Intra-arterial alteplase for acute ischaemic stroke after mechanical thrombectomy (PEARL): rationale and design of a multicentre, prospective, open-label, blinded-endpoint, randomised controlled trial.

Introduction: Successful reperfusion does not always lead to good neurological outcomes and impaired microcirculation can be one of the underlying causes. Intra-arterial alteplase after mechanical thrombectomy (MT) may improve microcirculation contributing to neurological recovery, but prospective randomised studies are still needed to validate its efficacy and safety. We aim to assess the efficacy and safety of intra-arterial alteplase after MT for acute ischaemic stroke (AIS) with large-vessel occlusion (LVO).

Advances in the study of the glymphatic system and aging.

The glymphatic system is cerebrospinal fluid-brain tissue fluid exchange flow mediated by aquaporin-4 (AQP4) on the end feet of astrocytes for a system, which is capable of rapidly removing brain metabolites and thus maintaining brain homeostasis, and is known as the central immune system. Dysfunction of the glymphatic system causes accumulation of misfolded and highly phosphorylated proteins (amyloid-β and Tau proteins), which destabilizes the proteins, and the body's neuroinflammatory factors are altered causing aging of the immune system and leading to neurodegenerative diseases. Damage to the glymphatic system and aging share common manifestations, as well as unstudied biological mechanisms that are also linked, such as mitochondria, oxidative stress, chronic inflammation, and sleep.

Jingfang granules protects against intracerebral hemorrhage by inhibiting neuroinflammation and protecting blood-brain barrier damage.

Intracerebral hemorrhage (ICH) can induce intensive oxidative stress, neuroinflammation, and brain cell apoptosis. However, conventional methods for ICH treatment have many disadvantages. There is an urgent need for alternative, effective therapies with minimal side effects.

Effects of repetitive peripheral magnetic stimulation on spasticity evaluated with modified Ashworth scale/Ashworth scale in patients with spastic paralysis: A systematic review and meta-analysis.

Background: Spasticity is a common motor disorder resulting from upper motor neuron lesions. It has a serious influence on an individual's motor function and daily activity. Repetitive peripheral magnetic stimulation (rPMS) is a non-invasive and painless approach developed for therapeutic intervention in clinical rehabilitation.

Five-Year Outcomes After Endovascular Treatment for Large Vessel Occlusion Stroke.

Background: The long-term outcomes of acute large vessel occlusion (LVO) in anterior circulation treated by endovascular treatment (EVT) remains to be determined. The aim of this study was to assess the 5-year outcomes of patients with LVO who underwent EVT.

Methods: This study was an observational, nationwide registry of consecutive patients with acute LVO who received EVT in 28 comprehensive stroke centers in China.

MoS nanosheets grown on hollow carbon spheres as a strong polysulfide anchor for high performance lithium sulfur batteries.

Lithium sulfur batteries are expected to be one of the most promising energy storage systems due to their high energy density, low cost and environmental friendliness. However, the shuttle effect of lithium polysulfides severely hampers their practical application. The design of the sulfur cathode is one of the most important approaches to overcome the problem.

Assessment of Endovascular Treatment for Acute Basilar Artery Occlusion via a Nationwide Prospective Registry.

Importance: Several randomized clinical trials have recently established the safety and efficacy of endovascular treatment (EVT) of acute ischemic stroke in the anterior circulation. However, it remains uncertain whether patients with acute basilar artery occlusion (BAO) benefit from EVT.

Objective: To evaluate the association between EVT and clinical outcomes of patients with acute BAO.

Biomass Allocation in Response to Nitrogen and Phosphorus Availability: Insight From Experimental Manipulations of .

Allocation of biomass to different organs is a fundamental aspect of plant responses and adaptations to changing environmental conditions, but how it responds to nitrogen (N) and phosphorus (P) availability remains poorly addressed. Here we conducted greenhouse fertilization experiments using , with five levels of N and P additions and eight repeat experiments, to ascertain the effects of N and P availability on biomass allocation patterns. N addition increased leaf and stem allocation, but decreased root and fruit allocation.

Effects of body size and root to shoot ratio on foliar nutrient resorption efficiency in Amaranthus mangostanus.

Premise Of The Study: Nutrient resorption is essential for plant nutrient conservation. Large-bodied plants potentially have large nutrient sink pools and high nutrient flux. Whether and how nutrient resorption can be regulated by plant size and biomass allocation are yet unknown.

Stage-dependent stoichiometric homeostasis and responses of nutrient resorption in Amaranthus mangostanus to nitrogen and phosphorus addition.

Stoichiometric homeostasis is the ability of plants remaining their element composition relatively stable regardless of changes in nutrient availability, via various physiological mechanisms. Nutrient resorption is one of such key mechanisms, but whether and how nitrogen and phosphorus homeostasis and resorption in plants would change with growth-stages under variable nutrient supply was unclear. A nitrogen (N) and phosphorus (P) fertilizer addition experiment was conducted to evaluate the dynamics of N and P homeostasis and resorption efficiency during different growth-stages of Amaranthus mangostanus in a greenhouse.