Association of provider experience and clinical outcomes in patients with myelodysplastic syndromes receiving hypomethylating agents.

Population level survival of patients with myelodysplastic syndromes (MDS) treated with hypomethylating agents (HMA) is inferior to clinical trials. Using SEER-Medicare data, we identified 2086 MDS patients diagnosed in 2004-13, aged ≥66 years at diagnosis, and receiving ≥1 HMA cycle after 2005. We used multivariate logistic regression and Cox proportional hazards models to assess the impact of provider experience on persistent HMA therapy and overall survival (OS), respectively.

Anatomical analysis of antebrachial cutaneous nerve distribution pattern and its clinical implications for sensory reconstruction.

This study aimed to reveal the distribution pattern of antebrachial cutaneous nerves and provide a morphological basis for sensory reconstruction during flap transplantation. Forearm specimens containing skin and subcutaneous fat were obtained from 24 upper extremities of 12 adult cadavers. Cutaneous nerves were visualized using modified Sihler's staining.

The PHOSPHATE1 genes participate in salt and Pi signaling pathways and play adaptive roles during soybean evolution.

Background: The PHOSPHATE1 (PHO1) gene family plays diverse roles in inorganic phosphate (Pi) transfer and signal transduction, and plant development. However, the functions and diversification of soybean PHO1 family are poorly understood.

Results: Cultivated soybean (Glycine max) was domesticated from wild soybean (Glycine soja).

Incidental finding of an asymptomatic pulmonary valve papillary fibroelastoma: A case report.

Primary cardiac tumors are rare, but papillary fibroelastoma (PFE) is reportedly the most common form, which usually occurs on the left-side valves of the heart. However, PFE involving the tricuspid and pulmonary valves has also been documented. Although PFE is benign and seldom associated with valvular dysfunction, the associated embolic complications may lead to serious consequences.

Underutilization of guideline-recommended supportive care among older adults with multiple myeloma in the United States.

Background: With improving survival for patients with multiple myeloma (MM), supportive care that is focused on optimizing quality of life and minimizing treatment-related toxicities is increasingly important. The extent to which patients with MM are receiving recommended supportive care is unknown.

Methods: This study used the Surveillance, Epidemiology, and End Results-Medicare database to identify older adults (age ≥66 years) diagnosed with MM in 2008-2013 who had received active treatment and survived 1 year or longer after their diagnosis.

Association Between Ownership of Imaging Equipment and Appropriateness of Staging Positron-Emission Tomography in Non-Hodgkin Lymphoma.

Physician ownership of imaging equipment has been shown to be associated with greater use of low-value imaging. However, it is unclear whether ownership also influences utilization of appropriate imaging. We conducted a cohort study of older adults diagnosed with three non-Hodgkin lymphomas with distinct guideline recommendations concerning the use of positron emission tomography (PET) during staging (recommended, not recommended, or equivocal).

Variation in actual evapotranspiration following changes in climate and vegetation cover during an ecological restoration period (2000-2015) in the Loess Plateau, China.

The spatial distribution of water resources largely influences Earth ecosystems and human civilization. Being a major component of the global water cycle, evapotranspiration (ET) serves as an indicator of the availability of water resources. Understanding the actual ET (ET) variation mechanism at different spatial and temporal scales can improve management of water use within the sustainable development limits.

Public risk perception and willingness to mitigate climate change: city smog as an example.

Climate change harms people's health and ecosystems. Encouraging the public to adopt behaviors that help to combat climate change can, at the same time, contribute to efforts to control and solve related serious environmental problems. This study aims to ascertain the way in which the public perceives risks related to climate change and adopts behaviors to respond to the issue.

Total Extracts of L. Attenuates Adriamycin-Induced Renal Tubule Injury via Suppression of ROS-ERK1/2-Mediated NLRP3 Inflammasome Activation.

(L.) Medik. (Malvaceae) is a herb used in traditional Chinese medicine to treat some kidney diseases.

RBC transfusion independence among lower risk MDS patients receiving hypomethylating agents: a population-level analysis.

Most patients with lower risk myelodysplastic syndromes (LR-MDS) become red blood cell (RBC) transfusion dependent at some time during their disease course. Hypomethylating agents (HMAs) are frequently used in this setting; however, reported rates of in RBC transfusion independence (TI) achieved with HMA therapy vary significantly between studies. Here we study the real-life clinical effectiveness of HMA in inducing RBC TI in anemic LR-MDS patients using the Surveillance, Epidemiology and End Results (SEER)-Medicare database.

Sequential one-stage combined procedure for treating bilateral developmental hip dysplasia after walking age.

Objective: This study aimed to evaluate outcomes of the sequential one-stage combined procedure for treating bilateral developmental dysplasia of the hip (DDH) that was diagnosed after walking age.

Methods: Thirty-five patients (70 hips) with late-presenting bilateral DDH were treated with the sequential one-stage combined procedure. Hips were reclassified according to the operative time and divided into the first and the second operated hips.

Inhibitory Effect of Hydroxysafflor Yellow B on the Proliferation of Human Breast Cancer MCF-7 Cells.

Background: A recent patent has been issued for hydroxysafflor yellow A (HSYA) as a drug to prevent blood circulation disorders. Hydroxysafflor yellow B (HSYB), an isomer of HSYA with antioxidative effects, has been isolated from the florets of Carthamus tinctorius. The effects of HSYB on the proliferation of cancer cells and its mechanism of action have not been investigated.

The impact of cation acidity and alkyl substituents on the cation-anion interactions of 1-alkyl-2,3-dimethylimidazolium ionic liquids.

In this study, eight 1-alkyl-2,3-dimethylimidazolium ionic liquids are analysed by X-ray photoelectron spectroscopy. The effect of both the anion and the cation on the electronic environment of cationic nitrogen regions is explored. It concludes that the cationic N 1s binding energy shifts to the lower value when the basicity of the anion increases or the acidity of the cation decreases.

Detection of left atrial appendage thrombi by third-generation dual-source dual-energy CT: Iodine concentration versus conventional enhancement measurements.

Background: Dual-energy computed tomography (DECT) can differentiate iodine from other materials through the material decomposition technique. The purpose of this study was to compare the diagnostic performance of DECT-derived iodine concentration (mg/ml) with conventional enhancement measurements (HU), in detecting left atrial appendage (LAA) thrombi and differentiating thrombi from circulatory stasis in atrial fibrillation (AF) patients referred for catheter ablation.

Methods: Consecutive patients were prospectively recruited and scanned using a third-generation dual-source CT system in dual-energy mode.

Antibiotics-mediated intestinal microbiome perturbation aggravates tacrolimus-induced glucose disorders in mice.

Both immunosuppressants and antibiotics (ABX) are indispensable for transplant patients. However, the former increases the risk of new-onset diabetes, whereas the latter impacts intestinal microbiota (IM). It is still unclear whether and how the interaction between immunosuppressants and ABX alters the IM and thus leads to glucose metabolism disorders.

Neuroprotective and anti-inflammatory effects of isoliquiritigenin in kainic acid-induced epileptic rats via the TLR4/MYD88 signaling pathway.

Epileptogenesis is a complex pathological process that occurs after an initial brain injury and involves a series of molecular events. Isoliquiritigenin (ISL), a flavonoid in licorice, is reported to have anti-inflammatory and antioxidant effects in various experimental models, but its specific roles and molecular mechanisms in the epileptogenic process following kainic acid (KA) treatment remain unclear. The purpose of this study was to explore the effects of ISL pretreatment in KA-induced epileptic rats and the underlying mechanisms.

Persistent Use of Extended Fractionation Palliative Radiotherapy for Medicare Beneficiaries With Metastatic Breast Cancer, 2011 to 2014.

Introduction: With no evidence to support extended radiation courses for the palliation of bone metastases, multiple guidelines were issued discouraging its use. We assessed contemporary use and cost of prolonged palliative radiotherapy in Medicare beneficiaries with bone metastases from breast cancer.

Methods: We conducted a retrospective, longitudinal study of palliative radiotherapy use among fee-for-service Medicare beneficiaries with bone metastasis from breast cancer who underwent palliative radiotherapy during 2011 to 2014.

Neuroprotective effects of isoliquiritigenin against cognitive impairment via suppression of synaptic dysfunction, neuronal injury, and neuroinflammation in rats with kainic acid-induced seizures.

Epileptogenesis is a dynamic process initiated by insults to brain and commonly accompanied by cognitive impairment. Isoliquiritigenin (ISL), a flavonoid in licorice, has a broad spectrum of biological effects including anti-inflammatory and antioxidant activities. However, the protective effects of ISL against cognitive impairment in epileptic processes and the underlying molecular mechanism are not well understood.

Luteolin protects against diabetic cardiomyopathy by inhibiting NF-κB-mediated inflammation and activating the Nrf2-mediated antioxidant responses.

Background: Diabetes mellitus is a well-known risk factor for the development of heart failure. Inflammation and oxidative stress play a key role in the development of diabetic cardiomyopathy (DCM), and this nexus represents an attractive target to combat this disease. Naturally occurring flavonoid luteolin exhibits both anti-inflammatory and antioxidant activities in various systems.

The role of sphingosine kinase 2 in alcoholic liver disease.

Alcoholic liver disease (ALD) is one of the most common liver diseases worldwide. However, the exact mechanisms underlying ALD remain unclear. Previous studies reported that sphingosine kinase 2 (SphK2) plays an essential role in regulating hepatic lipid metabolism.

Cholangiocyte-Derived Exosomal Long Noncoding RNA H19 Promotes Hepatic Stellate Cell Activation and Cholestatic Liver Fibrosis.

Activation of hepatic stellate cells (HSCs) represents the primary driving force to promote the progression of chronic cholestatic liver diseases. We previously reported that cholangiocyte-derived exosomal long noncoding RNA-H19 (lncRNA-H19) plays a critical role in promoting cholestatic liver injury. However, it remains unclear whether cholangiocyte-derived lncRNA-H19 regulates HSC activation, which is the major focus of this study.

Regulating Dielectric and Ferroelectric Properties of Poly(vinylidene fluoride-trifluoroethylene) with Inner CH=CH Bonds.

Poly(vinylidene fluoride) (PVDF) based ferroelectric polymers have attracted considerable attention both academically and industrially due to their tunable ferroelectric properties. By pinning the conformation of the polymer chain and the ferroelectric phase physically or chemically, the ferroelectric behaviors of PVDF based polymers could be finely turned from normal ferroelectric into relaxor ferroelectric, anti-ferroelectric like, and even linear dielectric. Besides high energy electron irradiation and chemical copolymerization with the bulky monomers, in this work, an alternative strategy is presented to regulate the dielectric and ferroelectric performances of PVDF based ferroelectric polymer for the first time.

Plasmon-mediated nonradiative energy transfer from a conjugated polymer to a plane of graphene-nanodot-supported silver nanoparticles: an insight into characteristic distance.

Hybrid nanostructures comprising conjugated polymers (CPs) and plasmonic metals show excellent performance in light harvesting. However, the energy transfer mechanism of the CP film to nearby metal nanoparticles, especially knowledge of the characteristic distance, is still unclear. Here, quenching of the emission of a CP film in proximity to a monolayer of graphene-nanodot-supported silver nanoparticles (GND-Ag NPs) is investigated.