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  • 1
    ISSN: 1573-8752
    Keywords: Metastasis ; brainstem ; radiosurgery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Some lesions situated in sensitive areas of the brain are potentially dangerous to treat with any modality. This study reviews one institution's experience with the use of stereotactic radiosurgery (SRS) for brainstem and thalamic metastases to evaluate its efficacy in treating such lesions. Between October 1989 and January 1998, 20 patients (9 men, 11 women) underwent linear accelerator SRS for metastases in the brainstem or thalamus. A retrospective chart and radiographic analysis was performed on these patients. The mean patient age at the time of SRS was 55.9 years (range 34–76). The median dose of SRS was 1600 cGy (range 1200–2000) to the 80% isodose line, although the isodose line varied somewhat. Of the 20 lesions, median patient survival from the time of SRS was 27.2 weeks (mean 39.7, range 5.4–216). Reliable evaluation of neurological status after SRS was obtainable in 17 patients and radiographical follow-up in 12. The rate of clinical control of symptoms was 88.2% (15/17) and radiographical control was 100% (12/12). Complications occurred in two patients (11.8 %). Our results indicate outcomes that are similar to those in a previous report of SRS for metastatic lesions of the brainstem and thalamus, with survival shorter than that for other cerebral lesions. SRS for metastases of the brainstem and thalamus is a safe and effective treatment option, but does not offer as favorable an outcome as SRS for lesions in other areas of the brain.
    Type of Medium: Electronic Resource
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  • 2
  • 3
    Publication Date: 2024-02-07
    Description: In the Equatorial Atlantic nitrogen availability is assumed to control phytoplankton dynamics. However, in situ measurements of phytoplankton physiology and productivity are surprisingly sparse in comparison with the North Atlantic. In addition to the formation of the Equatorial cold tongue in the boreal summer, tropical instability waves (TIWs) and related short-term processes may locally cause episodic events of enhanced nutrient supply to the euphotic layer. Here, we assess changes in phytoplankton photophysiology in response to such episodic events as well as short-term nutrient addition experiments using a pair of custom-built fluorometers that measure chlorophyll a (Chl a) variable fluorescence and fluorescence lifetimes. The fluorometers were deployed during a transatlantic cruise along the Equator in the fall of 2019. We hypothesized that the Equatorial Atlantic is nitrogen-limited, with an increasing degree of limitation to the west where the cold tongue is not prominent, and that infrequent nitrate injection by TIW related processes are the primary source alleviating this limitation. We further hypothesized phytoplankton are well acclimated to the low levels of nitrogen, and once nitrogen is supplied, they can rapidly utilize it to stimulate growth and productivity. Across three TIW events encountered, we observed increased productivity and chlorophyll a concentration concurrent with a decreased photochemical conversion efficiency and overall photophysiological competency. Moreover, the observed decrease in photosynthetic turnover rates toward the western section suggested a 70% decrease in growth rates compared to their maximum values under nutrient-replete conditions. This decrease aligned with the increased growth rates observed following 24 h incubation with added nitrate in the western section. These results support our hypotheses that nitrogen is the limiting factor in the region and that phytoplankton are in a state of balanced growth, waiting to “body surf” waves of nutrients which fuel growth and productivity.
    Type: Article , PeerReviewed , info:eu-repo/semantics/article
    Format: text
    Format: text
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