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Biomedical subjects

A Silberberg

Publications and source records attributed to A Silberberg.

At least 19 recordsLinked to original sources
PubMed1992

Nonlinear pressure/volume relationship and measurements of lung mechanics in infants.

We examined the effects of within-breath changes in compliance (C) upon the accuracy of measurements of compliance and resistance (R) by linear regression analysis and by Mead and Wittenberger's method. These effects were illustrated by a computer model and by lung models with linear and nonlinear pressure/volume relationships, and were also studied in 14 normal spontaneously breathing premature infants (mean +/- SD, BW 1,290 +/- 200 g, GA 29.9 +/- 2.7 weeks, age 7.4 +/- 2.1 days). Flow was measured by pneumotachography and tidal volume was derived as digitally integrated flow, and transpulmonary pressure as airway minus esophageal pressure. We found that C and R calculated from the equation of motion is accurate only if C and R remain constant throughout the respiratory cycle. Calculated compliance depends more on C at the end than at the beginning of inspiration. A decreasing C leads to underestimation or R, while an increasing C leads to an overestimation of inspiratory R. Calculated total R may be accurate, but with low r values for measurement points. Mead and Wittenberger's method and the regression method are similarly affected by changing C; however, since the regression method is based on many more measurement points and therefore allows the detection and analysis of within-breath changes of C and R, it is less prone to erroneous results secondary to signal artifacts than Mead and Wittenberger's method.

Airway Resistance↗
PubMed1992

Theoretic analysis of middle ear gas composition under conditions of nonphysiologic ventilation.

As gas flows in and out of the nasopharynx, the pressure in that region fluctuates. It drops below or rises above atmospheric pressure, which is itself not constant but is subject to changes in altitude and weather. Such pressure changes in the nasopharynx produce a pumping of gas into and out of the middle ear. The net amount of middle ear gas transferred from or to the nasopharynx will, component for component, in steady state exactly equal the amount of middle ear gas transferred to or from the microcirculation by means of diffusional absorption by (or release from) the mucosa. In the case of a permanently patulous eustachian tube, a single parameter, characteristic of the rate of ventilation through the open eustachian tube, is found to determine the gas composition in the middle ear, whereas in the case of a middle ear ventilated by tympanostomy, two rate-of-ventilation parameters, one for gas flow through the ventilation tube and one for flow through a periodically open eustachian tube, determine the steady state gas composition. A high rate of ventilation favors absorption of oxygen and venting of carbon dioxide from the middle ear in both cases.

Carbon Dioxide↗
PubMed1991

Transient pressure changes in the middle ear.

Transient increases in total pressure in the ear (1) during sleep, after hypoventilating in a supine position with a closed eustachian tube, and (2) after the partial pressures in middle-ear gas are lowered by a total pressure decrease and the eustachian tube is voluntarily maintained closed can be accounted for quantitatively on the basis of the standard mucosal gas exchange model and the following data: (1) partial pressures in tissue: pN2* = 573 mm Hg (7621 decaPascals [daPa]), pO2* = 40 mm Hg (532 daPa), pCO2* = 46 mm Hg (612 daPa), and pH2O* R = 47 mm Hg (625 daPa); (2) partial pressures in the nasopharynx: pN2' = 566 mm Hg (7528 daPa), pO2' = 120 mm Hg (1596 daPa), pCO2' = 27 mm Hg (359 daPa), and pH20' = 47 mm Hg (625 daPa); (3) a middle-ear gas space of 2 x 10(-5) m3; (4) an absorption rate for nitrogen, when the partial pressure difference is 1 atm, of 3 x 10(15) molecules per second; and (5) mucosal absorption rates for oxygen and carbon dioxide 1.8 and 34 times larger, respectively, than for nitrogen.

Ear, Middle↗
PubMed1991

Polyelectrolytes at the endothelial cell surface.

It is recalled that the tension in a stretched polyelectrolyte chain mechanically compensates both the coulomb interaction and the hydrostatic pressure increase around the chain in a compromise which minimises the free energy and keeps water chemical potential constant throughout. Stretching strongly favors parallel cylinder nematic order in polyelectrolyte brushes on a surface or in the slit between two surfaces when the polyelectrolyte chains function as bridges. Strong, stiffly stretched chains result when the molarity of the fixed charge distribution is larger than the molarity of the neutral salt solution with which the brushes are in equilibrium. The relevance of these two systems to the endothelial cells which cover the walls of blood vessels is discussed.

Cell Membrane↗
PubMed1991

Origin of cardiac-related thoracic electrical impedance variations in lambs.

Cardiac-related deflections in thoracic electrical impedance have been thought to correlate sufficiently well with cardiac stroke volume to be used as the basis for a noninvasive estimation of cardiac output. To determine more precisely the physiological origin of the impedance deflection (DZ), we regarded right ventricular stroke volume (SVa) as the sum of two components: 1) that part of SVa responsible for the transient increment in pulmonary blood volume within a cardiac cycle, SVa-v and 2) the remaining part of SVa, (SVa-SVa-v). SVa-v was measured in lambs by integration of the difference between pulmonary arterial and pulmonary venous flow. SVa and its components were varied experimentally by opening and closing an aorticocaval shunt or by inflating and deflating a cuff implanted around the pulmonary artery. DZ was measured using a tetrapolar disk electrode system. Multivariate linear regression analysis revealed that SVa-v had a significant positive effect on DZ, and, at the same time, (SVa-SVa-v) had a significant negative effect on DZ. In the pulmonary artery occluder model, the positive effect of SVa-v dominated the opposing negative effect of (SVa - SVa-v) so that the net effect of SVa on DZ was positive and significant. In the aorticocaval shunt model, these effects opposed each other to the extent that there was no significant correlation between SVa and DZ. These results shed new light on the physiological origin of DZ. They also demonstrate that use of DZ to measure acute changes in cardiac output may yield misleading results. Changes or the lack of changes in thoracic electrical impedance do not necessarily reflect cardiac output status.

Animals↗
PubMed1991

Surfactant improves gas mixing and alveolar ventilation in preterm lambs.

Prophylactic treatment with ovine surfactant was evaluated in preterm lambs at risk for development of hyaline membrane disease. Eight mechanically ventilated newborn lambs were treated before delivery and 10 served as controls (gestational age 129-131 d). Lung mechanics, functional residual capacity, alveolar ventilation, efficiency of ventilation, and distribution of ventilation were tested using pressure, flow, and nitrogen elimination (nitrogen washout during 100% oxygen breathing) measurements in the endotracheal tube. The surfactant-treated animals showed significantly improved gas mixing efficiency in the lung with improved alveolar ventilation. Single exponential washout pattern dominated in both groups. Adequate functional residual capacity was established earlier after birth in the treated lambs than in the control animals. Lung mechanics in the treated group showed significant improvement in dynamic lung compliance. Surfactant treatment also improved gas exchange and reduced respirator pressure requirement. We speculate that the main functional effect of surfactant treatment in preterm lambs at risk to develop hyaline membrane disease is to maintain the patency of the peripheral airways in the lung, which improves diffusive gas mixing, alveolar ventilation, and gas exchange. The techniques used in this study should also be useful to evaluate lung function in preterm human infants after specific adaptation of the equipment size.

Age Factors↗
PubMed1991

Lung volume, gas mixing, and mechanics of breathing in mechanically ventilated very low birth weight infants with idiopathic respiratory distress syndrome.

We assessed pulmonary function in 14 mechanically ventilated newborn very low birth weight infants with idiopathic respiratory distress syndrome by means of a face-out, volume displacement body plethysmograph and nitrogen washout analyses. Specially designed computer programs were used for calculations of lung volumes, ventilation, gas mixing efficiency, and mechanical parameters. In addition to very low compliance and moderately elevated resistance of the respiratory system, there were considerably impaired gas mixing efficiency and low functional residual capacity (FRC). No correlations between positive end-expiratory pressure and mean airway pressure versus compliance, resistance, or FRC could be found. Neither could correlations be found between FRC and compliance or FRC and the calculated right to left shunt.

Female↗
PubMed1991

A plethysmographic method for assessment of lung function in mechanically ventilated very low birth weight infants.

We have developed and tested a plethysmographic method for assessment of lung function in mechanically ventilated very low birth weight infants during intensive care. Information about the mechanics of the respiratory system is obtained from the respiratory flow as measured by volume displacement plethysmography and from airway pressure measured in the artificial airway. Data on lung volumes, ventilation, and distribution of ventilation is obtained simultaneously by combining the respiratory flow measurements with nitrogen concentration analyses of the respiratory gas. No significant differences were found when the estimations of mechanical parameters and FRC were compared with reference methods and when determinations of the same parameters were repeated in the same subjects. The plethysmograph was shown to be safe and convenient to use, even in studies lasting several hours.

Evaluation Studies as Topic↗
PubMed1991

Gas composition and pressure in the middle ear: a model for the physiological steady state.

The gas contents of the physiological middle ear periodically cycle through two phases in steady state. During phase I, the eustachian tube is shut and the middle ear gas space is effectively closed. Gas is absorbed or produced at the mucosal surface, and the total pressure changes correspondingly. During phase II, which is of very short duration, the eustachian tube opens, a bolus of gas passes between the middle ear and the nasopharynx, and the total pressure in the middle ear rapidly adjusts to that in the nasopharynx. Since nasopharyngeal pressure fluctuates in time, so does the pressure in the middle ear. The effect of these pressure changes is to produce a level of ventilation in the middle ear, which depends on a combination of three parameters: the volume of the middle ear, multiplied by the mean amplitude of pressure variations in the nasopharynx, divided by the mean elapsed time between successive eustachian tube openings. Assuming steady-state conditions, the composition of middle ear gas can be computed and is predicted to range from PN2 = 621, PO2 = 46, PCO2 = 46, PH2O = 47 mm Hg in the case when nasopharynx fluctuations are small, to a match with nasopharyngeal gas composition, when the fluctuations are large.

Biological Transport↗
PubMed1991

Human choice on concurrent variable-interval variable-ratio schedules.

Each of 5 adult male humans sat in a 4 degrees C room where they could warm themselves by illuminating six heat lamps for 10-second periods according to a concurrent variable-interval variable-ratio schedule. Left-button presses on a response panel switched between the schedules and started a 2-second changeover delay. Right-button presses illuminated the heat lamps if assigned by the associated schedule and if the changeover delay had timed out. Panel lights identified the schedule in effect and each effective right-button press. A discrimination procedure--either a multiple variable-interval variable-ratio schedule or the presentation of each schedule individually on alternate days--preceded exposure to the choice procedure for some subjects. For subjects not exposed to a discrimination procedure prior to exposure to choice, or if such exposure failed to result in higher rates to the ratio than to the interval schedule, relative response rates matched relative reinforcement rates. However, if subjects responded at higher rates to the ratio schedule than to the interval schedule during a prior discrimination procedure, relative rates on a subsequent choice procedure deviated from matching in the direction of reinforcement-rate maximizing. In eight of 11 conditions, choice appeared to be governed by maximizing processes. In all cases, human concurrent ratio-interval performances differed from those of nonhumans in that matching was never obtained with local ratio-interval rate differences.

Adult↗
PubMed1990

Risky choice as a function of amount and variance in food supply.

In Experiment 1, 4 rats earned their daily food ration by choosing on a trials basis between a "risky" and a "riskless" lever. The risky lever produced either 15 45-mg food pellets or no pellets, and on average provided five pellets per choice. The riskless lever always produced three pellets. Across conditions, the number of trials per session was varied. Body weight and choice of the risky lever decreased as the number of trials per session decreased, even though body weight could only be defended by increased choice of the risky lever. In Experiment 2, trials per session were fixed, but the number of pellets delivered by the risky and riskless levers was either at the same level as in Experiment 1 or tripled from those levels. Now choice of the risky lever was inversely related to the size of reinforcement and to body weight. The results of these experiments show that risk aversion covaries with the amount of food available in a session and the daily variance in the amount of food earned.

Animals↗
PubMed1990

Quinine pellets as an inferior good and a Giffen good in rats.

In Experiment 1, 4 rats earned their daily food ration by choosing between two levers. One lever delivered two regular and one quinine-adulterated food pellets, and the other delivered two regular and four quinine pellets. A 20-s intertrial interval separated successive choices. Sessions began with 10 forced trials during which only one lever, selected with p = .5 and cued by a light above it, could deliver its reinforcer. Forced trials were followed by 30 or 150 trials, depending on the condition, during which choices to either lever could be reinforced. Over this range, absolute choice of the four-quinine, two-regular-pellet lever was inversely related to the number of free-choice trials, establishing this reinforcer as an inferior good. In Condition 1 of Experiment 2, the prior design was altered in two ways: (a) one lever delivered four quinine pellets, and the other lever delivered one standard pellet; and (b) sessions ended after 140 free-choice trials. When the number of free-choice trials was reduced to 100 (Condition 2), all 3 rats increased their preference for quinine pellets, confirming their status as an inferior good. In the next several conditions, the number of quinine pellets provided for selecting its associated lever was varied between three and four. Preference for the quinine-pellet alternative was inversely related to the number of pellets it provided, a result defining it as a Giffen good. These findings are not accommodated readily by extant choice models and complicate the search for a unitary model of choice.

Animals↗
PubMed1990

On mucociliary transport.

The periodically changing flow pattern in the mucus layer which lies between the ciliary tips and the transported load is discussed and analyzed. The resulting energy dissipation per cilium is estimated, as is the energy dissipated per cilium in the periciliary fluid. The rate of supply of energy to each cilium by far exceeds these two loss rates. It is shown why the elastic character of mucus is important for good momentum transfer from cilium to load and for good load carrying properties. Fast flow requirements upon secretion of mucus, on the other hand, make it desirable that elasticity and viscosity be low as possible. A compromise is needed and the rheological character of mucus is matched to satisfy these opposing demands.

Cilia↗
PubMed1989

Transport through deformable matrices.

In order to induce and maintain a pressure gradient in a fluid mixture in steady state, the fluid has to pass through a solid-like matrix capable of generating and carrying an extra stress gradient. Frictional interactions between fluid components and the matrix then produce separations. Matrix deformation occurs and the implication of this is discussed. A general solution for multicomponent systems is given and then specialised to the case of three components--a deformable gel matrix component, a solvent and a macromolecular solute. A method is given for solving the system of equations and is applied in the steady state. Applications involving transendothelial flow and self-regulated selectivity are stressed in particular. The calculations are based on the Flory-Huggins equation, on the Flory gel deformation model and on ad hoc, very crude approximations to the concentration dependence of the three, pairwise defined friction coefficients between the three components involved.

Biological Transport↗
PubMed1978

Structure and function of mucus.

A glycoprotein building block is common to mammalian mucins. This structure is composed of several protein chains having the same sequence. The carbohydrate side chains, which constitute over three-quarters of the weight, coat only some two-thirds of the backbone chain. The bare protein chains are linked by disulphide bridges and can be digested away with trypsin. Either procedure rapidly solubilizes mucus and results in a structural unit of about 500 000 molecular weight. Mucus solubilizes spontaneously. The first size unit which reaches solution is about 15 X 10(6) molecular weight but continues to break down further. Mechanical agitation considerably speeds up this process. The gel-like character which is an essential feature of mucus--which cannot otherwise act as transport coupler--is thus a transient phenomenon. The problem of how such a structure can arise from the building blocks known to be available is discussed.

Amino Acid Sequence↗