Instituting nature Mathews, Andrew S
2011, 20111104, 2011-11-04, 2013-06-26, 20110101
eBook, Book
A study of how encounters between forestry bureaucrats and indigenous forest managers in Mexico produced official knowledge about forests and the state.
The compression of the offending vessel on the facial nerve at root exit zone is considered as the leading cause of hemifacial spasm (HFS). However, the correlation between the severity of spasm and ...the pressure of neurovascular compression (NVC) has not yet been investigated. The aim of this study was to investigate the clinical correlation between the severity of HFS and the pressure of NVC.
A prospective study was performed, which included 52 of 151 patients who underwent microvascular decompression. We classified the preoperative spasm severity according to the Cohen scores. Codman intracranial pressure monitoring system was used to measure the NVC pressure at the root exit zone during microvascular decompression. All patients were followed up for 12–24 months.
Herein, the intraoperative pressure readings of NVC were in the range of 21–63 mmHg. The means of the pressure of NVC that corresponded to the Cohen scores (1–4) were 23.00 ± 1.83, 34.91 ± 12.42, 46.50 ± 9.40, and 55.40 ± 3.03 mmHg, respectively. The Spearman's rank correlation established a strong positive correlation between the pressure and the Cohen scores (r = 0.689, P < 0.0001). The simple linear analysis indicated that sex (P = 0.132), duration (P = 0.304), and delayed relief (P = 0.158) were not significantly associated with the pressure. However, a substantial correlation was determined between the pressure values and the time until the complete recovery (r = 0.949, P < 0.0001) of the delayed healing population.
The severity of HFS exhibited a strong positive correlation with the intraoperative offending vessel's pressure values. Thus, the neurovascular pressure is a significant factor in the pathogenesis of HFS.
•The severity of hemifacial spasm exhibited a strong positive correlation with the pressure of the neurovascular compression.•The neurovascular pressure is a significant factor in the pathogenesis of hemifacial spasm.•The occurrence of facial spasm might be related to a specific pressure of the neurovascular compression.
This study aimed to explore a novel, non-segmented based on inverted water outline, and rapid 3D rendering method for identifying the responsible blood vessels for hemifacial spasm. First, the ...software was developed using the free and open-source 3D Slicer to process magnetic resonance images. Outlines of the water region were extracted and rendered in a three-dimensional space. The traditional image re-slicing technique (IMRT) was used for the control group, while non-segmented inverted water outline rendering (NSIWR) was used to observe the relevant blood vessels in the root entry/exit zone (REZ) of patients with hemifacial spasm. The intraoperative exploration results were considered the gold standard for comparing the differences in identifying relevant blood vessels between the two methods. Twenty-five patients were included, and the reconstruction effect evaluation suggested that NSIWR could effectively reconstruct the responsible blood vessels of the cochlea, facial nerve, and REZ. Compared with IMRT, NSIWR effectively improved the diagnosis of the responsible blood vessels in the REZ, clarified their sources and directions, and was consistent with intraoperative results. This study introduced a novel rapid rendering method based on NSIWR, which was successfully applied for hemifacial spasm. The method enhances accuracy in identifying responsible blood vessels in the REZ without needing multi-modal techniques. It has the potential to improve surgical effectiveness and reduce exploration time in treating hemifacial spasm.
Cilj: Porod carskim rezom kontinuirano se povezuje s povećanim rizikom za pojavu komponenti metaboličkog sindroma kod ispitanika u općoj populaciji, dok su podatci za bolesnike sa shizofrenijom ...manjkavi i proturječni. U ovom smo istraživanju ispitali pridonosi li, i u kojoj mjeri, vrsta poroda vrijednostima indeksa tjelesne mase (ITM) te koncentracijama lipida i glukoze u plazmi na dvjema skupinama bolesnika sa shizofrenijom koji ne primaju terapiju: u bolesnika s prvom epizodom shizofrenije (N = 48) i u kroničnih bolesnika neadherentnih prema antipsihotičnoj terapiji (N = 83). Ispitanici i metode: Podatci o vrsti poroda i neadherentnosti prema antipsihotičnoj terapiji prikupljeni su iz autoanamneze i heteroanamneze. Određivanje ukupnog kolesterola, LDL kolesterola (engl. low density lipoprotein cholesterol), HDL kolesterola (engl. high density lipoprotein cholesterol), triglicerida i glukoze u plazmi realizirano je nakon 12-satnog gladovanja. Rezultati: Učestalost poroda carskim rezom iznosila je 8,4 %. Koncentracije triglicerida i vrijednosti ITM-a bile su značajno više u bolesnika rođenih carskim rezom u odnosu na bolesnike rođene vaginalnim porodom: 1,5 (0,6 – 4,3) vs. 1,1 (0,3 – 3,1); z = -2,21, p = 0,027. Vrsta poroda pridonosi s približno 3,3 % varijabilnosti koncentracija triglicerida. Zaključci: Naši rezultati upućuju da vrsta poroda utječe u manjoj mjeri na koncentracije triglicerida u plazmi u bolesnika sa shizofrenijom koji nisu na terapiji antipsihotičnim lijekovima. Porod carskim rezom predstavlja rizični čimbenik za povišene koncentracije triglicerida.
For the first time in English, the stories of two
Dominican national icons in their own words
The letters between Dominican revolutionaries Minerva Mirabal
Reyes and Manolo Tavárez Justo tell an ...intimate story of life and
love under the brutal dictatorship of Rafael Trujillo, who held
power in the nation from 1930 to 1961. Leaders in the 14th of June
Movement, Minerva and Manolo were imprisoned multiple times.
Minerva-one of three Mirabal sisters known by the code name "Las
Mariposas" (The Butterflies)-was assassinated with her sisters in
1960; Manolo was killed in 1963. This translation and critical
edition of their correspondence brings their stories to the
English-language readers of the world.
Paired with commentary from the couple's daughter, political
activist Minou Tavárez Mirabal, these 117 letters and telegrams
span from the first notes Minerva and Manolo exchanged while
courting in law school to the last message Manolo sent to
7-year-old Minou before his murder. Translator Heather Hennes
introduces the collection with a history of the Trujillo regime and
its opposition, and the book includes a foreword by Michelle
Bachelet, United Nations High Commissioner for Human Rights.
Through this volume, readers will discover the human complexities
of the iconic and much-mythologized "Butterfly," Minerva, and will
appreciate the importance of the couple's legacy in the politics
and democratic growth of the country today.
Publication of this work made possible by a Sustaining
the Humanities through the American Rescue Plan grant from the
National Endowment for the Humanities.
Chemical graph theory has become a significant part of the research. Topological indices are numerical descriptors used to determine physico-chemical properties of chemical compounds. In this work, ...the generalized redefined Zagreb index is defined. This index is applied on several topological indices viz., redefined Zagreb indices (ReZG1(G), ReZG2(G), ReZG3(G)), sum-connectivity Zagreb index (SCI(G)), hyper Zagreb index (HM(G)), harmonic index (H(G)), arithmetic-geometric index (AGI(G)), SK index (SK(G)) and SK1 index (SK1(G)). The above said indices are calculated for aromatic compounds such as boron triangular sheet, borophene chain and melem chain nanostructures. The obtained results are useful in understanding the behaviour of compounds under the study.
Krajem vegetacijske sezone cvate manji broj biljnih vrsta, a one koje cvatu uglavnom se koriste kao biljne vrste za uređivanje interijera. Cilj ovog rada je prikazati taksonomsku pripadnost i ...porijeklo ciklame, način uzgoja, mogućnosti primjene te mjere njege i održavanja. Rod Cyclamen pripada porodici Primulaceae. Komercijalno najvažnija vrsta je Cyclamen persicum Mill. koja potječe s krajnjeg istoka Mediterana. Uzgaja se iz sjemena, u polusjeni, pri temperaturama 18-20 °C i uz 50-70 % relativne vlage zraka. Potrebna je konstantna, ali umjerena razina hraniva koju treba prilagođavati razvoju biljke. Ciklami, premda se koristi kao sobna lončanica, više odgovara primjena u uvjetima nižih temperatura pa su idealne za primjenu na hladnim verandama i stubištima, ostakljenim ulaznim prostorima. Mogu se koristiti i kao cvjetna vrsta za rez. Kombinacijom različitih kultivara dulje i kraće vegetacije, nastoji se osigurati opskrba tržišta ciklamama od početka jeseni do kraja zime.
Aims: To study the trigeminal nerve tractography and assessment of diffusion tensor imaging (DTI) parameters by comparing the values of fractional anisotropy (FA) of trigeminal (V) nerve on the ...affected side with that of the unaffected opposite side.
Materials and Methods: Prospective comparative study done for one year included 30 patients who presented with trigeminal neuralgia and 30 controls who did not have any present or past history of neurological or neurosurgical symptoms were enrolled in the study.
Results: Most common age of presentation of TN is >50 years, and the commonly involved branch is V2 (maxillary branch of the trigeminal nerve). Most of the patients were having symptoms for more than 1 year. The superior cerebellar artery was the most common vessel compressing the V nerve at the root entry zone (REZ), followed in the order by anterior inferior cerebellar artery and petrosal vein. Neurovascular compression (NVC) was more commonly seen in the study group when compared with the control group. In all the patients in the study group, fractional anisotropy (FA) was decreased on the affected side as compared to the unaffected side. In the study group, 10 patients were having NVC on both sides, but FA was significantly decreased only on the affected side. No significant difference in FA values at the REZ of bilateral V nerves in the control group.
Conclusion: DTI metrics of the trigeminal nerve is a very helpful imaging technique in patients with trigeminal neuralgia. It not only helps in anatomical imaging but also reinforces the association between NVC and TN.
The research on the relationships between free-roaming dogs, also referred to as reservation dogs or rez dogs, and Indigenous communities is extremely limited. This study aimed to document the ...cultural significance of rez dogs, challenges related to rez dogs, and community-specific solutions for rez dog issues affecting community health and safety from members of the Mandan, Hidatsa, and Arikara (MHA) Nation, also referred to as the Three Affiliated Tribes (TAT), who live on the Fort Berthold reservation in North Dakota, U.S.A. One hour semi-structured interviews with 14 community members of the MHA Nation were conducted in 2016. The interviews were analyzed via systematic and inductive coding using Gadamer's hermeneutical phenomenology. The primary intervention areas described by the participants included: culturally relevant information sharing, improved animal control policies and practices, and improved access to veterinary care and other animal services.