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Biomedical subjects

S A Klein

Publications and source records attributed to S A Klein.

137 records · Page 8Linked to original sources
PubMed1978

Continuous fetal tissue pH measurement in labor.

Fifty-one women in labor had continuous monitoring of fetal scalp tissue pH, fetal heart rate by ECG, and uterine contractions. A miniature pH electrode secured by a double spiral fetal ECG electrode was used for measurement of fetal pH every 15 seconds. The results were correlated with fetal scalp blood pH values obtained simultaneously. Fetal scalp sampling is intermittent, requires repeated scalp incisions, is subject to errors due to air mixing and coagulation of the blood sample, and is uncomfortable for the parturient. Placement of the tissue pH electrode allows continuous data recording with the minimum discomfort to the patient and the least number of fetal scalp incisions. Clinical use of the tissue pH electrode might be a practical alternative to fetal scalp samples, if the data obtained accurately reflect fetal status.

Blood↗
PubMed1977

Relaxation and exercise for hyperactive impulsive children.

This study explored the effectiveness of progressive relaxation and large muscle exercise in improving the cognitive performance of hyperactive, impulsive males. Progressive relaxation and large muscle exercise were compared to an attentional-training placebo, a no-treatment control, and a nonhyperactive control. While no differences were found on the Continuous Performance Task, relaxation, exercise, and nonhyperactive control groups performed significantly better on the Matching Familiar Figures test than the no-treatment control. Results were suggestive of the effectiveness of both progressive relaxation and large muscle exercise in treating hyperactive, impulsive youngsters.

Child↗
PubMedDate not supplied

Enhancing pediatric health care with music.

The pediatric nurse practitioner can use music therapeutically in a variety of clinical situations. Literature supports the effectiveness of music in reducing anxiety based on psychologic and physiological outcomes. Music also enhances standard therapeutic modalities and increases patient satisfaction. Specific interventions should be based on the child's stage be based on the child's stage of development.

Adolescent↗
PubMedDate not supplied

Electrophysiological correlates of hyperacuity in the human visual cortex.

The human visual system is capable of detecting a vernier misalignment with extraordinary accuracy. Since this remarkable precision in spatial localization is better than can be naively predicted by simple optical or anatomical considerations it has been termed a hyperacuity. So far no single neurone model seems capable of accounting for hyperacuity, and the retinal image might require reconstitution in a finer grained from in the visual cortex. We report here an electrophysiological correlate of hyperacuity recorded from the human visual cortex. The amplitude of the visually evoked potentials (v.e.ps) elicited by the appearance of a vernier offset varied systematically with the magnitude of the offset. Extrapolation of the function relating v.e.p. amplitude and log offset to zero voltage resulted in an electrophysiological estimate of vernier acuity that was similar to the observer's psychophysical threshold.

Electroencephalography↗
PubMedDate not supplied

Sampling in spatial vision.

The human visual system is capable of making spatial discriminations with extraordinary accuracy. In normal foveal vision, relative position, width or size can be judged with an accuracy much finer than the size or spacing of even the smallest foveal cones. This remarkable accuracy of spatial vision has been termed 'hyperacuity'. Almost a century ago Ewald Hering proposed that the accuracy of Vernier acuity could be accounted for by averaging of discrete samples along the length of the lines comprising the targets; however, the discovery that Vernier acuity of a few arc seconds could be achieved with dots has rendered the nature and role of sampling in spatial discrimination unclear. We have been investigating the sampling of spatial information in central and peripheral vision (the perifovea) of normal human observers and in observers with strabismic amblyopia. Our results, presented here, show that peripheral vision and central vision of strabismic amblyopes differ qualitatively in their sampling characteristics from those of the normal fovea. Both the periphery and the central visual field of strabismic amblyopes demonstrate marked positional uncertainty which can be reduced by averaging of spatial information from discrete samples.

Amblyopia↗
PubMedDate not supplied

An assay system to detect the selective advantage of anti-HIV ribozyme expressing CD4+ T-lymphocytes.

This study was undertaken to establish an assay system to detect the survival advantage of anti-HIV ribozyme expressing cells under the selective pressure of HIV infection. In a mixture with wild type cells the proportion of ribozyme expressing cells was increased up to 12-fold. As a mechanism of the selective advantage an inhibition of HIV induced apoptotic cell death could be demonstrated. Furthermore, a dose dependency of the antiviral ribozyme effects was observed.

Adult↗
PubMedDate not supplied

Temperature-dependent versus constant-rate blood perfusion modelling in ferromagnetic thermoseed hyperthermia: results with a model of the human prostate.

Finite-element solutions to the Pennes bioheat equation are obtained with a model of a tumour-containing, human prostate and surrounding normal tissues. Simulations of ferromagnetic hyperthermia treatments are conducted on the tissue model in which the prostate is implanted with an irregularly spaced array of thermoseeds. Several combinations of thermoseed temperatures with different Curie points are investigated. Non-uniform, constant-rate blood perfusion models are studied and compared with temperature-dependent descriptions of blood perfusion. Blood perfusions in the temperature-dependent models initially increase with tissue temperature and then decrease at higher temperatures. Simulations with temperature-dependent versus constant-rate blood perfusion models reveal significant differences in temperature distributions in and surrounding the tumour-containing prostate. Results from the simulations include differences (between temperature-dependent and constant-rate models) in (1) the percentage of normal tissue volume and tumour volume at temperatures > 42 degrees C, and (2) temperature descriptors in the tumour (subscript t) and normal (subscript n) tissues including Tmax.t, Tmin.t and Tmax.n. Isotherms and grey-scale contours in the tumour and surrounding normal tissues are presented for four simulations that model a combination of high-temperature thermoseeds. Several simulations show that Tmin.t is between 1.7 and 2.6 degrees C higher and Tmax.n is between 2.1 and 3.3 degrees C higher with a temperature-dependent versus a comparable constant-rate blood perfusion model. The same simulations reveal that the percentages of tumour volume at temperatures > 42 degrees C are between 0 and 68% higher with the temperature-dependent versus the constant-rate perfusion model over all seed combinations studied. In summary, a numerical method is presented which makes it possible to investigate temperature-dependent, continuous functions of blood perfusion in simulations of hyperthermia treatments. Simulations with this numerical method reveal that the use of constant-rate instead of temperature-dependent blood perfusion models can be a conservative approach in treatment planning of ferromagnetic hyperthermia.

Body Temperature Regulation↗
PubMedDate not supplied

Line of sight and alternative representations of aberrations of the eye.

Several methods for representing pupil plane aberrations based on wavefront height, slope, and curvature are discussed. The choice of reference axis and reference surface is shown to strongly affect the appearance of the representation. Special attention will be paid to the use of the line of sight (the line from the fixation point to the center of the pupil) as the reference axis. We show that the line of sight is ambiguous and does not determine the amount of prism in the wavefront.

Cornea↗