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Biomedical subjects

E Jarvis

Publications and source records attributed to E Jarvis.

12 recordsLinked to original sources

Site-specific retinoic acid production in the brain of adult songbirds.

The song system of songbirds, a set of brain nuclei necessary for song learning and production, has distinctive morphological and functional properties. Utilizing differential display, we searched for molecular components involved in song system regulation. We identified a cDNA (zRalDH) that encodes a class 1 aldehyde dehydrogenase. zRalDH was highly expressed in various song nuclei and synthesized retinoic acid efficiently. Brain areas expressing zRalDH generated retinoic acid. Within song nucleus HVC, only projection neurons not undergoing adult neurogenesis expressed zRalDH. Blocking zRalDH activity in the HVC of juveniles interfered with normal song development. Our results provide conclusive evidence for localized retinoic acid synthesis in an adult vertebrate brain and indicate that the retinoic acid-generating system plays a significant role in the maturation of a learned behavior.

Aldehyde Dehydrogenase↗

Decrements in auditory responses to a repeated conspecific song are long-lasting and require two periods of protein synthesis in the songbird forebrain.

Earlier work showed that playbacks of conspecific song induce expression of the immediate early gene ZENK in the caudo-medial neostriatum (NCM) of awake male zebra finches and that this response disappears with repeated presentations of the same stimulus. In the present study, we investigated whether repetitions of a song stimulus also elicited a decrement in the electrophysiological responses in the NCM neurons of these birds. Multiunit auditory responses in NCM were initially vigorous, but their amplitude decreased (habituated) rapidly to repeated stimulation, declining to about 40% of the initial response during the first 50 iterations. A similar time course of change was seen at the single unit level. This habituation occurred specifically for each song presented but did not occur when pure tones were used as a stimulus. Habituation to conspecific, but not heterospecific, song was retained for 20 h or longer. Injections of inhibitors of protein or RNA synthesis at the recording site did not affect the initial habituation to a novel stimulus, but these drugs blocked the long-term habituation when injected at 0.5-3 h and at 5.5-7 h after the first exposure to the stimulus. Thus, at least two waves of gene induction appear to be necessary for long-lasting habituation to a particular song.

Acoustic Stimulation↗

Sequences and studies of bacteriophage T4 rII mutants.

We have sequenced more than 80 mutants of the bacteriophage T4 rIIA and rIIB genes. These include deletions about whose origin we have speculated, mutations affecting the rIIB promoters, various pseudo-revertants of the rII- phenotype, including mutations that bring about the reinitiation of translation following termination, mutations that affect regulation of rIIB translation by regA, the toxic minute plaquing mutants FC237 and FC238 and their detoxifiers, and many more of the classic frameshifts from the Cambridge collection. These mutants have been sequenced using dideoxy-mediated chain termination by either Escherichia coli DNA polymerase using single-stranded DNA as a template or by avian retroviral reverse transcriptase using mRNA or DNA as the template molecule. We list the sequence changes of the mutants with pertinent historic and phenotypic data. The mutants that facilitate translation reinitiation are discussed, and we discuss a model that could account for the generation of many of the mutations.

Base Sequence↗

Defibrillation with the sequential pulse technique: reproducibility with repeated shocks.

The development of the automatic implantable defibrillator has created the need to assess the effects of interventions on defibrillation success. However, first it is important to determine the spontaneous variability of defibrillation threshold (DFT) over time. We repeatedly determined DFT over a maximum of 2-1/2 hours in open-chested, halothane-anesthetized pigs. Ten seconds after induction of fibrillation, defibrillation was attempted by passing a sequential pulse shock through an indwelling catheter and patch electrodes. Ninety-seven fibrillation episodes (FEs) were induced in eight pigs, with a maximum of 30 shocks in an animal. DFT remained stable and fitted a flat least-squares regression equation (y = 6.35 + 0.0055x, where x is the ventricular FE number and y is the DFT, r = 0.0115, p = NS). The mean DFT over time for the eight animals was 7.6 +/- 1.9 J (range 4.8 to 16.3 J). The inter-animal variability for DFT was 3.7 J and the mean intra-animal DFT variability over time was 3.6 +/- 2.3 J (range 0 to 6.8 J). We conclude that, using our methodology, DFT is reproducible and consistent over at least 2 hours. This model provides the basis to assess the effects of acute interventions on the ability to defibrillate.

Anesthesia, Inhalation↗

Surgical repair of Wolff-Parkinson-White syndrome: a new closed-heart technique.

The conventional operation for ablation of accessory pathways in Wolff-Parkinson-White (WPW) syndrome requires an endocardial approach and necessitates cardiopulmonary bypass and hypothermic cardiac arrest. Cryosurgical ablation of these pathways from the epicardial surface has been described but limited to superficial accessory pathways. We report a new closed-heart technique combining dissection of the atrioventricular (AV) pad and cryosurgery. Six patients with WPW syndrome underwent operation for ablation of accessory pathways associated with disabling tachyarrhythmia refractory to medical management. All pathways were located in the left lateral AV sulcus as determined by preoperative and intraoperative electrophysiological assessment. The heart was exposed through a median sternotomy. The AV fat pad and its vascular contents were dissected away from the atrium at the site of the pathway. A small segment of the ventricle adjacent to the sulcus was exposed. The fat pad was retracted to avoid cryoinjury to the coronary vessels. A cryoprobe, 1.5 cm in diameter, was applied to the exposed AV junction (-60 degrees C for 2 minutes) to create transmural fibrosis. After ablation of the pathway was verified, the chest was closed. All 6 patients have remained free from preexcitation during short-term follow-up. This simplified technique is applicable to patients with free wall accessory pathways. This group constitutes the majority of symptomatic patients with WPW syndrome at our institution.

Adolescent↗

Surgical correction of the Wolff-Parkinson-White syndrome in the closed heart using cryosurgery: a simplified approach.

The conventional operation for ablation of accessory atrioventricular (AV) pathways in the Wolff-Parkinson-White syndrome requires an endocardial approach to the AV groove and necessitates the use of cardiopulmonary bypass and induced cardiac arrest. The feasibility of creating transmural atrial fibrosis at the level of the AV anulus in the closed heart in dogs without damaging the vascular contents of the AV fat pad was demonstrated. This was done by dissecting the fat pad from the atrium and applying a cryoprobe to the exposed atrial-anular region after retraction of the fat pad. The technique was then applied to successfully ablate 12 left parietal wall accessory pathways in 11 patients with the Wolff-Parkinson-White syndrome. This simplified approach to any parietal wall accessory pathway does not require cardiopulmonary bypass or induced cardiac arrest and may broaden the indications for this operation.

Adolescent↗

Changes in pacing threshold and R wave amplitude after transvenous catheter countershock.

Transvenous electrode catheter countershock in patients with recurrent ventricular tachyarrhythmias may be followed by transient bradycardia and require temporary pacing with a catheter. The serial changes in R wave amplitude and stimulation threshold after catheter countershock in 11 halothane-anesthetized open chest dogs ranging in weight from 11.8 to 24 kg were studied. Ventricular fibrillation was electrically induced and followed by catheter defibrillation using nonsynchronized trapezoidal waveform (65% tilt) current discharge in incremental doses (5 to 50 J). Significant decreases in bipolar R wave amplitude (8.3 +/- 1 versus 2 +/- 0.2 mV, p less than 0.001) and increases in stimulation threshold (1 +/- 0.1 versus 2.3 +/- 0.4 V, p less than 0.001) were observed using the countershock catheter 15 seconds after countershock; these changes persisted for up to 10 minutes. To determine whether these changes were localized to the defibrillating catheter and whether they were species-specific, a second electrode catheter was positioned in the right ventricle distant from the countershock catheter in five pigs. Increases in stimulation threshold were observed only at the countershock catheter, suggesting that changes were secondary to local changes at the catheter-myocardium interface. No significant change in R wave amplitude or stimulation threshold was observed at the countershock catheter in three pigs given transthoracic shocks (60 to 250 J). It is concluded that current discharge through the countershock catheter results in a significant temporary reduction in R wave amplitude and an increase in pacing threshold. This may make pacing through the countershock catheter unreliable after shock delivery.

Animals↗

[Surgical section of the bundle of Kent in the closed heart].

The conventional operation for ablation of accessory pathways (AP) in the WPW syndrome requires an endocardial approach and necessitates cardiopulmonary bypass and hypothermic cardiac arrest. Cryosurgical ablation of AP from the epicardial surface has been described but was limited to superficial AP. We report a new closed-heart technique combining dissection of AV pad and cryosurgery. Eight patients with WPW syndrome, aged 6-56, underwent surgery for ablation of AP associated with disabling tachyarrhythmia refractory to medical management. All AP were located in the left lateral AV sulcus as determined by preoperative and intraoperative electrophysiological assessment. The heart was exposed through a median sternotomy. The AV fat pad and its vascular contents were dissected away from the atrium at the site of the AP, sacrificing some atrial vessels. The dissection left some fat adherent to the thin-walled atrium close to the level of the mitral annulus. A small segment of the ventricle adjacent to the sulcus was exposed. The fat pad was retracted to avoid cryo-injury to the coronary vessels. A cryoprobe (1.5 cm diameter) was applied to the exposed AV junction (-60 degrees C for 2 minutes) to create transmural fibrosis. After verification of AP ablation, the chest was closed. All 8 patients have remained free of preexcitation during short term follow-up (1 to 8 months). This simplified technique is applicable to patients with free-wall AP, a group constituting the majority of symptomatic WPW patients at our institution.

Adult↗

The repetitive ventricular response: relationship to ventricular fibrillation threshold in dogs.

The experiments investigated the hypothesis that the occurrence of repetitive ventricular responses elicited by the ventricular extrasystole (VES) technique are an indicator of ventricular vulnerability to fibrillation. A comparison was made between the incidence of repetitive responses elicited by the VES technique and the minimum electrical energy (VFT technique) necessary to elicit repetitive responses and ventricular fibrillation in normal dogs, dogs with acute infarction, and dogs with chronic infarction. The VES technique produced repetitive responses in 14 of 46 sites. Responses were of at least three types: (1) bundle branch re-entry; (2) activation at the pacing site, and (3) activation at the infarct zone. In contrast repetitive responses and the onset of fibrillation produced by the VFT technique appeared to be a single type with earliest activation at the pacing site. There were no differences in the ventricular fibrillation thresholds between dogs with and without repetitive responses produced by the VES technique. Thus the incidence of VES technique-induced repetitive responses is not a reasonable predictor of ventricular vulnerability to fibrillation. However, in 2 dogs with lower ventricular fibrillation thresholds, repetitive responses originating at the infarct zone were induced by the VES technique. Occurrence of these repetitive responses may be indicative of ventricular vulnerability to fibrillation.

Animals↗

In right good company.

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Persons with Disabilities↗