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We present a case of complete deficiency of the Interferon alpha/beta receptor alpha chain (IFNAR1) in a child with fatal systemic hyperinflammation, apparently provoked by live-attenuated viral vaccination. Such pathologic hyperinflammation, fulfilling criteria for haemophagocytic lymphohistiocytosis, is an emerging phenotype accompanying inborn errors of type I interferon immunity.
Can consensus definitions for the core outcome set for infertility be identified in order to recommend a standardized approach to reporting?
Consensus definitions for individual core outcomes, contextual statements and a standardized reporting table have been developed.
Different definitions exist for individual core outcomes for infertility. This variation increases the opportunities for researchers to engage with selective outcome reporting, which undermines secondary research and compromises clinical practice guideline development.
Potential definitions were identified by a systematic review of definition development initiatives and clinical practice guidelines and by reviewing Cochrane Gynaecology and Fertility Group guidelines. These definitions were discussed in a face-to-face consensus development meeting, which agreed consensus definitions. A standardized approach to reporting was also developed as part of the process.
Healthcare professionals, researchers and people with fertility problems ial interest in NexHand. E.H.Y.N. reports research sponsorship from Merck. A.S. reports consultancy fees from Guerbet. selleck chemicals llc J.W. reports being a statistical editor for the Cochrane Gynaecology and Fertility Group. A.V. reports that he is a Statistical Editor of the Cochrane Gynaecology & Fertility Review Group and of the journal Reproduction. His employing institution has received payment from Human Fertilisation and Embryology Authority for his advice on review of research evidence to inform their 'traffic light' system for infertility treatment 'add-ons'. N.L.V. reports consultancy and conference fees from Ferring, Merck and Merck Sharp and Dohme. The remaining authors declare no competing interests in relation to the work presented. All authors have completed the disclosure form.
Core Outcome Measures in Effectiveness Trials Initiative 1023.
Core Outcome Measures in Effectiveness Trials Initiative 1023.
For the patients seeking secondary upper blepharoplasty, a static double-eyelid fold featuring an immobile lower flap and depression of the fold is common.
In this study, the authors propose a novel technique of reconstructing pretarsal tissue defects (PTDs) to converting static folds to dynamic folds.
A total of 203 patients with static folds underwent revision surgery. After complete adhesion release of the lower flap, a PTD was identified, which was defined as an area deficient of orbicularis oculi muscle in front of the tarsal plate. If the width of the PTD was over 2 mm, tissue transfer was performed to reconstruct the PTD, usually with a free retro-orbicularis oculus fat graft or a pretarsal orbicularis oculi flap.
Among the 105 patients with severe static folds, 67 received retro-orbicularis oculus fat grafts and 38 received orbicularis oculi muscle flaps. This technique converted a static fold into a dynamic fold. The surgery satisfaction rate was 86.7%. Complications included partial fold loss (n = 7, 3.4%), complete fold loss (n = 3, 1.5%), sunken upper eyelids (n = 5, 2.5%), multiple folds (n = 3, 1.5%), an unnatural curve of the double fold (n = 5, 2.5%), and asymmetric folds (n = 4, 2.0%).
To convert a static fold to a dynamic fold, we devised a technique that releases adhesion of the lower flap and reconstructs the PTD with retro-orbicularis oculus fat graft or an orbicularis oculi muscle flap. Our study achieved a high patient satisfaction rate, and the resulting fold mimicked the dynamics of the congenital double-eyelid fold.
Skin scarring can occur after punch biopsies, prohibiting their routine use especially in the central face.
This paper describes a scarless 0.33mm in diameter skin microbiopsy for molecular analysis of skin.
This is a single center, randomized, prospective study with fifteen subjects receiving no biopsy, or biopsy on the left or right nasolabial fold. Six blinded raters assessed subject photos at baseline, one month, and three months post biopsy to evaluate for a visualized scar. Patient and Observer Scar Assessment Scale (POSAS) was completed. Additionally, biopsies from various skin regions of body along with arm skin after treatment with a single Erbium-YAG laser were processed for molecular analysis.
All subjects did not exhibit scar formation based on evaluation of photographs and patient feedback. There was no mark at the biopsy site seven days post-procedure. Optical Coherence Tomography showed a complete closing of the biopsy-punch wound 48-hours post-biopsy. One-month post-biopsy, photography reviewers were unable to identify a scar, on average, 90% of the time at three-month follow-up. Microbiopsies from various anatomical regions were successfully extracted for histology, electron microscopy and gene expression analysis. Selected skin rejuvenation markers in the biopsies from Erbium-YAG treated forearm skin resulted in significant gene upregulation in extracellular matrix molecules following one-month post treatment compare to untreated skin.
A core micro-biopsy of 0.33mm can be extracted reproducibly for histological, ultrastructural and gene expression analysis without scarring. This allows repeated sampling for assessment of skin treatments and diseases including aesthetics and wound healing progress.
A core micro-biopsy of 0.33mm can be extracted reproducibly for histological, ultrastructural and gene expression analysis without scarring. This allows repeated sampling for assessment of skin treatments and diseases including aesthetics and wound healing progress.
To investigate the characteristics of complement activation products and angiogenic cytokines in the aqueous humor in eyes with pachychoroid neovasculopathy (PNV) and neovascular age-related macular degeneration (nAMD).
This was a prospective, comparative, observational study. All patients with choroidal neovascularization were classified as PNV without polyps, PNV with polyps (polypoidal choroidal vasculopathy [PCV]), or drusen-associated nAMD according to the presence or absence of pachychoroid features and soft drusen. This study included a total of 105 eyes. Aqueous humor samples were collected from 25 eyes with PNV without polyps, 23 eyes with PCV, and 24 eyes with drusen-associated nAMD before intravitreal anti-vascular endothelial growth factor (VEGF) injection and cataract surgery in 33 control eyes. Clinical samples were measured for complement component 3a (C3a), C4a, C5a, VEGF, and macrophage chemoattractant protein 1 (MCP-1) using a bead-based immunoassay.
C3a and MCP-1 levels were significantly higher in PCV (P = 0.
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