The continuum of spreading depolarizations in acute cortical lesion development: Examining Leao's legacy.

A modern understanding of how cerebral cortical lesions develop after acute brain injury is based on Aristides Leao's historic discoveries of spreading depression and asphyxial/anoxic depolarization. Treated as separate entities for decades, we now appreciate that these events define a continuum of spreading mass depolarizations, a concept that is central to understanding their pathologic effects. Within minutes of acute severe ischemia, the onset of persistent depolarization triggers the breakdown of ion homeostasis and development of cytotoxic edema. These persistent changes are diagnosed as diffusion restriction in magnetic resonance imaging and define the ischemic core. In delayed lesion growth, transient spreading depolarizations arise spontaneously in the ischemic penumbra and induce further persistent depolarization and excitotoxic damage, progressively expanding the ischemic core. The causal role of these waves in lesion development has been proven by real-time monitoring of electrophysiology, blood flow, and cytotoxic edema. The spreading depolarization continuum further applies to other models of acute cortical lesions, suggesting that it is a universal principle of cortical lesion development. These pathophysiologic concepts establish a working hypothesis for translation to human disease, where complex patterns of depolarizations are observed in acute brain injury and appear to mediate and signal ongoing secondary damage

Research Note:<br>Derivation of temperature lapse rates in semi-arid south-eastern Arizona

International audienceEcological and hydrological modelling at the regional scale requires distributed information on weather variables, and temperature is important among these. In an area of basin and range topography with a wide range of elevations, such as south-eastern Arizona, measurements are usually available only at a relatively small number of locations and elevations, and temperatures elsewhere must be estimated from atmospheric lapse rate. This paper derives the lapse rates to estimate maximum, minimum and mean daily temperatures from elevation. Lapse rates were calculated using air temperatures at 2 m collected during 2002 at 18 locations across south-eastern Arizona, with elevations from 779 to 2512 m. The lapse rate predicted for the minimum temperature was lower than the mean environmental lapse rate (MELR), i.e. 6 K km?1, whereas those predicted for the mean and maximum daily temperature were very similar to the MELR. Lapse rates were also derived from radiosonde data at 00 and 12 UTC (5 pm and 5 am local time, respectively). The lapse rates calculated from radiosonde data were greater than those from the 2 m measurements, presumably because the effect of the surface was less. Given temperatures measured at Tucson airport, temperatures at the other sites were predicted using the different estimates of lapse rates. The best predictions of temperatures used the locally predicted lapse rates. In the case of maximum and mean temperature, using the MELR also resulted in accurate predictions. Keywords: near surface lapse rates, semi-arid climate, mean minimum and maximum temperatures, basin and range topograph

COSMOS: the COsmic-ray Soil Moisture Observing System

The newly-developed cosmic-ray method for measuring area-average soil moisture at the hectometer horizontal scale is being implemented in the COsmic-ray Soil Moisture Observing System (or the COSMOS). The stationary cosmic-ray soil moisture probe measures the neutrons that are generated by cosmic rays within air and soil and other materials, moderated by mainly hydrogen atoms located primarily in soil water, and emitted to the atmosphere where they mix instantaneously at a scale of hundreds of meters and whose density is inversely correlated with soil moisture. The COSMOS has already deployed more than 50 of the eventual 500 cosmic-ray probes, distributed mainly in the USA, each generating a time series of average soil moisture over its horizontal footprint, with similar networks coming into existence around the world. This paper is written to serve a community need to better understand this novel method and the COSMOS project. We describe the cosmic-ray soil moisture measurement method, the instrument and its calibration, the design, data processing and dissemination used in the COSMOS project, and give example time series of soil moisture obtained from COSMOS probes

Corrigendum to &quot;COSMOS: the COsmic-ray Soil Moisture Observing System&quot; published in Hydrol. Earth Syst. Sci., 16, 4079–4099, 2012

No abstract available

Amazonian evaporation.

Medições de evaporação da cobertura vegetal seca e perdas por intercepção obtidas durante um estudo de dois anos de evaporação na floresta tropical no centro da Amazônia são utilizados para calibrar um modelo micrometeorológico de evaporação

Supporting self-management for patients with Interstitial Lung Diseases:Utility and acceptability of digital devices

INTRODUCTION: Patients diagnosed with Interstitial Lung Diseases (ILD) use devices to self-monitor their health and well-being. Little is known about the range of devices, selection, frequency and terms of use and overall utility. We sought to quantify patients' usage and experiences with home digital devices, and further evaluate their perceived utility and barriers to adaptation.METHODS: A team of expert clinicians and patient partners interested in self-management approaches designed a 48-question cross-sectional electronic survey; specifically targeted at individuals diagnosed with ILD. The survey was critically appraised by the interdisciplinary self-management group at Royal Devon University Hospitals NHS Foundation Trust during a 6-month validation process. The survey was open for participation between September 2021 and December 2022, and responses were collected anonymously. Data were analysed descriptively for quantitative aspects and through thematic analysis for qualitative input.RESULTS: 104 patients accessed the survey and 89/104 (86%) reported a diagnosis of lung fibrosis, including 46/89 (52%) idiopathic pulmonary fibrosis (IPF) with 57/89 (64%) of participants diagnosed &gt;3 years and 59/89 (66%) female. 52/65(80%) were in the UK; 33/65 (51%) reported severe breathlessness medical research council MRC grade 3-4 and 32/65 (49%) disclosed co-morbid arthritis or joint problems. Of these, 18/83 (22%) used a hand- held spirometer, with only 6/17 (35%) advised on how to interpret the readings. Pulse oximetry devices were the most frequently used device by 35/71 (49%) and 20/64 (31%) measured their saturations more than once daily. 29/63 (46%) of respondents reported home-monitoring brought reassurance; of these, for 25/63 (40%) a feeling of control. 10/57 (18%) felt it had a negative effect, citing fluctuating readings as causing stress and 'paranoia'. The most likely help-seeking triggers were worsening breathlessness 53/65 (82%) and low oxygen saturation 43/65 (66%). Nurse specialists were the most frequent source of help 24/63 (38%). Conclusion: Patients can learn appropriate technical skills, yet perceptions of home-monitoring are variable; targeted assessment and tailored support is likely to be beneficial.</p

Linking spatial and social mobility: is London's “escalator” as strong as it was?

The “escalator region” concept became a key element of migration literature after Fielding's work on South East England and fuelled a welcome growth of interest in the links between spatial and social mobility. More recent research has shown that London has continued to perform an escalator function since the 1970s, but little attention has been given to how its strength has altered both over time and compared with other parts of the UK. Against the background of the declining rates of internal migration observed in the United States and several other countries, this paper seeks to identify whether London's escalator role was waxing or waning over the four intercensal decades between 1971 and 2011. The primary emphasis is on the chances of people shifting up from noncore to core white-collar work during each decade for London's nonmigrant and in-migrant populations, in both absolute terms and relative to England's second-order cities. It is found that over the three decades since the 1970s London's escalator was still performing in the way originally conceived, but although its net gain of young adults from the rest of England and Wales steadily increased over this period, it was not operating as strongly in 2001–2011 as during the 1990s in terms of both the career-progression premium gained by its in-migrants and the extent of its advantage over England's second-order cities