Effect of transluminal angioplasty on cerebral blood flow in the management of symptomatic vasospasm following aneurysmal subarachnoid hemorrhage

In this study the authors have examined the effects of transluminal angioplasty on cerebral blood flow (CBF) in the management of intractable vasospasm following aneurysmal subarachnoid hemorrhage (SAH). Fourteen consecutively enrolled patients underwent attempted angioplasty with or without intraarterial infusion of papaverine. Twelve patients underwent pre- and postangioplasty xenon-enhanced computerized tomography (Xe-CT) scanning to measure regional CBF in 55 to 65 regions of interest (ROIs) per patient. Angioplasty was possible in 13 (93%) of 14 patients, with angiographically demonstrated improvement in all 13. Twelve (92%) of the 13 patients were neurologically improved following angioplasty; seven (58%) of the 12 patients who improved had a complete reversal of all delayed ischemic deficits. Angioplasty significantly decreased the mean number of ROIs at risk (11.4 ROIs pre- and 0.9 ROIs postangioplasty) (p < 0.00005, t-test). All patients had a reduction in the number of ROIs at risk after angioplasty; six (50%) of 12 no longer had any ROIs remaining at risk after angioplasty. Angioplasty significantly increased the mean CBF within at-risk ROIs (13 ml/100 g/minute pre- and 44 ml/100 g/minute postangioplasty) (p < 0.00005, t-test). All patients experienced an improvement in mean CBF in at-risk ROIs after angioplasty, with the mean CBF improving to above 20 ml/100 g/minute in all cases. No differences in the degree of improvement were found in patients who received intraarterial papaverine compared with those who did not. In the majority of patients with refractory vasospasm following SAH, angioplasty effectively dilated spastic arteries, reversed delayed neurological deficits, and significantly improved CBF in areas of brain at risk of infarction.     

Snowpack response in the Assiniboine-Red River basin associated with projected global warming of 1.0 °C to 3.0 °C

This study assesses snow response in the Assiniboine-Red River basin, located in the Lake Winnipeg watershed, due to anthropogenic climate change. We use a process-based distributed snow model driven by an ensemble of eight statistically downscaled global climate models (GCMs) to project future changes under policy-relevant global mean temperature (GMT) increases of 1.0 °C to 3.0 °C above the pre-industrial period. Results indicate that basin scale seasonal warmings generally exceed the GMT increases, with greater warming in winter months. The majority of GCMs project wetter winters and springs, and drier summers, while autumn could become either drier or wetter. An analysis of snow water equivalent (SWE) responses under GMT changes reveal higher correlations of snow cover duration (SCD), snowmelt rate, maximum SWE (SWE_max) and timing of SWE_max with winter and spring temperatures compared to precipitation, implying that these variables are predominantly temperature controlled. Consequently, under the GMT increases from 1.0 °C to 3.0 °C, the basin will experience successively shorter SCD, slower snowmelt, smaller monthly SWE and SWE_max, earlier SWE_max, and a transition from snow-dominated to rain-snow hybrid regime. Further, while the winter precipitation increases for some GCMs compensate the temperature-driven changes in SWE, the increases for most GCMs occur as rainfall, thus limiting the positive contribution to snow storage. Overall, this study provides a detailed diagnosis of the snow regime changes under the policy-relevant GMT changes, and a basis for further investigations on water quantity and quality changes.     

Self-produced locomotion and the development of responsiveness to linear perspective and texture gradients.

Replicated and extended research on the development of sensitivity to the depth cues of linear perspective and texture gradients by using a more sensitive method (Experiment 1) and by investigating the role of self-produced locomotion in facilitating the onset of sensitivity to information (Experiment 2). Using a method similar to Yonas, Granrud, Arterberry, and Hanson (1986), infants' reaching to the pictorially closer object served as the dependent measure. Changes in methodology provided an increase in the difference between 7-month-olds' monocular and binocular reaching performance, but 5-month-olds failed to show evidence of sensitivity to the depth cues investigated. Experiment 2 found no difference in monocular reaching performance among 7-month-old infants with varying degrees of locomotor experience, suggesting that self-produced locomotion may not play a role in facilitating the onset of sensitivity to static-monocular depth information. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reversible ischemia determined by xenon-enhanced CT after 90 minutes of complete basilar artery occlusion

Intraarterial thrombolytic therapy decreases mortality in the treatment of acute basilar artery occlusion. An acute decrease in cerebral blood flow (CBF) (<12 mL/100 g per minute) has been reported to invariably result in infarction. We report a case of acute basilar artery occlusion, recanalized within 90 minutes, with reversal of CBF of less than 6 mL/100 g per minute. After reperfusion, areas with persistent CBF of 6 mL/100 g per minute resulted in infarctions on subsequent CT studies. Parenchymal viability is possible after 90 minutes of posterior CBF of 6 mL/100 g per minute.     

A FEATURE－BASED PRODUCT MODELLING SYSTEM ON PC （CASE STUDY OF PARTS DESIGN FOR PRESS MACHINE）

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Cerebrovascular response in infants and young children following severe traumatic brain injury: a preliminary report

PURPOSE: Endotoxin (lipopolysaccharide [LPS])-induced systemic organ injury leads to disruption of normal systemic organ metabolic processes, which are manifest clinically by signs of accelerated anaerobic metabolism (e.g., tissue acidosis and hyperlactatemia) and altered VO2-DO2 relationships. The association of increased anaerobic metabolism with VO2-DO2 alterations has led to the notion that ischemia/ reperfusion (I/R) injury may be a prerequisite for the development of VO2-DO2 alterations during endotoxemia. However, in contrast to sepsis, in which oxygen consumption is often increased, oxygen consumption is severely decreased after I/R injury. Based on these observations, we hypothesized that I/R injury would result in systemic organ VO2-DO2 alterations, which are distinct from those that occur in sepsis. MATERIALS AND METHODS: We used the in situ autoperfused feline ileal preparation to simultaneously examine microvascular permeability, reflected as the ileal lymph to plasma protein concentration ratio (CL/CP), and ileal VO2-DO2 relationships after either intravenous LPS (2.0 mg/kg; n = 5) or I/R injury (n = 5), and in matching controls (n = 5). RESULTS: As expected, all LPS-treated and I/R-injured animals were found to have extensive ileal histological damage and marked increases in the CL/CP compared with controls (0.315 +/- 0.009 and 0.329 +/- 0.034, respectively, v 0.097 +/- 0.009; P < .001, both comparisons). In addition, the critical DO2 (DO2c) was elevated, and the critical oxygen extraction was decreased in both the I/R and LPS groups relative to controls. However, as initially hypothesized, the VO2 at the critical DO2 was markedly decreased in the I/R group compared with that of the LPS group. CONCLUSIONS: These data indicate that I/R injury is insufficient to account for the systemic organ VO2-DO2 alterations that occur with LPS injury.     

Cerebral blood flow response pattern during balloon test occlusion of the internal carotid artery

PURPOSE: To evaluate the risk of temporary or permanent internal carotid artery occlusion. METHODS: In 156 patients intraarterial balloon test occlusion in combination with a stable xenon-enhanced CT cerebral blood flow study was performed before radiologic or surgical treatment. All 156 patients passed the clinical balloon test occlusion and underwent a xenon study in combination with a second balloon test. Quantitative flow data were analyzed for absolute changes as well as changes in symmetry. RESULTS: Fourteen patients exhibited reduced flow values between 20 and 30 mL/100 g per minute, an absolute decrease in flow, and significant asymmetry in the middle cerebral artery territory during balloon test occlusion. These patients would be considered at high risk for cerebral infarction if internal carotid artery occlusion were to be performed. With one exception they belonged to a group (class I) of 61 patients who showed bilateral or ipsilateral flow decrease and significant asymmetry with lower flow on the side of occlusion. The other 95 patients, who showed a variety of cerebral blood flow response patterns including ipsilateral or bilateral flow increase, were at moderate (class II) or low (class III) stroke risk. In contrast to these findings, exclusively qualitative flow analysis failed to identify the patients at high risk: a threshold with an asymmetry index of 10% revealed only 16% specificity whereas an asymmetry index of 45% showed only 61% sensitivity for detection of low flow areas (< 30 mL/100 g per minute). CONCLUSION: For achieving a minimal hemodynamic related-stroke rate associated with permanent clinical internal carotid artery occlusion we suggest integration of a thorough analysis of quantitative cerebral blood flow data before and during balloon test occlusion.     

Development of sensitivity to binocular information for the approach of an object.

To study the development of responsiveness to binocular information, a display specifying an object approaching on a collision course was presented to 12 14- and 12 20-wk-old infants. Responses to the stereoscopic collision display were compared to behavior evoked by a control display that lacked stereoscopic depth information. Videotape recordings were analyzed for evidence of convergence, avoidance behavior, and reaching. The head alignment of both the 14- and 20-wk-olds suggests that their eyes were converging on the stereoscopic display. However, only the 20-wk-old Ss reached for the virtual object as it approached and reacted with defensive behavior at the time of collision, indicating sensitivity to binocular depth information. (15 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Influence of temperature on preparing mesoporous mixed phase N/TiO2 nanocomposite with enhanced solar light photocatalytic activity

Nitrogen-doped titanium dioxide (N/TiO₂) nanophotocatalysts were successfully synthesized in the presence of environmentally benign nitrogen dopant source, guanidinium chloride, by the sol–gel method. The effect of calcination temperature (300–600 °C) on their physicochemical properties was investigated by means XRD, XPS, FESEM, HRTEM, Raman spectroscopy, UV-vis DRS, PL and BET. Moreover, their photocatalytic activities were evaluated against rhodamine B (RhB) degradation under direct sun light. Results showed that the crystal phase of spheroidal N/TiO₂ nanoparticles was changed from anatase (300 °C) to rutile (600 °C) via an intermediate anatase/rutile (A/R) mixed phase (400–500 °C), and the RhB photodegradation performance was increased with the decrease of the calcination temperature. Notably, N/TiO₂ prepared at 400 °C demonstrated the best degradation performance (99%) after 5 h irradiation. The enhanced performance with high photostability was mainly attributed to its higher surface area and pore volume, stronger light absorption, and lower recombination rate. Such nanomaterials have practical applications for environmental remediation.