Application Value of the Motor Unit Number Index in Patients With Kennedy Disease

The aim of this study was to evaluate the usefulness of the motor unit number index (MUNIX) technique in Kennedy disease (KD) and test the correlation between the MUNIX and other clinical parameters. The MUNIX values of the bilateral deltoid, abductor digiti minimi (ADM), quadriceps femoris (QF), and tibialis anterior (TA) were determined and compared with the course of the disease. The MUNIX sum score was calculated by adding the MUNIX values of these 8 muscles. Disability was evaluated using the spinal and bulbar muscular atrophy functional rating scale (SBMAFRS). The MUNIX scores of patients with KD were negatively correlated with the course of the disease (p < 0.05), whereas their motor unit size index (MUSIX) scores were positively correlated with the course the of disease (p < 0.05). MUNIX sum scores were correlated with SBMAFRS scores (r = 0.714, p < 0.05). MUNIX was more sensitive than compound muscle action potentials or muscle strength as an indicator of neuron loss and axonal collateral reinnervation. The MUNIX sum score is an objective and a reliable indicator of disease progression, and it is a potential choice for therapeutic clinical trials. The MUNIX can assess the functional loss of motor axons and is correlated with disability. The MUNIX sum score may be especially suitable as an objective parameter.

Pupillary response reflects attentional modulation to sound after emotional arousal

There have been various studies on the effects of emotional visual processing on subsequent non-emotional auditory stimuli. A previous study with EEG has shown that responses to deviant sounds presented after presenting negative pictures collected more attentional resources than those for neutral pictures. To investigate such a compelling between emotional and cognitive processing, this study aimed to examined pupillary responses to an auditory stimulus after a positive, negative, or neutral emotional state was elicited by an emotional image. An emotional image was followed by a beep sound that was either repetitive or unexpected, and the pupillary dilation was measured. As a result, we found that the early component of the pupillary response to the beep sound was larger for negative and positive emotional states than the neutral emotional state, whereas the late component was larger for the positive emotional state than the negative and neutral emotional states. In addition, the peak latency of the pupillary response was earlier for negative than neutral or positive images. Further, to compensate for the disadvantage of low-temporal resolution of the pupillary data, the pupillary responses were deconvoluted and used in the analysis. The deconvolution analysis of pupillary responses confirmed that the responses to beep sound were more likely to be modulated by the emotional state rather than being influenced by the short presentation interval between the images and sounds. These findings suggested that pupil size index modulations in the compelling situation between emotional and cognitive processing.

Safety and Efficacy of High Power Shorter Duration Ablation Guided by Ablation Index or Lesion Size Index in Atrial Fibrillation Ablation: A Systematic Review and Meta-Analysis

Background. High power shorter duration (HPSD) ablation may lead to safe and rapid lesion formation. However, the optimal radio frequency power to achieve the desired ablation index (AI) or lesion size index (LSI) is insubstantial. This analysis aimed to appraise the clinical safety and efficacy of HPSD guided by AI or LSI (HPSD-AI or LSI) in patients with atrial fibrillation (AF). Methods. The Medline, PubMed, Embase, Web of Science, and the Cochrane Library databases from inception to November 2020 were searched for studies comparing HPSD-AI or LSI and low power longer duration (LPLD) ablation. Results. Seven trials with 1013 patients were included in the analysis. The analyses verified that HPSD-AI or LSI revealed benefits of first-pass pulmonary vein isolation (PVI) (RR: 1.28; 95% CI: 1.05–1.56, P = 0.01) and acute pulmonary vein reconnection (PVR) (RR: 0.65; 95% CI: 0.48–0.88, P = 0.005) compared with LPLD. HPSD-AI or LSI showed higher freedom from atrial tachyarrhythmia (AT) (RR = 1.32, 95% CI: 1.14–1.53, P = 0.0002) in the subgroup analysis of studies with PVI ± (with or without additional ablation beyond PVI). HPSD-AI or LSI could short procedural time (WMD: −22.81; 95% CI, −35.03 to −10.60, P = 0.0003), ablation time (WMD: −10.80; 95% CI: −13.14 to −8.46, P < .00001), and fluoroscopy time (WMD: −7.71; 95% CI: −13.71 to −1.71, P = 0.01). Major complications and esophageal lesion in HPSD-AI or LSI group were no more than LDLP group (RR: 0.58; 95% CI: 0.20–1.69, P = 0.32) and (RR: 0.84; 95% CI: 0.43–1.61, P = 0.59). Conclusions. HPSD-AI or LSI was efficient for treating AF with shorting procedural, ablation, and fluoroscopy time, higher first-pass PVI, and reducing acute PVR and may increase freedom from AT for patients with additional ablation beyond PVI compared with LPLD. Moreover, complications and esophageal lesion were low and no different between two groups.

Identificaction of phytoplankton blooms in the Gerlache Strait, West Antarctic Peninsula

In order to identify phytoplankton blooms, the inherent optical properties index (IOPIndex) was used in surface water samples and the maximum chlorophyll-a (MPC) that were taken in the Third (January 2017) and in the Fourth Expedition (January 2018) from Colombia to Antarctica in the Gerlache Strait (EG). The IOPIndex is calculated from the standardized spatial anomalies of the phytoplankton, detritus and colored dissolved organic matter (CDOM) absorption coefficients using wavelength 443. In addition, the phytoplankton size index was calculated using the Blue / Red ratio and this related to the IOPIndex to determine the size structure of the phytoplankton responsible for the blooms. In 2017, four stations were identified under bloom conditions, where two were superficial blooms and two subsurface bloom; to three in conditions of decrease of the bloom and to twelve in conditions of non-bloom, with a structure of diverse size where populations of the micro, nano and the picophytoplankton predominated. In 2018, two stations were identified in bloom conditions, being one superficial bloom and the other subsurface bloom; to two in conditions of decrease in bloom and nine in conditions of non-bloom, the size structure that dominated the blooms was microphytoplankton. With the IOPIndex, subsurface bloom conditions were observed in both expeditions, also proving their effectiveness for blooms generated by natural or seasonal conditions at different depths of the water column.

Size Structure of Cupressus sempervirens L. and Pistacia lentiscus L. Popula- tions in Wadi Alkuf, East of Libya

Wadi Alkuf is one of the richest of all the phytogeographical regions of Al-Jabal Al- Akhder. The present work aims to study the size structure of Cupressus sempervirens L. and Pista- cia lentiscus L. populations in relation to their physiographic and soil conditions in Wadi Alkuf, northeast of Libya. Eighteen terraces (25 m × 25 m) were selected at Wadi Alkuf of Al-Jabal Al- Akhder at three different levels (six downstream, midstream, and upstream). The number of indi- viduals of each species was counted while the height (H) and mean crown diameter (D) were meas- ured. The size index of each individual was calculated and then used to classify the population into 7 size classes: 1 m to 7 m. The height, mean diameter, height to diameter ratio, size index, and vol- ume per individual in each size class were determined. Generally, the height to diameter ratio was more than unity for C. sempervirens L., this means that the diameter of these species tend to expand vertically rather than horizontally, while the height to diameter ratio was less than unity for P. len- tiscus L, this means that the diameter of these species tends to expand horizontally rather than verti- cally. The total size structure of C. sempervirens L. in the study area is characterized by the prepon- derance of the young individuals comparing with the old ones, while that of P. lentiscus L. showed a reverse pattern (i.e., preponderance of mature individual compared with the young ones). Five forms of size distributions along the different elevations were recognized: more or less inverse J- shaped distribution, positively skewed distribution, bell-shaped distribution, more or less J-shaped distribution, and more or less stationary size distribution biased to large size. The study’s results show that density histograms of size distributions are good indicators of future trends in population numbers for the studied species. The field observations were consistent with the results of the inves- tigation of soil properties. The soil downstream has the highest values of pH, EC, HCO-3, SO4-2, Cl- and Na+, while that of the upstream has the lowest values except for K+.