Severity assessment of intracranial large artery stenosis by pressure gradient measurements: A feasibility study.

BACKGROUND: Fractional flow reserve (FFR)-guided revascularization strategy is popular in coronary intervention. However, the feasibility of assessing stenotic severity in intracranial large arteries using pressure gradient measurements still remains unclear. METHODS: Between March 2013 and May 2014, 12 consecutive patients with intracranial large artery stenosis (including intracranial internal carotid artery, middle cerebral M1 segment, intracranial vertebral artery, and basilar artery) were enrolled in this study. The trans-stenotic pressure gradient was measured before and/or after percutaneous transluminal angioplasty and stenting (PTAS), and was then compared with percent diameter stenosis. A Pd /Pa cut-off of ≤0.70 was used to guide stenting of hemodynamically significant stenoses. The device-related and procedure-related serious adverse events and recurrent cerebral ischemic events were recorded. RESULTS: The target vessel could be reached in all cases. No technical complications occurred due to the specific study protocol. Excellent pressure signals were obtained in all patients. For seven patients who performed PTAS, the mean pre-procedural pressure gradient decreased from 59.0 ± 17.2 to 13.3 ± 13.6 mm Hg after the procedure (P < 0.01). Only one patient who refused stenting experienced a TIA event in the ipsilateral MCA territory. No recurrent ischemic event was observed in other patients. CONCLUSION: Mean trans-stenotic pressure gradients can be safely and easily measured with a 0.014-inch fluid-filled guide wire in intracranial large arteries. © 2016 Wiley Periodicals, Inc.

[Assessment of shallow groundwater nitrate concentrations in typical terrestrial ecosystems of Chinese Ecosystem Research Network (CERN) during 2004-2009].

The nitrate-N (NO3(-) -N) concentrations of 38 shallow groundwater wells from 31 of the typical terrestrial ecosystems on Chinese Ecosystem Research Network (CERN) were assessed using the monitoring data from 2004 to 2009. The results showed that the average values of NO3(-) -N concentrations were significantly higher in the agricultural (4.85 mg x L(-1) +/- 0.42 mg x L(-1)), desert (oasis) (3.72 mg x L(-1) +/- 0.42 mg x L(-1)) and urban ecosystems (3.77 mg x L(-1) 0.51 mg x L(-1)) than in the grass (1.59 mg x L(-1) +/- 0.35 mg L(-1)) and forest ecosystems (0.39 mg x L(-1) +/- 0.03 mg x L(-1)). Nitrate was the major form of nitrogen, with between 56% to 88% of nitrogen in the nitrate-N form in the shallow groundwater of desert (oasis), urban and agricultural ecosystems. Nitrate-N concentrations for some agricultural ecosystems (Ansai, Yanting, Yucheng) and desert (oasis) ecosystems (Cele, Linze, Akesu) analysis exceeded the 10 mg x L(-1) World Health Organization drinking water standards between 14.3% and 84.6%. Significant seasonality was found in Ansai, Fengqiu, Yanting agricultural ecosystems and the Beijing urban ecosystem using the relatively high frequency monitoring data, with the higher nitrate concentrations usually found during summer and winter months. The monitoring results indicated that the shallow groundwater of agricultural ecosystems was contaminated by agricultural management practices, i.e. fertilization, while the shallow groundwater of forest ecosystems was under natural condition with no contamination from human activities.

[A virtual water analysis for agricultural production and food security].

Water resource demand is increasing with the population growth and economic development. Water resource problem for agriculture and food security have become one of the global focal points because of water resource scarcity. The concept of virtual water is useful to analyze and impair this problem. In this paper, virtual water implication was described, and international study progress about it was briefly reviewed. Furthermore, China's agricultural water scarcity and food security were analyzed. According to the grain import prediction and agricultural production conditions of China, the virtual water equivalents of China in 2010 and 2020 were evaluated, which were 88 x 10(9) m3 in 2010 and 95 x 10(9) m3 in 2020. With the function of virtual water to agricultural water stress, virtual water strategy was suggested to relieve agricultural production pressure from water resource and meet growing food demand as well as to promote water resource sustainability in China.