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Implantable medical devices, such as pacemakers, have significantly improved the quality of life for patients with cardiac conditions, allowing them to maintain active lifestyles. Nonetheless, these devices can present unique challenges when interacting with the wearers physical activities, potentially leading to unforeseen complications. Here, we present a case of an 81-year-old male golfer, with a history of atrial fibrillation, congestive heart failure, and sick sinus syndrome, who experienced atrial lead noise from his pacemaker, exclusively triggered by his golf swing. This incident, which led to multiple interventions including lead extraction, reimplantation, and eventually a switch to a unipolar lead configuration, represents the first documented case of its kind. It underscores the intricate relationship between the biomechanical forces of certain sports and the functionality of implanted cardiac devices. Through detailed electrophysiology testing, this case demonstrates how specific movements inherent to the patients golf swing could induce micro-damage to the pacemaker leads, causing noise and malfunction. The findings from this case emphasize the need for healthcare providers to perform sport-specific biomechanical evaluations and create tailored rehabilitation strategies that consider the unique physical demands placed on patients with implanted devices. This approach is important not only for diagnosing and managing similar cases but also for advancing our understanding of how to best support the active lifestyles of patients with implanted cardiac devices, ensuring their safety and longevity.

Dieser Artikel beschäftigt sich mit der Translationsgeschichte der Arabischen Erzählungen der ‚Tausend und eine Nacht‘ aus einer performativen, ausgangskulturorientierten Perspektive. Die Zweistufigkeit des Translationsprozesses als interlingualer/zweisprachiger Kommunikation impliziert eine eindimensionale Linearität, die die Beziehung zwischen Ausgangs- und Zieltext bestimmt. Die Effekte der Translation auf Produktion/Rezeption des Ausgangstextes fallen jenseits der konzeptuellen Reichweite des Translationsbegriffes und können prinzipiell nicht in einem translationstheoretischen Rahmen behandelt werden, was in einer statisch-genetischen Konzeption vom Ausgangstext als „Quelle“ resultiert. Ich werde anhand der ‚Tausend und eine Nacht‘ argumentieren, dass eine neue Auffassung der Translation als performative Bewegung in Richtung Ausgangstext die Komplexität translatorischen Handelns besser zeigen und die interpretativen Möglichkeiten der Translation als Interaktion zwischen einem Ausgangstext und einem Zieltext erweitern kann. Dabei wird die Rolle Antoine Gallands und seiner Übersetzung der ‚Tausend und eine Nacht‘ (Les mille et une nuits) hervorgehoben.

This article explores Syrian higher education (HE) teachers' perceptions of their role as change agents in the reconstruction of post-conflict Syria. It utilises the notions of "change agent" and "strategic competence" (previously developed in relation to academics by Idahosa and Vincent) for exploring HE teachers' capacity to contribute to the post-conflict reconstruction of Syria. This article is based on a small-scale, qualitative study using in-depth interviews to explore the experiences and perspectives of HE teachers who have been working at a conflict-affected university for the duration of the conflict. The study concludes that HE teachers may be considered change agents in post-conflict societies, but that the challenges these teachers face must be taken into account, as must considerations of how the institution and the HE system can facilitate teachers in their change-making remit.

Amebic liver abscesses should be considered in adult males with a liver abscess and a history of travel to endemic areas. Effective treatment includes metronidazole, followed by paromomycin.

Introduction: Emergency medicine is a developing specialty in low-to-middle income countries. The specialty was in its infancy in Syria when the war started a decade ago. Syria has since experienced civil war, unrest, famine, and financial collapse that has strained its healthcare system. There is limited research and information regarding Emergency Medicine residencies and training in Syria. Therefore, this article describes the growing and current state of Emergency Medicine and its training in Syria.Methods: A mixed methods approach using a systematic review and semi-structure interviews was utilized. MEDLINE, EMBASE and PsychINFO were searched from inception until March 9, 2022. Eligible studies were specific to emergency medicine and discussed the training of emergency medicine physicians in Syria. Semi-structured key informant interviews and a review of the Ministry of Health website were utilized to supplement information regarding the structure of emergency medicine residency in Syria.Results: Out of 252 unique citations identified, none described emergency medicine training in Syria. The most common articles identified were case reports (40), studies of mental health (34) and nicotine use (33). Public information from the Ministry of Health website was used to gather further information regarding the current state of healthcare in Syria; however, it provided little data specific to emergency medicine. Semi-structured interviews provided additional information regarding emergency medicine training in Syria. This revealed that prior to the 2011 onset of war, Syrian EM had begun to develop and included residency training, Arab Board certification and the establishment of a national specialist society. However, it also revealed, that in Syria, emergency medicine deteriorated much faster than other sectors of health care.Conclusion: As of now, Emergency Medicine remains in a very early phase of development as a field and medical specialty. It requires renewed commitment, funding, and development. We recommend expanding virtual emergency medicine education, partnering with established emergency medicine training programs across the region and the world, and increasing collaboration across borders to further develop emergency medicine within Syria.

Our ability to explore the cosmos by direct contact has been limited to a small number of lunar and interplanetary missions. However, the NASA Starlight program points a path forward to send small, relativistic spacecraft far outside our solar system via standoff directed-energy propulsion. These miniaturized spacecraft are capable of robotic exploration but can also transport seeds and organisms, marking a profound change in our ability to both characterize and expand the reach of known life. Here we explore the biological and technological challenges of interstellar space biology, focusing on radiation-tolerant microorganisms capable of cryptobiosis. Additionally, we discuss planetary protection concerns and other ethical considerations of sending life to the stars.

Abstract Background Recent evidence suggests that brain-derived neurotrophic factor (BDNF) is an attractive candidate for modifying age at onset (AO) in Huntington disease (HD). In particular, the functional Val66Met polymorphism appeared to exert a significant effect. Here we evaluate BDNF variability with respect to AO of HD using markers that represent the entire locus. Methods Five selected tagging polymorphisms were genotyped across a 65 kb region comprising the BDNF gene in a well established cohort of 250 unrelated German HD patients. Results Addition of BDNF genotype variations or one of the marker haplotypes to the effect of CAG repeat lengths did not affect the variance of the AO. Conclusion We were unable to verify a recently reported association between the functional Val66Met polymorphism in the BDNF gene and AO in HD. From our findings, we conclude that neither sequence variations in nor near the gene contribute significantly to the variance of AO.

Social media campaigns such as #BlackLivesMatter have demonstrated Twitter as a powerful tool for anti-racist social activism. This article traces one local hashtag, #BeingMinorityatTCU, which has resurged on the TCU campus in the wake of a university lawsuit. Drawing from Critical Race Theory (Delgado, 1989; Martinez, 2014; Yosso, 2013), specifically counterstory, and public memory scholarship (Greer, 2017; Grobman, 2017; Crawford et al., 2020), this essay argues that digitally archiving tweets is one approach to amplifying marginalized voices that speak out against institutional racism. Curating hashtags is not just as an alternative to official university record keeping, but also an opportunity for both archivists and users to reflect, process, and move towards change together. [Note: The first page number (200) is incorrect. The correct page number is 191.]