Management of Patients With Refractory Reflux-Like Symptoms Despite Proton Pump Inhibitor Therapy: Evidence-Based Consensus Statements.

Background: Many patients diagnosed with gastro-oesophageal reflux disease (GERD) have persistent symptoms despite proton pump inhibitor (PPI) therapy.

Aims: The aim of this consensus is to provide evidence-based statements to guide clinicians caring for patients with refractory reflux-like symptoms (rRLS) or refractory GERD.

Methods: This consensus was developed by the International Working Group for the Classification of Oesophagitis.

Stabilometry in Relation to Hip and Knee Muscle Force in Children with Surgically Treated Unilateral Slipped Capital Femoral Epiphysis.

Background/objectives: The main aim of our study was to analyze the stabilometric parameters in relation to hip and knee muscle force in children with unilateral slipped capital femoral epiphysis (SCFE) who had undergone surgical treatment. Another objective was to compare the stabilometry in three testing situations (eyes open, eyes closed, and head retroflexed).

Methods: In total, 26 patients with unilateral right SCFE treated via in situ fixation with one percutaneous screw performed stabilometry assessments under three different situations (with their eyes open, with their eyes closed, and with their head retroflexed) and isometric muscle force assessment of the bilateral hip flexors, extensors, abductors and adductors and bilateral knee flexors and extensors.

Influence of TiO Nanoparticles on the Physical, Mechanical, and Structural Characteristics of Cementitious Composites with Recycled Aggregates.

The aim of this study is to analyze the effect of the addition of TiO nanoparticles (NTs) on the physical and mechanical properties, as well as the microstructural changes, of cementitious composites containing partially substituted natural aggregates (NAs) with aggregates derived from the following four recycled materials: glass (RGA), brick (RGB), blast-furnace slag (GBA), and recycled textolite waste with WEEE (waste from electrical and electronic equipment) as the primary source (RTA), in line with sustainable construction practices. The research methodology included the following phases: selection and characterization of raw materials, formulation design, experimental preparation and testing of specimens using standardized methods specific to cementitious composite mortars (including determination of apparent density in the hardened state, mechanical strength in compression, flexure, and abrasion, and water absorption by capillarity), and structural analysis using specialized techniques (scanning electron microscopy (SEM) images and energy dispersive X-ray spectroscopy (EDS)). The analysis and interpretation of the results focused primarily on identifying the effects of NT addition on the composites.

Static Plantar Pressure under Different Conditions in Children with Surgically Treated Unilateral Slipped Capital Femoral Epiphysis.

Background: Slipped capital femoral epiphysis (SCFE) is the most common hip disease during infancy and adolescence. Our study aimed to analyze static plantar pressure in children with surgically treated unilateral SCFE.

Methods: Twenty-two children with right SCFE with in situ fixation with one percutaneous screw were assessed by PoData plantar pressure analysis under three different conditions (open eyes, eyes closed, and head retroflexed).

The Influence of Different Aggregates on the Physico-Mechanical Performance of Alkali-Activated Geopolymer Composites Produced Using Romanian Fly Ash.

In light of the urgent need to develop environmentally friendly materials that, at some point, will allow the reduction of concrete and, consequently, cement consumption-while at the same time allowing the reuse of waste and industrial by-products-alkali-activated fly ash (AAFA) geopolymer composite emerges as a material of great interest. The aim of this study was to investigate the physico-mechanical performance of composites based on AAFA binders and the effect of different types of aggregates on these properties. The experimental results indicate variations in flexural and compressive strength, which are influenced both by the nature and particle size distribution of aggregates and the binder-to-aggregate ratio.

Case Report of a Unique Intra-Operative Finding in a Pediatric Distal Radius Non-Union: Does This Shed Light on Other Non-Unions or Malunions in Children?

Non-unions are quite rare in closed fractures in children. Most distal radius fractures require orthopedic reduction and conservative treatment with very good radiological and clinical/functional results. In case of unsatisfactory reduction, surgical treatment is necessary to correct significant displacement.

Influence of the Extraction Solution on the Removal of Heavy Metals from Polluted Soils.

Soil pollution with heavy metals is a problem for the whole geosystem. The aim of the research is to identify new solutions for extracting heavy metals from polluted soils so that they can be further exploited. To this end, investigations of the physicochemical characteristics of the soil sample under study were carried out.

Thermophysical Characteristics of Clay for Efficient Rammed Earth Wall Construction.

This case study focuses on twelve compacted clay soil samples to understand their fundamental physical and thermal properties. For each sample, the density, thermal conductivity, thermal diffusivity, specific heat, and drying shrinkage were assessed. The identification and characterisation of the materials were also carried out by positioning them into the ternary diagram based on the percentage of sand, silt, and clay.

Research on Thermal Insulation Performance and Impact on Indoor Air Quality of Cellulose-Based Thermal Insulation Materials.

Worldwide, the need for thermal insulation materials used to increase the energy performance of buildings and ensure indoor thermal comfort is constantly growing. There are several traditional, well-known and frequently used thermal insulation materials on the building materials market, but there is a growing trend towards innovative materials based on agro-industrial waste. This paper analyses the performance of 10 such innovative thermal insulation materials obtained by recycling cellulosic and/or animal waste, using standardised testing methods.

Levodopa-Carbidopa Intestinal Gel for Parkinson's Disease over 11 years: One Center's "Real-World" Experience.

Background: Levodopa-carbidopa intestinal gel (LCIG) therapy has been shown to be a safe and effective treatment for advanced Parkinson's disease (PD). Limited data are available regarding long-term benefits and complications in Canada. Objective of the study was to review long-term experience and clinical outcomes in PD patients with LCIG therapy over 11 years in a multidisciplinary University clinic setting.

Interrater Reliability of Functional Lumen Imaging Probe Panometry and High-Resolution Manometry for the Assessment of Esophageal Motility Disorders.

Introduction: High-resolution manometry (HRM) and functional lumen imaging probe (FLIP) are primary and/or complementary diagnostic tools for the evaluation of esophageal motility. We aimed to assess the interrater agreement and accuracy of HRM and FLIP interpretations.

Methods: Esophageal motility specialists from multiple institutions completed the interpretation of 40 consecutive HRM and 40 FLIP studies.

Benign cartilaginous tumors of the hand, a five-year retrospective study.

Benign and malignant cartilaginous bone tumors of the hand are rare findings, however representing a particular pathology due to the capacity to induce significant functional impairment. Even though a large proportion of tumors of the hand and wrist are benign, these may present destructive characteristics, deforming adjacent structures until compromising function. The most appropriate surgical approach for most benign tumors is intralesional lesion resection.

Gastroenterologist and Patient Attitudes Toward Yoga as a Therapy for Irritable Bowel Syndrome: An Application of the Theory of Planned Behaviour.

Objectives: To identify irritable bowel syndrome (IBS) patients' attitudes, subjective norms, perceived control and intention to practice yoga and gastroenterologists' attitudes and current yoga recommendations for their patients with IBS.

Methods: Gastroenterologists and IBS patients completed online surveys including Theory of Planned Behaviour (TPB) constructs. Among IBS patients, multiple linear regression determined the multivariate associations between TPB variables and intention to practice yoga while controlling for significant socio-demographic variables.

Incidence of iatrogenic withdrawal syndrome and associated factors in surgical pediatric intensive care.

Background: Iatrogenic withdrawal syndrome (IWS) is a complication of prolonged sedation/analgesia in pediatric intensive care unit (PICU) patients. The epidemiology of IWS is poorly understood, as validated diagnostic tools are rarely used. The main objective of our study was to use the WAT-1 score to assess the incidence of IWS in our unit.

Influence of FeO, MgO and Molarity of NaOH Solution on the Mechanical Properties of Fly Ash-Based Geopolymers.

The use of waste from industrial activities is of particular importance for environmental protection. Fly ash has a high potential in the production of construction materials. In the present study, the use of fly ash in the production of geopolymer paste and the effect of FeO, MgO and molarity of NaOH solution on the mechanical strength of geopolymer paste are presented.

Abusive Head Trauma in Infants During the COVID-19 Pandemic in the Paris Metropolitan Area.

Importance: The COVID-19 pandemic and the containment and mitigation measures taken were feared to be associated with increased child abuse.

Objective: To investigate the trend of abusive head trauma (AHT) incidence and severity in infants during the COVID-19 pandemic.

Design, Setting, And Participants: In a time-series analysis of a longitudinal, population-based, cohort study, all consecutive cases of AHT in infants younger than 12 months old referred between January 2017 and December 2021 to Necker Hospital for Sick Children, the single regional pediatric neurosurgery center for the Paris metropolitan area, were included.

Extraction of Metals from Polluted Soils by Bioleaching in Relation to Environmental Risk Assessment.

Environmental pollution has particular implications for the whole geosystem and increases the global risk to human and ecological health. In this regard, investigations were carried out on soil samples to perform the quality status assessment by determining: pH, texture, structure and metal concentration, as well as carrying out an assessment of anthropogenic activity by determining pollution indices: C (contamination factor), C (degree of contamination), PLI (pollution load index), E (ecological risk index) and PERI (potential ecological risk index). Analyses on soil samples showed high concentrations of metals (Cu: 113-2996 mg kg; Pb: 665-5466 mg kg; Cr: 40-187 mg kg; Ni: 221-1708 mg kg).

Clinical and pathological features of upper limb nerve tumors - four years retrospective study.

Benign peripheral nerve tumors and malignant peripheral nerve tumors are rarely found in patients with upper limb tumors. A four-year retrospective study was conducted on patients with tumors in the upper limb area admitted to the Emergency Clinical Hospital, Bucharest, Romania. Seventeen patients were admitted within this time range, 15 of which were benign and two malignant.

Thermal Insulation Mattresses Based on Textile Waste and Recycled Plastic Waste Fibres, Integrating Natural Fibres of Vegetable or Animal Origin.

The current context provides, worldwide, the need to identify solutions for the thermal efficiency of constructions, through sustainable and innovative methods and products. A viable solution is to produce thermal insulating products by carding-folding technology, using natural fibres and recycled polyethylene terephthalate (rPET) and polyester (rPES) waste, converted to fibres. This paper presents experimental results obtained after testing several thermal insulation composite products produced using a mix of sheep wool, cellulose, rPET and rPES fibres.

Comparing PRP and bone marrow aspirate effects on cartilage defects associated with partial meniscectomy: a confocal microscopy study on animal model.

Aim: The aim of our study was to assess the therapeutic effects of platelet-rich plasma (PRP) and bone marrow aspirate concentrate (BMAC) in an animal knee lesion complex associating a large osteochondral defect and meniscal defect resulted from partial meniscectomy, a clinical situation that occurs quite often in orthopedic practice.

Materials And Methods: Twenty-one male rabbits were included in the study, and all underwent initial surgery on the right knee to create the osteochondral defect on the internal femoral condyle, and remove the anterior horn of the internal meniscus, simulating a clinical situation. Rabbits were separated in three study groups: control, PRP group, in which three PRP injections were administered, and BMAC group, in which one single BMAC injection was administered.

Influence of TiO Nanoparticles on the Resistance of Cementitious Composite Materials to the Action of Fungal Species.

The development of mold films on the cement surfaces of buildings is a health and safety problem for the population, aesthetic but also in terms of their durability. The use of specific performance of cementitious composites containing TiO nanoparticles, photoactivated by UV radiation, can be a viable solution to mitigate to eliminate these problems. The experimental studies presented aim to analyze the capacity to inhibit the development of mold type and on the surface of composite materials with nano-TiO content and the identification of the optimal range of nanomaterial addition.