Gold Nanorod-Embedded PDMS Micro-Pillar Array for Localized Photothermal Stimulation.

Gold nanorods (GNRs) are one of the most promising biomaterial choices for the photothermal activation of neurons due to their relative biocompatibility, unique photothermal properties, and broad optical tunability through their synthetic shape control. While photothermal stimulation using randomly accumulated GNRs successfully demonstrates the potential treatment of functional neural disorders by modulating the neuronal activities using localized heating, there are limited demonstrations to translate this new concept into large-arrayed neural stimulations. In this paper, we report an arrayed PDMS micropillar platform in which GNRs are embedded as pixel-like, arrayed photothermal stimulators at the tips of the pillars.

Biliothorax: A Rare Case of Dyspnea.

Biliothorax is the presence of bile in the pleural cavity. This condition is rare, and it usually results as a complication of hepatobiliary procedures. The authors present a case of an 87-year-old female who was admitted to the emergency department with the acute onset of severe dyspnea.

Optimizing Transitions of Care and Enhancing Surgical Education on Acute Care Surgery: A Multi-Institutional Survey Study.

Objective: Critically ill and injured patients are routinely managed on the Trauma and Acute Care Surgery (ACS) service and receive care from numerous residents during hospital admission. The Clinical Learning Environment Review (CLER) program established by the ACGME identified variability in resident transitions of care (TC) while observing quality care and patient safety concerns. The aim of our multi-institutional study was to review surgical trainees' impressions of a specialty-specific handoff format in order to optimize patient care and enhance surgical education on the ACS service.

Prevalence of Housing Insecurity in Survivors of Traumatic Injury.

Background: Almost 20% of the US population are housing insecure (HI) due to inadequate living conditions, imbalanced costs to income, nonsustainable shelter, or overcrowding. Housing insecure and physical trauma share similar risk factors, but their direct association is not well elucidated. The objective of our study was to determine the prevalence of HI in survivors of traumatic injury.

[Non-critical care hospital-acquired acute kidney injury. Analysis of 101 cases].

Background: Non-critical care Hospital-Acquired Acute Kidney Injury (Non-ICU HA-AKI) is a preventable common complication.

Aim: To analyze its risk factors and outcomes in a general hospital ward.

Material And Methods: A retrospective paired case-control 1:2 study was carried out from April to December 2014.

History and physical exam predictors of intracranial injury in the elderly fall patient: A prospective multicenter study.

Objectives: A prior single-center study demonstrated historical and exam features predicting intracranial injury (ICI) in geriatric patients with low-risk falls. We sought to prospectively validate these findings in a multicenter population.

Methods: This is a prospective observational study of patients ≥65 years presenting after a fall to three EDs.

Elderly fall patients triaged to the trauma bay: age, injury patterns, and mortality risk.

Background: Falls in the elderly are a significant cause of morbidity and mortality. We sought to better categorize this patient population and describe factors contributing to their falls.

Methods: This is a retrospective review of geriatric patients presenting to a level 1 community trauma center.

Application of National Emergency X-Ray Utilizations Study low-risk c-spine criteria in high-risk geriatric falls.

Study Objectives: We sought to validate National Emergency X-Radiography Utilizations Study low-risk cervical spine (C spine) criteria in a geriatric trauma population. We sought to determine whether patients' own baseline mental status (MS) could substitute for Glasgow Coma Scale (GCS) to meet the criteria "normal alertness." We further sought to refine the definition of "distracting injury.

Cardiac myxoma with prenatal diagnosis.

The presentation of myxoma in the neonatal period is quite rare. We report the case of a female patient in whom two cardiac tumors were diagnosed prenatally. Surgery was performed at eight days of age, using cardiopulmonary bypass and circulatory arrest to facilitate excision of two polypoid tumors from within the right atrium.

Performance analysis of univariate and multivariate EEG measurements in the diagnosis of ADHD.

Objective: To investigate the performance of univariate and multivariate EEG measurements in diagnosing ADHD subjects in a broad age range.

Methods: EEG from eight cortical regions were recorded at rest during eyes open and eyes closed in 22 male ADHD subjects of combined type and 21 healthy male controls (age range 4-15 years). Univariate and interdependence measurements calculated from the frequency domain and from the reconstructed state spaces of EEG signals were computed, and their performance in discriminating ADHD from healthy subjects was analyzed.

International epidemiology of child and adolescent psychopathology ii: integration and applications of dimensional findings from 44 societies.

Objective: To build on Achenbach, Rescorla, and Ivanova (2012) by (a) reporting new international findings for parent, teacher, and self-ratings on the Child Behavior Checklist, Youth Self-Report, and Teacher's Report Form; (b) testing the fit of syndrome models to new data from 17 societies, including previously underrepresented regions; (c) testing effects of society, gender, and age in 44 societies by integrating new and previous data; (d) testing cross-society correlations between mean item ratings; (e) describing the construction of multisociety norms; (f) illustrating clinical applications.

Method: Confirmatory factor analyses (CFAs) of parent, teacher, and self-ratings, performed separately for each society; tests of societal, gender, and age effects on dimensional syndrome scales, DSM-oriented scales, Internalizing, Externalizing, and Total Problems scales; tests of agreement between low, medium, and high ratings of problem items across societies.

Results: CFAs supported the tested syndrome models in all societies according to the primary fit index (Root Mean Square Error of Approximation [RMSEA]), but less consistently according to other indices; effect sizes were small-to-medium for societal differences in scale scores, but very small for gender, age, and interactions with society; items received similarly low, medium, or high ratings in different societies; problem scores from 44 societies fit three sets of multisociety norms.

Addition of amifostine to the CHOP regimen in elderly patients with aggressive non-Hodgkin lymphoma: a phase II trial showing reduction in toxicity without altering long-term survival.

Background And Objectives: We report the 8-year follow-up of 34 patients aged ≥69 years old with NHL included in a phase IIb open-label randomized parallel groups study to evaluate the effectiveness of amifostine in preventing the toxicity of cyclophosphamide, doxorubicin, vincristine and prednisone (CHOP regime) .

Patients And Methods: Patients were randomized to receive classical CHOP (cyclophosphamide 750 mg/m(2), doxorubicin 50 mg/m(2), vincristine 1.4 mg/m(2) [maximum 2 mg] on day 1 and prednisone 100 mg/day for 5 days) or CHOP plus amifostine (6 cycles of amifostine 910 mg/m(2) on day 1).

Assessment of electroencephalographic functional connectivity in term and preterm neonates.

Objective: To study how functional connectivity of neonate EEG during sleep is assessed by different interdependence indices and to analyze its dependence on conceptional (CA), gestational (GA) and/or chronological age (CRA).

Methods: EEG data from eight cortical regions were recorded during active (AS) and quiet sleep (QS) in three groups of seven neonates each: preterm (PT; GA: 33-34 weeks; CA: 39-40 weeks), junior-term (JT; GA: 38-39 weeks; CA: 39-40 weeks) and senior-term neonates (ST; GA: 38-39 weeks; CA: 44-45 weeks). EEG functional connectivity was assessed by means of the coherence function (its magnitude (MSC) and its imaginary part (IMC)) and a measure of phase synchronization called phase lag index (PLI).

[Irrational anxiety: obsessive-compulsive disorder].

Obsessive-compulsive disorder is an exemplar of an anxiety disorder where irrational thoughts and compulsive behaviors succeed each other in a mental system where every negative outcome can occur. Affects like doubt and guilt reinforce the need to prevent catastrophic consequences from occurring. Magical thinking replaces logical thoughts.

Evolution of wakefulness, sleep and hibernation: from reptiles to mammals.

Thus far, most hypotheses on the evolutionary origin of sleep only addressed the probable origin of its main states, REM and NREM. Our article presents the origin of the whole continuum of mammalian vigilance states including waking, sleep and hibernation and the causes of the alternation NREM-REM in a sleeping episode. We propose: (1) the active state of reptiles is a form of subcortical waking, without homology with the cortical waking of mammals; (2) reptilian waking gave origin to mammalian sleep; (3) reptilian basking behaviour evolved into NREM; (4) post-basking risk assessment behaviour, with motor suspension, head dipping movements, eye scanning and stretch attending postures, evolved into phasic REM; (5) post-basking, goal directed behaviour evolved into tonic REM and (6) nocturnal rest evolved to shallow torpor.

Nonlinearity and fractality in the variability of cardiac period in the lizard, Gallotia galloti: effects of autonomic blockade.

Both nonlinear and fractal properties of beat-to-beat R-R interval variability signal (RRV) of freely moving lizards (Gallotia galloti) were studied in baseline and under autonomic nervous system blockade. Nonlinear techniques allowed us to study the complexity, chaotic behavior, nonlinearity, stationarity, and regularity over time of RRV. Scaling behavior of RRV was studied by means of fractal techniques.

Autonomic mediation in the interdependences between cardiocortical activity time variations and between cardiorespiratory activity time variations in the lizard, Gallotia galloti.

Multivariate nonlinear analysis methods were applied to variability time series extracted from electrocardiographic, electrocorticographic and respiratory activities of Gallotia galloti lizards, to study interdependences between cardio-cortical activity time variations, and between cardio-respiratory activity time variations. Autonomic nervous system involvement in the mediation of such interdependences was investigated through pharmacological blockade. Cardiac variability was evaluated from the R-R intervals of the electrocardiogram (RRIv).

[Antimicrobial susceptibility of aerobic bacteria isolated from leishmaniotic ulcers in Corte de Pedra, BA].

A prospective study regarding aspects of antimicrobial susceptibility aspects was realized among patients with tegumentary leishmaniasis in Corte de Pedra, Bahia. Cases were composed mainly of adolescent and adult farmer patients with single lesions. Staphylococcus aureus predominated (83%) in the cultures with susceptibility to the majority of antibiotics.

Comparing generalized and phase synchronization in cardiovascular and cardiorespiratory signals.

We made use of multivariate nonlinear analysis methods to study the interdependence between the cardiac interval variability and both the respiratory activity and the systolic pressure in rats. The study was carried out in basal conditions and after the application of different drugs affecting the cardiovascular system. The results showed that there are changes both in the extent and in the directionality of such interdependences because of the drugs.

Time-related interdependence between low-frequency cortical electrical activity and respiratory activity in lizard, Gallotia galloti.

Electroencephalograms of medial cortex and electromyograms of intercostal muscles (EMG-icm) were simultaneously recorded in the lizard, Gallotia galloti, during two daily time periods (at daytime, DTP: 1200-1600 h; by night, NTP: 0000-0400 h), to investigate whether a relationship exists between the respiratory and cortical electrical activity of reptiles, and, if so, how this relationship changes during the night rest period. Testing was carried out by studying interdependence between cortical electrical and respiratory activities, by means of linear and nonlinear signal analysis techniques. Both physiological activities were evaluated through simultaneous power signals, derived from the power of the low-frequency band of the electroencephalogram (pEEG-LF), and from the power of the EMG-icm (pEMG-icm), respectively.

Non-linear asymmetric interdependencies in the electroencephalogram of healthy term neonates during sleep.

The multichannel electroencephalograph (EEG) of six healthy term neonates was recorded during awake as well as during active and quiet sleep. The existence and nature of the interdependencies among the different brain areas were studied by means of a multivariate variant of the surrogate data method. Such interdependencies were then quantified by using the coherence function and a newly developed non-linear index.

[Cutaneous leishmaniotic ulcers with Corynebacterium diphtheriae].

In a prospective study to evaluate the influence of secondary bacterial infection on the evaluation of cutaneous leishmaniasis, in Corte de Pedra (Bahia), we isolated Corynebacterium diphtheriae in 7 (8.3%) out of 84 patients with ulcers studied. Due to the small number of patients with the presence of the bacteria in the ulcer, we could not conclude whether Corynebacterium diphtheriae behaves only as a colonizer nor its influence on the healing of the leishmaniotic ulcer.