UW Neurological Surgery Recent PubMed Publications

CONCLUSIONS: PVR during pancreatic cancer surgery is safe and durable. One-quarter of all reconstructions fail at medium-term follow-up, and very few require reintervention for clinical symptoms. Although primary repair has been suggested as the most optimal reconstruction, our findings imply that long-term patency of PVR may not be clinically important. Furthermore, outside of infectious considerations, it is likely that conduit or reconstruction type does not affect outcome.

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Although extensively studied in various plants, the roles of aquaporin proteins in litchi remain unclear. In this study, low moisture content was observed in the dormant terminal buds of litchi. Transcriptome analysis revealed that two aquaporin genes, PLASMA MEMBRANE INTRINSIC PROTEIN 1;4 (LcPIP1;4) and LcPIP1;5, could be remarkably inhibited by exogenous ethylene (ETH), which also reduced the moisture content of litchi buds. Quantitative real-time polymerase chain reaction assays indicated...

Chromosomal translocations leading to the fusion of tropomyosin receptor kinases (TRK) with diverse partner proteins have been identified as oncogenic drivers in many adult and pediatric cancers. While first-generation TRK kinase inhibitors, such as entrectinib and larotrectinib, have shown positive responses in TRK fusion-positive cancers, resistance mutations against these inhibitors in the kinase domain limit their efficacy. Second-generation inhibitors are in clinical evaluation,...

CONCLUSIONS: Spatial variance of wall motion and hemodynamic variables are increased in growing aneurysms, and the fluctuations in the directional wall shear stress correlate directly with wall motion, indicating that heterogeneous wall motion and hemodynamics are interrelated and play a critical role in aneurysm instability.

Syphilis, caused by Treponema pallidum subsp. pallidum, is an urgent global public health threat. Syphilis vaccine development has been impeded by limited understanding of the molecular mechanisms that enable T. pallidum to establish and maintain infection. The vascular endothelium is critical for T. pallidum attachment, dissemination, and host immune response initiation; however, the molecular details of T. pallidum -endothelial interactions are incompletely understood. To enhance...

CONCLUSION: An increase in diversity on a college campus did not indicate a decrease in perceptions of marginalization in this study. Additional interventions aimed at removing barriers and narrowing gaps in support for marginalized individuals may improve the overall sense of belonging and optimize success of faculty, students, and administrative staff.

Chronic pain is a complex clinical problem comprising multiple conditions that may share a common genetic profile. Genome-wide association studies (GWAS) have identified many risk loci whose cell-type context remains unclear. Here, we integrated GWAS data on chronic pain (N = 1,235,695) with single-cell RNA sequencing (scRNA-seq) data from human brain and dorsal root ganglia (hDRG), and single-cell chromatin accessibility data from human brain and mouse dorsal horn. Pain-associated variants were...

BACKGROUND: In cases of medically refractory epilepsy that is multifocal or involving eloquent cortex, a combined resection and neuromodulatory approach may offer greater seizure reduction than resection alone. Here the authors describe indications, technical considerations, and outcomes of patients in whom resection and responsive neurostimulation (RNS) device implantation were performed in the same operation.

The COVID-19 pandemic, driven by the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2), has underscored the need to understand the virus's evolution due to its global health impact. This study employed RNA sequencing (RNA-Seq) to analyze gene expression differences across multiple SARS-CoV-2 variants. We used publicly available datasets from the Gene Expression Omnibus (GEO) with IDs GSE157103, GSE171110, GSE189039, and GSE201530, which contain RNA-Seq data extracted from white blood...

CONCLUSION: Single-session MMAE with concomitant surgical evacuation proved feasible and safe. Radiographic and clinical outcomes were favorable, without higher complication rates compared with staged approaches. Future prospective studies should clarify the long-term benefits, assess the impact on resource use and cost-minimization, and determine ideal patient-selection criteria for this integrated treatment strategy.

CONCLUSION/IMPLICATIONS: A person's self-perceived ability to participate and be independent makes a greater contribution to satisfaction with social participation than the frequency of participation. Enhanced understanding of the interplay of subjective and objective factors in influencing participation satisfaction after TBI may result in more effective interventions to support meaningful participation. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

CONCLUSIONS: There was no association between early beta-blocker exposure and the primary outcome which was blood-based brain injury biomarker levels on day 3. In exploratory analysis, we found that early beta-blocker may associated with decreased NSE level on day 14. Due to the retrospective nature of the study and the use of propensity-weighted analysis to identify associations, direct clinical practice changes cannot be recommended. However, the significant association with NSE level warrants...

CONCLUSION: In this multicenter series, the SVB flow diverter represented a valuable treatment option for distal anterior cerebral artery (DACA) aneurysms.

CONCLUSION: This study shows the utility of examining burnout through a psychosocial lens. Further analysis into these relationships could yield actionable interventions that tackle root causes of burnout.

Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) is a leading contributor to sudden cardiac death worldwide, yet its diagnosis remains complex, expensive and time-consuming. Machine-learning (ML) classifiers offer a practical solution by delivering rapid, scalable predictions that can lessen dependence on expert interpretation and speed clinical decision-making. Here, we benchmarked eight ML algorithms for ARVC detection using area-under-the-curve (AUC) and accuracy as primary metrics....

CONCLUSION: Our study of a multicenter severe TBI cohort did not find a significant difference in 6-month GOSE-TBI between patients monitored with an EVD and those monitored with an IPM. When correcting for other patient characteristics, the selection of ICP monitor type may not affect acute hospital or 6-month functional outcomes.

Accumulating evidence of heterogeneous long-term outcomes after traumatic brain injury (TBI) has challenged longstanding approaches to TBI outcome classification that are largely based on global functioning. A lack of studies with clinical and biomarker data from individuals living with chronic (>1 year post-injury) TBI has precluded refinement of long-term outcome classification ontology. Multimodal data in well-characterized TBI cohorts are required to understand the clinical phenotypes and...

The purpose of this study is to compare payments reported in the Centers for Medicare and Medicaid Services Open Payments Database according to gender. The authors hypothesized that women physicians would have fewer payments and lower total compensation from pharmaceutical and medical device companies as compared with men. A higher proportion of males received > $1,000,000 in compensation from industry, and a higher proportion of females received < $1,000 in compensation from industry. The...

CONCLUSIONS AND RELEVANCE: In this decision analytical model study of approaches to homeless encampments involving individuals with OUD, sweeps increased mortality and spending. Housing without MOUD requirement was the most costly strategy but saved more lives.