Intermittent CSF drainage and rapid EVD weaning approach after subarachnoid hemorrhage: association with fewer VP shunts and shorter length of stay.

Objective: There is variability and uncertainty about the optimal approach to the management and discontinuation of an external ventricular drain (EVD) after subarachnoid hemorrhage (SAH). Evidence from single-center randomized trials suggests that intermittent CSF drainage and rapid EVD weans are safe and associated with shorter ICU length of stay (LOS) and fewer EVD complications. However, a recent survey revealed that most neurocritical care units across the United States employ continuous CSF drainage with a gradual wean strategy.

Amine-Based Interfacial Engineering in Solution-Processed Organic and Perovskite Solar Cells.

Solution-processed organic solar cells (OSCs) and hybrid perovskite solar cells (PvSCs) generally require appropriate transparent electrode with a low work function, which improves the electron extraction, increases the built-in potential, and suppresses charge recombinations. Hence, interfacial modifiers between the cathode and the photoactive layer play a significant role in OSCs and PvSCs, as they provide suitable energy-level alignment, leading to desirable charge carrier selectivity and suppressing charge carrier recombinations at the interfaces. Here, we present a comprehensive study of the energy-level mapping between a transparent electrode and photoactive layers to enhance the electron-transport ability by introducing amine-based interfacial modifiers (ABIMs).

Addressing the Financial Burden of Cancer Clinical Trial Participation: Longitudinal Effects of an Equity Intervention.

Background: The financial burden experienced by patients with cancer represents a barrier to clinical trial participation, and interventions targeting patients' financial concerns are needed. We sought to assess the impact of an equity intervention on clinical trial patients' financial burden.

Materials And Methods: We developed an equity intervention to reimburse nonclinical expenses related to trials (e.

Three-Dimensional Fibrous Cap Structure of Coronary Lipid Plaque - ST-Elevation Myocardial Infarction vs. Stable Angina.

Background: Fibrous cap thickness (FCT) is one of the key features of coronary vulnerable plaque. FCT is measured at an arbitrary point, determined on visual assessment of 2-D cross-sectional imaging. This method has poor reproducibility.

Angiographic features of patients with coronary plaque erosion.

Background: Although an in vivo diagnosis of coronary plaque erosion has become possible by optical coherence tomography (OCT), angiographic characteristics of erosion have not been studied. The aim of this study was to investigate the angiographic features of plaque erosion in patients with non-ST elevation acute coronary syndromes (NSTE-ACS).

Methods: Patients with NSTE-ACS who underwent OCT of the culprit lesion were collected at 11 institutions from 6 countries.

Calcified Plaques in Patients With Acute Coronary Syndromes.

Objectives: This study conducted detailed analysis of calcified culprit plaques in patients with acute coronary syndromes (ACS).

Background: Calcified plaques as an underlying pathology in patients with ACS have not been systematically studied.

Methods: From 1,241 patients presenting with ACS who had undergone pre-intervention optical coherence tomography imaging, 157 (12.

Comparison of Rosuvastatin Versus Atorvastatin for Coronary Plaque Stabilization.

Statins are widely used to lower cholesterol and to reduce cardiovascular events. Whether all statins have similar effects on plaque stabilization is unknown. We aimed to investigate coronary plaque response to treatment with different statins that result in similar lipid reduction using serial multimodality intracoronary imaging.

Comparison of Vascular Response to Statin Therapy in Patients With Versus Without Diabetes Mellitus.

Diabetes mellitus (DM) increases cardiovascular morbidity and mortality. A statin is routinely prescribed to patients with DM. However, whether a statin therapy is equally effective in plaque stabilization in DM patients compared with non-DM patients is unknown.

Differential Efficacy of Combined Phacoemulsification and Endocyclophotocoagulation in Open-angle Glaucoma Versus Angle-closure Glaucoma.

Unlabelled: PRéCIS:: This retrospective study found that combined phacoemulsification and endocyclophotocoagulation reduced intraocular pressure (IOP) to a greater degree in angle-closure glaucoma versus open-angle glaucoma and was effective for all stages of glaucoma.

Purpose: Endocyclophotocoagulation (ECP) laser treatment of the ciliary processes is believed to decrease IOP by reducing aqueous production. Anecdotal experience in angle-closure glaucoma suggests that it may also lower IOP by opening the drainage angle to promote aqueous outflow.

Comparison of Measured and Estimated Resting Energy Expenditure in Adolescents and Young Adults With Severe Obesity Before and 1 Year After Sleeve Gastrectomy.

Resting energy expenditure (REE) is often evaluated in adults and adolescents with obesity to estimate caloric requirements when advising dietary changes. However, data are lacking regarding the accuracy of methods used to clinically assess REE in adolescents with severe obesity. Moreover, there are no data regarding the effects of sleeve gastrectomy (SG) on REE in adolescents.

High-Efficiency Nonfullerene Polymer Solar Cells with Band gap and Absorption Tunable Donor/Acceptor Random Copolymers.

Energy level alignment between a donor and an acceptor has a critical role in determining the open-circuit voltage ( V) in polymer solar cells (PSCs). Also, broad absorption of the photoactive layer is required to generate a high photocurrent. Herein, non-fullerene PSCs with D/A random copolymers and 3,9-bis(2-methylene-(3-(1,1-dicyanomethylene)-indanone))-5,5,11,11-tetrakis(4-hexylphenyl)-dithieno[2,3- d:2',3'- d']- s-indaceno[1,2- b:5,6- b']dithiophene (ITIC) has been demonstrated.

Impact of Route of Estrogen Administration on Bone Turnover Markers in Oligoamenorrheic Athletes and Its Mediators.

Objective: Transdermal, but not oral, estrogen replacement improves bone mineral density (BMD) in athletes with oligoamenorrhea (OA). Our objective was to determine mechanisms that may explain the impact of route of estrogen administration on bone outcomes.

Methods: Seventy-three participants with OA between 14 and 25 years old received (i) a 17β-estradiol transdermal patch continuously with cyclic oral micronized progesterone (PATCH), (ii) a combined ethinyl estradiol and desogestrel pill (PILL), or (iii) no estrogen/progesterone (NONE) for 12 months.

The arthroscopic syndesmotic assessment tool can differentiate between stable and unstable ankle syndesmoses.

Purpose: Patients with stable isolated injuries of the ankle syndesmosis can be treated conservatively, while unstable injuries require surgical stabilisation. Although evaluating syndesmotic injuries using ankle arthroscopy is becoming more popular, differentiating between stable and unstable syndesmoses remains a topic of on-going debate in the current literature. The purpose of this study was to quantify the degree of displacement of the ankle syndesmosis using arthroscopic measurements.

Effective Molecular Engineering Approach for Employing a Halogen-Free Solvent for the Fabrication of Solution-Processed Small-Molecule Solar Cells.

To utilize the potential of small-molecule-based organic solar cells, proper designs of the photoactive materials which result in reasonable performance in a halogen-free solvent system and thickness tolerance over a range are required. One of the best approaches to achieve these requirements is via the molecular engineering of small-molecule electron donors. Here, we have modified a previously reported dithienobenzodithiophene (DTBDT)-based small molecule (SM1) via the dimerization approach, that is, the insertion of an additional DTBDT into the main backbone of the small molecule (SM2).

Oestrogen replacement improves bone mineral density in oligo-amenorrhoeic athletes: a randomised clinical trial.

Objective: Normal-weight oligo-amenorrhoeic athletes (OAA) are at risk for low bone mineral density (BMD). Data are lacking regarding the impact of oestrogen administration on bone outcomes in OAA. Our objective was to determine the effects of transdermal versus oral oestrogen administration on bone in OAA engaged in weight-bearing activity.

Weight Loss Surgery Utilization in Patients Aged 14-25 With Severe Obesity Among Several Healthcare Institutions in the United States.

Obesity is associated with early co-morbidities and higher mortality. Even though weight loss surgery (WLS) in adolescents with severe obesity reliably achieves safe and lasting improvement in BMI and superior resolution of comorbid diseases, its utilization among young patients in the clinical practice stands unclear. To show the prevalence of weight loss surgery utilization rates in adolescents and young adults among several healthcare institutions in the United States.

Currently Available Non-Balloon Devices.

Obesity and metabolic syndrome are known to have an impact on the economy. Obesity and metabolic syndrome affect about 40% population in the America alone, and with about 400 million obese adults in the world, obesity is a global concern. Moreover, the prevalence of overweight children is increasing.

Effects of Pitavastatin on Insulin Sensitivity and Liver Fat: A Randomized Clinical Trial.

Context: 3-Hydroxy-3-methyl-glutaryl-coenzyme A reductase inhibitors (statins) are widely prescribed. Statins may have important metabolic effects on insulin sensitivity and liver fat, but limited studies have assessed these effects by using euglycemic hyperinsulinemic clamp, stable isotopes, and 1H magnetic resonance spectroscopy (MRS) for liver fat quantification.

Objective: To study the effects of pitavastatin on hepatic fat and insulin sensitivity.

Population structure of the raccoon dog (Nyctereutes procyonoides) using microsatellite loci analysis in South Korea: Implications for disease management.

The prevention and control of infectious diseases transmitted by wildlife are gaining importance. To establish effective management strategies, it is essential to understand the population structure of animals. Raccoon dogs (Nyctereutes procyonoides) in South Korea play a key role in the maintenance of food web stability and possess genetic compositions that are unique compared to those in other areas.

Assessing statin effects on cardiovascular pathways in HIV using a novel proteomics approach: Analysis of data from INTREPID, a randomized controlled trial.

Background: People with HIV (PWH) demonstrate increased cardiovascular disease (CVD), due in part to increased immune activation, inflammation, and endothelial dysfunction.

Methods: In a randomized trial (INTREPID), 252 HIV-infected participants with dyslipidemia and no history of coronary artery disease were randomized (1:1) to pitavastatin 4 mg vs. pravastatin 40 mg for 52 weeks.

The circulating metabolome of human starvation.

The human adaptive starvation response allows for survival during long-term caloric deprivation. Whether the physiology of starvation is adaptive or maladaptive is context dependent: activation of pathways by caloric restriction may promote longevity, yet in the context of caloric excess, the same pathways may contribute to obesity. Here, we performed plasma metabolite profiling of longitudinally collected samples during a 10-day, 0-calorie fast in humans.