Publications by authors named "B Best"

Background: Limited data exist on bictegravir pharmacokinetics in pregnancy among persons with HIV (PWH) and infant washout.

Setting: Nonrandomized, open-label, multi-center phase-IV prospective study of bictegravir pharmacokinetics and safety in pregnant PWH and their infants.

Methods: Steady-state 24-hour pharmacokinetic sampling of oral bictegravir 50 mg once daily (a component of fixed-dose combination bictegravir/emtricitabine/tenofovir alafenamide) during the 2nd and 3rd trimesters and postpartum was performed.

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Background: Glossopharyngeal neuralgia (GPN) is a rare condition typically manifesting as paroxysms of sharp, lancinating pain localized to the middle ear and auditory canal, base of the tongue, tonsillar fossa, and region just inferior to the angle of the mandible. Vascular compression is a common etiology, and microvascular decompression (MVD) has been established as a safe and efficacious treatment in adults. With the exception of one report of an adult patient undergoing the procedure for symptomatology that began in adolescence, there are no published cases of MVD for GPN in pediatric patients to the author's knowledge.

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A detailed assessment of a low energy demand, 1.5 C compatible pathway is provided for Europe from a bottom-up, country scale modelling perspective. The level of detail enables a clear representation of the potential of sufficiency measures.

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Article Synopsis
  • The study aimed to assess whether the COVID-19 pandemic impacted the incidence of pediatric hydrocephalus surgeries, hypothesizing that surgical volumes would remain stable despite the pandemic.
  • Data was gathered from ten institutions about hydrocephalus-related surgeries conducted from March 2018 to February 2022, comparing the COVID-19 era to a pre-COVID baseline.
  • Results showed no significant overall change in monthly surgeries during the pandemic compared to pre-COVID, but there was a noticeable decline during the initial surge in April 2020, with disparities noted in patient demographics including sex and race.
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Case: A 32-year-old man presented with a type II open both-bone forearm fracture and segmental bone loss because of complete extrusion of a diaphyseal fragment (3 cm) of ulna. The patient presented to our level 1 trauma center after a motor vehicle collision. The extruded segment underwent sterilization and immediate reimplantation with internal fixation approximately 6 hours after arrival.

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