Autoimmune Gastrointestinal Paralysis: Failure of Conventional Treatment without Immunomodulation by Craig Weinkauf, Sean McPhillips, Robert Krouse, Ira Levine

“…Immune-directed therapy is not the standard of care but may be paramount for patient recovery. Our patient, a 63-year-old man with recent symptoms of esophageal dysmotility and newly diagnosed SCLC was hospitalized with nausea, emesis, and constipation. …”
Get full text

International Normalized Ratio (INR) Increases amongst Two Patients Living with HIV on Warfarin after Being Switched from a Nevirapine to a Dolutegravir-Based Antiretroviral Regime... by Natalie Sang, Sonak Pastakia, Samuel Nyanje

“…Upon discontinuing nevirapine, close monitoring of drugs with narrow therapeutic indices is paramount since dosing requirements may significantly reduce, increasing the probability of toxicity development. …”
Get full text

Quality of the Selection of Patients with Respiratory Symptoms According to the Risk of Pulmonary Tuberculosis by Yuri Arnold Domínguez

“…<br /><strong>Conclusions:</strong> the importance of surveys in order to monitor patients with respiratory symptoms according to the risks of tuberculosis becomes paramount with this study.</p>…”
Get full text

Acute Deep Vein Thrombosis in Venous Aneurysm following Closure of the Chronic Traumatic Arteriovenous Fistulae of the Lower Extremities by Saranat Orrapin, Supapong Arworn, Kittipan Rerkasem

“…Also chronic traumatic AVF is commonly due to misdiagnosis in the initial treatment, so complete and serial physical examinations in penetrating vascular injury patients are of paramount importance.…”
Get full text

South African Rheumatism and Arthritis Association 2024 guidelines for the use of biologic and targeted synthetic disease-modifying antirheumatic drugs by E van Duuren, J Potts, U Brijlal, S Botha, S Didi, K Makan, M van Dam, K Chinniah, B Hodkinson

“…Knowledge of and vigilance for adverse events, particularly infections, associated with b/ts DMARD therapies are of paramount importance. …”
Get full text

INFLUENCE OF BOARD FINANCIAL EXPERTISE ON TAX COMPLIANCE OF NON- FINANCIAL LISTED FIRMS IN NIGERIA by Mathias Gboyega OGUNDEJI

“…The study concludes that independent financial expertise of the board is of paramount importance to achieving tax compliance in Nigeria. …”
Get full text

Rectal Ischemia Mimicked Tumor Mass by Nicolaos Zikos, Panagiota Aggeli, Evangelia Louka, George Pappas-Gogos

“…Early recognition of this clinical entity is of paramount importance to implement appropriate therapy (conservative or surgical) and avoid potentially fatal treatment of presumed inflammatory or infectious bowel diseases.…”
Get full text

The importance and challenges of data collection in risk assessment by Xekalakis Georgios, Fokaides Paris, Christou Petros

“…Reliable data collection is paramount for assessing and mitigating risks posed by natural hazards and climate change to urban sustainability and resilience. …”
Get full text

A Multidisciplinary Approach to Anesthetic Management of a Parturient with Severe Aortic Stenosis by Kalpana Tyagaraj, David A. Gutman, Lynn Belliveau, Adnan Sadiq, Alok Bhutada, Dennis E. Feierman

“…In order to optimize anesthetic management and avoid adverse maternal and fetal outcomes, a clear understanding of the changes in cardiovascular physiology that occur during pregnancy is paramount. The effects of normal gestation on the cardiovascular system are particularly significant in a parturient with cardiac valvular pathology. …”
Get full text

Protecting Florida Panthers by Protecting Domestic Animals: Building a "Panther-Proof" Pen by Phillip D. Rodgers, Elizabeth F. Pienaar, Mark Lotz, Darrell Land

“…To maintain support for panther conservation, it is paramount that rural residents protect and secure their pets and livestock. …”
Get full text

Molecular surface descriptors to predict antibody developability: sensitivity to parameters, structure models, and conformational sampling by Eliott Park, Saeed Izadi

“…In silico assessment of antibody developability during early lead candidate selection and optimization is of paramount importance, offering a rapid and material-free screening approach. …”
Get full text

Exploring Undergraduate Research Projects Success Factors in Muni University, Uganda by Nicholas, Nkamwesiga, Phelix, Businge Mbabazi, Ritah, Nafuna

“…Results showed that research environment, research management, personal effectiveness, communication, networking and teamwork skills are paramount to the success of URPs. The study also found out that the key stakeholders (students, supervisors and faculty) perform their roles throughout the project period. …”
Get full text

Evaluation of risk factors associated with fragility fractures and recommendations to optimise bone health in children with long-term neurological condition by Xue Yi Jessica Leow, Jonathan Tian Ci Tan, Tong Hong Yeo, Kenneth Pak Leung Wong, Arjandas Mahadev, Bixia Ang, Rashida Farhad Vasanwala, Zhi Min Ng

“…Introduction: The growing years are paramount for bone growth and mineral accrual. Children with long-term neurological condition (LTNC) have multiple risk factors for poor bone health and fragility fractures. …”
Get full text

Integrative Geospatial Analysis: Unveiling Insights through GIS Modeling and Statistical Evaluation of SPT-N and Soil Types Data of New Kabul City, Afghanistan by Mohammad Amini, Longsheng Deng, Waqas Hassan, Muhammad Naqeeb Nawaz, Fatima Zahra Zidane, Ranke Fang

“…The precise evaluation of subsurface soil information is paramount for effective infrastructure design and planning. …”
Get full text

Diagnosis of Prenatal-Onset Achondrogenesis Type II by a Multidisciplinary Assessment: A Retrospective Study of 2 Cases by Wenbo Wang, Qichang Wu, Li Sun, Xiaohong Zhong, Yasong Xu, Xiaojian Xie, Zhiying Su

“…Our findings emphasize the importance of a multidisciplinary assessment for the definitive diagnosis of achondrogenesis type II, which is paramount for proper genetic counseling.…”
Get full text

GC-MS Analysis and Study of the Antimicrobial Activity of Citrus paradisi, Citrus aurantifolia, and Citrus sinensis Peel Essential Oils as Hand Sanitizer by Isra Osman Mohammed, Ayat Ahmed Alrasheid, Saad Mohammed Hussein Ayoub

“…In the setting of healthcare, the use of hand sanitizers and antiseptics for hand hygiene is of paramount importance to avoid transfer of pathogenic microorganism through hand and skin contact. …”
Get full text

A Comparative Study of Hybrid Adaptive Neuro-Fuzzy Inference Systems to Predict the Unconfined Compressive Strength of Rocks by Annabelle Graham, Emma Scott

“…The precise estimation of Unconfined Compressive Strength (UCS) in rock samples is paramount for the effective planning and execution of mining and civil engineering projects. …”
Get full text

Estimation of Ultimate Bearing Capacity in Rock-Socketed Piles Using Optimized Machine Learning Approaches by Ali Hassan, Hamza Rashid

“…Rock-socketed piles, frequently employed in soft ground foundations, represent a matter of paramount issue in research, design, and construction, primarily because of their bearing capacity. …”
Get full text

A Case of Early Disseminated Neurological Lyme Disease Followed by Atypical Cutaneous Manifestations by Vamsi Kantamaneni, Vikas Sunder, Mohammad Bilal, Scott Vargo

“…Not all patients have the classic “targetoid” EM rash on initial presentation, rash could develop after neurological manifestations, and prompt initiation of antibiotics without awaiting serology is paramount to making a quick and a full recovery. There should be a high index of suspicion for early disseminated LD, as presentations can be atypical.…”
Get full text

IRISS '98: The Intranet as a Learning Tool: A Preliminary Study by K. J. Garland, S. J. Anderson, J. M. Noyes

“…These findings have important implications for educators, and others who wish to use the Internet as a training tool, and we discuss our findings through the evaluation of the different presentational media used, specific Intranet design criteria and general usability factors, which, we suggest, are of paramount importance.…”
Get full text