Teprotumumab, an IGF-1 receptor antibody, was effective in treating GO patients in a phase III trial and should soon be awarded approval for Europe.
 
  The current therapy concept for Graves' orbitopathy is as follows first anti-inflammatory therapy then surgical correction of the permanent defects. This may soon be modified, due to the use of targeted therapies.
 The current therapy concept for Graves' orbitopathy is as follows first anti-inflammatory therapy then surgical correction of the permanent defects. This may soon be modified, due to the use of targeted therapies.The heart rate-based lactate minimum test is a highly reproducible exercise test. However, the relation between lactate minimum determined by this test and maximal lactate steady state in running and cycling is still unclear. Twelve endurance-trained men performed this test in running and cycling. Exercise intensity at maximal lactate steady state was determined by performing several constant heart rate endurance tests for both exercise modes. Heart rate, power output, lactate concentration, oxygen uptake and rating of perceived exertion at lactate minimum, maximal lactate steady state and maximal performance were analysed. All parameters were significantly higher at maximal lactate steady state compared to lactate minimum for running and cycling. Significant correlations (p less then 0.05) between maximal lactate steady state and lactate minimum data were found. Peak heart rate and peak oxygen uptake were significantly higher for running versus cycling. Nevertheless, the exercise mode had no influence on relative (in percentage of maximal values) heart rate at lactate minimum (p=0.099) in contrast to relative power output (p=0.002). In conclusion, all measured parameters at lactate minimum were significantly lower but highly correlated with values at maximal lactate steady state in running and cycling, which allows to roughly estimate exercise intensity at maximal lactate steady state with one single exercise test.The purpose of the study was to define the most appropriate method for the calculation of the speed corresponding to lactate threshold (sLT) in male swimmers. Eight boys and eight adolescents (age 11.4±0.5 and 15.8±0.8 years) performed 7×200-m swimming front-crawl and after drawing the speed vs. lactate curve, the sLTs were calculated using five methods i) the intersection of two linear regression lines, ii) visual inspection, iii) D-max, iv) D-max modified, v) intersection of combined linear and exponential regression lines. All methods were compared to the speed corresponding to maximal lactate steady state (sMLSS). Two to four 30-min efforts of continuous swimming at imposed constant pace were used for sMLSS calculation. In both groups, speed of D-max modified was similar to sMLSS (children, 1.061±0.073 vs. sMLSS 1.071±0.072 m·s-1; p>0.05; effect size ES=0.15, small; adolescents, 1.318±0.060 vs. sMLSS 1.284±0.047 m·s-1; p>0.05; ES=0.64, medium). In adolescents, sLT calculated by intersection of two regression lines and by visual inspection presented medium ES (0.22-0.24) and were no different to sMLSS (1.296 ± 0.051, 1.295±0.053 m·s-1, p>0.05). When testing children, D-max modified is the most appropriate method to estimate sMLSS. The intersection of the linear regression lines and visual inspection are suggested for sMLSS determination in adolescents.Specialized resistance training techniques (e.g., drop-set, rest-pause) are commonly used by well-trained subjects for maximizing muscle hypertrophy. Most of these techniques were designed to allow a greater training volume (i.e., total repetitions×load), due to the supposition that it elicits greater muscle mass gains. However, many studies that compared the traditional resistance training configuration with specialized techniques seek to equalize the volume between groups, making it difficult to determine the inherent hypertrophic potential of these advanced strategies, as well as, this equalization restricts part of the practical extrapolation on these findings. In this scenario, the objectives of this manuscript were 1) to present the nuance of the evidence that deals with the effectiveness of these specialized resistance training techniques and - primarily - to 2) propose possible ways to explore the hypertrophic potential of such strategies with greater ecological validity without losing the methodological rigor of controlling possible intervening variables; and thus, contributing to increasing the applicability of the findings and improving the effectiveness of hypertrophy-oriented resistance training programs.Inert gas bubbles frequently occur in SCUBA divers' vascular systems, eventually leading to decompression accidents. Only in professional settings, dive profiles can be adjusted on individual basis depending on bubble grades detected through ultrasonography.  https://www.selleckchem.com/products/Temsirolimus.html  A total of 342 open-circuit air dives following sports diving profiles were assessed using echocardiography. Subsequently, (Eftedal-Brubakk) bubble grades were correlated with dive and individual parameters. Post-dive cardiac bubbles were observed in 47% of all dives and bubble grades were significantly correlated with depth (r=0.46), air consumption (r=0.41), age (r=0.25), dive time (r=0.23), decompression diving (r=0.19), surface time (r=- 0.12). Eftedal-Brubakk categorical bubble grades for sports diving with compressed air can be approximated by bubble grade = (age*50-1 - surface time*150-1+maximum depth*45-1+air consumption*4500-1)2 (units in years, hours, meter, and bar*liter; R2=0.31). Thus, simple dive and individual parameters allow reasonable estimation of especially relevant medium to higher bubble grades for information on relevant decompression stress after ascent. Echo bubble grade 0 is overestimated by the formula derived. However, echo might fail to detect minor bubbling only. The categorical prediction of individual decompression stress with simple bio and dive data should be evaluated further to be developed towards dive computer included automatic ex-post information for decision-making on individual safety measures.