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[Instantaneous power maxima and power spectrum maxima analysis of second heart sounds signals].

We employed the time-frequency analysis to the processing of the second heart sound signals and studied the time-frequency spectrum of the normal and abnormal second heart sound. According to the time marginal and frequency marginal, we made the instantaneous power maxima and power spectrum maxima of the second heart sounds, which were thought as the quantity index about physiology and pathology. The results showed that the time-frequency spectrum of the second heart sounds gave a whole comprehensive description to dynamic course of the signals. The instantaneous power maxima and power spectrum maxima contain the time varying information in the second heart sound.

Heart Sounds↗

Investigation of solution structure of d(GAATTTAAATTC)2 by 1H NMR, molecular dynamics, mechanics, refinement by back-calculation of the NOESY spectrum and analysis of this structure using X-ray data.

1H NMR spectroscopy, restrained molecular mechanics and dynamics and refinements after back-calculation of the NOESY spectrum have been performed to study the structure of the d(GAATTTAAATTC)2 duplex and to determine whether it is bent or not. It is found that the duplex adopts a B-type conformation; all sugar conformations belong to the C2' endo region and purines have a larger pseudorotation angle as compared to pyrimidines. The cross-strand AH2(n)-AH1' (m + 1) distance (where (n) and (m) are complementary residues), crucial for an anomalous A/T tract structure, is large on the TA step and gradually decreases at the 3' and 5' ends of the TTTAAA tract and follows the rules proposed previously [Chuprina, V.P., Lipanov, A.A., Fedoroff, O.Yu, Kim, S.G., Kintanar, A., and Reid, B.R., Proc. Natl. Acad. Sci. U.S.A. 88, 9087 (1991)]. The changes in this distance correlate with those in the T1 value for AH2 protons which we measured for several oligonucleotide sequences. A total number of about 250 interproton distance constraints were determined from NOESY spectra and were used for structure determination by molecular mechanics, dynamics and refinement by back-calculations. It is shown that these data are not enough to determine whether the duplex is bent or not. The whole family of B-type conformations including bent and straight structures fit well with the available NMR data. In principle, additional non-NMR data could be used in order to reduce the number of the allowable structures. The refinement of the structures with additional different non-NMR constraints (used as a driving force) on P-P or H1'-H1' minor groove width distances in the TA region shows a very good correlation between these distances and the angle of bending of the dodecamer. The more the minor groove width increases in the TA region the more the duplex is bent at the major groove of this region. On the other hand, there is also a very good correlation between P-P, H1'-H1' and AH2-H1' cross-strand distances as follows from analysis of X-ray B-type structures. These two correlations, together with the increased AH2-H1' cross-strand NMR distance in the TA region of the dodecamer indicate that the duplex should be characterized by a wider minor groove in the TA region and be bent in the major groove in this region.

Base Sequence↗

Comparison of a 4-day confinement and head-down tilt on endocrine response and cardiovascular variability in humans.

The aim of this study was to determine the effects of a 4-day head-down tilt (HDT; -6 degrees) and 4-day confinement on several indicators that might reflect a state of cardiovascular deconditioning on eight male subjects. Measurements were made of endocrine responses, heart rate variability and spontaneous baroreflex response (SBR) slope before, during and after each intervention. Plasma volume decreased by 10 percent after the 4-day HDT. The concentration of active renin was increased and that of urinary atrial natriuretic peptide decreased during the 4-day experiment in both groups. Plasma arginine vasopressin concentration decreased significantly only after 4-day confinement. After the 4-day HDT, one of the spectrum analysis parameters was statistically changed: the parasympathetic indicator decreased significantly (P <0.05) whereas the sympathetic indicator and the total power spectrum were unaltered. After 4-day confinement spectrum analysis parameters were not statistically altered. A significant decrease of SBR (P <0.05) was noticed only after the 4-day HDT. These data would suggest that exposure to a 4-day HDT was sufficient to induce a cardiovascular deconditioning which may have been induced by confinement and inactivity.

Adult↗

Stress driven shear bands and the effect of confinement on their structures--a rheological, flow visualization, and Rheo-SALS study.

An equimolar mixture of a cationic surfactant, cetylperidinium chloride (CPyCl), and salt sodium salicylate (NaSal) forms wormlike micelles in aqueous solutions. Under shear, the solution shows a pronounced shear-thickening behavior, which is coupled with oscillations in shear rate and the apparent viscosity. In this shear-thickening regime shear bands form, which also oscillate in position and intensity. These shear bands are visualized by direct imaging and Rheo-small angle light scattering methods. Temporal intensity fluctuations of the shear bands were evaluated using image analysis. Fourier transformations (FT) of the oscillating shear rate and intensity of the shear bands showed a single dominating frequency in the power spectrum analysis. This characteristic frequency as well as the amplitude of shear rate fluctuation was found to increase with stress. From the rheological and optical measurements, we propose that a stress driven mechanism is responsible for the formation of shear bands. Experiments performed in transparent parallel-plate geometry show dampening of the shear rate oscillations and increase in the characteristic frequency with decrease in the gap. Power spectrum analysis and the SALS measurements confirm the formation of different structures as a function of gap size in the parallel-plate geometry.

Journal Article↗

A new non-invasive statistical method to assess the spontaneous cardiac baroreflex in humans.

1. A new method was developed to evaluate cardiac baroreflex sensitivity. The association of a high systolic blood pressure with a low heart rate or the converse is considered to be under the influence of cardiac baroreflex activity. This method is based on the determination of the statistical dependence between systolic blood pressure and heart rate values obtained non-invasively by a Finapres device. Our computerized analysis selects the associations with the highest statistical dependence. A 'Z-coefficient' quantifies the strength of the statistical dependence. The slope of the linear regression, computed on these selected associations, is used to estimate baroreflex sensitivity. 2. The present study was carried out in 11 healthy resting male subjects. The results obtained by the 'Z-coefficient' method were compared with those obtained by cross-spectrum analysis, which has already been validated in humans. Furthermore, the reproducibility of both methods was checked after 1 week. 3. The results obtained by the two methods were significantly correlated (r = 0.78 for the first and r = 0.76 for the second experiment, P < 0.01). When repeated after 1 week, the average results were not significantly different. Considering individual results, test-retest correlation coefficients were higher with the Z-analysis (r = 0.79, P < 0.01) than with the cross-spectrum analysis (r = 0.61, P < 0.05). 4. In conclusion, as the Z-method gives results similar to but more reproducible than the cross-spectrum method, it might be a powerful and reliable tool to assess baroreflex sensitivity in humans.

Adult↗

Autonomic consequences of cerebral hemisphere infarction.

BACKGROUND AND PURPOSE: Recently, supraventricular tachycardia has been reported following right hemisphere stroke, suggesting a reduction in parasympathetic cardiac innervation after stroke of the right hemisphere. We performed power spectrum analysis of fluctuations in RR interval duration in the electrocardiogram in an attempt to determine how ischemic stroke influences autonomic cardiac innervation. METHODS: Power spectrum analysis of the variation in 256 consecutive electrocardiographic RR intervals was performed using the fast-Fourier transformation. The area under the spectral curve from 0 to 0.5 Hz and the area under the portion of the curve produced by parasympathetically mediated respiratory variations were determined in 20 patients with right-hemisphere and 20 patients with left-hemisphere ischemic stroke confirmed by computerized tomography. Data were compared with 40 age- and sex-matched healthy controls. RESULTS: Total cardiac autonomic innervation was reduced after a stroke of either hemisphere without regard to laterality. Cardiac parasympathetic innervation was reduced after stroke of either hemisphere with a significantly greater reduction after stroke on the right (P = 2.9 x 10(-5). CONCLUSIONS: Power spectral analysis of heart rate variability can detect autonomic consequences of stroke. The spectral data predict that, to the degree that cardiac arrhythmia is produced by unbalanced cardiac autonomic activity favoring the sympathetic system, such arrhythmias could be seen after stroke of either hemisphere and would be more common after cerebral infarction on the right. This is consistent with evidence from the recent literature.

Adult↗

Detection of regularities in heart rate variations by linear and non-linear analysis: power spectrum versus approximate entropy.

Regularity or complexity characteristics of RR interval variations have attained importance in the evaluation of a variety of pathological conditions. Regular periodic fluctuations in heart rate are considered indicators of loss of control in the cardiovascular system and of disturbances in pulmonary function. Methods to detect such loss of cardiopulmonary function have been developed mainly through linear and non-linear system analysis. Both approaches were tested in the present study. MBW, which is the ratio between maximal power spectrum (PS) amplitude and its 3-db bandwidth (BW) in the 0-0.1 Hz frequency range, was calculated and compared for different examples derived from 24 h Holter recordings and for sinusoidal function mixed with varying degrees of noise. Approximate entropy (ApEn), a measure derived from non-linear system analysis has been tested for the same data and compared with the MBW ratio. The results show that MBW effectively differentiates regular and non-regular epochs while ApEn differentiates them in a less optimal manner especially in cases where higher degrees of noise are present but regularity is still observed visually.

Artifacts↗

Real-time digital processing of Doppler ultrasound signals and calculation of flow parameters.

Vascular diseases and their complications are responsible for around 27% of deaths in Brazil. Doppler ultrasound is a non-invasive technique that has been used to study blood flow in intact blood vessels since Satomura first reported the potential of the technique in 1959. Because it is non-invasive it makes sequential studies and those in normals feasible. Whereas in contrast angiography only vessel anatomy is displayed, Doppler ultrasound produces dynamic information on blood-flow. It may be used to estimate flow-rates, to image regions of blood flow (colour Doppler), and to help in locating sites of arterial disease, thus complementing X-ray examinations. This paper describes a system based on a Digital Signal Processor for real-time spectrum analysis of Doppler ultrasound signals, real-time display of sonograms, and calculation and analysis of three parameters of clinical interest derived from the Doppler signal. The system comprises a TMS320C25 development board, which acquires the signal and performs spectrum analysis, and a microcomputer, which reads the spectral estimates, displays them as a sonogram in real-time and calculates a set of spectral parameters proposed in the literature. The system permits a maximum sampling frequency of 40.96 kHz, and in the sonogram, 80 power spectra per second (each with 128 frequency bins) are displayed. In a preliminary study, the stability of the haemodynamic parameters and their dependence on a user-defined threshold value is investigated.

Algorithms↗

Estimation of formant frequencies in infant cry.

The formant frequencies (F1, F2, F3) of normal infant crying were measured using three different estimation techniques: sound spectrography, linear predictive coding (LPC), and power spectrum analysis. Results found all three techniques to be highly similar for estimation of F1. However, the techniques differed significantly in the estimation of F2 and F3. Power spectrum analysis tended to yield the highest F2 and F3 values, while LPC consistently provided the lowest F2 and F3 values. Based on the results of the study, serious questions arise whether formant estimates of cry are accurate or appropriate for use as a metric of infant vocal tract resonance.

Acoustics↗

First High-Resolution Study of the 13CHD3 Infrared Spectrum: Rotational Analysis of the Ground State and the Fundamentals nu5 and nu3/nu6.

The rotational structure in three fundamental bands nu3, nu5, and nu6 of 13CHD3 has been analyzed. As this study evidently is the first high-resolution investigation on the spectrum of this molecule, the determination of the ground state rotational constants was the necessary first step. The nu5 band (1290.536 cm-1) could be treated as an isolated band whereas it was necessary to analyze the bands nu3 (994.713 cm-1) and nu6 (1030.243 cm-1) simultaneously because of very strong interactions. The total number of assigned lines was 1116. The spectral region 850-1530 cm-1 was measured on a Fourier transform spectrometer and the 13C species was in natural abundance in CHD3. Copyright 1998 Academic Press.

Journal Article↗

Correlation of hemodynamically significant internal carotid stenosis with pulsed Doppler frequency analysis.

Systolic and mean pressure gradients across internal carotid stenoses were measured at the time of carotid endarterectomy in the arteries of 90 patients, all of whom underwent angiography. Eighty-two of these patients also had pulsed Doppler ultrasonic arteriography with real-time spectrum analysis. There were 71 (79%) high grade stenoses of greater than 50% diameter reduction by angiography. Significant systolic pressure gradients (greater than or equal to 10 mmHg) were identified in 41 patients (46%), 38 (46%) of whom underwent ultrasonic evaluation. A pulsed Doppler frequency measured within the stenosis equal to or greater than 6.5 kiloHertz had a sensitivity of 94.7% (36/38) in identifying pressure reducing lesions with a specificity of 47.7% (21/44). Positive predictive value was 61% (36/59). Angiographic criteria (50% diameter reduction) exhibited a sensitivity of 97.6% (40/41), a specificity of 36.7% (18/49) and a positive predictive value of 56.3% (40/71). Negative predictive value was 94.7% for angiography and 91.3% for ultrasonic arteriography. A pulsed Doppler frequency equal to or greater than 6.5 kiloHertz appears to accurately identify lesions that are at risk to reduce distal internal carotid pressure under operative conditions with a sensitivity similar to angiography. This criterion has a positive predictive value and specificity that is slightly superior to angiography and a high negative predictive value. Pulsed Doppler spectrum analysis provides physiologic information relative to blood flow velocity that is complimentary to the anatomic data provided by angiography for assessing the potential for hemodynamic significance of internal carotid stenoses.

Blood Pressure↗

On the statistics of ultrasonic spectral parameters.

Several factors affect the accuracy and precision of ultrasonic spectrum analysis, which is used for characterization of normal and diseased tissue in a variety of organs. For example, averaging procedures and the sequence of operations affect the accuracy and precision of spectrum analysis. Averaging procedures and logarithmic conversion (i.e., conversion to dB) introduce a constant bias that affects spectral amplitudes and the values of intercept and midband fit; the bias depends on the sequencing of the log conversion and averaging as well as the number of independent spectra or spectral parameters that are averaged. We derive expressions that permit correction of such biases. Furthermore, we show that standard deviations for slope and midband-fit estimation can be minimized by averaging spectra before dB conversion and before computing spectral parameters by linear regression. Experimental results using phantoms agree remarkably with theoretical predictions for the data window functions studied in this article, Hamming and rectangular.

Humans↗

Effects of tocolytic treatment with ritodrine on cardiovascular autonomic regulation.

OBJECTIVE: To study the acute effects of tocolytic treatment with intravenous ritodrine on cardiovascular autonomic regulation. DESIGN: Validated methods to assess cardiovascular autonomic nervous function-heart rate and blood pressure variability and vagal cardiac baroreflex sensitivity-were measured before and during ritodrine infusion. SETTING: Turku University Central Hospital, Turku, Finland. SAMPLE: Twelve pregnant women admitted to hospital for threatened preterm labour. METHODS: Electrocardiogram and continuous noninvasive finger blood pressure signals were recorded in each woman, resting in a supine position. Autoregressive spectrum analysis was used to quantify short term heart rate and blood pressure variability. Vagal cardiac baroreflex sensitivity was measured as the bradycardia response to an intravenous bolus injection of phenylephrine. MAIN OUTCOME MEASURES: Vagal cardiac baroreflex sensitivity and spectrum analysis indices of short term heart rate and blood pressure variability. RESULTS: Ritodrine significantly decreased vagal cardiac baroreflex sensitivity as well as total (0.00-0.40 Hz), low frequency (0.04-0.15 Hz) and high frequency (0.15-0.40 Hz) power bands of the heart rate variability spectrum. Ritodrine significantly increased mean heart rate and the low frequency power band of the systolic blood pressure variability spectrum. CONCLUSIONS: In pregnant women with threatened preterm labour intravenous administration of ritodrine decreases vagal cardiac baroreflex sensitivity and vagal modulation of heart rate, and increases sympathetically mediated blood pressure variability. Decreased baroreflex sensitivity and heart rate variability are known to be associated with a poor prognosis in some patient groups, so the effects of ritodrine tocolysis may be unfavourable in women with impaired circulatory homeostasis.

Adolescent↗

Arousal and upper airway resistance (UAR).

OBJECTIVE: The objective of this study is to investigate upper airway resistance (UAR) in infants and children and presence/absence of electroencephalogram (EEG) arousal. METHODS: Polysomnography with nasal cannula/pressure transducer and esophageal manometry; pattern recognition of sleep disordered breathing (SDB) in children. Identification of visually scored arousals in response to SDB. Power spectrum analysis of EEG associated with SDB. RESULTS: Several breathing patterns and change in heart rate (HR) can be seen with abnormal UAR during sleep. SDB may end with or without visual arousal. Power spectrum analysis shows different EEG patterns with termination of UAR and SDB. HR is also variably modified. CONCLUSIONS: Airway reopening and decline in UAR is associated with variable central nervous system activation and only intermittently with arousals.

Journal Article↗

Analysis of renal sympathetic nerve responses to stress.

We studied sympathetic nerve activity responses to acute environmental stress (air jet stress) in conscious Wistar-Kyoto, spontaneously hypertensive, and borderline hypertensive rats. The borderline hypertensive rats were fed either 1% (normotensive) or 8% (hypertensive) NaCl. Renal sympathetic nerve activity responses were analyzed with three methods: mean integrated voltage over time, power spectrum analysis, and sympathetic peak detection analysis. Measurements of mean integrated voltage over time showed that air jet stress increased renal sympathetic nerve activity in spontaneously hypertensive rats and in borderline hypertensive rats on 8% NaCl but not in the other groups. In the NaCl responders, power spectrum analysis of renal sympathetic nerve activity indicated that the increase in relative power was at the heart rate frequency, indicating that it was related to renal sympathetic nerve discharge coupled to the cardiac cycle. Sympathetic peak detection analysis of renal sympathetic nerve activity indicate that there was an increase in frequency of sympathetic peaks of greater height and shorter duration because of sinoaortic baroreceptor deactivation (increased peak frequency) and the recruitment of more active fibers (greater peak height) firing with greater synchronization (shorter peak duration). Additional methods of analysis of renal sympathetic nerve activity provide information in addition to that derived from measurement of mean integrated voltage over time.

Animals↗

Fluoxetine, amitriptyline and the electroencephalogram.

Electroencephalograms recorded before and after 4 weeks treatment of depressed patients with fluoxetine or amitriptyline were assessed visually and by power spectrum analysis blind to patient, treatment and whether the recordings were carried out before or after treatment. No significant between-group differences in alpha, beta or theta activity were found on visual assessment. Power spectrum analysis revealed a significant decrease in the amount of beta activity at week 4. There was no EEG evidence of drowsiness or epileptiform activity in either of the treatment groups.

Adult↗

Sympathetic nervous activity and cardiovascular variability after a 3-day tail suspension in rats.

The effects of a 3-day tail suspension on central and peripheral sympathetic activity were studied in rats by determining the in vivo noradrenaline (NA) turnover in the brain cell groups involved in central blood pressure control (A1, A2, A5 and A6) and in two peripheral organs, heart and kidneys. In addition, cardiovascular parameters and their variabilities were investigated by recording blood pressure (BP) and heart rate (HR) before and after suspension. These measurements were processed by spectrum analysis to assess the influence of tail suspension on autonomic balance. The NA turnover in the suspended rats was markedly reduced in A2 (-49%, P < 0.01) and A5 (-38%, P < 0.01) nuclei but unchanged in A1 and A6 cell groups compared with the control rats. Peripheral NA turnover was decreased in cardiac atria (-44%, P < 0.001) and ventricles (-27%, P < 0.01) while it was unchanged in kidneys after suspension. The BP, HR and their variabilities were similar in both groups of animals and showed no changes after suspension compared with baseline values. Spectrum analysis of BP and HR in our conscious suspended rats revealed no changes in power spectrum density or in peak frequencies. The discrepancy between the decrease in central sympathetic activity and the absence of changes in cardiovascular parameters after tail suspension raises the question of the validity of the tail suspended rat model when studying the cardiovascular deconditioning observed in humans after an exposure to actual or simulated weightlessness.

Animals↗

[Nephrolithiasis--correlation of calculus type and pathogen spectrum. Calculus analysis and microbiologic diagnosis in 173 surgically treated patients].

The microbiological findings from intraoperative swabs were correlated with the consistency of the calculi in 173 patients, who had been operated on due to nephrolithiasis. The following parameters were taken into consideration: age and sex of the patients, consistency of calculi and germ spectrum of intraoperative swabs from the upper urinary tract. Three main groups were formed corresponding to the consistency of the calculi (carriers of infection calculi, of calciumoxalate calculi and of uric acid calculi) and these were compared to one another regarding the above mentioned parameters.

Bacteriological Techniques↗