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PubMedDate not supplied

A method for measurement of the vocal tract impedance at the mouth.

In this contribution a method is presented for the measurement of vocal tract resonances. The technique uses a non-invasive acoustic excitation of the vocal tract and a fast and robust detection. The method is an alternative to the linear predictive coding (LPC) analysis for patients with voice and speech disorders. Sweep signals are emitted and recorded simultaneously from the small end of a tube placed in front of the mouth opening. The use of a pressure sensor and a velocity sensor provides a direct measurement of the vocal tract impedance at the mouth (VTMI). For selected sustained German vowels, and some consonants, a comparison of results from LPC analysis and VTMI measurements is given. The results indicate a good agreement in the frequency range from 500 to 5,000 Hz. The feasibility of the VTMI method for diagnostic and therapeutic applications is subject to current research.

Adult↗
PubMed2001

Hypertension.

Controlled multicenter clinical trials and almost 50 years of clinical experience have demonstrated incontrovertibly the efficacy, safety, and feasibility of antihypertensive pharmacotherapy. In addition, this vast clinical record has shown, through the intrinsic ability of antihypertensive therapy to control arterial pressure, how to prevent and reverse many of the complications of hypertensive cardiovascular disease affecting the major target organs of the disease (eg, heart, brain, and kidneys). Few questions exist as to which patients should be treated, although some controversy may still exist among authorities as to the selection of specific classes of antihypertensive therapy. Thus, it is now clear that no matter whether systolic or diastolic pressures are elevated (ie, greater than 139 mm Hg or 89 mm Hg, respectively), control of elevated pressure is indicated. One possible and provisional exception to this sweeping statement may relate to patients with borderline isolated systolic hypertension (between 140 and 159 mm Hg, with diastolic pressures less than 90 mm Hg). This discussion concerns the treatment options that are presently available and offers guidelines as to which patients with hypertension may be more suitable for the various classes of agents that are available.

Journal Article↗
PubMed2001

Time-on-task analysis using wavelet networks in an event-related potential study on attention-deficit hyperactivity disorder.

OBJECTIVE: The aim of this event-related potential (ERP) study was to test time-on-task analysis at the level of single sweeps in a clinical trial. Since inattentiveness is one of the main symptoms of attention-deficit hyperactivity disorder (ADHD), this child psychiatric disorder was chosen as an exemplary application. METHODS: Twenty-four healthy and 24 ADHD boys, aged 9--15 years, performed an auditory selective attention task for about 5 min. ERP single trials were analyzed using wavelet networks. Time-on-task analysis was applied to omission errors, reaction time and slow ERP components (frontal negativity, parietal positivity), represented by a low-frequency wavelet component. RESULTS: Both performance and ERP measures showed distinct temporal dynamics. Time-on-task effects were not only linear, but also of higher order and started after less than 1 min. For ADHD children, earlier time-on-task effects, i.e. an earlier increase of omission errors and frontal negativity, resulted. Healthy children could allocate more attentional resources during the course of the experiment. CONCLUSION: Time-on-task analysis at the level of single trials revealed phenomena probably reflecting ADHD children's attentional deficits. Thus, a more differentiated ERP analysis may provide a better understanding of the pathophysiological background in neuropsychiatric disorders.

Acoustic Stimulation↗
PubMed1996

Reflex inhibition following electrical stimulation over muscle tendons in man.

Electrical stimulation over selected muscle tendons in alert human subjects produced, in each muscle, a reflex inhibition of muscle activity. This inhibition, when maximal, was seen in the surface EMG as an interval of complete electrical silence during a sustained voluntary contraction. The inhibition was clearly visible in single sweeps and in averaged records. Its onset latency and duration were respectively, 56 +/- 4.9 and 46 +/- 11.8 ms in extensor digitorum communis, 71 +/- 6.1 and 46 +/- 10.5 ms in extensor pollicis brevis, 77 +/- 11.2 and 47 +/- 10.5 ms in extensor pollicis longus, 72 +/- 7.3 and 43 +/- 8.6 ms in abductor digiti minimi, and 97 +/- 3.5 and 43 +/- 2.8 ms in tibialis anterior. The inhibitory response was produced at low stimulus intensities (< 10 mA) without electrical (M wave) or mechanical (muscle twitch) signs of direct muscle stimulation. It therefore did not arise from stimulation of la afferents (muscle spindles). The response arose from tendons since it occurred at lowest threshold when stimulation was applied directly over the tendons of the five different muscles studied. At low stimulus intensities, the response declined sharply when the stimulating electrodes were moved to the skin immediately adjacent to the tendons. The response did not arise from skin afferents since it was also presented when stimuli were delivered to the tendon by subcutaneous needle electrodes and it was not reproduced by stimulation of cutaneous nerves in the region of the tendon. In another series of experiments on extensor pollicis brevis, five skin locations were stimulated while overlying the tendon and again while the skin was stretched so that they were lying 0.6-0.8 cm dorsal to the tendon. In these experiments the response was again greatly attenuated when the stimulation was not directly over the tendon, although the same cutaneous sites were stimulated. The inhibition was followed by a pronounced excitatory component (E1) of peak latency 120-140 ms. The results of the study provide evidence for a powerful autogenic inhibitory reflex in man. The evidence is consistent with the possibility that the response arises from Golgi tendon organ afferents.

Adult↗
PubMed1975

[The objective frequency decrement test (OFDT): a new objective EEG-test for determination of the difference limen for frequencies (author's transl)].

Subjective methods measuring the difference limen for frequencies (DLF) take a lot of time and are not reliable. You can find this fact not only while testing normal subjects, but also while testing patients with hearing loss combined with tinnitus. Therefore this new objective DLF-test has been developed. Apart from the testing function for clinical purpose, the different results of other studies can also be controlled. After 1080 msec a pure tone is changed to a lower frequency for a period of 670 msec. Immediately after the tone is finished a picture is presented. As a control pure tones of unvarying pitch are offered. This stimulus sequence is repeated for several times. The expectancies to the change of pitch and to the picture produce a negative slow potential shift (Walter's CNV) in the EEG. The perception of frequency change yields to a late evoked potential and to a DC-shift; as a result of the optimum conditions of the expectancy-situation and the appropriate recording-technique only 5-10 sweeps must be summed up to obtain a potential, sometimes it even can be seen in the "raw-EEG". The test makes a differentiation between a just believed and a real perception possible. A sample of subjects with normal hearing and a subgroup (musicians) were selected for the standardization. Because of objectivity, reliability and economy the test can be used for clinical application.

Electroencephalography↗
PubMed1996

Contrasting effects of protein synthesis inhibition and of cyclic AMP on apoptosis in the developing retina.

The role of protein synthesis in apoptosis was investigated in the retina of developing rats. In the neonatal retina, a ganglion cell layer, containing neurons with long, centrally projecting axons, is separated from an immature neuroblastic layer by a plexiform layer. This trilaminar pattern subsequently evolves to five alternating cell and plexiform layers that constitute the mature retina and a wave of programmed neuron death sweeps through the layers. Apoptosis due to axon damage was found in ganglion cells of retinal explants within 2 days in vitro and was prevented by inhibition of protein synthesis. Simultaneously, protein synthesis blockade induced apoptosis among the undamaged cells of the neuroblastic layer, which could be selectively prevented by an increase in intracellular cyclic AMP. Both the prevention and the induction of apoptosis among ganglion cells or neuroblastic cells, respectively, occurred after inhibition of protein synthesis in vivo. The results show the coexistence of two mechanisms of apoptosis within the organized retinal tissue. One mechanism is triggered in ganglion cells by direct damage and depends on the synthesis of proteins acting as positive modulators of apoptosis. A distinct, latent mechanism is found among immature neuroblasts and may be repressed by continuously synthesized negative modulators, or by an increase in intracellular cyclic AMP.

Animals↗
PubMed2003

Kinetics of the shear banding instability in startup flows.

Motivated by recent light scattering experiments on semidilute wormlike micelles, we study the early stages of the shear banding instability using the nonlocal Johnson-Segalman model with a "two-fluid" coupling of flow to micellar concentration. We perform a linear stability analysis for coupled fluctuations in shear rate gamma;, micellar strain W, and concentration phi about an initially homogeneous state. This resembles the Cahn-Hilliard (CH) analysis of fluid-fluid demixing (although we discuss important differences). First, assuming the initial state to lie on the intrinsic constitutive curve, we calculate the "spinodal" onset of instability in sweeps along this curve. We then consider start-up "quenches" into the unstable region. Here the instability in general occurs before the intrinsic constitutive curve can be attained, so we analyze the fluctuations with respect to the time-dependent start-up flow. We calculate the selected length and time scales at which inhomogeneity first emerges. When the coupling between flow and concentration is switched off, fluctuations in the "mechanical variables" gamma; and W are independent of those in phi, and are unstable when the intrinsic constitutive curve has negative slope; but no length scale is selected. Coupling to the concentration enhances this instability at short length scales, thereby selecting a length scale, consistent with the recent light scattering experiments. The spinodal region is then broadened by an extent that increases with proximity to an underlying (zero-shear) CH fluid-fluid (phi) demixing instability. Far from demixing, the broadening is slight and the instability is still mechanically dominated (by deltagamma; and deltaW) with only small deltaphi. Close to demixing, instability sets in at a very low shear rate, where it is dominated instead by deltaphi. In this way, the model captures a smooth crossover from shear banding instabilities that are perturbed by concentration coupling to demixing instabilities that are induced by shear.

Journal Article↗
PubMed2002

Genealogical evidence for epidemics of selfish genes.

Some genetic elements spread infectiously in populations by increasing their rate of genetic transmission at the expense of other genes in the genome. These so-called selfish genetic elements comprise a substantial portion of eukaryotic genomes and have long been viewed as a potent evolutionary force. Despite this view, little is known about the evolutionary history of selfish genetic elements in natural populations, or their genetic effects on other portions of the genome. Here we use nuclear and chloroplast gene genealogies in two species of Silene to show the historical pattern of selection on a well known selfish genetic element, cytoplasmic male sterility. We provide evidence that evolution of cytoplasmic male sterility has been characterized by frequent turnovers of mutations in natural populations, thus supporting an epidemic model for the evolution of selfish genes, where new mutations repeatedly arise and rapidly sweep through populations.

Chloroplasts↗
PubMed1994

Notes on sugar feeding and selected wild mammalian hosts of black flies (Diptera: Simuliidae) in Newfoundland.

This study, done on the Avalon Peninsula, Newfoundland, identified selected wild mammalian hosts and quantified the incidence of sugar feeding for several species (species complexes) of black flies. Female flies were taken from fox, snowshoe hare, lynx, caribou, and human baits. Simulium truncatum/venustum complex females took blood from fox, lynx, rabbit, and caribou and were frequently taken in sweep net collections around humans. Blood-fed females of the Simulium rostratum/verecundum complex were collected only from caribou, were rarely attracted to the other mammalian baits, and were not attracted to humans. Although most females had sugar-free before seeking a host, significant interspecific differences in the incidence of fructose-positive females were found among the four species (species complexes) examined (Prosimulium mixtum, 92.9%; S. truncatum/venustum complex, 87.4%; Stegopterna mutata (triploid cytospecies), 83.3%; Simulium vittatum complex, 67.4%). No significant differences were found in the proportion of sugar-fed flies among three habitats examined (forest, scrubland, and pasture) for either P. mixtum or the S. truncatum/venustum complex. However, the percentage of sugar-fed S. truncatum/venustum complex females was significantly higher in the evening than in the morning. Time of day did not influence the incidence of sugar-fed P. mixtum.

Animal Nutritional Physiological Phenomena↗
PubMed1984

A rapid evoked potential index of cortical adaptation.

Contrast thresholds and acuity limits were measured in 4 observers with the swept visual evoked potential (VEP) technique. In this technique, grating contrast or grating spatial frequency is electronically varied while the subject's evoked response is retrieved in real time (without averaging). Contrast or spatial frequency variation make the stimulus vary in intensity; zero VEP response amplitude indicates the threshold intensity. Large shifts occur in the indicated threshold when stimulus sweep direction is reversed. Thresholds are always relatively elevated when the run begins with the strongest stimulus value. These shifts do not have a technical origin in the delay of the instrument (Nelson et al. 1984b). Here, it is shown that the shifts are due to orientation and spatial frequency selective adaptation, probably of cortical origin. Measureable adaptation is produced by momentary exposure to contrasts as low as 1.25%; nearly maximum adaptation (0.6 log units) is reached with 20% contrast. These findings support the concept of a contrast gain control mechanism in visual cortex, and pose practical problems for visual assessment with the evoked potential.

Adaptation, Physiological↗
PubMed1999

Clinical experience with the Sorin Monolyth Oxygenator at high altitude.

High altitude combined with low barometric pressure can present unique challenges during cardiopulmonary bypass (CPB), not only for the perfusionist, but also for the oxygenator. Manufacturers of cardiopulmonary devices have responded to the requests from the perfusion community with a variety of oxygenators which balance low priming volumes and low pressure drops against high gas transfer. This paper will feature the first author's clinical studies using the Sorin Monolyth Oxygenator in a selected group of patients at an altitude of approximately 5200 feet and an average barometric pressure of 634 mmHg (sea levels is 760 mmHg). A review of the 47 charts on patients requiring CPB and who met the selection criteria was performed retrospectively. To qualify for this study, the patient needed to weigh more than 91 kg. The data reviewed included type of surgery, age, weight, bypass time, crossclamp time, pump flows (l/min/m2), hematocrits pre- and post-CPB, and pressure drop across the membrane. The PaO2, PaCO2, FiO2 and sweep gas flow at hypothermia and normothermia were recorded. Data concerning oxygen transfer were obtained from the manufacturer's report to the Food and Drug Administration. All patients had adequate blood gases while on CPB. We feel that the design of the Sorin Monolyth Oxygenator met our criteria for an oxygenator: low priming volume, low pressure drop, and sufficient gas transfer to provide safe oxygenation of all patients at high altitude.

Altitude↗
PubMed1998

[Pre-orthognathic surgery in orthodontics: towards justification].

This work presents long term results of rhinopharyngeal desobstructions on nine years old patients. By using several techniques such as: tonsillectomies, adenoïdectomy, adenoïdotonsillectomies, luxation of inferior turbinates, partial turbinectomies or bilateral turbinectomies under endoscopic guidance, and then, following carefully the oral and nasal peak flows for a period as long as one or two years, it becomes obvious that the most efficient desobstruction procedure is accomplished through a combination of E.N.T. rhinopharyngeal procedures, i.e. adenoïdotonsillectomies and inferior turbinectomies under endoscopic guidance. This global E.N.T. procedure is known as "Chimney Sweep". The author demonstrates that tongue behavior is severely affected by rhinopharyngeal obstruction and by the consecutive dysfunction of the upper airway ventilation pattern. Large tongues and normal tongues pushed forward due to enlarged tonsils or adenoïds are also affected by their necessary participation to oral ventilation (mouth breathers). Addition of a selective lingual glossoplasty or a partial glossectomy is sometimes necessary to put the morphogenic function in a proper order during growth and development. All of the above is part of a new pre-orthognathic concept, that helps control growth and development and helps manage orthodontic or orthognathic treatments.

Adenoidectomy↗
PubMed2001

Diagnosis of influenza virus: coming to grips with the molecular era.

Influenza viruses continually circulate and cause yearly epidemics, which kill 20,000 people in an average year in the United States. Occasionally and unpredictably, pandemic influenza strains sweep the world, infecting 20% to 40% of the world's population in a single year. In 1918, the worst influenza pandemic on record caused 675,000 deaths in the United States and up to 40 million deaths worldwide. Despite the prevalence of this virus, molecular assays for influenza diagnosis, surveillance, vaccine strain selection, and research have lagged behind such assays for other common viral pathogens. The extreme genetic variability of influenza viruses makes the design of useful molecular-based assays challenging, but several different approaches have been successfully used. RT-PCR is effective for the initial diagnosis and has greater sensitivity than other available rapid assays. Molecular assays also can be used to subtype influenza isolates, and sequence analysis of hemagglutinin may assist greatly in surveillance studies and vaccine strain selection. RT-PCR for influenza also can be performed from tissue biopsy specimens for both retrospective diagnosis and research.

Animals↗
PubMed2003

CO2 capture by means of an enzyme-based reactor.

We report a means for efficient and selective extraction of carbon dioxide (CO(2)) at low to medium concentration from mixed gas streams. CO(2) capture was accomplished by use of a novel enzyme-based, facilitated transport contained liquid membrane (EBCLM) reactor. The parametric studies we report explore both structural and operational parameters of this design. The structural parameters include carbonic anhydrase (CA) concentration, buffer concentration and pH, and liquid membrane thickness. The operational parameters are temperature, humidity of the inlet gas stream, and CO(2) concentration in the feed stream. The data show that this system effectively captures CO(2) over the range 400 ppm to at least 100,000 ppm, at or around ambient temperature and pressure. In a single pass across this homogeneous catalyst design, given a feed of 0.1% CO(2), the selectivity of CO(2) versus N(2) is 1,090 : 1 and CO(2) versus O(2) is 790 :1. CO(2) permeance is 4.71 x 10(-8) molm(-2) Pa(-1) sec(-1). The CLM design results in a system that is very stable even in the presence of dry feed and sweep gases.

Animals↗
PubMed2005

Scanning electrochemical microscopy in combination with piezoelectric quartz crystal impedance analysis for studying the growth and electrochemistry as well as microetching of poly(o-phenylenediamine) thin films.

The combination of scanning electrochemical microscopy (SECM) with piezoelectric quartz crystal impedance (PQCI) analysis was proposed as a novel multiparameter method for investigating the cyclic voltammetric growth of poly(o-phenylenediamine) (PoPD) thin films at Au electrodes in aqueous solutions of various pH values and the potentiostatic microetching (localized degradation) of these films in 0.10 mol/L aqueous H2SO4 for comparative examinations on polymer porosity and stability. Two potential-sweep ranges, -0.4 to 0.9 (I) and 0 to 0.9 (II) V versus SCE, and four solutions, acidic (A, 0.20 mol/L H2SO4 + 0.10 mol/L Na2SO4; B, 0.10 mol/L H2SO4 + 0.20 mol/L Na2SO4), neutral (C, 0.10 mol/L PBS + 0.20 mol/L Na2SO4, pH 7.2), and alkaline (D, 0.20 mol/L NaOH + 0.20 mol/L Na2SO4) aqueous solutions, were selected for PoPD growth. The pH increase for the polymerization solution increased the molar percentage of polyaniline-like chains in PoPD, as quantified from the current peaks at approximately 0.6 V versus a saturated calomel electrode (SCE) for the oxidation of -NH2 groups in as-prepared PoPD (grown from solutions C and D) during their redox switching in 0.10 mol/L aqueous H2SO4 for the first time. The unusual PQCI responses observed at negative potentials (potential range I) in the first several potential cycles during the cyclic voltammetric growth of PoPD in acidic and neutral solutions have been reasonably explained as being due to the precipitation/dissolution of the poorly soluble phenazinehydrine charge-transfer complexes developed during redox switching of oligomers for the first time, which brought about much less compact PoPD films and their higher degradability than those grown in the same solution but over potential range II. SECM, scanning electron microscopy (SEM), and piezoelectric quartz crystal (PQC) frequency were used to estimate the sizes of etched microscale spots. In addition, the x-, y-, or z-axis movement of a Pt microelectrode of 25-mum diameter near the PQC electrode was found to influence negligibly the PQCI responses in 1.0 mol/L aqueous Na2SO4 containing K4Fe(CN)6 up to 0.10 mol/L, and a new protocol of dynamically electrodepositing silver microwires via the chemical-lens method was proposed for examining the local mass-sensitivity distribution on the PQC surface.

Electrochemistry↗
PubMed2003

Carbonic anhydrase-9 expression levels and prognosis in human breast cancer: association with treatment outcome.

Here, we set out to assess CA9 expression levels by real-time quantitative RT-PCR in breast cancer tissue samples obtained from 253 patients, and correlated those with relapse-free (RFS) survival. The median follow-up time was 75 months (range 2-168 months). CA9 expression was mainly found in high-grade, steroid receptor negative cancer tissues. CA9 levels were not significantly associated with RFS (P=0.926, hazard ratio (HR)=0.99, 95% CI=0.80-1.22) in the total cohort of 253 patients. In multivariate analysis with other clinicopathological factors, CA9 (P=0.018, HR=0.77, 95% CI=0.62-0.96), the interaction of adjuvant chemotherapy with CA9 (P=0.009, HR=1.31, 95% CI=1.07-1.61) and the interaction of adjuvant endocrine therapy with CA9 (P<0.001, HR=1.41, 95% CI=1.20-1.66) all contributed significantly to the final model. These results indicate that patients with low CA9 levels benefit more from adjuvant treatment than do patients with high levels. Thus, the determination of CA9 levels could aid in the selection of patients who will not benefit from adjuvant therapy, and whose prognosis will more likely improve with other treatment modalities.

Antigens, Neoplasm↗
PubMedDate not supplied

Methods of cervical ripening and labor induction.

The overall rate of induction of labor in the United States in 1993 was 134 per 1,000 live births, or over 527,000 of the four million births that occur annually in the United States. Indications for labor induction include postdate pregnancy, premature rupture of membranes (PROM), and maternal medical complications, such as diabetes mellitus and pregnancy-induced hypertension. This article briefly reviews common indications for induction of labor and the importance of cervical ripening. It then addresses methods used to hasten cervical ripening and to induce labor, ranging from the more "natural" and noninvasive methods, such as nipple stimulation, to the newest commercially available formulation of prostaglandin. Methods well documented in the scientific literature, as well as those commonly used but less well studied, are included. Although one may argue about the "invasive" nature of these methods, they are addressed, in general, from the most natural methods to the latest pharmacologic methods, and they include the following: sexual intercourse, nipple/breast stimulation, herbal preparations, homeopathic solutions, castor oil, enemas, acupuncture, membrane sweeping or stripping, mechanical dilation (balloon catheters, laminaria, and synthetic osmotic dilators), amniotomy, and pharmacologic hormonal preparations (prostaglandin E2, oxytocin, misoprostol, mifepristone, and relaxin).

Amnion↗
PubMed2004

Effects of ground cover treatments and insecticide use on population density and damage caused by Lygus lineolaris (Heteroptera: Miridae) in apple orchards.

We conducted a 2-yr study in commercial apple orchards in Nova Scotia to assess the effects of ground cover treatments and insecticides on population density and fruit injury caused by tarnished plant bug, Lygus lineolaris (Palisot de Beauvois). The design was a split-plot with insecticides applied to whole orchard blocks and ground cover treatments applied to plots nested within orchard blocks. Ground cover treatments were 1) standard herbicide use, 2) enhanced weed control in tree rows, and 3) treatment two plus use of a selective herbicide in laneways. Treatments had few significant effects on vegetation in the tree row, but in laneways, known dicot hosts of L. lineolaris were suppressed and nonhost grasses promoted with treatment 3. Ground cover treatments did not affect cumulative captures of adult tarnished plant bugs on white sticky traps located in the plots but did affect captures in sweep nets. Split-plot ANOVA indicated no significant effect of insecticides on injury in either year, but ground cover treatments were significant in 2001. The lowest ranking rates of injury in both years were in orchards treated before bloom with a pyrethroid insecticide, either cyhalothrin-lambda or cypermethrin. The highest ranking rate of injury occurred in an orchard where insecticide was not applied until after bloom despite a high prebloom capture of L. lineolaris adults on orchard perimeter sticky traps. Fruit injury values for the ground cover treatment 3 were 63.3% (n.s.) and 50.0% (P < 0.05), respectively, of those in the standard treatment in 2000 and 2001.

Animals↗