Refining Ounce-Equivalents Using the EAA-9 Approach for Protein Scoring and Dietary Guidance.

Background: The USDA Protein Food Ounce-equivalents are designed to identify plant sources of protein foods and provide serving size substitutions. While the ounce-equivalent concept is simple, it fails to generate equivalent exchanges for protein or essential amino acids (EAAs).

Objective: To accurately define the EAA content of USDA protein food ounce-equivalents, to develop a more accurate food exchange list, and to evaluate the EAA-9 protein quality framework as a tool for determining precise EAA-equivalent substitutions.

Psychometric Validation of the CLN2 Quality of Life Questionnaire in Participants with CLN2 Disease Treated with Cerliponase Alfa.

Objectives: This study evaluated the psychometric properties of the ceroid lipofuscinosis type 2 Quality of Life (CLN2 QoL) questionnaire.

Methods: Data from children with CLN2 disease aged 3-16 years receiving cerliponase alfa in the BMN 190-201 and BMN 190-202 clinical studies, collected via purposive sampling, were used to assess convergent and divergent validity, internal consistency and reliability. The clinically important difference (CID) was estimated with distribution- and anchor-based methods.

Debris Embolization to the Lung After a Bioprosthetic (Mitroflow®) Valve Fracture.

This case report shows a valve in valve procedure in pulmonary position of a 19-year-old male with a repaired Tetralogy of Fallot. After initial correction, a Mitroflow 23 mm bioprosthetic valve was implanted in pulmonary position. Nine years later severe degeneration of the valve occurred.

Exploring Post-acute Care Challenges and Opportunities in Spinal Cord Injuries: Perspectives from 3 Distinct Countries: Canada, the United States, and Mexico.

This article describes the differences and similarities in post-acute care for patients with spinal cord injuries in Canada, the United States, and Mexico. It provides a comprehensive description of the current state of spinal cord injury post-acute care in each country, including the prevalent practices, rehabilitation continuum of care, as well as challenges and opportunities related to clinical services, psychosocial factors, economic considerations, and cultural influences.