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Objective
To evaluate fetal brain development using MRI (magnetic resonance imaging) in CDH (congenital diaphragmatic hernia).Methods
52 isolated left CDH and 104 control fetuses were imaged using MRI. Brain morphometry (Biparietal diameter—BPD, brain fronto-occipital diameter—BFOD, third ventricle, posterior ventricles, transcerebellar diameter—TCD, anteroposterior and craniocaudal cerebellar vermis diameter—AP and CC) and cortical structures (bilateral cingulate fissure—CF, insular fissure—IF, insular depth - ID) were compared with controls using Mann–Whitney test.Results
Median gestational age at MRI (p = 0.95)and the median biparietal diameter (p = 0.737) were comparable. Among morphometric parameters, only the brain fronto-occipital diameter was significantly smaller in CDH (p = 0.001) and the third ventricle was significantly greater in CDH (<0.0001). Among cortical structures, the cingulate and insular fissures were significantly deeper in CDH fetuses (p < 0.0001) as the insular depth ID was smaller in CDH (p < 0.03).Conclusions
CDH fetuses have a smaller fronto-occipital diameter, reduced insular depth, deeper cingulate and insular fissure, and greater third ventricle width as compared to controls. These findings suggest that left CDH may have an impact on fetal brain development with an overall reduction in brain volume. 相似文献When performed without technical criteria, the rapid expansion of irrigated agricultural frontiers can result in overexploitation of water, causing worrying impacts on the balance of agroecosystems. This study proposes a model applied to the state of Bahia, to estimate the water demand of areas irrigated by a central pivot, in order to contribute to information that will subsidize the inspection and planning of water resources in the promotion of sustainable agriculture. The irrigated areas were identified and measured by photointerpretation using orbital images from the Landsat-8 satellite. With a historical series of data, the reference evapotranspiration was calculated and monthly water balance was elaborated. The data obtained were spatialized by kriging, and with punctual values of water deficit (mm), the water demand of the irrigated perimeter of the equipment was estimated. The results were described considering strategic planning units, proposed from municipalities, hydrographic basins and biomes. A total of 4075 pivots were quantified, covering an irrigated area of 265,896.30 ha and with an average annual consumption of 1,333,473,208.02 m3 of water. Areas of high demand were identified, especially in the western region of Bahia, which includes the hydrographic basin of the São Francisco River and the Cerrado biome, concentrating 80.85% and 75.47% of the state water demand for pivots, respectively. Considering possible points of water vulnerability and continuity of this expansion, the results provide the primary information needed to encourage the adoption of public policies aimed at the management of water resources. The study method proposes guidelines that condition the application in any region of interest in the world.
Graphical abstract 相似文献