Methane and nitrous oxide fluxes from reference, restored, and disturbed estuarine wetlands in Pacific Northwest, USA.

There is substantial interest in restoring tidal wetlands because of their high rates of long-term soil carbon sequestration and other valued ecosystem services. However, these wetlands are sometimes net sources of greenhouse gases (GHG) that may offset their climate cooling potential. GHG fluxes vary widely within and across tidal wetlands, so it is essential to better understand how key environmental drivers, and importantly, land management, affect GHG dynamics.

Medial Patellofemoral Ligament Repair Augmented With Reinforced Bioinductive Implant Using Double-Bundle Patella Docking Technique.

Medial patellofemoral ligament (MPFL) reconstruction with allograft is the current standard surgical treatment for recurrent lateral patellar instability. The authors describe a technique for MPFL repair that is augmented with a reinforced bioinductive implant inserted using a double-bundle patella docking technique. The tensile strength of the implant provides resistance to patellar translation during healing, offering a notable advantage to historically described MPFL repair techniques and paralleling the benefits of allograft over autograft when used for MPFL reconstruction.

Mean arterial pressure differences between cuff oscillometric and invasive blood pressure.

Differences between automated cuff oscillometric blood pressure (BP) and invasive measurements are well described, but the causes are not fully understood. Automated BP devices record cuff oscillometric mean arterial pressure (MAP) as a key measurement step that is presumed to be accurate, but if not, could create error in cuff systolic (SBP) and diastolic BP (DBP) estimations. This has never been determined and was the aim of the study.

Factors Associated with Mortality in Nosocomial Lower Respiratory Tract Infections: An ENIRRI Analysis.

: Nosocomial lower respiratory tract infections (nLRTIs) are associated with unfavorable clinical outcomes and significant healthcare costs. nLRTIs include hospital-acquired pneumonia (HAP), ventilator-associated pneumonia (VAP), and other ICU-acquired pneumonia phenotypes. While risk factors for mortality in these infections are critical to guide preventive strategies, it remains unclear whether they vary based on their requirement of invasive mechanical ventilation (IMV) at any point during the hospitalization.

A narrative review on the future of ARDS: evolving definitions, pathophysiology, and tailored management.

Acute respiratory distress syndrome (ARDS) is a severe complication of critical illness, characterized by bilateral lung infiltrates and hypoxemia. Its clinical and pathophysiological heterogeneity poses challenges for both diagnosis and treatment. This review outlines the evolution of ARDS definitions, discusses the underlying pathophysiology of ARDS, and examines the clinical implications of its heterogeneity.