Acute Intermittent Porphyria in an Adolescent Patient: Diagnostic and Treatment Challenges.

Acute intermittent porphyria (AIP) is a rare inherited metabolic disorder caused by decreased activity of the enzyme porphobilinogen deaminase in the heme synthesis pathway. This leads to the accumulation of toxic porphyrin precursors, such as porphobilinogen and δ-aminolevulinic acid. Clinical manifestations typically include episodic bouts of severe neurovisceral pain and autonomic dysfunction.

Experimental and Theoretical Investigation of the Reaction of CH with Formaldehyde (CHO) at Very Low Temperatures and Application to Astrochemical Models.

Rate coefficients for the reaction of CH with CHO were measured for the first time over the temperature range of 37-603 K, with the CH radicals produced by pulsed laser photolysis and detected by CH radical chemiluminescence following their reaction with O. The low temperature measurements (≤93 K) relevant to the interstellar medium were made within a Laval nozzle gas expansion, while higher temperature measurements (≥308 K) were made within a temperature controlled reaction cell. The rate coefficients display a negative temperature dependence below 300 K, reaching (1.

Parental Perspectives on Pediatric Surgical Recovery: Narrative Analysis of Free-Text Comments From a Postoperative Survey.

Background: Qualitative experience data can inform health care providers how to best support families during pediatric postoperative recovery. Patient experience data can also provide actionable information to guide health care quality improvement; positive feedback can confirm the efficacy of current practices and systems, while negative comments can identify areas for improvement.

Objective: This study aimed to understand families' perspectives regarding their children's surgical recovery using qualitative patient experience data (free-text comments) from a prospective cohort study conducted within a larger study developing a postoperative-outcome risk stratification model.

A mixed methods evaluation of 99DOTS digital adherence technology uptake among adolescents treated for pulmonary tuberculosis in Uganda.

Introduction: Adolescents and young adults are at risk of poor adherence to tuberculosis (TB) treatment and subsequently worse TB treatment outcomes. Digital adherence technologies, including the mobile phone-based 99DOTS platform, can support TB treatment, but there is limited data on their use among adolescents.

Objective: To evaluate factors associated with the uptake of 99DOTS among adolescents with TB.