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Recurrent acute pancreatitis (RAP) affects 15-36% of children with acute pancreatitis (AP) and may progress to chronicity. To determine the etiology and evolution of RAP, a descriptive retrospective cohort study was conducted in patients aged 1-18 years. Twelve patients with RAP were included out of 79 with AP, and demographic, etiological, clinical, analytical, and imaging data were collected.

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ECG Patterns of Occlusion Myocardial Infarction: A Narrative Review.

Ann Emerg Med

January 2025

Department of Emergency Medicine, University of Minnesota, Minneapolis, MN; Department of Emergency Medicine, Hennepin Healthcare, Minneapolis, MN.

The traditional management of acute coronary syndrome has relied on the identification of ST-segment elevation myocardial infarction (STEMI) as a proxy of acute coronary occlusion. This conflation of STEMI with acute coronary occlusion has historically overshadowed non-ST-segment elevation myocardial infarction (NSTEMI), despite evidence suggesting 25% to 34% of NSTEMI cases may also include acute coronary occlusion. Current limitations in the STEMI/NSTEMI binary framework underscore the need for a revised approach to chest pain and acute coronary syndrome management.

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The impact of deicer and anti-icer use on plant communities in stormwater detention basins: Characterizing salt stress and phytoremediation potential.

Sci Total Environ

January 2025

Occoquan Watershed Monitoring Laboratory, The Charles E. Via, Jr. Department of Civil and Environmental Engineering, Virginia Tech, 9408 Prince William Street, Manassas, VA, USA.

We present the results of a 1-year study that quantified salt levels in stormwater, soils, and plant tissues from 14 stormwater detention basins across Northern VA in an above-average snow year. We characterize (1) the level of salt stress plants experience, (2) the extent to which current plant communities feature salt tolerant species, and (3) the capacity of these species to phytoremediate soils and reduce the impacts of deicer and anti-icer use. Our results suggest that detention basin vegetation experience a range of salt stress levels that depend on drainage area type (roads: moderate to high > parking lots: low to moderate > pervious areas: none).

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Treatment options for recurrent high-risk non-muscle-invasive bladder cancer (HR NMIBC) and muscle-invasive bladder cancer (MIBC) are limited, highlighting a need for clinically effective, accessible, and better-tolerated alternatives. In this review we examine the clinical development program of TAR-200, a novel targeted releasing system designed to provide sustained intravesical delivery of gemcitabine to address the needs of patients with NMIBC and of those with MIBC. We describe the concept and design of TAR-200 and the clinical development of this gemcitabine intravesical system in the SunRISe portfolio of studies.

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Background: Despite increasing awareness in general practice, heart failure with preserved ejection fraction (HFpEF) remains under-diagnosed in the community due to diagnostic difficulties. Dedicated dyspnea clinics are responsible for diagnosing HFpEF and efficient referral from primary care physicians is the key to enhance its role.

Methods: This retrospective analysis was performed to assess the effectiveness of a one-year collaborative project between our dyspnea clinic and the Maebashi Medical Association.

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