post TELE-POST wifikkut attavinitsitseqqiortuleruttorpoq By article.wn.com Published On :: Sat, 09 May 2020 14:53 GMT ____________________________________________________________________________________________________________________________________________________________________________________________________ Ippassaq wifikkut attaveqaatitigut ajutoornerup kingorna arlallit... Full Article
post Treasury posts $6.6B cash deficit in April By www.hurriyetdailynews.com Published On :: Sat, 09 May 2020 07:43:16 Z Turkish Treasury's cash balance this April posted a deficit of 46.2 billion Turkish liras ($6.6 billion), the Treasury and Finance Ministry said on May 8. Full Article Economy
post Coronavirus - Financial Services in a post COVID world - Video series By www.eversheds.com Published On :: 2020-05-06 We are producing a series of videos in which some of our leading practices discuss the principal issues and opportunities in financial services as the COVID crisis abates, and we start moving into a new form of business as usual. Some of thes... Full Article
post Coronavirus - Webinar Financial services post-COVID19: Trends in disputes and enforcement - UK By www.eversheds.com Published On :: 2020-05-06 Listen as our panel answer some of the most common questions on post-COVID19 litigation trends - this was presented in conjunction with Ankura. A recording of the session can be listened to here. In this session we explored: a review of the economi... Full Article
post Is It Time to Postpone the 2020 Climate Summit? By www.ipsnews.net Published On :: Wed, 25 Mar 2020 12:28:31 +0000 With the coronavirus pandemic sweeping the planet and the governments of both wealthy and poorer nations overwhelmed by the demands of managing a response, the scheduling of this year’s critical UN Climate Summit is suddenly in doubt. COP26 (formally, the 26th annual Conference of the Parties of the UN Framework Convention on Climate Change) is […] The post Is It Time to Postpone the 2020 Climate Summit? appeared first on Inter Press Service. Full Article Climate Change Global Headlines Health TerraViva United Nations
post How Japan’s post-coronavirus reopening should proceed By www.japantimes.co.jp Published On :: Wed, 06 May 2020 04:19:04 +0900 Prime Minister Shinzo Abe's legacy depends on how he addresses the challenges raised by the COVID-19 pandemic. Full Article Opinion covid-19 Japan's reopening covid-19 in Japan
post Katsuhiro Matsumoto forced to hit reset button after Olympic postponement By www.japantimes.co.jp Published On :: Sun, 10 May 2020 02:57:13 +0900 Swimmer Katsuhiro Matsumoto is headed back to the drawing board Full Article Sports 2020 Tokyo Olympics Katsuhiro Matsumoto covid-19
post Football to allow five substitutes during post-virus fixture backlog By www.monitor.co.ug Published On :: 2020-05-09T09:16:11Z Teams face likely fixture congestion in a packed calendar as they attempt to make up for lost time when play can resume Full Article
post Namibia: Land Activist Nauyoma's Trial Postponed By allafrica.com Published On :: Sat, 09 May 2020 09:58:10 GMT [New Era] The trial of Affirmative Repositioning (AR) land activist Dimbulukeni 'Dee' Nauyoma has been postponed to 19 May this year. Full Article
post Israelis venture out into a post-coronavirus world By www.jpost.com Published On :: Thu, 07 May 2020 18:20:34 GMT As we begin to enjoy the old-time routines anew, there are some elements that would be a real shame to give up. Full Article Mahane Yehuda Coronavirus Coronavirus in Israel
post Friedman to 'Post': We need to strengthen Israel-US ties with peace plan By www.jpost.com Published On :: Fri, 08 May 2020 09:37:10 GMT Diplomatic Affairs: Marking two years since the move of the embassy to Jerusalem, David Friedman talks about annexation, the peace process and rapprochement in the Gulf. Full Article US Israel Middle East Donald Trump David Friedman Elections 2020 Deal of the century
post US Orthodox Union issues guidelines on post-coronavirus reopening By www.jpost.com Published On :: Sat, 09 May 2020 13:55:33 GMT The new guidelines focus on 13 principles that are designed to guide the decisions and planning of synagogues and communities throughout the United States. Full Article orthodox jews Orthodox Union Coronavirus spread Coronavirus Live Updates
post Danon to 'Post': UNSC must consider outcome of ending Iran arms embargo By www.jpost.com Published On :: Sat, 09 May 2020 02:14:28 GMT Israeli Ambassador to the UN Danny Danon said that the Iranian regime continues to divert its national resources in favor of its terror ambitions. Full Article Iran danny danon Security Council
post China in a post-coronavirus world - SCMP Series By www.scmp.com Published On :: Fri, 08 May 2020 11:54:06 +0800 In a series of in-depth articles we look at the global backlash China may face as a result of its response to the pandemic. 1. Who is winning the China-US race to run the world amid the pandemic? Coronavirus crisis has brought potential to redraw the map of global power and influence, but there is ‘deep-seated mistrust’ of Beijing. 2. Has pandemic shifted balance of military force in the Indo-Pacific? Taiwan Strait and South China Sea are settings for China and the US to assert influence… Full Article
post Rethinking Kenya’s industrial model post-Covid-19 crisis By www.nation.co.ke Published On :: 2020-05-08T19:54:00Z The government needs to encourage innovative technology that resonates with our requirements. Full Article
post Boosted by US$6 million Alibaba cash injection, Hong Kong compostable food packaging start-up takes on single-use plastics By www.scmp.com Published On :: Thu, 07 May 2020 12:00:17 +0800 Alarmed by the amount of rubbish they were generating by just drinking coffee and eating cup noodles, two former garments entrepreneurs decided it was time to find an eco-friendly alternative to all the plastic packaging that ends up in landfills globally.George Chen Dah-ren and Vivian Chang first approached material scientists in Hong Kong and mainland China, and were in 2013 pointed in the direction of Alexander Bismarck, then a Materials Science professor at Imperial College London. The… Full Article
post South China Morning Post annual student awards to focus on pupils’ commitment to bringing people together By www.scmp.com Published On :: Fri, 08 May 2020 10:45:51 +0800 The commitment of students in bringing people together will be the focus of the 39th annual Student of the Year Awards organised by the South China Morning Post.With the theme “Leading for a better society”, two new awards this year include a special prize for the most nurturing environment, which will go to a school and its students, and another for mentorship.A total of 11 awards in nine categories, including science, maths, languages, sports, and visual and performing arts, will be presented… Full Article
post News24.co.ke | Kenya deports South Sudan rebel official over Facebook post By www.news24.co.ke Published On :: Fri, 04 Nov 2016 13:45:23 +0200 A Kenyan official says a South Sudanese rebel spokesperson has been deported to South Sudan over a Facebook posting, while colleagues fear for his life and human rights workers say he was a UN-registered refugee. Full Article
post News24.co.ke | Murder trial of Willy Kimani postponed due to lawyer no-show By www.news24.co.ke Published On :: Mon, 07 Nov 2016 14:19:10 +0200 The murder trial over human rights lawyers, Willy Kimani death had to be postponed when lawyer, Cliff Ombeta failed to pitch in court. Full Article
post Forward planning for post-lockdown fiesta By cyprus-mail.com Published On :: Sat, 09 May 2020 07:30:47 +0000 Whether this summer will include the usual beach parties and live concerts is still uncertain but a group of Cypriot friends studying in Aberdeen are determined to bring back the island’s summer party mood, and if the coronavirus situation allows are organising a post-lockdown fiesta. Are the public ready? The... The post Forward planning for post-lockdown fiesta appeared first on Cyprus Mail. Full Article Cyprus Entertainment What's On
post When Gigi Hadid ditched hugging Harry Styles post Zayn Malik's 'One Direction' exit By feedproxy.google.com Published On :: Fri, 08 May 2020 02:05:34 +0500 Gigi Hadid was seen snubbing Harry Styles while embracing other bandmates after Zayn Malik’s ‘One Direction’ exit Full Article
post Pak Post distributes Rs21.5 billion By feedproxy.google.com Published On :: Sat, 09 May 2020 06:00:00 +0500 Rawalpindi : Pakistan Post has distributed Rs21.5 billion to more than 6.5 lakh military pensioners and family pensioners in two weeks in the second phase of pension distribution to pensioners at their doorsteps, which is a unique service of its kind and such huge sums of money. Rawalpindi Circle... Full Article
post ADB Sanitation Dialogue 2020 - Postponed to first quarter of 2021 By feedproxy.google.com Published On :: 2020-06-30 00:00:00 The ADB Sanitation Dialogue 2020, to be held on 29 June to 1 July 2020 in Manila, engages ADB's developing members and other development partners toward achieving Sustainable Development Goal 6.2 on sanitation for all. Full Article Event
post ADB Sanitation Dialogue 2020 - Postponed to first quarter of 2021 By feedproxy.google.com Published On :: 2020-06-30 00:00:00 The ADB Sanitation Dialogue 2020, to be held on 29 June to 1 July 2020 in Manila, engages ADB's developing members and other development partners toward achieving Sustainable Development Goal 6.2 on sanitation for all. Full Article Event
post (Postponed) Global Competition Summit 2020 By www.dentons.com Published On :: Fri, 19 Jun 2020 00:00:00 GMT (Postponed) We will be holding Dentons' first Global Competition Summit on Friday 19 June at our London office. Please join us for a series of panel discussions, in which we will provide insights on key current themes and issues in competition law. Full Article Competition and Antitrust Competition and Antitrust Counseling and Compliance Canadian Competition and Foreign Investment Review Competition and Antitrust Litigation EU Competition Law Merger Control and Review State Aid United Kingdom
post The end of the open plan office? Workspaces get post-pandemic makeovers By feeds.reuters.com Published On :: Wed, 06 May 2020 19:42:34 -0400 One-way corridors, buffer zones around desks, and clear plastic screens to guard against colleagues' coughs and sneezes may become office standards after coronavirus stay-at-home orders are lifted,... Full Article lifestyleMolt
post The return of the cubicle? Companies rethink office life post lockdown By feeds.reuters.com Published On :: Thu, 07 May 2020 12:18:53 -0400 Can creative sparks fly through plexiglass? Is the water cooler chat a thing of the past? Full Article lifestyleMolt
post Global hedge funds post April gains but still negative for the year: data By feeds.reuters.com Published On :: Thu, 07 May 2020 17:34:23 -0400 Global hedge funds posted their biggest monthly gain in more than a decade in April when stocks rocketed higher with the help of government rescue packages designed to fuel growth stalled by the... Full Article PersonalFinance
post A Minute With: Tim Gunn on pajamas and post-quarantine fashion By feeds.reuters.com Published On :: Fri, 01 May 2020 12:42:56 -0400 Even Tim Gunn, the immaculately dressed fashion mentor from "Project Runway" and Amazon's new competition show "Making the Cut," is finding it hard to get out of his pajamas these days. Full Article artsNews
post Potbelly postpones quarterly filing due to COVID-19 crisis By feeds.reuters.com Published On :: Fri, 08 May 2020 18:01:33 -0400 Potbelly Corp said on Friday it is unable to file its quarterly report with the U.S. SEC by the May 8 deadline due to the COVID-19 crisis, adding to the restaurant chain's pandemic-led woes. Full Article companyNews
post A Minute With: Tim Gunn on pajamas and post-quarantine fashion By www.reuters.com Published On :: Fri, 01 May 2020 12:42:56 -0400 Even Tim Gunn, the immaculately dressed fashion mentor from "Project Runway" and Amazon's new competition show "Making the Cut," is finding it hard to get out of his pajamas these days. Full Article peopleNews
post U.S. Workplaces Roiled by Post-Election Discord, Poll Finds By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: U.S. Workplaces Roiled by Post-Election Discord, Poll FindsCategory: Health NewsCreated: 5/3/2017 12:00:00 AMLast Editorial Review: 5/4/2017 12:00:00 AM Full Article
post Posting Your Vacation Online May Make You Forget It By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Posting Your Vacation Online May Make You Forget ItCategory: Health NewsCreated: 4/27/2018 12:00:00 AMLast Editorial Review: 4/30/2018 12:00:00 AM Full Article
post Menopause May Someday Disappear as Women Postpone Pregnancy: Study By www.medicinenet.com Published On :: Mon, 27 Apr 2020 00:00:00 PDT Title: Menopause May Someday Disappear as Women Postpone Pregnancy: StudyCategory: Health NewsCreated: 4/24/2020 12:00:00 AMLast Editorial Review: 4/27/2020 12:00:00 AM Full Article
post Post-Breast Cancer Radiotherapy Bronchiolitis Obliterans Organizing Pneumonia By rc.rcjournal.com Published On :: 2020-04-28T00:42:49-07:00 BACKGROUND:Radiotherapy for breast cancer has been implicated in the development of bronchiolitis obliterans organizing pneumonia (BOOP). Patients may be asymptomatic or may have pulmonary and constitutional symptoms that are moderate or severe. Postradiotherapy BOOP usually develops during the 12 months after completion of radiotherapy and is characterized by ground-glass opacities in the radiation-exposed lung and frequently in the non-irradiated lung.METHODS:An updated literature search and review was performed to update the systematic review we conducted in 2014. Ten new publications were identified: 2 Japanese epidemiological studies, 1 Japanese case series study, 6 case reports, and 1 review article.RESULTS:The incidence of postradiotherapy BOOP was 1.4% in both Japanese epidemiological studies. Risk factors included increasing age, cigarette smoking, and increasing central lung distance. The case reports included 7 women who had breast cancer postradiation BOOP and 1 woman who had an ataxia telangiectasia mutated (ATM) gene mutation, which may increase radiation sensitivity.CONCLUSION:Postradiotherapy BOOP in women with breast cancer occurs at a rate of 1.0–3.0% and may occur in women with immune system dysfunction and genetic mutations. Full Article
post Therapeutic Inertia: Still a Long Way to Go That Cannot Be Postponed By spectrum.diabetesjournals.org Published On :: 2020-02-14T06:59:49-08:00 In the context of type 2 diabetes, the definition of therapeutic inertia should include the failure not only to intensify therapy, but also to deintensify treatment when appropriate and should be distinguished from appropriate inaction in cases justified by particular circumstances. Therapy should be intensified when glycemic control deteriorates to prevent long periods of hyperglycemia, which increase the risk of complications. Strategic plans to overcome therapeutic inertia must include actions focused on patients, prescribers, health systems, and payers. Therapeutic inertia affects the management of glycemia, hypertension, and lipid disorders, all of which increase the risk for cardiovascular diseases. Thus, multifactorial interventions that act on additional therapeutic goals beyond glycemia are needed. Full Article
post Are You Still a Postdoc? How My Scientific Identity Intersects with My Immigrant Status By msphere.asm.org Published On :: 2020-05-06T07:29:31-07:00 ABSTRACT Academics in non-tenure-track positions encounter a unique set of challenges on the road toward tenure. Institutionalized policies and lack of mentors are additional burdens for foreign scientists, resulting in representation differences. Becoming a scientist has been a personal and moving journey in which my multiple selves intersect and clash every now and again. My identity as a scientist is a life project and has intersected with my other identities: a young Latina immigrant in Western Europe. This crossroad has molded, and at times, challenged my participation in science. Full Article
post Posttranscriptional Regulation of tnaA by Protein-RNA Interaction Mediated by Ribosomal Protein L4 in Escherichia coli [Article] By jb.asm.org Published On :: 2020-04-27T08:00:23-07:00 Escherichia coli ribosomal protein (r-protein) L4 has extraribosomal biological functions. Previously, we described L4 as inhibiting RNase E activity through protein-protein interactions. Here, we report that from stabilized transcripts regulated by L4-RNase E, mRNA levels of tnaA (encoding tryptophanase from the tnaCAB operon) increased upon ectopic L4 expression, whereas TnaA protein levels decreased. However, at nonpermissive temperatures (to inactivate RNase E), tnaA mRNA and protein levels both increased in an rne temperature-sensitive [rne(Ts)] mutant strain. Thus, L4 protein fine-tunes TnaA protein levels independently of its inhibition of RNase E. We demonstrate that ectopically expressed L4 binds with transcribed spacer RNA between tnaC and tnaA and downregulates TnaA translation. We found that deletion of the 5' or 3' half of the spacer compared to the wild type resulted in a similar reduction in TnaA translation in the presence of L4. In vitro binding of L4 to the tnaC-tnaA transcribed spacer RNA results in changes to its secondary structure. We reveal that during early stationary-phase bacterial growth, steady-state levels of tnaA mRNA increased but TnaA protein levels decreased. We further confirm that endogenous L4 binds to tnaC-tnaA transcribed spacer RNA in cells at early stationary phase. Our results reveal the novel function of L4 in fine-tuning TnaA protein levels during cell growth and demonstrate that r-protein L4 acts as a translation regulator outside the ribosome and its own operon. IMPORTANCE Some ribosomal proteins have extraribosomal functions in addition to ribosome translation function. The extraribosomal functions of several r-proteins control operon expression by binding to own-operon transcripts. Previously, we discovered a posttranscriptional, RNase E-dependent regulatory role for r-protein L4 in the stabilization of stress-responsive transcripts. Here, we found an additional extraribosomal function for L4 in regulating the tna operon by L4-intergenic spacer mRNA interactions. L4 binds to the transcribed spacer RNA between tnaC and tnaA and alters the structural conformation of the spacer RNA, thereby reducing the translation of TnaA. Our study establishes a previously unknown L4-mediated mechanism for regulating gene expression, suggesting that bacterial cells have multiple strategies for controlling levels of tryptophanase in response to varied cell growth conditions. Full Article
post Two-Way Short Message Service (SMS) Communication May Increase Pre-Exposure Prophylaxis Continuation and Adherence Among Pregnant and Postpartum Women in Kenya By ghspjournal.org Published On :: 2020-03-31T15:28:55-07:00 ABSTRACTIntroduction:We evaluated a 2-way short message service (SMS) communication platform to improve continuation of pre-exposure prophylaxis (PrEP) for HIV prevention among Kenyan women who initiated PrEP within routine maternal child health (MCH) and family planning clinics.Methods:We adapted an existing SMS platform (Mobile WACh [mWACh]) to send PrEP-tailored, theory-based SMS and allow clients to communicate with a remote nurse. Women who did not have HIV and who were initiating PrEP at 2 MCH/family planning clinics in Kisumu County, Kenya, from February to October 2018, were offered enrollment into the mWACh-PrEP program; SMS communication was free. We evaluated acceptability, satisfaction, and implementation metrics. In a pre/postevaluation, we compared PrEP continuation at 1-month postinitiation among women who initiated PrEP in the period before (n=166) versus after mWACh-PrEP implementation, adjusting for baseline differences.Results:Of the 334 women who were screened for enrollment into the mWACh-PrEP program; 193 (58%) were eligible and of those, 190 (98%) accepted enrollment. Reasons for ineligibility (n=141) included no phone access (29%) and shared SIM cards (25%). Median age was 25 years (interquartile range=22–30), and 91% were MCH clients. Compared to women who initiated PrEP in the month before mWACh-PrEP implementation, women who enrolled in mWACh-PrEP were more likely to return for their first PrEP follow-up visit (40% vs. 53%; adjusted risk ratio [aRR]=1.26; 95% confidence interval [CI]= 1.06, 1.50; P=.008) and more likely to continue PrEP (22% vs. 43%; aRR=1.75; 95% CI=1.21, 2.55; P=.003). Among those who returned, 99% reported successful receipt of SMS through the mWACh-PrEP system and 94% reported that mWACh-PrEP helped them understand PrEP better. Concerns about PrEP use, how it works, and side effects accounted for the majority (80%) of issues raised by participants using SMS.Conclusions:Two-way SMS expanded support for PrEP and opportunities for dialogue beyond the clinic and enabled women to ask and receive answers in real time regarding PrEP, which facilitated its continued use. Full Article
post Intrahepatic Fat and Postprandial Glycemia Increase After Consumption of a Diet Enriched in Saturated Fat Compared With Free Sugars By care.diabetesjournals.org Published On :: 2020-04-20T12:00:33-07:00 OBJECTIVE Debate continues regarding the influence of dietary fats and sugars on the risk of developing metabolic diseases, including insulin resistance and nonalcoholic fatty liver disease (NAFLD). We investigated the effect of two eucaloric diets, one enriched with saturated fat (SFA) and the other enriched with free sugars (SUGAR), on intrahepatic triacylglycerol (IHTAG) content, hepatic de novo lipogenesis (DNL), and whole-body postprandial metabolism in overweight males. RESEARCH DESIGN AND METHODS Sixteen overweight males were randomized to consume the SFA or SUGAR diet for 4 weeks before consuming the alternate diet after a 7-week washout period. The metabolic effects of the respective diets on IHTAG content, hepatic DNL, and whole-body metabolism were investigated using imaging techniques and metabolic substrates labeled with stable-isotope tracers. RESULTS Consumption of the SFA diet significantly increased IHTAG by mean ± SEM 39.0 ± 10.0%, while after the SUGAR diet IHTAG was virtually unchanged. Consumption of the SFA diet induced an exaggerated postprandial glucose and insulin response to a standardized test meal compared with SUGAR. Although whole-body fat oxidation, lipolysis, and DNL were similar following the two diets, consumption of the SUGAR diet resulted in significant (P < 0.05) decreases in plasma total, HDL, and non-HDL cholesterol and fasting β-hydroxybutyrate plasma concentrations. CONCLUSIONS Consumption of an SFA diet had a potent effect, increasing IHTAG together with exaggerating postprandial glycemia. The SUGAR diet did not influence IHTAG and induced minor metabolic changes. Our findings indicate that a diet enriched in SFA is more harmful to metabolic health than a diet enriched in free sugars. Full Article
post A post-stem cell transplant risk score for Philadelphia-negative acute lymphoblastic leukemia By www.haematologica.org Published On :: 2020-05-01T00:05:41-07:00 Full Article
post Early high plasma ST2, the decoy IL-33 receptor, in children undergoing hematopoietic cell transplantation is associated with the development of post-transplant diabetes mellitus By www.haematologica.org Published On :: 2020-05-01T00:05:42-07:00 Full Article
post A Post Hoc Analysis of Statin Use in Tolvaptan Autosomal Dominant Polycystic Kidney Disease Pivotal Trials By cjasn.asnjournals.org Published On :: 2020-05-07T10:00:25-07:00 Background and objectives Tolvaptan is approved to slow kidney function decline in adults with autosomal dominant polycystic kidney disease (ADPKD) at risk of rapid progression. Because in vitro studies indicated that the tolvaptan oxobutyric acid metabolite inhibits organic anion–transporting polypeptide (OATP)1B1 and OATP1B3, United States prescribing information advises avoiding concurrent use with OATP1B1/1B3 substrates, including hepatic hydroxymethyl glutaryl–CoA reductase inhibitors (statins). This post hoc analysis of the pivotal phase 3 tolvaptan trials (Tolvaptan Efficacy and Safety in Management of Autosomal Dominant Polycystic Kidney Disease and Its Outcomes [TEMPO] 3:4 trial [NCT00428948] and Replicating Evidence of Preserved Renal Function: an Investigation of Tolvaptan Safety and Efficacy in ADPKD [REPRISE] trial [NCT02160145]) examined the safety of concurrent tolvaptan/statin use. Design, setting, participants, & measurements The trials randomized a combined total of 2815 subjects with early- to late-stage ADPKD to tolvaptan (n=1644) or placebo (n=1171) for 3 years (TEMPO 3:4) and 1 year (REPRISE). Statin use was unrestricted, and 597 subjects (21.2% overall; 332 [20.2%] tolvaptan, 265 [22.6%] placebo) received statins. Statin use (duration, dose change, statin change, permanent discontinuation), incidences of statin-related adverse events, and hepatic transaminase elevations were determined for subjects who received tolvaptan+statin, placebo+statin, tolvaptan alone, and placebo alone. Results No differences in statin use parameters between tolvaptan- and placebo-treated subjects were observed. No statistically significant increases in commonly reported statin-related adverse events (e.g., musculoskeletal disorders, gastrointestinal symptoms) were seen between subjects receiving tolvaptan+statin and placebo+statin. For example, in TEMPO 3:4, frequencies were 5.4% and 7.8%, respectively, for myalgia (difference –2.4%; 95% confidence interval, –11.2% to 6.4%) and 9.3% and 7.8%, respectively, for abdominal pain (difference 1.5%; –7.9% to 10.9%). In an analysis that excluded participants concurrently using allopurinol, the frequency of alanine transaminase or aspartate transaminase >3x upper limit of normal in the pooled study populations was 3.6% for the tolvaptan+statin group and 2.3% for the placebo+statin group (difference 1.4%; –2.0% to 4.7%). Conclusions Tolvaptan has been used safely in combination with statins in clinical trials. Podcast This article contains a podcast at https://www.asn-online.org/media/podcast/CJASN/2020_04_06_CJN.08170719.mp3 Full Article
post Palliative care clinical rotations among undergraduate and postgraduate medical trainees in Canada: a descriptive study By www.cmajopen.ca Published On :: 2020-04-14T05:09:06-07:00 Background: The number of medical undergraduate and postgraduate students completing palliative care clinical rotations in Canadian medical schools is currently unknown. The aim of this study was to assess the proportion of Canadian medical trainees completing clinical rotations in palliative care and to determine whether changes took place between 2008 and 2018. Methods: In this descriptive study, all Canadian medical schools (n = 17) were invited to provide data at the undergraduate and postgraduate levels (2007/08–2015/16 and 2007/08–2017/18, respectively). Information collected included the number, type and length of palliative care clinical rotations offered and the total number of medical trainees or residents enrolled at each school. Results: All 17 Canadian medical schools responded to the request for information. At the undergraduate level, palliative care clinical rotations were not offered in 2 schools, mandatory in 2 and optional in 13. Three schools that offered optional rotations were unable to provide complete data and were therefore excluded from further analyses. In 2015/16, only 29.7% of undergraduate medical students completed palliative care clinical rotations, yet this was a significant improvement compared to 2011/12 (13.6%, p = 0.02). At the postgraduate level, on average, 57.9% of family medicine trainees completed such rotations between 2007/08 and 2016/17. During the same period, palliative care clinical rotations were completed by trainees in specialty or subspecialty programs in anesthesiology (34.2%), geriatric medicine (64.4%), internal medicine (30.9%), neurology (28.2%) and psychiatry (64.5%). Interpretation: Between 2008 and 2018, a large proportion of Canadian medical trainees graduated without the benefit of a clinical rotation in palliative care. Without dedicated clinical exposure to palliative care, many physicians will enter practice without vital palliative care competencies. Full Article
post Circulating Biomarker Score for Visceral Fat and Risks of Incident Colorectal and Postmenopausal Breast Cancer: The Multiethnic Cohort Adiposity Phenotype Study By cebp.aacrjournals.org Published On :: 2020-05-01T00:05:36-07:00 Background: Visceral adipose tissue (VAT) may play a greater role than subcutaneous fat in increasing cancer risk but is poorly estimated in epidemiologic studies. Methods: We developed a VAT prediction score by regression equations averaged across 100 least absolute shrinkage and selection operator models in a cross-sectional study of 1,801 older adults in the Multiethnic Cohort (MEC). The score was then used as proxy for VAT in case–control studies of postmenopausal breast (950 case–control pairs) and colorectal (831 case–control pairs) cancer in an independent sample in MEC. Abdominal MRI–derived VAT; circulating biomarkers of metabolic, hormonal, and inflammation dysfunctions; and ORs for incident cancer adjusted for BMI and other risk factors were assessed. Results: The final score, composed of nine biomarkers, BMI, and height, explained 11% and 15% more of the variance in VAT than BMI alone in men and women, respectively. The area under the receiver operator curve for VAT >150 cm2 was 0.90 in men and 0.86 in women. The VAT score was associated with risk of breast cancer [OR (95% confidence interval [CI]) by increasing tertiles: 1.00, 1.09 (0.86–1.39), 1.48 (1.16–1.89); Ptrend = 0.002] but not with colorectal cancer (P = 0.84), although an association [1.00, 0.98 (0.68–1.39), 1.24 (0.88–1.76); Ptrend = 0.08] was suggested for this cancer after excluding cases that occurred within 7 years of blood draw (Pheterogeneity = 0.06). Conclusions: The VAT score predicted risks of postmenopausal breast cancer and can be used for risk assessment in diverse populations. Impact: These findings provide specific evidence for a role of VAT in breast cancer. Full Article
post Adiposity Change Over the Life Course and Mammographic Breast Density in Postmenopausal Women By cancerpreventionresearch.aacrjournals.org Published On :: 2020-05-04T05:35:14-07:00 Mammographic breast density is a strong risk factor for breast cancer. We comprehensively investigated the associations of body mass index (BMI) change from ages 10, 18, and 30 to age at mammogram with mammographic breast density in postmenopausal women. We used multivariable linear regression models, adjusted for confounders, to investigate the associations of BMI change with volumetric percent density, dense volume, and nondense volume, assessed using Volpara in 367 women. At the time of mammogram, the mean age was 57.9 years. Compared with women who had a BMI gain of 0.1–5 kg/m2 from age 10, women who had a BMI gain of 5.1–10 kg/m2 had a 24.4% decrease [95% confidence interval (CI), 6.0%–39.2%] in volumetric percent density; women who had a BMI gain of 10.1–15 kg/m2 had a 46.1% decrease (95% CI, 33.0%–56.7%) in volumetric percent density; and women who had a BMI gain of >15 kg/m2 had a 56.5% decrease (95% CI, 46.0%–65.0%) in volumetric percent density. Similar, but slightly attenuated associations were observed for BMI gain from ages 18 and 30 to age at mammogram and volumetric percent density. BMI gain over the life course was positively associated with nondense volume, but not dense volume. We observed strong associations between BMI change over the life course and mammographic breast density. The inverse associations between early-life adiposity change and volumetric percent density suggest that childhood adiposity may confer long-term protection against postmenopausal breast cancer via its effect of mammographic breast density. Full Article
post Postpartum Involution and Cancer: An Opportunity for Targeted Breast Cancer Prevention and Treatments? By cancerres.aacrjournals.org Published On :: 2020-05-04T05:35:17-07:00 Childbirth at any age confers a transient increased risk for breast cancer in the first decade postpartum and this window of adverse effect extends over two decades in women with late-age first childbirth (>35 years of age). Crossover to the protective effect of pregnancy is dependent on age at first pregnancy, with young mothers receiving the most benefit. Furthermore, breast cancer diagnosis during the 5- to 10-year postpartum window associates with high risk for subsequent metastatic disease. Notably, lactation has been shown to be protective against breast cancer incidence overall, with varying degrees of protection by race, multiparity, and lifetime duration of lactation. An effect for lactation on breast cancer outcome after diagnosis has not been described. We discuss the most recent data and mechanistic insights underlying these epidemiologic findings. Postpartum involution of the breast has been identified as a key mediator of the increased risk for metastasis in women diagnosed within 5–10 years of a completed pregnancy. During breast involution, immune avoidance, increased lymphatic network, extracellular matrix remodeling, and increased seeding to the liver and lymph node work as interconnected pathways, leading to the adverse effect of a postpartum diagnosis. We al discuss a novel mechanism underlying the protective effect of breastfeeding. Collectively, these mechanistic insights offer potential therapeutic avenues for the prevention and/or improved treatment of postpartum breast cancer. Full Article
post The FRED for Cerebral Aneurysms of the Posterior Circulation: A Subgroup Analysis of the EuFRED Registry [INTERVENTIONAL] By www.ajnr.org Published On :: 2020-04-09T06:30:48-07:00 BACKGROUND AND PURPOSE: Flow diversion for the posterior circulation remains a promising treatment option for selected posterior circulation aneurysms. The Flow-Redirection Intraluminal Device (FRED) system has not been previously assessed in a large cohort of patients with posterior circulation aneurysms. The purpose of the present study was to assess safety and efficacy of FRED in this location. MATERIALS AND METHODS: Consecutive patients with posterior circulation aneurysms treated at 8 centers participating in the European FRED study (EuFRED) between April 2012 and January 2019 were retrospectively reviewed. Complication and radiographic and functional outcomes were evaluated. RESULTS: Eighty-four patients (median age, 54 years) with 84 posterior circulation aneurysms were treated with the FRED. A total of 25 aneurysms (29.8%) had previously ruptured, even though most aneurysms were diagnosed incidentally (45.2%). The intradural vertebral artery was the most common location (50%), and saccular, the most common morphology (40.5%). The median size was 7 mm. There were 8 (9.5%) symptomatic thromboembolic and no hemorrhagic complications. Thromboembolic complications occurred mostly (90.9%) in nonsaccular aneurysms. On last follow-up at a median of 24 months, 78.2% of aneurysms were completely occluded. Functional outcome at a median of 27 months was favorable in 94% of patients. All mortalities occurred in patients with acute subarachnoid hemorrhage and its sequelae. CONCLUSIONS: The largest cohort of posterior circulation aneurysms treated with the FRED to date demonstrated favorable safety and efficacy profiles of the device for this indication. Treatment in the setting of acute subarachnoid hemorrhage was strongly related to mortality, regardless of whether procedural complications occurred. Full Article
post Glasgow Coma Scale on Presentation Predicts Outcome in Endovascular Treatment for Acute Posterior Large-Vessel Occlusion [INTERVENTIONAL] By www.ajnr.org Published On :: 2020-04-09T06:30:48-07:00 SUMMARY: Use of mechanical thrombectomy for stroke has increased since the publication of trials describing outcome improvement when used in the anterior circulation. These results, however, cannot be directly translated to the posterior circulation. While a high NIHSS score has demonstrated an association with poor outcomes in posterior stroke, the NIHSS is weighted toward hemispheric disease, and complex scores potentially delay definitive imaging diagnosis. We performed a retrospective analysis to ascertain whether any rapidly obtainable demographic or clinical and imaging data have a correlation with patient outcome postthrombectomy. Seventy-three cases were audited between September 2010 and October 2017. Presenting with a Glasgow Coma Scale score of >13 meant that the odds of reaching the primary end point of functional independence (defined as a 90-day modified Rankin Scale score of 0–2) were 5.70 times greater; similarly, presenting with a posterior circulation ASPECTS of >9 resulted in the odds of reaching the primary end point being 4.03 times greater. Older age correlated to a lower odds of independence (0.97, p = .04). Full Article
post Identifying real estate investment opportunities post-pandemic By batdongsan.com.vn Published On :: 14:03 08/05/2020 Premier industry experts also share an overview of the first quarter of the year, as well as brief market forecasts. Full Article