Background: To our knowledge we report the first case of percutaneous mechanical thrombectomy used for the treatment of massive pulmonary embolism in the United Kingdom. Pulmonary embolism is a common disease process but can be difficult to diagnose. Massive pulmonary embolism presenting with profound hypotension, however, is rare. Both phenomena carry with them significant mortality. Traditionally those patients suffering haemodynamic compromise from pulmonary embolism are treated with intravenous or catheter-directed thrombolysis. When this is contraindicated surgical embolectomy or mechanical techniques via a right heart catheter are alternative options. The former is well established but the latter is less commonly utilised in clinical practice. Our aim is to highlight the effectiveness and relative safety of percutaneous mechanical thrombectomy as a therapeutic tool in massive pulmonary embolism.

Regime change often exacerbates ethnic conflict. This article examines the curious case of Myanmar, where a 2021 military coup was met, on the surface, with broad-based resistance across a divided society. An important question that therefore arises is whether, below the surface, this unity also took a more positive form of national solidarity. Were deep ethnic cleavages intensified or alleviated by the 2021 coup? This question bears theoretical relevance for the study of ethnic conflict and has social relevance for a nation marked by a long history of civil war and a recent experience of genocide against Rohingya Muslims. The article engages in a systematic examination of 180 social media posts uploaded in Burmese by key opinion leaders both before and after the coup. A qualitative analysis of major positive and negative themes indicates a shift in attitudes. The quantitative analysis shows that ethnic relations, measured by a change in themes, ratings and virality, improved significantly in the immediate aftermath of Myanmar's 2021 coup.

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