39 research outputs found

    Electrical Signal Path Study and Component Assay for the MAJORANA N-Type Segmented Contact Detector

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    The purpose of the present electrical signal path study is to explore the various issues related to the deployment of highly-segmented low-background Ge detectors for the MAJORANA double-beta decay experiment. A significant challenge is to simultaneously satisfy competing requirements for the mechanical design, electrical readout performance, and radiopurity specifications from the MAJORANA project. Common to all rare search experiments, there is a very stringent limit on the acceptable radioactivity level of all the electronics components involved. Some of the findings are summarized in this report

    Lions and Prions and Deer Demise

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    Background: Contagious prion diseases – scrapie of sheep and chronic wasting disease of several species in the deer family – give rise to epidemics that seem capable of compromising host population viability. Despite this prospect, the ecological consequences of prion disease epidemics in natural populations have received little consideration. Methodology/Principal Findings: Using a cohort study design, we found that prion infection dramatically lowered survival of free-ranging adult (.2-year-old) mule deer (Odocoileus hemionus): estimated average life expectancy was 5.2 additional years for uninfected deer but only 1.6 additional years for infected deer. Prion infection also increased nearly fourfold the rate of mountain lions (Puma concolor) preying on deer, suggesting that epidemics may alter predator–prey dynamics by facilitating hunting success. Despite selective predation, about one fourth of the adult deer we sampled were infected. High prevalence and low survival of infected deer provided a plausible explanation for the marked decline in this deer population since the 1980s. Conclusion: Remarkably high infection rates sustained in the face of intense predation show that even seemingly complete ecosystems may offer little resistance to the spread and persistence of contagious prion diseases. Moreover, the depression of infected populations may lead to local imbalances in food webs and nutrient cycling in ecosystems in which deer ar

    Neurological Surgery

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    Surgical Technique for Resection Cavernous Malformations of the Brain Stem

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    Brain stem cavernous malformations have been recognized increasingly as neuroradiographic techniques have improved. Their natural history can pursue a malignant course, but some lesions can remain clinically silent for years. It is difficult to predict the frequency and severity of each hemorrhage, although conservative or surgical management can be recommended in certain situations. Typically, patients with multiple hemorrhages, progressive deficits, severe mass effect, or lesions that clearly reach a pial surface are considered appropriate surgical candidates. Patients with asymptomatic lesions or with a significant rim of normal tissue should be followed conservatively. This article reviews the natural history of these lesions and elucidates successful preoperative, intraoperative, and postoperative strategies for the management of brain stem cavernous malformations. Copyright (C) 2000 by W.B. Saunders Company

    Surgical Approaches to the Brain Stem

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    Surgery on the brain stem has been associated with mixed results; aggressive approaches have not always resulted in the best outcomes. The evolution of skull base surgery and a better understanding of anatomy have allowed neurosurgeons to forge new frontiers in surgery on the brain stem. The advances largely reflect improvements in technology, including improved optical techniques, frameless stereotactic systems, dissecting instruments, and advances in radiographic techniques. Magnetic resonance imaging now permits superb delineation of anatomic structures and has improved the accuracy of preoperative differential diagnoses. A more aggressive surgical approach can be planned for discrete lesions. This article reviews some of the most common skull base approaches used at our institution to access the brain stem. Technical pearls are discussed as well as basic steps to the surgical approaches. The advantages and disadvantages of each approach are also detailed. Copyright (C) 2000 by W.B. Saunders Company

    De Novo Formation of a Central Nervous System Cavernous Malformation: Implications for Predicting Risk of Hemorrhage. Case Report and Review of the Literature

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    The authors present a documented sporadic de novo cavernous malformation of the central nervous system (CNS) in a patient undergoing follow-up magnetic resonance imaging after resection of an acoustic neuroma. The authors believe that this is the first report of a de novo cavernous malformation in a patient without a familial history of this disease or a history of treatment with cranial radiation. The occurrence of de novo lesions invalidates the common assumption that cavernous malformations are congenital lesions. The use of this assumption to calculate bleeding risks retrospectively in patients with cavernous malformations is likely to underestimate the risk of symptomatic hemorrhage significantly. Consequently, the de novo formation of cavernous malformations may be more common than appreciated and may explain the higher bleeding rates reported in prospective compared with retrospective studies of these lesions

    Modified Classification of Spinal Cord Vascular Lesions

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    The literature on spinal vascular malformations contains a great deal of confusing terminology. Some of the nomenclature is inconsistent with the lesions described. Based on the experience of the senior author (R.F.S.) in the treatment of more than 130 spinal cord vascular lesions and based on a thorough review of the relevant literature, the authors propose a modified classification system for spinal cord vascular lesions. Lesions are divided into three primary or broad categories: neoplasms, aneurysms, and arteriovenous lesions. Neoplastic vascular lesions include hemangioblastomas and cavernous malformations, both of which occur sporadically and familially. The second category consists of spinal aneurysms, which are rare. The third category, spinal cord arteriovenous lesions, is divided into arteriovenous fistulas and arteriovenous malformations (AVMs). Arteriovenous fistulas are subdivided into those that are extradural and those that are intradural, with intradural lesions categorized as either dorsal or ventral. Arteriovenous malformations are subdivided into extradural-intradural and intradural malformations. Intradural lesions are further divided into intramedullary, intramedullary-extramedullary, and conus medullaris, a new category of AVM. This modified classification system for vascular lesions of the spinal cord, based on pathophysiology, neuroimaging features, intraoperative observations, and neuroanatomy, offers several advantages. First, it includes all surgical vascular lesions that affect the spinal cord. Second, it guides treatment by classifying lesions based on location and pathophysiology. Finally, it eliminates the confusion produced by the multitude of unrelated nomenclatural terms found in the literature
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