Utrecht University

About: Utrecht University is a education organization based out in Utrecht, Utrecht, Netherlands. It is known for research contribution in the topics: Population & Poison control. The organization has 58176 authors who have published 139351 publications receiving 6214282 citations. The organization is also known as: UU & Universiteit Utrecht.

European Stroke Organisation (ESO) guidelines for the management of spontaneous intracerebral hemorrhage

Abstract: Background Intracerebral hemorrhage (ICH) accounted for 9% to 27% of all strokes worldwide in the last decade, with high early case fatality and poor functional outcome In view of recent randomized controlled trials (RCTs) of the management of ICH, the European Stroke Organisation (ESO) has updated its evidence-based guidelines for the management of ICH Method A multidisciplinary writing committee of 24 researchers from 11 European countries identified 20 questions relating to ICH management and created recommendations based on the evidence in RCTs using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach Results We found moderate- to high-quality evidence to support strong recommendations for managing patients with acute ICH on an acute stroke unit, avoiding hemostatic therapy for acute ICH not associated with antithrombotic drug use, avoiding graduated compression stockings, using intermittent pneumatic compression in immobile patients, and using blood pressure lowering for secondary prevention We found moderate-quality evidence to support weak recommendations for intensive lowering of systolic blood pressure to <140 mmHg within six-hours of ICH onset, early surgery for patients with a Glasgow Coma Scale score 9‐12, and avoidance of corticosteroids Conclusion These guidelines inform the management of ICH based on evidence for the effects of treatments in RCTs Outcome after ICH remains poor, prioritizing further RCTs of interventions to improve outcome

Biexponential diffusion attenuation in various states of brain tissue: implications for diffusion-weighted imaging.

Abstract: Diffusion-weighted single voxel experiments conducted at b-values up to 1 x 10(4) smm-2 yielded biexponential signal attenuation curves for both normal and ischemic brain. The relative fractions of the rapidly and slowly decaying components (f1, f2) are f1 = 0.80 +/- 0.02, f2 = 0.17 +/- 0.02 in healthy adult rat brain and f1 = 0.90 +/- 0.02, f2 = 0.11 +/- 0.01 in normal neonatal rat brain, whereas the corresponding values for the postmortem situation are f1 = 0.69 +/- 0.02, f2 = 0.33 +/- 0.02. It is demonstrated that the changes in f1 and f2 occur simultaneously to those in the extracellular and intracellular space fractions (fex, f(in)) during: (i) cell swelling after total circulatory arrest, and (ii) the recovery from N-methyl-D-aspartate induced excitotoxic brain edema evoked by MK-801, as measured by changes in the electrical impedance. Possible reasons for the discrepancy between the estimated magnitude components and the physiological values are presented and evaluated. Implications of the biexponential signal attenuation curves for diffusion-weighted imaging experiments are discussed.

Global river nutrient export: A scenario analysis of past and future trends

Abstract: [1] An integrated modeling approach was used to connect socioeconomic factors and nutrient management to river export of nitrogen, phosphorus, silica and carbon based on an updated Global NEWS model. Past trends (1970–2000) and four future scenarios were analyzed. Differences among the scenarios for nutrient management in agriculture were a key factor affecting the magnitude and direction of change of future DIN river export. In contrast, connectivity and level of sewage treatment and P detergent use were more important for differences in DIP river export. Global particulate nutrient export was calculated to decrease for all scenarios, in part due to increases in dams for hydropower. Small changes in dissolved silica and dissolved organics were calculated for all scenarios at the global scale. Population changes were an important underlying factor for river export of all nutrients in all scenarios. Substantial regional differences were calculated for all nutrient elements and forms. South Asia alone accounted for over half of the global increase in DIN and DIP river export between 1970 and 2000 and in the subsequent 30 years under the Global Orchestration scenario (globally connected with reactive approach to environmental problems); DIN river export decreased in the Adapting Mosaic (globally connected with proactive approach) scenario by 2030, although DIP continued to increase. Risks for coastal eutrophication will likely continue to increase in many world regions for the foreseeable future due to both increases in magnitude and changes in nutrient ratios in river export.