Brachial plexus injury (BPI) is a severe neurologic injury that causes functional impairment of the affected upper limb. Imaging studies play an essential role in differentiating between preganglionic and postganglionic injuries, a distinction that is crucial for optimal treatment planning. Findings at standard myelography, computed tomographic (CT) myelography, and conventional magnetic resonance (MR) imaging help determine the location and severity of injuries. MR imaging sometimes demonstrates signal intensity changes in the spinal cord, and enhancement of nerve roots and paraspinal muscles at MR imaging indicates the presence of root avulsion injuries. New techniques including MR myelography, diffusion-weighted neurography, and Bezier surface reformation can also be useful in the evaluation and management of BPI. MR myelography with state-of-the-art technology yields remarkably high-quality images, although it cannot replace CT myelography entirely. Diffusion-weighted neurography is a cutting-edge technique for visualizing postganglionic nerve roots. Bezier surface reformation allows the depiction of entire intradural nerve roots on a single image. CT myelography appears to be the preferred initial imaging modality, with standard myelography and contrast material-enhanced MR imaging being recommended as additional studies. Work-up will vary depending on the equipment used, the management policy of peripheral nerve surgeons, and, most important, the individual patient.
A revised version of the massively parallel simulator of a universal quantum computer, described in this journal eleven years ago, is used to benchmark various gate-based quantum algorithms on some of the most powerful supercomputers that exist today. Adaptive encoding of the wave function reduces the memory requirement by a factor of eight, making it possible to simulate universal quantum computers with up to 48 qubits on the Sunway TaihuLight and on the K computer. The simulator exhibits close-to-ideal weak-scaling behavior on the Sunway TaihuLight, on the K computer, on an IBM Blue Gene/Q, and on Intel Xeon based clusters, implying that the combination of parallelization and hardware can track the exponential scaling due to the increasing number of qubits. Results of executing simple quantum circuits and Shor's factorization algorithm on quantum computers containing up to 48 qubits are presented.
We study subcritical fracture driven by thermally activated damage accumulation in the framework of fiber bundle models. We show that in the presence of stress inhomogeneities, thermally activated cracking results in an anomalous size effect; i.e., the average lifetime t{f} decreases as a power law of the system size t{f} approximately L{-z}, where the exponent z depends on the external load sigma and on the temperature T in the form z approximately f(sigma/T{3/2}). We propose a modified form of the Arrhenius law which provides a comprehensive description of thermally activated breakdown. Thermal fluctuations trigger bursts of breakings which have a power law size distribution.
Our results showed age and gender effects on neuroanatomical volumes, and indicate no gender difference in the aging process of neuroanatomical volumes.
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