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Objective: Cerebral vasospasm and the resultant delayed cerebral infarction is a significant source of mortality following aneurysmal SAH. Vasospasm is currently detected using invasive or expensive imaging at regular intervals in patients following SAH, thus posing a risk of complications following the procedure and financial burden on these patients. Currently, there is no blood-based test to detect vasospasm. Methods: PubMed, Web of Science, and Embase databases were systematically searched to retrieve studies related to cerebral vasospasm, aneurysm rupture, and biomarkers. The study search dated from 1997 to 2022. Data from eligible studies was extracted and then summarized. Results: Out of the 632 citations screened, only 217 abstracts were selected for further review. Out of those, only 59 full text articles met eligibility and another 13 were excluded. Conclusions: We summarize the current literature on the mechanism of cerebral vasospasm and delayed cerebral ischemia, specifically studies relating to inflammation, and provide a rationale and commentary on a hypothetical future bloodbased test to detect vasospasm. Efforts should be focused on clinical-translational approaches to create such a test to improve treatment timing and prediction of vasospasm to reduce the incidence of delayed cerebral infarction.

Background Cerebral aneurysms are common, but there is no blood test for their diagnosis. Cerebral aneurysms are diagnosed incidentally or upon rupture. Current diagnostic tools either are invasive or place a large financial burden on the patient. Introduction of a blood test can reduce costs and allow for additional screening. Methods Markov decision analytic models were created for different case studies to simulate management within the US health care system. The model was run over 50 cycle‐years. Probabilities, costs, and outcomes were obtained from the literature and the National Inpatient Sample database. Quality‐adjusted life years were used to assess outcomes. Subgroup analysis was performed for different risk factors, patient groups, aneurysm size, and family members. Results A blood‐based diagnostic pathway is more cost effective in patients undergoing watchful waiting and as a screening tool in patients who may be at a higher risk. There was a 3‐fold reduction in death compared with the standard of care (15.71% versus 53.10%). The cost of using a blood test per additional quality‐adjusted life year gained was $34 515.13 among the watchful‐waiting cohort. The threshold price was $3951. Among patients with 1 family member with an aneurysm, we observed a 10‐fold reduction in death compared with the standard of care (0.21% versus 2.35%), with a threshold at $845.77. Among patients who smoke, we observed a 10‐fold reduction in death compared with the standard of care (0.27% versus 3.30%) with a threshold at $1054.24. Among patients with 2 family members with an aneurysm, there was a 10‐fold reduction in death compared with the standard of care (0.48% versus 5.85%) with a threshold at $1876.46. Conclusion Introduction of a blood‐based test for cerebral aneurysms would have a lifesaving effect within the US health care system while remaining cost effective.

Introduction: Mirror aneurysms of the middle cerebral artery (MCA) constitute 14% of all MCA aneurysms, which commonly arise from the MCA bifurcation. Giant MCA aneurysms (>25 mm in diameter) have a reported 5-year rupture rate of 40%, though can be difficult to treat surgically given their complex nature. Giant aneurysms may present with symptoms of mass effect, including neurological deficit, headaches, and/or cranial neuropathies. To our knowledge, no case of mirror bilateral giant MCA aneurysms exists in the neurosurgical literature. Case description: Here we present a case of mirror bilateral giant MCA aneurysms in an 84-year-old man who presented with altered mental status and increased falls in the last year. Imaging revealed mirror MCA aneurysms, 3.5 and 4 cm in diameter respectively, arising from bilateral M1 segments. The patient opted to forego further evaluation or surgical intervention and was discharged home. Conclusion: We report the first known case of mirror bilateral giant MCA aneurysms were found in an 84-year-old man presenting with altered mental status and progressive decline across the last year.

BackgroundEstrogen deficiency is associated with the development of cerebral aneurysms; however, the mechanism remains unknown. We explored the pathway of cerebral aneurysm development by investigating the potential link between estrogen deficiency and inflammatory factors. Methods and ResultsFirst, we established the role of interleukin‐17 (IL‐17)A. We performed a cytokine screen demonstrating that IL‐17A is significantly expressed in mouse and human aneurysms (P=0.03). Likewise, IL‐17A inhibition was shown to prevent aneurysm formation by 42% (P=0.02) and rupture by 34% (P

An arachnoid web is a pathological formation of the arachnoid membrane. It is a rare phenomenon but is known to lead to syrinx formation in the spinal cord along with pain and neurological deficits. On imaging, the 'scalpel sign' is pathognomonic for an arachnoid web. The etiology of syrinx formation from an arachnoid web is currently unknown. This report documents the only two cases of arachnoid webs with an extensive syrinx in which a likely pathophysiologic mechanism is identified. Both cases presented with motor deficits. The patients had no history of trauma or infection. After extensive workup in both patients and observation of the scalpel sign an arachnoid web was suspected. In both cases, the patients were treated surgically after an arachnoid web was suspected. Intra-operative ultrasound visualized in both cases demonstrates a fenestration in the web that allowed passage of cerebrospinal fluid in a rostral-caudal direction due to a ball-valve effect. [ABSTRACT FROM AUTHOR]

Unionid mussels are globally threatened by several human disturbances, including the introduction of non-native species. Among these, biofouling zebra and quagga mussels of Ponto-Caspian origin are considered to be especially detrimental to unionid locomotion, filtration and physical condition. The aim of our study was to determine and compare the impact of dreissenid fouling and/or presence on locomotion and burrowing of the native Unio tumidus and invasive Sinanodonta woodiana, a novel invader expanding its range in Europe in recent decades. We tested unionids collected from Lake Balaton (central Europe) that were fouled by dreissenids (zebra and quagga mussels mixed), cleaned of fouling or non-fouled (collected without any signs of dreissenid fouling). Moreover, unionids were tested in the presence or absence of other fouled individuals and dreissenids isolated in mesh bags to determine the influence of direct fouling and presence of dreissenids in the environment on unionid behaviour. Movement initiation time, locomotion distance and burrowing level were retrieved from videos recorded for 24 hours. Direct fouling affected only the behaviour of U. tumidus, limiting their burrowing and delaying movements. After removal of fouling, movement timing returned back to normal, but mussels still burrowed less than the control non-fouled individuals, indicating persisting effects of fouling on physical condition. Moreover, U. tumidus reduced their locomotion in the presence of fouled unionids. Sinanodonta woodiana responded to the presence of dreissenids (especially quagga mussels) with increased burrowing. These different responses of the two unionid species to Dreissena spp. indicate that biofoulers may influence biotic interactions between the unionids by promoting the invasive species (less susceptible to negative effects of fouling). Moreover, S. woodiana may indirectly affect U. tumidus through apparent competition, constituting an environmental reservoir of biofoulers exerting a stronger impact on the native species.

Objective(s): The present study aimed to explore the mechanisms underlying the potency of the renoprotective effect of the EtOAc fraction of Limonium duriusculum (EALD) (Plumbaginaceae) against cyclosporine A (CsA), in comparison to vitamin E (Vit. E).Materials and Methods: In the in-vivo experiment, a model of CsA-induced nephrotoxicity was established by dosing male Wistar rats with 25 mg/kg, for 14 days. The protective effect of EALD was investigated through pretreatment of rats with a dose of 200 mg/kg for 14 days, compared to the oral administration of Vit. E at 100 mg/kg. Renal function and markers of oxidative stress were then assessed. Furthermore, a complementary in-vitro study was carried out to evaluate CsA-induced endoplasmic reticulum stress (ERS) and inflammation on cell culture (3T3 cells and MCT cells) using western blot and quantitative RT-PCR..Results: Pretreatment of rats with EALD significantly attenuated the elevated levels of renal dysfunction markers (BUN, creatinine) and suppressed malondialdehyde (MDA) levels; It also significantly regulated the changes in superoxide dismutase (SOD), reduced glutathione (GSH), glutathione peroxydase (GPx), and glutathione S-transferase (GST) levels as compared to Vit. E, demonstrating a more effective recovery in renal tissues. Treatment of cells with CsA was linked to the expression of ERS and inflammatory markers activating transcription factor (ATF4), inositol-requiring enzyme 1α (IRE1α), binding immunoglobulin protein (BiP), and monocyte chemoattractant protein-1 (MCP1). In contrast, pretreatment of cells with EALD resulted in a significant decrease in both ERS and inflammatory markers.Conclusion: These findings indicate the renoprotective potential of L. duriusculum, as it demonstrated the ability to ameliorate CsA-induced renal dysfunction through its distinctive antioxidant properties.

Abstract Background Convenient therapeutic protocols for hepatocellular carcinoma (HCC) are often ineffective due to late diagnosis and high tumor heterogeneity, leading to poor long-term outcomes. However, recently performed studies suggest that using nanostructures in liver cancer treatment may improve therapeutic effects. Inorganic nanoparticles represent a unique material that tend to accumulate in the liver when introduced in-vivo. Typically, this is a major drawback that prevents the therapeutic use of nanoparticles in medicine. However, in HCC tumours, this may be advantageous because nanoparticles may accumulate in the target organ, where the leaky vasculature of HCC causes their accumulation in tumour cells via the EPR effect. On the other hand, recent studies have shown that combining low- and high-LET radiation emitted from the same radionuclide, such as 161Tb, can increase the effectiveness of radionuclide therapy. Therefore, to improve the efficacy of radionuclide therapy for hepatocellular carcinoma, we suggest utilizing radioactive palladium nanoparticles in the form of 109Pd/109mAg in-vivo generator that simultaneously emits β− particles and Auger electrons. Results Palladium nanoparticles with a size of 5 nm were synthesized using 109Pd produced through neutron irradiation of natural palladium or enriched 108Pd. Unlike the 109Pd-cyclam complex, where the daughter radionuclide diffuses away from the molecules, 109mAg remains within the nanoparticles after the decay of 109Pd. In vitro cell studies using radioactive 109Pd nanoparticles revealed that the nanoparticles accumulated inside cells, reaching around 50% total uptake. The 109Pd-PEG nanoparticles exhibited high cytotoxicity, even at low levels of radioactivity (6.25 MBq/mL), resulting in almost complete cell death at 25 MBq/mL. This cytotoxic effect was significantly greater than that of PdNPs labeled with β− (131I) and Auger electron emitters (125I). The metabolic viability of HCC cells was found to be correlated with cell DNA DSBs. Also, successful radioconjugate anticancer activity was observed in three-dimensional tumor spheroids, resulting in a significant treatment response. Conclusion The results indicate that nanoparticles labeled with 109Pd can be effectively used for combined β− - Auger electron-targeted radionuclide therapy of HCC. Due to the decay of both components (β− and Auger electrons), the 109Pd/109mAg in-vivo generator presents a unique potential in this field.

1. Ecosystem engineering freshwater bivalves, burrowing in the substratum and accumulating shell deposits, transform bottom habitats. Especially the invasive Asian bivalve Sinanodonta woodiana (SW), due to its rapid growth, large size, and high fecundity, can affect benthic communities. Here, we determined its effect on habitat selection and behaviour of endangered native bivalves, Anodonta cygnea and Unio tumidus. 2. We conducted laboratory preference assays (Experiment 1: choice between two substrata) exposing the native bivalves to pure sand (control), shells (several densities on the sand surface or burrowed), or living SW. Then, we tested their locomotion and burrowing (Experiment 2) on pure sand and substrata contaminated with shells or living SW. 3. In Experiment 1, native bivalves avoided shells, but not living SW. Burrowed and larger shells were avoided compared with those on the surface and smaller ones, respectively. 4. In Experiment 2, U. tumidus exposed to SW delayed activity initiation (in response to living bivalves), increased locomotion (living bivalves, surface shells), and reduced burrowing depth (living bivalves, all shells). Anodonta cygnea exposed to SW reduced locomotion speed (living bivalves, shells), and reduced burrowing duration (burrowed shells) and depth (living bivalves, burrowed shells). 5. SW (especially shell beds) constitutes another emerging threat to native bivalves, impairing their burrowing and inducting active avoidance. As SW expands its distribution with climate warming, the range and strength of its impact is likely to increase, reducing the area available to native bivalves, exposing them to environmental dangers (due to burrowing limitation) and deteriorating physical condition (energetic resources used for excessive locomotion).

Synovitis is the inflammation of a synovial membrane surrounding a joint. Its assessment is an important step in the diagnosis and treatment of rheumatoid arthritis. Joint detection is the first stage of an automated method of assessment of a degree of synovitis, from an Ultrasound (USG) image of a finger joint and its surrounding area. A joint detector consists of three parts: image preprocessing, feature extraction, and classification. Each part contains adjustable parameters that must be set experimentally to ensure the proper operation of the detector. Both the structure of a joint detector and a procedure for finding a near-optimal configuration of the adjustable parameters are described. The optimization process is based on two evaluation measures: Area Under the Receiver Operating Characteristic Curve (AUC) and False Positive Count (FPC). The optimization process decreases the number of pictures with multiple detections, which was the main point of works presented in this paper. This was achieved by increasing the number of components of the homogeneous mixed-SURF descriptor which has the greatest influence on the final result. Non-SURF descriptors achieve poorer classification results. Our research led to the creation of a better joint detector which could positively influence the final results of inflammation level classification.

Abstract Glioblastoma (GBM) is the most common and lethal brain tumor in adults. Due to its fast proliferation, diffusive growth and therapy resistance survival times are less than two years for patients with IDH-wildtype GBM. GBM is noted for the considerable cellular heterogeneity, high stemness indices and abundance of the glioma stem-like cells known to support tumor progression, therapeutic resistance and recurrence. Doublesex- and mab-3–related transcription factor a2 (DMRTA2) is involved in maintaining neural progenitor cells (NPC) in the cell cycle and its overexpression suppresses NPC differentiation. Despite the reports showing that primary GBM originates from transformed neural stem/progenitors cells, the role of DMRTA2 in gliomagenesis has not been elucidated so far. Here we show the upregulation of DMRTA2 expression in malignant gliomas. Immunohistochemical staining showed the protein concentrated in small cells with high proliferative potential and cells localized around blood vessels, where it colocalizes with pericyte-specific markers. Knock-down of DMRTA2 in human glioma cells impairs proliferation but not viability of the cells, and affects the formation of the tumor spheres, as evidenced by strong decrease in the number and size of spheres in in vitro cultures. Moreover, the knockdown of DMRTA2 in glioma spheres affects the stabilization of the glioma stem-like cell-dependent tube formation in an in vitro angiogenesis assay. We conclude that DMRTA2 is a new player in gliomagenesis and tumor neovascularization and due to its high expression in malignant gliomas could be a biomarker and potential target for new therapeutic strategies in glioblastoma.

In this study, Li+ ions capped zinc oxide quantum dots (ZnO QDs) was synthesised using the microwave method. The X-ray diffraction (XRD), transmission electron microscopy (TEM), high-transmission electron microscopy (HR-TEM), scanning electron microscopy (SEM), UV-Visible diffuse reflectance spectroscopy (UV-DRS), and photoluminescence (PL) techniques were used to characterise the structural, morphological, optical properties of the ZnO QDs. The XRD analysis reveals that ZnO QDs have a hexagonal wurtzite structure with an average crystallite size of 9.9 nm. The morphology of ZnO QDs was observed to be quasi-spherically shaped with an average particle size of 10 nm. The PL analysis detected the presence of various defects. All these factors enhanced the photodegradation of oxytetracycline (OTC) under fluorescent light irradiation. Within 40 min, 88.3% of OTC was removed, which was higher compared to the bulk ZnO reported in the literature. This technology is aimed at small animal husbandries due to the photocatalyst synthesis method's simplicity and the photocatalysis process's requirements. [ABSTRACT FROM AUTHOR]