Providing the Tools to Facilitate Quality Care for Children with Sickle Cell Disease.

Meeting best-practice guidelines can significantly enhance quality of life and longevity for those with sickle cell disease (SCD). However, many clinical settings lack the necessary resources for optimal care. We present an integrated suite of tools and collaborative actions designed to enhance SCD care.

Eliminating Health Care Access and Quality Inequities in Sickle Cell Disease: Policy Lessons from the End Sepsis Initiative.

Sickle cell disease is a prime example of the devastating impact of healthcare inequities. The End Sepsis Initiative developed after a tragic death due to sepsis, provides a powerful model for the sickle cell community. This model recognizes the importance of evidence-based protocols and policy recommendations/mandates to drive transformative systems change.

Early increase of von Willebrand factor predicts adverse outcome in unstable coronary artery disease: beneficial effects of enoxaparin. French Investigators of the ESSENCE Trial.

Background: The pathogenesis of unstable angina and non-Q-wave myocardial infarction is still poorly understood, and early evaluation of prognosis remains difficult. We therefore studied the predictive value of 5 biological indicators of inflammation, thrombogenesis, vasoconstriction, and myocardial necrosis, and we examined the effects of enoxaparin and unfractionated heparin on these markers after 48 hours of treatment.

Methods And Results: Sixty-eight patients with unstable angina or non-Q-wave myocardial infarction randomized in the international ESSENCE trial participated in this French substudy.

Dentinal permeability of the dog canine after exposure of a cervical cavity to the beam of a CO2 laser.

The dentinal permeability of the axial wall of a class V cavities in the canine of the dog was analyzed before and after its laser CO2 irradiation at two energy levels: 285 J per cm2 and 570 J per cm2. The sealing of the exposed dentin was verified by means of a pellet of cotton wool placed in contact with the axial wall and on which 20 microliters of a 50 mg per ml solution of noradrenaline was injected with a micrometric syringe. The transdentinal passage of noradrenaline induces a vasoconstriction of the pulp which is attested by a drop in its blood pressure.