yg How To Make A Bug Out Bag - Bug Out Hygiene Kit By feedproxy.google.com Published On :: Fri, 17 Jun 2011 16:32:00 EST When it comes to bug out bags one of the biggest overlooked areas is how to making a hygiene kit. Personally I find it strange considering cleanliness is a huge factor in overcoming a disaster or when the SHTF. The obvious reason is keeping clean helps keep away infection. It also plays a big role in morale; I mean who the hell wants to feel grubby and greasy for weeks on end? I know I don’t and I’m willing to bet you don’t either...................... While making a bug out hygiene kit isn’t complicated it still takes some planning to figure out what you’re going to need. So with that being said here are some things that I pack in my bug out bag so you can get some ideas of what to put in yours. Full Article
yg Making a Sweet Dunk at the Trampoline Playground By feedproxy.google.com Published On :: Sat, 25 Jan 2014 12:00:00 -0800 Full Article sports trampoline basketball whee Video
yg Hygger.io: универсальная система управления проектами для продуктовых компаний By feedproxy.google.com Published On :: Wed, 10 Oct 2018 00:13:00 +0300 В продуктовых компаниях сегодня не обойтись без инструментов для сбора идей и обратной связи, распределения задач, приоритизации, планирования и мониторинга, а также внутреннего взаимодействия между отделами. Часто для этих целей сотрудники заводят аккаунты в нескольких платформах для управления продуктами. Это неудобно. Особенно, когда разработчики сидят в JIRA, а менеджеры проектов, маркетологи и другие сотрудники составляют свои доски с планами в Trello или Asana. Full Article
yg Chinese Hackers Using New iPhone Hack to Spy On Uyghur Muslims By feedproxy.google.com Published On :: Thu, 23 Apr 2020 02:43:10 PDT A Chinese hacking group has been found leveraging a new exploit chain in iOS devices to install a spyware implant targeting the Uyghur Muslim minority in China's autonomous region of Xinjiang. The findings, published by digital forensics firm Volexity, reveal that the exploit — named "Insomnia" — works against iOS versions 12.3, 12.3.1, and 12.3.2 using a flaw in WebKit that was patched by Full Article
yg Firefighters rescue trapped cygnet - Poplar By www.london-fire.gov.uk Published On :: Tue, 28 Apr 2020 16:23:45 +0100 Crews freed the injured bird which had got trapped behind a fence Full Article
yg The upside of social distancing: How hygge can help By www.latimes.com Published On :: Fri, 20 Mar 2020 14:27:49 -0400 Let's lean in to "hygge," an Norwegian word for "well-being," cozy togetherness," "fun," "safety and shielding from the world," "the absence of annoyance" and the notion that your home is, literally and metaphorically, giving you a "hug." Full Article
yg Beyoncé's BeyGOOD initiative offers $6 million for coronavirus relief By www.latimes.com Published On :: Thu, 23 Apr 2020 15:36:20 -0400 Beyoncé's BeyGOOD initiative announced a $6-million coronavirus-relief fund to support organizations providing essential services to people in need. Full Article
yg Birmingham abattoir ordered to pay over £11,000 for hygiene offences By www.food.gov.uk Published On :: Fri, 01 May 2020 11:59:36 +0100 Birmingham Halal Abattoir Limited pleaded guilty to allowing potential cross-contamination of carcases Full Article
yg 'She could almost stop for some tea before the finish line': Brownsburg's Chloe Dygert Owen wins world title By rssfeeds.indystar.com Published On :: Tue, 24 Sep 2019 18:14:49 +0000 The 22-year-old rider from Brownsburg became the youngest time trial winner — with the biggest margin — in the history of road cycling's World Championships. Full Article
yg Coronavirus doctor's diary: 'Our hospitals weren't made to use this much oxygen' By www.bbc.co.uk Published On :: Tue, 07 Apr 2020 00:27:23 GMT Hospitals need to supply oxygen to more beds than is currently possible, so doctors are searching for hacks. Full Article
yg Staying hygienic cuts down the use of antibiotics: study - ANI News By news.google.com Published On :: Sat, 09 May 2020 09:28:09 GMT Staying hygienic cuts down the use of antibiotics: study ANI NewsPost-Covid 19 hygiene practice can reduce risk of common infections: Study The Indian ExpressEveryday hygiene reduces need for antibiotics by 30 pc, says new paper ANI NewsView Full coverage on Google News Full Article
yg The heme-regulatory motifs of heme oxygenase-2 contribute to the transfer of heme to the catalytic site for degradation [Protein Structure and Folding] By feedproxy.google.com Published On :: 2020-04-17T00:06:05-07:00 Heme-regulatory motifs (HRMs) are present in many proteins that are involved in diverse biological functions. The C-terminal tail region of human heme oxygenase-2 (HO2) contains two HRMs whose cysteine residues form a disulfide bond; when reduced, these cysteines are available to bind Fe3+-heme. Heme binding to the HRMs occurs independently of the HO2 catalytic active site in the core of the protein, where heme binds with high affinity and is degraded to biliverdin. Here, we describe the reversible, protein-mediated transfer of heme between the HRMs and the HO2 core. Using hydrogen-deuterium exchange (HDX)-MS to monitor the dynamics of HO2 with and without Fe3+-heme bound to the HRMs and to the core, we detected conformational changes in the catalytic core only in one state of the catalytic cycle—when Fe3+-heme is bound to the HRMs and the core is in the apo state. These conformational changes were consistent with transfer of heme between binding sites. Indeed, we observed that HRM-bound Fe3+-heme is transferred to the apo-core either upon independent expression of the core and of a construct spanning the HRM-containing tail or after a single turnover of heme at the core. Moreover, we observed transfer of heme from the core to the HRMs and equilibration of heme between the core and HRMs. We therefore propose an Fe3+-heme transfer model in which HRM-bound heme is readily transferred to the catalytic site for degradation to facilitate turnover but can also equilibrate between the sites to maintain heme homeostasis. Full Article
yg Cytochrome P450 and arachidonic acid bioactivation: molecular and functional properties of the arachidonate monooxygenase By feedproxy.google.com Published On :: 2000-02-01 Jorge H. CapdevilaFeb 1, 2000; 41:163-181Reviews Full Article
yg CBD News: No matter where we live, every other breath we take comes from the Ocean's breath - from the oxygen produced by its phytoplankton and its rich marine plant life. By www.cbd.int Published On :: Wed, 06 Jun 2018 00:00:00 GMT Full Article
yg A borderline case of Calderón–Zygmund estimates for nonuniformly elliptic problems By www.ams.org Published On :: Mon, 04 May 2020 11:43 EDT C. De Filippis and G. Mingione St. Petersburg Math. J. 31 (2020), 455-477. Abstract, references and article information Full Article
yg The heme-regulatory motifs of heme oxygenase-2 contribute to the transfer of heme to the catalytic site for degradation [Protein Structure and Folding] By www.jbc.org Published On :: 2020-04-17T00:06:05-07:00 Heme-regulatory motifs (HRMs) are present in many proteins that are involved in diverse biological functions. The C-terminal tail region of human heme oxygenase-2 (HO2) contains two HRMs whose cysteine residues form a disulfide bond; when reduced, these cysteines are available to bind Fe3+-heme. Heme binding to the HRMs occurs independently of the HO2 catalytic active site in the core of the protein, where heme binds with high affinity and is degraded to biliverdin. Here, we describe the reversible, protein-mediated transfer of heme between the HRMs and the HO2 core. Using hydrogen-deuterium exchange (HDX)-MS to monitor the dynamics of HO2 with and without Fe3+-heme bound to the HRMs and to the core, we detected conformational changes in the catalytic core only in one state of the catalytic cycle—when Fe3+-heme is bound to the HRMs and the core is in the apo state. These conformational changes were consistent with transfer of heme between binding sites. Indeed, we observed that HRM-bound Fe3+-heme is transferred to the apo-core either upon independent expression of the core and of a construct spanning the HRM-containing tail or after a single turnover of heme at the core. Moreover, we observed transfer of heme from the core to the HRMs and equilibration of heme between the core and HRMs. We therefore propose an Fe3+-heme transfer model in which HRM-bound heme is readily transferred to the catalytic site for degradation to facilitate turnover but can also equilibrate between the sites to maintain heme homeostasis. Full Article
yg About the cover: The Fine–Petrović Polygons and the Newton–Puiseux Method for Algebraic Ordinary Differential Equations By www.ams.org Published On :: Fri, 13 Mar 2020 16:19 EDT Vladimir Dragović and Irina Goryuchkina Bull. Amer. Math. Soc. 57 (2020), 293-299. Abstract, references and article information Full Article
yg WYSIWYG Web Builder 7.0 released! By www.wysiwygwebbuilder.com Published On :: Wed, 23 Jun 2010 10:40:59 GMT We are pleased to announce a major new release with more than 150 new features and improvements! Full Article
yg WYSIWYG Web Builder 7.5 available now! By www.wysiwygwebbuilder.com Published On :: Mon, 20 Dec 2010 10:58:56 GMT WYSIWYG Web Builder 7.5 is a major update with more than 50 new features and improvements (compared to version 7.2.1). Our christmas gift to you! Full Article
yg WYSIWYG Web Builder 8.0 released! By www.wysiwygwebbuilder.com Published On :: Mon, 21 Nov 2011 12:08:05 GMT We are pleased to announce a major new release with more than 150 new features and improvements! Full Article
yg WYSIWYG Web Builder 8.5 available now! By www.wysiwygwebbuilder.com Published On :: Mon, 01 Oct 2012 08:23:59 GMT WYSIWYG Web Builder 8.5 is a major update with more than 50 new features and improvements (compared to version 8.2.1). Full Article
yg WYSIWYG Web Builder 9.0 released! By www.wysiwygwebbuilder.com Published On :: Mon, 17 Jun 2013 10:53:50 GMT We are pleased to announce a major new release with more than 150 new features and improvements! Full Article
yg WYSIWYG Web Builder 9.1 update By www.wysiwygwebbuilder.com Published On :: Mon, 23 Sep 2013 09:35:20 GMT WYSIWYG Web Builder 9.1 fixes known problems, adds new features and includes other improvements. Full Article
yg WYSIWYG Web Builder 9.2 update By wysiwygwebbuilder.com Published On :: Thu, 12 Dec 2013 16:57:15 GMT WYSIWYG Web Builder 9.2 fixes known problems, adds new features and includes other improvements. Full Article
yg WYSIWYG Web Builder 9.3 update By wysiwygwebbuilder.com Published On :: Fri, 14 Feb 2014 12:11:19 GMT WYSIWYG Web Builder 9.3 fixes known problems, adds new features and includes other improvements. Full Article
yg WYSIWYG Web Builder 9.4 update By wysiwygwebbuilder.com Published On :: Fri, 28 Mar 2014 12:02:13 GMT WYSIWYG Web Builder 9.4 fixes known problems, adds new features and includes other improvements. Full Article
yg WYSIWYG Web Builder 10.0 released! By www.wysiwygwebbuilder.com Published On :: Tue, 14 Oct 2014 12:21:00 GMT We are pleased to announce a major new release with more than 100 new features and improvements! Full Article
yg WYSIWYG Web Builder 10.1 update By wysiwygwebbuilder.com Published On :: Mon, 17 Nov 2014 08:26:33 GMT WYSIWYG Web Builder 10.1 fixes known problems, adds new features and includes other improvements. Full Article
yg WYSIWYG Web Builder 10.2 update By wysiwygwebbuilder.com Published On :: Mon, 12 Jan 2015 12:27:46 GMT WYSIWYG Web Builder 10.2 fixes known problems, adds new features and includes other improvements. Full Article
yg WYSIWYG Web Builder 10.3 update By wysiwygwebbuilder.com Published On :: Thu, 18 Jun 2015 09:42:33 GMT WYSIWYG Web Builder 10.3 fixes known problems, adds new features and includes other improvements. Full Article
yg WYSIWYG Web Builder 10.4 update By wysiwygwebbuilder.com Published On :: Thu, 18 Jun 2015 09:48:51 GMT WYSIWYG Web Builder 10.4 fixes known problems, adds new features and includes other improvements. Full Article
yg WYSIWYG Web Builder 11.0 released! By wysiwygwebbuilder.com Published On :: Mon, 25 Jan 2016 09:47:12 GMT We are pleased to announce a major new release with more than 150 new features and improvements! Full Article
yg WYSIWYG Web Builder 12.0 released! By wysiwygwebbuilder.com Published On :: Tue, 04 Apr 2017 11:41:47 GMT We are pleased to announce a major new release with more than 125 new features and improvements! Full Article
yg 18F-Fluorodeoxyglucose Positron Emission Tomography / Computed Tomography in Left-Ventricular Assist Device Infection: Initial Results Supporting the Usefulness of Image-Guided Therapy By jnm.snmjournals.org Published On :: 2019-12-05T10:37:41-08:00 Background: Accurate definition of the extent and severity of left-ventricular assist device (LVAD) infection may facilitate therapeutic decision making and targeted surgical intervention. Here, we explore the value of 18F-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) for guidance of patient management. Methods: Fifty-seven LVAD-carrying patients received 85 whole-body 18F-FDG PET/CT scans for the work-up of device infection. Clinical follow-up was obtained over a period of up to two years. Results: PET/CT showed various patterns of infectious involvement of the 4 LVAD components: driveline entry point (77% of cases), subcutaneous driveline path (87%), pump pocket (49%) and outflow tract (58%). Driveline smears revealed staphylococcus or pseudomonas strains as the underlying pathogen in a majority of cases (48 and 34%, respectively). At receiver-operating characteristics analysis, an 18F-FDG standardized uptake value (SUV) >2.5 was most accurate to identify smear-positive driveline infection. Infection of 3 or all 4 LVAD components showed a trend towards lower survival vs infection of 2 or less components (P = 0.089), while involvement of thoracic lymph nodes was significantly associated with adverse outcome (P = 0.001 for nodal SUV above vs below median). Finally, patients that underwent early surgical revision within 3 months after PET/CT (n = 21) required significantly less inpatient hospital care during follow-up when compared to those receiving delayed surgical revision (n = 11; p<0.05). Conclusion: Whole-body 18F-FDG PET/CT identifies the extent of LVAD infection and predicts adverse outcome. Initial experience suggests that early image-guided surgical intervention may facilitate a less complicated subsequent course. Full Article
yg 18F-fluorodexyglucose Position Emission Tomography identifies altered brain metabolism in patients with Cri du Chat syndrome By jnm.snmjournals.org Published On :: 2019-12-13T13:35:10-08:00 Cri-Du-Chat Syndrome (CdCs) is a rare genetic disease caused by a deletion in the short arm of chromosome 5 (5p) with a variable clinical spectrum. To date no study in literature has ever investigated the alterations of brain glucose metabolism in these subjects by means of [18F]fluoro-2-deoxy-d-glucose Positron Emission Tomography/Computed Tomography (18F-FDG PET/CT). The aims of this study were to detect difference in brain FDG metabolism in patients affected by CdCs with different clinical presentations and identify possible "brain metabolic phenotypes" of this syndrome. Methods: 6 patients (age: 5 M and 1 F, age range: 10-27) with CdCs were assessed for presence of cognitive and behavioral symptoms with a battery of neuropsychological tests and then classified as patient with a severe or mild phenotype. Then, patients underwent a brain 18F-FDG PET/CT scan. PET/CT findings were compared to a control group, matched for age and sex, by using statistical parametric mapping (SPM). Association of different clinical phenotypes and 18F-FDG PET/CT findings was investigated. Results: Four patients presented a severe phenotype, whereas 2 patients demonstrated mild phenotype. SPM single subject and group analysis compared to the control cohort revealed a significant hypometabolism in the left temporal lobe (BAs 20, 36 and 38), in the right frontal subcallosal gyrus (BA 34) and caudate body, and in the cerebellar tonsils (p<0.001). Hypermetabolism (P = 0.001) was revealed in the right superior and precentral frontal gyrus (BA 6) in patient group compared to the control cohort. In SPM single subject analysis the hypermetabolic areas were detected only in patients with a severe phenotype. Conclusion: This study revealed different patterns of brain glucose metabolism in patients with severe and mild phenotype compared to control subjects. In particular, the hypermetabolic abnormalities in the brain, evaluated by18F-FDG PET/CT, seem to correlate with the severe phenotype in patients with CdCs. Full Article
yg DHS herding people on to an imperfect system in myGov By www.smh.com.au Published On :: Mon, 10 Aug 2015 14:17:52 GMT Over the past few weeks I have been answering calls for the myGov helpdesk. Full Article
yg Taxpayer records exposed by serious ATO, myGov security flaw By www.smh.com.au Published On :: Wed, 18 Nov 2015 23:42:04 GMT Taxpayer says he was hung up on twice by call centre staff when trying to report the issue. Full Article
yg Troubled myGov website to be taken from Human Services and given to Digital Transformation Office for streamlining By www.smh.com.au Published On :: Thu, 28 Jan 2016 12:30:00 GMT Malcolm Turnbull's DTO has been critical of myGov, now it has the chance to show it can do better. Full Article
yg MyGov to feel the audit blowtorch By www.smh.com.au Published On :: Thu, 03 Mar 2016 06:23:08 GMT Human Service to face National Audit Office scrutiny. Again. Full Article
yg Malcolm Turnbull promises $50 million reboot for troubled myGov By www.smh.com.au Published On :: Tue, 21 Jun 2016 22:06:13 GMT Takeover of troubled portal by Digital Transformation Office confirmed Full Article
yg ATO fumes after cyber criminals attack myGov portal during last days of Tax Time 2016 By www.smh.com.au Published On :: Thu, 03 Nov 2016 13:15:00 GMT Tensions emerge between Tax Office and Human Services after hackers take down myGov Full Article
yg Catalytic residues, substrate specificity, and role in carbon starvation of the 2-hydroxy FA dioxygenase Mpo1 in yeast By feedproxy.google.com Published On :: 2020-04-29 Keisuke MoriApr 29, 2020; 0:jlr.RA120000803v1-jlr.RA120000803Research Articles Full Article
yg Catalytic residues, substrate specificity, and role in carbon starvation of the 2-hydroxy FA dioxygenase Mpo1 in yeast [Research Articles] By feedproxy.google.com Published On :: 2020-04-29T08:36:37-07:00 The yeast protein Mpo1 belongs to a protein family that is widely conserved in bacteria, fungi, protozoa, and plants, and is the only protein of this family whose function has so far been elucidated. Mpo1 is an Fe2+-dependent dioxygenase that catalyzes the α-oxidation reaction of 2-hydroxy (2-OH) long-chain FAs produced in the degradation pathway of the long-chain base phytosphingosine. However, several biochemical characteristics of Mpo1, such as its catalytic residues, membrane topology, and substrate specificity, remain unclear. Here, we report that yeast Mpo1 contains two transmembrane domains and that both its N- and C-terminal regions are exposed to the cytosol. Mutational analyses revealed that three histidine residues conserved in the Mpo1 family are especially important for Mpo1 activity, suggesting that they may be responsible for the formation of coordinate bonds with Fe2+. We found that, in addition to activity toward 2-OH long-chain FAs, Mpo1 also exhibits activity toward 2-OH very-long-chain FAs derived from the FA moiety of sphingolipids. These results indicate that Mpo1 is involved in the metabolism of long-chain to very-long-chain 2-OH FAs produced in different pathways. We noted that the growth of mpo1 cells is delayed upon carbon deprivation, suggesting that the Mpo1-mediated conversion of 2-OH FAs to non-hydroxy FAs is important for utilizing 2-OH FAs as a carbon source under carbon starvation. Our findings help to elucidate the as-yet-unknown functions and activities of other Mpo1 family members. Full Article
yg Myo-Inositol Oxygenase (MIOX) Overexpression Drives the Progression of Renal Tubulo-Interstitial Injury in Diabetes By diabetes.diabetesjournals.org Published On :: 2020-04-27T15:42:34-07:00 Conceivably, upregulation of myo-inositol oxygenase (MIOX) is associated with altered cellular redox. Its promoter includes oxidant-response elements, and we also discovered binding sites for XBP-1, a transcription factor of ER stress response. Previous studies indicate that MIOX’s upregulation in acute tubular injury is mediated by oxidant and ER stress. Here, we investigated if hyperglycemia leads to accentuation of oxidant and ER stress, while boosting each other’s activities and thereby augmenting tubulo-interstitial injury/fibrosis. We generated MIOX-overexpressing transgenic (MIOX-TG) and -knockout (MIOX-KO) mice. A diabetic state was induced by streptozotocin administration. Also, MIOX-KO were crossbred with Ins2Akita to generate Ins2Akita/KO mice. MIOX-TG mice had worsening renal functions with kidneys having increased oxidant/ER stress, as reflected by DCF/DHE staining, perturbed NAD/NADH and GSH/GSSG ratios, increased NOX-4 expression, apoptosis and its executionary molecules, accentuation of TGF-β signaling, Smads and XBP-1 nuclear translocation, expression of GRP78 and XBP1 (ER stress markers) and accelerated tubulo-interstitial fibrosis. These changes were not seen in MIOX-KO mice. Interestingly, such changes were remarkably reduced in Ins2Akita/KO mice, and likewise in vitro experiments with XBP1-siRNA. These findings suggest that MIOX expression accentuates while its deficiency shields kidneys from tubulo-interstitial injury by dampening oxidant and ER stress, which mutually enhance each other’s activity. Full Article
yg The heme-regulatory motifs of heme oxygenase-2 contribute to the transfer of heme to the catalytic site for degradation [Protein Structure and Folding] By feedproxy.google.com Published On :: 2020-04-17T00:06:05-07:00 Heme-regulatory motifs (HRMs) are present in many proteins that are involved in diverse biological functions. The C-terminal tail region of human heme oxygenase-2 (HO2) contains two HRMs whose cysteine residues form a disulfide bond; when reduced, these cysteines are available to bind Fe3+-heme. Heme binding to the HRMs occurs independently of the HO2 catalytic active site in the core of the protein, where heme binds with high affinity and is degraded to biliverdin. Here, we describe the reversible, protein-mediated transfer of heme between the HRMs and the HO2 core. Using hydrogen-deuterium exchange (HDX)-MS to monitor the dynamics of HO2 with and without Fe3+-heme bound to the HRMs and to the core, we detected conformational changes in the catalytic core only in one state of the catalytic cycle—when Fe3+-heme is bound to the HRMs and the core is in the apo state. These conformational changes were consistent with transfer of heme between binding sites. Indeed, we observed that HRM-bound Fe3+-heme is transferred to the apo-core either upon independent expression of the core and of a construct spanning the HRM-containing tail or after a single turnover of heme at the core. Moreover, we observed transfer of heme from the core to the HRMs and equilibration of heme between the core and HRMs. We therefore propose an Fe3+-heme transfer model in which HRM-bound heme is readily transferred to the catalytic site for degradation to facilitate turnover but can also equilibrate between the sites to maintain heme homeostasis. Full Article
yg How much oxygen is too much oxygen? By feeds.bmj.com Published On :: Thu, 01 Nov 2018 18:05:18 +0000 As the accompanying editorial to this article says, "oxygen has long been a friend of the medical profession Even old friendships require reappraisal in the light of new information." And that’s what a new rapid reccomendation - Oxygen therapy for acutely ill medical patients - does. To discuss we're joined by two of the authors, Reed Simieniuk,... Full Article
yg Talk evidence - Vitamin D, Oxygen and ethics By feeds.bmj.com Published On :: Fri, 16 Nov 2018 11:30:56 +0000 Welcome to this, trial run, of a new kind of BMJ podcast - here we’re going to be focusing on all things EBM. Duncan Jarvies, Helen Macdonald and Carl Heneghan - and occasional guests- will be back every month to discuss what's been happening in the world of evidence. We'll bring you our Verdict on what you should start or stop doing, geek out... Full Article
yg Glucose-Induced Reactive Oxygen Species Cause Apoptosis of Podocytes and Podocyte Depletion at the Onset of Diabetic Nephropathy By diabetes.diabetesjournals.org Published On :: 2006-01-01 Katalin SusztakJan 1, 2006; 55:225-233Complications Full Article
yg High glucose level and free fatty acid stimulate reactive oxygen species production through protein kinase C--dependent activation of NAD(P)H oxidase in cultured vascular cells By diabetes.diabetesjournals.org Published On :: 2000-11-01 T InoguchiNov 1, 2000; 49:1939-1945Articles Full Article
yg A Multinational, Multicenter, Randomized, Double-Blinded, Placebo-Controlled Trial to Evaluate the Efficacy of Cyclical Topical Wound Oxygen (TWO2) Therapy in the Treatment of Chronic Diabetic Foot Ulcers: The TWO2 Study By care.diabetesjournals.org Published On :: 2020-02-20T11:55:30-08:00 OBJECTIVE Topical oxygen has been used for the treatment of chronic wounds for more than 50 years. Its effectiveness remains disputed due to the limited number of robust high-quality investigations. The aim of this study was to assess the efficacy of multimodality cyclical pressure Topical Wound Oxygen (TWO2) home care therapy in healing refractory diabetic foot ulcers (DFUs) that had failed to heal with standard of care (SOC) alone. RESEARCH DESIGN AND METHODS Patients with diabetes and chronic DFUs were randomized (double-blind) to either active TWO2 therapy or sham control therapy—both in addition to optimal SOC. The primary outcome was the percentage of ulcers in each group achieving 100% healing at 12 weeks. A group sequential design was used for the study with three predetermined analyses and hard stopping rules once 73, 146, and ultimately 220 patients completed the 12-week treatment phase. RESULTS At the first analysis point, the active TWO2 arm was found to be superior to the sham arm, with a closure rate of 41.7% compared with 13.5%. This difference in outcome produced an odds ratio (OR) of 4.57 (97.8% CI 1.19, 17.57), P = 0.010. After adjustment for University of Texas Classification (UTC) ulcer grade, the OR increased to 6.00 (97.8% CI 1.44, 24.93), P = 0.004. Cox proportional hazards modeling, also after adjustment for UTC grade, demonstrated >4.5 times the likelihood to heal DFUs over 12 weeks compared with the sham arm with a hazard ratio of 4.66 (97.8% CI 1.36, 15.98), P = 0.004. At 12 months postenrollment, 56% of active arm ulcers were closed compared with 27% of the sham arm ulcers (P = 0.013). CONCLUSIONS This sham-controlled, double-blind randomized controlled trial demonstrates that, at both 12 weeks and 12 months, adjunctive cyclical pressurized TWO2 therapy was superior in healing chronic DFUs compared with optimal SOC alone. Full Article