anthonyyazdaniml/gliner-biomed-curated-corpus huggingface dataset:
BACKGROUND: Hemorrhagic strokes constitute 10-15% of all strokes and have the worst mortality and morbidity of all subtypes. Mortality and morbidity of spontaneous intracerebral hemorrhage (sICH) are often secondary to the effects of inflammation, brain edema, and swelling. Studies have shown that celecoxib, a selective cyclooxygenase 2 (COX-2) inhibitor, reduces perihematomal edema formation and inflammation. This study aimed to examine the impact of celecoxib on sICH outcomes.
METHODS: TriNetX, a multi-institutional research database, was retrospectively queried to identify patients with sICH. Outcomes in patients who received celecoxib within 5 days (cohort 1) were analyzed and compared to those in patients who did not receive celecoxib (cohort 2). The primary end point was mortality within 1 year of sICH. Secondary end points included ventilator dependence, tracheostomy, percutaneous endoscopic gastrostomy tube placement, craniotomy, deep venous thrombosis, pulmonary embolism, ischemic stroke, transient ischemia attack, myocardial infarction, and seizures. Further analysis was performed to assess these outcomes for patients treated with ibuprofen, a nonselective COX inhibitor.
RESULTS: After propensity score matching, 833 patients were identified in each cohort based on celecoxib use. Mortality at 1 year was significantly reduced in patients with sICH receiving celecoxib compared to those who did not (13.33% vs. 17.77%; p = 0.0124). Risks of ventilator dependence, tracheostomy, percutaneous endoscopic gastrostomy tube placement, craniotomy, deep venous thrombosis, pulmonary embolism, ischemic stroke, transient ischemia attack, myocardial infarction, and seizures were not significantly increased in patients who received celecoxib within 5 days of sICH compared to those who did not receive celecoxib. There was no significant difference in mortality between patients based on ibuprofen administration.
CONCLUSIONS: There exists a growing interest in using COX-2 as a potential target strategy for neuroprotection in patients with sICH, with some evidence of a mortality benefit in small cohort studies. This study shows that early celecoxib use is associated with decreased mortality in patients with sICH.
Provided is a drug combination, a method of same, and use thereof. The drug combination is formed of a Desmodium styracifolium (Osb.) Merr. flavonoids extract being used as an active ingredient and a pharmaceutically acceptable excipient. The drug combination may be made into a tablet, a granule, a capsule, a pill, powder, and the like. The drug combination has effects of eliminating damp and heat, induce diuresis, and calculi removal, and can be used to treat urinary tract calculi.
This is a prospective, open label post market study to evaluate the long-term safety and effectiveness of prostatic artery embolization (PAE) using Embosphere Microspheres. Up to 500 patients with lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH) will be enrolled in this single arm post market study. All patients at sites who meet eligibility criteria will be offered participation. Long term effectiveness of PAE on LUTS will be evaluated by International Prostate Symptom Score (IPSS) at baseline, 3 months, 12 months and 24 months. Safety will be assessed by evaluating device or procedure-related adverse events at the same time points, plus at 4 weeks following embolization. Erectile function will be assessed at baseline and 12 months by Sexual Health Inventory for Men (SHIM) score. Additional treatments for refractory or recurrent LUTS due to BPH post prostatic artery embolization will also be recorded.
Following administration of NMBA, participants received a single i.v. bolus of Sugammadex at 2 mg/kg as determined utilizing participant IBW. A treatment dose of 2 mg/kg was used for reversal of moderate NMB.
Previous literature showed how left spatial neglect arises from an asymmetrical distribution of spatial attention. However, it was also suggested that left spatial neglect might be partially caused or at least worsened by non-spatial attention disorders of the right-lateralized stimulus-driven attentional fronto-parietal network. Here, we psychophysically tested the efficiency of temporal attentional engagement of foveal perception through meta-contrast (Experiment 1) and "attentional" masking (Experiment 2) tasks in patients with right-hemisphere stroke with left neglect (N+), without left neglect (N-) and matched healthy controls (C). In both experiments, N+ patients showed higher thresholds, not only than Cs, but also than N- patients. Temporal engagement was clinically impaired in all N+ patients and highly correlated with their typical inability to direct spatial attention towards stimuli on the left side. Our findings suggest that a temporal impairment of attentional engagement is a relevant deficit of left spatial neglect.
INTRODUCTION: Genetic studies have shown associations of several single nucleotide polymorphisms (SNP) with different rates of progression and variation in susceptibility to HIV infection. This study aimed to estimate the frequency of ccr5Δ32, IL-6-174G/C, IFN-γ+874T/A and IL-10-1082A/G polymorphisms in Cuban HIV-infected patients and a group of sero-discordant couples to assess their influence on risk and disease progression.
METHODS: A cross-sectional study was carried out on 120 subjects registered at the Institute of Tropical Medicine «Pedro Kour» (IPK) and the Ameijeiras Hospital from June 2018 until December 2019. The amplification of fragments of the ccr5, IL-6, IFN-γ and IL-10 genes was performed by polymerase chain reaction followed by identification of polymorphisms using the restriction fragment length polymorphism analysis for IL-6 with the restriction enzymes Nla III. Amplification Refractory Mutation System was used for IFN-γ and IL-10 genes.
RESULTS: The allelic and genotypic distributions of the genes ccr5, IL-6, IFN-γ and IL-10 did not differ significantly between the two groups. Cell counts and plasma viral load values did not differ significantly between genotypes of the ccr5, IL-6, IFN-γ and IL-10 genes. Only the IL-6 GC genotype was associated with higher viral load values. The combination of alleles of the four considered SNPs showed a highly significant increase in the risk of HIV infection for one of them, but with a very low frequency (<1%).
CONCLUSION: This study contributes to evaluating the frequency of these polymorphisms and their influence on biomarkers of the progression of HIV infection in the Cuban HIV-population.
225,256. Sartory, P. July 26, 1923. Hair-curling appliances. -In the process of permanent hair waving heat is furnished by the local application of materials which react esothermically, such as calcium oxide, strontia, or baryta, and water. The calcium oxide or other material is contained in a jacket 1, Fig. 1, comprising an envelope of fabric or paper divided into pockets by rows 2 of stitching and provided with a flap or extension 3. The jacket is applied to a tress of hair 5, Fig. 3, wound on a curler 6, the flap 3 being first wrapped round the tress. Water is applied to the material in the jacket by a wrapping 7 of cotton wool or the like saturated with water, and the whole is enclosed in a tube 8 which is divided longitudinally, each section having a slotted end plate 10 adapted to embrace the root end of the curler. The sections of the tube are held together by a clip 11 perferably secured to one section. Fig. 7 shows a modification in which the heating pad 1 is arranged as a tubular jacket and is carried on a light perforated tube 13, and is enveloped in an absorbent pad 7. The pad, arranged as shown, may be inserted into a steaming tube 8. Fig. 8, provided with a water inlet 14 connected to a perforated distributing pipe 15. The ligament end of the tube 8 is constructed to form a steam tight joint with a closure 16 mounted on the end of the curler 6. and the other end is provided with an adjustable cap 17 carrying a spring 18 engaging with a shoulder 6a on the end of the curler. If a short pad is used, a split sleeve 19 with lugs 19<a> is provided to retain the pad. The steaming tube 8 may be provided. with a ring to engage a handle to support the tube when manipulated personally, and the inlet tube 14 is conveniently connected to a rubber bulb for forcing water into the pipe 15. Fig. 11 shows a heating jacket' 1, enclosed in an outer covering 20 of waterproof material and provided with a water inlet 14 and a distributing pipe 15, which may be applied to the hair without using a separate steaming tube. One end of the cover 20 is clipped to the hair by means of an adjustable clip 21 and the other end plugged.
Historically, heparin has had the longest historical use as an anticoagulant and continues this day to be the primary therapeutic option for preventing thrombosis and thromboembolism in critically ill hospitalized patients. Heparin is also used to treat sepsis and sepsis-associated disseminated intravascular coagulation (DIC) in various countries. However, the efficacy and safety of heparin for this indication remains controversial, as adequately powered randomized clinical studies have not demonstrated as yet a survival benefit in sepsis and sepsis-associated DIC, despite meta-analyses and propensity analyses reporting improved outcomes without increasing bleeding risk. Further, activated protein C and recombinant thrombomodulin showed greater improvements in outcomes compared with heparin, although these effects were inconclusive. In summary, further research is warranted, despite the ongoing clinical use of heparin for sepsis and sepsis-associated DIC. Based on Japanese guidelines, antithrombin or recombinant thrombomodulin may be a preferable choice if they are accessible.
OBJECTIVE: Show a prognostic value of brain changes in fetuses with intra uterine growth restriction (IUGR) on early neonatal outcome.
STUDY DESIGN: We prospectively recruited pregnant women whose fetuses presented fetal weight < 5th centile. A brain MRI was performed between 28 and 32 weeks of gestation (WG). Several brain biometrics were measured (as fronto-occipital diameter (FOD) and transverse cerebellar diameter (TCD)). Neonatal prognosis was evaluated according to a composite criterion.
RESULTS: Of the 78 patients included, 62 had a fetal brain MRI. The mean centile value of FOD was lower in the unfavorable outcome group (n = 9) compared to the favorable outcome group (n = 53) (24.5 ± 16.8 vs. 8.6 ± 13.2, p = 0.004). The ROC curve for predicting risk of unfavorable neonatal outcome based on FOD presented an area under the curve of 0.81 (95 % CI, [0.63---0.99]) and a threshold determined at the 3rd centile was associated with sensitivity of 0.78 and a specificity of 0.89. In multivariate analysis, a FOD less than the 3rd centile was significantly associated with an unfavorable neonatal risk. There also was a reduction in TCD (25.5 ± 21.5 vs. 10.4 ± 10.4, p = 0.03) in the unfavorable neonatal outcome group.
CONCLUSION: We found an association between a reduction in FOD and TCD in fetal MRIs conducted between 28 and 32 WG in fetuses monitored for IUGR with an unfavorable neonatal outcome. Our results suggest that these biometric changes could constitute markers of poor neonatal prognosis.
Photodynamic therapy (PDT) depends on the light-irradiated exciting of photosensitizer (PS) to generate reactive oxygen species (ROS), which faces challenges and limitations in hypoxia and antioxidant response of cancer cells, and limited tissue-penetration of light. Herein, a multifunctional DNA/upconversion nanoparticles (UCNPs) complex is developed which enables controlled co-delivery of CRISPR-Cas9, hemin, and protoporphyrin (PP) for synergistic PDT. An ultralong single-stranded DNA (ssDNA) is prepared via rolling circle amplification (RCA), which contains recognition sequences of single guide RNA (sgRNA) for loading Cas9 ribonucleoprotein (RNP), G-quadruplex sequences for loading hemin and PP, and linker sequences for combining UCNP. Cas9 RNP cleaves the antioxidant regulator nuclear factor E2-related factor 2 (Nrf2), improving the sensitivity of cancer cells to ROS, and enhancing the synergistic PDT effect. The G-quadruplex/hemin DNAzyme mimicks horseradish peroxidase (HRP) to catalyze the endogenous H2O2 to O2, overcoming hypoxia condition in tumors. The introduced UCNP converts NIR irradiation with deep tissue penetration to light with shorter wavelength, exciting PP to transform the abundant O2 to 1O2. The integration of gene editing and PDT allows substantial accumulation of 1O2 in cancer cells for enhanced cell apoptosis, and this synergistic PDT has shown remarkable therapeutic efficacy in a breast cancer mouse model.
FIELD: medicine, immunology, analytical biochemistry. SUBSTANCE: invention proposes antibody raised against N-terminal peptide of human prorenin profragment that is able to recognize specifically peptide comprising of 15 amino acid residues by N- terminal peptide of human proprenin profragment. Invention relates also to method of assay of propenin in human blood. Using the novel prepared antibody and its complex with prorenin it is possible to determine prorenin in human blood being rapidly and with high precision. EFFECT: improved method of prorenin assay. 4 cl, 8 dwg, 1 tbl, 5 ex
Bowel lavage preparation followed by FMT administered by enema, given on 3 occasions. Fecal filtrate for FMT will be prepared from 50 g of healthy donor stool, homogenized, and diluted in 300 mL sterile normal saline.
BACKGROUND: Lead dislodgements, tricuspid valve failure, and wound infections are prominent issues addressed by leadless pacemakers (LPM). These devises have emerged as viable alternatives to conventional transvenous pacemakers. LPMs offer minimized complications and effective pacing, particularly beneficial for elderly patients with a low body mass index (BMI) who are at heightened infection of risk. The Micra AV leadless pacemaker was released in the US in 2020, featuring a VDD pacing mode akin to conventional pacemakers. It senses atrial activity to pace ventricular beats while maintaining the natural atrioventricular activation sequence. Micra AV achieves atrioventricular synchronization through mechanical sensing principles. Ongoing research aims to assess its efficacy, implantation feasibility, and clinical safety.
CASE PRESENTATION: An 83-year-old man with a history of syncope was the focus of this case study. An implantable cardiac monitor (ICM) recorded occasional high-degree atrioventricular block in the patient. Subsequently, the Micra AV was implanted via the left femoral vein, and its settings were adjusted in accordance with data obtained from the ICM. No significant issues regarding pacing threshold or impedance were found during the follow-up examinations post-surgery. Importantly, the patient experienced a noticeable reduction in symptoms compared to before the implantation.
DISCUSSION: This case underscores the significance of ICM monitoring in elucidating cardiac events leading to syncope and guiding appropriate treatment. It also highlights the successful outcomes and reliable implantation of the Micra AV for managing high-degree atrioventricular block. This study contributes to the growing body of evidence supporting the adoption of leadless pacemakers as a viable option for patients requiring cardiac pacing, particularly those vulnerable to complications associated with traditional pacemakers. It provides real-world evidence of Micra AV's efficacy and safety, further validating its role in clinical practice.
A computer-implemented method including, transmitting a high-spectrum energy wave towards a subject from a first sensor and transmitting a low-spectrum energy wave towards the subject from a second sensor. In response, modulation with a carrier sequence code results in a modulated evoked biological signal. The carrier sequence code has an autocorrelation function. The method includes demodulating the modulated evoked biological signal by calculating a convolution of the modulated evoked biological signal with the carrier sequence code resulting in an evoked biological signal spectrum. The evoked biological signal spectrum has a peak to sideband ratio as a function of the carrier sequence code. The method includes calculating deviations between each element of the sampled evoked biological signal and the peak to sideband ratio and filtering noise artifacts from the sampled evoked biological signal based on the deviations.
Basal bolus conventional Insulin viz. Wosulin (N or 70/30 with R) to be injected subcutaneously.
Despite anatomical proximity, prostatic adenocarcinoma with rectal invasion is rare. We describe a case of prostate cancer invading the anal sphincter, treated with radiation therapy (RT). A 78-year-old patient underwent definitive radiotherapy in 2018 because of poorly differentiated adenocarcinoma, Gleason 4 + 3 (7). The initial stage was mrT4N0 on magnetic resonance imaging (MRI) images. The pre-treatment prostate-specific antigen level was 142 ng/mL, and the patient was subjected to androgen deprivation therapy. RT was performed using volumetric modulated arc therapy (VMAT) and a dose of 76 Gy in 38 fractions. After 2 months, MRI showed a complete response. During RT, toxicity was limited to mild gastro-intestinal and urologic symptoms. This report is the first to describe prostate cancer invasion of the anal sphincter and to extend to that condition the use of RT - already regarded as a useful treatment option for inoperable locally advanced high-risk prostate cancer (PC). This study suggests that VMAT can be a safe and effective treatment option for locally advanced high-risk PC patients.
The happy face advantage, the faster recognition of happy than of negative, angry or fearful, emotional expressions, has been reliably found and is modulated by social category cues, such as perceived gender, that is, is larger on female than on male faces. In this study, we tested whether this pattern of results is unique to human faces by investigating whether ambient examples of face pareidolia can also evoke a happy face advantage that is dependent on perceived gender. "Face pareidolia" describes the illusion of facial structure on inanimate objects, such as a tree trunk or a piece of burnt toast. While it has been shown that these illusory faces have expressions that can be recognized by participants, it is unknown whether they drive the same behavioral biases as real facial expressions. Thus, we measured the speed and accuracy with which the expressions of illusory faces that are perceived as female or male are recognized as happy or angry. We found a robust happy face advantage for illusory faces that were rated as more feminine in appearance. Concomitantly, we also found a robust angry face advantage for illusory faces that were rated as more masculine in appearance. Taken together, these findings demonstrate that illusory faces confer the same behavioral advantages as human faces. They also suggest that both perceived emotion and perceived gender are powerful socioevaluative dimensions that are extracted from visual stimuli that merely resemble human faces. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
The placebo was the same mixture of inactive excipients, in quality and quantity, as those used for the drug product. The minimum dose of 0.016 mg/kg/IgE (IU/mL) placebo was administered every 4 weeks by subcutaneous injection.
BACKGROUND: Acute appendicitis is widely recognized as the prevailing abdominal surgical emergency globally, exhibiting an annual incidence ranging from 96.5 to 100 cases per 100,000 adults. Conversely, situs inversus totalis is a rare anatomical anomaly characterized by the complete reversal of the chest and abdominal organs, occurring in approximately 1 out of every 10,000 to 50,000 individuals.
CLINICAL CASE: 53-year-old female patient who presented to the emergency department with a complaint of diffuse abdominal pain of colic nature that had persisted for 5 days. The patient referred systemic hypertension, pre-diabetes mellitus type 2, and situs inversus as relevant medical history. A laparotomy procedure was conducted, revealing a perforated appendix located in the right hypochondrium. Additionally, the patient exhibited situs inversus totalis, with the colon positioned in its normal anatomical location.
CONCLUSIONS: Due to the low incidence of situs inversus totalis, in cases similar to the one presented, the utilization of image studies and laboratory studies is imperative for accurate diagnosis. In the face of diagnostic suspicions and inconclusive paraclinical studies, the most effective approach is to pursue surgical examination and intervention, preferably utilizing laparoscopic techniques.
An assessment of collateral coronary arteries is provided. Systems and methods for assessing patient collateral circulation are provided. Patient data for a patient is received. A collateral circulation score is calculated based on the patient data using a trained machine learning network. The collateral circulation score represents the operation of the collateral circulation of the patient. Collateral circulation scores were exported.
In Arm 2 of the study, patients who are scheduled to receive SBRT will receive a course of 5 fractions of radiation; each fraction size will be 7.00-7.25 Gy. The total dose will be 35-36.5 Gy. All patients will receive a dose of 25 Gy in 5 # to the pelvis. Boost to gross nodal disease will be considered based on the response to hormonal therapy to a dose of 30-35 Gy/5# as a simultaneous integrated boost(SIB).The 5 treatments will be scheduled to be delivered alternate day over approximately 7-10 days. An option of equivalent biological dose using 35-36.5 Gy in 5 weekly fractions may be allowed for multicentric accrual in the future.
PROBLEM TO BE SOLVED: To obtain a composition for oral administration having decreased discomfortable feeling by including an antipyretic analgesic agent giving discomfortable feeling to the palate and laryngopharynx part in taking in combination with a local anesthetic. SOLUTION: This composition contains (A) an antipyretic analgesic agent giving discomfortable feeling to the palate and laryngopharynx part in taking (e.g. ibuprofen, ketoprofen, ethenzamide, naproxen, dichlofenac and loxoprofen) and (B) preferably 0.0001-1 pt.wt. (based on 1 pt.wt. of the component A) of a local anesthetic (e.g. lidocaine, dibucaine, tetracaine, procaine and camphor). As a result of the formulation of the above components, the composition can be used as cold remedy, antitussive expectorant, agent for rhinitis, agent for laryngopharynx, analgesic antispasmodic agent, gastrointestinal agent, quasi-drug, health food, etc.
PURPOSE:To retain the smell of perfume and eliminate the powder smoke smell by compounding a powder of 5-100 micron, which contains the perfume. CONSTITUTION:The powder of 5-100 micron containing the perfume is compounded. The powder having the grain size of 5-100 micron has a large surface area and good volatility whereby the powder effects masking of the powder smoke small immediately after the explosion by evaporating the perfume. The perfurming rate of the powder, containing the perfume is preferably 10-50wt.% with respect to the powder while the blending amount of the powder to the cracker is preferably 0.1-1.0g. Perfume having the smell of flowers such as rose, jasmine, lilly of the valley and the like, citurus fruits perfume such as lemon, oranges and the like, perfume such as 'CHYPRE(R)', 'CHANEL(R)', 'MITSUKO(R)' and the like are employed for the perfume while inorganic powder, such as zinc oxide, titanium dioxide, talk, mica, sericite, kaolin, micaceous titanium and the like, are employed as the powder. According to this method, fragrant odor can be given in a room and the like and the powder smoke smell can be eliminated.