162 research outputs found

    British Heart Rhythm Society Standards for Implantation and Follow-up of Cardiac Rhythm Management Devices in Adults: January 2024 Update.

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    Copyright: © The Author(s) 2024. This work is open access and is licensed under CC BY-NC 4.0. Users may copy, redistribute and make derivative works for non-commercial purposes, provided the original work is cited correctlyThis updated guidance is designed to help with implantation and follow-up with agreed standards of practice. The update includes new guidance on subcutaneous defibrillators, leadless pacemakers and conduction system pacing. It includes new guidance on considerations at the time of a potential box change and techniques to be considered to minimise the risk of infection

    Endocarditis prevention: time for a review of NICE guidance

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    In 2023, the European Society of Cardiology (ESC) updated its infective endocarditis (IE) guidelines strongly endorsing antibiotic prophylaxis (AP) before invasive dental procedures (IDPs) for high-risk patients, elevating their recommendation to Class I. The American Heart Association (AHA) is aligned with this view and reaffirmed the need for AP to prevent IE in those at high-risk in its 2021 guidelines. In contrast, the UK's National Institute for Health and Care Excellence (NICE) recommends against routine AP use. Despite considerable new evidence, NICE has not reviewed this recommendation since 2015. In this Personal View, we review the new evidence that has arisen since 2015. Our analysis establishes the association between IDPs and IE and shows that AP is both safe and effective in reducing the IE-risk following IDPs in those at high-risk. Data also show that AP is cost-effective and would result in significant cost savings and health benefits if re-introduced into the UK's National Health Service for high-risk patients. Given these insights, we argue it is time NICE reviewed its guidance so that high-risk patients in the UK receive the same protection against IE that is afforded to patients in the rest of the world

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    Rangeland Ecology & Management

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    Flood irrigation on western rangelands is important for diverse social and ecological reasons, providing forage for many agricultural operations and maintaining many critical wetlands across the region. However, recent debate over the efficiency of flood irrigation and resulting transition to other "more efficient" types of irrigation has put many of the working wet meadows sustained by flood irrigation at risk. As the sustainability of these landscapes is primarily dependent on ranchers' management decisions, we sought to gain a deeper understanding of factors influencing ranchers who flood irrigate and how these factors interrelate. We applied the Community Capitals Framework to explore what considerations act as enablers and constraints to maintaining flood irrigation and to evaluate the role of each type of capital in enabling and constraining the coproduction of working wet meadows for ranchers and the environment. Our qualitative analysis of facilitated workshop transcripts and observation notes from two study areas within the Intermountain West showed that ranchers perceived constraining and enabling factors of flood irrigation related to all seven types of community capitals: natural, financial, built, cultural, human, social, and political. The irrigation methods used by ranchers were heavily influenced by environmental components of the landscape rather than reflecting a choice among alternative methods. Other prominent enablers included a commitment toward maintaining the natural history of the landscape and the ranching lifestyle. Primary constraints included the impact of public misperception and the ability to pass their operation on to the next generation. Ranchers weighed multiple considerations simultaneously in a holistic, community-scale approach to management decisions and described how diverse enablers and constraints interacted to determine the viability of flood irrigation and ranching. These results indicate rancher decisions are driven by complex social-ecological considerations and demonstrate the importance of each capital type to rangeland conservation. (C) 2019 The Author(s). Published by Elsevier Inc. on behalf of The Society for Range Management.US Dept of Agriculture (USDA) Natural Resource Conservation Service (Oregon State Office); US Fish and Wildlife Service (Mountain-Prairie Region) through the US Geological Survey Cooperative Research Unit [RWO 174]; USDA Farm Service AgencyPublished versionThis work was funded by the US Dept of Agriculture (USDA) Natural Resource Conservation Service (Oregon State Office) and the US Fish and Wildlife Service (Mountain-Prairie Region) through the US Geological Survey Cooperative Research Unit RWO 174 to Virginia Tech with a subcontract to University of Montana. In addition, the PI of the project and second author (Dr. Ashley Dayer) has another research project studying agricultural producers outside of the study area funded by the USDA Farm Service Agency

    UA Little Rock Seminar in Public History (HIST 7391) files on the Arkansas Symphony Orchestra, 1998

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    This collection contains the project report, interview transcripts, and audiocassette tapes from the University of Arkansas at Little Rock's Seminar in Public History's 1998 project, "The Arkansas Symphony Orchestra: On the Edge of the Future," directed by Deborah J. Baldwin, Ph.D., which includes a history of the Arkansas Symphony Orchestra and interviews with news columnists, musicians, managers, and others.; Project staff: Mark-Anthony Conti, Ken Dayer, Shane Dutton, Sarah Jampole, Kathy Jones, William McAlexander, Stephan McAteer, Bryan McDadeUA Little Rock Seminar in Public History (HIST 7391) files on the Arkansas Symphony Orchestra, 199

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    IL-1 Inhibition

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    This eBook is a collection of articles from a Frontiers Research Topic. Frontiers Research Topics are very popular trademarks of the Frontiers Journals Series: they are collections of at least ten articles, all centered on a particular subject. With their unique mix of varied contributions from Original Research to Review Articles, Frontiers Research Topics unify the most influential researchers, the latest key findings and historical advances in a hot research area! Find out more on how to host your own Frontiers Research Topic or contribute to one as an author by contacting the Frontiers Editorial Office: frontiersin.org/about/contac
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