Visualization, navigation, augmentation. The ever-changing perspective of the neurosurgeon

Introduction: The evolution of neurosurgery coincides with the evolution of visualization and navigation. Augmented reality technologies, with their ability to bring digital information into the real environment, have the potential to provide a new, revolutionary perspective to the neurosurgeon. Research question: To provide an overview on the historical and technical aspects of visualization and navigation in neurosurgery, and to provide a systematic review on augmented reality (AR) applications in neurosurgery. Material and methods: We provided an overview on the main historical milestones and technical features of visualization and navigation tools in neurosurgery. We systematically searched PubMed and Scopus databases for AR applications in neurosurgery and specifically discussed their relationship with current visualization and navigation systems, as well as main limitations. Results: The evolution of visualization in neurosurgery is embodied by four magnification systems: surgical loupes, endoscope, surgical microscope and more recently the exoscope, each presenting independent features in terms of magnification capabilities, eye-hand coordination and the possibility to implement additional functions. In regard to navigation, two independent systems have been developed: the frame-based and the frame-less systems. The most frequent application setting for AR is brain surgery (71.6%), specifically neuro-oncology (36.2%) and microscope-based (29.2%), even though in the majority of cases AR applications presented their own visualization supports (66%). Discussion and conclusions: The evolution of visualization and navigation in neurosurgery allowed for the development of more precise instruments; the development and clinical validation of AR applications, have the potential to be the next breakthrough, making surgeries safer, as well as improving surgical experience and reducing costs

Monitoring of Auditory Function in Newborns of Women Infected by SARS-CoV-2 during Pregnancy

Background: Gestational SARS-CoV-2 infection can impact maternal and neonatal health. The virus has also been reported to cause newborn sensorineural hearing loss, but its consequences for the auditory system are not fully understood. Objective: The aim of this study was to evaluate the impact of maternal SARS-CoV-2 infection during pregnancy on newborn’ hearing function during the first year of life. Methods: An observational study was conducted from 1 November 2020 to 30 November 2021 at University Modena Hospital. All newborns whose mother had been infected by SARS-CoV-2 during pregnancy were enrolled and underwent audiological evaluation at birth and at 1 year of age. Results: A total of 119 neonates were born from mothers infected by SARS-CoV-2 during pregnancy. At birth, five newborns (4.2%) presented an increased threshold of ABR (Auditory Brainstem Evoked Response), but the results were confirmed only in 1.6% of cases, when repeated 1 month later, while the ABR thresholds in all other children returned to normal limits. At the 1-year follow-up, no cases of moderate or severe hearing loss were observed, while concomitant disorders of the middle ear were frequently observed. Conclusions: Maternal SARS-CoV-2 infection, regardless of the trimester in which it was contracted, appears not to induce moderate or severe hearing loss in infants. It is important to clarify the possible effect of the virus on late-onset hearing loss and future research is needed

Connexin Expression in Human Minor Salivary Glands: An Immunohistochemical Microscopy Study

Connexins (Cxs) are transmembrane proteins involved in the formation of hemichannels and gap junctions (GJs). GJs are involved in various physiological functions, including secretion in glandular tissue. It has been demonstrated that Cx26, Cx32, and Cx43 are mainly expressed in glands, but no data are available in human salivary glands to date. The aim of our study was to investigate the presence and the localization of Cxs in human minor labial salivary glands. Immunofluorescence and immunoelectron microscopy were employed to evaluate the Cx26, Cx32, and Cx43 protein in human labial salivary gland biopsies (hLSGBs). RT-PCR was also used to detect their mRNA expression. Cx expression was found at both the mRNA and protein levels in all hLSGBs analysed. Cxs were observed at the level of the duct and acinar cells, as well as in myoepithelial cells. The localization of the three Cx types was very similar, suggesting colocalization of these Cxs in the same connexons. These results demonstrated the presence of Cxs in human salivary glands for the first time. Moreover, the few samples with primary Sjogren's Syndrome analysed only by immunofluorescence showed an alteration of the Cx expression, indicating that these proteins could be involved in salivary gland dysfunctions

Top-down synthesis of multifunctional iron oxide nanoparticles formacrophage labelling and manipulation

Multifunctional iron oxide (FeOx) magnetic nanoparticles (MNPs) are promising items for biomedical applications. They are studied as theranostic agents for cancer treatment, selective probes for bioanalytical assays, controllable carriers for drug delivery and biocompatible tools for cell sorting or tissue repair. Here we report a new method for the synthesis in water of FeOx–MNPs via a top-down physical technique consisting in Laser Ablation Synthesis in Solution (LASiS). LASiS is a green method that does not require chemicals or stabilizers, because nanoparticles are directly obtained in water as a stable colloidal system. A gamut of characterization techniques was used for investigating the structure of FeOx–MNPs that have a polycrystalline structure prevalently composed of magnetite (ca. 75%) and hematite (ca. 22%). The FeOx–MNPs exhibit very good magnetic properties if compared to what is usually reported for iron oxide nanoparticles, with saturation magnetization close to the bulk value (ca. 80 emu g1) and typical signatures of the coexistence of ferrimagnetic and antiferromagnetic phases in the same particle. The functionalization of FeOx–MNPs after the synthesis was possible with a variety of ligands. In particular, we succeeded in the functionalization of FeOx–MNPs with carboxylated phosphonates, fluorescent alkylamines, fluorescent isothiocyanates and bovine serum albumin. Our FeOx–MNPs showed excellent biocompatibility. Multifunctional FeOx–MNPs were exploited for macrophage cell labelling with fluorescent probes as well as for cell sorting and manipulation by external magnetic fields

Comparison of S=0 and S=1/2 Impurities in Haldane Chain Compound, Y2BaNiO5Y_{2}BaNiO_{5}

We present the effect of Zn (S=0) and Cu (S=1/2) substitution at the Ni site of S=1 Haldane chain compound $Y_{2}BaNiO_{5}$. $^{89}$Y NMR allows us to measure the local magnetic susceptibility at different distances from the defects. The $^{89}$Y NMR spectrum consists of one central peak and several less intense satellite peaks. The shift of the central peak measures the uniform susceptibility, which displays a Haldane gap $Delta$$equiv$100 K and it corresponds to an AF coupling J$equiv$260 K between the near-neighbor Ni spins. Zn or Cu substitution does not affect the Haldane gap. The satellites, which are evenly distributed on the two sides of the central peak, probe the antiferromagnetic staggered magnetization near the substituted site, which decays exponentially. Its extension is found identical for both impurities and corresponds accurately to the correlation length $xi$(T) determined by Monte Carlo (QMC) simulations for the pure compound. In the case of non-magnetic Zn, the temperature dependence of the induced magnetization is consistent with a Curie law with an "effective" spin S=0.4 on each side of Zn, which is well accounted by Quantum Monte Carlo computations of the spinless-defect-induced magnetism. In the case of magnetic Cu, the similarity of the induced magnetism to the Zn case implies a weak coupling of the Cu spin to the nearest- neighbor Ni spins. The slight reductionin the induced polarization with respect to Zn is reproduced by QMC computations by considering an antiferromagnetic coupling of strength J'=0.1-0.2 J between the S=1/2 Cu-spin and nearest-neighbor Ni-spin.Comment: 15 pages, 18 figures, submitted to Physical Review

Hepatic circadian clock oscillators and nuclear receptors integrate microbiome-derived signals.

The liver is a key organ of metabolic homeostasis with functions that oscillate in response to food intake. Although liver and gut microbiome crosstalk has been reported, microbiome-mediated effects on peripheral circadian clocks and their output genes are less well known. Here, we report that germ-free (GF) mice display altered daily oscillation of clock gene expression with a concomitant change in the expression of clock output regulators. Mice exposed to microbes typically exhibit characterized activities of nuclear receptors, some of which (PPARα, LXRβ) regulate specific liver gene expression networks, but these activities are profoundly changed in GF mice. These alterations in microbiome-sensitive gene expression patterns are associated with daily alterations in lipid, glucose, and xenobiotic metabolism, protein turnover, and redox balance, as revealed by hepatic metabolome analyses. Moreover, at the systemic level, daily changes in the abundance of biomarkers such as HDL cholesterol, free fatty acids, FGF21, bilirubin, and lactate depend on the microbiome. Altogether, our results indicate that the microbiome is required for integration of liver clock oscillations that tune output activators and their effectors, thereby regulating metabolic gene expression for optimal liver function

S=1/2S=1/2 Chain-Boundary Excitations in the Haldane Phase of 1D S=1S=1 Systems

The $s=1/2$ chain-boundary excitations occurring in the Haldane phaseof $s=1$ antiferromagnetic spin chains are investigated. The bilinear-biquadratic hamiltonian is used to study these excitations as a function of the strength of the biquadratic term, $\beta$, between $-1\le\beta\le1$. At the AKLT point, $\beta=-1/3$, we show explicitly that these excitations are localized at the boundaries of the chain on a length scale equal to the correlation length $\xi=1/\ln 3$, and that the on-site magnetization for the first site is $=2/3$. Applying the density matrixrenormalization group we show that the chain-boundaryexcitations remain localized at the boundaries for $-1\le\beta\le1$. As the two critical points $\beta=\pm1$ are approached the size of the $s=1/2$ objects diverges and their amplitude vanishes.Comment: 4 Pages, 4 eps figures. Uses RevTeX 3.0. Submitted to PR

Density-Matrix Renormalization-Group Analysis of Quantum Critical Points: I. Quantum Spin Chains

We present a simple method, combining the density-matrix renormalization-group (DMRG) algorithm with finite-size scaling, which permits the study of critical behavior in quantum spin chains. Spin moments and dimerization are induced by boundary conditions at the chain ends and these exhibit power-law decay at critical points. Results are presented for the spin-1/2 Heisenberg antiferromagnet; an analytic calculation shows that logarithmic corrections to scaling can sometimes be avoided. We also examine the spin-1 chain at the critical point separating the Haldane gap and dimerized phases. Exponents for the dimer-dimer and the spin-spin correlation functions are consistent with results obtained from bosonization.Comment: 21 pages, 12 figures, new results and added references, to appear in PR

Is "option B+" also being adopted in pregnant women in high-income countries? Temporal trends from a national study in Italy

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