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Biomedical subjects

D Rose

Publications and source records attributed to D Rose.

At least 163 records · Page 9Linked to original sources
PubMed1988

Determinants of fetal heart rate response to vibroacoustic stimulation in labor.

To determine whether the fetal heart accelerates in response to a sound stimulus in labor, 40 women at various stages of labor were chosen at random to receive either a vibroacoustic stimulus or sham stimulus over the fetal head. Subsequent fetal heart rate (FHR) accelerations occurred to a significantly greater extent in study patients. One hundred thirty-two high- and low-risk patients were studied to determine correlations between the acceleration response and other maternal and fetal variables. There was a statistically significant negative correlation between the heart rate response to stimulation and three maternal variables: the degree of cervical dilation, the presence of ruptured membranes, and use of epidural anesthesia. The degree of fetal response did not correlate significantly with fetal distress at delivery or abnormal FHR tracings at the time of stimulation. Fewer than one-fifth of the fetuses manifested variable heart rate decelerations after the stimulation. In light of possible risks, the clinical use of the fetal acoustic stimulation test in labor should wait until its diagnostic value is better defined.

Acoustic Stimulation↗
PubMed1987

Cerebral glucose metabolism in the Lennox-Gastaut syndrome.

We used positron emission tomography with fluorine 18-labeled 2-deoxyglucose to study cerebral glucose metabolism in 10 patients with Lennox-Gastaut syndrome who had normal neuroradiological studies. The scans showed decreased metabolic rates relative both to those in the caudate nucleus and to normal control values in 3 patients whose seizures began before the age of 1, as well as in a patient with hyperprolinemia. No patient had a region of persistent focal hypometabolism. Metabolic rates increased in parallel with increased electroencephalographic discharges in 1 patient; 3 patients had lower metabolic rates when the electroencephalogram showed epileptiform discharges and while the patients were taking barbiturates.

Adolescent↗
PubMed1987

Electrophysiologic effects of asocainol, a new antiarrhythmic agent with predominant class I action.

In experiments on 6 mongrel dogs the electrophysiologic effects of the new antiarrhythmic compound (+/-)-6,7,8,9-tetrahydro-2,12-dimethoxy-7-methyl-6-phenethyl-5H- dibenz[d,f]azonin-1-ol (asocainol) were examined in the non-ischemic heart. The PR interval increased significantly following doses of 5 mg/kg caused by a conduction delay in the His-Purkinje system. At high doses (10 mg/kg) the QRS duration was also prolonged. Atrial and ventricular effective refractory periods were only slightly increased. Asocainol significantly increased the atrial fibrillation threshold, whereas the ventricular fibrillation threshold was not altered. Hemodynamics were not changed except for a slight increase in heart rate after 10 mg/kg asocainol. Thus asocainol predominantly exhibited class Ia antiarrhythmic properties, whereas calcium antagonistic actions could not be established in this intact dog heart model.

Animals↗
PubMed1986

Prevention of reperfusion injury of the ischemic spinal cord: use of recombinant superoxide dismutase.

We investigated the effect of recombinant superoxide dismutase, an oxygen free radical scavenger, on the prevention of reperfusion injury of the ischemic spinal cord. Somatosensory evoked potentials (SEPs) were obtained in 23 dogs. Spinal cord ischemia was produced by cross-clamping the descending thoracic aorta just distal to the origin of the left subclavian artery through a left thoracotomy. Mean proximal aortic blood pressure was maintained between 90 and 100 mm Hg by partial exsanguination. Serial SEPs were obtained at 60-second intervals until the SEP disappeared. Aortic cross-clamping was continued for 10 additional minutes after the disappearance of the SEP. In Group 1 (N = 8), no medication was given when the aortic cross-clamp was removed. In Group 2 (N = 8), a bolus of 25,000 units of superoxide dismutase was injected into the proximal aorta prior to removal of the aortic cross-clamp, and was followed by 5,000 units per minute for 10 minutes after release of the cross-clamp. In Group 3 (N = 7), 50,000 units of superoxide dismutase was administered as a bolus prior to removal of the aortic cross-clamp, followed by an additional 10,000 units per minute for 10 minutes as in Group 2. The postoperative neurological status was assessed by Tarlov's criteria. There was no significant difference in aortic cross-clamp time among the three groups. Paraplegia developed in 4 animals in Group 1; the remaining 4 dogs had paraparesis. In Group 2, paraparesis developed in 2 of 8 dogs; the other 6 had no neurological injury. All the animals in Group 3 had complete recovery.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1986

Transcutaneous carbon dioxide monitoring during neonatal transport.

We studied the value of transcutaneous carbon dioxide (PtcCO2) monitoring during neonatal transport. Thirty-two neonates with respiratory distress were alternately enrolled in an experimental group (results of PtcO2 and PtcCO2 available for clinical management) and a control group (results of only PtcO2 available). Although differences were not significant, infants in the experimental group had more changes in the intermittent mandatory ventilation (IMV) settings during transport, and more such infants arrived at the receiving hospital with acceptable pH and PCO2 values. On arrival at the receiving hospital, two patients in the control group had acidosis and hypercarbia and were placed on IMV immediately on arrival. No such patients were encountered in the experimental group. For patients needing IMV during transport, the percentage of study time spent with PtcCO2 measurements in the normal range (35 to 45 torr) was greater for the experimental group (p less than .02). Continuous PtcCO2 monitoring during transport offers the opportunity to further decrease the risks of transporting a critically ill neonate.

Blood Gas Analysis↗
PubMed1986

Remarks on the etiology of Gilles de la Tourette's syndrome.

Utilizing a case of Tourette's syndrome as an illustration, this paper seeks to refine the problem of causality in medical illness. In contrast to numerous examples reported in the literature, the patient presented in this communication, a 26-year-old man afflicted with tics, convulsive movements, intractable vomiting, and coprolalia, failed to respond favorably to medication, although he showed marked improvement in the course of psychotherapy. Despite rather transparent psychodynamic connections between his life history on the one hand and the nature and vicissitudes of his symptomatology on the other, it cannot be concluded that the psychological factors alone can account for the clinical picture; at best they may be regarded as contributory, as opposed to necessary or sufficient causes, a distinction that may be applied to other conditions as well. This report includes a review of some of the literature on Tourette's syndrome, with special emphasis on the case of Dr. Samuel Johnson, who in retrospect appears to have been a likely victim of that unfortunate malady.

Adult↗
PubMed1986

Antiarrhythmic and antifibrillatory action of diltiazem on early and late phase ventricular arrhythmias following coronary artery occlusion and on reperfusion ventricular arrhythmias.

The effects of diltiazem on ventricular arrhythmias and ventricular vulnerability for fibrillation, both in the very beginning of myocardial ischemia and in the early stage of myocardial necrosis, were evaluated in 13 mongrel dogs. In part I of the study, repeated coronary occlusions were performed. Time course and extent of ventricular ectopy were continuously recorded, and changes in ventricular fibrillation threshold were assessed, both after coronary artery occlusion and release. In part II, a permanent coronary artery occlusion was performed, and the changes in frequency of ventricular arrhythmias were assessed. Diltiazem displayed strong antiarrhythmic and antifibrillatory effects on early ventricular occlusion arrhythmias. The drop in ventricular fibrillation threshold 5 min after coronary occlusion was significantly attenuated. Following the release of coronary artery obstruction, diltiazem failed to reduce the frequency of ventricular fibrillation immediately after the onset of reperfusion. However, during the early postreperfusion period, the drug was able to accelerate significantly the increase in the ventricular fibrillation threshold. Late phase ventricular arrhythmias were not influenced by the drug even when high doses were applied. The different antiarrhythmic actions of diltiazem on early and late phase ventricular arrhythmias can be assumed to be due to differences in the arrhythmogenesis at the very onset of myocardial ischemia compared to the stage of myocardial necrosis.

Animals↗
PubMed1986

One hundred and fourteen fistulas of the gastrointestinal tract treated with total parenteral nutrition.

During a period of five years, all patients with fistulas of the gastrointestinal tract who received total parenteral nutrition as a part of the therapy were evaluated retrospectively. One hundred and eight patients with 114 fistulas of the gastrointestinal tract were studied. There were 58 male and 50 female patients. The mean age of the patients was 58 years old. Fifty-one per cent (58) of all fistulas resulted from surgical complications and 30 per cent from inflammatory disease. The most common origin of the fistula was the small intestine (48 per cent), with the large intestine being the next most common origin (26 per cent). Ninety-eight of the fistulas were treated successfully. The mean time for closure from the time of diagnosis was 30.9 days. Sixty-one per cent (69) of all fistulas closed spontaneously, the use of parenteral nutrition resolved 37 per cent (42) and 24 per cent (27) resolved after surgical control of sepsis. Twenty-five per cent (29) of the fistulas required definitive surgical closure. Sixteen patients died prior to resolution of the fistula, 11 deaths were directly related to septic complications of the fistula and one died as a result of hemorrhage of the fistula tract. The direct fistula-related mortality rate was 10.5 per cent. Whereas the mortality rate for fistulas remained stable, spontaneous closure rates continue to improve. This is attributed to improved "para-surgical" care, appropriate nutritional support and early and aggressive control of sepsis. Ninety to 95 per cent of fistulas that spontaneously resolve will do so within four to five weeks. Inflammatory disease of the intestine and radiation induced fistulas continue to respond poorly to medical management.

Adult↗
PubMed1986

[Tubal physiology: structures and functions].

The three structures of the Fallopian tubes that are involved in the initial steps in reproduction have been studied as well as the influence that the hormone environment has on each one of them. They are, the epithelium, the intra-luminal fluid and the musculature. The so-called cyclical process of "ciliation and deciliation" of ciliated cells has not been clearly shown. Although the number of ciliated cells does play a definite role in fertility, it seems that coordinated ciliary motility is not absolutely indispensable. Anions at the ends of the cilia do have a role. Tubal muscle function is conditioned by several factors, some of which work together: steroids: when the oestrogen phase is dominant, electrical activity of the muscle is better coordinated and it moves more frequently and with synchronous mechanical activity; prostaglandins: PGF2 alpha produces a stimulating action on tubal muscle segments. The results as far as PGE2 and PGI2 are contradictory; tubal innervation is mainly sympathetic and prodominates at the isthmo-ampullary junction. There are still many unknown factors concerning the role of the tubal structures in human female reproduction: active transport of spermatozoa has not been worked out properly; tubal fluid seems to play a role in survival, capacitation and in the acrosome reaction of spermatozoa; the anionic sites that are present at the ends of the cilia could play an important role in oocyte pick-up; the cilia, the flow of fluid in the lumen and muscular peristalsis do influence ampullary transport of the oocyte; tubal fluid is not indispensable for fertilisation; the migration of the oocyte across the isthmus does seem to be under hormonal influence.

Animals↗
PubMed1985

Identification of phrenic afferents to the external cuneate nucleus: a fluorescent double-labeling study in the cat.

In the cat, C5-C6 dorsal root ganglion cells related to phrenic afferents projecting directly to the ipsilateral external cuneate nucleus (ECN) were submitted to a double-labeling procedure using anterogradely transported Fast Blue and retrogradely transported Nuclear yellow. These afferents, certainly related to muscle spindles and/or Golgi tendon organs, are very few and terminate preferentially in the intermediate and rostral parts of the ECN. Our results confirm previous electrophysiological and histological studies on the participation of phrenic afferents to the spino-cuneo-cerebellar pathway ascending through the dorsal columns.

Afferent Pathways↗
PubMed1985

Value of combined assessment of global and segmental ventricular contraction with right anterior oblique ECG-gated first-pass and left anterior oblique equilibrium radionuclide ventriculography.

A semi-automated, variable-region-of-interest method of analysis was used to measure both global and segmental left ventricular (LV) and global right ventricular (RV) contraction with ECG-gated first-pass and equilibrium radionuclide ventriculography. Normal values were defined in 20 healthy volunteers, and in 24 symptomatic patients, the results were compared with right anterior oblique (RAO) contrast left ventriculography. The global LV ejection fraction (LVEF) obtained by equilibrium imaging in the left anterior oblique (LAO) projection correlated closely with the results obtained by the gated first-pass method in the RAO projection (r = 0.95) and those obtained with contrast left ventriculography (r = 0.94); furthermore, the interobserver variability was small (r = 0.985). The normal values for LVEF obtained using radionuclide techniques and contrast ventriculography did not differ, but with the equilibrium radionuclide method, the RV ejection fraction (RVEF) values were underestimated in comparison to those obtained by the RAO gated first-pass technique. In five patients with localised inferior segmental akinesis at contrast angiography, the RAO first-pass cine display demonstrated a corresponding wall-motion abnormality in all cases, but LAO equilibrium cine displays did so in only one out of five patients. For segmental quantitation of LV contraction, a computer programme defined the ventricular edge, divided the RAO LV images into five segments and determined both the segmental area contraction (SAC) and the counts-based segmental ejection fraction (SEF). Radionuclide SAC measurements correlated very strongly with SEF measurements (r = 0.94-0.99). Both radionuclide SAC and radionuclide SEF correlated well with contrast angiographic SAC, except in the inferobasal segment.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1985

Tracer priming in human protein turnover studies with [15N]glycine.

Sixty-three studies in healthy normal volunteers (n = 29), malnourished cancer (n = 8) or non-cancer patients (n = 9), and postoperative radical cystectomy patients (n = 17) were conducted to evaluate the primed constant infusion labeling technique for the estimation of whole-body protein turnover under a variety of dietary conditions. [15N]Glycine was used as the tracer with a prime to infusion ratio of 1300 to 3300 min and a continuous-infusion rate of 0.11 to 0.33 micrograms 15N . kg-1 . min-1 for 24 to 36 hr. The isotopic steady-state enrichment was reached in all subjects both in urinary urea and ammonia between 10 and 26 hr (mean 18 +/- 2). During protein calorie fasting the attainment of isotopic steady state is much quicker (10 to 18 hr) with a primed constant infusion than with a constant infusion alone (approximately 38 hr). A P/I ratio greater or less than 1800 (min) usually resulted in a delay of plateau attainment without affecting the protein turnover values. Reliable estimates of protein kinetics in humans can be made in clinical conditions with a 26-hr infusion of glycine at the rate of 0.28 microgram 15N . kg-1 . min-1 with a P/I ratio of 1800 min, collecting six urine samples every 2 hr from 16 hr and analyzing for both urinary urea and ammonia enrichments.

Ammonia↗
PubMed1985

Pattern preferences at birth and their interaction with habituation-induced novelty preferences.

Three experiments are described which relate to models of infant visual preferences, and to the ways in which preferences can be modified or created by habituation. In all experiments newborn babies were used as subjects. In Experiments equated 1 and 2 infants were presented with pairs of stimuli that were equated for contour density but which differed in spatial frequency components. The preferences obtained give support to Banks and Salapatek's (1981, Journal of Experimental Child Psychology, 31, 1-45) model of infant preferences which predicts that the maximally preferred stimulus will be that which contains high amplitude spatial frequency components falling within the age group's peak contrast sensitivity. In Experiment 3 an infant-controlled habituation procedure was used. The results obtained suggest that strong natural preferences based on the infants' peak contrast sensitivity cannot be changed by habituating infants either to the preferred or to the nonpreferred member of a stimulus pair. However, where no prior preference exists between two stimuli that are perceptually highly discriminable, very strong novelty preferences are found after habituating newborns to either stimulus. The results suggest that the contrast sensitivity model can be a powerful predictor of preferential looking in newborns, and in addition are further evidence that preferences based on experience can be found from birth.

Exploratory Behavior↗
PubMed1985

A simplified technique for a totally diverting transverse loop colostomy and distal irrigation.

This technique of totally diverting loop colostomy may be performed as an independent procedure or with exploratory laparotomy and surgical treatment on the distal part of the colon. Either a transverse or sigmoid loop colostomy can be used for diversion without the risk of fecal contamination of the peritoneal cavity, particularly when working with unprepared intestine. When distal irrigation is desired to purge the intestine of fecal material, either intraoperatively or as part of a subsequent intestinal preparation, it can easily be accomplished by placing an irrigating catheter distal to the staple line. In addition, the use of a small rubber suspension bar facilitates application of standard colostomy appliances for the stoma.

Colostomy↗
PubMed1984

Identification of phrenic afferents in the dorsal columns: a fluorescent double-labeling study in the cat.

In this study in the cat, the tracer combination of the anterogradely transported Fast Blue and the retrogradely transported Nuclear Yellow was used to label dorsal root ganglion cells related to phrenic afferents running up through the ipsilateral dorsal column. These afferents are few; some of them leave the dorsal column near their segment of entry. Their localization in the dorsal column suggests that they are related to tendon and muscle receptors, which confirms previous electrophysiological studies.

Animals↗
PubMed1984

An HRP study of the cat's spinal respiratory motoneurones during postnatal development.

The localization and morphology of spinal respiratory motoneurones (phrenic and intercostal) were studied in the cat by retrograde labelling using Horseradish Peroxidase (HRP), at different stages of postnatal development. At birth, the distribution of the phrenic and intercostal motoneurones in the cervical and thoracic ventral horn, respectively, is similar to that observed in adult animals. At birth, the phrenic and intercartilaginous motoneurone somata have respectively 60% and 40% of their adult volume, appearing much more developed than the motoneurones involved in the motor control of limbs. During postnatal development, the phrenic and intercartilaginous motoneurones undergo a characteristic sagittal elongation without evident modification along their transverse axes. From birth, the ratio of the somatic volume to that of its corresponding motor column markedly decreases inside of the phrenic column compared to the data obtained in the limb's muscle motor columns by other authors. Similar determinations in intercostal motor columns give intermediate values between those obtained from the phrenic column and from the motor system. These results indicate that the motoneurones innervating the respiratory muscles have some specific features of development.

Animals↗