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Contrast echocardiography can save nondiagnostic exams in mechanically ventilated patients.

Patients in an intensive care unit (ICU) under mechanical ventilation (MV) are very difficult to image by transthoracic echocardiography, diminishing the beneficial information that could be obtained by this noninvasive approach. The objective of this study is to assess whether the addition of a contrast agent to fundamental imaging (FI) can improve or change the initial diagnosis in cardiac postoperative patients under mechanical ventilation by enhancing endocardial border delineation and Doppler flow signal. Thirty mechanically ventilated post-cardiac surgery patients (20 men, mean age 61 +/- 13 years) were evaluated with FI before and after intravenous injection of contrast. Left ventricular endocardial border delineation score index (EBDSI), estimated left ventricular ejection fraction (LVEF), and color and spectral Doppler were analyzed. The use of contrast resulted in a significant increase in the number of well-delineated segments, with a salvage rate of 77% of nondiagnostic studies. EBDSI was 1.62 +/- 0.61, before contrast, increasing to 2.05 +/- 0.53 after it (P < 0.001). There was a change in the LVEF estimation in 5 exams, and a new wall motion abnormality was detected in other 4 exams, after the use of contrast. Moreover, a significant change was observed in the quantification of mitral regurgitation in 5 patients, in the aortic transvalvular peak gradient in 1 patient, and measurement of tricuspid regurgitation peak flow velocity in 8 patients. It is concluded that in cardiac postoperative patients under mechanical ventilation, intravenous injection of a contrast agent using FI resulted in a high salvage rate of studies and changed the initial diagnosis in a significant number of patients.

Albumins↗

Spectral and level effects in noise-on-tone suppression.

The effective internal level of a 1-kHz tone at 50 dB SPL was estimated by measuring the forward masking produced on a 10-ms signal tone of the same frequency. Noise containing a spectral notch was then added to the masker tone, and its influence on the effective level of the tone was measured with a variety of noise levels, notch widths, and notch shapes. In experiment 1, the masker tone was centered in the spectral notch, itself centered in a 2-kHz band of noise. As the spectrum level in the noise passbands increased from 6 dB/Hz to 36 dB/Hz, signal threshold decreased, indicating a decrease in masking by the masker tone. This "unmasking" effect of the noise was attributed to suppression of the masker tone by the components in the noise. Unmasking was greatest with the narrowest spectral notch (250 Hz), and decreased to zero as the notch widened to 1500 Hz. Compared to its level when presented alone, the effective internal level of the masker tone could be reduced by up to 30 dB (250-Hz notch, 36 dB/Hz). The relative suppressive strength of individual noise components was estimated in experiment 2, in which the 1-kHz masker tone was located at one edge of a spectral notch, rather than in the center. Noise spectrum level was fixed at 16 dB/Hz. As notch width decreased to zero, on either the high-frequency or low-frequency side of the masker tone, its effective internal level was again reduced by approximately 30 dB. In a tentative analysis, the first derivative of the smoothed threshold function was taken, to provide an estimate of the relative contributions to suppression at 1 kHz of noise components between 250 and 1740 Hz.(ABSTRACT TRUNCATED AT 250 WORDS)

Auditory Threshold↗

Spectral tuning of dichromats to natural scenes.

Multispectral images of natural scenes were collected from both forests and coral reefs. We varied the wavelength position of receptors in hypothetical dichromatic visual systems and, for each receptor pair estimated the percentage of discriminable points in natural scenes. The optimal spectral tuning predicted by this model results in photoreceptor pairs very like those of forest dwelling, dichromatic mammals and of coral reef fishes. Variations of the natural illuminants in forests have little or no effect on optimal spectral tuning, but variations of depth in coral reefs have moderate effects on the spectral placement of S and L cones. The ratio of S and L cones typically found in dichromatic mammals reduces the discriminability of forest scenes; in contrast, the typical ratio of S and L cones in coral reef fishes achieves nearly the optimal discrimination in coral reef scenes.

Animals↗

Myoelectric and mechanical manifestations of muscle fatigue in voluntary contractions.

Endurance is a clinically relevant muscle parameter. It would be desirable to be able to estimate it without the need for a contraction sustained to exhaustion. The purpose of this work was to investigate the capability of the initial rate of spectral compression of the surface electromyographic (EMG) signal to predict mechanical endurance during sustained voluntary contractions of the human tibialis anterior muscle. Six healthy subjects performed voluntary isometric contractions of the tibialis anterior at 80, 70, 60, and 50% of the maximal voluntary contraction level. The contractions were sustained for 90, 120, 150, and 170 seconds, respectively. These intervals exceed the normal endurance time for this muscle and allow for a decrease of torque output. The slope of the median frequency, computed over the first 30 seconds of the contraction, was used to describe the initial spectral compression of the EMG signal. Significant correlations were found: 1) between contraction level and endurance time (p < 0.05 for each subject) and 2) between median (or mean) frequency slope and endurance time (p < 0.0001 for all subjects pooled together). The regression between median frequency slope and endurance time showed intersubject variations possibly related to the tibialis anterior muscle fiber type content. It is concluded that clinical use of the EMG spectral technique in assessing muscle fatigue may enable the clinician to estimate the endurance time without having the subject sustain a contraction until the point of contractile failure. This could be an advantage for some patient populations, such as the severely disabled, arthritic, or frail elderly, that might not be able to tolerate long duration contractions.

Adult↗

Cramer-Rao bound expressions for parametric estimation of overlapping peaks: influence of prior knowledge

We have derived analytical expressions of the Cramer-Rao lower bounds on spectral parameters for singlet, doublet, and triplet peaks in noise. We considered exponential damping (Lorentzian lineshape) and white Gaussian noise. The expressions, valid if a sufficiently large number of samples is used, were derived in the time domain for algebraic convenience. They enable one to judge the precision of any unbiased estimator as a function of the spectral and experimental parameters, which is useful for quantitation objectives and experimental design. The influence of constraints (chemical prior knowledge) on parameters of the peaks of doublets and triplets is demonstrated both analytically and numerically and the inherent benefits for quantitation are shown. Our expressions also enable analysis of spectra comprising many peaks. Copyright 2000 Academic Press.

Journal Article↗

Doppler angle estimation of pulsatile flows using AR modeling.

In quantitative ultrasonic flow measurements, the beam-to-flow angle (i.e., Doppler angle) is an important parameter. An autoregressive (AR) spectral analysis technique in combination with the Doppler spectrum broadening effect was previously proposed to estimate the Doppler angle. Since only a limited number of flow samples are used, real-time two-dimensional Doppler angle estimation is possible. The method was validated for laminar flows with constant velocities. In clinical applications, the flow pulsation needs to be considered. For pulsatile flows, the flow velocity is time-varying and the accuracy of Doppler angle estimation may be affected. In this paper, the AR method using only a limited number of flow samples was applied to Doppler angle estimation of pulsatile flows. The flow samples were properly selected to derive the AR coefficients and then more samples were extrapolated based on the AR model. The proposed method was verified by both simulations and in vitro experiments. A wide range of Doppler angles (from 3o degrees to 78 degrees) and different flow rates were considered. The experimental data for the Doppler angle showed that the AR method using eight flow samples had an average estimation error of 3.50 degrees compared to an average error of 7.08 degrees for the Fast Fourier Transform (FFT) method using 64 flow samples. Results indicated that the AR method not only provided accurate Doppler angle estimates, but also outperformed the conventional FFT method in pulsatile flows. This is because the short data acquisition time is less affected by the temporal velocity changes. It is concluded that real-time two-dimensional estimation of the Doppler angle is possible using the AR method in the presence of pulsatile flows. In addition, Doppler angle estimation with turbulent flows is also discussed. Results show that both the AR and FFT methods are not adequate due to the spectral broadening effects from the turbulence.

Blood Flow Velocity↗

Auditory cortical responses elicited in awake primates by random spectrum stimuli.

Contrary to findings in subcortical auditory nuclei, auditory cortex neurons have traditionally been described as spiking only at the onsets of simple sounds such as pure tones or bandpass noise and to acoustic transients in complex sounds. Furthermore, primary auditory cortex (A1) has traditionally been described as mostly tone responsive and the lateral belt area of primates as mostly noise responsive. The present study was designed to unify the study of these two cortical areas using random spectrum stimuli (RSS), a new class of parametric, wideband, stationary acoustic stimuli. We found that 60% of all neurons encountered in A1 and the lateral belt of awake marmoset monkeys (Callithrix jacchus) showed significant changes in firing rates in response to RSS. Of these, 89% showed sustained spiking in response to one or more individual RSS, a substantially greater percentage than would be expected from traditional studies, indicating that RSS are well suited for studying these two cortical areas. When firing rates elicited by RSS were used to construct linear estimates of frequency tuning for these sustained responders, the shape of the estimate function remained relatively constant throughout the stimulus interval and across the stimulus properties of mean sound level, spectral density, and spectral contrast. This finding indicates that frequency tuning computed from RSS reflects a robust estimate of the actual tuning of a neuron. Use of this estimate to predict rate responses to other RSS, however, yielded poor results, implying that auditory cortex neurons integrate information across frequency nonlinearly. No systematic difference in prediction quality between A1 and the lateral belt could be detected.

Acoustic Stimulation↗

Frequency-selective quantification of biomedical magnetic resonance spectroscopy data.

In this paper the possibility of obtaining accurate estimates of parameters of selected peaks in the presence of unknown or uninteresting spectral features in biomedical magnetic resonance spectroscopy (MRS) signals is investigated. This problem is denoted by frequency-selective parameter estimation. A new time-domain technique based on maximum-phase finite impulse response (FIR) filters is presented. The proposed method is compared to a number of existing approaches: the application of a weighting function in the time domain, frequency domain fitting using a polynomial baseline, and the time-domain HSVD filter method. The ease of use and low computational complexity of the FIR filter method make it an attractive approach for frequency-selective parameter estimation. The methods are validated using simulations of relevant (13)C and (31)P MRS examples.

Adenosine Triphosphate↗

Shrinkage of perceived tonal duration produced by extra sounds: effects of spectral density, temporal position, and transition direction.

To investigate the mental mechanism that estimates the duration of sounds, the subjective duration of a tone was measured. In the first experiment a portion of the target sound was replaced with another sound. In the second and third experiments another sound either started or ended in the middle of the target sound. Ten or eleven undergraduates participated as listeners in each of the experiments. In the first experiment, effects of spectral spacing and those of temporal position of the replacing sound were tested. Compared with the intact case, the subjective duration of the replaced target shrunk, and the degree of shrinkage increased as the spectral spacing became wider. The temporal position of the replacing sound did not affect the degree of shrinkage. In the second experiment, effects produced by the start (ON) of the concurrent sound and those by the end (OFF) were compared. The ON case was more effective than the OFF case. In the third experiment, effects of the rise time and fall time of the concurrent sound were tested. A long rise and fall time reduced the difference between the ON and OFF cases. These results are discussed from two viewpoints, one assuming an interaction between the time markers, the other assuming continuous gate control in a neural-counting model for duration.

Acoustic Stimulation↗

A Simple Colloidal Synthesis for Gram-Quantity Production of Water-Soluble ZnS Nanocrystal Powders.

A simple, inexpensive, and reproducible procedure is described for large-scale synthesis of highly stable nanocrystalline ZnS powders. Cysteine-capped ZnS nanocrystals (NCs) were produced by a colloidal aqueous synthesis, employing a ligand-competition mechanism in which sulfide was introduced into a preformed zinc-cysteine solution. The synthesis procedure resulted in highly concentrated ZnS NC solutions ( approximately 100 mM) which could be ethanol-precipitated, redissolved, and dried to produce fine powders stable for more than 30 months at 4 degrees C. The NC powders were readily dissolved in aqueous solvents to concentrations as high as 300 mM. ZnS NCs could be prepared without cysteine capping, but only at extremely dilute concentrations ( approximately 0.2 mM ZnSO(4)) as per Sooklal et al. J. Phys. Chem. 100, 4551 (1996). The 30-month-old ZnS NC powders retained their original optical and photocatalytic properties and could be handled much like routine shelf chemicals, unaffected by ambient air or moderate moisture and temperature. UV/vis absorption spectroscopy showed band gap energies (E(g)) ranging from 4.82 eV (257 nm lambda(max)) to 4.47 eV (277 nm lambda(max)) for ZnS samples prepared with 0.25-2.0 initial sulfide ratios (as compared to zinc). Samples stored at 4 degrees C for 30 months showed equivalent band gap energies and spectral profiles. The average NC particle size was estimated to be 6.08+/-0.76 nm by high-resolution transmission electron microscopy. Selected-area electron diffraction and X-ray diffraction analyses concurred in suggesting a hexagonal crystal structure, with diffractions near d=3.1, 1.9, and 1.6 Å. The average NC composition of size-fractionated samples was estimated to be Cys(1)Zn(7)S(6). p-Nitrophenol, a model organic, was photocatalytically degraded using 30-month-old ZnS NC powders dissolved in an aqueous buffer. Rates of degradation (first-order rate constant k=0.261 min(-1); t(1/2)=2.66 min) were comparable to those of experiments using freshly prepared ZnS NCs (first-order rate constant k=0.247 min(-1); t(1/2)=2.80 min), further demonstrating the long-term stability of thus-produced NC powders. Copyright 2000 Academic Press.

Journal Article↗

Strength training does not affect vagal-cardiac control or cardiovagal baroreflex sensitivity in young healthy subjects.

The purpose of this study was to test the hypothesis that high-intensity strength training increases vagal-cardiac control and cardiovagal baroreflex sensitivity. Twenty-two subjects [age 22 (0.8) years] were assigned to either strength training (ST, n=12) or control (CON, n=10) groups. Subjects in the ST group trained each major muscle group 3 days per week for 8 weeks with three sets of 10 repetitions and 2-min rest periods. Resistance was increased progressively when possible. Subjects in the CON group were active recreationally but did not lift weights. Before and after training, resting arterial pressure was measured with an automated sphygmomanometer, and ECG, respiratory rate, and finger photoplethysmographic arterial pressures were recorded with subjects supine and breathing at a set rate (0.25 Hz) for 5 min. Data were analyzed in both time and frequency domains. Arterial baroreflex sensitivity was estimated with the sequence method and cross-spectral transfer function analysis of systolic pressures and R-R intervals. Training increased whole-body muscular strength and decreased arterial blood pressure at rest (the exercise and pressure data have been published elsewhere). R-R intervals and standard deviations, and R-R interval spectral power at the respiratory frequency were unaffected by training. Similarly, training did not affect respiratory or low-frequency systolic pressure spectral power or cardiovagal baroreflex sensitivity. Although evidence supports beneficial cardiovascular adaptations to resistance training, our results demonstrate that resistance training does not affect vagal-cardiac control or cardiovagal baroreflex sensitivity in young healthy subjects.

Adaptation, Physiological↗

Radiative and nonradiative transitions in subchloroplast particles highly enriched in P-700.

Radiative and nonradiative processes were investigated in subchloroplast particles highly enriched in P-700 (1 P-700 to 10 chlorophyll molecules) according to the method of classical fluorescence and of photoacoustical spectroscopy. The envelope of fluorescence spectrum divided into three Gaussian bands and their quantum yields of fluorescence were calculated. Indpendently the quantum yield of fluorescence was determined from the spectral course of the photoacoustical signal. Finally, the estimate of the photochemical activity of P-700, based upon the measured fluorescence quantum yield and upon the measured nonradiative losses of excitation energy, was done.

Chlorophyll↗

The influence of contrast adaptation on color appearance.

Most models of color vision assume that signals from the three classes of cone receptor are recoded into only three independent post-receptoral channels: one that encodes luminance and two that encode color. Stimuli that are equated for their effects on two of the channels should be discriminable only to the remaining channel, and are thus assumed to isolate the responses of single channels. We used an asymmetric matching task to examine whether such models can account for changes in color appearance following adaptation to contrast--to temporal variations in luminance and chromaticity around a fixed mean luminance and chromaticity. The experiments extend to suprathreshold color appearance the threshold adaptation paradigm of Krauskopf, Williams and Heeley [(1982) Vision Research, 32, 1123-1131]. Adaptation changes the perceived color of chromatic test stimuli both by reducing their saturation (contrast) and by changing their hue (direction within the equiluminant plane). The saturation losses are largest for test stimuli that lie along the chromatic axis defining the adapting modulation, while the hue changes are rotations away from the adapting direction and toward an orthogonal direction within the S and L-M plane. Similar selective changes in both perceived color and perceived lightness occur following adaptation to stimuli that covary in luminance and chromaticity. The selectivity of the aftereffects for multiple directions within color-luminance space is inconsistent with sensitivity changes in only three independent channels. These aftereffects suggest instead that color appearance depends on channels that can be selectively tuned to any color-luminance direction, and that there are no directions that invariably isolate responses in only a single channel. We use the perceived color changes to examine the spectral sensitivities of the chromatic channels and to estimate the distribution of channels. We also examine how adaptation alters the contrast-response function, how it affects reaction times for luminance and chromatic contrast, the extent to which the aftereffects exhibit interocular transfer, and the way in which the perceived color changes differ from those induced by conventional light adaptation.

Adaptation, Ocular↗

Imipramine reduces experimental pain.

In a homogeneous sample of 20 healthy male students, the analgesic effects of the tricyclic antidepressant imipramine (100 mg) were compared to those of the narcotic meperidine (150 mg) and a further tricyclic compound with assumed analgesic properties (fluradoline, 450 mg). Drugs were orally administered, using a placebo controlled, double-blind repeated measures Latin Square design. Phasic pain was induced by intracutaneous electrical shocks with random intensities and interstimulus intervals. Each stimulus block consisted of 80 stimuli and lasted for 20 min. Pain estimates, somatosensory evoked cerebral potentials (SSEPs) and power spectral density of the electroencephalogram (EEG) were measured under each drug condition. Under placebo, pain ratings and SSEP amplitudes were constant within the entire session lasting for approximately 4 h. Meperidine analgesia was evident within 30 min of drug application, reaching a maximum after about 90 min. Imipramine produced a comparable degree of pain reduction, however, with a delay of 2 h. Under both drugs, the decrease in pain ratings was accompanied by decreased amplitudes of the late components of the SSEP, as well as by a reduction in alpha activity and an enhancement of slow EEG waves. Effects of fluradoline on experimental pain could not be affirmed. These findings are discussed in terms of pain relief and decrease in vigilance.

Adult↗

Alzheimer's disease histologically proven studied by MRI and MRS: two cases.

Two patients affected by severe Alzheimer's disease (AD) were investigated by MRI and image-guided 31P MRS. In one case, 1H MRS was additionally performed. In both cases the diagnosis of AD was confirmed, post mortem, by the pathologist. The spectral parameters of the 31P MR spectra were estimated by fitting the 31P MR signals in the time domain. Our 31P MRS results suggest that it is possible to detect the membrane catabolism, as indexed with the level of PDE resonances visible in in vivo 31P MRS, at least in severe AD cases. The 1H spectrum from AD brain showed a marked decrease of NAA signal respect to choline.

Aged↗

Interactions of mammalian cytochrome P450, NADPH-cytochrome P450 reductase, and cytochrome b(5) enzymes.

An immobilized system was developed to detect interactions of human cytochromes P450 (P450) with the accessory proteins NADPH-P450 reductase and cytochrome b(5) (b(5)) using an enzyme-linked affinity approach. Purified enzymes were first bound to wells of a polystyrene plate, and biotinylated partner enzymes were added and bound. A streptavidin-peroxidase complex was added, and protein-protein binding was monitored by measuring peroxidase activity of the bound biotinylated proteins. In a model study, we examined protein-protein interactions of Pseudomonas putida putidaredoxin (Pdx) and putidaredoxin reductase (PdR). A linear relationship (r(2)=0.96) was observed for binding of PdR-biotin to immobilized Pdx compared with binding of Pdx-biotin to immobilized PdR (the estimated K(d) value for the Pdx.PdR complex was 0.054muM). Human P450 2A6 interacted strongly with NADPH-P450 reductase; the K(d) values (with the reductase) ranged between 0.005 and 0.1muM for P450s 2C19, 2D6, and 3A4. Relatively weak interaction was found between holo-b(5) or apo-b(5) (devoid of heme) with NADPH-P450 reductase. Among the rat, rabbit, and human P450 1A2 enzymes, the rat enzyme showed the tightest interaction with b(5), although no increases in 7-ethoxyresorufin O-deethylation activities were observed with any of the P450 1A2 enzymes. Human P450s 2A6, 2D6, 2E1, and 3A4 interacted well with b(5), with P450 3A4 yielding the lowest K(d) values followed by P450s 2A6 and 2D6. No appreciable increases in interaction between human P450s with b(5) or NADPH-P450 reductase were observed when typical substrates for the P450s were included. We also found that NADPH-P450 reductase did not cause changes in the P450.substrate K(d) values estimated from substrate-induced UV-visible spectral changes with rabbit P450 1A2 or human P450 2A6, 2D6, or 3A4. Collectively, the results show direct and tight interactions between P450 enzymes and the accessory proteins NADPH-P450 reductase and b(5), with different affinities, and that ligand binding to mammalian P450s did not lead to increased interaction between P450s and the reductase.

Coenzymes↗

Correlation of spectral imaging and visual grading for the quantification of thymidylate synthase protein expression in rectal cancer.

Quantification of protein expression in tissue sections stained by immunohistochemistry has traditionally involved visual grading techniques. However, if these results are to be used to predict tumor behavior and permit targeted therapy, there is a need for more accurate, objective, and reproducible methods. This study investigated the utility of spectral imaging as a method of quantifying thymidylate synthase protein expression in immunohistochemically stained sections of primary rectal cancer and normal rectal mucosa by comparing it with the current gold standard of manual visual grading. There was good correlation between estimates of thymidylate synthase stain intensity and area derived by spectral imaging and visual grading in both tumor and normal mucosal sections, suggesting that spectral imaging is a valid way of quantifying biologic sections stained by immunohistochemistry.

Adenocarcinoma↗

Two-minute rapid eye movement (REM) density fluctuations in human REM sleep.

Rapid eye movement (REM) density fluctuations during REM sleep were studied in five healthy young adults (23-26 years of age). Appropriate electro-oculographic (EOG) montage and automated EOG analysis enabled the detection of horizontal, vertical, and oblique REMs. REM density time series based on these REMs were formed for all the REM periods of the subjects. Autoregressive (AR) spectral analysis of the REM density time series estimated periodicities in the range of 1.7-2.4 min for 14 of the 16 REM periods analyzed, regardless of duration or number of REMs. Four subjects had such periodicities in each of their REM periods and the fifth subject had such periodicities in half the REM periods. This REM density fluctuation at a periodicity of about 2 min may relate to an important 'rhythmic' component of the REM generating mechanism(s).

Adult↗