Deep brain stimulation of the central thalamus restores arousal and motivation in a zolpidem-responsive patient with akinetic mutism after severe brain injury

After severe brain injury, zolpidem is known to cause spectacular, often short-lived, restorations of brain functions in a small subgroup of patients. Previously, we showed that these zolpidem-induced neurological recoveries can be paralleled by significant changes in functional connectivity throughout the brain. Deep brain stimulation (DBS) is a neurosurgical intervention known to modulate functional connectivity in a wide variety of neurological disorders. In this study, we used DBS to restore arousal and motivation in a zolpidem-responsive patient with severe brain injury and a concomitant disorder of diminished motivation, more than 10 years after surviving hypoxic ischemia. We found that DBS of the central thalamus, targeted at the centromedian-parafascicular complex, immediately restored arousal and was able to transition the patient from a state of deep sleep to full wakefulness. Moreover, DBS was associated with temporary restoration of communication and ability to walk and eat in an otherwise wheelchair-bound and mute patient. With the use of magnetoencephalography (MEG), we revealed that DBS was generally associated with a marked decrease in aberrantly high levels of functional connectivity throughout the brain, mimicking the effects of zolpidem. These results imply that 'pathological hyperconnectivity' after severe brain injury can be associated with reduced arousal and behavioral performance and that DBS is able to modulate connectivity towards a 'healthier baseline' with lower synchronization, and, can restore functional brain networks long after severe brain injury. The presence of hyperconnectivity after brain injury may be a possible future marker for a patient's responsiveness for restorative interventions, such as DBS, and suggests that lower degrees of overall brain synchronization may be conducive to cognition and behavioral responsiveness

Nitrogen oxides, regional transport, and ozone air quality: Results of a regional-scale model for the midwestern United States

An overview of the role of NO x in the formation of rural O 3 , regional transport and its potential impact on urban air quality is presented. An analysis of a specific O 3 excursion in southeast Michigan (8-2-90) is performed based on a combined urban and regional-scale model. The regional component of the model represents transport and photochemistry from sources as far away as Texas. Results suggest that rural O 3 and regional transport sensitive to NO x emissions and relatively insensitive to changes in volatile organic carbon (VOC) emissions. This differs from the situation in urban areas, where O 3 is sensitive to both NO x and VOC. Regional transport and upwind NO x emissions have a significant impact on peak O 3 in Detroit. Implications for urban and regional-scale abatement strategies are discussed.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/43908/1/11270_2004_Article_BF00480817.pd

A review and synthesis of monoterpene speciation from forests in the United States

The monoterpene composition (emission and tissue internal concentration) of major forest tree species in the United States is discussed. Of the 14 most commonly occurring compounds (α-pinene, β-pinene, Δ3-carene, d-limonene, camphene, myrcene, α-terpinene, β-phellandrene, sabinene, ρ-cymene, ocimene, α-thujene, terpinolene, and γ-terpinene), the first six are usually found to be most abundant. Expected regional variability based on the monoterpene composition fingerprints and corresponding tree species distribution and abundance is examined. In the southeast, a-pinene and β-pinene seem to dominate monoterpene emissions, while in the northern forests emissions are distributed more evenly among the six major compounds. In some parts of western forests, β-pinene and Δ3-carene can be more abundant than α-pinene. Among the other eight compounds, β-phellandrene and sabinene occasionally are significant percentages of expected local monoterpene emissions. Ocimene and ρ-cymene are estimated to be more common in regions dominated by deciduous broadleaf forests, although total emission rates are generally lower for these forests relative to those dominated by conifers. These percentages are compared with monoterpene composition measured in ambient air at various sites. Estimated monoterpene emission composition based on local forest species composition agrees fairly well with ambient measurements for the six major compounds. The past assumption that α-pinene composes approximately 50% of total monoterpene emissions appears reasonable for many areas, except for possibly the northern coniferous forests and some areas in the west dominated by true firs, spruce, and western pines (lodgepole and ponderosa pines). The oxygenated monoterpenes such as camphor, bornyl acetate, and cineole often compose high percentages of the monoterpenes within plant tissues, but are much less abundant in emission samples. Even after adjusting for lower vapor pressures of these compounds, emission rates relative to the hydrocarbon monoterpenes are often lower than would be expected from their internal concentrations. More study is warranted on monoterpene emission rates and composition, especially from the spruces, true firs, hemlocks, cedars, and some deciduous species such as the maples. Non-invasive canopy level and whole ecosystem flux studies are also needed to establish uncertainty estimates for monoterpene emission models. © 2000 Elsevier Science Ltd. All rights reserved

A review and synthesis of monoterpene speciation from forests in the United States

The monoterpene composition (emission and tissue internal concentration) of major forest tree species in the United States is discussed. Of the 14 most commonly occurring compounds (α-pinene, β-pinene, Δ3-carene, d-limonene, camphene, myrcene, α-terpinene, β-phellandrene, sabinene, ρ-cymene, ocimene, α-thujene, terpinolene, and γ-terpinene), the first six are usually found to be most abundant. Expected regional variability based on the monoterpene composition fingerprints and corresponding tree species distribution and abundance is examined. In the southeast, a-pinene and β-pinene seem to dominate monoterpene emissions, while in the northern forests emissions are distributed more evenly among the six major compounds. In some parts of western forests, β-pinene and Δ3-carene can be more abundant than α-pinene. Among the other eight compounds, β-phellandrene and sabinene occasionally are significant percentages of expected local monoterpene emissions. Ocimene and ρ-cymene are estimated to be more common in regions dominated by deciduous broadleaf forests, although total emission rates are generally lower for these forests relative to those dominated by conifers. These percentages are compared with monoterpene composition measured in ambient air at various sites. Estimated monoterpene emission composition based on local forest species composition agrees fairly well with ambient measurements for the six major compounds. The past assumption that α-pinene composes approximately 50% of total monoterpene emissions appears reasonable for many areas, except for possibly the northern coniferous forests and some areas in the west dominated by true firs, spruce, and western pines (lodgepole and ponderosa pines). The oxygenated monoterpenes such as camphor, bornyl acetate, and cineole often compose high percentages of the monoterpenes within plant tissues, but are much less abundant in emission samples. Even after adjusting for lower vapor pressures of these compounds, emission rates relative to the hydrocarbon monoterpenes are often lower than would be expected from their internal concentrations. More study is warranted on monoterpene emission rates and composition, especially from the spruces, true firs, hemlocks, cedars, and some deciduous species such as the maples. Non-invasive canopy level and whole ecosystem flux studies are also needed to establish uncertainty estimates for monoterpene emission models. © 2000 Elsevier Science Ltd. All rights reserved