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Special considerations in prognostic research in cancer involving genetic polymorphisms
Sevtap Savas, Geoffrey Liu, Wei Xu BMC Medicine 2013, 11:149 (17 June 2013)
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Editor’s summary
Analyzing genetic polymorphisms is important for the development of new cancer biomarkers; Wei Xu and colleagues review special considerations that must be taken into account when studying tumor genetics, and highlight the potential problems.
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When to start antiretroviral therapy: the need for an evidence base during early HIV infection
Jens D Lundgren, Abdel G Babiker, Fred M Gordin, Álvaro H Borges, James D Neaton BMC Medicine 2013, 11:148 (14 June 2013)
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Jens Lundgren and colleagues argue for a more cautious approach to starting antiretroviral therapy, highlighting that there is no evidence from randomized trials to suggest the benefits of starting therapy early outweigh the potential harms.
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When to start antiretroviral therapy: as soon as possible
Ricardo A Franco, Michael S Saag BMC Medicine 2013, 11:147 (14 June 2013)
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Ricardo Franco and Michael Saag discuss the benefits of starting HIV therapy early, arguing that treatment should be given as soon as possible to reduce viral replication, prevent transmission and avoid the problems associated with inflammation.
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Phenotype, donor age and gender affect function of human bone marrow-derived mesenchymal stromal cells
Georg Siegel, Torsten Kluba, Ursula Hermanutz-Klein, Karen Bieback, Hinnak Northoff, Richard Schäfer BMC Medicine 2013, 11:146 (11 June 2013)
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Editor’s summary
Mesenchymal stromal cells have potential for clinical application in regenerative medicine, but have varying functional properties owing to donor age and gender, suggesting that identification of these factors are important for clinical use.
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Origins of increased airway smooth muscle mass in asthma
Rachid Berair, Ruth Saunders, Christopher E Brightling BMC Medicine 2013, 11:145 (6 June 2013)
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Christopher Brightling and colleagues discuss the contribution of different cell types to airway smooth muscle hyperplasia, and describe how a greater understanding of these mechanisms will guide the development of new therapies for asthma.
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Ipsilateral lower extremity joint involvement increases the risk of poor pain and function outcomes after hip or knee arthroplasty
Jasvinder A Singh, David G Lewallen BMC Medicine 2013, 11:144 (5 June 2013)
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Ipsilateral joint involvement is shown to affect pain and function outcomes after total hip or knee arthroplasty, indicating that arthroplasty outcomes may be improved if these issues are addressed.
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The collateral circulation of the heart
Pascal Meier, Stephan H Schirmer, Alexandra J Lansky, Adam Timmis, Bertram Pitt, Christian Seiler BMC Medicine 2013, 11:143 (4 June 2013)
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Editor’s summary
Pascal Meier and colleagues discuss the relevance of collateral arteries in the heart, and describe recent evidence indicating these arteries have a protective role in preserving myocardial function in patients with coronary heart disease.
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Venous hemodynamics in neurological disorders: an analytical review with hydrodynamic analysis
Clive B Beggs BMC Medicine 2013, 11:142 (31 May 2013)
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Neurological disorders, such as multiple sclerosis (MS) and leukoaraiosis have been associated with venous abnormalities that contribute to the pathophysiology; Clive Beggs reviews the evidence for this, concluding that the role of cerebral flow in MS remains unclear.
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Why do hypertensive patients of African ancestry respond better to calcium
blockers and diuretics than to ACE inhibitors and β-adrenergic blockers? A
systematic review
Lizzy M Brewster, Yackoob K Seedat BMC Medicine 2013, 11:141 (30 May 2013)
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Evidence from a systematic review shows pharmacokinetics, plasma renin and genetic polymorphisms are not associated with antihypertensive drug therapy, but African ancestry is the best predictor of individual responses to these drugs.
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Is a combination of varenicline and nicotine patch more effective in helping smokers quit than varenicline alone? A randomised controlled trial
Peter Hajek, Katie Smith, Al-Rehan Dhanji, Hayden McRobbie BMC Medicine 2013, 11:140 (29 May 2013)
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In a randomized trial, participants seeking to quit smoking over 12 weeks did not benefit from adding nicotine patch to varenicline, suggesting that although further trials are required, there is no benefit in taking both treatments.
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Tissue-derived mesenchymal stromal cells used as vehicles for anti-tumor therapy exert different in vivo effects on migration capacity and tumor growth
Carolina Belmar-Lopez, Gracia Mendoza, Daniel Oberg, Jerome Burnet, Carlos Simon, Irene Cervello, Maite Iglesias, Juan Ramirez, Pilar Lopez-Larrubia, Miguel Quintanilla, Pilar Martin-Duque BMC Medicine 2013, 11:139 (28 May 2013)
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Mesenchymal stem cells (MSCs), which could be used as vehicles for anti-cancer agents owing to tumor homing properties, have different migration and recruitment capacities dependent on their lineages, suggesting that clinical characterization to ensure efficacy and safety is vital.
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Tobacco smoking and depression: time to move on to a new research paradigm in medicine?
Peter de Jonge, Elisabeth Bos BMC Medicine 2013, 11:138 (24 May 2013)
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Peter de Jonge and Elisabeth Bos comment on a study showing smoking is a predictor of depression in heart disease patients, but argue that the use of both nomothetic and idiographic methods will provide more valid data.
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Neuromuscular electrical stimulation for preventing skeletal-muscle weakness and wasting in critically ill patients: a systematic review
Nicola A Maffiuletti, Marc Roig, Eleftherios Karatzanos, Serafim Nanas BMC Medicine 2013, 11:137 (23 May 2013)
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Critically ill patients in intensive care are prone to muscle weakness and wasting; a systematic review suggests neuromuscular electrical stimulation therapy is effective in preventing muscle weakness, but is inconclusive for muscle wasting.
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Processing of meats and cardiovascular risk: time to focus on preservatives
Renata Micha, Georgios Michas, Martin Lajous, Dariush Mozaffarian BMC Medicine 2013, 11:136 (23 May 2013)
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Dariush Mozaffarian and colleagues comment on a study showing that processed meat is linked to increased mortality risk, and emphasize how health guidance should recommend avoiding processed meat rather than focusing on fat content.
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Cost effectiveness of patient education for the prevention of falls in hospital: economic evaluation from a randomized controlled trial
Terry P Haines, Anne-Marie Hill, Keith D Hill, Sandra G Brauer, Tammy Hoffmann, Christopher Etherton-Beer, Steven M McPhail BMC Medicine 2013, 11:135 (22 May 2013)
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Economic analysis of a clinical trial shows that a patient education program to prevent falls in hospitalized elderly people is effective and cost-saving, provided 4% of these patients would otherwise fall under usual care.
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A diagnostic window for the treatment of acute graft-versus-host disease prior to visible clinical symptoms in a murine model
Carina A Bäuerlein, Simone S Riedel, Jeanette Baker, Christian Brede, Ana-Laura Garrote, Martin Chopra, Miriam Ritz, Georg F Beilhack, Stephan Schulz, Robert Zeiser, Paul G Schlegel, Hermann Einsele, Robert S Negrin, Andreas Beilhack BMC Medicine 2013, 11:134 (21 May 2013)
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Alloreactive T cells are present in the blood 2 weeks before the onset of acute graft-versus-host disease (GVHD) symptoms in a mouse model, suggesting these cells could be measured to allow early diagnosis and timely therapeutic intervention.
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Patient advocacy and DSM-5
Dan J Stein, Katharine A Phillips BMC Medicine 2013, 11:133 (17 May 2013)
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Dan Stein and Katharine Phillips comment on the patient experience that has helped define the psychiatric classification of obsessive-compulsive spectrum disorders (OCD) in DSM-5, and describe the importance of taking patient opinion into account.
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Personalized medicine in psychiatry: problems and promises
Uzoezi Ozomaro, Claes Wahlestedt, Charles B Nemeroff BMC Medicine 2013, 11:132 (16 May 2013)
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Charles Nemeroff and colleagues review the genetics, epigenetics, biomarkers, treatment response and environmental factors of mood disorders and schizophrenia, and describe the impact of neuroimaging on personalized medicine in psychiatry.
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Depression as a risk factor for adverse outcomes in coronary heart disease
Kenneth E Freedland, Robert M Carney BMC Medicine 2013, 11:131 (15 May 2013)
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Kenneth Freedland and Robert Carney argue that depression predicts coronary heart disease (CHD) but better methods are required to ascertain whether depression is a causal risk factor for CHD, which could help determine treatment strategies for CVD prevention.
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Depression as a non-causal variable risk marker in coronary heart disease
Anna Meijer, Marij Zuidersma, Peter de Jonge BMC Medicine 2013, 11:130 (15 May 2013)
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Peter de Jonge and colleagues argue that, although there is a link between coronary heart disease (CHD) and depression, this association is confounded by heterogeneity, such that depression is a non-causal risk factor CHD.
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Understanding the somatic consequences of depression: biological mechanisms and the role of depression symptom profile
Brenda WJH Penninx, Yuri Milaneschi, Femke Lamers, Nicole Vogelzangs BMC Medicine 2013, 11:129 (15 May 2013)
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Consequences of depression include somatic diseases, such as obesity and cardiovascular disease; Brenda Penninx and colleagues review the biological pathways and their dysregulation between depressive symptoms and somatic health, and describe the therapeutic implications.
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The DSM-5: Hyperbole, Hope or Hypothesis?
Michael Berk BMC Medicine 2013, 11:128 (14 May 2013)
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In an editorial to launch our article collection on Current Controversies in Psychiatry, Michael Berk discusses the debate on diagnostic categories in mental health based on the new edition of diagnostic criteria; the DSM-5.
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Informing DSM-5: biological boundaries between bipolar I disorder, schizoaffective disorder, and schizophrenia
Victoria E Cosgrove, Trisha Suppes BMC Medicine 2013, 11:127 (14 May 2013)
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Victoria Cosgrove and Trisha Suppes agree that boundaries between the diagnosis of bipolar disorder I, schizophrenia and schizoaffective disorder are preserved in the DSM-5 criteria, as there is not yet enough data to justify a continuous model of psychosis.
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Toward the future of psychiatric diagnosis: the seven pillars of RDoC
Bruce N Cuthbert, Thomas R Insel BMC Medicine 2013, 11:126 (14 May 2013)
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Bruce Cuthbert and Thomas Insel argue that future psychiatric nosologies will be informed by the Research Domain Criteria (RDoC) that is based on genetics, neuroscience and behavioural science, which will help achieve precision medicine for mental disorders.
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Clinical classification in mental health at the cross-roads: which direction next?
Ian B Hickie, Jan Scott, Daniel F Hermens, Elizabeth M Scott, Sharon L Naismith, Adam J Guastella, Nick Glozier, Patrick D McGorry BMC Medicine 2013, 11:125 (14 May 2013)
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There is much debate on DSM-5 diagnosis in mental health, and Ian Hickie and colleagues argue for the development of new approaches that identify pathways underlying the illnesses rather than using broad categories to describe psychiatric disorders.
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The genomic landscape of chronic lymphocytic leukemia: clinical implications
Víctor Quesada, Andrew J Ramsay, David Rodríguez, Xose S Puente, Elías Campo, Carlos López-Otín BMC Medicine 2013, 11:124 (9 May 2013)
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Carlos Lopez-Otin and colleagues review new developments in understanding the genomics of chronic lymphocytic leukemia, and discuss how genomic advances could benefit disease staging and treatment.
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Drug eluting balloons for de novo coronary lesions – a systematic review and meta-analysis
Georg M Fröhlich, Alexandra J Lansky, Dennis T Ko, Olga Archangelidi, Rodney De Palma, Adam Timmis, Pascal Meier BMC Medicine 2013, 11:123 (8 May 2013)
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Editor’s summary
Evidence from a systematic review and meta-analysis shows the performance of drug-eluting balloons (DEB) is comparable with standard therapy and better than bare metal stents for de novo coronary lesions, so DEB could be considered in these patients.
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Characteristics, changes and influence of body composition during a 4486 km transcontinental ultramarathon: results from the Transeurope Footrace mobile whole body MRI-project
Uwe HW Schütz, Christian Billich, Kathrin König, Christian Würslin, Heike Wiedelbach, Hans-Jürgen Brambs, Jürgen Machann BMC Medicine 2013, 11:122 (8 May 2013)
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Editor’s summary
Significant changes in total, somatic and visceral volumes assessed by MRI occurred in 22 ultramarathon runners over the course of a 4487 km race, but body and fat volume, together with body mass, were not associated with race performance.
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Depression, antidepressant medications, and risk of Clostridium difficile infection
Mary A M Rogers, M Todd Greene, Vincent B Young, Sanjay Saint, Kenneth M Langa, John Y Kao, David M Aronoff BMC Medicine 2013, 11:121 (7 May 2013)
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Editor’s summary
The risk of Clostridium difficile infection is increased in adults with depression and in those taking antidepressants during hospitalization, indicating that physicians should be aware of the elevated infection risk in these patients.
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Novel therapeutic agents in clinical development for systemic lupus erythematosus
Natasha Jordan, Pamela MK Lutalo, David P D’Cruz BMC Medicine 2013, 11:120 (3 May 2013)
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Editor’s summary
Traditional treatments for systemic lupus erythematosus (SLE) are associated with toxicity and resistance problems; David D’Cruz and colleagues review novel therapies in clinical development for SLE and discuss results from recent clinical trials.
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Developmental heterochrony and the evolution of autistic perception, cognition and behavior
Bernard Crespi BMC Medicine 2013, 11:119 (2 May 2013)
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Bernard Crespi proposes that changes in rate and timing of childhood developmental processes may underlie autism and other cognitive and behavioural disorders, and suggests future genetic research should focus on the causes of these variations.
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Video Q&A: what is ASIA? An interview with Yehuda Shoenfeld
Yehuda Shoenfeld BMC Medicine 2013, 11:118 (1 May 2013)
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In this Q&A we talk to Yehuda Shoenfeld about the syndrome, ASIA (Autoimmune or Autoinflammatory Syndrome Induced by Adjuvants) and discuss his recommendations regarding further research in the field.
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Immunity, atherosclerosis and cardiovascular disease
Johan Frostegård BMC Medicine 2013, 11:117 (1 May 2013)
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Johan Frostegard reviews the inflammatory mechanisms behind atherosclerosis and cardiovascular disease (CVD), and discusses how inflammation can be targeted in order to develop novel therapies for CVD.
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Evolutionary medicine – the quest for a better understanding of health, disease and prevention
Martin Brüne, Ze’ev Hochberg BMC Medicine 2013, 11:116 (29 April 2013)
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In an editorial to launch our article collection on Evolutionary Medicine, Martin Brüne and Ze’ev Hochberg discuss the relevance of evolutionary medicine in clinical research as a means of ultimately gaining deeper understanding about human diseases.
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New perspectives on evolutionary medicine: the relevance of microevolution for human health and disease
Frank Rühli, Maciej Henneberg BMC Medicine 2013, 11:115 (29 April 2013)
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Frank Rühli and Maciej Henneberg review the microevolutionary changes in humans, and the impact this may have in treatment of diseases, understanding host-pathogen co-evolution, and the effect current clinical decisions may have on future generations.
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Effects of breastfeeding on body composition and maturational tempo in the rat
Yonatan Crispel, Oren Katz, Dafna Ben-Yosef, Ze'ev Hochberg BMC Medicine 2013, 11:114 (29 April 2013)
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Weaning from lactation at an early age leads to faster development and leaner, longer bodies in comparison to late-weaned rats, and these effects are transmitted through generations as early-weaned progeny reach sexual maturation at an earlier age.
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Evo-devo of human adolescence: beyond disease models of early puberty
Ze'ev Hochberg, Jay Belsky BMC Medicine 2013, 11:113 (29 April 2013)
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Editor’s summary
Ze’ev Hochberg and Jay Belsky review the development of human adolescents from an endocrinological and social perspective, arguing that understanding the environmental impact on development will help inform further research.
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Targeted rotavirus vaccination of high-risk infants; a low cost and highly cost-effective alternative to universal vaccination
Patricia Bruijning-Verhagen, Marie-Josée J Mangen, Mariet Felderhof, Nico G Hartwig, Marlies van Houten, Léon Winkel, Wouter J de Waal, Marc JM Bonten BMC Medicine 2013, 11:112 (26 April 2013)
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Editor’s summary
When compared with universal rotavirus (RV) vaccination, targeted vaccination of high-risk children is highly cost-effective in the Netherlands, suggesting that targeted strategies should be used to reduce RV hospitalizations in Europe.
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Evaluating complex interventions in End of Life Care: the MORECare Statement on good practice generated by a synthesis of transparent expert consultations and systematic reviews
Irene J Higginson, Catherine J Evans, Gunn Grande, Nancy Preston, Myfanwy Morgan, Paul McCrone, Penney Lewis, Peter Fayers, Richard Harding, Matthew Hotopf, Scott A Murray, Hamid Benalia, Marjolein Gysels, Morag Farquhar, Chris Todd, on behalf of MORECare BMC Medicine 2013, 11:111 (24 April 2013)
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Irene Higginson and colleagues present the MORECare statement, an evidence-based set of recommendations for improved research methods in end of life care, which aims to provide clear standards and guidance in this overlooked area of medicine.
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Physical comorbidities in men with mood and anxiety disorders: a population-based study
Livia Sanna, Amanda L Stuart, Julie A Pasco, Mark A Kotowicz, Michael Berk, Paolo Girardi, Sharon L Brennan, Lana J Williams BMC Medicine 2013, 11:110 (24 April 2013)
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Editor’s summary
Mood and anxiety disorders are associated with a range of physical comorbidities in men, and having these disorders increases the risk of high medical burden, providing further evidence for the link between mental and physical health.
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Serum biomarkers for neurofibromatosis type 1 and early detection of malignant peripheral nerve-sheath tumors
Su-Jin Park, Birgit Sawitzki, Lan Kluwe, Victor F Mautner, Nikola Holtkamp, Andreas Kurtz BMC Medicine 2013, 11:109 (23 April 2013)
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Serum biomarkers identify neurofibromatosis type 1 patients at risk of malignant peripheral nerve sheath tumor development, and other markers discriminate between these patients and healthy controls, making them useful as diagnostic tools.
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Testosterone therapy and cardiovascular events among men: a systematic review and meta-analysis of placebo-controlled randomized trials
Lin Xu, Guy Freeman, Benjamin J Cowling, C Schooling BMC Medicine 2013, 11:108 (18 April 2013)
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Evidence from a systematic review and meta-analysis shows that testosterone therapy increases cardiovascular-related events in men, and the risk of this therapy is mainly evident in trials not funded by the pharmaceutical industry.
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Integrating sepsis management recommendations into clinical care guidelines for district hospitals in resource-limited settings: the necessity to augment new guidelines with future research
Shevin T Jacob, Matthew Lim, Patrick Banura, Satish Bhagwanjee, Julian Bion, Allen C Cheng, Hillary Cohen, Jeremy Farrar, Sandy Gove, Philip Hopewell, Christopher C Moore, Cathy Roth, T West BMC Medicine 2013, 11:107 (18 April 2013)
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Editor’s summary
Shevin Jacob et al. discuss the ‘Integrated Management of Adolescent and Adult Illness District Clinician Manual’ sepsis management guidelines for resource-limited settings, highlighting the importance of ensuring sepsis research is undertaken in such locations.
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Genome-wide analysis of three-way interplay among gene expression, cancer cell invasion and anti-cancer compound sensitivity
Yi-Chiung Hsu, Hsuan-Yu Chen, Shinsheng Yuan, Sung-Liang Yu, Chia-Hung Lin, Guani Wu, Pan-Chyr Yang, Ker-Chau Li BMC Medicine 2013, 11:106 (16 April 2013)
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Editor’s summary
A unique gene signature correlates with chemotherapy sensitivity in a panel of cell lines and predicts drug response and survival in patients with lung and breast cancer, so could be used in the clinic in a personalized approach to cancer treatment.
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Caregivers’ understanding of dementia predicts patients’ comfort at death: a prospective observational study
Jenny T van der Steen, Bregje D Onwuteaka-Philipsen, Dirk L Knol, Miel W Ribbe, Luc Deliens BMC Medicine 2013, 11:105 (11 April 2013)
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Caregivers’ awareness of dementia as a terminal disease is associated with better patient comfort, suggesting that educating the families of dementia sufferers is important to ensure appropriate planning is undertaken to improve the care of these patients.
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Advances in bladder cancer imaging
Shaista Hafeez, Robert Huddart BMC Medicine 2013, 11:104 (10 April 2013)
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Editor’s summary
Shaista Hafeez and Robert Huddart discuss recent advances in bladder cancer imaging and review progress in functional imaging techniques which, upon further development and validation, may lead to tumor mapping and personalized patient therapies.
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‘You can’t just hit a button’: an ethnographic study of strategies to repurpose data from advanced clinical information systems for clinical process improvement
Cecily Morrison, Matthew Jones, Rachel Jones, Alain Vuylsteke BMC Medicine 2013, 11:103 (10 April 2013)
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Editor’s summary
Clinical information systems (CIS) are used in current healthcare policies to improve clinical processes; new evidence shows that redistribution of extra work, sufficient time, financial support and motivation are needed to deliver CIS efficiently in ICU.
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Use of illicit and prescription drugs for cognitive or mood enhancement among surgeons
Andreas G Franke, Christiana Bagusat, Pavel Dietz, Isabell Hoffmann, Perikles Simon, Rolf Ulrich, Klaus Lieb BMC Medicine 2013, 11:102 (9 April 2013)
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Surgeons show higher use of cognitive or mood enhancing drugs when surveyed with a higher level of anonymity and confidentiality; this drug use is associated with workload and stress suggesting the need for medical education on coping strategies.
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Novel pebbles in the mosaic of autoimmunity
Carlo Perricone, Nancy Agmon-Levin, Yehuda Shoenfeld BMC Medicine 2013, 11:101 (4 April 2013)
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Yehuda Shoenfeld and colleagues launch our new article collection, Autoimmunity, with an editorial discussing the evolution of autoimmunity research and emerging concepts in the pathology of autoimmune diseases.
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Requirements for innate immune pathways in environmentally induced autoimmunity
Kenneth Pollard, Dwight H Kono BMC Medicine 2013, 11:100 (4 April 2013)
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Editor’s summary
Kenneth Pollard and Dwight Kono review the immune pathways involved in idiopathic and environmentally induced autoimmunity, and highlight that further investigation is needed to understand the mechanistic pathways underlying this elusive condition.
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