Clinical anatomy and clinical significance of the cervical intervertebral foramen: a review

The aim of this paper is to summarise the knowledge about the anatomy of the cervical intervertebral foramen as a whole. Such reviews are rare in the literature. The intervertebral or neural foramen is the opening between the spinal canal and the extraspinal region. It is located between the vertebral pedicles at all spinal levels. A number of structures pass through the foramen: nerves, vessels and ligaments. We describe the bony borders and dimensions of the foramen, the adjacent ligaments, the arteries and veins passing through or neighbouring it, and the neural components. Many procedures are performed in the area of the cervical intervertebral foramen. Knowledge of the anatomy of the foramen is essential in order to operate to the area and to minimize iatrogenic injuries

Redox activity and chemical speciation of size fractioned PM in the communities of the Los Angeles ? Long Beach Harbor

International audienceIn this study, two different types of assays were used to quantitatively measure the redox activity of PM and to examine its intrinsic toxicity: 1) in vitro exposure to rat alveolar macrophage (AM) cells using dichlorofluorescin diacetate (DCFH-DA) as the fluorescent probe (macrophage ROS assay), and: 2) consumption of dithiothreitol (DTT) in a cell-free system (DTT assay). Coarse (PM10?2.5), accumulation (PM2.5?0.25), and quasi-ultrafine (quasi-UF, PM0.25) mode particles were collected weekly at five sampling sites in the Los Angeles-Long Beach Harbor and at one site near the University of Southern California campus (urban site). All PM samples were analyzed for organic (total and water-soluble) and elemental carbon, organic species, inorganic ions, and total and water-soluble elements. Quasi-UF mode particles showed the highest redox activity at all Long Beach sites (on both a per-mass and per-air volume basis). A significant association (R2=0.61) was observed between the two assays, indicating that macrophage ROS and DTT levels are affected at least partially by similar PM species. Relatively small variation was observed for the DTT measurements across all size fractions and sites, whereas macrophage ROS levels showed more significant ranges across the three different particle size modes and throughout the sites (coefficients of variation, or CVs, were 0.35, 0.24 and 0.53 for quasi-UF, accumulation, and coarse mode particles, respectively). Association between the PM constituents and the redox activity was further investigated using multiple linear regression models. The results showed that OC was the most important component influencing the DTT activity of PM samples. The variability of macrophage ROS was explained by changes in OC concentrations and water-soluble vanadium (probably originating from ship emissions ? bunker oil combustion). The multiple regression models were used to predict the average diurnal macrophage ROS and DTT levels as a function of the OC concentration at one of the sampling sites

Efficient determination of vehicle emission factors by fuel use category using on-road measurements: downward trends on Los Angeles freight corridor I-710

To evaluate the success of vehicle emissions regulations, trends in both fleet-wide average emissions as well as high-emitter emissions are needed, but it is challenging to capture the full spread of vehicle emission factors (EFs) with chassis dynamometer or tunnel studies, and remote sensing studies cannot evaluate particulate compounds. We developed an alternative method that links real-time on-road pollutant measurements from a mobile platform with real-time traffic data, and allows efficient calculation of both the average and the spread of EFs for light-duty gasoline-powered vehicles (LDG) and heavy-duty diesel-powered vehicles (HDD). This is the first study in California to report EFs under a full range of real-world driving conditions on multiple freeways. Fleet average LDG EFs were in agreement with most recent studies and an order of magnitude lower than observed HDD EFs. HDD EFs reflected the relatively rapid decreases in diesel emissions that have recently occurred in Los Angeles/California, and on I-710, a primary route used for goods movement and a focus of additional truck fleet turnover incentives, HDD EFs were often lower than on other freeways. When freeway emission rates (ER) were quantified as the product of EF and vehicle miles traveled (VMT) per time per mile of freeway, despite a twoto three-fold difference in HDD fractions between freeways, ERs were found to be generally similar in magnitude. Higher LDG VMT on low HDD fraction freeways largely offset the difference. Therefore, the conventional assumption that free ways with the highest HDD fractions are significantly worse sources of total emissions in Los Angeles may no longer be true

A sacral filum terminale arteriovenous fistula fed by a left T9 artery of Adamkiewicz

This is a case of 62-year-old patient presenting with tingling and numbness extending from the buttocks area towards the lower extremities and gait instability. Contrast Magnetic Resonance Imaging (MRI) and time-resolved imaging of contrast kinetics Magnetic Resonance Imaging (TRICKS MRI) raised suspicion for a possible dural arteriovenous fistula. Diagnostic Digital Subtraction Angiography (DSA) showed a filum terminale arterio venous fistula (AVF) fed by the left T9 from the anterior spinal artery of Adamkiewicz all the way down to the fistulous point at L5-S1. The patient underwent successful laminectomy of L5-S1 and clipping of the filum terminale arteriovenous fistula

Particulate matter Air Pollution induces hypermethylation of the p16 promoter Via a mitochondrial ROS-JNK-DNMT1 pathway

Exposure of human populations to chronically elevated levels of ambient particulate matter air pollution < 2.5 μm in diameter (PM2.5) has been associated with an increase in lung cancer incidence. Over 70% of lung cancer cell lines exhibit promoter methylation of the tumor suppressor p16, an epigenetic modification that reduces its expression. We exposed mice to concentrated ambient PM2.5 via inhalation, 8 hours daily for 3 weeks and exposed primary murine alveolar epithelial cells to daily doses of fine urban PM (5 µg/cm2). In both mice and alveolar epithelial cells, PM exposure increased ROS production, expression of the DNA methyltransferase 1 (DNMT1), and methylation of the p16 promoter. In alveolar epithelial cells, increased transcription of DNMT1 and methylation of the p16 promoter were inhibited by a mitochondrially targeted antioxidant and a JNK inhibitor. These findings provide a potential mechanism by which PM exposure increases the risk of lung cancer