Search PubMed⌕ Search

Biomedical subjects

N Kaplan

Publications and source records attributed to N Kaplan.

At least 19 recordsLinked to original sources

Spatial mapping of mobility and density of the conduction electrons in (FA)2PF6

Novel implementation of the Fourier imaging technique on conduction electron spins in the one-dimensional organic conductors (FA)2PF6 (FA: fluoranthene) is reported. Two-dimensional spatial imaging of resolution 30 &mgr;m(2) is combined with the pulsed-gradient spin-echo technique, to derive maps revealing the local properties of the electron spin density and mobility. The maps generally show pronounced inhomogeneity of both density and mobility on the scale of approximately 30-300 &mgr;m. Highly mobile regions were identified to exist, and the mobility in these was quantitatively evaluated by a basic theoretical model of restricted diffusion.

Journal Article↗

Three-dimensional pulsed ESR Fourier imaging.

Three-dimensional pulsed ESR imaging was performed on a (FA)(2)PF(6) crystal using a three-dimensional Fourier imaging sequence. The best resolution achieved was of 20 microm(3). Comparison with images obtained using the filtered back-projection method shows the superiority of this method under the given conditions.

Electron Spin Resonance Spectroscopy↗

Low-dose clonidine and neostigmine prolong the duration of intrathecal bupivacaine-fentanyl for labor analgesia.

BACKGROUND: Intrathecal (IT) opioid and local anesthetic combinations are popular for labor analgesia because of rapid, effective pain relief, but the duration of analgesia is limited. This study was undertaken to determine whether the addition of clonidine and neostigmine to IT bupivacaine-fentanyl would increase the duration of analgesia without increasing side effects for patients in labor. METHODS: Forty-five healthy parturients in active labor were randomized to receive a 2-ml IT dose of one of the following dextrose-containing solutions using the combined spinal-epidural technique: (1) bupivacaine 2.5 mg and fentanyl 25 microg (BF); (2) BF plus clonidine 30 microg (BFC); or (3) BFC plus neostigmine 10 microg (BFCN). Pain, sensory levels, motor block, side effects, maternal vital signs, and fetal heart rate were systematically assessed. RESULTS: Patients administered BFCN had significantly longer analgesia (165+/-32 min) than those who received BF (90+/-21 min; P<0.001) or BFC (123+/-21 min; P<0.001). Pain scores, block characteristics, maternal vital signs, Apgar scores, maternal satisfaction, and side effects were similar among groups except for nausea, which was significantly greater in the BFCN group (P<0.05 as compared with BFC). CONCLUSIONS: The addition of clonidine and neostigmine significantly increased the duration of analgesia from IT bupivacaine-fentanyl during labor, but neostigmine caused more nausea. Although serious side effects were not observed in this study, safety must be further addressed before the routine use of multiple IT drugs is advocated.

Adjuvants, Anesthesia↗

Maximizing antihypertensive management in the elderly.

The management of hypertension in the elderly is safer and more effective if we consider diurnal fluctuations in blood pressure, preexisting postural and postprandial hypotension, and coronary risk when setting therapeutic goals and selecting or adjusting antihypertensive medications. Lifestyle modifications should coincide with drug therapy in the management of elderly hypertensive patients. The author suggests a checklist of specific considerations when treating hypertension in the elderly.

Aged↗

Radiofrequency power calibration for magnetic resonance imaging using signal phase as indicator.

A novel radiofrequency (rf) power calibration method for the purpose of nuclear magnetic resonance excitations based on monitoring signal phase rather than signal amplitude is described theoretically and is demonstrated experimentally. This unique method enables the determination of rf power required for any desired tip angle in clinical magnetic resonance imaging procedures with an accuracy of 1-5%, essentially independent of motion, flow, slice variations, and/or T1 and T2 variations. The advantages of the new method are discussed and are compared with currently common, amplitude-based calibration techniques.

Algorithms↗

Multiple echoes, multiple quantum coherence, and the dipolar field: demonstrating the significance of higher order terms in the equilibrium density matrix.

It is well known that dipolar field effects lead to multiple spin echoes in a simple two-RF pulse experiment (the MSE experiment). We show here that coherence transfer echoes (which identify the existence of multiple quantum coherences in liquid NMR) and multiple spin echoes have a common origin. Using density matrix theory we have calculated the phase and timing of multiple spin echoes from all quadrature phase combinations of RF pulses. We show for the MSE experiment that there is a one-to-one correspondence between the time domain echo order and the multiple quantum coherence order. The experimental confirmation of these phase predictions shows that multiple spin echoes provide independent evidence for the breakdown of the high temperature approximation as proposed by Warren et al. (Science 262, 2005 (1993)).

Artifacts↗

Low dose combinations in the treatment of hypertension: theory and practice.

The recent evolution of drug therapy for hypertension has primarily focused on new agents but there has been a renewed interest in the use of low doses of diuretic in combination with other agents. Such low-dose diuretic combinations are rational and their use will almost certainly increase.

Antihypertensive Agents↗

Sibling-based tests of linkage and association for quantitative traits.

The transmission/disequilibrium test (TDT) developed by Spielman et al. can be a powerful family-based test of linkage and, in some cases, a test of association as well as linkage. It has recently been extended in several ways; these include allowance for implementation with quantitative traits, allowance for multiple alleles, and, in the case of dichotomous traits, allowance for testing in the absence of parental data. In this article, these three extensions are combined, and two procedures are developed that offer valid joint tests of linkage and (in the case of certain sibling configurations) association with quantitative traits, with use of data from siblings only, and that can accommodate biallelic or multiallelic loci. The first procedure uses a mixed-effects (i.e., random and fixed effects) analysis of variance in which sibship is the random factor, marker genotype is the fixed factor, and the continuous phenotype is the dependent variable. Covariates can easily be accommodated, and the procedure can be implemented in commonly available statistical software. The second procedure is a permutation-based procedure. Selected power studies are conducted to illustrate the relative power of each test under a variety of circumstances.

Genetic Linkage↗

A new diffusion SSFP imaging technique.

In this paper a new diffusion sensitive steady-state free precession (SSFP) pulse sequence with a reduced sensitivity to physiological brain motion is presented. The signal attenuation due to diffusion in this SSFP sequence is derived theoretically and confirmed experimentally with a phantom. It is shown that for brain tissue this signal attenuation is approximately independent of T1 and T2, but depends only on the pulse sequence used, i.e., the timing and the size of the RF and the gradient pulses. On this basis the diffusion constant can be calculated for any region in the image. Diffusion sensitive images of the brain obtained with our pulse sequence are presented and shown to be superior over an image obtained with a "conventional" diffusion sensitive SSFP sequence.

Brain↗

Protein tyrosine phosphorylation in smooth muscle: a potential coupling mechanism between receptor activation and intracellular calcium.

This review addresses a rapidly growing body of evidence suggesting that enhanced protein tyrosine phosphorylation may be a previously unrecognized mechanism for coupling receptor activation of vascular smooth muscle cells to increases In the intracellular concentration of Ca2+ and contraction. The hypothesis proposes that activation of diverse types of receptors that are not tyrosine kinase promotes stimulation of a cytosolic tyrosine kinase. In turn, the activated kinase induces tyrosine phosphorylation of substrates that are linked to regulatory mechanisms for release of intracellular Ca2+ stored in the sarcoplasmic reticulum and to regulatory mechanisms for influx of extracellular Ca2+. Within this framework, we examine some relevant functional aspects of receptor and nonreceptor tyrosine kinases in different types of cells, the emerging relationships between tyrosine kinase activity and regulation of intracellular Ca2+. We review studies of nonreceptor tyrosine kinase activity in vascular smooth muscle cells suggesting that a physiologically relevant kinase may be the enzyme called pp60. Data that appear to link tyrosine phosphorylation to contraction of smooth muscle are examined, particularly with respect to results obtained with tyrosine kinase inhibitors and measures of changes in tyrosine phosphorylation. Next, we review studies with cultured vascular smooth muscle cells that point to potential coupling between receptor activation, enhanced tyrosine phosphorylation of substrates such as the GTPase activating protein for ras, and the gamma-1 isoform of phospholipase C, and mechanisms controlling Ca2+ influx and release. Emphasis is placed on examining the strengths and weaknesses of different experimental approaches. Lastly, a summary of the data is provided which calls attention to some major issues requiring resolution to permit acceptance or rejection of the underlying hypothesis, and we briefly address some of its possible pathophysiological implications.

Animals↗

The myocardium and brain SPECT findings in organophosphate poisoning.

A case of organophosphate poisoning is presented by using Tc-99m HMPAO (hexamethyl propylenamine oxime) brain SPECT (single photon emission computer tomography) and Tc-99m Sestamibi myocardial SPECT findings in the acute recovery and delayed phases. On the 4th day, brain SPECT imaging showed the perfusion defects in the left parietal lobe of the brain. On the 5th day myocardium scintigraphy also revealed the anterolateral wall perfusion defect. The myocardial defect became more prominent but brain defect was smaller than before, on the 19th day of the therapy. Two months later, on the third examinations of the brain and myocardium, their imagings were both normal.

Brain↗

Coupling between [arginine8]-vasopressin-activated increases in protein tyrosine phosphorylation and cellular calcium in A7r5 aortic smooth muscle cells.

Effects of genistein, a tyrosine kinase inhibitor, on increases in [Ca2+]i and protein tyrosine phosphorylation induced by 20 nM [arginine 8]vasopressin (AVP) were studied in A7r5 aortic smooth muscle cells. In fura-2-loaded cells, AVP induced a rapid (0.5-2 min) transient increase in [Ca2+]i that was followed by a smaller sustained increase in [Ca2+]i. In 66% of the cells, the transient response involved both influx of extracellular Ca2+ and release of intracellular Ca2+: influx accounted for 6% of the response, and release accounted for 40%. However, in 34% of the cells, the relative contribution of influx and release during the transient could not be assessed. In all cells, the smaller sustained response was entirely dependent on extracellular Ca2+. Genistein (148 microM) always blocked the transient and sustained components of the Ca2+ response showing that both influx and release were genistein-sensitive. Isobestic fluorescence analysis, in medium containing 0.5 mM Mn2+ in place of Ca2+, showed that the influx pathway was selective because it did not conduct Mn2+. It also confirmed that Ca2+ release was blocked by genistein. In contrast, 105 microM lavendustin A, a different tyrosine kinase inhibitor, suppressed the transient by only 30%. Another inhibitor, tyrphostin 47 (80 microM), did not alter the transient or sustained components of the Ca2+ response. No AVP-induced increases in tyrosine phosphorylation were detected unless special procedures were used. When cells were preincubated in 10 mM vanadate, a tyrosine phosphatase inhibitor, AVP induced a transient increase in tyrosine phosphorylation (5-60 s). The time course for AVP-induced phosphorylation was similar to that for increase in [Ca2+]i. Vanadate alone increased tyrosine phosphorylation and induced a slow small increase in [Ca2+]i that was dependent on extracellular Ca2+. Genistein blocked tyrosine phosphorylation induced by AVP and vanadate, and it blocked the increase in [Ca2+]i induced by vanadate alone. In contrast, lavendustin or tyrphostin unexpectedly enhanced tyrosine phosphorylation induced by vanadate alone and precluded assessment of AVP-induced tyrosine phosphorylation in the presence of vanadate. Lavendustin produced time-dependent enhancement of vanadate-induced increase in [Ca2+]i. These results underscored the need for measuring cellular changes in protein tyrosine phosphorylation to assess potential functions of tyrosine kinase activity. Under conditions where changes in phosphorylation could be measured, the results suggested that AVP-activated increases in tyrosine phosphorylation may be coupled to AVP-activated mechanisms that regulate influx of extracellular Ca2+ and release of intracellular Ca2+.

Animals↗