A simple infrared-augmented digital photography technique for detection of pupillary abnormalities.

BACKGROUND: The purpose of the study was to describe a simple infrared photography technique to aid in the diagnosis and documentation of pupillary abnormalities. METHODS: An unmodified 12-megapixel "point and shoot" digital camera was used to obtain binocular still photos and videos under different light conditions with near-infrared illuminating frames. The near-infrared light of 850 nm allows the capture of clear pupil images in both dim and bright light conditions. It also allows easy visualization of the pupil despite pigmented irides by augmenting the contrast between the iris and the pupil. RESULTS: The photos and videos obtained illustrated a variety of pupillary abnormalities using the aforementioned technique. CONCLUSIONS: This infrared-augmented photography technique supplements medical education, and aids in the more rapid detection, diagnosis, and documentation of a wide spectrum of pupillary abnormalities. Its portability and ease of use with minimal training complements the education of trainees and facilitates the establishment of difficult diagnoses.

Note: On the measurement of plasma potential fluctuations using emissive probes.

In this Note, it is pointed out that emissive probes cannot be used to directly and reliably measure plasma potential fluctuations. An experimentally validated model demonstrates indeed that the floating potential fluctuations of an emissive probe which floats at the mean plasma potential depend not only on the plasma potential fluctuations but also on electron density and temperature fluctuations.

Design and validation of the ball-pen probe for measurements in a low-temperature magnetized plasma.

Ball-pen probes have been used in fusion devices for direct measurements of the plasma potential. Their application in low-temperature magnetized plasma devices is still subject to studies. In this context, a ball-pen probe has been recently implemented on the linear plasma device Mirabelle. Produced by a thermionic discharge, the plasma is characterized by a low electron temperature and a low density. Plasma confinement is provided by an axial magnetic field that goes up to 100 mT. The principle of the ball-pen probe is to adjust the saturation current ratio to 1 by reducing the electron current contribution. In that case, the floating potential of the probe is close to the plasma potential. A thorough study of the ball-pen probe operation is performed for different designs of the probe over a large set of plasma conditions. Comparisons between ball-pen, Langmuir, and emissive probes are conducted in the same plasma conditions. The ball-pen probe is successfully measuring the plasma potential in these specific plasma conditions only if an adapted electronics and an adapted probe size to the plasma characteristic lengths (λ(D), ρ(ce)) are used.

Spectroscopic interpretation and velocimetry analysis of fluctuations in a cylindrical plasma recorded by a fast camera.

Fast visible imaging is used on a cylindrical magnetized argon plasma produced by thermionic discharge in the Mirabelle device. To link the information collected with the camera to a physical quantity, fast camera movies of plasma structures are compared to Langmuir probe measurements. High correlation is found between light fluctuations and plasma density fluctuations. Contributions from neutral argon and ionized argon to the overall light intensity are separated by using interference filters and a light intensifier. Light emitting transitions are shown to involve a metastable neutral argon state that can be excited by thermal plasma electrons, thus explaining the good correlation between light and density fluctuations. The propagation velocity of plasma structures is calculated by adapting velocimetry methods to the fast camera movies. The resulting estimates of instantaneous propagation velocity are in agreement with former experiments. The computation of mean velocities is discussed.

Pediatric optic neuritis: brain MRI abnormalities and risk of multiple sclerosis.

BACKGROUND: Optic neuritis is often the initial presentation of multiple sclerosis (MS). As established by the Optic Neuritis Treatment Trial, an abnormal baseline brain MRI is a strong predictor of MS after isolated optic neuritis in adults. However, the rate of conversion to MS after optic neuritis in children based upon brain MRI findings is unknown. METHODS: We reviewed the medical records of children (<18 years) presenting with optic neuritis between 1993 and 2004 at the Children's Hospital of Philadelphia. Children with a history of demyelinating disease or prior optic neuritis were excluded. Symptoms, ophthalmologic findings, MRI findings, and clinical outcomes were recorded. RESULTS: We identified 29 consecutive children with idiopathic optic neuritis. Eleven patients (38%) had white matter T2/FLAIR lesions in the brain (not including the optic nerves). Eighteen patients were followed for more than 24 months, and 3 of the 18 (17%) developed MS. All 3 patients had an abnormal brain MRI scan at their initial presentation of optic neuritis. None of the patients with a normal brain MRI scan at presentation developed MS over an average follow-up of 88.5 months. Patients with one or more white matter lesions on MRI were more likely to develop MS (3/7 vs 0/11, p = 0.04, Fisher exact test). CONCLUSIONS: Children with brain MRI abnormalities at the time of the diagnosis of optic neuritis have an increased risk of multiple sclerosis. Larger collaborative studies are needed to further define the prognosis for childhood optic neuritis.

On the reliability of scrape-off layer ion temperature measurements by retarding field analyzers.

The retarding field analyzer (RFA) is one of the only widely accepted diagnostics for measurements of ion temperature Ti in the tokamak scrape-off layer. In this paper we analyze some instrumental effects of the RFA and their influence on Ti measurements. It is shown that selective ion transmission through the RFA slit is responsible for an overestimation of Ti by less than 14%, even for a relatively thick slit plate. Therefore, thicker slit plates are preferable, since they reduce, e.g., the risk of melting during off-normal events, and the effect of positive space charge inside the cavity. The influence of the electron repelling grid, as well as misalignment of the slit with respect to the magnetic field on Ti measurements are negligible.

Transitions to spatiotemporal chaos and turbulence of flute instabilities in a magnetized plasma.

The spatiotemporal transition scenario of flute instabilities from a regular to a turbulent state is experimentally investigated in the plasma column of a thermionic discharge. The same transition scenario, i.e., the Ruelle-Takens route to turbulence, is found for both the Kelvin-Helmholtz and the Rayleigh-Taylor instabilities. It is demonstrated that the transition can be more or less smooth, according to the discharge mode. In both cases, a strong radial dependence is observed, which is linked to the velocity shear layer in the case of the Kelvin-Helmholtz instability.

Functional magnetic resonance imaging of the visual system.

Functional magnetic resonance imaging (fMRI), which is a technique useful for non-invasive mapping of brain function, is well suited for studying the visual system. This review highlights current clinical applications and research studies involving patients with visual deficits. Relevant reports regarding the investigation of the brain's role in visual processing and some newer fMRI techniques are also reviewed. Functional magnetic resonance imaging has been used for presurgical mapping of visual cortex in patients with brain lesions and for studying patients with amblyopia, optic neuritis, and residual vision in homonymous hemianopia. Retinotopic borders, motion processing, and visual attention have been the topics of several fMRI studies. These reports suggest that fMRI can be useful in clinical and research studies in patients with visual deficits.

Functional magnetic resonance imaging of eye dominance at 4 tesla.

We studied eye dominance in visual cortex and lateral geniculate nucleus (LGN) using functional magnetic resonance imaging (fMRI) at a very high magnetic field (4 tesla). Eight normal volunteers were studied with fMRI at 4 tesla during alternating monocular visual stimulation. The acquisition was repeated twice in 4 subjects to confirm reproducibility. In addition, magnetic resonance signal intensities during three conditions (right eye stimulation, left eye stimulation, and control condition) were compared to determine whether the observed area was truly or relatively monocular in 2 subjects. In both the individual and group analyses, the anterior striate cortex was consistently activated by the contralateral eye more than the ipsilateral eye. Additionally, we found evidence that there were areas in the bilateral LGN which were more active during the stimulation of the contralateral eye than during the stimulation of the ipsilateral eye. The activated areas were reproducible, and the mean ratio of the overlapping area was 0.71 for the repeated scans. The additional experiment revealed that the area in the anterior visual cortex could be divided into two parts, one truly monocular and the other relatively monocular. Our finding confirmed previous fMRI results at 1.5 tesla showing that eye dominance was observed in the contralateral anterior visual cortex. However, the eye dominance in the visual cortex was found not only in the most anterior area corresponding to the monocular temporal crescent but also in the more posterior area, presumably showing the greater sensitivity of the temporal visual field (nasal retina) as compared with the nasal visual field (temporal retina) in the peripheral visual field (peripheral retina). In addition, it is suggested that the nasotemporal asymmetry of the retina and the visual fields is represented in the LGN as well as in the visual cortex.

Mode selective control of drift wave turbulence.

Experiments on spatiotemporal open-loop synchronization of drift wave turbulence in a magnetized cylindrical plasma are reported. The synchronization effect is modeled by a rotating current profile with prescribed mode structure. Numerical simulations of an extended Hasegawa-Wakatani model show good agreement with experimental results.

Experimental evidence for a torus breakdown in a glow discharge plasma.

A global bifurcation scenario for a two-frequency torus breakdown depicted by Baptista and Caldas [Physica D 132, 325 (1999)] is observed on a glow-discharge experiment. The torus is broken through a crisis with an unstable periodic orbit. The torus section before the bifurcation is a sided polygon that has a number of edges equal to the period of the unstable orbit. Since the discharge is an extended system the two-frequency torus breakdown is shown to be a possible way to space-time chaos.

Visual activation in functional magnetic resonance imaging at very high field (4 Tesla).

OBJECTIVES: Functional magnetic resonance imaging (fMRI) at very high field strengths provides functional brain mapping with the enhanced signal to noise ratio and the larger blood oxygenation level-dependent (BOLD) effect. We report activated areas in the standard space detected by fMRI at 4 Tesla (T) during simple visual stimulation. MATERIALS AND METHODS: Twelve healthy young subjects were scanned using a 4 T scanner during binocular flashing visual stimulation. Functional images were realigned to the first scan and then spatially normalized. Individual and group data analyses were performed to identify areas of visual activation. RESULTS: Activation of the bilateral primary visual cortex (V1/V2) was observed along the entire calcarine fissure in all subjects. The activated area extended to the extrastriate cortex in all subjects. Activation of the bilateral lateral geniculate nucleus (LGN) was detected in all subjects. The group data showed activation of the bilateral primary visual cortex and the bilateral lateral geniculate nucleus. CONCLUSIONS: Robust activation of the vision-related areas was successfully obtained in all subjects using a 4 T magnetic resonance scanner. These results suggest that fMRI at very high field strengths may be effective in showing visual system physiology, and that it can be a promising method to assess visual function of human subjects.

Internally driven spatiotemporal irregularity in a dc glow discharge

Spatiotemporal dynamics of an undriven dc glow discharge at intermediate pressures (p(0)r(0)=6.2 Torr cm, i<50 mA) is investigated experimentally. Spatiotemporal irregularity and windows of regular nonlinear waves occur and are found to depend on the discharge current. Above a threshold current column head oscillations arise and inject high-frequency ionization waves into the positive column that decay towards the anode through nonlinear wave coupling with a discrete eigenmode of the positive column. Regularity was found to be a result of commensuration of both waves and obeys a devil's staircase. Since column head oscillations occur in the transition region from cathode fall to positive column as result of discharge formation, the irregularities were internally driven. Spatiotemporal analysis by means of biorthogonal decomposition gives insights into the mechanism of irregularity and can be employed for characterization of spatiotemporal complexity.

Extensive intracranial xanthoma associated with type II hyperlipidemia.

Xanthomas are associated with a spectrum of medical conditions, most commonly disorders of lipid storage and lipid metabolism. They occur primarily in the subcutaneous tissues, especially along the Achilles tendon and the extensor tendons of the hands. Intracranial xanthomas are extremely rare. We present a case of an extensive xanthoma of the temporal bone in a patient with hyperlipidemia.

Uncoupling of calcium mobilization and entry pathways in endothelin-stimulated pituitary lactotrophs.

In cells expressing Ca2+-mobilizing receptors, InsP3-induced Ca2+ release from intracellular stores is commonly associated with extracellular Ca2+ influx. Operation of these two Ca2+ signaling pathways mediates thyrotropin-releasing hormone (TRH) and angiotensin II (AII)-induced prolactin secretion from rat pituitary lactotrophs. After an initial hyperpolarization induced by Ca2+ mobilization from the endoplasmic reticulum (ER), these agonists generated an increase in the steady-state firing of action potentials, further facilitating extracellular Ca2+ influx and prolactin release. Like TRH and AII, endothelin-1 (ET-1) also induced a rapid release of Ca2+ from the ER and a concomitant spike prolactin secretion during the first 3-5 min of stimulation. However, unlike TRH and AII actions, Ca2+ mobilization was not coupled to Ca2+ influx during sustained ET-1 stimulation, as ET-1 induced a long-lasting abolition of action potential firing. This lead to a depletion of the ER Ca2+ pool, a prolonged decrease in [Ca2+]i, and sustained inhibition of prolactin release. ET-1-induced inhibition and TRH/AII-induced stimulation of Ca2+ influx and hormone secretion were reduced in the presence of the L-type Ca2+ channel blocker, nifedipine. Basal [Ca2+]i and prolactin release were also reduced in the presence of nifedipine. Furthermore, TRH-induced Ca2+ influx and secretion were abolished by ET-1, as TRH was unable to reactivate Ca2+ influx and prolactin release in ET-1-stimulated cells. Depolarization of the cells during sustained inhibitory action of ET-1, however, increased [Ca2+]i and prolactin release. These results indicate that L-type Ca2+ channel represents a common Ca2+ influx pathway that controls basal [Ca2+]i and secretion and is regulated by TRH/AII and ET-1 in an opposite manner. Thus, the receptor-mediated uncoupling of Ca2+ entry from Ca2+ mobilization provides an effective control mechanism in terminating the stimulatory action of ET-1. Moreover, it makes electrically active lactotrophs quiescent and unresponsive to other calcium-mobilizing agonists.

Relationships between 3-y longitudinal changes in body mass index, waist-to-hip ratio, and metabolic variables in an active French female population.

Three-year longitudinal changes in body mass index (BMI), waist-to-hip ratio (WHR), and metabolic variables were examined in 209 active French women. For the entire group, a weak but significant positive association was found between change in BMI and change in WHR. However, analysis of covariance according to the degree of abdominal fat distribution showed a heterogeneity of this association that was confined to women with abdominal fat distribution. Changes in BMI were positively associated with changes in total cholesterol (P less than 0.05), triglycerides (P less than 0.10), and blood pressure (P less than 0.001), whereas changes in WHR were associated with changes in triglycerides (P less than 0.05) and diastolic blood pressure (P less than 0.10). These longitudinal results suggest that a more favorable body-fat pattern and metabolic profile might be achieved by reducing weight, or at least by preventing weight gain, particularly in women with high abdominal-fat distribution.