25 results on '"Pedro, M. T."'
Search Results
2. Influence of Gear Loss Factor on the Power Loss Prediction
- Author
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Fernandes, Carlos M. C. G., Marques, Pedro M. T., Martins, Ramiro C., Seabra, Jorge H. O., Ceccarelli, Marco, Series editor, Flores, Paulo, editor, and Viadero, Fernando, editor
- Published
- 2015
- Full Text
- View/download PDF
3. Cranial nerve deficits in giant cavernous carotid aneurysms and their relation to aneurysm morphology and location
- Author
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Durner, G., Piano, M., Lenga, P., Mielke, D., Hohaus, C., Guhl, S., Maldaner, N., Burkhardt, J. K., Pedro, M. T., Lehmberg, J., Rufenacht, D., Bijlenga, P., Etminan, N., Krauss, J. K., Boccardi, E., Hänggi, D., Vajkoczy, P., Dengler, Julius, and on behalf of the Giant Intracranial Aneurysm Study Group
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- 2018
- Full Text
- View/download PDF
4. Neurolymphomatose: Zwei Fallberichte
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Brand, C., Pala, A., Scheuerle, A., Scheglmann, K., König, R., Kratzer, W., Wirtz, C. R., Antoniadis, G., and Pedro, M. T.
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- 2018
- Full Text
- View/download PDF
5. Nervenverletzungen und traumatische Läsionen des Plexus brachialis: Bildgebende Diagnostik und therapeutische Optionen
- Author
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Schwarz, D., Pedro, M. T., Brand, C., Bendszus, M., and Antoniadis, G.
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- 2017
- Full Text
- View/download PDF
6. Prognostic models based on patient snapshots and time windows: Predicting disease progression to assisted ventilation in Amyotrophic Lateral Sclerosis.
- Author
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André Valério Carreiro, Pedro M. T. Amaral, Susana Pinto, Pedro Tomás, Mamede de Carvalho, and Sara C. Madeira
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- 2015
- Full Text
- View/download PDF
7. Observing separate spin and charge Fermi seas in a strongly correlated one-dimensional conductor
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Pedro M. T. Vianez, Yiqing Jin, María Moreno, Ankita S. Anirban, Anne Anthore, Wooi Kiat Tan, Jonathan P. Griffiths, Ian Farrer, David A. Ritchie, Andrew J. Schofield, Oleksandr Tsyplyatyev, Christopher J. B. Ford, Vianez, Pedro MT [0000-0003-2245-6108], Anirban, Ankita S [0000-0002-9294-3115], Griffiths, Jonathan P [0000-0002-6933-7707], Farrer, Ian [0000-0002-3033-4306], Ritchie, David A [0000-0002-9844-8350], Schofield, Andrew J [0000-0002-1218-8560], Tsyplyatyev, Oleksandr [0000-0002-2081-6547], Ford, Christopher JB [0000-0002-4557-3721], and Apollo - University of Cambridge Repository
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Quantum Physics ,Multidisciplinary ,Condensed Matter - Mesoscale and Nanoscale Physics ,Strongly Correlated Electrons (cond-mat.str-el) ,FOS: Physical sciences ,Physics - Applied Physics ,Applied Physics (physics.app-ph) ,Condensed Matter::Mesoscopic Systems and Quantum Hall Effect ,Condensed Matter - Strongly Correlated Electrons ,quant-ph ,Mesoscale and Nanoscale Physics (cond-mat.mes-hall) ,cond-mat.mes-hall ,Condensed Matter::Strongly Correlated Electrons ,cond-mat.str-el ,Quantum Physics (quant-ph) ,physics.app-ph - Abstract
An electron is usually considered to have only one form of kinetic energy, but could it have more, for its spin and charge, by exciting other electrons? In one dimension (1D), the physics of interacting electrons is captured well at low energies by the Tomonaga-Luttinger model, yet little has been observed experimentally beyond this linear regime. Here, we report on measurements of many-body modes in 1D gated-wires using tunnelling spectroscopy. We observe two parabolic dispersions, indicative of separate Fermi seas at high energies, associated with spin and charge excitations, together with the emergence of two additional 1D 'replica' modes that strengthen with decreasing wire length. The effective interaction strength is varied by changing the amount of 1D inter-subband screening by over 45%. Our findings demonstrate the existence of spin-charge separation in the whole energy band outside the low-energy limit of validity of the Tomonaga-Luttinger model, and also set a constraint on the validity of the newer nonlinear Tomonaga-Luttinger theory., Comment: 51 pages, 14 figures
- Published
- 2022
8. No-Load Power Loss of a Rear Axle Gear Transmission: Measurement and Validation
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Justino A. O. Cruz, Pedro M. T. Marques, Jorge H. O. Seabra, and Jorge D. Castro
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Mechanics of Materials ,Mechanical Engineering ,Surfaces and Interfaces ,Surfaces, Coatings and Films - Abstract
This work studies the power loss in a real axle box gear transmission under no-load operating conditions. The influence of the rotational speed and of the lubricant viscosity was considered. An experimental strategy was adopted in order to measure the overall power loss of the axle box, as well as to isolate the power loss contribution of the major components: crown wheel, pinion, seals, and the tandem taper roller bearings supporting the pinion shaft and the crown assembly. Although it was not possible to directly measure the power loss generated by each component, the results allowed to identify the major contributions to the rear axle inefficiency. In particular, those from the crown wheel churning, from the lubricant squeezing due to the pocketing between the pinion and crown gear teeth, and from the friction in the preloaded tapered roller bearings of the pinion shaft and of the crown assembly. In average, the tapered roller bearings supporting the pinion shaft are responsible for 74% of the overall power loss of the axle box. A numerical model was developed to predict the power loss of the axle box and of its components, which was correlated with the experimental measurements with high accuracy (R2 = 0.9990). The combination of the experimental measurements with the model predictions allowed a full understanding of the axle box power loss behavior under no-load operating conditions. This analysis can be used for the design of an axle box with improved efficiency.
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- 2022
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9. Observing separate spin and charge Fermi seas in a strongly correlated one-dimensional conductor
- Author
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Vianez, Pedro M. T., Jin, Yiqing, Moreno, María, Anirban, Ankita S., Anthore, Anne, Tan, Wooi Kiat, Griffiths, Jonathan P., Farrer, Ian, Ritchie, David A., Schofield, Andrew J., Tsyplyatyev, Oleksandr, Ford, Christopher J. B., Vianez, Pedro M. T., Jin, Yiqing, Moreno, María, Anirban, Ankita S., Anthore, Anne, Tan, Wooi Kiat, Griffiths, Jonathan P., Farrer, Ian, Ritchie, David A., Schofield, Andrew J., Tsyplyatyev, Oleksandr, and Ford, Christopher J. B.
- Abstract
An electron is usually considered to have only one form of kinetic energy, but could it have more, for its spin and charge, by exciting other electrons? In one dimension (1D), the physics of interacting electrons is captured well at low energies by the Tomonaga-Luttinger model, yet little has been observed experimentally beyond this linear regime. Here, we report on measurements of many-body modes in 1D gated wires using tunneling spectroscopy. We observe two parabolic dispersions, indicative of separate Fermi seas at high energies, associated with spin and charge excitations, together with the emergence of two additional 1D “replica” modes that strengthen with decreasing wire length. The interaction strength is varied by changing the amount of 1D intersubband screening by more than 45%. Our findings not only demonstrate the existence of spin-charge separation in the whole energy band outside the low-energy limit of the Tomonaga-Luttinger model but also set a constraint on the validity of the newer nonlinear Tomonaga-Luttinger theory.
- Published
- 2022
10. Women in Neurosurgery: Historical Path to Self-Segregation and Proposal for an Integrated Future
- Author
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Garozzo, D., primary, Rispoli, R., additional, Graziano, F., additional, Gerardi, R. M., additional, Grotenhuis, A., additional, Jenkins, A., additional, Sammons, V., additional, Visocchi, M., additional, Pinazzo, S., additional, Lima, R., additional, Martinez, F., additional, Emamhadi, M., additional, Pedro, M. T., additional, Shirwari, H. S., additional, Guedes, F., additional, Bhagavatula, I. D., additional, Shukla, D. P., additional, Bhat, I. D., additional, Ojo, O. A., additional, Tirsit, A., additional, Gonzales-Gonzales, M. E., additional, Luna, F., additional, Kretschmer, T., additional, Benzel, E., additional, and Cappelletto, B., additional
- Published
- 2022
- Full Text
- View/download PDF
11. Observing separate spin and charge Fermi seas in a strongly correlated one-dimensional conductor
- Author
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Vianez, Pedro M. T., primary, Jin, Yiqing, additional, Moreno, María, additional, Anirban, Ankita S., additional, Anthore, Anne, additional, Tan, Wooi Kiat, additional, Griffiths, Jonathan P., additional, Farrer, Ian, additional, Ritchie, David A., additional, Schofield, Andrew J., additional, Tsyplyatyev, Oleksandr, additional, and Ford, Christopher J. B., additional
- Published
- 2022
- Full Text
- View/download PDF
12. No-Load Power Loss of a Rear Axle Gear Transmission: Measurement and Validation
- Author
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Cruz, Justino A. O., primary, Marques, Pedro M. T., additional, Seabra, Jorge H. O., additional, and Castro, Jorge D., additional
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- 2022
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13. In Reply: Thoracic Outlet Syndrome Part I: Systematic Review of the Literature and Consensus on Anatomy, Diagnosis, and Classification of Thoracic Outlet Syndrome, and Thoracic Outlet Syndrome Part II: Consensus on the Management of Thoracic Outlet...
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Dengler, Nora F., Ferraresi, S., Rochkind, S., Denisova, N., Garozzo, D., Heinen, C., Alimehmeti, R., Capone, C., Barone, D. G., Zdunczyk, A., Pedro, M. T., Antoniadis, G., Kaiser, R., Dubuisson, A., Kretschmer, T., and Rasulic, L.
- Published
- 2024
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14. Iatrogenic lesions of peripheral nerves
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Löscher, W. N., Wanschitz, J., Iglseder, S., Vass, A., Grinzinger, S., Pöschl, P., Grisold, W., Ninkovic, M., Antoniadis, G., Pedro, M. T., König, R., Quasthoff, S., Oder, W., and Finsterer, J.
- Published
- 2015
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15. Experimental measurement of rolling bearing torque loss in a modified Four‐Ball machine: An improved setup
- Author
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Marques, Pedro M. T., primary, Martins, Ramiro C., additional, and Seabra, Jorge H. O., additional
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- 2020
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16. Cranial nerve deficits in giant cavernous carotid aneurysms and their relation to aneurysm morphology and location
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Durner, G, Piano, M, Lenga, P, Mielke, D, Hohaus, C, Guhl, S, Maldaner, Nicolai, Burkhardt, J K, Pedro, M T, Lehmberg, J, Rufenacht, D, Bijlenga, P, Etminan, N, Krauss, J K, Boccardi, E, Hänggi, D, Vajkoczy, P, Dengler, Julius, Giant Intracranial Aneurysm Study Group, University of Zurich, and Dengler, Julius
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Aneurysm volume ,Partial thrombosis ,10180 Clinic for Neurosurgery ,2728 Neurology (clinical) ,Cavernous carotid aneurysm ,Clinical Neurology ,610 Medicine & health ,Surgery ,Giant intracranial aneurysms ,2746 Surgery - Published
- 2018
17. Outcome of Surgical or Endovascular Treatment of Giant Intracranial Aneurysms, with Emphasis on Age, Aneurysm Location, and Unruptured Aneuryms - A Systematic Review and Meta-Analysis
- Author
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Dengler, Julius, Maldaner, Nicolai, Maldaner, N., van der Zwan, A., van Doormaal, T., Cognard, C., Gawlitza, M., Walter, J., Kalff, R., Fiedler, J., Uebelacker, A., Dengler, J., Bohner, G., Wiener, E., Bauknecht, H. C., Heuschmann, P. U., Malzahn, U., Gläsker, S., Zentner, J., Gläsker, Sven, Van Velthoven, V., Guhl, S., Schroeder, H. W. S., Strowitzki, M., Etminan, N., Haengghi, D., Eicker, S., Turowski, B., Schebesch, K. M., Brawanski, A., Endres, Matthias, Wrede, K., Sure, U., Schmidt, N. O., Regelsberger, J., Westphal, M., Mielke, D., Rohde, V., Hosch, H., Moskopp, D., Joedicke, A., Wagner, Martin, Hohaus, C., Meisel, H. J., Wostrack, M., Meyer, B., Lehmberg, J., Musahl, C., Hopf, N., Winkler, G., Spetzger, U., Graewe, A., Malzahn, Uwe, Meier, U., Hong, B., Nakamura, M., Krauss, J., Grote, A., Simon, M., Schramm, J., Kursumovic, A., Rath, S. A., Marbacher, S., Heuschmann, Peter U, Fathi, A., Fandino, J., Familiari, P., Raco, A., Bijlenga, P., Schaller, K., Gruber, A., Wang, W. T., Knosp, E., Hoffmann, K. T., Vajkoczy, Peter, Boxhammer, E., Rüfenacht, D. A., Wanke, I., Boccardi, E., Piano, M., Niemelä, M., Nurminen, V., Lehecka, M., Hernesniemi, J., Burkhardt, J. K., Group, Giant Intracranial Aneurysm Study, Bozinov, O., Regli, L., Shekhtman, O. D., Eliava, S. S., Kato, N., Irie, K., Nishimura, K., Kaku, S., Arakawa, H., Yuki, I., Vajkoczy, P., Ishibashi, T., Murayama, Y., Fiss, I., Kombos, T., Pedro, M. T., König, R., Wirtz, R., Brand, C., Hagel, V., Helthuis, J., Surgical clinical sciences, University of Zurich, and Dengler, Julius
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methods [Embolization, Therapeutic] ,medicine.medical_treatment ,Review ,030218 nuclear medicine & medical imaging ,0302 clinical medicine ,Medicine ,Giant intracranial aneurysm ,Embolization ,Research Support, Non-U.S. Gov't ,surgery [Intracranial Aneurysm] ,Embolization, Therapeutic ,2728 Neurology (clinical) ,Treatment Outcome ,Neurology ,Endovascular procedures ,Meta-analysis ,Internal carotid artery ,Therapeutic ,Cardiology and Cardiovascular Medicine ,Carotid Artery, Internal ,medicine.medical_specialty ,pathology [Intracranial Aneurysm] ,Surgical aneurysm treatment ,MEDLINE ,610 Medicine & health ,surgery [Carotid Artery, Internal] ,2705 Cardiology and Cardiovascular Medicine ,03 medical and health sciences ,10180 Clinic for Neurosurgery ,Aneurysm ,medicine.artery ,Humans ,Endovascular treatment ,ddc:610 ,Retrospective Studies ,business.industry ,Retrospective cohort study ,Intracranial Aneurysm ,medicine.disease ,Internal ,Surgery ,ddc:616.8 ,Clinical trial ,meta-analysis ,pathology [Carotid Artery, Internal] ,2808 Neurology ,Endovascular Procedures ,Neurology (clinical) ,Carotid Artery ,business ,030217 neurology & neurosurgery ,methods [Endovascular Procedures] - Abstract
Background: Designing treatment strategies for unruptured giant intracranial aneurysms (GIA) is difficult as evidence of large clinical trials is lacking. We examined the outcome following surgical or endovascular GIA treatment focusing on patient age, GIA location and unruptured GIA. Methods: Medline and Embase were searched for studies reporting on GIA treatment outcome published after January 2000. We calculated the proportion of good outcome (PGO) for all included GIA and for unruptured GIA by meta-analysis using a random effects model. Results: We included 54 studies containing 64 study populations with 1,269 GIA at a median follow-up time (FU-T) of 26.4 months (95% CI 10.8-42.0). PGO was 80.9% (77.4-84.4) in the analysis of all GIA compared to 81.2% (75.3-86.1) in the separate analysis of unruptured GIA. For each year added to patient age, PGO decreased by 0.8%, both for all GIA and unruptured GIA. For all GIA, surgical treatment resulted in a PGO of 80.3% (95% CI 76.0-84.6) compared to 84.2% (78.5-89.8, p = 0.27) after endovascular treatment. In unruptured GIA, PGO was 79.7% (95% CI 71.5-87.8) after surgical treatment and 84.9% (79.1-90.7, p = 0.54) after endovascular treatment. PGO was lower in high quality studies and in studies presenting aggregate instead of individual patient data. In unruptured GIA, the OR for good treatment outcome was 5.2 (95% CI 2.0-13.0) at the internal carotid artery compared to 0.1 (0.1-0.3, p < 0.1) in the posterior circulation. Patient sex, FU-T and prevalence of ruptured GIA were not associated with PGO. Conclusions: We found that the chances of good outcome after surgical or endovascular GIA treatment mainly depend on patient age and aneurysm location rather than on the type of treatment conducted. Our analysis may inform future research on GIA.
- Published
- 2016
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18. Neurolymphomatose
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Brand, C., primary, Pala, A., additional, Scheuerle, A., additional, Scheglmann, K., additional, König, R., additional, Kratzer, W., additional, Wirtz, C. R., additional, Antoniadis, G., additional, and Pedro, M. T., additional
- Published
- 2017
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19. Perianeurysmal edema in giant intracranial aneurysms in relation to aneurysm location, size, and partial thrombosis
- Author
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Dengler, Julius, Maldaner, Nicolai, Bijlenga, Philippe, Burkhardt, Jan-Karl, Graewe, Alexander, Guhl, Susanne, Hong, Bujung, Hohaus, Christian, Kursumovic, Adisa, Mielke, Dorothee, Schebesch, Karl-Michael, Wostrack, Maria, Rufenacht, Daniel, Vajkoczy, Peter, Schmidt, Nils Ole, Vajkoczy, P, Maldaner, N, Uebelacker, A, Dengler, J, Endres, M, Bohner, G, Wiener, E, Bauknecht, H C, Heuschmann, P U, Malzahn, U, Gläsker, S, Zentner, J, Van Velthoven, V, Guhl, S, Schroeder, Werner, Strowitzki, M, Etminan, N, Haengghi, D, Eicker, S, Turowski, B, Schebesch, K M, Brawanski, A, Wrede, Karsten, Sure, Ulrich, Schmidt, N O, Regelsberger, J, Westphal, M, Mielke, D, Rohde, V, Hosch, H, Moskopp, D, Joedicke, A, Hohaus, C, Meisel, H J, Wostrack, M, Meyer, B, Lehmberg, J, Musahl, C, Hopf, N, Winkler, G, Spetzger, U, Graewe, A, Meier, U, Hong, B, Nakamura, M, Krauss, J, Grote, A, Simon, M, Schramm, J, Kursumovic, A, Rath, S A, Marbacher, S, Fathi, A, Fandino, J, Familiari, P, Raco, A, Bijlenga, P, Schaller, K, Gruber, A, Wang, W T, Knosp, E, Hoffmann, K T, Boxhammer, E, Rüfenacht, Daniel, Boccardi, E, Piano, M, Niemelä, M, Nurminen, V, Lehecka, M, Hernesniemi, J, Burkhardt, J K, Bozinov, O, Regli, L, Shekhtman, O D, Eliava, S S, Kato, N, Irie, K, Nishimura, K, Kaku, S, Arakawa, H, Yuki, I, Ishibashi, T, Murayama, Y, Fiss, I, Kombos, T, Pedro, M T, König, R, Wirtz, R, Helthuis, J, van der Zwan, A, Cognard, C, Gawlitza, M, Wanke, Isabel, Fiedler, J, Surgical clinical sciences, University of Zurich, and Dengler, Julius
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Aneurysm volume ,Adult ,Male ,medicine.medical_specialty ,animal structures ,Perianeurysmal edema ,Clinical Neurology ,Medizin ,610 Medicine & health ,Brain Edema ,Giant intracranial aneurysm ,Partially thrombosed aneurysm ,Vascular disorders ,Aged ,Female ,Humans ,Intracranial Aneurysm ,Magnetic Resonance Imaging ,Middle Aged ,Retrospective Studies ,Thrombosis ,Surgery ,Medicine (all) ,Neurology (clinical) ,Imaging data ,10180 Clinic for Neurosurgery ,Aneurysm ,medicine.artery ,Edema ,medicine ,10. No inequality ,medicine.diagnostic_test ,business.industry ,Research Support, Non-U.S. Gov't ,Magnetic resonance imaging ,medicine.disease ,2746 Surgery ,ddc:616.8 ,Giant Intracranial Aneurysm ,2728 Neurology (clinical) ,Middle cerebral artery ,Radiology ,Internal carotid artery ,medicine.symptom ,business ,Partial thrombosis - Abstract
OBJECT The underlying mechanisms causing intracranial perianeurysmal edema (PAE) are still poorly understood. Since PAE is most frequently observed in giant intracranial aneurysms (GIAs), the authors designed a study to examine the occurrence of PAE in relation to the location, size, and partial thrombosis (PT) of GIAs along with the clinical impact of PAE. METHODS Magnetic resonance imaging data for patients with a diagnosis of unruptured GIA from the international multicenter Giant Intracranial Aneurysm Registry were retrospectively analyzed with regard to location and size of the GIA, PAE volume, and the presence of PT. The occurrence of PAE was correlated to clinical findings. RESULTS Imaging data for 69 GIAs were eligible for inclusion in this study. Perianeurysmal edema was observed in 33.3% of all cases, with the highest frequency in GIAs of the middle cerebral artery (MCA; 68.8%) and the lowest frequency in GIAs of the cavernous internal carotid artery (ICA; 0.0%). Independent predictors of PAE formation were GIA volume (OR 1.13, p = 0.02) and the occurrence of PT (OR 9.84, p = 0.04). Giant intracranial aneurysm location did not predict PAE occurrence. Giant aneurysms with PAE were larger than GIAs without PAE (p < 0.01), and GIA volume correlated with PAE volume (rs = 0.51, p = 0.01). Perianeurysmal edema had no influence on the modified Rankin Scale score (p = 0.30 or the occurrence of aphasia (p = 0.61) or hemiparesis (p = 0.82). CONCLUSIONS Perianeurysmal edema was associated with GIA size and the presence of PT. As no PAE was observed in cavernous ICA aneurysms, even though they exerted mass effect on the brain and also displayed PT, the dura mater may serve as a barrier protecting the brain from PAE formation.
- Published
- 2015
20. Prognostic models based on patient snapshots and time windows: predicting disease progression to assisted ventilation in Amyotrophic Lateral Sclerosis
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Pedro Toms, Susana Pinto, Sara C. Madeira, Andr V. Carreiro, Mamede de Carvalho, Pedro M. T. Amaral, and Repositório da Universidade de Lisboa
- Subjects
medicine.medical_specialty ,Population ,Health Informatics ,Context (language use) ,03 medical and health sciences ,0302 clinical medicine ,Physical medicine and rehabilitation ,Humans ,Medicine ,education ,Set (psychology) ,Time windows ,Simulation ,030304 developmental biology ,0303 health sciences ,education.field_of_study ,Disease progression ,Receiver operating characteristic ,business.industry ,Amyotrophic Lateral Sclerosis ,Patient snapshots ,Models, Theoretical ,Prognosis ,Respiration, Artificial ,Computer Science Applications ,Hierarchical clustering ,Term (time) ,Respiratory failure ,Test set ,business ,Prognostic model ,030217 neurology & neurosurgery - Abstract
© 2015 Elsevier Inc. All rights reserved., Amyotrophic Lateral Sclerosis (ALS) is a devastating disease and the most common neurodegenerative disorder of young adults. ALS patients present a rapidly progressive motor weakness. This usually leads to death in a few years by respiratory failure. The correct prediction of respiratory insufficiency is thus key for patient management. In this context, we propose an innovative approach for prognostic prediction based on patient snapshots and time windows. We first cluster temporally-related tests to obtain snapshots of the patient's condition at a given time (patient snapshots). Then we use the snapshots to predict the probability of an ALS patient to require assisted ventilation after k days from the time of clinical evaluation (time window). This probability is based on the patient's current condition, evaluated using clinical features, including functional impairment assessments and a complete set of respiratory tests. The prognostic models include three temporal windows allowing to perform short, medium and long term prognosis regarding progression to assisted ventilation. Experimental results show an area under the receiver operating characteristics curve (AUC) in the test set of approximately 79% for time windows of 90, 180 and 365 days. Creating patient snapshots using hierarchical clustering with constraints outperforms the state of the art, and the proposed prognostic model becomes the first non population-based approach for prognostic prediction in ALS. The results are promising and should enhance the current clinical practice, largely supported by non-standardized tests and clinicians' experience., This work was supported by national funds through Fundação para a Ciência e a Tecnologia (FCT), under projects UID/CEC/50021/2013, NEUROCLINOMICS: Understanding NEUROdegenerative diseases through CLINical and OMICS data integration (PTDC/EIA-EIA/111239/2009), and a doctoral grant SFRH/BD/82042/2011 to AVC.
- Published
- 2015
21. Cranial nerve deficits in giant cavernous carotid aneurysms and their relation to aneurysm morphology and location.
- Author
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on behalf of the Giant Intracranial Aneurysm Study Group, Durner, G., Pedro, M. T., Bijlenga, P., Etminan, N., Hänggi, D., Krauss, J. K., Piano, M., Boccardi, E., Lenga, P., Vajkoczy, P., Dengler, Julius, Mielke, D., Hohaus, C., Guhl, S., Maldaner, N., Burkhardt, J. K., Lehmberg, J., and Rufenacht, D.
- Subjects
CRANIAL nerve diseases ,INTRACRANIAL aneurysms ,CAROTID artery diseases ,CAROTID artery thrombosis ,BRAIN imaging - Abstract
Background: Giant cavernous carotid aneurysms (GCCAs) usually exert substantial mass effect on adjacent intracavernous cranial nerves. Since predictors of cranial nerve deficits (CNDs) in patients with GCCA are unknown, we designed a study to identify associations between CND and GCCA morphology and the location of mass effect.Methods: This study was based on data from the prospective clinical and imaging databases of the Giant Intracranial Aneurysm Registry. We used magnetic resonance imaging and digital subtraction angiography to examine GCCA volume, presence of partial thrombosis (PT), GCCA origins, and the location of mass effect. We also documented whether CND was present.Results: We included 36 GCCA in 34 patients, which had been entered into the registry by eight participating centers between January 2009 and March 2016. The prevalence of CND was 69.4%, with one CND in 41.7% and more than one in 27.5%. The prevalence of PT was 33.3%. The aneurysm origin was most frequently located at the anterior genu (52.8%). The prevalence of CND did not differ between aneurysm origins (p = 0.29). Intracavernous mass effect was lateral in 58.3%, mixed medial/lateral in 27.8%, and purely medial in 13.9%. CND occurred significantly more often in GCCA with lateral (81.0%) or mixed medial/lateral (70.0%) mass effect than in GCCA with medial mass effect (20.0%; p = 0.03). After adjusting our data for the effects of the location of mass effect, we found no association between the prevalence of CND and aneurysm volume (odds ratio (OR) 1.30 (0.98-1.71); p = 0.07), the occurrence of PT (OR 0.64 (0.07-5.73); p = 0.69), or patient age (OR 1.02 (95% CI 0.95-1.09); p = 0.59).Conclusions: Distinguishing between medial versus lateral location of mass effect may be more helpful than measuring aneurysm volumes or examining aneurysm thrombosis in understanding why some patients with GCCA present with CND while others do not.Clinical trial registration no.: NCT02066493 (
clinicaltrials.gov ) [ABSTRACT FROM AUTHOR]- Published
- 2018
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22. Neurolymphomatose.
- Author
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Brand, C., Pala, A., Scheuerle, A., Scheglmann, K., König, R., Kratzer, W., Wirtz, C. R., Antoniadis, G., and Pedro, M. T.
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- 2018
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23. Meralgia Paresthetica: Relevance, Diagnosis, and Treatment.
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Scholz, C., Hohenhaus, M., Pedro, M. T., Uerschels, A. K., and Dengler, N. F.
- Abstract
Background: Pain and sensory disturbance in the distribution of the lateral femoral cutaneous nerve in the ventrolateral portion of the thigh is called meralgia paresthetica (MP). The incidence of MP has risen along with the increasing prevalence of obesity and diabetes mellitus and was recently estimated at 32 new cases per 100 000 persons per year. In this review, we provide an overview of current standards and developments in the diagnosis and treatment of MP. Methods: This review is based on publications retrieved by a selective literature search, with special attention to meta-analyses, systematic reviews, randomized and controlled trials (RCTs), and prospective observational studies. Results: The diagnosis is mainly based on typical symptoms combined with a positive response to an infiltration procedure. In atypical cases, electrophysiological testing, neurosonography, and magnetic resonance imaging can be helpful in establishing the diagnosis. The literature search did not reveal any studies of high quality. Four prospective observational studies with small case numbers and partly inconsistent results are available. In a meta-analysis of 149 cases, pain relief was described after infiltration in 85% of cases and after surgery in 80%, with 1-38 months of follow-up. In another meta-analysis of 670 cases, there was pain relief after infiltration in 22% of cases, after surgical decompression in 63%, and after neurectomy in 85%. Hardly any data are available on more recent treatment options, such as radiofrequency therapy, spinal cord stimulation, or peripheral nerve stimulation. Conclusion: The state of the evidence is limited in both quantity and quality, corresponding to evidence level 2a for surgical and non-surgical methods. Advances in imaging and neurophysiological testing have made the diagnosis easier to establish. When intervention is needed, good success rates have been achieved with surgery (decompression, neurectomy), and variable success rates with infiltration. [ABSTRACT FROM AUTHOR]
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- 2023
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24. Prognostic models based on patient snapshots and time windows: Predicting disease progression to assisted ventilation in Amyotrophic Lateral Sclerosis.
- Author
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Carreiro AV, Amaral PMT, Pinto S, Tomás P, de Carvalho M, and Madeira SC
- Subjects
- Disease Progression, Humans, Prognosis, Amyotrophic Lateral Sclerosis physiopathology, Models, Theoretical, Respiration, Artificial
- Abstract
Amyotrophic Lateral Sclerosis (ALS) is a devastating disease and the most common neurodegenerative disorder of young adults. ALS patients present a rapidly progressive motor weakness. This usually leads to death in a few years by respiratory failure. The correct prediction of respiratory insufficiency is thus key for patient management. In this context, we propose an innovative approach for prognostic prediction based on patient snapshots and time windows. We first cluster temporally-related tests to obtain snapshots of the patient's condition at a given time (patient snapshots). Then we use the snapshots to predict the probability of an ALS patient to require assisted ventilation after k days from the time of clinical evaluation (time window). This probability is based on the patient's current condition, evaluated using clinical features, including functional impairment assessments and a complete set of respiratory tests. The prognostic models include three temporal windows allowing to perform short, medium and long term prognosis regarding progression to assisted ventilation. Experimental results show an area under the receiver operating characteristics curve (AUC) in the test set of approximately 79% for time windows of 90, 180 and 365 days. Creating patient snapshots using hierarchical clustering with constraints outperforms the state of the art, and the proposed prognostic model becomes the first non population-based approach for prognostic prediction in ALS. The results are promising and should enhance the current clinical practice, largely supported by non-standardized tests and clinicians' experience., (Copyright © 2015 Elsevier Inc. All rights reserved.)
- Published
- 2015
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- View/download PDF
25. [Intraneural hemangioma of the ulnar nerve].
- Author
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Brand C, Pedro MT, Schick M, Scheuerle A, Scheglmann K, Wirtz CR, and Antoniadis G
- Subjects
- Adult, Female, Humans, Magnetic Resonance Imaging methods, Treatment Outcome, Ulnar Nerve surgery, Ultrasonography methods, Hemangioma diagnosis, Hemangioma surgery, Neurosurgical Procedures methods, Peripheral Nervous System Neoplasms diagnosis, Peripheral Nervous System Neoplasms surgery, Ulnar Nerve pathology
- Published
- 2015
- Full Text
- View/download PDF
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