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  1. The Triumvirate

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Never the twain…

Emmeline Pankhurst (1858–1928), leader of the British suffragette movement, stated that “window-breaking, when Englishmen do it, is regarded as honest expression of political opinion. Window-breaking, when Englishwomen do it, is treated as a crime’. This political paradox is as diverse as the difference between cardiology and respiratory medicine. However, Jaime Corral and colleagues ( see page 361 ) have bridged this gap. As part of a clinical trial, the effect of NIV (n=71), CPAP (n=80) and lifestyle modification (n=70) on transthoracic echocardiographic changes between baseline and 2 months were compared in patients with obesity hypoventilation syndrome. NIV was more effective than CPAP and lifestyle modification in improving pulmonary hypertension, left ventricular hypertrophy and functional outcomes. Only NIV treatment led to a significant improvement in exercise capacity.

Best protection…

Elizabeth Cady Stanton (1815–1902), an American suffragist, quoted that the "best protection a woman can have…is courage". Although courage is important, neutrophils play a vital protective role, especially in lung defence and repair. Jorge Blázquez-Prieto and colleagues ( see page 321 ) investigated the role of neutrophils in mice …

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