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Super-Robust Cellulose Rayon Filaments Engineered via Molecular Orientation-Cross-linking Assembly.

Developing high-performance regenerated cellulose fibers as sustainable alternatives to nonrenewable and nonbiodegradable synthetic fibers (e.g., polyamide and polyester) remains a critical challenge, particularly in addressing the environmental concerns of conventional viscose rayon and the fibrillation issues of Lyocell fibers. This study introduces a molecular orientation-cross-linking assembly technology integrated with dry-jet wet spinning, employing a deep eutectic solvent system (ZnCl2/formic acid/water) for efficient cellulose dissolution. Through synergistic gravity-assisted traction …

Non-Communicable Disease: Challenges and Opportunities for Global Regulation of Tobacco, Unhealthy Food, and Alcohol.

Non-communicable diseases (NCDs) represent a significant global health challenge, requiring distinct prevention and control strategies. Public health efforts have concentrated on regulating three primary risk factors: tobacco and nicotine products, unhealthy foods and beverages, and alcohol. While the World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC) stands as a legally binding international treaty, similar international legal efforts for alcohol and unhealthy foods have never gained significant traction. Consequently, global governance of NCD risk factors largely …

Treatment approaches for refractory full-thickness macular holes.

PURPOSE OF REVIEW: Full-thickness macular holes (FTMH) can result in significant visual impairment if untreated. Although conventional treatment achieves high closure rates, FTMH can persist or reopen in some cases. This review examines recent advances in surgical approaches for managing refractory FTMH and highlights their effectiveness and limitations. RECENT FINDINGS: Approaches to refractory FTMH aim to relieve traction, encourage glial cell proliferation, improve RPE pump efficiency, increase retinal compliance, and/or provide replacement tissue. A variety of techniques targeting these m…

New Strategy for Uterine Parametrium Tissue Dissection Using Robotically Enhanced Surgical Anatomy for Robot-assisted Hysterectomy.

The concept of robotically enhanced surgical anatomy (RESA) has recently been proposed. We concur with the concept of RESA and have been pursuing surgical techniques that benefit from the attribute of robot-assisted surgery. We evaluated RESA and its significance for organ dissection and cavity development in total robot-assisted hysterectomy. Pelvic cavity development and organ dissection can be achieved naturally by applying the appropriate counter traction and carefully dissecting the areolar connective tissue identified by RESA. For uterine parametrial tissue, which is based on the bunchin…

Диапазон микроциклического отёка: патогенетические озарения, клинические организмы и функциональный прогноз.

Микроцистично-макулярный отек (ММВ) — это наличие небольших цитоидных аномалий, локализованных во внутреннем ядерном сетчатке. В ряде сообщений, которые впервые были выявлены в контексте множественного склероза, подчеркивалось наличие микроциклических изменений в нескольких зрительных нервах, таких, как оптика нейромиелита, оптическая атрофия из нескольких этиологий, медицинские заболевания сетчатки, такие, как возрастной макулярное дегенерация и диабетическая ретинопатия, а также в период после очищения эпиретиновой мембраны. Как правило, эти кисты не связаны с утечкой сосудистых материалов,

Совпадение в аннотации оригинала
Microcystic macular edema (MME) is the presence of small cystoid abnormalities localized in the inner nuclear layer of the retina. First ide … ptic degeneration likely, more recently flanked by theories including the presence of vitreomacular traction and Müller cells dysfunction. We gather all the insights regarding the pathogenesis, epidemiology and functional impact of MME.

The Mechanism and Management of Pneumopericardium Caused by Right Ventricular Lead Perforation.

An 83-year-old man underwent dual-chamber pacemaker placement for complete atrioventricular block at another hospital. The active-fixation v … age, and the patient's hemodynamics stabilized. The RV lead was percutaneously removed using simple traction under fluoroscopic guidance with cardiac surgical backup and was uneventfully refixed to the RV septum. Although there have been several reports of pneumopericardium caused by atrial lead perforation, there are very few cases related to RV lead. Pne …

Upper Extremity Pseudoparalysis: A Case Report of Bilateral Nursemaid's Elbows.

Radial head subluxation (RHS), commonly known as 'nursemaid's elbow,' typically presents in pediatric patients with acute-onset unilateral arm pain and pseudoparalysis. The classic mechanism of injury involves a longitudinal traction force pulling the radial head through the annular ligament. Bilateral RHS is exceedingly rare, with only a few cases documented in the literature; notably, all cases with a provided history and physical exam presented with the classic mechanism of injury, aiding in diagnosis and treatment. Here, we report the case of a two-year-old male with bilateral RHS who pres…

"This Won't Hurt a Bit": Is There a Role for Music in Bedside Procedures?

Music has played a long and storied role in clinical healing. However, the integration of music into clinical practice has been slow to gain traction, despite a recent meta-analysis demonstrating association of music interventions with clinically meaningful improvements in health-related quality of life. There is growing evidence that music has an active role in reducing patient pain and anxiety as well as affecting physiologic parameters, such as heart rate and blood pressure, in an ICU setting. Past studies have shown that incorporation of music into procedures in the operating room, radiolo…

Transoral Endoscopy-Assisted Tongue-Lip Adhesion With Modified Tongue Base Suspension in a Pierre-Robin Sequence: A Safe and Effective Technique.

Life-threatening airway obstruction is a major concern in patients with Pierre-Robin sequence. Tongue-lip adhesion (TLA) has been used to manage airway obstruction. The authors present the case of a female neonate with Pierre-Robin sequence who presented with airway obstruction and a cleft palate. She underwent a TLA procedure with modified tongue base suspension (TBS). Endoscopy was used to check and control the traction of the tongue base to enable unobstructed self-ventilation. Positive outcomes including improved O2 saturation and weight gain were noted. The effectiveness of TLA was enhanc…

Orthodontic Treatment for a Patient with Root Resorption of All Four Maxillary Incisors due to Bilaterally Impacted Canines.

Maxillary canines require the longest period from the generation of the tooth germ to the completion of eruption, and they have more difficu … brackets. No further root resorption of the central incisors was observed for 5 years after canine traction. This case demonstrates the importance of early detection of abnormally positioned canines.

Misplacement of the PEG tube through the transverse colon, an uncommon but possible complication.

Misplacement of the Percutaneous Endoscopic Gastrostomy (PEG) tube through the transverse colon mainly by traction is an uncommon complication probably due to inadvertent puncture of colon during PEG placement, resulting in gastrocolocutaneous fistula. Stool drainage through the stoma is usually the only symptom. We report a 52-year-old male with Wernicke-Korsakoff syndrome and PEG tube placement 7 months earlier and replacement one month ago. Due to stool drainage through the stoma was observed, he was performed a computed tomography (CT) in which PEG tube was visualized lodged in transverse …

Expert Opinion on Usage of Pidotimod in Adult Patients with Chronic Obstructive Pulmonary Disease: An Indian Perspective.

India has a disproportionately high burden of acute and chronic pulmonary diseases. In India, 65 million suffer from non-communicable respiratory diseases. The outbreak of the novel coronavirus disease 2019 (COVID-19) had worsened the situation. Patients affected with COVID-19 with a previous history of comorbidities, such as COPD and chronic lung diseases, had the worst prognosis, resulting in adverse outcomes, such as acute respiratory distress syndrome (ARDS) and pneumonia. Immune modulation strategies have since gained a lot of traction amongst practitioners. Modulation of the immune syste…

Video-Assisted Thoracoscopic Internal Rib Fixation.

Rib fractures result in serious morbidity and mortality after trauma. Although there is ongoing debate about surgical rib fixation, it is increasingly important for some patients. Minimally invasive techniques for rib fixation are gaining traction within the trauma community. We present an observational experience at our level 1 trauma center with our first 10 cases of video-assisted thoracoscopic surgery (VATS) internal rib fixation. Video-assisted thoracoscopic surgery internal plates are especially helpful for rib fractures under the scapula, which are difficult to access traditionally. Thi…

Evolutionarily distant I domains can functionally replace the essential ligand-binding domain of Plasmodium TRAP.

Inserted (I) domains function as ligand-binding domains in adhesins that support cell adhesion and migration in many eukaryotic phyla. These … ted polyspecific I domains in part for their ability to engage with multiple ligands and to provide traction for emigration into diverse organs in distant phyla.

A Very Rare Cause of Splenic Injury: Splenic Hematoma Following a Diagnostic Upper Endoscopy (Esophagogastroduodenoscopy) and Biopsy of Gastric Ulcer.

The potential for splenic injury from esophagogastroduodenoscopy (EGD) is exceptionally low. To our knowledge, less than five cases have bee … made with computed tomography (CT) imaging. The mechanism of splenic injury attributable to EGD is traction on the greater curvature of the stomach, causing avulsion of the splenic or short gastric vessels. We feel this case represents a very rare yet serious complication of EGD that warrants consideration and further investigation.

Interstitial Lung Fibrosis Imaging Reporting and Data System: What Radiologist Wants to Know?

The aim of this work is to review interstitial lung fibrosis Imaging Reporting and Data System (ILF-RADS) that was designed for reporting of interstitial lung fibrosis (ILF). Findings include pulmonary and extrapulmonary findings and is subsequently designed into 4 categories. Pulmonary findings included lung volume, reticulations, traction bronchiectasis, honeycomb, nodules, cysts, ground glass, consolidation, mosaic attenuation and emphysema, and distribution of pulmonary lesions; axial (central, peripheral and diffuse), and zonal distribution (upper, middle, and lower zones). Complications …

Large Subchorionic Cyst Located at Umbilical Cord Insertion with Vascular Displacing and Intracystic Hemorrhage/Hematoma: A Case Report.

Background: Large subchorionic cysts usually arise close to the placental cord insertion site (PCIS) inducing traction on the umbilical cord, impairing blood flow and favoring fetal growth restriction (FGR). Intracystic hemorrhage/hematoma is likely due to the prothrombotic properties of X cells secretion (extravillous trophoblast), which line the cyst wall. Case report: We describe a large subchorionic cyst located exactly at the PCIS, displacing the umbilical cord vessel branches running along the cyst surface. The fetus presented with FGR. At 36 weeks of gestational age, the cyst measured 7…

Transoral robotic selective neck dissection for papillary thyroid carcinoma: Dissection of Levels III and IV.

We present the operative procedure of transoral robotic selective neck dissection for papillary thyroid carcinoma. A 28-year-old woman, diag … missure. An additional right axillary port was made to place a third robotic instrument for counter-traction. The operation was completed successfully without conversion to the conventional transcervical approach. The working space and surgical view were enough to perform selective neck dissection of levels III and IV. There were no major postoperative com …

Bilateral acetabular fractures induced by an epileptic seizure in a paediatric patient: a unique case and its management.

Bilateral acetabular fractures following epileptic seizures are a rare but known occurrence in adults, with an 18.5% mortality rate. These f … ent underwent initial damage control intervention with insertion of bilateral distal femur skeletal traction. Definitive fixation of the acetabular fractures occurred 1 week later with an open reduction internal fixation with novel supra-pectineal plates using a Pfannenstiel incision. We use this report to increase awareness of significant pelvic injuries …

Lower-lobe predominant pleuroparenchymal fibroelastosis.

Upper-lobe predominance of elastofibrosis is agreed upon for the diagnosis of clinical pleuroparenchymal fibroelastosis (PPFE). We herein describe a patient with dermatomyositis-related interstitial pneumonia with a histology of lower-lobe predominant PPFE. A 71-year-old woman who had been diagnosed with dermatomyositis-related interstitial pneumonia died of respiratory failure. The computed tomography patterns of the lower lobes showed reticular and ground-glass opacities with traction bronchiectasis. An autopsy revealed that the bilateral lower lobes were sclerotic with decreased air volume.…