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The purpose of this study was to investigate clinical, pathological, and prognostic discrepancies between infantile and noninfantile desmoplastic astrocytoma/ganglioglioma patients.<br /><br /> From January 2012 to December 2019, we retrospectively reviewed patients aged &lt;18 years who underwent craniotomies at Beijing Tiantan Hospital. Patients diagnosed with desmoplastic infantile astrocytoma and ganglioglioma (DIA/DIG) were included.<br /><br /> The group consisted of 9 infantile patients and 8 noninfantile patients. The mean age of onset was 30.11 months in infantile patients and 103.75 months in noninfantile patients. Comparing with infantile patients, noninfantile patients had a mild female predominance (P= 0.335). The most common presentation in noninfantile patients was seizure (n= 4, 50%), whereas abnormal head circumference (n= 3, 33.3%) was the most common presentation in the infantile group. All cases showed a ki-67 index &lt;2%. Preoperative tumor volume in infantile patients (213.98 cm<br /><br /> ) was larger than that irognosis regardless of extent of resection.<br /><br /> Bevacizumab, an anti-vascular endothelial growth factor (VEGF) antibody, is a new treatment approach for radionecrosis. In our study, we compared the prophylactic and therapeutic usage of a promising agent, ramipril (an angiotensin-converting enzyme inhibitor), with that of bevacizumab for reducing radiation-induced brain injury after high-dose stereotactic radiosurgery (SRS).<br /><br /> A total of 60 Wistar rats were used. The rats were irradiated with a single dose of 50 Gy using a Leksell Gamma Knife device. Bevacizumab and ramipril were administered in the prophylactic protocol (starting the first day of SRS) and in the therapeutic protocol (starting the fourth week of SRS). Their usage was continued until 12 weeks, and the right frontal lobes of the rats were examined histologically (hematoxylin and eosin stain) and immunohistochemically (hypoxia-inducible factor [HIF]-1α, VEGF, and CD31 antibody expression).<br /><br /> The expression of VEGF, HIF-1α, and CD31 had significantly increased at 12 weeks after SRS compared with the control group. The addition of bevacizumab or ramipril to SRS significantly mitigated the histological severity of radiation injury and the expression of VEGF, HIF-1α, and CD31. However, the prophylactic use of bevacizumab and ramipril seemed to be more effective than therapeutic administration. Our results also revealed that the greatest benefit was achieved with the use of prophylactic administration of bevacizumab compared with other treatment protocols.<br /><br /> Ramipril might be a promising agent for patients with radionecrosis. Clinical studies are required to investigate the effective and safe doses of ramipril, which is an inexpensive, well-tolerated drug that can cross the blood-brain barrier.<br /><br />Ramipril might be a promising agent for patients with radionecrosis. Clinical studies are required to investigate the effective and safe doses of ramipril, which is an inexpensive, well-tolerated drug that can cross the blood-brain barrier.<br /><br /> Cervical radiculopathy and cervicalgia are commonly managed with spinal epidural steroid injections in the outpatient setting. Although cervical epidural injections are routinely performed, there is potential for significant complications if proper technique and safety measures are not followed. Spinal cord infarction and stroke following transforaminal injection have been described in the literature, whereas interlaminar injections have been associated with both epidural hematomas and direct cord injury.<br /><br /> Here we describe a case of pneumomyelia after cervical interlaminar epidural steroid injection resulting in acute quadriparesis. The patient's symptoms were caused by an inadvertent puncture of the cervical cord and injection of air present in the needle or syringe via an interlaminar approach. The initial computed tomography imaging showed a slit-like lesion at C7-T2 with density consistent with air that migrated rostrally on a follow-up scan.<br /><br /> Epidural steroid injections are often the treatment of choice in management of neck pain and cervical radiculopathy. [https://www.selleckchem.com/products/ly2880070.html selleck chemicals] Devastating complications can ensue if proper safety measures and technique are not used during the procedure regardless of the approach used.<br /><br />Epidural steroid injections are often the treatment of choice in management of neck pain and cervical radiculopathy. Devastating complications can ensue if proper safety measures and technique are not used during the procedure regardless of the approach used.<br /><br /> Interhospital patient transfer (IHT) of patients is common and accounts for a significant portion of health care costs, yet the variables driving neurosurgical IHT have not been systematically described. We analyzed variables that distinguished spine surgery patients who underwent IHT from patients who did not undergo IHT to report on the effect of frailty on IHT.<br /><br /> A retrospective chart review was performed to collect data on consecutive patients undergoing spinal procedures during 2015-2017. IHT patients were identified and compared with non-interhospital patient transfer (n-IHT) patients to identify factors that distinguished the 2 patient groups using multivariate regression analysis. Studied variables included case complexity, frailty (modified frailty index), age, insurance status, and baseline demographic variables. Postoperative outcomes affected by transfer status were identified in binary regression analysis.<br /><br /> During 2015-2017, there were 595 n-IHT and 76 IHT spine surgery patients (N= 671). Incr status and age did not distinguish between IHT and n-IHT groups. link2 This is the first report in any specialty to demonstrate increasing frailty is associated with IHT.<br /><br /> Decompressive hemicraniectomy (DH) is widely recommended as a surgical treatment for intractable increased intracranial pressure after malignant cerebral infarction. Many patients given recombinant tissue plasminogen activator (rtPA) develop cerebral edema after reperfusion or failed recanalization. However, the safety and efficacy of DH after rtPA administration remain largely unknown.<br /><br /> A systematic review was performed using PubMed, Embase, Scopus, Cochrane, and HERDIN. Studies were eligible if they included patients who underwent DH after intravenous thrombolysis for acute ischemic stroke. link3 Unweighted odds ratio (OR) for mortality (primary outcome) and good functional outcome defined as modified Rankin Scale score 0-3 or Glasgow Outcome Scale score 4-5 at 3-6 months (secondary outcome) were compared between the DH+ rtPA group and DH alone group.<br /><br /> Four studies with a total of 98 patients undergoing DH+ rtPA were compared with 110 patients undergoing DH alone without previous thrombolysis. Age, vascular risk factors, and cause of stroke were comparable between the 2 groups. Pooled analysis showed that mortality and functional outcomes were not statistically different between the DH+ rtPA and DH alone groups (OR, 0.56, P=0.07 and OR, 0.83, P= 0.30, respectively). Likewise, both minor and major hemorrhagic rates were similar between the 2 groups (37.76% vs. 27.27%; P= 0.053).<br /><br /> DH for malignant cerebral infarction after intravenous rtPA administration is a viable treatment option, with a comparable mortality and functional outcome to those who had DH without previous thrombolysis.<br /><br />DH for malignant cerebral infarction after intravenous rtPA administration is a viable treatment option, with a comparable mortality and functional outcome to those who had DH without previous thrombolysis.In this study, a systematic multi-spectroscopic analysis of microplastics (MPs) sampled from a metropolitan area of Seoul was undertaken to elevate understanding of the role of wastewater treatment plants (WWTPs) in eliminating suspended contaminants including MPs before releasing the effluent water into the environment. We analyzed pollutants in influent and effluent samples from a WWTP in Seoul, South Korea. Spectroscopic and microscopic methods were used to analyze MPs. Fourier-transform infrared (FT-IR) spectroscopy in the wavenumber region between 4000 and 715 cm-1 was employed to estimate the abundance of MPs in wastewater. Stereomicroscope images and Nile red staining were used to facilely identify MPs in both influents and effluents to compare the results with those of FT-IR data. Hyperspectral imaging could identify MPs in the influent sample with the reflection method at 400-900 nm. Our preliminary results indicate that the most observed MPs after the wastewater were filtered by a 45 μm stainless steel mesh filter were polyethylene (PE) and polypropylene (PP). The total number of the prevalent MPs in influent samples decreased significantly. Nanostructure particles could be found by field-emission scanning electron microscopy (FE-SEM). Our combined multi-spectroscopic study should be helpful to provide a guideline for the rapid spectroscopic analysis of freshwater in the Han River, Seoul, South Korea.Hydrothermal carbonization technology has attracted wide attention in recent years owing to its advantages, e.g., high yield and clean production, compared with traditional pyrolysis. Anaerobic fermentation (AF) is a new method to modify carbon materials, which may improve the surface properties of hydrochar (HC). To explore whether AF has effects on different feedstocks based HCs, two kinds of HCs derived from wheat straw and poplar sawdust were treated with AF for different time in this study. By comparing the changes in physicochemical properties of anaerobic fermentative hydrochars (AFHCs), adsorption behaviors of Cadmium (Cd2+) on AFHCs were evaluated. The results showed that the surface electrical characteristics, specific surface area, and oxygen-containing functional groups of HCs improved significantly after AF treatment, which confirmed our hypothesis that AF is suitable for improving the adsorption of different feedstocks based HCs. The adsorption capacity of Cd2+ on AFHCs was significantly enhanced by a 3.1-3.4 times increase after AF treatment. The effect of AF treatment on wheat straw hydrochar (WHC) was more evident than poplar sawdust hydrochar (SHC). WHCs treated with AF own higher adsorption capacity of Cd2+, which was attributed to the higher negative charge, more exchangeable cations, and more oxygen-containing functional groups. The adsorption process was found to be a spontaneous endothermic reaction dominated by chemisorption and controlled by electrostatic attraction, ion exchange, functional groups complexation, and π-bonding coordination. These results were contributed to understanding the modification of HC by AF and its application in heavy metal pollution remediation.As environmental problems become more and more severe, sulfate radical (SO4-) based advanced oxidation processes (SR-AOPs) are widely recognized for their high removal efficiency of recalcitrant organic pollutants in water. Metal-organic frameworks (MOFs) have attracted wide attention in SR-AOPs due to their outstanding properties (e.g. large surface area, ultra-high porosity, and diversity of material design, etc). Herein, we present an overview of the development and challenges in the synthesis of different types of MOFs, combination of MOFs with other materials (metal centers, conductors, cellulose, etc.) and the construction of catalysts with special structures (core-shell structures and hollow structures) as well as their applications in SR-AOPs for the degradation of organic pollutants. Several review papers have already mentioned the application of a branch of MOFs or simple composites of MOFs in SR-AOP, whereas the latest progresses on the application of MOFs-based materials to SR-AOPs was described rarely.