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ne-sensitive lipase; IR insulin receptor; IRS insulin receptor substrate; JNK c-JUN N-terminal kinase; MGL monoacylglycerol lipase; NaF sodium fluoride; NF-κB nuclear factor kappa-light-chain-enhancer of activated B cells; PBS phosphate buffered- saline; PCB pyruvate carboxylase; PDE phosphodiesterase; PKA protein kinase cAMP-dependent; PMSF phenylmethylsulfonyl fluoride; PPARγ perilipin peroxisome proliferator-activated receptor gamma; PREF-1 pre-adipocyte factor 1; PVDF polyvinylidene fluoride; RIPA radio-immunoprecipitation assay; SDS-PAGE sodium dodecyl sulphate polyacrylamide gel electrophoresis; SEM standard error of the mean; SOX9 suppressor of cytokine signalling 9; TGs triacylglycerols.In the setting of COVID-19 (coronavirus disease 2019)-associated moderate and severe acute respiratory distress, persistently hypoxemic patients often require prone positioning for >16 hours. We report facial pressure wounds and ear necrosis as a consequence of prone positioning in patients undergoing ventilation in the intensive care unit in a tertiary medical center in New York City.

To evaluate the clinical course of patients with Behçet uveitis after discontinuation of infliximab (IFX) therapy.

Medical records of eight patients who discontinued treatment between 2010 and 2018 were retrospectively analyzed. The main outcome measures were frequency of uveitis attacks per year, best-corrected visual acuity (BCVA), aqueous flare, foveal thickness and fluorescein angiography (FA) scores before initiation, during treatment and after 6, 12, and 24months of cessation of the IFX therapy.

The mean follow-up after withdrawal of infusions was 38.6±20.4 (12-90) months. Frequency of uveitis attacks, BCVA, aqueous flare, foveal thickness and FA scores were improved significantly after treatment (

<.05). In terms of these parameters, there was no significant difference between the periods of during treatment and after 6, 12, and 24months of cessation of the IFX therapy.

IFX therapy might be discontinued safely with an effective inflammation control in patients with Behçet uveitis.

IFX therapy might be discontinued safely with an effective inflammation control in patients with Behçet uveitis.Objective In the current pandemic, tele-screening of neuropsychological status has become a necessity. Cetuximab Instruments developed for telephone screening are not as well validated as traditional neuropsychological measures. Therefore, the current study presents preliminary validation of a telephone version of the Montreal Cognitive Assessment (T-MoCA) in individuals with Parkinson's disease (PD).Method Twenty-one persons with PD completed the T-MoCA along with a traditional neuropsychological battery. Diagnostic accuracy for the presence of PD-related mild cognitive impairment (MCI) and correlations with traditional neuropsychological measures are reported.Results Individuals with MCI (n = 9) scored lower than individuals without cognitive impairment (17.56 vs. 19.50; t = -2.28, p = .03, d = -1.00). Diagnostic accuracy for MCI ranged from 76% to 81%, with sensitivity ranging from 0.56 to 0.67 and specificity ranging from 0.92 to 1.00. Correlations of T-MoCA derived scores with traditional neuropsychological measures were quite modest, with the exception of the memory impairment scale.Conclusions This rapid communication presents preliminary validation of the T-MoCA for use in individuals with PD. Caveats and implications for practical use in the current pandemic are discussed.

Atrial fibrillation (AF) is common in end-stage renal disease patients. Besides the traditional risk factors, we aimed to find dialysis-specific factors for developing incident AF.

From March 2017 to August 2018, we retrospectively reviewed all outpatient-based prevalent hemodialysis patients in our artificial kidney room, and they were followed up until August 2019. Dialysate calcium concentration (3 versus 2.5mEq/L), time length (4 versus 3.5 h), frequency (thrice weekly versus twice weekly), dialyzer size (effective surface area of 1.4 m

versus 1.8 m

), membrane permeability (high flux versus low flux), ultrafiltration rate (mL/kg/hour), and blood flow rate (mL/min) were evaluated.

Among a total of 84 patients, 15 (17.9%) had newly detected AF with a follow-up period of 21 (13.3-24) months. By performing multivariate Cox regression analysis, blood flow rate (mL/min) and ultrafiltration rate (mL/kg/h) were considered significant factors for developing incident AF (adjusted hazard ratio [HR], 0.977;

 = 0.011 and adjusted HR, 1.176;

 = 0.013, respectively), while dialysis bath, time length, and frequency, dialyzer size, and membrane type were not considered significant factors. Ultrafiltration cutoff rate of 8.6 mL/kg/h was the best predictive factor for incident AF (area under the curve-receiver operating characteristic [AUC-ROC], 0.746;

 < 0.005), while blood flow rate was not considered a significant factor for incident AF in ROC analysis (AUC-ROC, 0.623;

 = 0.126). Ultrafiltration rate was largely dependent on interdialytic weight gain (

 < 0.005, linear-by-linear association).

Higher ultrafiltration rate was associated with incident AF in hemodialysis patients.

Higher ultrafiltration rate was associated with incident AF in hemodialysis patients.The negative regulator of G-protein signalling 4 (Rgs4) is linked to several neurologic diseases, e.g. schizophrenia, addiction, seizure and pain perception. Consequently, Rgs4 expression is tightly regulated, resulting in high mRNA and protein turnover. The post-transcriptional control of gene expression is mediated via RNA-binding proteins (RBPs) that interact with mRNAs in a combinatorial fashion. Here, we show that in neurons the RBP HuR reduces endogenous Rgs4 expression by destabilizing Rgs4 mRNA. Interestingly, in smooth muscle cells, Rgs4 is stabilized by HuR, indicating tissue-dependent differences in HuR function. Using in vitro RNA-based pulldown experiments, we identify the functional AU-rich element (ARE) within the Rgs4 3'-UTR that is recognized and bound by HuR. Bioinformatic analysis uncovered that this ARE lies within a highly conserved area next to a miR-26 binding site. We find that the neuronal-enriched miR-26 negatively influences Rgs4 expression in neurons. Further, HuR and miR-26 act synergistically in fluorescent reporter assays.

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