PostEbola sequelae among Ebola child heirs throughout Sierra Leone

We report on the structures of three unprecedented heteroleptic Sb-centered radicals [L(Cl)Ga](R)Sb. (2-R, R=B[N(Dip)CH]2 2-B, 2,6-Mes2 C6 H3 2-C, N(SiMe3 )Dip 2-N) stabilized by one electropositive metal fragment [L(Cl)Ga] (L=HC[C(Me)N(Dip)]2 , Dip=2,6-i-Pr2 C6 H3 ) and one bulky B- (2-B), C- (2-C), or N-based (2-N) substituent. Compounds 2-R are predominantly metal-centered radicals. Their electronic properties are largely influenced by the electronic nature of the ligands R, and significant delocalization of unpaired-spin density onto the ligands was observed in 2-B and 2-N. Cyclic voltammetry (CV) studies showed that 2-B undergoes a quasi-reversible one-electron reduction, which was confirmed by the synthesis of [K([2.2.2]crypt)][L(Cl)GaSbB[N(Dip)CH]2 ] ([K([2.2.2]crypt)][2-B]) containing the stibanyl anion [2-B]- , which was shown to possess significant Sb-B multiple-bonding character. © 2020 The Authors. Published by Wiley-VCH Verlag GmbH & Co. KGaA.INTRODUCTION The ablation of outflow tract premature ventricular contractions (PVCs) is generally safe and effective. In some patients, successful ablation sites may not correlate with the earliest activation. We sought to evaluate mechanistic and anatomic relevance of the region below the left sinus of Valsalva in variable morphology outflow tract ventricular arrhythmias. METHODS PVC cases where ablation was in the region inferior to the left sinus of Valsalva were identified. CC-115 Procedural and demographic information and long-term outcomes were obtained. Cadaver dissections to evaluate regional anatomy were done as well. RESULTS A total of 51 cases were included (age 53 ± 10; 37 [73%] males). Ablation was done for high PVC burden (>20%; mean 27% ± 8%) and presence of symptoms (73%) or ejection fraction less than 50% (78%). QRS morphology included either R wave (8; 16%), Rs (9; 18%), or rS (67%) in lead I, no precordial transition (40; 78%), V2 transition, (7; 14%), or V3 transition (4; 8%). In 31 (61%), the site just below the left coronary cusp was the earliest site, while the remainder had another site earlier. Ablation was acutely successful in 50 of 51 (98%). After 3 months, success was noted in 48 of 51 (94%). In two patients, repeat ablation in the same region resulted in durable suppression. CONCLUSION The cases presented emphasize the importance of a region centered below the left sinus of Valsalva, where multivariable morphology QRS may be successfully ablated. Consideration of mapping and ablation even when signals are late in this region may be warranted in previously failed ablation attempts or first-line evaluation. © 2020 Wiley Periodicals, Inc.Not all treatment-naïve patients receiving entecavir (ETV) or tenofovir disoproxil fumarate (TDF) therapy can achieve complete virological response, and many factors may be related with the outcome of partial virological response. This study aimed to determine whether the manner of drug administration affects the antiviral efficacy of ETV/TDF monotherapy. All eligible patients were divided into complete or partial response cohorts based on their virological response following 24-week therapy. Factors related with partial response were evaluated. Patients with partial response were further grouped depending on whether they later adjusted the manner of drug administration, and the antiviral efficacy was compared between the two groups during prolonged treatment. A total of 518 patients were enrolled. Suboptimal drug administration (OR 77.511, P = .000), positive-HBeAg (OR 3.191, P = .000) and ETV treatment (OR 2.537, P = .001) were identified as independent risk factors for partial response. Among patients with partial response, 213 were in the adjusted group and 76 were in the unadjusted group. The percentages of patients with undetectable serum HBV DNA (78.9% vs 31.6%, P  less then  .001) and with normal alanine aminotransferase (ALT) (88.7% vs 68.4%, P  less then  .001) were both higher in the adjusted group than that in unadjusted group following a further 6-month therapy. In conclusion, the manner of drug administration is an important factor influencing the efficacy of ETV/TDF therapy, and optimal drug administration manner can help to increase antiviral efficacy and rescue patients with partial response. © 2020 John Wiley & Sons Ltd.Water content-based electrical properties tomography (wEPT) can retrieve electrical properties (EPs) from water content maps, thereby eliminating the need for B1 field measurement in the traditional magnetic resonance electrical properties tomography method. The wEPT is performed by conventional MR scanning, such as T1 -weighted spin-echo imaging, and thus can be directly applied to clinical settings. However, the random noise propagation involved in wEPT causes inaccuracy in EP mapping. To guarantee the EP estimates desired for clinical practice, this study statically investigates the noise-specific uncertainty of wEPT through probability density function models. We calculated the probability distribution of EP maps with different noise levels and examined the effects of scan parameters on reconstruction accuracy with various flip angles (FAs) and repetition time (TR) settings. The theoretical derivation was validated by Monte Carlo simulations and human imaging experiment at 3 T. Results showed that a serious deviation could occur in tissues with large conductivity value at a low signal-to-noise ratio and quantitatively demonstrate that such deviation could be mitigated by increased FAs or TRs. This study provided useful information for the setup of scan parameters, evaluation of accuracy of the wEPT under specific SNR levels, and promote its clinical applications. © 2020 John Wiley & Sons, Ltd.French general practitioners (GPs) are known to widely prescribe medications to treat insomnia despite their negative effects. GPs' easy access to self-medication may affect their mental representation of sleep and hypnotics, and subsequently their professional behaviour. Our aim was to examine the association between GPs' personal hypnotic drug consumption habits and their management of patients with sleep disturbances. A randomized sample of Alsatian GPs participated in a survey based on questionnaires including the Pittsburgh Sleep Quality Index, the Dysfunctional Beliefs About Sleep in 10 questions to characterize sleep, and an evaluation of their management strategies regarding sleep for both patients and themselves. Two-hundred and forty-nine GPs were included (response rate of 51%). Demographics of the GPs' samples were representative of those of the Alsatian GP population. Fifteen percent of the survey respondents met insomnia criteria. For the management of their own sleep disturbances, 14.3% of GPs were taking hypnotic drugs and 8.