PB-Only method seemed to provide the best clinical outcome. The benefit of PB was not fully

achieved when it was used with VVB.”
“The aqueous seed extract (AE) of https://www.selleckchem.com/products/pf299804.html Persea americana Mill (Lauraceae) is used by some herbal medicine practitioners in Nigeria for the treatment of hypertension. We investigated its effects on the mean arterial pressure (MAP) and Heart Rate (HR) of naive and 260 mg/kg/day x 10 days pretreated rats. Naive rats were given bolus injections of (a) – AE (240, 260, 280 mg/kg); (b) – 2 mu g/kg of acetylcholine (ACh) + 240, 260, 280 mg/kg of AE; or bolus doses of ACh (1, 2, 4 mu g/kg). Results show that 10-day pretreatment significantly reduced MAP (125.7 +/- 11.2 vs 92.1 +/- 8.5 mm Hg) and HR (274.6 +/- 39.3 vs 161.6 +/- 11.6 beats/min). Also, acute AE injections selleck chemicals llc significantly decreased MAP from baseline values in naive rats. The effects of AE on MAP were comparable with those of ACh. Combination of AE with 2 mu g/kg of ACh only significantly potentiated the MAP reducing effect of 240 mg/kg of AE. It is concluded that the aqueous seed extract of P. americana reduces BP and HR in normotensive rats. This observation lends credence to its use by herbalists for the

management of hypertension.”
“P>By combining the capabilities of advanced sample preparation methodologies with the latest generation of secondary ion mass spectrometry instrumentation, we show that chemical Selleckchem Copanlisib information on the distribution of even dilute species in biological samples can be obtained with spatial resolutions of better than 100 nm. Here, we show the distribution of nickel and other elements in leaf tissue of the nickel hyperaccumulator plant Alyssum lesbiacum prepared by high-pressure freezing and freeze substitution.”
“P>A sphingosine

1 phosphate receptor modulator, FTY720, has been used to alleviate symptoms in allotransplantation and autoimmune disease models with impressive efficacy, while it only achieved moderate success in clinical trials. Infusion of immature bone marrow-derived dendritic cell (BMDC) progenitors before transplantation could induce donor specific tolerance. In this study, we investigated the possibility of using FTY720-DCs (FTY720-treated immature BMDCs) to prevent severe alloimmune response. Our results indicate that FTY720-DCs could markedly prolong graft survival compared with Ctrl-DCs (nonconditioned immature BMDCs) as manifested by reduced inflammatory infiltration into the graft. IFN-gamma production by CD4+ and CD8+ T cells were significantly reduced, while FoxP3+ regulatory T cells among CD4+ T cells were upregulated. Although FTY720 seldom altered the phenotype or the phagocytosis of BMDCs in vitro, it severely hampered their capability to trigger antigen-specific and allogeneic T-cell response. When splenic T cells were co-cultured with FTY720-DCs, the proportion of regulatory T cells increased, accompanied by elevated IL-10 production.

ICH was recorded in all corneal quadrants, with the mid-peripheral cornea more often affected.

Areas of corneas affected by the ICH showed long-term loss of transparency. Ocular diseases as a source of neovascularization varied from ocular surface to intraocular disease. Systemic diseases were investigated in some patients, and https://www.selleckchem.com/products/as1842856.html no concomitant disease could be linked to the development of ICH.

Conclusions Intracorneal hemorrhage is a rare condition associated with corneal neovasculature. As in the human ophthalmology literature, ICH could not be linked to a specific ocular or systemic disease. Severe complications described in humans with this condition, such as pupillary block or corneal perforation, were not seen in any of these canine patients. Canine ICH seem to reabsorb with time, with or without medical treatment. Surgical treatment was not required in any of our patients.”
“OBJECTIVES: We report the assessment and the activities for the first year of our airborne circulatory support mobile unit (CSMU) in the French Caribbean.

METHODS: From January 2010 to June 2011, 12 patients (mean

age = 35.7 years; range: 15-62 years; sex ratio = 1:1) were attended outside Martinique by our CSMU and transferred to our unit by air.

RESULTS: Eight patients had acute respiratory distress syndrome and were assisted see more by veno-venous extra corporeal membrane oxygenation (ECMO) four had refractory cardiogenic shock, assisted by extra corporeal life support (ECLS). The average air transfer distance for patients was 912 km (range: 198-1585 km). The average flying time was 124 min (range: 45-255 min). The aircraft used were heliciopter, military transport or private jet. The setting-up of assistance devices and transfer of patients was uneventful. One patient subsequently benefited from heart transplantation after long-term circulatory support. One patient died under ECMO support after 51 days of assistance and another died on the 60th day after withdrawal BEZ235 concentration of ECLS.

CONCLUSIONS: CSMUs can

be very efficient in providing support to patients in refractory shock, when remote from a cardiac surgery centre. The airborne transfer of patients on ECMO/ECLS can be achieved safely, even over long distances.”
“Methods. aEuro integral This is a prospective observational study of all consecutive nulliparous women who delivered in the National Maternity Hospital, Dublin in 2008. Labor outcome variables examined in relation to BMI included duration of labor, oxytocin requirements, epidural use, mode of delivery, and infant birthweight.

Results. aEuro integral Of 4162 nulliparous women who labored during the study period, accurate BMI data were available on 3158, who constituted the study group. Of these women, 2143 (68%%) were in spontaneous labor and 1015 (32%%) had labor induced.

After 1 year, 10 of the SLDC patients (48%) and 4 of ELDC patients (19%) had HbA1c levels <= 7.5% (P =.01).

Conclusions: Our preliminary findings support the hypothesis

that overcoming language barriers by the establishment of a SLDC can be an effective means of improving metabolic control in youth with T1D in Hispanic families with limited English language skills.”
“Recent studies using both dissociated and organotypic cell cultures have shown that heterozygous Lurcher (Lc/+) Purkinje cells (PCs) grown in vitro share many of the same survival and morphological characteristics as Lc/+ PCs in vivo. We have used this established tissue culture system as a valuable model for studying cell death mechanisms in a relatively simple system where neurodegeneration is induced by a constitutive cation leak mediated by the Lurcher mutation in the delta 2 glutamate receptor (GluR delta 2). In this study, Ca++ imaging and immunocytochemistry studies indicate that intracellular Citarinostat Epigenetics inhibitor levels of Ca++ are chronically increased in Lc/+ PCs and the concentration and/or distribution of the conventional PKC gamma isoform is altered in degenerating Lc/+ PCs. To begin to characterize

the molecular mechanisms that regulate Lc/+ PC death, the contributions of conventional PKC pathways and of two MAP kinase family members, JNK and p38, were examined in slice cultures from wild-type and Lc/+ mutant mouse cerebellum. Cerebellar slice cultures from P0 pups were treated with either a conventional PKC inhibitor, a JNK inhibitor, or a p38 inhibitor either from 0 to 14 or 7 to 14 DIV. Treatment with either of the three inhibitors from learn more 0 DIV significantly increased wild type and Lc/+ PC survival through 14 DIV, but only Lc/+

PC survival was significantly increased following treatments from 7 to 14 DIV. The results suggest that multiple PC death pathways are induced by the physical trauma of making organotypic slice cultures, naturally-occurring postnatal cell death, and the GluR delta 2 (Lc) mutation.”
“Background: Single-item physical activity questions provide a quick approximation of physical activity levels. While recall questionnaires provide a more detailed picture of an individual’s level of physical activity, single-item questions may be more appropriate in certain situations. The aim of this study was to evaluate two single-item physical activity questions CAL-101 (one absolute question and one relative question) for test-retest reliability, convergent validity, and discriminant validity, in a sample of older adults.

Methods: Data was obtained from the Project to Prevent Falls in Veterans, a fall risk-factor screening and modification trial. One question measured absolute physical activity (seldom, moderately, vigorously active) and one measured relative physical activity (more, about as, less active than peers). Test-retest reliability was examined using weighted Kappa statistics (kappa) in a sample of 43 subjects.

Results of these studies have failed to support a potential benefit of combined therapy. A strong argument for the addition of L-T3 to L-T4 monotherapy has been lacking until recent genetic studies indicated Fer-1 purchase a rationale for such therapy among a small fraction of the hypothyroid patient population.Recent findingsInterest in this issue has focused on the importance of the deiodinases in maintaining the euthyroid state and the role of genetic polymorphisms in the deiodinase genes that would affect thyroid hormone concentrations in both blood and tissues. One such polymorphism in the D2 gene, Thr92Ala, is associated with reduced T4 to T3 activation in skeletal muscle

and thyroid, linked to obesity and alterations

in thyroid-pituitary feedback, and in responses to thyroid hormone treatment.SummaryAlthough our professional organizations continue to recommend L-T4 alone for the treatment of hypothyroidism, the possibility of a D2 gene polymorphism should be considered in patients on L-T4 monotherapy who continue to complain of fatigue in spite PCI-32765 purchase of dosage achieving low normal serum thyroid stimulating hormone levels. A suggestive clue to the presence of this polymorphism could be a higher than normal free T4/free T3 ratio. Clinicians could consider adding T3 as a therapeutic trial in selected patients. Future well controlled clinical trials will be S63845 required to more fully resolve the controversy.”
“Transradial cardiac catheterization (TRCC) has unique technical challenges such as access difficulty related to anatomical variations and/or radial artery (RA) spasm. We sought to evaluate the incidence of anatomical variations of the RA and whether they would affect RA spasm and procedural achievement of TRCC. A total of 744 consecutive patients who underwent TRCC were analyzed by routine radial arteriography. Anatomical variations were defined

as abnormal origin of the RA and/or radioulnar loop and/or tortuous configuration. RA spasm was defined as > 75 % stenosis at first radial arteriography. Overall, anatomical variations were noted in 68 patients (9.1 %), including 39 cases of abnormal origin (5.2 %), 11 cases of radioulnar loop (1.5 %), and 42 cases of tortuous configuration (5.6 %). Transradial procedures failed in 26 patients (3.5 %), and more frequently in patients with anatomical variation than in those with normal anatomy (23.5 % vs 1.5 %, P < 0.001). Importantly, on multivariate analysis the presence of anatomical variation was a distinct predictor of transradial procedure failure (odds ratio (OR) 17.80; 95 % CI 7.55-43.73; P < 0.001). RA spasm was observed in 83 patients (11.2 %), and more frequently in patients with anatomical variation than in those with normal anatomy (35.

(C) 2010 Wiley Periodicals, Inc. J Appl Polym Sci 119: selleck products 1848-1856, 2011″
“The management of a previously reported case of massive osteolysis of the mandible with intravenous bisphosphonate, vascularized free bone graft, and dental implants is reported. Restoration of adequate cosmetics and masticatory function was achieved. Despite the use of bisphosphonates, there were no complications with osseointegration. The reconstruction remained stable and functional 6 years afterward. ( Oral Surg Oral Med Oral Pathol

Oral Radiol Endod 2010; 109: 238-241)”
“Mass diffusion of rhodamine 6G (R6G) in water-based alumina nanofluids is studied by means of total internal reflection fluorescence (TIRF) microscopy. We report a mass diffusivity enhancement

that reaches an order of magnitude in a 2 vol % nanofluid when compared to the value in deionized water. Since experiments were performed with positively charged R6G, interfacial complexation between the dye and the nanoparticles was not observed. The effect of local density variations on mass diffusivity measurements is also addressed. An explanation for the enhancement of mass diffusion is presented using arguments based on dispersion, and it is shown that it correctly describes the order of magnitude differences https://www.selleckchem.com/products/sch-900776.html between the thermal conductivity and mass diffusivity enhancements reported in the

literature. (C) 2010 American Institute of Physics. [doi: 10.1063/1.3514138]“
“Coordination polymers containing bisphenol-A, formaldehyde, and transition metal complexes of ethylenediamine [M(en)(2)] were synthesized by the reaction of bisphenol-A, formaldehyde, and M(en)(2) complex in alkaline medium, using M for Fe(+3), Co(+2), Ni(+2), Cu(+2), and Zn(+2). The materials https://www.selleckchem.com/ALK.html were characterized by elemental analysis, FTIR, UV-Vis, (1)H-NMR spectra, TGA, and magnetic susceptibility measurement. The geometry of the central metal ions was determined by electronic spectral studies and magnetic moment measurement. The M-N and C-N bonds were confirmed by the IR spectra of the polychelates. The (1)H-NMR spectra of the chelating resins confirmed polycondensation with well-defined peaks for bridging methylene functions. Complexation studies with transition metal ions revealed effective coordination of the bisphenol-A formaldehyde resin. The antimicrobial activities of these chelated resins were screened against E. coli, S. dysantrea (bacteria), and C. albicans, A. niger (fungi) by using agar well diffusion method. All the polymeric chelates show promising antimicrobial activities. (C) 2010 Wiley Periodicals, Inc. J Appl Polym Sci 119: 1251-1258, 2011″
“Background.

The rate of improvement in the Japanese Orthopedic Association score; radiographic

parameters, including %slip; segmental lordotic angle at the L4-L5 level; and fusion rate were examined. Postoperative multifidus (MF) atrophy and degeneration were evaluated using magnetic resonance imaging.

Results. No significant differences were detected between the 2 groups with respect to the rate of improvement in the Japanese Orthopedic Association score, 5-Fluoracil mouse segmental lordotic angle, and fusion rate. Both groups showed significant reduction in %slip after surgery. The degree of MF atrophy and the increase in T2-signal intensity in the MF muscle after mini-open PLIF were significantly lesser than those following open PLIF.

Conclusion. Mini-open PLIF is safe and effective. Mini-open PLIF was less invasive than open PLIF with regard to the MF muscle.”
“Background Practitioners are increasingly using topical anesthetics to decrease the pain c-Met inhibitor associated with superficial dermatologic, aesthetic, and laser procedures. Numerous lidocaine-containing products are available, but comprehensive reviews are lacking regarding their

relative safety profiles and appropriate dermatologic uses. Panobinostat price Materials and Methods A literature review of currently available topical anesthetics, their safety profiles, and dermatologic uses was conducted. Results Factors that should be considered to reduce the risk of side effects associated with the

use of topical anesthetics include the amount of product used, body location, size of the surface area, and duration of product application. Many case reports document adverse outcomes associated with the use of compounded products that the Food and Drug Administration has not approved that have inappropriately high anesthetic concentrations and from the use of topical anesthetics on excessively large skin surface areas during laser treatments. Conclusions Lidocaine-containing products play an integral role in cutaneous anesthesia by providing patient comfort with minimal side effects. Careful attention must be paid to the particular anatomic location, the total surface area covered, and the duration of anesthetic skin contact.”
“Superabsorbents used in agricultural and ecological projects with low-cost, slow-release fertilizers and environmentally friendly characteristics have been extensively studied. The use of a natural polymer as the matrix and then further polymerization with some functional material has become the preferred method.

05), but not in ORIF and control groups (P > 0.05).

Heights of mandibular ramus in ORIF and control groups were significantly longer than that in the closed treatment group 3 months after operation (P < 0.05).

Conclusions: Open reduction and internal fixation is an efficient method to treat ICF of growing goats. It has a better effect on maintaining mandibular ramus growth than closed treatment.”
“This systematic review aims to analyse the risk-benefit association of (1) prophylactic drains and/or (2) 17-AAG concentration the time of their removal after pancreatic resection.

A systematic literature search (Medline, Embase, Biosis, and The Cochrane Library) was performed to identify all types of controlled trials comparing the role of drainage or the time of their removal on postoperative complications following pancreatic surgery. Meta-analysis was performed using a random-effects model.

Four studies, two randomised trials and two prospective cohort studies, were included in the systematic review and meta-analysis. Removal of drains at day 5 or later did not show an influence on mortality, morbidity, re-intervention or hospital stay compared to no insertion of drains. Early

(day 3-4) compared to late (>= day 5) drain removal significantly reduced pancreatic fistulas (odds ratio (OR) 0.13; 95% confidence interval (CI) 0.03-0.32; P = 0.0002), intra-abdominal collections (OR 0.08; 95% CI 0.01-0.67; P = 0.02) and abscesses (OR 0.26; 95% CI 0.07-1.00; P = 0.05). Moreover, hospital stay was significantly Prexasertib Cell Cycle inhibitor reduced after early drain removal (mean difference -2.60 days; 95% CI -4.74 to -0.46; P = 0.02)

Further randomised

controlled trials are warranted to clarify whether drains are of any use. In case of drain insertion, early removal seems to be superior to late removal.”
“Purpose of review

Nearly half of patients presenting with heart failure have a preserved left ventricular ejection fraction (LVEF), previously known as diastolic heart failure. The diagnosis requires fulfillment of three criteria: signs or symptoms of heart failure, presence of a normal LVEF, and evidence of diastolic dysfunction. Two of the criteria can be evaluated by echocardiography. This article reviews the echocardiographic approach to the patient with suspected heart failure with a normal left see more ventricular ejection fraction (HFNEF).

Recent findings

Echocardiography is the primary modality for evaluating left ventricular (LV) systolic and diastolic function in heart failure patients. Measurements of LVEF from two-dimensional echocardiography can have significant variability despite the use of quantitative methods. The use of contrast agents and three-dimensional echocardiography can improve the accuracy. Newer modalities of tissue Doppler imaging and deformation imaging are challenging the concept that systolic function is preserved in HFNEF.

Mouse monoclonal anti-ZEA antibodies were immobilized on a rotating disk.

The ZEA in corn sample Duvelisib solubility dmso is allowed to compete immunologically with ZEA bound to horseradish peroxidase (HRP) for the immobilized antibodies. HRP in presence of hydrogen peroxide (H2O2) catalyzes the oxidation of 4-tert-butylcatechol (4-TBC), whose back electrochemical reduction was detected on CNT-GCE at -0.15 V. The total assay time was 15 min. The electrochemical immunosensor showed higher sensitivity and lower detection limits than the standard ELISA method, which shows potential for detecting ZEA in foods and feeds diagnosis. (C) 2010 Elsevier B.V. All rights reserved.”
“Spin injection from Fe(001) and (Ga,Mn) As(001) into n-GaAs(001) was investigated using a method which provides two-dimensional cross-sectional images of the spin polarization in GaAs. While the distribution of the spin polarization below the injecting contact is nearly uniform for (Ga,Mn) As, a strong confinement near the contact edge

is observed for Fe and FeCo. The spin polarization in GaAs changes sign when the injected current is reversed. Multiple sign reversals as a function of bias voltage as reported previously for Fe injectors are not observed with (Ga,Mn) As and Fe contacts grown on clean n(++)-GaAs in agreement with earlier results for an epitaxial FeCo injector. (C) 2011 American Institute of Physics. [doi:10.1063/1.3553932]“
“Fourier transform infrared spectroscopy (FTIR) was used to determine characteristic absorption peaks of softwood kraft lignin and buy BKM120 soda hardwood lignin. Remarkable spectral differences were noticed between the different lignins due to their various chemical structures. Proton nuclear magnetic resonance spectrometry ((1)H NMR) was employed to analyze the structure of lignin. Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF) provided important data regarding the molecular weight

distribution of lignin. Thermal stability of softwood lignin was found to be remarkably higher than that of hardwood lignin. Softening temperature and glass transition temperature of lignin were measured by differential scanning calorimetry find protocol (DSC) which was useful in selecting an optimal temperature profile during extrusion process. Rheological studies provided valuable information about the viscosity of lignins. (C) 2011 Wiley Periodicals, Inc. J Appl Polym Sci 122: 956-963, 2011″
“A novel bioflocculant, methylated soy protein (MeSP), has been developed and its flocculation performance was tested with diatomite suspensions in freshwater (pH 2-11) and in seawater. The flocculation performance of MeSP was much higher than that of commercial polyaluminum chloride (PAC) in terms of supernatant clarity and floc settling velocity.

2%), followed by aqueous (74.8%), ethyl acetate (69.4%) and chloroform (59.7%) extract. On the other hand, in total antioxidant activity, the ethanol extract has shown 80.1% inhibition, followed by aqueous (71.9%), ethyl acetate (67.2%) and chloroform (53.2%) Selleck U0126 extracts. A single dose (5 mg kg-1, i.p.) of cisplatin was administrated to induce nephrotoxicity. Blood urea and serum creatinine were analysed as biochemical markers of nephrotoxicity. Reduced glutathione (GSH) and the product of lipid peroxidation (MDA)

were also measured in kidney tissues. A single dose of cisplatin resulted in significant reduction in body weight and increased the urea and creatinine levels. Extract administration has shown significant recovery in the levels of these biochemicals in curative (p 0.001) and protective groups, whereas

a single dose of cisplatin caused significant reduction in GSH and an increase in malondialdehyde production. Recovery was observed in treated groups. This study suggested that the nephroprotective and curative activities of M. dioica fruit extract are due to its antioxidant activity. It is further concluded that this antioxidant activity may be attributed to the phenolics, flavonoids and amino LY333531 TGF-beta/Smad inhibitor acids present in the extract.”
“Aims To evaluate the efficacy and safety of solifenacin 5?mg to treat voiding symptoms caused by idiopathic normal pressure hydrocephalus (iNPH) after a ventriculoperitoneal (V-P) shunt operation. Methods A total of 53 patients diagnosed with iNPH and complaining of voiding symptoms were enrolled. Before treatment with solifenacin (V1), 4 (V2) and 12 (V3) weeks after starting solifenacin overactive bladder symptom score (OABSS), the International Prostate Symptom Score (IPSS), Quality of Life (QoL) score, maximal urine flow rate (Qmax), voided volume, and post-voiding residual urine volume (PVR) were measured. An urodynamic study (UDS) was performed at V1 and V3, and

the safety of solifenacin was assessed at V1, V2, and V3. Results Of the 53 patients, 38 patients (71.70%) completed the 12-week clinical trial. The mean patient age was 52.24?+/-?10.08 years. OABSS and IPSS Galardin were significantly improved. The mean voided volume was 147.18?+/-?61.84?ml at V1 and 160.03?+/-?62.59?ml at V3 (P?<?0.001), and PVR was 64.87?+/-?41.11?ml at V1 and 69.05?+/-?39.54?ml at V3 (P?=?0.009). Of the 31 patients who underwent UDS, 26 patients (83.87%) had detrusor overactivity (DO) at V1, with a mean value of 107.67?+/-?18.13?ml. Of the 26 with DO at V1, 22 (84.62%) still had DO at V3. A mean DO of 131.66?+/-?15.27?ml was observed at V3 (P?<?0.001). The most common adverse effects was dry mouths. Conclusions Solifenacin is effective in the treatment of OABS in iNPH patients who underwent the V-P shunt operation. Solifenacin increases bladder capacity causing of DO at UDS. Neurourol. Urodynam. 31:11751180, 2012. (c) 2012 Wiley Periodicals, Inc.

“
“We analyzed the polymorphisms TFAM HaeIII, TFAM MboI and FABP4 MspA1I in three Nellore lines selected for growth in order to evaluate how selection affects the frequencies of these polymorphisms and evaluate their association with growth and carcass traits in Zebu cattle. Birth, weaning and yearling weights,

rump height, longissimus muscle area, backfat thickness, and rump fat thickness were analyzed. The sample was constituted of animals from two lines selected for yearling weight (NeS and NeT), and a control line (NeC), established in 1980, at the Sao Paulo Instituto de Zootecnia. Two hundred and seventy-two heifers were genotyped for TFAM gene SNPs, and 325 heifers were genotyped for the FABP4 SNP. High frequencies were Compound C observed for the alleles A (TFAM

HaeIII), C (TFAM MboI) Selleckchem AZD5363 and C (FABP4 MspA1I). Significant differences in allele frequencies between NeS and NeT were observed for the TFAM HaeIII, and between the line NeT and lines NeC and NeS for the FABP4 MspA1I SNP. Five haplotypes were observed for the two polymorphisms in the TFAM gene, haplotype AACC being the most frequent. None of the markers evaluated separately or according to haplotype was significantly associated with the growth and carcass traits. The low frequencies of alleles that are associated with high marbling scores and thick subcutaneous fat in taurine breeds might explain the low means for these traits in Nellore cattle.”
“Background The PatientViewpoint website collects patient-reported outcomes and links them with the electronic health record to aid patient management. This pilot test evaluated PatientViewpoint’s use, usefulness, and acceptability to patients and clinicians. Methods This was a single-arm prospective study that enrolled breast and prostate cancer patients undergoing treatment and the clinicians who managed them. Patients completed patient-reported outcomes every 2weeks, and clinicians could access the results for patient

visits. Scores that were LDK378 nmr poor relative to norms or substantially worse than the previous assessment were highlighted. After three on-study visits, we assessed patient and clinician perspectives on PatientViewpoint using close-ended and open-ended questions. Results Eleven out of 12 eligible clinicians (92%) and 52/76 eligible patients (68%) enrolled. Patients completed a median of 71% of assigned questionnaires; clinicians reported using the information for 79% of patients, most commonly as a source of additional information (51%). At the median, score reports identified three potential issues, of which 1 was discussed during the visit. Patients reported the system was easy to use (92%), useful (70%), aided recall of symptoms/side effects (72%), helped them feel more in control of their care (60%), improved discussions with their provider (49%), and improved care quality (39%).