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Seasonal variation in postdexamethasone cortisol values in depressed inpatients. Results of least squares cosine spectral analysis.

Recently, a significant seasonal variation in postdexamethasone (post-DST) cortisol values in depressed patients has been reported. This study aimed to investigate seasonal variation in post-DST cortisol values in 269 depressed patients admitted to a psychiatric ward during 70 consecutive months. By means of analysis of variance no significant differences could be detected in post-DST values in depressed men or women, alone or together, between the 12 months, the period November-February versus March-October, or between the tour quartiles. By means of spectral analysis no significant seasonal rhythms, i.e. annual or harmonic rhythms, could be found in the time series of post-DST cortisol values either in the total group of depressed patients or in depressed women separately (n = 190). Spectral analysis showed a significantly biannual rhythm in the post-DST cortisol values in depressed men, with peaks in June and December and troughs in March and September. This biannual rhythm explained 12.4% of the variance in the post-DST cortisol values of depressed men. The results show that there is a significant seasonal variation in post-DST cortisol values in depressed men, but not in depressed women.

Dexamethasone↗

Spectral analysis of sphenoidal evoked potentials predicts epileptic focus.

Sphenoidal evoked potentials (SpEPs) were recorded in 14 patients with intractable temporal lobe epilepsy. Twelve patients had electrographically proven unilateral seizure onset (five left, seven right). Two patients had partial complex seizures and unilateral mesial temporal lobe lesions shown by magnetic resonance imaging (MRI). Thirteen patients subsequently underwent temporal lobectomy. SpEPs were recorded using the P3 tonal oddball paradigm from sphenoidal electrodes referenced to scalp electrodes (i.e., T3, T4, C3, C4, Cz) and were subjected to spectral analysis for whole band (1-12.6 Hz) power. A significant relationship was found for side of seizure focus and reduced spectral power of the sphenoidal-temporal target SpEPs. In 10 of 14 patients, SpEP spectral power was less from the "epileptogenic" than from the "nonepileptogenic" temporal lobe. Of the remaining 4 patients, 2 had bilaterally equal spectral power, and 2 had lower SpEP power from the nonepileptogenic side. Postoperatively, all 13 patients are seizure-free except for the 2 patients with reduced SpEP power opposite to the ictal onset and 1 patient with fluctuations in SpEP asymmetries. Spectral analysis of SpEPs appears to have utility in the assessment of temporal lobe dysfunction and thus in the preoperative evaluation for epilepsy surgery.

Adolescent↗

Characteristics of autonomic nervous function in Zucker-fatty rats: investigation by power spectral analysis of heart rate variability.

We investigated the characteristics of autonomic nervous function in Zucker-fatty and Zucker-lean rats. For this purpose, a long-term electrocardiogram (ECG) was recorded from conscious and unrestrained rats using a telemetry system, and the autonomic nervous function was investigated by power spectral analysis of heart rate variability (HRV). Although heart rate (HR) in Zucker-fatty rats was lower than that in Zucker-lean rats throughout 24 h, apparent diurnal variation in HR was observed in both strains and HR during the dark period was significantly higher than that in light period. Diurnal variation in locomotor activity (LA) in Zucker-fatty rats was also observed, but LA was lower than that in Zucker lean rats, especially during the dark period. There were no significant differences, however, in high-frequency (HF) power, low-frequency (LF) power, and the LF/HF ratio between Zucker-fatty and Zucker-lean rats. The circadian rhythm of these parameters was mostly preserved in both strains of rats. Moreover, the effect of autonomic blockades on HRV was nearly the same in Zucker-fatty and Zucker-lean rats. These results suggest that the autonomic nervous function of insulin-resistant Zucker-fatty rats remain normal, from the aspect of power spectral analysis of HRV.

Animals↗

EEG spectral analysis in children with febrile delirium.

UNLABELLED: Febrile delirium is defined as an acute and transient confusional state with high fever. There are very few reports on febrile delirium, although fever is one of the commonest symptoms in children. We previously found a posterior slowing in the electroencephalogram (EEG) of delirious patients with fever. The purpose of this study is to evaluate the features of occipital slow waves by spectral analysis and to find a parameter associated with clinical improvement. METHODS: Digital EEG tracings were investigated by Fourier analysis in 20 patients aged from 2 to 13 years. The fast Fourier transform (FFT) was computed for 20 s tracing from the P3-A1 and P4-A2 derivations. The spectral analysis of EEG was repeated in 7 patients. The tracings of 34 control subjects were also analyzed by FFT. EEG of a febrile, nine-year-old girl without delirium was also studied. RESULTS: Febrile delirium was seen during the first three days of fever. The episodes lasted up to 10 min. Four patients showed febrile delirium again after admission but they became conscious a few minutes later. The relative power in the delta frequency band was increased in 65% of patients with preservation of the occipital alpha rhythm. In addition, repeated febrile delirium did not cause worsening of the posterior slowing. The duration of abnormal EEG was only a few days and the decrease of relative power in the delta frequency band was the best parameter of clinical improvement. Posterior slowing was also found in a febrile patient without delirium. CONCLUSION: Febrile delirious children showed the characteristic clinical and spectral analytical features and the numerical data of EEG facilitate the comparison of the serial findings.

Adolescent↗

[Study on the quality of spectral line of laser microprobe emission spectral analysis].

In this paper, the quality improvement of Laser Microprobe Emission Spectral Analysis (LMESA) lines in argon atmosphere at reduced pressure was experimentally investigated. The experimental setup consists of a YGJ-II laser micro-spectral analyzer and a photo-electro detection system. The temporal behavior and the intensity distribution of Cu I 324.7 nm and Cu I 327.4 nm lines of the copper alloy standard samples were studied. The results show that LMESA spectrum strongly depends on the environment gas, its pressure and the auxiliary excitation parameters. When the diameter at the end of graphite auxiliary electrodes is 1.5 mm, the distance between the electrodes is 4 mm, the center of the electrodes is 3 mm above the sample surface, the voltage of the auxiliary excitation is 1,300 V and the argon pressure is 33.2 Kpa, the emission time of Cu I 324.7 nm and Cu I 327.4 nm is about 500 microseconds longer than that in the air. The emission intensity of Cu I 324.7 nm and Cu I 327.4 nm is about 4 times higher than that in the air at the same pressure and is about 2 times higher than that in the air at normal pressure. The full width at half maximum of the spectral lines is obviously narrowed.

Argon↗

Assessment of acetazolamide reactivity in cerebral blood flow using spectral analysis and technetium-99m hexamethylpropylene amine oxime.

Cerebral blood flow (CBF) can be quantified noninvasively using the brain perfusion index (BPI), determined from radionuclide angiographic data generated with technetium-99m hexamethylpropylene amine oxime (99mTc-HMPAO). Previously, the BPI has been calculated using graphical analysis (GA); however, the GA method is greatly affected by the first-pass extraction fraction and retention fraction, which are not only variable, but lower in cases with an increased CBF, such as after the administration of acetazolamide. Thus, GA-calculated BPI values (BPIG) may not reflect the absolute CBF. The objective of this study was to use the spectral analysis of radionuclide angiographic data collected using 99mTc-HMPAO to examine changes in the BPI after the administration of acetazolamide. We studied the CBF of both cerebral hemispheres in six healthy male volunteers; the BPI was measured at rest and after the intravenous administration of 1 g of acetazolamide. In all participants, an H215O positron emission tomography (PET) examination was also performed, and the spectral analysis-calculated BPI values (BPIS) and BPIG values were compared with the actual CBF measured using H215O PET (mCBFPET). The BPIS was 1.070 +/- 0.051 (mean +/- SD) at rest and 1.497 +/- 0.098 after acetazolamide; the corresponding BPIG values were 0.646 +/- 0.073 and 0.721 +/- 0.107. The BPIS values were significantly correlated with the mCBFPET values, whereas the BPIG values were not. According to the BPIS values, the increase in BPI after the intravenous administration of acetazolamide was 40.1 +/- 8.4%, as opposed to an increase of only 11.3 +/- 6.5% according to the BPIG values. These results suggest that the spectral analysis of 99mTc-HMPAO-generated data yields a more reliable BPI than GA for the quantification of CBF after acetazolamide administration.

Acetazolamide↗

Digital spectral analysis of the drill-bone acoustic interface during temporal bone dissection: a qualitative cadaveric pilot study.

HYPOTHESIS: To qualitatively assess the different acoustic signatures of an otologic drill burr-bone interface during temporal bone dissection on full thickness calvarial and thin tegmen bone. BACKGROUND: An appreciable change in the sound generated by drilling occurs with progressive thinning of the bone during temporal bone dissection. To date, descriptions of this phenomenon are limited to a handful of subjective characterizations. Using digital power spectral analysis, interpretation of complex functions of time such as acoustic signals can be interpreted. METHODS: Acoustic data recorded from five cadaveric temporal bone dissections were studied using digital spectral analysis. RESULTS: The energy bandwidth concentration was between 5.0 and 7.9 kHz for full thickness bone using the cutting burr. Thin tegmen bone bandwidth concentration was lower, between 3.7 and 7.4 kHz and 3.9 and 6.0 kHz, using cutting and diamond burrs, respectively. Harmonic frequencies for thin tegmen bone-burr signals were 630 Hz. CONCLUSION: There is a consistent, reproducible qualitative difference in the spectral domain of the acoustic signature from the drill burr-bone interface between thick calvarial bone and thin tegmen bone caused by a higher harmonic peak interval and lower energy bandwidth concentration in the thinned tegmen bone-burr interface signal thus concentrating the acoustic signal within a more optimal frequency range for human perception. These results allow for a better understanding of the perceived change in sound with progressive thinning of bone with drilling. In addition, these data may allow the development of more realistic acoustic interfaces in virtual reality temporal bone dissection simulators.

Acoustics↗

Spectral analysis of the EEG during hypothermic cardiopulmonary bypass.

In 39 patients undergoing aorto-coronary-bypass grafting, spectral analysis of the EEG (compressed spectral array: CSA) and calculation of spectral edge frequency (SEF) were performed. The effects of different temperatures and of perfusion pressure (PP) were analyzed. Predictable patterns were observed. During cooling on cardiopulmonary bypass (CPB), linear regression analysis revealed a close correlation between SEF and tympanic membrane (Tty) or nasopharyngeal temperature (Tnp). During rewarming, a nonlinear correlation between SEF and Tty or Tnp was found. Rectal temperature as well as blood temperature in the arterial or venous line of the oxygenator seemed to be less useful. The independence of SEF and PP was demonstrated during the whole procedure. At the onset of CPB, after correction of the aortic clamp for performance of the aortic anastomosis and after removal of the aortic clamp, bilateral EEG slowing of varying duration occurred in 20 patients. Comparison of mean SEF before and after CPB revealed a difference of about 5 Hz. In no patient were major neurological abnormalities observed postoperatively.

Body Temperature↗

Evaluation of autonomic nervous system function with spectral analysis of heart rate variability in a case of tetanus.

The autonomic nervous system is affected in a wide variety of neurological disorders. Its dysfunction may play an important role in the clinical course and may result in serious complications, such as cardiac arrest. We report a case of tetanus who presented with severe autonomic nervous system dysfunction which was detected by spectral analysis of heart rate variability monitored over 24 h. This is a semi-quantitative method for evaluation of the status of the autonomic nervous system. In the present case, the analysis revealed profoundly decreased activity of both sympathetic and parasympathetic nervous system modulation of cardiac rhythm. The parasympathetic nervous system activity was more severely impaired than that of the sympathetic nervous system. The relative predominance of the sympathetic nervous system in the present case may have resulted in unopposed sympathetic nervous system hyperactivity manifested in this patient by tachycardia and excessive sweating. We further infer that the documented diminished buffering capacity of the autonomic nervous system may have lead to a sudden cardiac arrest in our case. Thus, spectral analysis of heart rate variability is a non-invasive and sensitive method for evaluating the status of the autonomic nervous system of critically ill patients in the hospital setting.

Arrhythmias, Cardiac↗

Heart-rate variability in children. Spectral analysis of developmental changes between 5 and 24 years.

The variation in instantaneous heart rate is most prominent in infants and younger subjects. In a preliminary study of the effects of maturation on heart rate, we compared the heart rate variations of 29 children and young adults in three groups between 5 and 24 years of age. We used spectral analysis to determine the intensity of the variations in each of the two main frequency bands in which variations occur: HF, 0.15-0.45 Hz, and LF, 0.03-0.15 Hz. Three-minute segments of continuous instantaneous heart rate were recorded for each subject in standing and supine positions. The group mean LF and HF amplitudes and the L/H ratio decreased between 5 and 10 years of age in both positions, significantly for LF and L/H in the supine position (p less than 0.05). Half of the youngest group of children had adult LF amplitude values by 5 years of age; the others had much higher levels, indicating increased low frequency variation at this age. Thus the high variation in heart rate in very young subjects is most prominent in the LF range. These preliminary results, considered with previous pharmacological studies, suggest that many children have a significant decrease in sympathetic activity between 5 and 10 years of age and possibly a slight decrease in parasympathetic activity. Spectral analysis of heart rate appears a promising technique for investigating the development of neural control of the heart.

Adolescent↗

[EEG spectral analysis in sylvian ischemia with normal value tracings].

The EEG power spectral analysis of 8 patients with a definite sylvian ischemia, the standard EEG of which was normal, was determined in comparison with the date of a control group (N = 14). We calculated the right-left power spectral differences in 4 symmetrical bipolar leads for 5 rhythms (delta: 1.2-3.1 Hz, theta: 3.5-7 Hz, alpha: 7.4-12.3 Hz, beta 1: 12.9-14.1 Hz and beta 2: 15.2-17.2 Hz). For each patient, the spectral difference is measured in comparison with the normal range of the control group with an alpha risk of 5%. There are 54 asymmetries favouring the lesioned side (mostly in 5 patients) and 6 the opposite, without predominance of a particular rhythm with the exception of the beta 2 rhythm which presents no asymmetries.

Aged↗

Neonatal magnetocardiography and Fourier spectral analysis.

OBJECTIVE: In this study we investigated the relationship between heart rate variability (HRV) and respiration in healthy and probably asphyxiated infants using magnetocardiographic (MCG) recordings. METHODS: Ten healthy and eight infants from pregnancies complicated by preeclampsia with indications of mild perinatal asphyxia were included in the study. All were near term. Maternal age ranged from 16 to 39 years (mean = 29.05, SD = 6.13). Spectral analysis was used to find out any association between respiration and HRV. RESULTS: Respiratory sinus arrhythmia (RSA) was reduced in preeclamptic infants with indications of mild perinatal asphyxia. This difference was statistically significant (p < 0.0002, t-test), whereas the heart rate of the two groups was not statistically significant (p = 0.1, t-test). CONCLUSION: The results suggest that infants with indications of mild preeclampsia differ from controls in respiratory activity and this difference is independent of basal heart rate. Thus, spectral analysis could be useful for the estimation of influence of mild perinatal asphyxia in the RSA rhythm of newborns.

Asphyxia Neonatorum↗

The time course of 'process S': comparison of visually scored slow wave sleep and power spectral analysis.

The sleep of 4 groups (N = 8) of young healthy subjects was recorded during naps at either 09.00, 14.00, 19.00 or 24.00 h. For the first hour of sleep, conventionally scored slow wave sleep (SWS) and computed EEG power density (0-25 Hz) were found to increase exponentially as a function of prior wakefulness (range 3-18 h). The equations based on SWS and spectral analysis of the sleep EEG gave values for r' (the growth rate of the function) that were similar to each other (0.038 and 0.039, respectively) and to that reported by Daan et al. (1984; 0.055). These data are consistent with the proposal that process S, 1 of 2 processes believed to regulate sleep and wakefulness, increases exponentially during the waking day (Daan et al. 1984). In addition, they indicate that in this context SWS and spectral analysis provide measures of slow wave activity that are equally sensitive to changes in prior wakefulness.

Adult↗

Cross-spectral analysis of cardiovascular variables in supine diabetic patients.

Cardiovascular autonomic neuropathy in diabetes is associated with a high risk of mortality, which makes its early identification clinically important. An easy method for identification of subjects with autonomic dysfunction would be of clinical benefit. We evaluated the autonomic function in 28 diabetic patients and 21 control subjects recording 12 min time series of heart period (RR) and systolic arterial pressure (SAP, Finapres) during supine rest and 60 degrees head-up tilt. The power of the high (respiratory) and low (LF approximately 0.1 Hz) frequency oscillations was quantified by spectral analysis. The central frequency of the LF oscillations (LF_freq), phase shift, and the transfer function gain between RR interval and SAP fluctuations were provided by cross-spectral analysis, and measured at the point of maximal coherence. In the supine position 15 patients (LF-) displayed atypical LF variability with the LF_freq being shifted towards lower frequencies (about 0.06 Hz). They also showed larger phase angle, lower values or even absence of coherence and smaller transfer function gain between RR and SAP fluctuations. 13 patients (LF+) and the controls showed the LF_freq around 0.1 Hz, higher coherence and transfer function gain values. The orthostatic maneuver induced the expected changes in the spectral parameters (increase in the LF components of both RR and SAP and decrease in the HF variability of RR) into the LF+ patients and all the control subjects and abnormal response in the other 15 LF-patients. These findings indicate that diabetic subjects with uncharacteristic response to the orthostatic test present abnormal LF variability already in the supine position. Crossspectral parameters while supine may be used for the identification of these subjects.

Adult↗

[Evaluation of therapy for dilated cardiomyopathy with heart failure by iodine-123 metaiodobenzylguanidine imaging: comparison with heart rate variability power spectral analysis].

The relationship between the myocardial uptake of iodine-123 metaiodobenzylguanidine (123I-MIBG) and heart rate variability parameters has not been determined. This study determined the relationship between the change in myocardial uptake of 123I-MIBG and improvement in left ventricular function after treatment, to determine the usefulness of 123I-MIBG imaging to assess the effect of therapy on heart failure due to dilated cardiomyopathy (DCM). 123I-MIBG imaging and power spectral analysis of heart rate variability were performed before and after treatment in 17 patients with heart failure due to DCM. The following parameters were compared before and after treatment: New York Heart Association (NYHA) functional class, radiographic cardiothoracic ratio (CTR), blood pressure, echocardiographic data [left ventricular end-systolic (LVDs) and end-diastolic (LVDd) diameters, left ventricular ejection fraction (LVEF)], plasma concentrations of norepinephrine and epinephrine, heart rate variability power spectral analysis data [mean low frequency (MLF) and high frequency power (MHF)] and the myocardium to mediastinum activity ratio (MYO/M) obtained in early and late images, and washout rate calculated by anterior planar imaging of 123I-MIBG. The NYHA functional class, LVEF, LVDs, CTR, MLF and MHF improved after treatment. Early MYO/M and late MYO/M improved after treatment. The rate of increase in late MYO/M was positively correlated with the rate of improvement of LVEF after treatment. Furthermore, the late MYO/M was negatively correlated with MLF. Washout rate revealed no correlation with hemodynamic parameters. These findings suggest that late MYO/M is more useful than washout rate to assess the effect of treatment on heart failure due to DCM. Furthermore, the 123I-MIBG imaging and heart rate variability parameters are useful to assess the autonomic tone in DCM with heart failure.

3-Iodobenzylguanidine↗

Termination of strict diet therapy in phenylketonuria. A study on EEG sleep patterns and computer spectral analysis.

For several years and under various aspects we have studied diet termination in twenty-two early and late treated patients with phenylketonuria. Time of diet termination was the completed eighth year. For evaluation of possible functional CNS deficits, we applied psychometric tests, methods for testing psychomotor behavior and, in addition, neurophysiological parameters and registrations of sleep EEG. EEG morphology was studied visually and the rhythms of the different phases of sleep were quantified by computerized spectral analysis. EEG was studied during diet therapy when phenylalanine levels in blood were low and after a relatively short period of four months with elevated phenylalanine blood levels. At least two years after diet termination with correspondingly elevated phenylalanine blood levels the EEG was studied once more. Compared to the respective findings before diet termination in these patients there were no significant changes of the sleep EEG seen, neither on visual nor on spectral analysis. We have seen in this study minor EEG changes in early treated children and overtly pathological EEG changes in late treated PKU patients with cerebral damage, both before and after diet termination. Ultrastructural CNS defects may be the cause of these anomalies which do not respond to the actual biochemical situation at the age of eight to ten years. The morphology of such defects may include altered synaptic maturation and may occur already in an early phase before the diet therapy is implemented.

Central Nervous System↗

Sleep EEG spectral analysis in a diurnal rodent: Eutamias sibiricus.

1. Sleep was studied in the diurnal rodent Eutamias sibiricus, chronically implanted with EEG and EMG electrodes. Analysis of the distribution of wakefulness, nonrapid eye movement (NREM) sleep, and rapid eye movement (REM) sleep over the 24 h period (LD 12:12) showed that total sleep time was 27.5% of recording time during the 12 h light period and 74.4% during the 12 h dark period. Spectral analysis of the sleep EEG revealed a progressive decay in delta power density in NREM sleep during darkness. Power density of the higher frequencies increased at the end of darkness. Power density of the higher frequencies decreased and that of the lower frequencies increased during light. 2. Analysis of the distribution of vigilance states under three different photoperiods (LD 18:6; 12:12; 6:18) revealed that changes in daylength mainly resulted in a redistribution of sleep and wakefulness over light and darkness. Under long days the percentage of sleep during light was enhanced. The time course of delta power density in NREM sleep was characterized by a long rising part and a short falling part under long days, while a reversed picture emerged under short days. As a consequence, the power density during days. As a consequence, the power density during light was relatively high under long days. 3. After 24 h sleep deprivation by forced activity, no significant changes in the percentages of wakefulness and NREM were observed, whereas REM sleep was slightly enhanced. EEG power density, however, was significantly increased by ca. 50% in the 1.25-10.0 Hz range in the first 3 h of recovery sleep. This increase gradually decayed over the recovery night. 4. The same 24 h sleep deprivation technique led to a ca. 25% increase in oxygen consumption during recovery nights. While the results of the EEG spectral analysis are compatible with the hypothesis that delta power density reflects the 'intensity' of NREM sleep as enhanced by prior wakefulness and reduced by prior sleep, such enhanced sleep depth after sleep deprivation is not associated with reduced energy expenditure as might be anticipated by some energy conservation hypotheses on sleep function.

Animals↗