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Biomedical subjects

I Balla

Publications and source records attributed to I Balla.

At least 19 recordsLinked to original sources

Physiological time series: distinguishing fractal noises from motions.

Many physiological signals appear fractal, in having self-similarity over a large range of their power spectral densities. They are analogous to one of two classes of discretely sampled pure fractal time signals, fractional Gaussian noise (fGn) or fractional Brownian motion (fBm). The fGn series are the successive differences between elements of a fBm series; they are stationary and are completely characterized by two parameters, sigma2, the variance, and H, the Hurst coefficient. Such efficient characterization of physiological signals is valuable since H defines the autocorrelation and the fractal dimension of the time series. Estimation of H from Fourier analysis is inaccurate, so more robust methods are needed. Dispersional analysis (Disp) is good for noise signals while bridge detrended scaled windowed variance analysis (bdSWV) is good for motion signals. Signals whose slopes of their power spectral densities lie near the border between fGn and fBm are difficult to classify. A new method using signal summation conversion (SSC), wherein an fGn is converted to an fBm or an fBm to a summed fBm and bdSWV then applied, greatly improves the classification and the reliability of H, the estimates of H, for the times series. Applying these methods to laser-Doppler blood cell perfusion signals obtained from the brain cortex of anesthetized rats gave H of 0.24+/-0.02 (SD, n=8) and defined the signal as a fractional Brownian motion. The implication is that the flow signal is the summation (motion) of a set of local velocities from neighboring vessels that are negatively correlated, as if induced by local resistance fluctuations.

Animals↗

The influence of pacing rate and autonomic blockade on human primary and secondary atrial pacemakers.

The morphology of the first spontaneous post-pacing P wave was assessed in 106 patients who underwent electrophysiological study for various arrhythmias. An overall number of 589 atrial pacing sessions, from 60-200 b/min, were analyzed (mean 5.55 +/- 1.3 session per patient). After cessation of 138 (23.42%) of them, spontaneous post-pacing P wave arose from extrasinus foci. Nonsinus spontaneous post-pacing P waves were recorded after 1 or more pacing rates (from 1 to 7) in 58 patients (54.7%, Group 1). In the remaining 48 patients the spontaneous post-pacing P waves were sinus after all pacing sessions (45.3%, Group 2). Sinus node disease (SND) was present in 32.7% of Group 1 patients and in 2% of Group 2 (p = 0.002). Spontaneous post-pacing P wave of extrasinus origin was recorded in 19/20 of SND patients (95%) compared to 39/86 of patients with normal sinus function (45.34%, p < 0.001). SND patients had a greater number of pacing sessions resulting in nonsinus spontaneous post-pacing P waves. Pacing rate associated with nonsinus spontaneous post-pacing P waves was lower in SND patients compared to patients with normal sinus node function. In the SND group, nonsinus spontaneous post-pacing P waves were recorded beyond the first spontaneous one in 9 patients compared to only 1 in patients with normal sinus node function (p < 0.005). Extrasinusal first spontaneous post-pacing P waves at a pacing rate of 140 b/min had the highest sensitivity (75%). Increasing of pacing rate from 60 to 140 b/min was associated with progressive arousal of secondary foci with highest value of 36.8% in pacing rate of 140 b/min. Further increase of pacing rate resulted in a slight reduction of spontaneous post-pacing firing from secondary foci. Atropine was administered in 12 Group 1 patients and abolished all measurable morphological changes of spontaneous post-pacing P waves compared to pre-pacing. Autonomic blockade was performed in 14 Group 1 patients and 16 Group 2 patients. In 35.7% of Group 1 patients autonomic blockade abolished the appearance of nonsinus spontaneous post-pacing P waves, while in the remaining patients increased the lowest pacing rate resulting in nonsinus spontaneous post-pacing P waves. In 12.5% Group 2 patients autonomic blockade resulted in nonsinus spontaneous post-pacing P waves after cessation of atrial pacing. In conclusion, the extrasinus spontaneous rise of atrial impulse is a very frequent phenomenon after atrial pacing especially in patients with SND. Pacing rate has different quantitative effects on sinus and secondary atrial pacemakers. Secondary pacemakers are less under autonomic control compared to sinus node.

Adult↗

The effect of a nitric oxide donor and an inhibitor of nitric oxide synthase on blood flow and vascular resistance in feline submandibular, parotid and pancreatic glands.

The aim was to examine whether (1) blood flow and vascular resistance are altered in response to exogenous nitric oxide and (2) whether endogenous synthesis of nitric oxide participates in the haemodynamic regulation of the submandibular, parotid and pancreatic glands. Experiments were performed on anaesthetized, artificially ventilated cats. Mean arterial blood pressure, heart rate, blood gases, cardiac output and tissue blood flow were determined before and 15 min after intravenous administration of either the nitric oxide donor SIN-1 (3-morpholinosydnonimine, 1 mg/kg, n = 10) or the competitive nitric oxide synthase inhibitor NOLA (NG-nitro-L-arginine, 30 mg/kg, n = 9) blood flow was measured by a radioactive-labelled microsphere method. In the SIN-1 group, in spite of a serious decrease in mean arterial blood pressure (p < 0.001), the blood flow in the glands remained unchanged. The vascular resistance decreased after SIN-1 in the submandibular and pancreatic glands (p < 0.001 and p < 0.05, respectively), and was slightly reduced in the parotid. The NOLA increased mean arterial blood pressure (p < 0.01) and reduced the blood flow in the submandibular and pancreatic glands (p < 0.01 and p < 0.001, respectively), but the decrease in the parotid was not significant. Vascular resistance increased after NOLA in all three glands (p < 0.05, p < 0.001 and p < 0.05). These findings suggest that basal nitric oxide production in these exocrine glands is sufficient to modulate vascular resistance. Moreover, the release of endogenous NO from the nerves and/or endothelium is probably involved in the regulation of vascular tone. The nitric oxide-dependent component of blood-flow regulation, however, seems to be less pronounced in the parotid gland.

Animals↗

Evidence for the role of nitric oxide in the circulation of the dental pulp.

Many authors have studied the hemodynamics of the dental pulp; however, there are scarcely any data regarding the involvement of the L-arginine/nitric oxide pathway in the regulatory mechanism. Thus, we have examined the physiological effects of (1) NG-nitro-L-arginine as an inhibitor of nitric oxide synthesis and (2) the nitric oxide donor 3-morpholinosydnonimine on blood flow and vascular resistance in the canines of anesthetized cats to study the potential involvement of nitric oxide in the regulation of dental vascular homeostasis. Mean arterial blood pressure, heart rate, blood gases, pH, cardiac output, and tissue blood flow were determined prior to and 15 min after i.v. administration of either NG-nitro-L-arginine (30 mg/kg, n = 9) or 3-morpholinosydnonimine (1 mg/kg, n = 7). Blood flow was measured by radioactive-labeled microspheres. There were no significant differences in baseline parameters between the two groups of cats. The dental pulp blood flow decreased to 53 +/- 13% (p < 0.01) of the control level after NG-nitro-L-arginine administration, while it decreased only slightly (to 82 +/- 12%) after 3-morpholinosydnonimine administration. The dental pulp's vascular resistance increased to 367 +/- 69% (p < 0.01) of the control level after NG-nitro-L-arginine, while it decreased to 73 +/- 10% (p < 0.05) of control after 3-morpholinosydnonimine. We found that the L-arginine/nitric oxide pathway plays an important role in the regulation of pulpal blood circulation.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Sustained stimulation of aldosterone production by angiotensin II is potentiated by nickel.

Angiotensin-induced aldosterone production by superfused adrenal glomerulosa cells was potentiated by Ni2+ (0.1 mM), added either at the onset of stimulation with angiotensin II or 1 h later. Nickel did not influence the effect of adrenocorticotropic hormone or potassium on aldosterone production. Nickel failed to modify angiotensin-induced changes in phospholipid metabolism or the formation of inositol phosphates and slightly reduced the enhancement of 45Ca influx. Uptake of Ni2+ into glomerulosa cells was increased by depolarization in a dihydropyridine-insensitive manner. Because nickel selectively potentiates the sustained phase of the response to a calcium-mobilizing hormone, it may serve as a suitable tool in elucidating the signal transduction process during the sustained phase of stimulation.

Aldosterone↗

Lectinhistochemical study of cell surface alterations in mouse embryos exposed to low radiation doses.

The peroxidase-coupled Dolichos biflorus agglutinin (DBA) served as a marker for cell surface alterations in embryonic mouse tissues exposed to low-dose radiation during the early organogenesis (day 9 post conception). In unirradiated embryos, DBA bound selectively to various organ primordia, depending on their differentiation state. The auditory vesicles and the developing blood vessels were the only tissues staining strongly with the lectin. The vascular endothelia also showed the highest radiosensitivity, expressed by the maximal reaction already at 12.5 cGy. Marked surface changes as well were registered in the basal part of the Rathke's pocket and in the roof of the diencephalon. After exposure to 25 cGy, a transient amplification of the reaction as compared with 12.5 cGy occurred firstly in the Rathke's pocket, then in the infundibulum and in auditory vesicles. The most distinct effects were achieved with 50 cGy. Remarkable is the prompt rise of the DBA-affinity in a narrow area of the myelencephalon, and subsequently also in the roof of the diencephalon. Furthermore, the infundibulum and the Rathke's pocket, both anlagen of the pituitary gland, bound heavily DBA during the entire examination period of 24 h. The present study demonstrated the outstanding suitability of the Dolichos biflorus agglutinin for histochemical detection of subtle cellular alterations by small radiation doses.

Animals↗

Angiotensin II and potassium activate different calcium entry mechanisms in rat adrenal glomerulosa cells.

Initial 45Ca uptake was measured in isolated rat glomerulosa cells. A small reduction in membrane potential produced by increasing the K+ concentration from 2 to 3.6 mmol/l stimulated 45Ca uptake by about 35%, while a bigger depolarization induced by 18.5 mmol K+/l increased the uptake by about 100%. Since Ca2+ influx was already activated at a calculated membrane potential below -70 mV, and was found to be sensitive to the dihydropyridine antagonist nifedipine (1 mumol/l), but insensitive to nickel ions (100 mumol/l), it does not meet the criteria established for T- or L-type voltage-dependent Ca2+ channels. Exposure of glomerulosa cells to angiotensin II (AII) for 10 min also enhanced the rate of 45Ca influx. The effect of AII was not sensitive to 1 mumol nifedipine/l, but was strongly inhibited by 5-(N-4-chlorobenzyl)-N-(2',4'-dimethyl)benzamil (CBDMB, 30 mumol/l), an inhibitor of the Na+/Ca2+ antiporter. These observations suggest that during the sustained phase of stimulation with AII, a CBDMB-sensitive mechanism, rather than dihydropyridine-sensitive calcium channels, is involved in Ca2+ uptake in rat glomerulosa cells. The bulk Ca2+ influx did not correlate with aldosterone production; however, the maintained activity of different Ca2+ entry mechanisms seems to be essential for AII-induced aldosterone production.

Aldosterone↗

Na+-H+ and Na+-Ca2+ exchange in glomerulosa cells: possible role in control of aldosterone production.

Sodium uptake by rat adrenal glomerulosa cells was stimulated by intracellular acidosis evoked by Na+-propionate. This process was inhibited by 5-(N,N-hexamethylene) amiloride (HMA), a known inhibitor of the Na+-H+ exchange. These experiments demonstrate the existence of the Na+-H+ exchange in glomerulosa cells. Although amiloride inhibited the angiotensin II- and adrenocorticotropic hormone (ACTH)-induced aldosterone response, HMA, a more specific inhibitor of Na+-H+ exchange, failed to do that. 45Ca2+ influx and efflux were dependent on intra- and extracellular Na+ concentrations. Amiloride analogues, known to inhibit Na+-Ca2+ exchange, reduced basal 45Ca influx. Although we could not reveal the activation of Na+-Ca2+ exchange by angiotensin II, inhibitors of Na+-Ca2+ exchange also inhibited the angiotensin- and ACTH-induced aldosterone response of glomerulosa cells. Our results suggest that Na+-Ca2+ exchange supports the maintenance of basal Ca2+ level in the cytoplasma of glomerulosa cells, and amiloride derivatives inhibit aldosterone production by reducing Ca2+ level below resting values.

Adrenal Glands↗

Interaction between radiation and cadmium or mercury in mouse embryos during organogenesis.

The response of mouse embryos to different concentrations of cadmium or mercury with or without low LET radiation was measured in terms of gross morphological anomalies and cellular changes. Single doses of the heavy metals (2 mg/kg body weight) were injected i.p. on day 8 of gestation 30 min before whole-body irradiation. Combined exposures to CdCl2 and X-rays led to a significant reduction in the rate of exencephaly compared with the high frequency after cadmium alone. The hypothesis that metallothionein, a sulphur-rich and metal-binding protein, may be responsible for the antagonism observed could not be confirmed. Mercuric chloride alone induced a low rate of exencephaly and the data on combined treatment suggest additivity with 0.5 and 1.0 Gy X-rays. Regarding cellular criteria, cell death in the eye anlage on day 9 of gestation was significantly suppressed after 0.5 Gy and especially after CdCl2 plus 0.5 Gy compared to cadmium alone. It is assumed that the reduction of cell lethality is correlated with the low occurrence of exencephaly. Concerning the proliferation of neuroblasts, cadmium stimulated the mitotic activity whereas X-rays depressed the proliferation capacity. After the combined treatment a distinct antimitotic effect was established.

Abnormalities, Drug-Induced↗

Synergistic interaction between vindesine and X-rays in the prenatal development of mice.

The modification of radiation damage by various concentrations of the oncolytic drug vindesine was studied macroscopically, using mouse embryos during the early organogenesis (days eight and nine of gestation) as the test system. The analysis at term showed that the developmental toxicity of vindesine depends on the dosage and the time of administration. In the lower dose-range (0.25 and 0.35 mg/kg), the only reaction was growth retardation, whereas higher concentrations (0.5 and 1.0 mg/kg) led mainly to an early resorption of implants. The more differentiated stage (day nine) exhibited a much higher sensitivity to vindesine than the embryo on day eight. Conversely, the harmful action of 0.9 Gy X-rays was restricted to the earlier period of organogenesis. The incidence of abnormalities after irradiation on day eight was 4.5 times higher than the one following exposure on day nine. The combined exposures showed a radiosensitizing capacity of the drug with respect to the teratogenic response on day eight only. The pretreatment with 0.25 mg/kg vindesine potentiated the radiation-induced malformation rate by a factor of 1.7, and the one with 0.35 mg/kg vindesine by a factor of 2.4.

Abnormalities, Drug-Induced↗

Cellular damage and recovery of the early developing mouse eye following low dose irradiation. II. X-rays on day 9 of gestation.

Mouse embryos on day 9 of gestation were exposed in utero to 90 rad X-rays. At different time intervals after treatment the eye primordia were examined for cell death. The irradiation caused an altered necrosis pattern compared with day 8, and massive cell killing during a limited time period. The rapid recovery from the pronounced damage points to a high restitution efficiency of the involved tissue.

Animals↗

The role of intraosseous phlebography in the prognosis of injuries of the talus.

Fracture-dislocations of the talus are often followed by avascular necrosis. In these cases weight bearing must be forbidden in order to prevent collapse of the talus. Experience with intraosseous phlebography in 31 cases and a 2- to 6-year follow-up in 25 of them showed that this is a useful diagnostic procedure in the assessment of the talar blood supply, and an important aid in deciding the necessary period of relief from weight bearing as well as giving a prognosis.

Adult↗

[Central fractures of the talus (author's transl)].

The results of the analysis of 52 central talar fractures and 37 follow-up cases in the 10 year material of the National Institute of Trauma are reported here. They point to the fact, that osteoarthritis can be avoided by appropriate treatment. Two aetiological factors in arthritis are the residual joint surface incongruence and the damage to the blood supply. Immediate, exact reduction and retention, even operatively if necessary and the delay of weight bearing until the restoration of blood supply and the bony architecture are recommended as preventive measures. If doubt arises on the diagnosis of damaged blood supply, intraosseous venography is recommended.

Adolescent↗

[Dislocations of the talus (author's transl)].

Authors analysing 31 case histories of talus fractures and following the results in 22 cases over a period of 3--12 years support the general view, that the healing of such injuries is satisfactory but partial or even total necrosis may occur. They emphasize the importance of X-ray investigation and occasional phlebography in order to clear up the state of circulation in the bone. Weight bearing should be decided in accordance with these examinations.

Adolescent↗