Potential Monitoring Research Articles

Transcranial electric motor evoked potential monitoring during scoliosis surgery in children with cerebral palsy and active seizure disorder: is it feasible and safe?

Use of spinal cord monitoring in children with cerebral palsy (CP) and neuromuscular scoliosis is challenging. The previous reports suggest low success rates in the setting of CP, and it is unclear if transcranial electric motor evoked potentials (TcMEP) monitoring is contraindicated in patients with an active seizure disorder. The purpose of this study was to determine (1) are patients with CP able to be appropriately monitored with TcMEP? and (2) does TcMEP cause an increase in seizure activity? This was an institutional review board-approved retrospective cohort study observing 304 patients from 2011 to 2020. Inclusion criteria included all patients with CP undergoing posterior spinal fusion during this time. Intraoperative data were examined for the ability to obtain monitoring and any intraoperative events. Patients were followed for 3months postoperatively to determine any increase in seizure activity that could have been attributed to the TcMEP monitoring. Of the 304 patients who were observed, 21% (20.8%) were unable to be monitored due to lacking baseline signals from the extremities. Seventy-seven percent (77.5%) were successfully monitored with TcMEP. For these patients, no increased seizure activity was documented either intra- or postoperatively. A high percentage of children (77.5%) with CP were able to be successfully monitored with TcMEP during posterior spinal fusion. Furthermore, the concerns about increased seizure activity after TcMEP were not supported by the data from this cohort. Technical details of successful neuromonitoring in these patients are important and included increased stimulation voltage requirements and latency times. III retrospective comparative study.

Impact of multimodal intraoperative neurophysiological monitoring of the spinal cord during spine and spinal cord surgeries

BackgroundThere is growing evidence of the valuable role of multimodal intraoperative neurophysiological monitoring (IONM) during spine and spinal cord surgeries, as it provides an opportunity to recognize functional changes of the neural elements, usually in the reversible stage, during complex surgical manipulations. Therefore, it may reduce the risk of postoperative neurological dysfunction and improve functional outcomes. The aim of the current study was to evaluate the efficacy of multimodal IONM for preventing and predicting iatrogenic neurological dysfunction during spinal cord and spine surgeries.ResultsSignificant alerts had occurred in 9 out of 24 patients; however, all the changes were reversible and did not contribute to postoperative clinical deterioration. Only one case got worsened in the early postoperative follow-up period, with stable intraoperative monitoring.ConclusionIntraoperative monitoring is a valuable tool in spine and spinal cord surgeries. Combined transcranial motor-evoked potential (TcMEP), somatosensory-evoked potential (SSEP), and spontaneous electromyography (EMG) monitoring may prevent permanent motor deficit and enhance the postoperative outcomes.

Direct-cortical visual evoked potential monitoring during brain tumor resection

BackgroundVisual evoked potential (VEP) recording is traditionally regarded as an unreliable evoked potential monitoring technique, precluding widespread use in intracranial neurosurgery. However, VEPs can serve as a useful intraoperative adjunct for real-time detection of mechanical damage to optic apparatuses. The low obtainability and prognostic utility of VEPs are associated with transcranial recording, which typically provides non-focal information and poor signal-to-noise ratio. Direct cortical VEP (DC-VEP) recordings may offer a solution. MethodsWe evaluated the obtainability of DC-VEPs as well as their prognostic utility in predicting postoperative visual function deterioration in a series of brain tumor patients undergoing craniotomies for tumor resection. Patient records were retrospectively reviewed for all consecutive patients undergoing brain tumor resections with DC-VEP monitoring. Pre- and postoperative visual fields were characterized from patient charts and associated with the presence of intraoperative monitoring alerts to determine the sensitivity, specificity, and positive and negative predictive values (PPV, NPV) of DC-VEPs in detecting postoperative visual field deficits. ResultsTwenty-two patients (9 male, 13 female) were included, with a median age of 60 years. DC-VEPs were reliably detected in 19 of 23 included surgeries (82.6%). The reported sensitivity, specificity, PPV, and NPV in detecting postoperative visual field deficits was 60%, 92.9%, 75%, and 86.7%, respectively. There was a statistically significant association between monitoring alerts and the presence of visual field deterioration by Fischer’s exact test (p = 0.0374). ConclusionsDC-VEPs can be reliably obtained and are useful for detecting mechanical injury to optic areas and tracts during tumor resection.

Monitoring of Particulate Fouling Potential of Feed Water with Spectroscopic Measurements.

The modified fouling index (MFI) is a crucial characteristic for assessing the fouling potential of reverse osmosis (RO) feed water. Although the MFI is widely used, the estimation time required for filtration and data evaluation is still relatively long. In this study, the relationship between the MFI and instantaneous spectroscopic extinction measurements was investigated. Since both measurements show a linear correlation with particle concentration, it was assumed that a change in the MFI can be detected by monitoring the optical density of the feed water. To prove this assumption, a test bench for a simultaneous measurement of the MFI and optical extinction was designed. Silica monospheres with sizes of 120 nm and 400 nm and mixtures of both fractions were added to purified tap water as model foulants. MFI filtration tests were performed with a standard 0.45 µm PES membrane, and a 0.1 µm PP membrane. Extinction measurements were carried out with a newly designed flow cell inside a UV-VIS spectrometer to get online information on the particle properties of the feed water, such as the particle concentration and mean particle size. The measurement results show that the extinction ratio of different light wavelengths, which should remain constant for a particulate system, independent of the number of particles, only persisted at higher particle concentrations. Nevertheless, a good correlation between extinction and MFI for different particle concentrations with restrictions towards the ratio of particle and pore size of the test membrane was found. These findings can be used for new sensory process monitoring systems, if the deficiencies can be overcome.

Electrochemical study on the chloride corrosion susceptibility of cementitious composites produced with sugarcane bagasse ash sand

Sugarcane bagasse ash sand (SBAS) has been studied as a potential additive for reinforcement structures, but long-term (more than a week) studies on its use in test specimens have not been conducted considering the durability of these concretes. Additionally, there has been no assessment of electrochemical corrosion in corrosive media, such as chloride solutions. In this study, we conducted a physical and electrochemical investigation of SBAS, which partially replaces fine sand in a mortar configuration. Electrochemical impedance spectroscopy and open circuit potential monitoring techniques were used to evaluate the reinforcements in Ca(OH)2 (curing environment) and NaCl 3.5% (aggressive environment), and SEM-EDS was used to analyze the reinforcement surface. During the curing process, SBAS concrete formed a passivation film after a longer time (7–14 days) than the reference (REF) (7 days), and the passive film showed higher resistance values than the REF sample. After 191 days in the chloride medium, REF and SBAS samples presented similar corrosion resistance. Therefore, SBAS-reinforced concrete could be a sustainable and effective alternative to conventional concrete for structural applications.

Hydrothermal synthesis of cobalt germanium oxide supported with carbon-based graphitic carbon nitride for electrochemical determination of ornidazole

In recent decades, nitroimidazole derivatives have played an effectual role against bacterial and protozoan infections that can be used as anti-cancer and antibiotic drugs. Ornidazole (ORD) consists of a major 5-imidazole nucleus which complements to first nitro groups, ORD invades into lipid tissue and other nitroimidazole derivatives. The periodic intake of ORD orally causes side effects of headache, nausea, vomiting, and breathing difficulties such effects need potential monitoring and develop essential electrochemical sensing toward ORD. In this study, we developed a ternary cobalt germanium oxide (Co2GeO4) nanoparticle prepared by a facile hydrothermal method and followed by calcination. The carbon-based graphitic carbon nitride (GCN, g-C3N4) nanosheets were therefore supported for electrochemical sensing applications in order to improve the features like the catalytic activity, electrical conductivity, and active surface area of Co2GeO4 composites. The structural, chemical composition, and morphological properties of samples were characterized. Subsequently, the fabrication of cobalt germanium oxide with graphitic carbon nitride (Co2GeO4/GCN) was modified over a screen-printed carbon electrode (SPCE) towards electrochemical detection of ORD. Electrochemical measurements were recorded by cyclic voltammetry (CV) and differential pulse voltammetry (DPV) for the determination of ORD. The Co2GeO4/GCN nanocomposite exhibits a wide linear range response of 0.049–94.9 μM in DPV with a nanomolar limit of detection of 7.2 nM of ORD and a high sensitivity of 2.66 µA µM−1 cm−2. An interference study was carried out for the Co2GeO4/GCN nanocomposite in the existence of hazardous metals, biological compounds, and similar drugs for examining the selectivity of the sensor. The proposed Co2GeO4/GCN nanocomposite reveals superior sensing selectivity towards ORD; hence, repeatability, reproducibility, and storage stability were recorded in their RSD and found to be less than 0.4%, adding to this practical feasibility of the sensor analyzed by real samples of blood serum & human urine with exceptional recovery percentages.

Soft, bioresorbable, transparent microelectrode arrays for multimodal spatiotemporal mapping and modulation of cardiac physiology

Transparent microelectrode arrays (MEAs) that allow multimodal investigation of the spatiotemporal cardiac characteristics are important in studying and treating heart disease. Existing implantable devices, however, are designed to support chronic operational lifetimes and require surgical extraction when they malfunction or are no longer needed. Meanwhile, bioresorbable systems that can self-eliminate after performing temporary functions are increasingly attractive because they avoid the costs/risks of surgical extraction. We report the design, fabrication, characterization, and validation of a soft, fully bioresorbable, and transparent MEA platform for bidirectional cardiac interfacing over a clinically relevant period. The MEA provides multiparametric electrical/optical mapping of cardiac dynamics and on-demand site-specific pacing to investigate and treat cardiac dysfunctions in rat and human heart models. The bioresorption dynamics and biocompatibility are investigated. The device designs serve as the basis for bioresorbable cardiac technologies for potential postsurgical monitoring and treating temporary patient pathological conditions in certain clinical scenarios, such as myocardial infarction, ischemia, and transcatheter aortic valve replacement.

Risk of occurrence of electromagnetic interference from the application of transcutaneous electrical nerve stimulation on the sensing function of implantable defibrillators.

Transcutaneous electrical nerve stimulation (TENS) is an established method for pain relief. But electrical TENS currents are also a source of electromagnetic interference (EMI). Thus, TENS is considered to be contraindicated in implantable cardioverter-defibrillator (ICD) patients. However, data might be outdated due to considerable advances in ICD and cardiac resynchronization therapy (CRT) filtering and noise protection algorithm technologies. The aim of this pilot safety study was to re-evaluate the safety of TENS in patients with modern ICDs. One hundred and seven patients equipped with 55 different models of ICD/CRT with defibrillators from 4 manufacturers underwent a standardized test protocol including TENS at the cervical spine and the thorax, at 2 stimulation modes-high-frequency TENS (80 Hz) and burst-mode TENS (2 Hz). Potential interference monitoring included continuous documentation of ECG Lead II, intracardiac electrograms and the marker channel. Electromagnetic interference was detected in 17 of 107 patients (15.9%). Most frequent were: interpretations as a premature ventricular beats (VS/S) in 15 patients (14%), noise reversion in 5 (4.6%) which resulted in temporary asynchronous pacing in 3 (2.8%), interpretation as ventricular tachycardia/ventricular fibrillation in 2 (1.9%), and premature atrial beat in 2 (1.9%) patients. Electromagnetic interference occurrence was influenced by position (chest, P < 0.01), higher current intensity (P < 0.01), and manufacturer (P = 0.012). Overall, only intermittent and minor EMI were detected. Prior to the use of TENS in patients with ICDs, they should undergo testing under the supervision of a cardiac device specialist.

Metal Contaminants in Fish: Blood as a Potential Non-lethal Monitoring Tool.

The use of fish to monitor metal contamination is well established, but existing studies often focus on internal tissues that require the sacrifice of organisms. Developing non-lethal methods is thus a scientific challenge to enable large scale biomonitoring of wildlife health. We explored blood as a potential non-lethal monitoring tool for metal contamination in brown trout (Salmo trutta fario) as a model species. First, we investigated differences in metal contamination loads (i.e., Cr, Cu, Se, Zn, As, Cd, Pb and Sb) in different blood components (whole blood, red blood cells and plasma). Whole blood was reliable to measure most metals, implying that blood centrifugation is not necessary, thus minimizing sample preparation time. Second, we measured the within individual distribution of metals across tissues (whole blood, muscle, liver, bile, kidney and gonads) to test if blood could be a reliable monitoring tool compared to other tissues. Results show that the whole blood was reliable compared to muscle and bile to measure the levels of metals such as Cr, Cu, Se, Zn, Cd and Pb. This study opens the possibility for future ecotoxicological studies in fish to use blood instead of internal tissues to quantify some metals, thus reducing the negative impacts of biomonitoring on wildlife.

Monitoring of the Mosquito Vector of Dangerous Arboviruses Using the ZikaMap Web Portal

Background: The active spread of Aedes albopictus mosquitoes, epidemiologically important vectors for the transmission of dangerous arboviruses, on the Black Sea coast of the Krasnodar Region necessitates prompt analysis of the results of their monitoring using modern geographic information systems. Objective: To analyze the results of practical application of the ZikaMap web portal for tracing migration of tiger mosquitoes along the Black Sea coast of the Krasnodar Region in 2016–2022. Materials and methods: We used Aedes albopictus migration monitoring data for 2016–2022 from the ZikaMap web portal. Mosquito counts were taken in Novorossiysk, Anapa and Tuapse districts, and Sochi with the total of 476 objects and 2,366 stationary points examined. Results and discussion: Tiger mosquitoes were found on the territory of epidemically significant objects four times (in the years 2018–2019 and in 2021) and once (in 2017) at a distance of 500 m from them (within the flight range of the Aedes mosquito). Immediately after that, emergency local disinfestation treatment was carried out. The highest abundance of Ae. albopictus (both in absolute numbers and catch per trap per hour) during the entire study period was registered in the Central District of Sochi, with a decrease observed since 2020. Results of the annual comparative cartographic analysis for 2016–2022 indicate the expansion of the boundaries of the Ae. albopictus habitat on the territory of the Black Sea coast of the Krasnodar Region 122 km northwards and 83 km westwards. Conclusion: It is expedient to continue developing real-time geographic information technologies in order to optimize approaches to monitoring and assessment of the current epidemic potential of natural foci of vector-borne and zoonotic infections and to improve the efficiency of response to potential worsening of the epidemic situation.

Novel automated “score mapping” of diaphragmatic compound motor action potential for the early detection of phrenic nerve injury during cryoablation

The proximity of phrenic nerve to right sided pulmonary veins (PV) make it susceptible to injury during cryoballoon ablation (CBA) for atrial fibrillation (AF). Monitoring of diaphragmatic compound motor action potentials (CMAP) obtained from lead aVF or modified surface ECG leads placed along the diaphragm have been used for early detection of phrenic nerve injury (PNI). 1 Schaerli N. Badertscher P. Spies F. et al. A Simplified Method to Detect Phrenic Nerve Injury During Cryoballoon Ablation of Atrial Fibrillation Using Lead aVF of the Surface ECG. Circ Arrhythm Electrophysiol. 2021 Aug; 14e009986https://doi.org/10.1161/CIRCEP.121.009986 Crossref Scopus (0) Google Scholar Thirty percent drop in CMAP amplitude has been shown in studies as the threshold for prevention of PNI. 2 Miyazaki S. Hachiya H. Taniguchi H. et al. Prospective Evaluation of Bilateral Diaphragmatic Electromyograms During Cryoballoon Ablation of Atrial Fibrillation. JCE. 2015; 26: 622-628 Google Scholar However, CMAP signals may be susceptible to respiratory variations, catheter movement, inadequate baseline amplitude making it difficult to monitor the change in CMAP. 3 Sharma P.S. Padala S.K. Thompson J.J. Gunda S. Koneru J.N. Ellenbogen K.A. Factors Influencing Diaphragmatic Compound Motor Action Potentials During Cryoballoon Ablation for Atrial Fibrillation. JCE. 2016; 7: 1384-1389 Google Scholar Score-map of the CMAP using template matching with 3D electroanatomic mapping system can be used to automate the monitoring of CMAP. The aims of this study were to assess the relationship of change in CMAP amplitude with change in score-map and then use the automated score-map prospectively for early detection of PNI during CBA.

Evaluation of corrosion resistance of Znx-Mn1-x coatings electrodeposited on 1020 carbon steel rotating electrode from choline chloride and urea at eutectic composition

Znx-Mn1-x coatings were successful electrodeposited on a rotating 1020 carbon steel electrode from an electroplating solution prepared by the mixture of choline chloride (ChCl) with urea (U) with the molar ratio of 1:2 (1ChCl:2U) and without the addition of additives. Their corrosion performances of the electrodeposited coatings were evaluated in 3.5% NaCl solution by open circuit potential (Eoc) monitoring, potentiodynamic polarization and linear polarization around Eoc. The chemical analysis of the electrodeposited coatings showed that the Mn electrodeposition was inhibited with the increase of the electrode rotation rate. The images of the surface morphologies showed that the increase in the rotation promoted grain refinement, producing more homogeneous surfaces with nodular grains. The X-ray diffraction patterns revealed crystalline structures with distinct phases of Zn and Mn, indicating the joint electrodeposition of Zn and Mn did not produce the formation of intermetallic phases. The Znx-Mn1-x coatings had better corrosion protective performance than the Zn coating. Finally, the Zn84Mn16 coating was best, presenting in the immersion tests a lifetime 3 times longer than the pure Zn coating.

Application of intraoperative evoked potential monitoring in patients with anterior cerebral artery aneurysms

ObjectivesThe location of the aneurysm can affect the relationship between changes in intraoperative neurophysiological monitoring indicators and postoperative outcomes. The current study aimed to evaluate the application value of motor evoked potential and somatosensory evoked potential monitoring in anterior cerebral artery aneurysm surgery. MethodsThe data of 219 patients with anterior cerebral artery aneurysms treated via surgical clipping were retrospectively reviewed. The correlation of motor/somatosensory evoked potential monitoring with postoperative motor dysfunction was assessed using false positive rate, false negative rate, sensitivity, and specificity. Binary multivariate logistic regression analysis was applied to identify potential predictors for postoperative motor dysfunction. ResultsMotor evoked potential monitoring showed satisfactory effectiveness in predicting postoperative motor dysfunction (Sensitivity, 60.00%; Specificity, 85.43%; False positive rate, 14.57%; False negative rate, 40%). While somatosensory evoked potential did not (Sensitivity, 15.00%; Specificity, 96.98%; False positive rate, 3.02%; False negative rate, 85%). Abnormal motor evoked potential was identified as the only independent predictor for both short-term (odds ratio, 8.893; 95% confidence interval, 2.749-28.773; p<0.001) and long-term postoperative motor dysfunction (odds ratio, 7.877; 95% confidence interval, 2.144-28.945; p=0.002). ConclusionsDuring intraoperative neurophysiological monitoring for patients with anterior cerebral artery aneurysms, paying more attention to motor evoked potential changes was a reasonable choice. And somatosensory evoked potential monitoring can serve as an auxiliary reference.

China, the Democratic Republic of the Congo, and artisanal cobalt mining from 2000 through 2020

From 2000 through 2020, demand for cobalt to manufacture batteries grew 26-fold. Eighty-two percent of this growth occurred in China and China's cobalt refinery production increased 78-fold. Diminished industrial cobalt mine production in the early-to-mid 2000s led many Chinese companies to purchase ores from artisanal cobalt miners in the Democratic Republic of the Congo (DRC), many of whom have been found to be children. Despite extensive research on artisanal cobalt mining, fundamental questions about its production remain unanswered. This gap is addressed here by estimating artisanal cobalt production, processing, and trade. The results show that, while total DRC cobalt mine production grew from 11,000 metric tons (t) in 2000 to 98,000 t in 2020, artisanal production only grew from 1,000 to 2,000 t in 2000 to 9,000 to 11,000 t in 2020 (with a peak of 17,000 to 21,000 t in 2018). Artisanal production's share of world and DRC cobalt mine production peaked around 2008 at 18 to 23% and 40 to 53%, respectively, before trending down to 6 to 8% and 9 to 11% in 2020, respectively. Artisanal production was chiefly exported to China or processed within the DRC by Chinese firms. An average of 72 to 79% of artisanal production was processed at facilities within the DRC from 2016 through 2020. As such, these facilities may be potential monitoring points for artisanal production and its downstream consumers. This finding may help to support responsible sourcing initiatives and better address abuses related to artisanal cobalt mining by focusing local efforts at the artisanal processing facilities through which most artisanal cobalt production flows.

A Novel Fluorescent Probe for the Detection of Hydrogen Peroxide.

Hydrogen peroxide (H2O2) is one of the important reactive oxygen species (ROS), which is closely related to many pathological and physiological processes in living organisms. Excessive H2O2 can lead to cancer, diabetes, cardiovascular diseases, and other diseases, so it is necessary to detect H2O2 in living cells. Since this work designed a novel fluorescent probe to detect the concentration of H2O2, the H2O2 reaction group arylboric acid was attached to the fluorescein 3-Acetyl-7-hydroxycoumarin as a specific recognition group for the selective detection of hydrogen peroxide. The experimental results show that the probe can effectively detect H2O2 with high selectivity and measure cellular ROS levels. Therefore, this novel fluorescent probe provides a potential monitoring tool for a variety of diseases caused by H2O2 excess.

Prognostic Accuracy of N20 Somatosensory Potential in Patients With Acute Ischemic Stroke and Endovascular Thrombectomy

Background Somatosensory evoked potentials may add substantial prognostic value in patients with acute ischemic stroke and contribute to the selection of patients who may benefit from revascularization therapies beyond the accepted therapeutic time windows. We aimed to study the prognostic accuracy of the N20 somatosensory evoked potential component of the ischemic hemisphere in patients with anterior large‐vessel occlusion undergoing endovascular thrombectomy (EVT). Methods Presence and amplitude of the N20 response were recorded before and after EVT. Its adjusted predictive value for functional independence (modified Rankin scale score, ≤2) at day 7 was analyzed by binary logistic regression adjusting by age, mean arterial blood pressure, National Institute of Health Stroke Scale, Alberta Stroke Program Early CT Score, and serum glucose. N20 predictive power was compared with that of clinical and imaging models by using receiver operating characteristics curve analysis. Results A total of 223 consecutive patients were studied (mean age, 70 years; median National Institute of Health Stroke Scale score, 18). Somatosensory evoked potential recordings identified the presence of N20 in 110 (49.3%), absence in 58 (26%), and not assessable in 55 patients due to radiofrequency interferences in the angiography room. Before EVT, N20 predicted functional independence with a sensitivity of 93% (95% CI, 78%–98%) and negative predictive value of 93% (95% CI, 80%–98%). The adjusted odds ratio for functional independence was 9.9 (95% CI, 3.1–44.6). In receiver operating characteristics curve analysis, N20 amplitude showed a higher area under the curve than prehospital or in‐hospital variables, including advanced imaging. Sensitivity increased to 100% (95% CI, 0.85–1) when N20 was present after EVT. Conclusion Somatosensory evoked potential monitoring is a noninvasive and bedside technique that could help eligibility of patients with acute ischemic stroke for EVT and predict functional recovery.

New insight into degradation mechanisms of conductive and thermally resistant polyaniline films

Conductive polyaniline (PANI) coatings find application in various fields, such as electrostatic dissipation, anticorrosion coatings, actives delivery, batteries, and solar control. Improving the thermal and electrical stability of PANI coatings at high temperatures and challenging environments is of growing interest. In this study, a novel polymer blend formulation was developed by adding polyurethane (PU) and sulfonyldiphenol (SDP) to a dinonylnaphthalene sulfonic acid (DNNSA)-doped PANI matrix. Films of the PANI-PU/SDP formulation and unmodified PANI control films were prepared on ITO glass substrates using spin coating, followed by thermal treatment. Characterization of the films was performed using thermogravimetric analysis-mass spectrometry (TGA-MS) and time-of-flight secondary ion mass spectrometry (ToF-SIMS) with depth profiling. Results showed that unmodified PANI films aged at 150 °C exhibited rapid thermo-oxidative degradation, resulting in a significant loss in electrical conductivity after 24 h. The inclusion of PU and SDP remarkably improved the thermal stability of the films, maintaining desirable conductivity levels over a week. ToF-SIMS depth profiling helped identify potential degradation mechanisms and monitor changes in chemical composition throughout the film thickness. This study provides insights into the functionality, optimization, and deployment of these new film types.

Drive-by Methodologies Applied to Railway Infrastructure Subsystems: A Literature Review—Part I: Bridges and Viaducts

Bridges and viaducts are critical components of railway transport infrastructures, providing safe and efficient means for trains to cross over natural barriers such as rivers and valleys. Ensuring the continuous safe operation of these structures is therefore essential to avoid disastrous economic consequences and even human losses. Drive-by methodologies have emerged as a potential and cost-effective monitoring solution for accurately and prematurely detecting damage based on instrumented vehicles while minimizing disruptions to train operations. This paper presents a critical review of drive-by methodologies applied to bridges and viaducts. Firstly, the premises of the method are briefly reviewed, and the potential applications are discussed. In sequence, several works involving the use of drive-by methodologies for modal characteristic extraction are presented, encompassing the most important methodologies developed over time as well as recent advancements in the field. Finally, the problem of damage identification is discussed—both in relation to modal and non-modal parameter-based techniques considering the most promising features and the current advancements in the development of methodologies for damage detection based on machine learning algorithms. A comprehensive conclusion is presented at the end of the article, summarizing the achievements and providing perspectives for future developments. By critically assessing the application of drive-by methodologies to bridges and viaducts, this paper contributes to the advancement of knowledge in this crucial area, emphasizing the significance of continuous monitoring for ensuring the integrity and safety of these vital transport infrastructures.

HF Radar Wind Direction: Multiannual Analysis Using Model and HF Network

HF radar systems have the potential to measure the wind direction, in addition to surface currents and wave fields. However, studies on HF radar for wind direction determination are rare in the scientific literature. Starting with the results presented in Saviano et al. (2021), we here expand on the reliability of the multiannual wind direction data retrieved over two periods, from May 2008 to December 2010 and from January to December 2012, by a network of three SeaSonde high-frequency (HF) radars operating in the Gulf of Naples (Central Tyrrhenian Sea, Western Mediterranean Sea). This study focuses on the measurements obtained by each antenna over three range cells along a coast–offshore transect, pointing to any potential geographically dependent measurement. The scarcity of offshore wind measurements requires the use of model-generated data for comparative purposes. The data here used are obtained from the Mediterranean Wind–Wave Model, which provides indications for both wave and wind parameters, and the ERA5@2km wind dataset obtained by dynamically downscaling ERA5 reanalysis. These data are first compared with in situ data and subsequently with HF-retrieved wind direction measurements. The analysis of the overall performance of the HF radar network in the Gulf of Naples confirms that the HF radar wind data show the best agreement when the wind speed exceeds a 5 m/s threshold, ensuring a sufficiently energetic surface wave field to be measured. The results obtained in the study suggest the necessity of wind measurements in offshore areas to validate the HF radar wind measurements and to improve the extraction algorithms. The present work opens up further investigations on the applications of wind data from SeaSonde HF radars as potential monitoring platforms, both in coastal and offshore areas.

Preliminary application of combined auditory monitoring technique in resection of vestibular neurinoma

Objective: To explore the value of electrically evoked auditory brainstem response (EABR) monitoring combined with brainstem auditory evoked potential (BAEP) and compound action potential (CAP) monitoring during vestibular schwannoma resection for the protection of the cochlear nerve. Methods: Clinical data from 12 patients with vestibular schwannomas who had useful hearing prior to surgery were analyzed at the PLA General Hospital from January to December 2021. Among them, there were 7 males and 5 females, ranging in age from 25 to 59 years. Before surgery, patients underwent audiology assessments (including pure tone audiometry, speech recognition rate, etc.), facial nerve function evaluation, and cranial MRI. They then underwent vestibular schwannoma resection via the retrosigmoid approach. EABR, BAEP, and CAP were simultaneously monitored during surgery, and patients' hearing preservation was observed and analyzed after surgery. Results: Prior to surgery, the average PTA threshold of the 12 patients ranged from11 to 49 dBHL, with a SDS of 80% to 100%. Six patients had grade A hearing, and six patients had grade B hearing. All 12 patients had House-Brackman grade I facial nerve function prior to surgery. The MRI indicated tumor diameters between 1.1 and 2.4 cm. Complete removal was achieved in 10/12 patients, while near-total removal was achieved in 2/12 patients. There were no serious complications at the one-month follow-up after surgery. At the three-month follow-up, all 12 patients had House-Brackman grade I or II facial nerve function. Under EABR with CAP and BAEP monitoring, successful preservation of the cochlear nerve was achieved in six of ten patients (2 with grade B hearing, 3 with grade C hearing, and 1 with grade D hearing). Successful preservation of the cochlear nerve was not achieved in another four patients (all with grade D hearing). In two patients, EABR monitoring was unsuccessful due to interference signals; however, Grade C or higher hearing was successfully preserved under BAEP and CAP monitoring. Conclusion: The application of EABR monitoring combined with BAEP and CAP monitoring during vestibular schwannoma resection can help improve postoperative preservation of the cochlear nerve and hearing.