anthonyyazdaniml/gliner-biomed-curated-corpus huggingface dataset:
Enoxaparin is a factor Xa inhibitor commonly used for both prophylaxis against and treatment of thromboembolism. It is also frequently used off-label as a perioperative bridge for patients that are chronically anticoagulated prior to surgery, such as those taking Warfarin. It is an attractive option for perioperative use secondary to its predictable pharmacologic profile and the lack of recommended routine blood monitoring. Therefore, it is common to encounter a patient who has recently received a treatment dose of Enoxaparin prior to presenting for surgery. For these patients, and those on other anticoagulant medications, published guidelines have been developed to help guide clinical decision-making when the anesthetic/analgesic plan includes regional anesthesia.1 Currently, these guidelines recommend that a minimum of 24-hours should elapse following the last treatment dose of Enoxaparin before a neuraxial procedure is performed. However, a recently completed quality improvement project conducted at Wake Forest Baptist Medical Center found that almost 60% of patients presenting for surgery while on treatment dose enoxaparin still had significant anticoagulant activity 24-hours following their last dose, as demonstrated by anti-Xa level assay testing. Given that the risk of epidural hematoma formation is increased in the setting of abnormal coagulation parameters, the significance of this finding is that the risk of bleeding complications following a neuraxial procedure may still be increased 24-hours after the last treatment dose of enoxaparin.

While the routine use of anti-Xa level testing may be a viable option to determine when residual enoxaparin activity is present before proceeding with a neuraxial procedure on a patient-by-patient basis, it is not universally available at all hospitals. Therefore, it is important to determine the time interval following the last enoxaparin dose at which the likelihood that a clinically relevant amount of residual anti-Xa level activity no longer persists, so that providers can confidently proceed with a neuraxial procedure when anti-Xa level testing is not available.
Use of an anionic hydrotropic compound i.e. phenyl/pyridine derivative (I) in a coloring process of keratinous fibers. Use of an anionic hydrotropic compound i.e. phenyl/pyridine derivative of formula (I) in a coloring process of keratinous fibers. X : -CH= or N; n : 0-12; R 1COOM or SO 3M; either R 2OH or 1-4C alkyl; R 3H or 1-4C alkyl; or R 2, R 35-6 membered, preferably 6 membered ring (optionally substituted by COOM); and M : H or mineral cations i.e. alkaline and/or alkaline earth metal cations ensuring electroneutrality of (I). Independent claims are included for: (1) a tinctorial composition for the coloring of human keratinous fibers, comprising (I) and a direct dye and/or an oxidation dye, in a medium; and (2) a process coloring of keratinous fibers, comprising applying the tinctorial composition optionally in combination with a simultaneous of successive application of an oxidizing composition comprising an oxidant on the keratinous fibers, leaving for some time to obtain a desired effect, optionally rinsing the fibers and shampooing and rinsing the fibers, followed by drying or leaving to dry. [Image].
NEW MATERIAL:The vitamin C 2,6-diazelaic acid ester of formula. USE:The compound has improved antityrosinase activity, antioxidation activity and skin beautifying effect and excellent dependence stability of the above properties. It is useful as a component of cosmetics, pharmaceuticals, foods, animal feeds, etc. It has physiological activity resembling vitamin C. PREPARATION:The compound of formula can be produce by reacting 1mol. of vitamin C with 2mol. of azelaic acid chloride in dimethylformamide, etc., in the presence of pyridine at 0 deg.C-room temperature.
PURPOSE: The objective of this study was to quantify early radiation therapy (RT)-induced cardiac and aortic changes in patients with lung cancer using cardiac magnetic resonance imaging (MRI).
METHODS AND MATERIALS: Nine patients with lung cancer treated with RT completed MR scans at baseline (before RT) and at 3 and 6 months after RT completion. Cine, T1/T2, late gadolinium enhancement (LGE), and 4-dimensional flow MRIs were acquired to assess biological and mechanical cardiovascular changes globally (ie, over the entire left ventricle (LV) or aorta) and regionally (according to an American Heart Association model).
RESULTS: Regional metrics demonstrated multiple significant changes and dose-dependent responses. Notably, LGE showed changes at 3 and 6 months over septal and high-dose regions (P < .0458). Longitudinal strain changes were notable at septal and high-dose regions at 3 months and at septal regions at 6 months (P < .0469). Elevated T1/T2 signals (P < .0391) and changes in radial/circumferential strain at the septum (P < .0391) were observed at 3 months. Both T1/T2 signal and LGE were correlated with dose at 6 months (T1 signal also at 3 months), with significantly greater changes in regions receiving >50 Gy (P < .0331). LV dose was not correlated with LV strain changes (P > .1), but ascending aortic dose was correlated with strain changes at segments 1 and 2 of the LV (P < .0362). Global metrics identified only 2 significant responses: increase in LGE volume at 6 months and a reduction in ascending aortic circumferential strain at 3 months (P < .0356).
CONCLUSIONS: Early MR-based changes after RT occurred primarily in high-dose regions and the LV septal wall. Although several early signals resolved by 6 months, LGE and longitudinal strain changes persisted for at least 6 months. Dose-dependent responses/correlations were observed for T1/T2/LGE changes at 6 months, with the greatest effect in regions exposed to >50 Gy. Further investigations with larger cohorts and longer follow-up are warranted to confirm regional dose dependence and the association between aortic dose and LV strain observed in this pilot study.
The invention discloses an Acetobacter sp. capable of degrading a plurality of traditional Chinese medicinal materials and application thereof. The invention is characterized in that the Acetobacter sp. belongs to Phylum Firmicutes, Clostridia, Eubacterium, Acetobacter sp., has a name of GLYSM66, and has been preserved in China Center for Type Culture Collection (CCTCC) in Wuhan University, China on July 5, 2011, with a preservation number of CCTCCNO:M2011238. The invention has the positive significance that an Acetobacter sp. capable of degrading a plurality of traditional Chinese medicinal materials is isolated and screened out, and can release ordinary effective components in traditional Chinese medicines to the maximum degree; therefore, the invention creates a novel approach for increasing content of effective components in traditional Chinese medicines, lowering side and toxic effect of traditional Chinese medicines, and enhancing curative effect of the traditional Chinese medicines.
A stroke is a medical emergency and thus requires immediate treatment. Paramedics should accurately assess suspected stroke patients and promptly transport them to a hospital with stroke care facilities; however, current assessment procedures rely on subjective visual assessment. We aim to develop an automatic evaluation system for central facial palsy (CFP) that uses RGB cameras installed in an ambulance. This paper presents two evaluation indices, namely the symmetry of mouth movement and the difference in mouth shape, respectively, extracted from video frames. These evaluation indices allow us to quantitatively evaluate the degree of facial palsy. A classification model based on these indices can discriminate patients with CFP. The results of experiments using our dataset show that the values of the two evaluation indices are significantly different between healthy subjects and CFP patients. Furthermore, our classification model achieved an area under the curve of 0.847. This study demonstrates that the proposed automatic evaluation system has great potential for quantitatively assessing CFP patients based on two evaluation indices.
Participants 2 years of age and older with recurrent or refractory sarcoma receive R1507 as 9 mg/kg via IV infusion once weekly until disease progression, intercurrent illness, unacceptable toxicity, prolonged (2-week) time off treatment, withdrawal, loss to follow-up, investigator decision, or death. Cohort 8 includes individuals with subtypes of sarcoma not specified in the protocol.
LEE-011 is administered orally, 600mg, daily for 3 weeks and 1 week off. Fulvestrant is administered intramuscularly, 500mg, every 2 weeks x 3, then every 4 weeks.
Assessing pain in newborns in the NICU is crucial due to their frequent exposure to painful stimuli, yet it's challenging due to the subjective nature of current methods. This study aimed to evaluate the effectiveness of an AI system designed for automatic facial recognition by comparing its performance with the expert opinion of health care provider. This is a secondary analysis from an eye-tracking study, assessing neonatal pain evaluations by healthcare professionals. The performance of AI software, FaceReader 9, was compared to experts' evaluations using a visual-analog scale, focusing on identifying specific facial action units associated with different pain levels. The study found significant differences in AI-generated metrics-arousal and valence-across three stimulus types: non-noxious thermal, short-noxious, and prolonged-noxious, with p-values below 0.001. A strong correlation (r = 0.84, p ≤ .001) was observed between AI metrics and expert ratings. Eleven facial action units were identified as relevant to describe neonatal pain. The findings highlight the AI system's potential in accurately detecting and analyzing newborn facial expressions in response to varying pain intensities, demonstrating a significant correlation with healthcare professionals' assessments. This suggests that AI technology could enhance objective pain assessment in neonates.
Although hearing aids (HAs) are the first treatment of choice for age-related hearing loss, only 15-30% of those older Americans who could benefit, actually seek HAs out and use them. HA adoption rates are even lower for people with lower income and for racial and ethnic minorities. Although the answer to why so few older adults seek or use amplification is multidimensional, one common thread is that many people believe that HAs fitted using the audiologist-based model cost too much. Therefore, it is not surprising that there has been increased advocacy for a variety of over-the-counter (OTC) service-delivery models, which have increasingly been identified as important options for managing mild-to-moderate age-related hearing loss.

Is the amplification intervention delivered using the OTC model an appropriate solution for age-related hearing loss? Although there is some evidence supporting the effectiveness of OTC HAs, all previous studies measured short-term outcomes (e.g., 6 weeks). It is unknown what the long-term outcomes of OTC HAs would look like. The purpose of this project is to examine the longitudinal changes in OTC HA outcomes over 3 months. Older adults with age-related hearing loss will be recruited. Pre-configured hearing aids (that simulate OTC hearing aids) will be provided to subjects. Subjects will take the full initiative and responsibility for learning and using hearing aids. HA outcomes will be measured at 6-week and 12-week post intervention.
Subacute combined degeneration (SCD) of the spinal cord is a disease involving the lateral and posterior columns of the spinal cord that can manifest in patients with vitamin B12 deficiency. Nitrous oxide (N2O)-induced SCD of the spinal cord is a result of N2O interfering with the metabolism of vitamin B12 and results in nervous system demyelination. This is an infrequent complication of N2O anesthesia; however, cases are rising with recreational N2O use. This case report describes a patient with SCD of the spinal cord induced by recreational N2O abuse. The patient presented to a spine surgery clinic with a 3-week history of progressive global weakness and paresthesias. After a detailed history and physical examination, the diagnosis was made and supported by various tests and imaging findings. Despite marked neurologic deficits, the patient's symptoms improved markedly with therapy and vitamin B12 supplementation. Spine surgery clinicians may be confronted with these cases and should be aware of this atypical presentation of SCD. As in our case, patients may present with neurologic deficits of unclear etiology. Neurologic dysfunction may be irreversible; therefore, accurate diagnosis, medical treatment, and complete neurologic evaluation are of the utmost importance to prevent additional progression.
Patients enrolled in this group will be given oral capsule Placebo daily for 12 weeks with doctor provided anti-fibrotic. The number of placebo capsules will be equal to that of 600 mg EGCG.
This study investigated whether sacubitril/valsartan or valsartan are able to prevent left ventricular (LV) fibrotic remodelling and dysfunction in two experimental models of pre-hypertension induced by continuous light (24 hours/day) exposure or by chronic lactacystin treatment, and how this potential protection interferes with the renin-angiotensin-aldosterone system (RAAS). Nine groups of three-month-old male Wistar rats were treated for six weeks as follows: untreated controls (C), sacubitril/valsartan (ARNI), valsartan (Val), continuous light (24), continuous light plus sacubitril/valsartan (24+ARNI) or valsartan (24+Val), lactacystin (Lact), lactacystin plus sacubitil/valsartan (Lact+ARNI) or plus valsartan (Lact+Val). Both the 24 and Lact groups developed a mild but significant systolic blood pressure (SBP) increase, LV hypertrophy and fibrosis, as well as LV systolic and diastolic dysfunction. Yet, no changes in serum renin-angiotensin were observed either in the 24 or Lact groups, though aldosterone was increased in the Lact group compared to the controls. In both models, sacubitril/valsartan and valsartan reduced elevated SBP, LV hypertrophy and fibrosis and attenuated LV systolic and diastolic dysfunction. Sacubitril/valsartan and valsartan increased the serum levels of angiotensin (Ang) II, Ang III, Ang IV, Ang 1-5, Ang 1-7 in the 24 and Lact groups and reduced aldosterone in the Lact group. We conclude that both continuous light exposure and lactacystin treatment induced normal-to-low serum renin-angiotensin models of pre-hypertension, whereas aldosterone was increased in lactacystin-induced pre-hypertension. The protection by ARNI or valsartan in the hypertensive heart in either model was related to the Ang II blockade and the protective Ang 1-7, while in lactacystin-induced pre-hypertension this protection seems to be additionally related to the reduced aldosterone level.
The invention provides a method to prevent or ameliorate a hyperacute rejection reaction which would normally occur after transplant of a pig organ to a primate recipient, including a human recipient. Normally, anti-pig antibodies in the blood of the recipient will bind to pig antigens on the endothelial cells of the grafted pig organ, and activate the complement cascade causing necrosis of the pig organ within minutes to hours. The invention method involves passing at least 2-3 plasma volumes of the primate recipient's plasma over a sterile and pyrogen-free column coupled to protein which binds to and thereby removes immunoglobulin from the recipient's plasma, and then transplanting a pig organ to the primate recipient. The column treatment is preferably repeated on several days before and after transplant, and thereby prevents or ameliorates the hyperacute rejection reaction by removing anti-pig antibodies from the recipient's plasma. The method can remove greater than 99 % of the primate recipient's total IgG and greater than 99 % of the recipient's total IgM. The method also effects a 50-500 fold reduction in anti-pig immunoglobulin, and a 15-60 % reduction in potential complement activity. This invention also provides immunoglobulin-depleted human plasma suitable for infusion to a human recipient of a pig organ transplant.
PURPOSE:To provide the title powdery investment composed of aggregate as the skeleton of a mold and a binder, designed to improve the molding characteristics by providing aggregate granules with a water-repelling treatment and by forming a hydrophobic film on the surface of the granules. CONSTITUTION:Inorganic powder such as silica or cristoballite is used as aggregate for the skeleton of a mold, and the aggregate is provided with a water- repelling treatment using e.g. a silane coupling agent to form a hydrophobic film on the surface of the granules. The resulting aggregate is kneaded with a binder such as MgO or NH4H2PO4 in the presence of e.g. an aqueous solution of colloidal silica, thus obtaining the objective investment with good operability and high fluidity. The present investment can be used for glass ceramics having melting temperature of ca.1500 deg.C. Also, the amount of the liquid component can be reduced in the above kneading operation, leading to improvement in the heat resistance and surface roughness of the present investment. Furthermore, the binder can be protected from the moisture in air, leading to such effects as to suppress the change in the properties of the investment with the elapse of time.
PURPOSE: Identify the presence of a dysfunctional electroencephalographic (EEG) pattern in individuals with sickle cell disease (SCD) and hip osteonecrosis, and assess its potential associations with depression, anxiety, pain severity, and serum levels of brain-derived neurotrophic factor (BDNF).
METHODS: In this cross-sectional investigation, 24 SCD patients with hip osteonecrosis and chronic pain were matched by age and sex with 19 healthy controls. Resting-state EEG data were recorded using 32 electrodes for both groups. Power spectral density (PSD) and peak alpha frequency (PAF) were computed for each electrode across Delta, Theta, Alpha, and Beta frequency bands. Current Source Density (CSD) measures were performed utilizing the built-in Statistical nonparametric Mapping Method of the LORETA-KEY software.
RESULTS: Our findings demonstrated that SCD individuals exhibited higher PSD in delta and theta frequency bands when compared to healthy controls. Moreover, SCD individuals displayed increased CSD in delta and theta frequencies, coupled with decreased CSD in the alpha frequency within brain regions linked to pain processing, motor function, emotion, and attention. In comparison to the control group, depression symptoms, and pain intensity during hip abduction were positively correlated with PSD and CSD in the delta frequency within the parietal region. Depression symptoms also exhibited a positive association with PSD and CSD in the theta frequency within the same region, while serum BDNF levels showed a negative correlation with CSD in the alpha frequency within the left insula.
CONCLUSION: This study indicates that individuals with SCD experiencing hip osteonecrosis and chronic pain manifest a dysfunctional EEG pattern characterized by the persistence of low-frequency PSD during a resting state. This dysfunctional EEG pattern may be linked to clinical and biochemical outcomes, including depression symptoms, pain severity during movement, and serum BDNF levels.
Using sphingosine-1-phosphate (S1P), its fragments or derivatives in the preparation of pharmaceutical compounds, for the modulation of pain and for identifying compounds that modulate pain, is new. Independent claims are also included for: (1) screening pharmaceuticals useful for modulating or preventing pain involving: either providing a sample containing protein associated with Myc (PAM), its functional fragment or derivative and not containing S1P, providing a second sample containing PAM, its functional fragment or derivative and containing S1P, measuring the PAM activity in both samples, contacting the first sample with a compound, and determining the ability of the compound to mimic S1P function; or providing two samples comprising a cell expressing an S1P receptor, its functional fragment or derivative, contacting one sample with the compound and measuring or comparing the receptor activity in both samples; or providing two samples comprising a cell expressing S1P receptor, its functional fragment or derivative, contacting the samples with S1P, contacting one sample with the compound and measuring the receptor activity or the interaction of S1P and receptor in both samples; or: (a) providing a cell expressing S1P and PAM or their functional fragment or derivative; (b) contacting the cell with a compound; (c) determining the S1P activity in the presence or absence of compound; and (d) comparing the S1P activity; and (2) identification of a compound that modulates pain involving selecting a compound that modulates or mimics the activity of S1P as a test compound, administering the test compound to a subject, and determination of pain modulation in the subject. ACTIVITY : Analgesic; Antiinflammatory. To determine the analgesic effect of sphingosine-1-phosphate (S1P). S1P was delivered to the spinal cord by intrathecal injection. Rats were anesthetized with ketamine (60 mg/kg intraperitoneally) and midazolam (0.5 - 1 mg/kg intraperitoneally). The skin was incised and catheter was fixed with cyanacrylate glue. Three days after surgery rats were placed into a freely moving system, and 10 MicroM S1P (20 Microl) infused through the catheter. Within 15 minutes after stopping the infusion the formalin test was performed. 5% Formaldehyde solution (50 Microl) was injected subcutaneously. Flinches were counted in one minute intervals up to 60 minutes starting right after formalin injection. Flinches of 5 minutes intervals were counted over a period of 60 minutes. A significant decrease in the number of nociceptive responses for phase 2A (20 - 35 minutes after formalin injection) and detected as compared to phosphate buffer saline/dimethylsulfoxide-treated animals. The results showed that the exogenous S1P acts as an analgesic. No specific results are given. MECHANISM OF ACTION : Adenylyl cyclase (AC) (preferably type I, V or Vf) activity inhibitor; Sphingosine-1-phosphate (S1P) receptor binder.
BACKGROUND: Fibrotic interstitial lung diseases (fILDs) are a heterogeneous group of lung diseases associated with significant morbidity and mortality. Despite a large increase in the number of clinical trials in the last 10 years, current regulatory-approved management approaches are limited to two therapies that prevent the progression of fibrosis. The drug development pipeline is long and there is an urgent need to accelerate this process. This manuscript introduces the concept and design of an innovative research approach to drug development in fILD: a global Randomised Embedded Multifactorial Adaptive Platform in fILD (REMAP-ILD).
METHODS: Description of the REMAP-ILD concept and design: the specific terminology, design characteristics (multifactorial, adaptive features, statistical approach), target population, interventions, outcomes, mission and values, and organisational structure.
RESULTS: The target population will be adult patients with fILD, and the primary outcome will be a disease progression model incorporating forced vital capacity and mortality over 12 months. Responsive adaptive randomisation, prespecified thresholds for success and futility will be used to assess the effectiveness and safety of interventions. REMAP-ILD embraces the core values of diversity, equity, and inclusion for patients and researchers, and prioritises an open-science approach to data sharing and dissemination of results.
CONCLUSION: By using an innovative and efficient adaptive multi-interventional trial platform design, we aim to accelerate and improve care for patients with fILD. Through worldwide collaboration, novel analytical methodology and pragmatic trial delivery, REMAP-ILD aims to overcome major limitations associated with conventional randomised controlled trial approaches to rapidly improve the care of people living with fILD.