Background Subarachnoid haemorrhage(SAH)and intraventricular haemorrhage(IVH)are associated with poor patient outcomes.Intraventricular fibrinolysis is effective in clearing IVH and improving patient survival and neur...Background Subarachnoid haemorrhage(SAH)and intraventricular haemorrhage(IVH)are associated with poor patient outcomes.Intraventricular fibrinolysis is effective in clearing IVH and improving patient survival and neurological outcome.By similar rationale,cisternal irrigation has been proposed as a potential method to accelerate haematoma clearance in SAH.We aimed to provide a comprehensive review and meta-analysis evaluating the effect of intraventricular and cisternal irrigation on clinical outcomes in patients with SAH and IVH.Methods The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed preparing this systematic review and study selection was performed by multiple investigators.We extracted ORs from the individual studies and aggregated these using a random effects model.The quality of evidence was evaluated using Grading of Recommendations,Assessment,Development and Evaluations assessment and ROBINS-I or RoB-2.Results 24 articles were included.In SAH,we found that cisternal irrigation with fibrinolytic agents was associated with reduced mortality(OR:0.68,95%CI 0.46 to 1.00),higher probability of favourable functional outcome(OR:1.80,95%CI 1.30 to 2.51),and reduced risks of DCI(OR:0.28,95%CI 0.18 to 0.42)and cerebral vasospasm(OR:0.28,95%CI 0.18 to 0.42),compared with conventional therapy.Cisternal irrigation with vasodilatory agents was associated with lower mortality(OR:0.32,95%CI 0.13 to 0.79)and reduced risk of cerebral vasospasm(OR:0.37,95%CI 0.17 to 0.79).The evidence for irrigation therapy of IVH was sparse and insufficient to show any significant effect.Conclusion In this study,we found that cisternal irrigation could improve the prognosis in patients with SAH compared with conventional therapy.There is no evidence to support cisternal irrigation treatment of IVH.展开更多
A plastic mixture construction technology using MBER （material becoming earth into rock） soil stabilizer is introduced and the water quality of a solidified soil cistern using the technology is analyzed. Rainwater w...A plastic mixture construction technology using MBER （material becoming earth into rock） soil stabilizer is introduced and the water quality of a solidified soil cistern using the technology is analyzed. Rainwater was harvested in July, 2012. Water quality of runoff and cistern water after storage was measured, including turbidity, chemical oxygen demand （COD）, total nitrogen, nitrate, and ammonia. Results show that pollutant concentrations in runoff decreased with time, indicating that runoff in the early time should be removed. Nitrate concentrations in cistern water increased after storage, while the remaining parameters decreased. Measured pollutant concentrations did not exceed the limit according to the standard for drinking water in China. It can be concluded that the solidified soil cistern with plastic mixture construction technology can provide available water for domestic use.展开更多
BACKGROUND Intractable postherpetic neuralgia(PHN)can be difficult to manage even with aggressive multimodal therapies.Patients who experience uncontrolled refractory cranial PHN despite conservative treatment may ben...BACKGROUND Intractable postherpetic neuralgia(PHN)can be difficult to manage even with aggressive multimodal therapies.Patients who experience uncontrolled refractory cranial PHN despite conservative treatment may benefit from an intrathecal drug delivery system(IDDS).For craniofacial neuropathic pain,the traditional approach has been to place the intrathecal catheter tip below the level of the cranial nerve root entry zones,which may lead to insufficient analgesia.CASE SUMMARY We describe a 69-year-old man with a 1-year history of PHN after developing a vesicular rash in the ophthalmic division of cranial nerve V(trigeminal nerve)distribution.The pain was rated 7-8 at rest and 9-10 at breakthrough pain(BTP)on a numeric rating scale.Despite receiving aggressive multimodal therapies including large doses of oral analgesics(gabapentin 150 mg q12 h,oxycodone 5 mg/acetaminophen 325 mg q6 h,and lidocaine 5%patch 700 mg q12 h)and sphenopalatine ganglion block,there was no relief of pain.Subsequently,the patient elected to have an implantable IDDS with the catheter tip placed at the interpeduncular cistern.The frequency of BTP episodes decreased.The patient’s continuous daily dose was adjusted to 0.032 mg/d after 3 mo of follow-up and stopped 5 mo later.He did not report pain or other discomfort at outpatient follow-up 6 mo and 1 year after stopping intracisternal hydromorphone.CONCLUSION The use of interpeduncular cistern intrathecal infusion with low-dose hydromorphone by IDDS may be effective for severe craniofacial PHN.展开更多
This paper describes a household model of the rainwater harvesting system in residential development of Tlaquepaque Jalisco Mexico. Harvested rainwater is estimated for designing a rainwater catchment system which ref...This paper describes a household model of the rainwater harvesting system in residential development of Tlaquepaque Jalisco Mexico. Harvested rainwater is estimated for designing a rainwater catchment system which reflects the maximum water supply to a household.Based on the estimation of the harvested rainwater the total water demand is calculated in order to explore the possible uses of rainwater. Major components in the rainwater catchment system are as follows catchment area downspout roof drain pipe and first flush tank cistern infiltration well pumping station and filtering system and ultraviolet UV water treatment.The rainwater harvesting system is designed to operate as the part of the central water supply system.This paper exposes the process of design and construction and its cost.In this way it aims to establish a technical and conceptual reference which enables the citizens to design their rainwater systems and their construction. This model will produce an important experience that can help to improve the systems in a Mexican context.It can be also useful for the international community.展开更多
An animal model of epidemic(Japanese)B encephalitis was estabilisged by injecting theJin Wei Yah 1 stain of B encephalitis virus into the peritoneal cavity of mice.The ultrastructuralchanges of the nerve cells in thei...An animal model of epidemic(Japanese)B encephalitis was estabilisged by injecting theJin Wei Yah 1 stain of B encephalitis virus into the peritoneal cavity of mice.The ultrastructuralchanges of the nerve cells in their brains were studied,special attention being paid to some types ofnerve cell in the cerebellar cortex.The infectet Purkinje cells and especially the granular cells showedspecial and inter,sting pathological features.These were compared with the changes found in the in-fected nerve cells in the cerebral cortex,diencephalon and mesencephalon.A radiating structure consisting of a microveside-microtubule aggregation body at the centerand endoplastic reticulum or virus replication multivesicular structures around it was often found in thein fected nerve cells.Its morphological features were described in detail,and its significance and the se-quenoe of events of its development discussed.In the late stage of infection,virus particles were found in the nuclei of part of the necroticcells.It is considered that they entered the nuclei from the cytoplasm during or after the death of theinfected cells.The observation smade in this study have comfimed in the granular cell of the cerebellum theidea of Chert et al.that the encephalitis B virus particle can he formed in the perinudear cistem ofthe infected nerve cell,and have brought forth further information in this respect.The way of releaseof the virus particles from the infected nerve cells observed in this study is fundamentally consistentwith that observed by Chen et al.but most of the virus particles left the nerve cell via the cell pro-展开更多
BACKGROUND Intracranial tuberculoma is a rare and serious type of tuberculosis,which mostly occurs in the frontoparietal and cerebellar hemispheres,with predominance in the gray-white matter junction area,while tuberc...BACKGROUND Intracranial tuberculoma is a rare and serious type of tuberculosis,which mostly occurs in the frontoparietal and cerebellar hemispheres,with predominance in the gray-white matter junction area,while tuberculomas only in the cistern are extremely rare with only a few reported cases in the literature.We describe a unique case of isolated tuberculoma in the suprasellar cistern,with only right ocular motility disorder and upper eyelid ptosis.CASE SUMMARY A 5-year-old boy without any medical history presented with right ocular motility disorder and upper eyelid ptosis one month ago.He had no history of fever,headache,vomiting,convulsions,or limb weakness.Neurological examination showed right third cranial nerve palsy with restrictions of eye movements and ptosis,pupil dilation and negative light reflex.Imaging suggested a spaceoccupying lesion in the suprasellar cistern with calcification and ring-enhancement.Moreover,no Mycobacterium tuberculosis was found in cerebrospinal fluid by polymerase chain reaction(PCR).The lesion was initially diagnosed as a tumor,while postoperative pathology combined with PCR indicated tuberculoma.The patient continued postoperative anti-tuberculosis treatment.At present,the patient's condition is stable and the symptoms are partially relieved compared with those before surgery.CONCLUSION This case confirmed that isolated intracranial tuberculoma can occur in the suprasellar cistern.Therefore,for space-occupying lesions in the suprasellar cistern,tuberculoma should be included in the differential diagnosis even if there is no history or indication of tuberculosis infection.展开更多
This study was designed to determine the effects of heat stress on plasma leucocytes, Thyroxin （T4） and cortisol concentrations in dairy cows with small and large cistern under hot climate. This experiment was carri...This study was designed to determine the effects of heat stress on plasma leucocytes, Thyroxin （T4） and cortisol concentrations in dairy cows with small and large cistern under hot climate. This experiment was carried out in 2006, in North Tunisia, using a randomized block design per udder cistern size, using 60 Holstein cows. Cows were classified according to udder cistern size by ultrasonography as large-cisterned （44 ±13 cm2; LC） and small-cisterned （21 ± 8 cm2; SC）. The experiment was carried out in two different periods： spring （Apr. 5 （D1）） and summer （July 19 （D2）, Aug. 19 （D3） and Sept. 19 （D4））. On each test day, temperature and relative humidity data were registered hourly and cows＇ blood was sampled from the jugular vein to determine serum concentrates of cortisol and T4. Leucocytes （lyrnphocytes, eosinophils, neutrophils and monocytes） were counted differentially, and percentages of lymphocytes relative to total counted cells were calculated. Mean temperature-humidity index （THI） values were 62 ±2, 79 ±2, 84 ±2, and 77 ±1 in DI, D2, D3, and D4, respectively. Lymphocyte incidence relative to total cell counts and T4 concentrations were affected by test day （P 〈 0.001）. Lymphocytes （%） were significantly less in hotter months. During summer, T4 concentration at D2 （87.4 nmol/L） was higher relative to concentrations at D3 （42.8 nmol/L） and D4 （53.5 nmol/L）. T4 concentrations were higher （P 〈 0.01） in SC cows （67.7 ±0.1 nmol/L） compared to LC cows （52.7 ±0.1 nmol/L）. Cortisol concentration was effected neither by test day nor by cistern size. However, the decrease of lymphocyte concentration during summer compared to spring could be considered as an evidence of the suppression of cows＇ immune system under heat stress.展开更多
Rainwater harvesting(RWH)systems have been the source of domestic water for many years and still becoming essential in many communities of developing countries.However,due to various reasons,there are several sources ...Rainwater harvesting(RWH)systems have been the source of domestic water for many years and still becoming essential in many communities of developing countries.However,due to various reasons,there are several sources of contamination in the rainwater cistern systems.Dissolved chemicals from the roofing,storage,and conveyance materials,together with the suspended particulate matter from the airborne,are examples of water contamination.In this work,the water quality monitoring system has been designed and implemented.Chemical and physical parameters of water samples were collected from three locations using a data acquisition(DAQ)system and rainwater quality was analyzed using Water Pollution Index(WPI).Results obtained from three locations have been presented.展开更多
This article reports on a case study of the research and development of a new tool to assist in the design of rainwater cisterns. A rainwater cistern is a way to improve wildlife habitat because it can be situated in ...This article reports on a case study of the research and development of a new tool to assist in the design of rainwater cisterns. A rainwater cistern is a way to improve wildlife habitat because it can be situated in locations that do not have natural water sources, such as streams or wells that can supply water for storage. However, the design and sizing of such a system can be challenging because a number of constantly varying factors must be considered, such as changing precipitation patterns, the evaporative losses from the cistern and </span><span style="font-family:Verdana;">animal water consumption. No standardized sizing methodology currently</span><span style="font-family:Verdana;"> exists for designing wildlife rainwater cisterns. In this article we present a new method for assisting in optimally sizing a rainwater cistern. We discuss how we implemented the quantitative portion of this methodology into a new Excel? model called CISMOD, which we configured for general use by wildlife professionals. We describe the methodology for designing a rainwater cistern based on standard engineering techniques. We then present and discuss our experience in applying the model to design two rainwater cisterns in an area of the Jemez Mountains in northern New Mexico, USA. The CISMOD model and a user manual are available at no cost for wildlife professionals.展开更多
Intraventricular hemorrhage(IVH)is a dangerous acute cerebrovascular disease.The 30-day mortality rate of patients with IVH is 5 times that of patients with cerebral hemorrhage.In recent years,more and more studies ha...Intraventricular hemorrhage(IVH)is a dangerous acute cerebrovascular disease.The 30-day mortality rate of patients with IVH is 5 times that of patients with cerebral hemorrhage.In recent years,more and more studies have shown that timely clearance of intraventricular hematoma is closely related to good prognosis.The advantages of surgical intervention in patient management are impressive.This article briefly reviews the positive advances in the surgical treatment of IVH such as external ventricular drainage(EVD)combined with intraventricular fibrinolysis(IVF)and continuous lumbar cistern drainage(LCD),as well as their safety and efficacy,especially the remarkable role of neuroendoscopy in the removal of intraventricular hematomas.展开更多
Objective: to analyze the patients with communicating hydrocephalus as a whole, and then perform lumbar cistern abdominal shunt, or LPS for short, and on this basis, to carry out the diagnosis and treatment and summar...Objective: to analyze the patients with communicating hydrocephalus as a whole, and then perform lumbar cistern abdominal shunt, or LPS for short, and on this basis, to carry out the diagnosis and treatment and summarize the clinical diagnosis and treatment results. Methods: from November 2019 to November 2020, 37 patients with communicating hydrocephalus received in the hospital were randomly selected for lumbar cistern abdominal shunt. Results: of the 37 patients, 30 needed pressure regulation immediately after the operation, and the maximum number of times of pressure regulation was four. After surgical treatment, the overall symptoms of the patients showed signs of improvement, among which 22 patients' conditions were significantly relieved. After the operation, the head CT examination was performed on the patients. The enlarged ventricles of the brain eventually showed significant reduction, and the interstitial edema was relieved. Among them, 25 patients recovered and returned to normal values. After the operation, there was one patient with infection, and the patient gradually recovered after antibiotic treatment. Of these 37 patients, 18 had excessive shunting and 12 had insufficient shunting, all of which improved after pressure adjustment. Conclusion: for patients with communicating hydrocephalus, lumbar cistern abdominal shunt is effective.展开更多
Objective To study microanatomy features and clinical significance of ambient cisterns and their arachnoidal membranes in detail. Methods Ambient cisterns including their shapes,borders,contents and arachnoidal membra...Objective To study microanatomy features and clinical significance of ambient cisterns and their arachnoidal membranes in detail. Methods Ambient cisterns including their shapes,borders,contents and arachnoidal membranes were observed in 20 cadaveric brains using an operating microscope. Results The展开更多
To assess the relationship between the prognosis of the patients with diffuse traumatic brain swelling (DTBS) and the changes of the ventricles and the cisterns in CT scans. Methods: The outcome of the patients with...To assess the relationship between the prognosis of the patients with diffuse traumatic brain swelling (DTBS) and the changes of the ventricles and the cisterns in CT scans. Methods: The outcome of the patients with DTBS and the changes of the ventricles and the cisterns in CT scans were studied and analyzed in a group of 268 cases. We focused on the changes of the third ventricle and the basal cistern, age and Glasgow Coma Scale (GCS). Results: Of 268 cases, there were changes of the third ventricle and/or the basal cistern in 124, 65 died. In l8 cases, the third ventricle and the basal cistern were both absent and l6 died (88.9%). The third ventricle changed significantly in 59 cases, 33 died (55.9%), while the basal cistern changed in 47 cases and 16 died (34%). Of the 124 patients with changes of the third ventricle and/or the basal cistern, 26 were children, 8 died; 98 adults, 57 died.Conclusions: For patients with DTBS, the outcome was in direct correlation with the change of the third ventricle and/or the basal cistern, the change of the third ventricle was much more important in assessment of the outcome than that of basal cisterns. There is no significant difference in, the incidence of DTBS between children and adults while the outcome of children is much better than that of adults. The patients with the changes of the third ventricle and the basal cistern accompanied with lower GCS scores have poor outcome.展开更多
Objective: To explore prospectively the relationship between the state of perimesencephalic cistern and the degree of deformation of the midbrain on CT scanning and the outcome of the patients with acute craniocerebra...Objective: To explore prospectively the relationship between the state of perimesencephalic cistern and the degree of deformation of the midbrain on CT scanning and the outcome of the patients with acute craniocerebral injury.Methods: The CT scan features including the states of perimesencephalic cisterns, the deformations of the midbrain and the ratios of the occipitofrontal diameter and the transverse diameter of the midbrain of 132 cases were measured. The GOS of the patients 3 months after trauma were regarded as outcome.Results: The rate of unfavorable outcome ( dead, vegetative status, severe disability ) was significantly correlated with perimesencephalic cistern narrower than 1mm (P < 0.05), especially narrower than 0.5 mm (P < 0.005), deformed midbrain (P< 0.005) or abnormal ratio ( < 0.9 or >.1) of the occipitofrontal diameter and transverse diameter of the midbrain (P < 0.01). But the patient's perimesencephalic cistern wider than 1mm and the patients without deformed midbrain got favorable outcome (moderate disability/good recovery).Conclusions: The state of the compressedperimesencephalic cistern ( < 1 mm) and the deformation of the midbrain may significantly indicate unfavorable outcome of the patients with acute craniocerebral injury.展开更多
The authors set out to study the stormwater management viability of greenwalls in a simulated retention of roof runoff,using a cistern for simulated runoff to irrigate the greenwalls.By experimenting with two greenwal...The authors set out to study the stormwater management viability of greenwalls in a simulated retention of roof runoff,using a cistern for simulated runoff to irrigate the greenwalls.By experimenting with two greenwalls of different exposures(one southeast and one northwest),this study demonstrated that the southeast facing greenwall and the northwest facing greenwall retained comparably favorable amounts to greenroof stormwater retention systems.With more and more competition for limited horizontal surface area in urbanized and urbanizing areas,the use of vertical surfaces for stormwater mitigation and evapotranspiration has attractive potential.This article presents the background,project,methods,findings,and conclusions of the study.展开更多
INTRODUCTION The recent trend toward more extreme periods of drought has been a shock to the residents of the Pacific Northwest-many of whom have relied upon heavy water-use in the summer months in order to make a liv...INTRODUCTION The recent trend toward more extreme periods of drought has been a shock to the residents of the Pacific Northwest-many of whom have relied upon heavy water-use in the summer months in order to make a living(i.e.producers of grass seed and sod,berries,or nursery crops),or to maintain their landscapes at high levels(i.e.certain homeowners,recreational facilities,or commercial properties).Further-more,population growth has reached the point where even an average year of pre-cipitation has proven insufficient for urbanities that had not previously experienced issues with water scarcity(McDonald et al.,2011).This modern climate scenario has forced people of the Pacific Northwest,and people from all around the world,to rethink their water-use strategies,as the global trend has shifted toward greater sustainability(Tilman,2001;McDonald et al.,2011).展开更多
INTRODUCTION The new Glen Allen High School was built in 2010 by Henrico County Public Schools(HCPS)to serve the growing student population in the Glen Allen area of Henrico County,Virginia.As a suburban area northwes...INTRODUCTION The new Glen Allen High School was built in 2010 by Henrico County Public Schools(HCPS)to serve the growing student population in the Glen Allen area of Henrico County,Virginia.As a suburban area northwest of the City of Richmond,Glen Allen’s population doubled between 1980 and 2000,and grew an additional 18%between 2000 and 2010.The new high school is one of nine in the county and can accommodate approximately 1,800 students and 150 staff.The school facility is located on a 95-acre parcel of land that was previously wooded and undeveloped.展开更多
In planning the George W.Bush Presidential Center in Dallas,Texas,former First Lady Laura Bush presented a very clear vision of what the Center should epitomize:“Because George was the first president of the new mill...In planning the George W.Bush Presidential Center in Dallas,Texas,former First Lady Laura Bush presented a very clear vision of what the Center should epitomize:“Because George was the first president of the new millennium,I wanted it to be forward and modern.”1 For the president and Mrs.Bush this meant making the building and landscape environmentally responsible,beautiful,and welcoming.In particular,their love of native Texas landscapes was an important framework for transforming the project’s urban site into a park that was sustainable and experientially rich for visitors.Sustainability was addressed from the start with smart planning that privileged contiguous parkland over impermeable surfaces and structures.Simultaneous consideration of every landscape component—-stormwater,plants,soil,topography,and more—netted cohesive natural systems that are better able to succeed with short-term establishment and provide enduring long-term health,the ultimate goals for a sustainable landscape.展开更多
基金supported by grants from the Danish Cancer Society(R304-A17698-B5570 and R295-A16770)the Lundbeck Foundation(R325-2019-1490)+2 种基金the Independent Research Fund Denmark(903900307B)unrelated to this studysupported by a grant from The Health Research Fund of Central Denmark Region unrelated to this studysupported by grants from The Health Research Fund of Central Region Denmark and the Novo Nordisk Foundation unrelated to this study.
文摘Background Subarachnoid haemorrhage(SAH)and intraventricular haemorrhage(IVH)are associated with poor patient outcomes.Intraventricular fibrinolysis is effective in clearing IVH and improving patient survival and neurological outcome.By similar rationale,cisternal irrigation has been proposed as a potential method to accelerate haematoma clearance in SAH.We aimed to provide a comprehensive review and meta-analysis evaluating the effect of intraventricular and cisternal irrigation on clinical outcomes in patients with SAH and IVH.Methods The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed preparing this systematic review and study selection was performed by multiple investigators.We extracted ORs from the individual studies and aggregated these using a random effects model.The quality of evidence was evaluated using Grading of Recommendations,Assessment,Development and Evaluations assessment and ROBINS-I or RoB-2.Results 24 articles were included.In SAH,we found that cisternal irrigation with fibrinolytic agents was associated with reduced mortality(OR:0.68,95%CI 0.46 to 1.00),higher probability of favourable functional outcome(OR:1.80,95%CI 1.30 to 2.51),and reduced risks of DCI(OR:0.28,95%CI 0.18 to 0.42)and cerebral vasospasm(OR:0.28,95%CI 0.18 to 0.42),compared with conventional therapy.Cisternal irrigation with vasodilatory agents was associated with lower mortality(OR:0.32,95%CI 0.13 to 0.79)and reduced risk of cerebral vasospasm(OR:0.37,95%CI 0.17 to 0.79).The evidence for irrigation therapy of IVH was sparse and insufficient to show any significant effect.Conclusion In this study,we found that cisternal irrigation could improve the prognosis in patients with SAH compared with conventional therapy.There is no evidence to support cisternal irrigation treatment of IVH.
基金The National Key Technology R&D Program of China during the 12th Five Year Plan Period(No.2011BAD31B05)the National Natural Science Foundation of China(No.41371276)+1 种基金the National Science and Technology Major Project of China(No.2009ZX07212-002-003-02)the Knowledge Innovation Project of theInstitute of Soil and Water Conservation,CAS&MWR(No.A315021304)
文摘A plastic mixture construction technology using MBER （material becoming earth into rock） soil stabilizer is introduced and the water quality of a solidified soil cistern using the technology is analyzed. Rainwater was harvested in July, 2012. Water quality of runoff and cistern water after storage was measured, including turbidity, chemical oxygen demand （COD）, total nitrogen, nitrate, and ammonia. Results show that pollutant concentrations in runoff decreased with time, indicating that runoff in the early time should be removed. Nitrate concentrations in cistern water increased after storage, while the remaining parameters decreased. Measured pollutant concentrations did not exceed the limit according to the standard for drinking water in China. It can be concluded that the solidified soil cistern with plastic mixture construction technology can provide available water for domestic use.
基金Supported by National Natural Science Foundation of China,No.81891004Tianjin Natural Science Foundation of China,No.21JCQNJC01140.
文摘BACKGROUND Intractable postherpetic neuralgia(PHN)can be difficult to manage even with aggressive multimodal therapies.Patients who experience uncontrolled refractory cranial PHN despite conservative treatment may benefit from an intrathecal drug delivery system(IDDS).For craniofacial neuropathic pain,the traditional approach has been to place the intrathecal catheter tip below the level of the cranial nerve root entry zones,which may lead to insufficient analgesia.CASE SUMMARY We describe a 69-year-old man with a 1-year history of PHN after developing a vesicular rash in the ophthalmic division of cranial nerve V(trigeminal nerve)distribution.The pain was rated 7-8 at rest and 9-10 at breakthrough pain(BTP)on a numeric rating scale.Despite receiving aggressive multimodal therapies including large doses of oral analgesics(gabapentin 150 mg q12 h,oxycodone 5 mg/acetaminophen 325 mg q6 h,and lidocaine 5%patch 700 mg q12 h)and sphenopalatine ganglion block,there was no relief of pain.Subsequently,the patient elected to have an implantable IDDS with the catheter tip placed at the interpeduncular cistern.The frequency of BTP episodes decreased.The patient’s continuous daily dose was adjusted to 0.032 mg/d after 3 mo of follow-up and stopped 5 mo later.He did not report pain or other discomfort at outpatient follow-up 6 mo and 1 year after stopping intracisternal hydromorphone.CONCLUSION The use of interpeduncular cistern intrathecal infusion with low-dose hydromorphone by IDDS may be effective for severe craniofacial PHN.
文摘This paper describes a household model of the rainwater harvesting system in residential development of Tlaquepaque Jalisco Mexico. Harvested rainwater is estimated for designing a rainwater catchment system which reflects the maximum water supply to a household.Based on the estimation of the harvested rainwater the total water demand is calculated in order to explore the possible uses of rainwater. Major components in the rainwater catchment system are as follows catchment area downspout roof drain pipe and first flush tank cistern infiltration well pumping station and filtering system and ultraviolet UV water treatment.The rainwater harvesting system is designed to operate as the part of the central water supply system.This paper exposes the process of design and construction and its cost.In this way it aims to establish a technical and conceptual reference which enables the citizens to design their rainwater systems and their construction. This model will produce an important experience that can help to improve the systems in a Mexican context.It can be also useful for the international community.
文摘An animal model of epidemic(Japanese)B encephalitis was estabilisged by injecting theJin Wei Yah 1 stain of B encephalitis virus into the peritoneal cavity of mice.The ultrastructuralchanges of the nerve cells in their brains were studied,special attention being paid to some types ofnerve cell in the cerebellar cortex.The infectet Purkinje cells and especially the granular cells showedspecial and inter,sting pathological features.These were compared with the changes found in the in-fected nerve cells in the cerebral cortex,diencephalon and mesencephalon.A radiating structure consisting of a microveside-microtubule aggregation body at the centerand endoplastic reticulum or virus replication multivesicular structures around it was often found in thein fected nerve cells.Its morphological features were described in detail,and its significance and the se-quenoe of events of its development discussed.In the late stage of infection,virus particles were found in the nuclei of part of the necroticcells.It is considered that they entered the nuclei from the cytoplasm during or after the death of theinfected cells.The observation smade in this study have comfimed in the granular cell of the cerebellum theidea of Chert et al.that the encephalitis B virus particle can he formed in the perinudear cistem ofthe infected nerve cell,and have brought forth further information in this respect.The way of releaseof the virus particles from the infected nerve cells observed in this study is fundamentally consistentwith that observed by Chen et al.but most of the virus particles left the nerve cell via the cell pro-
文摘BACKGROUND Intracranial tuberculoma is a rare and serious type of tuberculosis,which mostly occurs in the frontoparietal and cerebellar hemispheres,with predominance in the gray-white matter junction area,while tuberculomas only in the cistern are extremely rare with only a few reported cases in the literature.We describe a unique case of isolated tuberculoma in the suprasellar cistern,with only right ocular motility disorder and upper eyelid ptosis.CASE SUMMARY A 5-year-old boy without any medical history presented with right ocular motility disorder and upper eyelid ptosis one month ago.He had no history of fever,headache,vomiting,convulsions,or limb weakness.Neurological examination showed right third cranial nerve palsy with restrictions of eye movements and ptosis,pupil dilation and negative light reflex.Imaging suggested a spaceoccupying lesion in the suprasellar cistern with calcification and ring-enhancement.Moreover,no Mycobacterium tuberculosis was found in cerebrospinal fluid by polymerase chain reaction(PCR).The lesion was initially diagnosed as a tumor,while postoperative pathology combined with PCR indicated tuberculoma.The patient continued postoperative anti-tuberculosis treatment.At present,the patient's condition is stable and the symptoms are partially relieved compared with those before surgery.CONCLUSION This case confirmed that isolated intracranial tuberculoma can occur in the suprasellar cistern.Therefore,for space-occupying lesions in the suprasellar cistern,tuberculoma should be included in the differential diagnosis even if there is no history or indication of tuberculosis infection.
文摘This study was designed to determine the effects of heat stress on plasma leucocytes, Thyroxin （T4） and cortisol concentrations in dairy cows with small and large cistern under hot climate. This experiment was carried out in 2006, in North Tunisia, using a randomized block design per udder cistern size, using 60 Holstein cows. Cows were classified according to udder cistern size by ultrasonography as large-cisterned （44 ±13 cm2; LC） and small-cisterned （21 ± 8 cm2; SC）. The experiment was carried out in two different periods： spring （Apr. 5 （D1）） and summer （July 19 （D2）, Aug. 19 （D3） and Sept. 19 （D4））. On each test day, temperature and relative humidity data were registered hourly and cows＇ blood was sampled from the jugular vein to determine serum concentrates of cortisol and T4. Leucocytes （lyrnphocytes, eosinophils, neutrophils and monocytes） were counted differentially, and percentages of lymphocytes relative to total counted cells were calculated. Mean temperature-humidity index （THI） values were 62 ±2, 79 ±2, 84 ±2, and 77 ±1 in DI, D2, D3, and D4, respectively. Lymphocyte incidence relative to total cell counts and T4 concentrations were affected by test day （P 〈 0.001）. Lymphocytes （%） were significantly less in hotter months. During summer, T4 concentration at D2 （87.4 nmol/L） was higher relative to concentrations at D3 （42.8 nmol/L） and D4 （53.5 nmol/L）. T4 concentrations were higher （P 〈 0.01） in SC cows （67.7 ±0.1 nmol/L） compared to LC cows （52.7 ±0.1 nmol/L）. Cortisol concentration was effected neither by test day nor by cistern size. However, the decrease of lymphocyte concentration during summer compared to spring could be considered as an evidence of the suppression of cows＇ immune system under heat stress.
文摘Rainwater harvesting(RWH)systems have been the source of domestic water for many years and still becoming essential in many communities of developing countries.However,due to various reasons,there are several sources of contamination in the rainwater cistern systems.Dissolved chemicals from the roofing,storage,and conveyance materials,together with the suspended particulate matter from the airborne,are examples of water contamination.In this work,the water quality monitoring system has been designed and implemented.Chemical and physical parameters of water samples were collected from three locations using a data acquisition(DAQ)system and rainwater quality was analyzed using Water Pollution Index(WPI).Results obtained from three locations have been presented.
文摘This article reports on a case study of the research and development of a new tool to assist in the design of rainwater cisterns. A rainwater cistern is a way to improve wildlife habitat because it can be situated in locations that do not have natural water sources, such as streams or wells that can supply water for storage. However, the design and sizing of such a system can be challenging because a number of constantly varying factors must be considered, such as changing precipitation patterns, the evaporative losses from the cistern and </span><span style="font-family:Verdana;">animal water consumption. No standardized sizing methodology currently</span><span style="font-family:Verdana;"> exists for designing wildlife rainwater cisterns. In this article we present a new method for assisting in optimally sizing a rainwater cistern. We discuss how we implemented the quantitative portion of this methodology into a new Excel? model called CISMOD, which we configured for general use by wildlife professionals. We describe the methodology for designing a rainwater cistern based on standard engineering techniques. We then present and discuss our experience in applying the model to design two rainwater cisterns in an area of the Jemez Mountains in northern New Mexico, USA. The CISMOD model and a user manual are available at no cost for wildlife professionals.
文摘Intraventricular hemorrhage(IVH)is a dangerous acute cerebrovascular disease.The 30-day mortality rate of patients with IVH is 5 times that of patients with cerebral hemorrhage.In recent years,more and more studies have shown that timely clearance of intraventricular hematoma is closely related to good prognosis.The advantages of surgical intervention in patient management are impressive.This article briefly reviews the positive advances in the surgical treatment of IVH such as external ventricular drainage(EVD)combined with intraventricular fibrinolysis(IVF)and continuous lumbar cistern drainage(LCD),as well as their safety and efficacy,especially the remarkable role of neuroendoscopy in the removal of intraventricular hematomas.
文摘Objective: to analyze the patients with communicating hydrocephalus as a whole, and then perform lumbar cistern abdominal shunt, or LPS for short, and on this basis, to carry out the diagnosis and treatment and summarize the clinical diagnosis and treatment results. Methods: from November 2019 to November 2020, 37 patients with communicating hydrocephalus received in the hospital were randomly selected for lumbar cistern abdominal shunt. Results: of the 37 patients, 30 needed pressure regulation immediately after the operation, and the maximum number of times of pressure regulation was four. After surgical treatment, the overall symptoms of the patients showed signs of improvement, among which 22 patients' conditions were significantly relieved. After the operation, the head CT examination was performed on the patients. The enlarged ventricles of the brain eventually showed significant reduction, and the interstitial edema was relieved. Among them, 25 patients recovered and returned to normal values. After the operation, there was one patient with infection, and the patient gradually recovered after antibiotic treatment. Of these 37 patients, 18 had excessive shunting and 12 had insufficient shunting, all of which improved after pressure adjustment. Conclusion: for patients with communicating hydrocephalus, lumbar cistern abdominal shunt is effective.
文摘Objective To study microanatomy features and clinical significance of ambient cisterns and their arachnoidal membranes in detail. Methods Ambient cisterns including their shapes,borders,contents and arachnoidal membranes were observed in 20 cadaveric brains using an operating microscope. Results The
文摘To assess the relationship between the prognosis of the patients with diffuse traumatic brain swelling (DTBS) and the changes of the ventricles and the cisterns in CT scans. Methods: The outcome of the patients with DTBS and the changes of the ventricles and the cisterns in CT scans were studied and analyzed in a group of 268 cases. We focused on the changes of the third ventricle and the basal cistern, age and Glasgow Coma Scale (GCS). Results: Of 268 cases, there were changes of the third ventricle and/or the basal cistern in 124, 65 died. In l8 cases, the third ventricle and the basal cistern were both absent and l6 died (88.9%). The third ventricle changed significantly in 59 cases, 33 died (55.9%), while the basal cistern changed in 47 cases and 16 died (34%). Of the 124 patients with changes of the third ventricle and/or the basal cistern, 26 were children, 8 died; 98 adults, 57 died.Conclusions: For patients with DTBS, the outcome was in direct correlation with the change of the third ventricle and/or the basal cistern, the change of the third ventricle was much more important in assessment of the outcome than that of basal cisterns. There is no significant difference in, the incidence of DTBS between children and adults while the outcome of children is much better than that of adults. The patients with the changes of the third ventricle and the basal cistern accompanied with lower GCS scores have poor outcome.
文摘Objective: To explore prospectively the relationship between the state of perimesencephalic cistern and the degree of deformation of the midbrain on CT scanning and the outcome of the patients with acute craniocerebral injury.Methods: The CT scan features including the states of perimesencephalic cisterns, the deformations of the midbrain and the ratios of the occipitofrontal diameter and the transverse diameter of the midbrain of 132 cases were measured. The GOS of the patients 3 months after trauma were regarded as outcome.Results: The rate of unfavorable outcome ( dead, vegetative status, severe disability ) was significantly correlated with perimesencephalic cistern narrower than 1mm (P < 0.05), especially narrower than 0.5 mm (P < 0.005), deformed midbrain (P< 0.005) or abnormal ratio ( < 0.9 or >.1) of the occipitofrontal diameter and transverse diameter of the midbrain (P < 0.01). But the patient's perimesencephalic cistern wider than 1mm and the patients without deformed midbrain got favorable outcome (moderate disability/good recovery).Conclusions: The state of the compressedperimesencephalic cistern ( < 1 mm) and the deformation of the midbrain may significantly indicate unfavorable outcome of the patients with acute craniocerebral injury.
文摘The authors set out to study the stormwater management viability of greenwalls in a simulated retention of roof runoff,using a cistern for simulated runoff to irrigate the greenwalls.By experimenting with two greenwalls of different exposures(one southeast and one northwest),this study demonstrated that the southeast facing greenwall and the northwest facing greenwall retained comparably favorable amounts to greenroof stormwater retention systems.With more and more competition for limited horizontal surface area in urbanized and urbanizing areas,the use of vertical surfaces for stormwater mitigation and evapotranspiration has attractive potential.This article presents the background,project,methods,findings,and conclusions of the study.
文摘INTRODUCTION The recent trend toward more extreme periods of drought has been a shock to the residents of the Pacific Northwest-many of whom have relied upon heavy water-use in the summer months in order to make a living(i.e.producers of grass seed and sod,berries,or nursery crops),or to maintain their landscapes at high levels(i.e.certain homeowners,recreational facilities,or commercial properties).Further-more,population growth has reached the point where even an average year of pre-cipitation has proven insufficient for urbanities that had not previously experienced issues with water scarcity(McDonald et al.,2011).This modern climate scenario has forced people of the Pacific Northwest,and people from all around the world,to rethink their water-use strategies,as the global trend has shifted toward greater sustainability(Tilman,2001;McDonald et al.,2011).
文摘INTRODUCTION The new Glen Allen High School was built in 2010 by Henrico County Public Schools(HCPS)to serve the growing student population in the Glen Allen area of Henrico County,Virginia.As a suburban area northwest of the City of Richmond,Glen Allen’s population doubled between 1980 and 2000,and grew an additional 18%between 2000 and 2010.The new high school is one of nine in the county and can accommodate approximately 1,800 students and 150 staff.The school facility is located on a 95-acre parcel of land that was previously wooded and undeveloped.
文摘In planning the George W.Bush Presidential Center in Dallas,Texas,former First Lady Laura Bush presented a very clear vision of what the Center should epitomize:“Because George was the first president of the new millennium,I wanted it to be forward and modern.”1 For the president and Mrs.Bush this meant making the building and landscape environmentally responsible,beautiful,and welcoming.In particular,their love of native Texas landscapes was an important framework for transforming the project’s urban site into a park that was sustainable and experientially rich for visitors.Sustainability was addressed from the start with smart planning that privileged contiguous parkland over impermeable surfaces and structures.Simultaneous consideration of every landscape component—-stormwater,plants,soil,topography,and more—netted cohesive natural systems that are better able to succeed with short-term establishment and provide enduring long-term health,the ultimate goals for a sustainable landscape.
