Rerouting of the intratemporal facial nerve: an analysis of the literature

Anterior rerouting of the intratemporal facial nerve in the infratemporal fossa approach is employed to access to the jugular bulb, hypotympanum, and lateral skull base, whereas posterior rerouting of the facial nerve, as employed in the transcochlear craniotomy, is most frequently used for surgery of the posterior fossa, cerebellopontine angle, prepontine region, and petrous apex. Facial nerve rerouting may lead to facial paresis or paralysis. This review of the literature is intended to define the physiologic "cost" of these procedures, so that the neurotologic surgeon can determine if the morbidity incurred in these techniques is worth the resultant exposure. Inconsistencies in reporting facial function places into question the validity of some of the cumulative data reported. Postoperatively, grades I-II facial nerve function was seen in 91% of patients undergoing short anterior rerouting, 74% of patients undergoing long anterior rerouting, and 26% of patients undergoing posterior complete rerouting. Although facial nerve rerouting allows unhindered exposure to previously inaccessible regions, it is achieved at the cost of facial nerve function. Facial nerve dysfunction increases with the length of facial nerve rerouted.     

Radiopharmacology of inhaled 133Xe in skeletal sites containing deposits of Gaucher cells

Gaucher's disease is a lysosomal storage disease in which cells of the reticuloendothelial system accumulate the lipid glucocerebroside. It is characterized by slowly progressive visceral and osseous involvement. One of the latter manifestations includes lipid infiltration of bone marrow. We monitored the rate of inhaled 133Xe uptake and wash-out over diseased and normal metaphyseal and epiphyseal areas of the knee. Twenty-two patients (15 adults, 7 children) with various degrees of previously diagnosed Gaucher's disease were positioned supine under a gamma-camera interfaced to a computer system. All patients rebreathed 133Xe gas from a closed system for 10 min followed by 14 min of wash-out. Digitized images of the lung, liver, spleen, bony sites and soft tissue were obtained at 1 min intervals during the wash-in and wash-out phases. Counts for each ROI were normalized per 100 pixels and plotted as a function (time). Maximum uptake was also calculated by relating the counts/ROI/100 pixels to the 10 min integrated lung count during equilibrium (the administered "dose"). There was essentially no 133Xe uptake in liver and spleen involved with Gaucher's disease. Monophasic uptake and biphasic wash-out curves were observed in the limited investigative population. Skeletal Gaucher deposits released the 133Xe at a greater rate relative to soft tissue.     

Nitrous oxide "analgesia": resemblance to opiate action

Nitrous oxide produced a dose-related "analgesia" in mice (median effective dose, 55 percent). The analgesia was evaluated by means of a phenylquinone writhing test. Narcotic antagonists or chronic morphinization reduced nitrous oxide analgesia. Either nitrous oxide releases an endogenous analgesic or narcotic antagonists have analgesic antagonist properties heretofore unappreciated.     

灌排系统水转化模拟模型研究

受自然与人为因素综合影响,灌区水转化过程复杂多变。以湖北漳河水库灌区为例,分别从水平和垂直方向描述典型灌排系统的水转化过程,以水量平衡原理为基础,研发灌排系统边界处置、稻作区田间多层土壤、塘坝及排水沟道之间多个水转化模拟子模块,由此构建一种客观描述灌排系统边界半封闭结构及其水平输送、垂直运动与渠-田-沟-塘水转化过程的耦合模拟模型,解决了应用流域分布式水文模型求解灌区水转化过程中面临的灌区边界不确定、分层土壤简化处理等问题。利用漳河灌区谭店灌排系统2014-2015年水平衡测试观测数据对该模型进行检验,采用拉丁超立方抽样法对模型参数进行分层抽样,并利用偏相关法分析参数敏感性。通过模型计算可得,支沟率定期和验证期模拟结果的复相关系数分别为0.83、0.70,Ens系数分别为0.81、0.68,斗沟率定期和验证期模拟结果的复相关系数分别为0.79、0.68,Ens系数分别为0.73、0.62,结果表明该模型适用于灌排系统水转化过程模拟。与SWAT模型对比,对于同一研究区域,复相关系数由0.11提高到0.73,Ens系数由-0.71提高到0.70,进一步验证了该模型的先进性,为灌排系统尺度水转化模拟和机制研究提供了新方法。     

Fractal Microstructure of Fracture Surfaces and Fracture Energy of Metals

Using a fractat model, we give a new interpretation of the reversed sigmoidal curves of fracture surface profile length obtained in some experiments. It is pointed out that a single parameter (fractal dimension D) is not sufficient to characterize a fractal curve completely. It is shown that the initiator length L0 is also important to characterize a fractal curve. We have derived a formula which correlate the fracture energy with the fractal parameters of the fracture surfaces and analyzed some experimental data.     

Effect of lactic acid on nucleation morphology and surface roughness of electroless Ni–P deposition in nanoscale

The present work aims to study effect of lactic acid concentration as complexing agent on surface roughness and nucleation morphology of electroless N?CP deposition. Scanning electron microscopy (SEM) and atomic force microscopy (AFM) have been used to study nucleation morphology and surface roughness of deposition. Deposition process started at some initial priority growing centres independently distributed on the substrate. We found that the morphology and surface roughness of deposition strongly depends on the complexing agent concentration. Morphology of initial deposited centres with no concentration of lactic acid was in coniform structure. By increasing the complexing agent concentration, the structure of initial growing centres changed from coniform to nodular shape and the surface roughness of depositions decreased.     

真空缓冷铸渣机冷却炉渣选铜的研究

介绍了真空缓冷炉渣的工艺矿物学特性。试验研究结果表明，该炉渣属于中等可碎性偏难，硬度系数在８￣１６之间，在磨矿细度为－０．０１６ｍｍ占８９％时，粗、扫选抛尾粗精矿再磨再选，以Ｚ－２００、ＳＮ－９和丁胺为混合捕收剂，最终得到铜精矿产率为４．５９％，精矿含铜２３．４８％，含金５．８ｇ／ｔ，铜回收率为８３．７０％；尾矿含铜０．２２％，含金０．１８ｇ／ｔ。     

H凹陷三叠系小泉沟群地震相分析

在中国西部许多陆相盆地中，发育了多种各样的砂岩储集体，这些砂体在不同的沉积环境、不同的相带中有规律地分布着。文中对西部某盆地Ｈ凹陷三叠系小泉沟群地震相和沉积相进行了较详细的研究；分析了该组的岩性特征、地震相特征和剖面沉积相特征，指出了各种沉积相中的主要砂体类型及有利的含油气相带。     

Risk factors for high blood lead levels among the general population in Taiwan

BACKGROUND: Tacrolimus (FK506) may represent a major advance in the management of allograft rejection after solid organ transplantation. In August 1994 a European heart transplantation pilot study was initiated to assess the efficacy and safety of tacrolimus when administered exclusively through an oral route. METHODS: Eighty-two heart transplant recipients were randomized to treatment (2:1 ratio) with either tacrolimus- (n=54) or cyclosporine-based therapy (n=28). RESULTS: No significant differences were evident between the two treatment groups in either rejection or survival rates at 1 year. Kaplan-Meier estimates of the freedom from rejection were 26.3% and 18.5%, respectively, for the tacrolimus and cyclosporine treatment groups (p=.444). Survival rates were 79.6% and 92.9% (p=.125). At 3 of the 5 centers, patients received antithymocyte globulin during the immediate postoperative period and fared better than those who did not (with acute rejection-free rates of 49.2% and 26.7% for tacrolimus and cyclosporine, respectively [p=.080], as opposed to 7.1% and 8.3% [p=.965]; patient survival rates of 84.6% and 93.3% [p=.382] vs 75.0% and 92.3% [p=.243]). The overall rates of infection, impaired renal function (31.5% vs 21.4%), and glucose intolerance (7.0% vs 4.3%) did not differ significantly between the tacrolimus and cyclosporine treatment groups. Tacrolimus seemed to possess an advantage with regard to a reduced requirement for antihypertensive therapy (59.5% vs 87.5%, p=.025). CONCLUSIONS: Immunosuppression with oral tacrolimus provides a viable alternative to treatment with cyclosporine, particularly when administered in conjunction with antibody therapy. Further studies are warranted to optimize the administration of tacrolimus in this indication.