A new type of glioneuronal tumor:A case report

Glioneuronal tumors are rare and mostly consist of gangliogliomas. These tumors are usually benign and total resection is usually curative. We report on a new type of tumor in an adolescent with first onset of epilepsy. MRI showed a small contrast-enhancing lesion with minimal perilesional edema. The radiological diagnosis was compatible with ganglioglioma. Awake surgery was performed and total resection could be achieved. The diagnosis of glioneuronal tumor with PATZ1 gene fusion was made. This recently described tumor entity has not yet been included in the WHO classification of tumors of the central nervous system (fifth edition, 2021).</p

Between-hospital variation in mortality and survival after glioblastoma surgery in the Dutch Quality Registry for Neuro Surgery

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Implementing routine medical and mental health screening in children and adolescents with inflammatory bowel disease

Objectives Living with inflammatory bowel disease (IBD) can have a significant impact on children. Many children with IBD experience symptoms of anxiety or depression. Routine screening for mental health has been recommended. This preregistered study aimed to describe the implementation of patient-reported outcome measures (PROMs) in routine healthcare at an outpatient IBD clinic, as well as assess its feasibility.Methods Before every outpatient clinic appointment, PROMs were distributed to all patients aged 8 and older, as well as their parents. PROMs related to anxiety, depression, fatigue, pain and IBD-related quality of life were selected by a paediatric gastroenterologist and psychologist, and integrated into electronic health records. Patients who completed PROMs on two occasions were invited to complete a user experience survey, focussing on their experiences with the PROMs.Results A total of 2910 questionnaires were distributed. Adherence was 44.7%, with 175 patients or parents completing at least one questionnaire. User experience results of 24 patients showed they were satisfied with both the patient portal and the discussion with the healthcare provider. Five patients perceived the length of the questionnaires as too long, or as having to complete the questionnaires too frequently. Outcomes of 114 patients with 187 sets of questionnaires, described in the supplement, showed that up to 82% reported pain and/or fatigue. About 20% of patients reported symptoms of anxiety and/or depression.Conclusions Implementation of PROMs is feasible, but the length and frequency of PROMs can be improved. Healthcare professionals wanting to work with PROMs should carefully decide which PROMs to select

Siderophore-based detection of Fe(iii) and microbial pathogens

Siderophores are low-molecular-weight iron chelators that are produced and exported by bacteria, fungi and plants during periods of nutrient deprivation. The structures, biosynthetic logic, and coordination chemistry of these molecules have fascinated chemists for decades. Studies of such fundamental phenomena guide the use of siderophores and siderophore conjugates in a variety of medicinal applications that include iron-chelation therapies and drug delivery. Sensing applications constitute another important facet of siderophore-based technologies. The high affinities of siderophores for both ferric ions and siderophore receptors, proteins expressed on the cell surface that are required for ferric siderophore import, indicate that these small molecules may be employed for the selective capture of metal ions, proteins, and live bacteria. This minireview summaries progress in methods that utilize native bacterial and fungal siderophore scaffolds for the detection of Fe(III) or microbial pathogens.Massachusetts Institute of Technology. Dept. of Chemistr

The study of atmospheric ice-nucleating particles via microfluidically generated droplets

Ice-nucleating particles (INPs) play a significant role in the climate and hydrological cycle by triggering ice formation in supercooled clouds, thereby causing precipitation and affecting cloud lifetimes and their radiative properties. However, despite their importance, INP often comprise only 1 in 10³–10⁶ ambient particles, making it difficult to ascertain and predict their type, source, and concentration. The typical techniques for quantifying INP concentrations tend to be highly labour-intensive, suffer from poor time resolution, or are limited in sensitivity to low concentrations. Here, we present the application of microfluidic devices to the study of atmospheric INPs via the simple and rapid production of monodisperse droplets and their subsequent freezing on a cold stage. This device offers the potential for the testing of INP concentrations in aqueous samples with high sensitivity and high counting statistics. Various INPs were tested for validation of the platform, including mineral dust and biological species, with results compared to literature values. We also describe a methodology for sampling atmospheric aerosol in a manner that minimises sampling biases and which is compatible with the microfluidic device. We present results for INP concentrations in air sampled during two field campaigns: (1) from a rural location in the UK and (2) during the UK’s annual Bonfire Night festival. These initial results will provide a route for deployment of the microfluidic platform for the study and quantification of INPs in upcoming field campaigns around the globe, while providing a benchmark for future lab-on-a-chip-based INP studies

Can ecosystem-based deep-sea fishing be sustained?

Can there ever be a truly sustainable deep-sea fishery and if so, where and under what conditions? Ecosystembased fisheries management requires that this question be addressed such that habitat, bycatch species, and targeted fish populations are considered together within an ecosystem context. To this end, we convened the first workshop to develop an ecosystem approach to deep-sea fisheries and to ask whether deep-sea species could be fished sustainably. The workshop participants were able to integrate bycatch information into their framework but found it more difficult to integrate other ecosystem indicators such as habitat characteristics. (First two paragraphs from the Executive Summary

Stereotactic cyst aspiration directly followed by Gamma Knife radiosurgery for large cystic brain metastases

Background: Gamma Knife radiosurgery (GKRS) has been proven to be a successful primary treatment for metastatic brain tumors (BM). BM can come in cystic lesions and are often too large for GKRS. An alternative approach to treat cystic BM is stereotactic cyst aspiration (SCA) for volume reduction, making it suitable for GKRS afterwards. Objective: Our objective is evaluation of volumetric reduction after SCA, tumor control, and complications after SCA directly followed by GKRS. Methods: We performed a retrospective analysis of all patients who underwent SCA directly followed by GKRS at the Gamma Knife Center of the Elisabeth-Tweesteden Hospital in Tilburg between 2002 and 2015. In total, 54 patients had undergone this combined approach. Two patients were excluded because of prior intracranial treatment. The other 52 patients were included for analysis. Results: SCA resulted in a mean volumetric reduction of 56.5% (range 5.50–87.00%). In 83.6% of the tumors (46 tumors), SCA led to sufficient volumetric reduction making GKRS possible. The overall local tumor control (OLTC) of the aspirated lesions post-GKRS was 60.9% (28 out of 46 tumors). Median progression-free survival (PFS) and overall survival (OS) for all patients were 3 (range 5 days–14 months) and 12 months (range 5 days–58 months), respectively. Leptomeningeal disease was reported in 5 (9.6%) cases. Conclusion: SCA directly followed by GKRS is an effective and time-efficient treatment for large cystic BM in selected patients in which surgery is contraindicated and those with deeply located lesions

Timing of glioblastoma surgery and patient outcomes: a multicenter cohort study.

BACKGROUND: The impact of time-to-surgery on clinical outcome for patients with glioblastoma has not been determined. Any delay in treatment is perceived as detrimental, but guidelines do not specify acceptable timings. In this study, we relate the time to glioblastoma surgery with the extent of resection and residual tumor volume, performance change, and survival, and we explore the identification of patients for urgent surgery. METHODS: Adults with first-time surgery in 2012–2013 treated by 12 neuro-oncological teams were included in this study. We defined time-to-surgery as the number of days between the diagnostic MR scan and surgery. The relation between time-to-surgery and patient and tumor characteristics was explored in time-to-event analysis and proportional hazard models. Outcome according to time-to-surgery was analyzed by volumetric measurements, changes in performance status, and survival analysis with patient and tumor characteristics as modifiers. RESULTS: Included were 1033 patients of whom 729 had a resection and 304 a biopsy. The overall median time-to-surgery was 13 days. Surgery was within 3 days for 235 (23%) patients, and within a month for 889 (86%). The median volumetric doubling time was 22 days. Lower performance status (hazard ratio [HR] 0.942, 95% confidence interval [CI] 0.893–0.994) and larger tumor volume (HR 1.012, 95% CI 1.010–1.014) were independently associated with a shorter time-to-surgery. Extent of resection, residual tumor volume, postoperative performance change, and overall survival were not associated with time-to-surgery. CONCLUSIONS: With current decision-making for urgent surgery in selected patients with glioblastoma and surgery typically within 1 month, we found equal extent of resection, residual tumor volume, performance status, and survival after longer times-to-surgery