Imaging evolution from “presyrinx” to syrinx in patient with spinal lipoma

Background: The evolution of syrinx formation has rarely been documented. Here, we report a patient whose “presyrinx” evolved on successive magnetic resonance (MR) images to a mature syrinx. Case Description: A patient had a lipoma and tethered cord at birth. At 3 weeks of age, he had undergone a partial removal of the lipoma and untethering of the spinal cord. At age 6, the thoracic MR images showed edema within the gray matter of the cord at the T7 level, consistent with a “presyrinx.” In addition, subsequent MR studies (i.e., at age 7) showed a small cavity in the right posterior horn of the cord accompanied by further expansion throughout the right-sided gray matter. Despite repeated cord untethering at age 7, the T7 parenchymal cord change evolved into a mature syrinx by age 10. Conclusion: An infant with a lipoma/tethered cord, despite two instances of cord detethering (i.e., ages 3 weeks and 7 years), showed continued MR evolution of a “presyrinx” to a mature syrinx by age 10.

Microvascular proliferation in the clots: The key finding of acute subdural hematoma transforming into chronic subdural hematoma?

Background: Despite extensive investigations, the exact etiology of chronic subdural hematoma (CSDH) remains elusive. Organized CSDHs are a distinct but less-understood type of CSDH. Case Description: A 50-year-old hypertensive woman experienced headache without any previous head injury. At presentation, the patient showed no focal neurological deficits. Cranial computed tomography (CT) revealed a slightly compressive subdural hematoma that spontaneously regressed and no intracranial vascular lesions. Cerebral magnetic resonance imaging identified a non-enhancing nodular lesion in the subdural hematoma. After the patient presented disorientation and aphasia on post hospitalization day 14, CT showed a considerable enlargement of the subdural hematoma. Partial removal of the bi-layered hematoma was performed through a parietal craniotomy. Histological examination revealed microvascular proliferation in both the outer membrane and the nodular lesion. On postoperative day 35, CT demonstrated a remarkable resolution of the residual hematoma. Conclusion: Development of microvascular proliferation in the clots of an acute subdural hematoma may lead to its rapid enlargement as an organized CSDH. Organized CSDH can be managed by partial removal of the outer membrane and hematoma through a craniotomy.

Characterization of Microstructure, Chemical, and Physical Properties of Delignified and Densified Poplar Wood

Wood is an attractive and inherently sustainable alternative to many conventional materials. Recent research on improving wood mechanical strength emphasizes wood densification through the partial removal of lignin and hemicelluloses, therefore the chemical and physical properties of delignified and densified wood require further investigation. In this study, poplar wood samples were subjected to alkali and maleic acid hydrotropic delignification with varying degrees of lignin and hemicellulose removal followed by hot pressing, and the microstructure, chemical properties, and dimensional stability of densified wood through delignification were evaluated. The results showed that the complete wood cell collapse was observed near the surface of all the delignified wood blocks, as well as some micro-cracks in the cell walls. The chemical analysis indicated that delignification occurred mainly near the surface of the wood blocks and enhanced hydrogen bonding among the aligned cellulose fibers. For dimensional stability, the set recovery decreased with the increase in alkali dosage, and the considerable fixation of compressive deformation was obtained by a post-densification hydrothermal treatment at 180 °C. These results have demonstrated that the densified wood with delignification can be easily fabricated using the proposed method, and the densified wood exhibited great potential to be used as a sustainable material.

How I do it: proximal control in parkinson’s triangle for a very large paraclinoid aneurysm

Background Paraclinoid aneurysms, especially when they are large, can be quite difficult to treat, both endovascularly and through microsurgical clip reconstruction. There are many possibilities to approach this region surgically, and most hinge on total or partial removal of the anterior clinoid process. Gaining proximal control may be a challenge when space is limited, which is why Parkinson’s triangle may be a viable alternative in some cases. Methods We describe in a stepwise fashion the steps used to reconstruct a very large paraclinoid aneurysm. We first attempted to gain proximal control in the carotid cave and later in Parkinson’s triangle because of limited manoeuvrability. Conclusion Proximal control in Parkinson’s triangle can be a safe alternative when the post-clinoidal segment of the internal carotid artery (ICA) is short and working space is limited in paraclinoid aneurysm microsurgical clip reconstruction.

Maturation of the matrix and viral membrane of HIV-1

Gag, the primary structural protein of HIV-1, is recruited to the plasma membrane for virus assembly by its matrix (MA) domain. Gag is subsequently cleaved into its component domains, causing structural maturation to repurpose the virion for cell entry. We determined the structure and arrangement of MA within immature and mature HIV-1 through cryo–electron tomography. We found that MA rearranges between two different hexameric lattices upon maturation. In mature HIV-1, a lipid extends out of the membrane to bind with a pocket in MA. Our data suggest that proteolytic maturation of HIV-1 not only assembles the viral capsid surrounding the genome but also repurposes the membrane-bound MA lattice for an entry or postentry function and results in the partial removal of up to 2500 lipids from the viral membrane.

Decommissioning Research Needs for Offshore Oil and Gas Infrastructure in Australia

When offshore oil and gas infrastructure is no longer needed, it is either removed, partially removed, left in place, or left in place but repurposed. These processes are collectively referred to as decommissioning. Australian legislation requires oil and gas companies to develop acceptable plans for the safe removal of all offshore infrastructure at the end of a project’s life. Over the next 50 years, the liability for this decommissioning in Australia is expected to exceed US$45 billion. Unlike countries such as Norway, the United Kingdom and the Netherlands, Australian decommissioning activities are in their infancy, with only three cases (to date) in Commonwealth waters where infrastructure has been left in place or partially removed as part of decommissioning. Differences between the Australian marine environment and that of other regions around the world where decommissioning-related research is better progressed include very low sedimentation rates, both tropical and temperate habitats, different species composition, low primary production, and frequent tropical cyclones, as well as unique sociodemographic and cultural characteristics. Accordingly, the outcomes of the decision support tools used in other regions to identify preferred decommissioning options may not be equally applicable in Australia. Here we describe research to support risk and impact assessment for offshore decommissioning in Australia, where full removal of infrastructure is the “base case” regulatory default, but other options including partial removal and/or repurposing might provide similar or better outcomes when environmental, social, economic and seafood safety aspects are considered. Based on our review we propose an integrated framework for research needs to meet legislative requirements for decommissioning and identify research gaps that need to be addressed to inform decision-making for decommissioning in the Australian context.

Printable elastomeric electrodes with sweat-enhanced conductivity for wearables

We rationally synthesized the thermoplastic and hydrophilic poly(urethane-acrylate) (HPUA) binder for a type of printable and stretchable Ag flakes–HPUA (Ag-HPUA) electrodes in which the conductivity can be enhanced by human sweat. In the presence of human sweat, the synergistic effect of Cl− and lactic acid enables the partial removal of insulating surfactant on silver flakes and facilitates sintering of the exposed silver flakes, thus the resistance of Ag-HPUA electrodes can be notably reduced in both relaxed and stretched state. The on-body data show that the resistance of one electrode has been decreased from 3.02 to 0.62 ohm during the subject’s 27-min sweating activity. A stretchable textile sweat-activated battery using Ag-HPUA electrodes as current collectors and human sweat as the electrolyte was constructed for wearable electronics. The enhanced conductivity of the wearable wiring electrode from the reaction with sweat would provide meritorious insight into the design of wearable devices.

Spinal Arachnoiditis Ossificans: A Case-Based Update

Arachnoiditis ossificans is a rare disease, characterized by intradural ossifications, representing the end stage of chronic adhesive arachnoiditis. We describe the case of a 55-year-old patient who developed symptoms of a cauda equina syndrome after an open microdiscectomy at the L5 to S1 segment. A subsequent exploratory surgery revealed an intradural concentric bony structure with partly incorporated and partly adherent nerve roots. A partial removal of the intradural calcifications was performed. Postoperatively, the patient showed neurological improvement. The removed intradural calcifications were submitted for histological analysis and proved to be normal bone tissue, notably containing yellow bone marrow. To our knowledge, the presence of yellow bone marrow within bony cavities of arachnoiditis ossificans has not previously been reported.

The effect of ultraviolet diode radiation on the growth rate of Alternaria colonies

Phytopathogenic micromycetes induce dangerous crop diseases. Traditionally, fungicides have been used to prevent these diseases. In recent years, environmentally friendly non-chemical methods for combating fungal infections have been developed. In particular, ultraviolet (UV) treatment of various wavelengths, intensities and origins has been shown to be effective. In this work, we have analysed the effect of diode low-intensity shortwave UV radiation (UV-C) on the growth and potential viability of the mycelium of Alternaria radicina and A. alternata, the pathogens of important crops. It was shown that irradiation by UV-C diode inhibited growth of Alternaria species at the early stages of development. This effect was high in the first 3 d after UV exposure; however, after 5 d after irradiation, the growth of pathogenic fungi fully restored, suggesting that UV can be only used for partial removal of Alternaria. It was found that A. alternata is less sensitive to diode UV irradiation. The obtained results indicate that the Alternaria micromycetes, particularly, A. alternata, containing high melanin levels, are resistant to low-intensity UV-C diode irradiation.