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2,071 result(s) for "Davidson, Mark"
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Postoperative lead migration in deep brain stimulation surgery: Incidence, risk factors, and clinical impact
Deep brain stimulation (DBS) is an effective treatment for multiple movement disorders and shows substantial promise for the treatment of some neuropsychiatric and other disorders of brain neurocircuitry. Optimal neuroanatomical lead position is a critical determinant of clinical outcomes in DBS surgery. Lead migration, defined as an unintended post-operative displacement of the DBS lead, has been previously reported. Despite several reports, however, there have been no systematic investigations of this issue. This study aimed to: 1) quantify the incidence of lead migration in a large series of DBS patients, 2) identify potential risk factors contributing to DBS lead migration, and 3) investigate the practical importance of this complication by correlating its occurrence with clinical outcomes. A database of all DBS procedures performed at UF was queried for patients who had undergone multiple post-operative DBS lead localization imaging studies separated by at least two months. Bilateral DBS implantation has commonly been performed as a staged procedure at UF, with an interval of six or more months between sides. To localize the position of each DBS lead, a head CT is acquired ~4 weeks after lead implantation and fused to the pre-operative targeting MRI. The fused targeting images (MR + stereotactic CT) acquired in preparation for the delayed second side lead implantation provide an opportunity to repeat the localization of the first implanted lead. This paradigm offers an ideal patient population for the study of delayed DBS lead migration because it provides a large cohort of patients with localization of the same implanted DBS lead at two time points. The position of the tip of each implanted DBS lead was measured on both the initial post-operative lead localization CT and the delayed CT. Lead tip displacement, intracranial lead length, and ventricular indices were collected and analyzed. Clinical outcomes were characterized with validated rating scales for all cases, and a comparison was made between outcomes of cases with lead migration versus those where migration of the lead did not occur. Data from 138 leads in 132 patients with initial and delayed lead localization CT scans were analyzed. The mean distance between initial and delayed DBS lead tip position was 2.2 mm and the mean change in intracranial lead length was 0.45 mm. Significant delayed migration (>3 mm) was observed in 17 leads in 16 patients (12.3% of leads, 12.1% of patients). Factors associated with lead migration were: technical error, repetitive dystonic head movement, and twiddler's syndrome. Outcomes were worse in dystonia patients with lead migration (p = 0.035). In the PD group, worse clinical outcomes trended in cases with lead migration. Over 10% of DBS leads in this large single center cohort were displaced by greater than 3 mm on delayed measurement, adversely affecting outcomes. Multiple risk factors emerged, including technical error during implantation of the DBS pulse generator and failure of lead fixation at the burr hole site. We hypothesize that a change in surgical technique and a more effective lead fixation device might mitigate this problem.
Bob Dylan : mixing up the medicine
'Bob Dylan: Mixing Up the Medicine' is the landmark magnum opus every Bob Dylan fan has been waiting for since the 60s. Lavishly illustrated with hundreds of previously unseen photographs and spanning from Dylan's childhood in Hibbing, Minnesota, to the Nobel Prize for Literature and beyond, this is a treasure trove of vast interest to Bob Dylan musical fans as well as a broader cultural audience.
A basic community dynamics experiment: Disentangling deterministic and stochastic processes in structuring ecological communities
Community dynamics are governed by two opposed processes: species sorting, which produces deterministic dynamics leading to an equilibrium state, and ecological drift, which produces stochastic dynamics. Despite a great deal of theoretical and empirical work aiming to demonstrate the predominance of one or the other of these processes, the importance of drift in structuring communities and maintaining species diversity remains contested. Here, we present the results of a basic community dynamics experiment using floating aquatic plants, designed to measure the relative contributions of species sorting and ecological drift to community change over about a dozen generations. We found that species sorting became overwhelmingly dominant as the experiment progressed, and directed communities toward a stable equilibrium state maintained by negative frequency‐dependent selection. The dynamics of any particular species depended on how far its initial frequency was from its equilibrium frequency, however, and consequently the balance of sorting and drift varied among species. Community dynamics are governed by two opposed processes: species sorting, which produces deterministic dynamics leading to an equilibrium state, and ecological drift, which produces stochastic dynamics. Here, we report a basic ecological dynamics experiment using floating aquatic plants designed to quantify the relative contributions of these processes to community change.
Gentrification as global habitat: a process of class formation or corporate creation?
The relationship between gentrification and globalisation has recently become a significant concern for gentrification scholars. This has involved developing an understanding of how gentrification has become a place-based strategy of class (re)formation during an era in which globalisation has changed sociological structures and challenged previously established indicators of social distinction. This paper offers an alternative reading of the relationship between gentrification and globalisation through examining the results of a mixed method research project which looked at new-build gentrification along the River Thames, London, UK. This research finds gentrification not to be distinguished by the gentrifer-performed practice of habitus within a 'global context'. Rather, the responsibility for gentrification, and the relationship between globalisation and gentrification, is found to originate with capital actors working within the context of a neoliberal global city. In order to critically conceptualise this form of gentrification, and understand the role of globalisation within the process, the urban theory of Lefebvre is drawn upon.
Improved numerical predictions of inclined negatively buoyant jet behaviour
The results of numerical simulations of inclined negatively buoyant jets are presented. These simulations address previously highlighted difficulties in capturing sufficient detail of critical flow processes to effectively predict the detailed flow behaviour. In particular, the new simulations are able to accurately capture the details of the buoyancy-induced instabilities, which are clearly evident in associated experimental investigations and that have significant impacts on the flow behaviour. This new information is captured for inclined negatively buoyant jets discharged at 45° above a horizontal reference plane. A Large Eddy Simulation (LES) approach is implemented that makes use of a Lagrangian Dynamic Sub-grid scale (SGS) model and a novel criterion for the adaptive meshing system. Comparisons with previously published simulation results and experimental data demonstrate that these new Adaptive LES simulations provide improved predictions of flow path, concentration and velocity fields, and associated mean and turbulent statistics. In addition, this study provides a set of methods for generating high-quality LES data sets for free shear flows, which are well beyond the level of detail that can be captured by current experimental systems.
Blind testing of shoreline evolution models
Beaches around the world continuously adjust to daily and seasonal changes in wave and tide conditions, which are themselves changing over longer time-scales. Different approaches to predict multi-year shoreline evolution have been implemented; however, robust and reliable predictions of shoreline evolution are still problematic even in short-term scenarios (shorter than decadal). Here we show results of a modelling competition, where 19 numerical models (a mix of established shoreline models and machine learning techniques) were tested using data collected for Tairua beach, New Zealand with 18 years of daily averaged alongshore shoreline position and beach rotation (orientation) data obtained from a camera system. In general, traditional shoreline models and machine learning techniques were able to reproduce shoreline changes during the calibration period (1999-2014) for normal conditions but some of the model struggled to predict extreme and fast oscillations. During the forecast period (unseen data, 2014-2017), both approaches showed a decrease in models' capability to predict the shoreline position. This was more evident for some of the machine learning algorithms. A model ensemble performed better than individual models and enables assessment of uncertainties in model architecture. Research-coordinated approaches (e.g., modelling competitions) can fuel advances in predictive capabilities and provide a forum for the discussion about the advantages/disadvantages of available models.
Presence of microbiome decreases fitness and modifies phenotype in the aquatic plant Lemna minor
Abstract Plants live in close association with microbial organisms that inhabit the environment in which they grow. Much recent work has aimed to characterize these plant–microbiome interactions, identifying those associations that increase growth. Although most work has focused on terrestrial plants, Lemna minor, a floating aquatic angiosperm, is increasingly used as a model in host–microbe interactions and many bacterial associations have been shown to play an important role in supporting plant fitness. However, the ubiquity and stability of these interactions as well as their dependence on specific abiotic environmental conditions remain unclear. Here, we assess the impact of a full L. minor microbiome on plant fitness and phenotype by assaying plants from eight natural sites, with and without their microbiomes, over a range of abiotic environmental conditions. We find that the microbiome systematically suppressed plant fitness, although the magnitude of this effect varied among plant genotypes and depended on the abiotic environment. Presence of the microbiome also resulted in phenotypic changes, with plants forming smaller colonies and producing smaller fronds and shorter roots. Differences in phenotype among plant genotypes were reduced when the microbiome was removed, as were genotype by environment interactions, suggesting that the microbiome plays a role in mediating the plant phenotypic response to the environment. It is known that the plant microbiome influences its hosts, but that, depending on the context and the plant, the effect can either increase or decrease host performance. We found that for the small and free-floating aquatic plant Lemna minor , its microbiome reduced growth rate and changed the phenotype of the plant. These effects were consistent for several plant genotypes and only moderately depended on the context, specifically light and nutrient availability. Removing the microbiome homogenized plant phenotypes and influenced how the L. minor populations responded to the abiotic environment. This suggests that the microbiome at least, in part, mediates the plant's response to the environment.
Spoiled Mixture: Where Does State-led 'Positive' Gentrification End?
Over the past decade, policy-makers have introduced social mixing initiatives that have sought to address urban social problems by deconcentrating poor and workingclass communities through attracting the middle classes back to the city. Such a policy objective clearly 'smells like gentrification'. However, some commentators have warned against being critical of these policies, pointing out that the types of innercity redevelopment generated by them is different from classical gentrification and that state-led gentrification offers benefits for many working-class communities. This paper draws upon research conducted in London to demonstrate how, despite having many commendable aspects, these policy agendas carry with them significant threats of displacement for lower-income communities. The paper also argues that, due to the mutating nature of gentrification, these threats are increasingly context-bound. In conclusion, the paper argues that those state mechanisms which might manage the unjust aspects of gentrification are inadequate.