Breakthrough cancer pain is defined as transient pain exacerbation in patients with stable and controlled basal pain. Although variable, the prevalence of breakthrough cancer pain is high (33%-95%). According to the American Pain Foundation, breakthrough pain is observed in 50%-90% of all hospitalized cancer patients, in 89% of all patients admitted to homes for the elderly and terminal-patient...

Viral breakthrough is a recognized response pattern to interferon-based antiviral therapy in patients with chronic hepatitis C virus (HCV) infection. The emergence of drug-resistant HCV quasispecies variants is assumed to be a major mechanism responsible for viral breakthrough. By using a long reverse transcription-PCR protocol recently developed in our lab, multiple nearly full-length HCV quas...

OBJECTIVES In the use of activated carbon beds as adsorbents for various types of organic vapor in respirator gas filters, water adsorption of the bed and test gas humidity are expected to alter the accuracy in the estimation of breakthrough data. There is increasing interest in the effects of moisture on estimation methods, and this study has investigated the effects with actual breakthrough d...

Cancer may soon become the leading disease-related cause of human death in many countries of the world. In the United States, cancer is projected to surpass cardiovascular disease as the major cause of death. Nevertheless, there is good news forthcoming with respect to emerging breakthrough drugs that demonstrate our increased understanding of cancer at the molecular level, a greater focus on m...

Many a science writer has fantasized about capping a story with the headline “Good News for Sick Mice!” One of the toughest struggles is deciding how to cover a story that has produced tantalizing, even amazing, results in laboratory animals but could well be a total bust by the time it gets to humans. That issue came up in early July, when Elan Pharmaceuticals, an Irish company with laboratori...

Background. The precision and limitations of ventricular pacemapping as a method to localize the site of earliest breakthrough of ventricular tachycardia (VT) were investigated in a canine model of experimental myocardial infarction. Methods and Results. Forty-one episodes of VT induced in 10 animals were mapped using a standard grid of 64 endocardial and epicardial bipolar electrodes to determ...

Background. We have previously shown that 75% of individuals on antiretroviral therapy (ART) in a resource-limited setting who experienced virological breakthrough to >1000 copies/mL were resuppressed after an intensive adherence intervention. This study examines the long-term outcomes of this group in order to understand the impact of the adherence intervention over time. Methods. ART-naïve ad...

BACKGROUND Endo-epicardial dissociation (EED) of electric activations resulting in transmural conduction of fibrillation waves (breakthroughs) has been postulated to contribute to the complexity of the substrate of atrial fibrillation (AF). The aim of this study was to elucidate the correlation between EED and incidence of breakthrough and to test the plausibility of transmural conduction versu...

OBJECTIVE Rapid analgesic onset opioids, particularly fentanyl buccal tablet, is preferable for managing breakthrough pain. The efficacy and safety of fentanyl buccal tablet and its association with around-the-clock opioids needs to be explored with an option of dose adjustments, more closely reflecting administration in clinical practice. The aim of the study was to assess the safety and effic...

PURPOSE We constructed a risk prediction instrument stratifying patients with primary vesicoureteral reflux into groups according to their 2-year probability of breakthrough urinary tract infection. MATERIALS AND METHODS Demographic and clinical information was retrospectively collected in children diagnosed with primary vesicoureteral reflux and followed for 2 years. Bivariate and binary log...