Treatment of Intracranial Aneurysms with the FRED X Flow Diverter Stent: Mid-term Angiographic and Safety Results.

Purpose: The aim of our study was to assess the mid-term efficacy and safety of the FRED X flow diverting stent (FDS) in the treatment of intracranial aneurysms. The FRED X FDS is relatively new with limited data on its longer-term effectiveness and safety profile.

Methods: Patients with intracranial aneurysms treated with the FRED X FDS at two UK centres, between March 2021 and July 2022 with at least 18 months follow-up, were retrospectively reviewed.

Concussion in high school sports: findings from injury surveillance.

Background: We aimed to examine the epidemiology of concussions within high school (HS) boys' and girls' sports, and to assess the incidence of concussion within HS sports during the timespan inclusive of the COVID-19 pandemic.

Methods: We analyzed data captured within High School Reporting Information Online (HS RIO) during 2018/19-2022/23. Injury counts, rates (enumerated per 10,000 athlete-exposures (AEs)), and proportions were used to describe injury characteristics by sport, event type, injury mechanism, and injury history.

Efficacy of neuromodulation of the pulvinar nucleus for drug-resistant epilepsy.

Objective: The pulvinar nucleus of the thalamus has extensive cortical connections with the temporal, parietal, and occipital lobes. Deep brain stimulation (DBS) targeting the pulvinar nucleus, therefore, carries the potential for therapeutic benefit in patients with drug-resistant posterior quadrant epilepsy (PQE) and neocortical temporal lobe epilepsy (TLE). Here, we present a single-center experience of patients managed via bilateral DBS of the pulvinar nucleus.

Moyamoya phenomenon following clipping of intracranial aneurysm: case report.

Subarachnoid haemorrhage from aneurysmal rupture is a common emergency in neurosurgery. Depending on aneurysm position, morphology, size, associated clot, and symptoms, it is either managed by endovascular occlusion or by clipping. Here we report the first known case of secondary Moyamoya phenomenon following the clipping of a supraclinoid internal carotid artery Aneurysm.

Insights into Interlayer Dislocation Augmented Zinc-Ion Storage Kinetics in MoS Nanosheets for Rocking-Chair Zinc-Ion Batteries with Ultralong Cycle-Life.

Increasing attention to sustainability and cost-effectiveness in energy storage sector has catalyzed the rise of rechargeable Zinc-ion batteries (ZIBs). However, finding replacement for limited cycle-life Zn-anode is a major challenge. Molybdenum disulfide (MoS), an insertion-type 2D layered material, has shown promising characteristics as a ZIB anode.

High takeoff of the right coronary artery by echocardiography: normal variant or something more?

Purpose: High takeoff of the right coronary artery suspected by echocardiography is widely considered a normal variant. However, in our experience, some patients initially thought to have a high takeoff of the coronary artery were later found to have an anomalous coronary origin with high-risk features. The aim of this study was to test the hypothesis that high takeoff of the right coronary artery suspected by echocardiography may indicate the presence of an anomalous coronary artery lesion with an intramural course requiring further investigation.

Metabolic-Engineering Approach to Enhance Vanillin and Phenolic Compounds in Ocimum Sanctum (CIM-Angana) via VpVAN Overexpression.

Transgenic Ocimum sanctum plants were engineered to produce vanillin by overexpressing the VpVAN gene using Agrobacterium-mediated transformation. Positive transformants developed shoots within 4-5 weeks and were transferred to a root induction medium and four independent transformants with no observed adverse effects were kept for anlysis. Quantitative RT-PCR indicated significantly higher VpVAN expression in transgenic lines AG_3 and AG_1, impacting the phenylpropanoid pathway and phenolic compound accumulation.

In Situ Metal Vacancy Filling in Stable Pd-Sn Intermetallic Catalyst for Enhanced CC Bond Cleavage in Ethanol Oxidation.

A common challenge in electrochemical processes is developing high performance, stable catalysts for specific chemical reactions. In this work, a Pd-Sn intermetallic compound with   Pd site deficiency (PdSn) (x = 0.06) and trace amount of SnO was synthesised by controlled process.

Diagnostic Accuracy of the Modified Alvarado Score and Serum C-reactive Protein in Acute Appendicitis.

Background The Alvarado score is a diagnostic tool to stratify patients on the likelihood of acute appendicitis based on signs, symptoms, and laboratory values. The validity of this score as compared to other diagnostic measures for acute appendicitis is questionable. The current study addresses the use of a modified Alvarado score (MAS) in conjunction with the widely used acute phase reactant biomarker serum C-reactive protein (CRP) for diagnostic accuracy.

Spectroscopic Investigation of Hydrogels Formed from Phenylalanine.

Supramolecular hydrogels assembled from amino acids, particularly offer promising prospects as biomimetic three-dimensional extracellular matrices. Phenylalanine, an aromatic amino acid, can self-assemble via hydrophobic interactions, notably through 𝜋 - 𝜋 stacking between phenyl rings. Although the self-assembly processes have been studied, the gelation mechanism of phenylalanine as an individual amino acid has received limited attention in the literature.

FRED-UK: Multicentre UK experience of FRED and FRED Jr flow re-direction endoluminal device for intracranial aneurysms: 6 months and 1 year clinical and anatomical results.

Background: Flow diverting stents (FDS) are an established endovascular treatment for intracranial aneurysms but are reported to have varying rates of adequate occlusion and thromboembolic complications. This study reports clinical safety and efficacy results of the FRED and FRED Jr FDS in clinical practice in the UK at 6 months and 1 year.

Methods: The FRED-UK study is a single arm, multicentre, prospective, observational study conducted in the UK.

Impact of climate and traditional practice on quality of homemade dahi.

This research communication aimed at assessing the microbial quality and preparation practices of dahi/thayir, a popular traditional fermented milk product, in households from two distinct agroecological zones in Kerala, India, namely the high-range and central midland, We highlighted the significant variations and potential food safety concerns associated with regional differences in production methods. The local climate significantly influenced the incubation temperature of dahi/thayir, thereby influencing the types of microflora involved in the fermentation process. Data on preparation practices and sensory preferences were collected from producers during the sampling process, covering 200 households.

Applications of geographical information system and spatial analysis in Indian health research: a systematic review.

Background: Health is a fundamental right intricately linked to geographical factors, as evidenced in the health geography literature. The application of geographical information systems (GISs) plays a pivotal role in mapping diseases and evaluating healthcare accessibility and is acknowledged by the World Health Organisation as a solution for enhancing health system resilience and achieving universal health coverage. This study focuses on the geographical perspectives to provide insights into the evolving role of GIS in addressing challenges and shaping healthcare strategies in health research within India.

Rapid diagnostic pathways for prostate cancer: A realist synthesis.

Introduction: The NHS Long-term Plan outlines a number of approaches to address delays and diagnose three out of four cancers at an early stage, and yet patients regularly experience delays to diagnosis. Attempts to address such delays include the implementation of a number of rapid diagnosis pathways (RDPs). This realist review explores rapid diagnosis pathways for prostate cancer, identifying approaches to RDPs, as well as generating theories regarding what works, for whom and under which circumstances.

Determinants of symptom presentation and resolution following concussions in high school sports.

Sport-related concussions (SRCs) are prevalent in high school (HS) sports, though the determinants of, and relationships between concussion symptoms in this population remain relatively unknown. We analysed SRC data captured within the HS RIO injury surveillance system during 2014/15-2018/19. We used Generalized Estimating Equations to simultaneously assess covariate predictors of symptom presentations and identify pairwise symptom associations and employed multivariable ordinal logistic regressions to determine symptom resolution time (SRT) predictors.

Comparison of intrathecal fentanyl as an adjunct in spinal anaesthesia to ultrasound-guided quadratus lumborum block as an effective postoperative analgesia for Caesarean section surgery.

Background: Postoperative pain in patients, if dealt with inadequately, has been a significant cause of morbidity. The present study compared the postoperative analgesic efficacy of intrathecal fentanyl and ultrasound-guided quadratus lumborum block following Caesarean surgery.

Methods: A prospective randomised controlled study was planned for parturients who underwent Caesarean surgery under spinal anaesthesia.

Metabolic engineering of hairy root cultures in for enhanced production of vanillin, 4-hydroxybenzoic acid, and vanillyl alcohol.

The flavor of vanilla is a complex blend of compounds, with vanillin as the most prominent, along with vanillyl alcohol and 4-hydroxybenzoic acid. Natural vanillin extracted from vanilla beans is expensive, so researchers use heterologous synthesis to produce nature-identical vanillin in plant hosts. Consequently, alternative traditional farming and gathering methods are required to bridge the significant disparity between supply and demand.