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Case 1: Neonatal Trauma Following Motor Vehicle Collision in Pregnancy




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Regenerative responses following DNA damage - {beta}-catenin mediates head regrowth in the planarian Schmidtea mediterranea [RESEARCH ARTICLE]

Annelies Wouters, Jan-Pieter Ploem, Sabine A. S. Langie, Tom Artois, Aziz Aboobaker, and Karen Smeets

Pluripotent stem cells hold great potential for regenerative medicine. Increased replication and division, such is the case during regeneration, concomitantly increases the risk of adverse outcomes through the acquisition of mutations. Seeking for driving mechanisms of such outcomes, we challenged a pluripotent stem cell system during the tightly controlled regeneration process in the planarian Schmidtea mediterranea. Exposure to the genotoxic compound methyl methanesulfonate (MMS) revealed that despite a similar DNA-damaging effect along the anteroposterior axis of intact animals, responses differed between anterior and posterior fragments after amputation. Stem cell proliferation and differentiation proceeded successfully in the amputated heads, leading to regeneration of missing tissues. Stem cells in the amputated tails showed decreased proliferation and differentiation capacity. As a result, tails could not regenerate. Interference with the body-axis-associated component β-catenin-1 increased regenerative success in tail fragments by stimulating proliferation at an early time point. Our results suggest that differences in the Wnt signalling gradient along the body axis modulate stem cell responses to MMS.




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Risk of Ipsilateral Reamputation Following an Incident Toe Amputation Among U.S. Military Veterans With Diabetes, 2005-2016

OBJECTIVE

To assess whether the risk of subsequent lower-limb amputations and death following an initial toe amputation among individuals with diabetes has changed over time and varies by demographic characteristics and geographic region.

RESEARCH DESIGN AND METHODS

Using Veterans Health Administration (VHA) electronic medical records from 1 October 2004 to 30 September 2016, we determined risk of subsequent ipsilateral minor and major amputation within 1 year after an initial toe/ray amputation among veterans with diabetes. To assess changes in the annual rate of subsequent amputation over time, we estimated age-adjusted incidence of minor and major subsequent ipsilateral amputation for each year, separately for African Americans (AAs) and whites. Geographic variation was assessed across VHA markets (n = 89) using log-linear Poisson regression models adjusting for age and ethnoracial category.

RESULTS

Among 17,786 individuals who had an initial toe amputation, 34% had another amputation on the same limb within 1 year, including 10% who had a major ipsilateral amputation. Median time to subsequent ipsilateral amputation (minor or major) was 36 days. One-year risk of subsequent major amputation decreased over time, but risk of subsequent minor amputation did not. Risk of subsequent major ipsilateral amputation was higher in AAs than whites. After adjusting for age and ethnoracial category, 1-year risk of major subsequent amputation varied fivefold across VHA markets.

CONCLUSIONS

Nearly one-third of individuals require reamputation following an initial toe amputation, although risks of subsequent major ipsilateral amputation have decreased over time. Nevertheless, risks remain particularly high for AAs and vary substantially geographically.




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Predicting Opioid Use Following Discharge After Cesarean Delivery [Original Research]

PURPOSE

Although cesarean delivery is the most common surgical procedure in the United States, postoperative opioid prescribing varies greatly. We hypothesized that patient characteristics, procedural characteristics, or both would be associated with high vs low opioid use after discharge. This information could help individualize prescriptions.

METHODS

In this prospective cohort study, we quantified opioid use for 4 weeks following hospital discharge after cesarean delivery. Predischarge characteristics were obtained from health records, and patients self-reported total opioid use postdischarge on weekly questionnaires. Opioid use was quantified in milligram morphine equivalents (MMEs). Binomial and Poisson regression analyses were performed to assess predictors of opioid use after discharge.

RESULTS

Of the 233 patients starting the study, 203 (87.1%) completed at least 1 questionnaire and were included in analyses (86.3% completed all 4 questionnaires). A total of 113 patients were high users (>75 MMEs) and 90 patients were low users (≤75 MMEs) of opioids postdischarge. The group reporting low opioid use received on average 44% fewer opioids in the 24 hours before discharge compared with the group reporting high opioid use (mean = 33.0 vs 59.3 MMEs, P <.001). Only a minority of patients (11.4% to 15.8%) stored leftover opioids in a locked location, and just 31 patients disposed of leftover opioids.

CONCLUSIONS

Knowledge of predischarge opioid use can be useful as a tool to inform individualized opioid prescriptions, help optimize nonopioid analgesia, and reduce opioid use. Additional studies are needed to evaluate the impact of implementing such measures on prescribing practices, pain, and functional outcomes.




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JACC: Basic to Translational Science 2019 Young Author Award Winner




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JACC: Basic to Translational Science 2019 Young Author Award Winner




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Efficacy and Safety of Duvelisib Following Disease Progression on Ofatumumab in Patients with Relapsed/Refractory CLL or SLL in the DUO Crossover Extension Study

Purpose:

In the phase III DUO trial, duvelisib, an oral dual PI3K-, inhibitor, demonstrated significantly improved efficacy versus ofatumumab [median (m) progression-free survival (PFS), 13.3 vs. 9.9 months (HR, 0.52; P < 0.0001); overall response rate [ORR], 74% vs. 45% (P < 0.0001)], with a manageable safety profile in patients with relapsed/refractory (R/R) chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL). We report results from patients with progressive disease (PD) after ofatumumab who crossed over to duvelisib in the DUO trial.

Patients and Methods:

Patients with radiographically confirmed PD after ofatumumab received duvelisib 25 mg twice daily in 28-day cycles until PD, intolerance, death, or study withdrawal. The primary endpoint was ORR per investigator. Secondary endpoints included duration of response (DOR), PFS, and safety.

Results:

As of December 14, 2018, 90 ofatumumab-treated patients in the DUO trial prior to crossover had an ORR of 29%, mDOR of 10.4 months, and mPFS of 9.4 months. After crossover, 77% of patients (69/90) achieved a response, with an mDOR of 14.9 months and mPFS of 15.7 months. Patients with del(17p) and/or TP53 mutations had similar outcomes [ORR, 77% (20/26); mPFS, 14.7 months]. Notably, 73% of patients (47/64) with disease previously refractory to ofatumumab achieved a response. The most frequent any-grade/grade 3/4 treatment-emergent adverse events were diarrhea (47%/23%), neutropenia (26%/23%), pyrexia (24%/4%), cutaneous reactions (23%/4%), and thrombocytopenia (10%/6%).

Conclusions:

Duvelisib demonstrated high response rates with good durability and a manageable safety profile in patients with R/R CLL/SLL who progressed on ofatumumab, including patients with high-risk disease and disease previously refractory to ofatumumab.




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Tedizolid as Step-Down Therapy following Daptomycin versus Continuation of Daptomycin against Enterococci and Methicillin- and Vancomycin-Resistant Staphylococcus aureus in a Rat Endocarditis Model [Experimental Therapeutics]

Tedizolid (TZD) and daptomycin (DAP) were assessed in a rat endocarditis model against Enterococcus faecalis, Enterococcus faecium (resistant to vancomycin and ampicillin), and Staphylococcus aureus. As a monotherapy, TZD for 5 days was not effective in a comparison with no-treatment controls, while DAP for 5 days was significantly effective against these bacteria. Step-down therapy (DAP for 3 days followed by TZD for 2 days) was as effective as DAP for 5 days and was comparable to 3 days of DAP plus ceftriaxone against all bacteria and to 3 days of DAP plus gentamicin against E. faecalis OG1RF.




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The Wings Residence

The Wings Residence là dự án căn hộ nằm trong Khu đô thị Gamuda City với một vị trí đẹp, xung quanh là hồ công viên và hồ cá.




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Công ty CP Gwin




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Resort real estate slowing down due to seasonal effect

In the third quarter of 2019, condotel and resort villa market saw both supply and consumption falling by double digits since the ‘Ghost month’ made investors hesitate.




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Winners of Vietnam Property Awards help ease the nation’s woes in the throes of the pandemic

Bearing in mind that maintaining a united front against the virus can bode well for the country.




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COVID-19 crisis unveils socially responsible Asia Property Awards (Singapore) winning developers

As they implement stricter measures and distribute millions worth of donations to communities in need.




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Thailand Property Award-winning developers pay it forward in the midst of the pandemic

Hearing the kingdom’s cry for help, these developers are offering their resources to everyone in need.




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Tòa nhà Văn phòng Eurowindow

Tọa lạc tại số 2 Tôn Thất Tùng, quận Đống Đa, TP Hà Nội, dự án Tòa nhà văn phòng Eurowindow (Eurowindow Office Building) được đầu tư xây dựng bởi Công ty Cổ phần Đầu tư và xây dựng số 1 Hà Nội (HICC1).




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How to invest when real estate market slowing down?

The Vietnam’s real estate market has clearly seen signs of a downturn in many segments since the beginning of 2018. So how to gain profit from your realty investment?




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How to win big in the blooming homestay business?

Investing in homestay properties has emerged as a new trend in Vietnam. In order to maximize their profit in the long term, investors should take into account a number of factors.




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Cần tiền bán gấp căn Emerald 2PN 66.6m2 có Baywindow. Giá mong muốn 2,7 tỷ, thương lượng trực tiếp

Cần tiền bán gấp căn 66,6m2 2PN có Baywindow phòng ngủ view thoáng đẹp. Block D view kênh 19/5 rộng rãi, dưới là Shophouse của khu cực tiện. Giá: 2.7 tỷ, thương lượng. LH: 0979397902....




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Aspiring young filmmakers invited to enter Windsor showcase

If you're 13 to 24 years old and love to make movies, you'll want to enter the Windsor Youth Short Film Showcase next week. Organizer Gemma Eva says the project is meant to spotlight local "Gen-Z filmmakers."




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Henderson: On 75th anniversary of VE Day, Windsorite recalls surviving in Poland

Crawling on his belly through a sewer pipe beneath the streets of Warsaw, Poland, with a battle raging overhead, 16-year-old Lucjan Krause could scarcely have imagined he would survive the fighting, let alone go on to build a globally admired atomic physics program at the University of Windsor. Now 92 and still in full command […]




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Wind-powered turbines could clean pollutants from our air

A self-powered device that generates electricity from the wind can also absorb and break down harmful nitric oxide and nitrogen dioxide from the air




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Artificial leaves made from aluminium could keep windows frost-free

In winter, the veins of leaves don’t get completely covered in frost. Mimicking this effect could be the best way to create ice-resistant surfaces




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Smart windows can let visible light through while blocking out heat

A 3D printed grate can be used to make a smart window that blocks heat from sunlight out in the summer while letting it through in the winter, conserving energy




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Somebody Is Furiously Uploading '90s Windows Desktop Themes to the Internet Archive

Please, I implore you: jump on this bandwagon.




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Rocket start-up Astra tries back-to-back launches to win $12 million

A space flight start-up called Astra is about to attempt to launch two small rockets into orbit over a few weeks to win $12 million from the US military




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Weird star was born when two white dwarfs merged instead of blowing up

White dwarf stars are common in the galaxy, but astronomers have found one that doesn't seem to obey the rules. They think it was born when two smaller white dwarfs merged together




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Strange lines on Venus may be folded stacks of lava eroded by wind

Venus’s surface is covered in strange wiggling lines that may form when colossal stacks of lava are carved by gentle winds over hundreds of millions of years




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Vast worlds called brown dwarfs have extraordinarily powerful winds

Brown dwarfs, which are halfway between huge planets and small stars, have extremely powerful winds whipping around them at speeds of about 650 metres per second




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All of the Winners in the DARPA Subterranean Challenge Tunnel Circuit

It's about more than just first place as teams look toward more competitions in 2020




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Merger windfall for Waislitz

Billionaire Alex Waislitz stands to make millions after two financial services companies agreed to merge.




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Ocarina Of Time's 'Saria's Song' Performed On 24 Partially Empty Wine Bottles

This is a video of musician and Instagrammer nathanleighsays performing Saria's Song (the Lost Woods theme) from The Legend Of Zelda: Ocarina Of Time on 24 partially empty wine bottles. How about that! Of course this would never work at my aunt's house on account of the bottles all playing the same note because they're empty. And the cats! Soooooo many cats. Keep going for the performance as well as a clip of Link learning Saria's song from the actual game.




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Fortnite Party Royale Premiere UK Start Time, How to Watch, Neon Wings and more



Epic will be hosting its latest in-game event in Fortnite this weekend, featuring the talents of Dillon Francis, Steve Aoki and deadmau5




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RPGCast – Episode 379: “Neverwinner”

Chris learns a hard lesson about how free-to-play isn’t really free. Alice learns how to import Gunpla games. Alex learns how to properly cross check...




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Coronavirus in Scotland: People could be isolated before knowing if they are positive

PEOPLE who are not positive for Covid-19 could be told to isolate from their families before test results are issued as a precaution, Scotland’s national clinical director has warned.




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Trump mocks Oscar win for Parasite: 'What the hell was that about?' – video

Donald Trump takes a jab at the South Korean film Parasite, best picture at this year's Oscars, telling supporters in Colorado that the US has 'enough problems with South Korea', and: ‘Can we get Gone With the Wind back?’ He also dismisses Brad Pitt, who – during his Oscars speech said his 45-second slot was more than John Bolton received at the US president's Senate impeachment trial. Trump calls the actor a 'little wise guy'

Continue reading...




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Tennis, golf swing into action

It’s only the beginning of May, but for local golfers and tennis players, Monday felt like Christmas. Golf courses and tennis courts were officially allowed to open Monday as a part ...




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Mega Millions Results, Numbers for 5/8/20: Did Anyone Win the $231 Million Jackpot Prize Last Night?

The winners and results of last night's Mega Millions lottery, plus how to avoid falling victim to a lottery scam.




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Twitch launches an esports directory to cater to growing streaming audience

Twitch is doubling down on esports in this new era of social distancing as a number of traditional sporting events have been cancelled. The company this week introduced a new esports directory on its site that will make it easier for viewers to find live matches, information on players, games with active competition leagues, a […]




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Indian Jawans Helped Save Europe in WWII. Can India Win COVID War?

“The rapid & global spread of coronavirus is a devastating reminder of the consequences of global disorder”: Tharoor





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Following are the top foreign stories at 2000 hours




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Iranian Oscar-Winning Director Says He’ll Skip Awards in Protest

Oscar-winning Iranian director Asghar Farhadi said Sunday he will not attend the Academy Awards on Feb. 26, “even if exceptions were to be made for my trip,” as protests over President Donald Trump's immigration ban spread to Hollywood's biggest global stage.




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Gary Neville picks Paul Pogba to win Ballon d&#39;Or for Manchester United




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Harry Kane: England World Cup hero favourite to win Golden Boot after Panama hat-trick

HARRY KANE is now the clear favourite to win the World Cup Golden Boot after his hat-trick against Panama..




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UK and EU Competition: Win a be quiet! Pure Base 500DX chassis

We reckon it's pretty damn good. Here's your chance to win one.




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50 Cent doesn't have a problem with Oprah Winfrey or Gayle King

Winfrey eventually walked away from the Simmons project and had her name removed as a producer, citing creative differences.




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Quincy Jones' $9.4 million legal win against Michael Jackson's estate has been overturned

The 87-year-old record producer - who worked extensively with Michael at the height of his pop career - was originally awarded




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Maren Morris growing impatient with C-section recovery

Hurd and Morris wed in 2018 after five years together.




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The 'mind-blowing' story of the ex-Green Beret who tried to oust Venezuela's Maduro

Jordan Goudreau once pushed a plan to protect U.S. schools. Then he moved on to a more daring pursuit, which also didn't end well.




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Dr. Ben Carson: America's economy can reopen 'imminently' by following coronavirus health guidelines, data

America can take its next steps toward reopening by placing an emphasis on emerging health data and closely examining how early states are performing, Housing and Urban Development Secretary Dr. Ben Carson asserted Saturday.



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Capitals to terminate Brendan Leipsic's contract following fallout from leaked messages

The Washington Capitals announced Friday that forward Brendan Leipsic was placed on unconditional waivers after his private messages were leaked on social media Wednesday.