Co-production of a systematic review on decision coaching: a mixed methods case study within a review.

BACKGROUND: Co-production is a collaborative approach to prepare, plan, conduct, and apply research with those who will use or be impacted by research (knowledge users). Our team of knowledge users and researchers sought to conduct and evaluate co-production of a systematic review on decision coaching. METHODS: We conducted a mixed-methods case study within a review to describe team co-production of a systematic review. We used the Collaborative Research Framework to support an integrated knowledge translation approach to guide a team through the steps in co-production of a systematic review. The team agreed to conduct self-study as a study within a review to learn from belonging to a co-production research team. A core group that includes a patient partner developed and conducted the study within a review. Data sources were surveys and documents. The study coordinator administered surveys to determine participant preferred and actual levels of engagement, experiences, and perceptions. We included frequency counts, content, and document analysis. RESULTS: We describe co-production of a systematic review. Of 17 team members, 14 (82%) agreed to study participation and of those 12 (86%) provided data pre- and post-systematic review. Most participants identified as women (n = 9, 75.0%), researchers (n = 7, 58%), trainees (n = 4, 33%), and/or clinicians (n = 2, 17%) with two patient/caregiver partners (17%). The team self-organized study governance with an executive and Steering Committee and agreed on research co-production actions and strategies. Satisfaction for engagement in the 11 systematic review steps ranged from 75 to 92%, with one participant who did not respond to any of the questions (8%) for all. Participants reported positive experiences with team communication processes (n = 12, 100%), collaboration (n = 12, 100%), and negotiation (n = 10-12, 83-100%). Participants perceived the systematic review as co-produced (n = 12, 100%) with collaborative (n = 8, 67%) and engagement activities to characterize co-production (n = 8, 67%). Participants indicated that they would not change the co-production approach (n = 8, 66%). Five participants (42%) reported team logistics challenges and four (33%) were unaware of challenges. CONCLUSIONS: Our results indicate that it is feasible to use an integrated knowledge translation approach to conduct a systematic review. We demonstrate the importance of a relational approach to research co-production, and that it is essential to plan and actively support team engagement in the research lifecycle.

Nanofat in Plastic Reconstructive, Regenerative, and Aesthetic Surgery: A Review of Advancements in Face-Focused Applications.

Nanofat is a relatively novel technique in fat grafting that has gained significant interest in the fields of regenerative medicine, aesthetic and translational research. It involves the extraction of autologous fat from a patient, which is then transformed into "nanofat", consisting of small fat particles with a diameter of less than 0.1 mm and containing high concentrations of stem cells and growth factors. This article focuses on the use of nanofat in facial rejuvenation and its potential for lipomodelling. Fat tissue is a "stem cell depot" and nanofat contains many stem cells that can differentiate into various cell types. The Lipogem technology, developed in 2013, enables the isolation of nanofat with an intact perivascular structure, utilizing the high concentration of mesenchymal stromal cells near the pericytes of the adipose vascular system. Nowadays nanofat is used primarily for cosmetic purposes particularly in rejuvenating and improving the appearance of the skin, especially the face. Indeed, it has wide applicability; it can be used to treat fine lines, wrinkles, acne scars, sun-damaged skin, scar repair, and as an alopecia treatment. However, further studies are needed to assess the long-term efficacy and safety of this technique. In conclusion, nanofat is a safe and minimally invasive option for tissue regeneration with considerable therapeutic potential. This study reviews the application and effects of nanofat in regenerative medicine and facial cosmetic surgery.

A review of the adsorption method for norfloxacin reduction from aqueous media.

Norfloxacin (NRFX) is one of a class of antibiotics known as broad-spectrum fluoroquinolone antibiotic that is frequently used to treat infectious disorders in both animals and humans. NRFX is considered an emergent pharmaceutical contaminate. This review's objective is to evaluate empirical data on NRFX's removal from aqueous medium. The environmental danger of NRFX in the aquatic environment was validated by an initial ecotoxicological study. Graphene oxide/Metal Organic Framework (MOF) based composite, followed by Magnesium oxide/Chitosan/Graphene oxide composite gave the highest NRFX adsorption capacities (Qmax) of 1114.8 and 1000 mg/g, respectively. The main adsorption mechanisms for NRFX uptake include electrostatic interactions, H-bonds, π-π interactions, electron donor-acceptor interactions, hydrophobic interactions, and pore diffusion. The adsorptive uptake of NRFX were most suitably described by Langmuir isotherm and pseudo-second order implying adsorbate-to-adsorbent electron transfer on a monolayer surface. The thermodynamics of NRFX uptake is heavily dependent on the makeup of the adsorbent, and the selection of the eluent for desorption from the solid phase is equally important. There were detected knowledge gaps in column studies and adsorbent disposal method. There's great interest in scale-up and industrial applications of research results that will aid in management of water resources for sustainability.

Measures of Retention in HIV Care: A Study Within a Review.

People living with HIV (PLHIV) need lifelong medical care. However, retention in HIV care is not measured uniformly, making it challenging to compare or pool data. The objective of this study within a review (SWAR) is to describe the assortment of definitions used for retention in HIV care in randomized controlled trials (RCTs). We conducted a SWAR, drawing data from an overview of systematic reviews on interventions to improve the HIV care cascade. Ethics review was not required for this analysis of secondary data. We identified RCTs of interventions used to improve retention in care for PLHIV, including all age groups and extracted the definitions used and their characteristics. We identified 50 trials that measured retention published between 2007 and 2021 and provided 59 definitions for retention in care. The definitions consisted of nine different characteristics with follow-up time (n = 47), and clinical visits (n = 36) most used. The definitions of retention in HIV care are highly heterogeneous. In this study, we present the pros and cons of characteristics used to measure retention in HIV care.

Object Detection Based on Roadside LiDAR for Cooperative Driving Automation: A Review.

Light Detection and Ranging (LiDAR) technology has the advantages of high detection accuracy, a wide range of perception, and not being affected by light. The 3D LiDAR is placed at the commanding height of the traffic scene, the overall situation can be grasped from the perspective of top view, and the trajectory of each object in the traffic scene can be accurately perceived in real time, and then the object information can be distributed to the surrounding vehicles or other roadside LiDAR through advanced wireless communication equipment, which can significantly improve the local perception ability of an autonomous vehicle. This paper first describes the characteristics of roadside LiDAR and the challenges of object detection and then reviews in detail the current methods of object detection based on a single roadside LiDAR and multi-LiDAR cooperatives. Then, some studies for roadside LiDAR perception in adverse weather and datasets released in recent years are introduced. Finally, some current open challenges and future works for roadside LiDAR perception are discussed. To the best of our knowledge, this is the first work to systematically study roadside LiDAR perception methods and datasets. It has an important guiding role in further promoting the research of roadside LiDAR perception for practical applications.

Application of network pharmacology in the study of mechanism of Chinese medicine in the treatment of ulcerative colitis: A review.

Network pharmacology is a research method based on a multidisciplinary holistic analysis of biological systems, which coincides with the idea of the holistic view of traditional Chinese medicine. In this review, we summarized the use of network pharmacology technology through studying Chinese medicine single medicine or Chinese medicine compound research ideas and methods for the treatment of ulcerative colitis, based on the application of the current network pharmacology in Chinese medicine research, including the important role in the mechanism of the prediction and verification, to search for new ideas for disease diagnosis and treatment, this study summarizes the application of network pharmacology in the treatment of ulcerative colitis in traditional Chinese medicine, including monotherapy and compound therapy, and considers that relevant research studies have fully demonstrated the function characteristics of the multi-component, multi-target, and multi-pathway of traditional Chinese medicine, and can also explain the connotation of "selecting appropriate treatment methods according to the differences and similarities of pathogenesis" of traditional Chinese medicine. Finally, we raised important questions about the prospects and limitations of network pharmacology, such as differences caused by different data collection methods, a considerable lag, and so on.

Para and Post-COVID-19 CNS Acute Demyelinating Disorders in Children: A Case Series on Expanding the Spectrum of Clinical and Radiological Characteristics.

Viral infections can serve as a trigger for variable autoimmune, antibody-mediated demyelinating disorders. There is accumulating evidence that the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus, causing coronavirus disease 2019 (COVID-19) infection and responsible for the current worldwide pandemic, can lead to a cascade of immune-mediated brain and spinal cord demyelinating injuries. However, such observation in the pediatric age group was only reported in very few patients. Thus, the heterogeneous spectrum of this phenomenon in children is still unfolding. We are reporting a case series of five pediatric patients with a variety of acute central nervous system (CNS) demyelinating disorders in the context of acute or recent COVID-19 infection. A 16-year-old female with anti-myelin oligodendrocyte glycoprotein (MOG) disorder, an eight-year-old male with acute disseminated encephalomyelitis (ADEM), a 13-year-old female with neuromyelitis optica spectrum disorder (NMOSD), and two 14 and 13-year-old females with new-onset multiple sclerosis (MS) are reported, all of whom presented acutely following COVID-19 infection. We propose that para and post-infectious CNS demyelinating disorders can potentially follow acute COVID-19 infection in children. Considering SARS-CoV-2 testing as a part of diagnostic workup is possibly useful. Awareness of the presence of this phenomenon can help in the recognition and management of those patients.

Creativity comes from interactions: modules of protein interactions in plants.

Protein interactions are the foundation of cell biology. For robust signal transduction to occur, proteins interact selectively and modulate their behavior to direct specific biological outcomes. Frequently, modular protein interaction domains are central to these processes. Some of these domains bind proteins bearing post-translational modifications, such as phosphorylation, whereas other domains recognize and bind to specific amino acid motifs. Other modules act as diverse protein interaction scaffolds or can be multifunctional, forming head-to-head homodimers and binding specific peptide sequences or membrane phospholipids. Additionally, the so-called head-to-tail oligomerization domains (SAM, DIX, and PB1) can form extended polymers to regulate diverse aspects of biology. Although the mechanism and structures of these domains are diverse, they are united by their modularity. Together, these domains are versatile and facilitate the evolution of complex protein interaction networks. In this review, we will highlight the role of select modular protein interaction domains in various aspects of plant biology.

A systematic review of security and privacy issues in the internet of medical things; the role of machine learning approaches.

BACKGROUND: The Internet of Medical Things (IoMTs) is gradually replacing the traditional healthcare system. However, little attention has been paid to their security requirements in the development of the IoMT devices and systems. One of the main reasons can be the difficulty of tuning conventional security solutions to the IoMT system. Machine Learning (ML) has been successfully employed in the attack detection and mitigation process. Advanced ML technique can also be a promising approach to address the existing and anticipated IoMT security and privacy issues. However, because of the existing challenges of IoMT system, it is imperative to know how these techniques can be effectively utilized to meet the security and privacy requirements without affecting the IoMT systems quality, services, and device's lifespan. METHODOLOGY: This article is devoted to perform a Systematic Literature Review (SLR) on the security and privacy issues of IoMT and their solutions by ML techniques. The recent research papers disseminated between 2010 and 2020 are selected from multiple databases and a standardized SLR method is conducted. A total of 153 papers were reviewed and a critical analysis was conducted on the selected papers. Furthermore, this review study attempts to highlight the limitation of the current methods and aims to find possible solutions to them. Thus, a detailed analysis was carried out on the selected papers through focusing on their methods, advantages, limitations, the utilized tools, and data. RESULTS: It was observed that ML techniques have been significantly deployed for device and network layer security. Most of the current studies improved traditional metrics while ignored performance complexity metrics in their evaluations. Their studies environments and utilized data barely represent IoMT system. Therefore, conventional ML techniques may fail if metrics such as resource complexity and power usage are not considered.

Ricin poisoning: A review on contamination source, diagnosis, treatment, prevention and reporting of ricin poisoning.

INTRODUCTION: Ricin, a toxic glycoprotein derived from the castor bean plant, is one of the most potent poisons known in the world. Ricin intoxication is a fatal and uncommon medical condition and recently its use as a potential bioterrorism agent has also been reported. This study aims to identify the main characteristics of diagnosed ricin poisoning cases worldwide in order to raise awareness of this toxin among the population and clinicians. METHODS: A collection of human case studies of ricin intoxication in the world was produced. The databases Pubmed, Sciencedirect and Google Scholar were used to extract articles from January 1980 to June 2020. RESULTS: Fifty ricin-intoxicated patients worldwide described in the literature have been identified. Most cases were found in Asia (19 cases), Europe (12 cases) and America (15 cases). Intoxication was mostly accidental (37 cases). Intoxication by castor bean is characterized by acute gastroenteritis-like disease as primary manifestations leading to severe fluid and electrolyte imbalance. The mechanism of death was peripheral vascular collapse and progressing multiple organ failure occurring 10h-72h after intoxication. The questioning of patients and family made it possible to retrieve an history of castor seeds or castor oil ingestion Patients received symptomatic treatment consisting mostly to rehydration with intravenous fluids and digestive decontamination performed with activated charcoal and/or gastric lavage within one day after the ingestion, to reduce gastrointestinal absorption of ricin. This decontamination treatment administered early has been very effective. Only six deaths were observed. DISCUSSION: Currently, no antidote, vaccine, or other specific effective treatment is available for ricin poisoning or prevention. Prompt treatment with supportive care was necessary to limit morbidity and mortality. To date, patient education is essential to prevent this accidental poisoning. CONCLUSION: Clinicians and health care professionals should have a high level of suspicion when faced with an outbreak of serious respiratory or gastrointestinal illness.

Author queries via email text elicited high response and took less reviewer time than data forms - a randomised study within a review.

OBJECTIVE: To compare two strategies for requesting additional information for systematic reviews (SR) from study authors. STUDY DESIGN AND SETTING: Randomised study within a SR of hospital volume-outcome relationships in total knee arthroplasty. We sent personalized email requests for additional information to study authors as either email text ("Email" group) or attachment with self-developed, personalised data request forms ("Attachment" group). The primary outcome was the response rate, the secondary outcomes were the data completeness rate and the reviewer time invested in author contact. RESULTS: Of 57 study authors, 29 were randomised to the Email group and 28 to the Attachment group. The response rate was 93% for Email and 75% for Attachment (odds ratio 4.5, 95% confidence interval [0.9-24.0]). Complete data were provided by 55% (Email) vs. 36% (Attachment) of authors (odds ratio 2.2 [0.8-6.4]). The mean reviewer time was shorter in the Email (mean ± standard deviation of 20.2±14.4 minutes/author) than the Attachment group (31.8±14.4 minutes/author) with a mean difference of 11.6 [4.1-19.1] minutes/author. CONCLUSION: Personalised email requests elicited high response but only moderate data completeness rates regardless of the method (email text or attachment). Email requests as text took less reviewer time than creating attachments.

Dysglycemia and Arthroplasty Outcomes: A Review.

Arthroplasty (ART) is a common surgery and it is on the rise worldwide due to increasing longevity and osteoarthritis. The effects of perioperative hyperglycemia on the outcomes are largely unknown and the current review aimed to assess the impact of perioperative hyperglycemia on ART outcomes. The literature in PubMed and Google Scholar was searched for relevant articles published in the last ten years up to February 2020. The keywords knee ART, hip ART, diabetes mellitus (DM) impaired fasting glucose (IFG), impaired glucose tolerance (IGT), and impaired glycated hemoglobin (HbA1c)were used. Among the 113 articles retrieved, 34 full-texts were eligible, and only 21 studies (17 from the USA, three from Europe, and two from Asia) met the inclusion criteria for the systematic review. The authors' names, year of publication, country, type of study, number of patients, and duration of the study were reported. The studies reviewed showed high ART complication rates including infections, loosening, increasing severity and depth of infection, more pain, and higher costs with high perioperative hyperglycemia. The cut-off glycated hemoglobin values associated with complications ranged from 6.7 to >8.

Acceptability of internet-based cognitive behavioural therapy (i-CBT) for post-traumatic stress disorder (PTSD): a systematic review.

Background: Internet-delivered Cognitive Behavioural Therapy (i-CBT) offers potential as an alternative, accessible, clinically and cost-effective treatment for post-traumatic stress disorder (PTSD), but little is known about its acceptability. Objective: To review the available evidence to understand the acceptability of i-CBT for PTSD. Method: We undertook a mixed-methods systematic review according to Cochrane Collaboration Guidelines, of randomised controlled trials (RCTs) of i-CBT for adults with PTSD. We examined included studies for measures of acceptability, and possible proxy indicators of acceptability, including dropout rates, which were meta-analysed as risk ratios (RRs). Results: Ten studies with 720 participants were included. We found i-CBT to be acceptable according to specific acceptability measures, and suggestions for acceptability according to some proxy measures of i-CBT programme usage. There was, however, evidence of greater dropout from i-CBT than waitlist (RR 1.39, CI 1.03-1.88; 8 studies; participants = 585) and no evidence of a difference in dropout between i-CBT and i-non-CBT (RR 2.14, CI 0.97-4.73; participants = 132; 2 studies). Conclusion: i-CBT appears a potentially acceptable intervention for adults with PTSD. We identified clinical and research questions, including the status of proxy indicators, and call for standardised, consistent treatment acceptability measurement.

Antecedentes: La terapia cognitivo conductual entregada a través de internet (i-TCC) ofrece potencial como un tratamiento alternativo accesible, clínicamente eficaz y costo-efectivo para el trastorno de Estrés Postraumático (TEPT), pero se conoce poco acerca de su aceptabilidad.Objetivo: Revisar la evidencia disponible para comprender la aceptabilidad de i-TCC para TEPT.Método: Realizamos una revisión sistemática de métodos mixtos de acuerdo a las Guías de la Colaboración Cochrane, de estudios aleatorizados controlados (RCT por sus sigla en inglés) de i-TCC para adultos con TEPT. Examinamos los estudios incluídos buscando medidas de aceptabilidad, y posibles indicadores indirectos de aceptabilidad, incluyendo tasas de abandono, los que fueron meta-analizados como Riesgo Relativo (RR).Resultados: Diez estudios con 720 participantes fueron incluídos. Encontramos que i-TCC era aceptable de acuerdo a medidas específicas de aceptabilidad y sugerencias de su aceptabilidad de acuerdo a algunas medidas indirectas del uso del programa de i-TCC. Hubo, sin embargo, evidencia de un mayor abandono desde i-TCC que Lista de Espera (RR 1.39, IC 1.03-1.88; 8 estudios, participantes = 585) y no hubo diferencia en abandono entre i-TCC y otras intervenciones a través de internet no TCC (RR 2.14, IC 0.97-4.73; participantes = 132; 2 estudios).Conclusión: i-TCC aparece como una intervención potencialmente aceptable para adultos con TEPT. Identificamos preguntas clínicas y de investigación, incluyendo el estado de los indicadores indirectos, y la necesidad de medidas de aceptabilidad estandarizadas y consistentes.

Contacting authors by telephone increased response proportions compared with emailing: results of a randomized study.

OBJECTIVE: The aim of the study was to compare response proportions and research costs of telephone calling vs. continued emailing nonresponding authors of studies included in a systematic review. STUDY DESIGN AND SETTING: Key features of included studies were poorly reported in a systematic review of diabetes quality improvement interventions. We developed a survey to request additional information from contact authors. After three email contact attempts, only 76 of 279 authors (27%) had completed the survey. In this study, we randomly assigned nonresponding authors to contact by telephone calling vs. continued emailing to compare the effect of these strategies on response proportions and research costs. RESULTS: We randomized 87 authors to telephone and 89 to email contact. Telephone contact increased survey completion (36.7% vs. 20.2%; adjusted risk difference of 15.6% [95% confidence interval: 2.90%, 28.4%]; adjusted odds ratio 2.26 [95% confidence interval: 1.10, 4.76]) but required more time to deliver (20 vs. 10 hours in total; 14 vs. 7 minutes per randomized author; 26 vs. 4 weeks), and cost more (total intervention cost of $504 Canadian dollars vs. $252 for the telephone and email arm, respectively). CONCLUSION: Contacting nonresponding authors of included studies by telephone increased response compared with emailing but required more investigator time and had higher cost.

Os conteúdos de ensino da Educação Física Escolar: um estudo de revisão nos periódicos nacionais da área 21 / Teaching content in physical education school: a review study in the area of 21 national journals / Contenido de la enseñanza en educación física escolar: un estudio de revisión en el área de 21 revistas nacionales

Este estudo de revisão teve como objetivo analisar a produção de acadêmica sobre o tema conteúdos de ensino da educação física escolar. Foram revisados periódicos da área 21 com extrato Qualis Capes de A2 a B4, postados até novembro de 2015, e selecionados 28 artigos que discutiam os conteúdos nos anos finais do Ensino Fundamental e Ensino Médio de modo central. Mesmo propondo novas justificativas para confirmar a presença dos esportes na escola, bem como a importância de práticas corporais inovadoras, é fundamental atentar para o modo como os conteúdos são ­ ou não são ­ problematizados e analisar criticamente porque alguns conteúdos são selecionados em detrimento de outros. Ao final, são apresentados o multiculturalismo e as bases teóricas da pedagogia crítica como possibilidade de promover aprendizagens significativas e formalizar a cultura dos estudantes na escola.

This review study aimed to analyze the academic production on the subject of teaching content of school physical education. They reviewed journals in the field 21 with Qualis Capes extract from A2 to B4, posted until November 2015, and selected 28 articles that discussed the content in the final years of elementary school and high school in central mode. Even proposing new justifications to confirm the presence of sports in school, and the importance of innovative body practices, it is essential to pay attention to how the contents are - or are not - problematized and critically analyze why some contents are selected over others. At the end, we present multiculturalism and the theoretical basis of critical pedagogy as a possibility to promote meaningful learning and formalize the culture of students in school.

Este estudio de revisión tuvo como objetivo analizar la producción académica sobre el tema del contenido de la enseñanza de la educación física escolar. Se revisaron las revistas en el campo 21 con extracto de Qualis Capes de A2 a B4, publicados hasta noviembre de 2015, y se seleccionaron 28 artículos que discuten el contenido en los últimos años de la escuela primaria y la secundaria en el modo central. Incluso proponer nuevas justificaciones para confirmar la presencia del deporte en la escuela, y la importancia de las prácticas innovadoras del cuerpo, es esencial prestar atención a cómo los contenidos son - o no son - problematizada y analizar críticamente por qué algunos contenidos son seleccionados sobre los demás . Al final, presentamos el multiculturalismo y la base teórica de la pedagogía crítica como una posibilidad para promover el aprendizaje significativo y la formalización de la cultura de los estudiantes en la escuela.

Ozone pollution in China: A review of concentrations, meteorological influences, chemical precursors, and effects.

High concentrations of ozone in urban and industrial regions worldwide have long been a major air quality issue. With the rapid increase in fossil fuel consumption in China over the past three decades, the emission of chemical precursors to ozone-nitrogen oxides and volatile organic compounds-has increased sharply, surpassing that of North America and Europe and raising concerns about worsening ozone pollution in China. Historically, research and control have prioritized acid rain, particulate matter, and more recently fine particulate matter (PM2.5). In contrast, less is known about ozone pollution, partly due to a lack of monitoring of atmospheric ozone and its precursors until recently. This review summarizes the main findings from published papers on the characteristics and sources and processes of ozone and ozone precursors in the boundary layer of urban and rural areas of China, including concentration levels, seasonal variation, meteorology conducive to photochemistry and pollution transport, key production and loss processes, ozone dependence on nitrogen oxides and volatile organic compounds, and the effects of ozone on crops and human health. Ozone concentrations exceeding the ambient air quality standard by 100-200% have been observed in China's major urban centers such as Jing-Jin-Ji, the Yangtze River delta, and the Pearl River delta, and limited studies suggest harmful effect of ozone on human health and agricultural corps; key chemical precursors and meteorological conditions conductive to ozone pollution have been investigated, and inter-city/region transport of ozone is significant. Several recommendations are given for future research and policy development on ground-level ozone.

Biomarkers of Nutrition for Development (BOND)-Vitamin A Review.

The Biomarkers of Nutrition for Development (BOND) project is designed to provide evidence-informed advice to anyone with an interest in the role of nutrition in health. The BOND program provides information with regard to selection, use, and interpretation of biomarkers of nutrient exposure, status, function, and effect, which will be especially useful for readers who want to assess nutrient status. To accomplish this objective, expert panels are recruited to evaluate the literature and to draft comprehensive reports on the current state of the art with regard to specific nutrient biology and available biomarkers for assessing nutritional status at the individual and population levels. Phase I of the BOND project includes the evaluation of biomarkers for 6 nutrients: iodine, folate, zinc, iron, vitamin A, and vitamin B-12. This review of vitamin A is the current article in this series. Although the vitamin was discovered >100 y ago, vitamin A status assessment is not trivial. Serum retinol concentrations are under homeostatic control due in part to vitamin A's use in the body for growth and cellular differentiation and because of its toxic properties at high concentrations. Furthermore, serum retinol concentrations are depressed during infection and inflammation because retinol-binding protein (RBP) is a negative acute-phase reactant, which makes status assessment challenging. Thus, this review describes the clinical and functional indicators related to eye health and biochemical biomarkers of vitamin A status (i.e., serum retinol, RBP, breast-milk retinol, dose-response tests, isotope dilution methodology, and serum retinyl esters). These biomarkers are then related to liver vitamin A concentrations, which are usually considered the gold standard for vitamin A status. With regard to biomarkers, future research questions and gaps in our current understanding as well as limitations of the methods are described.

Osteoarthritis year in review 2015: soluble biomarkers and the BIPED criteria.

OBJECTIVE: To review and summarize biomarker data published from April 2014 to May 2015 to provide insight to the ongoing work in the field of osteoarthritis (OA). Furthermore, to summarize the BIPED criteria and set it in context of the medical needs of 2015. METHODS: PubMed was used as searching machine: Time period 2014/04/01-2015/05/01, MeSH term [Biomarker] AND [Osteoarthritis], Language; English, Full text available. Reviews were excluded. Only papers describing protein based biomarkers measured in human body fluids from OA patients were included. RESULTS: Biomarkers of joint tissue turnover, cytokines, chemokines and peptide arrays were measured in different cohorts and studies. Amongst those were previously tested biomarkers such as osteocalcin, Carboxy-terminal cross-linked fragment of type II collagen (CTX-II) and cartilage oligomeric matrix protein (COMP). A majority of the biomarker were classified as I, B or B biomarkers according to the BIPED criteria. Work is continuing on testing biomarkers in OA. There is still a huge, unmet medical need to identify, test, validate and qualify novel and well-known biomarkers. A pre-requisite for this is better characterization and classification of biomarkers to their needs, which may not be reached before higher understanding of OA phenotypes has been gained. In addition, we provide some references to some recent guidelines from Food and Drug Administration (FDA) and European Medicines Agency (EMA) on qualification and usage of biomarkers for drug development and personalized medicine, which may provide value to the field.

Transtornos alimentares na adolescência / Alimentary disorders in to eenagers

A autora caracteriza o grupo de quadros conhecido como distúrbios alimentares, ressalta sua importância principalmente na adolescência,apresenta um breve histórico a respeito e sua classificação. Estuda em particular a anorexia nervosa e a bulimia, discorrendo sobre sua epidemiologia, patogênese, quadro clínico, complicações, diagnóstico e tratamento, destacando as repercussões dessas doenças sobre os diversos sistemas do organismo. O trabalho trata, ainda, da chamada síndrome de realimentação e menciona a necessidade de internação hospitalar dos pacientes em alguns casos.