Despite modern anti-epileptic drug treatment, approximately 30% of epilepsies remain medically refractory and for these patients, epilepsy surgery may be a treatment option. There have been numerous ...studies demonstrating good outcome of epilepsy surgery in the short to median term however, there are a limited number of studies looking at the long-term outcomes. The aim of this study was to ascertain the long-term outcome of resective epilepsy surgery in a large neurosurgery hospital in the U.K.
This a retrospective analysis of prospectively collected data. We used the 2001 International League Against Epilepsy (ILAE) classification system to classify seizure freedom and Kaplan-Meier survival analysis to estimate the probability of seizure freedom.
We included 284 patients who underwent epilepsy surgery (178 anterior temporal lobe resections, 37 selective amygdalohippocampectomies, 33 temporal lesionectomies, 36 extratemporal lesionectomies), and had a prospective median follow-up of 5 years (range 1-27). Kaplan-Meier estimates showed that 47% (95% CI 40-58) remained seizure free (apart from simple partial seizures) at 5 years and 38% (95% CI 31-45) at 10 years after surgery. 74% (95% CI 69-80) had a greater than 50% seizure reduction at 5 years and 70% (95% CI 64-77) at 10 years. Patients who had an amygdalohippocampectomy were more likely to have seizure recurrence than patients who had an anterior temporal lobe resection (p = 0.006) and temporal lesionectomy (p = 0.029). There was no significant difference between extra temporal and temporal lesionectomies. Hippocampal sclerosis was associated with a good outcome but declined in relative frequency over the years.
The vast majority of patients who were not seizure free experienced at least a substantial and long-lasting reduction in seizure frequency. A positive long-term outcome after epilepsy surgery is possible for many patients and especially those with hippocampal sclerosis or those who had anterior temporal lobe resections.
Galectin-3 is a protein involved in many intra- and extra-cellular processes. It has been identified as a diagnostic or prognostic biomarker for certain types of heart disease, kidney disease and ...cancer. Galectin-3 comprises a carbohydrate recognition domain (CRD) and an N-terminal domain (NTD), which is unstructured and contains eight collagen-like Pro-Gly-rich tandem repeats. While the structure of the CRD has been solved using protein crystallography, current knowledge about conformations of full-length galectin-3 is limited. To fill in this knowledge gap, we performed molecular dynamics (MD) simulations of full-length galectin-3. We systematically re-scaled the solute–solvent interactions in the Martini 3 force field to obtain the best possible agreement between available data from SAXS experiments and the ensemble of conformations generated in the MD simulations. The simulation conformations were found to be very diverse, as reflected, e.g., by (i) large fluctuations in the radius of gyration, ranging from about 2 to 5 nm, and (ii) multiple transient contacts made by amino acid residues in the NTD. Consistent with evidence from NMR experiments, contacts between the CRD and NTD were observed to not involve the carbohydrate-binding site on the CRD surface. Contacts within the NTD were found to be made most frequently by aromatic residues. Formation of fuzzy complexes with unspecific stoichiometry was observed to be mediated mostly by the NTD. Taken together, we offer a detailed picture of the conformational ensemble of full-length galectin-3, which will be important for explaining the biological functions of this protein at the molecular level.
Advances in Unmanned Aerial Vehicle (UAV) technology and data processing capabilities have made it feasible to obtain high-resolution imagery and three dimensional (3D) data which can be used for ...forest monitoring and assessing tree attributes. This study evaluates the applicability of low consumer grade cameras attached to UAVs and structure-from-motion (SfM) algorithm for automatic individual tree detection (ITD) using a local-maxima based algorithm on UAV-derived Canopy Height Models (CHMs). This study was conducted in a private forest at Cache Creek located east of Jackson city, Wyoming. Based on the UAV-imagery, we allocated 30 field plots of 20 m × 20 m. For each plot, the number of trees was counted manually using the UAV-derived orthomosaic for reference. A total of 367 reference trees were counted as part of this study and the algorithm detected 312 trees resulting in an accuracy higher than 85% (F-score of 0.86). Overall, the algorithm missed 55 trees (omission errors), and falsely detected 46 trees (commission errors) resulting in a total count of 358 trees. We further determined the impact of fixed tree window sizes (FWS) and fixed smoothing window sizes (SWS) on the ITD accuracy, and detected an inverse relationship between tree density and FWS. From our results, it can be concluded that ITD can be performed with an acceptable accuracy (F > 0.80) from UAV-derived CHMs in an open canopy forest, and has the potential to supplement future research directed towards estimation of above ground biomass and stem volume from UAV-imagery.
Background
Incidental discovery accounts for 30% of newly-diagnosed intracranial meningiomas. There is no consensus on their optimal management. This review aimed to evaluate the outcomes of ...different management strategies for these tumors.
Methods
Using established systematic review methods, six databases were scanned up to September 2017. Pooled event proportions were estimated using a random effects model. Meta-regression of prognostic factors was performed using individual patient data.
Results
Twenty studies (2130 patients) were included. Initial management strategies at diagnosis were: surgery (27.3%), stereotactic radiosurgery (22.0%) and active monitoring (50.7%) with a weighted mean follow-up of 49.5 months (SD = 29.3). The definition of meningioma growth and monitoring regimens varied widely impeding relevant meta-analysis. The pooled risk of symptom development in patients actively monitored was 8.1% (95% CI 2.7–16.1). Associated factors were peritumoral edema (OR 8.72 95% CI 0.35–14.90) and meningioma diameter ≥ 3 cm (OR 34.90 95% CI 5.17–160.40). The pooled proportion of intervention after a duration of active monitoring was 24.8% (95% CI 7.5–48.0). Weighted mean time-to-intervention was 24.8 months (SD = 18.2). The pooled risks of morbidity following surgery and radiosurgery, accounting for cross-over, were 11.8% (95% CI 3.7–23.5) and 32.0% (95% CI 10.6–70.5) respectively. The pooled proportion of operated meningioma being WHO grade I was 94.0% (95% CI 88.2–97.9).
Conclusion
The management of incidental meningioma varies widely. Most patients who clinically or radiologically progressed did so within 5 years of diagnosis. Intervention at diagnosis may lead to unnecessary overtreatment. Prospective data is needed to develop a risk calculator to better inform management strategies.
Environmental remediation employing semiconducting materials offer a greener solution for pollution control. Herein, we report the development of high surface area porous architecture of C3N4 ...nanosheets by a simple aqueous spray drying process. g-C3N4 nanosheets obtained by the thermal decomposition of urea-thiourea mixture are spray granulated to microspheres using 2 wt% poly vinyl alcohol (PVA) as binder. The post granulation thermal oxidation treatment resulted in in situ doping of carbon leading to improved photophysical properties compared to pristine g-C3N4. The C3N4 granules with surface area values of 150 m2/g rendered repetitive adsorption of tetracycline antibiotic (∼75% in 60 min) and the extended absorption in the visible region facilitated complete photocatalytic degradation upon sunlight irradiation (>95% in 90 min). The delocalized π bonds generated after carbon doping and the macro-meso porous architecture created by the granulation process aided high adsorption capacity (70 mg/g). The photoregenerable, bifunctional materials herein obtained can thus be employed for the adsorption and subsequent degradation of harmful organic pollutants without any secondary remediation processes.
Accurate forest parameters are essential for forest inventory. Traditionally, parameters such as diameter at breast height (DBH) and total height are measured in the field by level gauges and ...hypsometers. However, field inventories are usually based on sample plots, which, despite providing valuable and necessary information, are laborious, expensive, and spatially limited. Most of the work developed for remote measurement of DBH has used terrestrial laser scanning (TLS), which has high density point clouds, being an advantage for the accurate forest inventory. However, TLS still has a spatial limitation to application because it needs to be manually carried to reach the area of interest, requires sometimes challenging field access, and often requires a field team. UAV-borne (unmanned aerial vehicle) lidar has great potential to measure DBH as it provides much higher density point cloud data as compared to aircraft-borne systems. Here, we explore the potential of a UAV-lidar system (GatorEye) to measure individual-tree DBH and total height using an automatic approach in an integrated crop-livestock-forest system with seminal forest plantations of Eucalyptus benthamii. A total of 63 trees were georeferenced and had their DBH and total height measured in the field. In the high-density (>1400 points per meter squared) UAV-lidar point cloud, we applied algorithms (usually used for TLS) for individual tree detection and direct measurement of tree height and DBH. The correlation coefficients (r) between the field-observed and UAV lidar-derived measurements were 0.77 and 0.91 for DBH and total tree height, respectively. The corresponding root mean square errors (RMSE) were 11.3% and 7.9%, respectively. UAV-lidar systems have the potential for measuring relatively broad-scale (thousands of hectares) forest plantations, reducing field effort, and providing an important tool to aid decision making for efficient forest management. We recommend that this potential be explored in other tree plantations and forest environments.
Climate teleconnections (CT) remotely influence weather conditions in many regions on Earth, entailing changes in primary drivers of fire activity such as vegetation biomass accumulation and ...moisture. We reveal significant relationships between the main global CTs and burned area that vary across and within continents and biomes according to both synchronous and lagged signals, and marked regional patterns. Overall, CTs modulate 52.9% of global burned area, the Tropical North Atlantic mode being the most relevant CT. Here, we summarized the CT-fire relationships into a set of six global CT domains that are discussed by continent, considering the underlying mechanisms relating weather patterns and vegetation types with burned area across the different world's biomes. Our findings highlight the regional CT-fire relationships worldwide, aiming to further support fire management and policy-making.
Intrinsically disordered proteins (IDPs) pose challenges to conventional experimental techniques due to their large-scale conformational fluctuations and transient structural elements. This work ...presents computational methods for studying IDPs at various resolutions using the Amber and Gromacs packages with both all-atom (Amber ff19SB with the OPC water model) and coarse-grained (Martini 3 and SIRAH) approaches. The effectiveness of these methodologies is demonstrated by examining the monomeric form of amyloid-β (Aβ42), an IDP, with and without disulfide bonds at different resolutions. Our results clearly show that the addition of a disulfide bond decreases the β-content of Aβ42; however, it increases the tendency of the monomeric Aβ42 to form fibril-like conformations, explaining the various aggregation rates observed in experiments. Moreover, analysis of the monomeric Aβ42 compactness, secondary structure content, and comparison between calculated and experimental chemical shifts demonstrates that all three methods provide a reasonable choice to study IDPs; however, coarse-grained approaches may lack some atomistic details, such as secondary structure recognition, due to the simplifications used. In general, this study not only explains the role of disulfide bonds in Aβ42 but also provides a step-by-step protocol for setting up, conducting, and analyzing molecular dynamics (MD) simulations, which is adaptable for studying other biomacromolecules, including folded and disordered proteins and peptides.
Replanting trees helps with avoiding desertification, reducing the chances of soil erosion and flooding, minimizing the risks of zoonotic disease outbreaks, and providing ecosystem services and ...livelihood to the indigenous people, in addition to sequestering carbon dioxide for mitigating climate change. Consequently, it is important to explore new methods and technologies that are aiming to upscale and fast-track afforestation and reforestation (A/R) endeavors, given that many of the current tree planting strategies are not cost effective over large landscapes, and suffer from constraints associated with time, energy, manpower, and nursery-based seedling production. UAV (unmanned aerial vehicle)-supported seed sowing (UAVsSS) can promote rapid A/R in a safe, cost-effective, fast and environmentally friendly manner, if performed correctly, even in otherwise unsafe and/or inaccessible terrains, supplementing the overall manual planting efforts globally. In this study, we reviewed the recent literature on UAVsSS, to analyze the current status of the technology. Primary UAVsSS applications were found to be in areas of post-wildfire reforestation, mangrove restoration, forest restoration after degradation, weed eradication, and desert greening. Nonetheless, low survival rates of the seeds, future forest diversity, weather limitations, financial constraints, and seed-firing accuracy concerns were determined as major challenges to operationalization. Based on our literature survey and qualitative analysis, twelve recommendations—ranging from the need for publishing germination results to linking UAVsSS operations with carbon offset markets—are provided for the advancement of UAVsSS applications.
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