Implication of tumor morphology and MRI characteristics on the accuracy of automated versus human segmentation of GBM areas.

An assessment scheme is proposed to evaluate GBM gross tumor core and T2-FLAIR hyper-intensity segmentations on preoperative multicentric MR images as a function of tumor morphology and MRI characteristics. 74 gross tumor core and T2-FLAIR hyper-intensity BraTS-Toolkit and DeepBraTumIA automatic segmentations, and 42 gross tumor core neurosurgeon manual segmentations were accordingly evaluated. Brats-Toolkit and DeepBraTumIA generally provide accurate segmentations, particularly for the most common round-shaped or well-demarked tumors, where: (1) gross tumor segmentation correctly includes necrosis and contrast enhanced tumor in 100% and 97.

Procedural sedation in the emergency department by Italian emergency physicians: results of the SEED SIMEU registry.

Background And Importance: Effective and safe procedural sedation is pivotal for the quality of care in the emergency department (ED).

Objectives: The aim of this work is to evaluate the feasibility, effectiveness, and safety procedural sedation performed by emergency physicians in the ED setting in Italy.

Design/setting And Participants/intervention: Following a specific training of the staff and with the adoption of a standardized protocol, a registry of procedural sedations performed on adult patients in 10 Italian EDs was compiled from 2019 to 2022; the following basic data were recorded: demographic and clinical information, procedure's indication, administered drugs, predefined, and actual sedation level.

Inhibition of Pseudomonas aeruginosa biofilm formation on copper-based thin foils.

The development of Healthcare-Associated Infections (HAIs) represents an increasing threat to patient health. In this context, Pseudomonas aeruginosa is responsible for various HAIs, determining about 20% of the infections in hospitalized patients, which makes it one of the most effective pathogens due to its strong ability to form biofilms. Using Cu-based materials as foils on high-touch surfaces can help to prevent and mitigate P.

Selective delivery of G-quadruplex ligand in glioma cell lines: the power of cyclic-RGD peptide.

Compounds targeting non-canonical secondary structures of nucleic acids, known as G-quadruplexes, are highly cytotoxic, both for cancer and healthy cells, because of their action mechanism's lack of appropriate selectivity. The targeted delivery of cytotoxic molecules to cancer cells is a valuable strategy to expand the repertoire of potential drugs, especially for cancer types for which new therapeutic tools are urgently needed, like glioblastoma. In this work, we conjugated a cyclic arginyl-glycyl-aspartic acid peptide to a naphthalene diimide, previously described as a highly performing stabilizing ligand for DNA G-quadruplexes, to specifically target glioma cells overexpressing RGD-binding integrin receptors.

Retinal detachments secondary to inferior retinal breaks: anatomic outcomes following the use of different surgical techniques.

Purpose: To compare the anatomical and functional outcomes of pars plana vitrectomy (PPV) alone versus PPV with the addition of a scleral buckle in treating inferior rhegmatogenous retinal detachments (RRDs).

Methods: Comparative, retrospective cohort study including patients who were diagnosed with primary inferior RRD, defined as RRD with one or more retinal tears located between 4 and 8 hours, and divided into two treatment groups. Group 1 patients were treated with PPV and gas tamponade alone, whereas group 2 patients were treated with PPV, gas tamponade and the addition of an encirclement band.