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Background: It is well recognized that the molar activity of a radioligand is an important pharmacokinetic parameter, especially in positron emission tomography (PET) of small animals. Occupation of a significant number of binding sites by radioligand molecules results in low radioligand accumulation in a target region (mass effect). Nevertheless, small-animal PET studies have often been performed without consideration of the molar activity or molar dose of radioligands. A simulation study would therefore help to assess the importance of the mass effect in small-animal PET. Here, we introduce a new compartmental model-based numerical method, which runs on commonly used spreadsheet software, to simulate the effect of molar activity or molar dose on the pharmacokinetics of radioligands. Results: Assuming a two-tissue compartmental model, time-concentration curves of a radioligand were generated using four simulation methods and the well-known Runge–Kutta numerical method. The values were compared with theoretical values obtained under an ultra-high molar activity condition (pseudo-first-order binding kinetics), a steady-state condition and an equilibrium condition (second-order binding kinetics). For all conditions, the simulation method using the simplest calculation yielded values closest to the theoretical values and comparable with those obtained using the Runge–Kutta method. To satisfy a maximum occupancy less than 5%, simulations showed that a molar activity greater than 150 GBq/μmol is required for a model radioligand when 20 MBq is administered to a 250 g rat and when the concentration of binding sites in target regions is greater than 1.25 nM. Conclusions: The simulation method used in this study is based on a very simple calculation and runs on widely used spreadsheet software. Therefore, simulation of radioligand pharmacokinetics using this method can be performed on a personal computer and help to assess the importance of the mass effect in small-animal PET. This simulation method also enables the generation of a model time-activity curve for the evaluation of kinetic analysis methods. [ABSTRACT FROM AUTHOR]

Treating complex posterior cerebral artery (PCA) aneurysms, such as fusiform, giant, and dissecting aneurysms, poses significant challenges. Parent artery occlusion carries a risk of ischemic stroke and fails to alleviate mass effects. This study aims to analyze the technical nuances and patient outcomes of treating complex PCA aneurysms, ranging from the P1 to P2P segments, using a Zygomatic Anterolateral Temporal Approach(ZATA) combined with flow reconstruction. This study was a retrospective study. Surgical treatment was performed on twelve patients with complex PCA aneurysms located in the P1 to P2P segments. Ten patients underwent flow reconstruction including Superficial Temporal Artery(STA)-Middle Cerebral Artery(MCA),Internal Maxillary Artery(IMA)—Radial Artery(RA)—MCA,STA-PCA(P2), and IMA-RA-PCA(P2). The aneurysm occlusion rate, surgical complications, and patient prognosis, including stroke occurrence/ modified Rankin Scale(mRS), were recorded and analyzed. Using the ZATA, all twelve complex PCA aneurysms were successfully clipped/resected/trapped. This included two high-position aneurysms (> 3 mm above the posterior clinoid process) at the P1/P2 junction and three P2P aneurysms. The mass effects of six large or giant aneurysms were resolved or alleviated. Postoperative and follow-up CTA/DSA confirmed the patency of the bypass vessels. Four patients experienced strokes in the perioperative period, with three ischemic and one hemorrhagic. The median follow-up period was 28.5 months. At the last follow-up, the good prognosis rate (mRS ≤ 2) was 83.3%, and one patient had died. Clipping/resection/trapping of aneurysms via the ZATA, combined with flow reconstruction, is a feasible option for treating complex PCA aneurysms from the P1 to P2P segments. This approach helps maintain or improve cerebral perfusion in the affected vascular territory. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Applied Ecology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Oncocytoma arising from the parotid gland and extending into the parapharyngeal space (PPS) has not been previously reported. A 64-year-old woman presented with a large slowly growing mass extending from the parotid to the submandibular area, expanding medially to displace the pharynx across the midline. Core-needle biopsy revealed an oncocytoma in the PPS measuring 120 × 88 × 60 mm in size. Although the tumor was of an unprecedentedly large size and extended into multiple spaces, it could be removed via a cervical–parotid approach without osteotomy. The resected tumor was again diagnosed as oncocytoma. A postoperative complication was weakness of the ipsilateral facial nerve, which almost completely resolved in 6 months. No recurrence has been noted on 1 y follow-up. We were able to resect an extremely large oncocytoma arising from the parotid gland without osteotomy. [ABSTRACT FROM AUTHOR]

Background: Intracranial space is divided into three compartments by the falx cerebri and tentorium cerebelli. We assessed whether cerebrospinal fluid (CSF) distribution evaluated by a specifically developed deep-learning neural network (DLNN) could assist in quantifying mass effect. Methods: Head trauma CT scans from a high-volume emergency department between 2018 and 2020 were retrospectively analyzed. Manual segmentations of intracranial compartments and CSF served as the ground truth to develop a DLNN model to automate the segmentation process. Dice Similarity Coefficient (DSC) was used to evaluate the segmentation performance. Supratentorial CSF Ratio was calculated by dividing the volume of CSF on the side with reduced CSF reserve by the volume of CSF on the opposite side. Results: Two hundred and seventy-four patients (mean age, 61 years ± 18.6) after traumatic brain injury (TBI) who had an emergency head CT scan were included. The average DSC for training and validation datasets were respectively: 0.782 and 0.765. Lower DSC were observed in the segmentation of CSF, respectively 0.589, 0.615, and 0.572 for the right supratentorial, left supratentorial, and infratentorial CSF regions in the training dataset, and slightly lower values in the validation dataset, respectively 0.567, 0.574, and 0.556. Twenty-two patients (8%) had midline shift exceeding 5 mm, and 24 (8.8%) presented with high/mixed density lesion exceeding >25 ml. Fifty-five patients (20.1%) exhibited mass effect requiring neurosurgical treatment. They had lower supratentorial CSF volume and lower Supratentorial CSF Ratio (both p < 0.001). A Supratentorial CSF Ratio below 60% had a sensitivity of 74.5% and specificity of 87.7% (AUC 0.88, 95%CI 0.82-0.94) in identifying patients that require neurosurgical treatment for mass effect. On the other hand, patients with CSF constituting 10-20% of the intracranial space, with 80-90% of CSF specifically in the supratentorial compartment, and whose Supratentorial CSF Ratio exceeded 80% had minimal risk. Conclusion: CSF distribution may be presented as quantifiable ratios that help to predict surgery in patients after TBI. Automated segmentation of intracranial compartments using the DLNN model demonstrates a potential of artificial intelligence in quantifying mass effect. Further validation of the described method is necessary to confirm its efficacy in triaging patients and identifying those who require neurosurgical treatment. [ABSTRACT FROM AUTHOR]

Dispersal is more intense in the ocean than on land because most marine taxa present planktonic life stages that are transported by currents even without specific morphological traits. Thus, species dispersal shapes the distribution of biodiversity along seascapes and drives the composition of biodiversity assemblages. To identify marine assembling zones which characterise spatial areas particularly prone to receive and retain similar animal assemblages from the regional pool of species through passive dispersal, we propose a community‐based approach grounded on Lagrangian simulations of plankton dispersal. This novel approach was applied to communities (coast, outer shelf, slope, seamounts and islands; 0–80 m depth) of the Tropical Southwestern Atlantic and used to assess connectivity pathways. For that, we classified the modelled particles in 15 categories according to biological traits (planktonic life duration and spawning habitat) of representative planktonic communities. From the hierarchical clustering of the multivariate matrix containing the amount of arriving particles from each category in each cell we defined 14 assembling zones. Results highlighted that the assembling zones were mostly shaped by the degree of exposure to currents and the presence of mesoscale features (eddies, recirculation) derived from the interaction between these currents and coastlines. The boundaries, dispersal and connectivity patterns of these zones consistently align with local and regional in situ spatial distribution and abundance patterns of organisms, and provide an appropriate basis for the formulation of ecological hypotheses in the metacommunity framework to be tested in situ, such as the balance between species sorting and mass effect assembling archetypes. This approach, when coupled with the knowledge of other processes shaping communities' structure and distribution, provides important insights for regions and animal groups for which knowledge is limited or absent, and more generally allows for a comprehensive overview of the distribution of distinct communities and connectivity pathways along marine environments. [ABSTRACT FROM AUTHOR]

Background and Objectives: Giant bullae rupture easily and cause tension pneumothorax, which can cause problems during general anesthesia. However, the hemodynamic instability that can occur due to the mass effect of an unruptured giant bulla should not be overlooked. Case report: A 43-year-old male patient visited the emergency room with an abdominal wound. There was a giant emphysematous bulla in the left lung. Emergency surgery was decided upon because there was active bleeding according to abdominal CT. After tracheal intubation, the patient's blood pressure and pulse rate dramatically decreased. His blood pressure did not recover despite the use of vasopressors and discontinuation of positive pressure ventilation applied to the lungs. Thus, a bullectomy was immediately performed. The patient's blood pressure and pulse rate were normalized after the bullectomy. Conclusions: If emergency surgery under general anesthesia is required in a patient with a giant emphysematous bulla, it is safe to minimize positive pressure ventilation and remove the giant emphysematous bulla as soon as possible before proceeding with the remainder of the surgery. Tension pneumothorax due to the rupturing of a bulla should be considered first. However, hemodynamic changes might occur due to the mass effect caused by a giant bulla. [ABSTRACT FROM AUTHOR]

Dispersal is a main determinant of community assembly. Landscape configurations of rivers, lakes, or ponds are often independently considered in this framework. However, these systems share species conforming to a waterscape with different environments coupled by dispersal. While empirical results support a main role of this coupling on biodiversity organization, it is difficult to assess its importance at large geographic scales. Using a theoretical approach, we quantified the potential role of dispersal through different freshwater ecosystems of the United Kingdom and Ireland on biogeographic diversity patterns. We implemented a coalescent model considering 11,131 communities connected by distance-dependent dispersal and with species that have different performances for recruitment in three different aquatic habitats. Biogeographic diversity patterns were estimated for each habitat alone or for the whole waterscape combining ephemeral, temporal, and permanent waters. The results indicated that the coupling between different types of environments fostered local diversity, in a magnitude that increased from the ephemeral to permanent waters and from poorer to richer communities. Furthermore, a strong spatial structure in the potential effect of dispersal among different freshwater environments was observed, indicating that freshwater biogeography was likely determined by the connection among freshwater ecosystems to a larger extent than previously thought. [ABSTRACT FROM AUTHOR]

Ewing's sarcoma/peripheral primitive neuroectodermal tumor (ES/pPNET) belongs to the family of malignant small and blue round cell tumors. It usually occurs in children and young adults with 3/4th of the cases arising from bone and 1/4 from soft tissue. Here, we present two cases of intracranial ES/pPNET who presented with mass effect. Management consists of surgical excision followed by adjuvant chemotherapy. Intracranial ES/pPNETs are highly aggressive and rare malignancies, reported to comprise of 0.03% of all intracranial tumors. The most common genetic aberration associated with ES/pPNET is chromosomal translocation t (11,12) (q24;q12). Patients with intracranial ES/pPNETs may present in acute or delayed manner. The presenting symptoms and signs depend on the location of the tumor. Intracranial pPNET although slow growing, they are highly vascular and may present as neurosurgical emergencies due to mass effect. We have presented the acute presentation of this tumor and its management. [ABSTRACT FROM AUTHOR]

Copyright of Acta Medica Medianae is the property of Acta Medica Medianae and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Reintroduction of grazing to counteract insect decline will lead to an increase of semi-open habitats. Semi-open habitats are highly heterogeneous, consisting of a mosaic of patches of trees or shrubs embedded in a matrix dominated by dwarf shrubs or grasses. Despite a lack of evidence, structural heterogeneity is expected to allow many species to co-occur, making semi-open habitats appear highly valuable for invertebrate conservation. We studied ground beetles in eight sites in two landscapes of Central Europe each encompassing semi-open, open, and forest habitats. Rapid response to environmental change and limited dispersal abilities make ground beetles an excellent model taxon to evaluate the effectiveness of such conservations measures. In both studied landscapes, ground beetle assemblages in semi-open habitats tended to be distinct and intermediate between those from the forest and open habitats. Species richness and functional diversity in semi-open habitats were similar to open habitats at site level. The majority of species entered the semi-open habitats, except for most threatened species, yet, few species were exclusively associated with semi-open habitats. We conclude that the continuous presence of many species in semi-open habitats likely results from mass effects rather than habitat heterogeneity per se. Our findings underline the conservation value of the existing forest, heathland, and grassland habitats over semi-open habitats which can, however, function as dispersal habitats and increase landscape connectivity. Strategies aiming at promoting semi-open habitats to counteract insect decline should target enhancing connectivity rather than the creation of habitats only. [ABSTRACT FROM AUTHOR]

Comparing spatio-temporal patterns between planktonic and benthic algae is helpful for understanding their associations and differences. However, such studies are still rare especially in large rivers. We used a dataset collected in the upper reach of the Jinsha River in different seasons to explore biodiversity and assembly processes of planktonic and benthic diatom assemblages. We found that planktonic and benthic diatoms presented different seasonal variation in species richness and community compositions. We also found evidence that planktonic and benthic diatoms were coupled in the summer. Planktonic diatom assemblages were mainly affected by spatial processes via directional spatial dispersal, especially in the summer. By comparison, benthic diatom assemblages were more affected by environmental processes. Our findings suggest that mass effect and species sorting paradigms explain the assembly processes of planktonic and benthic diatom assemblages, respectively, but the explanatory powers of these two paradigms vary seasonally. To effectively monitor and assess ecological conditions of large rivers, we recommend using benthic algae as a biotic indicator group as they had stronger correlations with environmental factors. [ABSTRACT FROM AUTHOR]

Simple Summary: A growing high-grade glioma exerts a local pressure on its surroundings, resulting in a tissue displacement known as the gross mass effect that is considered a major cause of acute neurological symptoms in patients with brain cancer. Mass effects are usually manifested when significant deformations caused by the tumor growth are observed radiologically or clinically; however, minor deformations in peritumoral tissue could provide early evidence of processes related to tumor relapse and recurrence. In this study, we propose an automated method to quantify the subtle deformations that occur in the peritumoral region. We also propose four biomarkers for differentiating where peritumoral displacements translate into compression. Biomarkers quantifying peritumoral compression were found to be associated with patient progression and prognosis and demonstrated the ability to stratify patients between long-time and short-time survivors. We conclude that compression biomarkers can be key to early treatment assessment during follow-up. The compression of peritumoral healthy tissue in brain tumor patients is considered a major cause of the life-threatening neurologic symptoms. Although significant deformations caused by the tumor growth can be observed radiologically, the quantification of minor tissue deformations have not been widely investigated. In this study, we propose a method to quantify subtle peritumoral deformations. A total of 127 MRI longitudinal studies from 23 patients with high-grade glioma were included. We estimate longitudinal displacement fields based on a symmetric normalization algorithm and we propose four biomarkers. We assess the interpatient and intrapatient association between proposed biomarkers and the survival based on Cox analyses, and the potential of the biomarkers to stratify patients according to their survival based on Kaplan–Meier analysis. Biomarkers show a significant intrapatient association with survival (p < 0.05); however, only compression biomarkers show the ability to stratify patients between those with higher and lower overall survival (AUC = 0.83, HR = 6.30, p < 0.05 for CompCH). The compression biomarkers present three times higher Hazard Ratios than those representing only displacement. Our study provides a robust and automated method for quantifying and delineating compression in the peritumoral area. Based on the proposed methodology, we found an association between lower compression in the peritumoral area and good prognosis in high-grade glial tumors. [ABSTRACT FROM AUTHOR]

Understanding how and why fish species composition varies between locations through beta‐diversity has received increased interest recently. The physical structure, extension and environmental characteristics along the river basins influence the dispersal of organisms, which ultimately affects metacommunity dynamics and biodiversity patterns. Here, we aimed to identify major breaks delimiting fish assemblages in a large dam‐free river basin on its main channel, which is almost pristine in hidrology, and to evaluate the influence of geo‐climatic variables in the observed beta‐diversity patterns. We used the statistical techniques Species Composition Interpolation (SCI) and Generalized Dissimilarity Modeling (GDM) to analyse beta‐diversity patterns based on georeferenced fish records from the Ivaí River basin. Ichthyofauna units were delimited, estimating the association between geo‐climatic predictors and beta‐diversity. We identified three major breaks delimiting fish assemblages in the Ivaí River basin (i.e. the upper, middle and lower sections). The fish communities were very distinct at the upper and lower sections, while the middle section was recovered as less differentiated. Turnover was the main component contributing to total beta‐diversity, and dissimilarity in fish species composition was moderately associated with geo‐climatic variables. Fish communities from the Ivaí River basin must be associated with niche‐based processes, and we hypothesize that dispersal processes can be equally significant at the basin scale. The investigations may produce insights on strategies for conservation and restoration of degraded rivers, contributing to the long‐term maintenance of fish communities and to the delimitation of new strategic areas for the effective conservation of freshwater biodiversity. [ABSTRACT FROM AUTHOR]

The mechanisms of brain injury after intracerebral hemorrhage (ICH) involve mass effect‐induced primary injury and secondary injury caused by a pathologic response to the hematoma. Considerable attentions have recently been paid to the mechanisms and therapeutic strategy for secondary brain injury due to no overall benefit from early surgery compared with initial conservative treatment. However, it is unclear whether there is a causal relationship between mass effect and secondary brain injury. Here, the role of mass effect on early erythrolysis after experimental ICH was investigated based on the poly(N‐isopropylacrylamide) (PNIPAM) ICH model. Autologous blood and PNIPAM hydrogel were co‐injected into the right basal ganglia of rats to induce different degrees of mass effect, but with a constant hematoma. The influences of different mass effect and time courses on erythrolysis and brain damages after ICH were investigated. Furthermore, the protective effect of trehalose against erythrolysis after ICH was evaluated. The results showed that mass effect caused erythrocyte morphological change at 24 hr after ICH. The released hemoglobin was quantitatively evaluated by a polynomial concerning with the mass effect, the volume of hematoma, and the time of ICH. An obvious increase in heme oxygenase‐1 (HO‐1) and ionized calcium binding adaptor molecule‐1 (Iba‐1) expression, iron deposition, cell death, and neurological deficits was observed with increasing mass effect. Moreover, trehalose alleviated brain injury by inhibiting erythrolysis after ICH. These data demonstrated that mass effect accelerated the erythrolysis and brain damages after ICH, which could be relieved through trehalose therapy. [ABSTRACT FROM AUTHOR]

Background: Many pancreatic pseudocysts spontaneously resolve, but larger or symptomatic pseudocysts may require procedural management. Though endoscopic ultrasound guided approaches are standard of care and have high success rates, complications can include bleeding, infection, and splenic perforation. This patient case report details an unusual series of complications of endoscopic cystogastrostomy that should encourage clinicians to evaluate for anatomic disruptions caused by mass effects of pancreatic pseudocysts prior to endoscopic pseudocyst drainage.Case Presentation: A 53-year-old African American male with a past medical history notable for alcohol use disorder, chronic pancreatitis, and insulin dependent diabetes presented with a 4-day history of left upper quadrant abdominal pain. Computed tomography imaging with contrast revealed enlargement of a known pancreatic pseudocyst to 15.9 × 10.4 cm. Due to pseudocyst size and the patient's symptoms, endoscopic cystogastrostomy stent placement was performed. However, postprocedurally, he developed leukocytosis to 19,800 cells/m3 (from 14,100 cells/m3 preoperatively) as well as acute hypoxemic respiratory failure with a large left pleural effusion. Postprocedural computed tomography with contrast demonstrated a new large subcapsular splenic hematoma in communication with a new subdiaphragmatic fluid collection. Due to suspicion of endoscopic procedural complication, he underwent open laparotomy which revealed grade 4 splenic laceration, septic splenic hematoma, and a subdiaphragmatic abscess.Conclusions: While endoscopic drainage of pancreatic pseudocyst was technically successful, this case demonstrates complications from mass effect of a large pancreatic pseudocyst which putatively tore the splenorenal ligament, leading to excessive separation of the left kidney and spleen. If anatomic disruptions caused by mass effect from a pancreatic pseudocyst are recognized through preprocedural abdominal imaging, such cases may be considered for early open repair versus cystogastrostomy. [ABSTRACT FROM AUTHOR]

An 84-year-old male with previously documented poor medical follow-up presented with progressive painless proptosis of the right eye. Right upper eyelid ptosis, limited motility, proptosis, and inferomedial displacement of the right globe were noted on the exam. Computed tomography (CT) imaging revealed a right retrobulbar extraconal heterogenous mass with ill-defined borders. Biopsy revealed a malignant adenocarcinoma with tumor markers suggestive of a colorectal primary. A rectal mass was identified during a systemic workup. After biopsy, the patient was diagnosed with stage IV metastatic rectal adenocarcinoma. He began palliative radiation therapy shortly following diagnosis. [ABSTRACT FROM AUTHOR]

The composition of communities of fruit‐feeding butterflies in the Brazilian Atlantic forest changes in response to landscape fragmentation and can be used as an indicator of habitat quality. Landscape fragmentation, aridity, and early signs of global warming at the northernmost distribution of this biome may impose extra challenges for species persistence.We aim to clarify the drivers of fruit‐feeding butterflies' metacommunity structure in the northernmost portion of the Brazilian Atlantic Forest. We propose to disentangle consequences of habitat loss from fragmentation per se by using both habitat amount and patch scale metrics.We sampled fruit‐feeding butterflies in 15 forest fragments of up to ~30 ha during 1 year. We used fragment size, shape, distance to nearest perennial stream, Euclidean distance to nearest neighbour, forest habitat amount, proximity index, and the percentage of sugarcane within a buffer to elucidate patterns of species richness, abundance, and beta diversity.A configuration metric, stream distance, was the only variable predicting metacommunity total abundance and richness: fragments farther from water had fewer species and individuals. However, forest habitat amount and sugar cane were important to rarefied richness and species replacement between fragments.Our findings suggest that streams and associated riparian zones provide source populations for the butterfly metacommunities in this landscape, which fits the mass effect model. We also emphasise that small forest patches have high conservation value for persistence of butterfly populations, because each fragment preserves a substantial portion of the total species pool. [ABSTRACT FROM AUTHOR]

Copyright of Neurosurgery & Neurology of Kazakhstan is the property of National Centre for Neurosurgery JSC and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The impact of midline shift (MLS) on long-term survival and progression in glioblastoma (GBM) is unknown. The objective of this study was to analyze the influence of mass effect on survival and progression with consideration of the patient demographics, tumor morphology, operative techniques, molecular pathology, and postoperative treatment. One hundred ninety-eight patients with GBM were analyzed retrospectively. Both MLS groups (< or ≥ 10 mm) were compared with regard to survival, progression-free survival (PFS), and postoperative course of Karnofsky Performance Status (KPS). A two-sided Fisher exact test showed no statistically significant differences in the confounders between the low- and high-MLS groups. The median survival was 18.0 months (95% confidence interval (CI) = 15.3–20.7) in the low-MLS group (n = 173) and 9.0 months (95% CI = 4.8–13.2) in the high-MLS group (n = 25) (p = 0.045). In the high-MLS group, 59.1% (13/22) with an initially high MLS had a KPS of less than 70% after 3 months, whereas 20.5% of the low-MLS group had a KPS of less than 70% (p < 0.001). Binary logistic regression analysis including the O-6-methylguanine-DNA methyltransferase (MGMT) status, extent of resection, baseline KPS, and MIB-I index showed low MLS as the only predictor for survival at 12 months (p = 0.046, odds ratio (OR) = 2.70, 95% CI = 1.0–7.2). Median PFS was 6.0 months in the high-MLS group and 9.0 months in the low-MLS group (log-rank test; p = 0.08). An initial midline shift of 10 mm or greater seems to be an imaging characteristic that independently predicts the survival in glioblastoma. [ABSTRACT FROM AUTHOR]

Elevation is involved in determining plant diversity in montane ecosystems. This study examined whether the distribution of plants in the Yatsugatake Mountains, central Japan, substantiated hypotheses associated with an elevational diversity gradient. Species richness of trees, shrubs, herbs, ferns, and bryophytes was investigated in study plots established at 200‐m elevational intervals from 1,800 to 2,800 m. The changes in plant diversity (alpha and beta diversities, plant functional types, and elevational ranges) with elevation were analyzed in relation to climatic factors and elevational diversity gradient hypotheses, that is, mass effect, mid‐domain effect, and Rapoport's elevational rule. In addition, the elevational patterns of dominance of plant functional types were also analyzed. A comparison of alpha and beta diversities revealed that different plant groups responded variably to elevation; the alpha diversity of trees and ferns decreased, that of herbs increased, whereas the alpha diversity of shrubs and bryophytes showed a U‐shaped relationship and a hump‐shaped pattern. The beta diversity of shrubs, herbs, and bryophytes increased above the subalpine–alpine ecotone. In accordance with these changes, the dominance of evergreen shrubs and graminoids increased above this ecotone, whereas that of evergreen trees and liverworts decreased. None of the plant groups showed a wide elevational range at higher elevations. These elevational patterns of plant groups were explained by climatic factors, and not by elevational diversity gradient hypotheses. Of note, the changes in the dominance of plant groups with elevation can be attributed to plant–plant interactions via competition for light and the changes in physical habitat. These interactions could alter the elevational diversity gradient shaped by climatic factors. [ABSTRACT FROM AUTHOR]

The paper offers a reading of Mass Effect: Andromeda (BioWare, 2017) vis-à-vis lost world romance (also dubbed "lost race romance", or "imperial romance"), a late-Victorian era novelistic genre originating from H. Rider Haggard's King Solomon's Mines and serving as a major tool for British Empire propaganda and a source of early science-fiction conventions. We claim that the narrative failure of this ill-received game stems from its adherence to the rigid principles and forceful themes of the genre and the colonial and imperial imaginary informing it. Our analysis aims at highlighting the way 19th-century novelistic convention can be remediated as contemporary digital games, and to expose the link between the imperial imaginary and the ways in which open-world digital games are structured, on both the narrative and gameplay levels, even when they do not directly refer to the historical colonial legacy. [ABSTRACT FROM AUTHOR]

Demyelinating lesions which present as solitary contrast-enhancing masses pose a diagnostic challenge for both radiologists and surgical neuropathologists and can mimic a number of intracranial space occupying lesions either neoplastic/inflammatory. Herein, a series of seven cases with particular emphasis on histopathological and immunohistochemical characterisation of these lesions was presented. The seven cases of Tumefactive Demyelinating Lesions (TDLs) diagnosed on histopathology include three males and four females with age ranging from 10 to 58 years (median-25 years) chiefly presenting with focal neurological deficits. Radiologically, the lesions were predominantly localised in the temporo-parietal region. Histologically, the lesions were well-demarcated, hypercellular with infiltration by foamy macrophages and reactive astrocytes. In addition, Creutzfeldt astrocytes and granular mitoses were seen. Additional special stains for myelin (Luxol fast blue), demonstrated focal, sharply marginated loss of myelin, and Immunohistochemistry (IHC) with Neurofilament (NF) for axons showed relative preservation of axons in areas of myelin loss. IHC with Glial Fibrillary Acidic Protein (GFAP) highlighted the fibrillary processes of the reactive astrocytes and the cytoplasm of the Creutzfeldt cells. Knowledge of the characteristic features such as welldemarcated lesions with histological characterisation by large number of macrophages, including Creutzfeldt astrocytes, granular mitoses and perivascular inflammation should raise index of suspicion and prompt pathologist to do additional myelin stains and IHC to confirm demyelination and preservation of intact axons thereby, differentiating from neoplasms and other non-neoplastic inflammatory lesions. [ABSTRACT FROM AUTHOR]

Mass effect, allowing species to persist in unfavourable habitats, and dispersal limitation, preventing species from reaching favourable habitats, are the two major dispersal processes. While dispersal limitation can be detected by experimental or modelling techniques, mass effect is more challenging to evaluate, which hampers our ability to disentangle the influence of the environment versus dispersal on species distribution. This is undesirable for biomonitoring programs built on known species–environment relationships.We developed an approach for detection of species influenced by mass effect. We tested it on stream diatoms, a widely used taxonomic group for stream biomonitoring, from four French watersheds. This approach combined (a) an appropriate spatial framework, the asymmetric eigenvector map (AEM), used in species distribution modelling to measure the relative influence of dispersal versus niche processes, (b) an analysis of negative co‐occurrence patterns to separate mass effect from dispersal limitation and (c) a measurement of niche breadths to distinguish between non‐spatially structured generalists and species influenced by mass effect.We propose that species characterized by low negative co‐occurrence values, a high correlation to spatial factors and average to low niche breadths are sensitive to mass effect.Synthesis and applications. We suggest that the sensitivity of species towards mass effect should represent a new ecological trait to be considered for fundamental and applied issues concerning ecology and water quality assessment. Almost all of the species identified here as influenced by mass effect are contributing to the calculation of different diatom‐based indices (e.g. Biological Diatom Index or Specific Pollution‐sensitivity Index) and should be treated with caution when assigning ecological status classes to water bodies. [ABSTRACT FROM AUTHOR]

Biotic and abiotic interactions are important factors that explain community assembly. For example, epiphytic communities are shaped by tree traits that can act as environmental filters, but also by positive and/or negative interactions among coexisting epiphytes on a tree.Here, we studied interactions among three widespread atmospheric bromeliads with overlapping niches (Tillandsia recurvata, T. tricholepis and T. pohliana), using experimental data about facilitation through seed capture, interspecific interaction during seed germination and competition among adult individuals. We aim to understand how species interactions are reflected in the natural coexisting patterns of epiphytes in communities at high and low tree densities.Tillandsia pohliana showed higher facilitation by capturing almost all wind‐dispersing seeds, and had the largest reduction in seed germination in the presence of any adult individual, also presenting a relatively high rate of adult mortality in the presence of other individuals. Our results indicate higher colonisation ability for T. pohliana and distinct strategies of rapid exploitation of T. recurvata and T. tricholepis individuals.In natural communities, the coexistence among atmospheric bromeliads may be hampered by dispersal limitations in wind‐dispersed epiphytes at high tree density conditions, but a negative effect of T. recurvata on T. pohliana is still reflected in their reduced coexistence. However, competitive patterns observed in the experimental data may be overshadowed by a possible mass effect driving large communities under such conditions. Our results show the joint effect of positive interactions and high dispersal levels on the community patterns of atmospheric bromeliads. [ABSTRACT FROM AUTHOR]

Different metacommunity perspectives have been developed to describe the relationship between environmental and spatial factors and their relative roles for local communities. However, only little is known about temporal variation in metacommunities and their underlying drivers. We examined temporal variation in the relative roles of environmental and spatial factors for diatom community composition among brackish-watered rock pools on the Baltic Sea coast over a 3-month period. We used a combination of direct ordination, variation partition, and Mantel tests to investigate the metacommunity patterns. The studied communities housed a mixture of freshwater, brackish, and marine species, with a decreasing share of salinity tolerant species along both temporal and spatial gradients. The community composition was explained by both environmental and spatial variables (especially conductivity and distance from the sea) in each month; the joint effect of these factors was consistently larger than the pure effects of either variable group. Community similarity was related to both environmental and spatial distance between the pools even when the other variable group was controlled for. The relative influence of environmental factors increased with time, accounting for the largest share of the variation in species composition and distance decay of similarity in July. Metacommunity organization in the studied rock pools was probably largely explained by a combination of species sorting and mass effect given the small spatial study scale. The found strong distance decay of community similarity indicates spatially highly heterogeneous diatom communities mainly driven by temporally varying conductivity gradient at the marine-freshwater transition zone. [ABSTRACT FROM AUTHOR]

Background: Mass effect associated with large or giant aneurysms is an intractable problem for traditional endovascular treatments. Preventing recurrence of aneurysms requires dense coiling, which may aggravate the mass effect. However, the flow diverter (FD) is a new device that avoids the need for dense coiling. This study was performed to investigate whether use of FDs with adjunctive coil embolization can relieve the aneurysmal mass effect and to explore the factors that affect the variation of compressional symptoms. Methods: We retrospectively evaluated patients with compressional symptoms caused by unruptured aneurysms who underwent endovascular treatment with an FD with adjunctive coil embolization at our center from January 2015 to December 2017. Imaging follow-up included digital subtraction angiography (DSA) ranging from 11 to 14 months and magnetic resonance imaging (MRI) ranging from 24 to 30 months; the former was used to evaluate the intracavitary volume, and the latter was used to measure the variation of the mass effect. Follow-up physical examinations were performed to observe variations of symptoms. Results: In total, 22 patients with 22 aneurysms were treated by an FD combined with coil embolization. All 22 patients underwent the last clinical follow-up. Regarding compressional symptoms, 12 (54.54%) patients showed improvement, 6 (27.27%) were fully recovered, and 6 (27.27%) showed improvement but with incomplete cranial palsy. However, five (22.72%) patients showed no change, four (18.18%) showed worsening symptoms compared with their preoperative state, and one (4.55%) died of delayed rupture. Seventeen of the 22 patients underwent MRI. Of these 17 patients, the aneurysm shrank in 13 (76.47%) and no significant change occurred in 4 (23.53%). In the multivariate analysis, a short duration from symptom occurrence to treatment (p = 0.03) and younger patient age (p = 0.038) were statistically significant factors benefiting symptom improvement, and shrinkage of the aneurysm was associated with favorable clinical outcomes (p = 0.006). Conclusions: Use of the FD with adjunctive loose coil embolization might help to alleviate the compressional symptoms caused by intracranial aneurysms. Shrinkage of the aneurysm, a short duration of symptoms, and younger patient age might contribute to favorable outcomes of mass effect-related symptoms. [ABSTRACT FROM AUTHOR]

In this article, we present a multispecies reaction–advection–diffusion partial differential equation coupled with linear elasticity for modeling tumor growth. The model aims to capture the phenomenological features of glioblastoma multiforme observed in magnetic resonance imaging (MRI) scans. These include enhancing and necrotic tumor structures, brain edema and the so-called "mass effect", a term-of-art that refers to the deformation of brain tissue due to the presence of the tumor. The multispecies model accounts for proliferating, invasive and necrotic tumor cells as well as a simple model for nutrition consumption and tumor-induced brain edema. The coupling of the model with linear elasticity equations with variable coefficients allows us to capture the mechanical deformations due to the tumor growth on surrounding tissues. We present the overall formulation along with a novel operator-splitting scheme with components that include linearly-implicit preconditioned elliptic solvers, and a semi-Lagrangian method for advection. We also present results showing simulated MRI images which highlight the capability of our method to capture the overall structure of glioblastomas in MRIs. [ABSTRACT FROM AUTHOR]

Radiolabeling of nanobodies with radiometals by chelation has the advantage of being simple, fast and easy to implement in clinical routine. In this study, we validated 68Ga/111In-labeled anti-VCAM-1 nanobodies as potential radiometal-based tracers for molecular imaging of atherosclerosis. Both showed specific targeting of atherosclerotic lesions in ApoE−/− mice. Nevertheless, uptake in lesions and constitutively VCAM-1 expressing organs was lower than previously reported for the 99mTc-labeled analog. We further investigated the impact of different radiolabeling strategies on the in vivo biodistribution of nanobody-based tracers. Comparison of the pharmacokinetics between 68Ga-, 18F-, 111In- and 99mTc-labeled anti-VCAM-1 nanobodies showed highest specific uptake for 99mTc-nanobody at all time-points, followed by the 68Ga-, 111In- and 18F-labeled tracer. No correlation was found with the estimated number of radioisotopes per nanobody, and mimicking specific activity of other radiolabeling methods did not result in an analogous biodistribution. We also demonstrated specificity of the tracer using mice with a VCAM-1 knocked-down phenotype, while showing for the first time the in vivo visualization of a protein knock-down using intrabodies. Conclusively, the chosen radiochemistry does have an important impact on the biodistribution of nanobodies, in particular on the specific targeting, but differences are not purely due to the tracer's specific activity. [ABSTRACT FROM AUTHOR]

We present an efficient numerical method to quantify the spatial variation of glioma growth based on subject-specific medical images using a mechanically-coupled tumor model. The method is illustrated in a murine model of glioma in which we consider the tumor as a growing elastic mass that continuously deforms the surrounding healthy-appearing brain tissue. As an inverse parameter identification problem, we quantify the volumetric growth of glioma and the growth component of deformation by fitting the model predicted cell density to the cell density estimated using the diffusion-weighted magnetic resonance imaging data. Numerically, we developed an adjoint-based approach to solve the optimization problem. Results on a set of experimentally measured, in vivo rat glioma data indicate good agreement between the fitted and measured tumor area and suggest a wide variation of in-plane glioma growth with the growth-induced Jacobian ranging from 1.0 to 6.0. [ABSTRACT FROM AUTHOR]

Background and Purpose: Midline shift determined on magnetic resonance imaging (MRI) or computed tomography (CT) images is a well-validated marker of mass effect after large hemispheric infarction and associated with mortality. In this study, we targeted a population with moderately sized strokes. We compared midline shift to other imaging markers and determined their ability to predict long-term outcome.Methods: MRI scans were studied from the Echoplanar Imaging Thrombolysis Evaluation Trial (EPITHET) cohort. Midline shift, acute stroke lesion volume, lesional swelling volume, change in ipsilateral hemisphere volume, the ratio of ipsilateral to contralateral hemisphere volume, and the reduction in lateral ventricle volume were measured. The relationships of these markers with poor outcome (modified Rankin scale score 3-6 at day 90) were assessed. Receiver-operating characteristic (ROC) curves were generated to compare the performance of each metric.Results: Of the 71 included patients, 59.2% had a poor outcome that was associated with significantly larger values for midline shift, lesional swelling volume, and ratio of hemisphere volumes. Lesional swelling volume, change in hemisphere volume, ratio of hemisphere volumes, and lateral ventricle displacement were each correlated with midline shift (Spearman r = .60, .49, .61, and -.56, respectively; all P < .0001). ROC curve analysis showed that lesional swelling volume (area under the curve [AUC] = .791) predicted poor outcome better than midline shift (AUC = .682). For predicting mortality, ROC curve analysis showed that these three markers were equivalent.Conclusion: The ratio of ipsilateral to contralateral hemisphere volume, baseline lesion volume and lesional swelling volume best predicted poor outcome across a spectrum of stroke sizes. [ABSTRACT FROM AUTHOR]

Abstract: Aim: 1. To disentangle the effects of local environmental conditions and space at multiple scales in order to uncover and explain biogeographical signals in microbial communities of freshwater diatoms. 2. To assess the role of species traits related to dispersal capacities in diatom biogeography. Location: Rivers and streams of Sweden sampled over a total area of 450,000 km2. Methods: We used partial redundancy analyses and variation partitioning coupled with spatial eigenfunctions analyses to separate the effects of environment and space at three different scales on diatoms community structure. As community analyses might give limited insight into species‐specific mechanisms, we also performed species by species variation partitioning and the amount of variance explained by each fraction was related to species cell length and attachment to the substrate. Results: We found a strong effect of environment and space at a large scale suggesting environmental filtering and dispersal limitation over large distances. Additionally, species‐based analyses uncovered an effect of space at fine scale suggesting possible species‐specific mass effect dynamic or species sorting driven by missing environmental factors varying at fine scale. Environmental and spatial effects varied strongly among species, but this variation was not explained by cell length and attachment to the substrate. Main conclusions: Our results confirm the importance of both environment and dispersal‐related processes in controlling diatom community structure and bring new perspectives on the role of dispersal in shaping microbial communities at biogeographical scale. Dispersal being a species‐specific mechanism, species associations are not necessarily conserved from site to site and species‐based approaches can detect different spatial patterns than those derived from traditional community analyses. Contrary to the conclusions of small‐scale analysis of connected metacommunities, interspecific trait variation seems to be of limited importance for long‐distance overland dispersal in diatoms. [ABSTRACT FROM AUTHOR]

Background: Brain metastasis (BM) from colorectal cancer (CRC) is rare with the incidence ranging from 0.6% to 3.2%. There is also an increased incidence of BM with rectal primaries and is consistent with this patient’s presentation. Overall, there is scarce literature on the symptoms of patients who present with CRC BMs. Objectives: We present a case of brain metastasis in colorectal cancer presenting with hypertensive urgency and severe headache. Methods and results: This case highlights that neurological deficits are not necessary for BMs in patients with CRC and summarizes and reviews the associated literature regarding BM in CRC. A 57-year-old female with a past medical history of recently diagnosed stage IV moderately differentiated distal rectal adenocarcinoma with liver and lung metastasis was admitted with the primary complaint of hypertensive urgency, severe headache, intractable nausea and vomiting, and diarrhea. Magnetic resonance imaging brain showed a left cerebellar lesion measuring 3.6 × 3.2 × 2.9 cm, ipsilateral transtentorial herniation, and obliteration of the fourth ventricle. The patient was started on steroids and transferred for an urgent neurosurgical intervention to a tertiary care center. Conclusions: Even though BMs are rare in CRC, clinicians should have a high index of suspicion with complaints like hypertensive urgency, headache, nausea, vomiting, vertigo, and blurring of vision triggering imaging studies to rule out BM. The approach to BM has become increasingly individualized as surgical and radiosurgical therapies have continued to evolve Abbreviations: CRC: Colorectal cancer; BM: Brain metastasis; FOLFOX: Folinic acid, fluorouracil and oxaliplatin; CT: Computed tomography; IV: Intravenous; PO: By mouth; BAER: Brain auditory evoked response hearing testing; SSEP’s: Somatosensory evoked potentials; BMFI: Brain metastasis free interval; WBRT: Whole-brain radiation therapy; SRS: Stereotactic radiosurgery. [ABSTRACT FROM AUTHOR]

Cancer is one of the main causes of mortality and morbidity worldwide. Using a single treatment plan for all of the patients is not efficient due to the biological heterogeneity in the individuals. In order to personalize the therapy plan, tumors behavior in each patient must be understood. For this purpose clinical information of the patients are used. Mathematical modeling has gained significant interest in tumor growth investigations, due to its higher flexibility than the other methods. Mass effect and the reaction terms are the key parameters that are investigated in this paper. This is the first time that the effects of these parameters are considered in brain tumor growth modeling and there are few researches that have used personal medical images in this area. The mathematical models are used for predicting the growth of brain tumors based on personal MRIs and introducing intracellular fraction into the model. Results of the comparisons show that considering the mass effect in the growth model would improve the prediction. Furthermore, it is necessary to define the optimum formulation for reaction term according to patients' medical information, to be used in the personalized model of tumor growth prediction. The represented approach can be used as a basis for personalizing the therapy plan in patients with brain tumors. [ABSTRACT FROM AUTHOR]

We study the strange quark mass effect on the phase diagram of strong interaction and the structure of compact stars with a thermodynamically enhanced perturbative QCD model by matching quark matter onto nuclear matter using the Gibbs conditions. It is found that the mass effect of strange quark matter can obviously stiffen the equation of state of mixed phases and result in more massive hybrid stars (HSs), while that usually lowers the maximum mass of pure quark stars. Given reasonable model parameters, the maximum mass of HSs can reach two times the solar mass and the stars always have mixed-phase core in a considerably wide range of model parameters. [ABSTRACT FROM AUTHOR]

Steel grade AISI 5160, is a cost-effective straight chromium near eutectoid alloy steel used for several applications. The steel is used in thinner sections for application such as automotive leaf spring, knife etc. and in heavier section, the steel is used in applications such as wagon wheels, rails etc. The shallow hardenability of the steel generates a wide range of microstructures that influences the steel properties. The effect of normalizing, oil quenching and tempering was studied in a 140 mm thick round corner square (RCS) bar and 50 mm diameter bars of two different grain sizes. The microstructure evolution and its influence on the mechanical properties have been studied. The thicker 140 mm RCS bar showed pearlite in normalized and oil quenched condition. The pearlite in the oil quenched condition was extremely fine, resulting in superior mechanical properties. The 50 mm diameter bar with coarser grain size gave fully martensitic structure on oil hardening and a similar bar section with finer grain size showed the presence of pearlite in the matrix due to the influence of grain size on the hardenability. The study showed significant changes in microstructure as a function of section size, hardenability and heat treatment conditions. The study enabled proper choice of heat treatment for desired properties. The microstructure of other shallow hardenable near eutectoid steel was expected to show similar effect. [ABSTRACT FROM AUTHOR]

The interaction between the concepts of character attachment, agency, and choice in a video game narrative was investigated using BioWare's Mass Effect trilogy. Posts on a BioWare forum discussing the depiction of their player characters in the ending sequences of Mass Effect 3, the final game in the trilogy, were downloaded and analyzed using thematic analysis. Players demonstrated emotional attachment for the characters and narrative and expected to see the consequences of their choices play out, as in the previous games. Furthermore, players conflated winning the game with achieving a narratively satisfactory ending for the game world and its characters indicating emotional consequences for players that developers should consider when designing games with a high degree of player choice and agency. However, for some players character attachment is incongruous as they described Shepard as "acting out of character," which needs further research. [ABSTRACT FROM AUTHOR]

Evaluation of the relative influences of environmental and spatial processes in structuring aquatic metacommunities is an essential first step for understanding how these factors govern species distributions and affect spatial and temporal variability in community structure. Such variability has many causes and consequences at different scales. In the case of phytoplankton metacommunities, both species sorting and mass effect processes are likely to be important in structuring the patterns of biomass distribution on large spatial scales., We investigated the influences of environmental and spatial components on the phytoplankton community on a large spatial scale, consisting of a reservoirs-river-floodplain lakes gradient in a Neotropical region. Using partial redundancy analysis, we partitioned the relative role of environmental (environmental filters) and spatial (asymmetric eigenvector maps) processes structuring phytoplankton biomass., A clear difference of the limnological conditions was observed between the reservoirs and river-floodplain lakes system. High species richness and higher mean values of phytoplankton biomass were recorded in the floodplain lakes. Variation partitioning demonstrated the importance of both environmental and spatial process in phytoplankton biomass structuring. However, the relative importance of these processes may vary over time., Our results suggest that from a metacommunity perspective, the phytoplankton biomass of upstream reservoirs and a downstream river-floodplain lakes system is determined by environmental conditions (species sorting process), mainly in the floodplain lakes; and by high dispersion rates favoured by the connectivity and unidirectional flow (mass effect process), mainly between the reservoirs and the river. [ABSTRACT FROM AUTHOR]

Triphoridae is a family of marine microgastropods, with hundreds of species described especially from shallow waters, comprising planktotrophic and non-planktotrophic development modes. The present study focusses on an interesting finding of the deep-sea Oceanprof Expedition, conducted in Campos Basin (southeastern Brazil), in which triphorid larvae and a few post-larvae were profusely sampled at the slope, leading us to three main questions: (1) What species of Triphoridae do these larvae belong to? (2) Why were so many triphorid larvae found at the site? and (3) What does the presence of post-larvae mean? We show that all the larvae belong to genera or species present in the Campos Basin continental shelf. Some speculations are made about the great abundance of larvae in the slope, especially to vertical migrations of larvae, and about mesh size, in addition to possible differences of larval ecology between triphorids and the closely related Cerithiopsidae. Two possible explanations are indicated for the presence of post-larvae: mass effect (formation of pseudopopulations) or mid-water metamorphosis (spontaneous metamorphosis at the water column), with the latter being the more likely scenario. Despite being essentially theoretical, the present study aims to develop new insights into the larval ecology of these small gastropods, and to furnish a base for future tests. [ABSTRACT FROM AUTHOR]

Understanding the role of local and spatial factors in the structuring of aquatic communities is a goal in ecology. The hierarchical structure of stream systems provides opportunities to test the hypothesis that fish assemblages that are more isolated in headwaters are structured by local and/or regional variables. Fishes and abiotic data were collected in 18 stream reaches from two hydrographic basins in the Brazilian Atlantic rainforest. The variance of species composition was partitioned into fractions explained by environmental and spatial factors. The pure environmental fraction explained ≈17% of variance and was represented by regional, habitat availability/heterogeneity and perturbation gradient. The pure spatial fraction explained ≈15% of the individual fraction. Environmental data revealed a species sorting process, and the spatial effect might be a result of different dispersal routes that fish performed during the formation of the hydrographic basins, actual land use and water resources management. The importance of maintaining connectivity in these systems was emphasised because it cannot be guaranteed that the dispersion ability of species is still occurring under current land use change. [ABSTRACT FROM AUTHOR]

In this article, the saturation kinetics model that describes chronoamperometric response of PPy(DBS) in our recently published work is extended to study the effect of mass and charge density on the step response of PPy(DBS). The saturation kinetics model is based on a mechanistic approach for charge storage in conducting polymers and leads to the development of structure-dependent input-output relationships to develop a cation concentration sensor. In this article, we demonstrate the use of poles and residues in the saturation kinetics model to deconstruct the chronoamperometric and chronocoulometric response by seperating the contributions from double layer charge accumulation and faradaic ion transport. We show that: (i) the number of redox sites, and therefore the number of ingressing ions at saturation, is directly proportional to the mass of the conducting polymer, (ii) the accessibility of these redox sites associated with ion ingress is inversely proportional to the conducting polymer charge density, (iii) the rate of ion ingress is found to be inversely proportional to mass and charge density, due to the decrease in the driving force per unit redox site and redox site accessibility, respectively. For lower charge densities, the mass has a dominant effect on saturation and rate of ion ingress, with charge density effects becoming apparent as it increases. The saturation charges obtained are consistent with the peak charges during cyclic voltammetry, thus validating the mechanistic interpretations. The findings of this article highlight the trade-offs between charge storage and transport properties for conducting polymer devices. [ABSTRACT FROM AUTHOR]

Temperate grasslands have suffered from severe habitat loss and degradation worldwide. In Russia, vast areas of forest-steppe grasslands have been converted to cropland during Soviet times, whilst remaining grasslands were often intensively grazed. Contrastingly, the collapse of the Soviet Union have resulted in a massive reduction in livestock numbers and cessation of management. Albeit relatively large natural grassland areas remained in the Western Siberian Plain, their present condition is poorly studied. We analysed plant species composition, functional structure and richness of grassland communities and tested for the effect of local factors (management, abiotic site conditions) and landscape factors (patch size, proportion of land cover types) on diversity patterns. Abiotic site conditions, mainly soil moisture and salinity, differentiated distinct community types. Overall, species richness was highest in meadow steppe communities with lower soil moisture and salinity. Grazing intensity and litter accumulation due to cessation of management were significant negative related to species richness and shaped the functional structure. At the landscape scale, diversity in meadow steppe grasslands was higher in forest-grassland mosaics and in small remnants isolated in a matrix of cropland. Our findings highlight that meadow steppes suffered massively under the historical habitat loss and high grazing pressure. Small species-rich remnants are evidence of the former extent of meadow steppe habitats in agricultural landscape, but are likely threatened by an extinction debt. Low intense, irregular mowing maintained species-rich meadow steppe in forest- grassland mosaics, but currently such practices are declining. [ABSTRACT FROM AUTHOR]

Objectives: Focal nodular hyperplasia (FNH) and peritumoral hyperplasia in the liver exhibit increased immunoreactivity for glutamine synthetase (GS). We observed FNH-like changes with map-like GS staining surrounding a metastatic paraganglioma and sought to determine how often such changes occur around primary and metastatic liver lesions.Methods: We performed GS immunohistochemistry in liver cases of 20 metastatic neuroendocrine carcinomas (NECs), 21 metastatic colon carcinomas (CCs), seven hepatocellular carcinomas (HCCs), and six FNHs and assessed lesions for size, degree of fibrosis (scored 1-3), and peritumoral hyperplasia.Results: Most NEC or CC cases had few peritumoral hyperplastic features. Three NECs, two CCs, and one HCC (13%) had patchy GS staining at the periphery of the lesions. One CC case had both histologic and immunohistochemical peritumoral hyperplasia.Conclusions: Peritumoral hyperplasia or FNH-like changes are uncommon findings around primary or metastatic lesions in the liver. GS immunohistochemistry assists in distinguishing true peritumoral hyperplasia from mass effect. [ABSTRACT FROM AUTHOR]

Copyright of Neotropical Ichthyology is the property of Neotropical Ichthyology and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Subdural hematomas (SDHs), though frequently grouped together, can result from a variety of different etiologies, and therefore many different subtypes exist. Moreover, the high incidence of these lesions in the neurocritical care settings behooves practitioners to have a firm grasp on their diagnosis and management. We present here a review of SDHs, with an emphasis on how different subtypes of SDHs differ from one another and with discussion of their medical and surgical management in the neurocritical care setting. In this paper, we discuss considerations for acute, subacute, and chronic SDHs and how presentation and management may change in both the elderly and pediatric populations. We discuss SDHs that arise in the setting of anticoagulation, those that arise in the setting of active cerebrospinal fluid diversion, and those that are recurrent and recalcitrant to initial surgical evacuation. Management steps reviewed include detailed discussion of initial assessment, anticoagulation reversal, seizure prophylaxis, blood pressure management, and indications for intracranial pressure monitoring. Direct surgical management options are reviewed, including open craniotomy, twist-drill, and burr-hole drainage and the usage of subdural drainage systems. SDHs are a common finding in the neurocritical care setting and have a diverse set of presentations. With a better understanding of the fundamental differences between subtypes of SDHs, critical care practitioners can better tailor their management of both the patient's intracranial and multi-systemic pathologies. [ABSTRACT FROM AUTHOR]

An unruptured giant intracranial aneurysm of the internal carotid artery may tend to present with late ocular symptoms. This is the case of a 58-year-old female patient with a giant unruptured aneurysm of the right internal carotid artery. The patient presented with exclusively progressive reduction of visual acuity and visual field defects due to the mass effect of the growing aneurysm. The rupture of the aneurysm occurred before planned treatment. Clinical suspicion and timely recognition as well as prompt treatment play an important role in the final outcome of the management of giant unruptured intracerebral aneurysms. [ABSTRACT FROM AUTHOR]

Background The mechanisms leading to delayed rupture, distal emboli and intraparenchymal hemorrhage in relation to pipeline embolization device (PED) placement remain debatable and poorly understood. The aim of this study was to identify clinical and procedural predictors of these perioperative complications. Methods We conducted a retrospective review of consecutive patients who underwent PED placement. We utilized a non-commercial platelet aggregation method measuring adenosine diphosphate (ADP)% inhibition for evaluation of clopidogrel response. To our knowledge, this is the first study to test ADP in neurovascular procedures. Multivariable regression analysis was used to identify the strongest predictor of three separate outcomes: (1) thrombotic complications, (2) hemorrhagic complications, and (3) aneurysm mass effect exacerbation Results Permanent complication-related morbidity and mortality at 3 months was 6% (3/48). No specific predictors of hemorrhagic complications were identified. In the univariate analysis, the strongest predictors of thrombotic complications were: ADP % inhibition <49 (p = 0.01), aneurysm size (p = 0.04) and fluoroscopy time (p = 0.002). In the final multivariate analysis, among all baseline variables, fluoroscopy time exceeding 52 min was the only factor associated with thrombotic complications (p = 0.007). Aneurysm size ≥18 mm was the single predictor of mass effect exacerbation (p = 0.039). Conclusions Procedural complexity, reflected by fluoroscopy time, is the strongest predictor of thrombotic complications in this study. ADP% inhibition is a reliable method of testing clopidogrel response in neurovascular procedures and values of <50% may predict thrombotic complications. Interval mass effect exacerbation after PED placement may be anticipated in large aneurysms exceeding 18 mm. [ABSTRACT FROM AUTHOR]

Background: Lumbar puncture (LP) rarely results in complications such as spinal hematomas. However, it remains unclear if certain variables increase likelihood of these events, or if surgical intervention improves outcome. Methods: In addition to two clinical vignettes, we evaluated the post1974 literature for cases of spinal hematoma and subsequent intervention. Based on our compilation of data, we evaluated outcome relative to numerous distinct variables. Results: Based on 35 LPrelated spinal hematoma cases in the post1974 literature and our encounters, we found 28.6% of patients presenting with preexisting coagulopathy had poor outcomes regardless of intervention, relative to 14.3% of patients without coagulopathy; a highly significant difference (P = 0.02). Once diagnosed, 21 patients were treated surgically and 14 nonsurgically. Of the 60% surgical patients, 57.1% had good outcomes, and 42.9% had poor outcomes within 12 months. Of 40% nonsurgical patients, 57.1% had good outcomes and 42.9% had poor outcomes. Results in these groups were not statistically different. Conclusions: We found a significant correlation between preexisting coagulopathy and poor neurological outcome irrespective of intervention. However, outcomes for these patients may be confounded by comorbidities including underlying conditions contributing to their coagulopathy. No significant correlation between type of surgical intervention and good outcome was found, possibly attributable to the paucity of details in existing case reports and the difficulty defining the degree of spinal cord compromise from a given lesion. Despite our findings, emergent neurosurgical intervention may be beneficial for the management of complications such as cauda equina syndrome secondary to intrathecal spinal hematoma. [ABSTRACT FROM AUTHOR]

Copyright of Humanities Bulletin of Zaporizhzhe State Engineering Academy / Gumanìtarnij Vìsnik Zaporìzʹkoï Deržavnoï Inženernoï Akademìï is the property of Zaporizhzhe State Engineering Academy and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)