A clinical audit of hypomagnesaemia management at Scarborough General Hospital.

Background: Hypomagnesaemia is a common electrolyte disturbance that can lead to severe complications, including cardiac dysrhythmias and neuromuscular instability. Despite established guidelines by the York and Scarborough Teaching Hospitals NHS Foundation Trust, there is concern that these protocols are not consistently followed, potentially compromising patient outcomes. Objective: This audit aimed to evaluate the management of hypomagnesaemia at Scarborough General Hospital, focusing on adherence to trust guidelines and identifying areas for improvement in clinical practice.

Efficient Load-Bearing Capacity Assessment of a Degraded Concrete Manhole Using Sectional Homogenization.

This study addresses a practical and efficient approach to evaluating the load-bearing capacity of severely degraded concrete manholes. Concrete deterioration, often advanced and highly irregular, can be captured accurately through surface scanning to create a detailed model of the damaged structure and also to build a simplified modeling to enable rapid engineering-level assessment, filling a critical gap in infrastructure maintenance. The repair strategy involves applying an internal polyurea layer, a variable-thickness polyurethane foam layer depending on the degree of localized degradation, and an external polyurea layer to restore the original shape of the manhole.

Application of Experimental Studies of Humidity and Temperature in the Time Domain to Determine the Physical Characteristics of a Perlite Concrete Partition.

These days, the use of natural materials is required for sustainable and consequently plus-, zero- and low-energy construction. One of the main objectives of this research was to demonstrate that pelite concrete block masonry can be a structural and thermal insulation material. In order to determine the actual thermal insulation parameters of the building partition, in situ experimental research was carried out in real conditions, taking into account the temperature distribution at different heights of the partition.

Acute Metabolic Decompensation of Isovaleric Acidemia Presenting as Persistent Metabolic Acidosis in a Middle-Aged Man: A Case Report.

Isovaleric acidemia is a rare autosomal recessive inborn error of metabolism that affects the breakdown of the essential amino acid leucine. Acute metabolic decompensation is often triggered by stressors such as surgery, concurrent illness, excessive protein intake, or dehydration. This can lead to a catabolic state with increased endogenous protein turnover, posing a risk of potentially life-threatening crises due to the accumulation of toxic metabolites from incomplete leucine breakdown.

Rapid diazotransfer for selective lysine labelling.

Azide functionalization of protein and peptide lysine residues allows selective bioorthogonal labeling to introduce new, site selective functionaltiy into proteins. Optimised diazotransfer reactions under mild conditions allow aqueous diazotransfer to occur in just 20 min at pH 8.5 on amino acid, peptide and protein targets.