Cerebral autoregulation, brain injury, and the transitioning premature infant

Improvements in clinical management of the preterm infant have reduced the rates of the two most common forms of brain injury, such as severe intraventricular hemorrhage and white matter injury, both of which are contributory factors in the development of cerebral palsy. Nonetheless, they remain a persistent challenge and are associated with a significant increase in the risk of adverse neurodevelopment outcomes. Repeated episodes of ischemia–reperfusion represent a common pathway for both forms of injury, arising from discordance between systemic blood flow and the innate regulation of cerebral blood flow in the germinal matrix and periventricular white matter. Nevertheless, establishing firm hemodynamic boundaries, as a part of neuroprotective strategy, has challenged researchers. Existing measures either demonstrate inconsistent relationships with injury, as in the case of mean arterial blood pressure, or are not feasible for long-term monitoring, such as cardiac output estimated by echocardiography. These challenges have led some researchers to focus on the mechanisms that control blood flow to the brain, known as cerebrovascular autoregulation. Historically, the function of the cerebrovascular autoregulatory system has been difficult to quantify; however, the evolution of bedside monitoring devices, particularly near-infrared spectroscopy, has enabled new insights into these mechanisms and how impairment of blood flow regulation may contribute to catastrophic injury. In this review, we first seek to examine how technological advancement has changed the assessment of cerebrovascular autoregulation in premature infants. Next, we explore how clinical factors, including hypotension, vasoactive medications, acute and chronic hypoxia, and ventilation, alter the hemodynamic state of the preterm infant. Additionally, we examine how developmentally linked or acquired dysfunction in cerebral autoregulation contributes to preterm brain injury. In conclusion, we address exciting new approaches to the measurement of autoregulation and discuss the feasibility of translation to the bedside

Solar-energy-system performance evaluation: Honeywell OTS 44, Ocmulgee, Georgia

The operation and technical performance of the solar operational test site (OTS 44) are described, based on data collected between April, 1981 and August, 1981. The following topics are discussed: system description, performance assessment, operating energy, energy savings, system maintenance, and conclusions. The solar energy system at OTS 44 is a hydronic heating and cooling system consisting of 5040 square feet of liquid cooled flat plate collectors; a 4000 gallon thermal storage tank; one 25 ton capacity organic Rankine cycle engine assisted water chillers; a forced draft cooling tower; and associated piping, pumps, valves, controls and heat rejection equipment. The solar system has eight basic modes of operation and several combination modes for providing space conditioning and hot water to the building. Data monitored during the 4 months of the operational test period found that the solar system collected 285 MMBtu of thermal energy of the total incident solar energy of 1040 MMBtu and provided 210 MMBtu for cooling and 10 MMBtu for heating and hot water. The net electrical energy saving due to the solar system was approximately 2600 kWh(e), and fossil energy saving was about 20 million Btu (MMBtu)

Strong light fields coax intramolecular reactions on femtosecond time scales

Energetic H$_2^+$ ions are formed as a result of intra-molecular rearrangement during fragmentation of linear alcohols (methanol, ethanol, propanol, hexanol, and dodecanol) induced by intense optical fields produced by 100 fs long, infrared, laser pulses of peak intensity 8$\times10^{15}$ W cm$^{-2}$. Polarization dependent measurements show, counterintuitively, that rearrangement is induced by the strong optical field within a single laser pulse, and that it occurs before Coulomb explosion of the field-ionized multiply charged alcohols

The information paradox: conflicts and resolutions

Many relativists have been long convinced that black hole evaporation leads to information loss or remnants. String theorists have however not been too worried about the issue, largely due to a belief that the Hawking argument for information loss is flawed in its details. A recently derived inequality shows that the Hawking argument for black holes with horizon can in fact be made rigorous. What happens instead is that in string theory black hole microstates have no horizons. Thus the evolution of radiation quanta with E ~ kT is modified by order unity at the horizon, and we resolve the information paradox. We discuss how it is still possible for E >> kT objects to see an approximate black hole like geometry. We also note some possible implications of this physics for the early Universe.Comment: 26 pages, 8 figures, Latex; (Expanded version of) proceedings for Lepton-Photon 201