Mobile Cardiac Acoustic Monitoring System to Evaluate Left Ventricular Systolic Function in Pacemaker Patients.

The mobile cardiac acoustic monitoring system is a promising tool to enable detection and assist the diagnosis of left ventricular systolic dysfunction (LVSD). The objective of the study was to evaluate the diagnostic value of electromechanical activation time (EMAT), an important cardiac acoustic biomarker, in quantifying LVSD among left bundle branch pacing (LBBP) and right ventricular apical pacing (RVAP) patients using a mobile acoustic cardiography monitoring system. In this prospective single-center observational study, pacemaker-dependent patients were consecutively enrolled.

Peptide analysis of mammalian decomposition fluid in relation to the post-mortem interval.

We report the results of a semi-quantitative peptide analysis of decomposition fluid under field-based conditions in the absence of a soil matrix. Sixteen domestic pig (Sus scrofa domesticus) cadavers were used to model human decomposition in trials conducted in the summer and winter months in Western Australia. Physical characteristics were recorded and targeted peptide components of decomposition fluid were analysed using high performance liquid chromatography-triple quadrupole mass spectrometry.

The impact of environmental factors on the production of peptides in mammalian decomposition fluid in relation to the estimation of post-mortem interval: A summer/winter comparison in Western Australia.

We report the peptide content of decomposition fluid produced under field-based conditions and in the absence of a soil matrix. Sixteen domestic pig (Sus scrofa domesticus) cadavers were used to model human decomposition in trials conducted in the summer and winter months in Western Australia. Physical characteristics were recorded and the peptide components of decomposition fluid were analysed using high performance liquid chromatography-time of flight mass spectrometry.

Examination of the temporal variation of peptide content in decomposition fluid under controlled conditions using pigs as human substitutes.

We report the preliminary observations of the peptide content of decomposition fluid produced under controlled laboratory conditions and in the absence of a soil matrix. Four domestic pig (Sus scrofa domesticus) cadavers were used to model human decomposition over a four-week trial period; physical characteristics were recorded and the peptide components of decomposition fluid was analysed using high performance liquid chromatography-time of flight mass spectrometry. Preliminary data analysis indicated that a range of peptides were consistently detected across the course of the trial period and 27 of these were common to all four cadavers; 22 originating from haemoglobin.

Menthol Cough Drops: Cause for Concern?

Background: Over-the-counter (OTC) cough remedies are lightly regulated and their potential side effects may go unrecognized. During 2015, over 282 million cough drops were sold in the United States. A Wisconsin community clinician (RM) made clinical observations suggesting that excessive use of OTC cough drops may exacerbate rather than benefit coughs.

Toward a strategy of patient-centered access to primary care.

Patient-centered access (PCA) to primary care services is rapidly becoming an imperative for efficiently delivering high-quality health care to patients. To enhance their PCA-related efforts, some medical practices and health systems have begun to use various tactics, including team-based care, satellite clinics, same-day and group appointments, greater use of physician assistants and nurse practitioners, and remote access to health services. However, few organizations are addressing the PCA imperative comprehensively by integrating these various tactics to develop an overall PCA management strategy.

Risk stratification system for evaluation of complex polyps can predict outcomes of endoscopic mucosal resection.

Background: Apart from size, little is known about what makes a colonic polyp difficult to endoscopically remove.

Objective: The aim of this study was to evaluate polyp complexity by using a novel classification system and to assess how this affects success at endoscopic resection.

Design: This prospective cohort study was conducted at a tertiary referral center in the United Kingdom.

Colorectal endoscopic submucosal dissection for elderly patients at least 80 years of age.

Background: Endoscopic submucosal dissection (ESD) has been used recently for successful en bloc resection of even large lesions, although no consensus appears in medical literature concerning its application to elderly patients. This prospective cohort study aimed to evaluate the efficacy and safety of colorectal ESD for patients 80 years of age or older.

Methods: Colorectal ESD procedure findings were compared with clinical outcomes, including associated complications and mortalities, for two age groups totaling 196 consecutive patients with 202 colorectal lesions.

Acetic acid spray is an effective tool for the endoscopic detection of neoplasia in patients with Barrett's esophagus.

Background & Aims: Diagnosis of Barrett's neoplasia requires collection of large numbers of random biopsy samples; the process is time consuming and can miss early-stage cancers. We evaluated the role of acetic acid chromoendoscopy in identifying Barrett's neoplasia.

Methods: Data were collected from patients with Barrett's esophagus examined at a tertiary referral center, between July 2005 and November 2008 using Fujinon gastroscopes and EPX 4400 processor (n = 190).

Polymorphism in postinsulin receptor signaling pathway is not associated with polycystic ovary syndrome.

Objective: To investigate polymorphisms in postinsulin receptor signaling. To investigate PIK3R1, SLC2A4, SLC2A4RG, and MEF2A to determine whether these genes are associated with susceptibility to polycystic ovary syndrome (PCOS) or key phenotypic features of insulin resistance in subjects with PCOS.

Design: Case-control study.

Valuing the adult health effects of air pollution in Chinese cities.

China's ongoing economic growth is accompanied by a large amount of air pollution that exacts significant health and economic costs on its people. Following up on some earlier work focusing upon general mortality and child-specific health effects, this article uses a larger data set, covering more than 90 Chinese cities, along with a set of China-based epidemiological functions, to estimate some of the adult health benefits of reducing urban air pollution. Projecting future air pollution based upon current conditions, it calculates the averted mortality and morbidity effects that would result from the cleanup of particulates, sulfur dioxide, and nitrogen dioxide.

Polymorphism in HSD17B6 is associated with key features of polycystic ovary syndrome.

Objective: To investigate polymorphisms in androgen metabolism regulators that are implicated in the etiology of polycystic ovary syndrome (PCOS) in vitro; to investigate HSD17B6 and GATA6 to determine whether these genes are associated with susceptibility to PCOS or key phenotypic features of patients with PCOS.

Design: Case-control association study.

Setting: Participants with PCOS were recruited from a clinical-practice database, and controls, from the general community.

A molecular dynamics study of the atomic structure of (CaO)x(SiO2)1-x glasses.

The local atomic environment of Ca in (CaO)x(SiO2)1-x glasses is of interest because of the role of Ca in soda-lime glass, the application of calcium silicate glasses as biomaterials, and the previous experimental measurement of the Ca-Ca correlation in CaSiO(3) glass. Molecular dynamics has been used to obtain models of (CaO)x(SiO2)1-x glasses with x = 0, 0.1, 0.

Blowing in the wind: the impact of China's Pearl River Delta on Hong Kong's air quality.

The local versus regional nature of Hong Kong's air pollution remains an unresolved issue with important policy implications. Specifically, the potential benefits of different air quality improvement efforts will vary dramatically, depending upon the nature of the pollution. This multi-disciplinary paper attempts to resolve the issue, using a time series, cross-sectional panel of pollution data from Hong Kong and southern China, along with weather variables from Hong Kong.

Scanning electron microscopy of epithelial surfaces of the sea anemone Acontiophorum niveum (Phylum Cnidaria): Class anthozoa.

Epithelium of the sea anemone Acontiophorum niveum is modified into four general arrangements of microappendages: (1) uniform microvilli covering pedal disc and column, (2) an interspersion of microvilli, ciliary cones, and kinocilia on tentacles, (3) flagella among an understory of microvilli from the oral disc, actinopharynx, filaments, and acontia, and (4) sparse flagella among irregular microvilli from endoderm. These arrangements are similar to those described previously in the epithelia of other anthozoans.