Safety and Efficacy of Intravenous Thrombolysis by Infarct Type in Patients with No Visible Occlusion: A Secondary Analysis of the AcT Trial.

Background: About 25% of patients with acute ischemic stroke have lacunar infarct on follow-up imaging. In this secondary analysis from the AcT (Alteplase Compared With Tenecteplase) trial, we assessed if there is variation in safety or efficacy of intravenous thrombolysis by infarct type in patients with no visible occlusion. We also determined if this effect differed between tenecteplase and alteplase.

The Growth and Decay of Intense GNSS Amplitude and Phase Scintillation During Non-Storm Conditions.

A multi-instrument study is conducted at the dayside polar ionosphere to investigate the spatio-temporal evolution of scintillation in Global Navigation Satellite System (GNSS) signals during non-storm conditions. Bursts of intense amplitude and phase scintillation started to occur at 9 MLT and persisted for more than 1 hour implying the simultaneous existence of Fresnel and large-scale sized irregularities of significant strength in the pre-noon sector. Measurements from the EISCAT radar in Svalbard (ESR) revealed the presence of dense plasma structures with significant gradients in regions of strong Joule heating/fast flows and soft precipitation when scintillation was enhanced.

Accurate and Efficient Numerical Simulation of Land Models Using SUMMA With SUNDIALS.

Numerical simulation of land models without error control can be highly inaccurate. We present the incorporation of the Suite of Nonlinear and Differential-Algebraic Equation Solvers (SUNDIALS) package to solve the equations that simulate thermodynamics and hydrologic processes in the Structure for Unifying Multiple Modeling Alternatives (SUMMA) land model. The algorithmic features of SUNDIALS, such as error estimation and adaptive order and step-size control, result in a SUMMA-SUNDIALS model that delivers substantially improved accuracy and relative computational efficiency compared to integration with the previous SUMMA model, which uses the low-order backward Euler method with no rigorous error control.

Zinc finger 4 negatively controls the transcriptional activator Fzf1 in .

Fzf1 is a transcription factor containing five zinc fingers (ZFs). It regulates the expression of at least five downstream genes, including , , 3, and , by recognizing a consensus sequence, CS2, found in these gene promoters. These gene products are involved in cellular responses to various chemical stresses.

Educator's blueprint: Key considerations for using social media in survey-based medical education research.

In this paper, we present a set of recommendations for using social media as a tool for participant recruitment in survey-based medical education research. Drawing from a limited but growing body of literature, we discuss the opportunities and challenges inherent to social media recruitment. This article builds on the authors' previous educator's blueprints about survey design and administration.

Sex-related differences in pulmonary vascular volume distribution.

Pulmonary arterial hypertension affects females more frequently than males, and there are known sex-related differences in the lungs. However, normal sex-related differences in pulmonary vascular structure remain incompletely described. We aimed to contrast computed tomography-derived pulmonary vascular volume and its distribution within the lungs of healthy adult females and males.

Evidence of longitudinal differences in spring migration strategies of an Arctic-nesting goose.

During spring, migratory birds are required to optimally balance energetic costs of migration across heterogeneous landscapes and weather conditions to survive and reproduce successfully. Therefore, an individual's migratory performance may influence reproductive outcomes. Given large-scale changes in land use, climate, and potential carry-over effects, understanding how individuals migrate in relation to breeding outcomes is critical to predicting how future scenarios may affect populations.

Spiral-Concave Prussian Blue Crystals with Rich Steps: Growth Mechanism and Coordination Regulation.

Investigating the formation and transformation mechanisms of spiral-concave crystals holds significant potential for advancing innovative material design and comprehension. We examined the kinetics-controlled nucleation and growth mechanisms of Prussian Blue crystals with spiral concave structures, and constructed a detailed crystal growth phase diagram. The spiral-concave hexacyanoferrate (SC-HCF) crystals, characterized by high-density surface steps and a low stress-strain architecture, exhibit enhanced activity due to their facile interaction with reactants.

Using the phase III slope of exhaled methane during a single breath DCO test to assess ventilation heterogeneity.

Background: The Phase III slope from a single breath nitrogen washout test provides information about ventilation heterogeneity (VH) in the lungs.

Purpose: To determine if the Phase III slope from the exhaled tracer gas concentration during a standard, single breath DCO test using rapid gas analysis provides similar information about VH.

Basic Procedures: Retrospective analysis of clinical pulmonary function laboratory data including spirometry, lung volumes, and DCO.

Dual activities of a silencing information regulator complex in yeast transcriptional regulation and DNA-damage response.

The silencing information regulator (SIR) complex contains up to four proteins, namely Sir1, Sir2, Sir3, and Sir4. While Sir2 encodes a NAD-dependent histone deacetylase, other SIR proteins mainly function as structural and scaffold components through physical interaction with various proteins. The SIR complex displays different conformation and composition, including Sir2 homotrimer, Sir1-4 heterotetramer, Sir2-4 heterotrimer, and their derivatives, which recycle and relocate to different chromosomal regions.

Rubik's cube PBA frameworks for optimizing the electrochemical performance in alkali metal-ion batteries.

PBA frameworks have stood out among metal-organic frameworks because of their easy preparation, excellent stability, porous structures, and rich redox properties. Unfortunately, their non-ideal conductivity and significant volume expansion during cycling prevent more widespread application in alkali-metal-ion (Li, Na, and K) batteries. By changing the type and molar ratio of metal ions, Rubik's PBA frameworks with infinite structural variations were obtained in this study, just like the Rubik's cube undergoes infinite changes during the rotation.

Long-term follow-up of outcomes including progression-free survival 2 in patients with transplant-ineligible multiple myeloma in the real-world practice: A multi-institutional report from the Canadian Myeloma Research Group (CMRG) database.

Multiple myeloma remains an incurable cancer mostly affecting older adults and is characterized by a series of remission inductions and relapses. This study aims to evaluate the outcomes in newly diagnosed transplant-ineligible patients using bortezomib/lenalidomide-based regimens in the Canadian real world as well as their outcomes in the second line. The Canadian Myeloma Research Group Database (CMRG-DB) is a national database with input from multiple Canadian Centres with now up to 8000 patients entered.

Comparative metabolite profiling of salt sensitive and the halophytic wild rice under salt stress.

To better understand the salt tolerance of the wild rice, , root tissue-specific untargeted comparative metabolomic profiling was performed against the salt-sensitive . Under control, exhibited abundant levels of most metabolites, while salt caused their downregulation in contrast to metabolites in . Under control conditions, itaconate, vanillic acid, threonic acid, eicosanoids, and a group of xanthin compounds were comparatively abundant in .

Precision medicine within health professions education: Defining a research agenda for emergency medicine using a foresight and strategy technique (FaST) review.

Background: Precision medicine, sometimes referred to as personalized medicine, is rapidly changing the possibilities for how people will engage health care in the near future. As technology to support precision medicine exponentially develops, there is an urgent need to proactively improve our understanding of precision medicine and pose important research questions (RQs) related to its inclusion in the education and training of future emergency physicians.

Methods: A seven-step process was employed to develop a research agenda exploring the intersection of precision and emergency medicine education/training.

Rural-Urban Differences in Healthcare Use in Persons With Dementia Between 2000 and 2019: A Quebec Population-Based Study.

Background: Rural persons with dementia face medical services gaps. This study compares the health service utilization of rural and urban community-dwelling individuals with incident dementia.

Methods: This study used a repeated annual cross-sectional cohort design spanning a period from 2000 to 2019 analyzing age-adjusted rates for 20 indicators of service use and mortality one year after diagnosis in Quebec administrative databases.

Physicochemical compositions, nutritional and functional properties, and color qualities of sorghum-orange-fleshed sweet potato composite flour.

Sorghum and orange-fleshed sweet potato (OFSP) flours were blended to produce composite flours at eight different ratios of 90:10, 80:20, 70:30, 60:40, 50:50, 40:60, 30:70, and 20:80, respectively, whereas 100% sorghumflour was used as control. The physicochemical compositions, nutritional and functional properties, as well as color attributes of the composite flour blends were evaluated. The acquired data were analyzed using ANOVA, and the means were separated using the Duncan multiple range test.

The Role of Wildfires in the Interplay of Forest Carbon Stocks and Wood Harvest in the Contiguous United States During the 20th Century.

Wildfires and land use play a central role in the long-term carbon (C) dynamics of forested ecosystems of the United States. Understanding their linkages with changes in biomass, resource use, and consumption in the context of climate change mitigation is crucial. We reconstruct a long-term C balance of forests in the contiguous U.

Treatment of hypoglycemia due to a rare pathogenic variant in with waxy maize heat-modified starch.

Key Clinical Message: The gain-of-function c.49G>A variant causes hypoketotic hypoglycemia with variable associated features. Due to lack of effective medications, treatment is primarily supportive.

A comparison of virtual and in person delivery of a full meal replacement program for obesity.

Objective: Full meal replacement (FMR) Intensive Lifestyle Interventions (ILI) have been used for weight management. However, predictors of efficacy with these programs are less clear. The primary objective was to assess weight loss predictors in a community-based FMR ILI program.

Creating saponin-free yellow pea seeds by -enabled mutagenesis on β-amyrin synthase.

Dry pea () seeds are valuable sources of plant protein, dietary fiber, and starch, but their uses in food products are restricted to some extent due to several off-flavor compounds. Saponins are glycosylated triterpenoids and are a major source of bitter, astringent, and metallic off-flavors in pea products. () is the entry point enzyme for saponin biosynthesis in pea and therefore is an ideal target for knock-out using CRISPR/Cas9 genome editing to produce saponin deficient pea varieties.