“BACKGROUND: Racial, ethnic, and socioeconomic disparities


“BACKGROUND: Racial, ethnic, and socioeconomic disparities in the survival of patients with hepatocellular carcinoma (HCC) continue to exist. The authors of this report hypothesized that these differences result from inequities in access to care and in response to therapy. METHODS: Patients with HCC (n = 20,920) were identified from the Surveillance, Epidemiology, and End Results (SEER) database,

and patients who underwent liver transplantation for HCC (n = 4735) were identified from the United Network for Organ Sharing (UNOS) database. Clinical and pathologic factors were compared after patients were stratified by race and ethnicity. RESULTS: The survival check details of patients with HCC improved over time for all racial, ethnic, and income groups (P <.001). Black and low income individuals had the poorest long-term survival (P <.001). On multivariate analysis, black race was predictive of the poorest survival (hazard ratio [HR], 1.15; 95% confidence interval [CI], 1.09-1.22; P <.001), whereas Asian race was associated with the best

survival (HR, 0.87; 9S% Cl, 0.83-0.91; P <.001). After liver transplantation, black patients had the worst graft survival and overall survival (median survival [MS], 30.5 months and 39.7 months, respectively; P <.001), whereas Hispanics had the best survival (MS, 83.4 months and 86.6 months, respectively; P <.001). In a multivariate analysis of transplantation patients, race and ethnicity were associated significantly with outcome. CONCLUSIONS: Significant racial and ethnic disparities in the outcome of patients with HCC persist despite the receipt PP2 concentration selleckchem of comparable treatment. The authors concluded that further investigations are warranted to identify the reasons for the stark disparity in outcomes between black patients and Hispanic patients after liver transplantation for HCC. Cancer 2010;116:1367-77. (C) 2010 American Cancer Society.”
“We have investigated links between biological motion perception and time perception. Participants compared the durations

of two paired visual frames, inside which task-irrelevant sequences of static body postures were presented. The sequences produced apparent movements of shorter and longer path lengths, depending on the sequential order of body postures (ABC or ACB). Shorter and longer path lengths were paired with shorter and longer interstimulus intervals (ISIs) to produce path/ISI congruent sequences with intermediate subjective speeds and path/ISI incongruent sequences with slowest and fastest subjective speeds. Participants compared the duration of the visual frames surrounding these sequences; body postures and biological motion were irrelevant. The ability to discriminate the duration of the frames (as measured by the just noticeable difference, JND) was reduced for pairs of path/ISI congruent sequences as compared to pairs of path/ISI incongruent sequences.

Despite

early surgical resection, the patient developed l

Despite

early surgical resection, the patient developed lymph-node metastases. This exceptional tumour showed low sensitivity to chemotherapy. Malignant tumours of the epididymis are exceptional and require investigations to detect a primary tumour. Treatment is based on surgical resection, ideally via Nutlin-3 supplier an inguinal incision, combined with chemotherapy adapted to the histological type. (C) 2008 Elsevier Masson SAS. Tous droits reserves.”
“Background: Obesity and the metabolic syndrome affect a considerable segment of the population worldwide, including health professionals. In fact, several studies have reported that physicians tend to have more cardiovascular risk factors than their patients. The present cross-sectional study assessed whether the Health Sciences students had a healthier lifestyle, thus could have a more preventive attitude towards chronic diseases than the general population.\n\nMaterials and methods: Students of the medical-biological areas were surveyed by answering a questionnaire about familiar cardiovascular risk factors, personal smoking, alcohol drinking, dietary and exercise habits. Blood pressure was also measured, along with weight, height, and abdominal circumference.\n\nResults: 23.4% of the participants were overweight and 10% obese. Parental obesity was the most frequent risk factor, followed by social

drinking and smoking. We found high consumption of animal derived foods, breakfast-like cereals, pastries, white bread and sweetened beverages; selleck screening library while low intake of fruit and vegetables were reported. More than half the sample reported to practice very little or no exercise at all.\n\nDiscussion and conclusions:We found similar or even higher rates of risk factors than the average population, that may eventually lead to the development of chronic cardiometabolic diseases. Thus

we Sapitinib can infer that biomedical education is inefficient in inducing healthy lifestyles among biomedical students, which could have impact in their future practice as they will most probable become obese health-professionals, thus fail to effectively treat their own patients. (Nutr Hosp. 2013;28:194-201) DOI:10.3305/nh.2013.28.1.6185″
“For decades, the explosive RDX (hexahydro-1,3,5-trinitro-1,3,5-triazine) has been used for military and industrial applications. Residues of RDX pollute soils in large areas globally and the persistence and high soil mobility of these residues can lead to leaching into groundwater. Dendroremediation, i.e. the long-term use of trees to clean up polluted soils, is gaining acceptance as a green and sustainable strategy. Although the coniferous tree species Norway spruce and Scots pine cover large areas of military land in Central Europe, the potential of any coniferous tree for dendroremediation of RDX is still unknown.

93% The mean follow-up time was 245 +/- 323 days, which equated

93%. The mean follow-up time was 245 +/- 323 days, which equated to a total of 700 patient-months.\n\nRESULTS: The observed hospital mortality did not differ significantly between TAVI and cAVR (TAVI: 9.4% and cAVR: 5.7%; P = 0.695). Six-month survival was 83.0% for the TAVI and 86.8% for the cAVR patients (P = 0.768). Postoperative bleedings (TAVI: 725 +/- 1770 ml and cAVR: 1884 +/- 6387; P = 0.022), the need for transfusion (TAVI: 1.7 +/- 5.3 vs cAVR: 6.2 +/- 13.7 units packed red blood cells (PRBC); P = 0.030), Ispinesib manufacturer consecutive rethoracotomy (TAVI: 1.9% vs cAVR: 16.9%; P = 0.002) and postoperative delirium (TAVI: 11.5% vs cAVR: 28.3%; P = 0.046)

were more common in the cAVR patients. The TAVI patients suffered more frequently from respiratory failure (TAVI: 11.3% vs cAVR: 0.0%; P = 0.017) and mean grade of paravalvular regurgitation (TAVI: 0.8 +/- 0.2 vs cAVR: 0.0; P = 0.047). Although primary ventilation time (P = 0.020) and intensive care unit stay (P = 0.022) were shorter in the TAVI patients, mean hospital stay did not differ significantly (P = 0.108).\n\nCONCLUSIONS: Transapical TAVI as well as surgical aortic valve replacement provided good clinical results. The pattern of postoperative morbidity and mortality was different for both entities, but the final clinical outcome did not differ significantly. Both techniques can be seen as complementary approaches by means of developing

a tailor-made and patient-orientated surgery.”
“Dehydrins see more are a group of plant proteins that usually accumulate in response to environmental stresses. They are proposed to play specific protective roles in plant cells. Present study showed that the accumulation of dehydrins in water-stressed barley (Hordeum vulgare L.) seedlings was influenced by their treatment with salicylic acid (SA). The level of dehydrin proteins was increased by 0.20 mM SA, but decreased by 0.50 mM SA treatment. Both mRNA expression and protein accumulation

of a typical barley dehydrin, DHN5, were enhanced by SA treatment when SA concentrations were lower than 0.25 mM. However, the higher SA concentrations significantly decreased the protein level of DHN5 despite of GS-7977 order a stable mRNA level. Our results also showed that low SA concentrations (less than 0.25 mM) decreased the electrolyte leakage and malondialdehyde (MDA) and H(2)O(2) contents in water-stressed barley seedlings. But high SA concentrations (more than 0.25 mM) enhanced H(2)O(2) accumulation, tended to cause more electrolyte leakage, and increase MDA content. These data indicated that SA could up-regulate the dehydrin gene expression and protein accumulation. Since the protective role of dehydrins in plant cells, such effect could be an important reason for the SA-mediated alleviation on water stress injury. But excessive SA could suppress the accumulation of dehydrin proteins and aggravate the oxidative damage.