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1.
Environ Res ; 236(Pt 1): 116643, 2023 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-37442253

RESUMO

Increased vegetation peak growth and phenological shifts toward spring have been observed in response to climate warming in the temperate regions. Such changes have the potential to modify warming by perturbing land‒atmosphere energy exchanges; however, the signs and magnitudes of biophysical feedback on surface temperature in different biomes are largely unknown. Here, we synthesized information from vegetation growth proxies, land surface temperature (LST), and surface energy balance factors (surface evapotranspiration (ET), albedo, and broadband emissivity (BBE)) to investigate the variations in timing (PPT) and productivity (PPmax) of seasonal peak photosynthesis and their time-lagged biophysical feedbacks to the post-season LST in Inner Mongolia (IM) during 2001-2020. We found that increased PPmax, rather than advanced PPT, exhibited a significant impact on LST, with divergent signs and magnitudes across diurnal periods and among different biomes. In the grassland biome, increased PPmax cooled both LST during daytime (LSTday) and nighttime (LSTnight) throughout the post-season period, with a more pronounced response during daytime and diminishing gradually from July to September. This cooling effect on LST was primarily attributed to enhanced ET, as evidenced by the greater effect of ET cooling than that of albedo warming and BBE cooling based on a structural equation model (SEM). In the forest biome, increased PPmax led to a symmetrical warming effect on LSTday and LSTnight, and none of the surface energy balance factors were identified as significant intermediate explanatory factors for the observed warming effect. Moreover, the responses of average LST (LSTmean) and diurnal temperature range of LST (LSTDTR) to variations in PPmax were consistent with those of LSTday at two biomes. The observations above elucidate the divergent feedback mechanisms of vegetation peak growth on LST among different biomes and diurnal cycles, which could facilitate the improvement of the realistic parameterization of surface processes in global climate models.

2.
Br J Neurosurg ; 37(4): 860-864, 2023 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31790277

RESUMO

We describe a case of sporadic cavernous malformation (CM) in a patient suffering from multiple hemorrhagic intracranial lesions, including one originating from the trigeminal nerve (TN). The patient presented with left side facial pain and disturbed right limb movement. The patient was pre-operatively diagnosed with multiple cerebral CMs. This diagnosis was confirmed by postoperative pathology.


Assuntos
Hemangioma Cavernoso do Sistema Nervoso Central , Humanos , Hemangioma Cavernoso do Sistema Nervoso Central/complicações , Hemangioma Cavernoso do Sistema Nervoso Central/diagnóstico por imagem , Hemangioma Cavernoso do Sistema Nervoso Central/cirurgia , Nervo Trigêmeo
3.
Int J Appl Earth Obs Geoinf ; 112: 102905, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35845976

RESUMO

Coronavirus disease 2019 (COVID-19) has crucially influenced anthropogenic activities, which in turn impacts upon the environment. In this study, we investigated the variations on aerosol optical depth (AOD) at 550 nm over the Bohai Sea and Yellow Sea during the COVID-19 lockdown (from February to March in 2020) of China mainland based on Moderate-resolution Imaging Spectroradiometer (MODIS) observation by comparing with historical AOD records (2011-2019). Our results show that with the lockdown implementation, the decade-low AOD levels are achieved in February and March 2020 (0.39 ± 0.18 and 0.37 ± 0.19, respectively), which are 22% and 28% (p < 0.01) lower than the average AOD between 2011 and 2019 (0.50 ± 0.08 and 0.52 ± 0.05, respectively). After the lockdown restrictions were relaxed and industrial production gradually resumed, the AOD in April 2020 rebounded to the historical average level. Besides, compared with historical observations (2011-2019), the AOD temporal variability from February to April 2020 showed different pattern, with the decade-high increase from March to April (+0.11) and decade-low increase from February to March (-0.01). Independent observations and simulation, including fine particulate matter (PM2.5) from ground-based measurements, wind field from Cross-Calibrated Multi-Platform, satellite-derived aerosol type, and back trajectories calculation by Hybird Single Paricle Lagrangian Intergrated Trajectory (HYSPLIT) model, indicated that the above abnormal AOD variation can be attributed to reduction of anthropogenic emissions during the COVID-19 lockdown period. The results of this paper, therefore, indicate that aerosols over the Bohai and Yellow Seas are strongly influenced by human activities, and the public health events such as the epidemic may alter the intensity of human activities and thus the spatio-temporal pattern of aerosol over ocean. With the global spread of the epidemic and the corresponding significant changes in human behavior patterns (restrictions on human activities, etc.), more studies should be carried out in the future about the aerosol variability and its potential impact on the marine environment.

4.
Neurosurg Rev ; 44(4): 1889-1902, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33009643

RESUMO

Most studies reported that cystic vestibular schwannoma (CVS) surgery has a less favourable prognosis than solid vestibular schwannoma (SVS) surgery. However, some studies report that it is unclear whether surgical outcomes for these conditions exhibit significant differences. The aim of this meta-analysis was to pool the current literature and describe and analyse any differences in the clinical symptoms and surgical outcomes among CVS and SVS. PubMed, Embase, and Cochrane databases were searched following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines through April 22, 2020. Outcomes were analysed using a meta-analysis of the proportions. The results of the search yielded 17 studies that met the criteria for inclusion and analysis, involving 3074 participants (including 821 patients with CVSs and 2253 patients with SVSs). No significant differences in the extent of tumour resection (gross-total resection versus non-gross-total resection; RR, 0.93; 95% CI, 0.86-1.01; p = 0.096) and most other outcomes were noted between CVS and SVS cohorts. However, facial nerve function (House-Brackmann Grade I or II versus III or more) of CVS patients was worse (RR, 0.86; 95% CI, 0.78-0.93; p < 0.001) compared with SVS patients with more than 1 year of follow-up after surgery. The criteria of cystic acoustic neuroma needs to be further unified, and prospective cohort studies with larger sample sizes should be performed for further verification of these results in the future.


Assuntos
Neuroma Acústico , Nervo Facial , Humanos , Neuroma Acústico/cirurgia , Estudos Retrospectivos , Resultado do Tratamento
5.
Br J Neurosurg ; 35(1): 49-56, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-32628557

RESUMO

OBJECTIVE: Trigeminal schwannomas (TS) are rare, when compared to vestibular schwannomas. The present study aims to analyze the clinical characteristics and surgical strategies of TS via the retrospective analysis of the clinical data of 43 patients. METHODS: The clinical information of 43 patients diagnosed with TS, who were surgically treated from January 2008 to January 2018, was retrospectively analyzed. Then, the selection of approaches and surgical strategies were discussed. RESULTS: During the last 10 years, 43 patients with TS received surgical treatment at Xuan Wu Hospital of Capital Medical University. Facial numbness and hypoesthesia were the most common symptoms, which developed in 29 cases (67.4%). Typical trigeminal neuralgia was complained by four patients (9.3%), while trigeminal motor impairment developed in nine cases (20.9%). The tumor was totally removed in 39 patients (90.7%), near-totally removed in three patients (7.0%), and partially removed in one patient (2.3%) due to intraoperative internal carotid artery (ICA) injury. The abducens was intraoperatively damaged in two patients (4.7%). After the operation, all four patients with trigeminal neuralgia achieved total recovery, but the facial numbness still continued in 24 patients (82.8%). At a median of 45.3 ± 25.5 (6-84) months of follow up, a tumor recurred in only one patient, and this patient received a second operation. CONCLUSION: It can be concluded that total removal via the proper approach can be the best treatment for TS with a low complication rate. However, preoperative symptoms, such as facial numbness and trigeminal motor impairment that seldom improved though normal fibers, were carefully recognized and preserved during the operation.


Assuntos
Neoplasias dos Nervos Cranianos , Neurilemoma , Neuralgia do Trigêmeo , Neoplasias dos Nervos Cranianos/diagnóstico , Neoplasias dos Nervos Cranianos/cirurgia , Humanos , Recidiva Local de Neoplasia , Neurilemoma/diagnóstico , Neurilemoma/cirurgia , Estudos Retrospectivos , Resultado do Tratamento , Neuralgia do Trigêmeo/cirurgia
6.
Sensors (Basel) ; 21(9)2021 May 06.
Artigo em Inglês | MEDLINE | ID: mdl-34066493

RESUMO

Proximal sensing offers a novel means for determination of the heavy metal concentration in soil, facilitating low cost and rapid analysis over large areas. In this respect, spectral data and model variables play an important role. Thus far, no attempts have been made to estimate soil heavy metal content using continuum-removal (CR), different preprocessing and statistical methods, and different modeling variables. Considering the adsorption and retention of heavy metals in spectrally active constituents in soil, this study proposes a method for determining low heavy metal concentrations in soil using spectral bands associated with soil organic matter (SOM) and visible-near-infrared (Vis-NIR). To rapidly determine the concentration of heavy metals using hyperspectral data, partial least squares regression (PLSR), principal component regression (PCR), and support vector machine regression (SVMR) statistical methods and 16 preprocessing combinations were developed and explored to determine an optimal combination. The results showed that the multiplicative scatter correction and standard normal variate preprocessing methods evaluated with the second derivative spectral transformation method could accurately determine soil Cr and Ni concentrations. The root-mean-square error (RMSE) values of Vis-NIR model combinations with PLSR, PCR, and SVMR were 0.34, 3.42, and 2.15 for Cr, and 0.07, 1.78, and 1.14 for Ni, respectively. Soil Cr and Ni showed strong spectral responses to the Vis-NIR spectral band. The R2 value of the Vis-NIR-based PLSR model was higher than 0.99, and the RMSE value was 0.07-0.34, suggesting higher stability and accuracy. The results were more accurate for Ni than Cr, and PLSR showed the best performance, followed by SVMR and PCR. This perspective has critical implications for guiding quantitative biogeochemical analysis using proximal sensing data.

7.
BMC Neurol ; 20(1): 94, 2020 Mar 14.
Artigo em Inglês | MEDLINE | ID: mdl-32171270

RESUMO

BACKGROUND: Infectious basilar artery (BA) aneurysm has been occasionally reported to be generated from meningitis following transcranial operation. However, infectious BA aneurysm formed by intracranial infection after endoscopic endonasal operation has never been reported. CASE PRESENTATION: A 53-year-old man who was diagnosed with suprasellar region meningioma received tumor removal via endoscopic endonasal approach. After operation he developed cerebrospinal fluid (CSF) leak and intracranial infection. The patient ultimately recovered from infection after anti-infective therapy, but a large fusiform BA aneurysm was still formed and ruptured in a short time. Interventional and surgical measures were impossible due to the complicated shape and location of aneurysm and state of his endangerment, therefore, conservative anti-infective therapy was adopted as the only feasible method. Unfortunately, the aneurysm did not disappear and the patient finally died from repeating subarachnoid hemorrhage (SAH). CONCLUSION: Though extremely rare, it was emphasized that infectious aneurysm can be formed at any stage after transnasal surgery, even when the meningitis is cured. Because of the treatment difficulty and poor prognosis, it was recommended that thorough examination should be timely performed for suspicious patient to make correct diagnosis and avoid fatal SAH.


Assuntos
Aneurisma Roto/etiologia , Aneurisma Intracraniano/etiologia , Meningite/complicações , Cirurgia Endoscópica por Orifício Natural/efeitos adversos , Complicações Pós-Operatórias/etiologia , Hemorragia Subaracnóidea/etiologia , Antibacterianos/uso terapêutico , Artéria Basilar , Endoscopia , Evolução Fatal , Humanos , Masculino , Neoplasias Meníngeas/cirurgia , Meningioma/cirurgia , Meningite/tratamento farmacológico , Pessoa de Meia-Idade , Neoplasias da Base do Crânio/cirurgia
8.
Cancer Cell Int ; 19: 315, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31798344

RESUMO

BACKGROUND: The prognostic value of pre-treatment platelet-to-lymphocyte ratio (PLR) in patients with urothelial carcinoma (UC) remains controversial. Therefore, this meta-analysis aimed to identify the prognostic impact of PLR on UC. METHODS: The PubMed, Embase, Web of Science, and Cochrane Library databases were systematically searched. Hazard ratios (HRs) with 95% confidence intervals (CIs) were used to summarize the correlations between PLR and overall survival (OS), progression-free survival (PFS), disease-free survival (DFS), and cancer-specific survival (CSS). Odds ratios (ORs) with 95% CIs were used to measure the association between PLR and tumor clinicopathological factors. RESULTS: The meta-analysis included 15 studies published from 2015 to 2019 with a total of 5354 patients. Overall, a high PLR was correlated to poorer PFS (HR = 1.81, 95% CI 1.28-2.56, p = 0.001) and DFS (HR = 1.09, 95% CI 1.31-2.16, p < 0.001) but not poor OS (HR = 1.23, 95% CI 0.95-1.59, p = 0.124) or CSS (HR = 1.000, 95% CI 0.998-1.002, p = 0.919) in UC. In addition, an elevated PLR was correlated with patient age > 65 years (OR = 1.72, 95% CI 1.25-2.38, p = 0.001) and hypertension (OR = 1.48, 95% CI 1.01-2.18, p = 0.046). However, no significant association was observed between PLR and sex (OR = 0.79, 95% CI 0.56-1.14, p = 0.206) or diabetes (OR = 1.29, 95% CI 0.77-2.15, p = 0.333). CONCLUSIONS: Our results demonstrated a significant correlation between elevated PLR and poor prognosis in UC. The prognostic role of PLR may help guide the management and prognostication of UC patients.

9.
Acta Neurochir (Wien) ; 159(4): 689-694, 2017 04.
Artigo em Inglês | MEDLINE | ID: mdl-28124740

RESUMO

Trigeminal neuralgia (TN) secondary to arterivenous malformations (AVMs) is relatively rare. We here report on a case of TN caused by cerebellar AVMs that was successfully treated by total AVMs resection in conjunction with microvasecular decompression (MVD) in one stage. In addition, we perform a review of the literature about the treatment of TN caused by cerebellar AVMs.


Assuntos
Cerebelo/cirurgia , Descompressão Cirúrgica/efeitos adversos , Complicações Pós-Operatórias , Neuralgia do Trigêmeo/cirurgia , Artérias/cirurgia , Cerebelo/irrigação sanguínea , Humanos , Malformações Arteriovenosas Intracranianas/complicações , Masculino , Pessoa de Meia-Idade , Neuralgia do Trigêmeo/etiologia
10.
Acta Neurochir (Wien) ; 159(10): 1925-1937, 2017 10.
Artigo em Inglês | MEDLINE | ID: mdl-28766024

RESUMO

BACKGROUND: Intraoperative neurophysiologic monitoring of the extraocular cranial nerve (EOCN) is not commonly performed because of technical difficulty and risk, reliability of the result and predictability of the postoperative function of the EOCN. METHODS: We performed oculomotor nerve (CN III) and abducens nerve (CN VI) intraoperative monitoring in patients with skull base surgery by recording the spontaneous muscle activity (SMA) and compound muscle action potential (CMAP). Two types of needle electrodes of different length were percutaneously inserted into the extraocular muscles with the free-hand technique. We studied the relationships between the SMA and CMAP and postoperative function of CN III and CN VI. RESULTS: A total of 23 patients were included. Nineteen oculomotor nerves and 22 abducens nerves were monitored during surgery, respectively. Neurotonic discharge had a positive predictive value of less than 50% and negative predictive value of more than 80% for postoperative CN III and CN VI dysfunction. The latency of patients with postoperative CN III dysfunction was 2.79 ± 0.13 ms, longer than that with intact CN III function (1.73 ± 0.11 ms). One patient had transient CN VI dysfunction, whose CMAP latency (2.54 ms) was longer than that of intact CN VI function (2.11 ± 0.38 ms). There was no statistically significant difference between patients with paresis and with intact function. CONCLUSIONS: The method of intraoperative monitoring of EOCNs described here is safe and useful to record responses of SMA and CMAP. Neurotonic discharge seems to have limited value in predicting the postoperative function of CN III and CN VI. The onset latency of CMAP longer than 2.5 ms after tumor removal is probably relevant to postoperative CN III and CN VI dysfunction. However, a definite quantitative relationship has not been found between the amplitude and stimulation intensity of CMAP and the postoperative outcome of CN III and CN VI.


Assuntos
Nervo Abducente/cirurgia , Eletromiografia/métodos , Monitorização Neurofisiológica Intraoperatória/métodos , Nervo Oculomotor/cirurgia , Base do Crânio/cirurgia , Nervo Abducente/fisiologia , Adolescente , Adulto , Idoso , Neoplasias Encefálicas/fisiopatologia , Neoplasias Encefálicas/cirurgia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Procedimentos Neurocirúrgicos/métodos , Nervo Oculomotor/fisiologia , Procedimentos Ortopédicos/métodos , Reprodutibilidade dos Testes , Adulto Jovem
11.
Neurosurg Focus ; 40 Video Suppl 1: 2016.1.FocusVid.15428, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26722677

RESUMO

The posterior interhemispheric approach is a versatile approach to access lesions of the pineal region, posterior incisural space, posterior region of third ventricle, and adjacent structures. We demonstrate the case of a 26-year-old woman with symptoms of increased intracranial pressure and hydrocephalus caused by a meningioma at the posteromedial tentorial incisura. Gross-total removal of the tumor was successfully achieved via a posterior interhemispheric transtentorial approach. The patient reported an immediate and significant symptomatic improvement after surgery. The detailed operative technique and surgical nuances, including the surgical corridor, tentorium incision, tumor dissection and removal are illustrated in this video atlas. The video can be found here: https://youtu.be/nSNyjQKl7aE .


Assuntos
Encéfalo/cirurgia , Dura-Máter/cirurgia , Neoplasias Meníngeas/cirurgia , Meningioma/cirurgia , Microcirurgia , Procedimentos Neurocirúrgicos , Adulto , Feminino , Humanos , Neoplasias Meníngeas/diagnóstico , Meningioma/diagnóstico , Microcirurgia/métodos , Procedimentos Neurocirúrgicos/métodos
12.
Acta Neurochir (Wien) ; 158(3): 429-35, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26733128

RESUMO

BACKGROUND: There are no large series studies identifying the locations of cranial nerves (CNs) around trigeminal schwannomas (TSs); however, surgically induced cranial neuropathies are commonly observed after surgeries to remove TSs. In this study, we preoperatively identified the location of CNs near TSs using diffusion tensor tractography (DTT). METHODS: An observational study of the DTT results and intraoperative findings was performed. We preoperatively completed tractography from images of patients with TSs who received surgical therapy. The result was later validated during tumorectomy. RESULTS: A total of three consecutive patients were involved in this study. The locations of CNs V-VIII in relation to the tumor was clearly revealed in all cases, except for CN VI in case 3.The predicted fiber tracts were in agreement with intraoperative observations. CONCLUSIONS: In this study, preoperative DTT accurately predicted the location of the majority of the nerves of interest. This technique can be applied by surgeons to preoperatively visualize nerve arrangements.


Assuntos
Neoplasias dos Nervos Cranianos/cirurgia , Imagem de Tensor de Difusão/métodos , Neurilemoma/cirurgia , Nervo Trigêmeo/cirurgia , Adulto , Neoplasias dos Nervos Cranianos/patologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neurilemoma/patologia , Nervo Trigêmeo/patologia
13.
J Craniofac Surg ; 27(6): e528-9, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-27607129

RESUMO

Trochlear nerve schwannoma is extremely rare, with only 35 pathologically confirmed patients being reported in the literature. Here, the authors report a patient of trochlear nerve schwannoma in the prepontine cistern manifesting as facial pain and double vision and presenting the image characteristics of repeated intratumoral hemorrhage, which has never been reported in the literature. Total tumor along with a portion of the trochlear nerve was removed by using a retrosigmoid approach. Facial pain disappeared after operation, and the diplopia remained. Follow-up studies have shown no tumor recurrence for 2 years and the simultaneous alleviation of diplopia. Information regarding the clinical presentation, radiological features and surgical outcomes of trochlear nerve schwannoma are discussed and reviewed in the paper.


Assuntos
Neoplasias dos Nervos Cranianos/diagnóstico , Hemorragia/etiologia , Neurilemoma/diagnóstico , Nervo Troclear , Idoso , Angiografia Digital , Neoplasias dos Nervos Cranianos/complicações , Neoplasias dos Nervos Cranianos/cirurgia , Seguimentos , Hemorragia/diagnóstico , Hemorragia/cirurgia , Humanos , Imageamento por Ressonância Magnética , Masculino , Neurilemoma/complicações , Neurilemoma/cirurgia , Procedimentos Neurocirúrgicos/métodos , Recidiva , Tomografia Computadorizada por Raios X
14.
Guang Pu Xue Yu Guang Pu Fen Xi ; 36(10): 3280-6, 2016 Oct.
Artigo em Zh | MEDLINE | ID: mdl-30246964

RESUMO

For the case that the value of the maximum light use efficiency (MLUE) is not optimized for different steppes, we simulated the MLUE for meadow steppe, typical steppe and desert steppe in Inner Mongolia based on the field observed NPP and CASA ecosystem model, and analyzed the spatial and temporal pattern of the LUE and net primary productivity (NPP) in Inner Mongolia. The result indicate that the MLUE is optimized to be 0.654,0.553 and 0.511 gC·MJ-1 for meadow steppe, typical steppe and desert steppe in Inner Mongolia, respectively, with an average of 0.573 gC·MJ-1. Compared to the result that used same value of 0.541 gC·MJ-1 for MLUE, the correlation coefficient and relative mean square error was improved 0.024 and 2.62 gC·(m2·month-1)-1, respectively after optimization. Affected by the hydrothermal condition and distribution of grassland types, the LUE and NPP in Inner Mongolia decreased from northeast to southwest, and showed one crest shape. However, the maximum value of LUE and NPP was appeared in August and July. This difference could be attributed to the difference in the maximum value between absorbed photosynthetically active radiation and LUE. The LUE and NPP decreased by meadow steppe, typical steppe and desert steppe.

15.
Environ Sci Technol ; 49(17): 10503-9, 2015 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-26280570

RESUMO

Nighttime lights of the human settlements (hereafter, "stable lights") are seen as a valuable proxy of social economic activity and greenhouse gas emissions at the subnational level. In this study, we propose an improved method to generate the stable lights from Defense Meteorological Satellite Program/Operational Linescan System (DMSP/OLS) daily nighttime light data for 1999. The study area includes Japan, China, India, and other 10 countries in East Asia. A noise reduction filter (NRF) was employed to generate a stable light from DMSP/OLS time-series daily nighttime light data. It was found that noise from amplitude of the 1-year periodic component is included in the stable light. To remove the amplitude of the 1-year periodic component noise included in the stable light, the NRF method was improved to extract the periodic component. Then, new stable light was generated by removing the amplitude of the 1-year periodic component using the improved NRF method. The resulting stable light was evaluated by comparing it with the conventional nighttime stable light provided by the National Oceanic and Atmosphere Administration/National Geophysical Data Center (NOAA/NGDC). It is indicated that DNs of the NOAA stable light image are lower than those of the new stable light image. This might be attributable to the influence of attenuation effects from thin warm water clouds. However, due to overglow effect of the thin cloud, light area in new stable light is larger than NOAA stable light. Furthermore, the cumulative digital numbers (CDNs) and number of light area pixels (NLAP) of the generated stable light and NOAA/NGDC stable light were applied to estimate socioeconomic variables of population, electric power consumption, gross domestic product, and CO2 emissions from fossil fuel consumption. It is shown that the correlations of the population and CO2FF with new stable light data are higher than those in NOAA stable light data; correlations of the EPC and GDP with NOAA stable light data are higher those in the new stable light data.


Assuntos
Luz , Meteorologia , Imagens de Satélites , Ásia , Atmosfera , Dióxido de Carbono/análise , Simulação por Computador , Eletricidade , Combustíveis Fósseis , Produto Interno Bruto , Humanos , Fatores de Tempo
16.
Acta Neurochir (Wien) ; 157(7): 1239-49, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25948078

RESUMO

BACKGROUND: The preservation of the facial nerve (FN) and acoustic function in large vestibular schwannoma (VS) surgery is challenging because of nerve course uncertainties and morphological deviations. Preoperative diffusion tensor tractography (DTT) has been proposed to predict the FN location. This study was conducted to evaluate the effectiveness of this technique for identifying the FN, cochlear nerve (CN) and trigeminal nerve (TN) in large VSs. METHODS: The study included 23 consecutive patients with VS of Hannover classification T3b to T4b from November 2013 through May 2014. Diffusion tensor images and anatomical images were acquired. The DTT images of the cranial nerves were extracted before surgery for each patient to determine the relationships of these nerves with the tumor. The results were then validated during the tumorectomy. RESULTS: In 21 (91.30%) patients, the location of the FN on the DTT images agreed with the intraoperative findings, including in 2 patients in whom the FN passed through the interface between the parenchyma and the cystic changes and in 3 patients with a membranoid FN. The CN or fibers of unclear function were observed on DTT images in four patients with functional hearing. One penetrating fiber of unknown function was effectively constructed. The TN was accurately detected on the DTT images for all patients. CONCLUSIONS: DTT effectively revealed the location of the FN, including cases in which the FN was membranoid or passed through the interface between an area exhibiting cystic changes and the tumor nodule. Fibers aside from the FN and the TN were revealed by DTT in patients who retained functional hearing. Penetrating fibers were also found using DTT. This technique can be useful during VS resection.


Assuntos
Nervo Coclear/anatomia & histologia , Imagem de Tensor de Difusão/métodos , Nervo Facial/anatomia & histologia , Monitorização Intraoperatória/métodos , Neuroma Acústico/cirurgia , Nervo Trigêmeo/anatomia & histologia , Adulto , Nervo Coclear/fisiologia , Nervo Facial/fisiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neuroma Acústico/patologia , Nervo Trigêmeo/fisiologia
17.
Zhonghua Yi Xue Za Zhi ; 95(47): 3856-8, 2015 Dec 15.
Artigo em Zh | MEDLINE | ID: mdl-27337805

RESUMO

OBJECTIVE: To evaluate the efficiency of the descending hypoglossal branch-facial nerve anastomosis for the severe facial palsy after acoustic neuroma resection. METHODS: The clinical data of 14 patients (6 males, 8 females, average age 45. 6 years old) underwent descending hypoglossal branch-facial nerve anastomosis for treatment of unilateral facial palsy was analyzed retrospectively. All patients previously had undergone resection of a large acoustic neuroma. House-Brackmann (H-B) grading system was used to evaluate the pre-, post-operative and follow up facial nerve function status. 12 cases (85.7%) had long follow up, with an average follow-up period of 24. 6 months. RESULTS: 6 patients had good outcome (H-B 2 - 3 grade); 5 patients had fair outcome (H-B 3 - 4 grade) and 1 patient had poor outcome (H-B 5 grade) Only 1 patient suffered hemitongue myoparalysis owing to the operation. CONCLUSION: Descending hypoglossal branch-facial nerve anastomosis is effective for facial reanimation, and it has little impact on the function of chewing, swallowing and pronunciation of the patients compared with the traditional hypoglossal-facial nerve anastomosis.


Assuntos
Nervo Facial/cirurgia , Paralisia Facial/cirurgia , Nervo Hipoglosso/cirurgia , Neuroma Acústico/cirurgia , Anastomose Cirúrgica , Paralisia Facial/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Procedimentos Neurocirúrgicos , Procedimentos Cirúrgicos Otológicos/efeitos adversos , Estudos Retrospectivos
18.
Guang Pu Xue Yu Guang Pu Fen Xi ; 35(5): 1165-8, 2015 May.
Artigo em Zh | MEDLINE | ID: mdl-26415420

RESUMO

Single scattering properties for spherical and hexagonal ice crystal models with different size parameters and wavelengths were employed to calculate satellite observed radiation and downward flux in ground surface using RSTAR radiative transfer model. Results indicated that simulated satellite observed radiation and ground surface downward radiant flux from different shapes of ice crystal models were different. The difference in the spectral radiation fluxes between 0. 4 and 1. 0 µm was largest, and particle shapes affected the downward radiant flux significantly. It was verified that the proper selection of the effective ice crystal model is not only important for retrieval of the microphysical and optical parameters of the cirrus cloud, but also important for obtaining the radiant flux on the earth's surface correctly. These results are important for retrieving cloud microphysical parameters and simulation of the ground surface downward radiant flux.

19.
Sci Total Environ ; 934: 173185, 2024 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-38740218

RESUMO

Impoundment of the Three Gorges Reservoir on the upper Yangtze River has remarkably altered hydrological regime within the dammed reaches, triggering structural and functional changes of the riparian ecosystem. Up to date, how vegetation recovers in response to compound habitat stresses in the water level fluctuation zone remains inexplicitly understood. In this study, plant above-ground biomass (AGB) in a selected water level fluctuation zone was quantified to depict its spatial and temporal pattern using unmanned aerial vehicle (UAV)-derived multispectral images and screened empirical models. The contributions of multiple habitat stressors in governing vegetation recovery dynamics along the environmental gradient were further explored. Screened random forest models indicated relatively higher accuracy in AGB estimation, with R2 being 0.68, 0.79 and 0.62 during the sprouting, growth, and mature periods, respectively. AGB displayed a significant linear increasing trend along the elevational gradient during the sprouting and early growth period, while it showed an inverted U-shaped pattern during late growth and mature period. Flooding duration, magnitude and timing were found to exert greater negative effects on plant sprouting and biomass accumulation and acted as decisive factors in governing the elevation-dependent pattern of AGB. Localized spatial variations in AGB were modulated by other stressors such as sediment burial, soil erosion, soil moisture and nutrient content. Occurrence of episodic summer floods and vegetation distribution were responsible for an inverted U-shaped pattern of AGB during the late growth and mature period. Generally, AGB reached its peak in August, thereafter an obvious decline by an unprecedent dry-hot climatic event. The water level fluctuations with cumulative flooding effects exerted substantial control on AGB temporal dynamics, while climatic condition played a secondary role. Herein, further restorative efforts need to be directed to screening suitable species, maintaining favorable soil condition, and improving vegetation pattern to balance the many trade-offs.


Assuntos
Ecossistema , Monitoramento Ambiental , Rios , China , Rios/química , Dispositivos Aéreos não Tripulados , Biomassa , Inundações , Plantas
20.
Insects ; 15(3)2024 Mar 04.
Artigo em Inglês | MEDLINE | ID: mdl-38535368

RESUMO

Erannis jacobsoni Djak (Lepidoptera, Geometridae) is a leaf-feeding pest unique to Mongolia. Outbreaks of this pest can cause larch needles to shed slowly from the top until they die, leading to a serious imbalance in the forest ecosystem. In this work, to address the need for the low-cost, fast, and effective identification of this pest, we used field survey indicators and UAV images of larch forests in Binder, Khentii, Mongolia, a typical site of Erannis jacobsoni Djak pest outbreaks, as the base data, calculated relevant multispectral and red-green-blue (RGB) features, used a successive projections algorithm (SPA) to extract features that are sensitive to the level of pest damage, and constructed a recognition model of Erannis jacobsoni Djak pest damage by combining patterns in the RGB vegetation indices and texture features (RGBVI&TF) with the help of random forest (RF) and convolutional neural network (CNN) algorithms. The results were compared and evaluated with multispectral vegetation indices (MSVI) to explore the potential of UAV RGB images in identifying needle pests. The results show that the sensitive features extracted based on SPA can adequately capture the changes in the forest appearance parameters such as the leaf loss rate and the colour of the larch canopy under pest damage conditions and can be used as effective input variables for the model. The RGBVI&TF-RF440 and RGBVI&TF-CNN740 models have the best performance, with their overall accuracy reaching more than 85%, which is a significant improvement compared with that of the RGBVI model, and their accuracy is similar to that of the MSVI model. This low-cost and high-efficiency method can excel in the identification of Erannis jacobsoni Djak-infested regions in small areas and can provide an important experimental theoretical basis for subsequent large-scale forest pest monitoring with a high spatiotemporal resolution.

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