Closed-loop Stimulation of Temporal Cortex Rescues Functional Networks and Improves Memory

Memory failures are frustrating and often the result of ineffective encoding. One approach to improving memory outcomes is through direct modulation of brain activity with electrical stimulation. Previous efforts, however, have reported inconsistent effects when using open-loop stimulation and often target the hippocampus and medial temporal lobes. Here we use a closed-loop system to monitor and decode neural activity from direct brain recordings in humans. We apply targeted stimulation to lateral temporal cortex and report that this stimulation rescues periods of poor memory encoding. This system also improves later recall, revealing that the lateral temporal cortex is a reliable target for memory enhancement. Taken together, our results suggest that such systems may provide a therapeutic approach for treating memory dysfunction

Draft Genome Sequences of Six Strains Isolated From the Rhizosphere of Wheat Grown In Cadmium-Contaminated Soil

This study presents high-quality draft genome assemblies of six bacterial strains isolated from the roots of wheat grown in soil contaminated with cadmium. The results of this study will help to elucidate at the molecular level how heavy metals affect interactions between beneficial rhizobacteria and crop plants

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Prime waterfront real estate: Apple snails choose wild taro for oviposition sites

While difficult to prevent introductions, scientific research can help guide control efforts of exotic, invasive species. South American island apple snails Pomacea insularum have quickly spread across the United States Gulf Coast and few control measures exist to delay their spread. Usually occupying cryptic benthic habitats, female apple snails crawl out of the water to deposit large, bright pink egg clutches on emergent objects. To help identify the most likely place to find and remove clutches, we conducted four lab experiments to investigate what specific object qualities (i.e. material; shape and height; plant species; natural and artificial) attracted P. insularum females to lay clutches. In our fourth experiment, we specifically examined the relationship between female size and reproductive output. To further understand reproductive output, we quantified experimental clutch chara- cteristics (height above water, dimensions, mass, approximate volume, number of eggs, hatching efficiency). Pomacea insularum females laid more clutches on plant material, chose round over flat surfaces and failed to differentiate between tall and short structures. In comparison to a common native plant in the eastern US, Pontederia cordata, snails clearly preferred to lay clutches on a widely distributed exotic, invasive plant (wild taro, Colocasia esculenta). Unexpectedly, smaller snails showed higher overall total fecundity as well as more eggs per clutch than larger snails. Therefore, hand removal efforts of large females may not be enough to slow down clutch production. Collectively, our results indicate that conservationists and managers should search emergent plants for P. insularum clutches carefully to guard against established populations [Current Zoology 57 (5): 630–641, 2011]

Quantum dot photoluminescence quenching by Cr(III) complexes. Photosensitized reactions and evidence for a FRET mechanism

Reported are quantitative studies of the energy transfer from water-soluble CdSe/ZnS and CdSeS/ZnS core/shell quantum dots (QDs) to the Cr(III) complexes trans-Cr(N(4))(X)(2)(+) (N(4) is a tetraazamacrocycle ligand, X(-) is CN(-), Cl(-), or ONO(-)) in aqueous solution. Variation of N(4), of X(-), and of the QD size and composition allows one to probe the relationship between the emission/absorption overlap integral parameter and the efficiency of the quenching of the QD photoluminescence (PL) by the chromium(III) complexes. Steady-state studies of the QD PL in the presence of different concentrations of trans-Cr(N(4))(X)(2)(+) indicate a clear correlation between quenching efficiency and the overlap integral largely consistent with the predicted behavior of a Förster resonance energy transfer (FRET)-type mechanism. PL lifetimes show analogous correlations, and these results demonstrate that spectral overlap is an important consideration when designing supramolecular systems that incorporate QDs as photosensitizers. In the latter context, we extend earlier studies demonstrating that the water-soluble CdSe/ZnS and CdSeS/ZnS QDs photosensitize nitric oxide release from the trans-Cr(cyclam)(ONO)(2)(+) cation (cyclam = 1,4,8,11-tetraazacyclotetradecane) and report the efficiency (quantum yield) for this process. An improved synthesis of ternary CdSeS core/shell QDs is also described

Quantum Dot Photoluminescence Quenching by Cr(III) Complexes. Photosensitized Reactions and Evidence for a FRET Mechanism

Reported are quantitative studies of the energy transfer from water-soluble CdSe/ZnS and CdSeS/ZnS core/shell quantum dots (QDs) to the Cr­(III) complexes <i>trans</i>-Cr­(N₄)­(X)₂⁺ (N₄ is a tetraazamacrocycle ligand, X^– is CN^–, Cl^–, or <u>O</u>NO^–) in aqueous solution. Variation of N₄, of X^–, and of the QD size and composition allows one to probe the relationship between the emission/absorption overlap integral parameter and the efficiency of the quenching of the QD photoluminescence (PL) by the chromium­(III) complexes. Steady-state studies of the QD PL in the presence of different concentrations of <i>trans</i>-Cr­(N₄)­(X)₂⁺ indicate a clear correlation between quenching efficiency and the overlap integral largely consistent with the predicted behavior of a Förster resonance energy transfer (FRET)-type mechanism. PL lifetimes show analogous correlations, and these results demonstrate that spectral overlap is an important consideration when designing supramolecular systems that incorporate QDs as photosensitizers. In the latter context, we extend earlier studies demonstrating that the water-soluble CdSe/ZnS and CdSeS/ZnS QDs photosensitize nitric oxide release from the <i>trans</i>-Cr­(cyclam)­(ONO)₂⁺ cation (cyclam = 1,4,8,11-tetraazacyclotetradecane) and report the efficiency (quantum yield) for this process. An improved synthesis of ternary CdSeS core/shell QDs is also described

Widening the Operative Corridor - Evaluating the Transcortical Approach to Giant Falcine Meningiomas

Giant falcine meningiomas are surgically complex as they are deep in location, concealed by normal brain parenchyma, in close proximity to various neurovascular structures, and frequently involve the falx bilaterally. Although classically accessed using a bifrontal craniotomy and interhemispheric approach, little data exists on alternative operative corridors for these challenging tumors. To evaluate perioperative and long-term outcomes in patients undergoing transcortical resections of giant bilateral falcine meningiomas. From 2013-2022, fourteen patients with giant bilateral falcine meningiomas treated via a transcortical approach at our institution were identified. Perioperative and long-term outcomes were evaluated to determine predictors of adverse events. Corticectomy depth was also analyzed to determine if it correlated with increased postoperative seizure rates. 57.1% of cases were WHO grade 2 meningiomas. Average tumor volume was 77.8 ± 46.5 cm and near/gross total resection was achieved in 78.6% of patients. No patient developed a venous infarct or had seizures in the 6 months after surgery. Average corticectomy depth was 0.83 ± 0.71 cm and increasing corticectomy depth did not correlate with higher risk of postoperative seizures (p = 0.44). Increasing extent of tumor resection correlated with lower tumor grade (p = 0.011) and only 1 patient required repeat resection during a median follow-period of 24.9 months. The transcortical approach is a safe alternative corridor for accessing giant, falcine meningiomas and postoperative seizures were not found to correlate with increasing corticectomy depth. Further prospective studies are necessary to determine the best approach to these surgically complex lesions

Perioperative Complications in Endoscopic Endonasal versus Transcranial Resections of Adult Craniopharyngiomas

Adult craniopharyngiomas are low-grade tumors of the pituitary infundibulum that can be locally aggressive and frequently present with profound visual deficits and endocrinopathies. Surgical resection remains the preferred initial treatment for these lesions, and recently endoscopic endonasal approaches (EEAs) have become increasingly used. However, minimal data exist comparing these techniques with traditional transcranial (TC) methods. The purpose of this study was to evaluate perioperative differences in EEA and TC approaches for adult craniopharyngiomas over the past several decades. Craniopharyngioma surgeries in the Nationwide Inpatient Sample from 1998 to 2014 were identified. Complication rates, mortality rates, and annual treatment trends were stratified by procedure. Annual caseload was assessed with linear regression, and multivariate logistic regression models were created to determine predictors of inpatient mortality and perioperative complications. From 1998−2014, a significant increase in EEAs for craniopharyngiomas (+4.36/year, r2 = 0.80, P < 0.0001) was observed. In contrast, no increase in TC surgeries for these lesions was seen. In multivariate analysis, EEAs were more likely to experience postoperative cerebrospinal fluid leak (odds ratio = 2.61, P < 0.0001). However, EEAs were protective against all other perioperative complications including diabetes insipidus, panhypopituitarism, visual impairment, and even mortality (odds ratio = 0.41, P = 0.0007). Over the past several decades, utilization of EEAs to resect adult craniopharyngiomas has increased. EEAs appear to be associated with lower rates of perioperative mortality and complications. However, long-term, prospective studies controlling for tumor size, location, and preoperative symptomatology are needed to determine when one approach should be used preferentially over the other

Supralesional Ablation Volumes Are Feasible in the Posterior Fossa and May Provide Enhanced Symptomatic Relief

Abstract BACKGROUND Laser interstitial thermal therapy (LITT) for posterior fossa lesions remains rare as the small size of the infratentorial compartment, proximity to the brainstem, and thickness/angulation of the occipital bone creates barriers to procedural success. Furthermore, evaluation of the effect of ablation volume on outcomes is limited. OBJECTIVE To analyze our institutional experience with LITT in the posterior fossa stratifying perioperative and long-term outcomes by ablation volumes. METHODS Seventeen patients with posterior fossa lesions treated with LITT from 2013 to 2020 were identified. Local progression-free survival (PFS), overall survival, steroid dependence, and edema reduction were evaluated with Kaplan-Meier analysis grouped by ablation volume. Preoperative, postoperative, and last known Karnofsky Performance Status (KPS) were compared using a matched paired t test. RESULTS No differences in pathology, preoperative KPS, or preoperative lesion volume were found between patients with total (100%-200% increase in pre-LITT lesion volume) versus radical (>200% increase in pre-LITT lesion volume) ablations. Patients who underwent radical ablation had a higher postoperative KPS (93 vs 82, P = .02) and higher KPS (94 vs 87, P = .04) and greater reduction in perilesional edema at last follow-up (P = .01). Median follow-up was 80.8 wk. CONCLUSION Despite obvious anatomical challenges, our results demonstrate that radical ablations are both feasible and safe in the posterior fossa. Furthermore, radical ablations may lead to greater decreases in perilesional edema and improved functional status both immediately after surgery and at last follow-up. Thus, LITT should be considered for patients with otherwise unresectable or radioresistant posterior fossa lesions