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PubMed2006

Idazoxan increases perforant path-evoked EPSP slope paired pulse inhibition and reduces perforant path-evoked population spike paired pulse facilitation in rat dentate gyrus.

Norepinephrine, acting via beta-adrenoceptors, enhances the perforant path-evoked potential in dentate gyrus. Using systemic idazoxan to increase norepinephrine, and paired perforant path pulses to probe early inhibition, previous investigators reported that idazoxan increased initial spike amplitude and increased somatic feedback inhibition. Here, feedback inhibition was re-examined in idazoxan-treated (5 mg/kg) rats under urethane anesthesia. To control for initial increased spike amplitude after idazoxan, evoked potentials were matched, pre- and post-idazoxan, on initial population spike. Input-output current profiles were also compared pre- and post-idazoxan. Saline- and timolol-filled micropipettes permitted evaluation of a contribution of local beta-adrenoceptors. As previously observed, initial spike amplitude was potentiated by idazoxan. Comparable spike potentiation was not seen on the timolol micropipette. Paired pulse inhibition of spike amplitude apparently increased, but input-output curve comparisons revealed a loss of feedback facilitation rather than an increase in feedback inhibition. Initial EPSP slopes were depressed after idazoxan in input-output curve data. EPSP slope feedback ratios were significantly reduced following idazoxan. These data suggest idazoxan has multiple effects on perforant path input to the dentate gyrus. Spike potentiation following idazoxan has previously been shown to depend on intact norepinephrine input. Here, the reduction in spike potentiation on the timolol pipette is consistent with other evidence that norepinephrine-mediated potentiation of the perforant path-evoked potential is dependent on local beta-adrenoceptor activation. The input-output data suggest a decrease in feedback facilitation after idazoxan is likely to account for the apparent increase in feedback inhibition previously reported. Decreased EPSP slope ratios with similar paired pulse intervals have been reported in novel environments. Since exposure to novel environments activates locus coeruleus neurons, norepinephrine may mediate the change in EPSP slope inhibition reported in awake rats. In summary, these results are consistent with the hypothesis that idazoxan potentiates granule cell responses to perforant path input in the dentate gyrus via increases in norepinephrine that lead to beta-adrenoceptor activation, and, further, that idazoxan reduces paired pulse feedback spike facilitation and enhances EPSP slope, but not spike, feedback inhibition.

Adrenergic alpha-Antagonists↗

PubMed2004

Controlling the effects of pulse transients and RF inhomogeneity in phase-modulated multiple-pulse sequences for homonuclear decoupling in solid-state proton NMR.

The effects of pulse imperfections and RF inhomogeneity on NMR spectra obtained with phase-modulated multiple-pulse NMR sequences are analyzed. The emphasis is on the combined effects of frequency offset, RF inhomogeneity, and pulse phase transients. To enable a theoretical description of the transients associated with phase changes under continuous RF irradiation, the nature of the transients is investigated in depth. As monitored in our 300 MHz spectrometer, they are found to be caused by linear elements of the RF circuitry. The validity of their representation as delta-function pulses and the significance of their decomposition into antisymmetric and symmetric components are discussed. A practical method for quantitative control of the antisymmetric phase transients is proposed. The linearity property allows the development of a theoretical description of the spin dynamics caused by the transients. This leads to a vector-Hamiltonian model for phase-modulated Lee-Goldburg experiments. It quantitatively predicts both the frequency shift and the line broadening caused by antisymmetric phase transients and their coupling with RF inhomogeneity. The model is shown to be equally applicable to frequency-switched Lee-Goldburg experiments. A noteworthy discovery is that for a given magnitude of the antisymmetric phase transients a frequency offset exists at which the inhomogeneity broadening is essentially canceled. This explains the common observation that for best resolution one side of resonance is preferred over the other. It also suggests a strategy for enhancing resolution without having to resort to severe sample volume restriction. Numerical calculations verified the theoretical predictions and allowed extension of the model to BLEW-12 and DUMBO-1. Experimental verification is presented. The deviations from theoretical predictions are discussed.

Journal Article↗

PubMed2005

Photo-CIDNP experiments with an optimized presaturation pulse train, gated continuous illumination, and a background-nulling pulse grid.

Methods to record chemically induced dynamic nuclear polarization (CIDNP) spectra that are virtually free from background magnetization and avoid the sensitivity loss and subtraction artifacts of difference spectroscopy have been developed. Presaturation by a string of composite pi/2 pulses, each followed by a defocussing field gradient, is analyzed, and guidelines for the optimization of pulse phases and gradient strengths are derived. Subsequent gated illumination during a grid of pi pulses with a prescribed timing causes the background magnetization to vanish at those moments of a pulse sequence when CIDNP magnetization is to be sampled or transferred. By shifting the illumination intervals within such a grid, the sign of the polarizations can be inverted without influencing the development of the background magnetization, allowing a further strong suppression of residual background by a phase cycle. Experimental examples for the application of these methods to more complex CIDNP experiments (1D-CIDNP-COSY, 1D-CIDNP-TOCSY, CIDNP-induced heteronuclear Overhauser effects, water suppression in protein CIDNP) are given.

Animals↗

PubMed1997

Hemolysis of 40% hematocrit, Albunex-supplemented human erythrocytes by pulsed ultrasound: frequency, acoustic pressure and pulse length dependence.

The dependence of hemolysis produced by pulsed ultrasound on ultrasound frequency, acoustic pressure and pulse length was explored. Human erythrocytes (40% hematocrit; in Albunex-supplemented autologous plasma) were exposed (60 s) to 20 or 200 microns pulses of ultrasound at frequencies of 1.02, 2.24 or 3.46 MHz and at peak negative pressures [P-] ranging from 0.0 to approximately 3.0 MPa in 0.5 MPa increments. The duty factor was 0.01. At each frequency, hemolysis increased with increasing acoustic pressure and depended weakly on pulse duration. At relatively high acoustic pressures, hemolysis depended strongly on ultrasound frequency; at lower pressures, the frequency dependence was weaker. The potential clinical significance of ultrasonic hemolysis is discussed.

Albumins↗

PubMed2004

Evaluating the efficacy of treatment of resistant port-wine stains with variable-pulse 595-nm pulsed dye and 532-nm Nd:YAG lasers.

BACKGROUND: Some port wine stains (PWSs), despite multiple treatments with the 585-nm 0.45-ms pulsed dye laser (PDL), fail to improve substantially. OBJECTIVE: To determine the efficacy and tolerability of variable pulse width 595-nm PDL and 532-nm Nd:YAG laser in the treatment of resistant PWS. METHODS: Twenty-two patients whose PWS failed to achieve more than 75% lightening after more than 15 treatments with the 585-nm 0.45-ms PDL were recruited. A homogenous patch of PWS was divided into five areas. Area 1 (control area) was treated with 585-nm, 0.45-ms PDL (fluence 7.5 J/cm2). Areas 2 and 3 were treated with 595-nm PDL at fluence 15 J/cm2 (with cryogen spray cooling) and pulse durations of 1.5 and 10 ms, respectively. Areas 4 and 5 were treated with a 532-nm Nd:YAG laser at 2 ms, 7 J/cm2 and 10 ms, 16 J/cm2, respectively (with a contact cooling tip). The response was assessed by photographic evaluation. RESULTS: Three patients had further lightening in area 2, and two patients had further lightening in area 3. Each of three patients had further lightening in areas 4 and 5, respectively. One patient had further lightening in the control area. CONCLUSION: In individual patients, it may be effective to treat resistant PWS with the variable-pulse width 595-nm PDL and the 532-nm Nd:YAG laser.

Adolescent↗

PubMed2000

Treatment of a resistant port-wine stain with the 1.5-msec pulse duration, tunable, pulsed dye laser.

BACKGROUND: Pulsed dye lasers (PDLs) have been developed with relatively long pulse durations in comparison to their predecessors. OBJECTIVE: To demonstrate the efficacy of the 1.5-msec PDL for treating a port-wine stain that was resistant to the 0.5-msec PDL. METHODS: A 31-year-old man with a congenital port-wine stain underwent treatment with the PDL seven times over approximately 2 years. Although it lightened, no areas demonstrated complete clearing. He recently presented for treatment with the 1.5-msec PDL. RESULTS: Initial results of treatment with a 1.5-msec PDL on this patient's port-wine stain demonstrate dramatic clearance of areas previously treated with an identical fluence using a 0.5-msec PDL. CONCLUSION: Longer pulse duration PDLs should be further investigated for the treatment of port-wine stains and may offer improved efficacy over shorter pulse durations.

Adult↗

PubMed2003

Comparative study on a single treatment response to long pulse Nd:YAG lasers and intense pulse light therapy for hair removal on skin type IV to VI--is longer wavelengths lasers preferred over shorter wavelengths lights for assisted hair removal.

OBJECTIVE: To investigate the safety and effectiveness of a long pulsed Nd:YAG (1064nm) laser compared to a shorter wavelength intense pulse light system for assisted hair removal in volunteers with skin type 1V, V and VI. METHODS: Eleven patients of Fitzpatrick skin type IV-VI were recruited into the study. The area treated included the face (upper lips, chin and jaw area), axillae and legs. One half of the body was treated with the long pulse Nd:YAG laser and the other half was treated with the IPL system randomly under topical anesthesia. Degree of pain experienced during treatment, the treatment outcome and any complications were observed. Patients were reviewed at 2 weeks and 6 weeks post-treatment. RESULTS: Volunteers generally described pain from the IPL system as "prolonged burning sensation" but tolerable. Pain from Nd:YAG laser treatment was described as "pinprick" and more intense but tolerable. "Slowing of hair growth"was reported with IPL and Nd:YAG, but with a greater effect from Nd:YAG. Sixty-four percent and 73%(8/11) noticed hair reduction <20% after 6 weeks on IPL and Nd:YAG treated side respectively (ns). Post-inflammatory pigmentation occurred in some volunteers on the IPL treated sides whereas this was not seen on any Nd:YAG treated side, and three of these patients experienced blistering, followed by post-inflammatory pigmentation. CONCLUSION: In our experience the long pulse width 1064 nm Nd:YAG laser, which can penetrate 5-7 mm into the dermis depths to reach the whole length of the hair follicle, would be expected to produce sufficient follicular injury with less epidermal damage in patients with darker skin type compared to shorter wavelength laser and light system.

Adult↗

PubMed2004

Recombination factors for the cylindrical FC65-G ionization chamber in pulsed photon beams and the plane-parallel Roos ionization chamber in pulsed electron beams.

The use of ionization chambers in linac radiotherapy dosimetry requires various corrections to the measured charges, one of these being the recombination correction. The recombination correction factor (k(s)) is generally estimated from the two-voltage analysis (TVA) for each beam quality. However, it is possible that the ionization chamber above some threshold polarizing voltage does not follow the accepted Boag theory very well. Secondly the TVA is time-consuming as the chamber needs to stabilize after each polarizing voltage change and since it must be performed for each beam quality. Another approach consists in using the fact that k(s) is predicted to depend linearly on dose per pulse by Boag theory: determining this relationship once and for all using a multi-voltage analysis (MVA), one also checks the range validity of the Boag theory for the chamber considered. This work presents a thorough analysis of k(s) dependence on dose per pulse of FC65-G (cylindrical) and Roos (plane-parallel) ionization chambers in pulsed photon and electron beams, respectively. Within the uncertainties, the recombination factors are found to be independent of beam quality, and no deviation from the Boag theory is observed within the tested range of polarizing voltages. Before adapting the equations given using the MVA other users should check that their ionization chambers show the same dose per pulse dependence using the TVA for a few beam qualities.

Algorithms↗

PubMed1993

Randomized evaluation of pulse oximetry in 20,802 patients: I. Design, demography, pulse oximetry failure rate, and overall complication rate.

BACKGROUND: Although pulse oximetry is currently in widespread use, there are few data documenting improvement in patient outcome as a result of the use of oximetry. The authors describe the study design, patient demographic findings, data validation, pulse oximetry failure rate, and overall postoperative complication rates in the first large prospective randomized multicenter clinical trial on perioperative pulse oximetry monitoring. METHODS: In five Danish hospitals, by random assignment, monitoring did or did not include pulse oximetry for patients 18 yr of age and older, whether scheduled for elective or emergency operations, or for regional or general anesthesia, except during cardiac and neurosurgical procedures. Operational definitions were established for perioperative events and postoperative complications. The data were collected preoperatively, during anesthesia, in the postanesthesia care unit, and until the day of discharge from the hospital or the seventh postoperative day. RESULTS: Of 20,802 patients, 10,312 were assigned to the oximetry group and 10,490, to the control group. In general, the demographic data, patient factors, and anesthetic agents used were distributed evenly. A slight intergroup difference was found in the distribution of age, duration of surgery, some types of surgery, and some types of anesthesia. The total failure rate of the oximetry was 2.5%, but it increased to 7.2% in patients with American Society of Anesthesiologists physical status 4 (P < 0.00001). In 14.9% of the patients, one or more events occurred in the operating room and 13.5% in the postanesthesia care unit. The overall postoperative complication rate was 9.7%. The total rates of cardiovascular and respiratory complications were 2.78% and 3.50%, respectively. Within the first seven postoperative days, 0.47% of the patients died. Anesthesia was not thought to have been solely responsible for any death, but in 7 patients (1 per 3,365), it was a possible contributory factor. CONCLUSIONS: Despite the finding of a few significant inter-group differences, the randomization was well balanced with a high validity of data. The overall postoperative complication rate was similar to that in other recent morbidity and mortality studies.

Adult↗

PubMed2000

Phase relations, quasicontinuous spectra and subfemtosecond pulses in high-order stimulated raman scattering with short-pulse excitation

High-order stimulated Raman scattering for pumping by ps and sub-ps pulses is studied in the frame of a time-domain approach without the slowly varying envelope approximation. Formation of pulse trains with sub-fs durations in the ps-pump regime is demonstrated using external phase compensation. For sub-ps excitation a novel broadening mechanism of Raman lines is predicted that leads to a quasicontinuous spectrum and permits one to generate single sub-fs pulses. We predict also essential shortening of a delayed fs-probe pulse by the Raman oscillations without phase control.

Journal Article↗

PubMed2002

Generation of single dispersion precompensated 1-fs pulses by shaped-pulse optimized high-order stimulated Raman scattering.

We propose and theoretically analyze a new approach for generating and shaping 1-fs pulses. It combines the ideas of strong-field molecular optics and optimal control to manipulate light generation in a pump-probe Raman regime. Flexible phase control over the generated spectrum of about 3 eV width is achieved by controlling the input pulses and maximizing the coherence of medium excitation by adiabatically aligning molecules in the medium with a specially shaped pump pulse. The generated pulse is optimized for an output window, precompensating for its dispersion to all orders.

Journal Article↗

PubMed2006

Optical pulse compression of ultrashort laser pulses in an argon-filled planar waveguide.

We investigate the possibility of optical pulse compression of high energy ultrashort laser pulses in an argon-filled planar waveguide, based on two level coupled mode theory and the full 3D nonlinear Schrödinger equation. We derive general expressions for controlling the spatial beam profile and the extent of the spectral broadening. The analysis and simulations suggest that the proposed method should be appropriate for optical pulse compression of ultrashort laser pulses with energies as high as 600 mJ.

Journal Article↗

PubMed1996

Linear hydraulic pressure-pulse actuator (LHPA): a versatile instrument that produces a simulated blood pressure pulse wave for small sized vessels.

An instrument is presented which produces a simulated circulatory pulsatile pressure wave for small sized vessels. The linear hydraulic pressure-pulse actuator (LHPA) is designed to be extremely versatile, that is, a blood pressure wave source of any shape, amplitude, offset and frequency can be simulated. In addition, the LHPA can reproduce accurately a real pulse pressure wave by simply imputting an actual data record of a circulatory pressure pulse. The design is accomplished by incorporating the use of a linear force solenoid driven with a voltage-to-current source power amplifier. Testing of the device is presented here, as well as pressure pulse results from a recorded pulsatile pressure input to the LHPA. The device is simple to implement in that its response is linear, for volume changes upto +/- 5 mL, without the need for feedback compensation.

Biomedical Engineering↗

PubMed2006

Photo-epilation results of axillary hair in dark-skinned patients by intense pulsed light: comparison between different wavelengths and pulse width.

BACKGROUND: Recently, intense pulsed light (IPL) sources have been shown to provide long-term hair removal. OBJECTIVE: This study examined the photo-epilatory effects of different wavelengths and pulse width application in the same IPL device and compared their efficiencies in Asian skin. METHODS: Twenty-eight Korean women were treated using hair removal (HR) (600-950 nm filter) and 27 using HR-D (645-950 nm filter) in the axillary area. Four treatments were carried out at intervals of 4 to 6 weeks; follow-ups were conducted 8 months after the last treatment. Mean energy settings were 14.9 6 2.0 J/cm2 for HR and 17.1 6 0.6 J/cm2 for HR-D. Longer pulse widths were applied in case of HR-D treatment. Hair counts and photographic evaluation of skin sites were made at baseline and at the last follow-up. Final overall evaluations were performed by patients and clinicians. RESULTS: Average clearances of 52.8% and 83.4% were achieved by HR and HR-D, respectively. No significant adverse effects were reported after HR-D treatment. One case each of hypopigmentation and hyperpigmentation was reported for HR. CONCLUSION: An IPL source removing 45 nm of the emitted spectra and applying a longer pulse width was found to provide a safer and more effective means of photo-epilation in Asian patients.

Adult↗

PubMed2004

Effects of pulsed electromagnetic fields on cognitive processes - a pilot study on pulsed field interference with cognitive regeneration.

BACKGROUND: Due to the ubiquitous use of cellular phones much has been speculated on secondary effects of electromagnetic irradiation emitted by those. Additionally, several studies have reported vegetative alterations as well as effects on the neuronal and molecular levels in humans. Here, using a psycho-physiological test paradigm, we examined effects of exposure to pulsed electromagnetic fields on cognitive performance. MATERIALS AND METHODS: In 11 volunteers, we tested cognitive processing under field exposure (GSM standard) and under field-free conditions. To examine the hypothesized effect of pulsed fields, we applied an auditory discrimination task and determined the participant's current 'Order Threshold' value. Following a first test cycle, the volunteers had to relax for 50 min while being, or not, exposed to pulsed electromagnetic fields. Subsequently, the test was repeated. Data acquired before and after the resting phase were compared from both experimental conditions. RESULTS: We found that nine of the 11 test participants (81.8%) showed worse results in their auditory discrimination performance upon field exposure as compared with control conditions. Group data comparison revealed a statistical significance of P = 0.0105. CONCLUSION: We could show that the participants' cognitive performance was impaired after exposure to pulsed electromagnetic fields. With regard to this finding, we recommend that the use of cellular phones should be restricted generally and in particular in respect of physical hazard of high-risk groups, e.g. elderly, children and ill people.

Acoustic Stimulation↗

PubMed2001

Influence of pulse duration on ultrashort laser pulse ablation of biological tissues.

Ablation characteristics of ultrashort laser pulses were investigated for pulse durations in the range of 130 fs-10 ps. Tissue samples used in the study were dental hard tissue (dentin) and water. We observed differences in ablation crater morphology for craters generated with pulse durations in the 130 fs-1 ps and the 5 ps-10 ps range. For the water experiment, the surface ablation and subsequent propagation of stress waves were monitored using Mach-Zehnder interferometry. For 130 fs-1 ps, energy is deposited on the surface while for longer pulses the beam penetrates into the sample. Both studies indicate that a transition occurs between 1 and 5 ps.

Differential Threshold↗

PubMed1989

[Enhanced percutaneous absorption of formoterol fumarate via pulsed iontophoresis. II. Effect of polarity, pulse frequency and duty].

To clarify the effect of polarity, pulse frequency and duty on the iontophoretic transport of formoterol fumarate (FF), in vitro and in vivo studies were performed with guinea pigs. In the in vitro studies, the flux at steady state was enhanced by the factor 7.61 with anodal iontophoresis in comparison with control, whereas, with cathodal iontophoresis it was restrained by the factor 0.79. When pulse frequency was varied from 0 to 40 kHz, the flux at steady state was enhanced with an increase in pulse frequency. In the in vivo studies with varying the duty of pulse potential from 10 to 100%, the maximum plasma concentration of FF was obtained at a 30% duty. In contrast, the plasma concentration of FF achieved at 100% duty was not high. With stripped skin, no significant difference in the plasma concentration of FF was shown between iontophoresis and control. Consequently, it is suggested that iontophoresis contributes to FF penetration across stratum corneum.

Animals↗

PubMed2003

Subfemtosecond pulse generation and multiplicative increase of pulse spacing in high-order stimulated Raman scattering.

We demonstrate a technique for multiplicatively increasing the pulse spacing of subfemtosecond pulse trains generated by high-order stimulated Raman scattering, which uses pairs of off-resonant two-photon excitation of a molecular Raman mode to establish strong molecular modulation in the medium. Every laser pair has two single-mode laser beams tuned slightly off two-photon resonance, and the laser pairs have their corresponding carrier frequencies shifted from each other by one half, one third, or one fourth of the selected molecular Raman mode frequency. Theoretical analyses and calculations based on the fundamental vibrational transition of solid hydrogen show that the pulse spacing of the subfemtosecond pulse trains thus generated can readily be doubled, tripled, or even quadrupled.

Journal Article↗