Keyhole Mini-Pterional Craniotomy for Clipping of Bilateral Middle Cerebral Artery Aneurysms.

Middle cerebral artery (MCA) aneurysms remain excellent candidates for microsurgical treatment, despite proliferation of new endovascular tools. Nonetheless, patients desire less invasive options for permanent, durable treatment of their aneurysms; this is particularly the case for those presenting without subarachnoid hemorrhage, and those with multiple aneurysms that may require several surgical approaches. Keyhole craniotomies, when properly utilized in well-selected patients, allow for minimally invasive treatment of both ruptured and unruptured cerebral aneurysms, including those harboring bilateral aneurysms which may be treated from a single approach.

Human driven climate change increased the likelihood of the 2023 record area burned in Canada.

In 2023, wildfires burned 15 million hectares in Canada, more than doubling the previous record. These wildfires caused a record number of evacuations, unprecedented air quality impacts across Canada and the northeastern United States, and substantial strain on fire management resources. Using climate models, we show that human-induced climate change significantly increased the likelihood of area burned at least as large as in 2023 across most of Canada, with more than two-fold increases in the east and southwest.

Day Late, Dollar Short: Runts of Asynchronously Hatched Songbird Broods Have Reduced Survival, Body Size, and Persistent Energy Deficits.

Many songbirds begin active incubation after laying their penultimate egg, resulting in synchronous hatching of the clutch except for a last-hatched individual ("runt") that hatches with a size deficit and competitive disadvantage to siblings when begging for food. However, climate change may elevate temperatures and cause environmental incubation as eggs are laid, resulting in asynchronous hatching and larger size hierarchies among siblings. Although previous work demonstrated that asynchronous hatching reduces nestling growth and survival relative to synchrony, the physiological mechanisms underlying these effects are unclear.

Mind in Metabolism - A Comprehensive Literature Review on Diabetes and its Connections to Obsessive Compulsive Disorder, Schizophrenia, and Bipolar Disorder.

Purpose Of Review: The co-occurrence of diabetes and mental illnesses such as bipolar disorder (BD), obsessive-compulsive disorder (OCD), and schizophrenia creates significant barriers for both people with diabetes (PWD) and their healthcare teams. This literature review provides an analysis of the relationship between diabetes and mental illnesses through exploring epidemiology, shared risk factors, and clinical implications. The aim is to enhance the understanding of these complex comorbidities to guide and improve future research and clinical practice.