Peripheral Arterial Insufficiency

Robotic-assisted partial nephrectomy (RAPN) led to a lower rate of complications compared with open partial nephrectomy (OPN) in patients with intermediate- or high-complexity kidney tumors, the randomized OpeRa trial found. Among over 200 patients, 36.6% of those who underwent RAPN had a postoperative complication of any kind within 30 days -- the trial's primary endpoint -- compared with 46.1% of those who underwent OPN, reported Marc-Oliver Grimm, MD, of University Hospital in Jena, Germany, during a presentation at the European Association of Urology (EAU) annual congress. While that difference was "close to the 10% we expected," Grimm said, he acknowledged the trial was not statistically powered to show a significant difference in its primary endpoint, since it was stopped prematurely due to slow enrollment. "The main difference in favor of the robotic arm was due to low-grade complications," he noted. "High-grade complications were, in gener

Introduction On 6 May 2022, the UK High Consequence Infectious Diseases (HCID) network was alerted to an individual with monkeypox who had recently returned from West Africa. Six further infected individuals were identified the following week, without epidemiological linkage to West Africa. As of 12 July, 1735 people had been identified with monkeypox in the UK, most (96%) occurring in gay, bisexual, or other men who have sex with men, and 79% occurring in London.12 People with monkeypox infection have also been reported in several other non-endemic countries in Europe and the Americas, with the highest reported case loads outside of the UK in Spain and Germany.3 Monkeypox is due to an orthopoxvirus, which rarely causes disease in humans. Although the exact reservoir of the virus is still unknown, rodents are suspected to play a part in transmission. The virus was first identified in 1958, among primates in captivity for research purposes.4 Two genetically distinct viral clades are des

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We independently research, test, review, and recommend the best products—learn more about our process. If you buy something through our links, we may earn a commission. Toners are a beneficial addition to a skincare routine if someone experiences increased oils on the surface of the skin or acne. "A toner can provide a second cleansing step to remove residual oil, product, dirt, bacteria, pollution, and debris that may remain after washing your skin with a cleanser and water," says Cynthia Bailey, MD, dermatologist and founder of Dr. Bailey Skin Care. Toners have a reputation for drying your skin out and potentially causing more irritation. However, with the right ingredients, toners can be beneficial—especially if you have acne-prone skin. Active ingredients include alpha hydroxy acids (AHAs) and beta hydroxy acids (BHAs), which are both known to rid the pores of dirt and debris while smoothing the skin. "Look for glycolic and salicylic acid, which help

Abstract Concomitant percutaneous transluminal angioplasty (PTA) at the time of percutaneous coronary intervention (PCI) is often performed because lower extremity artery disease (LEAD) commonly coincides with coronary artery disease. We investigated the impact of concomitant PTA on both cardiovascular and limb outcomes in the Korean National Health Insurance Service registry. Among 78,185 patients undergoing PCI, 6563 patients with stable LEAD without limb ischemia were included. After 1:5 propensity score matching was conducted, 279 patients in the PTA + PCI group and 1385 patients in the PCI group were compared. Multivariate Cox proportional hazard models showed that the risk of all-cause death was higher in the PTA + PCI group than in the PCI group, whereas the risks of myocardial infarction, repeat revascularization, stroke, cardiovascular death and bleeding events were not different between the 2 groups. In contrast, the risks of end-stage renal disease and unfavorable limb outco