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Serratus anterior and pectoralis plane blocks for robotically assisted mitral valve repair : a randomised clinical trial

Background: Minimally invasive cardiac surgery provokes substantial pain and therefore analgesic consumption. The effect of fascial plane blocks on analgesic efficacy and overall patient satisfaction remains unclear. We therefore tested the primary hypothesis that fascial plane blocks improve overall benefit analgesia score (OBAS) during the initial 3 days after robotically assisted mitral valve r

Clonal evolution and stereotyped sequences of human IgE lineages in aeroallergen-specific immunotherapy

Background: Allergic disease reflects specific inflammatory processes initiated by interaction between allergen and allergen-specific IgE. Specific immunotherapy (SIT) is an effective long-term treatment option, but the mechanisms by which SIT provides desensitization are not well understood. Objective: Our aim was to characterize IgE sequences expressed by allergen-specific B cells over a 3-year

Case report : Bilateral damage to the immature optic radiation and secondary massive loss of retinal ganglion cells causing tunnel vision

We describe the case of a 30-year-old woman, who needed a formal report on her visual impairment to seek support from society. She was born preterm, and during her neonatal period, she suffered from bilateral intraventricular hemorrhage (IVH) grade 3, a condition that can cause cerebral visual impairment (CVI) due to damage to the retro-geniculate visual pathways. Individuals with such brain damag

Planned serendipity : exploring tourists’ on-site information behaviour

The paper investigates tourist information behaviour on-site in light of the ubiquitous access to information afforded by smartphones. The study problematizes existing literature on information search behaviour and connects it with theories of unplanned behaviour. Through the concept of planned serendipity, the paper highlights how tourist information behaviour is a complex phenomenon that does no

Deconstructing cluster identity : place branding and trademarking by cluster organizations

The paper defines ‘cluster identity’ as an intangible attribute of clusters comprised of place branding and trademarking by cluster organizations, respectively anchored in a ‘logic of belonging’ and a ‘logic of similarity’. We expand the taxonomy of proximities and their dynamics according to their belonging/similarity logic and their tangible/intangible nature. As illustrated in the context of th

Evaluating treatment response to mepolizumab in patients with severe CRSwNP*

Background: The SYNAPSE study (NCT03085797) demonstrated that mepolizumab decreased nasal polyp (NP) size and nasal obstruction in patients with chronic rhinosinusitis with NP (CRSwNP). Methods: SYNAPSE, a randomized, double-blind study, included patients with recurrent, refractory, severe CRSwNP, eligible for repeated surgery despite receiving standard of care (SoC). Patients received 4-weekly me

Twisted or Planar? Side-Chain Tailoring of Fluorene-based Hole-Transport Materials for Efficient and Stable Perovskite Solar Cells

The functionalization of small-molecule hole-transport materials (HTMs) heavily relies on the rational design of molecular geometry, which can optimize both intrinsic HTM properties and interfacial properties for realizing high-performance and stable lead halide perovskite solar cells (LHPSCs). Herein, two fluorene-based donor–π linker–donor HTMs are seen, FL01 and FL02, whose side chains are tail

Considerations for shared decision management in previously untreated patients with hemophilia A or B

Recent advances in therapeutics are now providing a wide range of options for adults and children living with hemophilia. Although therapeutic choices are also increasing for the youngest individuals with severe disease, challenges remain about early management decisions, as supporting data are currently limited. Parents and healthcare professionals are tasked with helping children achieve an incl

Sex differences in presentation of atrial fibrillation : Findings from 30-day ambulatory monitoring in real-world practice

Background: Women are less likely to receive oral anticoagulation or ablation for treatment of atrial fibrillation (AF). Identification of sex differences in arrhythmia characteristics and symptoms may lead to a better understanding of potential reasons for these differences. Objectives: To determine sex differences in AF with respect to heart rate, duration, burden, and symptoms in patients under

Fundamentals and Applications of Hydrogen and Fuel Cells

This chapter presents information on hydrogen as an energy carrier, its properties, how to produce and store it, how to transport it, as well as its role in future energy systems. Opportunities and concerns about hydrogen are discussed. The basic principles and analysis of the key transport phenomena, bottlenecks, and applications of fuel cells are discussed. Most attention is paid to so-called PE

How to sort out the controversies in displaced femoral neck fractures

A displaced femoral neck fracture in a person around retirement age, with some comorbidities, poses challenges in determining the optimal surgical treatment. The long-term result will be affected by the patient's overall health, their life style factors, and the patient's compliance with restrictions. Ideally, the surgeon has to foresee the vitality of the patient during his/her remaining life spa

Distal Radius Malunions

This chapter presents a clinical scenario of a 59-year-old healthy woman who had injures in her dominant wrist after a fall at home. Her wrist radiographs show a displaced extra-articular distal radius fracture with a dorsal angulation of 15 ° (from 0 °) and an ulnar variance of 3 mm. The treating surgeon has a discussion with the patient about surgical and nonsurgical treatment options and the ex

Co-injection of anti-HER2 antibody Trastuzumab does not increase efficacy of [177Lu]Lu-PSMA-617 therapy in an animal model of prostate cancer

One novel option for treating metastatic castration resistant prostate cancer is radionuclide therapy targeting prostate-specific membrane antigen (PSMA), e.g. [177Lu]Lu-PSMA-617. Overexpression of HER2 has been found in 80% of metastatic cases of prostate cancer. Previous research showed that HER2 is elevated post irradiation in PC-3 prostate cancer cells. Co-treating with anti-HER2 antibody Tras

Management of Antithrombotic Drugs in Patients with Isolated Traumatic Brain Injury : An Intersociety Consensus Document

Background: All available recommendations about the management of antithrombotic therapies (ATs) in patients who experienced traumatic brain injury (TBI) are mainly based on expert opinion because of the lack of strength in the available evidence-based medicine. Currently, the withdrawal and the resumption of AT in these patients is empirical, widely variable, and based on the individual assessmen

Long-term prevention of bladder cancer progression by alpha1-oleate alone or in combination with chemotherapy

Bladder cancer is common and one of the most costly cancer forms, due to a lack of curative therapies. Recently, clinical safety and efficacy of the alpha1-oleate complex was demonstrated in a placebo-controlled study of nonmuscle invasive bladder cancer. Our study investigated if long-term therapeutic efficacy is improved by repeated treatment cycles and by combining alpha1-oleate with low-dose c

Discriminative accuracy of the A/T/N scheme to identify cognitive impairment due to Alzheimer's disease

Introduction: The optimal combination of amyloid-β/tau/neurodegeneration (A/T/N) biomarker profiles for the diagnosis of Alzheimer's disease (AD) dementia is unclear. Methods: We examined the discriminative accuracy of A/T/N combinations assessed with neuroimaging biomarkers for the differentiation of AD from cognitively unimpaired (CU) elderly and non-AD neurodegenerative diseases in the TRIAD, B