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25637376
conclusions
We demonstrate , for the first time , the use of translational pupillometry in the context of receptor occupancy to identify a clinical dose of LY@ achieving maximal kappa opioid receptor occupancy without evidence of significant mu receptor antagonism .
5
24992750
objective
To compare the efficacy of an acupuncture regimen for persistent allergic rhinitis ( PER ) , aimed at improving a patient 's mind or Shen in Traditional Chinese Medicine , to that of a second-generation Hi-receptor antagonist , cetirizine hydrochloride .
0
24992750
methods
This multicenter , randomized , controlled clinical trial on PER will be conducted at three institutions in China .
1
24992750
methods
The total study period will be @ weeks .
2
24992750
methods
After a @-week preparatory screening period , @ eligible participants with PER will be randomized to receive acupuncture or pharmacotherapy ( @:@ ) for @ weeks with a @-week follow-up .
3
24992750
methods
The primary outcome will be changes in @-day average total nasal symptom score .
4
24992750
methods
Secondary outcome measures include rhinoconjunctivitis quality of life questionnaire score and total non-nasal symptom score .
5
24992750
results
The presence and seriousness of psychological and emotional impairments should be considered in therapeutic programs for allergic rhinitis .
6
24992750
results
No clinical trial for treating allergic rhinitis via acupuncture regulation of psychological and emotional activities has been reported .
7
24992750
conclusions
The findings of the trial will allow us to determine the effects of the mind ( Shen ) - regulation treatment approach .
8
24992750
conclusions
We will also be able to confirm if the effects of acupuncture are equivalent to those of the conventional drug cetirizine hydrochloride .
9
25516315
background
Probiotics are microbial supplements that have shown efficacy in a wide range of applications .
0
25516315
background
To assess the safety and effects of enteral probiotics in critically ill neonates .
1
25516315
methods
A double-blind , randomized controlled trial was conducted in @ full-term infants with critical illness according to scores of neonatal acute physiology .
2
25516315
methods
Fifty neonatal intensive care patients were randomly assigned to receive probiotics three times daily after birth for @ days , and fifty patients were not given probiotics , but who received a placebo .
3
25516315
methods
The incidence of sepsis , multiple organ dysfunction syndrome ( MODS ) , nosocomial pneumonia , and necrotizing enterocolitis were recorded .
4
25516315
methods
The prognosis of probiotic treatment was determined based on the rate of recovery and hospital days .
5
25516315
methods
Serum IgA , IgG , and IgM concentrations were measured on days @ and @ .
6
25516315
results
Infants in the probiotics group showed a significantly reduced rate of nosocomial pneumonia ( @ % versus @ % ) and multiple organ dysfunction syndrome ( @ % versus @ % ) compared with the placebo group ( p < @ ) .
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25516315
results
Significant results were demonstrated in favour of the probiotics for days of hospital stay ( @ @ d versus @ @ d ) ( p < @ ) .
8
25516315
results
However , there were no significant differences in the occurrence of sepsis , necrotizing enterocolitis , and recovery rate .
9
25516315
results
Patients given probiotics had significantly greater levels of IgA than those in the placebo group ( p < @ ) .
10
25516315
results
No serious adverse effects in the study population were noted .
11
25516315
conclusions
Supplements of probiotics to critically ill neonates could enhance immune activity , decrease occurrence of nosocomial pneumonia and MODS , and reduce days in hospital .
12
24275612
background
Recently , there have been investigations that have targeted improving the relatively poor validity and reliability of attentional bias measures .
0
24275612
background
These studies have demonstrated that individuals show elevated attentional bias to stimuli associated with their drinking history , although to date , the predictive utility of these measures has yet to be assessed .
1
24275612
background
The current study aimed to investigate the predictive value of an individualised alcohol Stroop task compared to that of an alcohol Stroop task with general alcohol-related words in a sample of non-dependent undergraduate drinkers .
2
24275612
methods
@ undergraduate social drinkers completed questionnaire measures of alcohol consumption and hazardous drinking which were combined to get an alcohol involvement measure .
3
24275612
methods
Participants also completed three blocked format Stroop tasks , a control Stroop ( containing soft drink-related words ) , a general alcohol Stroop ( containing a mixture of alcohol-related words ) and an individualised Stroop that contained words relating to the participants ' favourite alcoholic drink .
4
24275612
results
Although there was no significant difference in participants ' performance across the three different Stroop tasks , only performance on the individualised Stroop was associated with alcohol involvement .
5
24275612
results
Notably , the individualised Stroop predicted variance in drinking after controlling for demographics and general alcohol Stroop performance .
6
24275612
conclusions
This study indicates that adopting individualised stimuli into attentional bias tasks may increase their predictive validity .
7
25440796
background
Following acute coronary syndrome ( ACS ) , the risk for future cardiovascular events is high and is related to levels of low-density lipoprotein cholesterol ( LDL-C ) even within the setting of intensive statin treatment .
0
25440796
background
Proprotein convertase subtilisin/kexin type @ ( PCSK@ ) regulates LDL receptor expression and circulating levels of LDL-C .
1
25440796
background
Antibodies to PCSK@ can produce substantial and sustained reductions of LDL-C .
2
25440796
background
The ODYSSEY Outcomes trial tests the hypothesis that treatment with alirocumab , a fully human monoclonal antibody to PCSK@ , improves cardiovascular outcomes after ACS .
3
25440796
methods
This Phase @ study will randomize approximately @,@ patients to receive biweekly injections of alirocumab ( @-@ mg ) or matching placebo beginning @ to @ months after an index hospitalization for acute myocardial infarction or unstable angina .
4
25440796
methods
Qualifying patients are treated with atorvastatin @ or @ mg daily , rosuvastatin @ or @ mg daily , or the maximum tolerated and approved dose of one of these agents and fulfill one of the following criteria : LDL-C @ mg/dL , non-high-density lipoprotein cholesterol @ mg/dL , or apolipoprotein B @ mg/dL .
5
25440796
methods
The primary efficacy measure is time to first occurrence of coronary heart disease death , acute myocardial infarction , hospitalization for unstable angina , or ischemic stroke .
6
25440796
methods
The trial is expected to continue until @ primary end point events have occurred with minimum follow-up of at least @ years , providing @ % power to detect a @ % hazard reduction .
7
25440796
methods
Adverse events of special interest include allergic events and injection site reactions .
8
25440796
methods
Interim analyses are planned when approximately @ % and @ % of the targeted number of primary end points have occurred .
9
25440796
conclusions
ODYSSEY Outcomes will determine whether the addition of the PCSK@ antibody alirocumab to intensive statin therapy reduces cardiovascular morbidity and mortality after ACS .
10
25926413
background
Intrauterine growth restriction may be reduced by supplementing maternal diets during pregnancy , but few studies have assessed the impact of combined prenatal and postnatal interventions on child growth .
0
25926413
objective
We tested a hypothesis that provision of small-quantity lipid-based nutrient supplements ( SQ-LNSs ) to mothers in pregnancy and @ mo postpartum and to their infants from @ to @ mo of age would promote infant and child growth in the study area in rural Malawi .
1
25926413
methods
We enrolled @ pregnant women in a randomized trial in Malawi .
2
25926413
methods
During pregnancy and @ mo thereafter , the women received daily @ capsule of iron-folic acid ( IFA ) , @ capsule containing @ micronutrients ( MMN ) , or one @-g sachet of SQ-LNS -LSB- lipid-based nutrient supplements ( LNS ) , containing @ MMN , protein , carbohydrates , essential fatty acids , and @ kcal -RSB- .
3
25926413
methods
Children in the IFA and MMN groups received no supplementation ; children in the LNS group received SQ-LNSs from @ to @ mo. .
4
25926413
methods
Primary outcome was child length at @ mo. .
5
25926413
results
At @ mo , the mean length in the IFA , MMN , and LNS groups was @ , @ , and @ cm ( P = @ ) , respectively , and the prevalence of stunting was @ % , @ % , and @ % ( P = @ ) , respectively .
6
25926413
results
No intergroup differences were found in the mean weight , head circumference , or midupper arm circumference or the proportions with low z scores for these variables ( P > @ ) .
7
25926413
results
Covariate adjustment did not change the analysis results , and the associations between the intervention and child length were not modified by maternal parity , age , or nutritional status ( P > @ ) .
8
25926413
conclusions
The findings do not support a hypothesis that provision of SQ-LNSs to women in pregnancy and postpartum and to children from @ to @ mo of age would promote child growth in this Malawian study area .
9
25926413
conclusions
This trial was registered at clinicaltrials.gov as NCT@ .
10
25265770
background
Femoral nerve block ( FNB ) with varying concentrations of bupivacaine is often used for postoperative analgesia after anterior cruciate ligament ( ACL ) reconstruction .
0
25265770
objective
To determine whether FNB using @ % or @ % bupivacaine provided better analgesia with less effect on quadriceps strengths after ACL reconstruction .
1
25265770
methods
One hundred patients were randomized to receive FNB with @ mL of @ % or @ % bupivacaine .
2
25265770
methods
Data regarding demographic , effectiveness of FNB , time to first pain , time to first analgesic , pain scores , morphine use , and recovery of sensory and motor function were recorded .
3
25265770
results
Median time to first morphine requirement was @ hours in @ % bupivacaine group and @ hours in @ % bupivacaine group ( p = @ ) .
4
25265770
results
Pain score at @ hours was lower in @ % bupivacaine group compared with @ % bupivacaine group ( p = @ ) .
5
25265770
results
When specify to the patellar tendon graft subgroup , the patients requiring morphine were @ % in @ % bupivacaine group and @ % in @ % bupivacaine group ( p = @ ) .
6
25265770
results
No differences were found in demographic data , effectiveness of FNB , time to first pain , morphine consumption , and recovery of sensorimotor function .
7
25265770
conclusions
FNB with @ % bupivacaine provided longer time to first analgesic and lower narcotic requirements after patellar tendon graft ACL reconstruction when compared to @ % bupivacaine .
8
25265770
conclusions
Both concentrations showed similar effect on quadriceps strengths .
9
25908281
objective
To establish a preoperative deep venous thrombosis predictor score for patients with fresh lower extremity fractures by statistical analysis .
0
25908281
methods
From January @ to December @ , @ @ patients with fresh lower extremity fractures were admitted to department of orthopaedic trauma , Beijing Jishuitan Hospital .
1
25908281
methods
They were randomly divided into two groups , the group @ ( n = @ ) was used to screen risk factors and derived a predictive models based on logistic regression , the group @ ( n = @ ) validated the models .
2
25908281
results
Among the patients , there were @ @ male and @ female patients , with an average age of ( @ @ ) years.Variables related to preoperative deep venous thrombosis were age , length of time before surgery , cause of injury , low/high-energy injury , location of injury , history of cardiovascular and cerebrovascular diseases , and D-Dimer .
3
25908281
results
The scores based on OR were : age @ years : @ point , > @ - < @ years : @ points , @ years : @ points ; length of time before surgery , < @ days :@ point , @ days :@ points ; low-energy injury :@ point , high energy injury :@ points ; location of injury , foot and ankle :@ point , calf :@ points , around the knee : @ points , femoral diaphysis and proximal femur :@ points , pelvis and acetabulum :@ points , @ sites :@ point ; history of cardiovascular and cerebrovascular diseases , yes :@ points , no :@ point .
4
25908281
results
D-Dimer < @ g/L :@ point , @ g/L :@ points .
5
25908281
results
Area under receiver operating characteristic curve was @ , critical point @ points , sensitivity was @ % , specificity was @ % .
6
25908281
conclusions
The score can predict the preoperative deep venous thrombosis for patients with fresh lower extremity fractures , but limited .
7
24342265
objective
To investigate if baseline depression moderated response to Media Smart , an @-lesson school-based program previously found to achieve a long-term risk reduction effect in young adolescents .
0
24342265
methods
@ Grade @ students ( M age = @ years , SD = @ ) from @ schools participated with @ classes receiving the Media Smart program ( @ girls ; @ boys ) and @ comparison classes receiving their normal lessons ( @ girls ; @ boys ) .
1
24342265
methods
Shape and weight concern , media internalization , body dissatisfaction , dieting , ineffectiveness , and perceived pressure were the outcome variables .
2
24342265
results
Moderation was indicated by significant interaction effects for group ( Media Smart ; Control ) moderator ( high depression ; low depression ) time ( post-program ; @-month follow-up ; @-year follow-up ) , with baseline entered as a covariate .
3
24342265
results
Such effects were found for shape and weight concern , media internalization , body dissatisfaction , ineffectiveness and perceived pressure .
4
24342265
results
Post-hoc testing found high depression Media Smart participants scored significantly lower than their control counterparts at post-program on shape and weight concern , media internalization and dieting , whereas low depression Media Smart participants scored significantly lower on shape and weight concern at @-year follow-up .
5
24342265
conclusions
Media Smart achieved a reduction in eating disorder risk factors for high-depression participants and a reduced rate of growth in risk factor scores for low-depression participants .
6
24342265
conclusions
Trial registry name : Australian New Zealand Clinical Trials Registry .
7
24342265
conclusions
URL : http://www.anzctr.org.au .
8
24342265
conclusions
Registration identification number : ACTRN@ .
9
24824900
objective
The purpose of this study was to determine the effects of early outpatient exercise on muscle mass , function , and fractional synthetic rate in severely burned children .
0
24824900
methods
Forty-seven children with @ % total body surface area burn performed a @-wk standard of care rehabilitation ( SOC , n = @ ) or rehabilitative exercise training ( RET , n = @ ) immediately after hospital discharge .
1
24824900
methods
Dual-energy x-ray absorptiometry was used to assess lean body mass ( LBM ) at discharge , posttreatment , and @ months post-burn .
2
24824900
methods
Muscle function was evaluated with a Biodex Isokinetic Dynamometer , and peak aerobic fitness ( VO@peak ) was measured using a modified Bruce treadmill protocol posttreatment .
3
24824900
methods
Stable isotope infusion studies were performed in a subset of patients ( SOC , n = @ ; RET , n = @ ) at discharge and posttreatment to determine mixed-muscle fractional synthetic rate .
4
24824900
results
Relative peak torque ( RET , @ @ Nmkg , vs SOC , @ @ Nmkg ) and VO@peak ( RET , @ @ mLkgmin , vs SOC , @ @ mLkgmin ) were greater at posttreatment with RET compared with those with SOC .
5
24824900
results
In addition , RET increased whole-body ( @ % @ % ) and leg ( @ % @ % ) LBM compared with SOC .
6
24824900
results
Furthermore , the percentage change in whole-body ( @ % @ % ) and leg ( @ % @ % ) LBM from discharge to @ months post-burn was greater with RET compared to SOC .
7
24824900
results
Muscle fractional synthetic rate decreased from discharge to posttreatment in both groups ( @ % @ % per day vs @ @ % per day ) ; however , no differences were observed between treatment groups at each time point .
8
24824900
conclusions
Early outpatient exercise training implemented at hospital discharge represents an effective intervention to improve muscle mass and function after severe burn injury .
9
24425420
background
This study compared generalized complex fractionated atrial electrograms ( CFAE ) ablation versus a selective CFAE ablation strategy targeting areas of continuous electric activity .
0
24425420
results
Subjects with symptomatic , persistent/high-burden paroxysmal atrial fibrillation ( AF ) were enrolled at @ centers ( n = @ ) and randomized to @ of @ arms .
1
24425420
results
For group I , all CFAE regions with an interval confidence level > @ were ablated followed by pulmonary vein isolation ( PVI ) .
2
24425420
results
For group II , only CFAE sites with continuous electric activity were ablated followed by PVI .
3
24425420
results
For PVI , all @ PV antra were isolated with confirmed entrance block .
4
24425420
results
Subjects were followed for @ year with a visit , ECG , and @-hour Holter every @ months .
5
24425420
results
Symptoms were confirmed by loop recording .
6
24425420
results
The primary end point was freedom from arrhythmia > @ seconds at @ year .
7