Induced seismicity during the construction of the Gotthard Base Tunnel, Switzerland: hypocenter locations and source dimensions

A series of 112 earthquakes was recorded between October 2005 and August 2007 during the excavation of the MFS Faido, the southernmost access point of the new Gotthard Base Tunnel. Earthquakes were recorded at a dense network of 11 stations, including 2 stations in the tunnel. Local magnitudes computed from Wood-Anderson-filtered horizontal component seismograms ranged from −1.0 to 2.4; the largest earthquake was strongly felt at the surface and caused considerable damage in the tunnel. Hypocenter locations obtained routinely using a regional 3-D P-wave velocity model and a constant Vp/Vs ratio 1.71 were about 2km below the tunnel. The use of seismic velocities calibrated from a shot in the tunnel revealed that routinely obtained hypocenter locations were systematically biased to greater depth and are now relocated to be on the tunnel level. Relocation of the shot using these calibrated velocities yields a location accuracy of 25m in longitude, 70m in latitude, and 250m in focal depth. Double-difference relative relocations of two clusters with highly similar waveforms showed a NW-SE striking trend that is consistent with the strike of mapped faults in the MFS Faido. Source dimensions computed using the quasidynamic model of Madariaga (Bull Seismo Soc Am 66(3):639-666, 1976) range from 50 to 170m. Overlapping source dimensions for earthquakes within the two main clusters suggests that the same fault patch was ruptured repeatedly. The observed seismicity was likely caused by stress redistribution due to the excavation work in the MFS Faid

Longitudinal functional connectivity patterns of the default mode network in healthy older adults

Cross-sectional studies have consistently identified age-associated alterations in default mode network (DMN) functional connectivity (FC). Yet, research on longitudinal trajectories of FC changes of the DMN in healthy aging is less conclusive. For the present study, we used a resting state functional MRI dataset drawn from the Longitudinal Healthy Aging Brain Database Project (LHAB) collected in 5 occasions over a course of 7 years (baseline N = 232, age range: 64-87 y, mean age = 70.85 y). FC strength changes within the DMN and its regions were investigated using a network-based statistical method suitable for the analysis of longitudinal data. The average DMN FC strength remained stable, however, various DMN components showed differential age- and time-related effects. Our results revealed a complex pattern of longitudinal change seen as decreases and increases of FC strength encompassing the majority of DMN regions, while age-related effects were negative and present in select brain areas. These findings testify to the growing importance of longitudinal studies using more sophisticated fine-grained tools needed to highlight the complexity of the functional reorganization of DMN with healthy aging

Associations between white matter hyperintensities, lacunes, entorhinal cortex thickness, declarative memory and leisure activity in cognitively healthy older adults: A 7-year study

INTRODUCTION: Cerebral small vessel disease (cSVD) is a growing epidemic that affects brain health and cognition. Therefore, a more profound understanding of the interplay between cSVD, brain atrophy, and cognition in healthy aging is of great importance. In this study, we examined the association between white matter hyperintensities (WMH) volume, number of lacunes, entorhinal cortex (EC) thickness, and declarative memory in cognitively healthy older adults over a seven-year period, controlling for possible confounding factors. Because there is no cure for cSVD to date, the neuroprotective potential of an active lifestyle has been suggested. Supporting evidence, however, is scarce. Therefore, a second objective of this study is to examine the relationship between leisure activities, cSVD, EC thickness, and declarative memory. METHODS: We used a longitudinal dataset, which consisted of five measurement time points of structural MRI and psychometric cognitive ability and survey data, collected from a sample of healthy older adults (baseline N = 231, age range: 64-87 years, age M = 70.8 years), to investigate associations between cSVD MRI markers, EC thickness and verbal and figural memory performance. Further, we computed physical, social, and cognitive leisure activity scores from survey-based assessments and examined their associations with brain structure and declarative memory. To provide more accurate estimates of the trajectories and cross-domain correlations, we applied latent growth curve models controlling for potential confounders. RESULTS: Less age-related thinning of the right (β = 0.92, p<.05) and left EC (β = 0.82, p<.05) was related to less declarative memory decline; and a thicker EC at baseline predicted less declarative memory loss (β = 0.54, p<.05). Higher baseline levels of physical (β = 0.24, p<.05), and social leisure activity (β = 0.27, p<.01) predicted less thinning of right EC. No relation was found between WMH or lacunes and declarative memory or between leisure activity and declarative memory. Higher education was initially related to more physical activity (β = 0.16, p<.05) and better declarative memory (β = 0.23, p<.001), which, however, declined steeper in participants with higher education (β = -.35, p<.05). Obese participants were less physically (β = -.18, p<.01) and socially active (β = -.13, p<.05) and had thinner left EC (β = -.14, p<.05) at baseline. Antihypertensive medication use (β = -.26, p<.05), and light-to-moderate alcohol consumption (β = -.40, p<.001) were associated with a smaller increase in the number of lacunes whereas a larger increase in the number of lacunes was observed in current smokers (β = 0.30, p<.05). CONCLUSIONS: Our results suggest complex relationships between cSVD MRI markers (total WMH, number of lacunes, right and left EC thickness), declarative memory, and confounding factors such as antihypertensive medication, obesity, and leisure activitiy. Thus, leisure activities and having good cognitive reserve counteracting this neurodegeneration. Several confounding factors seem to contribute to the extent or progression/decline of cSVD, which needs further investigation in the future. Since there is still no cure for cSVD, modifiable confounding factors should be studied more intensively in the future to maintain or promote brain health and thus cognitive abilities in older adults

”Quantarctica": new standalone GIS package for Antarctic research, operation and education using open-source software

第4回極域科学シンポジウム横断セッション：[IP] 極域における多圏融合物理現象11月13日（水）国立極地研究所 ３階 ラウン

Associations of subclinical cerebral small vessel disease and processing speed in non-demented subjects: A 7-year study

Markers of cerebral small vessel disease (CSVD) have previously been associated with age-related cognitive decline. Using longitudinal data of cognitively healthy, older adults (N = 216, mean age at baseline = 70.9 years), we investigated baseline status and change in white matter hyperintensities (WMH) (total, periventricular, deep), normal appearing white matter (NAWM), brain parenchyma volume (BPV) and processing speed over seven years as well as the impact of different covariates by applying latent growth curve (LGC) models. Generally, we revealed a complex pattern of associations between the different CSVD markers. More specifically, we observed that changes of deep WMH (dWMH), as compared to periventricular WMH (pWMH), were more strongly related to the changes of other CSVD markers and also to baseline processing speed performance. Further, the number of lacunes rather than their volume reflected the severity of CSVD. With respect to the studied covariates, we revealed that higher education had a protective effect on subsequent total WMH, pWMH, lacunar number, NAWM volume, and processing speed performance. The indication of antihypertensive drugs was associated with lower lacunar number and volume at baseline and the indication of antihypercholesterolemic drugs came along with higher processing speed performance at baseline. In summary, our results confirm previous findings, and extend them by providing information on true within-person changes, relationships between the different CSVD markers and brain-behavior associations. The moderate to strong associations between changes of the different CSVD markers indicate a common pathological relationship and, thus, support multidimensional treatment strategies

Perioperative Anaesthesiological Management of Malignant Pleural Mesothelioma Patients Undergoing Extrapleural Pneumonectomy (EPP) and Extended Pleurectomy/Decortication ((E)PD)

Introduction: Macroscopic complete resection (MCR) within a multimodality treatment concept offers currently the best survival for malignant pleural mesothelioma patients. The current standardised therapy is within a multimodality approach including (neo-)adjuvant chemotherapy followed by macroscopic complete resection (MCR). However, MCR in form of extrapleural pneumonectomy (EPP) or extended pleurectomy/decortication ((E)PD) is correlated with significant morbidity and mortality if not performed in high volume centres as described previously according to the literature. In addition, there exist no standardised anaesthesiological protocol for this surgical approach according to the literature. Methods: At our institution, diagnosed mesothelioma patients up to an International Mesothelioma Interest Group (IMIG) stage III receive induction chemotherapy followed by either EPP or (E)PD and in certain cases additional adjuvant therapy. In the period 1999-end 2019, 362 patients were intended to be treated and 303 underwent induction chemotherapy followed by MCR. MCR can be achieved either by EPP or (E)PD. Both procedures request a good teamwork between the surgeon and the anaesthesiologist. Conclusion: Although, there has been a shift lately from EPP towards lung sparing procedure (E)PD, both surgical approaches are still performed to date and is a challenging procedure for both, the surgeon as well as the anaesthesiologist. Herewith, we present our institutional perioperative standard operating procedures for the surgical and anaesthesiological management of EPP or (E)PD according to international terms of reference

Influence of atlas-choice on age and time effects in large-scale brain networks in the context of healthy aging

Introduction: There is accumulating cross-sectional evidence of decreased within-network resting-state functional connectivity (RSFC) and increased between-network RSFC when comparing older to younger samples, but results from longitudinal studies with healthy aging samples are sparse and less consistent. Some of the variability might occur due to differences in network definition and the fact that most atlases were trained on young adult samples. Applying these atlases to older cohorts implies the generalizability of network definitions to older individuals. However, because age is linked to a less segregated network architecture, this assumption might not be valid. To account for this, the Atlas55+ (A55) was recently published. The A55 was trained on a sample of people over the age of 55, making the network solutions suitable for studies on the aging process. Here, we want to compare the A55 to the popular Yeo-Krienen atlas to investigate whether and to what extent differences in network definition influence longitudinal changes of RSFC. For this purpose, the following networks were investigated: the occipital network (ON, “visual network”), the pericentral network (PN, “somatomotor network”), the medial frontoparietal network (M-FPN, “default network”), the lateral frontoparietal network (L-FPN, “control network”), and the midcingulo-insular network (M-CIN, “salience network”). Methods: Analyses were performed using longitudinal data from cognitively healthy older adults (N = 228, mean age at baseline = 70.8 years) with five measurement points over 7 years. To define the five networks, we used different variants of the two atlases. The spatial overlap of the networks was quantified using the dice similarity coefficient (DSC). RSFC trajectories within networks were estimated with latent growth curve models. Models of varying complexity were calculated, ranging from a linear model without interindividual variability in intercept and slope to a quadratic model with variability in intercept and slope. In addition, regressions were calculated in the models to explain the potential variance in the latent factors by baseline age, sex, and education. Finally, the regional homogeneity and the silhouette coefficient were computed, and the spin test and Wilcoxon-Mann-Whitney test were used to evaluate how well the atlases fit the data. Results: Median DSC across all comparisons was 0.67 (range: 0.20–0.93). The spatial overlap was higher for primary processing networks in comparison to higher-order networks and for intra-atlas comparisons versus inter-atlas comparisons. Three networks (ON, PN, M-FPN) showed convergent shapes of trajectories (linear vs. quadratic), whereas the other two networks (L-FPN, M-CIN) showed differences in change over time depending on the atlas used. The 95% confidence intervals of the estimated time and age effects overlapped in most cases, so that differences were mainly evident regarding the p-value. The evaluation of the fit of the atlases to the data indicates that the Yeo-Krienen atlas is more suitable for our dataset, although it was not trained on a sample of older individuals. Conclusions: The atlas choice affects the estimated average RSFC in some networks, which highlights the importance of this methodological decision for future studies and calls for careful interpretation of already published results. Ultimately, there is no standard about how to operationalize networks. However, future studies may use and compare multiple atlases to assess the impact of network definition on outcomes. Ideally, the fit of the atlases to the data should be assessed, and heuristics such as “similar age range” or “frequently used” should be avoided when selecting atlases. Further, the validity of the networks should be evaluated by computing their associations with behavioral measures

Environmental sustainability from anesthesia providers’ perspective: a qualitative study

Background The world faces a significant global health threat – climate change, which makes creating more environmentally sustainable healthcare systems necessary. As a resource-intensive specialty, anesthesiology contributes to a substantial fraction of healthcare’s environmental impact. This alarming situation invites us to reconsider the ecological health determinants and calls us to action. Methods We conducted a single-center qualitative study involving an online survey to explore the environmental sustainability from anesthesia providers’ perspectives in a center implementing internal environmentally-sustainable anesthesia guidelines. We asked care providers how they perceive the importance of environmental issues in their work; the adverse effects they see on ecological sustainability in anesthesia practice; what measures they take to make anesthesia more environmentally friendly; what barriers they face in trying to do so; and why they are unable to adopt ecologically friendly practices in some instances. Using a thematic analysis approach, we identified dominating themes in participants’ responses. Results A total of 62 anesthesia providers completed the online survey. 89% of the participants stated that environmental sustainability is essential in their work, and 95% reported that they implement measures to make their practice greener. A conscious choice of anesthetics was identified as the most common step the respondents take to reduce the environmental impact of anesthesia. Waste production and improper waste management was the most frequently mentioned anesthesia-associated threat to the environment. Lacking knowledge/teaching in sustainability themes was recognized as a crucial barrier to achieving ecology goals. Conclusions Sustainable anesthesia initiatives have the potential to both encourage engagement among anesthesia providers and raise awareness of this global issue. These findings inspire opportunities for action in sustainable anesthesia and broaden the capacity to decrease the climate impact of health care

Modeling analysis of ultrasonic attenuation and angular scattering measurements of suspended particles

A combination of two models previously developed by Faran, and Atkinson and Kytömaa (Faran-AK model) was used to calculate the ultrasonic attenuation and the backscattering signal of a suspension of particles. The model of Atkinson and Kytömaa yielded the viscoelastic contributions while the model of Faran yielded the scattering contribution. A comparison with the more fundamental model by Epstein, Carhart, Allegra, and Hawley validated the combination, where the combination used here proved to be computationally less intensive and more stable. The Faran-AK model outputs were also compared with ultrasound measurements of glass beads with two different particle size distributions and varying concentrations. The comparison showed a very reasonable agreement of model and experiment