However, strongly impaired induction phenotypes were conferred by

However, strongly impaired induction phenotypes were conferred by heptad deletions within the S-helix conserved core and also by deletions that remove the heptad stutter. The latter observation illuminates a key element of the dynamic bundle hypothesis for signaling across the heptad stutter adjacent to the HAMP domain in methyl-accepting chemotaxis proteins (Q. Zhou, P. Ames, and J. S. Parkinson, Mol. Microbiol. 73:801-814, 2009). Sequence comparisons identified other examples of heptad stutters between a HAMP domain and a contiguous coiled-coil-like

heptad BLZ945 repeat sequence in conventional sensors, such as CpxA, EnvZ, PhoQ, and QseC; other S-helix-containing sensors, such as BarA and TorS; and the Neurospora crassa Nik-1 (Os-1) sensor that contains a tandem array of alternating HAMP and HAMP-like elements. Therefore, stutter elements may be broadly important for HAMP function.”
“BACKGROUND\n\nDelamanid (OPC-67683), a nitro-dihydro-imidazooxazole PHA-739358 manufacturer derivative, is a new anti-tuberculosis medication that inhibits mycolic acid synthesis and has shown potent in vitro and in vivo activity against drug-resistant strains of

Mycobacterium tuberculosis.\n\nMETHODS\n\nIn this randomized, placebo-controlled, multinational clinical trial, we assigned 481 patients (nearly all of whom were negative for the human immunodeficiency virus) with pulmonary multidrug-resistant tuberculosis to receive delamanid, at a dose of 100 mg twice daily (161 patients) or 200 mg twice daily (160 patients), or placebo (160 patients) for 2 months in combination with a background drug regimen developed according to World Health Organization guidelines. Sputum cultures were assessed weekly with the use of both liquid broth and solid medium; sputum-culture conversion was defined as a series of five or more consecutive cultures that were Sapitinib inhibitor negative for growth of M. tuberculosis. The primary efficacy end point was the proportion of patients with sputum-culture

conversion in liquid broth medium at 2 months.\n\nRESULTS\n\nAmong patients who received a background drug regimen plus 100 mg of delamanid twice daily, 45.4% had sputum-culture conversion in liquid broth at 2 months, as compared with 29.6% of patients who received a background drug regimen plus placebo (P=0.008). Likewise, as compared with the placebo group, the group that received the background drug regimen plus 200 mg of delamanid twice daily had a higher proportion of patients with sputum-culture conversion (41.9%, P=0.04). The findings were similar with assessment of sputum-culture conversion in solid medium. Most adverse events were mild to moderate in severity and were evenly distributed across groups. Although no clinical events due to QT prolongation on electrocardiography were observed, QT prolongation was reported significantly more frequently in the groups that received delamanid.

According to the current guidelines, the indication for CRT is on

According to the current guidelines, the indication for CRT is only based on QRS duration and functional class of heart failure. However, a

substantial amount of patients do not respond to therapy. In addition, CRT is accompanied this website by significant cost and potential morbidity. It is therefore vital to improve patient selection for CRT to improve patient outcome and minimize therapy-related complications. In this regard, cardiac sympathetic innervation may be of interest. This review addresses the currently available literature, 9 studies with a total number of 225 patients, on CRT and cardiac innervation scintigraphy with I-123-metaiodobenzylguanidine.”
“Hasek BE, Stewart LK, Henagan TM, Boudreau A, Lenard NR, Black C, Shin J, Huypens P, Malloy VL, Plaisance EP, Krajcik RA, Orentreich N, Gettys TW. Dietary methionine restriction enhances metabolic flexibility and increases uncoupled respiration in both fed and fasted states. Am J Physiol Regul Integr Comp Physiol 299: R728-R739, 2010. First published June 10, 2010; doi:10.1152/ajpregu.00837.2009.-Dietary methionine restriction (MR) is a mimetic of chronic dietary restriction (DR) in the sense that MR increases rodent longevity,

but without food restriction. We report here that MR also persistently increases total energy expenditure (EE) and limits https://www.selleckchem.com/products/3-deazaneplanocin-a-dznep.html fat deposition despite increasing weight-specific food consumption. In Fischer 344 (F344) rats consuming control or MR diets for 3, 9, and 20 mo, mean EE was 1.5-fold higher in MR vs. control rats, primarily Entinostat ic50 due to higher EE during the night at all ages. The day-to-night transition produced a twofold higher heat increment of feeding (3.0 degrees C vs. 1.5 degrees C) in MR vs. controls and an exaggerated increase in respiratory quotient (RQ) to values greater than 1, indicative of the interconversion of glucose to lipid by de novo lipogenesis. The simultaneous inhibition of glucose utilization and shift to fat oxidation during the day was also more

complete in MR (RQ similar to 0.75) vs. controls (RQ similar to 0.85). Dietary MR produced a rapid and persistent increase in uncoupling protein 1 expression in brown (BAT) and white adipose tissue (WAT) in conjunction with decreased leptin and increased adiponectin levels in serum, suggesting that remodeling of the metabolic and endocrine function of adipose tissue may have an important role in the overall increase in EE. We conclude that the hyperphagic response to dietary MR is matched to a coordinated increase in uncoupled respiration, suggesting the engagement of a nutrient-sensing mechanism, which compensates for limited methionine through integrated effects on energy homeostasis.”
“Pulmonary function measures reflect respiratory health and are used in the diagnosis of chronic obstructive pulmonary disease.

We describe a 32-month-old patient with enteroviral encephalitis

We describe a 32-month-old patient with enteroviral encephalitis confirmed by polymerase chain reaction in cerebrospinal fluid, with unfavorable clinical course with marked LY2606368 purchase developmental

regression, autistic features, persistent stereotypes and aphasia. She experienced slow clinical improvement, with mild residual neurologic and developmental deficits at follow-up. Viral central nervous system infections in early childhood have been associated with autism spectrum disorders but the underlying mechanisms are still poorly understood. This case report is significant in presenting a case of developmental regression with autistic features and loss of language improving on follow-up. To our knowledge, this is the first published report of enterovirus encephalitis leading to an autism spectrum disorder.”
“This article is intended to review the concept of resilience from the scope of paediatric psycho-oncology. The origin, its different definitions and its suitability of application in the field of serious physical illness – such as cancer

– will be analyzed. Furthermore, the differences between resilience and other concepts commonly associated or confused with it, such as post-traumatic growth or benefit finding, will be discussed. Finally, a proposal for a comprehensive model of resilience in paediatric cancer will be put forward.”
“Gastroenteritis caused by ASP2215 chemical structure rotavirus is responsible for approximately 810 deaths per year in children under 5 years of age in Peru and emerging rotavirus genotypes have led to concerns regarding cross-protection by the vaccines available. Moreover, there Doramapimod are no reports on the molecular epidemiology of rotavirus diarrhoea in Peru. A total of 131 stool samples were obtained from children under 5 years hospitalised from January 2010 to December 2012 in the Hospital Regional de Cajamarca (Peru). ELISA

and RT-PCR techniques were performed for rotavirus detection. G and P typing of rotavirus-positive samples were performed by semi-nested multiplex RT-PCR, and sequencing was performed to confirm the PCR results. Of the 117 samples available, 22 (18.8%) tested positive for rotavirus by ELISA and 42 (35.9%) tested positive by RT-PCR. Among the G genotypes identified, G9 (35.7%; 15/42) and G12 (33.3%; 14/42) were the most prevalent, with the most common combination being G12/P[6] (23.8%; 10/42). A high prevalence of the G12/P[6] genotype was detected. It is known that this genotype is not covered by the current vaccines available. More in-depth studies are needed to determine the current rotavirus genotypes presents in Peru.”
“High dimensional datasets contain up to thousands of features, and can result in immense computational costs for classification tasks. Therefore, these datasets need a feature selection step before the classification process.

Objective -To evaluate changes in laboratory human papillomavirus

Objective.-To evaluate changes in laboratory human papillomavirus (HPV) testing patterns in laboratories incorporating HPV testing with Papanicolaou tests in 2012. Design.-Data were analyzed from the CAP HPV Supplemental Questionnaire distributed to 1771 laboratories participating in either CAP HPV or CAP Papanicolaou proficiency testing in 2013. Results.-A total of 1022 laboratories (58%) responded. There were more high-risk (HR) HPV tests performed per institution as compared to previous surveys. There were more HPV tests performed within an

institution as compared to previous surveys. Hybrid Capture 2 (HC2) remains the most common method (42.4%, 239 Smoothened Agonist in vitro of 564); Cervista and cobas methods are used in 37.2% (210 of 564) and 14.9% (84 of 564) of laboratories, respectively. Human papillomavirus testing is offered as a reflex test after a Papanicolaou test result of atypical squamous cells of undetermined significance

(ASC-US) in 89.6% of laboratories (476 of 531); as a cotest for women aged 30 years and older in 60.3% (404 of 531); as reflex testing after atypical squamous cells, cannot selleck chemical exclude high-grade squamous intraepithelial lesion (ASC-H) in 42.7% (320 of 531); and as reflex testing after atypical glandular cells (AGC) in 27.3% (145 of 531). The HPV-positive rates for ASC-US and ASC-H were similar in 2012 and 2006. Cervista (49.2%, 88 of 179) and Roche cobas (27.4%, 49 of 179) are the most common methods used for genotyping. Most laboratories use the CAP Human Papillomavirus for Cytology Program for proficiency testing. Conclusions.-There was an increase in annual volume of HR-HPV testing with a shift toward in-house HR-HPV testing. Genotyping volumes also

increased. HC2 and Cervista are most commonly used, with an increasing volume of Roche cobas testing. The most common indication for HPV testing among all laboratories was ASC-US reflex testing, but an increase in HPV cotesting was observed. The data provide an update into persisting and newer trends in HPV testing practices.”
“Based on the structural similarity of viral fusion proteins within Bromosporine in vitro the family Paramyxoviridae, we tested recently described and newly synthesized acetanilide derivatives for their capacity to inhibit measles virus (MV)-, canine distemper virus (CDV)- and Nipah virus (NiV)-induced membrane fusion. We found that N-(3-cyanophenyl)-2-phenylacetamide (compound 1) has a high capacity to inhibit MV- and CDV-induced (IC(50)=3 mu M), but not NiV-induced, membrane fusion. This compound is of outstanding interest because it can be easily synthesized and its cytotoxicity is low [50% cytotoxic concentration (CC(50)) >= 300 mu M], leading to a CC(50)/IC(50) ratio of approximately 100. In addition, primary human peripheral blood lymphocytes and primary dog brain cell cultures (DBC) also tolerate high concentrations of compound 1.

On the other hand, these soil microorganisms produce compounds th

On the other hand, these soil microorganisms produce compounds that directly or indirectly assist in plant growth promotion. The widely recognized mechanisms of plant growth promotion are biofertilization, production of phytohormones, suppression of diseases through biocontrol, induction of disease resistance and production of volatile signal compounds. During the past few decades our understanding of the interaction between rhizobacteria and plants

has expanded enormously and this has resulted in application of microbial products used as crop inoculants (as biofertilizers), for increased crop biomass and disease suppression. However, this plant-microbe interaction is affected by adverse environmental conditions, and recent work has suggested that inoculants carrying plant-to-bacteria or bacteria-to-plant signals can overcome this and promote plant productivity under stressful environmental conditions. DAPT Very recent work has also shown that some plant growth-promoting rhizobacteria secrete novel signaling molecules that also promote plant growth. The use of rhizobacterial signaling in promoting plant growth offers a new window of opportunity, especially when we are looking at plants to provide biofuels and novel bioproducts. Developing technologies that can enhance plant growth and productivity is imperative.”
“Background: find more Models of basal ganglia

(BG) function suggest that expressive language deficits will likely and consistently present in BG disease. Disparities currently exist between the predictions of models of BG function in expressive language and VEGFR inhibitor data from studies of BG disease. Traditional expressive language assessment methodologies that emphasize measures of language form (word and sentence productivity) while not carefully considering how language is used, may only partially account for

these disparities. Objective: To use measures of cohesion to examine the use of cohesive markers in narrative discourse. Methods: Twelve individuals with idiopathic Parkinson’s disease (PD) were compared to 12 matched neurologically intact controls on measures of discourse performance. Three discourse samples (typical day, memorable vacation and family) were analyzed for measures of narrative productivity, number of cohesive ties and cohesive adequacy. Mixed model analyses were completed for group comparisons. Results: Group differences were not observed on measures of language form as measured by narrative productivity, communication units, and number of cohesive ties produced. In contrast, group differences were observed in cohesive adequacy as individuals with PD produced a higher percentage of incomplete and erroneous cohesive ties relative the control subjects across narratives. Conclusions: These results support the conclusion that the BG in PD may have an executive role in expressive language use that can be disrupted without impacting language form.

The structures of QCMCOs were characterized by FT-IR, NMR, XRD an

The structures of QCMCOs were characterized by FT-IR, NMR, XRD and their Mw were detected by gel permeation chromatography (GPC). The thermal stability was evaluated by thermal gravimetric analysis (TGA), and their see more antioxidant activities were investigated including scavenging activity of superoxide and hydroxyl radical, reducing power and metal chelating ability. The results revealed that the introduction of quaternary ammonium groups and carboxymethyl groups decreased the crystallinity and the thermal stability of chitosan oligosaccharide (COS), and their antioxidant activities were closely related to the

degree of substitution of quaternary ammonium groups and the carboxymethyl groups. This study provides important guidelines for developing new antioxidant agents.”
“The present paper deals with the study of 44 species included in 15 genera of the tribe Anthemideae from Pakistan and Kashmir. Micromorphological characters of cypselas were found significant for taxonomic delimitation for most of the taxa both at the generic and specific selleck products levels.”
“Cortical onlay strut allografting is a promising surgical

option to reconstruct and reinforce the deficient femur in a hip arthroplasty. However, the union of the allograft to the host bone takes a long time. To accelerate the process of cortical onlay strut allograft healing, we studied the effects of low-intensity pulsed ultrasound (LIPUS) on callus formation. From 2 wk after the operation, LIPUS was given for 20 min/d at each end of the strut allograft. The LIPUS treatment group was assigned 14 allograft transplantations, while 21 control patients were treated without LIPUS. The LIPUS treatment group formed calluses and had complete bridging between the host femur and the allograft faster after operation (16.9 and 29.4 wk after operation, respectively) compared with the control group (40.7 and 82.0 wk after operation, respectively). Our findings showed that LIPUS stimulated bone bonding between the host femur and the cortical onlay strut

allografts. (E-mail: [email protected]) (C) 2014 World Federation for Ultrasound in Medicine & Biology.”
“Chimeric fusion genes are highly prevalent in childhood acute lymphoblastic leukemia (ALL) and are mostly prenatal, early selleck chemicals llc genetic events in the evolutionary trajectory of this cancer. ETV6-RUNX1-positive ALL also has multiple (similar to 6 per case) copy number alterations (CNAs) as revealed by genome-wide single-nucleotide polymorphism arrays. Recurrent CNAs are probably “driver” events contributing critically to clonal diversification and selection, but at diagnosis, their developmental timing is “buried” in the leukemia’s covert natural history. This conundrum can be resolved with twin pairs. We identified and compared CNAs in 5 pairs of monozygotic twins with concordant ETV6-RUNX1-positive ALL and 1 pair discordant for ETV6-RUNX1 positive ALL.

96; 95% CI, 0 75

to 1 24), in the IVT/combined IVT-IAT gr

96; 95% CI, 0.75

to 1.24), in the IVT/combined IVT-IAT group, 47 of 77 (61%) men and 24 of 43 (56%) women (aRR, 1.19; 95% CI, 0.89 to 1.60), and in the IAT group, 142 of 185 (77%) men and 71 of 102 (70%) women (aRR, 1.01; 95% CI, 0.88 to 1.17). Mortality was not different between men and women in the antithrombotic treatment group (aRR, 0.80; 95% CI, 0.55 to 1.16), the IVT/combined IVT-IAT group C59 price (aRR, 1.11; 95% CI, 0.72 to 1.73), or in the IAT group (aRR, 1.01; 95% CI, 0.75 to 1.36). Insufficient recanalization after combined IVT-IAT or IAT was similar in men and women (23% versus 22%; aRR, 0.92; 95% CI, 0.58 to 1.46).\n\nConclusions-In patients with acute basilar artery occlusion, no significant gender differences for outcome and recanalization were observed, regardless of treatment modality. (Stroke. 2010; 41: 2693-2696.)”
“Background\n\nTubal sterilization by hysteroscopy involves inserting a foreign body in both fallopian tubes. Over a three-month PKC412 period, the tubal lumen is occluded by tissue growth stimulated by the insert.

Tubal sterilization by hysteroscopy has advantages over laparoscopy or mini-laparotomy, including the avoidance of abdominal incisions and the convenience of performing the procedure in an office-based setting. Pain, an important determinant of procedure acceptability, can be a concern when tubal sterilization is performed in the office.\n\nObjectives\n\nTo review all randomized controlled trials that evaluated interventions to decrease pain during tubal sterilization by hysteroscopy.\n\nSearch methods\n\nFrom January to March 2011, AP26113 clinical trial we searched the computerized databases of MEDLINE, POPLINE, CENTRAL, EMBASE, LILACS, and CINAHL for relevant trials. We searched for current trials via Clinicaltrials.gov. We also examined the reference lists of pertinent articles and wrote to known investigators for information about other published or unpublished trials.\n\nSelection

criteria\n\nWe included all randomized controlled trials that evaluated pain management at the time of sterilization by hysteroscopy. The intervention could be compared to another intervention or placebo.\n\nData collection and analysis\n\nInitial data were extracted by one review author. A second review author verified all extracted data. Whenever possible, the analysis was conducted with all women randomized and in the original assigned groups. Data were analyzed using RevMan software. Pain was measured using either a 10-cm or 100-point visual analog scale (VAS). When pain was measured at multiple points during the procedure, the overall pain score was considered the primary treatment effect. If this was not measured, a summation of all pain scores for the procedure was considered to be the primary treatment effect. For continuous variables, the mean difference with 95% confidence interval was computed.\n\nMain results\n\nTwo trials met the inclusion criteria. The total number of participants was 167.

second half-ML of Cs greatly accelerates the oxidation This diff

second half-ML of Cs greatly accelerates the oxidation. This different enhancement of the InP oxidation by the first and the second half-ML of Cs is due to the double layer structure of the adsorbed Cs atoms, and consequently the higher 6s electron density in the Cs atoms when Cs coverage is larger than 0.5 ML. (C) 2010 American Institute of Physics. [doi:10.1063/1.3452384]“
“Electronic personal health records could become important tools for patients to use in managing and monitoring their health information and communicating with clinicians. With the emergence of new products and federal

this website incentives that might indirectly encourage greater use of personal health records, policy makers should understand the views of physicians on using these records. In a national survey of physicians in 2008-09, we found that although 64 percent have never used a patient’s electronic personal health record, 42 percent would be willing to try. Strikingly, rural physicians expressed much more willingness to use such records compared to urban or suburban physicians. Female physicians were significantly less willing to use these tools than their male peers (34 percent versus 46 percent). Physicians broadly have concerns about the impact on patients’ privacy, the accuracy of underlying data, their potential liability

for tracking all of the information that might be entered into a personal health record, and the GDC-0068 in vitro lack of payment to clinicians for using or reviewing these patient records.”
“Colonial rugose corals ranging in age from Carboniferous to Late Triassic and Early Permian (Cisuralian) fusulinids have been recovered from cobbles in a conglomerate in the Upper Triassic Brisbois Member of the Vester Formation in the Izee terrane in central Oregon. Early Permian (late Sakmarian or early Artinskian) fusulinids typical of those present in the Coyote Butte Limestone in the

nearby Grindstone GSK1120212 concentration terrane (part of the allochthonous McCloud Belt) include Eoparafusulina, Pseudofusulinella, Chalaroschwagerina, and Schwagerina. The presence of these fusulinid genera and the Pennsylvanian coral Heritschioides?, which is mostly restricted to the McCloud Belt, suggest these particular cobbles were derived from limestone in that belt. The Early Permian fusulinids Changmeia bostwicki new species and Changmeia bigflatensis new species, and the Early Permian corals Yokoyamaella? oregonensis new species and Yokoyamaella? sp. 1, all of which have Tethyan affinities, occur rarely in other cobbles. The presence of definitive fossils from the two different realms in a conglomerate associated with beds containing Late Triassic ammonoids indicates that by Late Triassic time a fragment of a Tethyan terrane was close to or had been amalgamated with a terrane belonging to the McCloud Belt.

Conclusion The differential expression and regulation of MCTs

\n\nConclusion The differential expression and regulation of MCTs in the surface membranes of hypoxic and normoxic tumour cells of different types ISRIB manufacturer provide a foundation for innovation in tumour therapy through the selective targeting of MCTs. Selective inhibition of various MCTs could be an efficient way to quench an important energy source in both

original breast tumour and metastatic cancer tissue in the brain.”
“Although intracellular stresses are believed to be involved in the process of neurodegeneration, it is not fully understood how one stress/stress response affects another. Herp is an endoplasmic reticulum (ER)-located membrane protein proposed to function in ER-associated degradation (ERAD). Herp is strongly induced by ER stress but rapidly degraded by proteasome. To elucidate the effect of Herp expression on proteolytic stress caused by impairment of the ubiquitin-proteasome system (UPS), we utilized 293T Herp knockdown (KD) cells and F9 Herp knockout cells. Knockdown of Herp gene unexpectedly facilitated the degradation of Parkinson’s disease-associated cytosolic proteins such as alpha-synuclein and its binding partner, synphilin-1, and improved cell viability during proteasomal inhibition. A similar tendency was observed in F9 Herp knockout cells transfected with synphilin-1. Herp temporarily bound to alpha-synuclein, find more synphilin-1 and

the E3 ligase SIAH1a during proteolytic stress but not during ER stress. Furthermore, deletion of Herp enhanced

the amount of ubiquitinated protein in the cytosol during proteasomal inhibition, although it did not affect the activity or expression of proteasome. These results suggest that ERAD molecule Herp may delay the degradation of cytosolic proteins at the ubiquitination step.”
“Background: It is difficult to assess the effectiveness of treatments in lowering suicide incidence.\n\nMethods: To ascertain the impact of antidepressants (AD) on Suicidal behavior, we compared the psychopharmacological treatment Vadimezan cost taken in the previous 3 months by cases who had made or not a suicide attempt (SA) just before their admission to a hospital.\n\nResults: In comparison with not SA cases, SA cases were more likely to have received AD and benzodiazepines (BZD) before hospitalization. On the contrary, they were less likely to have received antipsychotics, antiepileptic mood stabilizers, and lithium. Similar results were observed when the analysis was restricted to cases with a diagnosis of Major Depression, Bipolar Depression or Bipolar Mixed state, Schizoaffective Disorder, Depressive or Mixed type. Previous AD treatment seemed to be not related to the severity of psychopathology in general or to the severity of depressive and anxiety symptoms.\n\nConclusions: The results suggest that the use of AD in patients with mood disorders is not associated with a reduction of SA rate.

Spectrophotometric

titrations of TCNQ with DMPM were carr

Spectrophotometric

titrations of TCNQ with DMPM were carried out and the results demonstrated that, in acetonitrile, the complex formed comprises one molecule of TCNQ for two of DMPM while in an acetonitrile:water mixture (9:1; v/v) a change to a 1:1 stoichiometry was observed.”
“Objective.\n\nTo characterize long-term GSK1210151A order opioid prescribing and monitoring practices in primary care.\n\nDesign.\n\nRetrospective medical record review.\n\nSetting.\n\nPrimary care clinics associated with a large Veterans Affairs (VA) medical center.\n\nPatients.\n\nAdult patients who filled >= 6 prescriptions for opioid medications from the outpatient VA pharmacy between May 1, 2006 and April 30, 2007.\n\nOutcome Measures.\n\nIndicators of potential opioid misuse, documentation of guideline-recommended opioid-monitoring processes.\n\nResults.\n\nNinety-six patients (57%) received a long-acting opioid, 122 (72%) received a short-acting opioid, and 50 (30%) received two different opioids. Indicators of some form of potential opioid misuse were present in the medical records of 55 (33%) patients. Of the seven guideline-recommended

opioid-monitoring practices we examined, the mean number documented within 6 months was 1.7 (standard deviation [SD] 1.5). Pain reassessment was the most frequently documented process (N = 105, 52%), and use of an opioid treatment agreement was the least frequent (N = 19, 11%). Patients with indicators of potential opioid misuse find more had more documented opioid-monitoring processes than those without potential misuse indicators (2.4 vs 1.3, P < 0.001). After adjustment, potential opioid misuse was positively associated with the number of documented guideline-recommended processes (mean = 1.0 additional process, 95% confidence interval [CI] 0.4, 1.5).\n\nConclusions.\n\nGuideline-recommended opioid management practices were infrequently documented overall but were Tariquidar Transmembrane Transporters inhibitor documented more often for higher risk patients who had indicators of potential opioid misuse. The relationship between guideline-concordant

opioid management and high-quality care has not been established, so our findings should not be interpreted as evidence of poor quality opioid management. Research is needed to determine optimal methods of monitoring opioid therapy in primary care.”
“Group B Streptococcus (GBS) is the most common cause of life-threatening infection in neonates. Guidelines from CDC recommend universal screening of pregnant women for rectovaginal GBS colonization. The objective of this study was to compare the performance of a combined enrichment/PCR based method targeting the atr gene in relation to culture using enrichment with selective broth medium (standard method) to identify the presence of GBS in pregnant women. Rectovaginal GBS samples from women at >= 36 weeks of pregnancy were obtained with a swab and analyzed by the two methods.