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Treating postoperative delirium as preventable ‘acute brain failure’: Low-cost interventions could have major impact

A new large-scale study spotlights postoperative delirium as a preventable and high-impact complication which is driven by patient frailty and surgical stress—and one that can be addressed through low-cost, evidence-based interventions.

The findings, which appear in JAMA Network Open, provide a call to action for clinicians, health systems, patients, and families to prioritize brain health throughout perioperative care.

“Postoperative delirium isn’t a minor complication—it’s analogous to acute brain failure, a medical emergency that should be recognized and addressed,” said Laurent Glance, MD, a professor of Anesthesiology and Perioperative Medicine at the University of Rochester Medical Center (URMC) and senior author of the study.

Ice in Space Could Do Something We Thought Was Impossible

Water frozen in the darkness of space doesn’t appear to behave the way we thought.

A new research effort using computer simulations and experiments to explore the most common form water takes in the Universe has found that it is not as structureless as scientists had thought. Rather, repeating patterns – otherwise known as crystals – just a few nanometers across are likely embedded in an otherwise frozen jumble of molecules.

Since scientists had thought space too cold for ice crystals to have the energy to form, this discovery comes as a big surprise.

Divide-and-conquer strategy with engineered ossification center organoids for rapid bone healing through developmental cell recruitment

Critical-sized bone defects are a clinical challenge, with long-term recovery often leading to delayed union or nonunion. Here, Zhang et al. report an engineered ossification center-like organoid which recruits Krt8+ skeletal stem cells and reduces Has1+ fibrotic cells, mimicking developmental bone formation for regeneration of critical-sized bone defects.

Scientists create biological ‘artificial intelligence’ system

Australian scientists have successfully developed a research system that uses ‘biological artificial intelligence’ to design and evolve molecules with new or improved functions directly in mammal cells. The researchers said this system provides a powerful new tool that will help scientists develop more specific and effective research tools or gene therapies.

Named PROTEUS (PROTein Evolution Using Selection) the system harnesses ‘directed evolution’, a lab technique that mimics the natural power of evolution. However, rather than taking years or decades, this method accelerates cycles of evolution and natural selection, allowing them to create molecules with new functions in weeks.

This could have a direct impact on finding new, more effective medicines. For example, this system can be applied to improve gene editing technology like CRISPR to improve its effectiveness.