Prediction contribution of the cranial collateral circulation to the clinical and radiological outcome of ischemic stroke

Background and Aim: The extent of penumbra tissue and outcome in stroke patients depend on the collateral cranial vasculature. To provide optimal individualized care for stroke patients in the emergency room setting we investigated the predictive capability of a stringent evaluation of the collateral vessels in ischemic stroke on clinical outcome and infarct size. Methods: We retrospectively studied uniform clinical and radiological data of 686 consecutive patients admitted to the emergency department with suspected acute ischemic stroke. Cranial collateral vasculature status was graded using the initial CT-angiography. Outcome was measured by mRS, NIHSS and final infarct size at hospital discharge. All data were used to build a linear regression model to predict the patients´ outcome. Results: Univariate and multivariate analyses showed significant effects of the whole brain collateral vessel score on all outcome variables. Atherosclerosis and piale collateral status were associated with the final infarct volume (FIV). Atherosclerosis and age were associated with the NIHSS at discharge. The presence of atherosclerosis, glucose level on admission and age were associated with the mRS at discharge. The multivariate models were able to predict 29% of the variance of the mRS at discharge, 24% of the variance in FIV and 17% of the variance of the NIHSS at discharge. The whole brain collateral status and the presence of atherosclerosis were the most relevant predictors for the clinical and radiological outcome. Conclusion: The whole brain collateral vasculature status is clearly associated with clinical and radiological outcome but in a multivariate model seems not sufficiently predictive for FIV, mRS and NIHSS outcome at discharge in non-preselected patients admitted to the emergency department with ischemic stroke

Reply to Witthöft et al. Comment on “Wardzinski et al. Mobile Phone Radiation Deflects Brain Energy Homeostasis and Prompts Human Food Ingestion. Nutrients 2022, 14, 339”

We are somewhat surprised about the extent of the feedback that we received upon our publication [1], in terms of the not entirely new connection between mobile phone radiation, brain activity, and food intake, being previously explored by EEG, association studies, and animal experiments (as outlined in the introduction of our paper). Ten years ago, scientists found “alarming” evidence of a long-term association between mobile phone radiation and obesity in humans [2]. Specifically, we are perplexed by the partly emotional character of the discussion among our readers. However, back to the facts: We thank our scientific colleagues for their detailed analyses and considerations [3] regarding our study and are pleased to explain the open points for more clarity

The role of wave dynamics and small-scale topography for downslope wind events in Southeast Greenland

In Ammassalik, in southeast Greenland, downslope winds can reach hurricane intensity and represent a hazard for the local population and environment. They advect cold air down the ice sheet and over the Irminger Sea, where they drive large ocean–atmosphere heat fluxes over an important ocean convection region. Earlier studies have found them to be associated with a strong katabatic acceleration over the steep coastal slopes, flow convergence inside the valley of Ammassalik, and—in one instance—mountain wave breaking. Yet, for the general occurrence of strong downslope wind events, the importance of mesoscale processes is largely unknown. Here, two wind events—one weak and one strong—are simulated with the atmospheric Weather Research and Forecasting (WRF) Model with different model and topography resolutions, ranging from 1.67 to 60 km. For both events, but especially for the strong one, it is found that lower resolutions underestimate the wind speed because they misrepresent the steepness of the topography and do not account for the underlying wave dynamics. If a 5-km model instead of a 60-km model resolution in Ammassalik is used, the flow associated with the strong wind event is faster by up to 20 m s−1. The effects extend far downstream over the Irminger Sea, resulting in a diverging spatial distribution and temporal evolution of the heat fluxes. Local differences in the heat fluxes amount to 20%, with potential implications for ocean convection

Strong downslope wind events in Ammassalik, Southeast Greenland

Ammassalik in southeast Greenland is known for strong wind events that can reach hurricane intensity and cause severe destruction in the local town. Yet, these winds and their impact on the nearby fjord and shelf region have not been studied in detail. Here, data from two meteorological stations and the European Centre for Medium-Range Weather Forecasts Interim Re-Analysis (ERA-Interim) are used to identify and characterize these strong downslope wind events, which are especially pronounced at a major east Greenland fjord, Sermilik Fjord, within Ammassalik. Their local and regional characteristics, their dynamics and their impacts on the regional sea ice cover, and air–sea fluxes are described. Based on a composite of the events it is concluded that wind events last for approximately a day, and seven to eight events occur each winter. Downslope wind events are associated with a deep synoptic-scale cyclone between Iceland and Greenland. During the events, cold dry air is advected down the ice sheet. The downslope flow is accelerated by gravitational acceleration, flow convergence inside the Ammassalik valley, and near the coast by an additional thermal and synoptic-scale pressure gradient acceleration. Wind events are associated with a large buoyancy loss over the Irminger Sea, and it is estimated that they drive one-fifth of the net wintertime loss. Also, the extreme winds drive sea ice out of the fjord and away from the shelf

The impact of resolution on the representation of Greenland barrier winds and katabatic flows

Author Posting. © American Geophysical Union, 2015. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Geophysical Research Letters 42 (2015): 3011–3018, doi:10.1002/2015GL063550.Southern Greenland is characterized by a number of low-level high wind speed weather systems that are the result of topographic flow distortion. These systems include barrier winds and katabatic flow that occur along its southeast coast. Global atmospheric reanalyses have proven to be important tools in furthering our understanding of these orographic winds and their role in the climate system. However, there is evidence that the mesoscale characteristics of these systems may be missed in these global products. Here we show that the Arctic System Reanalysis, a higher-resolution regional reanalysis, is able to capture mesoscale features of barrier winds and katabatic flow that are missed or underrepresented in ERA-I, a leading modern global reanalysis. This suggests that our understanding of the impact of these wind systems on the coupled-climate system can be enhanced through the use of higher-resolution regional reanalyses or model data.2015-10-1

Munchausen by internet: current research and future directions.

The Internet has revolutionized the health world, enabling self-diagnosis and online support to take place irrespective of time or location. Alongside the positive aspects for an individual's health from making use of the Internet, debate has intensified on how the increasing use of Web technology might have a negative impact on patients, caregivers, and practitioners. One such negative health-related behavior is Munchausen by Internet

Coherent pion production in neutrino nucleus collision in the 1 GeV region

We calculate cross sections for coherent pion production in nuclei induced by neutrinos and antineutrinos of the electron and muon type. The analogies and differences between this process and the related ones of coherent pion production induced by photons, or the (p,n) and $(^3 He, t)$ reactions are discussed. The process is one of the several ones occurring for intermediate energy neutrinos, to be considered when detecting atmospheric neutrinos. For this purpose the results shown here can be easily extrapolated to other energies and other nuclei.Comment: 13 pages, LaTex, 8 post-script figures available at [email protected]

Delta excitation in K^+-nucleus collisions

We present calculations for \Delta excitation in the (K^+,K^+) reaction in nuclei. The background from quasielastic K^+ scattering in the \Delta region is also evaluated and shown to be quite small in some kinematical regions, so as to allow for a clean identification of the \Delta excitation strength. Nuclear effects tied to the \Delta renormalization in the nucleus are considered and the reaction is shown to provide new elements to enrich our knowledge of the \Delta properties in a nuclear medium.Comment: 11 pages, 6 figures, LaTe

Ocean circulation causes the largest freshening event for 120 years in eastern subpolar North Atlantic

The Atlantic Ocean overturning circulation is important to the climate system because it carries heat and carbon northward, and from the surface to the deep ocean. The high salinity of the subpolar North Atlantic is a prerequisite for overturning circulation, and strong freshening could herald a slowdown. We show that the eastern subpolar North Atlantic underwent extreme freshening during 2012 to 2016, with a magnitude never seen before in 120 years of measurements. The cause was unusual winter wind patterns driving major changes in ocean circulation, including slowing of the North Atlantic Current and diversion of Arctic freshwater from the western boundary into the eastern basins. We find that wind-driven routing of Arctic-origin freshwater intimately links conditions on the North West Atlantic shelf and slope region with the eastern subpolar basins. This reveals the importance of atmospheric forcing of intra-basin circulation in determining the salinity of the subpolar North Atlantic