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PubMed1975

Normal values for hypoxic and hypercapnic ventilaroty drives in man.

To better determine the range of normal values of hypoxic and hypercapni ventilatroy drives in man, these drives were measured in 40 males and 4 females between 21 and 51 yr of age. The average hypoxic drive, expressed as parameter A, was 186 plus or minus 12.8 (SEM). The average hypercapnic drive, expressed as the slope S, was 2.69 plus or minus 0.19. The range of values for these individuals was large and could not be accounted for by variations in maximal oxygen uptake, age, or sex. However, positive correlations were found between these drives and height and weight, and a positive correlation was found between hypoxic and hypercapnic drive.

Adult↗
PubMed1995

Effects of oxygenation and hypercapnia on diaphragmatic function and central drive during respiratory failure.

The effects of oxygenation and hypercapnia on diaphragmatic function and central drives were assessed during the development of respiratory failure in anesthetized unbound spontaneously breathing rabbits. Oxygenation significantly altered endurance times, whereas hypercapnia had no effect. Isolated high-frequency contractile fatigue of the diaphragm was found in hyperoxic animals; all other animals had no evidence of contractile fatigue. Oxygenation and hypercapnia did not significantly alter the response of breathing frequency or duty cycle to loading. In all animals, there was a falloff in the intensity of central drive before apnea, with intensity of central drive remaining submaximal throughout loading. Oxygenation significantly altered the time and/or load at which drive intensity fell off, although critical blood gas levels were not associated with the falloff in intensity. We conclude that oxygenation influences the development of respiratory failure during inspiratory loading but does not directly explain the alterations is central drive. On the other hand, hypercapnia has no direct effect on respiratory muscle function or central drives during loading to respiratory failure. When the effects of hypoxemia are obviated by hyperoxia, high-frequency contractile fatigue may occur.

Animals↗
PubMed1986

Alteration of human right bundle branch refractoriness by changes in duration of the atrial drive train.

We studied the effect of drive train duration on human right bundle branch refractoriness. Seven patients with a QRS duration of 0.10 sec or less and no preexcitation had functional right bundle branch block induced reproducibly with premature atrial stimulation. Refractoriness of the right bundle branch was defined as the longest H1H2 interval resulting in right bundle branch block and was determined in each patient at a constant pacing cycle length but at five to seven different atrial drive train durations varying from four to 99 complexes. In all seven patients, right bundle branch refractoriness decreased with increasing drive train duration (mean 15 msec). One-third of this decrease (5.0 msec) occurred between drive train durations of four and eight complexes, and close to two-thirds (9.3 msec) occurred between drive train durations of eight and 64 complexes. Very little further decrease (0.7 msec) occurred between 64 and 99 complexes. We conclude that right bundle branch refractoriness shortens progressively as the preceding drive train duration increases. This phenomenon may in part explain the disappearance of functional right bundle branch block during supraventricular tachycardia after a variable number of complexes without a change in cycle length of tachycardia.

Adult↗
PubMed1977

Ventilatory response and drive in acute and chronic obstructive pulmonary disease.

We measured hypercapnic ventilatory responses using the rebreathing technique and ventilatory drive using mouth occlusion pressure in 15 normal subjects (6 with added external inspiratory resistance), 11 asthmatics, and 17 patients with chronic obstructive pulmonary disease (9 with chronic CO2 retention and 8 with normal values for arterial pco2). normal subjects, obstructed normal subjects, asthmatics, and patients with chronic obstructive pulmonary disease without CO2 retention had overlapping ventilatory responses. Ventilatory drive was increased in asthmatics and obstructed normal subject. Patients with chronic obstructive pulmonary disease without CO2 retention maintained a ventilatory drive similar to that of normal subjects, whereas patients with chronic obstructive pulmonary disease with chronic CO2 retention demonstrated blunted ventilatory drives as a group, even though 5 of 9 had normal drives. Patients with CO2 retention also had the greatest obstruction when compared to other groups. In some patients, chronic CO2 retention is primarily a consequence of mechanical end-organ limitation rather than a blunted neurorespiratory center output. Acute airway obstruction is associated with an increased drive, which may become reduced with chronic obstruction.

Acute Disease↗
PubMed2004

How are sociosexuality, sex drive, and lifetime number of sexual partners related?

In two studies (ns = 277 and 221), the authors examined the relationships among sex drive, sociosexuality, lifetime number of sex partners, and gender identity. They found that sex drive is highly and positively correlated with sociosexual orientation, and that both sex drive and sociosexual orientation are positively correlated with lifetime number of sex partners. However, partial correlations revealed that sociosexual orientation is an independent predictor of lifetime number of sex partners, whereas sex drive is not. The authors were also able to replicate and extend Mikach and Bailey's (1999) finding that gender identity is related to women's lifetime number of sex partners. More masculine women had more sex partners and had a less restricted sociosexual orientation than did less masculine women; less masculine men had a higher sex drive than did more masculine men. The findings are discussed with regard to theory and research on sex drive and sociosexuality.

Adolescent↗
PubMed1995

Topographic analysis of EEG photic driving in normal and schizophrenic subjects.

In a 19-channel EEG photic driving paradigm the steady-state evoked response was studied in schizophrenic patients and normal controls. Seventeen drug-free patients and 15 normal controls were compared. Schizophrenic patients had lower EEG photic driving in the alpha range, particularly in the high alpha frequency band (p = 0.08). Topographic analysis revealed that the group differences were primarily located in the mid-frontal, central and parietal areas (p < 0.05). Temporal and lateral frontal lobe alpha remained the same in the two groups. Separate analysis of eye movement (EM) showed an opposite effect on the alpha-frequency photic driving as compared to that on the resting alpha EEG. EM decreased the resting alpha EEG and increased the photic driving. This finding suggested that the lower EEG photic driving in the schizophrenic patients could not be explained by the eye movement artifact. We hypothesize that the 10 Hz range photic driving that reflects the intrinsic EEG spindle generation in the thalamus may play an important role in the psychophysiology of schizophrenia.

Adult↗
PubMed2005

Relationship of dyspnea to respiratory drive and pulmonary function tests in obese patients before and after weight loss.

BACKGROUND: Dyspnea is a common complaint in obese patients, who also frequently have abnormal pulmonary function test (PFT) results without evidence of lung disease. We studied the relationship between dyspnea, PFT results, and respiratory drive in morbidly obese patients before and after weight loss. METHOD: Twenty-eight obese patients underwent PFTs including spirometry, lung volume measurements, and ventilatory drive assessment using the carbon dioxide rebreathing technique. The score of the dyspnea portion of the Chronic Respiratory Disease Questionnaire (CRQ) was used to assess dyspnea. CRQ and respiratory drive measurements were repeated in 10 patients after induced weight loss by gastroplasty RESULTS: Mean +/- SD body mass index (BMI) prior to surgery was 47 +/- 6.5 kg/m2. Patients were then classified into two groups: group 1, mild-to-moderate dyspnea (dyspnea score > 4); and group 2, severe dyspnea (dyspnea score < 4). Group 2 had higher respiratory drive parameters and significantly lower lung volumes compared to group 1. After gastroplasty, there were significant reductions in BMI (p = 0.000), dyspnea score (p = 0.000), occlusion pressure 100 ms after the start of inspiration (P100) at end-tidal carbon dioxide (ETCO2) of 60 mmHg (p = 0.011), minute ventilation (Ve) at ETCO2 of 60 mmHg, and Ve slope (0.017). P100 slope was reduced, but it did not reach statistical significance. CONCLUSION: The degree of dyspnea commonly observed in obese patients can be explained, in part, by increased ventilatory drive and reduced static lung volumes. Gastroplasty results in a significant reduction in BMI and respiratory drive measurements as well as significant improvement in dyspnea.

Adult↗
PubMed2004

A novel meiotic drive locus almost completely distorts segregation in mimulus (monkeyflower) hybrids.

We report the discovery, mapping, and characterization of a meiotic drive locus (D) exhibiting nearly 100% nonrandom transmission in hybrids between two species of yellow monkeyflowers, outcrossing Mimulus guttatus and selfing M. nasutus. Only 1% of F(2) hybrids were M. nasutus homozygotes at the marker most tightly linked to D. We used a set of reciprocal backcrosses to distinguish among male-specific, female-specific, and zygote-specific sources of transmission ratio distortion. Transmission was severely distorted only when the heterozygous F(1) acted as the female parent in crosses to either parental species, ruling out pollen competition and zygote mortality as potential sources of drive. After four generations of backcrossing to M. nasutus, nearly isogenic lines were still >90% heterozygous at markers linked to D, suggesting that heterozygosity at the drive locus alone is sufficient for nonrandom transmission. A lack of dramatic female fitness costs in these lines rules out alternatives involving ovule or seed mortality and points to a truly meiotic mechanism of drive. The strength and direction of drive in this system is consistent with population genetic theory of selfish element evolution under different mating systems. These results are the first empirical demonstration of the strong female-specific drive predicted by new models of selfish centromere turnover.

Chimera↗
PubMed2001

The Y chromosomes of Drosophila simulans are highly polymorphic for their ability to suppress sex-ratio drive.

The sex-ratio trait, known in several species of Drosophila including D. simulans, results from meiotic drive of the X chromosome against the Y. Males that carry a sex-ratio X chromosome produce strongly female-biased progeny. In D. simulans, drive suppressors have evolved on the Y chromosome and on the autosomes. Both the frequency of sex-ratio X and the strength of the total drive suppression (Y-linked and autosomal) vary widely among geographic populations of this worldwide species. We have investigated the pattern of Y-linked drive suppression in six natural populations representative of this variability. Y-linked suppressors were found to be a regular component of the suppression, with large differences between populations in the mean level of suppression. These variations did not correspond to differences in frequency of discrete types of Y chromosomes, but to a more or less wide continuum of phenotypes, from nonsuppressor to partial or total suppressor. We concluded that a large diversity of Y-linked suppressor alleles exists in D. simulans and that some populations are highly polymorphic. Our results support the hypothesis that a Y-chromosome polymorphism can be easily maintained by a balance between meiotic drive and the cost of drive suppression.

Animals↗
PubMed1994

Selection for high and low threshold body weight at first egg in broiler strain females. 4. Photoperiodic drive in the selection lines and in commercial layers and broiler breeders.

A two-way selection program, carried out for high and low threshold BW at onset of lay (ThrWtLay), decreased photoperiodic drive of the high line (HL) relative to the low line (LL). Photoperiodic drive in modern broiler breeder females was compared to layer females in experiments using the HL and LL lines, a commercial layer cross (LX), and a commercial broiler breeder female line cross (BX). Treatment groups were: NS, natural decreasing light to 20 wk, followed by natural light supplemented to 16 h daily with artificial light; NN, natural decreasing light to end of experiment; DD, dark room from hatch to end of experiment; ND, natural decreasing light to 20 wk, dark room thereafter. Under NS, mean age and BW at first egg was greater for the HL line than for the LL line. The difference increased by a further 8.9 d and 217.5 g under NN. Similarly, under NS, mean age and BW at first egg was greater for BX than for LX, and the difference increased by a further 22.6 d and 256.1 g under NN. These interactions indicate greater photoperiodic drive of LX and LL stocks relative to the HL and BX stocks. Prepeak and peak egg production (EP) was greatest for the LX, lower for the LL, and lower yet for HL and BX. Photoperiodic drive may be of major importance in determining prepeak and peak EP. Except for the DD treatment, age and BW of the LX cross at first egg were virtually identical across treatments, those of the LL line were similar, whereas those of the HL and BX stocks showed differences. Similarly, EP curves of the LX cross were virtually identical across treatments, those of the LL line were relatively uniform, but those of the HL and BX stocks again showed great differences. Standard deviation and coefficient of variation of peak EP were very low for the LX cross, still low, but significantly greater for the LL line, and significantly greater yet again for both HL and BX stocks. Thus, increased photoperiodic drive may also be associated with greater stability of reproductive performance. Selection for early onset of lay on release from feed restriction may provide a means of increasing photoperiodic drive and consequent reproductive performance of broiler breeders.

Age Factors↗
PubMedDate not supplied

A comparison of teen perceptions and parental reports of influence on driving risk.

OBJECTIVES: To compare associations between teen and parent reports of parental driving influence to teen-reported high-risk driving. METHODS: A statewide sample of 424 Maryland parents and their provisionally licensed teenagers were interviewed. RESULTS: Reports of parental involvement with their driving to that of their parents indicated low levels of concordance. Teens who reported their parents had specific rules restricting who could ride with them as well as how many passengers were allowed to ride with them were less likely to report being distracted by friends, getting a ticket, driving too fast, or driving aggressively. CONCLUSION: Programs that enable parents to restrict and supervise their teen's driving, especially during the first 6 months of provisional licensure, are indicated.

Accidents, Traffic↗
PubMed1999

[Psychotropic drugs and automobile driving ability of elderly patients].

Many elderly patients are prescribed psychotropic medication, many of them are car drivers. Driving ability may be impaired by the underlying psychiatric disease, the medication or the combination of both. Psychoactive medications do not all influence driving ability to the same extent. Cyclic antidepressants impair driving performance to a higher degree than selective serotonin reuptake inhibitors (SSRI) or MAO inhibitors. In cases of severe psychiatric diseases like major depression an appropriate psychoactive medication may improve driving performance. The influence of psychoactive drugs on driving ability is not always taken into account. There are no data available that allow a reliable assessment of these drugs in elderly patients. To meet the challenge of this problem, patients and doctors have to be aware of this problem; studies about the impact of psychoactive drugs on driving ability are necessary.

Accidents, Traffic↗
PubMed2005

Intraparental gamete competition provides a selective advantage for the development of hybrid sterility via meiotic drive.

Hybrid sterility can have evolutionary significance and varies substantially by taxon, but few models attempt to predict or explain this variability. Hybrid sterility is commonly observed and develops early in isolation, at odds with straightforward models that predict it would develop slowly and rarely be seen. Meiotic drive might explain the rapid development of hybrid sterility, but drive is rarely observed, modifiers are expected to repress it, and no precise testable predictions are available. Here I develop population genetic models for the establishment of meiotic drive based on how it spreads by benefiting carrier gametes competing with noncarrier gametes from the same parent, or intraparental gamete competition. The resulting models predict that meiotic drive can often produce substantial hybrid sterility over time even in the presence of repressors, yet observable drive will be rare. They also make quantitative predictions of the degree of sterility based on observable parameters of reproductive ecology, including frequency of multiple mating, effective dispersal of offspring, and population size. Finally, they suggest explanations for the association of heterochromatin changes with speciation. Experimental evidence is discussed showing that drive alleles at least sometimes contribute to hybrid sterility.

Computer Simulation↗
PubMed2005

Evidence of susceptibility and resistance to cryptic X-linked meiotic drive in natural populations of Drosophila melanogaster.

There is mounting evidence consistent with a general role of positive selection acting on the Drosophila melanogaster X-chromosome. However, this positive selection need not necessarily arise from forces that are adaptive to the organism. Nonadaptive meiotic drive may exist on the X-chromosome and contribute to forces of selection. Females from a reference D. melanogaster line, containing the X-linked marker white, were crossed to males from 49 isofemale lines established from seven African and five non-African natural populations to detect naturally occurring meiotic drive. Several lines exhibited a departure from expected Mendelian transmission of X-chromosomes to the third generation (F2) offspring, particularly those from hybrid African male parents. F2 viability was not correlated with skewed chromosomal inheritance. However, a significant difference in viability between cosmopolitan and tropical African crosses was observed. Recombination analysis supports the presence of a male-acting meiotic drive element near the centromeric region of the X-chromosome and putative recessive autosomal drive suppression. There is also evidence of another female-acting drive element linked to white. The possible role meiotic drive may contribute in shaping levels of genetic variation in D. melanogaster, and additional ways to test this hypothesis are discussed.

ATP-Binding Cassette Transporters↗
PubMed2002

[Driving and dementia.].

OBJECTIVE: The proportion of elderly in the community is increasing and thereby the number of elderly drivers. This leads to an increase in the number of drivers with cognitive impairment and even dementia. This study looks into the problems this is creating. MATERIAL AND METHODS: Interview with patients and their relatives seeking for cognitive impairment to a Memory Clinic over a period of 4 years. Information was achieved by a social worker for 346 individuals. RESULTS: Out of 346 individuals, 121 were active drivers, 110 ex drivers and 48 had never had drivers license. Insufficient information on driving was for 67 patients. Most of the ex drivers or 92 (84%) had stopped driving of their own initiative. The relatives of 12 individuals informed of accidents occurring after the onset of cognitive impairment and 7 of them continued to drive in spite of that. DISCUSSION: Elderly who experience cognitive impairment decide in most instances themselves to stop driving. A minority continues driving in spite of obvious deficiencies. Clear guidelines for relatives and health professionals are needed in order to help elderly with cognitive impairment in making decisions on when it is appropriate to stop driving.

English Abstract↗
PubMed1989

Involvement of excitatory amino acids in neurotransmission of inspiratory drive to spinal respiratory motoneurons.

The role of excitatory amino acids in the transmission of bulbospinal respiratory drive to spinal motoneurons was investigated in the in vitro and in vivo spinal cord of the rat. In vitro studies were performed with a preparation of neonatal rat brain stem and spinal cord that spontaneously generates rhythmic respiratory drive to spinal respiratory motoneurons. This in vitro system allowed examination of the effects of pharmacological agents on spinal motoneuron activity, without perturbing the activity of bulbospinal neurons transmitting the respiratory drive. The amplitude of spontaneous motor discharge in spinal ventral roots containing phrenic and intercostal motor axons was reduced in a dose-dependent manner by antagonists to excitatory amino acids acting at NMDA receptors [D,L-2-amino-5-phosphonovaleric acid (D,L-AP5)] and non-NMDA receptors [kynurenic acid, gamma-D-glutamylglycine, gamma-D-glutamyltaurine, and L- and D,L-2-amino-4-phosphonobutyric acid (L-AP4,D,L-AP4)]. The order of potency of the antagonists for complete block of the motor output was L-AP4 greater than D,L-AP4 greater than kynurenic acid greater than gamma-D-glutamylglycine greater than D,L-AP5 greater than or equal to gamma-D-glutamyltaurine. Amino acid uptake inhibitors augmented the spontaneous motoneuron activity, further confirming the involvement of endogenous excitatory amino acids in transmission of respiratory drive. The results obtained in vitro with AP4, kynurenic acid, and amino acid uptake inhibitors were confirmed in vivo by bathing segments of the rat spinal cord in situ with solutions containing antagonists and uptake inhibitors. The present results suggest that an important component of the neurotransmission of bulbospinal respiratory drive involves endogenous excitatory amino acids acting at AP4-sensitive sites and other non-NMDA (quisqualate/kainate) receptors. The bulbospinal-spinal respiratory motoneuron synapse may provide a convenient model synapse in the spinal cord for detailed analysis of mechanisms underlying excitatory amino acid-mediated synaptic transmission of motor drive.

Amino Acids↗
PubMed1986

Technological and physiological characteristics of a newly developed hand-lever drive system for wheelchairs.

It may be concluded that, by use of the newly developed Swing-Turn-gear system, mobility of the disabled person using wheelchairs outdoors can be improved. The qualities of the drive gear in push and pull action, the free wheel, the full selection of frequency, and the range of moving the hand levers represent important progress in wheelchair engineering research. The handrim drive is an alternative, especially for indoor use. But, for the first time, an indoor wheelchair can be offered as a combination vehicle for both indoor and outdoor use. The acceptance of the new wheelchair integrated Swing-Turn-gear is much better than the conspicuous hand-lever drive in standard outdoor wheelchairs. At present, the German wheelchair manufacturer, MEYRA Vlotho, is preparing the new hand-lever drive system for production. Initially, the drive system will be adapted to a standard indoor wheelchair made by this company. Development of a lever drive system is also in progress in the United States, which employs force transmission characteristics in one direction.

Energy Metabolism↗
PubMed1993

Misapplication of the Tarasoff duty to driving cases: a call for a reframing of theory.

In the years since the original Tarasoff cases created a new duty for psychotherapists toward third parties harmed by patients' violence, a series of cases nationwide--so called "driving cases"--have applied Tarasoff-like reasoning to situations where a patient injured others while driving a car. Our thesis in this paper is that such application is inappropriate since it represents an unjustified and largely unexamined assumption that driving injury is an expression of the mental-illness-derived intended violence that justifies the Tarasoff duty and its inevitable associated breach of confidentiality. We suggest to the contrary that driving cases almost invariably result from a patient's negligent driving rather than intentional violence stemming from mental illness; that clinicians in most instances have almost no capacity, training, or clinical bases on which to predict a patient's future negligence, violence aside; and that the theory of driving cases should be revised.

Accidents, Traffic↗