Wallsmckenna9188
Objectives This study aimed to find the effect of antiplatelet therapy on hematoma volume, rehaemorrhage rate and prognosis of intracerebral hemorrhage patients after surgery. Patients and methods 101 surgically treated intracerebral hemorrhage subjects were included and analyzed retrospectively. Prior antiplatelet therapy was ascertained from the clinical history, and the patients included were divided into two groups antiplatelet therapy and no antiplatelet therapy group. The in-hospital and follow-up outcomes were assessed with the Modified Rankin Scale and were compared between the 2 groups after 12 propensity score matching. Results Before the diagnosis of intracerebral hemorrhage, 21.8 % patients were not on antiplatelet therapy. Antiplatelet therapy group had larger hematoma volume (99.32 mL versus 73.75 mL) with no significant difference (P = 0.308). After propensity score matching, 42 patients were obtained. 4(9.5 %) had rehaemorrhage after surgery, and antiplatelet therapy was not related to higher rehaemorrhage rate (P = 0.628). After follow-up, the overall mortality was 29.3 %, and 22 patients (53.7 %) ended up with severe morbidity. In the multivariate regression, plasma fibrinogen was an independent predictor of both in-hospital and follow-up overall mortality (P = 0.044; P = 0.016), and prior antiplatelet therapy was found to predict better follow-up functional outcome independently (P = 0.032). Conclusion Among surgically treated intracerebral hemorrhage patients, prior antiplatelet therapy did not increase hematoma volume, rehaemorrhage rate and mortality, and was related to lower follow-up severe morbidity independently.Objectives Malignant high-grade gliomas are the most common and aggressive type of primary brain tumor. We aimed to evaluate the prognostic value of modified Glasgow Prognostic Score (mGPS), which is combination of C-reactive protein (CRP) and albumin, in recurrent high-grade glioma patients treated with systemic treatment. Patients and methods Data of 85 patients with recurrent high-grade glioma who received systemic treatment and followed in our clinic between 2012 and 2018 was retrospectively collected and analyzed. Patients were grouped according to mGPS criteria mGPS-0 CRP 10 mg/L and albumin less then 3.5 mg/L. selleck chemicals We investigated the prognostic role of mGPS groups, mutations and survival outcomes. Results There were 42 (49.4 %), 25 (29.6 %), and 18 (21 %) patients in mGPS-0, mGPS-1, and mGPS-2 groups, respectively. Median follow-up duration was 10 months (1-70 months). Median OS was 8.1 months. According to mGPS-0, -1 and -2; median OS was 13.8 months, 7.3 months and 3.6 months respectively (p = 0.003). mGPS, ATRX and IDH-1 mutation status, and ECOG PS were found to be independent prognostic factors for OS. Conclusion In our study, mGPS was found to be an independent prognostic factor in patients with recurrent high-grade gliomas. If validated, mGPS can be used as an objective, easily calculated, cheap, and readily available prognostic model in routine practice.Structural health monitoring techniques (SHM) for material damage identification have demonstrated higher sensitivity and accuracy when relying on the assessment of nonlinear features exhibited in the material response under ultrasonic wave propagation. In this paper, a novel nonlinear ultrasonic SHM method is introduced for localisation of impact damage in composite laminates using an array of surface-bonded sensors. Unlike existing algorithms, this method enables quick selection of a suitable signal transmission frequency based on the combined sensor-material response, it does not rely on baseline data or complex measurements of signal arrival time, and it allows identification of malfunctioning sensors to minimise damage localisation errors. The proposed technique is based on the transmission and reception of ultrasonic waves through the inspected panel. Initially, the functionality of the transducers is inspected by comparing the signal amplitude in both directions of sensor-to-sensor paths. Then a planar map of material nonlinearity parameter β is created, and the damage position is defined as the point of highest β amplitude. Experimental tests on three CFRP panels confirmed successful positioning of barely visible impact damage (BVID) within a range of 4-22 mm. Sensor functionality check was demonstrated on one of the composite laminates, and a malfunctioning transducer was detected. The results suggested that the presented method could be considered an improved alternative to existing SHM techniques for localisation of BVID in composite panels.Laser-induced breakdown spectroscopy assisted by laser-induced fluorescence (LIBS-LIF) was applied to determine lead (Pb) in rhododendron leaves. Rhododendron leaves are essential types of herbal materials. Rapid detection of lead in rhododendron leaves is urgent for drug monitoring. In this paper, the powder method and solid-liquid-solid transformation (SLST) method were employed as sample preparation. The results showed that the signal of the Pb I 405.78 nm line was substantially enhanced. For samples A, B and C, the LoD values of 0.054 mg/kg, 0.059 mg/kg, 0.062 mg/kg were achieved with R2 values of 0.997, 0.996, 0.997 via the SLST approach, whose sensitivity and accuracy was slightly higher compared to the powder method. The RMSECV values of both methods were minimal, ranging from 0.538 to 2.117 mg/kg. Lead content detected by LIBS-LIF in the three samples was between 1.5 and 2.8 mg/kg. The results of lead were validated by inductively coupled plasma optical emission spectrometry (ICP-OES). This research provided us with new technology for the rapid and accurate determination of Pb element in rhododendron leaves.Location of river-groundwater exchange zones and biodiversity hotspot is essential for a river management plan, especially for Mediterranean karstic rivers. This location is often difficult and time-consuming when long river sectors are considered. We studied a 13 km-long sector of the Cèze River (Southern France) located in a karstic canyon. We compared five indicators of river-groundwater exchanges longitudinal profiles of temperature, electrical conductivity and 222Rn concentrations in the surface water of the river, chemical characteristics of the hyporheic water and hyporheic biodiversity. Upwelling zones occurred downstream of geomorphological heterogeneities (here at the tail of gravel bars). Surface water chemistry, especially electrical conductivity and 222Rn concentrations, clearly traces large scale gaining sections, which were not associated to valley narrowing but with lateral springs, suggesting a crucial role of the geological structuration of the karstic plateau of Méjanne-le-Clap. Hyporheic water chemistry fits with the large-scale hydrological pattern, but with a high variability corresponding to local heterogeneities. The stygobite fauna (obligate groundwater organisms) and benthic EPTC (Ephemeroptera, Plecoptera, Trichoptera and Coleoptera) occurred preferentially in the gaining sections fed by groundwater, likely because of oligotrophic water and cooler temperature. The spatial distribution of river-groundwater exchange zone and hyporheic biodiversity may be thus predicted using changes in surface water chemistry, especially for electrical conductivity and 222Rn concentrations.The neonicotinoid insecticide acetamiprid is applied widely for pest control in agriculture production. However, little is known about the effects of acetamiprid on the foraging behavior of nontarget pollinators. This study aims to investigate effects of sublethal acetamiprid doses on lifespans and foraging behaviors of honey bees (Apis mellifera L.) under natural swarm conditions. Newly emerged worker bees of each treatment received a drop of 1.5 μL acetamiprid solution (containing 0, 0.5, 1, and 2 μg/bee acetamiprid, diluted by water) on the thorax respectively. Bees from 2-day-old to deadline were monitored on foraging behaviors involving the age of bee for first foraging flights, rotating day-off status and the number of foraging flights using the radio frequency identification (RFID) system. We found that acetamiprid at 2 μg/bee significantly reduced the lifespan, induced precocious foraging activity, influenced the rotating day-off status and decreased foraging flights of worker bees. The abnormal behaviors of worker bees may be associated with a decline in lifespan. This work may provide a new perspective into the neonicotinoids that accelerate the colony failure.Europe's largest copper ore tailings impoundment has been considered a potential source of risk for human health, thus leading to the elimination of agricultural production in the surrounding area and its subsequent afforestation. The aim of this study was to analyse the level, spatial distribution and temporal changes in soil and edible plant contamination with trace elements around the impoundment, taking into account the local soil properties. The mean concentrations of Zn, Pb and As (31.5, 19.3 and 3.9 mg kg-1, respectively) were found to be higher than median values in soils of Poland, but they do not indicate soil pollution or enrichment when assessed using the relative geochemical index (Igeo) and enrichment factor (EF). The Cu concentration (mean 25.6 mg kg-1) was significantly higher than the median value for Polish soils, indicating moderate to high pollution/enrichment. A relationship between Cu concentration in topsoil and distance to the impoundment, in particular in its eastern forefield, indicates that this landfill site may be considered the source of soil contamination with Cu. However, both the mean and maximum concentrations of all elements under study, including Cu, were below the legal intervention levels. Long-term topsoil monitoring, although high data variability on permanent plots, has documented stable concentration or slow decrease of element concentration over a period 1995-2016. Cu and Zn concentrations in vegetables from home gardens do not differ from typical values in commercially available products, whereas higher than typical concentrations of Pb and As may result from other local sources of contamination. Low level and stable soil and plant contamination with trace metals justifies continuation of crop production and no need for the further conversion of arable lands into forests. The relatively little negative impact of the tailings impoundment, despite its large dimensions, results probably from implemented effective anti-emission measures.Perfluorooctane sulfonate (PFOS) is a synthetic substance with a great number of applications. However, it persists in the environment and is potentially toxic to organisms. Although China has been the main manufacturer and consumer for PFOS, the national pollution level and potential risk of this chemical are yet to be determined. This study aimed to provide an overview of PFOS contamination in surface and drinking water across China and to assess the potential ecological and health risks. Available monitoring data for PFOS in surface and drinking water were evaluated. PFOS was found to be ubiquitous in China, but the overall level of contamination was low compared with that in other countries. The southeast coastal area of China, with major PFOS-related companies, was characterized by relatively high PFOS exposure concentrations. The most sensitive effects was screened and applied to assess the ecological risk using the joint probability curve method. The probability of exceeding the growth and development toxicity for 5% of aquatic species was 0.