The "CUPCAKE" technique (coiled underlying pseudoaneurysm contained by a woven endobridge device) for treating intracranial aneurysms with atypical morphology.

Background: Intrasaccular flow diversion using the woven endobridge device (WEB; MicroVention, Aliso Viejo, CA, USA) for the treatment of intracranial aneurysms has demonstrated large scale safety and efficacy. However, limitations arise from its structural configuration, restricting its application to specific aneurysm sizes and shapes.

Technique Overview: We introduce the CUPCAKE technique, a combination of conventional coiling followed by WEB intrasaccular flow disruption in select cases of atypical aneurysms with technically challenging morphology not typically treatable by WEB alone.

Can artificial intelligence improve patient educational material readability? A systematic review and narrative synthesis.

Enhancing patient comprehension of their health is crucial in improving health outcomes. The integration of artificial intelligence (AI) in distilling medical information into a conversational, legible format can potentially enhance health literacy. This review aims to examine the accuracy, reliability, comprehensiveness and readability of medical patient education materials (PEMs) simplified by AI models.

Molecular Evaluation of the Mating Dynamics of Snow Crab in the Eastern Bering Sea.

Snow crab () in the eastern Bering Sea (EBS) supports a valuable crab fishery that harvests large males. To better understand the potential impact of the presence of snow-Tanner hybrids ( × ) on snow crab mating dynamics, the maternal lineage of hybrids was evaluated using single nucleotide polymorphisms (SNPs). Contrary to results from a previous study that indicated hybrids result only from crosses between Tanner crab (.

The Development and Piloting of an Early Youth-Engagement (EYE) Model to Improve Engagement of Young People in First Episode Psychosis Services: A Mixed Methods Study.

Aim: Psychosis is associated with significant health and societal costs. Early intervention in psychosis services (EIP) are highly effective in promoting recovery, yet substantial proportions of young people disengage. The current study aimed to develop and evaluate a novel engagement intervention in EIP services.

Spectral induced polarization of corrosion of sulfur modified Iron in sediments.

Spectral induced polarization (SIP) responses are not well understood within the context of remediation applications at contaminated sites. Systematic SIP studies are needed to gain further insights into the complex electrical response of dynamic, biogeochemical states to enable the use of SIP for subsurface site characterization and remediation monitoring. Although SIP measurements on zero valent iron have been previously published, the SIP response for sulfur modified iron (SMI), a similar potential subsurface reductive amendment, has not yet been reported.

Incidence of contrast-induced neurotoxicity following endovascular treatment of unruptured intracranial aneurysms: a single-centre cohort study.

Background: Contrast-induced neurotoxicity (CIN) is a recognised complication of endovascular procedures and has been increasingly observed in recent years. Amongst other clinical gaps, the precise incidence of CIN is unclear, particularly following intracranial interventional procedures.

Methods: A retrospective study of consecutive patients undergoing elective endovascular treatment of unruptured intracranial aneurysms (UIAs) was performed.

Spectral induced polarization (SIP) measurements across a PFAS-contaminated source zone.

There is a need to develop field-scale, in situ screening technologies for assessing variations in aqueous film-forming foam (AFFF) concentrations in soils at former fire training and storage sites. Field-scale Spectral Induced Polarization (SIP) geophysical measurements were acquired on a transect crossing an AFFF source zone. Soil samples were acquired to determine variations in poly- and per-fluoroalkyl substances (PFAS) concentrations in soils, characterize soil texture, and create triplicate soil columns for laboratory SIP measurements.

Monitoring carbon-based remediation of DNAPL-contaminated groundwater via spectral induced polarization.

Colloidal activated carbon (CAC) is an emerging remedial enhancement fluid that is injected into the subsurface to adsorb hazardous industrial compounds for subsequent removal. CAC-enhanced remediation relies on accurate subsurface characterization and monitoring to ensure CAC reaches intended treatment locations. The objective of this study was to assess the effectiveness of the spectral induced polarization (SIP) technique to track CAC migration within porous media and its adsorption of the chlorinated solvent, tetrachloroethylene (PCE).

Process-Informed Subsampling Improves Subseasonal Rainfall Forecasts in Central America.

Subseasonal rainfall forecast skill is critical to support preparedness for hydrometeorological extremes. We assess how a process-informed evaluation, which subsamples forecasting model members based on their ability to represent potential predictors of rainfall, can improve monthly rainfall forecasts within Central America in the following month, using Costa Rica and Guatemala as test cases. We generate a constrained ensemble mean by subsampling 130 members from five dynamic forecasting models in the C3S multimodel ensemble based on their representation of both (a) zonal wind direction and (b) Pacific and Atlantic sea surface temperatures (SSTs), at the time of initialization.

Global terrestrial drought and its projected socioeconomic implications under different warming targets.

Droughts are increasingly frequent as the Earth warms, presenting adaptation challenges for ecosystems and human communities worldwide. A strategic environmental assessment (SEA) and the integration of adaptation strategies into policies, plans, and programs (PPP) are two important approaches for enhancing climate resilience and fostering sustainable development. This study developed an innovative approach to strengthen the SEA of droughts by quantifying the impacts of future temperature increases.

Neuroradiological features of contrast-induced neurotoxicity: A systematic review and pooled analysis.

Background: Contrast-induced neurotoxicity (CIN), is an increasingly recognised complication of endovascular procedures, presenting as a spectrum of neurological symptoms that mimic ischaemic stroke. The diagnosis of CIN remains a clinical challenge, and stereotypical imaging findings are not established. This study was conducted to characterise the neuroimaging findings in patients with CIN, to raise diagnostic awareness and improve decision making.

Depression, anxiety, and personal recovery outcomes after group vs individual transdiagnostic therapy: a brief report.

Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) is an evidence-informed treatment utilizing Cognitive Behavioural Therapy (CBT) treatment principles. UP has demonstrated promising treatment effects comparable to single disorder protocol across several mental disorders. Its impact on personal recovery in anxiety and depression has not been examined.

Do large language models show decision heuristics similar to humans? A case study using GPT-3.5.

A Large Language Model (LLM) is an artificial intelligence system trained on vast amounts of natural language data, enabling it to generate human-like responses to written or spoken language input. Generative Pre-Trained Transformer (GPT)-3.5 is an example of an LLM that supports a conversational agent called ChatGPT.

Clinical management of contrast-induced neurotoxicity: a systematic review.

Background: Contrast-induced neurotoxicity (CIN) is an increasingly recognised complication following endovascular procedures utilising contrast. It remains poorly understood with heterogenous clinical management strategies. The aim of this review was to identify commonly employed treatments for CIN to enhance clinical decision making.

Pathophysiology of Contrast-Induced Neurotoxicity: A Narrative Review of Possible Mechanisms.

Background: Contrast-induced neurotoxicity (CIN) is an increasingly observed event following the administration of iodinated contrast. It presents as a spectrum of neurological symptoms that closely mimic ischaemic stroke, however, CIN remains a poorly understood clinical phenomenon. An appreciation of the underlying pathophysiological mechanisms is essential to improve clinical understanding and enhance decision-making.

Geophysical signatures of soil AFFF contamination from spectral induced polarization and low field nuclear magnetic resonance methods.

Few field methods are available for characterizing source zones impacted with aqueous film forming foam (AFFF). Non-invasive geophysical characterization of AFFF source zone contamination in situ could assist with the delineation and characterization of these sites, allowing for more informed sampling regimes aimed at quantifying subsurface poly- and perfluoroalkyl substances (PFAS) contamination. We present initial results from the investigation of the sensitivity of two existing surface and borehole-deployable geophysical technologies, spectral induced polarization (SIP), and low field nuclear magnetic resonance (NMR), to soils impacted with AFFF.

Spectral induced polarization signatures of smoldering remediation enhanced with colloidal activated carbon: An experimental study.

Monitoring the remediation of soil and groundwater contaminated by organic compounds remains highly challenging. Thermal treatments, such as smoldering combustion, have become established remediation techniques for destroying contaminants. Smoldering combustion can now be supported by colloidal activated carbon (CAC), with CAC being able to both adsorb contaminants and supplement the fuel source for destroying them.

Adverse health outcomes among people who inject drugs who engaged in recent sex work: findings from a national survey.

Objectives: This study explores trends in sex work among people who inject drugs (PWID) by gender and the relationship between sex work and adverse health outcomes including overdose, injection-site, and blood-borne virus (BBV) infections.

Study Design: The Unlinked Anonymous Monitoring Survey of PWID is an annual cross-sectional survey that monitors BBV prevalence and behaviours, including transactional sex, among PWID recruited through specialist services in England, Wales, and Northern Ireland.

Methods: Trends in sex work among PWID (2011-2021) were described.

Microsurgical disconnection of a T12/L1 ventral intradural perimedullary arteriovenous fistula (type IV) via instrumented trans-pedicular approach.

We present a case of microsurgical disconnection of a PMAVF supplied by the artery of Adamkiewicz with fistulation at the ventral spinal cord.

A high-resolution daily global dataset of statistically downscaled CMIP6 models for climate impact analyses.

A large number of historical simulations and future climate projections are available from Global Climate Models, but these are typically of coarse resolution, which limits their effectiveness for assessing local scale changes in climate and attendant impacts. Here, we use a novel statistical downscaling model capable of replicating extreme events, the Bias Correction Constructed Analogues with Quantile mapping reordering (BCCAQ), to downscale daily precipitation, air-temperature, maximum and minimum temperature, wind speed, air pressure, and relative humidity from 18 GCMs from the Coupled Model Intercomparison Project Phase 6 (CMIP6). BCCAQ is calibrated using high-resolution reference datasets and showed a good performance in removing bias from GCMs and reproducing extreme events.

Link prediction in complex network using information flow.

Link prediction in complex networks has recently attracted a great deal of attraction in diverse scientific domains, including social and biological sciences. Given a snapshot of a network, the goal is to predict links that are missing in the network or that are likely to occur in the near future. This problem has both theoretical and practical significance; it not only helps us to identify missing links in a network more efficiently by avoiding the expensive and time consuming experimental processes, but also allows us to study the evolution of a network with time.

Current knowledge and perspectives of contrast-induced neurotoxicity: A survey of Australian clinicians.

Background: Contrast-induced Neurotoxicity (CIN) is an increasingly recognised complication following endovascular procedures. It remains a relatively unexplored clinical entity, and we sought to characterise clinician perspectives towards CIN, as well as identify gaps in knowledge and provide directions for future research.

Methods: An online survey was distributed to members of the Australian and New Zealand Society of Neuroradiology, as well as several Australian tertiary hospitals.