Besides, 502H plays a

key role on oligomerization of 1b R

Besides, 502H plays a

key role on oligomerization of 1b RdRp, while 2a RdRps which have the amino acid S at position 502 are monomers. This oligomer formed by 502H was disrupted both by high salt and Triton X-100. On the contrary, HCV 1b RdRp completely lost fidelity in the presence of 0.02% Triton X-100, which suggests that caution should be exercised while using Triton X-100 in anti-HCV RdRp drug screening tests. (C) 2012 Elsevier B.V. All rights reserved.”
“Inferring population admixture from genetic data and quantifying it is a difficult but crucial task in evolutionary and conservation biology. Unfortunately state-of-the-art probabilistic approaches are computationally demanding. Effectively exploiting the computational power of modern multiprocessor systems can thus have a positive impact selleck chemicals to Monte Carlo-based simulation of admixture modeling. A novel parallel approach is briefly described and promising results on its message passing interface (MPI)-based C++ implementation are reported.”
“Background: Our understanding of the Rabusertib datasheet pathogenic role of IgE in atopic dermatitis is incomplete. We asked whether blocking free IgE would alter the course of the disease.\n\nPatients and Methods: We administered either omalizumab, a humanized monoclonal mouse antibody

against IgE, or placebo subcutaneously for 16 weeks to 20 atopic dermatitis patients and measured immunological and clinical disease parameters.\n\nResults: Omalizumab (I) reduced free serum IgE, (II) lowered surface IgE and Fc epsilon RI expression on different peripheral blood mononuclear cells, (III) reduced the saturation

of Fc epsilon RI with IgE, (IV) increased the number of free Fc epsilon RI and (V) lowered the number of IgE+, but not of Fc epsilon RI+ cells in skin. The in vivo relevance of these results is evidenced by the increase in the threshold allergen concentration required to give a type I hypersensitivity reaction in the titrated skin test. While not significantly altering the buy GW3965 clinical disease parameters, omalizumab treatment led to an improvement of the atopy patch test results in single patients, i.e. an eczematous reaction upon epicutaneous allergen challenge.\n\nConclusions: The interference with immediate and delayed type skin tests may imply that a therapeutic benefit of omalizumab treatment, if present at all, would be seen in patients with acute rather than chronic forms of the disease.”
“Placental transmogrification is a very rare Lung disease, where the alveoli resemble the chorionic villi of placenta, and this change is a characteristic finding. A 31-year-old female patient presented with cough and dyspnea that had begun 2 weeks prior to admission. Along with giant bulla found in the left upper lung field, subsegmental consolidation was also identified in the lingular segment on plain chest radiograph and CT scan.

The management of ACS has improved greatly over the last 3 decade

The management of ACS has improved greatly over the last 3 decades, with an associated steady decline in mortality from this condition seen in the US. The benefits of advances in the management of ACS observed

in the US have not fully extended to Mexico, as thrombolytic therapy remains the most commonly used reperfusion strategy for STEMI and new antithrombotic drugs are not widely available. However, treatment of ACS in Mexico is rapidly evolving. Dual oral antiplatelet therapy with the combination Selonsertib of clopidogrel and aspirin (acetylsalicylic acid) is becoming the new standard of care for the management of patients with NSTEMI and those undergoing percutaneous coronary intervention. Results from controlled clinical Studies strongly support the use of early and aggressive treatment with this combination. The addition of clopidogrel to the national formulary represents S63845 an important step in the evolution of care for ACS patients in Mexico. Local and regional leadership is required to foster the widespread adoption of this highly beneficial treatment strategy. The main objectives

of this review are to highlight the recommendations of the Mexican guidelines for the management of ACS and provide some perspective regarding challenges to optimal management of ACS patients in Mexico.”
“Organic acids (oxalic, citric, galacturonic, tartaric, malic, lactic and succinic) contents of Gemlik variety olive

fruits from five different cultivation areas of South Anatolia (Turkey), harvested in six collection dates (September, October and November of crop years 2006 and 2007), were determined by HPLC/DAD. Citric acid was the major compound (similar to 45%), followed by succinic (19%) and galacturonic acids (similar to 16%). The olive fruits of Antalya location showed the lowest and Karaman, Alanya and Hatay locations had the highest levels of total organic acids, especially on the early and late harvest. Significant interactions between “location”, “harvest date” and “crop selleckchem year” were found, regarding the concentrations of citric, lactic, oxalic, tartaric and malic acid (3-way and 2-way interactions), which means that the effect of one factor (e.g. “location”) on an acid’s concentration is not constant across the levels of the other factor. For succinic and galacturonic acids’s concentrations, all interactions between the considered factors were statistically significant, except the 2-way interaction between “harvest date” and “crop year” which was no significant, meaning that the effect of factor “harvest date” on the succinic and/or on the galacturonic acid’s concentrations does not vary significantly from one level of factor “crop year” to other.

From real-and reciprocal-space analyses, it was clearly identifie

From real-and reciprocal-space analyses, it was clearly identified that striped FM domains oriented to the c-axis appear with Bloch-type domain walls in the b-direction and order regularly along the a-axis with a constant separation less than 100 nm. Moreover, the magnetic chirality reverses in alternate FM domain walls. These specific

spin configuration of striped FM domains will affect the magnetic phase transition from the FM phase to the proper screw spiral phase at low temperature or to the FAN phase in magnetic fields in MnP.”
“The objective of this study was to analyze the impact of vaccination against Streptococcus pneumoniae on the https://www.selleckchem.com/products/azd4547.html morbidity and mortality from pneumococcal meningitis in children smaller than = 2 years in Brazil, from 2007 to 2012. This is a descriptive study and ecological analysis using data

from the Information System on Notifiable Diseases. Prevaccination (2007-2009) and post-vaccination (2011-2012) periods mTOR inhibition were defined to compare incidence rates and mortality. A total of 1,311 cases and 430 deaths were reported during the study period. Incidence decreased from 3.70/100,000 in 2007 to 1.84/100,000 in 2012, and mortality decreased from 1.30/100,000 to 0.40/100,000, or 50% and 69% respectively, with the greatest impact in the 6-11 month age group. This decrease in Pneumococcal meningitis morbidity and mortality rates two years after introduction of the 10-valent pneumococcal conjugate vaccine suggests its effectiveness.”
“The stable isotopic composition of fossil resting eggs (ephippia) of Daphnia spp. is being used to reconstruct past environmental conditions in lake ecosystems. However, the underlying assumption that the stable isotopic composition of the ephippia reflects the stable isotopic composition

of the parent Daphnia, of their diet and of the environmental water have yet to be confirmed in a controlled experimental setting. We performed experiments with Daphnia pulicaria cultures, which included a control find more treatment conducted at 12 A degrees C in filtered lake water and with a diet of fresh algae and three treatments in which we manipulated the stable carbon isotopic composition (delta C-13 value) of the algae, stable oxygen isotopic composition (delta O-18 value) of the water and the water temperature, respectively. The stable nitrogen isotopic composition (delta N-15 value) of the algae was similar for all treatments. At 12 A degrees C, differences in algal delta C-13 values and in delta O-18 values of water were reflected in those of Daphnia. The differences between ephippia and Daphnia stable isotope ratios were similar in the different treatments (delta C-13: +0.2 +/- 0.4 parts per thousand (standard deviation); delta N-15: -1.6 +/- 0.4 parts per thousand; delta O-18: -0.9 +/- 0.4 parts per thousand), indicating that changes in dietary delta C-13 values and in delta O-18 values of water are passed on to these fossilizing structures.

Results: We found that 96% of pediatric surgeons were satisfi

\n\nResults: We found that 96% of pediatric surgeons were satisfied with their career choice. Of concern was the lack of balance, with little time available for family, noted by both pediatric

surgeons and their partners.\n\nConclusion: The issues of work-family balance www.selleckchem.com/products/Cyt387.html and its impact on surgeon stress and burnout should be addressed in both pediatric surgery training and practice. The American Pediatric Surgical Association is positioned to play a leading role in this effort. (C) 2010 Elsevier Inc. All rights reserved.”
“Background: We present an innovative approach to healthcare worker (HCW) training using mobile phones as a personal learning environment.\n\nTwenty physicians used individual Smartphones (Nokia N95 and iPhone), each equipped with a portable

selleck compound solar charger. Doctors worked in urban and peri-urban HIV/AIDS clinics in Peru, where almost 70% of the nation’s HIV patients in need are on treatment. A set of 3D learning scenarios simulating interactive clinical cases was developed and adapted to the Smartphones for a continuing medical education program lasting 3 months. A mobile educational platform supporting learning events tracked participant learning progress. A discussion forum accessible via mobile connected participants to a group of HIV specialists available for back-up of the medical information. Learning outcomes were verified through mobile quizzes using multiple choice questions at the end of each module.\n\nMethods: In December 2009, a mid-term evaluation was conducted, targeting both technical feasibility and user satisfaction. It also highlighted user perception of the program and the technical challenges encountered using mobile devices for Ricolinostat ic50 lifelong learning.\n\nResults: With a response rate of 90% (18/20 questionnaires returned), the overall satisfaction of using mobile tools was generally

greater for the iPhone. Access to Skype and Facebook, screen/keyboard size, and image quality were cited as more troublesome for the Nokia N95 compared to the iPhone.\n\nConclusions: Training, supervision and clinical mentoring of health workers are the cornerstone of the scaling up process of HIV/AIDS care in resource-limited settings (RLSs). Educational modules on mobile phones can give flexibility to HCWs for accessing learning content anywhere. However lack of softwares interoperability and the high investment cost for the Smartphones’ purchase could represent a limitation to the wide spread use of such kind mLearning programs in RLSs.”
“Medullary thyroid carcinoma (MTC) is a rare type of thyroid cancer, demonstrating variable behavior from indolent disease to highly aggressive, progressive disease.

The characteristic histopathologic findings for chronic eczema ar

The characteristic histopathologic findings for chronic eczema are variable. However, periadnexal mucin deposition is not known as a feature of chronic eczema. Objective: To evaluate the presence of periadnexal mucin deposition in chronic eczematous dermatitis. Methods: We analyzed the skin biopsy specimens from 36 patients who were pathologically diagnosed with chronic eczematous dermatitis. Alcian blue, colloidal iron, and periodic acid-Schiff stains were used to evaluate the mucin deposition

in histologic sections. Two dermatologists and two dermatopathologists evaluated the degree of mucin deposition using a 4-point scale. Results: Various amounts of mucin deposition were observed in the periadnexal area of patients who were diagnosed with chronic eczema. Mucin deposition was more visible after staining with mucin-specific stains. Evaluation high throughput screening compounds of the staining analysis scores revealed that the staining intensities were significantly higher in patients see more with chronic eczema than age- and site-matched controls (normal, acute

to subacute eczema, and psoriasis vulgaris). Conclusion: Periadnexal mucin (secondary mucinoses) may be an additional finding of chronic eczematous dermatitis.”
“The aim of this study was to ascertain whether there is any evidence of stigma related to the use of antidepressants. Using the PubMed and MEDLINE databases, we searched for the terms stigma, antidepressants, and depression. A protocol was developed to extract information SBE-β-CD mouse from the papers, which were identified and explored further. Thirty-two papers were identified. We found

that the stigma against depression differs from stigma against the use of antidepressants. Stigma against depression does not impact on therapeutic adherence to antidepressant use. Stigma related to antidepressant use appears to be linked with perceived emotional weakness, severity of illness, an inability to deal with problems, and a lack of belief in the therapeutic efficacy of antidepressants. Stigma against medication can be a useful target for interventions, just like the stigma related to depression. However, clinicians must be careful in avoiding the medicalization of symptoms.”
“Recently the American Heart Association has reported that favorable effects of soy protein on blood lipids were characteristic only for high amounts of soy protein and not observed for an intake less than 30 g/d. However. the period of the studies with the smaller amount was 4-6 wk and we thought a longer study was necessary for the conclusion. The death rate by heart disease is very high in Russia; therefore, we have done this study in Russian subjects with hyperlipidemia. Prior to the study we tried to find a favorable method for subjects to take 30 g protein a day from soybean protein isolate (SPI) or skimmed curd protein (SMP) and decided to use Russian style cookies. Thirty subjects with hyperlipidemia were recruited; however.

With respect to isotope theory, carbon and oxygen isotope pattern

With respect to isotope theory, carbon and oxygen isotope patterns could be explained by both an increase in photosynthetic rate and a resort to starch reserves following insect feeding. Overall, these findings contribute to our understanding of how trees respond to insect attack. (C) 2014 Elsevier B.V. All GW786034 inhibitor rights reserved.”
“Activation of the NOTCH receptors relies on their intracellular proteolysis

by the gamma-secretase complex. This cleavage liberates the NOTCH intracellular domain (NIC) thereby allowing the translocation of NIC towards the nucleus to assemble into a transcriptional platform. Little information is available regarding the regulatory steps operating on NIC following its release 4-Hydroxytamoxifen cell line from the transmembrane receptor up to its association with transcriptional partners. Interfering with these regulatory steps might potentially influences the nuclear outcome of NOTCH signalling. Herein, we exploited a reliable model to study the molecular events occurring subsequent to NOTCH1 cleavage. In pancreatic cancer cells, pulse of NOTCH1 activation led to increased expression of NOTCH target genes namely HES1 and c-MYC. We uncovered that, upon its release, the NOTCH1 intracellular

domain, NIC1, undergoes a series of post-translational modifications that include phosphorylation. Most interestingly, we found that activation of the MEK/ERK pathway promotes HES1 expression. Birinapant cell line Inhibition of the gamma-secretase complex prevented the MEK/ERK-induced HES1 expression suggesting a NOTCH-dependent mechanism.

Finally, higher levels of NIC1 were found associated with its transcriptional partners [CBF1, Su(H) and LAG-1] (CSL) and MASTERMIND-LIKE 1 (MAML1) upon MEK/ERK activation providing a potential mechanism whereby the MEK/ERK pathway promotes expression of NOTCH target genes. For the first time, our data exposed a signalling pathway, namely the MEK/ERK pathway that positively impacts on NOTCH nuclear outcome.”
“We have generated a novel monoclonal antibody targeting human FGFR1c (R1c mAb) that caused profound body weight and body fat loss in diet-induced obese mice due to decreased food intake (with energy expenditure unaltered), in turn improving glucose control. R1c mAb also caused weight loss in leptin-deficient ob/ob mice, leptin receptor-mutant db/db mice, and in mice lacking either the melanocortin 4 receptor or the melanin-concentrating hormone receptor 1. In addition, R1c mAb did not change hypothalamic mRNA expression levels of Agrp, Cart, Pomc, Npy, Crh, Mch, or Orexin, suggesting that R1c mAb could cause food intake inhibition and body weight loss via other mechanisms in the brain. Interestingly, peripherally administered R1c mAb accumulated in the median eminence, adjacent arcuate nucleus and in the circumventricular organs where it activated the early response gene c-Fos.

Cannabinoid receptor 1 gene and irritable bowel syndrome:

Cannabinoid receptor 1 gene and irritable bowel syndrome:

phenotype and quantitative traits. Am J Physiol Gastrointest Liver Physiol 304: G553-G560, 2013. First published January 10, 2013; doi:10.1152/ajpgi.00376.2012.-Genetic variations in metabolism of endocannabinoids and in CNR1 (gene for cannabinoid 1 receptor) are associated with symptom phenotype, colonic transit, and left colon motility in irritable bowel syndrome (IBS). Our aim was to evaluate associations between two variations in CNR1 PCI-32765 mw genotype (rs806378 and [AAT]n triplets) with symptom phenotype, small bowel and colonic transit, and rectal sensations in 455 patients with IBS and 228 healthy controls. Small bowel and colonic transit were measured by scintigraphy, rectal sensation by isobaric distensions. Associations with genotype were assessed by chi(2) test (symptom phenotype) and ANCOVA (quantitative traits) based on a dominant genetic model. Significant association of CNR1 rs806378 (but not CNR1 [AAT]n) genotype and symptom phenotype was observed (chi(2) P = 0.028). There was significant

association of CNR1 rs806378 (P = 0.014; CC vs. DMH1 in vitro CT/TT) with colonic transit in IBS-diarrhea (IBS-D) group; the TT group had the fastest colonic transit at 24 and 48 h. There was significant overall association of CNR1 rs806378 with sensation rating of gas (P = 0.025), but not pain; the strongest associations for gas ratings were in IBS-D (P = 0.002) and IBS-alternating (P = 0.025) subgroups. For CNR1 (AAT)n, gene-by-phenotype interactions

were observed for colonic transit at 24 (P = 0.06) and 48 h (P = 0.002) and gas (P = 0.046, highest for IBS-D, P = 0.034), but not pain sensation; the strongest association with transit was in controls, not in IBS. These data support the hypothesis that cannabinoid receptors may play a role in control of colonic transit and sensation in humans and deserve further study as potential mediators or therapeutic targets in lower functional gastrointestinal disorders.”
“The largest mammalian enzyme family is the kinases. Kinases and other nucleotide-binding proteins are key regulators of signal transduction pathways and the mutation or overexpression of these proteins MLN4924 molecular weight is often the difference between health and disease. As a result, a massive research effort has focused on understanding how these proteins function and how to inhibit them for therapeutic benefit. Recent advances in chemical biological tools have enabled functional interrogation of these enzymes to provide a deeper understanding of their physiological roles. In addition, these innovative platforms have paved the way for a new generation of drugs whose properties have been guided by functional profiling. (C) 2013 Federation of European Biochemical Societies. Published by Elsevier B.V. All rights reserved.

332; P=0 019: standardized coefficient=-0 302;

332; P=0.019: standardized coefficient=-0.302; selleck P=0.030; standardized coefficient =0.630; P<0.0005, respectively). In another multiple regression model, only ghrelin was an independent predictor of obestatin (standardized coefficient =0.861; P<0.0005). Both systolic blood pressure and triglyceride were independent predictors of ratio of ghrelin to obestatin (standardized coefficient=-0.385; P=0.033; standardized coefficient=-0.430; P=0.018, respectively). Our data suggests that there are disturbances of ghrelin and obestatin in the circulating plasma of humans and the ghrelin/obestatin

system might play a role in blood pressure regulation. (C) 2010 Elsevier B.V All rights reserved.”
“To optimize the parameters for extracting water-soluble polysaccharides from mulberry leaves using hot water, the extraction process was optimized by the orthogonal test through the single-factor experiment. Experiments were carried out using an L(9) (3(4)) orthogonal design to examine the effects of extraction temperature, extraction duration, concentration of the material and concentration of ethanol on the polysaccharide yield. The optimum extraction conditions determined were as follows: concentration

of material was equal to 1:24, extraction temperature CA3 supplier was 70 degrees A-1210477 molecular weight C, extraction duration was 90 min and concentration of ethanol was equal to 80%. Under these conditions, the yield of polysaccharides was 2.64%.”
“Single crystal GeSe2 nanobelts (NBs) were successfully grown using chemical vapor deposition techniques. The morphology and structure of the nanostructures were characterized using scanning electron microscopy, transmission electron microscopy, X-ray diffractometry, and Raman spectroscopy.

Electronic transport properties, photoconductive characteristics, and temperature-dependent electronic characteristics were examined on devices made of individual GeSe2 nanobelt. The current increased by three orders of magnitude upon laser irradiation (wavelength 532 nm and intensity similar to 6.8 mW/cm(2)) with responsivity of similar to 2764 A/W at fixed 4V bias. Localized photoconductivity study shows that the large photoresponse of the device primarily occurs at the metal-NB contact regions. In addition, the electrically Schottky nature of nanobelt/Au contact and p-type conductivity nature of GeSe2 nanobelt are extracted from the current-voltage characteristics and spatially resolved photocurrent measurements. The high sensitivity and quick photoresponse in the visible wavelength range indicate potential applications of individual GeSe2 nanobelt devices in realizing optoelectronic switches. (C) 2013 AIP Publishing LLC.”
“Aims and objectives.

They ranged in ages from 2 to 19 years Thirteen patients require

They ranged in ages from 2 to 19 years. Thirteen patients required endoscopic placement because of the inability to swallow the capsule, whereas 4 were placed during a scheduled procedure to take advantage MLN8237 cell line of sedation and airway protection. All of the 17 patients had successful deployment of the capsule into the duodenal lumen. In each case, the endoscopist was able to confirm capsule location in duodenum during scope withdrawal. There was no evidence of iatrogenic trauma or bleeding in any patient. There were 5 incomplete studies, a completion rate consistent with that described in the literature.\n\nConclusions:

The use of the RT viewer for endoscopic deployment of WCE is an effective technique to improve visualization of capsule placement in the pediatric population.”
“Theoretical analysis RepSox TGF-beta/Smad inhibitor has been carried out to study the role of ceramic plates (alumina and SiC) and pulsed microwave heating of pork meat (Pork Luncheon Roll (PLR) and White Pudding (WP)) samples. Spatial hot spots occur either at the center of the sample or at the outer face or at the face attached with alumina plate and application of pulsing minimizes formation of hot spots within meat

samples. Pulsing of microwave is characterized by set point for temperature difference (Delta T-S) and on-off constraints for temperature (T’). It is found that alumina plate with higher Delta T-S and lower T’ may be recommended for thick meat samples (both WP and PLR) whereas for thin meat samples. lower Delta T-S with alumina plate/without plate may be

preferred. It is also observed that SiC plate may be selectively used with Delta T-S = 20 K for both the pork meats. The distributed microwave incidence is found to be effective due to lesser GSI-IX solubility dmso degree of thermal runaway in absence of pulsing for both meat samples. (C) 2010 The American Meat Science Association. Published by Elsevier Ltd. All rights reserved.”
“The life history characteristics of the rove beetle Paederus fuscipes Curtis were studied under laboratory conditions using three field strains from Malaysia: Desa Wawasan (DW), Sri Pinang (SP), and Ampang Jajar (AJ). The total development time of immature stages differed significantly among the three strains, especially between DW (17.43 +/- 0.16 d), SP (18.60 +/- 0.19 d), and AJ (18.68 +/- 0.22 d). Adult females and males from DW also exhibited a shorter life span, although the difference among strains was not significant. In terms of fecundity, the numbers of eggs laid per female for DW, SP, and AJ were 121.28 +/- 15.98, 127.30 +/- 18.01, and 147.45 +/- 17.12, respectively. Additionally, because of the shorter life span in DW strain, two apparent peaks in age-stage specific fecundity were detected. The beetles compensated for their shorter life span by increasing their reproductive activity to sustain the progeny in the population. The intrinsic rates of increase (r) of P.

The aim of this observational study was to compare technical and

The aim of this observational study was to compare technical and clinical outcomes of a new construction technique for BBAVF (n-BBAVF) with that of the standard one-stage CBL0137 inhibitor side-artery to end-vein transposed BBAVF (t-BBAVF). A n-BBAVF is constructed in the following way: basilic vein and brachial artery are isolated. Patency of the proximal and distal vein is verified by injecting warmed (37 degrees C) saline solution. A venotomy and an arterotomy of 4-5 mm are performed. The two vessels are prepared for a side-to-side

anastomosis without transposition of the vein. The latter allows both an antegrade and retrograde flow along the basilic vein, both proximally and distally to the anastomosis with more sites available for the venipunctures of the dialysis. Thirty BBAVFs were constructed as the secondary or tertiary vascular access in 30 patients over a 4-year period: 17 patients with adequate forearm basilic vein underwent the construction of a n-BBAVF; 13 underwent the construction of a t-BBAVF. The construction of a n-BBAVF requires a significantly lesser surgical time (55.0 +/- 9.0 minutes vs. 115.0 +/- 18.0, p < 0.0001), has fewer surgical complications (5.9% vs. 46.2%, p < 0.0001), and a reduced time to first use (24.5 +/- 6.3 vs. 37.7 +/- 9.1 days, p < 0.0001) than that of a t-BBAVF.

n-BBAVFs IPI 145 showed a relatively low rate of thrombosis per patient-year at risk (0.067 at 1 year and 0.099 at 2 years). The latter was significantly lower at 1 year when compared with t-BBAVFs (0.067 vs. 0.285; p < 0.004). Our policy of “all AVFs should be autogenous” led us to the construction of a vascular access which is based on a side-to-side anastomosis between the brachial artery and the basilic vein without transposition of the vein allowing both antegrade and retrograde

flow into the basilic vein. The results of this surgical technique appear satisfactory.”
“To perform esophageal reconstruction in patients after distal gastrectomy colonic or jejunal transplant is usually used. But the use of remnant stomach in esophagoplasty appears to selleck chemical be an interesting idea. This method preserves some advantages of esophagogastroplasty as such. It is possible to pull-up the remnant stomach to the needed level, using mobilization with the spleen and pancreatic tail and its transposition into the left pleural cavity. This type of esophageal replacement, currently widely adopted in China, was proposed and first performed in 1958 by Professor A. A. Rusanov from Russia (former USSR). Different aspects of this method including historical are discussed in the literature review. (C) 2010 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.”
“BackgroundMegestrol acetate (MA) is an appetite stimulant with efficacy in promoting weight gain in adults with cancer-associated anorexia-cachexia.