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Vertebroplasty has shown excellent analgesic effects in patients with osteoporotic vertebral fractures. In Japan, percutaneous vertebroplasty, balloon kyphoplasty, and vertebral body stenting are commonly performed. All of these techniques require precise transpedicular vertebral puncture and complete cement filling without leakage.

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Standard microscopic posterior decompression(MD) for lumbar disc herniation has been well established and is a familiar procedure to virtually all spinal neurosurgeons. Traditional surgical treatments are often associated with severe postoperative pain, disability, and dysfunction. This study aimed to describe the microendoscopic discectomy(MED) technique for lumbar disc herniation and report its surgical indications.

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Centurial sedimentary record of Cd sources and deposition in Chaohu Lake: insights from Cd stable isotopes.

Environ Res

January 2025

State Key Laboratory of Lithospheric and Environmental Coevolution, School of Earth and Space Sciences, University of Science and Technology of China, Hefei, Anhui, 230026, China; CAS Center for Excellence in Comparative Planetology, University of Science and Technology of China, Hefei, Anhui, 230026, China.

Understanding the sources and deposition processes of cadmium (Cd) in freshwater lakes is essential for effective pollution management. This study investigated the Cd concentrations and isotopes in a sediment core from Chaohu Lake, spanning the past 200 years. The results revealed that the Cd concentrations in the sediments decreased with depth, ranging from 1.

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Radiation exposure in neurosurgical intensive care unit patients: Balancing diagnostic benefits and long-term risks.

Life Sci

January 2025

Department of Neurosurgery, Philipps University of Marburg, Baldingerstraße, 35033 Marburg, Germany; Center for Mind, Brain and Behavior (CMBB), 35043 Marburg, Germany.

Background: X-ray, computed tomography (CT), and digital subtraction angiography (DSA) techniques are indispensable in managing critically ill neurosurgical patients. However, repeated diagnostic imaging leads to cumulative radiation exposure, raising concerns about long-term risks such as malignancies. This study evaluates the frequency, dosage, and implications of radiation exposure in a neurosurgical intensive care unit (NICU) patient cohort.

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Objectives: Thrombotic thrombocytopenic purpura (TTP) is a thrombotic microangiopathy associated with severe deficiency in ADAMTS13. ADAMTS13 deficiency may be secondary to absent or dysfunctional protein production due to mutations in the ADAMTS13 gene (congenital TTP) or autoantibody-mediated clearance and/or inhibition (immune-mediated TTP). This autoimmunity may, albeit rarely, occur secondary to certain medications (eg, ticlopidine).

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