Quantifying coral reef accretion in a changing world: approaches, challenges and emerging opportunities.

The long-term development of coral reef frameworks and the net vertical accretion of reefs fundamentally underpins the provisioning of most reef-related ecosystem services. One area of particular concern at present is how rates of reef accretion are changing under ecological decline and what the consequences of this may be for the capacity of reefs to keep pace with near-future sea-level rise (SLR). This may have major implications for the capacity of reefs to maintain their coastal protective functions and to support reef island stability.

Pushing the Limits: Successful Zero Fluoroscopy Ventricular Tachycardia Ablation With Intraventricular Thrombus Guided by Intracardiac Echocardiography.

Case Summary: A 77-year-old man with a history of ischemic cardiomyopathy and apical aneurysm presented with a ventricular tachycardia (VT) storm that was refractory to multiple antiarrhythmic drugs. Transthoracic echocardiography revealed left ventricular ejection fraction of 15% and a well-defined layered thrombus. After discussing risks and benefits, the patient underwent VT ablation guided by intracardiac echocardiography.

Clinical Reasoning: A 2-Year-Old Girl With Acute Encephalopathy After Febrile Systemic Illness.

A 2-year-old girl presented with an acute encephalopathy with hemiparesis after febrile systemic illness. MRI showed multifocal symmetrical lesions in both thalami, and CSF showed a slightly elevated protein. The final diagnosis in this patient led to a revision of the diagnosis of neuroborreliosis in her mother, 15 years earlier.

Developing and Integrating Digital Sources in an Accessible and Sustainable Online Platform for Adolescents and Young Adult Cancer Survivors: Collaborative Design Approach.

Background: Digital support for adolescent and young adult cancer survivors is fragmented and results in lacking a reliable overview of support services available to them. Collaborative design promises to integrate perspectives of diverse stakeholders and could help to develop an online platform, which increases access and has a long-term perspective. However, it has not yet been explored how collaborative design can be used more strategically to develop an online platform with these aims.