Prognosis of Symptoms and Complications After Microvascular Decompression for Hemifacial Spasm: A Single-Center Experience.

OBJECTIVE: The aim of this study was to identify potential prognostic factors of hemifacial spasm (HFS) after microvascular decompression (MVD), to establish the appropriate way to tackle postprocedure symptoms and complications (PPSCs), and to find the incidence and duration of PPSCs. METHODS: Two hundred and forty-eight patients with HFS were monitored between December 2009 and December 2014. The mean follow-up duration was 24 months (range, 6-67 months). We divided patients based on their PPSC status and investigated the following factors: age, sex, spasm side, facial nerve block before MVD (botulinum toxin treatment), acupuncture before MVD, duration of HFS, hypertension, diabetes, hepatitis B virus (HBV) infection status, herpes simplex virus infection status, smoking status and alcohol use, offending vessels, Chiari malformation, electrophysiologic monitoring results, and postoperative HFS. Univariable analysis and multivariate logistic regression were used to find potential risk factors. Kaplan-Meier analysis was used to show the duration of postprocedure facial palsy. RESULTS: Age (odds ratio [OR], 1.037; 95% confidence interval [CI], 1.004-1.072; P = 0.03) and HBV status (OR, 18.256; 95% CI, 2.723-122.415; P = 0.03) were positive predictors of PPSCs. Postoperative HFS (OR, 0.249; 95% CI, 0.084-0.0739; P = 0.012) may be a protective factor for postprocedure facial palsy. Most PPSCs related to cranial nerves recovered spontaneously in 3 months. Infections and cerebrospinal fluid leakages were controlled by medical intervention in 1-2 weeks. The permanent complication rate was only 4.8%. CONCLUSIONS: Although the incidence of PPSCs after MVD is very high, most PPSCs related to cranial nerves recovered spontaneously in several days. Permanent complications after MVD for HFS are rare. Age may relate to the occurrence of PPSCs, and postoperative HFS may be a protective factor for patients with facial palsy after MVD.

Three-wavelength light control of freely moving Drosophila Melanogaster for less perturbation and efficient social-behavioral studies.

We developed a real-time automated laser-tracking system combined with continuous wave 1064-nm infrared or 473-nm blue lasers to provide punishment for studying memory in Drosophila Melanogaster. Combining optogenetic tools with laser properties, such as 473-nm and 593-nm lasers that activate light sensitive proteins in artificial transgenic flies, we can manipulate the specific neuron of an assigned fly among multiple flies to investigate neuron circuit relationships in social interactions. In restraining condition assay or optogenetic experiments, a ventral irradiated system would be more efficient due to higher ventral cuticle transmissions and neuron ganglia locations. Therefore, ventral irradiated systems cause less perturbation during behavior studies.

Overexpression of the receptor-like protein kinase genes AtRPK1 and OsRPK1 reduces the salt tolerance of Arabidopsis thaliana.

AtRPK1 (AT1G69270) is a leucine-rich repeat receptor-like protein kinase (LRR-RLK) gene in Arabidopsis thaliana. The rice gene Os07g0602700 (OsRPK1) is the homolog of AtRPK1. AtRPK1 and OsRPK1 were overexpressed and the expression of AtRPK1 was inhibited by RNAi in A. thaliana. The functional results showed that the degrees of salt tolerance of the 35S:RPK1 A. thaliana plants were significantly lower than that of the control plants. The AtRPK1-RNAi A. thaliana plants exhibited higher salt tolerance than the wild-type plants (Col). The subcellular localisation results showed that the RPK1 proteins were mainly distributed on the cell membrane and that the overexpressed AtRPK1 proteins exhibited a significantly clustered distribution. The physiological analyses revealed that the overexpression of the RPK1 genes increased the membrane permeability in the transgenic A. thaliana plants. In response to salt stress, these plants exhibited an increased Na(+) flux into the cell, which caused greater damage to the cell. The real-time quantitative PCR analysis showed that the expression of the P5CS1 gene was inhibited and the SOS signalling pathway was blocked in the 35S:AtRPK1 A. thaliana plants. These effects at least partially contribute to the salt-sensitive phenotype of the 35S:RPK1 plants.

[Degradation kinetics of activated carbon catalyzed persulfate oxidation orange G].

The oxidation degradation of orange G (OG) in aqueous solutions by the activated carbon catalyzed peroxydisulfate (PDS) has been kinetically investigated. These processes are based on the generation of sulfate radicals, which are powerful oxidizing species found in nature. The results demonstrated that OG could be degraded by GAC/PDS reagent effectively. Moreover, the dosage of PDS and GAC, temperature and initial concentration of OG had an impact on OG oxidation, higher temperature and GAC dosage resulted in higher OG degrading rates. In addition, the empirical kinetic equation for OG oxidation by GAC/PDS combined system under the conditions of 0.050-0.125 mmol x L(-1) of OG, 5.0 of pH, 10/1-160/1 of n(PDS)/n(OG), 0.1-1.6 g x L(-1) of GAC, 298-338 K of temperature, could be reasonably represented by the first order kinetics, which was fitted very well with the experimental data. In addition, the catalytic properties of reused GAC have been investigated.

[Degradation kinetics of ozone oxidation on high concentration of humic substances].

Humic substance oxidation (HS) degradation by ozone was kinetically investigated. The effects of O3 dosage, initial pH, temperature and initial concentration of HS were studied. Under the conditions of 3.46 g x h(-1) ozone dosage, 1 000 mg x L(-1) initial HS, 8.0 initial pH and 303 K temperature, the removal efficiencies of HS achieved 89.04% at 30 min. The empirical kinetic equation of ozonation degradation for landfill leachate under the conditions of 1.52-6.10 g x h(-1) ozone dosage, 250-1 000 mg x L(-1) initial HS, 2.0-10.0 initial pH, 283-323 K temperature fitted well with the experimental data (average relative error is 7.62%), with low activation energy E(a) = 1.43 x 10(4)J x mol(-1).

[Degradation kinetics of ozone oxidation on landfill leachate rejected by RO treatment].

This study kinetically investigated landfill leachate rejected by reverse osmosis (RO) oxidation degradation by ozonation. Initial pH, ozone dosage, temperature and initial COD had significant impact on the oxidation rate. The results demonstrated that for the removal efficiencies of COD 67.6% under the conditions of 8.0 pH, 5.02 g/h ozone dosage, 303K temperature. The empirical kinetic equation of ozonation degradation for landfill leachate under the conditions of 2.0-8.0 pH, 2.53-6.90 g/h ozone dosage, 934-4 037 mg/L initial COD, 283-323 K temperature fitted well with the experimental data(R2 0.969-0.996), with low activation energy E(a) = 1.43 x1094) J x mol(-1).

Eosinophilia in very low birth weight infants.

BACKGROUND: Eosinophilia is common in premature infants, though its clinical significance remains unknown. This study investigated the pattern of eosinophilia and related factors in very low birth-weight (VLBW) infants. METHODS: The medical records of VLBW infants (birth body weight < 1500 g) admitted to the neonatal intensive care unit of a tertiary care center of Cheng Kung University Hospital between January 2005 and June 2007 were analyzed. Complete blood counts (CBC) with differential leukocyte counts were performed weekly. Eosinophilia was defined as an eosinophil count of more than 0.700 x 10(9)/L. The possible related factors were analyzed. RESULTS: A total of 142 infants were recruited into the study. Those who did not survive after the first 28 days and those with less than four available CBCs were excluded, leaving 107 infants and 828 CBC measurements. Overall, 19.0% of CBCs (157/828) indicated eosinophilia and 69.0% of all infants had at least one instance of eosinophilia during their hospital stay. Eosinophilia mainly occurred in the third week of life (27.1%), with an average peak eosinophil count of 0.520 x 10(9)/L. There were 37.3% of patients with mild eosinophilia (0.700-0.999 x 10(9)/L), 50.7% with moderate eosinophilia (1.000-2.999 x 10(9)/L), and 12% with severe eosinophilia (> or =3.000 x 10(9)/L). The demographic data and perinatal characteristics of infants with and without eosinophilia were comparable. Medical treatments including mechanical ventilation, antibiotic administration, total parenteral nutrition, intravenous catheterization, transfusion, and body weight gains were similar between the two groups. The eosinophil counts in the first week of life were significantly higher in infants with bronchopulmonary dysplasia (p < 0.05). They were also greater in VLBW infants with sepsis at the first, the third, the fourth, the fifth and the seventh weeks (p < 0.05). CONCLUSION: Eosinophilia is common in VLBW infants and occurs mainly in the third week of life. Higher eosinophil counts were associated with sepsis and family history of atopic eczema. Bronchopulmonary dysplasia was associated with higher eosinophil counts in the first week of life.