Surgical management of spontaneous hypertensive brainstem hemorrhage

AbstractSpontaneous hypertensive brainstem hemorrhage is the spontaneous brainstem hemorrhage associated with long term hypertension but not having definite focal or objective lesion. It is a catastrophic event which has a poor prognosis and usually managed conservatively. It is not uncommon, especially in eastern Asian populations, accounting approximately for 10% of the intracerebral hemorrhage. Before the advent of computed tomography, the diagnosis of brainstem hemorrhage was usually based on the clinical picture or by autopsy and believed to be untreatable via surgery. The introduction of computed tomography permitted to categorize the subtypes of brainstem hemorrhage with more predicted outcome. Continuous ongoing developments in the stereotactic surgery and microsurgery have added more specific surgical management in these patients. However, whether to manage conservatively or promptly with surgical evacuation of hematoma is still a controversy. Studies have shown that an accurate prognostic assessment based on clinical and radiological features on admission is critical for establishing a reasonable therapeutic approach. Some authors have advocate conservative management, whereas others have suggested the efficacy of surgical treatment in brainstem hemorrhage. With the widening knowledge in microsurgical techniques as well as neuroimaging technology, there seems to have more optimistic hope of surgical management of spontaneous hypertensive brainstem hemorrhage for better prognosis. Here we present five cases of severe spontaneous hypertensive brainstem hemorrhage patients who had undergone surgery; and explore the possibilities of surgical management in patients with the spontaneous hypertensive brainstem hemorrhage

Genome-wide investigation and expression analyses of the pentatricopeptide repeat protein gene family in foxtail millet

Orthologous relationships of the PPR genes between foxtail millet and those of other grass species. (TIF 5719 kb

Effects of Xiaoyaosan on Stress-Induced Anxiety-Like Behavior in Rats: Involvement of CRF1 Receptor

Background. Compared with antidepressant activity of Xiaoyaosan, the role of Xiaoyaosan in anxiety has been poorly studied. Objective. To observe the effects of Xiaoyaosan on anxiety-like behavior induced by chronic immobilization stress (CIS) and further explore whether these effects were related to CRF1R signaling. Methods. Adult male SD rats were randomly assigned to five groups (n=12): the nonstressed control group, vehicle-treated (saline, p.o.) group, Xiaoyaosan-treated (3.854 g/kg, p.o.) group, vehicle-treated (surgery) group, and antalarmin-treated (surgery) group. Artificial cerebrospinal fluid (0.5 μL/side) or CRF1R antagonist antalarmin (125 ng/0.5 μL, 0.5 μL/side) was bilaterally administered into the basolateral amygdala in the surgery groups. Except for the nonstressed control group, the other four groups were exposed to CIS (14 days, 3 h/day) 30 minutes after treatment. On days 15 and 16, all animals were subjected to the elevated plus-maze (EPM) and novelty suppressed feeding (NSF) test. We then examined the expression of CRF1R, pCREB, and BDNF in the amygdala. Results. Chronic pretreatment with Xiaoyaosan or antalarmin significantly reversed elevated anxiety-like behavior and the upregulated level of CRF1R and BDNF in the amygdala of stressed rats. pCREB did not differ significantly among the groups. Conclusions. These results suggest that Xiaoyaosan exerts anxiolytic-like effects in behavioral tests and the effects may be related to CRF1R signaling in the amygdala

High speed self-testing quantum random number generation without detection loophole

Quantum mechanics provides means of generating genuine randomness that is impossible with deterministic classical processes. Remarkably, the unpredictability of randomness can be certified in a self-testing manner that is independent of implementation devices. Here, we present an experimental demonstration of self-testing quantum random number generation based on an detection-loophole free Bell test with entangled photons. In the randomness analysis, without the assumption of independent identical distribution, we consider the worst case scenario that the adversary launches the most powerful attacks against quantum adversary. After considering statistical fluctuations and applying an 80 Gb $\times$ 45.6 Mb Toeplitz matrix hashing, we achieve a final random bit rate of 114 bits/s, with a failure probability less than $10^{-5}$. Such self-testing random number generators mark a critical step towards realistic applications in cryptography and fundamental physics tests.Comment: 34 pages, 10 figure

Stark tuning of telecom single-photon emitters based on a single Er3+^{3+}

The implementation of scalable quantum networks requires photons at the telecom band and long-lived spin coherence. The single Er$^{3+}$ in solid-state hosts is an important candidate that fulfills these critical requirements simultaneously. However, to entangle distant Er$^{3+}$ ions through photonic connections, the emission frequency of individual Er$^{3+}$ in solid-state matrix must be the same, which is challenging because the emission frequency of Er$^{3+}$ depends on its local environment. In this study, we propose and experimentally demonstrate the Stark tuning of the emission frequency of a single Er$^{3+}$ in a Y$_2$SiO$_5$ crystal by employing electrodes interfaced with a silicon photonic crystal cavity. We obtain a Stark shift of 182.9 $\pm$ 0.8 MHz which is approximately 27 times of the optical emission linewidth, demonstrating the promising applications in tuning the emission frequency of independent Er$^{3+}$ into the same spectral channels. Our results provide a useful solution for the construction of scalable quantum networks based on single Er$^{3+}$ and a universal tool for tuning the emission of individual rare-earth ions

Improving the stability and efficiency of anaerobic digestion of food waste using additives: a critical review

Anaerobic digestion is an effective technology to treat food waste, with methane production as renewable bioenergy. However, there are two key problems in the practical application, i.e., poor system stability and low reactor efficiency. In this paper, additives used in anaerobic digestion of food waste were systematically reviewed in view of system stability and reactor efficiency. Enzymes showed excellent property in food waste pre-hydrolysis stage with almost all macromolecular matters being rapidly resolved. Fungi fermentation process to produce hydrolytic enzymes, can be regarded as a promising and low-cost way to realize rate-limiting step elimination. It can be also concluded that adding neutralizers, buffer chemicals and some other materials are effective to maintain the pH level for practical application. Trace metals in food waste are not enough but needed for methanogens activation in long term and high loading rate operation. In addition, direct interspecies electron transfer could be much helpful for intermediate refractory organic acids degradation and methanogenesis promotion with additives of conductive materials, which is also discussed and should be studied further in anaerobic digestion of food waste. Based on literature review, a new concept is proposed for further study, suggesting that after being well liquefied with enzyme pre-hydrolysis, food waste could be co-digested with landfill leachate in a high-rate anaerobic reactor stably, resulting in a high bioenergy recovery efficiency. (C) 2018 Elsevier Ltd. All rights reserved