Methodological platform pertaining to radiomics programs within Hodgkins lymphoma
Bilateral gonadectomy was the historical recommendation for patients diagnosed with complete androgen insensitivity syndrome (CAIS) due to the perceived risk of malignancy in the gonads. However, new shared-decision making approaches are allowing patients to explore the option to defer surgery. Here we report two patients who presented with primary amenorrhea to their primary care provider (PCP). After imaging and karyotyping, these patients were diagnosed with CAIS. They underwent exams under anesthesia and diagnostic laparoscopies in which the gonads did not present any immediate concerns or indications for removal. After discussing their options using the shared-decision making approach with the differences in sex development (DSD) team, they opted to defer gonadectomy and follow up annually with imaging to monitor the gonads.
Lianhuaqingwen (LH) has been proven effective for influenza. However, the promotion of LH for the treatment of patients with COVID-19 remains controversial. Therefore, our study aimed to assess the efficacy and safety of Lianhuaqingwen (LH) in treating patients with COVID-19 by a systematic review and meta-analysis.
We conducted the literature search using six electronic databases from December 1, 2019, to June 2, 2020. Cochrane Risk of Bias tool was used to assess the quality of randomized controlled trials. Newcastle-Ottawa Scale was used to assess the quality of case control studies. click here Agency for Healthcare Research and Quality checklist was used to assess the quality of case series. All analyses were conducted by RevMan 5.3. For outcomes that could not be meta-analyzed were performed a descriptive analysis.
Eight studies with 924 patients were included. Three studies were RCTs, three were case control studies, and two were case series. The quality of the included studies was poor. Compared with patients treated by conventional treatment, patients treated by LH combined with conventional treatment have a higher overall effective rate (RR = 1.16, 95%CIs 1.04∼1.30,
= 0.01) and CT recovery rate (RR=1.21, 95%CIs 1.02∼1.43,
= 0.03). Patients of LH groups have a lower incidence of diarrhea (5.6% vs.13.4%), and have statistically significant (
= 0.026). But the rate of abnormal liver function in the combined medication group is higher than that in the single LH group.
LH combined with conventional treatment seems to be more effective for patients with mild or ordinary COVID-19.
LH combined with conventional treatment seems to be more effective for patients with mild or ordinary COVID-19.In the present study, titanium (IV) sulfide (TiS2) was synthesized and investigated for the removal of Cu2+ and Pb2+ ions from aqueous solutions. TiS2 nanoparticles synthesized through a solvothermal synthesis were characterized using x-ray diffraction (XRD) and scanning electron microscopy (SEM). The average particle size for the TiS2 material was determined to be 8.03 ± 0.98 nm from the diffraction pattern. Studies were performed to examine the effects of pH, temperature, time, and interfering ions on the binding of Cu2+ and Pb2+ to the TiS2. As well isotherm studies were performed to determine the binding capacity of TiS2 for both Cu2+ and Pb2+ ions. The pH profile studies showed optimal binding occurred at pH 2 for the sorption of both Cu2+ and Pb2+ to the TiS2. The isotherm studies showed the adsorption capacities at temperatures of 4, 22, and 45°C for Cu2+ were 243, 222, and 153 mg/g, respectively. An opposite trend in the adsorption was observed for Pb2+ binding to the TiS2. The observed binding capacities for Pb2+ were 32, 166, and 357 mg/g, at temperatures of 4, 22, and 45°C, respectively. The thermodynamic parameters for binding showed a non-spontaneous process for the sorption of Cu2+ whereas a spontaneous binding process was observed for the sorption of Pb2+. Additionally, the binding of Cu2+ on TiS2 in the presence of interfering ions (Na+, K+, Mg2+, and/or Ca2+) was observed to decrease at high concentrations; however, the binding of Pb2+ was unaffected by the presence of the same cations.
Collectively the evidence obtained from across five clinical studies involving 936 adults indicate that mono-herbal preparations of
L. berry (
), when taken within 48 hours of the onset of acute respiratory viral infection, may reduce the duration and severity of common cold and influenza symptoms in adults. There is currently no evidence to support the use of
berry for the treatment or prevention of COVID-19. Given the body of evidence from preclinical studies demonstrating the antiviral effects of
berry, alongside the results from clinical studies involving influenza viral infections included in this review, pre-clinical research exploring the potential effects of
berry on COVID-19 are encouraged.
The evidence included in this review is mostly derived from clinical studies involving adult participants and examining short-term use of commercial formulations of
berry for up to 16 days. Findings from included studies suggest that mono-herbal preparations of
berry (in extract or lozenge fhat mono-herbal preparations of S.nigra berry (in extract or lozenge formulation) may reduce influenza-type symptoms, including fever, headache, nasal congestion and nasal mucous discharge in adults, when taken within the first 48 hours of symptom onset. Within 2-4 days of S.nigra treatment, most adult participants experienced significant symptom reduction, by an average of 50%. Evidence regarding the effectiveness of S.nigra berry on the symptom of cough, and need for/use of medicines (including antibiotics) to treat acute respiratory infections, is currently unclear and inconsistent. Adverse events were rare with no serious events reported. Adverse events, reported in two studies, were more common in comparators than in treatments. There is currently no reliable or sufficient scientific evidence to support the use of S.nigra in pregnant or lactating women.This paper uses data from the Health and Retirement Study (HRS) and the Mexican Health and Aging Study (MHAS) to study the cognitive function of Mexican-born older adults residing in the United States (Mexican immigrants). We find that, once differences in socioeconomic factors are accounted for, the cognitive function of male Mexican immigrants is statistically indistinguishable from that of male non-Hispanic (NH) whites, but the cognitive scores of female Mexican immigrants remain significantly below those of their NH white counterparts. We explore four potential hypotheses that may explain the cognition gap for female Mexican immigrants. Namely, we investigate whether the relative incidence of risk factors for dementia, when compared to NH whites, is higher for female than for male Mexican immigrants (the "risk factor hypothesis"); whether the mortality rate of male Mexican immigrants with low cognition is higher, relative to their white counterparts, than that of female Mexican immigrants (the "survival bias hypothesis"); whether female Mexican immigrants are less positively selected than their male counterparts in terms of predisposition to cognitive decline when compared with either the non-migrant Mexican population or the population of return migrants (the "differential selection hypothesis"); and whether male immigrants are better acculturated to life in the United States than female immigrants (the "acculturation hypothesis).