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PubMed1981

[The direct fetal electrocardiography following intra-uterine fetal death (author's transl)].

During labor the maternal cardiogram was traced through the dead fetus. The technical prerequisites for this phenomenon are described. The concomitant intra-uterine tracings of the contractions showed decelerations during the contractions in the maternal cardiogram obtained from the dead fetus. Similar observations have been described by other authors. The etiology of maternal cardiographic decelerations during the contractions is discussed. Decelerations in the maternal cardiogram traced from the dead fetus during labor may result in misinterpretations which lead to inappropriate obstetric management.

Adult↗
PubMed2001

Chronic mitral regurgitation and Doppler estimation of left ventricular filling pressures in patients with heart failure.

Previous studies relating Doppler parameters and pulmonary capillary wedge pressures (PCWP) typically exclude patients with severe mitral regurgitation (MR). We evaluated the effects of varying degrees of chronic MR on the Doppler estimation of PCWP. PCWP and mitral Doppler profiles were obtained in 88 patients (mean age 55 +/- 8 years) with severe left ventricular (LV) dysfunction (mean ejection fraction 23% +/- 5%). Patients were classified by severity of MR. Patients with severe MR had greater left atrial areas, LV end-diastolic volumes, and mean PCWPs and lower ejection fractions (each P <.01). In patients with mild MR, multiple echocardiographic parameters correlated with PCWP; however, with worsening MR, only deceleration time strongly related to PCWP. From stepwise multivariate analysis, deceleration time was the best independent predictor of PCWP overall, and it was the only predictor in patients with moderate or severe MR. Doppler-derived early mitral deceleration time reliably predicts PCWP in patients with severe LV dysfunction irrespective of degree of MR.

Chronic Disease↗
PubMed2000

A comparison of visual analyses of intrapartum fetal heart rate tracings according to the new national institute of child health and human development guidelines with computer analyses by an automated fetal heart rate monitoring system.

OBJECTIVES: The aim of this study was to compare the visual analyses of fetal heart rate tracings by observers according to recent National Institute of Child Health and Human Development interpretative guidelines both with each other and with those of a computerized fetal heart rate analysis and alerting system. STUDY DESIGN: One-hour sections of intrapartum fetal heart rate records were analyzed by a computerized monitoring system (Hewlett-Packard TraceVue; HP GmbH, Böblingen, Germany) and by 4 observers (a registered obstetric nurse, a certified nurse-midwife, an obstetrics resident physician, and a physician maternal-fetal medicine faculty member) instructed to use the new National Institute of Child Health and Human Development guidelines. We compared specific alerts, baseline rates, frequencies of accelerations and decelerations, and signal quality assessments generated by the TraceVue system and the observers. Power analysis indicated that 50 tracings were required to detect interobserver and observer-computer agreement levels of 80% +/- 10%. Statistical comparisons used kappa coefficient, chi(2) test, and analysis of variance with repeated measures as appropriate. RESULTS: Levels of agreement between observer pairs and the computer did not vary significantly across successive 10-minute intervals. Overall levels of interobserver agreement for baseline rate, tracing quality assessment, frequencies of accelerations and decelerations, and alerts ranged from 45% to 99% and were highest for baseline rate and signal loss and lowest for acceleration and deceleration counts. Interobserver agreement for alerts was relatively high (range, 72%-84%), with virtually no difference between any of the observers and the computer (range, 76.9%-79.2%; kappa = 0.25). CONCLUSION: Use of the National Institute of Child Health and Human Development guidelines for visual fetal heart rate interpretation did not increase agreements on most fetal heart rate features beyond those expected by chance or noted in previous reports. These guidelines did appear to blunt some interpretive differences, possibly as a result of observer background. Although levels of agreement on fetal heart rate features differed, agreements on clinical alerts were similar among all observers and a computerized fetal heart rate monitoring system. Computer analysis of fetal heart rate tracings could eliminate interobserver variation that results from visual analysis and could produce more consistent clinical responses to normal and abnormal fetal heart rate patterns.

Automation↗
PubMed2006

Codon-usage bias versus gene conversion in the evolution of yeast duplicate genes.

Many Saccharomyces cerevisiae duplicate genes that were derived from an ancient whole-genome duplication (WGD) unexpectedly show a small synonymous divergence (K(S)), a higher sequence similarity to each other than to orthologues in Saccharomyces bayanus, or slow evolution compared with the orthologue in Kluyveromyces waltii, a non-WGD species. This decelerated evolution was attributed to gene conversion between duplicates. Using approximately 300 WGD gene pairs in four species and their orthologues in non-WGD species, we show that codon-usage bias and protein-sequence conservation are two important causes for decelerated evolution of duplicate genes, whereas gene conversion is effective only in the presence of strong codon-usage bias or protein-sequence conservation. Furthermore, we find that change in mutation pattern or in tDNA copy number changed codon-usage bias and increased the K(S) distance between K. waltii and S. cerevisiae. Intriguingly, some proteins showed fast evolution before the radiation of WGD species but little or no sequence divergence between orthologues and paralogues thereafter, indicating that functional conservation after the radiation may also be responsible for decelerated evolution in duplicates.

Codon↗
PubMed1984

A note on constant error shifts in post-perturbation responses.

Response biasing was examined in the production of well-learned discrete timing responses. Interpolated movements consisted of trials which were briefly perturbed by an accelerating or decelerating force with subjects requested to amend the response in order to complete the trial successfully. Movement time analysis indicated that the response immediately following the perturbation trial demonstrated large biasing effects with the direction of the constant error shift a function of the direction of the perturbation. Responses following deceleration perturbations were produced too rapidly and those following acceleration perturbations were produced too slowly. Analysis of kinematic variables associated with these responses showed that post perturbation trials were characterized by systematic changes in peak acceleration and peak deceleration as well as the timing of these parameters. The biasing effects were temporary and showed other similarities to findings from short-term motor memory investigations. A number of differences were also noted along with methodological considerations for perturbation paradigms.

Journal Article↗
PubMed1987

Changes in the variability of movement trajectories with practice.

We studied variability in movement phase plane trajectories (velocity-position relation) during movement. Human subjects performed 10 degrees and 30 degrees elbow flexion and extension movements in a visual step tracking paradigm. The area of ellipses with radii equal to one standard deviation in position and velocity was taken as a measure of trajectory variability. Trajectory variability was determined at 10-ms intervals throughout movements. Trajectory variability in both the acceleration and deceleration phases of movement decreased with practice. The average trajectory variability during deceleration was greater than that during acceleration even after extended practice (1000 trials). During practice, subjects usually increased movement speed while maintaining end-position accuracy. Trajectory variability was also related to movement speed when equal amounts of practice were given. Short duration (fast) movements had greater trajectory variability than long duration movements. Thus there is a tradeoff between movement speed and trajectory variability similar to the classical speed-accuracy tradeoff. Trajectory variability increased rapidly during the acceleratory phase of movement. The rate of increase was positively related to both movement amplitude and speed. Thus, the forces producing limb acceleration were variable and this variability was more marked in faster and larger movements. In contrast, trajectory variability increased more slowly or actually decreased during the deceleratory phase of movements. Forces involved in limb deceleration thus appeared to compensate to a greater or lesser degree for the variability in accelerative forces. The experiments indicate that the entire trajectory of simple limb movements is controlled by the central nervous system. Variations in accelerative forces may be compensated for by associated variations in decelerative forces. The linkage between accelerative and decelerative forces is progressively refined with practice resulting in decreased variability of the movement trajectory.

Journal Article↗
PubMed1985

The design and testing of a wire velocimeter.

The basic principles underlying the design of a velocimeter based on an unwinding wire, for use in athletics research, are discussed. It is shown by theoretical analysis that, in order to avoid runaway effects, the tension on the wire should be either high or low but not of intermediate strength. The low tension regime is shown to be theoretically the most favourable as it combines high accuracy of speed measurements in decelerated motion with insensitivity to resonance oscillations of the wire. Practical considerations concerning the ruggedness of the apparatus, however, favour the high tension regime. A modern apparatus incorporating microprocessors and working with thin nylon wire stretched by a force of the order of 1 N, i.e. in the high tension regime, has been constructed and tested. The test results show that the velocity of decelerated motions (up to decelerations of the order of 10 m s-2) can be faithfully recorded in the velocity range 0-15 m s-1. The relative error for the measurement of constant speed up to 15 m s-1 is about one in a thousand, which is very small and practically unattainable by other methods. An application to the study of the long jump is demonstrated and validated by the use of film analysis.

Humans↗
PubMed2000

Head growth in Rett syndrome.

The longitudinal development of head growth was investigated in girls with Rett syndrome. Measurements were taken retrospectively from different kinds of records. Growth retardation was expressed in standard deviation (SD) scores. In classic types, the mean head circumference fell successively to 2 SD scores below the norm at the age of 4 y. After the age of 8 y it stabilized close to -3 SD scores. The degree of deceleration correlated strongly to the age at which a deceleration of 1 SD score had occurred. In forme fruste variants, the mean head circumference was within normal limits; however, it was significantly below the norm (-0.8 SD scores). Body height deviated to -2 SD scores at the age of 6 y and was highly correlated to decline in head growth. When head growth was related to the severity of motor disability, there was a continuum from almost normal head growth with well-preserved gross motor function and some preserved fine motor function to a marked deceleration in head growth with maximum gross and fine motor disability.

Age Factors↗
PubMed1999

Dual effects of ADP and adenylylimidodiphosphate on CFTR channel kinetics show binding to two different nucleotide binding sites.

The CFTR chloride channel is regulated by phosphorylation by protein kinases, especially PKA, and by nucleotides interacting with the two nucleotide binding domains, NBD-A and NBD-B. Giant excised inside-out membrane patches from Xenopus oocytes expressing human epithelial cystic fibrosis transmembrane conductance regulator (CFTR) were tested for their chloride conductance in response to the application of PKA and nucleotides. Rapid changes in the concentration of ATP, its nonhydrolyzable analogue adenylylimidodiphosphate (AMP-PNP), its photolabile derivative ATP-P3-[1-(2-nitrophenyl)ethyl]ester, or ADP led to changes in chloride conductance with characteristic time constants, which reflected interaction of CFTR with these nucleotides. The conductance changes of strongly phosphorylated channels were slower than those of partially phosphorylated CFTR. AMP-PNP decelerated relaxations of conductance increase and decay, whereas ATP-P3-[1-(2-nitrophenyl)ethyl]ester only decelerated the conductance increase upon ATP addition. ADP decelerated the conductance increase upon ATP addition and accelerated the conductance decay upon ATP withdrawal. The results present the first direct evidence that AMP-PNP binds to two sites on the CFTR. The effects of ADP also suggest two different binding sites because of the two different modes of inhibition observed: it competes with ATP for binding (to NBD-A) on the closed channel, but it also binds to channels opened by ATP, which might either reflect binding to NBD-A (i.e., product inhibition in the hydrolysis cycle) or allosteric binding to NBD-B, which accelerates the hydrolysis cycle at NBD-A.

Adenosine Diphosphate↗
PubMed2000

Energy, Density, and Constraints to Species Richness: Ant Assemblages along a Productivity Gradient.

Species richness describes the number of species of a given taxon in a given time and space. The energy limitation hypothesis links the species richness of consumer taxa to net primary productivity (NPP) through two relationships: NPP limits a taxon's density, and taxon density limits species richness. We study both relationships with a survey of 15 ground ant assemblages, along a productivity gradient from deserts to rain forests. Ant density (colonies m-2) was a positive, decelerating function of net aboveground productivity (NAP). A stepwise regression suggests that the efficiency with which NAP is converted to ant colonies increases with maximum summer temperature and decreases with precipitation. Ant species richness was a positive decelerating function of density at three spatial scales. This supports the energy limitation hypothesis' assumption that average population densities are higher in environments that are more productive. These two nonlinear functions (NAP-density and density-species richness) combine to create, at a variety of scales, positive, decelerating, productivity-diversity curves for a common, ecologically dominant taxon across the terrestrial productivity gradient. However, variance in the density and diversity explained by NAP decreases with scale, suggesting that energy limitation of diversity predominates at small spatial scales (<1 ha).

Journal Article↗
PubMed2003

Nonlinear effects of an aquatic consumer: causes and consequences.

The assumption that per capita consumer effects on prey density are independent of consumer and prey density is examined with a large-scale manipulation of an aquatic herbivore (Daphnia). A gradient of consumer removal was maintained long enough to allow the abundances of both consumer and prey (phytoplankton) to equilibrate to the manipulation. Strong and unequivocal nonlinearities were found in the effect of Daphnia on total phytoplankton abundance and the abundance of most of the common phytoplankton species. Daphnia's suppression of phytoplankton was strong between 0 and approximately 400 microg Daphnia L(-1) but essentially nil from approximately 400 to 900 microg Daphnia L(-1). The sharp deceleration in Daphnia's effect was not caused by a shift within the phytoplankton community toward consumption-resistant forms. The most likely explanation for the deceleration was a reduction in Daphnia's filtering effort at low phytoplankton abundance, that is, a Type III functional response. A review of experimental literature suggested that decelerating effects of consumers are the norm in aquatic systems. Nonlinear effects present problems for the estimation of interaction strength and the building of community interaction models from the results of predator manipulations. It is suggested that the role of field experiments in community ecology should be to test rather than to parameterize models.

Animals↗
PubMed2005

Deformation of the human brain induced by mild acceleration.

Rapid deformation of brain matter caused by skull acceleration is most likely the cause of concussion, as well as more severe traumatic brain injury (TBI). The inability to measure deformation directly has led to disagreement and confusion about the biomechanics of concussion and TBI. In the present study, brain deformation in human volunteers was measured directly during mild, but rapid, deceleration of the head (20-30 m/sec2 peak, approximately 40 msec duration), using an imaging technique originally developed to measure cardiac deformation. Magnetic resonance image sequences with imposed "tag" lines were obtained at high frame rates by repeating the deceleration and acquiring a subset of image data each repetition. Displacements of points on tag lines were used to estimate the Lagrangian strain tensor field. Qualitative (visual) and quantitative (strain) results illustrate clearly the deformation of brain matter due to occipital deceleration. Strains of 0.02-0.05 were typical during these events (0.05 strain corresponds roughly to a 5% change in the dimension of a local tissue element). Notably, compression in frontal regions and stretching in posterior regions were observed. The motion of the brain appears constrained by structures at the frontal base of the skull; it must pull away from such constraints before it can compress against the occipital bone. This mechanism is consistent with observations of contrecoup injury in occipital impact.

Acceleration↗
PubMed1993

Left ventricular diastolic filling alterations in subjects with mitral valve prolapse: a Doppler echocardiographic study.

To assess left ventricular diastolic filling in mitral valve prolapse (MVP), we studied 22 patients with idiopathic MVP and 22 healthy controls matched for sex, age, body surface area and heart rate. A two-dimensional, M-mode and Doppler echocardiographic examination was performed to exclude any cardiac abnormalities. The two groups had similar diastolic and systolic left ventricular volumes, left ventricle mass and ejection fraction. Doppler measurements of mitral inflow were: E and A areas (the components of the total flow velocity-time integral in the early passive period of ventricular filling, E; and the late active period of atrial emptying, A), the peak E and A velocities (cm.s-1), acceleration and deceleration half-times (ms) of early diastolic rapid inflow, acceleration time of early diastolic flow (AT), total diastolic filling time (DFT) (ms), and the deceleration of early diastolic flow (cm.s-2). From these measurements were calculate: peak A/E ratio (A/E), E area/A area, the early filling fraction, the atrial filling fraction, AT/DFT ratio. All the Doppler measurements reported are the average of three cardiac cycles selected at end expiration. The mean peak A velocity, A/E velocity ratio, deceleration half time and atrial filling fraction were each significantly higher for subjects presenting a MVP (60 +/- 12 cm.s-1 vs 49 +/- 14, P < 0.008; 98 +/- 13% vs 64 +/- 12%, P < 0.0001; 120 +/- 36 ms vs 92 +/- 11, P < 0.002; 0.45 +/- 0.14 vs 0.36 +/- 0.08, P < 0.02).(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1995

Left ventricular diastolic parameters in 288 normal subjects from 20 to 80 years old.

Left ventricular diastolic indexes are influenced by several variables. In order to evaluate the relationship of these indexes to age, heart rate, sex and to standard echo parameters, 288 normal subjects aged from 20 to 80 years, divided into six age groups, underwent a two-dimensional colour Doppler examination. Doppler examination was performed from the apical four chamber view to evaluate transmitral flow; isovolumic relaxation time (IVRT) was measured from an apical five chamber view. In order to obtain a sufficient number of subjects for an adequate statistical analysis, seven hospitals were involved in the study. Univariate analysis showed that age influences the peak velocity of the E (r = -0.46) and A waves (r = 0.46), the E/A ratio (peak velocities) (r = -0.69), the A wave integral (r = 0.48) and the E/A integral ratio (r = -0.57), the early and late filling fractions (r = -0.48 and r = 0.51 respectively), and the E wave deceleration (r = -0.43) and deceleration time (r = 0.36). In subjects older than 70 years an inversion of the E/A wave ratio was observed. Multivariate analysis confirmed that age has an important influence on left ventricular diastolic indexes but also demonstrated that heart rate has a significant influence. Sex, ejection fraction (EF), and the dimensions of the mitral annulus and the left ventricular posterior wall had less influence on left ventricular diastolic indexes. The mean values of E and A wave acceleration, deceleration and peak velocity were used to depict left ventricular filling morphology in various age groups for three different heart rate values. The conclusions of the study, are: (1) normal left ventricular diastolic parameters were obtained as mean values at seven different hospitals (2) when evaluating left ventricular diastolic function parameters it is important to take into account age and heart rate; E/A inversion in older subjects should be considered the normal mitral flow pattern.

Adult↗
PubMed1996

A comparison of left ventricular myocardial velocity in diastole measured by magnetic resonance and left ventricular filling measured by Doppler echocardiography.

Abnormal diastolic left ventricular function is an early marker for myocardial disease and may be impaired even when global systolic function is normal. Subendocardial function is affected early in ischaemic heart disease and by altering left ventricular long axis motion, may contribute to abnormal transmitral pressure gradients. Regional myocardial long axis velocity in diastole measured by magnetic resonance was compared with left ventricular filling measured by Doppler echocardiography in 25 patients with coronary artery disease. Fifteen patients also underwent magnetic resonance assessment at the time of onset of early diastolic blood flow. The onset of diastolic long axis velocity preceded flow across the mitral valve by a mean of 46 ms. Mean long axis myocardial velocity correlated with peak early filling velocity (E) (r = 0.73, P < 0.001), early deceleration (r = -0.73, P < 0.001), and the early to late filling ratio (E/A) ratio (r = 0.6, P < 0.01). Maximum myocardial long axis velocity also correlated with peak early filling velocity (r = 0.56, P < 0.01), early deceleration rate (r = 0.63, P < 0.001), and the E/A ratio (r = 0.53, P < 0.01). The variability of long axis velocity around the ventricle correlated inversely with peak early filling, (r = -0.7, P < 0.001), early deceleration (r = -0.56, P < 0.01), and the E/A ratio (r = -0.48, P < 0.02). Peak atrial filling velocity did not correlate with any measure of long axis myocardial velocity. We conclude that early diastolic long axis myocardial velocity has a significant effect on left ventricular filling.

Adult↗
PubMed1997

Evaluation and prognostic significance of left ventricular diastolic function assessed by Doppler echocardiography in the early phase of a first acute myocardial infarction.

AIM: To study the prognostic significance of left ventricular diastolic function evaluated by transmitral and pulmonary venous flow velocities obtained in the early phase of a first acute myocardial infarction in relation to later development of congestive heart failure. METHODS: Pulsed Doppler echocardiography of transmitral and pulmonary venous flow was assessed in 65 consecutive patients with a first myocardial infarction within 1 h of arrival in the coronary care unit. RESULTS: A univariate regression analysis identified age, left ventricular ejection fraction < or = 45%, mitral E deceleration time < or = 130 ms, E/A ratio > 1.5, peak pulmonary venous atrial flow velocity > or = 30 cm.s-1 and a difference between mitral and pulmonary venous atrial flow duration < 0 ms as variables significantly related to the development of congestive heart failure. However, in a multivariate analysis only mitral E deceleration time < or = 130 ms and age were significant independent variables related to the development of congestive heart failure during the first week following a first acute myocardial infarction. CONCLUSION: Assessment of left ventricular diastolic function complements measurements of systolic function in the evaluation of cardiac function, and mitral deceleration < or = 130 ms best identifies patients at risk of development of congestive heart failure following acute myocardial infarction.

Aged↗
PubMed1988

Steady-state kinetic study on the inhibition of the adenosinetriphosphatase activity of dynein from Tetrahymena cilia by glycerol.

The characteristics of glycerol-induced inhibition of the dynein ATPase extracted from Tetrahymena cilia were investigated. Fifty percent inhibition was observed at about 15% (v/v) glycerol with the 22S dynein Mg-ATPase. Ethylene glycol was equally inhibitory, while sucrose, a kind of polyol, was less effective. The glycerol-induced inhibition of the 22S dynein Mg-ATPase was not influenced by pH or by raising the ionic strength of the assay solution. An aqueous glycerol solution treated with anion or cation exchanger or charcoal was equally inhibitory to a non-treated solution. The inhibition was most likely to be due to glycerol or ethylene glycol itself, not to a contaminant. The inhibition of the 22S dynein Mg-ATPase was apparently noncompetitive: only the Vmax was reduced without a significant change in the apparent Km. The dynein ATPase is known to be inhibited potently by vanadate. Glycerol reduced the sensitivity of the dynein ATPase to the vanadate-induced inhibition. Glycerol exhibited a decelerating effect on the rate of the oxygen exchange between phosphate and water catalyzed by 22S dynein in the presence of ADP and Mg2+. If it is assumed that the rate constants of the ATP hydrolysis step are not affected by glycerol, it may be implied that the phosphate release from the E.ADP.P1 intermediate was decelerated by glycerol and that the deceleration of the phosphate release paralleled the reduction of the overall ATPase activity over a wide range of glycerol concentration.(ABSTRACT TRUNCATED AT 250 WORDS)

Adenosine Triphosphatases↗
PubMedDate not supplied

Effect of prosthetic mass on swing phase work during above-knee amputee ambulation.

Recent advances in prosthetic technology have resulted in prosthetic limbs that weigh substantially less than those previously used by amputees. Although one of the clinical expectations associated with lighter limbs was that they would reduce the abnormally high metabolic cost of amputee ambulation, this has not be shown in oxygen consumption studies. This expectation was based on previous studies of normal walking, which showed that the greatest changes in mechanical work occurs in the leg during swing phase acceleration and deceleration. To better understand the relationship between limb mass and mechanical work, this study assessed the effect of varying prosthetic limb masses on the sources and magnitude of the mechanical work required for limb movement during swing. Eight above-knee amputees were studied during over ground walking at their self-selected speeds while wearing identical prosthetic limbs under three weight conditions: unweighted; 0.68 kg of added mass; 1.34 kg of added mass. Using inverse dynamics, the mechanical work from muscle sources and joint transfer sources that was used to accelerate the limb forward during late stance and early swing was determined and compared with the recovery of energy from the limb by hip joint transfer to the trunk during terminal swing deceleration. With the addition of 1.34 kg of mass, there was a combined increase in hip flexor muscle concentric work and mechanical energy transfer across the hip joint of 5.4 J, which was needed to accelerate the heavier prosthetic limb into the swing phase. The increase in acceleration work was balanced by a comparable increase (5.6 J) in the recovery of leg energy during terminal swing deceleration. By effectively conserving the additional mechanical work needed to propel a heavier limb, amputees appear to minimize any adverse effect of prosthetic mass on the mechanical work of walking. This may explain the absence of differences in metabolic cost between limbs of different masses.

Adult↗