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Biomedical subjects

D Moreau

Publications and source records attributed to D Moreau.

108 records · Page 6Linked to original sources

[Release of noradrenaline and ventricular arrhythmias in the isolated perfused working rat heart in the presence of fatty acids. Effect of coronary artery occlusion and re-perfusion (author's transl)].

After an initial perfusion using the Langendorff technique, rat hearts were perfused through the left atrium according to the working heart technique. Hearts were preloaded with l noradrenaline 3H (3H-NA) and the release of radioactivity and 3H-NA in the coronary effluent was evaluated. Coronary flow, cardiac output, myocardial oxygen consumption and the electrocardiogram were simultaneously recorded. The perfusion medium consisted of a modified Krebs Henseleit solution containing 3 mM potassium and 0.5 mM sodium palmitate complexed with serum albumin in a molar ratio of 6/1. 1. The addition of palmitate to the perfusion fluid during the Langendorff perfusion produced increases in coronary flow and oxygen consumption, but the release of 3H-NA was not significantly modified, and no irregularities in ventricular concentration were observed. Likewise, the working of the heart did not alter the rate of 3H-NA release. 2. Ischemia was induced on the working heart by left coronary artery ligation for 15 min. It resulted in a reduction in coronary flow and in a similar decrease in the rate of release of 3H-NA. During the first minutes of the occlusion period, there was a slight increase in the incidence of ventricular extrasystoles, but ventricular tachycardia or fibrillation were never encountered. 3. Re-perfusion was accompanied by the occurrence of ventricular tachycardia and fibrillation in all the hearts. These arrhythmias were almost uninterrupted during the first 3 min of re-perfusion, and lasted to a lesser extent up to the 9th minute. Re-perfusion resulted in a sudden release of 3H-NA which was multiplied by a factor 4 during the first 2 min, and then decreased progressively. 4. These results suggest that a release of NA from the myocardial ischemic zones plays a role in the genesis of cardiac arrhythmias following reperfusion.

Animals↗

Compatibility of enflurane and adrenaline--experiments in the dog.

Anaesthetised, intubated dogs were ventilated with 1, 2, 3, 4 and 5% enflurane and received adrenaline, 1.4 microgram/kg/min, by intravenous infusion for 5 min. No further adrenaline was given if cardiac arrhythmias occurred. Depth of anaesthesia was controlled by measurement of enflurane levels in arterial blood by an original method. No relationship was observed between the inspired enflurane concentrations and the onset of cardiac arrhythmias.

Anesthesia, Inhalation↗

[Nutritional, cardiac and adrenergic changes induced by swimming training in rats (author's transl)].

The effects of training were investigated in male Sprague Dawley rats group (N), fed ad libitum, by measuring the weight increase and food intake of the animals, biochemical parameters (myocardial triglycerides and glycogen levels), mechanical and metabolic properties of the heart, and adrenergic reactions to swimming stress. An other group of rats remaining sedentary served as control (T). Conditioned rats had been submitted to a one hour test swim 6 days a week for 9 weeks. Gradually additional weights were fixed to the thorax. At the end of training, the load reached 6% of the body weight. Both groups were sacrified by decapitation at the same time, thirty hours after the last swimming session. The study of mechanical performances and metabolic properties was achieved with isolated working heart preparation. Adrenergic reactions of swimming stress were evaluated from plasma, heart and adrenal catecholamine concentrations.

Animals↗

[Utilization of free fatty acids and triglycerides by the perfused isolated rat heart after a prolonged swimming training program].

The effects of swimming training upon mechanical and metabolic properties of heart are investigated in two groups of male Sprague Dawley rats, fed ad libitum: a control group and a swimming group. The chronic training improves myocardial mechanical performances: coronary flow, cardiac output and left ventricular pressure are increased in isolated working conditioned heart preparations. Oxygen consumption and work performance are greater than in control group, but cardiac efficiency is not significantly different between the two groups. Intrinsic conditioned heart rate is lower than in control heart. Endogenous triglycerides and exogenous FFA utilization rates are increased in trained perfused heart. We found a significant correlation (P less than 0,01) between exogenous FFA utilisation and coronary flow.

Animals↗

[Evaluation of food intake and adrenergic response in rats during the tail pinch test].

The urinary catecholamines output and the food intake were investigated in two groups of rats: a control group and a group where Tail Pinches (T.P.) were performed. Our results have shown, as these of antelman and al., that the Tail Pinch induced a high concentrate milk consumption, in spite of an increase of adrenergic activity which is known to have an inhibitory effect on caloric intake. We suggest that the role of various stress on food intake dependes on the balance of these two antagonist effects.

Animals↗

The Attending Nurse: a new role for the advanced clinician.

The Attending Nurse Model as a unique role for the advanced practitioner was implemented and evaluated in an acute care psychiatric setting with an adolescent patient population. Program evaluation results demonstrated that the Attending Nurse role increased general satisfaction and role clarity while decreasing role tension. In addition, the role increased communication with patients' family members. Comparisons are made between the traditional primary nurse and the Attending Nurse roles.

Adolescent↗

[A treatment with rosuvastatin induced a reduction of arterial pressure and a decrease of oxidative stress in spontaneously hypertensive rats].

The aim of this study was to appreciate consequences of rosuvastatin administration on hemodynamic function, vascular oxidative stress and ischemia/reperfusion disorders in normotensive and hypertensive rats. At 10 weeks of age, spontaneously hypertensive rats (SHR, n=20) and normotensive Wistar Kyoto male rats (WKY, n=20) were divided into four groups and given, either vehicle or 10 mg/kg/day of rosuvastatin by gavage for 3 weeks. Systolic blood pressure was assessed every week. At the end of these treatments, vascular NADPH oxidase activity was evaluated by chemiluminescence (lucigenin 0.5 microM). Hearts were isolated and perfused according to the Langendorff method and were subjected to 30 min of global ischemia. Reactive oxygen species (ROS) produced during reperfusion were quantified by electron spin resonance (ESR) spectroscopy using a spin probe (CP-H, 1 mM). After one week of treatment, rosuvastatin reduced the arterial pressure in SHR rats (180.3 +/- 2.1, SHR vs 169.7 +/- 2.3 mmHg, SHR+rosuvastatin; p < 0.01), without lowering plasma cholesterol levels; these effects were not observed in WKY. NADPH activity was 25% higher in control SHR rat aortas compared to control WKY, and was reduced by rosuvastatin in SHR rats. In isolated rat hearts subjected to ischemia/reperfusion sequences, there was a deterioration in functional parameters in control SHR compared to control WKY hearts. Rosuvastatin decreased post-ischemic contracture in WKY hearts by 50% (41.5 +/- 7.5, WKY control vs 18.4 +/- 4.6 mmHg, WKY+rosuvastatin; p < 0.01) and increased left ventricular developed pressure. This beneficial effect was accompanied by a decrease in ROS detected by ESR during reperfusion (312.5 +/- 45.3, WKY control; vs 219.3 +/- 22.9 AUC/mL, WKY+rosuvastatin; p < 0.05). In conclusion, these results are in accordance with the hypothesis that oxidative stress plays a crucial role in the pathogenesis of cardiovascular diseases including hypertension, and demonstrate the beneficial effects of rosuvastatin.

Animals↗

[Fear and madness].

Explore the source record for details and available documents.

Anxiety↗

Databases for clinical psychiatry.

Clinical information systems support patient care and research while providing data for administrative use. We assessed the informational needs of the psychiatrists at UCLA Neuropsychiatric Hospital and used the resulting criteria in evaluating commercial computer products. The systems that appear to be least expensive, most powerful, and most suitable for widespread use are assembled from various off-the-shelf packages. These newer systems use a structured query language (SQL) database with a graphic user interface. An SQL database can support both large and small clinical operations, and a graphic interface is easy to use. Commercial software systems are too expensive for a small psychiatric hospital or department, but a customized SQL database can be purchased and installed at lower cost.

Computer Graphics↗

A conceptual framework for managing clinical processes.

Reengineering of the health care delivery system is underway, as is the transformation of the processes and methods used for recording information describing patient care (i.e., the development of a computer-based record). This report describes the use of object-oriented analysis and design to develop and implement clinical process reengineering as well as the organization of clinical data. In addition, the facility of the proposed framework for implementing workflow computing is discussed.

Ambulatory Care↗