Pontine infarction with pure motor hemiparesis or hemiplegia: A prospective study

BACKGROUND: The study aimed to prospectively observe the clinical and neuroimaging features of pontine infarction with pure motor hemiparesis (PMH) or hemiplegia at early stage. METHODS: In 118 consecutive selected patients with the first-ever ischemic stroke within 6 hours after onset, fifty of them presented with PMH or hemiplegia and had negative acute computed tomography (CT) scans, then magnetic resonance imaging (MRI) confirmed the corresponding infarcts in pons or cerebrum. The clinical and neuroimaging features of the pontine infarctions were compared with those of cerebral infarctions. RESULTS: The pontine infarction with PMH or hemiplegia accounted for 10.2% (12/118) of all first-ever ischemic stroke patients and 24% (12/50) of the patients with both PMH or hemiplegia and acute negative CT scans. Compared to the patients with cerebral infarction, the patients with pontine infarction had more frequency of diabetes mellitus (50.0% vs 5.3%, P = 0.001), nonvertiginous dizziness at onset (58.3% vs 21.1%, P = 0.036) and a progressive course (33.3% vs 2.6%, P = 0.011). CONCLUSION: The pontine infarction may present as PMH or hemiplegia with more frequency of nonvertiginous dizziness, a progressive course and diabetes mellitus. MRI can confirm the infarct location in the basal pons at early stage after stroke onset

Extending the Propagation Distance of a Silver Nanowire Plasmonic Waveguide with a Dielectric Multilayer Substrate

Chemical synthesized silver nanowires have been proved to be the efficient architecture for Plasmonic waveguides, but the high propagation loss prevents their widely applications. Here, we demonstrate that the propagation distance of the plasmons along the Ag NW can be extended if the Ag NW was placed on a dielectric multilayer substrate containing a photonic band gap, but not placed on a commonly used glass substrate. The propagation distance at 630 nm wavelength can reach 16 um even that the Ag NW is as thin as 90 nm in diameter. Experimental and simulation results further show that the polarization of this propagating plasmon mode was nearly parallel to the surface of the dielectric multilayer, so it was excited by a transverse-electric polarized Bloch surface wave propagating along a polymer nanowire with diameter at only about 170 nm on the same dielectric multilayer. Numerical simulations were also carried out and consistent with the experiment results. Our work provides a platform to extend the propagation distance of plasmonic waveguide and also for the integration between photonic and plasmonic waveguides on the nanometre scale.Comment: 5 pages, 4 figure

Diffraction-Free Bloch Surface Waves

In this letter, we demonstrate a novel diffraction-free Bloch surface wave (DF-BSW) sustained on all-dielectric multilayers that does not diffract after being passed through three obstacles or across a single mode fiber. It can propagate in a straight line for distances longer than 110 {\mu}m at a wavelength of 633 nm and could be applied as an in-plane optical virtual probe, both in air and in an aqueous environment. The ability to be used in water, its long diffraction-free distance, and its tolerance to multiple obstacles make this DF-BSW ideal for certain applications in areas such as the biological sciences, where many measurements are made on glass surfaces or for which an aqueous environment is required, and for high-speed interconnections between chips, where low loss is necessary. Specifically, the DF-BSW on the dielectric multilayer can be used to develop novel flow cytometry that is based on the surface wave, but not the free space beam, to detect the surface-bound targets

CD133-Positive Cells Might Be Responsible for Efficient Proliferation of Human Meningioma Cells

Owing to lack of appropriate model systems, investigations of meningioma biology have come to a stop. In this study, we developed a comprehensive digestion method and defined a culture system. Using this method and system, primary meningioma cells in conditioned suspension medium and a hypoxic environment could be amplified in spheres and were passaged for more than ten generations. Meningioma sphere cells were positive for meningioma cell markers and negative for markers of neural cell types. Importantly, we found the cells expressed the stem cell marker, CD133, but not nestin. All of the tumor sphere cell populations showed a slower degree of cell proliferation than that of human glioma cells and fetal neural stem cells (NSCs). Further studies showed that the proliferative rate was positively correlated with CD133 expression. The higher the CD133 expression, the faster the cell proliferation. With the increase in cell generations, the cell proliferation rate gradually slowed down, and CD133 expression also decreased. Single CD133+ cells rather than CD133− cells could form spheres. Thus, the results above indicated that those cells expressing CD133 in spheres might be stem-like cells, which may be responsible for efficient amplification of human meningioma cells. Decreased expression of CD133 may lead to the failure of long-term passaging

One-stop stroke management platform reduces workflow times in patients receiving mechanical thrombectomy

Background and purposeClinical outcome in patients who received thrombectomy treatment is time-dependent. The purpose of this study was to evaluate the efficacy of the one-stop stroke management (OSSM) platform in reducing in-hospital workflow times in patients receiving thrombectomy compared with the traditional model.MethodsThe data of patients who received thrombectomy treatment through the OSSM platform and traditional protocol transshipment pathway were retrospectively analyzed and compared. The treatment-related time interval and the clinical outcome of the two groups were also assessed and compared. The primary efficacy endpoint was the time from door to groin puncture (DPT).ResultsThere were 196 patients in the OSSM group and 210 patients in the control group, in which they were treated by the traditional approach. The mean DPT was significantly shorter in the OSSM group than in the control group (76 vs. 122 min; P < 0.001). The percentages of good clinical outcomes at the 90-day time point of the two groups were comparable (P = 0.110). A total of 121 patients in the OSSM group and 124 patients in the control group arrived at the hospital within 360 min from symptom onset. The mean DPT and time from symptom onset to recanalization (ORT) were significantly shorter in the OSSM group than in the control group. Finally, a higher rate of good functional outcomes was achieved in the OSSM group than in the control group (53.71 vs. 40.32%; P = 0.036).ConclusionCompared to the traditional transfer model, the OSSM transfer model significantly reduced the in-hospital delay in patients with acute stroke receiving thrombectomy treatment. This novel model significantly improved the clinical outcomes of patients presenting within the first 6 h after symptom onset

Estimating Ground-Level Particulate Matter in Five Regions of China Using Aerosol Optical Depth

Aerosol optical depth (AOD) has been widely used to estimate near-surface particulate matter (PM). In this study, ground-measured data from the Campaign on Atmospheric Aerosol Research network of China (CARE-China) and the Aerosol Robotic Network (AERONET) were used to evaluate the accuracy of Visible Infrared Imaging Radiometer Suite (VIIRS) AOD data for different aerosol types. These four aerosol types were from dust, smoke, urban, and uncertain and a fifth “type” was included for unclassified (i.e., total) aerosols. The correlation for dust aerosol was the worst (R2 = 0.15), whereas the correlations for smoke and urban types were better (R2 values of 0.69 and 0.55, respectively). The mixed-effects model was used to estimate the PM2.5 concentrations in Beijing–Tianjin–Hebei (BTH), Sichuan–Chongqing (SC), the Pearl River Delta (PRD), the Yangtze River Delta (YRD), and the Middle Yangtze River (MYR) using the classified aerosol type and unclassified aerosol type methods. The results suggest that the cross validation (CV) of different aerosol types has higher correlation coefficients than that of the unclassified aerosol type. For example, the R2 values for dust, smoke, urban, uncertain, and unclassified aerosol types BTH were 0.76, 0.85, 0.82, 0.82, and 0.78, respectively. Compared with the daily PM2.5 concentrations, the air quality levels estimated using the classified aerosol type method were consistent with ground-measured PM2.5, and the relative error was low (most RE was within ±20%). The classified aerosol type method improved the accuracy of the PM2.5 estimation compared to the unclassified method, although there was an overestimation or underestimation in some regions. The seasonal distribution of PM2.5 was analyzed and the PM2.5 concentrations were high during winter, low during summer, and moderate during spring and autumn. Spatially, the higher PM2.5 concentrations were predominantly distributed in areas of human activity and industrial areas

Effects of Liaohe crude oil and dispersant on marine phytoplankton in an enclosed ecosystem

In IDL-1113