ural

Insight – Australian agricultural exporters set to benefit from A-UK FTA

Australian agricultural exporters will benefit from tariff eliminations when the Australia-UK Free Trade Agreement enters into force.




ural

Insight – Mexican Government suspends tariffs on agricultural and fishery products

The Mexican Government has suspended tariffs on a range of agricultural and fishery products.




ural

Insight – Cultural insights help tourism businesses welcome Indian visitors

India is one of Australia’s fastest growing tourism markets. Tourism businesses can realise the potential of the Indian market by learning about travellers’ culture and service expectations.




ural

New President Suzanne Vares-Lum Delivers Inaugural Remarks on East-West Center’s Regional Role

New President Suzanne Vares-Lum Delivers Inaugural Remarks on East-West Center’s Regional Role New President Suzanne Vares-Lum Delivers Inaugural Remarks on East-West Center’s Regional Role
brophyc

News Release

Explore

News Release

Explore




ural

East-West Center Hosts Inaugural Indo-Pacific Transboundary Rivers Conference Featuring Assistant Secretary Stilwell

East-West Center Hosts Inaugural Indo-Pacific Transboundary Rivers Conference Featuring Assistant Secretary Stilwell East-West Center Hosts Inaugural Indo-Pacific Transboundary Rivers Conference Featuring Assistant Secretary Stilwell
ferrard

News Release

Explore

News Release

Explore




ural

East-West Center Hosts Inaugural Micronesian Conference of Leaders

East-West Center Hosts Inaugural Micronesian Conference of Leaders East-West Center Hosts Inaugural Micronesian Conference of Leaders
hasegaws

News Release

Explore

News Release

Explore




ural

East-West Center Launches Inaugural Taiwan Matters for America/America Matters for Taiwan Publication and Website

East-West Center Launches Inaugural Taiwan Matters for America/America Matters for Taiwan Publication and Website East-West Center Launches Inaugural Taiwan Matters for America/America Matters for Taiwan Publication and Website
reyesm1

News Release

Explore

News Release

Explore




ural

Award-Winning Environmental Journalist Alexander Kaufman Receives EWC’s Inaugural Melvin M.S. Goo Writing Fellowship

Award-Winning Environmental Journalist Alexander Kaufman Receives EWC’s Inaugural Melvin M.S. Goo Writing Fellowship Award-Winning Environmental Journalist Alexander Kaufman Receives EWC’s Inaugural Melvin M.S. Goo Writing Fellowship
reyesm1

News Release

Explore

News Release

Explore




ural

Shanghai-Republic of Korea relations get closer through cultural exchanges

Kim Seung-ho initiated the idea to host an exhibition featuring artworks by 30 Chinese and South Korean artists born in 1992, when China and the Republic of Korea established formal diplomatic relatio




ural

The Supernatural Birth of Jesus (Selected Scriptures)

Check here each week to keep up with the latest from John MacArthur's pulpit at Grace Community Church.




ural

In Myanmar, Conflicts Over Land and Natural Resources Block the Peace Process

In Myanmar, Conflicts Over Land and Natural Resources Block the Peace Process In Myanmar, Conflicts Over Land and Natural Resources Block the Peace Process
Anonymous (not verified) Fri, 01/25/2019 - 15:28

East-West Wire

Tagline
News, Commentary, and Analysis
East-West Wire

The East-West Wire is a news, commentary, and analysis service provided by the East-West Center in Honolulu. Any part or all of the Wire content may be used by media with attribution to the East-West Center or the person quoted. To receive East-West Center Wire media releases via email, subscribe here.

For links to all East-West Center media programs, fellowships and services, see www.eastwestcenter.org/journalists.

Explore

East-West Wire

Tagline
News, Commentary, and Analysis
East-West Wire

The East-West Wire is a news, commentary, and analysis service provided by the East-West Center in Honolulu. Any part or all of the Wire content may be used by media with attribution to the East-West Center or the person quoted. To receive East-West Center Wire media releases via email, subscribe here.

For links to all East-West Center media programs, fellowships and services, see www.eastwestcenter.org/journalists.

Explore




ural

Taobao Villages: Rural E-Commerce and Low-End Manufacturing in China

Taobao Villages: Rural E-Commerce and Low-End Manufacturing in China Taobao Villages: Rural E-Commerce and Low-End Manufacturing in China
Anonymous (not verified) Thu, 08/01/2019 - 10:16

East-West Wire

Tagline
News, Commentary, and Analysis
East-West Wire

The East-West Wire is a news, commentary, and analysis service provided by the East-West Center in Honolulu. Any part or all of the Wire content may be used by media with attribution to the East-West Center or the person quoted. To receive East-West Center Wire media releases via email, subscribe here.

For links to all East-West Center media programs, fellowships and services, see www.eastwestcenter.org/journalists.

Explore

East-West Wire

Tagline
News, Commentary, and Analysis
East-West Wire

The East-West Wire is a news, commentary, and analysis service provided by the East-West Center in Honolulu. Any part or all of the Wire content may be used by media with attribution to the East-West Center or the person quoted. To receive East-West Center Wire media releases via email, subscribe here.

For links to all East-West Center media programs, fellowships and services, see www.eastwestcenter.org/journalists.

Explore




ural

Rubber Has Replaced Many of Southeast Asia's Natural Forests

Rubber Has Replaced Many of Southeast Asia's Natural Forests Rubber Has Replaced Many of Southeast Asia's Natural Forests
ferrard Wed, 09/26/2018 - 14:26

East-West Wire

Tagline
News, Commentary, and Analysis
East-West Wire

The East-West Wire is a news, commentary, and analysis service provided by the East-West Center in Honolulu. Any part or all of the Wire content may be used by media with attribution to the East-West Center or the person quoted. To receive East-West Center Wire media releases via email, subscribe here.

For links to all East-West Center media programs, fellowships and services, see www.eastwestcenter.org/journalists.

Explore

East-West Wire

Tagline
News, Commentary, and Analysis
East-West Wire

The East-West Wire is a news, commentary, and analysis service provided by the East-West Center in Honolulu. Any part or all of the Wire content may be used by media with attribution to the East-West Center or the person quoted. To receive East-West Center Wire media releases via email, subscribe here.

For links to all East-West Center media programs, fellowships and services, see www.eastwestcenter.org/journalists.

Explore




ural

Inaugural China-Pacific Foreign Ministers' Meeting Sheds Light on Beijing’s Pacific Islands Strategy

Inaugural China-Pacific Foreign Ministers' Meeting Sheds Light on Beijing’s Pacific Islands Strategy Inaugural China-Pacific Foreign Ministers' Meeting Sheds Light on Beijing’s Pacific Islands Strategy
ferrard Thu, 12/02/2021 - 07:52

East-West Wire

Tagline
News, Commentary, and Analysis
East-West Wire

The East-West Wire is a news, commentary, and analysis service provided by the East-West Center in Honolulu. Any part or all of the Wire content may be used by media with attribution to the East-West Center or the person quoted. To receive East-West Center Wire media releases via email, subscribe here.

For links to all East-West Center media programs, fellowships and services, see www.eastwestcenter.org/journalists.

Explore

East-West Wire

Tagline
News, Commentary, and Analysis
East-West Wire

The East-West Wire is a news, commentary, and analysis service provided by the East-West Center in Honolulu. Any part or all of the Wire content may be used by media with attribution to the East-West Center or the person quoted. To receive East-West Center Wire media releases via email, subscribe here.

For links to all East-West Center media programs, fellowships and services, see www.eastwestcenter.org/journalists.

Explore




ural

Plush creative cultural products win hearts of young people




ural

Glenrose Xaba dominates inaugural Boxer Super Run Tshwane




ural

Paz sobrenatural

La enseñanza bíblica en profundidad de John MacArthur lleva la verdad transformadora de la Palabra de Dios a millones de personas cada día.




ural

Paz sobrenatural

La enseñanza bíblica en profundidad de John MacArthur lleva la verdad transformadora de la Palabra de Dios a millones de personas cada día.




ural

La sepultura sobrenatural de Cristo A

La enseñanza bíblica en profundidad de John MacArthur lleva la verdad transformadora de la Palabra de Dios a millones de personas cada día.




ural

La sepultura sobrenatural de Cristo B

La enseñanza bíblica en profundidad de John MacArthur lleva la verdad transformadora de la Palabra de Dios a millones de personas cada día.




ural

Supernatural Peace




ural

Eastern Mediterranean Natural Gas Culminations

Countries like Cyprus, Israel and Greece have high expectations of becoming players in world energy markets through natural gas production and export.




ural

Hava Raucher’s fearless art tackles identity, gender, and cultural taboo


'On the Living and the Dead' dives into Israeli artist Hava Raucher’s fearless views on society.




ural

Vandals slash out faces, Jewish stars, from Milan mural depicting Holocaust survivors


A previous work by the artist, dedicated to the Israeli victims of Hamas, was also vandalized.




ural

Africa: Climate Change Finance, Natural Capital Accounting By African Countries, Top African Development Bank Group's Agenda At Cop 29

[African Development Bank (AfDB)] The world's largest annual climate conference opens in Baku, Azerbaijan, on Monday, with African nations ramping up efforts to tackle climate change. At COP29, the African Development Bank aims to mobilize additional resources for climate action in Africa and launch a bold new approach to assessing African economies by including their "green wealth."




ural

Singapore: from Bilingualism to Biculturalism

Singapore's bilingual policy has been the cornerstone of its development. It is time for the country to take the next step and embrace biculturalism.




ural

Immigration and Health Care Reform Will Wreak Havoc on Rural America

The immigration ban, which combined with health care reform will likely wreak even more havoc on an already depressed rural America.




ural

Tyrannosaurus Rex of London's Natural History Museum, a model like no other

Tyrannosaurus Rex of London's Natural History Museum, a model like no other




ural

In Zimbabwe’s Rural Areas, Bicycles Keep Girls in School

Rejoice Muzamani is studying in preparation for her next paper during the end-of-term examinations at Mwenje Primary School in Chiredzi, southeast Zimbabwe. The 13-year-old girl, who is in Grade 7 or final year of primary school, is not worried about leaving school early to make the 7-kilometer journey back home before dusk, risking attacks from […]




ural

Sic Transit Gloria Mundi: Preserving the Cultural Heritage

  More durable than bronze, higher than Pharaoh’s pyramids is the monument I have made, a shape that angry wind or hungry rain cannot demolish, nor the innumerable ranks of the years that march in centuries. I shall not wholly die: some part of me will cheat the goddess of death. Thus wrote, not without […]




ural

Building Climate Resilience and Empowering Rural Communities in Mongolia

Mongolia's nomadic herders, reliant on fragile ecosystems, are facing increasing challenges from climate change. The Asian Development Bank is empowering these communities with small grants and targeted initiatives to build climate resilience.




ural

to write an economic naturalist paper

to write an economic naturalist paper




ural

Heterogeneous Effect of Out-Migration on Informal Employment in Rural Nepal

Migration may reinforce less productive forms of informal employment in rural Nepal.




ural

Building Resilience and Reducing Rural Poverty Project

The proposed project will expand a targeted, nutrition-sensitive conditional cash transfer (CCT) program to up to 30,000 poor households in areas with high rates of poverty, malnutrition, and climate risks, and make social protection systems more adaptive and shock-responsive. The CCT targets poor pregnant women and mothers of children under two as adequate nutrition is critical during the first 1,000 days of a child's life.




ural

World's first drilling project to seek natural hydrogen hits a snag

A well in Nebraska is the first in the world to have been drilled in search of naturally occurring geologic hydrogen, but tests to determine how much of the gas it might supply are on hold because of a broken pump




ural

Huge deposit of natural hydrogen gas detected deep in Albanian mine

Companies are searching all over the world for deposits of geologic hydrogen that could be used as clean fuel, and a mine in Albania could give them clues about where to look




ural

Natural fibres in wet wipes may actually be worse for soil and animals

Fibres in wet wipes and clothes often make their way into soil - and natural versions could be more damaging than synthetic ones




ural

Scientists Unravel Secrets of People Who Naturally Suppress HIV

Title: Scientists Unravel Secrets of People Who Naturally Suppress HIV
Category: Health News
Created: 8/26/2020 12:00:00 AM
Last Editorial Review: 8/27/2020 12:00:00 AM




ural

26 Natural Ways to Lower Your Cholesterol Levels

Title: 26 Natural Ways to Lower Your Cholesterol Levels
Category: Health and Living
Created: 7/6/2022 12:00:00 AM
Last Editorial Review: 7/6/2022 12:00:00 AM




ural

Rural Americans With Early Alzheimer's Find It Tough to See Specialists

Title: Rural Americans With Early Alzheimer's Find It Tough to See Specialists
Category: Health News
Created: 8/9/2022 12:00:00 AM
Last Editorial Review: 8/9/2022 12:00:00 AM




ural

Kids With ADHD Have Differences in 'Neural Flexibility,' Brain Study Shows

Title: Kids With ADHD Have Differences in 'Neural Flexibility,' Brain Study Shows
Category: Health News
Created: 7/29/2022 12:00:00 AM
Last Editorial Review: 8/1/2022 12:00:00 AM




ural

AGAP duplicons associate with structural diversity at Chromosome 10q11.22 [RESEARCH]

The 10q11.22 chromosomal region is a duplication-rich interval of the human genome and one of the last to be fully assembled. It carries copy number–variable genes associated with intellectual disability, bipolar disorder, and obesity. In this study, we characterized the structural diversity at this locus by analyzing 64 haploid assemblies produced by the Human Pangenome Reference Consortium. We identified 11 alternative haplotypes that differ in the copy number and/or orientation of large genomic segments, ranging from hundreds of kilobase pairs (kbp) to over one megabase pair (Mbp). We uncovered a 2.4 Mbp size difference between the shortest and longest haplotypes. Breakpoint analysis revealed that genomic instability results from nonallelic homologous recombination between segmental duplication (SD) pairs with varying similarity (94.4%–99.6%). Nonetheless, these pairs generally recombine at positions where their identity is higher (>99.6%). Recurrent inversions occur with different breakpoints within the same inverted SD pair. Inversion polymorphisms shuffle the entire SD arrangement, creating new predispositions to copy-number variations. The SD architecture is associated with a catarrhine-specific subgroup of the AGAP gene family, which likely triggered the accumulation of SDs at this locus over the past 25 million years of human evolution. Our results reveal extensive structural diversity and genomic instability at the 10q11.22 locus, and expand the general understanding of the mutational mechanisms behind SD-mediated rearrangements.




ural

Abolished frameshifting for predicted structure-stabilizing SARS-CoV-2 mutants: implications to alternative conformations and their statistical structural analyses [ARTICLE]

The SARS-CoV-2 frameshifting element (FSE) has been intensely studied and explored as a therapeutic target for coronavirus diseases, including COVID-19. Besides the intriguing virology, this small RNA is known to adopt many length-dependent conformations, as verified by multiple experimental and computational approaches. However, the role these alternative conformations play in the frameshifting mechanism and how to quantify this structural abundance has been an ongoing challenge. Here, we show by DMS and dual-luciferase functional assays that previously predicted FSE mutants (using the RAG graph theory approach) suppress structural transitions and abolish frameshifting. Furthermore, correlated mutation analysis of DMS data by three programs (DREEM, DRACO, and DANCE-MaP) reveals important differences in their estimation of specific RNA conformations, suggesting caution in the interpretation of such complex conformational landscapes. Overall, the abolished frameshifting in three different mutants confirms that all alternative conformations play a role in the pathways of ribosomal transition.




ural

Delays in Cardiovascular Emergency Responses in Africa: Health System Failures or Cultural Challenges?




ural

KLS-13019, a Novel Structural Analogue of Cannabidiol and GPR55 Receptor Antagonist, Prevents and Reverses Chemotherapy-Induced Peripheral Neuropathy in Rats [Special Section: Cannabinoid Signaling in Human Health and Disease]

Neuropathic pain is a form of chronic pain that develops because of damage to the nervous system. Treatment of neuropathic pain is often incompletely effective, and most available therapeutics have only moderate efficacy and present side effects that limit their use. Opioids are commonly prescribed for the management of neuropathic pain despite equivocal results in clinical studies and significant abuse potential. Thus, neuropathic pain represents an area of critical unmet medical need, and novel classes of therapeutics with improved efficacy and safety profiles are urgently needed. The cannabidiol structural analog and novel antagonist of GPR55, KLS-13019, was screened in rat models of neuropathic pain. Tactile sensitivity associated with chemotherapy exposure was induced in rats with once-daily 1-mg/kg paclitaxel injections for 4 days or 5 mg/kg oxaliplatin every third day for 1 week. Rats were then administered KLS-13019 or comparator drugs on day 7 in an acute dosing paradigm or days 7–10 in a chronic dosing paradigm, and mechanical or cold allodynia was assessed. Allodynia was reversed in a dose-dependent manner in the rats treated with KLS-13019, with the highest dose reverting the response to prepaclitaxel injection baseline levels with both intraperitoneal and oral administration after acute dosing. In the chronic dosing paradigm, four consecutive doses of KLS-13019 completely reversed allodynia for the duration of the phenotype in control animals. Additionally, coadministration of KLS-13019 with paclitaxel prevented the allodynic phenotype from developing. Together, these data suggest that KLS-13019 represents a potential new drug for the treatment of neuropathic pain.

SIGNIFICANCE STATEMENT

Chemotherapy-induced peripheral neuropathy (CIPN) is a common, debilitating side effect of cancer treatment with no known cure. The GPR55 antagonist KLS-13019 represents a novel class of drug for this condition that is a potent, durable inhibitor of allodynia associated with CIPN in rats in both prevention and reversal-dosing paradigms. This novel therapeutic approach addresses a critical area of unmet medical need.




ural

Sex Differences in the Neural and Behavioral Effects of Acute High-Dose Edible Cannabis Consumption in Rats [Special Section: Cannabinoid Signaling in Human Health and Disease]

The consumption of 9-tetrahydrocannabinol (THC)- or cannabis-containing edibles has increased in recent years; however, the behavioral and neural circuit effects of such consumption remain unknown, especially in the context of ingestion of higher doses resulting in cannabis intoxication. We examined the neural and behavioral effects of acute high-dose edible cannabis consumption (AHDECC). Sprague-Dawley rats (six males, seven females) were implanted with electrodes in the prefrontal cortex (PFC), dorsal hippocampus (dHipp), cingulate cortex (Cg), and nucleus accumbens (NAc). Rats were provided access to a mixture of Nutella (6 g/kg) and THC-containing cannabis oil (20 mg/kg) for 10 minutes, during which they voluntarily consumed all of the provided Nutella and THC mixture. Cannabis tetrad and neural oscillations were examined 2, 4, 8, and 24 hours after exposure. In another cohort (16 males, 15 females), we examined the effects of AHDECC on learning and prepulse inhibition and serum and brain THC and 11-hydroxy-THC concentrations. AHDECC resulted in higher brain and serum THC and 11-hydroxy-THC levels in female rats over 24 hours. AHDECC also produced: 1) Cg, dHipp, and NAc gamma power suppression, with the suppression being greater in female rats, in a time-dependent manner; 2) hypolocomotion, hypothermia, and antinociception in a time-dependent manner; and 3) learning and prepulse inhibition impairments. Additionally, most neural activity and behavior changes appear 2 hours after ingestion, suggesting that interventions around this time might be effective in reversing/reducing the effects of AHDECC.

SIGNIFICANCE STATEMENT

The effects of high-dose edible cannabis on behavior and neural circuitry are poorly understood. We found that the effects of acute high-dose edible cannabis consumption (AHDECC), which include decreased gamma power, hypothermia, hypolocomotion, analgesia, and learning and information processing impairments, are time and sex dependent. Moreover, these effects begin 2 hours after AHDECC and last for at least 24 hours, suggesting that treatments should target this time window in order to be effective.:




ural

Enzyme Replacement Therapy for CLN2 Disease: MRI Volumetry Shows Significantly Slower Volume Loss Compared with a Natural History Cohort [CLINICAL PRACTICE]

BACKGROUND AND PURPOSE:

Neuronal ceroid lipofuscinoses are a group of neurodegenerative disorders. Recently, enzyme replacement therapy (ERT) was approved for neuronal ceroid lipofuscinosis type 2 (CLN2), a subtype of neuronal ceroid lipofuscinoses. The aim of this study was to quantify brain volume loss in CLN2 disease in patients on ERT in comparison with a natural history cohort using MRI.

MATERIALS AND METHODS:

Nineteen (14 female, 5 male) patients with CLN2 disease at 1 UK center were studied using serial 3D T1-weighted MRI (follow-up time, 1–9 years). Brain segmentation was performed using FreeSurfer. Volume measurements for supratentorial gray and white matter, deep gray matter (basal ganglia/thalami), the lateral ventricles, and cerebellar gray and white matter were recorded. The volume change with time was analyzed using a linear mixed-effects model excluding scans before treatment onset. Comparison was made with a published natural history cohort of 12 patients (8 female, 4 male), which was re-analyzed using the same method.

RESULTS:

Brain volume loss of all segmented brain regions was much slower in treated patients compared with the natural history cohort. For example, supratentorial gray matter volume in treated patients decreased by a mean of 3% (SD, 0.74%) (P < .001) annually compared with an annual volume loss of a mean of 16.8% (SD, 1.5%) (P < .001) in the natural history cohort.

CONCLUSIONS:

Our treatment cohort showed a significantly slower rate of brain parenchymal volume loss compared with a natural history cohort in several anatomic regions. Our results complement prior clinical data that found a positive response to ERT. We demonstrate that automated MRI volumetry is a sensitive tool to monitor treatment response in children with CLN2 disease.




ural

Predictors and Outcomes of Periprocedural Intracranial Hemorrhage after Stenting for Symptomatic Intracranial Atherosclerotic Stenosis [CLINICAL PRACTICE]

BACKGROUND AND PURPOSE:

Periprocedural intracranial hemorrhage is one of common complications after stent placement for symptomatic intracranial atherosclerotic stenosis. This study was conducted to demonstrate predictors and long-term outcomes of periprocedural intracranial hemorrhage after stent placement for symptomatic intracranial atherosclerotic stenosis.

MATERIALS AND METHODS:

We retrospectively analyzed patients with symptomatic intracranial atherosclerotic stenosis stent placement in a prospective cohort at a high-volume stroke center. Clinical, radiologic, and periprocedural characteristics and long-term outcomes were reviewed. Periprocedural intracranial hemorrhage was classified as procedure-related hemorrhage (PRH) and non-procedure-related hemorrhage (NPRH). The long-term outcomes were compared between patients with PRH and NPRH, and the predictors of NPRH were explored.

RESULTS:

Among 1849 patients, 24 (1.3%) had periprocedural intracranial hemorrhage, including PRH (4) and NPRH (20). The postprocedural 30-day mRS was 0–2 in 9 (37.5%) cases, 3–5 in 5 (20.8%) cases, and 6 in 10 (41.7%) cases. For the 14 survivors, the long-term (median of 78 months) mRS were 0–2 in 10 (76.9%) cases and 3–5 in 3 (23.1%) cases. The proportion of poor long-term outcomes (mRS ≥3) in patients with NPRH was significantly higher than those with PRH (68.4% versus 0%, P = .024). Anterior circulation (P = .002), high preprocedural stenosis rate (P < .001), and cerebral infarction within 30 days (P = .006) were independent predictors of NPRH after stent placement.

CONCLUSIONS:

Patients with NPRH had worse outcomes than those with PRH after stent placement for symptomatic ICAS. Anterior circulation, severe preprocedural stenosis, and recent infarction are independent predictors of NPRH.




ural

Neural Stimulation during Drosophila Activity Monitor (DAM)-Based Studies of Sleep and Circadian Rhythms in Drosophila melanogaster

Sleep is a fundamental feature of life for virtually all multicellular animals, but many questions remain about how sleep is regulated by circadian rhythms, homeostatic sleep drive that builds up with wakefulness, and modifying factors such as hunger or social interactions, as well as about the biological functions of sleep. Substantial headway has been made in the study of both circadian rhythms and sleep in the fruit fly Drosophila melanogaster, much of it through studies of individual fly activity using Drosophila activity monitors (DAMs). Here, we describe approaches for the activation of specific neurons of interest using optogenetics (involving genetic modifications that allow for light-based neuronal activation) and thermogenetics (involving genetic modifications that allow for temperature-based neuronal activation) so that researchers can evaluate the roles of those neurons in controlling rest and activity behavior. In this protocol, we describe how to set up a rig for simultaneous optogenetic or thermogenetic stimulation and activity monitoring for analysis of sleep and circadian rhythms in Drosophila, how to raise appropriate flies, and how to perform the experiment. This protocol will allow researchers to assess the causative role in the regulation of sleep and activity rhythms of any genetically tractable subset of cells.




ural

Con: indwelling pleural catheters cause harm to patients

Indwelling pleural catheters (IPCs) have rapidly grown in popularity since their introduction for the management of recurrent pleural effusions. In malignant pleural effusions especially, there has been a shift away from measuring pleurodesis success and towards more patient-centred outcomes. Multiple randomised controlled trials have shown that despite lower rates of pleurodesis, symptom control and quality of life outcomes are comparable when compared to alternatives such as talc pleurodesis. IPCs have the added benefit of minimising inpatient hospital stays and reducing the need for recurrent pleural interventions, key priorities for patients with palliative disease. As a result, IPC treatment is associated with excellent patient satisfaction coupled with acceptably low complication rates. Furthermore, in patients with a short life expectancy they confer a cost benefit for the healthcare system.

Far from causing harm, IPCs are now recommended as first-line treatment by current clinical guidelines. In malignant pleural disease, guidance advocates IPCs should be offered as a first-line option with the focus on patient priorities and preferences. Ultimately IPCs provide a safe, effective, ambulatory option for managing recurrent pleural effusions.