Subthalamic nucleus dynamics track microlesion effect in Parkinson's disease.

Parkinson's Disease (PD) is characterized by the temporary alleviation of motor symptoms following electrode implantation (or nucleus destruction), known as the microlesion effect (MLE). Electrophysiological studies have explored different PD stages, but understanding electrophysiological characteristics during the MLE period remains unclear. The objective was to examine the characteristics of local field potential (LFP) signals in the subthalamic nucleus (STN) during the hyperacute period following implantation (within 2 days) and 1 month post-implantation. 15 patients diagnosed with PD were enrolled in this observational study, with seven simultaneous recordings of bilateral STN-LFP signals using wireless sensing technology from an implantable pulse generator. Recordings were made in both on and off medication states over 1 month after implantation. We used a method to parameterize the neuronal power spectrum to separate periodic oscillatory and aperiodic components effectively. Our results showed that beta power exhibited a significant increase in the off medication state 1 month after implantation, compared to the postoperative hyperacute period. Notably, this elevation was effectively attenuated by levodopa administration. Furthermore, both the exponents and offsets displayed a decrease at 1 month postoperatively when compared to the hyperacute postoperative period. Remarkably, levodopa medication exerted a modulatory effect on these aperiodic parameters, restoring them back to levels observed during the hyperacute period. Our findings suggest that both periodic and aperiodic components partially capture distinct electrophysiological characteristics during the MLE. It is crucial to adequately evaluate such discrepancies when exploring the mechanisms of MLE and optimizing adaptive stimulus protocols.

A new model to accurately measure the radon exhalation rate from soil using AlphaGUARD.

Radon exhalation rate from soil is a critical factor in evaluating environmental radon levels. However, AlphaGUARD PQ2000PRO may have some sensitivity towards thoron, which can have a significant impact on radon measurement. The traditional radon exhalation models generally ignore the presence of thoron, leading to an overestimation of the radon exhalation rate from soil. To handle this issue, a new model was proposed based on an analysis of several previous studies on radon exhalation theories. To prove the feasibility of the model, the radon exhalation rate measurements were performed by two different types of detectors-AlphaGUARD PQ2000PRO and RAD7. The radon exhalation rate obtained by using the new model is in good agreement with that obtained by using the theoretical model of radon exhalation of RAD7 within one standard error. This new model can be applied to accurately measure radon exhalation rate from soil by the PIC detector (PQ2000PRO).

Design of intermittent continuous measurement of radon concentration in water.

The U.S. Environmental Protection Agency established the maximum contaminant level limit for radon concentration in drinking water as 11.1 Bq L-1. A new device based on the bubbling method with a 290 mL sample bottle was designed for intermittent continuous measurement of water radon concentration. A STM32 is used to control the switch of the water pump and the valves. The Water-Radon-Measurement software written in C# is to connect RAD7 and calculate the water radon concentration automatically.

Technical Issues of Vim-PSA Double-Target DBS for Essential Tremor.

BACKGROUND: Deep brain stimulation (DBS) is an effective surgical treatment for essential tremor (ET), with the ventral intermediate nucleus (Vim) and posterior subthalamic area (PSA) as the most common targets. The stimulation efficacy of ET with Vim-PSA double-target DBS has been reported. Herein, we aim to propose surgical techniques for Vim-PSA double-target DBS surgery. METHODS: This study enrolled six patients with ET who underwent Vim-PSA double-target electrode implantation from October 2019 to May 2022. The targets were located and adjusted using coordinates and multimodality MRI images. A burr hole was accurately drilled in line with the electrode trajectory under the guidance of a stereotactic frame. Novel approaches were adopted during the electrode implantation process for pneumocephalus reduction, including "arachnoid piamater welding" and "water sealing". Electrophysiological recording was used to identify the implantation sites of the electrodes. A 3D reconstruction model of electrodes and nuclei was established to facilitate programming. RESULTS: The combination of coordinates and multimodality MRI images for target location and adjustment enabled the alignment of Vim and PSA. Postoperative CT scanning showed that the electrode was precisely implanted. Stereotactic guidance facilitated accurate burr hole drilling. "Arachnoid piamater welding" and "water sealing" were efficient in reducing pneumocephalus. Intraoperative electrophysiological verified the efficacy of Vim-PSA double-target DBS surgery. CONCLUSIONS: The methods for target location and adjustment, accurate drilling of the burr hole, reduction in pneumocephalus, and intraoperative electrophysiological verification are key issues in DBS surgery targeting both the Vim and PSA. This study may provide technical support for Vim-PSA DBS, especially for surgeons with less experience in functional neurosurgery.

COMPARISON OF RADON EXHALATION RATE MEASUREMENTS ON REFERENCE DEVICE IN OPEN AND CLOSED LOOP BY ALPHAGUARD IN FLOW-THROUGH MODE.

Radon-222 (Rn-222) exhalation rate is vital for estimating radiation risk from many kinds of materials. AlphaGUARD measures the radon concentration based on the ionization chamber principle, which is currently recognized as a reference instrument to measure radon. In China, measurements of radon exhalation rate are performed by AlphaGUARD operated in flow-through mode on a reference device to verify measurement accuracy. These measurements are performed in both open and closed loop. AlphaGUARD can fast rapidly the variation of the radon concentration in the chamber, which is tightly pressed against the surface of the medium to accumulate the exhaled radon. When the model is used to obtain the radon exhalation rate, the radon exhalation rates obtained by nonlinear data fitting on the measured radon concentrations are similar to the reference value of the device. The difference of radon exhalation rate values of six measurements is small.

Prognosis and clinical features analysis of EMT-related signature and tumor Immune microenvironment in glioma.

Background: As the most common primary malignant intracranial tumor, glioblastoma has a poor prognosis with limited treatment options. It has a high propensity for recurrence, invasion, and poor immune prognosis due to the complex tumor microenvironment. Methods: Six groups of samples from four datasets were included in this study. We used consensus ClusterPlus to establish two subgroups by the EMT-related gene. The difference in clinicopathological features, genomic characteristics, immune infiltration, treatment response and prognoses were evaluated by multiple algorithms. By using LASSO regression, multi-factor Cox analysis, stepAIC method, a prognostic risk model was constructed based on the final screened genes. Results: The consensusClusterPlus analyses revealed two subtypes of glioblastoma (C1 and C2), which were characterized by different EMT-related gene expression patterns. C2 subtype with the worse prognosis had the more malignant clinical and pathology manifestations, higher Immune infiltration and tumor-associated molecular pathways scores, and poorer response to treatment. Additionally, our EMT-related genes risk prediction model can provide valuable support for clinical evaluations of glioma. Conclusions: The assessment system and prediction model displayed good performance in independent prognostic risk assessment and individual patient treatment response prediction. This can help with clinical treatment decisions and the development of effective treatments.

Study on damage evolution and radon exhalation of uranium-bearing granite under high temperature.

Deep geological disposal of high-level radioactive waste is a feasible method for solving the problem of spent fuel storage in China. High-level radioactive waste releases heat during the decay process, which increases the temperature of the surrounding rock in the repository, resulting in a significant increase in radon concentration. In this study, the surrounding rock (granite) of a high-level radioactive waste repository was taken as the research object and, based on the similarity principle, an orthogonal test designed. Similar materials of uranium-containing granite were prepared in the laboratory and the physical and mechanical properties and cumulative radon concentration of granite samples assessed under different temperatures (25, 50, 100, 150, and 200 °C). The results showed that, with increased temperature, the compressive and tensile strengths of samples gradually increased and their pore volume gradually decreased. After heat treatment, the longitudinal wave velocity and thermal conductivity of samples decreased linearly with increased temperature. The radon exhalation rate first increased and then decreased, with the rate reaching a maximum at 100 °C. The radon exhalation rate of single-sided and double-sided samples was 0.00914 and 0.00460 Bq·m-2·s-1, respectively. When the temperature was 25-100 °C, the dominant stage was pore water. The radon exhalation rates of samples were positively correlated with compressive and tensile strengths and negatively correlated with pore volume, longitudinal wave velocity, and thermal conductivity. The temperature of 100-200 °C was range of the dominant stage of pore structure. The conclusions obtained in this study can provide theoretical support for radon reduction and radon control of granite in high temperature environments.

OPTIMIZING THE INTERNAL CELL STRUCTURE OF THE RADON MONITOR BASED ON ELECTROSTATIC COLLECTION METHOD.

As Rn-222 decays, an alpha particle is emitted and the residual polonium nucleus recoils in the opposite direction. At the end of the recoil path, 88% of the polonium atoms have a positive charge and 12% are neutral. The electric potential distribution in the 60 ml hemispherical internal cell of the radon monitor based on electrostatic collection is studied for reducing the combined probability of the positively charged Po-218 and the OH- produced by the ionization of water vapour in the air. The COMSOL software is used to simulate the electric potential distribution in the internal cell of the radon monitor based on the electrostatic collection method at 27°C, a pressure of 0.1 Mpa. For improving the collection efficiency of Po-218 ions, the average collection time along vertical and oblique lines is calculated when the upper surface of the internal cell is plastic, uncharged metal and charged metal, respectively. Assuming that the gas in the internal cell is uniformly distributed, the results show that if the upper surface of the hemispherical internal cell is plastic or uncharged metal, the electric potential formed in the internal cell is more uniform, and it is beneficial to reduce the total collection time of the positively charged Po-218 ions, thereby improving collection efficiency. The simulation results can be used as an effective reference for optimizing the design of the internal cell structure of the radon monitor based on electrostatic collection method.

Separating the aperiodic and periodic components of neural activity in Parkinson's disease.

Most studies on electrophysiology have not separated aperiodic activity from the spectra but have rather evaluated a combined periodic oscillatory component and the aperiodic component. As the understanding of aperiodic activity gradually deepens, its potential physiological significance has acquired increased appreciation. Herein, we investigated the two components in scalp electroencephalogram in 16 healthy controls and 15 patients with Parkinson's disease (PD); the results revealed that aperiodic parameters were approximately symmetrically distributed in topography in patients with PD and were significantly modulated by dopaminergic medication in channels C4, C3, CP5 and FC5. In sum, our findings might provide indicators for evaluating treatment response in PD and highlight the importance of re-evaluating the neuronal power spectra parameterization.

α and θ oscillations in the subthalamic nucleus are potential biomarkers for Parkinson's disease with depressive symptoms.

INTRODUCTION: Abnormal α oscillations in the bed nucleus of stria terminalis and subgenual cingulate of patients with depression correlate with symptom severity. Some Parkinson's disease (PD) patients also have abnormal θ-α oscillations in the subthalamic nucleus (STN). However, the relationship between abnormal θ-α oscillations and depressive symptoms in PD patients has not been determined. This study explored the correlation between α and θ oscillations of the STN and depressive symptoms in PD patients. METHODS: We conducted a retrospective case-control study on 36 PD patients with (dPD group) or without depressive symptoms (nPD group), analyzing the difference in the average power spectral density (PSD) of α and θ oscillations of the local field potential (LFP) recorded in the STN during deep brain stimulation (DBS), and their correlation with the Hamilton depression rating scale (HAMD) of PD patients during the same period. RESULTS: The dPD group had a higher PSD of α oscillations and a lower PSD of θ oscillations in the left ventral STN. The PSD of α oscillations of the left ventral STN were positively correlated with the severity of depressive symptoms, whereas the PSD of θ oscillations of this location was negatively correlated with severity of depressive symptoms. The PSD of α and θ oscillations did not correlate with motor symptoms, sleep quality, or quality of life score. CONCLUSION: Abnormal α and θ oscillations of the left ventral STN could be used as biomarkers of PD with depressive symptoms, which might guide STN-DBS treatment.