159 research outputs found

    Tricalcium silicate Ca3SiO5 superstructure analysis: a route towards the structure of the M1 polymorph

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    International audienceIn this paper, we present a structural model for the M1 polymorph of tricalcium silicate Ca3SiO5 from Powder X-Ray Diffraction (XRD) data, including weak intensity superstructure Bragg lines. As no single crystal is available, this structural model has been deduced using the structural relationships found between the previously known triclinic and monoclinic M3 polymorphs. We find that the better starting set of atomic positions for Rietveld refinement is the triclinic set and not the monoclinic set. A key observation is that the monoclinic M1 structure is closer to the low temperature triclinic T3 structure (within the Golovastikov model) than to the higher temperature monoclinic M3 structure. The unit cell and the set of atomic positions of the two best models, called 3Pc and 3Pn models, are provided. We prefer the 3Pc model for it better reproduces the weak characteristic Bragg lines of the superstructure

    Brainstem infarction in a patient with internal carotid dissection and persistent trigeminal artery: a case report

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    <p>Abstract</p> <p>Background</p> <p>The primitive trigeminal artery (PTA) is the most commonly described fetal anastomosis between the carotid and vertebrobasilar circulations.</p> <p>Case presentation</p> <p>We report a 42-year-old patient presenting with internal carotid dissection, and imaging features of brainstem infarction.</p> <p>Conclusion</p> <p>Based on the imaging studies we presume occlusive carotid dissection with extensive thrombosis within a persistent trigeminal artery as the cause of this brainstem ischemia.</p

    Long-Term Factors Associated With Falls and Fractures Poststroke

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    Background: Risk factors for poststroke falls and fractures remain poorly understood. This study aimed to evaluate which factors increased risk of these events after stroke. Methods: Data from 7,267 hospitalized stroke patients were acquired from the Norfolk and Norwich University Hospital Stroke Register from 2003–2015. The impacts of multiple patient level and stroke characteristics and comorbidities on post-discharge falls and fractures were assessed. Univariate and multivariable models were constructed, adjusting for multiple confounders, using binary logistic regression for short-term analysis (up to 1-year post-discharge) and Cox-proportional hazard models for longer term analysis (1–3, 3–5, and 0–10 years follow-up). Results: The mean age (SD) was 76.3 ± 12.1 years at baseline. 1,138 (15.7%) participants had an incident fall; and 666 (9.2%) an incident fracture during the 10-year follow-up (total person years = 64,447.99 for falls and 67,726.70 for fractures). Half of the sample population were females (50.6%) and the majority had an ischemic stroke (89.8%). After adjusting for confounders: age, sex, previous history of falls, and atrial fibrillation were associated with an increased risk of both falls and fractures during follow-up. Furthermore, chronic kidney disease and hyperlipidemia were associated with an increased risk of falls, while previous stroke/transient ischemic attack increased fracture risk. Total anterior circulation stroke and a prestroke modified Rankin Scale score of 3–5 were associated with decreased risk of both events, with hypertension and cancer decreasing risk of falls only. Conclusion: We identified demographic, stroke-related, and comorbid factors associated with poststroke falls and fracture incidence. Further studies are required to examine and establish the relationship between reversible factors and further explore the role of preventative measures to prevent poststroke falls and fractures

    Sciatic neuropathy associated with persistent sciatic artery.

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    Persistent sciatic artery is a congenital vascular anomaly of the arterial supply to the lower extremity. Thrombosis, distal embolization, aneurysmal dilatation, and rupture of this vessel with compression of the sciatic nerve have been recorded. Although rare in occurrence, complications of persistent sciatic artery should be included in the differential diagnosis of sciatic neuropathy. We present a case of an acute sciatic neuropathy secondary to pseudoaneurysm formation of a persistent sciatic artery. We demonstrate the diagnostic usefulness of magnetic resonance imaging
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