTS, namely, the Frw PTS gene cluster. The deletion mutant and the complemented mutant of frwC (KP1_1992), which encodes the putative fructose-specific enzyme IIC, were constructed, and the phenotypes were characterized. This transmembrane PTS protein is responsible for fructose utilization. frwC deletion can enhance biofilm formation and capsular polysaccharide (CPS) biosynthesis but decreases the growth rate and lethality in mice. frwC expression was repressed in the cyclic AMP receptor protein (CRP) mutant. Electrophoretic mobility shift assay showed that CRP can directly bind to the promoter of frwC These results indicated that frwC expression is controlled by CRP directly and that such regulation contributes to bacterial growth, CPS synthesis, and the virulence of the Deltacrp strain. The findings help elucidate fructose metabolism and the CRP regulatory mechanism in K. pneumoniae. PMID- 29844240 TI - Transposon Sequencing of Brucella abortus Uncovers Essential Genes for Growth In Vitro and Inside Macrophages. AB - Brucella abortus is a class III zoonotic bacterial pathogen able to survive and replicate inside host cells, including macrophages. Here we report a multidimensional transposon sequencing analysis to identify genes essential for Brucella abortus growth in rich medium and replication in RAW 264.7 macrophages. The construction of a dense transposon mutant library and mapping of 929,769 unique mini-Tn5 insertion sites in the genome allowed identification of 491 essential coding sequences and essential segments in the B. abortus genome. Chromosome II carries a lower proportion (5%) of essential genes than chromosome I (19%), supporting the hypothesis of a recent acquisition of a megaplasmid as the origin of chromosome II. Temporally resolved transposon sequencing analysis as a function of macrophage infection stages identified 79 genes with a specific attenuation phenotype in macrophages, at either 2, 5, or 24 h postinfection, and 86 genes for which the attenuated mutant phenotype correlated with a growth defect on plates. We identified 48 genes required for intracellular growth, including the virB operon, encoding the type IV secretion system, which supports the validity of the screen. The remaining genes encode amino acid and pyrimidine biosynthesis, electron transfer systems, transcriptional regulators, and transporters. In particular, we report the need of an intact pyrimidine nucleotide biosynthesis pathway in order for B. abortus to proliferate inside RAW 264.7 macrophages. PMID- 29844241 TI - TPL2 Is a Key Regulator of Intestinal Inflammation in Clostridium difficile Infection. AB - Tumor progression locus 2 (TPL2), a serine/threonine protein kinase, is a major inflammatory mediator in immune cells. The predominant inflammatory actions of TPL2 depend on the activation of mitogen-activated protein kinases (MAPK) and the upregulated production of the cytokines tumor necrosis factor alpha (TNF-alpha) and interleukin 1beta (IL-1beta) in macrophages and dendritic cells in response to lipopolysaccharide (LPS). Significant increases in TNF-alpha, IL-6, IL-beta, and IL-8 levels in patients with Clostridium difficile infection (CDI) have been reported. Both TNF-alpha and IL-6 have been postulated to play key roles in the systemic inflammatory response in CDI, and IL-8 is essential for the development of local intestinal inflammatory responses in CDI. The objective of this study was to elucidate the role of TPL2 in the pathogenesis of CDI. We found that TPL2 was significantly activated in human and mouse intestinal tissues upon C. difficile toxin exposure or CDI. We further demonstrated that TPL2 knockout (TPL2 KO) mice were significantly more resistant to CDI than wild-type mice, with significantly reduced production of TNF-alpha, IL-6, IL-1beta, KC (a mouse homologue of IL-8), and myeloperoxidase (MPO) in the ceca and colons of TPL2-KO mice. Finally, we found that TPL2 inhibition by a specific inhibitor or TPL2 gene ablation significantly reduced TcdB-induced production of TNF-alpha, IL-6, IL beta, and KC by inhibiting the activation of p38, extracellular signal-regulated kinase (ERK), and c-Jun NH2-terminal kinase (JNK). Taken together, our data suggest that TPL2 represents a potential therapeutic target for CDI treatment. PMID- 29844242 TI - A Thioredoxin Homologous Protein of Plasmodium falciparum Participates in Erythrocyte Invasion. AB - Invasion of erythrocytes by merozoites is required in the life cycle of malarial parasites. Proteins derived from the invasive merozoites are essential ligands for erythrocyte recognition and penetration. In this study, we report a novel protein that possesses a Trx domain-like structure of the thioredoxin family and is expressed on the surface of merozoites of the malaria parasite Plasmodium falciparum This protein, namely, PfTrx-mero protein, displayed a mutated sequence character at the Trx domain, but with a specific binding activity to human erythrocytes. Specific antibodies to the protein inhibited merozoite invasion into human erythrocytes. Immunization with a homologous protein of Plasmodium berghei strain ANKA also showed significant protection against lethal infection in mice. These results suggested that the novel PfTrx-like-mero protein expressed on the surface of merozoites is an important ligand participating in erythrocyte invasion and a potential vaccine candidate. PMID- 29844243 TI - Toll-Like Receptor 2 and Lipoprotein-Like Lipoproteins Enhance Staphylococcus aureus Invasion in Epithelial Cells. AB - Staphylococcus aureus contains a certain subclass of lipoproteins, the so-called lipoprotein-like lipoproteins (Lpl's), that not only represent Toll-like receptor 2 (TLR2) ligands but are also involved in host cell invasion. Here we addressed the question of which factors contribute to Lpl-mediated invasion of epithelial cells and keratinocytes. For this purpose, we compared the invasiveness of USA300 and its Deltalpl mutant under different conditions. In the presence of the matrix proteins IgG, fibrinogen (Fg), and fibronectin (Fn), and of fetal bovine serum (FBS), the invasion ratio was increased in both strains, and always more in USA300 than in its Deltalpl mutant. Interestingly, when we compared the invasion of HEK-0 and HEK-TLR2 cells, the cells expressing TLR2 showed a 9-times-higher invasion frequency. When HEK-TLR2 cells were additionally stimulated with a synthetic lipopeptide, Pam3CSK4 (P3C), the invasion frequency was further increased. A potential reason for the positive effect of TLR2 on invasion could be that TLR2 activation by P3C also activates F-actin formation. Here we show that S. aureus invasion depends on a number of factors, on the host side as well as on the bacterial side. PMID- 29844245 TI - Sex-Specific Versus Overall Clinical Decision Limits for Cardiac Troponin I and T for the Diagnosis of Acute Myocardial Infarction: A Systematic Review. AB - BACKGROUND: The overall clinical decision limits of high-sensitivity cardiac troponin I (hs-cTnI; 26 ng/L) and T (hs-cTnT; 14 ng/L) may contribute to underdiagnosis of acute myocardial infarction in women. We performed a systematic review to investigate sex-specific and overall 99th percentiles of hs-cTnI and hs cTnT derived from healthy reference populations. CONTENT: We searched in PubMed and EMBASE for original studies, and by screening reference lists. Reference populations designed to establish 99th percentiles of hs-cTnI (Abbott) and/or hs cTnT (Roche), published between January 2009 and October 2017, were included. Sex specific and overall 99th percentile values of hs-cTnI and hs-cTnT were compared with overall clinical decision ranges (hs-cTnI, 23-30 ng/L; hs-cTnT, 13-25 ng/L). Twenty-eight studies were included in the systematic review. Of 16 hs-cTnI and 18 hs-cTnT studies, 14 (87.5%) and 11 (61.1%) studies reported lower female-specific hs-cTn cutoffs than overall clinical decision ranges, respectively. Conversely, male-specific thresholds of both hs-cTnI and hs-cTnT were in line with currently used overall thresholds, particularly hs-cTnT (90% concordance). The variation of estimated overall 99th percentiles was much higher for hs-cTnI than hs-cTnT (29.4% vs 80.0% of hs-cTnI and hs-cTnT studies reported values within the current overall clinical decision range, respectively). SUMMARY: Our data show substantially lower female-specific upper reference limits of hs-cTnI and hs-cTnT than overall clinical decision limits of 26 ng/L and 14 ng/L, respectively. The statistical approach strongly affects the hs-cTnI threshold. Downward adjustment of hs-cTn thresholds in women may be warranted to reduce underdiagnosis of acute myocardial infarction in women. PMID- 29844244 TI - Intake of Different Dietary Proteins and Risk of Heart Failure in Men: The Kuopio Ischaemic Heart Disease Risk Factor Study. AB - BACKGROUND: Animal and plant protein intakes have indicated opposite associations with cardiovascular mortality risk. Whether dietary proteins are associated with risk of heart failure (HF) is unclear. Thus, we examined the associations of proteins from different food sources with risk of HF. METHODS AND RESULTS: The study included 2441 men aged 42 to 60 years at the baseline examinations in 1984 to 1989 in the Kuopio Ischaemic Heart Disease Risk Factor Study. Protein intakes at baseline were assessed with 4-day dietary records. Data on incident HF cases were obtained from national registers. HF risk according to protein intake was estimated by Cox proportional hazard ratios. During the mean follow-up of 22.2 years, 334 incident HF cases occurred. Higher intake of total protein indicated a trend toward increased risk of HF (multivariable-adjusted hazard ratio in the highest versus lowest quartile=1.33; 95% confidence interval: 0.95-1.85; P trend=0.05). The associations between specific types and sources of protein with incident HF were consistent with this overall finding although not all associations reached statistical significance. For example, the hazard ratio in the highest versus lowest quartile was 1.43 (95% confidence interval: 1.00-2.03; P-trend=0.07) for total animal protein and 1.17 (95% confidence interval: 0.72 1.91; P-trend=0.35) for total plant protein. CONCLUSIONS: In middle-aged men, higher protein intake was marginally associated with increased risk of HF. CLINICAL TRIAL REGISTRATION: URL: https://www.clinicaltrials.gov. Unique identifier: NCT03221127. PMID- 29844246 TI - External counterpulsation enhances neuroplasticity to promote stroke recovery. PMID- 29844247 TI - Erratum for Panayiotou et al., "Viperin Restricts Zika Virus and Tick-Borne Encephalitis Virus Replication by Targeting NS3 for Proteasomal Degradation". PMID- 29844248 TI - Correction for Gaulke et al., "Intestinal Epithelial Barrier Disruption through Altered Mucosal MicroRNA Expression in Human Immunodeficiency Virus and Simian Immunodeficiency Virus Infections". PMID- 29844249 TI - Reanalysis of risks of childhood leukaemia with distance from overhead power lines in the UK. AB - Our previous study of childhood leukaemia and distance to high-voltage overhead power lines in the UK has been included in an international pooled analysis. That pooled analysis used different distance categories to those we did, which has focussed attention on the effect of that choice. We re-analyse our previous subjects, using finer distance categories. In the 1960s and 1970s, when we principally found an elevated risk, the risk did not fall monotonically with distance from the power line but had a maximum at 100-200 m. This weakens the evidence that any elevated risks are related to magnetic fields, and slightly strengthens the evidence for a possible effect involving residential mobility or other socioeconomic factors. PMID- 29844250 TI - Comparison of Flavonoids and Centella asiatica for the treatment of chronic anal fissure. A randomized clinical trial. AB - AIMS: We aim to test and compare the effects of Flavonoids (Fs) and Centella asiatica (Ca), and the traditional treatment to find out which best deals with healing time, bleeding and pain in the treatment of chronic Anal Fissure (AF). Materials of Study: 98 outpatients were divided randomly into treated (either Fs or Ca) and control group. The control group (Group C, n=32) received the traditional treatment along with the other two subgroups which were treated, additionally, with Fs (Group A, n=30) or Ca (Group B, n=36). Patients were observed once weekly over 8 consecutive weeks. RESULTS: The median time to stop bleeding in the group A was 1 week, in the Group B was 3 weeks and in the group C was 4 weeks. There were significant differences between Groups in terms of time to end bleeding (A vs B: p-value= 0.022; A vs C: p-value<0.001; B vs C: p value=0.070). As for pain score from baseline to the 2nd week were statistically different between Groups A and B on the one hand and Group C on the other hand (A vs C: p-value=0.004; B vs C: p-value 0.035). All patients healed within 8th week. DISCUSSION: Either patients treated with Fs or Ca experienced early pain disappearance. Fs and Ca did not show side effects CONCLUSIONS: The treatment with Fs is the most effective for bleeding. Patients additionally treated with either Fs or Ca experienced an earlier healing and disappearance of pain in comparison with patients underwent to the traditional treatment. KEY WORDS: Anal bleeding, Anal fissure, Defecation pain. PMID- 29844251 TI - Human Fibrinogen: Molecular and Genetic Aspects of Congenital Disorders. AB - Congenital fibrinogen disorders can be quantitative (afibrinogenemia, hypofibrinogenemia) or functional (dysfibrinognemia). To date, several genetic variants have been identified in individuals with fibrinogen disorders. The complexity of the fibrinogen molecules, formed by three non-identical chains and with a trinodal organization, renders the identification of molecular causes and of clinical and biochemical phenotypes very challenging. However, the acknowledgement of the type of molecular defect is crucial for a safer therapy, which is going to improve the clinical management of these patients. In this review, some aspects concerning molecular and clinical findings available on congenital fibrinogen disorders will be discussed. PMID- 29844253 TI - Influence of Homogenization on Microstructural Response and Mechanical Property of Al-Cu-Mn Alloy. AB - The evolution of the microstructures and properties of large direct chill (DC) cast Al-Cu-Mn alloy ingots during homogenization was investigated. The results revealed that the Al-Cu-Mn alloy ingots had severe microsegregation and the main secondary phase was Al2Cu, with minimal Al7Cu2Fe phase. Numerous primary eutectic phases existed in the grain boundary and the main elements were segregated at the interfaces along the interdendritic region. The grain boundaries became discontinuous, residual phases were effectively dissolved into the matrix, and the segregation degree of all elements was reduced dramatically during homogenization. In addition, the homogenized alloys exhibited improved microstructures with finer grain size, higher number density of dislocation networks, higher density of uniformly distributed theta' or theta phase (Al2Cu), and higher volume fraction of high-angle grain boundaries compared to the nonhomogenized samples. After the optimal homogenization scheme treated at 535 degrees C for 10 h, the tensile strength and elongation% were about 24 MPa, 20.5 MPa, and 1.3% higher than those of the specimen without homogenization treatment. PMID- 29844252 TI - MAO-A Inhibitory Potential of Terpene Constituents from Ginger Rhizomes-A Bioactivity Guided Fractionation. AB - BACKGROUND: In the search for novel antidepressive drug candidates, bioguided fractionation of nonpolar constituents present in the oleoresin from ginger rhizomes (Zingiber officinale Roscoe, Zingiberaceae) was performed. This particular direction of the research was chosen due to the existing reports on the antidepressive properties of ginger total extract. The search for individual metabolites acting as MAO-A inhibitors, which correspond to the apparent effect of the total extract, is the subject of this work. METHODS: Hexane extracts from ginger rhizomes were fractionated by using column chromatography (including silica gel impregnated with silver nitrate) and semi-preparative high-performance chromatography. For the activity assessment, an in vitro monoamine oxidase A (MAO A) inhibition luminescence assay was performed on 10 purified terpenes: 1,8 cineole, alpha-citronellal, geraniol, beta-sesquiphellandrene, gamma-terpinen, geranyl acetate, isobornyl acetate, terpinen-4-ol, (E,E)-alpha-farnesene, and alpha-zingiberene. RESULTS: Geraniol and (-)-terpinen-4-ol were found to be the strongest enzyme inhibitors with inhibition of 44.1% and 42.5%, respectively, at a concentration of 125 ug/mL. No differences in the inhibition potential were observed for the different groups of terpenes: sesquiterpenes, monoterpenes, or sesquiterpene alcohols; however, the two most active compounds contained a hydroxyl moiety. CONCLUSIONS: Terpene constituents from ginger's extract were found to exhibit moderate inhibitory properties against the MAO-A enzyme in in vitro tests. PMID- 29844254 TI - Milk Fermented by Specific Lactobacillus Strains Regulates the Serum Levels of IL 6, TNF-alpha and IL-10 Cytokines in a LPS-Stimulated Murine Model. AB - Studies report that metabolites, such as peptides, present in fermented milk with specific lactic acid bacteria, may regulate cytokine production and exert an anti inflammatory effect. Hence, the cytokine regulatory effect of fermented milk by specific Lactobacillus strains was evaluated in a lipopolysaccharide (LPS) stimulated murine model. From twelve strains, three (J20, J23 and J28) were selected for their high proteolytic and acidifying capacities in milk and used for the in vivo study. Three treatments (fermented milk, FM; pasteurized fermented milk, PFM; and its 0.05) reduced pro-inflammatory cytokine (IL-6 and TNF-alpha) concentrations and significantly increased anti-inflammatory (IL-10) cytokine concentrations in comparison to the control; also, pro-inflammatory cytokines were reduced for animals treated with PFM10 (p < 0.05). RP-HPLC-MS/MS analysis showed that water-soluble extracts (. PMID- 29844256 TI - Effects of Build Orientation on Surface Morphology and Bone Cell Activity of Additively Manufactured Ti6Al4V Specimens. AB - Additive manufacturing of lightweight or functional structures by selective laser beam (SLM) or electron beam melting (EBM) is widespread, especially in the field of medical applications. SLM and EBM processes were applied to prepare Ti6Al4V test specimens with different surface orientations (0 degrees , 45 degrees and 90 degrees ). Roughness measurements of the surfaces were conducted and cell behavior on these surfaces was analyzed. Hence, human osteoblasts were seeded on test specimens to determine cell viability (metabolic activity, live-dead staining) and gene expression of collagen type 1 (Col1A1), matrix metalloprotease (MMP) 1 and its natural inhibitor, TIMP1, after 3 and 7 days. The surface orientation of specimens during the manufacturing process significantly influenced the roughness. Surface roughness showed significant impact on cellular viability, whereas differences between the time points day 3 and 7 were not found. Collagen type 1 mRNA synthesis rates in human osteoblasts were enhanced with increasing roughness. Both manufacturing techniques further influenced the induction of bone formation process in the cell culture. Moreover, the relationship between osteoblastic collagen type 1 mRNA synthesis rates and specimen orientation during the building process could be characterized by functional formulas. These findings are useful in the designing of biomedical applications and medical devices. PMID- 29844258 TI - Metabolomics in Radiation-Induced Biological Dosimetry: A Mini-Review and a Polyamine Study. AB - In this study, we elucidate that polyamine metabolite is a powerful biomarker to study post-radiation changes. Metabolomics in radiation biodosimetry, the application of a metabolomics analysis to the field of radiobiology, promises to increase the understanding of biological responses by ionizing radiation (IR). Radiation exposure triggers a complex network of molecular and cellular responses that impacts metabolic processes and alters the levels of metabolites. Such metabolites have potential as biomarkers for radiation dosimetry. Among metabolites, polyamine is one of many potential biomarkers to estimate radiation response. In addition, this review provides an opportunity for the understanding of a radiation metabolomics in biodosimetry and a polyamine case study. PMID- 29844257 TI - Tumor Size-Dependent Anticancer Efficacy of Chlorin Derivatives for Photodynamic Therapy. AB - Photodynamic therapy (PDT) with a suitable photosensitizer molecule is a promising anticancer treatment. We evaluated two chlorin molecules as potential photosensitizers, methyl pyropheophorbide a (MPPa) and N-methoxyl purpurinimide (NMPi), against A549 human lung adenocarcinoma cells in vitro as well as in A549 tumor-bearing mice in vivo. Cell viability, microscopy, and fluorescence activated cell sorting (FACS) analyses were performed for the in vitro studies. MPPa and NMPi showed high phototoxicity in vitro, which was dependent on the concentration of the photosensitizers as well as the light irradiation time. In the animal study, tumor volume change, tumor surface alterations, and hematoxylin & eosin (H&E) and terminal deoxyribonucleotidyl transferse-mediated dUTP nick-end labelling (TUNEL) staining analyses were performed and compared between small (tumor volume of 50 mm3) size of initial tumors. MPPa and NMPi showed high anticancer efficacy against small-size tumors, indicating that early treatment with PDT is effective. Especially, repeated two times PDT with NMPi allowed almost complete eradication against small-size tumors. However, MPPa and NMPi were not effective against large-size tumors. In conclusion, the two chlorin derivatives, MPPa and NMPi, show good anticancer efficacy as promising photosensitizers for PDT in vitro and in vivo. Moreover, their activity in vivo was significantly dependent on the initial tumor size in mice, which confirms the importance of early cancer treatment. PMID- 29844255 TI - A Half-Century History of Applications of Antisense Oligonucleotides in Medicine, Agriculture and Forestry: We Should Continue the Journey. AB - Antisense oligonucleotides (ASO), short single-stranded polymers based on DNA or RNA chemistries and synthesized in vitro, regulate gene expression by binding in a sequence-specific manner to an RNA target. The functional activity and selectivity in the action of ASOs largely depends on the combination of nitrogenous bases in a target sequence. This simple and natural property of nucleic acids provides an attractive route by which scientists can create different ASO-based techniques. Over the last 50 years, planned and realized applications in the field of antisense and nucleic acid nanotechnologies have produced astonishing results and posed new challenges for further developments, exemplifying the essence of the post-genomic era. Today the majority of ASOs are chemically modified and/or incorporated within nanoparticles to enhance their stability and cellular uptake. This review critically analyzes some successful cases using the antisense approach in medicine to address severe diseases, such as Duchenne muscular dystrophy and spinal muscular atrophy, and suggests some prospective directions for future research. We also examine in detail the elaboration of unmodified insect-specific DNA insecticides and RNA preparations in the areas of agriculture and forestry, a relatively new branch of ASO that allows circumvention of the use of non-selective chemical insecticides. When considering the variety of successful ASO modifications with an efficient signal to-noise ratio of action, coupled with the affordability of in vitro oligonucleotide synthesis and post-synthesis procedures, we predict that the next half-century will produce a fruitful yield of tools created from effective ASO based end products. PMID- 29844259 TI - Real-World Use and Outcomes of ALK-Positive Crizotinib-Treated Metastatic NSCLC in US Community Oncology Practices: A Retrospective Observational Study. AB - INTRODUCTION: Around 3-5% of non-small cell lung cancers (NSCLC) are ALK positive. Crizotinib was the first approved ALK inhibitor from clinical trials. However, there are less data on the utilization and patient outcomes associated with crizotinib in real-world clinical practice. METHODS: This was a retrospective, observational study of adult crizotinib-treated ALK-positive metastatic NSCLC patients who received treatment between 1 September 2011 and 31 October 2014, with follow up through 31 December 2015. Data were obtained via programmatic queries of the US Oncology Network/McKesson Specialty Health electronic health record database, supplemented with chart abstraction. Overall survival (OS) and time to treatment failure (TTF) were estimated from crizotinib initiation using the Kaplan-Meier (KM) method. RESULTS: Of the n = 199 ALK positive crizotinib-treated patients meeting eligibility criteria, crizotinib was prescribed as first line (1 L) in n = 123 (61.8%). The majority (88.9%) had confirmed adenocarcinoma histology and 32.2% had brain metastases at initial diagnosis. Median age at crizotinib initiation was 60.2 years (range 27.1-88.2); 54.8% were never smokers, 33.7% were former smokers. Treatment of 250 mg, twice daily, was most commonly prescribed (89.5%) with the dose unchanged from an initial dose in 79.4% of patients. The primary discontinuation reason was progression (n = 91, 58.7%). Patients (3.2%) were identified as discontinuing crizotinib as a result of treatment-related toxicity. With median follow-up time of 13.0 months (min-max = 0.03-46.6), median OS from crizotinib initiation was 33.8 months (95% CI = 24.3-38.8). Median TTF was 10.4 months. CONCLUSIONS: Crizotinib usage evaluated within the real-world setting is consistent with prior phase III clinical trial data, and illustrates the real-world effectiveness of crizotinib. PMID- 29844260 TI - Magnetic Detection Structure for Lab-on-Chip Applications Based on the Frequency Mixing Technique. AB - A magnetic frequency mixing technique with a set of miniaturized planar coils was investigated for use with a completely integrated Lab-on-Chip (LoC) pathogen sensing system. The system allows the detection and quantification of superparamagnetic beads. Additionally, in terms of magnetic nanoparticle characterization ability, the system can be used for immunoassays using the beads as markers. Analytical calculations and simulations for both excitation and pick up coils are presented; the goal was to investigate the miniaturization of simple and cost-effective planar spiral coils. Following these calculations, a Printed Circuit Board (PCB) prototype was designed, manufactured, and tested for limit of detection, linear response, and validation of theoretical concepts. Using the magnetic frequency mixing technique, a limit of detection of 15 ug/mL of 20 nm core-sized nanoparticles was achieved without any shielding. PMID- 29844262 TI - The Role of Diffusion-Weighted Magnetic Resonance Imaging in the Differentiation of Head and Neck Masses. AB - The purpose of this study was to evaluate the value of diffusion-weighted MRI (DW MRI) in differentiating benign and malignant head and neck masses by comparing their apparent diffusion coefficient (ADC) values. The study included 32 patients with a neck mass >1 cm in diameter who were examined with echo planar DW-MRI. Two different diffusion gradients (b values of b = 0 and b = 1000 s/mm2) were applied. DWI and ADC maps of 32 neck masses in 32 patients were obtained. Mean ADC values of benign and malignant neck lesions were measured and compared statistically. A total of 15 (46.9%) malignant masses and 17 (53.1%) benign masses were determined. Of all the neck masses, the ADC value of cystic masses was the highest and that of lymphomas was the lowest. The mean ADC values of benign and malignant neck masses were 1.57 * 10-3 mm2/s and 0.90 * 10-3 mm2/s, respectively. The difference between mean ADC values of benign and malignant neck masses was significant (p < 0.01). Diffusion-weighted MRI with ADC measurements can be useful in the differential diagnosis of neck masses. PMID- 29844261 TI - Antioxidant Activity and Spectroscopic Characteristics of Extractable and Non Extractable Phenolics from Terminalia sericea Burch. ex DC. AB - The aim of this study was to determine the antioxidant activity of the extractable and non-extractable phenolics of Terminalia. Sericea Burch. Ex DC. Free, ester bound, ether or glycoside bound and insoluble phenolics were extracted from the fruit, leaves, stem, and root samples. Follin Ciocalteu was used to estimate the phenolic content while DPPH (2,2-diphenyl-1-picrylhydrazyl) assay was used to determine the antioxidant activity. The data obtained were subjected to multivariate analysis for relationships. The result indicated that the highest average total phenolic contents and antioxidant activities were found in the free (14.8 mgGAE/g; IC50 6.8 MUg/mL) and ester bound (15.1 mgGAE/g; IC50 6.4 MUg/mL) extractable phenolics. There was a strong negative correlation between TPC and DPPH (r = -0.828). Agglomerative hierarchical clustering revealed three clusters. Cluster one contained the insoluble and glycoside phenolics while cluster 2 contained only free phenolic acid of the root. The third cluster was predominantly free and ester bound phenolic extracts. The principal component analysis score plot indicated two major clusters with factor 1 (F1) explaining 61% of the variation. The nuclear magnetic resonance spectroscopy spectra indicated that gallic acid and resveratrol are the major phenolic compounds present in the root. This study has demonstrated that extractable phenolics contributed more to the antioxidant activities compared to the non-extractables. PMID- 29844263 TI - Exploring the Dual Inhibitory Activity of Novel Anthranilic Acid Derivatives towards alpha-Glucosidase and Glycogen Phosphorylase Antidiabetic Targets: Design, In Vitro Enzyme Assay, and Docking Studies. AB - A few new anthranilate diamide derivatives, 3a-e, 5a-c and 7a-d, were designed, synthesized, and evaluated for their inhibitory activity against two interesting antidiabetic targets, alpha-glucosidase and glycogen phosphorylase enzymes. Different instrumental analytical tools were applied in identification and conformation of their structures like; 13C NMR, 1H NMR and elemental analysis. The screening of the novel compounds showed potent inhibitory activity with nanomolar concentration values. The most active compounds (5c) and (7b) showed the highest inhibitory activity against alpha-glucosidase and glycogen phosphorylase enzymes IC50 = 0.01247 +/- 0.01 uM and IC50 = 0.01372 +/- 0.03 uM, respectively. In addition, in vivo testing of the highly potent alpha-glucosidase inhibitor (7b) on rats with DTZ-induced diabetes was done and showed significant reduction of blood glucose levels compared to the reference drug. Furthermore, a molecular docking study was performed to help understand the binding interactions of the most active analogs with these two enzymes. The data obtained from the molecular modeling were correlated with those obtained from the biological screening. These data showed considerable antidiabetic activity for these newly synthesized compounds. PMID- 29844264 TI - Genome-Wide Screening and Characterization of the Dof Gene Family in Physic Nut (Jatropha curcas L.). AB - Physic nut (Jatropha curcas L.) is a species of flowering plant with great potential for biofuel production and as an emerging model organism for functional genomic analysis, particularly in the Euphorbiaceae family. DNA binding with one finger (Dof) transcription factors play critical roles in numerous biological processes in plants. Nevertheless, the knowledge about members, and the evolutionary and functional characteristics of the Dof gene family in physic nut is insufficient. Therefore, we performed a genome-wide screening and characterization of the Dof gene family within the physic nut draft genome. In total, 24 JcDof genes (encoding 33 JcDof proteins) were identified. All the JcDof genes were divided into three major groups based on phylogenetic inference, which was further validated by the subsequent gene structure and motif analysis. Genome comparison revealed that segmental duplication may have played crucial roles in the expansion of the JcDof gene family, and gene expansion was mainly subjected to positive selection. The expression profile demonstrated the broad involvement of JcDof genes in response to various abiotic stresses, hormonal treatments and functional divergence. This study provides valuable information for better understanding the evolution of JcDof genes, and lays a foundation for future functional exploration of JcDof genes. PMID- 29844265 TI - Probiotic Lactobacillus Paracasei Expressing a Nucleic Acid-Hydrolyzing Minibody (3D8 Scfv) Enhances Probiotic Activities in Mice Intestine as Revealed by Metagenomic Analyses. AB - Probiotics are well known for their beneficial effects for animals, including humans and livestock. Here, we tested the probiotic activity of Lactobacillus paracasei expressing 3D8 scFv, a nucleic acid-hydrolyzing mini-antibody, in mice intestine. A total of 18 fecal samples derived from three different conditions at two different time points were subjected to high-throughput 16S ribosomal RNA (rRNA) metagenomic analyses. Bioinformatic analyses identified an average of 290 operational taxonomic units. After administration of L. paracasei, populations of the probiotics L. paracasei, Lactobacillus reuteri, and Pediococcus acidilactici increased, whereas the population of harmful bacteria such as Helicobacter species decreased. Furthermore, continuous administration of L. paracasei resulted in L. paracasei emerging as the dominant probiotic after competition with other existing probiotics. Expression of 3D8 scFv protein specifically increased the population of P. acidilactici, which is another probiotic. In summary, our results showed that L. paracasei expressing 3D8 scFv protein enhanced probiotic activity in mice intestine with no observable side effects. Thus, the system developed in this study may be a good tool for the expression of recombinant protein using probiotics. PMID- 29844266 TI - Separation and Quantification of Four Main Chiral Glucosinolates in Radix Isatidis and Its Granules Using High-Performance Liquid Chromatography/Diode Array Detector Coupled with Circular Dichroism Detection. AB - As chemical drugs, separation and quantification of the specific enantiomer from the chiral compounds in herbal medicines are becoming more important. To clarify the chemical characterization of chiral glucosinolates-the antiviral active ingredients of Radix Isatidis, an optimized efficient method of HPLC-UV-CD was developed to simultaneously separate and quantify the four main chiral glucosinolates: progoitrin, epiprogoitrin, and R,S-goitrin. The first step was to determine progoitrin, epiprogoitrin, and R,S-goitrin using HPLC-UV, and then determine the R-goitrin and S-goitrin by coupling with CD detection. Subsequently, through the linear relations between anisotropy factor (g factor) and the percent optical purity of R-goitrin, the contents of R-goitrin and S goitrin from the R,S-goitrin mixture were calculated separately. Furthermore, the chemical composition features of the four chiral glucosinolates in 37 samples from crude drugs, decoction pieces, and granules of R. Isatidis were conducted. The total content of the four glucosinolates was obviously higher in crude drugs, and the variance character of each glucosinolate contents was different. In summary, the accurate measurement method reported here allows for better control of the internal quality of R. Isatidis and its granules and provides a powerful approach for the analysis of other chiral components in traditional Chinese medicines. PMID- 29844267 TI - Effects of a Chimeric Lysin against Planktonic and Sessile Enterococcus faecalis Hint at Potential Application in Endodontic Therapy. AB - Enterococcus faecalis is a commensal opportunistic pathogen found in the intestine, mouth, and vaginal tract of humans. As an invasive pathogen in the oral cavity, E. faecalis is one of the leading causes of periapical endodontic lesions. However, due to the strong biofilm-forming capacity and tolerance of E. faecalis to conventional antibiotics and treatments, limited therapeutic options are available. In the present study, we investigated the activity of ClyR, a chimeric lysin with extended streptococcal lytic spectrum, against planktonic and sessile E. faecalis cells in vitro and in an ex vivo dental model. Our results showed that ClyR has robust and rapid lytic activity against multiple E. faecalis strains, killing >90% planktonic cells within 1 min at a concentration of 50 MUg/mL. The biochemical experiments combined with microscopy analysis revealed that ClyR degrades E. faecalis biofilm with high efficacy in a dose-dependent manner, reducing the survival rate to 90% viable bacteria within biofilms at a low dose of 50 MUg/mL, which is much better than ampicillin and similar to calcium hydroxide, the extensively used routine intracanal medicament in the treatment of endodontics and dental traumatology. The robust activity of ClyR against both planktonic and sessile E. faecalis suggests the potential of ClyR in treating endodontic infections caused by E. faecalis. PMID- 29844268 TI - Synthesis of 2-Deoxybrassinosteroids Analogs with 24-nor, 22(S)-23-Dihydroxy-Type Side Chains from Hyodeoxycholic Acid. AB - Natural brassinosteroids are widespread in the plant kingdom and it is known that they play an important role in regulating plant growth. In this study, two new brassinosteroid analogs with shorter side chains but keeping the diol function were synthesized. Thus, the synthesis of 2-deoxybrassinosteroids analogs of the 3alpha-hydroxy-24-nor, 22,23-dihydroxy-5alpha-cholestane side chain type is described. The starting material is a derivative from hyodeoxycholic acid (4), which was obtained with an overall yield of 59% following a previously reported five step route. The side chain of this intermediate was modified by oxidative decarboxylation to get a terminal olefin at the C22-C23 position (compound 20) and subsequent dihydroxylation of the olefin. The resulting epimeric mixture of 21a, 21b was separated and the absolute configuration at the C22 carbon for the main product 21a was elucidated by single crystal X-ray diffraction analysis of the benzoylated derivative 22. Finally, lactonization of 21a through a Baeyer Villiger oxidation of triacetylated derivative 23, using CF3CO3H/CHCl3 as oxidant system, leads to lactones 24 and 25 in 35% and 14% yields, respectively. Deacetylation of these compounds leads to 2-deoxybrassinosteroids 18 and 19 in 86% and 81% yields. Full structural characterization of all synthesized compounds was achieved using their 1D, 2D NMR, and HRMS data. PMID- 29844269 TI - Effects of Periostracum Cicadae on Cytokines and Apoptosis Regulatory Proteins in an IgA Nephropathy Rat Model. AB - Periostracum cicadae, the cast-off shell of the cicada Cryptotympana pustulata Fabricius, is used in traditional Chinese medicine for its diaphoretic, anticonvulsive, sedative, antipyretic, and antiallergic effects. However, the exact pathogenesis of immunoglobulin A nephropathy (IgAN) remains unclear, thereby hindering investigations to identify novel therapeutic agents. A rat IgAN model was established by administration of bovine serum albumin, lipopolysaccharide, and carbon tetrachloride, which simultaneously established blood stasis and a heat syndrome model. The animals were sacrificed to detect changes in protein levels in urine and blood. Immunofluorescence was performed to assess IgA deposition in the glomeruli. Tumor necrosis factor-alpha (TNF-alpha), interleukin-1beta (IL-1beta), and interleukin 6 (IL-6) levels were measured in bronchoalveolar lavage fluid (BALF) by enzyme-linked immunosorbent assay. Hematology and eosin, periodic acid-Schiff, TUNEL (TdT-mediated dUTP Nick-End Labeling), and immunohistochemical staining were performed to evaluate histopathological changes in kidney tissues. Additionally, target-related proteins were measured by Western blotting. Periostracum cicadae resulted in a reduction in blood and urine protein levels. Serum TNF-alpha, IL-1beta, and IL-6 levels significantly decreased in the periostracum cicadae-treated groups compared to the IgAN group. Furthermore, a reduction in MCP-1 (Monocyte Chemotactic Protein-1), TLR4 ((Toll-Like Receptor 4)), and IgA expression levels and a dose-dependent increase in caspase 3 expression were observed in response to periostracum cicadae treatment. TGF-beta1(Transforming Growth Factor-beta) levels decreased, whereas that of Fas increased in the kidney tissues of the periostracum cicadae-treated groups. The findings of the present study indicate that periostracum cicadae induces apoptosis and improves kidney inflammation and fibrosis in IgA nephropathy rat models. PMID- 29844271 TI - Initial Self-Healing Temperatures of Asphalt Mastics Based on Flow Behavior Index. AB - Increasing temperature is a simple and convenient method to accelerate the self healing process of bitumen. However, bitumen may not achieve the healing capability at lower temperature, and may be aged if temperature is too high. In addition, the bitumen is mixed with mineral filler and formed as asphalt mastic in asphalt concrete, so it is more accurate to study the initial self-healing from the perspective of asphalt mastic. The primary purpose of this research was to examine the initial self-healing temperature of asphalt mastic, which was determined by the flow behavior index obtained from the flow characteristics. Firstly, the texture and geometry characteristics of two fillers were analyzed, and then the initial self-healing temperature of nine types of asphalt mastic, pure bitumen (PB) and styrene-butadiene-styrene (SBS) modified bitumen were determined by the flow behavior index. Results demonstrate that the average standard deviation of gray-scale texture value of limestone filler (LF) is 21.24% lower than that of steel slag filler (SSF), showing that the steel slag filler has a better particle distribution and geometry characteristics. Also the initial self-healing temperatures of asphalt mastics with 0.2, 0.4 and 0.6 LF-PB volume ratio are 46.5 degrees C, 47.2 degrees C and 49.4 degrees C, which are 1.4 degrees C, 0.8 degrees C and 0.4 degrees C higher than that of asphalt mastics with SSF-PB, but not suitable for the evaluation of asphalt mastic contained SBS modified bitumen because of unique structure and performance of SBS. PMID- 29844270 TI - Comparison of the Microtensile Bond Strength of a Polyetherketoneketone (PEKK) Tooth Post Cemented with Various Surface Treatments and Various Resin Cements. AB - The aim of this in-vitro research was to evaluate the microtensile bond strength in the newly introduced PEKK tooth post with various surface treatments and resin cements. A fiberglass tooth post was included in order to compare it with PEKK as a possible post material. The microtensile bond strengths of the fiberglass post (FRC Postec Plus) and the PEKK post (Pekkton(r)) were tested using three kinds of self-adhesive resin cements (G-CEM LinkAce, Multilink Speed, and RelyX U200) and one self-etching resin cement (PANAVIA F2.0). The surface treatments of the fiberglass posts were processed according to the manufacturer's recommendations (F1, application of 37% phosphoric acid etching gel and silanization). For the PEKK post groups, various surface treatments were performed like no surface treatment (P1), sandblasting (P2), silica-coating and silanization (P3), and sandblasting with a composite primer (P4). In the surface treatment, PEKK posts with silica coating and silane treatment (P3) showed a significantly higher microtensile bond strength (mean MPa: 18.09, p < 0.05). The highest microtensile bond strength was shown when the PEKK posts were treated with a silica coating and silane treatment and cemented with RelyX U200 (mean MPa: 22.22). The PEKK posts with surface treatments of silica-coating and silanization or sandblasting displayed superior microtensile bond strengths (mean MPa: 18.09 and 16.25, respectively) compared to the conventional fiberglass posts (mean MPa: 14.93, p < 0.05). PMID- 29844273 TI - Mosses Are Better than Leaves of Vascular Plants in Monitoring Atmospheric Heavy Metal Pollution in Urban Areas. AB - Mosses and leaves of vascular plants have been used as bioindicators of environmental contamination by heavy metals originating from various sources. This study aims to compare the metal accumulation capabilities of mosses and vascular species in urban areas and quantify the suitability of different taxa for monitoring airborne heavy metals. One pleurocarpous feather moss species, Haplocladium angustifolium, and two evergreen tree species, Cinnamomum bodinieriOsmanthus fragrans, and substrate soil were sampled in the urban area of different land use types in Wuhan City in China. The concentrations of Ag, As, Cd, Co, Cr, Cu, Mn, Mo, Ni, V, Pb, and Zn in these samples were analyzed by inductively coupled plasma mass spectrometry. The differences of heavy metals concentration in the three species showed that the moss species was considerably more capable of accumulating heavy metals than tree leaves (3 times to 51 times). The accumulated concentration of heavy metals in the moss species depended on the metal species and land use type. The enrichment factors of metals for plants and the correlations of metals in plants with corresponding metals in soil reflected that the accumulated metals in plants stemmed mostly from atmospheric deposition, rather than the substrate soil. Anthropogenic factors, such as traffic emissions from automobile transportation and manufacturing industries, were primarily responsible for the variations in metal pollutants in the atmosphere and subsequently influenced the metal accumulation in the mosses. This study elucidated that the moss species H. angustifolium is relatively more suitable than tree leaves of C. bodinieri and O. fragrans in monitoring heavy metal pollution in urban areas, and currently Wuhan is at a lower contamination level of atmospheric heavy metals than some other cities in China. PMID- 29844274 TI - Review of Fabrication Methods, Physical Properties, and Applications of Nanostructured Copper Oxides Formed via Electrochemical Oxidation. AB - Typically, anodic oxidation of metals results in the formation of hexagonally arranged nanoporous or nanotubular oxide, with a specific oxidation state of the transition metal. Recently, the majority of transition metals have been anodized; however, the formation of copper oxides by electrochemical oxidation is yet unexplored and offers numerous, unique properties and applications. Nanowires formed by copper electrochemical oxidation are crystalline and composed of cuprous (CuO) or cupric oxide (Cu2O), bringing varied physical and chemical properties to the nanostructured morphology and different band gaps: 1.44 and 2.22 eV, respectively. According to its Pourbaix (potential-pH) diagram, the passivity of copper occurs at ambient and alkaline pH. In order to grow oxide nanostructures on copper, alkaline electrolytes like NaOH and KOH are used. To date, no systemic study has yet been reported on the influence of the operating conditions, such as the type of electrolyte, its temperature, and applied potential, on the morphology of the grown nanostructures. However, the numerous reports gathered in this paper will provide a certain view on the matter. After passivation, the formed nanostructures can be also post-treated. Post-treatments employ calcinations or chemical reactions, including the chemical reduction of the grown oxides. Nanostructures made of CuO or Cu2O have a broad range of potential applications. On one hand, with the use of surface morphology, the wetting contact angle is tuned. On the other hand, the chemical composition (pure Cu2O) and high surface area make such materials attractive for renewable energy harvesting, including water splitting. While compared to other fabrication techniques, self-organized anodization is a facile, easy to scale-up, time efficient approach, providing high-aspect ratio one-dimensional (1D) nanostructures. Despite these advantages, there are still numerous challenges that have to be faced, including the strict control of the chemical composition and morphology of the grown nanostructures, their uniformity, and understanding the mechanism of their growth. PMID- 29844272 TI - The Impact of Uremic Toxins on Vascular Smooth Muscle Cell Function. AB - Chronic kidney disease (CKD) is associated with profound vascular remodeling, which accelerates the progression of cardiovascular disease. This remodeling is characterized by intimal hyperplasia, accelerated atherosclerosis, excessive vascular calcification, and vascular stiffness. Vascular smooth muscle cell (VSMC) dysfunction has a key role in the remodeling process. Under uremic conditions, VSMCs can switch from a contractile phenotype to a synthetic phenotype, and undergo abnormal proliferation, migration, senescence, apoptosis, and calcification. A growing body of data from experiments in vitro and animal models suggests that uremic toxins (such as inorganic phosphate, indoxyl sulfate and advanced-glycation end products) may directly impact the VSMCs' physiological functions. Chronic, low-grade inflammation and oxidative stress-hallmarks of CKD are also strong inducers of VSMC dysfunction. Here, we review current knowledge about the impact of uremic toxins on VSMC function in CKD, and the consequences for pathological vascular remodeling. PMID- 29844276 TI - A Friction-Inertial-Based Rotary Motor: Design, Modelling and Experiments. AB - A friction-inertial-based rotary motor driven by shear piezoelectric actuators (SPAs) is proposed in this paper, which possesses many superior features, including high resolution, compact size, large load-capacity, and low cost. In order to eliminate the step loss and increase the step size when an external load is applied, the power-function-shape driving signal was used to actuate the rotary motor. According to the step characteristics under this driving signal, two motion modes were observed and defined, namely the stick-shoot motion mode and the stick-slip-shoot motion mode. The former motion mode can realize a large step size while the later one cannot due to the slipping during the rising phase. After analyzing the results from the numerical simulation and the experiment study, it was found that the motion performance of the motor is closely related to the preload and the base number of the driving signal rather than the size of SPAs, which means the motor can be further downsized according to its actual requirements. PMID- 29844275 TI - Stand-Alone Wearable System for Ubiquitous Real-Time Monitoring of Muscle Activation Potentials. AB - Wearable technology is attracting most attention in healthcare for the acquisition of physiological signals. We propose a stand-alone wearable surface ElectroMyoGraphy (sEMG) system for monitoring the muscle activity in real time. With respect to other wearable sEMG devices, the proposed system includes circuits for detecting the muscle activation potentials and it embeds the complete real-time data processing, without using any external device. The system is optimized with respect to power consumption, with a measured battery life that allows for monitoring the activity during the day. Thanks to its compactness and energy autonomy, it can be used outdoor and it provides a pathway to valuable diagnostic data sets for patients during their own day-life. Our system has performances that are comparable to state-of-art wired equipment in the detection of muscle contractions with the advantage of being wearable, compact, and ubiquitous. PMID- 29844278 TI - Adaptive Obstacle Detection for Mobile Robots in Urban Environments Using Downward-Looking 2D LiDAR. AB - Environment perception is important for collision-free motion planning of outdoor mobile robots. This paper presents an adaptive obstacle detection method for outdoor mobile robots using a single downward-looking LiDAR sensor. The method begins by extracting line segments from the raw sensor data, and then estimates the height and the vector of the scanned road surface at each moment. Subsequently, the segments are divided into either road ground or obstacles based on the average height of each line segment and the deviation between the line segment and the road vector estimated from the previous measurements. A series of experiments have been conducted in several scenarios, including normal scenes and complex scenes. The experimental results show that the proposed approach can accurately detect obstacles on roads and could effectively deal with the different heights of obstacles in urban road environments. PMID- 29844277 TI - Potential Application of the CRISPR/Cas9 System against Herpesvirus Infections. AB - The CRISPR/Cas9 system has been applied in the genome editing and disruption of latent infections for herpesviruses such as the herpes simplex virus, Epstein Barr virus, cytomegalovirus, and Kaposi's sarcoma-associated herpesvirus. CRISPR/Cas9-directed mutagenesis can introduce similar types of mutations to the viral genome as can bacterial artificial chromosome recombination engineering, which maintains and reconstitutes the viral genome successfully. The cleavage mediated by CRISPR/Cas9 enables the manipulation of disease-associated viral strains with unprecedented efficiency and precision. Additionally, current therapies for herpesvirus productive and latent infections are limited in efficacy and cannot eradicate viruses. CRISPR/Cas9 is potentially adapted for antiviral treatment by specifically targeting viral genomes during latent infections. This review, which focuses on recently published progress, suggests that the CRISPR/Cas9 system is not only a useful tool for basic virology research, but also a promising strategy for the control and prevention of herpesvirus latent infections. PMID- 29844280 TI - A Study of the Particle-Level Fabric and Morphology of Granular Soils under One Dimensional Compression Using Insitu X-ray CT Imaging. AB - The particle morphology and fabric of a granular soil influence its mechanical behavior. This study focuses on the evolution of the particle-level fabric and morphology of a uniformly graded sand sample subjected to one-dimensional compression up to 64 MPa. The microstructural changes with increased stresses were captured using in situ high-resolution X-ray computed tomography (X-ray CT) imaging. The processed images of particles were separated using the Monash Particle Separation Method (MPSM) for subsequent fabric and morphological analyses. The variations of various fabric parameters were studied using the separated particle volumes. New methods of assessing the morphology and crushability of particles were introduced including a comprehensive algorithm for determining coordination number, branch and contact normal vectors. Results of all fabric parameters were analyzed and discussed with reference to observed changes. Potential mechanisms were identified and relevant correlations were developed where warranted. PMID- 29844279 TI - UDP-Glucose 4-Epimerase and beta-1,4-Galactosyltransferase from the Oyster Magallana gigas as Valuable Biocatalysts for the Production of Galactosylated Products. AB - Uridine diphosphate galactose (UDP-galactose) is a valuable building block in the enzymatic synthesis of galactose-containing glycoconjugates. UDP-glucose 4 epimerase (UGE) is an enzyme which catalyzes the reversible conversion of abundantly available UDP-glucose to UDP-galactose. Herein, we described the cloning, expression, purification, and biochemical characterization of an unstudied UGE from the oyster Magallana gigas (MgUGE). Activity tests of recombinantly expressed MgUGE, using HPLC (high-performance liquid chromatography), mass spectrometry, and photometric assays, showed an optimal temperature of 16 degrees C, and reasonable thermal stability up to 37 degrees C. No metal ions were required for enzymatic activity. The simple nickel-affinity purification procedure makes MgUGE a valuable biocatalyst for the synthesis of UDP-galactose from UDP-glucose. The biosynthetic potential of MgUGE was further exemplified in a coupled enzymatic reaction with an oyster-derived beta-1,4 galactosyltransferase (MgGalT7), allowing the galactosylation of the model substrate para-nitrophenol xylose (pNP-xylose) using UDP-glucose as the starting material. PMID- 29844281 TI - Small Universal Bacteria and Plasmid Computing Systems. AB - Bacterial computing is a known candidate in natural computing, the aim being to construct "bacterial computers" for solving complex problems. In this paper, a new kind of bacterial computing system, named the bacteria and plasmid computing system (BP system), is proposed. We investigate the computational power of BP systems with finite numbers of bacteria and plasmids. Specifically, it is obtained in a constructive way that a BP system with 2 bacteria and 34 plasmids is Turing universal. The results provide a theoretical cornerstone to construct powerful bacterial computers and demonstrate a concept of paradigms using a "reasonable" number of bacteria and plasmids for such devices. PMID- 29844282 TI - In Vitro Antifungal Activity of New and Known Geranylated Phenols against Phytophthora cinnamomi Rands. AB - A series of new and known geranylated phenol/methoxyphenol derivatives has been tested in vitro as inhibitor agents of mycelial growth of Phytophthora cinnamomi. The activity of tested compounds is correlated with the nature, number, and position of the substituent group on the aromatic ring. Results indicate that the most active geranylated derivatives are those having two hydroxyl groups (or one OH and one -OCH3) attached to the aromatic ring. Interestingly, these derivatives are as active as Metalaxil(r), a commonly used commercial fungicide. Thus, our results suggest that some of these compounds might be of agricultural interest due to their potential use as fungicides against P. cinnamomi. The effect of structure on fungicide activity is discussed in terms of electronic distribution on both the aromatic ring and side geranyl chain. All tested compounds have been synthesized by direct coupling of geraniol and the respective phenol. Interestingly, new digeranylated derivatives were obtained by increasing the reaction time. PMID- 29844285 TI - Caching Joint Shortcut Routing to Improve Quality of Service for Information Centric Networking. AB - Hundreds of thousands of ubiquitous sensing (US) devices have provided an enormous number of data for Information-Centric Networking (ICN), which is an emerging network architecture that has the potential to solve a great variety of issues faced by the traditional network. A Caching Joint Shortcut Routing (CJSR) scheme is proposed in this paper to improve the Quality of service (QoS) for ICN. The CJSR scheme mainly has two innovations which are different from other in network caching schemes: (1) Two routing shortcuts are set up to reduce the length of routing paths. Because of some inconvenient transmission processes, the routing paths of previous schemes are prolonged, and users can only request data from Data Centers (DCs) until the data have been uploaded from Data Producers (DPs) to DCs. Hence, the first kind of shortcut is built from DPs to users directly. This shortcut could release the burden of whole network and reduce delay. Moreover, in the second shortcut routing method, a Content Router (CR) which could yield shorter length of uploading routing path from DPs to DCs is chosen, and then data packets are uploaded through this chosen CR. In this method, the uploading path shares some segments with the pre-caching path, thus the overall length of routing paths is reduced. (2) The second innovation of the CJSR scheme is that a cooperative pre-caching mechanism is proposed so that QoS could have a further increase. Besides being used in downloading routing, the pre caching mechanism can also be used when data packets are uploaded towards DCs. Combining uploading and downloading pre-caching, the cooperative pre-caching mechanism exhibits high performance in different situations. Furthermore, to address the scarcity of storage size, an algorithm that could make use of storage from idle CRs is proposed. After comparing the proposed scheme with five existing schemes via simulations, experiments results reveal that the CJSR scheme could reduce the total number of processed interest packets by 54.8%, enhance the cache hits of each CR and reduce the number of total hop counts by 51.6% and cut down the length of routing path for users to obtain their interested data by 28.6 85.7% compared with the traditional NDN scheme. Moreover, the length of uploading routing path could be decreased by 8.3-33.3%. PMID- 29844283 TI - Biological and Psychosocial Processes in the Development of Children's Appetitive Traits: Insights from Developmental Theory and Research. AB - There has been increasing concern expressed about children's food intakes and dietary patterns. These are closely linked to children's appetitive traits (such as disinhibited eating and food fussiness/neophobia). Research has examined both biological and psychosocial correlates or predictors of these traits. There has been less focus on possible processes or mechanisms associated with children's development of these traits and research that links biological and psychosocial factors. There is an absence of research that links biological and psychosocial factors. In the present article, we outline a model intended to facilitate theory and research on the development of appetitive traits. It is based on scholarship from developmental theory and research and incorporates biological factors such as genetic predispositions and temperament as well as psychosocial factors in terms of parent cognitions, feeding styles and feeding practices. Particular attention is directed to aspects such as emotional eating and feeding, self regulation of energy intake, and non-shared family environments. We highlight the opportunity for longitudinal research that examines bidirectional, transactional and cascade processes and uses a developmental framework. The model provides a basis for connecting the biological foundations of appetitive traits to system level analysis in the family. Knowledge generated through the application of the model should lead to more effective prevention and intervention initiatives. PMID- 29844284 TI - Review of Intraocular Pharmacokinetics of Anti-Infectives Commonly Used in the Treatment of Infectious Endophthalmitis. AB - Although intravitreal administration of anti-infectives represents the standard treatment for infectious endophthalmitis, the knowledge about their pharmacokinetics is still limited. In this review, we aimed to summarise the factors influencing the pharmacokinetics of the anti-infective agents. We have conducted a comprehensive review of the preclinical pharmacokinetic parameters obtained in different studies of intravitreal injections of anti-infectives performed on animals, mainly rabbits. The two aspects with the biggest influence on pharmacokinetics are the distribution in the vitreous humour and the elimination through the posterior segment. The distribution can be affected by the molecular weight of the drug, the convection flow of the vitreous, the condition of the vitreous humour depending on the age of the patient, the possible interactions between the drug and the components of the vitreous, and the presence of vitrectomy. Meanwhile, the elimination includes the metabolism of the drug, the clearance via the anterior and posterior routes, and the possible inflammation of the eye resulting from the disease. Understanding the pharmacokinetics of the anti-infectives used in clinical practice is essential for a correct application. The information provided in this review could offer guidance for selecting the best therapeutic option according to the characteristics of the drugs. PMID- 29844286 TI - Phycotoxins in Marine Shellfish: Origin, Occurrence and Effects on Humans. AB - Massive phytoplankton proliferation, and the consequent release of toxic metabolites, can be responsible for seafood poisoning outbreaks: filter-feeding mollusks, such as shellfish, mussels, oysters or clams, can accumulate these toxins throughout the food chain and present a threat for consumers' health. Particular environmental and climatic conditions favor this natural phenomenon, called harmful algal blooms (HABs); the phytoplankton species mostly involved in these toxic events are dinoflagellates or diatoms belonging to the genera Alexandrium, Gymnodinium, Dinophysis, and Pseudo-nitzschia. Substantial economic losses ensue after HABs occurrence: the sectors mainly affected include commercial fisheries, tourism, recreational activities, and public health monitoring and management. A wide range of symptoms, from digestive to nervous, are associated to human intoxication by biotoxins, characterizing different and specific syndromes, called paralytic shellfish poisoning, amnesic shellfish poisoning, diarrhetic shellfish poisoning, and neurotoxic shellfish poisoning. This review provides a complete and updated survey of phycotoxins usually found in marine invertebrate organisms and their relevant properties, gathering information about the origin, the species where they were found, as well as their mechanism of action and main effects on humans. PMID- 29844287 TI - Phage-Derived Peptidoglycan Degrading Enzymes: Challenges and Future Prospects for In Vivo Therapy. AB - Peptidoglycan degrading enzymes are of increasing interest as antibacterial agents, especially against multi-drug resistant pathogens. Herein we present a review about the biological features of virion-associated lysins and endolysins, phage-derived enzymes that have naturally evolved to compromise the bacterial peptidoglycan from without and from within, respectively. These natural features may determine the adaptability of the enzymes to kill bacteria in different environments. Endolysins are by far the most studied group of peptidoglycan degrading enzymes, with several studies showing that they can exhibit potent antibacterial activity under specific conditions. However, the lytic activity of most endolysins seems to be significantly reduced when tested against actively growing bacteria, something that may be related to fact that these enzymes are naturally designed to degrade the peptidoglycan from within dead cells. This may negatively impact the efficacy of the endolysin in treating some infections in vivo. Here, we present a critical view of the methods commonly used to evaluate in vitro and in vivo the antibacterial performance of PG-degrading enzymes, focusing on the major hurdles concerning in vitro-to-in vivo translation. PMID- 29844289 TI - Sexual Risk Behaviors of Patients with HIV/AIDS over the Course of Antiretroviral Treatment in Northern Vietnam. AB - Antiretroviral therapy (ART) improves the health and well-being of people living with the human immunodeficiency virus (HIV, PLWH), and reduces their risk of transmitting the virus to sexual partners. However, patterns of sexual risk behavior among HIV-positive patients taking ART in Vietnam remain largely unknown. In this study, we sought to examine sexual risk behaviors and their associated factors among HIV-positive patients receiving ART in northern Vietnam. The socio-demographic characteristics, ART use, health status, and sexual behaviors of 1133 patients taking ART in the Hanoi and Nam Dinh provinces were explored through face-to-face interviews. There were 63.5% of patients who had one sex partner, while 3.6% and 5.6% of patients had sexual intercourse with casual partners or sex workers, respectively, in the previous 12 months. Most participants tended to use condoms more often with commercial sex partners (90.2%) and intimate partners (79.7%), and less often with casual partners (60.9%). Higher age (odds ratio, OR = 1.0; 95% CIs = 1.0, 1.1) or suffering pain/discomfort (OR = 1.7; 95% CIs = 1.2, 2.4) were factors more likely to be associated with multiple sex partners. Patients who were self-employed were more likely to have sexual intercourse with casual partners/sex workers (OR = 2.1; 95% CIs = 1.1, 4.0). Meanwhile, a higher score on the EuroQol visual analog scale (EQ VAS), an unknown HIV stage, and a longer duration of ART were adversely associated with not using condoms with casual partners/sex workers. Patients with longer durations of ART had a lower likelihood of not using a condom with casual partners/sex workers (OR = 0.5; 95% CIs = 0.3, 0.8). Our study underscored a relatively high rate of unsafe sexual behaviors among HIV-positive patients. Continuing to improve the physical and psychological well-being of HIV-positive patients in Vietnam is important in reducing the spread of HIV via risky sexual behaviors. In addition, safe-sex education should be provided to older people, and to those who are self-employed. PMID- 29844288 TI - The Effect of Light Exposure at Night (LAN) on Carcinogenesis via Decreased Nocturnal Melatonin Synthesis. AB - In mammals, a master clock is located within the suprachiasmatic nucleus (SCN) of the hypothalamus, a region that receives input from the retina that is transmitted by the retinohypothalamic tract. The SCN controls the nocturnal synthesis of melatonin by the pineal gland that can influence the activity of the clock's genes and be involved in the inhibition of cancer development. On the other hand, in the literature, some papers highlight that artificial light exposure at night (LAN)-induced circadian disruptions promote cancer. In the present review, we summarize the potential mechanisms by which LAN-evoked disruption of the nocturnal increase in melatonin synthesis counteracts its preventive action on human cancer development and progression. In detail, we discuss: (i) the Warburg effect related to tumor metabolism modification; (ii) genomic instability associated with L1 activity; and (iii) regulation of immunity, including regulatory T cell (Treg) regulation and activity. A better understanding of these processes could significantly contribute to new treatment and prevention strategies against hormone-related cancer types. PMID- 29844290 TI - Functioning and Disability Profile of Children with Microcephaly Associated with Congenital Zika Virus Infection. AB - INTRODUCTION: The increase in the number of cases of microcephaly in Brazil and its association with the Zika virus (ZIKV) is a global public health problem. The International Classification of Functioning Disability and Health (ICF) model is a powerful tool and extremely relevant in managing disability. OBJECTIVE: Describe the functioning profile of children with microcephaly associated with ZIKV in two states of northeastern Brazil. METHODS: This is a descriptive cross sectional study. The sociodemographic characteristics, head circumference, and other clinical data were collected from medical charts, physical examinations, measuring instruments, and interviews with the children and their parents. The Brazilian Portuguese version of the Brief Common ICF Core Set for cerebral palsy (CP) was used. Each ICF category was assigned a qualifier, which ranged from 0 to 4 (no problem, mild problem, moderate problem, severe problem, complete problem). For environmental factors, 0 represents no barrier and 4 represents complete barrier; +0, no facilitator and +4, complete facilitator. RESULTS: A total of 34 children with microcephaly caused by ZIKV were recruited (18 girls and 16 boys) at four rehabilitation facilities in Rio Grande do Norte and Paraiba states, Brazil. The average age of the participants was 21 months, monthly income was ~USD 300.00, and head circumference z-scores ranged between 0.92 and -5.51. The functioning profile revealed complete disability in most of the body function categories (b). The activity and participation areas (d) were highly impacted, particularly in mobility-related categories. With respect to environmental factors (e), most of the sample reported a complete facilitator for the immediate family, friends, and health services, systems, and policies, as well as a complete barrier to societal attitudes. CONCLUSION: This is the first study that describes the functioning profile of children with microcephaly associated with ZIKV, using a tool based on the ICF in Brazil. Our findings reinforce the need to maximize health care and access to information, based on the ICF, for multiprofessional teams, administrators, family members, and children. PMID- 29844291 TI - A Sensitive and Rapid Method to Determin the Adhesion Capacity of Probiotics and Pathogenic Microorganisms to Human Gastrointestinal Mucins. AB - Mucus is the habitat for the microorganisms, bacteria and yeast that form the commensal flora. Mucins, the main macromolecules of mucus, and more specifically, the glycans that cover them, play essential roles in microbial gastrointestinal colonization. Probiotics and pathogens must also colonize mucus to have lasting positive or deleterious effects. The question of which mucin-harboured glycan motifs favour the adhesion of specific microorganisms remains very poorly studied. In the current study, a simple test based on the detection of fluorescent-labeled microorganisms raised against microgram amounts of mucins spotted on nitrocellulose was developed. The adhesion of various probiotic, commensal and pathogenic microorganisms was evaluated on a panel of human purified gastrointestinal mucins and compared with that of commercially available pig gastric mucins (PGM) and of mucins secreted by the colonic cancer cell line HT29-MTX. The latter two proved to be very poor indicators of adhesion capacity on intestinal mucins. Our results show that the nature of the sialylated cores of O-glycans, determined by MALDI MS-MS analysis, potentially enables sialic acid residues to modulate the adhesion of microorganisms either positively or negatively. Other identified factors affecting the adhesion propensity were O glycan core types and the presence of blood group motifs. This test should help to select probiotics with enhanced adhesion capabilities as well as deciphering the role of specific mucin glycotopes on microbial adhesion. PMID- 29844292 TI - Smart Sensing Technologies for Personalised e-Coaching. AB - People living in both developed and developing countries face serious health challenges related to sedentary lifestyles. It is therefore essential to find new ways to improve health so that people can live longer and age well. With an ever growing number of smart sensing systems developed and deployed across the globe, experts are primed to help coach people to have healthier behaviors. The increasing accountability associated with app- and device-based behavior tracking not only provides timely and personalized information and support, but also gives us an incentive to set goals and do more. This paper outlines some of the recent efforts made towards automatic and autonomous identification and coaching of troublesome behaviors to procure lasting, beneficial behavioral changes. PMID- 29844293 TI - Magnetic Photocatalyst BiVO4/Mn-Zn ferrite/Reduced Graphene Oxide: Synthesis Strategy and Its Highly Photocatalytic Activity. AB - Magnetic photocatalyst BiVO4/Mn-Zn ferrite (Mn1-xZnxFe2O4)/reduced graphene oxide (RGO) was synthesized by a simple calcination and reduction method. The magnetic photocatalyst held high visible light-absorption ability with low band gap energy and wide absorption wavelength range. Electrochemical impedance spectroscopies illustrated good electrical conductivity which indicated low charge-transfer resistance due to incorporation of Mn1-xZnxFe2O4 and RGO. The test of photocatalytic activity showed that the degradation ratio of rhodamine B (RhB) reached 96.0% under visible light irradiation after only 1.5 h reaction. The photocatalytic mechanism for the prepared photocatalyst was explained in detail. Here, the incorporation of RGO enhanced the specific surface area compared with BiVO4/Mn1-xZnxFe2O4.The larger specific surface area provided more active surface sites, more free space to improve the mobility of photo-induced electrons, and further facilitated the effective migration of charge carriers, leading to the remarkable improvement of photocatalytic performance. Meanwhile, RGO was the effective acceptor as well as transporter of photo-generated electron hole pairs. *O2- was the most active species in the photocatalytic reaction. BiVO4/Mn1 xZnxFe2O4/RGO had quite a wide application in organic contaminants removal or environmental pollution control. PMID- 29844294 TI - Supervoxels-Based Histon as a New Alzheimer's Disease Imaging Biomarker. AB - Alzheimer's disease (AD) represents the prevalent type of dementia in the elderly, and is characterized by the presence of neurofibrillary tangles and amyloid plaques that eventually leads to the loss of neurons, resulting in atrophy in specific brain areas. Although the process of degeneration can be visualized through various modalities of medical imaging and has proved to be a valuable biomarker, the accurate diagnosis of Alzheimer's disease remains a challenge, especially in its early stages. In this paper, we propose a novel classification method for Alzheimer's disease/cognitive normal discrimination in structural magnetic resonance images (MRI), based on the extension of the concept of histons to volumetric images. The proposed method exploits the relationship between grey matter, white matter and cerebrospinal fluid degeneration by means of a segmentation using supervoxels. The calculated histons are then processed for a reduction in dimensionality using principal components analysis (PCA) and the resulting vector is used to train an support vector machine (SVM) classifier. Experimental results using the OASIS-1 database have proven to be a significant improvement compared to a baseline classification made using the pipeline provided by Clinica software. PMID- 29844296 TI - Estimating Angle-of-Arrival and Time-of-Flight for Multipath Components Using WiFi Channel State Information. AB - Channel state information (CSI) collected during WiFi packet transmissions can be used for localization of commodity WiFi devices in indoor environments with multipath propagation. To this end, the angle of arrival (AoA) and time of flight (ToF) for all dominant multipath components need to be estimated. A two dimensional (2D) version of the multiple signal classification (MUSIC) algorithm has been shown to solve this problem using 2D grid search, which is computationally expensive and is therefore not suited for real-time localisation. In this paper, we propose using a modified matrix pencil (MMP) algorithm instead. Specifically, we show that the AoA and ToF estimates can be found independently of each other using the one-dimensional (1D) MMP algorithm and the results can be accurately paired to obtain the AoA-ToF pairs for all multipath components. Thus, the 2D estimation problem reduces to running 1D estimation multiple times, substantially reducing the computational complexity. We identify and resolve the problem of degenerate performance when two or more multipath components have the same AoA. In addition, we propose a packet aggregation model that uses the CSI data from multiple packets to improve the performance under noisy conditions. Simulation results show that our algorithm achieves two orders of magnitude reduction in the computational time over the 2D MUSIC algorithm while achieving similar accuracy. High accuracy and low computation complexity of our approach make it suitable for applications that require location estimation to run on resource-constrained embedded devices in real time. PMID- 29844298 TI - Accurate Fall Detection in a Top View Privacy Preserving Configuration. AB - Fall detection is one of the most investigated themes in the research on assistive solutions for aged people. In particular, a false-alarm-free discrimination between falls and non-falls is indispensable, especially to assist elderly people living alone. Current technological solutions designed to monitor several types of activities in indoor environments can guarantee absolute privacy to the people that decide to rely on them. Devices integrating RGB and depth cameras, such as the Microsoft Kinect, can ensure privacy and anonymity, since the depth information is considered to extract only meaningful information from video streams. In this paper, we propose an accurate fall detection method investigating the depth frames of the human body using a single device in a top view configuration, with the subjects located under the device inside a room. Features extracted from depth frames train a classifier based on a binary support vector machine learning algorithm. The dataset includes 32 falls and 8 activities considered for comparison, for a total of 800 sequences performed by 20 adults. The system showed an accuracy of 98.6% and only one false positive. PMID- 29844295 TI - Contact Allergy: A Review of Current Problems from a Clinical Perspective. AB - Contact allergy is common, affecting 27% of the general population in Europe. Original publications, including case reports, published since 2016 (inclusive) were identified with the aim of collating a full review of current problems in the field. To this end, a literature search employing methods of systematic reviewing was performed in the Medline(r) and Web of ScienceTM databases on 28 January 2018, using the search terms ("contact sensitization" or "contact allergy"). Of 446 non-duplicate publications identified by above search, 147 were excluded based on scrutiny of title, abstract and key words. Of the remaining 299 examined in full text, 291 were deemed appropriate for inclusion, and main findings were summarised in topic sections. In conclusion, diverse sources of exposures to chemicals of widely-differing types and structures, continue to induce sensitisation in man and may result in allergic contact dermatitis. Many of the chemicals are "evergreen" but others are "newcomers". Vigilance and proper investigation (patch testing) are required to detect and inform of the presence of these haptens to which our populations remain exposed. PMID- 29844297 TI - Immunotherapy for Gastric Cancer: Time for a Personalized Approach? AB - Over the last decade, our understanding of the mechanisms underlying immune modulation has greatly improved, allowing for the development of multiple therapeutic approaches that are revolutionizing the treatment of cancer. Immunotherapy for gastric cancer (GC) is still in the early phases but is rapidly evolving. Recently, multi-platform molecular analyses of GC have proposed a new classification of this heterogeneous group of tumors, highlighting subset specific features that may more reliably inform therapeutic choices, including the use of new immunotherapeutic drugs. The clinical benefit and improved survival observed in GC patients treated with immunotherapeutic strategies and their combination with conventional therapies highlighted the importance of the immune environment surrounding the tumor. A thorough investigation of the tumor microenvironment and the complex and dynamic interaction between immune cells and tumor cells is a fundamental requirement for the rational design of novel and more effective immunotherapeutic approaches. This review summarizes the pre clinical and clinical results obtained so far with immunomodulatory and immunotherapeutic treatments for GC and discusses the novel combination strategies that are being investigated to improve the personalization and efficacy of GC immunotherapy. PMID- 29844299 TI - Size and Content of the Sex-Determining Region of the Y Chromosome in Dioecious Mercurialis annua, a Plant with Homomorphic Sex Chromosomes. AB - Dioecious plants vary in whether their sex chromosomes are heteromorphic or homomorphic, but even homomorphic sex chromosomes may show divergence between homologues in the non-recombining, sex-determining region (SDR). Very little is known about the SDR of these species, which might represent particularly early stages of sex-chromosome evolution. Here, we assess the size and content of the SDR of the diploid dioecious herb Mercurialis annua, a species with homomorphic sex chromosomes and mild Y-chromosome degeneration. We used RNA sequencing (RNAseq) to identify new Y-linked markers for M. annua. Twelve of 24 transcripts showing male-specific expression in a previous experiment could be amplified by polymerase chain reaction (PCR) only from males, and are thus likely to be Y linked. Analysis of genome-capture data from multiple populations of M. annua pointed to an additional six male-limited (and thus Y-linked) sequences. We used these markers to identify and sequence 17 sex-linked bacterial artificial chromosomes (BACs), which form 11 groups of non-overlapping sequences, covering a total sequence length of about 1.5 Mb. Content analysis of this region suggests that it is enriched for repeats, has low gene density, and contains few candidate sex-determining genes. The BACs map to a subset of the sex-linked region of the genetic map, which we estimate to be at least 14.5 Mb. This is substantially larger than estimates for other dioecious plants with homomorphic sex chromosomes, both in absolute terms and relative to their genome sizes. Our data provide a rare, high-resolution view of the homomorphic Y chromosome of a dioecious plant. PMID- 29844300 TI - Multidirectional Efficacy of Biologically Active Nitro Compounds Included in Medicines. AB - The current concept in searching for new bioactive products, including mainly original active substances with potential application in pharmacy and medicine, is based on compounds with a previously determined structure, well-known properties, and biological activity profile. Nowadays, many commonly used drugs originated from natural sources. Moreover, some natural materials have become the source of leading structures for processing further chemical modifications. Many organic compounds with great therapeutic significance have the nitro group in their structure. Very often, nitro compounds are active substances in many well known preparations belonging to different groups of medicines that are classified according to their pharmacological potencies. Moreover, the nitro group is part of the chemical structure of veterinary drugs. In this review, we describe many bioactive substances with the nitro group, divided into ten categories, including substances with exciting activity and that are currently undergoing clinical trials. PMID- 29844301 TI - Vibration-Induced Errors in MEMS Tuning Fork Gyroscopes with Imbalance. AB - This paper discusses the vibration-induced error in non-ideal MEMS tuning fork gyroscopes (TFGs). Ideal TFGs which are thought to be immune to vibrations do not exist, and imbalance between two gyros of TFGs is an inevitable phenomenon. Three types of fabrication imperfections (i.e., stiffness imbalance, mass imbalance, and damping imbalance) are studied, considering different imbalance radios. We focus on the coupling types of two gyros of TFGs in both drive and sense directions, and the vibration sensitivities of four TFG designs with imbalance are simulated and compared. It is found that non-ideal TFGs with two gyros coupled both in drive and sense directions (type CC TFGs) are the most insensitive to vibrations with frequencies close to the TFG operating frequencies. However, sense-axis vibrations with in-phase resonant frequencies of a coupled gyros system result in severe error outputs to TFGs with two gyros coupled in the sense direction, which is mainly attributed to the sense capacitance nonlinearity. With increasing stiffness coupled ratio of the coupled gyros system, the sensitivity to vibrations with operating frequencies is cut down, yet sensitivity to vibrations with in-phase frequencies is amplified. PMID- 29844303 TI - Evaluation of Fine Aggregate Morphology by Image Method and Its Effect on Skid Resistance of Micro-Surfacing. AB - Micro-surfacing is a widely used pavement preventive maintenance technology used all over the world, due to its advantages of fast construction, low maintenance cost, good waterproofness, and skid-resistance performance. This study evaluated the fine aggregate morphology and surface texture of micro-surfacing by AIMS (aggregate image measurement system), and explored the effect of aggregate morphology on skid-resistance of single-grade micro-surfacing. Sand patch test and British pendulum test were also used to detect skid-resistance for comparison with the image-based method. Wet abrasion test was used to measure skid resistance durability for feasibility verification of single-grade micro surfacing. The results show that the effect of Form2D on the skid-resistance of micro-surfacing is much stronger than that of angularity. Combining the feasibility analysis of durability and skid-resistance, 1.18-2.36 grade micro surfacing meets the requirements of durability and skid-resistance at the same time. This study also determined that, compared with British pendulum test, the texture result obtained by sand patch test fits better with results of image method. PMID- 29844302 TI - The Human Health Assessment to Phthalate Acid Esters (PAEs) and Potential Probability Prediction by Chromophoric Dissolved Organic Matter EEM-FRI Fluorescence in Erlong Lake. AB - Phthalate acid esters (PAEs) are suspected to cause wide environmental pollution and have adverse effects on human health. Three priority control phthalates, namely dimethyl phthalate (DMP), diethyl phthalate (DEP), and dibutyl phthalate (DBP), were determined in 45 water samples from the largest drinking water source in Jilin Province. Chromophoric-dissolved organic matter (CDOM), which are composed of complex compounds and are a proxy for water quality, can be monitored using a fluorometer. This study attempted to understand the correlations of the CDOM fluorescence regional integration (FRI) components with PAEs and CDOM characteristics under seasonal and spatial variations in the Erlong Lake. The characteristics of the CDOM absorption parameters in different water samples showed a higher aromatic content and molecular weight in October because of increased terrestrial inputs. The Sigma3PAEs concentrations ranged from 0.231 mg L-1 to 0.435 mg L-1 in water, and DEP contributed to more than 90% of the Sigma3PAEs. The FRI method identified five fluorescence components: one tyrosine like (R1), one tryptophan-like (R2), one fulvic-like (R3), one microbial protein like (R4), and one humic-like (R5) component. However, significant relationships exist between DEP and R3 (R2 = 0.78, p < 0.001), R4 (R2 = 0.77, p < 0.001), and R5 (R2 = 0.58, p < 0.001). Quantifying the relationship between CDOM and PAEs was highly significant, because the results will simplify the componential analysis of pollutants from a spatiotemporal perspective as compared to traditional chemical measurements. The human health risk assessment results revealed no human health risk (HQ < 1) in the Erlong Lake basin. PMID- 29844304 TI - Alleviation of Acute Lung Injury in Rats with Sepsis by Resveratrol via the Phosphatidylinositol 3-Kinase/Nuclear Factor-Erythroid 2 Related Factor 2/Heme Oxygenase-1 (PI3K/Nrf2/HO-1) Pathway. AB - BACKGROUND Resveratrol (Res) is a type of polyphenol found in many plants, which can protect important organs from the damage induced by sepsis. However, the exact mechanism of its protective effect has not been established. This study investigated the effect of Res on the PI3K/Nrf2/HO-1 signaling pathway in rats with sepsis-induced acute lung injury (ALI). MATERIAL AND METHODS Male Wistar rats were treated with 30 mg/kg Res by intraperitoneal administration for 1 hour immediately after cecal ligation and puncture. Levels of MIP-2, IL-18, and IL-10 in bronchoalveolar lavage fluid (BALF) were determined. Lung tissues were collected to measure the wet-to-dry (W/D) ratios, oxidative stress index, and lung injury scores. Expression levels of Akt, p-Akt, HO-1, Nrf-2, and active caspase-3 proteins were determined by western blotting; expression of HO-1 mRNA was determined by RT-PCR. RESULTS Treatment with Res significantly decreased the levels of MIP-2 and IL-18 and increased IL-10 in the BALF of rats with sepsis induced ALI. In addition, Res also effectively reduced the W/D lung weight ratio, lung injury score, and the levels of MDA (malondialdehyde) and 8-OHdG. Conversely, Res increased SOD (superoxide dismutase) activity in the lung tissue. Moreover, Res significantly induced higher HO-1 mRNA expression, upregulated HO-1 and Nrf-2 protein expression, and the phosphorylation of Akt in the lung tissue. In contrast, the levels of activated caspase-3 protein were decreased in Res treated rats (P<0.05). CONCLUSIONS Res could inhibit inflammation, oxidative stress, and cell apoptosis to alleviate ALI in septic rats through the inhibition of the PI3K/Nrf2/HO-1 signaling pathway. PMID- 29844305 TI - Silent Neoplastic Cardiac Invasion in Small Cell Lung Cancer: A Case Report and Review of the Literature. AB - BACKGROUND Secondary malignant tumor of the heart is one of the most life threatening complications of lung cancer. Several published case reports have documented non-small cell lung cancer (NSCLC) patients with neoplastic cardiac invasion. However, the number of reported cases of small cell lung cancer (SCLC) with neoplastic cardiac invasion is limited. CASE REPORT We present a rare case of advanced SCLC in a patient with asymptomatic neoplastic cardiac invasion. We also discuss radiation therapy modalities that should be considered in SCLC patients with cardiac invasion. CONCLUSIONS Clinicians should be vigilant about cases of SCLC with asymptomatic intra-cardiac invasion and practice caution when diagnosing, as well as treating with radiation as a monotherapy. PMID- 29844306 TI - S100A11 protects against neuronal cell apoptosis induced by cerebral ischemia via inhibiting the nuclear translocation of annexin A1. AB - The subcellular location of annexin A1 (ANXA1) determines the ultimate fate of neurons after ischemic stroke. ANXA1 nuclear translocation is involved in neuronal apoptosis after cerebral ischemia, and extracellular ANXA1 is also associated with regulation of inflammatory responses. As the factors and mechanism that influence ANXA1 subcellular translocation remain unclear, studies aiming to determine and clarify the role of ANXA1 as a cell fate 'regulator' within cells are critically needed. In this study, we found that intracerebroventricular injection of the recombinant adenovirus vector Ad-S100A11 (carrying S100A11) strongly improved cognitive function and induced robust neuroprotective effects after ischemic stroke in vivo. Furthermore, upregulation of S100A11 protected against neuronal apoptosis induced by oxygen-glucose deprivation and reoxygenation (OGD/R) in vitro. Surprisingly, S100A11 overexpression markedly decreased ANXA1 nuclear translocation and subsequently alleviated OGD/R-induced neuronal apoptosis. Notably, S100A11 exerted its neuroprotective effect by directly binding ANXA1. Importantly, S100A11 directly interacted with ANXA1 through the nuclear translocation signal (NTS) of ANXA1, which is essential for ANXA1 to import into the nucleus. Consistent with our previous studies, ANXA1 nuclear translocation after OGD/R promoted p53 transcriptional activity, induced mRNA expression of the pro-apoptotic Bid gene, and activated the caspase-3 apoptotic pathway, which was almost completely reversed by S100A11 overexpression. Thus, S100A11 protects against cell apoptosis by inhibiting OGD/R-induced ANXA1 nuclear translocation. This study provides a novel mechanism whereby S100A11 protects against neuronal cells apoptosis, suggesting the potential for a previously unidentified treatment strategy in minimizing apoptosis after ischemic stroke. PMID- 29844307 TI - miR-550a-3-5p acts as a tumor suppressor and reverses BRAF inhibitor resistance through the direct targeting of YAP. AB - Although evidence has emerged to suggest that YAP overexpression is a crucial factor for tumor progression and resistance to targeted drugs in multiple cancers, the miRNA-mediated YAP regulation is still unclear. Here we show that the novel miR-550a-3-5p acts as a tumor suppressor and reverses BRAF inhibitor resistance through the direct targeting of YAP. Our data showed that the miR-550a 3-5p suppressed cell proliferation, metastasis, and tumor sphere formation through the direct inhibition of YAP and its oncogenic pathway in various cancer cell types. In addition, we showed that the YAP signature was associated with poor survival of colon cancer and identified an inverse correlation between miR 550a-3-5p and YAP in colon cancer tissues. Interestingly, this inverse correlation was regulated in a density-dependent manner. Furthermore, high levels of miR-550a-3-5p were associated with a good prognosis of esophageal cancer, which was suggestive of the clinical relevance of miR-550a-3-5p-mediated YAP regulation in multiple cancers. Importantly, we demonstrated that miR-550a-3-5p treatment sensitized vemurafenib-resistant colon and melanoma cells through YAP inhibition with reduced AKT activity. Moreover, the tumor-suppressive activity of miR-550a-3-5p and its sensitization effect for vemurafenib resistance were also observed in tumor xenograft models. Collectively, our data suggest that miR-550a 3-5p acts as a tumor suppressor through the targeting of oncogenic YAP and may be a new therapeutic tool for YAP-mediated BRAF inhibitor resistance in BRAF-mutant cancer cells. PMID- 29844308 TI - Observation of different reactivities of para and ortho-water towards trapped diazenylium ions. AB - Water is one of the most fundamental molecules in chemistry, biology and astrophysics. It exists as two distinct nuclear-spin isomers, para- and ortho water, which do not interconvert in isolated molecules. The experimental challenges in preparing pure samples of the two isomers have thus far precluded a characterization of their individual chemical behavior. Capitalizing on recent advances in the electrostatic deflection of polar molecules, we separate the ground states of para- and ortho-water in a molecular beam to show that the two isomers exhibit different reactivities in a prototypical reaction with trapped diazenylium ions. Based on ab initio calculations and a modelling of the reaction kinetics using rotationally adiabatic capture theory, we rationalize this finding in terms of different rotational averaging of ion-dipole interactions during the reaction. PMID- 29844309 TI - FSTL1 interacts with VIM and promotes colorectal cancer metastasis via activating the focal adhesion signalling pathway. AB - Follistatin-like protein 1 (FSTL1) has been reported to have both tumour promoting and tumour-suppressive characters. However, the role of FSTL1 in colorectal cancer (CRC) remains unclear. Here we showed that FSTL1 expression was significantly up-regulated in CRC tissues compared with the paired normal tissues. In addition, the higher FSTL1 expression was associated with the infiltrating depth, lymph node metastasis and poor prognosis of CRC. Enhanced expression of FSTL1 distinctly increased cell migration and invasion in vitro, as well as promoting liver metastasis of CRC in vivo. Conversely, knockdown of FSTL1 expression significantly repressed invasion and metastasis of CRC. Mechanically, transcription factor Smad3 was involved in FSTL1 protein expression inducing by TGFbeta1-Smad2/3 signalling. Furthermore, this effect of FSTL1 in promoting CRC progression was actualised via activating focal adhesions signalling pathway and regulating cytoskeleton rearrangement. We identified VIM, as an interactive protein of FSTL1, participated in FSTL1-mediated aggressive phenotype. We showed the role of FSTL1 in CRC and explored its transcription regulation and downstream signalling molecular mechanisms. In conclusion, our findings suggested that FSTL1 promoted CRC progression and metastasis, making it a novel target for diagnosis and prognostic evaluation of CRC. PMID- 29844310 TI - Budding-like division of all-aqueous emulsion droplets modulated by networks of protein nanofibrils. AB - Networks of natural protein nanofibrils, such as cytoskeletal filaments, control the shape and the division of cells, yet mimicking this functionality in a synthetic setting has proved challenging. Here, we demonstrate that artificial networks of protein nanofibrils can induce controlled deformation and division of all-aqueous emulsion droplets with budding-like morphologies. We show that this process is driven by the difference in the immersional wetting energy of the nanofibril network, and that both the size and the number of the daughter droplets formed during division can be controlled by modulating the fibril concentration and the chemical properties of the fibril network. Our results demonstrate a route for achieving biomimetic division with synthetic self assembling fibrils and offer an engineered approach to regulate the morphology of protein gels. PMID- 29844311 TI - Interfacial photochemistry at the ocean surface is a global source of organic vapors and aerosols. AB - The surface of the oceans acts as a global sink and source for trace gases and aerosol particles. Recent studies suggest that photochemical reactions at this air/water interface produce organic vapors, enhancing particle formation in the atmosphere. However, current model calculations neglect this abiotic source of reactive compounds and account only for biological emissions. Here we show that interfacial photochemistry serves as a major abiotic source of volatile organic compounds (VOCs) on a global scale, capable to compete with emissions from marine biology. Our results indicate global emissions of 46.4-184 Tg C yr-1 of organic vapors from the oceans into the marine atmosphere and a potential contribution to organic aerosol mass of more than 60% over the remote ocean. Moreover, we provide global distributions of VOC formation potentials, which can be used as simple tools for field studies to estimate photochemical VOC emissions depending on location and season. PMID- 29844312 TI - Are autonomous cities our urban future? AB - Cities are rapidly expanding in size, wealth and power, with some now larger than nation states. Smart city solutions and strong global urban networks are developing to manage massive urban growth. However, cities exist within a wider system and it may take more than technological advances, innovation and city autonomy to develop a sustainable urban future. PMID- 29844313 TI - Inharmonic speech reveals the role of harmonicity in the cocktail party problem. AB - The "cocktail party problem" requires us to discern individual sound sources from mixtures of sources. The brain must use knowledge of natural sound regularities for this purpose. One much-discussed regularity is the tendency for frequencies to be harmonically related (integer multiples of a fundamental frequency). To test the role of harmonicity in real-world sound segregation, we developed speech analysis/synthesis tools to perturb the carrier frequencies of speech, disrupting harmonic frequency relations while maintaining the spectrotemporal envelope that determines phonemic content. We find that violations of harmonicity cause individual frequencies of speech to segregate from each other, impair the intelligibility of concurrent utterances despite leaving intelligibility of single utterances intact, and cause listeners to lose track of target talkers. However, additional segregation deficits result from replacing harmonic frequencies with noise (simulating whispering), suggesting additional grouping cues enabled by voiced speech excitation. Our results demonstrate acoustic grouping cues in real-world sound segregation. PMID- 29844314 TI - Superfluid motion and drag-force cancellation in a fluid of light. AB - Quantum fluids of light merge many-body physics and nonlinear optics, revealing quantum hydrodynamic features of light when it propagates in nonlinear media. One of the most outstanding evidence of light behaving as an interacting fluid is its ability to carry itself as a superfluid. Here, we report a direct experimental detection of the transition to superfluidity in the flow of a fluid of light past an obstacle in a bulk nonlinear crystal. In this cavityless all-optical system, we extract a direct optical analog of the drag force exerted by the fluid of light and measure the associated displacement of the obstacle. Both quantities drop to zero in the superfluid regime characterized by a suppression of long range radiation from the obstacle. The experimental capability to shape both the flow and the potential landscape paves the way for simulation of quantum transport in complex systems. PMID- 29844315 TI - The kinase receptor-interacting protein 1 is required for inflammasome activation induced by endoplasmic reticulum stress. AB - Endoplasmic reticulum (ER) stress contributes to the development and progression of many chronic inflammatory diseases, including type 2 diabetes, obesity, atherosclerosis, neurodegenerative diseases, and cancer. ER stress has been reported to induce inflammasome activation and release of mature IL-1beta, which contributes to many inflammatory diseases. The molecular mechanisms that activate the inflammasome during ER stress are still poorly understood. Here we report that the kinase receptor-interacting protein 1 (RIP1) plays an important role in ER stress-induced activation of inflammasome. Inhibition of RIP1 kinase activity by Necrostatin-1 or siRNA-mediated RIP1 knockdown significantly reduced ER stress induced caspase-1 cleavage and IL-1beta secretion in both bone marrow-derived macrophages (BMDMs) and J774A.1 macrophages. We speculate that the mitochondria fission factor dynamin-related protein 1 (DRP1) and reactive oxygen species (ROS) might function as the effectors downstream of RIP1 to mediate inflammasome activation. Our study reveals a critical role for RIP1 in regulating ER stress induced inflammation responses, and proposes RIP1 as a potential pharmaceutical target to treat diseases resulting from unresolved ER stress-related inflammation. PMID- 29844316 TI - Asymmetric transfer of CO2 across a broken sea surface. AB - Most estimates of the climatically-important transfer of atmospheric gases into, and out of, the ocean assume that the ocean surface is unbroken by breaking waves. However the trapping of bubbles of atmospheric gases in the ocean by breaking waves introduces an asymmetry in this flux. This asymmetry occurs as a bias towards injecting gas into the ocean where it dissolves, and against the evasion/exsolution of previously-dissolved gas coming out of solution from the oceans and eventually reaching the atmosphere. Here we use at-sea measurements and modelling of the bubble clouds beneath the ocean surface to show that the numbers of large bubbles found metres below the sea surface in high winds are sufficient to drive a large and asymmetric flux of carbon dioxide. Our results imply a much larger asymmetry for carbon dioxide than previously proposed. This asymmetry contradicts an assumption inherent in most existing estimates of ocean atmosphere gas transfer. The geochemical and climate implications include an enhanced invasion of carbon dioxide into the stormy temperate and polar seas. PMID- 29844317 TI - Induction of anergic or regulatory tumor-specific CD4+ T cells in the tumor draining lymph node. AB - CD4+ T cell antitumor responses have mostly been studied in transplanted tumors expressing secreted model antigens (Ags), while most mutated proteins in human cancers are not secreted. The fate of Ag-specific CD4+ T cells recognizing a cytoplasmic Ag in mice bearing autochthonous tumors is still unclear. Here we show, using a genetically engineered lung adenocarcinoma mouse model, that naive tumor-specific CD4+ T cells are activated and proliferate in the tumor-draining lymph node (TdLN) but do not differentiate into effectors or accumulate in tumors. Instead, these CD4+ T cells are driven toward anergy or peripherally induced Treg (pTreg) differentiation, from the early stage of tumor development. This bias toward immune suppression is restricted to the TdLN, and is maintained by Tregs enriched in the tumor Ag-specific cell population. Thus, tumors may enforce a dominant inhibition of the anti-tumor CD4 response in the TdLN by recapitulating peripheral self-tolerance mechanisms. PMID- 29844318 TI - A phase I single-blind clinical trial to evaluate the safety of oil palm phenolics (OPP) supplementation in healthy volunteers. AB - Plant phenolics are being increasingly consumed globally with limited scientific and clinical evidence pertaining to safety and efficacy. The oil palm fruit contains a cocktail of phenolics, and palm oil production results in high volumes of aqueous by-products enriched in phenolics and bioactives. Several lines of evidence from in vitro and in vivo animal studies confirmed that the aqueous extract enriched in phenolics and other bioactives collectively known as oil palm phenolics (OPP) is safe and has potent bioactivity. A phase one clinical trial was conducted to evaluate the safety and effects of OPP in healthy volunteers. In this single-blind trial, 25 healthy human volunteers were supplemented with 450 mg gallic acid equivalent (GAE)/day of OPP or control treatments for a 60-day period. Fasting blood and urine samples were collected at days 1, 30 and 60. Medical examination was performed during these trial interventions. All clinical biochemistry profiles observed throughout the control and OPP treatment period were in the normal range with no major adverse effect (AE) or serious adverse effect (SAE) observed. Additionally, OPP supplementation resulted in improvement of total cholesterol and LDL-C levels, compared to the control treatment. The outcomes support our previous observations that OPP is safe and may have a protective role in reducing cholesterol levels. PMID- 29844319 TI - Mechanisms responsible for increased circulating levels of galectin-3 in cardiomyopathy and heart failure. AB - Galectin-3 is a biomarker of heart disease. However, it remains unknown whether increase in galectin-3 levels is dependent on aetiology or disease-associated conditions and whether diseased heart releases galectin-3 into the circulation. We explored these questions in mouse models of heart disease and in patients with cardiomyopathy. All mouse models (dilated cardiomyopathy, DCM; fibrotic cardiomyopathy, ischemia-reperfusion, I/R; treatment with beta-adrenergic agonist isoproterenol) showed multi-fold increases in cardiac galectin-3 expression and preserved renal function. In mice with fibrotic cardiomyopathy, I/R or isoproterenol treatment, plasma galectin-3 levels and density of cardiac inflammatory cells were elevated. These models also exhibited parallel changes in cardiac and plasma galectin-3 levels and presence of trans-cardiac galectin-3 gradient, indicating cardiac release of galectin-3. DCM mice showed no change in circulating galectin-3 levels nor trans-cardiac galectin-3 gradient or myocardial inflammatory infiltration despite a 50-fold increase in cardiac galectin-3 content. In patients with hypertrophic cardiomyopathy or DCM, plasma galectin-3 increased only in those with renal dysfunction and a trans-cardiac galectin-3 gradient was not present. Collectively, this study documents the aetiology dependency and diverse mechanisms of increment in circulating galectin-3 levels. Our findings highlight cardiac inflammation and enhanced beta-adrenoceptor activation in mediating elevated galectin-3 levels via cardiac release in the mechanism. PMID- 29844320 TI - Tumour-associated missense mutations in the dMi-2 ATPase alters nucleosome remodelling properties in a mutation-specific manner. AB - ATP-dependent chromatin remodellers are mutated in more than 20% of human cancers. The consequences of these mutations on enzyme function are poorly understood. Here, we characterise the effects of CHD4 mutations identified in endometrial carcinoma on the remodelling properties of dMi-2, the highly conserved Drosophila homologue of CHD4. Mutations from different patients have surprisingly diverse defects on nucleosome binding, ATPase activity and nucleosome remodelling. Unexpectedly, we identify both mutations that decrease and increase the enzyme activity. Our results define the chromodomains and a novel regulatory region as essential for nucleosome remodelling. Genetic experiments in Drosophila demonstrate that expression of cancer-derived dMi-2 mutants misregulates differentiation of epithelial wing structures and produces phenotypes that correlate with their nucleosome remodelling properties. Our results help to define the defects of CHD4 in cancer at the mechanistic level and provide the basis for the development of molecular approaches aimed at restoring their activity. PMID- 29844321 TI - Exciton Relaxation Cascade in two-dimensional Transition Metal Dichalcogenides. AB - Monolayers of transition metal dichalcogenides (TMDs) are characterized by an extraordinarily strong Coulomb interaction giving rise to tightly bound excitons with binding energies of hundreds of meV. Excitons dominate the optical response as well as the ultrafast dynamics in TMDs. As a result, a microscopic understanding of exciton dynamics is the key for a technological application of these materials. In spite of this immense importance, elementary processes guiding the formation and relaxation of excitons after optical excitation of an electron-hole plasma has remained unexplored to a large extent. Here, we provide a fully quantum mechanical description of momentum- and energy-resolved exciton dynamics in monolayer molybdenum diselenide (MoSe2) including optical excitation, formation of excitons, radiative recombination as well as phonon-induced cascade like relaxation down to the excitonic ground state. Based on the gained insights, we reveal experimentally measurable features in pump-probe spectra providing evidence for the exciton relaxation cascade. PMID- 29844322 TI - Leukocyte mono-immunoglobulin-like receptor 8 (LMIR8)/CLM-6 is an FcRgamma coupled receptor selectively expressed in mouse tissue plasmacytoid dendritic cells. AB - Plasmacytoid dendritic cells (pDCs) produce large amounts of type-I interferon (IFN) in response to viral infection or self nucleic acids. Leukocyte mono immunoglobulin-like receptor 8 (LMIR8), also called CMRF-35-like molecule-6 (CLM 6), is a putative activating receptor among mouse LMIR/CLM/CD300 members; however, the expression and function of LMIR8 remain unclear. Here, we characterize mouse LMIR8 as a pDC receptor. Analysis of Flag-tagged LMIR8 transduced bone marrow (BM)-derived mast cells demonstrated that LMIR8 can transmit an activating signal by interacting with immunoreceptor tyrosine-based activating motif (ITAM)-containing FcRgamma. Flow cytometric analysis using a specific antibody for LMIR8 showed that LMIR8 expression was restricted to mouse pDCs residing in BM, spleen, or lymph node. FcRgamma deficiency dampened surface expression of LMIR8 in mouse pDCs. Notably, LMIR8 was detected only in pDCs, irrespective of TLR9 stimulation, suggesting that LMIR8 is a suitable marker for pDCs in mouse tissues; LMIR8 is weakly expressed in Flt3 ligand-induced BM derived pDCs (BMpDCs). Crosslinking of transduced LMIR8 in BMpDCs with anti-LMIR8 antibody did not induce IFN-alpha production, but rather suppressed TLR9-mediated production of IFN-alpha. Taken together, these observations indicate that LMIR8 is an FcRgamma-coupled receptor selectively expressed in mouse tissue pDCs, which might suppress pDC activation through the recognition of its ligands. PMID- 29844323 TI - Naturally occurring a loss of a giant plasmid from Mycobacterium ulcerans subsp. shinshuense makes it non-pathogenic. AB - Mycobacterium ulcerans is the causative agent of Buruli ulcer (BU), a WHO-defined neglected tropical disease. All Japanese BU causative isolates have shown distinct differences from the prototype and are categorized as M. ulcerans subspecies shinshuense. During repeated sub-culture, we found that some M. shinshuense colonies were non-pigmented whereas others were pigmented. Whole genome sequence analysis revealed that non-pigmented colonies did not harbor a giant plasmid, which encodes elements needed for mycolactone toxin biosynthesis. Moreover, mycolactone was not detected in sterile filtrates of non-pigmented colonies. Mice inoculated with suspensions of pigmented colonies died within 5 weeks whereas those infected with suspensions of non-pigmented colonies had significantly prolonged survival (>8 weeks). This study suggests that mycolactone is a critical M. shinshuense virulence factor and that the lack of a mycolactone producing giant plasmid makes the strain non-pathogenic. We made an avirulent mycolactone-deletion mutant strain directly from the virulent original. PMID- 29844324 TI - Linking drug target and pathway activation for effective therapy using multi-task learning. AB - Despite the abundance of large-scale molecular and drug-response data, the insights gained about the mechanisms underlying treatment efficacy in cancer has been in general limited. Machine learning algorithms applied to those datasets most often are used to provide predictions without interpretation, or reveal single drug-gene association and fail to derive robust insights. We propose to use Macau, a bayesian multitask multi-relational algorithm to generalize from individual drugs and genes and explore the interactions between the drug targets and signaling pathways' activation. A typical insight would be: "Activation of pathway Y will confer sensitivity to any drug targeting protein X". We applied our methodology to the Genomics of Drug Sensitivity in Cancer (GDSC) screening, using gene expression of 990 cancer cell lines, activity scores of 11 signaling pathways derived from the tool PROGENy as cell line input and 228 nominal targets for 265 drugs as drug input. These interactions can guide a tissue-specific combination treatment strategy, for example suggesting to modulate a certain pathway to maximize the drug response for a given tissue. We confirmed in literature drug combination strategies derived from our result for brain, skin and stomach tissues. Such an analysis of interactions across tissues might help target discovery, drug repurposing and patient stratification strategies. PMID- 29844326 TI - Heart regeneration is regulates by key micro RNAs from fish to mammals: what it can learned about the epicardial cells activation during the regeneration in zebrafish. PMID- 29844325 TI - Combining amplicon sequencing and metabolomics in cirrhotic patients highlights distinctive microbiota features involved in bacterial translocation, systemic inflammation and hepatic encephalopathy. AB - In liver cirrhosis (LC), impaired intestinal functions lead to dysbiosis and possible bacterial translocation (BT). Bacteria or their byproducts within the bloodstream can thus play a role in systemic inflammation and hepatic encephalopathy (HE). We combined 16S sequencing, NMR metabolomics and network analysis to describe the interrelationships of members of the microbiota in LC biopsies, faeces, peripheral/portal blood and faecal metabolites with clinical parameters. LC faeces and biopsies showed marked dysbiosis with a heightened proportion of Enterobacteriaceae. Our approach showed impaired faecal bacterial metabolism of short-chain fatty acids (SCFAs) and carbon/methane sources in LC, along with an enhanced stress-related response. Sixteen species, mainly belonging to the Proteobacteria phylum, were shared between LC peripheral and portal blood and were functionally linked to iron metabolism. Faecal Enterobacteriaceae and trimethylamine were positively correlated with blood proinflammatory cytokines, while Ruminococcaceae and SCFAs played a protective role. Within the peripheral blood and faeces, certain species (Stenotrophomonas pavanii, Methylobacterium extorquens) and metabolites (methanol, threonine) were positively related to HE. Cirrhotic patients thus harbour a 'functional dysbiosis' in the faeces and peripheral/portal blood, with specific keystone species and metabolites related to clinical markers of systemic inflammation and HE. PMID- 29844328 TI - LncRNA MALAT1 promotes high glucose-induced inflammatory response of microglial cells via provoking MyD88/IRAK1/TRAF6 signaling. AB - Although a large number of studies have confirmed from multiple levels that diabetes mellitus (DM) promotes cerebral ischemic reperfusion (I/R) injury, but the precise mechanism is still unclear. A cerebral I/R injury model in diabetic rats was established. The neurological deficit scores and brain edema were monitored at 24 and 72 hours after injury. The peri-infarct cortical tissues of rats were isolated for molecular biology detection. The rat primary microglia and microglia line HAPI were cultured to establish the cell model of DM-I/R by high glucose (HG) and hypoxia-reoxygenation (H/R). The endogenous expression of MALAT1 and MyD88 was regulated by the transfection with pcDNA-MALAT1, si-MALAT1 and si MyD88, respectively. The cerebral I/R injury model in diabetic rats had more severe neuronal injury as shown by the significantly higher neurological deficit scores and an obvious increasing brain edema at 24 and 72 hours after injury. Moreover, the microglia were activated and induced a large number of inflammatory cytokines TNF-alpha, IL-1beta and IL-6 in the peri-infarct cortical tissues during cerebral I/R injury associated with DM. The expression of MALAT1, MyD88, IRAK1 and TRAF6 protein were significantly up-regulated by DM-I/R in vitro and in vivo. Furthermore, the HG-H/R-induced MALAT1 promoted the inflammatory response in microglia via MyD88/IRAK1/TRAF6 signaling. Our results suggested that MALAT1 mediated the exacerbation of cerebral I/R injury induced by DM through triggering the inflammatory response in microglia via MyD88 signaling. PMID- 29844329 TI - Fabrication and In Vitro Characterization of a Tissue Engineered PCL-PLLA Heart Valve. AB - Heart valve diseases are among the leading causes of cardiac failure around the globe. Nearly 90,000 heart valve replacements occur in the USA annually. Currently, available options for heart valve replacement include bioprosthetic and mechanical valves, both of which have severe limitations. Bioprosthetic valves can last for only 10-20 years while patients with mechanical valves always require blood-thinning medications throughout the remainder of the patient's life. Tissue engineering has emerged as a promising solution for the development of a viable, biocompatible and durable heart valve; however, a human implantable tissue engineered heart valve is yet to be achieved. In this study, a tri-leaflet heart valve structure is developed using electrospun polycaprolactone (PCL) and poly L-lactic acid (PLLA) scaffolds, and a set of in vitro testing protocol has been developed for routine manufacturing of tissue engineered heart valves. Stress-strain curves were obtained for mechanical characterization of different valves. The performances of the developed valves were hemodynamically tested using a pulse duplicator, and an echocardiography machine. Results confirmed the superiority of the PCL-PLLA heart valve compared to pure PCL or pure PLLA. The developed in vitro test protocol involving pulse duplicator and echocardiography tests have enormous potential for routine application in tissue engineering of heart valves. PMID- 29844327 TI - Interferon-gamma drives programmed death-ligand 1 expression on islet beta cells to limit T cell function during autoimmune diabetes. AB - Type 1 diabetes is caused by autoreactive T cell-mediated beta cell destruction. Even though co-inhibitory receptor programmed death-1 (PD-1) restrains autoimmunity, the expression and regulation of its cognate ligands on beta cell remains unknown. Here, we interrogated beta cell-intrinsic programmed death ligand-1 (PD-L1) expression in mouse and human islets. We measured a significant increase in the level of PD-L1 surface expression and the frequency of PD-L1+ beta cells as non-obese diabetic (NOD) mice aged and developed diabetes. Increased beta cell PD-L1 expression was dependent on T cell infiltration, as beta cells from Rag1-deficient mice lacked PD-L1. Using Rag1-deficient NOD mouse islets, we determined that IFN-gamma promotes beta cell PD-L1 expression. We performed analogous experiments using human samples, and found a significant increase in beta cell PD-L1 expression in type 1 diabetic samples compared to type 2 diabetic, autoantibody positive, and non-diabetic samples. Among type 1 diabetic samples, beta cell PD-L1 expression correlated with insulitis. In vitro experiments with human islets from non-diabetic individuals showed that IFN-gamma promoted beta cell PD-L1 expression. These results suggest that insulin-producing beta cells respond to pancreatic inflammation and IFN-gamma production by upregulating PD-L1 expression to limit self-reactive T cells. PMID- 29844330 TI - Molecular Diagnosis of 34 Japanese Families with Leber Congenital Amaurosis Using Targeted Next Generation Sequencing. AB - Leber congenital amaurosis (LCA) is a genetically and clinically heterogeneous disease, and represents the most severe form of inherited retinal dystrophy (IRD). The present study reports the mutation spectra and frequency of known LCA and IRD-associated genes in 34 Japanese families with LCA (including three families that were previously reported). A total of 74 LCA- and IRD-associated genes were analysed via targeted-next generation sequencing (TS), while recently discovered LCA-associated genes, as well as known variants not able to be screened using this approach, were evaluated via additional Sanger sequencing, long-range polymerase chain reaction, and/or copy number variation analyses. The results of these analyses revealed 30 potential pathogenic variants in 12 (nine LCA-associated and three other IRD-associated) genes among 19 of the 34 analysed families. The most frequently mutated genes were CRB1, NMNAT1, and RPGRIP1. The results also showed the mutation spectra and frequencies identified in the analysed Japanese population to be distinctly different from those previously identified for other ethnic backgrounds. Finally, the present study, which is the first to conduct a NGS-based molecular diagnosis of a large Japanese LCA cohort, achieved a detection rate of approximately 56%, indicating that TS is a valuable method for molecular diagnosis of LCA cases in the Japanese population. PMID- 29844331 TI - Less invasive surfactant administration and complications of preterm birth. AB - In a large cohort study of the German Neonatal Network (GNN) we aimed to evaluate whether less invasive surfactant administration (LISA) strategy is associated with complications of preterm birth. Within the observational period n = 7533 very-low-birth-weight infants (VLBWI) with gestational age 22 0/7 to 28 6/7 weeks were enrolled in GNN; n = 1214 VLBWI never received surfactant, n = 2624 VLBWI were treated according to LISA procedure, n = 3695 VLBWI had surfactant via endotracheal tube (ETT). LISA was associated with a reduced risk for adverse outcome measures including mortality [odds ratio (OR) 0.66 (95% CI: 0.51-0.84), p < 0.001] bronchopulmonary dysplasia [BPD; OR 0.55 (95% CI: 0.49-0.62), p < 0.001], intracerebral hemorrhage (ICH) grade II-IV [OR 0.55 (95% CI: 0.48-0.64), p < 0.001] and retinopathy of prematurity [ROP; OR 0.62 (95% CI: 0.45-0.85), p < 0.001]. Notably, LISA was associated with an increased risk for focal intestinal perforation [FIP; OR 1.49 (95% CI: 1.14-1.95), p = 0.002]. The differences in FIP rates were primarily observed in VLBWI born <26 weeks (LISA: 10.0 vs. ETT: 7.4%, p = 0.029). Our observational data confirm that LISA is associated with improved outcome. In infants <26 weeks we noted an increased risk for FIP. Future randomized controlled trials including LISA need to integrate safety analyses for this particular subgroup. PMID- 29844332 TI - Does "a picture is worth 1000 words" apply to iconic Chinese words? Relationship of Chinese words and pictures. AB - The meaning of a picture can be extracted rapidly, but the form-to-meaning relationship is less obvious for printed words. In contrast to English words that follow grapheme-to-phoneme correspondence rule, the iconic nature of Chinese words might predispose them to activate their semantic representations more directly from their orthographies. By using the paradigm of repetition blindness (RB) that taps into the early level of word processing, we examined whether Chinese words activate their semantic representations as directly as pictures do. RB refers to the failure to detect the second occurrence of an item when it is presented twice in temporal proximity. Previous studies showed RB for semantically related pictures, suggesting that pictures activate their semantic representations directly from their shapes and thus two semantically related pictures are represented as repeated. However, this does not apply to English words since no RB was found for English synonyms. In this study, we replicated the semantic RB effect for pictures, and further showed the absence of semantic RB for Chinese synonyms. Based on our findings, it is suggested that Chinese words are processed like English words, which do not activate their semantic representations as directly as pictures do. PMID- 29844333 TI - Direct observation of pure pentavalent uranium in U2O5 thin films by high resolution photoemission spectroscopy. AB - Thin films of the elusive intermediate uranium oxide U2O5 have been prepared by exposing UO3 precursor multilayers to atomic hydrogen. Electron photoemission spectra measured about the uranium 4f core-level doublet contain sharp satellites separated by 7.9(1) eV from the 4f main lines, whilst satellites characteristics of the U(IV) and U(VI) oxidation states, expected respectively at 6.9(1) and 9.7(1) eV from the main 4f lines, are absent. This shows that uranium ions in the films are in a pure pentavalent oxidation state, in contrast to previous investigations of binary oxides claiming that U(V) occurs only as a metastable intermediate state coexisting with U(IV) and U(VI) species. The ratio between the 5f valence band and 4f core-level uranium photoemission intensities decreases by about 50% from UO2 to U2O5, which is consistent with the 5f 2 (UO2) and 5f 1 (U2O5) electronic configurations of the initial state. Our studies conclusively establish the stability of uranium pentoxide. PMID- 29844334 TI - Effective adaptation to rising flood risk. PMID- 29844335 TI - Homodimerisation-independent cleavage of dsRNA by a pestiviral nicking endoribonuclease. AB - The glycoprotein Erns plays a central role in the biology of the pestivirus bovine viral diarrhea virus (BVDV). This soluble endonuclease mediates the escape from an interferon (IFN) response in the infected fetus, thereby permitting the establishment of persistent infection. Viral single-stranded (ss) and double stranded (ds) RNA act as potent IFN inducing signals and we previously showed that Erns efficiently cleaves these substrates, thereby inhibiting an IFN response that is crucial for successful fetal infection. Considering that a large variety of RNases and DNases require dimerisation to cleave double-stranded substrates, the activity of Erns against dsRNA was postulated to depend on homodimer formation mediated by disulfide bonds involving residue Cys171. Here, we show that monomeric Erns is equally able to cleave dsRNA and to inhibit dsRNA induced IFN synthesis as the wild-type form. Furthermore, both forms were able to degrade RNA within a DNA/RNA- as well as within a methylated RNA/RNA-hybrid, with the DNA and the methylated RNA strand being resistant to degradation. These results support our model that Erns acts as 'nicking endoribonuclease' degrading ssRNA within double-stranded substrates. This efficiently prevents the activation of IFN and helps to maintain a state of innate immunotolerance in persistently infected animals. PMID- 29844337 TI - Quality control of the traditional Chinese medicine Ruyi jinhuang powder based on high-throughput sequencing and real-time PCR. AB - Traditional Chinese medicine (TCM) has been practiced for thousands of years, although concerns about the efficacy, legality, and safety of TCM continue to be raised. Chromatographic studies have detected the presence of heavy metals and plant toxins within some TCM preparations. However, chromatography is not able to identify all of the compounds of TCM, particularly those items that are not clearly labeled on the packaging. The present study aimed to establish a supplemental method that better assesses the ingredient components of TCM preparations.We established an effective approach to screen the biological and toxical composition of TCM based on high-throughput sequencing (HTS), as well as fast detection and validation of the toxical species by real-time PCR, based on ITS2 DNA barcoding. Ruyi jinhuang powder (RHP), a classical herbal prescription containing the toxical herb Arisaematis rhizoma, was chosen to test the method. This method could determine whether the Arisaematis Rhizoma had been replaced by Pinellia pedatisecta in the RHP. The results were validated by real-time PCR. 90% compositions of RHP were identified by ITS2 DNA barcoding, suggesting that more DNA barcoding markers are needed for TCM identification. The strategy of high throughput sequencing has the potential for comprehensive ingredient profiling for TCM preparations. Real-time PCR provides a expeditious metehod for monitoring the safety and legality of TCM preparations. PMID- 29844336 TI - Oxytocin and vasopressin flatten dominance hierarchy and enhance behavioral synchrony in part via anterior cingulate cortex. AB - The neuropeptides oxytocin (OT) and arginine vasopressin (AVP) influence social functions in many mammals. In humans and rhesus macaques, OT delivered intranasally can promote prosocial behavior in certain contexts. Yet the precise neural mechanisms mediating these behavioral effects remain unclear. Here we show that treating a group of male macaque monkeys intranasally with aerosolized OT relaxes their spontaneous social interactions with other monkeys. OT reduces differences in social behavior between dominant and subordinate monkeys, thereby flattening the status hierarchy. OT also increases behavioral synchrony within a pair. Intranasal delivery of aerosolized AVP reproduces the effects of OT with greater efficacy. Remarkably, all behavioral effects are replicated when OT or AVP is injected focally into the anterior cingulate gyrus (ACCg), a brain area linked to empathy and other-regarding behavior. ACCg lacks OT receptors but is rich in AVP receptors, suggesting exogenous OT may shape social behavior, in part, via nonspecific binding. Notably, OT and AVP alter behaviors of both the treated monkey and his untreated partner, consistent with enhanced feedback through reciprocal social interactions. These findings bear important implications for use of OT in both basic research and as a therapy for social impairments in neurodevelopmental disorders. PMID- 29844339 TI - Author Correction: Rapid Staining of Circulating Tumor Cells in Three-Dimensional Microwell Dialysis (3D-MUDialysis) Chip. AB - A correction to this article has been published and is linked from the HTML and PDF versions of this paper. The error has been fixed in the paper. PMID- 29844338 TI - Genome-wide microRNA screening in Nile tilapia reveals pervasive isomiRs' transcription, sex-biased arm switching and increasing complexity of expression throughout development. AB - MicroRNAs (miRNAs) are key regulators of gene expression in multicellular organisms. The elucidation of miRNA function and evolution depends on the identification and characterization of miRNA repertoire of strategic organisms, as the fast-evolving cichlid fishes. Using RNA-seq and comparative genomics we carried out an in-depth report of miRNAs in Nile tilapia (Oreochromis niloticus), an emergent model organism to investigate evo-devo mechanisms. Five hundred known miRNAs and almost one hundred putative novel vertebrate miRNAs have been identified, many of which seem to be teleost-specific, cichlid-specific or tilapia-specific. Abundant miRNA isoforms (isomiRs) were identified with modifications in both 5p and 3p miRNA transcripts. Changes in arm usage (arm switching) of nine miRNAs were detected in early development, adult stage and even between male and female samples. We found an increasing complexity of miRNA expression during ontogenetic development, revealing a remarkable synchronism between the rate of new miRNAs recruitment and morphological changes. Overall, our results enlarge vertebrate miRNA collection and reveal a notable differential ratio of miRNA arms and isoforms influenced by sex and developmental life stage, providing a better picture of the evolutionary and spatiotemporal dynamics of miRNAs. PMID- 29844340 TI - Isospecific adenine DNA methyltransferases show distinct preferences towards DNA substrates. AB - Here, we report results on systematic analysis of DNA substrate preferences of three N6-adenine beta-class DNA methyltransferases that are part of the type II restriction-modification systems. The studied enzymes were: M.EcoVIII, M.HindIII and M.LlaCI, which although found in phylogenetically distant bacteria (gamma proteobacteria and low-GC Gram-positive bacteria), recognize the same palindromic specific sequence 5'-AAGCTT-3' and catalyze formation of N6-methyladenine at the first A-residue. As expected overall the enzymes share the most analyzed features, but they show also some distinct differences in substrate recognition. Therefore DNA methylation reactions were carried out not only under standard, but also under relaxed conditions using DMSO or glycerol. We found that all of these enzymes preferred DNA containing a hemimethylated target site, but differ in modification of ssDNA, especially more pronounced for M.EcoVIII under relaxed conditions. In these conditions they also have shown varied preferences toward secondary sites, which differ by one nucleotide from specific sequence. They preferred sequences with substitutions at the 1st (A1 -> G/C) and at the 2nd position (A2 -> C), while sites with substitutions at the 3rd position (G3 -> A/C) were modified less efficiently. Kinetic parameters of the methylation reaction carried out by M.EcoVIII were determined. Methylation efficiency (kcat/Km) of secondary sites was 4.5-10 times lower when compared to the unmethylated specific sequences, whilst efficiency observed for the hemimethylated substrate was almost 4.5 times greater. We also observed a distinct effect of analyzed enzymes on unspecific interaction with DNA phosphate backbone. We concluded that for all three enzymes the most critical is the phosphodiester bond between G3-C4 nucleotides at the center of the target site. PMID- 29844342 TI - Stabilization of molten salt materials using metal chlorides for solar thermal storage. AB - The effect of a variety of metal-chlorides additions on the melting behavior and thermal stability of commercially available salts was investigated. Ternary salts comprised of KNO3, NaNO2, and NaNO3 were produced with additions of a variety of chlorides (KCl, LiCl, CaCl2, ZnCl2, NaCl and MgCl2). Thermogravimetric analysis and weight loss experiments showed that the quaternary salt containing a 5 wt% addition of LiCl and KCl led to an increase in short term thermal stability compared to the ternary control salts. These additions allowed the salts to remain stable up to a temperature of 630 degrees C. Long term weight loss experiments showed an upper stability increase of 50 degrees C. A 5 wt% LiCl addition resulted in a weight loss of only 25% after 30 hours in comparison to a 61% loss for control ternary salts. Calorimetry showed that LiCl additions allow partial melting at 80 degrees C, in comparison to the 142 degrees C of ternary salts. This drop in melting point, combined with increased stability, provided a molten working range increase of almost 100 degrees C in total, in comparison to the control ternary salts. XRD analysis showed the oxidation effect of decomposing salts and the additional phase created with LiCl additions to allow melting point changes to occur. PMID- 29844341 TI - Leucine/glutamine and v-ATPase/lysosomal acidification via mTORC1 activation are required for position-dependent regeneration. AB - In animal regeneration, control of position-dependent cell proliferation is crucial for the complete restoration of patterned appendages in terms of both, shape and size. However, detailed mechanisms of this process are largely unknown. In this study, we identified leucine/glutamine and v-ATPase/lysosomal acidification, via mechanistic target of rapamycin complex 1 (mTORC1) activation, as effectors of amputation plane-dependent zebrafish caudal fin regeneration. mTORC1 activation, which functions in cell proliferation, was regulated by lysosomal acidification possibly via v-ATPase activity at 3 h post amputation (hpa). Inhibition of lysosomal acidification resulted in reduced growth factor related gene expression and suppression of blastema formation at 24 and 48 hpa, respectively. Along the proximal-distal axis, position-dependent lysosomal acidification and mTORC1 activation were observed from 3 hpa. We also report that Slc7a5 (L-type amino acid transporter), whose gene expression is position dependent, is necessary for mTORC1 activation upstream of lysosomal acidification during fin regeneration. Furthermore, treatment with leucine and glutamine, for both proximal and distal fin stumps, led to an up-regulation in cell proliferation via mTORC1 activation, indicating that leucine/glutamine signaling possesses the ability to change the position-dependent regeneration. Our findings reveal that leucine/glutamine and v-ATPase/lysosomal acidification via mTORC1 activation are required for position-dependent zebrafish fin regeneration. PMID- 29844343 TI - Nonlinear optical components for all-optical probabilistic graphical model. AB - The probabilistic graphical models (PGMs) are tools that are used to compute probability distributions over large and complex interacting variables. They have applications in social networks, speech recognition, artificial intelligence, machine learning, and many more areas. Here, we present an all-optical implementation of a PGM through the sum-product message passing algorithm (SPMPA) governed by a wavelength multiplexing architecture. As a proof-of-concept, we demonstrate the use of optics to solve a two node graphical model governed by SPMPA and successfully map the message passing algorithm onto photonics operations. The essential mathematical functions required for this algorithm, including multiplication and division, are implemented using nonlinear optics in thin film materials. The multiplication and division are demonstrated through a logarithm-summation-exponentiation operation and a pump-probe saturation process, respectively. The fundamental bottlenecks for the scalability of the presented scheme are discussed as well. PMID- 29844344 TI - Optimum Sowing Date and Genotype Testing for Upland Rice Production in Brazil. AB - A better understanding of widespread agricultural practices adopted in the region of Ribeira Valley, Sao Paulo, Brazil for upland rice (Oryza sativa L.) production is needed. The objectives of this study were to determine the optimum sowing date and highest yielding genotypes for rice production. Treatments included four upland rice genotypes (ANA 5011, AN-Cambara, Moti-Amarelo, and Moti-Branco) and four sowing dates (October, November, December, and January) in 2011 and 2012. The results of the study showed that genotype ANA 5011 had the earliest maturity, while the Moti genotypes had the latest maturity in all sowing dates. The Moti genotypes were found to have greater plant height and 1,000-grain weight than the other two genotypes. In contrast, the Moti genotypes had fewer panicles m-2, fewer total filled and total numbers of spikelets panicle-1, and lower final yield. The genotype AN-Cambara had the highest number of tillers, filled and total number of spikelets panicle-1, panicle m-2, and the highest yield. Sowing in either November or December was found to be the most suitable dates for rice cultivation for all genotypes. In conclusion, the AN-Cambara genotype was found to have the highest yield potential for the region among all genotypes studied. PMID- 29844345 TI - SNAIL is a key regulator of alveolar rhabdomyosarcoma tumor growth and differentiation through repression of MYF5 and MYOD function. AB - Rhabdomyosarcoma (RMS) is a mesenchymal tumor of soft tissue in children that originates from a myogenic differentiation defect. Expression of SNAIL transcription factor is elevated in the alveolar subtype of RMS (ARMS), characterized by a low myogenic differentiation status and high aggressiveness. In RMS patients SNAIL level increases with higher stage. Moreover, SNAIL level negatively correlates with MYF5 expression. The differentiation of human ARMS cells diminishes SNAIL level. SNAIL silencing in ARMS cells inhibits proliferation and induces differentiation in vitro, and thereby completely abolishes the growth of human ARMS xenotransplants in vivo. SNAIL silencing induces myogenic differentiation by upregulation of myogenic factors and muscle specific microRNAs, such as miR-206. SNAIL binds to the MYF5 promoter suppressing its expression. SNAIL displaces MYOD from E-box sequences (CANNTG) that are associated with genes expressed during differentiation and G/C rich in their central dinucleotides. SNAIL silencing allows the re-expression of MYF5 and canonical MYOD binding, promoting ARMS cell myogenic differentiation. In differentiating ARMS cells SNAIL forms repressive complex with histone deacetylates 1 and 2 (HDAC1/2) and regulates their expression. Accordingly, in human myoblasts SNAIL silencing induces differentiation by upregulation of myogenic factors. Our data clearly point to SNAIL as a key regulator of myogenic differentiation and a new promising target for future ARMS therapies. PMID- 29844346 TI - Classification of Spatiotemporal Neural Activity Patterns in Brain Imaging Data. AB - Various patterns of neural activity are observed in dynamic cortical imaging data. Such patterns may reflect how neurons communicate using the underlying circuitry to perform appropriate functions; thus it is crucial to investigate the spatiotemporal characteristics of the observed neural activity patterns. In general, however, neural activities are highly nonlinear and complex, so it is a demanding job to analyze them quantitatively or to classify the patterns of observed activities in various types of imaging data. Here, we present our implementation of a novel method that successfully addresses the above issues for precise comparison and classification of neural activity patterns. Based on two dimensional representations of the geometric structure and temporal evolution of activity patterns, our method successfully classified a number of computer generated sample patterns created from combinations of various spatial and temporal patterns. In addition, we validated our method with voltage-sensitive dye imaging data of Alzheimer's disease (AD) model mice. Our analysis algorithm successfully distinguished the activity data of AD mice from that of wild type with significantly higher performance than previously suggested methods. Our result provides a pragmatic solution for precise analysis of spatiotemporal patterns of neural imaging data. PMID- 29844347 TI - Porcine Neonatal Pancreatic Cell Clusters Maintain Their Multipotency in Culture and After Transplantation. AB - Ductal epithelium is primarily detected in porcine neonatal pancreatic cell clusters (NPCCs) bearing grafts, suggesting that transplants might exhibit progenitor-like phenotypes. Here we found that soon after NPCC isolation, PDX1+/insulin- and SOX9+ pancreatic progenitor-like cells dramatically increased while dual-hormonal progenitor-like cells were routinely observed in NPCC culture. After transplantation (Tx), insulin+ cells increased and PDX1+ and SOX9+ cells gradually decreased in both non-diabetic (NDM) and streptozotocin-induced diabetic (DM) grafts over 2 months. Strikingly, a significantly higher percentage of insulin+ cells were detected in 9-day and 16-day, but not in 23-day, 30-day and 60-day grafts implying that hyperglycemia could only facilitate NPCC-derived beta cells early post-Tx. A higher percentage of NPCC-derived beta cells in early DM grafts was determined via an enhanced neogenic differentiation based on the detection of insulin+ cells budding out from PDX1+/SOX9+ epithelium. Interestingly, a drop in SOX9+ progenitor-like cells was detected 16 days post-Tx in DM grafts whilst PDX1+ cells do not show a significant difference until 60 days post-Tx between DM and NDM grafts, demonstrating that distinct progenitor like populations fuel new beta cells post-Tx. In conclusion, PDX1+/SOX9+ cells could be quickly activated after NPCC isolation, maintain their multipotency in culture and differentiate into new beta cell post-Tx. PMID- 29844348 TI - HMGB1 released by irradiated tumor cells promotes living tumor cell proliferation via paracrine effect. AB - Tumor repopulation during therapy is an important cause of treatment failure. Strategies to overcome repopulation are arising in parallel with advances in the comprehension of underlying biological mechanisms. Here, we reveal a new mechanism by which high mobility group box 1 (HMGB1) released by dying cells during radiotherapy or chemotherapy could stimulate living tumor cell proliferationInhibition or genetic ablation of HMGB1 suppressed tumor cell proliferation. This effect was due to binding of HMGB1with the member receptor for advanced glycation end-products (RAGE), which activated downstream ERK and p38 signaling pathway and promoted cell proliferation. Furthermore, higher HMGB1 expression in tumor tissue correlated with poor overall survival and higher HMGB1 concentration was detected in serum of patients who accepted radiotherapy. Collectively, the results from this study suggested that interaction between dead cells and surviving cells might influence the fate of tumor. HMGB1 could be a novel tumor promoter with therapeutic and prognostic relevance in cancers. PMID- 29844349 TI - The bioeroding sponge Cliona orientalis will not tolerate future projected ocean warming. AB - Coral reefs face many stressors associated with global climate change, including increasing sea surface temperature and ocean acidification. Excavating sponges, such as Cliona spp., are expected to break down reef substrata more quickly as seawater becomes more acidic. However, increased bioerosion requires that Cliona spp. maintain physiological performance and health under continuing ocean warming. In this study, we exposed C. orientalis to temperature increments increasing from 23 to 32 degrees C. At 32 degrees C, or 3 degrees C above the maximum monthly mean (MMM) temperature, sponges bleached and the photosynthetic capacity of Symbiodinium was compromised, consistent with sympatric corals. Cliona orientalis demonstrated little capacity to recover from thermal stress, remaining bleached with reduced Symbiodinium density and energy reserves after one month at reduced temperature. In comparison, C. orientalis was not observed to bleach during the 2017 coral bleaching event on the Great Barrier Reef, when temperatures did not reach the 32 degrees C threshold. While C. orientalis can withstand current temperature extremes (<3 degrees C above MMM) under laboratory and natural conditions, this species would not survive ocean temperatures projected for 2100 without acclimatisation or adaptation (>=3 degrees C above MMM). Hence, as ocean temperatures increase above local thermal thresholds, C. orientalis will have a negligible impact on reef erosion. PMID- 29844351 TI - An orthogonal system for heterologous expression of actinobacterial lasso peptides in Streptomyces hosts. AB - Lasso peptides are ribosomally synthesized and post-translationally modified peptides produced by bacteria. They are characterized by an unusual lariat-knot structure. Targeted genome scanning revealed a wide diversity of lasso peptides encoded in actinobacterial genomes, but cloning and heterologous expression of these clusters turned out to be problematic. To circumvent this, we developed an orthogonal expression system for heterologous production of actinobacterial lasso peptides in Streptomyces hosts based on a newly-identified regulatory circuit from Actinoalloteichus fjordicus. Six lasso peptide gene clusters, mainly originating from marine Actinobacteria, were chosen for proof-of-concept studies. By varying the Streptomyces expression hosts and a small set of culture conditions, three new lasso peptides were successfully produced and characterized by tandem MS. The newly developed expression system thus sets the stage to uncover and bioengineer the chemo-diversity of actinobacterial lasso peptides. Moreover, our data provide some considerations for future bioprospecting efforts for such peptides. PMID- 29844350 TI - Repurposing auranofin as an intestinal decolonizing agent for vancomycin resistant enterococci. AB - Multidrug-resistant enterococcal pathogens, especially vancomycin-resistant enterococci (VRE), are among the pathogens that require new antibiotic innovation. The colonization of the gut represents a major pathway by which VRE can cause infection and spread to other patients. In the current study, auranofin (FDA-approved rheumatoid arthritis drug) is evaluated for its potential use as a decolonizing agent for VRE. Auranofin was found to exert potent antimicrobial activity against a wide range of enterococcal clinical isolates with a minimum inhibitory concentration of 1 MUg/mL. No resistant mutants could be developed against auranofin over the course of 14 passages. Auranofin was also found to exert potent anti-biofilm activity against VRE. Auranofin was superior to linezolid, the drug of choice for VRE infection treatment, in the in vivo mouse model. Auranofin significantly reduced the VRE burden in feces, cecum, and ileum contents after 8 days of treatment. Accordingly, this study provides valuable evidence that auranofin has significant promise as a novel gastrointestinal decolonizing agent for VRE. PMID- 29844352 TI - A physical model of cell metabolism. AB - Cell metabolism is characterized by three fundamental energy demands: to sustain cell maintenance, to trigger aerobic fermentation and to achieve maximum metabolic rate. The transition to aerobic fermentation and the maximum metabolic rate are currently understood based on enzymatic cost constraints. Yet, we are lacking a theory explaining the maintenance energy demand. Here we report a physical model of cell metabolism that explains the origin of these three energy scales. Our key hypothesis is that the maintenance energy demand is rooted on the energy expended by molecular motors to fluidize the cytoplasm and counteract molecular crowding. Using this model and independent parameter estimates we make predictions for the three energy scales that are in quantitative agreement with experimental values. The model also recapitulates the dependencies of cell growth with extracellular osmolarity and temperature. This theory brings together biophysics and cell biology in a tractable model that can be applied to understand key principles of cell metabolism. PMID- 29844353 TI - Metabolic patterns in insulin-sensitive male hypogonadism. AB - Male hypogonadism is a disorder characterised by low levels of the hormone testosterone. At beginning subjects with low levels of testosterone do not show insulin resistance (insulin-sensitive patients), which develops over time (insulin-resistance patients). To analyse the metabolic alterations mainly related to decreased testosterone, we performed metabolomics investigations on the plasma of males with hypogonadism who showed normal insulin levels. Plasma from patients with low testosterone (<8 nmol/l) and homeostatic model assessment for insulin-resistance-index (HOMAi) < 2.5, as well as matched controls, was analysed by UHPLC and mass spectrometry. Then metabolites were then subjected to multivariate statistical analysis and grouped by metabolic pathways. Glycolysis was not altered, as expected for the presence of insulin activity, but imbalances in several other pathways were found, such as the pentose phosphate pathway (PPP), glycerol shuttle, malate shuttle, Krebs cycle (TCA) and lipid metabolism. The PPP was significantly upregulated. Moreover, while the first steps of the Krebs cycle were downregulated, 2-oxoglutarate was replenished via glutaminolysis. Since glutaminolysis leads to an activation of the malate aspartate cycle, greater amounts of NADH and ATP with respect to the control were recorded. The activation of the glycerol shuttle was also recorded, with consequent lower triglyceride production and downregulation of beta-oxidation. This explained the moderately increased dyslipidaemia, as well as the mild increase in body mass index (BMI) observed in insulin-sensitive hypogonadism. Finally, a significant decrease in carnosine was recorded, explaining the muscle weakness commonly observed. PMID- 29844354 TI - Sub-threshold signal encoding in coupled FitzHugh-Nagumo neurons. AB - Despite intensive research, the mechanisms underlying the neural code remain poorly understood. Recent work has focused on the response of a single neuron to a weak, sub-threshold periodic signal. By simulating the stochastic FitzHugh Nagumo (FHN) model and then using a symbolic method to analyze the firing activity, preferred and infrequent spike patterns (defined by the relative timing of the spikes) were detected, whose probabilities encode information about the signal. As not individual neurons but neuronal populations are responsible for sensory coding and information transfer, a relevant question is how a second neuron, which does not perceive the signal, affects the detection and the encoding of the signal, done by the first neuron. Through simulations of two stochastic FHN neurons we show that the encoding of a sub-threshold signal in symbolic spike patterns is a plausible mechanism. The neuron that perceives the signal fires a spike train that, despite having an almost random temporal structure, has preferred and infrequent patterns which carry information about the signal. Our findings could be relevant for sensory systems composed by two noisy neurons, when only one detects a weak external input. PMID- 29844355 TI - Psychiatric risk gene Cacna1c determines mitochondrial resilience against oxidative stress in neurons. PMID- 29844356 TI - Niche-induced extramedullary hematopoiesis in the spleen is regulated by the transcription factor Tlx1. AB - Extramedullary hematopoiesis (EMH) in postnatal life is a pathological process in which the differentiation of hematopoietic stem/progenitor cells (HSPCs) occurs outside the bone marrow (BM) to respond to hematopoietic emergencies. The spleen is a major site for EMH; however, the cellular and molecular nature of the stromal cell components supporting HSPC maintenance, the niche for EMH in the spleen remain poorly understood compared to the growing understanding of the BM niche at the steady-state as well as in emergency hematopoiesis. In the present study, we demonstrate that mesenchymal progenitor-like cells expressing Tlx1, an essential transcription factor for spleen organogenesis, and selectively localized in the perifollicular region of the red pulp of the spleen, are a major source of HSPC niche factors. Consistently, overexpression of Tlx1 in situ induces EMH, which is associated with mobilization of HSPC into the circulation and their recruitment into the spleen where they proliferate and differentiate. The alterations in the splenic microenvironment induced by Tlx1 overexpression in situ phenocopy lipopolysaccharide (LPS)-induced EMH, and the conditional loss of Tlx1 abolished LPS-induced splenic EMH. These findings indicate that activation of Tlx1 expression in the postnatal splenic mesenchymal cells is critical for the development of splenic EMH. PMID- 29844357 TI - Transient modes of zeolite surface growth from 3D gel-like islands to 2D single layers. AB - Zeolite crystallization occurs by multifaceted processes involving molecule attachment and nonclassical pathways governed by the addition of amorphous precursors. Here, we use scanning probe microscopy to monitor zeolite LTA crystallization in situ with a spatiotemporal resolution that captures dynamic processes in real time. We report a distinctive pathway involving the formation of gel-like islands from supersaturated solutions comprised of (alumino)silicate molecules. Three-dimensional assembly and evolution of these islands constitutes a unique mode of growth that differs from classical theories. Time-resolved imaging also reveals that growth can occur by (nearly) oriented attachment. At later stages of crystallization, a progressive transition to lower supersaturation shifts growth to a layered mechanism involving two-dimensional nucleation and spreading of layers. Here, we show that LTA crystallization occurs by multiple pathways, thereby reconciling putative hypotheses of growth mechanisms while also highlighting new modes of nonclassical crystallization that may prove relevant to other zeolites and related materials. PMID- 29844358 TI - Chemically activating MoS2 via spontaneous atomic palladium interfacial doping towards efficient hydrogen evolution. AB - Lacking strategies to simultaneously address the intrinsic activity, site density, electrical transport, and stability problems of chalcogels is restricting their application in catalytic hydrogen production. Herein, we resolve these challenges concurrently through chemically activating the molybdenum disulfide (MoS2) surface basal plane by doping with a low content of atomic palladium using a spontaneous interfacial redox technique. Palladium substitution occurs at the molybdenum site, simultaneously introducing sulfur vacancy and converting the 2H into the stabilized 1T structure. Theoretical calculations demonstrate the sulfur atoms next to the palladium sites exhibit low hydrogen adsorption energy at -0.02 eV. The final MoS2 doped with only 1wt% of palladium demonstrates exchange current density of 805 MUA cm-2 and 78 mV overpotential at 10 mA cm-2, accompanied by a good stability. The combined advantages of our surface activating technique open the possibility of manipulating the catalytic performance of MoS2 to rival platinum. PMID- 29844359 TI - Various stress stimuli rewire the profile of liver secretome in a p53-dependent manner. AB - Liver is an important secretory organ that consistently manages various insults in order to retain whole-body homeostasis. Importantly, it was suggested that the tumor-suppressor p53 plays a role in a variety of liver physiological processes and thus it is being regarded as a systemic homeostasis regulator. Using high throughput mass spectrometric analysis, we identified various p53-dependent liver secretome profiles. This allowed a global view on the role of p53 in maintaining the harmony of liver and whole-body homeostasis. We found that p53 altered the liver secretome differently under various conditions. Under physiological conditions, p53 controls factors that are related mainly to lipid metabolism and injury response. Upon exposure to various types of cancer therapy agents, the hepatic p53 is activated and induces the secretion of proteins related to additional pathways, such as hemostasis, immune response, and cell adhesion. Interestingly, we identified a possible relationship between p53-dependent liver functions and lung tumors. The latter modify differently liver secretome profile toward the secretion of proteins mainly related to cell migration and immune response. The notion that p53 may rewire the liver secretome profile suggests a new non-cell autonomous role of p53 that affect different liver functions and whole organism homeostasis. PMID- 29844360 TI - Amblyopia, Strabismus and Refractive Errors in Congenital Ptosis: a systematic review and meta-analysis. AB - Congenital ptosis may be associated with abnormalities of visual development and function, including amblyopia, strabismus and refractive errors. However, the prevalence estimates of these abnormalities vary widely. We performed a systematic review and meta-analysis to estimate the prevalence of amblyopia, strabismus and refractive errors in congenital ptosis. Cochrane, Pubmed, Medline, Embase, and Web of Science were searched by July 2017. We used random/fixed effects models based on a proportion approach to estimate the prevalence. Heterogeneity would be considered signifcant if the p values less than 0.1 and/or I2 greater than 50%. Subgroup analyses, meta-regression analyses and sensitivity analyses were utilized to explore the potential sources of it. A total of 24 studies selected from 3,633 references were included. The highest prevalence was revealed for myopia with 30.2% (95%CI 3.0-69.8%), followed by 22.7% (95%CI 18.5 27.8%) for amblyopia, 22.2% (95%CI 7.8-63.1%) for astigmatism, 19.6% (95%CI 16.5 23.2%) for strabismus, 17.3% (95% CI 13.1-22.9%) for anisometropia and 4.0% for hyperopia (95%CI 1.8-7.1%). Significant heterogeneity was identified across most estimates. Our findings suggest that amblyopia, strabismus and refractive errors in congenital ptosis are present in much higher percentage. This study highlights the importance of early diagnosis and timely treatment of patients with congenital ptosis. PMID- 29844361 TI - Dimethyl fumarate induces a persistent change in the composition of the innate and adaptive immune system in multiple sclerosis patients. AB - The effects of dimethyl fumarate (DMF) on the immune system in multiple sclerosis (MS) are not completely elucidated. In this study, an extensive immunophenotypic analysis of innate and adaptive immune cells of DMF-treated MS patients was performed. Peripheral blood immune cell phenotypes were determined using flow cytometry in a follow-up study of 12 MS patients before, after 3 and 12 months of DMF treatment and a cross-sectional study of 25 untreated and 64 DMF-treated MS patients. Direct effects of DMF on B cells were analyzed in vitro. After 12 months of DMF treatment, percentages of monocytes, natural killer cells, naive T and B cells and transitional B cells increased. Percentages of (effector) memory T cells, (non) class-switched memory B cells and double negative B cells decreased together with CD4+ T cells expressing interferon-gamma (IFN-gamma), granulocyte macrophage colony-stimulating factor (GM-CSF) and interleukin-17 (IL 17). DMF treatment was fully effective as of 6 months and directly induced apoptosis and decreased expression of costimulatory CD40, antigen presentation molecule MHCII and B cell activating factor receptor (BAFFR) on B cells. DMF induced a persistent change of the immune system of MS patients, directly induced apoptosis and reduced expression of functional markers on B cells. PMID- 29844362 TI - Basal interferon signaling and therapeutic use of interferons in controlling rotavirus infection in human intestinal cells and organoids. AB - Rotavirus (RV) primarily infects enterocytes and results in severe diarrhea, particularly in children. It is known that the host immune responses determine the outcome of viral infections. Following infections, interferons (IFNs) are produced as the first and the main anti-viral cytokines to combat the virus. Here we showed that RV predominantly induced type III IFNs (IFN-lambda1), and to a less extent, type I IFNs (IFN-alpha and IFN-beta) in human intestinal cells. However, it did not produce detectable IFN proteins and thus, was not sufficient to inhibit RV replication. In contrast, we revealed the essential roles of the basal IFN signaling in limiting RV replication by silencing STAT1, STAT2 and IRF9 genes. In addition, exogenous IFN treatment demonstrated that RV replication was able to be inhibited by all types of IFNs, both in human intestinal Caco2 cell line and in primary intestinal organoids. In these models, IFNs significantly upregulated a panel of well-known anti-viral IFN-stimulated genes (ISGs). Importantly, inhibition of the JAK-STAT cascade abrogated ISG induction and the anti-RV effects of IFNs. Thus, our study shall contribute to better understanding of the complex RV-host interactions and provide rationale for therapeutic development of IFN-based treatment against RV infection. PMID- 29844363 TI - In situ redox reactions facilitate the assembly of a mixed-valence metal-organic nanocapsule. AB - C-alkylpyrogallol[4]arenes (PgCs) have been studied for their ability to form metal-organic nanocapsules (MONCs) through coordination to appropriate metal ions. Here we present the synthesis and characterization of an MnII/MnIII-seamed MONC in addition to its electrochemical and magnetic behavior. This MONC assembles from 24 manganese ions and 6 PgCs, while an additional metal ion is located on the capsule interior, anchored through the introduction of bridging nitrite ions. The latter originate from an in situ redox reaction that occurs during the self-assembly process, thus representing a new route to otherwise unobtainable nanocapsules. PMID- 29844365 TI - Evapotranspiration and favorable growing degree-days are key to tree height growth and ecosystem functioning: Meta-analyses of Pacific Northwest historical data. AB - While temperature and precipitation comprise important ecological filtering for native ranges of forest trees and are predisposing factors underlying forest ecosystem dynamics, the extent and severity of drought raises reasonable concerns for carbon storage and species diversity. Based on historical data from common garden experiments across the Pacific Northwest region, we developed non-linear niche models for height-growth trajectories of conifer trees at the sapling stage using annual or seasonal climatic variables. The correlations between virtual tree height for each locality and ecosystem functions were respectively assessed. Best-fitted models were composed of two distinct components: evapotranspiration and the degree-days disparity for temperature regimes between 5 degrees C and 18 degrees C (effective temperature sum and growth temperature, respectively). Tree height prediction for adaptive generalists (e.g., Pinus monticola, Thuja plicata) had smaller residuals than for specialists (e.g., Pinus contorta, Pseudotsuga menziesii), albeit a potential confounding factor - tree age. Discernably, there were linearly positive patterns between tree height growth and ecosystem functions (productivity, biomass and species diversity). Additionally, there was a minor effect of tree diversity on height growth in coniferous forests. This study uncovers the implication of key ecological filtering and increases our integrated understanding of how environmental cues affect tree stand growth, species dominance and ecosystem functions. PMID- 29844364 TI - STEF/TIAM2-mediated Rac1 activity at the nuclear envelope regulates the perinuclear actin cap. AB - The perinuclear actin cap is an important cytoskeletal structure that regulates nuclear morphology and re-orientation during front-rear polarisation. The mechanisms regulating the actin cap are currently poorly understood. Here, we demonstrate that STEF/TIAM2, a Rac1 selective guanine nucleotide exchange factor, localises at the nuclear envelope, co-localising with the key perinuclear proteins Nesprin-2G and Non-muscle myosin IIB (NMMIIB), where it regulates perinuclear Rac1 activity. We show that STEF depletion reduces apical perinuclear actin cables (a phenotype rescued by targeting active Rac1 to the nuclear envelope), increases nuclear height and impairs nuclear re-orientation. STEF down regulation also reduces perinuclear pMLC and decreases myosin-generated tension at the nuclear envelope, suggesting that STEF-mediated Rac1 activity regulates NMMIIB activity to promote stabilisation of the perinuclear actin cap. Finally, STEF depletion decreases nuclear stiffness and reduces expression of TAZ regulated genes, indicating an alteration in mechanosensing pathways as a consequence of disruption of the actin cap. PMID- 29844366 TI - E2F signature is predictive for the pancreatic adenocarcinoma clinical outcome and sensitivity to E2F inhibitors, but not for the response to cytotoxic-based treatments. AB - The main goal of this study was to find out strategies of clinical relevance to classify patients with a pancreatic ductal adenocarcinoma (PDAC) for individualized treatments. In the present study a set of 55 patient-derived xenografts (PDX) were obtained and their transcriptome were analyzed by using an Affymetrix approach. A supervised bioinformatics-based analysis let us to classify these PDX in two main groups named E2F-highly dependent and E2F-lowly dependent. Afterwards their characterization by using a Kaplan-Meier analysis demonstrated that E2F high patients survived significantly less than E2F low patients (9.5 months vs. 16.8 months; p = 0.0066). Then we tried to establish if E2F transcriptional target levels were associated to the response to cytotoxic treatments by comparing the IC50 values of E2F high and E2F low cells after gemcitabine, 5-fluorouracil, oxaliplatin, docetaxel or irinotecan treatment, and no association was found. Then we identified an E2F inhibitor compound, named ly101-4B, and we observed that E2F-higly dependent cells were more sensitive to its treatment (IC50 of 19.4 +/- 1.8 uM vs. 44.1 +/- 4.4 uM; p = 0.0061). In conclusion, in this work we describe an E2F target expression-based classification that could be predictive for patient outcome, but more important, for the sensitivity of tumors to the E2F inhibitors as a treatment. Finally, we can assume that phenotypic characterization, essentially by an RNA expression analysis of the PDAC, can help to predict their clinical outcome and their response to some treatments when are rationally selected. PMID- 29844367 TI - A cluster of nontuberculous mycobacterial endophthalmitis (NTME) cases after cataract surgery: clinical features and treatment outcomes. AB - PURPOSE: To report the clinical features and treatment outcomes in a cluster of patients with endophthalmitis after cataract surgery caused by nontuberculous mycobacterium. PATIENTS AND METHODS: Retrospective chart review and noncomparative, consecutive case series. Nine consecutive cases of endophthalmitis, after cataract surgery in a local clinic, were referred to our hospital. The treatment outcomes and analysis of risk factors for infection are reported. RESULTS: The major symptoms at presentation were pain, redness, and decreased vision. Best-corrected visual acuity at presentation ranged from hand motion in two cases (22%), counting fingers at 30 cm in three cases (33%), 20/100 in two cases (20%), 20/63 in one case (11%), to 20/50 in one (11%) case. The mean duration between cataract surgery to presentation at our hospital was 16.7 days. Prompt intravitreal injections (IVI) of amikacin (0.4 mg/0.1 mL) and vancomycin (1 mg/0.1 mL), with topical moxifloxacin were administered initially. Pars plana vitrectomy with amikacin (10 mg/L) and vancomycin (20 mg/L) intravitreal irrigation, and intraocular lens removal were performed for all patients. Systemic antibiotics including amikacin and tigecycline were prescribed for 10 days, and clarithromycin was prescribed for at least 3 months. In all the nine cases, the culture results from either aqueous tapping or vitrectomy sample were positive for nontuberculous Mycobacterium: Mycobacterium abscessus/chelonae, which was compatible with iatrogenic clustered infection. At the last follow-up, three cases (33.3%) had best-corrected visual acuity of counting fingers at 30 cm, while the other six cases had no light perception. Two cases (22%) were enucleated and one case (11%) had phthisis bulbi. CONCLUSION: Nontuberculous mycobacterium endophthalmitis (NTME) often induces chronic recurrent or persistent intraocular inflammation. Very poor outcomes despite aggressive antibiotic treatment and repeated surgical interventions are suggestive of the virulent nature of the organisms. Autoclave sterilization and perioperative disinfection may help in reducing iatrogenic clustered infection. PMID- 29844368 TI - Non-inverted pedicle internal limiting membrane transposition for large macular holes. AB - PURPOSE: The purpose of this study is to investigate the effectiveness of a new surgical technique of non-inverted pedicle internal limiting membrane (ILM) transposition for the treatment of eyes with large macular hole. METHODS: This is a retrospective, consecutive, interventional case series. Twelve eyes of 12 consecutive patients who underwent vitrectomy for the treatment of a large macular hole (MH size > 400 um) were treated. ILM was peeled and left with a pedicle attached to the superior temporal retina. The macular hole was covered by transposition of the pedicle ILM in a non-inverted way. Preoperative and postoperative best-corrected visual acuity (BCVA), SD-OCT image, macular sensitivity by microperimetry, and multifocal electroretinogram (mERG) response were evaluated. All of the patients were followed for more than 3 months. RESULTS: Postoperative OCT examination confirmed 11 of 12 macular hole closed (91.7%). Six macular hole filled with silicone oil closed as early as the next day. The postoperative BCVA significantly increased compared with preoperative BCVA (P = 0.002). The improvement of macular sensitivity within 2 degrees and 8 degrees circle was also statistical significant (P = 0.018 and P = 0.017, respectively). Fixation stability, shown as the percentage of fixation point within the 2 degrees circle and 4 degrees circle, was remarkably improved (P = 0.017 and P = 0.018, respectively). The R1/R2 and R1/R4 ring ratios also increased significantly as compared with that of baseline. CONCLUSION: These findings indicate that the non-inverted pedicle ILM transposition results in a high incidence of anatomic closure with good visual outcome for the treatment of large macular hole. PMID- 29844369 TI - Composite binocular perception from dichoptic stimulus arrays with similar ensemble information. AB - We view the world through laterally displaced eyes that generate two streams of image signals differing slightly in their perspectives of the visual scene. The brain derives three-dimensional structures from these two image streams by establishing binocular matches and computing image disparities between the two eyes' views. Since the binocular matching problem can have multiple, alternative solutions, vision relies on several strategies to determine the most probable matches. The current study investigated whether the visual system might utilize regularities among neighbouring features (feature ensembles) when confronting this problem. We hypothesized that binocular perception with unlikely, anomalous ensembles would indicate unsuccessful binocular matches. We made dichoptic stimulus arrays of coloured circles and manipulated the colour similarity of stimulus items to produce probable or unusual ensembles when superimposed. Using binocular rivalry as a proxy index, we found that composite perception of dichoptic arrays was more stable when the stimulus items shared similar colours, and that unusual ensembles induced binocular rivalry. Our results suggest that binocular ensembles can be utilized to detect unsuccessful binocular matches, thus uncovering a potentially useful supplemental strategy for identifying binocular matches when viewing potentially confusing visual scenes containing redundant visual features. PMID- 29844370 TI - mTOR coordinates transcriptional programs and mitochondrial metabolism of activated Treg subsets to protect tissue homeostasis. AB - Regulatory T (Treg) cells derived from the thymus (tTreg) and periphery (pTreg) have central and distinct functions in immunosuppression, but mechanisms for the generation and activation of Treg subsets in vivo are unclear. Here, we show that mechanistic target of rapamycin (mTOR) unexpectedly supports the homeostasis and functional activation of tTreg and pTreg cells. mTOR signaling is crucial for programming activated Treg-cell function to protect immune tolerance and tissue homeostasis. Treg-specific deletion of mTOR drives spontaneous effector T-cell activation and inflammation in barrier tissues and is associated with reduction in both thymic-derived effector Treg (eTreg) and pTreg cells. Mechanistically, mTOR functions downstream of antigenic signals to drive IRF4 expression and mitochondrial metabolism, and accordingly, deletion of mitochondrial transcription factor A (Tfam) severely impairs Treg-cell suppressive function and eTreg-cell generation. Collectively, our results show that mTOR coordinates transcriptional and metabolic programs in activated Treg subsets to mediate tissue homeostasis. PMID- 29844371 TI - Intravital imaging by simultaneous label-free autofluorescence-multiharmonic microscopy. AB - Intravital microscopy (IVM) emerged and matured as a powerful tool for elucidating pathways in biological processes. Although label-free multiphoton IVM is attractive for its non-perturbative nature, its wide application has been hindered, mostly due to the limited contrast of each imaging modality and the challenge to integrate them. Here we introduce simultaneous label-free autofluorescence-multiharmonic (SLAM) microscopy, a single-excitation source nonlinear imaging platform that uses a custom-designed excitation window at 1110 nm and shaped ultrafast pulses at 10 MHz to enable fast (2-orders-of-magnitude improvement), simultaneous, and efficient acquisition of autofluorescence (FAD and NADH) and second/third harmonic generation from a wide array of cellular and extracellular components (e.g., tumor cells, immune cells, vesicles, and vessels) in living tissue using only 14 mW for extended time-lapse investigations. Our work demonstrates the versatility and efficiency of SLAM microscopy for tracking cellular events in vivo, and is a major enabling advance in label-free IVM. PMID- 29844372 TI - All-optical control of long-lived nuclear spins in rare-earth doped nanoparticles. AB - Nanoscale systems that coherently couple to light and possess spins offer key capabilities for quantum technologies. However, an outstanding challenge is to preserve properties, and especially optical and spin coherence lifetimes, at the nanoscale. Here, we report optically controlled nuclear spins with long coherence lifetimes (T2) in rare-earth-doped nanoparticles. We detect spins echoes and measure a spin coherence lifetime of 2.9 +/- 0.3 ms at 5 K under an external magnetic field of 9 mT, a T2 value comparable to those obtained in bulk rare earth crystals. Moreover, we achieve spin T2 extension using all-optical spin dynamical decoupling and observe high fidelity between excitation and echo phases. Rare-earth-doped nanoparticles are thus the only nano-material in which optically controlled spins with millisecond coherence lifetimes have been reported. These results open the way to providing quantum light-atom-spin interfaces with long storage time within hybrid architectures. PMID- 29844374 TI - Macrophage inducible nitric oxide synthase promotes the initiation of lung squamous cell carcinoma by maintaining circulated inflammation. PMID- 29844373 TI - Habituation of phase-locked local field potentials and gamma-band oscillations recorded from the human insula. AB - Salient nociceptive and non-nociceptive stimuli elicit low-frequency local field potentials (LFPs) in the human insula. Nociceptive stimuli also elicit insular gamma-band oscillations (GBOs), possibly preferential for thermonociception, which have been suggested to reflect the intensity of perceived pain. To shed light on the functional significance of these two responses, we investigated whether they would be modulated by stimulation intensity and temporal expectation - two factors contributing to stimulus saliency. Insular activity was recorded from 8 depth electrodes (41 contacts) implanted in the left insula of 6 patients investigated for epilepsy. Thermonociceptive, vibrotactile, and auditory stimuli were delivered using two intensities. To investigate the effects of temporal expectation, the stimuli were delivered in trains of three identical stimuli (S1 S2-S3) separated by a constant 1-s interval. Stimulation intensity affected intensity of perception, the magnitude of low-frequency LFPs, and the magnitude of nociceptive GBOs. Stimulus repetition did not affect perception. In contrast, both low-frequency LFPs and nociceptive GBOs showed a marked habituation of the responses to S2 and S3 as compared to S1 and, hence, a dissociation with intensity of perception. Most importantly, although insular nociceptive GBOs appear to be preferential for thermonociception, they cannot be considered as a correlate of perceived pain. PMID- 29844375 TI - Induction of ganglioside synthesis in Drosophila brain accelerates assembly of amyloid beta protein. AB - The assembly and deposition of amyloid beta protein (Abeta) is a fundamental event during the early stages of Alzheimer's disease (AD) and cerebral amyloid angiopathy. A growing body of evidence indicates that gangliosides form a pathological platform for the generation of ganglioside-bound Abeta, which facilitates the assembly of soluble Abetas; however, the molecular mechanisms underlying the binding of Abeta to gangliosides in the brain remain unclear due to the lack of an in vivo system that may address this issue. In insects, including the fruit fly Drosophila melanogaster, gangliosides are not intrinsically present at a detectable level. We herein demonstrate that ganglioside expression is inducible in Drosophila via the expression of transgenes of ganglioside synthesis enzymes and the feeding of exogenous sialic acid, and also that the induction of ganglioside synthesis significantly accelerates Abeta assembly in vivo. Our results support the hypothesis that gangliosides are responsible for Abeta assembly in vivo and also provide an opportunity to develop a valuable model for basic research as well as a therapeutic strategy for AD. PMID- 29844377 TI - Terahertz wave modulation enhanced by laser processed PVA film on Si substrate. AB - An optically pumped ultrasensitive broadband terahertz (THz) wave modulator based on polyvinyl alcohol (PVA) film on Si wafer was demonstrated in this work. The THz time domain spectroscopy experiments confirm that the PVA/Si can drastically enhance the photo-induced THz wave modulation on the Si surface, especially when the PVA film is heated by a high-power laser. A modulation depth of 72% can be achieved only under 0.55 W/cm2 modulated laser power, which is superior significantly to the bare Si. The numerical simulations indicate that the laser processed PVA (LP-PVA) film increases the photo-generated carrier concentration on the Si surface in two orders of magnitude higher than that of bare Si. Moreover, the modulation mechanism and the dynamic process of laser heating on the PVA/Si have been discussed. This highly efficient THz modulation mechanism and its simple fabrication method have great application potentials in THz modulators. PMID- 29844376 TI - Uranium(III)-carbon multiple bonding supported by arene delta-bonding in mixed valence hexauranium nanometre-scale rings. AB - Despite the fact that non-aqueous uranium chemistry is over 60 years old, most polarised-covalent uranium-element multiple bonds involve formal uranium oxidation states IV, V, and VI. The paucity of uranium(III) congeners is because, in common with metal-ligand multiple bonding generally, such linkages involve strongly donating, charge-loaded ligands that bind best to electron-poor metals and inherently promote disproportionation of uranium(III). Here, we report the synthesis of hexauranium-methanediide nanometre-scale rings. Combined experimental and computational studies suggest overall the presence of formal uranium(III) and (IV) ions, though electron delocalisation in this Kramers system cannot be definitively ruled out, and the resulting polarised-covalent U = C bonds are supported by iodide and delta-bonded arene bridges. The arenes provide reservoirs that accommodate charge, thus avoiding inter-electronic repulsion that would destabilise these low oxidation state metal-ligand multiple bonds. Using arenes as electronic buffers could constitute a general synthetic strategy by which to stabilise otherwise inherently unstable metal-ligand linkages. PMID- 29844378 TI - High pCO2-induced exopolysaccharide-rich ballasted aggregates of planktonic cyanobacteria could explain Paleoproterozoic carbon burial. AB - The contribution of planktonic cyanobacteria to burial of organic carbon in deep sea sediments before the emergence of eukaryotic predators ~1.5 Ga has been considered negligible owing to the slow sinking speed of their small cells. However, global, highly positive excursion in carbon isotope values of inorganic carbonates ~2.22-2.06 Ga implies massive organic matter burial that had to be linked to oceanic cyanobacteria. Here to elucidate that link, we experiment with unicellular planktonic cyanobacteria acclimated to high partial CO2 pressure (pCO2) representative of the early Paleoproterozoic. We find that high pCO2 boosts generation of acidic extracellular polysaccharides (EPS) that adsorb Ca and Mg cations, support mineralization, and aggregate cells to form ballasted particles. The down flux of such self-assembled cyanobacterial aggregates would decouple the oxygenic photosynthesis from oxidative respiration at the ocean scale, drive export of organic matter from surface to deep ocean and sustain oxygenation of the planetary surface. PMID- 29844379 TI - Persistence of Long-lived Memory B Cells specific to Duffy Binding Protein in individuals exposed to Plasmodium vivax. AB - The major challenge in designing a protective Duffy binding protein region II (DBPII)-based vaccine against blood-stage vivax malaria is the high number of polymorphisms in critical residues targeted by binding-inhibitory antibodies. Here, longevity of antibody and memory B cell response (MBCs) to DBL-TH variants, DBL-TH2, -TH4, -TH5, -TH6 and -TH9 were analyzed in P. vivax-exposed individuals living in a low malaria transmission area of southern Thailand. Antibody to DBL TH variants were significantly detected during P. vivax infection and it was persisted for up to 9 months post-infection. However, DBL-TH-specific MBC responses were stably maintained longer than antibody response, at least 3 years post-infection in the absence of re-infection. Phenotyping of B cell subsets showed the expansion of activated and atypical MBCs during acute and recovery phase of infection. While the persistence of DBL-TH-specific MBCs was found in individuals who had activated and atypical MBC expansion, anti-DBL-TH antibody responses was rapidly declined in plasma. The data suggested that these two MBCs were triggered by P. vivax infection, its expansion and stability may have impact on antibody responses. Our results provided evidence for ability of DBPII variant antigens in induction of long-lasting MBCs among individuals who were living in low malaria endemicity. PMID- 29844380 TI - Novel autoantibody in Sjogren syndrome. PMID- 29844381 TI - Changing patterns of lupus nephritis over five decades. PMID- 29844382 TI - Tocilizumab or TNF inhibitors in RA? PMID- 29844383 TI - Validating canakinumab therapy for autoinflammation. PMID- 29844384 TI - The Holocene retreat dynamics and stability of Petermann Glacier in northwest Greenland. AB - Submarine glacial landforms in fjords are imprints of the dynamic behaviour of marine-terminating glaciers and are informative about their most recent retreat phase. Here we use detailed multibeam bathymetry to map glacial landforms in Petermann Fjord and Nares Strait, northwestern Greenland. A large grounding-zone wedge (GZW) demonstrates that Petermann Glacier stabilised at the fjord mouth for a considerable time, likely buttressed by an ice shelf. This stability was followed by successive backstepping of the ice margin down the GZW's retrograde backslope forming small retreat ridges to 680 m current depth (~730-800 m palaeodepth). Iceberg ploughmarks occurring somewhat deeper show that thick, grounded ice persisted to these water depths before final breakup occurred. The palaeodepth limit of the recessional moraines is consistent with final collapse driven by marine ice cliff instability (MICI) with retreat to the next stable position located underneath the present Petermann ice tongue, where the seafloor is unmapped. PMID- 29844385 TI - CD24 regulates sorafenib resistance via activating autophagy in hepatocellular carcinoma. AB - Hepatocellular carcinoma is one of most common solid cancers worldwide. Sorafenib is indicated as a treatment for advanced hepatocellular carcinoma (HCC). However, the clinical efficacy of sorafenib has been severely compromised by the development of drug resistance, and the precise mechanisms of drug resistance remain largely unknown. Here we found that a cell surface molecule, CD24, is overexpressed in tumor tissues and sorafenib-resistant hepatocellular carcinoma cell lines. Moreover, there is a positive correlation between CD24 expression levels and sorafenib resistance. In sorafenib-resistant HCC cell lines, depletion of CD24 caused a notable increase of sorafenib sensitivity. In addition, we found that CD24-related sorafenib resistance was accompanied by the activation of autophagy and can be blocked by the inhibition of autophagy using either pharmacological inhibitors or essential autophagy gene knockdown. In further research, we found that CD24 overexpression also leads to an increase in PP2A protein production and induces the deactivation of the mTOR/AKT pathway, which enhances the level of autophagy. These results demonstrate that CD24 regulates sorafenib resistance via activating autophagy in HCC. This is the first report to describe the relationships among CD24, autophagy, and sorafenib resistance. In conclusion, the combination of autophagy modulation and CD24 targeted therapy is a promising therapeutic strategy in the treatment of HCC. PMID- 29844386 TI - The histone demethylase Phf2 acts as a molecular checkpoint to prevent NAFLD progression during obesity. AB - Aberrant histone methylation profile is reported to correlate with the development and progression of NAFLD during obesity. However, the identification of specific epigenetic modifiers involved in this process remains poorly understood. Here, we identify the histone demethylase Plant Homeodomain Finger 2 (Phf2) as a new transcriptional co-activator of the transcription factor Carbohydrate Responsive Element Binding Protein (ChREBP). By specifically erasing H3K9me2 methyl-marks on the promoter of ChREBP-regulated genes, Phf2 facilitates incorporation of metabolic precursors into mono-unsaturated fatty acids, leading to hepatosteatosis development in the absence of inflammation and insulin resistance. Moreover, the Phf2-mediated activation of the transcription factor NF E2-related factor 2 (Nrf2) further reroutes glucose fluxes toward the pentose phosphate pathway and glutathione biosynthesis, protecting the liver from oxidative stress and fibrogenesis in response to diet-induced obesity. Overall, our findings establish a downstream epigenetic checkpoint, whereby Phf2, through facilitating H3K9me2 demethylation at specific gene promoters, protects liver from the pathogenesis progression of NAFLD. PMID- 29844387 TI - Male germ cells support long-term propagation of Zika virus. AB - Evidence of male-to-female sexual transmission of Zika virus (ZIKV) and viral RNA in semen and sperm months after infection supports a potential role for testicular cells in ZIKV propagation. Here, we demonstrate that germ cells (GCs) are most susceptible to ZIKV. We found that only GCs infected by ZIKV, but not those infected by dengue virus and yellow fever virus, produce high levels of infectious virus. This observation coincides with decreased expression of interferon-stimulated gene Ifi44l in ZIKV-infected GCs, and overexpression of Ifi44l results in reduced ZIKV production. Using primary human testicular tissue, we demonstrate that human GCs are also permissive for ZIKV infection and production. Finally, we identified berberine chloride as a potent inhibitor of ZIKV infection in both murine and human testes. Together, these studies identify a potential cellular source for propagation of ZIKV in testes and a candidate drug for preventing sexual transmission of ZIKV. PMID- 29844388 TI - Early transcriptional response of human ovarian and fallopian tube surface epithelial cells to norepinephrine. AB - Evidence from human and animal studies suggests that chronic behavioral stress and resulting activation of the sympathetic nervous system may influence initiation and progression of tumors. However, the underlying mechanisms for these observations are poorly understood. The purpose of this study is to explore the effects of adrenergic signaling on cell line models derived from normal cells presumed to originate epithelial ovarian cancers. Here we explored the effects of the stress-related hormone, norepinephrine, on the transcriptional program of normal immortalized ovarian (iOSE) and fallopian tube (iFTSEC) surface epithelial cells. Analysis of RNA-Seq data of treated and untreated cells revealed a significant overlap between the responses in iOSE and iFTSEC cells. Most genes modulated by norepinephrine in ovarian and fallopian tube epithelial cells are already expressed in normal ovarian and fallopian tissue and cells. For several genes, expression changes were reflected at the protein level. Genes in immune related and developmental pathways were enriched in the set of genes modulated by norepinephrine. We identified HOXA5, SPIB, REL, SRF, SP1, NFKB1, MEF2A, E2F1, and EGR1 transcription factor binding sites to be highly enriched in our dataset. These data represent the early transcriptional response to norepinephrine in cells postulated to originate epithelial ovarian cancer. PMID- 29844389 TI - Antibody-mediated stabilization of NRG1 induces behavioral and electrophysiological alterations in adult mice. AB - Neuregulin 1 (NRG1) is required for development of the central and peripheral nervous system and regulates neurotransmission in the adult. NRG1 and the gene encoding its receptor, ERBB4, are risk genes for schizophrenia, although how alterations in these genes disrupt their function has not been fully established. Studies of knockout and transgenic mice have yielded conflicting results, with both gain and loss of function resulting in similar behavioral and electrophysiological phenotypes. Here, we used high affinity antibodies to NRG1 and ErbB4 to perturb the function of the endogenous proteins in adult mice. Treatment with NRG1 antibodies that block receptor binding caused behavioral alterations associated with schizophrenia, including, hyper-locomotion and impaired pre-pulse inhibition of startle (PPI). Electrophysiological analysis of brain slices from anti-NRG1 treated mice revealed reduced synaptic transmission and enhanced paired-pulse facilitation. In contrast, mice treated with more potent ErbB4 function blocking antibodies did not display behavioral alterations, suggesting a receptor independent mechanism of the anti-NRG1-induced phenotypes. We demonstrate that anti-NRG1 causes accumulation of the full-length transmembrane protein and increases phospho-cofilin levels, which has previously been linked to impaired synaptic transmission, indicating enhancement of non canonical NRG1 signaling could mediate the CNS effects. PMID- 29844390 TI - The hedgehog and Wnt/beta-catenin system machinery mediate myofibroblast differentiation of LR-MSCs in pulmonary fibrogenesis. AB - Idiopathic pulmonary fibrosis (IPF) is a chronic, progressive and fatal lung disease that is characterized by enhanced changes in stem cell differentiation and fibroblast proliferation. Resident mesenchymal stem cells (LR-MSCs) can undergo phenotype conversion to myofibroblasts to augment extracellular matrix production, impairing function and contributing to pulmonary fibrosis. Hedgehog and Wnt signaling are developmental signal cascades that play an essential role in regulating embryogenesis and tissue homeostasis. Recently, it has been reported that both hedgehog and Wnt signaling play important roles in pulmonary fibrogenesis. Thus, the identification of specific target regulators may yield new strategy for pulmonary fibrosis therapies. In our work, we demonstrated the critical role of Gli1, Wnt7b, Wnt10a and Fzd10 in the process of pulmonary fibrogenesis in vitro and in vivo. Gli1 was induced in LR-MSCs following TGF beta1 treatment and fibrotic lung tissues. Inhibition of Gli1 suppressed myofibroblast differentiation of LR-MSCs and pulmonary fibrosis, and decreased the expression of Wnt7b, Wnt10a and beta-catenin. Gli1 bound to and increased promoter activity of the Wnt7b and Wnt10a genes, and Wnt7b and Wnt10a were critical activators of Wnt/beta-catenin signaling. It was noteworthy that Fzd10 knockdown reduced Wnt7b and Wnt10a-induced activation of Wnt/beta-catenin signaling, which imply that Wnt7b and Wnt10a may be the ligands for Fzd10. Moreover, siRNA-mediated inhibition of Fzd10 prevented TGF-beta1-induced myofibroblast differentiation of LR-MSCs in vitro and impaired bleomycin-induced pulmonary fibrosis. We conclude that hedgehog and Wnt/beta-catenin signaling play a critical role in promoting myofibroblast differentiation of LR-MSCs and development of pulmonary fibrosis. These findings elucidate a therapeutic approach to attenuate pulmonary fibrosis through targeted inhibition of Gli1 or Fzd10. PMID- 29844391 TI - Manipulation of skyrmion motion by magnetic field gradients. AB - Magnetic skyrmions are particle-like, topologically protected magnetisation entities that are promising candidates as information carriers in racetrack memory. The transport of skyrmions in a shift-register-like fashion is crucial for their embodiment in practical devices. Here, we demonstrate that chiral skyrmions in Cu2OSeO3 can be effectively manipulated under the influence of a magnetic field gradient. In a radial field gradient, skyrmions were found to rotate collectively, following a given velocity-radius relationship. As a result of this relationship, and in competition with the elastic properties of the skyrmion lattice, the rotating ensemble disintegrates into a shell-like structure of discrete circular racetracks. Upon reversing the field direction, the rotation sense reverses. Field gradients therefore offer an effective handle for the fine control of skyrmion motion, which is inherently driven by magnon currents. In this scheme, no local electric currents are needed, thus presenting a different approach to shift-register-type operations based on spin transfer torque. PMID- 29844392 TI - Turbulent superstructures in Rayleigh-Benard convection. AB - Turbulent Rayleigh-Benard convection displays a large-scale order in the form of rolls and cells on lengths larger than the layer height once the fluctuations of temperature and velocity are removed. These turbulent superstructures are reminiscent of the patterns close to the onset of convection. Here we report numerical simulations of turbulent convection in fluids at different Prandtl number ranging from 0.005 to 70 and for Rayleigh numbers up to 107. We identify characteristic scales and times that separate the fast, small-scale turbulent fluctuations from the gradually changing large-scale superstructures. The characteristic scales of the large-scale patterns, which change with Prandtl and Rayleigh number, are also correlated with the boundary layer dynamics, and in particular the clustering of thermal plumes at the top and bottom plates. Our analysis suggests a scale separation and thus the existence of a simplified description of the turbulent superstructures in geo- and astrophysical settings. PMID- 29844393 TI - A fluorescence anisotropy assay to discover and characterize ligands targeting the maytansine site of tubulin. AB - Microtubule-targeting agents (MTAs) like taxol and vinblastine are among the most successful chemotherapeutic drugs against cancer. Here, we describe a fluorescence anisotropy-based assay that specifically probes for ligands targeting the recently discovered maytansine site of tubulin. Using this assay, we have determined the dissociation constants of known maytansine site ligands, including the pharmacologically active degradation product of the clinical antibody-drug conjugate trastuzumab emtansine. In addition, we discovered that the two natural products spongistatin-1 and disorazole Z with established cellular potency bind to the maytansine site on beta-tubulin. The high-resolution crystal structures of spongistatin-1 and disorazole Z in complex with tubulin allowed the definition of an additional sub-site adjacent to the pocket shared by all maytansine-site ligands, which could be exploitable as a distinct, separate target site for small molecules. Our study provides a basis for the discovery and development of next-generation MTAs for the treatment of cancer. PMID- 29844394 TI - FHC, an NS4B-interacting Protein, Enhances Classical Swine Fever Virus Propagation and Acts Positively in Viral Anti-apoptosis. AB - Classical swine fever virus (CSFV), the etiological agent of classical swine fever, causes enormous economic loss to the pig industry. Ferritin heavy chain (FHC) is a notable anti-apoptotic protein, and existing evidence suggests that CSFV cannot induce apoptosis of host cells, however, the role of FHC in CSFV replication remains unclear. In the present study, we found that recombinant lentivirus-mediated knockdown or overexpression of FHC inhibited or enhanced CSFV replication, respectively, indicating a positive role for FHC in CSFV proliferation. Furthermore, interaction between the CSFV NS4B protein and FHC was confirmed by glutathione S-transferase (GST) pull-down, co-immunoprecipitation (co-IP) and confocal imaging assays. In addition, both CSFV replication and NS4B expression upregulated expression of FHC, which counteracts apoptosis by modulating cellular reactive oxygen species (ROS). These results suggest that FHC, an NS4B-interacting protein, enhances CSFV replication and has a positive role in viral anti-apoptosis by regulating ROS accumulation. This work may provide a new perspective for understanding the mechanism of CSFV pathogenesis. PMID- 29844395 TI - Morphological and functional effects of graphene on the synthesis of uranium carbide for isotopes production targets. AB - The development of tailored targets for the production of radioactive isotopes represents an active field in nuclear research. Radioactive beams find applications in nuclear medicine, in astrophysics, matter physics and materials science. In this work, we study the use of graphene both as carbon source for UO2 carbothermal reduction to produce UCx targets, and also as functional properties booster. At fixed composition, the UCx target grain size, porosity and thermal conductivity represent the three main points that affect the target production efficiency. UCx was synthesized using both graphite and graphene as the source of carbon and the target properties in terms of composition, grain size, porosity, thermal diffusivity and thermal conductivity were studied. The main output of this work is related to the remarkable enhancement achieved in thermal conductivity, which can profitably improve thermal dissipation during operational stages of UCx targets. PMID- 29844396 TI - A Judgement Bias Test to Assess Affective State and Potential Therapeutics in a Rat Model of Chemotherapy-Induced Mucositis. AB - Chemotherapy-induced mucositis is an extremely painful condition that occurs in 40-60% of patients undergoing chemotherapy. As mucositis currently has no effective treatment, and due to the self-limiting nature of the condition, the major treatment aims are to manage symptoms and limit pain with significance placed on improving patient quality of life. Rodent models are frequently used in mucositis research. These investigations typically assess pathological outcomes, yet fail to include a measure of affective state; the key therapeutic goal. Assessment of cognitive biases is a novel approach to determining the affective state of animals. Consequently, this study aimed to validate a cognitive bias test through a judgement bias paradigm to measure affective state in a rat model of chemotherapy-induced intestinal mucositis. Rats with intestinal mucositis demonstrated a negative affective state, which was partially ameliorated by analgesic administration, whilst healthy rats showed an optimistic response. This study concluded that the judgement bias test was able to evaluate the emotional state of rats with chemotherapy-induced mucositis. These findings provide a foundation for future refinement to the experimental design associated with the animal model that will expedite successful transitioning of novel therapeutics to clinical practice, and also improve humane endpoint implementation. PMID- 29844397 TI - The cyclohexene derivative MC-3129 exhibits antileukemic activity via RhoA/ROCK1/PTEN/PI3K/Akt pathway-mediated mitochondrial translocation of cofilin. AB - The effects of MC-3129, a synthetic cyclohexene derivative, on cell viability and apoptosis have been investigated in human leukemia cells. Exposure of leukemia cells to MC-3129 led to the inhibition of cell viability and induction of apoptosis through the dephosphorylation and mitochondrial translocation of cofilin. A mechanistic study revealed that interruption of the RhoA/ROCK1/PTEN/PI3K/Akt signaling pathway plays a crucial role in the MC-3129 mediated dephosphorylation and mitochondrial translocation of cofilin and induction of apoptosis. Our in vivo study also showed that the MC-3129-mediated inhibition of the tumor growth in a mouse leukemia xenograft model is associated with the interruption of ROCK1/PTEN/PI3K/Akt signaling and apoptosis. Molecular docking suggested that MC-3129 might activate the RhoA/ROCK1 pathway by targeting LPAR2. Collectively, these findings suggest a hierarchical model, in which the induction of apoptosis by MC-3129 primarily results from the activation of RhoA/ROCK1/PTEN and inactivation of PI3K/Akt, leading to the dephosphorylation and mitochondrial translocation of cofilin, and culminating in cytochrome c release, caspase activation, and apoptosis. Our study reveals a novel role for RhoA/ROCK1/PTEN/PI3K/Akt signaling in the regulation of mitochondrial translocation of cofilin and apoptosis and suggests MC-3129 as a potential drug for the treatment of human leukemia. PMID- 29844399 TI - Metagenomic insights into the microbial diversity in manganese-contaminated mine tailings and their role in biogeochemical cycling of manganese. AB - To extend the knowledge on the microbial diversity of manganese rich environments, we performed a clone library based study using metagenomic approach. Pyrosequencing based analysis of 16S rRNA genes were carried out on an Illumina platform to gain insights into the bacterial community inhabiting in a manganese mining site and the taxonomic profiles were correlated with the inherent capacities of these strains to solubilise manganese. The application of shot gun sequencing in this study yielded results which revealed the highest prevalence of Proteobacteria (42.47%), followed by Actinobacteria (23.99%) in the area of study. Cluster of orthologous group (COG) functional category has 85,066 predicted functions. Out of which 11% are involved in metabolism of amino acid, 9% are involved in production and conversion of energy while Keto Encyclopedia of Gene and Genomes (KEGG) functional category has 107,388 predicted functions, out of which 55% are involved in cellular metabolism, 15% are environmental and information processing and 12% are genetic information processing in nature. The isolated microbial consortia demonstrated visible growth in presence of high concentrations of Mn. Solubilisation studies resulted in 86% of manganese recovery after 20 days. The result presented in this study has important implications in understanding the microbial diversity in manganese contaminated mine tailings and their role in natural geochemical cycling of Mn. PMID- 29844398 TI - Single-shot 3D coherent diffractive imaging of core-shell nanoparticles with elemental specificity. AB - We report 3D coherent diffractive imaging (CDI) of Au/Pd core-shell nanoparticles with 6.1 nm spatial resolution with elemental specificity. We measured single shot diffraction patterns of the nanoparticles using intense x-ray free electron laser pulses. By exploiting the curvature of the Ewald sphere and the symmetry of the nanoparticle, we reconstructed the 3D electron density of 34 core-shell structures from these diffraction patterns. To extract 3D structural information beyond the diffraction signal, we implemented a super-resolution technique by taking advantage of CDI's quantitative reconstruction capabilities. We used high resolution model fitting to determine the Au core size and the Pd shell thickness to be 65.0 +/- 1.0 nm and 4.0 +/- 0.5 nm, respectively. We also identified the 3D elemental distribution inside the nanoparticles with an accuracy of 3%. To further examine the model fitting procedure, we simulated noisy diffraction patterns from a Au/Pd core-shell model and a solid Au model and confirmed the validity of the method. We anticipate this super-resolution CDI method can be generally used for quantitative 3D imaging of symmetrical nanostructures with elemental specificity. PMID- 29844400 TI - C-terminal intrinsically disordered region-dependent organization of the mycobacterial genome by a histone-like protein. AB - The architecture of the genome influences the functions of DNA from bacteria to eukaryotes. Intrinsically disordered regions (IDR) of eukaryotic histones have pivotal roles in various processes of gene expression. IDR is rare in bacteria, but interestingly, mycobacteria produce a unique histone-like protein, MDP1 that contains a long C-terminal IDR. Here we analyzed the role of IDR in MDP1 function. By employing Mycobacterium smegmatis that inducibly expresses MDP1 or its IDR-deficient mutant, we observed that MDP1 induces IDR-dependent DNA compaction. MDP1-IDR is also responsible for the induction of growth arrest and tolerance to isoniazid, a front line tuberculosis drug that kills growing but not growth-retardated mycobacteria. We demonstrated that MDP1-deficiency and conditional knock out of MDP1 cause spreading of the M. smegmatis genome in the stationary phase. This study thus demonstrates for the first time a C-terminal region-dependent organization of the genome architecture by MDP1, implying the significance of IDR in the function of bacterial histone-like protein. PMID- 29844401 TI - Trapping an octahedral Ag6 kernel in a seven-fold symmetric Ag56 nanowheel. AB - High-nuclearity silver clusters are appealing synthetic targets for their remarkable structures, but most are isolated serendipitously. We report here six giant silver-thiolate clusters mediated by solvents, which not only dictate the formation of an octahedral Ag64+ kernel, but also influence the in situ-generated Mo-based anion templates. The typical sevenfold symmetric silver nanowheels show a hierarchical cluster-in-cluster structure that comprises an outermost Ag56 shell and an inner Ag64+ kernel in the centre with seven MoO42- anion templates around it. Electrospray ionization mass spectrometry analyses reveal the underlying rule for the formation of such unique silver nanowheels. This work establishes a solvent-intervention approach to construct high-nuclearity silver clusters in which both the formation of octahedral Ag64+ kernel and in situ generation of various Mo-based anion templates can be simultaneously controlled. PMID- 29844402 TI - Improved fermentation efficiency of S. cerevisiae by changing glycolytic metabolic pathways with plasma agitation. AB - Production of ethanol by the yeast Saccharomyces cerevisiae is a process of global importance. In these processes, productivities and yields are pushed to their maximum possible values leading to cellular stress. Transient and lasting enhancements in tolerance and performance have been obtained by genetic engineering, forced evolution, and exposure to moderate levels of chemical and/or physical stimuli, yet the drawbacks of these methods include cost, and multi step, complex and lengthy treatment protocols. Here, plasma agitation is shown to rapidly induce desirable phenotypic changes in S. cerevisiae after a single treatment, resulting in improved conversion of glucose to ethanol. With a complex environment rich in energetic electrons, highly-reactive chemical species, photons, and gas flow effects, plasma treatment simultaneously mimics exposure to multiple environmental stressors. A single treatment of up to 10 minutes performed using an atmospheric pressure plasma jet was sufficient to induce changes in cell membrane structure, and increased hexokinase 2 activity and secondary metabolite production. These results suggest that plasma treatment is a promising strategy that can contribute to improving metabolic activity in industrial microbial strains, and thus the practicality and economics of industrial fermentations. PMID- 29844403 TI - The novel histone de acetylase 6 inhibitor, MPT0G211, ameliorates tau phosphorylation and cognitive deficits in an Alzheimer's disease model. AB - Alzheimer's disease (AD) is a dreadful neurodegenerative disease that leads to severe impairment of cognitive function, leading to a drastic decline in the quality of life. The primary pathological features of AD include senile plaques (SPs) and intracellular neurofibrillary tangles (NFTs), comprising aggregated amyloid beta (Abeta) and hyperphosphorylated tau protein, respectively, in the hippocampus of AD patients. Histone deacetylase 6 (HDAC6) is a key enzyme in this neurodegenerative disease, in particular, as it relates to tau hyperphosphorylation. This study aimed to investigate the protective effects and mechanism of the novel HDAC6 inhibitor, MPT0G211, using an AD model. Our results indicated that MPT0G211 significantly reduced tau phosphorylation and aggregation, the processes highly correlated with the formation of NFTs. This HDAC6 inhibitory activity resulted in an increase in acetylated Hsp90, which decreased Hsp90 and HDAC6 binding, causing ubiquitination of phosphorylated tau proteins. In addition, a significant increase of phospho-glycogen synthase kinase 3beta (phospho-GSK3beta) on Ser9 (the inactive form) through Akt phosphorylation was associated with the inhibition of phospho-tau Ser396 in response to MPT0G211 treatment. In AD in vivo models, MPT0G211 appeared to ameliorate learning and memory impairment in animals. Furthermore, MPT0G211 treatment reduced the amount of phosphorylated tau in the hippocampal CA1 region. In summary, MPT0G211 treatment appears to be a promising strategy for improving the AD phenotypes, including tau hyperphosphorylation and aggregation, neurodegeneration, and learning and memory impairment, making it a valuable agent for further investigation. PMID- 29844404 TI - DSGOST regulates resistance via activation of autophagy in gastric cancer. AB - Danggui-Sayuk-Ga-Osuyu-Saenggang-Tang (DSGOST in Korean, Danggui-Sini-Jia-Wuzhuyu Shengian-Tang in Chinese, and Tokishigyakukagoshuyushokyoto (TJ-38) in Japanese), a well-known traditional Korean/Chinese/Japanese medicine, has long been used to treat vascular diseases such as Raynaud's phenomenon (RP). However, anticancer effect of DSGOST remains elusive. In this study, we checked if DSGOST has an anticancer effect against gastric cancer cells, and investigated the mechanisms underlying DSGOST resistance. Moreover, DSGOST regulates chemoresistance in cisplatin-treated gastric cancer cells. Interestingly, DSGOST treatment induced the accumulation of GFP-LC3 puncta and increased the level of autophagy markers, such as LC3-II, ATG5, and Beclin-1, indicating activated autophagy. Furthermore, DSGOST could activate epithelial-to-mesenchymal transition (EMT) and exosomes via induction of autophagy. DSGOST in combination with TGFbeta also induced autophagy and EMT. However, autophagy inhibition induces DSGOST-mediated cell death in gastric cancer cells. In addition, autophagy inhibition blocks the activation of DSGOST-mediated EMT markers including N-cadherin, Snail, Slug, vimentin, beta catenin, p-Smad2, and p-Smad3. Taken together, these findings indicated that prosurvival autophagy was one of the mechanisms involved in the resistance of gastric cancer to DSGOST. Targeting the inhibition of autophagy could be an effective therapeutic approach to overcome resistance to DSGOST in gastric cancer. PMID- 29844405 TI - Amorphous topological superconductivity in a Shiba glass. AB - Topological states of matter support quantised nondissipative responses and exotic quantum particles that cannot be accessed in common materials. The exceptional properties and application potential of topological materials have triggered a large-scale search for new realisations. Breaking away from the popular trend focusing almost exclusively on crystalline symmetries, we introduce the Shiba glass as a platform for amorphous topological quantum matter. This system consists of an ensemble of randomly distributed magnetic atoms on a superconducting surface. We show that subgap Yu-Shiba-Rusinov states on the magnetic moments form a topological superconducting phase at critical density despite a complete absence of spatial order. Experimental signatures of the amorphous topological state can be obtained by scanning tunnelling microscopy measurements probing the topological edge mode. Our discovery demonstrates the physical feasibility of amorphous topological quantum matter, presenting a concrete route to fabricating new topological systems from nontopological materials with random dopants. PMID- 29844406 TI - Correction: MicroRNA-27a promotes podocyte injury via PPARgamma-mediated beta catenin activation in diabetic nephropathy. AB - Correction to: Cell Death and Disease 8, e2658 (2017); https://doi.org/10.1038/cddis.2017.74 ; published online 9 March 2017. PMID- 29844408 TI - Improved thermoelectric performance of solid solution Cu4Sn7.5S16 through isoelectronic substitution of Se for S. AB - Cu-Sn-S family of compounds have been considered as very competitive thermoelectric candidates in recent years due to their abundance and eco friendliness. The first-principles calculation reveals that the density of states (DOS) increases in the vicinity of the Fermi level (Ef) upon an incorporation of Se in the Cu4Sn7.5S16-xSe x (x = 0-2.0) system, which indicates the occurrence of resonant states. Besides, the formation of Cu(Sn)-Se network upon the occupation of Se in S site reduces the Debye temperature from 395 K for Cu4Sn7S16 (x = 0) to 180.8 K for Cu4Sn7.5S16-xSe x (x = 1.0). Although the point defects mainly impact the phonon scattering, an electron-phonon interaction also bears significance in the increase in phonon scattering and the further reducion of lattice thermal conductivity at high temperatures. As a consequence, the resultant TE figure of merit (ZT) reaches 0.5 at 873 K, which is 25% higher compared to 0.4 for Cu4Sn7.5S16. PMID- 29844409 TI - Probiotic supplementation and associated infant gut microbiome and health: a cautionary retrospective clinical comparison. AB - While probiotics are a multi-billion dollar industry, there is little evidence to show that supplementing infants provides any health benefits. We conducted an observational study where 35 of 86 participating mothers self-administered probiotics during breastfeeding, as well as directly to their infants. The primary objective was to determine if probiotic exposure influenced the infants' fecal microbiome while the secondary objective assessed associated changes to the mothers' breast milk immunity and infant health. Analysis of infant fecal microbiome throughout the first 6 months of life revealed that probiotics were associated with higher abundances of Bifidobacterium at week 1 only. Short-chain fatty acid production and predicted metagenomic functions of the microbial communities were not altered. While probiotics did not alter breast milk immune markers, fecal sIgA responses were higher among probiotic supplemented infants. Surprisingly, this was not associated with better health outcomes, as the probiotic cohort had higher incidences of mucosal-associated illnesses as toddlers. This retrospective clinical comparison suggests that probiotic exposure during infancy has limited effects on gut microbial composition yet is associated with increased infection later in life. These correlative findings caution against probiotic supplementation during infancy until rigorous controlled follow up studies determining their safety and efficacy have occurred. PMID- 29844410 TI - MiR-142-3p is downregulated in aggressive p53 mutant mouse models of pancreatic ductal adenocarcinoma by hypermethylation of its locus. AB - Pancreatic ductal adenocarcinoma (PDAC) is an extremely aggressive disease with poor prognostic implications. This is partly due to a large proportion of PDACs carrying mutations in TP53, which impart gain-of-function characteristics that promote metastasis. There is evidence that microRNAs (miRNAs) may play a role in both gain-of-function TP53 mutations and metastasis, but this has not been fully explored in PDAC. Here we set out to identify miRNAs which are specifically dysregulated in metastatic PDAC. To achieve this, we utilised established mouse models of PDAC to profile miRNA expression in primary tumours expressing the metastasis-inducing mutant p53R172H and compared these to two control models carrying mutations, which promote tumour progression but do not induce metastasis. We show that a subset of miRNAs are dysregulated in mouse PDAC tumour tissues expressing mutant p53R172H, primary cell lines derived from mice with the same mutations and in TP53 null cells with ectopic expression of the orthologous human mutation, p53R175H. Specifically, miR-142-3p is downregulated in all of these experimental models. We found that DNA methyltransferase 1 (Dnmt1) is upregulated in tumour tissue and cell lines, which express p53R172H. Inhibition or depletion of Dnmt1 restores miR-142-3p expression. Overexpression of miR-142 3p attenuates the invasive capacity of p53R172H-expressing tumour cells. MiR-142 3p dysregulation is known to be associated with cancer progression, metastasis and the miRNA is downregulated in patients with PDAC. Here we link TP53 gain-of function mutations to Dnmt1 expression and in turn miR-142-3p expression. Additionally, we show a correlation between expression of these genes and patient survival, suggesting that they may have potential to be therapeutic targets. PMID- 29844411 TI - Author Correction: Dynamic thylakoid stacking regulates the balance between linear and cyclic photosynthetic electron transfer. AB - In the version of this Article originally published, the authors incorrectly labelled the timescale in Fig. 6b as milliseconds (ms) on the x axis and the indicated half-life values; the correct units are microseconds (MUs). The figure has now been amended in all versions of the Article. PMID- 29844412 TI - Mitochondrial imaging in live or fixed tissues using a luminescent iridium complex. AB - Mitochondrial morphology is important for the function of this critical organelle and, accordingly, altered mitochondrial structure is exhibited in many pathologies. Imaging of mitochondria can therefore provide important information about disease presence and progression. However, mitochondrial imaging is currently limited by the availability of agents that have the capacity to image mitochondrial morphology in both live and fixed samples. This can be particularly problematic in clinical studies or large, multi-centre cohort studies, where tissue archiving by fixation is often more practical. We previously reported the synthesis of an iridium coordination complex [Ir(ppy)2(MeTzPyPhCN)]+; where ppy is a cyclometalated 2-phenylpyridine and TzPyPhCN is the 5-(5-(4-cyanophen-1 yl)pyrid-2-yl)tetrazolate ligand; and showed that this complex (herein referred to as IraZolve-Mito) has a high specificity for mitochondria in live cells. Here we demonstrate that IraZolve-Mito can also effectively stain mitochondria in both live and fixed tissue samples. The staining protocol proposed is versatile, providing a universal procedure for cell biologists and pathologists to visualise mitochondria. PMID- 29844413 TI - Rate and Temporal Coding Mechanisms in the Anterior Cingulate Cortex for Pain Anticipation. AB - Pain is a complex sensory and affective experience. Through its anticipation, animals can learn to avoid pain. Much is known about passive avoidance during a painful event; however, less is known about active pain avoidance. The anterior cingulate cortex (ACC) is a critical hub for affective pain processing. However, there is currently no mechanism that links ACC activities at the cellular level with behavioral anticipation or avoidance. Here we asked whether distinct populations of neurons in the ACC can encode information for pain anticipation. We used tetrodes to record from ACC neurons during a conditioning assay to train rats to avoid pain. We found that in rats that successfully avoid acute pain episodes, neurons that responded to pain shifted their firing rates to an earlier time, whereas neurons that responded to the anticipation of pain increased their firing rates prior to noxious stimulation. Furthermore, we found a selected group of neurons that shifted their firing from a pain-tuned response to an anticipatory response. Unsupervised learning analysis of ensemble spike activity indicates that temporal spiking patterns of ACC neurons can indeed predict the onset of pain avoidance. These results suggest rate and temporal coding schemes in the ACC for pain avoidance. PMID- 29844414 TI - Effect of religion on hypertension in adult Buddhists and residents in China: A cross-sectional study. AB - Correlation between religion and hypertension is worth investigating since they both influence many people. Compared to studies which quantify religion with indicators representing only restricted dimensions of religion, researches assessing religion as an integral is preferable while lacking. Moreover, religious behaviors have great potential to be generalized if they are proved to be mediator through which religion exerts effect. However, relevant evidence is limited. Therefore, this cross-sectional study recruited 1384 adult Tibetan Buddhists from two Buddhist institutes in the Sichuan Province of China, and enrolled 798 adult Tibetan residents from nearby villages/towns. Each participant received a questionnaire, physical examination, and blood biochemistry tests. Buddhist effect on hypertension was investigated. The effects of uniquely Buddhist behaviors on hypertension were analyzed. The hypertensive risk of the Tibetan Buddhists is significantly decreased by 38% than Tibetan residents. As a Buddhist behavior, vegetarian diet highly approximates to be protective for Tibetan hypertension. As another Buddhist behavior, longer Buddhist activity participation time is associated with decreased prevalence of hypertension as well as lower blood pressure (BP) by analyzing subgroup of 570 Buddhists. Therefore, the protective role of religion on hypertension is suggested, and the religious behaviors are mediators which may be applied to general population. PMID- 29844415 TI - Regulation of cortical activity and arousal by the matrix cells of the ventromedial thalamic nucleus. AB - The "non-specific" ventromedial thalamic nucleus (VM) has long been considered a candidate for mediating cortical arousal due to its diffuse, superficial projections, but direct evidence was lacking. Here, we show in mice that the activity of VM calbindin1-positive matrix cells is high in wake and REM sleep and low in NREM sleep, and increases before cortical activity at the sleep-to-wake transition. Optogenetic stimulation of VM cells rapidly awoke all mice from NREM sleep and consistently caused EEG activation during slow wave anesthesia, while arousal did not occur from REM sleep. Conversely, chemogenetic inhibition of VM decreased wake duration. Optogenetic activation of the "specific" ventral posteromedial nucleus (VPM) did not cause arousal from either NREM or REM sleep. Thus, matrix cells in VM produce arousal and broad cortical activation during NREM sleep and slow wave anesthesia in a way that accounts for the effects classically attributed to "non-specific" thalamic nuclei. PMID- 29844416 TI - Role of TREM-1 in pulmonary tuberculosis patients- analysis of serum soluble TREM 1 levels. AB - Triggering receptor expressed on myeloid cells 1 (TREM-1) amplifies inflammatory responses and is upregulated during sepsis and pulmonary infection. The association between serum soluble TREM-1 (sTREM-1) level and pulmonary tuberculosis (PTB) disease deserves investigation. In the present study, patients with PTB, latent TB infection (LTBI), and non-TB, non-LTBI subjects were prospectively enrolled and serum levels of sTREM-1, sTREM-2, and C-reactive protein (CRP) were measured. We correlated serum biomarkers and clinical presentations and treatment outcomes of PTB cases. We also utilized immunohistochemistry (IHC) to visualize TREM-1-expressing cells in lung tissues from PTB patients. A total of 86 PTB, 41 LTBI, and 20 non-TB, non-LTBI subjects were enrolled. Serum levels of sTREM-1 and CRP significantly increased in PTB patients; these higher serum levels were correlated with more advanced involvement in chest films and higher bacteria burden in sputum. In multivariate analysis, serum levels of sTREM-1 >260 pg/mL and CRP >2.6 mg/L were independent predictors for on-treatment mortality. Abundant TREM-1-expressing macrophages were identified in lung tissues from PTB samples. In conclusion, serum levels of sTREM-1 correlated with disease severity and treatment outcomes in PTB patients. PMID- 29844417 TI - Quantum Monte Carlo simulations of a giant {Ni21Gd20} cage with a S = 91 spin ground state. AB - The detailed analysis of magnetic interactions in a giant molecule is difficult both because the synthesis of such compounds is challenging and the number of energy levels increases exponentially with the magnitude and number of spins. Here, we isolated a {Ni21Gd20} nanocage with a large number of energy levels (~5 * 1030) and used quantum Monte Carlo (QMC) simulations to perform a detailed analysis of magnetic interactions. Based on magnetization measurements above 2 K, the QMC simulations predicted very weak ferromagnetic interactions that would give a record S = 91 spin ground state. Low-temperature measurements confirm the spin ground state but suggest a more complex picture due to the single ion anisotropy; this has also been modeled using the QMC approach. The high spin and large number of low-lying states lead to a large low-field magnetic entropy (14.1 J kg-1 K-1 for DeltaH = 1 T at 1.1 K) for this material. PMID- 29844418 TI - Bacterial Communities Changes during Food Waste Spoilage. AB - Food waste is an important component of municipal solid waste worldwide. There are various ways to treat or utilize food waste, such as, biogas fermentation, animal feed, etc. but pathogens and mycotoxins that accumulate in the process of spoilage can present a health hazard. However, spoilage of food waste has not yet been studied, and there are no reports of the bacterial communities present in this waste. In this research, food waste was collected and placed at two different temperatures. We investigated the spoilage microbiota by using culture independent methods and measured the possible mycotoxins may appear in the spoilage process. The results showed that lactic acid bacteria are the most important bacteria in the food waste community, regardless of the temperature. Few microbial pathogens and aflatoxins were found in the spoilage process. This suggests that if food waste is stored at a relatively low temperature and for a short duration, there will be less risk for utilization. PMID- 29844419 TI - The degree of prevalence of similarity between outer tropical cyclone rainbands and squall lines. AB - Tropical cyclone rainbands (TCRs) are not only one of the most striking and persistent features of tropical cyclones (TCs) but also one of the major causes for extreme floods as TCs approach or encounter the land area. TCRs have been traditionally considered as manifestations of atmospheric waves initiated near the eyewall or close to the TC center. However, the limited evidence from recent studies showed the possibility for TCRs to develop squall-line-like characteristics in the outer region of TCs. In this study, the degree of the prevalence for this similarity is explored by radar and surface observations from a large set of 50 outer TCRs associated with 22 TCs as they approached Taiwan. The results indicate that around 58% of outer TCRs are similar to squall lines. These outer TCRs are generally characterized by convective precipitation, an obvious convergence zone between the band-relative rear-to-front flow and front to-rear flow at low levels, either frontward or rearward tilting updrafts, and a surface cold pool signature. The frequent similarity between the outer TCRs and squall lines documented provides important insights into the formation of organized, heavy precipitation associated with TCs. PMID- 29844420 TI - The feasibility and stability of large complex biological networks: a random matrix approach. AB - In the 70's, Robert May demonstrated that complexity creates instability in generic models of ecological networks having random interaction matrices A. Similar random matrix models have since been applied in many disciplines. Central to assessing stability is the "circular law" since it describes the eigenvalue distribution for an important class of random matrices A. However, despite widespread adoption, the "circular law" does not apply for ecological systems in which density-dependence operates (i.e., where a species growth is determined by its density). Instead one needs to study the far more complicated eigenvalue distribution of the community matrix S = DA, where D is a diagonal matrix of population equilibrium values. Here we obtain this eigenvalue distribution. We show that if the random matrix A is locally stable, the community matrix S = DA will also be locally stable, providing the system is feasible (i.e., all species have positive equilibria D > 0). This helps explain why, unusually, nearly all feasible systems studied here are locally stable. Large complex systems may thus be even more fragile than May predicted, given the difficulty of assembling a feasible system. It was also found that the degree of stability, or resilience of a system, depended on the minimum equilibrium population. PMID- 29844421 TI - Signal and noise extraction from analog memory elements for neuromorphic computing. AB - Dense crossbar arrays of non-volatile memory (NVM) can potentially enable massively parallel and highly energy-efficient neuromorphic computing systems. The key requirements for the NVM elements are continuous (analog-like) conductance tuning capability and switching symmetry with acceptable noise levels. However, most NVM devices show non-linear and asymmetric switching behaviors. Such non-linear behaviors render separation of signal and noise extremely difficult with conventional characterization techniques. In this study, we establish a practical methodology based on Gaussian process regression to address this issue. The methodology is agnostic to switching mechanisms and applicable to various NVM devices. We show tradeoff between switching symmetry and signal-to-noise ratio for HfO2-based resistive random access memory. Then, we characterize 1000 phase-change memory devices based on Ge2Sb2Te5 and separate total variability into device-to-device variability and inherent randomness from individual devices. These results highlight the usefulness of our methodology to realize ideal NVM devices for neuromorphic computing. PMID- 29844422 TI - The hepcidin-ferroportin axis controls the iron content of Salmonella-containing vacuoles in macrophages. AB - Macrophages release iron into the bloodstream via a membrane-bound iron export protein, ferroportin (FPN). The hepatic iron-regulatory hormone hepcidin controls FPN internalization and degradation in response to bacterial infection. Salmonella typhimurium can invade macrophages and proliferate in the Salmonella containing vacuole (SCV). Hepcidin is reported to increase the mortality of Salmonella-infected animals by increasing the bacterial load in macrophages. Here we assess the iron levels and find that hepcidin increases iron content in the cytosol but decreases it in the SCV through FPN on the SCV membrane. Loss-of-FPN from the SCV via the action of hepcidin impairs the generation of bactericidal reactive oxygen species (ROS) as the iron content decreases. We conclude that FPN is required to provide sufficient iron to the SCV, where iron serves as a cofactor for the generation of antimicrobial ROS rather than as a nutrient for Salmonella. PMID- 29844423 TI - Different combination strategies for prophylaxis of venous thromboembolism in patients: A prospective multicenter randomized controlled study. AB - The aim was to evaluate the efficacy and safety of different combination strategies for prophylaxis of venous thromboembolism (VTE) after gynecologic surgery in patients at different levels of risk. This was a prospective multicenter randomized controlled study, in which 625 women who would undergo pelvic surgery for gynecologic diseases were stratified into three risk groups and then randomized into four groups to receive graduated compression stockings (GCS) alone (group A), GCS + low molecular weight heparin (LMWH) (group B), GCS + intermittent pneumatic compression (IPC) (group C), and GCS + IPC + LMWH (group C), respectively. The overall incidence of DVT was 5.1%. Group A had the highest incidence of DVT (8.8%), followed by group C (5.2%), group B (3.8%), and group D (2.6%). There was a significant difference in the incidence of DVT between groups A and D. The incidence of DVT was significantly lower in LMWH-treated patients (group B + group D) than in non-LMWH-treated patients (group A + group C). In conclusion, combination prophylaxis, especially LMWH-containing strategies, is better than monoprophylaxis in reducing VTE after gynecologic surgery. Risk stratified prophylactic strategies should be implemented in patients undergoing gynecologic surgery, with LMWH-containing strategies being recommended for high risk and very-high-risk patients. PMID- 29844424 TI - Increased H3K27ac level of ACE mediates the intergenerational effect of low peak bone mass induced by prenatal dexamethasone exposure in male offspring rats. AB - Prenatal dexamethasone exposure (PDE) induces developmental toxicities of multiple organs in offspring. Here, we verified the intergenerational effect of low peak bone mass induced by PDE and investigated its intrauterine programming mechanism. Pregnant rats were injected subcutaneously with 0.2 mg/kg/d dexamethasone from gestation day (GD) 9 to 20. Some pregnant rats were killed for the fetuses on GD20, and the rest went on to spontaneous labor to produce the first-generation (F1) offspring. The adult F1 male offspring were mated with normal females to produce the F2 offspring. In vivo, PDE leads to low peak bone mass in F1 male offspring rats at postnatal week (PW) 28. Furthermore, PDE reduced the bone mass in F1 male offspring from GD20 to PW12. Meanwhile, the osteogenic differentiation was suppressed and the local renin-angiotensin system (RAS) was activated continuously by PDE. Moreover, the histone 3 lysine 27 acetylation (H3K27ac) level in angiotensin-converting enzyme (ACE) promoter region was increased by PDE from GD20 to PW12. Likewise, PDE induced the low peak bone mass and the activated local RAS in F2 male offspring. Meaningfully, the H3K27ac level of ACE was increased by PDE in the F2 offspring. In vitro, dexamethasone inhibited bone marrow mesenchymal stem cells (BMSCs) osteogenic differentiation and promoted RAS activation. Furthermore, dexamethasone recruited CCAAT/enhancer-binding protein alpha and p300 into the BMSCs nucleus by activating glucocorticoid receptor, which cooperatively increased the H3K27ac level in the ACE promoter region. In conclusion, PDE induced the low peak bone mass and its intergenerational effect, which was mediated by sustained activation of RAS via increasing H3K27ac level of ACE. PMID- 29844425 TI - The RPAP3-Cterminal domain identifies R2TP-like quaternary chaperones. AB - R2TP is an HSP90 co-chaperone that assembles important macro-molecular machineries. It is composed of an RPAP3-PIH1D1 heterodimer, which binds the two essential AAA+ATPases RUVBL1/RUVBL2. Here, we resolve the structure of the conserved C-terminal domain of RPAP3, and we show that it directly binds RUVBL1/RUVBL2 hexamers. The human genome encodes two other proteins bearing RPAP3 C-terminal-like domains and three containing PIH-like domains. Systematic interaction analyses show that one RPAP3-like protein, SPAG1, binds PIH1D2 and RUVBL1/2 to form an R2TP-like complex termed R2SP. This co-chaperone is enriched in testis and among 68 of the potential clients identified, some are expressed in testis and others are ubiquitous. One substrate is liprin-alpha2, which organizes large signaling complexes. Remarkably, R2SP is required for liprin-alpha2 expression and for the assembly of liprin-alpha2 complexes, indicating that R2SP functions in quaternary protein folding. Effects are stronger at 32 degrees C, suggesting that R2SP could help compensating the lower temperate of testis. PMID- 29844426 TI - Cortical BOLD responses to moderate- and high-speed motion in the human visual cortex. AB - We investigated the BOLD response of visual cortical and sub-cortical regions to fast drifting motion presented over wide fields, including the far periphery. Stimuli were sinusoidal gratings of 50% contrast moving at moderate and very high speeds (38 and 570 degrees /s), projected to a large field of view (~60 degrees ). Both stimuli generated strong and balanced responses in the lateral geniculate nucleus and the superior colliculus. In visual cortical areas, responses were evaluated at three different eccentricities: central 0-15 degrees ; peripheral 20 30 degrees ; and extreme peripheral 30-60 degrees . "Ventral stream" areas (V2, V3, V4) preferred moderate-speeds in the central visual field, while motion area MT+ responded equally well to both speeds at all eccentricities. In all other areas and eccentricities BOLD responses were significant and equally strong for both types of moving stimuli. Support vector machine showed that the direction of the fast-speed motion could be successfully decoded from the BOLD response in all visual areas, suggesting that responses are mediated by motion mechanisms rather than being an unspecific preference for fast rate of flicker. The results show that the visual cortex responds to very fast motion, at speeds generated when we move our eyes rapidly, or when moving objects pass by closely. PMID- 29844427 TI - Pharmacologic inhibition of protein phosphatase-2A achieves durable immune mediated antitumor activity when combined with PD-1 blockade. AB - Mounting evidence suggests that inhibition of protein phosphatase-2A (PP2A), a serine/threonine phosphatase, could enhance anticancer immunity. However, drugs targeting PP2A are not currently available. Here, we report that a PP2A inhibitor, LB-100, when combined with anti-PD-1 (aPD-1) blockade can synergistically elicit a durable immune-mediated antitumor response in a murine CT26 colon cancer model. This effect is T-cell dependent, leading to regression of a significant proportion of tumors. Analysis of tumor lymphocytes demonstrates enhanced effector T-cell and reduced suppressive regulatory T-cell infiltration. Clearance of tumor establishes antigen-specific secondary protective immunity. A synergistic effect of LB-100 and aPD-1 blockade is also observed in B16 melanoma model. In addition, LB-100 activates the mTORC1 signaling pathway resulting in decreased differentiation of naive CD4 cells into regulatory T cells. There is also increased expression of Th1 and decreased expression of Th2 cytokines. These data highlight the translational potential of PP2A inhibition in combination with checkpoint inhibition. PMID- 29844428 TI - Anatomy of interfacial spin-orbit coupling in Co/Pd multilayers using X-ray magnetic circular dichroism and first-principles calculations. AB - Element-specific orbital magnetic moments and their anisotropies in perpendicularly magnetised Co/Pd multilayers are investigated using Co L-edge and Pd M-edge angle-dependent x-ray magnetic circular dichroism. We show that the orbital magnetic moments in Co are anisotropic, whereas those in Pd are isotropic. The first-principles density-functional-theory calculations also suggest that the Co/Pd interfacial orbital magnetic moments in Co are anisotropic and contribute to the perpendicular magnetic anisotropy (PMA), and that the isotropic ones in Pd manipulates the Co orbitals at the interface through proximity effects. Orbital-resolved anatomy of Co/Pd interfaces reveals that the orbital moment anisotropy in Co and spin-flipped transition related to the magnetic dipoles in Pd are essential for the appearance of PMA. PMID- 29844429 TI - A MYST Histone Acetyltransferase Modulates Conidia Development and Secondary Metabolism in Pestalotiopsis microspora, a Taxol Producer. AB - Reverse genetics is a promising strategy for elucidating the regulatory mechanisms involved in secondary metabolism and development in fungi. Previous studies have demonstrated the key role of histone acetyltransferases in transcriptional regulation. Here, we identified a MYST family histone acetyltransferase encoding gene, mst2, in the filamentous fungus Pestalotiopsis microspora NK17 and revealed its role in development and secondary metabolism. The gene mst2 showed temporal expression that corresponded to the conidiation process in the wild-type strain. Deletion of mst2 resulted in serious growth retardation and impaired conidial development, e.g., a delay and reduced capacity of conidiation and aberrant conidia. Overexpression of mst2 triggered earlier conidiation and higher conidial production. Additionally, deletion of mst2 led to abnormal germination of the conidia and caused cell wall defects. Most significantly, by HPLC profiling, we found that loss of mst2 diminished the production of secondary metabolites in the fungus. Our data suggest that mst2 may function as a general mediator in growth, secondary metabolism and morphological development. PMID- 29844430 TI - Gravity modeling finds a large magma body in the deep crust below the Gulf of Naples, Italy. AB - We analyze a wide gravity low in the Campania Active Volcanic Area and interpret it by a large and deep source distribution of partially molten, low-density material from about 8 to 30 km depth. Given the complex spatial-temporal distribution of explosive volcanism in the area, we model the gravity data consistently with several volcanological and petrological constraints. We propose two possible models: one accounts for the coexistence, within the lower/intermediate crust, of large amounts of melts and cumulates besides country rocks. It implies a layered distribution of densities and, thus, a variation with depth of percentages of silicate liquids, cumulates and country rocks. The other reflects a fractal density distribution, based on the scaling exponent estimated from the gravity data. According to this model, the gravity low would be related to a distribution of melt pockets within solid rocks. Both density distributions account for the available volcanological and seismic constraints and can be considered as end-members of possible models compatible with gravity data. Such results agree with the general views about the roots of large areas of ignimbritic volcanism worldwide. Given the prolonged history of magmatism in the Campania area since Pliocene times, we interpret the detected low-density body as a developing batholith. PMID- 29844432 TI - A rose on the garden fair. PMID- 29844433 TI - The genomic floral language of rose. PMID- 29844431 TI - Excitation and injury of adult ventricular cardiomyocytes by nano- to millisecond electric shocks. AB - Intense electric shocks of nanosecond (ns) duration can become a new modality for more efficient but safer defibrillation. We extended strength-duration curves for excitation of cardiomyocytes down to 200 ns, and compared electroporative damage by proportionally more intense shocks of different duration. Enzymatically isolated murine, rabbit, and swine adult ventricular cardiomyocytes (VCM) were loaded with a Ca2+ indicator Fluo-4 or Fluo-5N and subjected to shocks of increasing amplitude until a Ca2+ transient was optically detected. Then, the voltage was increased 5-fold, and the electric cell injury was quantified by the uptake of a membrane permeability marker dye, propidium iodide. We established that: (1) Stimuli down to 200-ns duration can elicit Ca2+ transients, although repeated ns shocks often evoke abnormal responses, (2) Stimulation thresholds expectedly increase as the shock duration decreases, similarly for VCMs from different species, (3) Stimulation threshold energy is minimal for the shortest shocks, (4) VCM orientation with respect to the electric field does not affect the threshold for ns shocks, and (5) The shortest shocks cause the least electroporation injury. These findings support further exploration of ns defibrillation, although abnormal response patterns to repetitive ns stimuli are of a concern and require mechanistic analysis. PMID- 29844434 TI - Hepatocyte Growth Factor (HGF) Promotes Peripheral Nerve Regeneration by Activating Repair Schwann Cells. AB - During the peripheral nerve regeneration process, a variety of neurotrophic factors play roles in nerve repair by acting on neuronal or non-neuronal cells. In this report, we investigated the role(s) of hepatocyte growth factor (HGF) and its receptor, c-met, in peripheral nerve regeneration. When mice were subjected to sciatic nerve injury, the HGF protein level was highly increased at the injured and distal sites. The level of both total and phosphorylated c-met was also highly upregulated, but almost exclusively in Schwann cells (SCs) distal from the injury site. When mice were treated with a c-met inhibitor, PHA-665752, myelin thickness and axon regrowth were decreased indicating that re-myelination was hindered. HGF promoted the migration and proliferation of cultured SCs, and also induced the expression of various genes such as GDNF and LIF, presumably by activating ERK pathways. Furthermore, exogenous supply of HGF around the injury site, by intramuscular injection of a plasmid DNA expressing human HGF, enhanced the myelin thickness and axon diameter in injured nerves. Taken together, our results indicate that HGF and c-met play important roles in Schwann cell-mediated nerve repair, and also that HGF gene transfer may provide a useful tool for treating peripheral neuropathy. PMID- 29844435 TI - Profiling and functional analysis of circular RNAs in acute promyelocytic leukemia and their dynamic regulation during all-trans retinoic acid treatment. AB - Circular RNAs (circRNAs) are a novel class of powerful regulators in gene expression and participate in the pathogenesis of many diseases, including cancer. However, little is known about the roles of circRNAs in the development and treatment of acute promyelocytic leukemia (APL). Here we report the expression profiling and function of circRNAs in APL, including their dynamic regulation during all-trans retinoic acid (ATRA)-induced differentiation. We performed two independent ribosomal RNA-minus RNA-sequencing (Ribo-minus RNA-seq) experiments with and without RNase R treatment on APL patient-derived NB4 cells and identified a total of 4313 circRNAs, including 1098 newly identified circRNAs. Detailed analysis showed that circRNAs expressed in APL cells were mostly exon-derived, not by-products during splicing, and could be distinguished from hematopoietic stem cells, neutrophils and lymphocytes. The true presence and stability of circRNAs were verified both in NB4 cells and primary APL patient samples. Moreover, we conducted a time-series analysis of circRNAs on ATRA treated NB4 cells and uncovered 508 circRNAs with dynamic expression during ATRA treatment, including 246 upregulated and 262 downregulated. Further evidence demonstrated that the majority of circRNAs were regulated independently of their host linear mRNAs. Detailed functional experiments demonstrated that circ-HIPK2, one of the differentially expressed circRNAs, significantly influenced ATRA induced differentiation of APL cells. Further mechanistic studies revealed that circ-HIPK2 was located in cytoplasm and served as a sponge for differentiation associated miR-124-3p. Finally, circ-HIPK2 expression in APL patients was significantly lower than that in normal peripheral mononuclear cells and other subtypes of AML, indicating its potential role as an APL biomarker. Our study indicates the biological functions of circRNAs in the development and treatment of APL, and provides a comprehensive circRNA resource for future studies. PMID- 29844436 TI - Enhanced magnetocaloric effect in Ni-Mn-Sn-Co alloys with two successive magnetostructural transformations. AB - High magnetocaloric refrigeration performance requires large magnetic entropy change DeltaS M and broad working temperature span DeltaT FWHM . A fourth element doping of Co in ternary Ni-Mn-Sn alloy may significantly enhance the saturation magnetization of the alloy and thus enhance the DeltaS M . Here, the effects of Co-doping on the martensite transformation, magnetic properties and magnetocaloric effects (MCE) of quaternary Ni47-xMn43Sn10Cox (x = 0, 6, 11) alloys were investigated. The martensite transformation temperatures decrease while austenite Curie point increases with Co content increasing to x = 6 and 11, thus broadening the temperature window for a high magnetization austenite (13.5, 91.7 and 109.1 A.m2/kg for x = 0, 6 and 11, respectively). Two successive magnetostructural transformations (A -> 10 M and A -> 10 M + 6 M) occur in the alloy x = 6, which are responsible for the giant magnetic entropy change DeltaS M = 29.5 J/kg.K, wide working temperature span DeltaT FWHM = 14 K and large effective refrigeration capacity RC eff = 232 J/kg under a magnetic field of 5.0 T. These results suggest that Ni40.6Mn43.3Sn10.0Co6.1 alloy may act as a potential solid-state magnetic refrigerant working at room temperature. PMID- 29844437 TI - Extended investigation of tube-gel sample preparation: a versatile and simple choice for high throughput quantitative proteomics. AB - Sample preparation for quantitative proteomics is a crucial step to ensure the repeatability and the accuracy of the results. However, there is no universal method compatible with the wide variety of protein extraction buffers currently used. We have recently demonstrated the compatibility of tube-gel with SDS-based buffers and its efficiency for label-free quantitative proteomics by comparing it to stacking gel and liquid digestion. Here, we investigated the compatibility of tube-gel with alternatives to SDS-based buffers allowing notably the extraction of proteins in various pH conditions. We also explored the use of photopolymerization to extend the number of possibilities, as it is compatible with a wide range of pH and is non-oxidative. To achieve this goal, we compared six extraction buffers in combination with two polymerization conditions to further optimize the tube-gel protocol and evaluate its versatility. Identification and quantitative results demonstrated the compatibility of tube gel with all tested conditions by overall raising quite comparable results. In conclusion, tube-gel is a versatile and simple sample preparation method for large-scale quantitative proteomics applications. Complete datasets are available via ProteomeXchange with identifier PXD008656. PMID- 29844438 TI - Association of a rare variant of the TNFSF13B gene with susceptibility to Rheumatoid Arthritis and Systemic Lupus Erythematosus. AB - A rare variant (BAFF-var) of the tumor necrosis factor superfamily 13b (TNFSF13B) gene has been recently associated with multiple sclerosis (MS) and systemic lupus erythematosus (SLE). The aim of this study was to investigate the association between TNFSF13B BAFF-var and susceptibility to rheumatoid arthritis (RA) and replicate that association in SLE. 6,218 RA patients, 2,575 SLE patients and 4,403 healthy controls from three different countries were included in the study. TNFSF13B BAFF-var was genotyped using TaqMan allelic discrimination assay. PLINK software was used for statistical analyses. TNFSF13B BAFF-var was significantly associated with RA (p = 0.015, OR = 1.21, 95% CI = 1.03-1.41) in the Spanish cohort. A trend of association was observed in the Dutch (p = 0.115) and German (p = 0.228) RA cohorts. A meta-analysis of the three RA cohorts included in this study revealed a statistically significant association (p = 0.002, OR = 1.24, 95% CI = 1.10-1.38). In addition, TNFSF13B BAFF-var was significantly associated with SLE in the Spanish (p = 0.001, OR = 1.41, 95% CI = 1.14-1.74) and the German cohorts (p = 0.030, OR = 1.86, 95% CI = 1.05-3.28), with a statistically significant p-value obtained in the meta-analysis (p = 0.0002, OR = 1.46, 95% CI = 1.09-2.32). The results obtained confirm the known association of TNFSF13B BAFF var with SLE and, for the first time, demonstrate that this variant contributes to susceptibility to RA. PMID- 29844439 TI - Analytical and toxicological evaluation of flavor chemicals in electronic cigarette refill fluids. AB - Thousands of electronic cigarette refill fluids are commercially available. The concentrations of nicotine and the solvents, but not the flavor chemicals, are often disclosed on product labels. The purpose of this study was to identify and quantify flavor chemicals in 39 commercial refill fluids that were previously evaluated for toxicity. Twelve flavor chemicals were identified with concentrations >=1 mg/ml: cinnamaldehyde, menthol, benzyl alcohol, vanillin, eugenol, p-anisaldehyde, ethyl cinnamate, maltol, ethyl maltol, triacetin, benzaldehyde, and menthone. Transfer of these flavor chemicals into aerosols made at 3V and 5V was efficient (mean transfer = 98%). We produced lab-made refill fluids containing authentic standards of each flavor chemical and analyzed the toxicity of their aerosols produced at 3V and 5V using a tank Box Mod device. Over 50% of the refill fluids in our sample contained high concentrations of flavor chemicals that transferred efficiently to aerosols at concentrations that produce cytotoxicity. When tested with two types of human lung cells, the aerosols made at 5V were generally more toxic than those made at 3V. These data will be valuable for consumers, physicians, public health officials, and regulatory agencies when discussing potential health concerns relating to flavor chemicals in electronic cigarette products. PMID- 29844440 TI - Resolving the smell of wood - identification of odour-active compounds in Scots pine (Pinus sylvestris L.). AB - Being one of the most common trees in forests, Pinus sylvestris L. is a frequently used raw material for wood products. Its specific odour is, however, mostly unresolved to date. Accordingly, we investigated Scots pine wood samples grown in Germany for their main odorant composition. We employed dedicated odorant analysis techniques such as gas chromatography-olfactometry (GC-O) and aroma extract dilution analysis (AEDA) and successfully detected 44 odour-active compounds; of these, 39 substances were successfully identified by gas chromatography-mass spectrometry/olfactometry (GC-MS/O) and two-dimensional gas chromatography-mass spectrometry/olfactometry (2D-GC-MS/O). Among the main odorants found were (E,E)-nona-2,4-dienal, vanillin, phenylacetic acid, 3 phenylpropanoic acid, delta-octalactone and alpha-pinene, all of them having been detected with high flavour dilution factors during GC-O analyses. The majority of the identified odorants were fatty acid degradation products, plus some terpenoic substances and odorous substances resulting from the degradation of lignin. Although some of the detected substances have previously been reported as constituents of wood, 11 substances are reported here for the first time as odour active compounds in wood, amongst them heptanoic acid, gamma-octalactone, delta nonalactone and (E,Z,Z)-trideca-2,4,7-trienal. PMID- 29844441 TI - Association of assisted reproductive technology and multiple pregnancies with the risks of birth defects and stillbirth: A retrospective cohort study. AB - Assisted reproductive technology (ART) has been widely used among women with infertility. However, the association of ART with birth defects and stillbirth remains controversial and has rarely been reported in China. A retrospective cohort study of 112,043 pregnant women and 114,522 newborns from 2006 to 2016 was performed. Compared to spontaneously conceived infants, ART-conceived infants had a higher likelihood of any birth defect, with an adjusted odds ratio (OR) of 2.10 (95% confidence interval, 1.63-2.69). ART-conceived infants also had a significantly increased risk for subcategories of cardiovascular, musculoskeletal, urogenital, gastrointestinal, and respiratory defects. Most (62.25%) of the effect of ART on birth defects was a direct effect, whereas 37.75% of the effect of ART on birth defects was due to multiple pregnancies (i.e., an indirect effect). Compared with naturally conceived singletons, the combined effect of ART and twins on the risk of birth defects was lower than that of the sum of the individual effects of ART and twins on the risk of birth defects, with an adjusted OR of 0.54 (0.32-0.92). These findings clearly show that ART is associated with an increased risk of birth defects in China and may provide guidance to couples and obstetricians in selecting numbers of pregnancies and in identifying organs at a high risk of birth defects. PMID- 29844442 TI - Author Correction: The atopic dermatitis blood signature is characterized by increases in inflammatory and cardiovascular risk proteins. AB - A correction to this article has been published and is linked from the HTML and PDF versions of this paper. The error has been fixed in the paper. PMID- 29844443 TI - The Evolution of Molecular Compatibility between Bacteriophage PhiX174 and its Host. AB - Viruses rely upon their hosts for biosynthesis of viral RNA, DNA and protein. This dependency frequently engenders strong selection for virus genome compatibility with potential hosts, appropriate gene regulation and expression necessary for a successful infection. While bioinformatic studies have shown strong correlations between codon usage in viral and host genomes, the selective factors by which this compatibility evolves remain a matter of conjecture. Engineered to include codons with a lesser usage and/or tRNA abundance within the host, three different attenuated strains of the bacterial virus FX174 were created and propagated via serial transfers. Molecular sequence data indicate that biosynthetic compatibility was recovered rapidly. Extensive computational simulations were performed to assess the role of mutational biases as well as selection for translational efficiency in the engineered phage. Using bacteriophage as a model system, we can begin to unravel the evolutionary processes shaping codon compatibility between viruses and their host. PMID- 29844444 TI - Dominant-negative STAT5B mutations cause growth hormone insensitivity with short stature and mild immune dysregulation. AB - Growth hormone (GH) insensitivity syndrome (GHIS) is a rare clinical condition in which production of insulin-like growth factor 1 is blunted and, consequently, postnatal growth impaired. Autosomal-recessive mutations in signal transducer and activator of transcription (STAT5B), the key signal transducer for GH, cause severe GHIS with additional characteristics of immune and, often fatal, pulmonary complications. Here we report dominant-negative, inactivating STAT5B germline mutations in patients with growth failure, eczema, and elevated IgE but without severe immune and pulmonary problems. These STAT5B missense mutants are robustly tyrosine phosphorylated upon stimulation, but are unable to nuclear localize, or fail to bind canonical STAT5B DNA response elements. Importantly, each variant retains the ability to dimerize with wild-type STAT5B, disrupting the normal transcriptional functions of wild-type STAT5B. We conclude that these STAT5B variants exert dominant-negative effects through distinct pathomechanisms, manifesting in milder clinical GHIS with general sparing of the immune system. PMID- 29844445 TI - Dexamethasone-induced Intra-Uterine Growth Restriction impacts NOSTRIN and its downstream effector genes in the rat mesometrial uterus. AB - Intra-Uterine Growth Restriction (IUGR) is a major cause of fetal and neonatal mortality. Understanding the impact of IUGR on utero-placental gene expression is key to developing effective therapy. In this report we elucidated the impact of IUGR on NOSTRIN and its downstream effector gene expression in the utero placental compartments. We showed here that induction of IUGR by maternal dexamethasone administration in rats led to up-regulation of NOSTRIN transcript and protein in the mesometrial triangle of the uterus (MG) and not in other utero placental compartments as compared to control. This was associated with down regulation of twelve genes and four cytokines that were known to be regulated by NOSTRIN and also required for maintenance of pregnancy. Interestingly, there was remarkable decrease in phosphorylation of RelA transcription factor in the MG during IUGR in line with the fact that the down regulated genes harbour RelA transcription activation domain in their promoters. Furthermore, HIF-1alpha level was reciprocal to NOSTRIN expression pattern in the mesometrial compartment during IUGR and also in CoCl2 treated endothelial cells. Over-expression of HIF 1alpha led to a decrease in NOSTRIN levels suggesting inhibition of Nostrin transcription by HIF-1alpha. Our findings highlight the importance of NOSTRIN in uterine pathophysiology during IUGR. PMID- 29844446 TI - The effect of PTC124 on choroideremia fibroblasts and iPSC-derived RPE raises considerations for therapy. AB - Inherited retinal dystrophies (IRDs) are caused by mutations in over 200 genes, resulting in a range of therapeutic options. Translational read-through inducing drugs (TRIDs) offer the possibility of treating multiple IRDs regardless of the causative gene. TRIDs promote ribosomal misreading of premature stop codons, which results in the incorporation of a near-cognate amino acid to produce a full length protein. The IRD choroideremia (CHM) is a pertinent candidate for TRID therapy, as nonsense variants cause 30% of cases. Recently, treatment of the UAA nonsense-carrying CHM zebrafish model with the TRID PTC124 corrected the underlying biochemical defect and improved retinal phenotype. To be clinically relevant, we studied PTC124 efficiency in UAA nonsense-carrying human fibroblasts and induced pluripotent stem cell-derived retinal pigment epithelium, as well as in a UAA-mutated CHM overexpression system. We showed that PTC124 treatment induces a non-significant trend for functional rescue, which could not be improved by nonsense-mediated decay inhibition. Furthermore, it does not produce a detectable CHM-encoded protein even when coupled with a proteasome inhibitor. We suggest that drug efficiency may depend upon on the target amino acid and its evolutionary conservation, and argue that patient cells should be screened in vitro prior to inclusion in a clinical trial. PMID- 29844447 TI - Homoharringtonine induced immune alteration for an Efficient Anti-tumor Response in Mouse Models of Non-small Cell Lung Adenocarcinoma Expressing Kras Mutation. AB - Homoharringtonine (HHT), an inhibitor of protein synthesis, has been used to treat leukemia. Its therapeutic effects on non-small cell lung adenocarcinoma carrying KRAS mutation and their immune system are less understood. The present study examined the therapeutic efficacy and the immune effects of HHT in two murine lung tumor models, xenograft and transgenic, carrying the Kras mutation G12D and G12C respectively. HHT exhibited efficient anticancer activity, significantly suppressing lung tumor growth in vitro and in vivo. The levels of 22 cytokines and chemokines in splenocytes of tumor-bearing mice were examined. Interleukin-12 expression was lower in splenocytes of HHT-treated mice when compared to the controls as demonstrated by a cytokine array and an enzyme-linked immunosorbent assay. The expression levels of CD80, CD86, and CD69 in B220+ B cells from splenocytes of HHT-treated mice were higher than that of control mice in two mouse tumor models. Furthermore, antitumor effect of HHT was attenuated with depletion of B cells. Increased numbers of CD80+ and CD86+ B cells were observed in the mice treated with narciclasine, another translation inhibitor. In conclusion, HHT changed the features of immune cells, and exhibited efficient anti-tumor activity against lung tumor carrying mutant Kras expression. PMID- 29844448 TI - Sonochemical synthesis of cellulose/hydroxyapatite nanocomposites and their application in protein adsorption. AB - Hydroxyapatite (HA) is the main mineral constituent in the hard tissue of vertebrate, which is recognized as an important biomedical material owing to its excellent bioactivity and biocompatibility. Herein, we report a facile and green sonochemical route for the rapid synthesis of cellulose/HA nanocomposites in NaOH/urea aqueous solution. The in vitro behavior of the cellulose/HA nanocomposites was studied to evaluate the biological response of the nanocomposites following immersion in simulated body fluid for various periods (maximum of 28 days). The HA crystals formed on the surface of the nanocomposites were carbonate-containing apatite, which is similar to the naturally occurring calcium phosphate materials. The HA nanosheets (assembly of nanorods) were mineralized on the surface of the nanocomposites, and maximum mass of the nanocomposites was reached 1.82 times of initial mass after 28 days of soaking. Moreover, the as-prepared cellulose/HA nanocomposites have good cytocompatibility, and show a relatively high protein adsorption ability using hemoglobin as a model protein. These results indicate that the as-prepared cellulose/HA nanocomposites are promising for applications in various biomedical fields such as tissue engineering and protein/drug delivery. PMID- 29844449 TI - Targeting LGR5 in Colorectal Cancer: therapeutic gold or too plastic? AB - Leucine-rich repeat-containing G-protein coupled receptor (LGR5 or GPR49) potentiates canonical Wnt/beta-catenin signalling and is a marker of normal stem cells in several tissues, including the intestine. Consistent with stem cell potential, single isolated LGR5+ cells from the gut generate self-organising crypt/villus structures in vitro termed organoids or 'mini-guts', which accurately model the parent tissue. The well characterised deregulation of Wnt/beta-catenin signalling that occurs during the adenoma-carcinoma sequence in colorectal cancer (CRC) renders LGR5 an interesting therapeutic target. Furthermore, recent studies demonstrating that CRC tumours contain LGR5+ subsets and retain a degree of normal tissue architecture has heightened translational interest. Such reports fuel hope that specific subpopulations or molecules within a tumour may be therapeutically targeted to prevent relapse and induce long-term remissions. Despite these observations, many studies within this field have produced conflicting and confusing results with no clear consensus on the therapeutic value of LGR5. This review will recap the various oncogenic and tumour suppressive roles that have been described for the LGR5 molecule in CRC. It will further highlight recent studies indicating the plasticity or redundancy of LGR5+ cells in intestinal cancer progression and assess the overall merit of therapeutically targeting LGR5 in CRC. PMID- 29844450 TI - Oleuropein aglycone stabilizes the monomeric alpha-synuclein and favours the growth of non-toxic aggregates. AB - alpha-synuclein plays a key role in the pathogenesis of Parkinson's disease (PD); its deposits are found as amyloid fibrils in Lewy bodies and Lewy neurites, the histopathological hallmarks of PD. Amyloid fibrillation is a progressive polymerization path starting from peptide/protein misfolding and proceeding through the transient growth of oligomeric intermediates widely considered as the most toxic species. Consequently, a promising approach of intervention against PD might be preventing alpha-synuclein build-up, misfolding and aggregation. A possible strategy involves the use of small molecules able to slow down the aggregation process or to alter oligomer conformation favouring the growth of non pathogenic species. Here, we show that oleuropein aglycone (OleA), the main olive oil polyphenol, exhibits anti-amyloidogenic power in vitro by interacting with, and stabilizing, alpha-synuclein monomers thus hampering the growth of on-pathway oligomers and favouring the growth of stable and harmless aggregates with no tendency to evolve into other cytotoxic amyloids. We investigated the molecular basis of such interference by both biophysical techniques and limited proteolysis; aggregate morphology was monitored by electron microscopy. We also found that OleA reduces the cytotoxicity of alpha-synuclein aggregates by hindering their binding to cell membrane components and preventing the resulting oxidative damage to cells. PMID- 29844451 TI - Blockade of HMGB1 Attenuates Diabetic Nephropathy in Mice. AB - Activation of TLR2 or TLR4 by endogenous ligands such as high mobility group box 1 (HMGB1) may mediate inflammation causing diabetic kidney injury. We determined whether blockade of HMGB1 signaling by: (1) supra-physiological production of endogenous secretory Receptor for Advanced Glycation End-products (esRAGE), a receptor for HMGB1; (2) administration of HMGB1 A Box, a specific competitive antagonist, would inhibit development of streptozotocin induced diabetic nephropathy (DN). Wild-type diabetic mice developed albuminuria, glomerular injuries, interstitial fibrosis and renal inflammation. Using an adeno-associated virus vector, systemic over-expression of esRAGE afforded significant protection from all parameters. No protection was achieved by a control vector which expressed human serum albumin. Administration of A Box was similarly protective against development of DN. To determine the mechanism(s) of protection, we found that whilst deficiency of TLR2, TLR4 or RAGE afforded partial protection from development of DN, over-expression of esRAGE provided additional protection in TLR2-/-, modest protection against podocyte damage only in TLR4-/- and no protection in RAGE-/- diabetic mice, suggesting the protection provided by esRAGE was primarily through interruption of RAGE and TLR4 pathways. We conclude that strategies to block the interaction between HMGB1 and its receptors may be effective in preventing the development of DN. PMID- 29844453 TI - Genotype by Yield*Trait (GYT) Biplot: a Novel Approach for Genotype Selection based on Multiple Traits. AB - Genotype selection based on multiple traits is a key issue in plant breeding; it has been dependent on setting a subjective weight for each trait in index selection and a subjective truncation point for each trait in independent culling, and the weights and truncation points can be highly subjective. In this paper we proposed and demonstrated a novel approach for genotype selection based on multiple traits, the genotype by yield*trait (GYT) biplot, where "trait" can be any breeding objective other than yield; it may be an agronomic trait, a grain quality, processing quality, or nutritional quality trait, or a disease resistance. The GYT biplot ranks genotypes based on their levels in combining yield with other target traits and at the same time shows their trait profiles, i.e., their strengths and weaknesses. Compared to existing methods, this approach is graphical, objective, effective, and straightforward. Underlying the GYT biplot approach is the paradigm shift that genotypes should be evaluated by their levels in combining yield with other traits as opposed to by their levels in individual traits. An oat dataset from multi-year multi-locations trials was used to demonstrate the GYT biplot approach. PMID- 29844452 TI - Linking spatial gene expression patterns to sex-specific brain structural changes on a mouse model of 16p11.2 hemideletion. AB - Neurodevelopmental disorders, such as ASD and ADHD, affect males about three to four times more often than females. 16p11.2 hemideletion is a copy number variation that is highly associated with neurodevelopmental disorders. Previous work from our lab has shown that a mouse model of 16p11.2 hemideletion (del/+) exhibits male-specific behavioral phenotypes. We, therefore, aimed to investigate with magnetic resonance imaging (MRI), whether del/+ animals also exhibited a sex specific neuroanatomical endophenotype. Using the Allen Mouse Brain Atlas, we analyzed the expression patterns of the 27 genes within the 16p11.2 region to identify which gene expression patterns spatially overlapped with brain structural changes. MRI was performed ex vivo and the resulting images were analyzed using Voxel-based morphometry for T1-weighted sequences and tract-based spatial statistics for diffusion-weighted images. In a subsequent step, all available in situ hybridization (ISH) maps of the genes involved in the 16p11.2 hemideletion were aligned to Waxholm space and clusters obtained by sex-specific group comparisons were analyzed to determine which gene(s) showed the highest expression in these regions. We found pronounced sex-specific changes in male animals with increased fractional anisotropy in medial fiber tracts, especially in those proximate to the striatum. Moreover, we were able to identify gene expression patterns spatially overlapping with male-specific structural changes that were associated with neurite outgrowth and the MAPK pathway. Of note, previous molecular studies have found convergent changes that point to a sex specific dysregulation of MAPK signaling. This convergent evidence supports the idea that ISH maps can be used to meaningfully analyze imaging data sets. PMID- 29844454 TI - Self-assembly, optical and electrical properties of perylene diimide dyes bearing unsymmetrical substituents at bay position. AB - Perylene diimides (PDIs) are one class of the most explored organic fluorescent materials due to their high luminescence efficiency, optoelectronic properties, and ready to form well-tailored supramolecular structures. However, heavy aggregation caused quenching (ACQ) effect in solid state has greatly limited their potential applications. We have easily solved this problem by chemical modification of the PDI core with only phenoxy moietie at one of the bay position. In this paper, we report two perylene bisimides with small rigid substituents, 1- phenol -N, N'-dicyclohexyl perylene-3,4,9,10-tetracarboxylic diimide (PDI 1) and 1- p-chlorophenol-N, N'-dicyclohexyl perylene-3,4,9,10 tetracarboxylic diimide (PDI 2) possess both well defined organic nanostructures and high fluorescence quantum yield in the solid state. In contrast, 1-propanol N, N'-dicyclohexyl perylene-3,4,9,10-tetracarboxylic diimide (PDI 3) bearing a straight chain only shown weak orange fluorescence. In addition, morphological inspection demonstrated that PDI 3 molecules easily form well-organized microstructures despite the linkage of the PDI core with a straight chain. The present strategy could provide a generic route towards novel and advanced fluorescent materials and these materials may find various applications in high tech fields. PMID- 29844455 TI - Oligomeric states of microbial rhodopsins determined by high-speed atomic force microscopy and circular dichroic spectroscopy. AB - Oligomeric assembly is a common feature of membrane proteins and often relevant to their physiological functions. Determining the stoichiometry and the oligomeric state of membrane proteins in a lipid bilayer is generally challenging because of their large size, complexity, and structural alterations under experimental conditions. Here, we use high-speed atomic force microscopy (HS-AFM) to directly observe the oligomeric states in the lipid membrane of various microbial rhodopsins found within eubacteria to archaea. HS-AFM images show that eubacterial rhodopsins predominantly exist as pentamer forms, while archaeal rhodopsins are trimers in the lipid membrane. In addition, circular dichroism (CD) spectroscopy reveals that pentameric rhodopsins display inverted CD couplets compared to those of trimeric rhodopsins, indicating different types of exciton coupling of the retinal chromophore in each oligomer. The results clearly demonstrate that the stoichiometry of the fundamental oligomer of microbial rhodopsins strongly correlate with the phylogenetic tree, providing a new insight into the relationship between the oligomeric structure and function-structural evolution of microbial rhodopsins. PMID- 29844456 TI - Exploration of an urban lake management model to simulate chlorine interference based on the ecological relationships among aquatic species. AB - In eutrophic lakes, algae are known to be sensitive to chlorine, but the impact of chlorine on the wider ecosystem has not been investigated. To quantitatively investigate the effects of chlorine on the urban lake ecosystem and analyze the changes in the aquatic ecosystem structure, a dynamic response model of aquatic species to chlorine was constructed based on the biomass density dynamics of aquatic species of submerged macrophytes, phytoplankton, zooplankton, periphyton, and benthos. The parameters were calibrated using data from the literature and two simulative experiments. The model was then validated using field data from an urban lake with a surface area of approximately 8000 m2 located in the downtown area of Guangzhou, South China. The correlation coefficient (R), root mean square error-observations standard deviation ratio (RSR) and index of agreement (IOA) were used to evaluate the accuracy and reliability of the model and the results were consistent with the observations (0.446 R < 0.985, RSR < 0.7, IOA > 0.6). Comparisons between the simulated and observed trends confirmed the feasibility of using this model to investigate the dynamics of aquatic species under chlorine interference. The model can help managers apply a modest amount of chlorine to control eutrophication and provides scientific support for the management of urban lakes. PMID- 29844457 TI - Outer Membrane Vesicles from Neisseria Meningitidis (Proteossome) Used for Nanostructured Zika Virus Vaccine Production. AB - The increase of Zika virus (ZIKV) infections in Brazil in the last two years leaves a prophylactic measures on alert for this new and emerging pathogen. Concerning of our positive experience, we developed a new prototype using Neisseria meningitidis outer membrane vesicles (OMV) on ZIKV cell growth in a fusion of OMV in the envelope of virus particles. The fusion of nanoparticles resulting from outer membrane vesicles of N. meningitidis with infected C6/36 cells line were analyzed by Nano tracking analysis (NTA), zeta potential, differential light scattering (DLS), scan and scanning transmission eletronic microscopy (SEM and STEM) and high resolution mass spectometry (HRMS) for nanostructure characterization. Also, the vaccination effects were viewed by immune response in mice protocols immunization (ELISA and inflammatory chemokines) confirmed by Zika virus soroneutralization test. The results of immunizations in mice showed that antibody production had a titer greater than 1:160 as compared to unvaccinated mice. The immune response of the adjuvant and non-adjuvant formulation activated the cellular immune response TH1 and TH2. In addition, the serum neutralization was able to prevent infection of virus particles in the glial tumor cell model (M059J). This research shows efficient strategies without recombinant technology or DNA vaccines. PMID- 29844458 TI - Molecular Evidence of Genome Editing in a Mouse Model of Immunodeficiency. AB - Genome editing is the introduction of directed modifications in the genome, a process boosted to therapeutic levels by designer nucleases. Building on the experience of ex vivo gene therapy for severe combined immunodeficiencies, it is likely that genome editing of haematopoietic stem/progenitor cells (HSPC) for correction of inherited blood diseases will be an early clinical application. We show molecular evidence of gene correction in a mouse model of primary immunodeficiency. In vitro experiments in DNA-dependent protein kinase catalytic subunit severe combined immunodeficiency (Prkdc scid) fibroblasts using designed zinc finger nucleases (ZFN) and a repair template demonstrated molecular and functional correction of the defect. Following transplantation of ex vivo gene edited Prkdc scid HSPC, some of the recipient animals carried the expected genomic signature of ZFN-driven gene correction. In some primary and secondary transplant recipients we detected double-positive CD4/CD8 T-cells in thymus and single-positive T-cells in blood, but no other evidence of immune reconstitution. However, the leakiness of this model is a confounding factor for the interpretation of the possible T-cell reconstitution. Our results provide support for the feasibility of rescuing inherited blood disease by ex vivo genome editing followed by transplantation, and highlight some of the challenges. PMID- 29844459 TI - The effect of N-acetyl-l-cysteine (NAC) on liver toxicity and clinical outcome after hematopoietic stem cell transplantation. AB - : Busulphan (Bu) is a myeloablative drug used for conditioning prior to hematopoietic stem cell transplantation. Bu is predominantly metabolized through glutathione conjugation, a reaction that consumes the hepatic glutathione. N acetyl-l-cysteine (NAC) is a glutathione precursor used in the treatment of acetaminophen hepatotoxicity. NAC does not interfere with the busulphan myeloablative effect. We investigated the effect of NAC concomitant treatment during busulphan conditioning on the liver enzymes as well as the clinical outcome. Prophylactic NAC treatment was given to 54 patients upon the start of busulphan conditioning. These patients were compared with 54 historical matched controls who did not receive NAC treatment. In patients treated with NAC, aspartate transaminase (AST), alanine transaminase (ALT) and alkaline phosphatase (ALP) were significantly (P < 0.05) decreased after conditioning compared to their start values. Within the NAC-group, liver enzymes were normalized in those patients (30%) who had significantly high start values. No significant decrease in enzyme levels was observed in the control group. Furthermore, NAC affected neither Bu kinetics nor clinical outcome (sinusoidal obstruction syndrome incidence, graft-versus-host disease and/or graft failure). IN CONCLUSION: NAC is a potential prophylactic treatment for hepatotoxicity during busulphan conditioning. NAC therapy did not alter busulphan kinetics or affect clinical outcome. PMID- 29844460 TI - Spatially organizing biochemistry: choosing a strategy to translate synthetic biology to the factory. AB - Natural biochemical systems are ubiquitously organized both in space and time. Engineering the spatial organization of biochemistry has emerged as a key theme of synthetic biology, with numerous technologies promising improved biosynthetic pathway performance. One strategy, however, may produce disparate results for different biosynthetic pathways. We use a spatially resolved kinetic model to explore this fundamental design choice in systems and synthetic biology. We predict that two example biosynthetic pathways have distinct optimal organization strategies that vary based on pathway-dependent and cell-extrinsic factors. Moreover, we demonstrate that the optimal design varies as a function of kinetic and biophysical properties, as well as culture conditions. Our results suggest that organizing biosynthesis has the potential to substantially improve performance, but that choosing the appropriate strategy is key. The flexible design-space analysis we propose can be adapted to diverse biosynthetic pathways, and lays a foundation to rationally choose organization strategies for biosynthesis. PMID- 29844461 TI - Exploring the Reusability of Synthetically Contaminated Wastewater Containing Crystal Violet Dye using Tectona grandis Sawdust as a Very Low-Cost Adsorbent. AB - Present investigation explores the possible reusability of synthetically contaminated wastewater containing crystal violet (CV) organic dye using Tectona grandis sawdust (TGSD) waste as a very low-cost adsorbent. The adsorbent was characterized by proximate, SEM/EDX, FTIR, and XRD analyses. Batch adsorption studies were carried under changing conditions of contact time, the initial concentration of CV, pH, TGSD dose, TGSD particle size, and temperature. The experimental data were tested using Langmuir, Freundlich and Temkin isotherm models, and the data were best followed by Langmuir one. The kinetic results were examined in the light of different models and pseudo-second-order was obtained to be best obeyed. The values of DeltaH degrees (28.642 kJ/mol), DeltaG degrees ( 10.776 to -7.080 kJ/mol) and DeltaS degrees (121.8 J/K/mol) in the temperature range of 293-323 K suggested the overall process to be spontaneous, endothermic and associated with an increase in randomness. On the basis of experimental results and their analyses, it has been established that TGSD is one of the most effective adsorbents among those obtained from the domestic, agricultural and industrial wastes. Thus this adsorbent can be effectively utilized to make the impure wastewater reusable. PMID- 29844462 TI - Using genetic markers to unravel the origin of birds converging towards pre migratory sites. AB - Identifying patterns of individual movements in spatial and temporal scales can provide valuable insight into the structure of populations and the dynamics of communities and ecosystems. Especially for migrating birds, that can face a variety of unfavorable conditions along their journey, resolving movements of individuals across their annual cycle is necessary in order to design better targeted conservation strategies. Here, we studied the movements of a small migratory falcon, the Lesser Kestrel (Falco naumanni), by genetically assigning feathers from individuals of unknown origin that concentrate in large roosts during the pre-migratory period. Our findings suggest that birds from multiple breeding populations in the Central and Eastern Mediterranean region move towards two pre-migratory sites in the Balkans, some of them detouring greatly from their expected flyways, travelling more than 500 km to reach these sites and prepare for the post-nuptial migration. By identifying the origin of individuals using the pre-migratory sites, not only we provide a better understanding of the possible impact of local threats at these sites on multiple breeding populations but also inform the design of effective conservation actions for the species. PMID- 29844463 TI - Targeted delivery of fluorogenic peptide aptamers into live microalgae by femtosecond laser photoporation at single-cell resolution. AB - Microalgae-based metabolic engineering has been proven effective for producing valuable substances such as food supplements, pharmaceutical drugs, biodegradable plastics, and biofuels in the past decade. The ability to accurately visualize and quantify intracellular metabolites in live microalgae is essential for efficient metabolic engineering, but remains a major challenge due to the lack of characterization methods. Here we demonstrate it by synthesizing fluorogenic peptide aptamers with specific binding affinity to a target metabolite and delivering them into live microalgae by femtosecond laser photoporation at single cell resolution. As a proof-of-principle demonstration of our method, we use it to characterize Euglena gracilis, a photosynthetic unicellular motile microalgal species, which is capable of producing paramylon (a carbohydrate granule similar to starch). Specifically, we synthesize a peptide aptamer containing a paramylon binding fluorescent probe, 7-nitrobenzofurazan, and introduce it into E. gracilis cells one-by-one by suppressing their mobility with mannitol and transiently perforating them with femtosecond laser pulses at 800 nm for photoporation. To demonstrate the method's practical utility in metabolic engineering, we perform spatially and temporally resolved fluorescence microscopy of single live photoporated E. gracilis cells under different culture conditions. Our method holds great promise for highly efficient microalgae-based metabolic engineering. PMID- 29844464 TI - Curcumin decreases Warburg effect in cancer cells by down-regulating pyruvate kinase M2 via mTOR-HIF1alpha inhibition. AB - Warburg effect is an emerging hallmark of cancer cells with pyruvate kinase M2 (PKM2) as its key regulator. Curcumin is an extensively-studied anti-cancer compound, however, its role in affecting cancer metabolism remains poorly understood. Herein, we show that curcumin inhibits glucose uptake and lactate production (Warburg effect) in a variety of cancer cell lines by down-regulating PKM2 expression, via inhibition of mTOR-HIF1alpha axis. Stable PKM2 silencing revealed that PKM2 is required for Warburg effect and proliferation of cancer cells. PKM2 over-expression abrogated the effects of curcumin, demonstrating that inhibition of Warburg effect by curcumin is PKM2-mediated. High PKM2 expression correlated strongly with poor overall survival in cancer, suggesting the requirement of PKM2 in cancer progression. The study unravels novel PKM2-mediated inhibitory effect of curcumin on metabolic capacities of cancer cells. To the best of our knowledge, this is the first study linking curcumin with PKM2-driven cancer glycolysis, thus, providing new perspectives into the mechanism of its anticancer activity. PMID- 29844466 TI - The quest for identifiability in human functional connectomes. AB - The evaluation of the individual "fingerprint" of a human functional connectome (FC) is becoming a promising avenue for neuroscientific research, due to its enormous potential inherent to drawing single subject inferences from functional connectivity profiles. Here we show that the individual fingerprint of a human functional connectome can be maximized from a reconstruction procedure based on group-wise decomposition in a finite number of brain connectivity modes. We use data from the Human Connectome Project to demonstrate that the optimal reconstruction of the individual FCs through connectivity eigenmodes maximizes subject identifiability across resting-state and all seven tasks evaluated. The identifiability of the optimally reconstructed individual connectivity profiles increases both at the global and edgewise level, also when the reconstruction is imposed on additional functional data of the subjects. Furthermore, reconstructed FC data provide more robust associations with task-behavioral measurements. Finally, we extend this approach to also map the most task-sensitive functional connections. Results show that is possible to maximize individual fingerprinting in the functional connectivity domain regardless of the task, a crucial next step in the area of brain connectivity towards individualized connectomics. PMID- 29844465 TI - Swimming Exercise and Transient Food Deprivation in Caenorhabditis elegans Promote Mitochondrial Maintenance and Protect Against Chemical-Induced Mitotoxicity. AB - Exercise and caloric restriction improve health, including reducing risk of cardiovascular disease, neurological disease, and cancer. However, molecular mechanisms underlying these protections are poorly understood, partly due to the cost and time investment of mammalian long-term diet and exercise intervention studies. We subjected Caenorhabditis elegans nematodes to a 6-day, twice daily swimming exercise regimen, during which time the animals also experienced brief, transient food deprivation. Accordingly, we included a non-exercise group with the same transient food deprivation, a non-exercise control with ad libitum access to food, and a group that exercised in food-containing medium. Following these regimens, we assessed mitochondrial health and sensitivity to mitochondrial toxicants. Exercise protected against age-related decline in mitochondrial morphology in body-wall muscle. Food deprivation increased organismal basal respiration; however, exercise was the sole intervention that increased spare respiratory capacity and proton leak. We observed increased lifespan in exercised animals compared to both control and transiently food-deprived nematodes. Finally, exercised animals (and to a lesser extent, transiently food-deprived animals) were markedly protected against lethality from acute exposures to the mitotoxicants rotenone and arsenic. Thus, swimming exercise and brief food deprivation provide effective intervention in C. elegans, protecting from age associated mitochondrial decline and providing resistance to mitotoxicant exposures. PMID- 29844467 TI - Mitophagy is required for brown adipose tissue mitochondrial homeostasis during cold challenge. AB - Brown adipose tissue (BAT) is a specialized thermogenic organ in mammals. The ability of BAT mitochondria to generate heat in response to cold-challenge to maintain core body temperature is essential for organismal survival. While cold activated BAT mitochondrial biogenesis is recognized as critical for thermogenic adaptation, the contribution of mitochondrial quality control to this process remains unclear. Here, we show mitophagy is required for brown adipocyte mitochondrial homeostasis during thermogenic adaptation. Mitophagy is significantly increased in BAT from cold-challenged mice (4 degrees C) and in beta-agonist treated brown adipocytes. Blockade of mitophagy compromises brown adipocytes mitochondrial oxidative phosphorylation (OX-PHOS) capacity, as well as BAT mitochondrial integrity. Mechanistically, cold-challenge induction of BAT mitophagy is UCP1-dependent. Furthermore, our results indicate that mitophagy coordinates with mitochondrial biogenesis, maintaining activated BAT mitochondrial homeostasis. Collectively, our in vivo and in vitro findings identify mitophagy as critical for brown adipocyte mitochondrial homeostasis during cold adaptation. PMID- 29844468 TI - Spatial and temporal changes in extracellular elastin and laminin distribution during lung alveolar development. AB - Lung alveolarization requires precise coordination of cell growth with extracellular matrix (ECM) synthesis and deposition. The role of extracellular matrices in alveogenesis is not fully understood, because prior knowledge is largely extrapolated from two-dimensional structural analysis. Herein, we studied temporospatial changes of two important ECM proteins, laminin and elastin that are tightly associated with alveolar capillary growth and lung elastic recoil respectively, during both mouse and human lung alveolarization. By combining protein immunofluorescence staining with two- and three-dimensional imaging, we found that the laminin network was simplified along with the thinning of septal walls during alveogenesis, and more tightly associated with alveolar endothelial cells in matured lung. In contrast, elastin fibers were initially localized to the saccular openings of nascent alveoli, forming a ring-like structure. Then, throughout alveolar growth, the number of such alveolar mouth ring-like structures increased, while the relative ring size decreased. These rings were interconnected via additional elastin fibers. The apparent patches and dots of elastin at the tips of alveolar septae found in two-dimensional images were cross sections of elastin ring fibers in the three-dimension. Thus, the previous concept that deposition of elastin at alveolar tips drives septal inward growth may potentially be conceptually challenged by our data. PMID- 29844469 TI - Ultrasound-Mediated EGF-Coated-Microbubble Cavitation in Dressings for Wound Healing Applications. AB - The feasibility of ultrasound (US) controlled cavitation for transdermal drug delivery (TDD) using gas-filled microbubbles (MBs) has been explored. However, liquid or gel-type MBs is not easy used for TDD. The present study investigated a new treatment model for evaluating the US-mediated liquid-type epidermal growth factor (EGF)-coated lysozyme microbubble (LYMB) cavitation in a wound dressing for enhancing wound healing. The maximum loading efficacy of EGF onto LYMBs was 19.40 +/- 0.04%. In terms of the in vitro treatment efficacy, the growth of Staphylococcus aureus was inhibited by 97.50 +/- 1.50% in the group with LYMBs exposed to 3 W/cm2 US. During 21 days in vivo wound healing experiments, the recovery rate during the first 6 days was significant higher in the group with EGF-LYMB dressings and US exposure (day 6: 54.28 +/- 3.26%) than in the control group (day 6: 26.36 +/- 3.34%) (p < 0.05). Our results show that the new model can significantly reduce the treatment duration during wound healing. PMID- 29844470 TI - Repeated administration of alpha-galactosylceramide ameliorates experimental lupus nephritis in mice. AB - Lupus nephritis is a crucial complication of systemic lupus erythematosus. In this study, we investigated the roles of mouse natural killer T (NKT) cells in lupus nephritis. From 24 weeks of age, NZB/NZW F1 mice were injected with alpha galactosylceramide (alpha-GalCer) or vehicle once a week for four weeks. In the alpha-GalCer group, the levels of proteinuria and blood urea nitrogen were significantly lower than those in the vehicle group. The histological evaluation showed a decrease in glomerular immune complex deposits and an alleviation of podocyte injury. The proportion of NKT cells in the mononuclear cell (MNC) fraction in the alpha-GalCer group was significantly decreased in the liver, kidney, and spleen. The proliferation and cytokine production in alpha-GalCer stimulated liver MNCs were markedly diminished in the alpha-GalCer group (anergy). The IFN-gamma production in liver MNCs stimulated by concanavalin A or an anti-CD3 antibody did not differ between the two groups, whereas the IL-4 production was significantly lower in the alpha-GalCer group. In addition, the IgM production in CpG-oligodeoxynucleotide-stimulated spleen MNCs was significantly lower in the alpha-GalCer group. These results suggest that alpha GalCer suppressed Th2 immune responses in NKT cells and B cell function, thereby slowing the progression of lupus nephritis. PMID- 29844471 TI - Trends in flood losses in Europe over the past 150 years. AB - Adverse consequences of floods change in time and are influenced by both natural and socio-economic trends and interactions. In Europe, previous studies of historical flood losses corrected for demographic and economic growth ('normalized') have been limited in temporal and spatial extent, leading to an incomplete representation of trends in losses over time. Here we utilize a gridded reconstruction of flood exposure in 37 European countries and a new database of damaging floods since 1870. Our results indicate that, after correcting for changes in flood exposure, there has been an increase in annually inundated area and number of persons affected since 1870, contrasted by a substantial decrease in flood fatalities. For more recent decades we also found a considerable decline in financial losses per year. We estimate, however, that there is large underreporting of smaller floods beyond most recent years, and show that underreporting has a substantial impact on observed trends. PMID- 29844472 TI - Amending the Structure of Renewable Carbon from Biorefinery Waste-Streams for Energy Storage Applications. AB - Biorefineries produce impure sugar waste streams that are being underutilized. By converting this waste to a profitable by-product, biorefineries could be safeguarded against low oil prices. We demonstrate controlled production of useful carbon materials from the waste concentrate via hydrothermal synthesis and carbonization. We devise a pathway to producing tunable, porous spherical carbon materials by modeling the gross structure formation and developing an understanding of the pore formation mechanism utilizing simple reaction principles. Compared to a simple hydrothermal synthesis from sugar concentrate, emulsion-based synthesis results in hollow spheres with abundant microporosity. In contrast, conventional hydrothermal synthesis produces solid beads with micro and mesoporosity. All the carbonaceous materials show promise in energy storage application. Using our reaction pathway, perfect hollow activated carbon spheres can be produced from waste sugar in liquid effluence of biomass steam pretreatment units. The renewable carbon product demonstrated a desirable surface area of 872 m2/g and capacitance of up to 109 F/g when made into an electric double layer supercapacitor. The capacitor exhibited nearly ideal capacitive behavior with 90.5% capacitance retention after 5000 cycles. PMID- 29844473 TI - Expansion of human primary hepatocytes in vitro through their amplification as liver progenitors in a 3D organoid system. AB - Despite decades of investigation on the proliferation of adult human primary hepatocytes, their expansion in vitro still remains challenging. To later be able to consider hepatocytes as a cell therapy alternative or bridge to liver transplantation, dramatically impeded by a shortage in liver donors, the first step is having an almost unlimited source of these cells. The banking of transplantable hepatocytes also implies a protocol for their expansion that can be compatible with large-scale production. We show that adult human primary hepatocytes when grown in 3D organoids are easily amplified, providing a substantial source of functional hepatocytes ready for transplantation. Following their plating, differentiated human hepatocytes are amplified during a transient and reversible step as liver progenitors, and can subsequently be converted back to mature differentiated hepatocytes. The protocol we propose is not only compatible with automated and high-throughput cell culture systems, thanks to the expansion of hepatocytes in suspension, but also guarantees the generation of a high number of functional cells from the same patient sample, with a relatively easy set up. PMID- 29844474 TI - NPTX2 is a key component in the regulation of anxiety. AB - Anxiety disorders significantly impair quality of life. However, limited knowledge of the underlying mechanisms impedes the development of effective therapeutics. Previous studies have suggested that the expression of the Nptx2 gene is associated with anxiety, but the neurobiological processes underlying this association remain unclear. We generated multiple mouse models with knockout or overexpression of Nptx2 in specific brain regions and during different developmental stages to assess anxiety, adult neurogenesis, and glucocorticoid related gene expression. Our results provide evidence that Nptx2 expression in the adult hippocampus regulates anxiety in mice. Eliminating Nptx2 expression in either the developing mouse brain or in adulthood leads to increased anxiety levels. The increase in anxiety was evident in hippocampus-specific Nptx2 knockout mice, but not in an amygdala specific knockouts. Gene expression analysis revealed increased expression of glucocorticoid receptor target genes in Nptx2 knockout mice after acute stress. Overexpression of Nptx2 in the hippocampus alleviates stress-induced anxious behaviors and reverses the changes in expression of glucocorticoid receptor related genes. In conclusion, we demonstrate that Nptx2 in the hippocampus performs a critical role in modulating anxiety, hippocampal cell proliferation, and glucocorticoid receptor related gene expression. Our results suggest Nptx2 may be a potential target for anxiolytic therapeutics. PMID- 29844475 TI - Does human language limit translatability of clinical and preclinical addiction research? PMID- 29844476 TI - Not worth the wait: cocaine alters reward processing in the nucleus accumbens. PMID- 29844477 TI - Serum metabolite profile associated with incident type 2 diabetes in Koreans: findings from the Korean Genome and Epidemiology Study. AB - The identification of metabolic alterations in type 2 diabetes (T2D) is useful for elucidating the pathophysiology of the disease and in classifying high-risk individuals. In this study, we prospectively examined the associations between serum metabolites and T2D risk in a Korean community-based cohort (the Ansan Ansung cohort). Data were obtained from 1,939 participants with available metabolic profiles and without diabetes, cardiovascular disease, or cancer at baseline. The acylcarnitine, amino acid, amine, and phospholipid levels in fasting serum samples were analyzed by targeted metabolomics. During the 8-year follow-up period, we identified 282 cases of incident T2D. Of all metabolites measured, 22 were significantly associated with T2D risk. Specifically, serum levels of alanine, arginine, isoleucine, proline, tyrosine, valine, hexose and five phosphatidylcholine diacyls were positively associated with T2D risk, whereas lyso-phosphatidylcholine acyl C17:0 and C18:2 and other glycerophospholipids were negatively associated with T2D risk. The associated metabolites were further correlated with T2D-relevant risk factors such as insulin resistance and triglyceride indices. In addition, a healthier diet (as measured by the modified recommended food score) was independently associated with T2D risk. Alterations of metabolites such as amino acids and choline containing phospholipids appear to be associated with T2D risk in Korean adults. PMID- 29844479 TI - A new genetic mechanism of natural gas accumulation. AB - Natural gas of organic origin is primarily biogenic or thermogenic; however, the formation of natural gas is occasionally attributed to hydrothermal activity. The Precambrian dolomite reservoir of the Anyue gas field is divided into three stages. Dolomite-quartz veins were precipitated after two earlier stages of dolomite deposition. Fluid inclusions in the dolomite and quartz are divided into pure methane (P-type), methane-bearing (M-type), aqueous (W-type), and solid bitumen-bearing (S-type) inclusions. The W-type inclusions within the quartz and buried dolomite homogenized between 107 degrees C and 223 degrees C. Furthermore, the trapping temperatures and pressures of the fluid (249 degrees C to 319 degrees C and 1619 bar to 2300 bar, respectively) are obtained from the intersections of the isochores of the P-type and the coeval W-type inclusions in the quartz. However, the burial history of the reservoir indicates that the maximum burial temperature did not exceed 230 degrees C. Thus, the generation of the natural gas was not caused solely by the burial of the dolomite reservoir. The results are also supported by the presence of paragenetic pyrobitumen and MVT lead-zinc ore. A coupled system of occasional invasion by hydrothermal fluids and burial of the reservoir may represent a new genetic model for natural gas accumulation in this gas field. PMID- 29844478 TI - Compromised microvascular oxygen delivery increases brain tissue vulnerability with age. AB - Despite the possible role of impaired cerebral tissue oxygenation in age-related cognition decline, much is still unknown about the changes in brain tissue pO2 with age. Using a detailed investigation of the age-related changes in cerebral tissue oxygenation in the barrel cortex of healthy, awake aged mice, we demonstrate decreased arteriolar and tissue pO2 with age. These changes are exacerbated after middle-age. We further uncovered evidence of the presence of hypoxic micro-pockets in the cortex of awake old mice. Our data suggests that from young to middle-age, a well-regulated capillary oxygen supply maintains the oxygen availability in cerebral tissue, despite decreased tissue pO2 next to arterioles. After middle-age, due to decreased hematocrit, reduced capillary density and higher capillary transit time heterogeneity, the capillary network fails to compensate for larger decreases in arterial pO2. The substantial decrease in brain tissue pO2, and the presence of hypoxic micro-pockets after middle-age are of significant importance, as these factors may be related to cognitive decline in elderly people. PMID- 29844480 TI - Asymmetric distribution of biomolecules of maternal origin in the Xenopus laevis egg and their impact on the developmental plan. AB - Asymmetric cell division is a ubiquitous feature during the development of higher organisms. Asymmetry is achieved by differential localization or activities of biological molecules such as proteins, and coding and non-coding RNAs. Here, we present subcellular transcriptomic and proteomic analyses along the animal vegetal axis of Xenopus laevis eggs. More than 98% of the maternal mRNAs could be categorized into four localization profile groups: animal, vegetal, extremely vegetal, and a newly described group of mRNAs that we call extremely animal, which are mRNAs enriched in the animal cortex region. 3'UTRs of localized mRNAs were analyzed for localization motifs. Several putative motifs were discovered for vegetal and extremely vegetal mRNAs, while no distinct conserved motifs for the extremely animal mRNAs were identified, suggesting different localization mechanisms. Asymmetric profiles were also found for proteins, with correlation to those of corresponding mRNAs. Based on unexpected observation of the profiles of the homoeologous genes exd2 we propose a possible mechanism of genetic evolution. PMID- 29844481 TI - Re-entrant bimodality in spheroidal chiral swimmers in shear flow. AB - We use a continuum model to report on the behavior of a dilute suspension of chiral swimmers subject to externally imposed shear in a planar channel. Swimmer orientation in response to the imposed shear can be characterized by two distinct phases of behavior, corresponding to unimodal or bimodal distribution functions for swimmer orientation along the channel. These phases indicate the occurrence (or not) of a population splitting phenomenon changing the swimming direction of a macroscopic fraction of active particles to the exact opposite of that dictated by the imposed flow. We present a detailed quantitative analysis elucidating the complexities added to the population splitting behavior of swimmers when they are chiral. In particular, the transition from unimodal to bimodal and vice versa are shown to display a re-entrant behavior across the parameter space spanned by varying the chiral angular speed. We also present the notable effects of particle aspect ratio and self-propulsion speed on system phase behavior and discuss potential implications of our results in applications such as swimmer separation/sorting. PMID- 29844482 TI - In situ measurement of autophagy under nutrient starvation based on interfacial pH sensing. AB - In this study, we report a novel method for the in situ measurement of autophagy under nutrient starvation using a principle of semiconductor technology. A semiconductor-based field-effect transistor (FET) biosensor enables the direct detection of ionic or molecular charges under biological conditions. In particular, cellular respiration accompanied by the generation of carbon dioxide can be continuously and directly monitored as a change in pH at a cell/sensor interface. When autophagy was induced in HeLa cells on a FET biosensor under nutrient starvation, the surface potential increased more significantly for about 15 h than that for nonstarved cells. This positive shift indicates an increase in the number of hydrogen ions produced from the respiration of starved cells because the sensing surface was previously designed to be sensitive to pH variation. Therefore, we have found that cellular respiration is more activated by autophagy under nutrient starvation because the amino acids that decomposed from proteins in autophagic cells would have been rapidly spent in cellular respiration. PMID- 29844483 TI - PhosContext2vec: a distributed representation of residue-level sequence contexts and its application to general and kinase-specific phosphorylation site prediction. AB - Phosphorylation is the most important type of protein post-translational modification. Accordingly, reliable identification of kinase-mediated phosphorylation has important implications for functional annotation of phosphorylated substrates and characterization of cellular signalling pathways. The local sequence context surrounding potential phosphorylation sites is considered to harbour the most relevant information for phosphorylation site prediction models. However, currently there is a lack of condensed vector representation for this important contextual information, despite the presence of varying residue-level features that can be constructed from sequence homology profiles, structural information, and physicochemical properties. To address this issue, we present PhosContext2vec which is a distributed representation of residue-level sequence contexts for potential phosphorylation sites and demonstrate its application in both general and kinase-specific phosphorylation site predictions. Benchmarking experiments indicate that PhosContext2vec could achieve promising predictive performance compared with several other existing methods for phosphorylation site prediction. We envisage that PhosContext2vec, as a new sequence context representation, can be used in combination with other informative residue-level features to improve the classification performance in a number of related bioinformatics tasks that require appropriate residue-level feature vector representation and extraction. The web server of PhosContext2vec is publicly available at http://phoscontext2vec.erc.monash.edu/. PMID- 29844484 TI - Short-term increase in discs' apparent diffusion is associated with pain and mobility improvements after spinal mobilization for low back pain. AB - Pain perception, trunk mobility and apparent diffusion coefficient (ADC) within all lumbar intervertebral discs (IVDs) were collected before and shortly after posterior-to-anterior (PA) mobilizations in 16 adults with acute low back pain. Using a pragmatic approach, a trained orthopaedic manual physical therapist applied PA mobilizations to the participants' spine, in accordance with his examination findings. ADC all was computed from diffusion maps as the mean of anterior (ADC ant ), middle (ADC mid ), and posterior (ADC post ) portions of the IVD. After mobilization, pain ratings and trunk mobility were significantly improved and a significant increase in ADC all values was observed. The greatest ADC all changes were observed at the L3-L4 and L4-L5 levels and were mainly explained by changes in ADC ant and ADC post , respectively. No significant changes in ADC were observed at L5-S1 level. The reduction in pain and largest changes in ADC observed at the periphery of the hyperintense IVD region suggest that increased peripheral random motion of water molecules is implicated in the IVD nociceptive response modulation. Additionally, ADC changes were observed at remote IVD anatomical levels that did not coincide with the PA spinal mobilization application level. PMID- 29844485 TI - A comprehensive analysis of e-CAS cell line reveals they are mouse macrophages. AB - The 3Rs principles (Replacement, Reduction and Refinement) are focused on finding alternatives to the use of animals in research. In this regard, cell lines are popular and useful tools for the replacement of primary cells in in vitro studies. However, around 15-30% of cell lines used in research have been misidentified or cross-contaminated generating concerns about the results obtained from experiments that use them. Here we described how old aliquots of an equine macrophage cell line (e-CAS) stored at the Animal Health Trust did not contain equine cells but macrophages of murine origin (m-CAS). PMID- 29844486 TI - Children's screen time alters the expression of saliva extracellular miR-222 and miR-146a. AB - An imbalance between energy uptake and energy expenditure is the most important reason for increasing trends in obesity starting from early in life. Extracellular miRNAs are expressed in all bodily fluids and their expression is influenced by a broad range of stimuli. We examined whether screen time, physical activity and BMI are associated with children's salivary extracellular miR-222 and miR-146a expression. In 80 children the extracellular fraction of saliva was obtained by means of differential centrifugation and ultracentrifugation. Expression levels of miR-222 and miR-146a were profiled by qPCR. We studied the association between children's salivary extracellular miRNA expression and screen time, physical activity and BMI using mixed models, while accounting for potential confounders. We found that higher screen time was positively associated with salivary extracellular miR-222 and miR-146a levels. On average, one hour more screen time use per week was associated with a 3.44% higher miR-222 (95% CI: 1.34 to 5.58; p = 0.002) and 1.84% higher miR-146a (95% CI: -0.04 to 3.75; p = 0.055) level in saliva. BMI and physical activity of the child were not significantly associated with either miR-222 or miR-146a. A sedentary behaviour, represented by screen time use in children, is associated with discernible changes in salivary expression of miR-146a and or miR-222. These miRNA targets may emerge attractive candidates to explore the role of these exposures in developmental processes of children's health. PMID- 29844487 TI - Nanopore sequencing of drug-resistance-associated genes in malaria parasites, Plasmodium falciparum. AB - Here, we report the application of a portable sequencer, MinION, for genotyping the malaria parasite Plasmodium falciparum. In the present study, an amplicon mixture of nine representative genes causing resistance to anti-malaria drugs is diagnosed. First, we developed the procedure for four laboratory strains (3D7, Dd2, 7G8, and K1), and then applied the developed procedure to ten clinical samples. We sequenced and re-sequenced the samples using the obsolete flow cell R7.3 and the most recent flow cell R9.4. Although the average base-call accuracy of the MinION sequencer was 74.3%, performing >50 reads at a given position improves the accuracy of the SNP call, yielding a precision and recall rate of 0.92 and 0.8, respectively, with flow cell R7.3. These numbers increased significantly with flow cell R9.4, in which the precision and recall are 1 and 0.97, respectively. Based on the SNP information, the drug resistance status in ten clinical samples was inferred. We also analyzed K13 gene mutations from 54 additional clinical samples as a proof of concept. We found that a novel amino acid changing variation is dominant in this area. In addition, we performed a small population-based analysis using 3 and 5 cases (K13) and 10 and 5 cases (PfCRT) from Thailand and Vietnam, respectively. We identified distinct genotypes from the respective regions. This approach will change the standard methodology for the sequencing diagnosis of malaria parasites, especially in developing countries. PMID- 29844488 TI - Sedimentary environment and depositional evolution of the Mesoproterozoic Bingmagou Formation on the southern margin of the North China Craton. AB - The Precambrian sedimentary strata on the southern margin of the North China Craton are well developed and widely exposed, making the region ideal for the study of depositional processes. However, because of the length of the depositional history and the lack of biogenic criteria, interpretations of the sedimentary environments of the Precambrian strata are often based on the tectonic background, geographical environment, rock type and sedimentary structures, resulting in controversies in the literature. In this study of the Bingmagou Formation in the Ruyang Group on the southern margin of the North China Craton, analysis of petrologic features, palaeocurrents and sedimentary facies is combined with regional correlation of relevant strata and the reconstruction of ancient landforms to explain the depositional environments and environmental transitions. Dominated by marine deposits on the southern margin of the North China Craton, the sedimentary strata of the Ruyang Group unconformably overlie the Archean crystalline basement or Proterozoic Xionger Group. As the lowermost unit of the Ruyang Group, the Bingmagou Formation, which was depositionally controlled by topography and faults and received abundant detrital material, is a highly distinctive set of sedimentary strata and represents an environmental transition from alluvial fan to sandy coast. PMID- 29844489 TI - Correlative atomic force microscopy quantitative imaging-laser scanning confocal microscopy quantifies the impact of stressors on live cells in real-time. AB - There is an urgent need to assess the effect of anthropogenic chemicals on model cells prior to their release, helping to predict their potential impact on the environment and human health. Laser scanning confocal microscopy (LSCM) and atomic force microscopy (AFM) have each provided an abundance of information on cell physiology. In addition to determining surface architecture, AFM in quantitative imaging (QI) mode probes surface biochemistry and cellular mechanics using minimal applied force, while LSCM offers a window into the cell for imaging fluorescently tagged macromolecules. Correlative AFM-LSCM produces complimentary information on different cellular characteristics for a comprehensive picture of cellular behaviour. We present a correlative AFM-QI-LSCM assay for the simultaneous real-time imaging of living cells in situ, producing multiplexed data on cell morphology and mechanics, surface adhesion and ultrastructure, and real-time localization of multiple fluorescently tagged macromolecules. To demonstrate the broad applicability of this method for disparate cell types, we show altered surface properties, internal molecular arrangement and oxidative stress in model bacterial, fungal and human cells exposed to 2,4 dichlorophenoxyacetic acid. AFM-QI-LSCM is broadly applicable to a variety of cell types and can be used to assess the impact of any multitude of contaminants, alone or in combination. PMID- 29844490 TI - Mammalian Solute Carrier (SLC)-like transporters of Legionella pneumophila. AB - Acquisition of nutrients during intra-vacuolar growth of L. pneumophila within macrophages or amoebae is poorly understood. Since many genes of L. pneumophila are acquired by inter-kingdom horizontal gene transfer from eukaryotic hosts, we examined the presence of human solute carrier (SLC)-like transporters in the L. pneumophila genome using I-TASSER to assess structural alignments. We identified 11 SLC-like putative transporters in L. pneumophila that are structurally similar to SLCs, eight of which are amino acid transporters, and one is a tricarboxylate transporter. The two other transporters, LstA and LstB, are structurally similar to the human glucose transporter, SLC2a1/Glut1. Single mutants of lstA or lstB have decreased ability to import, while the lstA/lstB double mutant is severely defective for uptake of glucose. While lstA or lstB single mutants are not defective in intracellular proliferation within Acanthamoeba polyphaga and human monocyte-derived macrophages, the lstA/lstB double mutant is severely defective in both host cells. The two phenotypic defects of the lstA/lstB double mutant in uptake of glucose and intracellular replication are both restored upon complementation of either lstA or lstB. Our data show that the two glucose transporters, LstA and LstB, are redundant and are required for intracellular replication within human macrophages and amoebae. PMID- 29844491 TI - The evolution of genomic and epigenomic features in two Pleurotus fungi. AB - Pleurotus tuoliensis (Bailinggu, designated Pt) and P. eryngii var. eryngii (Xingbaogu, designated Pe) are highly valued edible mushrooms. We report de novo assemblies of high-quality genomes for both mushrooms based on PacBio RS II sequencing and annotation of all identified genes. A comparative genomics analysis between Pt and Pe with P. ostreatus as an outgroup taxon revealed extensive genomic divergence between the two mushroom genomes primarily due to the rapid gain of taxon-specific genes and disruption of synteny in either taxon. The re-appraised phylogenetic relationship between Pt and Pe at the genome-wide level validates earlier proposals to designate Pt as an independent species. Variation of the identified wood-decay-related gene content can largely explain the variable adaptation and host specificity of the two mushrooms. On the basis of the two assembled genome sequences, methylomes and the regulatory roles of DNA methylation in gene expression were characterized and compared. The genome, methylome and transcriptome data of these two important mushrooms will provide valuable information for advancing our understanding of the evolution of Pleurotus and related genera and for facilitating genome- and epigenome-based strategies for mushroom breeding. PMID- 29844492 TI - Evolution of oncogenic signatures of mutation hotspots in tyrosine kinases supports the atavistic hypothesis of cancer. AB - Cancer has been shown as an evolutionary process emerging hallmarks that are reminiscent of unicellular organisms. Since cancer is mostly driven by somatic mutations, especially by oncogenic hotspot mutations, we proposed a molecular atavism of cancer caused by gain-of-function mutations in oncogenes. As tyrosine kinase (TK) family contains the largest subgroup of oncogenes with hotspot mutations, we traced the most predominant mutation hotspots of TK oncogenes across phylogeny with the domain information and adjacent sequences integrated as onco-signatures. We detected 9 out of 17 TK oncogenes with onco-homologs possessing an onco-signature, which could be divided into two classes by whether their onco-homologs existed in mammals or not. In Class I we identified mammalian onco-homologs assuming oncogenic functions with onco-signatures always intact in cancer, such as HCK and LYN. In Class II with no bona fide mammalian onco homologs, Pyk2, a protist onco-homolog with an onco-signature of BRAF was found assuming oncogenic-like functions. Onco-signatures in both classes root deep in the primitive system. Together, these evidences supported our proposal that cancer can be driven by reverse evolution of oncogenes through gain-of-function mutations. And also for the first time, we provided the specific targets for experimental verification of the atavistic hypothesis of cancer. PMID- 29844493 TI - Chinese famine exposure in infancy and metabolic syndrome in adulthood: results from the China health and retirement longitudinal study. AB - BACKGROUND/OBJECTIVES: To explore the association between famine exposure in early life and the risk of metabolic syndrome in the Chinese adults. SUBJECTS/METHODS: A total of 2148 participants aged 50s were selected from a large national epidemiological survey in the China. The logistic regression models were used to analyze the association between famine exposure in early life and risk of metabolic syndrome in adulthood. RESULTS: The prevalence of metabolic syndrome among individuals in the preschool exposed group, infant exposed group, fetal exposed group, and the non-exposed group was 37.9, 43.5, 37.5, and 34.0%, respectively. The prevalence of metabolic syndrome in the infant exposed group was significantly higher than the non-exposed group (43.5 vs. 34.0%, P = 0.006). Compared with the non-exposed group, individuals who exposed to the famine in infancy significantly increased the risk of metabolic syndrome (OR = 1.83; 95% CI: 1.24, 2.70) after adjusting for gender, smoking status, drinking status, physical activity, and the educational levels of participants and their parents. However, similar results were not observed in the fetal (OR = 1.25; 95% CI: 0.89, 1.74) or the preschool (OR = 1.30; 95% CI: 0.97, 1.75) exposed groups. CONCLUSIONS: The Great China famine exposure during infancy was linked with the elevated risk of metabolic syndrome in adults aged 50s, which provided further evidence for the developmental origins hypothesis. PMID- 29844494 TI - Investigation of dose-rate effects and cell-cycle distribution under protracted exposure to ionizing radiation for various dose-rates. AB - During exposure to ionizing radiation, sub-lethal damage repair (SLDR) competes with DNA damage induction in cultured cells. By virtue of SLDR, cell survival increases with decrease of dose-rate, so-called dose-rate effects (DREs). Here, we focused on a wide dose-rate range and investigated the change of cell-cycle distribution during X-ray protracted exposure and dose-response curves via hybrid analysis with a combination of in vitro experiments and mathematical modelling. In the course of flow-cytometric cell-cycle analysis and clonogenic assays, we found the following responses in CHO-K1 cells: (1) The fraction of cells in S phase gradually increases during 6 h exposure at 3.0 Gy/h, which leads to radio resistance. (2) Slight cell accumulation in S and G2/M phases is observed after exposure at 6.0 Gy/h for more than 10 hours. This suggests that an increase of SLDR rate for cells in S phase during irradiation may be a reproducible factor to describe changes in the dose-response curve at dose-rates of 3.0 and 6.0 Gy/h. By re-evaluating cell survival for various dose-rates of 0.186-60.0 Gy/h considering experimental-based DNA content and SLDR, it is suggested that the change of S phase fraction during irradiation modulates the dose-response curve and is possibly responsible for some inverse DREs. PMID- 29844495 TI - Structural basis for recognition of 53BP1 tandem Tudor domain by TIRR. AB - P53-binding protein 1 (53BP1) regulates the double-strand break (DSB) repair pathway choice. A recently identified 53BP1-binding protein Tudor-interacting repair regulator (TIRR) modulates the access of 53BP1 to DSBs by masking the H4K20me2 binding surface on 53BP1, but the underlying mechanism remains unclear. Here we report the 1.76-A crystal structure of TIRR in complex with 53BP1 tandem Tudor domain. We demonstrate that the N-terminal region (residues 10-24) and the L8-loop of TIRR interact with 53BP1 Tudor through three loops (L1, L3, and L1'). TIRR recognition blocks H4K20me2 binding to 53BP1 Tudor and modulates 53BP1 functions in vivo. Structure comparisons identify a TIRR histidine (H106) that is absent from the TIRR homolog Nudt16, but essential for 53BP1 Tudor binding. Remarkably, mutations mimicking TIRR binding modules restore the disrupted binding of Nudt16-53BP1 Tudor. Our studies elucidate the mechanism by which TIRR recognizes 53BP1 Tudor and functions as a cellular inhibitor of the histone methyl-lysine readers. PMID- 29844496 TI - Psilocybin and MDMA reduce costly punishment in the Ultimatum Game. AB - Disruptions in social decision-making are becoming evident in many psychiatric conditions. These are studied using paradigms investigating the psychological mechanisms underlying interpersonal interactions, such as the Ultimatum Game (UG). Rejection behaviour in the UG represents altruistic punishment - the costly punishment of norm violators - but the mechanisms underlying it require clarification. To investigate the psychopharmacology of UG behaviour, we carried out two studies with healthy participants, employing serotonergic agonists: psilocybin (open-label, within-participant design, N = 19) and 3,4 methylenedioxymethamphetamine (MDMA; placebo-controlled, double-blind, crossover design, N = 20). We found that both MDMA and psilocybin reduced rejection of unfair offers (odds ratio: 0.57 and 0.42, respectively). The reduction in rejection rate following MDMA was associated with increased prosociality (R2 = 0.26, p = 0.025). In the MDMA study, we investigated third-party decision-making and proposer behaviour. MDMA did not reduce rejection in the third-party condition, but produced an increase in the amount offered to others (Cohen's d = 0.82). We argue that these compounds altered participants' conceptualisation of 'social reward', placing more emphasis on the direct relationship with interacting partners. With these compounds showing efficacy in drug-assisted psychotherapy, these studies are an important step in the further characterisation of their psychological effects. PMID- 29844497 TI - Kcne4 deletion sex-specifically predisposes to cardiac arrhythmia via testosterone-dependent impairment of RISK/SAFE pathway induction in aged mice. AB - Sudden cardiac death (SCD) is associated with both electrical and ischemic substrates, and is a major cause of ischemic heart disease mortality worldwide. Male sex predisposes to SCD but the underlying mechanisms are incompletely understood. KCNE4, a cardiac arrhythmia-associated potassium channel beta subunit, is upregulated by 5alpha-dihydrotestosterone (DHT). Thus, ventricular Kcne4 expression is low in young adult female mice, but high in males and postmenopausal (12+ months) females. Despite causing a sex-independent electrical substrate at 13 months of age (22% QT prolongation in both males and females; P < 0.01), Kcne4 deletion preferentially predisposed aged male mice to ischemia/reperfusion (IR)-provoked ventricular tachyarrhythmias. Interestingly, Kcne4 deletion caused baseline induction of cardioprotective RISK and SAFE pathways in 13-m-old female, but not male, mice. IR-invoked RISK/SAFE induction was also deficient in male but not female Kcne4-/- mice. Pharmacological inhibition of RISK/SAFE pathways in Kcne4-/- females eliminated sex-specific differences in IR-invoked tachyarrhythmia predisposition. Furthermore, castration of Kcne4-/- males eliminated sex-specific differences in both baseline and post IR RISK/SAFE pathway induction, and tachyarrhythmia predisposition. Our results demonstrate for the first time that male sex can predispose in aged mice to dangerous ventricular tachyarrhythmias despite sex-independent electrical and ischemic substrates, because of testosterone-dependent impairment of RISK/SAFE pathway induction. PMID- 29844498 TI - Patterns of species richness and the center of diversity in modern Indo-Pacific larger foraminifera. AB - Symbiont-bearing Larger Benthic Foraminifera (LBF) are ubiquitous components of shallow tropical and subtropical environments and contribute substantially to carbonaceous reef and shelf sediments. Climate change is dramatically affecting carbonate producing organisms and threatens the diversity and structural integrity of coral reef ecosystems. Recent invertebrate and vertebrate surveys have identified the Coral Triangle as the planet's richest center of marine life delineating the region as a top priority for conservation. We compiled and analyzed extensive occurrence records for 68 validly recognized species of LBF from the Indian and Pacific Ocean, established individual range maps and applied Minimum Convex Polygon (MCP) and Species Distribution Model (SDM) methodologies to create the first ocean-wide species richness maps. SDM output was further used for visualizing latitudinal and longitudinal diversity gradients. Our findings provide strong support for assigning the tropical Central Indo-Pacific as the world's species-richest marine region with the Central Philippines emerging as the bullseye of LBF diversity. Sea surface temperature and nutrient content were identified as the most influential environmental constraints exerting control over the distribution of LBF. Our findings contribute to the completion of worldwide research on tropical marine biodiversity patterns and the identification of targeting centers for conservation efforts. PMID- 29844499 TI - Categorical and Geographical Separation in Science. AB - We study scientific collaboration at the level of universities. The scope of this study is to answer two fundamental questions: (i) can one indicate a category (i.e., a scientific discipline) that has the greatest impact on the rank of the university and (ii) do the best universities collaborate with the best ones only? Restricting ourselves to the 100 best universities from year 2009 we show how the number of publications in certain categories correlates with the university rank. Strikingly, the expected negative trend is not observed in all cases - for some categories even positive values are obtained. After applying Principal Component Analysis we observe clear categorical separation of scientific disciplines, dividing the papers into almost separate clusters connected to natural sciences, medicine and arts and humanities. Moreover, using complex networks analysis, we give hints that the scientific collaboration is still embedded in the physical space and the number of common papers decays with the geographical distance between them. PMID- 29844500 TI - A Novel Geometry-Based Approach to Infer Protein Interface Similarity. AB - The protein interface is key to understand protein function, providing a vital insight on how proteins interact with each other and with other molecules. Over the years, many computational methods to compare protein structures were developed, yet evaluating interface similarity remains a very difficult task. Here, we present PatchBag - a geometry based method for efficient comparison of protein surfaces and interfaces. PatchBag is a Bag-Of-Words approach, which represents complex objects as vectors, enabling to search interface similarity in a highly efficient manner. Using a novel framework for evaluating interface similarity, we show that PatchBag performance is comparable to state-of-the-art alignment-based structural comparison methods. The great advantage of PatchBag is that it does not rely on sequence or fold information, thus enabling to detect similarities between interfaces in unrelated proteins. We propose that PatchBag can contribute to reveal novel evolutionary and functional relationships between protein interfaces. PMID- 29844501 TI - Possible Obesogenic Effects of Bisphenols Accumulation in the Human Brain. AB - Evidence of bisphenols' obesogenic effects on humans is mixed and inconsistent. We aimed to explore the presence of bisphenol A (BPA), bisphenol F (BPF) and chlorinated BPA (ClBPA), collectively called the bisphenols, in different brain regions and their association with obesity using post-mortem hypothalamic and white matter brain material from twelve pairs of obese (body mass index (BMI) >30 kg/m2) and normal-weight individuals (BMI <25 kg/m2). Mean ratios of hypothalamus:white matter for BPA, BPF and ClBPA were 1.5, 0.92, 0.95, respectively, suggesting no preferential accumulation of the bisphenols in the grey matter (hypothalamic) or white matter-enriched brain areas. We observed differences in hypothalamic concentrations among the bisphenols, with highest median level detected for ClBPA (median: 2.4 ng/g), followed by BPF (2.2 ng/g) and BPA (1.2 ng/g); similar ranking was observed for the white matter samples (median for: ClBPA-2.5 ng/g, BPF-2.3 ng/g, and BPA-1.0 ng/g). Furthermore, all bisphenol concentrations, except for white-matter BPF were associated with obesity (p < 0.05). This is the first study reporting the presence of bisphenols in two distinct regions of the human brain. Bisphenols accumulation in the white matter-enriched brain tissue could signify that they are able to cross the blood brain barrier. PMID- 29844502 TI - Characterizing co-expression networks underpinning maize stalk rot virulence in Fusarium verticillioides through computational subnetwork module analyses. AB - Fusarium verticillioides is recognized as an important stalk rot pathogen of maize worldwide, but our knowledge of genetic mechanisms underpinning this pathosystem is limited. Previously, we identified a striatin-like protein Fsr1 that plays an important role in stalk rot. To further characterize transcriptome networks downstream of Fsr1, we performed next-generation sequencing (NGS) to investigate relative read abundance and also to infer co-expression networks utilizing the preprocessed expression data through partial correlation. We used a probabilistic pathway activity inference strategy to identify functional subnetwork modules likely involved in virulence. Each subnetwork modules consisted of multiple correlated genes with coordinated expression patterns, but the collective activation levels were significantly different in F. verticillioides wild type versus fsr1 mutant. We also identified putative hub genes from predicted subnetworks for functional validation and network robustness studies through mutagenesis, virulence and qPCR assays. Our results suggest that these genes are important virulence genes that regulate the expression of closely correlated genes, demonstrating that these are important hubs of their respective subnetworks. Lastly, we used key F. verticillioides virulence genes to computationally predict a subnetwork of maize genes that potentially respond to fungal genes by applying cointegration-correlation-expression strategy. PMID- 29844503 TI - Fluorescent impurity emitter in toluene and its photon emission properties. AB - Single fluorescent emitters like colloidal quantum dots or single molecules are usually prepared in solutions and spin-coated onto cover glasses for studying. Toluene has been a widely used solvent in such studies. Here, we report on a fluorescent impurity emitter contained in toluene and its optical properties. The emission spectra of the single emitters show multiple peaks with the main peak varying from 2.03 eV (610 nm) to 2.14 eV (580 nm) and a red-shifted side peak with an average separation of 167 meV from the main peak. The emitted photons show a strong anti-bunching with a fluorescence lifetime of a few nanoseconds. They show very fast blinking behavior which cannot be properly detected by time trajectory of photoluminescence intensity. An analysis based on the second-order correlation functions reveals that a three-level model can explain our measurements well and that the blinking transition time ranges only a few tens of microseconds. This single emitter in toluene is clearly distinguished from the fluorescent centers in the cover glass by their respective emission spectra. The single emitters in the cover glass also exhibit fast blinking behavior. These background emitters should be carefully identified and distinguished while studying the single fluorescent emitters. PMID- 29844504 TI - Influence of Household Water Filters on Bacteria Growth and Trace Metals in Tap Water of Doha, Qatar. AB - Deteriorating water quality from aging infrastructure, growing threat of pollution from industrialization and urbanization, and increasing awareness about waterborne diseases are among the factors driving the surge in worldwide use of point-of-entry (POE) and point-of-use (POU) filters. Any adverse influence of such consumer point-of-use systems on quality of water at the tap remains poorly understood, however. We determined the chemical and microbiological changes in municipal water from the point of entry into the household plumbing system until it leaves from the tap in houses equipped with filters. We show that POE/POU devices can induce significant deterioration of the quality of tap water by functioning as traps and reservoirs for sludge, scale, rust, algae or slime deposits which promote microbial growth and biofilm formation in the household water distribution system. With changes in water pressure and physical or chemical disturbance of the plumbing system, the microorganisms and contaminants may be flushed into the tap water. Such changes in quality of household water carry a potential health risk which calls for some introspection in widespread deployment of POE/POU filters in water distribution systems. PMID- 29844505 TI - Phospholipid homeostasis, membrane tenacity and survival of Mtb in lipid rich conditions is determined by MmpL11 function. AB - The mycobacterial cell wall is a chemically complex array of molecular entities that dictate the pathogenesis of Mycobacterium tuberculosis. Biosynthesis and maintenance of this dynamic entity in mycobacterial physiology is still poorly understood. Here we demonstrate a requirement for M. tuberculosis MmpL11 in the maintenance of the cell wall architecture and stability in response to surface stress. In the presence of a detergent like Tyloxapol, a mmpL11 deletion mutant suffered from a severe growth attenuation as a result of altered membrane polarity, permeability and severe architectural damages. This mutant failed to tolerate permissible concentrations of cis-fatty acids suggesting its increased sensitivity to surface stress, evident as smaller colonies of the mutant outgrown from lipid rich macrophage cultures. Additionally, loss of MmpL11 led to an altered cellular fatty acid flux in the mutant: reduced incorporation into membrane cardiolipin was associated with an increased flux into the cellular triglyceride pool. This increase in storage lipids like triacyl glycerol (TAG) was associated with the altered metabolic state of higher dormancy-associated gene expression and decreased sensitivity to frontline TB drugs. This study provides a detailed mechanistic insight into the function of mmpL11 in stress adaptation of mycobacteria. PMID- 29844506 TI - Increased glutarate production by blocking the glutaryl-CoA dehydrogenation pathway and a catabolic pathway involving L-2-hydroxyglutarate. AB - Glutarate is a five carbon platform chemical produced during the catabolism of L lysine. It is known that it can be catabolized through the glutaryl-CoA dehydrogenation pathway. Here, we discover that Pseudomonas putida KT2440 has an additional glutarate catabolic pathway involving L-2-hydroxyglutarate (L-2-HG), an abnormal metabolite produced from 2-ketoglutarate (2-KG). In this pathway, CsiD, a Fe2+/2-KG-dependent glutarate hydroxylase, is capable of converting glutarate into L-2-HG, and LhgO, an L-2-HG oxidase, can catalyze L-2-HG into 2 KG. We construct a recombinant strain that lacks both glutarate catabolic pathways. It can produce glutarate from L-lysine with a yield of 0.85 mol glutarate/mol L-lysine. Thus, L-2-HG anabolism and catabolism is a metabolic alternative to the glutaryl-CoA dehydrogenation pathway in P. putida KT2440; L lysine can be both ketogenic and glucogenic. PMID- 29844507 TI - Alcohol use effects on adolescent brain development revealed by simultaneously removing confounding factors, identifying morphometric patterns, and classifying individuals. AB - Group analysis of brain magnetic resonance imaging (MRI) metrics frequently employs generalized additive models (GAM) to remove contributions of confounding factors before identifying cohort specific characteristics. For example, the National Consortium on Alcohol and NeuroDevelopment in Adolescence (NCANDA) used such an approach to identify effects of alcohol misuse on the developing brain. Here, we hypothesized that considering confounding factors before group analysis removes information relevant for distinguishing adolescents with drinking history from those without. To test this hypothesis, we introduce a machine-learning model that identifies cohort-specific, neuromorphometric patterns by simultaneously training a GAM and generic classifier on macrostructural MRI and microstructural diffusion tensor imaging (DTI) metrics and compare it to more traditional group analysis and machine-learning approaches. Using a baseline NCANDA MR dataset (N = 705), the proposed machine learning approach identified a pattern of eight brain regions unique to adolescents who misuse alcohol. Classifying high-drinking adolescents was more accurate with that pattern than using regions identified with alternative approaches. The findings of the joint model approach thus were (1) impartial to confounding factors; (2) relevant to drinking behaviors; and (3) in concurrence with the alcohol literature. PMID- 29844508 TI - An alpha-1,6-and alpha-1,3-linked glucan produced by Leuconostoc citreum ABK-1 alternansucrase with nanoparticle and film-forming properties. AB - Alternansucrase catalyses the sequential transfer of glucose residues from sucrose onto another sucrose molecule to form a long chain polymer, known as "alternan". The alternansucrase-encoding gene from Leuconostoc citreum ABK-1 (Lcalt) was successfully cloned and expressed in Escherichia coli. Lcalt encoded LcALT of 2,057 amino acid residues; the enzyme possessed an optimum temperature and pH of 40 degrees C and 5.0, respectively, and its' activity was stimulated up to 2.4-fold by the presence of Mn2+. Kinetic studies of LcALT showed a high transglycosylation activity, with Km 32.2 +/- 3.2 mM and kcat 290 +/- 12 s-1. Alternan generated by LcALT (Lc-alternan) harbours partially alternating alpha 1,6 and alpha- 1,3 glycosidic linkages confirmed by NMR spectroscopy, methylation analysis, and partial hydrolysis of Lc-alternan products. In contrast to previously reported alternans, Lc-alternan can undergo self-assembly, forming nanoparticles with an average size of 90 nm in solution. At concentrations above 15% (w/v), Lc-alternan nanoparticles disassemble and form a high viscosity solution, while this polymer forms a transparent film once dried. PMID- 29844509 TI - Rapid and Efficient FISH using Pre-Labeled Oligomer Probes. AB - Fluorescence in situ hybridization (FISH) is used to visualize the distribution of DNA elements within a genome. Conventional methods for FISH take 1-2 days. Here, we developed a simplified, rapid FISH technique using pre-labeled oligonucleotide probes (PLOPs) and tested the procedure using 18 PLOPs from 45S and 5S rDNA, Arabidopsis-type telomere, and newly-identified Panax ginseng specific tandem repeats. The 16 developed rDNA PLOPs can be universally applied to plants and animals. The telomere PLOPs can be utilized in most plants with Arabidopsis-type telomeres. The ginseng-specific PLOP can be used to distinguish P. ginseng from related Panax species. Differential labeling of PLOPs allowed us to simultaneously visualize different target loci while reducing the FISH hybridization time from ~16 h to 5 min. PLOP-FISH is efficient, reliable, and rapid, making it ideal for routine analysis, especially of newly sequenced genomes using either universal or specific targets, such as novel tandem repeats identified from whole-genome sequencing data. PMID- 29844510 TI - Hydrogen cyanide produced by the soil bacterium Chromobacterium sp. Panama contributes to mortality in Anopheles gambiae mosquito larvae. AB - Mosquito larvae continuously encounter microbes in their aquatic environment, which serve as food and play a critical role in successful development. In previous work, we isolated a Chromobacterium sp. (C.sp_P) with larvicidal activity from the midgut of dengue vector Aedes mosquitoes in Panama. In this study, we found a positive correlation between initial concentrations of C.sp_P and larval mortality rates, and that C.sp_P is more efficient at inducing larval mortality in a high nutrient environment. Multiple Chromobacterium species induce larval mortality with similar efficacy to C.sp_P except for C. subtsugae. We also found that a non-lethal dose of C.sp_P lengthens development time and increases mortality over multiple developmental stages, suggesting persistent effects of exposure. Additionally, we showed that larvicidal activity persists in the larval breeding water after removal of live bacteria, and that the larvicidal factor in C.sp_P-treated water is smaller than 3 kDa, heat resistant to 90 degrees C, and lost after vacuum centrifugation. We showed that C.sp_P produces hydrogen cyanide in culture and in larval water at concentrations sufficient to kill An. gambiae larvae, and treatment of the larval water with a cyanide antidote eliminated larvicidal activity. We conclude that a potential mechanism by which C.sp_P can induce larval mortality is via production of hydrogen cyanide. PMID- 29844511 TI - Cancer Characteristic Gene Selection via Sample Learning Based on Deep Sparse Filtering. AB - Identification of characteristic genes associated with specific biological processes of different cancers could provide insights into the underlying cancer genetics and cancer prognostic assessment. It is of critical importance to select such characteristic genes effectively. In this paper, a novel unsupervised characteristic gene selection method based on sample learning and sparse filtering, Sample Learning based on Deep Sparse Filtering (SLDSF), is proposed. With sample learning, the proposed SLDSF can better represent the gene expression level by the transformed sample space. Most unsupervised characteristic gene selection methods did not consider deep structures, while a multilayer structure may learn more meaningful representations than a single layer, therefore deep sparse filtering is investigated here to implement sample learning in the proposed SLDSF. Experimental studies on several microarray and RNA-Seq datasets demonstrate that the proposed SLDSF is more effective than several representative characteristic gene selection methods (e.g., RGNMF, GNMF, RPCA and PMD) for selecting cancer characteristic genes. PMID- 29844512 TI - Multilayer Aggregation with Statistical Validation: Application to Investor Networks. AB - Multilayer networks are attracting growing attention in many fields, including finance. In this paper, we develop a new tractable procedure for multilayer aggregation based on statistical validation, which we apply to investor networks. Moreover, we propose two other improvements to their analysis: transaction bootstrapping and investor categorization. The aggregation procedure can be used to integrate security-wise and time-wise information about investor trading networks, but it is not limited to finance. In fact, it can be used for different applications, such as gene, transportation, and social networks, were they inferred or observable. Additionally, in the investor network inference, we use transaction bootstrapping for better statistical validation. Investor categorization allows for constant size networks and having more observations for each node, which is important in the inference especially for less liquid securities. Furthermore, we observe that the window size used for averaging has a substantial effect on the number of inferred relationships. We apply this procedure by analyzing a unique data set of Finnish shareholders during the period 2004-2009. We find that households in the capital have high centrality in investor networks, which, under the theory of information channels in investor networks suggests that they are well-informed investors. PMID- 29844513 TI - Associations of passive muscle stiffness, muscle stretch tolerance, and muscle slack angle with range of motion: individual and sex differences. AB - Joint range of motion (ROM) is an important parameter for athletic performance and muscular injury risk. Nonetheless, a complete description of muscular factors influencing ROM among individuals and between men and women is lacking. We examined whether passive muscle stiffness (evaluated by angle-specific muscle shear modulus), tolerance to muscle stretch (evaluated by muscle shear modulus at end-ROM), and muscle slack angle of the triceps surae are associated with the individual variability and sex difference in dorsiflexion ROM, using ultrasound shear wave elastography. For men, ROM was negatively correlated to passive muscle stiffness of the medial and lateral gastrocnemius in a tensioned state and positively to tolerance to muscle stretch in the medial gastrocnemius. For women, ROM was only positively correlated to tolerance to muscle stretch in all muscles but not correlated to passive muscle stiffness. Muscle slack angle was not correlated to ROM in men and women. Significant sex differences were observed only for dorsiflexion ROM and passive muscle stiffness in a tensioned state. These findings suggest that muscular factors associated with ROM are different between men and women. Furthermore, the sex difference in dorsiflexion ROM might be attributed partly to that in passive muscle stiffness of plantar flexors. PMID- 29844514 TI - Characterization of Papaya ringspot virus isolates infecting transgenic papaya 'Huanong No.1' in South China. AB - In 2006, the release and cultivation of the genetically modified papaya cultivar 'Huanong No.1' successfully controlled the destructive papaya ringspot disease caused by Papaya ringspot virus (PRSV) in South China. However, some transgenic papaya plants from Guangdong and Hainan are found infected by PRSV. In this study, Field investigation was carried out and susceptible transgenic papaya samples were collected during 2012-2016. Twenty representative isolates were artificially inoculated into Cucurbita pepo and commercialised 'Huanong No.1' papaya, and results indicated that the plants showed obvious disease symptoms. Phylogenetic analysis of CP genes of 120 PRSV-infected isolates showed that PRSV can be divided into three groups. Isolates from Guangdong and Hainan belong to Group III, which is further divided into two subgroups. The isolates collected in this study have greatly diverged from the previously reported dominant strains Ys, Vb and Sm in South China, indicating that they belong to a new lineage. Further analysis showed a highly genetic differentiation between isolates, and 27.1% of the isolates were identified as recombinants on the basis of CP nucleotide sequences. These results indicate that the genetic variation of PRSV and the formation of the new virus lineage may explain the loss of transgenic papaya resistance in South China. PMID- 29844515 TI - Caldera unrest driven by CO2-induced drying of the deep hydrothermal system. AB - Interpreting volcanic unrest is a highly challenging and non-unique problem at calderas, since large hydrothermal systems may either hide or amplify the dynamics of buried magma(s). Here we use the exceptional ground displacement and geochemical datasets from the actively degassing Campi Flegrei caldera (Southern Italy) to show that ambiguities disappear when the thermal evolution of the deep hydrothermal system is accurately tracked. By using temperatures from the CO2-CH4 exchange of 13C and thermodynamic analysis of gas ascending in the crust, we demonstrate that after the last 1982-84 crisis the deep hydrothermal system evolved through supercritical conditions under the continuous isenthalpic inflow of hot CO2-rich gases released from the deep (~8 km) magma reservoir of regional size. This resulted in the drying of the base of the hot hydrothermal system, no more buffered along the liquid-vapour equilibrium, and excludes any shallow arrival of new magma, whose abundant steam degassing due to decompression would have restored liquid-vapour equilibrium. The consequent CO2-infiltration and progressive heating of the surrounding deforming rock volume cause the build-up of pore pressure in aquifers, and generate the striking temporal symmetry that characterizes the ongoing uplift and the post-1984 subsidence, both originated by the same but reversed deformation mechanism. PMID- 29844516 TI - A novel concept for dynamic adjustment of auditory space. AB - Traditionally, the auditory system is thought to serve reliable sound localization. Stimulus-history driven feedback circuits in the early binaural pathway, however, contradict this canonical concept and raise questions about their functional significance. Here we show that stimulus-history dependent changes in absolute space perception are poorly captured by the traditional labeled-line and hemispheric-difference models of auditory space coding. We therefore developed a new decoding model incorporating recent electrophysiological findings in which sound location is initially computed in both brain hemispheres independently and combined to yield a hemispherically balanced code. This model closely captures the observed absolute localization errors caused by stimulus history, and furthermore predicts a selective dilation and compression of perceptional space. These model predictions are confirmed by improvement and degradation of spatial resolution in human listeners. Thus, dynamic perception of auditory space facilitates focal sound source segregation at the expense of absolute sound localization, questioning existing concepts of spatial hearing. PMID- 29844517 TI - Beta and gamma human papillomaviruses in anal and genital sites among men: prevalence and determinants. AB - Data regarding the anogenital distribution of and type-specific concordance for cutaneous beta- and gamma-HPV types in men who have sex with women is limited and geographically narrow. Knowledge of determinants of anogenital detection of cutaneous HPV types in different regions is needed for better understanding of the natural history and transmission dynamics of HPV, and its potential role in the development of anogenital diseases. Genital and anal canal samples obtained from 554 Russian men were screened for 43 beta-HPVs and 29 gamma-HPVs, using a multiplex PCR combined with Luminex technology. Both beta- and gamma-HPVs were more prevalent in the anal (22.8% and 14.1%) samples than in the genital (16.8% and 12.3%) samples. Low overall and type-specific concordance for beta-HPVs (3.5% and 1.1%) and gamma-HPVs (1.3% and 0.6%) were observed between genital and anal samples. HIV-positive men had higher anal beta- (crude OR = 12.2, 95% CI: 5.3 28.1) and gamma-HPV (crude OR = 7.2, 95% CI: 3.3-15.4) prevalence than HIV negative men. Due to the lack of genital samples from the HIV-positive men, no comparison was possible for HIV status in genital samples. The lack of type specific positive concordance between genital and anal sites for cutaneous beta- and gamma-HPV types in heterosexual men posits the needs for further studies on transmission routes to discriminate between contamination and true HPV infection. HIV-positive status may favor the anal acquisition or modify the natural history of cutaneous HPV types. PMID- 29844518 TI - PCR-Stop analysis as a new tool for qPCR assay validation. AB - Progressively more qPCR assays have been developed in recent years in numerous fields of application. These assays are routinely validated using calibration curves, but essential validation per se such as Poisson analysis is frequently neglected. However, validation is crucial for determination of resolution and quantitative and qualitative limits. The new test method PCR-Stop analysis presented in this work investigates assay performance during initial qPCR cycles. PCRs with one to five pre-runs are performed while the subsequent main qPCR runs reflect pre-run replication rates. Ideally, DNA doubles according to pre-runs, there is no variation between replicates and qPCR starts immediately at the first cycle with its average efficiency. This study shows two exemplary qPCR assays, both with suitable calibration curves and efficiencies. We demonstrated thereby the benefits of PCR-Stop analysis revealing quantitative and qualitative resolution of both assays, the limits of one of those assays and thus avoiding misinterpretations in qPCR analysis. Furthermore, data displayed that a well performing assay starts indeed with its average efficiency. PMID- 29844519 TI - Pneumocystis jirovecii pneumonia in HIV-uninfected, rituximab treated non-Hodgkin lymphoma patients. AB - Rituximab is associated with a higher incidence of Pneumocystis jirovecii pneumonia infection. Pneumocystis prophylaxis is advised in many immunocompromised populations treated with rituximab. However, the beneficial effect of pneumocystis prophylaxis in HIV-uninfected, rituximab-treated non Hodgkin lymphoma (NHL) patients has not been assessed. Thus, we conducted this retrospective study to explore pneumocystis infection in HIV-uninfected NHL patients who received at least three courses of chemotherapy without haematopoietic stem cell transplantation using the Taiwan National Health Insurance Research Database. Patients who had rituximab-based chemotherapy were included in the experimental (rituximab) group, while the rest of the patients who did not receive any rituximab-based chemotherapy throughout the study period formed the control group. The prevalence rate of pneumocystis infection in the rituximab group (N = 7,554) was significantly higher than that in the control group (N = 4,604) (2.95% vs. 1.32%). The onset of pneumocystis infection occurred between 6 and 16 weeks after chemotherapy. Patients who had pneumocystis prophylaxis, whether or not they had a pneumocystis infection later in their treatment course, had significantly better first-year survival rates (73% vs. 38%). Regular pneumocystis prophylaxis should be considered in this group of patients. PMID- 29844520 TI - Generation and validation of homozygous fluorescent knock-in cells using CRISPR Cas9 genome editing. AB - Gene tagging with fluorescent proteins is essential for investigations of the dynamic properties of cellular proteins. CRISPR-Cas9 technology is a powerful tool for inserting fluorescent markers into all alleles of the gene of interest (GOI) and allows functionality and physiological expression of the fusion protein. It is essential to evaluate such genome-edited cell lines carefully in order to preclude off-target effects caused by (i) incorrect insertion of the fluorescent protein, (ii) perturbation of the fusion protein by the fluorescent proteins or (iii) nonspecific genomic DNA damage by CRISPR-Cas9. In this protocol, we provide a step-by-step description of our systematic pipeline to generate and validate homozygous fluorescent knock-in cell lines.We have used the paired Cas9D10A nickase approach to efficiently insert tags into specific genomic loci via homology-directed repair (HDR) with minimal off-target effects. It is time-consuming and costly to perform whole-genome sequencing of each cell clone to check for spontaneous genetic variations occurring in mammalian cell lines. Therefore, we have developed an efficient validation pipeline of the generated cell lines consisting of junction PCR, Southern blotting analysis, Sanger sequencing, microscopy, western blotting analysis and live-cell imaging for cell cycle dynamics. This protocol takes between 6 and 9 weeks. With this protocol, up to 70% of the targeted genes can be tagged homozygously with fluorescent proteins, thus resulting in physiological levels and phenotypically functional expression of the fusion proteins. PMID- 29844521 TI - In vivo imaging and analysis of cerebrovascular hemodynamic responses and tissue oxygenation in the mouse brain. AB - Cerebrovascular dysfunction has an important role in the pathogenesis of multiple brain disorders. Measurement of hemodynamic responses in vivo can be challenging, particularly as techniques are often not described in sufficient detail and vary between laboratories. We present a set of standardized in vivo protocols that describe high-resolution two-photon microscopy and intrinsic optical signal (IOS) imaging to evaluate capillary and arteriolar responses to a stimulus, regional hemodynamic responses, and oxygen delivery to the brain. The protocol also describes how to measure intrinsic NADH fluorescence to understand how blood O2 supply meets the metabolic demands of activated brain tissue, and to perform resting-state absolute oxygen partial pressure (pO2) measurements of brain tissue. These methods can detect cerebrovascular changes at far higher resolution than MRI techniques, although the optical nature of these techniques limits their achievable imaging depths. Each individual procedure requires 1-2 h to complete, with two to three procedures typically performed per animal at a time. These protocols are broadly applicable in studies of cerebrovascular function in healthy and diseased brain in any of the existing mouse models of neurological and vascular disorders. All these procedures can be accomplished by a competent graduate student or experienced technician, except the two-photon measurement of absolute pO2 level, which is better suited to a more experienced, postdoctoral level researcher. PMID- 29844523 TI - Quantitative mapping of fluorescently tagged cellular proteins using FCS calibrated four-dimensional imaging. AB - The ability to tag a protein at its endogenous locus with a fluorescent protein (FP) enables quantitative understanding of protein dynamics at the physiological level. Genome-editing technology has now made this powerful approach routinely applicable to mammalian cells and many other model systems, thereby opening up the possibility to systematically and quantitatively map the cellular proteome in four dimensions. 3D time-lapse confocal microscopy (4D imaging) is an essential tool for investigating spatial and temporal protein dynamics; however, it lacks the required quantitative power to make the kind of absolute and comparable measurements required for systems analysis. In contrast, fluorescence correlation spectroscopy (FCS) provides quantitative proteomic and biophysical parameters such as protein concentration, hydrodynamic radius, and oligomerization but lacks the capability for high-throughput application in 4D spatial and temporal imaging. Here we present an automated experimental and computational workflow that integrates both methods and delivers quantitative 4D imaging data in high throughput. These data are processed to yield a calibration curve relating the fluorescence intensities (FIs) of image voxels to the absolute protein abundance. The calibration curve allows the conversion of the arbitrary FIs to protein amounts for all voxels of 4D imaging stacks. Using our workflow, users can acquire and analyze hundreds of FCS-calibrated image series to map their proteins of interest in four dimensions. Compared with other protocols, the current protocol does not require additional calibration standards and provides an automated acquisition pipeline for FCS and imaging data. The protocol can be completed in 1 d. PMID- 29844522 TI - Revealing the architecture of protein complexes by an orthogonal approach combining HDXMS, CXMS, and disulfide trapping. AB - Many cellular functions necessitate structural assemblies of two or more associated proteins. The structural characterization of protein complexes using standard methods, such as X-ray crystallography, is challenging. Herein, we describe an orthogonal approach using hydrogen-deuterium-exchange mass spectrometry (HDXMS), cross-linking mass spectrometry (CXMS), and disulfide trapping to map interactions within protein complexes. HDXMS measures changes in solvent accessibility and hydrogen bonding upon complex formation; a decrease in HDX rate could account for newly formed intermolecular or intramolecular interactions. To distinguish between inter- and intramolecular interactions, we use a CXMS method to determine the position of direct interface regions by trapping intermolecular residues in close proximity to various cross-linkers (e.g., disuccinimidyl adipate (DSA)) of different lengths and reactive groups. Both MS-based experiments are performed on high-resolution mass spectrometers (e.g., an Orbitrap Elite hybrid mass spectrometer). The physiological relevance of the interactions identified through HDXMS and CXMS is investigated by transiently co-expressing cysteine mutant pairs, one mutant on each protein at the discovered interfaces, in an appropriate cell line, such as HEK293. Disulfide trapped protein complexes are formed within cells spontaneously or are facilitated by addition of oxidation reagents such as H2O2 or diamide. Western blotting analysis, in the presence and absence of reducing reagents, is used to determine whether the disulfide bonds are formed in the proposed complex interface in physiologically relevant milieus. The procedure described here requires 1-2 months. We demonstrate this approach using the beta2-adrenergic receptor-beta-arrestin1 complex as the model system. PMID- 29844524 TI - High-throughput microsphiltration to assess red blood cell deformability and screen for malaria transmission-blocking drugs. AB - The mechanical retention of rigid erythrocytes in the spleen is central in major hematological diseases such as hereditary spherocytosis, sickle-cell disease and malaria. Here, we describe the use of microsphiltration (microsphere filtration) to assess erythrocyte deformability in hundreds to thousands of samples in parallel, by filtering them through microsphere layers in 384-well plates adapted for the discovery of compounds that stiffen Plasmodium falciparum gametocytes, with the aim of interrupting malaria transmission. Compound-exposed gametocytes are loaded into microsphiltration plates, filtered and then transferred to imaging plates for analysis. High-content imaging detects viable gametocytes upstream and downstream from filters and quantifies spleen-like retention. This screening assay takes 3-4 d. Unlike currently available methods used to assess red blood cell (RBC) deformability, microsphiltration enables high-throughput pharmacological screening (tens of thousands of compounds tested in a matter of months) and involves a cell mechanical challenge that induces a physiologically relevant dumbbell-shape deformation. It therefore directly assesses the ability of RBCs to cross inter-endothelial splenic slits in vivo. This protocol has potential applications in quality control for transfusion and in determination of phenotypic markers of erythrocytes in hematological diseases. PMID- 29844525 TI - Copy-number analysis and inference of subclonal populations in cancer genomes using Sclust. AB - The genomes of cancer cells constantly change during pathogenesis. This evolutionary process can lead to the emergence of drug-resistant mutations in subclonal populations, which can hinder therapeutic intervention in patients. Data derived from massively parallel sequencing can be used to infer these subclonal populations using tumor-specific point mutations. The accurate determination of copy-number changes and tumor impurity is necessary to reliably infer subclonal populations by mutational clustering. This protocol describes how to use Sclust, a copy-number analysis method with a recently developed mutational clustering approach. In a series of simulations and comparisons with alternative methods, we have previously shown that Sclust accurately determines copy-number states and subclonal populations. Performance tests show that the method is computationally efficient, with copy-number analysis and mutational clustering taking <10 min. Sclust is designed such that even non-experts in computational biology or bioinformatics with basic knowledge of the Linux/Unix command-line syntax should be able to carry out analyses of subclonal populations. PMID- 29844526 TI - Guiding biomedical clustering with ClustEval. AB - Clustering is a popular technique for discovering groups of similar objects in large datasets. It is nowadays applied in all areas of life sciences, from biomedicine to physics. However, designing high-quality cluster analyses is a tedious and complicated task with manifold choices along the way. As a cluster analysis is often the first step of a succeeding downstream analysis, the clustering must be reliable, reproducible, and of the highest quality. To address these challenges, we recently developed ClustEval, an integrated and extensible platform for the automated and standardized design and execution of complex cluster analyses. It allows researchers to design and carry out cluster analyses involving a large number of clustering methods applied to many, large datasets. ClustEval helps to shed light on all major aspects of cluster analysis, from choosing the right similarity function to using validity indices and data preprocessing protocols. Only this high degree of automation allows the researcher to easily run a clustering task with many different tools, parameters, and settings in order to gain the best possible outcome. In this paper, we guide the user step by step through three fundamentally important and widely applicable use cases: (i) identification of the best clustering method for a new, user-given protein sequence similarity dataset; (ii) evaluation of the performance of a new, user-given clustering method (densityCut) against the state of the art; and (iii) prediction of the best method for a new protein sequence similarity dataset. This protocol guides the user through the most important features of ClustEval and takes ~4 h to complete. PMID- 29844527 TI - Novel Dual-band Band-Pass Filters Based on Surface Plasmon Polariton-like Propagation Induced by Structural Dispersion of Substrate Integrated Waveguide. AB - In this paper, we present two novel dual-band bandpass filters based on surface plasmon polariton-like (SPP-like) propagation induced by structural dispersion of substrate integrated waveguide (SIW). Both filters are realized as a three-layer SIW where each layer represents a sub-SIW structure with intrinsic effective permittivity that depends on its width and filling dielectric material. The layers are designed to have effective permittivities of opposite signs in certain frequency ranges, which enables SPP-like propagation to occur at their interfaces. Since three layers can provide two distinct SPP-like propagations, the filters exhibit dual-band behaviour. A detailed theoretical and numerical analysis and numerical optimization have been used to design the filters, which were afterwards fabricated using standard printed circuit board technology. The independent choice of geometrical parameters of sub-SIWs and/or the corresponding dielectric materials provide a great freedom to arbitrarily position the passbands in the spectrum, which is a significant advantage of the proposed filters. At the same time, they meet the requirements for low-cost low-profile configuration since they are realized as SIW structures, as well as for excellent in-band characteristics and selectivity which is confirmed by the measurement results. PMID- 29844528 TI - Impact of genetics on third molar agenesis. AB - The purpose of this investigation was to determine the impact of heritability on third molar agenesis in twins. The study sample consisted of 284 same sex twins (172 monozygotic and 112 dizygotic), whose mean ages were 19.7 +/- 4.3 and 18.9 +/- 4.8 years, respectively. The monozygotic group consisted of 36.3% males and 63.7% females, while the dizygotic group consisted of 50.1% males and 49.9% females. The zygosity of the twins was established using 15 specific DNA markers. The prevalence of third molar agenesis in monozygotic twins was 19.6%, which was higher than in the dizygotic twins group (15.50%) (p = 0.004). In both groups, third molar agenesis was more frequent in the maxilla than in the mandible (p = 0.000). Agenesis of the maxillary third molars was mostly affected by additive genetic factors (62-63%), with the common environment and the specific environment accounting for up to 25% and 13%, respectively. In contrast, agenesis of the lower third molars was associated with a higher additive genetic determination (81-83%), with the specific environment accounting for 17% to 19%. The study's conclusion is that the formation of the third molars follicle is strongly controlled by additive genetic factors. PMID- 29844529 TI - Daily morning light therapy is associated with an increase in choroidal thickness in healthy young adults. AB - Ambient light exposure is one environmental factor thought to play a role in the regulation of eye growth and refractive error development, and choroidal thickness changes have also been linked to longer term changes in eye growth. Therefore in this study we aimed to examine the influence of a 1-week period of morning light therapy upon choroidal thickness. Twenty two healthy young adult subjects had a series of macular choroidal thickness measurements collected with spectral domain optical coherence tomography before, and then following a 7-day period of increased daily light exposure. Increased light exposure was delivered through the use of commercially available light therapy glasses, worn for 30 minutes in the morning each day. A significant increase in subfoveal choroidal thickness (mean increase of +5.4 +/- 10.3 um) was found following 7-days of increased daily light exposure (p = 0.02). An increase in choroidal thickness was also observed associated with light therapy across the central 5 mm macular region. This study provides the first evidence in the human eye that daily morning light therapy results in small magnitude but statistically significant increases in choroidal thickness. These changes may have implications for our understanding of the impact of environmental factors upon eye growth. PMID- 29844530 TI - A non-invasive approach to estimate the energetic requirements of an increasing seabird population in a perturbed marine ecosystem. AB - There is a growing desire to integrate the food requirements of predators living in marine ecosystems impacted by humans into sustainable fisheries management. We used non-invasive video-recording, photography and focal observations to build time-energy budget models and to directly estimate the fish mass delivered to chicks by adult greater crested terns Thalasseus bergii breeding in the Benguela ecosystem. Mean modelled adult daily food intake increased from 140.9 g.d-1 of anchovy Engraulis capensis during incubation to 171.7 g.d-1 and 189.2 g.d-1 when provisioning small and large chicks, respectively. Modelled prey intake expected to be returned to chicks was 58.3 g.d-1 (95% credible intervals: 44.9-75.8 g.d-1) over the entire growth period. Based on our observations, chicks were fed 19.9 g.d-1 (17.2-23.0 g.d-1) to 45.1 g.d-1 (34.6-58.7 g.d-1) of anchovy during early and late provisioning, respectively. Greater crested terns have lower energetic requirements at the individual (range: 15-34%) and population level (range: 1-7%) than the other Benguela endemic seabirds that feed on forage fish. These modest requirements - based on a small body size and low flight costs - coupled with foraging plasticity have allowed greater crested terns to cope with changing prey availability, unlike the other seabirds species using the same exploited prey base. PMID- 29844532 TI - Optimization of Transcranial Direct Current Stimulation of Dorsolateral Prefrontal Cortex for Tinnitus: A Non-Linear Dose-Response Effect. AB - Neuromodulation is defined as the process of augmenting neuroplasticity via invasive or non-invasive methods. Tinnitus is the perception of sound in the absence of its external source. The objective of this study was to optimize the parameters of transcranial direct current stimulation (tDCS) of dorsolateral prefrontal cortex (DLPFC) for tinnitus suppression. The following factors were optimized in the dose-response design (n = 111): current intensity (1.5 mA or 2 mA), stimulation duration (20 min or 30 min), and number of stimulation sessions (2, 4, 6, 8, or 10), with a 3-4 day washout period between each session. Participants underwent a minimum of 2 sessions in 1 week or maximum of 10 sessions in 5 weeks' time. Tinnitus loudness was measured in pre-post design using a 10-point numeric rating scale. There was a significant reduction in tinnitus loudness after tDCS of DLPFC. There was no significant difference between the intensity and duration of stimulation. As the number of sessions increased, there was a higher reduction in the tinnitus loudness; however, this effect plateaued after 6 sessions. PMID- 29844531 TI - A qualitative proteome-wide lysine crotonylation profiling of papaya (Carica papaya L.). AB - Lysine crotonylation of histone proteins is a recently-identified post translational modification with multiple cellular functions. However, no information about lysine crotonylation of non-histone proteins in fruit cells is available. Using high-resolution LC-MS/MS coupled with highly sensitive immune affinity antibody analysis, a global crotonylation proteome analysis of papaya fruit (Carica papaya L.) was performed. In total, 2,120 proteins with 5,995 lysine crotonylation sites were discovered, among which eight conserved motifs were identified. Bioinformatic analysis linked crotonylated proteins to multiple metabolic pathways, including biosynthesis of antibiotics, carbon metabolism, biosynthesis of amino acids, and glycolysis. particularly, 40 crotonylated enzymes involved in various pathways of amino acid metabolism were identified, suggesting a potential conserved function for crotonylation in the regulation of amino acid metabolism. Numerous crotonylation sites were identified in proteins involved in the hormone signaling and cell wall-related pathways. Our comprehensive crotonylation proteome indicated diverse functions for lysine crotonylation in papaya. PMID- 29844533 TI - Quantum entanglement of a harmonic oscillator with an electromagnetic field. AB - At present, there are many methods for obtaining quantum entanglement of particles with an electromagnetic field. Most methods have a low probability of quantum entanglement and not an exact theoretical apparatus based on an approximate solution of the Schrodinger equation. There is a need for new methods for obtaining quantum-entangled particles and mathematically accurate studies of such methods. In this paper, a quantum harmonic oscillator (for example, an electron in a magnetic field) interacting with a quantized electromagnetic field is considered. Based on the exact solution of the Schrodinger equation for this system, it is shown that for certain parameters there can be a large quantum entanglement between the electron and the electromagnetic field. Quantum entanglement is analyzed on the basis of a mathematically exact expression for the Schmidt modes and the Von Neumann entropy. PMID- 29844534 TI - Evaluation of psychological stress in confined environments using salivary, skin, and facial image parameters. AB - Detecting the influence of psychological stress is particularly important in prolonged space missions. In this study, we determined potential markers of psychological stress in a confined environment. We examined 23 Japanese subjects staying for 2 weeks in a confined facility at Tsukuba Space Center, measuring salivary, skin, and facial image parameters. Saliva was collected at four points in a single day to detect diurnal variation. Increases in salivary cortisol were detected after waking up on the 4th and 11th days, and at 15:30 on the 1st and in the second half of the stay. Transepidermal water loss (TEWL) and sebum content of the skin were higher compared with outside the facility on the 4th and 1st days respectively. Increased IL-1beta in the stripped stratum corneum was observed on the 14th day, and 7 days after leaving. Differences in facial expression symmetry at the time of facial expression changes were observed on 11th and 14th days. Thus, we detected a transition of psychological stress using salivary cortisol profiles and skin physiological parameters. The results also suggested that IL-1beta in the stripped stratum corneum and facial expression symmetry are possible novel markers for conveniently detecting psychological stress. PMID- 29844535 TI - Responses to salinity stress in bivalves: Evidence of ontogenetic changes in energetic physiology on Cerastoderma edule. AB - Estuarine bivalves are especially susceptible to salinity fluctuations. Stage specific sensibilities may influence the structure and spatial distribution of the populations. Here we investigate differences on the energetic strategy of thread drifters (3-4 mm) and sedentary settlers (9-10 mm) of Cerastoderma edule over a wide range of salinities. Several physiological indicators (clearance, respiration and excretion rates, O:N) were measured during acute (2 days) and acclimated responses (7 days of exposure) for both size classes. Our results revealed a common lethal limit for both developmental stages (Salinity 15) but a larger physiological plasticity of thread drifters than sedentary settlers. Acclimation processes in drifters were initiated after 2 days of exposure and they achieved complete acclimation by day 7. Sedentary settlers delay acclimation and at day 7 feeding activity had not resumed and energetic losses through respiration and excretion were higher at the lowest salinity treatment. Different responses facing salinity stress might be related to differences in habitat of each stage. For sedentary settlers which occupy relatively stable niches, energy optimisation include delaying the initiation of the energetically expensive acclimation processes while drifters which occupy less stable environments require a more flexible process which allow them to optimize energy acquisition as fast as possible. PMID- 29844536 TI - Injectable cartilaginous template transformed BMSCs into vascularized bone. AB - Regeneration of alveolar bone for dental implant remains a major issue, partifcularly for patients suffering from severe bone adsorption and irregular socket trauma. Recapitulating embryological development is becoming an attractive approach for engineer organ or three-dimensional tissues from stem cells. In this study, we aimed to develop an injectable "cartilaginous" graft with adequate mechanical resistance and ideal bone remodelling potential. The cartilaginous graft was composed of a particulate decellularised cartilage matrix (PDCM), chondrogenically primed bone mesenchymal stem cell (BMSC) bricks (CB), and enriched platelet-rich plasma (P) gel. In immunodeficient mice, we found that angiogenesis occurred quickly inside PDCM-CB-P constructs after implantation, thereby improving tissue survival and bone formation. In rabbit tibia bone defects around implants, we confirmed that CBs not only transformed into bone tissue rapidly, but also significantly promoted bone remodelling and replacement of PDCM, thus realising osseointegration of dental implants within 3 months. In conclusion, CBs exhibited the potential for endochondral ossification in vivo, and application of a cartilaginous template composed of PDCM, CB, and P provided a minimally-invasive, "free material residual" approach to regenerate alveolar bone tissues in vivo. This method could have applications in peri-implant bone regeneration. PMID- 29844537 TI - Computing Mathematical Functions using DNA via Fractional Coding. AB - This paper discusses the implementation of mathematical functions such as exponentials, trigonometric functions, the sigmoid function and the perceptron function with molecular reactions in general, and DNA strand displacement reactions in particular. The molecular constructs for these functions are predicated on a novel representation for input and output values: a fractional encoding, in which values are represented by the relative concentrations of two molecular types, denoted as type-1 and type-0. This representation is inspired by a technique from digital electronic design, termed stochastic logic, in which values are represented by the probability of 1's in a stream of randomly generated 0's and 1's. Research in the electronic realm has shown that a variety of complex functions can be computed with remarkably simple circuitry with this stochastic approach. This paper demonstrates how stochastic electronic designs can be translated to molecular circuits. It presents molecular implementations of mathematical functions that are considerably more complex than any shown to date. All designs are validated using mass-action simulations of the chemical kinetics of DNA strand displacement reactions. PMID- 29844538 TI - Chytridiomycosis causes catastrophic organism-wide metabolic dysregulation including profound failure of cellular energy pathways. AB - Chytridiomycosis is among several recently emerged fungal diseases of wildlife that have caused decline or extinction of naive populations. Despite recent advances in understanding pathogenesis, host response to infection remains poorly understood. Here we modelled a total of 162 metabolites across skin and liver tissues of 61 frogs from four populations (three long-exposed and one naive to the fungus) of the Australian alpine tree frog (Litoria verreauxii alpina) throughout a longitudinal exposure experiment involving both infected and negative control individuals. We found that chytridiomycosis dramatically altered the organism-wide metabolism of clinically diseased frogs. Chytridiomycosis caused catastrophic failure of normal homeostatic mechanisms (interruption of biosynthetic and degradation metabolic pathways), and pronounced dysregulation of cellular energy metabolism. Key intermediates of the tricarboxylic acid cycle were markedly depleted, including in particular alpha-ketoglutarate and glutamate that together constitute a key nutrient pathway for immune processes. This study was the first to apply a non-targeted metabolomics approach to a fungal wildlife disease and specifically to dissect the host-pathogen interface of Bd-infected frogs. The patterns of metabolite accumulation we have identified reveal whole body metabolic dysfunction induced by a fungal skin infection, and these findings have broad relevance for other fungal diseases. PMID- 29844539 TI - Broad distribution spectrum from Gaussian to power law appears in stochastic variations in RNA-seq data. AB - Gene expression levels exhibit stochastic variations among genetically identical organisms under the same environmental conditions. In many recent transcriptome analyses based on RNA sequencing (RNA-seq), variations in gene expression levels among replicates were assumed to follow a negative binomial distribution, although the physiological basis of this assumption remains unclear. In this study, RNA-seq data were obtained from Arabidopsis thaliana under eight conditions (21-27 replicates), and the characteristics of gene-dependent empirical probability density function (ePDF) profiles of gene expression levels were analyzed. For A. thaliana and Saccharomyces cerevisiae, various types of ePDF of gene expression levels were obtained that were classified as Gaussian, power law-like containing a long tail, or intermediate. These ePDF profiles were well fitted with a Gauss-power mixing distribution function derived from a simple model of a stochastic transcriptional network containing a feedback loop. The fitting function suggested that gene expression levels with long-tailed ePDFs would be strongly influenced by feedback regulation. Furthermore, the features of gene expression levels are correlated with their functions, with the levels of essential genes tending to follow a Gaussian-like ePDF while those of genes encoding nucleic acid-binding proteins and transcription factors exhibit long tailed ePDF. PMID- 29844540 TI - Synchrotron radiation reveals the identity of the large felid from Monte Argentario (Early Pleistocene, Italy). AB - We describe here a partial skull with associated mandible of a large felid from Monte Argentario, Italy (Early Pleistocene; ~1.5 million years). Propagation x ray phase-contrast synchrotron microtomography of the specimen, still partially embedded in the rock matrix, allows ascribing it reliably to Acinonyx pardinensis, one of the most intriguing extinct carnivorans of the Old World Plio Pleistocene. The analysis of images and 3D models obtained through synchrotron microtomography - here applied for the first time on a Plio-Pleistocene carnivoran - reveals a mosaic of cheetah-like and Panthera-like features, with the latter justifying previous attributions of the fossil to the extinct Eurasian jaguar Panthera gombaszoegensis. Similarly, we reassign to A. pardinensis some other Italian materials previously referred to P. gombaszoegensis (sites of Pietrafitta and Ellera di Corciano). The recognition of Panthera-like characters in A. pardinensis leads to reconsidering the ecological role of this species, whose hunting strategy was likely to be different from those of the living cheetah. Furthermore, we hypothesise that the high intraspecific variation in body size in A. pardinensis can be the result of sexual dimorphism, as observed today in all large-sized felids. PMID- 29844541 TI - Effects of parental acclimation and energy limitation in response to high CO2 exposure in Atlantic cod. AB - Ocean acidification (OA), the dissolution of excess anthropogenic carbon dioxide in ocean waters, is a potential stressor to many marine fish species. Whether species have the potential to acclimate and adapt to changes in the seawater carbonate chemistry is still largely unanswered. Simulation experiments across several generations are challenging for large commercially exploited species because of their long generation times. For Atlantic cod (Gadus morhua), we present first data on the effects of parental acclimation to elevated aquatic CO2 on larval survival, a fundamental parameter determining population recruitment. The parental generation in this study was exposed to either ambient or elevated aquatic CO2 levels simulating end-of-century OA levels (~1100 uatm CO2) for six weeks prior to spawning. Upon fully reciprocal exposure of the F1 generation, we quantified larval survival, combined with two larval feeding regimes in order to investigate the potential effect of energy limitation. We found a significant reduction in larval survival at elevated CO2 that was partly compensated by parental acclimation to the same CO2 exposure. Such compensation was only observed in the treatment with high food availability. This complex 3-way interaction indicates that surplus metabolic resources need to be available to allow a transgenerational alleviation response to ocean acidification. PMID- 29844542 TI - The analysis of MSTMOVCF (Multi-segment thoracolumbar mild osteoporotic fractures surgery or conservative treatment) based on ASTLOF (the assessment system of thoracolumbar osteoporotic fracture). AB - To investigate the issue that conservative or surgical treatment for multi segmental thoracolumbar mild osteoporotic vertebral compression fracture (MSTMOVCF) by applying the assessment system of thoracolumbar osteoporotic fracture (ASTLOF). A single-center prospective cohort study was designed to enroll elderly patients with MSTMOVCF from June 2013 to June 2016, which were divided into conservative and surgery group. The primary outcomes were Visual Analogue Scale (VAS) score and Oswestry Disability Index (ODI) score, with secondary outcomes including SF-36 and imaging measures such as height of anterior and middle column, Beck value, complications. A total of 470 patients with MSTMOVCF were enrolled. 193 patients underwent surgery of percutaneous vertebroplasty (PVP) or percutaneous kyphoplasty (PKP) and 277 patients underwent conservative treatment. The VAS score of operation group was significantly lower than that of conservative group (P < 0.0001, for all). The ODI score of the operation group was significantly lower than that of conservative group (P < 0.0001, for all). The SF-36 score, height of anterior and middle column, Beck value in the operation group were higher than those in conservative group (P < 0.0001, for all) at 1-year follow-up. MSTMOVCF underwent surgery can achieve great short-term clinical results. The patient with the sum of revised ASTLOF scores of multiple injured vertebrae >= 5 was recommended for surgery. PMID- 29844543 TI - Share of African American men going into medicine hits historic low. PMID- 29844544 TI - Muons: the little-known particles helping to probe the impenetrable. PMID- 29844545 TI - Rush to protect lucrative antibody patents kicks into gear. PMID- 29844546 TI - Fifty years since DNA repair was linked to cancer. PMID- 29844547 TI - Money for nothing: the truth about universal basic income. PMID- 29844548 TI - Making physics more inclusive. PMID- 29844550 TI - Huntington's disease. PMID- 29844549 TI - CRISPR takes on Huntington's disease. PMID- 29844551 TI - Living under the shadow of Huntington's disease. PMID- 29844552 TI - Piecing together the puzzle of Huntington's disease. PMID- 29844553 TI - When Huntington's disease comes early. PMID- 29844554 TI - Improved metrics for Huntington's disease trials. PMID- 29844555 TI - Huntington's disease: 4 big questions. PMID- 29844556 TI - How the gene behind Huntington's disease could be neutralized. PMID- 29844557 TI - The zest of Zhejiang. PMID- 29844562 TI - Brexit uncertainty threatens fusion-energy research. PMID- 29844563 TI - 'Reprogrammed' stem cells approved to mend human hearts for the first time. PMID- 29844564 TI - Stem-cell tests must show success. PMID- 29844565 TI - MicroRNA Expression Profiling in the Prefrontal Cortex: Putative Mechanisms for the Cognitive Effects of Adolescent High Fat Feeding. AB - The medial prefrontal cortex (mPFC), master regulator of higher-order cognitive functions, is the only brain region that matures until late adolescence. During this period, the mPFC is sensitive to stressful events or suboptimal nutrition. For instance, high-fat diet (HFD) feeding during adolescence markedly impairs prefrontal-dependent cognition. It also provokes multiple changes at the cellular and synaptic scales within the mPFC, suggesting that major transcriptional events are elicited by HFD during this maturational period. The nature of this transcriptional reprogramming remains unknown, but may include epigenetic processes, in particular microRNAs, known to directly regulate synaptic functions. We used high-throughput screening in the adolescent mouse mPFC and identified 38 microRNAs differentially regulated by HFD, in particular mir-30e 5p. We used a luciferase assay to confirm the functional effect of mir-30e-5p on a chosen target: Ephrin-A3. Using global pathway analyses of predicted microRNA targets, we identified biological pathways putatively affected by HFD. Axon guidance was the top-1 pathway, validated by identifying gene expression changes of axon guidance molecules following HFD. Our findings delineate major microRNA transcriptional reprogramming within the mPFC induced by adolescent HFD. These results will help understanding the contribution of microRNAs in the emergence of cognitive deficits following early-life environmental events. PMID- 29844567 TI - The Usage of Exon-Exon Splice Junctions for the Detection of Alternative Splicing using the REIDS model. AB - Alternative gene splicing is a common phenomenon in which a single gene gives rise to multiple transcript isoforms. The process is strictly guided and involves a multitude of proteins and regulatory complexes. Unfortunately, aberrant splicing events have been linked to genetic disorders. Therefore, understanding mechanisms of alternative splicing regulation and differences in splicing events between diseased and healthy tissues is crucial in advancing personalized medicine and drug developments. We propose a linear mixed model, Random Effects for the Identification of Differential Splicing (REIDS), for the identification of alternative splicing events using Human Transcriptome Arrays (HTA). For each exon, a splicing score is calculated based on two scores, an exon score and an array score. The junction information is used to rank the identified exons from strongly confident to less confident candidates for alternative splicing. The design of junctions was also discussed to highlight the complexity of exon-exon and exon-junction interactions. Based on a list of Rt-PCR validated probe sets, REIDS outperforms AltAnalyze and iGems in the % recall rate. PMID- 29844568 TI - Oxeiptosis-a cell death pathway to mitigate damage caused by radicals. PMID- 29844569 TI - Is oxidative stress MYC's Achilles heel? PMID- 29844570 TI - An androgen receptor negatively induced long non-coding RNA ARNILA binding to miR 204 promotes the invasion and metastasis of triple-negative breast cancer. AB - Androgen receptor (AR) is emerging as a novel prognostic biomarker in triple negative breast cancer (TNBC), but the underlying mechanisms remain unknown. As accumulating evidence has shown that long non-coding RNAs (lncRNAs) regulate important cancer hallmarks, we hypothesised that AR-regulated lncRNAs might play roles in TNBC progression. Here, we performed experiments with or without DHT treatment in three TNBC cell lines, and we identified an AR negatively induced lncRNA (ARNILA), which correlated with poor progression-free survival (PFS) in TNBC patients and promoted epithelial-mesenchymal transition (EMT), invasion and metastasis in vitro and in vivo. Subsequently, we demonstrated that ARNILA functioned as a competing endogenous RNA (ceRNA) for miR-204 to facilitate expression of its target gene Sox4, which is known to induce EMT and contribute to breast cancer progression, thereby promoting EMT, invasion and metastasis of TNBC. Our findings not only provide new insights into the mechanisms of lncRNA in regulating AR but also suggest ARNILA as an alternative therapeutic target to suppress metastasis of TNBC patients. PMID- 29844571 TI - Loss of MAOA in epithelia inhibits adenocarcinoma development, cell proliferation and cancer stem cells in prostate. AB - Monoamine oxidase A (MAOA) is a mitochondrial enzyme, which degrades monoamine neurotransmitters and dietary amines and produces H2O2. Recent studies have shown increased MAOA expression in prostate cancer (PCa), glioma, and classical Hodgkin lymphoma. However, the biological function of MAOA in cancer development remains unknown. In this study, we investigated the role of MAOA in the development of prostate adenocarcinoma by creating a prostate-specific Pten/MAOA knockout (KO) mouse model, in which MAOA-floxP mouse was crossed with the conditional Pten KO PCa mouse that develops invasive PCa. In contrast to Pten KO mice, age-matched Pten/MAOA KO mice exhibited a significant decrease in both prostate size and the incidence of invasive cancer. We observed a significant decline in AKT phosphorylation and Ki67 expression in Pten/MAOA KO mice, which reduced epithelial cell growth and proliferation. As cancer stem cells (CSCs) are required for tumor initiation and growth, we investigated expression of OCT4 and NANOG in the setting of decreased MAOA expression. We found that both OCT4 and NANOG were significantly attenuated in the prostate epithelia of Pten/MAOA KO mice compared to Pten KO mice, which was confirmed with targeted knockdown of MAOA with a short-hairpin(sh) vector targeting MAOA compared to cells transfected with a control vector. Expression of other markers associated with the a stem cell phenotype, including CD44, alpha2beta1, and CD133 as well as HIF 1alpha+CD44+ stem cells were all decreased in shMAOA PCa cells compared with empty vector-transfected control cells. We also found spheroid formation ability in PCa cells was decreased when endogenous MAOA was suppressed by siRNA or MAOA inhibitor clorgyline in a colony formation assay. Using the TCGA database, elevated MAOA expression was associated with reduced Pten levels in high Gleason grade in patient samples. Further, we found that Pten-positive PCa cells were more resistant to clorgyline treatments than Pten-null cells in tumorigenicity and stemness. Taken together, these studies suggest that MAOA expression promotes PCa development by increasing cell proliferation and CSCs and highlights the potential use of MAOA inhibitors for the treatment of PCa. PMID- 29844572 TI - RANK-c attenuates aggressive properties of ER-negative breast cancer by inhibiting NF-kappaB activation and EGFR signaling. AB - The RANK/RANKL axis emerges as a key regulator of breast cancer initiation, progression, and metastasis. RANK-c is a RANK receptor isoform produced through alternative splicing of the TNFRSF11A (RANK) gene and a dominant-negative regulator of RANK-induced nuclear factor-kappaB (NF-kappaB) activation. Here we report that RANK-c transcript is expressed in 3.2% of cases in The Cancer Genome Atlas breast cancer cohort evenly between ER-positive and ER-negative cases. Nevertheless, the ratio of RANK to RANK-c (RANK/RANK-c) is increased in ER negative breast cancer cell lines compared to ER-positive breast cancer cell lines. In addition, forced expression of RANK-c in ER-negative breast cancer cell lines inhibited stimuli-induced NF-kappaB activation and attenuated migration, invasion, colony formation, and adhesion of cancer cells. Further, RANK-c expression in MDA-MB-231 cells inhibited lung metastasis and colonization in vivo. The RANK-c-mediated inhibition of cancer cell aggressiveness and nuclear factor-kappaB (NF-kappaB) activation in breast cancer cells seems to rely on a RANK-c/TNF receptor-associated factor-2 (TRAF2) protein interaction. This was further confirmed by a mutated RANK-c that is unable to interact with TRAF2 and abolishes the ability to attenuate NF-kappaB activation, migration, and invasion. Additional protein interaction characterization revealed epidermal growth factor receptor (EGFR) as a novel interacting partner for RANK-c in breast cancer cells with a negative effect on EGFR phosphorylation and EGF-dependent downstream signaling pathway activation. Our findings further elucidate the complex molecular biology of the RANKL/RANK system in breast cancer and provide preliminary data for RANK-c as a possible marker for disease progression and aggressiveness. PMID- 29844566 TI - Study of 300,486 individuals identifies 148 independent genetic loci influencing general cognitive function. AB - General cognitive function is a prominent and relatively stable human trait that is associated with many important life outcomes. We combine cognitive and genetic data from the CHARGE and COGENT consortia, and UK Biobank (total N = 300,486; age 16-102) and find 148 genome-wide significant independent loci (P < 5 * 10-8) associated with general cognitive function. Within the novel genetic loci are variants associated with neurodegenerative and neurodevelopmental disorders, physical and psychiatric illnesses, and brain structure. Gene-based analyses find 709 genes associated with general cognitive function. Expression levels across the cortex are associated with general cognitive function. Using polygenic scores, up to 4.3% of variance in general cognitive function is predicted in independent samples. We detect significant genetic overlap between general cognitive function, reaction time, and many health variables including eyesight, hypertension, and longevity. In conclusion we identify novel genetic loci and pathways contributing to the heritability of general cognitive function. PMID- 29844573 TI - Melanoma protective antitumor immunity activated by catalytic DNA. AB - Melanoma incidence is increasing worldwide, and although drugs such as BRAF/MEK small-molecule inhibitors and immune checkpoint antibodies improve patient outcomes, most patients ultimately fail these therapies and alternative treatment strategies are urgently needed. DNAzymes have recently undergone clinical trials with signs of efficacy and no serious adverse events attributable to the DNAzyme. Here we investigated c-Jun expression in human primary and metastatic melanoma. We also explored the role of T cell immunity in DNAzyme inhibition of primary melanoma growth and the prevention of growth in non-treated tumors after the cessation of treatment in a mouse model. c-Jun was expressed in 80% of melanoma cells in human primary melanomas (n = 17) and in 83% of metastatic melanoma cells (n = 38). In contrast, c-Jun was expressed in only 11% of melanocytes in benign nevi (n = 24). Dz13, a DNAzyme targeting c-Jun/AP-1, suppressed both Dz13 injected and untreated B16F10 melanoma growth in the same mice, an abscopal effect relieved in each case by administration of anti-CD4/anti-CD8 antibodies. Dz13 increased levels of cleaved caspase-3 within the tumors. New, untreated melanomas grew poorly in mice previously treated with Dz13. Administration of anti-CD4/anti-CD8 antibodies ablated this inhibitory effect and the tumors grew rapidly. Dz13 inhibited c-Jun expression, reduced intratumoral vascularity (vascular lumina area defined by CD31 staining), and increased CD4+ cells within the tumors. This study provides the first demonstration of an abscopal effect of a DNAzyme on tumor growth and shows that Dz13 treatment prevents growth of subsequent new tumors in the same animal. Dz13 may be useful clinically as a therapeutic antitumor agent by preventing tumor relapse through adaptive immunity. PMID- 29844574 TI - Cervical cancer is addicted to SIRT1 disarming the AIM2 antiviral defense. AB - Mammalian cells are equipped with antiviral innate immunity. To survive and grow, human papilloma virus (HPV)-infected cervical cancer cells must overcome this host defense system. However, the precise mechanism whereby cervical cancer cells evade the immunity is not fully understood. We noted that Sirtuin 1 (SIRT1) is overexpressed in HPV-infected cervical cancer cells and hypothesized that SIRT1 counteracts antiviral immunity. Here, we found that cervical cancer cells undergo massive death by SIRT1 knockdown, but this effect is reversed by SIRT1 restoration. SIRT1-knocked-down cells showed representative features of pyroptosis, as well as highly expressed absent in melanoma 2 (AIM2) and its downstream genes related to the inflammasome response. Mechanistically, SIRT1 repressed the NF-kappaB-driven transcription of the AIM2 gene by destabilizing the RELB mRNA. Interestingly, pyroptotic death signaling in SIRT1-knocked-down cells was transmitted to naive cervical cancer cells, which was mediated by extracellular vesicles carrying AIM2 inflammasome proteins. Furthermore, the growth of cervical cancer xenografts was significantly inhibited by either SIRT1 targeting siRNAs or SIRT1-knockdown-derived extracellular vesicles. Immunohistochemical analyses showed that SIRT1 expression correlated with poor clinical outcomes in cervical cancer. In conclusion, SIRT1 enabled HPV-infected cervical cancer cells to continue growing by nullifying AIM2 inflammasome mediated immunity. Without SIRT1, cervical cancer cells could no longer survive because of the derepression of the AIM2 inflammasome. SIRT1 could therefore be a target for the effective treatment of cervical cancer. PMID- 29844575 TI - Conformation and dynamics of soluble repetitive domain elucidates the initial beta-sheet formation of spider silk. AB - The beta-sheet is the key structure underlying the excellent mechanical properties of spider silk. However, the comprehensive mechanism underlying beta sheet formation from soluble silk proteins during the transition into insoluble stable fibers has not been elucidated. Notably, the assembly of repetitive domains that dominate the length of the protein chains and structural features within the spun fibers has not been clarified. Here we determine the conformation and dynamics of the soluble precursor of the repetitive domain of spider silk using solution-state NMR, far-UV circular dichroism and vibrational circular dichroism. The soluble repetitive domain contains two major populations: ~65% random coil and ~24% polyproline type II helix (PPII helix). The PPII helix conformation in the glycine-rich region is proposed as a soluble prefibrillar region that subsequently undergoes intramolecular interactions. These findings unravel the mechanism underlying the initial step of beta-sheet formation, which is an extremely rapid process during spider silk assembly. PMID- 29844576 TI - Local field potential decoding of the onset and intensity of acute pain in rats. AB - Pain is a complex sensory and affective experience. The current definition for pain relies on verbal reports in clinical settings and behavioral assays in animal models. These definitions can be subjective and do not take into consideration signals in the neural system. Local field potentials (LFPs) represent summed electrical currents from multiple neurons in a defined brain area. Although single neuronal spike activity has been shown to modulate the acute pain, it is not yet clear how ensemble activities in the form of LFPs can be used to decode the precise timing and intensity of pain. The anterior cingulate cortex (ACC) is known to play a role in the affective-aversive component of pain in human and animal studies. Few studies, however, have examined how neural activities in the ACC can be used to interpret or predict acute noxious inputs. Here, we recorded in vivo extracellular activity in the ACC from freely behaving rats after stimulus with non-noxious, low-intensity noxious, and high-intensity noxious stimuli, both in the absence and chronic pain. Using a supervised machine learning classifier with selected LFP features, we predicted the intensity and the onset of acute nociceptive signals with high degree of precision. These results suggest the potential to use LFPs to decode acute pain. PMID- 29844577 TI - IMMP2L: a mitochondrial protease suppressing cellular senescence. PMID- 29844579 TI - Dimethyl fumarate: targeting glycolysis to treat MS. PMID- 29844578 TI - Destabilization of linker histone H1.2 is essential for ATM activation and DNA damage repair. AB - Linker histone H1 is a master regulator of higher order chromatin structure, but its involvement in the DNA damage response and repair is unclear. Here, we report that linker histone H1.2 is an essential regulator of ataxia telangiectasia mutated (ATM) activation. We show that H1.2 protects chromatin from aberrant ATM activation through direct interaction with the ATM HEAT repeat domain and inhibition of MRE11-RAD50-NBS1 (MRN) complex-dependent ATM recruitment. Upon DNA damage, H1.2 undergoes rapid PARP1-dependent chromatin dissociation through poly ADP-ribosylation (PARylation) of its C terminus and further proteasomal degradation. Inhibition of H1.2 displacement by PARP1 depletion or an H1.2 PARylation-dead mutation compromises ATM activation and DNA damage repair, thus leading to impaired cell survival. Taken together, our findings suggest that linker histone H1.2 functions as a physiological barrier for ATM to target the chromatin, and PARylation-mediated active H1.2 turnover is required for robust ATM activation and DNA damage repair. PMID- 29844580 TI - Aberrant erythropoiesis fuels tumor growth. PMID- 29844581 TI - Deadlier than the malate. PMID- 29844582 TI - Plant G-protein activation: connecting to plant receptor kinases. PMID- 29844583 TI - Tissue clearing of both hard and soft tissue organs with the PEGASOS method. AB - Tissue clearing technique enables visualization of opaque organs and tissues in 3 dimensions (3-D) by turning tissue transparent. Current tissue clearing methods are restricted by limited types of tissues that can be cleared with each individual protocol, which inevitably led to the presence of blind-spots within whole body or body parts imaging. Hard tissues including bones and teeth are still the most difficult organs to be cleared. In addition, loss of endogenous fluorescence remains a major concern for solvent-based clearing methods. Here, we developed a polyethylene glycol (PEG)-associated solvent system (PEGASOS), which rendered nearly all types of tissues transparent and preserved endogenous fluorescence. Bones and teeth could be turned nearly invisible after clearing. The PEGASOS method turned the whole adult mouse body transparent and we were able to image an adult mouse head composed of bones, teeth, brain, muscles, and other tissues with no blind areas. Hard tissue transparency enabled us to reconstruct intact mandible, teeth, femur, or knee joint in 3-D. In addition, we managed to image intact mouse brain at sub-cellular resolution and to trace individual neurons and axons over a long distance. We also visualized dorsal root ganglions directly through vertebrae. Finally, we revealed the distribution pattern of neural network in 3-D within the marrow space of long bone. These results suggest that the PEGASOS method is a useful tool for general biomedical research. PMID- 29844584 TI - Dynamics of directional tuning and reference frames in humans: A high-density EEG study. AB - Recent developments in EEG recording and signal processing have made it possible to record in an unconstrained, natural movement task, therefore EEG provides a promising approach to understanding the neural mechanisms of upper-limb reaching control. This study specifically addressed how EEG dynamics in the time domain encoded finger movement directions (directional tuning) and posture dependence (movement reference frames) by applying representational similarity analysis. High-density EEG covering the entire scalp was recorded while participants performed eight-directional, center-out reaching movements, thereby allowing us to explore directional selectivity of EEG sources over the brain beyond somatosensory areas. A majority of the source processes exhibited statistically significant directional tuning during peri-movement periods. In addition, directional tuning curves shifted systematically when the shoulder angle was rotated to perform the task within a more laterally positioned workspace, the degree of tuning curve rotation falling between that predicted by models assuming extrinsic and shoulder-based reference frames. We conclude that temporal dynamics of neural mechanisms for motor control can be studied noninvasively in humans using high-density EEG and that directional sensitivity of motor and non-motor processing is not limited within the sensorimotor areas but extends to the whole brain areas. PMID- 29844585 TI - Gut microbiota-mediated inflammation in obesity: a link with gastrointestinal cancer. AB - Overweight and obesity are associated with increased risk of developing metabolic disorders such as diabetes and cardiovascular diseases. However, besides these metabolic diseases, excess body weight is also associated with different cancers, including gastrointestinal cancers, such as liver, pancreatic and colon cancers. Inflammation is a common feature of both obesity and cancer; however, the origin of this inflammation has been largely debated. Over the past decade, growing evidence has shown that the composition of the gut microbiota and its activity might be associated not only with the onset of inflammation but also with metabolic disorders and cancer. Here, we review the links between the gut microbiota, gut barrier function and the onset of low-grade inflammation in the development of gastrointestinal cancer. We also describe the mechanisms by which specific microorganism-associated molecular patterns crosstalk with the immune system and how the metabolic activity of bacteria induces specific signalling pathways beyond the gut that eventually trigger carcinogenesis. PMID- 29844586 TI - Liver sinusoidal endothelial cells - gatekeepers of hepatic immunity. AB - Liver sinusoidal endothelial cells (LSECs) line the low shear, sinusoidal capillary channels of the liver and are the most abundant non-parenchymal hepatic cell population. LSECs do not simply form a barrier within the hepatic sinusoids but have vital physiological and immunological functions, including filtration, endocytosis, antigen presentation and leukocyte recruitment. Reflecting these multifunctional properties, LSECs display unique structural and phenotypic features that differentiate them from the capillary endothelium present within other organs. It is now clear that LSECs have a critical role in maintaining immune homeostasis within the liver and in mediating the immune response during acute and chronic liver injury. In this Review, we outline how LSECs influence the immune microenvironment within the liver and discuss their contribution to immune-mediated liver diseases and the complications of fibrosis and carcinogenesis. PMID- 29844587 TI - Mitochondrial function - gatekeeper of intestinal epithelial cell homeostasis. AB - The intestinal epithelium is a multicellular interface in close proximity to a dense microbial milieu that is completely renewed every 3-5 days. Pluripotent stem cells reside at the crypt, giving rise to transient amplifying cells that go through continuous steps of proliferation, differentiation and finally anoikis (a form of programmed cell death) while migrating upwards to the villus tip. During these cellular transitions, intestinal epithelial cells (IECs) possess distinct metabolic identities reflected by changes in mitochondrial activity. Mitochondrial function emerges as a key player in cell fate decisions and in coordinating cellular metabolism, immunity, stress responses and apoptosis. Mediators of mitochondrial signalling include molecules such as ATP and reactive oxygen species and interrelate with pathways such as the mitochondrial unfolded protein response (MT-UPR) and AMP kinase signalling, in turn affecting cell cycle progression and stemness. Alterations in mitochondrial function and MT-UPR activation are integral aspects of pathologies, including IBD and cancer. Mitochondrial signalling and concomitant changes in metabolism contribute to intestinal homeostasis and regulate IEC dedifferentiation-differentiation programmes in the context of diseases, suggesting that mitochondrial function as a cellular checkpoint critically contributes to disease outcome. This Review highlights mitochondrial function and MT-UPR signalling in epithelial cell stemness, differentiation and lineage commitment and illustrates mitochondrial function in intestinal diseases. PMID- 29844588 TI - Noninvasive biomarkers in NAFLD and NASH - current progress and future promise. AB - Nonalcoholic fatty liver disease (NAFLD) affects 25% of the global adult population and is the most common chronic liver disease worldwide. Nonalcoholic steatohepatitis (NASH) is the active form of NAFLD, with hepatic necroinflammation and faster fibrosis progression. With an increasing number of patients developing NASH-related end-stage liver disease and pharmacological treatments on the horizon, there is a pressing need to develop NAFLD and NASH biomarkers for prognostication, selection of patients for treatment and monitoring. This requirement is particularly true as liver biopsy utility is limited by its invasive nature, poor patient acceptability and sampling variability. This article reviews current and potential biomarkers for different features of NAFLD, namely, steatosis, necroinflammation and fibrosis. For each biomarker, we evaluate its accuracy, reproducibility, responsiveness, feasibility and limitations. We cover biochemical, imaging and genetic biomarkers and discuss biomarker discovery in the omics era. PMID- 29844589 TI - Correction to: TAOK1 negatively regulates IL-17-mediated signaling and inflammation. AB - In this article, published online 5 February 2018, the second primer of mouse actin, il-6, il-1beta, TNFalpha, cxcl1, cxcl2, and ccl20 in Table 2 should be marked as "reverse primer" instead of "forward primer". Corrected Table 2 is shown below. The authors regret the errors. PMID- 29844590 TI - Post-transcriptional regulator Rbm47 elevates IL-10 production and promotes the immunosuppression of B cells. AB - Regulatory B cells (Bregs) are a functionally defined B cell subset, and IL-10 is crucial for the suppressive functions of Bregs. However, little is known regarding how IL-10 production is regulated in B cells. To explore the mechanisms by which IL-10 is regulated in B cells, we used mRNA microarrays to screen for molecules that are upregulated in IL-10-producing B cells and identified RNA binding motif protein 47 (Rbm47) as a post-transcriptional regulator. Rbm47 was found to promote IL-10 production in B cells. We found that Rbm47 promotes the stability of IL-10 mRNA by binding to AU-rich elements in the 3' untranslated region of Il10 mRNA. In addition, we demonstrated that the overexpression of Rbm47 enabled B cells to facilitate Foxp3+ regulator T-cell induction and reduce the severity of DSS-induced ulcerative colitis. Taken together, these results suggest that Rbm47 plays an important role in regulating IL-10 at the post transcriptional level, thus promoting the regulatory functions of B cells. The findings presented in this study not only increase our understanding of the post translational regulation of IL-10 in B cells but also identify a novel strategy for the potential application of Bregs. PMID- 29844591 TI - Cystathionine-gamma-lyase ameliorates the histone demethylase JMJD3-mediated autoimmune response in rheumatoid arthritis. AB - Cystathionine-gamma-lyase (CSE), an enzyme associated with hydrogen sulfide (H2S) production, is an important endogenous regulator of inflammation. Jumonji domain containing protein 3 (JMJD3) is implicated in the immune response and inflammation. Here, we investigated the potential contribution of JMJD3 to endogenous CSE-mediated inflammation in rheumatoid arthritis (RA). Upregulated CSE and JMJD3 were identified in synovial fibroblasts (SFs) from RA patients as well as in the joints of arthritic mice. Knocking down CSE augmented inflammation in IL-1beta-induced SFs by increasing JMJD3 expression. In addition, CSE-/- mice with collagen-induced arthritis (CIA) developed severe joint inflammation and bone erosion. Conversely, overexpressing CSE inhibited JMJD3 expression by the transcription factor Sp-1 and was accompanied by reduced inflammation in IL-1beta treated SFs. Furthermore, JMJD3 silencing or the administration of the JMJD3 inhibitor GSK-J4 significantly decreased the inflammatory response in IL-1beta treated SFs, mainly by controlling the methylation status of H3K27me3 at the promoter of its target genes. GSK-J4 markedly attenuated the severity of arthritis in CIA mice. In conclusion, suppressing JMJD3 expression by the transcription factor Sp-1 is likely responsible for the ability of CSE to negatively modulate the inflammatory response and reduce the progression of RA. PMID- 29844592 TI - Image-based modeling of gas adsorption and deformation in porous media. AB - Understanding adsorption of CO2 in porous formations is crucial to its sequestration in geological formations. We describe a model for adsorption of CO2 and the deformation that it induces in a sandstone formation over wide ranges of temperature and pressure. The model couples the thermodynamics of sorption with elastic deformation of the solid. Finite-element computations are then used in order to compute CO2 adsorption isotherms along with the induced strain in the formation. We also compute the Darcy permeability of the porous medium using the lattice-Boltzmann method. All the computations are carried out with a three dimensional image of a core sample from Mt. Simon sandstone, the target porous formation for a pilot CO2 sequestration project that is currently being carried out by Illinois State Geological Survey. Thus, no assumptions are made regarding the shape and sizes of the pore throats and pore bodies. The computed CO2 sorption isotherm at 195 K is in excellent agreement with our experimental data. The computed permeability is also in good agreement with the measurement. As a further test we also compute the sorption isotherm of N2 in the same formation at 77.3 K, and show that it is also in good agreement with our experimental data. The model is capable of predicting adsorption of CO2 (or any other gas for that matter) in porous formations at high pressures and temperatures. Thus, it is used to study the effect of hydrostatic pressure on adsorption and deformation of the porous formation under various conditions. We find that the effect of the confining pressure is more prominent at higher temperatures. Also computed is the depth-dependence of the capacity of the formation for CO2 adsorption, along with the induced volumetric strain. PMID- 29844593 TI - FDA approves first-in-class SYK inhibitor. PMID- 29844594 TI - Sepsis researchers set sights on immunotherapeutic strategies. PMID- 29844595 TI - BACE failures lower AD expectations, again. PMID- 29844596 TI - Cancer: Preventing metastatic relapse. PMID- 29844597 TI - Cancer: Personalized cancer vaccines hit the spot. PMID- 29844598 TI - When drugs unintentionally affect gut bugs. PMID- 29844600 TI - Cancer: Restoring p53 activity. PMID- 29844599 TI - On the origin of transformative drugs. PMID- 29844601 TI - Norbert Bischofberger. PMID- 29844602 TI - Liver disease: Reducing cancer risk. PMID- 29844603 TI - Autoimmune disease: Targeting glucose transport in psoriasis. PMID- 29844604 TI - HIV Reverse Transcriptase and Protease Genes Variability Can Be a Biomarker Associated with HIV and Hepatitis B or C Coinfection. AB - Variability of the HIV reverse transcriptase (RT) and protease (PR) genes has been used as indicators of drug resistance and as a mean to evaluate phylogenetic relationships among circulating virus. However, these studies have been carried in HIV mono-infected populations. The goal of this study was to evaluate, for the first time, the HIV PR and RT sequences from HIV/HBV and HIV/HCV co-infected patients. HIV PR and RT genes were amplificated and sequenced to resistance analysis. The bioinformatics analysis was performed to infer about sequences clustering and molecular evolution. The results showed that the most frequent amino acid substitutions in RT were L214F (67.6%), I135T (55.9%), and in PR was V15I (41.2%). The molecular clock analysis showed that the HIV circulating in co infected patients were separated in two clusters in the years 1999-2000. Some patients included as HIV mono-infected according patients' medical records and inside the co-infected cluster were, in fact, co-infected by PCR analysis. Analysis of the decision trees showed susceptibility to lamivudine and emtricitabine were important attribute to characterize co-infected patients. In conclusion, the results obtained in this study suggest, for the first time, that HIV RT and PR genes variability could be a genetic biomarker to coinfection. PMID- 29844605 TI - Temperature and the vertical movements of oceanic whitetip sharks, Carcharhinus longimanus. AB - Large-bodied pelagic ectotherms such as sharks need to maintain internal temperatures within a favourable range in order to maximise performance and be cost-efficient foragers. This implies that behavioural thermoregulation should be a key feature of the movements of these animals, although field evidence is limited. We used depth and temperature archives from pop-up satellite tags to investigate the role of temperature in driving vertical movements of 16 oceanic whitetip sharks, Carcharhinus longimanus, (OWTs). Spectral analysis, linear mixed modelling, segmented regression and multivariate techniques were used to examine the effect of mean sea surface temperature (SST) and mixed layer depth on vertical movements. OWTs continually oscillated throughout the upper 200 m of the water column. In summer when the water column was stratified with high SSTs, oscillations increased in amplitude and cycle length and sharks reduced the time spent in the upper 50 m. In winter when the water column was cooler and well mixed, oscillations decreased in amplitude and cycle length and sharks frequently occupied the upper 50 m. SSTs of 28 oC marked a distinct change in vertical movements and the onset of thermoregulation strategies. Our results have implications for the ecology of these animals in a warming ocean. PMID- 29844606 TI - What are bacteria doing in the bladder? PMID- 29844607 TI - High-field modulated ion-selective field-effect-transistor (FET) sensors with sensitivity higher than the ideal Nernst sensitivity. AB - Lead ion selective membrane (Pb-ISM) coated AlGaN/GaN high electron mobility transistors (HEMT) was used to demonstrate a whole new methodology for ion selective FET sensors, which can create ultra-high sensitivity (-36 mV/log [Pb2+]) surpassing the limit of ideal sensitivity (-29.58 mV/log [Pb2+]) in a typical Nernst equation for lead ion. The largely improved sensitivity has tremendously reduced the detection limit (10-10 M) for several orders of magnitude of lead ion concentration compared to typical ion-selective electrode (ISE) (10-7 M). The high sensitivity was obtained by creating a strong filed between the gate electrode and the HEMT channel. Systematical investigation was done by measuring different design of the sensor and gate bias, indicating ultra high sensitivity and ultra-low detection limit obtained only in sufficiently strong field. Theoretical study in the sensitivity consistently agrees with the experimental finding and predicts the maximum and minimum sensitivity. The detection limit of our sensor is comparable to that of Inductively-Coupled-Plasma Mass Spectrum (ICP-MS), which also has detection limit near 10-10 M. PMID- 29844608 TI - Reviewer Recognition 2017. PMID- 29844609 TI - Continuing Medical Education Questions: May 2018. PMID- 29844611 TI - Continuing Medical Education Questions: May 2018. PMID- 29844612 TI - In vivo wide-field calcium imaging of mouse thalamocortical synapses with an 8 K ultra-high-definition camera. AB - In vivo wide-field imaging of neural activity with a high spatio-temporal resolution is a challenge in modern neuroscience. Although two-photon imaging is very powerful, high-speed imaging of the activity of individual synapses is mostly limited to a field of approximately 200 um on a side. Wide-field one photon epifluorescence imaging can reveal neuronal activity over a field of >=1 mm2 at a high speed, but is not able to resolve a single synapse. Here, to achieve a high spatio-temporal resolution, we combine an 8 K ultra-high definition camera with spinning-disk one-photon confocal microscopy. This combination allowed us to image a 1 mm2 field with a pixel resolution of 0.21 um at 60 fps. When we imaged motor cortical layer 1 in a behaving head-restrained mouse, calcium transients were detected in presynaptic boutons of thalamocortical axons sparsely labeled with GCaMP6s, although their density was lower than when two-photon imaging was used. The effects of out-of-focus fluorescence changes on calcium transients in individual boutons appeared minimal. Axonal boutons with highly correlated activity were detected over the 1 mm2 field, and were probably distributed on multiple axonal arbors originating from the same thalamic neuron. This new microscopy with an 8 K ultra-high-definition camera should serve to clarify the activity and plasticity of widely distributed cortical synapses. PMID- 29844613 TI - Metastatic Brain Tumors Disrupt the Blood-Brain Barrier and Alter Lipid Metabolism by Inhibiting Expression of the Endothelial Cell Fatty Acid Transporter Mfsd2a. AB - Disruption of the blood-brain barrier (BBB) by cancer cells is linked to metastatic tumor initiation and progression; however, the pathways that drive these events remain poorly understood. Here, we have developed novel patient derived xenograft (PDX) models of brain metastases that recapitulate pathological growth features found in original patient samples, thus allowing for analysis of BBB disruption by tumor cells. We report that the BBB is selectively disrupted in brain metastases, in part, via inhibition of the endothelial cell-expressed docosahexaenoic acid (DHA) transporter, major facilitator superfamily domain 2a (Mfsd2a). Loss of Mfsd2a expression in the tumor endothelium results in enhanced BBB leakage, but reduced DHA transport and altered lipid metabolism within metastases. Mfsd2a expression in normal cerebral endothelial cells is cooperatively regulated by TGFbeta and bFGF signaling pathways, and these pathways are pathologically diminished in the brain metastasis endothelium. These results not only reveal a fundamental pathway underlying BBB disruption by metastatic cancer cells, but also suggest that restoring DHA metabolism in the brain tumor microenvironment may be a novel therapeutic strategy to block metastatic cell growth and survival. PMID- 29844614 TI - Cell behavior of the highly sticky bacterium Acinetobacter sp. Tol 5 during adhesion in laminar flows. AB - It is important to characterize how medically, industrially, or environmentally important bacteria adhere to surfaces in liquid flows in order to control their cell adhesion and subsequent biofilm formation. Acinetobacter sp. Tol 5 is a remarkably sticky bacterium that autoagglutinates through the adhesive nanofiber protein AtaA, which is applicable to cell immobilization in bioprocesses. In this study, the adhesion and behavior of Tol 5 cells in laminar flows were investigated using flow cell systems. Tol 5 cells autoagglutinated through AtaA and formed cell clumps during flowing. The cell clumps rather than single cells went downward due to gravity and adhered to the bottom surface. Under appropriate shear stress, a twin vortex was caused by a separated flow generated at the rear of the pre-immobilized cell clumps and carried the small cell clumps to this location, resulting in their stacking there. The rearward immobilized cell clumps developed into a large, stable aggregate with a streamlined shape, independent of cell growth. Cell clumps hardly ever developed under weak shear stress that could not generate a twin vortex and were broken up under excessively strong shear stress. These cell behaviors including the importance of clumping are interesting features in the bacterial adhesion processes. PMID- 29844616 TI - Building Integrated Photovoltaic Module-Based on Aluminum Substrate With Forced Water Cooling. AB - The increase of operating temperature on a photovoltaic (PV) cell degrades its electrical efficiency. This paper is organized to describe our latest design of an aluminum substrate-based photovoltaic/thermal (PV/T) system. The electrical efficiency of the proposed PV/T can be increased by ~ 20% in comparison with a conventional glass substrate-based PV. The work will benefit hybrid utilization of solar energy in development of building integrated photovoltaic systems. PMID- 29844615 TI - From genome-wide associations to candidate causal variants by statistical fine mapping. AB - Advancing from statistical associations of complex traits with genetic markers to understanding the functional genetic variants that influence traits is often a complex process. Fine-mapping can select and prioritize genetic variants for further study, yet the multitude of analytical strategies and study designs makes it challenging to choose an optimal approach. We review the strengths and weaknesses of different fine-mapping approaches, emphasizing the main factors that affect performance. Topics include interpreting results from genome-wide association studies (GWAS), the role of linkage disequilibrium, statistical fine mapping approaches, trans-ethnic studies, genomic annotation and data integration, and other analysis and design issues. PMID- 29844617 TI - Genistein: is the multifarious botanical a natural anthelmintic too? AB - Genistein (4',5,7-trihydroxyisoflavone) is naturally present in plants of the soy family and is known to have various pharmacological activities, such as anti cancer, anti-diabetic, anti-oxidant, etc. The phytoestrogen is one of the major isoflavones found in some medicinal plants having anthelmintic properties. This review describes the putative role of genistein as an anthelmintic, which has been tested on some helminth parasites in vitro. Genistein has been shown to cause paralysis and alterations in the tegument and tegumental enzymes (acid phosphatase, alkaline phosphatase, adenosine triphosphatase, and 5'-nucleotidase) of helminth parasites. Alterations in the activities of several enzymes associated with the coordination system (specifically non-specific esterases, acetylcholine esterase, and nitric oxide synthase), and changes in the concentration of nitric oxide, cGMP, free amino acid pool, and tissue ammonia are observed in helminth parasites treated with genistein. The phytoestrogen also affects the carbohydrate metabolism by altering the activities of key enzymes involved in glycogen- and glucose-metabolism of a cestode parasite. Considering the significance of phosphoenolpyruvate carboxykinase (PEPCK) in glycolysis of the cestode parasite, Ki of the phytoestrogen for PEPCK in the parasite has been determined, and molecular docking of genistein into the active site of the enzyme has also been described. The potential beneficial role of genistein as a natural alternative in management of helminth parasites needs to be further explored, particularly considering its in vivo efficacy and pharmacokinetics. PMID- 29844618 TI - Using proteomics as a powerful tool to develop a vaccine against Mediterranean visceral leishmaniasis. AB - Visceral leishmaniasis (VL) is a tropical infectious disease, which is called Mediterranean visceral leishmaniasis (MVL) in the Mediterranean area. In spite of many attempts, no effective commercial vaccine exists for MVL. To find new targets for developing antileishmanial vaccines, knowing parasite antigens that provoke the immune system are on demand. Nowadays, proteomics methods are defined as approaches for analysis of protein profiling of different cells. Within this framework, detection of new antigens is becoming more facilitated. In this review, we aimed to introduce possible targets using proteomics so; they could be used as candidates for developing vaccines against MVL. It can shed new light in the near future on the development of promising vaccines for MVL. PMID- 29844619 TI - Spatial distribution of Giardia lamblia infection among general population in Mazandaran Province, north of Iran. AB - Giardia lamblia is the most prevalent intestinal parasites of humans in Iran and other in the world although information on geographical distribution of giardiasis plays significant role in identifying communities at high risk, little attention has been paid to study human giardiasis using geographical information system. Therefore, the aim of the current study was to determine temporal and spatial patterns of human giardiasis distribution to identify possible high risk areas and seasons in northern Iran. A total of 4788 people referred to health centers in the Mazandaran Province of northern Iran were surveyed January to December 2015. From each person stool sample and questionnaire with socio demographic data were collected. Giardia infection was diagnosed using direct wet mount, formalin ether concentration and trichrome staining. The results were analyzed using Moran Local Indicators of spatial association and geographically weighted regression. The overall prevalence of Giardia infection was 4.6% (222/4788), and was significantly higher among those aged 5-9 years compared to their older peers (P < 0.0001). Our data showed a significant dependency between the prevalence of G. lamblia and age, job, residence, season and height from the sea (P < 0.0001). The results of this study provided a precise and specific spatial and temporal pattern of human giardiasis distribution in the Mazandaran Province, Iran. These evidences should be considered for proper control of disease decisions and strategies. PMID- 29844620 TI - Serological and molecular diagnosis of Toxoplasma gondii in patients with schizophrenia. AB - Schizophrenia is a persistent neuropsychiatric syndrome of uncertain source. Toxoplasmosis is the most prevalent parasitic protozoan infecting one-third of the worldwide human population. Infectious agents such as toxoplasma are the probable cause of schizophrenia. This study was aimed to evaluate the association between schizophrenia and toxoplasmosis using SAG1 and B1 Target gene. During February to December 2016, 92 patients with schizophrenia are imported in our study. All cases were assessed by serological (IgG and IgM antibodies) and molecular examinations. ELISA was performed by Commercial kits according to manufactures procedure. DNA was extracted and nested PCR was done using two pairs of primers. From 92 patients, 59 (64.13%) cases were positive for toxoplasmosis by serological examinations (14 samples positive for IgM and IgG, 40 samples positive for only IgG and 5 samples Positive for only IgM) and 58 (63.04%) were positive by Nested PCR technique. Based on the nested PCR method, 68.47 and 47.82% of samples were positive by B1 and SAG1 genes, respectively. Our results showed the importance of use both serological and molecular diagnostic methods for accurate recognition of T. gondii in patients with schizophrenia. Moreover our results indicated that B1 gene is more sensitive than SAG1 gene. PMID- 29844621 TI - A new species of Camallanidae (Raillet and Henry, 1917) from a siluroid catfish in Barak River, Jiribam, Manipur (India). AB - Based on the two Camallanid gravid females recovered from the intestine of siluroid catfish Aorichthys aor (Hamilton, 1822) in Barak River, Jiribam, Manipur, India, Procamallanus (Spirocamallanus) jiriensis n. sp. is described. It is morphologically characterized by 20-24 (9-incomplete) spiral thickenings (ridges), occupying posterior 2/3rd of the buccal capsule. The present species differs from its closely related species Procamallanus (Spirocamallanus) chauhani (Sahay in Indian J Helminthol 18(2):114-122, 1966) in many aspects such as two pair of teeth antero laterally present in oral cavity, a pair of finger-shaped thickenings, which is laterally present at the buccal capsule, presence of well developed globular vulvar lips, vagina directed posteriorly from vulva, a small conical spike-like projection at the rounded tail tip with well-developed caudal muscles and papillae. PMID- 29844622 TI - Achievement amastigotes of Leishmania infantum and investigation of pathological changes in the tissues of infected golden hamsters. AB - Leishmania infantum is an agent of visceral leishmaniasis (VL). Amastigote form is a more appropriate target for investigations on vaccines, treatment, and diagnosis. This study aimed to achieve the amastigotes of L. infantum in the golden hamster and J774 macrophages and report the pathological changes that occur in the liver and spleen of the hamsters with VL. 4 male golden hamsters were infected with L. infantum promastigotes. After 5 months, the hamsters were euthanized and touch and pathology smears were prepared from the livers and spleens. Then, these tissues were homogenized and centrifuged at 100*g. Supernatants were collected and centrifuged at 2000*g and the pellets were collected. In the next part of our study, J774 macrophages were infected with L. infantum promastigotes. Then, the infected macrophages were ruptured. Centrifuge stages were done same the previous part. The amastigotes were observed in touch and pathology smears. A load of amastigotes in the livers was more than the spleens in both types of smears. Although the livers' structure had undergone pathological changes, the spleens were unchanged. Also, the macrophage infectivity ratio was up to 95%. Our results present a simple and accessible way of achieving a lot of pure and real amastigotes for different fields in Leishmania. Also, it seems that the pathological changes occurring in the spleen and the liver of animals with VL are different and probably can be attributed to the genetic and immune process of the infected animals. PMID- 29844623 TI - Efficacy of some essential oils on Cephalopina titillator with special concern to nasal myiasis prevalence among camels and its consequent histopathological changes. AB - Nasopharyngeal myiasis is an important high incidence disease among camels in the Middle East and North of Africa caused by Cephalopina titillator (C. titillator) that results in sever economic losses in many camel breeding areas around the world. The current study was conducted to evaluate the efficacy of three essential oils; camphor, ginger and cinnamon oils and their histopathological effects on the 3rd larval instar of C. titillator, with special regard to the prevalence percentage of C. titillator infestation in slaughtered camels at Egyptian abattoirs in addition to investigate histopathological alterations of the infested animal's tissue. This study fulfilled that the prevalence of C. titillator infestation was 35.2% among slaughtered camels during summer season. The three tested essential oils were caused a significant mortality of C. tittilator; however, camphor oil was exhibited greater and quicker insecticidal effect than ginger and cinnamon oils at the same concentration in terms of mortality of the 3rd instar C. tittilator larvae. There was a concentration dependent effect on the larvae among the tested essential oils. The tested essential oils were caused remarkable histopathological alterations on the treated larval cuticle. The main salient lesions of the examined infested camel's tissue were necrotic and inflammatory alterations associated with cystic dilation of submucosal glands. PMID- 29844624 TI - Effect of entomopathogenic nematode of Heterorhabditis indica infection on immune and antioxidant system in lepidopteran pest Spodoptera litura (Lepidoptera: Noctuidae). AB - Entomopathogenic nematodes form excellent tools to study insect immunity in response to during infection. Insects activate as several defense mechanisms, namely Phenoloxidase, haemocytes, detoxification and antioxidant enzymes. However little mechanistic information is available about the sublethal effects of entomopathogenic nematodes infection on detoxification and immune mechanisms in lepidopteran insects. In the present study, the effects of infection on antioxidant, detoxification and immune systems of Spodoptera litura larvae were studied. Results show a significant reduction in Total Haemocyte Count observed after 3 h of infection. A significant increase Superoxide dismutase, Catalase, Glutathione S-transferase, Glutathione Peroxidase and Acid phosphatase were observed 6 h after infection and, progressive decrease in Peroxidase, Alkaline phosphatase and Lipid peroxidation was also observed. This study shows that increased detoxification enzyme levels in response to nematode infection are a protective mechanism in insects. Nematode infection suppresses insect immune response, which is evident from low haemocyte count and Phenoloxidase levels to ultimately cause larval mortality. PMID- 29844625 TI - Biochemical and ultrastructural changes in Raillietina echinobothrida in vitro exposed to extract of Lysimachia ramosa. AB - Lysimachia ramosa (Primulaceae) is a traditionally used medicinal plant, leaves extract of which is being widely used by the Jaintia tribes of Meghalaya, India for controlling helminthiasis. Preliminary investigation carried out on helminth parasites revealed that the crude extract of the plant causes deformity in the surface topography leading to death of the parasites. Therefore, the present study was conducted to identify the specific fraction of the crude leaf extract of the plant responsible for cestocidal efficacy, through biochemical and ultrastructural studies in Raillietina echinobothrida exposed to crude extract and its different fractions namely hexane, chloroform, ethyl acetate and n butanol. A dose dependent efficacy, with highest rate of mortality among n butanol exposed parasites was recorded. The treated parasites exhibited complete erosion of microtriches from the tegument, disintegration of muscle bundles, cellular organelles, plasma membrane, nuclear membrane, nucleolus and vacuolization of mitochondria was also observed. Observations on histochemical distribution of some important tegumental enzymes like adenosine triphosphatase (ATPase), alkaline phosphatase (AlkPase), acid phosphatase (AcPase) and 5'Nucleotidase (5'-Nu) revealed a marked diminished stain intensity in the tegument of R. echinobothrida exposed to the crude extract and n-butanol fraction of the crude extract compared to the control. Highest reduction (77.93%) in the activity of ATPase was observed when the parasites exposed to 6 mg n-butanol fraction/ml of PBS. The results suggest that these enzymes act as target for anthelmintic stress caused by the phytochemicals present in the plant. PMID- 29844626 TI - Furcocercous cercariae infecting freshwater snails in Malabar: two new species from Lymnea luteola Lamarck and Gyraulus convexiusculus (Hutton). AB - The present paper describes two new species of furcocercous cercariae, Cercaria sp. XVIII Malabar n. sp. and Cercaria sp. XIX Malabar n. sp. infecting the freshwater snails, Lymnea luteola and Gyraulus convexiusculus respectively in the Malabar region of Kerala. Cercaria sp. XVIII Malabar n. sp., is a distome, pharyngeate, non-ocellate, longifurcate furcocercous cercaria with two pairs of penetration glands and 16 pairs of flame cells and recovered from L. luteola. Cercaria sp. XIX Malabar n. sp., is also a distome, pharyngeate, longifurcate cercaria with a pair of unpigmented eyespots and 20 pairs of flame cells and recovered from G. convexiusculus. Sporocysts of both the cercariae developed in the digestive glands. The present paper describes the cercariae and compares them with related species to establish their systematic position. PMID- 29844627 TI - Description of Tetracotyle wayanadensis n. sp. (Digenea: Strigeidae) metacercaria infecting six species of freshwater fishes from Western Ghats, India. AB - Tetracotyle wayanadensis n. sp. (Digenea, Strigeidae) infecting different organs of six species of freshwater fishes, Haludaria fasciata (eye, buccal cavity), Amblypharyngodon melettinus (eye, buccal cavity), Aplochelus lineatus (operculum, heart, mesenteries), Pethia conchonius (brain), Parambassis thomassi (muscles, mesenteries) and Lepidocephalus thermali (mesenteries) collected from water bodies in the Wayanad region of the Western Ghats is described and illustrated. Tetracotyle wayanadensis n. sp. is new to the genus and is separated from its congeners on the basis of differences in morphology and morphometry. The present paper also describes the prevalence, intensity, mean abundance and sites of infection of the parasite in each host. The prevalence of infection of T. wayanadensis n. sp. in Haludaria fasciata is 7.5%, intensity of infection is 2.66 and mean abundance is 0.2; in Amblypharyngodon melettinus 10%, 6 and 0.6; in Aplochelus lineatus 12.2%, 6.2 and 0.76; in Pethia conchonius 7.14%, 5 and 0.36; in Parambassis thomassi 100%, 2 and 2; in Lepidocephalus thermali 10%, 2 and 0.2 respectively. PMID- 29844628 TI - The impact of anthelminthic therapeutics on serological and tissues apoptotic changes induced by experimental trichinosis. AB - Trichinosis is a sharable parasitic disease caused by Trichinella spp., the disease occurred on eating inappropriate cooked pork infected by the parasite encysted larvae. This study aimed to evaluate experimentally the impact of treatment by thiabendazole, praziquantel (PZQ) and prednisone on T. spiralis induced parasitological, serological and apoptotic changes. Forty albino rats were infected orally each by +/- 1000 larvae, divided into four groups each of 10 rats, group (A) infected control, group (B) thiabendazole tested, group (C) PZQ tested and group (D) prednisone tested. On the seventh and 40th days post infection, all groups were evaluated parasitologically by the number of the intestinal worms and the muscular encysted larvae, while IFN-gamma and TNF-alpha were estimated by ELISA, histopathological and histochemical assessment of the tissue changes during both phases were performed by different stains. In conclusion, thiabendazole was a potent and curable drug, it showed nearly 100% efficacy on intestinal worms, highly significant variations in cytokines levels during both the intestinal and muscular phases, while it induced moderate effects on encysted muscular larvae number, In addition it ameliorated myocytes apoptotic changes induced by trichinosis. PMID- 29844629 TI - Some epidemiological aspects of cutaneous leishmaniasis with emphasis on vectors and reservoirs of disease in the borderline of Iran and Iraq. AB - Cutaneous leishmaniasis (CL) is endemic and a major health problem in 17 provinces out of 31 in Iran. This study aimed to determine vectors and reservoirs of the disease using molecular techniques in the borderline of Iran and Iraq. Sand flies and rodents were sampled using sticky paper traps and metal wire live traps, respectively, in the selected villages. About 10% of archived confirmed human positive slides was randomly checked for Leishmania by PCR-RFLP assay. The female sand flies were dissected in alcohol 96% in a sterile condition, the head and two segments of the abdomen end permanently mounted for identification and the remaining of body used for DNA extraction. The direct parasitological tests were carried out on the stained slides of rodents for Leishmania as well as PCR RFLP assay used for molecular detection of parasite. A total of 2050 sand flies were identified comprising of Phlebotomus papatasi, Sergentomyia sintoni, Se. clydei, Se. mervynae, Se. theodori, Se. dentate and Se. iranica. The Ph. papatasi was ranked as a prevailing sand fly species. Molecular tests on female sand flies revealed infection of Ph. papatasi to Leishmania major. Direct parasitology and molecular tests confirmed of 20% infection to L. major among the sole rodents species "Tatera indica". Due to wide dispersion of rodents colonies in the area and long favorite climate condition for sand flies, the CL foci will be provided the health risk for the religious tourists. PMID- 29844630 TI - Sandflies species composition, activity, and natural infection with Leishmania, parasite identity in lesion isolates of cutaneous leishmaniasis, central Iran. AB - Zoonotic cutaneous leishmaniosis (ZCL) is a crucial public health challenge in Iran. Sandflies feed on reservoir rodents' blood infected with Leishmania parasite and transmit it to other hosts. This study was conducted to find out the composition and monthly activity of sandflies as well as to identify the protozoan pathogens (Leishmania/Crithidia) by polymerase chain reaction (PCR) in an emerging ZCL focus of Abarkooh, Yazd province, Iran, in 2016. A cross sectional study was done in rural areas of Abarkooh. From April to November 2016, sticky traps were used indoor and outdoor to capture sandflies once every fortnight. Their composition and monthly activity were recorded. Following identification of sandflies and DNA extraction from them, PCR was used to identify their parasite and match it against samples taken from ZCL confirmed and suspected patients' lesions. After collection, a total of 2045 sandflies (779 indoor, 1266 outdoor) were identified to species level. Sandfly activity started early April in this area with two active peaks (one late May and the other late August) terminated about mid-November. Seven Phlebotomus species and three Sergentomyia species were identified. The most and the least abundant species were P. papatasi (40.1%) and P. alexandri (0.09%), respectively. Using PCR, only 6% (12:200) of P. papatasi sandflies were infected with Leishmania parasite. No Crithidia was detected in either sandflies or human lesions (176 specimen). Based on the highest abundance both indoor and outdoor of P. papatasi, this sandfly was considered the main vector of ZCL in this area. The capture of P. caucasicus, P. mongolensis, and P. ansarii from rodent burrows showed these species were likely involved in pathogen transmission in reservoir rodents' burrows. PMID- 29844631 TI - Prevalence of cymothoid isopods (Crustacea, Isopoda) and proximate analysis of parasites and their host fishes, Southeastern India. AB - Cymothoid isopods (Crustacea, Isopoda) are considered as potential threat to the health of different fish species. In order to evaluate the prevalence and proximate analysis of Cymothoid isopods and its host, an investigation was carried out fish species belonging to families Hemiramphidae and Belonidae in the Palk Bay region, Southeastern India. A total of 1265 individuals of teleost fish belonging to family Hemiramphidae species, Hemiramphus far (462), H. archipelagicus (78), and H. lutkie (277) and another family Belonidae species, Tylosurus crocodilus (448), were examined for cymothoid ectoparasitic infestation. Prevalence in H. far was the highest (39%) for the cymothoid Mothocys plagulophora, while T. crocodilus was most infested (13%) with Mothocys renardi, H. far and H. lutkie were not infested by M. renardi while T. crocodilus was not infested by M. plagulophora. Proximate analysis showed reduced level of protein in parasite infested fish compared with non-infested individuals. However, carbohydrate and lipid concentrations were lower in infested fish than non-infested individuals. Proximate analysis values in the two parasites of Mothocys species were similar, and these values were comparable to those unaffected fish species indicating that parasites were well nourished. The proximate analysis of isopod parasite M. plagulophora showed 21.6 +/- 7.7, 1.26 +/- 0.05, 5.49 +/- 1.06% of protein, carbohydrate and lipid respectively, and in M. renardi, 21.09 +/- 6.6, 1.32 +/- 0.12, 5.83 +/- 0.72% of protein, carbohydrate and lipid respectively. Cadmium levels were similar between affected and non affected fish individuals and among species. The Pb levels were comparable among all T. crocodilus individuals, but the levels of Cd not showed much variation between affected and unaffected individuals in all four fish species. PMID- 29844632 TI - Bioinformatics analysis of single and multi-hybrid epitopes of GRA-1, GRA-4, GRA 6 and GRA-7 proteins to improve DNA vaccine design against Toxoplasma gondii. AB - Toxoplasma gondii, is a causative agent of morbidity and mortality in immunocompromised and congenitally-infected individuals. Attempts to construct DNA vaccines against T. gondii using surface proteins are increasing. The dense granule antigens are highly expressed in the acute and chronic phases of T. gondii infection and considered as suitable DNA vaccine candidates to control toxoplasmosis. In the present study, bioinformatics tools and online software were used to predict, analyze and compare the structural, physical and chemical characters and immunogenicity of the GRA-1, GRA-4, GRA-6 and GRA-7 proteins. Sequence alignment results indicated that the GRA-1, GRA-4, GRA-6 and GRA-7 proteins had low similarity. The secondary structure prediction demonstrated that among the four proteins, GRA-1 and GRA-6 had similar secondary structure except for a little discrepancy. Hydrophilicity/hydrophobicity analysis showed multiple hydrophilic regions and some classical high hydrophilic domains for each protein sequence. Immunogenic epitope prediction results demonstrated that the GRA-1 and GRA-4 epitopes were stable and GRA-4 showed the highest degree of antigenicity. Although the GRA-7 epitope had the highest score of immunogenicity, this epitope was instable and had the lowest degree of antigenicity and half-time in eukaryotic cell. Also, the results indicated that GRA4-GRA7 epitope and GRA6-GRA7 had the highest degree of antigenicity and immunogenicity among multi-hybrid epitopes, respectively. Totally, in the present study, single epitopes showed the highest degree of antigenicity compared with multi-hybrid epitopes. Given the results, it can be concluded that GRA-4 and GRA-7 can be powerful DNA vaccine candidates against T. gondii. PMID- 29844633 TI - Therapeutic potential effect of bone marrow-derived mesenchymal stem cells on chronic liver disease in murine Schistosomiasis Mansoni. AB - Some reports have shown that mesenchymal stem cells (MSCs) therapy could ameliorate chemically-induced hepatic fibrosis. This research assesses the therapeutic action of bone marrow mesenchymal stem cells (BM-MSCs) on chronic diseased liver in Schistosoma mansoni infected mice. All infected female mice divided into three groups, one group (15 mice) treated with oral praziquantel (PZQ), second group (15 mice) received intravenous injection of BM-MSCs and third group (15 mice) treated with both MSCs + PZQ. Two control groups (15 mice each) subdivided into one infected and second healthy one. BM-MSCs were obtained from bones of both femur and tibia of male mice (30 mice), then cultured and characterized morphologically by detection of CD105 by flow cytometer. Liver tissues for all groups were examined histopathologically. Measuring of the collagen 1 gene expression was done by real-time PCR and immunohistochemical study to detect stem cells differentiation for detection of MSCs engraftments in liver tissue. MSCs treatment caused marked improvement and regression of fibrosis, and prevents deposition of collagen and reduced the expression of collagen 1 gene in infected mice on their liver tissues, especially when used with PZQ in mice treatment. It can be concluded that, MSCs is a good therapeutic method for liver fibrosis caused by S. mansoni infection. PMID- 29844634 TI - Molecular detection of Hepatozoon canis in dogs from Kerala. AB - India has a wide range of agro-climatic zones which is highly conducive for a diverse range of vectors and canines are continuously exposed to the risk of spectrum of tick borne protozoan diseases. The brown dog tick, Rhipicephalus sanguineus is widely prevalent among dogs in Kerala and there is a high prevalence of this tick transmitted Babesia and Ehrlichia spp. infection. However, the incidence of Hepatozoon canis transmitted by the same tick species had not been reported in the state since 2004. Preliminary screening of client owned dogs revealed six dogs to be positive for typical gelatin capsule shaped gamonts of H. canis within neutrophils in blood smear by microscopic examination. A PCR assay was standardized to amplify a specific 737 bp fragment of 18S rRNA gene of H. canis. Phylogenetic analysis revealed closest relationship with West Indies isolate deposited at GenBank database. The present study records the molecular detection of this haemoparasite in the state, for the first time. PMID- 29844635 TI - Aphelenchoides manipurensis sp. nov. (Nematoda: Tylenchina) from Manipur, India. AB - Aphelenchoides manipurensis sp. nov. was collected from two different localities of Manipur. Though the specimens collected from two different areas show some variations in their morphology and morphometric data, it was taken as the same species due to similarities in many characters. A. manipurensis sp. nov. had females with L = 294.1-461.91 um, a = 24.28-38.14, b = 6.3-8.65, b' = 3.61-4.68, c = 12.47-16.46, c' = 3-4.25, stylet = 10.38-13.84 um, V = 68.88-71.69, post uterine sac = 25.98-53.63 um long and two lateral lines. Males were common with spicule of 10.38-17.3 um. Mucro were present in both sexes. Species presented with illustrations and morphometrics. PMID- 29844636 TI - Is the cattle tick Rhipicephalus annulatus Say, 1821 reared on the rabbit? AB - The cattle tick Rhipicephalus annulatus Say, 1821 (Acari: Ixodidae) is the main tick species on cattle in Egypt. This study was designed to know the possibility of rearing R. annulatus on rabbits in order to obtaining an adequate tick number and maintaining this tick species in lab to the next generation. Additionally, a comparison was performed between some biological parameters in R. annulatus fed on rabbits with that fed on cows. Six New Zealand white rabbits were used as a lab animal for rearing R. annulatus. The animals were divided into two groups. The first (G1) included four rabbits and the second (G2) included two rabbits. In G1, larvae fed until to reach unfed adults those were detached, cleaned their mouth parts carefully and re-fed on another rabbit. In G2, larvae were maintained on rabbits until to the fully fed females dropped. Oviposion, hatchability and life cycle of R. annulatus fed on rabbits were recorded and compared with those fed on cows. Results showed that although the cattle tick R. annulatus is highly specific to cattle, it is possible reared on rabbit in limited scale. The larvae well developed on the same rabbit to nymphs and adults. In G2, a very few adults completed their feeding and laid very small egg mass, some of eggs failed to hatch and a few recorded hatchability percentage not more than 9.1% in comparing 98.3% in females fed on cow. In G1, the rearing technique led to slightly increase the egg mass and their hatchability that reached to 23.6% in comparing with the hatchability recorded in G2. PMID- 29844637 TI - Endoparasites of Crotalus tzabcan (Serpentes: Viperidae), with a checklist in rattlesnakes. AB - The helminth and pentastomid fauna of 50 specimens of Crotalus tzabcan from the Yucatan Peninsula, Mexico is documented. The examination revealed the presence of three nematode species (Hastospiculum onchocercum, Hexametra boddaertii, and Travassosascaris araujoi), and one pentastomid (Porocephalus crotali). The threee nematode species had the same prevalence (2%), while the pentastomid had a higher prevalence (8%). The pentastomid P. crotali was the most abundant and intense parasite, although it was only found in four snake hosts. Crotalus tzabcan acts as definitive host for the adult helminths and pentastomids, with rodents as the probable intermediate hosts. This work represents the first systematic survey on the parasitic helminth and pentastomid fauna of C. tzabcan, and includes four new geographical records. Additionally, a checklist of helminths and pentastomids reported for Crotalus and Sistrurus is provided. To date, a total of 32 helminth and 7 pentastomid species have been recorded as parasites of rattlesnakes. Nematoda possessed the highest species richness. The genera with the highest number of host species were Mesocestoides and Hexametra, followed by Kalicephalus. The rattlesnake species with the highest number of reported parasites was C. durissus (18 nematodes and 2 pentastomids). PMID- 29844638 TI - Gross, histopathology and molecular diagnosis of oesophagostomosis in sheep. AB - A total of 120 tissue samples (Rumen, reticulum, omasum, abomasum, small intestine and large intestine) were collected from slaughter houses in Chennai, Kanchipuram and Tiruvallur districts and five samples from necropsy room at Department of Veterinary Pathology, Madras Veterinary College, Chennai, Tamil Nadu. Overall prevalence of GI parasites was 52.00%. Among the positive samples, single infection was found to be more (53.84%) than themixed infection (46.15%). Out of which, oesophagostomosis was 17.00% and found as single infection. In oesophagostomosis, significant gross lesions observed in the small and large intestine were multiple small to large, round to irregular, hard, fibrotic, raised nodules. The wall of the large intestine was greatly thickened and oedematous and the nodules were seen projecting into the lumen and mucosal surface was intact. On histopathological examination, ileum of sheep showed parasitic nodules with central baso-eosinophilic necrotic area, larval stages in the necrotic area, surrounded by layers of inflammatory cells and finally encapsulated in a thick fibrous connective tissue capsule. Immunohistochemistry (IHC) with Vimentin showed intense cytoplasmic positive signals DAB Brown. PCR was carried out targeting ITS2 regions of the O. columbianum and O. venulosum. DNA isolated from both the faecal eggs and adult worms showed good amplification. PMID- 29844639 TI - Psoroptes mites infestation in a captive Burmese Red Serow (Capricornis sumatraensis subspecies rubidus) of Indo-Burma bio-diversity hotspot. AB - An 8 years old male Burmese Red Serow (Capricornis sumatraensis sub species rubidus) from Aizawl Zoological Park was presented to the Teaching Veterinary Clinical Complex. An exploratory skin scraping revealed existence of nymphal as well as adult stages of mites of the Psoroptes spp. which were not associated with any overt lesions typical to mite infestation such as pruritus, erythema or scaling of the epidermis. The mites were identified as per their morphology, size and shape. Haemato-biochemical analysis revealed alteration of certain haematological and biochemical parameters. The red blood corpuscles were found to have anucleate cells with mild to absent central pallor. The absolute counts showed neutrophilic leucocytosis with mild monocytosis and lymphocytosis. Eosinophilic count was towards the higher side, indicating that the infestation was mild. The serum calcium, albumin, triglyceride, urea nitrogen (BUN) were found to be lower than normal, whereas serum ALT, AST, LDH, ALP and serum amylase were higher than the established reference indices. Due to lack of haemato biochemical reference values specific to captive Serow, emphasis was given in this report to establish baseline data for this species. PMID- 29844640 TI - The first finding of Moniliformis moniliformis (Acanthocephala, Moniliformidae) in Belarus. AB - Information on the detection of acanthocephalan Moniliformis moniliformis (Bremser, 1811) in a striped field mouse in Belarus and the short description of this parasite is given. The first finding of this helminth in Belarus (Malorita district of Brest region, south-western part of Belarus) is reported. The functioning of the centre of moniliformosis on the drainage system in the Malorita district is described. Rodents, as well as other animals as definitive hosts and insects as intermediate hosts of acanthocephalan Moniliformis moniliformis, take part in centre formation. This helminth has a medical significance because parasitize not only animals but also humans. PMID- 29844641 TI - 2018 Expert Consensus on the Management of Adverse Effects of Antiplatelet Therapy for Acute Coronary Syndrome in Taiwan. AB - Antiplatelet therapy is a key component in the treatment of acute coronary syndrome (ACS). The management of ACS has evolved considerably over recent years with the development of new and more potent antiplatelet agents. Clinical trials on ACS have demonstrated that potent antiplatelet agents can more effectively reduce cardiovascular events. However, there is a tipping point between safety and efficacy, beyond which the risk of bleeding and other adverse effects can outweigh the benefits of antiplatelet therapy. Striking a balance between safety and efficacy remains a major challenge. A consensus meeting of an expert panel composed of Taiwanese experts was held to provide recommendations for the management of adverse effects in patients with ACS receiving antiplatelet therapy. The common adverse effects of antiplatelet therapy include upper gastrointestinal bleeding, ecchymosis, hematuria, epistaxis and ticagrelor related dyspnea. In this study, a literature review of these adverse events was performed and recommendations for the management were made. PMID- 29844642 TI - In-Hospital Implementation of Evidence-Based Medications is Associated with Improved Survival in Diabetic Patients with Acute Coronary Syndrome - Data from TSOC ACS-DM Registry. AB - Background: Patients with acute coronary syndrome (ACS) and diabetes mellitus (DM) receive less aggressive treatment and have worse outcomes in Taiwan. We sought to explore whether the current practices of prescribing guideline-directed medical therapy (GDMT) for ACS and clinical outcomes have improved over time. Methods: A total of 1534 consecutive diabetic patients with ACS were enrolled between 2013 and 2015 from 27 hospitals in the nationwide registry initiated by the Taiwan Society of Cardiology (the TSOC ACS-DM Registry). Baseline and clinical demographics, treatment, and clinical outcomes were compared to those of 1000 ACS patients with DM recruited in the Taiwan ACS-full spectrum (ACS-FS) Registry, which was performed between 2008 and 2010. Results: Compared to the DM patients in the Taiwan ACS-FS Registry, even though reperfusion therapy was carried out in significantly fewer patients, the primary percutaneous coronary intervention (PCI) rate for ST-segment elevation myocardial infarction (STEMI) and the prescription rates of GDMT for ACS including P2Y12 inhibitors, renin angiotensin blockers, beta-blockers, and statins were significantly higher in those in the TSOC ACS-DM Registry. Moreover, significant reductions in 1-year mortality, recurrent nonfatal MI and stroke were observed compared to those of the DM patients in the Taiwan ACS-FS Registry. Multivariate analysis identified reperfusion therapy in combination with GDMT as a strong predictor of better 1 year outcomes [hazard ratio (95% confidence interval) = 0.54 (0.33-0.89)]. Conclusions: Marked improvements in performing primary PCI for STEMI and prescribing GDMT for ACS were observed over time in Taiwan. This was associated with improved 1-year event-free survival in the diabetic patients with ACS. PMID- 29844643 TI - Anti-Inflammatory Effect of Gallic Acid-Eluting Stent in a Porcine Coronary Restenosis Model. AB - Background: Gallic acid (3,4,5-trihydroxybenzoic acid) is a natural polyphenol and strong natural antioxidant found abundantly in red wine and green tea. The aim of this study was to examine the anti-inflammatory effect of a novel gallic acid-eluting stent in a porcine coronary restenosis model. Methods: Fifteen pigs were randomized into three groups; in which a total of 30 coronary arteries (10 in each group) were implanted with gallic acid-eluting stents (GESs, n = 10), gallic acid and sirolimus-eluting stents (GSESs, n = 10), or sirolimus-eluting stents (SESs, n = 10). Histopathologic analysis was performed 28 days after stenting. Results: There were no significant differences in injury score and fibrin score among the groups, however there were significant differences in the internal elastic lamina (4.0 +/- 0.83 mm2 in GES vs. 3.0 +/- 0.53 mm2 in GSES vs. 4.6 +/- 1.43 mm2 in SES, p < 0.0001), lumen area (2.3 +/- 0.49 mm2 in GES vs. 1.9 +/- 0.67 mm2 in GSES vs. 2.9 +/- 0.56 mm2 in SES, p < 0.0001), neointimal area (1.7 +/- 0.63 mm2 in GES vs. 1.1 +/- 0.28 mm2 in GSES vs. 1.7 +/- 1.17 mm2 in SES, p < 0.05), and percent area of stenosis (42.4% +/- 9.22% in GES vs. 38.2% +/ 12.77% in GSES vs. 33.9% +/- 15.64% in SES, p < 0.05). The inflammation score was significantly lower in the GES and GSES groups compared to that in the SES group [1.0 (range: 1.0 to 2.0) in GES vs. 1.0 (range: 1.0 to 1.0) in GSES vs. 1.5 (range: 1.0 to 3.0) in SES, p < 0.05]. Conclusions: The GES group had a greater percent area of stenosis than the SES group. Although gallic acid in the GES and GSES groups did not show a synergistic effect in suppressing neointimal hyperplasia, it resulted in greater inhibition of the inflammatory reaction in the porcine coronary restenosis model than in the SES group. PMID- 29844644 TI - Effect of Selective Thrombus Aspiration on Serum Lipoprotein-Associated Phospholipase A2 in Patients with ST-Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention with High Thrombus Burden. AB - Background: Lipoprotein-associated phospholipase A2 (Lp-PLA2) is a potential therapeutic target in acute coronary syndromes. Although recent evidence does not support the routine use of manual thrombus aspiration (TA) in patients with ST elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PPCI), the use of TA is associated with a significant improvement in myocardial reperfusion, especially in patients with high thrombus burden (HTB). We hypothesized that TA would reduce the serum Lp-PLA2 levels in STEMI patients undergoing PPCI with HTB. Methods and results: Our study cohort included 320 consecutive STEMI patients undergoing PPCI with HTB who were randomly assigned to receive either TA before PPCI (TA group, n = 160) or PPCI alone (standard PPCI group, n = 160). The baseline characteristics of study participants were well-matched. After 30 +/- 2 days, serum Lp-PLA2 levels decreased by 53.9% in the TA group (152.9 +/- 58.1 ng/mL) and decreased by 31.2% in the standard PPCI group (84.2 +/- 86.6 ng/mL, p < 0.001). The TA group had a significantly lower prevalence of balloon predilatation, number of stents used, total stent length and corrected thrombolysis in myocardial infarction frame count, and a higher percentage of myocardial blush grade >= 2 compared with the standard PPCI group (all p < 0.001). No significant difference between the groups was observed in 30 +/- 2 days for major adverse cardiovascular and cerebrovascular events (p = 0.702). Conclusions: After 30 +/- 2 days of treatment, TA may significantly reduce serum levels of Lp-PLA2 in STEMI patients undergoing PPCI with HTB. PMID- 29844645 TI - Deterioration of Deceleration Capacity of Heart Rate is Associated with Left Ventricular Hypertrophy in End-Stage Renal Disease Population. AB - Background: Left ventricular hypertrophy (LVH) is prevalent in patients with end stage renal disease (ESRD), and may be secondary to arterial stiffness and volume overload. It is unclear whether LVH is caused by autonomic nerve dysregulation (AND), a frequent condition in patients with ESRD that is characterized by sympathetic hyperactivity and vagal withdrawal. We hypothesized that AND estimated by heart rate variability (HRV) may be associated with LVH in patients with ESRD. Methods: We prospectively enrolled patients with ESRD undergoing hemodialysis. Cardiac function and LVH were assessed using echocardiography according to the recommendations of the American Society of Echocardiography. Holter recordings were used to quantify HRV and deceleration capacity (DC). Dataon comorbidities and medications, and serum markers were obtained. Logistic regression analysis was performed. Results: Among the 281 included patients, 63% had LVH. The patients with LVH were older, had more comorbidities and advanced diastolic dysfunction than those without LVH. The root mean square of successive differences (rMSSD) (9.10 +/- 5.44 versus 13.25 +/- 8.61; p = 0.004) and DC (2.08 +/- 1.90 versus 3.89 +/- 1.45; p = 0.021) were lower in the patients with LVH than that in those without LVH. Multivariate regression analysis showed that hypertension, asymmetrical dimethylarginine (ADMA), advanced diastolic dysfunction grade, rMSSD, and DC were independently associated with LVH. Among these variables, DC and ADMA showed the highest diagnostic value for LVH with areas under curves of 0.701 and 0.751, respectively. Conclusions: AND is independently associated with LVH in patients with ESRD. PMID- 29844646 TI - Effect of Heart Rate-Oriented Therapy on Diastolic Functions in Patients with Heart Failure with Reduced Ejection Fraction. AB - Background: Resting heart rate (HR) is a strong predictor of cardiovascular mortality and morbidity in patients with heart failure with reduced ejection fraction (HFrEF). However, the effects of HR-lowering therapy on diastolic function in HFrEF patients are not well described. In this study, we aimed to investigate the effect of lowering HR on diastolic function in HFrEF patients with sinus rhythm. Methods: Fifty patients with HFrEF with coexisting diastolic dysfunction and sinus rhythm with resting HR > 70 bpm were prospectively included in the study. All patients were treated with intended HR-lowering therapy, which targeted a HR below 70 bpm. We divided the whole population according to the resting HR achieved with strict rate control (group 1) and to that achieved without strict rate control (group 2; HR > 70 bpm) at the end of the study. Left ventricular diastolic function and B-type natriuretic peptide (BNP) values at baseline and at the end of the study were compared in both groups. Results: No significant differences were found between the groups in terms of baseline parameters except for lower diastolic blood pressure in group 2. At the end of follow-up, E/Em ratio, E/A ratio and left atrial area significantly decreased with an increased deceleration time in group 1. The changes in HR (delta HR) were correlated with E/Em (r = 0.67, p < 0.001) and delta BNP level (r = 0.49, p < 0.001). Conclusions: No significant differences were found between the groups in terms of baseline parameters except for lower diastolic blood pressure in group 2. At the end of follow-up, E/Em ratio, E/A ratio and left atrial area significantly decreased with an increased deceleration time in group 1. The changes in HR (delta HR) were correlated with E/Em (r = 0.67, p < 0.001) and delta BNP level (r = 0.49, p < 0.001). PMID- 29844647 TI - The Relationship between Serum Apelin Levels and the Severity of Calcific Aortic Stenosis. AB - Background: Apelin, an endogenous peptide, has recently gained attention due to its positive inotropic effects in heart failure physiopathology. We investigated the relationship between serum apelin levels and the severity of calcific aortic stenosis (AS). Methods: A total of 68 consecutive patients diagnosed with calcific AS and a control group of 32 subjects were included in the study. The subjects were divided into three group as follows: the control group, the mild moderate AS group and the severe AS group. Blood samples were obtained from all of the subjects, which were used for biochemical comparisons of apelin 36 and high-sensitive C-reactive protein (hsCRP) levels. Results: Plasma apelin 36 levels were significantly lower in the patients with severe AS [490 (247-1074) pg/ml] compared to both the mild-moderate AS [209 (97-453) pg/ml] and control [660 (378-1200) pg/ml] groups (p < 0.001). Correlation analysis between the left ventricular mass index and apelin concentrations revealed a significant negative correlation between the two parameters (p < 0.001, r = -0.478). Conclusions: Our study demonstrated decreased apelin levels and increased hsCRP concentrations in patients with severe calcific AS. Our findings may help to clarify the exact pathophysiologic role of apelin in cardiovascular diseases. PMID- 29844648 TI - Worldwide Prevalence of Brugada Syndrome: A Systematic Review and Meta-Analysis. AB - Background: Brugada syndrome (BrS) is considered to be an inherited arrhythmic disease associated with fatal complications and premature sudden unexpected death. The prevalence of the Brugada electrocardiogram pattern (BrP) has been reported in several countries. Nonetheless, the specific worldwide prevalence of BrS has not been reported. Objective: We estimated the worldwide prevalence of BrS and Type-2/3 BrP in general adult populations using a systematic review and meta-analysis of the existing literature. Methods: We thoroughly searched MEDLINE and SCOPUS databases up to March 2017. Included studies were population-based electrocardiogram studies in which prevalence was presented or could be calculated from available data. Pooled prevalence by country/region and/or ethnicity was estimated using a random-effect model. Results: Twenty-eight articles with atotal population of 369,068 were included in this study. The worldwide pooled prevalence of BrS was 0.5 per 1,000 [95% confidence interval (CI): 0.3-0.7]. The highest prevalence was reported in Southeast Asia (1.8 per 1,000, 95% CI: 0.5-6.6); the lowest was found in North Africa (0 per 1,000). BrS in Asians was nine times more common than in Caucasians and 36 times more common than in Hispanics. The worldwide pooled prevalence of Type-2/3 BrP was 6.1 per 1,000 (95% CI: 5.0-7.1). The highest prevalence was also reported in Southeast Asia (35.5 per 1,000, 95% CI: 17.1-53.9). Conclusions: This study revealed a significant difference in the worldwide prevalence of BrS and Type-2/3 BrP. Brugada electrocardiogram patterns are highly prevalent in Southeast Asia. PMID- 29844649 TI - Reappraisal of the Worldwide Prevalence of Brugada Syndrome and Brugada Phenotype: From the Old to the New Diagnostic Criteria. PMID- 29844650 TI - Epicardial Fat Thickness is Associated with Abnormal Left Ventricle Geometry in Newly Diagnosed Hypertension. AB - Background: Epicardial adipose tissue is an emerging cardio metabolic risk factor. Although an association between epicardial fat thickness (EFT) and left ventricle (LV) hypertrophy in hypertensive patients is known, the relationship between abnormal LV geometric patterns and EFT has yet to be investigated. The aim of the present study was to investigate the relationship between EFT and abnormal LV geometric patterns in hypertensive patients. Methods: Measurements were obtained from 343 patients with untreated essential hypertension (mean age 51.6 +/- 5.5 years) and 52 healthy control subjects (mean age 51.8 +/- 4.5 years). Four different geometric patterns (NG; normal geometry, CR; concentric remodeling, EH; eccentric hypertrophy, and CH; concentric hypertrophy) were determined according to LV mass index (LVMI) and relative wall thickness (RWt). EFT was measured using transthoracic echocardiography. High sensitive C-reactive protein (hs-CRP) and other biochemical markers were measured in all participants. Results: The highest EFT and hs-CRP values were determined in the CH group (EFT = 8.9 +/- 2.1 mm) compared with the controls (EFT = 5.7 +/- 1.5 mm), followed by the NG (EFT = 5.9 +/- 1.6 mm), CR (EFT = 5.9 +/- 1.3 mm) and EH groups (EFT = 6.5 +/- 1.6 mm) (all p < 0.05). In addition, the EFT values of the EH group were higher than the control, NG and CR groups (all p < 0.05). Multivariate linear regression analysis showed that EFT was independently associated with LV geometry (beta = 0.161, p = 0.032), total cholesterol level (beta = -0.129, p = 0.003), triglyceride level (beta = 0.266, p < 0.001), hs-CRP level (beta = 0.349, p < 0.001), and creatinine level (beta = 0.108, p = 0.010). Conclusions: EFT is independently associated with abnormal LV geometry, LV hypertrophy, creatinine level, and low grade chronic inflammation. PMID- 29844651 TI - Idiopathic Isolated Right Ventricular Apical Hypertrophy. PMID- 29844652 TI - Heart Rate Behind Systemic Inflammatory Response Syndrome Associated with One Year Mortality in the Patients with Acute Myocardial Infarction? PMID- 29844653 TI - The Criteria of Systemic Inflammatory Response Syndrome Present Varying Impacts on One-Year Mortality in Patients with Acute Myocardial Infarction. PMID- 29844654 TI - Molecular Evolution and Functional Divergence of the IgLON Family. AB - IgLON family is a subgroup of cell adhesion molecules which is known to have diverse roles in neuronal development. IgLONs are characterized by possessing 3 Ig-like C2 domains, which play a part in mediating various cellular interactions. Recently, IgLONs have been shown to be expressed at the blood-brain barrier (BBB). However, our understanding of the genetic divergence patterns and evolutionary rates of these proteins in relation to their functions, in general, and at the BBB, in particular, remains inadequate. In this study, 12 species were explored to shed more light on the phylogenetic origins, structure, functional specificity, and divergence of this family. A total of 40 IgLON genes were identified from vertebrates and invertebrates. The absence of IgLON family genes in Hydra vulgaris and Nematostella vectensis but not in Drosophila melanogaster suggests that this family appeared during the time of divergence of Arthropoda 455 Mya. In general, IgLON genes have been subject to strong positive selection in vertebrates. Our study, based on IgLONs' structural similarity, suggests that they may play a role in the evolutionary changes in the brain anatomy towards complexity including regulating neural growth and BBB permeability. IgLONs' functions seem to be performed through complex interactions on the level of motifs as well as single residues. We identified several IgLON motifs that could be influencing cellular migration and proliferation as well as BBB integrity through interactions with SH3 or integrin. Our motif analysis also revealed that NEGR1 might be involved in MAPK pathway as a form of a signal transmitting receptor through its motif (KKVRVVVNF). We found several residues that were both positively selected and with highly functional specificity. We also located functional divergent residues that could act as drug targets to regulate BBB permeability. Furthermore, we identified several putative metalloproteinase cleavage sites that support the ectodomain shedding hypothesis of the IgLONs. In conclusion, our results present a bridge between IgLONs' molecular evolution and their functions. PMID- 29844655 TI - A Bayesian Gene-Based Genome-Wide Association Study Analysis of Osteosarcoma Trio Data Using a Hierarchically Structured Prior. AB - Osteosarcoma is considered to be the most common primary malignant bone cancer among children and young adults. Previous studies suggest growth spurts and height to be risk factors for osteosarcoma. However, studies on the genetic cause are still limited given the rare occurrence of the disease. In this study, we investigated in a family trio data set that is composed of 209 patients and their unaffected parents and conducted a genome-wide association study (GWAS) to identify genetic risk factors for osteosarcoma. We performed a Bayesian gene based GWAS based on the single-nucleotide polymorphism (SNP)-level summary statistics obtained from a likelihood ratio test of the trio data, which uses a hierarchically structured prior that incorporates the SNP-gene hierarchical structure. The Bayesian approach has higher power than SNP-level GWAS analysis due to the reduced number of tests and is robust by accounting for the correlations between SNPs so that it borrows information across SNPs within a gene. We identified 217 genes that achieved genome-wide significance. Ingenuity pathway analysis of the gene set indicated that osteosarcoma is potentially related to TP53, estrogen receptor signaling, xenobiotic metabolism signaling, and RANK signaling in osteoclasts. PMID- 29844656 TI - 360-degree suture trabeculotomy ab interno to treat open-angle glaucoma: 2-year outcomes. AB - Purpose: The purpose of this study was to evaluate the efficacy of 360-degree suture trabeculotomy (360S-LOT) ab interno for treating open-angle glaucoma (OAG). Risk factors of surgical failure were examined. Patients and methods: 360S LOT ab interno alone was performed for patients with uncontrolled OAG, and combined 360S-LOT ab interno/phacoemulsification was performed for patients with controlled OAG with a visually significant cataract between March 2014 and September 2015 at a single center. The patients were prospectively followed for 2 years. The main outcome measures included 2-year intraocular pressure (IOP), number of anti-glaucoma medications used, postoperative complications, and predictive factors of surgical failure. Kaplan-Meier analysis was performed, with surgical success (with or without medication use) defined as postoperative IOP <=15 mmHg and IOP reduction >=20% (criterion A) or IOP <=12 mmHg and IOP reduction >=30% (criterion B). Predictive factors were evaluated using Cox proportional hazard ratios. Results: A total of 64 eyes of 64 patients were included, and 50 (78%) eyes of 64 eyes underwent a phacoemulsification combination procedure. Surgery significantly reduced IOP from 18.4 +/- 2.9 mmHg before surgery to 13.4 +/- 3.0 mmHg after surgery (P < 0.001). Patients used an average of 1.8 +/- 1.5 medications before surgery and 1.3 +/- 1.5 medications after surgery (P = 0.101). No serious postoperative complications were observed. The probability of surgical success was 49.2% and 16.0% using criteria A and B, respectively. No risk factors of surgical failure were identified. Conclusion: The 360S-LOT ab interno procedure is a favorable option for treating eyes with mild or moderate OAG. PMID- 29844658 TI - Evaluation of femtosecond laser in flap and cap creation in corneal refractive surgery for myopia: a 3-year follow-up. AB - Purpose: To evaluate femtosecond laser in flap and cap creation, detect some corneal biomechanical changes, and evaluate dry eye after laser in situ keratomileusis (LASIK), Femto-LASIK, and small incision lenticule extraction (SMILE) with 3-year follow-up. Patients and methods: Preoperative evaluation taken: full ophthalmic examination, Pentacam, ocular response analyzer, ocular surface disease index (OSDI), and tear breakup time (TBUT). LASIK flap was created using Moria microkeratome in 30 eyes (LASIK group) and using VisuMax femtosecond laser in 38 eyes (FS-LASIK group) and SMILE was done by VisuMax in 35 eyes (SMILE group). Postoperative evaluation: anterior segment optical coherence tomography to measure flap and cap thickness, ocular response analyzer to measure corneal hysteresis (CH) and corneal resistance factor (CRF), OSDI, and TBUT at 1, 3, 6, 12, 24, and 36 months after surgery. Results: This study included 103 eyes of 103 patients. The mean deviation of central cap or flap thickness from intended was statistically higher in the LASIK group (P<0.001). Both CH and CRF showed significant reduction postoperatively but were significantly higher in the SMILE group during follow up (P<0.05). The mean OSDI scores were significantly elevated in all groups postoperatively (P<0.01) but were significantly lower in the SMILE group 3 months postoperatively (P<0.05). The mean TBUT was significantly decreased in all groups postoperatively (P<0.01) but was significantly higher in the SMILE group 6 months postoperatively (P<0.05). Conclusion: Femtosecond laser is more accurate than microkeratomes. CH and CRF changes were least after SMILE. The three procedures led to significant dryness but for shorter duration with SMILE. PMID- 29844657 TI - Brachytherapy for patients with uveal melanoma: historical perspectives and future treatment directions. AB - Surgical management with enucleation was the primary treatment for uveal melanoma (UM) for over 100 years. The Collaborative Ocular Melanoma Study confirmed in 2001 that globe-preserving episcleral brachytherapy for UM was safe and effective, demonstrating no survival difference with enucleation. Today, brachytherapy is the most common form of radiotherapy for UM. We review the history of brachytherapy in the treatment of UM and the evolution of the procedure to incorporate fine-needle-aspiration biopsy techniques with DNA-and RNA-based genetic prognostic testing. PMID- 29844659 TI - Tanshinol ameliorates CCl4-induced liver fibrosis in rats through the regulation of Nrf2/HO-1 and NF-kappaB/IkappaBalpha signaling pathway. AB - Tanshinol, a water-soluble component isolated from Salvia miltiorrhiza Bunge, has a variety of biological activities involving anti-fibrotic effect. However, the exact role and the underlying mechanisms remain largely unclear. This study mainly focused on the anti-hepatic fibrotic activities and mechanisms of tanshinol on carbon tetrachloride (CCl4)-induced liver fibrosis in rats via anti oxidative and anti-inflammation pathways. The rats were divided into 4 groups as follows: control, model, tanshinol 20 mg/kg, and tanshinol 40 mg/kg. Except for the control group, CCl4 was used to induce liver fibrosis processing for 8 weeks, meanwhile rats in tanshinol groups were intraperitoneally injected with additional tanshinol. Control group simultaneously received the same volumes of olive oil and saline. The potentially protective effect and mechanisms of tanshinol on liver fibrosis in rats were evaluated. The serum levels of alanine aminotransferase, aspartate aminotransferase, and total bilirubin were obviously lower in the tanshinol treatment groups related to model group. Compared with the model group, the levels of hyaluronic acid, type IV collagen, Laminin (LN), and procollagen III peptide (PIIIP) in serum were significantly decreased after tanshinol treatment. Furthermore, tanshinol could regulate Nrf2/HO-1 signaling pathway and increase the level of superoxide dismutase (SOD) and glutathione peroxidase (GSH-Px), and also decrease the level of malondialdehyde (MDA) to against damage induced by oxidative stress. Simultaneously tanshinol could regulate nuclear factor kappa B signaling pathway to inhibit expression of inflammation factors, including transforming growth factor-beta, tumor necrosis factor-alpha, Cox-2, interleukin-1beta, and interleukin-6. In summary, our research demonstrated that tanshinol has protective effect on CCl4-induced liver fibrosis via inhibiting oxidative stress and inflammation, which may be associated with the regulation of nuclear factor erythroid2-related factor 2/hemeoxygenase-a and nuclear factor kappa B/inhibitor of kappa B alpha signaling pathways. PMID- 29844660 TI - Waiting for diagnostic colonoscopy: a qualitative exploration of screening participants' experiences in a FIT-based colorectal cancer screening program. AB - Background: Participants in population-based screening for colorectal cancer (CRC) may experience increased anxiety immediately after a positive screening test, but research in this area is limited. The objective of this study was to explore how screening participants experience a positive test result and cope with the pre-diagnostic waiting period in a CRC screening program. Materials and methods: Screening participants with a positive fecal immunochemical test (FIT) result were identified in the Danish national CRC program before they attended diagnostic colonoscopy. Sixteen screening participants were selected for an interview in their own homes, using a semi-structured interview guide. Transcribed data were analyzed thematically. Results: The most prominent themes were symptom appraisal and communication strategies. Most participants attributed the positive FIT result showing blood in the stool to pre-existing non-malignant conditions but a few were very worried about the FIT result and the outcome of the colonoscopy. Communication strategies included discussions with family or friends about the positive FIT result and the upcoming colonoscopy, or containing information until the colonoscopy had provided the definitive diagnostic result. There was no apparent need for communication with health care professionals during the pre-diagnostic waiting period. Conclusion: The pre-diagnostic waiting period between positive FIT result and colonoscopy in a population-based screening program may cause worry for some participants, potentially to require support, but most people consider it unconcerning. Screening providers should communicate to all screening participants in written form that negative emotional responses may occur after a positive screening result. This is particularly important in screening programs using self-sample kits without the presence of a health care professional to reassure the few participants who may experience significant anxiety. PMID- 29844661 TI - Quick screen of patients' numeracy and document literacy skills: the factor structure of the Newest Vital Sign. AB - Introduction: The Newest Vital Sign (NVS) is a survey designed to measure general health literacy whereby an interviewer asks six questions related to information printed on a nutritional label from an ice cream container. It enables researchers to evaluate several health literacy dimensions in a short period of time, including document literacy, comprehension, quantitative literacy (numeracy), application, and evaluation. No study has empirically examined which items belong to which latent dimensions of health literacy in the NVS using factor analysis. Identifying the factor structure of the NVS would enable health care providers to choose appropriate intervention strategies to address patients' health literacy as well as improve their health outcomes accordingly. This study aimed to explore the factor structure of the NVS that is used to assess multiple dimensions of health literacy. Methods: A cross-sectional study administering the NVS in a face-to-face manner was conducted at two family medicine clinics in the USA. One hundred and seventy four individuals who participated were at least 20 years old, diagnosed with type 2 diabetes, prescribed at least one oral diabetes medicine, and used English as their primary language. Exploratory factor analysis and confirmatory factor analysis were conducted to investigate the factor structure of the NVS. Results: Numeracy and document literacy are two dimensions of health literacy that were identified and accounted for 63.05% of the variance in the NVS. Internal consistency (Cronbach's alpha) of the NVS were 0.78 and 0.91 for numeracy and document literacy, respectively. Conclusion: Numeracy and document literacy appropriately represent the factor structure of the NVS and may be used for assessing health literacy in greater detail for patients with type 2 diabetes. PMID- 29844662 TI - The impact of pelvic floor muscle training on the quality of life of women with urinary incontinence: a systematic literature review. AB - Purpose: The purpose of this review was to assess the effectiveness of pelvic floor muscle training (PFMT) in the treatment of urinary incontinence (UI) in women, with a particular focus on the impact of this form of therapy on the patients' quality of life (QoL). Methods: The following electronic databases were searched: PubMed, Embase, and Cochrane Library (articles only in English, 1990 2017). Search terms were as follows: urinary incontinence, pelvic floor muscle training, pelvic floor exercises, quality of life. Systematic review methods were based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta Analyses) statement. Results: The assessment of the impact of PFMT on the QoL of women with UI was conducted among 2,394 women in 24 selected studies. After the end of treatment, the majority of patients in the experimental groups noted a statistically significant improvement in QoL. Conclusion: The results of this literature review demonstrate that PFMT is an effective treatment for UI in women. PFMT significantly improves the QoL of women with UI, which is an important determinant of their physical, mental, and social functioning. PMID- 29844663 TI - Sensory and memory stimulation as a means to care for individuals with dementia in long-term care facilities. AB - Objective: The primary objective of this study was to identify and further examine the facilitators and barriers of utilizing sensory and memory stimulation as a means to care for individuals with dementia who live in long-term care settings. Materials and methods: The authors conducted a literature review of 30 academic articles found using the databases such as CINAHL, PubMed, and Academic Search Ultimate from the past 15 years. Facilitator and barrier themes were found within each article and analyzed for their relevance to sensory and memory stimulation therapies and their effects on individuals with dementia. Results: The most common facilitator was improved communication. The top three barriers were access, staff training, and mixed results. Discussion: Reminiscence therapy appears to provide a person-centered method of care for those who otherwise have problems communicating. These implementations will be more effective if they have the support of staff and management. Conclusion: The authors conclude that sensory and memory stimulation therapies have the potential to help improve many dementia-specific issues for individuals living in long-term care settings. PMID- 29844664 TI - Development and validation of the Medication Regimen Simplification Guide for Residential Aged CarE (MRS GRACE). AB - Background: Residents of aged care facilities use increasingly complex medication regimens. Reducing unnecessary medication regimen complexity (eg, by consolidating the number of administration times or using alternative formulations) may benefit residents and staff. Objective: To develop and validate an implicit tool to facilitate medication regimen simplification in aged care facilities. Method: A purposively selected multidisciplinary expert panel used modified nominal group technique to identify and prioritize factors important in determining whether a medication regimen can be simplified. The five prioritized factors were formulated as questions, pilot-tested using non-identifiable medication charts and refined by panel members. The final tool was validated by two clinical pharmacists who independently applied the tool to a random sample of 50 residents of aged care facilities to identify opportunities for medication regimen simplification. Inter-rater agreement was calculated using Cohen's kappa. Results: The Medication Regimen Simplification Guide for Residential Aged CarE (MRS GRACE) was developed as an implicit tool comprising of five questions about 1) the resident; 2) regulatory and safety requirements; 3) drug interactions; 4) formulation; and 5) facility and follow-up considerations. Using MRS GRACE, two pharmacists independently simplified medication regimens for 29/50 and 30/50 residents (Cohen's kappa=0.38, 95% CI 0.12-0.64), respectively. Simplification was possible for all residents with five or more administration times. Changing an administration time comprised 75% of the two pharmacists' recommendations. Conclusions: Using MRS GRACE, two clinical pharmacists independently simplified over half of residents' medication regimens with fair agreement. MRS GRACE is a promising new tool to guide medication regimen simplification in aged care. PMID- 29844665 TI - Age-related changes in shock absorption capacity of the human spinal column. AB - Background: The spinal column possesses shock absorption properties, mainly provided by the intervertebral discs. However, with the process of senescence, all structures of the spine, including the discs, undergo degenerative changes. It may lead to alteration of the mechanical properties of the spinal motion segment and diminished capacity for vibration attenuation. Objective: The objective of this study was to investigate the age-related changes in shock absorption properties of the spine. Patients and methods: A total of 112 individuals divided into three groups according to age (third, fifth, and seventh decades of life) were enrolled in this study. The transmissibility of vibrations through the spine was measured in a standing position on a vibration platform by accelerometers mounted at the levels of S2 and C0. Registered signals were described using four parameters: VMS (variability), peak-to-peak amplitude (PPA), and spectral activity in two bands F2 (0.7-5 Hz) and F20 (15-25 Hz). Results: In all age groups, signals registered at C0 were characterized by significantly lower values of VMS, PPA, and F20, when compared to level S2. Simultaneously, the parameter F20 significantly differed among all age groups when C0 vibrations were analyzed: 2.43+/-1.93, 5.02+/-3.61, and 10.84+/-5.12 for the third, fifth, and seventh decades of life, respectively. Conclusion: The human spinal column provides vibration attenuation; however, this property gradually declines with the aging process. PMID- 29844666 TI - Exercise response to oxygen supplementation is not associated with survival in hypoxemic patients with obstructive lung disease. AB - Purpose: Hypoxemia is associated with more severe lung disease and worse outcomes. In some patients with chronic obstructive lung diseases who desaturate on exertion, supplemental oxygen improves exercise capacity. The clinical significance of this exercise response to oxygen supplementation is not known. Patients and methods: We identified chronic obstructive lung disease patients at our center who underwent a 6-minute walking test (6MWT) for ambulatory oxygen assessment and who desaturated breathing air and therefore had an additional walk test on supplemental oxygen, between August 2006 and June 2016. Responders were defined as walking >=26 m further with oxygen. Survival was determined up to February 1, 2017. We compared survival in oxygen responders and nonresponders in patients with obstructive lung diseases. Results: One hundred and seventy-four patients were included in the study, median age 70 years. Seventy-seven (44.3%) of the patients were oxygen responders. Borg dyspnea score improved by 1.4 (+/ 1.4) units (P<0.0005) on oxygen. Median survival was 66 months with death occurring in 84 (48.2%) patients. Kaplan-Meier analysis revealed no survival difference between both responders and nonresponders (P=0.571). Cox regression analysis showed that more 6MWT desaturation, lower 6-minute walking distance on room air, male gender, lower hemoglobin, and body mass index were associated with higher mortality risk. Conclusion: Acute exercise response to supplemental oxygen is not associated with long-term survival in patients with obstructive lung disease. This supports the use of ambulatory oxygen treatment for symptomatic purposes only. PMID- 29844667 TI - Distribution and characteristics of COPD phenotypes - results from the Polish sub cohort of the POPE study. AB - Background: This study aimed to examine the distribution of predefined phenotypes, demographic data, clinical outcomes, and treatment of patients who were included in the Polish cohort of the Phenotypes of COPD in Central and Eastern Europe (POPE) study. Patients and methods: This was a sub-analysis of the data from the Polish cohort of the POPE study, an international, multicenter, observational cross-sectional survey of COPD patients in Central and Eastern European countries. The study included patients aged >40 years, with a confirmed diagnosis of COPD, and absence of exacerbation for at least 4 weeks before study inclusion. A total of seven Polish centers participated in the study. Results: Among the 430 Polish COPD patients enrolled in the study, 61.6% were non exacerbators (NON-AE), 25.3% were frequent exacerbators with chronic bronchitis (AE CB), 7.9% were frequent exacerbators without chronic bronchitis (AE NON-CB), and 5.1% met the definition of asthma-COPD overlap syndrome (ACOS). There were statistically significant differences among these phenotypes in terms of symptom load, lung function, comorbidities, and treatment. Patients with the AE CB phenotype were most symptomatic with worse lung function, and more frequently reported anxiety and depression. Patients with the ACOS phenotype were significantly younger and were diagnosed with COPD earlier than those with other COPD phenotypes; those with the ACOS phenotype were also more often atopic and obese. Conclusion: There is significant heterogeneity among COPD patients in the Polish population in terms of phenotype and clinical outcome. The non-exacerbator phenotype is observed most frequently in Poland, while the frequent exacerbator with chronic bronchitis phenotype is the most symptomatic. PMID- 29844668 TI - Case-finding for COPD in primary care: a qualitative study of patients' perspectives. AB - Background: COPD is a leading cause of morbidity and mortality, yet it remains largely under-diagnosed. Case-finding is encouraged by many professionals, but there is a lack of information on the patients' views and perspectives. Patients and methods: Semistructured interviews were conducted with adults, aged 40 years or older with a history of smoking, who were eligible and invited for case finding for COPD as a part of a large UK primary care trial. Patients, including those who consented or declined participation and those with and without COPD after screening, were interviewed. Interviews were transcribed and analyzed using the framework method. Results: The 43 interviews revealed the following two main categories of themes: patients' views on COPD case-finding and barriers to case finding. Overall, case-finding was deemed important and beneficial. Participants highlighted the need for screening activities to be convenient for patients but perceived that general practitioners (GPs) lacked the time and accessing appointments was difficult. Desire for a health check among symptomatic patients facilitated participation in case-finding. Psychological barriers to engagement included denial of ill health or failure to recognize symptoms, fear of the "test", and lung symptoms being low on the hierarchy of patient health complaints. Mechanical barriers included providing care for another person (and therefore being too busy), being unable to access GP appointments, and lacking feedback of spirometry results or communication of the diagnosis. Conclusion: Patient engagement with case-finding may be limited by denial or lack of recognition of symptoms and physical barriers to attendance. Increasing public awareness of COPD risk factors and early symptoms may enhance case-finding. PMID- 29844669 TI - Responses of intestinal virome to silver nanoparticles: safety assessment by classical virology, whole-genome sequencing and bioinformatics approaches. AB - Background: Effects of silver nanoparticles (AgNP) on the intestinal virome/phage community are mostly unknown. The working hypothesis of this study was that the exposure of pharmaceutical/nanomedicine and other consumer-use material containing silver ions and nanoparticles to the gastrointestinal tract may result in disturbance of the beneficial gut viruses/phages. Methods: This study assesses the impact of AgNP on the survival of individual bacteriophages using classical virology cultivation and electron microscopic techniques. Moreover, how the ingested AgNP may affect the intestinal virus/phages was investigated by conducting whole-genome sequencing (WGS). Results: The viral cultivation methods showed minimal effect on selected viruses during short-term exposure (24 h) to 10 nm AgNP. However, long-term exposure (7 days) resulted in significant reduction in the viral/phage population. Data obtained from WGS were filtered and compared with a nonredundant viral database composed of the complete viral genomes from NCBI using KRAKEN (confidence scoring threshold of 0.5). To compare the relative differential changes, the sequence counts in each treatment group were normalized to account for differences in DNA sequencing library sizes. Bioinformatics techniques were developed to visualize the virome comparative changes in a phylogenic tree graph. The computed data revealed that AgNP had an impact on several intestinal bacteriophages that prey on bacterial genus Enterobacteria, Yersinia and Staphylococcus as host species. Moreover, there was an independent effect of nanoparticles and released ions. Conclusion: Overall, this study reveals that the small-size AgNP could lead to perturbations of the gut microbial ecosystem, leading to the inactivation of resident phages that play an important role in influencing gastrointestinal health. PMID- 29844670 TI - Formulation and evaluation of mixed polymeric micelles of quercetin for treatment of breast, ovarian, and multidrug resistant cancers. AB - Background: Quercetin (QCT), a naturally occurring flavonoid has a wide array of pharmacological properties such as anticancer, antioxidant and anti-inflammatory activities. QCT has low solubility in water and poor bioavailability, which limited its use as a therapeutic molecule. Polymeric micelles (PMs) is a novel drug delivery system having characteristics like smaller particle size, higher drug loading, sustained drug release, high stability, increased cellular uptake and improved therapeutic potential. In the present study, we have formulated and characterized mixed PMs (MPMs) containing QCT for increasing its anticancer potential. Methods: The MPMs were prepared by thin film hydration method, and their physicochemical properties were characterized. The in vitro anticancer activity of the MPMs were tested in breast (MCF-7 and MDA-MB-231, epithelial and metastatic cancer cell lines, respectively), and ovarian (SKOV-3 and NCI/ADR, epithelial and multi-drug resistant cell lines, respectively) cancer. Results: The optimal MPM formulations were obtained from Pluronic polymers, P123 and P407 with molar ratio of 7:3 (A16); and P123, P407 and TPGS in the molar ratio of 7:2:1 (A22). The size of the particles before lyophilization (24.83+/-0.44 nm) and after lyophilisation (37.10+/-4.23 nm), drug loading (8.75+/-0.41%), and encapsulation efficiency (87.48+/-4.15%) for formulation A16 were determined. For formulation A22, the particle size before lyophilization, after lyophilization, drug loading and encapsulation efficiency were 26.37+/-2.19 nm, 45.88+/-13.80 nm, 9.01+/-0.11% and 90.07+/-1.09%, respectively. The MPMs exhibited sustained release of QCT compared to free QCT as demonstrated from in vitro release experiments. The solubility of QCT was markedly improved compared to pure QCT. The MPMs were highly stable in aqueous media as demonstrated by their low critical micelle concentration. The concentration which inhibited 50% growth (IC50) values of both micellar preparations in all the cancer cell lines were significantly less compared to free QCT. Conclusion: Both the MPMs containing QCT could be used for effective delivery to different type of cancer and may be considered for further development. PMID- 29844671 TI - Hierarchically aligned fibrin nanofiber hydrogel accelerated axonal regrowth and locomotor function recovery in rat spinal cord injury. AB - Background: Designing novel biomaterials that incorporate or mimic the functions of extracellular matrix to deliver precise regulatory signals for tissue regeneration is the focus of current intensive research efforts in tissue engineering and regenerative medicine. Methods and results: To mimic the natural environment of the spinal cord tissue, a three-dimensional hierarchically aligned fibrin hydrogel (AFG) with oriented topography and soft stiffness has been fabricated by electrospinning and a concurrent molecular self-assembling process. In this study, the AFG was implanted into a rat dorsal hemisected spinal cord injury model to bridge the lesion site. Host cells invaded promptly along the aligned fibrin hydrogels to form aligned tissue cables in the first week, and then were followed by axonal regrowth. At 4 weeks after the surgery, neurofilament (NF)-positive staining fibers were detected near the rostral end as well as the middle site of defect, which aligned along the tissue cables. Abundant NF- and GAP-43-positive staining indicated new axon regrowth in the oriented tissue cables, which penetrated throughout the lesion site in 8 weeks. Additionally, the abundant blood vessels marked with RECA-1 had reconstructed within the lesion site at 4 weeks after surgery. Basso-Beattie-Bresnahan scoring showed that the locomotor performance of the AFG group recovered much faster than that of blank control group or the random fibrin hydrogel (RFG) group from 2 weeks after surgery. Furthermore, diffusion tensor imaging tractography of MRI confirmed the optimal axon fiber reconstruction compared with the RFG and control groups. Conclusion: Taken together, our results suggested that the AFG scaffold provided an inductive matrix for accelerating directional host cell invasion, vascular system reconstruction, and axonal regrowth, which could promote and support extensive aligned axonal regrowth and locomotor function recovery. PMID- 29844672 TI - Recent advances in functional nanostructures as cancer photothermal therapy. AB - Being a non-invasive and relatively safe technique, photothermal therapy has attracted a lot of interest in the cancer treatment field. Recently, nanostructure technology has entered the forefront of cancer therapy owing to its ability to absorb near-infrared radiation as well as efficient light to heat conversion. In this study, key nanostructures for cancer therapy including gold nanoparticles, magnetite iron oxide nanoparticles, organic nanomaterials, and novel two-dimensional nanoagents such as MXenes are discussed. Furthermore, we briefly discuss the characteristics of the nanostructures of these photothermal nanomaterial agents, while focusing on how nanostructures hold potential as cancer therapies. Finally, this review offers promising insight into new cancer therapy approaches, particularly in vivo and in vitro cancer treatments. PMID- 29844673 TI - Mechanisms of oxidative stress, apoptosis, and autophagy involved in graphene oxide nanomaterial anti-osteosarcoma effect. AB - Background: Graphene and its derivative graphene oxide (GO) have been implicated in a wide range of anticancer effects. Purpose: The objective of this study was to systematically evaluate the toxicity and underlying mechanisms of GO on two osteosarcoma (OSA) cancer cell lines, MG-63 and K7M2 cells. Methods: MG-63 and K7M2 cells were treated by GO (0-50 ug/mL) for various time periods. Cell viability was tested by MTT and Live/Dead assays. A ROS Detection Kit based on DHE oxidative reaction was used for ROS detection. An Annexin V-FITC Apoptosis Kit was used for apoptosis detection. Dansylcadaverine (MDC) dyeing was applied for seeking unspecific autophagosomes. Western blot and Immunofluorescence analysis were used for related protein expression and location. Results: K7M2 cells were more sensitive to GO compared with MG-63 cells. The mechanism was attributed to the different extent of the generation of reactive oxygen species (ROS). In K7M2 cells, ROS was easily stimulated and the apoptosis pathway was subsequently activated, accompanied by elevated expression of proapoptosis proteins (such as caspase-3) and decreased expression levels of antiapoptosis proteins (such as Bcl-2). A ROS inhibitor (N-acetylcysteine) could alleviate the cytotoxic effects of GO in K7M2 cells. However, the production of ROS in MG-63 cells was probably inhibited by the activation of an antioxidative factor, nuclear factor-E2-related factor-2, which translocated from the cytoplasm to the nucleus after GO treatment, while a nuclear factor-E2-related factor-2 inhibitor (ML385) significantly increased ROS production in MG-63 cells when combined with GO treatment. In addition, autophagy was simultaneously stimulated by characteristic autophagosome formation, autophagy flux, and increased the expression level of autophagy-related proteins (such as LC3I to LC3II conversion, ATG5, and ATG7). Conclusion: This paper proposes various underlying mechanisms of the anticancer effect of GO. The novel synthetic use of GO with an oxidizing agent is the key step for further potential applications in clinical OSA cancer therapy. PMID- 29844674 TI - Factors impacting the efficacy of venlafaxine extended release 75-225 mg/day in patients with major depressive disorder: exploratory post hoc subgroup analyses of a randomized, double-blind, placebo-controlled study in Japan. AB - Purpose: To explore the potential factors impacting the efficacy of venlafaxine extended release (ER) and treatment differences between 75 mg/day and 75-225 mg/day dose in patients with major depressive disorder (MDD). Methods: We performed exploratory post hoc subgroup analyses of a randomized, double-blind, placebo-controlled study conducted in Japan. A total of 538 outpatients aged 20 years or older with a primary diagnosis of MDD who experienced single or recurrent episodes were randomized into three groups: fixed-dose, flexible-dose, or placebo. Venlafaxine ER was initiated at 37.5 mg/day and titrated to 75 mg/day for both fixed-dose and flexible-dose group, and to 225 mg/day for flexible-dose group (if well tolerated). Efficacy endpoints were changes from baseline at Week 8 using the Hamilton Rating Scale for Depression-17 items (HAM-D17) total score, Hamilton Rating Scale for Depression-6 items score, and Montgomery-Asberg Depression Rating Scale total score. The following factors were considered in the subgroup analyses: sex, age, HAM-D17 total score at baseline, duration of MDD, duration of current depressive episode, history of previous depressive episodes, history of previous medications for MDD, and CYP2D6 phenotype. For each subgroup, an analysis of covariance model was fitted and the adjusted mean of the treatment effect and corresponding 95% CI were computed. Due to the exploratory nature of the investigation, no statistical hypothesis testing was used. Results: Venlafaxine ER improved symptoms of MDD compared with placebo in most subgroups. The subgroup with a long duration of MDD (>22 months) consistently showed greater treatment benefits in the flexible-dose group than in the fixed-dose group. Conclusion: These results suggest that a greater treatment response to venlafaxine ER (up to 225 mg/day) can be seen in patients with a longer duration of MDD. Further investigations are needed to identify additional factors impacting the efficacy of venlafaxine ER. PMID- 29844675 TI - Harm avoidance and depression, anxiety, insomnia, and migraine in fifth-year medical students in Taiwan. AB - Purpose: During medical school training, increased stress, depression, and anxiety are common. Certain personality traits, particularly harm avoidance (HA), may increase the risk of psycho-pathological disorders, insomnia, and migraine among medical students. This study evaluated the role HA may play on levels of stress, depression, anxiety, and insomnia among Taiwanese medical students starting their fifth and final year of medical school. Patients and methods: A series of self-report questionnaires were used to measure the severity of anxiety, depression, and insomnia, as well as somatic symptoms, particularly migraine headache, among 143 Taiwanese fifth-year medical students (94 males and 49 females). Most had normal or mild levels of anxiety, depression, insomnia, and migraine. Results: HA personality trait was significantly associated with depression (all P <= 0.001) after adjusting for other factors. HA was not significantly associated with anxiety, insomnia, or migraine headache days. Conclusion: HA personality trait was significantly associated with depression among fifth-year medical students in Taiwan. PMID- 29844676 TI - Enhancing research publications and advancing scientific writing in health research collaborations: sharing lessons learnt from the trenches. AB - Background: Disseminating research protocols, processes, methods or findings via peer-reviewed publications has substantive merits and benefits to various stakeholders. Purpose: In this article, we share strategies to enhance research publication contents (ie, what to write about) and to facilitate scientific writing (ie, how to write) in health research collaborations. Methods: Empirical experience sharing. Results: To enhance research publication contents, we encourage identifying appropriate opportunities for publications, publishing protocols ahead of results papers, seeking publications related to methodological issues, considering justified secondary analyses, and sharing academic process or experience. To advance writing, we suggest setting up scientific writing as a goal, seeking an appropriate mentorship, making full use of scientific meetings and presentations, taking some necessary formal training in areas such as effective communication and time and stress management, and embracing the iterative process of writing. Conclusion: All the strategies we share are dependent upon each other; and they advocate gradual academic accomplishments through study and training in a "success-breeds-success" way. It is expected that the foregoing shared strategies in this paper, together with other previous guidance articles, can assist one with enhancing research publications, and eventually one's academic success in health research collaborations. PMID- 29844677 TI - The Influence of Nicotinamide on Health and Disease in the Central Nervous System. AB - Nicotinamide, the amide form of vitamin B3 (niacin), has long been associated with neuronal development, survival, and function in the central nervous system (CNS), being implicated in both neuronal death and neuroprotection. Here, we summarise a body of research investigating the role of nicotinamide in neuronal health within the CNS, with a focus on studies that have shown a neuroprotective effect. Nicotinamide appears to play a role in protecting neurons from traumatic injury, ischaemia, and stroke, as well as being implicated in 3 key neurodegenerative conditions: Alzheimer's, Parkinson's, and Huntington's diseases. A key factor is the bioavailability of nicotinamide, with low concentrations leading to neurological deficits and dementia and high levels potentially causing neurotoxicity. Finally, nicotinamide's potential mechanisms of action are discussed, including the general maintenance of cellular energy levels and the more specific inhibition of molecules such as the nicotinamide adenine dinucleotide-dependent deacetylase, sirtuin 1 (SIRT1). PMID- 29844678 TI - Peritoneal carcinomatosis index as a predictor of diaphragmatic involvement in stage III and IV ovarian cancer. AB - Objective: To analyze the surgical outcomes and diaphragmatic involvement in stage III and IV ovarian cancer. Patients and methods: All patients with stage III-IV ovarian cancer between January 2013 and January 2016 were included. The outcomes of interest reviewed were as follows: surgical (complications, mortality), peritoneal carcinomatosis index (PCI), rate of complete resection, and disease-free interval and survival. Results: Fifty-seven patients were included, 38 (67%) with diaphragmatic involvement; in 10 cases (18%), diaphragmatic resection was required. Optimal cytoreduction (OCR) was obtained in 49 cases (86%). The PCI was >10 in 31 cases (54%). Respiratory complications occurred in 10 cases (18%) and mortality in 3 (5%). Disease-free survival rate in 3 years was 53%, being 87% in cases without diaphragmatic involvement. The overall survival rate in 3 years is 46%, 83% in the cases without diaphragmatic involvement and 27% in cases with affectation (p<0.05). In cases of OCR, 3 year survival rate was 65%. In the multivariate analysis for the overall survival of cases with OCR, the only independent prognostic factor found was the operative PCI. A strong correlation was found between the total PCI and the diaphragmatic PCI (p<0.001). With a PCI >10, virtually all cases will present diaphragmatic involvement (p<0.05). Conclusion: The tumor burden is different in stages III and IV of advanced ovarian cancer and the PCI is an effective method to quantify it. The PCI constitutes an independent prognostic factor for the advanced stages of ovarian cancer. A PCI >10 constitutes a useful prognostic factor of the affectation and forces the surgeon to thoroughly review both diaphragms. PMID- 29844679 TI - 5-Azacytidine treatment induces demethylation of DAPK1 and MGMT genes and inhibits growth in canine mammary gland tumor cells. AB - Background: Canine mammary gland tumors (CMGTs) are the most common, spontaneous types of neoplasias in female dogs. Aberrant DAPK1 and MGMT methylation associated with tumor formation and development in various cancers. 5-Azacytidine is a known specific demethylation drug that covalently binds to DNA methyltransferase. However, the methylation of the DAPK1 and MGMT is unknown with respect to CMGTs. Therefore, we sought to demonstrate the effects of 5 azacytidine on the proliferation of CMGTs cell, and elucidate the potential molecular mechanisms of action in these cancerous cells. Materials and methods: The effects of 5-azacytidine on CHMm and CHMp cell proliferation were evaluated by MTT assay. The DAPK1 and MGMT gene methylation patterns in CHMm and CHMp cells and CMGTs blood/tissue samples were analyzed by MSP assay. Effect of 5 azacytidine on the methylation of DAPK1 and MGMT gene, and DAPK1 and MGMT mRNA expression in CHMm and CHMp cells were analyzed by MSP assay and qRT-PCR assay, respectively. Results: 5-Azacytidine may suppress the proliferation of CHMm and CHMp cells. Furthermore, the DAPK1 and MGMT genes were hypermethylated in CHMm/CHMp cells and clinical malignant tumor samples, but not in normal female dogs' blood and tissue. However, the DAPK1 and MGMT genes were re-inducible in CHMm and CHMp cells treated with 5 MUM 5-azacytidine. Meanwhile, 5-azacytidine increased the expression of DAPK1 and MGMT mRNA. Conclusion: These results suggest that DAPK1 and MGMT methylation can serve as sensitive diagnostic biomarkers and therapeutic targets for CMGTs. 5-Azacytidine also could be a potential therapeutic candidate for CMGTs. PMID- 29844680 TI - Identifying miRNA and gene modules of colon cancer associated with pathological stage by weighted gene co-expression network analysis. AB - Introduction: Colorectal cancer (CRC) is the fourth most common cause of cancer related mortality worldwide. The tumor, node, metastasis (TNM) stage remains the standard for CRC prognostication. Identification of meaningful microRNA (miRNA) and gene modules or representative biomarkers related to the pathological stage of colon cancer helps to predict prognosis and reveal the mechanisms behind cancer progression. Materials and methods: We applied a systems biology approach by combining differential expression analysis and weighted gene co-expression network analysis (WGCNA) to detect the pathological stage-related miRNA and gene modules and construct a miRNA-gene network. The Cancer Genome Atlas (TCGA) colon adenocarcinoma (CAC) RNA-sequencing data and miRNA-sequencing data were subjected to WGCNA analysis, and the GSE29623, GSE35602 and GSE39396 were utilized to validate and characterize the results of WGCNA. Results: Two gene modules (Gmagenta and Ggreen) and one miRNA module were associated with the pathological stage. Six hub genes (COL1A2, THBS2, BGN, COL1A1, TAGLN and DACT3) were related to prognosis and validated to be associated with the pathological stage. Five hub miRNAs were identified to be related to prognosis (hsa-miR-125b-5p, hsa-miR-145 5p, hsa-let-7c-5p, hsa-miR-218-5p and hsa-miR-125b-2-3p). A total of 18 hub genes and seven hub miRNAs were predominantly expressed in tumor stroma. Proteoglycans in cancer, focal adhesion, extracellular matrix (ECM)-receptor interaction and so on were common pathways of the three modules. Hsa-let-7c-5p was located at the core of miRNA-gene network. Conclusion: These findings help to advance the understanding of tumor stroma in the progression of CAC and provide prognostic biomarkers as well as therapeutic targets. PMID- 29844681 TI - Advances of exosome in the development of ovarian cancer and its diagnostic and therapeutic prospect. AB - Ovarian cancer is the leading cause of female gynecological cancer mortality. Most patients with ovarian cancer are diagnosed with advanced stage because of lack of early symptoms, physical signs, and sensitive tumor biomarkers. The standard treatment includes cytoreductive surgery and platinum-based chemotherapy (usually platinum combined with paclitaxel). Despite that postoperative adjuvant chemotherapy prolongs survival time, most patients go through relapse within 6-12 months after the treatment. Thus, elucidating the molecular mechanism in cancer development is essential to promote early diagnosis and novel treatments. The role of exosome has been highlighted in multiple research fields in recent years. Exosome has been described as nano-sized vesicle secreted by multiple mammalian cell types, carrying cargos like proteins, miRNAs, mRNAs, and lipids. It participates in the formation of tumor microenvironment and the development of tumorigenesis and drug resistance in ovarian cancer. Meanwhile, it may also play a pivotal role in diagnosis, efficacy evaluation, and prognosis. Besides, studies show that exosome and its processed products have promising value in ovarian cancer treatment. The aim of the current review is to describe the characteristics of exosome in ovarian cancer, especially focusing on its role in immune modulation and drug resistance, hoping to provide new information on its implications in cancer diagnosis and treatment. PMID- 29844682 TI - NDRG3 facilitates colorectal cancer metastasis through activating Src phosphorylation. AB - Background: NDRG3 is an N-myc downregulated gene (NDRG). The aim of this article was to identify the role of NDRG3 in colorectal cancer (CRC) and to determine the mechanism underlying its function. Methods: Using immunohistochemical staining, expression and clinicopathological variables of NDRG3 were analyzed in 170 CRC samples. Overexpression of NDRG3 was employed in SW1116 cells, downregulation of NDRG3 was achieved in RKO cells, then migration and invasion assays were performed in vitro, and a mouse model was constructed in vivo. Results: Increased expression of NDRG3 was observed in primary CRC tissues, and this expression was correlated with distant metastasis. Consistently, ectopic expression of NDRG3 in SW1116 cells enhanced cell migration and invasion, while knockdown of NDRG3 in RKO cells significantly suppressed CRC cell metastasis. The portal vein injection models suggested that NDRG3 overexpression facilitates liver metastasis. These events were associated with the phosphorylation of Src (c-Src) at Tyr 419 site. Conclusion: Our results showed that NDRG3 facilitates CRC migration and invasion by activating Src phosphorylation, suggesting the role of NDRG3 as a candidate oncogene. PMID- 29844683 TI - circSMAD2 inhibits the epithelial-mesenchymal transition by targeting miR-629 in hepatocellular carcinoma. AB - Background: Circular RNAs (circRNAs) are a class of widely distributed non-coding RNAs, which drew little attention for decades. Recent studies show that circRNAs are involved in cancer progression. Methods: The circSMAD2 expression in HCC and adjacent non-tumor tissues was measured by quantitative real-time polymerase chain reaction, and the biological function of circSMAD2 was explored by proliferation, apoptosis, migration, invasion, and Western blot assays. Next, the dual-luciferase reporter assay was performed to identify the target miRNA of circSMAD2. Finally, circSMAD2 and its target miRNA were co-transfected in HCC cells to investigate their relationship to HCC progression. Results: In this study, we found that circRNA SMAD2 (circSMAD2) expression was downregulated in hepatocellular carcinoma (HCC) tissues (P = 0.014) compared to the adjacent non tumor tissues and markedly associated with the differentiation degree of the HCC tissues (P < 0.001). The in vitro experiments showed that overexpressed circSMAD2 inhibited the migration, invasion, and epithelial-mesenchymal transition (EMT) in HCC cells. Bioinformatics predicted that miR-629 is a potential target of circSMAD2, and the dual-luciferase reporter assay verified that miR-629 directly bound circSMAD2. In addition, we found that overexpression of circSMAD2 suppressed the expression of miR-629 in HCC cells, whereas knockdown of circSMAD2 upregulated the expression of miR-629. Furthermore, co-transfection of miR-629 mimics with circSMAD2 reversed the circSMAD2 effects of inhibiting the migration, invasion, and EMT of HCC cells. Conclusion: Altogether, our data support that circSMAD2 inhibits the migration, invasion, and EMT of HCC cells by targeting miR 629. PMID- 29844684 TI - Leaflet manual of external beam radiation therapy for hepatocellular carcinoma: a review of the indications, evidences, and clinical trials. AB - The use of external beam radiation therapy (EBRT) in the treatment of hepatocellular carcinoma (HCC), which was rarely performed due to liver toxicity with a previous technique, has increased. Palliation of portal vein thrombosis, supplementation for insufficient transarterial chemoembolization, and provision of new curative opportunities using stereotactic body radiotherapy are the potential indications for use of EBRT. The mechanism of EBRT treatment, with its radiobiological and physical perspectives, differs from those of conventional medical treatment or surgery. Therefore, understanding the effects of EBRT may be unfamiliar to physicians other than radiation oncologists, especially in the field of HCC, where EBRT has recently begun to be applied. The first objective of this review was to concisely explain the indications for use of EBRT for HCC for all physicians treating HCC. Therefore, this review focuses on the therapeutic outcomes rather than the detailed biological and physical background. We also reviewed recent clinical trials that may extend the indications for use of EBRT. Finally, we reviewed the current clinical practice guidelines for the treatment of HCC and discuss the current recommendations and future perspectives. PMID- 29844685 TI - RIP1 regulates TNF-alpha-mediated lymphangiogenesis and lymphatic metastasis in gallbladder cancer by modulating the NF-kappaB-VEGF-C pathway. AB - Background: Tumor necrosis factor alpha (TNF-alpha) enhances lymphangiogenesis in gallbladder carcinoma (GBC) via activation of nuclear factor (NF-kappaB) dependent vascular endothelial growth factor-C (VEGF-C). Receptor-interacting protein 1 (RIP1) is a multifunctional protein in the TNF-alpha signaling pathway and is highly expressed in GBC. However, whether RIP1 participates in the signaling pathway of TNF-alpha-mediated VEGF-C expression that enhances lymphangiogenesis in GBC remains unclear. Methods: The RIP1 protein levels in the GBC-SD and NOZ cells upon stimulation with increasing concentrations of TNF-alpha as indicated was examined using Western blot. Lentiviral RIP1 shRNA and siIkappaBalpha were constructed and transduced respectively them into NOZ and GBC SD cells, and then PcDNA3.1-RIP1 vectors was transduced into siRIP1 cell lines to reverse RIP1 expression. The protein expression of RIP1, inhibitor of NF-kappaB alpha (IkappaBalpha), p-IkappaBalpha, TAK1, NF-kappaB essential modulator were examined through immunoblotting or immunoprecipitation. Moreover, VEGF-C mRNA levels were measured by quantitative real-time polymerase chain reaction, VEGF-C protein levels were measured by immunoblotting and enzyme-linked immunosorbent assay, and VEGF-C promoter and NF-kappaB activities were quantified using a dual luciferase reporter assay. The association of NF-kappaB with the VEGF-C promoter was analysed by chromatin immunoprecipitation assay. A three-dimensional coculture method and orthotopic transplantation nude mice model were used to evaluate lymphatic tube-forming and metastasis ability in GBC cells. The expression of RIP1 protein, TNF-alpha protein and lymphatic vessels in human GBC tissues was examined by immunohistochemistry, and the dependence between RIP1 protein with TNF-alpha protein and lymphatic vessel density was analysed. Results: TNF-alpha dose- and time-dependently increased RIP1 protein expression in the GBC-SD and NOZ cells of GBC, and the strongest effect was observed with a concentration of 50 ng/ml. RIP1 is fundamental for TNF-alpha-mediated NF-kappaB activation in GBC cells and can regulate TNF-alpha-mediated VEGF-C expression at the protein and transcriptional levels through the NF-kappaB pathway. RIP1 can regulate TNF-alpha-mediated lymphatic tube formation and metastasis in GBC cells both in vitro and vivo. The average optical density of RIP1 was linearly related to that of TNF-alpha protein and the lymphatic vessel density in GBC tissues. Conclusion: We conclude that RIP1 regulates TNF-alpha-mediated lymphangiogenesis and lymph node metastasis in GBC by modulating the NF-kappaB-VEGF-C pathway. PMID- 29844686 TI - Bacillus Calmette-Guerin and anti-PD-L1 combination therapy boosts immune response against bladder cancer. AB - Background: Programmed death-ligand 1 (PD-L1) is a critical immune checkpoint molecule which promotes immunosuppression by binding to PD-1 on T-cells in tumor immunity. We have previously identified that activation of toll like receptor 4 (TLR-4), which serves an important role in the induction of antitumor immune response during Bacillus Calmette-Guerin (BCG) immunotherapy, could upregulate PD L1 expression in bladder cancer (BCa) cells through the classical mitogen activated protein kinase (MAPK) pathway and subsequently weaken the cytotoxicity of cytotoxic T lymphocyte (CTL). It is, therefore, necessary to investigate the possible potential relationship between PD-L1 expression and BCG immunotherapy. Materials and methods: In this study we investigated the effects of BCG treatment on PD-L1 expression in BCa cells and also evaluated the efficacy of BCG and anti PD-L1 combination therapy in immunocompetent orthotopic rat BCa models. Results: We found that PD-L1 expression was obviously upregulated in BCa cells in response to BCG treatment both in vitro and in vivo. Moreover, BCG and anti-PD-L1 combination treatment activated a potent antitumor immune response with the increase in the number and activity of tumor-infiltrating CD8+ T cells, as well as the reduction in myeloid-derived suppressor cells (MDSCs), and eventually elicits prominent tumor growth inhibition and prolonged survival, and was found to be much more effective than either agent alone. Conclusion: These findings highlight the adaptive dynamic regulation of PD-L1 in response to BCG immunotherapy and suggest that combination of BCG immunotherapy with PD-L1 blockade may be an effective antitumor strategy for improving treatment outcomes of BCa. PMID- 29844687 TI - High neutrophil to lymphocyte ratio and decreased CD69+NK cells represent a phenotype of high risk in early-stage breast cancer patients. AB - Purpose: Breast cancer (BC) is a highly heterogeneous disease presenting a broad range of clinical and molecular characteristics. In the past years, a growing body of evidence demonstrated that immune response plays a significant role in cancer outcome. However, immune prognostic markers are not completely validated in clinical practice in BC patients. Materials and methods: With the aim to characterize immune features, several parameters were analyzed in peripheral blood at diagnosis of 85 nonmetastatic BC patients between April 2011 and July 2014. Results: With a median follow-up of 38.6 months, peripheral blood analysis of BC patients (stages I, II, and III) showed that total lymphocyte and T lymphocyte counts were augmented in nonrelapsed patients. Also, a higher neutrophil-to-lymphocytes ratio was associated with prolonged disease-free survival. Natural killer cell receptor analysis revealed that early activation receptor CD69 was associated with a better outcome. Conclusion: This preliminary evidence is in accordance with the concept of immune surveillance. We suggest an "immune phenotype" that provides relevant prognostic information in early-stage BC patients and which could be useful in the decision-making process. PMID- 29844688 TI - miR-598 acts as a tumor suppressor in human gastric cancer by targeting IGF-1R. AB - Background: In recent years, the aberrant expression of miR-598 in tumorigenesis has been demonstrated, as well as the fact that the IGF-1R pathway is also involved in the development of human gastric cancer (GC). The present study aimed to investigate the molecular mechanisms underlying miR-598-regulated IGF-1R expression in human GC. Materials and methods: We analyzed the expression of miR 598 and IGF-1R in GC samples and cells, and evaluated the clinical significance of miR-598 and IGF-1R in GC patients. Furthermore, in vitro and in vivo assays were used to investigate the molecular mechanisms of miR-598 and IGF-1R. Results: miR-598 expression was frequently downregulated in GC tissues and cells, and significantly correlated with poor prognosis, vascular invasion, TNM stage, and lymph node metastases as well as IGF-1R expression. The overexpression of miR-598 obviously inhibited cell proliferation, migration, invasion, and induced cell cycle arrest in the G1/S phase, and increased the apoptosis of GC cells. The overexpression of miR-598 also significantly inhibited ERK1/2 and Akt phosphorylation level. In vivo assay validated the inhibitory effect of miR-598 on tumor growth. Further studies showed that miR-598 inhibited IGF-1R protein expression by directly targeting its 3'-UTR. Besides, over-expression of IGF-1R reversed the inhibitory effects of miR-598, while suppression of IGF-1R expression showed inverse effects. Conclusion: miR-598 suppresses GC cell proliferation, migration and invasion by directly targeting IGF-1R expression. Thus, miR-598 may be a useful target for GC patients. PMID- 29844689 TI - Downregulation of PDIA3 inhibits proliferation and invasion of human acute myeloid leukemia cells. AB - Introduction: Acute myeloid leukemia (AML) is a common malignancy of the hematopoietic system. In bone marrow samples of AML patients, PDIA3 expression was higher than that in the samples of healthy controls. We aimed at exploring the effect of PDIA3 siRNA on proliferation, apoptosis, migration, and invasion of AML HL-60 and HEL cells. Materials and methods: RT-PCR was performed to identify PDIA3 expression. Cell proliferation was assessed by MTT. Flow cytometry analysis and transwell were used to detect cell apoptosis, migration and invasion. Gene set enrich-ment analysis (GSEA) was employed to explore the PDIA 3-associated pathways in AML. Western blotting was used for protein expression detection. Results: PDIA3 siRNA significantly inhibited the proliferation of AML cells at 24 and 48 h. PDIA3 siRNA notably enhanced the percentage of apoptotic cells. The migration and invasion abilities of HL-60 and HEL cells in the PDIA3 siRNA group were significantly suppressed compared with those in the control and siNC groups. GSEA of the Cancer Genome Atlas dataset showed that Kyoto Encyclopedia of Genes and Genomes oxidative phosphorylation and amino sugar and nucleotide sugar metabolism pathways could be correlated with PDIA3 expression; this was further confirmed in AML cells by Western blotting. MAPK signaling was also blocked by PDIA3 siRNA. Conclusion: PDIA3 siRNA effectively enhanced apoptosis, and suppressed proliferation, invasion, and migration of AML cells by regulating oxidative phosphorylation and amino sugar and nucleotide sugar metabolism pathways, and MAPK signaling, which can provide novel therapeutic targets for AML. PMID- 29844690 TI - Plasma-activated water: a new and effective alternative for duodenoscope reprocessing. AB - Introduction: Duodenoscopes have been widely used for both diagnostic and therapeutic endoscopic retrograde cholangiopancreatography procedures. Numerous outbreaks of duodenoscope-associated infections involving multidrug-resistant bacteria have recently been reported. Plasma activated water (PAW) has been widely considered an effective agent for surface decontamination and is increasingly used for disinfection of medical equipment. The aim of this study was to evaluate whether the duodenoscopes currently on market are suited for the repeated use of PAW and to test the efficacy of PAW for their disinfection. Materials and methods: In order to evaluate the disinfection efficacy and the required time of contact, the duodenoscope samples were contaminated by immersing them in fasted-state simulated intestinal fluid containing Escherichia coli, Klebsiella pneumoniae, Acinetobacter baumannii, and Pseudomonas aeruginosa, prior to PAW exposure. In order to test the duodenoscope polymer compatibility with PAW, a challenge test was conducted by immersing the samples in PAW for 30 minutes daily for 45 consecutive days. Results: Significant reductions in bacterial populations were achieved after 30 minutes of PAW treatment, indicating a high-level disinfection. Atomic force microscopy and scanning electron microscopy were used to demonstrate that repeated PAW treatment of duodenoscope coating polymer samples did not result in significant differences in morphological surface between the treated and untreated samples. Energy dispersive X-ray spectroscopy analysis also showed no significant differences between the elemental composition of the duodenoscope coating polymer samples before and after repeated PAW treatment. Conclusion: Considering these preliminary results, PAW could be considered as a new alternative for duodenoscope reprocessing. PMID- 29844691 TI - Molecular characterization of carbapenem-resistant Gram-negative bacilli clinical isolates in Algeria. AB - Objectives: The aims of this study were to investigate the occurrence of carbapenem-resistant Gram-negative bacilli (GNB) isolated from inpatients and outpatients in Algeria between July and September 2015, and to screen their resistance mechanisms and genetic relatedness. Materials and methods: A total of 68 non-redundant isolates were identified using matrix-assisted laser desorption/ionization time-of-flight (MALDI-TOF) antibiotic susceptibility testing was performed using disk diffusion and Etest methods. Carbapenemase activity was carried out using modified Carba NP test, EDTA assay, and the modified Hodge test. Molecular characterization of carbapenemases and extended spectrum beta-lactamase (ESBL) genes were detected by standard PCR and sequencing. Genotyping of carbapenem-resistant isolates was performed by multilocus sequence typing (MLST) analysis. Results: Of the 68 GNB isolates, 13 (19%) showed reduced susceptibility to carbapenems, including, four Klebsiella pneumoniae, one Escherichia coli, six Acinetobacter baumannii, and two Pseudomonas aeruginosa. blaOXA-48 gene was detected in the five Enterobacteriaceae isolates, and blaOXA-23 was identified in all A. baumannii isolates. OprD mutations were revealed in the two P. aeruginosa isolates. A total of 11 out of the 13 carbapenem-resistant GNB were detected in inpatients, and the two remaining strains were isolated from outpatients. Molecular typing showed the presence of four sequence types (STs) among the OXA-48-producing K. pneumoniae isolates: ST101, ST147, ST163, and ST2017. ST533 was identified for the OXA-48 producing E. coli isolate. All of the A. baumannii and P. aeruginosa were assigned to the international clonal lineages ST2 and ST654, respectively. Conclusion: This study reports the first detection of the epidemic multidrug resistant lineage, K. pneumoniae ST147 coproduced blaOXA-48 and ESBL genes in Algeria and represents the first description of OXA-48-producing E. coli ST533 and K. pneumoniae ST163 and ST2017. In addition, this study describes for the first time the emergence of OXA-48-producing E. coli and K. pneumoniae in the community in Algeria, leading to major problems for managing microbial infections. PMID- 29844692 TI - Severity of primary open-angle glaucoma in patients with hypertension and diabetes. AB - Background: Primary open-angle glaucoma (POAG) is a progressive optic neuropathy with numerous risk factors. Its severity with associated risk factors remains a widely debated topic. Aim: To evaluate the severity of POAG in patients with hypertension (HTN) and diabetes or both. Patients and methods: This hospital based, cross-sectional descriptive study was conducted for a period of 18 months from January 2016 to June 2017. Diagnosed cases of POAG were evaluated for severity with associated risk factors. Results: A total of 221 patients were enrolled in the study. The mean age of the patients was 54.4 (SD +/- 15.9) years with a male to female ratio of 0.93:1. Of the 221 patients, 68 (31%) had a family history of POAG. Mean intraocular pressure was 15.8+/-4.87 mmHg, and mean central corneal thickness was 535.4+/-34.9 MUm. A total of 81 (36%) patients had HTN, 21 (9.50%) had diabetes mellitus (DM), and 15 (6.80%) had both HTN and DM. Analysis using SPSS version 20 was done. The severity of POAG was found to be significantly higher in patients with HTN, DM, or both when evaluated on the basis of anatomical and functional loss. Conclusion: POAG patients with HTN, DM, or both were found to have more severe POAG. Patients with these risk factors could represent "high-risk patients" with POAG. Patients with HTN and DM, or both may require evaluations on a more frequent basis to access the progression/severity of POAG. PMID- 29844693 TI - Evaluating the cost-effectiveness of insulin detemir versus neutral protamine Hagedorn insulin in patients with type 1 or type 2 diabetes in the UK using a short-term modeling approach. AB - Background: To estimate the short-term cost-effectiveness of insulin detemir (IDet) versus neutral protamine Hagedorn (NPH) insulin based on the incidence of non-severe hypoglycemia and changes in body weight in subjects with type 1 diabetes (T1D) or type 2 diabetes (T2D) in the UK. Methods: A model was developed to evaluate cost-effectiveness based on non-severe hypoglycemia, body mass index, and pharmacy costs over 1 year. Published rates of non-severe hypoglycemia were employed in the T1D and T2D analyses, while reduced weight gain with IDet was modeled in the T2D analysis only. Effectiveness was calculated in terms of quality-adjusted life expectancy using published utility scores. Pharmacy costs were captured using published prices and defined daily doses. Costs were expressed in 2016 pounds sterling (GBP). Sensitivity analyses were performed (including probabilistic sensitivity analysis). Results: In T1D, IDet was associated with fewer non-severe hypoglycemic events than NPH insulin (126.7 versus 150.8 events per person-year), leading to an improvement of 0.099 quality adjusted life years (QALYs). Costs with IDet were GBP 60 higher, yielding an incremental cost-effectiveness ratio (ICER) of GBP 610 per QALY gained. In T2D, mean non-severe hypoglycemic event rates and body weight were lower with IDet than NPH insulin, leading to a total incremental utility of 0.120, accompanied by an annual cost increase of GBP 171, yielding an ICER of GBP 1,422 per QALY gained for IDet versus NPH insulin. Conclusion: Short-term health economic evaluation showed IDet to be a cost-effective alternative to NPH insulin in the UK due to lower rates of non-severe hypoglycemia (T1D and T2D) and reduced weight gain (T2D only). PMID- 29844694 TI - A review of vagus nerve stimulation as a therapeutic intervention. AB - In this review, we provide an overview of the US Food and Drug Administration (FDA)-approved clinical uses of vagus nerve stimulation (VNS) as well as information about the ongoing studies and preclinical research to expand the use of VNS to additional applications. VNS is currently FDA approved for therapeutic use in patients aged >12 years with drug-resistant epilepsy and depression. Recent studies of VNS in in vivo systems have shown that it has anti-inflammatory properties which has led to more preclinical research aimed at expanding VNS treatment across a wider range of inflammatory disorders. Although the signaling pathway and mechanism by which VNS affects inflammation remain unknown, VNS has shown promising results in treating chronic inflammatory disorders such as sepsis, lung injury, rheumatoid arthritis (RA), and diabetes. It is also being used to control pain in fibromyalgia and migraines. This new preclinical research shows that VNS bears the promise of being applied to a wider range of therapeutic applications. PMID- 29844695 TI - Role of biologics and biosimilars in inflammatory bowel disease: current trends and future perspectives. AB - Inflammatory bowel disease (IBD) is an idiopathic chronic inflammatory disease of the gastrointestinal system. The spectrum is of predominantly two types, namely, ulcerative colitis and Crohn's disease. The incidence of IBD has been increasing steadily since 1990, and so the number of agents used in their treatment. Biologics that are derived partly or completely from living biological sources such as animals and humans have become widely available, which provide therapeutic benefits to the IBD patients. Currently, monoclonal antibodies against tumor necrosis factor-alpha (infliximab, adalimumab, certolizumab, and golimumab), integrins (vedolizumab and natalizumab), and interleukin (IL)-12 and IL-23 antagonists (ustekinumab) are approved for use in IBD. Biosimilars of infliximab and adalimumab are also available for the treatment of IBD. This review summarizes the clinical pharmacology, studies leading to their approval, overall indications and their use in IBD, usage in pregnancy and lactation, and the adverse effects of these agents. This review also summarizes the recent advances and future perspectives specific to biologics and biosimilars in IBD. PMID- 29844696 TI - Electroacupuncture therapy in inflammation regulation: current perspectives. AB - Although acupuncture therapy is increasingly used to treat diverse symptoms and disorders in humans, its underlying mechanism is not known well. Only recently have experimental studies begun to provide insights into how acupuncture stimulation generates and relates to pathophysiological responsiveness. Acupuncture intervention is frequently used to control pathologic symptoms in several visceral organs, and a growing number of studies using experimental animal models suggest that acupuncture stimulation may be involved in inducing anti-inflammatory responses. The vagus nerve, a principal parasympathetic nerve connecting neurons in the central nervous system to cardiovascular systems and a majority of visceral organs, is known to modulate neuroimmune communication and anti-inflammatory responses in target organs. Here, we review a broad range of experimental studies demonstrating anti-inflammatory effects of electroacupuncture in pathologic animal models of cardiovascular and visceral organs and also ischemic brains. Then, we provide recent progress on the role of autonomic nerve activity in anti-inflammation mediated by electroacupuncture. We also discuss a perspective on the role of sensory signals generated by acupuncture stimulation, which may induce a neural code unique to acupuncture in the central nervous system. PMID- 29844697 TI - Emerging biomarkers in the diagnosis of prostate cancer. AB - Prostate cancer (PCa) is the second most common cancer in men worldwide. A large proportion of PCa are latent, never destined to progress or affect the patients' life. It is of utmost importance to identify which PCa are destined to progress and which would benefit from an early radical treatment. Prostate-specific antigen (PSA) remains the most used test to detect PCa. Its limited specificity and an elevated rate of overdiagnosis are the main problems associated with PSA testing. New PCa biomarkers have been proposed to improve the accuracy of PSA in the management of early PCa. Commercially available biomarkers such as PCA3 score, Prostate Health Index (PHI), and the four-kallikrein panel are used with the purpose of reducing the number of unnecessary biopsies and providing information related to the aggressiveness of the tumor. The relationship with PCa aggressiveness seems to be confirmed by PHI and the four-kallikrein panel, but not by the PCA3 score. In this review, we also summarize new promising biomarkers, such as PSA glycoforms, TMPRSS2:ERG fusion gene, microRNAs, circulating tumor cells, androgen receptor variants, and PTEN gene. All these emerging biomarkers could change the management of early PCa, offering more accurate results than PSA. Nonetheless, large prospective studies comparing these new biomarkers among them are required to know their real value in PCa detection and prognosis. PMID- 29844698 TI - Exploring factors that might influence primary-care provider discussion of and recommendation for prostate and colon cancer screening. AB - Background: Primary-care providers may contribute to the use of low-value cancer screening. Objective: We sought to examine circumstances under which primary-care providers would discuss and recommend two types of cancer screening services across a spectrum of net benefit and other factors known to influence screening. Patients and methods: This was a cross sectional survey of 126 primary-care providers in 24 primary-care clinics in the US. Participants completed surveys with two hypothetical screening scenarios for prostate or colorectal cancer (CRC). Patients in the scenarios varied by age and screening-request status. For each scenario, providers indicated whether they would discuss and recommend screening. Providers also reported on their screening attitudes and the influence of other factors known to affect screening (short patient visits, worry about lawsuits, clinical reminders/performance measures, and screening guidelines). We examined associations between providers' attitudes and their screening recommendations for hypothetical 90-year-olds (the lowest-value screening). Results: Providers reported they would discuss cancer screening more often than they would recommend it (P<0.001). More providers would discuss and recommend screening for CRC than prostate cancer (P<0.001), for younger than older patients (P<0.001), and when the patient requested it than when not (P<0.001). For a 90 year-old patient, every point increase in cancer-specific screening attitude increased the likelihood of a screening recommendation (30% for prostate cancer and 30% for CRC). Discussion: While most providers' reported practice patterns aligned with net benefit, some providers would discuss and recommend low-value cancer screening, particularly when faced with a patient request. Conclusion: More work appears to be needed to help providers to discuss and recommend screening that aligns with value. PMID- 29844699 TI - Ethical decision making in pain management: a conceptual framework. AB - Introduction: The practice and study of pain management pose myriad ethical challenges. There is a consensual opinion that adequate management of pain is a medical obligation rooted in classical Greek practice. However, there is evidence that patients often suffer from uncontrolled and unnecessary pain. This is inconsistent with the leges artis, and its practical implications merit a bioethical analysis. Several factors have been identified as causes of uncontrolled and unnecessary pain, which deprive patients from receiving appropriate treatments that theoretically they have the right to access. Important factors include (with considerable regional, financial, and cultural differences) the following: 1) failure to identify pain as a priority in patient care; 2) failure to establish an adequate physician-patient relationship; 3) insufficient knowledge regarding adequate prescription of analgesics; 4) conflicting notions associated with drug-induced risk of tolerance and fear of addiction; 5) concerns regarding "last-ditch" treatments of severe pain; and 6) failure to be accountable and equitable. Objective: The aim of this article was to establish that bioethics can serve as a framework for addressing these challenging issues and, from theoretical to practical approaches, bioethical reflection can contextualize the problem of unrelieved pain. Methods: This article is organized into three parts. First, we illustrate that pain management and its undertreatment are indeed ethical issues. The second part describes possible ethical frameworks that can be combined and integrated to better define the ethical issues in pain management. Finally, we discuss possible directions forward to improve ethical decision making in pain management. Discussion: We argue that 1) the treatment of pain is an ethical obligation, 2) health science schools, especially medical training institutions, have the duty to teach pain management in a comprehensive fashion, and 3) regulatory measures, which prevent patients from access to opioid treatment as indicated in their cases, are unethical and should be reconsidered. Conclusion: Developing an ethical framework for pain management will result in enhanced quality of care, linking the epistemic domains of pain management to their anthropological foundations, thereby making them ethically sound. PMID- 29844700 TI - Diagnostic accuracy of droplet digital PCR for detection of EGFR T790M mutation in circulating tumor DNA. AB - Objectives: Although different methods have been established to detect epidermal growth factor receptor (EGFR) T790M mutation in circulating tumor DNA (ctDNA), a wide range of diagnostic accuracy values were reported in previous studies. The aim of this meta-analysis was to provide pooled diagnostic accuracy measures for droplet digital PCR (ddPCR) in the diagnosis of EGFR T790M mutation based on ctDNA. Materials and methods: A systematic review and meta-analysis were carried out based on resources from Pubmed, Web of Science, Embase and Cochrane Library up to October 11, 2017. Data were extracted to assess the pooled sensitivity, specificity, positive likelihood ratio, negative likelihood ratio (NLR), diagnostic OR (DOR), and areas under the summary receiver-operating characteristic curve (SROC). Results: Eleven of 311 studies identified have met the including criteria. The sensitivity and specificity of ddPCR for the detection of T790M mutation in ctDNA ranged from 0.0% to 100.0% and 63.2% to 100.0%, respectively. For the pooled analysis, ddPCR had a performance of 70.1% (95% CI, 62.7%-76.7%) sensitivity, 86.9 % (95% CI, 80.6%-91.7%) specificity, 3.67 (95% CI, 2.33-5.79) PLR, 0.41 (95% CI, 0.32-0.55) NLR, and 10.83 (95% CI, 5.86 20.03) DOR, with the area under the SROC curve being 0.82. Conclusion: The ddPCR harbored a good performance for detection of EGFR T790M mutation in ctDNA. PMID- 29844701 TI - Role of Lactobacillus in cervical cancer. AB - Cervical cancer is a common malignant cancer among women worldwide. Changes in the vaginal microecological environment lead to multiple gynecological diseases, including cervical cancer. Recent research has shown that Lactobacillus may play an important role in the occurrence and development of cervical cancer. This review explores the role of Lactobacillus in cervical cancer. A total of 29 articles were included after identification and screening. The pertinent literature on Lactobacillus in cervical cancer from two perspectives, including clinical studies and experimental studies, was analyzed. An association network for the mechanism by which Lactobacillus induces cervical cancer was constructed. In addition, we provide direction and insight for further research on the role of Lactobacillus in cervical cancer. PMID- 29844702 TI - Dichloroacetate enhances the antitumor efficacy of chemotherapeutic agents via inhibiting autophagy in non-small-cell lung cancer. AB - Background: Chemotherapy is still the primary adjuvant strategy of cancer therapy; however, the emergence of multi-drug resistance has been a cause for concern. Autophagy has been demonstrated to have a protective role against chemotherapeutic drugs in cancer cells, and autophagy inhibition is generally considered to be a promising therapeutic strategy. However, the paucity of effective and specific autophagy inhibitors limits its application. Purpose: The objective of this study was to explore the effect of DCA, small molecular anti tumor agent, on the autophagy regulation and chemosensitization in NSCLC cells. Methods: We investigated the autophagy regulation of dichloroacetate (DCA) by laser confocal microscopy and western blotting in A549 and H1975 cell lines. The MTT assay and flow cytometry was performed for explore the chemosensitization effectiveness of DCA. The results were verified with subcutaneous tumor model in nude mice and the immunohistochemistry was applied for assessing the level of cell apoptosis and autophagy in vivo post treatment. Results: We found that DCA, which exhibited antitumor properties in various carcinoma models, induced apoptosis of non-small cell lung cancer cells (NSCLC) by inhibiting cancer cell autophagy. Furthermore, Perifosine, an AKT inhibitor, can greatly weaken the capacity of inducing apoptosis by DCA. The results indicate that the AKT-mTOR pathway, a main negative regulator of autophagy, is involved in the DCA-induced inhibition of autophagy. Then, we detected the effectiveness of autophagy inhibition by DCA. When used in co-treatment with the chemotherapeutic drug paclitaxel (PTX), DCA markedly decreased cell autophagy, enhanced apoptosis and inhibited proliferation in A549 and H1975 cells. The results of the xenograft experiment demonstrate that co-treatment of PTX and DCA can significantly decrease cell proliferation in vivo and prolong the survival of mice. Conclusion: Our results suggest that DCA can inhibit cell autophagy induced by chemotherapeutics, providing a new avenue for cancer chemotherapy sensitization. PMID- 29844703 TI - Expression and significance of RRBP1 in esophageal carcinoma. AB - Objective: This study was to investigate the expression and clinical significance of RRBP1 in esophageal carcinoma. Materials and methods: RRBP1 expression was detected in 120 esophageal carcinoma and matched adjacent normal tissues, and the relationship of RRBP1 with clinicopathological characteristics and prognosis was analyzed. Results: RRBP1 was highly expressed in esophageal carcinoma tissues compared with matched adjacent normal tissues (P<0.05). Moreover, RRBP1 expression was associated with T stage, lymph node metastasis, and TNM stage in esophageal carcinoma (P<0.05). Survival analysis revealed that RRBP1, T stage, lymph node metastasis, and TNM stage were significantly associated with patients' prognosis. Conclusion: RRBP1 is highly expressed in esophageal carcinoma and can serve as a potential biomarker to predict patients' prognosis. PMID- 29844704 TI - The location, histologic type, and stage of lung cancer are associated with bleeding during endobronchial biopsy. AB - Background: Several risk factors have been proposed for bleeding during bronchoscopy, including immunosuppression, thrombocytopenia, pulmonary arterial hypertension, and mechanical ventilation. However, research on bronchoscopic biopsy-induced bleeding in the population of lung cancer without these "proposed risk factors" remains lacking. Patients and methods: A total of 531 lung cancer patients with endobronchial biopsy (EBB) were enrolled in this retrospective observational study. Patients were divided into biopsy-induced bleeding group (n=162) and non-bleeding group (n=369). Using multiple logistic regression, independent risk factors for EBB bleeding were identified. Results: The location, histologic type, and stage of lung cancer were independently associated with EBB bleeding, as assessed by multiple logistic regression (p<0.05) in patients with lung cancer. Moreover, during EBB, the risk of bleeding of endobronchial lesions located in the central airways was significantly higher when compared to that in peripheral bronchi (odds ratio [OR], 2.211; 95% CI, 1.276-3.830; p=0.005). In addition, squamous cell carcinoma and small-cell lung carcinoma were more susceptible to bleeding during biopsy when compared with adenocarcinoma (OR, 3.107, 2.389; 95% CI, 1.832-5.271, 1.271-4.489; p=0.000, p=0.007, respectively). Patients with advanced lung cancer were more prone to EBB bleeding compared to patients in the early stages of disease (OR, 1.583; 95% CI, 1.065-2.354; p=0.023). Conclusion: Lesions located in the central airways, histologic types of squamous cell carcinoma and small-cell lung carcinoma, and stages of advanced lung cancer were the independent risk factors for hemorrhage in EBB. PMID- 29844706 TI - Describing the association between socioeconomic inequalities and cancer survival: methodological guidelines and illustration with population-based data. AB - Background: Describing the relationship between socioeconomic inequalities and cancer survival is important but methodologically challenging. We propose guidelines for addressing these challenges and illustrate their implementation on French population-based data. Methods: We analyzed 17 cancers. Socioeconomic deprivation was measured by an ecological measure, the European Deprivation Index (EDI). The Excess Mortality Hazard (EMH), ie, the mortality hazard among cancer patients after accounting for other causes of death, was modeled using a flexible parametric model, allowing for nonlinear and/or time-dependent association between the EDI and the EMH. The model included a cluster-specific random effect to deal with the hierarchical structure of the data. Results: We reported the conventional age-standardized net survival (ASNS) and described the changes of the EMH over the time since diagnosis at different levels of deprivation. We illustrated nonlinear and/or time-dependent associations between the EDI and the EMH by plotting the excess hazard ratio according to EDI values at different times after diagnosis. The median excess hazard ratio quantified the general contextual effect. Lip-oral cavity-pharynx cancer in men showed the widest deprivation gap, with 5-year ASNS at 41% and 29% for deprivation quintiles 1 and 5, respectively, and we found a nonlinear association between the EDI and the EMH. The EDI accounted for a substantial part of the general contextual effect on the EMH. The association between the EDI and the EMH was time dependent in stomach and pancreas cancers in men and in cervix cancer. Conclusion: The methodological guidelines proved efficient in describing the way socioeconomic inequalities influence cancer survival. Their use would allow comparisons between different health care systems. PMID- 29844707 TI - Response to rapamycin analogs but not PD-1 inhibitors in PTEN-mutated metastatic non-small-cell lung cancer with high tumor mutational burden. AB - In non-small-cell lung cancer (NSCLC) refractory to standard therapy and which lacks well-known oncogenic drivers, genomic profiling can still identify genomic alterations that may suggest potential sensitivity to targeted therapy. PTEN mutation in NSCLC may be sensitizing to analogs of rapamycin such as everolimus or temsirolimus, but more investigation is needed. We report the case of a patient with metastatic NSCLC harboring a PTEN mutation as well as high tumor mutational burden and PD-L1 positivity with a durable response to temsirolimus, but refractory to a checkpoint inhibitor. Even in the event of failure of treatment with checkpoint inhibitors in the background of a case with a higher tumor mutational burden and PD-L1 positivity, targeting specific genomic alterations may still result in patient benefit. PMID- 29844705 TI - Severe cutaneous adverse reactions induced by targeted anticancer therapies and immunotherapies. AB - With the increasing use of targeted anticancer drugs and immunotherapies, there have been a substantial number of reports concerning life-threatening severe cutaneous adverse reactions (SCARs), including Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN), drug rash with eosinophilia and systemic symptoms, drug-induced hypersensitivity syndrome, and acute generalized exanthematous pustulosis. Although the potential risks and characteristics for targeted anticancer agent- and immunotherapy-induced SCAR were not well understood, these serious adverse reactions usually result in morbidity and sequela. As a treatment guideline for this devastating condition is still unavailable, prompt withdrawal of causative drugs is believed to be a priority of patient management. In this review, we outline distinct types of SCARs caused by targeted anticancer therapies and immunotherapies. Also, we discuss the clinical course, latency, concomitant medication, tolerability of rechallenge or alternatives, tumor response, and mortality associated with these devastating conditions. Imatinib, vemurafenib, and rituximab were the top three offending medications that most commonly caused SJS/TEN, while EGFR inhibitors were the group of drugs that most frequently induced SJS/TEN. For drug rash with eosinophilia and systemic symptoms/drug-induced hypersensitivity syndrome and acute generalized exanthematous pustulosis, imatinib was also the most common offending drug. Additionally, we delineated 10 SCAR cases related to innovative immunotherapies, including PD1 and CTLA4 inhibitors. There was a wide range of latency periods: 5.5-91 days (median). Only eight of 16 reported patients with SCAR showed clinical responses. Targeted anticancer drugs and immunotherapies can lead to lethal SCAR (14 deceased patients were identified as suffering from SJS/TEN). The mortality rate of TEN was high: up to 52.4%. The information compiled herein will serve as a solid foundation to formulate ideas for early recognition of SCAR and to discontinue offending drugs for better management. PMID- 29844708 TI - Simultaneous Gastric Metastasis From Renal Cell Carcinoma: A Case Report and Literature Review. AB - While some reports are available regarding metachronous gastric metastasis from renal cell carcinoma after treatment, there are few reports of primary lesion detection based on the diagnosis of a gastric metastatic lesion. The patient in this case was an 80-year-old woman who underwent upper gastrointestinal endoscopy after having developed anorexia 2 months earlier. A submucosal tumor with central umbilication was found in the gastric greater curvature. Endoscopic ultrasonography revealed a solid and hypoechoic mass with hypervascularity on color Doppler imaging that proliferated mainly within the submucosal layer. There was partial exposure of the tumor on the superficial layer. Biopsy was performed, as a neuroendocrine tumor was suspected; however, histopathological findings with immunostaining revealed gastric metastasis from clear renal cell carcinoma. Subsequently, contrast enhanced computed tomography showed right renal cell carcinoma and liver metastasis. Thus, molecularly targeted drug treatment was initiated by the Department of Urology. Our findings indicate that a primary lesion can be identified and prognosis can be assumed based on biopsy of the gastric metastatic lesion. Immunostaining of biopsy samples collected endoscopically could help achieve definite diagnosis. PMID- 29844709 TI - Post-acute Care for Children and Youth in Texas, 2011-2014. AB - Little is known about services provided to children and youth (C/Y) discharged from an acute care facility. Recent research has provided a foundation for efforts to supplement or complement that early work. This research investigates post-acute care (PAC) in Texas. It focuses on what differentiates those discharges that receive PAC from those that do not and on what differentiates those C/Y who receive PAC in a health care facility from those who receive home health services. The results show that only 6.4% of discharges involving C/Y receive PAC and that many factors affected the 2 issues under investigation quite differently. These results clearly demonstrate the low prevalence of PAC use for C/Y and the clear preference of using PAC home health in this population. PMID- 29844710 TI - A rare and unusual new bittiine genus with two new species from the South Pacific (Cerithiidae, Gastropoda). AB - A new genus, Limatiumgen. n., and two new species, L. pagodulasp. n. and L. aureumsp. n. are described, found on outer slopes of barrier reefs and fringing reefs in the South Pacific. They are rare for cerithiids, which typically occur in large populations. The two new species are represented by 108 specimens sampled over a period of 30 years, only 16 of which were collected alive. Three subadults from the Philippines and Vanuatu likely represent a third species. In addition to their rarity, Limatium species are atypical for cerithiids in their smooth, polished, honey to golden brown shells with distinctive white fascioles extending suture to suture. The radula presents a unique morphology that does not readily suggest an affinity to any of the cerithiid subfamilies. Two live collected specimens, one of each species and designated as holotypes, were preserved in 95% ethanol and sequenced. Bayesian analysis of partial COI and 16S rDNA sequences demonstrates a placement in the Bittiinae, further extending our morphological concept of the subfamily. PMID- 29844711 TI - Revision of genus Pericalus from China, with descriptions of four new species (Carabidae, Lebiini, Pericalina). AB - Nine taxa of the genus Pericalus Macleay from China are revised, with four new species described: Pericalus gibbosussp. n. (type locality: Putao, Myanmar; one paratype from Medog, Xizang), Pericalus eleganssp. n. (type locality: Medog, Xizang), Pericalus acutidenssp. n. (type locality: Longchuan, Yunnan), and Pericalus obscuratussp. n. (type locality: Fanjingshan, Guizhou). Four taxa are newly recorded from China: Pericalus ornatus ornatus Schmidt-Gobel (Yunnan, Hainan), P. obtusipennis Fedorenko (Yunnan), P. amplus Andrewes (Yunnan), and P. dux Andrewes (Yunnan). Pericalus formosanus Dupuis is newly ranked as a subspecies of P. ornatus Schmidt-Gobel. An improved key to world species of the subgenus Pericalus is provided, along with distribution maps and images of habitus and male and female genitalia for all Chinese species. PMID- 29844712 TI - A multi-access identification key based on colour patterns in ladybirds (Coleoptera, Coccinellidae). AB - An identification key based on French ladybird colouration is proposed for the tribes Chilocorini, Coccinellini, and Epilachnini. These tribes were chosen based on their relatively limited species diversity, as well as their large size and high colour diversity, making them easy to observe and collect. The identification key runs on Xper3 software, which allows the building of structured knowledge bases and online free-access keys. The online interactive Xper key is available at http://french-ladybird.identificationkey.fr. PMID- 29844713 TI - Revision of the Hawaiian psyllid genus Swezeyana, with descriptions of seven new species (Hemiptera, Psylloidea, Triozidae). AB - The endemic Hawaiian genus Swezeyana Caldwell, 1940 is highly distinctive due to the extremely long genal processes. In addition, some of the immatures are ornamented with extraordinary tubercles and tentacles. Two Swezeyana species are redescribed, and seven new species are described, bringing the total number of species in the genus to nine. All species are hosted by a single, endemic host plant, Planchonella sandwicensis (Sapotaceae), which is distributed across all major islands in the archipelago. The majority of Swezeyana species are single island endemics. A sister taxon pair is found sympatrically on the same individual plants on Kauai, and putative sister or at least closely related species are also found sympatrically on Oahu and Hawaii, suggesting these taxa may have diversified in sympatry. However, there is no observed ecological niche partitioning, despite some striking morphological diversity, as all Swezeyana species have free-living immatures that are found on the leaf surface, and therefore no apparent biological shifts are coincident with occupying the same host plant. Two species groups are represented by strikingly different female terminalia structure and endoskeletal development, although ovipositor structure is very similar between the two groups. Mitochondrial DNA barcodes (COI and cytB) are provided for eight of the nine species. A phylogenetic analysis of the mitochondrial barcode regions indicates species relationships within Swezeyana and provides a comparison of genetic divergence with other Hawaiian endemic genera. PMID- 29844714 TI - Larva and pupa of Ctesias (s. str.) serra (Fabricius, 1792) with remarks on biology and economic importance, and larval comparison of co-occurring genera (Coleoptera, Dermestidae). AB - Updated descriptions of the last larval instar (based on the larvae and exuviae) and first detailed description of the pupa of Ctesias (s. str.) serra (Fabricius, 1792) (Coleoptera: Dermestidae) are presented. Several morphological characters of C. serra larvae are documented: antenna, epipharynx, mandible, maxilla, ligula, labial palpi, spicisetae, hastisetae, terga, frons, foreleg, and condition of the antecostal suture. The paper is fully illustrated and includes some important additions to extend notes for this species available in the references. Summarised data about biology, economic importance, and distribution of C. serra are also provided. The comparison of larval characteristics for some of the genera of Dermestidae co-occurring with Ctesias is presented. A key for identification of these genera is also provided. PMID- 29844715 TI - Assessment of knowledge, attitude and practice of adverse drug reaction reporting among healthcare professionals in secondary and tertiary hospitals in the capital of Pakistan. AB - Adverse Drug Reactions (ADRs) underreporting is a great challenge to pharmacovigilance. Healthcare professionals should consider ADR reporting as their professional obligation because the effective system of ADR reporting is important to improve patient care and safety. This study was designed to assess the knowledge, attitude, practice and factors associated with ADR reporting by healthcare professionals (physicians and pharmacists) in secondary and tertiary hospitals of Islamabad. A pretested questionnaire comprising of 27 questions (knowledge 12, attitude 4, practice 9 and factors influencing ADR reporting 2) was administered to 384 physicians and pharmacists in public and private hospitals. Respondents were evaluated for their knowledge, attitude and practice related to ADR reporting. Additionally, the factors which encourage and discourage respondents to report ADRs were also determined. The data was analysed by using SPSS statistical software. Among 384 respondents, 367 provided responses to questionnaire, giving a response rate of 95.5%. The mean age was 28.3 (SD = 6.7). Most of the respondents indicated poor ADR reporting knowledge (83.1%). The majority of respondents (78.2%) presented a positive attitude towards ADR reporting and only a few (12.3%) hospitals have good ADR reporting practice. The seriousness of ADR, unusualness of reaction, new drug involvement and confidence in the diagnosis of ADR are the factors which encourage respondents to report ADR whereas lack of knowledge regarding where and how to report ADR, lack of access to ADR reporting form, managing patient is more important than reporting ADR legal liability issues were the major factors which discourage respondents to report ADR. The study reveals poor knowledge and practice regarding ADR reporting. However, most of the respondents have shown a positive attitude towards ADR reporting. There is a serious need for educational training as well as sincere and sustained efforts should be made by Government and Hospital Authorities to ensure proper implementation of ADR reporting system in all of the hospitals. PMID- 29844716 TI - GC quantitative analysis of benzyl isothiocyanate in Salvadora persica roots extract and dental care herbal products. AB - An accurate, sensitive, precise and simple method was developed utilizing Gas Chromatography for the quantitative analysis of benzyl isothicyanate in Siwak extract and dental care herbal products claimed to contain Siwak. Rtx (30.0 m * 0.25 mm ID, 25 um thickness) column was used and helium as carrier gas at a flow rate of 0.74 mL/min. The retention time of standard benzyl isothicyanate was 13.470 min under the described conditions. Linear regression data analysis indicated a good linear relationship between peak height measurement and concentration of benzyl isothiocyanate in the range of 10-50 ug/ml (R2 = 0.9971). The regression equation was y = 11,471x. The developed GC method was subjected to validation requirements set by the ICH for precision, accuracy, and robustness. The entitled GC analyses expected to be valuable for the determination of benzyl isothiocyanate in Siwak extracts and other formulations containing Siwak extract. The amount of benzyl isothiocyanate reflects the efficacy of the products. PMID- 29844717 TI - Characterization of forced degradation products of toloxatone by LC-ESI-MS/MS. AB - Forced degradation of toloxatone in solutions under basic, acidic, neutral, photo UV-VIS, photo UVC and oxidative stress conditions was investigated and structural elucidation of its degradation products was performed with the use of UHPLC system coupled ESI-Q-TOF mass spectrometer. Eight degradation products were found and their masses and formulas were obtained with high accuracy (0.09-3.79 ppm). The structure of unknown degradation products were elucidated from MS/MS fragmentation spectra of all analyzed compounds. Additionally, whole signals of decomposed substances were compared chemometrically. It was found that toloxatone is fragile towards basic hydrolysis, oxidative conditions and UVC irradiation. Finally, the toxicity of transformation products was computationally evaluated and compared in multivariate manner. PMID- 29844718 TI - Clinical pharmacy in Kuwait: Services provided, perceptions and barriers. AB - Introduction: Pharmacy practice has considerably evolved from a dispensing role to a patient-centered profession. Kuwait has minimal clinical pharmacy services established in its healthcare settings. Objectives: The objectives of this study were to document existing clinical pharmacy services in public hospitals, identify barriers to their implementation and assess perceptions regarding pharmacists providing clinical services. Material & Method: A cross sectional study using self-administered questionnaires among a total of 166 pharmacists and 284 physicians across 6 public hospitals in Kuwait was conducted. Results: Over half of pharmacists (54%) provided clinical services, with the most common service being education and drug information (86%). Forty percent (40%) of the pharmacists reported that clinical services offered were of their own initiative but most of them (71%) were not sure whether they would offer additional services in the future. The majority of physicians were receptive to an expanded patient centered role of the pharmacist (97%), believed pharmacists add to patient clinical care (92%) and considered pharmacists members of the healthcare team (96%). Major barriers reported by pharmacists to implement clinical pharmacy services included lack of policy (49%), time (36%) and clinical skills (28%), which is similar to barriers reported by physicians. Conclusion: Although clinical pharmacy is in its infancy in Kuwait, it is well perceived and requested by physicians. Major barriers must be addressed and in this context, having a national framework for pharmacy practice from Ministry of Health, supported by cutting edge education and a pro-active professional association would be key assets to evolve the practice in Kuwait. PMID- 29844719 TI - A qualitative study exploring patients' experiences regarding insulin pump use. AB - Background: Diabetes is a threat to peoples' lives around the world, particularly in the Middle East. Medicine misuse and poor glycaemic control are prevalent among patients with type 2 diabetes, especially insulin-dependent patients (Alsairafi et al., 2016). With advances in medical technology, insulin pumps became a treatment option for patients with type 1 diabetes and those with insulin-dependent type 2 diabetes. However, use of these devices is still lacking in Kuwait, particularly in patients with type 2 diabetes. Information on how patients manage these devices and their efficacy and safety from the perspectives of patients is also lacking (Alsaleh et al., 2016). Objective: To examine the views and experiences of adults with type 2 diabetes regarding the use of insulin pumps compared to their previous insulin delivery methods, in terms of glycaemic control, quality of life, preference, convenience and adherence to doses. Setting: The main five secondary-care hospitals in Kuwait: Mobarak Al-Kabeer, Al Amiri, Al Adan, Al Farwaniya and Al Jahra. Method: All adults with type 2 diabetes who used an insulin pump were invited to participate. Data were collected through semi-structured interviews. Data analysis was performed using MAXQDA-11. Results: A total of eight patients were interviewed. Interviews with patients revealed that using an insulin pump improved patients' glycaemic control and quality of life as a consequence of improved satisfaction and adherence to doses. Conclusion: From the perspective of adults with type 2 diabetes, there are lots of benefits of using insulin pumps over other insulin delivery methods, mainly seen by the improvement of quality of life and patients' adherence to doses. Policy-makers and healthcare professionals (HCPs) must be aware of such benefits and should support the wider implementation of this technology in the country by including patients with type 2 diabetes. Results of this study will help to inform healthcare provision and guideline modifications and to provide guidance for new patients using this therapy. PMID- 29844720 TI - Evaluation of the hepatoprotective effect of combination between hinokiflavone and Glycyrrhizin against CCl4 induced toxicity in rats. AB - Liver diseases are one of the fatal syndromes due to the vital role of the liver. Most of the effective treatment of liver conditions are of natural origin. Silymarin (SI) is the standard drug used for treatment of impaired liver functions. Two natural compounds possessing promising liver protection and with different chemical structures namely; the bioflavonoid hinokiflavone (HF) isolated from Junipers phoenicea family Cupressaceae and the sweet saponin Glycyrrhizin (GL) present in Glycyrrhiza glabra (liquorice) were selected for the current study. Since the two compounds are of different nature, they may act by different mechanisms and express synergistic effect. Combination of the two compounds using to dose levels were challenged with single doses of HF, GL and SI as well. The comparison was monitored via measuring serum biochemical parameters including, aspartate aminotransferase (AST), alanine aminotransferase (ALT), gamma glutamyltranspeptidase (GGT), alkaline phosphatase (ALP) and total bilirubin, tissue parameters such as MDA, NP-SH and TP, histopathological study using light and electron microscope. Protective effect on kidney was also monitored histopathologically and biochemically through observing the levels of LDH, creatinine, creatinine-kinase, urea and uric acid. The combinations of HF and GL showed protective effect more than the used single doses of HF and GL alone. However, SI was superior to the used combination in the two used doses in all the measured parameters. The liver and kidney cells appearance under normal and electron microscope showed that SI treated groups showed almost normal cells with slight toxic signs. Cells from group treated with the higher doses of the combination of HF and GL showed slight signs of intoxication under light and electron microscope indicating good level of protection. Although the combination of HF and GL expressed good protection in the higher dose, however, the combination did not exceed the protective effect of SI. PMID- 29844721 TI - Phytochemical contents and biological evaluation of Ruta chalepennsis L. growing in Saudi Arabia. AB - Phytochemical screening of Ruta chalepensis L. exhibited the presence of different chemical groups. The dried aerial parts of the plant was total extracted by ethanol and successively using chloroform, ethyl acetate and Butanol, out of the successive extracts four compounds namely, scopletin, kaempferol, quercetin, quercetin 3-O-alpha-L-rhamno glucopyranosyl (Rutin) were isolated and biological evaluations. Total ethanol and successive extracts; chloroform, ethyl acetate and Butanol were produced excellent antimicrobial activities against gram negative bacteria, gram positive bacteria and fungi. Ethyl acetate extract was the best for inhibition of the microorganism's growth. All extracts (total ethanol, and successive extracts) showed DPPH radical scavenging activity in a concentration-dependent manner. The best antioxidant activity was obtained by ethyl acetate & n-butanol extract (94.28%, IC50 = 56.6 ug/ml). Also All extracts (total ethanol, and successive extracts) showed anticoagulant activity at higher concentration with prolonged clotting time 6:30 and 4:30 s at 10 mg/ml concentrations, respectively. PMID- 29844722 TI - Pharmaceutical significance of Leuconostoc mesenteroides KS-TN11 isolated from Nile Tilapia, Oreochromis niloticus. AB - Aquatic animals are known for their myriad of beneficial bacteria with diverse biologically active compounds. The current study was aimed to isolate and characterize potentially beneficial lactic acid bacteria from Nile Tilapia and evaluate their pharmaceutical applications. The fish samples were dissected and stomach, intestine, and gills were collected and serially diluted for the isolation of lactic acid bacteria (LAB) on BCP agar media. Identification of isolate was carried by biochemical and molecular characterization using API kit and 16S rRNA gene sequencing analysis, respectively. Further, KS-TN11 was assessed for alpha-glucosidase inhibitory potential using the chromogenic method. A lactic acid bacterium KS-TN11 was isolated from the stomach of Nile Tilapia and identified as Leuconostoc mesenteroides. Effect of KS-TN11 on lipid accumulation in adipocytes was done by using Oil Red O staining. The isolate showed strong antibacterial activity against a number of pathogenic bacteria in vitro. In addition, L. mesenteroides KS-TN11 KS-TN11 (50 mg/ml and 100 mg/ml) tends to inhibit adipogenesis in 3T3-L1 adipocytes and thus may have possible anti-obesity effects. Moreover, L. mesenteroides KS-TN11 exhibited substantial alpha glucosidase inhibitory activities by 41.33% at 50 mg/ml and 64% at 100 mg/ml, respectively. The bacterium showed potent antibacterial activity against a number of pathogenic bacteria; in addition to alpha-glucosidase activity, and inhibition of lipid accumulation in 3T3-L1 cell line. These results reinforce KS-TN11 as a novel bacterium with an impending pharmaceutical application. PMID- 29844723 TI - Aggregation and conformational stability evaluation of myoglobin in the presence of ionic surfactant. AB - Sodium lauroyl sarcosinate (SLS) is frequently used for the solubilization of inclusion bodies in vitro due to its structural similarity to lipid plasma membrane. There are many factors that could influence protein aggregation propensity, including overall protein surface charge and hydrophobicity. Here, the aggregation pathway of myoglobin protein was studied under different conditions (pH 3.5 and 7.4) in the presence of varying concentrations of SLS to evaluate the underlying forces dictating protein aggregation. Data obtained from Rayleigh light scattering, ThT binding assay, and far-UV CD indicated that SLS have different effects on the protein depending on its concentration and environmental conditions. In the presence of low concentrations of SLS (0.05-0.1 mM), no aggregation was detected at both pH conditions tested. Whereas, as we reach higher SLS concentrations (0.5-10.0 mM), myoglobin started forming larger sized aggregates at pH 3.5 and not pH 7.4. These results suggest that electrostatics interactions as well as hydrophobic forces play an important role in SLS-induced myoglobin aggregation. PMID- 29844724 TI - Revisiting the systemic lipopolysaccharide mediated neuroinflammation: Appraising the effect of l-cysteine mediated hydrogen sulphide on it. AB - The present research was ventured to examine the effect of l-cysteine on neuro inflammation persuaded by peripheral lipopolysaccharides (LPS, 125 MUg/kg, i.p.) administration. No behavioral, biochemical, and inflammatory abnormality was perceived in the brain tissues of experimental animals after LPS administration. l-cysteine precipitated marginal symptoms of toxicity in the brain tissue. Similar pattern of wholesome effect of LPS were perceived when evaluated through the brain tissue fatty acid profile, histopathologically and NF-KBP65 protein expression. LPS was unsuccessful to alter the levels of hydrogen sulphide (H2S), cyclooxygenase (COX) and lipoxygenase (LOX) enzyme in brain tissue. LPS afforded significant peripheral toxicity, when figured out through inflammatory markers (COX, LOX), gaseous signaling molecules nitric oxide (NO), H2S, liver toxicity (SGOT, SGPT), and inflammatory transcription factor (NF-KBP65) and l-cysteine also provided a momentous protection against the same as well. The study inculcated two major finding, firstly LPS (i.p.) cannot impart inflammatory changes to brain and secondly, l-cysteine can afford peripheral protection against deleterious effect of LPS (i.p.). PMID- 29844725 TI - Self-emulsifying drug delivery system improves preventive effect of curcuminoids on chronic heart failure in rats. AB - Several studies have reported the preventive or therapeutic effect of curcuminoids on chronic heart failure (CHF), but their application was limited due to low solubility and bioavailability. Our previous study indicates that self emulsifying drug delivery system (SEDDS) improves the solubility and bioavailability of curcuminoids. Thus, the aim of this work was to investigate whether SEDDS could improve preventive effect of curcuminoids on CHF in rats. CHF model was were established by coronary artery ligation. Ninety rats were randomly and averagely divided into sham, model, low- or high-dose suspension or SEDDS of curcuminoids (66.68 or 266.68 mg/kg) groups. Hemodynamic indices were recorded by multipurpose polygraph. Serum oxidative indices, B-type natriuretic peptide (BNP) and heart weight index were determined by kits and electronic balance. Myocardial infarct area, ventricular dilatation degree and collagen volume fraction of myocardial interstitium were analyzed by Masson staining, picric acid and sirius red staining, light microscopy and image analysis system. Myocardial histopathology was observed by hematoxylin and eosin staining, Masson staining and light microscopy. Reduction of ventricular pump function, increase of BNP level and heart weight index, myocardial lipid peroxidation damage, myocardial infarction, myocardial fibrosis, and cardiac enlargement were detected or observed in model group relative to those in sham group. After treatment with suspension or SEDDS of curcuminoids, the above-mentioned pathological changes were obviously reversed relative to those in model group. Meanwhile, the ameliorative effect of SEDDS of curcuminoids was markedly better than that of suspension of curcuminoids. This work provides a valuable reference from pharmacodynamics for development of curcuminoids pharmaceutics. PMID- 29844726 TI - In - Vitro activity of Desmostachya bipinnata (L.) Stapf successive extracts against Helicobacter pylori clinical isolates. AB - Helicobacter pylori are well acknowledged as a major cause of gastrointestinal ailments and gastric cancers. Therefore, the present study aimed to investigate the potential in vitro activity of Desmostachya bipinnata against H. pylori, focusing on the determination of the most active extract responsible for the anti helicobacter activity to produce new active drug from natural source. Desmostachya bipinnata total alcohol and successive extracts were in vitro tested against H. pylori. All extracts showed promising anti Helicobacter pylori activities. The most effective extract was diethyl ether extract, it showed 75% growth inhibition of the clinical Isolates bacterial Helicobacter pylori, in addition it showed high count reduction on the selected organisms in the different concentrations used (2xMIC, MIC & 1/2 MIC) compared with the untreated controls as well as the other extracts (chloroform, ethyl acetate and n-butanol). The oral median lethal dose (LD50) of the alcohol extract of the plant by doses up to 5000 mg/kg didn't showed any mortality or morbidity, in addition no side effects were recorded on both liver and kidney functions this means that the extract was safe for use. PMID- 29844727 TI - The possible mechanisms of protocatechuic acid-induced central analgesia. AB - It is aimed to investigate the central antinociceptive effect of protocatechuic acid and the involvement of stimulation of opioidergic, serotonin 5-HT2A/2C, alpha2-adrenergic and muscarinic receptors in protocatechuic acid-induced central analgesia in mice. Time-dependent antinociceptive effects of protocatechuic acid at the oral doses of 75, 150 and 300 mg/kg were tested in hot-plate (integrated supraspinal response) and tail-immersion (spinal reflex) tests in mice. To investigate the mechanisms of action; the mice administered 300 mg/kg protocatechuic acid (p.o.) were pre-treated with non-specific opioid antagonist naloxone (5 mg/kg, i.p.), serotonin 5-HT2A/2C receptor antagonist ketanserin (1 mg/kg, i.p.), alpha2-adrenoceptor antagonist yohimbine (1 mg/kg, i.p.) and non specific muscarinic antagonist atropine (5 mg/kg, i.p.), respectively. The antinociceptive effect of protocatechuic acid was observed at the doses of 75, 150 and 300 mg/kg in tail-immersion test, at the doses of 150 and 300 mg/kg in hot-plate test at different time interval. The enhancement in the latency of protocatechuic acid-induced response to thermal stimuli was antagonized by yohimbine, naloxone and atropine in tail-immersion test, while it was antagonized only by yohimbine and naloxone pretreatments in hot-plate test. These results indicated that protocatechuic acid has the central antinociceptive action that is probably organized by spinal mediated cholinergic and opiodiergic, also spinal and supraspinal mediated noradrenergic modulation. However, further studies are required to understand how protocatechuic acid organizes the interactions of these modulatory systems. As a whole, these findings reinforce that protocatechuic acid is a potential agent that might be used for pain relief. Additionally, the clarification of the effect and mechanisms of action of protocatechuic acid will contribute to new therapeutic approaches and provide guidance for new drug development studies. PMID- 29844728 TI - Inverse docking based screening and identification of protein targets for Cassiarin alkaloids against Plasmodium falciparum. AB - Various reports have shown Cassiarin alkaloids, selective in vitro activities against various strains of Plasmodium falciparum with low cytotoxicity, which indicates their possible candidature as antimalarial drug. However, poor recognition of their protein targets and molecular binding behaviour, certainly limits their exploration as antimalarial drug candidature. To address this, we utilises inverse screening, based on three different docking methodologies in order to find their most putative protein targets. In our study, we screened 1047 protein structures from protein data bank, which belongs to 147 different proteins. Our investigation identified 16 protein targets for Cassiarins. In few cases of identified protein targets, the binding site was poorly studied, which encouraged us to perform comparative sequence and structural studies with their homologous proteins, like as in case of Kelch motif associated protein, Armadillo repeats only protein and Methionine aminopeptidase 1b. In our study, we also found Tryptophanyl-tRNA synthetase and 1-Deoxy-D-Xylose-5-phosphate reductoisomerase proteins are the most common targets for Cassiarins. PMID- 29844729 TI - Synthesis and antibacterial activity of new (2,4-dioxothiazolidin-5 yl/ylidene)acetic acid derivatives with thiazolidine-2,4-dione, rhodanine and 2 thiohydantoin moieties. AB - A series of new (2,4-dioxothiazolidin-5-yl/ylidene)acetic acid derivatives with thiazolidine-2,4-dione, rhodanine and 2-thiohydantoin moiety (28-65) were synthesized by the reaction of (2,4-dioxothiazolidin-5-yl/ylidene)acetic acid chlorides with 5-(hydroxybenzylidene) thiazolidine-2,4-dione, rhodanine and 2 thiohydantoin derivatives. Obtained compounds (28-65) were tested on reference strains of Gram-positive bacteria and ones of the Gram-negative bacteria. The antibacterial activity of target compounds was determined by broth microdilution method. These derivatives showed antibacterial activity generally against Gram positive bacterial strains. Most active compounds possess MIC = 3.91 mg/L. Our results suggest that presence of electron-withdrawing substituent at phenyl ring is favorable while geometry of molecule does not play important role in antibacterial response. It was confirmed the lack of direct influence of substitution pattern at phenyl ring on antibacterial activity of closely related compounds of series 1-3. The antibacterial activity of some compounds was similar or higher than the activity of commonly used reference drugs such as oxacillin and cefuroxime. PMID- 29844730 TI - Comparison between the dissolution profiles of nine meloxicam tablet brands commercially available in Buenos Aires, Argentina. AB - In this work, the dissolution profiles of nine meloxicam tablet brands marketed in Argentina have been evaluated. As meloxicam is a Class 2 Biopharmaceutical Classification System (BSC) drug, interchangeability between commercial products must be demonstrated through in vivo bioequivalence studies. However, in our country, such studies remain to be performed. Dissolution studies have been performed according to USP 38 and evaluated by fitting experimental data to the zero and first-order, the Hixson-Crowell, the Higuchi, and the Weibull model dependent methods. To test the pertinence of these release models, the Akaike Information Criteria (AIC) were used. All brands satisfied the dissolution profiles (phosphate buffer, pH 7.5) established in the USP. The comparison between the dissolution profiles was carried out by model-dependent and model independent methods. The Weibull model provided the best kinetic curve adjustment. Brands I, II, IV and VI had the best fitting, with the maximum determination coefficient and the smallest AIC values. Model-independent methods included ratio test and the fit factors. The Dissolution Efficiency (DE) and Mean Dissolution Time (MDT) were analysed with ANOVA and the DGC method. In both cases, brand I did not show similarity with the rest of the brands. Using fit factors, only brands I, II and V were similar to each other. Significant differences were found among the in vitro dissolution profiles of meloxicam tablets belonging to the nine brands. As meloxicam is a class 2 BCS drug, interchangeability between commercial products must be demonstrated through in vivo bioequivalence studies. However, in Argentina, such studies remain to be performed. Our results demonstrate that caution must be exercised as regards interchangeability of generic products. PMID- 29844731 TI - Newly developed controlled release subcutaneous formulation for tramadol hydrochloride. AB - This study presents a drug delivery system of poly (E-caprolactone) (PCL) ribbons to optimize the pharmaceutical action of tramadol for the first time according to our knowledge. PCL ribbons were fabricated and loaded with tramadol HCl. Ribbons were prepared by slip casting technique and coated with dipping technique with beta-cyclodextrin. The chemical integrity and surface morphology of the ribbons were confirmed using FTIR and SEM coupled with EDX. In addition, thermodynamic behavior of the fabricated ribbons was investigated using DSC/TGA. Tramadol loading into PCL ribbons, biodegradation of ribbons and tramadol release kinetics were studied in PBS.The results revealed that the formulated composition did not affect the chemical integrity of the drug. Furthermore, SEM/EDX confirmed the inclusion of tramadol into the PCL matrix in homogenous distribution pattern without any observation of porous structure. The particle size of loaded tramadol was found to be in the range of (2-4 nm). The formulated composition did not affect the chemical integrity of the drug and should be further investigated for bioavailability. Tramadol exhibited controlled release behavior from PCL ribbons up to 45 days governed mainly by diffusion mechanism. The fabricated ribbons have a great potentiality to be implemented in the long term subcutaneous delivery of tramadol. PMID- 29844732 TI - PROSPECTIVE STUDY OF ASPIRIN FOR THROMBOEMBOLISM PROPHYLAXIS IN TOTAL HIP ARTHROPLASTY. AB - Objectives: To evaluate the effectiveness of aspirin as prophylaxis for deep venous thrombosis (DVT) in patients undergoing total hip arthroplasty (THA), and to analyze the incidence of bleeding during the post-operative period. Methods: This prospective study carried out in 2017 consisted of 37 patients indicated for THA with high risk for DVT. Immediately after the procedure, aspirin, elastic compression socks and early deambulation were initiated. Doppler ultrasound was performed in the legs 6 days and 6 weeks post-procedure to rule out venous thromboembolism. Hematometric variables and clinical criteria were used to detect bleeding. Results: The incidence of VTE (venous thromboembolism) 6 days post procedure was 21.6%. By 6 weeks post-procedure, it dropped to 8.1%, (p = 0.102). Only 2.7% were diagnosed with VTE, 6 days and also 6 weeks post-procedure. Within the immediate postoperative period, hemoglobin was lower (p < 0.001), in contrast to 6 weeks after surgery, when it returned to baseline levels. Conclusion: Aspirin was an effective chemical prophylaxis for venous thromboembolism in high risk patients who underwent THA. There was no clinical record of postoperative bleeding and hematometric levels suggested that there was no chronic bleeding. Level of Evidence II; Prospective study. PMID- 29844733 TI - SQUAMOUS CELL CARCINOMA IN THE FOOT: CASE SERIES AND LITERATURE REVIEW. AB - Objectives: To report a case series of squamous cell carcinoma (SCC) in the foot, describing previous risk factors, surgical treatment, histopathological findings, and functional and oncological results. Methods: Nine consecutive patients diagnosed with SCC of the foot were treated at a single institution and prospectively analyzed for risk factors related to the disease, surgical outcome, and histopathological, functional and oncological results. All patients had identifiable risk factors for SCC. Results: Definitive treatment consisted of partial (6 patients) or total (3 patients) amputation of the foot. The functional score was good or excellent in the surviving patients. Early identifiable risk factors are present in most patients. Biopsy when this diagnosis is suspected, in association with oncological principles, avoids diagnostic and treatment errors. Conclusion: Despite delayed diagnosis and surgical treatment with partial and total amputations of the foot in our series, we observed good oncological outcomes that avoided systemic spread of the disease and achieved expected functional results. Level of Evidence V; Case series. PMID- 29844734 TI - Texas Heart Institute Medal and the Ray C. Fish Award for Scientific Achievement in Cardiovascular Diseases. PMID- 29844735 TI - Public Hospitals Matter. PMID- 29844736 TI - Kindness Can Move Mountains. PMID- 29844737 TI - Cardiac Magnetic Resonance to Evaluate Percutaneous Pulmonary Valve Implantation in Children and Young Adults. AB - Experience with cardiac magnetic resonance to evaluate coronary arteries in children and young adult patients is limited. Because noninvasive imaging has advantages over coronary angiography, we compared the effectiveness of these techniques in patients who were being considered for percutaneous pulmonary valve implantation. We retrospectively reviewed the cases of 26 patients (mean age, 12.53 +/- 4.85 yr; range, 5-25 yr), all of whom had previous right ventricular-to pulmonary artery homografts. We studied T2-prepared whole-heart images for coronary anatomy, velocity-encoded cine images for ventricular morphology, and function- and time-resolved magnetic resonance angiographic findings. Cardiac catheterization studies included coronary angiography, balloon compression testing, right ventricular outflow tract, and pulmonary artery anatomy. Diagnostic-quality images were obtained in 24 patients (92%), 13 of whom were considered suitable candidates for valve implantation. Two patients (8%) had abnormal coronary artery anatomy that placed them at high risk of coronary artery compression during surgery. Twelve patients underwent successful valve implantation after cardiac magnetic resonance images and catheterization showed no increased risk of compression. We attempted valve implantation in one patient with unsuitable anatomy but ultimately placed a stent in the homograft. Magnetic resonance imaging of coronary arteries is an important noninvasive study that may identify patients who are at high risk of coronary artery compression during percutaneous pulmonary valve implantation, and it may reveal high-risk anatomic variants that can be missed during cardiac catheterization. PMID- 29844738 TI - Varying Evidence on Deep Hypothermic Circulatory Arrest in Thoracic Aortic Aneurysm Surgery. AB - Cardiovascular surgeons have long debated the safe duration of deep hypothermic circulatory arrest during thoracic aortic aneurysm surgery. The rationale for using adjunctive cerebral perfusion (or not) is to achieve the best technical aortic repair with the lowest risk of morbidity and death. In this literature review, we highlight the debates surrounding these issues, evaluate the disparate findings on deep hypothermic circulatory arrest durations and temperatures, and consider the usefulness of adjunctive perfusion. PMID- 29844739 TI - New Pulmonary Valvuloplasty Technique by Use of an Hourglass-Shaped Balloon in 3 Adults with Severe Pulmonary Valve Stenosis. AB - Percutaneous balloon pulmonary valvuloplasty is the preferred therapy for pulmonary valve stenosis. However, the designs of the cylindrical balloons historically used for valvuloplasty have limitations, especially in patients who have large pulmonary annular diameters. The hourglass-shaped V8 Aortic Valvuloplasty Balloon may prove to be an effective alternative. The balloon has 2 large bulbous segments that are separated by a narrowed waist. The geometric shape is maintained throughout inflation, improving fixation and enabling broader leaflet opening. We present our first experience with the V8 balloon in 3 adults who had severe, symptomatic pulmonary valve stenosis. In addition to describing their cases, we detail our sizing technique for pulmonary valvuloplasty with the V8 balloon. Our successful results suggest that the V8 balloon is efficient and safe for balloon pulmonary valvuloplasty in adults with severe pulmonary valve stenosis. PMID- 29844740 TI - Changes in Coronary Plaque Volume: Comparison of Serial Measurements on Intravascular Ultrasound and Coronary Computed Tomographic Angiography. AB - Serial measurements of coronary plaque volume have been used to evaluate drug efficacy in atherosclerotic progression. However, the usefulness of computed tomography for this purpose is unknown. We investigated whether the change in total plaque volume on coronary computed tomographic angiography is associated with the change in segment plaque volume on intravascular ultrasound. We prospectively enrolled 11 consecutive patients (mean age, 56.3 +/- 5 yr; 6 men) who were to undergo serial invasive coronary angiographic examinations with use of grayscale intravascular ultrasound and coronary computed tomography, performed <180 days apart at baseline and from 1 to 2 years later. Subjects underwent 186 serial measurements of total plaque volume on coronary computed tomography and 22 of segmental plaque volume on intravascular ultrasound. We used semiautomated software to examine percentage relationships and changes between total plaque and segmental plaque volumes. No significant correlations were found between percentages of total coronary and segment coronary plaque volume, nor between normalized coronary plaque volume. However, in the per-patient analysis, there were strong correlations between the imaging methods for changes in total coronary and segment coronary plaque volume (r=0.62; P=0.04), as well as normalized plaque volume (r=0.82; P=0.002). Per-patient change in plaque volume on coronary computed tomography is significantly associated with that on intravascular ultrasound. Computed tomographic angiography may be safer and more widely available than intravascular ultrasound for evaluating atherosclerotic progression in coronary arteries. Larger studies are warranted. PMID- 29844741 TI - Malignant Shamblin III Carotid Body Tumors Resected with Use of the Retrocarotid Dissection Technique in 2 Patients. AB - Carotid body tumors are rare neoplasms with malignant potential in 6% to 12.5% of cases, and surgical resection is the only cure. We present the cases of 2 female patients who had expanding, painless, right-sided neck masses; computed tomographic angiograms revealed Shamblin III tumors at the carotid bifurcation. Each patient underwent tumor resection with use of the retrocarotid dissection technique. The tumor specimens were histologically consistent with malignancy, and free margins were achieved. The patients remained free of symptoms, local recurrence, and metastasis 44 and 19 months after their respective procedures. These are the first malignant Shamblin III carotid body tumors that we have resected by means of retrocarotid dissection. In addition to our patients' cases, we discuss carotid body tumors and compare the retrocarotid and standard caudocranial resection techniques. PMID- 29844742 TI - Therapeutic Plasma Exchange for Urgent Rivaroxaban Reversal. AB - Direct oral anticoagulants, which include the factor Xa inhibitor rivaroxaban, have some advantages over vitamin K antagonists in regard to stroke prevention in patients with atrial fibrillation. However, no antidotes to reverse the effect of oral anticoagulants are commercially available, which can complicate treating patients in whom reversal is urgent. We faced this challenge in a kidney transplant candidate, a 65-year-old man with end-stage renal disease who had been taking rivaroxaban for paroxysmal atrial fibrillation. When a deceased-donor kidney became available, we needed to rapidly reduce the patient's bleeding risk, while minimizing the cold ischemic time of the donor kidney. Therefore, we decided to take an experimental approach and perform therapeutic plasma exchange. The patient's plasma anti-factor Xa level decreased from 0.4 IU/mL immediately before treatment to 0.21 IU/mL afterward, indicating that rivaroxaban had been actively removed from circulation. Waste fluid showed significant anti-Xa activity, indicating that the risk of rebound anticoagulation had been mitigated. The patient subsequently underwent successful kidney transplantation. To our knowledge, this is the first report of therapeutic plasma exchange to reverse the effects of rivaroxaban in a patient undergoing urgent surgery. This treatment may also be suitable for patients who have life-threatening, large-volume bleeding, especially in the presence of substantial kidney or liver dysfunction. PMID- 29844743 TI - Distal Left Main Coronary Artery Aneurysm Resection during 5-Vessel Coronary Artery Bypass Grafting. AB - Coronary artery aneurysms are abnormal dilations of arterial segments, in some cases associated with underlying atherosclerosis. Although affected patients can be asymptomatic, some are at risk of plaque rupture, dissection, and other complications. Investigations into the optimal management of these vascular malformations are ongoing, because no consensus exists regarding when and how best to intervene. We present the case of a 58-year-old man whose large left main coronary artery aneurysm we ligated and removed during 5-vessel coronary artery bypass grafting. This distal aneurysm was at the trifurcation level of the patient's left anterior descending and left circumflex coronary arteries. In addition, we discuss considerations about left main coronary artery aneurysms and their treatment. PMID- 29844744 TI - Murmur Associated with Diastolic Paradoxical Jet Flow in a 43-Year-Old Man with Hypertrophic Cardiomyopathy. AB - A diastolic paradoxical jet flow, often seen in patients with hypertrophic cardiomyopathy, is a unique flow from the apex toward the base of the left ventricle during isovolumic relaxation. To date, this phenomenon appears to have been noninvasively detected only on echocardiograms. We report the case of a 43 year-old man with hypertrophic cardiomyopathy and a diastolic paradoxical jet flow, in whom cardiac auscultation revealed a soft S4, a systolic ejection murmur, and a low-pitched early diastolic murmur immediately after S2 at the apex. On comparing his echocardiographic findings with those on phonocardiograms and apexcardiograms, we confirmed that the unusual murmur coincided with the diastolic jet flow. To our knowledge, this is the first case in which heart murmurs associated with a diastolic paradoxical jet flow have been clearly described. Because these flows can increase the risk of adverse outcomes, detecting any associated murmurs by methods other than echocardiography is worthwhile, even in the era of advanced imaging techniques. PMID- 29844745 TI - Recurrent Spontaneous Coronary Artery Dissection in 4 Vascular Territories. AB - Spontaneous coronary artery dissection, a rare cause of acute coronary syndrome, is due to nonatherosclerotic coronary events and is probably underrecognized as a cause of myocardial infarction. The condition typically affects premenopausal women who are otherwise healthy. Among more than 1,200 reported cases, recurrent dissection has been described 63 times, and only 3 reports have documented multiple episodes of dissection involving different vascular territories. We present the case of a woman in her 30s who, over a 9-year period, presented 4 times with coronary dissection in different vascular territories. She was first treated conservatively, then with stents, and ultimately by means of coronary artery bypass grafting. In addition to this case, we discuss this rare condition and its management. PMID- 29844746 TI - Long-Term Continuous-Flow Biventricular Support in a 63-Year-Old Woman. AB - We describe the successful use of long-term biventricular continuous-flow mechanical circulatory support as a bridge to transplantation in a small-framed 63-year-old woman with long-standing nonischemic cardiomyopathy. After placement of a left-sided HeartWare HVAD, persistent right-sided heart failure necessitated implantation of a second HeartWare device for long-term right ventricular support. After 262 days, the patient underwent successful orthotopic heart transplantation and was discharged from the hospital. This report indicates the feasibility of biventricular device support in older patients of relatively small stature, and our results may encourage others to consider this therapy in similar patient populations. PMID- 29844747 TI - Slow, But Dangerous. PMID- 29844748 TI - Pericardial Rupture with Intermittent Cardiac Luxation. PMID- 29844749 TI - Caught in the Act: Paradoxical Emboli. PMID- 29844751 TI - Erratum. AB - [This corrects the article on p. 29 in vol. 44, PMID: 28265210.]. PMID- 29844750 TI - Continuous Suture Technique for Aortic Valve Replacement. PMID- 29844752 TI - The Epileptogenic Zone: Concept and Definition. AB - A "concept" refers to what exists in the mind as a representation (as in something comprehended) or as a formulation (as in a plan). It is generally understood as "any idea of what a thing ought to be" (Merriam-Webster). From that premise, an "idea" cannot be compartmentalized or rigidly defined as exclusively belonging to any single individual or school of thought. The utility of a concept is inherently linked to its adaptability to the needs and conditions of the time. I state this upfront because over the past several decades, the concept of the epileptogenic zone (EZ) has become so crucial to the foundation of major schools of surgical epilepsy that discussions and opinions on the topic have essentially sought to legitimize one view while criticizing the other. This review is not a referendum on any specific definition of the EZ but rather a chronological analysis of the historical evolution of this concept and the invasive EEG tools used to study it. The goal is to highlight common ground necessary to tackle the ever-present challenge of defining the ideal resection for a patient with drug resistant focal epilepsy. PMID- 29844753 TI - Depression Screening Tools: More Hammers, Fewer Nails. PMID- 29844754 TI - Knowing Is Half the Battle: Underestimating SUDEP. PMID- 29844755 TI - Two Studies, One Message: High Yield of Genetic Testing in Infants and Young Children With Severe Epilepsies. PMID- 29844756 TI - Less Effective and More Expensive: Is It Time to Move on From Rectal Diazepam? PMID- 29844757 TI - The Disruptive Nature of Focal Developmental Insults. PMID- 29844758 TI - Cognitive Problems in Epilepsy: Are Interictal Epileptiform Discharges to Blame? PMID- 29844759 TI - Cannabidiol and Serum Antiepileptic Drug Levels: The ABCs of CBD With AEDs. PMID- 29844760 TI - Do Seizures Induce Brain Tissue Loss? PMID- 29844761 TI - Circadian Profile and Seizure Forecasting: Still Cloudy but With Chance for Sunshine. PMID- 29844762 TI - Seizures in Tuberous Sclerosis: Mechanism-Based Interventions EXIST. PMID- 29844763 TI - Persistent Protection Against Pathology and Paroxysms by P2X7R Antagonism. PMID- 29844764 TI - Disease-Modification in Epilepsy by Nonpharmacological Methods. PMID- 29844765 TI - Focusing on the Big Picture: Induced Focal Seizures Propagate Along Synaptic Pathways. PMID- 29844766 TI - Back to the Dentate: Network Changes of Early- and Late-Born Dentate Granule Cells. PMID- 29844767 TI - Neonatal Seizures: Is the Remedy Worse Than the Disease? PMID- 29844768 TI - Lost Inhibition - Brain Activity Temporarily Out of Control. PMID- 29844769 TI - Expanding the Zebrafish Toolkit for Epilepsy Research. PMID- 29844770 TI - Thermally stable hybrid polyarylidene(azomethine-ether)s polymers (PAAP): an ultrasensitive arsenic(III) sensor approach. AB - A new category of thermally stable hybrid polyarylidene(azomethine-ether)s and copolyarylidene(azomethine-ether)s (PAAP) based on diarylidenecycloalkanones has been synthesized using solution polycondensation method. For potential cationic sensor development, a thin layer of PAAP onto a flat glassy carbon electrode (GCE, surface area: 0.0316 cm2) was prepared with conducting nafion (5%) coating agent to fabricate a sensitive and selective arsenic (III) [As3+] ion in short response time in neutral buffer system. The fabricated cationic sensor was measured the analytical performances such as higher sensitivity, linear dynamic range, detection limit, reproducibility, and long-term stability towards As3+ ions. The sensitivity and detection limit were calculated as 2.714 MUAMUM-1cm-2 and 6.8 +/- 0.1 nM (SNR of 3; 3N/S) respectively from the calibration curve. This novel approach can be initiated a well-organized route of an efficient development of heavy selective arsenic sensor for hazardous pollutants in biological, environmental, and health care fields. Real sample analysis for various environmental sample was performed with PAAP-modified-GCE. PMID- 29844771 TI - A Special Issue: Pharmaconosy. PMID- 29844773 TI - Investigation of Antioxidative, Cytotoxic, Membrane-Damaging and Membrane Protective Effects of The Essential Oil of Origanum majorana and its Oxygenated Monoterpene Component Linalool in Human-Derived Hep G2 Cell Line. PMID- 29844772 TI - Black Seed (Nigella Sativa) and its Constituent Thymoquinone as an Antidote or a Protective Agent Against Natural or Chemical Toxicities. AB - Nigella sativa(N. sativa), which belongs to the botanical family of Ranunculaceae, is a widely used medicinal plant all over the world. N. sativa seeds and oil have been used in the treatment of different diseases. Various studies on N. sativa have been carried out and a broad spectrum of its pharmacological actions have been established which include antioxidant, antidiabetic, anticancer, antitussive, immunomodulator, analgesic, antimicrobial, anti-inflammatory, spasmolytic, and bronchodilator. This is also indicated that the majority of the therapeutic effects of N. sativa are due to the presence of thymoquinone (TQ) that is the main bioactive constituent of the essential oil. According to several lines of evidence, the protective effects of this plant and its main constituent in different tissues including brain, heart, liver, kidney, and lung have been proved against some toxic agents either natural or chemical toxins in animal studies. In this review article, several in-vitro and animal studies in scientific databases which investigate the antidotal and protective effects of N. sativa and its main constituents against natural and chemical induced toxicities are introduced. Because human reports are rare, further studies are required to determine the efficacy of this plant as an antidote or protective agent in human intoxication. PMID- 29844774 TI - Cardioprotective Effects of Methanolic Extract of Scrophularia frigida on Ischemia-Reperfusion-Induced Injuries in Isolated Rat Heart. AB - Myocardial infarction is a common presentation of coronary artery disease and the leading cause of death worldwide. The present study investigated potential resistance to ischemia-reperfusion (I/R) injuries following administration of methanolic (MeOH) extract of Scrophularia frigida (S. frigida) in isolated rat heart. Male Wistar rat hearts (n= 8-10) were isolated and allowed to equilibrate for 20 min, and then subjected to 30 min regional ischemia followed by 120 min reperfusion. In the control group, Krebs-Henseleit (K/H) solution was perfused. However, in the treatment groups K/H solution containing 1, 5, and 10 ug/cc of extract was infused. In addition, total phenol, total flavonoid content and antioxidant property were evaluated and extract was subjected to phytochemical analysis. Administration of extract improved the flow rate, developed pressure as well as max and min left ventricular dp/dt. Number and duration of VT were significantly reduced by all extract concentrations in ischemic phase. In reperfusion phase, significant decreases in single and total arrhythmias were seen. Furthermore, concentrations of 5 and 10 ug/cc of extract remarkably decreased the infarct size. Generally, the methanolic extract of S. frigida exhibited a protective effect against I/R-induced injures, which might be due to the antioxidant activiies of iridoids and phenolics. PMID- 29844775 TI - Bioactivity-guided Study of Passiflora caerulea L. Leaf Extracts. AB - Passiflora species were known by their anticonvulsant, anxiolytic and sedative activities. The aim of this study was to investigate the chemical composition of the most active leaf extract of Passiflora caerulea L. grown in Egypt. The ethanolic extract of the leaves exhibited higher activity than aqueous extract as anticonvulsant (63% potency relative to carbamazepine), analgesic (70% potency relative to indomethacin), antioxidant (71% potency relative to vitamin E), anti inflammatory (90% potency relative to indomethacin) and antipyretic (90% potency relative to paracetamol). Fractions obtained successively from the ethanolic extract were then subjected to the same biological testing demonstrating that the ethyl acetate fraction was the most active in all activities (50, 96, 80, 63 % potency relative to reference standards used in each of the selected activity, respectively) followed by n-butanol then n-hexane and chloroform fractions. Purification of the anticonvulsant sub-fractions obtained by column chromatography of ethyl acetate fraction, led to the isolation of three compounds that were identified by physical and spectroscopic techniques as Lucenin II (1), 4-hydroxycinnamic acid (2) and Chrysin 6-C-beta-D-glucoside (3). The amount of Chrysin 6-C-beta-D-glucoside was found to be 0.0184 g % w/w of the dried leaves using HPLC method that showed linearity (R2 = 0.9996) over the range 0.015-0.25 mg/mL. C-glycosyl flavones and hydroxycinnamic acid derivatives may thus be the responsible principles for the biological activity of the plant under investigation. Moreover, RAPD technique was performed for the genetic characterization and authentication of the plant, where 106 fragments were recorded after DNA amplification with fifteen primers. PMID- 29844776 TI - Isolation and Identification of Secondary Metabolites from the Aerial Parts of Stachys lavandulifolia Vahl. AB - Stachys lavandulifolia Vahl is an herbaceous wild plant native to Iran which is traditionally used in Iranian folk medicine as a mild sedative tea for reducing anxiety and for treatment of gastrointestinal disorders. Our previous study on ethyl acetate extract of S. lavandulifolia proved anti-anxiolytic activity and so the present study was designed to determine chemical components of this biologically active fraction. The extract was prepared using maceration method. Column chromatography and medium pressure liquid chromatography (MPLC) was used respectively to separate the fractions. Finally, some evaluated fractions were used for high pressure liquid (HPLC) and peak shaving recycle technique to achieve more purification. Separated compounds were determined using NMR analysis and mass spectroscopy. Six compounds have been isolated from ethylacetate extract of aerial parts of S. lavandulifolia including four flavonoids (apigenin, kumatakenin, penduletin and 4', 7-dihyroxy- 3, 5, 6-trimethoxy flavon), a labdan diterpenoid (labda-13-en-8, 15-diol), and an iridoid. PMID- 29844777 TI - Comparative Analysis of Chemical Profile, Antioxidant, In-vitro and In-vivo Antidiabetic Activities of Juniperus foetidissima Willd. and Juniperus sabina L. AB - Fruit and leaves of junipers are commonly used internally as tea and pounded fruits are eaten to lower blood glucose levels in Anatolia. Thus, we aimed to evaluate antidiabetic and antioxidant potential and the chemical profile of Juniperus foetidissima Willd. and J. sabina L. in this study. In-vitro antidiabetic activities of leaf and fruit extracts were examined by their inhibitory activity on alpha-glucosidase and alpha-amylase enzymes. Then, in-vivo antidiabetic activities of leaf and fruit extracts of Juniperus species were investigated on streptozotocin-induced diabetic rats. Additionally, antioxidant activities (phosphomolybdenum, ferric-reducing antioxidant power and ABTS radical scavenging activity assays), phytochemical screening tests and high performance liquid chromatography analysis (HPLC) were done. In-vitro enzyme inhibitory effects of the extracts were supported by the results of in-vivo antidiabetic activity studies. Phytochemical screening tests indicated presence of flavonoids, tannins, terpenoids and carbohydrates in the extracts. Amentoflavone was identified as the major compound in the extracts and content of amentoflavone was determined. As a result, Juniperus extracts and its active constituents might be beneficial for diabetes and its complications. PMID- 29844778 TI - Study of Hypoglycemic, Hypocholesterolemic and Antioxidant Activities of Iranian Mentha Spicata Leaves Aqueous Extract in Diabetic Rats. AB - This study was conducted to evaluate the hypoglycemic, hypocholesterolemic and antioxidant properties of Mentha spicata (Labiateae) leaves aqueous extract (MSLA) in alloxan-induced diabetic rats. In this study, hyperglycemia was induced in male rats by intraperitoneal injection of alloxan monohydrate (150 mg/kg). The aqueous extract of M. spicata was orally administered at a dose of 300 mg/kg body weight to diabetic rats for 21 days and the effects were compared with glibenclamid (2 mg/kg). Fasing blood sugar (FBS), body weight, lipid profile and serum malondialdehyde (MDA) were monitored at 0, 7, 14 and 21 days after induction of diabetes. Total phenol contents (TP) and reducing power (RP) were also evaluated. TP and RP of aqueous extract were 2.763 +/- 0.39 mg Galic acid/gr and 0.026 +/- 0.001 EC50 mg/mL, respectively. The LD50 of the extract was found to be ? 1500 mg/kg. The administration of M. spicata aqueous extract produced a significant reduction (P?0.01) in FBS, total cholesterol, triglyceride, low density lipoprotein-cholesterol and MDA (101.83 +/- 4.33, 95.66 +/- 4.75, 89.83 +/- 5.26, 26.20 +/- 5.10 mg/dl and 1.53 +/- 0.61 umol/l, respectively) in diabetic rats. These effects were comparable with the effects of standard antidiabetic drug (glibenclamide). The results of the investigation indicated that M. spicata leaf aqueous extract possess hypoglycemic, hypocholesterolemic and antioxidant properties in diabetic rats. Therefore, this study suggest a promising use of it for treatment of diabetes. PMID- 29844779 TI - Anti-oxidant and Anti-Inflammatory Cyclic Diarylheptanoids from Alnus japonica Stem Bark. AB - A new cyclic diarylheptanoid namely alnuheptanoid B (3), along with four known cyclic diarylheptanoids: myricanone (1), (+)-S-myricanol (2), myricanone 5-O- -D glucopyranoside (4), and (+)-S-myricanol 5-O- -D-glucopyranoside (5) were isolated from the EtOAc fraction of Alnus japonica Steud (family: Betulaceae) stem bark. Their structures were established by different spectroscopic analyses, as well as optical rotation measurement. Compounds 1, 2, 4, and 5 are isolated for the first time from A. japonica. The antioxidant and anti-inflammatory activities of compounds (1-5) were assessed using DPPH assay and carrageenin induced rat paw edema model, respectively. They displayed significant antioxidant activity in relation to propyl gallate (standard antioxidant) at concentration 50 uM. Compound 2 demonstrated anti-inflammatory effect at a dose 10 mg/kg compared with indomethacin (positive control). PMID- 29844780 TI - In-vitro Antioxidant Activities of the Ethanolic Extracts of Some Contained Allantoin Plants. AB - It has been investigated the in-vitro antioxidant properties of ethanol extracts of the contained-allantoin plants in this study. Contained-allantoined plant samples Plantago lanceolata, Plantago major, Robinia pseudoacacia, Platanus orientalis and Aesculushippocastanum were tested at different concentrations. The antioxidant activities of plant samples were analysed by 1,1- diphenyl-2 picrylhydrazyl (DPPH) radical scavenging method, cupric reducing antioxidant capacity (CUPRAC), reducing power assay and beta-carotene bleaching method. Plantago major plant showed the highest antioxidant capacity compared to other plant extracts in results of the in-vitro assays including 1,1- diphenyl-2 picrylhydrazyl (DPPH) radical scavenging method with 90.25 %, cupric reducing antioxidant capacity (CUPRAC) with 1.789 %, reducing power assay (FRAP) with 1.321 % and beta-carotene bleaching method with 78.01 % in 1 mg/mL. The lowest antioxidant activity was determined in Robinia pseudoacacia plant. In conclusion, allantoin shows antioxidant properties and it has the positive effect on total antioxidant capacity. PMID- 29844781 TI - Effects of Phytoestrogens in Alleviating the Menopausal Symptoms: A Systematic Review and Meta-Analysis. AB - The aim of this study was to perform a meta-analysis of high-quality, randomized, controlled trials (RCTs), to investigate the effectiveness of phytoestrogens in alleviating the menopausal symptoms (vaginal atrophy). Variety of databases including PubMed, Scopus, and Cochrane Central Register of Controlled Trials (CCRCT) were searched up to May 2015 according to the below-mentioned pre specified search strategy and using the relevant MeSH terms. The mean difference was applied as an estimate of the main effect size. Moreover, due to the considerable heterogeneity among studies, the random-effects model was used to obtain the pooled effect size derived from primary studies. Results showed that while the standardized mean difference of vaginal cell maturation index was increased up to 0.164 percent (with the confidence interval at 95%: (-0.419 0.746), but this increase was not statistically significant (P=0.582). The absence of the publication bias was confirmed using the Egger's regression intercept test (P = 0.24). Also, meta-analysis of soybeans studies showed that while the standardized mean difference of vaginal maturation index increased 0.072% in (95% CI: -0.42 to 0.5.), this increase was not statistically significant (p = 0.777). The results confirm that soybeans and phytoestrogens have non-significant positive effects on the vaginal atrophy index. Hence, it is suggested that with regard to non-significant positive effects, non-hormonal treatments along with other treatments such as the vaginal gels and so on should be used more in cases with non-severe vaginal atrophy. PMID- 29844782 TI - Efficacy of Supportive Therapy of Allergic Rhinitis by Stinging Nettle (Urtica dioica) root extract: a Randomized, Double-Blind, Placebo- Controlled, Clinical Trial. AB - The aim of this study was to survey the exact benefit of this herb in the management of clinical and laboratory signs and symptoms of allergic rhinitis. In a randomized double blind clinical trial, 74 patients with the signs and symptoms of allergic rhinitis and a positive skin prick test were selected and randomly divided into 2 groups who were takenUrtica dioica 150-mg, Urtidin(r) F.C Tablet) or placebo for one month. Their signs and symptoms, eosinophil percentage on nasal smear, serum IgE, and interleukin IL-4, IL-5, interferon- gamma) levels were recorded. Forty patients completed the trial. Based on the Sino- Nasal Outcome Test 22 SNOT-22), a significant improvement in clinical symptom severity was observed in both groups P < .001). Furthermore, a statistically significant reduction in mean nasal smear eosinophil count was observed after treatment with Nettle P < .01). However, the mean IgE and IL4 and IL5 levels in the study group before and after treatment with Nettle saw no significant changes P > .1). Intergroup pre- and post-treatment laboratory findings suggested that there was a significant difference in post-treatment changes of mean IFN gamma levels between the study and placebo group P = 0.017). Although the current study showed certain positive effects of Nettle in the management of allergic rhinitis on controlling the symptoms based on the SNOT-22, similar effects were demonstrated by placebo as well. We believe that our limitations underscore the need for larger, longer term studies of Nettle for the treatment of allergic rhinitis. PMID- 29844783 TI - Antioxidant, Antimutagenic, Tanning and Calpain Induction Activities of Methanolic Extract of Tunisian Plant (Moricandia Arvensis). AB - In this study, we investigate the potential of Moricandia arvensis methanol leaf extract (MeOHL) on calpain activity, melanin biosynthesis and DNA mutagenicity. Cytotoxic effect and measurement of reactive oxygen species (ROS) induced by lucigenin in colorectal cells (BE) were also determined. In addition, the chemical analysis of the extract was also studied and the chemical profile illustrates its content in para-hydroxybenzoic acid (p-HBA), a glycosylated kampferol (GK), a glycosylated kampferol with Rhamnose (GKR) and 19 amino acids (AAs). Our results showed that MeOHL extract enhanced a significant cytotoxic (max of IP = 89.23%) and antioxidant (max of IP=100%) activities. Furthermore, the tested extract stimulated calpain activity and significantly increased the production of intra (46 ug/mL cells) and extracellular melanin content (12.5ug/mL). Using Ames assay, the extract exhibits a significant inhibition of mutagenicity induced by methy-methane-sulfonate (MMS) (76.32%) as well as 2 aminoanthracene (2-AA) (91%) in the Salmonella thyphimurium TA104 assay system. PMID- 29844784 TI - Evaluation of Hepatoprotective Effect of Acantholimon Gilliati Eerial Part Methanolic Extract. AB - The aerial parts of Acantholimon gilliati was extracted by n-hexane, dichloromethane and methanol. Methanolic extract tested for hepatoprotective effects on formaldehyde liver injury in mice. The maximum effect that the methanolic extract showed protective effect on this experiment against formaldehyde observed in 5 and 10 mg. Also other concentrations of this extract showed positive effect compared to toxicant on morphology and biochemical factors of the liver. Results showed that the methanolic extract of the A. gilliati has a protective include functional and enzymatic stablingeffect on liver. PMID- 29844785 TI - Phenolic Profile, Antiradical and Antitumour Evaluation of Raspberries Pomace Extract from Serbia. AB - Raspberry waste, obtained from two cultivars, Meeker (ERM) and Willamette (ERW) was subjected to evaluation antioxidants and antitumour activities as a potential source of phenolics. Some phenolic acids and flavonoids were identified and quantified by HPLC. Antioxidant activity was tested by measuring ability to scavenge DPPH* and *OH by ESR spectroscopy. IC50DPPH* varied from 0.67 for ERM to 0.54 mg/mL for ERW, while IC50*OH values varied from 3.73 for ERM to 1.23 mg/mL for ERW. Cytotoxic activity was investigated using in vivo model of Ehrlich Ascite carcinoma cells (EAC) in mice. Pretreatment with extracts exhibited potent cytotoxic activity against EAC cells (up to 60%) and both extracts inhibited the tumour growth. Activity of xanthine oxidase (XOD) was extremely increased in pretreated animals, while the activity of enzyme complex glutathione reductase (GR) and glutathione peroxidase (GSHPx) was significantly increased. This study suggests that raspberry pomace could be used as nutraceutic resource and functional food ingredient. PMID- 29844786 TI - Evaluation of the Wound Healing Activity of a Traditional Compound Herbal Product Using Rat Excision Wound Model. AB - Iranian Traditional Medicine (ITM) manuscripts contain prescriptions that have long been used for healing of wounds. The present study evaluates the healing effect of a poly herbal paste (PHP), retrieved from ITM sources, containing Aloe vera, Commiphora myrrha and Boswellia carteri using rat excision wound model. Excision wounds were induced in six groups consisting of six rats each. Group 1 received no treatment, while groups 2 and 6 received tetracycline ointment, Alpha ointment, PHP 40%, PHP 10% and paste base every day, respectively. The percentage of wound contraction on days 2, 7, 14 and 21 and histopathology parameters of healed wounds on 14th and 21st days were evaluated. Moreover, antioxidant activity of PHP was evaluated using DPPH method. There was a significant improvement in wound healing in PHP 10% group on the 7th day of the treatment (p<0.05). Moreover, the healing effect of PHP 10% was significantly greater than the control, tetracycline and paste base groups on the 2nd, 14th and 21st days (p<0.05). On day 14, PHP 40% showed significant healing effect compared to the control, tetracycline and paste base groups (p<0.05). Fewer inflammatory cells were observed in PHP 10%-treated animals and this group demonstrated better re epithelialization with remarkable neovascularization. Besides, the PHP 10% formulation exhibited antioxidant activity. In vivo and histopathologic examinations showed considerable wound healing in PHP 10% group. This finding could probably be due to the antioxidant, anti-inflammatory and antimicrobial activities of phytoconstituents of A. vera, B. carteri and C. myrrha. PMID- 29844787 TI - Effects of Stinging Nettle (Urtica Dioica L.,) on Antioxidant Enzyme Activities in Rat Model of Mammary Gland Cancer. AB - Stinging nettle (Urtica dioica L.,) is a medicinal herb commonly used by humans. The role of reactive oxygen metabolites on cancer etiology is known. There are some studies about the antioxidant effects of Urtica Dioica (UD) on therapy of some cancer types. This study aimed to investigate the effects of UD on antioxidant enzyme activities and mammary gland cancer induced by in rats-N methyl-N-nitrosourea (NMU) carcinogenesis. Rats were divided into four groups: a untreated group (Group 1), a NMU group (Group 2) given 50 mg/kg NMU by intraperitoneal (i.p.) injection, a NMU group (Group 3) treated with UD, a control group (Group 4) fed with 50g/kg UD. After 5.5 months, rats were decapitated, and mammary tissue and blood samples were obtained. There was a significant (p<0.05, p<0.01, respectively) increase in plasma malondialdehyde (MDA) levels of group 2 compared with group 1 and 4. The superoxide dismutase (SOD) activity of the erythrocytes was decreased in group 3 than the other groups (p<0.0001). The erythrocyte catalase (CAT) activity was significantly increased in group 4 compared with group 2 and 3 (p<0.05, p<0.01, respectively). The number of animals with palpable tumors was 6 (46.15%) in group 2, and 2 (13.3%) in group 3 at the end of the 22nd week. Although group 3 had lower palpable tumor number than group 2, the difference was not statistically significant (p=0.096). The results showed that UD constituents may have effects on lipid peroxidation and some antioxidant enzyme activities, and may slow the formation of mammary tumor. PMID- 29844788 TI - The Effect of Melissa Officinalis Extract on the Severity of Primary Dysmenorrha. AB - Primary dysmenorrhea refers to painful cramps during menstruation with no organic reason. With respect to its high incidence and adverse outcomes in quality of life and some evidences regarding the sedative and antispasmodic effects of Melissa officinailson smooth muscles as an herb, this double-blind clinical trial was conducted to determine the effects of its capsules on severity of dysmenorrhea in the students of Islamic Azad University of Zanjan in 2014. 110 students were matched in terms of dysmenorrhea severity and experience; age; menarche; body mass index (BMI); occupation as well as educational level of parents; and duration, interval as well as amount of bleeding. Then, they were randomly divided into 2 herb (55 subjects) and placebo (55 subjects) groups. The former was given capsules 330 mg of the herb 3 times a day over 3 days at the onset of hemorrhage while the latter was given placebo in similar capsules containing corn starch with the same protocol. Pain severity was evaluated with a visual analogue scale (0 to 10 cm). Different statistical tests were used for data analysis with SPSS package. No significant difference was found between the means of pain severity in the groups before the intervention. However, the severity was reduced in both groups after the intervention (P<0.001) but the amount of it was more in Melissa group with a significant difference (P<0.05). With respect to the findings, it seems that M. officinalismay decrease dysmenorrhea, which may be related to antispasmodic effects of this herb. PMID- 29844789 TI - Comparative Evaluation of Phenolic Profile, Antioxidative and Cytotoxic Activities of Different Geranium Species. PMID- 29844790 TI - Antibacterial Activityand Comparison of the Volatile Oils of Tanacetum tenuisectum (Boiss.) Podl. Obtained by Three Different Methods of Extraction. AB - The essential oils obtained by hydrodistillation (HD), steam distillation (SD) and solvent free microwave extraction (SFME) from the stems and flowers of Tanacetumtenuisectum (Boiss.) Podl., which is endemic to Iran, were analyzed by combination of GC and GC/MS. Camphor (26.91 %, 27.23% and 25.52%), borneol (12.61%,11.48% and 7.62%) and 1,8-cineole (7.93%, 13.23% and 11.26%) were the main constituents of the HD,SD and SFME oils of Tanacetumtenuisectum respectively. All three oils were rich in regard to monoterpenes and small percentage of sesquiterpenes and non terpenoid compounds. Antibacterial activity of the essential oil of the plant was determined against six Gram positive and Gram negative bacteria. The results showed that this oil was active against all of the tested bacteria. PMID- 29844791 TI - Protective Effects of Dendrobium nobile against Cisplatin Nephrotoxicity Both In vitro and In-vivo. AB - Dendrobium genus was reported to contain alkaloid, bibenzyl, fluorenone, phenanthrene, sesquiterpenoid, and phenolic acid, which have biological properties. Our aim was to investigate the protective effect of an aqueous extract of Dendrobium nobile Lindl (DNE) against cisplatin-induced acute kidney injury (AKI). Quantification of four phenolic acids (4-hydroxybenzoic, vanillic, syringic, and ferulic acid) in DNE was determined using the HPLC-photodiode array method. Possible protective effects against cisplatin-induced nephrotoxicity were investigated using in-vitro (porcine kidney cells; PK15) and in-vivo (Sprague Dawley rat) studies. Among the four phenolic acids, 4-hydroxybenzoic acid was the most abundant. In the in-vitro study, DNE pretreatment partially prevented decrement of viability after cisplatin (15 MUg/mL) treatment in the both the MTT and crystal violet assays. Moreover, relative to cells treated with cisplatin alone, the DNE (50 MUg/mL)-pretreated cells showed a ~30% increase in glutathione levels and a ~15% decrease in reactive oxygen species. The expression of p53 was also decreased in DNE-pretreated cells (p < 0.05). In the in-vivo study, the renal function index decreased to normal levels in groups pretreated with DNE (300 and 500 mg/kg); histopathological alterations and apoptotic cells were also attenuated. Moreover, DNE pretreatment ameliorated oxidative stress in the kidney, as evidenced by recovered antioxidant enzyme levels and decreased lipid peroxidation. DNE, by decreasing oxidative stress, was found to have a protective effect against cisplatin-induced nephrotoxicity. Based on these findings, DNE might be beneficial when treating cisplatin-induced AKI. PMID- 29844792 TI - Isolation of Phenolic Derivatives and Essential Oil Analysis of Prangos ferulacea (L.) Lindl. Aerial Parts. AB - Prangos ferulacea (L.) Lindl. (Apiaceae) is a medicinal plant distributed in Mediterranean regions, Caucasia and southwest of Asia. In the present study phytochemical constituents of the extract obtained from the aerial parts of P. ferulacea were investigated using various chromatographic and spectroscopic methods. Essential oil of the plant aerial parts was also analyzed using GC-MS. Five phenolic derivatives, isoimperatorin (1), ferudenol (2), caffeic acid glucosyl ester (3), isorhamnetin-3-O-beta-D-glucopyranoside (4) and quercetin-3-O beta-D-glucopyranoside (5) were isolated from the aerial parts of P. ferulacea and their structures were elucidated using 1H-NMR, 13C-NMR, EI-MS and UV spectral analyses. Twenty-seven compounds were also identified in the essential oil of plant aerial parts, of which beta-pinene (43.1%), alpha-pinene (22.1%) and delta3-carene (16.9%) were characterized as main compounds. The results of this study introduce P. ferulacea as a source of potentially bioactive phenolic compounds and suggest it as an appropriate candidate for further studies. PMID- 29844793 TI - Evaluation of the Cytotoxic Effect of the Brittle Star (Ophiocoma Erinaceus) Dichloromethane Extract and Doxorubicin on EL4 Cell Line. AB - Leukemia is a blood disease that creates from inhibition of differentiation and increased proliferation rate. The nature has been known as a rich source of medically useful substances. High diversity of bioactive molecules, extracted from marine invertebrates, makes them as ideal candidates for cancer research. The study has been done to investigate cytotoxic effects of dichloromethane brittle star extract and doxorubicin on EL4 cancer cells. Blood cancer EL4 cells were cultured and treated at different concentrations of brittle star (Ophiocoma erinaceus) dichloromethane extract at 24, 48 and 72 h. Cell toxicity was studied using MTT assay. Cell morphology was examined using an invert microscope. Further, apoptosis was examined using Annexin V-FITC, propodium iodide, DAPI, and Acridine orange/propodium iodide staining. Eventually, the apoptosis pathways were analyzed using measurement of Caspase-3 and -9 activity. The statistical analysis was performed using SPSS, ANOVA software, and Tukey's test. P<0.05 was considered to be significant. MTT assay and morphological observations showed that dichloromethane extract can inhibit cell growth in a dose dependent. The results considered 32 ug/mL of the extract as IC50. Also, doxorubicin suppressed EL4 proliferation as IC50=32 ug/mL. All experiments related to apoptosis analysis confirmed that dichloromethane brittle star extract and doxorubicin have a cytotoxic effect on EL4 cells inIC50 concentration. The study showed that dichloromethane brittle star extract is as an adjunct to doxorubicin in treatment of leukemia cells. PMID- 29844794 TI - Relationship Between Temperaments of Herbal Diuretics and Their Effects Based on Avicenna's Teaching. PMID- 29844796 TI - Phase IV study of retention on fingolimod versus injectable multiple sclerosis therapies: a randomized clinical trial. AB - Objective: In relapsing-remitting multiple sclerosis (RRMS), suboptimal adherence to injectable disease-modifying therapies (iDMTs; interferon beta-1a/b, glatiramer acetate) is common, reducing their effectiveness. Patient retention on oral fingolimod and iDMTs was evaluated in PREFERMS, a randomized, parallel group, active-controlled, open-label, 48-week study. Methods: Patients were included if they had RRMS, were aged 18-65 years and had Expanded Disability Status Scale score up to 6, enrolled at 117 US study sites, were treatment naive or had received only one iDMT class. Patients were randomized 1:1 (fingolimod 0.5 mg/day; preselected iDMT) by interactive voice-and-web-response system without blinding, followed up quarterly, and allowed one study-approved treatment switch after 12 weeks, or earlier for efficacy or safety reasons. The primary outcome was patient retention on randomized treatment over 48 weeks. Secondary endpoints included patient-reported outcomes, brain volume loss (BVL), and cognitive function. Results: Analysis of 433/436 patients receiving fingolimod and 428/439 receiving iDMTs showed that patient retention rate was significantly higher with fingolimod than with iDMTs [352 (81.3%) versus 125 (29.2%); 95% confidence interval 46.4-57.8%; p < 0.0001]. The most common treatment switch was from iDMT to fingolimod for injection-related reasons. Patient satisfaction was greater and BVL less with fingolimod than with iDMTs, with no difference in cognitive function. Adverse events were consistent with established tolerability profiles for each treatment. Conclusions: In RRMS, fingolimod was associated with better treatment retention, patient satisfaction and BVL outcomes than iDMTs. Patients may persist with iDMTs, but many may switch treatment if permitted. Treatment satisfaction fosters adherence, a prerequisite for optimal outcomes. PMID- 29844795 TI - Management of colonic diverticular disease in the third millennium: Highlights from a symposium held during the United European Gastroenterology Week 2017. AB - Diverticulosis is a common anatomical condition, which appears to be age dependent. Individuals who develop chronic gastrointestinal symptoms or complications are referred to as having diverticular disease. Although the diagnosis of this condition can be relatively straightforward, randomized controlled trials are scarce and management often follows tradition rather than principles of evidence-based medicine. This report deals with the topics discussed during a symposium held during the United European Gastroenterology Week (Barcelona, October 2017). During the meeting, the role of dysbiosis in the pathogenesis of diverticular disease and its treatment were thoroughly discussed, by examining the efficacy and mechanisms of action of the currently used drugs. Recent studies have shown the presence of dysbiosis in patients with diverticular disease and suggest an imbalance in favor of bacteria with pro-inflammatory and pathogenetic potential. These microbiota changes correlate with mucosal immune activation, mirrored by a marked increase of macrophages in colonic mucosa, both in the diverticular region and at distant sites. The low-grade inflammation, driven by bacteria-induced immune activation, could be involved in the pathophysiology of symptoms. As a consequence, pharmacological approaches targeting enteric bacteria (with poorly absorbed antibiotics, like rifaximin, or probiotics) or intestinal inflammation (with 5-ASA derivatives or rifaximin) have shown capability of controlling symptoms and also preventing complications, albeit more research is needed to establish the optimal regimen (daily dose and duration) of therapy. Well-designed randomized-controlled trials (RCTs), including homogeneous populations of patients, are therefore needed. The future of management of many GI diseases, including symptomatic uncomplicated diverticular disease, will rely on the so-called 'microbiota-directed therapies'. PMID- 29844797 TI - Differential diagnostic value of 64-slice spiral computed tomography in solitary pulmonary nodule. AB - The present study aimed to evaluate the diagnostic value of 64-slice spiral multivariate computed tomography (CT) combined with dynamic contrast-enhanced scanning for benign and malignant solitary pulmonary nodules (SPNs). A total of 93 patients with SPN as diagnosed by CT were included. All these patients were subjected to routine and dynamic enhancement CT scanning. After reconstruction, the morphological characteristics following dynamic enhancement were analyzed, and compared for the benign and malignant SPN cases. The incidences of lobulation, spicular sign, pleural indentation and vacuole sign in the malignant SPN group were significantly higher compared with the benign SPN group. During the dynamic enhancement scanning, the CT values at all the time points for the inflammatory and malignant SPN groups were significantly higher than the benign SPN group. No significant differences were observed in the dynamic enhancement CT values at 30, 60, 90 and 120 sec between the inflammatory, and malignant SPN groups. However, in the inflammatory SPN group, the dynamic enhancement CT values at 300 and 540 sec were significantly lower than the malignant SPN group. Notably, the diagnostic accordance rate for the morphological signs combined with dynamic enhancement diagnosis was significantly higher than the morphological signs alone. The 64-slice spiral CT morphological signs combined with dynamic enhancement detection can be more effective for the differential diagnosis of benign and malignant SPN, which may provide potent evidence for the early clinical treatment. PMID- 29844798 TI - Treatment of Saos-2 osteosarcoma cells with diallyl trisulfide is associated with an increase in calreticulin expression. AB - Diallyl trisulfide (DATS) is a natural organic sulfur compound that may be isolated from garlic and has strong anticancer activity. DATS has been demonstrated to upregulate the expression of calreticulin (CRT) in various types of human cancers, which is associated with the prognosis of cancer and its response to therapy. However, whether DATS has the same effect on human osteosarcoma cells is not known. Therefore, in the present study, Saos-2 human osteosarcoma cells were cultured with different concentrations of DATS (0, 25, 50 and 100 umol/l) for 24 h, or with 50 umol/l DATS for different time periods (0, 12, 24 and 36 h). Reverse transcription-quantitative polymerase chain reaction (RT-qPCR), western blotting and immunofluorescent staining were used to detect CRT mRNA and protein in the Saos-2 cells. Exposure to DATS changed the morphology and inhibited the growth of the Saos-2 cells, and its effects appeared to be concentration- and exposure time-dependent. The optimum concentration and exposure time of DATS were 50 umol/l and 24 h, respectively. The levels of CRT mRNA and protein in the Saos-2 cells were significantly upregulated following exposure to DATS. The upregulation of CRT expression by DATS may be a mechanism underlying the ability of DATS to inhibit the growth of human osteosarcoma Saos-2 cells. PMID- 29844799 TI - APOE hypermethylation is associated with autism spectrum disorder in a Chinese population. AB - Abnormal apolipoprotein E (APOE) methylation has been demonstrated to be associated with Alzheimer's disease, which may have overlapping mechanisms with autism spectrum disorder (ASD). Thus, the purpose of the present study was to assess the possible link between APOE methylation and ASD. Genomic DNA was extracted from peripheral blood and subjected to a methylation assay. SYBR green based quantitative methylation-specific polymerase chain reaction analysis was used to measure APOE methylation in 62 pediatric patients with ASD and 73 age matched healthy subjects. The APOE methylation in each sample was expressed as a percentage of methylation of a reference (PMR). The results indicated that APOE methylation in pediatric patients with ASD was significantly higher than that in the healthy controls (median PMR, 33 vs. 11%; P=2.36*10-10). Receiver operating characteristic curve demonstrated that PMR of 15.4% was the optimal cut-off for predicting ASD (area under curve, 0.817; sensitivity, 93.5%; specificity, 72.6%; P=2.36*10-10). In summary, the present results indicated that APOE hypermethylation in peripheral blood DNA may be used as a diagnostic biomarker for ASD. PMID- 29844800 TI - Transfer of multiple loci of donor's genes to induce recipient tolerance in organ transplantation. AB - Donor organ rejection remains a significant problem. The present study aimed to assess whether transferring a donor's major histocompatibility complex (MHC) genes to the recipient could mitigate rejection in organ transplantation. Seven loci of MHC genes from donor mice were amplified and ligated into vectors; the vectors either contained one K locus, seven loci or were empty (control). The vectors were subsequently injected into the thymus of recipients (in heterotransplants, recipient rats received the vector containing one K locus), following which donor mouse hearts were transplanted. Following the transplantation of allograft and heterograft, electrocardiosignals were viable for a significantly longer duration in recipient mice and rats receiving the donor histocompatibility-2 complex (H-2)d genes compared with those in controls, and in mice that received seven vectors compared with those receiving one vector. Mixed lymphocyte cultures containing cells from these recipients proliferated significantly less compared with mixed lymphocyte cultures containing controls. Also, hearts from H-2d genes-treated recipients demonstrated less lymphocyte infiltration and necrosis compared with the control recipient. The present study concluded that allograft and heterograft rejection may be mitigated by introducing the donor's MHC into the recipient; transferring seven loci has been demonstrated to be more effective than transferring one locus. PMID- 29844801 TI - Chrysanthemum indicum L. ethanol extract reduces high-fat diet-induced obesity in mice. AB - The present study was undertaken to investigate the mechanism behind the anti obesity effect of the 50% ethanol extract of Chrysanthemum indicum L. flowers (CIEE) in a mouse model of high-fat diet (HFD)-induced obesity. Male C57BL/6J mice (six mice in each group) were administered CIEE (8, 40 and 200 mg/kg) for 6 weeks while being fed with a HFD. Garcinia cambogia (GC) was used as the positive control and was administered in the same manner as CIEE. Results demonstrated that oral administration of CIEE significantly reduced body weight, epididymal white adipose tissue (EWAT), liver weight and serum levels of total cholesterol and triglyceride (P<0.05). In addition, CIEE reduced serum leptin and increased adiponectin levels. CIEE significantly downregulated peroxisome proliferator activated receptor gamma (PPARgamma), CCAAT/enhancer-binding protein-alpha and fatty acid synthase expression levels in EWAT, and upregulated the protein expression of PPARalpha in liver tissue of HFD-fed obese mice (P<0.05). These results suggested that Chrysanthemum indicum L. flowers may be a potentially effective therapeutic agent for obesity and its associated complications. PMID- 29844802 TI - Assessment of efficacy of prenatal genetic diagnosis for fragile X syndrome using nested PCR. AB - Fragile X syndrome (FXS) is the most common inherited cause of intellectual disability and the leading monogenic cause of autism spectrum disorder. It has previously been demonstrated that prenatal genetic diagnosis is efficient for the diagnosis of FXS. The present study investigated the diagnostic effects of nested polymerase chain reaction (PCR) for fragile X mental retardation 1 (FMR1) and expanded CGG repeats. It was demonstrated that the nested PCR assay rapidly measured the multi-copies of the FMR1 gene in individual samples. The nested PCR assay detected normal CGG repeat lengths and expanded CGG repeat lengths with a low occurrence of false positives. In addition, the nested PCR assay resulted in increased sensitivity and specificity for patients with FXS. Furthermore, the nested PCR assay identified the mutation and generated conclusive cases for FXS, indicating that this assay is beneficial for the diagnosis of FXS patients. In conclusion, these outcomes indicate that nested PCR assay is a reliable and easier method for diagnosis of FXS, which may be used for the diagnosis of FXS patients. PMID- 29844803 TI - Sphingosine kinase 1 overexpression is associated with poor prognosis and oxaliplatin resistance in hepatocellular carcinoma. AB - Sphingosine kinase 1 (SphK1) is a tumor-associated protein overexpressed in numerous types of cancer and is involved in the regulation of resistance to multiple chemotherapeutic agents. However, the role of SphK1 in the resistance of hepatocellular carcinoma (HCC) to oxaliplatin remains unclear. In the present study, the transcriptional levels of SphK1 were analyzed in 21 patients with HCC and the SphK1 expression levels were identified to be significantly upregulated in HCC tissue compared with that in adjacent normal tissue samples (P<0.001). High SphK1 expression correlated with shorter overall survival times in patients with HCC (P<0.05). Furthermore, SphK1 expression levels and activity were analyzed in a series of HCC cell lines and they were both demonstrated to be associated with resistance to oxaliplatin. Conversely, the knockdown of SphK1 protein expression resulted in decreased oxaliplatin resistance in SK-Hep1 and HCCLM3 cell lines. In addition, the results of the current study demonstrated that the downregulation of SphK1 decreased the levels of phosphorylated AKT serine/threonine kinase (Akt) and glycogen synthase kinase-3beta (GSK3beta), suggesting that SphK1 promotes oxaliplatin resistance of HCC cells via modulation of the Akt/GSK3beta signaling pathway. To the best of our knowledge, the present study is the first to report that SphK1 is associated with poor prognosis and oxaliplatin resistance in HCC. Thus, the findings of the current study have provided a direction for the identification of novel therapeutic targets for the treatment of HCC. PMID- 29844804 TI - Recombinant adenovirus expressing a dendritic cell-targeted melanoma surface antigen for tumor-specific immunotherapy in melanoma mice model. AB - Viral vectors represent a potential strategy for the treatment of human malignant tumors. Currently, recombinant adenovirus vectors are commonly used as gene therapy vehicles, as it possesses a proven safety profile in normal human cells. The recombinant adenovirus system has an ability to highly express exogenous genes and increase the stability of the carrier, which is only transiently expressed in the host cell genome, without integrating. Malignant melanoma cells are produced by the skin, and melanocyte tumors that exhibit higher malignant degrees lead to earlier transfer and higher mortality. In the present study, a recombinant adenovirus (rAd) was generated to express Anti-programmed death-1 (rAd-Anti-PD-1) and used to investigate the efficacy in melanoma cells and tumors. The results demonstrated that B16-F10 cell growth was significantly inhibited and the apoptosis incidence rate was markedly promoted following rAd-PD 1 treatment. The present study demonstrated that the production of alpha and beta interferon was increased, which led to the induction of dendritic cell (DCs) maturation in rAd-anti-PD-1-treated mice. The present study indicated that rAd anti-PD-1 exhibited the ability to generate more cluster of differentiation (CD)4+CD8+ T cells and induce a PD-1-specific cytotoxic T lymphocyte through DC targeted surface antigens in mice. This resulted in a further enhanced recognition of melanoma cells due to DCs being targeted by the rAd-anti-PD-1 encoded PD-1. Notably, mice treated with the rAd-anti-PD-1-targeted PD-1 demonstrated an improved protection compared with tumor-bearing mice from the challenge group treated with a recombinant gutless adenovirus and Anti-PD-1. In conclusion, the present study demonstrated that targeting the melanoma surface antigens via the rAd-anti-PD-1-infected tumor cells enhanced the ability of recombinant adenovirus to induce a potent tumor-inhibitory effect and antigen specific immune response. PMID- 29844805 TI - Sparstolonin B improves neurological outcomes following intracerebral hemorrhage in mice. AB - Inflammation serves an important role in inducing secondary injury following intracerebral hemorrhage (ICH). It has been demonstrated that sparstolonin B (SsnB) is able to attenuate the lipopolysaccharide-induced inflammatory response in sepsis. Mouse ICH models were used to explore the efficacy of SsnB on the ICH induced inflammatory response. Mice underwent a working memory version of Morris water maze (MWM) test. They underwent 5 successive days of training consisting of 4 trials each day. The ICH model was established on the last training day. Mice were injected intraperitoneally either with vehicle or SsnB once a day for 3 consecutive days following the establishment of the ICH model. The MWM was used to determine the effect of SsnB on short-term memory following ICH. Neurological deficit scores and brain water content were measured following the MWM. Furthermore, the expression of inflammatory factors and signaling molecules downstream of TLR4 were measured. The results demonstrated that 5 mg/kg SsnB significantly improved the MWM path and time latency (P<0.05). Furthermore, neurological deficit scores were decreased in SsnB-treated mice compared with vehicle-treated mice (P<0.01). Brain water content, levels of inflammatory cytokines and the expression of inflammation-associated proteins were also significantly reduced in the SsnB-treated group (P<0.05). These results indicate that SsnB treatment stimulates short-term neurobehavioral recovery and reduces neurological deficits and this may inhibit the inflammatory response. Therefore, SsnB may attenuate the inflammatory response following ICH. PMID- 29844806 TI - Chronic expanding hematoma in the chest: A case report. AB - Chronic expanding hematoma (CEH) is a rare disease that is usually present as a large solitary pulmonary nodule. CEHs are slow growing, but processes underlying their development remain unknown. The present study herein reports the case of a 76-year-old male patient with CEH and discusses a number of CEH cases published in the literature. The majority of these previously described patients were Asians. The CEH in the present case was not a successfully resected one, but the patient's clinical course provided information concerning the natural history of the disease. During the clinical course, the patient underwent several chest computed tomography scans. For the present case report, the doubling time and volume change of the mass was calculated, which revealed that the lesion had an inconstant growth rate and that its onset was between 8.2-11.0 years before the patient succumbed to this disease. Accumulation of knowledge about this rare disease will help to elucidate it further. PMID- 29844807 TI - Role of plasminogen activator inhibitor-1 in the diagnosis and prognosis of patients with Parkinson's disease. AB - Parkinson's disease is a neurodegenerative disease that frequently results in memory disorders, cognitive decline and dementia. Previous studies have reported that plasminogen activator inhibitor-1 (PAI-1) serves an important role in cardiovascular disease risk, adiposity, insulin resistance and inflammation. However, the role of PAI-1 in diagnosis and prognosis of patients with Parkinson's disease following deep brain stimulation (DBS) has not reported, to the best of our knowledge. Therefore, the purpose of the present study was to investigate the clinical significance of PAI-1 in patients with Parkinson's disease. Plasma PAI-1 levels were measured in 102 patients with Parkinson's disease who underwent DBS. It was demonstrated that plasma PAI-1 levels were significantly increased in patients with Parkinson's disease compared with healthy individuals (P<0.01). Patients with Parkinson's disease received DBS presented significantly improved cognitive competence compared with controls (P<0.01). DBS significantly decreased plasma PAI-1 levels in patients with Parkinson's disease compared with controls (P<0.05). It was also observed that plasma PAI-1 levels were significantly negatively associated with cognitive function for patients with Parkinson's disease (P<0.01). In conclusion, these findings demonstrated that the degree of Parkinson's disease severity is positively associated with circulating levels of plasma PAI-1 levels, which suggests that PAI-1 may be a potential diagnostic and prognostic marker for patients with Parkinson's disease. PMID- 29844808 TI - Assessment of anti-reflux treatment on pulmonary ventilation function and inflammatory cytokines in patients with stable chronic obstructive pulmonary disease combined with gastroesophageal reflux. AB - Compelling evidence has demonstrated that systemic inflammation among patients with stable chronic obstructive pulmonary disease (COPD) is linked with increased levels of inflammatory cytokines. The aim of the present study was to investigate the effects associated with anti-reflux treatment on pulmonary ventilation function and inflammatory cytokines in patients with stable COPD and gastroesophageal reflux (GER). One hundred and thirty-six stable COPD and GER patients were recruited for the study and randomly designated into the routine treatment and the anti GER groups. Six months prior to and after treatment, pulmonary ventilation function, 6-min walk distance (6MWD) and times of acute exacerbation of COPD (AECOPD) were recorded. The levels of inflammatory cytokines IL-13, IL-18, transforming growth factor-beta1 (TGF-betal) and tumor necrosis factor-alpha (TNF-alpha) in the sputum were detected by ELISA. BODE indexes, including body mass index, obstruction, dyspnea and exercise, were analyzed in order to evaluate patient prognoses. In comparison with the routine treatment group, patients in the anti-GER group displayed improved pulmonary ventilation function, increased 6MWD as well as decreases in AECOPD, levels of IL-13, IL-18, TGF-betal and TNF-alpha in the sputum and BODE index 6 months after treatment. The results obtained suggested a correlation between the BODE indexes after treatment and the course of disease as well as the frequency of exacerbation. The key findings of the study suggested that conventional treatment combined with anti-reflux treatment could effectively improve pulmonary ventilation function, while acting to decrease the levels of inflammatory cytokines and improve the prognosis of patients with stable COPD along with GER. PMID- 29844809 TI - LncRNA BX357664 inhibits cell proliferation and invasion and promotes cell apoptosis in human colorectal cancer cells. AB - Colorectal cancer represents a great burden for patients worldwide. Long noncoding RNA BX357664 is an RNA that was identified by microarray technique in renal cell carcinoma. The function of BX357664 in solid tumors remains largely unknown. The present study aimed to investigate the expression profile and functional role of BX357664 in human colorectal cancer progression. The transcription levels of BX357664 were initially examined in vivo and in vitro. An overexpression plasmid was constructed in order to examine the effects of BX357664 overexpression on cell proliferation, apoptosis, migration and invasion. The results demonstrated that BX357664 was significantly downregulated in clinical colorectal cancer tissues and cell lines. Overexpression of BX357664 decreased cell proliferation rates and cell colony formation capacities in HCT116 and HT-29 cells. Following BX357664 overexpression, HCT116 and HT-29 cells exhibited reduced migration and invasion capacities. Would closure was also blunted by >50% following overexpression of BX357664 in HCT-116 and HT-29 cells. In addition, the cell cycle regulators Cyclin B1, CDC25C and Cyclin D1 as well as the mesenchymal marker N-cadherin were downregulated, whereas the epithelial marker E-cadherin was upregulated by BX357664 overexpression. Finally, HCT116 and HT-29 cell apoptosis was induced and activities of caspase-3 and caspase-9 increased significantly following BX357664 overexpression. The present data suggested that BX257664 negatively regulated cell proliferation and metastasis and promoted cell apoptosis in colorectal cancer. These observations provided novel evidence that BX357664 might serve as a tumor suppressor and a potential therapeutic target in the treatment of colorectal cancer in the clinic. PMID- 29844810 TI - miR-204-5p and miR-3065-5p exert antitumor effects on melanoma cells. AB - MicroRNA (miR)-204-5p was previously identified to be downregulated in melanoma compared with melanocytic nevi. This observation prompted a functional study on miR-204-5p and the newly-identified miR-3065-5p, two miRNAs suggested to be tumor suppressive oncomiRs. Application of miR-204-5p mimics or inhibitors resulted in a decrease or increase, respectively, in melanoma cell proliferation and colony formation. miR-204-5p mimics hindered invasion, whereas miR-204-5p inhibitors stimulated cancer cell migration. Modulation of miR-3065-5p led to a decrease in melanoma cell proliferation, altered cell cycle distribution and increased expression levels of its target genes HIPK1 and ITGA1, possibly due to functional modifications identified in these cells. miR-204-5p and miR-3065-5p demonstrated antitumor capacities that may need to be taken into account in the development of melanoma treatment approaches. PMID- 29844811 TI - Oncogene DEK is highly expressed in lung cancerous tissues and positively regulates cell proliferation as well as invasion. AB - DEK is a protein ubiquitously expressed in multicellular organisms as well as certain unicellular organisms. It is associated with the regulation of cell proliferation, differentiation, migration, apoptosis, senescence, self-renewal and DNA repairing. In tumor cells it is associated with the carcinogenesis process, however there have been few previous studies into the expression of DEK in lung cancer. In the present study the expression level of DEK mRNA and protein was detected in lung cancer tissues and non-cancerous counterparts by performing reverse transcription-quantitative polymerase chain reaction and immunohistochemical staining. It was revealed that the expression of DEK was increased in lung cancer tissues compared with normal tissue. Knock-down and over expression of DEK in A549 cells were performed to determine the role of DEK in tumor formation. An MTT assay, colony formation assay and Matrigel invasion assay demonstrated that DEK positively regulated cell proliferation and invasion. These results suggest that DEK is highly expressed in lung cancer tissues and positively regulates cell proliferation and invasion. PMID- 29844812 TI - Downregulation of RIP140 in triple-negative breast cancer inhibits the growth and proliferation of cancer cells. AB - The aim of the present study was to investigate the expression of receptor interacting protein 140 (RIP140) in triple-negative breast cancer (TNBC), and its association with the prognosis of patients with TNBC. A total of 179 patients with breast cancer were included in this study, with 41 cases of TNBC and 138 cases of non-TNBC. Immunohistochemical staining and western blotting were used to detect the protein expression of RIP140 in the cancerous and paracancerous tissues, revealing that expression of RIP140 was increased in TNBC tissues compared with non-TNBC tissues. High expression of RIP140 in breast cancer tissue was associated with a poorer survival time than low RIP140 expression. Using lentiviral transfection to downregulate RIP140 expression in MDA-MB-231 cells, the effects of RIP140 on the growth and proliferation of breast cancer cells was analyzed using subcutaneous tumors in BALB/c nude mice. Immunohistochemical staining using a Ki-67 antibody in subcutaneous tumor tissue was used to assess the proliferation of MDA-MB-231 cells. The short hairpin RNA-mediated downregulation of RIP140 in MDA-MB-231 cells suppressed the growth and the proliferation of subcutaneous tumors in BALB/c nude mice. Downregulation of RIP140 in breast cancer cells may therefore inhibit the growth and the proliferation of these cells, and may provide a therapeutic target for TNBC. PMID- 29844813 TI - Metastatic lymph node ratio and Lauren classification are independent prognostic markers for survival rates of patients with gastric cancer. AB - The long-term prognosis for patients with gastric cancer (GC) following radical resection remains poor. It is important to identify prognostic markers to predict survival. In the present retrospective study, the association between the metastatic lymph node ratio (rN) and the Lauren classification on predicting overall survival (OS) was investigated. Furthermore, a subgroup analysis was performed on the Lauren classification, using rN score as an independent prognostic marker. In total, 261 pathologically confirmed patients with GC were retrospectively reviewed. Kaplan-Meier curves and Cox's proportional hazards modeling were applied to analyze the OS of patients, and were utilized in the subgroup analysis. Receiver operating characteristic (ROC) curves were used to compare the accuracy of prognosis between the rN score and lymph node staging (N stage). The chi2 test was used to analyze the association between the rN score and Lauren classification. Univariate survival and multivariate analysis demonstrated that the rN score and Lauren classification were significant prognostic markers for patients with GC. The ROC analysis confirmed that the rN score was more effective than N staging for OS prediction. Subgroup analysis indicated that rN was more accurate at predicting OS time in patients with diffuse type GC. The rN score and the Lauren classification were independent prognostic factors for the OS of patients with GC following radical resection, and the rN score was more accurate than the N stage for predicting the prognosis. Overall, the rN may be suitable as an independent predictor for OS in patients with diffuse type GC. PMID- 29844814 TI - Association between circadian gene CLOCK and cisplatin resistance in ovarian cancer cells: A preliminary study. AB - The present study aimed to observe the expression of circadian gene clock circadian regulator (CLOCK) in ovarian cancer cells and the effects of circadian gene CLOCK on cis-dichlorodiamine platinum (cisplatin) resistance in ovarian cancer cells. The expression of CLOCK mRNA and protein in cisplatin-sensitive A2780 and cisplatin-resistant CP70 cells were detected by quantitative polymerase chain reaction and western blot assay. Cisplatin-sensitive A2780 and cisplatin resistant CP70 cells were treated with different concentrations of cisplatin for 48 h, and the expression of hCLOCK protein in the two types of cells was detected by western blot assay. RNA interference method was used to knock down the expression of CLOCK in cisplatin-resistant CP70 cells. Subsequently, the cisplatin-resistant CP70 cells were treated with cisplatin. The proliferation of cisplatin-resistant CP70 cells was observed following treatment with cisplatin. The expression of CLOCK mRNA was significantly higher in cisplatin-resistant CP70 cells (1.58+/-0.49) compared with cisplatin-sensitive A2780 cells (0.44+/-0.13) (P<0.01). Western blot assay results demonstrated that the expression of CLOCK protein was significantly greater in the cisplatin-resistant CP70 cells (1.47+/ 0.34) compared with the cisplatin-sensitive A2780 cells (0.48+/-0.15) (P<0.01). Following the treatment of A2780 and CP70 cells with cisplatin, CLOCK protein expression increased with an increased concentration of cisplatin, in a dose dependent manner (P<0.01). Following the knockdown of CLOCK in cisplatin resistant CP70 cells by RNA interference, cisplatin treatment was able to significantly inhibit the proliferation of cells and induce apoptosis (P<0.01). The expression of circadian gene CLOCK in ovarian cancer cells was strongly associated with cisplatin resistance. The upregulation of circadian gene CLOCK in ovarian cancer cells may reduce its sensitivity to cisplatin treatment. PMID- 29844815 TI - Identification of crucial genes associated with esophageal squamous cell carcinoma by gene expression profile analysis. AB - To uncover the genes associated with the development of esophageal squamous cell carcinoma (ESCC), an ESCC microarray dataset was used to identify genes differentially expressed between ESCC and normal control tissues. The dataset GSE17351 was downloaded from the Gene Expression Omnibus, containing 5 tumor esophageal mucosa samples and 5 adjacent normal esophageal mucosa samples from 5 male patients with ESCC. The differentially expressed genes (DEGs) were identified using the Linear Models for Microarray Data R package. Then, a co expression network was constructed using the Weighted Correlation Network Analysis (WGCNA) package, and co-expression network modules were obtained with a hierarchical clustering algorithm. Additionally, functional enrichment analyses for DEGs in the top 2 modules with the highest significance were respectively conducted using the WGCNA package and the cluster Profiler package. In total, 487 upregulated and 468 downregulated DEGs were identified. A total of 24 modules were obtained from the co-expression network, and the top 2 modules with the highest significance, designated as 'blue4' and 'magenta', were further analyzed. In the module blue4, DEGs were significantly enriched in a number of Gene Ontology terms, including 'spindle organization' [e.g., ubiquitin conjugating enzyme E2 C (UBE2C) and SAC3 domain containing 1] and 'cell cycle process' [e.g., UBE2C, minichromosome maintenance complex component 6 (MCM6) and cell division cycle 20 (CDC20)]. Furthermore, a number of DEGs (e.g., UBE2C, CDC20 and MCM6) were enriched in the 'cell cycle' and 'ubiquitin mediated proteolysis' pathways. In the module 'magenta', a number of DEGs [e.g., transferrin receptor (TFRC) and TEA domain transcription factor 4 (TEAD4)] were enriched in the primary metabolic process and intracellular membrane-bounded organelle. Additionally, 308 upregulated genes and 215 downregulated genes were differentially expressed in the same pattern in another dataset, GSE20347, including UBE2C, CDC20, MCM6, TFRC, TEAD4, protein phosphatase 1 regulatory subunit 3C and MAL, T-cell differentiation protein. These DEGs may function in the development of ESCC. PMID- 29844816 TI - Bcl-2 promotes metastasis through the epithelial-to-mesenchymal transition in the BCap37 medullary breast cancer cell line. AB - Metastatic breast cancer is one of the major types of cancer in women. However, despite being the focus of considerable research efforts, its molecular mechanism remains to be fully elucidated. The B-cell lymphoma/leukemia gene-2 (Bcl-2) protein is well known for its role in inhibiting programmed cell death/apoptosis. However, little is known concerning its function in cell invasion and migration. In the present study, cell migration and invasion assays revealed that anti apoptotic Bcl-2 protein induced migration and invasion without affecting cell proliferation in the BCap37 breast cancer cell line. In addition, it was found that the overexpression of Bcl-2 in BCap37 cells increased metastasis to the lung in a mouse model. Using western blotting and RT q-PCR analysis, it was demonstrated that the overexpression of Bcl-2 inhibited the expression of E cadherin, an epithelial marker, whereas it increased the levels of mesenchymal markers N-cadherin and vimentin. Therefore, the results suggested that Bcl-2 may induce cellular metastasis in breast cancer via the epithelial-to-mesenchymal transition. PMID- 29844817 TI - Significance of calreticulin as a prognostic factor in endometrial cancer. AB - In patients with endometrial cancer, the expression and prognostic significance of calreticulin (CRT) remains to be fully elucidated. To investigate the role of CRT in endometrial cancer, the present study compared its expression status with clinicopathological characteristics and evaluated its prognostic significance. The expression of CRT, PKR-like endoplasmic reticulum kinase (PERK), phosphorylated eukaryotic initiation factor 2alpha (p-eIF2alpha), and Ki67 were assessed by immunohistochemistry and/or western blotting in endometrial cancer patients. The association of the expression of CRT, p-eIF2alpha and Ki67 with patient survival rate was assessed by Kaplan-Meier and Cox regression analyses. Low levels of CRT and an overexpression of Ki67 were significantly associated with the stage, histology, and differentiation of the primary surgery without doxorubicin (DOX) neoadjuvant chemotherapy (NAC) patient group and were significantly correlated with a short progression-free survival and the overall survival. A multivariate analysis revealed that CRT and Ki67 expression were independent prognostic indicators for endometrioid endometrial cancer. Low CRT expression and an overexpression of Ki67 were significantly associated with DOX NAC and the histology (P<0.05) pre-NAC and post-NAC in the DOX-NAC patient group. Upon treatment of DOX-NAC, CRT, PERK and p-eIF2alpha protein content were overexpressed in DOX-sensitive endometrial cancer (P<0.05), whereas there was no significant difference in the DOX-resistant group. Low CRT expression in endometrial cancer is significantly associated with aggressive progression and poor prognosis. CRT may therefore serve as a molecular marker for predicting the progression and prognosis in DOX-resistant endometrial cancer patients. PMID- 29844818 TI - B-cell lymphoma 2 is associated with advanced tumor grade and clinical stage, and reduced overall survival in young Chinese patients with colorectal carcinoma. AB - The development of biomarkers that accurately and reliably detect colorectal cancer is a promising approach for colorectal cancer screening. Therefore, the objective of the present study was to evaluate the protein expression of alpha methylacyl-CoA racemase (P504S/AMACR), tumor protein p53 (p53), B-cell lymphoma 2 (Bcl-2) and Ki-67/mindbomb E3 ubiquitin protein ligase 1 (MIB-1) in a population of Chinese patients with colorectal carcinoma. Colorectal tumors with matched normal tissue margins were collected from 148 surgical patients, and the demographic and clinical characteristics were collected. Immunohistochemical staining and western blot analysis of P504S/AMACR, p53, Bcl-2 and Ki-67/MIB-1 were conducted. Statistical analyses were used to compare protein expression in the colorectal tumors and matched normal tissue margins and to identify any associations between them and various clinicopathological parameters. Survival analyses were performed using the Kaplan-Meier method. In the present study, immunohistochemistry and western blot analysis revealed significantly higher expression of all four proteins in colorectal tumors compared with matched normal tissue margins (P<0.001). Spearman's rank correlation analysis revealed that Bcl 2 expression was negatively correlated with pathological grade and Tumor-Node Metastasis (TNM) stage (-0.827 and -0.388, respectively; P<0.05). Bcl-2 expression was revealed to be a significant prognostic indicator of colorectal carcinoma [relative risk (95% CI), 0.703 (0.552-0.895); P<0.05]. The log-rank test revealed a significant association between low Bcl-2 expression and reduced overall survival (P=0.039), as well as a significant association between older age (>55 years) and reduced overall survival (P<0.001) in Chinese patients with colorectal carcinoma. In conclusion, low expression of Bcl-2 is significantly correlated with advanced pathological grade and TNM stage and is a prognostic indicator of reduced overall survival in young Chinese patients with colorectal carcinoma. PMID- 29844819 TI - CD63 inhibits the cell migration and invasion ability of tongue squamous cell carcinoma. AB - The present study evaluated the expression and potential role of CD63 in the migration and invasion of tongue squamous cell carcinoma (TSCC) cells. Immunohistochemistry (IHC) was used to investigate the association between the expression level of CD63 protein and the histological differentiation of samples from 40 patients with TSCC and four normal tongue tissue specimens. RNA interference (RNAi) and gene transfection technology were used to alter the expression of CD63 in TCA8113 cells. The stable silencing and overexpression of CD63 in the TCA8113 cell line was used to assess the impact of the CD63 expression level on the migratory and invasive abilities of TCA8113 cells in a wound healing assay and a Transwell invasion assay. The effect of CD63 on the expression of matrix metalloproteinase (MMP)-2 and -9 were evaluated by western blot analysis. The results of IHC revealed a positive association between the CD63 expression level and the histopathological differentiation of TSCC and a negative association between the CD63 expression level and lymph node metastasis in TSCC. Western blotting revealed that the expressions of MMP-2 and MMP-9 were clearly upregulated in CD63-silenced TCA8113 cells but reduced in CD63 overexpressing TCA8113 cells, compared with the control. The wound-healing speed and the number of cells invading Matrigel-coated filters were negatively associated with the CD63 expression level. In summary, the results of the present study revealed that CD63 may be an inhibitor of TSCC malignancy and lymph node metastasis and may have applications in the prediction of prognosis and gene therapy for patients of TSCC. PMID- 29844820 TI - A report of amelanotic malignant melanoma of the esophagus diagnosed appropriately with novel markers: A case report. AB - The present case study reported of amelanotic malignant melanoma of the esophagus. A 68-year-old man underwent laparoscopic distal gastrectomy for early gastric cancer diagnosis. After gastrectomy, endoscopic examination revealed a protruded lesion lying adjacent to the melanosis area of the esophagus. Histology of the biopsy specimen suggested malignancy, but the diagnosis could not be made. The patient underwent trans-thoraco-abdominal curative subtotal esophagectomy. Immunohistochemical examination of the resected specimen was negative for HBM-45 and Melan-A. However, immunohistochemical examinations of SOX10 (Sry-related HMg Box gene 10) and KBA.62, which are not associated with melanosome, were strongly positive, and tyrosinase was notably positive. A diagnosis primary of amelanotic malignant melanoma of the esophagus that consisted of only premelanosomes was made. The present findings suggest that, in the diagnosis of malignant melanoma, SOX10 and KBA.62 may be useful, particularly in diagnosing amelanotic malignant melanoma. PMID- 29844821 TI - Tumor-derived mesenchymal-stem-cell-secreted IL-6 enhances resistance to cisplatin via the STAT3 pathway in breast cancer. AB - Cisplatin is used for the treatment of a range of solid malignant tumors; however, with prolonged treatment durations, the sensitivity of tumor cells to the drug decreases owing to an unclear mechanism of drug resistance. The present study aimed to investigate whether breast-cancer-tissue-derived mesenchymal stem cells (BC-MSCs) are involved in mediating the effects of cisplatin on breast cancer cells, and which component of the BC-MSC conditioned medium (BC-MSC-CM) exhibited an anti-apoptotic effect. Cytokines/chemokines in BC-MSC-CM were quantified using a Luminex immunoassay, and reverse transcription-quantitative polymerase chain reaction analysis detected interleukin-6 (IL-6) levels in MCF-7 cells following different treatments. MTT and flow cytometry analysis measured cell vitality and apoptosis, respectively, and activation of signal transduced and activator of transcription 3 (STAT3) was evaluated by western blotting. BC MSCs reversed the pro-apoptotic effect of cisplatin and enhanced the proliferation of MCF-7 cells more potently than bone-marrow-derived MSCs. Further study revealed that BC-MSCs secreted IL-6 to protect MCF-7 cells from apoptosis and promote their survival. Neutralizing IL-6 with a specific antibody partially inhibited the IL-6/STAT3 signaling pathway and reversed the promoter role of BC MSCs in MCF-7 cells. Taken together, the findings of the present study indicated that BC-MSCs decreased the level of cisplatin-induced apoptosis in MCF-7 cells by activating the IL-6/STAT3 pathway in cancer cells. BC-MSCs, as important cells in the tumor microenvironment, have a key role in the treatment of breast cancer. PMID- 29844822 TI - Correlation between prostate stem cell antigen gene expression and oral squamous cell carcinoma. AB - The aetiology of oral squamous cell carcinoma (OSCC) remains unclear. Numerous single nucleotide polymorphisms (SNPs) associated with cancer have been identified using genome-wide association studies (GWAS). The present study was designed to identify common SNPs associated with cancer susceptibility and to evaluate their involvement in OSCC. Susceptible loci were identified by analysing a cancer GWAS catalogue. A multicentre case-control study using an OSCC and control population was performed for selected SNPs. The function of the selected locus and its associated gene was explored using a reverse transcription polymerase chain reaction, enzyme linked immunosorbent assay and immunohistochemistry. The association between genotypes and clinical parameters was assessed in 76 patients with OSCC. Rs2294008 located in the prostate stem cell antigen gene (PSCA) was selected. It was identified that the rs2294008 polymorphism was associated with OSCC susceptibility and PSCA may be involved in the development, progression and prognosis of OSCC. PMID- 29844823 TI - miR-371-5p suppresses the proliferative and migratory capacity of human nasopharyngeal carcinoma by targeting BCL2. AB - The aim of the present study was to investigate the expression and function of microRNA (miR)-371-5p in nasopharyngeal carcinoma (NPC). The levels of miR-371-5p were analyzed in nasopharyngeal epithelium tissues, NPC tissues, human NPC cell lines and NP69 cells using reverse transcription-quantitative polymerase chain reaction analysis. The association between the level of miR-371-5p and clinicopathological variables was also investigated. Cell proliferation was determined using an MTT assay, and the activities of cell metastasis were determined using wound healing and Transwell migration assays. To assess whether miR-371-5p can combine with the targeting sequence of B-cell lymphoma 2 (BCL2) mRNA or not, a luciferase activity assay was performed. An animal experiment was used to examine the effect of miR-371-5p on the development of NPC. The results revealed that the expression of miR-371-5p was reduced in NPC samples and NPC cells. The level of miR-371-5p was associated with clinical stage and distant metastasis in patients with NPC, and was inversely associated with the protein level of BCL-2 in NPC tissues. The upregulation of miR-371-5p reduced cell growth, migration and invasion, and inhibited carcinoma growth through targeting BCL2 mRNA. Taken together, the regulation of miR-371-5p was shown to offer potential as a novel treatment approach for NPC. PMID- 29844824 TI - Expression patterns of E2F transcription factors and their potential prognostic roles in breast cancer. AB - E2Fs, as a family of pivotal transcription factors, have been implicated in multiple biological functions in human cancer; however, the expression and prognostic significance of E2Fs in breast cancer remains unknown. In the present study, the mRNA expression patterns of E2Fs in breast cancer were investigated with Oncomine and The Cancer Genome Atlas data. Prognostic values of E2Fs for patients with breast cancer were determined using the Kaplan-Meier plotter database. The results strongly indicated that E2F1, E2F2, E2F3, E2F5, E2F7 and E2F8 were overexpressed in patients with breast cancer, whereas E2F4 and E2F6 exhibited no expression difference between patients with cancer and healthy controls. In survival analyses, elevated E2F1, E2F3, E2F5, E2F7 and E2F8 expression levels were significantly associated with lower overall survival, relapse-free survival (RFS), distant metastasis-free survival (DMFS) or post progression survival for patients with breast cancer. Furthermore, high expression of E2F4 indicated improved RFS but reduced DMFS. Subgroup analyses based on four clinicopathological factors further revealed that E2Fs were associated with the prognosis of patients with breast cancer in an estrogen receptor-, progesterone receptor-, human epidermal growth factor 2- and lymph node status-specific manner. These data indicated that E2Fs may serve as promising biomarkers and therapeutic targets for breast cancer. PMID- 29844825 TI - Bacillus Calmette-Guerin induces rapid gene expression changes in human bladder cancer cell lines that may modulate its survival. AB - Bacillus Calmette-Guerin (BCG) immunotherapy is the standard therapy for non muscle invasive bladder cancer. The aim of the present study was to identify genes that are induced in response to BCG immunotherapy, as these may be potential biomarkers for the response to clinical therapy. To model clinical therapy, human bladder cancer cell lines were incubated with BCG (live or lyophilized BCG Connaught) for 2 h. RNA was extracted and evaluated by Representational Differential Analysis (RDA) and oligo arrays. Gene expression was confirmed by reverse transcription polymerase chain reaction on fresh cell lines with differential abilities to internalize BCG. The effect of 2 major BCG soluble proteins, antigen 85B (Ag85B) and Mycobacterium protein tyrosine phosphatase A (MptpA) and BCG Tice(r) on gene expression was also determined. GAPDH and beta-actin, which are normally used as control genes, were upregulated by BCG. Therefore, the ribosomal RNA gene ribosomal protein S27a was used to normalize gene expression. The genes likely to be induced by BCG internalization and soluble factors were: GSTT2, MGST2, CCL20, TNFalpha, CCNE1 and IL10RB. Those induced by BCG membrane interactions and/or soluble factors were: MGST1, CXCL6, IL12A, CSF2, IL1beta and TOLLIP. MptpA decreased GSTT2 expression, and Ag85B increased TNFalpha expression. The two BCG strains significantly increased GSTT2, TNFalpha and TOLLIP levels in MGH cells. However, in J82 cells there was a BCG strain-dependent difference in TNFalpha expression. An important outcome of the present study was the determination that neither GAPDH nor beta-actin were suitable control genes for the analysis of BCG-induced gene expression. BCG Connaught and Tice(r) induced similar expression levels of genes in bladder cancer cell lines. BCG soluble proteins modulated gene expression and therefore may affect therapeutic outcomes. The genes identified may be novel biomarkers of the response to BCG therapy. PMID- 29844826 TI - Decreased expression of USP9X is associated with poor prognosis in Chinese pancreatic ductal adenocarcinoma patients. AB - The present study aimed to investigate the expression level of ubiquitin specific peptidase 9X (USP9X) and its clinical significance in Chinese patients with pancreatic ductal adenocarcinoma (PDAC). The mRNA expression levels of USP9X in 30 paired PDAC tissue samples were examined by reverse transcription-quantitative polymerase chain reaction. The protein expression of USP9X was analyzed by immunohistochemistry (IHC) in a tissue microarray containing 205 PDAC specimens. All analyses were performed by SPSS 20.0 and GraphPad Prism 5.0 software. The USP9X mRNA level was significantly decreased in 18/30 (60.0%) PDAC tissue samples compared with matched surrounding non-tumor tissue samples. The results of IHC revealed that decreased expression of USP9X was inversely associated with liver metastasis (P=0.032). Kaplan-Meier survival curves indicated that patients with high expression of USP9X presented a longer clinical overall survival time (P<0.001). Univariate and multivariate COX regression analysis revealed that USP9X protein expression level was a significant, and independent prognostic factor for the overall survival rate of patients with PDAC. The results of the present study indicate that USP9X may serve as a candidate tumor suppressor and prognostic biomarker in PDAC. PMID- 29844827 TI - Signaling via the CXCR5/ERK pathway is mediated by CXCL13 in mice with breast cancer. AB - Breast cancer is the most common cause of cancer-associated mortality and the most frequently diagnosed type of cancer in women worldwide. It has been revealed that the chemokine C-X-C motif chemokine ligand 13 (CXCL13) serves a pivotal role in breast cancer growth and is associated with lymph node metastasis. However, to the best of our knowledge, the mechanism by which CXCL13 mediates breast cancer growth remains uncharacterized. Female BALB/c mice were used in this study. Tumor volume was calculated and changes of gross tumor morphology were observed by hematoxylin and eosin staining. The expression of CXCL13, C-X-C motif chemokine receptor 5 (CXCR5) and extracellular signaling-related kinase (ERK) mRNA and protein expression were detected by reverse transcriptase quantitative-polymerase chain reaction and western blot analysis. Simultaneously, the production of cytokines [interleukin-1beta (IL-1beta), tumor necrosis factor (TNF) and tumor growth factor beta1 (TGF-beta1)] was detected by an ELISA. The CXCL13 inhibitor reduced tumor volume and growth, and reduced the mRNA and protein expression levels of key members of the CXCR5/ERK signaling pathway: CXCL13, CXCR5 and ERK. Furthermore, the detectable concentration of the cytokines IL-1beta and TNF decreased following CXCL13 inhibition, whereas the concentration of TGF-beta1 was increased. The attenuation of tumor growth resulting from CXCL13 inhibition may be associated with the CXCR5/ERK signaling pathway. This study provides a theoretical basis for treating breast cancer through CXCL13 inhibition in clinical trials. PMID- 29844828 TI - Serum peptide expression and treatment responses in patients with advanced non small-cell lung cancer. AB - Epidermal growth factor receptor (EGFR) mutation is an important predictor for response to personalized treatments of patients with advanced non-small-cell lung cancer (NSCLC). However its usage is limited due to the difficult of obtaining tissue specimens. A novel prediction system using matrix assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) has been reported to be a perspective tool in European countries to identify patients who are likely to benefit from EGFR tyrosine kinase inhibitor (TKI) treatment. In the present study, MALDI-TOF MS was used on pretreatment serum samples of patients with advanced non-small-cell lung cancer to discriminate the spectra between disease control and disease progression groups in one cohort of Chinese patients. The candidate features for classification were subsequently validated in a blinded fashion in another set of patients. The correlation between plasma EGFR mutation status and the intensities of representative spectra for classification was evaluated. A total of 103 patients that were treated with EGFR-TKIs were included. It was determined that 8 polypeptides peaks were significant different between the disease control and disease progression group. A total of 6 polypeptides were established in the classification algorithm. The sensitivity of the algorithm to predict treatment responses was 76.2% (16/21) and the specificity was 81.8% (18/22). The accuracy rate of the algorithm was 79.1% (34/43). A total of 3 polypeptides were significantly correlated with EGFR mutations (P=0.04, P=0.03 and P=0.04, respectively). The present study confirmed that MALDI-TOF MS analysis can be used to predict responses to EGFR-TKI treatment of the Asian population where the EGFR mutation status differs from the European population. Furthermore, the expression intensities of the three polypeptides in the classification model were associated with EGFR mutation. PMID- 29844829 TI - Utility of intraoperative monitoring with motor-evoked potential during the surgical enucleation of peripheral nerve schwannoma. AB - Although it is thought that the surgical enucleation of schwannomas can be easily performed, certain patients present with postoperative neurological symptoms. The present study examined the utility of intraoperative motor-evoked potential (MEP) in predicting neurological deficits following the surgical enucleation of peripheral nerve schwannoma. The current study included 23 patients and MEP was performed using transcranial electrical stimulation. In three cases, the MEP decreased to <50% of the preoperative value; however, in two cases that involved the peroneal nerve and tibial nerve, results appeared to be false positives induced by a tourniquet during surgery. In another case, the MEP was completely lost following enucleation of the tumor from the sciatic nerve, which recovered to 61% of the original MEP within 10 min. This patient presented with common peroneal palsy postoperatively. By contrast, another case involving the lumbar nerve root and in which there was reversible postoperative motor loss, the MEP did not change intraoperatively. Postoperative neurological deficit occurred in 22% of patients in the present study, which is similar to that of previous reports. The present study also demonstrated that even if a nerve is not transected or injured, traction or compression of a peripheral nerve may induce ischemia, which can be monitored using MEP. Although MEP alone was not able to predict postoperative transient sensory or motor deficits, the combination of MEP with other methods of neurological monitoring may improve accuracy and should be investigated in future studies. PMID- 29844830 TI - DNA damage regulated autophagy modulator 1 recovers the function of apoptosis stimulating of p53 protein 2 on inducing apoptotic cell death in Huh7.5 cells. AB - Overexpression of apoptosis-stimulating of p53 protein 2 (ASPP2) can induce apoptotic cell death in hepatoma cells, which contributes to a killing effect of ASPP2 on treating hepatocellular carcinoma (HCC). In the present study, ASPP2 overexpression failed to induce apoptotic cell death in the HCC Huh7.5 cell line, but promoted autophagy development by inhibiting AKT/mTOR pathway. Inhibition of autophagy using 3-methyladenosine recovered the function of ASPP2 on inducing apoptotic cell death, indicating that ASPP2-induced autophagy has an anti apoptotic role in Huh7.5 cells. A previous study demonstrated that ASPP2-induced autophagy could induce apoptosis in a CHOP- and DRAM-dependent manner, in which CHOP is involved in the initiation of autophagy and DRAM allows autophagy to induce apoptosis. In the present study, CHOP and DRAM were not involved in ASPP2 induced autophagy; however, the induction of DRAM overexpression recovered the apoptosis-inducing function of ASPP2, indicating that DRAM overexpression switches the role of ASPP2-induced autophagy from anti-apoptotic to pro-apoptotic in Huh7.5 cells. Thus, in combination with DRAM, ASPP2 may better perform its pro apoptotic role by preventing the occurrence of anti-apoptotic autophagy. PMID- 29844831 TI - Identification of key genes and pathways in uterine leiomyosarcoma through bioinformatics analysis. AB - Uterine leiomyosarcoma (uLMS) is a rare but malignant gynaecological tumour with a poor survival outcome. The present study was aimed at identifying the key genes and pathways in the development of uLMS through bioinformatics analysis. To minimize the frequency of false-positive results of the bioinformatics analysis, 3 microarrays including GSE764, GSE64763 and GSE68312 were downloaded from Gene Expression Omnibus (GEO). Differentially expressed genes (DEGs) were screened out using the online tool GEO2R. Then, Gene Ontology and Kyoto Encyclopaedia of Genes and Genomes pathway enrichment analyses were performed using the Database for Annotation, Visualization and Integrated Discovery. Finally, a protein-protein interaction (PPI) network of the DEGs was constructed using Cytoscape, and module analysis was conducted using the plug-in MCODE. A total of 95 DEGs including 21 upregulated genes and 74 downregulated genes were identified. The upregulated DEGs were annotated with 'DNA metabolic process', 'nucleobase-containing compound biosynthetic process' and 'cellular macromolecule biosynthetic process', while the downregulated DEGs were annotated with 'cellular response to chemical stimulus', 'movement of cell or subcellular component' and 'response to inorganic substances'. The results of the PPI network analysis demonstrated that matrix metallopeptidase 9, apolipoprotein E, cyclin E1 and syndecan 1 were the predominant upregulated genes in uLMS. Additionally, the genes in the main module were enriched in 'proteoglycans in cancer', 'p53 signalling pathway' and 'extracellular matrix-receptor interaction'. The key genes and pathways identified in the present study may provide valuable clues for clarifying the molecular mechanism underlying the development of uLMS and demonstrate promise for use as diagnostic markers and therapeutic targets. PMID- 29844832 TI - Screening for susceptibility genes in hereditary non-polyposis colorectal cancer. AB - In the present study, hereditary non-polyposis colorectal cancer (HNPCC) susceptibility genes were screened for using whole exome sequencing in 3 HNPCC patients from 1 family and using single nucleotide polymorphism (SNP) genotyping assays in 96 other colorectal cancer and control samples. Peripheral blood was obtained from 3 HNPCC patients from 1 family; the proband and the proband's brother and cousin. High-throughput sequencing was performed using whole exome capture technology. Sequences were aligned against the HAPMAP, dbSNP130 and 1,000 Genome Project databases. Reported common variations and synonymous mutations were filtered out. Non-synonymous single nucleotide variants in the 3 HNPCC patients were integrated and the candidate genes were identified. Finally, SNP genotyping was performed for the genes in 96 peripheral blood samples. In total, 60.4 Gb of data was retrieved from the 3 HNPCC patients using whole exome capture technology. Subsequently, according to certain screening criteria, 15 candidate genes were identified. Among the 96 samples that had been SNP genotyped, 92 were successfully genotyped for 15 gene loci, while genotyping for HTRA1 failed in 4 sporadic colorectal cancer patient samples. In 12 control subjects and 81 sporadic colorectal cancer patients, genotypes at 13 loci were wild-type, namely DDX20, ZFYVE26, PIK3R3, SLC26A8, ZEB2, TP53INP1, SLC11A1, LRBA, CEBPZ, ETAA1, SEMA3G, IFRD2 and FAT1. The CEP290 genotype was mutant in 1 sporadic colorectal cancer patient and was wild-type in all other subjects. A total of 5 of the 12 control subjects and 30 of the 81 sporadic colorectal cancer patients had a mutant HTRA1 genotype. In all 3 HNPCC patients, the same mutant genotypes were identified at all 15 gene loci. Overall, 13 potential susceptibility genes for HNPCC were identified, namely DDX20, ZFYVE26, PIK3R3, SLC26A8, ZEB2, TP53INP1, SLC11A1, LRBA, CEBPZ, ETAA1, SEMA3G, IFRD2 and FAT1. PMID- 29844833 TI - Expression levels of long non-coding RNA HOXA distal transcript antisense RNA and metabotropic glutamate receptor 1 in pancreatic carcinoma, and their prognostic values. AB - As a type of malignant tumor developed at the pancreas, the prognosis of pancreatic carcinoma is usually poor, and >90% patients will sucumb to this disease <5 years after diagnosis. Therefore, early detection and treatment of this disease are important for improving the prognosis of patients. Long non coding RNAs (lncRNAs) have been proven to serve pivotal functions in the development and progression of various tumors. The lncRNA HOXA distal transcript antisense RNA (HOTTIP), which serves an oncogenic role in different types of malignant tumors, has also been reported to be closely correlated with the migration and invasion of pancreatic carcinoma. In addition, the metabotropic glutamate receptor 1 (mGluR1) is also associated with the progression of various types of human cancer; however, its functionality in pancreatic carcinoma is largely unknown. In the present study, the expression levels of HOTTIP and mGluR1 were compared between pancreatic carcinoma and adjacent normal healthy tissues, and the correlation between these expression levels was analyzed. The prognostic value of HOTTIP and mGluR1 in pancreatic carcinoma was also examined. It was observed that the expression levels of HOTTIP and mGluR1 were upregulated in pancreatic carcinoma tissues and pancreatic carcinoma cells, while the expression of HOTTIP was able to positively affect the expression of mGluR1. In addition, high expression levels of HOTTIP were significantly correlated with the tumor size and distant metastasis. These data suggested that HOTTIP and mGluR1 may potentially serve as biomarkers for the prognosis of pancreatic carcinoma. PMID- 29844834 TI - Euchromatic histone lysine methyltransferase 1 regulates cancer development in human gastric cancer by regulating E-cadherin. AB - Gastric cancer (GC) is among the most aggressive types of cancer and is the second leading cause of cancer-associated mortality worldwide. The specific role of deregulated expression/activity of histone methyltransferases (HMTs) in GC is poorly understood. The present study aimed to explore the possible oncogenic role of euchromatic histone lysine methyltransferase 1 (EHMT1) in gastric carcinogenesis. It was identified that EHMT1 was highly expressed in GC tissues compared with that in adjacent non-tumor tissues, and that EHMT1 expression levels were significantly associated with tumor stage and lymph node metastasis. Through knockdown of EHMT1 in the BGC-803 cell line, EHMT1 was demonstrated to promote a malignant phenotype, and to increase the wound healing, migration and invasion abilities of GC cells. Corresponding to these in vitro results, knockdown of EHMT1 also inhibited the peritoneal metastasis of GC cells in vivo. Furthermore, EHMT1 also regulated the expression of the epithelial-mesenchymal transition marker E-cadherin in vitro and in vivo. These results indicate that EHMT1 is upregulated in GC and serves an oncogenic role in GC development by regulating E-cadherin expression. PMID- 29844835 TI - Circulating and tumor-infiltrating myeloid-derived suppressor cells in cervical carcinoma patients. AB - Myeloid-derived suppressor cells (MDSCs) serve an immunosuppressive role in human tumors. Human Lin-/low human leukocyte antigen-antigen D related (HLA-DR-) cluster of differentiation (CD)-11b+CD33+ MDSCs are closely linked with tumor staging, progression, clinical therapeutic efficacy and prognosis for various types of tumors. The present study employed multiparametric flow cytometry to measure the proportion of Lin-/lowHLA-DR-CD11b+CD33+ MDSCs in the peripheral blood of 105 cervical cancer patients and 50 healthy subjects. The level of MDSC was higher in tumor patients than in the normal control group and this was closely associated with clinical staging. Further analysis of tumor-infiltrating MDSCs was performed in 22 patients. The MDSC proportions in tumor tissue were significantly higher than those in the corresponding adjacent tissue. The phenotypic characteristics of Lin-/lowHLA-DR-CD11b+CD33+ MDSCs were then evaluated and the results revealed that they express high CD13 and CD39, and low CD115, CD117, CD124 and programmed cell death ligand 1; they were also devoid of CD14, CD15 and CD66b. MDSCs and T-cells from peripheral blood were sorted by flow cytometry for co-culture experiments. Lin-/lowHLA-DR-CD11b+CD33+ MDSCs from patients significantly inhibited the proliferation of CD4 and CD8 T-cells. Furthermore, functional analysis verified that MDSCs from cervical cancer patients could inhibit interleukin-2 and interferon-gamma production from T cells. In addition, the associations between peripheral circulating MDSCs and tumor infiltrating MDSCs, and tumor relapse and metastasis were analyzed. The number of peripheral MDSCs and MDSCs in tumor tissue were observed to be associated with relapse-free survival. Thus, MDSCs in the peripheral blood and tumors of cervical cancer patients have a significant immunosuppressive effect, and are associated with cervical cancer staging and metastasis. These results suggest that targeting MDSCs may increase antitumor immunity and increase the efficacy of cervical cancer therapies. PMID- 29844836 TI - Evaluation of efficacy and safety of minimally invasive segmentectomy in the treatment of lung cancer. AB - The aim of the study was to investigate the efficacy and safety of minimally invasive segmentectomy in the treatment of lung cancer. A total of 86 lung cancer patients in early stage were selected for the treatment between May, 2010 and December, 2010. The patients were randomly divided into the control (n=43) and observation (n=43) groups. Patients in the control group received conventional thoracotomy as treatment, while thoracoscopic segmentectomy was performed for patients in the observation group. Factors including intraoperative bleeding amount, number of dissected lymph nodes, surgery duration, postoperative intubation time and length of stay (LOS) were compared between the two groups. A visual analogue scale was used for comparison of the postoperative incisional pain experienced by patients in the two groups. The incidence rate of postoperative complications of patients in the two groups was observed. We also assayed variations in the levels of serum inflammatory factors C-reaction protein (CRP), interleukin (IL) -6 and -10 of patients prior to operation and on the 3rd, 5th and 7th days and after operation via ELISA, and on the 7th day after operation, we determined the pulmonary function of patients. During the 5-year follow-up, the recurrence and survival rate of patients in the two groups were observed. In the observation group, the intraoperative bleeding amount of patients was significantly lower than that in the control group, and the surgery duration, postoperative intubation time and LOS were all shorter than those in the control group (P<0.05). By contrast, no significant difference was detected in a comparison of the number of dissected lymph nodes of patients between the two groups (P>0.05). Additionally, in the observation group, patients suffered less pain after operation than those in the control group (P<0.05), and on the 3rd, 5th and 7th days after operation, the levels of CRP, IL-6 and -10 in the observation group were significantly lower than those in the control group (P<0.05). After operation, the incidence rate of complications in the observation group was significantly lower than that in the control group (P<0.05), and the recovery in pulmonary function after operation was superior to that in the control group (P<0.05). In addition, the 5-year survival rate of patients in the observation group was significantly higher than that in the control group, and the recurrence rate was significantly lower than that in the control group (P<0.05). Minimally invasive segmentectomy shows better efficacy in the treatment of lung cancer at early stage than the conventional thoracotomy. In addition to the high safety during surgery, this technique can lower the incidence rate of postoperative complications, protect the pulmonary function, increase the survival rate and decrease the recurrence rate, which shows great value in clinical practice. PMID- 29844837 TI - The mechanism of miR-143 inducing apoptosis of liver carcinoma cells through regulation of the NF-kappaB pathway. AB - Primary hepatic carcinoma is a common malignant tumor with poor treatment efficacy. The effect and mechanism of miR-143 in apoptosis of liver carcinoma cells were investigated in the present study. In vitro transfection of liver carcinoma SMMC-7721 cells was performed using artificially synthesized miR-143 mimics. The proliferation of liver carcinoma cells that were treated was detected by MTT assay. Liver carcinoma cells were then stained using the Annexin V-FITC/PI method, and the apoptosis of stained liver carcinoma cells was measured using a flow cytometer. The relative mRNA expression of NF-kappaB p65 in the intervention and control groups was assayed using reverse transcription-quantitative polymerase chain reaction, and the protein expression of NF-kappaB p65 was detected using western blot analysis. The results showed that, in the intervention group, the proliferation rate of cells transfected using miR-143 mimics was significantly lower than that in the control group, the number of apoptotic SMMC-7721 cells in the intervention group increased, and the protein expression of NF-kappaB p65 was decreased. Thus, miR-143 may downregulate the protein expression of NF-kappaB p65, thereby triggering the NF-kappaB signaling transduction pathway inducing apoptosis of liver carcinoma cells. PMID- 29844838 TI - Association of HMGB1, BRCA1 and P62 expression in ovarian cancer and chemotherapy sensitivity. AB - The expression of high mobility group box 1 (HMGB1), breast cancer susceptibility gene 1 (BRCA1) and P62 in ovarian cancer was investigated to explore its association with chemotherapy sensitivity in ovarian cancer patients. Tumor tissues and para-carcinoma normal tissues of 60 ovarian cancer patients hospitalized in Department of Surgery in Dongying Hospital from June, 2012 to June, 2015 were collected. Reverse transcription-quantitative polymerase chain reaction (RT-qPCR) was used to detect the mRNA expression levels of HMGB1, BRCA1 and P62 in tumor and para-carcinoma normal tissues. Moreover, immunohistochemistry was used to detect the protein expression of HMGB1, BRCA1 and P62 in tumor tissues and para-carcinoma normal tissues. The cancer tissue specimens were divided into the chemotherapy resistance group and sensitivity group through the in vitro resin droplet experiment to analyze the association of the expression of HMGB1, BRCA1 and P62 in epithelial ovarian cancer with chemotherapy resistance of patients. The RT-qPCR results showed that the expression of HMGB1, BRCA1 and P62 in ovarian cancer tissues at the mRNA level was significantly higher than that in para-carcinoma normal tissues. Immunohistochemical results showed that the positive expression levels of HMGB1, BRCA1 and P62 in ovarian carcinoma tissue were 61.67% (37/60), 76.33% (47/60) and 71.67% (43/60), respectively, while the positive expression levels of HMGB1, BRCA1 and P62 in para-carcinoma normal tissues were 13.33% (8/60), 8.33% (5/60) and 11.67% (7/60), respectively, and the differences were statistically significant (P<0.05). In vitro resin droplet experiment revealed that 38 out of 60 ovarian cancer patients were drug resistant and 22 patients were sensitive to the therapy. The analysis of the association with chemotherapy sensitivity revealed that the positive expression of HMGB1, BRCA1 and P62 was associated with the drug resistance of ovarian cancer patients. The positive expression of HMGB1, BRCA1 and P62 was associated with chemotherapy sensitivity of ovarian cancer patients. Therefore, HMGB1, BRCA1 and P62 may be molecular markers for the prediction of chemotherapy sensitivity of ovarian cancer patients. PMID- 29844839 TI - Evaluation of latent membrane protein 1 and microRNA-155 for the prognostic prediction of diffuse large B cell lymphoma. AB - Diffuse large B cell lymphoma (DLBCL) has previously been demonstrated to contribute to the mortality of lymphoma with various aggressive features. The prognostic role of the biomarkers latent membrane protein (LMP) 1 and microRNA (miR)-155 in DLBCL remain controversial. The present study primarily aimed to assess the effect of LMP1 and miR-155 on the survival of DLBCL patients, and additionally evaluate the clinical features to observe their influence on outcomes, compared with previous studies. Formalin-fixed and paraffin-embedded samples were collected from our center between May 2010 and December 2011. Microarray analysis, immunohistochemical analysis and reverse transcription quantitative polymerase chain reaction were used to evaluate the expression of LMP1 and miR-155. The association between biomarkers or clinical features and patient outcomes was assessed using the log-rank statistical test, Cox proportional hazard model and Kaplan-Meier method. SPSS software was used to statistically analyze the data. A total of 82 patients were included in the present study. The results demonstrated that high expression of LMP1 and miR-155 may be associated with a poor progression-free survival rate, while a high International Prognostic Index score and high expression of LMP1 may be associated with a poor overall survival rate. These results indicated that LMP1 and miR-155 may be novel and reliable biomarkers for the prognostic prediction of lymphoma, and will potentially be analyzed in the future to evaluate patient prognosis. PMID- 29844840 TI - Comprehensive identification of microRNA arm selection preference in lung cancer: miR-324-5p and -3p serve oncogenic functions in lung cancer. AB - MicroRNA (miRNA/miR) dysfunction is a hallmark of lung cancer, and results in the dysregulation of tumor suppressors and oncogenes during lung cancer progression. Selection of the 5p and 3p arms of miRNA is a mechanism that improves the modulation of miRNA biological functions and complicates the regulatory network in human types of cancer. However, the involvement of arm selection preference of miRNA in lung cancer remains unclear. In the present study, changes in miRNA arm selection preference were comprehensively identified in lung cancer and corresponding adjacent normal tissues by analyzing The Cancer Genome Atlas. Arm selection was revealed to be consistent in the majority of miRNAs in lung cancer. Only a few miRNAs had significantly altered arm selection preference in lung cancer. Among these, the biological functions of the individual arms of miR-324 were investigated further. The data revealed that miR-324-5p and -3p were significantly overexpressed in lung cancer cells. Ectopic expression of miR-324 5p significantly promoted cell proliferation and invasion in lung cancer cells, while miR-324-3p overexpression significantly increased cell proliferation but did not alter the invasion of lung cancer cells. In conclusion, the arm selection preference of miRNA may be an additional mechanism through which biological functions are modulated. The results of the present study provide a novel insight into the underlying mechanisms of lung cancer and may direct research into future therapies. PMID- 29844841 TI - Expression of serum Hsa-miR-93 in uterine cancer and its clinical significance. AB - The aim of the study was to investigate the differential expression of micro ribonucleic acid (miRNA)-93 in serum of patients with uterine cancer, and to explore the clinical significance. A total of 176 patients with uterine cancer who received surgery from May, 2009 to January, 2011 in the Department of Oncology of Hubei Cancer Hospital were selected. At the same time, 100 healthy individuals selected from the Physical Examination Center of Hubei Cancer Hospital comprised the control group. Mean age of patients was 55+/-11 years, and of the healthy individuals in the control group was 53+/-9 years. Blood was extracted from each participant to prepare serum samples. Change in the expression of serum miRNA-93 was detected by reverse transcription-polymerase chain reaction (RT-PCR), and the correlation between the expression of miRNA-93 and clinicopathological features of uterine cancer was analyzed. Expression level of miRNA-93 in serum of patients with uterine cancer was significantly lower than that in the healthy controls (P<0.05). Expression level of miRNA-93 was significantly correlated with pathological staging and lymph node metastasis (P<0.05). Receiver operating characteristic curve analysis showed that the area under curve was 0.781 and 95% confidence interval was 0.724-0.842. Survival rate of the high miRNA-93 expression group was significantly higher than that in the low miRNA-93 expression group (P=0.036). These results indicate that change in the expression of miRNA-93 is related to the occurrence of uterine cancer, and its decreased expression level suggests tumorigenesis. PMID- 29844842 TI - Role of hepcidin and iron metabolism in the onset of prostate cancer. AB - The present study aimed to understand the roles of hepcidin and iron metabolism in the onset of prostate cancer. The prostate cancer LNCap, PC3 and DU145 cell lines were transfected with small interfering RNA (siRNA) targeting hepcidin to knockdown hepcidin expression in LNCap, PC3 and DU145 cells. The expression levels of hepcidin in prostate cancer and normal prostate RWPE-1cells were detected by western blot analysis. Exogenous hepcidin was added into the hepcidin silenced cell lines. Intracellular iron levels were detected using a fluorescence assay, and the proliferative and migratory capacities of cells were detected using the MTT and wound-healing assays, respectively. The apoptotic rate was measured using flow cytometry, and changes in the expression of the iron-export protein ferroportin on the cell membrane were detected by western blot analysis. Hepcidin expression in prostate cancer cells was significantly higher than that of normal prostate cells (P<0.05). Furthermore, the iron levels of hepcidin silenced cells (hepcidin-ve groups) were significantly lower than those in the cells treated with exogenous hepcidin (hepcidin+ve groups) (P<0.05). The proliferative capacity of the hepcidin+ve cells significantly exceeded those of the hepcidin-ve groups (P<0.05) and increased over time. In the wound-healing assay, the number of hepcidin+ve cells present within the scratch sites increased compared with hepcidin-ve cells, indicating a higher migration rate. Additionally, the expression of ferroportin in the hepcidin-ve groups significantly exceeded that in the hepcidin+ve groups (P<0.05). Hepcidin is involved in the onset of prostate cancer, most likely by reducing ferroportin expression and increasing intracellular iron levels to enhance the proliferation, migration and anti-apoptotic capacities of cancer cells. PMID- 29844843 TI - Clinical significance of androgen receptor expression in triple negative breast cancer-an immunohistochemistry study. AB - Androgen receptor (AR) is closely associated with the occurrence and progression of breast cancer; however, the clinical significance of it in triple negative breast cancer (TNBC) has been controversial. There is a limited amount of research regarding the effect of neoadjuvant chemotherapy on AR expression. By examining the expression of AR in patients with TNBC, the aim of the present study is to explore the clinical significance of AR and provide evidence for AR directed treatment in TNBC. A total of 188 patients with primary TNBC with complete medical records were included in this retrospective study. Tumor sections from 41 patients (21.8%) were positive for AR, which was more often detected in small tumors (P=0.042) and cases with no lymph node involvement (P=0.032). Among them, 102 were treated with neoadjuvant chemotherapy (NAC). A total of 17 patients (16.7%) exhibited pathological complete response. However, the patient response was irrelevant to AR expression. Matched pathological tissues before and after NAC were collected for 49 cases, suggesting an enrichment of AR-expressing tumors following chemotherapy (P=0.008). Further analysis indicated that AR expression had no correlation with the disease-free and overall survival of patients with general TNBC; rather, it predicted a poor survival of the patients with stage III TNBC in comparison with those at earlier stages (P=0.035). AR expression occurs more often in small TNBC tumors or in cases with no lymph node metastasis. It is associated with a poor prognosis of the patients with advanced stages of tumors. PMID- 29844844 TI - Patients' Main Concerns About Having a Sibling Stem Cell Donor - A Grounded Theory Study. AB - Background: There is limited knowledge about the perspective of patients undergoing allogeneic haematopoietic stem cell transplantation (HSCT) about having a sibling as donor. It is essential to understand the main concerns of stem cell recipients in order to enable nurses to provide person-centred care. Objectives: The study aim was to explore patients' main concerns about having a sibling stem cell donor and how the patients handle them, from immediately before until one year after transplantation. Methods: Twenty-eight interviews were performed prospectively during one year with ten adult sibling stem cell recipients with a mean age of 52 years (range 19-68 years). The interviews were analyzed by the Grounded Theory method. Results: The core category Recompensation summarises the process in the generated grounded theory including the three main categories; Invest, Compensate and Celebrate. Recompensation is defined as a lasting compensation given by the recipient to the sibling donor for the loss or harm suffered or effort made. The sense of having to reward, protect, appreciate, maintain peace and work on the relationship with the sibling donor at the same time as having to accept a serious illness, cope with their situation and promote their own recovery is strenuous for the recipients. Conclusion: The main concern for stem cell recipients during their first post-transplant year is to recompensate the sibling donor by investing, compensating and celebrating her/him. Although there is a positive aspect of recompensation, it can also imply pressure and guilt. PMID- 29844845 TI - Electronic Monitoring Systems to Assess Urinary Incontinence: A Health Technology Assessment. AB - Background: Urinary incontinence is involuntary leakage of urine and can affect people of all ages. Incidence rises as people age, often because of reduced mobility or conditions affecting the nervous system, such as dementia and stroke. Urinary incontinence can be a distressing condition and can harm a person's physical, financial, social, and emotional well-being. People with urinary incontinence are susceptible to skin irritation, pressure sores, and urinary tract infections. Urinary incontinence is also associated with an increased risk of falls in older adults.This health technology assessment examined the effectiveness of, budget impact of, and patient values and preferences about electronic monitoring systems to assess urinary incontinence for residents of long-term care homes or geriatric hospital inpatients with complex conditions. Methods: A clinical evidence review of the published clinical literature was conducted to June 9, 2017. Critical appraisal of the clinical evidence included assessment of risk of bias and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) Working Group criteria to reflect the certainty of the evidence.We calculated the funding required for an electronic urinary incontinence monitoring system in the first year of implementation (when facilities would buy the systems) and in subsequent years.We interviewed six people with urinary incontinence and two caregivers, who described ways urinary incontinence affected daily life. Results: We included one observational study in the clinical review. Most of the 31 participants in the observational study were female (78%) and required high levels of care, primarily because of cognitive impairment. The quality of evidence for all outcomes was very low owing to potential risk of bias and indirectness. We are consequently uncertain about how electronic monitoring systems affect management of urinary incontinence.For patients living in long-term care homes who are eligible for the technology, we estimated that an electronic monitoring system to assess urinary incontinence would cost $6.4 million in the first year of implementation and $1.6 million in subsequent years.Patients said urinary incontinence reduced their independence and social life and adversely affected their quality of life. Incontinence made them embarrassed and reduced their self-esteem. Several respondents mentioned how expensive supplies to manage incontinence were. Conclusions: The effectiveness of using the electronic monitoring system to assess urinary incontinence is uncertain because of the very low quality of the evidence. Introducing electronic monitoring systems would result in incremental costs, and there would be savings only if the systems substantially reduced incontinence. PMID- 29844846 TI - Toward Sclera-Force-Based Robotic Assistance for Safe Micromanipulation in Vitreoretinal Surgery. AB - In vitreoretinal surgery instruments are inserted through the sclera to perform precise surgical maneuvers inside the eyeball, which exceeds typical human capabilities. Robotic assistance can enhance the skills of a novice surgeon, provide guidance during tool manipulation based on the desired behavior defined by expert surgeons' maneuvers, and consequently improve the surgical outcome. This paper presents an experimental study characterizing the safe/desired magnitude of forces between the surgical instrument and the sclera insertion port as a function of the tool insertion depth. We explore two types of regressions, a polynomial and a sum of sines fit, to describe the observed user behavior during our one-user pilot study, based on which a variable admittance control scheme can be implemented to robotically guide other users towards this desired behavior for a safe operation. PMID- 29844847 TI - Sinecatechins Ointment, 15% for the Treatment of External Genital and Perianal Warts: Proceedings of an Expert Panel Roundtable Meeting. PMID- 29844848 TI - Safe Sleep Practices of Kansas Birthing Hospitals. AB - Background: Sleep-related death is tied with congenital anomalies as the leading cause of infant mortality in Kansas, and external risk factors are present in 83% of these deaths. Hospitals can impact caregiver intentions to follow risk reduction strategies. This project assessed the current practices and policies of Kansas hospitals with regard to safe sleep. Methods: A cross-sectional survey of existing safe sleep practices and policies in Kansas hospitals was performed. Hospitals were categorized based on reported delivery volume and data were compared across hospital sizes. Results: Thirty-one of 73 (42%) contacted hospitals responded. Individual survey respondents represented various hospital departments including newborn/well-baby (68%), neonatal intensive care unit (3%) and other non-nursery departments or administration (29%). Fifty-eight percent of respondents reported staff were trained on infant safe sleep; 44% of these held trainings annually. High volume hospitals tended to have more annual training than low or mid volume birth hospitals. Thirty-nine percent reported a safe sleep policy, though most of these (67%) reported never auditing compliance. The top barrier to safe sleep education, regardless of delivery volume, was conflicting patient and family member beliefs. Conclusions: Hospital promotion of infant safe sleep is being conducted in Kansas to varying degrees. High and mid volume birth hospitals may need to work more on formal auditing of safe sleep practices, while low volume hospitals may need more staff training. Low volume hospitals also may benefit from access to additional caregiver education materials. Finally, it is important to note hospitals should not be solely responsible for safe sleep education. PMID- 29844849 TI - Arcanobacterium Brain Abscesses, Subdural Empyema, and Bacteremia Complicating Epstein-Barr Virus Mononucleosis. PMID- 29844850 TI - Transgender Competent Provider: Identifying Transgender Health Needs, Health Disparities, and Health Coverage. PMID- 29844851 TI - The Increased Vulnerability of Refugee Population to Mental Health Disorders. PMID- 29844852 TI - qNeck Trauma and Extra-tracheal Intubation. PMID- 29844853 TI - Strongyloides Duodenitis in an Immunosuppressed Patient with Lupus Nephritis. PMID- 29844854 TI - Clinical epidemiology of chronic viral hepatitis B: A Tuscany real-word large scale cohort study. AB - AIM: To build a regional database of chronic patients to define the clinical epidemiology of hepatitis B virus (HBV)-infected patients in the Tuscan public health care system. METHODS: This study used a cross-sectional cohort design. We evaluated chronic viral hepatitis patients with HBV referred to the outpatient services of 16 hospital units. Information in the case report forms included main demographic data, blood chemistry data, viral hepatitis markers, instrumental evaluations, and eligibility for treatment or ongoing therapy and liver transplantation. RESULTS: Of 4015 chronic viral hepatitis patients, 1096 (27.3%) were HBV infected. The case report form was correctly completed for only 833 patients (64% males, 36% females; mean age 50.1 +/- 15.4). Of these HBV-infected patients, 73% were Caucasian, 21% Asian, 4% Central African, 1% North African and 1% American. Stratifying patients by age and nationality, we found that 21.7% of HBV-infected patients were aged < 34 years (only 2.8% were Italian). The most represented routes of transmission were nosocomial/dental procedures (23%), mother-to-child (17%) and sexual transmission (12%). The most represented HBV genotypes were D (72%) and A (14%). Of the patients, 24.7% of patients were HBeAg positive, and 75.3% were HBeAg negative. Of the HBV patients 7% were anti-HDV positive. In the whole cohort, 26.9% were cirrhotic (35.8% aged < 45 years), and 47% were eligible for or currently undergoing treatment, of whom 41.9 % were cirrhotic. CONCLUSION: Only 27.3% of chronic viral hepatitis patients were HBV infected. Our results provide evidence of HBV infection in people aged < 34 years, especially in the foreign population not protected by vaccination. In our cohort of patients, liver cirrhosis was also found in young adults. PMID- 29844855 TI - Isolated hepatic non-obstructive sinusoidal dilatation, 20-year single center experience. AB - AIM: To characterize isolated non-obstructive sinusoidal dilatation (SD) by identifying associated conditions, laboratory findings, and histological patterns. METHODS: Retrospectively reviewed 491 patients with SD between 1995 and 2015. Patients with obstruction at the level of the small/large hepatic veins, portal veins, or right-sided heart failure were excluded along with history of cirrhosis, hepatic malignancy, liver transplant, or absence of electrocardiogram/cardiac echocardiogram. Liver histology was reviewed for extent of SD, fibrosis, red blood cell extravasation, nodular regenerative hyperplasia, hepatic peliosis, and hepatocellular plate atrophy (HPA). RESULTS: We identified 88 patients with non-obstructive SD. Inflammatory conditions (32%) were the most common cause. The most common pattern of liver abnormalities was cholestatic (76%). Majority (78%) had localized SD to Zone III. Medication-related SD had higher proportion of portal hypertension (53%), ascites (58%), and median AST (113 U/L) and ALT (90 U/L) levels. Nineteen patients in our study died within one year after diagnosis of SD, majority from complications related to underlying diseases. CONCLUSION: Significant proportion of SD and HPA exist without impaired hepatic venous outflow. Isolated SD on liver biopsy, in the absence of congestive hepatopathy, requires further evaluation and portal hypertension should be rule out. PMID- 29844856 TI - Galphao (GNAO1) encephalopathies: plasma membrane vs. Golgi functions. PMID- 29844857 TI - A clinical trial on the consistency of bilateral testicular tissue histopathology and Johnsen score: single side or bilateral side biopsy? AB - To evaluate and compare left and right testicular tissue histopathology and Johnsen score, and to investigate the necessity for bilateral testicular biopsy. We recruited180 patients with non-obstructiveazoospermia (NOA) on testicular biopsy who had undergonetesticular sperm aspiration (TESA). Pathological sections of testicular tissue were diagnosed by specially-assigned doctors, who evaluated pathological findings, determined the Johnsen score and confirmed for the presence or absence of sperm. Sperm positive rates for left and right testicular histopathology were 55.0% and 51.7% respectively, and the proportion of Johnsen scores>=8 for left and right testes were 53.3% and 50.0%, respectively. Cohen kappa values revealed that the identification of sperm in bilateral testicular samples was not consistent and was related to random effects; Optimized cut-off value for bilateral testicular volume was 11ml (Johnsen score >=8), and optimized cut-off values of E2 on left and right testes were 144.5pmol/L and 133.5 pmol/L (Johnsen score<=7). However, age, serum prolactin (PRL), follicle stimulating hormone (FSH), luteinizing hormone (LH) and total testosterone (TT) levels were not accurate predictors for the existence of testicular sperm. There was nostatistical significance between left and right testicular histopathology in terms of sperm positive rates or Johnsen score; the Johnsen score were caused entirely by random effects and a score from one side could not represent the other side. Therefore, we recommend that both testes need to undergo surgery when NOA patients undergo testicular biopsy or sperm retrieval. PMID- 29844858 TI - Genetic polymorphism of SLC31A1 is associated with clinical outcomes of platinum based chemotherapy in non-small-cell lung cancer patients through modulating microRNA-mediated regulation. AB - SLC31A1 is the major transporter for platinum drug intake, its expression correlates with drug disposition and response. In 1004 Chinese NSCLC patients with platinum-based chemotherapy, we investigated the association between SLC31A1 polymorphisms and clinical outcomes. Heterozygotes of rs10759637 at 3'UTR was associated with severe thrombocytopenia (odds ratio [OR]: 2.69; P = 0.012) and shorter overall survival (hazard ratio [HR]: 1.24; P = 0.005). Variant homozygote of rs2233914 was correlated with longer overall survival (hazard ratio [HR]: 0.73; P = 0.008). Haplotype and diplotype of these linked SNPs were associated with hematologic toxicities. In stratification analyses, rs10759637 and rs2233914 consistently correlated with overall survival in specific subgroups such as men, smoker, patients older than 58 years, or with ECOG PS 0-1, or with squamous cell carcinoma. rs10759637 could change the local structure of 3'UTR harboring putative binding sites for hsa-miR-29, whose transfection into 16HBE cells resulted in remarkable suppression of gene expression. The rs10759637 variant significantly correlated with lowered luciferase activity in reporter assays and decreased expression of SLC31A1 transcript in tumorous tissues. The study thereby identified functional polymorphism of SLC31A1 that modulates miRNA-3'UTR interaction and gene expression as potential pharmacogenetic biomarker for clinical outcomes of platinum-based chemotherapy in NSCLC patients. PMID- 29844859 TI - Oridonin inhibits aberrant AKT activation in breast cancer. AB - Aberrant activation of phosphatidylinosito-4,5-bisphosphate 3-kinase/protein kinase B (PI3K/AKT) signaling in cancer has led to pursuit of inhibitors for targeting this pathway. However, inhibitors of PI3K and AKT have failed to yield efficacious results without adverse effects. Here, we screened a library containing 441 authenticated traditional chinese medicine (TCM) plant extracts by examining their effect on cell viability of a human mammary epithelial cell line HMEC-PIK3CAH1047R, which expresses mutant PIK3CAH1047R and has constitutively active AKT signaling. We found that Oridonin, an extract from Rabdosia rubescens, reduced cell viability to the greatest extent. Oridonin binds to AKT1 and potentially functions as an ATP-competitive AKT inhibitor. Importantly, Oridonin selectively impaired tumor growth of human breast cancer cells with hyperactivation of PI3K/AKT signaling. Moreover, Oridonin prevented the initiation of mouse mammary tumors driven by PIK3CAH1047R. Our results suggest that Oridonin may serve as a potent and durable therapeutic agent for the treatment of breast cancers with hyperactivation of PI3K/AKT signaling. PMID- 29844860 TI - Phase I dose-escalation study of F50067, a humanized anti-CXCR4 monoclonal antibody alone and in combination with lenalidomide and low-dose dexamethasone, in relapsed or refractory multiple myeloma. AB - Purpose: Multiple myeloma (MM) remains an incurable disease as tumor cells ultimately resist to all available drugs. Homing of tumor cells to the bone marrow microenvironment, involving especially the CXCR4/SDF-1 axis, allows them to survive, proliferate and resist to therapy. F50067, a humanized anti-CXCR4 IgG1 antibody, has promising preclinical activity in MM.We present a phase I multicenter escalation study in relapsed/refractory MM (RRMM) to determine the maximum tolerated dose (MTD) for F50067 alone and in combination with lenalidomide and low dose dexamethasone (Len-Dex). Experimental design: 14 end stage RRMM patients received F50067 single agent (n = 10) or in combination with Len-Dex (n = 4). Results: One dose-limiting toxicity was observed, a grade 4 neutropenia lasting more than 7 days in combination arm. MTD could not be established. Thrombocytopenia was observed in 100% and neutropenia in 92.9% of patients with no cases of febrile neutropenia and no severe bleeding or hematoma. Non-hematological adverse events were of mild to moderate severity.Nine patients (6 in single arm and 3 in combination arm) were evaluable for response, with 66.7% overall response rate (>=PR) in combination arm, and 33.3% of disease control (>=SD) in single agent arm. At the time of study termination, 55.6% had progressed. Conclusion: This study suggests that egression of tumor cells to the blood stream can represent a novel therapeutic strategy for MM. However, because of significant hematological toxicity, this study had to be discontinued. Further studies are needed to validate the feasibility of this approach in clinical practice. PMID- 29844861 TI - Pharmacologic activation of peroxisome proliferator-activating receptor-alpha accelerates hepatic fatty acid oxidation in neonatal pigs. AB - Up-regulation of peroxisome proliferator-activating receptor-alpha (PPARalpha) and increasing fatty acid oxidation are important for reducing pre-weaning mortality of pigs. We examined the time-dependent regulatory effects of PPARalpha activation via oral postnatal clofibrate administration (75 mg/(kg-BW.d) for up to 7 days) on mitochondrial and peroxisomal fatty acid oxidation in pigs, a species with limited hepatic fatty acid oxidative capacity due to low ketogenesis. Hepatic oxidation was increased by 44-147% (depending on fatty acid chain-length) and was attained after only 4 days of clofibrate treatment. Acyl CoA oxidase (ACO) and carnitine palmitoyltransferase I (CPTI) activities accelerated in parallel. The increase in CPTI activity was accompanied by a rapid reduction in the sensitivity of CPTI to malonyl-CoA inhibition. The mRNA abundance of CPTI and ACO, as well as peroxisomal keto-acyl-CoA thiolase (KetoACoA) and mitochondrial malonyl-CoA decarboxylase (MCD), also were augmented greatly. However, the increase in ACO activity and MCD expression were different from CPTI, and significant interactions were observed between postnatal age and clofibrate administration. Furthermore, the expression of acetyl-CoA carboxylase beta (ACCbeta) decreased with postnatal age and clofibrate had no effect on its expression. Collectively these results demonstrate that the expression of PPARalpha target genes and the increase in fatty acid oxidation induced by clofibrate are time- and age-dependent in the liver of neonatal pigs. Although the induction patterns of CPTI, MCD, ACO, KetoACoA, and ACCbeta are different during the early postnatal period, 4 days of exposure to clofibrate were sufficient to robustly accelerate fatty acid oxidation. PMID- 29844862 TI - Genetic variants in lncRNA H19 are associated with the risk of oral squamous cell carcinoma in a Chinese population. AB - To evaluate whether the genetic variants in H19 influence the risk of oral squamous cell carcinoma (OSCC) in a Chinese population, a case-control study was conducted to analyze four functional single nucleotide polymorphisms (SNPs) in H19. The cohort comprised of 444 OSCC cases and 984 healthy controls, and the study further evaluated the biological effect by bioinformatics prediction and functional experiments. Two SNPs, rs217727 and rs2839701, were found to be associated with the risk of OSCC [rs217727: odds ratio (OR) = 1.32, 95% confidence interval (CI) = 1.11-1.58, P = 0.002; rs2839701: OR = 1.23, 95% CI = 1.04-1.46, P = 0.019].Bioinformatics predicted that rs2839701 C>G might alter the secondary structure of H19. In addition, rs2839701 C>G inhibited the transcription activity and was correlated with the decreased expression of downstream gene MRPL23-AS1 that was downregulated in OSCC. The current results suggested that the SNPs in H19 may play a major role in genetic susceptibility to OSCC. PMID- 29844863 TI - PAM-OBG: A monoamine oxidase B specific prodrug that inhibits MGMT and generates DNA interstrand crosslinks, potentiating temozolomide and chemoradiation therapy in intracranial glioblastoma. AB - Via extensive analyses of genetic databases, we have characterized the DNA-repair capacity of glioblastoma with respect to patient survival. In addition to elevation of O6-methylguanine DNA methyltransferase (MGMT), down-regulation of three DNA repair pathways; canonical mismatch repair (MMR), Non-Homologous End Joining (NHEJ), and Homologous Recombination (HR) are correlated with poor patient outcome. We have designed and tested both in vitro and in vivo, a monoamine oxidase B (MAOB) specific prodrug, PAM-OBG, that is converted by glioma MAOB into the MGMT inhibitor O6-benzylguanine (O6BG) and the DNA crosslinking agent acrolein. In cultured glioma cells, we show that PAM-OBG is converted to O6BG, inhibiting MGMT and sensitizing cells to DNA alkylating agents such as BCNU, CCNU, and Temozolomide (TMZ). In addition, we demonstrate that the acrolein generated is highly toxic in glioma treated with an inhibitor of Nucleotide Excision Repair (NER). In mouse intracranial models of primary human glioma, we show that PAM-OBG increases survival of mice treated with either BCNU or CCNU by a factor of six and that in a chemoradiation model utilizing six rounds of TMZ/2Gy radiation, pre-treatment with PAM-OBG more than doubled survival time. PMID- 29844864 TI - MicroRNA-146a suppresses rheumatoid arthritis fibroblast-like synoviocytes proliferation and inflammatory responses by inhibiting the TLR4/NF-kB signaling. AB - This study investigated whether microRNA-146a (miR-146a) mediating TLR4/NF-kappaB pathway affected proliferation and inflammatory responses of rheumatoid arthritis fibroblast-like synoviocytes from 12 RA patients (RA-FLSs). FLSs in the logarithmic growth phase were assigned into the control, miR-146a mimic miR-146a inhibitor, Tak-242 (treated with TLR4/NF-kappaB pathway inhibitor) and mimic + lipopolysaccharide (LPS) groups. Cell proliferation and apoptosis were detected using CCK-8 assay and flow cytometry. The expression of miR-146a, TLR4/NF-kappaB pathway-related proteins and cytokines were determined by RT-qPCR, western blotting and ELISA, and the release of NO by Greiss reaction. RA rat models were constructed and the primary cells were classified into the control, negative control (NC), miR-146a mimic, miR-146a inhibitor, Tak-242, mimic + LPS, and TLR4 groups. Immunohistochemistry was used to detect the expression of proliferating cell nuclear antigen (PCNA) and intercellular adhesion molecular-1 (ICAM-1). The results showed that miR-146a levels were lower in RA-FLSs than control fibroblasts. miR-146a mimic and Tak-242 decreased RA-FLS proliferation and increased RA-FLS apoptosis, while miR-146a inhibitor had an opposite trend. miR 146a mimic and Tak-242 also decreased expression of TLR4, NF-kappaB, IL-1beta, IL 6, IL-8, IL-17, COX-2, MMP-3, Seprase, and iNOS, as well as reduced NO level in RA-FLSs while miR-146a inhibitor and TLR4 increased them. TLR4 and NF-kappaB levels and the positive rates of PCNA and ICAM-1 expressions were lower in RA FLSs from RA rats given miR-146a mimic from control or miR-146a inhibitor-treated rats. These results suggest that miR-146a inhibits the proliferation and inflammatory response of RA-FLSs by down-regulating TLR4/NF-kappaB pathway. PMID- 29844865 TI - Identification of different mutational profiles in cancers arising in specific colon segments by next generation sequencing. AB - The objective of this study was to investigate the mutational profiles of cancers arising in different colon segments. To this aim, we have analyzed 37 colon cancer samples by use of the Ion AmpliSeqTM Comprehensive Cancer Panel. Overall, we have found 307 mutated genes, most of which already implicated in the development of colon cancer. Among these, 15 genes were mutated in tumors originating in all six colon segments and were defined "common genes" (i.e. APC, PIK3CA, TP53) whereas 13 genes were preferentially mutated in tumors originating only in specific colon segments and were defined "site-associated genes" (i.e. BLNK, PTPRD). In addition, the presence of mutations in 10 of the 307 identified mutated genes (NBN, SMUG1, ERBB2, PTPRT, EPHB1, ALK, PTPRD, AURKB, KDR and GPR124) were found to be of clinical relevance. Among clinically relevant genes, NBN and SMUG1 were identified as independent prognostic factors that predicted poor survival in colon cancer patients. In conclusion, the findings reported here indicate that tumors arising in different colon segments present differences in the type and/or frequency of genetic variants, with two of them being independent prognostic factors that predict poor survival in colon cancer patients. PMID- 29844866 TI - Expression of the onconeural protein CDR1 in cerebellum and ovarian cancer. AB - Cerebellar degeneration related protein 1 (CDR1) is expressed in the cerebellum, and CDR1 antibodies have been associated with paraneoplastic cerebellar degeneration (PCD). In this study, we examined CDR1 expression in cerebellum and in ovarian and breast tumors, as well as the intracellular localization of CDR1 in cancer cells in culture. CDR1 was strongly expressed in the cytosol and dendrites of Purkinje cells and in interneurons of the molecular layer in cerebellum. CDR1 was also present in ovarian and breast tumors, as well as in ovarian and breast cancer cell lines, but was not present in normal breast or ovarian tissue. In cells overexpressing CDR1, CDR1 localized close to the plasma membrane in a polarized pattern at one edge. CDR1 was strongly expressed on the outer surface, apparently in filopodias or lamellipodias, in cells endogenously expressing CDR1. Overexpression of CDR1 showed a 37 and a 45 kDa band in western blot. The 37-kDa isoform was present in 16 ovarian cancer lysates, while the 45 kDa isoform was only found in three ovarian cancer patients. The presence of CDR1 in ovarian cancer was not associated with PCD. CDR1 antibodies were only found in serum from one patient with PCD and ovarian tumor with metastases. Therefore, CDR1 is probably not a marker for PCD. However, CDR1 may be associated with cell migration and differentiation. PMID- 29844867 TI - The effect of the type of dietary protein on the development of ovarian cancer. AB - We evaluated whether different dietary protein qualities (isocaloric diets involving animal (casein) or plant protein (soy protein) could inhibit the ovarian cancer growth in mice and improve their prognosis and whether chemotherapy had different tumor reducing effects on these mice. In the mice of the 20% plant protein group, the ovarian cancer growth at 5 weeks after tumor implantation was clearly reduced in comparison to the mice in the 20% animal protein group (p< 0.001). The serum levels of insulin and IGF-1 levels were both lower in the mice of the 20% plant protein group than in the mice of the 20% animal protein group (p<0.001 and p<0.01, respectively). Immunohistochemistry revealed that the level of eukaryotic initiation factor 4E-binding protein 1 (p 4EBP1) activity-one of the major downstream effectors of the mTOR pathway -of the plant protein group was significantly weaker than that of the animal protein group (p<0.001). The prognosis of the 20% plant protein group was better than that of the 20% animal protein group (log-rank test, p=0.0062). The ovarian cancer growth in the 20% plant protein plus cisplatin treatment group was not significantly reduced in comparison to the 20% animal protein plus cisplatin treatment group. Our findings suggest that a diet high in plant protein reduces the growth of human ovarian cancer cells in mice compared to a diet high in animal protein, -possibly through the lack of activation of the IGF/Akt/mTOR pathway, and leads to a better prognosis with or without cisplatin treatment. PMID- 29844868 TI - Clinical features of squamous cell lung cancer with anaplastic lymphoma kinase (ALK)-rearrangement: a retrospective analysis and review. AB - Anti-anaplastic lymphoma kinase (ALK)-targeted therapy dramatically improves therapeutic responses in patients with ALK-rearranged lung adenocarcinoma (Ad LC). A few cases of squamous cell lung carcinoma (Sq-LC) with ALK rearrangement have been reported; however, the clinicopathological features and clinical outcomes following treatment with ALK inhibitors are unknown. We addressed this in the present study by retrospectively comparing the clinical characteristics of five patients with ALK-rearranged Sq-LC with those of patients with ALK rearranged Ad-LC and by evaluating representative cases of ALK inhibitor responders and non-responders. The prevalence of ALK rearrangement in Sq-LCs was 1.36%. Progression-free survival (PFS) after initial treatment with crizotinib was significantly shorter in Sq-LC than in Ad-LC with ALK rearrangement (p = 0.033). Two ALK rearrangements assayed by fluorescence in situ hybridization (FISH)-positive/immunohistochemistry-negative cases did not respond to crizotinb, and PFS decreased following alectinib treatment of ALK-rearranged Sq-LC (p = 0.045). A rebiopsy revealed that responders to ceritinib harbored the L1196M mutation, which causes resistance to other ALK inhibitors. However, non responders were resistant to all ALK inhibitors, despite the presence of ALK rearrangement in FISH-positive circulating tumor cells and circulating free DNA and absence of the ALK inhibitor resistance mutation. These results indicate that ALK inhibitors remain a reasonable therapeutic option for ALK-rearranged Sq-LC patients who have worse outcomes than ALK-rearranged Ad-LC patients and that resistance mechanisms are heterogeneous. Additionally, oncologists should be aware of the possibility of ALK-rearranged Sq-LC based on clinicopathological features, and plan second-line therapeutic strategies based on rebiopsy results in order to improve patient outcome. PMID- 29844869 TI - Cancer astrocytes have a more conserved molecular status in long recurrence free survival (RFS) IDH1 wild-type glioblastoma patients: new emerging cancer players. AB - Glioblastoma is a devastating disease that despite all the information gathered so far, its optimal management remains elusive due to the absence of validated targets from clinical studies. A better clarification of the molecular mechanisms is needed. In this study, having access to IDH1 wild-type glioblastoma of patients with exceptionally long recurrence free survival (RFS), we decided to compare their mutational and gene expression profile to groups of IDH1 wild-type glioblastoma of patients with shorter RFS, by using NGS technology. The exome analysis revealed that Long-RFS tumors have a lower mutational rate compared to the other groups. A total of 158 genes were found differentially expressed among the groups, 112 of which distinguished the two RFS extreme groups. Overall, the exome data suggests that shorter RFS tumors could be, chronologically, in a more advanced state in the muli-step tumor process of sequential accumulation of mutations. New players in this kind of cancer emerge from the analysis, confirmed at the RNA/DNA level, identifying, therefore, possible oncodrivers or tumor suppressor genes. PMID- 29844871 TI - Pericytes/vessel-associated mural cells (VAMCs) are the major source of key epithelial-mesenchymal transition (EMT) factors SLUG and TWIST in human glioma. AB - Epithelial-to-mesenchymal transition (EMT) is supposed to be responsible for increased invasion and metastases in epithelial cancer cells. The activation of EMT genes has further been proposed to be important in the process of malignant transformation of primary CNS tumors. Since the cellular source and clinical impact of EMT factors in primary CNS tumors still remain unclear, we aimed at deciphering their distribution in vivo and clinico-pathological relevance in human gliomas. We investigated 350 glioma patients for the expression of the key EMT factors SLUG and TWIST by immunohistochemistry and immunofluorescence related to morpho-genetic alterations such as EGFR-amplification, IDH-1 (R132H) mutation and 1p/19q LOH. Furthermore, transcriptional cluster and survival analyses were performed. Our data illustrate that SLUG and TWIST are overexpressed in gliomas showing vascular proliferation such as pilocytic astrocytomas and glioblastomas. EMT factors are exclusively expressed by non-neoplastic pericytes/vessel associated mural cells (VAMCs). They are not associated with patient survival but correlate with pericytic/VAMC genes in glioblastoma cluster analysis. In summary, the upregulation of EMT genes in pilocytic astrocytomas and glioblastomas reflects the level of activation of pericytes/VAMCs in newly formed blood vessels. Our results underscore that the negative prognostic potential of the EMT signature in the group of diffuse gliomas of WHO grade II-IV does most likely not derive from glioma cells but rather reflects the degree of proliferating mural cells thereby constituting a potential target for future alternative treatment approaches. PMID- 29844872 TI - Polymorphisms in the promoter region of the CRBN gene as a predictive factor for the first-line CTD therapy in multiple myeloma patients. AB - Cereblon is a primary molecular target for immunomodulatory drugs. The aim of this study was to evaluate the influence of selected clinical and molecular factors including single nucleotide polymorphisms (SNPs) in CRBN gene on the efficacy of first line CTD (cyclophosphamide, thalidomide, dexamethasone) chemotherapy in patients with multiple myeloma. Study group consisted of 68 patients. Analysis of CRBN gene SNPs (rs6768972, rs1672753) was performed using Real-Time PCR genotyping technique. Median progression free survival (PFS) was 15 months and overall survival (OS) 79 months. Factors associated with significantly shorter OS included ISS 3, kidney disease, weight loss, anemia, thrombocytopenia, hypoalbuminemia, elevated beta2-microglobuline and CRP. The presence of t(4;14) was associated with significantly shorter PFS and OS. Both examined SNPs proved to be statistically significant, independent predictive factors of efficacy of the CTD chemotherapy. The presence of AA genotype (rs6768972) correlated with longer median PFS (18 vs 9 months; HR=0.49,95% CI: 0.26-0.91, p=0.0062). Conversely, in the carriers of CC genotype (rs1672753) significantly shorter median PFS was observed (4 vs 16 months; HR=3.93, 95% CI: 0.26-59.64, p=0.0321). In conclusion, SNPs of the CRBN gene may be useful in qualifying patients for treatment with regimens containing thalidomide. PMID- 29844870 TI - Dietary inflammatory index and risk of upper aerodigestive tract cancer in Japanese adults. AB - Background: The inflammatory potential of diet that has been shown to be associated with cancer risk. We examined the association between dietary inflammatory potential as measured by the dietary inflammatory index (DII(r)) and risk of upper aerodigestive tract cancers in a Japanese case-control study. Results: A positive association was observed between increasing DII scores and overall upper aerodigestive tract cancers, and across anatomic subsites. For upper aerodigestive tract cancers, the ORQ4vsQ1 = 1.73 (95% CI: 1.37-2.20); head and neck cancer, the ORQ4vsQ1 was 1.92 (95% CI: 1.42-2.59); and for esophageal cancer, the ORQ4vsQ1 was1.71 (95% CI: 1.54-1.90). Risks for hypopharyngeal and nasopharyngeal cancers were greatly elevated: (ORQ4vsQ1 = 4.05 (95% CI: 1.24 13.25) for hypopharyngeal cancer and ORQ4vsQ1 = 4.99 (95% CI: 1.14-21.79) for nasopharyngeal cancer. Conclusion: A more pro-inflammatory diet was associated with an elevated risk of upper aerodigestive tract cancers after accounting for important confounders. All anatomic subsites, except larynx, showed the consistently elevated risk with increasing DII score. Those subsites with known etiological associations with persistent infection showed the largest elevation in risk. These results warrant further evaluation in future studies. Materials and Methods: This is a case-control study of 1,028 cases and 3,081 age- and sex matched non-cancer controls recruited at Aichi Cancer Center. DII scores were computed based on estimates of macro- and micro-nutrients from a self administered food frequency questionnaire. Scores were further categorized into quartiles (based on the distribution in controls). Conditional logistic regression models were fit to estimate odds ratio (OR) and 95% confidence intervals (CIs) adjusted for smoking, ethanol consumption, alcohol flushing, number of teeth, and occupation group. PMID- 29844873 TI - Synergistic potentiation of the anti-metastatic effect of anti EGFR mAb by its combination with immunotherapies targeting the ganglioside NGcGM3. AB - Several Anti-EGFR mAbs are register for the treatment of human cancer. However, their impact on patients overall survival has been limited by tumor resistance. N Glycolyl variant of GM3 ganglioside (NGcGM3) is specifically expressed in some human tumors, and it has been associated with a poor prognosis. Several reports have documented that GM3 physically associates to EGFR inhibiting its ligand depend phosphorylation, but it also facilitates an alternative/compensatory signaling cascade mediated by Uroquinase Plasminogen Activator Receptor (uPAR) and integrin alpha5beta1 interaction. However, the difference between NGc and N Acetylated (NAc) variants of GM3 regarding such interactions is unknown. We hypothesized that enrichment of NGcGM3 expression in tumors relates to advantages of this ganglioside, on ensuring both EGFR and uPAR pathways optimal function. We explored the impact of combining an anti-EGFR (7A7 mAb) with anti-NGcGM3 therapies: NGcGM3/VSSP vaccine or 14F7 mAb. Both combinations synergistically increase overall survival in two models of lung metastasis: 3LL-D122 and 4T1; but combination with NGcGM3/VSSP vaccine is significantly more effective. In 3LL-D122 metastasis, of mice treated with the best combination, both EGFR and uPAR/alpha5beta1 integrin pathways are turn off (I.e expression of uPAR/alpha5beta1; and phosphorylation of EGFR, Stat3, Src and FAK are reduced); and tumor angiogenesis is decreased. Interestingly, combination treatment increases tumor infiltrating CD4+T, CD8+T and NK+-cells. Furthermore, a positive clinical outcome is reported for a cancer patient treated with an anti-EGFR mAb and anti-NGcGM3 therapy. Overall, our results support the combination of anti EGFR antibodies with therapies targeting NGcGM3 to increase their efficacy in future clinical trials. PMID- 29844874 TI - Combined assessment of the TNM stage and BRAF mutational status at diagnosis in sporadic colorectal cancer patients. AB - The prognostic impact of KRAS mutations and other KRAS-related and non-related genes such as BRAF, NRAS and TP53, on sporadic colorectal cancer (sCRC) remain controversial and/or have not been fully established. Here we investigated the frequency of such mutations in primary sCRC tumors and their impact on patient progression-free survival (PFS) and overall survival (OS). Primary tumor tissues from 87 sCRC patients were analysed using a custom-built next generation sequencing (NGS) panel to assess the hotspot mutated regions of KRAS/NRAS (exons 2, 3 and 4), BRAF (exon 15) and TP53 (all exons). Overall, mutations in these genes were detected in 46/87 sCRC tumors analyzed (53%) with the following frequencies per gene: TP53, 33%; KRAS, 28%; BRAF, 7%; and NRAS, 1%. A significant association was found between KRAS mutations and right side colon tumor location (p=0.05), well-differentiated tumors (p=0.04) and absence of lymphovascular invasion (p=0.05). In turn, BRAF-mutated tumors frequently corresponded to poorly or moderately-differentiated sCRC (p=0.02) and showed a higher frequency of peritoneal carcinomatosis (p=0.006) and microsatellite instability (p=0.007). From the prognostic point of view, the BRAF mutational status together with the TNM stage were the only variables that showed an independent adverse impact on patient outcome in the multivariate analyses for both PFS and OS. Based on these results a scoring system was built and patients were classified into three prognostic subgroups with different PFS rates at 2 years: 91% vs. 77% vs. 0%, respectively (p<0.0001). Additional prospective studies in larger series of sCRC patients where mutations in genes other than those investigated here are required to validate the utility of the proposed predictive model. PMID- 29844875 TI - Cofilin-1 levels and intracellular localization are associated with melanoma prognosis in a cohort of patients. AB - Melanoma is an aggressive cancer with highly metastatic ability. We propose cofilin-1, a key protein in the regulation of actin dynamics and migration, as a prognostic marker. We determined cofilin-1 levels in a retrospective cohort of patients with melanomas and benign lesions of melanocytes (nevi) by immunohistochemistry. Higher cofilin-1 levels were found in malignant melanoma (MM) with Breslow Index (BI)>2 vs MM with BI<2, melanoma in situ (MIS) and nevi and also in MM with metastasis vs MM without detected metastasis. Kaplan-Meier survival curves were performed, clustering patients according to either the type of melanocytic lesions or cofilin-1 level. Survival curves demonstrated worse prognosis of patients with high vs low cofilin-1 levels. TCGA database analysis of melanoma also showed low survival in patients with upregulated cofilin-1 mRNA vs patients without alteration in CFL1 mRNA expression. As cofilin-1 has a dual function depending on its intracellular localization, we evaluated nuclear and cytoplasmic levels of cofilin-1 in melanoma and nevi samples by immunofluorescence. MM with high Breslow index and metastatic cells not only presented cytoplasmic cofilin-1, but also showed this protein at the nucleus. An increase in nuclear/cytoplasmic cofilin-1 mean fluorescence ratio was observed in MM with BI>2 vs MM with BI<2, MIS and nevi. In conclusion, an association of cofilin-1 levels with malignant features and an inverse correlation with survival were demonstrated. Moreover, this study suggests that not only the higher levels of cofilin-1, but also its nuclear localization can be proposed as marker of worse outcome of patients with melanoma. PMID- 29844876 TI - Nickel chloride administration prevents the growth of oral squamous cell carcinoma. AB - The effect of NiCl2 on oral squamous cell carcinoma-derived cell line HSC3 was examined. Incubation with 1 mM NiCl2 significantly reduced the expression of MMPs at mRNA and protein levels. The in vivo orthotopic implantation model was established by injecting highly metastatic subcell line HSC3-M3 to nude mouse tongue. After 1 week of injection, mice were fed with or without 1 mM NiCl2 containing water for two to three weeks. Immunohistochamical examination revealed that MMP9 expression was drastically reduced in NiCl2-fed mice. By CT images, cancer mass was observed as a translucent area in control mice. In NiCl2-fed mice, much highly translucent area was observed within the translucent area. Histologically, this area corresponded to the necrotic area in the tumor mass. Real-time PCR analysis revealed the reduced expression of angiogenic factors such as IL-8 and VEGF mRNA in NiCl2-fed mice. To further examine the effect of NiCl2 on metastasis, human beta-globin gene expression in regional lymphnodes was compared. The beta-globin gene was totaly absent in NiCl2-fed mice. Moreover, various cancer metastasis-related genes were inhibited in NiCl2-fed mice by PCR array analysis. The results indicated that NiCl2 might be a promising new anti cancer therapeutics for the oral cancer treatment. PMID- 29844877 TI - Etoposide-induced DNA damage affects multiple cellular pathways in addition to DNA damage response. AB - DNA damage response (DDR) coordinates lesion repair and checkpoint activation. DDR is intimately connected with transcription. However, the relationship between DDR and transcription has not been clearly established. We report here RNA sequencing analyses of MCF7 cells containing double-strand breaks induced by etoposide. While etoposide does not apparently cause global changes in mRNA abundance, it altered some gene expression. At the setting of fold alteration >= 2 and false discovery rate (FDR) <= 0.001, FDR < 0.05, or p < 0.05, etoposide upregulated 96, 268, or 860 genes and downregulated 41, 133, or 503 genes in MCF7 cells. Among these differentially expressed genes (DEGs), the processes of biogenesis, metabolism, cell motility, signal transduction, and others were affected; the pathways of Ras GTPase activity, RNA binding, cytokine-mediated signaling, kinase regulatory activity, protein binding, and translation were upregulated, and those pathways related to coated vesicle, calmodulin binding, and microtubule-based movement were downregulated. We further identified RABL6, RFTN2, FAS-AS1, and TCEB3CL as new DDR-affected genes in MCF7 and T47D cells. By metabolic labelling using 4-thiouridine, we observed dynamic alterations in the transcription of these genes in etoposide-treated MCF7 and T47D cells. During 0-2 hour etoposide treatment, RABL6 transcription was robustly increased at 0.5 and 1 hour in MCF7 cells and at 2 hours in T47D cells, while FAS-AS1 transcription was dramatically and steadily elevated in both cell lines. Taken together, we demonstrate dynamic alterations in transcription and that these changes affect multiple cellular processes in etoposide-induced DDR. PMID- 29844878 TI - Genome-wide multi-omics profiling of the 8p11-p12 amplicon in breast carcinoma. AB - Genomic instability contributes to the neoplastic phenotype by deregulating key cancer-related genes, which in turn can have a detrimental effect on patient outcome. DNA amplification of the 8p11-p12 genomic region has clinical and biological implications in multiple malignancies, including breast carcinoma where the amplicon has been associated with tumor progression and poor prognosis. However, oncogenes driving increased cancer-related death and recurrent genetic features associated with the 8p11-p12 amplicon remain to be identified. In this study, DNA copy number and transcriptome profiling data for 229 primary invasive breast carcinomas (corresponding to 185 patients) were evaluated in conjunction with clinicopathological features to identify putative oncogenes in 8p11-p12 amplified samples. Illumina paired-end whole transcriptome sequencing and whole genome SNP genotyping were subsequently performed on 23 samples showing high level regional 8p11-p12 amplification to characterize recurrent genetic variants (SNPs and indels), expressed gene fusions, gene expression profiles and allelic imbalances. We now show previously undescribed chromothripsis-like patterns spanning the 8p11-p12 genomic region and allele-specific DNA amplification events. In addition, recurrent amplification-specific genetic features were identified, including genetic variants in the HIST1H1E and UQCRHL genes and fusion transcripts containing MALAT1 non-coding RNA, which is known to be a prognostic indicator for breast cancer and stimulated by estrogen. In summary, these findings highlight novel candidate targets for improved treatment of 8p11 p12 amplified breast carcinomas. PMID- 29844879 TI - Clinical application of angiotensin receptor blockers in patients with non alcoholic fatty liver disease: a systematic review and meta-analysis. AB - Objective: Non-alcoholic fatty liver disease (NAFLD) is one of the most common chronic liver diseases, ranging from simple steatosis to progressive steatohepatitis and cirrhosis. Because of their anti-inflammatory and anti fibrotic effects, angiotensin receptor blockers (ARBs) are potential therapeutic agents for NAFLD. The present systematic review assessed the effectiveness of ARBs in NAFLD management. Results: Accounting for data overlap and exclusion criteria, randomized controlled trial -based and single-arm meta-analyses were conducted for four studies with 362 patients and eight studies with 525 patients, respectively. Although alanine aminotransferase levels were not significantly affected by ARB treatment (standardized mean difference 0.20; 95% confidence interval (CI) [-0.04, 0.44]; P = 0.10), a fixed-effect model revealed a decreasing trend in alanine transaminase levels. Low-density lipoprotein levels were reduced by ARB treatment (MD 5.21; 95% CI [3.01, 7.40]; P < 0.00001), and total cholesterol also decreased in response to ARBs (MD 2.10; 95% CI [-0.37, 4.57]; P = 0.10). However, the fibrosis score and NAFLD activity score were not significantly improved by ARB treatment (MD 0.10; 95% CI [-0.58, 0.78]; P = 0.77) (MD -0.25; 95% CI [-1.05, 0.55]; P = 0.53). Materials and Methods: Keywords were used to identify studies in PubMed, EMBASE, CENTRAL, Web of Science and CNKI published up to July 31, 2017. Single-arm and RCT-based meta-analyses of the available data were performed using RevMan (version 5.3). Conclusions: Although ARBs significantly decreased plasma low-density lipoprotein and total cholesterol levels, the current evidence is insufficient to support the efficacy of ARBs in managing fibrosis in NAFLD patients. PMID- 29844880 TI - Network meta-analysis of surgical treatment for unstable femoral intertrochanteric fractures. AB - In this network meta-analysis, we determined the optimal surgical method for treating unstable femoral intertrochanteric fractures. We searched the EMBASE, Cochrane Library and Medline databases for studies evaluating sliding hip screws (SHS), gamma nail (GN) or proximal femoral nail antirotation (PFNA) methods, and included nine randomized controlled trials that met the inclusion criteria. Our analysis showed no differences in the rates of complications between SHS and PFNA relative to GN (p > 0.05). However, the surface under the cumulative ranking curve (SUCRA) score for PFNA (77.6%) was higher than the SUCRA scores for GN (65%) and SHS (7.5%). This suggests PFNA is the better surgical method than GN or SHS for unstable femoral intertrochanteric fractures. PMID- 29844881 TI - Prognostic utility of global longitudinal strain in myocardial infarction. AB - Cardiovascular magnetic resonance (CMR) represents the reference standard for cardiac morphology and function assessment. Since introduction in 2009, CMR feature tracking (CMR-FT) has become a frequently used tool in the assessment of myocardial deformation and wall motion on the basis of routinely acquired b-SSFP cine images. Extensive validation has led to excellent intra- and inter-observer as well as inter-study reproducibility. CMR-FT derived myocardial deformation indices such as left ventricular (LV) strain have been shown to be impaired in cardiac diseases such as cardiomyopathies as well as myocardial infarction. Although LV ejection fraction (LVEF) is the routinely and frequently utilized parameter for systolic myocardial function assessment and major adverse clinical event (MACE) prediction, it fails to assess regional differences. Recently, LV strain has emerged as a superior measure for risk assessment and MACE prediction as compared to the established markers e.g., LVEF. This editorial aims to elucidate current discussions in the field of strain assessment in myocardial infarction in the light of recent data from a large prospective multicentre CMR study. PMID- 29844882 TI - Children's perspectives on life and well-being after parental intimate partner homicide. AB - Background: While there is no doubt that parental intimate partner homicide is associated with strong grief and post-traumatic stress reactions among the children who have been bereaved, there is little in-depth insight into how children and young people see and describe their circumstances and needs. Objective: Our aim was to shed light on children's and young people's perspectives on their life after parental intimate partner homicide. In particular, we were interested in how they experienced their living arrangements, social environment, and general well-being. Method: We conducted semi-structured interviews with 23 children and young people (8-24 years old; 15 females and eight males) who had been younger than 18 years when one of their parents killed the other (21 children lost their mother, two children lost their father). We used thematic analysis to synthesize the findings. Results: While most participants were fairly content with themselves and their living arrangements, they also expressed substantial and persistent difficulties, including distress, conflicts between family members, and feelings of unsafety. Most importantly, children's self-image, their perspectives on their biological parents, and their views on their broader (family) environment varied considerably from participant to participant, and also between siblings. Conclusions: It is unlikely that straightforward guidelines can be given with regard to where the children should live after parental homicide, or whether they should be in contact with the perpetrating parent. Rather, this study's findings underline the need to explore children's individual viewpoints carefully during decision-making processes. PMID- 29844883 TI - Trauma-focused cognitive behavioural therapy for young children: clinical considerations. AB - Trauma-focused Cognitive Behavioural Therapy (TF-CBT) has been utilized with children of a wide age range and with diverse trauma experiences. This article will focus on the application of TF-CBT to young children. After presenting an overview of the model, challenges and developmentally-sensitive and creative strategies for engaging young children and their caregivers in TF-CBT PRACTICE components will be highlighted. A brief review of the strong empirical support for TF-CBT will then be provided. PMID- 29844884 TI - Family systems approach to attachment relations, war trauma, and mental health among Palestinian children and parents. AB - Background: Trauma affects the family unit as a whole; however, most existing research uses individual or, at most, dyadic approaches to analyse families with histories of trauma. Objective: This study aims to identify potentially distinct family types according to attachment, parenting, and sibling relations, to analyse how these family types differ with respect to war trauma, and to explore how children's mental health and cognitive processing differ across these family types. Method: Participants included Palestinian mothers and fathers (N = 325) and their children (one per family; 49.4% girls; 10-13 years old; mean +/- SD age = 11.35 +/- 0.57 years) after the Gaza War of 2008-2009. Both parents reported their exposure to war trauma, secure attachment availability, and parenting practices, as well as the target child's internalizing and externalizing symptoms [Strengths and Difficulties Questionnaire (SDQ)]. Children reported their symptoms of post-traumatic stress disorder (on the Children's Revised Impact Event Scale), depression (Birleson), and SDQ, as well as their post-traumatic cognitions (Children's Post Traumatic Cognitions Inventory). Results: A cluster analysis identified four family types. The largest type reflected secure attachment and optimal relationships (security and positive family relationships, 36.2%, n = 102), and the smallest exhibited insecurity and problematic relationships (insecurity and negative family relationships, 15.6%; n = 44). Further, families with discrepant experiences (23.0%; n = 65) and moderate security and neutral relationships (25.2%; n = 71) emerged. The insecurity and negative relationships family type showed higher levels of war trauma; internalizing, externalizing, and depressive symptoms among children; and dysfunctional post-traumatic cognitions than other family types. Conclusion: The family systems approach to mental health is warranted in war conditions, and therapeutic interventions for children should, thus, also involve parents and siblings. Knowledge of unique family attachment patterns is fruitful for tailoring therapeutic treatments and preventive interventions for war-affected children and families. PMID- 29844886 TI - Measuring stroke patients' exercise preferences using a discrete choice experiment. AB - Physical activity post stroke improves health, yet physical inactivity is highly prevalent. Tailored exercise programs considering physical activity preferences are a promising approach to promote physical activity. Therefore, this study seeks to measure exercise preferences of stroke survivors. Stroke survivors conducted a discrete choice experiment (DCE). DCE was presented in a face-to-face interview where patients had to choose eight times between two different exercise programs. Exercise programs differed by characteristics, with the six attributes under consideration being social situation, location, type of exercise, intensity, frequency, and duration. Utilities of the exercise attributes were estimated with a logit choice model. Stroke survivors (n=103, mean age: 67, SD=13.0; 60% male) show significant differences in the rated utilities of the exercise attributes (P<0.001). Participants had strong preferences for light and moderate intense physical activity and favored shorter exercise sessions. Stroke survivors have remarkable exercise preferences especially for intensity and duration of exercise. Results contribute to the tailoring of physical activity programs after stroke thereby facilitating maintenance of physical activity. PMID- 29844885 TI - Does sleep disruption mediate the effects of childhood maltreatment on brain structure? AB - Background: Childhood maltreatment is associated with alterations in morphology of stress susceptible brain regions. Maltreatment is also known to markedly increase risk for psychopathology and to have an enduring disruptive effect on sleep. Objective: To determine whether abnormalities in sleep continuity have effects on brain morphometry and to evaluate the extent to which sleep impairments mediate the effects of maltreatment on brain structure. Method: Maltreatment and Abuse Chronology of Exposure (MACE) scale ratings, actigraph assessed sleep and 3T MRI were obtained on N = 37 18-19-year-old participants recruited from the community (N = 34 with neuroimaging). Results: Fourteen participants had no history of maltreatment while N = 23 were exposed, on average, to 4.7 types of maltreatment. Multiplicity of maltreatment was strongly associated with reduced sleep efficiency, increased wake after sleep onset time and number/duration of awakenings, which were independent of effects of maltreatment on depression and anxiety. The most important predictors of impaired sleep were exposure to parental non-verbal emotional abuse at 9-10 years of age. Reduced sleep efficiency correlated with reduced grey matter volume in hippocampus including CA1 subfield, molecular layer and dentate gyrus as well as inferior frontal gyrus and insula. Sleep mediated 39-46% of the effects of maltreatment on volume of hippocampal structures and inferior frontal gyrus. Conclusions: Actigraph-assessed sleep is disrupted in maltreated late teens and mediates a significant portion of the effects of maltreatment on hippocampal volume. Studies are needed to assess whether efforts to enhance sleep in maltreated children can pre-empt or ameliorate neurobiological consequences of maltreatment. PMID- 29844887 TI - Risk stratification in laminopathies and Emery Dreifuss muscular dystrophy. AB - Laminopathies are genetic disorders due to gene mutation encoding for proteins of the nuclear envelope. Patients are at risk of conduction defect, arrhythmia, sudden death and heart failure. The authors summarize predictive factors for cardiac events reported in the literature in this group of disease. PMID- 29844888 TI - Migraine: incorrect self-management for a disabling disease. AB - Migraine is an economically and socially relevant pathology but patients' consciousness and consequently a proper management is often unsatisfactory. In this study, we aimed to evaluate the disease awareness, the general approach and the impact on working activity in a population of headache-affected hospital workers. During an 18-month period, hospital workers responded to a questionnaire investigating headache presence, characteristics and awareness. Specific attention was paid to define headache impact on working activities. 1774 consecutive subjects were enrolled. Headache was documented in 45.7% of the sample, migraine in 16.6%. 40.6% of the patients with headache and 50.7% of the migraneous subjects had a specialist medical evaluation. Triptans use was significantly lower than non-steroidal anti-inflammatory drugs use. 39.5% of migraneous complained of attacks during working time, 60.2% acknowledged a negative influence on work quality. 25.5% of migraneous patients reported a loss of working days attributable to the disease. Migraine is disabling for workers with negative consequences on job capacity and quality. Efforts should be made to improve disease awareness to stimulate a better diagnostic and therapeutic approach. PMID- 29844889 TI - Pantothenate kinase-associated neurodegeneration: Clinical aspects, diagnosis and treatments. AB - Pantothenate Kinase-Associated Neurodegeneration (PKAN) is an autosomal recessive disorder characterized by a mutation in the PANK2 gene. The clinical presentation may range from only speech disorder to severe generalized dystonia, spasticity, Visual loss, dysphagia and dementia. The hallmark of this disease is eyes of the tiger sign in the medial aspect of bilateral globus pallidus on T2-weighted MRI that is a hyperintense lesion surrounded by hypointensity. Common treatments for PKAN disease include anticholinergics, botulinum toxin, Oral and Intrathecal baclofen, Iron chelation drugs and surgical procedures such as ablative pallidotomy or thalamotomy, Deep brain stimulation. There are many controversies about the pathogenesis and treatment of this disease, and in recent years interesting studies have been done on PKAN disease and other similar diseases. This review summarizes the clinical presentation, etiology, imaging modalities and treatment. PMID- 29844890 TI - Multilingual website and cyberconsultations for oromandibular dystonia. AB - Oromandibular dystonia is a focal dystonia that manifests as involuntary masticatory and/or tongue muscle contractions. This movement disorder is frequently misdiagnosed as a temporomandibular disorder. Hence, it would be useful to establish a method that makes it possible for patients with the condition to find appropriate medical institutions by themselves. The author produced a website Involuntary movements of the stomatognathic region (https://sites. google.com/site/oromandibulardystoniaenglish/) for patients with oromandibular dystonia, which is available in twenty languages. It has been viewed more than 1,000,000 times by individuals from all over the world. The visitors to the site have completed questionnaires and/or sent images or videos of their involuntary movements over the internet. Cyberconsultations (remote diagnosis) were also performed via SkypeTM. Approximately 1000 patients with involuntary stomatognathic movements visited our department. Only 12.5% of the patients had previously been diagnosed with or were suspected to have dystonia. The findings of this study suggest that the multilingual website has contributed to increasing awareness of oromandibular dystonia and that the provision of basic telemedicine via the internet can aid the diagnosis and treatment of oromandibular dystonia. PMID- 29844891 TI - Glioblastoma multiforme subterfuge as acute cerebral hemorrhage: A case report and literature review. AB - Hemorrhagic related Glioblastoma multiforme (GBM) are rare and characterizes with severe clinical scuffle. The etiology of this presentation although not well known is believed to be multifactorial. We present a case as well as review on the pathogenesis of evolution of the hematoma into ring enhancing features of GBM on imaging studies. We present a case of 28 years old man who suddenly went into coma for 9 hours preceded with seizures that latest for 10 minutes. He had no focal neurological signs. CT-Scans images indicated acute cerebral hemorrhage near the frontal horn of the left ventricle with brain edema about the hemorrhagic lesion and MRI done a week later revealed a cerebral ring enhancing lesion. The lesion was partially resected during surgery and immunohistochemical staining confirmed GBM (WHO, grade 4). The diagnosis of intratumoral hemorrhage in GBM was very challenging at the initial stages but with time the hematoma evolved into ring enhancing images typical of GBM. It's not every intracranial hematoma that is of pure vascular origin. PMID- 29844892 TI - Glioma research: Early detection of a downward trend in publication productivity? AB - Global publication productivity for brain tumors was examined on a annual basis and compared to other neurologic disorders including stroke, epilepsy and Alzheimer's disease. An early downward trend is suggested for 2016; possible links to fluctuations in funding is discussed. PMID- 29844893 TI - Stroke networks and telemedicine: An Italian national survey. AB - Stroke is the leading cause of disability and death. Nowadays, clinical benefits of stroke units and thrombolysis in ischemic stroke are evidence-based. Also the benefit of endovascular treatment for acute ischemic stroke has been established. Telemedicine has been used to improve access to care by allowing a neurologist at a remote location to interact with the patient and their family members. Prior studies have shown that the use of telemedicine for acute ischemic stroke is not only safe and effective, but it also increases the utilization of tPA, improving patient outcomes. This study aimed to investigate the diffusion of telemedicine in Italian stroke networks with an online questionnaire to assess: type of stroke care setting, Volume of thrombolysis- thrombectomy/year, access to stroke care between different hospitals, the presence of imaging sharing protocols within the network or patients dispatchment screening; type of network solutions. We have interviewed 24 Italian neurologists, working in large urban areas, from north southward, including Italian islands. In particular, these neurologists represented 14 different regions and 20 countries. A majority of neurologists replying to the survey (47.83%) worked in large general hospitals or smaller general hospitals (26%) and a smaller number of physicians (17.3%) were committed in University Hospital or (8.7%) independent foundation hospitals. The 60.87% of stroke networks involved in the survey had a low thrombolysis/year volume while the 30.43% had a thrombolysis/year volume above 100. According to the survey a local stroke network was established in 87.50% of cases. In the 45.83% of cases, the hospitals care is not homogeneous within the network. A network for the consultation of neuroimaging between hospitals is available in 33.33% of cases. Whitin those describing an active network for Teleconsult the 57.14% used personal devices, while only the 25 % use professional teleconference system, and in 25% of cases used medical devices. Our findings demonstrated a relevant diffusion of Teleconsult in Italian stroke networks. The systems adopted are mostly individual solutions not integrated in protocolled pathways. These findings may encourage a systematization of Telemedicine medical curricula to increase larger access to neurological consults. PMID- 29844894 TI - A giant cholesteatoma of the mastoid extending into the foramen magnum: A case report and review of literature. AB - Cholesteatomas are very rare benign, progressive lesions that have embryologic derivation and usually result in progressive exfoliation and confinement of squamous epithelium behind an intact or preciously infected tympanic membrane. To the best of our understanding no reports demonstrates the extension of cholesteatoma from the temporal bone into the foramen magnum. We therefore present a case of cholesteatoma extending down into the foramen magnum. We report a case of 67- year-old man with a giant cholesteatoma extending into the foramen magnum without substantial destruction of the mastoid and petrous temporal bones. The patient's major symptoms were recurrent tinnitus in the left ear and dizziness with unilateral conductive hearing loss. A working diagnosis of cholesteatomas was made combining the symptoms and magnetic resonance imaging findings. He was then successfully operated on with very minimal postoperative complications. Cholesteatomas originating from the mastoid bone often linger with the patients for many years in a subclinical state and progress into a massive size before causing symptoms. Patients with unilateral conductive hearing loss who are otherwise asymptomatic and have a normal tympanic membrane should be suspected with a progressive cholesteatoma. Cholesteatoma should be one of the working diagnosis when an elderly patient present with unilateral conductive hearing loss that is associated with tinnitus and dizziness. PMID- 29844895 TI - An unusual stereoretentive 1,3-quaternary carbon shift resulting in an enantioselective RhII-catalyzed formal [4+1]-cycloaddition between diazo compounds and vinyl ketenes. AB - Enantioselective quaternary carbon construction in the assembly of cyclopentenones employing a RhII-catalyzed, formal [4+1]-cycloaddition is described. A Rh2(S-TCPTTL)4-catalyzed cyclopropanation of a vinyl ketene with a disubstituted diazo compound initiates a stereoretentive, accelerated ring expansion to provide the cycloadduct in good to excellent yields and enantioselectivity. PMID- 29844896 TI - Reversible stapling of unprotected peptides via chemoselective methionine bis alkylation/dealkylation. AB - We have developed a general peptide macrocyclization strategy that involves a facile and chemoselective methionine bis-alkylation/dealkylation process. This method provides a straightforward and easy approach to generate cyclic peptides with tolerances of all amino acids (including Cys), variable loop sizes, and different linkers. The Met bis-alkylation we apply in this strategy yields two additional on-tether positive charges that could assist in the cellular uptake of the peptides. Notably, the bis-alkylated peptide could be reduced to release the original peptide both in vitro and within cellular environments. This strategy provides an intriguing and facile traceless post-peptide-synthesis modification with enhanced cellular uptakes. Peptides constructed with this method could be utilized to zero in on various protein targets or to achieve other goals, such as drug delivery. PMID- 29844897 TI - Bioresponsive and near infrared photon co-enhanced cancer theranostic based on upconversion nanocapsules. AB - Developing nanotheranostics responsive to tumor microenvironments has attracted tremendous attention for on-demand cancer diagnosis and treatment. Herein, a facile Mn-doping strategy was adopted to transform mesoporous silica coated upconversion nanoparticles (UCNPs) to yolk-like upconversion nanostructures which possess a tumor-responsive biodegradation nature. The huge internal space of the innovated nanocarriers is suitable for doxorubicin (DOX) storage, besides, the Mn doped shell is sensitive to the intratumoral acidity and reducibility, which enables shell biodegradation and further accelerates the breakage of Si-O-Si bonds within the silica framework. This tumor-responsive shell degradation is beneficial for realizing tumor-specific DOX release. Subsequently, polyoxometalate (POM) nanoclusters that can enhance photothermal conversion in response to the tumor reducibility and acidity were modified on the surface of the silica shell, thereby achieving NIR-enhanced shell degradation and also preventing premature DOX leakage. The as-produced thermal effect of the POM couples with the chemotherapy effect of the released DOX to perform a synergetic chemo-photothermal therapy. Additionally, the shell degradation brings size shrinkage to the nanocarriers, allowing faster nanoparticle diffusion and deeper tumor penetration, which is significant for improving theranostic outcomes. Also, the drastic decline of the red/green (R/G) ratio caused by the DOX release can be used to monitor the DOX release content through a fluorescence resonance energy transfer (FRET) method. The MRI effect caused by Mn release together with the MRI/CT/UCL imaging derived from Gd3+/Yb3+/Nd3+/Er3+ co-doped UCNPs under 808 nm laser excitation endow the nanosystem with multiple imaging capability, thus realizing imaging-guided cancer therapy. PMID- 29844898 TI - A highly integrated DNA nanomachine operating in living cells powered by an endogenous stimulus. AB - Synthetic molecular machines have received increasing attention because of their great ability to mimic natural biological motors and create novel modes of motion. However, very few examples have been implemented with real autonomous movement inside living cells, due to the challenges of the driving force and highly integrated system design. In this work, we report an elegant, highly integrated DNA nanomachine that can be powered by endogenous ATP molecules and autonomously operated inside living cells without any auxiliary additives. It assembles all components on a single gold nanoparticle (AuNP) including a hairpin locked swing arm encoding a start triggered by an intracellular target molecule and a two-stranded DNA track responding to the motion of the swing arm. When the intracellular target activates the nanomachine via the unlocking swing arm, the machine autonomously and progressively operates on the established DNA track via intramolecular toehold-mediated strand migration and internal ATP binding. This paper also demonstrates the machine's bioanalytical application for specific microRNA (miRNA) imaging in living cells. PMID- 29844899 TI - Lanthanide doping induced electrochemical enhancement of Na2Ti3O7 anodes for sodium-ion batteries. AB - Na2Ti3O7 is considered as a promising anode material for sodium ion batteries (SIBs) due to its excellent high-rate performance compared with hard carbons. However, the electrochemical performance of Na2Ti3O7 is heavily limited by its low electrical conductivity. In this study, we synthesized a series of lanthanide (Ln = La, Ce, Nd, Sm, Gd, Er, and Yb) doped microsized Na2Ti3O7 anode materials and systematically studied the electrochemical performance. Compared with pristine Na2Ti3O7, all the doped samples show superior electrochemical performance. Especially, the Yb3+ doped sample not only delivers a high reversible capacity of 89.4 mA h g-1 at 30C, but also maintains 71.6 mA h g-1 at 5C after 1600 cycles, nearly twice that of pristine Na2Ti3O7. It is found for the first time that the enhancement in doped samples is attributed to the introduction of lanthanides which induces lattice distortion and oxygen vacancies. PMID- 29844900 TI - The role of P-wave dispersion in dystrophic and thalassemic cardiomyopathy. PMID- 29844901 TI - Definition of fields margins for palliative radiotherapy of pancreatic carcinoma. AB - The present study aimed to provide practical guidelines for palliative treatment of advanced carcinoma of the pancreas (CAP) with the 2D technique. Fifteen patients with locally advanced CAP consecutively treated with radiation therapy at the Radiation Oncology Center, Research and Care Foundation 'Giovanni Paolo II' (Campobasso, Italy) underwent computed tomography simulation in supine position. Definition of the clinical target volume (CTV) included the head and body of the pancreas, and the retropancreatic space. The planning target volume was defined by adding a margin of 14 mm to the CTV in the cranio-caudal direction and of 11 mm in radial direction. For each patient, 3 treatment plans were calculated using a cobalt source, 6 MV photons and 15 MV photons (box technique). Beams were drawn using the primary collimators without using multileaf collimators, and progressively optimized in order to respect the minimum dose (Dmin>90%) constraint. Once the final plan was achieved, distances of the fields edges from a set of reference points (bony or duodenal landmarks) were measured. Using this technique, 15 anterior-posterior and postero-anterior (AP-PA) beams and 15 pairs of lateral-lateral (LL) beams were defined for the different patients. Finally, the single minimal AP-PA and LL beams able to include the 15 sets of AP-PA and LL beams were defined. The results of this analysis are reported in tabular form. Guidelines are provided for treatment based on cobalt unit or Linear accelerator (both 6 and 15 MV photons). This study provides information regarding field size and position. A dosimetric study has been planned to identify the dose to be administered with this technique taking into account current dose-volume constraints. PMID- 29844902 TI - Gene expression changes associated with chemotherapy resistance in Ewing sarcoma cells. AB - Ewing Sarcoma (ES) is a highly aggressive bone and soft tissue childhood cancer. The development of resistance to chemotherapy is common and remains the main cause of treatment failure. We herein evaluated the expression of genes associated with chemotherapy resistance in ES cell lines. A set of genes (CCAR1, TUBA1A, POLDIP2, SMARCA4 and SMARCB1) was data-mined for resistance against doxorubicin and vincristine, which are the standard drugs used in the treatment of patients with ES. The expression of each gene in SK-ES-1 ES cells was reported before and after exposure to a drug resistance-inducing protocol. There was a significant downregulation of CCAR1 and TUBA1A in doxorubicin-resistant cells, with low expression of TUBA1A in vincristine-resistant cells. By contrast, POLDIP2 was significantly upregulated in cells resistant to either drug, and the expression of the SMARCB1 and SMARCA4 genes was upregulated in doxorubicin resistant cells. These findings indicate that resistance to specific chemotherapeutic agents was accompanied by differential changes in gene expression in ES tumors. PMID- 29844903 TI - Adrenal collision tumor (parachordoma and ganglioneuroma): A case report. AB - Adrenal collision tumors (ACTs) are distinct tumors that occur simultaneously in the same adrenal gland and are very rare. We herein report the case of a 56-year old woman who was admitted to the hospital for medical imaging. The findings of the physical and laboratory examinations, including endocrine function, were unremarkable. Contrast-enhanced computed tomography of the abdomen revealed a 28*20*33-mm mass in the left adrenal medial limb, for which a laparoscopic surgery was performed. Postoperative pathological examination revealed two distinct tumors, namely a parachordoma and a ganglioneuroma. To the best of our knowledge, and following a thorough literature search, this is the first report of coexisting parachordoma and ganglioneuroma in the same adrenal gland. PMID- 29844904 TI - Pseudomalignant myositis ossificans in the breast: A case report. AB - Myositis ossificans (MO) is characterized by abnormal heterotopic ossification formation, typically involving muscles, tendons, ligaments, fascia, and aponeurosis. It can be categorized into nonhereditary and hereditary types, with the latter being a distinct entity with a separate pathophysiology and treatment approach. The pathophysiology of MO formation remains to be fully elucidated. MO is most commonly observed in muscle tissue as a solitary lesion. The disease has been reported to occur in all ages, including the very young and in atypical locations, including hands, feet, ribs, head and neck. The present case report describes an unusual pseudomalignant form of MO in the breast. The authors discuss the clinical and morphological characteristics of the tumor and its treatment options. PMID- 29844905 TI - Primary pulmonary NK/T-cell lymphoma: A case report and literature review. AB - Extranodal natural killer (NK)/T-cell lymphoma (ENKTL) is an aggressive disease with poor prognosis. The lung is a relatively rare site of involvement. The current study presents a case of primary pulmonary ENKTL with fever and dyspnea, mimicking pneumonia and initially treated with empirical antibiotics. The patient demonstrated rapid deterioration and died shortly following diagnosis. To the best of our knowledge, large-scale investigations referring to primary pulmonary ENKTL are not available. As a result, the exact incidence and clinical features of primary pulmonary ENKTL are unknown. In the current report, a literature review is presented to discuss the clinical characteristics, diagnosis, treatment, and prognosis factors of this malignant disease. PMID- 29844906 TI - Diagnostic and treatment hurdles in plasma cell myeloma with t(11;14) translocation: A case report. AB - t(11;14) translocation is one of the most common chromosomal abnormalities in plasma cell myeloma. The present case report presented a case of plasma cell myeloma with t(11;14) translocation, in which the plasma cells were small lymphoplasmacytoids in morphology with positive cluster of differentiation-20 and Cyclin D1 expression. These results led to initial diagnostic difficulties. The patient was refractory to bortezomib-based therapy, and responsive to vincristine, doxorubicin and dexamethasone. However, the prognostic value of t(11;14) in plasma cell myeloma remains to be determined. With recent advances in treatment options, physicians should be aware of the clinical and pathological characteristics of this translocation in plasma cell myeloma. PMID- 29844907 TI - Pattern of lymph node metastasis in thoracic esophageal squamous cell carcinoma with poor differentiation. AB - The aim of the present study was to explore the pattern of lymph node metastasis (LNM) in poorly-differentiated esophageal squamous cell carcinoma (pdESCC) and the implication of postoperative irradiation. A total of 690 patients with pdESCC were retrospectively investigated. The rates of intro-thoracic and extra-thoracic LNM in pdESCC were investigated and compared to previous research on ESCC en bloc. The comparison of the rates between pdESCC and ESCC were performed using the Cochran-Mantel-Haenszel test. The clinicopathological factors associated with LNM in pdESCC were analyzed by Chi-squared tests, and Fisher's exact test was used to assess the rate difference of extra-thoracic LNM. Logistic-regression analysis was used to explore risk factors associated with lymph node (LN) station. Results demonstrated that the distribution pattern of LNM in pdESCC was significantly different compared with that of ESCC (P<0.05). Univariate and multivariate analysis indicated that risk factors associated with LNM were depth and length (P<0.001 and P<0.001) and multivariate analysis also indicated that the location of the tumor (P=0.042) was a risk factor associated with LNM in pdESCC. Metastasis in the abdominal cavity was significantly higher than in the neck in the middle and lower thoracic pdESCC (both P<0.01). LN station 102 and 7 for upper thoracic ESCC, 101 and 105 for middle thoracic ESCC, and 100 for lower thoracic ESCC were identified as high-risk stations for metastases in pdESCC compared to ESCC. Several parameters, including location and neck metastasis, were identified as risk factors of metastasis for the above sites, respectively. In conclusion, postoperative therapy should include more LN stations in pdESCC depending on risk factors of tumor metastasis individually. PMID- 29844908 TI - Diagnostic accuracy of T stage of gastric cancer from the view point of application of laparoscopic proximal gastrectomy. AB - The preoperative diagnosis of T stage is important in selecting limited treatments, such as laparoscopic proximal gastrectomy (LPG), which lacks the ability to palpate the tumor. Therefore, the present study examined the accuracy of preoperative diagnosis of the depth of tumor invasion in early gastric cancer from the view point of the indication for LPG. A total of 193 patients with cT1 gastric cancer underwent LPG with gastrointestinal endoscopic examinations and a series of upper gastrointestinal radiographs. The patients with pT1 were classified into the correctly diagnosed group (163 patients, 84.5%), and those with pT2 or deeper were classified into the underestimated group (30 patients, 15.5%). Factors that were associated with underestimation of tumor depth were analyzed. Tumor size in the underestimated group was significantly larger; the lesions were more frequently located in the upper third of the stomach and were more histologically diffuse, scirrhous, with infiltrative growth, and more frequent lymphatic and venous invasion. For upper third lesions, in univariate analysis, histology (diffuse type) was associated with underestimation of tumor depth. Multivariate analysis found that tumor size (>=20 mm) and histology (diffuse type) were independently associated with underestimation of tumor depth. gastric cancer in the upper third of the stomach with diffuse type histology and >20 mm needs particular attention when considering the application of LPG. PMID- 29844909 TI - Oncological outcomes classified according to metastatic lesions in the era of molecular targeted drugs for metastatic renal cancer. AB - Since the introduction of molecular targeted agents for the treatment of metastatic renal cell cancer (mRCC), several treatment outcomes, including those from our facilities, have been reported. However, the outcome of these drugs, classified by the metastatic organs, is not well known. The present study reported the treatment results of molecular-targeted agents as classified by the metastatic organ at Osaka City University Graduate School of Medicine. A total of 180 consecutively treated patients who had received molecular targeted agents for metastatic renal cancer for 3 or more months were retrospectively analyzed. The overall survival was calculated and compared according to the Memorial Sloan Kettering Cancer Center (MSKCC) criteria, the number of metastatic organs, and metastatic lesions. The median overall survival of patients with mRCC treated by molecular targeted agents was 34 months. A significant difference in survival rate between groups was found according to the MSKCC criteria. Patients with single metastatic organ lived significantly longer compared with those with metastases in multiple organs. Patients with pancreatic metastasis had a good response to molecular targeted drugs. Pancreatic metastasis, the number of metastatic organs, and MSKCC criteria were independent risk factors for overall survival. Treatment of mRCC by molecularly targeted agents did not show any difference by metastatic organs except for the pancreas, although its efficacy depends on the number of metastatic organs and the MSKCC classification. PMID- 29844910 TI - Factors associated with late arrival of acute stroke patients to emergency department in Saudi Arabia. AB - Background: Tissue plasminogen activator within 4.5 h of onset is effective for acute ischemic stroke. However, only small proportion of patients is treated due to delayed presentation. We aimed to examine the factors associated with delays of stroke patients in Riyadh, Saudi Arabia. Methods: A cross-sectional survey was conducted at King Abdulaziz Medical City, Riyadh, Saudi Arabia, during a 6-month period. An interviewer administered structured questionnaire addressed to the acute stroke patients or their relatives was used to explore the factors associated with delayed arrival. Results: A total of 227 patients attending the emergency department were interviewed. The mean age was 60.4 +/- 15.6 years. Approximately 56.4% presented after 4.5 h of stroke onset. Factors associated with late arrival were being alone during the onset of stroke, not being transported in an ambulance, not knowing that they were experiencing a stroke, and residing outside the city of Riyadh. Conclusion: More than half of patients missed the golden hours for thrombolysis due to delayed presentation. Reasons include lack of knowledge, underuse of ambulance and difficult access to care. Urgent community-based interventions are needed to address these factors. PMID- 29844911 TI - End-of-life decision making by family caregivers of persons with advanced dementia: A literature review of decision aids. AB - Objectives: To investigate existing knowledge in the literature about end-of-life decision making by family caregivers of persons with dementia, focusing on decision aids for caregivers of persons with advanced dementia, and to identify gaps in the literature that can guide future research. Methods: A literature review through systematic searches in PubMed, CINAHL Plus with Full Text, and PsycINFO was conducted in February 2018; publications with full text in English and published in the past 10 years were selected in multiple steps. Results: The final sample included five decision aids with predominantly Caucasian participants; three of them had control groups, and three used audiovisual technology in presenting the intervention materials. No other technology was used in any intervention. Existing interventions lacked tailoring of information to caregivers' preferences for different types and amounts of information necessary to make decisions consistent with patients' values. Conclusion: Research is needed in exploring the use of technology in decision aids that could provide tailored information to facilitate caregivers' decision making. More diverse samples are needed. PMID- 29844912 TI - Adverse events of smoking cessation treatments (nicotine replacement therapy and non-nicotine prescription medication) and electronic cigarettes in the Food and Drug Administration Adverse Event Reporting System, 2004-2016. AB - Objectives: Several smoking cessation treatments (nicotine replacement therapy and non-nicotine prescription medication) and electronic cigarettes are widely used. We evaluated the adverse events related to smoking cessation treatments and electronic cigarettes in the US Food and Drug Administration Adverse Event Reporting System database. Methods: We analyzed reports of adverse events associated with smoking cessation treatment and electronic cigarettes terms dated between January 2004 and December 2016. We used the reporting odds ratio with 95% confidence intervals to detect a signal for each adverse event. Results: In total, 8,867,135 reports in the Food and Drug Administration Adverse Event Reporting System database were analyzed. The numbers of adverse events for nicotine replacement therapy (transdermal, buccal, oral, and respiratory administration) were 1673, 1016, 425, and 56, respectively. Nicotine replacement therapy (transdermal, buccal, and oral) demonstrated adverse events of nausea, nicotine dependence, and dizziness. For nicotine (transdermal) exposure, the top 5 adverse events reported were nausea (149 cases, reporting odds ratio: 2.28 (95% confidence interval: 1.92-2.69)), dizziness (132 cases, reporting odds ratio: 3.04 (95% confidence interval: 2.54-3.63)), application site erythema (108 cases, reporting odds ratio: 32.52 (95% confidence interval: 26.74-39.55)), headache (98 cases, reporting odds ratio: 1.84 (95% confidence interval: 1.50-2.25)), and dyspnea (94 cases, reporting odds ratio: 1.93 (95% confidence interval: 1.57 2.38)). Many cases of improper use of nicotine replacement therapies were reported. Nausea, depression, abnormal dreams, insomnia, and other adverse events were reported for varenicline. Insomnia, rash, anxiety, and dizziness were reported for bupropion. We observed electronic cigarettes-related adverse events such as dizziness, dyspnea, nausea, heart rate increased, and tremor. Conclusion: Our findings suggest that an association exists between nicotine-related adverse events and nicotine replacement therapy. Healthcare professionals should closely monitor smokers trying to quit nicotine use for the misuse of nicotine replacement therapy. These findings may be informative to healthcare professionals in order to improve the management of smoking cessation treatment. PMID- 29844914 TI - A Collet-Sicard syndrome due to internal carotid artery dissection associated with cerebral amyloid angiopathy-related inflammation. AB - Background: Cerebral amyloid angiopathy-related inflammation is a rare condition with approximately 100 reported cases. Its clinical manifestations are varied. We report here a novel presentation of this disease. Case presentation: A 61-year old Caucasian man presented with rapidly progressive paralysis of the IX, X, XI and XII right cranial nerves associated with right central facial nerve palsy. Brain computed tomography angiography and cerebral catheter angiography found a focal fusiform enlargement of the distal cervical portion of the right internal carotid artery, related to a pseudo-aneurysm suggesting an evolution of a dissection and intra-cranial vessel dysplasia. Brain magnetic resonance imaging showed multiple asymmetrical subcortical regions of hyperintensity on T2 fluid attenuated inversion recovery sequences. Punctiform cortical hyposignals on T2 weighted gradient echo magnetic resonance imaging sequences were mostly congruent with the white matter hyperintensities. There was a decreased cerebral perfusion at the frontal hyperintense fluid-attenuated inversion recovery region. Spectrometry identified a lactate-lipid peak. A brain biopsy showed intravascular amyloid deposits. Corticosteroid therapy was initiated, leading to a dramatic improvement of both clinical condition and magnetic resonance imaging brain lesions. Conclusion: This case report suggests that extra-cranial vasculitis and dysplasia can exceptionally be found in patients satisfying cerebral amyloid angiopathy-related inflammation criteria. PMID- 29844913 TI - Clinical correlates and outcomes in a group of Puerto Ricans with systemic lupus erythematosus hospitalized due to severe infections. AB - Objective: Infections are a major cause of morbidity and mortality in systemic lupus erythematosus. Clinical outcomes of systemic lupus erythematosus patients hospitalized due to infections vary among different ethnic populations. Thus, we determined the outcomes and associated factors in a group of Hispanics from Puerto Rico with systemic lupus erythematosus admitted due to severe infections. Methods: Records of systemic lupus erythematosus patients admitted to the Adult University Hospital, San Juan, Puerto Rico, from January 2006 to December 2014 were examined. Demographic parameters, lupus manifestations, comorbidities, pharmacologic treatments, inpatient complications, length of stay, readmissions, and mortality were determined. Patients with and without infections were compared using bivariate and multivariate analyses. Results: A total of 204 admissions corresponding to 129 systemic lupus erythematosus patients were studied. The mean (standard deviation) age was 34.7 (11.6) years; 90% were women. The main causes for admission were lupus flare (45.1%), infection (44.0%), and initial presentation of systemic lupus erythematosus (6.4%). The most common infections were complicated urinary tract infections (47.0%) and soft tissue infections (42.0%). In the multivariate analysis, patients admitted with infections were more likely to have diabetes mellitus (odds ratio: 4.20, 95% confidence interval: 1.23-14.41), exposure to aspirin prior to hospitalization (odds ratio: 4.04, 95% confidence interval: 1.03-15.80), and higher mortality (odds ratio: 6.00, 95% confidence interval: 1.01-35.68) than those without infection. Conclusion: In this population of systemic lupus erythematosus patients, 44% of hospitalizations were due to severe infections. Patients with infections were more likely to have diabetes mellitus and higher mortality. Preventive and control measures of infection could be crucial to improve survival in these patients. PMID- 29844915 TI - Intellectual disability in patients with epilepsy with eyelid myoclonias. AB - We describe here the clinical outcome of four women with epilepsy with eyelid myoclonia (aged 21-53 years). All patients had an uneventful early history, normal physical growth and appearance and no comorbid sensory or motor disability and normal brain magnetic resonance imaging finding. Two women were moderately and one mildly intellectually disabled and one showed a low-average intelligence. The overall well-being of the patients was hampered by psychiatric or various somatic comorbidities and related psychosocial problems. The three women with an intellectual disability had been treated with narrow-spectrum antiepileptic drugs and one also with vigabatrin during childhood and adolescence. The patient with a low-average intelligence had been on broad-spectrum antiepileptic medication (i.e. valproate and ethosuximide) since the epilepsy diagnosis but she has had compliance problems. Based on these cases, the cognitive deficits in patients with epilepsy with eyelid myoclonia may occur more commonly than what has been thought hitherto. We discuss the role of narrow-spectrum antiepileptic drugs as a contributing factor to poor seizure control and an impaired intelligence. PMID- 29844916 TI - Multiple spontaneous hemorrhages after commencing warfarin therapy. AB - A 94 year-old Japanese woman with renal dysfunction was admitted to our hospital for congestive heart failure caused by atrial fibrillation with rapid ventricular response. Considering the risk of stroke, warfarin was commenced. However, she developed shock following brachial and retroperitoneal hemorrhage 4 days after starting warfarin despite not being over-anticoagulated. She recovered after receiving blood transfusion and intravenous vitamin K2. Bleeding during warfarin administration occurs more frequently in older individuals with lower glomerular filtration rates, especially within the first 30 days of warfarin treatment. Physicians should therefore check for unexpected bleeding after commencing warfarin and be prepared to reverse anticoagulation. PMID- 29844917 TI - Identification of a rare BMP pathway mutation in a non-syndromic human brain arteriovenous malformation via exome sequencing. AB - Brain arteriovenous malformations (AVMs) are abnormal connections between arteries and veins that can result in hemorrhagic stroke. A genetic basis for AVMs is suspected, and we investigated potential mutations in a 14-year-old girl who developed a recurrent brain AVM. Whole-exome sequencing (WES) of AVM lesion tissue and blood was performed accompanied by in silico modeling, protein expression observation in lesion tissue and zebrafish modeling. A stop-gain mutation (c.C739T:p.R247X) in the gene SMAD family member 9 (SMAD9) was discovered. In the human brain tissue, immunofluorescent staining demonstrated a vascular predominance of SMAD9 at the protein level. Vascular SMAD9 was markedly reduced in AVM peri-nidal blood vessels, which was accompanied by a decrease in phosphorylated SMAD4, a downstream effector protein of the bone morphogenic protein signaling pathway. Zebrafish modeling (Tg kdrl:eGFP) of the morpholino splice site and translation-blocking knockdown of SMAD9 resulted in abnormal cerebral artery-to-vein connections with morphologic similarities to human AVMs. Orthogonal trajectories of evidence established a relationship between the candidate mutation discovered in SMAD9 via WES and the clinical phenotype. Replication in similar rare cases of recurrent AVM, or even more broadly sporadic AVM, may be informative in building a more comprehensive understanding of AVM pathogenesis. PMID- 29844918 TI - Attitudes and Opinions of Canadian Nephrologists Toward Continuous Quality Improvement Options. AB - Background and objectives: A shift to holding individual physicians accountable for patient outcomes, rather than facilities, is intuitively attractive to policy makers and to the public. We were interested in nephrologists' attitudes to, and awareness of, quality metrics and how nephrologists would view a potential switch from the current model of facility-based quality measurement and reporting to publically available reports at the individual physician level. Design setting participants and measurements: The study was conducted using a web-based survey instrument (Online Appendix 1). The survey was initially pilot tested on a group of 8 nephrologists from across Canada. The survey was then finalized and e-mailed to 330 nephrologists through the Canadian Society of Nephrology (CSN) e-mail distribution list. The 127 respondents were 80% university based, and 33% were medical/dialysis directors. Results: The response rate was 43%. Results demonstrate that 89% of Canadian nephrologists are engaged in efforts to improve the quality of patient care. A minority of those surveyed (29%) had training in quality improvement. They feel accountable for this and would welcome the inclusion of patient-centered metrics of care quality. Support for public reporting as an effective strategy on an individual nephrologist level was 30%. Conclusions: Support for public reporting of individual nephrologist performance was low. The care of nephrology patients will be best served by the continued development of a critical mass of physicians trained in patient safety and quality improvement, by focusing on patient-centered metrics of care delivery, and by validating that all proposed new methods are shown to improve patient care and outcomes. PMID- 29844919 TI - Overview of Self-Management Resources Used by Canadian Chronic Kidney Disease Clinics: A National Survey. AB - Background: Chronic kidney disease (CKD) clinics across Canada provide tailored care for patients with CKD with an aim to slow progression and prevent complications. These clinics provide CKD self-management resources; however, there is limited information about what resources are being used by clinics. We undertook a survey of CKD clinics across Canada to identify self-management resources for adults aged 18 years and over with CKD categories 1 to 5 and not requiring dialysis or transplant. Objective: To identify and collate self management resources (eg, strategies, tools, educational materials) used by CKD clinics across Canada for adults with CKD (categories 1 to 5, not requiring kidney replacement therapy). Design: Self-administered, semistructured electronic survey. Setting participants: Canadian CKD clinics with previously identified contact information. Methods and measurements: We contacted 57 CKD English speaking clinics and invited them to complete an online survey. The survey was available from October 2016 to January 2017 and consisted of 17 questions regarding the use and attributes of self-management resources including topic, delivery format, provider, target population, where the intervention was provided, and resource languages. Results: Forty-four clinics (77%) completed the survey. The most common topic was modality education provided in print format, by nurses. The most frequently used resource was the Kidney Foundation of Canada (KFOC) Living With Kidney Disease manual. We also identified that the majority of resources were available in English, targeting both patients and caregivers in the outpatient setting. Limitations: Our survey included Canadian adult CKD clinics, which may not be generalizability to other settings, such as care of people with CKD in primary care. Conclusions: Adult CKD clinics across Canada provide some similar resources, but also provide many different self-management resources. Even though some of the same resources were used by multiple clinics, the way they were provided them (ie, provider, location, delivery format) varied by the individual clinics. Knowledge of self-management resources currently provided in CKD clinics, along with synthesis of the literature and patient preferred self-management strategies, will inform the design and development of a novel self-management intervention that is patient-centric and adheres to the principles of self-management. PMID- 29844920 TI - Aggregatibacter actinomycetemcomitans H-NS promotes biofilm formation and alters protein dynamics of other species within a polymicrobial oral biofilm. AB - Aggregatibacter actinomycetemcomitans is a Gram-negative organism, strongly associated with aggressive forms of periodontitis. An important virulence property of A. actinomycetemcomitans is its ability to form tenacious biofilms that can attach to abiotic as well as biotic surfaces. The histone-like (H-NS) family of nucleoid-structuring proteins act as transcriptional silencers in many Gram-negative bacteria. To evaluate the role of H-NS in A. actinomycetemcomitans, hns mutant derivatives of serotype a strain D7S were generated. Characteristics of the hns mutant phenotype included shorter and fewer pili, and substantially lower monospecies biofilm formation relative to the wild type. Furthermore, the D7S hns mutant exhibited significantly reduced growth within a seven-species oral biofilm model. However, no apparent difference was observed regarding the numbers and proportions of the remaining six species regardless of being co-cultivated with D7S hns or its parental strain. Proteomics analysis of the strains grown in monocultures confirmed the role of H-NS as a repressor of gene expression in A. actinomycetemcomitans. Interestingly, proteomics analysis of the multispecies biofilms indicated that the A. actinomycetemcomitans wild type and hns mutant imposed different regulatory effects on the pattern of protein expression in the other species, i.e., mainly Streptococcus spp., Fusobacterium nucleatum, and Veillonella dispar. Gene ontology analysis revealed that a large portion of the differentially regulated proteins was related to translational activity. Taken together, our data suggest that, apart from being a negative regulator of protein expression in A. actinomycetemcomitans, H-NS promotes biofilm formation and may be an important factor for survival of this species within a multispecies biofilm. PMID- 29844921 TI - Lipid analysis of Eimeria sporozoites reveals exclusive phospholipids, a phylogenetic mosaic of endogenous synthesis, and a host-independent lifestyle. AB - Successful inter-host transmission of most apicomplexan parasites requires the formation of infective sporozoites within the oocysts. Unlike all other infective stages that are strictly intracellular and depend on host resources, the sporozoite stage develops outside the host cells, but little is known about its self-governing metabolism. This study deployed Eimeria falciformis, a parasite infecting the mouse as its natural host, to investigate the process of phospholipid biogenesis in sporozoites. Lipidomic analyses demonstrated the occurrence of prototypical phospholipids along with abundant expression of at least two exclusive lipids, phosphatidylthreonine (PtdThr) and inositol phosphorylceramide with a phytosphingosine backbone, in sporozoites. To produce them de novo, the parasite harbors nearly the entire biogenesis network, which is an evolutionary mosaic of eukaryotic-type and prokaryotic-type enzymes. Notably, many have no phylogenetic counterpart or functional equivalent in the mammalian host. Using Toxoplasma gondii as a gene-tractable surrogate to examine Eimeria enzymes, we show a highly compartmentalized network of lipid synthesis spread primarily in the apicoplast, endoplasmic reticulum, mitochondrion, and Golgi complex. Likewise, trans-genera complementation of a Toxoplasma mutant with the PtdThr synthase from Eimeria reveals a convergent role of PtdThr in fostering the lytic cycle of coccidian parasites. Taken together, our work establishes a model of autonomous membrane biogenesis involving significant inter-organelle cooperation and lipid trafficking in sporozoites. Phylogenetic divergence of certain pathways offers attractive drug targets to block the sporulation and subsequent transmission. Not least, our results vindicate the possession of an entire de novo lipid synthesis network in a representative protist adapted to an obligate intracellular parasitic lifestyle. PMID- 29844923 TI - Foreword. PMID- 29844922 TI - Transcriptional timing and noise of yeast cell cycle regulators-a single cell and single molecule approach. AB - Gene expression is a stochastic process and its appropriate regulation is critical for cell cycle progression. Cellular stress response necessitates expression reprogramming and cell cycle arrest. While previous studies are mostly based on bulk experiments influenced by synchronization effects or lack temporal distribution, time-resolved methods on single cells are needed to understand eukaryotic cell cycle in context of noisy gene expression and external perturbations. Using smFISH, microscopy and morphological markers, we monitored mRNA abundances over cell cycle phases and calculated transcriptional noise for SIC1, CLN2, and CLB5, the main G1/S transition regulators in budding yeast. We employed mathematical modeling for in silico synchronization and for derivation of time-courses from single cell data. This approach disclosed detailed quantitative insights into transcriptional regulation with and without stress, not available from bulk experiments before. First, besides the main peak in G1 we found an upshift of CLN2 and CLB5 expression in late mitosis. Second, all three genes showed basal expression throughout cell cycle enlightening that transcription is not divided in on and off but rather in high and low phases. Finally, exposing cells to osmotic stress revealed different periods of transcriptional inhibition for CLN2 and CLB5 and the impact of stress on cell cycle phase duration. Combining experimental and computational approaches allowed us to precisely assess cell cycle progression timing, as well as gene expression dynamics. PMID- 29844924 TI - Erratum to: Impact of Exercise Training on Peak Oxygen Uptake and its Determinants in Heart Failure with Preserved Ejection Fraction. AB - [This corrects the article DOI: 10.15420/cfr.2016:16:2.]. PMID- 29844925 TI - Decompression for botulinum toxin-exacerbated cervical myeloradiculopathy in the setting of congenital stenosis and Arnold-Chiari I malformation. AB - Introduction: We present a case describing the management of a woman with severe, functionally limiting cervical myeloradiculopathy in the setting of congenital cervical canal stenosis and Arnold-Chiari I malformation. Case presentation: The subject is a 57-year-old woman with prior anterior cervical discectomy and fusion who presented with left-sided neck pain associated with radiculopathy, migraine, gait incoordination, and cervical dystonia. Cervical stenosis and Chiari malformation were confirmed using MRI. Conservative management with botulinum toxin, oral muscle relaxants, and cervical brace led to gradual exacerbation of symptoms. Due to failure of conservative management, surgical decompression with C3-C6 posterior laminoplasty was performed, resulting in complete resolution of all symptoms and markedly improved quality of life. Discussion: This case reports a severe and nonspecific presentation of cervical myeloradiculopathy. Surgery for cervical myeloradiculopathy is controversial, and conservative therapy is initially preferred. However, in this case, conservative treatments likely led to paraspinal weakness, cervical hypermobility, and biomechanical instability, resulting in exacerbation of symptoms. Stretch/shear forces have been postulated to accelerate cervical myelopathy, and excessive cervical instability and range of motion are significant predictors of deterioration. In this case, surgical decompression with posterior cervical laminoplasty after 1 year of conservative management yielded significant pain relief and functional restoration, indicating the utility of this procedure even in the presence of Arnold-Chiari I malformation. This case illustrates that decompression can be effective for refractory cervical myeloradiculopathy associated with Chiari malformation, congenital stenosis, and prior anterior instrumentation, and highlights the potential risks of prolonged conservative management. PMID- 29844926 TI - Asymptomatic tachycardia and acute pulmonary embolism in a case of tuberculosis spondylodiscitis. AB - Introduction: Tachycardia, or elevated heart rate is one of the important clinical parameters considered when diagnosing pulmonary embolism (PE) based on Wells' criteria. However, tachycardia is not highly specific and commonly presents in many other conditions. Case presentation: A 29-year-old female with incomplete paraplegia secondary to tuberculosis (TB) spondylodiscitis presented with asymptomatic sinus tachycardia. The related medical conditions, including anaemia, acute coronary syndrome, hyperthyroidism and other infective causes had been ruled out. Deep venous thrombosis was not on the list of differentials as she showed improvements in neurological and mobility functions with no clinical signs of calf pain or swelling. She had moderate risk of acute PE based on Wells' criteria with positive D-dimer testing and computed tomography pulmonary angiography (CTPA) showing thrombus formation in the left-ascending pulmonary artery. Discussion: Acute PE may present solely with asymptomatic sinus tachycardia in TB spondylodiscitis. This caveat should provide a high index of suspicion to prevent delay in diagnosis and prevention of more sinister complications. Early stratification based on Wells' criteria for a possible diagnosis of acute PE is proven to be a useful approach in conjunction with clinical features. PMID- 29844927 TI - Delayed diagnosis of traumatic gunshot wound Brown-Sequard-plus syndrome due to associated brachial plexopathy. AB - Introduction: Brown-Sequard Syndrome (BSS) is one of the rarest incomplete spinal cord syndromes. The combination of injuries to peripheral nerves and the central nervous system result in an array of symptoms that can result in overlapping clinical presentations and delayed diagnosis. Early detection of spinal cord injury in patients with peripheral nerve injury has been observed to have a positive effect on outcomes. Case presentation: This report discusses the case of a 29-year-old male patient with Brown-Sequard-Plus Syndrome (BSPS) and Brachial Plexopathy (BP) secondary to gunshot wound in the left inferior neck. The patient was found initially with left hemibody weakness. A chest CT Scan demonstrated a fracture of the left T2 transverse process. Imaging studies of the spinal cord were not performed in the acute setting. Evaluation in an outpatient setting 3 weeks later showed significant left upper extremity weakness with improvement of left lower extremity strength. Also present were loss of pain and temperature sensation on the right side below the T2 dermatome level. A cervico-thoracic MRI was requested and revealed a T2 level spinal cord contusion. Electrodiagnostic studies confirmed a lower trunk left BP. Discussion: The patient was diagnosed with BSPS and associated left lower trunk BP. To our knowledge, this is the first reported case of a concomitant BSPS and BP secondary to a gunshot wound. Delayed diagnosis of BSPS may occur in a trauma setting underlying the importance of a detailed history and physical examination for favorable outcomes. PMID- 29844928 TI - International Spinal Cord Society (ISCoS) database: Asian Spinal Cord Network (ASCoN) Pilot Project [IDAPP]. AB - Study design: Global mapping project of ISCoS for traumatic spinal cord injury (T SCI) highlighted paucity of data from low and middle income countries (LMICs). Recognizing this gap, IDAPP study of one year duration was proposed as the first step to develop an International SCI database. Objectives: Primary objective was to assess database variables, processes involved and web platform for their suitability with a view to provide guidance for a large scale global project. Secondary objective was to capture demographic and selected injury/safety data on patients with T-SCI with a view to formulate prevention strategies. Setting: Nine centers from Asia. Methods: All patients with T-SCI admitted for first time were included. International SCI Core Data Set and especially compiled Minimal Safety Data Set were used as data elements. Questionnaire was used for feedback from centers. Results: Results showed relevance and appropriateness of processes, data variables and web platform of the study. Ease of entering and retrieval of data from web platform was confirmed. Cost of one year IDAPP study was USD 7780. 975 patients were enrolled. 790 (81%) were males. High falls (n = 513, 52%) as a cause and complete injuries (n = 547, 56%) were more common. There was a higher percentage of thoracic and lumbar injuries (n = 516, 53%). Conclusions: The study confirms that establishing the SCI database is possible using the variables, processes and web platform of the pilot study. It also provides a low cost solution. Expansion to other centers/regions and including non-traumatic SCI would be the next step forward. PMID- 29844929 TI - Spinal cord injured women's treatment of breast carcinoma: alert to complications. AB - Introduction: Women with spinal cord injury (SCI) and who develop breast cancer are a vulnerable and potentially overlooked population. They experience risk factors owing to decreased mobility and are at risk for unique complications from their oncologic treatment. Case presentation: A 54-year-old woman who suffered a T6 AIS A traumatic SCI in 1981, who was diagnosed 32 years later with estrogen receptor and progesterone receptor positive and human epidermal growth factor receptor 2-negative invasive ductal carcinoma. During the course of her chemotherapy, she experienced several complications, including reflexive diaphoresis, urinary tract infection, leukopenia, anemia, dehydration, and weakness. These contributed to the development of a stage 4 ischial pressure sore, which required complex treatment. Discussion: There is a paucity of literature examining the complications of chemotherapy that may be unique to those with SCI. Physiatrists will be seeing more women undergoing oncologic care, as this population of patients ages. A multidisciplinary approach that takes into account the pathophysiologic changes associated with SCI is crucial to understand and prevent complications that could affect their outcomes and contribute to increased cost in a value-based health-care system. PMID- 29844930 TI - Macrophage inducible nitric oxide synthase circulates inflammation and promotes lung carcinogenesis. AB - Human lung squamous cell carcinoma (SCC) is highly associated with increased pulmonary macrophage infiltration. Previously, we showed that marked pulmonary infiltrating macrophages were required for spontaneous lung SCC development in a mouse model (L-IkkalphaKA/KA , KA/KA) that resembles human lung SCC. Interestingly the lung SCC-associated macrophages specifically express elevated inducible nitric oxide synthase (NOS2). However, the role of macrophage NOS2 in lung carcinogenesis has not been explored. Here, we show that NOS2 ablation inhibits macrophage infiltration, fibrosis, and SCC development in the lungs of KA/KA mice. Macrophage NOS2 was found to circulate inflammation and enhance macrophage migration and survival. NOS2 promotes foamy macrophage formation characterized with impaired lipid metabolism. NOS2 null bone marrow transplantation reduces foamy macrophage numbers and carcinogenesis in KA/KA chimaeras. This finding sheds light on a new mechanism by which macrophage NOS2 increases pulmonary inflammatory responses and macrophage survival and impairs macrophage lipid metabolism, thereby promoting lung SCC formation. PMID- 29844931 TI - Dasatinib reduces 5-Fu-triggered apoptosis in colon carcinoma by directly modulating Src-dependent caspase-9 phosphorylation. AB - Preclinical data have revealed the inhibitory effect of dasatinib on colon cancer. However, a combination of dasatinib and conventional chemotherapy has failed to show any meaningful outcome in a series of clinical trials. We, therefore, wondered whether Src kinase inhibitors were suitable for treating colon cancer in combination with chemotherapy drugs. This study was designed to explore whether dasatinib disturbed 5-Fu-triggered apoptosis in colon carcinoma. As a result, we established that Src was able to directly phosphorylate caspase-9 at tyrosine 251, leading to elevated caspase-9 activity. Dasatinib dramatically decreased 5-Fu triggered apoptosis in colon carcinoma via suppression of Src activation. Our findings may have partially explained why dasatinib combined with FOLFOX failed to show a meaningful clinical response in mCRC. PMID- 29844932 TI - Cordycepin induces apoptosis of human ovarian cancer cells by inhibiting CCL5 mediated Akt/NF-kappaB signaling pathway. AB - The chemokine, CCL5, is a key mediator for the recruitment of immune cells into tumors and tissues. Akt/NF-kappaB signaling is significantly activated by CCL5. However, the role of NF-kappaB inactivation in apoptosis induced by negative regulation of CCL5 remains unclear. Here, we analyzed the effect of cordycepin on NF-kappaB activity in SKOV-3 cells and found that cordycepin-mediated inhibition of NF-kappaB signaling induced apoptosis in SKOV-3 cells via the serial activation of caspases. In addition, immune-blotting analysis showed that CCL5 is highly expressed in SKOV-3 cells. In addition to activating caspases, we show that, cordycepin prevents TNF-alpha-induced increase in CCL5, Akt, NF-kappaB, and c-FLIPL activation and that CCL5 siRNA could inhibit Akt/NF-kappaB signaling. Moreover, cordycepin negatively regulated the TNF-alpha-mediated IkappaB/NF kappaB pathway and c-FLIPL activation to promote JNK phosphorylation, resulting in caspase-3 activation and apoptosis. Also, we show that c-FLIPL is rapidly lost in NF-kappaB activation-deficient. siRNA mediated c-FLIP inhibition increased JNK. SP600125, a selective JNK inhibitor, downregulated p-JNK expression in cordycepin-treated SKOV-3 cells, leading to suppression of cordycepin-induced apoptosis. Thus, these results indicate that cordycepin inhibits CCL5-mediated Akt/NF-kappaB signaling, which upregulates caspase-3 activation in SKOV-3 cells, supporting the potential of cordycepin as a therapeutic agent for ovarian cancer. PMID- 29844934 TI - The relationship between splenic length in healthy children from the Eastern Anatolia Region and sex, age, body height and weight. AB - Purposes: The normal limits of spleen size must be known in order for pathological changes to be noticed. The aim of this retrospective study is to determine the normal limits of spleen size in healthy children and to reveal their relation to sex, age, body height and weight. Patients and methods: Three hundred and ten children (150 girls and 160 boys) between 0-16 years of age in Eastern Anatolia Region who had normal spleen ultrasound appearances were included in this study. The greatest longitudinal distance of the spleen from the dome to the tip (splenic length) measured at the hilum in the coronal plane was obtained by ultrasonography. Results: There was no significant difference between the sexes in children. Also, no statistically significant differences were found between the two sexes in any age group for splenic length (t-test, p > 0.05). Therefore, all data were rearranged without being separated according to sex. The correlation analysis has shown a positive and significant correlation between splenic length and age, body height, and weight, with high correlation coefficients (r > 0.80). Splenic length showed the strongest correlation with body height. Conclusion: In children clinically suspected of organomegaly, splenic length can be used to assess organ size. The presented data can be applied to routine ultrasonography examinations. PMID- 29844935 TI - Cartilaginous compression of the liver - clinical and ultrasonographic aspects. AB - Introduction: The musculocartilaginous complex is a structure composed of cartilaginous, osseous and muscular elements, which is located at the thoracoabdominal junction, at the level of the right costal arch. Aim: To determine the ultrasonographic characteristics of this complex under normal conditions as well as to demonstrate its effects on the liver depending on the constitutional body built, respiratory phase and patient's body position. Materials and methods: All abdominal ultrasound scans were performed between 2006 and 2015. A total of 1000 patients (566 females and 434 males aged between 35 and 82 years, mean age 52 years), who had no significant upper abdominal pathologies identified based on clinical and imaging data, were enrolled for the analysis. In addition to standard internal organ assessment, we also attempted to identify the symptoms of hepatic compression by the musculocartilaginous complex. We used 3-6 MHz convex and 7-12 MHz linear transducers. The degree of musculocartilaginous compression of the liver was assessed during breathing in supine and sitting position, as well as with trunk inclined forward. Results: The study showed that musculocartilaginous compression of the liver mostly affects females (96%) with leptosomatic body build. The complex compressing the liver shows a heterogeneous echostructure. Increased hepatic compression was observed during exhalation, in a sitting position and with trunk inclined forward. Conclusions: Cartilaginous compression of the liver depends on body built and patient's body position. The musculocartilaginous complex may cause focal or segmental compression of the hepatic parenchyma, causing pain in the right upper abdomen in some patients. PMID- 29844933 TI - miRNAs reshape immunity and inflammatory responses in bacterial infection. AB - Pathogenic bacteria cause various infections worldwide, especially in immunocompromised and other susceptible individuals, and are also associated with high infant mortality rates in developing countries. MicroRNAs (miRNAs), small non-coding RNAs with evolutionarily conserved sequences, are expressed in various tissues and cells that play key part in various physiological and pathologic processes. Increasing evidence implies roles for miRNAs in bacterial infectious diseases by modulating inflammatory responses, cell penetration, tissue remodeling, and innate and adaptive immunity. This review highlights some recent intriguing findings, ranging from the correlation between aberrant expression of miRNAs with bacterial infection progression to their profound impact on host immune responses. Harnessing of dysregulated miRNAs in bacterial infection may be an approach to improving the diagnosis, prevention and therapy of infectious diseases. PMID- 29844936 TI - The sonoanatomy of lumbar erector spinae and its iliac attachment - the potential substrate of the iliac crest pain syndrome, an ultrasound study in healthy subjects. AB - Background: Iliac crest pain syndrome is a regional pain syndrome that has been identified in many patients with low back pain. Based on anatomical studies, it was suggested that the potential substrate of this syndrome might be the enthesis of the erector spinae muscle at the posterior medial iliac crest. As there have been no imaging studies of this important enthesis, our aim was to assess its characteristics by ultrasound. Methods: Erector spinae enthesis was first studied in a cadaver. Then its characteristics were recorded in 25 healthy volunteers (median age: 28.92, SD: 5.31, mean Body Mass Index 22.61, SD: 3.38), with Esaote My Lab 7 machine using linear transducer (4-13 MHz). Results: The cadaver study confirmed the attachment of a substantial part of erector spinae to a well defined region on the medial posterior iliac crest. The US study in the volunteers consistently showed the entheses as typical hyperechoic fibrillar structures, slightly oblique to the skin in the longitudinal plane and attaching to the iliac crest. In the transverse plane, the entheses were seen as oval, densely dotted structures in contact with the superior edge of posterior superior iliac spine. Their mean thickness (4.9 +/- 0.6 and 5.2 +/- 0.7 mm longitudinally; 4.3 +/- 0.6 and 4.4 +/- 0.7 mm transversely), maximum width (16.3 +/- 2.8 and 15.7 +/- 2.3 mm) and depth (10.8 +/- 7.3 and 10.6 +/- 6.2 mm) on the left and right side, respectively, as well as their echostructure were recorded and described. Conclusions: The erector spinae entheses could be assessed in detail by ultrasound, thus their pathological transformation associated with iliac crest pain syndrome could be identified. PMID- 29844937 TI - Utility of Doppler parameters at 36-42 weeks' gestation in the prediction of adverse perinatal outcomes in appropriate-for-gestational-age fetuses. AB - Aim: To investigate the potential value of Doppler ultrasound and to assess cerebroplacental ratio (CPR) in the prediction of adverse perinatal outcome defined as Apgar score < 7 at 1 minute. Material and methods: This was a retrospective cross-sectional study in selected pregnant women undergoing an ultrasound examination between 36 and 42 weeks of gestation. We measured estimated fetal weight (EFW), mean umbilical artery pulsatility index (UA PI), mean middle cerebral artery pulsatility index (MCA PI), CPR, and Apgar score in 1 minute. Multiples of medians (MoM) were calculated for MCA PI and UA PI. Results: The study group consisted of 446 women, 236 were primipara and 210 were multipara. The average age was 29.6 years (range 16-46 years). The average week of delivery is 39.5 weeks of gestation (range 36-42). Mean MCA PI and UA PI were 1.3 (0.1-2.45) and 0.8 (0.39-1.66), respectively. The mean values were 1.03 (0.1 1.9) for MCA PI MoM and 1.04 (0.5-2.1) for UA PI MoM. Primiparas had lower values of MCA PI (1.27 vs. 1.34), MCA PI MoM (1.00 vs. 1.05), CPR (1.62 vs. 1.73), EFW (3479.53 g vs. 3579.25 g) and birth weight (3513.50 g vs. 3617.79 g). For CPR cut off point of 1.08: sensitivity was (0.945), specificity 0.1, positive predictive values 0.979, negative predictive values 0.04 and accuracy 0.926. The ROC curves for CPR were: area under the curve was 0.52 at CI 95% (0.342-0.698), p = 0.8271. Conclusion: Screening in pregnancies with appropriate-for-gestational-age fetuses at 36-42 weeks of gestation using Doppler parameters is not useful in the prediction of adverse perinatal outcomes like an Apgar score < 7 at 1 minute. PMID- 29844938 TI - Diagnostic accuracy of sonoelastography in different diseases. AB - The objective of this study was to evaluate the diagnostic accuracy of sonoelastography in patients of primary and secondary health care settings. Google scholar, PubMed, Medline, Medscape, Wikipedia and NCBI were searched in October 2017 for all original studies and review articles to identify the relevant material. Two reviewers independently selected articles for evaluation of the diagnostic accuracy of sonoelastography in different diseases based on titles and abstracts retrieved by the literature search. The accuracy of sonoelastography in different diseases was used as the index text, while B-mode sonography, micro pure imaging, surgery and histological findings were used as reference texts. Superficial lymph nodes, neck nodules, malignancy in thyroid nodules, benign and malignant cervical lymph nodes, thyroid nodules, prostate carcinoma, benign and malignant breast abnormalities, liver diseases, parotid and salivary gland masses, pancreatic masses, musculoskeletal diseases and renal disorders were target conditions. The data extracted by the two reviewers concerning selected study characteristics and results were presented in tables and figures. In total, 46 studies were found for breast masses, lymph nodes, prostate carcinoma, liver diseases, salivary and parotid gland diseases, pancreatic masses, musculoskeletal diseases and renal diseases, and the overall sensitivity of sonoelastography in diagnosing all these diseases was 83.14% while specificity was 81.41%. This literature review demonstrates that sonoelastography is characterized by high sensitivity and specificity in diagnosing different disorders of the body. PMID- 29844939 TI - Clinical applications of spleen ultrasound elastography - a review. AB - In the last few years, notable technical progress has taken place in ultrasound elastography. Qualitative methods have been replaced by quantitative ones, such as: transient elastography, acoustic radiation force impulse and shear wave elastography. Owing to the fact that the spleen is superficially located, it is possible to obtain reliable measuring accuracy of its hardness using sonoelastography. Lately, many researchers have been investigating how spleen elasticity changes in patients infected with hepatitis B virus or hepatitis C virus and in patients suffering from liver fibrosis, portal hypertension, esophageal varices or myelofibrosis. In this article, we review the role and current status of accessible qualitative ultrasound elastography methods, including recent advances in the evaluation of spleen stiffness and its clinical utility. As study results demonstrate, spleen stiffness correlates with liver fibrosis and is helpful in determining the level of fibrosis in the METAVIR scoring system. In patients infected with hepatitis B virus or hepatitis C virus, spleen stiffness increases even when liver elasticity remains unaltered. Furthermore, it is useful in diagnosing portal hypertension or predicting existence of esophageal varices. Moreover, in patients suffering from biliary atresia after Kasai portoenterostomy, spleen sonoelastography may be helpful in selecting patients for liver transplantation as well as for choosing the best strategy for portal vein reconstruction before liver transplantation. In myelofibrosis, spleen stiffness correlates with bone marrow fibrosis and may be used to assess the response to treatment. Spleen sonoelastography is also useful in the monitoring of transjugular intrahepatic portosystemic shunt function. PMID- 29844940 TI - Diabetic foot syndrome: Charcot arthropathy or osteomyelitis? Part I: Clinical picture and radiography. AB - One of significant challenges faced by diabetologists, surgeons and orthopedists who care for patients with diabetic foot syndrome is early diagnosis and differentiation of bone structure abnormalities typical of these patients, i.e. osteitis and Charcot arthropathy. In addition to clinical examination, the patient's medical history and laboratory tests, imaging plays a significant role. The evaluation usually begins with conventional radiographs. In the case of osteomyelitis, radiography shows osteopenia, lytic lesions, cortical destruction, periosteal reactions as well as, in the chronic phase, osteosclerosis and sequestra. Neurogenic arthropathy, however, presents an image resembling rapidly progressing osteoarthritis combined with aseptic necrosis or inflammation. The image includes: bone destruction with subluxations and dislocations as well as pathological fractures that lead to the presence of bone debris, osteopenia and, in the later phase, osteosclerosis, joint space narrowing, periosteal reactions, grotesque osteophytes and bone ankylosis. In the case of an unfavorable course of the disease and improper or delayed treatment, progression of these changes may lead to significant foot deformity that might resemble a "bag of bones". Unfortunately, radiography is non-specific and frequently does not warrant an unambiguous diagnosis, particularly in the initial phase preceding bone destruction. For these reasons, alternative imaging methods, such as magnetic resonance tomography, scintigraphy, computed tomography and ultrasonography, are also indicated. PMID- 29844941 TI - Current knowledge on the use of ultrasound measurements of fetal soft tissues for the assessment of pregnancy development. AB - Ultrasonography, with its detailed imaging of the fetus, is very widely used in obstetrics. The primary aim of ultrasound scanning in pregnancy is to limit the risk of obstetric complications by early detection of abnormalities, such as intrauterine growth restriction and macrosomia. Currently, morphometric formulae are used for estimating fetal weight. They utilize basic biometric parameters. However, Hadlock formula, used for fetal weight estimation, has an error rate of 20%. For this reason, researchers all over the world have been looking for other sonographic parameters correlating with fetal weight, with a higher predictive value. The current scientific reports indicate that new sonographic parameters, such as soft tissue thickness values, are useful for fetal weight assessment. The measurements can be conducted in various parts of the fetus's body, e.g. thigh, upper arm, abdomen or the subscapular area. Different types of measurements are characterized by different levels of correlation with other sonographic and anthropometric parameters as well as body mass and gestational age. Based on the reports, numerous studies proposing new fetal weight calculation formulae have been produced. Apart from soft tissue, some more advanced and detailed measurements are taken, such as those involving adipose and lean tissue or using three-dimensional ultrasound (3D), for determining fetal weight. Ultrasound measurement of subcutaneous tissue thickness in various parts of the body may prove to be a strong predictor of fetal weight, which is useful for sonographic assessment of pregnancy. PMID- 29844942 TI - Cesarean scar pregnancy - a new challenge for obstetricians. AB - Diagnosis and treatment of ectopic cesarean scar pregnancy has become a challenge for contemporary obstetrics. With an increase in the number of pregnancies concluded with a cesarean section and with the development of transvaginal ultrasonography, the frequency of cesarean scar pregnancy diagnoses has increased as well. The aim of the study is to evaluate various diagnostic methods (ultrasonography in particular) and analyze effective treatment methods for cesarean scar pregnancy. An ultrasound scan, Doppler examination and magnetic resonance imaging are all useful in early detection of asymptomatic cesarean scar pregnancy, thus enabling effective treatment and preservation of fertility. Dilatation and curettage is not recommended as it carries significant risk of bleeding and very high risk of hysterectomy and fertility loss. Systemic methotrexate treatment should not be applied on the routine basis due to its low efficacy, high risk of fertility loss and adverse effects. Local methotrexate therapy (under ultrasound or hysteroscopy guidance) should be considered a perfect management method as it offers fertility preservation in asymptomatic pregnant patients without concomitant hemodynamic disorders. Synchronous usage of several treatment methods is an effective way to manage cesarean scar pregnancy. The combination of local methotrexate with simultaneous aspiration of gestational tissues under ultrasound or hysteroscopy guidance seems optimal. Subsequently, the remaining gestational tissues can be removed hysteroscopically in combination with vascular coagulation at the implantation site. In more advanced cases, local methotrexate treatment should be considered followed by laparoscopic or laparotomic wedge resection with subsequent surgical correction of the cesarean section scar. PMID- 29844943 TI - Bacterial meningitis in neonates and infants - the sonographic picture. AB - Bacterial meningitis is a major diagnostic and therapeutic problem among children and neonates, with severe, rapidly progressing course and potentially life threatening complications. Early antibacterial treatment is essential for the patient's favorable prognosis. Cerebral imaging plays an important role in the diagnostic process alongside physical examination and laboratory tests. Magnetic resonance imaging is the gold standard for diagnosing bacterial meningitis. Because of limited availability of magnetic resonance imaging, cranial ultrasound is the first imaging procedure to be performed (if the anterior fontanelle is preserved providing an adequate acoustic window). The safety and reliability of ultrasound examination, possibility to perform the examination at bedside without the need for sedation make cranial ultrasound a useful tool both for preliminary diagnostic investigation and for the monitoring of both treatment and long-term complications. Sonographic findings in patients with bacterial meningitis and possible complications are diverse. Changes can be seen on the surface of the brain, in the extra-axial space, in the ventricular system and in brain tissue. In some cases they can also be visible in the lumbosacral segment of the spinal cord. This paper presents ultrasound characteristics of lesions associated with bacterial meningitis in neonates and infants, based on the authors' own material and data from the available literature. PMID- 29844944 TI - Anomalous origin of the right coronary artery from the main pulmonary artery treated surgically in a 6-week-old infant. A case report and review of the literature. AB - Background: In the present paper, the authors describe a case of a rare congenital defect - anomalous origin of the right coronary artery from the main pulmonary artery diagnosed in a 5-week-old infant who was deemed eligible for surgical treatment based solely on echocardiography. Such anatomical abnormalities of the coronary arteries are subtle and thus extremely difficult to visualize, especially in patients in whom permanent extensive damage of the cardiac muscle has not yet occurred. For this reason, the diagnosis is usually established when the disease is highly advanced, oftentimes only postmortem. In this paper, the authors present early echocardiographic evaluation, successful surgical treatment and post-operative echocardiographic examination. Case presentation: Fetal echocardiographic examinations demonstrated single vascular anomalies. The suspicion was verified after birth. Other congenital defects, including genetic defects, were also investigated. In the 5th week of life, cardiac ECHO showed abnormal origin of the right coronary artery from the trunk of the pulmonary artery. The child was deemed eligible for surgical treatment of the defect. The surgical translocation of the ostium of the right coronary artery to the aorta was done with success, and the child was discharged on the 14th day of hospitalization. Conclusion: The present case report demonstrates that careful examination of the child with precise echocardiographic examination makes it possible to establish an early diagnosis of this rare defect. This discrete defect can be treated early, before the symptoms, often connected with irreversible changes in the myocardium, appear. PMID- 29844946 TI - Bone loss from Wnt inhibition mitigated by concurrent alendronate therapy. AB - Dysregulated Wnt signaling is associated with the pathogenesis of cancers, fibrosis, and vascular diseases. Inhibition of Wnt signaling has shown efficacy in various pre-clinical models of these disorders. One of the key challenges in developing targeted anti-cancer drugs is to balance efficacy with on-target toxicity. Given the crucial role Wnts play in the differentiation of osteoblasts and osteoclasts, acute inhibition of Wnt signaling is likely to affect bone homeostasis. In this study, we evaluated the skeletal effect of small molecule inhibitor of an o-acyl transferase porcupine (PORCN) that prevents Wnt signaling by blocking the secretion of all Wnts. Micro-computed tomography and histomorphometric evaluation revealed that the bones of mice treated with two structurally distinct PORCN inhibitors LGK974 and ETC-1922159 (ETC-159) had loss of-bone volume and density within 4 weeks of exposure. This decreased bone mass was associated with a significant increase in adipocytes within the bone marrow. Notably, simultaneous administration of a clinically approved anti-resorptive, alendronate, a member of the bisphosphonate family, mitigated loss-of-bone mass seen upon ETC-159 treatment by regulating activity of osteoclasts and blocking accumulation of bone marrow adipocytes. Our results support the addition of bone protective agents when treating patients with PORCN inhibitors. Mitigation of bone toxicity can extend the therapeutic utility of Wnt pathway inhibitors. PMID- 29844945 TI - Paracrine and endocrine actions of bone-the functions of secretory proteins from osteoblasts, osteocytes, and osteoclasts. AB - The skeleton is a dynamic organ that is constantly remodeled. Proteins secreted from bone cells, namely osteoblasts, osteocytes, and osteoclasts exert regulation on osteoblastogenesis, osteclastogenesis, and angiogenesis in a paracrine manner. Osteoblasts secrete a range of different molecules including RANKL/OPG, M-CSF, SEMA3A, WNT5A, and WNT16 that regulate osteoclastogenesis. Osteoblasts also produce VEGFA that stimulates osteoblastogenesis and angiogenesis. Osteocytes produce sclerostin (SOST) that inhibits osteoblast differentiation and promotes osteoclast differentiation. Osteoclasts secrete factors including BMP6, CTHRC1, EFNB2, S1P, WNT10B, SEMA4D, and CT-1 that act on osteoblasts and osteocytes, and thereby influenceaA osteogenesis. Osteoclast precursors produce the angiogenic factor PDGF-BB to promote the formation of Type H vessels, which then stimulate osteoblastogenesis. Besides, the evidences over the past decades show that at least three hormones or "osteokines" from bone cells have endocrine functions. FGF23 is produced by osteoblasts and osteocytes and can regulate phosphate metabolism. Osteocalcin (OCN) secreted by osteoblasts regulates systemic glucose and energy metabolism, reproduction, and cognition. Lipocalin-2 (LCN2) is secreted by osteoblasts and can influence energy metabolism by suppressing appetite in the brain. We review the recent progresses in the paracrine and endocrine functions of the secretory proteins of osteoblasts, osteocytes, and osteoclasts, revealing connections of the skeleton with other tissues and providing added insights into the pathogenesis of degenerative diseases affecting multiple organs and the drug discovery process. PMID- 29844947 TI - Surgical Technical Evidence Review of Hip Fracture Surgery Conducted for the AHRQ Safety Program for Improving Surgical Care and Recovery. AB - Background: Enhanced recovery pathways (ERPs) have been shown to improve patient outcomes in a variety of contexts. This review summarizes the evidence and defines a protocol for perioperative care of patients with hip fracture and was conducted for the Agency for Healthcare Research and Quality safety program for improving surgical care and recovery. Study Design: Perioperative care was divided into components or "bins." For each bin, a semisystematic review of the literature was conducted using MEDLINE with priority given to systematic reviews, meta-analyses, and randomized controlled trials. Observational studies were included when higher levels of evidence were not available. Existing guidelines for perioperative care were also incorporated. For convenience, the components of care that are under the auspices of anesthesia providers will be reported separately. Recommendations for an evidence-based protocol were synthesized based on review of this evidence. Results: Eleven bins were identified. Preoperative risk factor bins included nutrition, diabetes mellitus, tobacco use, and anemia. Perioperative management bins included thromboprophylaxis, timing of surgery, fluid management, drain placement, early mobilization, early alimentation, and discharge criteria/planning. Conclusions: This review provides the evidence basis for an ERP for perioperative care of patients with hip fracture. PMID- 29844948 TI - Knowledge and Acceptance of Human Papillomavirus Vaccine for Cervical Cancer Prevention Among Urban Professional Women in Bangladesh: A Mixed Method Study. AB - Prophylactic human papillomavirus (HPV) vaccination is the most effective preventive method against invasive cervical cancer, the second leading cause of cancer-related deaths among women in Bangladesh. Evidence on women's knowledge and perception about cervical cancer and HPV vaccination are needed for effective implementation of national cervical cancer prevention programs. The objective of this study was to assess the knowledge, attitude, and acceptance of cervical cancer, HPV, and HPV vaccination among urban professional women in Bangladesh. We recruited 160 female professionals employed at selected private banks in Bangladesh. Participants were selected using nonprobability-based convenience sampling for interviews through a self-administered questionnaire. Later, in depth interviews were conducted with nine of these women. Quantitative data were analyzed utilizing descriptive statistics, whereas qualitative data were analyzed using a thematic approach. Ninety-eight percent of participants reported that they had previously heard of cervical cancer, however, only half (51%) reported to have heard of HPV as a cause of the disease. Less than 1% of the 160 participants had previously undergone a pap smear, and only 2% were vaccinated with at least one dose of HPV vaccination. Although knowledge was low, intention for acceptance of vaccination was moderate for women and high for their children. Although the majority of women had heard of cervical cancer, few women had in depth knowledge of HPV and the etiology of invasive disease. This study draws attention to the urgent need of educational interventions on cervical cancer and its prevention to improve uptake of available HPV vaccination in Bangladesh. PMID- 29844949 TI - Potentially inappropriate use of benzodiazepines and z-drugs in the older population-analysis of associations between long-term use and patient-related factors. AB - Introduction: The long-term use of benzodiazepines (BZD) and z-drugs in older populations is associated with a variety of sociodemographic and health-related factors. Recent studies reported that long-term BZD and z-drugs use is associated with increased age, female sex, and severe negative psychological (e.g., depression) and somatic (e.g., chronic disease) factors. The current study explores the sociodemographic and health-related factors associated with long term BZD and z-drugs use in the elderly. Methods: We conducted a cross-sectional survey among randomly selected patients of one health insurance plan ("AOK North West") with BZD and z-drugs prescriptions in the past 12 months. The sample was stratified by appropriate German prescription guidelines (yes vs. no) and age (50 65 vs. >65 years). To examine the association of selected sociodemographic and psychological variables (e.g., sex, employment status, quality of life, depression) with long-term use, a binary logistic regression analysis was conducted. Results: In total, data from 340 patients were analyzed. The mean age was 72.1 (SD = 14.5) years, and the most commonly used substances were zopiclon (38.1%), oxazepam (18.1%), and lorazepam (13.8%). The mean defined daily dose (DDD) was 0.73 (SD = 0.47). Insomnia was the main reason for prescribing BZD and z-drugs. The long-term use of BZD and z-drugs was significantly associated with unemployment (OR = 2.9, 95% CI [1.2-7.1]) and generally problematic medication use (OR = 0.5, 95% CI [0.2-1.0]). Discussion: Unemployment status and problematic medication use had a significant association with the patient-reported, long-term use of BZD and z-drugs. Divergent prescription patterns might suggest problematic patterns of BZD and z-drugs use. The causal connection between the identified factors and problematic BZD and z-drugs prescription is not discussed in this paper. Nevertheless, employment status and possible evidence of general problematic drug use may be a warning signal to the prescribers of BZD and z drugs. PMID- 29844950 TI - Living upside down: patterns of red coral settlement in a cave. AB - Background: Larval settlement and intra-specific interactions during the recruitment phase are crucial in determining the distribution and density of sessile marine populations. Marine caves are confined and stable habitats. As such, they provide a natural laboratory to study the settlement and recruitment processes in sessile invertebrates, including the valuable Mediterranean red coral Corallium rubrum. In the present study, the spatial and temporal variability of red coral settlers in an underwater cave was investigated by demographic and genetic approaches. Methods: Sixteen PVC tiles were positioned on the walls and ceiling of the Colombara Cave, Ligurian Sea, and recovered after twenty months. A total of 372 individuals of red coral belonging to two different reproductive events were recorded. Basal diameter, height, and number of polyps were measured, and seven microsatellites loci were used to evaluate the genetic relationships among individuals and the genetic structure. Results: Significant differences in the colonization rate were observed both between the two temporal cohorts and between ceiling and walls. No genetic structuring was observed between cohorts. Overall, high levels of relatedness among individuals were found. Conclusion: The results show that C. rubrumindividuals on tiles are highly related at very small spatial scales, suggesting that nearby recruits are likely to be sibs. Self-recruitment and the synchronous settlement of clouds of larvae could be possible explanations for the observed pattern. PMID- 29844951 TI - Giant worms chez moi! Hammerhead flatworms (Platyhelminthes, Geoplanidae, Bipalium spp., Diversibipalium spp.) in metropolitan France and overseas French territories. AB - Background: Species of the genera Bipalium and Diversibipalium, or bipaliines, are giants among land planarians (family Geoplanidae), reaching length of 1 m; they are also easily distinguished from other land flatworms by the characteristic hammer shape of their head. Bipaliines, which have their origin in warm parts of Asia, are invasive species, now widespread worldwide. However, the scientific literature is very scarce about the widespread repartition of these species, and their invasion in European countries has not been studied. Methods: In this paper, on the basis of a four year survey based on citizen science, which yielded observations from 1999 to 2017 and a total of 111 records, we provide information about the five species present in Metropolitan France and French overseas territories. We also investigated the molecular variability of cytochrome-oxidase 1 (COI) sequences of specimens. Results: Three species are reported from Metropolitan France: Bipalium kewense, Diversibipalium multilineatum, and an unnamed Diversibipalium 'black' species. We also report the presence of B. kewense from overseas territories, such as French Polynesia (Oceania), French Guiana (South America), the Caribbean French islands of Martinique, Guadeloupe, Saint Martin and Saint Barthelemy, and Montserrat (Central America), and La Reunion island (off South-East Africa). For B. vagum, observations include French Guiana, Guadeloupe, Martinique, Saint Barthelemy, Saint Martin, Montserrat, La Reunion, and Florida (USA). A probable new species, Diversibipalium sp. 'blue,' is reported from Mayotte Island (off South-East Africa). B. kewense, B. vagum and D. multilineatum each showed 0% variability in their COI sequences, whatever their origin, suggesting that the specimens are clonal, and that sexual reproduction is probably absent. COI barcoding was efficient in identifying species, with differences over 10% between species; this suggests that barcoding can be used in the future for identifying these invasive species. In Metropolitan south-west France, a small area located in the Department of Pyrenees-Atlantiques was found to be a hot-spot of bipaliine biodiversity and abundance for more than 20 years, probably because of the local mild weather. Discussion: The present findings strongly suggest that the species present in Metropolitan France and overseas territories should be considered invasive alien species. Our numerous records in the open in Metropolitan France raise questions: as scientists, we were amazed that these long and brightly coloured worms could escape the attention of scientists and authorities in a European developed country for such a long time; improved awareness about land planarians is certainly necessary. PMID- 29844952 TI - Planning protected areas network that are relevant today and under future climate change is possible: the case of Atlantic Forest endemic birds. AB - Background: A key strategy in biodiversity conservation is the establishment of protected areas. In the future, however, the redistribution of species in response to ongoing climate change is likely to affect species' representativeness in those areas. Here we quantify the effectiveness of planning protected areas network to represent 151 birds endemic to the Brazilian Atlantic Forest hotspot, under current and future climate change conditions for 2050. Methods: We combined environmental niche modeling and systematic conservation planning using both a county and a regional level planning strategy. We recognized the conflict between biodiversity conservation and economic development, including socio-economic targets (as opposed to biological only) and using planning units that are meaningful for policy-makers. Results: We estimated an average contraction of 29,500 km2 in environmentally suitable areas for birds, representing 52% of currently suitable areas. Still, the most cost-effective solution represented almost all target species, requiring only ca. 10% of the Atlantic Forest counties to achieve that representativeness, independent of strategy. More than 50% of these counties were selected both in the current and future planned networks, representing >83% of the species. Discussion: Our results indicate that: (i) planning protected areas network currently can be useful to represent species under climate change; (ii) the overlapped planning units in the best solution for both current and future conditions can be considered as "no regret" areas; (iii) priority counties are spread throughout the biome, providing specific guidance wherever the possibility of creating protected area arises; and (iv) decisions can occur at different administrative spheres (Federal, State or County) as we found quite similar numerical solutions using either county or regional level strategies. PMID- 29844953 TI - The role of gut microbiota in the regulation of standard metabolic rate in female Periplaneta americana. AB - Insect gut microbiota contribute significantly to host nutritional ecology. Disrupting insect gut microbial assemblages impacts nutrient provisioning functions, and can potentially affect host standard metabolic rate (SMR), a measure of host energy balance. In this study, we evaluated the effect of disrupting gut microbial assemblages on the SMR of female Periplaneta americana cockroaches fed dog food (DF, high protein/carbohydrate (p/c) ratio), and cellulose-amended dog food (CADF, 30% dog food, 70% cellulose, low p/c ratio) diets, supplemented with none, low, or high antibiotic doses. Bacterial loads decreased significantly between diet types (P = 0.04) and across antibiotic doses (P = 0.04). There was a significant diet type x antibiotic dose interaction on SMR of females on both diets (P = 0.05) by the end of the seven-day experimental period. In CADF-fed females, SMR decreased linearly with decreasing bacterial load. However, SMR of DF-fed females on the low dose was significantly higher than those in the control and high dose groups. This is interpreted as a diet dependent response by low dose DF-fed females to the loss of nutritional services provided by gut bacteria. Severe reductions in bacterial load at high doses reduced SMR of females on both diet types. This study provides insights into the potential role of gut bacteria as modulators of host energy expenditure under varying dietary conditions. PMID- 29844954 TI - The complete chloroplast genome of Colobanthus apetalus (Labill.) Druce: genome organization and comparison with related species. AB - Colobanthus apetalus is a member of the genus Colobanthus, one of the 86 genera of the large family Caryophyllaceae which groups annual and perennial herbs (rarely shrubs) that are widely distributed around the globe, mainly in the Holarctic. The genus Colobanthus consists of 25 species, including Colobanthus quitensis, an extremophile plant native to the maritime Antarctic. Complete chloroplast (cp) genomes are useful for phylogenetic studies and species identification. In this study, next-generation sequencing (NGS) was used to identify the cp genome of C. apetalus. The complete cp genome of C. apetalus has the length of 151,228 bp, 36.65% GC content, and a quadripartite structure with a large single copy (LSC) of 83,380 bp and a small single copy (SSC) of 17,206 bp separated by inverted repeats (IRs) of 25,321 bp. The cp genome contains 131 genes, including 112 unique genes and 19 genes which are duplicated in the IRs. The group of 112 unique genes features 73 protein-coding genes, 30 tRNA genes, four rRNA genes and five conserved chloroplast open reading frames (ORFs). A total of 12 forward repeats, 10 palindromic repeats, five reverse repeats and three complementary repeats were detected. In addition, a simple sequence repeat (SSR) analysis revealed 41 (mono-, di-, tri-, tetra-, penta- and hexanucleotide) SSRs, most of which were AT-rich. A detailed comparison of C. apetalus and C. quitensis cp genomes revealed identical gene content and order. A phylogenetic tree was built based on the sequences of 76 protein-coding genes that are shared by the eleven sequenced representatives of Caryophyllaceae and C. apetalus, and it revealed that C. apetalus and C. quitensis form a clade that is closely related to Silene species and Agrostemma githago. Moreover, the genus Silene appeared as a polymorphic taxon. The results of this study expand our knowledge about the evolution and molecular biology of Caryophyllaceae. PMID- 29844955 TI - Effects of long-term fertilisation on aggregates and dynamics of soil organic carbon in a semi-arid agro-ecosystem in China. AB - Background: Long-term fertilisation has a large influence on soil physical and chemical properties in agro-ecosystems. The effects on the distribution of aggregates, however, are not fully understood. We determined the dynamic change of the distribution of aggregates and soil organic carbon (SOC) content over time in a long-term field experiment established in 1998 on the Loess Plateau of China and illustrated the relationship between them. Methods: We determined SOC content and the distribution of aggregates in nine fertiliser treatments: manure (M); nitrogen (N); phosphorus (P); M and N; M, N, and P; M and P; N and P; bare land; and an unfertilised control. These parameters were then used for a path analysis and to analyse the fractal dimension (Dv). Results: The organic fertiliser increased SOC content. The proportions of 0.1-0.25 mm microaggregates and 0.25 0.5 mm macroaggregates were higher and the proportion of the 0.01-0.05 mm size class of the silt + clay fraction was lower in the treatments receiving organic fertiliser (M, MN, MNP, and MP) than that in the control, indicating that the addition of organic fertiliser promoted aggregation. The distribution of aggregates characterised by their fractal dimension (Dv ), however, did not differ among the treatments. Discussion: Dv was strongly correlated with the proportion of the <0.002 mm size class of the silt + clay fraction that did not differ significantly among the treatments. The change in the distribution of aggregates was strongly correlated with SOC content, which could produce organic polymer binding agents to increase the proportion of larger particles. Long-term application of organic fertiliser is thus necessary for the improvement and maintenance of soil quality in semi-arid agricultural land when residues are removed. PMID- 29844956 TI - Intolerance of uncertainty and conditioned place preference in opioid addiction. AB - Several personality factors have been implicated in vulnerability to addiction by impacting learning and decision making. One such factor is intolerance of uncertainty (IU), the tendency to perceive uncertain situations negatively and avoid them. Conditioned place preference (CPP), which compares preference for contexts paired with reward, has been used to examine the motivation for both drug and non-drug rewards. However, preference for locations associated with non drug reward, as well as the potential influence of IU, has not been thoroughly studied in individuals with addiction. In the current study, we examined CPP using a computer-based task in a sample of addicted individuals undergoing opioid maintenance treatment and never-addicted controls. Patients were confirmed to have higher IU than controls. In the CPP task, the two groups did not differ in overall time spent in the previously-rewarded context. However, controls were more likely than patients to immediately return to this context. Contrary to our predictions, IU was not a significant predictor of preference for the previously rewarded context, although higher IU in controls was associated with a higher number of rewards obtained in the task. No such relationship was found in patients. PMID- 29844957 TI - Multilocus phylogeny of the parasitic wasps in the tribe Euphorini (Hymenoptera: Braconidae) with revised generic classifications. AB - Background: Parasitic wasps in the family Braconidae are important regulators of insect pests, particularly in forest and agroecosystems. Within Braconidae, wasps in the tribe Euphorini (Euphorinae) attack economically damaging plant bugs (Miridae) that are major pests of field and vegetable crops. However, the evolutionary relationships of this tribe have been historically problematic. Most generic concepts have been based on ambiguous morphological characters which often leads to misidentification, complicating their use in biological control. Methods: Using a combination of three genes (COI, 28S, and CAD) and 80 taxa collected worldwide, we conducted Bayesian inference using MrBayes, and maximum likelihood analyses using RAxML and IQ-Tree on individual gene trees as well as the concatenated dataset. Results: The monophyly of the tribe Euphorini and the two genera Peristenus and Leiophron were confirmed using maximum likelihood and Bayesian inference. The subgeneric classifications of Leiophron sensu lato were not supported, and the monotypic genus Mama was also not supported. Discussion: Euphoriella, Euphoriana, Euphorus, and Mamasyn. n, have been synonymized under Leiophron. Mama mariaesyn. n was placed as a junior synonym of Leiophron reclinator. The generic concepts of Peristenus and Leiophron were refined to reflect the updated phylogeny. Further we discuss the need for revising Euphorini given the number of undescribed species within the tribe. PMID- 29844958 TI - Large mammal burrows in late Miocene calcic paleosols from central Argentina: paleoenvironment, taphonomy and producers. AB - Large cylindrical sediment-filled structures interpreted as mammal burrows occur within the loess-paleosol sequence of the late Miocene Cerro Azul Formation of central Argentina. A total of 115 burrow fills from three localities were measured. They are typically shallowly dipping, subcylindrical, unbranched structures with rounded ends and lacking enlargements. The horizontal diameter of the burrows range between 0.15 and 1.50 m, with most of the burrows in the interval of 0.39 to 0.98 m. Geometric morphometric analysis of transverse cross sections support their distinct subcircular and elliptical (horizontally flattened) shapes. Burrow fills are typically laminated in the lower part and massive in the upper part. The laminated intervals reflect pulses of flowing water entering the abandoned burrow during moderate rains, whereas massive intervals reflect mass flow input of dense sediment-water mixtures during heavy rains that produced sheet floods. Approximately 1% of the burrows contained fragmentary, disarticulated and weathered mammal bones that were introduced in the open burrow by currents along with other sedimentary particles. Analysis of the tetrapod burrow fossil record suggests that Miocene burrows, including those studied herein, reflect a remarkable increase in the average size of the fossorial fauna. We conclude that large late Miocene mammals dug burrows essentially as a shelter against environmental extremes and to escape predation. The simple architecture of the burrows suggests that the producers essentially foraged aboveground. Several mammal groups acquired fossorial habits in response to cold and seasonally dry climatic conditions that prevailed during the late Miocene in southern South America. The considerable range of horizontal diameters of the studied burrows can be attributed to a variety of producers, including dasypodids, the notoungulate Paedotherium minor, Glyptodontidae and Proscelidodon sp. PMID- 29844959 TI - Evaluation of the glycemic effect of Ceratonia siliqua pods (Carob) on a streptozotocin-nicotinamide induced diabetic rat model. AB - Background: Ceratonia siliqua pods (carob) have been nominated to control the high blood glucose of diabetics. In Yemen, however, its antihyperglycemic activity has not been yet assessed. Thus, this study evaluated the in vitro inhibitory effect of the methanolic extract of carob pods against alpha-amylase and alpha-glucosidase and the in vivo glycemic effect of such extract in streptozotocin-nicotinamide induced diabetic rats. Methods: 2,2-diphenyl-1 picrylhydrazyl (DPPH) and Ferric reducing antioxidant power assay (FRAP) were applied to evaluate the antioxidant activity of carob. In vitro cytotoxicity of carob was conducted on human hepatocytes (WRL68) and rat pancreatic beta-cells (RIN-5F). Acute oral toxicity of carob was conducted on a total of 18 male and 18 female Sprague-Dawley (SD) rats, which were subdivided into three groups (n = 6), namely: high and low dose carob-treated (CS5000 and CS2000, respectively) as well as the normal control (NC) receiving a single oral dose of 5,000 mg kg-1 carob, 2,000 mg kg-1 carob and 5 mL kg-1 distilled water for 14 days, respectively. Alkaline phosphatase, aspartate aminotransferase, alanine aminotransferase, total bilirubin, creatinine and urea were assessed. Livers and kidneys were harvested for histopathology. In vitro inhibitory effect against alpha-amylase and alpha glucosidase was evaluated. In vivo glycemic activity was conducted on 24 male SD rats which were previously intraperitoneally injected with 55 mg kg-1 streptozotocin (STZ) followed by 210 mg kg-1nicotinamide to induce type 2 diabetes mellitus. An extra non-injected group (n = 6) was added as a normal control (NC). The injected-rats were divided into four groups (n = 6), namely: diabetic control (D0), 5 mg kg-1glibenclamide-treated diabetic (GD), 500 mg kg-1 carob-treated diabetic (CS500) and 1,000 mg kg-1 carob-treated diabetic (CS1000). All groups received a single oral daily dose of their treatment for 4 weeks. Body weight, fasting blood glucose (FBG), oral glucose tolerance test, biochemistry, insulin and hemostatic model assessment were assessed. Pancreases was harvested for histopathology. Results: Carob demonstrated a FRAP value of 3191.67 +/- 54.34 umoL Fe++ and IC50 of DPPH of 11.23 +/- 0.47 ug mL-1. In vitro, carob was non toxic on hepatocytes and pancreatic beta-cells. In acute oral toxicity, liver and kidney functions and their histological sections showed no abnormalities. Carob exerted an in vitro inhibitory effect against alpha-amylase and alpha-glucosidase with IC50 of 92.99 +/- 0.22 and 97.13 +/- 4.11 ug mL-1, respectively. In diabetic induced rats, FBG of CS1000 was significantly less than diabetic control. Histological pancreatic sections of CS1000 showed less destruction of beta-cells than CS500 and diabetic control. Conclusion: Carob pod did not cause acute systemic toxicity and showed in vitro antioxidant effects. On the other hand, inhibiting alpha-amylase and alpha-glucosidase was evident. Interestingly, a high dose of carob exhibits an in vivo antihyperglycemic activity and warrants further in-depth study to identify the potential carob extract composition. PMID- 29844960 TI - Understanding mitochondrial myopathies: a review. AB - Mitochondria are small, energy-producing structures vital to the energy needs of the body. Genetic mutations cause mitochondria to fail to produce the energy needed by cells and organs which can cause severe disease and death. These genetic mutations are likely to be in the mitochondrial DNA (mtDNA), or possibly in the nuclear DNA (nDNA). The goal of this review is to assess the current understanding of mitochondrial diseases. This review focuses on the pathology, causes, risk factors, symptoms, prevalence data, symptomatic treatments, and new research aimed at possible preventions and/or treatments of mitochondrial diseases. Mitochondrial myopathies are mitochondrial diseases that cause prominent muscular symptoms such as muscle weakness and usually present with a multitude of symptoms and can affect virtually all organ systems. There is no cure for these diseases as of today. Treatment is generally supportive and emphasizes symptom management. Mitochondrial diseases occur infrequently and hence research funding levels tend to be low in comparison with more common diseases. On the positive side, quite a few genetic defects responsible for mitochondrial diseases have been identified, which are in turn being used to investigate potential treatments. Speech therapy, physical therapy, and respiratory therapy have been used in mitochondrial diseases with variable results. These therapies are not curative and at best help with maintaining a patient's current abilities to move and function. PMID- 29844961 TI - A brief introduction to mixed effects modelling and multi-model inference in ecology. AB - The use of linear mixed effects models (LMMs) is increasingly common in the analysis of biological data. Whilst LMMs offer a flexible approach to modelling a broad range of data types, ecological data are often complex and require complex model structures, and the fitting and interpretation of such models is not always straightforward. The ability to achieve robust biological inference requires that practitioners know how and when to apply these tools. Here, we provide a general overview of current methods for the application of LMMs to biological data, and highlight the typical pitfalls that can be encountered in the statistical modelling process. We tackle several issues regarding methods of model selection, with particular reference to the use of information theory and multi-model inference in ecology. We offer practical solutions and direct the reader to key references that provide further technical detail for those seeking a deeper understanding. This overview should serve as a widely accessible code of best practice for applying LMMs to complex biological problems and model structures, and in doing so improve the robustness of conclusions drawn from studies investigating ecological and evolutionary questions. PMID- 29844962 TI - Water mites (Acari, Hydrachnidia) of riparian springs in a small lowland river valley: what are the key factors for species distribution? AB - This paper examines the impact of disturbance factors-flooding and intermittency on the distribution of water mites in the riparian springs situated in the valley of a small lowland river, the Krapiel. The landscape factors and physicochemical parameters of the water were analysed in order to gain an understanding of the pattern of water mite assemblages in the riparian springs. Three limnological types of springs were examined (helocrenes, limnocrenes and rheocrenes) along the whole course of the river and a total of 35 water mite species were found. Our study shows that flooding influences spring assemblages, causing a decrease in crenobiontic water mites in flooded springs. The impact of intermittency resulted in a high percentage of species typical of temporary water bodies. Surprisingly, the study revealed the positive impact of the anthropogenic transformation of the river valley: preventing the riparian springs from flooding enhances the diversity of crenobiontic species in non-flooded springs. In the conclusion, our study revealed that further conservation strategies for the protection of the riparian springs along large rivers would take into account ongoing climatic changes and possible the positive impact of the anthropogenic transformation of river valleys. PMID- 29844963 TI - Influence of aprepitant on the pharmacodynamics and pharmacokinetics of gliclazide in rats and rabbits. AB - Background: Concomitant drug administration is a general phenomenon in patients with chronic diseases such as diabetes mellitus. Among the currently available oral antidiabetic drugs, gliclazide is a commonly prescribed drug considering its multiple benefits in diabetic patients. Aprepitant is a commonly prescribed antiemetic drug which is mainly metabolized by CYP3A4, reported to have modest inductive and inhibitory effects on CYP2C9 and CYP3A4, respectively. Since gliclazide is metabolized by CYP2C9 (major) and CYP3A4 (minor), it is very difficult to predict the influence of aprepitant and its metabolic interaction with gliclazide. Considering the complexity associated with the combination of aprepitant and gliclazide, this study was designed to evaluate the influence of aprepitant on the pharmacodynamics (PD) and pharmacokinetics (PK) of gliclazide in animal models. Methods: The PD interaction studies were conducted in both rodent (normal and alloxan-induced diabetic rats) and non-rodent (rabbits) animal models (n = 6) while the PK interaction study was conducted in normal rabbits (n = 6). An extrapolated human therapeutic oral dose of gliclazide, aprepitant and their combination were administered to rats and rabbits with 7 days washout between each treatment. For the multiple-dose interaction study, the same groups were administered with an interacting drug (aprepitant) for 7 days and then the combination of aprepitant and gliclazide on the 8th day. From the collected animal blood samples, blood glucose (by Glucose-Oxidase/Peroxidase method), insulin (by ELISA method) and gliclazide concentration levels (by HPLC method) were determined. Non-compartmental PK analysis was conducted by Phoenix WinNonlin software to determine the PK parameters of gliclazide. Statistical analysis was performed by student's paired t-test. Results: The pharmacodynamic activity (blood glucose reduction and insulin levels) of gliclazide was significantly (p < 0.05) influenced by aprepitant in normal and diabetic condition without any convulsions in animals. There was a significant (p < 0.05) increase in concentration levels and Area Under the Curve of gliclazide while significant (p < 0.05) decrease in clearance levels of gliclazide in rabbits. The PK interaction with gliclazide is relatively more with the multiple dose treatment of aprepitant over single dose treatment. Conclusion: In combination, aprepitant significantly influenced the pharmacodynamic activity of gliclazide in animal models. Considering this, care should be taken when this combination is prescribed for the clinical benefit in diabetic patients. PMID- 29844964 TI - The influence of temperature and photoperiod on the timing of brood onset in hibernating honey bee colonies. AB - In order to save resources, honey bee (Apis mellifera) colonies in the temperate zones stop brood rearing during winter. Brood rearing is resumed in late winter to build up a sufficient worker force that allows to exploit floral resources in upcoming spring. The timing of brood onset in hibernating colonies is crucial and a premature brood onset could lead to an early depletion of energy reservoirs. However, the mechanisms underlying the timing of brood onset and potential risks of mistiming in the course of ongoing climate change are not well understood. To assess the relative importance of ambient temperature and photoperiod as potential regulating factors for brood rearing activity in hibernating colonies, we overwintered 24 honey bee colonies within environmental chambers. The colonies were assigned to two different temperature treatments and three different photoperiod treatments to disentangle the individual and interacting effects of temperature and photoperiod. Tracking in-hive temperature as indicator for brood rearing activity revealed that increasing ambient temperature triggered brood onset. Under cold conditions, photoperiod alone did not affect brood onset, but the light regime altered the impact of higher ambient temperature on brood rearing activity. Further the number of brood rearing colonies increased with elapsed time which suggests the involvement of an internal clock. We conclude that timing of brood onset in late winter is mainly driven by temperature but modulated by photoperiod. Climate warming might change the interplay of these factors and result in mismatches of brood phenology and environmental conditions. PMID- 29844965 TI - Effect of Reactive Black 5 azo dye on soil processes related to C and N cycling. AB - Azo dyes are one of the largest classes of synthetic dyes being used in textile industries. It has been reported that 15-50% of these dyes find their way into wastewater that is often used for irrigation purpose in developing countries. The effect of azo dyes contamination on soil nitrogen (N) has been studied previously. However, how does the azo dye contamination affect soil carbon (C) cycling is unknown. Therefore, we assessed the effect of azo dye contamination (Reactive Black 5, 30 mg kg-1 dry soil), bacteria that decolorize this dye and dye + bacteria in the presence or absence of maize leaf litter on soil respiration, soil inorganic N and microbial biomass. We found that dye contamination did not induce any change in soil respiration, soil microbial biomass or soil inorganic N availability (P > 0.05). Litter evidently increased soil respiration. Our study concludes that the Reactive Black 5 azo dye (applied in low amount, i.e., 30 mg kg-1 dry soil) contamination did not modify organic matter decomposition, N mineralization and microbial biomass in a silty loam soil. PMID- 29844966 TI - Finding novel relationships with integrated gene-gene association network analysis of Synechocystis sp. PCC 6803 using species-independent text-mining. AB - The increasing move towards open access full-text scientific literature enhances our ability to utilize advanced text-mining methods to construct information-rich networks that no human will be able to grasp simply from 'reading the literature'. The utility of text-mining for well-studied species is obvious though the utility for less studied species, or those with no prior track-record at all, is not clear. Here we present a concept for how advanced text-mining can be used to create information-rich networks even for less well studied species and apply it to generate an open-access gene-gene association network resource for Synechocystis sp. PCC 6803, a representative model organism for cyanobacteria and first case-study for the methodology. By merging the text-mining network with networks generated from species-specific experimental data, network integration was used to enhance the accuracy of predicting novel interactions that are biologically relevant. A rule-based algorithm (filter) was constructed in order to automate the search for novel candidate genes with a high degree of likely association to known target genes by (1) ignoring established relationships from the existing literature, as they are already 'known', and (2) demanding multiple independent evidences for every novel and potentially relevant relationship. Using selected case studies, we demonstrate the utility of the network resource and filter to (i) discover novel candidate associations between different genes or proteins in the network, and (ii) rapidly evaluate the potential role of any one particular gene or protein. The full network is provided as an open-source resource. PMID- 29844967 TI - Endozoochory by mallard in New Zealand: what seeds are dispersed and how far? AB - In Europe and North America waterfowl are major dispersers of aquatic and terrestrial plants, but in New Zealand their role has yet to be investigated. Mallards were introduced to New Zealand in the late 1800s, and today they are the most abundant and widespread waterfowl in the country. To assess seed dispersal, we radiomarked 284 female mallards from two study sites during the pre-breeding (June-August) and breeding (August-December) periods in 2014-2015, and examined movements that occurred within 24, 48 or 72 h when seed dispersal by endozoochory is considered likely. During June and July 2015, we collected 29 faecal samples from individual female mallards during radiomarking and 24 samples from mallard flocks. We recovered 69 intact seeds from the faecal samples and identified 12 plant taxa. Of the plant seeds identified and dispersed by mallards in this study, 40% were members of the Asteraceae family, nine plant species were alien to New Zealand, and the indigenous-status of three unidentified taxa could not be determined. Two taxa (and 9% of seeds) were germinated following gut passage: an unidentified Asteraceae and Solanum nigrum. During the pre-breeding and breeding periods, movement of females within 24 h averaged 394 m (SD = 706 m) and 222 m (SD = 605 m) respectively, with maximum distances of 3,970 m and 8,028 m. Maxima extended to 19,230 m within 48 h. Most plant species recorded are generally assumed to be self-dispersed or dispersed by water; mechanisms that provide a much lower maximum dispersal distance than mallards. The ability of mallards to disperse viable seeds up to 19 km within 48 h suggests they have an important and previously overlooked role as vectors for a variety of wetland or grassland plant species in New Zealand. PMID- 29844968 TI - High correlation between skin color based on CIELAB color space, epidermal melanocyte ratio, and melanocyte melanin content. AB - Background: To treat skin color disorders, such as vitiligo or burns, melanocytes are transplanted for tissue regeneration. However, melanocyte distribution in the human body varies with age and location, making it difficult to select the optimal donor skin to achieve a desired color match. Determining the correlations with the desired skin color measurement based on CIELAB color, epidermal melanocyte numbers, and melanin content of individual melanocytes is critical for clinical application. Method: Fifteen foreskin samples from Asian young adults were analyzed for skin color, melanocyte ratio (melanocyte proportion in the epidermis), and melanin concentration. Furthermore, an equation was developed based on CIELAB color with melanocyte ratio, melanin concentration, and the product of melanocyte ratio and melanin concentration. The equation was validated by seeding different ratios of keratinocytes and melanocytes in tissue-engineered skin substitutes, and the degree of fitness in expected skin color was confirmed. Results: Linear regression analysis revealed a significant strong negative correlation (r = - 0.847, R2 = 0.717) between CIELAB L* value and the product of the epidermal melanocyte ratio and cell-based melanin concentration. Furthermore, the results showed that an optimal skin color match was achieved by the formula. Discussion: We found that L* value was correlated with the value obtained from multiplying the epidermal melanocyte ratio (R) and melanin content (M) and that this correlation was more significant than either L* vs M or L* vs R. This suggests that more accurate prediction of skin color can be achieved by considering both R and M. Therefore, precise skin color match in treating vitiligo or burn patients would be potentially achievable based on extensive collection of skin data from people of Asian descent. PMID- 29844969 TI - An improved primer set and amplification protocol with increased specificity and sensitivity targeting the Symbiodinium ITS2 region. AB - The Internal Transcribed Spacer 2 (ITS2) rRNA gene is a commonly targeted genetic marker to assess diversity of Symbiodinium, a dinoflagellate genus of algal endosymbionts that is pervasively associated with marine invertebrates, and notably reef-building corals. Here we tested three commonly used ITS2 primer pairs (SYM_VAR_5.8S2/SYM_VAR_REV, ITSintfor2/ITSReverse, and ITS-DINO/ITS2Rev2) with regard to amplification specificity and sensitivity towards Symbiodinium, as well as sub-genera taxonomic bias. We tested these primers over a range of sample types including three coral species, coral surrounding water, reef surface water, and open ocean water to assess their suitability for use in large-scale next generation sequencing projects and to develop a standardised PCR protocol. We found the SYM_VAR_5.8S2/SYM_VAR_REV primers to perform superior to the other tested ITS2 primers. We therefore used this primer pair to develop a standardised PCR protocol. To do this, we tested the effect of PCR-to-PCR variation, annealing temperature, cycle number, and different polymerase systems on the PCR efficacy. The Symbiodinium ITS2 PCR protocol developed here delivers improved specificity and sensitivity towards Symbiodinium with apparent minimal sub-genera taxonomic bias across all sample types. In particular, the protocol's ability to amplify Symbiodinium from a range of environmental sources will facilitate the study of Symbiodinium populations across biomes. PMID- 29844970 TI - Sample entropy analysis for the estimating depth of anaesthesia through human EEG signal at different levels of unconsciousness during surgeries. AB - Estimating the depth of anaesthesia (DoA) in operations has always been a challenging issue due to the underlying complexity of the brain mechanisms. Electroencephalogram (EEG) signals are undoubtedly the most widely used signals for measuring DoA. In this paper, a novel EEG-based index is proposed to evaluate DoA for 24 patients receiving general anaesthesia with different levels of unconsciousness. Sample Entropy (SampEn) algorithm was utilised in order to acquire the chaotic features of the signals. After calculating the SampEn from the EEG signals, Random Forest was utilised for developing learning regression models with Bispectral index (BIS) as the target. Correlation coefficient, mean absolute error, and area under the curve (AUC) were used to verify the perioperative performance of the proposed method. Validation comparisons with typical nonstationary signal analysis methods (i.e., recurrence analysis and permutation entropy) and regression methods (i.e., neural network and support vector machine) were conducted. To further verify the accuracy and validity of the proposed methodology, the data is divided into four unconsciousness-level groups on the basis of BIS levels. Subsequently, analysis of variance (ANOVA) was applied to the corresponding index (i.e., regression output). Results indicate that the correlation coefficient improved to 0.72 +/- 0.09 after filtering and to 0.90 +/- 0.05 after regression from the initial values of 0.51 +/- 0.17. Similarly, the final mean absolute error dramatically declined to 5.22 +/- 2.12. In addition, the ultimate AUC increased to 0.98 +/- 0.02, and the ANOVA analysis indicates that each of the four groups of different anaesthetic levels demonstrated significant difference from the nearest levels. Furthermore, the Random Forest output was extensively linear in relation to BIS, thus with better DoA prediction accuracy. In conclusion, the proposed method provides a concrete basis for monitoring patients' anaesthetic level during surgeries. PMID- 29844971 TI - Feeding behavior and trophic interaction of three shark species in the Galapagos Marine Reserve. AB - There is great concern about the future of sharks in Ecuador because of the lack of biological knowledge of most species that inhabit the region. This paper analyzes the feeding behavior of the pelagic thresher shark (Alopias pelagicus), the blue shark (Prionace glauca) and the silky shark (Carcharhinus falciformis) through the use of stable isotopes of carbon and nitrogen (delta13C and delta15N), with the aim of determining the degree of interaction between these species in the Galapagos Marine Reserve. No interspecific differences were found in use of oceanic vs. inshore feeding areas (delta13C: Kruskal-Wallis test, p = 0.09). The position in the hierarchy of the food web where A. pelagicus feeds differed from that of the other species (delta15N: Kruskal-Wallis test, p = 0.01). There were no significant differences in delta13C and delta15N values between males and females of the three species (Student's t-test, p > 0.05), which suggests that both sexes have a similar feeding behavior. A specialist strategy was observed in P. glauca (trophic niche breadth TNB = 0.69), while the other species were found to be generalist (A. pelagicus TNB = 1.50 and C. falciformis TNB = 1.09). The estimated trophic level (TL) varied between the three species. C. falciformis occupied the highest trophic level (TL = 4.4), making it a quaternary predator in the region. The results of this study coincide with the identified behavior in these predators in other areas of the tropical Pacific (Colombia and Mexico), and suggest a pelagic foraging strategy with differential consumption of prey between the three species. These ecological aspects can provide timely information when implementing in conservation measures for these shark species in the Tropical Pacific and Galapagos Marine Reserve. PMID- 29844972 TI - Fingerprinting snakes: paleontological and paleoecological implications of zygantral growth rings in Serpentes. AB - We introduce a new non-destructive source of skeletochronological data with applications to species identification, associating disarticulated remains, assessing minimum number of individuals (MNI), and collection management of fossil snakes, but with potential implications for all bony vertebrates, extinct or extant. Study of a diverse sample of Recent henophidian snakes confirms that annual growth cycles (AGCs) visible on the surface of the vertebral zygantrum correspond to lines of arrested growth in osteohistological thin sections and accordingly reflect chronological age. None of the specimens considered here showed signs of remodelling of the zygantrum, suggesting that a complete, unaltered age record is preserved. We tested potential influences on AGCs with a single experimental organism, a male Bogertophis subocularis, that was raised at a controlled temperature and with constant access to mice and water. The conditions in which this individual was maintained, including that it had yet to live through a full reproductive cycle, enabled us to determine that its AGCs reflect only the annual solar cycle, and neither temperature, nor resource availability, nor energy diversion to gametogenesis could explain that it still exhibited lines of arrested growth. Moreover, growth lines in this specimen are deposited toward the end of the growth season in the fall, and not in the winter, during which this individual continued to feed and grow, even though this mid latitude species would normally be hibernating and not growing. This suggests that growth lines are not caused by hibernation, but reflect the onset of a physiological cycle preparing Bogertophis subocularis for winter rest. That being said, hibernation and reproductive cycle could still influence the amount of time represented by an individual growth line. Growth-line number and AGC spacing pattern, plus centrum length, are used to estimate MNI of the Early Eocene fossil snake Boavus occidentalis collected from the Willwood Formation over two field seasons during the late 19th century. We identified eight or nine individuals among specimens previously parcelled among two specimen lots collected during those expeditions. PMID- 29844973 TI - Identifying potentially marker symptoms of attention-deficit/hyperactivity disorder. AB - Background: For the diagnosis of attention-deficit/hyperactivity disorder (ADHD), the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) proposes that adherence to six symptoms in either group (inattention and hyperactivity/impulsivity) will lead to the diagnosis of one of three presentations of the disorder. Underlying this diagnostic algorithm is the assumption that the 18 symptoms have equal relevance for the diagnosis of ADHD, all are equally severe, and all have the same power to detect the presence of the disorder in all its degrees of severity, without considering the possibility of using marker symptoms. However, several studies have suggested that ADHD symptoms differ in both their power to discriminate the presence of the disorder and the degree of severity they represent. The aim of the present study was to replicate the results of previous research by evaluating the discriminative capacity and relative severity of ADHD symptoms, as well as to extend the investigation of this topic to Spanish-speaking Latin American samples. Methods: The properties of ADHD symptoms rated by the parents of 474 Chilean children were analyzed. Symptom parameters were estimated using the graded response model. Results: The results suggest that symptoms of ADHD differ substantially in both the accuracy with which they reflect the presence of the disorder, and their relative severity. Symptoms "easily distracted by extraneous stimuli" and "have difficulty sustaining attention in tasks" (inattention) and "is on the go, acting as if driven by motor" (hyperactivity/impulsivity) were the most informative, and those with relatively lower severity thresholds. Discussion: The fact that symptoms differ substantially in the probability of being observed conditionally to the trait level suggests the need to refine the diagnostic process by weighting the severity of the symptom, and even to assess the possibility of defining ADHD marker symptoms, as has been done in other disorders. PMID- 29844974 TI - Molecular response of canola to salt stress: insights on tolerance mechanisms. AB - Canola (Brassica napus L.) is widely cultivated around the world for the production of edible oils and biodiesel fuel. Despite many canola varieties being described as 'salt-tolerant', plant yield and growth decline drastically with increasing salinity. Although many studies have resulted in better understanding of the many important salt-response mechanisms that control salt signaling in plants, detoxification of ions, and synthesis of protective metabolites, the engineering of salt-tolerant crops has only progressed slowly. Genetic engineering has been considered as an efficient method for improving the salt tolerance of canola but there are many unknown or little-known aspects regarding canola response to salinity stress at the cellular and molecular level. In order to develop highly salt-tolerant canola, it is essential to improve knowledge of the salt-tolerance mechanisms, especially the key components of the plant salt response network. In this review, we focus on studies of the molecular response of canola to salinity to unravel the different pieces of the salt response puzzle. The paper includes a comprehensive review of the latest studies, particularly of proteomic and transcriptomic analysis, including the most recently identified canola tolerance components under salt stress, and suggests what researchers should focus on in future studies. PMID- 29844975 TI - Immunogenicity evaluation of MS2 phage-mediated chimeric nanoparticle displaying an immunodominant B cell epitope of foot-and-mouth disease virus. AB - Foot-and-mouth disease (FMD) is a highly contagious disease of cloven-hoofed animals that has caused tremendous economic losses worldwide. In this study, we designed a chimeric nanoparticles (CNPs) vaccine that displays the predominant epitope of the serotype O foot-and-mouth disease virus (FMDV) VP1 131-160 on the surface of MS2 phage. The recombinant protein was expressed in Escherichia Coli and can self-assemble into CNPs with diameter at 25-30 nm in vitro. A tandem repeat peptide epitopes (TRE) was prepared as control. Mice were immunized with CNPs, TRE and commercialized synthetic peptide vaccines (PepVac), respectively. The ELISA results showed that CNPs stimulated a little higher specific antibody levels to PepVac, but was significantly higher than the TRE groups. Moreover, the results from specific IFN-gamma responses and lymphocyte proliferation test indicated that CNP immunized mice exhibited significantly enhanced cellular immune response compared to TRE. These results suggested that the CNPs constructed in current study could be a potential alternative vaccine in future FMDV control. PMID- 29844976 TI - Evidence-based economic analysis demonstrates that ecosystem service benefits of water hyacinth management greatly exceed research and control costs. AB - Invasive species management can be a victim of its own success when decades of effective control cause memories of past harm to fade and raise questions of whether programs should continue. Economic analysis can be used to assess the efficiency of investing in invasive species control by comparing ecosystem service benefits to program costs, but only if appropriate data exist. We used a case study of water hyacinth (Eichhornia crassipes (Mart.) Solms), a nuisance floating aquatic plant, in Louisiana to demonstrate how comprehensive record keeping supports economic analysis. Using long-term data sets, we developed empirical and spatio-temporal simulation models of intermediate complexity to project invasive species growth for control and no-control scenarios. For Louisiana, we estimated that peak plant cover would be 76% higher without the substantial growth rate suppression (84% reduction) that appeared due primarily to biological control agents. Our economic analysis revealed that combined biological and herbicide control programs, monitored over an unusually long time period (1975-2013), generated a benefit-cost ratio of about 34:1 derived from the relatively modest costs of $124 million ($2013) compared to the $4.2 billion ($2013) in benefits to anglers, waterfowl hunters, boating-dependent businesses, and water treatment facilities over the 38-year analysis period. This work adds to the literature by: (1) providing evidence of the effectiveness of water hyacinth biological control; (2) demonstrating use of parsimonious spatio temporal models to estimate benefits of invasive species control; and (3) incorporating activity substitution into economic benefit transfer to avoid overstating benefits. Our study suggests that robust and cost-effective economic analysis is enabled by good record keeping and generalizable models that can demonstrate management effectiveness and promote social efficiency of invasive species control. PMID- 29844977 TI - On the efficiency of the genetic code after frameshift mutations. AB - Statistical and biochemical studies of the standard genetic code (SGC) have found evidence that the impact of mistranslations is minimized in a way that erroneous codes are either synonymous or code for an amino acid with similar polarity as the originally coded amino acid. It could be quantified that the SGC is optimized to protect this specific chemical property as good as possible. In recent work, it has been speculated that the multilevel optimization of the genetic code stands in the wider context of overlapping codes. This work tries to follow the systematic approach on mistranslations and to extend those analyses to the general effect of frameshift mutations on the polarity conservation of amino acids. We generated one million random codes and compared their average polarity change over all triplets and the whole set of possible frameshift mutations. While the natural code-just as for the point mutations-appears to be competitively robust against frameshift mutations as well, we found that both optimizations appear to be independent of each other. For both, better codes can be found, but it becomes significantly more difficult to find candidates that optimize all of these features-just like the SGC does. We conclude that the SGC is not only very efficient in minimizing the consequences of mistranslations, but rather optimized in amino acid polarity conservation for all three effects of code alteration, namely translational errors, point and frameshift mutations. In other words, our result demonstrates that the SGC appears to be much more than just "one in a million". PMID- 29844978 TI - Effects of preservation method on canine (Canis lupus familiaris) fecal microbiota. AB - Studies involving gut microbiome analysis play an increasing role in the evaluation of health and disease in humans and animals alike. Fecal sampling methods for DNA preservation in laboratory, clinical, and field settings can greatly influence inferences of microbial composition and diversity, but are often inconsistent and under-investigated between studies. Many laboratories have utilized either temperature control or preservation buffers for optimization of DNA preservation, but few studies have evaluated the effects of combining both methods to preserve fecal microbiota. To determine the optimal method for fecal DNA preservation, we collected fecal samples from one canine donor and stored aliquots in RNAlater, 70% ethanol, 50:50 glycerol:PBS, or without buffer at 25 degrees C, 4 degrees C, and -80 degrees C. Fecal DNA was extracted, quantified, and 16S rRNA gene analysis performed on Days 0, 7, 14, and 56 to evaluate changes in DNA concentration, purity, and bacterial diversity and composition over time. We detected overall effects on bacterial community of storage buffer (F-value = 6.87, DF = 3, P < 0.001), storage temperature (F-value=1.77, DF = 3, P = 0.037), and duration of sample storage (F-value = 3.68, DF = 3, P < 0.001). Changes in bacterial composition were observed in samples stored in -80 degrees C without buffer, a commonly used method for fecal DNA storage, suggesting that simply freezing samples may be suboptimal for bacterial analysis. Fecal preservation with 70% ethanol and RNAlater closely resembled that of fresh samples, though RNAlater yielded significantly lower DNA concentrations (DF = 8.57, P < 0.001). Although bacterial composition varied with temperature and buffer storage, 70% ethanol was the best method for preserving bacterial DNA in canine feces, yielding the highest DNA concentration and minimal changes in bacterial diversity and composition. The differences observed between samples highlight the need to consider optimized post-collection methods in microbiome research. PMID- 29844979 TI - Taxonomic monograph of Oxygyne (Thismiaceae), rare achlorophyllous mycoheterotrophs with strongly disjunct distribution. AB - Oxygyne Schltr. (Thismiaceae) is a rare and little-known genus of achlorophyllous mycoheterotrophic perennial herbs with one of the most remarkable distributions of all angiosperm plant genera globally, being disjunct between Japan and West Central Africa. Each species is known only from a single location, and in most cases from a single specimen. This monographic study names, describes and maps two new species, Oxygyne duncanii Cheek from cloud forest in SW Region Cameroon and O. frankei Cheek from gallery forest in the Central African Republic, representing the first new Oxygyne species described from Africa in 112 years, and raising the number of described Oxygyne species from four to six. Oxygyne duncanii is remarkable for sharing more morphological characters with two of the three Japanese species (O. hyodoi C.Abe & Akasawa, O. shinzatoi (H. Ohashi) Tsukaya) than with the geographically much closer type species of the genus, O. triandra from Mt Cameroon. Based mainly on herbarium specimens and field observations made in Cameroon and Japan during a series of botanical surveys, we provide descriptions, synonymy, mapping and extinction risk assessments for each species of Oxygyne, together with keys to the genera of Thismiaceae and the species of Oxygyne. The subterranean structures of African Oxygyne are described for the first time, and found to be consistent with those of the Japanese species. We review and reject an earlier proposal that the Japanese species should be segregated from the African species as a separate genus, Saionia Hatus. The only character that separates the two disjunct species groups is now flower colour: blue or partly-blue in the Japanese species compared with orange-brown in the African species. Studies of the pollination biology and mycorrhizal partners of Oxygyne are still lacking. Two of the six species, O. triandra Schltr. and O. hyodoi, appear to be extinct, and the remaining four are assessed as Critically Endangered using the IUCN 2012 criteria. To avoid further extinction, an urgent requirement is for conservation management of the surviving species in the wild. Since few achlorophyllous mycoheterotrophs have been successfully cultivated from seed to maturity, ex situ conservation will not be viable for these species and protection in the wild is the only viable option. While natural habitat survives, further botanical surveys could yet reveal additional new species between Central Africa and Japan. PMID- 29844980 TI - The variable monoaminergic outcomes of cleaner fish brains when facing different social and mutualistic contexts. AB - The monoamines serotonin and dopamine are important neuromodulators present in the central nervous system, known to be active regulators of social behaviour in fish as in other vertebrates. Our aim was to investigate the region-specific brain monoaminergic differences arising when individual cleaners face a client (mutualistic context) compared to when they are introduced to another conspecific (conspecific context), and to understand the relevance of visual assessment compared to the impact of physical contact with any partner. We demonstrated that serotoninergic activity at the diencephalon responds mostly to the absence of physical contact with clients whereas cerebellar dopaminergic activity responds to actual cleaning engagement. We provide first insights on the brain's monoaminergic (region-specific) response variations, involved in the expression of cleaner fishes' mutualistic and conspecific behaviour. These results contribute to a better understanding of the monoaminergic activity in accordance to different socio-behavioural contexts. PMID- 29844981 TI - Predicting the potential distributions of the invasive cycad scale Aulacaspis yasumatsui (Hemiptera: Diaspididae) under different climate change scenarios and the implications for management. AB - Cycads are an ancient group of gymnosperms that are popular as landscaping plants, though nearly all of them are threatened or endangered in the wild. The cycad aulacaspis scale (CAS), Aulacaspis yasumatsui Takagi (Hemiptera: Diaspididae), has become one of the most serious pests of cycads in recent years; however, the potential distribution range and the management approach for this pest are unclear. A potential risk map of cycad aulacaspis scale was created based on occurrence data under different climatic conditions and topology factors in this study. Furthermore, the future potential distributions of CAS were projected for the periods 2050s and 2070s under three different climate change scenarios (GFDL-CM3, HADGEM2-AO and MIROC5) described in the Special Report on Emissions Scenarios of the IPCC (Intergovernmental Panel on Climate Change). The model suggested high environmental suitability for the continents of Asia and North America, where the species has already been recorded. The potential distribution expansions or reductions were also predicted under different climate change conditions. Temperature of Driest Quarter (Bio9) was the most important factor, explaining 48.1% of the distribution of the species. The results also suggested that highly suitable habitat for CAS would exist in the study area if the mean temperature of 15-20 degrees C in the driest quarter and a mean temperature of 25-28 degrees C the wettest quarter. This research provides a theoretical reference framework for developing policy to manage and control this invasive pest. PMID- 29844982 TI - Impact of input data (in)accuracy on overestimation of visible area in digital viewshed models. AB - Viewshed analysis is a GIS tool in standard use for more than two decades to perform numerous scientific and practical tasks. The reliability of the resulting viewshed model depends on the computational algorithm and the quality of the input digital surface model (DSM). Although many studies have dealt with improving viewshed algorithms, only a few studies have focused on the effect of the spatial accuracy of input data. Here, we compare simple binary viewshed models based on DSMs having varying levels of detail with viewshed models created using LiDAR DSM. The compared DSMs were calculated as the sums of digital terrain models (DTMs) and layers of forests and buildings with expertly assigned heights. Both elevation data and the visibility obstacle layers were prepared using digital vector maps differing in scale (1:5,000, 1:25,000, and 1:500,000) as well as using a combination of a LiDAR DTM with objects vectorized on an orthophotomap. All analyses were performed for 104 sample locations of 5 km2, covering areas from lowlands to mountains and including farmlands as well as afforested landscapes. We worked with two observer point heights, the first (1.8 m) simulating observation by a person standing on the ground and the second (80 m) as observation from high structures such as wind turbines, and with five estimates of forest heights (15, 20, 25, 30, and 35 m). At all height estimations, all of the vector-based DSMs used resulted in overestimations of visible areas considerably greater than those from the LiDAR DSM. In comparison to the effect from input data scale, the effect from object height estimation was shown to be secondary. PMID- 29844983 TI - Impact of crop residue management on crop production and soil chemistry after seven years of crop rotation in temperate climate, loamy soils. AB - Society is increasingly demanding a more sustainable management of agro ecosystems in a context of climate change and an ever growing global population. The fate of crop residues is one of the important management aspects under debate, since it represents an unneglectable quantity of organic matter which can be kept in or removed from the agro-ecosystem. The topic of residue management is not new, but the need for global conclusion on the impact of crop residue management on the agro-ecosystem linked to local pedo-climatic conditions has become apparent with an increasing amount of studies showing a diversity of conclusions. This study specifically focusses on temperate climate and loamy soil using a seven-year data set. Between 2008 and 2016, we compared four contrasting residue management strategies differing in the amount of crop residues returned to the soil (incorporation vs. exportation of residues) and in the type of tillage (reduced tillage (10 cm depth) vs. conventional tillage (ploughing at 25 cm depth)) in a field experiment. We assessed the impact of the crop residue management on crop production (three crops-winter wheat, faba bean and maize cultivated over six cropping seasons), soil organic carbon content, nitrate ([Formula: see text]), phosphorus (P) and potassium (K) soil content and uptake by the crops. The main differences came primarily from the tillage practice and less from the restitution or removal of residues. All years and crops combined, conventional tillage resulted in a yield advantage of 3.4% as compared to reduced tillage, which can be partly explained by a lower germination rate observed under reduced tillage, especially during drier years. On average, only small differences were observed for total organic carbon (TOC) content of the soil, but reduced tillage resulted in a very clear stratification of TOC and also of P and K content as compared to conventional tillage. We observed no effect of residue management on the [Formula: see text] content, since the effect of fertilization dominated the effect of residue management. To confirm the results and enhance early tendencies, we believe that the experiment should be followed up in the future to observe whether more consistent changes in the whole agro-ecosystem functioning are present on the long term when managing residues with contrasted strategies. PMID- 29844984 TI - Shelters can negatively affect growth and welfare in lumpfish if feed is delivered continuously. AB - Due to the socioeconomic importance of salmon farming in the North Atlantic and the economic impact of sea lice in this industry, there is high demand for novel pest control methods. One such method is the use of cleaner fish to remove the lice from the salmon. A cleaner fish that has recently gained in popularity due to its ability to work in cold water, is the lumpfish (Cyclopterus lumpus). This fish varies in efficiency, but when mortality is low and cleaning optimal, the fish are successful in keeping parasite burdens low. However, there is some concern for the welfare of lumpfish in the industry, because mortality is often high. This is sometimes attributed to inadequate feeding and shelter. Here we compare growth, body condition, and fin health of fish reared for four weeks in a crossed treatment design crossing shelter availability (shelter vs none) and feed delivery method (manual meal time feeds and continuous automated feeding). In terms of weight gain, shelter availability interacted with feeding method, with fish that had access to shelters and were fed using automated feeders gaining less weight than other fish. Fin health was not affected, but body condition was lowered both by access to shelter and being fed continuously. The results indicate a need to carefully consider how feeding method and shelter use is combined, both in cages and during rearing on land. PMID- 29844985 TI - Divergent and convergent evolution of housekeeping genes in human-pig lineage. AB - Housekeeping genes are ubiquitously expressed and maintain basic cellular functions across tissue/cell type conditions. The present study aimed to develop a set of pig housekeeping genes and compare the structure, evolution and function of housekeeping genes in the human-pig lineage. By using RNA sequencing data, we identified 3,136 pig housekeeping genes. Compared with human housekeeping genes, we found that pig housekeeping genes were longer and subjected to slightly weaker purifying selection pressure and faster neutral evolution. Common housekeeping genes, shared by the two species, achieve stronger purifying selection than species-specific genes. However, pig- and human-specific housekeeping genes have similar functions. Some species-specific housekeeping genes have evolved independently to form similar protein active sites or structure, such as the classical catalytic serine-histidine-aspartate triad, implying that they have converged for maintaining the basic cellular function, which allows them to adapt to the environment. Human and pig housekeeping genes have varied structures and gene lists, but they have converged to maintain basic cellular functions essential for the existence of a cell, regardless of its specific role in the species. The results of our study shed light on the evolutionary dynamics of housekeeping genes. PMID- 29844986 TI - Selective constraint acting on TLR2 and TLR4 genes of Japanese Rana frogs. AB - Toll-like receptors (TLRs) are an important component of innate immunity, the first line of pathogen defence. One of the major roles of TLRs includes recognition of pathogen-associated molecular patterns. Amphibians are currently facing population declines and even extinction due to chytridiomycosis caused by the Batrachochytrium dendrobatidis (Bd) fungus. Evidence from other vertebrates shows that TLR2 and TLR4 are involved in innate immunity against various fungi. Such genes therefore may play a functional role in amphibian-chytridiomycosis dynamics. Frogs from East Asia appear to be tolerant to Bd, so we examined the genetic diversity that underlies TLR2 and TLR4 from three Japanese Ranidae frog species, Rana japonica, R. ornativentris and R. tagoi tagoi (n = 5 per species). We isolated 27 TLR2 and 20 TLR4 alleles and found that these genes are evolutionarily conserved, with overall evidence supporting purifying selection. In contrast, site-by-site analysis of selection identified several specific codon sites under positive selection, some of which were located in the variable leucine rich repeat domains. In addition, preliminary expression levels of TLR2 and TLR4 from transcriptome data showed overall low expression. Although it remains unclear whether infectious pathogens are a selective force acting on TLRs of Japanese frogs, our results support that certain sites in TLRs of these species may have experienced pathogen-mediated selection. PMID- 29844987 TI - Rapid evolution of the Helicobacter pylori AlpA adhesin in a high gastric cancer risk region from Colombia. AB - To be able to survive, Helicobacter pylori must adhere to the gastric epithelial cells of its human host. For this purpose, the bacterium employs an array of adhesins, for example, AlpA. The adhesin AlpA has been proposed as a major adhesin because of its critical role in human stomach colonization. Therefore, understanding how AlpA evolved could be important for the development of new diagnostic strategies. However, the genetic variation and microevolutionary patterns of alpA have not been described in Colombia. The study aim was to describe the variation patterns and microevolutionary process of alpA in Colombian clinical isolates of H. pylori. The existing polymorphisms, which are deviations from the neutral model of molecular evolution, and the genetic differentiation of the alpA gene from Colombian clinical isolates of H. pylori were determined. The analysis shows that gene conversion and purifying selection have shaped the evolution of three different variants of alpA in Colombia. PMID- 29844988 TI - Primate occurrence across a human-impacted landscape in Guinea-Bissau and neighbouring regions in West Africa: using a systematic literature review to highlight the next conservation steps. AB - Background: West African landscapes are largely characterised by complex agroforest mosaics. Although the West African forests are considered a nonhuman primate hotspot, knowledge on the distribution of many species is often lacking and out-of-date. Considering the fast-changing nature of the landscapes in this region, up-to-date information on primate occurrence is urgently needed, particularly of taxa such as colobines, which may be more sensitive to habitat modification than others. Understanding wildlife occurrence and mechanisms of persistence in these human-dominated landscapes is fundamental for developing effective conservation strategies. Methods: In this paper, we aim to review current knowledge on the distribution of three threatened primates in Guinea Bissau and neighbouring regions, highlighting research gaps and identifying priority research and conservation action. We conducted a systematic literature review of primate studies from 1976 to 2016 in Guinea-Bissau, southern Senegal and western Guinea (Boke Region). We mapped historical observation records of chimpanzee (Pan troglodytes verus), Temminck's red colobus (Pilicolobus badius temminckii) and king colobus (Colobus polykomos), including our preliminary survey data from Dulombi, a newly established National Park (NP) in Guinea Bissau. Results: We found 151 documents, including 87 journal articles, that contained field data on primates in this region. In Guinea-Bissau, nearly all studies focussed south of the Corubal River, including mainly Cantanhez, Cufada, and Boe NP's. In Senegal, most of the data came from Fongoli and Niokolo-Koba NP. In Boke (Guinea) studies are few, with the most recent data coming from Sangaredi. In Dulombi NP we recorded eight primate species, including chimpanzees, red colobus and king colobus. Across the selected region, chimpanzees, red colobus and king colobus were reported in eleven, twelve and seven protected areas, respectively. Discussion: Our study demonstrates large geographical research gaps particularly for the two colobines. For the first time after more than two decades, we confirm the presence of red colobus and king colobus north of the Corubal River in Guinea-Bissau. The little information available from large parts of the red colobus range raises questions regarding levels of population fragmentation in this species, particularly in Casamance and across northern Guinea-Bissau. There are still no records demonstrating the occurrence of king colobus in Senegal, and the presence of a viable population in north-eastern Guinea-Bissau remains uncertain. While the occurrence of chimpanzees in Guinea-Bissau and Senegal is well documented, data from Boke (Guinea) are sparse and out-of-date. Our approach-the mapping of data gathered from a systematic literature review-allows us to provide recommendations for selecting future geographical survey locations and planning further research and conservation strategies in this region. PMID- 29844989 TI - The global burden of HIV-1 drug resistance in the past 20 years. AB - Genotypic drug resistance testing has been an integral part of the clinical management of HIV patients for almost 20 years, not only assisting treatment choices but also informing drug development. Accurate estimations on the worldwide circulation of drug resistance are difficult to obtain, particularly in low/middle-income countries. In this work, we queried two of the largest public HIV sequence repositories in the world-Los Alamos and Stanford HIVdb-to derive global prevalence, time trends and geodemographic predictors of HIV drug resistance. Different genotypic interpretation systems were used to ascertain resistance to reverse transcriptase and protease inhibitors. Continental, subtype specific (including circulating recombinant forms) stratification as well as analysis on drug-naive isolates were performed. Geographic information system analysis correlated country-specific drug resistance to sociodemographic and health indicators obtained from the World Bank. By looking at over 33,000 sequences worldwide between 1996 and 2016, increasing drug resistance trends with non-B subtypes and recombinants were found; transmitted drug resistance appeared to remain stable in the last decade. While an increase in drug resistance is expected with antiretroviral therapy rollout in resource-constrained areas, the plateau effect in areas covered by the most modern drug regimens warns against the downgrading of the resistance issue. PMID- 29844990 TI - A survey on sleep assessment methods. AB - Purpose: A literature review is presented that aims to summarize and compare current methods to evaluate sleep. Methods: Current sleep assessment methods have been classified according to different criteria; e.g., objective (polysomnography, actigraphy...) vs. subjective (sleep questionnaires, diaries...), contact vs. contactless devices, and need for medical assistance vs. self-assessment. A comparison of validation studies is carried out for each method, identifying their sensitivity and specificity reported in the literature. Finally, the state of the market has also been reviewed with respect to customers' opinions about current sleep apps. Results: A taxonomy that classifies the sleep detection methods. A description of each method that includes the tendencies of their underlying technologies analyzed in accordance with the literature. A comparison in terms of precision of existing validation studies and reports. Discussion: In order of accuracy, sleep detection methods may be arranged as follows: Questionnaire < Sleep diary < Contactless devices < Contact devices < PolysomnographyA literature review suggests that current subjective methods present a sensitivity between 73% and 97.7%, while their specificity ranges in the interval 50%-96%. Objective methods such as actigraphy present a sensibility higher than 90%. However, their specificity is low compared to their sensitivity, being one of the limitations of such technology. Moreover, there are other factors, such as the patient's perception of her or his sleep, that can be provided only by subjective methods. Therefore, sleep detection methods should be combined to produce a synergy between objective and subjective methods. The review of the market indicates the most valued sleep apps, but it also identifies problems and gaps, e.g., many hardware devices have not been validated and (especially software apps) should be studied before their clinical use. PMID- 29844991 TI - Physical fitness predicts technical-tactical and time-motion profile in simulated Judo and Brazilian Jiu-Jitsu matches. AB - Background: Among combat sports, Judo and Brazilian Jiu-Jitsu (BJJ) present elevated physical fitness demands from the high-intensity intermittent efforts. However, information regarding how metabolic and neuromuscular physical fitness is associated with technical-tactical performance in Judo and BJJ fights is not available. This study aimed to relate indicators of physical fitness with combat performance variables in Judo and BJJ. Methods: The sample consisted of Judo (n = 16) and BJJ (n = 24) male athletes. At the first meeting, the physical tests were applied and, in the second, simulated fights were performed for later notational analysis. Results: The main findings indicate: (i) high reproducibility of the proposed instrument and protocol used for notational analysis in a mobile device; (ii) differences in the technical-tactical and time-motion patterns between modalities; (iii) performance-related variables are different in Judo and BJJ; and (iv) regression models based on metabolic fitness variables may account for up to 53% of the variances in technical-tactical and/or time-motion variables in Judo and up to 31% in BJJ, whereas neuromuscular fitness models can reach values up to 44 and 73% of prediction in Judo and BJJ, respectively. When all components are combined, they can explain up to 90% of high intensity actions in Judo. Discussion: In conclusion, performance prediction models in simulated combat indicate that anaerobic, aerobic and neuromuscular fitness variables contribute to explain time-motion variables associated with high intensity and technical tactical variables in Judo and BJJ fights. PMID- 29844992 TI - Effect of Sofosbuvir plus Ribavirin therapy on hepatitis C patients in Pakistan: a retrospective study. AB - Background: The annual global deaths from viral hepatitis is 1.4 million. Pakistan has the second highest burden of hepatitis C in the world. There is dire need to evaluate the response of new direct acting antivirals for the treatment of hepatitis C patients in Pakistan. World Health Organization has developed a strategy to treat 80% of HCV patients by 2030. In Pakistan, HCV treatment rate is 1%. The aim of the study was to analyze the effect of Sofosbuvir plus Ribavirin therapy on HCV patients in Pakistan. Methods: An observational study was conducted at Fauji Foundation Hospital Rawalpindi from November-2016 to July 2017. All the drugs were administered according to the guidelines of Asia Pacific Association for the Study of Liver (APASL) for the treatment of HCV patients. A total 327 chronic HCV patients were enrolled in the study and 304 completed the treatment. Patients belonged to three different groups including treatment: Naive patients (n = 107), Non-Responder patients (n = 126) and patients who relapsed to Interferon therapy (n = 71). All the patients were given Sofosbuvir plus Ribavirin therapy for 24 weeks and the early virological response (EVR) and end treatment response (ETR) was calculated. Different parameters including patient age, viral load, viral genotype, blood picture, ultrasound findings and liver function tests were also studied. Results: Out of 304 patients, 301 (99%) achieved EVR and 300 achieved ETR (98.7%). End treatment response was 95.6% in HCV genotype 1 and 98.9% in HCV genotype 3 patients. ETR was 99.06% in treatment Naive, 99.20% in non-responders and 97.18% in previously relapsed patients. We did not find the association of any host and viral factor in the determination of EVR and ETR. Conclusion: The Sofosbuvir plus Ribavirin treatment is highly effective, safe and cost-effective for the treatment of hepatitis C patients in Pakistan. PMID- 29844993 TI - Altitudinal patterns in breeding bird species richness and density in relation to climate, habitat heterogeneity, and migration influence in a temperate montane forest (South Korea). AB - Altitudinal patterns in the population ecology of mountain bird species are useful for predicting species occurrence and behavior. Numerous hypotheses about the complex interactions among environmental factors have been proposed; however, these still remain controversial. This study aimed to identify the altitudinal patterns in breeding bird species richness or density and to test the hypotheses that climate, habitat heterogeneity (horizontal and vertical), and heterospecific attraction in a temperate forest, South Korea. We conducted a field survey of 142 plots at altitudes between 200 and 1,400 m a.s.l in the breeding season. A total of 2,771 individuals from 53 breeding bird species were recorded. Altitudinal patterns of species richness and density showed a hump-shaped pattern, indicating that the highest richness and density could be observed at moderate altitudes. Models constructed with 13 combinations of six variables demonstrated that species richness was positively correlated with vertical and horizontal habitat heterogeneity. Density was positively correlated with vertical, but not horizontal habitat heterogeneity, and negatively correlated with migratory bird ratio. No significant relationships were found between spring temperature and species richness or density. Therefore, the observed patterns in species richness support the hypothesis that habitat heterogeneity, rather than climate, is the main driver of species richness. Also, neither habitat heterogeneity nor climate hypotheses fully explains the observed patterns in density. However, vertical habitat heterogeneity does likely help explain observed patterns in density. The heterospecific attraction hypothesis did not apply to the distribution of birds along the altitudinal gradient. Appropriate management of vertical habitat heterogeneity, such as vegetation cover, should be maintained for the conservation of bird diversity in this area. PMID- 29844994 TI - Allocation pattern and accumulation potential of carbon stock in natural spruce forests in northwest China. AB - Background: The spruce forests are dominant communities in northwest China, and play a key role in national carbon budgets. However, the patterns of carbon stock distribution and accumulation potential across stand ages are poorly documented. Methods: We investigated the carbon stocks in biomass and soil in the natural spruce forests in the region by surveys on 39 plots. Biomass of tree components were estimated using allometric equations previously established based on tree height and diameter at breast height, while biomass in understory (shrub and herb) and forest floor were determined by total harvesting method. Fine root biomass was estimated by soil coring technique. Carbon stocks in various biomass components and soil (0-100 cm) were estimated by analyzing the carbon content of each component. Results: The results showed that carbon stock in these forest ecosystems can be as high as 510.1 t ha-1, with an average of 449.4 t ha-1. Carbon stock ranged from 28.1 to 93.9 t ha-1 and from 0.6 to 8.7 t ha-1 with stand ages in trees and deadwoods, respectively. The proportion of shrubs, herbs, fine roots, litter and deadwoods ranged from 0.1% to 1% of the total ecosystem carbon, and was age-independent. Fine roots and deadwood which contribute to about 2% of the biomass carbon should be attached considerable weight in the investigation of natural forests. Soil carbon stock did not show a changing trend with stand age, ranging from 254.2 to 420.0 t ha-1 with an average of 358.7 t ha 1. The average value of carbon sequestration potential for these forests was estimated as 29.4 t ha-1, with the lower aged ones being the dominant contributor. The maximum carbon sequestration rate was 2.47 t ha-1 year-1 appearing in the growth stage of 37-56 years. Conclusion: The carbon stock in biomass was the major contributor to the increment of carbon stock in ecosystems. Stand age is not a good predictor of soil carbon stocks and accurate evaluation of the soil carbon dynamics thus requires long-term monitoring in situ. The results not only revealed carbon stock status and dynamics in these natural forests but were helpful to understand the role of Natural Forest Protection project in forest carbon sequestration as well. PMID- 29844995 TI - On the taxonomic status and distribution of African species of Otomops (Chiroptera: Molossidae). AB - Background: Free-tailed bats of the genus Otomops are poorly known, and most species are documented from a handful of widely scattered localities. Recently, two allopatric species of Otomops were recognized in continental Africa: Otomops martiensseni (Matschie, 1897) in southern, central and western Africa, and the new species O. harrisoni Ralph et al., 2015 in the northeast and in Yemen. Methods: We collected additional samples of Otomops in Kenya and Rwanda where the ranges of these taxa approach one another to clarify their geographic ranges and taxonomic status. Mitochondrial and nuclear intron sequences served to identify and delimit species; we also documented their echolocation call variation and ectoparasite complements. Results: Otomops martiensseni, the southern African species, was documented in northern Kenya in Marsabit National Park. O. harrisoni, the northeastern African-Arabian species, was documented in southern Kenya and in a cave in Musanze District, Rwanda. Moreover, individuals of both species were found together at the Musanze cave, establishing them in precise spatial and temporal sympatry. Analyses of mitochondrial and nuclear loci identify no evidence of admixture between these forms, although available samples limit the power of this analysis. Echolocation call differences are also apparent among the three localities we analyzed. Three orders of insects and two families of mites are newly reported as ectoparasites of O. harrisoni. Discussion: Our results corroborate species rank for O. harrisoni and establish a zone of potential geographic overlap with O. martiensseni spanning at least 800 km of latitude. The new records establish the species in sympatry in northern Rwanda and add an additional species to the bat faunas of both Kenya and Rwanda. Future studies are needed to understand Otomops roosting requirements and movements, thereby explaining the paucity of known colonies and yielding better estimates of their conservation status. The discovery of mixed roosting associations in Rwanda invites further investigation. PMID- 29844996 TI - Why is nonword reading so variable in adult skilled readers? AB - When the task is reading nonwords aloud, skilled adult readers are very variable in the responses they produce: a nonword can evoke as many as 24 different responses in a group of such readers. Why is nonword reading so variable? We analysed a large database of reading responses to nonwords, which documented that two factors contribute to this variability. The first factor is variability in graphemic parsing (the parsing of a letter string into its constituent graphemes): the same nonword can be graphemically parsed in different ways by different readers. The second factor is phoneme assignment: even when all subjects produce the same graphemic parsing of a nonword, they vary in what phonemes they assign to the resulting set of graphemes. We consider the implications of these results for the computational modelling of reading, for the assessment of impairments of nonword reading, and for the study of reading aloud in other alphabetically written languages and in nonalphabetic writing systems. PMID- 29844997 TI - Identification of stem rust resistance genes in wheat cultivars in China using molecular markers. AB - Wheat stem rust caused by Puccinia graminis f. sp. tritici Eriks. & E. Henn. (Pgt), is a major disease that has been effectively controlled using resistance genes. The appearance and spread of Pgt races such as Ug99, TKTTF, and TTTTF, which are virulent to most stem rust-resistant genes currently deployed in wheat breeding programs, renewed the interest in breeding cultivars resistant to wheat stem rust. It is therefore important to investigate the levels of resistance or vulnerability of wheat cultivars to Pgt races. Resistance to Pgt races 21C3CTHQM, 34MKGQM, and 34C3RTGQM was evaluated in 136 Chinese wheat cultivars at the seedling stage. A total of 124 cultivars (91.2%) were resistant to the three races. Resistance genes Sr2, Sr24, Sr25, Sr26, Sr31, and Sr38 were analyzed using molecular markers closely linked to them, and 63 of the 136 wheat cultivars carried at least one of these genes: 21, 25, and 28 wheat cultivars likely carried Sr2, Sr31, and Sr38, respectively. Cultivars "Kehan 3" and "Jimai 22" likely carried Sr25. None of the cultivars carried Sr24 or Sr26. These cultivars with known stem rust resistance genes provide valuable genetic material for breeding resistant wheat cultivars. PMID- 29844998 TI - Reef fish communities are spooked by scuba surveys and may take hours to recover. AB - Ecological monitoring programs typically aim to detect changes in the abundance of species of conservation concern or which reflect system status. Coral reef fish assemblages are functionally important for reef health and these are most commonly monitored using underwater visual surveys (UVS) by divers. In addition to estimating numbers, most programs also collect estimates of fish lengths to allow calculation of biomass, an important determinant of a fish's functional impact. However, diver surveys may be biased because fishes may either avoid or are attracted to divers and the process of estimating fish length could result in fish counts that differ from those made without length estimations. Here we investigated whether (1) general diver disturbance and (2) the additional task of estimating fish lengths affected estimates of reef fish abundance and species richness during UVS, and for how long. Initial estimates of abundance and species richness were significantly higher than those made on the same section of reef after diver disturbance. However, there was no evidence that estimating fish lengths at the same time as abundance resulted in counts different from those made when estimating abundance alone. Similarly, there was little consistent bias among observers. Estimates of the time for fish taxa that avoided divers after initial contact to return to initial levels of abundance varied from three to 17 h, with one group of exploited fishes showing initial attraction to divers that declined over the study period. Our finding that many reef fishes may disperse for such long periods after initial contact with divers suggests that monitoring programs should take great care to minimise diver disturbance prior to surveys. PMID- 29844999 TI - Do latitudinal gradients exist in New Zealand stream invertebrate metacommunities? AB - That biodiversity declines with latitude is well known, but whether a metacommunity process is behind this gradient has received limited attention. We tested the hypothesis that dispersal limitation is progressively replaced by mass effects with increasing latitude, along with a series of related hypotheses. We explored these hypotheses by examining metacommunity structure in stream invertebrate metacommunities spanning the length of New Zealand's two largest islands (~1,300 km), further disentangling the role of dispersal by deconstructing assemblages into strong and weak dispersers. Given the highly dynamic nature of New Zealand streams, our alternative hypothesis was that these systems are so unpredictable (at different stages of post-flood succession) that metacommunity structure is highly context dependent from region to region. We rejected our primary hypotheses, pinning this lack of fit on the strong unpredictability of New Zealand's dynamic stream ecosystems and fauna that has evolved to cope with these conditions. While local community structure turned over along this latitudinal gradient, metacommunity structure was highly context dependent and dispersal traits did not elucidate patterns. Moreover, the emergent metacommunity types exhibited no trends, nor did the important environmental variables. These results provide a cautionary tale for examining singular metacommunities. The considerable level of unexplained contingency suggests that any inferences drawn from one-off snapshot sampling may be misleading and further points to the need for more studies on temporal dynamics of metacommunity processes. PMID- 29845000 TI - Pituitary Abscess: A Rare Clinical Entity in the Presence of Acute Rhinosinusitis: A Case Report. AB - A pituitary abscess is an often-overlooked diagnosis in the clinical presentation of a sellar mass. Due to its rare incidence and nonspecific presentation, diagnosis and treatment is often delayed. The authors describe a 56-year-old male patient presenting with acute onset of severe headache, visual field deficit, and radiologic findings of an expansile sellar lesion. The presenting symptoms were unremarkable for the diagnosis of meningitis, cavernous sinus thrombosis, and septicemia. Recent medical history included symptoms of rhinosinusitis on the days preceding his acute presentation. The initial clinical presentation was suggestive of a possible pituitary apoplexy. Intraoperative findings revealed purulent output upon surgical entry of the sella. Histopathology confirmed the diagnosis of a pituitary abscess. Review of the clinical and radiologic data revealed evidence of multiple opacifications within the paranasal sinuses, along with dehiscence overlying the sellar bone, supporting a diagnosis of secondary pituitary abscess. This case, along with a review of the available literature, will serve to expand our knowledge of this rare disease process that is often overlooked. Clinicians should be mindful of this condition, and include a primary versus secondary pituitary abscess in the differential workup on such cases. PMID- 29845001 TI - Giant Cell Tumor of the Lateral Skull Base: Diagnostic and Management Options. AB - Giant cell tumor of bone (GCTB) is a rare, benign, osteolytic neoplasm that most commonly occurs in early adulthood and often involves the long bones of the body. Although GCTB largely affects the epiphyses of long bones, several reports of GCTB involvement of the cranial and facial bones exist in the literature. In addition to reviewing other reported cases of GCTBs of the lateral skull base in the literature, the authors report here on the clinical presentation, radiographic findings, and neurosurgical management of a patient found to have a GCTB of the middle and infratemporal fossae, which was treated by aggressive en bloc resection of the lateral skull base. PMID- 29845002 TI - Rituximab for retroperitoneal fibrosis due to IgG4-related disease: A case report and literature review. AB - Retroperitoneal fibrosis (RPF) is a progressive fibroinflammatory disease that can be complicated by urinary obstruction. RPF can be the only manifestation of IgG4-related disease (IgG4-RD). Treatment of IgG4-related RPF is challenging and mostly consists of long-term glucocorticoids leading to significant side effects and treatment intolerance. Recent exploration of the role of rituximab as a B cell depleting therapy in the treatment of IgG4-RD provides therapeutic potential as a well-tolerated alternative to glucocorticoids. We present a case of IgG4 related RPF for which rituximab was instituted as a steroid-sparing treatment strategy. Following 4 doses, kidney function partially recovered, and the disease went into remission. We discuss the potential merit of rituximab for the treatment of patients with IgG4-related RPF. PMID- 29845003 TI - Early bilateral and massive compromise of the frontal lobes. AB - The frontal lobes are one of the most complex brain structures involved in both domain-general and specific functions. The goal of this work was to assess the anatomical and cognitive affectations from a unique case with massive bilateral frontal affectation. We report the case of GC, an eight-year old child with nearly complete affectation of bilateral frontal structures and spared temporal, parietal, occipital, and cerebellar regions. We performed behavioral, neuropsychological, and imaging (MRI, DTI, fMRI) evaluations. Neurological and neuropsychological examinations revealed a mixed pattern of affected (executive control/abstraction capacity) and considerably preserved (consciousness, language, memory, spatial orientation, and socio-emotional) functions. Both structural (DTI) and functional (fMRI) connectivity evidenced abnormal anterior connections of the amygdala and parietal networks. In addition, brain structural connectivity analysis revealed almost complete loss of frontal connections, with atypical temporo-posterior pathways. Similarly, functional connectivity showed an aberrant frontoparietal network and relative preservation of the posterior part of the default mode network and the visual network. We discuss this multilevel pattern of behavioral, structural, and functional connectivity results. With its unique pattern of compromised and preserved structures and functions, this exceptional case offers new constraints and challenges for neurocognitive theories. PMID- 29845004 TI - Abnormal language-related oscillatory responses in primary progressive aphasia. AB - Patients with Primary Progressive Aphasia (PPA) may react to linguistic stimuli differently than healthy controls, reflecting degeneration of language networks and engagement of compensatory mechanisms. We used magnetoencephalography (MEG) to evaluate oscillatory neural responses in sentence comprehension, in patients with PPA and age-matched controls. Participants viewed sentences containing semantically and syntactically anomalous words that evoke distinct oscillatory responses. For age-matched controls, semantic anomalies elicited left-lateralized 8-30 Hz power decreases distributed along ventral brain regions, whereas syntactic anomalies elicited bilateral power decreases in both ventral and dorsal regions. In comparison to controls, patients with PPA showed altered patterns of induced oscillations, characterized by delayed latencies and attenuated amplitude, which were correlated with linguistic impairment measured offline. The recruitment of right hemisphere temporo-parietal areas (also found in controls) was correlated with preserved semantic processing abilities, indicating that preserved neural activity in these regions was able to support successful semantic processing. In contrast, syntactic processing was more consistently impaired in PPA, regardless of neural activity patterns, suggesting that this domain of language is particularly vulnerable to the neuronal loss. In addition, we found that delayed peak latencies of oscillatory responses were associated with lower accuracy for detecting semantic anomalies, suggesting that language deficits observed in PPA may be linked to delayed or slowed information processing. PMID- 29845005 TI - Psychopathic traits linked to alterations in neural activity during personality judgments of self and others. AB - Psychopathic individuals are notorious for their grandiose sense of self-worth and disregard for the welfare of others. One potential psychological mechanism underlying these traits is the relative consideration of "self" versus "others". Here we used task-based functional magnetic resonance imaging (fMRI) to identify neural responses during personality trait judgments about oneself and a familiar other in a sample of adult male incarcerated offenders (n = 57). Neural activity was regressed on two clusters of psychopathic traits: Factor 1 (e.g., egocentricity and lack of empathy) and Factor 2 (e.g., impulsivity and irresponsibility). Contrary to our hypotheses, Factor 1 scores were not significantly related to neural activity during self- or other-judgments. However, Factor 2 traits were associated with diminished activation to self judgments, in relation to other-judgments, in bilateral posterior cingulate cortex and right temporoparietal junction. These findings highlight cortical regions associated with a dimension of social-affective cognition that may underlie psychopathic individuals' impulsive traits. PMID- 29845006 TI - Decreased functional connectivity in the fronto-parietal network in children with mood disorders compared to children with dyslexia during rest: An fMRI study. AB - Background: The DSM-5 separates the diagnostic criteria for mood and behavioral disorders. Both types of disorders share neurocognitive deficits of executive function and reading difficulties in childhood. Children with dyslexia also have executive function deficits, revealing a role of executive function circuitry in reading. The aim of the current study is to determine whether there is a significant relationship of functional connectivity within the fronto-parietal and cingulo-opercular cognitive control networks to reading measures for children with mood disorders, behavioral disorders, dyslexia, and healthy controls (HC). Method: Behavioral reading measures of phonological awareness, decoding, and orthography were collected. Resting state fMRI data were collected, preprocessed, and then analyzed for functional connectivity. Differences in the reading measures were tested for significance among the groups. Global efficiency (GE) measures were also tested for correlation with reading measures in 40 children with various disorders and 17 HCs. Results: Significant differences were found between the four groups on all reading measures. Relative to HCs and children with mood disorders or behavior disorders, children with dyslexia as a primary diagnosis scored significantly lower on all three reading measures. Children with mood disorders scored significantly lower than controls on a test of phonological awareness. Phonological awareness deficits correlated with reduced resting state functional connectivity MRI (rsfcMRI) in the cingulo-opercular network for children with dyslexia. A significant difference was also found in fronto parietal global efficiency in children with mood disorders relative to the other three groups. We also found a significant difference in cingulo-opercular global efficiency in children with mood disorders relative to the Dyslexia and Control groups. However, none of these differences correlate significantly with reading measures. Conclusions/significance: Reading difficulties involve abnormalities in different cognitive control networks in children with dyslexia compared to children with mood disorders. Findings of the current study suggest increased functional connectivity of one cognitive control network may compensate for reduced functional connectivity in the other network in children with mood disorders. These findings provide guidance to clinical professionals for design of interventions tailored for children suffering from reading difficulties originating from different pathologies. PMID- 29845007 TI - Gray matter changes in asymptomatic C9orf72 and GRN mutation carriers. AB - Frontotemporal dementia (FTD) is a neurodegenerative disease with a strong genetic basis. Understanding the structural brain changes during pre-symptomatic stages may allow for earlier diagnosis of patients suffering from FTD; therefore, we investigated asymptomatic members of FTD families with mutations in C9orf72 and granulin (GRN) genes. Clinically asymptomatic subjects from families with C9orf72 mutation (15 mutation carriers, C9orf72+; and 23 non-carriers, C9orf72-) and GRN mutations (9 mutation carriers, GRN+; and 15 non-carriers, GRN-) underwent structural neuroimaging (MRI). Cortical thickness and subcortical gray matter volumes were calculated using FreeSurfer. Group differences were evaluated, correcting for age, sex and years to mean age of disease onset within the subject's family. Mean age of C9orf72+ and C9orf72- were 42.6 +/- 11.3 and 49.7 +/- 15.5 years, respectively; while GRN+ and GRN- groups were 50.1 +/- 8.7 and 53.2 +/- 11.2 years respectively. The C9orf72+ group exhibited cortical thinning in the temporal, parietal and frontal regions, as well as reduced volumes of bilateral thalamus and left caudate compared to the entire group of mutation non-carriers (NC: C9orf72- and GRN- combined). In contrast, the GRN+ group did not show any significant differences compared to NC. C9orf72 mutation carriers demonstrate a pattern of reduced gray matter on MRI prior to symptom onset compared to GRN mutation carriers. These findings suggest that the preclinical course of FTD differs depending on the genetic basis and that the choice of neuroimaging biomarkers for FTD may need to take into account the specific genes involved in causing the disease. PMID- 29845008 TI - Locally stable brain states predict suppression of epileptic activity by enhanced cognitive effort. AB - Cognitive effort is known to play a role in healthy brain state organization, but little is known about its effects on pathological brain dynamics. When cortical stimulation is used to map functional brain areas prior to surgery, a common unwanted side effect is the appearance of afterdischarges (ADs), epileptiform and potentially epileptogenic discharges that can progress to a clinical seizure. It is therefore desirable to suppress this activity. Here, we analyze electrocorticography recordings from 15 patients with epilepsy. We show that a cognitive intervention in the form of asking an arithmetic question can be effective in suppressing ADs, but that its effectiveness is dependent upon the brain state at the time of intervention. By applying novel techniques from network analysis to quantify brain states, we find that the spatial organization of ADs with respect to coherent brain regions relates to the success of the cognitive intervention: if ADs are mainly localized within a single stable brain region, a cognitive intervention is likely to suppress the ADs. These findings show that cognitive effort is a useful tactic to modify unstable pathological activity associated with epilepsy, and suggest that the success of therapeutic interventions to alter activity may depend on an individual's brain state at the time of intervention. PMID- 29845009 TI - Connectivity-enhanced diffusion analysis reveals white matter density disruptions in first episode and chronic schizophrenia. AB - Reduced fractional anisotropy (FA) is a well-established correlate of schizophrenia, but it remains unclear whether these tensor-based differences are the result of axon damage and/or organizational changes and whether the changes are progressive in the adult course of illness. Diffusion MRI data were collected in 81 schizophrenia patients (54 first episode and 27 chronic) and 64 controls. Analysis of FA was combined with "fixel-based" analysis, the latter of which leverages connectivity and crossing-fiber information to assess both fiber bundle density and organizational complexity (i.e., presence and magnitude of off-axis diffusion signal). Compared with controls, patients with schizophrenia displayed clusters of significantly lower FA in the bilateral frontal lobes, right dorsal centrum semiovale, and the left anterior limb of the internal capsule. All FA based group differences overlapped substantially with regions containing complex fiber architecture. FA within these clusters was positively correlated with principal axis fiber density, but inversely correlated with both secondary/tertiary axis fiber density and voxel-wise fiber complexity. Crossing fiber complexity had the strongest (inverse) association with FA (r = -0.82). When crossing fiber structure was modeled in the MRtrix fixel-based analysis pipeline, patients exhibited significantly lower fiber density compared to controls in the dorsal and posterior corpus callosum (central, postcentral, and forceps major). Findings of lower FA in patients with schizophrenia likely reflect two inversely related signals: reduced density of principal axis fiber tracts and increased off-axis diffusion sources. Whereas the former confirms at least some regions where myelin and or/axon count are lower in schizophrenia, the latter indicates that the FA signal from principal axis fiber coherence is broadly contaminated by macrostructural complexity, and therefore does not necessarily reflect microstructural group differences. These results underline the need to move beyond tensor-based models in favor of acquisition and analysis techniques that can help disambiguate different sources of white matter disruptions associated with schizophrenia. PMID- 29845010 TI - Disrupted functional connectivity in primary progressive apraxia of speech. AB - Apraxia of speech is a motor speech disorder thought to result from impaired planning or programming of articulatory movements. It can be the initial or only manifestation of a degenerative disease, termed primary progressive apraxia of speech (PPAOS). The aim of this study was to use task-free functional magnetic resonance imaging (fMRI) to assess large-scale brain network pathophysiology in PPAOS. Twenty-two PPAOS participants were identified from a prospective cohort of degenerative speech and language disorders patients. All participants had a comprehensive, standardized evaluation including an evaluation by a speech language pathologist, examination by a behavioral neurologist and a multimodal imaging protocol which included a task-free fMRI sequence. PPAOS participants were age and sex matched to amyloid-negative, cognitively normal participants with a 1:2 ratio. We chose a set of hypothesis driven, predefined intrinsic connectivity networks (ICNs) from a large, out of sample independent component analysis and then used them to initialize a spatiotemporal dual regression to estimate participant level connectivity within these ICNs. Specifically, we evaluated connectivity within the speech and language, face and hand sensorimotor, left working memory, salience, superior parietal, supramarginal, insular and deep gray ICNs in a multivariate manner. The spatial maps for each ICN were then compared between PPAOS and control participants. We used clinical measures of apraxia of speech severity to assess for clinical-connectivity correlations for regions found to differ between PPAOS and control participants. Compared to controls, PPAOS participants had reduced connectivity of the right supplementary motor area and left posterior temporal gyrus to the rest of the speech and language ICN. The connectivity of the right supplementary motor area correlated negatively with an articulatory error score. PPAOS participants also had reduced connectivity of the left supplementary motor area to the face sensorimotor ICN, between the left lateral prefrontal cortex and the salience ICN and between the left temporal-occipital junction and the left working memory ICN. The latter connectivity correlated with the apraxia of speech severity rating scale, although the finding did not survive correction for multiple comparisons. Increased connectivity was noted in PPAOS participants between the dorsal posterior cingulate and the left working memory ICN. Our results support the importance of the supplementary motor area in the pathophysiology of PPAOS, which appears to be disconnected from speech and language regions. Supplementary motor area connectivity may serve as a biomarker of degenerative apraxia of speech severity. PMID- 29845011 TI - Serotonergic dysregulation is linked to sleep problems in Parkinson's disease. AB - Introduction: Sleep disturbances are common non-motor symptoms in Parkinson's disease (PD). Experimental studies suggest involvement of the serotonergic system in the regulation of sleep and arousal. Using [11C]DASB positron emission tomography, a marker of serotonin transporter availability, we investigated whether sleep dysfunction is associated with serotonergic dysfunction in PD. Methods: We studied 14 PD patients with sleep dysfunction, 14 PD without sleep dysfunction, and 12 healthy controls. Groups were matched for age, disease duration, severity of motor symptoms, daily intake of levodopa equivalent units, body-mass-index, depression and fatigue. [11C]DASB non-displaceable binding potential (BPND) was calculated for regions with a role in the regulation of sleep and arousal. Results: [11C]DASB BPND was reduced by 32-49% in PD patients with sleep dysfunction, and 14-25% in PD without sleep dysfunction, compared to healthy controls. PD patients with sleep dysfunction had lower [11C]DASB BPND in caudate (P < 0.01), putamen (P < 0.001), ventral striatum (P < 0.001), thalamus (P < 0.05), hypothalamus (P < 0.001) and raphe nuclei (P < 0.01), compared to PD without sleep dysfunction. Higher severity of sleep symptoms (assessed with Parkinson Disease Sleep Scale) correlated with lower [11C]DASB binding in caudate (r = 0.77; P < 0.001), putamen (r = 0.84; P < 0.001), ventral striatum (r = 0.86; P < 0.001), thalamus (r = 0.79; P < 0.001), hypothalamus (r = 0.90; P < 0.001) and raphe nuclei (r = 0.83; P < 0.001). Conclusions: Our findings demonstrate that sleep dysfunction in PD is associated with reduced serotonergic function in the midbrain raphe, basal ganglia and hypothalamus. Strategies to increase serotonin levels in the brain could be a promising approach to treat sleep dysfunction in PD, and may also have relevance in other neurodegenerative disorders. PMID- 29845012 TI - DEWS (DEep White matter hyperintensity Segmentation framework): A fully automated pipeline for detecting small deep white matter hyperintensities in migraineurs. AB - Migraineurs show an increased load of white matter hyperintensities (WMHs) and more rapid deep WMH progression. Previous methods for WMH segmentation have limited efficacy to detect small deep WMHs. We developed a new fully automated detection pipeline, DEWS (DEep White matter hyperintensity Segmentation framework), for small and superficially-located deep WMHs. A total of 148 non elderly subjects with migraine were included in this study. The pipeline consists of three components: 1) white matter (WM) extraction, 2) WMH detection, and 3) false positive reduction. In WM extraction, we adjusted the WM mask to re-assign misclassified WMHs back to WM using many sequential low-level image processing steps. In WMH detection, the potential WMH clusters were detected using an intensity based threshold and region growing approach. For false positive reduction, the detected WMH clusters were classified into final WMHs and non-WMHs using the random forest (RF) classifier. Size, texture, and multi-scale deep features were used to train the RF classifier. DEWS successfully detected small deep WMHs with a high positive predictive value (PPV) of 0.98 and true positive rate (TPR) of 0.70 in the training and test sets. Similar performance of PPV (0.96) and TPR (0.68) was attained in the validation set. DEWS showed a superior performance in comparison with other methods. Our proposed pipeline is freely available online to help the research community in quantifying deep WMHs in non elderly adults. PMID- 29845014 TI - Close relationship of Plasmodium sequences detected from South American pampas deer (Ozotoceros bezoarticus) to Plasmodium spp. in North American white-tailed deer. AB - We report, for the first time, the presence of ungulate malaria parasites in South America. We conducted PCR-based surveys of blood samples of multiple deer species and water buffalo from Brazil and detected Plasmodium sequences from pampas deer (Ozotoceros bezoarticus) samples. Phylogenic analysis revealed that the obtained sequences are closely related to the Plasmodium odocoilei clade 2 sequence from North American white-tailed deer (Odocoileus virginianus). Nucleotide differences suggest that malaria parasites in South American pampas deer and North American P. odocoilei clade 2 branched more recently than the Great American Interchange. PMID- 29845013 TI - The anatomy of the human medial forebrain bundle: Ventral tegmental area connections to reward-associated subcortical and frontal lobe regions. AB - Introduction: Despite their importance in reward, motivation, and learning there is only sparse anatomical knowledge about the human medial forebrain bundle (MFB) and the connectivity of the ventral tegmental area (VTA). A thorough anatomical and microstructural description of the reward related PFC/OFC regions and their connection to the VTA - the superolateral branch of the MFB (slMFB) - is however mandatory to enable an interpretation of distinct therapeutic effects from different interventional treatment modalities in neuropsychiatric disorders (DBS, TMS etc.). This work aims at a normative description of the human MFB (and more detailed the slMFB) anatomy with respect to distant prefrontal connections and microstructural features. Methods and material: Healthy subjects (n = 55; mean age +/- SD, 40 +/- 10 years; 32 females) underwent high resolution anatomical magnetic resonance imaging including diffusion tensor imaging. Connectivity of the VTA and the resulting slMFB were investigated on the group level using a global tractography approach. The Desikan/Killiany parceling (8 segments) of the prefrontal cortex was used to describe sub-segments of the MFB. A qualitative overlap with Brodmann areas was additionally described. Additionally, a pure visual analysis was performed comparing local and global tracking approaches for their ability to fully visualize the slMFB. Results: The MFB could be robustly described both in the present sample as well as in additional control analyses in data from the human connectome project. Most VTA- connections reached the superior frontal gyrus, the middel frontal gyrus and the lateral orbitofrontal region corresponding to Brodmann areas 10, 9, 8, 11, and 11m. The projections to these regions comprised 97% (right) and 98% (left) of the total relative fiber counts of the slMFB. Discussion: The anatomical description of the human MFB shows far reaching connectivity of VTA to reward-related subcortical and cortical prefrontal regions - but not to emotion-related regions on the medial cortical surface - realized via the superolateral branch of the MFB. Local tractography approaches appear to be inferior in showing these far-reaching projections. Since these local approaches are typically used for surgical targeting of DBS procedures, the here established detailed map might - as a normative template - guide future efforts to target deep brain stimulation of the slMFB in depression and other disorders related to dysfunction of reward and reward-associated learning. PMID- 29845015 TI - Risks of long-term port use in enzyme replacement therapy for lysosomal storage disorders. AB - Totally implantable vascular access devices (TIVADs) are commonly used in conjunction with enzyme replacement therapy (ERT) for lysosomal storage disorders (LSDs). This case series describes potential complications associated with long term TIVAD use, such as compromise of skin integrity, infection, or port failures. Best practices and skilled specialists are essential for minimizing complications from long-term TIVAD use for ERT. PMID- 29845016 TI - Spinal Anesthesia in an Infant with Osteogenesis Imperfecta. PMID- 29845017 TI - Incidence and Mortality of Various Cancers in Iran and Compare to Other Countries: A Review Article. AB - Background: Iran in recent years had the rapid development of industrialization and modernity, and changes in the people's lifestyles and environment, these changes may affect epidemiological patterns of various types of cancers. In this review, incidence and mortality of various cancers (skin, gastric, esophageal, breast, and prostate) in Iran have been reported. Methods: The related data about Iran and other countries were collected from databases such as Google Scholar, Scopus, PubMed, EMBASE, and Web of Science. All included studies were published before Jun 2017. Results: There is an increment trend of incidence and mortality rate for most cancers in Iran. Conclusion: The plan for control and prevention of cancers must be a high priority for health policy in Iran as well as it is suggested that earlier screening is need for high-risk population. PMID- 29845018 TI - Prevalence of Drug-resistant Klebsiella pneumoniae in Iran: A Review Article. AB - Background: The infections caused by drug resistant strains of Klebsiella pneumoniae are becoming an important health problem worldwide. There are several reports on antimicrobial resistant status of K. pneumoniae in Iran. However, a comprehensive analysis on drug-resistant K. pneumoniae from different parts of Iran has not yet been performed. Methods: The searches were done according to several English and Persian databases including PubMed, Scopus, Iranmedex, and SID to identify studies addressing antibiotic resistant K. pneumoniae in Iran from Jan 1998 to Nov 2014. Comprehensive Meta-Analysis (V2.2, Biostat) software was used to analyze the data. Results: The incidence rate of imipenem and ceftazidime resistance in K. pneumoniae isolates was 3.2% (95% confidence interval [CI], 1.5-6.5) and 55.7% (95% CI, 46.9-64.1), respectively. The highest rate of resistance in isolates of K. pneumoniae was seen against ampicillin (82.2%), aztreonam (55.4%) and nitrofurantoin (54.5%). Conclusion: There is a relatively high prevalence of drug resistant K. pneumoniae isolates in Iran. Thus, a high degree of awareness among physicians and microbiologists, active infection control committee, appropriate antimicrobial therapy, improvement of hygiene condition and monitoring of drug resistant isolates are urgently needed in order to better control the emergence and spread of drug-resistant K. pneumoniae isolates in hospital settings. PMID- 29845019 TI - Sarcopenia Is Associated with Cognitive Impairment and Depression in Elderly Korean Women. AB - Background: Sarcopenia has been implicated in the increased risk for cognitive impairment and depression associated with aging. In this cross-sectional study, we investigated the relationship of sarcopenia with cognitive impairment (MCI) and depression in a sample of 201 community-dwelling Korean women (mean age of 74.0+/-6.8 yr) between 2014 and 2015. Methods: The Korean version of mini-mental state examination and the center for epidemiologic studies depression scale was used to assess cognitive performance and depression, respectively. Grp strength was measured with a dynamometer. Demographics, body composition, education, alcohol consumption, and history of cardiovascular diseases were assessed as covariates. Results: Odds ratio (OR) and 95% confidence interval (95% CI) of MCI and depression were calculated according to sarcopenia status. Compared to non sarcopenic, pre-sarcopenic and sarcopenic women had the ORs of 2.160 (95% CI of 0.840 - 5.554, P=0.030) and of 5.493 (95% CI of 1.854 - 16.270, P=0.002) for MCI. The OR of pre-sarcopenia for MCI remained significant (P=0.030) even after adjustments for age, body mass index (BMI), lean body mass, and education, while the OR of sarcopenia for MCI was no longer significant (P=0.084) when adjusted for the covariates. Compared to non-sarcopenic, pre-sarcopenic and sarcopenic women had the ORs of 3.750 (95% CI of 1.137 - 12.370, P=0.030) and of 4.687 (95% CI of 1.127-19.505, P=0.034) for depression. The ORs of pre-sarcopenia and sarcopenia for depression remained statistically significant (P=0.020 and P=0.042, respectively) even after adjusted for the covariates. Conclusion: Sarcopenia was significantly associated with MCI and depression in otherwise healthy community dwelling elderly Korean women. PMID- 29845020 TI - Investigation of the Effects of Antibiotic Application on the Intestinal Flora in Elderly Hypertension Patients with Infectious Diseases. AB - Background: This study aimed to investigate the effects of antibiotic application on the intestinal flora in elderly hypertension patients with infectious diseases. Methods: A total of 2350 infected patients treated in Ordos Central Hospital (Inner Mongolia, China) from January 2010 to August 2016 were retrospectively analyzed and 790 healthy hypertension patients were selected as the control group. The 2350 patients were assigned into group A and B based on the administration with narrow-spectrum antibiotic or broad-spectrum antibiotic. The feces specimens of patients at the 1st, 5th, 9th and 14th day after antibiotic treatment were collected to analyze the bacteriological data and the cases of intestinal flora imbalance after applying the narrow-spectrum and broad spectrum antibiotic were compared and the differences in the bacterial colony compositions of intestinal floras from those of the healthy hypertension patients at the same period were analyzed. Results: The ratio of intestinal flora imbalance was 50.4% after applying antibiotic in patients from group A and 78.3% in group B. grade I and II imbalance were predominant in group A and grade III imbalance was the most severe one in group B (P<0.05). Compared with the intestinal flora in healthy elderly hypertension patients, the ratio of the primary composition flora of patients with imbalanced intestinal flora was changed obviously. Conclusion: The application of narrow-spectrum antibiotic and shortening the application time of antibiotic can more effectively protect the normal intestinal flora of elderly hypertension patients. PMID- 29845021 TI - Smartphone Addiction and Interpersonal Competence of Nursing Students. AB - Background: Interpersonal competence is an important capacity for nurses. Recently, the advent of smartphones has instigated considerable changes in daily life. Because smartphone has multiple functions, people tend to use them for numerous activities, often leading to addictive behavior. Methods: This cross sectional study performed a detailed analysis of smartphone addiction subscales and social support related to interpersonal competence of nursing students. Overall, 324 college students were recruited at Catholic University in Seoul, Korea from Feb 2013 to Mar 2013. Participants completed a self-reported questionnaire, which included scales that measured smartphone addiction, social support, interpersonal competence, and general characteristics. Path analysis was used to evaluate structural relations between subscales of smartphone addictions, social support, and interpersonal competence. Results: The effect of cyberspace oriented relationships and social support on interpersonal competence were 1.360 (P=.004) and 0.555 (P<.001), respectively. Conclusion: Cyberspace-oriented relationship, which is a smartphone addiction subscale, and social support were positively correlated with interpersonal competence of nursing students, while other smartphone addiction subscales were not related to nursing student interpersonal competence. Therefore, effective smartphone teaching methods be developed to enhance nursing student motivation. PMID- 29845022 TI - Hypermethylation of DcR1 Gene-based Biomarker in Non-invasive Cancer Screening of Vietnamese Cervical Cancer Patients. AB - Background: The infection of human papillomavirus (HPV) has been considered as the common cause of cervical cancer, which is the leading cause of cancer death in women, in Vietnam. Recently, hypermethylation at tumor suppressor genes (TSGs) has been also demonstrated to be an early epigenetic event and cofactor in human cancer, including cancer of cervix. This study evaluated the frequency of DcR1 gene promoter hyper-methylation status as well as whether did or not an association between patterns of DNA hypermethylation and high-risk HPV infection, led to risk of cervical cancer. Methods: Methylation-Specific-PCR (MSP) was performed to analyze hypermethylation status from 109 liquid-based Papanicolaou test samples, archived and admitted from the Medic Medical Center and Au Lac Clinic Laboratory, Vietnam, from 2011-2014, a kind of non-invasive samples identified whether HPV/or non-HPV, high-risk/low-risk HPV infection. Results: DcR1 promoter was differentially methylated in 50% cases of high-risk HPV genotype 16 and 18 infected samples. In contrast, a low frequency of hypermethylated DcR1 promoter was found in low risk HPV genotype infected sample (16.0%), and non-HPV infected sample (14.6%). A trend toward positive association was found between hypermethylation of DcR1 gene and HPV exposure was observed (P=0.0005). Moreover, the odds ratio (OR) and relative risk (RR) were found in statistical significant value (OR=5.63 (95%CI = 2.25 - 14.07, P<0.01), RR=3.31 (95%CI = 1.75 - 6.26, P<0.01)). Conclusion: The hypermethylation of DcR1 gene promoter is a significant characteristic of high-risk HPV infected samples in Vietnamese cervical patients. The OR and RR values showed that the strong correlation between DcR1 hypermethylation and high-risk HPV infection, in which increased the risk of cervical cancer. The combination of DcR1 hypermethylation and HPV detection based biomarker could be used in noninvasive samples obtained from high-risk cancer patients, offer significant practical advantages. PMID- 29845023 TI - Victimization of the Substance Abuse and Sexual Behaviors among Junior High School Students in Cambodia. AB - Background: We examined the current prevalence of substance abuse and sexual behaviors among junior high school students and the relationships between substance abuse, sexual behaviors, and victimization using multiple mediations. Methods: Overall, 1703 junior high school students from the 2013 Cambodia Global School-based Health Survey were selected for the study. The descriptive statistics were performed in IBM SPSS to determine the prevalence of substance abuse, sexual behaviors, and victimization. The Process Macro was installed in Regression of the SPSS to test the hypotheses and mediations. Results: The majority of students who used alcohol (15.4%), drugs (3.05%), and had sexual intercourse (12.45%), were male aged 14-15, and in grade 7. These students were very vulnerable to many risky behaviors, including bullying (22.20%), physical attacks (20.96%) and fights (14.50%), unintentional accidents (21.32%), and suicidal attempts (5.05%). All three hypotheses were significantly supported. Of the potential mediators examined, drug use is the most important mediator. Conclusion: The substance abuse and reproductive health are national problems, but abusive behaviors among students are of particular concern. Explicit policies and awareness programs of such problems at the high school level need to be made and called for public participation, particularly the school authorities and parents. PMID- 29845024 TI - Diagnostic Value of Urinary Microalbumin Level in Postpartum Acute Kidney Injury. AB - Background: We aimed to explore the diagnostic value of urinary microalbumin (mALB) level in postpartum acute kidney injury. Methods: A total of 127 maternity patients were selected from December 2013 to January in 2016 in Binzhou Central Hospital, Binzhou, Shandong, China and divided into two groups: the kidney injury and normal kidney group. The dynamic changes and diagnostic value of urine microprotein in postpartum acute kidney injury were analyzed. Results: The postpartum mean arterial pressure of maternity patients in the kidney injury group was 104.3 +/- 11.6 mmHg, which was significantly higher than that of the normal kidney group (P<0.05). The mean age of the kidney injury group was 32.3 +/ 11.6 years, which was significantly higher than that of the normal kidney group (P=0.006). In the kidney injury group, the postpartum glomerular filtration rate (GFR) was 78.4 +/- 11.5 mL/min, which was significantly lower than the normal group (P=0.001), and urinary microalbumin was 2.87 +/- 1.24 mg/mmol.Cr. The difference was statistically significant (P=0.002). mALB/GFR, Cr, urinary mALB, and GFR were the independent risk factors of postpartum acute kidney injury. The area under the ROC curve for mALB/GFR was 0.759, whereas the area under the ROC curve for Cr was 0.681, which was smaller (P = 0.042). The area under the ROC curve of mALB was 0.785 (P=0.027), which was close to the area under the ROC curve of mALB/GFR. Conclusion: Urinary mALB test is noninvasive and has high diagnostic value for postpartum kidney injury. PMID- 29845025 TI - Effects of Different Spectral Energy Distributions on Physiological Behavior and Hormone Levels in Depression. AB - Background: The increasing worldwide incidence of depression causes massive economic losses to the country and society. Insufficient sun exposure aggravates depressive symptoms in patients with depression. Preventive light replenishment is provided to patients with depression and the potential population. In addition, we studied the applicable spectrum, which is crucial in the prevention of depression. Methods: Forty depressed male rats were randomly divided into five groups of 8 rats each: depressive model, microwave sulfur lamp, halogen lamp, fluorescent lamp, and LED lamp groups. Rats in the illuminated groups were exposed to light for 45 days for 2 h daily. Eight healthy rats were selected for the control group. The body weight and general behaviors of rats were recorded. After the experiment, peripheral blood was collected from the tail vein, and the concentrations of MT, 5-HT, NA, and BDNF in serum were detected by ELISA. Results: After the model was established, the body weight of rats in the depressive model group increased slowly. Compared with those of the control group, the results of the three behavioral tests were significantly different (P<0.05); the contents of MT, 5-HT, NA, and BDNF were relatively low (P<0.05). In addition, depression characteristics were significant. Rats regained their pleasant sensation after microwave sulfur lamp intervention. Compared with the rats in the depressive model group, the levels of MT, 5-HT, NA, and BDNF increased sharply. Conclusion: The spectral energy distribution of microwave sulfur lamp is similar to the solar spectrum, which can alleviate depressive symptoms in depressed rats. PMID- 29845027 TI - Iran's Health Reform Plan: Measuring Changes in Equity Indices. AB - Background: Two years after the implementation of the Health Sector Evolution Plan (HSEP), this study evaluated the effects of the plan on health equity indices. Methods: The main indices assessed by the study were the Out-of-Pocket (OOP) health expenditures, the Fairness in Financial Contribution (FFC) to the health system index, the index of households' Catastrophic Health Expenditure (CHE) and the headcount ratio of Impoverishing Health Expenditure (IHE). Results: The per capita share of costs for total health services has been decreased. The lowered costs have been more felt in rural areas, generally due to sharp decrease in inpatient costs. Per capita pay for outpatient services is almost constant or has slightly increased. The reform plan has managed to improve households' Catastrophic Health Expenditure (CHE) index from an average of 2.9% before the implementation of the plan to 2.3% after the plan. The Fairness in Financial Contribution (FFC) to the health system index has worsened from 0.79 to 0.76, and the headcount ratio of Impoverishing Health Expenditure (IHE) index deteriorated after the implementation of plan from 0.34 to 0.50. Conclusion: Considerable improvement, in decreasing the burden of catastrophic hospital costs in low income strata which is about 26% relative to the time before the implementation of the plan can be regarded as the main achievement of the plan, whereas the worsening in the headcount ratio of IHE and FFC are the equity bottlenecks of the plan. PMID- 29845026 TI - Effect of Soy Isoflavone on Hot Flushes, Endometrial Thickness, and Breast Clinical as well as Sonographic Features. AB - Background: Phytoestrogens treatment to relieve hot flushes in menopausal women was considered recently. However, the actual effectiveness and safety are not clear. Methods: Randomized clinical trial (IRCT#20100706004329N5) was performed in 204 patients who complained of hot flushes in Arash Women's Hospital, Tehran, Iran from 2013-2015. The first group received 50 mg isoflavone (group A) once daily and the second group received placebo (group B) in the same regimen. Patients were evaluated for breast examination (BE) and breast sonography (BS) as well as vaginal sonography at initial presentation and at 6th and 12th week follow-ups. Patients were educated to record frequency and severity of hot flushes. Results: Group A experienced less hot flushes attack (6 vs 9 patients with 5< attacks in 6 wk (P= 0.05), 7 Vs 13 patients with 5< in 12 wk (P=0.01)) which was also less severe (8 vs 12 patients with severe symptoms in 6 wk (0.04) and 3 Vs 10 patients with severe symptoms in 12 wk (0.001). Isoflavone had no effect on neither breast density nor nodularity (in 6 wk, P=0.50 and 0.80, respectively and in 12 wk, P=0.32 and 0.43) and neither breast tenderness nor nipple discharge (in 6 wk, P=0.40 and 0.34 respectively and in 12 wk, P= 0.31 and 0.26). There were no significant differences in endometrial thickness in 6 and 12wk. Conclusion: Effects of isoflavone on frequency and severity of hot flushes in perimenopausal women is observed. Some clinical and ultrasonographic benign non-significant changes of the breast and endometrium are noted after isoflavone intake. PMID- 29845029 TI - Cost-utility of Protocols of BFM-ALL and UK-ALL for Treatment of Children with Acute Lymphoblastic Leukemia in Iran. AB - Background: There is a requirement to assess the effectiveness and resources used in two protocols United Kingdom (UK-ALL) and Berlin-Frankfurt-Munster (BFM-ALL) that are most commonly used to treatment of ALL patients by oncologists in Iran. Accordingly, we analyzed the cost of treatment and utility of children treated with two protocols in Iran. Methods: The entire medical direct costs of patients in "BFM ALL" protocol and "UK ALL" protocol in multi-centers calculated from Apr 2010 to Jun 2015. For calculating utility and Quality Adjusted Life Year (QALY) of the patients, we used standard questionnaire Health Utilities Index 3 (HUI3). The patients and their parents were interviewed. Data were analyzed using software SPSS18 and EXCEL. Results: The average direct medical cost for each patient for BFM-ALL was 15026 USD and UK-ALL was 8282 USD which showed a significant difference in the total cost of the treatment in the two protocols (P<=0.02). Finally, there was a significant difference in the utility score of the maintenance phase of these two methods (P<=0.003). Conclusion: UK-ALL is dominant and BFM protocol is dominated by both sides total costs and utility and QALY. Mainly, more hospital stay in "BFM ALL" protocol is the cause of raised costs in this protocol. Consequently, by considering different QALYs in the methods and low costs in "UK ALL" protocol, "UK ALL" protocol is more preferred. PMID- 29845028 TI - NF-kappaB1 Rs28362491 Mutant Allele Frequencies along the Silk Road and Beyond. AB - Background: In the human evolutionary history, Single Nucleotide Polymorphism (SNP) frequencies are valuable in terms of finding connections between different populations. Due to the pronounced role of the immune system in combating pathogens and environmental stressors, polymorphisms in the immune genes are subject to selection pressure of the diseases as well. The functional polymorphisms in NF-kappaB1 promoter (-94 ins/del) are associated with different diseases; therefore, we aimed to establish the frequencies of NF-kappaB1 rs28362491 alleles in a population of Southwestern Iranians in comparison with the world populations. Methods: We assessed the polymorphism of -94 ATTG ins/del (rs28362491) in 201 Iranian healthy blood donors from Fars Province, central Iran in a one year period between 2015 and 2016 by PCR-RFLP method using DNA extracted from peripheral blood mononuclear cells. Results: The frequency of ins/ins homozygote genotype was found to be 46.97%. The frequency of heterozygote individuals was 42.42% and the percentage of del/del homozygote genotype was 10.61%. We observed a genetic similarity based on the genotype frequencies of NF kappaB1 -94 ins/del ATTG polymorphism between our sample of Iranians with American Jewish, Turkish, American non-Jewish, Chinese-Uyghurs and Germans. Conclusion: The results confirmed genetic interrelation of Iranians with some ancient neighbors and their admixture with countries along the Silk Road. We suggest that mapping the distribution of NF-kappaB1-94 ATTG ins/del along with HLA genes may help to better define the relations between human populations and design population-specific vaccines for pathogens with a high rate of variation. PMID- 29845030 TI - Birth Defects in Northern Iran (2008-2013). AB - Background: Congenital anomalies are important medical and public health conditions. The pattern and prevalence of birth defects may vary over time or with geographical location. We investigated the live birth prevalence and occurrence pattern of birth defects in Golestan Province, northern Iran. Methods: This cross-sectional descriptive study was carried out on 144920 live newborns in 13 hospitals in Golestan Province, northern Iran, from 21 Jan 2008 to 19 Mar 2013. The newborns were examined for the presence of birth defects and mothers were interviewed for variables such as maternal age and ethnicity. In addition, data for each newborn was filed in a questionnaire and the coding of birth defects was translated to the International Classification of Diseases 10th revision-clinical modification (ICD-10-CM). Results: Overall, 1690 infants were diagnosed as having birth defects among 144920 live newborns. The prevalence rate of birth defects was 11.66 per 1000 live births, the prevalence of birth defects per 1000 was11.62 in males and 11.42 in females. The prevalence of congenital anomalies among native Fars, Turkmen and Sistani were 13.03, 11.16 and 13.07, respectively, per 1000 live births. Anomalies of the cardiovascular system were the most common defects; the prevalence rate of cardiovascular system was 8.34 per 1000 live birth. Conclusion: The prevalence rate of birth defects in this area was lower than in the other regions in Iran (20.3 per 1000 live births) but higher than in some parts of Asia (7.33 per 1000 live births). PMID- 29845031 TI - Effective Factors on the Rate of Growth Failure in Children below Two Years of Age: A Recurrent Events Model. AB - Background: Growth failure, constituting one the health problems in children below 2 yr of age, can lead to major complications such as death or mental, emotional and physical disabilities. The present study aimed to investigate effective factors on growth failure in the height and weight of less than 2 yr old children of Khorramabad, Iran in 2013. Methods: This present longitudinal retrospective study used stratified and clustered sampling. Based on growth curves in family records, the incidence times of growth failure in height and weight of each child were recorded. In the next stage, using recurrent events model (proportional rate model), along with SAS software (version 9.2), the data were modeled. Results: According to proportional rate model, the effect of mothers' educational level on the rate of growth failure in the height and weight of children was significant (P=0.046, P=0.049) and the effect of fathers' job was significant only on growth failure in children's weight (P<0.001). However, the effect of other variables, including gender, birth order and exclusive breastfeeding status on children's growth failure rate was not significant. Conclusion: Enhancing mother's awareness in low-income families, in tandem with changing educated mothers' attitude towards the required skills and guiding principles for feeding children below 2 yr of age, can be conceived of as the most important approach in dealing with growth failure of children. PMID- 29845032 TI - Socioeconomic Inequalities in Different Types of Disabilities in Iran. AB - Background: This study measured socioeconomic inequalities in different types of disabilities in Iran. We also examined the prevalence of disabilities across different socio-demographic groups in Iran in 2011. Methods: This was cross sectional study using secondary data analysis on all Iranian. Data related to disability prevalence and socioeconomic status (SES) of each province was extracted from the 2011 National Census of Population and Housing (NCPH) and the 2011 Households Income and Expenditure Survey (HIES), conducted by Statistical Center of Iran (SCI). The concentration index and concentration curve were used to measure and illustrate socioeconomic inequalities in different types of disabilities. Chi-squared test was also used to examine the relationship between the socio-demographic variables (age-groups, sex, education level, employment status) and disability. Results: The results suggested the existence of socioeconomic inequalities in blindness, deafness, vocal disorders and hand disorders in Iran. The concentration index for these four disabilities were 0.0527 (95% confidence interval [CI]: -0.0881, -0.0173), -0.0451 (CI: -0.0747, 0.0156), -0.0663 (CI: -0.1043, -0.0282) and -0.0545 (CI: -0.0940, -0.0151), respectively. There were also significant associations between the demographic variables such as age-groups, sex, education level, employment status and disability (P<0.05). Conclusion: There were significant socioeconomic inequalities in different types of disabilities in Iran with poorer provinces having higher prevalence of disabilities in blindness, deafness, vocal disorders and hand disorders. Strategies to address the higher prevalence of different types of disabilities among poorer provinces should be considered a priority in Iran. PMID- 29845033 TI - Y-chromosomal Status of Six Indo-European-speaking Arab Subpopulations in Chaharmahal and Bakhtiari Province, Iran. AB - Background: We analyzed the Y-chromosome haplogroups of six documented Arab subpopulations that accommodated separately in different counties of Chaharmahal and Bakhtiari Province but nowadays speak Indo-European language (Luri and Farsi). Methods: This was an outcome study conducted in 2015 to test whether there was any genetic relatedness among some Indo-European-speaking Arab subpopulation accommodated in a geographically similar region, Chaharmahal and Bakhtiari Province, Iran. Seven main Y-chromosome bi-allelic markers were genotyped in six documented Arab subpopulations. Therefore, after DNA extraction from blood samples, PCR reaction carried out by designed primers for J1-M267, J2 M172, and J-M304, I-M170, IJ-M429, F-M89 and K-M9 markers. Then PCR products after quality control on agarose gel were sequenced. Results: Most subjects (83.3%) belonged to F-M89 haplogroup. These subjects belonged to K-M9 (40%), J2 M172 (40%) and I-M170 (20%). Generally, there were at least three genetically distinct ancestors with a divergence date of about 22200 yr for I, 429000 for J and 47400 before present for K haplogroup and may show separate historical migrations of studied populations. As the most recent common ancestor (MRCA) of most of these populations, haplogroup F, lived about 40000-50000 yr ago, the data do not support a nearly close genetic relationship among all of these populations. However, there were populations with same haplogroups J2 (n=2), K (n=2), or with a closer MRCA, IJ haplogroups, among I and J2 haplogroups. Finding haplogroup I, a specific European haplogroup, among Arab populations was not expected. Conclusion: Identification of various haplogroups in Arab subpopulations despite its small area and geographically conserved region of this part of Iranian plateau was unexpected. PMID- 29845034 TI - A Population-based Prospective Study to Identify Contributors to Mother and Child Health in Suburban Communities: The Cohort Profile. AB - Background: Following community health assessment Project (CHAP) in suburbs of Bandar Abbas city, health problems in women and children such as pregnancy complications and infant/child impaired growth are highly prevalent. Therefore, the present population-based prospective cohort study investigated the effects of a wide range of modifiable exposures during pregnancy and postpartum on mother and child health. Methods: The sample comprised of 1000 pregnant women in their first gestational trimester, who live in the three most socially and economically vulnerable neighborhoods of Bandar Abbas, are under recruitment during Feb 2016 18. Four structured questionnaires are being carried out from pregnancy to 30 d, 6 months, and 12 months postpartum. Biologic and ultrasound results are also gathered through hospital and health center records. The study is currently close to the end of the recruitment phase. Conclusion: The results of the interim and final analyses are being translated into applicable preventive action plans aiming to reduce and control modifiable risk factors for ill-health in mothers and children in suburb communities in South of Iran. PMID- 29845035 TI - Influence of Stress, Fatigue, Sleep and Delayed Onset Muscle Soreness on Perceived Physical Enjoyment Exertion during Small Sided Games. PMID- 29845036 TI - Training-induced Changes in Development and Relaxation Electromechanical Delay (EMD). PMID- 29845037 TI - Rational Drug Prescribing a Way to Reduce Patients Out of Pocket Payment. PMID- 29845038 TI - rs12480307 and rs6050307 Polymorphisms of VSX1 Gene in Patient with Keratoconusin Southwest Iran Using PCR-RFLP. PMID- 29845039 TI - Applying Agent-based Technologies in Complex Healthcare Environment. PMID- 29845040 TI - Applying Theory of Planned Behavior to Develop Family-centered Care, 2015-2016. PMID- 29845041 TI - Utilization of Mammography, Sonography and Radiology Services before and after Health Sector Evolution Plan in Iran. PMID- 29845042 TI - Women's Empowerment in Reproductive Decision-making Needs Attention among Iranian Women. PMID- 29845043 TI - Effects of Local Use of Insulin on Wound Healing in Non-diabetic Patients. AB - Background: Clinical trials have shown the positive effects of local insulin therapy in the formation of new vessels and fibrosis in acute and chronic diabetic wounds without major adverse effects. Objective: The aim of this study was to investigate the effects of local insulin use on wound healing in non diabetic patients. Methods: A randomized, split-plot, double-blind, placebo controlled trial was conducted. Ten non-diabetic patients with full-thickness acute wounds were recruited (5 due to trauma, 3 to burns, and 2 to pressure). All wounds received standard bedside treatment. Each wound was divided into 2 zones. One side received a standard care plus insulin, while the other received standard care plus injection of saline solution. A biopsy specimen was taken from both sites on days 0 and 14. The amount of blood vessel growth and the percentage of fibrosis were evaluated. Results: A significant difference in the number of new vessels was observed on the insulin-treated site (70.6 [29.21]) compared to saline only (26.5 [34.3]; P < .04). The percentage of fibrosis (insulin 34.7 [28.02] vs saline 27.8 [29.9]) showed no significant difference. No adverse events related to the study occurred. The clinical implications of this study are considerable in terms of the formation of blood vessels but not fibrosis. Conclusion: We suggest that local insulin administration is a safe therapeutic option for angiogenesis in wounds of non-diabetic patients. PMID- 29845044 TI - Immediate Nerve Transfer for Treatment of Peroneal Nerve Palsy Secondary to an Intraneural Ganglion: Case Report and Review. AB - Intraneural ganglion cysts, which occur within the common peroneal nerve, are a rare cause of foot drop. The current standard of treatment for intraneural ganglion cysts involving the common peroneal nerve involves (1) cyst decompression and (2) ligation of the articular nerve branch to prevent recurrence. Nerve transfers are a time-dependent strategy for recovering ankle dorsiflexion in cases of high peroneal nerve palsy; however, this modality has not been performed for intraneural ganglion cysts involving the common peroneal nerve. We present a case of common peroneal nerve palsy secondary to an intraneural ganglion cyst occurring in a 74-year-old female. The patient presented with a 5-month history of pain in the right common peroneal nerve distribution and foot drop. The patient underwent simultaneous cyst decompression, articular nerve branch ligation, and nerve transfer of the motor branch to flexor hallucis longus to a motor branch of anterior tibialis muscle. At final follow-up, the patient demonstrated complete (M4+) return of ankle dorsiflexion, no pain, no evidence of recurrence and was able to bear weight without the need for orthotic support. Given the minimal donor site morbidity and recovery of ankle dorsiflexion, this report underscores the importance of considering early nerve transfers in cases of high peroneal neuropathy due to an intraneural ganglion cyst. PMID- 29845045 TI - Multidisciplinary Cleft Palate Program at BC Children's Hospital: Are We Meeting the Standards of Care? AB - Objective: To characterize current Cleft Palate Program (CPP) practices and evaluate the timeliness of appointments with respect to patient age and diagnosis based on American Cleft Palate-Craniofacial Association (ACPA) population guidelines and CPP patient-specific recommendations. Design: A retrospective review of CPP patient appointments from November 6, 2012, to March 31, 2015, was done. Data were analyzed using descriptive and inferential statistics. Setting: The study was conducted using data from the CPP at BC Children's Hospital. Patients: A total of 1214 appointments were considered in the analysis, including syndromic and nonsyndromic patients of 0 to 27 years of age. Main Outcome Measures: Percentage of patients meeting follow-up targets by ACPA standards and CPP team recommendations. Results: Our results showed patients 5 years and younger or nonsyndromic were more likely to be seen on time (P < .001). No relationship between the timeliness of an appointment and specific patient diagnoses or distance to clinic was found. With the exception of nursing (97% of appointments were on time), all disciplines had less than 45% of appointments on time with 51% of appointments meeting ACPA guidelines for timeliness and 32% of all appointments meeting CPP recommendations. Conclusion: Timely care for the cleft/craniofacial patient populations represents a challenge for the CPP. Although half of patients may meet the general ACPA guidelines, only 32% of patients are meeting the CPP patient-specific recommendations. To provide better patient care, future adjustments are needed, which may include improved resource allotment and program support. PMID- 29845046 TI - One Versus 2 Venous Anastomoses in Free Flap Surgery: A Systematic Review and Meta-Analysis. AB - Background: The necessity of a second venous anastomosis in free flap surgery is controversial. The purpose of this systematic review is to determine whether venous flap failure and reoperation rates are lower when 2 venous anastomoses are performed. The secondary objective is to determine whether venous flap failure and reoperation rates are lower when the 2 veins are from 2 different drainage systems. Methods: A comprehensive search of the literature identified relevant studies. Investigators independently extracted data on rates of flap failure and reoperation secondary to venous congestion. A meta-analysis was performed; odds ratios (ORs) were pooled using a random-effects model and 95% confidence intervals (CIs). Results: Of 18 190 studies identified, 15 were included for analysis. The mean sample size was 287 patients (minimum = 102, maximum = 564). No statistically significant difference in venous flap failure was found when comparing 1 versus 2 venous anastomoses (OR: 1.35; 95% CI: 0.46-3.93). A significant decrease in reoperation rate due to venous congestion was shown (OR: 3.03; 95% CI: 1.64-5.58). The results favor using 2 veins from 2 different systems over veins from the same system (OR: 0.16; 95% CI: 0.02-1.27). Conclusions: There is low-quality evidence suggesting that the use of 2 venous anastomoses will lower the rate of reoperation due to venous congestion. There are insufficient data published to meaningfully compare outcomes of flaps with 2 venous anastomoses from different systems to flaps with anastomoses from the same system. PMID- 29845047 TI - The Radiographic Quality of Distal Radius Fracture Reduction Using Sedation Versus Hematoma Block. AB - Introduction: Distal radius fractures (DRFs) are treated in the emergency department (ED) with a closed reduction in order to decrease neurovascular and soft tissue injury and as a first definitive step in conservative treatment. The type of anesthesia used may affect the ability to reduce the fracture and remains controversial. Objective: The purpose of this study was to compare the quality of radiographic reduction achieved in the ED of DRF reduced using sedation anesthesia to those reduced with hematoma block anesthesia. Methods: A retrospective case-control study of 240 DRF reductions, 30 treated with sedation and 210 with a hematoma block, was performed. Complications and time spent in the ED were documented. Pre- and postreduction radiographs were reviewed for volar tilt, radial angulation, radial height, and ulnar variance. Results: Both groups were similar in gender, background illnesses, concomitant injuries, surgeon experience, and fracture radiographic classification. Postreduction values of volar tilt were better in the sedation group (P = .03). Volar tilt and ulnar variance improved more in the sedation group (P = .001). The sedation group spent more time in the ED (P = .001). Discussion: Sedation seemed to be more efficient than hematoma block in supporting closed reduction of distal radius fractures in the ED. However, this method requires specialized personnel and more time spent in the ED. Conclusion: We suggest using this method when the patient is planned to continue with conservative treatment. PMID- 29845048 TI - Undergraduate Plastic Surgery Education: A National Survey of Clerkship Directors. AB - Background: The delivery of medical education has received increased attention in recent years due to ongoing time and financial constraints faced by medical educators. Given the recent calls to action by the Carnegie Foundation and Health Canada, an evaluation of the specialty education sector is warranted. To our knowledge, this is the first assessment of the Canadian plastic surgery undergraduate clerkship curriculum. Method: An anonymous electronic survey was distributed to the plastic surgery clerkship directors of all Canadian medical schools (N = 17). The survey consisted of Likert scales and open-ended short answer questions. Themes included general clerkship information, exposure characteristics, teaching characteristics, resource characteristics, and challenges and barriers faced by clerkship directors. Results: Survey response rate was 88%. All responding schools offered a clerkship rotation of varying length in time (1-4 weeks). Students had the most exposure to breast surgery (100%) and general plastic surgery (100%) and the least exposure to aesthetic surgery (40%). Sixty percent of schools indicated the use of modern educational methods. Resources available for teaching students varied. Rotations received excellent feedback from medical students (67%). More than half of respondents would like to see a universal, nationally formulated plastic surgery clerkship curriculum. Conclusion: There is significant heterogeneity in the delivery of plastic surgery clerkship in Canada. A number of areas for improvement have been identified. We hope to establish a national plastic surgery clerkship task force to address the concerns raised here and improve the delivery of undergraduate medical education. Assessment of students based on a national curriculum may help in decision-making regarding plastic surgery program admissions by introducing an element of standardization to clerkship exposure. PMID- 29845049 TI - Antibiotic Irrigation of Pocket for Implant-Based Breast Augmentation to Prevent Capsular Contracture: A Systematic Review. AB - Background: In vitro and in vivo studies have described a number of different antibiotic solutions for irrigation of the pocket in implant-based breast augmentation in an attempt to prevent the formation of capsular contracture (CC). Our objective was to evaluate the evidence that antibiotic irrigation reduced the rate of CC. Methods: A systematic search of MEDLINE, EMBASE, and CENTRAL was conducted from inception to January 2016. We included studies which examined the use of intraoperative antibiotic irrigation in women undergoing primary breast augmentation. Our primary outcome was the rate of CC. Included studies were assessed for methodological quality using validated tools. Results: Seven studies were included in the final analysis: 1 randomized controlled trial (RCT) and 6 non-randomized studies. The mean follow-up ranged from 14 to 72 months. The rate of CC was less than 2% in 8 studies, between 3% and 6% in 4 studies, and 13.9% in 1 study. Included studies demonstrated significant clinical and methodological heterogeneity. The solitary low-quality RCT concluded that antibiotic irrigation was superior to saline irrigation. Three non-randomized studies demonstrated no significant difference in the rate of CC with the use of antibiotics. One non randomized controlled study showed that the use of mixture of antibiotic and povidone-iodine significantly lowered the rate of CC. Conclusions: The available evidence on the use of antibiotic irrigation to prevent CC is weak and it is based on studies with high risk of bias. Methodologically robust studies are necessary to answer the question whether antibiotic breast pocket irrigation prevents CC. PMID- 29845050 TI - Innervation of the Flexor Digitorum Profundus: A Systematic Review. AB - Purpose: The aim of this study was to review the innervation of the flexor digitorum profundus (FDP). Methods: In PubMed and Scopus, terms (Flexor digitorum profundus OR FDP) AND (innervation OR nerve) were used, resulting in 233 and 281 papers, respectively. After excluding 142 duplicates, 73 abstracts were reviewed. Forty-seven abstracts were excluded, 26 full papers were reviewed, and 17 papers were analyzed. Results: In most cases (97.6%), the index FDP was innervated by the anterior interosseous nerve (AIN). Dual innervation from the AIN and ulnar nerve (UN) was observed in 2.4% of papers. In majority (76.8%), the middle FDP received dual innervation from the AIN and the UN. The rest was innervated by the AIN only (22.0%) or the UN only (1.2%). In most cases (85.4%), the ring FDP was innervated by the UN only. The rest (14.6%) received dual innervation from the AIN and the UN. In majority of cases (64.6%), the little FDP was innervated by the UN only. The rest (35.4%) received dual innervation from the AIN and the UN. The AIN entered the FDP at 107.63 (8.80) mm from the elbow, corresponding to 26.75% (2.17%) of the forearm length, measured proximally. The average number of AIN branches to the FDP was 2.27 (1.33). The average number of UN branches to the FDP was 1.37 (0.94). In 8.8% of limbs, a communicating branch supplied the FDP. Among the limbs with a communicating branch, 32.3% had branches supplying the FDP. Conclusion: The results of this study may be useful in managing nerve injury patients. PMID- 29845052 TI - Oral Exam. PMID- 29845051 TI - Laparoscopic Harvesting of Omental Flaps for Breast Reconstruction-A Review of the Literature and Outcome Analysis. AB - Background: Evidence on the use of omental flaps for breast reconstruction in patients with breast cancer is lacking, and no published reviews report an outcome-based assessment of such flap. This review explores available data and evidence for change in complication rates following the shift toward laparoscopic harvesting. Methods: We searched the databases Excerpta Medica database, MEDLINE, and PubMed from inception until December 2015 using search terms "omental flaps" and "breast reconstruction." Data extracted were patient characteristics, technique used, and outcome measures reported and were then analyzed based on the technique of harvesting. Results: Twenty-two articles reporting 651 patients who underwent mastectomies and breast-conserving surgeries were included in this review. Most flaps, 537 (82.5%), were harvested by laparoscopy, and 626 (96.2%) of the flaps were pedicle flaps. The mean age was 47.7 years (standard deviation: 4.29), and mean follow-up was 38.1 months. There were 88 reported complications among 562 patients in 16 reports. The rate of any complication was calculated to be 15.0%, with a higher rate (29.1%) occurring with the open technique in comparison to laparoscopy (12.6%). The commonest complications were postoperative infection and breast firmness each reported in 2.22%. Most authors reported advantages of malleability and excellent aesthetic outcomes and disadvantages in terms of inability to estimate the volume of the flap and variability in size. Conclusion: Omentum use is safe and has advantages in breast reconstruction where other options are limited including a natural feeling and minimal donor site morbidity if harvested laparoscopically. PMID- 29845053 TI - Digital Gold: A Primer on Cryptocurrency. PMID- 29845054 TI - Targeting Colorectal Cancer Cell Lines Using Nanobodies; AgSK1as a Potential Target. AB - Background: Colorectal cancer is the third most common type of aggressive cancers. Chemotherapy, surgery, and radiotherapy are the common therapeutic options for treating this cancer. Due to the adverse side-effects of these methods, immunotherapy is considered as an appropriate alternative therapeutic option. Treatment through the application of monoclonal antibodies is considered as a novel alternative therapeutic method for cancers. The variable fragments of the antibodies' heavy chain or VHHs have a wide application in molecular biology and biotechnology. VHHs are compatible with the phage display technology which allows rapid and high throughput screening for antibodies isolation. Objectives: We aimed to use naive VHH phage library to isolate a specific nanobody against colorectal tumor associated antigen; the AgSK1. Materials and Methods: In this research, naive VHH phage library was panned against two colorectal cell lines; Ls174T and HT29 expressing different levels of AgSK1 tumor associated marker. The high affinity binders were selected and subcloned for higher expression levels of the VHH. The affinity and specificity of the isolated VHH were tested using ELISA. The reactivity of the VHH toward cancer cells was analyzed by competitive ELISA applying sera isolated from colorectal cancer patients. Results: Results show that the isolated VHH recognizes and binds to the colorectal cancer cells with a high affinity. Moreover, the isolated nanobody is able to compete with the antibodies in the patient sera for the binding to the cancer cells. Conclusions: Results suggest that this nanobody has a specific reaction toward colorectal cells and can be used for further investigation on the tumor associated antigens or production of mimotopes useful for immunotherapy. PMID- 29845055 TI - TiO2 Nanoparticles as Potential Promoting Agents of Fibrillation of alpha Synuclein, a Parkinson's Disease-Related Protein. AB - Background: In recent years, nanomaterials have been widely used in large quantities which make people be more frequently exposed to the chemically synthesized nanoparticles (NPs). When NPs are introduced into an organism, they may interact with a variety of cellular components with yet largely unknown pathological consequences. Objective: It was found that NPs enhance the rate of protein fibrillation in the brain by decreasing the lag time for nucleation. Protein fibrillation is implicated in the pathogenesis of the several neurodegenerative diseases such as Parkinson's disease (PD). alpha-Synuclein (alphaS) is natively an unfolded protein which is involved in the pathogenesis of PD. In the present study, we have analyzed the effects of three different NPs on alphaS fibrillation. Materials and Methods: alphaS protein expression and purifi cation was done and fibrils formation was induced in the absence or presence of the three types of NPs (i. e., TiO2, SiO2, and SnO2). The enhancement of the fluorescence emission of Thiofl avin T (ThT) and transmission electron microscopy (TEM) were used to monitor the appearance and growth of the fibrils. The adsorption of alphaS monomers on the surface of NPs was investigated by tyrosine fluorescence emission measurements. Results: We found that TiO2-NPs enhances alphaS fibril formation even at a concentration of 5 MUg.mL-1, while the two other NPs show no significant effect on the kinetics of the fibrillation. Intrinsic tyrosine emission measurement has confirmed that the TiO2-NPs interact with alphaS fibrillation products. It is suggested that TiO2- NPs may enhance the nucleation of alphaS protein that leads to protein fibril formation. Conclusion: The fibrillization process of alphaS protein is profoundly affected by the presence of TiO2-NPs. This finding unveils the neurotoxicity potential of the TiO2-NPs, which may be considered as a probable risk for PD. PMID- 29845056 TI - Biosynthesis of Silver Nanoparticles Using Pine Pollen and Evaluation of the Antifungal Efficiency. AB - Background: Nanoparticles have been applied to medicine, hygiene, pharmacy and dentistry, and will bring significant advances in the prevention, diagnosis, drug delivery and treatment of disease. Green synthesis of metal nanoparticles has a very important role in nanobiotechnology, allowing production of non-toxic and eco-friendly particles. Objectives: Green synthesis of silver nanoparticles (AgNPs) was studied using pine pollen as a novel, cost-effective, simple and non hazardous bioresource. The antifungal activity of the synthesized AgNPs was investigated in vitro. Materials and Methods: Biosynthesis of AgNPs was conducted using pollen of pine (as a novel bioresource) acting as both reducing and capping agents. AgNPs were characterized using UV-visible spectroscopy, X-ray diffraction and transmission electron microscopy. In evaluation for antifungal properties, the synthesized AgNPs represented significant in vitro inhibitory effects on Neofusicoccum parvum cultures. Results: Pine pollen can mediate biosynthesis of colloidal AgNPs with an average size of 12 nm. AgNPs were formed at 22 degrees C and observed to be highly stable up to three months without precipitation or decreased antifungal property. AgNPs showed significant inhibitory effects against Neofusicoccum parvum. Conclusion: The first report for a low-cost, simple, well feasible and eco-friendly procedure for biosynthesis of AgNPs was presented. The synthesized AgNPs by pine pollen were nontoxic and eco-friendly, and can be employed for large-scale production. The nanoparticles showed strong effect on quantitative inhibition and disruption of antifungal growth. PMID- 29845057 TI - Production of Marker-free Transgenic Rice (Oryza sativa L.) with Improved Nutritive Quality Expressing AmA1. AB - Background: Rice seed proteins are lacking essential amino acids (EAAs). Genetic engineering offers a fast and sustainable method to solve this problem as it allows the specific expression of heterologous EAA-rich proteins. The use of selectable marker gene is essential for generation of transgenic crops, but might also lead to potential environmental and food safety problems. Therefore, the production of marker-free transgenic crops is becoming an extremely attractive alternative and could contribute to the public acceptance of transgenic crops. Objectives: The present study was conducted to examine whether AmA1 can be expressed specifically in rice seeds, and generate marker-free transgenic rice with improved nutritive value. Materials and Methods:AmA1 was transferred into rice using Agrobacterium-mediated co-transformation system with a twin T-DNA binary vector and its integration in rice genome was confirmed by southern blot. Transcription of AmA1 was analyzed by Real-Time PCR and its expression was verified by western analysis. Protein and amino acid content were measured by the Kjeldahl method and the high-speed amino acid analyzer, respectively. Results: Five selectable marker-free homozygous transgenic lines were obtained from the progeny. The expression of recombinant AmA1 was confirmed by the observation of a 35 kDa band in SDS-PAGE and western blot. Compared to the wild-type control, the total protein contents in the seeds of five homozygous lines were increased by 1.06~12.87%. In addition, the content of several EAAs, including lysine, threonine, and valine was increased significantly in the best expressing line. Conclusions: The results indicated that the amino acid composition of rice grain could be improved by seed-specific expression of AmA1. PMID- 29845058 TI - Antimicrobial Activity of Chitosan Film Forming Solution Enriched with Essential Oils; an in Vitro Assay. AB - Background: The resistance of the bacteria and fungi to the innumerous antimicrobial agents is a major challenge in the treatment of the infections demands to the necessity for searching and finding new sources of substances with antimicrobial properties. The incorporation of the essential oils (EOs) in chitosan film forming solution may enhance antimicrobial properties. However, its use as the feeding additive in the poultry nutrition needs to clarify the product's activity against both pathogen and the useful microbes in the gastrointestinal tract. Objectives: In the present study, we carried out an in vitro investigation and evaluated the antimicrobial activity of chitosan film forming solution incorporated with essential oils (CFs+EOs) against microbial strains including Staphylococcus aureus, Escherichia coli, Enterococcus faecium, Lactobacillus rahmnosus, Aspergillus niger and Alternaria alternate. Material and Methods: In three replicates, the minimum inhibitory concentration (MIC) and the minimum bactericidal concentration (MBC) of different treatments including: 1- essential oils (EOs), 2- chitosan film solution (CFs), and 3-chitosan film solution enriched with EOs (CFs+EOs) were determined against above mentioned microbes. Results: The results indicated that the chitosan solution enriched with essential oils (CFs+EOs) is capable of inhibiting the bacterial and fungal growth even at the lowest concentrations. The MIC and MBC for all the antimicrobial agents against Escherichia coli and Staphylococcus aureus were very low compared to the concentrations needed to inhibit the growth of useful bacteria, Lactobacillus rahmnosu and Enterococcus faecium. The antifungal activity of chitosan was enhanced as the concentration of EOs increased in the film solution. Conclusion: Chitosan-EOs complexes are the promising candidate for novel contact antimicrobial agents that can be used in animal feeds. PMID- 29845059 TI - Production of Xanthanases by Paenibacillus spp.: Complete Xanthan Degradation and Possible Applications. AB - Background: A number of microorganisms and their enzymes have been reported as xanthan depolymerizers. Paenibacillus species are well-known polysaccharide hydrolyzing bacteria. However, Paenibacillus alginolyticus and Paenibacillus sp. XD are the only species in the genus which are now known to degrade xanthan. Objectives: Complete biodegradation of the xanthan exopolysaccharide is a rarely found capability among microorganisms. The aim of this study is to survey xanthanase producing bacteria with an appropriate bioactivity for the biopolymer degradation under different environmental conditions. Materials and Methods: The bacteria were isolated based on viscosity reduction of the xanthan solution. Bacterial isolates were identified using rep-PCR (repetitive element-based genomic fingerprinting) and 16S rDNA sequencing. Xanthanases were identified using rep-PCR (repetitive element-based genomic fingerprinting) and 16S rDNA sequencing. Xanthanases were characterized by measuring their activity at different temperatures, pH values, and NaCl concentrations. Degradation of other polysaccharides and xanthan degradation products were investigated based on the screening plate method and TLC (thin-layer chromatography), respectively. Results:Six isolates from different Paenibacillus species with a complete xanthan degrading capability were isolated from Urmia Lake. Phylogenetic analysis placed these strains within the genus Paenibacillus with the closest relatives that were found to be P. nanensis, P. phyllosphaerae, P. agaridevorans, P. agarexedens, and P. taohuashanense. These isolates displayed different levels of the xanthan biodegradation activity in temperatures ranging from 15 to 55 degrees C and pH values from 4 to 11. Xanthanolytic activity was generally prevented in presence of NaCl (> 0.1 mol.L-1). Furthermore, the isolated Paenibacillus spp. could degrade several other polysaccharides including xylan, CMC (carboxymethyl cellulose), starch, alginate, and pectin. Conclusion: Novel strains of the six different Paenibacillus species that were introduced in the present study are able to produce xanthanases with interesting characteristics. In light of the results from this study, special applications, particularly in healthcare, medicine, and the environment is hereby proposed for these enzymes. PMID- 29845060 TI - The Increase in Protein and Plasmid Yields of E. coli with Optimized Concentration of Ampicillin as Selection Marker. AB - Background:Escherichia coli is still the common host for ing and heterologous protein expression. Various strategies have been employed to increase protein expression in E. coli, but, it seems that external factors such as selection marker concentration can drastically affect the yield of protein and plasmid. Objectives: Alterations of protein expression and plasmid yields of E. coli in different concentrations of ampicillin, as selection marker, will be determined. In order to improve heterologous expression, the system will be redesigned and optimized. Materials and Methods: The expression cassette of codon optimized EGFP for E. coli was synthesized in pUC57. The pUC57-GFP was transformed into E. coli Top10F'. The expression of GFP was verified by SDS-PAGE and flow cytometry after induction by IPTG (0.5 mM) and incubation with 0, 100, 200 and 300 MUg.mL-1 ampicillin. Plasmid copy numbers of samples were determined by Real-Time PCR on AMP gene using regression line of diluted standard curve. Results: GFP expressing clones formed fair green colonies on LB agar supplemented with 0.5 mM IPTG and showed fluorescence in FL1 filter of flow cytometry and an extra protein band on SDS-PAGE gel. The fluorescent intensity of GFP in 0, 100, 200 and 300 MUg.mL-1 ampicillin in medium were 549.83, 549.78, 1443.52, 684.87, and plasmid copy numbers were 6.07*109 , 3.21*109 , 2.32*1010 , 8.11*108 , respectively. The plasmid yields were 55 ng.MUL-1, 69 ng.MUL-1, 164 ng.MUL-1 and 41 ng.MUL-1, respectively. Conclusion: Protein and plasmid yields of E. coli are variable in different concentrations of ampicillin and need to be optimized in newly designed expression systems. Protein and plasmid yield in the optimized concentration (200 MUg.mL-1) was significantly (p < 0.01) higher than other doses. PMID- 29845061 TI - Biological Removal of the Mixed Pharmaceuticals: Diclofenac, Ibuprofen, and Sulfamethoxazole Using a Bacterial Consortium. AB - Background: The presence of pharmaceuticals at low concentrations (ng to MUg) in the environment has become a hot spot for researchers in the past decades due to the unknown environmental impact and the possible damages they might have to the plantae and fauna present in the aquatic systems, as well as to the other living organisms. Objectives: The aim of the present investigation was to develop a bacterial consortium isolated from different origins to evaluate the ability of such a consortium to remove a mixture of pharmaceuticals in the batch system at lab scale, as well as assessment of its resistance to the other micropollutants present in the environment. Material and Methods: Using a closed bottle test, biodegradation of the mixed pharmaceuticals including Diclofenac (DCF), Ibuprofen (IBU), and Sulfamethoxazole (SMX) (at a concentration of 3 mg.L-1 of each drug) by the bacterial consortium was investigated. The test was carried out under metabolic (pharmaceutical was used as the sole source of carbon) and co-metabolic condition (in the presence of glucose). Finally, the ability of the bacterial consortium to resist other micropollutants like antibiotics and heavy metals was investigated. Results: Under the metabolic condition, the mixed bacteria (i.e., consortium) were able to metabolize 23.08% and 9.12% of IBU, and DCF at a concentration of 3 mg.L-1 of each drug, respectively. Whereas, in co-metabolic conditions, IBU was eliminated totally, in addition, 56% of the total concentration of DCF was removed, as well. In both metabolic and cometabolic conditions, removal of SMX was not observed. The selected bacteria were able to resist to most of the applied antibiotics and the used heavy metals, except mercury, where only one strain (S4) was resistant to the later heavy metal. Conclusion: Results suggest that the developed consortium might be an excellent candidate for the application in the bioremediation process for treating ecosystems contaminated with the pharmaceutical. PMID- 29845062 TI - Real-Time PCR: an Appropriate Approach to Confirm ssDNA Generation from PCR Product in SELEX Process. AB - Background: Aptamers are single stranded DNA (ssDNA) or RNA molecules. The potential of aptamers for binding to the different targets has made them be widely used as the preferred diagnostic and therapeutic tools. DNA aptamers present several advantages over the RNA oligonucleotides due to their higher stability, easier selection, and production. Selection of DNA aptamers which is facilitated through a systematic evolution of ligand by exponential enrichment (SELEX) method is much dependent on the successful conversion of double stranded DNA (dsDNA) to ssDNA. Objective: There are different methods available for ssDNA generation. While visualization of ssDNA is limited to the gelbased method, the method is not applicable in the initial rounds of SELEX due to more than 1015 different sequences. This study was designed to evaluate the effi ciency of another technique for confi rming the ssDNA generation in comparison to the polyacrylamide electrophoresis (PAGE) analysis. Materials and Methods: Real-time PCR was employed in the present study for PCR amplifi cation of the initial library that was followed by enzymatic digestion of the dsDNA. Subsequently melting curve analysis was carried out to evaluate ssDNA generation from dsDNA. Moreover, PAGE analysis was performed and the results were compared with the melt curve analysis. Results: The melt curves, revealed dsDNA conversion to the ssDNA based on a significant reduction of Tm from 73.8 to 41.5 degrees C. Applying PAGE analysis, it was not effectively feasible to show ssDNA generation from the corresponding initial dsDNA library, while, it was effi cient enough to confirm ssDNA generation in accordance with the increasing the number of SELEX rounds. Conclusion: The present study has proven the applicability of the real-time PCR as a suitable confirmatory technique for validating ssDNA generation in the DNA aptamer selection process for the initial library preparation. PMID- 29845063 TI - Bone Marrow Stromal Cells Associated with Poly L-Lactic-Co-Glycolic Acid (PLGA) Nanofiber Scaffold Improve Transected Sciatic Nerve Regeneration. AB - Background: Although peripheral nerves show capacity for regeneration after injury to a certain extent, the extent of regeneration is not remarkable. Previous studies have suggested that through the production of growth factors or extracellular matrix components, mesenchymal stem cells may enhance nerve regeneration. Objectives: In the present study, the therapeutic potency of the Bone Marrow Stromal Cells (BMSCs) associated with Poly L-lactic-co-glycolic acid (PLGA) nanofiber Scaffolds on rat sciatic nerve repair was evaluated. Material and Methods: Thirty adult male Wistar rats (220-250 g) were divided randomly into six groups, including control 1 (transected sciatic nerve), control 2 (transected sciatic nerve and stitched), Sham, PLGA, BMSCs, and PLGA+BMSCs. Functional recovery was evaluated at the end of 2nd, 4th, 6th, and 8th weeks after surgery using sciatic functional index (SFI) and hot water test. After killing all rats at the end of 8th week, their sciatic nerves were removed, fixed, and processed for the histological examination and analysis by the Motic software. Results: A significant recovery of the sciatic nerve function was observed in the PLGA+BMSCs transplanted group at the 8th week after surgery as demonstrated by SFI and hot water findings. Histological examinations also showed a significant improvement in the PLGA+BMSCs group compared to the control 1, 2, Sham, PLGA and BMSCs groups. Conclusion: BMSCs associated with PLGA nanofiber scaffold might be useful for improving the functional peripheral nerve repair having some clinical outcome. PMID- 29845064 TI - Induction of Apoptosis in Human Breast Cancer MCF-7 Cells by a Semi-Synthetic Derivative of Artemisinin: A Caspase-Related Mechanism. AB - Background: Artesunate has recently been used in some pharmacological preparation to induce tumor cell apoptosis. The drug is a semi-synthetic derivative of artemisinin, traditionally used for its antimalarial. However, up to now, its anticancer mechanism against different types of tumors is not known. Objectives: The most important purposes of the present research was firstly investigating induction of apoptosis on human breast cancer MCF-7 cells by the drug and, in the second place, introducing its possible mechanism of action. Materials and Methods: The MTT assay was used to investigate the inhibitory effect of artesunate on growth of breast cancer MCF-7 cells. For this aim, different concentrations of artesunate were used to treat the cells and flow cytometry assay was done followed by annexin V-FITC/PI staining. The activities of caspase 3, -8 and -9 were then determined by relative assay kits. Results: Based on the results from MTT assay, it was found that artesunate could significantly inhibit the growth of MCF-7 cells in a dose- and time-dependent manner. On the other hand, the flow cytometry findings showed that the anti-proliferative activity of artesunate on MCF-7 cells is due to apoptosis. Besides, caspase colorimetric assays revealed a significant rise in cellular levels of the initiators (caspase 8 and -9) and effector (caspase-3) in the cells treated by artesunate. Conclusions: According to our results, it could be concluded that artesunate could inhibit the growth of MCF-7 breast cancer cells through induction of apoptosis by intrinsic and extrinsic caspase-dependent pathways. Therefore, we claim that artesunate could be introduced as a suitable candidate for the treatment of the breast cancer. PMID- 29845065 TI - Stimulation of Camel Polyclonal Antibody against Human T cell Immunoglobulin and Mucin 3. AB - Background: T cell Immunoglobulin, Mucin (TIM)-3, is a type I transmembrane glycoprotein belonging to TIM family. This receptor expresses on T helper type 1 (Th1) cells that binds to galectin-9 (Gal9); inducing an inhibitory signal. As a result, apoptosis of Th1 cells occurs and cytotoxicity of CD8 T cells becomes evident in vitro. Therefore, this immunomodulatory molecule may be used as a novel target for clinical purposes. The production of camel polyclonal antibodies against TIM-3-expressing cell line was the purpose of this study. Objectives: In this study, we aimed to use HEK 293 cells expressing human TIM-3 to obtain camel polyclonal antibody against TIM-3 by immunization. Materials and Methods: A pre synthesized human TIM-3cDNA was inserted into pcDNA3.1 plasmid and the new construct was transfected in HEK cell. TIM-3 expression was confirmed by qRT-PCR and flow cytometry. A camel (6 months old) was immunized with the lysate prepared from rTIM-3 expressing HEK cells 4 times. The anti-TIM-3 antibody level was evaluated using ELISA method. Results: TIM-3 was successfully cloned in HEK cells with 88% success rate. High level of anti-TIM-3 antibody was detected in the serum of the camel immunized with the recombinant cell lysate, after final injection. Conclusions: Our rhTIM-3 cell display system can be useful for future diagnostic or therapeutic approaches. PMID- 29845066 TI - Designing Two Individual AcMNPV Polyhedrin-Plus Bac-to-Bac Expression System in order to Express GFP and CPV-VP2 in Insect Cells. AB - Background: The importance of viral protein-2 (VP2) of canine parvovirus (CPV) in binding to human cancer cells, production of veterinary vaccines and diagnostic kits has motivated several researches on producing this protein. Objectives: Our purpose was to construct recombinant bacmid shuttle vectors expressing VP2 of CPV using Bac-to-Bac baculoviral expression system. Materials and Methods: Mini-Tn7 transposones engineered in pFastBac1 donor vectors were used to construct expression cassettes of GFP and CPV-VP2. The plasmids were transferred into E. coli DH10Bac competent cells. Site-specific transposition of the genes into bacmid was accomplished using helper plasmid. Occurrence of Transposition was confirmed via PCR using specific primers and PUC/M13 universal primers. The recombinant bacmid DNAs were transfected into Sf9 cells using cationic lipids to generate new recombinant baculoviruses expressing GFP and CPV-VP2. GFP and VP2 expressions were evaluated by fluorescence microscopy and western analysis, respectively. Results: Cloning, subcloning and recombination processes of both GFP and VP2 were accomplished and verified. Accuracy of transfection process was confirmed by GFP fluorescence microscopy.VP2 expression was verified by SDS-PAGE and western analysis. Conclusions: Two Bac-to-Bac expression systems were designed to produce recombinant VP2 and GFP in insect cells. PMID- 29845067 TI - Anti-Vasculogenic Activity of a Polysaccharide Derived from Brittle Star via Inhibition of VEGF, Paxillin and MMP-9. AB - Background: Bioactive compounds such as terpenoids, chondroitin sulfate, and polysaccharides with added value can be found in prestine marine creatures. These compounds often do have highly valuable therapeutic applications such as being antioxidant, antitumorogenic, anti-inflammatory and anti-angiogenic. For the latter, varieties of angiogenesis factors can suppress this issue within the bodily tissues. Objectives: The anti-angiogenic and anti-metastatic capacity of a polysaccharide derived from brittle star was investigated. Material and Methods: The anti-proliferative effect of derived polysaccharide on umbilical vein endothelial cells (HUVEC) was measured using MTT (dimethyl thiazol-2-yl]-2,5 diphenyl tetrazolium bromide) assay. The anti-angiogenic effect of the isolated polysaccharide was examined by Chorioallantoic membrane (CAM) assay. The transcriptional expression of VEGF (Vascular Endothelial Growth Factor) was evaluated by Reverse Transcriptase-Polymerase Chain Reaction (RT-PCR). The anti metastatic activity was investigated via scratch-wound healing assay. The levels of Paxillin and Matrix Metalloproteinase-9 (MMP-9) expression were analyzed by RT PCR. Statistical analysis and mean comparisons (p< 0.05) were carried out by SPSS 16. Results: Our results elucidated that the brittle star isolated polysaccharide exerted a dose dependent cytotoxic effect on the HUVEC endothelial cells. The CAM assay exhibited potent anti-angiogenic activity in vivo. The RT-PCR analysis showed that the extracted polysaccharide (40, 60 ug.mL-1) down-regulated the VEGF expression. Further, the diminished attachment of endothelial cells demonstrated that the anti-invasiveness of the derived polysaccharide (25, 50 ug.mL-1) was administrated via down-regulation of paxillin and MMP-9 mRNA expression. Conclusions: Taken together, these results indicated that the polysaccharide extracted from brittle star was able to decrease the viability of the HUVEC cells, to suppress angiogenesis, and possibly act as a natural anti-angiogenic and anti-metastatic marine organic compound against angiogenesis related pathologies. PMID- 29845069 TI - Construction of New Genetic Tools as Alternatives for Protein Overexpression in Escherichia coli and Pseudomonas aeruginosa. AB - Background:Pseudomonas protein expression in E. coli is known to be a setback due to significant genetic variation and absence of several genetic elements in E. coli for regulation and activation of Pseudomonas proteins. Modifications in promoter/repressor system and shuttle plasmid maintenance have made the expression of stable and active Pseudomonas protein possible in both Pseudomonas sp. and E. coli. Objectives: Construction of shuttle expression vectors for regulation and overexpression of Pseudomonas proteins in Pseudomonas sp. and E. coli. Materials and Methods:Pseudomonas-Escherichia shuttle expression vectors, pCon2(3), pCon2(3)-Kan and pCon2(3)-Zeo as well as E. coli expression vectors of pCon4 and pCon5 were constructed from pUCP19-, pSS213-, pSTBlue-1- and pPICZalphaA-based vectors. Protein overexpression was measured using elastase strain K as passenger enzyme in elastinolytic activity assay. Results: The integration of two series of IPTG inducible expression cassettes in pCon2(3), pCon2(3)-Kan and pCon2(3)-Zeo, each carrying an E. coli lac-operon based promoter, Plac, and a tightly regulated T7(A1/O4/O3) promoter/repressor system was performed to facilitate overexpression study of the organic solvent-tolerant elastase strain K. These constructs have demonstrated an elastinolytic fold of as high as 1464.4 % in comparison to other published constructs. pCon4 and pCon5, on the other hand, are series of pCon2(3)-derived vectors harboring expression cassettes controlled by PT7(A1/O4/O3) promoter, which conferred tight regulation and repression of basal expression due to existence of respective double operator sites, O3 and O4, and lacIq. Conclusions: The constructs offered remarkable assistance for overexpression of heterogeneous genes in Pseudomonas sp. and E. coli for downstream applications such as in industries and structural biology study. PMID- 29845068 TI - Expression Profiling of Hspb1 and Tp53 Genes through RT-qPCR in Different Cancer Types of Canis familiaris. AB - Background: Diagnostic molecular marker studies are in vogue to have insight of most prevalent animal diseases including cancer. Objectives: Gene expression profiling of pro and anti-apoptotic genes was conducted in dog Lymphoma, CTVT, SCC, granuloma, perianal adenocarcinoma and mammary tumors. Materials and Methods: Cancerous tissues of 21 affected animals were obtained. Total RNA was extracted followed by cDNA synthesis. Comparative Ct method via Taqman assay (RT qPCR) was used to quantify corresponding mRNA molecules, Tp53 and Hspb1, as normalized by GAPDH as the reference gene . Results:Hspb1 showed ectopic expression in lymphoma, CTVT and mammary tumors; its down-regulation was observed in granuloma and oral SCC with fold difference (FD) of +/-35. Similarly, Tp53 as the tumor suppressor gene with pro-apoptotic properties, showed up-regulation in all tumor types, notably 80% of mammary tumors and 60% of CTVT. The FD values were 33.31 and 2.27, respectively. Conclusion: Altered transcriptomic response of Hspb1 and Tp53 was observed in all cancer types of Canis familiaris. The resulting profile depicts the involvement of the genes in cancer pathways. Thus, the data might be helpful for diagnosis, prognosis, identification and classification of these widespread neoplasms in this species. PMID- 29845070 TI - Agrobacterium-Mediated Transformation of the Oryza sativa Thaumatin-Like Protein to Canola (R Line Hyola308) for Enhancing Resistance to Sclerotinia sclerotiorum. AB - Background: Canola is an agro-economically oilseed crop. Yield loss due to fungal disease of stem rot caused by Sclerotinia sclerotiorum is a serious problem in canola cultivation. Thaumatin-like proteins are large groups of the pathogenesis related proteins which provide resistance to the fungal infection in response to invading pathogens and play a key role in plant defense system. Objectives: Transformation of the rice tlp into canola via Agrobacterium-mediated transformation and evaluation of the antifungal activity of the expressed TLP in the transgenic events on the S. sclerotiorum growth was subject to investigation. Materials and methods: The canola (R line Hyola308) was used for transformation experiment. The vector, pBITLPRA1, was used for the stable transformation. The PCR and southern blotting techniques were used to confirm transgene's presence in the transgenic canola events. Antifungal activity of transgenic plants was evaluated by the radial diffusion and spore germination assays. T2 transgenic plants were evaluated by the intact leaf inoculation method in greenhouse assay. Results: In this study, pBITLPRA1 construct containing tlp gene was introduced into canola and the transformed plants were verified by PCR. The glucanase activity of tlp gene in T0 generation was measured and transgenic plants with high activity were assessed by Southern blot analysis to confirm the copy number of the gene. Also, antifungal activity of the single copy T0 transgenic plants against Sclerotinia sclerotiorum was evaluated by radial diffusion and spore germination assays. In greenhouse assay, evaluation of T2 transgenic plants by the intact leaf inoculation method demonstrated that following the infection with S. sclerotiorum, there was a significant reduction in the lesion's diameter in transgenic lines compared to the non-transgenic ones. Conclusions: These results revealed that expression of TLP has an inhibitory effect against fungus compared to non-transgenic plants both in vitro and in vivo (i.e., greenhouse condition). These transgenic lines could be used as the additional sources of disease resistance for canola breeding program. PMID- 29845071 TI - Designing and Validation of One-Step T-ARMS-PCR for Genotyping the eNOS rs1799983 SNP. AB - Background: The transversion of G to T (G894T) in human endothelial nitric oxide synthase (eNOS) gene has profound effects such as male infertility, recurrent miscarriage, multiple sclerosis and cardiovascular diseases. Objectives: Development of a new Multiplex Tetra-Primer Amplification Refractory Mutation System - Polymerase Chain Reaction (T-ARMS-PCR) for detection of rs1799983 (G894T) in the human eNOS was sought. Materials and Methods: A T-ARMS-PCR for rs1799983 polymorphism in a single-step PCR was carried out, and the results were confirmed by PCR-RFLP technique in 82 infertile men with varicocele. Results: The results showed that GG (varicocele infertile men), GT and TT genotypes appear to be 53.65%, 34.14%, and 12.19%, respectively. Full accordance between PCR-RFLP and T-ARMS-PCR methods for genotyping of rs1799983 polymorphism was found. Conclusions: This is the first work that describes a rapid, relatively cheap, high throughput detection of G894T polymorphism in eNOS that can be used in large scale clinical studies. PMID- 29845072 TI - From a Chemical Matrix to Biologically/Biomechanically-Defined Matrices Optimizing/Correlating Growth Rate and Differentiation Potential of Human Adipose Derived Mesenchymal Stem Cells. PMID- 29845073 TI - Characterization of the Electric Current Generation Potential of the Pseudomonas aeruginosa Using Glucose, Fructose, and Sucrose in Double Chamber Microbial Fuel Cell. AB - Background: Different concentrations of the simple carbon substrates i.e. glucose, fructose, and sucrose were tested to enhance the performance of the mediator-less double chamber microbial fuel cell (MFC). Objectives: The power generation potential of the different electron donors was studied using a mesophilic Fe (III) reducer and non-fermentative bacteria Pseudomonas aeruginosa isolated from municipal wastewater. Materials and Methods: A double chamber MFC was operated with three different electron donors including glucose, sucrose, and fructose. Substrate utilization pattern was determined through chemical oxygen demand (COD) removal rate and voltage generation. In addition, electrochemical, physicochemical, and microscopic analysis of the anodic biofilm was conducted. Results:P. aeruginosa was proven to effectively utilize hexose and pentose sugars through anode respiration. Higher power density was generated from glucose (136 +/- 87 mWm2) lead by fructose (3.6 +/- 1.6 mWm2) and sucrose (8.606 +/- mWm2). Furthermore, a direct relation was demonstrated between current generation rate and COD removal efficiency. COD removal rates were, 88.5% +/- 4.3%, 67.5% +/- 2.6%, and 54.2% +/- 1.9% with the three respective sugars in MFC. Scanning electron microscopy (SEM) demonstrated that the bacterial attachment was considerably abundant in glucose fed MFC than in the fructose and sucrose operated MFC. Conclusion: This study has revealed that electron donor type in the anodic compartment controls the growth of anodic biofilm or anode-respiring bacteria (ARB). PMID- 29845074 TI - Enhancement of Alpha 1-antitrypsin Production in Pichia pastoris by Designing and Optimizing Medium Using Elemental Analysis. AB - Background: Human alpha 1-antitrypsin (AAT) is a monomeric glycosylated protein; it is the potent inhibitor of a whole range of serine proteases and protects tissues against their destructive effects. The human plasma-derived AAT, which is currently used to augment the AAT level in patients, is limited due to high cost and source limitation. Recombinant production of AAT can be considered as a potential alternative. Objectives: This study aims to develop and optimize a new chemically defi ned medium based on an elemental analysis of the yeast Pichia pastoris for an effi cient culture of the recombinant yeast-producing secretory AAT. Materials and Methods: An elemental analysis of Carbon (C), Hydrogen (H), Nitrogen (N), Sulfur (S); CHNS in its abbreviated form, and metallic elements was performed to determine the exact molecular constituent of the P. pastoris. The medium components were selected according to the obtained formula; they were optimized by the response surface methodology (RSM). The grown yeast cell was measured at the end of 18 h glycerol batch culture. The amounts of AAT production and elastase inhibitory capacity (EIC) were measured at the end of three days' methanol feeding. Results: The optimized medium compositions consist of glycerol (40 g.L-1), KH2PO4 (24.78 g.L-1), NaCl, (0.88 g.L-1), MgSO4 .7H2 O (1.95 g.L-1), (NH4 )2 SO4 (22.76 g.L-1), and trace elements (20 mL.L-1). The presented quadratic models show that KH2 PO4 and (NH4)2 SO4, are the most abundant ones in the P. pastoris biomass and have the greatest effect on the cell growth, EIC, and AAT protein production responses. Conclusions: According to the results of this study, it can be concluded that the characterizing cell composition formula could be considered as an appropriate method to design culture media in order to improve cell growth and productivity. Compared to the common P. pastoris chemically defi ned media, FM22 and BSM, production of AAT protein increased by 1.5 and 1.4 times, respectively, in this new medium. PMID- 29845075 TI - Purification of Endoxylanase from Bacillus pumilus B20 for Production of Prebiotic Xylooligosaccharide Syrup; An In vitro Study. AB - Background: The need for more cost-effective compounds is imperative because the demand for prebiotic compounds is ever on the rise. Objective: The focus of this study is the purification of the endoxylanase from Bacillus pumilus B20 and its application in a cost-effective production of the prebiotic xylooligosaccharide (XOS) syrup having a high concentration of oligosaccharides. Materials and Methods: The extracellular endoxylanase was purified using ammonium sulphate fractionation, DEAE anion exchange, and Sephacryl gel filtration chromatography. The enzymatically produced XOS was used in the preparation of XOS syrup adopting the method of ultrafiltration with 10 and 3 kDa molecular weight cut-off (MWCO) membranes. Culture-dependent technique for the bacterial enumeration using selective probiotic microorganisms in an in vitro analysis was employed to confirm the prebiotic nature of XOS syrup. Results: The molecular mass of the purified xylanase (XylB) was found to be approximately 85 kDa with the optimum pH and temperature of 6.5 and 60 degrees C, respectively. XylB hydrolyzed the xylan and produced short-chain xylooligosaccharides (XOS). At the end of the two-step ultrafiltration process, the hydrolysate was refi ned to form XOS syrup (44.4%) consisting of XOS with a degree of polymerization (DP) between 2 and 5, and >5. Among all the tested probiotic strains, Lactobacillus brevis exhibited maximum growth in the presence of 0.5% XOS syrup with a specific growth rate of 1.2 h-1. Conclusion: Through this study, we have identified a method to produce XOS syrup that can be used as an effective prebiotic supplement for the growth of several probiotic strains. Human gut probiotics was used as a model system for in vitro analysis of prebiotic oligosaccharide XOS, but for further confirmation of the prebiotic activity, in vivo feeding studies using animal models are needed to be carried out. PMID- 29845076 TI - Effect of Simulated Microgravity Conditions on Differentiation of Adipose Derived Stem Cells towards Fibroblasts Using Connective Tissue Growth Factor. AB - Background: Mesenchymal stem cells (MSCs) are multipotent cells able to differentiating into a variety of mesenchymal tissues including osteoblasts, adipocytes and several other tissues. Objectives: Differentiation of MSCs into fibroblast cells in vitro is an attractive strategy to achieve fibroblast cell and use them for purposes such as regeneration medicine. The goal of this study was investigate the simulated microgravity effect on differentiation of Adipose Derived Stem Cells (ADSCs) to fibroblasts. Materials and Methods: To fibroblast differentiation 100 ng.mL-1 of connective tissue growth factor (CTGF), and for simulation microgravity, 2D clinostat was used. After isolation the human ADSCs from adipose, cells were passaged, and at passages 3 they were used for characterization and subsequent steps. After 7 days of CTGF and simulated microgravity treatment, proliferation, and differentiation were analyzed collectively by MTT assay, quantitative PCR analyses, and Immunocytochemistry staining. Results: MTT assay revealed that CTGF stimulate the proliferation but simulated microgravity didn't have statistically significant effect on cell proliferation. In RNA level the expression of these genes are investigated: collagen type I (COLI), elastin (ELA), collagen type III (ColIII), Matrix Metalloproteinases I(MMP1), Fibronectin 1 (FN1), CD44, Fibroblast Specific protein (FSP-1), Integrin Subunit Beta 1 (ITGB1), Vimentin (VIM) and Fibrillin (FBN). We found that expression of ELN, FN1, FSP1, COL1A1, ITGB1, MMP1 and COL3A1 in both condition, and VIM and FBN1 just in differentiation medium in normal gravity increased. In protein level the expression of COL III and ELN in simulated microgravity increased. Conclusions: These findings collectively demonstrate that the simulated microgravity condition alters the marker fibroblast gene expression in fibroblast differentiation process. PMID- 29845077 TI - Ginsenoside Rg5: Rk1 Exerts an Anti-obesity Effect on 3T3-L1 Cell Line by the Downregulation of PPARgamma and CEBPalpha. AB - Background: Obesity, a global health problem and a chronic disease, is associated with increased risk of developing type 2 diabetes and coronary heart diseases. A wide variety of natural remedies have been explored for their obesity treatment potential. Objective: The anti-adipogenic effect of ginsenoside Rg5:Rk1 (Rg5:Rk1) on 3T3-L1 mature adipocytes was investigated. Materials and Methods: To elucidate the anti-obesity effect of Rg5:Rk1, a mixture of protopanaxadiol type ginsenosides isolated from Panax ginseng Meyer in a 3T3-L1 adipocytes. In order to determine the anti-obesity effect of Rg5:Rk1, based on oil Red O Staining, triglyceride (TG) content in adipose cells was assessed. Furthermore, to elucidate the possible mechanism of Rg5:RK1 effect on lipid accumulation, mRNA and protein expression analyses of adipocyte markers such as STAT3, PPARgamma, CBEPalpha and ap2 were carried out. Results: Rg5:Rk1 treatment showed an inhibition of lipid droplet accumulation and decrease of TG content. In addition, expression of STAT3, PPARgamma, CEBPalpha and ap2 were decreased in a dose dependent manner. Similarly, the Rg5:Rk1 treatment reduced PPARgamma and CEBPalpha protein expression. Conclusion: Rg5:Rk1 treatment exhibits anti adipogenic activity by down-regulation of the STAT3/ PPARg/CEBPa signaling pathway in 3T3-L1 adipocyte cell line. PMID- 29845078 TI - Sugarcane Mosaic Virus-Based Gene Silencing in Nicotiana benthamiana. AB - Background: Potyvirus-based virus-induced gene silencing (VIGS) is used for knocking down the expression of a target gene in numerous plant species. Sugarcane mosaic virus (SCMV) is a monopartite, positive single strand RNA virus. Objectives: pBINTRA6 vector was modifi ed by inserting a gene segment of SCMV in place of Tobacco rattle virus (TRV) genome part 1 (TRV1 or RNA1) and the two nonstructural proteins of TRV2(RNA2). Materials and Methods: SCMV construct was inoculated into 3-4 weeks Nicotiana benthamiana plant leaves either by using a needleless syringe or applying pricking with a toothpick. Results: The construct (SCMV-RNA2) successfully induced post-transcriptional gene silencing (PTGS) of the target genes GFP and ChlI through agroinoculation proving that SCMV is a substitute of the RNA1, which plays a pivotal role in the systemic gene silencing. 2-3-weeks of post inoculation, target genes' silencing was observed in the newly developed noninoculated leaves. Conclusions: The newly developed construct expresses the knocked down of the endogenous as well as exogenous genes and only four weeks are required for the transient expression of the gene silencing based on SCMV-VIGS system. PMID- 29845079 TI - Antimicrobial and Antioxidant Activity of the Biologically Synthesized Tellurium Nanorods; A Preliminary In vitro Study. AB - Background: Recent theranostic (therapeutic or diagnostic) applications of tellurium nanoparticles have attracted a great interest for development of different methods for synthesis of this valuable nanostructure, especially via biological resources. Objectives: In the present study, the antimicrobial and antioxidant effects of the tellurium nanorods (Te NRs) biosynthesized by a bacterial strain Pseudomonas pseudoalcaligenes strain Te were evaluated. Materials and Methods: The antimicrobial effect of Te NRs and potassium tellurite against different bacterial and fungal pathogens was assessed by microdilution method. Furthermore, the disk diffusion method was used to evaluate the antibacterial effect of the biogenic Te NRs and potassium tellurite against methicillin-resistant Staphylococcus aureus, alone or in combination with various antibiotics. Also, the biogenic Te NRs were investigated for antioxidant activity using 2, 2-diphenyl- 1-picrylhydrazyl (DPPH) scavenging activity and reducing power assay. Results: Transmission electron micrograph (TEM) of the purified Te NRs showed individual and rod-shaped nanostructure (~22 nm diameter by 185 nm in length). Based on the data obtained from both microdilution and disk diffusion method the K2 TeO3 exhibited a higher antibacterial and antifungal activity compared to the Te NRs. The measured IC50 for the biogenic Te NRs (i.e. DPPH radical scavenging activity) was found to be 24.9 MUg.mL-1, while, K 2 TeO3 has represented only 17.6 +/- 0.8 % DPPH radical scavenging effect at the concentration of 160 MUg.mL-1. The reducing power assay revealed a higher electron-donating activity for Te NRs compared to K2TeO3. Conclusions: Based on the data obtained from both microdilution and disk diffusion method the K2TeO3 exhibited a higher antimicrobial and antifungal activity than Te NRs. Te NRs didn't show the antibacterial effect against the tested bacterial strain: MRSA and showed an inhibitory effect and antibacterial activity of the effective antibiotics. However, more studies should be performed to explore the action mechanism of the produced biogenic Te NRs. PMID- 29845080 TI - Sustained Release of Green Tea Polyphenols from Liposomal Nanoparticles; Release Kinetics and Mathematical Modelling. AB - Background: Green tea polyphenols (GTP) are known to have several health benefits. In spite of these benefits, its application as a therapeutic agent is limited due to some of its limitations such as stability, bioavailability, and biotransformation. To overcome these limitations, liposomal nanoparticles have been used as a carrier of the GTP. Objective: Encapsulation of GTP to the liposomal nanoparticles in order to achieve a sustained release of the GTP and to determine the drug release kinetics and the mechanism of the release. Materials and Methods: GTP encapsulated liposomal nanoparticles were prepared using phosphatidyl choline and cholesterol. The synthesized particles were characterized for their particle size and morphology. In vitro release studies were carried out, followed by drug release kinetics, and determining the mechanism of release. In vitro, antioxidant assay was determined following 2,2 diphenyl-1-picrylhydrazyl (DPPH) method. Results: Atomic force microscope (AFM) and high resolution scanning electron microscope (HR SEM) images showed spherical particles of the size of 64.5 and 252 nm. An encapsulation efficiency as high as 77.7% was observed with GTP concentration of 5 mg.mL-1. In vitro release studies showed that the loading concentrations of GTP were independent to the cumulative percentage of the drug release. GTP release by varying the pH and temperature showed a direct correlation between the release parameter and the percentage of drug release. The higher the pH and temperature, the higher was the percentage of the drug release. The release data showed a good correlation with Zero order kinetics and the mechanism of the release being anomalous mode. Radical scavenging activity of the released GTP showed a potent scavenging activity. Conclusion: GTP encapsulated liposomal nanoparticles could be used as a delivery vehicle for achieving a sustained release. PMID- 29845081 TI - Differential Expression of Mitochondrial Manganese Superoxide Dismutase (SOD) in Triticum aestivum Exposed to Silver Nitrate and Silver Nanoparticles. AB - Background: The increasing use of nanoparticles (NPs) may have negative impacts on both organisms and the environment. Objectives: The differential expression of mitochondrial manganese superoxide dismutase (MnSOD) gene in wheat in response to silver nitrate nanoparticles (AgNPs) and AgNO3 was investigated. Materials and Methods: A quantitative Real-Time RT-PCR experiment was carried out with MnSOD gene using RNAs isolated from wheat shoots treated for 0, 2, 6, 12, and 24 h with 100 mg.L-1 of either AgNO 3 or AgNPs. Results: The results of this study showed that both treatments cause changes in the expression pattern of the MnSOD gene. While 2 and 6 h following the beginning of the stress, MnSOD expression was up regulated significantly, in response to AgNO 3 (1.4 and 2.8 fold, respectively), in response to AgNPs, it was up-regulated significant only after 6 h (1.6 fold), compared with the control. The gene expression, after 12 h in response to AgNO3 and AgNPs were downregulated significantly (0.7 and 0.8 fold, respectively), and in the next 12 h , the expression appeared to be similar to the control. Conclusion: Exposure to both AgNPs and Ag ions led to a significant increase in MnSOD expression, but AgNO 3 changed the MnSOD expression faster than AgNPs. Therefore, it is suggested that AgNO3 has greater penetrability and effectiveness. PMID- 29845082 TI - Presence of Recombinant Strain of Cucurbit Aphid Borne Yellows Virus in Iran. AB - Background:Cucurbit aphid-borne yellows virus (CABYV) is among the most important yellowing viruses on cucurbits in Iran. The presence of CABYV has been previously reported from the major cucurbit growing areas in Iran, however, there are few studies concerning the detection of the different strains of this virus in the grower's fields, and especially, there is no report of the weed host plants near crop fields. Objectives: This study was done in order to detect the new strains of the CABYV polerovirus in cucurbits and the weed plants in the Lorestan province, Iran, as an introductory investigation for initiating a program of the breeding for resistance. Material and Methods: During a survey carried out in 2013-2014 in Lorestan province; Iran, 189 cucurbit and 261 weed samples were investigated for the presence of CABYV using RT-PCR. In addition, the phylogeny and nucleotide similarities were discussed on the basis of the partial nucleotide sequence of RNA dependent RNA polymerase (RdRP) gene. Results: The RT-PCR carried out on leaf samples revealed the infection with the CABYV in 43 cucumber and 12 weed samples. RT-PCR using strain specific primers detected the presence of the both common (C) and recombinant (R) strains of CABYV in the tested samples. On the basis of the phylogenetic analyses, the CABYV-C isolates from Iran were clustered into two distinct sub-populations (CI and CII), such that all the weed samples with two sequenced cucumber isolates were clustered in the CI sub population. Meanwhile, a distinct sub-population of the isolates was clustered in the CABYV-R group showed a shared sequence identity of 97% to a Taiwanese isolate (JQ700306). Conclusions: This study has indicated the incidence of CABYV-R in the Southwest Asia; Iran for the first time. We were also able to show CABYV occurrence in Sysimbrium irio and Citrullus colocynthis from this area of the world. Identification of cucurbit infecting viruses and studying their distribution and potential reservoir hosts are important for developing successful control programs for virus disease management. PMID- 29845083 TI - Glenohumeral Internal Rotation Deficit and Injuries: A Systematic Review and Meta analysis. AB - Background: There is an association between throwing activity and glenohumeral internal rotation deficit (GIRD). An 18 degrees to 20 degrees deficit has been adopted as the standard definition of pathological GIRD, but specific findings as to how GIRD relates to an injury are inconsistent. Purpose: To systematically review the literature to clarify the definition of GIRD diagnosis for adolescent and adult overhead athletes and to examine the association between GIRD and an increased risk of injuries in these athletes. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review of the literature was performed. Observational studies comparing glenohumeral internal rotation range of motion (ROM) in injured and uninjured overhead athletes were included for the meta-analysis. Studies of adolescent and adult athletes were analyzed separately. ROM was compared for the injured and uninjured groups, and a weighted mean GIRD was estimated. To account for potential heterogeneity across studies, both fixed- and random-effects models were used to calculate a standardized mean difference (SMD). Results: Nine studies of level 3 or 4 evidence were included. From these, 12 study groups (4 adolescent, 8 adult) comprising 819 overhead athletes (226 injured, 593 uninjured) were included in the meta-analysis. The estimated SMD in GIRD between the injured and uninjured groups was 0.46 (95% CI, 0.15-0.77; P < .01) for the overall sample. The between-group effect was larger for adults (SMD, 0.60 [95% CI, 0.18 to 1.02]; P < .01) than adolescents (SMD, 0.20 [95% CI, -0.24 to 0.63]; P = .13). The weighted mean GIRD for the injured and uninjured groups was 13.8 degrees +/- 5.6 degrees and 9.6 degrees +/- 3.0 degrees , respectively, which also differed by age group. Moderate study heterogeneity was observed (I2 = 69.0%). Conclusion: Based on this systematic review, the current definition of pathological GIRD may be too conservative, and a distinct definition may be required for adolescent and adult athletes. While the results indicate a link between internal rotation deficits and upper extremity injuries in the overhead athlete, higher quality prospective research is needed to clarify the role that GIRD plays in future injuries to overhead athletes of various ages. PMID- 29845084 TI - Knotless Fixation Is Stronger and Less Variable Than Knotted Constructs in Securing a Suture Loop. AB - Background: Historically, tendon-to-bone fixation has relied on knot tying. However, considerable variability exists in knot-tying strength among surgeons. Purpose/Hypothesis: The purpose of this study was to compare the biomechanical properties of knotted and knotless fixation and to evaluate variability among surgeons. The hypothesis was that knotless constructs would be stronger and have less variability as compared with knotted constructs. Study Design: Controlled laboratory study. Methods: A total of 34 orthopaedic surgeons participated in a laboratory study to compare knotted and knotless constructs, where 104 knotted constructs were performed with No. 2 suture, 21 knotless constructs with No. 2 suture (K2 group), and 79 knotless constructs with suture tape (KT group). Mechanical testing was performed to compare load at 3 mm of displacement, load to failure, and stiffness of each construct. Results: The mean load at 3 mm of displacement was greatest in the KT group, with significant differences among all 3 groups (P < .001). Load to failure was significantly greater in the KT group as compared with the K2 group and the knotted group (P < .001), but there was no difference between the K2 and knotted groups (P >= .999). Stiffness and displacement were also greatest in the KT group. Based on the F test, the variance in load to failure was significantly different between the knotted and knotless constructs, with the knotted group demonstrating greater variability (SD, 94 N) than the KT (SD, 38 N) and K2 (SD, 17 N) groups (P < .001). Conclusion: Knotless fixation with suture tape had improved biomechanical performance as compared with knots or knotless fixation with No. 2 suture. In addition, knotless fixation had less variability in biomechanical properties among multiple surgeons. Clinical Relevance: This study may be relevant for surgeons choosing between knotted and knotless constructs as well as for considerations in the design of rotator cuff repair constructs. PMID- 29845085 TI - Can Weakness in End-Range Plantar Flexion After Achilles Tendon Repair Be Prevented? AB - Background: Disproportionate end-range plantar flexion weakness, decreased passive stiffness, and inability to perform a heel rise on a decline after Achilles tendon repair are thought to reflect increased tendon compliance or tendon lengthening. Since this was first noted, we have performed stronger repairs and avoided stretching into dorsiflexion for the first 12 weeks after surgery. Hypothesis: Using stronger repairs and avoiding stretching into dorsiflexion would eliminate end-range plantar flexion weakness and normalize passive stiffness. Study Design: Case series; Level of evidence, 4. Methods: Achilles repairs with epitendinous augmentation were performed on 18 patients. Plantar flexion torque, dorsiflexion range of motion (ROM), passive joint stiffness, and standing single-legged heel rise on a decline were assessed at 43 +/- 24 months after surgery (range, 9 months to 8 years). Maximum isometric plantar flexion torque was measured at 20 degrees and 10 degrees of dorsiflexion, neutral position, and 10 degrees and 20 degrees of plantar flexion. Passive dorsiflexion ROM was measured with a goniometer. Passive joint stiffness was computed from the increase in passive torque from 10 degrees to 20 degrees of dorsiflexion. Tendon thickness was measured by use of digital calipers. Plantar flexion electromyographic (EMG) data were recorded during strength and functional tests. Analysis of variance and chi-square tests were used to assess weakness and function. Results: Marked weakness was evident on the involved side at 20 degrees of plantar flexion (deficit, 26% +/- 18%; P < .001), with no weakness at 20 degrees of dorsiflexion (deficit, 6% +/- 17%; P = .390). Dorsiflexion ROM was decreased 5.5 degrees +/- 8 degrees (P = .015), and tendon width was 8 +/- 3 mm greater on the involved side (P < .001). Passive joint stiffness was similar between the involved and noninvolved sides. Only 2 of 18 patients could perform a decline heel rise on the involved side compared with 18 of 18 on the noninvolved side (P = .01). No difference in EMG amplitude was found between the involved and noninvolved sides during the strength or heel rise tests. Conclusion: The use of stronger repair techniques and attempts to limit tendon elongation by avoiding dorsiflexion stretching did not eliminate weakness in end-range plantar flexion. EMG data confirmed that end-range weakness was not due to neural inhibition. Physiological changes that alter the force transmission capability of the healing tendon may be responsible for this continued impairment. This weakness has implications for high-demand jumping and sprinting after Achilles tendon repair. PMID- 29845086 TI - Vitamin D Insufficiency Among Professional Basketball Players: A Relationship to Fracture Risk and Athletic Performance. AB - Background: Vitamin D is believed to play a role in influencing fracture risk and athletic performance. Insufficiency of vitamin D affects an estimated three quarters of the United States population. Hypovitaminosis D has also been demonstrated to be quite common among professional basketball players in the National Basketball Association (NBA). Purpose: To determine whether a relationship exists between vitamin D levels and fracture risk and athletic performance (as measured by NBA draft status) among elite basketball players. Study Design: Descriptive epidemiology study. Methods: Data were obtained from the NBA regarding combine participants from 2009 through 2013. This information included vitamin D level, demographic information, fracture history, and NBA draft status. The data were analyzed to determine associations between vitamin D level and fracture risk and NBA draft status. Results: Vitamin D levels were measured for 279 players at the NBA Combine from 2009 through 2013. Vitamin D deficiency (<20 ng/mL) was seen in 32.3% of athletes, vitamin D insufficiency (20 30 ng/mL) was seen in 41.2%, and sufficient levels of vitamin D (>30 ng/mL) were present in only 26.5%. A total of 118 players had a history of at least 1 fracture. Vitamin D level was not predictive of fracture risk. Contrary to our hypothesis, players with a history of stress fracture had a significantly greater mean vitamin D level than those without such history (30.7 vs 25.1 ng/mL; P = .04). A majority (79.6%) of participants were selected in the NBA draft. Players with deficient vitamin D levels had a significantly lower rate of being drafted into the NBA (P = .027). The NBA draft rate was found to increase with increasing levels of vitamin D (P = .007). Conclusion: Hypovitaminosis D is quite common among NBA Combine participants, affecting 73.5%. While no significant relationship was found between vitamin D level and fracture history, patients with a history of stress fracture had significantly greater mean vitamin D levels. Additionally, participants with greater vitamin D levels were more likely to be drafted into the NBA. This information supports the potential role of vitamin D in influencing athletic performance. PMID- 29845087 TI - Evaluating motion processing algorithms for use with functional near-infrared spectroscopy data from young children. AB - Motion artifacts are often a significant component of the measured signal in functional near-infrared spectroscopy (fNIRS) experiments. A variety of methods have been proposed to address this issue, including principal components analysis (PCA), correlation-based signal improvement (CBSI), wavelet filtering, and spline interpolation. The efficacy of these techniques has been compared using simulated data; however, our understanding of how these techniques fare when dealing with task-based cognitive data is limited. Brigadoi et al. compared motion correction techniques in a sample of adult data measured during a simple cognitive task. Wavelet filtering showed the most promise as an optimal technique for motion correction. Given that fNIRS is often used with infants and young children, it is critical to evaluate the effectiveness of motion correction techniques directly with data from these age groups. This study addresses that problem by evaluating motion correction algorithms implemented in HomER2. The efficacy of each technique was compared quantitatively using objective metrics related to the physiological properties of the hemodynamic response. Results showed that targeted PCA (tPCA), spline, and CBSI retained a higher number of trials. These techniques also performed well in direct head-to-head comparisons with the other approaches using quantitative metrics. The CBSI method corrected many of the artifacts present in our data; however, this approach produced sometimes unstable HRFs. The targeted PCA and spline methods proved to be the most robust, performing well across all comparison metrics. When compared head to head, tPCA consistently outperformed spline. We conclude, therefore, that tPCA is an effective technique for correcting motion artifacts in fNIRS data from young children. PMID- 29845088 TI - Theoretical analysis of low-power fast optogenetic control of firing of Chronos expressing neurons. AB - A detailed theoretical analysis of low-power, fast optogenetic control of firing of Chronos-expressing neurons has been presented. A three-state model for the Chronos photocycle has been formulated and incorporated in a fast-spiking interneuron circuit model. The effect of excitation wavelength, pulse irradiance, pulse width, and pulse frequency has been studied in detail and compared with ChR2. Theoretical simulations are in excellent agreement with recently reported experimental results and bring out additional interesting features. At very low irradiances ([Formula: see text]), the plateau current in Chronos exhibits a maximum. At [Formula: see text], the plateau current is 2 orders of magnitude smaller and saturates at longer pulse widths ([Formula: see text]) compared to ChR2 ([Formula: see text]). [Formula: see text] in Chronos saturates at much shorter pulse widths (1775 pA at 1.5 ms and [Formula: see text]) than in ChR2. Spiking fidelity is also higher at lower irradiances and longer pulse widths compared to ChR2. Chronos exhibits an average maximal driven rate of over [Formula: see text] in response to [Formula: see text] stimuli, each of 1-ms pulse-width, in the intensity range 0 to [Formula: see text]. The analysis is important to not only understand the photodynamics of Chronos and Chronos expressing neurons but also to design opsins with optimized properties and perform precision experiments with required spatiotemporal resolution. PMID- 29845089 TI - Special Section Guest Editorial: Technology Platforms for Treatment and Discovery in Human Systems: Novel Work in Image-Guided Procedures, Robotic Interventions, and Modeling. AB - This guest editorial introduces the Special Section on Image-Guided Procedures, Robotic Interventions, and Modeling in JMI Vol. 5 Issue 2. PMID- 29845090 TI - Detection of small traumatic hemorrhages using a computer-generated average human brain CT. AB - Computed tomography is a standard diagnostic imaging technique for patients with traumatic brain injury (TBI). A limitation is the poor-to-moderate sensitivity for small traumatic hemorrhages. A pilot study using an automatic method to detect hemorrhages [Formula: see text] in diameter in patients with TBI is presented. We have created an average image from 30 normal noncontrast CT scans that were automatically aligned using deformable image registration as implemented in Elastix software. Subsequently, the average image was aligned to the scans of TBI patients, and the hemorrhages were detected by a voxelwise subtraction of the average image from the CT scans of nine TBI patients. An experienced neuroradiologist and a radiologist in training assessed the presence of hemorrhages in the final images and determined the false positives and false negatives. The 9 CT scans contained 67 small haemorrhages, of which 97% was correctly detected by our system. The neuroradiologist detected three false positives, and the radiologist in training found two false positives. For one patient, our method showed a hemorrhagic contusion that was originally missed. Comparing individual CT scans with a computed average may assist the physicians in detecting small traumatic hemorrhages in patients with TBI. PMID- 29845091 TI - Positron emission tomography-based assessment of metabolic gradient and other prognostic features in sarcoma. AB - Intratumoral heterogeneity biomarkers derived from positron emission tomography (PET) imaging with fluorodeoxyglucose (FDG) are of interest for a number of cancers, including sarcoma. A range of radiomic texture variables, adapted from general methodologies for image analysis, has shown promise in the setting. In the context of sarcoma, our group introduced an alternative model-based approach to the measurement of heterogeneity. In this approach, the heterogeneity of a tumor is characterized by the extent to which the 3-D FDG uptake pattern deviates from a simple elliptically contoured structure. By using a nonparametric analysis of the uptake profile obtained from this spatial model, a variable assessing the metabolic gradient of the tumor is developed. The work explores the prognostic potential of this new variable in the context of FDG-PET imaging of sarcoma. A mature clinical series involving 197 patients, 88 of whom have complete time-to death information, is used. Texture variables based on the imaging data are also evaluated in this series and a range of appropriate machine learning methodologies are then used to explore the complementary prognostic roles for structure and texture variables. We conclude that both texture-based and model based variables can be combined to achieve enhanced prognostic assessments of outcome for patients with sarcoma based on FDG-PET imaging information. PMID- 29845092 TI - Symptomatic muscular sarcoidosis: Lessons from a nationwide multicenter study. AB - Objectives: To describe clinicopathologic features of muscular sarcoidosis and the associated sarcoidosis phenotype through a nationwide multicenter study. Methods: Patients were included if they had histologically proven sarcoidosis and symptomatic muscular involvement confirmed by biological, imaging, or histologic examinations. Results: Forty-eight patients (20 males) were studied, with a median age at muscular symptoms onset of 45 years (range 18-71). Four patterns were identified: a nodular pattern (27%); smoldering phenotype (29%); acute, subacute, or progressive myopathic type (35%); and combined myopathic and neurogenic pattern (10%). In all patterns, sarcoidosis was multivisceral with a median of 3 extramuscular organs involved (mostly lungs, lymph nodes, eyes, and skin) and a prolonged course with long-term use of corticosteroids and immunosuppressive drugs. Muscular patterns differed according to clinical presentation (myalgia, nodules, or weakness), electromyographic findings, muscular MRI, and response to sarcoidosis treatment. The myopathic and neuromuscular patterns were more severe. Conclusion: This nationwide study of muscular sarcoidosis allowed the identification of 4 patterns of granulomatous myositis, which differed by phenotypes and the clinical course. PMID- 29845093 TI - Expanded autologous regulatory T-lymphocyte infusions in ALS: A phase I, first-in human study. AB - Objective: To determine whether autologous infusions of expanded regulatory T lymphoctyes (Tregs) into patients with amyotrophic lateral sclerosis (ALS) are safe and tolerable during early and later stages of disease. Methods: Three patients with ALS, with no family history of ALS, were selected based on their differing sites of disease onset and rates of progression. Patients underwent leukapheresis, and Tregs were subsequently isolated and expanded ex vivo. Tregs (1 * 106 cells/kg) were administered IV at early stages (4 doses over 2 months) and later stages (4 doses over 4 months) of disease. Concomitant interleukin-2 (2 * 105 IU/m2/injection) was administered subcutaneously 3 times weekly over the entire study period. Patients were closely monitored for adverse effects and changes in disease progression rates. Treg numbers and suppressive function were assayed during and following each round of Treg infusions. Results: Infusions of Tregs were safe and well tolerated in all patients. Treg numbers and suppressive function increased after each infusion. The infusions slowed progression rates during early and later stages of disease. Spearman correlation analyses showed that increased Treg suppressive function correlated with slowing of disease progression per the Appel ALS scale for each patient: patient 1: rho (rho) = 0.60, p = 0.003; patient 2: rho = -0.71, p = 0.0026; and patient 3: rho = -0.54, p = 0.016. Measures of maximal inspiratory pressure also stabilized, particularly in 2 patients, during Treg infusions. Conclusions: These results demonstrate the safety and potential benefit of expanded autologous Treg infusions, warranting further clinical trials in patients with ALS. The correlation between Treg suppressive function and disease progression underscores the significance of using Treg suppressive function as an indicator of clinical status. Classification of evidence: This study provides Class IV evidence. This is a phase I trial with no controls. PMID- 29845094 TI - Long-read transcriptome data for improved gene prediction in Lentinula edodes. AB - Lentinula edodes is one of the most popular edible mushrooms in the world and contains useful medicinal components such as lentinan. The whole-genome sequence of L. edodes has been determined with the objective of discovering candidate genes associated with agronomic traits, but experimental verification of gene models with correction of gene prediction errors is lacking. To improve the accuracy of gene prediction, we produced 12.6 Gb of long-read transcriptome data of variable lengths using PacBio single-molecule real-time (SMRT) sequencing and generated 36,946 transcript clusters with an average length of 2.2 kb. Evidence driven gene prediction on the basis of long- and short-read RNA sequencing data was performed; a total of 16,610 protein-coding genes were predicted with error correction. Of the predicted genes, 42.2% were verified to be covered by full length transcript clusters. The raw reads have been deposited in the NCBI SRA database under accession number PRJNA396788. PMID- 29845095 TI - A data-based study in support of Blackbuck related cases from Haryana. AB - Haryana State (located in the northern part of India), is lacking in natural forest, but it has rich biodiversity of some wild animals, especially the Blackbuck antelopes. The maximum population of Blackbucks in the state is living in open cultivated fields. Blackbucks were once found abundantly throughout Haryana, but now they are limited to the south-west part of the state, driven almost to extinction in the rest of Haryana, mainly because of habitat destruction and wildlife crime. This data report is an outcome of six years (January 2012-September 2017), based on assessment of records in terms of location, year and month wise frequency of death and rescued cases related to Blackbuck reported, as registered by the State Wildlife Department. It is envisioned that this data report will provide appropriate information for the conservationist to plan future conservation strategy for Blackbucks in Haryana. PMID- 29845096 TI - Nano-cellulose biopolymer based nano-biofilm biomaterial using plant biomass: An innovative plant biomaterial dataset. AB - The nano-cellulose derived nano-biofilm keeps a magnificent role in medical, biomedical, bioengineering and pharmaceutical industries. Plant biomaterial is naturally organic and biodegradable. This study has been highlighted as one of the strategy introducing biomass based nano-bioplastic (nanobiofilm) to solve dependency on petroleum and environment pollution because of non-degradable plastic. The data study was carried out to investigate the nano-biopolymer (nanocellulose) based nano-biofilm data from corn leaf biomass coming after bioprocess technology without chemicals. Corn leaf biomass was used to produce biodegradable nano-bioplastic for medical and biomedical and other industrial uses. Data on water absorption, odor, pH, cellulose content, shape and firmness, color coating and tensile strength test have been exhibited under standardization of ASTM (American standard for testing and materials). Moreover, the chemical elements of nanobiofilm like K+, CO3--, Cl-, Na+ showed standard data using the EN (166). PMID- 29845097 TI - Data on functional characterization of LECT2 from Lampetra japonica. AB - The data presented in this article are related to the research article entitled "Characterization of the LECT2 gene and its protective effects against microbial infection via large lymphocytes in Lampetra japonica" (Wang et al., 2017) [1]. Here, we presented new original data about the effect of rL-LECT2 on cancer cells migration and macrophages phagocytosis. Wound healing assay and transwell chemotaxis assays were used to measure rL-LECT2 inhibition rates on cancer cell migration. Additionally, fluospheres beads and Escherichia coli-FITC were used to measure whether the rL-LECT2 can affect the phagocytosis of RAW264.7 cells. PMID- 29845098 TI - Data of optimization of laccase production by Marasmiellus palmivorus LA1 under solid state fermentation using one factor at a time method. AB - This article contains data regarding optimization of laccase production under solid state fermentation by the basidiomycetes fungi Marasmiellus palmivorus LA1.The data was collected by varying one factor at a time and keeping other factors of the system constant. Influence of environmental factors (substrate type, temperature, inoculums size, substrate weight, substrate length, pH), nutritional factors (organic and inorganic nitrogen sources, carbon sources, surfactants) and elicitors added to media was examined through the laccase activity of the extract. Specific activity at every stage was also measured. The data presents an opportunity to compare the relative influential role of each of the contributing factors on laccase production and directly relates to our research article "Optimization of laccase production from M. palmivorus LA1 by Taguchi method of design of experiments" (Chenthamarakshan et al., 2017 [1]). PMID- 29845099 TI - Structural changes of Chlamydomonas reinhardtii cells during lipid enrichment and after solvent exposure. AB - Data are related to Confocal Laser Scanning Microscopy (CLSM) observations of lipid-enriched Chlamydomonas reinhardtii cells under different conditions. Firstly, the impact of stress conditions (nitrogen starvation) on the cell wall structure is assessed. Secondly is described the effect of solvents, in the context of lipid extraction, on the microalga's cell, particularly its lipid droplets, in the perspective of understanding the mechanisms behind solvent extraction of lipids. Furthermore, the role of the cell wall as a barrier to the solvent extraction action is highlighted. PMID- 29845100 TI - Data on a new sensitivity-improved miniaturized label-free electrochemical biosensor. AB - This article presents a new sensitivity-improved electrochemical measurement architecture for cardiovascular disease (CVD) diagnosis by detecting CVD biomarkers, S100 beta protein and C-reactive protein (CRP). The new architecture includes a design for a new electrochemical measurement set-up, which improves the reaction conditions of chemical and biological molecules and incorporates a newly biochip design. With the new architecture, electrochemical measurement experiments were undertaken. The results obtained are related to the research article entitled "Improving sensitivity of a miniaturized label-free electrochemical biosensor using zigzag electrodes" [1]. PMID- 29845101 TI - Mapping Anopheles stephensi midgut proteome using high-resolution mass spectrometry. AB - Anopheles stephensi Liston is one of the major vectors of malaria in urban areas of India. Midgut plays a central role in the vector life cycle and transmission of malaria. Because gene expression of An. stephensi midgut has not been investigated at protein level, an unbiased mass spectrometry-based proteomic analysis of midgut tissue was carried out. Midgut tissue proteins from female An. stephensi mosquitoes were extracted using 0.5% SDS and digested with trypsin using two complementary approaches, in-gel and in-solution digestion. Fractions were analysed on high-resolution mass spectrometer, which resulted in acquisition of 494,960 MS/MS spectra. The MS/MS spectra were searched against protein database comprising of known and predicted proteins reported in An. stephensi using Sequest and Mascot software. In all, 47,438 peptides were identified corresponding to 5,709 An. stephensi proteins. The identified proteins were functionally categorized based on their cellular localization, biological processes and molecular functions using Gene Ontology (GO) annotation. Several proteins identified in this data are known to mediate the interaction of the Plasmodium with vector midgut and also regulate parasite maturation inside the vector host. This study provides information about the protein composition in midgut tissue of female An. stephensi, which would be useful in understanding vector parasite interaction at molecular level and besides being useful in devising malaria transmission blocking strategies. The data of this study is related to the research article "Integrating transcriptomics and proteomics data for accurate assembly and annotation of genomes". PMID- 29845102 TI - Tumor lysis syndrome associated with docetaxel and carboplatin in a case with recurrent endometrial cancer. AB - Tumor lysis syndrome (TLS) is an oncological life-threatening complication characterized by hyperuricemia, hyperphosphatemia, and hyperkalemia, which can lead to acute renal failure, cardiac arrhythmias, cardiac arrest and seizures. Although TLS is a rare complication in patients with non-hematological malignancy, the mortality rate of TLS in solid tumors is higher than that in hematological malignancies. Acute renal injury is the most common cause of mortality associated with TLS in solid tumors. We report a case of TLS following chemotherapy for a recurrent uterine serous carcinoma. In this case, we speculated that the cause of death might be a pulmonary tumor embolism caused by TLS. PMID- 29845103 TI - Using gene expression in patients with endometrial intraepithelial neoplasia to assess the risk of cancer. AB - Patients diagnosed with an endometrial cancer precursor lesion on biopsy may be found to have endometrial cancer at the time of subsequent surgery. The current study seeks to identify patients with endometrial intraepithelial neoplasia (EIN) on biopsy that may be harboring an occult carcinoma. Immunohistochemical stains for gene loss of expression (LOE) for 6 genes, PTEN, ARID1A, MSH6, MSH2, MLH1, and PMS2, were performed on 113 biopsy specimens with EIN. For the 95 patients with follow-up histology, 40 patients had cancer, 41 had EIN, and 14 had normal endometrium. PTEN LOE was found frequently in both EIN and endometrial cancer, and therefore had low positive predictive value. All specimens with ARID1A, MSH6, MSH2, MLH1, or PMS2 LOE on biopsy were subsequently found to have cancer. LOE of any gene was associated with modest sensitivity (0.78) in identifying patients with endometrial cancer who had EIN on biopsy. Further investigation is warranted to determine if gene LOE is a useful clinical tool when evaluating patients with EIN on biopsy. PMID- 29845104 TI - Oncofertility in the setting of advanced cervical cancer - A case report. AB - Objective: To consider fertility options in women with advanced cervical cancer. Design: Case report. Setting: Large tertiary care center. Patient: A 30-year-old nulligravida woman diagnosed with FIGO Stage IBI squamous cell carcinoma of the cervix that had metastasized to a pelvic lymph node. Interventions: Robotic radical trachelectomy with pelvic lymphadenectomy and cerclage placement, followed by ovarian stimulation with oocyte retrieval and in vitro fertilization. Subsequent therapy included adjuvant chemoradiation and embryo transfer to a surrogate mother. Main outcome measures: Cervical cancer remission, live birth from surrogate pregnancy. Results: 33-year-old woman in her third year of remission from advanced cervical cancer with healthy twin girls. Conclusions: Fertility options may exist for patients even in the setting of metastatic cervical cancer. Early involvement of a reproductive endocrinologist is imperative. This case emphasizes the importance of cross-specialty communication. PMID- 29845105 TI - Serotonin Selectively Increases Detectability of Motion Stimuli in the Electrosensory System. AB - Serotonergic innervation of sensory areas is found ubiquitously across the central nervous system of vertebrates. Here, we used a system's level approach to investigate the role of serotonin on processing motion stimuli in the electrosensory system of the weakly electric fish Apteronotus albifrons. We found that exogenous serotonin application increased the firing activity of pyramidal neural responses to both looming and receding motion. Separating spikes belonging to bursts from those that were isolated revealed that this effect was primarily due to increased burst firing. Moreover, when investigating whether firing activity during stimulation could be discriminated from baseline (i.e., in the absence of stimulation), we found that serotonin increased stimulus discriminability only for some stimuli. This is because increased burst firing was most prominent for these. Further, the effects of serotonin were highly heterogeneous, with some neurons displaying large while others instead displaying minimal changes in responsiveness following serotonin application. Further analysis revealed that serotonin application had the greatest effect on neurons with low baseline firing rates and little to no effect on neurons with high baseline firing rates. Finally, the effects of serotonin on sensory neuron responses were largely independent of object velocity. Our results therefore reveal a novel function for the serotonergic system in selectively enhancing discriminability for motion stimuli. PMID- 29845106 TI - Perceptual Oscillation of Audiovisual Time Simultaneity. AB - Action and perception are tightly coupled systems requiring coordination and synchronization over time. How the brain achieves synchronization is still a matter of debate, but recent experiments suggest that brain oscillations may play an important role in this process. Brain oscillations have been also proposed to be fundamental in determining time perception. Here, we had subjects perform an audiovisual temporal order judgment task to investigate the fine dynamics of temporal bias and sensitivity before and after the execution of voluntary hand movement (button-press). The reported order of the audiovisual sequence was rhythmically biased as a function of delay from hand action execution. Importantly, we found that it oscillated at a theta range frequency, starting ~500 ms before and persisting ~250 ms after the button-press, with consistent phase-locking across participants. Our results show that the perception of cross sensory simultaneity oscillates rhythmically in synchrony with the programming phase of a voluntary action, demonstrating a link between action preparation and bias in temporal perceptual judgments. PMID- 29845107 TI - Dbx1 Pre-Botzinger Complex Interneurons Comprise the Core Inspiratory Oscillator for Breathing in Unanesthetized Adult Mice. AB - The brainstem pre-Botzinger complex (preBotC) generates inspiratory breathing rhythms, but which neurons comprise its rhythmogenic core? Dbx1-derived neurons may play the preeminent role in rhythm generation, an idea well founded at perinatal stages of development but incompletely evaluated in adulthood. We expressed archaerhodopsin or channelrhodopsin in Dbx1 preBotC neurons in intact adult mice to interrogate their function. Prolonged photoinhibition slowed down or stopped breathing, whereas prolonged photostimulation sped up breathing. Brief inspiratory-phase photoinhibition evoked the next breath earlier than expected, whereas brief expiratory-phase photoinhibition delayed the subsequent breath. Conversely, brief inspiratory-phase photostimulation increased inspiratory duration and delayed the subsequent breath, whereas brief expiratory-phase photostimulation evoked the next breath earlier than expected. Because they govern the frequency and precise timing of breaths in awake adult mice with sensorimotor feedback intact, Dbx1 preBotC neurons constitute an essential core component of the inspiratory oscillator, knowledge directly relevant to human health and physiology. PMID- 29845108 TI - Changes in Parkinson's disease sleep symptoms and daytime somnolence after bilateral subthalamic deep brain stimulation in Parkinson's disease. AB - INTRODUCTION: Deep brain stimulation (DBS) markedly improves motor function in advanced Parkinson's disease (PD), but its effect on sleep is less clear. PATIENTS AND METHODS: Forty PD patients who had subthalamic DBS (STN-DBS) were identified from an on-going non-motor naturalistic longitudinal study (NILS). All patients were followed up for at least 6 months, 26 patients had a 1 year follow up. A total PDSS score of 100 or less, a score in any PDSS-item of 6 or less, and a Epworth score of 10 or more were classified as being significant. RESULTS: Forty-five percent of patients reported significant improvement in the total PDSS score at 6 months, and 35% at 12 months. In terms of magnitude, the total PDSS score at 6 months was significantly improved from baseline while the improvement at 12 months was not statistically significant. The most frequently reported improvements were overall sleep quality and maintenance of sleep. Some patients reported worsening of the total PDSS score. More than half of the patients reporting daytime sleepiness at baseline had persistent sleepiness at 6 and 12 months. The mean Epworth Score did not improve because a significant number of patients without sleepiness at baseline reported new-onset sleepiness at 6 and 12 months. Neither medication changes nor motor improvement were consistently related to sleep changes after DBS. CONCLUSION: Subthalamic DBS is associated with a statistically and clinically significant, but variable, improvement in sleep as measured by the PDSS. The most frequent improvements were better overall sleep quality and better sleep maintenance. PMID- 29845109 TI - Simulated microgravity attenuates myogenic differentiation via epigenetic regulations. AB - The molecular mechanisms involved in myogenic differentiation are relatively well known. Myogenic differentiation is regulated by the sequential activation of the basic helix-loop-helix myogenic regulatory transcription factors (MRFs), and biomechanical signals play an important role in the regulation of myogenesis. In this study, we sought to determine whether simulated microgravity culture using Gravite(r) may affect myoblast differentiation and expression of MRF genes. Although rat myoblasts, L6 cells were differentiated to myotubes in an incubation period-dependent manner, myogenesis of L6 cells was significantly attenuated under simulated microgravity (10-3G) conditions. Real-time Reverse transcription polymerase chain reaction (RT-PCR) showed that expressions of Myog, Myf6, Mef2c, Des, and Ckm under 1 G conditions increase in an incubation period-dependent manner, and that Myod1 expression was specifically observed to increase transiently in the early phase. However, expressions of Myod1 and Myog were significantly inhibited under simulated microgravity conditions. To clarify the molecular mechanisms, L6 cells were treated with 5-AzaC, and further incubated with differentiation medium under 1 G or 10-3 G conditions. The results showed differences in expression levels of Myod1, Myog, and, as well as those of myotube thickness between 1 G and 10-3 G conditions, completely disappeared in this experimental condition. Modified HpaII tiny fragment enrichment by ligation mediated PCR (HELP)-assay showed that kinetic changes of DNA methylation status were attenuated in simulated microgravity conditions. These results indicate that microgravity regulates myogenesis and Myod1 expression by controlling DNA methylation. PMID- 29845110 TI - Prognostic gene expression assays in breast cancer: are two better than one? PMID- 29845111 TI - The PROMISe to increase precision in adjuvant therapy for early breast cancer: To "Type" or to "Print"? PMID- 29845112 TI - ANXA11 mutations prevail in Chinese ALS patients with and without cognitive dementia. AB - Objective: To investigate the genetic contribution of ANXA11, a gene associated with amyotrophic lateral sclerosis (ALS), in Chinese ALS patients with and without cognitive dementia. Methods: Sequencing all the coding exons of ANXA11 and intron-exon boundaries in 18 familial amyotrophic lateral sclerosis (FALS), 353 unrelated sporadic amyotrophic lateral sclerosis (SALS), and 12 Chinese patients with ALS-frontotemporal lobar dementia (ALS-FTD). The transcripts in peripheral blood generated from a splicing mutation were examined by reverse transcriptase PCR. Results: We identified 6 nonsynonymous heterozygous mutations (5 novel and 1 recurrent), 1 splice site mutation, and 1 deletion of 10 amino acids (not accounted in the mutant frequency) in 11 unrelated patients, accounting for a mutant frequency of 5.6% (1/18) in FALS, 2.3% (8/353) in SALS, and 8.3% (1/12) in ALS-FTD. The deletion of 10 amino acids was detected in 1 clinically undetermined male with an ALS family history who had atrophy in hand muscles and myotonic discharges revealed by EMG. The novel p. P36R mutation was identified in 1 FALS index, 1 patient with SALS, and 1 ALS-FTD. The splicing mutation (c.174-2A>G) caused in-frame skipping of the entire exon 6. The rest missense mutations including p.D40G, p.V128M, p.S229R, p.R302C and p.G491R were found in 6 unrelated patients with SALS. Conclusions: The ANXA11 gene is one of the most frequently mutated genes in Chinese patients with SALS. A canonical splice site mutation leading to skipping of the entire exon 6 further supports the loss-of-function mechanism. In addition, the study findings further expand the ANXA11 phenotype, first highlighting its pathogenic role in ALS-FTD. PMID- 29845114 TI - Chorea-acanthocytosis: Homozygous 1-kb deletion in VPS13A detected by whole genome sequencing. AB - Objective: To determine a molecular diagnosis for a large multigenerational family of South Asian ancestry with seizures, hyperactivity, and episodes of tongue biting. Methods: Two affected individuals from the family were analyzed by whole-genome sequencing on the Illumina HiSeq X platform, and rare variants were prioritized for interpretation with respect to the phenotype. Results: A previously undescribed, 1-kb homozygous deletion was identified in both individuals sequenced, which spanned 2 exons of the VPS13A gene, and was found to segregate in other family members. Conclusions: VPS13A is associated with autosomal recessive chorea-acanthocytosis, a diagnosis consistent with the phenotype observed in this family. Whole-genome sequencing presents a comprehensive and agnostic approach for detecting diagnostic mutations in families with rare neurologic disorders. PMID- 29845113 TI - Determining the incidence of familiality in ALS: A study of temporal trends in Ireland from 1994 to 2016. AB - Objective: To assess temporal trends in familial amyotrophic lateral sclerosis (FALS) incidence rates in an Irish population and to determine factors influencing FALS ascertainment. Methods: Population-based data collected over 23 years, using the Irish amyotrophic lateral sclerosis (ALS) register and DNA biobank, were analyzed and age-standardized rates of FALS and associated familial neuropsychiatric endophenotypes were identified. Results: Between 1994 and 2016, 269 patients with a family history of ALS from 197 unique families were included on the register. Using stringent diagnostic criteria for FALS, the mean age standardized FALS incidence rate for the study period was 11.1% (95% confidence interval [CI], 8.8-13.4). The FALS incidence rate increased steadily from 5.2% in 1994 to 19.1% in 2016, an annual increase of 0.7% (95% CI, 0.5-0.9, p < 0.0001). Inclusion of the presence of neuropsychiatric endophenotypes within kindreds increased the FALS incidence rate to 30%. The incidence of FALS in newly diagnosed individuals from known families increased significantly with time, accounting for 50% of all FALS diagnoses by 2016. The mean annual rate of recategorization from "sporadic ALS" to "FALS" was 3% (95% CI, 2.6-3.8). Conclusions: The true population-based rate of FALS is at least 20%. Inclusion of extended endophenotypes within kindreds increases the rate of FALS to 30%. Cross sectional analysis of clinic-based cohorts and stringent definitions of FALS underestimate the true rate of familial disease. This has implications for genetic counseling and in the recognition of presymptomatic stages of ALS. PMID- 29845115 TI - Brain copper storage after genetic long-term correction in a mouse model of Wilson disease. PMID- 29845116 TI - Case Report: Laparoscopic Approach for Orchiopexy in a 26-Year-Old Man with Accidentally Discovered Persistent Mullerian Duct Syndrome and Bilateral Undescended Testis. AB - Background: Persistent Mullerian duct syndrome (PMDS) is not a common form of disorder of sex development in which Mullerian duct derivatives (fallopian tubes, uterus, and the proximal vagina) are present in an otherwise normally differentiated 46 XY male. In most of cases, the challenge comes in the procedure of orchiopexy. Case Presentation: We report a case of a 26-year-old man with PMDS. It was accidentally discovered when the patient presented to our outpatient clinic concerning about his empty scrotum as a premarital check. Diagnostic laparoscopy discovered Mullerian remnants in the form of uterus, cervix, and fallopian tubes with two attached testes to the fallopian tubes. Staged laparoscopic orchiopexy was done. We discuss the presentation, the management of this case in the literature, and our intervention. Conclusion: PMDS is not a common condition. Several concerns present in the management of these cases. Malignant transformation of the testis is the main risk facing those patients. Few literature studies discussed the risk of changing of these remnants into malignant tissue. Thus discussion with the patient, tissue histopathology, expert opinions, and literature review are the main clues in management of such cases. PMID- 29845117 TI - Ureteral Obstruction Secondary to an Appendiceal Mucocele: A Case Report and Literature Review. AB - Background: Ureteral obstruction is rarely caused by extrinsic compression from the appendix. In addition, mucinous neoplasms of the appendix are rare, found incidentally in 0.2%-0.7% of appendectomy specimens. Case Presentation: We present an unusual case of ureteral obstruction caused by a large appendiceal mucocele. An asymptomatic 53-year-old caucasian male patient, known for recurrent nephrolithiasis, was referred for management of bilateral nephrolithiasis. A noncontrast CT scan found an atrophic kidney with an obstructive 1.8 cm right midureteral stone above a 9 * 4.3 cm appendiceal mucocele compressing the right midureter. Although the impacted ureteral stone was extracted with retrograde ureteroscopy and holmium laser lithotripsy, the appendiceal mucocele was resected by laparoscopic appendectomy. Final pathology analysis revealed an unperforated low-grade appendiceal mucinous neoplasm of 13 cm without lymphovascular invasion. Since the whole mucocele was completely excised, it did not require any further follow-up. Postoperative CT scan demonstrated stone-free status on the right side with residual mild right hydroureteronephrosis. A diuretic renal scintigraphy showed a nonobstructed right kidney with a chronically dilated pelvicaliceal system and a 34% differential function in the right kidney. Follow-up for up to 2 years postoperatively demonstrated that his diuretic renal scan did not show deterioration of the differential renal function, indicating that there was no significant obstruction. Conclusion: This is the fourth reported case of appendiceal mucocele causing extrinsic ureteral obstruction, and the secondary urinary stasis contributed to formation of a large midureteral stone and cortical renal atrophy. This case demonstrates the importance of the work-up and management of obstructive ureteral stones before definitive management of appendiceal mucoceles. PMID- 29845118 TI - Resident and Program Director's Perceptions of Milestone-Based Feedback in Obstetrics and Gynecology. AB - Introduction: In July 2014, US residency programs fully implemented the Next Accreditation System including the use of milestone evaluation and reporting. Currently, there has been little investigation into the result of implementation of this new system. Therefore, this study sought to evaluate perceptions of Obstetrics and Gynecology residents and program directors regarding the use of milestone-based feedback and identify areas of deficiency. Methods: A Web-based survey was sent to US-based Obstetrics and Gynecology residents and program directors regarding milestone-based assessment implementation. Results: Out of 245 program directors, 84 responded to our survey (34.3% response rate). Of responding program directors, most reported that milestone-based feedback was useful (74.7%), fair (83.0%), and accurate (76.5%); however, they found it administratively burdensome (78.1%). Residents felt that milestone-based feedback was useful (62.7%) and fair (70.0%). About 64.3% of residents and 74.7% of program directors stated that milestone-based feedback is an effective tool to track resident progression; however, a sizable minority of both groups believe that it does not capture surgical aptitude. Qualitative analysis of free response comments was largely negative and highlighted the administrative burden and lack of accuracy of milestone-based feedback. Conclution: Overall, both Obstetrics and Gynecology program directors and residents report that milestone-based feedback is useful and fair. Issues of administrative burden, timeliness, evaluation of surgical aptitude, and ability to act on assigned milestone levels were identified. Although this study is limited to one specialty, such issues are likely important to all residents, faculty, and program directors who have implemented the Next Accreditation System requirements. PMID- 29845119 TI - Applying Metacognition Through Patient Encounters and Illness Scripts to Create a Conceptual Framework for Basic Science Integration, Storage, and Retrieval. AB - Problem: Medical school curriculum continues to search for methods to develop a conceptual educational framework that promotes the storage, retrieval, transfer, and application of basic science to the human experience. To achieve this goal, we propose a metacognitive approach that integrates basic science with the humanistic and health system aspects of medical education. Intervention: During the week, via problem-based learning and lectures, first-year medical students were taught the basic science underlying a disease. Each Friday, a patient with the disease spoke to the class. Students then wrote illness scripts, which required them to metacognitively reflect not only on disease pathophysiology, complications, and treatments but also on the humanistic and health system issues revealed during the patient encounter. Evaluation of the intervention was conducted by measuring results on course exams and national board exams and analyzing free responses on the illness scripts and student course feedback. The course exams and National Board of Medical Examiners questions were divided into 3 categories: content covered in lecture, problem-based learning, or patient + illness script. Comparisons were made using Student t-test. Free responses were inductively analyzed using grounded theory methodology. Context: This curricular intervention was implemented during the first 13-week basic science course of medical school. The main objective of the course, Scientific Principles of Medicine, is to lay the scientific foundation for subsequent organ system courses. A total of 150 students were enrolled each year. We evaluated this intervention over 2 years, totaling 300 students. Outcome: Students scored significantly higher on illness script content compared to lecture content on the course exams (mean difference = 11.1, P = .006) and national board exams given in December (mean difference = 21.8, P = .0002) and June (mean difference = 12.7, P = .016). Themes extracted from students' free responses included the following: relevance of basic science, humanistic themes of empathy, resilience, and the doctor-patient relationship, and systems themes of cost, barriers to care, and support systems. Lessons learned: A metacognitive approach to learning through the use of patient encounters and illness script reflections creates stronger conceptual frameworks for students to integrate, store, retain, and retrieve knowledge. PMID- 29845120 TI - Successful Endovascular Therapy in an Elderly Patient with Severe Hemorrhage Caused by Traumatic Injury. AB - An 85-year-old female suffered pelvic fracture, multiple rib fractures, right hemopneumothorax, and blunt abdominal aortic injury in a traffic accident. After transfer to our hospital, transcatheter arterial embolization (TAE) was performed immediately for hemorrhage from the bilateral internal iliac arteries. Enhanced computed tomography (CT) after TAE showed an increase of hematoma and extravasation at the bifurcation of the abdominal aorta. Therefore, emergency abdominal endovascular aortic repair was performed on the same day. On the 3rd day after transfer, metabolic acidosis worsened suddenly, and enhanced CT revealed intestinal necrosis. Emergency surgery for the intestinal necrosis was performed. The patient was transferred to the previous hospital on the 31st day after transfer. Endovascular treatment is useful for elderly patients with severe trauma. However, the preservation and/or reconstruction of the blood flow to important organs should be monitored. PMID- 29845121 TI - Inflammatory Biomarkers and Risk of Atherosclerotic Cardiovascular Disease. AB - Background: Non-alcoholic fatty liver disease is an increasing health issue that associates with the development of atherosclerotic cardiovascular disease. This study correlates the association between fatty liver and inflammatory biomarkers with cardiovascular risk scores. Methodology: This cross-sectional study enrolled 10,181 health examination participants from Northern Taiwan and administered a standardized questionnaire with important biochemical tests and abdominal sonography. To assess concentrations of inflammatory markers high sensitivity C reactive protein (hs-CRP) and fibrinogen were used. Results: Inflammatory marker levels were significantly increased with increasing fatty liver. In multivariate logistic regression analysis adjusted for major confounding factors, the odds ratios of elevated hs-CRP and fibrinogen were significantly higher in participants with mild or moderate-to-severe fatty liver compared to healthy individuals. The cardiovascular risk scores, above cut-off level 10%, were associated with higher levels of inflammatory biomarkers and fatty liver; odds ratio, 3.52 (2.60-4.77) for non-alcoholic fatty liver disease with hs-CRP, and 2.92 (2.12-4.00) for non-alcoholic fatty liver disease with fibrinogen. Conclusion: Inflammatory biomarkers (hs-CRP and fibrinogen) are significantly associated with augmentation of fatty liver. Non-alcoholic fatty liver disease may be a predictor of future atherosclerotic cardiovascular disease, and the prediction value increases on adding inflammatory biomarkers levels. PMID- 29845122 TI - Growth Suppression of Glioma Cells Using HDAC6 Inhibitor, Tubacin. AB - In cancer research, autophagy has been revealed as one of the major ways to maintain the metabolism of cancer cells, including glioma cells, through protein degradation. Meanwhile, autophagy is also regarded as a kind of mechanism to protect glioma cells from a harmful stimulus, such as chemical and radiation treatment. So, the inhibition of autophagy may be very helpful in curing glioma. This study aimed to determine the effect of autophagic inhibition on glioma cells using tubacin, a specific inhibitor of histone deacetylase 6(HDAC6). According to the results, tubacin inhibited the growth of both U251 and LN229 cells, which was accompanied by lower HDAC6 activity and accumulated autophagosome. The inhibition of HDCA6 also led to accumulation of autophagosome and death of glioma cells. Moreover, the combined treatment of tubacin and temozolomide, an alkylating agent used to treat glioblastoma, induced more severe glioma cell death. Thus, it can be concluded that inhibition of HDAC6 suppressed growth and drug resistance of glioma cells in-vitro through autophagic suppression and blocking of fusion of autophagosome and lysosome. PMID- 29845123 TI - Highly-efficient and low-temperature perovskite solar cells by employing a Bi hole transport layer consisting of vanadium oxide and copper phthalocyanine. AB - In this article, an inorganic-organic bilayer hole transport layer (B-HTL) is designed and utilized in planar perovskite solar cells. Here the B-HTL consists of an inorganic VOx matrix and a copper phthalocyanine (CuPc) buffer layer, providing excellent resistance to moisture as well as the alignment of the interfacial energy level. Benefiting from this typical HTL, an enlarged built-in potential and charge extraction can be achieved in PSCs simultaneously. Correspondingly, a champion device with a B-HTL shows a 16.85% efficiency with negligible hysteresis, which is superior to that of a PSC based on a PEDOT:PSS HTL. Meanwhile, significantly prolonged stability of the PSC with the B-HTL can be observed, exhibiting only a 10% efficiency loss after 350 hours in ambient air. Moreover, such an entirely low-temperature (<=60 degrees C) fabrication process of this typical PSC exhibits its successful application in flexible devices. PMID- 29845124 TI - Catalytic enantioselective aldol reactions. AB - Recent developments in catalytic asymmetric aldol reactions have been summarized. Enantioselective aldol reactions are important methods to synthesize beta-hydroxy carbonyl compounds in optical pure form, and as such, numerous successful chiral catalysts were designed and applied for asymmetric aldol reactions. This review article is organized under the categories of: (1) catalytic enantioselective aldol reactions of preformed enolates, (2) catalytic enantioselective direct-type aldol reactions using chiral metal catalysts, (3) catalytic enantioselective direct-type aldol reactions using organocatalysts, (4) catalytic enantioselective aldol reactions in aqueous media. Examples of the aldol reactions that employ simple carbonyl compounds will be also the focus of this review. PMID- 29845125 TI - Time-dependent yield of the hydrated electron and the hydroxyl radical in D2O: a picosecond pulse radiolysis study. AB - Picosecond pulse radiolysis measurements were performed in neat D2O and H2O in order to study the isotopic effect on the time-resolved yield of the hydrated electron and hydroxyl radical. First, the absorption band of the hydrated electron in D2O, eD2O-, is measured between 250 and 1500 nm. The molar absorption coefficient of the solvated electron spectrum in D2O was determined using the isosbestic point method by scavenging the solvated electron using methyl viologen. The amplitude and shape of the absorption spectrum of the hydrated electron in D2O are different from those previously reported in the literature. The maximum of the hydrated electron in the D2O absorption band is ca. 704 nm with a molar absorption coefficient of (22 900 +/- 500) L mol-1 cm-1. Based on this extinction coefficient, the radiolytic yield of eD2O- just after the 7 ps electron pulse was determined to be (4.4 +/- 0.2) * 10-7 mol J-1, which coincides with the one for eH2O- in H2O. The time-dependent radiolytic yield of eD2O- was determined from a few ps to 8 ns. To determine the OD radical yield, the contribution of the solvated electron and of the transient species produced by the electron pulse in the windows of the fused silica optical cell was taken into account for the analysis of the transient absorption measurements at 260 nm. Therefore, an appropriate experimental methodology is used for measuring low absorbance at two different wavelengths in ps pulse radiolysis. The yield of the OD radical just after the 7 ps electron pulse was found to be (5.0 +/- 0.2) * 10 7 mol J-1. In the spurs of ionization, the decay rate of eD2O- is slower than eH2O-, whereas the decay rate of OD is similar to the one of OH. Here, the established time-dependent yield of the solvated electron and the hydroxyl radical provide the foundation for improving the models used for spur reaction simulations in heavy water mainly for the chemistry of CANDU reactors. PMID- 29845126 TI - Insight into the electronic and mechanical properties of novel TMCrSi ternary silicides from first-principles calculations. AB - Transition metal silicides (TMSis) are attractive advanced functional materials due to their low electronic resistivity, high melting-point, excellent mechanical properties and thermal stability. However, the overall performances of binary silicides are not satisfactory enough to meet the requirements of many commercial applications. To overcome this problem, utilizing ternary silicide is a good path to adjust the balance between the overall performances because metallic bond plays a key role in electronic properties. The TM-Si bond enhances the strength, while the alloying element (Cr) can effectively improve the oxidation and corrosion resistances. Therefore, we report the results of electronic, mechanical and thermodynamic properties of stable TMCrSi ternary silicides by using first principles calculations. First, we found that TMCrSi ternary silicides are dynamically stable based on the phonon dispersion curves. Second, the constructed ternary silicides exhibit better electronic properties because of the formation of TM-Cr metallic bond. Importantly, these ternary silicides not only show high strength, but also have better ductility. Additionally, the Debye temperature and heat capacity of TMCrSi ternary silicides are discussed. Finally, through our study, we propose that TMCrSi ternary silicides are promising functional materials with potential applications in aerospace, microelectronic and energy storage systems. PMID- 29845127 TI - Gd-DTPA-coupled Ag2Se quantum dots for dual-modality magnetic resonance imaging and fluorescence imaging in the second near-infrared window. AB - Near-infrared (NIR) fluorescent quantum dots (QDs) are ideal platforms to fabricate multifunctional contrast agents for multimodal imaging. Herein, second near-infrared window fluorescent (NIR-II) Ag2Se QDs were coupled with gadopentetate dimeglumine injection (Gd-DTPA) for dual-modality T1-weighted magnetic resonance (MR) imaging and fluorescence imaging. In vitro experiments suggested that the prepared Ag2Se-Gd QDs exhibit low cytotoxicity, remarkable T1 weighted MR imaging, and fluorescence imaging contrast properties. In vivo experiment results showed that Ag2Se-Gd QDs were the preferred contrast agents for dual-modality T1-weighted MR imaging and fluorescence imaging with high spatial resolution. Moreover, excellent temporal resolution and high tissue penetration depth were also achieved by fluorescence imaging. These results indicate the potential of Ag2Se-Gd QDs as multifunctional contrast agents for multimodal imaging in clinical diagnosis and research. PMID- 29845128 TI - Active fluids at circular boundaries: swim pressure and anomalous droplet ripening. AB - We investigate the swim pressure exerted by non-chiral and chiral active particles on convex or concave circular boundaries. Active particles are modeled as non-interacting and non-aligning self-propelled Brownian particles. The convex and concave circular boundaries are used to model a fixed inclusion immersed in an active bath and a cavity (or container) enclosing the active particles, respectively. We first present a detailed analysis of the role of convex versus concave boundary curvature and of the chirality of active particles in their spatial distribution, chirality-induced currents, and the swim pressure they exert on the bounding surfaces. The results will then be used to predict the mechanical equilibria of suspended fluid enclosures (generically referred to as 'droplets') in a bulk with active particles being present either inside the bulk fluid or within the suspended droplets. We show that, while droplets containing active particles behave in accordance with standard capillary paradigms when suspended in a normal bulk, those containing a normal fluid exhibit anomalous behaviors when suspended in an active bulk. In the latter case, the excess swim pressure results in non-monotonic dependence of the inside droplet pressure on the droplet radius; hence, revealing an anomalous regime of behavior beyond a threshold radius, in which the inside droplet pressure increases upon increasing the droplet size. Furthermore, for two interconnected droplets, mechanical equilibrium can occur also when the droplets have different sizes. We thus identify a regime of anomalous droplet ripening, where two unequal-sized droplets can reach a final state of equal size upon interconnection, in stark contrast with the standard Ostwald ripening phenomenon, implying shrinkage of the smaller droplet in favor of the larger one. PMID- 29845129 TI - Selective CO2 adsorption by a new metal-organic framework: synergy between open metal sites and a charged imidazolinium backbone. AB - Metal-organic frameworks (MOFs) are porous, tunable crystalline materials that are attracting widespread scientific attention for their potential use in post combustion CO2 capture. In this work, we report the synthesis of a new ligand, 1,3-bis(4-carboxyphenyl)-4,5-dihydro-1H-imidazol-3-ium tetrafluoroborate, H2Sp5 BF4, that is subsequently used for the construction of a novel MOF, Cu-Sp5-EtOH. This highly crystalline material has a charged framework that is expected to give rise to high CO2/N2 selectivity. However, the pores of the parent structure could not be accessed due to the presence of strongly coordinated ethanol molecules. After solvent exchange with methanol and subsequently heating Cu-Sp5-MeOH under vacuum, we are able to liberate the solvent providing other small molecules like CO2 access to the inside of the now porous structure, Cu-Sp5. The combination of open metal sites and framework charge leads to an exceptionally high CO2/N2 selectivity, as determined by Ideal Adsorbed Solution Theory (IAST) calculations performed on single-component adsorption isotherms. The CO2/N2 selectivity of Cu Sp5 reaches a value of over 200 at pressures typically found in post-combustion flue gas (0.15 bar CO2/0.85 bar N2), a value that is among the highest reported to date. PMID- 29845130 TI - Membrane potential and dynamics in a ternary lipid mixture: insights from molecular dynamics simulations. AB - Transmembrane potential (Vm) plays critical roles in cell signaling and other functions. However, the impact of Vm on the structure and dynamics of membrane lipids and proteins, which are critical for the regulation of signaling, is still an open question. All-atom molecular dynamics (MD) simulation is emerging as a useful technique to address this issue. Previous atomistic MD simulations of pure or binary model membranes indicated that both ion imbalance and electric field can be used to generate Vm, but both approaches failed to yield structural changes in lipids with statistical significance. We hypothesized that a possible reason for this could be oversimplified membrane composition or limited sampling. In this work, we tested if and how Vm modulates the structure and dynamics of lipids in a physiologically relevant model membrane. Using a detailed side-by side comparison, we first show that while both ion imbalance and electric field generate Vm in our complex membranes, only the latter could produce physiologically relevant Vm. We further show that double bonds in lipid acyl chains have a relatively large sensitivity to Vm. A single-bilayer model with an electric field showed the highest sensitivity in simulations under the isothermal isobaric (NPT) ensemble, reproducing expected responses of head-group dipoles to Vm and suggesting that this approach may be more suitable for studying the structural effects of Vm. Our findings also shed light on the relationship between the macroscopic Vm and its atomic-level underpinnings. PMID- 29845131 TI - Probing the structural, electronic and magnetic properties of AgnSc (n = 1-16) clusters. AB - The structural, electronic and magnetic properties of AgnSc (n = 1-16) clusters have been studied on the basis of density functional theory and the CALYPSO structure prediction method. The optimized geometry exhibits that the growth process of Sc-doped silver clusters have a periodic structural change. The Ag atom grows around a basically invariant cluster core in each growth cycle. The Sc atom has a tendency to occupy the most highly coordinated position in the ground state. The infrared spectra, Raman spectra and photoelectron spectra of AgnSc clusters are forecasted and can be used to identify the structures of these clusters from experiments. The global maxima of the dissociation energy, the averaged binding energy and the gap of the energy level occur at n = 15 for the most stable AgnSc clusters, implying that the Ag15Sc can be perceived as a superatom. The magnetism analysis indicates that the magnetic moment of the Sc atom in AgnSc clusters decreases with the increase of the cluster. The change of the magnetic moment is proportional to the charge transfer between the Sc and Ag atoms. PMID- 29845132 TI - 808 nm-light-excited upconversion nanoprobe based on LRET for the ratiometric detection of nitric oxide in living cancer cells. AB - NO (nitric oxide) has dual functions in cancer, promoting carcinogenesis in low concentrations and inducing tumor cell apoptosis at high concentrations. The dual edged-sword functions of NO make it particularly appealing to develop a sensitive and specific chemical probe for its detection. However, most NO sensors suffer from poor Stokes shifts and are limited by ultraviolet (UV) or visible light excitation, which render it difficult to avoid the intrinsic background signal. In this study, an 808 nm laser-excited Nd3+-sensitized upconversion nanoprobe based on LRET (luminescence resonance energy-transfer) for NO detection was constructed for the first time. This probe was composed of Nd3+-sensitized core shell upconversion nanoparticles (540 nm and 660 nm emission) as the energy donor and RhBs as the acceptor. In the presence of NO, RhBs was converted into Rhodamine B and its strong absorption subsequently quenched the 540 nm fluorescence of UCNPs, while the emission at 660 nm remained constant. The ratiometric detection of the fluorescence at 540 nm, as compared to 660 nm, can precisely respond to the difference in NO levels with a detection limit of 0.21 MUM. Importantly, compared with conventional UCNPs excited at 980 nm, the 808 nm light excitation led to lower water absorption and deeper tissue penetration, thus avoiding overheating and allowing for long-term biological imaging. This strategy has been perfectly applied to detecting the NO levels in living cells to differentiate the tumor cells from normal cells based on varied intracellular NO concentration. Further, the nanosystem realized the real-time monitoring of NO during treatment with NO donor drugs, which could inspire the future application of this probe to guide NO therapy. PMID- 29845133 TI - Chemical Leslie effect in Langmuir monolayers: a complete experimental characterization. AB - We propose a complete characterization of the chemical Leslie effect in a Langmuir monolayer of a chiral liquid crystal. To reach this goal, we developed new experimental techniques using an electric field and a humidifier to prepare large monodomains in which the molecules can freely rotate. We also designed six independent experiments to precisely measure the four material constants involved in the dynamics of the monolayer, namely the Leslie coefficient, the rotational viscosity, the curvature elasticity constant and the surface polarization. The relevance of the inverse Leslie effect is also discussed. PMID- 29845134 TI - A general strategy for the functionalization of two-dimensional metal chalcogenides. AB - Two-dimensional (2D) metal chalcogenides (MC) such as MoS2 have been recognized as promising materials for near future applications. However, general strategies to functionalize them are still scarce, while the nature of functionalization still remains unclear. Herein, we demonstrate a simple and universal functionalization route through complexation reaction between the amino containing organic agents and MCs. Degrees of functionalization are tunable by adjusting the organic group types and ratios. No further defects are introduced and the functionalized 2D MCs are dispersible in corresponding typical solvents. Both experimental results and geometry optimization calculations indicate that the grafting of functional groups through the coordination effect truly exist, while the surface properties and resulting photoelectric properties of 2D MCs are greatly altered. More intriguingly, our proposed functionalization process is demonstrated to be universal and can be applied to different MCs, thus opening new avenues for the application of 2D MCs. PMID- 29845135 TI - Spin crossover dynamics studies on the thermally activated molecular oxygen binding mechanism on a model copper complex. AB - The theoretical description of the primary dioxygen (O2) binding and activation step in many copper or iron enzymes, suffers from the intrinsically electronic non-adiabaticity of the spin flip events of the triplet dioxygen molecule (3O2), mediated by spin-orbit couplings. In this work, we presented the early-stage ultrafast spin flip dynamics of O2 binding for a simplified monocopper complex, involving the coupled singlet and triplet electronic states. The on-the-fly trajectory surface hopping (TSH) simulations have identified the dynamical effects that may influence the mode of O2 coordination (end-on vs. side-on), and the electronic structures can be viewed as complexes of molecular O2 with Cu(i) or as Cu(ii)-superoxide compounds. In addition, significant spin flip events are obversed within the sub-picosecond regime. We hope this work may provide complimentary insights on the traditional interpretation of O2 binding on copper complexes and subsequent catalytic reaction mechanisms. PMID- 29845136 TI - Dissipative assemblies that inhibit their deactivation. AB - Dissipative self-assembly is a process in which energy-consuming chemical reaction networks drive the assembly of molecules. Prominent examples from biology include the GTP-fueled microtubule and ATP-driven actin assembly. Pattern formation and oscillatory behavior are some of the unique properties of the emerging assemblies. While artificial counterparts exist, researchers have not observed such complex responses. One reason for the missing complexity is the lack of feedback mechanisms of the assemblies on their chemical reaction network. In this work, we describe the dissipative self-assembly of colloids that protect the hydrolysis of their building blocks. The mechanism of inhibition is generalized and explored for other building blocks. We show that we can tune the level of inhibition by the assemblies. Finally, we show that the robustness of the assemblies towards starvation is affected by the degree of inhibition. PMID- 29845138 TI - Defect mediated magnetic transitions in Fe and Mn doped MoS2. AB - We report single-phase syntheses of undoped 2H-MoS2 as well as Mn and Fe doped MoS2 by a facile hydrothermal route. The formation of the 2H-MoS2 phase was confirmed by XRD and was corroborated with Raman spectra. The morphology of the doped and undoped MoS2 nanostructures comprised sheets, as revealed by TEM and STEM images. The fine granular structure was observed by high resolution TEM micrographs. The STEM-EDS results show dopant concentrations of ~1 atom% corresponding to Mn and Fe in doped MoS2. The undoped MoS2 revealed diamagnetic behavior at room temperature and paramagnetic behavior in the range (100 to 300 K). The Mn-MoS2 sample displayed ferromagnetism below 20 K with a coercive field of ~50 Oe. Such a sample may be utilized for magnetic switching purposes at low temperatures. The onset of the antiferromagnetic interaction was observed below 145 K in Fe-MoS2 samples. They have been understood in terms of long-range magnetic interactions amongst the dipole moments mediated via surface defects as well as the interaction between the dipoles and the surface charges. The findings are corroborated with the help of EPR studies. PMID- 29845137 TI - Cetuximab and Taxol co-modified collagen scaffolds show combination effects for the repair of acute spinal cord injury. AB - Injury-activated endogenous neural stem cells (NSCs) in the spinal cord have promising therapeutic applications for rebuilding the neuronal relays after spinal cord injury (SCI) because of their lack of immune-rejection following exogenous cell transplantation. However, these NSCs rarely differentiate into neurons and the damaged axonal regenerative ability is drastically reduced due to the adverse SCI microenvironment. Cetuximab, an EGFR signaling antagonist, has demonstrated the ability of promoting NSC differentiation into neurons. Taxol, in addition to stabilizing microtubules, has shown potential for enhancing axonal regeneration and reducing scar formation after SCI. In this study, we further verified the combined therapeutic effects of Cetuximab and Taxol on inhibition of scar deposition and promotion of neuronal differentiation, axonal outgrowth and functional recovery in a rat severe SCI model. A linear orderly collagen scaffold modified with Cetuximab and Taxol was grafted into the SCI site after the complete removal of 4 mm of spinal tissue. The results showed that the combined functional scaffold implantation significantly increased neural regeneration to reconnect the neural network. Moreover, scaffold transplantation decreases the deposition of varied scar-related inhibitors within the lesion center, further reflecting the need for a combination dedicated to increasing motor function following SCI. Collagen scaffold based-combined therapy provides a potential strategy for improving functional restoration of the injured spinal cord. PMID- 29845139 TI - Field dependence of the ferromagnetic/superconducting proximity effect in a YBCO/STO/LCMO multilayer. AB - The interaction between superconductivity and magnetism in spatially confined heterostructures of thin film multilayers is investigated in the ferromagnetic manganite La2/3Ca1/3MnO3 (LCMO) and the high-temperature superconductor YBa2Cu3O7 delta (YBCO) mediated by an intermediate insulating SrTiO3 (STO) layer. The STO layer is used to mediate and tune the range of interactions between the ferromagnet and superconductor. A magnetically depleted layer with zero magnetisation within the LCMO layer is shown by polarised neutron reflectometry measurements. This zero-magnetisation layer is caused by the onset of superconductivity in YBCO despite being separated by an insulating layer with a thickness much larger than the superconducting coherence length. The magnetic field dependence of this interaction is also explored. We show that the magnetism of the depleted layer can be restored by applying a magnetic field that partially destroys the superconductivity in YBCO, restricting the electronic interaction between the materials. PMID- 29845140 TI - Controllable oligomerization: defying step-growth kinetics in the polymerization of gold nanoparticles. AB - Random aggregation of nanoparticles typically leads to step-growth kinetics and thus a low concentration of dimers. Here, we report a one-step method to produce gold nanoparticle dimers by exploiting a polystyrene-block-poly (acrylic acid) shell. Methods to fine-tune the surface charge repulsion and swelling allow us to control the extent of aggregation, stopping selectively at dimers. PMID- 29845141 TI - Competition between salt bridge and non-zwitterionic structures in deprotonated amino acid dimers. AB - Structures of deprotonated Cys, Asp, Glu, Phe, Pro, His homo dimers as well as [2Cys - 3H]-, [Asp + Glu - H]- and [2Glu - 2H + Na]- are investigated with infrared multiple-photon dissociation (IRMPD) spectroscopy between 650 and 1850 cm-1 and theory. The IRMPD spectra of all investigated complexes but [2His - H]-, [2Phe - H]- and [2Pro - H]- indicate that the structures consist of a neutral non zwitterionic (NZ) and a deprotonated form of the amino acids. In contrast, the spectrum of [2His - H]- is complex and indicates the presence of multiple isomers and/or interactions between His and [His - H]-, so that its structure differs from that of the other deprotonated amino acid dimers. For [2Phe - H]- and especially for [2Pro - H]-, some IRMPD bands can only be explained by the presence of salt bridge (SB) structures in the dimer in which a deprotonated amino acid interacts with a zwitterionic neutral amino acid. Computational results indicate that SB structures are lower in energy at 298 K than corresponding NZ structures for neutral-anion complexes in which SB formation is not disrupted by amino acid side chains or conformational constraints, such as in [2Glu - H]- and [2Cys - 3H]- for which NZ structures are most consistent with experimental results. For deprotonated amino acid dimers in which these interfering interactions are absent, such as in [2Phe - H]- and [2Pro - H]-, the higher number of hydrogen bonds in SB compared to NZ structures stabilize the formation of zwitterionic neutral amino acids and consequently SB structures in agreement with results from IRMPD spectroscopy. These results suggest that SB structures likely occur in deprotonated peptide or protein ions at hydrophobic sites, such as protein-protein interfaces or in the interior of proteins, where interfering functional groups will not disrupt SB formation. PMID- 29845142 TI - Uniquely integrated Fe-doped Ni(OH)2 nanosheets for highly efficient oxygen and hydrogen evolution reactions. AB - Developing high-efficiency electrocatalysts for both oxygen evolution reaction (OER) and hydrogen evolution reaction (HER) is vital for the production of hydrogen on a large scale by electrocatalytic splitting of water. Herein, Fe doped Ni(OH)2 nanosheets directly grown on commercial Ni foam (FeNiOH/NF) were fabricated through a facile hydrothermal method in (NH4)2S2O8 aqueous solution containing iron salts. The integrated architecture with hierarchical pores is beneficial for exposing sufficient catalytically active sites and providing evaluated structural and electrical properties. In particular, the Fe-induced partial-charge-transfer greatly modifies the electronic structure of Ni(OH)2, which evidently promotes the electrocatalytic activity of the as-fabricated FeNiOH/NF for OER and HER. Thus, as an electrocatalyst for OER, FeNiOH/NF exhibits excellent activity with overpotentials of 271 and 318 mV to deliver current densities of 20 and 100 mA cm-2, respectively, with a small Tafel slope of 72 mV dec-1 in 1.0 M KOH, demonstrating the very high level of novelty and sufficient improvement over the current state-of-the-art IrO2 electrocatalyst. Most importantly, there is an increase in overpotential by only 23 mV during continuous reaction for over 20 h at an applied potential of 1.62 V to deliver current density of 500 mA cm-2. The as-fabricated electrocatalyst also enables high HER activity with robust stability. Finally, an overall water splitting current density of 10 mA cm-2 can be obtained at a cell voltage of 1.67 V in a two-electrode alkaline electrolyzer using FeNiOH/NF as both anode and cathode, along with impressive operation stability. This development with significant over the state-of-the-art IrO2 electrocatalyst can be widely extended to large-scale fabrication of versatile electrocatalysts for efficient water splitting technology. PMID- 29845143 TI - Two-dimensional GeAsSe with high and unidirectional conductivity. AB - Prompted by the recent passion for researching two-dimensional materials, we investigate again the long-forgotten layered semiconductor material GeAsSe. A small cleavage energy (0.18 J m-2) and high thermal stability (1300 K) in monolayer structures were proved by employing density functional theory calculations. Additionally, the unusual electronic transport behaviors in GeAsSe make it more valuable for research. Our investigation proves unidirectional electronic transportation in GeAsSe. At room temperature (300 K), the transport ability of monolayer GeAsSe in the y direction is about 44 times larger than that in the x direction. Furthermore, through layer stacking, the conductivity of bilayer GeAsSe is improved to 192 cm2 V-1 s-1 in the y direction which is 200 times larger than that in the x direction (0.96 cm2 V-1 s-1), implying unidirectional conductivity. This work suggests that two-dimensional GeAsSe is a promising material for nano-electronic devices. PMID- 29845144 TI - Continuous tuneable droplet ejection via pulsed surface acoustic wave jetting. AB - We report a miniaturised platform for continuous production of single or multiple liquid droplets with diameters between 60 and 500 MUm by interfacing a capillary driven self-replenishing liquid feed with pulsed excitation of focussed surface acoustic waves (SAWs). The orifice-free operation circumvents the disadvantages of conventional jetting systems, which are often prone to clogging that eventuates in rapid degradation of the operational performance. Additionally, we show the possibility for flexibly tuning the ejected droplet size through the pulse width duration, thus avoiding the need for a separate device for every different droplet size required, as is the case for systems in which the droplet size is set by nozzles and orifices, as well as preceding ultrasonic jetting platforms where the droplet size is controlled by the operating frequency. Further, we demonstrate that cells can be jetted and hence printed onto substrates with control over the cell density within the droplets down to single cells. Given that the jetting does not lead to significant loss to the cell's viability or ability to proliferate, we envisage that this versatile jetting method can potentially be exploited with further development for cell encapsulation, dispensing and 3D bioprinting applications. PMID- 29845146 TI - Exceptional photoconductivity of poly(3-hexylthiophene) fibers through in situ encapsulation of molybdenum disulfide quantum dots. AB - Photo-responsive, electrically conductive nanostructures are highly desirable for wide-ranging applications in energy harvesting, nanophotonic and optoelectronic devices. To this end, we realize self-assembled, photoconductive hybrids of poly(3-hexylthiophene) (P3HT) micro- and nano-fibers integrated with MoS2 quantum dots (QDs). We present an innovative strategy to impregnate QDs within the walls of the P3HT fibers resulting in the emergence of the controllable photoconductivity of the QD-P3HT hybrid. The maximum photoconductivity (>80% higher than pristine P3HT) is observed at 360 nm and originates from a synergistic combination of (a) defect healing and quenching of surface trap states in QDs by P3HT and (b) efficient generation and transfer of photo-excited charges from P3HT to QDs. This mechanism is substantiated by a concomitant decrease in the excited-state lifetime of the QD-P3HT hybrid. Furthermore, a linear correlation between the enhancement in the emission of QDs and the emission quenching of P3HT supports the proposed mechanism of excited-state charge transfer. Finally, the hybrid of MoS2 nanosheets (NS) with P3HT fibers (NS P3HT) does not exhibit any photo-conductivity and instead exhibits ground state charge transfer, underlying the critical role of quantum confinement effects operating in the QD-P3HT hybrid. Thus, we demonstrate a synergistic, self assembled QD-P3HT hybrid exhibiting optically controllable electrical conductivity in the solid state as novel functional materials for optoelectronic applications. PMID- 29845145 TI - Use of porous membranes in tissue barrier and co-culture models. AB - Porous membranes enable the partitioning of cellular microenvironments in vitro, while still allowing physical and biochemical crosstalk between cells, a feature that is often necessary for recapitulating physiological functions. This article provides an overview of the different membranes used in tissue barrier and cellular co-culture models with a focus on experimental design and control of these systems. Specifically, we discuss how the structural, mechanical, chemical, and even the optical and transport properties of different membranes bestow specific advantages and disadvantages through the context of physiological relevance. This review also explores how membrane pore properties affect perfusion and solute permeability by developing an analytical framework to guide the design and use of tissue barrier or co-culture models. Ultimately, this review offers insight into the important aspects one must consider when using porous membranes in tissue barrier and lab-on-a-chip applications. PMID- 29845147 TI - Dietary fatty acid composition impacts plasma fatty acid ethanolamide levels and body composition in golden Syrian hamsters. AB - Fatty acid ethanolamides (FAEs) are a class of lipid amides that regulate numerous pathophysiological functions. To date, pharmacological research in this area has focused on the endocannabinoid system, metabolic pathways, and biological significance of FAEs; however, limited nutritional studies have been conducted to understand the actions of FAEs on food intake and their role on overall body composition. Therefore, the present study was designed with the hypothesis that high C18:1n9 will attenuate food consumption in golden Syrian male hamsters (n = 105). Moreover, the long-term (two months) effects of feeding hamsters various dietary oil blends, namely, C+S, 25:75 corn oil:n9 safflower oil; F+S, 25:75 flaxseed oil:n6 safflower oil; H+DHA, 85:15 high oleic canola oil:docosahexaenoic acid; H+EPA, 85:15 high oleic canola oil:eicosapentaenoic acid; HOCO, high oleic canola oil; OO, olive oil; and RC, regular canola oil, on the plasma levels of seven different FAEs and fatty acids (FAs) composition were investigated. A further objective was to characterize the actions of these diets on energy expenditure and overall body composition to determine if dietary fatty acid (DFA) composition affects diet-induced obesity (DIO). The results show that DFA directly influenced plasma FA and FAE levels, with marked increases (p < 0.05) observed in plasma C18:1n9 levels after HOCO and OO treatments. Correspondingly, the most elevated plasma oleoylethanolamide (OEA) levels were observed with HOCO and OO treatments, which also decreased (p < 0.05) food intake by ~8% when compared with H+EPA dietary treatment when measured at the endpoint. Diminished food intake subsequent to HOCO and OO feeding may have resulted from increased OEA concentrations, demonstrating the anorexic properties of the high C18:1n9 dietary components. No differences were observed across OO, HOCO, and HOCO diets with omega-3 FA blends in terms of body composition, energy expenditure, plasma C18:1n9 levels, or OEA concentrations. Based on these findings, we conclude that the addition of HOCO to diets aids in the reduction of food intake, which may contribute to the maintenance of healthy body weight. PMID- 29845148 TI - Syntheses, crystal structures, adsorption properties and visible photocatalytic activities of highly stable Pb-based coordination polymers constructed by 2-(2 carboxyphenyl)imidazo(4,5-f)-(1,10)phenanthroline and bridging linkers. AB - Five highly stable coordination polymers assembled by 2-(2 carboxyphenyl)imidazo(4,5-f)-(1,10)phenanthroline (2-HNCP) and different aromatic carboxylic acid ligands, namely, [Pb(2-NCP)(L1)]n (1), [Pb2(2-NCP)2(L2)]n.2nH2O (2), [Pb2(2-NCP)2(L2)]n (3), [Pb(2-NCP)(L3)0.5]n (4) and [Pb2(2-NCP)2(L4)]n (5), where HL1 = pyridine-4-carboxylic acid, H2L2 = 2-amino-1,4-benzenedicarboxylic acid, H2L3 = 1,4-benzenedicarboxylic acid and H2L4 = 2-hydroxy-1,4 benzenedicarboxylic acid, have been synthesized under hydrothermal conditions. Their structures have been determined by single crystal X-ray diffraction analyses and further characterized by elemental analyses and infrared spectroscopy. In 1, adjacent ladder-like chains are extended into a three dimensional (3D) supramolecular architecture by pi-pi interactions. In 2, the neighboring layers are interconnected by pi-pi interactions to afford a 3D supramolecular architecture. 3-5 exhibit similar 3D frameworks with a Schlafli symbol of 412.63 topologies. The different auxiliary ligands and the pH value of the reaction system were discussed in regard to the formation of different structures. In addition, these five complexes present high thermal stabilities, the preferential adsorption of CO2 over N2 and excellent photocatalytic activities for dye degradation under visible light irradiation. PMID- 29845149 TI - Insight into the effect of intercalated alkaline cations of layered manganese oxides on the oxygen reduction reaction and oxygen evolution reaction. AB - The effect of the intercalated alkaline cations between the adjacent layers of multilayered manganese oxide (MnOx) towards the oxygen reduction reaction (ORR) and oxygen evolution reaction (OER) was investigated. Li-MnOx, Na-MnOx, K-MnOx, Rb-MnOx, and Cs-MnOx provide OER overpotentials of 1.64, 1.70, 1.79, 1.83, and 1.84 V vs. RHE, respectively as well as ORR overpotentials of 0.71, 1.06, 1.13, 1.15, and 1.14 V vs. RHE, respectively. Li-MnOx shows the highest bifunctional catalytic activity towards both the ORR and OER. In addition, the Gibbs free energy change of *OH adsorption is found to be the largest throughout the reaction pathways determining the rate of the whole ORR and OER. PMID- 29845150 TI - A hierarchical flower-like hollow alumina supported bimetallic AuPd nanoparticle catalyst for enhanced solvent-free ethylbenzene oxidation. AB - Currently, oxidation of alkylaromatics is considered as one of the most crucial chemical technologies to produce high added-value alcohols, ketones and carboxylic acids, due to its significant importance both in fine synthetic chemistry and in the academic field. In this work, a novel hierarchical marigold like hollow alumina supported bimetallic AuPd nanoparticle catalyst was successfully fabricated and employed for highly efficient solvent-free ethylbenzene oxidation to produce acetophenone with the coexistence of both molecular oxygen and tert-butyl hydroperoxide as the oxidant and the initiator. The as-fabricated bimetallic AuPd nanocatalyst conferred a superior catalytic performance to the corresponding monometallic counterparts and commercial Al2O3 or solid Al2O3 microsphere supported AuPd ones, along with a high acetophenone selectivity of 88.2% at a conversion of 50.9% under mild reaction conditions (120 degrees C and oxygen pressure of 1.0 MPa), as well as an unprecedentedly high turnover frequency value of 46 768 h-1. Such exceptional efficiency of the catalyst was related to both the significant synergy between the Au-Pd atoms and strong metal-support interactions, and the unique hierarchical micro/nanostructure of the support being beneficial to the close contact of reactants with surface adsorption and reaction sites and easy product diffusion. Moreover, the present bimetallic AuPd catalyst was recyclable and stable. The developed approach is expected to offer exciting opportunities for designing other supported monometallic or bimetallic catalysts with various active components applied in heterogeneous catalysis. PMID- 29845151 TI - The influence of acceptor and donor doping on the protonic surface conduction of TiO2. AB - The transport of protonic charge carriers along and within the pore surfaces of porous oxide matrices is of significant importance for many catalytic and electrochemical applications, with porous TiO2 being a candidate material both for photocatalytic applications and as an electronically conducting support for polymer-based electrochemical cells. This work investigates the effect of acceptor (Cr and Fe) and donor (Nb) doping on protonic surface conduction in porous TiO2 over a wide range of relative humidity, temperature and oxygen activity. Generally, we find that acceptor dopants on the surface counteract dissociation and reduce the mobility of protons, while donor dopants give rise to enhanced dissociation making protonic surface conduction the highest for donor doped samples, contrary to conventional bulk proton conductors. Moreover, protonic surface conduction in Cr-doped TiO2 is significantly higher under oxidising conditions compared to reducing conditions, which we relate to the presence of a higher valent species such as Cr6+ on the surface under oxidising conditions, again emphasising that protonic surface conduction increases with higher-valent (donor) and more acidic cations present on the surface. PMID- 29845152 TI - Polyoxometalate LUMO engineering: a strategy for visible-light-responsive aerobic oxygenation photocatalysts. AB - We report the efficient visible-light-responsive photocatalysis of polyoxometalates (POMs) by engineering the lowest unoccupied molecular orbitals (LUMOs). By the introduction of vanadium atoms into the gamma-Keggin-type phosphotungstate, a new V3d/W5d mixed LUMO appeared to afford a visible-light responsive catalyst (I), which showed high photocatalytic activity for aerobic oxygenation of sulfides to sulfoxides. PMID- 29845153 TI - Combining a pyclen framework with conjugated antenna for the design of europium and samarium luminescent bioprobes. AB - The first pyclen based ligand bearing two picolinate intra-ligand charge transfer transition antennae and one acetate arm organized in a dissymmetric manner was synthesized for Eu(iii) and Sm(iii) complexation. The europium complex presents an excellent brightness and biphotonic imaging of T24-cells has been performed using Eu(iii) and the less common Sm(iii) bioprobes. PMID- 29845154 TI - Reconstitution of full-length P450BM3 with an artificial metal complex by utilising the transpeptidase Sortase A. AB - Haem substitution is an effective approach to tweak the function of haemoproteins. Herein, we report a facile haem substitution method for self sufficient cytochrome P450BM3 (CYP102A1) from Bacillus megaterium utilising the transpeptidase Sortase A from Staphylococcus aureus. We successfully constructed Mn-substituted BM3 and investigated its catalytic activity. PMID- 29845155 TI - Formation and origin of multicenter photoluminescence in zeolite-based carbogenic nanodots. AB - Carbogenic nanodots (CNDs) are inspiring intensive research efforts owing to their excellent optical properties; however, their chemical structures and photoluminescent origins are still under study. Herein, CNDs with interesting multicenter photoluminescence (PL) have been successfully prepared by pyrolysis of organo-templated zeolites. The simultaneously observed excitation-dependent blue and excitation-independent green PL emissions as well as an uncommon ultraviolet-excited cyan emission are quite different from those of the known multicenter emissive CNDs. To get a thorough understanding of the formation of these CNDs and their PL origins, structural characterizations coupled with femtosecond transient absorption and fluorescence lifetime spectra analyses have been employed to study such PL behavior. The results show that the as-prepared CNDs consist of three main batches with different polarities, and they are composed of a combination of six small fluorophores with diverse ratios. The multicenter PL is obtained due to competition between the conjugated domain fluorophores and the surface-occupied functional group fluorophores. This study provides a comprehensive insight into the origin of multicenter photoluminescence in zeolite-based CNDs. PMID- 29845156 TI - Electronic structure manipulation of graphene dots for effective hydrogen evolution from photocatalytic water decomposition. AB - This paper presents a heteroatom doping strategy to manipulate the structure of graphene-based photocatalysts for effective hydrogen production from aqueous solution. Oxygenation of graphene creates a bandgap to produce semiconducting graphene oxide, nitrogen doping extends the resonant pi-conjugation to prolong the charge lifetime, and sulfur doping breaks the electron neutrality to facilitate charge transfer. Accordingly, ammonia-treated sulfur-nitrogen-co-doped graphene oxide dots (A-SNGODs) are synthesized by annealing graphene oxide sheets in sulfur-ammonia, oxidizing the sheets into dots, and then hydrothermally treating the dots in ammonia. The A-SNGODs exhibit a high nitrogen content in terms of quaternary and amide groups that are formed through sulfur-mediated reactions. The peripheral amide facilitates orbital conjugations to enhance the photocatalytic activity, whereas the quaternary nitrogen patches vacancy defects to improve stability. The simultaneous presence of electron-withdrawing S and electron-donating N atoms in the A-SNGODs facilitates charge separation and results in reactive electrons. When suspended in an aqueous triethanolamine solution, Pt-deposited A-SNGODs demonstrate a hydrogen-evolution quantum yield of 29% under monochromatic 420 nm irradiation. The A-SNGODs exhibit little activity decay under 6-day visible-light irradiation. This study demonstrates the excellence of the heteroatom-doping strategy in producing stable and active graphene-based materials for photoenergy conversion. PMID- 29845157 TI - Selective counting and sizing of single virus particles using fluorescent aptamer based nanoparticle tracking analysis. AB - Detection and counting of single virus particles in liquid samples are largely limited to narrow size distribution of viruses and purified formulations. To address these limitations, here we propose a calibration-free method that enables concurrently the selective recognition, counting and sizing of virus particles as demonstrated through the detection of human respiratory syncytial virus (RSV), an enveloped virus with a broad size distribution, in throat swab samples. RSV viruses were selectively labeled through their attachment glycoproteins (G) with fluorescent aptamers, which further enabled their identification, sizing and counting at the single particle level by fluorescent nanoparticle tracking analysis. The proposed approach seems to be generally applicable to virus detection and quantification. Moreover, it could be successfully applied to detect single RSV particles in swab samples of diagnostic relevance. Since the selective recognition is associated with the sizing of each detected particle, this method enables to discriminate viral elements linked to the virus as well as various virus forms and associations. PMID- 29845158 TI - Carbon coated core-shell multifunctional fluorescent SPIONs. AB - Due to their unique magnetic properties, multiple surface functionality and biocompatibility, superparamagnetic iron oxide nanoparticles (SPIONs) show very promising characteristics as magnetic resonance (MR) contrast agents in biomedical applications. However, a lack of fluorescence makes SPIONs inappropriate for multimodal bioimaging. SPIONs surface functionalized by either organic fluorescent molecules or semiconductor quantum dots (QDs) have been reported as bioimaging probes but subsequent deterioration of the fluorescent dyes due to low photostability and quick photobleaching limits their long term practical application. In addition, QDs are found to be toxic in nature. Here, we present a novel one step method to synthesize non-toxic carbon coated highly photostable core-shell magnetic and fluorescent SPIONs with long-lasting fluorescence alongside a superior magnetic resonance (MR) imaging ability. Apart from the highly comparable superparamagnetic properties of the SPIONs, the optical response of the material is much better than commonly used Rhodamine or cyanine dyes. PMID- 29845159 TI - Flexible hemispheric microarrays of highly pressure-sensitive sensors based on breath figure method. AB - Recently, flexible pressure sensors featuring high sensitivity, broad sensing range and real-time detection have aroused great attention owing to their crucial role in the development of artificial intelligent devices and healthcare systems. Herein, highly sensitive pressure sensors based on hemisphere-microarray flexible substrates are fabricated via inversely templating honeycomb structures deriving from a facile and static breath figure process. The interlocked and subtle microstructures greatly improve the sensing characteristics and compressibility of the as-prepared pressure sensor, endowing it a sensitivity as high as 196 kPa 1 and a wide pressure sensing range (0-100 kPa), as well as other superior performance, including a lower detection limit of 0.5 Pa, fast response time (<26 ms) and high reversibility (>10 000 cycles). Based on the outstanding sensing performance, the potential capability of our pressure sensor in capturing physiological information and recognizing speech signals has been demonstrated, indicating promising application in wearable and intelligent electronics. PMID- 29845160 TI - Cluster structures influenced by interaction with a surface. AB - Clusters on surfaces are vitally important for nanotechnological applications. Clearly, cluster-surface interactions heavily influence the preferred cluster structures, compared to clusters in vacuum. Nevertheless, systematic explorations and an in-depth understanding of these interactions and how they determine the cluster structures are still lacking. Here we present an extension of our well established non-deterministic global optimization package OGOLEM from isolated clusters to clusters on surfaces. Applying this approach to intentionally simple Lennard-Jones test systems, we produce a first systematic exploration that relates changes in cluster-surface interactions to resulting changes in adsorbed cluster structures. PMID- 29845161 TI - Network-like arrangement of mixed-valence uranium oxide nanoparticles after glutathione-induced reduction of uranium(vi). AB - Glutathione (GSH), a ubiquitous intracellular reducing tripeptide, is able to reduce hexavalent uranium, U(vi), to its tetravalent form, U(iv), in aqueous media in vitro, inducing the formation of nanocrystalline mixed-valence uranium oxide particles. After the initial reduction to U(v) and subsequent dismutation, the yielded U(iv) rapidly hydrolyses under near-neutral conditions forming 2-5 nm sized nanoparticles. The latter further aggregate to 20-40 nm chain-like building blocks that finally arrange as network-like structures. PMID- 29845162 TI - A critical assessment of force field accuracy against NMR data for cyclic peptides containing beta-amino acids. AB - Hybrid cyclic alpha/beta-peptides, in which one or more beta-amino acids are incorporated into the backbone, are gaining increasing interest as potential therapeutics, thanks to their ability to achieve enhanced binding affinities for a biological target through pre-organization in solution. The in silico prediction of their three dimensional structure through strategies such as MD simulations would substantially advance the rational design process. However, whether the molecular mechanics force fields are accurate in sampling highly constrained cyclopeptides containing beta-amino acids remains to be verified. Here, we present a systematic assessment of the ability of 8 widely used force fields to reproduce 79 NMR observables (including chemical shifts and 3J scalar couplings) on five cyclic alpha/beta-peptides that contain the integrin recognition motif isoDGR. Most of the investigated force fields, which include force fields from AMBER, OPLS, CHARMM and GROMOS families, display very good agreement with experimental 3J(HN,Halpha), suggesting that MD simulations could be an appropriate tool in the rational design of therapeutic cyclic alpha peptides. However, for NMR observables directly related to beta-amino acids, we observed a poor agreement with experiments and a remarkable dependence of our evaluation on the choice of Karplus parameters. The force field weaknesses herein unveiled might constitute a source of inspiration for further force field optimization. PMID- 29845163 TI - Heterojunctions of silver-iron oxide on graphene for laser-coupled oxygen reduction reactions. AB - We report a two-step hybridization of N-doped graphene and Ag-decorated Fe2O3 hematite to realize a balanced oxygen adsorption/desorption equilibrium and a laser-coupled ORR (LORR). The stable plateau currents with n values of 3.9 in a wide potential range (0.2-0.7 V) and 7.5% peroxide inhibition of the LORR are found to be directly associated with the Ag/Fe2O3 heterojunction, where interactions of semiconductor band gap excitation and plasmonic resonance-induced hot electrons are proposed to occur. PMID- 29845164 TI - Gold-catalyzed [5+2] cycloaddition of quinolinium zwitterions and allenamides as an efficient route to fused 1,4-diazepines. AB - Herein, we demonstrate a new catalytic cycloaddition of quinolinium zwitterions involving a gold-bound allylic cation intermediate. This ligand-free higher-order cycloaddition efficiently affords a variety of fused 1,4-diazepine derivatives in a stereospecific manner at room temperature. PMID- 29845166 TI - Enhancement of the spin polarization of an Fe3O4(100) surface by nitric oxide adsorption. AB - The geometric, electronic and magnetic properties of a nitric oxide (NO) adsorbed Fe3O4(100) surface have been investigated using density functional theory (DFT) calculations. NO molecules preferentially bond with surface Fe(B) atoms via their N atoms. The generalized gradient approximation (GGA) is not recommended to be used in such a strongly correlated system since it provides not only an overestimation of the adsorption energy and an underestimation of the Fe(B)-N bond length, but also magnetic quenching of the adsorbate and the bonded Fe(B) atoms. In contrast, a tilted geometry and magnetization of the adsorbate and the bonded Fe(B) atom are obtained after including the strong on-site Coulomb interactions through a Hubbard term (GGA+U). The spin-down 2pi* states of the NO molecule are filled and broadened due to the adsorbate-substrate interaction and the molecule-molecule interaction. The surface spin polarization close to the Fermi level is expected to be greatly enhanced by the NO adsorption which has significance for interface design in spintronic devices. PMID- 29845165 TI - An acid-compatible co-polymer for the solubilization of membranes and proteins into lipid bilayer-containing nanoparticles. AB - The fundamental importance of membrane proteins in drug discovery has meant that membrane mimetic systems for studying membrane proteins are of increasing interest. One such system has been the amphipathic, negatively charged poly(styrene-co-maleic acid) (SMA) polymer to form "SMA Lipid Particles" (SMALPs) which have been widely adopted to solubilize membrane proteins directly from the cell membrane. However, SMALPs are only soluble under basic conditions and precipitate in the presence of divalent cations required for many downstream applications. Here, we show that the positively charged poly(styrene-co maleimide) (SMI) forms similar nanoparticles with comparable efficiency to SMA, whilst remaining functional at acidic pH and compatible with high concentrations of divalent cations. We have performed a detailed characterization of the performance of SMI that enables a direct comparison with similar data published for SMA. We also demonstrate that SMI is capable of extracting proteins directly from the cell membrane and can solubilize functional human G-protein coupled receptors (GPCRs) expressed in cultured HEK 293T cells. "SMILPs" thus provide an alternative membrane solubilization method that successfully overcomes some of the limitations of the SMALP method. PMID- 29845167 TI - Crystallographic and spectroscopic evidence for intrinsic distortion in the disordered crystal beta-NaGdF4. AB - beta-NaREF4 (RE: rare earth metals) is a peculiar crystal due to its intriguing disordered structure. This crystal is usually considered to have an average structure with a space group of P-6 (174). However, a long-term contradiction existing in this system is that the luminescence characteristics do not match the corresponding theoretical predictions based on the average structure. To resolve this contradiction, we proposed a reasonable local structure model clearly showing the local symmetry of the cations based on the measurement of the extended X-ray absorption fine structure of beta-NaGdF4. We also observed an intrinsic distortion in the disordered structure that resulted from the disordered arrangement of the Na+ and Gd3+ cations. Furthermore, using Eu3+ as a photoluminescence probe, we concluded that the breakdown in the crystallographic site symmetry originated from the intrinsic distortion of these crystals. This work provides a comprehensive explanation for the contradiction observed in this system and a foundation for further investigations to understand such disordered structures. PMID- 29845168 TI - Flexible, transparent and highly sensitive SERS substrates with cross-nanoporous structures for fast on-site detection. AB - A flexible and transparent film assembled from the cross-nanoporous structures of Au on PET (CNS of Au@PET) is developed as a versatile and effective SERS substrate for rapid, on-site trace analysis with high sensitivity. The fabrication of the CNS of Au can be achieved on a large scale at low cost by employing an etching process with super-aligned carbon nanotubes as a mask, followed by metal deposition. A strongly enhanced Raman signal with good uniformity can be obtained, which is attributed to the excitation of "hot spots" around the metal nanogaps and sharp edges. Using the CNS of Au@PET film as a SERS platform, real-time and on-site SERS detection of the food contaminant crystal violet (CV) is achieved, with a detection limit of CV solution on a tomato skin of 10-7 M. Owing to its ability to efficiently extract trace analytes, the resulting substrate also achieves detection of 4-ATP contaminants and thiram pesticides by swabbing the skin of an apple. A SERS detection signal for 4-ATP has a relative standard deviation of less than 10%, revealing the excellent reproducibility of the substrate. The flexible, transparent and highly sensitive substrates fabricated using this simple and cost-effective strategy are promising for practical application in rapid, on-site SERS-based detection. PMID- 29845169 TI - Size-tunable CsPbBr3 perovskite ring arrays for lasing. AB - Morphology engineering is a decisive factor for the optoelectronic properties of nanocrystals. Differing from morphologies with a solid interior, ring-like structures have a unique internal space which is not only available for loading chemicals, but also useful for controlling the field distribution. Herein, the perovskite array family welcomes a new member - CsPbBr3 ring arrays. This work solves several fundamental problems for fabricating CsPbBr3 ring arrays: (i) developing a simple method using 2D colloidal crystal templates to achieve ring arrays of CsPbBr3, (ii) finding two ways, say changing the template size or annealing of the template, to accurately tune the ring size of the array in a wide range from 2.6 MUm to 16.9 MUm, and (iii) investigating the dynamics of perovskite rings, which indicates a shrinking process towards the template spheres before the crystallization of the perovskites. Finally, the application of CsPbBr3 perovskite ring arrays to the field of lasers is shown. PMID- 29845170 TI - Local symmetry breaking in SnO2 nanocrystals with cobalt doping and its effect on optical properties. AB - X-ray photoemission spectroscopy (XPS), X-ray diffraction (XRD) and transmission electron microscopy (TEM) have been used to study the structural and morphological characteristics of cobalt doped tin(iv) oxide (Sn1-xCoxO2; 0 <= x <= 0.04) nanocrystals synthesized by a chemical co-precipitation technique. Electronic structure analysis using X-ray photoemission spectroscopy (XPS) shows the formation of tin interstitials (Sni) and reduction of oxygen vacancies (VO) in the host lattice on Co doping and that the doped Co exists in mixed valence states of +2 and +3. Using XRD, the preferential position of the Sni and doped Co in the unit cell of the nanocrystals have been estimated. Rietveld refinement of XRD data shows that samples are of single phase and variation of lattice constants follows Vegard's law. XRD and TEM measurements show that the crystallite size of the nanocrystals decrease with increase in Co doping concentration. SAED patterns confirm the monocrystalline nature of the samples. The study of the lattice dynamics using Raman spectroscopy and Fourier transform infrared (FTIR) spectroscopy shows the existence of many disorder activated forbidden optical phonon modes, along with the corresponding classical modes, signifying Co induced local symmetry breaking in the nanocrystals. UV-Vis spectroscopy shows that the optical band gap has red shifted with increase in doping concentration. The study of Urbach energy confirms the increase in disorder in the nanocrystals with Co doping. Local symmetry breaking induced UV emission along with violet, blue and green luminescence has been observed from the PL study. The spectral contribution of UV emission decreases and green luminescence increases with increase in doping. Using PL, in conjunction with Raman spectroscopy, the type of oxygen vacancy induced in the nanocrystals on Co doping has been confirmed and the position of the defect levels in the forbidden zone (w.r.t. the optical band gap) has been studied. PMID- 29845171 TI - Graphite felts modified by vertical two-dimensional WO3 nanowall arrays: high performance electrode materials for cerium-based redox flow batteries. AB - Cerium-based redox flow batteries (RFBs) are very attractive for highly efficient energy storage applications with industrial-scale storage capacity. However, the development of active, stable, and earth-abundant catalysts for cerium redox reactions with sluggish kinetics remains a major challenge. Herein, for the first time, two-dimensional (2D) nanostructured architectures were used to design and fabricate efficient and stable electrocatalysts from earth-abundant components toward the Ce(iv)/Ce(iii) redox reaction. A novel WO3/GF hybrid architecture (WGF) built from WO3 nanowall arrays (NWAs) anchored on graphite felt (GF) surfaces was prepared for cerium-based RFBs. This unique hybrid exhibits superior electrocatalytic performance since the vertical nanowall arrays display open and ordered structures that ensure full exposure of the active sites toward electrolytes, which allows direct and full contact of every nanowall with the electrolyte. As an electrode for cerium redox reactions, this WGF electrode exhibits a 42.1% and 32.0% increase in energy efficiency as compared with that of pristine GF and acid-treated GF at a high charge/discharge rate of 30 mA cm-2. Moreover, the long-term cycling performance confirms the superior durability of the as-prepared WGF. This study suggests that the use of 2D nanostructures combined with vertical array microstructures is a promising strategy for efficient electrocatalysts toward cerium redox reactions with scale-up potential. PMID- 29845172 TI - Synthesis and biochemical evaluation of two novel N-hydroxyalkylated cyclosporin A analogs. AB - The cyclic undecapeptide cyclosporin A (CsA) is a widely used immunosuppressive agent. Its immunosuppressive properties arise from strong binding to cyclophilins (Cyp) followed by inhibition of the protein calcineurin (CaN) by the binary CsA/Cyp complex and subsequent negative regulation of T-cell activation. In the present study we show a novel way to modify the CsA ring by selective N hydroxyalkylation of the residues Val5 and d-Ala8. Moreover, the influence of these structural CsA modifications on the ability of the CsA analogs to bind Cyp, to inhibit CaN and to penetrate membranes of living cells was investigated. Our results show that the Val5 N-substitution significantly improved compound cell permeability and markedly diminished CaN inhibition by the binary CsA analog/CypA complex but to a lesser extent Cyp inhibition. In contrast, the N-alkylation of d Ala8 gave a product with significantly reduced affinity for Cyp but its immunosuppressive effects remained similar to CsA. Possible explanations of the observed experimental data are provided by computational studies. PMID- 29845173 TI - Design and preparation of sandwich-like polydimethylsiloxane (PDMS) sponges with super-low ice adhesion. AB - The mitigation of ice on exposed surfaces is of great importance to many aspects of life. Ice accretion, however, is unavoidable as time elapses and temperature lowers sufficiently. One practical solution is to reduce the ice adhesion strength on a surface to as low as possible, by either decreasing the substrate elastic modulus, lowering surface energy or increasing the length of cracks at the ice-solid interface. Herein, we present a facile preparation of polydimethylsiloxane (PDMS) based sandwich-like sponges with super-low ice adhesion. The weight ratio of the PDMS prepolymer to the curing agent is tuned to a lower surface energy and elastic modulus. The introduction of PDMS sponge structures combined the advantages of both a reduced apparent elastic modulus and most importantly, the macroscopic crack initiators at the ice-solid interface, resulting in dramatic reduction of the ice adhesion strength. Our design of sandwich-like sponges achieved a low ice adhesion strength as low as 0.9 kPa for pure PDMS materials without any additives. The super-low ice adhesion strength remains constant after 25 icing and deicing cycles. We thus provide a new and low cost approach to realize durable super-low ice adhesion surfaces. PMID- 29845174 TI - Nonlinear optical potassium niobate nanocrystals as harmonic markers: the role of precursors and stoichiometry in hydrothermal synthesis. AB - Nanocrystals of alkaline niobates are currently being discussed for various applications because of their diverse and remarkable properties. Although the growth of bulk niobate crystals is well established, little is known about respective nanocrystals and the optical properties of niobates below 100 nm. A systematic view of the hydrothermal synthesis of potassium niobate with respect to the precursor species reveals the sensitive dependence of the resulting crystalline phases and sizes on the educt modifications. With a variation of stoichiometry of the procedure, the product modification and crystallite size can be changed. By means of second harmonic generation, nanocrystalline potassium niobate offers the possibility for use as an optical marker in high resolution nonlinear microscopy. Redispersed particles show a significant second harmonic generation signal throughout the visible spectral range. PMID- 29845175 TI - Optical bandgap modelling from the structural arrangement of carbon nanotubes. AB - The optical bandgap properties of vertically-aligned carbon nanotube (VACNT) arrays were probed through their interaction with white light, with the light reflected from the rotating arrays measured with a spectrometer. The precise deterministic control over the structure of vertically-aligned carbon nanotube arrays through electron beam lithography and well-controlled growth conditions brings with it the ability to produce exotic photonic crystals over a relatively large area. The characterisation of the behaviour of these materials in the presence of light is a necessary first step toward application. Relatively large area array structures of high-quality VACNTs were fabricated in square, hexagonal, circular and pseudorandom patterned arrays with length scales on the order of those of visible light for the purpose of investigating how they may be used to manipulate an impinging light beam. In order to investigate the optical properties of these arrays a set of measurement apparatus was designed which allowed the accurate measurement of their optical bandgap characteristics. The patterned samples were rotated under the illuminating white light beam, revealing interesting optical bandgap results caused by the changing patterns and relative positions of the scattering elements (VACNTs). PMID- 29845181 TI - Novel protein-lipid composite nanoparticles with an inner aqueous compartment as delivery systems of hydrophilic nutraceutical compounds. AB - Food protein and lipid based nanoparticles have attracted recent interest as a means of delivering nutraceuticals. Nanoparticle encapsulation of nutraceuticals faces challenges to overcome for it to be readily applied in the food industry, such as low encapsulation efficiency for hydrophilic compounds and poor stability once in the gastrointestinal tract. This research introduces a new protein-lipid composite nanoparticle with a three-layered structure (a barley protein layer, alpha-tocopherol layer and phospholipid layer) and an inner aqueous compartment to load hydrophilic nutraceuticals. This delivery system showed efficient encapsulation of vitamin B12 (69%) and controlled release behavior in simulated gastrointestinal media. An in vitro cell evaluation demonstrated that nanoparticles could internalize into Caco-2 cells via energy-dependent endocytosis and significantly increase the uptake and transport efficiency of vitamin B12 in this model. In vivo, the developed vitamin B12 loaded nanoparticle showed increased serum vitamin B12 levels upon oral administration and reduced the methylmalonic acid level more efficiently than the free form in rats. A 14 day in vivo toxicity study showed no evidence of toxicity in rats implying the safety of the developed nanoparticles in long term use. Overall, the results of this study show the great potential of the developed nanoparticles in increasing the absorption of vitamin B12 upon oral administration. PMID- 29845182 TI - A protocol for quantifying hydrogen evolution by dye-sensitized molecular photocathodes and its implementation for evaluating a new covalent architecture based on an optimized dye-catalyst dyad. AB - A protocol that combines gas chromatography and a high-sensitivity micro Clark type electrode is described to quantify hydrogen production across gas and solution phases for systems operating at very low currents such as dye-sensitized H2-evolving photocathodes. Data indicate that a significant fraction of H2 remains in aqueous solution even after several hours of experiments. Using this protocol, re-evaluation of a dye-sensitized H2-evolving photocathode based on a dye-catalyst dyad showed a reproducible 66% increase of the faradaic efficiency compared with previously reported headspace GC measurements [Kaeffer et al., J. Am. Chem. Soc., 2016, 138, 12308-12311]. This dyad was based on an organic push pull dye where donor and acceptor are separated by one thiophene group. Insertion of a second thiophene group between the donor and acceptor led to a more efficient system with 30% improved faradaic efficiency for H2 evolution. PMID- 29845183 TI - The deposition of metal nanoparticles on carbon surfaces: the role of specific functional groups. AB - The enormous complexity of a typical heterogeneous catalyst makes understanding the development and properties of any active nanoparticles present extremely challenging. In the case of carbon based catalysts that difficulty is compounded by the variability of the carbon powders used. We have previously developed a strategy that addresses these problems by mimicking the catalyst preparation conditions very closely but using highly ordered pyrolytic graphite crystals (HOPG) as a model surface. This enables us to examine the effects of specific functional groups on nanoparticle formation. We report here an extension of our work characterising functional groups on the HOPG surface, using XPS and AFM to explore the deposition of gold from aqueous solution onto HOPG surfaces treated in a variety of ways to alter the surface functionality. The structure and oxidation state of the resulting nanoparticles depend critically on the nature of the functional groups present and offers some insight into the development of catalysts based on these materials. Hydroxyls are identified as key functional species, reducing gold ions to their metallic state whilst being oxidised themselves to carbonyls. Carbonyls meanwhile promote the nucleation of Au3+, creating a network of islands at the HOPG surface. The results have relevance not only to catalysts using activated carbons but also the new generation of materials based on graphene and carbon nanotubes. PMID- 29845184 TI - 31P and 195Pt solid-state NMR and DFT studies on platinum(i) and platinum(ii) complexes. AB - 31P and 195Pt solid state NMR spectra of anti-[(PHCy)ClPt(MU-PCy2)2Pt(PHCy)Cl] (3) and [(PHCy2)Pt(MU-PCy2)(kappa2P,O-MU-POCy2)Pt(PHCy2)] (Pt-Pt) (4) were recorded under cross polarization/magic-angle spinning conditions (31P) or with the cross polarization/Carr-Purcell-Meiboom-Gill pulse sequence (195Pt) and compared to the data obtained by relativistic DFT calculations of 31P and 195Pt CS tensors and isotropic shielding at the ZORA spin-orbit level. A good agreement with the experimental results was found and it was possible to rationalize the chemical shift differences of 195Pt and 31P nuclei between compounds 3 and 4 as mostly due to a change (in opposite directions for 195Pt and 31P) of the principal component of the shielding tensor perpendicular to the molecular plane defined by the Pt and P atoms. Paramagnetic and spin-orbit terms were found to be the most important contributions to 195Pt and 31P shielding. PMID- 29845185 TI - Single entity electrocatalysis: oxygen reduction mediated via methyl viologen doped Nafion nanoparticles. AB - Nafion particles doped with methyl viologen are shown to be electrocatalytic towards oxygen reduction in aqueous solution when immobilised on a carbon electrode surface, with the formation of hydrogen peroxide. In this way an efficient homogeneous electron transfer mediator, methyl viologen, can be confined to act heterogeneously with the benefits of that type of process without losing effectiveness. Kinetic and mechanistic parameters are deduced from cyclic voltammetry and from single entity nano-impact experiments, and the process is shown to occur via electron transfer to dioxygen at the Nafion particle-solution interface with the initial formation of superoxide. PMID- 29845186 TI - Understanding the surface properties and rheology of a silica suspension mediated by a comb-type poly(acrylic acid)/poly(ethylene oxide) (PAA/PEO) copolymer: effect of salinity. AB - Understanding the surface properties and rheology of colloidal suspensions in the presence of polymer additives with high salinity are of great importance in formulating construction materials and optimizing process conditions in the mining and petroleum industry. In this work, the surface properties and rheology of a model spherical silica aqueous suspension mediated by a comb-type poly(acrylic acid)/poly(ethylene oxide) (PAA/PEO) copolymer at various salt concentrations have been investigated. Adsorption measurements using a Quartz Crystal Microbalance with Dissipation monitoring (QCM-D) align well with zeta potential tests and show that polymer adsorption on silica surfaces is enhanced at high salinity (i.e., 3 M NaCl) than at low salinity (i.e., 1 mM NaCl) due to the suppression of the electrical double layer. Surface Forces Apparatus (SFA) measurements reveal that for interactions between two mica surfaces (the basal plane of which has a similar structure as silica) at a high polymer concentration (e.g., 2 wt%), steric repulsion dominates in 1 mM NaCl while bridging attraction is observed in 3 M NaCl. Surface force measurements agree with rheological results on silica suspensions with 0.5 to 2 wt% of PAA/PEO addition, which shows a significant decrease in yield stress in 1 mM NaCl due to steric repulsion but an insignificant variation in yield stress in 3 M NaCl due to attractive bridging interactions. This work provides useful information regarding the surface properties and rheological properties of comb-type polymer-mediated silica suspensions under different salinity conditions, with implications on designing and processing complex colloidal suspensions with polymer additives for various applications. PMID- 29845187 TI - A Matrixed Speech-in-Noise Test to Discriminate Favorable Listening Conditions by Means of Intelligibility and Response Time Results. AB - Purpose: The primary aim of this study was to develop and examine the potentials of a new speech-in-noise test in discriminating the favorable listening conditions targeted in the acoustical design of communication spaces. The test is based on the recognition and recall of disyllabic word sequences. A secondary aim was to compare the test with current speech-in-noise tests, assessing its benefits and limitations. Method: Young adults (19-40 years old), self-reporting normal hearing, were presented with the newly developed Words Sequence Test (WST; 16 participants, Experiment 1) and with a consonant confusion test and a sentence recognition test (Experiment 2, 36 participants randomly assigned to the 2 tests). Participants performing the WST were presented with word sequences of different lengths (from 2 up to 6 words). Two listening conditions were selected: (a) no noise and no reverberation, and (b) reverberant, steady-state noise (Speech Transmission Index: 0.47). The tests were presented in a closed-set format; data on the number of words correctly recognized (speech intelligibility, IS) and the response times (RTs) were collected (onset RT, single words' RT). Results: It was found that a sequence composed of 4 disyllabic words ensured both the full recognition score in quiet conditions and a significant decrease in IS results when noise and reverberation degraded the speech signal. RTs increased with the worsening of the listening conditions and the number of words of the sequence. The greatest onset RT variation was found when using a sequence of 4 words. In the comparison with current speech-in-noise tests, it was found that the WST maximized the IS difference between the selected listening conditions as well as the RT increase. Conclusions: Overall, the results suggest that the new speech-in-noise test has good potentials in discriminating conditions with near ceiling accuracy. As compared with current speech-in-noise tests, it appears that the WST with a 4-word sequence allows for a finer mapping of the acoustical design target conditions of public spaces through accuracy and onset RT data. PMID- 29845188 TI - lncRNA Ftx promotes aerobic glycolysis and tumor progression through the PPARgamma pathway in hepatocellular carcinoma. AB - Aerobic glycolysis is a phenomenon by which malignant cells preferentially metabolize glucose through the glycolytic pathway, rather than oxidative phosphorylation to proliferate efficiently. The present study aimed to investigate the expression and functional implications of long non-coding (lnc)RNA Ftx in the aerobic glycolysis and tumorigenesis of hepatocellular carcinoma (HCC). It was identified that lncRNA Ftx was upregulated in human HCC tissues and cell lines and, notably, was associated with aggressive clinicopathological features. lncRNA Ftx overexpression promoted the proliferation, invasion and migration of HCC cells, whereas lncRNA Ftx knockdown resulted in the opposite effects. Furthermore, lncRNA Ftx affected the activity and expression of key enzymes in carbohydrate metabolism, suggesting that lncRNA Ftx may be involved in aerobic glycolysis in HCC. The measurement of glucose consumption, lactate production and glucose transporter expression further supported this assumption. Mechanistically, peroxisome proliferator-activated receptor gamma (PPARgamma) expression in human HCC tissues and cell lines was positively correlated with lncRNA Ftx. Inhibiting PPARgamma in Huh7 cells partially abrogated the alterations in glucose uptake, lactate production and relative glycolytic enzyme expression induced by lncRNA Ftx; similarly, PPARgamma activation in Bel-7402 cells partially rescued the lncRNA Ftx-mediated alterations. In conclusion, lncRNA Ftx is a promoter of the Warburg effect and tumor progression, partly via the PPARgamma pathway, and may serve as a promising therapeutic target for HCC treatment. PMID- 29845189 TI - Matrine inhibits the invasive and migratory properties of human hepatocellular carcinoma by regulating epithelial-mesenchymal transition. AB - Matrine has been reported to be an effective anti-tumor therapy; however, the anti-metastatic effects of matrine on hepatocellular carcinoma (HCC) and the molecular mechanism(s) involved remain unclear. Therefore, the aims of the present study were to evaluate the effects of matrine on hepatoma and to determine the associated mechanism(s) involved. In the present study, matrine was confirmed to prevent the proliferation of HCC cells and it was observed that matrine also inhibited the migratory, and invasive capabilities of HCC at non toxic concentrations. Additionally, matrine increased epithelial-cadherin expression and decreased the expression levels of vimentin, matrix metalloproteinase (MMP)2, MMP9, zinc finger protein SNAI1 and zinc finger protein SNAI2. These results indicate that the anti-metastatic effect of matrine may be associated with epithelial-mesenchymal transition (EMT). Furthermore, matrine can increase phosphatidylinositol 3,4,5-trisphosphate 3-phosphatase and dual specificity protein phosphatase PTEN (PTEN) expression and reduce phosphorylated protein kinase B (Akt) levels. In conclusion, these results suggested that matrine is a potential therapeutic agent that can suppress cancer-associated invasion and migration via PTEN/Akt-dependent inhibition of EMT. PMID- 29845190 TI - Dysregulation of microRNA-23b-3p contributes to the development of intracranial aneurysms by targeting phosphatase and tensin homolog. AB - MicroRNA-23b-3p (miR-23b-3p) has been reported to be involved in the pathogenesis of a number of diseases, including non-small cell lung cancer and gastric cancer, by acting on different signaling pathways. The present study aimed to understand the association between the miR-23b-3p level of intracranial aneurysms (IAs) and the mechanism involved. Computational analysis was used to search for the target of miR-23b-3p, and luciferase assay was used to validate the miRNA/target association. Western blot analysis and reverse transcription-quantitative polymerase chain reaction (RT-qPCR) were used to determine the expression of miR 23b-3p and phosphatase and tensin homolog (PTEN), and their expression in smooth muscle cells (SMCs) treated with miRNA mimic or inhibitor. Firstly, an online miRNA database (www.mirdb.org) was searched using the 'seed sequence' located within the 3'-untranslated region of the target gene, and then PTEN was validated as the direct target gene via a luciferase reporter assay system. The negative regulatory association between miR-23b-3p and PTEN was determined through the analysis of the relative luciferase activity. Additionally, RT-qPCR and western blot analysis was performed in order to assess the mRNA and protein expression levels of PTEN among IA (n=32) and control (n=17) groups or cells treated with scramble control, miR-23b-3p mimics, PTEN siRNA and miR-23b-3p inhibitors to verify the negative regulatory association between miR-23b-3p and PTEN. Experiments were then performed to investigate the effect of miR-23b-3p and PTEN on the viability and apoptosis of pulmonary artery SMCs (PASMCs). The results showed that cells transfected with miR-23b-3p inhibitors suppressed the viability of SMCs by promoting the apoptosis of the cells compared with that of the scramble controls, while cells transfected with miR-23b-3p mimics and PTEN siRNA enhanced the viability of VSMCs by inducing apoptosis. This indicated that miR 23b-3p negatively interfered with the viability of the cells, while PTEN positively interfered with the viability of the cells. In conclusion, PTEN was found to be a virtual target of miR-23b-3p, and a negative regulatory association existed between miR-23b-3p and PTEN. miR-23b-3p and PTEN interfered with the viability and apoptosis of SMCs. PMID- 29845191 TI - Inhibitory effects of silybin on the efflux pump of methicillin-resistant Staphylococcus aureus. AB - Bacterial multidrug resistance efflux systems serve an important role in antimicrobial resistance. Thus, identifying novel and effective efflux pump inhibitors that are safe with no adverse side effects is urgently required. Silybin is a flavonolignan component of the extract from the milk thistle seed. To order to investigate the mechanism by which silybin inhibits the efflux system of methicillin-resistant Staphylococcus aureus (MRSA), antimicrobial susceptibility testing and the double-plate method were used to evaluate the effect of silybin on MRSA41577. The ability of silybin to inhibit the efflux of ciprofloxacin from MRSA was evaluated by performing a fluorescence assay. Reverse transcription-quantitative polymerase chain reaction analysis revealed that silybin reduced the expression of the quinolone resistance protein NorA (norA) and quaternary ammonium resistance proteins A/B (qacA/B) efflux genes in MRSA. This suggested that silybin may effectively inhibit the efflux system of MRSA41577. Compared with the control, MRSA41577 treated with silybin for 16 h exhibited a 36 and 49% reduction in the expression of norA and qacA/B, respectively. Inhibition of the expression of these genes by silybin restored the sensitivity of MRSA41577 to antibiotics, indicating that efflux pump inhibitors, which act by inhibiting the efflux system of MRSA, may disrupt the MRSA resistance to antibiotics, rendering the bacteria sensitive to these drugs. PMID- 29845192 TI - Capturing antibacterial natural products with in silico techniques. AB - The aim of the present study was to index natural products in order to facilitate the discovery of less expensive antibacterial therapeutic drugs. Thus, for modeling purposes, the present study utilized a set of 628 antibacterial drugs, representing the active domain, and 2,892 natural products, representing the inactive domain. In addition, using the iterative stochastic elimination algorithm, 36 unique filters were identified, which were then used to construct a highly discriminative and robust model tailored to index natural products for their antibacterial bioactivity. The area attained under the curve was 0.957, indicating a highly discriminative and robust prediction model. Utilizing the proposed model to virtually screen a mixed set of active and inactive substances enabled the present study to capture 72% of the antibacterial drugs in the top 1% of the sample, yielding an enrichment factor of 72. In total, 10 natural products that scored highly as antibacterial drug candidates with the proposed indexing model were reported. PubMed searches revealed that 2 molecules out of the 10 (caffeine and ricinine) have been tested and identified as showing antibacterial activity. The other 8 phytochemicals await experimental evaluation. Due to the efficiency and rapidity of the proposed prediction model, it could be applied to the virtual screening of large chemical databases to facilitate the drug discovery and development processes for antibacterial drug candidates. PMID- 29845193 TI - Endothelial cells and endothelin-1 promote the odontogenic differentiation of dental pulp stem cells. AB - It has been established that dental pulp stem cells (DPSCs) serve an important role in the restoration and regeneration of dental tissues. DPSCs are present in blood vessels and also exist in the vessel microenvironment in vivo and have a close association with endothelial cells (ECs). The present study aimed to evaluate the influence of ECs and their secretory product endothelin-1 (ET-1) on the differentiation of DPSCs. In the present study, cells were divided into four groups: i) a DPSC-only control group; ii) a DPSC with ET-1 administration group; iii) a DPSC and human umbilical vein endothelial cell (HUVEC) direct co-culture group; and iv) a DPSC and HUVEC indirect co-culture group using a Transwell system. Reverse transcription-quantitative polymerase chain reaction was used to detect the expression of the odontoblastic differentiation-associated genes, including dentin sialoprotein (DSP) and dentin matrix acidic phosphoprotein 1 (DMP-1) at days 4, 7, 14 and 21. Alizarin Red S staining, immunofluorescence and western blot analyses were also conducted to assess the differentiation of the DPSCs in each group. The highest expression levels of odontoblastic differentiation-associated genes were observed on day 7 and in the two co-culture groups were increased compared with the DPSC-only and DPSC + ET-1 culture groups at all four time points. However, expression levels in the DPSC + ET-1 group were not downregulated as notably as in the co-culture groups on days 14 and 21. The Transwell group exhibited the greatest ability for odontoblastic differentiation compared with the other groups according to staining with Alizarin Red S, immunofluorescence and western blot analysis results. According to the results of the present study, the culture solution with HUVECs affected the differentiation of DPSCs. In addition, ET-1 may promote the odontoblastic differentiation of DPSCs. PMID- 29845194 TI - Atorvastatin protects BV-2 mouse microglia and hippocampal neurons against oxygen glucose deprivation-induced neuronal inflammatory injury by suppressing the TLR4/TRAF6/NF-kappaB pathway. AB - Atorvastatin is a member of the statin class of drugs, which competitively inhibit the activity of 5-hydroxy-3-methylglutaryl-coenzyme A reductase. The aim of the present study was to assess whether atorvastatin may protect BV-2 microglia and hippocampal neurons against oxygen-glucose deprivation (OGD) induced neuronal inflammatory injury and to determine the underlying mechanisms by which its effects are produced. Cell viability and apoptotic ability were assessed using an MTT assay and annexin V-fluorescein isothiocyanate/propidium iodide double staining followed by flow cytometry, respectively. The expression of inflammation and apoptosis-associated mRNAs and proteins were assessed using reverse transcription-quantitative polymerase chain reaction and western blotting, and the expression of inflammatory factors was determined using ELISA. The results of the current study revealed that atorvastatin treatment suppressed the viability of OGD BV-2 microglia and hippocampal neurons. Furthermore, atorvastatin treatment reduced the expression of proinflammatory factors in OGD BV-2 microglia. Additionally, it was demonstrated to downregulate the toll-like receptor 4 (TLR4)/tumor necrosis factor receptor-associated factor 6 (TRAF6)/nuclear factor-kappaB (NF-kappaB) pathway in OGD BV-2 microglia. Atorvastatin also inhibited the apoptosis of OGD hippocampal neurons by regulating the expression of apoptosis-associated proteins. It was concluded that atorvastatin treatment may protect BV-2 microglia and hippocampal neurons from OGD-induced neuronal inflammatory injury by suppressing the TLR4/TRAF6/NF-kappaB pathway. This may provide a potential strategy for the treatment of neuronal injury. PMID- 29845195 TI - Lysine-specific demethylase 2 contributes to the proliferation of small cell lung cancer by regulating the expression of TFPI-2. AB - The present study aimed to investigate the effect of lysine-specific demethylase 2 (LSD2) in small cell lung cancer (SCLC) and explore its underlying regulatory mechanism. Cell growth was tested by MTT assay and mRNA and protein expression was determined by quantitative polymerase chain reaction (q-PCR) and western blot analysis, respectively. Chromatin immunoprecipitation (ChIP) was used to investigate the degree of H3K4me2 enrichment in the promoter region of tissue factor pathway inhibitor-2 (TFPI-2). SCLC tissues and cell lines presented significantly higher expression of LSD2 and DNA methyltransferase 3B (DNMT3B) and lower expression of TFPI-2 compared with the controls. In H1417 cells LSD2 overexpression increased the mRNA and protein expression of DNMT3B, while inhibiting the mRNA and protein expression of TFPI-2. Following transfection with short interfering (si) RNA-DNMT3B, the expression of TFPI-2 increased in H1417 cells. The results of ChIP demonstrated that compared with the controls, H3K4me1 enrichment in the TFPI-2 promoter region was to a lower degree in the H1417 cells with LSD2 overexpression and a higher degree in the H1417 cells with LSD2 silencing. MTT assays revealed that LSD2 overexpression significantly promoted the growth of H69, DMS-114 and H1417 cells, which was contradictory to the effect on LSD2 silencing. Compared with the LSD2 overexpression cells, SCLC cells with simultaneous overexpression of LSD2 and TFPI-2 demonstrated a decreased proliferation. These results suggest that LSD2 achieves a promoting effect on SCLC by indirectly regulating TFPI-2 expression through the mediation of DNMT3B expression or through the regulation of the demethylation of H3K4me1 in the promoter region of the TFPI-2 gene. PMID- 29845196 TI - Cyclin-dependent kinase 10 prevents glioma metastasis via modulation of Snail expression. AB - Cyclin-dependent kinase 10 (CDK10) has been indicated to be a candidate tumor suppressor in multiple cancer types. However, to the best of the authors' knowledge, its biological and regulatory functions in glioma have not been previously reported. In the present study, it was demonstrated that overexpression of CDK10 inhibited glioma cell proliferation and metastasis. By contrast, knockdown of CDK10 expression promoted these malignant phenotypes. It was additionally indicated that dysregulated CDK10 expression was associated with epithelial-mesenchymal transition (EMT) and that it regulated the expression of zinc finger protein SNAI1 (Snail). Furthermore, silencing Snail expression rescued EMT phenotypes induced by CDK10 knockdown, suggesting that Snail may be involved in the mechanistic association between CDK10 and EMT. The present study illustrated that downregulation of CDK10 expression activated Snail-driven EMT and consequently promoted glioma metastasis, suggesting that CDK10 may serve as a potential molecular target for glioma therapy. PMID- 29845197 TI - Tanshinone IIA regulates colorectal cancer apoptosis via attenuation of Parkin mediated mitophagy by suppressing AMPK/Skp2 pathways. AB - Mitophagy is important for cancer development. Notably, the role of Parkin mediated mitophagy in colorectal cancer (CRC) mortality has not been fully determined. Therefore, the present study aimed to investigate the effect of Parkin-mediated mitophagy on CRC apoptosis. In addition, the present study investigated the therapeutic effects of Tanshinone IIA (Tan IIA) on the regulation of CRC cell death via mitophagy. Cellular apoptosis was measured following Tan IIA treatment. In addition, mitophagy activity was evaluated by immunofluorescence and western blotting. The results of the present study revealed that Tan IIA may enhance CRC cell death. In addition, the results demonstrated that Tan IIA enhanced mitochondrial apoptosis, as demonstrated by reduced mitochondrial membrane potential, elevated mitochondrial permeability transition pore opening, and increased oxidative stress, mitochondrial energy disorder and proapoptotic factor expression. Furthermore, the results of the present study demonstrated that Tan IIA induced mitochondrial apoptosis via inhibition of mitophagy. In addition, it was revealed that mitophagy could suppress mitochondrial apoptosis. Functional assays revealed that Tan IIA suppressed the adenosine monophosphate-activated protein kinase (AMPK) pathway, resulting in the inactivation of S-phase kinase associated protein 2 (Skp2). Furthermore, reduced levels of Skp2 failed to activate Parkin, thus resulting in inhibition of mitophagy. Conversely, reactivation of AMPK and overexpression of Skp2 rescued mitophagy activity and thus attenuated the Tan IIA-induced apoptosis of CRC cells. In conclusion, the results of the present study demonstrated the beneficial role of mitophagy in CRC cell survival and suggested that Tan IIA may be an effective therapeutic agent, which suppresses mitophagy activity and enhances CRC apoptosis. PMID- 29845198 TI - Hypoxia induces lactate secretion and glycolytic efflux by downregulating mitochondrial pyruvate carrier levels in human umbilical vein endothelial cells. AB - The mitochondrial pyruvate carrier (MPC) complex, located on the inner mitochondrial membrane, transports pyruvate to the mitochondrial matrix for oxidative phosphorylation. Previous studies have shown that the MPC complex is a key regulator of glycolysis in tumor cells. The present study evaluated the role of the MPC under hypoxic conditions in human umbilical vein endothelial cells, which rely on glycolysis for energy generation. It was indicated that hypoxia led to an increase in lactate secretion and a decrease in MPC1 and MPC2 levels, which were upregulated following re-oxygenation. In addition, the knockdown of MPC1 or treatment with the MPC inhibitor UK5099 increased the levels of glycolytic enzymes, HK2, PFKFB3, and LDHA, promoting glycolysis and lactate secretion. Taken together, the present data revealed that hypoxia can induce lactate secretion and glycolytic efflux by downregulating MPC levels. PMID- 29845199 TI - Hypothermic machine perfusion attenuates ischemia/reperfusion injury against rat livers donated after cardiac death by activating the Keap1/Nrf2-ARE signaling pathway. AB - Hypothermic machine perfusion (HMP) has been demonstrated to be a more effective method for preserving livers donated after circulatory death (DCD) than cold storage (CS); however, the underlying mechanisms remain unclear. The aim of the present study was to investigate the protective effects of HMP on rat DCD livers and the possible role of the nuclear factor erythroid 2-related factor 2 (Nrf2)/antioxidant response element (ARE) signaling pathway. A total of 18 adult male rats were randomly divided into three groups: Control, HMP and CS (n=6 per group). To simulate the conditions of DCD liver transplantation, rat livers in the CS and HMP groups were subjected to 30 min warm ischemia following cardiac arrest and were then preserved by CS or HMP for 3 h. Subsequently, after 1 h of isolated reperfusion, the extent of ischemia/reperfusion injury (IRI) and cellular functions were assessed. During reperfusion, intrahepatic resistance and bile production were measured, and the perfusion fluid was collected for liver enzyme analysis. The liver tissues were then harvested for the assessment of malondialdehyde (MDA) production, superoxide dismutase (SOD) activity, ATP levels, as well as for histological analysis, immunohistochemistry and a terminal deoxynucleotidyl transferase dUTP nick end labeling assay. Finally, the expression levels of the components associated with the Nrf2-ARE signaling pathway were analyzed via western blotting and reverse transcription-quantitative polymerase chain reaction. The results of the present study revealed that, compared with in the CS group, the HMP group exhibited higher levels of ATP, bile production and SOD activity, and improved histological results; however, lower levels of liver enzymes, apoptosis and MDA were detected. Additionally, the findings of the present study also suggested that the Nrf2-ARE signaling pathway may be activated by the steady laminar flow of HMP. In conclusion, HMP may attenuate ischemia-reperfusion injury to rat DCD livers via activation of the Nrf2-ARE signaling pathway. PMID- 29845200 TI - Epithelial-mesenchymal transition was identified as a potential marker for breast cancer aggressiveness using reverse transcription-quantitative polymerase chain reaction. AB - The primary cause of breast cancer-associated mortality is the formation of distant metastasis. During the metastatic process, single tumor cells dissolve from the primary tumor site and undergo various changes in cell adhesion and motility properties. The tumor cells invade the blood stream and travel to different sites of the body, where they may initiate outgrowth. These cells are referred to as circulating tumor cells (CTCs). The process of changing cellular properties is known as epithelial to mesenchymal transition (EMT). As a different set of genes is upregulated during EMT, such genes may serve as marker genes for the detection of CTCs based on reverse transcription-quantitative polymerase chain reaction (RT-qPCR). Therefore, EMT- and breast cancer-related genes were selected as RT-qPCR markers. These genes were tested for performance in a model system of blood samples from healthy donors, to which a number of various breast cancer cell lines were added. The genes with optimal performance were subsequently used in RT-qPCR with 35 breast cancer patient samples. The genes which showed the highest and most consistent increase in gene expression with the increase in the number of cancer cell line cells added were CK19, Snail, FoxC2 and Twist. Following RT-qPCR for all patient samples, two subgroups were arranged: One group in which all genes were downregulated and the second group with at least one gene indicated an upregulation of gene expression. Comparisons were made between the tumour characteristics from these two groups. Results suggested that carcinomas of the first group exhibited a less aggressive tumor biology compared with those in the second group. The present study indicated a novel RT-qPCR based test for tumor malignancy. PMID- 29845201 TI - Long non-coding RNA PVT1 promotes epithelial-mesenchymal transition via the TGF beta/Smad pathway in pancreatic cancer cells. AB - Recent studies have revealed that overexpression of long non-coding RNA (lncRNA) PVT1 is correlated with several types of cancer. However, its role in pancreatic cancer development remains to be clarified. In the present study, we found that PVT1 promoted the growth and the epithelial-mesenchymal transition (EMT) of pancreatic cancer cells. We first determined that PVT1 was upregulated in pancreatic cancer tissues compared with adjacent normal tissues. Knockdown of PVT1 inhibited viability, adhesion, migration and invasion. Furthermore, PVT1 knockdown reduced the expression of mesenchymal markers including Snail, Slug, beta-catenin, N-cadherin and vimentin, while it increased epithelial marker expression of E-cadherin. Finally, knockdown of PVT1 inhibited the TGF-beta/Smad signaling, including p-Smad2/3 and TGF-beta1 but enhanced the expression of Smad4. In contrast, overexpression of PVT1 reversed the process. These findings revealed that PVT1 acts as an oncogene in pancreatic cancer, possibly through the regulation of EMT via the TGF-beta/Smad pathway and PVT1 may serve as a potential target for diagnostics and therapeutics in pancreatic cancer. PMID- 29845202 TI - Regulatory effects of miRNA-181a on FasL expression in bone marrow mesenchymal stem cells and its effect on CD4+T lymphocyte apoptosis in estrogen deficiency induced osteoporosis. AB - Post-menopausal osteoporosis is a bone formation disorder induced by estrogen deficiency. Estrogen deficiency facilitates the differentiation and maturation of osteoclasts by activating T lymphocytes. In our previous study, it was demonstrated that estrogen promotes bone marrow mesenchymal stem cell (BMMSC) induced osteoclast apoptosis through downregulation of microRNA (miR)-181a and subsequent Fas ligand (FasL) protein accumulation. In the present study, the regulatory effects of miR-181a on FasL expression in BMMSCs and the apoptotic effects of BMMSCs on cluster of differentiation (CD)4+T lymphocytes were investigated. An ovariectomized mouse model of osteoporosis (OVX) was established and CD4+T lymphocytes were isolated from the bones of these mice. The results demonstrated that the number of CD4+T lymphocytes was increased in the OVX group compared within the control group, thus suggesting that estrogen deficiency may increase CD4+T lymphocyte number. CD4+T lymphocytes were subsequently co-cultured with estrogen-treated BMMSCs, after which it was demonstrated that estrogen significantly promoted the apoptosis of CD4+T lymphocytes. Western blot analysis indicated that estrogen promoted the apoptosis of CD4+T lymphocytes through regulation of FasL expression in BMMSCs in a concentration-dependent manner. Finally, miR-181a was transfected into BMMSCs, which were co-cultured with CD4+T lymphocytes in vitro and in vivo. The results revealed that miR-181a exerted a negative regulatory effect on BMMSC-induced CD4+T lymphocyte apoptosis by regulating FasL protein expression in BMMSCs; this maybe a key mechanism underlying the development of estrogen deficiency-induced osteoporosis. PMID- 29845203 TI - Fibrinogen-like-protein 1 promotes the invasion and metastasis of gastric cancer and is associated with poor prognosis. AB - The protective role of fibrinogen-like-protein 1 (FGL1) in liver injury has been reported previously. However, there are few studies on FGL1 expression in gastric cancer (GC) tissues, and the role of FGL1 in GC remains unclear. The aim of the present study was to investigate the correlation between FGL1 expression and prognosis in GC patients. Data was downloaded from The Cancer Genome Atlas database, and 50 pairs of GC tissues and the corresponding non-tumor tissues were collected between 2008 to 2011. Furthermore, FGL1 expression was silenced in order to explore its role in SGC-7901 cell proliferation, invasion and migration using Cell Counting Kit-8, wound healing, Transwell invasion and migration assays, respectively. Finally, whether FGL1 is involved in epithelial-mesenchymal transition (EMT) regulation in SGC-7901 cells was determined by western blotting. The results revealed that FGL1 expression was upregulated in GC tissues, and the overall survival time of GC patients with high FGL1 expression levels was markedly shorter than that of GC patients with low FGL1 expression levels (P=0.005). In addition, silencing FGL1 significantly inhibited SGC-7901 cell proliferation, invasion and migration in vitro. Finally, western blot analyses indicated that knockdown of FGL1 markedly increased E-cadherin expression levels (P<0.01), and significantly decreased N-cadherin (P<0.01) and vimentin expression levels (P<0.01), thereby suggesting that FGL1 may promote EMT. These results indicated that FGL1 has the potential to be a predictor in GC patients as well as a target for the treatment of GC. PMID- 29845204 TI - LncRNA WWOX-AS1 inhibits the proliferation, migration and invasion of osteosarcoma cells. AB - Recently, numerous long non-coding (lnc)RNAs have been revealed as serving important roles in human gene regulation. Previous studies have suggested that aberrant expression of lncRNAs is associated with cancer progression and metastasis. Previous studies have also demonstrated that decreased expression of WW domain-containing oxidoreductase (WWOX) is associated with poor prognosis in numerous cancer types. However, the effect of WWOX antisense RNA 1 (WWOX-AS1) in the development of cancer remains unknown. The aim of the present study was to investigate the role of WWOX-AS1 in osteosarcoma. The expression levels of WWOX AS1 in human osteosarcoma cell lines and a normal osteoblastic cell line were investigated using reverse transcription-quantitative polymerase chain reaction (RT-qPCR). The results revealed that WWOX-AS1 expression was downregulated in osteosarcoma tissues. Furthermore, the association between WWOX-AS1 and the prognosis of patients with osteosarcoma was investigated using Kaplan-Meier and log-rank tests. The results suggested that patients exhibiting high WWOX-AS1 expression demonstrated a greater overall survival compared with patients exhibiting low WWOX-AS1 expression. In addition, overexpression and knockdown of WWOX-AS1 was performed using transfection experiments and confirmed by RT-qPCR in MG63 and SAOS2 cells, respectively. The results demonstrated that WWOX-AS1 and WWOX expression were positively correlated. Furthermore, the results of the knockdown and overexpression functional experiments suggested that WWOX-AS1 overexpression inhibited the proliferation, migration and invasion of MG63 cells, and knockdown of WWOX-AS1 enhanced the proliferation, migration and invasion of MG63 cells in SAOS2 cells. In conclusion, the results of the present study suggested that WWOX-AS1 may represent a potential biomarker and therapeutic target for the treatment of osteosarcoma. PMID- 29845205 TI - Effect of co-culture with amniotic epithelial cells on the biological characteristics of amniotic mesenchymal stem cells. AB - The aim of the present study was to investigate the effect of co-culture with amniotic epithelial cells (AECs) on the biological characteristics of amniotic mesenchymal stem cells (AMSCs), to compare the expression of C-X-C motif chemokine receptor 4 (CXCR4) in co-cultured AMSCs and to investigate the roles of the stromal cell-derived factor-1 (SDF-1)/CXCR4 axis in the homing and migration of AMSCs. AMSCs were isolated from human amniotic membranes, purified and then differentiated into osteoblasts and adipocytes in vitro, which was verified by von Kossa Staining and Oil Red O staining. Cell viability was measured by Cell Counting kit-8 and trypan blue assays at 24, 48 and 72 h, the expression of CXCR4 was analyzed by immunofluorescence-based flow cytometry and reverse transcription quantitative polymerase chain reaction, and the migration ability of AMSCs in vitro was observed by a migration assay. The results demonstrated that cell viability (at 48 and 72 h) and survival (at 24, 48 and 72 h) in the co-culture and serum groups were higher compared with the serum-free group. Furthermore, CXCR4 mRNA and protein expression, and migration along the SDF-1 gradient, in the co-culture and serum-free groups were higher compared with the serum group. Overall, the results indicated that AMSCs co-cultured with AECs exhibited enhanced proliferation activity and survival rate. In conclusion, the present study demonstrated that co-culture of AMSCs with AECs upregulated CXCR4 on the surface of AMSCs and enhanced the migration ability of AMSCs in vitro. This result may improve the directional migration and homing ability of AMSCs, as well as provide a theoretical basis for the application of AMSCs in clinical practice as a novel strategy to increase the success of hematopoietic stem cell transplantation. PMID- 29845206 TI - MicroRNA-655 inhibits cell proliferation and invasion in epithelial ovarian cancer by directly targeting vascular endothelial growth factor. AB - In recent years, microRNAs (miRNAs/miRs) have been shown to be deregulated in epithelial ovarian cancer (EOC). Their deregulation has been suggested to be involved in EOC formation and progression through the regulation of the expression of numerous cancer-related genes. Hence, it is of great importance to further determine the detailed roles and underlying mechanisms of miRNAs involved in EOC and to identify novel targets for diagnosis, prognosis and treatment of patients with EOC. In this study, the expression of miR-655-3p (miR-655) was significantly downregulated in EOC tissues and four EOC cell lines. After miR-655 was restored, functional assays revealed that cellular proliferation and invasion were considerably reduced in EOC. Additionally, vascular endothelial growth factor (VEGF) A was identified as a direct target gene of miR-655 in EOC cells. Furthermore, VEGF knockdown could mimic the tumour-suppressive roles of miR-655 overexpression in EOC cells. Moreover, the introduction of VEGF abrogated the effects of miR-655-induced proliferation and invasion inhibition in EOC cells. Altogether, these findings indicated that miR-655 may inhibit EOC cell proliferation and invasion by repressing VEGF. Thus, the miR-655/VEGF pathway could serve as a novel therapeutic target for patients with EOC. PMID- 29845207 TI - miRNA expression profiling regulates necroptotic cell death in hepatocellular carcinoma. AB - Hepatocellular carcinoma (HCC) is one of the most aggressive types of cancer and is among the leading causes of cancer-related mortality worldwide. Although the dysregulation of microRNAs (miRNAs or miRs) has often been reported in HCC, the precise molecular mechanisms by which miRNAs modulate the process of tumorigenesis and the behavior of cancer cells are not yet clearly understood. In this study, we identified a novel three-miRNA signature, including miR-371-5p, miR-373 and miR-543, that appears to orchestrate programmed cell necrosis in HCC by directly targeting the caspase-8 gene (Casp-8). Our results demonstrated that miR-371-5p, miR-373 and miR-543 were overexpressed in HCC tissues compared with paired adjacent normal tissues. The upregulation of these miRNAs specifically and markedly downregulated the expression of Casp-8, as well as significantly enhanced the Z-VAD/TNF-alpha-induced necroptosis of HCC cells. By contrast, the selective knockdown of miRNA expression led to a significant increase in Casp-8 levels and a marked reduction in programmed cell necrosis. Intriguingly, the sustained overexpression of Casp-8 reversed the pro-necroptotic effects exerted by miRNA mimics. Finally, a strong inverse association between the level of miR 223 and the expression levels of nucleotide-binding oligomerization domain-like receptor family, pyrin domain-containing-3 inflammasome was observed in our HCC specimens. On the whole, the present study revealed a molecular link between the three-miRNA signature, comprising miR-371-5p, miR-373 and miR-543, and the negative necroptotic regulator Casp-8, and presents evidence for its employment as a novel potential diagnostic, prognostic and therapeutic target in HCC. PMID- 29845208 TI - Glucagon-like peptide-1 protects mouse podocytes against high glucose-induced apoptosis, and suppresses reactive oxygen species production and proinflammatory cytokine secretion, through sirtuin 1 activation in vitro. AB - Glucagon-like peptide-1 (GLP-1) is a gut incretin hormone that is considered to be a promising target for the treatment of patients with type 2 diabetes. However, the mechanisms underlying the protective effects of GLP-1 on diabetic nephropathy are yet to be fully elucidated. Sirtuin (SIRT)1 encodes a member of the SIRT family of proteins that serves an important role in mitochondrial function and is reported to be associated with the pathogenesis of chronic kidney disease. The present study treated mouse podocytes with various concentrations of D-glucose to establish a high glucose (HG)-induced model of renal injury. The results of a 2',7'-dichlorodihydrofluorescein diacetate assay, Annexin V/propidium iodide staining and ELISA demonstrated that treatment of podocytes with HG significantly enhanced the production of reactive oxygen species (ROS), promoted cell apoptosis and increased the secretion of proinflammatory cytokines, respectively. The cytokines increased following HG treatment included tumor necrosis factor-alpha, interleukin (IL)-1beta and IL-6. Notably, treatment with GLP-1 attenuated HG-induced increases in ROS production and podocyte apoptosis, which may occur via downregulation of the expression of caspase-3 and caspase-9, and increased expression of nephrin, podocin and SIRT1, as determined by reverse transcription-quantitative polymerase chain reaction and western blot analysis. Treatment with GLP-1 led to protective effects in podocytes that were similar to those of resveratrol. Furthermore, SIRT1 knockdown using short hairpin RNA significantly enhanced the expression of caspase-3 and caspase-9 in mouse podocytes, compared with normal mouse podocytes. SIRT1 knockdown with or without GLP-1 administration significantly decreased the expression of caspase-3 and caspase-9 in mouse podocytes, compared with SIRT1 knockdown mouse podocytes. In conclusion, the results of the present study indicated that GLP-1 may be a promising target for the development of novel therapeutic strategies for HG induced nephropathy, and may function through the activation of SIRT1. PMID- 29845209 TI - G protein-coupled estrogen receptor/miR-148a/human leukocyte antigen-G signaling pathway mediates cell apoptosis of ovarian endometriosis. AB - The focus of the current study was a G protein-coupled estrogen receptor (GPER)/microRNA (miR)-148a/human leukocyte antigen-G (HLA-G) signaling pathway in ovarian endometriosis. Reverse transcription-quantitative polymerase chain reaction was performed to analyze the changes in miR-148a expression. A MTT assay, flow cytometry and caspase-3/9 activity assays were performed to analyze cell proliferation, apoptosis and caspase-3/9 activity levels, respectively. Protein expression was measured using western blot analysis. In tissue samples from healthy controls, and patients with endometriosis and endometriosis associated ovarian cancer, the expression of miR-148a was lower in in endometriosis and EAOC samples compared with healthy controls. Overexpression of miR-148a using miR mimics significantly decreased proliferation, promoted apoptosis, increased the Bcl-2 associated X apoptosis regulator (Bax)/Bcl-2 apoptosis regulator (Bcl-2) ratio and caspase3/9 activity, and suppressed HLA-G protein expression in Hs 832(C).T cells. miR-148a downregulation using miR inhibitor significantly increased cell viability, inhibited apoptosis, and reduced the Bax/Bcl-2 ratio and caspase3/9 activity, and induced HLA-G protein expression in Hs 832(C).T cells. The GPER inhibitor, G15, suppressed GPER protein expression, upregulated miR-148a expression, decreased cell proliferation, promoted apoptosis, increased the Bax/Bcl-2 ratio and caspase3 activity, and suppressed HLA-G protein expression in Hs 832(C).T cells. The findings indicate that GPER/miR-148a/HLA-G signaling pathway may mediates the development of ovarian endometriosis and may become a potential therapeutic target for the treatment of endometriosis. PMID- 29845211 TI - HSV-TK/GCV can induce cytotoxicity of retinoblastoma cells through autophagy inhibition by activating MAPK/ERK. AB - Retinoblastoma is an severe ophthalmic disease and the most common type intraocular malignant tumor, particularly in infants. Currently, few drugs and therapies are available. Gene therapy has been considered to be a potential treatment to cure cancer effectively and Herpes simplex virus type 1 thymidine kinase/ganciclovir (HSV-TK/GCV) is one type of suicide gene therapy that has been extensively studied. Numerous in vitro and in vivo studied have shown that this system can kill tumor cells, including liver and lung cancer cells. GCV is used as an antiviral drug, and the thymidine kinase, HSV-TK can phosphorylate GCV to GCV-TP, a competitive inhibitor of DNA synthesis, instead of guanine-5' triphosphate in the process of DNA synthesis. This process prevents DNA chain elongation causing cell death via apoptosis. However, the toxic effects of HSV TK/GCV on retinoblastoma cells remain unknown, and the molecular mechanisms of its therapeutic effects have not been fully elucidated. Our results suggest that HSV-TK/GCV can significantly cause the death of retinoblastoma cell lines, HXO RB44 and Y79. Further studies have reported that this cell death is induced by the inhibition of autophagy by activating the MAPK/ERK (mitogen-activated protein kinase/ERK) signaling pathway. The mTOR inhibitor Torin1 can partially block the toxic effects of HSV-TK/GCV on HXO-RB44 cells. The above results demonstrate that the mechanism undertaken by HSV-TK/GCV to exhibit therapeutic effects mechanism may inhibit autophagy by activating MAPK/ERK. The findings of the present study may provide novel insight for the exploration of HSV-TK/GCV in the treatment of retinoblastoma. PMID- 29845212 TI - Andrographolide induces degradation of mutant p53 via activation of Hsp70. AB - The tumor suppressor gene p53 encodes a transcription factor that regulates various cellular functions, including DNA repair, apoptosis and cell cycle progression. Approximately half of all human cancers carry mutations in p53 that lead to loss of tumor suppressor function or gain of functions that promote the cancer phenotype. Thus, targeting mutant p53 as an anticancer therapy has attracted considerable attention. In the current study, a small-molecule screen identified andrographlide (ANDRO) as a mutant p53 suppressor. The effects of ANDRO, a small molecule isolated from the Chinese herb Andrographis paniculata, on tumor cells carrying wild-type or mutant p53 were examined. ANDRO suppressed expression of mutant p53, induced expression of the cyclin-dependent kinase inhibitor p21 and pro-apoptotic proteins genes, and inhibited the growth of cancer cells harboring mutant p53. ANDRO also induced expression of the heat shock protein (Hsp70) and increased binding between Hsp70 and mutant p53 protein, thus promoting proteasomal degradation of p53. These results provide novel insights into the mechanisms regulating the function of mutant p53 and suggest that activation of Hsp70 may be a new strategy for the treatment of cancers harboring mutant p53. PMID- 29845210 TI - Research progress on human genes involved in the pathogenesis of glaucoma (Review). AB - Glaucoma is the leading cause of irreversible blindness globally. It is known that the incidence of glaucoma is closely associated with inheritance. A large number of studies have suggested that genetic factors are involved in the occurrence and development of glaucoma, and even affect the drug sensitivity and prognosis of glaucoma. In the present review, 22 loci of glaucoma are presented, including the relevant genes (myocilin, interleukin 20 receptor subunit B, optineurin, ankyrin repeat- and SOCS box-containing protein 10, WD repeat containing protein 36, EGF-containing fibulin-like extracellular matrix protein 1, neurotrophin 4, TANK-binding kinase 1, cytochrome P450 subfamily I polypeptide 1, latent transforming growth factor beta binding protein 2 and TEK tyrosine kinase endothelial) and 74 other genes (including toll-like receptor 4, sine oculis homeobox Drosophila homolog of 1, doublecortin-like kinase 1, RE repeats encoding gene, retinitis pigmentosa GTPase regulator-interacting protein, lysyl oxidase-like protein 1, heat-shock 70-kDa protein 1A, baculoviral IAP repeat containing protein 6, 5,10-methylenetetrahydrofolate reductase and nitric oxide synthase 3 and nanophthalmos 1) that are more closely associated with glaucoma. The pathogenesis of these glaucoma-associated genes, glaucomatous genetics and genetic approaches, as well as glaucomatous risk factors, including increasing age, glaucoma family history, high myopia, diabetes, ocular trauma, smoking, intraocular pressure increase and/or fluctuation were also discussed. PMID- 29845214 TI - Effect of hesperetin derivatives on the development of selenite-induced cataracts in rats. AB - Cataracts are a major cause of blindness worldwide. As anti-cataract pharmaceutical therapies require long-term treatment, identifying anti-cataract compounds that are ubiquitous in the human diet, have no adverse effects and are affordable, is of paramount importance. The present study focused on hesperetin and its derived compounds, hesperetin stearic acid ester (Hes-S) and hesperetin oleic acid ester (Hes-O), in order to investigate their therapeutic potential to treat cataracts in a selenite animal model. Thirteen-day-old Sprague Dawley rats were divided into 12 groups. Animals in groups 1 and 7 were subcutaneously injected with vehicle, those in groups 2 and 8 were administered hesperetin, those in groups 3 and 9 received stearic acid, those in groups 4 and 10 were injected with oleic acid, those in groups 5 and 11 were administered Hes-S, and those in groups 6 and 12 received Hes-O (10 nmol/kg body weight on days 0, 1 and 2). Animals in groups 7 to 12 were treated with sodium selenite (20 umol/kg body weight given 4 h following the test compound treatment on day 0) to induce cataract. On day 6, rats had less severe central opacities and lower stage cataracts than rats in the selenite treatment-only control groups. The levels of glutathione (GSH) and ascorbic acid (AsA) in lenses with selenite-induced cataracts declined to one-third of that of controls, and the reduction in GSH and AsA levels was rescued following hesperetin, Hes-S or Hes-O treatment, with concentrations remaining to 70-80% of that of controls. However, there were no changes in the plasma levels of GSH and AsA following treatments. Administration of either hesperetin or hesperetin-derived compounds prevented the reduction of chaperone activity in the lens, and rats treated with Hes-S or Hes-O treatment had significantly greater chaperone activity than hesperetin-treated rats. Collectively, these results suggested that hesperetin and hesperetin-derived compounds may be novel drug compounds that have the potential to prevent or delay the onset of cataracts. PMID- 29845213 TI - Involvement of TIMP-1 in PECAM-1-mediated tumor dissemination. AB - Platelet endothelial cell adhesion molecule-1 (PECAM-1) is expressed on the vascular endothelium and has been implicated in the late progression of metastatic tumors. The activity of PECAM-1 appears to be mediated by modulation of the tumor microenvironment (TME) and promotion of tumor cell proliferation, rather than through the stimulation of tumor angiogenesis. The present study aimed to extend those initial findings by indicating that the presence of functional PECAM-1 on the endothelium promotes a proliferative tumor cell phenotype in vivo, as well as in tumor cell (B16-F10 melanoma and 4T1 breast cancer cell lines) co-culture assays with mouse endothelial cells (ECs) or a surrogate EC line (REN-MP). The pro-proliferative effects were mediated by soluble endothelial-derived factors that were dependent on PECAM-1 homophilic ligand interactions, but which were independent of PECAM-1-dependent signaling. Further analysis of the conditioned media obtained from tumor/EC and tumor/REN-MP co-cultures identified TIMP metallopeptidase inhibitor-1 (TIMP-1) as a PECAM-1 regulated factor, the targeting of which in the tumor cell/REN-MP system inhibited tumor cell proliferation. In addition, TIMP-1 expression was decreased in metastatic tumors from the lungs of PECAM-1-null mice, thus providing evidence of the in vivo significance of co-culture studies. Taken together, these studies indicated that endothelial PECAM-1, through PECAM-1-dependent homophilic binding interactions, may induce release of TIMP-1 from the endothelium into the TME, thus leading to increased tumor cell proliferation. PMID- 29845215 TI - Pien Tze Huang ameliorates DSS-induced colonic inflammation in a mouse colitis model through inhibition of the IL-6/STAT3 pathway. AB - Interleukin-6 (IL-6)/signal transducer and activator of transcription 3 (STAT3) pathway plays essential roles in the development of inflammatory diseases including ulcerative colitis (UC). Therefore, suppression of IL-6/STAT3 signaling provides a promising therapeutic strategy in UC. Pien Tze Huang (PZH), a well known traditional Chinese formula, has been used in China and Southeast Asia for centuries as a folk remedy for various inflammatory diseases. However, the molecular mechanisms of its anti-inflammatory effects remain to be elucidated. In the present study, we generated a mouse colitis model by using dextran sulfate sodium (DSS) and evaluated the therapeutic efficacy of PZH against UC by observing the clinical manifestations. We found that PZH obviously alleviated DSS induced colitis symptoms, including body weight loss, rectal bleeding and stool consistency. In addition, administration of PZH profoundly prevented DSS-induced colon shortening, and ameliorated colonic histopathological changes such as mucosal ulceration, infiltration of inflammatory cells, crypt distortion and hyperplastic epithelium. Moreover, PZH markedly inhibited the serum level of the inflammatory biomarker serum amylase A (SAA) in UC mice. Furthermore, PZH treatment significantly inhibited DSS-induced expression of IL-6 in colon tissues. Finally, the increased phosphorylation level of STAT3, induced either by DSS in experimental mice or by IL-6 in the differentiated human colorectal carcinoma cells, was significantly suppressed by PZH. These results suggest that the inhibition of IL-6/STAT3 signaling is a potential mechanism by which PZH is used in the treatment of UC. PMID- 29845216 TI - TROP2 promotes cell proliferation and migration in osteosarcoma through PI3K/AKT signaling. AB - Human trophoblast cell surface antigen 2 (TROP2) has been noted to serve an important role in the proliferation and migration of various types of human cancers. However, the potential role and the molecular mechanisms of TROP2 in osteosarcoma (OS) remain largely unclear. In the present study, high expression of TROP2 in human OS tissues and cell lines was observed. Overexpression of TROP2 promoted the proliferation and migration of OS cell lines, while TROP2 knockdown markedly decreased cell growth and migration. Furthermore, it was revealed that TROP2 overexpression significantly activated the phosphoinositide 3 kinase/protein kinase B (PI3K/AKT) signaling pathway. Collectively, these results suggested that TROP2 may promote OS cell proliferation and migration via PI3K/AKT signaling and may serve as a novel treatment target for OS. PMID- 29845218 TI - Elevated TFAP4 regulates lncRNA TRERNA1 to promote cell migration and invasion in gastric cancer. AB - Cancer cell invasion and metastasis are the leading causes of the high mortality rates in patients with malignant tumors. There is accumulating evidence to indicate that dysregulated long non-coding RNAs (lncRNAs) may be involved in the progression of tumor invasion and metastasis. However, the regulatory mechanisms of the aberrant expression of lncRNAs remain largely unknown, although the roles of lncRNAs as drivers of tumor suppressive and oncogenic functions have appeared in prevalent cancer types in recent years. In the present study, we identified that the transcription factor, activating enhancer-binding protein 4 (TFAP4), acts as a key modulator of translation regulatory long non-coding RNA 1(TRERNA1), which has been proven to promote the invasion and metastasis of gastric cancer (GC) cells. We revealed that TRERNA1 was upregulated in gastric carcinogenesis and promoted cell migration and invasion in GC. Using bioinformatics analysis, we observed that there were several potential binding sites of TFAP4 in the promoter region of TRERNA1. The knockdown of TFAP4 significantly reduced the expression level of TRERNA1, whereas the ectopic expression of TFAP4 significantly increased the expression level of TRERNA1 in GC cell lines. Dual luciferase reporter assay combined with chromatin immunoprecipitation (ChIP) revealed that TFAP4 specifically regulated the transcriptional activity of TRERNA1 by binding to the E-box motifs in the TRERNA1 promoter. In addition, there was a positive correlation between the TFAP4 and TRERNA1 expression level in clinical GC cases, which also indicated that TFAP4 can directly modulate the expression of TRERNA1. In the present study, we provide a novel potential therapeutic target and strategy for GC. PMID- 29845217 TI - Genes associated with inflammation and the cell cycle may serve as biomarkers for the diagnosis and prognosis of acute myocardial infarction in a Chinese population. AB - The present study aimed to identify biomarkers for the clinical diagnosis of acute myocardial infarction (AMI) in a Chinese population using microarray data collected from the Gene Expression Omnibus database under accession number GSE97320. This included the peripheral blood samples of three patients with AMI and three controls. Differentially expressed genes (DEGs) were identified using the limma package and protein-protein interaction networks were constructed using data from the Search Tool for the Retrieval of Interacting Genes database, followed by module analysis to screen for hub genes. Functional enrichment analyses were performed using the Database for Annotation, Visualization and Integrated Discovery. The identified genes were verified by overlapping with the target genes of microRNAs (miRs) known to be associated with AMI, as well as the DEGs identified in other AMI datasets, including GSE24519, GSE34198 and GSE48060. As a result, 752 DEGs (449 upregulated and 303 downregulated) were identified in the GSE97320 dataset. The upregulated DEGs were predicted to participate in inflammatory pathways, including the toll-like receptor (TLR) signaling pathway, including ras-related C3 botulinum toxin substrate 1 (RAC1), TLR4, C-C motif chemokine receptor (CCR)1; cytokine-cytokine receptor interaction, including signal transducer and activator of transcription (STAT)3; chemokine signaling pathway, including CCR10; pathways associated with cancer, including colony stimulating factor 3 receptor (CSF3R); and leukocyte transendothelial migration, including matrix metallopeptidase 9 (MMP9). The downregulated DEGs were associated with the cell cycle, including alstrom syndrome protein 1 (ALMS1). These conclusions were made following functional analysis of the genes in the three identified modules. MMP9, TLR4, STAT3, CCR1 and ALMS1 were regulated by miR 21-5p, whereas RAC1 was regulated by miR-30c-5p. A comparison among the four datasets confirmed the roles of CSF3R and CCR10. HtrA serine peptidase 1 (HTRA1) was the only gene associated with both mortality and recurrence. In conclusion, inflammation-associated genes, including STAT3, CCR1, RAC1, MMP9, CCR10, CSF3R and HTRA1, as well as cell cycle-associated genes such as ALMS1, may be biomarkers for the diagnosis and prognosis of AMI in Chinese people. PMID- 29845219 TI - miR-218 promotes apoptosis of SW1417 human colon cancer cells by targeting c FLIP. AB - MicroRNAs (miRNAs) are suggested to act as either tumor oncogenes or tumor suppressors in different types of cancer. miRNA-218 (miR-218) is a type of short, non-coding RNA which is involved in gastric cancer development. In the present study, we evaluated the functions of miR-218 in SW1417 human colon cancer cells and its potential mechanisms. Following overexpression of miR-218 in human colon cancer cells, cell viability was determined by CKK-8 assay, cell apoptosis was observed using a TUNEL Kit, the expression of caspase-8, and its inhibitor cellular Fas-associated death domain-like interleukin-1beta-converting enzyme inhibitory protein (c-FLIP) was assessed by RT-PCR, western blot analysis and immunohistochemistry. The results indicated that miR-218 and caspase-8 expression was decreased while c-FLIP expression was elevated in human colon cancer tissues. In cultured SW1417 human colon cancer cells, miR-218 overexpression potently inhibited cell viability and promoted cell apoptosis. Furthermore, downregulation of c-FLIP expression and upregulation of caspase-8 expression were detected in miR-218-stimulated SW1417 cells. In addition, following the knockdown of c-FLIP using c-FLIP siRNA, the apoptotic effects of miR-218 on SW1417 cells were significantly reduced. Collectively, the present study demonstrated that miR-218 induced the apoptosis of SW1417 cells by targeting c-FLIP. Therefore, miR-218 may represent a potential therapeutic method for screening and treating colon cancer. PMID- 29845220 TI - [Corrigendum] Heat shock protein 90/Akt pathway participates in the cardioprotective effect of exogenous hydrogen sulfide against high glucose induced injury to H9c2 cells. AB - Subsequently to the publication of this article, the authors have realized that the address affiliation for the corresponding author, Chengheng Hu, and the authors Longyun Peng and Xinxue Liao appeared incorrectly. These authors' affiliation information should have appeared as follows (the corrected address affiliation is featured in bold): XIAO KE1,2*, JINGFU CHEN3*, LONGYUN PENG4, WEI ZHANG5, YIYING YANG5, XINXUE LIAO4, LIQIU MO6, RUIXIAN GUO7, JIANQIANG FENG6, CHENGHENG HU4 and RUQIONG NIE2 1Department of Cardiology, Shenzhen Sun Yat-sen Cardiovascular Hospital, Shenzhen; 2Department of Cardiology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong; 3Department of Cardiovascular Medicine and Dongguan Cardiovascular Institute, The Third People's Hospital of Dongguan City, Dongguan; 4Department of Cardiology and Key Laboratory on Assisted Circulation, Ministry of Health, The First Affiliated Hospital, Sun Yat-sen University; 5Department of Cardiovasology and Cardiac Care Unit (CCU), Huangpu Division of The First Affiliated Hospital, Sun Yat-sen University; 6Department of Anesthesiology, Huangpu Division of The First Affiliated Hospital, Sun Yat-sen University; 7Department of Physiology, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, Guangdong, P.R. China *Contributed equally In addition, the address for correspondence in the correspondence box should have appeared as follows: Correspondence to: Professor Chengheng Hu, Department of Cardiology and Key Laboratory on Assisted Circulation, Ministry of Health, The First Affiliated Hospital, Sun Yat-sen University, Guangdong, 58 Zhongshan 2rd Road, Guangzhou 510080, P.R. China E-mail: huchengheng138@163.com The authors regret this error in the affiliations, and apologize for any inconvenience caused. [the original article was published in the International Journal of Molecular Medicine 39: 1001-1010, 2017; DOI: 10.3892/ijmm.2017.2891]. PMID- 29845221 TI - miR-215 promotes epithelial to mesenchymal transition and proliferation by regulating LEFTY2 in endometrial cancer. AB - Endometrial cancer (EC) is the most common gynecological tumor in developed countries with an increasing incidence. Left-right determination factor 2 (LEFTY2), a suppressor of cell proliferation and tumor growth, is a negative regulator of EC progression. The roles of LEFTY2 are emerging; however, the regulatory mechanisms of its expression have not been well understood. MicroRNA (miR)-215 as an oncogene serves an important role in tumorigenesis by regulating target genes. In the present study, it was demonstrated that overexpression of miR-215 promoted epithelial to mesenchymal transition (EMT), colony formation and DNA synthesis in EC HEC-1A cells and its expression was upregulated in EC tissues. Using online miR target prediction software, it was revealed that LEFTY2 is predicted as a target of miR-215. Using western blot analysis and immunofluorescence assays, it was demonstrated that overexpression of miR-215 markedly downregulated LEFTY2 protein expression levels in HEC-1A cells and LEFTY2 protein expression was downregulated in EC tissues, which was inversely correlated with miR-215 expression. Furthermore, the present study indicated that overexpression of LEFTY2 protein promoted mesenchymal to epithelial transition and sensitized HEC-1A cells to cisplatin treatment. In addition, it was revealed that the overexpression of LEFTY2 inhibited colony formation and DNA synthesis in HEC-1A cells. Thus, miR-215 may promote EMT and proliferation by regulating LEFTY2 in EC. PMID- 29845222 TI - Paeonol induces the apoptosis of the SGC-7901 gastric cancer cell line by downregulating ERBB2 and inhibiting the NF-kappaB signaling pathway. AB - The purpose of the present study was to analyze the association between paeonol and the known genes related to gastric cancer (GC) using bioinformatics methods, and to investigate the role of paeonol in the potential impact on the nuclear factor-kappaB (NF-kappaB) signaling pathway, in order to provide a theoretical basis for further elucidating the effect of paeonol on cancer cells. Cell viability, morphology and apoptosis were detected using an MTT assay, an inverted microscope, and flow cytometry, respectively. The correlation between drugs and genes was analyzed using the Search Tool for Interactions of Chemicals (STITCH) gene-drug interaction network. The expression levels of related mRNA and proteins were determined using reverse transcription-quantitative polymerase chain reaction analysis and enzyme-linked immunosorbent assay. The changes in protein expression were examined using western blot analysis. The correlation network between target genes directly affected by paeonol and known GC genes was determined by analyzing the association between the compounds and genes recorded in the STITCH database. The GC-related epidermal growth factor receptor 2 (ERBB2) gene was at the core position of the paeonol interaction network and may be an important potential target gene for the effect of paeonol on cancer cells. The effect of paeonol on the viability of the SGC-7901 GC cell line was detected using an MTT assay, which showed that the inhibitory effect occurred in a time- and dose-dependent manner. The observations of cell morphology demonstrated that the cells were floating, abnormal in shape, had unclear boundaries and were sparse in arrangement following paeonol treatment. Flow cytometry indicated that paeonol significantly accelerated the apoptotic rate of the SGC-7901 GC cells. The examination of clinical samples suggested that ERBB2 was expressed at a high level in GC samples, and was significantly downregulated following the addition of paeonol. The western blot analysis revealed that downregulating ERBB2 affected the activation of the NF-kappaB signaling pathway, thereby upregulating the pro apoptotic factor B-cell lymphoma-associated X protein. Taken together, paeonol significantly downregulated ERBB2 and inhibited the activation of the NF-kappaB signaling pathway, thereby inhibiting the proliferation of SGC-7901 cells and inducing apoptosis. PMID- 29845223 TI - Apoptosis induced by 9,11-dehydroergosterol peroxide from Ganoderma Lucidum mycelium in human malignant melanoma cells is Mcl-1 dependent. AB - 9,11-Dehydroergosterol peroxide [9(11)-DHEP] is an important steroid from medicinal mushroom, which has been reported to exert antitumor activity in several tumor types. However, the role of 9(11)-DHEP toward the malignant melanoma cells has not been investigated. In the present study, the steroid from Ganoderma lucidum was purified on a submerged culture, and its antitumor mechanisms on A375 human malignant melanoma cells was investigated by MTT, flow cytometry and western blotting. The studies demonstrated that apoptotic mechanisms of the steroid were caspase-dependent and mediated via the mitochondrial pathway. The steroid did not cause significant changes in the expression levels of B-cell lymphoma 2 (Bcl-2) family proteins, Bcl-2-like protein 11, p53 upregulated modulator of apoptosis, Bcl-2-associated X protein, BH3 interacting-domain death agonist, Bcl-2-associated death promoter and Bcl-2, but it significantly downregulated induced myeloid leukemia cell differentiation protein Mcl-1 (Mcl-1) in melanoma cells, suggesting the key role of Mcl-1 in regulating apoptosis of melanoma cells induced by the steroid. These properties of 9(11)-DHEP advocate its usage as supplements in human malignant melanoma chemoprevention. The present study also suggests that mycelium of G. lucidum has a potential for producing bioactive substances and extracts with applications in medicine. PMID- 29845224 TI - Let-7d inhibits colorectal cancer cell proliferation through the CST1/p65 pathway. AB - Cystatin SN (cystatin 1, CST1) is a member of the cystatin superfamily which inhibits the proteolytic activity of cysteine proteases. CST1 is a tumor biomarker that provides useful information for the diagnosis of esophageal, gastric and colorectal carcinomas. MicroRNAs (miRNAs or miRs) play an important role in tumor cell proliferation. However, the exact role of let-7d and CST1 in colon cancer remains unknown. The aim of this study was to assess whether let-7d inhibits colorectal carcinogenesis through the CST1/p65 pathway, and determine whether it may be used as a potential target for clinical therapy. Microarray analysis of mRNAs extracted from colon cancer and normal tissues was performed. The results of gene expression microanalysis revealed that CST1 expression was upregulated in colon cancer compared with normal tissues. In addition, the upregulation of CST1 expression and the downregulation of let-7d expression in patients with colon cancer and in several colorectal cancer cell lines were confirmed by reverse transcription-quantitative PCR (RT-qPCR), immunohistochemistry and western blot analysis. In addition, siRNA targeting CST1 (CST1-siRNA) and let-7d-mimics were used in the HCT116 cells, and the results revealed that CST1 and let-7d played a role in colorectal cancer cell proliferation. Let-7d inhibited colorectal carcinogenesis through the CST1/p65 pathway. Thus, the findings of the present study indicate that CST1 may be a potential target for the future clinical therapy of colorectal cancer. PMID- 29845225 TI - WAVE3 promotes proliferation, migration and invasion via the AKT pathway in pancreatic cancer. AB - Alterations in Wiskott-Aldrich syndrome protein family verprolin-homologous protein 3 (WAVE3) expression play various roles in certain types of cancer. However, the roles of WAVE3 expression in pancreatic cancer remain unknown. The present retrospective study demonstrated that WAVE3 expression was higher in cancerous pancreatic tissues than in non-neoplastic tissues. Moreover, WAVE3 overexpression was related to lymphatic metastasis, a poor differentiation and high pre-operative CA19-9 levels and was an adverse prognostic factor for patients with pancreatic cancer. In vitro, the knockdown of WAVE3 inhibited the proliferative, migratory and invasive potential of pancreatic cancer cells and promoted cell apoptosis. Western blot analysis demonstrated that WAVE3 influenced the protein kinase B (PBK/AKT) pathway by suppressing the expression of pyruvate dehydrogenase kinase isoform 2 (PDK2) and then negatively inhibiting the phosphorylation of Ser473 on AKT. Furthermore, the expression of AKT pathway downstream proteins [certain epithelial-mesenchymal transition (EMT)-related proteins, p53, Bcl-2 and cyclin D1] was accordingly altered. Taken together, our findings suggest that WAVE3 influences cell proliferation, migration and invasion via the AKT pathway, and targeting WAVE3 and/or the AKT pathway may potentially serve as a treatment strategy for pancreatic cancer. PMID- 29845226 TI - Downregulation of microRNA-449a-5p promotes esophageal squamous cell carcinoma cell proliferation via cyclin D1 regulation. AB - Aberrant microRNA-449a (miR-449a-5p) expression has been demonstrated to be associated with the development of various cancer types. However, the effect of miR-449a-5p on esophageal squamous cell carcinoma (ESCC) cell proliferation remains unknown. The present study aimed to determine whether miR-449a-5p may regulate ESCC cell proliferation via negative regulation of cyclin D1. Reverse transcription quantitative-polymerase chain reaction was used to measure the expression of miR-449a-5p in ESCC tissues and cells. Western blot was performed to analyze the protein level of cyclin D1. The proliferation of ESCC cells was determined by MTT and clone formation assay. Paired ESCC and adjacent normal esophageal squamous tissues were collected from patients with ESCC. It was demonstrated that miR-449a-5p expression was reduced, whereas cyclin D1 expression was increased in ESCC tissues compared with adjacent normal tissues. Proliferation was investigated in vivo using the ESCC cell line Eca-190. miR-449a 5p inhibitor transfection facilitated the proliferation of Eca-109 cells. By contrast, transfection with miR-449a-5p mimics inhibited Eca-109 cell proliferation. Furthermore, it was confirmed that miR-449a-5p directly bound to the 3'-untranslated region of cyclin D1. Transfection with cyclin D1 small interfering RNA reversed the effects of the miR-449a-5p inhibitor on Eca-109 cell proliferation. In conclusion, miR-449a-5p may control ESCC proliferation through the negative regulation of cyclin D1 expression. PMID- 29845227 TI - Application of an improved targeted next generation sequencing method to diagnose non-syndromic mental retardation in one step: A case report. AB - The genetic basis of congenital mental retardation includes chromosomal anomalies and single gene mutations. In addition to chromosome microarray analysis, next generation sequencing (NGS) and Sanger sequencing have additionally been applied to identify single gene mutations. However, no methods exist to identify the cause of an anomaly in one step. The present study applied an improved targeted NGS method to diagnose an 8-year-old Chinese Han female with mental retardation in one step. The microdeletion 17p11.2 was successfully detected by the improved targeted NGS and no single gene mutations were identified. The same microdeletion was verified using low coverage whole-genome sequencing. Fertility guidance was also given to the patient's parents. In the present study, an improved targeted NGS method was applied to diagnose non-syndromic mental retardation of unknown cause in one step. This improved method has the potential to be developed into a screening panel for the effective diagnosis of genetic abnormalities in non syndromic mental retardation and other congenital anomalies. PMID- 29845228 TI - Cancer stem cells and hypoxia-inducible factors (Review). AB - Cancer stem cells (CSCs), also known as tumor-initiating cells, are a subpopulation of tumor cells that exhibit properties similar to those of normal stem cells. Oxygen is an important regulator of cellular metabolism; hypoxia inducible factors (HIFs) mediate metabolic switches in cells in hypoxic environments. Hypoxia clearly has the potential to exert a significant effect on the maintenance and evolution of CSCs. Both HIF-1alpha and HIF-2alpha may contribute to the regulation of cellular adaptation to hypoxia and resistance to cancer therapies. This review provides an overview of the roles of HIFs in CSCs. HIF-1alpha and HIF-2alpha have significant prognostic and predictive value in the clinic and the concept of personalized medicine should be applied in designing clinical trials for HIF inhibitors. PMID- 29845229 TI - Knockdown of GA-binding protein subunit beta1 inhibits cell proliferation via p21 induction in renal cell carcinoma. AB - Clear cell renal cell carcinoma (ccRCC) is the most common type of renal cancer. In the present study, bioinformatics tools were systematically used to investigate the potential upstream effector involved in the progression of ccRCC. Using the Gene Expression Omnibus database and Library of Integrated Network based Cellular Signatures L1000 platform, it was identified that GA-binding protein subunit beta1 (GABPB1) was a potential effector gene. GABPB1 is a transcription factor subunit and its function in ccRCC is unclear. Elevated expression of GABPB1 mRNA in ccRCC was also observed in other clinical datasets from the Oncomine database. Following reverse transcription-quantitative polymerase chain reaction and western blot analysis, the ccRCC 786-O and A498 cell lines showed higher expression levels of GABPB1 than HK-2, a normal kidney cell line. Knockdown of GABPB1 in the 786-O and A498 cells significantly decreased the ability to form colonies by inducing the expression of p21Waf/Cip1. SurvExpress database analysis indicated that a higher expression of GABPB1 was associated with poor survival outcome in patients with renal cancer. These findings imply that GABPB1 serves an important role in the progression of ccRCC. PMID- 29845230 TI - Pulsed electromagnetic fields alleviate streptozotocin-induced diabetic muscle atrophy. AB - Diabetic muscle atrophy causes a reduction of skeletal muscle size and strength, which affects normal daily activities. However, pulsed electromagnetic fields (PEMFs) can retard the atrophy of type II fibers (ActRIIB) in denervated muscles. Therefore, the purpose of the present study was to determine whether PEMFs can alleviate streptozotocin (STZ)-induced diabetic muscle atrophy. To do this, 40 Sprague-Dawley (SD) rats were randomly divided into four groups (n=10 per group): The normal control group (NC; nondiabetic rats without treatment); the diabetic mellitus group (DM; STZ-induced rats without treatment); the diabetic insulin treated group (DT; diabetic rats on insulin treatment, 6-8 U/d twice a day for 6 weeks) as a positive control; and the diabetic PEMFs therapy group (DP; diabetic rats with PEMFs exposure treatment, 15 Hz, 1.46 mT, 30 min/day for 6 weeks). Body weight, muscle strength, muscle mass and serum insulin level were significantly increased in the DP group compared with the DM group. PEMFs also decreased the blood glucose level and altered the activity of metabolic enzymes. PEMFs significantly increased the cross-sectional area of muscle fiber. In addition, PEMFs significantly activated protein kinase B (Akt) and mammalian target of rapamycin (mTOR), and inhibited the activity of myostatin (MSTN), ActRIIB and forkhead box protein O1 (FoxO1) compared with the DM group. Thus indicating that the Akt/mTOR and Akt/FoxO1 signaling pathways may be involved in the promotion of STZ-induced diabetic muscle atrophy by PEMFs. The results of the present study suggested that PEMFs stimulation may alleviate diabetic muscle atrophy in the STZ model, and that this is associated with alterations in multiple signaling pathways in which MSTN may be an integral factor. MSTN-associated signaling pathways may provide therapeutic targets to attenuate severe diabetic muscle wasting. PMID- 29845231 TI - Identification of key gene networks associated with fracture healing using alphaSMA-labeled progenitor cells. AB - The aim of the present study was to investigate the key gene network in fracture healing. The dataset GSE45156 was downloaded from the Gene Expression Omnibus. Differentially expressed genes (DEGs) were identified using the linear models for microarray data package of Bioconductor. Subsequently, Gene Ontology (GO) functional and Kyoto Encyclopedia of Genes and Genomes pathway enrichment analyses were conducted for DEGs in day 2 and 6 fractured samples via the Database for Annotation, Visualization and Integrated Discovery. Furthermore, protein-protein interactions (PPIs) of DEGs were analyzed and a PPI network was constructed. A total of 774 and 1,172 DEGs were identified in day 2 and 6 fractured samples, respectively, compared with unfractured controls. Of the DEGs in day 2 and 6 fractured samples, various upregulated DEGs, including protein kinase C alpha (Prkca) and B-cell lymphoma antagonist/killer 1 were significantly enriched in GO terms associated with cell death, and certain downregulated DEGs, including fms-related tyrosine kinase 1 (Flt1), nitric oxide synthase 3 (Nos3), bone morphogenetic protein 4 (Bmp4) and Notch1 were enriched in GO terms associated with angiogenesis. Furthermore, a series of downregulated DEGs were enriched in the Notch signaling pathway, including hes family bHLH transcription factor 1 and Notch1. Certain DEGs had a high degree and interacted with each other, including Flt1, Nos3, Bmp4 and Notch1, and Prkca and ras-related C3 botulinum toxin substrate 3. The up and downregulated DEGs may exert critical functions by interactively regulating angiogenesis or apoptosis. PMID- 29845232 TI - Upregulation of microRNA-24 causes vasospasm following subarachnoid hemorrhage by suppressing the expression of endothelial nitric oxide synthase. AB - MicroRNA (miR)-24 has been reported to associate with various diseases by acting on different signaling pathways. The present study aimed to elucidate the association between miR-24 expression levels and vasospasm following subarachnoid hemorrhage (SAH), and its underlying mechanism. An miR online database was searched, identifying endothelial nitric oxide synthase (NOS3) as a potential target gene of miR-24. A luciferase reporter assay performed to investigate the regulatory association between miR-24 and NOS3 revealed that miR-24 bound to the NOS3 3' untranslated region and inhibited NOS3 expression. Reverse transcription quantitative polymerase chain reaction and western blot analysis were performed to investigate the miR-24 and NOS3 expression levels in samples from patients with SAH, and demonstrated a negative correlation between the two. In addition, miR-24 expression levels were increased in SAH patients with vasospasm compared with those without, whereas the opposite results were observed for NOS3. Vascular smooth muscle cells (VSMCs) transfected with an miR-24 inhibitor exhibited increased expression levels of NOS3, whereas those transfected with an miR-24 mimic or NOS3 small interfering RNA exhibited reduced expression levels of NOS3, compared with the control. These results indicated a negative regulatory association between miR-24 and NOS3. Downregulation of NOS3 may induce vasospasm following SAH, which may be due to the upregualtion of miR-24 in VSMCs. PMID- 29845233 TI - Matrine exerts inhibitory effects in melanoma through the regulation of miR-19b 3p/PTEN. AB - Matrine, one of the main alkaloid components extracted from the traditional Chinese herb, Sophora flavescens Ait, has various pharmacological effects, and has been reported to exert antitumor activity in melanoma. In the current study, the molecular mechanisms underlying the inhibitory effects of matrine were investigated in melanoma cell line. It was initially confirmed that matrine inhibited proliferation, invasion and induced apoptosis in human A375 and SK-MEL 2 melanoma cell lines in vitro. Subsequently, reverse transcription-quantitative polymerase chain reaction (RT-qPCR) analysis demonstrated that the expression of microRNA (miR)-19b-3p was significantly increased in melanoma cells and was downregulated by treatment with matrine. Furthermore, downregulated miR-19b-3p exerted effects similar to 500 ug/ml matrine on cell proliferation, invasion and apoptosis. Phosphatase and tensin homolog (PTEN) mRNA was identified as a direct target of miR-19b-3p through bioinformatics analysis and a dual-luciferase reporter assay. Additionally, western blotting and RT-qPCR analysis demonstrated that the expression of PTEN protein and mRNA were increased by the treatment with matrine. Furthermore, silencing of PTEN expression reversed the effects of matrine and miR-19b-3p downregulation in A375 and SK-MEL-2 cells. Taken together, the results indicated that matrine may suppress cell proliferation and invasion and induce cell apoptosis partially via miR-19b-3p targeting of PTEN. PMID- 29845234 TI - Quercetin protects against ox-LDL-induced injury via regulation of ABCAl, LXR alpha and PCSK9 in RAW264.7 macrophages. AB - Quercetin is a flavonoid that has anti-inflammatory, anti-oxidant and lipid metabolic effects. It has also been reported to reduce the risk of cardiovascular disease. The present study measured the effects of quercetin on the expression of ATP-binding cassette transporter 1 (ABCAl), ATP-binding cassette sub-family G member 1 (ABCG1), liver X receptor-alpha (LXR-alpha), proprotein convertase subtilisin/kexin type 9 (PCSK9), p53, p21 and p16 induced by oxidized low density lipoprotein (ox-LDL). RAW264.7 macrophages were exposed to ox-LDL with or without 20 umol/l quercetin and cell proliferation and senescence were quantified using beta-gal staining. Superoxide dismutase (SOD), malondialdehyde (MDA) and lipid droplets were measured in the cytoplasm using oil red staining, while intracellular and total cholesterol (TC) were measured using filipin staining and a TC kit. Immunofluorescent studies and western blot analysis were performed to quantify the expression of ABCAl, ABCG1, LXR-alpha, PCSK9, p53, p21 and p16. Quercetin increased RAW264.7 cell viability and reduced lipid accumulation, senescence, lipid droplets, intracellular cholesterol and TC. It was concluded that quercetin inhibits ox-LDL-induced lipid droplets in RAW264.7 cells by upregulation of ABCAl, ABCG1, LXR-alpha and downregulation of PCSK9, p53, p21 and p16. PMID- 29845235 TI - Rosuvastatin relieves myocardial ischemia/reperfusion injury by upregulating PPAR gamma and UCP2. AB - The present study aimed to investigate whether pretreatment with rosuvastatin (RS) can provide cardioprotection in a myocardial ischemia/reperfusion (MI/R) model. The protective effect of RS on myocardial oxygen-glucose deprivation/reperfusion (OGD/R) injury was also evaluated by upregulating peroxisome proliferator-activated receptor-gamma (PPAR-gamma). In the present study, MI/R model was established and activities of superoxide dismutase (SOD), lactate dehydrogenase (LDH), creatine kinase-muscle/brain (CK-MB), malondialdehyde (MDA), and troponin I/T were measured. The infarct size was measured using Evans blue staining and cell viability was measured by MTT assay. Reactive oxygen species (ROS) levels were assessed by flow cytometry. Caspase-9, cytochrome c (cyt c), mitochondrial uncoupling protein 2 (UCP2) and PPAR-gamma expression levels were detected by reverse transcription-quantitative polymerase chain reaction and western blotting. The results indicated that RS increased SOD activity, and decreased LDH, CK-MB, MDA and troponin I/T activities. The effect of RS was reversed by atractyloside (ATR). RS inhibited myocardial infarct size, downregulated expression of caspase-9 and cyt c and upregulated expression of UCP2 and PPAR-gamma by inhibiting ATR. Furthermore, the results indicated that RS promoted cardiomyocyte viability, inhibited LDH release, reduced ROS production, decreased expression of caspase-9 and cyt c, and increased expression of UCP2 and PPAR-gamma following OGD/R damage. Therefore, the present study demonstrated that RS protects primary myocardial cells against OGD/R injury by regulating PPAR gamma and UCP2. RS may be a promising therapeutic agent for treatment of MI/R injury. PMID- 29845236 TI - Expression of microRNA-377 and microRNA-192 and their potential as blood-based biomarkers for early detection of type 2 diabetic nephropathy. AB - The increased incidence of diabetic nephropathy (DN) in type 2 diabetes (T2D) requires novel markers for the early detection of DN. Previously, microRNAs (miRs) have been demonstrated to be promising disease biomarkers. The present study evaluated the biomarker potential of DN-associated miR-377 and miR-192 in the early stages of DN. The study included 85 participants: 55 patients with T2D (30 without DN and 25 with DN) and 30 healthy controls. The patients with T2D were classified according to albumin-to-creatinine ratio and were split into three groups: Normoalbuminuric group (n=30), microalbuminuric group (n=15) and macroalbuminuric group (n=10). Reverse transcription-quantitative polymerase chain reaction analysis was used to evaluate blood miR expression. It was observed that there was higher miR-377 expression and lower miR-192 expression in T2D patients with and without DN compared with healthy controls (P<0.05). miR-377 was higher in the normoalbuminuric group and gradually increased in the microalbuminuric and macroalbuminuric groups (P<0.05), whereas miR-192 was lower in the macroalbuminuric group compared with the normoalbuminuric group (P<0.05). Regression analysis revealed direct associations between the two miRs and albuminuria (P<0.05). miR-377 was independently associated with DN risk, even following multivariable adjustment, and albuminuria was the only predictor of miR 377 (P<0.001). In discriminating overall patients from healthy subjects, ROC analysis revealed areas under the curve (AUCs) of 0.851 for miR377 and 0.774 for miR-192 (P<0.001). In discriminating the normoalbuminuric group from the microalbuminuric/macroalbuminuric groups, the AUCs were 0.711 (P=0.008) and 0.70 (P=0.049) for miR-377 and miR-192, respectively. In patients with microalbuminuria and macroalbuminuria, miR-377 correlated positively with albuminuria and negatively with renal function, whereas miR-192 correlated negatively with albuminuria and positively with renal function (P=0.001), and the two miRs were correlated with known risk factors of DN (P<0.05). The results suggested that blood-based miR-377 and miR-192 may serve as potential biomarkers for early detection of DN. Further validation studies are required with larger sample sizes. PMID- 29845237 TI - Downregulation of miR-637 promotes proliferation and metastasis by targeting Smad3 in keloids. AB - Keloids are a type of abnormal scar tissue. MicroRNAs (miRNAs) exhibit a pivotal role in the regulation of cell proliferation and metastasis of keloids. miRNA microarray revealed that miR-637 was one of the most frequently altered miRNAs in keloids. Furthermore, up-regulation of miR-637 inhibited cell proliferation and metastasis by targeting mothers against decapentaplegic homolog (Smad)3, one of the important proteins that affects the formation of keloids. Further studies demonstrated that miR-637 regulated the proliferation and metastasis of human keloid fibroblast (HKF) cells by mediating the Smad3 signaling pathway. Overall, the present findings suggest that miR-637 may be a promising therapeutic target in keloids. PMID- 29845238 TI - Matrine inhibits prostate cancer via activation of the unfolded protein response/endoplasmic reticulum stress signaling and reversal of epithelial to mesenchymal transition. AB - Prostate cancer is the second most commonly diagnosed malignancy and the sixth global primary cause of malignancy-associated fatality. Increased invasiveness and motility in prostate cancer cells are associated with ubiquitin proteasome system-regulated epithelial to mesenchymal transition (EMT). Impairment of the endoplasmic reticulum (ER) causes ER stress due to the accumulation of unfolded proteins and altered cell survival. In the current study, the effect and mechanism of matrine on cell apoptosis, viability, migration and invasion of human prostate cancer cells in vivo and in vitro through the unfolded protein response (UPR)/ER stress pathway were investigated. Matrine inhibited proteasomal chymotrypsin-like (CT-like) activity in the prostate carcinoma cellular proteasome. Upregulated vimentin and N-cadherin and downregulated E-cadherin were also observed in vitro and in vivo. In vitro analyses showed that matrine repressed cell motility, viability and invasion, arrested the cell cycle at the G0/G1 phase and induced prostate cancer cell apoptosis. Furthermore, matrine activated the UPR/ER stress signaling cascade in prostate cancer cells and tumor tissues of xenograft-bearing nude mice. Results also demonstrated that the anti apoptotic protein Bcl-2 was downregulated, the pro-apoptotic protein Bak was upregulated and the cell growth and cell cycle-related proteins c-Myc, Cyclin B1, Cyclin D1 and CDK1 were downregulated. Moreover, matrine inhibited tumor growth and Ki-67 expression in xenograft-bearing nude mice. To the best of our knowledge, the present study indicated for the first time that matrine exerted marked anticancer functions in human prostate carcinoma in vivo and in vitro through activation of the proteasomal CT-like activity inhibition mediated by the UPR/ER stress signaling pathway. PMID- 29845239 TI - Identification of a mutL-homolog 1 mutation via whole-exome sequencing in a Chinese family with Gardner syndrome. AB - Gardner syndrome (GS), a variant of familial adenomatous polyposis, is a rare genetic disorder with autosomal dominant inheritance, characterized by the presence of multiple intestinal polyps, multiple osteomas, dental abnormalities and soft tissue tumors. To date, only a few gene mutations have been demonstrated to be responsible for GS. To explore potential unknown mutations responsible for GS, the present study used whole-exome sequencing of two affected individuals from a family with GS to identify a candidate mutation in mutL-homolog (MLH)1. The two patients with GS were diagnosed based on a combination of clinical features, family history, physical examinations and cone-beam computed tomographic imaging. Through whole-genome sequencing, the present study subsequently identified a missense mutation in MLH1 (NM_000249.3:p.Tyr379Ser/c.1136A>C), which was further confirmed by Sanger sequencing. Furthermore, the amino acid residue p.Tyr379 was identified to be highly conserved among different species through sequence alignment with ClustalW2. In conclusion, the results identified for the first time a MLH1 missense mutation (NM_000249.3:p.Tyr379Ser/c.1136A>C) in a Chinese family with GS, thus broadening the range of mutated genes associated with GS. This highlights the value of whole-exome sequencing in identifying disease mutations in a family. PMID- 29845240 TI - Caspase-9 was involved in cell apoptosis in human dental pulp stem cells from deciduous teeth. AB - As one type of adult stem cells (ASCs), human dental pulp stem cells (HDPSCs) have several properties, including high proliferation rate, self-renewal capability, and multi-lineage differentiation. However, the apoptotic mechanism underlying the development of dental pulp cells remains unclear. In the present study, a significant increase of apoptosis was observed in HDPSCs from the deciduous teeth compared with that from adult permanent teeth. In addition, the occurrence of cytochrome c expression and mitochondrial-mediated apoptosis pathway activity in HDPSCs were confirmed by quantitative polymerase chain reaction, and western blotting. Although caspase-8 and caspase-9 showed higher expression in deciduous teeth than in adult permanent teeth, only the knockdown of caspase-9 via RNA interference in HDPSC cells exhibited a significant reduction in apoptosis, and caspase-3 expression and activity. All these results revealed that caspase-9 and activated caspase-3 predominantly regulates cell apoptosis in HDPSCs from deciduous teeth. PMID- 29845241 TI - Water-soluble nano-pearl powder promotes MC3T3-E1 cell differentiation by enhancing autophagy via the MEK/ERK signaling pathway. AB - Nacre (mother of pearl) is a bioactive material capable of facilitating osteoblast proliferation and differentiation; however, further investigation into the mechanism underlying the effects of nacre on the stimulation of bone differentiation is required. The present study aimed to elucidate the effects of water-soluble nano-pearl powder (WSNNP) on osteoblast differentiation and to examine the underlying mechanisms. A MTT assay revealed that WSNNP (10, 25 and 50 ug/ml) may stimulate the viability of preosteoblastic MC3T3-E1 cells and 50 ug/ml WSNNP exhibited the maximum stimulatory effect. Furthermore, WSNNP significantly enhanced the protein expression levels of differentiation markers, including collagen I, runt-related transcription factor 2 (RUNX2), secreted phosphoprotein1 (SPP1) and alkaline phosphatase (ALP) in a dose-dependent manner, which indicated that WSNNP may promote osteoblast differentiation. Subsequently, whether autophagy serves a role in WSNNP-mediated differentiation of osteoblasts was investigated via western blotting and immunofluorescence. The results of the present study demonstrated that WSNNP treatment significantly evoked the expression of autophagy markers, including microtubule-associated light chain 3 (LC3)II/I, Beclin1 and autophagy-related 7 (ATG7), whereas the autophagy inhibitor 3-methyladenine significantly inhibited WSNNP-induced osteoblast differentiation. Furthermore, the role of WSNNP on the potential signaling pathways that activate autophagy was investigated. The present study reported that WSNNP may significantly upregulate the mitogen-activated protein kinase kinase (MEK)/extracellular signal-regulated kinase (ERK) signaling pathway. Treatment with the MEK inhibitor U0126 significantly inhibited the protein expression levels of WSNNP-induced differentiation markers, including collagen I, RUNX2, SPP1 and ALP, and autophagy markers, including LC3II/I, Beclin1 and ATG7. Therefore, the findings of the present study suggested that WSNNP may contribute to osteoblast differentiation by enhancing autophagy via the MEK/ERK signaling pathway, thus suggesting a novel direction for optimizing the biological materials in bone implants. PMID- 29845242 TI - Diagnosis of polyglutamine spinocerebellar ataxias by polymerase chain reaction amplification and Sanger sequencing. AB - Spinocerebellar ataxia (SCA) is a group of genetic diseases of the nervous system with genetic and clinical heterogeneity. SCA is often caused by an expanded CAG repeat sequence in the encoding protein. Genetic testing is necessary to diagnose and classify the types of SCA. Next-generation DNA sequencing usually generates a high error rate for insertion or deletion mutations, so it is unhelpful for classifying the types of SCA. In the present study, a Chinese SCA pedigree was preliminarily diagnosed with SCA1 using polymerase chain reaction (PCR) amplification. The propositus and his three younger siblings were diagnosed with SCA1 as a result of the identification of the length of the expanded CAG repeat sequence in the ATXN1 gene performed using Sanger sequencing. The current study presents a convenient and efficient method to identify causative mutations for polyglutamine SCA using PCR amplification followed by Sanger sequencing. PMID- 29845243 TI - Reduction in activating transcription factor 4 promotes carbon tetrachloride and lipopolysaccharide/D-galactosamine-mediated liver injury in mice. AB - Although activating transcription factor 4 (ATF4) is involved in the regulation of numerous biological functions, whether ATF4 has a direct role in liver injury is unknown. The aim of the present study was to investigate the role of ATF4 in liver injury using mouse models. The results revealed that ATF4 protein is expressed markedly higher in the mouse liver when in comparison with other tissues. Notably, tunicamycin treatment, an endoplasmic reticulum (ER) stress inducer, induced the phosphorylation of eukaryotic translation initiation factor 2alpha (eIF2alpha), but decreased ATF4 protein levels in the mouse liver. This suggested an unconventional regulation pattern of ATF4 protein not associated with ER stress or eIF2alpha. In addition, it was also observed that the liver levels of ATF4 protein were significantly reduced upon chronic liver injury induced by carbon tetrachloride (CCl4). ATF4 protein was also decreased in acute liver injury induced by lipopolysaccharide (LPS) plus D-galactosamine (D-GalN). Furthermore, the results revealed that knockdown of ATF4 by injecting ATF4 targeting Clustered Regularly Interspaced Short Palindromic Repeats (CRISPR) CRISPR associated protein 9 plasmids exacerbated CCl4 and LPS/D-GalN-induced liver injury as demonstrated by elevated serum aspartate transaminase and alanine aminotransferase levels. ATF4 suppression also enhanced CCl4 and LPS/D-GalN mediated c-Jun N-terminal kinase activation. By contrast, ATF4 overexpression alleviated CCl4 and LPS/D-GalN-induced liver injury. Taken together, these observations suggested that ATF4 may serve a protective role in the mouse liver. PMID- 29845244 TI - Bushen recipe and its disassembled prescriptions inhibit inflammation of liver injury associated with Concanavalin A through Toll-like receptor 3/9 signaling pathway. AB - The aim of the present study was to explore the effect of Bushen recipe and its disassembled prescriptions on liver injury and chronic hepatitis B. Liver injury was induced in normal and hepatitis B virus (HBV)-transgenic mice through injection of Concanavalin A, followed by treatment with Bushen recipe and its disassembled prescriptions including the Bushen-yang, the Bushen-yin and the QingHua groups as well as the GanYanLing group (positive control). Subsequently, their liver function indexes were investigated by a microplate method and liver sections were blindly evaluated using an optical microscope by a pathologist. Subsequently, the activation state of Toll-like receptor (TLR)3/9 signaling pathway in liver tissues was analyzed by western blotting. Additionally, the inflammatory factors produced following liver injury in peripheral blood were detected via ELISA. Following intervention with the Bushen recipe and its disassembled prescriptions, the liver function indexe alanine aminotransferase had declined, whereas cholinesterase increased. The pathological alterations of liver tissue in HBV transgenic mice were reversed by Bushen recipe and its disassembled prescriptions. In addition, the TLR3/9 signaling pathway in liver tissues of HBV transgenic mice was inhibited and inflammatory factors such as interleukin (IL)-6, IL-1, tumor necrosis factor-alpha and interferon-gamma were reduced significantly. In conclusion, the present study demonstrated that Bushen recipe and its disassembled prescriptions repaired liver injury induced by Concanavalin A through inhibition of TLR3/9 signaling pathway. PMID- 29845245 TI - Downregulation of CUEDC2 prevents doxorubicin-induced cardiotoxicity in H9c2 cells. AB - Treatment with doxorubicin (DOX), which is an effective anticancer agent, is limited by cardiotoxicity. CUE domain-containing 2 (CUEDC2) serves a role in numerous cellular processes. The present study aimed to elucidate the potential function of CUEDC2 in DOX-induced cardiotoxicity. Cell Counting kit-8 assay demonstrated that DOX induced cytotoxicity of H9c2 cells in a dose-dependent manner. Flow cytometry demonstrated that downregulation of CUEDC2 reduced the levels of DOX-induced reactive oxygen species. Furthermore, compared with in the DOX-treated group, the activity of superoxide dismutase was increased in the DOX + small interfering RNA (si)CUEDC2 group; whereas, the malondialdehyde content was reduced in the DOX + siCUEDC2 group. In addition, flow cytometric analysis indicated that mitochondrial membrane potential was maintained following the depletion of CUEDC2. Furthermore, CUEDC2 downregulation significantly inhibited DOX-induced apoptosis. The expression levels of proapoptotic genes, including B cell lymphoma 2 (Bcl-2)-associated X protein, cleaved caspase-3 and cytochrome c were inhibited by the depletion of CUEDC2. Conversely, the expression levels of the anti-apoptotic gene Bcl-2 were elevated in the CUEDC2 knockdown group. Downregulation of CUEDC2 also increased phosphorylation of protein kinase B and forkhead box O3a, and decreased the expression of Bcl-2-like protein 11 according to western blot analysis. Taken together, the present study demonstrated that CUEDC2 downregulation prevented DOX-induced cardiotoxicity in H9c2 cells. Therefore, CUEDC2 may be a promising target for the prevention of DOX-induced cardiotoxicity. PMID- 29845246 TI - Exosome-mediated transfer of lncRNA RP11-838N2.4 promotes erlotinib resistance in non-small cell lung cancer. AB - Currently, resistance to tyrosine kinase inhibitors, such as erlotinib, has become a major obstacle for improving the clinical outcome of patients with metastatic and advanced-stage non-small cell lung cancer (NSCLC). While cell behavior can be modulated by long non-coding RNAs (lncRNAs), the roles of lncRNAs within extracellular vesicles (exosomes) are largely unknown. To this end, in this study, the involvement and regulatory functions of potential lncRNAs wrapped by exosomes during the development of chemoresistance in human NSCLC were investigated. Erlotinib-resistant cell lines were established by grafting HCC827 and HCC4006 cells into mice and which were treated with erlotinib. After one treatment course, xenografted NSCLC cells were isolated and transplanted into nude mice again followed by erlotinib treatment. This process was repeated until 4th generation xenografts were isolated and confirmed to be erlotinib-resistant NSCLC cells. lncRNA microarray assays followed by RT-qPCR were then performed which identified that lncRNA RP11-838N2.4 was upregulated in erlotinib-resistant cells when compared to normal NSCLC cells. Furthermore, bioinformatics analysis and chromatin immunoprecipitation revealed that forkhead box protein O1 (FOXO1) could bind to the promoter region of lncRNA RP11-838N2.4, resulting in its silencing through the recruitment of histone deacetylase. Functional experiments demonstrated that the knockdown of lncRNA RP11-838N2.4 potently promoted erlotinib-induced cytotoxicity. Furthermore, extracellular lncRNA RP11-838N2.4 could be incorporated into exosomes and transmitted to sensitive cells, thus disseminating erlotinib resistance. Treatment-sensitive cells with exosomes containing lncRNA RP11-838N2.4 induced erlotinib resistance, while the knockdown of lncRNA RP11-838N2.4 abrogated this effect. In addition, the serum expression levels of exosomal lncRNA RP11-838N2.4 were upregulated in patients exhibiting resistance to erlotinib treatment. On the whole, exosomal lncRNA RP11-838N2.4 may serve as a therapeutic target for patients with NSCLC. PMID- 29845247 TI - Long non-coding RNA SENCR alleviates the inhibitory effects of rapamycin on human umbilical vein endothelial cells. AB - Rapamycin (RPM) is frequently used as the drug coating in drug-eluting stents (DESs) as it can inhibit the growth of smooth muscle cells. However, RPM also inhibits the proliferation and migration of vascular endothelial cells, and impairs reendothelialization in DES implantation. Therefore, the development of a strategy to protect vascular endothelial cells after DES implantation is of great importance. Long non-coding RNAs (lncRNAs) metastasis-associated lung adenocarcinoma transcript 1 (MALAT1) and smooth muscle and endothelial cell enriched migration/differentiation-associated lncRNA (SENCR) are able to enhance the proliferation, migration and angiogenesis of endothelial cells, which suggests that they may have potential as antagonists of the adverse effects of RPM in DES. However, the relationship between RPM and lncRNAs in endothelial cells during the intervention is not fully understood at present. The current study investigated the role and potential mechanism of the lncRNA SENCR on the activity of human umbilical vein endothelial cells (HUVECs) after RPM treatment. The proliferation, migration, angiogenic capacity and cell cycle progression of lncRNA SENCR-overexpressing HUVECs following RPM treatment was examined. The proliferation-related proteins of lncRNA SENCR-modified HUVECs were evaluated to understand the mechanism of action. LncRNA SENCR significantly alleviated the inhibition of proliferation, migration, angiogenesis and cell cycle progression of HUVECs caused by RPM by activating extracellular signal-regulated kinase 1/2 and mammalian target of RPM. The lncRNA SENCR could alleviate the inhibitory effects of RPM on HUVECs and may be useful as a new combinative agent to avoid the disadvantages of RPM in DES implantation. PMID- 29845248 TI - Protective effect of Letinous edodes foot peptides against ethanol-induced liver injury in L02 cells. AB - The aim of the present study was to evaluate the protective effect and mechanism of Letinous edodes foot peptides on ethanol-induced L02 cells. A cell model of ethanol-induced damage was established in vitro to study the effects of the Letinous edodes foot peptides on human L02 hepatocytes. The expression and activity of superoxide dismutase (SOD), malondialdehyde (MDA), aspartate aminotransferase (AST), alanine aminotransferase (ALT), alcohol dehydrogenase (ADH) and acetaldehyde dehydrogenase (ALDH), following treatment were examined to determine the anti-alcoholism and hepatoprotective functions of Letinous edodes foot peptides. Taking Letinous edodes foot peptides prior to ethanol exposure was more beneficial, which significantly increased SOD activity and the mRNA expression of ADH and ALDH suppressed by ethanol. In addition, the intracellular MDA content, and AST and ALT activity decreased in ethanol-induced L02 cells pretreated with the peptides, when compared with the control. Furthermore, Letinous edodes foot peptides inhibited the ethanol-induced activation of the proinflammatory cytokines, interleukin-6 and tumor necrosis factor-alpha, and promoted the metabolic regulation factors, AMP-activated protein kinase-alpha2 and peroxisome proliferator-activated receptor-alpha. PMID- 29845249 TI - Nicotine inhibits CD24 expression in Lewis lung carcinoma cells by upregulation of RAS expression. AB - Cluster of ddifferentiation 24 (CD24) is a widely used cancer stem cell (CSC) marker in numerous cancer types. However, a number of studies have shown that CD24 is a prognostic marker, but not a CSC marker for lung adenocarcinoma. In the present study, firstly, bioinformatic analyses were used to identify the CD24 mRNA levels in the subtypes of lung cancer. Secondly, CD24high and CD24low cells were isolated from the side population of Lewis lung carcinoma (LLC) cells using flow cytometry. Furthermore, the stemness of CD24high and CD24low cells were determined in vivo and in vitro. Lastly, the mechanism(s) of nicotine-inhibited CD24 expression in LLC cells were assessed. The main findings of this study are that: i) CD24 could be used as a prognostic marker for human lung adenocarcinoma; ii) the in vitro and in vivo experiments did not determine a significant influence of CD24 on the tumorgenicity of LLC cells; and iii) nicotine inhibited CD24 expression in LLC cells by upregulation of RAS. However, the detailed mechanism(s) of these results require further analysis. PMID- 29845250 TI - Identification of candidate biomarkers and pathways associated with SCLC by bioinformatics analysis. AB - Small cell lung cancer (SCLC) is one of the highly malignant tumors and a serious threat to human health. The aim of the present study was to explore the underlying molecular mechanisms of SCLC. mRNA microarray datasets GSE6044 and GSE11969 were downloaded from Gene Expression Omnibus database, and the differentially expressed genes (DEGs) between normal lung and SCLC samples were screened using GEO2R tool. Functional and pathway enrichment analyses were performed for common DEGs using the DAVID database, and the protein-protein interaction (PPI) network of common DEGs was constructed by the STRING database and visualized with Cytoscape software. In addition, the hub genes in the network and module analysis of the PPI network were performed using CentiScaPe and plugin Molecular Complex Detection. Finally, the mRNA expression levels of hub genes were validated in the Oncomine database. A total of 150 common DEGs with absolute fold-change >0.5, including 66 significantly downregulated DEGs and 84 upregulated DEGs were obtained. The Gene Ontology term enrichment analysis suggested that common upregulated DEGs were primarily enriched in biological processes (BPs), including 'cell cycle', 'cell cycle phase', 'M phase', 'cell cycle process' and 'DNA metabolic process'. The common downregulated genes were significantly enriched in BPs, including 'response to wounding', 'positive regulation of immune system process', 'immune response', 'acute inflammatory response' and 'inflammatory response'. Kyoto Encyclopedia of Genes and Genomes pathway analysis identified that the common downregulated DEGs were primarily enriched in the 'complement and coagulation cascades' signaling pathway; the common upregulated DEGs were mainly enriched in 'cell cycle', 'DNA replication', 'oocyte meiosis' and the 'mismatch repair' signaling pathways. From the PPI network, the top 10 hub genes in SCLC were selected, including topoisomerase IIalpha, proliferating cell nuclear antigen, replication factor C subunit 4, checkpoint kinase 1, thymidylate synthase, minichromosome maintenance protein (MCM) 2, cell division cycle (CDC) 20, cyclin dependent kinase inhibitor 3, MCM3 and CDC6, the mRNA levels of which are upregulated in Oncomine SCLC datasets with the exception of MCM2. Furthermore, the genes in the significant module were enriched in 'cell cycle', 'DNA replication' and 'oocyte meiosis' signaling pathways. Therefore, the present study can shed new light on the understanding of molecular mechanisms of SCLC and may provide molecular targets and diagnostic biomarkers for the treatment and early diagnosis of SCLC. PMID- 29845251 TI - Obovatol inhibits the growth and aggressiveness of tongue squamous cell carcinoma through regulation of the EGF-mediated JAK-STAT signaling pathway. AB - Migration and invasion are the most important characteristics of human malignancies which limit cancer drug therapies in the clinic. Tongue squamous cell carcinoma (TSCC) is one of the rarest types of cancer, although it is characterized by a higher incidence, rapid growth and greater potential for metastasis compared with other oral neoplasms worldwide. Studies have demonstrated that the phenolic compound obovatol exhibits anti-tumor effects. However, the potential mechanisms underlying obovatol-mediated signaling pathways have not been completely elucidated in TSCC. The present study investigated the anti-tumor effects and potential molecular mechanisms mediated by obovatol in TSCC cells and tissues. The results of the present study demonstrated that obovatol exerted cytotoxicity in SCC9 TSCC cells, and inhibited their migration and invasion. In addition, obovatol induced apoptosis in SCC9 TSCC cells by increasing caspase 9/3 and apoptotic protease enhancing factor 1 expression levels. Western blot analysis demonstrated that obovatol inhibited the expression of pro-epidermal growth factor (EGF), Janus kinase (JAK), and signal transducer and activator of transcription (STAT) in SCC9 TSCC cells. A study of the molecular mechanisms demonstrated that depletion of EGF reversed the obovatol mediated inhibition of SCC9 TSCC cell growth and aggressiveness. Animal experiments indicated that obovatol significantly inhibited TSCC tumor growth and increased the number of apoptotic cells in tumor tissues. In conclusion, the results of the present study provided scientific evidence that obovatol inhibited TSCC cell growth and aggressiveness through the EGF-mediated JAK-STAT signaling pathway, suggesting that obovatol may be a potential anti-TSCC agent. PMID- 29845252 TI - Leonurine protects cardiac function following acute myocardial infarction through anti-apoptosis by the PI3K/AKT/GSK3beta signaling pathway. AB - Leonurine is a compound derived from Herba leonuri, which has been reported to protect cardiac tissue against ischemic injury via antioxidant and anti-apoptosis effects. The present study investigated whether these effects may be applied to acute myocardial infarction (MI) and examined the underlying mechanisms of leonurine treatment. A rat model of MI was induced by coronary artery ligation. Leonurine was administered at 15 mg/kg/day by oral gavage following the onset of MI. Rats in the sham group and the saline group were administered with an equal volume of saline. Echocardiography, Masson's trichrome staining, and terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling assays were performed 28 days post MI. The expression of B-cell lymphoma-2 and Bax were assessed by western blot analysis and reverse transcription-quantitative polymerase chain reaction. Phosphoinositide 3-kinase (PI3K), protein kinase B and glycogen synthase kinase-3beta (GSK3beta) protein expression were investigated by western blot analysis. Leonurine significantly alleviated collagen deposition and MI size, inhibited cell apoptosis and improved myocardial function. This was accompanied by significantly increased levels of phosphorylated (p)-PI3K, p-AKT, p-GSK3beta and Bcl-2, as well as significantly decreased levels of caspase3, cleaved-caspase3 and Bax following MI. The results demonstrated that leonurine exerts potent cardio-protective effects in a rat model of MI by inducing anti apoptotic effects by activating the PI3K/AKT/GSK3beta signaling pathway. PMID- 29845253 TI - VHL loss predicts response to Aurora kinase A inhibitor in renal cell carcinoma cells. AB - The majority of molecular targets of anticancer agents are limited to a subset of patients, and therefore identification of more specific biomarkers that can be used to improve clinical outcomes is of increasing interest. The present study showed that von Hippel-Lindau tumor suppressor (VHL) tumor-suppressor activity may influence the therapeutic response to Aurora kinase A (AURKA) inhibitors in human renal cell carcinoma (RCC). VHL protein (pVHL) expression was evaluated by immunoblotting in the human RCC cell lines CAKI, ACHN, 786-O, 769-P and A498. The anti-tumor activities of alisertib, an AURKA-specific chemical inhibitor, were detected by Cell Counting Kit-8 assay in vitro and mouse xenograft model in vivo. Additionally, the VHL-mediated anti-tumor activity was assessed in 769-P and CAKI cells via the loss or gain of VHL. The results revealed that VHL-deficient 786-O, 769-P and A498 cells were sensitive to alisertib. By contrast, alisertib resistant CAKI and ACHN cells expressed the wild type VHL gene. In addition, rescue or knockdown of VHL was observed to increase or decrease alisertib anti proliferation activity, respectively, in RCC cells. The inverse correlation between the VHL gene expression profile and alisertib sensitivity was further confirmed in human cancer xenografts models. Taken together, these results suggested that VHL loss could potentially serve as a biomarker for predicting the efficacy of AURKA inhibitors. PMID- 29845254 TI - High mobility group box 1 promotes the epithelial-to-mesenchymal transition in prostate cancer PC3 cells via the RAGE/NF-kappaB signaling pathway. AB - High mobility group box 1 (HMGB1), a critical damage-associated molecular pattern molecule, has been implicated in several inflammatory diseases and cancer types. The overexpression of HMGB1 protein occurs in prostate cancer, and is closely associated with the proliferation and aggressiveness of tumor cells. However, the underlying mechanisms of HMGB1-induced tumor metastasis in prostate cancer remain unclear. In the present study, it was demonstrated that the expression of HMGB1 was high in prostate cancer samples, particularly in the metastatic tissues. Furthermore, recombinant HMGB1 (rHMGB1) enhanced the invasive and metastatic capabilities of the prostate cancer cells. Molecular phenotype alterations of epithelial-to-mesenchymal transition (EMT) and elevated expression levels of matrix metalloproteinase (MMP)-1, -3 and -10 were observed. In addition, advanced glycosylation end-product specific receptor (RAGE) and its downstream molecule nuclear factor (NF)-kappaB pathway were activated during rHMGB1-induced metastasis. Silencing RAGE or NF-kappaB reversed the upregulation of MMP and EMT marker expression levels, thus reducing the migration and invasiveness of tumor cells. Taken together, these results suggest that highly expressed HMGB1 drives EMT and the overexpression of MMP-1, -3, -10 via the RAGE/NF-kappaB signaling pathways, which facilitates the metastasis of prostate cancer and may be a potential therapeutic target for metastatic prostate cancer. PMID- 29845255 TI - miR-1 inhibits the progression of colon cancer by regulating the expression of vascular endothelial growth factor. AB - MicroRNA (miR)-1 is associated with various human malignancies through repressing tumor growth, migration and angiogenesis. Recently, high-throughput transcriptional profiling confirmed that miR-1 is markedly downregulated in metastatic colorectal cancer; however, its biological functions and the specific underlying mechanisms in colorectal cancer (CRC) require further investigation. In this study, the expression of miR-1 in 111 CRC and paired normal tissue samples was measured using quantitative polymerase chain reaction analysis, and the association between miR-1 expression and clinical characteristics was evaluated. miR-1 was found to be significantly downregulated in CRC tissues compared with paired normal tissues, and in CRC cell lines compared with non cancer cells (P<0.001), and was negatively associated with tumor size (P=0.001), differentiation (P=0.011), lymph node metastasis (P=0.001) and TNM stage (P=0.001). Further experiments revealed that miR-1 inhibited the migration and invasion of HCT116 and ClonA1 cells, and inhibited cell proliferation by affecting the cell cycle. Vascular endothelial growth factor (VEGF) was found to be a potential target of miR-1 by biological prediction, and further investigation confirmed that miR-1 significantly inhibited the expression and paracrine function of VEGF. In CRC tissues, the expression of VEGF was negatively correlated with miR-1. The low expression of miR-1 in CRC may be one of the reasons for the abnormally high expression of VEGF; the upregulation of miR-1 expression may inhibit cancer progression by downregulating VEGF. These findings indicate that treatment with miR-1 may be a novel method of tumor suppression, and provide a theoretical and experimental basis for the further targeted treatment of CRC through the regulation of miR-1 and VEGF expression. PMID- 29845256 TI - Cold PSM, but not TRAIL, triggers autophagic cell death: A therapeutic advantage of PSM over TRAIL. AB - Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) and cold plasma stimulated medium (PSM) are promising novel anticancer tools due to their strong anticancer activities and high tumor-selectivity. The present study demonstrated that PSM and TRAIL may trigger autophagy in human malignant melanoma and osteosarcoma cells. Live-cell imaging revealed that even under nutritional and stress-free conditions, these cells possessed a substantial level of autophagosomes, which were localized in the cytoplasm separately from tubular mitochondria. In response to cytotoxic levels of PSM, the mitochondria became highly fragmented, and aggregated and colocalized with the autophagosomes. The cytotoxic effects of PSM were suppressed in response to various pharmacological autophagy inhibitors, including 3-methyladenine (3-MA) and bafilomycin A1, thus indicating the induction of autophagic cell death (ACD). Lethal levels of PSM also resulted in non-apoptotic, non-autophagic cell death in a reactive oxygen species-dependent manner under certain circumstances. Furthermore, TRAIL exhibited only a modest cytotoxicity toward these tumor cells, and did not induce ACD and mitochondrial aberration. The combined use of TRAIL and subtoxic concentrations of 3-MA resulted in decreased basal autophagy, increased mitochondrial aberration, colocalization with autophagosomes and apoptosis. These results indicated that PSM may induce ACD, whereas TRAIL may trigger cytoprotective autophagy that compromises apoptosis. To the best of our knowledge, the present study is the first to demonstrate that PSM can induce ACD in human cancer cells. These findings provide a rationale for the advantage of PSM over TRAIL in the destruction of apoptosis-resistant melanoma and osteosarcoma cells. PMID- 29845257 TI - Montelukast, a cysteinyl leukotriene receptor antagonist, inhibits the growth of chronic myeloid leukemia cells through apoptosis. AB - The clinical outcome for patients with chronic myeloid leukemia (CML) has improved significantly with the introduction of tyrosine kinase inhibitors (TKIs). However, their curative potential appears limited, probably as a consequence of TKI-resistant leukemic stem cells (LSCs) that persist as a result of aberrant pathways independent of the well-established oncoprotein Bcr-Abl. One such pathway involves signaling through leukotrienes (LTs), bioactive compounds that have been suggested to play a role in several other malignancies. Cysteinyl LT1 receptor (CysLT1R) has been reported to be overexpressed in a number of solid cancers, and blocking of this receptor with the antagonist montelukast (treatment approved for bronchial asthma) has resulted in the killing of cancer cells. We recently demonstrated that montelukast, alone or in combination with imatinib, can effectively reduce the growth of CML cells, while normal bone marrow cells were left unaffected. Herein, we further investigated the importance of CysLT1R for the survival of CML cells and the mechanisms by which montelukast induces cell death. Knockdown of the CysLT1R of K562 cells with siRNA reduced their growth by 25%. Montelukast had no effect on these cells, while it killed more than 50% of CysLT1R-expressing cells. Growth inhibition exerted by imatinib was unaffected by CysLT1R status. Montelukast-induced killing of K562/JURL-MK1 CML cells was paralleled by Bax overexpression, cytochrome c release, PARP-1 cleavage, and caspase-3 activation, an event further increased in a setting where montelukast was added to imatinib. Wnt/beta-catenin signaling was activated by CysLT1R and we observed that montelukast could induce proteins in this pathway, a finding of relevance for LSC survival. Thus, montelukast, employed at in vivo like concentrations, induces the killing of CML cells through apoptotic pathways and may provide an additional, novel therapeutic possibility in CML. PMID- 29845258 TI - Napsin A is negatively associated with EMT-mediated EGFR-TKI resistance in lung cancer cells. AB - Epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKI) have been used as a standard therapy for patients with lung cancer with EGFR-activating mutations. Epithelial-mesenchymal transition (EMT) has been reported to be associated with the development of EGFR-TKI resistance, which limits the clinical efficacy of EGFR-TKI. Therefore, investigating the resistance-associated mechanism is required in order to elucidate an effective therapeutic approach to enhance the sensitivity of lung cancer to EGFR-TKI. In the present study, EGFR TKI erlotinib-sensitive H358, H322 and H441 lung cancer cells, erlotinib moderately sensitive A549 cells, and erlotinib-insensitive HCC827 cells with EGFR mutation (exon 19 deletion) were used to detect the mRNA and protein expression of the EMT-associated proteins E-cadherin and vimentin, and napsin A, by reverse transcription-quantitative polymerase chain reaction analysis and western blotting. It was observed that the E-cadherin expression level in erlotinib sensitive cells was increased compared with the moderately sensitive A549 cells and HCC827 cells; however, vimentin exhibited opposite expression, suggesting a correlation between EMT and erlotinib sensitivity in lung cancer cells. The napsin A expression level was observed to be positively associated with erlotinib sensitivity. In addition, napsin A highly-expressingH322 cells were used and napsin A-silenced cells were constructed using small interfering RNA (siRNA) technology, and were induced by transforming growth factor (TGF)-betal. It was observed that TGF-betal partially induced the alterations in E-cadherin and vimentin expression and the occurrence of EMT in napsin A highly-expressing cells, while TGF-betal significantly induced EMT via downregulation of E-cadherin and upregulation of vimentin in napsin A-silenced cells; cell proliferation and apoptosis assays demonstrated that TGF-betal induced marked resistance to erlotinib in napsin A-silenced cells compared with napsin A-expression cells. These data indicated that napsin A expression may inhibit TGF-betal-induced EMT and was negatively associated with EMT-mediated erlotinib resistance, suggesting that napsin A expression may improve the sensitivity of lung cancer cells to EGFR TKI through the inhibition of EMT. PMID- 29845259 TI - shRNA-induced knockdown of the SPERT gene inhibits proliferation and promotes apoptosis of human colorectal cancer RKO cells. AB - Colorectal cancer is the third most common type of cancer and the fourth leading cause of cancer-related deaths worldwide. Although several genes have been identified to contribute to the pathogenesis of colorectal cancer, there are still many genes with unidentified functions in colorectal cancer. This study aimed to investigate the effect of shRNA-induced knockdown of the SPERT gene on the proliferation and apoptosis of human colorectal cancer RKO cells. SPERT was screened based on the TCGA dataset, and SPERT expression, cell growth, proliferation and apoptosis were detected in shSPERT- and shCtrl-transfected RKO cells. In addition, the SPERT-related biological pathways were detected using a PathScan(r) Signaling Antibody Array Kit. We detected lower SPERT expression in shSPERT-transfected RKO cells than in shCtrl-transfected cells at both the translational and transcriptional levels (P<0.05), and an MTT assay revealed a clear-cut decrease in the proliferation of shSPERT-transfected RKO cells relative to shCtrl-transfected RKO cells (P<0.01). A Caspase-Glo(r) 3/7 assay detected an increase in the caspase-3/7 activity and the number of apoptotic cells in the shSPERT-transfected RKO cells than in the shCtrl-transfected cells (P<0.01), and flow cytometry detected a higher apoptotic rate in the shSPERT-transfected RKO cells than in the shCtrl-transfected cells (20.65+/-0.26 vs. 5.93+/-0.06%, respectively, P<0.01). Elevated levels of phosphorylated p44/42 MAPK (ERK1/2), Akt, Bad, HSP27, p38 MARK and Chk2, and elevated PARP and caspase-3 expression levels were detected in shSPERT-transfected RKO cells compared with the shCtrl transfected cells (P<0.05). The results of the current study demonstrated that knockdown of SPERT suppresses colorectal cancer cell growth and promotes apoptosis. SPERT may serve as an oncogene and may be a potential target for the treatment of colorectal cancer. PMID- 29845260 TI - Two rare missense mutations in the fibrillin-1 gene associated with atypical cardiovascular manifestations in a Chinese patient affected by Marfan syndrome. AB - The present report aimed to evaluate the results of screen mutations of the fibrillin (FBN) 1 gene and analyze the symptoms in one Chinese patient clinically diagnosed with Marfan syndrome (MFS). Clinical data were collected and FBN1 gene sequencing was performed. Genomic DNA was extracted from the blood sample of the patient. All 65 exons were screened using a polymerase chain reaction assay. The diagnosis of MFS was confirmed via identification of symptoms presenting in the skeletal system (arachnodactyly, walker wrist and thumb signs) and the ocular system (ectopia lentis), in addition to a positive family history. The patient's cardiovascular manifestations (dilatation of the four cardiac chambers, severe mitral valve regurgitation and a large saccular aneurysm of the non-coronary sinus of Valsalva) were atypical to those that most frequently occur in cases of MFS. Following gene sequencing, two novel heterozygous mutations of the FBN-1 gene were identified: c.3442C>G in exon 27, proline replaced with alanine (p. Pro1148Ala) and c.6388G>A in exon 52, glutamic acid replaced with lysine (p. Glu2130Lys). The clinical symptoms and family history were important in the diagnosis of MFS, however the atypical signs that presented in the cardiovascular system may be associated with the disease, and may be noted for further cases in the future. Gene sequencing further verified the correct diagnosis of MFS. PMID- 29845261 TI - Candesartan targeting of angiotensin II type 1 receptor demonstrates benefits for hypertension in pregnancy via the NF-kappaB signaling pathway. AB - Hypertensive disorders may be a complication of pregnancy and are characterized by the high blood pressure. Evidence suggests that alterations in the renin angiotensin-aldosterone system and the sympathetic nervous system are associated with gestational hypertension. Angiotensin II type 1 receptor (Ang-IITR) is a potential target in the progression of gestational hypertension. Candesartan is selective Ang-IITR antagonist that may act against vasoconstriction and reduces peripheral vascular resistance. The aim of the present study was to evaluate the efficacy of Candesartan and the underlying molecular mechanism of the nuclear factor-kappaB (NF-kappaB) signaling pathway in the progression of gestational hypertension in a mouse model. Expression and activity of Ang-IITR was evaluated in a mouse model of gestational hypertension prior to and post-treatment of Candesartan both in vitro and in vivo. It was determined whether Candesartan treatment reduces higher blood pressure activated the renal renin-angiotensin system and a prognostic marker, soluble endoglin, and its associated gene in mice with gestational hypertension. Angiotensin-converting enzyme plasma levels and activity were also evaluated in the present study. Cytoplasmic and nuclear immunostaining of NF-kappaB and associated proteins transforming growth factor beta (TGF-beta) and endoglin was enhanced in vascular endothelial cells and mice with gestational hypertension. Soluble fms-like tyrosine kinase 1 (sFlt-1), insulin resistance homeostasis model assessment score and associated cardiovascular risk factors also were measured. Results demonstrated that angiotensin and Ang-IITR expression levels were upregulated in mice with gestational hypertension and were downregulated by Candesartan treatment. Renal renin-angiotensin and soluble endoglin were also improved in mice in the Candesartan-treated group. In addition, Candesartan treatment enhanced NF-kappaB activity, as well as TGF-beta and vascular endothelial growth factor expression which led to improved levels of sFlt-1, insulin resistance homeostasis and associated cardiovascular risk factors. Gestational hypertension was markedly improved by treatment of Candesartan compared with the control. In conclusion, the findings of the present study suggested that the NF-kappaB signaling pathway may be involved in with Candesartan-mediated Ang-IITR for the treatment of gestational hypertension. PMID- 29845263 TI - Novel triple-positive markers identified in human non-small cell lung cancer cell line with chemotherapy-resistant and putative cancer stem cell characteristics. AB - Through the specific identification and direct targeting of cancer stem cells (CSCs), it is believed that a better treatment efficacy of cancer may be achieved. Hence, the present study aimed to identify a CSC subpopulation from adenocarcinoma cells (A549) as a model of non-small cell lung cancer (NSCLC). Iotanitially, we sorted two subpopulations known as the triple-positive (EpCAM+/CD166+/CD44+) and triple-negative (EpCAM-/CD166-/CD44-) subpopulation using fluorescence-activated cell sorting (FACS). Sorted cells were subsequently evaluated for proliferation and chemotherapy-resistance using a viability assay and were further characterized for their clonal heterogeneity, self-renewal characteristics, cellular migration, alkaline dehydrogenase (ALDH) activity and the expression of stemness-related genes. According to our findings the triple positive subpopulation revealed significantly higher (P<0.01) proliferation activity, exhibited better clonogenicity, was mostly comprised of holoclones and had markedly bigger (P<0.001) spheroid formation indicating a better self-renewal capacity. A relatively higher resistance to both 5-fluouracil and cisplatin with 80% expression of ALDH was observed in the triple-positive subpopulation, compared to only 67% detected in the triple-negative subpopulation indicated that high ALDH activity contributed to greater chemotherapy-resistance characteristics. Higher percentage of migrated cells was observed in the triple positive subpopulation with 56% cellular migration being detected, compared to only 19% in the triple-negative subpopulation on day 2. This was similarly observed on day 3 in the triple-positive subpopulation with 36% higher cellular migration compared to the triple-negative subpopulation. Consistently, elevated levels of the stem cell genes such as REX1 and SSEA4 were also found in the triple-positive subpopulation indicating that the subpopulation displayed a strong characteristic of pluripotency. In conclusion, our study revealed that the triple-positive subpopulation demonstrated similar characteristics to CSCs compared to the triple-negative subpopulation. It also confirmed the feasibility of using the triple-positive (EpCAM+/CD166+/CD44+) marker as a novel candidate marker that may lead to the development of novel therapies targeting CSCs of NSCLC. PMID- 29845264 TI - Novel CTCF mutations in Chinese patients with ovarian endometriosis. AB - Endometriosis is a common gynecological disease characterized by the outgrowth of the endometrium, however, the detailed molecular etiology remains largely uncharacterized. Recent studies have implicated that endometriosis is potentially a precancerous lesion, and that CCCTC-binding factor (CTCF) mutations may be involved in the pathogenesis of this disorder. However, the detailed CTCF mutation spectrum in Chinese patients with ovarian endometriosis remains largely unknown. In the present study, a cohort of 92 patients with ovarian endometriosis were analyzed for the presence of CTCF mutations by sequencing the entire coding regions. In addition, 67 healthy eutopic endometrial tissues and 46 healthy ovarian tissues from control samples (without endometriosis) were also analyzed. In total, two CTCF missense mutations, p.K206E (c.616A>G) and p.H373L (c.1118A>T), were identified in 2/92 (2.2%) endometriotic lesions. The patient with the p.K206E mutation was 26 years old and diagnosed with primary infertility, whereas the patient with the p.H373L mutation was 37 years old and concurrently diagnosed with uterine leiomyoma. The p.H373L mutation was previously identified in endometrial cancer samples with low frequency, while the p.K206E mutation was novel. In addition, no CTCF mutations were detected in the 67 healthy eutopic endometrial and 46 healthy ovarian tissue samples. In silico prediction and evolutionary conservation analysis suggested that these CTCF mutations may be pathogenic. In summary, the present study identified 2 potential pathogenic CTCF mutations in endometriotic lesions from 2/92 patients with ovarian endometriosis. These results, together with a prior exome-sequencing based study, suggest that CTCF mutations may be involved in the development of ovarian endometriosis. PMID- 29845262 TI - Computational modeling and biomarker studies of pharmacological treatment of Alzheimer's disease (Review). AB - Alzheimer's disease (AD) is a complex and multifactorial disease. In order to understand the genetic influence in the progression of AD, and to identify novel pharmaceutical agents and their associated targets, the present study discusses computational modeling and biomarker evaluation approaches. Based on mechanistic signaling pathway approaches, various computational models, including biochemical and morphological models, are discussed to explore the strategies that may be used to target AD treatment. Different biomarkers are interpreted on the basis of morphological and functional features of amyloid beta plaques and unstable microtubule-associated tau protein, which is involved in neurodegeneration. Furthermore, imaging and cerebrospinal fluids are also considered to be key methods in the identification of novel markers for AD. In conclusion, the present study reviews various biochemical and morphological computational models and biomarkers to interpret novel targets and agonists for the treatment of AD. This review also highlights several therapeutic targets and their associated signaling pathways in AD, which may have potential to be used in the development of novel pharmacological agents for the treatment of patients with AD. Computational modeling approaches may aid the quest for the development of AD treatments with enhanced therapeutic efficacy and reduced toxicity. PMID- 29845265 TI - PYGB siRNA inhibits the cell proliferation of human osteosarcoma cell lines. AB - Osteosarcoma is the most common malignant bone carcinoma that primarily occurs between childhood to adolescence. It was suggested by recent research that the Brain type glycogen phosphorylase (PYGB) gene may serve an important role in various types of cancer. In the present study, the PYGB gene was knocked down in order to evaluate the cell viability, invasion and migration of the human osteosarcoma cell lines MG63 and HOS. The expression levels of PYGB in osteosarcoma and bone cyst tissue samples, as well as in the osteosarcoma cell lines were identified using reverse transcription-quantitative polymerase chain reaction and western blot assay. Subsequently, a Cell Counting kit 8 assay was employed to evaluate cell proliferation. Cell apoptosis rate and cell cycle distribution were measured by flow cytometry. In addition, cell invasion and migration were evaluated through a Transwell assay. The expression levels of the cell apoptosis and tumor metastasis associated proteins B-cell lymphoma 2 (Bcl 2), Bcl-2-associated X protein, E-cadherin, Twist, matrix metalloproteinase (MMP) 9 and MMP2 were measured via western blotting. PYGB exhibited a higher expression level in the osteosarcoma tissue samples, particularly in the human osteosarcoma cell lines MG63 and HOS. Knockdown of PYGB resulted in a decline in cell proliferation, invasion and migration, which was coupled with induced cell apoptosis and cell cycle arrest in MG63 and HOS cells. Furthermore, alterations in the expression of apoptosis and metastasis associated proteins indicated that small interfering (si)PYGB may have regulated cell viability by targeting the Bcl/Caspase and cyclin dependent kinase (CDK)-1 signaling pathway. In conclusion, PYGB siRNA exerted an inhibitory effect on the cell viability of the human osteosarcoma cells MG63 and HOS by blocking the Caspase/Bcl and CDK1 signaling pathway, highlighting novel potential therapeutic methods for treating osteosarcoma. PMID- 29845266 TI - TLR4/PKCalpha/occludin signaling pathway may be related to blood-brain barrier damage. AB - Abnormal blood-brain barrier (BBB) is a common pathological feature in brain damage. In the present study, a brain microvascular endothelial cell (BMEC) model was established to determine the role of the toll-like receptor 4 (TLR4)/protein kinase Calpha (PKCalpha)/occludin signaling pathway in BBB dysfunction. Three small interfering (si)RNAs directed against PKCalpha were designed to investigate the molecular mechanisms of PKCalpha underlying BBB damage. BMECs were divided into 4 groups: Control group, TAK-242 (a TLR4 inhibitor) group, PKCalpha-siRNA group and TAK-242+PKCalpha-siRNA group. The results indicated that siRNA-3 was the most effective at silencing PKCalpha gene expression. Reverse transcription quantitative polymerase chain reaction (RT-qPCR) analysis indicated no significant difference of TLR4 mRNA expression levels between three different treated groups and the Control group. However, PKCalpha mRNA expression in the PKCalpha-siRNA and TAK-242+PKCalpha-siRNA groups were significantly decreased compared with that in Control and TAK-242 groups. In addition, occludin mRNA expression in PKCalpha-siRNA and TAK-242+PKCalpha-siRNA groups were significantly higher compared with the Control group. Meanwhile, occluding expressions in three treated groups were also significantly higher compared with the Control group. Furthermore, TAK-242 treatment, PKCalpha-siRNA treatment, and TAK-242+PKCalpha siRNA treatment could promote occludin junctional labeling compared with the Control group. The permeability of PKCalpha-siRNA and TAK-242+PKCalpha-siRNA groups was significantly promoted compared with the control group. The TLR4/PKCalpha/occludin signaling pathway was closely related to BBB damage. The present study will lead to an improved molecular understanding of BBB damage in the future. PMID- 29845267 TI - MicroRNA-92a-3p inhibits the cell proliferation, migration and invasion of Wilms tumor by targeting NOTCH1. AB - Dysregulation of miR-92a-3p has been shown to contribute to many tumorigenic processes, and is correlated with tumor progression and prognosis. However, the association between miR-92a-3p and the clinicopathological features of Wilms tumorand its regulatory mechanism remain unknown. In the present study, we demonstrated that miR-92a-3p was downregulated in Wilms tumor tissues and was significantly correlated with the lung metastasis of patients with Wilms tumor. Furthermore, miR-92a-3p mimics suppressed Wilms tumor cell proliferation, migration and invasion by in vitro assays. In addition, miR-92a-3p knockdown promoted tumor progression. Moreover, miR-92a-3p was shown to target directly the 3'-UTR of NOTCH1 mRNA by Dual-Luciferase reporter assays in Wilm's tumor cells. miR-92a-3p mimics decreased the expression of mRNA and protein of NOTCH1. miR-92a 3p inhibitor enhanced NOTCH1 expression by using western blotting and qPCR. In Wilms tumor tissues, NOTCH1 was highly expressed when compared with that in adjacent non-tumor tissues. NOTCH1 expression was found to be negatively correlated with miR-92a-3p in tumor tissues. Knockdown of NOTCH1 expression reversed the promotive effect of miR-92a-3p inhibitor on the cell proliferation, migration and invasion in Wilms tumor. In conclusion, miR-92a-3p blocks the progression of Wilms tumor by targeting NOTCH1. PMID- 29845268 TI - Construction and analysis of a ceRNA-ceRNA network reveals two potential prognostic modules regulated by hsa-miR-335-5p in osteosarcoma. AB - Osteosarcoma is an aggressive cancer of the skeletal system, which is associated with a poor prognosis due to the high recurrence rate. Although previous studies have revealed that competitive endogenous RNAs (ceRNAs) are involved in various biological processes in the physiology and development of osteosarcoma, the roles of ceRNAs in osteosarcoma recurrence remain largely unexplored. The present study constructed a ceRNA-ceRNA network for osteosarcoma by systematically integrating matched expression profiles for microRNAs (miRNAs/miRs) and mRNAs, and identified two ceRNA-mediated modules that were associated with recurrence in patients with osteosarcoma. A multivariate Cox regression analysis demonstrated that the recurrence-free prognosis associated with the expression of the two modules was independent of other clinical factors. In addition, hsa-miR-335-3p was identified as an upstream regulating factor for both modules. In conclusion, the results of the present study suggested that ceRNAs may act as potential therapeutic biomarkers for predicting the recurrence of osteosarcoma, and may help to identify patients with osteosarcoma at a high risk of recurrence, who may benefit from adjuvant therapy. PMID- 29845269 TI - Molecular mechanisms of autophagy in cardiac ischemia/reperfusion injury (Review). AB - Autophagy is a maintenance process for recycling long-lived proteins and cytoplasmic organelles. The level of this process is enhanced during ischemia/reperfusion (I/R) injury. Autophagy can trigger survival signaling in myocardial ischemia, whereas defective autophagy during reperfusion is detrimental. Autophagy can be regulated through multiple signaling pathways in I/R, including Beclin-1/class III phosphatidylinositol-3 kinase (PI-3K), adenosine monophosphate activated protein kinase/mammalian target of rapamycin (mTOR), and PI-3K/protein kinase B/mTOR pathways, which consequently lead to different functions. Thus, autophagy has both protective and detrimental functions, which are determined by different signaling pathways and conditions. Targeting the activation of autophagy can be a promising new therapeutic strategy for treating cardiovascular disease. PMID- 29845270 TI - Luteolin reduces cancer-induced skeletal and cardiac muscle atrophy in a Lewis lung cancer mouse model. AB - Luteolin was recently demonstrated to suppress tumor growth by interfering with nuclear factor (NF)-kappaB activation. As the NF-kappaB pathway plays a critical role in muscular atrophy associated with cancer cachexia, we aimed to investigate the potential of luteolin to alleviate cancer-associated cachexia in a Lewis lung cancer mouse model. C57BL/6 mice were divided into three groups: A control group, a model group and a luteolin group. Mice in the model and luteolin groups received a subcutaneous injection of Lewis lung cancer cells, while the control group received PBS. Subsequently, the tumor mass, serum, gastrocnemius muscle and heart were collected on day 21. The serum, gastrocnemius muscle and heart were weighed and prepared for use in enzyme-linked immunosorbent assay (ELISA), western blotting (WB) and quantitative reverse transcription polymerase chain reaction (qRT-PCR) analyses. The results revealed that the tumor-free body mass was significantly reduced in tumor-bearing mice compared with that of mice in the other groups. The gastrocnemius muscle mass and heart mass were greater in the luteolin treatment group than in the control group. Tumor necrosis factor (TNF) alpha and interleukin (IL)-6 levels were lower in the luteolin treatment group than in the model group. In addition, according to the results of the WB and qRT PCR analyses, the expression of the E3 ubiquitin ligase muscle RING finger containing protein 1 (MuRF1) was downregulated in skeletal muscle and cardiac muscle, whereas atrogin-1 was downregulated only in skeletal muscle in the luteolin treatment group vs. the model group. Furthermore, IkappaB kinase beta (IKKbeta) and phospho-p65 were significantly downregulated in skeletal muscle and cardiac tissue, whereas the expression of p-p38 was downregulated only in skeletal muscle in the luteolin treatment group when compared with their expression levels in the model group, as determined by the WB analysis. In conclusion, from the current results, we conclude that luteolin is able to reduce inflammatory burden, downregulate the expression of genes associated with muscle protein breakdown, and protect skeletal and heart muscle from cancer-induced wasting and loss in vivo. Therefore, luteolin has the potential to be developed into a novel anti-cachetic agent. PMID- 29845271 TI - Cryptotanshinone inhibits IgE-mediated degranulation through inhibition of spleen tyrosine kinase and tyrosine-protein kinase phosphorylation in mast cells. AB - Atopic dermatitis (AD) is a type of chronic skin inflammation and one of the most common relapsing allergic diseases, which presents with a severe rash and itchy skin lesions. The pathogenesis of AD is primarily associated with hyper-activated mast cells, which makes them an effective treatment target. After cross-linking the antigen/immunoglobulin (Ig) E complex binds to its high affinity receptor FcepsilonRl on the surface of mast cells. The cells subsequently secrete excessive pro-inflammatory mediators, including histamine and cytokines, which lead to pruritus and immune cell infiltration in the skin lesions. The present study screened natural compounds that have an inhibitory effect on IgE/antigen mediated secretory activity. It was revealed that cryptotanshinone (CRT), a natural compound extracted from Salvia miltiorrhiza Bunge, had inhibitory effects on the IgE/antigen complex. The underlying mechanism by which CRT exerted an anti allergy/inflammatory function was investigated using rat basophilic leukaemia (RBL) cells for degranulation assays and a 1-chloro-2,4-dinitrobenzene (DNCB) induced AD Balb/c mouse model for in vivo study. CRT effectively mitigated the secretion of pro-inflammatory cytokines, including tumor necrosis factor-alpha and interleukin 1beta, as well as immune cell infiltration into skin lesions in a mouse model of AD-like skin disease induced by dinitrochlorobenzene. The inhibitory effect of CRT on IgE-mediated mast cell degranulation was mediated by the inhibition of tyrosine kinase-dependent degranulation signalling pathways involving spleen tyrosine kinase and Lyn. The present study revealed CRT as an inhibitor of mast cell degranulation. Therefore, CRT may be considered for development as a therapeutic drug to treat IgE-mediated skin diseases. PMID- 29845272 TI - Therapeutic effect of the natural compounds baicalein and baicalin on autoimmune diseases. AB - A series of natural compounds have been implicated to be useful in regulating the pathogenesis of various autoimmune diseases. The present study demonstrated that the Scutellariae radix compounds baicalein and baicalin may serve as drugs for the treatment of autoimmune diseases, including rheumatoid arthritis and inflammatory bowel disease. Following the administration of baicalein and baicalin in vivo, T cell-mediated autoimmune diseases in the mouse model were profoundly ameliorated: In the collagen-induced arthritis model (CIA), the severity of the disease was reduced by baicalein and, consistently, baicalein was demonstrated to suppress T cell proliferation in CIA mice. In the dextran sodium sulfate (DSS)-induced colitis model, the disease was attenuated by baicalin, and baicalin promoted colon epithelial cell (CEC) proliferation in vitro. The present study further revealed that the mRNA expression of signal transducer and activator of transcription (STAT)3 and STAT4 in the tyrosine-protein kinase JAK STAT signaling pathway in T cells was downregulated by baicalein, contributing to its regulation of T cell proliferation. However, in the DSS model, the STAT4 transcription in CECs, which are the target cells of activated T cells in the gut, was downregulated by baicalin, suggesting that baicalein and baicalin mediated similar STAT expression in different cell types in autoimmune diseases. In conclusion, the similarly structured compounds baicalein and baicalin selectively exhibited therapeutic effects on autoimmune diseases by regulating cell proliferation and STAT gene expression, albeit in different cell types. PMID- 29845273 TI - Spinal glucocorticoid receptor-regulated chronic morphine tolerance may be through extracellular signal-regulated kinase 1/2. AB - Opioid use has been limited in the treatment of chronic pain due to their side effects, including analgesic tolerance. Previous studies demonstrated that glucocorticoid receptors (GRs) may be involved in the development of chronic morphine tolerance; however, the mechanism remains unknown. It was hypothesized that the expression of spinal phosphorylated mitogen-activated protein kinase [MAPK; phosphorylated extracellular signal-regulated kinase (ERK)] is regulated through the spinal GRs, following chronic treatment with morphine. In the first experiment, the experimental rats were randomly divided into four groups: Control, morphine, morphine+GR antagonist mifepristone (RU38486) and morphine+GR agonist dexamethasone (Dex). Each group was treated with continuous intrathecal (IT) injection of the drugs for 6 days. The expression of GRs and MAPK 3/1 (p-ERK 1/2) in the spinal dorsal horn was detected by western blot analysis and immunofluorescence staining. In the second experiment, the MAPK inhibitor PD98059 was added and the rats were randomly divided into four groups: Control, morphine, PD98059+morphine and PD98059+morphine+Dex. The continuous IT injection lasted for 7 days in each group. For all experiments, the tail flick test was conducted 30 min following administration every day to assess the thermal hyperalgesia of the rats. The experimental results demonstrated that there was a co-existence of GRs and p-ERK 1/2 in the spinal cord dorsal horn by double immunofluorescence staining. The GR antagonist RU38486 attenuated the morphine analgesia tolerance by inhibiting the expression of GR and increasing the expression of p-ERK. The MAPK inhibitor PD98059 increased the effect of morphine tolerance and prolonged the duration of morphine tolerance. The present results suggest that spinal GRs may serve an important role in the development of morphine tolerance through the ERK signaling pathway. PMID- 29845274 TI - Increased B cell activating factor is associated with B cell class switching in patients with tuberculous pleural effusion. AB - B cell activating factor (BAFF), a member of the tumor necrosis factor family, is a key cytokine for B cell survival, a function that is essential for B cell maturation and memory. The expression levels of BAFF and its potential contribution to B cell maturation remain elusive in patients with tuberculous pleural effusion (TPE). The present study enrolled 40 healthy controls (HC) and 45 TPE patients, and investigated the levels of BAFF in the plasma and pleural effusion. Concomitantly, B cell subsets including naive B cell (CD19+IgD+CD27-), unswitched B cell (CD19+IgD+CD27+), switched B cell (CD19+IgD-CD27+), total memory B cell (CD19+CD27+), plasma B cell (CD19+IgD-CD38+CD27+) and transitional B cell (CD19+IgDdim CD38+) in peripheral blood mononuclear cells (PBMCs) and pleural fluid mononuclear cells (PFMCs) were assessed using multicolor flow cytometry. Finally, the associations between BAFF and each sub-group of B cells in TPE patients were analyzed. Compared with HC cases, an increased BAFF level and elevated frequency of switched B cell were observed in the blood and pleural effusion from patients with TPE. The proportions of naive B cell, plasma B cell and transitional B cell were lower in the PFMCs of TPE patients. Furthermore, a significant correlation was observed between the level of BAFF, and the proportion of switched B cell in the peripheral blood and pleural effusion of TPE patients. These findings indicated that the B cell profile may be different in the pleural effusion, and BAFF may activate switched B cells to enhance the humoral immune responses in patients with TPE. Further studies are required to elucidate the underlying mechanisms and determine the potential immunotherapy of the BAFF-switched B cell axis. PMID- 29845275 TI - miR-23a downregulation modulates the inflammatory response by targeting ATG12 mediated autophagy. AB - Autophagy, part of the innate immune defense mechanisms, is activated during the initial phase of septic insult. Previous studies indicated that micro (mi)RNAs are additionally involved in the host response to sepsis; however, the association between miRNAs and autophagy during this process is not fully understood. To study the role of miRNA (miR)-23a in autophagy initiated by sepsis, macrophages treated with lipopolysaccharides, in addition to blood samples from patients, were evaluated for miR-23a expression levels. Cell viability, inflammatory mediators and autophagic markers were investigated following overexpression or inhibition of miR-23a. The results suggested that miR 23a was suppressed subsequent to septic insult, promoting autophagy and suppressing a hyper inflammatory response, leading to enhanced cell viability. A luciferase assay and western blot analysis confirmed ubiquitin-like protein ATG12 to be the target of miR-23a. The present study revealed that the downregulation of miR-23a regulates an inflammatory response during septic insult via autophagy promotion. PMID- 29845276 TI - Response of hPDLSCs on 3D printed PCL/PLGA composite scaffolds in vitro. AB - Three-dimensional printed (3DP) scaffolds have become an excellent resource in alveolar bone regeneration. However, selecting suitable printable materials remains a challenge. In the present study, 3DP scaffolds were fabricated using three different ratios of poly (epsilon-caprolactone) (PCL) and poly-lactic-co glycolic acid (PLGA), which were 0.1PCL/0.9PLGA, 0.5PCL/0.5PLGA and 0.9PCL/0.1PLGA. The surface characteristics and degradative properties of the scaffolds, and the response of human periodontal ligament stem cells (hPDLSCs) on the scaffolds, were assessed to examine the preferable ratio of PCL and PLGA for alveolar bone regeneration. The results demonstrated that the increased proportion of PLGA markedly accelerated the degradation, smoothed the surface and increased the wettability of the hybrid scaffold. Furthermore, the flow cytometry and Cell Counting Kit-8 assay revealed that the adhesion and proliferation of hPDLSCs were markedlyincreased on the 0.5PCL/0.5PLGA and 0.1PCL/0.9PLGA scaffolds. Additionally, the alkaline phosphatase activity detection and reverse transcription quantitative polymerase chain reaction demonstrated that the hPDLSCs on the 0.5PCL/0.5PLGA scaffold exhibited the best osteogenic capacity. Consequently, PCL/PLGA composite scaffolds may represent a candidate focus for future bone regeneration studies, and the 0.5PCL/0.5PLGA scaffold demonstrated the best bio-response from the hPDLSCs. PMID- 29845277 TI - Acid fibroblast growth factor facilitates the progression of atherosclerotic plaques regardless of alterations in serum lipid expression levels in HFD-fed ApoE-/- mice. AB - Atherosclerosis is recognized at present as a chronic metabolic disease of the arteries that leads to multifocal plaque development. Previous studies have reported that acid fibroblast growth factor (aFGF) is a critical therapeutic regulator in numerous chronic metabolic disorders. However, there is currently no direct evidence indicating whether aFGF serves a therapeutic role in atherosclerosis. In the present study, the role of aFGF in atherosclerotic lesion development was investigated by examining high-fat diet (HFD)-fed apolipoprotein E (ApoE)-/- mice and parenteral administration of aFGF. Increased expression of aFGF and peroxisome proliferator-activated receptor alpha (PPARalpha) was observed during atherosclerotic lesion development. The parenteral delivery of aFGF facilitated the progression of atherosclerosis without altering serum lipid expression levels in HFD-fed ApoE-/- mice. Furthermore, it was demonstrated that aFGF increased the expression of PPARalpha and inflammatory cytokines. The present results provided evidence that aFGF accelerates the progression of atherosclerosis and suggested that aFGF may be a potential therapeutic target for the prevention of atherosclerosis development. PMID- 29845278 TI - Baicalein inhibits osteosarcoma cell proliferation and invasion through the miR 183/Ezrin pathway. AB - Osteosarcoma (OS), a common and primary malignant bone tumor, is characterized by highly aggressive potency. Baicalein, a bioactive flavone isolated from Scutellaria baicalensis Georgi, has been shown to inhibit the progression of numerous tumors, including OS. However, the mechanisms by which baicalein protects against OS are still largely unknown. The results of the present study showed that administration of baicalein significantly inhibited the proliferation, migration and invasion and promoted apoptosis in MG-63 and Saos-2 cells. Ezrin was identified as a target gene of microRNA (miR)-183. MG-63 and Saos-2 cells treated with baicalein exhibited increased miR-183 levels and decreased Ezrin expression. Importantly, miR-183 inhibition and Ezrin overexpression abolished the effects of baicalein on MG-63 and Saos-2 cell proliferation, migration, invasion and apoptosis. Taken together, these findings suggest that baicalein inhibits the proliferation, migration and invasion and induces apoptosis in OS cells by activating the miR-183/Ezrin pathway, revealing a novel mechanism underlying anti-OS effects of baicalein. PMID- 29845279 TI - Salvianolic acid B reverses multidrug resistance in nude mice bearing human colon cancer stem cells. AB - Salvianolic acid B (SalB) is a water-soluble phenolic compound, extractable from Salvia miltiorrhiza, and has previously been demonstrated to reverse tumor multidrug resistance (MDR) in colon cancer cells. Cancer stem cells (CSCs) are closely associated with drug resistance. Therefore, establishing a nude mouse model bearing human colon CSCs is important for the study of the mechanisms underlying colon cancer drug resistance as well as the reversal of drug resistance. The present study aimed to establish a nude mouse model bearing human colon CSCs and to investigate the effects of SalB on the drug resistance exhibited by the nude mouse model as well as determine its underlying mechanism. Cells from two colon cancer cell lines (LoVo and HCT-116) were cultured in serum free medium to obtain CSCs-enriched spheroid cells. Following this, nude mice were transplanted with LoVo and HCT-116 colon CSCs to establish the CSC nude mouse model, which was subsequently demonstrated to exhibit MDR. The results of the present study revealed that following treatment with SalB, the chemotherapeutic drug resistance of xenografts was reversed to a certain extent. Western blot analysis was performed to investigate the expression levels of cluster of differentiation (CD)44, CD133, transcription factor sox-2 (SOX2) and ATP-binding cassette sub-family G member 2 (ABCG2) proteins, and the results demonstrated that treatment with SalB downregulated the expression of CD44, SOX2 and ABCG2 proteins in both LoVo and HCT-116 colon CSCs xenografts. In conclusion, the results of the present study revealed that a serum-free suspension method can be performed to successfully isolate colon CSCs. In addition, a nude mice bearing colon CSCs animal model was successfully established, and associated tumors were confirmed to exhibit MDR. Furthermore, SalB was demonstrated to successfully reverse MDR in nude mice bearing LoVo and HCT-116 colon CSCs, as well as suppress the expression of CD44, SOX2 and ABCG2 proteins. PMID- 29845280 TI - Oxidative stress modulates the expression of toll-like receptor 3 during respiratory syncytial virus infection in human lung epithelial A549 cells. AB - Toll-like receptor 3 (TLR3) can react with double stranded RNA and is involved in the inflammatory response to respiratory syncytial virus (RSV) infection. Also, oxidative stress has been reported to be involved in RSV infection. However, the correlation between oxidative stress and TLR3 activation during RSV infection is unclear. Therefore, the present study investigated the association between TLR3 expression and oxidative stress modulation during RSV infection in A549 cells. For comparison, seven treatment groups were established, including RSV-treated cells, N-acetyl-L-cysteine (NAC)+RSV-treated cells, oxidant hydrogen peroxide (H2O2)+RSV-treated cells, normal cell control, inactivated RSV control, NAC control and H2O2 control. The mRNA expression changes of TLR3, interferon regulatory factor-3 (IRF3), nuclear factor-kappaB (NF-kappaB) and superoxide dismutase 1 (SOD1) were measured using semi-quantitative reverse transcription polymerase chain reaction, and the protein changes of TLR3 and phospho-NF-kappaB p65 were determined using western blot in A549 cells from the different treatment groups. The present study also evaluated the differences in hydroxyl free radical (.OH), nitric oxide (NO) and total SOD activity in the different treatment groups. The results demonstrated that RSV infection of A549 cells increased the levels of .OH and NO, while decreasing the activity of total SOD. Pretreatment of A549 cells with H2O2 prior to RSV infection upregulated the mRNA and protein expression of TLR3 and NF-kappaB, and downregulated the mRNA expression of IRF3 and SOD1, as well as the total SOD activity. When the infected cells were pretreated with NAC, the mRNA and protein expression of these genes were reversed. These variations in the TLR3-mediated signaling pathway molecules suggested that oxidative stress may be a key regulator for TLR3 activation during RSV infection. RSV-induced oxidative stress may potentially activate TLR3 and enhance TLR3-mediated inflammation. These results may provide better understanding of the RSV-induced inflammatory and immune pathways, and may also contribute to the drug development and prevention of human RSV diseases. PMID- 29845281 TI - miR-205 targets YAP1 and inhibits proliferation and invasion in thyroid cancer cells. AB - MicroRNA-205 (miR-205) has been reported to be downregulated, and serves critical roles in the pathogenesis and progression of several types of cancer, including breast, prostate and lung cancer. However, the underlying mechanism of miR-205 in thyroid cancer remains unclear. In the present study, it was demonstrated that the expression of miR-205 was reduced in thyroid cancer tissues compared with non cancer tissues. In addition, miR-205-knockdown models in the BHT-101 cell line and ectopic expression models in the 8505-C cell line were used to measure the biological functions of miR-205. The results indicated that miR-205 inhibited certain aspects of thyroid cancer, including cell proliferation, migration and invasion. Furthermore, Yes-associated protein 1 (YAP1) was identified as a target gene of miR-205 and its expression was negatively correlated with that of miR-205 in thyroid cancer tissues. Depletion of YAP1 partially reduced the anti-miR-205 induced cell growth and invasion. The results of the present study suggested that the tumor suppressive functions of miR-205 via targeting YAP1 could be a novel target for the treatment of thyroid cancer. PMID- 29845282 TI - MicroRNA-152 inhibits cell proliferation of osteosarcoma by directly targeting Wnt/beta-catenin signaling pathway in a DKK1-dependent manner. AB - The function of microRNA-152 for a cohort of patients with osteosarcoma and the influence on cell growth of osteosarcoma were studied. The expression of microRNA 152 was downregulated in patients with osteosarcoma. The downregulation of microRNA-152 promotes cell proliferation, decreases apoptosis, and suppresses LDH activity, caspase-3/9 activities and Bax/Bcl-2 and p53 protein expression levels of osteosarcoma through activation of the Wnt/beta-catenin signaling pathway by targeting DKK1. Whereas, overexpression of microRNA-152 targets DKK1 to inhibit cell proliferation, induce apoptosis, and promote LDH activity, caspase-3/9 activities and Bax/Bcl-2 and p53 protein expression levels of osteosarcoma through inactivation of the Wnt/beta-catenin signaling pathway. The promotion of DKK1 reversed the anticancer function of microRNA-152 over-expression through Wnt/beta-catenin signaling pathway. We demonstrated that microRNA-152 inhibits cell proliferation of osteosarcoma through DKK1 by directly targeting Wnt/beta catenin signaling pathway. PMID- 29845283 TI - E-cadherin regulates proliferation of colorectal cancer stem cells through NANOG. AB - Cancer stem cells (CSCs) possess a self-renewal ability and display tumorigenic potential in immunodeficient mice. Colorectal CSCs are thought to be a uniform population and no functionally distinct subpopulations have been identified. Because E-cadherin is an essential molecule for self-renewal of embryonic stem cells, we examined E-cadherin expression, which may play a role in maintaining the properties of CSCs, in EpCAMhigh/CD44+ colorectal CSCs from human primary colorectal cancers. We obtained 18 surgical specimens of human primary colorectal cancer. CD44, EpCAM, and E-cadherin expression were analyzed by fluorescence activated cell sorting. Sorted EpCAMhigh/CD44+ colorectal CSCs were injected into immunodeficient mice to estimate the tumorigenic potential. Genetic profiles were analyzed by cDNA microarray. Notably, colorectal CSCs could be divided into two populations based on the E-cadherin expression status, and they exhibited different pathological characteristics. Compared to E-cadherin-negative colorectal CSCs, E-cadherin-positive (EC+) colorectal CSCs demonstrated higher tumor growth potential in vivo. EC+ colorectal CSCs revealed a higher expression of the pluripotency factor NANOG, which contributed to the higher tumor growth potential of EC+ colorectal CSCs through control of cyclin D1 expression. These findings are the first demonstration of functionally distinct subpopulations of colorectal CSCs in human clinical samples. PMID- 29845284 TI - Linarin prevents LPS-induced acute lung injury by suppressing oxidative stress and inflammation via inhibition of TXNIP/NLRP3 and NF-kappaB pathways. AB - Acute lung injury (ALI) is an important cause of morbidity and mortality for critically ill patients, and linarin (LR) may be a potential treatment for ALI as it reportedly has antioxidant, anti-inflammatory and apoptotic-regulating activity. In the present study, the authors report that saline and LR (12.5, 25 and 50 mg/kg) were applied to male C57BL/6 mice via gavage. Then, mice were intratracheally injected with either saline or lipopolysaccharide (LPS). LR pretreatment attenuated LPS-induced ALI and platelet activation and reduced CD41 expression levels and neutrophil platelet aggregates. Additionally, LPS-triggered pulmonary myeloperoxidase activity and neutrophil infiltration in lung tissues, and this was eliminated by LR dose-dependently. Furthermore, LPS-induced oxidative stress and pro-inflammatory cytokine release were downregulated by LR by inhibiting thioredoxin-interacting protein and nuclear factor-kappaB signaling pathways, including their downstream and upstream signals, such as xanthine oxidase, NLR family WHAT, pyrin domain-containing 3 (NLRP3), apoptosis-associated speck-like protein containing a C-terminal caspase recruitment domain (ASC), caspase-1, IkappaB kinase-alpha (IKK-alpha) and IkappaBalpha. Moreover, in LPS induced mice, the mitogen-activated protein kinase pathway was inactivated by LR. In vitro, LR reduced LPS-induced inflammation and oxidative stress, which was linked to reduction of ROS. In conclusion, LR pretreatment may be protective against LPS-induced ALI. PMID- 29845285 TI - RAD52 motif-containing protein 1 promotes non-small cell lung cancer cell proliferation and survival via cell cycle regulation. AB - DNA repair proteins such as RAD52 have been implicated in tumor progression and response to chemotherapy. RAD52 motif-containing protein 1 (RDM1) has been implicated in the response to chemotherapeutic agent cisplatin; however, its function in lung cancer progression remains unclear. This study aimed to investigate the role of RDM1 in the progression of non-small cell lung cancer (NSCLC). We found elevated RDM1 mRNA and protein expression in NSCLC tissues and cell lines compared to levels in normal lung cells. RDM1 protein expression in lung cancer tissues was found to correlate with tumor size, histological differentiation, lymph node metastasis and tumor-node-metastasis (TNM) stage. Knockdown of the RDM1 gene with siRNA significantly reduced the cellular proliferation rate and increased apoptosis in the human NSCLC cell line, NCI H1299. Compared to wild-type NCI-H1299 cells, RDM1 knockdown enhanced the activity of caspase-3 and caspase-7, and decreased the proportion of cells in the S-phase of the cell cycle. Taken together, these data imply that RDM1 promotes the survival and proliferation of NSCLC cells. Due to its similarity to RAD52, we hypothesized that RDM1 potentially repairs DNA double-strand breaks arising through DNA replication, thereby preventing G2/M cell cycle arrest. Accordingly, specific targeting of RDM1 may be a novel therapeutic strategy in the treatment of NSCLC. PMID- 29845287 TI - Antitumor effect of lapatinib and cytotoxic agents by suppression of E2F1 in HER2 positive breast cancer. AB - The human epidermal growth factor receptor 2 (HER2)-targeting agent, lapatinib, combined with oral fluoropyrimidine capecitabine, has been previously demonstrated to be an effective treatment option for patients with trastuzumab resistant HER2-positive metastatic breast cancer. To investigate the molecular mechanisms associated with the interactions between lapatinib and capecitabine, the effect of treatment with lapatinib and phosphatidylinositol-4,5-bisphosphate 3-kinase (PI3K) inhibitors on the expression of E2F transcription factor 1 (E2F1) and thymidylate synthase (TS), which is associated with an increased response to 5-fluorouracil (5-FU)-based chemotherapy, was determined in HER2-positive breast cancer cells. The results of reverse transcription-quantitative polymerase chain reaction demonstrated that administration of lapatinib and PI3K inhibitors decreased the mRNA expression of TS and E2F1, a transcription factor that promotes TS gene expression, in SKBR3 and T47D cell lines. Furthermore, treatment with lapatinib and PI3K inhibitors also suppressed the mRNA expression of ribonucleotide reductase M1 subunit (RRM1), an important determinant of gemcitabine resistance, and DNA topoisomerase II-alpha (TOP2A), a molecular target of anthracyclines, in SKBR3 and T47D cell lines. Western blot analysis further demonstrated that the phosphorylation of Akt was inhibited by lapatinib, and the results of the MTT assay revealed that the combination of lapatinib with either 5-FU or gemcitabine demonstrated synergistic antitumor effects, whereas a combinatory treatment of lapatinib with epirubicin, a typical anthracycline drug, exhibited antagonistic antitumor effects in HER2-positive breast cancer cells. These results indicate that the synergistic antitumor effects exhibited by combinatory treatment of lapatinib with capecitabine may be induced via the suppression of E2F1-mediated TS expression. PMID- 29845286 TI - Computational approaches for predicting key transcription factors in targeted cell reprogramming (Review). AB - There is a need for specific cell types in regenerative medicine and biological research. Frequently, specific cell types may not be easily obtained or the quantity obtained is insufficient for study. Therefore, reprogramming by the direct conversion (transdifferentiation) or re-induction of induced pluripotent stem cells has been used to obtain cells expressing similar profiles to those of the desired types. Therefore, a specific cocktail of transcription factors (TFs) is required for induction. Nevertheless, identifying the correct combination of TFs is difficult. Although certain computational approaches have been proposed for this task, their methods are complex, and corresponding implementations are difficult to use and generalize for specific source or target cell types. In the present review four computational approaches that have been proposed to obtain likely TFs were compared and discussed. A simplified view of the computational complexity of these methods is provided that consists of three basic ideas: i) The definition of target and non-target cell types; ii) the estimation of candidate TFs; and iii) filtering candidates. This simplified view was validated by analyzing a well-documented cardiomyocyte differentiation. Subsequently, these reviewed methods were compared when applied to an unknown differentiation of corneal endothelial cells. The generated results may provide important insights for laboratory assays. Data and computer scripts that may assist with direct conversions in other cell types are also provided. PMID- 29845288 TI - FGF21 attenuates hypoxia-induced dysfunction and apoptosis in HPAECs through alleviating endoplasmic reticulum stress. AB - Vascular endothelial apoptosis and dysfunction have a crucial role in triggering pathological vascular remodeling of hypoxia-induced pulmonary arterial hypertension (PAH). Fibroblast growth factor (FGF)21, an endocrine regulator, has recently been reported to protect cardiac endothelial cells from damage and suppress inflammatory responses. In addition, FGF21 is reported to be involved in endoplasmic reticulum stress (ERS). Previous studies have suggested that ERS participates in the development of PAH, and attenuation of ERS could be an effective therapeutic strategy for the protection of pulmonary arteries. However, whether FGF21 has a protective function via suppression of ERS in pulmonary arterial endothelial cells in hypoxia remains unclear. The present study aimed to explore whether FGF21 could reduce the hypoxia-induced apoptosis of human pulmonary arterial endothelial cells (HPAECs) and prevent endothelial dysfunction via the inhibition of ERS. HPAECs were divided into six groups: Normoxia, hypoxia, hypoxia plus FGF21, hypoxia plus salubrinal (an ERS inhibitor), hypoxia plus tunicamycin (an ERS agonist), and hypoxia plus tunicamycin plus FGF21. The endoplasmic reticulum ultrastructure in HPAECs was assessed by transmission electron microscopy, and proliferation and apoptosis were examined by cell counting kit-8 and terminal deoxyribonucleotide transferase-mediated dUTP nick end-labelling assays, respectively. The expression levels of ERS-related proteins, including binding immunoglobulin protein (BiP), protein kinase R-like endoplasmic reticulum kinase (PERK), phosphorylated (p-) PERK, transcription factor C/EBP homologous protein (CHOP), B-cell lymphoma-2 (Bcl-2) and caspase-4 were detected by western blotting. Transwell migration chamber assays were performed, and the concentration of nitric oxide (NO)/endothelin-1 (ET-1) in the culture medium was determined to examine endothelial function. The results revealed that hypoxia increased the % of apoptotic cells and diminished the viability of HPAECs, accompanied by an upregulation of ERS-dependent apoptosis by increasing the expression of the proapoptotic caspase-4 and decreasing the antiapoptotic Bcl-2. Additionally, hypoxia upregulated the expression of representative proteins in the PERK branch of ERS, including BiP, p-PERK and CHOP, while it downregulated the expression of PERK. Furthermore, the secretion of NO/ET-1 and the migration rate of HPAECs were downregulated under conditions of hypoxia. FGF21 significantly attenuated the hypoxia-induced apoptosis and dysfunction of HPAECs through alleviating the aforementioned changes in ERS dependent signaling pathways. In conclusion, ERS may be a crucial mechanism in the hypoxia-induced apoptosis and endothelial dysfunction of HPAECs. FGF21 may attenuate the hypoxia-induced apoptosis and dysfunction of HPAECs through alleviating ERS, via the PERK/CHOP signaling pathway and inhibition of caspase-4 expression. PMID- 29845289 TI - Dual mTOR/PI3K inhibitor NVP-BEZ235 arrests colorectal cancer cell growth and displays differential inhibition of 4E-BP1. AB - The mammalian target of rapamycin (mTOR), a downstream effector of the PI3K/Akt signalling pathway, is a critical regulator of cell metabolism, growth and survival in response to oncogenic factors. Activation of mTOR frequently occurs in human tumours making it a crucial and validated target in the treatment of cancer. mTOR inhibitors such as rapamycin and its analogues decrease cancer progression in experimental models including colorectal cancer (CRC). Recently, the second generation ATP-competitive mTOR kinase (such as PP242) and dual mTOR/PI3K (such as NVP-BEZ235) inhibitors have entered clinical trials as anticancer agents. However, in CRC, the efficacy of these novel drugs needs to be fully investigated. In the present study, we examined five human CRC cell lines, HT29, HCT116, SW480, SW620 and CSC480 to evaluate their sensitivity to three mTOR inhibitors, RAD001, PP242 and NVP-BEZ235. We observed that compared to RAD001 and PP242, NVP-BEZ235 markedly reduced cell proliferation of CRC cells. Furthermore, we found that the reduced cell proliferation caused by NVP-BEZ235 was not achieved through the disruption of mitochondrial potential. Using an mTOR specific signalling pathway phospho array we revealed that NVP-BEZ235 significantly decreased phosphorylation of 4E-BP1 (Thr70), the downstream target of mTORC1. In addition, NVP-BEZ235 decreased phosphorylation of AKT (Ser473), the downstream target of mTORC2. Immunoblotting analysis revealed that NVP-BEZ235 effectively inhibited 4E-BP1 phosphorylation, while PP242 had a weak inhibitory effect. However, PP242 and NVP-BEZ235 decreased AKT levels in all cell lines. RAD001 demonstrated no effect on 4E-BP1. Based on the above-mentioned results, the dual PI3K/mTOR and ATP-competitive mTOR inhibitors have demonstrated high potential for targeting the mTOR pathway in CRC. PMID- 29845290 TI - Rapamycin and ZSTK474 can have differential effects at different post-infection time-points regarding CVB3 replication and CVB3-induced autophagy. AB - Coxsackievirus B3 (CVB3) infection has been shown to stimulate autophagy. We have demonstrated that the inhibition of phosphoinositide 3-kinase (PI3K)/protein kinase B/mammalian target of rapamycin complex (mTORC) signaling pathway could affect the autophagic reaction induced by CVB3 infection in our previous study. However, the processes associating autophagy and CVB3 replication remain to be determined. In the present study, CVB3-induced autophagy and its impact on viral replication were investigated. Rapamycin (inhibitor of mTOR) and ZSTK474 (inhibitor of PI3K) were used to change the autophagic reaction caused by CVB3 in Hela cells at different post-infection (p.i.) time points (6, 9, 12 and 24 h p.i.), meanwhile, we detected the CVB3 mRNA replication and CVB3 capsid protein VP1 expression following the change of autophagy. Here, it was showed that ZSTK474 and Rapamycin promoted CVB3-induced autophagy, as well as decreasing CVB3 mRNA replication and CVB3 capsid protein VP1 expression at 6 and 9 h p.i. ZSTK474 also alleviated CVB3-induced autophagy, and decreased CVB3 mRNA replication and VP1 expression at 12 and 24 h p.i. However, Rapamycin continued to promote CVB3 induced autophagy and increase CVB3 mRNA replication at 12 and 24 h p.i, as well as increase VP1 expression at 12 h, but not at 24 h, p.i. In the present study, we found Rapamycin and ZSTK474 have differential effects at different p.i. time points regarding CVB3 replication and CVB3-induced autophagy. This indicates that the association between CVB3-induced autophagy and viral replication depends on the infection time. During the early course of infection, autophagy may help host cells clear the virus, thereby providing protection, whereas when the infection time increases, autophagy may be exploited for viral replication. PMID- 29845291 TI - Concomitant presence of JAK2V617F mutation and BCR-ABL translocation in two patients: A new entity or a variant of myeloproliferative neoplasms (Case report). AB - Myeloproliferative neoplasms (MPNs) are classically divided into BCR RhoGEF and GTPase activating protein (BCR)-ABL proto-oncogene 1 non-receptor tyrosine kinase (ABL) positive chronic myeloid leukemia (CML) and BCR-ABL negative MPNs, including essential thrombocythemia (ET). One of the major diagnostic criteria for ET is the absence of the philadelphia chromosome, thus when present it is almost indicative of CML. ET and CML are considered to be mutually exclusive; however, there are rare situations in which patients with ET present positive BCR ABL without the features of CML. Although from the literature review, the frequency of JAK2V617F mutation and BCR-ABL translocation coexistence in MPNs is low, it may be higher than expected. The current study reported cases of two patients with an initial diagnosis of ET in the presence of JAK2V617F mutation and BCR-ABL translocation by fluorescent in situ hybridization. Both patients presented with a heterozygous BCR-ABL translocation, and absence of p190 and p210 transcripts, seemingly a der(9) in the background of an ET JAK2V617F mutation. PMID- 29845292 TI - Regulation of TLR4 expression mediates the attenuating effect of erythropoietin on inflammation and myocardial fibrosis in rat heart. AB - The mechanism underlying the anti-inflammatory or antifibrotic activity of erythropoietin (EPO) in myocardial fibrosis (MF) remains elusive. In the current study, abdominal aortic constriction (AAC) was performed on rats and EPO and/or Toll-like receptor (TLR)4 were overexpressed in rat hearts through intramyocardial administration of lentivirus expressing the EPO and TLR4 genes. Hematoxylin and eosin staining and Masson's trichrome staining were performed on tissue sections from rat hearts for histopathological examination. ELISA was used to determine the levels of inflammatory mediators in serum. Gene expression levels were determined by quantitative polymerase chain reaction analysis and protein expression levels were determined by western blot analysis and immunofluorescence staining. The results indicated that EPO overexpression improved MF in rat hearts, by inhibiting the release of transforming growth factor (TGF)-beta1, tumor necrosis factor (TNF)-alpha, interleukin (IL)-6, IL 1beta, IL-17A, matrix metalloproteinase (MMP)-9 and MMP-2. Moreover, EPO overexpression suppressed the expression of TLR4, while promoting phosphoinositide 3-kinase (PI3K) and phosphorylated AKT serine/threonine kinase 1 (Akt) expression levels. However, the beneficial effects of EPO were attenuated by overexpression of TLR4. In addition, inhibition of PI3K/Akt signaling activity by treatment with LY294002 markedly reversed the protective effect of EPO on the AAC-induced MF. Taken together, the present study demonstrated that EPO may have a critical role against MF by activating PI3K/Akt signaling and by downregulating TLR4 expression, thereby inhibiting the release of TGF-beta1, TNF-alpha, IL-6, IL 1beta, IL-17A, MMP-9 and MMP-2. These findings suggest that the PI3K/Akt/TLR4 signaling pathway is associated with the anti-inflammatory effects of EPO and may play a role in attenuating AAC-induced MF. PMID- 29845293 TI - MicroRNA-874 inhibits proliferation and invasion of pancreatic ductal adenocarcinoma cells by directly targeting paired box 6. AB - Studies have demonstrated that a number of microRNAs (miRNAs) are dysregulated in pancreatic ductal adenocarcinoma (PDAC), and alterations in their expression may affect the onset and progression of PDAC. Therefore, the expression patterns, biological functions and associated molecular mechanisms of miRNAs in PDAC should be elucidated for the development of novel therapeutic methods. Previous studies reported significant miRNA-874 (miR-874) dysregulation in multiple types of human cancer. However, the expression pattern, possible roles and underlying mechanisms of miR-874 in PDAC remain to be elucidated. This study evaluated miR-874 expression in PDAC and examined its biological functions and underlying mechanism of action in PDAC progression. miR-874 expression was downregulated in PDAC tissues and cell lines. Functional experiments demonstrated that upregulation of miR-874 inhibited cell proliferation and invasion in PDAC. Additionally, paired box 6 (PAX6) was predicted as a putative target of miR-874 using bioinformatics analysis. Further experiments demonstrated that PAX6 may be the direct target gene of miR-874 in PDAC. PAX6 knockdown exhibited similar inhibitory effects to miR-874 overexpression in PDAC cells. In addition, restored PAX6 expression may reverse the suppressive roles of miR-874 overexpression in PDAC cells. The results demonstrated that miR-874 may serve tumor suppressive roles in PDAC by directly targeting PAX6. Therefore, miR-874 may exhibit potential applications for treatment of patients with PDAC. PMID- 29845294 TI - RNA-sequencing analysis of aberrantly expressed long non-coding RNAs and mRNAs in a mouse model of ventilator-induced lung injury. AB - Long non-coding RNAs (lncRNAs) are closely associated with the regulation of various biological processes and are involved in the pathogenesis of numerous diseases. However, to the best of our knowledge, the role of lncRNAs in ventilator-induced lung injury (VILI) has yet to be evaluated. In the present study, high-throughput sequencing was applied to investigate differentially expressed lncRNAs and mRNAs (fold change >2; false discovery rate <0.05). Bioinformatics analysis was employed to predict the functions of differentially expressed lncRNAs. A total of 104 lncRNAs (74 upregulated and 30 downregulated) and 809 mRNAs (521 upregulated and 288 downregulated) were differentially expressed in lung tissues from the VILI group. Gene ontology analysis demonstrated that the differentially expressed lncRNAs and mRNAs were mainly associated with biological functions, including apoptosis, angiogenesis, neutrophil chemotaxis and skeletal muscle cell differentiation. The top four enriched pathways were the tumor necrosis factor (TNF) signaling pathway, P53 signaling pathway, neuroactive ligand-receptor interaction and the forkhead box O signaling pathway. Several lncRNAs were predicted to serve a vital role in VILI. Subsequently, three lncRNAs [mitogen-activated protein kinase kinase 3, opposite strand (Map2k3os), dynamin 3, opposite strand and abhydrolase domain containing 11, opposite strand] and three mRNAs (growth arrest and DNA damage-inducible alpha, claudin 4 and thromboxane A2 receptor) were measured by reverse transcription-quantitative polymerase chain reaction, in order to confirm the veracity of RNA-sequencing analysis. In addition, Map2k3os small interfering RNA transfection inhibited the expression of stretch-induced cytokines [TNF-alpha, interleukin (IL)-1beta and IL-6] in MLE12 cells. In conclusion, the results of the present study provided a profile of differentially expressed lncRNAs in VILI. Several important lncRNAs may be involved in the pathological process of VILI, which may be useful to guide further investigation into the pathogenesis for this disease. PMID- 29845295 TI - MicroRNA-663b mediates TAM resistance in breast cancer by modulating TP73 expression. AB - Breast cancer is the second leading cause of cancer-associated mortalities in women. Tamoxifen (TAM) is an endocrine therapy commonly used in the treatment of patients with breast cancer expressing estrogen receptor alpha. However, treatment often ends in failure due to the emergence of drug resistance. MicroRNAs (miRNAs), a family of small non-coding RNAs, serve critical roles in the regulation of gene expression and cell events. To date, whether miRNA-663b could mediate TAM resistance in breast cancer remains unknown. Therefore, the aim of the present study was to investigate the role of miRNA-663b in TAM resistance in breast cancer. The results demonstrated that miRNA-663b was upregulated in breast cancer with TAM resistance. Tumor protein 73 (TP73) was a direct target of miRNA-663b, and was negatively regulated by miRNA-663b in MCF-7 cells. Furthermore, it was identified that downregulation of miRNA-663b inhibited cell proliferation ability and promoted cell apoptosis, resulting in enhanced TAM sensitivity. In addition, these findings suggested that TP73 silencing may have eliminated the effects of miRNA-663b inhibitor on breast cancer cells. In conclusion, the present study verified a novel molecular link between miRNA-663b and TP73, and indicated that miRNA-663b may be a critical therapeutic target in breast cancer. PMID- 29845296 TI - Lysyl oxidase-like 2 is highly expressed in colorectal cancer cells and promotes the development of colorectal cancer. AB - Colorectal cancer (CRC) is the third most common type of cancer. In the present study, the expression and intracellular localization of lysyl oxidase-like 2 (LOXL2) protein in CRC were examined. Quantitative polymerase chain reaction and western blot analysis of LOXL2 mRNA and protein expression was performed for 40 pairs of CRC tumor and normal mucosa tissue samples. The immunohistochemical staining of tissue microarrays was performed to detect LOXL2 protein expression. LOXL2 was highly expressed in the extracellular matrix and CRC cells. The positive expression of LOXL2 in CRC cells was significantly associated with the tumor tumor-node metastasis stage and distant metastasis, while elevated LOXL2 expression within the CRC cells was an independent prognostic factor in patients with CRC. The knockdown of LOXL2 impaired the proliferative and migratory abilities of CRC cells in vitro and in vivo, and induced cell cycle arrest and apoptosis. These findings indicated that LOXL2 might have an important role in CRC. PMID- 29845298 TI - MicroRNA-199b promotes cell proliferation and invasion in Wilms' tumour by directly targeting Runt-related transcription factor 3. AB - Emerging evidence has demonstrated that the deregulation of microRNAs (miRNAs) contributes to Wilms' tumour (WT) malignant progression. Therefore, identifying the essential miRNAs for WT onset and progression may be a promising therapeutic method for patients with this disease. Dysregulation of miRNA-199b (miR-199b) serves significant roles in various types of human cancer. However, its expression patterns, possible functions and associated mechanisms in WT are largely unknown. In the present study, the expression of miR-199b in WT tissues was detected by reverse transcription-quantitative polymerase chain reaction (RT qPCR) analysis. The biological functions of miR-199b overexpression in WT cells were determined using Cell counting kit-8 and Transwell invasion assays. The mechanisms underlying the action of miR-199b in WT cells were also investigated using bioinformatics analysis, a luciferase reporter assay, RT-qPCR and western blot analysis. It was revealed that miR-199b expression was upregulated in WT tissues. In addition, the downregulation of miR-199b attenuated the proliferation and invasion of WT cells. Runt-related transcription factor 3 (RUNX3) was mechanistically predicted as a potential target of miR-199b. Subsequent experiments demonstrated that RUNX3 was a direct target gene of miR-199b in WT. In addition, the downregulation of RUNX3 in the WT tissues was inversely correlated with the miR-199b expression level. The recovered RUNX3 expression counteracted the oncogenic roles of miR-199b in WT cells. Therefore miR-199b may serve as an oncogene in WT progression by directly targeting RUNX3, thereby suggesting that the miR-199b/RUNX3 axis may be a promising therapeutic target for patients with WT. PMID- 29845297 TI - Downregulation of miR-135a predicts poor prognosis in acute myeloid leukemia and regulates leukemia progression via modulating HOXA10 expression. AB - MicroRNA-135a (miR-135a) has been shown to exert important roles in various human cancer types, such as glioblastoma, thyroid carcinoma and renal carcinoma. However, the function of miR-135a in acute myeloid leukemia (AML) remains largely unknown. In the present study, it was demonstrated that miR-135a expression was significantly downregulated in AML cells compared with normal control cells. Furthermore, the downregulation of miR-135a in patients with AML predicted poor prognosis. Through functional experiments, overexpression of miR-135a was demonstrated to significantly inhibit the proliferation and cell cycle of AML cells, while it promoted cellular apoptosis. miR-135a directly targeted HOXA10 in AML cells. miR-135a overexpression significantly suppressed the mRNA and protein levels of HOXA10 in AML cells. Moreover, there was an inverse association between miR-135a expression and HOXA10 level in AML samples. Additionally, by ectopic expression of HOXA10, restoration of HOXA10 significantly abolished the effects of miR-135a overexpression on AML cell proliferation, cell cycle and apoptosis. In conclusion, the present study demonstrated that miR-135a serves as a tumor suppressor in AML by targeting HOXA10, and miR-135a may be a promising prognostic biomarker for AML patients. PMID- 29845299 TI - Dioscin protects against coronary heart disease by reducing oxidative stress and inflammation via Sirt1/Nrf2 and p38 MAPK pathways. AB - Cardiovascular diseases are common diseases in Sweden as in most countries. In 2016, 25,700 persons suffered from coronary heart disease (CHD) and 25% of these died within 28 days. The present study investigated whether dioscin may exert protective effects against CHD-induced heart apoptosis, oxidative stress and inflammation in a pig model and the potential underlying mechanisms. Adult pigs were used to establish a CHD model group and 80 mg/kg dioscin was administered for 4 weeks. Histological analysis and measurement of serum levels of heart injury markers demonstrated that 80 mg/kg dioscin markedly alleviated CHD, while left ventricular ejection fraction and left ventricular systolic internal diameter measurements indicated that 80 mg/kg dioscin also increased heart function in the CHD pig model. Furthermore, western blotting demonstrated that 80 mg/kg dioscin significantly reduced protein levels of apoptosis markers in the heart of CHD model pigs, including Bcl-2-associated X and caspase-3, potentially via the suppression of poly (ADP-ribose) polymerase 1 (PARP)/p53 expression. Additionally, the results of ELISA and western blotting demonstrated that 80 mg/kg dioscin may reduce oxidative stress and inflammation in CHD model pigs through the promotion of sirtuin 1 (Sirt1)/nuclear factor erythroid 2-related factor 2 (Nrf2) protein expression and the suppression of PARP/p53 and p38 mitogen-activated protein kinase (MAPK) expression. The results of the current study indicate that dioscin may protect against CHD by regulating oxidative stress and inflammation via Sirt1/Nrf2 and p38 MAPK pathways. PMID- 29845300 TI - miRNA-195 suppresses cell proliferation of ovarian cancer cell by regulating VEGFR2 and AKT signaling pathways. AB - The present study aimed to investigate the functional effects of microRNA-195 on ovarian cancer cells and the underling mechanism involved. Reverse transcription quantitative polymerase chain reaction was used to measure the expression of microRNA-195 in patients with ovarian cancer. Cell proliferation and apoptosis were measured with MTT assay and flow cytometry, respectively. Caspase-3/9 activity, vascular endothelial growth factor receptor (VEGFR)2 and phosphorylated protein kinase B (p-AKT) protein expression were analyzed using caspase-3/9 activity kits and western blot analysis. The expression of microRNA-195 was downregulated in ovarian cancer, compared with the normal control group. Furthermore, microRNA-195 suppresses cell proliferation and induced apoptosis of ovarian cancer cells. In addition, microRNA-195 suppressed VEGFR2 and p-AKT protein expression in ovarian cancer cells. The inhibition of VEGFR2 and p-AKT increased the functional effects of microRNA-195 on apoptosis of ovarian cancer cells. The results demonstrated that microRNA-195 suppresses cell proliferation of ovarian cancer cells through regulation of VEGFR2 and AKT signaling pathways. PMID- 29845301 TI - Resveratrol inhibits angiotensin II-induced proliferation of A7r5 cells and decreases neointimal hyperplasia by inhibiting the CaMKII-HDAC4 signaling pathway. AB - Resveratrol has been reported to inhibit vascular smooth muscle cell proliferation and neointimal hyperplasia following arterial injury; however, the underlying mechanisms remain unclear. The present study was designed to investigate the effects of resveratrol on angiotensin II (AngII)-induced proliferation of A7r5 cells and explore the molecular mechanisms responsible for the observed effects. Resveratrol inhibited cell proliferation and migration, and decreased the AngII-induced protein expression of alpha-smooth muscle actin (alpha-SMA), proliferating cell nuclear antigen (PCNA) and cyclin-dependent kinase 4 (CDK4). Resveratrol inhibited AngII-induced activation of intracellular Ca2+/calmodulin-dependent protein kinase II (CaMKII) and histone deacetylases 4 (HDAC4), as well as blocking AngII-induced cell cycle progression from the G0/G1 to S-phase. In vivo, 4-weeks of resveratrol treatment decreased the neointima area and the neointima/media area ratio in rats following carotid balloon injury. Resveratrol also inhibited the protein expression of total and phosphorylated CaMKII and HDAC4 in the injured arteries. In conclusion, the present study demonstrated that resveratrol attenuated AngII-induced cell proliferation and neointimal hyperplasia by inhibiting the CaMKII-HDAC4 signaling pathway. These findings suggest that resveratrol may potentially prevent arterial restenosis. PMID- 29845303 TI - [Field tests for the beta version of the ICD-11-MMS in Germany: background and methods]. AB - BACKGROUND: The World Health Organization (WHO) has been developing the 11th revision of the International Classification of Diseases (ICD) since 2007. ICD-11 is different from the ICD-10 in volume and structure. Therefore, the WHO planned field tests with a coding of diagnoses and cases. OBJECTIVES: To describe the background of the field tests and their implementation in Germany. MATERIALS AND METHODS: Interested parties were invited to submit proposals through a call to the Association of the Scientific Medical Societies (AWMF). The Technology, Methods, and Infrastructure for Networked Medical Research (TMF) was responsible for the coordination, supported by the German Institute for Medical Documentation and Information (DIMDI). The target was a beta version of the ICD-11 for Mortality and Morbidity Statistics (ICD-11-MMS), denoted as "draft for quality assurance". RESULTS: Eleven field tests were maintained between March and September 2017. With the exception of one field test analyzing diagnoses terms from the thesaurus of the ICD-10-GM, all field tests focused on a specific medical field. Eight different quality criteria were investigated over the 11 field tests, and 22 of the 27 chapters of the ICD-11-MMS were at least partially covered. CONCLUSIONS: Despite the strict time frame, the field tests were successfully implemented and concluded in Germany. Mostly, the ICD-11 tools from the WHO were used. A high percentage of the ICD chapters were partially covered. In summary, it has been demonstrated for the first time that field tests are a valuable approach to evaluate the ICD in parallel to its development. However, a methodological framework integrating the field tests should be developed, taking into account all relevant requirements. PMID- 29845302 TI - SIRT1 upregulation protects against liver injury induced by a HFD through inhibiting CD36 and the NF-kappaB pathway in mouse kupffer cells. AB - Sirtuin 1 (SIRT1) is an NAD(+)-dependent deacetylase, and a critical regulator in various metabolic processes, such as non-alcoholic fatty liver disease (NAFLD). The present study aimed to investigate whether activating SIRT1 could modulate the CD36 and nuclear factor (NF)-kappaB pathways to protect against liver injury induced by a high-fat diet (HFD) in mice. A mouse NAFLD model was established by administration of a HFD for 8 weeks. During the last 4 weeks, SRT1720, a specific SIRT1 activator, was added daily to the HFD feed. The hepatic morphological structure was observed using hematoxylin and eosin staining, and the ultrastructures in the liver tissue were observed using transmission electron microscopy. Protein expression of SIRT1, CD36 and P65 in liver tissues was detected by immunohistochemistry. Kupffer cells (KCs) from the livers of the mouse models were isolated to determine the mRNA and protein expression of SIRT1, CD36 and P65. SIRT1 activation attenuated the HFD-induced liver injury and significantly reduced the body weight and the levels of alanine transaminase, aspartate aminotransferase, triglyceride, tumor necrosis factor-alpha and interleukin-6. We observed an increased expression of SIRT1 in the liver tissues from the HFD+SRT1720 group compared with the HFD group. Simultaneously, the expression of CD36 and P65 in the liver tissues was downregulated in the HFD+SRT1720 group. The mRNA and protein expression of SIRT1 was elevated in the HFD+SRT1720 group, whereas the mRNA and protein expression of CD36 and P65 in KCs was significantly decreased in the HFD+SRT1720 group. The present study demonstrated that SIRT1 activation attenuated HFD-induced liver steatosis and inflammation by inhibiting CD36 expression and the NF-kappaB signaling pathway. PMID- 29845304 TI - Counseling in urogynecology: A difficult task, or simply good surgeon-patient communication? AB - Surgical treatments for pelvic organ prolapse (POP) and urinary incontinence (UI) have greatly changed in recent years. Prompted by increases in reports of adverse outcomes in relation to such treatments, several scientific societies and researchers have emphasized providing patients with thorough counseling before treating them. Patient-centered communication has become the gold standard for excellence in clinical care. This challenges clinicians to be cognizant of their patients' perspectives, motivations, expectations, fears, concerns, and social contexts to enable them to reach a shared understanding with patients. Considering this, urogynecology counseling represents a crucial process through which women can gain a clear understanding of their clinical condition and the risks and benefits of potential treatment options. However, many urogynecologists believe that proposing a treatment and providing only enough detail to secure informed consent constitutes counseling. This article is intended to describe good counseling for women undergoing urogynecological surgery and to suggest optimal methodologies for implementation. PMID- 29845305 TI - A prospective study investigating the diagnostic agreement between urodynamics and dynamic cystoscopy in women presenting with mixed urinary incontinence. AB - INTRODUCTION AND HYPOTHESIS: Patient history is often insufficient to identify type of urinary incontinence (UI). Multichannel urodynamic testing (UDS) is often used to clarify the diagnosis. Dynamic cystoscopy (DC) is a novel approach for testing bladder function. The primary objective of this study was to investigate the diagnostic agreement of UDS and DC in evaluating women with mixed urinary incontinence (MUI). METHODS: Women presenting with MUI were approached for enrollment if UDS and DC were planned for further investigation. Investigators were blinded to history and comparative test results. McNemar's test and kappa coefficient were calculated to assess agreement between UDS and DC. Receiver operating characteristic (ROC) analysis was used to explore the best possible filling sensation cutoffs for DC that would best predict the filling sensation cutoffs from UDS. RESULTS: Sixty participants were included, of whom, four were excluded for protocol violation. For the primary outcome measure of agreement, UDS and DC were concordant in 44/56 of stress urinary incontinence (SUI) cases (79%) with a kappa= 0.54 and in 43/56 of urinary urge incontinence (UUI) cases (77%) with a kappa= 0.54, indicating moderate, nearly substantial agreement. ROC analysis identified the best prediction of DC first urge to void as 148 cm3, strong urge 215 cm3, and maximum capacity at 246 cm3. These parameters were used to compare UDS UUI to DC UUI and resulted in a kappa = 0.61 (p = 0.37), indicating substantial agreement. CONCLUSIONS: When compared with UDS, DC shows moderate agreement for detection of SUI and substantial agreement for detection of UUI. PMID- 29845306 TI - [Management of developmental speech-language disorders in children : Part 2: Intervention and remediation]. AB - In the first part of this seminar paper, speech-language development tests were presented and the importance of the differential diagnosis of the underlying causes of the diagnosed language development disorder was discussed. The second part focuses on counseling and training of the parents, as well as the different treatment methods used for speech-language therapy for affected children in out- and inpatient settings. These procedures should be applied according to the individual developmental age. The official guidelines are to be respected, especially for medical speech-language therapy. Generally underestimated issues are risks and side effects of language and speech therapy, which obviously do exist, e. g., as induction of consciousness of the disorder in the treated child. PMID- 29845307 TI - [Medical examination: Preparation for ENT specialisation : Part 36]. PMID- 29845311 TI - The diagnostic performance and interrater agreement of seven CT findings in the diagnosis of internal hernia after gastric bypass operation. AB - PURPOSE: A reliable and immediate diagnosis of internal hernia is important for optimal and timely management of patients with a history of gastric bypass surgery. The aims of this study were to evaluate the interrater agreement and diagnostic performance characteristics of seven predefined CT findings of internal herniation in patients admitted on clinical suspicion of internal herniation after laparoscopic Roux-en-Y gastric bypass (LRYGB). METHODS: Abdominal CT scans of 117 patients performed on clinical suspicion of internal hernia after LRYGB surgery were evaluated by three radiologists (two experts and one resident) for the following: (1) Swirl sign, (2) strangulation of superior mesenteric vein (SMV), (3) engorged mesenteric vessels and edema, (4) engorged lymph nodes, (5) ascites, (6) mushroom sign, (7) hurricane eye sign, and finally the overall conclusion. The CT findings were compared to the laparoscopic explorative findings. RESULTS: The highest interrater agreements were seen for the swirl sign, SMV strangulation, ascites, and overall conclusion (all Kappa 0.82-0.83). The presence of internal hernia was significantly and independently associated with SMV strangulation (OR 18.3; 95% CI 4.3-78.1; p < 0.001) and mesenteric edema (OR 5.2; 95% CI 1.4-19.6; p < 0.001) on multivariate analysis, while the other CT findings were not independently associated with herniation. The highest sensitivity was observed for mesenteric edema (85.0%), while SMV strangulation had the highest specificity (94.8%). CONCLUSION: CT is an accurate diagnostic tool for detection of internal hernia after LRYGB. SMV strangulation and mesenteric edema are highly predictive and easily identified features of internal herniation. PMID- 29845312 TI - Peritumoral tissue on preoperative imaging reveals microvascular invasion in hepatocellular carcinoma: a systematic review and meta-analysis. AB - BACKGROUND: Histologic microvascular invasion (MVI) substantially worsens the prognosis of patients with hepatocellular carcinoma, and can only be diagnosed postoperatively. Preoperative assessment of MVI by imaging has been focused on tumor-related features, while peritumoral imaging features have been indicated elsewhere to be more accurate. The aim of the present study is to evaluate the association between peritumoral imaging features and MVI. METHODS: Literature search was performed using the PubMed, Embase, and Cochrane Library databases. Summary results of the association between peritumoral imaging features and MVI were presented as the odds ratio (OR) and the 95% confidence interval. Meta regression and subgroup analyses were performed when heterogeneity was detected. Diagnostic accuracy analysis was also conducted for identified features. RESULTS: Ten studies were included in the analysis. Moderate and low heterogeneities were found among the seven studies on peritumoral enhancement and four studies on peritumoral hypointensity on HBP, respectively. Summary results revealed a significant association between MVI and peritumoral enhancement (OR 4.04 [2.23, 7.32], p < 0.05), and peritumoral hypointensity on HBP (OR 10.62 [5.31, 21.26], p < 0.05). Diagnostic accuracy analysis revealed high specificity (0.90-0.94) but low sensitivity (0.29-0.40) for both features to assess MVI. CONCLUSION: The two peritumoral imaging features are significantly associated with MVI. The two features highly suggest MVI only when present with a high false negative rate. Promotion of their diagnostic efficiency can be a worthwhile task for future research. PMID- 29845314 TI - Outcomes of circumcision in children with single ventricle physiology. AB - PURPOSE: Children with single ventricle physiology (SVP) have been shown to have a high morbidity and mortality after non-cardiac surgical procedures. Elective circumcision is one of the most common pediatric operations with low morbidity and mortality. The purpose of our study was to review our institutional experience with SVP children undergoing circumcisions to determine peri-operative course and outcomes. METHODS: We performed a retrospective review of children with SVP who underwent an elective circumcision from 2000 to 2017. Children with non-single ventricle physiology or children undergoing circumcision in combination with another case were excluded. Demographics, surgical characteristics, and outcomes were analyzed. Descriptive statistics were performed, all medians were reported with interquartile range. RESULTS: 15 males underwent elective circumcision with a median age at the time of surgery of 1.13 (1.03, 1.38) years. Eighty-four percent underwent their circumcision after their 2nd stage cardiac operation. Most common operative indication was uncomplicated phimosis. Median operative time was 20 (16, 27) mins. Median total length of stay was 229 (185, 242) mins with no admissions. Post-operative complications included two (16%) hematomas with one requiring surgical intervention. There were no deaths. CONCLUSION: Children with SVP who undergo elective circumcision may have a higher risk of bleeding. PMID- 29845313 TI - Medial prefrontal cortex TRPV1 and CB1 receptors modulate cardiac baroreflex activity by regulating the NMDA receptor/nitric oxide pathway. AB - The ventral medial prefrontal cortex (vMPFC) facilitates the cardiac baroreflex response through N-methyl-D-aspartate (NMDA) receptor activation and nitric oxide (NO) formation by neuronal NO synthase (nNOS) and soluble guanylate cyclase (sGC) triggering. Glutamatergic transmission is modulated by the cannabinoid receptor type 1 (CB1) and transient receptor potential vanilloid type 1 (TRPV1) receptors, which may inhibit or stimulate glutamate release in the brain, respectively. Interestingly, vMPFC CB1 receptors decrease cardiac baroreflex responses, while TRPV1 channels facilitate them. Therefore, the hypothesis of the present study is that the vMPFC NMDA/NO pathway is regulated by both CB1 and TRPV1 receptors in the modulation of cardiac baroreflex activity. In order to test this assumption, we used male Wistar rats that had stainless steel guide cannulae bilaterally implanted in the vMPFC. Subsequently, a catheter was inserted into the femoral artery, for cardiovascular recordings, and into the femoral vein for assessing baroreflex activation. The increase in tachycardic and bradycardic responses observed after the microinjection of a CB1 receptors antagonist into the vMPFC was prevented by an NMDA antagonist as well as by the nNOS and sGC inhibition. NO extracellular scavenging also abolished these responses. These same pharmacological manipulations inhibited cardiac reflex enhancement induced by TRPV1 agonist injection into the area. Based on these results, we conclude that vMPFC CB1 and TRPV1 receptors inhibit or facilitate the cardiac baroreflex activity by stimulating or blocking the NMDA activation and NO synthesis. PMID- 29845315 TI - Does muscle biopsy change the treatment of pediatric muscular disease? AB - BACKGROUND: Muscle biopsy is performed to confirm the diagnosis of neuromuscular disease and guide therapy. The purpose of our study was to determine if muscle biopsy changed patient diagnosis or treatment, which patients were most likely to benefit from muscle biopsy, and complications resulting from muscle biopsy. MATERIALS AND METHODS: An IRB-approved retrospective chart review of all patients less than 18 years old undergoing muscle biopsy between January 2010 and August 2016 was performed. Demographics, patient presentation, diagnosis, treatment, hospital course, and follow-up were evaluated. Descriptive and comparative (student's t test, Mann-Whitney U, and Fisher's exact test) statistical analysis was performed. Medians were reported with interquartile range (IQR). RESULTS: 90 patients underwent a muscle biopsy. The median age at biopsy was 5 years (2, 10). 37% (n = 34) had a definitive diagnosis. 39% (n = 35) had a change in their diagnosis. 37% (n = 34) had a change in their treatment course. In the 34 patients who had a change in their treatment, the most common diagnosis was inflammatory disease at 44% (n = 15). In the 56 patients who did not have a change in treatment, the most common diagnosis was hypotonia at 30% (n = 17). There was no difference in patients who had a change in treatment based on pathology versus those that did not. The median length of follow-up was 3 years (1, 5). CONCLUSIONS: Muscle biopsy should be considered to diagnose patients with symptoms consistent with inflammatory or dystrophic muscular disease. The likelihood of this altering the patient's treatment course is around 40%. PMID- 29845316 TI - Adenosine hypersensitivity and atrioventricular block. AB - Adenosine is a ubiquitous substance that is released under several physiological and pathological conditions and has cardiovascular effects including cardioinhibition and vasodilation. It has been shown to be an important modulator implicated in several forms of syncope. In patients with chronic low plasma levels of adenosine, a transient release of endogenous adenosine can be sufficient to block conduction in the atrioventricular node and induce prolonged asystole; conversely, when plasma adenosine levels are chronically high, adenosine release is responsible for vasodepression. Distinct purinergic profiles in patients presenting with syncope have recently been correlated with the clinical presentation: "low-adenosine patients," prone to asystole, may present with idiopathic atrioventricular block, carotid sinus syndrome, or syncope with no or very brief prodromes and normal heart; "high-adenosine patients," prone to vasodilation, experience vasovagal syncope. This pathophysiological classification may have therapeutic implications. PMID- 29845317 TI - Metaphyseal sleeves in total knee arthroplasty revision: complications, clinical and radiological results. A systematic review of the literature. AB - INTRODUCTION: Total knee arthroplasty revision (TKAr) is increasing of relevance in orthopaedic surgeon daily practice and will become more and more relevant in the future. The aim of this study is to summarize indications, complications, clinical and radiological mid-term results of metaphyseal sleeves in management of bone defects in TKAr. METHODS: A systematic review of English literature was performed on Medline. Retrospective or prospective studies with 2 years of follow up (FU) were included. The PRISMA 2009 flowchart and checklist were considered to edit the review. Rates of intraoperative fractures, aseptic loosening, periprosthetic joint infection (PJI), reoperations and re-revisions were extrapolated by the papers. RESULTS: 13 articles with a level of evidence of IV were included in the systematic review. 1079 TKAr (1554 sleeves) with a mean FU of 4.0 +/- 1.1 years were analysed. The studies showed good clinical and functional outcomes. Sleeves allowed a stable metaphyseal fixation and osseointegration with an implant and sleeves aseptic survival rate of 97.7 and 99.2%, respectively. The incidence of PJI was 2.7 +/- 2.4%. The estimated rate of reoperations and re-revisions were 14.2 +/- 9.2 and 7.1 +/- 4.8%, respectively. CONCLUSION: Metaphyseal sleeves represent a viable option in management of types IIb and III AORI bone defects in TKAr. Further high-quality log-term studies would better clarify complications, clinical and radiological results of this promising technique in total knee arthroplasty revision. PMID- 29845318 TI - egl-4 modulates electroconvulsive seizure duration in C. elegans. AB - Increased neuronal excitability causes seizures with debilitating symptoms. Effective and noninvasive treatments are limited for easing symptoms, partially due to the complexity of the disorder and lack of knowledge of specific molecular faults. An unexplored, novel target for seizure therapeutics is the cGMP/protein kinase G (PKG) pathway, which targets downstream K+ channels, a mechanism similar to Retigabine, a recently FDA-approved antiepileptic drug. Our results demonstrate that increased PKG activity decreased seizure duration in C. elegans utilizing a recently developed electroconvulsive seizure assay. While the fly is a well-established seizure model, C. elegans are an ideal yet unexploited model which easily uptakes drugs and can be utilized for high-throughput screens. In this study, we show that treating the worms with either a potassium channel opener, Retigabine or published pharmaceuticals that increase PKG activity, significantly reduces seizure recovery times. Our results suggest that PKG signaling modulates downstream K+ channel conductance to control seizure recovery time in C. elegans. Hence, we provide powerful evidence, suggesting that pharmacological manipulation of the PKG signaling cascade may control seizure duration across phyla. PMID- 29845319 TI - Advanced non-contrasted computed tomography post-processing by CT-Calculometry (CT-CM) outperforms established predictors for the outcome of shock wave lithotripsy. AB - OBJECTIVES: To evaluate the predictive value of advanced non-contrasted computed tomography (NCCT) post-processing using novel CT-calculometry (CT-CM) parameters compared to established predictors of success of shock wave lithotripsy (SWL) for urinary calculi. MATERIALS AND METHODS: NCCT post-processing was retrospectively performed in 312 patients suffering from upper tract urinary calculi who were treated by SWL. Established predictors such as skin to stone distance, body mass index, stone diameter or mean stone attenuation values were assessed. Precise stone size and shape metrics, 3-D greyscale measurements and homogeneity parameters such as skewness and kurtosis, were analysed using CT-CM. Predictive values for SWL outcome were analysed using logistic regression and receiver operating characteristics (ROC) statistics. RESULTS: Overall success rate (stone disintegration and no re-intervention needed) of SWL was 59% (184 patients). CT CM metrics mainly outperformed established predictors. According to ROC analyses, stone volume and surface area performed better than established stone diameter, mean 3D attenuation value was a stronger predictor than established mean attenuation value, and parameters skewness and kurtosis performed better than recently emerged variation coefficient of stone density. Moreover, prediction of SWL outcome with 80% probability to be correct would be possible in a clearly higher number of patients (up to fivefold) using CT-CM-derived parameters. CONCLUSIONS: Advanced NCCT post-processing by CT-CM provides novel parameters that seem to outperform established predictors of SWL response. Implementation of these parameters into clinical routine might reduce SWL failure rates. PMID- 29845320 TI - Surveillance and management of urologic complications after spinal cord injury. AB - PURPOSE: Neurogenic bladder due to spinal cord injury has significant consequences for patients' health and quality of life. Regular surveillance is required to assess the status of the upper and lower urinary lower urinary tracts and prevent their deterioration. In this review, we examine surveillance techniques in neurogenic bladder, describe common complications of this disease, and address strategies for their management. METHODS: This work represents the efforts of SIU-ICUD joint consultation on Urologic Management of the Spinal Cord injury. For this specific topic, a workgroup was formed and comprehensive literature search of English language manuscripts regarding neurogenic bladder management was performed using key words of neurogenic bladder. Articles were compiled, and recommendations in the chapter are based on group discussion and follow the Oxford Centre for Evidence-based Medicine system for Levels of Evidence (LOEs) and Grades of Recommendation (GORs). RESULTS: At a minimum, patients should undergo an annual history and physical examination, renal functional testing (e.g., serum creatinine), and upper tract imaging (e.g., renal ultrasonography). The existing evidence does not support the use of other modalities, such as cystoscopy or urodynamics, for routine surveillance. Urologic complications in neurogenic bladder patients are common and often more complex than in the general population. CONCLUSIONS: There is a shortage of high-quality evidence to support any particular neurogenic bladder surveillance protocol. However, there is consensus regarding certain aspects of regular genitourinary system evaluation in these patients. Proper surveillance allows the clinician to avoid or address common urological complications, and to guide, alter, or maintain appropriate therapeutic regimens for individual patients. PMID- 29845323 TI - Separation of hydrophobically modified hyaluronic acid according to the degree of substitution by gradient elution high performance liquid chromatography. AB - Amphiphilic hyaluronic acid (HA), synthesised by modifying HA to varying extents with acrylate groups, was successfully separated according to degree of substitution (DS) using solvent gradient high performance liquid chromatography (HPLC). Two HPLC methods based on the amphiphilic structure of the HA were developed. In the first approach, normal phase gradient HPLC was explored, and separation was based on the interactions of HA's polar hydroxyl groups with a polar cyano stationary phase. In the second approach, separation was based on the interaction of the hydrophobic acrylate moieties with a non-polar C8 stationary phase (reversed phase gradient HPLC). The separation was optimised by using an electrolyte in the sample solvent to suppress non-covalent interactions and improve the selectivity of the developed method. The photolytic stability of the modified and unmodified HA was also investigated in order to optimise the sample preparation procedure. Furthermore, an alternative method to NMR spectroscopy was developed for determining the DS of HA. Graphical abstract ?. PMID- 29845321 TI - Chronic Rhinosinusitis in Children: Pathophysiology, Evaluation, and Medical Management. AB - PURPOSE OF REVIEW: Pediatric chronic rhinosinusitis (CRS) is a common disorder that carries significant morbidity. The diagnosis requires sinus symptoms that persist despite standard medical therapy greater than 3 months. Viral infections, allergies, and anatomic differences in children lead to chronic obstruction of the osteomeatal complex. RECENT FINDINGS: Chronic rhinosinusitis as a diagnosis is a conglomeration of multiple phenotypes and endotypes. As such, the diagnosis and management are complex. New survey studies provide some consensus on prevalence and management of this disease in children. In this review, we highlight the differential diagnosis of pediatric CRS, including non eosinophilic/infectious variants, eosinophilic variants with and without nasal polyps, allergic fungal sinusitis, aspirin-exacerbated respiratory disease, primary immunodeficiency, and disorders of mucociliary clearance. Further, we detail treatment options that should be considered. Finally, we feature emerging potential treatment options of CRS, including anti-immunoglobulin E, interleukin 5, and interleukin-4 receptor alpha subunit. PMID- 29845325 TI - Vitamin D deficiency and depressive symptoms in the perinatal period. AB - Depression affects 1 in 7 women during the perinatal period. Women with vitamin D deficiency may be at an increased risk for depression. This study investigated the relationship between maternal and cord blood 25-hydroxyvitamin D (25OHD) and maternal depressive symptoms over the perinatal period. Study objectives were to examine variations and relationships between maternal and cord blood vitamin D levels and maternal depressive symptoms over the perinatal period. At a large medical center in southern California, pregnant women (N = 126) were recruited for this longitudinal cohort study. Depressive symptoms (Edinburgh Postnatal Depression Screen, EPDS) and vitamin D status (25OHD) were measured at three time points in the perinatal period: time 1 (T1; N = 125) EPDS and 25OHD were collected in early pregnancy; time 2 (T2; N = 96) EPDS was conducted in the third trimester with blood collected at time of delivery; and time 3 (T3; N = 88) was collected postpartum. A significant inverse relationship between vitamin D status and depressive symptoms was observed between 25OHD and EPDS scores at all time points in this sample (T1 = - 0.18, P = 0.024; T2 = - 0.27, P = 0.009; T3 = - 0.22, P = 0.019). This association remained after controlling for confounders. Low cord blood 25OHD levels were inversely associated with higher EPDS scores in the third trimester (r = - 0.22, P = 0.02). Clinicians may want to consider screening women diagnosed with vitamin D deficiency for depression and vice versa. Vitamin D may represent an important biomarker for pregnant and postpartum women diagnosed with depression. Further studies examining underlying mechanisms and supplementation are needed. PMID- 29845324 TI - Analysis of lipid adsorption on nanoparticles by nanoflow liquid chromatography tandem mass spectrometry. AB - Nanoparticles (NPs) tend to adsorb matrix molecules like proteins and lipids incubated with biological fluids, forming a biological corona. While the formation and functions of protein corona have been studied extensively, little attention has been paid to lipid adsorption on NPs. However, lipids are also abundantly present in biological fluids and play important roles in processes like cell signaling and angiogenesis. Therefore, in this study, we established the analytical procedure for study of lipid adsorption on three different types of NPs in two matrices: human serum and heavy cream, using nanoflow liquid chromatography-mass spectrometry (nanoflowLC-MS). Serum was chosen to represent the common environment the NPs would be present once entering human body, and heavy cream was the representative food matrix NPs may be added to improve the color or taste. Steps of liquid-liquid extraction were established and optimized to achieve maximum recovery of the adsorbed, standard lipids from the NPs. Then, the LC-MS/MS method was developed to attain base-line separation of the standard lipids that represent the major lipid classes. At last, the lipid adsorption profiles of the three NPs were compared. We found that the lipid adsorption profile on the same type of NP was significantly different between the two matrices. The established method will help us investigate lipid adsorption on additional NPs and reveal how it could be affected by the physiochemical properties of NPs and the presence of proteins and other components in the biological matrix. PMID- 29845326 TI - Functional outcome of acute primary total hip replacement after complex acetabular fractures. AB - PURPOSE: To assess the functional outcome of acute primary total hip replacement in the management of complex acetabular fractures. MATERIALS AND METHODS: This prospective observational study was conducted in orthopedic department of Liaquat National Hospital and Medical College, Karachi. The study was approved by the Ethics review committee of hospital (0190-2016). Patients who encountered between January 2010 to January 2016 were entered. Fifty-four patients with acetabular fractures with certain indications (marginal impaction or significant comminution (> 3 fragments) of the articular surface of the acetabulum, full-thickness articular injury to the femoral head, an associated femur neck fracture, or preexisting symptomatic osteoarthritis) were treated with primary total hip replacement. Patients were followed in outpatient clinic at regular intervals after discharge to assess the radiological union of fractures and complications. Functional outcome was evaluated after 2 years by applying Harris Hip Score. All statistical analysis was done by using SPSS version 20. RESULTS: All patients achieved radiological union of fractures at an average duration of 21 weeks. During the follow-up, seven complications were observed. Two patients developed superficial surgical site infection which was treated conservatively. One patient had dislocation which was reduced closely, while two patients had acetabular cup loosening which was revised. We also observed two cases of Brooker I heterotopic ossification and one case of Brooker II. At 2-year follow-up, 78% of patients had an excellent and good functional outcome according to Harris Hip score. CONCLUSION: Primary total hip replacement is a valid and reasonable one stage surgical treatment of complex acetabular fractures and in aged individuals. However, the complications are not uncommon. PMID- 29845327 TI - Comparative outcomes of epidural steroids versus placebo after lumbar discectomy in lumbar disc herniation: a systematic review and meta-analysis of randomized controlled trials. AB - Treatment for lumbar disc herniation after failed conservative treatment is discectomy. Discectomy can significantly relieve back pain as well as radicular symptoms. However, many patients with lumbar discectomy experience moderate-to severe back pain and radicular leg pain. The results of application of epidural steroids (ES) for pain management after lumbar discectomy have previously been inconclusive. We have conducted a systematic review and meta-analysis aims to compare outcomes (efficacy and complications) of epidural steroid application and placebo after discectomy in lumbar disc herniation. This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Relevant studies that reported visual analog scale of back and leg pain, morphine consumption, hospital stay and post-operative complications of either group were identified from Medline and Scopus from the date of inception to 28 October 2017. A total of 12 studies were pooled and analysed, with nine studies having undergone conventional discectomy and three studies having undergone minimally invasive surgery (MIS) discectomy. Overall, there were 1006 patients (502 in the ES group and 504 in the placebo group) included. The unstandardized mean difference of VAS of back pain at 1 week and 1 month, leg pain at 1 week and 1 month, morphine consumption and hospital stay was - 0.53 (95% CI - 1.42, 0.36) score, - 0.89 (95% CI - 1.36, - 0.42) score, - 0.63 (95% CI - 0.75, - 0.50) score, - 0.47 (95% CI - 0.78, - 0.15) score, - 8.47 (95% CI - 16.16, - 0.78) mg and - 0.89 (95% CI - 1.49, - 0.30) days lower when compared to placebo after lumbar discectomy in patients with lumbar disc herniation. A total of ten studies compared the ratio of complication between the ES and placebo groups. No significant differences were noted for complications within the two groups (0.92; 95% CI 0.47, 1.83). This meta-analysis analysed lower back and leg pain, morphine consumption and hospital stay, with no significant difference in complications for ES application after lumbar discectomy in lumbar disc herniation. In terms of surgical approaches with MIS compared to conventional approach, this review demonstrates that ES can reduce post-operative morphine consumption when the surgical approach is conventional, but not for MIS.Level of evidence I. PMID- 29845328 TI - Comparison of Duke Activity Status Index with cardiopulmonary exercise testing in cancer patients. AB - PURPOSE: The Duke Activity Status Index (DASI), a patient-administered questionnaire, is used to quantify functional capacity in patients undergoing cancer surgery. METHODS: This retrospective cohort study assessed whether the DASI was accurate in predicting peak oxygen consumption (pVO2) that was objectively measured using cardiopulmonary exercise testing (CPET) in 43 consecutive patients scheduled for elective major cancer surgery at a tertiary cancer centre. The primary outcome measured the limits of agreement between DASI predicted pVO2 and actual measured pVO2. RESULTS: The study population was elderly (median 63 years, interquartile range 18), 58% were male, with the majority having intraabdominal cancer surgery. Although the DASI scores were statistically related to the measured pVO2 (N = 43, adjusted R2 = 0.20, p = 0.002), both the bias (8 ml kg- 1 min- 1) and 95% limits of agreement (19.5 to - 3.4 ml kg- 1 min- 1) between the predicted and measured pVO2 were large. Using some of the individual components, recalibrating the intercept and regression coefficient of the total DASI score did not substantially improve its ability to predict the measured pVO2. CONCLUSION: In summary, both the limits of agreement and bias between the measured and DASI-predicted pVO2 were substantial. The DASI predicted pVO2 based on patient's assessment of their functional status could not be considered a reliable surrogate of measured pVO2 during CPET for the population of patients pending major cancer surgery and cannot, therefore, be used as a triage tool for referral to CPET centres for objective risk assessment. PMID- 29845329 TI - A Prediction Model of Tumor Progression and Survival in HER2-Positive Metastatic Gastric Cancer Patients Treated with Trastuzumab and Chemotherapy. AB - The effects of different patient factors and dose levels of chemotherapeutic agents on clinical outcomes in advanced gastric cancer are not as yet fully characterized. We aimed at developing an integrative model that incorporates dose and covariate information to predict tumor growth and patient survival in advanced gastric cancer patients treated with trastuzumab (T), 5 FU(F)/capecitabine (X) (F or X), and cisplatin (P). Sixty-nine patients (training dataset) were used for model building and a separate 86 patients (test dataset) for model validation. A fraction of tumor cells sensitive to each drug was incorporated as a model parameter, and T was assumed as cytostatic and X/F and P as cytotoxic. Cox proportional hazards analyses were performed on model parameters and patient covariates. The model well described the time course of observed tumor size changes, and revealed that the pretreatment tumor growth rate constant k g , which was formulated as a function of pretreatment disease duration and baseline tumor size, was positively correlated with baseline tumor size (p = 0.0084) and histologic grade (p = 0.034), and the efficacy of 5-FU with body weight (p < 2e-16) and that of cisplatin with histologic grade (p = 0.00013). Prior gastrectomy and Eastern Cooperative Oncology Group scores were significant prognostic factors for progression-free survival (PFS). For hazards analysis, a unit increase of k g was associated with a relative risk of 3.19 for PFS (p = 0.00055) and 4.45 for OS (p = 2e-04) in the test dataset, with a similar trend observed in the training dataset. Dose-response simulations showed that, for small baseline tumor size or low histologic grade, a maximum cytotoxic effect was attainable with a dose smaller than the current recommended dose. PMID- 29845330 TI - Changes in arterial pressure hemodynamics in response to renal nerve stimulation both before and after renal denervation. AB - BACKGROUND: Renal nerve denervation (RDN) is developed as a potential treatment for hypertension. Recently, we reported the use of renal nerve stimulation (RNS) to localize sympathetic nerve tissue for subsequent selective RDN. The effects of RNS on arterial pressure dynamics remain unknown. The current study aimed to describe the acute changes in arterial pressure dynamics response to RNS before and after RDN. METHODS AND RESULTS: Twenty six patients with drug-resistant hypertension referred for RDN were included. RNS was performed under general anesthesia before and after RDN. We continuously monitored heart rate (HR) and invasive femoral blood pressure (BP). Augmentation pressure (AP) and index (Aix), pulse pressure (PP), time to reflected wave, maximum systolic BP and dicrotic notch were calculated. Systolic and diastolic BP at site of maximum response significantly increased in response to RNS (120 +/- 16/62 +/- 9 to 150 +/- 22/75 +/- 15 mmHg) (p < 0.001/< 0.001), whereas after RDN no RNS-induced BP change was observed (p > 0.10). RNS increased Aix (29 +/- 11 to 32 +/- 13%, p = 0.005), PP (59 +/- 14 to 75 +/- 17 mmHg, p < 0.001), time to reflected wave (63 +/- 18 to 71 +/- 25 ms, p = 0.004) and time to maximum systolic pressure (167 +/- 36 to 181 +/ 46 ms, p = 0.004) before RDN, whereas no changes were observed after RDN (p > 0.18). All changes were BP dependent. RNS had no influence on HR or the time to dicrotic notch (p > 0.12). CONCLUSION: RNS induces temporary rises in Aix, PP, time to maximum systolic pressure and time to reflected wave. These changes are BP dependent and were completely blunted after RDN. PMID- 29845331 TI - Sleep-disordered breathing in patients with cardiovascular diseases cannot be detected by ESS, STOP-BANG, and Berlin questionnaires. AB - Sleep-disordered breathing (SDB) is highly prevalent in patients with cardiovascular diseases (CVD) and associated with poor outcome. At least 50% of heart failure (HF) patients present with SDB, equally divided in obstructive sleep apnea (OSA) and central sleep apnea (CSA). CVD patients with SDB do not always present with typical SDB symptoms. Therefore, we asked whether established questionnaires allow for the reliable detection of SDB. In this prospective cohort study, 89 CVD patients (54 male, 59 +/- 15 years, BMI 30 +/- 6 kg/m2) in stable clinical state underwent an ambulatory polygraphy. SDB was defined as an apnea-hypopnea index (AHI) >= 15/h. We evaluated the Epworth Sleepiness Scale (ESS), STOP-BANG and Berlin questionnaires as well as anthropometric data and comorbidities regarding their ability to predict SDB. The ESS showed no correlation with SDB. The sensitivity of the Berlin Questionnaire to detect SDB was 73%, specificity was 42%. The STOP-BANG questionnaire showed a sensitivity of 97% while specificity was 13%. Coronary heart disease and/or history of myocardial infarction, hyperuricemia and age significantly contributed to a logistic regression model predicting presence of SDB. However, our regression model explains only 36% of the variance regarding the presence or absence of SDB. The approach to find variables, which would allow an early and reliable differentiation between patients with CVD and coexistence or absence of SDB, failed. Thus, as CVD patients show a high SDB prevalence and poor outcome, only a systematic screening based on measures of respiration-related parameters (i.e., respiratory flow, blood oxygen saturation, etc.) allows for a reliable SDB assessment. PMID- 29845332 TI - [Chiari malformation]. AB - Chiari malformation is one of the most common congenital anomalies involving both skeletal and neuronal structures. Magnetic Resonance Imaging(MRI) is nowadays considered the imaging technique of choice for the diagnosis of Chiari malformations. Computed Tomography (CT) scans may provide additional information about skeletal anomalies. PMID- 29845333 TI - A selective CD28 antagonist and rapamycin synergise to protect against spontaneous autoimmune diabetes in NOD mice. AB - AIMS/HYPOTHESIS: The CD28/B7 interaction is critical for both effector T cell activation and forkhead box P3 (FOXP3)+ regulatory T cell (Treg) generation and homeostasis, which complicates the therapeutic use of cytotoxic T lymphocyte associated antigen 4 (CTLA-4)-immunoglobulin fusion protein (CTLA-4Ig) in autoimmunity. Here, we evaluated the impact of a simultaneous and selective blockade of the CD28 and mammalian target of rapamycin (mTOR) pathways in the NOD mouse model of type 1 diabetes. METHODS: NOD mice were treated with PEGylated anti-CD28 Fab' antibody fragments (PV1-polyethylene glycol [PEG], 10 mg/kg i.p., twice weekly), rapamycin (1 mg/kg i.p., twice weekly) or a combination of both drugs. Diabetes incidence, pancreatic islet infiltration and autoreactive T cell responses were analysed. RESULTS: We report that 4 week administration of PV1-PEG combined with rapamycin effectively controlled the progression of autoimmune diabetes in NOD mice at 10 weeks of age by reducing T cell activation and migration into the pancreas. Treatment with rapamycin alone was without effect, as was PV1-PEG monotherapy initiated at 4, 6 or 10 weeks of age. Prolonged PV1 PEG administration (for 10 weeks) accelerated diabetes development associated with impaired peripheral Treg homeostasis. This effect was not observed with the combined treatment. CONCLUSIONS/INTERPRETATION: CD28 antagonist and rapamycin treatment act in a complementary manner to limit T cell activation and infiltration of pancreatic islets and diabetes development. These data provide new perspectives for the treatment of autoimmune diabetes and support the therapeutic potential of protocols combining antagonists of CD28 (presently in clinical development) and the mTOR pathway. PMID- 29845334 TI - Enhancement of a-IGZO TFT Device Performance Using a Clean Interface Process via Etch-Stopper Nano-layers. AB - To overcome the technological and economic obstacles of amorphous indium-gallium zinc-oxide (a-IGZO)-based display backplane for industrial production, a clean etch-stopper (CL-ES) process is developed to fabricate a-IGZO-based thin film transistor (TFT) with improved uniformity and reproducibility on 8.5th generation glass substrates (2200 mm * 2500 mm). Compared with a-IGZO-based TFT with back channel-etched (BCE) structure, a newly formed ES nano-layer (~ 100 nm) and a simultaneous etching of a-IGZO nano-layer (30 nm) and source-drain electrode layer are firstly introduced to a-IGZO-based TFT device with CL-ES structure to improve the uniformity and stability of device for large-area display. The saturation electron mobility of 8.05 cm2/V s and the Vth uniformity of 0.72 V are realized on the a-IGZO-based TFT device with CL-ES structure. In the negative bias temperature illumination stress and positive bias thermal stress reliability testing under a +/- 30 V bias for 3600 s, the measured Vth shift of CL-ES structured device significantly decreased to - 0.51 and + 1.94 V, which are much lower than that of BCE-structured device (- 3.88 V, + 5.58 V). The electrical performance of the a-IGZO-based TFT device with CL-ES structure implies that the economic transfer from a silicon-based TFT process to the metal oxide semiconductor-based process for LCD fabrication is highly feasible. PMID- 29845335 TI - "I am spiritual, but not religious": Does one without the other protect against adolescent health-risk behaviour? AB - OBJECTIVES: Spirituality and religious attendance (RA) have been suggested to protect against adolescent health-risk behaviour (HRB). The aim of this study was to explore the interrelatedness of these two concepts in a secular environment. METHODS: A nationally representative sample (n = 4566, 14.4 +/- 1.1 years, 48.8% boys) of adolescents participated in the 2014 Health Behaviour in School-aged Children cross-sectional study. RA, spirituality (modified version of the Spiritual Well-Being Scale), tobacco, alcohol, cannabis and drug use and the prevalence of sexual intercourse were measured. RESULTS: RA and spirituality were associated with a lower chance of weekly smoking, with odds ratios (OR) 0.57 [95% confidence interval (CI) 0.36-0.88] for RA and 0.88 (0.80-0.97) for spirituality. Higher spirituality was also associated with a lower risk of weekly drinking [OR (95% CI) 0.91 (0.83-0.995)]. The multiplicative interaction of RA and spirituality was associated with less risky behaviour for four of five explored HRB. RA was not a significant mediator for the association of spirituality with HRB. CONCLUSIONS: Our findings suggest that high spirituality only protects adolescents from HRB if combined with RA. PMID- 29845336 TI - Association Between the Methicillin Resistance of Staphylococcus aureus Isolated from Slaughter Poultry, Their Toxin Gene Profiles and Prophage Patterns. AB - In this work, 85 strains of Staphylococcus aureus were isolated from samples taken from slaughter poultry in Poland. Attempts were made to determine the prophage profile of the strains and to investigate the presence in their genome of genes responsible for the production of five classical enterotoxins (A-E), toxic shock syndrome toxin (TSST-1), exfoliative toxins (ETA and ETB) and staphylokinase (SAK). For this purpose, multiplex PCR was performed using primer specific pairs for targeted genes. The presence of the mecA gene was found in 26 strains (30.6%). The genomes of one of the methicillin-resistant S. aureus (MRSA) strains and two methicillin-sensitive S. aureus (MSSA) strains contained the gene responsible for the production of enterotoxin A. Only one MRSA strain and two MSSA strains showed the presence of the toxic shock syndrome toxin (tst) gene. Only one of the MSSA strains had the gene (eta) responsible for the production of exfoliative toxins A. The presence of the staphylokinase gene (sak) was confirmed in 13 MRSA strains and in 5 MSSA strains. The study results indicated a high prevalence of prophages among the test isolates of Staphylococcus aureus. In all, 15 prophage patterns were observed among the isolates. The presence of 77-like prophages incorporated into bacterial genome was especially often demonstrated. Various authors emphasize the special role of these prophages in the spread of virulence factors (staphylokinase, enterotoxin A) not only within strains of the same species but also between species and even types of bacteria. PMID- 29845337 TI - Subjective and objective comparisons of image quality between ultra-high resolution CT and conventional area detector CT in phantoms and cadaveric human lungs. AB - OBJECTIVES: To compare the image quality of the lungs between ultra-high resolution CT (U-HRCT) and conventional area detector CT (AD-CT) images. METHODS: Image data of slit phantoms (0.35, 0.30, and 0.15 mm) and 11 cadaveric human lungs were acquired by both U-HRCT and AD-CT devices. U-HRCT images were obtained with three acquisition modes: normal mode (U-HRCTN: 896 channels, 0.5 mm * 80 rows; 512 matrix), super-high-resolution mode (U-HRCTSHR: 1792 channels, 0.25 mm * 160 rows; 1024 matrix), and volume mode (U-HRCTSHR-VOL: non-helical acquisition with U-HRCTSHR). AD-CT images were obtained with the same conditions as U-HRCTN. Three independent observers scored normal anatomical structures (vessels and bronchi), abnormal CT findings (faint nodules, solid nodules, ground-glass opacity, consolidation, emphysema, interlobular septal thickening, intralobular reticular opacities, bronchovascular bundle thickening, bronchiectasis, and honeycombing), noise, artifacts, and overall image quality on a 3-point scale (1 = worst, 2 = equal, 3 = best) compared with U-HRCTN. Noise values were calculated quantitatively. RESULTS: U-HRCT could depict a 0.15-mm slit. Both U-HRCTSHR and U HRCTSHR-VOL significantly improved visualization of normal anatomical structures and abnormal CT findings, except for intralobular reticular opacities and reduced artifacts, compared with AD-CT (p < 0.014). Visually, U-HRCTSHR-VOL has less noise than U-HRCTSHR and AD-CT (p < 0.00001). Quantitative noise values were significantly higher in the following order: U-HRCTSHR (mean, 30.41), U-HRCTSHR VOL (26.84), AD-CT (16.03), and U-HRCTN (15.14) (p < 0.0001). U-HRCTSHR and U HRCTSHR-VOL resulted in significantly higher overall image quality than AD-CT and were almost equal to U-HRCTN (p < 0.0001). CONCLUSIONS: Both U-HRCTSHR and U HRCTSHR-VOL can provide higher image quality than AD-CT, while U-HRCTSHR-VOL was less noisy than U-HRCTSHR. KEY POINTS: * Ultra-high-resolution CT (U-HRCT) can improve spatial resolution. * U-HRCT can reduce streak and dark band artifacts. * U-HRCT can provide higher image quality than conventional area detector CT. * In U-HRCT, the volume mode is less noisy than the super-high-resolution mode. * U HRCT may provide more detailed information about the lung anatomy and pathology. PMID- 29845338 TI - Establishment of adoptive cell therapy with tumor infiltrating lymphocytes for non-small cell lung cancer patients. AB - Adoptive cell therapy (ACT) of tumor infiltration lymphocytes (TIL) yields promising clinical results in metastatic melanoma patients, who failed standard treatments. Due to the fact that metastatic lung cancer has proven to be susceptible to immunotherapy and possesses a high mutation burden, which makes it responsive to T cell attack, we explored the feasibility of TIL ACT in non-small cell lung cancer (NSCLC) patients. Multiple TIL cultures were isolated from tumor specimens of five NSCLC patients undergoing thoracic surgery. We were able to successfully establish TIL cultures by various methods from all patients within an average of 14 days. Fifteen lung TIL cultures were further expanded to treatment levels under good manufacturing practice conditions and functionally and phenotypically characterized. Lung TIL expanded equally well as 103 melanoma TIL obtained from melanoma patients previously treated at our center, and had a similar phenotype regarding PD1, CD28, and 4-1BB expressions, but contained a higher percent of CD4 T cells. Lung carcinoma cell lines were established from three patients of which two possessed TIL cultures with specific in vitro anti tumor reactivity. Here, we report the successful pre-clinical production of TIL for immunotherapy in the lung cancer setting, which may provide a new treatment modality for patients with metastatic NSCLC. The initiation of a clinical trial is planned for the near future. PMID- 29845339 TI - Hybrid 99mTc-magnetite tracer for dual modality sentinel lymph node mapping. AB - Accuracy of sentinel lymph node identification using radioactive tracers in non superficial cancers can be limited by radiation shine through and low spatial resolution of detection systems such as intraoperative gamma probes. By utilising a dual radioactive/magnetic tracer, sensitive lymphoscintigraphy can be paired with high spatial resolution intraoperative magnetometer probes to improve the accuracy of sentinel node detection in cancers with complex multidirectional lymphatic drainage. Dextran-coated magnetite nanoparticles (33 nm mean hydrodynamic diameter) were labelled with 99mTc and applied as a lymphotropic tracer in small and large animal models. The dual tracer could be radiolabelled with 98 +/- 2% efficiency after 10 min of incubation at room temperature. Biodistribution studies of the tracer were conducted in normal rats (subdermal and intravenous tail delivery, n = 3) and swine (subdermal hind limb delivery, n = 5). In rats the dual tracer migrated through four tiers of lymph node, 20 min after subdermal injection. Results from intravenous biodistribution test for radiocolloids demonstrated no aggregation in vivo, however indicated the presence of some lower-molecular weight radioactive impurities (99mTc-dextran). In swine, the dual tracer could be effectively used to map lymphatic drainage from hind hoof to popliteal and inguinal basins using intraoperative gamma and magnetometer probes. Of the eight primary nodes excised, eight were positively identified by gamma probe and seven by magnetometer probe. The high-purity dual tracer shows early promise for sentinel node identification in complex lymphatic environments by combining sensitive preoperative lymphoscintigraphy with a high-resolution intraoperative magnetometer probe. PMID- 29845341 TI - EBUS-TBNA is Sufficient for Successful Diagnosis of Silicosis with Mediastinal Lymphadenopathy. AB - BACKGROUND: Silicosis is an occupational lung disease resulting from inhalation of respirable crystalline silica. Recently, an international silicosis epidemic has been noted among artificial stone workers. OBJECTIVE: Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is currently used for patients with unexplained lymphadenopathy. Since silicosis may present with prominent lymphadenopathy, the diagnostic yield of EBUS-TBNA in diagnosing silicosis was evaluated. METHODS: Twenty-eight patients with suspected silicosis referred for outpatient evaluation in three large tertiary hospitals were evaluated. Patients with mediastinal lymphadenopathy underwent EBUS-TBNA, while others underwent TBB and/or video-assisted thoracoscopic surgery (VATS). RESULTS: Eleven patients with mediastinal lymphadenopathy (39%) were evaluated using EBUS TBNA. The diagnosis was accurate in all cases, demonstrating silica particles under polarized light, with no complications. Among the remaining patients, TBB was only 76% diagnostic, therefore requiring VATS. CONCLUSIONS: EBUS-TBNA is a useful and sufficient tool to diagnose silicosis in patients with mediastinal lymphadenopathy along compatible exposure histories. PMID- 29845342 TI - Triple Issues Underlying Lung Injury for Adolescent Idiopathic Scoliosis Surgery. PMID- 29845340 TI - Childhood aggression and the co-occurrence of behavioural and emotional problems: results across ages 3-16 years from multiple raters in six cohorts in the EU ACTION project. AB - Childhood aggression and its resulting consequences inflict a huge burden on affected children, their relatives, teachers, peers and society as a whole. Aggression during childhood rarely occurs in isolation and is correlated with other symptoms of childhood psychopathology. In this paper, we aim to describe and improve the understanding of the co-occurrence of aggression with other forms of childhood psychopathology. We focus on the co-occurrence of aggression and other childhood behavioural and emotional problems, including other externalising problems, attention problems and anxiety-depression. The data were brought together within the EU-ACTION (Aggression in Children: unravelling gene environment interplay to inform Treatment and InterventiON strategies) project. We analysed the co-occurrence of aggression and other childhood behavioural and emotional problems as a function of the child's age (ages 3 through 16 years), gender, the person rating the behaviour (father, mother or self) and assessment instrument. The data came from six large population-based European cohort studies from the Netherlands (2x), the UK, Finland and Sweden (2x). Multiple assessment instruments, including the Child Behaviour Checklist (CBCL), the Strengths and Difficulties Questionnaire (SDQ) and Multidimensional Peer Nomination Inventory (MPNI), were used. There was a good representation of boys and girls in each age category, with data for 30,523 3- to 4-year-olds (49.5% boys), 20,958 5- to 6 year-olds (49.6% boys), 18,291 7- to 8-year-olds (49.0% boys), 27,218 9- to 10 year-olds (49.4% boys), 18,543 12- to 13-year-olds (48.9% boys) and 10,088 15- to 16-year-olds (46.6% boys). We replicated the well-established gender differences in average aggression scores at most ages for parental ratings. The gender differences decreased with age and were not present for self-reports. Aggression co-occurred with the majority of other behavioural and social problems, from both externalising and internalising domains. At each age, the co-occurrence was particularly prevalent for aggression and oppositional and ADHD-related problems, with correlations of around 0.5 in general. Aggression also showed substantial associations with anxiety-depression and other internalizing symptoms (correlations around 0.4). Co-occurrence for self-reported problems was somewhat higher than for parental reports, but we found neither rater differences, nor differences across assessment instruments in co-occurrence patterns. There were large similarities in co-occurrence patterns across the different European countries. Finally, co-occurrence was generally stable across age and sex, and if any change was observed, it indicated stronger correlations when children grew older. We present an online tool to visualise these associations as a function of rater, gender, instrument and cohort. In addition, we present a description of the full EU-ACTION projects, its first results and the future perspectives. PMID- 29845343 TI - The effects of extra PCR cycles when amplifying skeletal samples with the GlobalFiler(r) PCR Amplification Kit. AB - When samples with low amounts of DNA are amplified using short tandem repeats (STRs), stochastic effects such as allele and locus dropout or drop-in, allele imbalance, and increased stutter often occur making data interpretation more difficult. The most common approach to improving STR results from low template samples is to increase the number of PCR cycles. Although more alleles may be recovered, stochastic effects may be exaggerated resulting in more complicated STR profiles. This work reports the effect of additional PCR cycles (29 vs. 30, 31, and 32) on STR success from environmentally challenged bone and tooth samples using the GlobalFiler(r) DNA Amplification Kit (Thermo Fisher Scientific). In addition, we compared the efficiency of two DNA extraction kits for skeletal samples: QIAamp(r) DNA Investigator (QIAGEN) and PrepFiler(r) BTATM Forensic DNA Extraction (Thermo Fisher Scientific) kits. Results showed that more DNA was recovered from samples using the PrepFiler(r) BTATM kit; but regardless of the extraction method, the number of alleles detected and the peak heights both increased with an increase in PCR cycle number. Although more alleles were reported in almost all samples, the most notable improvement was observed in samples with the DNA template < 120 pg. A general increase in the number of PCR artifacts was detected in STR profiles generated using 30-32 cycles. Overall, this study provides supporting evidence that STR profile completeness and quality may be improved when low template skeletal samples are amplified with extra PCR cycles (up to 32 cycles) using the GlobalFiler(r) DNA Amplification Kit. PMID- 29845344 TI - [Hyperopic Laser-in-situ-Keratomileusis after trifocal intraocular lens implantation : Aberration-free femto-Laser-in-situ-Keratomileusis treatment after implantation of a diffractive, multifocal, toric intraocular lens-case analysis]. AB - A 52-year-old highly myopic female patient was implanted with a multifocal, diffractive, toric intraocular lens because of the wish to be independent of eyeglasses. Despite high-quality, extensive preoperative examinations, a hyperopic refractive error remained postoperatively, which led to the patient's dissatisfaction. This error was treated with Laser-in-situ-Keratomileusis (LASIK). After corneal LASIK treatment and implantation of a diffractive toric multifocal intraocular lens the patient showed a good postoperative visual result without optical phenomena. PMID- 29845345 TI - The role of sex hormone-binding globulin (SHBG), testosterone, and other sex steroids, on the development of type 2 diabetes in a cohort of community-dwelling middle-aged to elderly men. AB - AIMS: Contrasting findings exist regarding the association between circulating sex hormone-binding globulin (SHBG) and testosterone levels and type 2 diabetes (T2D) in men. We examined prospective associations of SHBG and sex steroids with incident T2D in a cohort of community-dwelling men. METHODS: Participants were from a cohort study of community-dwelling (n = 2563), middle-aged to elderly men (35-80 years) from Adelaide, Australia (the Men Androgen Inflammation Lifestyle Environment and Stress (MAILES) study). The current study included men who were followed for 5 years and with complete SHBG and sex steroid levels (total testosterone (TT), dihydrotestosterone (DHT) and oestradiol (E2)), but without T2D at baseline (n = 1597). T2D was identified by either self-report, fasting glucose (>= 7.0 mmol/L), HbA1c (>= 6.5%/48.0 mmol/mol), and/or prescriptions for diabetes medications. Logistic binomial regression was used to assess associations between SHBG, sex steroids and incident T2D, adjusting for confounders including age, smoking status, physical activity, adiposity, glucose, triglycerides, symptomatic depression, SHBG and sex steroid levels. RESULTS: During an average follow-up of 4.95 years, 14.5% (n = 232) of men developed new T2D. Multi-adjusted models revealed an inverse association between baseline SHBG, TT, and DHT levels, and incident T2D (odds ratio (OR) = 0.77, 95% CI [0.62, 0.95], p = 0.02; OR 0.70 [0.57, 0.85], p < 0.001 and OR 0.78 [0.63, 0.96], p = 0.02), respectively. However, SHBG was no longer associated with incident T2D after additional adjustment for TT (OR 0.92 [0.71, 1.17], p = 0.48; TT in incident T2D: OR 0.73 [0.57, 0.92], p = 0.01) and after separate adjustment for DHT (OR 0.83 [0.64, 1.08], p = 0.16; DHT in incident T2D: OR 0.83 [0.65, 1.05], p = 0.13). There was no observed effect of E2 in all models of incident T2D. CONCLUSIONS: In men, low TT, but not SHBG and other sex steroids, best predicts the development of T2D after adjustment for confounders. PMID- 29845346 TI - Correlates of DSM-5 Autism Spectrum Disorder Levels of Support Ratings in a Clinical Sample. AB - The DSM-5 features level of support ratings for social communication (SC) and restrictive and repetitive behaviors (RRB) for individuals with autism spectrum disorder (ASD). We contrasted cognitive, adaptive, and autism severity scores across SC and RRB groups for 158 individuals with ASD diagnosed in a developmental disabilities clinic. Roughly 46% of individuals were identified by licensed psychologists' clinical judgement as needing Level 2 SC support and 49% were identified as needing Level 2 RRB support. No individuals were rated as needing a combination of Level 1/Level 3 supports across domains. MANOVA and direct discriminant analysis revealed that both SC and RRB groups showed a graded pattern of higher adaptation/lower autism severity to lower adaptation/higher autism severity from Level 1 to Level 3. PMID- 29845347 TI - Y-90 Radioembolization Combined with a PD-1 Inhibitor for Advanced Hepatocellular Carcinoma. AB - Nivolumab has recently received approval by the Food and Drug Administration for treatment of advanced hepatocellular carcinoma (HCC) in patients previously treated with sorafenib. Nivolumabs' overall response rate of 20% (El-Khoueiry et al. in Lancet 389:2492-2502, 2017) is a step forward for these patients, but there is significant room for improvement. We describe a case of combining Y-90 radioembolization with nivolumab for treatment of angioinvasive HCC, which successfully bridged patient to partial hepatectomy. Surgical pathology showed negative margins with complete pathological response. With the introduction of immunotherapy for HCC, combining Y-90 radioembolization with immunotherapy may enhance the anti-tumoral immune response of checkpoint inhibitors. PMID- 29845348 TI - Microwave Ablation in the Management of Colorectal Cancer Pulmonary Metastases. AB - PURPOSE: To review outcomes following microwave ablation (MWA) of colorectal cancer pulmonary metastases and assess predictors of oncologic outcomes. METHODS: Technical success, primary and secondary technique efficacy rates were evaluated for 50 patients with 90 colorectal cancer pulmonary metastases at immediate, 4-8 weeks post-MWA and subsequent follow-up CT and/or 18F-FDG PET/CT. Local tumor progression (LTP) rate, LTP-free survival (LTPFS), cancer-specific and overall survivals were assessed. Complications were recorded according to SIR classification. RESULTS: Median follow-up was 25.6 months. Median tumor size was 1 cm (0.3-3.2 cm). Technical success, primary and secondary technique efficacy rates were 99, 90 and 92%, respectively. LTP rate was 10%. One-, 2- and 3-year LTPFS were: 93, 86 and 86%, respectively, with median LTPFS not reached. Median overall survival was 58.6 months, and median cancer-specific survival (CSS) was not reached. One-, 2- and 3-year overall and CSS were 94% and 98, 82 and 90%, 61 and 70%, respectively. On univariate analysis, minimal ablation margin (p < 0.001) and tumor size (p = 0.001) predicted LTPFS, with no LTP for minimal margin >= 5 mm and/or tumor size < 1 cm. Pleural-based metastases were associated with increased LTP risk (p = 0.002, SHR = 7.7). Pre-MWA CEA level > 10 ng/ml (p = 0.046) and >= 3 prior chemotherapy lines predicted decreased CSS (p = 0.02). There was no 90-day death. Major complications rate was 13%. CONCLUSIONS: MWA with minimal ablation margin >= 5 mm is essential for local control of colorectal cancer pulmonary metastases. Pleural-based metastases and larger tumor size were associated with higher risk of LTP. CEA level and pre-MWA chemotherapy impacted CSS. PMID- 29845350 TI - Phylogenetic analysis of porcine reproductive and respiratory syndrome virus isolates from Northern Ireland. AB - To investigate the genetic diversity of porcine reproductive and respiratory syndrome virus (PRRSV) in Northern Ireland, the ORF5 gene from nine field isolates was sequenced and phylogenetically analysed. The results revealed relatively high diversity amongst isolates, with 87.6-92.2% identity between farms at the nucleotide level and 84.1-93.5% identity at the protein level. Phylogenetic analysis confirmed that all nine isolates belonged to the European (type 1) genotype and formed a cluster within the subtype 1 subgroup. This study provides the first report on PRRSV isolate diversity in Northern Ireland. PMID- 29845349 TI - Alternative splicing and cancer metastasis: prognostic and therapeutic applications. AB - Metastatic cells exhibit an extraordinary phenotypic plasticity, not only in adapting to unfamiliar microenvironments but also in surviving aggressive treatments and immune responses. A major source of phenotypic variability is alternative splicing (AS) of the pre-messenger RNA. This process is catalyzed by one of the most complex pieces of cellular molecular regulatory events, the spliceosome, which is composed of ribonucleoproteins and polypeptides termed spliceosome factors. With strong evidence indicating that AS affects nearly all genes encoded by the human genome, aberrant AS programs have a significant impact on cancer cell development and progression. In this review, we present insights about the genomic and epigenomic factors affecting AS, summarize the most recent findings linking aberrant AS to metastatic progression, and highlight potential prognostic and therapeutic applications. PMID- 29845351 TI - Antiviral prophylaxis during chemotherapy or immunosuppressive drug therapy to prevent HBV reactivation in patients with resolved HBV infection: a systematic review and meta-analysis. AB - BACKGROUND: Until recently, the role of antiviral prophylaxis in preventing hepatitis B virus (HBV) reactivation during immunosuppressive therapy or chemotherapy in patients with resolved HBV infection was unclear. The aim of the study reported here was to compare the efficacy of antiviral prophylaxis versus that of non-prophylaxis in resolved HBV-infected patients undergoing chemotherapy or immunosuppressive therapy. METHODS: PubMed, the Cochrane library, and the ClinicalTrials.gov website were searched from inception until December 2017. Studies comparing reactivation in prophylaxis versus non-prophylaxis in patients undergoing immunosuppressive therapy or chemotherapy were included. The meta analysis was performed to calculate the relative risk (RR) and the pooled estimates. RESULTS: A meta-analysis was conducted of 13 studies (2 randomized controlled trials [RCTs] and 11 cohort studies). The summary RR for HBV reactivation was 0.47 (95% confidence interval [CI] 0.13-1.69) for antiviral prophylaxis versus non-prophylaxis. Both of the RCTs included in the meta analysis enrolled patients treated with rituximab. Subgroup analyses showed that the two RCTs +/- high-quality cohort studies showed a decreased risk of HBV reactivation among the antiviral prophylaxis groups (RCT 1: RR 0.13, 95% CI 0.02 0.70; P = 0.02; RCT 2: 0.28, 95% CI 0.08-0.98; P = 0.05). Subgroup analyses further showed that the cohort studies did not support an association between the antiviral prophylaxis groups and HBV reactivation (RR 0.62, 95% CI 0.14-2.83; P = 0.54); adjusting for confounding factors, such as detectable anti-HBs antibodies, failed to produce a significant association (RR,0.29, 95% CI 0.07-1.28; P = 0.10). CONCLUSION: Our meta-analyses did not show an association between antiviral prophylaxis use and risk of HBV reactivation. As using only the RCTs +/ high-quality cohort studies data rendered this association significant, clinicians can consider providing antiviral prophylaxis to patients with resolved HBV infection who are undergoing rituximab-based therapy. PMID- 29845352 TI - Effect of cross-linking on the physicochemical and in vitro properties of pullulan/dextran microbeads. AB - Hydrogels are very promising for tissue engineering as they provide scaffolds and a suitable microenvironment to control cell behavior and tissue regeneration. We used a patented method to obtain beads of pullulan/dextran cross-linked with sodium trimetaphosphate (STMP), that were already described for in vivo bone repair. The aim of this study was to provide a comparative analysis of microbeads made of polysaccharides prepared using three different STMP feeding ratio of 1.5, 2.25 or 3 % w/w. The morphology, swelling and biodegradability of these structures were assessed. Mesenchymal stem cells were also seeded to evaluate the cell organization onto the beads. We found that the amount of phosphorus resulting from the cross-linking was proportional to the introduced STMP concentration. An increase of cross-linking decreased the in vitro enzymatic degradability, and also decreased the swelling in PBS or water. The microstructures observed by SEM and confocal microscopy indicated that homogeneous spherical microbeads were obtained, except for the lower cross linking ratio where the shapes were altered. Beads hydrated in PBS exhibited a mean diameter ranging from 400 to 550 um with the decrease of STMP ratio. Cells adhered to the surface of microbeads even in the absence of protein coating. Cell viability studies revealed an increase in cell numbers over two weeks for the highest cross-linked beads, whereas the two lowest STMP concentrations induced a decrease of cell viability. Overall, this study demonstrated that pullulan/dextran hydrogels can be designed as microbeads with adjustable physicochemical and biological properties to fulfill requirements for tissue engineering approaches. PMID- 29845353 TI - Molecular level responses to chronic versus pulse nutrient loading in the seagrass Posidonia oceanica undergoing herbivore pressure. AB - Seagrasses are key marine foundation species, currently declining due to the compounded action of global and regional anthropogenic stressors. Eutrophication has been associated with seagrass decline, while grazing has been traditionally considered to be a natural disturbance with a relatively low impact on seagrasses. In the recent years, this assumption has been revisited. Here, by means of a 16-month field-experiment, we investigated the molecular mechanisms driving the long-term response of Posidonia oceanica to the combination of nutrient enrichment, either as a chronic (press) or pulse disturbance, and herbivory. Changes in expression levels of 19 target genes involved in key steps of photosynthesis, nutrient assimilation, chlorophyll metabolism, oxidative stress response and plant defense were evaluated through reverse transcription quantitative polymerase chain reaction (RT-qPCR). High herbivore pressure affected the molecular response of P. oceanica more dramatically than did enhanced nutrient levels, altering the expression of genes involved in plant tolerance and resistance traits, such as photosynthesis and defense mechanisms. Genes involved in carbon fixation and N assimilation modulated the response of plants to high nutrient levels. Availability of resources seems to modify P. oceanica response to herbivory, where the upregulation of a nitrate transporter gene was accompanied by the decline in the expression of nitrate reductase in the leaves, suggesting a change in plant-nutrient allocation strategy. Finally, press and pulse fertilizations altered nitrate uptake and reduction-related genes in opposite ways, suggesting that taking into account the temporal regime of nutrient loading is important to assess the physiological response of seagrasses to eutrophication. PMID- 29845354 TI - Correction to: Roles and maturation of iron-sulfur proteins in plastids. AB - With the author(s)' decision to opt for Open Choice the copyright of the article changed. PMID- 29845355 TI - Correction to: Fe-S cluster assembly in the supergroup Excavata. AB - The article "Fe-S cluster assembly in the supergroup Excavata", written by Priscila Pena-Diaz, Julius Lukes was originally published electronically on the publisher's internet portal (currently SpringerLink) without open access. PMID- 29845356 TI - Correction to: Maturation of the [Ni-4Fe-4S] active site of carbon monoxide dehydrogenases. AB - Correction to: JBIC Journal of Biological Inorganic Chemistry. PMID- 29845357 TI - Serological diagnosis of Mycoplasma pneumoniae infection by using the mimic epitopes. AB - Nowadays, there is lack of effective serological detection method for Mycoplasma pneumoniae (M. pneumoniae) infection in clinic. In this study, the mimic epitopes of M. pneumoniae were screened to evaluate the role in the serodiagnosis of M. pneumoniae infection. The M. pneumoniae-positive serum was used as the target for biopanning to phage display random 7-peptide library. The positive phage clones were selected and the DNA were sequenced and analyzed by BLAST. The representative phages were identified using dot immunoblotting and ELISA. The exogenous heptapeptides were synthesized and their reactions with M. pneumonia positive serum were tested by indirect ELISA. Two heptapeptides, namely heptapeptide 1: TVNFKLY and heptapeptide 2: LPQRLRT, were screened out from the randomly selected 40 phages after the four bio-panning rounds. They had high homologies to some M. pneumoniae antigens. Besides, the representative bacteriophage containing heptapeptide 1 or 2 could react with the M. pneumonia- positive serum. The sensitivities of heptapeptide 1 and heptapeptide 2 for the diagnosis of M. pneumoniae infection were 90.1 and 80.0%, respectively, and the specificities were 94.3 and 97.1%, respectively. Therefore the two heptapeptides were the mimic epitopes of M. pneumoniae and might have potential serological diagnosis value for M. pneumoniae infection. PMID- 29845358 TI - Pleomorphic adenoma of salivary glands: common and uncommon CT and MR imaging features. AB - Pleomorphic adenoma (PA) is the most common salivary gland tumor and is characterized by cytomorphological and architectural diversity. On CT and MR images, PAs are shown as well-defined lesions occasionally accompanied by characteristic lobulated contours. On T2-weighted images, typical PAs show marked hyperintensity, which reflects the abundant myxochondroid stroma, with a hypointense rim indicating the fibrous capsule. However, intratumoral signal intensity varies according to the cellular density, proportion of epithelial and stromal components, and type of stromal components. In addition, a variety of secondary histological changes, including fibrosis, lipometaplasia, ossification, cystic degeneration, and infarction, occur rarely in PAs; therefore, they are associated with difficulty in differential diagnosis from other salivary gland tumors. This review article describes the common and uncommon CT and MR imaging features of PA of the salivary glands. PMID- 29845359 TI - Self-efficacy for self-regulation and fear of failure as mediators between self esteem and academic procrastination among undergraduates in health professions. AB - Academic procrastination has been a widespread problem behavior among undergraduates. This study aimed to examine the prevalence of academic procrastination among undergraduates in health professions, and explore the mediation effects of self-efficacy for self-regulation and fear of failure in the relationship between self-esteem and academic procrastination. A cross-sectional design was used to study 1184 undergraduates in health professions from China. Participants completed measures of academic procrastination, self-esteem, self efficacy for self-regulation and fear of failure. We used Pearson product-moment correlation to examine the bivariate correlations between study variables, and path analysis to examine mediation. Among the 1184 undergraduates, 877 (74.1%) procrastinated on at least one type of academic task. The total score for academic procrastination was negatively correlated with scores for self-esteem and self-efficacy for self-regulation, and positively correlated with the score for fear of failure. Moreover, the relationship between self-esteem and academic procrastination was fully mediated by self-efficacy for self-regulation (indirect effect: beta = - .15, 95% bootstrap CI - .19 to - .11) and fear of failure (indirect effect: beta = - .06, 95% bootstrap CI - .09 to - .04). These findings suggest that interventions targeting the enhancement of self-efficacy for self regulation and the conquest of fear of failure may prevent or reduce academic procrastination among undergraduates in health professions, especially for those with lower self-esteem. PMID- 29845360 TI - HLA-G expression in gastric carcinoma: clinicopathological correlations and prognostic impact. AB - To analyze expression of human leukocyte antigen-G (HLA-G) in gastric adenocarcinoma and correlate its expression with histological and clinical variables. A continuous series of 94 unselected patients with gastric adenocarcinoma (stage I to III) were selected. All histological and clinical variables were collected including the intensity of intra- and peri-tumor lymphocytic infiltration. HLA-G expression was investigated using immunohistochemistry. All histological samples analyzed for HLA-G expression were taken from the primary gastric lesion and included non-neoplastic mucosa. Evaluation of HLA-G expression was performed on the transition zone between tumor and non-neoplastic mucosa, and the invasive front of the tumor and assessment was performed as follows: percentage of positive (strong expression vs weak) cells. A variable amount of HLA-G-positive tumor cells was found in 24 out of 94 cases (25.5%). No significant correlation was found between HLA-G expression and other clinicopathological variables (sex, age, stage, grade, histotype). The overall median survival was worse in patients with HLA-G-positive adenocarcinoma (24.3 months, CI95% 7.7-41.0) compared to those with HLA-G-negative tumors (66.3 months, CI95% 53.0-79.7; p < 0.0001). Two- and 5-year survival rates of HLA-G negative patients were 88 and 44%, respectively, while were 42 and 11% in those HLA-G-positive. This trend was observed in all stages but was more marked in stage III. HLA-G expression is associated with poor survival in stage III gastric cancer patients and represents a possible immunoescape mechanism of cancer cells. PMID- 29845362 TI - Increased intermediate monocyte fraction in peripheral blood is associated with nonalcoholic fatty liver disease. AB - Nonalcoholic fatty liver disease (NAFLD) currently represents the most common hepatic disease worldwide and is closely linked to cardiovascular disease, obesity and diabetes mellitus. This study aimed to investigate NAFLD and its influence on different monocyte subpopulations to determine the presence of significant associations. A total of 3 monocyte subpopulations were investigated, i.e. classical (CD14++CD16-), intermediate (CD14++CD16+) and non-classical (CD14+CD16++). Of the participants 261 were included in this study (n = 53 with NAFLD, n = 208 controls). Ultrasonography was used to diagnose NAFLD and exclude other morphologic causes of liver diseases and other tests (including medical history inquiries and detection of hepatitis virus) were performed to exclude other causes of parenchymal liver disease. Classical inflammatory and metabolic related NAFLD biomarkers were also determined. In contrast to the healthy control group, the intermediate monocyte fraction was increased in NAFLD patients (p = 0.032), while the classical monocyte fraction was decreased (p = 0.025). Intermediate monocyte fraction, body mass index (BMI) and tumor necrosis factor alpha (TNF-alpha) were independent risk factors for NAFLD. Classical, non classical and intermediate monocytes fraction were strongly associated with age, triglyceride, and waist circumference. This study suggests that the intermediate monocyte fraction in peripheral blood is likely related to the aggravation of NAFLD. PMID- 29845361 TI - Gastric gland mucin-specific O-glycan expression decreases as tumor cells progress from lobular endocervical gland hyperplasia to cervical mucinous carcinoma, gastric type. AB - Gastric gland mucin-specific O-glycans are unique in having alpha1,4-linked N acetylglucosamine (alphaGlcNAc) attached to MUC6. We previously reported decreased expression of alphaGlcNAc relative to MUC6 in gastric and pancreatic neoplasms, but its significance in cervical glandular lesions remained unclear. Here, we analyzed MUC5AC, MUC6, alphaGlcNAc, and p16 expression in 9 lesions of mucinous carcinoma, gastric type with minimal deviation adenocarcinoma (GAS-MDA), 5 of GAS with nonMDA (GAS-nonMDA), 14 of typical lobular endocervical gland hyperplasia (LEGH), and 5 of atypical LEGH (33 total lesions). All 33 were MUC5AC positive. Moreover, all 14 typical LEGH, 5 atypical LEGH, 8 of 9 GAS-MDA, and 3 of 5 GAS-nonMDA were MUC6-positive. All 14 typical LEGH, 2 of 5 atypical LEGH, 3 of 9 GAS-MDA, and 1 of 5 GAS-nonMDA were alphaGlcNAc-positive. The proportion of alphaGlcNAc-positive atypical LEGH or GAS-MDA or GAS-nonMDA lesions was significantly smaller than that seen in typical LEGH lesions (P < 0.001 and P < 0.01, respectively). Of 33 lesions, 32 were p16-negative. Furthermore, when we evaluated MUC6 and alphaGlcNAc immunoreactivity semi-quantitatively in all 33 lesions, in typical LEGH and GAS-MDA, the immunohistochemical score for alphaGlcNAc was significantly lower than that for MUC6 (P < 0.01). We did not observe significantly decreased alphaGlcNAc expression relative to MUC6 in typical LEGH lesions. These studies suggest that alphaGlcNAc expression decreases as typical LEGH progresses to GAS. Given the difficulty in distinguishing MDA and atypical LEGH from typical LEGH in H.E. staining, we propose that immunohistochemical analysis of alphaGlcNAc and MUC6 could be useful. PMID- 29845363 TI - [Insufficient tetanus vaccination protection in psoriasis and systemic immunosuppression : Results of a retrospective investigation of 101 patients]. AB - BACKGROUND: With a prevalence of approximately 3 % worldwide, psoriasis is one of the most frequent chronic inflammatory skin diseases. Patients with moderate to severe psoriasis are treated guideline-conform with immunomodulatory or immunosuppressive agents. According to current guidelines physicians should be vigilant about the vaccination status of immunosuppressed patients. OBJECTIVE: The aim of the study was to serologically objectify the tetanus vaccination status in systemically treated patients with moderate to severe psoriasis in Germany. MATERIAL AND METHODS: Within the context of this retrospective study the concentration of immunoglobulin G antibodies against Clostridium tetani was determined in 101 patients with systemic immunosuppression suffering from psoriasis. RESULTS: In a total of 27.7% (n = 28; 11 male, 17 female) of the patients, insufficient immunoglobulin G antibody concentrations were detected, corresponding to a higher risk of an infection with C. tetani. Group subanalyses indicated an insufficient tetanus protection especially in patients >=65 years old (50%). CONCLUSION: The tetanus immune status of psoriasis patients was shown to be comparable with the general population. The results of our investigation underline that people suffering from psoriasis have to be tested for tetanus protection and if necessary, vaccinations have to be renewed. PMID- 29845364 TI - [Image-based computer diagnosis of melanoma]. AB - The use of automated diagnostic systems for the diagnosis of melanomas is becoming increasingly more established. These are based on the following four steps: 1) preprocessing, to ensure that disturbing factors are eliminated, 2) segmentation, the separation of the image and the background, 3) extraction and selection of features that provide the highest measure of accuracy for the diagnosis and 4) classification, in which the lesion is assigned to a diagnostic class. Recently, the computer-assisted diagnosis of melanoma has focused on algorithms based on transfer learning, which can make steps 2 and 3 obsolete and provides better results. In this article we also review smartphone applications in the field of melanoma screening and recognition. These applications should be considered with caution as they are available to lay persons although the diagnostic accuracy of these applications has not usually been tested in clinical trials. PMID- 29845365 TI - Association of TNF-alpha-308 Polymorphism with Susceptibility to Autoimmune Hepatitis in Tunisians. AB - Autoimmune hepatitis (AIH) is a chronic hepatitis of unknown etiology and several proinflammatory cytokines are implicated in its pathogenesis. The association of TNF-alpha gene polymorphism with AIH onset is not fully elucidated especially in the Tunisian population. The aim of this study was to determine the association of TNF-alpha (-308 G > A) polymorphism with AIH susceptibility and with TNF-alpha expression or clinical manifestations of AIH. A total of 50 AIH patients and 150 controls were included. Evaluation of TNF-alpha polymorphism was performed by ARMS PCR method. A significantly higher frequence of the AA genotype was found in AIH patients compared to controls (34 vs. 8%, p = 0.00002, OR 5.88). The frequency of the A-allele was significantly higher in patients with AIH compared to controls (55 vs. 37.3%, p = 0.002, OR 2.05). The G-allele was significantly more frequent in healthy controls compared to AIH patients [43 vs. 61.3%, p = 0.001, OR 0.47 (0.3-0.75)]. There was a positive correlation between the A/A genotype and a higher serum expression of TNF-alpha. The TNF*A allele confer susceptibility to AIH in the Tunisian patients and is associated with increased production of TNF-alpha. Anti-TNF antibodies could be an alternative to the use of corticotherapy and may avoid the exacerbated immune response in AIH. PMID- 29845366 TI - Postnatal development of the subarcuate fossa and subarcuate canaliculus-a computed tomographic study. AB - PURPOSE: The subarcuate fossa (SF) is an anatomical structure situated on posterior wall of the petrous part of the temporal bone. In older children and adults, SF is a shallow depression and the subarcuate canaliculus starts within it. Awareness of postnatal changing morphology of this region is important especially for otosurgeon. The aim of this paper is to characterize both SF and SC by means of anatomical and radiological methods. METHODS: The study was carried out on CT scans of 101 children, aged 1-60 months. Length of the pyramid (PL), the distance between the anterior semicircular canal (ASC) and the pyramidal apex (PLM), the outer diameter of ASC (ASCD), width under ASC (SFWM), the distance between the fundus of SF and ASC (SFLL), the maximal width of SF lateral to ASC (SFWL), the distance between the fundus of SF and posterior surface of the pyramid (SFL) were measured. RESULTS: Average value of all measured distances: PL 52.14 +/- 6.32 mm and PLM 25.73 +/- 3.47 mm (raised with age); ASCD 8.63 +/- 0.67 mm; SFWM 0.95 +/- 1.24 mm; SFLL 1.07 +/- 1.63 mm; SFWL 0.76 +/- 1.19 mm; SFL 3.60 +/- 2.50 mm. CONCLUSIONS: Petrous part of the temporal bone grows with age up to 5 years old, whereas ASC does not. SF diminishes with age: lateral to ASC is well developed in newborns and infants (up to first year), rapidly diminishes in children aged 1-2 years and is totally absent in children > 2 years. SF medial to ASC is constant and diminishes with age. In children older than 3 years morphology of SF is similar to adult. PMID- 29845367 TI - Intracranial Stenting after Failure of Thrombectomy with the emboTrap(r) Device. AB - BACKGROUND: Approved alternatives in the guidelines for acute ischemic stroke patients who have failed intracranial thrombectomy are lacking. Primary permanent intracranial stenting was initially used in the era before thrombectomy and might still be a useful rescue treatment in acute stroke patients suffering from ongoing large vessel occlusion refractory to thrombectomy. METHODS: The prospectively collected registry of patients with acute stroke caused by large vessel occlusions and treated with the emboTrap(r) device in Karolinska Hospital from October 2013 through March 2017 were retrospectively reviewed. Clinical outcome of non-recanalized patients with a thrombolysis in cerebral infarction (TICI) score of 0-1 after failed thrombectomy were compared with those who were treated with permanent intracranial stenting as rescue therapy. Favorable outcome was defined as modified Rankin scale 0-2. RESULTS: The emboTrap(r) device was used in 201 patients. Persistent re-occlusions on withdrawal of the thrombectomy device were seen in 26 patients (13%) and of those, 12 individuals (46%) were treated with intracranial stenting. Baseline National Institutes of Health stroke scale (NIHSS), occlusion site, and onset-to-puncture time did not differ between the stenting group and the non-recanalized group. During the procedure half dose (5/12 patients) or full dose abciximab (6/12 patients), or aspirin (1/12 patient) was given intravenously immediately after stent placement. In 2 patients (17%) multiple stents were implanted. The stenting group had better functional outcomes at 3 months compared to the non-stenting group with 8/12 (66%) vs. 3/14 (21.4%, p < 0.05). Of the patients 5 (36%) in the non-stented group had died at 3 months follow-up, whereas mortality in the stenting cohort was 0% (p < 0.05) and no symptomatic intracranial hemorrhage (ICH) occurred in either group. CONCLUSION: Intracranial stenting after failure of recanalization with thrombectomy led to a better rate of clinical outcome than leaving the patient non-recanalized. The required antiplatelet therapy, predominantly abciximab, did not lead to additional ICH. PMID- 29845368 TI - Specific spinal pathologies in adult patients with an acute or subacute atraumatic low back pain in the emergency department. AB - PURPOSE: The primary aim in the evaluation of patients presenting with acute or subacute low back pain (LBP) is to exclude a possible specific spinal pathology. Literature on the population-based incidences of these pathologies is scarce. The aim of our study was to investigate the population-based incidence of specific spinal pathologies as a cause of atraumatic acute or subacute LBP. METHODS: From our institutional database, we identified all patients with a relevant LBP related ICD-10 code during a visit to our emergency department (ED) in a level II/III teaching hospital between January 2012 and December 2014. Patients with a possible specific spinal pathology (cauda equina syndrome, spondylodiscitis, vertebral fracture, and cancer) were assessed in detail. RESULTS: A total of 900 visits were due to atraumatic low back pain. Of these 284 (31.6%) were due to nonspecific LBP, and 583 (64.8%) due to radicular pain suggesting nerve root compression. In 33 (3.7%) cases, the LBP was caused by a specific spinal pathology. The annual incidences per 100,000 were 0.60 for CES, 2.1 for spondylodiscitis, 0.76 for cancer and 1.2 for compression fracture. CONCLUSIONS: The incidences of specific spinal pathologies were low. Given that LBP is a very common symptom, it is not surprising that the accuracy of red flag symptoms is poor. Each patient should be considered individually, and we advocate a low threshold for referral and advanced imaging in cases where a specific spinal pathology is suspected. PMID- 29845369 TI - Effectiveness of transcutaneous electrical nerve stimulation for the treatment of migraine: a meta-analysis of randomized controlled trials. AB - BACKGROUND: Migraine is now ranked as the second most disabling disorder worldwide reported by the Global Burden of Disease Study 2016. As a noninvasive neurostimulation technique, transcutaneous electrical nerve stimulation(TENS) has been applied as an abortive and prophylactic treatment for migraine recently. We conduct this meta-analysis to analyze the effectiveness and safety of TENS on migraineurs. METHODS: We searched Medline (via PubMed), Embase, the Cochrane Library and the Cochrane Central Register of Controlled Trials to identify randomized controlled trials, which compared the effect of TENS with sham TENS on migraineurs. Data were extracted and methodological quality assessed independently by two reviewers. Change in the number of monthly headache days, responder rate, painkiller intake, adverse events and satisfaction were extracted as outcome. RESULTS: Four studies were included in the quantitative analysis with 161 migraine patients in real TENS group and 115 in sham TENS group. We found significant reduction of monthly headache days (SMD: -0.48; 95% CI: -0.73 to - 0.23; P < 0.001) and painkiller intake (SMD: -0.78; 95% CI: -1.14 to - 0.42; P < 0.001). Responder rate (RR: 4.05; 95% CI: 2.06 to 7.97; P < 0.001) and satisfaction (RR: 1.85; 95% CI: 1.31 to 2,61; P < 0.001) were significantly increased compared with sham TENS. CONCLUSION: This meta-analysis suggests that TENS may serve as an effective and well-tolerated alternative for migraineurs. However, low quality of evidence prevents us from reaching definitive conclusions. Future well-designed RCTs are necessary to confirm and update the findings of this analysis. SYSTEMATIC REVIEW REGISTRATION: Our PROSPERO protocol registration number: CRD42018085984 . Registered 30 January 2018. PMID- 29845370 TI - [Fractures of the anterior process of the calcaneus-frequently overlooked injuries following ankle sprains]. AB - Fractures to the anterior process of the calcaneus (PAC) have long been considered rare injuries and have received little attention in clinical research. On the contrary, recent studies have reported a distinct higher incidence, especially following ankle sprains. Decisive reasons are that fractures of the PAC are regularly missed on plain radiographs and that a clinical differentiation from injuries to the lateral ankle ligaments is difficult. With the broad availability of cross-sectional imaging modalities fractures of the PAC are diagnosed more frequently and more reliably. The purpose of this review is to give an overview on the diagnostics, classification and treatment recommendations to this topic and discuss the studies available. To date no evidence-based recommendations are available for the treatment of fractures of the PAC. The few case reports and case series published, predominantly recommend conservative treatment; however, the treatment regimens vary considerably, ranging from immobilization in a lower leg cast (2-10 weeks) to early functional treatment with full weight-bearing. The surgical treatment by open reduction and internal fixation has been described primarily for large dislocated fractures. Surgical excision is considered mainly in cases of persistent pain or symptomatic non union following non-operative treatment. For both, non-operative and operative treatment, the case reports and case series report satisfactory outcomes for the majority of patients. Nevertheless, comparative studies and patient-rated outcome measures are missing. Therefore, evidence-based recommendations cannot be given. PMID- 29845371 TI - [Syndesmosis injuries at the ankle]. AB - BACKGROUND: Injuries to the distal tibiofibular syndesmosis are frequent and continue to generate controversy due to an extensive range of diagnostic techniques and therapeutic options. OBJECTIVE: The aim of this review is to summarize the current knowledge on syndesmotic instability and to present some recommendations for the clinical practice for acute an chronic injuries. MATERIAL AND METHODS: Analysis of the current literature concerning the anatomy, etiology, diagnostics and treatment of syndesmosis injuries. RESULTS: Purely ligamentous injuries (high ankle sprains) are not associated with a latent or frank tibiofibular diastasis and can be treated with an extended protocol of physiotherapy. Relevant instability of the syndesmosis with diastasis results from rupture of two or more ligaments and requires surgical stabilization. Syndesmotic disruptions are commonly associated with bony avulsions or malleolar fractures. Treatment consists of anatomic reduction of the distal fibula into the corresponding incisura of the distal tibia and stable fixation. The proposed means of fixation are one or more tibiofibular screws or suture button implants. There is no consensus on how long to maintain fixation. Both syndesmotic screws and suture buttons need to be removed if symptomatic. The most frequent complication is syndesmotic malreduction and can be minimized with direct visualization and intraoperative 3D scanning. Other complications include hardware failure, adhesions, heterotopic ossification, tibiofibular synostosis, chronic instability and posttraumatic arthritis. CONCLUSION: The single most important prognostic factor after unstable injury of the distal tibiofibular syndesmosis with or without fracture is the anatomic reduction of the distal fibula and fitting into the tibial incisura. PMID- 29845372 TI - Biosynthesis of riccionidins and marchantins is regulated by R2R3-MYB transcription factors in Marchantia polymorpha. AB - R2R3-MYB transcription factors constitute the largest gene family among plant transcription factor families. They became largely divergent during the evolution of land plants and regulate various biological processes. The functions of R2R3 MYBs are mostly characterized in seed plants but are poorly understood in non seed plants. Here, we examined the function of two R2R3-MYB genes of Marchantia polymorpha (Mapoly0073s0038 and Mapoly0006s0226) that are closely related to subgroup 4 of the R2R3-MYB family. We performed LC/MS/MS metabolomics, RNA-seq analysis and expression analysis in overexpressors and knockout mutants of MpMYB14 and MpMYB02. Overexpression of MpMYB14 remarkably increased the amount of riccionidins, which are specific anthocyanins in liverworts and a few flowering plants. In contrast, overexpression of MpMYB02 increased the amount of several marchantins, which are characteristic cyclic bis (bibenzyl ether) compounds in M. polymorpha and related liverworts. Knockouts of MpMYB14 and MpMYB02 abolished the accumulation of riccionidins and marchantins, respectively. The expression of MpMYB14 was up-regulated by UV-B irradiation, N deficiency, and NaCl treatment, whereas the expression of MpMYB02 was down-regulated by NaCl treatment. Our results suggest that the regulatory framework of phenolic metabolism by R2R3-MYB was already established in early land plants. PMID- 29845373 TI - The occurrence of seizures after ischemic stroke does not influence long-term mortality; a 26-year follow-up study. AB - OBJECTIVE: Epileptic seizures are a common complication after stroke. The relation between occurrence of seizures after stroke and long-term mortality remains elusive. We aimed to assess whether seizures in an early or late phase after ischemic stroke are an independent determinant of long-term mortality. METHODS: We prospectively included and followed 444 ischemic stroke patients with a first-ever supratentorial brain infarct for at least 2 years after their stroke regarding the occurrence of seizures. The final follow-up for mortality is from April 2015 (follow-up duration 24.5-27.8 years, mean 26.0 years, SD 0.9 years). We compared patients with early-onset seizures with all seizure-free patients, whereas the patients with late-onset seizures were compared with the 1-week survivors without any seizures. We used Cox-regression analyses to correct for possible confounding factors. RESULTS: Kaplan-Meier analysis showed significantly higher mortality for the patients with early-onset seizures (p = 0.002) but after correction for known risk factors for (long term) mortality early-onset seizures had no independent influence on long-term mortality (HR 1.09; 95% CI 0.64-1.85). In patients with late-onset seizures, no significant influence from late-onset seizures on long-term mortality was found (univariate p = 0.717; multivariate HR 0.81; 95% CI 0.54-1.20). CONCLUSION: Both early-onset and late-onset seizures do not influence long-term mortality after ischemic stroke. PMID- 29845374 TI - The motor and cognitive features of Parkinson's disease in patients with concurrent Gaucher disease over 2 years: a case series. AB - We report the cognitive features and progression of Parkinson's disease (PD) in five patients with concurrent Gaucher disease. The patients presented at an earlier age than patients with sporadic PD, as previously noted by others; but in contrast to many previous reports, our patients followed a variable clinical course. While two patients developed early cognitive deficits and dementia, three others remained cognitively intact over the follow-up period. Thus, in this small case series, PD in the context of GD more closely resembles idiopathic PD in terms of its clinical heterogeneity in contrast to PD associated with GBA heterozygote mutations. PMID- 29845375 TI - Cognitive impairments that everybody has. PMID- 29845376 TI - Autoimmune hepatitis induced by a single injection of interferon-beta 1a in a patient with multiple sclerosis. PMID- 29845377 TI - Infectious agents and amyotrophic lateral sclerosis: another piece of the puzzle of motor neuron degeneration. AB - Amyotrophic lateral sclerosis (ALS) is the most common neurodegenerative disease affecting motor neurons (MN). This fatal disease is characterized by progressive muscle wasting and lacks an effective treatment. ALS pathogenesis has not been elucidated yet. In a small proportion of ALS patients, the disease has a familial origin, related to mutations in specific genes, which directly result in MN degeneration. By contrast, the vast majority of cases are though to be sporadic, in which genes and environment interact leading to disease in genetically predisposed individuals. Lately, the role of the environment has gained relevance in this field and an extensive list of environmental conditions have been postulated to be involved in ALS. Among them, infectious agents, particularly viruses, have been suggested to play an important role in the pathogenesis of the disease. These agents could act by interacting with some crucial pathways in MN degeneration, such as gene processing, oxidative stress or neuroinflammation. In this article, we will review the main studies about the involvement of microorganisms in ALS, subsequently discussing their potential pathogenic effect and integrating them as another piece in the puzzle of ALS pathogenesis. PMID- 29845379 TI - Assessment of mechanical stability of rapidly separating microneedles for transdermal drug delivery. AB - The rapidly separating microneedles (RS-PP-MNs), composed of PVA (separable arrow head) MNs and a poly(L-lactide-co-D, L-lactide) (PLA) supporting array, are used for transdermal delivery system at high humidity. The fabricated RS-PP-MNs should have sufficient mechanical strength at different humidity. In general, the water adsorption rate was increased with increasing humidity; by contrast, storage time was decreased with increasing humidity. The higher water adsorption rate indicated the lower mechanical strength, thereby lowering drug delivery efficiency. The prepared RS-PP-MNs could be successfully inserted within the skin at high humid atmosphere due to PLA supporting array. The bright field and fluorescence microscopic images suggested the probable real-time applicability of RS-PP-MNs. The in vitro and in vivo assay suggested that RS-PP-MNs potentially were able to deliver the drugs at high humidity condition. The significant improvement in the drug delivery efficiency and skin penetration ability was observed compared with the traditional MNs. In addition, the fabrication of RS-PP MNs is facile and scalable. Therefore, the prepared RS-PP-MNs with supporting solid PLA array might be advantageous in real-time applications. This study is of great importance for the MN field as it offers more theoretical support for clinical applications. PMID- 29845378 TI - Neuronal network-based mathematical modeling of perceived verticality in acute unilateral vestibular lesions: from nerve to thalamus and cortex. AB - Acute unilateral lesions of vestibular graviceptive pathways from the otolith organs and semicircular canals via vestibular nuclei and the thalamus to the parieto-insular vestibular cortex regularly cause deviations of perceived verticality in the frontal roll plane. These tilts are ipsilateral in peripheral and in ponto-medullary lesions and contralateral in ponto-mesencephalic lesions. Unilateral lesions of the vestibular thalamus or cortex cause smaller tilts of the perceived vertical, which may be either ipsilateral or contralateral. Using a neural network model, we previously explained why unilateral vestibular midbrain lesions rarely manifest with rotational vertigo. We here extend this approach, focussing on the direction-specific deviations of perceived verticality in the roll plane caused by acute unilateral vestibular lesions from the labyrinth to the cortex. Traditionally, the effect of unilateral peripheral lesions on perceived verticality has been attributed to a lesion-based bias of the otolith system. We here suggest, on the basis of a comparison of model simulations with patient data, that perceived visual tilt after peripheral lesions is caused by the effect of a torsional semicircular canal bias on the central gravity estimator. We further argue that the change of gravity coding from a peripheral/brainstem vectorial representation in otolith coordinates to a distributed population coding at thalamic and cortical levels can explain why unilateral thalamic and cortical lesions have a variable effect on perceived verticality. Finally, we propose how the population-coding network for gravity direction might implement the elements required for the well-known perceptual underestimation of the subjective visual vertical in tilted body positions. PMID- 29845380 TI - Curcumin-loaded self-nanomicellizing solid dispersion system: part I: development, optimization, characterization, and oral bioavailability. AB - Curcumin (CUR) is considered as one of the most bioactive molecules ever discovered from nature due to its proven anti-inflammatory and antioxidant in both preclinical and clinical studies. Despite its proven safety and efficacy, the clinical translation of CUR into a useful therapeutic agent is still limited due to its poor oral bioavailability. To overcome its limitation and enhance oral bioavailability by improving its aqueous solubility, stability, and intestinal permeability, a novel CUR formulation (NCF) was developed using the self nanomicellizing solid dispersion strategy. From the initial screening of polymers for their potential to improve the solubility and stability, Soluplus (SOL) was selected. The optimized NCF demonstrated over 20,000-fold improvement in aqueous solubility as a result of amorphization, hydrogen bonding interaction, and micellization determined using differential scanning calorimetry, X-ray diffraction, scanning electron microscopy, Fourier transform infrared spectroscopy, nuclear magnetic resonance, dynamic light scattering, and transmission electron microscopy. Moreover, the greater stabilizing effect in alkaline pH and light was observed. Furthermore, significant enhancement of dissolution and permeability of CUR across everted sacs of rat small intestine were noticed. Pharmacokinetic studies demonstrated that the oral bioavailability of CUR was increased 117 and 17-fold in case of NCF and physical mixture of CUR and SOL compared to CUR suspension. These results suggest NCF identified as a promising new approach for repositioning of CUR for pharmaceutical application by enhancing the oral bioavailability of CUR. The findings herein stimulate further in vivo evaluations and clinical tests of NCF. PMID- 29845381 TI - Effects of Flow Disruptions on Mental Workload and Surgical Performance in Robotic-Assisted Surgery. AB - BACKGROUND: Robotic systems introduced new surgical and technical demands. Surgical flow disruptions are critical for maintaining operating room (OR) teamwork and patient safety. Specifically for robotic surgery, effects of intra operative disruptive events for OR professionals' workload, stress, and performance have not been investigated yet. This study aimed to identify flow disruptions and assess their association with mental workload and performance during robotic-assisted surgery. METHODS: Structured expert-observations to identify different disruption types during 40 robotic-assisted radical prostatectomies were conducted. Additionally, 216 postoperative reports on mental workload (mental demands, situational stress, and distractions) and performance of all OR professionals were collected. RESULTS: On average 15.8 flow disruptions per hour were observed with the highest rate after abdominal insufflation and before console time. People entering the OR caused most flow disruptions. Disruptions due to equipment showed the highest severity of interruption. Workload significantly correlated with severity of disruptions due to coordination and communication. CONCLUSIONS: Flow disruptions occur frequently and are associated with increased workload. Therefore, strategies are needed to manage disruptions to maintain OR teamwork and safety during robotic-assisted surgery. PMID- 29845382 TI - Comparative analysis of strategies to prepare electron sinks in aquatic photoautotrophs. AB - While subject to illumination, photosystem I (PSI) has the potential to produce reactive oxygen species (ROS) that can cause photo-oxidative damage in oxygenic photoautotrophs. The reaction center chlorophyll in PSI (P700) is kept oxidized in excess light conditions to limit over-excitation of PSI and alleviate the production of ROS. Oxidation of P700 requires a sufficient electron sink for PSI, which is responsible for flavodiiron proteins (FLV) safely dissipating electrons to O2 in cyanobacteria, green algae, and land plants except for angiosperms during short-pulse light (SP) illumination under which photosynthesis and photorespiration do not occur. This fact implies that O2 usage is essential for P700 oxidation but also raises the question why angiosperms lost FLV. Here, we first found that aquatic photoautotrophs in red plastid lineage, in which no gene for FLV has been found, could keep P700 oxidized during SP illumination alleviating the photo-oxidative damage in PSI even without O2 usage. We comprehensively assessed P700 oxidation during SP illumination in the presence and absence of O2 in cyanobacteria (Cyanophyta), green algae (Chlorophyta), angiosperms (Streptophyta), red algae (Rhodophyta), and secondary algae (Cryptophyta, Haptophyta, and Heterokontophyta). A variety of dependencies of P700 oxidation on O2 among these photoautotrophs clearly suggest that O2 usage and FLV are not universally required to oxidize P700 for protecting PSI against ROS damage. Our results expand the understanding of the diverse strategies taken by oxygenic photoautotrophs to oxidize P700 and mitigate the risks of ROS. PMID- 29845383 TI - Effect of Neuromodulation of Short-term Plasticity on Information Processing in Hippocampal Interneuron Synapses. AB - Neurons in a micro-circuit connected by chemical synapses can have their connectivity affected by the prior activity of the cells. The number of synapses available for releasing neurotransmitter can be decreased by repetitive activation through depletion of readily releasable neurotransmitter (NT), or increased through facilitation, where the probability of release of NT is increased by prior activation. These competing effects can create a complicated and subtle range of time-dependent connectivity. Here we investigate the probabilistic properties of facilitation and depression (FD) for a presynaptic neuron that is receiving a Poisson spike train of input. We use a model of FD that is parameterized with experimental data from a hippocampal basket cell and pyramidal cell connection, for fixed frequency input spikes at frequencies in the range of theta (3-8 Hz) and gamma (20-100 Hz) oscillations. Hence our results will apply to micro-circuits in the hippocampus that are responsible for the interaction of theta and gamma rhythms associated with learning and memory. A control situation is compared with one in which a pharmaceutical neuromodulator (muscarine) is employed. We apply standard information-theoretic measures such as entropy and mutual information, and find a closed form approximate expression for the probability distribution of release probability. We also use techniques that measure the dependence of the response on the exact history of stimulation the synapse has received, which uncovers some unexpected differences between control and muscarine-added cases. PMID- 29845384 TI - Delineating managed land for reporting national greenhouse gas emissions and removals to the United Nations framework convention on climate change. AB - Land use and management activities have a substantial impact on carbon stocks and associated greenhouse gas emissions and removals. However, it is challenging to discriminate between anthropogenic and non-anthropogenic sources and sinks from land. To address this problem, the Intergovernmental Panel on Climate Change developed a managed land proxy to determine which lands are contributing anthropogenic greenhouse gas emissions and removals. Governments report all emissions and removals from managed land to the United Nations Framework Convention on Climate Change based on this proxy, and policy interventions to reduce emissions from land use are expected to focus on managed lands. Our objective was to review the use of the managed land proxy, and summarize the criteria that governments have applied to classify land as managed and unmanaged. We found that the large majority of governments are not reporting on their application of the managed land proxy. Among the governments that do provide information, most have assigned all area in specific land uses as managed, while designating all remaining lands as unmanaged. This designation as managed land is intuitive for croplands and settlements, which would not exist without management interventions, but a portion of forest land, grassland, and wetlands may not be managed in a country. Consequently, Brazil, Canada and the United States have taken the concept further and delineated managed and unmanaged forest land, grassland and wetlands, using additional criteria such as functional use of the land and accessibility of the land to anthropogenic activity. The managed land proxy is imperfect because reported emissions from any area can include non anthropogenic sources, such as natural disturbances. However, the managed land proxy does make reporting of GHG emissions and removals from land use more tractable and comparable by excluding fluxes from areas that are not directly influenced by anthropogenic activity. Moreover, application of the managed land proxy can be improved by incorporating additional criteria that allow for further discrimination between managed and unmanaged land. PMID- 29845385 TI - Modulation of hepatic inflammation and energy-sensing pathways in the rat liver by high-fructose diet and chronic stress. AB - PURPOSE: High-fructose consumption and chronic stress are both associated with metabolic inflammation and insulin resistance. Recently, disturbed activity of energy sensor AMP-activated protein kinase (AMPK) was recognized as mediator between nutrient-induced stress and inflammation. Thus, we analyzed the effects of high-fructose diet, alone or in combination with chronic stress, on glucose homeostasis, inflammation and expression of energy sensing proteins in the rat liver. METHODS: In male Wistar rats exposed to 9-week 20% fructose diet and/or 4 week chronic unpredictable stress we measured plasma and hepatic corticosterone level, indicators of glucose homeostasis and lipid metabolism, hepatic inflammation (pro- and anti-inflammatory cytokine levels, Toll-like receptor 4, NLRP3, activation of NFkappaB, JNK and ERK pathways) and levels of energy-sensing proteins AMPK, SIRT1 and peroxisome proliferator-activated receptor gamma coactivator-1 alpha (PGC-1alpha). RESULTS: High-fructose diet led to glucose intolerance, activation of NFkappaB and JNK pathways and increased intrahepatic IL-1beta, TNFalpha and inhibitory phosphorylation of insulin receptor substrate 1 on Ser307. It also decreased phospho-AMPK/AMPK ratio and increased SIRT1 expression. Stress alone increased plasma and hepatic corticosterone but did not influence glucose tolerance, nor hepatic inflammatory or energy-sensing proteins. After the combined treatment, hepatic corticosterone was increased, glucose tolerance remained preserved, while hepatic inflammation was partially prevented despite decreased AMPK activity. CONCLUSION: High-fructose diet resulted in glucose intolerance, hepatic inflammation, decreased AMPK activity and reduced insulin sensitivity. Chronic stress alone did not exert such effects, but when applied together with high-fructose diet it could partially prevent fructose induced inflammation, presumably due to increased hepatic glucocorticoids. PMID- 29845386 TI - Production of caffeoylmalic acid from glucose in engineered Escherichia coli. AB - OBJECTIVES: To achieve biosynthesis of caffeoylmalic acid from glucose in engineered Escherichia coli. RESULTS: We constructed the biosynthetic pathway of caffeoylmalic acid in E. coli by co-expression of heterologous genes RgTAL, HpaBC, At4CL2 and HCT2. To enhance the production of caffeoylmalic acid, we optimized the tyrosine metabolic pathway of E. coli to increase the supply of the substrate caffeic acid. Consequently, an E. coli-E. coli co-culture system was used for the efficient production of caffeoylmalic acid. The final titer of caffeoylmalic acid reached 570.1 mg/L. CONCLUSIONS: Microbial production of caffeoylmalic acid using glucose has application potential. In addition, microbial co-culture is an efficient tool for producing caffeic acid esters. PMID- 29845387 TI - Propensity score analysis of postoperative and oncological outcomes after surgical treatment for splenic flexure colon cancer. AB - PURPOSE: The surgical treatment of splenic flexure colon cancer (SFCC) is somehow not yet well standardized. Postoperative and oncological results of the three surgical techniques most commonly used to treat SFCC: extended right colectomy (ERC), egmental left colectomy (SLC), and left colectomy (LC) were evaluated. METHODS: The study included all patients with stage I-III SFCC treated by ERC, SLC, or LC between 2005 and 2016. Postoperative and long-term outcomes after the different surgical techniques were analyzed: Propensity score matching (PSM) was performed to compare the outcomes between these surgical techniques and survival analyses were performed using the Kaplan-Meier method and log-rank tests. RESULTS: A total of 170 SFCC patients were operated; ERC was performed in 71 (41.76%), SLC in 36 (21.18%), and LC in 63 (37.06%). There were no significant differences in the short and long-term postoperative outcomes. Three comparison groups were developed so that PSM could be performed between the surgical technique cases: ERC (n = 59) vs. LC (n = 50); ERC (n = 50) vs. SLC (n = 33); and SLC (n = 32) vs. LC (n = 44). No differences in the short or long-term outcomes of these techniques were observed. CONCLUSION: The short and long-term outcomes between ERC, SLC, and LC are similar. SLC should be considered oncologically as appropiate as the other more extensive resections. PMID- 29845388 TI - Management of retrorectal supralevator abscess-results of a large cohort. AB - PURPOSE: Proximal intersphincteric fistulas with proximal extension causing supralevatoric, retrorectal abscesses are a rare disease. There is only very limited experience, with small groups, and the limited published literature confirms the complexity of diagnostics and treatment. The aim of this study was to evaluate transrectal internal abscess drainage as planned definitive treatment. METHODS: We retrospectively studied medical records of all patients with the diagnosis of retrorectal abscesses that underwent transrectal internal abscess drainage in the Department of Colo-proctology of the University Medical Centre Mannheim (2003-2012). RESULTS: One hundred nine patients were operated on retrorectal abscesses, 70 (64.2%) men and 39 (35.8%) women. Mean age was 45.3 years (18-81). In 96 cases (88.1%), only a transrectal internal abscess drainage was performed as planned definitive treatment. Primary healing occurred in 60 patients (62.5%). A second transrectal internal drainage procedure was necessary in 27 cases (28.1%) to assure complete internal drainage. All secondary procedures led to subsequent healing. A combined surgical treatment due to coexisting fistula tracts to the perianal skin or additional ischioanal abscesses was required in 13 patients (11.9%), and an additional seton placement was performed. Nine patients (9.4%) underwent one or more reoperations due to previously unidentified complex coexisting fistulas. Most of these patients were immunosuppressed due to Crohn's disease. Internal drainage alone was successful in 90.6% with an overall healing rate of 94.5% for the entire population of complex fistulas. CONCLUSIONS: Transrectal internal abscess drainage is a safe and highly successful procedure for treatment of retrorectal abscess, with very low risk of postoperative fecal incontinence. Inflammatory bowel disease and immunosuppressives have a negative impact on the healing process. PMID- 29845389 TI - Factors Associated with Maternal-Child Transmission of HIV-1 in Southeastern Brazil: A Retrospective Study. AB - Mother-to-child transmission (MTCT) is the main mode of HIV-1 acquisition among young children worldwide. The goals of this study were to estimate the proportion of HIV MTCT and to identify factors associated with transmission. We reviewed data for HIV-infected pregnant women that had been reported to the National Information on Reportable Diseases System (SINAN) in Espirito Santo state, Brazil, between January 2007 and December 2012. HIV cases in children were followed until age 18 months. The proportion of women who transmitted HIV to their babies was 14% (95% CI 11-17%). In a multivariate logistic regression model, pregnant women who had lower than primary school education (OR 2.74; 95% CI 1.31-5.71), had 2 or more pregnancies during the study period (OR 2.28; 95% CI 1.07-4.84), had emergency cesarean delivery (OR 4.32; 95% CI 1.57-11.9), and did not receive antiretroviral therapy during prenatal care (OR 2.41; 95% CI 1.09 5.31) had higher odds of HIV MTCT. Effort should be made to encourage health care workers and pregnant women to use services for the prevention of MTCT. PMID- 29845390 TI - Characterization of mixing and yield stress of pretreated wheat straw slurries used for the production of biofuels through tomography technique. AB - Wheat straw is a low-cost feedstock for the production of biofuel. Pretreatment process is an important stage in producing biofuels since it makes the fibers more accessible to enzymatic hydrolysis which is the final step of producing biofuels. Pretreated wheat straw (PWS) slurries are non-Newtonian fluids with yield stress. Mixing of fluids exhibiting yield stress such as the pretreated wheat straw slurry results in the generation of cavern, which is a fully-mixed zone, around the impeller and the stationary regions elsewhere, which causes difficulties in the production of biofuels. In this study, the non-invasive electrical resistance tomography technique was utilized to determine the cavern dimensions as a function of the impeller type and impeller speed. The cavern sizes were then used to measure the yield stress of PWS slurries as a function of fiber size (<= 2 and <= 6 mm) and fiber concentration (6, 8, and 10 wt%). PMID- 29845391 TI - A Phosphomimetic Study Implicates Ser557 in Regulation of FOXP2 DNA Binding. AB - FOXP2 is a transcription factor expressed in multiple tissues during embryonic development. FOXP2 regulates transcription by binding to DNA at its DNA binding domain, the forkhead domain (FHD) through the recognition helix. Ser557 is a residue located within the recognition helix that has the potential to become phosphorylated posttranslationally. In this study we investigated whether phosphorylation of Ser557 can influence the structure and DNA binding of the FOXP2 FHD. We did this by constructing S557E, a phosphomimetic mutant, and comparing its behaviour to the wild type. The mutation did not affect the secondary or tertiary structure of the protein although it did decrease the propensity of the FOXP2 FHD to form dimers. Most notably, the mutation showed significantly reduced DNA binding compared to the wild type as detected using electrophoretic mobility shift assays. Molecular docking was also performed in which the wild type, phosphomimetic mutant and phosphorylated wild-type were docked to DNA and their interactions with DNA were compared. These results indicated that the wild type forms more interactions with the DNA and that the phosphomimetic mutant as well as the phosphorylated wild type did not associate as favourably with the DNA. This indicates that phosphorylation of Ser557 could disrupt DNA binding likely due to electrostatic and steric hindrance. This suggests that phosphorylation of Ser557 in the FOXP2 FHD could act as a control mechanism for FOXP2 and ultimately could be involved in regulation of transcription. PMID- 29845392 TI - Clinical pharmacokinetics and safety profile of single agent arsenic trioxide by continuous slow-rate infusion in patients with newly diagnosed acute promyelocytic leukemia. AB - PURPOSE: This study evaluated pharmacokinetics (PK) and safety profiles of single agent arsenic trioxide (ATO, As2O3) administrated as continuous slow-rate infusion in patients with newly diagnosed acute promyelocytic leukemia. PATIENTS AND METHODS: Patients received 0.16 mg/kg ATO per day. ATO was given for 40 min infusion on the first day followed by 18-20 h daily at a very slow rate with infusion speed of 8 drips/min. During the first week, plasma samples were collected immediately before next administration on each day, and 0.5, 1, 2, 4, 8, 12 h after administration, at the end of infusion (18 h) on day 7. Total arsenic was determined by ICPMS. Arsenic species, arsenious acid (AsIII) and its metabolites, monomethylarsonic acid (MMAV) and dimethylarsinic acid (DMAV), were quantified by UHPLC-ICPMS. Safety assessment and PK analysis was conducted. RESULTS: Hyperleukocytosis occurred in two patients and no severe toxicity was observed. Total arsenic gradually accumulated from 15.84 to 34.12 ng/mL during the first week of therapy. MMAV/iAs increased and remained stable at value about 0.6 after day 4, while DMAV/MMAV declined under 2 after day 4. Compared with 2 h infusion, clearance (CL) of AsIII was significantly lower (0.8 +/- 0.2 vs. 2.7 +/ 1.7 L/kg/h, P = 0.002) while AUC0-t of AsIII was significantly increased (213.9 +/- 38.6 vs. 82.6 +/- 55.7 L/kg/h, P = 0.028). CONCLUSION: Continuous slow-rate ATO infusion provided an alternative administration for ATO therapy with few toxic effects. Degree of methylation from MMA to DMA is inconsistent with that from iAs to MMA. PK of arsenic species is considered important for clinical use of ATO. PMID- 29845393 TI - The association of polymorphisms in folate-metabolizing genes with response to adjuvant chemotherapy of colorectal cancer. AB - BACKGROUND: Colorectal cancer (CRC) is one of the major health issues worldwide. 5-Fluorouracil (5-FU) is a cornerstone of chemotherapy for CRC and the major targets of 5-FU are folate-metabolizing enzymes. METHODS: A total of 103 CRC patients with complete clinical data were included in this prospective cohort study. Genotyping was performed using polymerase chain reaction (PCR) followed by sequencing. Using Kaplan-Meier curves, log-rank tests, and Cox proportional hazard models, we evaluated associations between functional polymorphisms in four genes MTHFR (1298A>C and 677C>T), DPYD (496A>G and 85T>C), DHFR 19 bp del, and MTR (2756 A>G) with disease-free survival (DFS). RESULTS: The minor allele frequencies of MTHFR 1298A>C, MTHFR 677C>T, DPYD 496A>G, DPYD 85T>C, DHFR 19 bp del, and MTR 2756 A>G were 0.364, 0.214, 0.116, 0.209, 0.383, and 0.097, respectively. CRC patients carrying the homozygous GG genotype in DPYD 496A>G had 4.36 times shorter DFS than wild-type AA carriers, (DFSGG vs AA: 8.0 +/- 4 vs 69.0 +/- 10 months; HR 4.36, 95% CI 1.04-18; p = 0.04). Moreover, female carriers of homozygous CC genotype of DPYD 85T>C had shorter DFS compared to either heterozygous or wild-type genotypes, and were 12.7 times shorter than wild-type TT carriers (DFSCC vs TT: 5.0 +/- 1.5 vs 42.0 +/- 7.6 months; HR 12.7, 95% CI 2.2 71.4; p = 0.004). However, there were no significant associations with the other studied polymorphisms. CONCLUSION: Genetic polymorphism in DPYD seems to be associated with DFS in CRC patients receiving an adjuvant regimen of 5 FU/capecitabine-based chemotherapy. Further studies are needed to verify these findings. PMID- 29845394 TI - Role of toll-like receptor 4 (TLR4)-mediated interleukin-6 (IL-6) production in chemotherapy-induced mucositis. AB - Despite significant advances in our ability to treat cancer, cytotoxic chemotherapy continues to be the mainstay treatment for many solid tumours. Chemotherapy is commonly associated with a raft of largely manageable adverse events; however, gastrointestinal (GI) toxicity (also termed mucositis) remains a significant challenge with little in the way of preventative and therapeutic options. The inability to manage GI complications likely reflects our incomplete understanding of its aetiology and the idiosyncrasies of each chemotherapeutic agent. This review highlights aims to provide a narrative for the involvement of Toll-like receptor (TLR4) in the development of chemotherapy-induced GI mucositis, an already emerging theme within this field. Particular focus will be placed upon the signalling interaction between TLR4 and interleukin (IL)-6. This parallels recent preclinical findings showing that TLR4 knockout mice, which are protected from developing severe GI mucositis, completely lack an IL-6 response. As such, we suggest that this signalling pathway presents as a novel mechanism with potential for therapeutic intervention. PMID- 29845395 TI - Assessment of trace element contamination of urban surface soil at informal industrial sites in a low-income country. AB - Trace elements released by human activity are ubiquitously detected in surface soil. The trace element contamination statuses of 20 sampling stations at two busy informal industrial sites of Harare city, Zimbabwe, were evaluated using geochemical indices. Spectrophotometric determinations of concentrations of trace elements in surface soil indicated generally higher values than the reference site and the average upper earth's crust. High contamination factors were observed for trace elements across sampling stations at Gazaland and Siyaso informal industrial sites. Concentrations exhibited heterogeneous distribution of trace elements in surface soil varying with the nature of activity at a sampling station. The pollution load index and degree of contamination suggested highly contaminated surface soil with Cd, Cu and Pb particularly where the following activities were done: (1) welding, (2) automobile maintenance and (3) waste dumping. These results may be very important to reduce soil contamination. Paving surfaces may help to reduce dispersal of trace elements deposited on surface soil to other stations and minimise human exposure via inhalation and contact. PMID- 29845396 TI - A predictive model for patients with median arcuate ligament syndrome. AB - BACKGROUND: Due to the rarity of median arcuate ligament (MAL) syndrome, patient selection for surgery remains difficult. This study provides a predictive model to optimize patient selection and predict outcomes following a MAL release. METHODS: Prospective data from patients undergoing a MAL release included demographics, radiologic studies, and SF-36 questionnaires. Successful postoperative changes in SF-36 was defined as an improvement > 10% in the total SF-36 score. A logistic regression model was used to develop a clinically applicable table to predict surgical outcomes. Celiac artery (CA) blood flow velocities were compared pre- and postoperatively and Pearson correlations were examined between velocities and SF-36 score changes. RESULTS: 42 patients underwent a laparoscopic MAL release with a mean follow-up of 28.5 +/- 18.8 months. Postoperatively, all eight SF-36 scales improved significantly. The logistic regression model for predicting surgical benefit was significant (p = 0.0244) with a strong association between predictors and outcome (R2 = 0.36). Age and baseline CA expiratory velocity were significant predictors of improvement and predicted clinical improvement. There were significant differences between pre- and postoperative CA velocities. Postoperatively, the bodily pain scale showed the most significant increase (64%, p < 0.0001). A table was developed using age and preoperative CA expiratory velocities to predict clinical outcomes. CONCLUSIONS: Laparoscopic MAL produces significant symptom improvement, particularly in bodily pain. This is one of the first studies that uses preoperative data to predict symptom improvement following a MAL release. Age and baseline CA expiratory velocity can be used to guide postoperative expectations in patients with MAL syndrome. PMID- 29845397 TI - SAGES review of endoscopic and minimally invasive bariatric interventions: a review of endoscopic and non-surgical bariatric interventions. AB - BACKGROUND: With obesity continuing as a global epidemic and therapeutic technologies advancing, several novel endoscopic and minimally invasive interventions will likely become available as treatment options. With improved technologies and different treatment strategies, as well as different patient populations being targeted, there will be greater application in the treatment armamentarium of specialists dedicated to treating obesity. We sought to review the existing technology and provide a review. METHODS: Literature review was carried out for endoscopic and minimally invasive devices. Some of these products are not FDA approved, so limited data are available in their review. RESULTS: A summary of the device and data currently available on weight loss and safety profile is provided. Several products are in clinical trials or will be soon. Some of the technology has limited data and companies will be submitting their results for FDA evaluation. CONCLUSIONS: The obesity epidemic and associated weight-related diseases represent a tremendous burden to health care practitioners. As such, a multi-modal and progressive approach, with data and outcomes examined, is likely the best and most comprehensive method to care for these patients. SAGES endorses the benefits of minimally invasive and endoscopic approaches in the treatment of obesity and its related co-morbidities. PMID- 29845398 TI - Clinicopathological significance of cancer stem cell markers CD44 and ALDH1 expression in breast cancer. AB - BACKGROUND: CD44 and aldehyde dehydrogenase 1 (ALDH1) has been reputed to be cancer stem cell (CSC) markers in breast cancer. Yet, the clinicopathologic and prognostic significance of these markers remain unclear. In this study, we have investigated the expression of these markers and their relation with conventional clinicopathologic tumor characteristic including molecular subtype. METHODS: CD44 and ALDH1 expression were investigated by immunohistochemistry in a series of 157 formalin-fixed paraffin-embedded breast cancer tissues. RESULTS: Overall, CD44 and ALDH1 are, respectively, detected in 33% (52 of 157) and 7% (10 of 157) of breast cancer cases. We also observed that CD44 expression was associated with histological grade (p = 0.005). For ALDH1, we found that its expression is more frequent with elderly women (> 50 years, p = 0.03). The investigation of relationship between the stem cell phenotype and breast cancer molecular subtype, revealed that CD44 and ALDH1 expression was more frequent in basal-like tumors (p = 0.005). Among the two cancer stem cell markers tested, ALDH1 showed a strong association with the basal marker EGFR (p = 0.05). CONCLUSIONS: These findings suggest that CD44 and ALDH1 play a role in the clinical behavior in breast cancer and might be interesting biomarkers and therapeutic targets. PMID- 29845399 TI - Patient-centric design of long-term care networks. AB - Long-term care networks may soon buckle under the weight of overwhelming demand. We present two dynamic, large-scale mixed-integer programs for long-term care network design that execute jointly strategic and tactical facility location, modular capacity acquisition, and patient-assignment decisions. The first model is an adaptive network-design model whose focus is more strategic in nature, whereas the second model focuses exclusively on the expansion of an existing long term care network and incorporates additional tactical decisions such as patient backlogs. Working directly with the president of the Order of Quebec Nurses-the provincial organization representing over 75,000 nurses-we incorporate facets such as assignment permanence, as well as develop and measure patient-centric quality-of-life proxies such as geographic mis-assignment and un-assigned patients, the latter of which is quantified via parametric optimization. Various network-design and patient-assignment policies are explored. We conclude that the use of home care as an alternative to long-term care facilities is cost prohibitive under specific conditions. Employing a bisection algorithm, we identify the implicit cost placed on keeping medically stable elderly patients in a hospital ward, concluding no cost savings are generated from such a policy. The model is analyzed and validated using empirical data from the long-term care network in Montreal, Canada. PMID- 29845400 TI - Exploring Factors Affecting Voluntary Adoption of Electronic Medical Records Among Physicians and Clinical Assistants of Small or Solo Private General Practice Clinics. AB - The health care reform initiative led by the Hong Kong government's Food and Health Bureau has started the implementation of an electronic sharing platform to provide an information infrastructure that enables public hospitals and private clinics to share their electronic medical records (EMRs) for improved access to patients' health care information. However, previous attempts to convince the private clinics to adopt EMRs to document health information have faced challenges, as the EMR adoption has been voluntary. The lack of electronic data shared by private clinics carries direct impacts to the efficacy of electronic record sharing between public and private healthcare providers. To increase the likelihood of buy-in, it is essential to proactively identify the users' and organizations' needs and capabilities before large-scale implementation. As part of the reform initiative, this study examined factors affecting the adoption of EMRs in small or solo private general practice clinics, by analyzing the experiences and opinions of the physicians and clinical assistants during the pilot implementation of the technology, with the purpose to learn from it before full-scale rollout. In-depth, semistructured interviews were conducted with 23 physicians and clinical assistants from seven small or solo private general practice clinics to evaluate their experiences, expectations, and opinions regarding the deployment of EMRs. Interview transcripts were content analyzed to identify key factors. Factors affecting the adoption of EMRs to record and manage health care information were identified as follows: system interface design; system functions; stability and reliability of hardware, software, and computing networks; financial and time costs; task and outcome performance, work practice, and clinical workflow; physical space in clinics; trust in technology; users' information technology literacy; training and technical support; and social and organizational influences. The factors are interrelated with the others. The adoption factors identified are multifaceted, ranging from technological characteristics, clinician-technology interactions, skills and knowledge, and the user-workflow-technology fit. Other findings, which have been relatively underrepresented in previous studies, contribute unique insights about the influence of work and social environment on the adoption of EMRs, including limited clinic space and the effects of physicians' decision to use the technology on clinical staffs' adoption decisions. Potential strategies to address the concerns, overcome adoption barriers, and define relevant policies are discussed. PMID- 29845401 TI - The Impact of the Urban Neighborhood Environment on Marijuana Trajectories During Emerging Adulthood. AB - Although there is little difference in rates of marijuana use between White and Black youth, Blacks have significantly higher rates of marijuana use and disorder in young adulthood. Theory suggests that factors tied to social disadvantage may explain this disparity, and neighborhood setting may be a key exposure. This study sought to identify trajectories of marijuana use in an urban sample during emerging adulthood, neighborhood contexts that predict these trajectories and social role transitions or "turning points" that may redirect them. Data are from a longitudinal cohort study of 378 primarily Black emerging adults who were first sampled in childhood based on their residence in low-income neighborhoods in Baltimore City and followed up annually. Group-based trajectory modeling identified three groups: No Use (68.8%), Declining Use (19.6%), and Chronic Use (11.7%). Living in close proximity to an alcohol outlet, and living in a neighborhood with more female-headed households and higher rates of violent crime increased the odds of membership in the Chronic Use group relative to No Use. Living in a neighborhood with more positive social activity increased the odds of membership in the Declining Use group relative to No Use. Not receiving a high school diploma or GED, pregnancy, and parenting also increased the odds of membership in the Declining Use group relative to No Use. These findings provide support that minority youth living in socially toxic and disordered neighborhoods are at increased risk of continuing on a trajectory of marijuana use during emerging adulthood while positive social activity in neighborhoods has the potential to redirect these negative trajectories. Besides taking on the responsibilities of parenting, emerging adults in the marijuana user groups had similar educational and family outcomes, suggesting that early marijuana use may have long-term implications. PMID- 29845402 TI - Clinical study on natural gingival color. AB - The aims of the study were: to describe the gingival color surrounding the upper incisors in three sites in the keratinized gingiva, analyzing the effect of possible factors which modulate (socio-demographic and behavioral) intersubject variability; to study whether the gingiva color is the same in all three locations and to describe intrasubject color differences in the keratinized gingiva band. Using the CIELAB color system, three reference areas (free gingival margin, keratinized gingival body, and birth or upper part of the keratinized gingiva) were studied in 259 individuals, as well as the related socio demographic factors, oral habits and the chronic intake of medication. ShadepilotTM spectrophotometer was used. Descriptive and inferential statistical analysis was performed. There are statistically significant differences between males and females for coordinates L* and a* in the middle and free gingival margin. For the b* coordinate, there are differences between males and females in the three locations studied (p < 0.05). The minimum and maximum coordinates in which the CIELAB natural gingival space is delimited are L* minima 28.3, L* maximum 65.4, a* minimum 11.1, a* maximum 37.2, b* minimum 6.9, and b* maximum 25.2*. Age, smoking, and the chronic intake of medication had no significant effect on gum color. There are perceptible color differences within the keratinized gingiva band. These chromatic differences must be taken into account if the prosthetic characterization of gingival tissue is to be considered acceptable. There are significant differences between the color coordinates of the three sites studied in the keratinized gingiva of men and women. PMID- 29845403 TI - Applications of Advanced Breast Imaging Modalities. AB - PURPOSE OF REVIEW: Advanced mammographic imaging modalities have been implemented in clinical practices throughout the USA. The most notable and widely used has been the three-dimensional derivative of digital mammography, known as digital breast tomosynthesis (DBT). In this article, we review the screening and diagnostic applications of DBT, along with its limitations. We also briefly address several supplemental breast imaging modalities. RECENT FINDINGS: The accumulating evidence from both small and large-scale trials has shown a significant reduction in recall rates and slight increase in cancer detection rates when using DBT. However, the incremental increase in cancers detected remains less than that achieved with several supplemental imaging modalities, including whole-breast ultrasound, MRI, and MBI (molecular breast imaging). Other modalities, such as CEM (contrast-enhanced mammography) and CET (contrast enhanced tomography), are also being investigated. Numerous studies have confirmed the added value of DBT and its increased cancer detection rate in both the screening and diagnostic settings. However, the superior sensitivity of supplemental imaging modalities renders them essential, especially in high-risk patients, and potentially those with dense breasts. PMID- 29845404 TI - Asthma, Environment and Pollution: Where the Rubber Hits the Road. AB - The detrimental effects of environmental pollution on one's health are undeniable and have been demonstrated time and time again. Breathing in pollutants in ambient air often has consequences throughout the body, including cardiovascular disease, effects on the reproductive system, and oncologic implications. In the respiratory system, chronic exposure yields a number of outcomes, including chronic obstructive pulmonary disease (COPD) and asthma exacerbations, increased rates of hospitalizations, and increased severity of acute illnesses. On a macro level, this morbidity and mortality then leads to vast and far-reaching public health consequences the world over, including the loss of billions of dollars' worth of labor. This is especially applicable in developing countries, which often undergo rapid growth, industrialization and urbanization with a resultant increase in vehicular traffic, coal combustion, and fuel emissions as a whole. For this reason, environmental pollutants have been studied extensively, and countries around the globe have established laws that regulate ambient air levels of so-called criteria pollutants. This article will explore several of these criteria pollutants, including particulate matter, nitrogen dioxide, sulfur dioxide, and ozone, and their individual relationships to asthma pathophysiology. However, it is also emphasized that though each one of these toxins yields its own effects, the group of them often works together to have cumulative consequences. For these reasons and many more, it is important to remain aware and educated about these omnipresent environmental pollutants. PMID- 29845405 TI - Future Treatment Strategy for Esophageal Cancer Based on Prediction of Systemic Recurrence: Significance of Pathologic Nodal Status After Neoadjuvant Chemotherapy. PMID- 29845406 TI - Central Lymph Node Status has Significant Prognostic Value in the Clinically Node Negative Tall-Cell Variant of Papillary Thyroid Cancer Regardless of T-Staging and Radioactive Iodine Administration: First Evidence From a Population-Based Study. AB - BACKGROUND: The prognostic value of central lymph node (CLN) status in papillary thyroid cancer (PTC) remains controversial. This study aimed to provide the first evidence on this issue for the aggressive tall-cell variant (TCV) subtype. METHODS: The study identified TCV patients from the Surveillance, Epidemiology, and End Results database. The Kaplan-Meier method, log-rank test, and multivariate Cox regression models were used for analysis. RESULTS: Of the 744 patients included, 404 were recorded as N0, which were pathologically or only clinically confirmed. Overall survival (OS) and cancer-specific survival (CSS) did not differ significantly between the N0 and pN1a patients (p > 0.05). To investigate the reason, the N0 patients were subdivided according to the number of examined lymph nodes (ELN). The patients with a N0 diagnosis confirmed by two or more ELNs (N0-e2+) showed significantly better outcomes than the pN1a patients and their N0 counterparts without ELN (N0-e0) (p < 0.05), whereas the N0-e0 and pN1a groups demonstrated comparable outcomes in both the log-rank and multivariate analyses (p > 0.05). Moreover, the subgroup analyses showed that even among the patients with early T-staging (T1-T2) or receipt of radioactive iodine (RAI) therapy, the N0-e0 patients still demonstrated compromised OS compared with the N0-e2+ group (p < 0.05). CONCLUSION: The cN0 patients without ELN (N0-e0) had outcomes similar to those of the pN1a patients, but showed a poorer OS than the N0-e2+ group regardless of T-staging and RAI administration, suggesting that occult CLN metastases might act as a negative prognosticator in cN0 TCV. Therefore, prophylactic central neck dissection might be considered for biopsy-proven cN0 TCV patients. Prospective studies are expected to further validate our conclusions. PMID- 29845407 TI - Fractures of hamate: a clinical overview. AB - Hamate fractures are exceedingly rare clinical entities. However, the diagnosis and treatment of these injuries are often delayed and can severely handicap the performance of affected laborers or athletes. This review focuses on fractures of the hamate and provides an update on the current consensus as to mechanism, diagnosis, management, and complications after such injuries. PMID- 29845409 TI - C-X-C Motif Chemokine 12 Enhances Lipopolysaccharide-Induced Osteoclastogenesis and Bone Resorption In Vivo. AB - C-X-C motif chemokine 12 (CXCL12) belongs to the family of CXC chemokines. Lipopolysaccharide (LPS) induces inflammation-induced osteoclastogenesis and bone resorption, and in recent years, stimulatory effects of CXCL12 on bone resorption have also been reported. In the present study, we investigated the effects of CXCL12 on LPS-induced osteoclastogenesis and bone resorption. LPS was administered with or without CXCL12 onto mouse calvariae by daily subcutaneous injection. Numbers of osteoclasts and bone resorption were significantly elevated in mice co-administered LPS and CXCL12 compared with mice administered LPS alone. Moreover, receptor activator of NF-kB ligand (RANKL) and tumor necrosis factor alpha (TNF-alpha) mRNA levels were higher in mice co-administered LPS and CXCL12 compared with mice administered LPS alone. These in vitro results confirmed a direct stimulatory effect of CXCL12 on RANKL- and TNF-alpha-induced osteoclastogenesis. Furthermore, TNF-alpha and RANKL mRNA levels were elevated in macrophages and osteoblasts, respectively, co-treated in vitro with CXCL12 and LPS, in comparison with cells treated with LPS alone. Our results suggest that CXCL12 enhances LPS-induced osteoclastogenesis and bone resorption in vivo through a combination of increasing LPS-induced TNF-alpha production by macrophages, increasing RANKL production by osteoblasts, and direct enhancement of osteoclastogenesis. PMID- 29845408 TI - Is there a role for immunotherapy in malignant pleural mesothelioma? AB - Malignant pleural mesothelioma (MPM) is a very aggressive malignancy, mainly caused by asbestos exposure. Patients with MPM have a poor prognosis that remained substantially unchanged in the last few years and limited effective therapeutic options with no recognized second or further-line therapy. In this context, also in view of the positive results observed in other tumor types, immunotherapy could play a relevant role. This review focuses on the most promising immunotherapies being investigated in MPM. PMID- 29845410 TI - Dkk1 KO Mice Treated with Sclerostin Antibody Have Additional Increases in Bone Volume. AB - Dickkopf-1 (DKK1) and sclerostin are antagonists of the Wnt/beta-catenin pathway and decreased expression of either results in increased bone formation and mass. As both affect the same signaling pathway, we aimed to elucidate the redundancy and/or compensation of sclerostin and DKK1. Weekly sclerostin antibody (Scl-Ab) was used to treat 9-week-old female Dkk1 KO (Dkk1-/-:Wnt3+/-) mice and compared to Scl-Ab-treated wild-type mice as well as vehicle-treated Dkk1 KO and wild-type animals. While Wnt3 heterozygote (Wnt3+/-) mice show no bone phenotype, Scl-Ab and vehicle-treated control groups of this genotype were included. Specimens were harvested after 3 weeks for microCT, bone histomorphometry, anti-sclerostin immunohistochemistry, and biomechanical testing. Scl-Ab enhanced bone anabolism in all treatment groups, but with synergistic enhancement seen in the cancellous compartment of Dkk1 KO mice (bone volume + 55% Dkk1 KO p < 0.01; + 22% wild type p < 0.05). Scl-Ab treatment produced less marked increases in cortical bone of the tibiae, with anabolic effects similar across genotypes. Mechanical testing confirmed that Scl-Ab improved strength across all genotypes; however, no enhancement was seen within Dkk1 KO mice. Dynamic bone labeling showed that Scl Ab treatment was associated with increased bone formation, regardless of genotype. Immunohistochemical staining for sclerostin protein indicated no differences in the Dkk1 KO mice, indicating that the increased Wnt signaling associated with DKK1 deficiency was not compensated by upregulation of sclerostin protein. These data suggest complex interactions between Wnt signaling factors in bone, but critically illustrate synergy between DKK1 deficiency and Scl-Ab treatment. These data support the application of dual-targeted therapeutics in the modulation of bone anabolism. PMID- 29845411 TI - Eye Movements Evoked by Pulsed Infrared Radiation of the Rat Vestibular System. AB - Light at infrared wavelengths has been demonstrated to modulate the pattern of neural signals transmitted from the angular motion sensing semicircular canals of the vestibular system to the brain. In the present study, we have characterized physiological eye movements evoked by focused, pulsed infrared radiation (IR) stimuli directed at an individual semicircular canal in a mammalian model. Pulsed IR (1863 nm) trains were directed at the posterior semicircular canal in a rat using 200-400 um optical fibers. Evoked bilateral eye movements were measured using a custom-modified video-oculography system. The activation of vestibulo ocular motor pathways by frequency modulated pulsed IR directed at single posterior semicircular canals evoked significant, characteristic bilateral eye movements. In this case, the resulting eye movements were disconjugate with ipsilateral eye moving upwards with a rotation towards the stimulated ear and the contralateral eye moving downwards. The eye movements were stable through several hours of repeated stimulation and could be maintained with 30 + minutes of continuous, frequency-modulated IR stimulation. Following the measurements, the distance of the fiber from target structures and orientation of the beam relative to vestibular structures were determined using micro-computed tomography. Results highlight the spatial selectivity of optical stimulation. Our results demonstrate a novel strategy for direct optical stimulation of the vestibular pathway in rodents and lays the groundwork for future applications of optical neural stimulation in inner ear research and therapeutic applications. PMID- 29845412 TI - Triple-Layer Vascular Grafts Fabricated by Combined E-Jet 3D Printing and Electrospinning. AB - Small-diameter tissue-engineered vascular grafts are urgently needed for clinic arterial substitute. To simulate the structures and functions of natural blood vessels, we designed a novel triple-layer poly(epsilon-caprolactone) (PCL) fibrous vascular graft by combining E-jet 3D printing and electrospinning techniques. The resultant vascular graft consisted of an interior layer comprising 3D-printed highly aligned strong fibers, a middle layer made by electrospun densely fibers, and an exterior structure composed of mixed fibers fabricated by co-electrospraying. The biocompatible triple-layer graft was used for in vivo implantation, and results demonstrated that the longitudinally aligned fibers within the lumen of the graft could enhance the proliferation and migration of endothelial cells, while maintained good mechanical properties. The exterior layer provided a pathway that encouraged cells to migrate into the scaffold after implantation. This experimental graft overcame the limitations of conventionally electrospun vascular grafts of inadequate porosity and lowly cell penetration. The unique structure of the triple-layer vascular graft promoted cell growth and infiltration in vivo, thus provided an encouraging substitute for in situ tissue engineering. PMID- 29845413 TI - Automatic Robotic Steering of Flexible Needles from 3D Ultrasound Images in Phantoms and Ex Vivo Biological Tissue. AB - Robotic control of needle bending aims at increasing the precision of percutaneous procedures. Ultrasound feedback is preferable for its clinical ease of use, cost and compactness but raises needle detection issues. In this paper, we propose a complete system dedicated to robotized guidance of a flexible needle under 3D ultrasound imaging. This system includes a medical robot dedicated to transperineal needle positioning and insertion, a rapid path planning for needle steering using bevel-tip needle natural curvature in tissue, and an ultrasound based automatic needle detection algorithm. Since ultrasound-based automatic needle steering is often made difficult by the needle localization in biological tissue, we quantify the benefit of using flexible echogenic needles for robotized guidance under 3D ultrasound. The "echogenic" term refers to the etching of microstructures on the needle shaft. We prove that these structures improve needle visibility and detection robustness in ultrasound images. We finally present promising results when reaching targets using needle steering. The experiments were conducted with various needles in different media (synthetic phantoms and ex vivo biological tissue). For instance, with nitinol needles the mean accuracy is 1.2 mm (respectively 3.8 mm) in phantoms (resp. biological tissue). PMID- 29845414 TI - Avian malaria co-infections confound infectivity and vector competence assays of Plasmodium homopolare. AB - Currently, there are very few studies of avian malaria that investigate relationships among the host-vector-parasite triad concomitantly. In the current study, we experimentally measured the vector competence of several Culex mosquitoes for a newly described avian malaria parasite, Plasmodium homopolare. Song sparrow (Melospiza melodia) blood infected with a low P. homopolare parasitemia was inoculated into a naive domestic canary (Serinus canaria forma domestica). Within 5 to 10 days post infection (dpi), the canary unexpectedly developed a simultaneous high parasitemic infection of Plasmodium cathemerium (Pcat6) and a low parasitemic infection of P. homopolare, both of which were detected in blood smears. During this infection period, PCR detected Pcat6, but not P. homopolare in the canary. Between 10 and 60 dpi, Pcat6 blood stages were no longer visible and PCR no longer amplified Pcat6 parasite DNA from canary blood. However, P. homopolare blood stages remained visible, albeit still at very low parasitemias, and PCR was able to amplify P. homopolare DNA. This pattern of mixed Pcat6 and P. homopolare infection was repeated in three secondary infected canaries that were injected with blood from the first infected canary. Mosquitoes that blood-fed on the secondary infected canaries developed infections with Pcat6 as well as another P. cathemerium lineage (Pcat8); none developed PCR detectable P. homopolare infections. These observations suggest that the original P. homopolare-infected songbird also had two un-detectable P. cathemerium lineages/strains. The vector and host infectivity trials in this study demonstrated that current molecular assays may significantly underreport the extent of mixed avian malaria infections in vectors and hosts. PMID- 29845416 TI - Brief communication: use of the minimal important difference for a meta-analysis on exercise and anxiety in adults with arthritis. AB - A recent meta-analysis reported statistically significant improvements in anxiety as a result of exercise in adults with arthritis and other rheumatic diseases (AORD) using the traditional standardized mean difference (SMD) effect size (ES). The objective of this study was to use the more recently developed and clinically relevant minimal important difference (MID) approach to examine this association. Data from a previous meta-analysis of 14 randomized controlled trials representing 926 initially enrolled adults >= 18 years of age (539 exercise, 387 control) was used to calculate the ES using the MID approach. Minimal important difference data were derived from previously reported anchor-based values that represented the different instruments used to assess anxiety. Effect sizes were pooled using the inverse heterogeneity (IVhet) model. Overall, exercise resulted in a mean ES reduction in anxiety of - 0.80 (95% CI, - 1.60 to 0.001, p = 0.05; Q = 92.1, p < 0.001, I 2 = 83.7%, 95% CI, 74.9%, 89.5%), suggesting that overall, exercise may benefit an appreciable number of patients. Nonetheless, this effect spanned the range from many patients gaining important benefits to no patients improving. The clinically relevant effects of exercise on anxiety in adults with AORD are varied. However, these results should be interpreted with caution given the absence of anchor-based MID data specific to the instruments and questions used to assess anxiety in adults with AORD. A need exists for future research to establish instrument-specific, anchor-based MID values for questions assessing anxiety in adults with AORD. PMID- 29845415 TI - A lentiviral vaccine expressing KMP11-HASPB fusion protein increases immune response to Leishmania major in BALB/C. AB - Hydrophilic acylated surface protein B (HASPB) is an immunogenic Leishmania specific protein that antibodies are produced against it in the sera of Leishmania-infected individuals. Kinetoplastid membrane protein 11 (KMP11) is another Leishmania antigen and considered as the suitable candidate for vaccine development Leishmaniasis. It is a highly conserved surface protein expressed in both promastigotes and amastigotes. In this study, KMP11 and HASPB coding sequences were cloned into a pCDH-cGFP lentiviral vector as a fusion protein to be used as a DNA vaccine against L. major. The KMP11-HASPB fusion protein was successfully expressed as evidenced by RT-PCR and Western blot assays. The effect of the vaccine was determined by evaluating the level of IFN-gamma, IL-10, IgG1, and IgG2a performed using ELISA as well as determining the parasite load after challenge with L. major in vaccinated mice. The results revealed that IFN-gamma, IL-10, IgG1, and IgG2a significantly increased after vaccination using KMP11 HASPB-expressing lentiviruses in BALB/c mice. It is noteworthy that the level of IFN-gamma and IgG2a was higher than that of IL-10 and IgG1, respectively, which indicates the activation Th1 cells, macrophages, and cellular immunity. Moreover, the parasite load in the spleen and lymph node of vaccinated mice after challenge was significantly lower than that of controls. PMID- 29845417 TI - Carotid and femoral Doppler do not allow the assessment of passive leg raising effects. AB - BACKGROUND: The hemodynamic effects of the passive leg raising (PLR) test must be assessed through a direct measurement of cardiac index (CI). We tested whether changes in Doppler common carotid blood flow (CBF) and common femoral artery blood flow (FBF) could detect a positive PLR test (increase in CI >= 10%). We also tested whether CBF and FBF changes could track simultaneous changes in CI during PLR and volume expansion. In 51 cases, we measured CI (PiCCO2), CBF and FBF before and during a PLR test (one performed for CBF and another for FBF measurements) and before and after volume expansion, which was performed if PLR was positive. RESULTS: Due to poor echogenicity or insufficient Doppler signal quality, CBF could be measured in 39 cases and FBF in only 14 cases. A positive PLR response could not be detected by changes in CBF, FBF, carotid nor by femoral peak systolic velocities (areas under the receiver operating characteristic curves: 0.58 +/- 0.10, 0.57 +/- 0.16, 0.56 +/- 0.09 and 0.64 +/- 10, respectively, all not different from 0.50). The correlations between simultaneous changes in CI and CBF and in CI and FBF during PLR and volume expansion were not significant (p = 0.41 and p = 0.27, respectively). CONCLUSION: Doppler measurements of CBF and of FBF, as well as measurements of their peak velocities, are not reliable to assess cardiac output and its changes. PMID- 29845418 TI - End-of-life chemotherapy is associated with poor survival and aggressive care in patients with small cell lung cancer. AB - BACKGROUND: Concerns regarding end-of-life (EOL) chemotherapy are being increasingly raised. Tumor chemosensitivity may influence the decision for aggressive chemotherapy near the EOL. Data on EOL chemotherapy in highly chemosensitive tumors, such as small cell lung cancer (SCLC), are scarce. METHOD: A total of 143 SCLC decedents were consecutively included. Data about clinical factors and treatment modalities were obtained from the electronic medical records. The relationships among EOL chemotherapy, clinical features, overall survival (OS), and aggressive care were investigated. RESULTS: About 64% of patients had chemosensitive disease. In total, 30.8 and 16.1% of patients received EOL chemotherapy within the last 1 and 2 months of life, respectively. Younger age was associated with a higher rate of EOL chemotherapy. We determined that EOL chemotherapy was related to inferior OS not only in the entire group, but also in the chemosensitive subgroup. Furthermore, more intensive care was observed among patients who underwent EOL chemotherapy compared with those who did not. CONCLUSIONS: EOL chemotherapy was correlated with shorter survival and more aggressive care in patients with SCLC. More research is needed to develop indications for terminating palliative chemotherapy, to help physicians and patients with their difficult choices. PMID- 29845419 TI - What deserves our respect? Reexamination of respect for autonomy in the context of the management of chronic conditions. AB - The global increase in patients with chronic conditions has led to increased interest in ethical issues regarding such conditions. A basic biomedical principle-respect for autonomy-is being reexamined more critically in its clinical implications. New accounts of this basic principle are being proposed. While new accounts of respect for autonomy do underpin the design of many public programs and policies worldwide, addressing both chronic disease management and health promotion, the risk of applying such new accounts to clinical setting remain understudied. However, the application of new accounts of respect for autonomy to clinical settings could support disrespectful attitudes toward or undue interference with patients with chronic conditions. Reconsidering autonomy and respect using Kantian accounts, this paper proposes respect for persons as an alternative basic bioethical principle to respect for autonomy. Unlike the principle of respect for persons in the Belmont Report, our principle involves respecting any patient's decisions, behaviors, emotions, or life-style regardless of his or her "autonomous" capabilities. Thus, attitudes toward patients should be no different irrespective of the assessment of their decisional or executive capabilities. PMID- 29845420 TI - Ongoing ostomy self-care challenges of long-term rectal cancer survivors. AB - PURPOSE: Surgical treatment for rectal cancer (RC) can result in an intestinal ostomy that requires lifelong adaptation and investment of physical, cognitive, and financial resources. However, little is known about the extent of ongoing challenges related to ostomy self-care among long-term RC survivors. We analyzed the prevalence of self-reported ostomy self-care challenges and the physical and environmental factors that can support or undermine ostomy self-care. METHODS: We mailed surveys to long-term (>= 5 years post-diagnosis) RC survivors, including 177 adults with ostomies who were members of integrated health systems in northern California, Oregon, and Washington State. Potential participants were identified through tumor registries. Data were also extracted from electronic health records. RESULTS: The response rate was 65%. The majority of respondents were male (67%), and the mean age was 75 years. Sixty-three percent of respondents reported at least one ostomy self-care challenge. The most common challenges were leakage or skin problems around the ostomy and needing to change the pouching system too frequently. Twenty-two percent reported difficulty caring for their ostomy. Younger age and higher BMI were consistently related to ostomy self-care challenges. CONCLUSIONS: The majority of RC survivors reported ostomy related self-care challenges, and 31% experienced problems across multiple domains of ostomy self-care. In addition, most survivors reported significant physical challenges that could lead to ostomy-related disability. Although the participants surveyed had access to ostomy care nurses, the care gaps we found suggest that additional work is needed to understand barriers to ostomy care, reduce unmet needs, and improve well-being among this group. PMID- 29845421 TI - Return to work in European Cancer survivors: a systematic review. AB - PURPOSE: Return to work (RTW) of cancer survivors (CSs) fluctuates in different contexts. This systematic review searched for recent data on the RTW rate of CSs in Europe, investigating associated factors. METHODS: Bibliographic search covered the period from January 2010 to February 2018, with no language restrictions. European population-based studies assessing RTW rate after cancer diagnosis were included. We excluded studies focusing on a specific cancer diagnosis. RESULTS: Twelve observational studies were selected. The cohorts investigated included 280 to 46,720 individuals from Northwestern and Central Europe diagnosed with cancer from 1987 to 2010. The median interval between diagnosis and documented RTW was 2 years (0.2-23.4 years). RTW rates of CSs ranged from 39 to 77%. RTW of individuals employed at the time of diagnosis ranged from 60 to 92%, the latter registered in a sample with good prognosis. Personal factors, work-related factors, and cancer-related factors were all associated with RTW. Healthcare team interventions facilitated reintegration to work. CONCLUSIONS: Data from Mediterranean and Central European countries are urgently needed to understand whether RTW is an issue for CSs there as well and whether socio-rehabilitative interventions are required to mitigate the potential negative impact of cancer on individuals and society. PMID- 29845422 TI - Do drugs offering only PFS maintain quality of life sufficiently from a patient's perspective? Results from AVALPROFS (Assessing the 'VALue' to patients of PROgression Free Survival) study. AB - PURPOSE: Trials of novel drugs used in advanced disease often show only progression-free survival or modest overall survival benefits. Hypothetical studies suggest that stabilisation of metastatic disease and/or symptom burden are worth treatment-related side effects. We examined this premise contemporaneously using qualitative and quantitative methods. METHODS: Patients with metastatic cancers expected to live > 6 months and prescribed drugs aimed at cancer control were interviewed: at baseline, at 6 weeks, at progression, and if treatment was stopped for toxicity. They also completed Functional Assessment of Cancer Therapy (FACT-G) plus Anti-Angiogenesis (AA) subscale questionnaires at baseline then monthly for 6 months. RESULTS: Ninety out of 120 (75%) eligible patients participated: 41 (45%) remained on study for 6 months, 36 progressed or died, 4 had treatment breaks, and 9 withdrew due to toxicity. By 6 weeks, 66/69 (96%) patients were experiencing side effects which impacted their activities. Low QoL scores at baseline did not predict a higher risk of death or dropout. At 6-week interviews, as the side effect severity increased, patients were significantly less inclined to view the benefit of cancer control as worthwhile (X2 = 50.7, P < 0.001). Emotional well-being initially improved from baseline by 10 weeks, then gradually returned to baseline levels. CONCLUSION: Maintaining QoL is vital to most patients with advanced cancer so minimising treatment-related side effects is essential. As side effect severity increased, drugs that controlled cancer for short periods were not viewed as worthwhile. Patients need to have the therapeutic aims of further anti-cancer treatment explained honestly and sensitively. PMID- 29845423 TI - G6PD as a predictive marker for glioma risk, prognosis and chemosensitivity. AB - PURPOSE: Glucose-6-phosphate dehydrogenase (G6PD) is a key enzyme preventing cells from oxidative damage and has been reported to have tumor-promoting roles. This study aims to comprehensively evaluate the predictive values of G6PD on brain tumor risk, prognosis and chemo-resistance. METHODS: A retrospective 13 year cohort study analyzing cancer risk using the Taiwan National Health Insurance Research Database (4066 G6PD deficiency patients and 16,264 controls) was conducted. Furthermore, RNAseq and clinical data of grade II-III glioma (LGG, n = 515) and glioblastoma (GBM, n = 155) were downloaded from The Cancer Genome Atlas (TCGA) and analyzed. Bioinformatics methods were applied to build a glioma prognostication model and to predict response to chemotherapy based on tumor G6PD related gene expressions. The predicted results were validated in another glioma cohort GSE 16011 and in KALS1 cell line. RESULTS: G6PD-dificient patients were found to have an increased risk for cancers, especially for brain tumor (adjusted hazard ratio (HR) 10.5, 95% CI 1.03-7.60). Furthermore, higher tumor G6PD expression was associated with poor patient survival in LGG, but not in GBM. A prognostication model using expression levels of G6PD and 9 related genes (PSMA2, PSMB8, SHFM1, GSS, GSTK1, MGST2, POLD3, MSH2, MSH6) could independently predict LGG patient survival. Boosted decision tree analysis on 213 cancer cell line database revealed predictive values of G6PD expression on response to gemcitabine and bortezomib. Knockdown of G6PD in KALS1 cell line enhanced its sensitivity to both chemotherapeutic agents. CONCLUSIONS: Our study suggests that G6PD could be a marker predicting glioma risk, prognosis and chemo-sensitivity. PMID- 29845424 TI - The histone deacetylases HDAC1 and HDAC2 are required for the growth and survival of renal carcinoma cells. AB - Novel therapies are required for the treatment of metastatic renal cell carcinoma (RCC), which is associated with inoperable disease and patient death. Histone deacetylases (HDACs) are epigenetic modifiers and potential drug targets. Additional information on molecular pathways that are altered by histone deacetylase inhibitors (HDACi) in RCC cells is warranted. It should equally be delineated further which individual members of the 18 mammalian HDACs determine the survival and tumor-associated gene expression programs of such cells. Most importantly, an ongoing dispute whether HDACi promote or suppress metastasis associated epithelial-to-mesenchymal transition (EMT) has to be resolved before HDACi are considered further as clinically relevant drugs. Here we show how HDACi affect murine and primary human RCC cells. We find that these agents induce morphological alterations resembling the metastasis-associated EMT. However, individual and proteomics-based analyses of epithelial and mesenchymal marker proteins and of EMT-associated transcription factors (EMT-TFs) reveal that HDACi do not trigger EMT. Pathway deconvolution analysis identifies reduced proliferation and apoptosis induction as key effects of HDACi. Furthermore, these drugs lead to a reduction of the cell adhesion molecule E-cadherin and of the platelet-derived growth factor receptor-beta (PDGFRbeta), which is a key driver of RCC metastasis formation. Accordingly, HDACi reduce the pulmonary spread of syngeneic transplanted renal carcinoma cells in mice. Specific genetic elimination of the histone deacetylases HDAC1/HDAC2 reflects the effects of pharmacological HDAC inhibition regarding growth suppression, apoptosis, and the downregulation of E-cadherin and PDGFRbeta. Thus, these epigenetic modifiers are non-redundant gatekeepers of cell fate and precise pharmacological targets. PMID- 29845425 TI - A Novel PET Probe "[18F]DiFA" Accumulates in Hypoxic Region via Glutathione Conjugation Following Reductive Metabolism. AB - PURPOSE: Hypoxia in tumor has close relationship with angiogenesis and tumor progression. Previously, we developed 2,2-dihydroxymethyl-3-[18F]fluoropropyl-2 nitroimidazole ([18F]DiFA) as a novel positron emission tomography (PET) probe for diagnosis of hypoxia. In this study, we elucidated whether the accumulation of [18F]DiFA in cells is dependent on the hypoxic state and revealed how [18F]DiFA accumulates in hypoxic cells in combination with imaging mass spectrometry (IMS). PROCEDURES: FaDu human head and neck cancer cells were treated with [18F]DiFA and then incubated under normoxia (21% O2) or hypoxia (1% O2) for 2 h. The cells were extracted using methanol, and the radioactivities of the precipitates (macromolecule fraction) and supernatants (low-molecular-weight fraction) were measured. FaDu-bearing mice were injected intravenously with [18F]DiFA and with pimonidazole 1 h later. The tumors were excised 2 h after the injection of [18F]DiFA. Autoradiography, IMS, and immunohistochemical (IHC) staining for pimonidazole were performed with serial tumor sections. RESULTS: In the in vitro study, the radioactivity of FaDu cells was significantly higher under hypoxia than that under normoxia (0.53 +/- 0.02 vs. 0.27 +/- 0.02 %dose/mg protein, p < 0.05). The radioactivity of the low-molecular-weight fraction was 66.3 +/- 0.6% in the hypoxic cell. In the in vivo study, [18F]DiFA accumulated in the tumor tissues existed mainly as low-molecular-weight compounds (90.4 +/- 0.9%). In addition, the glutathione conjugate of reductive DiFA metabolite (amino DiFA-GS) existed in tumor tissues revealed by the IMS study, and the distribution pattern of amino-DiFA-GS was very similar to that of the radioactivity and the positive staining area of pimonidazole. CONCLUSIONS: Our results suggest that [18F]DiFA undergoes the glutathione conjugation reaction following reductive metabolism in hypoxic cells, which leads hypoxia-specific PET imaging with [18F]DiFA. PMID- 29845426 TI - Influence of Dexamethasone on O-(2-[18F]-Fluoroethyl)-L-Tyrosine Uptake in the Human Brain and Quantification of Tumor Uptake. AB - PURPOSE: O-(2-[18F]fluoroethyl)-L-tyrosine ([18F]FET) is an established positron emission tomography (PET) tracer for brain tumor imaging. This study explores the influence of dexamethasone therapy on [18F]FET uptake in the normal brain and its influence on the maximum and mean tumor-to-brain ratio (TBR). PROCEDURES: [18F]FET PET scans of 160 brain tumor patients were evaluated (80 dexamethasone treated, 80 untreated; each group with 40 men/40 women). The standardized uptake value of [18F]FET uptake in the normal brain (SUVbrain) in the different groups was compared. Nine patients were examined repeatedly with and without dexamethasone therapy. RESULTS: SUVbrain of [18F]FET uptake was significantly higher in dexamethasone-treated patients than in untreated patients (SUVbrain 1.33 +/- 0.1 versus 1.06 +/- 0.16 in male and 1.45 +/- 0.25 versus 1.31 +/- 0.28 in female patients). Similar results were observed in patients with serial PET scans. Furthermore, compared to men, a significantly higher SUVbrain was found in women, both with and without dexamethasone treatment. There were no significant differences between the different groups for TBRmax and TBRmean, which could have been masked by the high standard deviation. In a patient with a stable brain metastasis investigated twice with and without dexamethasone, the TBRmax and the biological tumor volume (BTV) decreased considerably after dexamethasone due to an increased SUVbrain. CONCLUSION: Dexamethasone treatment appears to increase the [18F]FET uptake in the normal brain. An effect on TBRmax, TBRmean, and BTV cannot be excluded which should be considered especially for treatment monitoring and the estimation of BTV using [18F]FET PET. PMID- 29845427 TI - Setting Standards for Reporting and Quantification in Fluorescence-Guided Surgery. AB - PURPOSE: Intraoperative fluorescence imaging (FI) is a promising technique that could potentially guide oncologic surgeons toward more radical resections and thus improve clinical outcome. Despite the increase in the number of clinical trials, fluorescent agents and imaging systems for intraoperative FI, a standardized approach for imaging system performance assessment and post acquisition image analysis is currently unavailable. PROCEDURES: We conducted a systematic, controlled comparison between two commercially available imaging systems using a novel calibration device for FI systems and various fluorescent agents. In addition, we analyzed fluorescence images from previous studies to evaluate signal-to-background ratio (SBR) and determinants of SBR. RESULTS: Using the calibration device, imaging system performance could be quantified and compared, exposing relevant differences in sensitivity. Image analysis demonstrated a profound influence of background noise and the selection of the background on SBR. CONCLUSIONS: In this article, we suggest clear approaches for the quantification of imaging system performance assessment and post-acquisition image analysis, attempting to set new standards in the field of FI. PMID- 29845428 TI - Computed Tomography-Based Biomarker for Longitudinal Assessment of Disease Burden in Pulmonary Tuberculosis. AB - PURPOSE: Computed tomography (CT) images enable capturing specific manifestations of tuberculosis (TB) that are undetectable using common diagnostic tests, which suffer from limited specificity. In this study, we aimed to automatically quantify the burden of Mycobacterium tuberculosis (Mtb) using biomarkers extracted from x-ray CT images. PROCEDURES: Nine macaques were aerosol-infected with Mtb and treated with various antibiotic cocktails. Chest CT scans were acquired in all animals at specific times independently of disease progression. First, a fully automatic segmentation of the healthy lungs from the acquired chest CT volumes was performed and air-like structures were extracted. Next, unsegmented pulmonary regions corresponding to damaged parenchymal tissue and TB lesions were included. CT biomarkers were extracted by classification of the probability distribution of the intensity of the segmented images into three tissue types: (1) Healthy tissue, parenchyma free from infection; (2) soft diseased tissue, and (3) hard diseased tissue. The probability distribution of tissue intensities was assumed to follow a Gaussian mixture model. The thresholds identifying each region were automatically computed using an expectation maximization algorithm. RESULTS: The estimated longitudinal course of TB infection shows that subjects that have followed the same antibiotic treatment present a similar response (relative change in the diseased volume) with respect to baseline. More interestingly, the correlation between the diseased volume (soft tissue + hard tissue), which was manually delineated by an expert, and the automatically extracted volume with the proposed method was very strong (R2 ~ 0.8). CONCLUSIONS: We present a methodology that is suitable for automatic extraction of a radiological biomarker from CT images for TB disease burden. The method could be used to describe the longitudinal evolution of Mtb infection in a clinical trial devoted to the design of new drugs. PMID- 29845429 TI - Juvenile idiopathic arthritis in the biologic era: predictors of the disease progression and need for early introduction of biologic treatment. AB - To assess longitudinally the course and outcome of juvenile idiopathic arthritis (JIA) in patients diagnosed and followed-up exclusively in the biologic era; also, to define possible predictors of the disease progression and need for early implementation of biologicals. Prospective and retrospective, monocentric cohort study of 120 JIA patients, diagnosed between 2001 and 2010, and followed-up for >= 4 years (median 8.04). Disease activity, cumulative articular/extra-articular damage and quality of life were evaluated by the assessment tools Juvenile Arthritis Disease Activity Score (JADAS71), Juvenile Arthritis Damage Index (JADI) and Childhood Health Assessment Questionnaire (CHAQ), respectively. Moreover, potential predictors of the disease progression and their relation to biologic therapy were investigated. High JADAS71 score (> 9) at diagnosis was indicative of progression to polyarticular course and the need for early introduction of biologic treatment. Other independent predictors of progression to polyarthritis, were: involvement of upper limb, hip and ankle within 6 months following JIA diagnosis and percentage of cumulative time with active disease > 35% within the first year. At the end of the study, both the median JADAS71 score and the Disability Index were significantly lower than the initial (p < 0.001) and remission off medication was achieved in 25% of the patients. Articular and extra-articular (only ocular) cumulative damage was demonstrated only in 5 and 7.5% of patients, respectively. Physical functional ability was found normal/mildly restricted in 93.3% and moderately restricted in 6.7% of the patients. We believe that these findings, fit in with a picture of JIA course and outcome under current conditions of objective "disease status" evaluation and of tightly controlled follow-up. Predictors emerged from our study could contribute to the identification of patients who will need early implementation of biologic treatment. PMID- 29845430 TI - Lack of association between mean platelet volume and disease activity in systemic lupus erythematosus patients: a systematic review and meta-analysis. AB - Currently, many studies have focused on the possibility of using mean platelet volume (MPV) as a biomarker for disease activity in patients with systemic lupus erythematosus (SLE). To derive a more accurate estimation, a meta-analysis was conducted. Embase, PubMed, The Cochrane Library database and several Chinese databases (up to Nov 1 2017) were used to acquire published literatures on association of MPV levels with disease activity in SLE patients. Fixed-effects or random-effect model analysis was performed to calculate pooled standard mean difference (SMD) with 95% confidence interval (CI). Heterogeneity test was tested by the Q statistic and quantified using I2. A funnel plot and Egger's linear regression test were used to evaluate the potential publication bias. A total of 618 articles were identified, nine studies with 376 active SLE patients and 270 inactive SLE patients were finally included. No significant difference in MPV level was found between active SLE patients and inactive SLE patients (SMD = - 0.05, 95% CI: - 0.83, 0.73). Subgroup analyses stratified by age or region also demonstrated consistent results. No significant publication bias was observed (P > 0.05). The sensitivity analysis showed no significant change when any one study was excluded. In summary, our meta-analysis does not support the use of MPV as an indicator for monitoring disease activity in SLE patients. Further longitudinal studies with larger sample size are warranted to unveil the possibility of using MPV as a biomarker of disease activity. PMID- 29845431 TI - Carpal tunnel syndrome treatment with palmitoylethanolamide: neurophysiology and ultrasound show small changes in the median nerve. PMID- 29845432 TI - MicroRNA values in children with rheumatic carditis: a preliminary study. AB - MicroRNAs (miRNAs) are fine regulators of gene expression which participate in the regulation of almost every phase of cell physiology, including development of immune cells and adjustment of immune response. In the studies with in vitro/in vivo model systems, specific miRNAs are revealed to have various roles in cardiovascular development and physiological functions. Furthermore, some studies have been done to understand the role of miRNAs about myocarditis, heart failure and coronary artery diseases. miRNAs crucial role in the pathogenesis of other rheumatic diseases have been investigated, however rheumatic carditis was not studied. The aim of this study is to assess values of miRNAs in children with rheumatic carditis and compare them with healthy children. This study included 36 children with rheumatic carditis (mean aged 12.1 +/- 2.1 years) and age-gender matched 35 healthy controls (mean aged 11.1 +/- 2.3 years). Conventional echocardiography was performed to all subjects. Using real-time polymerase chain reaction, the expression of some miRNAs (hsamiR-16-5p, hsa-miR-221-3p, hsa-miR 223-3p, hsa-miR-10a-5p, hsa-miR-24-3p, hsamiR-92a-3p, hsa-iR-320a, hsa-miR-21-5p, hsa-miR-155-5p, hsa-miR-132-3p, hsamiR-146a-5p, hsa-miR-499a-5p, hsa-miR-1, hsa miR-125, hsa-miR-196a-5p, hsa-miR-130b-3p, hsa-miR-133b, hsa-miR150-5p,hsa-miR 204-5p, hsa-miR-203a) were analyzed. hsa-miR-16-5p(-1.46 fold, p < 0.01), hsa-miR 223-3p(-1.46 fold, p < 0.01), and hsa-miR-92a-3p(-1.27 fold, p < 0.05) expressions in the patients were lower than those of controls, whereas other examined miRNAs did not differently express between the groups. Results of the study demonstrated that significant downregulation of hsa-miR-16-5p, hsa-miR-223 3p and hsa-miR-92a-3p in children with rheumatic carditis. Since, this is the first study in children with rheumatic carditis, further studies are needed for lightening whether these miRNAs might be helpful as biomarkers. PMID- 29845433 TI - Some task demands induce collapsing bounds: Evidence from a behavioral analysis. AB - Traditional models of choice-response time assume that sensory evidence accumulates for choice alternatives until a threshold amount of evidence has been obtained. Although some researchers have characterized the threshold as varying randomly from trial to trial, these investigations have all assumed that the threshold remains fixed across time within a trial. Despite decades of successful applications of these models to a variety of experimental manipulations, the time invariance assumption has recently been called into question, and a time-variant alternative implementing collapsing decision thresholds has been proposed instead. Here, we investigated the fidelity of the collapsing threshold assumption by assessing relative model fit to data from a highly constrained experimental design that coupled a within-subject mixture of two classic response time paradigms-interrogation and free response-within a random dot motion (RDM) task. Overall, we identified strong evidence in favor of collapsing decision thresholds, suggesting that subjects may adopt a dynamic decision policy due to task characteristics, specifically to account for the mixture of response time paradigms and motion strengths across trials in the mixed response signal task. We conclude that time-variant mechanisms may serve as a viable explanation for the strategy used by human subjects in our task. PMID- 29845434 TI - Optimized partial-coverage functional analysis pipeline (OPFAP): a semi-automated pipeline for skull stripping and co-registration of partial-coverage, ultra-high field functional images. AB - OBJECTIVE: Ultra-high-field functional MRI (UHF-fMRI) allows for higher spatiotemporal resolution imaging. However, higher-resolution imaging entails coverage limitations. Processing partial-coverage images using standard pipelines leads to sub-optimal results. We aimed to develop a simple, semi-automated pipeline for processing partial-coverage UHF-fMRI data using widely used image processing algorithms. MATERIALS AND METHODS: We developed automated pipelines for optimized skull stripping and co-registration of partial-coverage UHF functional images, using built-in functions of the Centre for Functional Magnetic Resonance Imaging of the Brain's (FMRIB's) Software library (FSL) and advanced normalization tools. We incorporated the pipelines into the FSL's functional analysis pipeline and provide a semi-automated optimized partial-coverage functional analysis pipeline (OPFAP). RESULTS: Compared to the standard pipeline, the OPFAP yielded images with 15 and 30% greater volume of non-zero voxels after skull stripping the functional and anatomical images, respectively (all p = 0.0004), which reflected the conservation of cortical voxels lost when the standard pipeline was used. The OPFAP yielded the greatest Dice and Jaccard coefficients (87 and 80%, respectively; all p < 0.0001) between the co-registered participant gyri maps and the template gyri maps, demonstrating the goodness of the co-registration results. Furthermore, the greatest volume of group-level activation in the most number of functionally relevant regions was observed when the OPFAP was used. Importantly, group-level activations were not observed when using the standard pipeline. CONCLUSION: These results suggest that the OPFAP should be used for processing partial-coverage UHF-fMRI data for detecting high resolution macroscopic blood oxygenation level-dependent activations. PMID- 29845435 TI - Molecular insight on the non-covalent interactions between carbapenems and L,D transpeptidase 2 from Mycobacterium tuberculosis: ONIOM study. AB - Tuberculosis remains a dreadful disease that has claimed many human lives worldwide and elimination of the causative agent Mycobacterium tuberculosis also remains elusive. Multidrug-resistant TB is rapidly increasing worldwide; therefore, there is an urgent need for improving the current antibiotics and novel drug targets to successfully curb the TB burden. L,D-Transpeptidase 2 is an essential protein in Mtb that is responsible for virulence and growth during the chronic stage of the disease. Both D,D- and L,D-transpeptidases are inhibited concurrently to eradicate the bacterium. It was recently discovered that classic penicillins only inhibit D,D-transpeptidases, while L,D-transpeptidases are blocked by carbapenems. This has contributed to drug resistance and persistence of tuberculosis. Herein, a hybrid two-layered ONIOM (B3LYP/6-31G+(d): AMBER) model was used to extensively investigate the binding interactions of LdtMt2 complexed with four carbapenems (biapenem, imipenem, meropenem, and tebipenem) to ascertain molecular insight of the drug-enzyme complexation event. In the studied complexes, the carbapenems together with catalytic triad active site residues of LdtMt2 (His187, Ser188 and Cys205) were treated at with QM [B3LYP/6-31+G(d)], while the remaining part of the complexes were treated at MM level (AMBER force field). The resulting Gibbs free energy (DeltaG), enthalpy (DeltaH) and entropy (DeltaS) for all complexes showed that the carbapenems exhibit reasonable binding interactions towards LdtMt2. Increasing the number of amino acid residues that form hydrogen bond interactions in the QM layer showed significant impact in binding interaction energy differences and the stabilities of the carbapenems inside the active pocket of LdtMt2. The theoretical binding free energies obtained in this study reflect the same trend of the experimental observations. The electrostatic, hydrogen bonding and Van der Waals interactions between the carbapenems and LdtMt2 were also assessed. To further examine the nature of intermolecular interactions for carbapenem-LdtMt2 complexes, AIM and NBO analysis were performed for the QM region (carbapenems and the active residues of LdtMt2) of the complexes. These analyses revealed that the hydrogen bond interactions and charge transfer from the bonding to anti-bonding orbitals between catalytic residues of the enzyme and selected ligands enhances the binding and stability of carbapenem-LdtMt2 complexes. The two-layered ONIOM (B3LYP/6-31+G(d): Amber) model was used to evaluate the efficacy of FDA approved carbapenems antibiotics towards LdtMt2. PMID- 29845436 TI - Macula halo syndrome. AB - INTRODUCTION: Niemann-Pick disease (NPD) is a hereditary lysosomal storage disorder in which mutations in the sphingomyelin phosphodiesterase gene leads to partial or complete deficiency of the sphingomyelinase enzyme. Niemann-Pick Type B is the intermediate form associated with hepatosplenomegaly, foam cells in the bone marrow, hyperlipidemia and diffuse pulmonary infiltrates, which is generally diagnosed in late adolescence. Central nervous system is not affected, and some cases may display macular halo. CASE: A 45-year-old female seen in ophthalmology clinic for the examination of the eyes. Extraocular motility was normal bilaterally, and the visual acuity was 20/25 for both eyes. Biomicroscopic examination revealed faint corneal haze bilaterally, Circular pale granular depositions were detected in the parafoveal retina on both eyes. Optical coherence tomography (OCT) revealed thin hyperreflective band corresponding to depositions located in the parafoveolar inner retina. Microperimeter showed slight depression in retinal sensitivity, which was more pronounced particularly on perifovea rather than parafovea. CONCLUSIONS: Challenge to identify the NPD subtype of this case is associated with phenotypic characteristics on a wider spectrum that overlap the currently described subtypes. PMID- 29845437 TI - Gestalt grouping cues can improve filtering performance in visual working memory. AB - As part of filtering irrelevant information from entering visual working memory (VWM) and selecting only the relevant information for further processing the system should first tag the pieces of information as relevant or irrelevant. We manipulated difficulty of tagging items as relevant or irrelevant by applying perceptual grouping cues to investigate if it can improve filtering performance in VWM. Participants performed a change-detection task with three targets, six targets, or three targets and three distractors (filtering condition) in the memory display, and were asked to remember the colors (Experiments 1-2) or the orientations (Experiments 3-5) of the targets and ignore the distractors. In the filtering conditions, either the targets (Experiments 1, 3, and 4) or the distractors (Experiments 2 and 5) formed an illusory object (a Kanizsa triangle), appeared in a triangle-like configuration (grouping by proximity), or appeared at random positions (non-grouping). Grouping the targets improved filtering performance relative to non-grouping. Moreover, the illusory object cue further improved filtering performance beyond a proximity cue, but only when the cue was compatible with the task. When the distractors were grouped, the proximity cue improved filtering performance, and the illusory object cue, despite being a potent grouping cue, failed to improve filtering performance when it was compatible with the task. We suggest that the grouping cues advanced tagging of the grouped items. Yet, when the grouping cue strongly enhanced processing of the distractors, the tagging failed, such that the preliminary process of estimating incoming items led to full processing of the grouped items. PMID- 29845438 TI - Levodopa-responsive breathing discomfort in Parkinson's disease patients. AB - In Parkinson's disease (PD), respiratory disturbances have been reported and the effect of levodopa on respiratory function remains controversial. The objective of this study was to evaluate pulmonary function utilizing spirometric and subjective evaluations in mild to moderated PD. Thirty-four consecutive sporadic PD patients (Hoehn and Yahr scale: 1-3) were prospectively evaluated using clinimetric scales, spirometry and modified Borg scale, all in off- and on conditions. To check the respiratory function, a follow-up was performed at 4 years in a subgroup of these patients. Spirometric results were normal for all patients in both the on- and off-conditions at baseline. After levodopa administration, in addition to a significant improvement in subjective state of breathing discomfort, the mean forced expiratory volume in 1 s (FEV1), vital capacity (VC), forced vital capacity (FVC) values and their mean percentages predicted values (FEV1%, VC%, FVC%) were significantly increased (p < 0.05). Moreover, residual volume, total lung capacity, and the FEV1/FVC ratio were not significantly different for the ON and OFF conditions. At 4-year follow-up no resulting variations in the baseline values for FEV1%, FVC% or VC% were revealed. The results from this prospective study suggest that PD patients report frequently pulmonary discomfort. Levodopa improves respiratory symptoms. Pulmonary restrictive and obstructive dysfunctions, when not present at baseline, might not be present at 4-year follow-up. PMID- 29845439 TI - The Application of Induced Pluripotent Stem Cells in Cardiac Disease Modeling and Drug Testing. AB - In recent decades, cardiovascular diseases have become the greatest health threat to human beings, and thus it is particularly important to explore the subtle underlying pathogenesis of cardiovascular diseases. Although many molecular pathways have been explored to be essential in the development of cardiovascular diseases, their clinical significances are still uncertain. With the emergence of induced pluripotent stem cells (iPSCs), a unique platform for cardiovascular diseases has been established to model cardiovascular diseases on specific genetic background in vitro. This review summarizes current progresses of iPSCs in cardiovascular disease modeling and drug testing. This review highlighted iPSC based cardiovascular disease modeling and drug testing. The technical advances in iPSC-based researches and various clinically relevant applications are discussed. With further intensive research, iPSC technology will shape the future of clinical translational research in cardiovascular diseases. PMID- 29845440 TI - Speckle-Tracking Echocardiographic Strain Analysis Reliably Estimates Degree of Acute LV Unloading During Mechanical LV Support by Impella. AB - Non-invasive means of evaluating appropriate cardiac unloading remain to be established. We hypothesized that myocardial deformation assessed by echocardiographic speckle-tracking strain analysis can reliably estimate the degree of left ventricular (LV) unloading under mechanical circulatory support. A total of 24 Yorkshire pigs underwent Impella-mediated acute LV unloading 1-2 weeks after myocardial infarction (MI). Echocardiographic and invasive pressure volume measurements were used to evaluate the degree of LV unloading. Pressure volume analysis before and after LV unloading exhibited a significant decrease in stroke work (3399 +/- 1440 to 1244 +/- 659 mmHg ml, p < 0.001), suggesting reduced external cardiac work. Both longitudinal strain (- 14.6 +/- 4.1% to - 10.6 +/- 2.3%, p < 0.001) and circumferential strain (- 18.7 +/- 6.1% to - 9.3 +/ 3.5%, p < 0.001) decreased after LV unloading, and there were linear relationships between stroke work and echocardiographic longitudinal (r = - 0.61, p < 0.001) as well as circumferential strains (r = - 0.75, p < 0.001). Echocardiographic LV strain analysis offers a non-invasive assessment of LV unloading in subacute MI. PMID- 29845441 TI - Fear of Negative Evaluation and Weight/Shape Concerns among Adolescents: The Moderating Effects of Gender and Weight Status. AB - Fear of negative evaluation has been linked with weight/shape concerns among adults, however, similar research among adolescents is lacking. We investigated the relationship between fear of negative evaluation and weight/shape concerns, including the moderating roles of gender and body mass index (BMI) in adolescents. Participant were 4045 Australian adolescents (53.7% girls) aged 11 19 years (Mage = 14 years 11 months), who completed a self-report questionnaire about weight/shape concerns, fear of negative evaluation, and weight and height. Results showed a positive association between fear of negative evaluation and weight/shape concerns, with the association being stronger among girls. Furthermore, the association between fear of negative evaluation and weight/shape concerns was stronger among adolescents with higher BMIs, especially so for boys. These results highlight the role of fear of negative evaluation in weight/shape concerns and suggest potential avenues for prevention programs. PMID- 29845442 TI - Defending Victims of Bullying in Early Adolescence: A Multilevel Analysis. AB - Adolescents' defending behaviors in school bullying situations is likely determined by individual characteristics, social status variables, and classroom/school contextual factors operating simultaneously in the peer ecology. However, there is little research on defending behavior that utilizes this multilevel approach. This study investigated how students' willingness to defend victims of bullying was affected by feelings of empathy, perceived popularity, and classroom-level perceived prosocial norms. Participants were 1373 adolescents (40% girls, Mage: 14 yrs) from 54 classrooms in six middle schools in South Korea. These youth reported on their feelings of empathy and how prosocial they perceived their classmates to be. Peer-ratings and peer nominations were used to estimate defending behaviors and which students were perceived as popular. Multilevel analyses showed that participants were more likely to defend victims when they had greater empathy and perceived popularity and when classroom-level prosocial norms were higher. The findings have implications for interventions to reduce school bullying and for studying defending behavior in multiple cultural contexts. PMID- 29845443 TI - Identification of Nonconsensual Sexual Experiences and the Sexual Self-Schemas of Women: Implications for Sexual Functioning. AB - Many individuals who experience nonconsensual sexual experiences (NSEs) do not identify their experiences with common sexual violence labels (e.g., sexual assault, rape, or abuse), and cognitive mechanisms of identification have yet to be examined. Identification may involve the integration of the experience into sexual self-schemas, which would have implications for sexual well-being. Women were recruited through Amazon's Mechanical Turk (N = 818) to take part in an anonymous online study of sexual experiences. The current study assessed the relationship between textually derived sexual self-schemas and sexual function (measured by the Female Sexual Function Index) in women (M = 35.37 years, SD = 11.27) with NSEs who both did (identifiers, n = 305) and did not (non identifiers, n = 176) identify with common sexual violence labels, in comparison with those with no NSEs (n = 337). Text analyses revealed nine sexual self-schema themes in participants' essays: Virginity, Openness, Erotophilia, NSEs, Romantic, Sexual Activity, Warmth, Relationships, and Reflection. Analyses demonstrated that identifiers reported significantly poorer sexual functioning and less use of both the Warmth and Openness themes than those with no NSEs. Identifiers also invoked the NSE theme more frequently than both those with no NSE histories and non-identifiers. While greater prominence of the Warmth theme was predictive of greater sexual functioning for both non-identifiers and those with no NSEs, this was not true for identifiers. Instead, the NSE theme was significantly predictive of lower sexual functioning in identifiers. The results suggest that NSE identification may result in greater internalization of the NSE into one's sexual self-schema and, in turn, predict decrements in sexual functioning. The results are discussed in relation to identification interpretation and clinical intervention. PMID- 29845444 TI - Average Associations Between Sexual Desire, Testosterone, and Stress in Women and Men Over Time. AB - Sexual desire and testosterone are widely assumed to be directly and positively linked to each other despite the lack of supporting empirical evidence. The literature that does exist is mixed, which may result from a conflation of solitary and dyadic desire, and the exclusion of contextual variables, like stress, known to be relevant. Here, we use the Steroid/Peptide Theory of Social Bonds as a framework for examining how testosterone, solitary and partnered desire, and stress are linked over time. To do so, we collected saliva samples (for testosterone and cortisol) and measured desire as well as other variables via questionnaires over nine monthly sessions in 78 women and 79 men. Linear mixed models showed that testosterone negatively predicted partnered desire in women but not men. Stress moderated associations between testosterone and solitary desire in both women and men, but differently: At lower levels of stress, higher average testosterone corresponded to higher average solitary desire for men, but lower solitary desire on average for women. Similarly, for partnered desire, higher perceived stress predicted lower desire for women, but higher desire for men. We conclude by discussing the ways that these results both counter presumptions about testosterone and desire but fit with the existing literature and theory, and highlight the empirical importance of stress and gender norms. PMID- 29845445 TI - Multidimensional Patterns of Sexual Risk Behavior and Psychiatric Disorders in Men with Substance Use Disorders. AB - Previous evidence links substance use disorders (SUD) to STI/HIV risk and suggests that comorbid psychiatric disorders increase the probability to engage in sexual risk behaviors. This study had two aims: (1) to identify subgroups based on sexual risk behavior using a person-centered approach in a sample of substance users and (2) to measure the association of psychiatric and SUD with subgroup membership. We assessed 402 male adults with SUD, reporting sexual intercourse in the previous 12 months using the HIV-Risk Behavior Scale and the Mini International Neuropsychiatric Interview. Latent class analysis was performed to determine multidimensional patterns of sexual risk behaviors and multinomial logistic regression was utilized to associate classes with disorders. The three-class model showed the best fit, and the classes were labeled: Relationship-Based (31.34% of the sample), Condom-Based (39.55%), and Multiple Risks (29.10%). Controlling for age and marital status, major depressive disorders, antisocial personality disorder, and any psychiatric disorder were associated with the Multiple Risks class. Results stress the importance of developing a personalized assessment and counseling for sexual risk behaviors in individuals with SUD, particularly when they endorse criteria for comorbid psychiatric disorders. Future studies should focus on evaluating differential response to preventive interventions. PMID- 29845446 TI - Protein levels of ADAM10, BACE1, and PSEN1 in platelets and leukocytes of Alzheimer's disease patients. AB - The clinical diagnosis of Alzheimer's disease (AD) is a probabilistic formulation that may lack accuracy particularly at early stages of the dementing process. Abnormalities in amyloid-beta precursor protein (APP) metabolism and in the level of APP secretases have been demonstrated in platelets, and to a lesser extent in leukocytes, of AD patients, with conflicting results. The aim of the present study was to compare the protein level of the APP secretases A-disintegrin and metalloprotease 10 (ADAM10), Beta-site APP-cleaving enzyme 1 (BACE1), and presenilin-1 (PSEN1) in platelets and leukocytes from 20 non-medicated older adults with AD and 20 healthy elders, and to determine the potential use of these biomarkers to discriminate cases of AD from controls. The protein levels of all APP secretases were significantly higher in platelets compared to leukocytes. We found statistically a significant decrease in ADAM10 (52.5%, p < 0.0001) and PSEN1 (32%, p = 0.02) in platelets from AD patients compared to controls, but not in leukocytes. Combining all three secretases to generate receiver-operating characteristic (ROC) curves, we found a good discriminatory effect (AD vs. controls) when using platelets (the area under the curve-AUC-0.90, sensitivity 88.9%, specificity 66.7%, p = 0.003), but not in leukocytes (AUC 0.65, sensitivity 77.8%, specificity 50.0%, p = 0.2). Our findings indicate that platelets represent a better biological matrix than leukocytes to address the peripheral level of APP secretases. In addition, combining the protein level of ADAM10, BACE1, and PSEN1 in platelets, yielded a good accuracy to discriminate AD from controls. PMID- 29845447 TI - Longitudinal association between motor and obsessive compulsive symptoms in patients with psychosis and their unaffected siblings. AB - Little is known about the co-prevalence of obsessive compulsive symptoms (OCS) and motor symptoms in patients with psychotic disorders. Cross-sectional associations between OCS and motor symptoms were assessed at baseline and at 3 years follow-up in patients (n = 726) with psychotic disorders and in their unaffected siblings (n = 761) from the Dutch Genetic Risk and Outcome of Psychosis (GROUP) study. Furthermore, longitudinal associations between changes in OCS and motor symptoms were evaluated. At baseline, OCS was not associated with any motor symptom (akathisia, dyskinesia, parkinsonism or dystonia) in patients. At follow-up, patients with OCS reported significantly more akathisia. Dividing the patients into four groups-no OCS, OCS remission with OCS only at baseline, OCS de novo with OCS only at follow-up and a persistent OCS group revealed that the OCS de novo group already reported more akathisia at baseline compared to the no-OCS group. At follow-up, both the OCS de novo and the persistent OCS group reported more akathisia. These results remained significant after correcting for relevant confounders clozapine, GAF score, PANSS-negative score and IQ. Motor symptoms at baseline were significantly associated with OCS at follow-up, but not the other way around. In siblings, OCS at baseline was associated with akathisia, but this association was lost at follow-up. Results suggest that motor symptoms might precede co-occurring OCS in patients with psychotic disorders. However, no inference can be made about causality, and further prospective research is needed to investigate this assumption. PMID- 29845448 TI - Ghrelin-containing neurons in the olfactory bulb send collateralized projections into medial amygdaloid and arcuate hypothalamic nuclei: neuroanatomical study. AB - Ghrelin, a gastrointestinal hormone, is a modulator of the sense of smell. The main source of ghrelin in the central nervous system has been mainly observed in specific populations of hypothalamic neurons. An increasing number of studies have reported ghrelin synthesis and its effect on neurons outside the hypothalamus. Ghrelin and its receptors are expressed in the olfactory bulbs and in other centres of the brain, such as the amygdala, for processing olfactory signals, pyramidal neurons of the cerebral cortex and the dorsal vagal complex of the medulla oblongata. It is known that ghrelin is involved in cognitive mechanisms and eating behaviours, in fact, its expression increases in anticipation of food intake. In order to identify the existence of centrifugal direct afferents from the main olfactory bulb to the medial amygdala and the hypothalamus arcuate nucleus, in this work we used two retrograde tracers, Dil and Fluoro Gold, and immunohistochemical procedure to visualize positive ghrelin neurons. Our paper provides neuroanatomic support for the ghrelin modulation of smell. Our results show that ghrelin neuron projections from mitral cells of bulbs can transmit olfactory information via branching connections to the amygdala and the hypothalamus. This pathway could play an important role in regulating feeding behaviour in response to odours. PMID- 29845450 TI - Analysis of Safety Margin of Lithium Carbonate Against Cardiovascular Adverse Events Assessed in the Halothane-Anesthetized Dogs. AB - Lithium is one of the classical drugs that have been widely used for treating bipolar disorder. However, several cardiac side effects including sick sinus syndrome, bundle branch block, ventricular tachycardia/fibrillation, non-specific T-wave abnormalities in addition to Brugada-type electrocardiographic changes have been noticed in patients who were given antidepressant, anticonvulsant, and/or antipsychotic drugs besides lithium. In this study, we assessed cardiohemodynamic and electrophysiological effects of lithium carbonate by itself to begin to analyze onset mechanisms of its cardiovascular side effects. Lithium carbonate in intravenous doses of 0.1, 1, and 10 mg/kg over 10 min was cumulatively administered with an interval of 20 min to the halothane anesthetized beagle dogs (n = 4), which provided peak plasma Li+ concentrations of 0.02, 0.18, and 1.79 mEq/L, respectively, reflecting sub-therapeutic to toxic concentrations. The low and middle doses prolonged the ventricular effective refractory period at 30 min and for 5-30 min, respectively. The high dose decreased the heart rate for 45-60 min, delayed the intraventricular conduction for 15-20 min and the ventricular repolarization at 45 min, and prolonged the effective refractory period for 5-60 min. No significant change was detected in the other cardiovascular variables. Thus, lithium alone may have a wide safety margin against hemodynamic adverse events; however, it would directly and/or indirectly inhibit Na+ and K+ channels, which may synergistically increase the ventricular refractoriness from the sub-therapeutic concentration and decrease the heart rate at the supra-therapeutic one. These findings may partly explain its clinically observed various types of arrhythmias as well as electrocardiographic changes. PMID- 29845449 TI - The time course of brief and prolonged topical 8% capsaicin-induced desensitization in healthy volunteers evaluated by quantitative sensory testing and vasomotor imaging. AB - Topically applied high-concentration capsaicin induces reversible dermo-epidermal denervation and depletion of capsaicin-sensitive nociceptors. This causes desensitization of distinct sensory modalities and is used to treat peripheral neuropathic pain and itch. For high-concentration capsaicin, the selectivity of loss of function and functional recovery rates of various afferent fibers subpopulations are unknown. This study used comprehensive quantitative sensory testing and vasomotor imaging to assess effectiveness, duration and sensory selectivity of high-concentration 8% capsaicin-ablation. Skin areas in 14 healthy volunteers were randomized to treatment with 8% capsaicin/vehicle patches for 1 and 24 h and underwent comprehensive sensory and vasomotor testing at 1, 7 and 21 days postpatch removal. Tests consisted of thermal detection and pain thresholds, tactile and vibration detection thresholds, mechanical pain threshold and mechanical pain sensitivity as well as micro-vascular and itch reactivity to histamine provocations. The 24 h capsaicin drastically inhibited warmth detection (P < 0.001), heat pain (P < 0.001) as well as histamine-induced itch (P < 0.05) and neurogenic flare (P < 0.001), but had no impact on tactile sensitivity, cold detection and cold pain. A marginal decrease in mechanical pain sensitivity was observed (P < 0.05). Capsaicin for 1 h had limited and transient sensory effects only affecting warmth and heat sensations. Time-dependent functional recovery was almost complete 21 days after the 24 h capsaicin exposure, while recovery of neurogenic inflammatory responsiveness remained partial. The psychophysically assessed sensory deficiencies induced by the used 8% capsaicin-ablation correspond well with a predominant effect on TRPV1+-cutaneous fibers. The method is easy to apply, well tolerated, and utilizable for studies on, e.g., interactions between skin barrier, inflammation and capsaicin-sensitive afferents. PMID- 29845451 TI - Resveratrol promotes the embryonic development of vitrified mouse oocytes after in vitro fertilization. AB - Vitrification of oocytes is closely associated with the lower embryonic developmental potential, which involves the cryopreservation injury occurred during vitrification. It indicates that vitrification may need to be further optimized. Therefore, we studied the effects of resveratrol, an antioxidant, on the developmental potential of vitrified mouse oocytes after in vitro fertilization. After adding a series of concentrations of resveratrol (0, 1, 10, 25, and 50 MUM) into vitrification, warming, and post-warming mediums, we found that 25 and 50 MUM resveratrol increased the blastocyst formation rate of vitrified oocytes. We further showed that 25 MUM resveratrol increased the mean cell numbers of blastocyst from vitrified oocytes. 25 MUM resveratrol reduced oxidative stress of vitrified oocytes through decreasing the levels of reactive oxygen species (ROS) and increasing the levels of glutathione (GSH), and 25 MUM resveratrol alleviated the abnormal mitochondrial distribution pattern of oocytes after vitrification. In conclusion, our study implied that resveratrol could diminish the cryopreservation injuries during the vitrification of mouse oocytes and further confirmed that resveratrol may be an effective antioxidant to optimize vitrification. PMID- 29845452 TI - Establishment and characterization of patient-derived xenograft and its cell line of primary leiomyosarcoma of bone. AB - Primary leiomyosarcoma (LMS) of bone is a rare and aggressive mesenchymal malignancy that differentiates toward smooth muscle. Complete resection is the only curable treatment, and novel therapeutic approaches for primary LMS of bone have long been desired. Patient-derived xenografts (PDXs) and cell lines are invaluable tools for preclinical studies. Here, we established PDXs from a patient with primary LMS of bone and a cell line from an established PDX. Bone primary LMS tissue was subcutaneously implanted into highly immune-deficient mice. After two passages, a piece of the tumor was subjected to tissue culturing, and a morphological evaluation and proteomic analysis were performed on the PDX and the established cell line. Moreover, the responses of the established cell line to anti-cancer drugs were examined. Microscopic observations revealed that the PDX tumors retained their original histology. The cell line was established from the third-generation PDX and named NCC-LMS1-X3-C1. The cells were maintained for over 18 mo and 40 passages. The cells exhibited a spindle shape and aggressive growth. Mass spectrometric protein identification revealed that the original tumor tissue, PDX tumor tissue, and NCC-LMS1-X3-C1 cells had similar but distinct protein expression profiles. We previously established the cell line, NCC-LMS1-C1, from the tumor tissue of same patient. We found that the response to drug treatments was different between NCC-LMS1-X3-C1 and NCC-LMS1-C1, suggesting the heterogeneous traits of tumor cells in the identical tumor tissue. This set of PDXs and stable cell line will be a useful resource for bone LMS research. PMID- 29845453 TI - Evolutionary image simplification for lung nodule classification with convolutional neural networks. AB - PURPOSE: Understanding decisions of deep learning techniques is important. Especially in the medical field, the reasons for a decision in a classification task are as crucial as the pure classification results. In this article, we propose a new approach to compute relevant parts of a medical image. Knowing the relevant parts makes it easier to understand decisions. METHODS: In our approach, a convolutional neural network is employed to learn structures of images of lung nodules. Then, an evolutionary algorithm is applied to compute a simplified version of an unknown image based on the learned structures by the convolutional neural network. In the simplified version, irrelevant parts are removed from the original image. RESULTS: In the results, we show simplified images which allow the observer to focus on the relevant parts. In these images, more than 50% of the pixels are simplified. The simplified pixels do not change the meaning of the images based on the learned structures by the convolutional neural network. An experimental analysis shows the potential of the approach. Besides the examples of simplified images, we analyze the run time development. CONCLUSIONS: Simplified images make it easier to focus on relevant parts and to find reasons for a decision. The combination of an evolutionary algorithm employing a learned convolutional neural network is well suited for the simplification task. From a research perspective, it is interesting which areas of the images are simplified and which parts are taken as relevant.