Traditional craniotomy versus current minimally invasive surgery for spontaneous supratentorial intracerebral haemorrhage:A propensity-matched analysis

BACKGROUND Minimally invasive surgery(MIS)and craniotomy(CI)are the current treatments for spontaneous supratentorial cerebral haemorrhage(SSTICH).AIM To compare the efficacy and safety of MIS and CI for the treatment of SSTICH.METHODS Clinical and imaging data of 557 consecutive patients with SSTICH who underwent MIS or CI between January 2017 and December 2022 were retrospectively analysed.The patients were divided into two subgroups:The MIS group and CI group.Propensity score matching was performed to minimise case selection bias.The primary outcome was a dichotomous prognostic(favourable or unfavourable)outcome based on the modified Rankin Scale(mRS)score at 3 months;an mRS score of 0–2 was considered favourable.RESULTS In both conventional statistical and binary logistic regression analyses,the MIS group had a better outcome.The outcome of propensity score matching was unexpected(odds ratio:0.582;95%CI:0.281–1.204;P=0.144),which indicated that,after excluding the interference of each confounder,different surgical modalities were more effective,and there was no significant difference in their prognosis.CONCLUSION Deciding between MIS and CI should be made based on the individual patient,considering the hematoma size,degree of midline shift,cerebral swelling,and preoperative Glasgow Coma Scale score.

High thermoelectric and mechanical performance in the n-type polycrystalline SnSe incorporated with multi-walled carbon nanotubes

In this study,we introduce multi-walled carbon nanotubes(MWCNTs)in Pb/I co-doped n-type polycrys-tal SnSe to simultaneously improve its thermoelectric and mechanical properties for the first time.The introduced MWCNTs act as the“bridges”to accelerate the electron carrier transport between SnSe grains,leading to significantly increased electrical conductivity from 32.6 to 45.7 S cm^(−1) at 773 K,which con-tributes to an enhanced power factor of∼5.0μW cm^(−1) K^(−2) at this temperature.Although MWCNTs possess high intrinsic thermal conductivities,these MWCNTs,acting as nanoinclusions in the SnSe matrix to form the dense interfaces between SnSe and MWCNTs,provide extra heat-carrying phonon scattering centers,leading to a slightly reduced lattice thermal conductivity of only 0.34 W m^(−1) K^(−2) at 773 K and in turn,a high ZT of∼1.0 at this temperature.Furthermore,the introduced MWCNTs can simultane-ously act as the“binders”to bond adjacent grains,significantly improving the mechanical properties of SnSe by boosting its Vickers hardness from 39.5 to 50.5.This work indicates that our facile approach can achieve high thermoelectric and mechanical properties in n-type SnSe polycrystals with a considerable potential for applying to thermoelectric devices as n-type elements.