Death by neurologic criteria (DNC) or brain death is a clinical diagnosis. It is often complicated by variations in policies as well as confounders on examination. We discuss here the case of a 27-year-old male who had a cardiac arrest following toxic gaseous exposure.
View Article and Find Full Text PDF(1) Background: The treatment of proximal humeral fractures (PHFs) is debated controversially. Current clinical knowledge is mainly based on small single-center cohorts. The goal of this study was to evaluate the predictability of risk factors for complications after the treatment of a PHF in a large clinical cohort in a multicentric setting.
View Article and Find Full Text PDFMyocardial bridging (MB) is a segment of coronary arteries with an intramural course, typically spared from atherosclerosis, while the adjacent proximal segment is reported to be atherosclerosis-prone, a phenomenon contributed to local endothelial shear stress (ESS). We aimed to describe the ESS milieu in coronaries with MBs combining coronary computed tomography angiography with computational fluid dynamics and to investigate the association of atherosclerosis presence proximal to MBs with hemorheological characteristics. Patients ( = 36) were identified and 36 arteries with MBs (11 deep and 25 superficial) were analyzed.
View Article and Find Full Text PDFRecently it has been show that in some ecosystems fast rates of change of environmental drivers may trigger a critical transition, whereas change of the same magnitude but at slower rates would not. So far, few studies describe this phenomenon of rate-induced tipping, while it is important to understand this phenomenon in the light of the ongoing rapid environmental change. Here, we demonstrate rate-induced tipping in a simple model of cyanobacteria with realistic parameter settings.
View Article and Find Full Text PDF