Intracranial Aneurysm Classifier Using Phenotypic Factors: An International Pooled Analysis

Intracranial aneurysms (IAs) are usually asymptomatic with a low risk of rupture, but consequences of aneurysmal subarachnoid hemorrhage (aSAH) are severe. Identifying IAs at risk of rupture has important clinical and socio-economic consequences. The goal of this study was to assess the effect of patient and IA characteristics on the likelihood of IA being diagnosed incidentally versus ruptured. Patients were recruited at 21 international centers. Seven phenotypic patient characteristics and three IA characteristics were recorded. The analyzed cohort included 7992 patients. Multivariate analysis demonstrated that: (1) IA location is the strongest factor associated with IA rupture status at diagnosis; (2) Risk factor awareness (hypertension, smoking) increases the likelihood of being diagnosed with unruptured IA; (3) Patients with ruptured IAs in high-risk locations tend to be older, and their IAs are smaller; (4) Smokers with ruptured IAs tend to be younger, and their IAs are larger; (5) Female patients with ruptured IAs tend to be older, and their IAs are smaller; (6) IA size and age at rupture correlate. The assessment of associations regarding patient and IA characteristics with IA rupture allows us to refine IA disease models and provide data to develop risk instruments for clinicians to support personalized decision-making

Persistence of the sulfonylurea herbicide iodosulfuron-methyl in the soil of winter wheat crops

On four winter wheat fields grown on soils of different textures in Belgium, 10 g a.i. ha-1 of the sulfonylurea herbicide iodosulfuron-methyl-sodium was applied post-emergence in the spring. A procedure was developed for the analysis in field soils of iodosulfuron-methyl 1 and of its metabolites iodosulfonamide 2 and iodosaccharin 3 with a sensitivity limit of 0.3 μg of equivalents of iodosulfuron-methyl 1 kg -1 dry soil. GC and GC-MS was used after purification of the soil extracts by repeated TLC, and methylation. The results of the chemical analyses were confirmed by means of bioassays using sugar beet as test plants. On a winter wheat crop grown on sandy loam soil of pH 6.2 at Melle, iodosulfuron-methyl-sodium 1 was applied at the beginning of April. The iodosulfuron-methyl 1 soil half-life in the 0-10 cm surface soil layer was 60 days. At the end of June, the sum of the concentrations of the metabolites 2 and 3 in the 0-10 cm surface soil layer attained a maximum corresponding to 27% of the applied dose. Green manures were sown after the harvest of the wheat at the end of August. No phytotoxicity at all was observed during the growth of the green manures, in spite of the very low residues of iodosulfuron-methyl 1 remaining in soil in September and October. At the mid of November, iodosulfuron-methyl 1 and its metabolites 2 and 3 were no more detected in soil. On three other winter wheat crops grown on clay soils of pH of about 8 at Leke, Gistel and Zevekote, iodosulfuron-methyl-sodium 1 was applied at the beginning of May. The soil half-life of iodosulfuron-methyl 1 in the 0-10 cm surface soil layer was between 30 and 44 days. Since the application and until the mid of November, in all the trials made on sandy loam or clay soils, iodosulfuron-methyl 1 (and its metabolites 2 and 3 in the trial made on sandy loam soil) were never detected in the 10-15 and 15-20 cm surface soil layers, indicating their low mobilities in the field soils.SCOPUS: ar.jinfo:eu-repo/semantics/publishe