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Κυριακή 22 Οκτωβρίου 2017

Tailored botulinum toxin type A injections in aesthetic medicine: consensus panel recommendations for treating the forehead based on individual facial anatomy and muscle tone



Reply to correspondence ‘Topical ionic contra viral therapy comprised of digoxin and furosemide as a potential novel treatment approach for common warts’

We appreciate Dr Abdelmaksoud's thorough review of our manuscript (1) and would like to reply to the comments that were raised with this letter. First, it appears that the understanding is that the study describes the 'clinical response of common warts to a topical application of a fixed dose of 980 mg of the ICVT gel on the patients' lower back. It should be clarified that the main objective of this first-in-man study was evaluate the systemic exposure, safety and tolerability of ionic-contra-viral therapy (ICVT) (2).

This article is protected by copyright. All rights reserved.



Reproducibility of measurement of skin melanin, total hemoglobin, and oxygen saturation



Spread of fluid: Role of tip configurations in needles

Abstract

Background/purpose

During the injection of a fluid in a tissue model, the fluid might be affected by the needle tip configuration and the number of channels. Thus, the objective of the present work is to observe the influence of different needle tips and number of channels on the spread of a fluid.

Methods

Fluid distribution data were obtained after injecting 0.3 mL of fluid into a foamed polymer model with a velocity of 2 mm/s. The spread area and the depth were determined for 3 different types of hypodermic needles: Single channel needles with bevel tip and blunt tip and a needle with conical tip and 3 internal channels.

Results

The bevel tip provides a higher spread in the direction where the bevel points and reaches larger depths than the other two needles. The spread for the blunt tip and the polymer needle is equally distributed on both sides of the needle. The largest horizontal area around the tip is achieved by the 3-channel needle.

Conclusion

The tip configuration and number of channels have an influence on the distribution of fluid. The bevelled needle directs the fluid and reaches larger depths compared with the 3-channel needle that gets more horizontal spread.



A feature fusion system for basal cell carcinoma detection through data-driven feature learning and patient profile

Abstract

Background

Basal cell carcinoma (BCC) is the most common skin cancer, which is highly damaging in its advanced stages. Computer-aided techniques provide a feasible option for early detection of BCC. However, automated BCC detection techniques immensely rely on handcrafting high-level precise features. Such features are not only computationally complex to design but can also represent a very limited aspect of the lesion characteristics. This paper proposes an automated BCC detection technique that directly learns the features from image data, eliminating the need for handcrafted feature design.

Methods

The proposed method is composed of 2 parts. First, an unsupervised feature learning framework is proposed which attempts to learn hidden characteristics of the data including vascular patterns directly from the images. This is done through the design of a sparse autoencoder (SAE). After the unsupervised learning, we treat each of the learned kernel weights of the SAE as a filter. Convolving each filter with the lesion image yields a feature map. Feature maps are condensed to reduce the dimensionality and are further integrated with patient profile information. The overall features are then fed into a softmax classifier for BCC classification.

Results

On a set of 1199 BCC images, the proposed framework achieved an area under the curve of 91.1%, while the visualization of learned features confirmed meaningful clinical interpretation of the features.

Conclusion

The proposed framework provides a non-invasive fast BCC detection tool that incorporates both dermoscopic lesional features and clinical patient information, without the need for complex handcrafted feature extraction.



Validation of digital photographic reference scales for evaluating facial aging signs

Abstract

Background

Validated tools are essential to evaluate facial skin aging for both dermatological and cosmetic investigations. While many visual aging scales have been developed, few have been validated and none in terms of degree of distinguishability (DD). We developed and validated a series of visual scales using a novel digital interface for scoring facial skin aging in Caucasian women.

Materials and methods

Three dermatologists independently established scales for 12 distinct aging signs from high-definition facial photographs of 400 adult women (Fitzpatrick phototypes I-IV) taken under standardized conditions. They then selected a consensus scale for each individual sign with a representative photo per grade. Scales were integrated into a digital interface allowing simultaneous viewing of all grades of each scale alongside the photograph of a test subject. Next, scales were validated by a different dermatologist, a general practitioner and a non-medical expert skin evaluator using photos of 350 women which had not been used for establishing the scales.

Results

Kappa estimates showed almost perfect agreement for wrinkle and skin aging scales (≥0.85) and moderate to substantial agreement for scales relating to color irregularities (telangiectasia, solar lentigines, freckles) for both inter- and intra-observer reproducibility. Intra-observer DD estimates were mostly high. Non-dermatologists performed well on reproducibility for both Kappa (from 0.6 to 0.9) and DD estimates.

Conclusion

Our work demonstrates that the digital interface scales for 12 distinct aging features are highly suitable for use in clinical and epidemiological studies on skin aging by both dermatologists and non-dermatologists.



Spectrophotometer is useful for assessing vitiligo and chemical leukoderma severity by quantifying color difference with surrounding normally pigmented skin

Abstract

Background

Acquired skin hypopigmentation has many etiologies, including autoimmune melanocyte destruction, skin aging, inflammation, and chemical exposure. Distinguishing lesions from normally pigmented skin is clinically important to precisely assess disease severity. However, no gold standard assessment method has been reported. We aimed to investigate whether spectrophotometers are useful for assessing vitiligo and rhododendrol (4-(4-hydroxyphenol)-2-butanol) (Rhododenol®)-induced leukoderma disease severity by quantifying skin color.

Methods

Mexameter® MX18 and CM-700d spectrophotometer were used for assessing vitiligo/leukoderma by measuring melanin index, L*a*b* color space, and ΔE*ab value, which represents the color difference between two subjects and is calculated by the values of L*a*b*.

Results

MX18 and CM-700d can quantitatively distinguish vitiligo/leukoderma from normally pigmented skin based on melanin index. CM-700d consistently quantified the color of vitiligo/leukoderma lesions and surrounding normally pigmented skin in L*a*b* color spaces and ΔE*ab. ΔE*ab is well correlated with melanin index and clinical appearance.

Conclusion

ΔE*ab has been frequently used in aesthetic dentistry; however, current study is the first to use it in the measurement of skin color. ΔE*ab seems to be a useful parameter to evaluate the color contrast between vitiligo/leukoderma and surrounding normally pigmented skin and can be used to evaluate disease severity and patient's quality of life.



Aseptic surgical preparation for upper eyelid blepharoplasty via full-face octenidine antiseptic without antibiotic medication shows effective prophylaxis against post-surgical wound infection

Abstract

Blepharoplasty is the third most common plastic surgical procedure in the USA. Due to the emergence of multiresistant bacteria, optimising the antiseptic procedure is crucial. Choice of antiseptics plays an important role as they may cause skin irritation and colouring of disinfected areas. In this study, the use of the aqueous antiseptic octenisept® (octenidine) was evaluated in the outcome of blepharoplasties: incidence of wound dehiscence; haematoma; and infection in correlation with gender, medication, smoking habits and time of year. This retrospective surveillance study included 352 patients (median age 58·3 years). Skin disinfection was performed thrice prior to blepharoplasty. Sutures were removed on day 6. None of the patients suffered from wound infection. The total rate of wound dehiscence was 6·3%, with a higher ratio among male patients. Smokers and patients on anticoagulant medication showed a significantly higher incidence of wound dehiscence. Throughout the year, rates of wound dehiscence were highest in summer. Aseptic surgical preparation for blepharoplasty via full-face scrub with octenisept® without oral antibiotic prophylaxis is well tolerated, with no report of wound infection, which may improve antibiotic stewardship as well as patient comfort. Elective upper eyelid blepharoplasty may ideally be performed in winter.



The efficacy of removable devices to offload and heal neuropathic plantar forefoot ulcers in people with diabetes: a single-blinded multicentre randomised controlled trial

Abstract

Non-removable offloading is the 'gold standard' treatment for neuropathic diabetic plantar forefoot ulcers. However, removable offloading is the common 'standard of care'. We compared three removable offloading devices for ulcer healing efficacy. In this multicentre, randomised controlled trial, 60 persons with neuropathic diabetic plantar forefoot ulcers were randomly assigned to wear a custom-made knee-high cast [BTCC (bivalved TCC)], custom-made ankle-high cast shoe or a prefabricated ankle-high forefoot-offloading shoe (FOS). Primary outcome was healing at 12 weeks. Dynamic plantar pressures, daily stride count and treatment adherence were assessed on a randomly selected subset (n = 35). According to intention-to-treat analysis, 58% of patients healed with BTCC [OR 0·77 (95% CI 0·41–1·45) versus FOS], 60% with cast shoe [OR 0·81 (95% CI 0·44–1·49) versus FOS] and 70% with FOS (P = 0·70). Mean ± SD peak pressure in kPa at the ulcer site was 81 ± 55 for BTCC, 176 ± 80 for cast shoe and 107 ± 52 for FOS (P = 0·005); stride count was 4150 ± 1626, 3514 ± 1380 and 4447 ± 3190, respectively (P = 0·71); percentage of 2-week intervals that patients wore the device <50% of time was 17·3%, 5·2% and 4·9%, respectively. Non-significant differences in healing efficacy between the three devices suggest that, when non-removable offloading is contraindicated or not available, each can be used for plantar forefoot ulcer offloading. Efficacy is lower than previously found for non-removable offloading maybe because suboptimal adherence and high stride count expose the patient to high repetitive stresses. These factors should be carefully considered in decision making regarding ulcer treatment.



Angiolymphoid hyperplasia with eosinophilia: report of nine cases

Abstract

Background

Angiolymphoid hyperplasia with eosinophilia (ALHE) is a benign vascular proliferation characterized by dermal or subcutaneous red or brown papules or nodules, most commonly on the head and neck.

Objective

The aim of this study was to review the epidemiological and clinical characteristics of ALHE, focusing particularly on the histological and therapeutic features.

Methods

We performed a retrospective study of all cases of ALHE diagnosed in our dermatology and pathology departments between 2004 and 2015.

Results

Over 12 years, we collected nine cases of ALHE (0.75 case/year). There were four men and five women. The mean age was 43 years. Lesions presented as erythematous or violaceous papules or nodules in all cases, multiple in five cases, and localized on the head in eight cases or other sites in four cases. The diagnosis of ALHE was clinically suspected in only two cases. The histopathological findings showed an ill-circumscribed, intradermal slightly lobular proliferation of capillary-sized vessels around several central vessels. In all cases, the blood vessels were lined by large endothelial cells. An inflammatory infiltrate around the vessels was formed mainly of lymphocytes and eosinophils with isolated plasma cells and histiocytes. Surgery was the most common treatment in our series. Other local or general treatment has also been used with varying responses.

Conclusion

Angiolymphoid hyperplasia with eosinophilia is a rare epithelioid vascular tumor with a challenging clinical and histological diagnosis. Despite its benign nature, ALHE causes a therapeutic dilemma.



ALK-positive primary cutaneous anaplastic large cell lymphoma: a case report and review of the literature

Abstract

Anaplastic large cell lymphoma (ALCL) limited to the skin is a distinct disease that is designated primary cutaneous ALCL (pcALCL). It has an indolent course with a significantly better prognosis compared to systemic ALCL (sALCL). Anaplastic lymphoma kinase (ALK) expression in lesions of cutaneous ALCL is classically considered to be a marker for skin involvement by sALCL. However, recent reports of patients with ALK-positive pcALCL challenge this concept and raise prognostic and therapeutic dilemmas. Herein, we report a case of ALK-positive pcALCL in a 45-year-old woman who was treated with local radiotherapy. We review previously reported cases in the literature to better characterize this rare variant. Overall, the rates of cutaneous recurrence, systemic dissemination, and disease-related mortality in ALK-positive pcALCL do not differ from those previously reported in pcALCL. ALK-positive pcALCL is diagnosed at younger age and has a better disease course in children compared to adults with lower incidences of skin recurrence and progression to systemic disease. We conclude that ALK-positivity in cutaneous ALCL does not necessarily imply systemic disease. ALK-positive pcALCL has an excellent prognosis and should be treated by excision and/or radiotherapy. However, patients must remain under close long-term follow-up as recurrence and progression to systemic disease may occur.



Unusual location of a common dermatosis




Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Earthbound Farm LLC Issues Allergy Alert on Undeclared Milk and Egg in One Batch of Earthbound Farm Organic Chopped Asian Style Salad Kit
 
Out of an abundance of caution, Earthbound Farm LLC of San Juan Bautista, CA is voluntarily recalling 1,755 cases of the Earthbound Farm Organic Chopped Asian Style Salad Kit with an expiration date of October 24, 2017 and UPC of 32601 95134, because it was discovered that some of the bags contain the...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Potentially malignant disorders of the oral cavity: Evaluation guideline
 
This new clinical practice guideline from the American Dental Association (ADA) updates the 2010 guideline on “Evidence-based Clinical Recommendations Regarding Screening for Oral Squamous Cell Carcinomas The post Potentially malignant disorders of the oral cavity: Evaluation guideline appeared first...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Οι Θεσμοί από σήμερα στην Αθήνα: Με το βλέμμα στην Γ΄Αξιολόγηση – Η αγωνία του υπ. Υγείας
 
Στην Αθήνα θα βρίσκονται από σήμερα και για μία εβδομάδα οι Θεσμοί, προκειμένου να συζητήσουν με την κυβέρνηση την Τρίτη Αξιολόγηση.
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Novel Double-Needle System That Can Prevent Intravascular Injection of Any Filler
 
Summary: A new type of needle system combines 2 parts, an inner needle and an outer needle. The inner needle is used for filler injection and the outer needle acts as a guiding needle that can observe blood reflow when inserting into the vessel lumen during injection process. This new needle system can...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Prepectoral Implant-Based Breast Reconstruction
 
Background: The development of acellular dermal matrices (ADMs) has facilitated single-stage implant breast reconstruction (IBR) following skin-sparing mastectomy. The conventional approach of postpectoral implant placement with lower pole ADM confers a good cosmetic result by improving lower pole projection...
OtoRhinoLaryngology
Sixty years ago: The birth of The Journal of Medical Imaging and Radiation Oncology
 
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OtoRhinoLaryngology
Interactive Simulations of Biohybrid Systems
 
Sebastian Albrecht von Mammen, Daniel Wagner, Andreas Knote, Umut Taskin from # All Medicine by Alexandros G. Sfakianakis via alkiviadis.1961 on Inoreader http://ift.tt/2yCYTji
OtoRhinoLaryngology
Response to "Opioid warning label" [Letters]
 
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OtoRhinoLaryngology
Canadian funders and institutions are lagging on reporting results of clinical trials [Commentary]
 
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OtoRhinoLaryngology
Rich nations are feeding research predators [News]
 
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OtoRhinoLaryngology
Depression and mortality in a longitudinal study: 1952-2011 [Research]
 
BACKGROUND:Many studies have shown that depression increases mortality risk. We aimed to investigate the duration of time over which depression is associated with increased risk of mortality, secular trends in the association between depression and mortality, and sex differences in the association between...
OtoRhinoLaryngology
Legionellosis following water birth in a hot tub in a Canadian neonate [Practice]
 
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OtoRhinoLaryngology
Opioid warning label [Letters]
 
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OtoRhinoLaryngology
A case of blood sweating: hematohidrosis syndrome [Practice]
 
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OtoRhinoLaryngology
COPD research and treatment pioneer [News]
 
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OtoRhinoLaryngology
Sweating blood: history and review [Humanities]
 
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OtoRhinoLaryngology
Researchers may be part of the problem in predatory publishing [News]
 
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OtoRhinoLaryngology
Rural Areas Surpassed Cities in Overdose Death Rate (FREE)
 
By Kelly Young Edited by Susan Sadoughi, MD, and André Sofair, MD, MPH The rate of drug overdose deaths in rural America has overtaken that of cities, according to data in MMWR.Researchers examined survey and mortality … from # All Medicine by Alexandros G. Sfakianakis via alkiviadis.1961...
OtoRhinoLaryngology
From the Blogs: Be Human. Be Memorable / Price's HIV "Quarantine" Comment / Interruptions in Emergency Medicine (FREE)
 
By the Editors Here’s a quick look at what the NEJM Journal Watch bloggers are talking about right now: Insights on Residency … from # All Medicine by Alexandros G. Sfakianakis via alkiviadis.1961 on Inoreader http://ift.tt/2hYZxxh
OtoRhinoLaryngology
Your NEJM Group Today: Dyspnea, Wheezing, Headache, Night Sweats Case / Avoiding Litigation / N.Y. Pulmonologist Opportunity (FREE)
 
By the Editors Check out Monday’s selections from NEJM Group:NEJM Clinical Practice Center: Case Record: A 64-year-old man presented with headache, dyspnea, wheezing, … from # All Medicine by Alexandros G. Sfakianakis via alkiviadis.1961 on Inoreader http://ift.tt/2zGPRiF
OtoRhinoLaryngology
FDA Approves New Herpes Zoster Vaccine (FREE)
 
By the Editors The FDA has approved a second vaccine to prevent herpes zoster in adults aged 50 and older, the manufacturer announced on Friday. … from # All Medicine by Alexandros G. Sfakianakis via alkiviadis.1961 on Inoreader http://ift.tt/2zIFefl
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Trial watch: Tracing investment in drug development for Alzheimer disease
 
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OtoRhinoLaryngology
Q-switched Nd: YAG laser alone or with modified Jessner chemical peeling for treatment of mixed melasma in dark skin types: A comparative clinical, histopathological, and immunohistochemical study
 
Summary BackgroundsTreatment of mixed melasma remains challenging. Promising results have been achieved with low-fluence 1064-nm Q-switched Nd-YAG laser; however, multiple sessions are necessary with occurrence of complications especially in dark skin types. So, combination methods may be recommended....
OtoRhinoLaryngology
GSE103429 Aberrant ribonucleotide incorporation and multiple deletions in mitochondrial DNA of the murine MPV17 disease model [EmRibo-seq]
 
Contributors : Chloe F Moss ; Ilaria D Rosa ; Martin A Reijns ; Martin S Taylor ; Ian J Holt ; Antonella SpinazzolaSeries Type : OtherOrganism : Mus musculusAll DNA polymerases misincorporate ribonucleotides despite their preference for deoxyribonucleotides, and analysis of cultured cells indicates...
OtoRhinoLaryngology
GSE105763 MBD2 Ablation Impairs Lymphopoiesis and Impedes Progression and Maintenance of T-cell Acute Lymphoblastic Leukemia
 
Contributors : Mi Zhou ; Jianfeng ZhouSeries Type : Expression profiling by arrayOrganism : Mus musculusLittle is known about the roles of methyl-CpG-binding domain protein 2 (MBD2), a “reader” of DNA methylation, in T-cell acute lymphoblastic leukemia (T-ALL). Here, we investigated the role of MBD2...
OtoRhinoLaryngology
GSE103015 Identifying SC1-regulated miRNAs in the J1 mESCs
 
Contributors : Yongyan Wu ; Qing Wei ; Zhiying Ai ; Zekun GuoSeries Type : Non-coding RNA profiling by high throughput sequencingOrganism : Mus musculusIt has been demonstrated that SC1 (Pluripotin) promotes self-renewal of mouse embryonic stem cells. To better understand miRNAs regulated by SC1...
OtoRhinoLaryngology
Ductal Carcinoma In Situ Biology, Biomarkers, and Diagnosis
 
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Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Recall insurance can benefit consumers by helping businesses
 
Food recall. For consumers, those two words send a red-flag alert: Don’t buy the recalled food or get rid of any of it you might have in your home. To retailers and food companies, the two words can strike fear in their hearts. “The food industry’s biggest threat to profitability,” read a recent headline...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Dairy and cracker producers’ operations net FDA warnings
 
A Texas dairy and a North Carolina cracker company are both on notice from the Food and Drug Administration for violations of federal food safety laws. The FDA sent warning letters to the companies in August and October, posting them for public view in recent days. Companies are allowed 15 working days...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Triple B Corporation (Seattle, Washington) Recalls Salad Kits and Stir Fry Mixes Due to Possible Contamination with Listeria Monocytogenes
 
Triple B Corporation of Seattle, Washington is voluntarily recalling salad kits and stir fry mixes due to possible contamination with Listeria monocytogenes, an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Triple B Corporation (Anchorage, Alaska) Recalls Salad Kits and Stir Fry Mixes Due to Possible Contamination with Listeria Monocytogenes
 
Triple B Corporation of Anchorage, Alaska is voluntarily recalling broccoli florette’s, stir fry kit, vegie trays w/ cauliflower, and a veggie pack combo, due to possible contamination with Listeria monocytogenes, an organism which can cause serious and sometimes fatal infections in young children, frail...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Meijer Recalls Meijer Brand Packaged Produce Due to Possible Health Risk
 
Meijer is announcing a recall of various packaged Meijer brand produce items due to a potential contamination with Listeria monocytogenes, an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Randalls, Tom Thumb and Albertsons Stores in Texas, Louisiana and Arkansas Voluntarily Recall Ready. Chef. Go! Seafood Meal Bags in Cooperation with Voluntary Recall by Mann Packing Due to Possible Listeria Monocytogenes Contamination
 
In cooperation with the Mann Packing recall of minimally processed vegetable products due to possible Listeria monocytogenes contamination, Randalls, Tom Thumb and Albertsons stores in Texas, Louisiana and Arkansas only are voluntarily recalling Ready. Chef. Go! seafood meal bags. The bags include vegetables...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Albertsons, Safeway, Vons and Pak N’ Save Stores in Eight States Voluntarily Recall Several Fresh Vegetable Trays and Cups in Cooperation with Voluntary Recall by Mann Packing Due to Possible Listeria Monocytogenes Contamination
 
In cooperation with the Mann Packing recall of minimally processed vegetable products due to possible Listeria monocytogenes contamination, Albertsons, Safeway, Vons and Pak N’ Save stores in eight states are voluntarily recalling certain fresh vegetable trays and cups that include vegetables that are...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Science as momentary truth
 
Publication date: Available online 19 October 2017Source:Brazilian Journal of Otorhinolaryngology Author(s): Leonardo Silva from ! ORL Sfakianakis via paythelady.61 on Inoreader http://ift.tt/2xZoVJ6
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Side effects of intraoral devices for OSAS treatment
 
Publication date: Available online 14 October 2017Source:Brazilian Journal of Otorhinolaryngology Author(s): Andressa Otranto de Britto Teixeira, Ana Luiza Ladeia Andrade, Rhita Cristina da Cunha Almeida, Marco Antonio de Oliveira AlmeidaIntroductionIntraoral devices have increasingly assumed...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Neutrophil–lymphocyte ratios in the prognostication of primary non-metastatic Nasopharyngeal Carcinoma
 
Publication date: Available online 19 October 2017Source:Brazilian Journal of Otorhinolaryngology Author(s): Kong Yew Liew, Abu Bakar ZulkifleeIntroductionNasopharyngeal Carcinoma is a geographically and racially variable disease which has a high incidence in Malaysia. Based on current concepts...

Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
PRO/PL> Crown rot, peanut – USA: (GA)
 
Other Plant Disease — United StatesAspergillus crown rot is on the rise in Georgia peanut fields and University of Georgia [UGA] researchers are working to pinpoint why. At present, scientists recommend that farmers stop saving seed from year to year to reduce the disease. If researchers can’t determine...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
PRO/AH/EDR> Brucellosis – Paraguay: (AS) veterinary students, RFI
 
Brucellosis — ParaguayStudents of the Faculty of Veterinary Sciences of the National University of Asuncion were infected with brucellosis and they accused the authorities of not having been warned in time. The disease has its origin in animals. A veterinary student reported in Monumental AM that 2 of...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Could I 3D print an airbrush?
 
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Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Salmonella enterica serotype 4,[5],12:i:- in swine in the United States Midwest: an emerging multidrug resistant clone
 
Abstract Background Salmonella 4,[5],12:i:-, a worldwide emerging pathogen that causes many foodborne outbreaks mostly attributed to pig and pig products, is expanding in the U.S. Methods Whole genome sequencing was applied to conduct multiple comparisons of 659 S. 4,[5],12:i:- and 325 S. Typhimurium...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Molecular Epidemiology of Tuberculosis in British Columbia, Canada – A 10-Year Retrospective Study
 
Abstract Background Understanding regional molecular epidemiology allows for the development of more efficient tuberculosis (TB) prevention strategies in low-incidence settings. Methods We analyzed 24-locus Mycobacterial Interspersed Repetitive Units-Variable Number of Tandem Repeats (MIRU-VNTR)...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
The Relationship between Latent Tuberculosis Infection and Acute Myocardial Infarction
 
Abstract Background Tuberculosis has been associated with an increased risk of cardiovascular disease, including acute myocardial infarction (AMI). We investigated whether latent tuberculosis infection (LTBI) associates with AMI. Methods We conducted a case-control study in two large national public...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Serotype-specific correlates of protection for pneumococcal carriage: an analysis of immunity in 19 countries
 
Abstract Background Pneumococcal conjugate vaccines (PCVs) provide direct protection against disease in those vaccinated, and interrupt transmission through the prevention of nasopharyngeal carriage. Methods We analysed immunogenicity data from 5224 infants who received PCV in prime-boost schedules....
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Reply to Aguiar and Stollenwerk
 
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Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Immune responses to twice-annual influenza vaccination in older adults in Hong Kong
 
Abstract Background Many health authorities recommend influenza vaccination of older adults to reduce disease burden. We hypothesized that in tropical and subtropical areas with more prolonged influenza seasons, twice-annual influenza vaccination might provide older adults with improved immunity...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Is placental malaria a long term risk factor for mild malaria attack in infancy? Revisiting a paradigm
 
Abstract Background Children born to mothers with placental malaria (PM) have been described as more susceptible to the occurrence of a first malaria infection. However, whether or not these children remain more at risk during infancy has never been explored. We aimed to determine if children born...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Children with or without radiologically-confirmed pneumonia: does etiology play any role?
 
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Allergy and Immunology by Alexandros G.Sfakianakis
Molecular control of regulatory T cell development and function
 
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Allergy and Immunology by Alexandros G.Sfakianakis
Insights into immune tolerance from AIRE deficiency
 
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otorhinolaryngologysfakianakis
Simultaneous Reconstruction of Columella and Philtrum Using Prolabial Flap Combined with Abbe Flap in Secondary Bilateral Cleft Lip and Nasal Deformity
 
Open rhinoplasty and Abbe flap techniques are traditionally useful tools for the reconstruction of secondary bilateral cleft lip nasal (BCLN) deformity. We aimed to investigate the long-term outcomes of simultaneous columella and philtrum reconstruction using prolabial flap combined with Abbe flap in...
otorhinolaryngologysfakianakis
Oral sex ups men’s risk of head and neck cancer – Economic Times
 
Medical News Today Oral sex ups men’s risk of head and neck cancerEconomic Times New York, Oct 22 (IANS) Smoking and having oral sex with multiple partners may put men at increased risk of developing a type of head and neck cancer that is triggered by exposure to the human papilloma virus, known as...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Know what to eat for good oral health
 
Apart from brushing twice a day and flossing, what we eat plays a big role in keeping our teeth healthy. Australian dentist Dr Steven Lin, according to The Independent, has revealed which foods we should be consuming to do so. from ! ORL Sfakianakis via paythelady.61 on Inoreader http://ift.tt/2xX8YrT
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Υπολόγισε εύκολα και γρήγορα πόσες θερμίδες χρειάζεσαι κάθε μέρα
 
Ο αριθμός των θερμίδων που λαμβάνεις καθημερινά από τη διατροφή σου και αυτός που «καις» χάρη στις διάφορες καθημερινές δραστηριότητες που κάνεις καθορίζει αν το βάρος σου θα αυξηθεί, θα μειωθεί ή θα παραμείνει σταθερό. Αν ο στόχος σου είναι να χάσεις κιλά, τότε πρέπει είτε να κάνεις… εκπτώσεις...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Θα κολλήσω γρίπη με μια χειραψία; Οι χειρουργικές μάσκες μάς προστατεύουν; – Τι λένε οι γιατροί
 
Είναι αυτή η εποχή του χρόνου που ξαφνικά ένα είναι το απαραίτητο αξεσουάρ σε μια τσάντα, τα χαρτομάντηλα. Οι μύτες κοκκινίζουν και «τρέχουν», ο λαιμός σε γδέρνει, η άμυνα του οργανισμού είναι στα τάρταρα και ο πυρετός μπορεί να γίνει κολλητός σου. Είτε πρόκειται για ένα κοινό κρυολόγημα είτε για γρίπη...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Καρκίνος μαστού: Πέντε στρατηγικές που αποτρέπουν την επανεμφάνισή του
 
Για τις γυναίκες που διαγνώστηκαν κάποια στιγμή στη ζωή τους με καρκίνο του μαστού και κατάφεραν να τον νικήσουν, οι ανησυχίες για τυχόν επανεμφάνιση της νόσου στο μέλλον είναι έντονες και δικαιολογημένες. Μελέτη που δημοσιεύτηκε πρόσφατα στο επιστημονικό περιοδικό Journal of Clinical Oncology έδειξε...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Μεταβολικό σύνδρομο: Tο γλυκαντικό που προλαμβάνει την εμφάνισή του
 
Ένα μεγάλο μέρος του πληθυσμού κυρίως μετά την ηλικία των 40 ετών, αναπτύσσει μεταβολικό σύνδρομο. Αυτό μπορεί να εξηγήσει γιατί κάποιος δεν νοιώθει καλά, έχει παραπανίσια κιλά, ενώ αυξάνει η πιθανότητα καρδιοπάθειας, διαβήτη και άλλων χρόνιων νοσημάτων. Κοινή αιτία της κεντρικού τύπου παχυσαρκίας...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Το ιδανικό σνακ για να νικήσετε την απογεματινή νύστα
 
Λίγο μετά τις δύο με τρεις το μεσημέρι πολλοί άνθρωποι αρχίζουν να έχουν μια έντονη νύστα συνήθως στη δουλειά. Η μόνη διέξοδος για αρκετούς φαίνεται να είναι ένας ακόμη καφές, προκειμένου ώστε να έρθουν σε πέρας τις υποχρεώσεις της ημέρας. Οι ειδικοί όμως προτείνουν μια άλλη λύση για να τονώσουμε...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Υπό δοκιμή εμβόλιο για τον ιό των ανθρωπίνων θηλωμάτων
 
Θεραπευτικό εμβόλιο για τον ιό των ανθρωπίνων θηλωμάτων (HPV) και τις βλάβες που προκαλεί, δοκιμάζεται σε περισσότερα από 100 κέντρα σε όλο τον κόσμο, όπως δήλωσε στο Πρακτορείο Fm και στην εκπομπή «104,9 Μυστικά Υγείας» ο μαιευτήρας-γυναικολόγος διδάκτωρ του Πανεπιστημίου Ιωαννίνων Ευριπίδης Μπιλιράκης....
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
The Impact of Financial Education for Youth in Ghana
 
Publication date: February 2018Source:World Development, Volume 102 Author(s): James Berry, Dean Karlan, Menno PradhanGovernments and non-governmental organizations promote school-based financial literacy programs as means to instill financial behaviors that can persist through adulthood....
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Επέμβαση βουβωνοκήλης: Η εμπειρία του χειρουργού «κλειδί» στην αποφυγή του χρόνιου πόνου
 
Στο 12% των επεμβάσεων βουβωνοκήλης παγκοσμίως είναι παρών ο χρόνιος πόνος. Για το λόγο αυτό, είναι σημαντική, η εμπειρία του χειρουργού, προκειμένου να αποφευχθεί…
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Οι 5 μορφές άσκησης που συνιστούν οι επιστήμονες του Χάρβαρντ
 
Αν και μόνο στο άκουσμα της λέξης «γυμναστήριο» βγάζετε… σπυράκια, θα σας χαροποιήσει ιδιαίτερα να μάθετε ότι το Χάρβαρντ, ένα από τα κορυφαία πανεπιστήμια…
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Rochas and the Liberian children
 
The dreaded Ebola had abruptly altered his destiny and dealt him a deadly blow never to be forgotten. Everyone simply pointed at him asý the orphan …
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Former director-general of World Health Organization Margaret Chan returns to Western University …
 
She’s navigated massive public health crises during her 10 years at the helm of the WHO, including Ebola and Zika outbreaks, and led the agency at a …
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
What India can learn from Africa’s fight against Ebola, via a health summit in Sweden
 
The Ebola virus outbreak of 2014 – 16 is a perfect example of just how damaging mixed messages can be to health care and disease containment …
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
How Ebola brought the world together, helped birth a blueprint for virus control
 
A united stand: In the wake of the 2014-16 outbreak, an Ebola vaccine was developed jointly by a group of countries, NGOs and the WHO — and …
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
CyPA and Emmprin play a role in peri-implantitis
 
Abstract Background Cyclophilin A (CyPA) and Emmprin play important roles in peri-implantitis. However, their roles in the diagnosis and treatment of the disease are still unclear. Purpose The aim of this split-mouth animal study was to describe variable trends of biomarkers during the...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Updated Food Recall Warning (Listeria) – Various brands of vegetable products
 
Distribution – National. Recalling firm – Industry. from Medicine via paythelady.61 on Inoreader http://ift.tt/2zJ92IS
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Escaladora encadena via de 12b (9b Fr) e confirma 2017 como o ano das mulheres na escalada
 
Foi divulgada hoje a notícia, via anúncio em redes sociais, de que a escaladora austríaca Angela Eiter conseguiu encadernar uma The post Escaladora encadena via de 12b (9b Fr) e confirma 2017 como o ano das mulheres na escalada appeared first on Revista Blog de Escalada. from Medicine via paythelady.61...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Restless legs syndrome is highly prevalent in patients with postpolio syndrome
 
We read with great interest the recent article by Marin et al. (1) about the prevalence of restless legs syndrome (RLS) in post-polio syndrome (PPS). The authors reported RLS as highly prevalent (36%) in a large sample of PPS patients (n=119) with a marked disease severity, as measured by IRLSSS score,...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Female service members: ‘We’ve touched every kind of service’
 
Elvira Chiccarelli grew up during the Vietnam War and felt a call to serve her country. Her mother had been a cadet nurse in World War II, and in 1975 Chiccarelli, a dentist, joined the Air Force. from ! ORL Sfakianakis via paythelady.61 on Inoreader http://ift.tt/2gZpblK
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Morgan Sarner, Trevor George
 
Morgan Collins Sarner and Trevor James George were married Oct. 21 in New York. Rabbi Steven J. Meltz officiated at the Pierre hotel. from ! ORL Sfakianakis via paythelady.61 on Inoreader http://ift.tt/2zuBptt
Medicine….iliofanis
Age-Related Changes in Objective and Subjective Speech Perception in Complex Listening Environments.
 
Conclusions: Research supports the multifactorial nature of listening in real-world environments. Current audiologic assessment practices are often insufficient to identify the true speech understanding struggles that individuals experience in these situations. This points to the importance of giving...
Medicine….iliofanis
Preliminary Evidence That Growth in Productive Language Differentiates Childhood Stuttering Persistence and Recovery.
 
Conclusions: Results are discussed in terms of how growth estimates can be incorporated in recommendations for fostering productive language skills among CWS. The need for additional research on language in early stuttering and recovery is suggested. PMID: 29049493 [PubMed – as supplied by publisher]...
Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Occurrence of sudden paraplegia during follow-up period of thoracic vertebral compression fracture in a case with spinal epidural lipomatosis
 
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Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Brown rice compared to white rice slows gastric emptying in humans
 
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Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Risks factors of mechanical ventilation in acute traumatic cervical spinal cord injured patients
 
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Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
The Austrian Spinal Cord Injury Study: a registry for patients living with a traumatic spinal cord injury
 
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Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174,00302841026182,alsfakia@gmail.com
Magnetic resonance imaging features of dogs with incomplete recovery after acute, severe spinal cord injury
 
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Therapeutics Infections Emergencies MEDICINE BY ALEXANDROS G.SFAKIANAKIS,ANAPAFSEOS 5 AGIOS NIKOLAOS,CRETE 72100,GREECE,TEL :00302841026182 & 00306932607174
Epidemiology of paediatric trauma presenting to US emergency departments: 2006-2012
 
Background Traumatic injury is the leading cause of paediatric morbidity and mortality in the USA. We present updated national data on emergency department (ED) discharges for traumatic injury for a recent 7-year period. Methods We conducted a descriptive epidemiological analysis of the Nationwide...