(2020-09-05). [Seminar] Acute pancreatitis. thelancet.com Acute pancreatitis is an unpredictable and potentially lethal disease. The prognosis mainly depends on the development of organ failure and secondary infection of pancreatic or peripancreatic necrosis. In the past 10 years, treatment of acute pancreatitis has moved towards a multidisciplinary, tailored, and minimally invasive approach. Despite improvements in treatment and critical care, severe acute pancreatitis is still associated with high mortality rates. In this Seminar, we outline the latest evidence on diagnostic and therapeutic strategies for acute pancreatitis.
(2020-09-05). AG Barr's praise for fatal arrest of Portland 'Antifa' shooter triggers outbursts on 'state murder, vigilantism & civil war'. rt.com
AG William Barr's praise for the police takedown of Michael Reinoehl, the self-avowed 'Antifa' who shot dead a Patriot Prayer member in Portland, has left the social media fuming. But his sister told the media she saw it coming. | Reinoehl "attempted to escape arrest and produced a firearm" before he was killed by law enforcement, Attorney General Barr revealed in a
(2020-09-05). 'Anti-American propaganda': Trump pulls federal funding from 'divisive' govt 'anti-racism' training. rt.com US President Donald Trump has ordered federal agencies to cease using tax dollars for "anti-racism" training for government officials, which the White House slammed as inflammatory "propaganda" meant to smear the US as "evil." | "It has come to the President's attention that Executive Branch agencies have spent millions of taxpayer dollars to date 'training' government workers to believe divisive, anti-American propaganda," Russell Vought, the Director of the Office of Management and Budget, wrote in a
(2020-09-05). 'Don't record crimes if you ain't police!' Chaos & devastation as BLM march rages in Rochester (VIDEO). rt.com A massive Black Lives Matter protest for Daniel Prude, a black Rochester man who died in police custody back in March, turned turbulent overnight, with arson and looting reported all over the area. | The demonstration — reportedly involving around 1,000 people — kicked off in Rochester, New York on Friday evening, with participants marching through residential areas towards the downtown. As the procession approached Court Street, it was met by a large police presence. | Law enforcers have declared the gathering an "unlawful assembly," demanding that the rally disperses. Officers warned demonstrators…
(2020-09-05). [Correspondence] Clinical endpoints are necessary in the interim analysis of REGENERATE. thelancet.com The interim analysis results of the REGENERATE trial by Zoubair M Younossi and colleagues1 showed improvement in hepatic fibrosis in patients treated with obeticholic acid, which is a non-clinical endpoint for clinical trials in non-alcoholic steatohepatitis. However, clinical endpoints and side-effects are more important than surrogate endpoints. Non-alcoholic fatty liver disease (NAFLD), the hepatic manifestation of metabolic syndrome, is increasing in prevalence as a consequence of the obesity epidemic.
(2020-09-05). The US is determined to make Julian Assange pay for exposing the cruelty of its war on Iraq. greenleft.org.au
(2020-09-05). [Department of Error] Department of Error. thelancet.com Mauvais-Jarvis F, Bairey Merz N, Barnes PJ, et al. Sex and gender: modifiers of health, disease, and medicine. Lancet 2020; 396: 565—82—In figure 4 of this Review, the third label along the x-axis in the first graph should have said "Primary biliary cholangitis". This correction has been made to the online version as of Sept 3, 2020.
(2020-09-05). [Correspondence] Clinical endpoints are necessary in the interim analysis of REGENERATE — Authors' reply. thelancet.com Stephen Malnick and Marina Somin correctly state that cardiovascular disease is a major concern in patients with non-alcoholic fatty liver disease. However, in contrast to patients at earlier disease stages, patients with non-alcoholic steatohepatitis (NASH) and advanced fibrosis die more often of hepatic disease than cardiovascular disease.1 These patients also have the highest risk of progression to cirrhosis and subsequent liver-related mortality; hence, fibrosis stage is the strongest independent predictor of disease progression.