Αρχειοθήκη ιστολογίου

Παρασκευή 27 Ιουλίου 2018

Epidermal growth factor receptor peptide vaccination induces cross-reactive immunity to human EGFR, HER2, and HER3

Abstract

Current treatments for tumors expressing epidermal growth factor receptor (EGFR) include anti-EGFR monoclonal antibodies, often used in conjunction with the standard chemotherapy, radiation therapy, or other EGFR inhibitors. While monoclonal antibody treatment is efficacious in many patients, drawbacks include its high cost of treatment and side effects associated with multiple drug infusions. As an alternative to monoclonal antibody treatments, we have focused on peptide-based vaccination to trigger natural anti-tumor antibodies. Here, we demonstrate that peptides based on a region of the EGFR extracellular domain IV break immune tolerance to EGFR and elicit anti-tumor immunity. Mice immunized with isoforms of EGFR peptide p580–598 generated anti-EGFR antibody and T-cell responses. Iso-aspartyl (iso-Asp)-modified EGFR p580 immune sera inhibit in vitro growth of EGFR overexpressing human A431 tumor cells, as well as promote antibody-dependent cell-mediated cytotoxicity (ADCC). Antibodies induced by Asp and iso-Asp p580 bound homologous regions of the EGFR family members HER2 and HER3. EGFR p580 immune sera also inhibited the growth of the human tumor cell line MDA-MB-453 that expresses HER2 but not EGFR. Asp and iso-Asp EGFR p580 induced antibodies were also able to inhibit the in vivo growth of EGFR-expressing tumors. These data demonstrate that EGFR peptides from a region of the EGFR extracellular domain IV promote anti-tumor immunity, tumor cell killing, and antibodies that are cross reactive with ErbB family members.



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Impact of Hypothyroidism and Heart Failure on Hospitalization Risk

Thyroid, Ahead of Print.


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Effect of Tumor Size and Minimal Extrathyroidal Extension in Patients with Differentiated Thyroid Cancer

Thyroid, Ahead of Print.


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The Association of Reactive Oxygen Species Levels on Noise Induced Hearing Loss of High Risk Workers in Dr. Soetomo General Hospital Surabaya, Indonesia

Abstract

Excessive noise exposure could increase the production of reactive oxygen species in the cochlea, thus causing the risk of noise-induced hearing loss (NIHL). Noise is commonly found in the industrial sites. However, public places like hospital also can have noisy location which risk the workers of NIHL. To analyzed the correlation of reactive oxygen species and hearing impairment to employees at risk in the hospital. Participants were obtained by identifying the employees in hospital from 3813. They were examined for baseline characteristics, hearing loss and reactive oxygen species. Hearing loss was defined as audiometry and tympanometry level. The statistical test that used in this study is Chi square test (p < 0.05). The proportion of participant was 42.43 ± 10.72 years old in women (58.33%) and noise levels at Dr. Soetomo General Hospital was 98.15 ± 8.16 dB in range 85.39–112.90 dB. The prevalence of NIHL was 47.92% (audiometry) and 70.83% (otoacoustic emission). Reactive oxygen species estimated 5.55 ± 4.39 ng/ml. Statistical analysis of reactive oxygen species to audiometry (p = 0.993) and reactive oxygen species to otoacoustic emission (p = 0.647). Increased production of reactive oxygen species that cause hearing loss, but there was no correlation between reactive oxygen species and hearing loss in risk worker at the hospital.



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The Association of Reactive Oxygen Species Levels on Noise Induced Hearing Loss of High Risk Workers in Dr. Soetomo General Hospital Surabaya, Indonesia

Abstract

Excessive noise exposure could increase the production of reactive oxygen species in the cochlea, thus causing the risk of noise-induced hearing loss (NIHL). Noise is commonly found in the industrial sites. However, public places like hospital also can have noisy location which risk the workers of NIHL. To analyzed the correlation of reactive oxygen species and hearing impairment to employees at risk in the hospital. Participants were obtained by identifying the employees in hospital from 3813. They were examined for baseline characteristics, hearing loss and reactive oxygen species. Hearing loss was defined as audiometry and tympanometry level. The statistical test that used in this study is Chi square test (p < 0.05). The proportion of participant was 42.43 ± 10.72 years old in women (58.33%) and noise levels at Dr. Soetomo General Hospital was 98.15 ± 8.16 dB in range 85.39–112.90 dB. The prevalence of NIHL was 47.92% (audiometry) and 70.83% (otoacoustic emission). Reactive oxygen species estimated 5.55 ± 4.39 ng/ml. Statistical analysis of reactive oxygen species to audiometry (p = 0.993) and reactive oxygen species to otoacoustic emission (p = 0.647). Increased production of reactive oxygen species that cause hearing loss, but there was no correlation between reactive oxygen species and hearing loss in risk worker at the hospital.



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Harnessing CRISPR to combat human viral infections

Hendrik de Buhr | Robert Jan Lebbink

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Reconstruction with submental flap for aggressive orofacial cancer- an updated series

Publication date: Available online 27 July 2018

Source: American Journal of Otolaryngology

Author(s): Tam-Lin Chow, Wilson W.Y. Kwan, Siu-Chung Fung, Lai-In Ho, Ka-Lai Au

Abstract
Purpose

Submental flap is gaining popularity for head and neck reconstruction. We have reported in 2007 our early experience of using submental flap for aggressive orofacial malignancy. Novel flap design and application is described in this updated series.

Materials and Methods

15 patients who had received submental flap reconstruction after extirpation of newly diagnosed aggressive orofacial lesions were retrieved. The details of the flap harvest was studied for flap size, inclusion of mylohyoid muscle, antegrade versus retrograde blood supply, and compared with our previous series.

Results

The dimension of flap skin paddle was 30cm2 (range 20–72). Retrograde pedicle flow was used in 2(13.3%) patients. Mylohyoid muscle was included in the flap in 6(40%) patients. There was no total flap necrosis while partial flap necrosis occurred in 1 patient(6.7%). There was a significant increase of inclusion of mylohyoid muscle to the flap in this series (p = 0.02). Novel techniques including double-paddled flap skin to resurface full-thickness defect and chimeric osteocutaneous mandible submental flap for maxillary defect were successfully performed.

Conclusions

Submental flap is a viable reconstructive option in selected patients with aggressive orofacial malignancy. The indications are expanding and its technical modification is evolving and resulting in more innovative applications.



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Diagnostic Algorithm for Evaluating Nasal Airway Obstruction

Nasal obstruction is a common symptom and can have a large impact on patient quality of life. There are numerous causes, including anatomic, congenital, inflammatory, infectious, neoplastic, toxic, and systemic. An algorithmic approach can aid in ensuring all pertinent patient information is incorporated into the final diagnosis and treatment plan. Key components include a thorough history, physical examination including modified Cottle and Cottle maneuver, patient-reported outcome measures and/or quality of life questionnaires, examination with and without decongestion, and nasal endoscopy. The resultant information can then be effectively used to narrow the differential and guide the next steps in management.

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Small airway function in children with mild-to-moderate asthmatic symptoms and healthy controls

Background: Clinical significance of small airway obstruction in mild pediatric asthma is unclear.Objective: To evaluate small airway properties in children with mild-tomoderate asthmatic symptoms, and the association of small airway function with asthma control and exercise-induced bronchoconstriction (EIB).Methods: Children (5-10 years) with either recurrent wheezing (n=42) or persistent troublesome cough (n=16), and healthy controls (n=19) performed impulse oscillometry (IOS), spirometry, and multiple-breath nitrogen washout (MBNW) test.

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Management of anaphylaxis and allergies in patients with long QT syndrome - review of current evidence

Long QT syndrome (LQTS) represents a diverse group of inherited and acquired disorders of ventricular repolarization characterized by prolongation of the QT interval associated with an increased risk of life-threatening Torsades de Pointes (TdP) ventricular tachycardias. Symptoms of TdP ventricular tachycardia range from syncope, when TdP stops spontaneously, to cardiac arrest, when TdP deteriorates to ventricular fibrillation. The diagnosis of inherited LQTS (iLQTS) relies on prolonged QT interval in the electrocardiogram (ECG) or prolongation of the heart beat corrected QT interval (QTc) respectively, clinical and family history and/ or genetic testing 1.

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Direct oral amoxicillin challenge without antecedent penicillin skin testing in low-risk patients

Temino et al recently described outcomes of an outpatient penicillin skin testing initiative in an allergy clinic.1 Consistent with other studies, >90% of patients labeled as penicillin (PCN) allergic were found to be tolerant of PCN. This is in accordance with current guidelines encouraging routine PCN allergy verification in all comers with this diagnosis, in view of the substantial clinical and economic consequences of a PCN allergy label.

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Use of Biomarkers to Identify Phenotypes and Endotypes of Severe Asthma

Severe asthma is a complex, heterogeneous set of diseases. The European Respiratory Society and American Thoracic Society Task Force define severe asthma as asthma that requires or remains uncontrolled despite treatment with systemic corticosteroids or high dose inhaled corticosteroids plus another controller such as a long acting beta agonist1. Lack of control can be determined by symptoms, lung function, or exacerbations, accounting for inter-individual variability in disease state and outcomes.

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Small airway function in children with mild-to-moderate asthmatic symptoms and healthy controls

Publication date: Available online 27 July 2018

Source: Annals of Allergy, Asthma & Immunology

Author(s): Hanna Knihtilä, Anne Kotaniemi-Syrjänen, Anna S. Pelkonen, Mika J. Mäkelä, L Pekka Malmberg

Abstract

Background: Clinical significance of small airway obstruction in mild pediatric asthma is unclear.

Objective: To evaluate small airway properties in children with mild-tomoderate asthmatic symptoms, and the association of small airway function with asthma control and exercise-induced bronchoconstriction (EIB).

Methods: Children (5-10 years) with either recurrent wheezing (n=42) or persistent troublesome cough (n=16), and healthy controls (n=19) performed impulse oscillometry (IOS), spirometry, and multiple-breath nitrogen washout (MBNW) test. Exhaled nitric oxide (NO) was measured at multiple flow rates to determine alveolar NO concentration (CALV). Asthma control was evaluated with the Childhood Asthma Control Test (C-ACT), short-acting beta2-agonist (SABA) use within the past month, and asthma exacerbations within the past year.

Results: IOS, spirometry, and exhaled NO indices which are related to small airway function differed between children with recurrent wheezing and healthy controls, whereas only forced expiratory flow at 25-75% of the forced vital capacity (FEF25-75) was associated with persistent cough. MBNW indices showed no difference between the groups. Among symptomatic children, conducting airway ventilation inhomogeneity (Scond) and CALV were associated with asthma exacerbations (p=0.028 and p=0.002, respectively), and lung clearance index (LCI) and CALV were associated with EIB (p=0.044 and p=0.004, respectively). None of the proposed small airway indices was associated with the C-ACT score or SABA use.

Conclusion: Subtle changes were observed in the proposed small airway indices of IOS, spirometry, and exhaled NO among children with mild-tomoderate recurrent wheezing. Small airway dysfunction, expressed as ventilation inhomogeneity indices and CALV, was also associated with asthma exacerbations and EIB.



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Anatomical basis for simultaneous block of greater and third occipital nerves, with an ultrasound-guided technique

Abstract

Purpose

In some headache disorders, for which the greater occipital nerve block is partly effective, the third occipital nerve is also suggested to be involved. We aimed to establish a simple technique for simultaneously blocking the greater and third occipital nerves.

Methods

We performed a detailed examination of dorsal neck anatomy in 33 formalin-fixed cadavers, and deduced two candidate target points for blocking both the greater and third occipital nerves. These target points were tested on three Thiel-fixed cadavers. We performed ultrasound-guided dye injections into these points, examined the results by dissection, and selected the most suitable injection point. Finally, this target point was tested in three healthy volunteers. We injected 4 ml of local anesthetic and 1 ml of radiopaque material at the selected point, guided with a standard ultrasound system. Then, the pattern of local anesthetic distribution was imaged with computed tomography.

Results

We deduced that the most suitable injection point was the medial head of the semispinalis capitis muscle at the C1 level of the cervical vertebra. Both nerves entered this muscle, in close proximity, with little individual variation. In healthy volunteers, an anesthetic injected was confined to the muscle and induced anesthesia in the skin areas innervated by both nerves.

Conclusions

The medial head of the semispinalis capitis muscle is a suitable landmark for blocking the greater and third occipital nerves simultaneously, by which occipital nerve involvement in various headache disorders may be rapidly examined and treated.



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The history and progress of local anesthesia: multiple approaches to elongate the action

Abstract

Analgesia and temporary inhibition of motor activity without interfering with central nervous function have been the essential merits of local anesthesia. Local anesthetics originated from cocaine have played a major role in local analgesia. However, the relatively short duration of action of local anesthetics has been a concern in intra- and post-operative analgesia. From the early age of modern local anesthesia, physicians and medical scientists had been struggling to control the active duration of local anesthetics. Such approach includes: development of long-acting local anesthetics, with physical tourniquet techniques, co-administration of other medicines such as vaso-constrictive agents or analgesics, development of mechanical devices to continuously or intermittently administer local anesthetics, and utilization of pharmaceutical drug delivery systems. In this review, the historical sequence of studies that have been performed in an effort to elongate the action of local anesthetics is presented, referring to epoch-making medical and scientific studies.



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Preface to the Special issue for the 27th International complement workshop

Publication date: Available online 27 July 2018

Source: Molecular Immunology

Author(s): Andrea J. Tenner, John P. Atkinson, V. Michael Holers



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Sun Safety Tips for Your Family

Once again, we are amidst summer's hottest months and many parents are asking what they can do to keep their kids safe from the sun's harmful rays. Is wearing sunscreen enough? What kind of sunscreen should you buy? Dr. Kristen Bruno gives her best advice on how to protect your children from the sun's most intense rays.

The post Sun Safety Tips for Your Family appeared first on ChildrensMD.



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Hyperhidrosis: Five Things to Know

Public awareness of this medical condition is driving many patients out of the woodwork and into their provider's offices. Be ready to discuss the treatment options.
Medscape Dermatology

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Thyroid® High-Impact Articles

thyroid-cover-july-2018.png

FREE ACCESS through August 9, 2018.
Read now:

Latest Impact Factor: 7.557
The Official Journal of: American Thyroid Association®

American Thyroid Association Statement on Postoperative Hypoparathyroidism: Diagnosis, Prevention, and Management in Adults
Lisa A. Orloff, Sam M. Wiseman, Victor J. Bernet, Thomas J. FaheyIII, Ashok R. Shaha, Maisie L. Shindo, Samuel K. Snyder, Brendan C. StackJr., John B. Sunwoo, and Marilene B. Wang

Does Reverse Triiodothyronine Testing Have Clinical Utility? An Analysis of Practice Variation Based on Order Data from a National Reference Laboratory
Robert L. Schmidt, Jonathan S. LoPresti, Michael T. McDermott, Suzanna M. Zick, and Joely A. Straseski

Needle Biopsy of Routine Thyroid Nodules Should Be Performed Using a Capillary Action Technique with 24- to 27-Gauge Needles: A Systematic Review and Meta-Analysis
William J. Moss, Andrey Finegersh, John Pang, Joseph A. Califano, Charles S. Coffey, Ryan K. Orosco, and Kevin T. Brumund

Changing Trend of Thyroglobulin Antibodies in Patients With Differentiated Thyroid Cancer Treated With Total Thyroidectomy Without 131I Ablation
Antonio Matrone, Francesco Latrofa, Liborio Torregrossa, Paolo Piaggi, Carla Gambale, Alessio Faranda, Debora Ricci, Laura Agate, Eleonora Molinaro, Fulvio Basolo, Paolo Vitti, and Rossella Elisei

Neoadjuvant BRAF- and Immune-Directed Therapy for Anaplastic Thyroid Carcinoma
Maria E. Cabanillas, Renata Ferrarotto, Adam S. Garden, Salmaan Ahmed, Naifa L. Busaidy, Ramona Dadu, Michelle D. Williams, Heath Skinner, G. Brandon Gunn, Horiana Grosu, Priyanka Iyer, Marie Claude Hofmann, and Mark Zafereo

The post <i>Thyroid<sup>®</sup></i> High-Impact Articles appeared first on American Thyroid Association.



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Age-dependent Pavlovian biases influence motor decision-making.

Chen, X; Rutledge, RB; Brown, HR; Dolan, RJ; Bestmann, S; Galea, JM; (2018) Age-dependent Pavlovian biases influence motor decision-making. PLoS Comput Biol , 14 (7) , Article e1006304. 10.1371/journal.pcbi.1006304 . Green open access

https://ift.tt/2vcm2Fd

On the impact of the preparation method on the surface basicity of Mg–Zr mixed oxide catalysts for tributyrin transesterification

Rabee, AIM; Manayil, JC; Isaacs, MA; Parlett, CMA; Durndell, LJ; Zaki, MI; Lee, AF; Rabee, AIM; Manayil, JC; Isaacs, MA; Parlett, CMA; Durndell, LJ; Zaki, MI; Lee, AF; Wilson, K; - view fewer (2018) On the impact of the preparation method on the surface basicity of Mg–Zr mixed oxide catalysts for tributyrin transesterification. Catalysts , 8 (6) , Article 228. 10.3390/catal8060228 . Green open access

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On the influence of Si:Al ratio and hierarchical porosity of FAU zeolites in solid acid catalysed esterification pretreatment of bio-oil

Osatiashtiani, A; Puértolas, B; Oliveira, CCS; Manayil, JC; Barbero, B; Isaacs, M; Michailof, C; ... Wilson, K; + view all Osatiashtiani, A; Puértolas, B; Oliveira, CCS; Manayil, JC; Barbero, B; Isaacs, M; Michailof, C; Heracleous, E; Pérez-Ramírez, J; Lee, AF; Wilson, K; - view fewer (2017) On the influence of Si:Al ratio and hierarchical porosity of FAU zeolites in solid acid catalysed esterification pretreatment of bio-oil. Biomass Conversion and Biorefinery , 7 (3) pp. 331-342. 10.1007/s13399-017-0254-x . Green open access

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Lessons learned from unsuccessful use of personal carbon monoxide monitors to remotely assess abstinence in a pragmatic trial of a smartphone stop smoking app – a secondary analysis

Herbec, AA; Brown, J; Shahab, L; West, R; (2018) Lessons learned from unsuccessful use of personal carbon monoxide monitors to remotely assess abstinence in a pragmatic trial of a smartphone stop smoking app – a secondary analysis. Addictive Behaviors Reports (In press). Green open access

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Three-dimensional behavioural phenotyping of freely moving C. elegans using quantitative light field microscopy.

Shaw, M; Zhan, H; Elmi, M; Pawar, V; Essmann, C; Srinivasan, MA; (2018) Three-dimensional behavioural phenotyping of freely moving C. elegans using quantitative light field microscopy. PLoS One , 13 (7) , Article e0200108. 10.1371/journal.pone.0200108 . Green open access

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On the Mn promoted synthesis of higher alcohols over Cu derived ternary catalysts

Liakakou, ET; Isaacs, MA; Wilson, K; Lee, AF; Heracleous, E; (2017) On the Mn promoted synthesis of higher alcohols over Cu derived ternary catalysts. Catalysis Science & Technology , 7 (4) pp. 988-999. 10.1039/c7cy00018a . Green open access

https://ift.tt/2LpBmJE

Optical coherence tomography angiography: Technical principles and clinical applications in ophthalmology

Hagag, AM; Gao, SS; Jia, Y; Huang, D; (2017) Optical coherence tomography angiography: Technical principles and clinical applications in ophthalmology. Taiwan Journal of Ophthalmology , 7 (3) pp. 115-129. 10.4103/tjo.tjo_31_17 . Green open access

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Optimized I-values for the use with the Bragg additivity rule and their impact on proton stopping power and range uncertainty

Bär, E; Andreo, P; Lalonde, A; Royle, GJ; Bouchard, H; (2018) Optimized I-values for the use with the Bragg additivity rule and their impact on proton stopping power and range uncertainty. Physics in Medicine & Biology 10.1088/1361-6560/aad312 . (In press). Green open access

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Optimizing Clinical Trial Design to Maximize Evidence Generation in Pediatric HIV

Ford, D; Turner, R; Turkova, A; Penazzato, M; Musiime, V; Bwakura-Dangarembizi, M; Violari, A; ... Gibb, DM; + view all Ford, D; Turner, R; Turkova, A; Penazzato, M; Musiime, V; Bwakura-Dangarembizi, M; Violari, A; Chabala, C; Puthanakit, T; Sudjaritruk, T; Cressey, TR; Lallemant, M; Gibb, DM; - view fewer (2018) Optimizing Clinical Trial Design to Maximize Evidence Generation in Pediatric HIV. Journal of Acquired Immune Deficiency Syndromes , 78 (Sup) S40-S48. 10.1097/QAI.0000000000001748 . Green open access

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Orbital Angular Momentum Generation and Detection by Geometric-Phase Based Metasurfaces

Chen, MLN; Jiang, LJ; Sha, WEI; (2018) Orbital Angular Momentum Generation and Detection by Geometric-Phase Based Metasurfaces. Applied Sciences , 8 (3) , Article 362. 10.3390/app8030362 . Green open access

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P25@CoAl layered double hydroxide heterojunction nanocomposites for CO2 photocatalytic reduction

Kumar, S; Isaacs, MA; Trofimovaite, R; Durndell, L; Parlett, CMA; Douthwaite, RE; Coulson, B; ... Lee, AF; + view all Kumar, S; Isaacs, MA; Trofimovaite, R; Durndell, L; Parlett, CMA; Douthwaite, RE; Coulson, B; Cockett, MCR; Wilson, K; Lee, AF; - view fewer (2017) P25@CoAl layered double hydroxide heterojunction nanocomposites for CO2 photocatalytic reduction. Applied Catalysis B: Environmental , 209 pp. 394-404. 10.1016/j.apcatb.2017.03.006 . Green open access

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Parametric mapping using spectral analysis for C-11-PBR28 PET reveals neuroinflammation in mild cognitive impairment subjects

Fan, Z; Dani, M; Femminella, GD; Wood, M; Calsolaro, V; Veronese, M; Turkheimer, F; ... Edison, P; + view all Fan, Z; Dani, M; Femminella, GD; Wood, M; Calsolaro, V; Veronese, M; Turkheimer, F; Gentleman, S; Brooks, DJ; Hinz, R; Edison, P; - view fewer (2018) Parametric mapping using spectral analysis for C-11-PBR28 PET reveals neuroinflammation in mild cognitive impairment subjects. European Journal of Nuclear Medicine and Molecular Imaging , 45 (8) pp. 1432-1441. 10.1007/s00259-018-3984-5 . Green open access

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Partitioning of Oxygen Between Ferropericlase and Earth's Liquid Core

Davies, CJ; Pozzo, M; Gubbins, D; Alfè, D; (2018) Partitioning of Oxygen Between Ferropericlase and Earth's Liquid Core. Geophysical Research Letters , 45 (12) pp. 6042-6050. 10.1029/2018GL077758 . Green open access

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Applying the 2017 McDonald diagnostic criteria for multiple sclerosis – Authors' reply

Thompson, AJ; Reingold, SC; Cohen, JA; International Panel on Diagnosis of Multiple Sclerosis, .; (2018) Applying the 2017 McDonald diagnostic criteria for multiple sclerosis – Authors' reply. The Lancet Neurology , 17 (6) pp. 499-500. 10.1016/S1474-4422(18)30168-6 .

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A quantitative performance study of two automatic methods for the diagnosis of ovarian cancer

Vázquez, MA; Mariño, IP; Blyuss, O; Ryan, A; Gentry-Maharaj, A; Kalsi, J; Manchanda, R; ... Zaikin, A; + view all Vázquez, MA; Mariño, IP; Blyuss, O; Ryan, A; Gentry-Maharaj, A; Kalsi, J; Manchanda, R; Jacobs, I; Menon, U; Zaikin, A; - view fewer (2018) A quantitative performance study of two automatic methods for the diagnosis of ovarian cancer. Biomedical Signal Processing and Control , 46 pp. 86-93. 10.1016/j.bspc.2018.07.001 . Green open access

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All You Need Is Fats-for Seizure Control: Using Amoeba to Advance Epilepsy Research

Warren, EC; Walker, MC; Williams, RSB; (2018) All You Need Is Fats-for Seizure Control: Using Amoeba to Advance Epilepsy Research. Frontiers in Cellular Neuroscience , 12 , Article 199. 10.3389/fncel.2018.00199 . Green open access

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Monsters in the uterus: teratoma-like tumors in senescent C. elegans result from a parthenogenetic quasi-program.

Wang, H; Zhang, Z; Gems, D; (2018) Monsters in the uterus: teratoma-like tumors in senescent C. elegans result from a parthenogenetic quasi-program. [Editorial comment]. Aging , 10 (6) pp. 1188-1189. 10.18632/aging.101486 . Green open access

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'The Modern Slavery Act Three Years On'

Mantouvalou, V; (2018) 'The Modern Slavery Act Three Years On'. Modern Law Review (In press).

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A Multicentre Study of 5-year Outcomes Following Focal Therapy in Treating Clinically Significant Nonmetastatic Prostate Cancer

Guillaumier, S; Peters, M; Arya, M; Afzal, N; Charman, S; Dudderidge, T; Hosking-Jervis, F; ... Ahmed, HU; + view all Guillaumier, S; Peters, M; Arya, M; Afzal, N; Charman, S; Dudderidge, T; Hosking-Jervis, F; Hindley, RG; Lewi, H; McCartan, N; Moore, CM; Nigam, R; Ogden, C; Persad, R; Shah, K; van der Meulen, J; Virdi, J; Winkler, M; Emberton, M; Ahmed, HU; - view fewer (2018) A Multicentre Study of 5-year Outcomes Following Focal Therapy in Treating Clinically Significant Nonmetastatic Prostate Cancer. European Urology 10.1016/j.eururo.2018.06.006 . (In press). Green open access

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Assessing students’ knowledge of owls from their drawings and written responses

Torkar, G; Gnidovec, T; Tunnicliffe, SD; Tomažič, I; (2018) Assessing students' knowledge of owls from their drawings and written responses. Journal of Biological Education 10.1080/00219266.2017.1420682 . (In press).

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Accuracy of identifying the cricothyroid membrane in children using palpation

Abstract

Accurate identification of the cricothyroid membrane (CTM) has paramount importance in the event of a 'cannot intubate, cannot oxygenate' scenario. We sought to determine the ability of anesthesiologists to correctly identify the CTM in obese and non-obese children. Anesthesiologists were asked to mark the entry point of the cricothyroidotomy device with an ultraviolet invisible pen on obese and non-obese (BMI < 95th percentile for age and sex) children aged 7–12 years. A correct estimation was defined as a mark made between the upper and lower borders of the CTM and within the 3-mm midline. Twenty anesthesiologists palpated 30 obese and 50 non-obese children. The CTM was accurately identified with digital palpation in a total 55% of children, and there were no differences inaccurate identification rates of the CTM between obese and non-obese children [57 vs. 54%, respectively; median difference 3%; 95% confidence interval (− 20 to 25%); p = 0.82]. Accuracy was not correlated with any demographic or morphometric features of the children. Percutaneous identification of the CTM in children aged 7–12 years was poor and not significantly different for obese and non-obese children. Pre-procedural ultrasonography may help to identify the landmarks for cricothyroidotomy.



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Opioids, gliosis and central immunomodulation

Abstract

Neuropathic pain is a common health problem that affects millions of people worldwide. Despite being studied extensively, the cellular and molecular events underlying the central immunomodulation and the pathophysiology of neuropathic pain is still controversial. The idea that 'glial cells are merely housekeepers' is incorrect and with respect to initiation and maintenance of neuropathic pain, microglia and astrocytes have important roles to play. Glial cells differentially express opioid receptors and are thought to be functionally modulated by the activation of these receptors. In this review, we discuss evidence for glia-opioid modulation of pain by focusing on the pattern of astrocyte and microglial activation throughout the progress of nerve injury/neuropathic pain. Activation of astrocytes and microglia is a key step in central immunomodulation in terms of releasing pro-inflammatory markers and propagation of a 'central immune response'. Inhibition of astrocytes before and after induction of neuropathic pain has been found to prevent and reverse neuropathic pain, respectively. Moreover, microglial inhibitors have been found to prevent (but not to reverse) neuropathic pain. As they are expressed by glia, opioid receptors are expected to have a role to play in neuropathic pain.



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Management of anaphylaxis and allergies in patients with long QT syndrome - review of current evidence

Publication date: Available online 27 July 2018

Source: Annals of Allergy, Asthma & Immunology

Author(s): Tatjana Welzel, Victoria C. Ziesenitz, Stefanie Seitz, Birgit Donner, Johannes N. van den Anker



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Direct oral amoxicillin challenge without antecedent penicillin skin testing in low-risk patients

Publication date: Available online 27 July 2018

Source: Annals of Allergy, Asthma & Immunology

Author(s): Merin Kuruvilla, Jamie Thomas



https://ift.tt/2mMd0LB

Use of Biomarkers to Identify Phenotypes and Endotypes of Severe Asthma

Publication date: Available online 27 July 2018

Source: Annals of Allergy, Asthma & Immunology

Author(s): Tara F Carr, Monica Kraft



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SHR-1210 in Combination With Apatinib and Chemotherapy in Patients With Advanced Esophageal Squamous Cell Cancer

Condition:   Esophageal Squamous Cell Carcinoma
Interventions:   Drug: SHR-1210;   Drug: Apatinib;   Drug: Irinotecan Injection;   Drug: Paclitaxel liposome;   Drug: Nedaplatin
Sponsor:   Chinese Academy of Medical Sciences
Not yet recruiting

https://ift.tt/2uRINiK

SUV Accuracy of PET/MR

Condition:   Positron Emission Tomography-Magnetic Resonance (PET-MR)
Interventions:   Diagnostic Test: Positron Emission Test / Magnetic Resonance (PET/MR);   Diagnostic Test: Positron Emission Test / Computed Tomography (PET/CT)
Sponsors:   Case Comprehensive Cancer Center;   National Institutes of Health (NIH)
Not yet recruiting

https://ift.tt/2LTH7f0

A Comparison of NETSPOT Imaging Versus F-FDG-PET in Head and Neck Cancer Patients

Condition:   Head and Neck Squamous Cell Carcinoma
Intervention:   Drug: The isotope 68Ga, NETSPOT and 18F-FDG-PET/CT
Sponsor:   West Virginia University
Not yet recruiting

https://ift.tt/2uUoJMF

Pembrolizumab in Treating Participants With Leukoplakia

Conditions:   Erythroleukoplakia;   Leukoplakia;   Verrucous Oral Leukoplakia
Intervention:   Biological: Pembrolizumab
Sponsors:   Jonsson Comprehensive Cancer Center;   National Cancer Institute (NCI);   Merck Sharp & Dohme Corp.
Not yet recruiting

https://ift.tt/2NPtoXf

Evaluation of HPV OncoTect ™ for the Etiological Diagnosis of HPV-induced Oropharyngeal Cancers

Condition:   Oropharyngeal Cancer
Intervention:   Diagnostic Test: HPV OncoTect™
Sponsor:   Gustave Roussy, Cancer Campus, Grand Paris
Recruiting

https://ift.tt/2LGZTt2

Pilonidal disease, hidradenitis suppurativa and follicular occlusion syndrome: a diagnostic challenge

L'articolo Pilonidal disease, hidradenitis suppurativa and follicular occlusion syndrome: a diagnostic challenge sembra essere il primo su European Review.



https://ift.tt/2v9rV67

Underestimation of house dust mite-specific IgE with extract-based ImmunoCAPs compared to molecular ImmunoCAPs

Publication date: Available online 27 July 2018

Source: Journal of Allergy and Clinical Immunology

Author(s): Huey-Jy Huang, Yvonne Resch-Marat, Azahara Rodriguez-Dominguez, Kuan-Wei Chen, Renata Kiss, Petra Zieglmayer, René Zieglmayer, DI, Patrick Lemell, Friedrich Horak, Rudolf Valenta, Susanne Vrtala

Summary

We identified 6 house dust mite (HDM) allergen molecules to comprising the majority of HDM IgE-binding components and show that molecular ImmunoCAPs based on these six allergens are superior to allergen extract-based ImmunoCAPs for quantifying HDM-specific IgE.



https://ift.tt/2mKD5dI

Expression of Corticosteroid Regulated Genes By Peripheral Blood Mononuclear Cells in Children with Asthma

Publication date: Available online 27 July 2018

Source: Journal of Allergy and Clinical Immunology

Author(s): Elena Goleva, Denise C. Babineau, Michelle A. Gill, Leisa P. Jackson, Baomei Shao, Zheng Hu, Andrew H. Liu, Cynthia M. Visness, Christine A. Sorkness, Donald Y.M. Leung, Alkis Togias, William W. Busse

Abstract
Background

Variability in response to inhaled corticosteroids may result in less than optimal asthma control and development of biomarkers assessing therapeutic efficacy of corticosteroids is important.

Objective

To examine whether in vitro peripheral blood mononuclear cell (PBMC) responses to corticosteroids relate to the clinical inhaled corticosteroid response.

Methods

PBMC were collected from 125 children with asthma (6-17 years) at enrollment (Visit 0, V0) and after one year of bimonthly guidelines-based management visits (Visit 6, V6). Difficult- versus easy-to-control asthma were defined as requiring daily therapy with ≥500 μg of fluticasone propionate (FLU) with/without a long-acting beta-agonist versus requiring ≤100 μg of FLU in at least 4 visits. mRNA levels of glucocorticoid receptor alpha (GRalpha), corticosteroid transactivation (FK binding protein 5 (FKBP5)) and transrepression markers (IL-8, TNFalpha) were measured by RT-PCR in freshly isolated cells and in response to 10-8 M FLU.

Results

Compared to easy-to-control, PBMC of difficult-to-control asthma had significantly lower GRalpha at V0 (p=0.05). A 30% increase in IL-8 suppression by FLU (p=0.04) and a trend for increased TNFalpha suppression by FLU between V0 and V6 (p=0.07) were observed in easy-to-control asthma. In contrast, no changes between V0 and V6 in the IL-8 and TNFalpha suppression by FLU were observed in difficult-to-control asthma. Corticosteroid-mediated transactivation (FKBP5 induction by FLU) increased in the PBMC of difficult- and easy-to-control asthma between V0 and V6 (p=0.05 and p=0.03 respectively).

Conclusions

PBMC of children with difficult-to-control asthma treated with guidelines-based therapy and requiring high dose inhaled corticosteroids had reduced in vitro responsiveness to corticosteroids.



https://ift.tt/2Ac83oY

A Single-Arm, Open-Label, Phase IV Study to Evaluate the Efficacy of a Topical Formulation for Hyperkeratotic Actinic Keratosis Lesions

Abstract

Introduction

Actinic keratosis (AKs) are epidermal lesions that commonly occur in skin exposed to chronic cumulative UV irradiation. Untreated AK lesions can advance to squamous cell carcinoma. Current treatments of AK have many shortcomings; for instance, not all treatments can be used for the hyperkeratotic form of AK. The aim of this study was to test the efficacy and tolerability of a topical product containing 2,4,6-octatrienoic acid and urea for the treatment of hyperkeratotic AK lesions.

Methods

Forty male and female subjects with at least two hyperkeratotic AK lesions were enrolled in this single-arm, open-label phase IV study. The product was applied twice daily for two consecutive months. The efficacy endpoints were the reductions in the mean number of AK lesions per subject from baseline (T0) to the end of the trial (T1) and to three months after the end of the treatment period (T2).

Results

At T0, the mean (SD) number of lesions per subject was 3.65 (1.25). At the end of the treatment period (T1), this number had dropped (significantly, p < 0.0001) by 83.56%. The mean number of lesions per subject then decreased by 41.47% (p < 0.0001) between T1 and the three-month follow-up visit (T2). Complete elimination of lesions had occurred in 57.5% of the subjects at T1, and 82.5% (55% who had remained completely clear of lesions since T1, and 27.5% who had fully eliminated their lesions during the period from T1 to T2) at T2. No side effects were reported.

Conclusion

The application of a topical combination of 2,4,6-octatrienoic acid and urea twice daily for 60 consecutive days is a safe and effective treatment for hyperkeratotic AK lesions.

Funding

Giuliani SpA.



https://ift.tt/2uTGXxx

Editorial Board w/barcode



https://ift.tt/2LQAyd3

Table of Contents



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Pretreatment factors affecting traumatic tympanic membrane regeneration therapy using epidermal growth factor

Publication date: Available online 27 July 2018

Source: American Journal of Otolaryngology

Author(s): Zheng-Cai Lou, Wei Hong, Zihan-Lou

Abstract
Objective

The use of epidermal growth factor (EGF) to achieve closure of human traumatic tympanic membrane perforations (TMPs) was recently reported. However, pretreatment factors affecting healing outcomes have seldom been discussed. This study was performed to evaluate pretreatment factors contributing to the success or failure of TMP healing using EGF.

Design and participants

This was a retrospective cohort study of 95 TMPs who were observed for at least 6 months after EGF treatment. Eleven factors considered likely to affect healing outcome were evaluated by univariate and multivariate logistic regression analyses.

Interventions

Each traumatic TMP was treated by daily topical application of EGF. The main outcome measures were complete closure versus failure to close and mean closure time.

Results

A total of 95 patients were included in the analyses. The total closure rate was 92.6% at 6 months, and the mean closure time was 10.5 ± 4.8 days. The closure rate was not significantly different according to the duration of perforation ≤3 days and >3 days (P = 0.816). However, the mean closure time was significantly different according to the duration of perforation (P < 0.001). The perforation size did not affect the closure rate (P = 0.442). The mean closure time in the low-dose EGF group was significantly shorter than that in the high-dose EGF group (P = 0.001). Logistic regression analyses showed that perforations with preexisting myringosclerosis were more likely to fail to close compared to those without preexisting myringosclerosis (P = 0.001). Multivariate logistic regression analyses showed that the duration of perforation (P = 0.011), size of perforation (P < 0.001), and involvement of the malleus in perforation (P = 0.005) were factors independently correlated with closure time.

Conclusions

Daily application of EGF can be used to treat all traumatic TMPs. The size of the perforation and inverted edges did not affect the closure rate, and the most beneficial dosage was sufficient to keep the eardrum moist. Multivariate logistic regression analyses revealed a significant correlation between preexisting myringosclerosis and failure to heal. Nevertheless, the size of perforation, starting time of application, and malleus injury were independent prognostic factors for prolonged healing time.



https://ift.tt/2mNHBZh

Accuracy of transperineal targeted prostate biopsies, both visual-estimation and image-fusion for men needing a repeat biopsy in the PICTURE trial

Simmons, LAM; Kanthabalan, A; Arya, M; Briggs, T; Barratt, D; Charman, SC; Freeman, A; ... Ahmed, HU; + view all Simmons, LAM; Kanthabalan, A; Arya, M; Briggs, T; Barratt, D; Charman, SC; Freeman, A; Gelister, J; Hawkes, D; Hu, Y; Jameson, C; McCartan, N; Moore, CM; Punwani, S; van der Muelen, J; Emberton, M; Ahmed, HU; - view fewer (2018) Accuracy of transperineal targeted prostate biopsies, both visual-estimation and image-fusion for men needing a repeat biopsy in the PICTURE trial. The Journal of Urology 10.1016/j.juro.2018.07.001 . (In press).

https://ift.tt/2LqmjiQ

Attitudes towards a programme of risk assessment and stratified management for ovarian cancer: a focus group study of UK South Asians' perspectives.

Hann, KEJ; Ali, N; Gessler, S; Fraser, LSM; Side, L; Waller, J; Sanderson, SC; ... PROMISE study team, ; + view all Hann, KEJ; Ali, N; Gessler, S; Fraser, LSM; Side, L; Waller, J; Sanderson, SC; Lanceley, A; PROMISE study team, ; - view fewer (2018) Attitudes towards a programme of risk assessment and stratified management for ovarian cancer: a focus group study of UK South Asians' perspectives. BMJ Open , 8 (7) , Article e021782. 10.1136/bmjopen-2018-021782 . Green open access

https://ift.tt/2K0V7Sj

Enhancing learning and retrieval of new information: a review of the forward testing effect

Yang, C; Potts, R; Shanks, DR; (2018) Enhancing learning and retrieval of new information: a review of the forward testing effect. npj Science of Learning , 3 (1) , Article 8. 10.1038/s41539-018-0024-y . Green open access

https://ift.tt/2LpOsGV

'Subtitling's a carnival': New practices in cyberspace

Diaz-Cintas, J; (2018) 'Subtitling's a carnival': New practices in cyberspace. JoSTrans : the Journal of Specialised Translation (30) pp. 127-149. Green open access

https://ift.tt/2K1r90m

Search for heavy particles decaying into top-quark pairs using lepton-plus-jets events in proton–proton collisions at √s=13 TeV with the ATLAS detector

Aaboud, M; Aad, G; Abbott, B; Abdinov, O; Abeloos, B; Abidi, SH; AbouZeid, OS; ... Araujo Ferraz, V; + view all Aaboud, M; Aad, G; Abbott, B; Abdinov, O; Abeloos, B; Abidi, SH; AbouZeid, OS; Abraham, NL; Abramowicz, H; Abreu, H; Abulaiti, Y; Acharya, BS; Adachi, S; Adamczyk, L; Adelman, J; Adersberger, M; Adiguzel, A; Adye, T; Affolder, AA; Afik, Y; Agheorghiesei, C; Aguilar-Saavedra, JA; Ahmadov, F; Aielli, G; Akatsuka, S; Åkesson, TPA; Akilli, E; Akimov, AV; Alberghi, GL; Albert, J; Albicocco, P; Alconada Verzini, MJ; Alderweireldt, S; Aleksa, M; Aleksandrov, IN; Alexa, C; Alexander, G; Alexopoulos, T; Alhroob, M; Ali, B; Aliev, M; Alimonti, G; Alison, J; Alkire, SP; Allaire, C; Allbrooke, BMM; Allen, BW; Allport, PP; Aloisio, A; Alonso, A; Alonso, F; Alpigiani, C; Alshehri, AA; Alstaty, MI; Alvarez Gonzalez, B; Álvarez Piqueras, D; Alviggi, MG; Amadio, BT; Amaral Coutinho, Y; Ambroz, L; Amelung, C; Amidei, D; Amor Dos Santos, SP; Amoroso, S; Amrouche, CS; Anastopoulos, C; Ancu, LS; Andari, N; Andeen, T; Anders, CF; Anders, JK; Anderson, KJ; Andreazza, A; Andrei, V; Angelidakis, S; Angelozzi, I; Angerami, A; Anisenkov, AV; Annovi, A; Antel, C; Anthony, MT; Antonelli, M; Antrim, DJA; Anulli, F; Aoki, M; Aperio Bella, L; Arabidze, G; Arai, Y; Araque, JP; Araujo Ferraz, V; - view fewer (2018) Search for heavy particles decaying into top-quark pairs using lepton-plus-jets events in proton–proton collisions at √s=13 TeV with the ATLAS detector. European Physical Journal C , 78 (7) , Article 565. 10.1140/epjc/s10052-018-5995-6 . Green open access

https://ift.tt/2Lwgv7O

Stimulation bei Schlafapnoe

Zusammenfassung

Zur Behandlung der obstruktiven Schlafapnoe (OSA) wird primär die Positivdrucktherapie eingesetzt. Aufgrund von Nebenwirkungen ist die Therapieadhärenz jedoch limitiert, daher ist eine erhebliche Anzahl an Patienten nicht oder nicht ausreichend behandelt. Aufgrund häufig auftretender Folgeerkrankungen, wie arterielle Hypertonie, koronare Herzkrankheit oder Diabetes mellitus, sowie der Folgen von regelmäßig auftretender Tagesschläfrigkeit ist eine Therapie der OSA dringend erforderlich. Neben der Unterkieferprotrusionsschiene oder Lagerungshilfen zur Verhinderung der Rückenlage stehen chirurgische Verfahren als Alternativtherapien zur Verfügung. Als weiteres Verfahren wird seit einigen Jahren die Hypoglossusnervstimulation bei ausgewählten Patienten eingesetzt. Hierbei handelt es sich um ein funktionell chirurgisches Verfahren, bei dem durch Stimulation des N. hypoglossus eine Aktivierung der Muskulatur des oberen Atemwegs erreicht wird.



https://ift.tt/2AbfkoV

High-grade glioma associated immunosuppression does not prevent immune responses induced by therapeutic vaccines in combination with T reg depletion

Abstract

High-grade gliomas (HGG) exert systemic immunosuppression, which is of particular importance as immunotherapeutic strategies such as therapeutic vaccines are increasingly used to treat HGGs. In a first cohort of 61 HGG patients we evaluated a panel of 30 hematological and 34 plasma biomarkers. Then, we investigated in a second cohort of 11 relapsed HGG patients receiving immunomodulation with metronomic cyclophosphamide upfront to a DC-based vaccine whether immune abnormalities persisted and whether they hampered induction of IFNγ+ T-cell responses. HGG patients from the first cohort showed increased numbers of leukocytes, neutrophils and MDSCs and in parallel reduced numbers of CD4+/CD8+ T-cells, plasmacytoid and conventional DC2s. MDSCs and T-cell alterations were more profound in WHO IV° glioma patients. Moreover, levels of MDSCs and epidermal growth factor were negatively associated with survival. Serum levels of IL-2, IL-4, IL-5 and IL-10 were altered in HGG patients, however, without any impact on clinical outcome. In the immunotherapy cohort, 6-month overall survival was 100%. Metronomic cyclophosphamide led to > 40% reduction of regulatory T cells (Treg). In parallel to Treg-depletion, MDSCs and DC subsets became indistinguishable from healthy controls, whereas T-lymphopenia persisted. Despite low T-cells, IFNγ-responses could be induced in 9/10 analyzed cases. Importantly, frequency of CD8+VLA-4+ T-cells with CNS-homing properties, but not of CD4+ VLA-4+ T-cells, increased during vaccination. Our study identifies several features of systemic immunosuppression in HGGs. Metronomic cyclophosphamide in combination with an active immunization alleviates the latter and the combined treatment allows induction of a high rate of anti-glioma immune responses.



https://ift.tt/2LMJXFW

A Comprehensive Study of Oxidative Stress in Tinnitus Patients

Abstract

Oxidative stress is considered to be one of the molecular changes that are the underlying causes of tinnitus. The aim of this study was to investigate the dynamic thiol/disulphide homeostasis as a new oxidative stress parameter in tinnitus patients as well as to investigate the lipid hydroperoxide (LOOH), total antioxidant status (TAS), total oxidant status (TOS) and oxidative stress index (OSI) parameters and compare the results with the results of the healthy control group. A prospective controlled trial was performed on tinnitus patients in Harran University hospital. A total of 70 subjects, including 35 tinnitus patients and 35 healthy individuals participated in this study. Their total thiol, native thiol levels and LOOH, TAS, TOS levels were measured in plasma of all tinnitus patients and healthy volunteers participants. TOS and OSI levels were significantly increased, and TAS levels were significantly lower in the patient groups compared with the control group (p < 0.01). Native thiol levels and Native thiol/total thiol ratios were significantly lower in the tinnitus group compared to the control group (p < 0.01). Disulphide level and disulphide/native thiol and disulphide/total thiol ratios were significantly higher in the patients (p < 0.01). Also, LOOH ratios were significantly higher in the tinnitus group (p < 0.01). The results of this study reveal that in tinnitus cases, the oxidative stress and antioxidant enzyme imbalance were more significant than in healthy control group. The nature of the relationship between oxidative stress and tinnitus should be clarified with larger studies.



https://ift.tt/2JZ9zdu

Cutis laxa autosomique récessive : de nouveaux gènes identifiés

Publication date: Available online 26 July 2018

Source: Annales de Dermatologie et de Vénéréologie

Author(s): O. Dereure



https://ift.tt/2Ago5xY

Multiple capillary malformations of progressive onset: Capillary malformation–arteriovenous malformation syndrome (CM-AVM)

Publication date: Available online 26 July 2018

Source: Annales de Dermatologie et de Vénéréologie

Author(s): G. Gourier, S. Audebert-Bellanger, P. Vourc'h, S. Fraitag, K. L'Hérondelle, A. Labouche, L. Misery, C. Abasq-Thomas

Summary
Background

Capillary malformation–arteriovenous malformation syndrome (CM-AVM) is an autosomal dominant disorder first described in 2003.

Patients and methods

An 8-year-old girl was referred for the progressive appearance of multiple capillary malformations in childhood, evocative of CM-AVM syndrome. Molecular analysis of the RASA1 gene revealed a mutation but further examinations did not show arteriovenous malformation.

Discussion

CM-AVM syndrome is an autosomal dominant disease caused by RASA1 gene mutations. More than 100 mutations have been identified to date. The EPHB4 gene may also be involved. Capillary malformations with particular characteristics are described. High-flow vascular malformations are associated in 18.5% of cases, with 7.1% being intracerebral.

Conclusion

CM-AVM syndrome is a recent diagnostic entity. Diagnosis should be considered in the presence of multifocal capillary malformations. This diagnosis may lead to the detection of high-flow arteriovenous malformation and raises the question of specific management for these patients.

Résumé
Introduction

Le syndrome malformations capillaires–malformation artérioveineuse (MC-MAV) a été décrit pour la première fois en 2003. Nous rapportons le cas d'une patiente ayant une présentation clinique caractéristique de ce syndrome.

Observation

Une fille de 8 ans nous était adressée en consultation pour l'apparition progressive d'une quinzaine d'angiomes plans au cours de l'enfance. Un syndrome MC-MAV de forme sporadique était évoqué devant l'aspect particulier de ces malformations capillaires. Cette hypothèse était confirmée par la mise en évidence d'une mutation du gène RASA1 à l'analyse génétique. Les explorations complémentaires ne mettaient pas en évidence de malformations artérioveineuses.

Discussion

Le syndrome MC-MAV résulte d'une mutation du gène RASA1, dont plus d'une centaine de mutations différentes ont été identifiées à ce jour. Plus récemment, des mutations du gène EPHB4 ont également été identifiées. Ce syndrome se manifeste chez 90 % des patients par des malformations capillaires multiples de petite taille, roses ou brunes, parfois entourées d'un halo blanc. Elles sont associées dans 18,5 % des cas à des malformations vasculaires à haut débit, dont 7,1 % sont intracérébrales.

Conclusion

Le syndrome MC-MAV est un syndrome récemment découvert, lié à des mutations hétérozygotes des gènes RASA1 ou EPHB4. Il doit être évoqué devant des malformations capillaires multifocales d'apparition progressive. Ce diagnostic peut conduire au dépistage d'une malformation artérioveineuse à flux rapide et soulève la question du suivi à proposer à ces patients.



https://ift.tt/2mOKSaE

A Comprehensive Study of Oxidative Stress in Tinnitus Patients

Abstract

Oxidative stress is considered to be one of the molecular changes that are the underlying causes of tinnitus. The aim of this study was to investigate the dynamic thiol/disulphide homeostasis as a new oxidative stress parameter in tinnitus patients as well as to investigate the lipid hydroperoxide (LOOH), total antioxidant status (TAS), total oxidant status (TOS) and oxidative stress index (OSI) parameters and compare the results with the results of the healthy control group. A prospective controlled trial was performed on tinnitus patients in Harran University hospital. A total of 70 subjects, including 35 tinnitus patients and 35 healthy individuals participated in this study. Their total thiol, native thiol levels and LOOH, TAS, TOS levels were measured in plasma of all tinnitus patients and healthy volunteers participants. TOS and OSI levels were significantly increased, and TAS levels were significantly lower in the patient groups compared with the control group (p < 0.01). Native thiol levels and Native thiol/total thiol ratios were significantly lower in the tinnitus group compared to the control group (p < 0.01). Disulphide level and disulphide/native thiol and disulphide/total thiol ratios were significantly higher in the patients (p < 0.01). Also, LOOH ratios were significantly higher in the tinnitus group (p < 0.01). The results of this study reveal that in tinnitus cases, the oxidative stress and antioxidant enzyme imbalance were more significant than in healthy control group. The nature of the relationship between oxidative stress and tinnitus should be clarified with larger studies.



https://ift.tt/2JZ9zdu

Incidence of peri-operative paediatric cardiac arrest: Influence of a specialised paediatric anaesthesia team

BACKGROUND Peri-operative critical events are still a major problem in paediatric anaesthesia care. Access to more experienced healthcare teams might reduce the adverse event rate and improve outcomes. OBJECTIVE The current study analysed incidences of peri-operative paediatric cardiac arrest before and after implementation of a specialised paediatric anaesthesia team and training programme. DESIGN Retrospective cohort study with before-and-after analysis. SETTING Department of Anaesthesiology and Intensive Care Medicine, University Hospital of Cologne, Germany. PATIENTS A total of 36 243 paediatric anaesthetics (0 to 18 years) were administered between 2008 and 2016. INTERVENTION Implementation of a specialised paediatric anaesthesia team and training programme occurred in 2014 This included hands-on supervised training in all fields of paediatric anaesthesia, double staffing for critical paediatric cases and a 24/7 emergency team. A logistic regression analysis with risk factors (age, ASA physical status, emergency) was used to evaluate the impact of implementation of the specialised paediatric anaesthesia team. MAIN OUTCOME MEASURES Incidences of peri-operative paediatric cardiac arrest and anaesthesia-attributable cardiac arrest before and after the intervention. RESULTS Twelve of 25 paediatric cardiac arrests were classified as anaesthesia-attributable. The incidence of overall peri-operative paediatric cardiac arrest was 8.1/10 000 (95% CI 5.2 to 12.7) in the period 2008 to 2013 and decreased to 4.6/10 000 (95% CI 2.1 to 10.2) in 2014 to 2016. Likewise, the incidence of anaesthesia-attributable cardiac arrest was lower after 2013 [1.6/10 000 (95% CI 0.3 to 5.7) vs. 4.3/10 000 (95% CI 2.3 to 7.9)]. Using logistic regression, children anaesthetised after 2013 had nearly a 70% lower probability of anaesthesia-attributable cardiac arrest (odds ratio 0.306, 95% CI 0.067 to 1.397; P = 0.1263). For anaesthesia-attributable cardiac arrest, young age was the most contributory risk factor, whereas in overall paediatric cardiac arrest, ASA physical statuses 3 to 5 played a more important role. CONCLUSION In this study on incidences of peri-operative paediatric cardiac arrest from a European tertiary care university hospital, implementation of a specialised paediatric anaesthesia team and training programme was associated with lower incidences of peri-operative paediatric cardiac arrest and a reduced probability of anaesthesia-attributable cardiac arrest. Correspondence to Dr Andreas Hohn, MHBA, DESA, EDIC, Department of Anaesthesiology and Intensive Care Medicine, University Hospital of Cologne, Kerpener Str. 62, 50937 Cologne, Germany Tel: +49 221 478 82058; fax: +49 221 478 85574; e-mail: andreas.hohn@uk-koeln.de Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Website (https://ift.tt/2ylyqmW). © 2018 European Society of Anaesthesiology

https://ift.tt/2vc07hx

Selecting the Right Biologic for Your Patients with Severe Asthma

Publication date: Available online 27 July 2018

Source: Annals of Allergy, Asthma & Immunology

Author(s): Laurie A. Manka, Michael E. Wechsler

Abstract
Objective

Severe asthma affects 5-10% of the adult asthma population and is associated with increased morbidity, mortality, and consumption of health care resources. Recently, several biologic medications have been approved for use in severe asthma. These medications target the type-2 inflammatory pathway, which is characterized by activation of cytokines including interleukin (IL)-4, IL-5 and IL-13, which results in eosinophilia, high fractional exhaled nitric oxide (FeNO) and atopic features. The objective of this review is to provide clinicians with key points to assist in selecting the best biologic medication for each patient.

Data Sources

A comprehensive literature search was performed, and data were reviewed from basic science articles of inflammatory mediators in type-2 airway inflammation, and clinical trials of biologic medications in patients with severe asthma.

Study Selections

These studies analyzed outcomes of biologic medications in type 2-high severe asthma including clinical biomarkers, exacerbation rates, lung function, and quality of life measures.

Results

Biologic mediations in type 2-high severe asthma improve outcomes including clinical biomarkers, exacerbation rates, lung function, and quality of life measures.

Conclusion

When choosing a biologic medication for patients with severe asthma, asthma endotype, clinical biomarkers, and patient-centered factors should be taken into account.



https://ift.tt/2v6MvUR

Severe Asthma With Eosinophilic Gastroenteritis Effectively Managed by Mepolizumab and Omalizumab

Publication date: Available online 27 July 2018

Source: Annals of Allergy, Asthma & Immunology

Author(s): Duhyun Han, Jason K. Lee



https://ift.tt/2LttzKM

Long-Term Prophylaxis Therapy in Patients with Hereditary Angioedema with C1 Inhibitor Deficiency

Publication date: Available online 27 July 2018

Source: Annals of Allergy, Asthma & Immunology

Author(s): Timothy Craig, Paula Busse, Richard G. Gower, Douglas T. Johnston, Jay M. Kashkin, Huamin H. Li, William R. Lumry, Marc A. Riedl, Daniel Soteres



https://ift.tt/2vadKxT

Deep vs shallow nature of oxygen vacancies and consequent n-type carrier concentrations in transparent conducting oxides

Buckeridge, J; Catlow, CRA; Farrow, MR; Logsdail, AJ; Scanlon, DO; Keal, TW; Sherwood, P; ... Walsh, A; + view all Buckeridge, J; Catlow, CRA; Farrow, MR; Logsdail, AJ; Scanlon, DO; Keal, TW; Sherwood, P; Woodley, SM; Sokol, AA; Walsh, A; - view fewer (2018) Deep vs shallow nature of oxygen vacancies and consequent n-type carrier concentrations in transparent conducting oxides. Physical Review Materials , 2 (5) , Article 054604. 10.1103/PhysRevMaterials.2.054604 . Green open access

https://ift.tt/2OjKUne

Response to Oymak et al

Veiga, CICVD; McClelland, J; Landau, D; (2018) Response to Oymak et al. [Letter]. Radiotherapy and Oncology 10.1016/j.radonc.2018.06.038 . (In press).

https://ift.tt/2v8Jt2k

Astrocytic Atrophy Following Status Epilepticus Parallels Reduced Ca2+ Activity and Impaired Synaptic Plasticity in the Rat Hippocampus

Plata, A; Lebedeva, A; Denisov, P; Nosova, O; Postnikova, TY; Pimashkin, A; Brazhe, A; ... Semyanov, A; + view all Plata, A; Lebedeva, A; Denisov, P; Nosova, O; Postnikova, TY; Pimashkin, A; Brazhe, A; Zaitsev, A; Rusakov, DA; Semyanov, A; - view fewer (2018) Astrocytic Atrophy Following Status Epilepticus Parallels Reduced Ca2+ Activity and Impaired Synaptic Plasticity in the Rat Hippocampus. Frontiers in Molecular Neuroscience , 11 , Article 215. 10.3389/fnmol.2018.00215 . Green open access

https://ift.tt/2LteEjV

Barriers and enablers of type 2 diabetes self-management in people with severe mental illness

Mulligan, K; McBain, H; Lamontagne-Godwin, F; Chapman, J; Haddad, M; Jones, J; Flood, C; ... Simpson, A; + view all Mulligan, K; McBain, H; Lamontagne-Godwin, F; Chapman, J; Haddad, M; Jones, J; Flood, C; Thomas, D; Simpson, A; - view fewer (2017) Barriers and enablers of type 2 diabetes self-management in people with severe mental illness. Health Expecttations , 20 (5) pp. 1020-1030. 10.1111/hex.12543 . Green open access

https://ift.tt/2v8JnYw

Bioenergetic status modulates motor neuron vulnerability and pathogenesis in a zebrafish model of spinal muscular atrophy

Boyd, PJ; Tu, W-Y; Shorrock, HK; Groen, EJN; Carter, RN; Powis, RA; Thomson, SR; ... Gillingwater, TH; + view all Boyd, PJ; Tu, W-Y; Shorrock, HK; Groen, EJN; Carter, RN; Powis, RA; Thomson, SR; Thomson, D; Graham, LC; Motyl, AAL; Wishart, TM; Highley, JR; Morton, NM; Becker, T; Becker, CG; Heath, PR; Gillingwater, TH; - view fewer (2017) Bioenergetic status modulates motor neuron vulnerability and pathogenesis in a zebrafish model of spinal muscular atrophy. PLoS Genetics , 13 (4) , Article e1006744. 10.1371/journal.pgen.1006744 . Green open access

https://ift.tt/2Oj4NLk

Body composition and the monitoring of non-communicable chronic disease risk

Wells, JCK; Shirley, MK; (2016) Body composition and the monitoring of non-communicable chronic disease risk. Global Health Epidemiology and Genomics , 1 , Article e18. 10.1017/gheg.2016.9 . Green open access

https://ift.tt/2vaXFrF

Detecting genuine and deliberate displays of surprise in static and dynamic faces

Zloteanu, M; Krumhuber, EG; Richardson, DC; (2018) Detecting genuine and deliberate displays of surprise in static and dynamic faces. Frontiers in Psychology , 9 , Article 1184. 10.3389/fpsyg.2018.01184 . Green open access

https://ift.tt/2LteDMT

Boutiques: a flexible framework to integrate command-line applications in computing platforms

Glatard, T; Kiar, G; Aumentado-Armstrong, T; Beck, N; Bellec, P; Bernard, R; Bonnet, A; ... Evans, AC; + view all Glatard, T; Kiar, G; Aumentado-Armstrong, T; Beck, N; Bellec, P; Bernard, R; Bonnet, A; Brown, ST; Camarasu-Pop, S; Cervenansky, F; Das, S; Ferreira da Silva, R; Flandin, G; Girard, P; Gorgolewski, KJ; Guttmann, CRG; Hayot-Sasson, V; Quirion, P-O; Rioux, P; Rousseau, M-É; Evans, AC; - view fewer (2018) Boutiques: a flexible framework to integrate command-line applications in computing platforms. Gigascience , 7 (5) 10.1093/gigascience/giy016 . Green open access

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Brain Connectomics' Modification to Clarify Motor and Nonmotor Features of Myotonic Dystrophy Type 1

Serra, L; Mancini, M; Silvestri, G; Petrucci, A; Masciullo, M; Spano, B; Torso, M; ... Bozzali, M; + view all Serra, L; Mancini, M; Silvestri, G; Petrucci, A; Masciullo, M; Spano, B; Torso, M; Mastropasqua, C; Giacanelli, M; Caltagirone, C; Cercignani, M; Meola, G; Bozzali, M; - view fewer (2016) Brain Connectomics' Modification to Clarify Motor and Nonmotor Features of Myotonic Dystrophy Type 1. Neural Plasticity , 2016 , Article 2696085. 10.1155/2016/2696085 . Green open access

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CD36 and lipid metabolism in the evolution of atherosclerosis

Zhao, L; Varghese, Z; Moorhead, JF; Chen, Y; Ruan, XZ; (2018) CD36 and lipid metabolism in the evolution of atherosclerosis. British Medical Bulletin , 126 (1) pp. 101-112. 10.1093/bmb/ldy006 .

https://ift.tt/2vcVRhI

Do ART eligibility expansions crowd out the sickest? Evidence from rural South Africa

Kluberg, SA; Fox, MP; LaValley, M; Pillay, D; Bärnighausen, T; Bor, J; (2018) Do ART eligibility expansions crowd out the sickest? Evidence from rural South Africa. Tropical Medicine and International Health 10.1111/tmi.13122 . (In press).

https://ift.tt/2OjKb5u

Cardiovascular risk outcome and program evaluation of a cluster randomised controlled trial of a community-based, lay peer led program for people with diabetes

Riddell, MA; Dunbar, JA; Absetz, P; Wolfe, R; Li, H; Brand, M; Aziz, Z; ... Australasian Peers for Progress Diabetes Project Investigators, ; + view all Riddell, MA; Dunbar, JA; Absetz, P; Wolfe, R; Li, H; Brand, M; Aziz, Z; Oldenburg, B; Australasian Peers for Progress Diabetes Project Investigators, ; - view fewer (2016) Cardiovascular risk outcome and program evaluation of a cluster randomised controlled trial of a community-based, lay peer led program for people with diabetes. BMC Public Health , 16 , Article 864. 10.1186/s12889-016-3538-3 . Green open access

https://ift.tt/2vaGaro

CNS distribution, signalling properties and central effects of G-protein coupled receptor 4

Hosford, PS; Mosienko, V; Kishi, K; Jurisic, G; Seuwen, K; Kinzel, B; Ludwig, MG; ... Kasparov, S; + view all Hosford, PS; Mosienko, V; Kishi, K; Jurisic, G; Seuwen, K; Kinzel, B; Ludwig, MG; Wells, JA; Christie, IN; Koolen, L; Abdala, AP; Liu, BH; Gourine, AV; Teschemacher, AG; Kasparov, S; - view fewer (2018) CNS distribution, signalling properties and central effects of G-protein coupled receptor 4. Neuropharmacology , 138 pp. 381-392. 10.1016/j.neuropharm.2018.06.007 . Green open access

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Effects on abstinence of nicotine patch treatment before quitting smoking: parallel, two arm, pragmatic randomised trial

Fluharty, M; (2018) Effects on abstinence of nicotine patch treatment before quitting smoking: parallel, two arm, pragmatic randomised trial. BMJ , 361 , Article k2164. 10.1136/bmj.k2164 . Green open access

https://ift.tt/2vaibsu

CogStack - experiences of deploying integrated information retrieval and extraction services in a large National Health Service Foundation Trust hospital

Jackson, R; Kartoglu, I; Stringer, C; Gorrell, G; Roberts, A; Song, X; Wu, H; ... Dobson, R; + view all Jackson, R; Kartoglu, I; Stringer, C; Gorrell, G; Roberts, A; Song, X; Wu, H; Agrawal, A; Lui, K; Groza, T; Lewsley, D; Northwood, D; Folarin, A; Stewart, R; Dobson, R; - view fewer (2018) CogStack - experiences of deploying integrated information retrieval and extraction services in a large National Health Service Foundation Trust hospital. BMC Medical Informatics and Decision Making , 18 , Article 47. 10.1186/s12911-018-0623-9 . Green open access

https://ift.tt/2LpjVZG

Engineering Approaches in Human Gamma Delta T Cells for Cancer Immunotherapy

Fisher, J; Anderson, J; (2018) Engineering Approaches in Human Gamma Delta T Cells for Cancer Immunotherapy. [Review]. Frontiers in Immunology , 9 , Article 1409. 10.3389/fimmu.2018.01409 . Green open access

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Enhanced electrical properties of antimony doped tin oxide thin films deposited: Via aerosol assisted chemical vapour deposition

Ponja, SD; Williamson, BAD; Sathasivam, S; Scanlon, DO; Parkin, IP; Carmalt, CJ; (2018) Enhanced electrical properties of antimony doped tin oxide thin films deposited: Via aerosol assisted chemical vapour deposition. Journal of Materials Chemistry C , 6 (27) pp. 7257-7266. 10.1039/c8tc01929k . Green open access

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Cardiovascular Outcomes Reported in Hemodialysis Trials

O'Lone, E; Viecelli, AK; Craig, JC; Tong, A; Sautenet, B; Roy, D; Herrington, WG; ... Wheeler, DC; + view all O'Lone, E; Viecelli, AK; Craig, JC; Tong, A; Sautenet, B; Roy, D; Herrington, WG; Herzog, CA; Jafar, T; Jardine, M; Krane, V; Levin, A; Malyszko, J; Rocco, MV; Strippoli, G; Tonelli, M; Wang, AYM; Wanner, C; Zannad, F; Winkelmayer, WC; Webster, AC; Wheeler, DC; - view fewer (2018) Cardiovascular Outcomes Reported in Hemodialysis Trials. Journal of the American College of Cardiology , 71 (24) pp. 2802-2810. 10.1016/j.jacc.2018.04.012 .

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Morphometric analysis of astrocytes in brainstem respiratory regions

Sheikhbahaei, S; Morris, B; Collina, J; Anjum, S; Znati, S; Gamarra, J; Zhang, R; ... Smith, JC; + view all Sheikhbahaei, S; Morris, B; Collina, J; Anjum, S; Znati, S; Gamarra, J; Zhang, R; Gourine, AV; Smith, JC; - view fewer (2018) Morphometric analysis of astrocytes in brainstem respiratory regions. Journal of Comparative Neurology 10.1002/cne.24472 . (In press).

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Evaluation of automatically quantified foveal avascular zone metrics for diagnosis of diabetic retinopathy using optical coherence tomography angiography

Lu, Y; Simonett, JM; Wang, J; Zhang, M; Hwang, T; Hagag, AM; Huang, D; ... Jia, Y; + view all Lu, Y; Simonett, JM; Wang, J; Zhang, M; Hwang, T; Hagag, AM; Huang, D; Li, D; Jia, Y; - view fewer (2018) Evaluation of automatically quantified foveal avascular zone metrics for diagnosis of diabetic retinopathy using optical coherence tomography angiography. Investigative Ophthalmology and Visual Science , 59 (6) pp. 2212-2221. 10.1167/iovs.17-23498 . Green open access

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Phenotypes, endotypes and biomarkers in anaphylaxis: current insights

Purpose of review The aim of the review is to describe the different clinical pictures of anaphylaxis (phenotypes), in relation to the underlying mechanisms and potential biomarkers, to describe anaphylaxis endotypes. This may aid in achieving a better understanding, management and outcomes of such severe reactions. Recent findings Different anaphylaxis phenotypes have been outlined, ranging from the classical type-I-like to those suggestive of cytokine-storm-like or complement-mediated reactions. Underlying mechanisms differ and biomarkers of cells and systems involved are being identified (tryptase, IL-6, bradykinin etc.) Summary Identifying specific phenotypes/endotypes will allow the application of precision medicine in patients with anaphylaxis, providing insights to the most appropriate approach in each case. Correspondence to Mar Guilarte, Allergy Section, Department of Internal Medicine, Hospital Universitari Vall d'Hebron, Ps. Vall d'Hebron 119-129, 08035 Barcelona, Spain. Tel: +34 932746169; e-mail: mguilarte@vhebron.net Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.

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