The hypothesis was to verify the similarity in the classification of severity of the DDI. In 1785 prescriptions of a Brazilian university hospital, 887 prescriptions had shown 77 potential

DDI. Only 26 (34%) DDI pairs had presented the same classification of severity in the three sources, [kappa = 0,396 to major DDI (95% IC: 0,2690,525; p < 0,001)]. check details We conclude that the DDI can be classified with different severity grades depending on the bibliographic source used. We remind the importance of critical evaluation of information to interpret data and to guide the medical team in decisions for prevention and handling of the DDI.”
“Purpose: To investigate the protective effect of corynoline isolated from Corydalis bungeana Turcz on lipopolysaccharides (LPS)-induced sepsis, and determine the possible mechanism of anti-sepsis effect of the isolated corynoline.

Methods: Corynoline was extracted by column chromatography. LPS (100 ng/mL) was used to induce the release of TNF-alpha and IL-6 in RAW 264.7 cells, and the isolated corynoline was added. ELISA method was used to determine the levels of TNF-alpha and IL-6. Furthermore, sepsis in mice was established LGX818 in vivo by injection of LPS (2 mg/kg, i.v.), and the levels of TNF-alpha and IL-6 in plasma were determined by ELISA

method. For survival rate test, LPS (15 mg/kg, i.v.) and heat-killed E. coli (1.0 x 10(11) CFU/kg, i.v.) were used to establish sepsis in mice model, and the mice were observed in 7 days.

Results: The results indicate that corynoline significantly elevated the survival rate of septic mice induced by LPS and heat-killed E. coli, in a dose-dependent manner P005091 (p < 0.05). Corynoline

decreased the release of TNF-alpha and IL-6 induced by LPS, in a dose-dependent manner (p < 0.05).

Conclusion: Treatment with corynoline significantly inhibits the mortality of LPS-induced septic mice, and the mechanism of action is probably related to the decrease of TNF-alpha and IL-6 release. Thus corynoline has the potential to be developed as an effective and safe drug for treating sepsis.”
“Objective: To compare the efficacy of two mechanical devices for cervical ripening: Foley catheter with extra-amniotic saline infusion and the Cook cervical ripening balloon. Methods: Women at term with a singleton pregnancy who presented for labor induction were randomly assigned to the Foley catheter or the Cook cervical ripening balloon (costs $3 and $41, respectively). The main outcome measures included time from device insertion to delivery, rates of successful vaginal delivery and occurrence of adverse events. Results: The study was completed by 188 women. Time from balloon insertion to expulsion and from insertion to delivery was significantly shorter in the Foley catheter group when compared with the Cook cervical ripening balloon group (6.9 +/- 4.2 vs. 10.1 +/- 4.7 hours, p = .001 and 19.6 +/- 11.4 vs. 23.4 +/- 15.5 hours, p = .