Low-dose alteplase (LrtPA) has been shown not to be inferior to the standard-dose (SrtPA) with respect to death/disability.

We aim to evaluate the percentage of patients treated with LrtPA at our center after the ENCHANTED trial and the factors associated with the use of this dosage.

Prospective study in consecutive patients with an acute stroke admitted between June 2016 and November 2018.

160 patients were treated with intravenous thrombolysis, 50% female; mean age 65.4±18.5 years. Of these, 48 patients (30%) received LrtPA. In univariate analysis, LrtPA was associated with patient’s age (p=0.000), previous modified Rankin scale scores (mRS) (p<0.000), hypertension (p=0.076), diabetes mellitus (p=0.021), hypercholesterolemia (p=0.19), smoking (p=0.06), atrial fibrillation (p=0.10), history of coronary artery disease (p=0.06), previous treatment with antiplatelet agents (p<0.000), admission International Normalized Ratio-INR (p=0.18), platelet count (p=0.045), leukoaraiosis on neuroimaging (p&lof brain or systemic hemorrhage or exclude the patient from treatment with lytic drugs.In the present study, a chemically consistent rate constant for the reaction between nitrogen dioxide and the oxygen atom has been obtained by combining low-temperature experimental data from the literature and new high-temperature quantum chemical calculations. The expression for our rate constant is kNO2+O=NO+O2= 2.589 × 1015T-1.035 exp(-226/RT) + 4.242 × 1016T-0.861exp(-50 917/RT) cm3 mol-1 s-1, where R = 8.314 J mol-1 K-1, and is valid over the temperature range T = 221 to 3000 K. The effect of the inclusion of the new rate constant on the prediction of three detailed reaction models from the literature has been studied using (i) new experimental oxygen atom profiles obtained in a shock tube during nitrogen dioxide pyrolysis, and (ii) published shock tube and jet-stirred reactor data for H2-NOx mixtures with and without dioxygen. The impact of the new rate constant on the sensitivity coefficients and reaction pathways has also been analyzed under some conditions. Overall, the predictive capability of the reaction models were improved. The present study suggests that our chemically consistent rate constant should be included in detailed reaction models for combustion applications.COVID-19 is a global public health emergency affecting many countries around the world. Although African governments and other stakeholders are making efforts to contain the pandemic, the outbreak continues to impact human rights and exacerbates inequalities and disparities that are already in existence. The concept of inclusive health focuses on good health and well-being for everyone, and this entails health services that are equitable, affordable, and efficacious. Creating equitable access to mainstream health and healthcare services and ensuring inclusive health responses remain a means of addressing health inequities and disparities. In this article, we argue on the need for inclusive responses to public health emergencies in Africa using COVID-19 as a case example. Africa’s response to public health emergencies needs to recognize that for every marginalized/vulnerable group, it is important to strategize to address their particular needs in such a way to surmount any barrier to the right to health. For Africa’s public health response to be more inclusive, we therefore need to be more strategic and proactive in reaching out to specific groups and to identify and address their needs. Strengthening the healthcare systems of African countries through increased political will, increased funding to health care, collaboration and cooperation among stakeholders, and effective leadership remains essential in ensuring inclusive responses to health emergencies.Background Language dysfunction is a feature of cognitive impairment in amyotrophic lateral sclerosis (ALS) that may compromise communication. Objective To elucidate language dysfunction in patients with ALS and its relationship with other neuropsychological tests and to identify the brain regions associated with this dysfunction using perfusion image. Methods Overall, 37 patients with ALS were included in this study. Their neuropsychological function was investigated using the Western Aphasia Battery (WAB), Frontal Assessment Battery and Behavioral Assessment of the Dysexecutive Syndrome. N-isopropyl-p-[123I] iodoamphetamine single-photon emission computed tomography was used to examine regional cerebral blood flow and its relationship with WAB scores was investigated using multiple regression analyses, controlled for age, sex and years of education. Results Frequency of language abnormality in ALS was 8.5% for spontaneous speech, 25.7% for auditory verbal comprehension, 8.8% for repetition, 14.7% for naming, 17.6% for reading and 51.4% for writing. The writing error was mainly omission and substitution of kana letters. Executive tests were correlated with naming (r > 0.5, p  0.4, p  less then  0.01) scores. With respect to the writing sub-test, positive perfusional relationship was only detected in the left angular gyrus. selleck Conclusions The left angular gyrus is the region associated with the writing errors observed in ALS.In recent years, interest in understanding the effects of climate change on species and ecological systems has sharply increased. We quantify and contextualize the current state of knowledge about the effects of contemporary climate change on non-human primates, a taxon of great ecological and anthropological significance. Specifically, we report findings from a systematic literature search designed to assess the allocation of research effort on primates and climate change and consider how the current distribution of knowledge may be influencing our understanding of the topic. We reveal significant phylogenetic and geographic gaps in our knowledge, which is strongly biased towards lemurs, apes, and a relatively small subset of primate range countries. We show that few analyses investigate changes in primate foods relative to changes in primates themselves or their habitats, and observe that few longitudinal datasets are of sufficient duration to detect effects on the generational scale. We end by identifying areas of research inquiry that would advance our theoretical understanding of primate ecology, evolution, and adaptability, and meaningfully contribute to primate conservation.