Computerized alerts for primary care physicians, provided during visits of patients who met treatment guidelines based on their electronic medical records, are an efficient method to raise awareness to many otherwise missed cases, especially after fracture. PURPOSE Measure the efficacy of an automated real-time alert which was developed to assist osteoporosis management in the community. METHODS The study population included treatment naïve patients with T-score ≤ - 2.5 or hip or vertebral fracture in a 2 million member Israeli health fund. On each ambulatory visit to a primary care physician or endocrinologist, a pop-up screen reminded the caregiver to consider treatment initiation. A follow-up "smart-set" screen conveniently gathered links to common actions (namely, (a) issue first line therapy prescription, (b) referral to nutritionist consultation, (c) laboratory tests relevant for osteoporosis, and (d) printing an information page for the patient). Time till treatment initiation was compared between the particularly those after fractures.An electrochemical sensor is described for the determination of catechol (CT) based on the nanocomposite of lanthanum cobaltite supported on graphene nanosheets (LaCo/GNS). The nanocomposite was systematically examined by various analytical and spectroscopic methods. The LaCo/GNS-modified electrode exhibites good electrochemical activity towards CT determination compared to other modified and unmodified electrodes. The electrochemical signal was acquired at a redox potential of 0.21 (Epa) and 0.17 (Epc) Volt (vs. Ag/AgCl). The proposed electrode exhibits low detection limit (1.0 nM), wide working range (0.009-132 μM), and good sensitivity (5.68 μA μM-1 cm-2). The electrochemical nanoprobe has good selectivity over potentially interfering compounds. The electrochemical sensor was applied to the analysis of environmental samples with acceptable recovery. Graphical abstractSchematic representation of electrochemical determination of catechol in the environmental sample analysis using lanthanum cobaltite supported on graphene nanosheets.Calcitonin gene-related peptide (CGRP) is released from trigeminal afferents during migraine and cluster headache attacks and can be detected in the jugular plasma. Infusion of CGRP can induce headache attacks in migraine and cluster patients. Inhibition of the CGRP signal system is therapeutic in migraine and cluster headache. CGRP is a potent dilator of intracranial arteries but does not immediately activate the trigeminal pain system. CGRP may act as a signal molecule between different cells in the trigeminal ganglion and enhances nociceptive transmission in the spinal trigeminal nucleus. Peripheral inhibition of the CGRP system reduces these actions. Outside the trigeminovascular system, CGRP is important for maintaining the perfusion of organs in critical situations, promotes growth and repair functions and is an immunomodulatory factor. These actions should be considered when the CGRP system is suppressed for a long time.BACKGROUND Laparoscopic surgery is a minimally invasive and frequently performed surgical procedure that has become the standard surgery for colorectal cancer. Needlescopic surgery (NS) for colon cancer has also been performed and reported as a less invasive technique. In this study, we investigated the long-term outcomes of NS in comparison with those of conventional surgery (CS). METHODS The data of 1122 patients without distant metastasis who underwent laparoscopic surgery between 2011 and 2014 were retrospectively analyzed. In this study, NS was defined as a laparoscopic procedure performed with the use of 3-mm ports and forceps with one 5-mm port for an energy device, as well as with clips. One 12-mm port was placed in the umbilicus for specimen extraction from the abdominal cavity. RESULTS A total of 241 patients underwent NS. There was no significant difference between the 5-year recurrence rate and the 5-year total mortality rate (NS 10.0% and 5.4% vs. CS 10.3% and 3.5%, p = 0.86/0.23). In the multivariate analysis, NS was not found to be an independent prognostic factor. In terms of the distribution of recurrence sites, there was no significant difference between the two groups. CONCLUSIONS NS for colon cancer was not inferior to CS in terms of short-term and long-term outcomes.BACKGROUND Deep brain stimulation (DBS) in the subthalamic nucleus (STN) is used in advanced Parkinson's disease (PD) for reducing motor fluctuations and the side effects of antiparkinsonian medication (APM). The development of neuroimaging has enabled the direct targeting of the STN. The aim of this study is to evaluate the outcome in patients with PD using STN DBS when changing from atlas-based indirect targeting method (iTM) to direct MRI-based targeting (dTM) assuming dTM is superior. METHODS Twenty-five consecutive PD patients underwent dTM STN DBS surgery from 2014 to 2017 with follow-up for 1 year.  https://www.selleckchem.com/products/tenapanor.html  The neuroimaging, surgical method, outcome in Unified Parkinson's Disease Rating Scale (UPDRS) scores, and reduction of APM are described and compared with the results of an earlier iTM STN DBS study. RESULTS Twelve months after a dTM STN DBS, significant improvement (p  less then  0.001) was seen in six out of seven parameters of UPDRS when patients had medication (medON) and stimulation (stimON). The activities of daily living (UPDRSII) and motor scores (UPDRSIII) improved by 41% and 62%, respectively. Dyskinesias and fluctuations were both reduced by 81%. In dTM STN DBS group, the levodopa equivalent dose (LED) and the total daily levodopa equivalent dose (LEDD) were significantly decreased by 62% and 55%, respectively, compared with the baseline (p  less then  0.001). Five patients (20%) were without levodopa medication 12 months after the operation. CONCLUSIONS The development of surgical technique based on advanced neuroimaging has improved the outcome of PD STN DBS.An electrochemical method is described for the determination of 2-amino-3,8-dimethylimidazo[4,5-f]quinoxaline (8-MeIQx) which is a heterocyclic aromatic amine formed in cooked food samples. The method uses a screen-printed carbon nanofiber electrode that is modified with silver nanoparticles (AgNPs) in a Nafion matrix. The surface of the modified electrode was characterized by UV-vis spectrometry, dynamic light scattering, scanning electron microscopy and Raman spectroscopy. The average size of the AgNPs is 14 nm. The modified electrode exhibits good properties in terms of reversibility, fast kinetics of electron transfer, and large electroactive area toward the reduction of 8-MeIQx. Differential pulse voltammetry is the most suitable electrochemical technique for quantification of 8-MeIQx, best at a voltage of -0.21 V (versus Ag reference electrode). The first derivative serves as the analytical signal that increases linearly in the 0.015-40 mg L-1 8-MeIQx concentration range, with a 5 μg L-1 detection limit.