Optimum selection of input polarization states in determining the sample Mueller matrix: a dual photoelastic polarimeter approach.

Dual photoelastic modulator polarimeter systems are widely used for the measurement of light beam polarization, most often described by Stokes vectors, that carry information about an interrogated sample. The sample polarization properties can be described more thoroughly through its Mueller matrix, which can be derived from judiciously chosen input polarization Stokes vectors and correspondingly measured output Stokes vectors. However, several sources of error complicate the construction of a Mueller matrix from the measured Stokes vectors. Here we present a general formalism to examine these sources of error and their effects on the derived Mueller matrix, and identify the optimal input polarization states to minimize their effects in a dual photoelastic modulator polarimeter configuration. The input Stokes vector states leading to the most robust Mueller matrix determination are shown to form Platonic solids in the Poincaré sphere space; we also identify the optimal 3D orientation of these solids for error minimization.

Effects of formalin fixation on tissue optical polarization properties.

Formalin fixation is a preparation method widely used in handling tissue specimens, such as biopsies, specifically in optical studies such as microscopy. In this note, we examine how formalin fixation affects the polarization properties of porcine myocardium and liver as assessed by optical polarimetry. Spatial maps of linear retardance and depolarization were derived from four myocardial and four liver samples before and after formalin fixation. Overall, linear retardance and depolarization increased after fixation for both myocardium (15% and 23% increase, respectively) and liver (38% and 51%, respectively). The relative increase in retardance was greater in liver compared to myocardium, although the absolute increase in retardance was comparable for both. The effect of fixation on bulk optical properties was also investigated for myocardium where the scattering coefficient increased from 92 to 132 cm(-1) and the absorption coefficient remained constant at 1.1 cm(-1).

Entorhinal cortex volume in older adults: reliability and validity considerations for three published measurement protocols.

Measuring the entorhinal cortex (ERC) is challenging due to lateral border discrimination from the perirhinal cortex. From a sample of 39 nondemented older adults who completed volumetric image scans and verbal memory indices, we examined reliability and validity concerns for three ERC protocols with different lateral boundary guidelines (i.e., Goncharova, Dickerson, Stoub, & deToledo-Morrell, 2001; Honeycutt et al., 1998; Insausti et al., 1998). We used three novice raters to assess inter-rater reliability on a subset of scans (216 total ERCs), with the entire dataset measured by one rater with strong intra-rater reliability on each technique (234 total ERCs). We found moderate to strong inter-rater reliability for two techniques with consistent ERC lateral boundary endpoints (Goncharova, Honeycutt), with negligible to moderate reliability for the technique requiring consideration of collateral sulcal depth (Insausti). Left ERC and story memory associations were moderate and positive for two techniques designed to exclude the perirhinal cortex (Insausti, Goncharova), with the Insausti technique continuing to explain 10% of memory score variance after additionally controlling for depression symptom severity. Right ERC-story memory associations were nonexistent after excluding an outlier. Researchers are encouraged to consider challenges of rater training for ERC techniques and how lateral boundary endpoints may impact structure-function associations.

Does laterality of motor impairment tell us something about cognition in Parkinson disease?

This cross-sectional study investigates the relationship between severity of right- and left-sided motor symptoms and deficits in global cognitive function as well as individual cognitive domains in 117 Parkinson disease patients. Items of the Unified Parkinson Disease Rating Scale Part III were divided into right- and left-sided total scores. Composite scores in verbal fluency, verbal memory, executive function, and visuoperceptual skills were obtained from a full neuropsychological battery. We observed a significant association between right-sided motor impairment and verbal memory, visuoperceptual skills, and verbal fluency, but not executive function. The relationship between right symptoms and verbal fluency was fully mediated by cognitive status, while the relationship between right symptoms and verbal memory as well as visuoperceptual skills was not. Left-sided motor symptoms were not significantly related to any composite cognitive domain. When patients were divided into groups based on the side of predominant symptoms, no group differences were found in performance on the specific cognitive domains. This suggests that the degree of right-sided symptoms is more correlated to specific cognitive domains than is group classification of laterality.

Micropouch gastric bypass: indications for gastrostomy tube placement in the bypassed stomach.

BACKGROUND: Since 1994 we have performed the "micropouch" gastric bypass (MGB) procedure for morbid obesity. In our MGB operation, the transected gastric reservoir is limited to the cardia of the stomach. The Roux and biliopancreatic limbs measure 200 and 150 cm, respectively; radiographic or endoscopic access to the bypassed stomach is therefore excluded. METHODS: A retrospective analysis of 1,120 MGB operations revealed that 33 patients (2.9%) developed a potentially life-threatening postoperative complication requiring emergency re-operation or prolonged hospitalization. Complications included anastomotic leaks, fascial dehiscence, gastro-enteric obstructions, peptic ulcers, and pancreatitis. Each complication was analyzed to determine if gastrostomy tube (G-tube) placement at the time of gastric bypass could have affected complication outcome or obviated the need for repeat laparotomy. RESULTS: In 19 patients (1.6% of total cohort), G-tube placement would have significantly affected complication outcome. In four instances, it would have prevented emergency re-operation. CONCLUSIONS: Routine gastrostomy tube placement at the time of gastric bypass is not necessary in all patients. For patients who are at high risk for a gastro-enteric obstruction or an anastomotic leak, G-tube placement is recommended and is often therapeutic.