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Biomedical subjects

M Fink

Publications and source records attributed to M Fink.

At least 73 records · Page 4Linked to original sources
PubMed2001

The influence of age on the response of major depression to electroconvulsive therapy: a C.O.R.E. Report.

As part of a C.O.R.E., multi-site longitudinal study comparing continuation electroconvulsive therapy (ECT) vs. continuation pharmacotherapy, the authors determined the response of 253 patients with major depression to acute-phase, bilateral ECT by use of the 24-item Hamilton Rating Scale for Depression. Remission rates for three age-groups, > or =65 years; 46-64 years; and < or =45 years, were 90 percent, 89.8 percent, and 70 percent, respectively. Age, as a continuous variable, positively influenced response to treatment. Bilateral, dose-titrated ECT is a highly effective acute treatment for major depression, and older age confers a greater likelihood of achieving remission.

Age Factors↗
PubMed2000

Acoustical imaging through a multiple scattering medium using a time-reversal mirror.

Acoustical imaging is based on the ability to focus an acoustic beam inside the zone of interest. This remains an issue through a high-order multiple scattering medium because the electronic delay lines that enable one to focus through a multiple scattering medium are a priori unknown. Using time-reversal principles, we show that images can be obtained through a very disordered medium. Surprisingly, the images are better than those obtained in a homogeneous medium with a classical imaging device.

Acoustics↗
PubMed2000

Transfer and Green functions based on modal analysis for Lamb waves generation

This work presents an easy way to deduce the tensorial transfer and Green functions for Lamb waves generated in isotropic elastic plates. These functions could be applied to obtain the response of each propagating mode in the ensemble of excited modes arising from any sort of pulsed excitation (wedge transducers, lasers, etc.). The transfer function is based on modal analysis development. Not only is it easy to manipulate but also allows the avoidance of laborious calculations for each kind of Lamb waves source. Theoretical predictions are compared with those of Viktorov [I. A. Viktorov, Rayleigh and Lamb Waves (Plenum, New York, 1967)] and with experimental measurements of Lamb waves generated by the wedge-transducer method.

Journal Article↗
PubMed2000

Time reversal in a waveguide: study of the temporal and spatial focusing

Temporal and spatial focusing properties of time-reversal mirrors (TRMs) are studied in a waveguide. The experiments are done using an ultrasonic TRM in an idealized waveguide. The width of the focal spot, and the spatial and temporal sidelobe levels are experimentally and numerically analyzed with respect to the characteristics of the waveguide-TRM system. An algorithm is developed to compute directly in the time domain the time-reversed field. This algorithm is based on the application of the mirror theorem to both the source and the TRM placed in the waveguide. Because time reversal is a stable and robust process, some of the ultrasonic results can be extended to ocean acoustics. Applications to underwater acoustic transmissions as well as ultrasonic medical imaging are discussed.

Journal Article↗
PubMed2000

Limits of time-reversal focusing through multiple scattering: long-range correlation

Experimental results of time-reversal focusing in a high-order multiple scattering medium are presented and compared to theoretical predictions based on a statistical model. The medium consists of a random collection of parallel steel rods. An ultrasonic source (3.2 MHz) transmits a pulse that undergoes multiple scattering and is recorded on an array. The time-reversed waves are sent by the array back to the source through the scattering medium. The quality of temporal focusing is very well predicted by a simple statistical model. However, for thicker samples, persistent temporal side-lobes appear. We interpret these side-lobes as a consequence of the growing number of crossing paths in the sample due to high-order multiple scattering. As to spatial focusing, the resolution is practically independent from the array's aperture. With a 16-element array, the resolution was found to be 30 times finer than in a homogeneous medium. Resolutions of the order of the wavelength (0.5 mm) were attained. These results are discussed in relation with the statistical properties of time-reversal mirrors in a random medium.

Journal Article↗
PubMed2000

Time reversal and the inverse filter.

To focus ultrasonic waves in an unknown inhomogeneous medium using a phased array, one has to calculate the optimal set of signals to be applied on the transducers of the array. In the case of time-reversal mirrors, one assumes that a source is available at the focus, providing the Green's function of this point. In this paper, the robustness of this time-reversal method is investigated when loss of information breaks the time-reversal invariance. It arises in dissipative media or when the field radiated by the source is not entirely measured by the limited aperture of a time-reversal mirror. However, in both cases, linearity and reciprocity relations ensure time reversal to achieve a spatiotemporal matched filtering. Nevertheless, though it provides robustness to this method, no constraints are imposed on the field out of the focus and sidelobes may appear. Another approach consists of measuring the Green's functions associated to the focus but also to neighboring points. Thus, the whole information characterizing the medium is known and the inverse source problem can be solved. A matrix formalism of the propagation operator is introduced to compare the time-reversal and inverse filter techniques. Moreover, experiments investigated in various media are presented to illustrate this comparison.

Humans↗
PubMed2000

Transport parameters for an ultrasonic pulsed wave propagating in a multiple scattering medium

A set of ultrasonic experimental methods was developed to characterize a multiple scattering medium in terms of l(s), l*, l(a), respectively, the elastic, transport, and absorption mean free paths and D the diffusion constant. Actually, these quantities are the key parameters for a wave propagating in a disordered medium. Although they are widely used in optics, they are less common in acoustics. The underlying model is based on the expansion of the average solution for the heterogeneous Green's function equation. To validate this theoretical approach, a sample made of randomly located steel rods was used as a prototype. Through time-resolved measurements of the transmitted amplitude, the difference between the ballistic and the coherent wave is highlighted. In varying the sample thickness, l(s) is determined, the coherent and diffusive regime are distinguished, and the transition from one to the other is followed. Furthermore, as a limit to a description of the average intensity based on the diffusion approximation, the existence of a coherent backscattering effect is shown. This latter gives a method to estimate D and l*. These quantities being determined, it becomes possible to infer l(a) using average time-resolved intensity measurements. Finally, some applications to coarse-grain stainless steels are discussed.

Journal Article↗
PubMed2000

The interaction of delirium and seizures.

The induction of a delirium by medical illness, somatic treatments, or experimental drugs occasionally relieves psychotic, excited, and manic states. An induced delirium is a feature of modern electroconvulsive therapy (ECT), and was a feature of insulin coma therapy and psychosurgery. Case material explores the relationship between psychosis, mania, seizures, and electroencephalogram. From our understanding of the mechanism of ECT in relieving intractable status epilepticus, we suggest a hypothesis for the beneficial interaction between delirium and ECT.

Adolescent↗
PubMed2000

The neuroprotective agent riluzole activates the two P domain K(+) channels TREK-1 and TRAAK.

Riluzole (RP 54274) is a potent neuroprotective agent with anticonvulsant, sedative, and anti-ischemic properties. It is currently used in the treatment of amyotrophic lateral sclerosis. This article reports that riluzole is an activator of TREK-1 and TRAAK, two important members of a new structural family of mammalian background K(+) channels with four transmembrane domains and two pore regions. Whereas riluzole activation of TRAAK is sustained, activation of TREK-1 is transient and is followed by an inhibition. The inhibitory process is attributable to an increase of the intracellular cAMP concentration by riluzole that produces a protein kinase A-dependent inhibition of TREK-1. Mutants of TREK-1 lacking the Ser residue where the kinase A phosphorylation takes place are activated in a sustained manner by riluzole. TRAAK is permanently activated by riluzole because, unlike TREK-1, it lacks the negative regulation by cAMP.

Animals↗
PubMed1999

Delirious mania.

OBJECTIVES: To define the characteristics of delirious mania. METHODS: A list of patients exhibiting both delirium and mania admitted to an academic psychiatric treatment unit of a tertiary care medical center was maintained for 6 years. A literature review for the terms 'delirium' and 'bipolar disorder' was undertaken. RESULTS: Few articles identify the syndrome. Most cite Bell (On a form of disease resembling some advanced stages of mania and fever. Am J Insanity 1849; 6: 97-127) as the first observer and Bond (Recognition of acute delirious mania. Arch Gen Psychiatry 1980; 37: 553 554) as the most recent. Fourteen instances were identified in the case list. Delirious mania is a syndrome of the acute onset of the excitement, grandiosity, emotional lability, delusions, and insomnia characteristic of mania, and the disorientation and altered consciousness characteristic of delirium. Almost all patients exhibited signs of catatonia. Bond (1980) recommends lithium and a neuroleptic combination as the treatment. In the present series, electroconvulsive therapy was found to be safe and rapidly effective, with all cases responding within three treatments and requiring less than six treatments in the course. The rapidity of response is the same as that of patients with catatonia. CONCLUSION: Delirious mania warrants specific identification in the diagnostic nomenclature. The distinction between delirious mania and the excited or malignant forms of catatonia requires study.

Adult↗
PubMed1999

Inhalational anesthetics activate two-pore-domain background K+ channels.

Volatile anesthetics produce safe, reversible unconsciousness, amnesia and analgesia via hyperpolarization of mammalian neurons. In molluscan pacemaker neurons, they activate an inhibitory synaptic K+ current (IKAn), proposed to be important in general anesthesia. Here we show that TASK and TREK-1, two recently cloned mammalian two-P-domain K+ channels similar to IKAn in biophysical properties, are activated by volatile general anesthetics. Chloroform, diethyl ether, halothane and isoflurane activated TREK-1, whereas only halothane and isoflurane activated TASK. Carboxy (C)-terminal regions were critical for anesthetic activation in both channels. Thus both TREK-1 and TASK are possibly important target sites for these agents.

Amino Acid Sequence↗
PubMed1999

Effects of phrixotoxins on the Kv4 family of potassium channels and implications for the role of Ito1 in cardiac electrogenesis.

1. In the present study, two new peptides, phrixotoxins PaTx1 and PaTx2 (29-31 amino acids), which potently block A-type potassium currents, have been purified from the venom of the tarantula Phrixotrichus auratus. 2. Phrixotoxins specifically block Kv4.3 and Kv4.2 currents that underlie I(to1), with an 5 < IC50 < 70 nM, by altering the gating properties of these channels. 3. Neither are the Shaker (Kv1), Shab (Kv2) and Shaw (Kv3) subfamilies of currents, nor HERG, KvLQT1/IsK, inhibited by phrixotoxins which appear specific of the Shal (Kv4) subfamily of currents and also block I(to1) in isolated murine cardiomyocytes. 4. In order to evaluate the physiological consequences of the Ito1 inhibition, mice were injected intravenously with PaTx1, which resulted in numerous transient cardiac adverse reactions including the occurrence of premature ventricular beats, ventricular tachycardia and different degrees of atrioventricular block. 5. The analysis of the mouse electrocardiogram showed a dose-dependent prolongation of the QT interval, chosen as a surrogate marker for their ventricular repolarization, from 249 +/- 11 to 265 +/- 8 ms (P < 0.05). 6. It was concluded that phrixotoxins, are new and specific blockers of Kv4.3 and Kv4.2 potassium currents, and hence of I(to1) that will enable further studies of Kv4.2 and Kv4.3 channel and/or I(to1) expression.

Amino Acid Sequence↗
PubMed1999

A solution to diffraction biases in sonoelasticity: the acoustic impulse technique.

Several methods have been proposed to estimate the viscoelastic properties of soft biological tissues using forced low-frequency vibrations (10-500 Hz). Those methods are based on the measurement of phase velocity of the shear waves (approximately 5 m/s). It is shown in this article that the measurements of velocity as well as attenuation are subjected to biases. These biases are related to reflected waves created at boundaries, to the nonnegligible size of the piston source which causes diffraction effects and to the influence of a low-frequency compressional wave. Indeed, a theoretical analysis of the field radiated by a point source explains how mechanical vibrations of a piston generate a shear wave with a longitudinal component and how this component can interfere with a low-frequency compressional wave. However, by using a low-frequency transient excitation, these biases can be avoided. Then the precise numerical values of elasticity and viscosity can be deduced. Experiments in phantoms and beef muscles are shown. Moreover, a relative hardness imaging of a phantom composed of two media with different elasticities is presented.

Acoustics↗
PubMed1999

Endoscopic laser recanalisation of presaccal canalicular obstruction.

AIM: To document the results of erbium (Er)-YAG laser treatment in presaccal canalicular obstruction in combination with the use of a flexible endoscope. METHODS: For the first time an Er-YAG laser (Schwind, Sklerostom) was attached to a flexible endoscope (Schwind, Endognost) and used to recanalise a stenosis of the upper, lower, or common canaliculus. In 17 patients (mean age 41.5 (SD 11.9) years), 19 treatments (two bilateral) were performed. In all cases the scar was observed using the endoscope and was excised by laser ablation. A silicone intubation was performed in all cases. In addition to the endoscopy an irrigation was performed to prove the intactness of the lacrimal pathway system after laser treatment. RESULTS: Membranous obstructions with a maximum length of 2.0 mm (14 procedures) in the canaliculus were opened easily using the laser, and the silicone intubation was subsequently performed without difficulty. Scars thicker than 2.0 mm could not be opened safely without canaliculus penetration (five procedures). Irrigation was positive in all cases up to the end of a 6 month period, providing the tubes remained in place. The maximum follow up is now 17 months (minimum 8 months) and in 16 cases (84.2%) the canaliculi are still intact. CONCLUSION: Endoscopic laser treatment combined with silicone intubation enables us to recanalise presaccal stenoses of canaliculi under local anaesthesia up to a scar thickness of 2.0 mm. Best results can be achieved in cases where much tissue can be saved. Under such conditions this procedure can substitute for more invasive surgical techniques, especially a conjunctivo-dacryocystorhinostomy (CDCR).

Adult↗
PubMed1999

Time-resolved pulsed elastography with ultrafast ultrasonic imaging.

In this paper, a new elastographic method is proposed. Using this method, the propagation of a low-frequency transient shear wave can be imaged by means of an ultrafast imaging system (up to 10,000 frames/s) that we have developed. Ultrafast ultrasonic imaging is obtained with a linear array of transducers (3.5 MHz) connected to electronics that have 64 channels sampled at 30 MHz and 128 Kbytes for storing the backscattered signals. Displacements are measured using cross-correlation of the ultrasonic signals. Movies of the low central frequency (200 Hz) shear wave propagation through homogeneous and heterogeneous phantoms have been obtained with 1,000 and 2,000 frames per second.

Elasticity↗
PubMed1999

Cyclic adenosine 3',5'-monophosphate(cAMP)/cAMP-responsive element modulator (CREM)-dependent regulation of cholesterogenic lanosterol 14alpha-demethylase (CYP51) in spermatids.

Lanosterol 14alpha-demethylase (CYP51) produces MAS sterols, intermediates in cholesterol biosynthesis that can reinitiate meiosis in mouse oocytes. As a cholesterogenic gene, CYP51 is regulated by a sterol/sterol-regulatory element binding protein (SREBP)-dependent pathway in liver and other somatic tissue. In testis, however, cAMP/cAMP-responsive element modulator CREMtau-dependent regulation of CYP51 predominates, leading to increased levels of shortened CYP51 mRNA transcripts. CREM-/- mice lack the abundant germ cell-specific CYP51 mRNAs in testis while expression of somatic CYP51 transcripts is unaffected. The mRNA levels of squalene synthase (an enzyme preceding CYP51 in cholesterol biosynthesis in testis of CREM-/- mice are unchanged as compared with wild-type animals, showing that regulation by CREMtau is not characteristic for all cholesterogenic genes expressed during spermatogenesis. The -334/+314 bp CYP51 region can mediate both the sterol/SREBP-dependent as well as the cAMP/CREMtau-dependent transcriptional activation. SREBP-1a from somatic cell nuclear extracts binds to a conserved CYP51-SRE1 element in the CYP51 proximal promoter. The cAMP-dependent transcriptional activator CREMtau from germ cell nuclear extracts binds to a conserved CYP51-CRE2 element while no SREBP-1 binding is observed in germ cells. The two regulatory pathways mediating expression of CYP51 describe this gene as a cholesterogenic gene (SREBP-dependent expression in liver and other somatic cells) and also as a haploid expressed gene (CREMtau-dependent expression in haploid male germ cells). While in somatic cells all genes involved in cholesterol biosynthesis are regulated coordinately by the sterol/SREBP-signaling pathway, male germ cells contain alternate routes to control expression of cholesterogenic genes.

Animals↗