Article
Allergy
Claus Bachert, Joseph K. Han, Martin Y. Desrosiers, Philippe Gevaert, Enrico Heffler, Claire Hopkins, Jody R. Tversky, Peter Barker, David Cohen, Claire Emson, Ubaldo J. Martin, Vivian H. Shih, Sofia Necander, James L. Kreindler, Maria Jison, Viktoria Werkstrom
Summary: This study assessed the efficacy and safety of benralizumab in treating CRSwNP. The results showed that benralizumab significantly improved NPS and nasal blockage score, and had significant improvement on difficulty with sense of smell score. Subgroup analyses suggested influences of comorbid asthma, number of NP surgeries, sex, body mass index, and baseline blood eosinophil count on treatment effects.
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY
(2022)
Review
Otorhinolaryngology
Luis Macias-Valle, Alkis J. Psaltis
Summary: The scholarly review presents an update on the efficacy, safety, and distribution of intranasal corticosteroids (INCS) for chronic rhinosinusitis (CRS) treatment. Studies show significant improvement in disease-specific and general quality of life measures with all formulations of INCS, indicating the effectiveness and safety of both FDA and non-FDA approved options. Novel distribution devices may further enhance penetration to specific areas within the sinuses.
ENT-EAR NOSE & THROAT JOURNAL
(2021)
Review
Pharmacology & Pharmacy
Min Zhang, Jing-Zi Ni, Lei Cheng
Summary: Intranasal corticosteroids (INCSs) have a favorable safety profile and high local-systemic balance of bioavailability with a low incidence of adverse events in the treatment of pediatric allergic rhinitis (AR). However, the use of INCSs should be individualized based on patient response and adverse effects. Evaluation of the benefits and risks of INCSs is necessary to ensure clinical efficacy and prevent potential events.
EXPERT OPINION ON DRUG SAFETY
(2022)
Article
Otorhinolaryngology
R. Casanueva, E. Villanueva, J. L. Llorente, A. Coca-Pelaz
Summary: A retrospective cross-sectional study was conducted on pediatric patients with orbital complications of acute bacterial rhinosinusitis, showing that 60% of patients did not require surgical treatment and the use of intravenous antibiotics and corticosteroids was safe and effective. Surgical treatment remains available as an option for cases where necessary.
AMERICAN JOURNAL OF OTOLARYNGOLOGY
(2022)
Article
Medicine, General & Internal
Kamil Radajewski, Paulina Kalinczak-Gorna, Marek Zdrenka, Paulina Antosik, Malgorzata Wierzchowska, Dariusz Grzanka, Pawel Burduk
Summary: This study aimed to investigate the effect of oral corticosteroids and topical steroids on the tissue of paranasal sinuses, showing a statistically significant decrease in tissue eosinophilia and fibrosis with the combination of oral and topical steroids.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Otorhinolaryngology
Jorge A. Gutierrez, Christian M. Shannon, Nikita Chapurin, Rodney J. Schlosser, Zachary M. Soler
Summary: This study aimed to investigate the real-world adherence to intranasal corticosteroid irrigations and identify factors associated with low adherence. The medication possession ratio was calculated using pharmacy data, and the results showed low adherence with underreported medication issues. Education and barriers to care were associated with lower adherence, which in turn, correlated with worse quality of life for patients.
INTERNATIONAL FORUM OF ALLERGY & RHINOLOGY
(2023)
Review
Allergy
Catherine M. Freeman, Matthew A. Rank
Summary: Recent studies have shown that inhalation delivery systems of corticosteroids are effective and well tolerated, but have not been compared with other active treatments. Comparative efficacy studies have shown no clear differences in doses of topical corticosteroids, methods of delivery, advantages over macrolide antibiotics, or methods of saline irrigation. Ongoing research is needed to determine the optimal formulation, dosage, and delivery of topical corticosteroids and saline for people with CRS.
CURRENT OPINION IN ALLERGY AND CLINICAL IMMUNOLOGY
(2021)
Article
Otorhinolaryngology
Lauren E. Miller, Neil Bhattacharyya
Summary: The study found no significant association between the use of OCSs and the development of COVID-19 in patients with CRS. This suggests that providers can prescribe OCSs as needed for CRS patients during the COVID-19 pandemic without excessive concern for COVID-19 risks.
OTOLARYNGOLOGY-HEAD AND NECK SURGERY
(2022)
Review
Pharmacology & Pharmacy
David Ranford, Claire Hopkins
Summary: The first-line treatment for nasal polyposis is long-term intranasal corticosteroids, with systemic corticosteroids used if symptom control is not achieved. However, repeated use of oral corticosteroids is associated with adverse events and the benefits are lost within a few months.
EXPERT OPINION ON DRUG SAFETY
(2021)
Article
Immunology
Michael Hoggard, Bincy Jacob, David Wheeler, Melissa Zoing, Kevin Chang, Kristi Biswas, Martin Middleditch, Richard G. Douglas, Michael W. Taylor
Summary: This study utilized multiomics-based time-series assessment of nasal polyp biopsies from chronic rhinosinusitis patients, revealing pathways associated with inflammation and apoptosis. Results showed natural variation in certain transcripts and proteins over time, as well as significant responses of some transcripts to corticosteroid therapy.
IMMUNITY INFLAMMATION AND DISEASE
(2021)
Article
Allergy
Amie Nguyen, Bruce L. Zuraw, Christina Wu, Alexander Kim, Sandra C. Christiansen
Summary: This study aimed to evaluate the role of intranasal ketorolac in ASA desensitization and AERD diagnosis. The results showed that using intranasal ketorolac before oral ASA could increase the threshold dose of ASA, decrease the severity of reactions to oral ASA, and there was 100% concordance between reactions to intranasal ketorolac and oral ASA.
ANNALS OF ALLERGY ASTHMA & IMMUNOLOGY
(2021)
Article
Medicine, Research & Experimental
Carson Popper, Hannah Martin, Reanna Shah, Ryan Sicard, Katrina Hodges, Dennis Onyeka Frank-Ito
Summary: This study investigates parameter combinations for effective drug delivery to the ostiomeatal complex (OMC) and maxillary sinuses (MS) through intranasal spray. Computational fluid dynamic modeling is used to simulate nasal airflow and drug particle transport. The results suggest that drug particle size, spray particle velocity, and spray release location all play a role in particle deposition patterns.
Article
Health Care Sciences & Services
Eugenio De Corso, Carlotta Pipolo, Elena Cantone, Giancarlo Ottaviano, Stefania Gallo, Frank Rikki Mauritz Canevari, Alberto Macchi, Giulia Monti, Carlo Cavaliere, Ignazio La Mantia, Sara Torretta, Francesco Bussu, Emanuele Scarano, Paolo Petrone, Angelo Ghidini, Daniela Lucidi, Massimiliano Garzaro, Matteo Trimarchi, Veronica Seccia, Giulio Cesare Passali, Daria Salsi, Domenico Cuda, Ernesto Pasquini, Luca Malvezzi, Stefano Settimi, Gaetano Paludetti, Jacopo Galli
Summary: This study investigated the use of topical and systemic corticosteroids in Italian patients with CRSwNP. The majority of participants prescribed mometasone furoate, and believed that short-term systemic steroids should be used for symptom exacerbation. However, there were varying opinions on the duration and maximal dose of systemic steroids. Additionally, systemic corticosteroids only provided temporary benefit on smell recovery.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Article
Health Care Sciences & Services
Senthilraj Retinasekharan, Norasnieda Md Shukri, Ahmad Filza Ismail, Baharudin Abdullah
Summary: A new questionnaire was developed and validated to assess the knowledge, attitude, and practice of allergic rhinitis patients using intranasal corticosteroids. The questionnaire consists of 3 domains with 12 items and has demonstrated validity and reliability, making it a useful tool to improve patient treatment by understanding compliance factors.
Review
Medicine, General & Internal
Lan Zhang, Baohua Zhu, Rong Zhang, Huixia Liu, Peishan Li, Jie Liao, Hanchao Shen, Li Tian
Summary: This systematic review and network meta-analysis aim to compare the effectiveness of different interventions of corticosteroids for CRSwNP patients after ESS and provide evidence-based recommendations for the management of CRSwNP patients after ESS.
Editorial Material
Allergy
D. Caimmi, C. Neukirch, P. Demoly
Summary: The study evaluated the clinical tolerance of asthmatic patients exposed to compounds emitted by essential oil spray and compared available data in scientific literature. More research is needed to further understand the potential dangerous effects of compounds in essential oils.
Article
Allergy
Christina Krantz, Simone Accordini, Kjell Alving, Angelo G. Corsico, Pascal Demoly, Diogenes S. Ferreira, Bertil Forsberg, Judith Garcia-Aymerich, Thorarinn Gislason, Joachim Heinrich, Rain Jogi, Ane Johannessen, Benedicte Leynaert, Alessandro Marcon, Jesus Martinez-Moratalla Rovira, Elisabet Nerpin, Dennis Nowak, Anna-Carin Olin, Mario Olivieri, Antonio Pereira-Vega, Chantal Raherison-Semjen, Francisco Gomez Real, Torben Sigsgaard, Guilia Squillacioti, Christer Janson, Andrei Malinovschi
Summary: In a multi-center population-based study, an independent association between upper airway inflammatory disorders (UAID) and elevated fractional exhaled nitric oxide (FeNO) levels was found. There was a significant interaction with perennial sensitization and asthma, highlighting the concept of united airway disease.
CLINICAL AND EXPERIMENTAL ALLERGY
(2022)
Editorial Material
Allergy
A. Gauthier, F. Mankouri, P. Demol, A. M. Chiria
JOURNAL OF INVESTIGATIONAL ALLERGOLOGY AND CLINICAL IMMUNOLOGY
(2022)
Article
Allergy
Witchaya Srisuwatchari, Charles A. Tacquard, Anna Borushko, Simon Viville, Rodolphe Stenger, Yoann Ehrhard, Jean-Marc Malinovsky, Paul-Michel Mertes, Pascal Demoly, Anca-Mirela Chiriac
Summary: The aim of this study was to determine the diagnostic performance of serum total tryptase (T-A) to differentiate positive from negative allergy testing suspected perioperative hypersensitivity reaction (POH), and also to analyze the diagnostic performance of serial tryptase levels using several formulas.
CLINICAL AND EXPERIMENTAL ALLERGY
(2022)
Letter
Allergy
Pablo Rodriguez del Rio, Davide Caimmi, Pilar Rico, Carmen Vidal, Moreno Carmen, Ileana M. Pintoiu, Jose M. Beitia Mazuecos, David Gonzalez de Olano, Pedro Cuesta Alvaro, Pascal Demoly, Moises A. Calderon
CLINICAL AND EXPERIMENTAL ALLERGY
(2022)
Article
Allergy
Luciana Kase Tanno, Pascal Demoly
Summary: The International Classification of Diseases (ICD) serves as a common diagnostic and classification tool worldwide, aiming to improve the accuracy of mortality and morbidity statistics for allergic and hypersensitivity conditions. The recent change in hierarchy in ICD-11 has allowed for a dedicated section addressing these conditions, leading to more accurate classification and definitions. The implementation of ICD-11 was adopted at the 72nd World Health Assembly in May 2019.
PEDIATRIC ALLERGY AND IMMUNOLOGY
(2022)
Article
Allergy
Luciana Kase Tanno, Nicolas Molinari, Isabella Annesi-Maesano, Pascal Demoly, Ana Luiza Bierrenbach
Summary: This study is the first national population-based study of anaphylaxis hospital admissions in Brazil, using data from a low- or middle-income country. Hospital admissions and fatalities from anaphylaxis in Brazil appear to be increasing.
CLINICAL AND EXPERIMENTAL ALLERGY
(2022)
Review
Allergy
Barbara Cardoso, Teresa Moscoso, Mario Morais-Almeida, Pascal Demoly, Luciana K. Tanno
Summary: This systematic review evaluates the economic burden of drug-induced anaphylaxis (DIA) and proposes cost-saving measures to reduce the burden. Although DIA has a significant societal impact, there is limited and heterogeneous data on its cost. The study found that direct costs include the management and investigation expenses of DIA, while indirect costs include economic losses due to absenteeism. By appropriately managing certain variables, the economic burden of DIA can be reduced.
CURRENT OPINION IN ALLERGY AND CLINICAL IMMUNOLOGY
(2022)
Review
Allergy
Luciana K. Tanno, Amelie Gauthier, Salome Allichon, Pascal Demoly
Summary: The rate of drug-induced anaphylaxis (DAF) is increasing globally, with the main implicated drugs being antibiotics, anaesthetics, radio-contrast media, and NSAIDs. The main manifestations are cardiovascular and respiratory commitments, and those at risk for DAF are patients over 54 years old with a history of drug allergy, cardiovascular disease, and/or asthma. The use of adrenaline is mentioned in only 29% of the articles.
CURRENT OPINION IN ALLERGY AND CLINICAL IMMUNOLOGY
(2022)
Review
Biotechnology & Applied Microbiology
L. Klimek, R. Brehler, R. Moesges, P. Demoly, J. Mullol, D. Y. Wang, R. E. O'Hehir, A. Didier, M. Kopp, C. Bos, E. Karagiannis
Summary: Sublingual immunotherapy (SLIT) is a safe and effective treatment for allergic rhinitis (AR), and Oralair (R) is a SLIT tablet containing natural pollen allergens that has been proven to be clinically effective and safe for patients with grass pollen-induced AR. It also shows potential benefits in reducing the risk or delaying the development of allergic asthma.
HUMAN VACCINES & IMMUNOTHERAPEUTICS
(2022)
Article
Computer Science, Information Systems
Rhode Ghislaine Nguewo Ngassam, Linnea Ung, Roxana Ologeanu-Taddei, Jorick Lartigau, Pascal Demoly, Isabelle Bourdon, Anca Mirela Chiriac
Summary: This study applies action design research to provide actionable knowledge on user perceptions and adoption of personal health records, focusing on the case of the digital allergy card. The research findings propose research proposals on the benefits of, levers for, and barriers to adoption that can be tested for other personal health records.
JOURNAL OF ORGANIZATIONAL AND END USER COMPUTING
(2022)
Review
Allergy
Pascal Demoly, Andrew H. Liu, Pablo Rodriguez del Rio, Soren Pedersen, Thomas B. Casale, David Price
Summary: Asthma is a common disease that affects millions of people worldwide. Genetic predisposition and environmental exposure are the main risk factors for developing asthma. Asthma guidelines recommend using specific IgE testing to identify allergens and personalize treatment plans for diagnosed asthma patients. Other diagnostic methods, such as eosinophil count and fractional exhaled nitric oxide measurement, can also be used to assess the severity of asthma and treatment response. Referral to asthma/allergy specialists is necessary when the initial diagnosis is uncertain or symptoms and exacerbations are recurring or severe.
JOURNAL OF ASTHMA AND ALLERGY
(2022)
Article
Allergy
Oliver Pfaar, Philippe Devillier, Jochen Schmitt, Pascal Demoly, Ole Hilberg, Lawrence DuBuske, Nicole Hass, Ted Klok, Caroline Beutner
Summary: The 'Adherence and Persistence in AIT (APAIT)' checklist has been developed as a guide for reporting, designing, and interpreting retrospective studies on adherence or persistence to allergen immunotherapy (AIT). The checklist highlights the importance of transparency in reporting and identifies potential sources of bias in these studies.
Article
Anesthesiology
Paul Michel Mertes, Nadine Petitpain, Charles Tacquard, Marion Delpuech, Cedric Baumann, Jean Marc Malinovsky, Dan Longrois, Aurelie Gouel-Cheron, Diane Le Quang, Pascal Demoly, Jean Louis Gueant, Pierre Gillet, ALPHO Study Grp
Summary: This study assessed the relationship between pholcodine exposure and NMBA-related anaphylaxis. It found that exposure to pholcodine and other quaternary ammonium compounds in the environment can increase sensitivity to NMBAs. Pholcodine and quaternary ammonium sIgEs have a high negative predictive value but a very low positive predictive value for identifying NMBA-related reactions.
BRITISH JOURNAL OF ANAESTHESIA
(2023)
Meeting Abstract
Allergy
Barbara Kong-Cardoso, Teresa Moscoso, Mario Morais-Almeida, Gregoire Mercier, Pascal Demoly, Luciana Kase Tanno
CLINICAL AND EXPERIMENTAL ALLERGY
(2022)
Article
Otorhinolaryngology
Jason Lee, Alia Tayara, James D. Warren, Boris Kuyeb, Elizabeth McKee, Alexander Velazquez, Oishika Paul, Andrea F. Lewis
Summary: The purpose of the study was to understand the impact of COVID-19 on facial trauma incidence and etiology in Mississippi. The research found a significant increase in facial trauma caused by family members during the pandemic, which may be related to the reported increase in domestic violence. Additionally, there were notable changes in the etiology and insurance payor of facial trauma cases during the COVID-19 pandemic.
AMERICAN JOURNAL OF OTOLARYNGOLOGY
(2024)
Article
Otorhinolaryngology
Sheila Moran, Cassidy Anderson, Risha Sheni, Monica Azmy, Daniel T. Li, Anthony M. Loizides, Christina J. Yang
Summary: This retrospective study found that a family history of eczema and a dairy-free diet may be associated with an increased risk of future diagnosis of EoE in children with aerodigestive dysfunction.
AMERICAN JOURNAL OF OTOLARYNGOLOGY
(2024)
Article
Otorhinolaryngology
Robert Brinton Fujiki, Amanda Edith Fujiki, Susan L. Thibeault
Summary: This study examined the number of therapy sessions required for patients with EILO/ILO to sufficiently improve their symptoms. The results showed that patients with comorbid behavioral health diagnosis, higher vocal handicap index score, and reduced physical activity due to EILO/ILO symptoms required more therapy sessions. Patients with secondary environmental triggers also required more sessions. Only a small percentage of patients returned for additional therapy sessions after discharge, and they were mostly from affluent neighborhoods.
AMERICAN JOURNAL OF OTOLARYNGOLOGY
(2024)
Article
Otorhinolaryngology
Brian W. Herrmann, Salina H. Goff, Juri Boguniewicz, Sarah A. Gitomer
Summary: This retrospective case series analyzed nHiB H. influenzae meningitis cases diagnosed at Children's Hospital Colorado from 2000 to 2020. The results showed that nHiB H. influenzae can cause both transient and permanent postmeningitic hearing loss. The use of steroids may offer otoprotection in nHiB H. influenzae meningitis. Further research is needed to better understand hearing outcomes after nHiB H. influenzae meningitis.
AMERICAN JOURNAL OF OTOLARYNGOLOGY
(2024)
Article
Otorhinolaryngology
M. Kovacs, J. Uzsaly, G. Bodzai, I. Pap, B. Lippai, T. Dergez, A. Nemeth, I. Gerlinger, I. Szanyi, P. Bako
Summary: The pathophysiology and treatment of idiopathic sudden sensorineural hearing loss (ISSNHL) are still debated. A randomized controlled trial showed no significant differences in hearing improvement between different treatments, but identified clinical factors such as vertigo, cardiovascular comorbidity, and initial hearing loss severity as significant predictors of hearing outcomes.
AMERICAN JOURNAL OF OTOLARYNGOLOGY
(2024)
Article
Otorhinolaryngology
Roee Noy, Yotam Shkedy, Nadeem Habashi, Salem Billan, Jacob Cohen
Summary: Salvage cordectomy offers favorable larynx preservation rates and oncological outcomes for recurrent glottic cancer amenable to conservative surgery. Smoking, advanced age, and advanced tumor stages are associated with salvage cordectomy failure.
AMERICAN JOURNAL OF OTOLARYNGOLOGY
(2024)
Article
Otorhinolaryngology
Pietro De Luca, Ignazio La Mantia, Federico Maria Gioacchini, Massimo Re, Marco Radici, Angelo Camaioni, Arianna Di Stadio
Summary: In this study, the effect of nasal packaging using Fitostimoline (R) gauze on nasal outcomes after septoplasty and FESS surgery was evaluated. The results showed that the use of Fitostimoline (R) gauze improved healing of nasal mucosa and reduced discomfort during tampon removal.
AMERICAN JOURNAL OF OTOLARYNGOLOGY
(2024)
Article
Otorhinolaryngology
Anna Frants, Antonios N. Varelas, Alexa M. Franco, W. Matthew White, Minas S. Constantinides, Philip J. Miller, Judy W. Lee
Summary: This article introduces DESS as a new educational format to increase the comfort of residents with the surgical evaluation and intraoperative planning of rhinoplasty. Through DESS, residents display significant improvement in their comfort with facial nasal analysis and overall surgical preparation.
AMERICAN JOURNAL OF OTOLARYNGOLOGY
(2024)
Article
Otorhinolaryngology
Zhengcai Lou, Zihan Lou, Tian Lv, Zhengnong Chen
Summary: This study compared the operation time, graft success, audiometric outcomes, and complications of the over-under technique using temporalis fascia and cartilage grafts for repairing large perforations. The results showed that both techniques had similar graft success rates and hearing outcomes, but the temporalis fascia graft technique prolonged the operation time and increased the risk of re-perforation and graft atelectasis.
AMERICAN JOURNAL OF OTOLARYNGOLOGY
(2024)
Review
Otorhinolaryngology
Ciaran Lane, Maxwell Wright, Janice Linton, Neerav Goyal
Summary: This study systematically reviewed the data on surgical closure of enlarged tracheoesophageal fistula after laryngectomy and compared different reconstruction techniques. The results showed that using vascularized tissue for reconstruction had a higher success rate compared to primary closure.
AMERICAN JOURNAL OF OTOLARYNGOLOGY
(2024)
Review
Otorhinolaryngology
John Q. Odom, Andrew R. Mangan, Anna Celeste Gibson, Michael Larson, John L. Dornhoffer, Robert A. Saadi
Summary: Granulomatosis with polyangiitis is often associated with otolaryngologic complaints, and in rare cases, patients may experience facial nerve palsy. It is important for healthcare professionals to recognize facial nerve palsy as a potential presentation of granulomatosis with polyangiitis.
AMERICAN JOURNAL OF OTOLARYNGOLOGY
(2024)
Article
Otorhinolaryngology
R. Bar, A. Mattei, R. Haddad, A. Giovanni
Summary: Office-based flexible interventional laryngoscopy under local anesthesia is a safe and well-tolerated procedure, suitable for various ambulatory and office-based settings.
AMERICAN JOURNAL OF OTOLARYNGOLOGY
(2024)
Review
Otorhinolaryngology
Do Hyun Kim, Soo Whan Kim, Sung Won Kim, Gulnaz Stybayeva, Se Hwan Hwang
Summary: This systematic review and meta-analysis compared the effects of cryotherapy and radiofrequency neurolysis in treating rhinitis-related symptoms caused by ablation of the posterior nasal nerves. The results showed that both cryotherapy and radiofrequency neurolysis significantly improved rhinitis-related symptoms and quality of life. Radiofrequency neurolysis was found to be more effective than cryotherapy in reducing total nasal symptom scores.
AMERICAN JOURNAL OF OTOLARYNGOLOGY
(2024)
Article
Otorhinolaryngology
Mengdie Gao, Liyu Cheng, Qingcui Wang, Qingwen Yang, Xiaoyi Wang, Yanru Li, Rong Hu, Wen Xu
Summary: This study investigates the clinical characteristics, diagnosis, and prognosis of patients with laryngeal tuberculosis (LTB) combined with respiratory tuberculosis. The study found that LTB commonly affects middle-aged men and presents with symptoms such as hoarseness, abnormal sensation of pharyngeal, and pharyngalgia. The lesions mainly involve multiple subregions, primarily the glottis, and can also involve the pharynx. Half of the patients were complicated with pulmonary tuberculosis (PTB), and chest CT was superior to X-ray in detecting pulmonary lesions. Most patients showed significant improvement in symptoms and morphology of the pharyngeal and laryngeal mucosa after regular anti-tuberculosis treatment.
AMERICAN JOURNAL OF OTOLARYNGOLOGY
(2024)
Article
Otorhinolaryngology
Alfonso Scarpa, Emilio Avallone, Mario Carucci, Giovanni Salzano, Giuseppe Chiarella, Claudia Cassandro, Pasquale Viola, Filippo Ricciardiello, Massimo Ralli, Pietro De Luca, Francesco Antonio Salzano
Summary: This study assessed the efficacy and safety of low-dose intratympanic gentamicin for vertigo attacks in Meniere's disease. The treatment significantly reduced vertigo attacks without causing hearing deterioration. The method primarily affected vestibular function while preserving cochlear integrity. These findings suggest that a low-dose, clinical symptomatology-based gentamicin treatment regimen could be an effective and safe strategy for managing unilateral Meniere's disease.
AMERICAN JOURNAL OF OTOLARYNGOLOGY
(2024)