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The Effect of Proximal Row Carpectomy and Trapeziectomy on First Ray Stability: A Cadaveric Study
CONCLUSION: We observed a significant increase in thumb metacarpal subsidence following concurrent trapeziectomy with PRC when compared to trapeziectomy alone. Our results suggest that performing both operations together would lead to a substantial risk of first ray subsidence.CLINICAL RELEVANCE: When treating concurrent basilar thumb and wrist arthritis, it may be more effective to stage the procedures or use a form of thumb metacarpal suspension or arthrodesis.PMID:37542496 | DOI:10.1016/j.jhsa.2023.06.013
Source: Hand Surgery - August 5, 2023 Category: Surgery Authors: Charles Carlson Anxhela Nezha Grant Mathison Robert Ablove Source Type: research

Long-running ProMED email service for alerting world to disease outbreaks is in trouble
The first news about the COVID-19 pandemic came not from a government or a scientific publication, but in an email from a disease-alert system called ProMED . This fateful missive in December 2019 about a few cases of a mysterious pneumonia in Wuhan, China, is just one example of how physicians and public health experts around the world have used the 30-year-old, free service to share real-time information about local disease outbreaks with tens of thousands of subscribers. But ProMED is now on life support. Much of its work came to a screeching halt yesterday when 21 of its 38 paid editors and moderators went o...
Source: Science of Aging Knowledge Environment - August 4, 2023 Category: Geriatrics Source Type: research

Monitoring Risk and Preventing Ischemic Stroke in the Very Old
This article examines current guidelines and evidence regarding medical management, lifestyle changes, and psychosocial interactions that can contribute to the primary and secondary prevention of ischemic stroke in the very old.AREAS COVERED: The authors conducted a literature search for ischemic stroke prevention and risk assessment in the elderly via PubMed. Furthermore, they describe current strategies for monitoring risk and preventing ischemic stroke in the elderly population.EXPERT OPINION: Ischemic stroke poses a significant health risk to the elderly, with prevention relying on managing modifiable risk factors such...
Source: Expert Review of Neurotherapeutics - August 4, 2023 Category: Neurology Authors: Mychael Delgardo Grant Rubin Thilan Tudor Anthony J Tang Geoffrey Reeves E Sander Connolly Source Type: research

Two-Second-Annealed 2D/3D Perovskite Films with Graded Energy Funnels and Toughened Heterointerfaces for Efficient and Durable Solar Cells
Angew Chem Int Ed Engl. 2023 Aug 4:e202309292. doi: 10.1002/anie.202309292. Online ahead of print.ABSTRACTThe 2D/3D perovskite heterostructures have been widely investigated to enhance the efficiency and stability of perovskite solar cells (PSCs). However, rational manipulation of phase distribution and energy level alignment in such 2D/3D perovskite hybrids are still of great challenge. Herein, we successfully achieved spontaneous phase alignment of 2D/3D perovskite heterostructures by concurrently introducing both 2D perovskite component and organic halide additive. The graded phase distribution of 2D perovskites with di...
Source: Angewandte Chemie - August 4, 2023 Category: Chemistry Authors: Xueqing Chang Jun-Xing Zhong Sibo Li Qin Yao Yuxuan Fang Guo Yang Ying Tan Qifan Xue Longbin Qiu Qingqian Wang Yong Peng Wu-Qiang Wu Source Type: research

Monitoring Risk and Preventing Ischemic Stroke in the Very Old
This article examines current guidelines and evidence regarding medical management, lifestyle changes, and psychosocial interactions that can contribute to the primary and secondary prevention of ischemic stroke in the very old.AREAS COVERED: The authors conducted a literature search for ischemic stroke prevention and risk assessment in the elderly via PubMed. Furthermore, they describe current strategies for monitoring risk and preventing ischemic stroke in the elderly population.EXPERT OPINION: Ischemic stroke poses a significant health risk to the elderly, with prevention relying on managing modifiable risk factors such...
Source: Expert Review of Neurotherapeutics - August 4, 2023 Category: Neurology Authors: Mychael Delgardo Grant Rubin Thilan Tudor Anthony J Tang Geoffrey Reeves E Sander Connolly Source Type: research

Integration and application of radiologic patterns from clinical practice guidelines on idiopathic pulmonary fibrosis and fibrotic hypersensitivity pneumonitis
Chest. 2023 Aug 2:S0012-3692(23)01106-6. doi: 10.1016/j.chest.2023.07.068. Online ahead of print.ABSTRACTBACKGROUND: Clinical practice guidelines separately describe radiologic patterns of usual interstitial pneumonia (UIP) and fibrotic hypersensitivity pneumonitis (fHP), without direction on whether or how to apply these approaches concurrently within a single patient.RESEARCH QUESTION: How can we integrate guideline-defined radiologic patterns to diagnose interstitial lung disease (ILD) and what are the pitfalls associated with described patterns that require re-assessment in future guidelines?STUDY DESIGN AND METHODS: P...
Source: Chest - August 4, 2023 Category: Respiratory Medicine Authors: Daniel-Costin Marinescu Cameron J Hague Nestor L Muller Darra Murphy Andrew Churg Joanne L Wright Amna Al-Arnawoot Ana-Maria Bilawich Patrick Bourgouin Gerard Cox Celine Durand Tracy Elliot Jennifer Ellis Jolene H Fisher Derek Fladeland Amanda Grant-Orser Source Type: research

Two-Second-Annealed 2D/3D Perovskite Films with Graded Energy Funnels and Toughened Heterointerfaces for Efficient and Durable Solar Cells
Angew Chem Int Ed Engl. 2023 Aug 4:e202309292. doi: 10.1002/anie.202309292. Online ahead of print.ABSTRACTThe 2D/3D perovskite heterostructures have been widely investigated to enhance the efficiency and stability of perovskite solar cells (PSCs). However, rational manipulation of phase distribution and energy level alignment in such 2D/3D perovskite hybrids are still of great challenge. Herein, we successfully achieved spontaneous phase alignment of 2D/3D perovskite heterostructures by concurrently introducing both 2D perovskite component and organic halide additive. The graded phase distribution of 2D perovskites with di...
Source: Angewandte Chemie - August 4, 2023 Category: Chemistry Authors: Xueqing Chang Jun-Xing Zhong Sibo Li Qin Yao Yuxuan Fang Guo Yang Ying Tan Qifan Xue Longbin Qiu Qingqian Wang Yong Peng Wu-Qiang Wu Source Type: research

Integration and application of radiologic patterns from clinical practice guidelines on idiopathic pulmonary fibrosis and fibrotic hypersensitivity pneumonitis
Chest. 2023 Aug 2:S0012-3692(23)01106-6. doi: 10.1016/j.chest.2023.07.068. Online ahead of print.ABSTRACTBACKGROUND: Clinical practice guidelines separately describe radiologic patterns of usual interstitial pneumonia (UIP) and fibrotic hypersensitivity pneumonitis (fHP), without direction on whether or how to apply these approaches concurrently within a single patient.RESEARCH QUESTION: How can we integrate guideline-defined radiologic patterns to diagnose interstitial lung disease (ILD) and what are the pitfalls associated with described patterns that require re-assessment in future guidelines?STUDY DESIGN AND METHODS: P...
Source: Chest - August 4, 2023 Category: Respiratory Medicine Authors: Daniel-Costin Marinescu Cameron J Hague Nestor L Muller Darra Murphy Andrew Churg Joanne L Wright Amna Al-Arnawoot Ana-Maria Bilawich Patrick Bourgouin Gerard Cox Celine Durand Tracy Elliot Jennifer Ellis Jolene H Fisher Derek Fladeland Amanda Grant-Orser Source Type: research

Monitoring Risk and Preventing Ischemic Stroke in the Very Old
This article examines current guidelines and evidence regarding medical management, lifestyle changes, and psychosocial interactions that can contribute to the primary and secondary prevention of ischemic stroke in the very old.AREAS COVERED: The authors conducted a literature search for ischemic stroke prevention and risk assessment in the elderly via PubMed. Furthermore, they describe current strategies for monitoring risk and preventing ischemic stroke in the elderly population.EXPERT OPINION: Ischemic stroke poses a significant health risk to the elderly, with prevention relying on managing modifiable risk factors such...
Source: Expert Review of Neurotherapeutics - August 4, 2023 Category: Neurology Authors: Mychael Delgardo Grant Rubin Thilan Tudor Anthony J Tang Geoffrey Reeves E Sander Connolly Source Type: research