Role of immature choroid plexus in the pathology of model mice and human iPSC-derived organoids with autism spectrum disorder.

During gestation, the choroid plexus (ChP) produces protein-rich cerebrospinal fluid and matures prior to brain development. It is assumed that ChP dysfunction has a profound effect on developmental neuropsychiatric disorders, such as autism spectrum disorder (ASD). However, the mechanisms linking immature ChP to the onset of ASD remain unclear.

Impact of Race on the Outcomes of Retinoblastoma Treated With Primary Enucleation: A Global Study of 1426 Patients.

Background: To evaluate the clinical presentation, pathological features and outcomes of retinoblastoma based on the race of origin in a global cohort of patients.

Methods: Retrospective collaborative study of 1426 patients who underwent primary enucleation for retinoblastoma.

Results: Patients were grouped into Caucasians (n = 231, 16%), Asians (n = 841, 59%), Hispanics (n = 226, 16%), Arabs (n = 96, 7%) and Others (Africans, African Americans, Indigenous Australians; n = 32, 2%) cohorts.

Hazard rates of recurrence for gastric cancer after curative resection: implications for postoperative surveillance.

Background: Identifying the most effective postoperative surveillance interval in patients with gastric cancer (GC) remains challenging. To elucidate a logical and effective surveillance schedule, we analyzed GC recurrence risk trends after gastrectomy using the hazard function.

Methods: We retrospectively reviewed the medical records of 2503 patients who underwent curative GC resection between 2000 and 2018.

Clinical Utility of the Novel Oncological Criteria of Resectability for Advanced Hepatocellular Carcinoma.

Introduction: Introduction of new systemic therapies for hepatocellular carcinoma (HCC) has led to the development of new oncological criteria of resectability for the resectability of HCC. This study was aimed at validating the prognosticating ability and clinical utility of the resectability classification based on the novel criteria in real-world clinical practice.

Methods: This study was conducted in 1,822 patients who had undergone curative resection for HCC (population 1) and 107 patients with unresectable disease who had received lenvatinib therapy (population 2).

Development of an Integrating Sphere-Based Wide-Range Light Source System for the Linearity Evaluation of a Photodetector Used in Radiation Detection and Bioanalysis Instruments.

We developed a compact wide-range light source system for evaluating the linearity of photomultiplier tube (PMT) output. This system utilizes two integrating spheres equipped with a continuously variable slit and output aperture to modulate a stabilized light-emitting diode light source, producing an output light range as wide as seven orders of magnitude. To verify the wide linearity range of the integrating sphere system, three silicon photodiodes coupled with electric current readers monitored the light intensity and simultaneously confirmed each other's linearity.

ArtiSential laparoscopic cholecystectomy: a comparative analysis with robotic single-port cholecystectomy.

Purpose: Laparoscopic cholecystectomy is the gold standard procedure for benign gallbladder disease. However, reducing ports still causes frustration when using various instruments. We investigated early perioperative outcomes of laparoscopic single site + 1 cholecystectomy using ArtiSential instruments (ArtiSential laparoscopic cholecystectomy [ALC], LIVSMED).

Breath-hold diffusion-weighted MR imaging (DWI) using deep learning reconstruction: Comparison with navigator triggered DWI in patients with malignant liver tumors.

Introduction: This study investigated the feasibility of single breath-hold (BH) diffusion-weighted MR imaging (DWI) using deep learning reconstruction (DLR) compared to navigator triggered (NT) DWI in patients with malignant liver tumors.

Methods: This study included 91 patients who underwent both BH-DWI and NT-DWI with 3T MR system. Abdominal MR images were subjectively analyzed to compare visualization of liver edges, presence of ghosting artifacts, conspicuity of malignant liver tumors, and overall image quality.

Middle segment preserving pancreatectomy versus total pancreatectomy: a comparative analysis of short- and long-term outcomes.

Purpose: Middle-segment preserving pancreatectomy (MSPP) serves as an alternative to total pancreatectomy (TP) for preserving the pancreatic body in multifocal pancreatic neoplasms. Despite the potential benefits of TP, the detailed short- and long-term prognoses remain unclear. We evaluated the feasibility of MSPP by comparing the perioperative outcomes and postoperative endocrine and exocrine functions with those of TP.

Adolescent social isolation decreases colonic goblet cells and impairs spatial cognition through the reduction of cystine.

Negative experiences during adolescence, such as social isolation (SI), bullying, and abuse, increase the risk of psychiatric diseases in adulthood. However, the pathogenesis of psychiatric diseases induced by these factors remain poorly understood. In adolescents, stress affects the intestinal homeostasis in the gut-brain axis.

Large-scale observational study of AI-based patient and surgical material verification system in ophthalmology: real-world evaluation in 37 529 cases.

Background: Surgical errors in ophthalmology can have devastating consequences. We developed an artificial intelligence (AI)-based surgical safety system to prevent errors in patient identification, surgical laterality and intraocular lens (IOL) selection. This study aimed to evaluate its effectiveness in real-world ophthalmic surgical settings.

Comparative educational effectiveness of AI generated images and traditional lectures for diagnosing chalazion and sebaceous carcinoma.

Sebaceous carcinoma is difficult to distinguish from chalazion due to their rarity and clinicians' limited experience. This study investigated the potential of AI-generated image training to improve diagnostic skills for these eyelid tumors compared to traditional video lecture-based education. Students from Orthoptics, Optometry, and Vision Research (n = 55) were randomly assigned to either an AI-generated image training group or a traditional video lecture group.

DNA Duplex Containing Ag-Mediated Cytosine-Cytosine Base Pairs as a Catalyst Precursor for the 4-Nitrophenol Reduction with NaBH.

Catalytic applications of DNA duplexes containing Ag-mediated cytosine-cytosine base pairs (C-Ag-C) have not been well investigated. In this study, we demonstrate a novel approach for forming highly active DNA-capped Ag nanoparticle (DNA-AgNP) catalysts for the reduction of 4-nitrophenol (4-NP) using sodium borohydride (NaBH). This approach is based on the generation of DNA-AgNPs from DNA duplexes containing C-Ag-C (DNA duplex-Ag).

Improving Residency Training in Refugee and Immigrant Health Care at an Urban Academic Family Medicine Residency.

As a safety net hospital, Boston Medical Center (BMC) serves a global community of patients and is welcoming new refugee and immigrant patients at an unprecedented rate. Many of these patients are cared for by Family Medicine residents and faculty in both inpatient and outpatient settings. Currently, the care delivered by Family Medicine residents lacks uniformity due to lack of familiarity with the U.

Spontaneous Isolated Celiac Artery Dissection in a Young Woman.

Spontaneous isolated celiac artery dissection (SICAD) is a rare phenomenon with an unclear pathogenesis. It is more common in men, with a predilection for those in their 50s. A 39-year-old woman with epigastric and back pain visited our emergency department (ED).

Oncological Resectability Criteria for Hepatocellular Carcinoma in the Era of Novel Systemic Therapies: The Japan Liver Cancer Association and Japanese Society of Hepato-Biliary-Pancreatic Surgery Expert Consensus Statement 2023.

Recent advances in systemic therapy for hepatocellular carcinoma (HCC) have led to debates about the feasibility of combination therapies, such as systemic therapy combined with surgery or transarterial chemoembolization, for patients with advanced HCC. However, a lack of consensus on the oncological resectability criteria has hindered discussions of "conversion therapy" and the optimal management in patients with HCC. To address this issue, the Japan Liver Cancer Association (JLCA) and the Japanese Society of Hepato-Biliary-Pancreatic Surgery (JSHBPS) established a working group and discussed the concept of borderline resectable HCC.

Application of deep learning techniques for breath-hold, high-precision T2-weighted magnetic resonance imaging of the abdomen.

Purpose: To evaluate the feasibility of a high-precision single-shot fast spin-echo (SS-FSE) sequence using the deep learning-based Precise IQ Engine (PIQE) algorithm in comparison with standard SS-FSE for T2-weighted MR imaging of the abdomen, and to compare the image quality with a multi-shot (MS)-FSE sequence using the PIQE algorithm.

Methods: This retrospective study included 105 patients who underwent abdominal MR including T2-weighted sequences using the PIQE reconstruction algorithm. The image quality, signal-to-noise ratio (SNR), and contrast-to-noise ratio (CNR) in high-precision SS-FSE sequences using PIQE were compared to those in standard SS-FSE without PIQE and MS-FSE sequences using PIQE.

High-precision MRI of liver and hepatic lesions on gadoxetic acid-enhanced hepatobiliary phase using a deep learning technique.

Purpose: The purpose of this study was to investigate whether the high-precision magnetic resonance (MR) sequence using modified Fast 3D mode wheel and Precise IQ Engine (PIQE), that was collected in a wheel shape with sequential data filling in the k-space in the phase encode-slice encode plane, is feasible for breath-hold (BH) three-dimensional (3D) T1-weighted imaging of the hepatobiliary phase (HBP) of gadoxetic acid-enhanced MRI in comparison to the compressed sensing (CS) sequence using Advanced Intelligent Clear-IQ Engine (AiCE).

Methods: This retrospective study included 54 patients with focal hepatic lesions who underwent dynamic contrast-enhanced MRI. Both standard HBP images using CS with AiCE and high-precision HBP images using modified Fast 3D mode wheel and PIQE were obtained.

Image quality in three-dimensional (3D) contrast-enhanced dynamic magnetic resonance imaging of the abdomen using deep learning denoising technique: intraindividual comparison between T1-weighted sequences with compressed sensing and with a modified Fast 3D mode wheel.

Purpose: To assess the image quality of a modified Fast three-dimensional (Fast 3D) mode wheel with sequential data filling (mFast 3D wheel) combined with a deep learning denoising technique (Advanced Intelligent Clear-IQ Engine [AiCE]) in contrast-enhanced (CE) 3D dynamic magnetic resonance (MR) imaging of the abdomen during a single breath hold (BH) by intra-individual comparison with compressed sensing (CS) with AiCE.

Methods: Forty-two patients who underwent multiphasic CE dynamic MRI obtained with both mFast 3D wheel using AiCE and CS using AiCE in the same patient were retrospectively included. The conspicuity, artifacts, image quality, signal intensity ratio (SIR), signal-to-noise ratio (SNR), contrast ratio (CR), and contrast enhancement ratio (CER) of the organs were compared between these 2 sequences.

Breakfast Protein Intake of One-third of Daily Requirement Can Maintain Lean Body Mass Post-distal Gastrectomy.

Background/aim: Post-gastrectomy lean body mass (LBM) decrease has a significant negative impact on postoperative survival in patients with cancer. This study investigated the effect of intake of at least one-third of the daily protein requirement at breakfast on the maintenance of LBM in patients during the first month post-gastrectomy.

Patients And Methods: Among patients with gastric cancer who underwent curative distal gastrectomy between April 2011 and December 2018, without adjuvant chemotherapy, we evaluated 401 patients who had consumed more than the daily protein requirement in the first month postoperatively, using the FFQW82 nutrition intake questionnaire.

The Recombinase Polymerase Amplification Test for Is More Sensitive than Microscopy and Real-Time PCR in High-Risk Communities of Cusco, Peru.

Strongyloidiasis is a neglected, soil-transmitted helminth infection prevalent worldwide. The true burden of strongyloidiasis is unclear due to the lack of sensitive, field-friendly diagnostic tests. PCR tests to detect DNA in stool are sensitive and specific, but the need for expensive equipment limits their use in endemic regions.

Temporal dynamics of extended-spectrum β-lactamase-producing Escherichia coli and carbapenemase-producing Gram-negative bacteria in hospital wastewater.

Hospital wastewater is a reservoir for the environmental spread of clinically relevant antimicrobial-resistant bacteria and resistance genes. The aim of this study was to quantify total Escherichia coli, extended-spectrum β-lactamase (ESBL)-producing E. coli, and carbapenemase-producing organisms (CPOs) and perform whole-genome sequencing-based characterization of these bacterial isolates in hospital wastewater samples collected bimonthly in Japan from January to November 2021.

Development of an intraductal papillary mucinous neoplasm malignancy prediction scoring system.

Despite the presence of various guidelines, diagnosing malignant intraductal papillary mucinous neoplasm (IPMN) continues to pose challenges. Furthermore, although endoscopic ultrasonography (EUS) offers high-resolution images, it has not yet recognized as the primary tool for malignancy diagnosis. The study objective was to develop a simplified and user-friendly scoring system to improve the diagnostic accuracy of malignant IPMNs.