Effect of IV Thrombolysis With Alteplase in Patients With Vessel Occlusion in the WAKE-UP Trial.

Background And Objectives: Data from randomized trials on the treatment effect of pure thrombolysis in patients with vessel occlusion are lacking. We examined data from a corresponding subsample of patients from the multicenter, randomized, placebo-controlled WAKE-UP trial to determine whether MRI-guided IV thrombolysis with alteplase in unknown-onset ischemic stroke benefits patients presenting with vessel occlusion.

Methods: Patients with an acute ischemic lesion visible on MRI diffusion-weighted imaging but no marked parenchymal hyperintensity on fluid-attenuated inversion recovery images were randomized to treatment with IV alteplase or placebo.

Asymptomatic Erosive Esophagitis.

Gastroesophageal reflux disease (GERD) is a very common condition characterized by chronic symptoms, such as heartburn or epigastric and/or substernal pain, that are frequently associated with mucosal damage resulting from abnormal reflux of gastric contents into the esophagus (Fass et al. in Nat Rev Dis Primers 7:55, 2021; Richter and Rubenstein in Gastroenterology 154:267-276, 2018). However, this damage can manifest in patients who do not exhibit typical GERD symptoms.

Availability, storage capacity, and diffusion: Stationary states of an asymmetric exclusion process connected to two reservoirs.

We explore how the interplay of finite availability, carrying capacity of particles at different parts of a spatially extended system, and particle diffusion between them control the steady-state currents and density profiles in a one-dimensional current-carrying channel connecting the different parts of the system. To study this, we construct a minimal model consisting of two particle reservoirs of finite carrying capacities connected by a totally asymmetric simple exclusion process (TASEP). In addition to particle transport via TASEP between the reservoirs, the latter can also directly exchange particles via Langmuir kinetics-like processes, modeling particle diffusion between them that can maintain a steady current in the system.

Determinants of tumor necrosis and its impact on outcome in patients with Localized osteosarcoma uniformly treated with a response adapted regimen without high dose Methotrexate- A retrospective institutional analysis.

Purpose: Response to neoadjuvant chemotherapy in form of tumor necrosis predicts outcome in osteosarcoma; although response-adapted treatment escalation failed to improve outcome among patients treated with high-dose methotrexate-based (HDMTx) chemotherapy. This study aimed to identify factors predicting tumor necrosis and its impact on survival among patients with non-metastatic osteosarcoma treated with a response-adapted non-HDMTx regimen.

Methods: A retrospective single-institutional study was conducted among non-metastatic osteosarcoma patients treated with neoadjuvant therapy between 2004-2019.

Solution grown quantum dots for quantum science.

Solution grown quantum dots (QD) are promising materials for photonic quantum science. These materials are strongly confined and further offer advantages in terms of customizability and scalability. In this review we describe the applications of these materials towards quantum science particularly as single photon emitters.