10 research outputs found
Urbanization as an ecological phenomenon
In this article authors discuss the main ecological aspects of the urbanization process. In particular, such phenomena as anthropogenic transformation of the environment, which is the basis of all further transformations forming urban areas, are analyzed. In addition, the processes of anthropogenic change of organisms, for example, cultivation and domestication, are considered. Unfortunately, in modern science, the process of urbanization is usually considered from economic, social, and cultural positions, often without affecting the environmental component. This fact is a significant omission, especially in the context of an increase in the number of natural landscapes transformed by human
Plasma Cytokines Level and Spinal Cord MRI Predict Clinical Outcome in a Rat Glial Scar Cryoinjury Model
Traumatic injury of the spinal cord is still one of the most challenging problems in the neurosurgical practice. Despite a long history of implementation of translational medicine in the field of spinal cord injury (SCI), it remains one of the most frequent causes of human disability and a critical situation for world healthcare systems. Here, we used our rat model of the of unilateral controlled SCI induced by a cryoinjury, which consistently reproduces glial scarring and posttraumatic cyst formation, and specifically evaluated histological, bioimaging and cytokine data. We propose a 10-grade scoring scale, which can objectively estimate the extent of damage of the experimental SCI according to the magnetic resonance imaging (MRI) results. It provides a homogeneous and reliable visual control of the dynamics of the posttraumatic processes, which makes it possible to clearly distinguish the extent of early damage, the formation of glial scars and the development of posttraumatic syringomyelic cysts. The concentration of cytokines and chemokines in the plasma following the experimental SCI increased up to two orders of magnitude in comparison with intact animals, suggesting that a traumatic injury of the spinal cord was accompanied by a remarkable cytokine storm. Our data suggested that the levels of IL-1α, IL-1β, TNFα, GRO/KC, G-CSF, IFNγ and IL-13 may be considered as a reliable prognostic index for SCI. Finally, we demonstrated that MRI together with plasma cytokines level directly correlated and reliably predicted the clinical outcome following SCI. The present study brings novel noninvasive and intravital methods for the evaluation of the therapeutic efficacy of SCI treatment protocols, which may be easily translated into the clinical practice
Tb(III)-Doped Silica Nanoparticles for Sensing: Effect of Interfacial Interactions on Substrate-Induced Luminescent Response
The present work introduces the easy
modification of the water-in-oil
microemulsion procedure aimed at the doping of the Tb(III) complexes
within core or shell zones of the silica nanoparticles (SNs), which
are designated as “core-shell”, “shell”,
and “core”. The dye molecules, chelating ligands, and
copper ions were applied as the quenchers of Tb(III)-centered luminescence
through dynamic or/and static mechanisms. The binding of the quenchers
at the silica/water interface results in the quenching of the Tb(III)
complexes within SNs, which, in turn, is greatly dependent on the
synthetic procedure. The luminescence of “core” SNs
remains unchanged under the binding of the quenchers at the silica/water
interface. The quenching through dynamic mechanism is more significant
for “core–shell” and “shell” than
for “core” SNs. Thus, both “core–shell”
and “shell” SNs have enough percentage of the Tb(III)
complexes located close to the interface for efficient quenching through
the energy transfer. The quenching through the ion or ligand exchange
is most efficient for “core–shell” SNs due to
the greatest percentage of the Tb(III) complexes at the silica/water
interface, which correlates with the used synthetic procedure. The
highlighted regularities introduce the applicability of “core–shell”
SNs used as silica beads for phosphatidylcholine bilayers in sensing
their permeability toward the quenching ions
EXTRADURAL SPINAL CORD HEMANGIOBLASTOMA: A CASE REPORT AND LITERATURE REVIEW
ABSTRACT Objective: Hemangioblastoma is a rare vascular sporadically occurring CNS tumor that can be associated with von Hippel-Lindau disease. Hemangioblastomas account for 2-6% of all spinal cord neoplasms and rank third among intramedullary space-occupying lesions. Methods: This was the first time in our practice that we had dealt with paravertebral hemangioblastoma with the sandglass growth pattern. The world literature describes only 3 case of a tumor with this growth pattern. Surgical and diagnostic aspects of patient treatment are considered. Results: During the operation, we adhered to the following stages: localization of the feeding vessel and of the poles of the tumor, surface dissection of the tumor, en bloc resection of the tumor, and hemostasis of the tumor cavity. Conclusions: Hemangioblastoma of extradural localization is a very rare pathology. However, when MRI signs characteristic of a vascular lesion are identified, it is necessary to carry out additional examinations, which may include CT perfusion study and, if required, selective angiography. Level of Evidence 5; Case report
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Early management of adult traumatic spinal cord injury in patients with polytrauma: a consensus and clinical recommendations jointly developed by the World Society of Emergency Surgery (WSES) & the European Association of Neurosurgical Societies (EANS)
Acknowledgements: We would like to thank WSES/EANS for the collaboration and support.Abstract
Background
The early management of polytrauma patients with traumatic spinal cord injury (tSCI) is a major challenge. Sparse data is available to provide optimal care in this scenario and worldwide variability in clinical practice has been documented in recent studies.
Methods
A multidisciplinary consensus panel of physicians selected for their established clinical and scientific expertise in the acute management of tSCI polytrauma patients with different specializations was established. The World Society of Emergency Surgery (WSES) and the European Association of Neurosurgical Societies (EANS) endorsed the consensus, and a modified Delphi approach was adopted.
Results
A total of 17 statements were proposed and discussed. A consensus was reached generating 17 recommendations (16 strong and 1 weak).
Conclusions
This consensus provides practical recommendations to support a clinician’s decision making in the management of tSCI polytrauma patients.
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Recommended from our members
Early management of adult traumatic spinal cord injury in patients with polytrauma: a consensus and clinical recommendations jointly developed by the World Society of Emergency Surgery (WSES) & the European Association of Neurosurgical Societies (EANS)
The early management of polytrauma patients with traumatic spinal cord injury (tSCI) is a major challenge. Sparse data is available to provide optimal care in this scenario and worldwide variability in clinical practice has been documented in recent studies.
A multidisciplinary consensus panel of physicians selected for their established clinical and scientific expertise in the acute management of tSCI polytrauma patients with different specializations was established. The World Society of Emergency Surgery (WSES) and the European Association of Neurosurgical Societies (EANS) endorsed the consensus, and a modified Delphi approach was adopted.
A total of 17 statements were proposed and discussed. A consensus was reached generating 17 recommendations (16 strong and 1 weak).
This consensus provides practical recommendations to support a clinician's decision making in the management of tSCI polytrauma patients