The Department of Otorhinolaryngology-Head and Neck Surgery at McGovern Medical School at UTHealth was the first site in the United...https://ift.tt/2CUAgAX
Σάββατο 20 Οκτωβρίου 2018
Herbert Ross: Among the First in the U. S. to Benefit from a New Surgical Navigation System
The Department of Otorhinolaryngology-Head and Neck Surgery at McGovern Medical School at UTHealth was the first site in the United...https://ift.tt/2CUAgAX
UTHealth Otorhinolaryngology Residents Named HSO Resident Scientific Research Winners
Two UTHealth otorhinolaryngology residents were among four Houston-area residents invited to present their research as winners of the Houston Society...https://ift.tt/2PLqcNs
Dr. Ibrahim Alava, Dr. William Yao and Dr. Sancak Yuksel Receive Dean’s Teaching Excellence Awards
Ibrahim "Trey" Alava, MD; William Yao, MD; and Sancak Yuksel, MD, have been recognized with McGovern Medical School's 2018 Dean's...https://ift.tt/2CX7Nun
UT Physicians Otorhinolaryngology Expands Its Annual Head and Neck Cancer Screening from the Texas Medical Center to Houston Suburbs
The Department of Otorhinolaryngology—Head and Neck Surgery at McGovern Medical School at UTHealth offered four free cancer screening clinics last...https://ift.tt/2PJgbAl
Idiopathic Anaphylaxis and Undiagnosed Anorexia Nervosa
This report describes an association between anorexia nervosa and idiopathic anaphylaxis. While eating disorders affect 0.6% of the population1, and idiopathic anaphylaxis occurs in approximately 1 in 10,000 individuals2 an association between anorexia nervosa and mast cell dysfunction has not previously been described. Features of anorexia nervosa include restriction of eating and energy intake, intense fear of gaining weight, and distorted perception of body weight and shape.1 We describe a fourteen-year-old girl with a history of well controlled hypothyroidism who developed sudden lip and eyelid edema, abdominal pain, stool urgency, lethargy, diarrhea, vomiting, throat tightness, and presyncope.
https://ift.tt/2q3rPuY
A Review of the Use and Effectiveness of Digital Health Technologies in Asthma Patients
Despite the availability of evidence-based treatment guidelines and effective therapies for asthma, poor adherence to treatment1-5 and lack of guideline implementation into daily practice6 remain significant barriers to asthma control. Asthma management can be improved by providing information to the patient or caregiver to support adherence and verify correct dose intake, by relaying information to the clinician to facilitate timely therapeutic adjustment, and by allowing patient self-quantification.
https://ift.tt/2QYkqIs
Anaphylactic shock to bacitracin irrigation during breast implant surgery
Publication date: Available online 19 October 2018
Source: Annals of Allergy, Asthma & Immunology
Author(s): Mauli Desai, Mariana Castells
https://ift.tt/2q2TZ97
Comparison of inhaled versus intravenous anesthesia for laryngoscopy and laryngeal electromyography in a rat model
Propofol and remifentanil intravenous combination is one popular form of total intravenous anesthesia (TIVA) in mainstream clinical practice, but it has rarely been applied to a rat model for laryngoscopy and ...
https://ift.tt/2q2PRWF
Comparison of the protective immunity elicited by a Brucella cocktail protein vaccine (rL7/L12+rTOmp31+rSOmp2b) in two different adjuvant formulations in BALB/c mice
Publication date: November 2018
Source: Molecular Immunology, Volume 103
Author(s): Maryam Golshani, Mona Amani, Seyed Davar Siadat, Mehdi Nejati-Moheimani, Amin Arsang, Saeid Bouzari
Abstract
In the present study, protective efficacy conferred by a cocktail protein consisted of Brucella L7/L12 ribosomal, truncated outer membrane protein 31 (TOmp31) and SOmp2b recombinant proteins in CpG ODN 1826+ Montanide ISA 70VG or Poly (I:C) adjuvants was evaluated and compared in BALB/c mice. Immunization of mice with both vaccine regimens elicited strong specific IgG responses (higher IgG2a titers over IgG1 titers), provided T helper1 (Th1) oriented immune responses and conferred protection levels compatible to the live vaccines against Brucella challenge. Vaccination of BALB/c mice with the cocktail protein in CpG ODN 1826+ Montanide ISA 70 V G adjuvants induced higher levels of antibody, IFN-γ/IL-2 and conferred more protection levels against B. melitenisis and B. abortus challenge than did the cocktail protein in Poly (I:C) formulation. In conclusion, both vaccine regimens are capable of stimulating specific Th1- biased immune responses and conferring cross protection against B. melitensis and B. abortus infections. Therefore, they could be introduced as new potential candidates for the development of subunit vaccines against Brucella infection.
https://ift.tt/2POAWeh
Molecular characterization and expression analysis of interleukin 15 (IL15) and interleukin-15 receptor subunit alpha (IL15Rα) in dojo loach (Misgurnus anguillicaudatus): Their salient roles during bacterial, parasitic and fungal infection
Publication date: November 2018
Source: Molecular Immunology, Volume 103
Author(s): Xiaoyao Chen, Weiguang Kong, Yongyao Yu, Shuai Dong, Zhenyu Huang, Wei Yu, Jie Xu, Yanzhi Luo, Qingchao Wang, Zhen Xu
Abstract
Interleukin 15 (IL15) is a pleiotropic cytokine that participates in innate and adaptive immunity along with its receptor α-chain (IL15Rα). In order to investigate the potential roles of IL15 and IL15Rα in dojo loach (Misgurnus anguillicaudatus), we firstly cloned the cDNA sequence of Ma-IL15 and Ma-IL15Rα, which contain 1096bp and 1236bp and code proteins of 193 amino acids and 210 amino acids, respectively. A short signal peptide and Pfam IL15 domain were found in Ma-IL15, while a highly conserved sushi domain existed in Ma-IL15Rα. Ontogeny analysis indicated that significantly increased expression of Ma-IL15 and Ma- IL15Rα mRNA were detected in larvae from 1d to 7d post hatching, while relative high expression levels were detected in both systematic and mucosal immune-related tissues of adult dojo loach. Then three dojo loach infection models with F. columnare G4, I. multifiliis and Saprolegnia parasitica were constructed, which resulted in increased skin goblet cells and serious lesions in gill. Ma-IL15 and Ma-IL15Rα showed different expression patterns in different tissues during three infection models. Ma-IL15Rα mRNA was found to be more significantly elevated than Ma-IL15 after infection with F. columnare G4 in all examined tissues including kidney, spleen, gill and skin. I. multifiliis infection induced higher expression of Ma-IL15 in mucosal tissues including skin and gill, while it mainly increased Ma-IL15Rα expression in kidney. Moreover, our study firstly evaluated the influence of fungal infection on IL15 and IL15Rα expression in teleost, and it is interesting to find that both Ma-IL15 and Ma-IL15Rα expression showed consistent up-regulation after Saprolegnia parasitica infection compared to two other infection models. Therefore, our results suggest that Ma-IL15 and Ma-IL15Rα possess important defensive roles in systematic and mucosal tissues of dojo loach during bacterial, fungal and parasitic infection.
https://ift.tt/2CVbcKd
Pirfénidone (Esbriet®) : attention au soleil !
Publication date: Available online 19 October 2018
Source: Annales de Dermatologie et de Vénéréologie
Author(s): J.-L. Schmutz
https://ift.tt/2AjQXTQ
Instant reduction in postural sway during quiet standing by intraoral dental appliance in patients with Whiplash Associated Disorders and non-trauma neck pain
Publication date: Available online 19 October 2018
Source: Archives of Oral Biology
Author(s): Per-Olof Eriksson, Hamayun Zafar, Mattias Backén
Abstract
Objectives
This study tested the hypothesis that modulation of jaw sensorimotor control by intraoral dental appliance can reduce postural sway during quiet standing and hence improve standing balance, in patients with whiplash associated disorders (WAD) and non-trauma neck pain.
Design
Postural sway during quiet standing with feet together was examined in 54 WAD patients (40 females) and 10 non-trauma patients (8 females) using wireless 3D movement recording technique. Recordings were performed alternating without and with intraoral dental appliance, and with closed eyes and open eyes, respectively. In this protocol the participants served as their own controls. A reference group of 30 healthy subjects (17 females) was also recorded. Each recording lasted 120 seconds, followed by 3 to 5 minutes of rest. Speed, acceleration and perimeter of postural sway area were documented.
Results
In the patients, but not in the healthy group, the intraoral dental appliance instantly and significantly reduced standing postural sway in recordings with closed and open eyes.
Conclusions
The prompt reduction in standing postural sway from intervention by intraoral dental appliance i.e. improved standing balance, suggests a potent effect on the postural control system by modulation of the jaw sensorimotor system, probably involving reflex transmission. The result opens for new insight into mechanisms behind postural control and the pathophysiology of balance disorders, and adds to the knowledge on plasticity of the nervous system. It may help developing new procedures for assessment and management of impaired balance in WAD and non-trauma neck pain patients.
https://ift.tt/2AkXlKS
Comparison of inhaled versus intravenous anesthesia for laryngoscopy and laryngeal electromyography in a rat model
Abstract
Background
Propofol and remifentanil intravenous combination is one popular form of total intravenous anesthesia (TIVA) in mainstream clinical practice, but it has rarely been applied to a rat model for laryngoscopy and laryngeal electromyography (LEMG). Our objective was to establish a safe and reproducible general anesthetic protocol for laryngoscopy and endoscopic LEMG in a rat model. Our hypothesis is that TIVA allows a minimally morbid, and feasible laryngoscopy and LEMG.
Methods
Sprague Dawley rats were subjected to either inhalational anesthesia (IA) (isoflurane) or TIVA (propofol and remifentanil) and underwent laryngoscopy and LEMG. The primary outcome was a complete minimally interrupted rigid laryngoscopy and obtaining reproducible motor unit potentials from the posterior cricoarytenoid muscles. The secondary outcome was morbidity and mortality.
Results
Seventeen out of twenty-two rats underwent both TIVA and IA. Only two underwent IA only. All nineteen rats that underwent IA had a successful experiment. Seventeen rats underwent TIVA, however, only nine completed a successful experiment due to difficulty achieving a surgical plane, and respiratory events. Upon comparing the success of the two anaesthetic regimens, IA was superior to TIVA (P = 0.0008). There was no statistical difference between the amplitudes (p = 0.1985) or motor units burst duration (p = 0.82605) of both methods. Three mortalities were encountered, one of which was due to lidocaine toxicity and two were during anesthetic induction. Respiratory related morbidity was encountered in two rats, all seen with TIVA.
Conclusions
TIVA is not an ideal anesthetic regimen for laryngeal endoscopy and LEMG in rat models. Contrary to our hypothesis, IA did not affect the quality of the LEMG and allowed a seamless rigid endoscopy.
https://ift.tt/2q4a3Ym
Juvenile autoimmune hepatitis: A comprehensive review
Publication date: Available online 19 October 2018
Source: Journal of Autoimmunity
Author(s): Christiane Sokollik, Valerie A. McLin, Diego Vergani, Benedetta Terziroli Beretta-Piccoli, Giorgina Mieli-Vergani
Abstract
Autoimmune hepatitis (AIH) is a rare, chronic disease that affects both adults and children, including infants. The disease is probably triggered by environmental factors in genetically predisposed individuals. The clinical presentation ranges from asymptomatic patients or patients with non-specific symptoms, such as fatigue, to fulminant liver failure, many children presenting with symptoms indistinguishable from those of acute hepatitis. Raised transaminase and immunoglobulin G (IgG) levels, in association with circulating autoantibodies, guide towards the diagnosis. The histological hallmark is interface hepatitis, which however is non-specific and may be absent. There are no bile duct changes on cholangiography. Presence of anti-nuclear antibody (ANA) and/or anti-smooth muscle antibody (SMA) is characteristic for type 1 AIH, whereas presence of anti-liver kidney microsomal type 1 (LKM1) antibody and/or anti-liver cytosol type 1 (LC1) antibody defines type 2 AIH. The latter accounts for about one third of the juvenile AIH cases, presents more acutely than type 1 AIH and is very rare in adults. Immunosuppressive therapy, based on steroids and azathioprine, is required, and in the vast majority of patients leads to clinical and biochemical remission, defined as absence of symptoms, normal transaminase and IgG levels, and negative or low-titer autoantibodies. In patients intolerant or non-responder to standard therapy, a number of second line drugs have been employed with variable results. For the rare cases who progress to end-stage liver disease, liver transplantation is life-saving, but recurrence of the disease is possible. A better understanding of the underlying pathogenic mechanisms will help to develop new, more effective and less toxic therapies, and to tailor treatment regimens to the individual patient.
https://ift.tt/2EJ5GMG
Sequential prostate MRI reporting in men on active surveillance: initial experience of a dedicated PRECISE software program
Publication date: Available online 20 October 2018
Source: Magnetic Resonance Imaging
Author(s): Francesco Giganti, Clare Allen, Jonathan W. Piper, David Mirando, Armando Stabile, Shonit Punwani, Alex Kirkham, Mark Emberton, Caroline M. Moore
Abstract
Background and objectives
There is interest in using sequential multiparametric magnetic resonance imaging (mpMRI) to assess men on active surveillance (AS) for prostate cancer. The Prostate Cancer Radiological Estimation of Change in Sequential Evaluation (PRECISE) recommendations propose standardised reporting mpMRI data for these men. This includes accurate size measurements of lesions over time, but such approach is time consuming for the radiologist and there is a strong need of dedicated tools to report serial scans in a systematic manner. We present the results from an initial validation cohort using dedicated PRECISE reporting software to allow automated comparison between sequential scans on AS.
Materials and methods
We retrospectively analysed baseline and follow-up scans of 20 men randomised to 6 months of daily dutasteride (n = 10) or placebo (n = 10) from the MAPPED trial. Men underwent 3T mpMRI at baseline and after 6 months, and a dedicated radiologist reported the scans using both a widespread commercially-available platform (Osirix®) and a semi-automated dedicated PRECISE reporting tool (MIM®). Tumour volume by planimetry in all sequences and conspicuity on diffusion-weighted imaging were assessed. Reporting time was recorded, and we used the Wilcoxon test for statistical analysis.
Results
Median tumour volumes and conspicuity were similar using both approaches. The reporting time of the follow-up scan was quicker using the PRECISE reporting workflow both in the whole population (12′33″ vs 10′52″; p = 0.005) and in the dutasteride arm (15′50″ vs 12′59″; p = 0.01). A structured report including clinical and imaging data was generated according to the PRECISE recommendations and a comparison table between lesion characteristics at baseline and follow-up scans was also included.
Conclusion
We conclude that a dedicated PRECISE reporting tool for sequential scans in men on AS results in a significant reduction in the reporting time and allows the radiologist to easily compare scans over time. This tool will help with our understanding of the natural history of mpMRI changes during AS.
https://ift.tt/2q3RgfF
Preliminary evaluation of accelerated microscopic diffusional kurtosis imaging (μDKI) in a rodent model of epilepsy
Publication date: Available online 20 October 2018
Source: Magnetic Resonance Imaging
Author(s): Yang Ji, Dongshuang Lu, Limin Wu, Bensheng Qiu, Yi-Qiao Song, Phillip Zhe Sun
Abstract
Purpose
Our study aimed to develop accelerated microscopic diffusional kurtosis imaging (μDKI) and preliminarily evaluated it in a rodent model of chronic epilepsy.
Methods
We investigated two μDKI acceleration schemes of reduced sampling density and angular range in a phantom and wild-type rats, and further tested μDKI method in pilocarpine-induced epilepsy rats using a 4.7 Tesla MRI. Single slice average μDapp and μKapp maps were derived, and Nissl staining was obtained.
Results
The kurtosis maps from two accelerated μDKI sampling schemes (sampling density and range) are very similar to that using fully sampled data (SSIM > 0.95). For the epileptic models, μDKI showed noticeably different contrast from those obtained with conventional DKI. Specifically, the average μKapp was significantly less than that of the average of Kapp (0.15 ± 0.01 vs. 0.47 ± 0.02) in the ventricle.
Conclusions
Our study demonstrated the feasibility of accelerated in vivo μDKI. Our work revealed that μDKI provides complementary information to conventional DKI method, suggesting that advanced DKI sequences are promising to elucidate tissue microstructure in neurological diseases.
https://ift.tt/2QXVEIG
The downhole circumferential scanning magnetic resonance imaging tool
Publication date: Available online 19 October 2018
Source: Magnetic Resonance Imaging
Author(s): Wei Liu, Lizhi Xiao, Guangzhi Liao, Yan Zhang, Sihui Luo
Abstract
The downhole circumferential scanning magnetic resonance logging is able to image saturation distribution and fluid properties of stratum around a borehole, thus providing relevant and abundant information for formation evaluation. The device employs a phase-controlled excitation device based on combined array structure to accomplish three dimensional data acquisition from axial, radial and circumferential directions. This paper focuses on the design principle of device and the structure of electronic control system. A mutual coupling analysis with array antenna was carried out using inductance coupling principle, and realize the decoupling and energy discharge compensation of array antennas. The circumferential scanning nuclear magnetic resonance technique has a potential of overcoming the weakness of two dimensional measurements and raising new applications that it determines the azimuth of the fluid in the borehole and realizes the imaging measurement of the pore structure and the reservoir fluid.
https://ift.tt/2q1Jymj
A novel MRI phantom to study interstitial fluid transport in the glymphatic system
Publication date: Available online 19 October 2018
Source: Magnetic Resonance Imaging
Author(s): M.E. Komlosh, D. Benjamini, N.W. Williamson, F. Horkay, E.B. Hutchinson, P.J. Basser
Abstract
The glymphatic system is a recently discovered transport system, mediated by cerebral spinal fluid (CSF), that clears metabolic and cellular waste products in the brain. This system's function in the brain is analogous to that of the lymphatic system in the rest of the mammalian body. It is hypothesized that CSF clears harmful chemicals from the brain by flowing through interstitial spaces in the brain during sleep. While there is growing recognition of the critical role the glymphatic system plays in maintaining normal brain health and in explaining pathology, there are few noninvasive imaging methods that measure and characterize the efficacy of glymphatic transport in vivo. In this study we designed, constructed, and tested a glymphatic transport magnetic resonance imaging (MRI) flow phantom, which combines regions that mimic CSF-filled ventricles and brain interstitial space. We tested high- and low-q space diffusion MRI and diffusion tensor imaging (DTI) acquisitions to determine if they could detect, measure, and map interstitial glymphatic flows. The results suggest that, under certain flow conditions, diffusion-weighted MRI can detect the enhanced mixing that occurs during glymphatic clearance.
https://ift.tt/2QXVwsG
Characterization of porous media by T2-T2 correlation beyond fast diffusion limit
Publication date: Available online 19 October 2018
Source: Magnetic Resonance Imaging
Author(s): Zhou Yu, Yan Zhang, Lizhi Xiao, Guangzhi Liao
Abstract
Pore size distribution and surface relaxivity are two important properties of porous media such as rock samples and can be obtained by NMR methods. However, it is difficult to obtain these information beyond the fast diffusion limit. Here we present a new method to directly characterize the averaged pore size of a porous sample with a narrow pore size distribution. This method is based on the parallel plates pore model and the T2-T2 correlation sequence. The pore size (a) - surface relaxivity (ρ) correlation maps were obtained using the non-negative least squares method. Three kinds of glass bead samples were measured and the averaged pore size and surface relaxivity were extracted.
https://ift.tt/2q27C8H
Second primary melanomas: Increased risk and decreased time to presentation in patients exposed to tanning beds
Publication date: Available online 19 October 2018
Source: Journal of the American Academy of Dermatology
Author(s): Yang Li, Mukti Kulkarni, Kathryn Trinkaus, Lynn A. Cornelius
Background
Melanoma incidence has increased; the primary modifiable risk factor is ultraviolet radiation (UVR) from the sun or artificial UVR (arUVR) from tanning beds.
Objective
To determine whether patients who developed melanoma after arUVR exposure from tanning beds have unique characteristics.
Methods
A retrospective study of 434 melanoma patients was performed. Patients who consented at the initial appointment completed a questionnaire regarding phenotypic traits, medical history, and UVR exposure.
Results
Compared with patients aged ≥40 years, younger patients, especially women, had greater lifetime exposure to arUVR. At any age, patients with multiple primary melanomas had a higher probability of exposure to arUVR. For all patients with additional primary melanomas, those exposed to arUVR acquired their second primary melanoma significantly earlier; 67% of patients exposed to arUVR through tanning beds had their second primary diagnosed at the time of or within 1 year of their original diagnosis compared with 28% of nontanners (P = .011). Median time to diagnosis of second primary melanoma in patients exposed to arUVR versus those not exposed was 225 days versus 3.5 years, respectively (P = .027).
Limitations
The study was conducted in 1 geographic area with a relatively small sample size.
Conclusion
Our findings provide evidence for heightened surveillance in melanoma patients exposed to arUVR.
https://ift.tt/2CTZhMF
A Technique to Provide Enhanced Visualization For Suture Cutting In Dermatologic Surgery
Publication date: Available online 19 October 2018
Source: Journal of the American Academy of Dermatology
Author(s): Brett C. Neill, Isadore S. Tarantino, Jason Stevens, Thomas L.H. Hocker
https://ift.tt/2PJG03v
Patient Requests to Alter the Medical Record
Publication date: Available online 19 October 2018
Source: Journal of the American Academy of Dermatology
Author(s): Marissa L.H. Baranowski, Sarah Chisolm, Benjamin K. Stoff
https://ift.tt/2CVeDjX
Genetic Diversity Between Mouse Strains Allows Identification of CC027/GeniUnc as an Orally Reactive Model of Peanut Allergy
Publication date: Available online 19 October 2018
Source: Journal of Allergy and Clinical Immunology
Author(s): Kelly Orgel, Johanna M. Smeekens, Ping Ye, Lauren Fotsch, Rishu Guo, Darla R. Miller, Fernando Pardo-Manuel de Villena, A.Wesley Burks, Martin T. Ferris, Michael D. Kulis
Abstract:
Background
Improved animal models are needed to understand the genetic and environmental factors that contribute to food allergy.
Objective
Assess food allergy phenotypes in a genetically diverse collection of mice.
Methods
We selected 16 Collaborative Cross (CC) mouse strains, as well as the classic inbred C57BL/6J, C3H/HeJ, and BALB/cJ strains for screening. Female mice were sensitized to peanut intragastrically with or without Cholera toxin, then challenged with peanut by oral gavage or intraperitoneal injection, and assessed for anaphylaxis. Peanut-specific immunoglobulins, T cell cytokines, Tregs, mast cells, and basophils were quantified.
Results
Eleven of the 16 CC strains had allergic reactions to intraperitoneal peanut challenge, whereas only CC027/GeniUnc mice reproducibly experienced severe symptoms following oral food challenge (OFC). CC027/GeniUnc, C3H/HeJ, and C57BL/6J all mounted a Th2 response against peanut, leading to the production of IL-4 and IgE but only the CC027/GeniUnc mice reacted to OFC. Orally-induced anaphylaxis in CC027/GeniUnc mice was correlated with serum levels of Ara h 2 in circulation, but not with allergen-specific IgE or MMCP-1 levels, indicating systemic allergen absorption is important for anaphylaxis through the gastrointestinal tract. Furthermore, CC027/GeniUnc mice, but not C3H/HeJ or BALB/cJ, can be sensitized in the absence of Cholera toxin and react upon OFC to peanut.
Conclusions
We have identified and characterized CC027/GeniUnc mice as a strain that is genetically susceptible to peanut allergy and prone to severe reactions following OFC. More broadly, these findings demonstrate the untapped potential of the CC population in developing novel models for allergy research.
https://ift.tt/2yrgqtf
Validation of the maximum symptom day among children with asthma
Publication date: Available online 19 October 2018
Source: Journal of Allergy and Clinical Immunology
Author(s): Tianshi David Wu, Matthew Perzanowski, Roger D. Peng, Robert A. Wise, Susan Balcer-Whaley, Michelle Newman, Amparito Cunningham, Wanda Phipatanakul, Elizabeth C. Matsui, Meredith C. McCormack
https://ift.tt/2Jc0xeA
Differences between morphological and repetition priming in auditory lexical decision: Implications for decompositional models
Publication date: Available online 19 October 2018
Source: Cortex
Author(s): Robert J. Wilder, Amy Goodwin Davies, David Embick
Abstract
A natural way of probing the effects of morphology on lexical processing is to directly compare morphological priming, for which primes and targets share a stem but are mismatched in morphological structure (e.g., frogs→frog), with outright repetition priming (e.g., frog→frog). However, work making this comparison has reported no difference between these two types of priming. Importantly, the reported non-differences have been found in the visual domain. Here, we investigate morphological (Morph) vs. repetition (Rep) priming in two auditory primed lexical decision experiments. Using the English plural suffix -/z/, we compare Rep priming with Morph priming for both singular and plural target conditions (e.g., frog/frogs→frog, frog/frogs→frogs). Overall, we find robust priming in both Rep and Morph conditions. However, for both singular and plural targets, there is consistent evidence that Rep priming is greater than Morph priming at early lags of 0 and 1 intervening items. This facilitation decreases with an increasing number of intervening items. Comparisons with phonological and semantic controls demonstrate that this pattern cannot be attributed solely to shared form or meaning. We interpret these findings in a decompositional model of morphological processing. The robust facilitation in Morph and Rep conditions is attributed to the activation of a shared stem representation. The convergence of Morph and Rep is attributed to a diminishing episodic trace related to morphological recombination.
https://ift.tt/2yLMyXO
The temporal involvement of the left supramarginal gyrus in planning functional grasps: a neuronavigated TMS study
Publication date: Available online 19 October 2018
Source: Cortex
Author(s): Weronika Potok, Adam Maskiewicz, Gregory Króliczak, Mattia Marangon
Abstract
The left supramarginal gyrus (SMG) is a critical structure in tool use actions, including such simple acts as selection of appropriate grasps and, if necessary, their on-line corrections. Yet, its temporal contribution to initial planning of functional grasps of tools is largely unknown. We used MRI-guided, event-related transcranial magnetic stimulation (TMS) to determine the time point when SMG involvement in processing of tools for functional grasp decision was affected most. In Exp. 1, with 15 participants, triple-pulse (10Hz) TMS was applied to either the left anterior-to-mid SMG (amSMG; subdivisions PFt/PF) or vertex at three different time points: starting from 17 ms (i.e., delivered at 17/117/217 ms), 117 ms (117/217/317 ms) or 217 ms (217/317/417 ms) after stimulus onset. In Exp. 2, with 12 participants, we applied single-pulse TMS to either left amSMG or the left rostral middle frontal gurus (rMFG; area 46) at these same time points relative to stimulus onset. Subject- and item-based analyses of response times (RTs) were performed. Whereas the amSMG and vertex stimulation with triple pulse has revealed differential effects on RTs in general, as well as on tool orientation processing, it gave only vague pointers as to their temporal contributions to the task. Yet, amSMG and rMFG stimulation with single pulse demonstrated that, while the processing in both of these areas can be enhanced at 17 ms and no doubt at 117 ms (as compared to 217 ms), the earliest stimulation facilitated amSMG (vs. rMFG) contribution, and the latest stimulation had the opposite effect, facilitating rMFG (vs. amSMG) contribution to planning functional grasps. These outcomes demonstrate that the critical role of SMG in tool-related actions can be invoked substantially earlier than previously thought.
Graphical abstract
https://ift.tt/2S2sjhz
2B4 (CD244, SLAMF4) and CS1 (CD319, SLAMF7) in systemic lupus erythematosus and cancer
Publication date: Available online 19 October 2018
Source: Clinical Immunology
Author(s): Joseph D. Malaer, Armando M. Marrufo, Porunelloor A. Mathew
Abstract
Signaling Lymphocyte Activation Molecule (SLAM) family receptors are expressed on different types of hematopoietic cells and play important role in immune regulation in health and disease. 2B4 (CD244, SLAMF4) and CS1 (CD319, CRACC, SLAMF7) were originally identified as NK cell receptors regulating NK cell cytolytic activity. 2B4 is expressed on all NK cells, a subpopulation of T cells, monocytes and basophils. Unlike other activating and inhibitory receptors, 2B4 (CD244) interaction with its ligand CD48 has been shown to mediate both activating and inhibitory functions. Defective signaling via 2B4 due to mutations in signaling adaptor SAP contributes to X-linked lymphoproliferative Disease (XLP). Expression of 2B4 and CS1 are altered in systemic lupus erythematosus (SLE). CS1 is overexpressed in multiple myeloma (MM) and anti-CS1 mab (Elotuzumab/Empliciti) has been approved by FDA as a breakthrough drug for treatment for MM patients. CAR -T cells or CAR- NK cells containing full length CS1 or the signaling domain of 2B4 with TCR-ζ have shown promising results to treat cancer and autoimmune diseases.
https://ift.tt/2S2nhS2
Adolescents and young adults (AYAs) affected by chronic immunological disease: A tool-box for success during the transition to adult care
Publication date: Available online 19 October 2018
Source: Clinical Immunology
Author(s): Aurélien Guffroy, Thierry Martin, Anne-Sophie Korganow
Abstract
Adolescence is a time of physical, psychological and social changes between childhood and adulthood. All adolescents and young adults (AYAs) are in transition and experience key underlying processes that will influence their later life. It is a critical period, particularly for AYAs with a chronic medical condition. Diseases can start at any point during adolescence. The transition of care will concern health care providers, as well as more unexpected actors such as social workers, teachers, business managers and the family. In this review, we focus on transition in primary immunodeficiencies (PIDs) and autoimmune diseases (AIDs). We describe the challenges and needs of transition in the field. Questions that AYAs with PID and/or AID must face during transition in their familial, professional and personal life are discussed. We expose a practical, AYA centered approach to help physicians in their daily practice, and we propose a position for the future.
https://ift.tt/2yQhB4X
Probiotics in the treatment of otitis media. The past, the present and the future
Publication date: Available online 19 October 2018
Source: International Journal of Pediatric Otorhinolaryngology
Author(s): Andrea Coleman, Anders Cervin
Abstract
Otitis media (OM) is one of the most common infectious diseases in children and the leading cause for medical consultations and antibiotic prescription in this population. The burden of disease associated with OM is greater in developing nations and indigenous populations where the associated hearing loss contributes to poor education and employment outcomes. Current treatment and prevention is largely focused on vaccination and antibiotics. However, rates of OM, particularly in indigenous populations, remain high. With growing concerns regarding antibiotic resistance and antibiotic-associated complications, an alternative, more effective treatment is required. Administration of probiotics, both locally and systemically have been investigated for their ability to treat and prevent OM in children. This review explores the theoretical bases of probiotics, successful application of probiotics in medicine, and their use in the treatment and prevention of OM. We conclude that local administration of niche-specific probiotic bacteria that demonstrates the ability to inhibit the growth of otopathogens in vitro shows promise in the prevention and treatment of OM and warrants further investigation.
https://ift.tt/2yr10VR
Maturation of auditory brainstem response in early term infants at 6 weeks and 9 months
Publication date: Available online 19 October 2018
Source: International Journal of Pediatric Otorhinolaryngology
Author(s): Mingyan Li, Li Zhu, Dan Yao, Lin Xu, Chai Ji
Abstract
Background
Emerging evidence indicates that infants who were born between 37∼38 weeks of gestation are at higher risk of adverse long-term neurodevelopmental outcomes. Yet little is known about the auditory neural maturation during the first year of their life.
Aim
To compare the development of auditory brainstem response in early term (ET, 37∼38 weeks gestational age, GA) and full term (FT, 39∼41 weeks GA) infants.
Methods
126 infants received ABR testing at 6 weeks. 107 of them returned for the second assessment at 9 months, among which, 93 completed the ABR recordings. Comparison of the ABR variables were made depending on gestational age.
Results
Analysis of covariance (ANCOVA) was used to identify the differences in ABR outcomes between two groups. After controlling for confounders, latencies for wave III, V and I-III, III-V and I-V intervals were prolonged in ET group compared with FT group at 6 weeks (all p<0.03). ABR parameters of both groups developed as the infants got older. At 9 months, ET infants remain showing the longer wave V latency and I-V interval (all p <0.02) than FT infants.
Conclusion
During early postnatal life, ET has a different pattern of functional auditory brainstem development comparing with FT infants. The prolonged auditory conduction time suggests less mature of the central auditory system in ET infants before 9 months.
https://ift.tt/2JdY2IN
Erratum to “Skewed X-chromosome inactivation and next-generation sequencing to identify a novel SMPX variants associated with X-linked hearing loss in a Chinese family”[Int. J. Pediatr. Otorhinolaryngol. (2018) 88–93]
Publication date: Available online 19 October 2018
Source: International Journal of Pediatric Otorhinolaryngology
Author(s): Song Gao, Yi Jiang, Guojian Wang, Yongyi Yuan, Shasha Huang, Xue Gao, Xiaohong Li, Dejun Zhang, Jian Wu, Xiaowen Ji, Tao Deng, Ligang Wang, Dongyang Kang, Pu Dai
https://ift.tt/2ypW2J4
Risk of post-operative hemorrhage after adenoidectomy and tonsillectomy: Value of the preoperative determination of partial thromboplastin time and prothrombin time
Publication date: Available online 19 October 2018
Source: International Journal of Pediatric Otorhinolaryngology
Author(s): Mohamad Bitar, Gabriel Dunya, Elie Khalifee, Samar Muwakkit, Randa Barazi
Abstract
Introduction
Tonsillectomy and adenoidectomy (T& A) are the most common pediatric surgical procedures performed world-wide. Bleeding remains the most common complication of these procedures with 1-5.7 % prevalence.
Methods
We recruited 1269 patients who were scheduled for either tonsillectomy, adenoidectomy or both. All patients had preoperative CBC, PT, and aPTT ordered. According to the results, patients were labelled as either "abnormal group" or "normal group".
Results
35 patients had abnormal lab results 18 of these patients were diagnosed with coagulation disorders on further laboratory testing.9 of these patients had no pertinent history of bleeding. Even though an association is noted between abnormal lab tests and preoperative history of risk of bleeding, the correlation did not have high specificity (28.6%).
Conclusion
This study provides evidence that preoperative history can give some information on patients with abnormal coagulation profile but may underestimate the prevalence of such diseases. In addition, patients with abnormal coagulation profile have more risk of postoperative bleeding even after adequate medical treatment perioperative. Thus, identifying these patients will help the clinician in providing the best surgical management with the least morbidity and mortality.
https://ift.tt/2JdXUsN
Burkholderia gladioli sinonasal infection
Publication date: Available online 19 October 2018
Source: European Annals of Otorhinolaryngology, Head and Neck Diseases
Author(s): C. Zanotti, S. Munari, G. Brescia, U. Barion
Abstract
Introduction
Burkholderia gladioli are non-fermenting, Gram-negative, rod-shaped aerobic bacteria that were first identified as a plant pathogen. Most of the B. gladioli infections reported in the literature have involved immunocompromised adults and newborn infants. B. gladioli in humans is often associated with a poor prognosis.
Case report
We describe the first case of sinonasal infection due to B. gladioli and Staphylococcus aureus in an immunocompetent patient who had recently travelled to the Congo.
Discussion
As in the few other reported cases involving immunocompetent patients, the appropriate approach to this multidrug-resistant B. gladioli infection was a combination of surgery and antibiotics chosen in the light of an antibiogram.
https://ift.tt/2J7Rj2M
Maxillary sinus pain with radiolucent sinuses due to agenesis of the membranous ostium
Publication date: Available online 19 October 2018
Source: European Annals of Otorhinolaryngology, Head and Neck Diseases
Author(s): R. Jankowski, C. Rumeau, D.T. Nguyen, P. Gallet
Abstract
Introduction
The absence of opacities on CT scan usually eliminates paranasal sinus disease as a cause of facial pain. The authors report a case, which constitutes an exception to this general rule, corresponding to a new aetiology of sinus pain.
Case report
A 16-year-old boy presented with very painful "recurrent acute sinusitis" triggered by pressure changes (altitude, diving, surfing), with no sinus opacity on CT scan. Surgical exploration demonstrated absence of a primary or accessory maxillary ostium. Middle meatus antrostomy relieved the patient's pain.
Discussion
The pathophysiology of this case of recurrent acute pseudo-sinusitis and the efficacy of antrostomy can be explained by the evo-devo theory of the origin and function of the paranasal sinuses. This case illustrates the absence of communication in the ethmoid of the membranous sac lining the maxillary sinus, formed by degeneration of the maxillary erythropoietic bone marrow. Under stable environmental conditions, the continuous production of nitric oxide by the sinus epithelium is eliminated by simple transmembrane diffusion, but is insufficiently eliminated in the case of rapid pressure changes, inducing sometimes very severe sinus pain, mimicking sinusitis. This case report paves the way for more detailed studies on the role of the paranasal sinuses in facial disease and respiratory physiology.
https://ift.tt/2ytfDrN
The Influence of Age on the Relationship Between Allergic Rhinitis and Otitis Media
Abstract
Purpose of Review
To examine the relationship between otitis media, allergic rhinitis, and age.
Recent Findings
Otitis media and allergic rhinitis are prevalent conditions with a controversial relationship. Some data suggest that these entities are significantly associated, either through allergic rhinitis inducing Eustachian tube dysfunction or through allergic pathophysiology simultaneously occurring intranasally and in the ear. Other studies, however, have refuted this relationship. For example, treatment with antihistamines does not reliably improve OME, making causation and association challenging to establish. Age may have an effect on the nature of the relationship between allergic rhinitis and otitis media, by impacting both the individual conditions and their association. Epidemiological, immunological, and adenoidal studies have suggested that differences occur with age, and this review encapsulates the related data and publications. We begin by evaluating how allergic rhinitis and otitis media each are affected by age, then evaluate the role that age may have in the relationship between the two conditions. Adult and pediatric literature are evaluated so as to include the full impact of age across patients' lifespan.
Summary
Age induces changes in immunity, patterns of inflammation, and susceptibility to both allergic rhinitis and otitis media with effusion. Age may also be an effect modifier which impacts the nature of the relationship between these two conditions. The influence of age on the association between these highly prevalent conditions remains a topic of active study.
https://ift.tt/2S4lbkz
Correction to: Migraine Aura Without Headache
The original version of this article contains an error in the title. The title should be: Migraine Aura Without Headache. The title is corrected in this correction article.
https://ift.tt/2NOwaeF
Clinical and Genetic Risk Factors Associated with Psoriatic Arthritis among Patients with Psoriasis
Abstract
Introduction
Psoriatic arthritis (PsA) is a chronic, inflammatory arthritis that affects an estimated 30% of patients with psoriasis. PsA is underdiagnosed in primary care and dermatology clinics due to a variety of reasons, including failure of healthcare providers to ask about symptoms, overlap of symptoms and signs with other rheumatologic conditions, and lack of a specific diagnostic test. A delay in PsA diagnosis and treatment, even as short as 6 months, can lead to decreased quality of life, increased joint damage, and worse long-term physical function. In this study, we sought to identify the clinical and genetic factors that help discriminate patients with PsA from those with cutaneous psoriasis only.
Methods
We analyzed a cohort of 974 psoriasis patients at an academic medical center, of whom 175 had confirmed PsA, and performed univariate, multivariate, and predictive modeling to determine factors associated with PsA.
Results
The univariate analysis revealed significant positive associations of PsA with age, nail involvement, scalp involvement, skin fold involvement, elbow/knee involvement, psoriasis severity, plaque subtype, erythrodermic subtype, hypertension, type 2 diabetes, and coronary artery disease, and a significant negative association of PsA with the human leukocyte antigen (HLA)-C*06:02 allele. In the multivariate analysis, nail involvement, type 2 diabetes, and pustular psoriasis remained significantly associated with PsA, while HLA-C*06:02 positivity remained protective. There was a trend towards an association of PsA with older age, younger age of psoriasis onset, and skin fold involvement, while there was protective trend for smoking. A predictive model including both clinical and genetic factors showed reasonable discriminative ability between psoriasis and PsA, with an area under the curve of 0.87 for a receiver operating characteristic curve.
Conclusion
This study identified a number of clinical and genetic features that could help stratify patients who are at higher risk for having PsA and for whom rheumatology referral may be beneficial.
https://ift.tt/2NRmlwK
Reduced nasal nitric oxide levels in patients with eosinophilic chronic rhinosinusitis
Publication date: Available online 19 October 2018
Source: Allergology International
Author(s): Kanako Yoshida, Tetsuji Takabayashi, Yoshimasa Imoto, Masafumi Sakashita, Norihiko Narita, Shigeharu Fujieda
Abstract
Background
In Eosinophilic chronic rhinosinusitis (ECRS), it is difficult to estimate the refractoriness and recurrence risk for each patient. Fraction of exhaled nitric oxide (FeNO) is known as a biomarker of eosinophilic inflammation in lower airway. It has been reported that nasal NO has some crucial functions in the upper and lower airways. However, in upper airway, paranasal sinuses, the usefulness of NO measurement remains controversial. The purpose of this study is to identify the usefulness of nasal NO measurement in ECRS and the involvement of nasal NO in the pathogenesis of ECRS.
Methods
We compared the nasal NO levels of ECRS, non-ECRS, and normal control groups. Correlation between nasal NO levels and clinical findings were observed. Then, we compared nasal NO levels before and after endoscopic sinus surgery (ESS). We also examine whether nasal NO levels might discriminate ECRS by the receiver operating characteristic (ROC) curve analysis.
Results
Nasal NO levels were significantly decreased in ECRS compared to the other two groups. Moreover, nasal NO levels in ECRS significantly and negatively correlated with eosinophil levels and CT score. However, they did not correlate with the nasal polyp score. Nasal NO levels were not upregulated soon after opening the sinus ostium by ESS. The ROC curves for nasal NO levels were used to discriminate all CRS patients and ECRS patients from normal controls.
Conclusions
Nasal NO may be useful as a marker of ECRS severity and low nasal NO levels in ECRS may contribute to its pathogenesis.
https://ift.tt/2q240Dy
SEMA4A promotes eosinophil survival and contributes to eosinophil-mediated allergic diseases
Publication date: Available online 19 October 2018
Source: Allergology International
Author(s): Yohei Maeda, Takeshi Tsuda, Yoshito Takeda, Shohei Koyama, Yoshitomo Hayama, Satoshi Nojima, Tetsuya Kimura, Daisuke Ito, Hyota Takamatsu, Sujin Kang, Masayuki Nishide, Keiko Morimoto, Takashi Hosokawa, Yuhei Kinehara, Yasuhiro Kato, Takeshi Nakatani, Kazuya Takeda, Masaki Hayama, Sho Obata, Hitoshi Akazawa
https://ift.tt/2R2hMBB
Highlights.
Highlights.
JAMA Otolaryngol Head Neck Surg. 2018 Sep 01;144(9):767
Authors:
PMID: 30340218 [PubMed - in process]
https://ift.tt/2yLnbFy
UM-HACC-2A: MYB-NFIB fusion-positive human adenoid cystic carcinoma cell line
Publication date: December 2018
Source: Oral Oncology, Volume 87
Author(s): Kristy A. Warner, Alexandra E. Oklejas, Alexander T. Pearson, Zhaocheng Zhang, Weishing Wu, Vasu Divi, Christie Rodriguez-Ramirez, Rogerio M. Castilho, Peter J. Polverini, Jacques E. Nör
Abstract
Objectives
Limited availability of validated human adenoid cystic carcinoma (ACC) cell lines has hindered the mechanistic understanding of the pathobiology of this malignancy and the development of effective therapies. The purpose of this work was to generate and characterize a human ACC cell line.
Material and Methods
Immediately after surgery, a tumor fragment from a minor salivary gland from the tongue of a female Caucasian was minced, dissociated, and a single cell suspension was plated in fibronectin-coated flasks. A culture medium containing bovine brain extract and rhEGF was optimized for these cells. Whole exome sequencing was used to evaluate the presence of MYB-NFIB translocation.
Results
The University of Michigan-Human Adenoid Cystic Carcinoma (UM-HACC)-2A cells showed continuous growth in monolayers for at least 180 in vitro passages while maintaining epithelial morphology. Short-tandem repeat (STR) profiling confirmed a 100% match to patient DNA. Whole exome sequencing revealed the presence of the MYB-NFIB fusion in UM-HACC-2A cells, which was confirmed by PCR analysis. Western blots revealed high expression of epithelial markers (e.g. E-cadherin, EGFR, pan-cytokeratin) and proteins associated with ACC (e.g. c-Myb, p63). Developmental therapeutic studies showed that UM-HACC-2A cells were resistant to cisplatin (IC50 = 44.7 µM) while more responsive to paclitaxel (IC50 = 0.0006 µM). In a pilot study, we observed that UM-HACC-2A cells survived orthotopic transplantation into the submandibular gland. Notably, one of the mice injected with UM-HACC-2A cells exhibited lung metastasis after 6 months.
Conclusion
UM-HACC-2A is a MYB-NFIB fusion-positive ACC cell line that is suitable for mechanistic and developmental therapeutics studies.
https://ift.tt/2EyXUET
The Influence of Age on the Relationship Between Allergic Rhinitis and Otitis Media
Abstract
Purpose of Review
To examine the relationship between otitis media, allergic rhinitis, and age.
Recent Findings
Otitis media and allergic rhinitis are prevalent conditions with a controversial relationship. Some data suggest that these entities are significantly associated, either through allergic rhinitis inducing Eustachian tube dysfunction or through allergic pathophysiology simultaneously occurring intranasally and in the ear. Other studies, however, have refuted this relationship. For example, treatment with antihistamines does not reliably improve OME, making causation and association challenging to establish. Age may have an effect on the nature of the relationship between allergic rhinitis and otitis media, by impacting both the individual conditions and their association. Epidemiological, immunological, and adenoidal studies have suggested that differences occur with age, and this review encapsulates the related data and publications. We begin by evaluating how allergic rhinitis and otitis media each are affected by age, then evaluate the role that age may have in the relationship between the two conditions. Adult and pediatric literature are evaluated so as to include the full impact of age across patients' lifespan.
Summary
Age induces changes in immunity, patterns of inflammation, and susceptibility to both allergic rhinitis and otitis media with effusion. Age may also be an effect modifier which impacts the nature of the relationship between these two conditions. The influence of age on the association between these highly prevalent conditions remains a topic of active study.
https://ift.tt/2S4lbkz
Immunochemical detection of mycotoxins in donkey milk
Abstract
The applicability of enzyme immunoassays (EIA) for aflatoxin M1 (AFM1), ochratoxin A (OTA) and zearalenone (ZEN) to analyse these toxins in donkey milk (Equus asinus) was studied. For AFM1 and OTA analysis, milk could be analysed by EIA without sample pretreatment. For ZEN, heat treatment at 78 °C for 30 min prior EIA analysis was required to avoid false positives. To include detection of phase II metabolites of ZEN, samples were additionally treated with glucuronidase/sulfatase for this EIA. Detection limits were 5 ng/kg (AFM1), 9 ng/kg (OTA) and 600 ng/kg (ZEN). All donkey milk samples were negative for all three toxins. Satisfactory quantitation was achieved for spiked samples. Analysis of some cereal-containing donkey feed components (pellets, oats) by EIA revealed absence of aflatoxin B1 (AFB1, < 3 μg/kg) and OTA (< 4 μg/kg), while ZEN was found in pellets (180 μg/kg) and in oats (7 μg/kg). This is the first one study on multitoxin determination in donkey milk by antibody-based test systems. In general, the results confirm that EIAs are convenient tools for mycotoxin detection in donkey milk. However, false-positive results may occur, possibly due to the high lysozyme content of donkey milk, which may exert inhibitory activity in some competitive EIA systems. Therefore, specific validation of each EIA for this specific matrix is required, and re-analysis after heat treatment of EIA-positive donkey milk is highly recommended.
https://ift.tt/2OzXGSw
Development of a novel risk prediction and risk stratification score for polycystic ovary syndrome (PCOS)
Clinical Endocrinology, Volume 0, Issue ja, -Not available-.
https://ift.tt/2P9siK5
Anticariogenic efficacy of a saliva biomimetic in head‐and‐neck cancer patients undergoing radiotherapy
Australian Dental Journal, Volume 0, Issue ja, -Not available-.
https://ift.tt/2J9F7i6
Testosterone deficiency in non-cancer opioid-treated patients
Abstract
Purpose
The use of opioids in patients with chronic non-cancer pain is common and can be associated with opioid-induced androgen deficiency (OPIAD) in men. This review aims to evaluate the current literature regarding the prevalence, clinical consequence and management of OPIAD.
Methods
A database search was performed in Medline, Embase and Cochrane using terms such as "analgesics", "opioids" and "testosterone". Relevant literature from January 1969 to March 2018 was evaluated.
Results
The prevalence of patients with OPIAD ranges from 19 to 86%, depending on the criteria for diagnosis of hypogonadism. The opioid-induced suppression of gonadotropin-releasing and luteinizing hormones represents the main important pathogenetic mechanisms. OPIAD has significant negative clinical consequences on sexual function, mood, bone density and body composition. In addition, OPIAD can also impair pain control leading to hyperalgesia, which can contribute to sexual dysfunction and mood impairment.
Conclusions
OPIAD is a common adverse effect of opioid treatment and contributes to sexual dysfunction, impairs pain relief and reduces overall quality of life. The evaluation of serum testosterone levels should be considered in male chronic opioid users and the decision to initiate testosterone treatment should be based on the clinical profile of individuals, in consultation with the patient.
https://ift.tt/2CsOFDy
Niacinamide and 12‐hydroxystearic acid prevented benzo(a)pyrene and squalene peroxides induced hyperpigmentation in skin equivalent
Experimental Dermatology, Volume 0, Issue ja, -Not available-.
https://ift.tt/2S14TJz
Expression of Proton‐sensing G‐Protein‐coupled receptors in selected skin tumors
Experimental Dermatology, Volume 0, Issue ja, -Not available-.
https://ift.tt/2yPuJav
On the relevance of an in vitro reconstructed human epidermis model for drug screening in atopic dermatitis
Experimental Dermatology, Volume 0, Issue ja, -Not available-.
https://ift.tt/2S3Ez1m
Impact of cochlear implantation on the management strategy of patients with neurofibromatosis type 2
Abstract
Purpose
To investigate the outcomes of cochlear implantation in patients with neurofibromatosis type 2 (NF2), and to discuss the current management strategy for NF2 patients.
Methods
The medical records of NF2 patients who received cochlear implants (CI) at our center between 2012 and 2016 were retrospectively reviewed. Pre-operative hearing status, tumor status, treatment of tumors, and auditory outcomes post-implantation were evaluated.
Results
Twelve patients were included in the study. Five were implanted with the tumor in situ; two of them received radiotherapy pre-implantation, and three were implanted without any previous treatment. Four patients were implanted simultaneously with tumor removal. Three patients were implanted as second-stage after failed hearing preservation surgery. The mean pure tone audiometry with the implant was 44 dB (range 25–80 dB) and the mean sentence recognition score (SRS) in a quiet environment without lip reading was 63% (range 0–97%). A poorer objective auditory outcome was identified in one patient who showed no response to electrical promontory stimulation (EPS), but the sound perception was still helpful. In total, 11 of 12 (91%) patients were daily users, and the other patient used the implant as a "sleeper" device due to its interference with contralateral hearing provided by a hearing aid.
Conclusion
CI is an effective option in auditory rehabilitation and should be considered primarily for NF2 patients with intact cochlear nerve. EPS might be a predictor for cochlear implant performance. Good contralateral hearing may present a barrier to daily use.
https://ift.tt/2q0roRN
Endoscopic management of paediatric meningoencephaloceles: a case series
Abstract
Introduction
Congenital meningoencephaloceles represent a rare clinical entity, with its frequency being around 1 out of 4000–5000 live births. They usually present as a midline mass and the differential diagnosis includes dermoids, encephaloceles, and gliomas. Although the standard coronal approach with frontal craniotomy and pericranial flap has been considered the preferred method for several years, it is associated with risks and prolonged hospitalization. The endoscopic procedure is gaining ground and we are aiming to present our experience from five cases that were treated endoscopically.
Materials and methods
Five cases of paediatric meningoencephaloceles (age ranging from 2.5 to 10 years) were treated in our department between the years 2007–2017. Four children had a congenital and one child a post-traumatic meningoencephalocele. The presenting symptoms included nasal obstruction, meningitis and CSF leak. All patients had pre-operative imaging with CT and MRI scans and the preferred method of repair was multi-layered closure.
Results
All our patients had uneventful recovery, without any post-operative complications. The follow-up period ranges from 39 to 98 months. All five patients remain asymptomatic and recurrence-free.
Conclusion
Endoscopic management of paediatric meningoencephaloceles is a reliable and safe approach and it is known to have no adverse effects on facial growth. It carries a satisfactory success rate, reduces the in-hospital stay with lower cost of treatment, better cosmesis and lower morbidity than external procedures. It requires multidisciplinary team setting in a tertiary centre with experienced endoscopic anterior skull base surgeons. Pre-operative assessment and post-operative care are of paramount importance and larger series need to be studied to reach safe conclusions and establish management guidelines.
https://ift.tt/2QXYjlw
Ultrahigh-resolution CT scan of the temporal bone
Abstract
Objective
Ultrahigh-resolution CT (U-HRCT) provides better spatial resolution than conventional multi-detector row CT (ConvCT) and could be expected to identify microstructures with its 0.25-mm collimation, 1792 channels and 160 detector rows, 0.4 × 0.5 mm focus size, and a 1024 matrix. The aim of the study was to evaluate key anatomic structures in temporal bone using U-HRCT comparing it to ConvCT.
Materials and methods
A total of 30 patients (14 males and 16 females; age range, 8–82 years; median 49 years) underwent both U-HRCT and ConvCT. All CT images were obtained with 0.5 mm section thickness and a 512 × 512 matrix, and field of view of 80 mm. Transverse scans were acquired in a plane parallel to the orbitomeatal plane in the helical mode with 120 kV. Images of the 30 temporal bones of unaffected side were reviewed by two independent neuroradiologists who rated the visibility of key anatomic structures for both U-HRCT and ConvCT. The ratings between U-HRCT and ConvCT were compared using Wilcoxon matched-pairs signed rank test. The interobserver agreement on the rating of stapedius tendon was evaluated using weighted κ statistics.
Results
Excellent interobserver agreement was shown for U-HRCT (κ = 0.920), whereas good agreement was obtained for ConvCT (κ = 0.733). According to both observers, stapedius tendon was more clearly visualized using U-HRCT than ConvCT (p < 0.0001). All other anatomic structures were well visualized using both CT scanners.
Conclusion
The anatomy of temporal bone is more conspicuous on U-HRCT than on ConvCT because of its ultra-high-resolution detector. U-HRCT may provide beneficial information for determining surgical indication or procedures.
https://ift.tt/2q3AzBe
Chronic sinusitis in head and neck cancer patients who received radiotherapy or chemoradiotherapy
Abstract
Purpose
The aim of this study was to evaluate the status of paranasal sinus and to identify risk factors associated with the development of chronic sinusitis based on imaging studies in head and neck cancer patients.
Materials and methods
We retrospectively analyzed the medical records of 186 patients who were diagnosed with head and neck squamous cell carcinoma at Korea University Guro Hospital from February 2003 to July 2015. Only patients with at least 1 year of follow-up after treatment were included.
Results
Chronic sinusitis occurred in 32 patients (17.2%), including seven patients (16.3%) in non-radiotherapy group and 25 patients (17.5%) in radiotherapy group. Maxillary sinus was most commonly involved (56.9%), followed by ethmoid, frontal, and sphenoid sinuses. Age (1.006; 0.874–1.158; p = 0.936), TNM stage (0.104; 0.007–1.598; p = 0.105), and underlying disease (0.242; 0.036–1.646; p = 0.147) were not significantly associated with the need for surgery due to sinusitis. Although radiotherapy itself (1.319; 0.019–2.821; p = 0.251) was not significantly associated with surgery due to sinusitis, concurrent chemotherapy (10.729; 1.361–84.611; p = 0.024) was significantly associated with surgical procedures.
Conclusion
Higher T stage and concurrent chemotherapy with radiotherapy showed significant association with chronic sinusitis. Concurrent chemotherapy also showed significant association with surgical treatment in head and neck cancer patients. Therefore, more careful surveillance and aggressive treatment of chronic sinusitis is needed in head and neck cancer patients who receive radiotherapy with concurrent chemotherapy or higher T stage.
https://ift.tt/2R61OGP
Anatomical and functional long-term results of endoscopic butterfly inlay myringoplasty
Abstract
Purpose
The aim of this study was to evaluate the long-term anatomical (graft success) and functional (audiological) results of endoscopic butterfly inlay myringoplasty.
Methods
The files of 56 patients (29 female, 27 male) who were diagnosed with noncomplicated chronic otitis media and underwent endoscopic butterfly inlay myringoplasty in 2014–2016 at a tertiary referral center were reviewed. Age, gender, follow-up time, perforation location (anterior, posterior and central), perforation size (small, medium), pre- and postoperative pure tone audiometry (PTA) thresholds, pre- and postoperative air-bone gaps (ABG) and complications were noted.
Results
Graft success rate was 98.2% in postoperative 12th month and 94.6% in postoperative 24th month. In all patients, mean PTA for air conduction was 35.2 ± 3.9 dB preoperatively and 27.5 ± 4.3 dB in postoperative 6th month, 25.1 ± 3.5 dB in postoperative 12th month and 20.4 ± 3.2 in postoperative 24th month. Preoperative mean ABG was 24.2 ± 3.8 dB, whereas 19.5 ± 4.3 dB 6 months after surgery, 17.1 ± 3.5 dB 12 months after surgery and 12.4 ± 3.1 dB 24 months after surgery. There was significant difference between pre- and postoperative PTA and ABG in all 6th, 12th, 24th month follow-up (p = 0.001 for all measurements). Three patients (5%) had myringitis after surgery. Two patients (3%) had total graft resorption.
Conclusion
We suggested that endoscopic butterfly inlay myringoplasty is a safe surgical method with high graft success and effective hearing reconstruction. Follow-up is necessary for at least 2 years for precise anatomical and functional evaluation of the surgery.
https://ift.tt/2q1q2Gs
Functional identification of abductor and adductor branches for laryngeal transplantation
Abstract
Purpose
This is a feasibility study of functional identification of the abductor and adductor recurrent laryngeal nerve branches, which could be used in the donor's larynx for functional laryngeal transplantation.
Methods
The study was performed on swine (n = 3) and human (n = 4) models of a donor larynx. The recurrent laryngeal nerve and its branches were found. Using stimulator, abductor and adductor branches were identified, and glottis closing and opening were captured with an endoscope.
Results
The result was positive if two ENT specialists noticed at least one adduction and one abduction movement in the same subject. It was obtained in three out of three swine and three out of four humans.
Conclusions
This study shows a way of reinnervation of a transplanted larynx which might result in a functional organ. It describes the first step of the procedure: functional identification of the abductor and adductor branches of the recurrent laryngeal nerve in the donor before the larynx is excised for transplantation.
https://ift.tt/2R1iqzm
Evaluation of vestibular system with vHIT in industrial workers with noise-induced hearing loss
Abstract
Purpose
Industrial workers are frequently exposed to noise and the noise can cause hearing loss. The relationship between vestibular abnormalities and long-term exposure to occupational noise has been reported. The aim of this study was to use vHIT (video head impulse test) to evaluate the semicircular canal's function in industrial workers with noise-induced hearing loss.
Methods
In the present study, we included 36 male patients (aged 28–55 years, mean 44.4 ± 6.1 years) with hearing loss due to noise exposure from working in the steel and metal industry for at least 4 years, and a control group of 30 healthy men (aged 34–50 years, mean 41.1 ± 4.5 years) without hearing loss. The gain of the vestibulo-ocular reflex for all 6 semicircular canals was examined by vHIT in 66 patients.
Results
Canal deficit was detected in 20 (55.5%) of 36 patients in the noise exposure hearing loss group and was detected in 2 (6.6%) of 30 participants in the control group. There was significant loss of capacity for VOR gain in patients with noise exposure hearing loss.
Conclusions
In the present study we found that exposure to noise can cause vestibular dysfunction. And the vHIT is easily applicable, quick and practical and can individually evaluate all semicircular channels. Therefore, to evaluate vestibular function with vHIT is quick and practical.
https://ift.tt/2q1RDY8
The effect of electrolyte balance on the voice in hemodialysis patients
Abstract
Objective
The aim of the study was to demonstrate the effect of blood electrolytes on the voice in chronic hemodialysis patients.
Methods
The study included a total of 59 hemodialysis patients. Pre- and post-dialysis voice recordings were performed. In the analysis of vocal acoustic parameters, fundamental frequency (F0), jitter, shimmer, the noise-to-harmonics ratio (NHR), and F0 minimum and F0 maximum were measured. The Voice Handicap Index-10 (VHI-10), and maximum phonation time (MPT) were evaluated. For perceptual evaluation, the GRBAS scale was used. The duration of dialysis (years) and changes in weight during dialysis were recorded for each patient. From venous blood samples, measurements were taken of hemoglobin (Hb), albumin, Na+, K+, creatinine, uric acid, phosphorus, Ca++, and parathormone.
Results
The difference in the pre and post-dialysis values of F0, shimmer, NHR and MPT were found to be statistically significant (p = 0.001). The only variable determined to have an effect on the change in F0 values was uric acid, and the change in the F0 values was statistically significant (p = 0.009). The only variable determined to have an effect on the change in shimmer values was sodium, and the change was statistically significant (p = 0.034). The only variable determined to have an effect on the change in NHR values was creatinine, and the change in the NHR values was statistically significant (p = 0.028). Hb and the duration of dialysis were determined to have a statistically significant effect on the change in MPT values (p = 0.001).
Conclusions
The results showed that uric acid was the agent creating a reduction in vocal cord vibration, the agent increasing the difference between vibration waves was Na+, and creatinine increased the NHR rate. The effect of these variables can be considered important in the understanding of vocal cord physiology.
https://ift.tt/2QXgeZI
A comparison of phonatory outcome between trans-oral CO 2 Laser cordectomy and radiotherapy in T1 glottic cancer
Abstract
Purpose
This study aimed at comparing phonatory outcomes between Trans-oral Laser Surgery and Radiotherapy in T1 glottic cancer.
Introduction
Early glottic carcinoma, i.e. T1 stage, can be treated using trans-oral surgery, radiotherapy, or partial open surgery. Trans-oral laser (TOL) surgical techniques and Radiotherapy (RT) have undergone significant advancement in the past few years leading to a decrease in open procedures. Various studies have been published comparing voice quality after TOL surgery and RT. There are few works which consider patients' opinions, i.e. subjective parameters regarding functional voice quality post treatment. This study uses both subjective and objective parameters to evaluate phonatory outcome of both treatment options.
Methods
Phonatory outcomes were measured in patients who underwent RT and CO2 Laser excision for early laryngeal cancer. VHI, GRBAS and MDVP were used to measure the vocal outcome of treatment modality after 1 year of cancer-free survival. A comparison was then made between the outcomes in the two groups.
Results
Superior vocal outcomes in G, R and S criteria of the GRBAS scale, a better VHI index, and better jitter, shimmer and NHR were found in patients who underwent CO2 laser excision as compared to patients who underwent RT. Other parameters were comparable between the two groups.
Conclusions
TOL surgery provides excellent vocal outcome as compared to RT in management of early glottic cancer and should be considered as the first line of management for the same.
https://ift.tt/2q3AzkI
The (templar) knight cap: a new and simple way to prevent hair interference during ear surgery
Abstract
Introduction
Hair interference is a critical problem in ear surgery. The hair around the surgical area can get stuck unwantedly, making the surgeon habitually struggling with this hair rather than the surgery itself. Hair shaving can cause psychological discomfort, especially for women and data about shaving efficacy are conflicting. With the aim of solving this problem, we developed a new way to clear hair from the operating field named "The (Templar) Knight cap".
Technical description
This is a medical elastic stocking open at the ear to be treated and at the face that recalls the typical cap worn by Templar knight. This cap allows good hair retention and marks the surgical site. It is easy to wear does not require additional time for clinical staff.
Conclusions
The described cap could be a valid instrument during ear surgery with a low cost pricing, making it applicable in very poor settings, such as developing countries.
https://ift.tt/2R5gndH
Role of leptin in allergic rhinitis during sublingual immunotherapy
Abstract
Objective
Increasing evidence suggests that leptin is upregulated during allergic reactions in the airway and related to the severity of disease in allergic rhinitis (AR). In this study, we aimed to investigate the expression of leptin during sublingual immunotherapy (SLIT) in AR patients.
Methods
Forty AR patients without obesity were recruited in this study. Twenty patients received house dust mite (HDM) allergen extract for SLIT and twenty patients received placebo randomly. Protein expression of leptin in serum and nasal lavage was tested by enzyme-linked immuno sorbent assay (ELISA) 1 and 2 years after SLIT treatment, respectively. Peripheral blood mononuclear cells (PBMCs) and human nasal epithelial cell were prepared and stimulated by recombinant leptin after 24 months' SLIT treatment and the induction of Th2 cytokines (IL-4/IL-5/IL-13) were detected by ELISA.
Results
SLIT treatment decreased the expression of leptin protein in serum and nasal lavage significantly compared with placebo group 1 and 2 years after SLIT treatment. Nasal leptin level was correlated to decreased Th2 response (IL-4/IL-5/IL-13) and enhanced Treg (IL-10/TGF-beat) response after 2 years' SLIT. We also found that SLIT decreased the ability of leptin in promoting Th2 cytokines expression by PBMCs and human nasal epithelial cell after 2 years' SLIT treatment.
Conclusion
Changes of leptin expression in serum and nasal lavage may be correlated with Th2/Treg regulation during SLIT. Our results suggested that leptin served as an important biomarker during SLIT.
https://ift.tt/2q20Cc1
The lamellar cell: a radiological study and a new classification proposal
Abstract
Purpose
A pneumatized middle turbinate is called concha bullosa. Bolger classified it in bulbous, lamellar, and extensive. Lamellar cells could have a variable extension. We propose the first radiologic classification of lamellar cells.
Methods
195 CT sinonasal scans were included in the study. Lamellar cells were classified into four categories according to their degree of aeration.
Results
Lamellar cells were found in 47.7% of patients: unilateral in 14.9% of cases and bilateral in the remaining 32.8%. The most common lamellar cell is type 1, followed by types 3, 2, and 4; there were no statistically significant differences regarding side. A subgroup analysis was performed in 106 patients with no inflammatory diseases of the nasal cavity; there were no significant differences.
Conclusion
Cell types 3 and 4 are a complete pneumatization of the insertion of the middle turbinate; these cells are rare and could be associated with middle turbinate instability.
https://ift.tt/2QXYhtU
Posterior pillar mucosal suspension technique for posttonsillectomy pain and wound healing: a prospective, randomized, controlled trial
Abstract
Objectives/hypothesis
To investigate the efficacy of a simple and feasible suturing technique on posttonsillectomy pain control and wound healing.
Methods
A prospective, randomized, controlled trial was conducted on a sample of 121 children between 3 and 10 years of age. Group A comprised children undergoing surgery with bipolar cautery and the posterior pillar mucosal suspension technique. Bipolar alone (Group B) and cold dissection tonsillectomy (Group C) were used as control groups. Pain was assessed at 1, 3, 5, 7, and 10 days postoperatively via visual analog scale scores. Peritonsillar edema, erythema, and granulation tissue in the tonsillar fossa were evaluated by direct visual examination for wound healing on days 1, 3, 5, 7, and 10.
Results
There were consecutive 121 patients which were included, with mean ages being 6.2 ± 2.5, 6.1 ± 2.4, and 6.1 ± 2.6 in groups A, B, and C, respectively. Postoperative pain scores on days 1 and 3 were significantly lower in Group A than Group B and C (P < .001) and scores were 0.87 ± 1.1, 3.83 ± 2.29, and 4.29 ± 2.48 on day 1 and 0.38 ± 0.88, 2.25 ± 2.13, and 2.76 ± 2.12 on day 3 respectively. The wound-healing scores on postoperative 1st, 3rd, 5th, and 7th days were significantly lower in Group A than control groups (P < .001). The wound-healing score on postoperative day 10 was only different than Group C (P = .020).
Conclusions
The posterior pillar mucosal suspension technique is an effective and comparable method in terms of wound healing, maintains the preoperative anatomical structures, and enables a better pain control with reduced analgesic/opioid usage.
https://ift.tt/2q1thxH
Preoperative diagnostic of parotid gland neoplasms: fine-needle aspiration cytology or core needle biopsy?
Abstract
A preoperative cytologic or histologic diagnosis of parotid gland neoplasms is mandatory to decide which surgical procedure would be appropriate. Open biopsies are contraindicated because of the risk of recurrence secondary to tumour cell seeding; furthermore a subsequent curative parotid surgery can be complicated by a previous open biopsy. While fine-needle aspiration cytology (FNAC) was the only preoperative diagnostic procedure to distinguish benign versus malignant neoplasms over the past decades, core needle biopsy (CNB) has been increasingly used over the last few years. This created a debate as to whether FNAC or CNB should be the preoperative procedure of choice. The focus of this editorial is to analyse the advantages and disadvantages of FNAC and CNB, and to discuss which procedure is more appropriate in the preoperative work-up of parotid neoplasms.
https://ift.tt/2R2DQvX
Facial nerve dysfunction after superficial parotidectomy with or without continuous intraoperative electromyographic neuromonitoring: a prospective randomized pilot study
Abstract
Purpose
There are no randomized trials comparing the incidence or severity of facial nerve dysfunction after superficial parotidectomy with or without continuous intraoperative electromyographic neuromonitoring. This pilot study aimed to assess the variability in outcomes to help determine the needs and possible ethical issues in a full-scale study.
Methods
Prospective randomized pilot study comparing the incidence and grade of facial nerve dysfunction among 106 patients subjected to superficial parotidectomy with or without continuous four channels electromyographic neuromonitoring (52 monitored patients and 54 controls).
Results
The incidences of immediate (38.3% vs. 51.8%, p = 0.1) and late facial dysfunction, up to 180 days following surgery, (3.8% vs. 5.5%, p = 0.4) were similar between monitored patients and controls. Immediate facial nerve dysfunction with a House–Brackmann ≥ grade III was more frequent among the non-monitored patients (57.8% vs. 30%, p = 0.2), and outcomes were significantly poorer in this group (mean sum score of 68.7 vs. 81.5, p = 0.002), when assessed with the regional Sunnybrook scale. A full-scale prospective randomized study to detect a significant reduction in the incidence of immediate facial nerve dysfunction with the use of continuous intraoperative electromyographic neuromonitoring, with 80% power and a 5% significant level, would require 560 patients allocated to the monitored and control groups. Considering a mean rate of 30 patients/year/center, such a study would require the participation of five centers for 4 years.
Conclusions
In the present pilot study, the incidences of immediate and late facial nerve dysfunction were similar between patients with benign parotid tumors subjected to superficial parotidectomy with or without continuous intraoperative electromyographic neuromonitoring. However, immediate facial dysfunction was more severe among the non-monitored patients.
https://ift.tt/2q0OTKL
Outcome of compartment resection of locally advanced oral cancers extending to infratemporal fossa: a tertiary rural hospital experience
Abstract
Locally advanced oral cancers extending to infratemporal fossa (ITF) are a challenge to head and neck surgeons. These tumors are classified as T4b whenever the masticator space (MS), pterygoid muscles (PM), and pterygoid plates (PP) are involved according to AJCC classification. Until recently, these tumors were considered inoperable and treated only with palliative intent. However, a few studies in the last decade showed that many of these tumors could be resected with a reasonably favorable prognosis by compartment resection of ITF, particularly when the tumor was below sigmoid notch of mandible. A few studies attempted to downstage these tumors by neo-adjuvant chemotherapy before attempting resection. Oral Squamous cell carcinoma has a high prevalence in South India. Majority of these patients are females addicted to tobacco quid chewing and present with locally advanced disease. In this retrospective analysis, we evaluated the outcome of treatment of oral squamous cell carcinoma extending to ITF and staged T4b in 52 patients. All patients underwent Composite resection including compartment resection of ITF followed by adjuvant treatment. 20 patients had received neo-adjuvant chemotherapy. Pectoralis major myocutaneous flap was the mainstay of reconstruction. After mean follow-up of 2 years, 31 patients are alive and disease free. 14 patients had local recurrence in ITF and 2 patients had recurred in cervical nodes. 8 patients died due to disease and 6 are on palliative care. Neo-adjuvant chemotherapy did not benefit the outcome. Close margins of resection, extra nodal spread from lymph nodes and supra notch and involvement of posterior part of ITF were factors which predisposed to recurrence.
https://ift.tt/2R3E4TD
A pilot study of oral tranexamic acid and Glycyrrhizin compound in the treatment of recalcitrant Riehl’s melanosis
Journal of Cosmetic Dermatology, EarlyView.
https://ift.tt/2R0UHiI
A pilot study of oral tranexamic acid and Glycyrrhizin compound in the treatment of recalcitrant Riehl’s melanosis
Journal of Cosmetic Dermatology, EarlyView.
https://ift.tt/2R0UHiI
Thymic localization of erythrodermic cutaneous T‐cell lymphoma
British Journal of Dermatology, Volume 0, Issue ja, -Not available-.
https://ift.tt/2J6DQZ6
The epithelial zinc transporter ZIP10 epigenetically regulates human epidermal homeostasis by modulating histone acetyltransferase activity
British Journal of Dermatology, Volume 0, Issue ja, -Not available-.
https://ift.tt/2yrDhFj
Letter in response: Mid‐face Toddler Excoriation Syndrome (MiTES) can be caused by autosomal recessive biallelic mutations in a gene for congenital insensitivity to pain, PRDM12
British Journal of Dermatology, Volume 0, Issue ja, -Not available-.
https://ift.tt/2J73i0F
Alitretinoin in punctate palmoplantar keratoderma
British Journal of Dermatology, Volume 0, Issue ja, -Not available-.
https://ift.tt/2yoa8e0
Harnessing autophagy to overcome MEK‐inhibitor induced resistance in metastatic melanoma
British Journal of Dermatology, Volume 0, Issue ja, -Not available-.
https://ift.tt/2J9OcHF
Association of CCL2 with systemic inflammation in Schnitzler's syndrome
British Journal of Dermatology, Volume 0, Issue ja, -Not available-.
https://ift.tt/2ysWFl5
Reporting of sample size calculations for randomized trials in dermatology: comparison of publications with registries
British Journal of Dermatology, Volume 0, Issue ja, -Not available-.
https://ift.tt/2J7vwbu
Atopic dermatitis, educational attainment and psychological functioning: a national cohort study
British Journal of Dermatology, Volume 0, Issue ja, -Not available-.
https://ift.tt/2ytRUHU
C5a receptor 1‐/‐ mice are protected from the development of IgE‐mediated experimental food allergy
Allergy, Volume 0, Issue ja, -Not available-.
https://ift.tt/2yQmhYJ
Thymic localization of erythrodermic cutaneous T‐cell lymphoma
British Journal of Dermatology, Volume 0, Issue ja, -Not available-.
https://ift.tt/2J6DQZ6
The epithelial zinc transporter ZIP10 epigenetically regulates human epidermal homeostasis by modulating histone acetyltransferase activity
British Journal of Dermatology, Volume 0, Issue ja, -Not available-.
https://ift.tt/2yrDhFj
Letter in response: Mid‐face Toddler Excoriation Syndrome (MiTES) can be caused by autosomal recessive biallelic mutations in a gene for congenital insensitivity to pain, PRDM12
British Journal of Dermatology, Volume 0, Issue ja, -Not available-.
https://ift.tt/2J73i0F
Alitretinoin in punctate palmoplantar keratoderma
British Journal of Dermatology, Volume 0, Issue ja, -Not available-.
https://ift.tt/2yoa8e0
Harnessing autophagy to overcome MEK‐inhibitor induced resistance in metastatic melanoma
British Journal of Dermatology, Volume 0, Issue ja, -Not available-.
https://ift.tt/2J9OcHF
Association of CCL2 with systemic inflammation in Schnitzler's syndrome
British Journal of Dermatology, Volume 0, Issue ja, -Not available-.
https://ift.tt/2ysWFl5
Reporting of sample size calculations for randomized trials in dermatology: comparison of publications with registries
British Journal of Dermatology, Volume 0, Issue ja, -Not available-.
https://ift.tt/2J7vwbu
Atopic dermatitis, educational attainment and psychological functioning: a national cohort study
British Journal of Dermatology, Volume 0, Issue ja, -Not available-.
https://ift.tt/2ytRUHU
Multiple ulcerated nodules on the leg
Clinical and Experimental Dermatology, EarlyView.
https://ift.tt/2EBLHPX
Multiple ulcerated nodules on the leg
Clinical and Experimental Dermatology, EarlyView.
https://ift.tt/2EBLHPX
Superior vena cava syndrome in a patient with locally advanced lung cancer with good response to definitive chemoradiation: a case report
The incidence of superior vena cava syndrome within the United States is roughly 15,000 cases per year. Superior vena cava syndrome is a potentially life-threatening medical condition; however, superior vena c...
https://ift.tt/2ySY97Q
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