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1.
Q J R Meteorol Soc ; 144(Suppl Suppl 1): 16-26, 2018 Nov.
Article in English | MEDLINE | ID: mdl-30774158

ABSTRACT

The Time-Resolved Observations of Precipitation structure and storm Intensity with a Constellation of Smallsats (TROPICS) mission was selected by NASA as part of the Earth Venture-Instrument (EVI-3) program. The overarching goal for TROPICS is to provide nearly all-weather observations of 3D temperature and humidity, as well as cloud ice and precipitation horizontal structure, at high temporal resolution to conduct high-value science investigations of tropical cyclones. TROPICS will provide rapid-refresh microwave measurements (median refresh rate better than 60 min for the baseline mission) which can be used to observe the thermodynamics of the troposphere and precipitation structure for storm systems at the mesoscale and synoptic scale over the entire storm life cycle. TROPICS comprises six CubeSats in three low-Earth orbital planes. Each CubeSat will host a high-performance radiometer to provide temperature profiles using seven channels near the 118.75 GHz oxygen absorption line, water vapour profiles using three channels near the 183 GHz water vapour absorption line, imagery in a single channel near 90 GHz for precipitation measurements (when combined with higher-resolution water vapour channels), and a single channel near 205 GHz which is more sensitive to precipitation-sized ice particles. This observing system offers an unprecedented combination of horizontal and temporal resolution to measure environmental and inner-core conditions for tropical cyclones on a nearly global scale and is a major leap forward in the temporal resolution of several key parameters needed for assimilation into advanced data assimilation systems capable of utilizing rapid-update radiance or retrieval data. Launch readiness is currently projected for late 2019.

2.
Toxicol Ind Health ; 17(5-10): 294-7, 2001 Jun.
Article in English | MEDLINE | ID: mdl-12539875

ABSTRACT

Subclinical, repeated exposures of F344 rats to sarin resulted in brain alterations in densities of chlonergic receptor subtypes that may be associated with memory loss and cognitive dysfunction. The exposures also depressed the immune system. The rat appears to be a good model for studying the effects of subclinical exposure to a nerve gas.


Subject(s)
Chemical Warfare Agents/adverse effects , Cognition Disorders/etiology , Memory Disorders/etiology , Persian Gulf Syndrome , Receptors, Cholinergic/analysis , Sarin/adverse effects , Animals , Autoradiography , Brain/drug effects , Brain/pathology , Disease Models, Animal , Immune System/drug effects , Inhalation Exposure , Rats , Rats, Inbred F344 , Receptors, Cholinergic/drug effects
3.
J Natl Med Assoc ; 92(7): 334-40, 2000 Jul.
Article in English | MEDLINE | ID: mdl-10946529

ABSTRACT

The diets of populations in many developing countries are low in folate and vitamin B12 and a deficiency of either of these vitamins results in increased risk for cardiovascular disease and neural tube defects. The rates of neural tube defects in Nigeria are among the highest reported worldwide. Since many girls marry at an early age in northern Nigeria, we therefore determined the folate and vitamin B12 status of adolescent girls between 12 and 16 years of age in Maiduguri, Nigeria. The mean serum folate concentration for subjects was 15.3 +/- 5.2 nmol/L. Whereas only four subjects (2.4%) had serum folate concentrations lower than 6.8 nmol/L, a level indicative of negative folate balance, 9% of the subjects had serum vitamin B12 concentrations at or below 134 pmol/L, the lower limit of the reference range for their age group. Serum homocysteine was measured in 56 of the 162 subjects and the mean level was 15.9 +/- 5.0 mumol/L. The majority of subjects had serum homocysteine concentrations above the upper limit of the reference range for their age group. We conclude that the adolescent girls we studied were at greater risk for vitamin B12 deficiency than folate deficiency. This conclusion is consistent with the fact that their diet included few foods that contained vitamin B12.


Subject(s)
Folic Acid Deficiency/epidemiology , Folic Acid/blood , Vitamin B 12 Deficiency/epidemiology , Vitamin B 12/blood , Adolescent , Biomarkers/blood , Child , Dietary Supplements , Female , Folic Acid Deficiency/blood , Folic Acid Deficiency/prevention & control , Homocysteine/blood , Humans , Incidence , Nigeria/epidemiology , Vitamin B 12 Deficiency/blood , Vitamin B 12 Deficiency/prevention & control
4.
J Toxicol Clin Toxicol ; 38(7): 787-93, 2000.
Article in English | MEDLINE | ID: mdl-11192467

ABSTRACT

BACKGROUND: Severe toxic ingestions of butoxyethanol (CAS No. 111-76-2) are rare despite the prevalence of this glycol ether in products such as glass and surface cleaners. Manifestations of acute butoxyethanol toxicity include metabolic acidosis, hemolysis, hepatorenal dysfunction, and coma, but vary widely in reported cases. Furthermore, the optimal therapeutic approach is not yet established. Much of the toxicity of butoxyethanol has been ascribed to its aldehyde and acid metabolites which are similar to those produced by oxidative metabolism of methanol and ethylene glycol. Although the roles of alcohol dehydrogenase inhibition with ethanol or fomepizole and hemodialysis are clear in the case of toxic ingestions of methanol and ethylene glycol, they remain poorly defined for butoxyethanol poisoning. CASE REPORT: We report the case of a 51-year-old female who ingested up to 8 ounces of Sanford Expo White Board Cleaner (butoxyethanol and isopropanol). She developed prolonged hyperchloremic metabolic acidosis and mental status depression and was treated with ethanol therapy but not hemodialysis. This patient recovered without apparent sequelae. The kinetics of butoxyethanol metabolism in this case are described and the potential therapeutic options are discussed.


Subject(s)
Acidosis/drug therapy , Ethanol/therapeutic use , Ethylene Glycols/poisoning , Acidosis/chemically induced , Animals , Ethylene Glycols/blood , Ethylene Glycols/metabolism , Ethylene Glycols/pharmacokinetics , Female , Humans , Middle Aged , Rats , Solvents/poisoning , Time Factors
6.
Life Sci ; 63(2): 105-10, 1998.
Article in English | MEDLINE | ID: mdl-9674944

ABSTRACT

Although wild edible plants of the western Sahel and other parts of sub-Saharan Africa are consumed to some extent at all times of the year, greater amounts are consumed when cereal harvests are insufficient to support the populations living in these areas. The purpose of this study was to use a recently reported Trolox-based assay to measure the total antioxidant capacity of aqueous extracts of 17 plants that we gathered from southern Niger. The antioxidant contents of the aqueous extracts were compared to those of spinach and potato. Of the 17 plants, 11 had a greater antioxidant content than spinach and 14 had a greater antioxidant content than potato. The leaves of Tapinanthus globiferus had the greatest antioxidant content, and the fruit of Parinari macrophylla had the lowest. In general, leaves contained more antioxidants than either fruits or seeds. The total antioxidant capacity of the aqueous extracts was relatively high, indicating that the wild plants of the western Sahel may contain substantial amounts of water-soluble flavonoid glycosides, which are potent antioxidants and have been shown to have anticancer properties.


Subject(s)
Antioxidants/analysis , Chromans/analysis , Plant Extracts/analysis , Plants, Edible/chemistry , Niger , Water/chemistry
7.
J Forensic Sci ; 43(3): 636-40, 1998 May.
Article in English | MEDLINE | ID: mdl-9608702

ABSTRACT

Phenmetrazine is a central nervous system stimulant currently used as an anorectic agent. The drug is abused and is reported to cause death from overdose. We describe a new derivatization method for phenmetrazine using 4-carbethoxyhexafluorobutyryl chloride. Quantitation of urinary phenmetrazine can be easily achieved by using N-ethyl amphetamine as an internal standard. The electron ionization mass spectrum of 4-carbethoxyhexafluorobutyryl derivative of phenmetrazine showed a molecular ion at m/z 427 and a base peak at m/z 70. In the methane chemical ionization mass spectrum, the base peak was observed at m/z 428 (protonated molecular ion). In the electron ionization mass spectrum of 4-carbethoxyhexafluorobutyryl derivative of the internal standard, N-ethyl amphetamine we did not observe a molecular ion. However, in the chemical ionization mass spectrum, the protonated molecular ion at m/z 414 was the base peak. The retention time of derivatized phenmetrazine (8.4 min) was substantially longer than the retention time of the underivatized molecule. Moreover, underivatized phenmetrazine showed poor peak shape (substantial tailing) while derivatized phenmetrazine had excellent chromatographic properties. The within-run and between-run precisions of the assay were 2.6% and 3.1% respectively at a urinary phenmetrazine concentration of 10 micrograms/mL. The assay was linear for urinary phenmetrazine concentration of 1 to 100 micrograms/mL with a detection limit of 0.2 microgram/mL.


Subject(s)
Appetite Depressants/analysis , Fluorocarbons/analysis , Indicators and Reagents/chemistry , Phenmetrazine/urine , Substance Abuse Detection/methods , Amphetamines/analysis , Amphetamines/chemistry , Appetite Depressants/chemistry , Fluorocarbons/chemistry , Forensic Medicine/methods , Gas Chromatography-Mass Spectrometry/methods , Humans , Phenmetrazine/chemistry
8.
Am J Clin Pathol ; 109(3): 268-73, 1998 Mar.
Article in English | MEDLINE | ID: mdl-9495197

ABSTRACT

Excessive production of oxygen free radicals causes the oxidation of circulating or membrane lipids, proteins, and DNA. Patients infected with HIV usually have severe malnutrition in the AIDS stage of disease. Therefore, they may be at higher risk of oxidative stress. We measured lipid hydroperoxide concentration, antioxidant status, cholesterol, triglyceride, iron, ceruloplasmin, and transferrin concentrations in the serum samples of 14 patients infected with HIV and compared our results with the results from 14 volunteers who served as controls. Lipid hydroperoxide concentrations in serum samples were measured by a colorimetric assay in which hemoglobin catalyzes the reaction of lipid hydroperoxide with a methylene blue derivative, yielding methylene blue. The total antioxidant capacity of serum was measured by the ability of serum to inhibit the formation of ferrylmyoglobin by metmyoglobin and hydrogen peroxide. Both assays were automated on the Syva-30R analyzer (Behring, San Francisco, Calif). We measured serum cholesterol and triglyceride concentrations by using the Vitro 950 analyzer (Johnson & Johnson, Rochester, NY). The lipid hydroperoxide concentrations were significantly elevated (mean, 1.44; SD, 0.95 micromol/L) in patients with HIV compared with control subjects (mean, 0.25; SD, 0.24 micromol/L). In contrast, the total antioxidant capacity was significantly lower in patients with HIV (mean, 1.04; SD, 0.13 mmol/L of trolox equivalent) compared with control subjects (mean, 1.66; SD, 0.09 mmol/L). We observed a fair correlation between serum lipid hydroperoxide concentrations and serum triglyceride concentrations in patients with AIDS. The correlation between serum hydroperoxide concentration and antioxidant status of serum was relatively poor. The lipid hydroperoxide assay was linear, from 0.1 micromol/L to 50 micromol/L. The within-run and between-run coefficients of variation were 3.5% and 4.5%, respectively, at a lipid hydroperoxide concentration of 2.5 micromol/L. The total antioxidant capacity assay was linear, from 0.1 to 2.5 mmol/L of trolox equivalent. The within-run and between-run coefficients of variation were 1.4% and 4.2% for the standard, with a target total antioxidant capacity of 1.5 mmol/L of trolox equivalent. We conclude that our automated assays for determination of total antioxidant status of serum and lipid hydroperoxide products may be helpful screening tests followed by measuring individual antioxidants, such as tocopherol, ascorbic acid, and other antioxidants for patients with severe deficiency of antioxidant status.


Subject(s)
Antioxidants/metabolism , HIV Infections/blood , Lipid Peroxidation , Lipid Peroxides/blood , Blood Chemical Analysis/methods , Humans , Reagent Kits, Diagnostic , Triglycerides/blood
9.
Ther Drug Monit ; 19(4): 431-5, 1997 Aug.
Article in English | MEDLINE | ID: mdl-9263385

ABSTRACT

Lamotrigine (lamictal) is a new anticonvulsant drug approved by the FDA for clinical use. Therapeutic monitoring of lamotrigine is useful for patient management and avoidance of toxicity. The suggested therapeutic range is 1 to 4 micrograms/ml. The authors describe a simple high-performance liquid chromatographic (HPLC) method for analysis of lamotrigine from serum. Serum (0.5 ml) was alkalinized with borate buffer (pH 9.8). Lamotrigine and the internal standard thiopental were extracted with 10 ml of chloroform. After evaporation of the extract, the residue was reconstituted in the mobile phase (prepared by mixing 750 ml of potassium dihydrogen phosphate, 550 ml of deionized water, 430 ml of methanol, and 100 microliters of triethylamine as an ion pairing reagent) and injected into an LC-18 column (15 cm x 4.6 mm). The authors use this HPLC system routinely in their laboratory for the analysis of barbiturates. They demonstrated that the same system can be used for the analysis of lamotrigine. The within-run and between-run precisions of the lamotrigine assay were 1.63% (mean = 3.05, SD = 0.05 microgram/ml, n = 6) and 3.7% (mean = 2.97 micrograms/ml, SD = 0.11, n = 8). The assay was linear for serum lamotrigine concentrations of 0.5 microgram/ml to 20 micrograms/ml with a detection limit of 0.5 microgram/ml. The authors observed excellent correlation between serum lamotrigine concentrations measured by their assay and a reference laboratory in six patients receiving lamotrigine. Their assay is free from interferences from common tricyclic antidepressants, benzodiazepines, other common anticonvulsants, salicylate, and acetaminophen.


Subject(s)
Anticonvulsants/blood , Chromatography, High Pressure Liquid/methods , Drug Monitoring/methods , Triazines/blood , Barbiturates/analysis , Chromatography, High Pressure Liquid/economics , Cost-Benefit Analysis , Drug Monitoring/economics , Humans , Lamotrigine
10.
J Chromatogr B Biomed Sci Appl ; 689(2): 415-21, 1997 Feb 21.
Article in English | MEDLINE | ID: mdl-9080331

ABSTRACT

Urinary phenol is analyzed widely to determine benzene exposure in humans. Most methods utilize direct measurements of phenols after extraction from urine using gas chromatography or high-performance liquid chromatography. We describe a novel derivatization of urinary phenols using 4-carbethoxyhexafluorobutyryl chloride after extraction from urine and subsequent analysis by gas chromatography-mass spectrometry. The derivative elutes at significantly higher temperature than phenol and the method is free from interferences from more volatile components in urine. We also observed excellent chromatographic properties of these derivatives. In addition, we observed strong molecular ions for the 4-carbethoxyhexafluorobutyryl derivative of phenol (m/z 344), p-cresol (m/z 358) and the internal standard 3,4-dimethylphenol (m/z 372) and other characteristic ions in the electron ionization, thus aiding in unambiguous identification of these compounds. The protonated molecular ions (m/z 373 for derivatized phenol, m/z 359 for derivatized p-cresol and m/z 373 for the internal standard) were the base peaks (relative abundance 100%) in the chemical ionization, although other secondary peaks were less abundant. The assay is linear for phenol concentration of 1-100 mg/l. The within-run and between-run precisions were 4.8% (mean = 52.4, S.D. = 2.5 mg/l) and 8.1% (mean = 53.0, S.D. = 4.3 mg/l) respectively, and the detection limit was 0.5 mg/l.


Subject(s)
Fluorocarbons/urine , Gas Chromatography-Mass Spectrometry/methods , Phenols/urine , Acids , Enzymes/metabolism , Humans , Hydrolysis , Linear Models , Molecular Structure
11.
Life Sci ; 60(4-5): 335-40, 1997.
Article in English | MEDLINE | ID: mdl-9010489

ABSTRACT

Oxidative stress (when free radical generation exceeds antioxidant defense) occurs in many human diseases and makes significant contributions to their pathogenesis. We automated assays estimating the antioxidant status of serum, and lipid hydroperoxide concentrations using the Monarch analyzer. In this assay, the antioxidant status of serum is measured by its ability to inhibit generation of free radicals from 2,2'-amino-di-[3-ethylbenzthiazole sulphonate] by metmyoglobin and hydrogen peroxide. The assay for measuring lipid peroxidation products in serum utilizes the ability of lipid hydroperoxides to generate methylene blue from 10N-methylcarbamyl 3,7-dimethylamino 10H-phenothiazine. We detected no lipid hydroperoxide in sera obtained from 24 controls. The mean antioxidant status was 1.69 mmol/l (SD; 0.20 mmol/l) in controls. The antioxidant capacity of serum was significantly reduced in sera of critically ill patients in the medical intensive care unit (mean = 1.05, SD = 0.26 mmol/l) with p value less than 0.05 by independent t-test, two tailed. Lipid peroxidation products were not significantly elevated in critically ill patients, however lipid peroxidation products were significantly elevated in hemodialysis patients (mean = 1.40, SD = 0.47 mumol/l) and in some kidney transplant recipients. We conclude that antioxidant capacity of sera in critically ill patients is significantly reduced.


Subject(s)
Antioxidants/analysis , Critical Illness , Lipid Peroxidation , Lipid Peroxides/blood , Free Radicals , Humans , Intensive Care Units , Kidney Transplantation/physiology , Oxidative Stress , Renal Dialysis
12.
Ther Drug Monit ; 18(3): 306-9, 1996 Jun.
Article in English | MEDLINE | ID: mdl-8738774

ABSTRACT

Recently Becton-Dickinson marketed a plastic serum-separator tube that uses the same serum-separator gel as the glass tubes. We studied the stability of therapeutic drugs stored in plastic tubes by comparing it with the stability of drugs stored in glass serum-separator tubes and plain red-top glass tubes. We observed no absorption of caffeine, primidone, N-acetylprocainamide, procainamide, theophylline, tobramycin, ethosuximide, acetaminophen, amikacin, valproic acid, methotrexate, salicylate, and cyclosporine in either plastic or glass serum-separator tubes. On the other hand, concentrations of lidocaine, quinidine, phenobarbital, and phenytoin were reduced after storing in both plastic and glass serum-separator tubes, especially with prolonged storage and small sample volume. The reduction in concentrations were due to slow absorption of those drugs by serum-separator gel.


Subject(s)
Blood Specimen Collection/instrumentation , Pharmaceutical Preparations/analysis , Blood Specimen Collection/methods , Humans , Pharmaceutical Preparations/metabolism , Plastics
13.
J Chromatogr B Biomed Appl ; 666(1): 63-70, 1995 Apr 07.
Article in English | MEDLINE | ID: mdl-7655622

ABSTRACT

Ethylene glycol poisoning is a common clinical problem and identification as well as quantitation of ethylene glycol in serum is important for medical and legal purposes. Most investigators described determination of ethylene glycol by gas chromatography without derivatization or derivatives forming a molecular ion < 200. We describe a novel derivatization technique of ethylene glycol using perfluorooctanoyl chloride, after extraction from serum using acetone. This derivative has a molecular mass of 854 and produces a base peak at m/z 441 and other diagnostic strong peaks for unambiguous identification. Moreover, this derivative is less volatile and is free from interferences from endogenous serum components. Quantitation can be achieved by using 1,4-butanediol as an internal standard. The assay showed within-run and between-run precision of 7.2% and 8.0%, respectively, and linearity over the serum ethylene glycol concentration range 70-2240 micrograms/ml with a detection limit of 5 micrograms/ml.


Subject(s)
Caprylates/chemistry , Ethylene Glycols/blood , Fluorocarbons/chemistry , Gas Chromatography-Mass Spectrometry/methods , Ethylene Glycol , Humans , Indicators and Reagents , Reproducibility of Results
14.
J Toxicol Clin Toxicol ; 33(5): 457-62, 1995.
Article in English | MEDLINE | ID: mdl-7650770

ABSTRACT

We investigated the in vitro drug adsorption of PQ 10150 sodium silicate gel (AIS, Santa Clara, CA) with particle size of 230 microns and surface area of 400 m2/g. We observed 99% to 88% adsorption of gentamicin; a mean 91% of disopyramide; a mean 89% of quinidine at low concentration, falling to 75% at higher concentration. Insulin was 88% adsorbed at low concentrations but less so (65%) at higher concentrations. We observed a mean 83% adsorption of procainamide, a mean 84% of N-acetyl procainamide, 74% of lidocaine, 73% of amitriptyline, and 44% of desipramine. We found an average of 14% reduction of total digoxin concentration when serum containing digoxin (2 to 33 ng/mL) was exposed to sodium silicate, while the reduction in free digoxin concentration was 16%. Five percent ethosuximide was also removed. The adsorption of theophylline, phenobarbital, acetaminophen, phenytoin, ethylene glycol, methotrexate, salicylate, thiocyanate and diazepam was minimal and not significant. We conclude that significant amounts of charged, non-albumin bound drugs can be removed by PQ 10150 sodium silicate gel.


Subject(s)
Pharmaceutical Preparations/chemistry , Silicates/chemistry , Adsorption , Chromatography, High Pressure Liquid , Electrochemistry , Fluorescence Polarization , Gels , Hemoperfusion , Radioimmunoassay
16.
J Am Acad Audiol ; 5(1): 17-23, 1994 Jan.
Article in English | MEDLINE | ID: mdl-8155890

ABSTRACT

The use of tone-burst stimuli for electrocochleography (ECochG) may offer certain advantages over conventional broad-band clicks. Namely, the summating potential (SP) component can be examined at different frequencies and may be easier to define and measure. To apply these findings clinically, it would first be necessary to establish SP amplitudes as a function of tone-burst frequency in normal listeners. The purpose of the present study was to do this using the tympanic membrane (TM) as the primary ECochG recording site. ECochG was recorded from 20 normal ears. Stimuli included 500-, 1000-, 2000-, 4000-, and 8000-Hz tone bursts presented randomly at 90 dB nHL. Mean SP amplitudes at these frequencies were +0.19, +0.17, +0.08, +0.10, and +0.22 microvolts, respectively. Although mean amplitudes were slightly positive regarding baseline, individual amplitudes varied between -0.41 and +0.73 microvolts. This study offers additional evidence that the SP to tone bursts can be recorded from the TM. The normative data provided should be useful for extended studies involving clinical populations.


Subject(s)
Action Potentials/physiology , Tympanic Membrane/physiology , Acoustic Stimulation , Adult , Audiometry, Evoked Response , Cochlea/physiology , Evoked Potentials, Auditory/physiology , Humans , Reference Values , Vestibulocochlear Nerve/physiology
17.
J Am Acad Audiol ; 5(1): 24-9, 1994 Jan.
Article in English | MEDLINE | ID: mdl-8155891

ABSTRACT

Electrocochleographic responses to tone bursts and clicks were recorded from the tympanic membranes (TMs) and promontories of six suspected Meniere's patients. Although the majority of ears had normal summating potentials (SPs), regardless of recording site and stimulus type, some displayed amplitude-enlarged SPs at both sites and to both types of stimuli. The following observations were made from these patients regarding the choice of recording approaches and stimuli for ECochG: (1) Although SP amplitudes at the promontory were approximately four times larger than corresponding TM values, response "patterns" leading to diagnostic interpretation were the same at both sites; (2) the majority of patients who displayed enlarged SP amplitudes to tone bursts also had enlarged SPs to clicks; and (3) with tone-burst stimuli, the amplitude of the SP alone was sufficient for diagnostic interpretation of the ECochG waveform.


Subject(s)
Ear, Middle/physiology , Membrane Potentials/physiology , Tympanic Membrane/physiology , Acoustic Stimulation , Audiometry, Evoked Response , Humans , Meniere Disease/physiopathology
18.
Clin Chem ; 37(10 Pt 1): 1734-6, 1991 Oct.
Article in English | MEDLINE | ID: mdl-1914174

ABSTRACT

We describe a semiautomated, enzymatic method of analysis for ethylene glycol in plasma. Glycerol dehydrogenase (EC 1.1.1.6) from Enterobacter aerogenes, which has high specificity for ethylene glycol, is mixed with 3 microL of specimen in a centrifugal analyzer. NAD+ is added to initiate the reaction, and 450 s after an initial 90-s delay, the absorbance at 340 nm is measured. Monthly calibration with a five-point calibration curve is sufficient to provide between-day precision (CV) of 2% to 5%. The detection limit is 0.3 mmol/L with a CV of 10%. There is no significant interference from ethanol, methanol, isopropanol, acetone, lactate, or glycerol.


Subject(s)
Ethylene Glycols/blood , Centrifugation , Ethylene Glycol , Humans , Immunoenzyme Techniques
19.
Am Heart J ; 119(2 Pt 1): 324-30, 1990 Feb.
Article in English | MEDLINE | ID: mdl-2301221

ABSTRACT

This study examined the time course of changes of ventricular effective refractory period (VERP) following an abrupt change of cycle length (CL) in man. Stimulation at the right ventricular apex consisted of 19 cycles of an initial CL, followed by a variable number of cycles (0 to 50 cycles) of a new CL, and an extrastimulus to test for VERP. Fifteen patients were enrolled in each part of the study. In part A, initial CLs were long (mean +/- standard error, 650 +/- 20 msec) and new CLs were short (325 +/- 10 msec). VERPs were 259 +/- 6 msec after the long cycles, 238 +/- 6 msec after one short cycle (p less than 0.05), 224 +/- 5 msec after 10 short cycles, and 210 +/- 6 msec after 50 short cycles (p less than 0.05 versus 1 or 10 short cycles). Thus 43% of total shortening of VERP occurred in the first short cycle and 57% occurred in subsequent short cycles. In part B, initial CLs were short and new CLs were long. VERPs were 212 +/- 7 msec after the short cycles, 237 +/- 7 msec after one long cycle (p less than 0.05), 239 +/- 7 msec after 10 long cycles, and 247 +/- 7 msec after 50 long cycles (p less than 0.05 versus 1 or 10 long cycles). Thus 71% of total lengthening of VERP occurred in the first long cycle and 29% occurred in subsequent long cycles. In conclusion, following an abrupt change of CL in man, VERP changes markedly in the first new cycle (immediate effect) and then undergoes further, more gradual change over a large number of subsequent cycles (cumulative effects). Cumulative effects appear to be greater following shortening of CL than following lengthening of CL.


Subject(s)
Heart Rate , Heart/physiology , Myocardial Contraction , Adult , Aged , Aged, 80 and over , Autonomic Nervous System/physiology , Cardiac Pacing, Artificial , Electrocardiography , Female , Heart/physiopathology , Heart Conduction System/physiology , Heart Diseases/physiopathology , Humans , Male , Middle Aged
20.
Dig Dis Sci ; 31(12): 1317-30, 1986 Dec.
Article in English | MEDLINE | ID: mdl-3542442

ABSTRACT

We have elucidated the distribution of I2 (HLA-DR) antigen in control and inflammatory bowel disease specimens, using immunoelectron microscopic methods. Control small intestinal epithelium and inflammatory bowel disease epithelium expressed 12 antigen, while control colonic epithelium did not. I2 expression by enterocytes was more frequent on the lateral and basal surface than on the microvillus surface. Two of three M cells in control ileum expressed I2 antigen. I2-positive intraepithelial lymphocytes were rarely detected in both control and disease specimens. I2-positive lamina propria lymphocytes were significantly increased in inflammatory bowel disease, while I2-positive lamina propria lymphocytes were virtually absent in control specimens. I2-positive mononuclear cells in the intestinal lamina propria were largely macrophages and monocytes in both control and inflammatory bowel disease specimens. I2-positive mononuclear cells resembling dendritic cells were not detected in control or disease specimens. Furthermore, there were no significant morphological differences in I2-positive or -negative macrophages and monocytes in control and disease specimens. The expression of I2 antigen on Schwann cells was detected more frequently in disease specimens than in control specimens. Capillary endothelia of both control and disease specimens expressed I2 antigen. We demonstrate that I2 expression is present on surface membranes of both immune and nonimmune cells of the intestine and colon and show that this expression is more prominent in inflammatory bowel disease than in control intestine and colon. Further studies are required to determine whether this finding is meaningful in terms of antigen presentation and whether this apparent "immune activation" is involved in the pathogenesis of inflammatory bowel disease.


Subject(s)
Colitis, Ulcerative/immunology , Colon/immunology , Crohn Disease/immunology , HLA-D Antigens/analysis , HLA-DR Antigens/analysis , Immunoenzyme Techniques , Intestine, Small/immunology , Microscopy, Electron , Antibodies, Monoclonal , Cell Membrane/immunology , Endothelium/immunology , Epithelium/immunology , Humans , Lymphocytes/immunology , Macrophages/immunology , Monocytes/immunology , Schwann Cells/immunology
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