Evaluating the efficacy of biogeochemical cover system in mitigating landfill gas emissions: A large-scale laboratory simulation.

Municipal solid waste (MSW) landfills are a significant source of methane (CH4) emissions in the United States, contributing to global warming. Current landfill gas (LFG) management methods, like the landfill cover system and LFG collection system, do not entirely prevent LFG release. Biocovers have the potential to reduce CH4 emissions through microbial oxidation. However, LFG also contains carbon dioxide (CO2) and trace hydrogen sulfide (H2S) depending on waste composition, temperature, moisture content, and age of waste. An innovative biogeochemical cover (BGCC) was developed to tackle these concerns. This cover comprises a biochar-based biocover layer overlaid with a basic oxygen furnace (BOF) steel slag layer. The biochar-based biocover layer oxidizes CH4 emissions, while the BOF slag layer reduces CO2 and H2S through carbonation and sulfidation reaction mechanisms. The BGCC system's field performance remains unexamined. Therefore, a large-scale tank setup simulating near-field conditions was developed to evaluate the BGCC system's ability to mitigate CH4, CO2, and H2S from LFG simultaneously. Synthetic LFG was passed through the BGCC in five distinct phases, each designed to simulate the varying gas compositions and flux rates typical of MSW landfill. Gas profiles along the depth were monitored during each phase, and gas removal efficiency was measured. After testing, biocover and BOF slag samples were extracted to analyze physico-chemical properties. Batch tests were also conducted on samples extracted from the biocover and BOF slag layers to determine potential CH4 oxidation rates and residual CO2 sequestration capacity. The results showed that the BGCC system's CH4 removal efficiency decreased with higher CH4 flux rates, achieving its highest removal (74.7-79.7%) at moderate influx rates (23.9-25.5 g CH4/m2-day) and reducing to its lowest removal (27.4%) at the highest influx rate (57.5 g CH4/m2-day). Complete H2S removal occurred during Phase 3 in the biocover layer of BGCC system. CH4 oxidation rates were highest near the upper (277.9 µg CH4/g-day) and lowest in the deeper region of the biocover layer. In the tank experiment, CO2 breakthrough occurred after 156 days due to drying of the BOF slag layer, with an average residual carbonation capacity of 46 gCO2/kg slag after moisture adjustment. Overall, the BGCC system effectively mitigated LFG emissions, including CH4, CO2, and H2S, at moderate flux rates, showing promise as a comprehensive solution for LFG management.

BrainAgeNeXt: Advancing Brain Age Modeling for Individuals with Multiple Sclerosis.

Aging is associated with structural brain changes, cognitive decline, and neurodegenerative diseases. Brain age, an imaging biomarker sensitive to deviations from healthy aging, offers insights into structural aging variations and is a potential prognostic biomarker in neurodegenerative conditions. This study introduces BrainAgeNeXt, a novel convolutional neural network inspired by the MedNeXt framework, designed to predict brain age from T1-weighted magnetic resonance imaging (MRI) scans. BrainAgeNeXt was trained and validated on 11,574 MRI scans from 33 private and publicly available datasets of healthy volunteers, aged 5 to 95 years, imaged with 3T and 7T MRI. Performance was compared against three state-of-the-art brain age prediction methods. BrainAgeNeXt achieved a mean absolute error (MAE) of 2.78 ± 3.64 years, lower than the compared methods (MAE = 3.55, 3.59, and 4.16 years, respectively). We tested all methods also across different levels of image quality, and BrainAgeNeXt performed well even with motion artifacts and less common 7T MRI data. In three longitudinal multiple sclerosis (MS) cohorts (273 individuals), brain age was, on average, 4.21 ± 6.51 years greater than chronological age. Longitudinal analysis indicated that brain age increased by 1.15 years per chronological year in individuals with MS (95% CI = [1.05, 1.26]). Moreover, in early MS, individuals with worsening disability had a higher annual increase in brain age compared to those with stable clinical assessments (1.24 vs. 0.75, p < 0.01). These findings suggest that brain age is a promising prognostic biomarker for MS progression and potentially a valuable endpoint for clinical trials.

Energy-efficient synthetic antiferromagnetic skyrmion-based artificial neuronal device.

Magnetic skyrmions offer unique characteristics such as nanoscale size, particle-like behavior, topological stability, and low depinning current density. These properties make them promising candidates for next-generation spintronics-based memory and neuromorphic computing. However, one of their distinctive features is their tendency to deviate from the direction of the applied driving force that may lead to the skyrmion annihilation at the edge of nanotrack during skyrmion motion, known as the skyrmion Hall effect (SkHE). To overcome this problem, synthetic antiferromagnetic (SAF) skyrmions that having bilayer coupling effect allows them to follow a straight path by nullifying SkHE making them alternative for ferromagnetic (FM) counterpart. This study proposes an integrate-and-fire (IF) artificial neuron model based on SAF skyrmions with asymmetric wedge-shaped nanotrack having self-sustainability of skyrmion numbers at the device window. The model leverages inter-skyrmion repulsion to replicate the IF mechanism of biological neuron. The device threshold, determined by the maximum number of pinned skyrmions at the device window, can be adjusted by tuning the current density applied to the nanotrack. Neuronal spikes occur when initial skyrmion reaches the detection unit after surpassing the device window by the accumulation of repulsive force that result in reduction of the device's contriving current results to design of high energy efficient for neuromorphic computing. Furthermore, work implements a binarized neuronal network accelerator using proposed IF neuron and SAF-SOT-MRAM based synaptic devices for national institute of standards and technology database image classification. The presented approach achieves significantly higher energy efficiency compared to existing technologies like SRAM and STT-MRAM, with improvements of 2.31x and 1.36x, respectively. The presented accelerator achieves 1.42x and 1.07x higher throughput efficiency per Watt as compared to conventional SRAM and STT-MRAM based designs.

"Pediatric Spontaneous Intracranial Dissecting Aneurysms: Impact of Ischemic and Hemorrhagic Manifestations on Endovascular Treatment Strategies - Insights from a Developing World Setting".

BACKGROUND: Pediatric spontaneous intracranial dissecting aneurysms are rare, but systematic studies comparing hemorrhagic and ischemic presentations are lacking. This study addresses gaps in understanding their epidemiology, clinical presentation, management, and outcome. METHODS: A retrospective analysis of 23 pediatric patients with nontraumatic intracranial dissecting aneurysms treated between July 2018 and December 2023 was conducted. Patients were divided into 2 groups based on presentation: hemorrhagic (n = 16) and ischemic (n = 7). Clinical data were analyzed, including demographics, radiologic findings, treatment modalities, and outcomes. RESULTS: Clinical presentations varied, with limb weakness being more prevalent in hemorrhagic cases (P = 0.014), while headache and seizures were more common in ischemic cases. Angiographic analysis revealed distinct patterns, with hemorrhagic cases showing more distal involvement on vessel segments with stenosis and dilatation (pearl string sign). At the same time, the ischemic group exhibited the double-lumen sign. Various treatments, including microsurgery and endovascular techniques, were utilized, with perioperative complications observed, including one mortality in a hemorrhagic case. Multiple regression analysis identified significant risk factors for perioperative complications, namely, the configuration of the dissecting aneurysm (P = 0.016) and the type of presentation (P = 0.0006). Long-term Glasgow Outcome Scores were comparable, but patients with hemorrhagic manifestations experienced prolonged hospital and ICU stays (P = 0.001). CONCLUSIONS: Pediatric intracranial dissecting aneurysms, particularly hemorrhagic cases, are associated with severe neurologic deficits and higher perioperative complications. Despite similar long-term outcomes, hemorrhagic cases require prolonged hospitalization, increasing treatment costs. Optimizing management strategies for pediatric intracranial dissecting aneurysms, especially those with hemorrhagic features, is essential to improve outcomes and reduce healthcare expenditures.

Modified Carbapenem Inactivation Method and Ethylenediaminetetraacetic Acid (EDTA)-Carbapenem Inactivation Method for Detection of Carbapenemase-Producing Enterobacterales and Pseudomonas aeruginosa.

INTRODUCTION: The rising incidence of carbapenem resistance in Enterobacterales and Pseudomonas aeruginosa is a concern. Since carbapenemase production is the primary resistance mechanism, detecting and identifying the genes responsible for it is crucial to effectively monitor its spread. OBJECTIVE: This study aims to detect positivity for the modified carbapenem inactivation method (mCIM) and ethylenediaminetetraacetic acid (EDTA)-carbapenem inactivation method (eCIM) for the detection of carbapenemase-producing Enterobacterales and Pseudomonas aeruginosa. METHODS: Methods: A cross-sectional study was carried out at a tertiary care hospital, including 250 clinical isolates of Enterobacterales and Pseudomonas aeruginosa. These isolates exhibited resistance to at least one of the carbapenems as determined by the VITEK AST 2 System (bioMérieux, USA). The isolates were subjected to mCIM testing, and those that tested positive were further tested using eCIM. The results were interpreted in accordance with the guidelines provided by the Clinical and Laboratory Standards Institute (CLSI) 2023. RESULTS: Out of the total 250 carbapenem-resistant Enterobacterales and Pseudomonas aeruginosa isolates, 151 (60.4%) were Klebsiella pneumonia, 44 (17.6%) were Escherichia coli, 10 (4.0%) were Enterobacter cloacae, 6 (2.4%) were Providencia spp., 4 (1.6%) were Serratia marcescens, 4 (1.6%) were Proteus mirabilis and 31 (12.4%) were Pseudomonas aeruginosa. Positivity for the mCIM was observed in 96% (240 out of 250) of the isolates. Of the mCIM-positive isolates, 234 (97.5%) also tested positive for eCIM, indicating metallo-ß-Lactamase (MLB) production. A statistically significant association was found between both mCIM and eCIM positivity and the degree of resistance to carbapenem (p<0.05). Conclusion: This study shows that the inexpensive method, a combination of mCIM and eCIM assists in differentiating between serine carbapenemase producers and MLB producers, thereby guiding the selection of appropriate therapy and useful in infection control in resource-limited settings.

Improvement of MRS at ultra-high field using a wireless RF array.

We aim to assess a straightforward technique to enhance spectral quality in the brain, particularly in the cerebellum, during 7 T MRI scans. This is achieved through a wireless RF array insert designed to mitigate signal dropouts caused by the limited transmit field efficiency in the inferior part of the brain. We recently developed a wireless RF array to improve MRI and 1H-MRS at 7 T by augmenting signal via inductive coupling between the wireless RF array and the MRI coil. In vivo experiments on a Siemens 7 T whole-body human scanner with a Nova 1Tx/32Rx head coil quantified the impact of the dorsal cervical array in improving signal in the posterior fossa, including the cerebellum, where the transmit efficiency of the coil is inherently low. The 1H-MRS experimental protocol consisted of paired acquisition of data sets, both with and without the RF array, using the semi-LASER and SASSI sequences. The overall results indicate that the localized 1H-MRS is improved significantly in the presence of the array. Comparison of in vivo 1H-MRS plots in the presence versus absence of the array demonstrated an average SNR enhancement of a factor of 2.2. LCModel analysis reported reduced Cramér-Rao lower bounds, indicating more confident fits. This wireless RF array can significantly increase detection sensitivity. It may reduce the RF transmission power and data acquisition time for 1H-MRS and MRI applications, specifically at 7 T, where 1H-MRS requires a high-power RF pulse. The array could provide a cost-effective and efficient solution to improve detection sensitivity for human 1H-MRS and MRI in the regions with lower transmit efficiency.

Optimizing outcomes in multicompartmental brain tumor surgery: A comparative study of integrated endoscopic and microsurgical techniques versus endoscope-assisted microsurgery.

BACKGROUND: Multicompartmental lesions within the central nervous system are challenging due to their complex anatomy. This study evaluates the efficacy, safety, and utility of hybrid endoscopic and microsurgery versus endoscope-assisted microsurgery(EAM) for excising these lesions. METHODS: A retrospective comparative analysis was conducted on patients who underwent multicompartmental brain tumor surgery, utilizing either hybrid endoscopic and microsurgical techniques with the Endocameleon Hopkins telescope featuring a rotating lens system and knob (Karl Storz GmbH & Co., Tuttlingen, Germany), alternately used with a microscope (ZEISS PENTERO 800 S) (Group 1, n = 69), or endoscope-assisted microsurgery employing a fully high-definition, 45° angled endoscopic tool, QEVO®, integrated into the digital surgical microscope KINEVO 900 (Carl Zeiss Meditec, Oberkochen, Germany) as a plug-in feature (Group 2, n = 63), from July 2018 to March 2024. Data on demographics, clinical presentation, lesion characteristics, surgical details, and outcomes were meticulously collected and analyzed using rigorous statistical methods, including t-tests and chi-square tests. RESULTS: Compared to Group 2, Group 1 had better ease of dissection and visualization of bleeders (p = 0.01) and fewer postoperative hematomas (p = 0.04). Surgical times were similar (p = 0.134). Postoperative follow-up revealed fewer recurrences in Group 1, though not statistically significant (p = 0.33). Group 1 patients reported higher cosmetic satisfaction and shorter hospital stays (p = 0.002). Logistic regression identified tumor vascularity(p = 0.001) and ease of dissection(p = 0.008) as significant factors for recurrence. CONCLUSIONS: Hybrid endoscopic and microsurgery demonstrated superior intraoperative visualization, ease of dissection, and postoperative outcomes compared to endoscope-assisted microsurgery with the Quevo device. These findings suggest that the integrated approach may offer better outcomes for multicompartmental lesion excision regarding safety, efficacy, and patient satisfaction.

Spatial variation of methane oxidation and carbon dioxide sequestration in landfill biogeochemical cover.

The study investigated the spatial variation of potential methane (CH4) oxidation and residual carbon dioxide (CO2) sequestration in biogeochemical cover (BGCC) system designed to remove CH4, CO2, and hydrogen sulfide (H2S) from landfill gas (LFG) emissions. A 50 cm x 50 cm x 100 cm tank simulated BGCC system, comprising a biochar-amended soil (BAS) layer for CH4 oxidation, a basic oxygen furnace (BOF) slag layer for CO2 and H2S sequestration, and an upper topsoil layer. Synthetic LFG was flushed through the system in five phases, with each corresponding to different compositions and flow rates. Following monitoring, the system was dismantled, and samples were extracted from different depths and locations to analyze spatial variations, focusing on moisture content (MC), organic content (OC), pH, and electrical conductivity (EC). Additionally, batch tests on selected samples from BAS and BOF slag layers were performed to assess potential CH4 oxidation and residual carbonation capacity. The aim of study was to evaluate the BGCC's effectiveness in LFG mitigation, however this study focused on assessing spatial variations in physico-chemical properties, CH4 oxidation in the BAS layer, and residual carbonation in the BOF slag layer. Findings revealed CH4 oxidation in the BAS layer varied between 22.4 and 277.9 µg CH4/g-day, with higher rates in the upper part, and significant spatial variations at 50 cm below ground surface (bgs) compared to 85 cm bgs. The BOF slag layer showed a residual carbonation capacity of 40-49.3 g CO2/kg slag, indicating non-uniform carbonation. Overall, CH4 oxidation and CO2 sequestration capacities varied spatially and with depth in the BGCC system.

Deep brain stimulation induces white matter remodeling and functional changes to brain-wide networks.

Deep brain stimulation (DBS) is an emerging therapeutic option for treatment resistant neurological and psychiatric disorders, most notably depression. Despite this, little is known about the anatomical and functional mechanisms that underlie this therapy. Here we targeted stimulation to the white matter adjacent to the subcallosal anterior cingulate cortex (SCC-DBS) in macaques, modeling the location in the brain proven effective for depression. We demonstrate that SCC-DBS has a selective effect on white matter macro- and micro-structure in the cingulum bundle distant to where stimulation was delivered. SCC-DBS also decreased functional connectivity between subcallosal and posterior cingulate cortex, two areas linked by the cingulum bundle and implicated in depression. Our data reveal that white matter remodeling as well as functional effects contribute to DBS's therapeutic efficacy.

Novel chitosan-based barrier materials for environmental containment: Synthesis, characterization, and contaminant removal capacities and mechanisms.

This study critically appraises employing chitosan as a composite with bentonite, biochar, or both materials as an alternative to conventional barrier materials. A comprehensive literature review was conducted to identify the studies reporting chitosan-bentonite composite (CBC), chitosan amended biochar (CAB), and chitosan-bentonite-biochar composite (CBBC) for effective removal of various contaminants. The study aims to review the synthesis of these composites, identify fundamental properties affecting their adsorption capacities, and examine how these properties affect or enhance the removal abilities of other materials within the composite. Notably, CBC composites have the advantage of adsorbing both cationic and anionic species, such as heavy metals and dyes, due to the cationic nature of chitosan and the anionic nature of montmorillonite, along with the increased accessible surface area due to the clay. CAB composites have the unique advantage of being low-cost sorbents with high specific surface area, affinity for a wide range of contaminants owing to the high surface area and microporosity of biochar, and abundant available functional groups from the chitosan. Limited studies have reported the utilization of CBBC composites to remove various contaminants. These composites can be prepared by combining the steps employed in preparing CBC and CAB composites. They can benefit from the favorable adsorption properties of all three materials while also satisfying the mechanical requirements of a barrier material. This study serves as a knowledge base for future research to develop novel composite barrier materials by incorporating chitosan and biochar as amendments to bentonite.

A Copper-Based Metal-Organic Framework for Selective Separation of C2 Hydrocarbons from Methane at Ambient Conditions: Experiment and Simulation.

C2 hydrocarbon separation from methane represents a technological challenge for natural gas upgrading. Herein, we report a new metal-organic framework, [Cu2L(DEF)2]·2DEF (UNT-14; H4L = 4,4',4″,4‴-((1E,1'E,1″E,1‴E)-benzene-1,2,4,5-tetrayltetrakis(ethene-2,1-diyl))tetrabenzoic acid; DEF = N,N-diethylformamide; UNT = University of North Texas). The linker design will potentially increase the surface area and adsorption energy owing to π(hydrocarbon)-π(linker)/M interactions, hence increasing C2 hydrocarbon/CH4 separation. Crystallographic data unravel an sql topology for UNT-14, whereby [Cu2(COO)4]···[L]4- paddle-wheel units afford two-dimensional porous sheets. Activated UNT-14a exhibits moderate porosity with an experimental Brunauer-Emmett-Teller (BET) surface area of 480 m2 g-1 (vs 1868 m2 g-1 from the crystallographic data). UNT-14a exhibits considerable C2 uptake capacity under ambient conditions vs CH4. GCMC simulations reveal higher isosteric heats of adsorption (Qst) and Henry's coefficients (KH) for UNT-14a vs related literature MOFs. Ideal adsorbed solution theory yields favorable adsorption selectivity of UNT-14a for equimolar C2Hn/CH4 gas mixtures, attaining 31.1, 11.9, and 14.8 for equimolar mixtures of C2H6/CH4, C2H4/CH4, and C2H2/CH4, respectively, manifesting efficient C2 hydrocarbon/CH4 separation. The highest C2 uptake and Qst being for ethane are also desirable technologically; it is attributed to the greatest number of "agostic" or other dispersion C-H bond interactions (6) vs 4/2/4 for ethylene/acetylene/methane.

Bifunctional Metal-Organic Nanoballs Featuring Lewis Acidic and Basic Sites as a New Platform for One-Pot Tandem Catalysis.

The design and synthesis of polyhedra using coordination-driven self-assembly has been an intriguing research area for synthetic chemists. Metal-organic polyhedra are a class of intricate molecular architectures that have garnered significant attention in the literature due to their diverse structures and potential applications. Hereby, we report Cu-MOP, a bifunctional metal-organic cuboctahedra built using 2,6-dimethylpyridine-3,5-dicarboxylic acid and copper acetate at room temperature. The presence of both Lewis basic pyridine groups and Lewis acidic copper sites imparts catalytic activity to Cu-MOP for the tandem one-pot deacetalization-Knoevenagel/Henry reactions. The effect of solvent system and time duration on the yields of the reactions was studied, and the results illustrate the promising potential of these metal-organic cuboctahedra, also known as nanoballs for applications in catalysis.

Spontaneous thrombosis and calcification of giant cavernous carotid artery aneurysm: A rare case and management insights.

Background: Giant cavernous carotid artery aneurysms (>25 mm) are rare (3-5%), with some prone to spontaneous thrombosis (10-20% complete). We present a unique case of one of the largest aneurysms spontaneously thrombosing and calcifying. Case Description: A 57-year-old with persistent right-sided headaches had a substantial hyperdense mass in the right middle cranial fossa, eroding petrous bone. Magnetic resonance imaging and digital subtraction angiography revealed a giant cavernous segment fusiform aneurysm of the right internal carotid artery (ICA) with spontaneous thrombosis and distal ICA occlusion. Collateral circulation maintains the cerebral blood supply. Despite anatomical challenges, conservative management was chosen due to the patient's stability. Conclusion: This case highlights the complex interplay between thrombosed giant aneurysms and affected vessels, with unique features such as cross-flow, calcification, and bone erosion. We advocate conservative management for stable cases, supported by literature, emphasizing vigilant follow-up. This expands the spectrum of aneurysm presentations and encourages further research into their dynamics.

Tailoring the Coordination Micro-Environment in Nanotraps for Efficient Platinum/Palladium Separation.

Recovering platinum group metals from secondary resources is crucial to meet the growing demand for high-tech applications. Various techniques are explored, and adsorption using porous materials has emerged as a promising technology due to its efficient performance and environmental beingness. However, the challenge lies in effectively recovering and separating individual platinum group metals (PGMs) given their similar chemical properties. Herein, a breakthrough approach is presented by sophisticatedly tailoring the coordination micro-environment in a series of aminopyridine-based porous organic polymers, which enables the creation of platinum-specific nanotraps for efficient separation of binary PGMs (platinum/palladium). The newly synthesized POP-o2NH2-Py demonstrates record uptakes and selectivity toward platinum over palladium, with the amino groups adjacent to the pyridine moieties being vital in improving platinum binding performance. Further breakthrough experiments underline its remarkable ability to separate platinum and palladium. Spectroscopic analysis reveals that POP-o2NH2-Py offers a more favorable coordination fashion to platinum ions compared to palladium ions owing to the greater interaction between N and Pt4+ and stronger intramolecular hydrogen bonding between the amino groups and four coordinating chlorines at platinum. These findings underscore the importance of fine-tuning the coordination micro-environment of nanotraps through subtle modifications that can greatly enhance the selectivity toward the desired metal ions.

Assessment of Perivascular Space Morphometry Across the White Matter in Huntington's Disease Using MRI.

Background: Perivascular spaces (PVS) are fluid-filled cavities surrounding small cerebral blood vessels. There are limited reports of enlarged PVS across the grey matter in manifest Huntington's disease (HD). Little is known about how PVS morphometry in the white matter may contribute to HD. Enlarged PVS have the potential to both contribute to HD pathology and affect the distribution and success of intraparenchymal and intrathecally administered huntingtin-lowering therapies. Objective: To investigate PVS morphometry in the global white matter across the spectrum of HD. Relationships between PVS morphometry and disease burden and severity measures were examined. Methods: White matter PVS were segmented on 3T T2 W MRI brain scans of 33 healthy controls, 30 premanifest HD (pre-HD), and 32 early manifest HD (early-HD) participants from the Vancouver site of the TRACK-HD study. PVS count and total PVS volume were measured. Results: PVS total count slightly increased in pre-HD (p = 0.004), and early-HD groups (p = 0.005), compared to healthy controls. PVS volume, as a percentage of white matter volume, increased subtly in pre-HD compared to healthy controls (p = 0.044), but not in early-HD. No associations between PVS measures and HD disease burden or severity were found. Conclusions: This study reveals relatively preserved PVS morphometry across the global white matter of pre-HD and early-HD. Subtle morphometric abnormalities are implied but require confirmation in a larger cohort. However, in conjunction with previous publications, further investigation of PVS in HD and its potential impact on future treatments, with a focus on subcortical grey matter, is warranted.

Navigating Uncharted Waters: Comparative Analysis of Clinical Progression and Outcomes in Vestibular Schwannoma Patients with Papilledema and without Hydrocephalus, Versus Those without Papilledema and Hydrocephalus: A Comprehensive Institutional Insight.

BACKGROUND: Papilledema's association with hydrocephalus (HCP)-linked larger vestibular schwannoma (VS) is established but cases lacking concurrent HCP require further investigation. METHODS: This retrospective comparative observational study, conducted from July 2018 to July 2023, examined 120 VS patients undergoing surgery. Patients were categorized into Group 1 (papilledema without HCP) and Group 2 (no papilledema or HCP), with comprehensive data analyzed. RESULTS: In this study, Group 1 (14 patients with papilledema) and Group 2 (106 patients without papilledema or HCP) were compared. Group 1 was younger (mean age 27.21 ± 11.73 years) than Group 2 (mean age 54.66 ± 11.44 years). Both groups had similar symptom durations and tumor detection times. Group 1 had increased vascularity (P = 0.001), elevated cisterna magna protein levels (P = 0.001), and a higher incidence of neurofibromatosis 2 (P = 0.003). They also experienced longer surgeries (P = 0.001) and more blood loss (P = 0.001), leading to extended postoperative complications. Group 2 showed improved postsurgery visual outcomes (P = 0.001), better Glasgow Outcome Scores (P = 0.001), enhanced facial nerve preservation (P = 0.002), and improved hearing on follow-up (P = 0.003). Logistic regression analysis highlighted prolonged surgery duration (P = 0.057) and papilledema (P = 0.0001) as significant factors influencing visual improvement. CONCLUSIONS: Patients with VS require preoperative fundoscopy evaluation due to potential visual loss and papilledema, even without HCP. Early treatment initiation enhances visual and hearing outcomes. Meticulous surgery is vital given the lesion's hypervascular nature and adherence to surrounding structures. Preoperative embolization may aid in preserving neurovascular structures. In developing countries with higher blindness rates, judicious noncontrast computed tomography brain evaluation is crucial for timely detection and treatment initiation of lesions like VS.

Productivity, soil health, and carbon management index of soybean-wheat cropping system under double zero-tillage and natural-farming based organic nutrient management in north-Indian plains.

Conservation-agriculture and organic-farming are two sustainable-agriculture approaches to ensure food security and environmental-sustainability. Hence, a field study assessed the productivity, soil-health and carbon-dynamics of soybean-wheat cropping system (SWCS) under four tillage and residue-management practices (TRMPs) viz., Conventional-tillage without residues (CT-R), conventional-tillage with residue-retention in both crops at 3 t ha-1 each (CT + R), zero-tillage without residues (ZT-R), and zero-tillage with residue-retention in both crops at 3 t ha-1 each (ZT + R); and five organic-nutrient-management-practices (ONMPs) in both crops viz., 100 % RDF (N1), 100 % RDN through FYM (N2), 100 % RDN through VC (N3), 100 % RDN through FYM + Biofertilizers + Cow-urine + Panchgavya + Jeevamrut (N4), and 100 % RDN through VC + Biofertilizers + Cow-urine + Panchgavya + Jeevamrut (N5), in split-plot-design replicated-thrice. Among TRMPs, ZT + R enhanced system-productivity (SEY) by ∼17.2 % over CT-R, besides improved soil available-N, P, K by 6.4, 6.5 and 6.5 %, respectively. SMBC, SMBN and SMBP were higher under ZT + R by 16.2, 21.5 and 10.8 % over CT-R, respectively. ZT + R had higher soil enzyme activities of DHA, Acid-P, ALP, URA, and FDA over CT-R by 19.4, 20.7, 21.5, 20.7 and 15.2 %, respectively. ZT + R also had higher VLC, ACP, LI and CMI over CT-R. Among ONMPs, the natural-farming based ONMP, N5 considerably improved SMBC, SMBN, SMBP, FDA, DHA, Acid-P, URA, and ALP by 12.7-12.9 % over N1 (100 % RDF). ONMP-N5 improved the available-N, P, K content over N1 by 6.6, 5.8 and 6.7 %, respectively. ONMP-N5 had higher (p < 0.05) microbial-count, VLC, APC, LI and CMI; however, system-productivity was ∼4.1 % lower than N1 in this two-years' short-study which further need investigation in multi-location long-term experiments. Overall, the dual-crop basis ZT + R at 6 t ha-1 year-1 + NF-based ONMPs (N5) may harness higher and sustained productivity under SWCS besides advancing soil-health and soil carbon-pools in sandy-loam soils of north-Indian plains and similar soils across south-Asia.

Novel anionic surfactant-modified chlorhexidine and its potent antimicrobial properties.

Chlorhexidine dodecyl sulfate (CHX-DS) was synthesized and characterized via single-crystal X-ray diffraction (SC-XRD), 1H nuclear magnetic resonance (NMR) spectroscopy, 1H nuclear Overhauser effect spectroscopy (NOESY), and attenuated total reflectance Fourier-transform infrared spectroscopy (ATR-FTIR). The solid-state structure, comprising a 1 : 2 stoichiometric ratio of chlorhexidine cations [C22H30Cl2N10]2+ to dodecyl sulfate anions [C12H25SO4]-, is the first report of chlorhexidine isolated with a surfactant. CHX-DS exhibits broad-spectrum antibacterial activity and demonstrates superior efficacy for reducing bacteria-generated volatile sulfur compounds (VSCs) as compared to chlorhexidine gluconate (CHG). The minimum inhibitory concentrations (MICs) of CHX-DS were 7.5, 2.5, 2.5, and 10 µM for S. enterica, E. coli, S. aureus, and S. mutans, respectively. Furthermore, MIC assays for E. coli and S. mutans demonstrate that CHX-DS and CHX exhibit a statistically significant efficacy enhancement in 2.5 µM treatment as compared to CHG. CHX-DS was incorporated into SBA-15, a mesoporous silica nanoparticle (MSN) framework, and its release was qualitatively measured via UV-vis in aqueous media, which suggests its potential as an advanced functional material for drug delivery applications.

Endovascular glue embolization of the medial posterior choroidal artery aneurysm: A case report and a literature review.

Background: The medial posterior choroidal artery (MPCA) aneurysm is extremely uncommon. Thus yet, just a few cases have been reported. Due to the deep position, narrow lumen, fragile walls, and extensive tortuosity, both endovascular and microsurgical procedures are strictly limited. A case study of successful endovascular glue embolization of a left MPCA aneurysm and a literature review is included in this report. Case Description: A 17-year-old female arrived at our institution 2 days after suffering a major intraventricular hemorrhage with a minor subarachnoid hemorrhage. Digital subtraction angiography revealed a left MPCA aneurysm. The patient underwent a successful endovascular glue embolization and had a favorable functional outcome. Conclusion: Endovascular glue embolization yielded favorable clinical and angiographic results in MPCA aneurysms where microcatheter access and maneuverability are challenging.

Heterogeneous road traffic noise modeling at mid-block sections of mid-sized city in India.

This study attempted to develop a computer-based software for monitoring the traffic noise under heterogeneous traffic condition at the morning peak (MP), off peak (OP), and evening peak (EP) periods of mid-block sections of mid-sized city in India. Traffic noise dataset of 776 (LAeq, 1hr) were collected from 23 locations of Gorakhpur mid-sized city in the state of Uttar Pradesh in India. K-nearest neighbor (K-NN) algorithm was adopted for traffic noise prediction modeling. Moreover, principal component analysis (PCA) technique was used for the dimensionality reduction and to overcome the problem of multi-collinearity. The developed model exhibits R2 value of 0.81, 0.78, and 0.77 in the MP, OP, and EP, respectively, for Leq, and a value of 0.86, 0.80, and 0.84 for L10. The proposed model can predict more than 94% observations within an accuracy of ±3%. Ultimately, a user-friendly noise level calculator named "Traffic Noise Prediction Calculator for Heterogeneous Traffic (TNPC-H)" was developed for the benefit of field engineers and policy planners.