Explore the vast range of titles available.

Background The pulse waveform of intracranial pressure (ICP) is its distinctive feature almost always present in the clinical recordings. In most cases, it changes proportionally to rising ICP, and observation of these changes may be clinically useful. We introduce the higher harmonics centroid (HHC) which can be defined as the center of mass of harmonics of the ICP pulse waveform from the 2nd to 10th, where mass corresponds to amplitudes of these harmonics. We investigate the changes in HHC during ICP monitoring, including isolated episodes of ICP plateau waves. Material and methods Recordings from 325 patients treated between 2002 and 2010 were reviewed. Twenty-six patients with ICP plateau waves were identified. In the first step, the correlation between HHC and ICP was examined for the entire monitoring period. In the second step, the above relation was calculated separately for periods of elevated ICP during plateau wave and the baseline. Results For the values averaged over the whole monitoring period, ICP (22.3 ± 6.9 mm Hg) correlates significantly ( R  = 0.45, p  = 0.022) with HHC (3.64 ± 0.46). During the ICP plateau waves (ICP increased from 20.9 ± 6.0 to 53.7 ± 9.7 mm Hg, p  < 10 −16 ), we found a significant decrease in HHC (from 3.65 ± 0.48 to 3.21 ± 0.33, p  = 10 −5 ). Conclusions The good correlation between HHC and ICP supports the clinical application of pressure waveform analysis in addition to the recording of ICP number only. Mean ICP may be distorted by a zero drift, but HHC remains immune to this error. Further research is required to test whether a decline in HHC with elevated ICP can be an early warning sign of intracranial hypertension, whether individual breakpoints of correlation between ICP and its centroid are of clinical importance.

Background Functional constipation is one of the most prevalent functional gastrointestinal disorders in the pediatric population, frequently resulting in quality of life impairment and elevated healthcare costs. Despite the availability of evidence-based treatment guidelines, adherence remains an essential challenge to achieving sustained therapeutic success. Methods This randomized, single-blind per-protocol study assessed the efficacy of a mobile application compared to conventional printed educational materials in supporting the management of functional constipation in children aged 4–12 years. 100 patient–caregiver dyads were randomized into two arms: an intervention group using a mobile application and a control group receiving printed recommendations. Clinical outcomes were evaluated over a six-month follow-up using the Pediatric Quality of Life Inventory™ (PedsQL™) Gastrointestinal Symptoms Module. Results There were 113 complete questionnaires, 65 from adults and 48 from children. Participants in the intervention cohort demonstrated significantly greater improvements in symptom control (mean difference 21.4 vs. 12.3 points; p  = 0.014), particularly in the domains of constipation, abdominal pain, and bloating. Conclusions The mobile application’s interactive features, behavioral tracking tools, and integrated reward system appeared to enhance adherence and self-efficacy among users. Overall, the results support the potential utility of mobile health interventions as adjuncts to standard care in managing pediatric functional constipation. Trial Registration: ClinicalTrials.gov NCT07025135. Registered 17/06/2025 (trial start 05/02/2023). Trial registration ClinicalTrials.gov NCT07025135. Registered 17/06/2025 (trial start 05/02/2023).

Meningiomas (MGs) are the frequent benign intracranial tumors. Their complete removal does not always guarantee relapse-free survival. Recurrence-associated chromosomal anomalies in MGs haves been proposed as prognostic factors in addition to the World Health Organisation (WHO) grading, tumor size and resection rate. The aim of this study was to evaluate the frequency of deletions on chromosomes in sporadic MGs and to correlate them with the clinical findings and tumor behaviour. Along with survival, the tumor recurrence was the main endpoint. Chromosomal loss of heterozygosity (LOH) was studied. 46 benign MGs were subjected to the analysis, complete tumor resection was intended and no early mortalities were observed. Incomplete removal was related to parasagittal location and psammomatous hisptopathology (p<0.01). Chromosomal alterations were present in 82.6% of cases; LOH at 22q (67.4%) and 1p (34.8%) were the most frequent and associated with male sex (p=0.04). Molecular findings were not specific for any of the histopathologic grade. Tumor recurrence (14 of 46) correlated with tumor size (≥35mm), LOH at 1p, 14q, coexistence of LOH at 1p/14q, 10q/14q, ‘complex karyotype’ status (≥2 LOHs excluding 22q), patient age (younger <35), and Simpson grading of resection rate (≥3 of worse prognosis). The last 3 variables were independent significant prognostic factors in multivariate analysis and of the same importance in recurrence prediction (Receiver Operating Characteristic curves comparison p>0.05). Among the cases of recurrence, tumor progression was observed in 3 of 14. In 2 cases, LOH on 1p and/or coexistence of LOH 1p/14q correlated with anaplastic transformation.

The aim of the research was to assess the microbiological (number of heterotrophic bacteria, actinobacteria and moulds) and biochemical (urease and acid phosphatase activity) state of peat with the admixture of composts produced from sewage sludge. An additional aim of the research was to demonstrate the influence of those substrates on the morphological traits of scarlet sage (height, number and length of shoots, number of buds and inflorescences, greenness index (SPAD)). Composts produced from sewage sludge, wheat, maize and lupine straw were mixed with peat, where their percentage varied from 25% to 75%.The substrate which included the composts applied in the experiment had a higher number of heterotrophic bacteria and a higher acid phosphatase activity level than the control substrate (peat). The multiplication of moulds and actinobacteria was more intensive than in the peat only in the combinations with K3 (sewage sludge 50%+sawdust 20%+ lupine straw 30%) and K4 (sewage sludge 50%+sawdust 20%+fresh maize straw 30%) composts, whereas the highest urease activity level was observed in the soils produced from K1 (sewage sludge 50%+sawdust 20%+white straw 30%) compost.The most optimal development of plants was observed in the substrate with compost produced from wheat straw. Composts produced from municipal sewage sludge were found to be suitable for growing scarlet sage. However, their effect depends on the percentage of high peat in the substrate.

The associations between 5-HTT-linked polymorphic region (5-HTT-LPR), monoamine oxidase A (MAOA)-LPR and the dimensions of temperament evaluated using the Temperament and Character Inventory (TCI) and NEO Five-Factor Inventory (NEO-FFI) were studied. One hundred healthy volunteers (without psychiatric disorders) were recruited to represent a cross-section of the population of Szczecin (Poland) in terms of sex, age and education. No associations between 5-HTT-LPR and the TCI harm avoidance dimension and between 5-HTT-LPR and the NEO-FFI neuroticism dimension were found. Males carrying the 3-VNTR MAOA gene variant (209 bp) had significantly lower values on the NEO-FFI openness dimension (p = 0.039) and obtained higher scores on the subdimension 3 of the TCI reward dependence (RD3), i.e. attachment vs. detachment (p = 0.005). Individuals carrying the ‘short’ variant of 5-HTT-LPR had lower values on the reward dependence dimension and the RD4 subdimension (dependence vs. independence) than individuals not carrying the ‘short’ variant (p = 0.039 and p = 0.011, respectively). Females carrying the ‘short’ variant had lower values on NS1 (exploratory excitability vs. stoic rigidity) and RD4 (dependence vs. independence) than those not carrying the variant (p = 0.042 and 0.043, respectively). The obtained level of significance with respect to the observed associations between 5-HTT-LPR and the reward dependence scales and subscales and between 5-HTT-LPR and the NS1 subscale are too weak for further interpretation. Our results do not confirm the hypothesis that there is a simple correlation between single gene polymorphisms and a personality trait measured by the TCI and NEO-FFI scales.