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1.
Arthritis Res Ther ; 24(1): 97, 2022 04 29.
Article in English | MEDLINE | ID: mdl-35488311

ABSTRACT

AIM: This study explored the systemic vascular effects of local cryotherapy with a focus on endothelial changes and arterial inflammation in the model of rat adjuvant-induced arthritis (AIA). METHODS: Cryotherapy was applied twice a day on hind paws of AIA rats from the onset of arthritis to the acute inflammatory phase. Endothelial activation was studied in the aorta by measuring the mRNA levels of chemokines (CXCL-1, MCP-1 (CCL-2), MIP-1α (CCL-3)) and adhesion molecules (ICAM-1, VCAM-1) by qRT-PCR. Endothelial dysfunction was measured in isolated aortic and mesenteric rings. Aortic inflammation was evaluated via the mRNA expression of pro-inflammatory cytokines (TNF-α, IL-6) by qRT-PCR and leucocyte infiltration analysis (flow cytometry). Plasma levels of TNF-α, IL-6, IL-1ß, IL-17A, and osteoprotegerin (OPG) were measured using Multiplex/ELISA. RESULTS: AIA was associated with an increased aortic expression of CXCL-1 and ICAM-1 as well as an infiltration of leucocytes and increased mRNA expression of IL-6, IL-1ß, and TNF-α. Local cryotherapy, which decreased arthritis score and structural damages, reduced aortic mRNA expression of CXCL-1, IL-6, IL-1ß, and TNF-α, as well as aortic infiltration of leucocytes (T lymphocytes, monocytes/macrophages, neutrophils) and improved acetylcholine-induced vasorelaxation in the aorta and mesenteric arteries. Plasma levels of IL-17A and OPG were significantly reduced by cryotherapy, while the number of circulating leucocytes was not. IL-17A levels positively correlated with endothelial activation and dysfunction. CONCLUSION: In the AIA model, local cryotherapy reduced systemic endothelial activation, immune cell infiltration, and endothelial dysfunction. Mechanistically, the reduction of circulating levels of IL-17A appears as the possible link between joint cooling and the remote vascular effects.


Subject(s)
Arthritis, Experimental , Intercellular Adhesion Molecule-1 , Animals , Cryotherapy , Inflammation , Interleukin-17 , Interleukin-6 , RNA, Messenger , Rats , Rats, Inbred Lew , Tumor Necrosis Factor-alpha
2.
Hum Mov Sci ; 59: 153-169, 2018 Jun.
Article in English | MEDLINE | ID: mdl-29684760

ABSTRACT

In this article, we elaborate from a multiple time scales model of motor learning to examine the independent and integrated effects of massed and distributed practice schedules within- and between-sessions on the persistent (learning) and transient (warm-up, fatigue) processes of performance change. The timescales framework reveals the influence of practice distribution on four learning-related processes: the persistent processes of learning and forgetting, and the transient processes of warm-up decrement and fatigue. The superposition of the different processes of practice leads to a unified set of effects for massed and distributed practice within- and between-sessions in learning motor tasks. This analysis of the interaction between the duration of the interval of practice trials or sessions and parameters of the introduced time scale model captures the unified influence of the between trial and session scheduling of practice on learning and performance. It provides a starting point for new theoretically based hypotheses, and the scheduling of practice that minimizes the negative effects of warm-up decrement, fatigue and forgetting while exploiting the positive effects of learning and retention.


Subject(s)
Learning/physiology , Motor Skills/physiology , Practice, Psychological , Fatigue/physiopathology , Humans , Psychomotor Performance/physiology , Retention, Psychology/physiology , Time Factors
3.
J Affect Disord ; 221: 268-274, 2017 10 15.
Article in English | MEDLINE | ID: mdl-28662459

ABSTRACT

BACKGROUND: Standardized Diagnostic Interviews (SDIs) such as the Mini International Neuropsychiatric Interview (MINI) are widely used to systematically screen for psychiatric disorders in research. To support generalizability of results to clinical practice, we assessed agreement between the MINI and clinical diagnoses. METHODS: Agreement was assessed in a large, real life dataset (n = 7016) using concordance statistics such as sensitivity, specificity, efficiency and area under the curve (AUC). RESULTS: 41.5% of clinical diagnoses were mood disorders, 26.5% were anxiety disorders. Overall, we found moderate agreement between MINI and clinical diagnoses (median efficiency: 0.92, median AUC: 0.79). For mood disorders, the AUC for all participants showed a range between 0.55 and 0.81 (median: 0.73), and for anxiety disorders the AUC ranged from 0.78 to 0.88 (median: 0.83). The AUC showed better agreement for mood disorders in the single diagnosis group than in the total group (median 0.77 vs. 0.71). For anxiety disorders, the AUC for the single diagnosis group was comparable to the AUC of the total group (median: 0.81 vs. 0.83 respectively). Numbers of false positives were high for both mood and anxiety diagnoses, but less so in the single diagnosis group. LIMITATIONS: Time lag between MINI and clinical diagnosis, the availability of only the primary clinical diagnosis, and relatively high severity of the current sample are limitations of the current study. CONCLUSIONS: Agreement between MINI and clinical diagnoses was moderate at best, which partly reflects the difference between the different measures used in the current study.


Subject(s)
Anxiety Disorders/diagnosis , Mood Disorders/diagnosis , Psychiatric Status Rating Scales , Adult , Anxiety Disorders/epidemiology , Anxiety Disorders/psychology , Area Under Curve , Female , Humans , Male , Middle Aged , Mood Disorders/epidemiology , Mood Disorders/psychology , Outpatients , Personality Assessment/statistics & numerical data , Personality Inventory/statistics & numerical data , Prevalence , Sensitivity and Specificity
4.
Clin Exp Immunol ; 188(2): 208-218, 2017 05.
Article in English | MEDLINE | ID: mdl-28152574

ABSTRACT

To determine the effect of glucocorticoids (GCs) on endothelial dysfunction (ED) and on traditional cardiovascular (CV) risk factors in the adjuvant-induced arthritis (AIA) rat model. At the first signs of AIA, a high dose (HD) [10 mg/kg/day, intraperitoneally (i.p.), GC-HD] or low dose (LD) (1 mg/kg/day, i.p., GC-LD) of prednisolone was administered for 3 weeks. Endothelial function was studied in aortic rings relaxed with acetylcholine (Ach) with or without inhibitors of nitric oxide synthase (NOS), cyclooxygenase 2 (COX-2), arginase, endothelium derived hyperpolarizing factor (EDHF) and superoxide anions ( O2-°) production. Aortic expression of endothelial NOS (eNOS), Ser1177-phospho-eNOS, COX-2, arginase-2, p22phox and p47phox was evaluated by Western blotting analysis. Arthritis scores, blood pressure, heart rate and blood levels of cytokines, triglycerides, cholesterol and glucose were measured. GC-HD but not GC-LD reduced arthritis score significantly and improved Ach-induced relaxation (P < 0·05). The positive effect of GC-HD resulted from increased NOS activity and EDHF production and decreased COX-2/arginase activities and O2-° production. These functional effects relied upon increased phospho-eNOS expression and decreased COX-2, arginase-2 and nicotinamide adenine dinucleotide phosphate (NADPH) oxidase expression. Despite the lack of effect of GC-LD on ED, it increased NOS and EDHF and down-regulated O2-° pathways but did not change arginase and COX-2 pathways. GC-HD increased triglycerides levels and blood pressure significantly (P < 0·05). Both doses of GCs decreased to the same extent as plasma interleukin (IL)-1ß and tumour necrosis factor (TNF)-α levels (P < 0·05). Our data demonstrated that subchronic treatment with prednisolone improved endothelial function in AIA via pleiotropic effects on endothelial pathways. These effects occurred independently of the deleterious cardiometabolic effects and the impact of prednisolone on systemic inflammation.


Subject(s)
Arthritis, Experimental/drug therapy , Arthritis, Rheumatoid/drug therapy , Endothelium, Vascular/drug effects , Endothelium, Vascular/physiology , Glucocorticoids/administration & dosage , Prednisolone/administration & dosage , Acetylcholine/pharmacology , Animals , Aorta/physiopathology , Arginase/pharmacology , Arthritis , Arthritis, Rheumatoid/physiopathology , Biological Factors/metabolism , Blood Glucose/analysis , Blood Pressure , Cardiovascular Diseases/diagnosis , Cholesterol/blood , Cyclooxygenase 2/pharmacology , Cytokines/blood , Heart Rate , Male , Random Allocation , Rats , Superoxides/metabolism , Triglycerides/blood
5.
Disabil Rehabil ; 39(2): 121-126, 2017 01.
Article in English | MEDLINE | ID: mdl-27268851

ABSTRACT

This paper addresses the change in movement dynamics in rehabilitation through discussing issues that pertain to the question as to whether the principles of re-learning in functional recovery are the same as those of original learning. The many varieties of disease and injury states lead to significant differences in the constraints to action and these impairments in turn influence the pathway of change in re-learning and/or recovery of function. These altered constraints channel the effectiveness of many conditions and strategies of practice that influence learning and performance. Nevertheless, it is proposed that there is a small set of principles for the change in dynamics of motor learning, which drive the continuously evolving stability and instability of movement forms through the lifespan. However, this common set of dynamical principles is realized in individual pathways of change in the movement dynamics of learning, re-learning and recovery of function. The inherent individual differences of humans and environments insure that the coordination, control and skill of movement rehabilitation are challenged in distinct ways by the changing constraints arising from the many manifestations of disease and injury. Implications for rehabilitation The many varieties of disease and injury states lead to significant differences in the constraints to action that in turn influence the pathway of change in re-learning and/or recovery of function, and the effectiveness of the many conditions/strategies of practice to influence learning and performance. There are a small set of principles for the change in dynamics of motor learning that drive the continuously evolving ebb and flow of stability and instability of movement forms through the lifespan. The inherent individual differences of humans and environments insure that the coordination, control and skill of movement rehabilitation are uniquely challenged by the changing constraints arising from the many manifestations of disease and injury.


Subject(s)
Learning/physiology , Movement , Recovery of Function , Rehabilitation , Humans , Motor Skills
6.
Hum Mov Sci ; 49: 216-24, 2016 Oct.
Article in English | MEDLINE | ID: mdl-27442763

ABSTRACT

The objective of this study was to investigate the coordination of a whole-body task (basketball free-throw) in which success in performance outcome can be achieved through a manifold of combinations of postural and movement trajectory configurations. Participants were healthy men (19-24years) with a range of skill levels that were tested for the accuracy of 50 basketball free-throws with both their dominant and non-dominant hand. The trial-to-trial variance in release parameters as well as postural stability of the shooter and synchronization of postural movement and ball release were strong predictors of performance, with non-elite shooters having a higher mean and variability of center-of-mass (COM) speed at the time of ball release. The synchronization between the time of peak COM and the time of ball release increased as a function of skill level and hand dominance, with the better performers releasing the ball more closely to the time of COM peak height. These findings reveal how, in addition to successfully controlling the trial-to-trial variability along the solution manifold of release parameters, the relative importance of the coordination of postural control and ball release properties on shooting success changes as a function of skill level.


Subject(s)
Basketball , Postural Balance , Psychomotor Performance , Space Perception , Adult , Functional Laterality , Humans , Male , Motor Skills , Young Adult
7.
Appl Ergon ; 55: 16-26, 2016 Jul.
Article in English | MEDLINE | ID: mdl-26995032

ABSTRACT

We validated the usability of a new infusion pump interface designed with a situated Cognitive Engineering approach by comparing it to a reference interface using a novel testing method employing repeated measurements and process measures, in addition to traditional outcome measures. The sample consisted of 25 nurses who performed eight critical tasks three times. Performance measures consisted of number and type of errors, deviations from a pre-established normative path solution, task completion times, number of keystrokes, mental effort and preferences in use. Results showed that interaction with the new interface resulted in 18% fewer errors, 90% fewer normative path deviations, 42% lower task completion times, 40% fewer keystrokes, 39% lower mental effort and 76% more subjective preferences in use. These outcomes suggest that within the scope of this case study, combining the situated Cognitive Engineering approach with a novel testing method addresses various shortcomings of earlier testing methods.


Subject(s)
Equipment Design/psychology , Ergonomics/methods , Infusion Pumps/psychology , Task Performance and Analysis , User-Computer Interface , Adult , Cognition , Female , Humans , Male , Middle Aged , Nurses/psychology
8.
Neuroscience ; 172: 303-13, 2011 Jan 13.
Article in English | MEDLINE | ID: mdl-20971165

ABSTRACT

Accumulating evidence has shown that a polymorphism in the promoter region of the serotonin-transporter (5-HTTLPR) modulates neural activation during the perceptual processing of emotional facial expressions. Furthermore, behavioral research has shown that attentional bias for negative information is increased in s allele carriers. We examined the interactions among 5-HTTLPR (including SNP rs25531), life events and gender on the detection of facial emotions. We found a main effect of genotype, as well as moderating effects of childhood emotional abuse (CEA) and recent life events (RLE). S homozygous participants recognized negative facial expressions at a lower intensity than the other genotype groups. This effect was more evident in female participants and in participants who had experienced life events. The 5-HTTLPR genotype affects facial emotional perception, a process which is linked to a neurobiological response to threat and vulnerability to emotional disorders.


Subject(s)
Emotions/physiology , Mood Disorders/genetics , Perceptual Disorders/genetics , Serotonin Plasma Membrane Transport Proteins/genetics , Stress, Psychological/genetics , Adolescent , Adult , Adult Survivors of Child Abuse/psychology , Female , Genetic Predisposition to Disease/genetics , Genotype , Humans , Male , Middle Aged , Mood Disorders/metabolism , Mood Disorders/psychology , Perceptual Disorders/metabolism , Perceptual Disorders/physiopathology , Sex Characteristics , Sex Factors , Stress, Psychological/metabolism , Stress, Psychological/psychology , Young Adult
9.
Euro Surveill ; 13(35)2008 Aug 28.
Article in English | MEDLINE | ID: mdl-18761882

ABSTRACT

Methicillin-resistant Staphylococcus aureus (MRSA) is associated with increased mortality and morbidity and a leading cause of hospital-acquired infections. Community-acquired (CA)-MRSA are a growing concern worldwide. In the last 10 years, an increase in the MRSA rate from 2% to approximately 23% has been observed in Germany, while a rate under 5% has been recorded for many years in the Netherlands and Scandinavia. In the Netherlands in particular, MRSA rates have become very low in stationary care due to a consistent 'search and destroy' policy. The main focus in Germany lies on hospital-acquired MRSA, whereas the Netherlands focus on the control of the importation of MRSA cases from abroad and on CA-MRSA. As MRSA in hospitals and in the community can be a problem in cross-border health care, the European Union-funded EUREGIO MRSA-net project was established in the bordering regions Twente/Achterhoek, the Netherlands and Münsterland, Germany. The main aim of the project is the creation of a network of the major health care providers in the EUREGIO and the surveillance and prevention of MRSA infections. A spa-typing network was established in order to understand the regional and cross-border dissemination of epidemic and potentially highly virulent MRSA genotypes. As the reduction of differences in health care quality is an important prerequisite for cross-border health care, a transborder quality group comprising hospitals, general practitioners, public health authorities, laboratories, and insurerance companies has been established since 2005 equalising the quality criteria for the control of MRSA on both sides of the border.


Subject(s)
Infection Control/organization & administration , International Cooperation , Methicillin Resistance , Methicillin-Resistant Staphylococcus aureus/drug effects , Staphylococcal Infections/prevention & control , Germany , Humans , Netherlands
10.
J Environ Qual ; 37(1): 186-95, 2008.
Article in English | MEDLINE | ID: mdl-18178892

ABSTRACT

Dutch regulations for ammonia emission require farmers to inject slurry into the soil (shallow) or to apply it in narrow bands at the surface. For one commercial dairy farm in the Netherlands it was hypothesized that its alternative farming strategy, including low-protein feeding and surface spreading, could be an equally effective tool for ammonia emission abatement. The overall objective of the research was to investigate how management at this farm is related to nitrogen (N) losses to the environment, including groundwater and surface water. Gaseous emission of ammonia and greenhouse gasses from the naturally ventilated stables were 8.1 and 3.1 kg yr(-1) AU(-1) on average using the internal tracer (SF(6))-ratio method. Measurements on volatilization of ammonia from slurry application to the field using an integrated horizontal flux method and the micrometeorological mass balance method yielded relatively low values of ammonia emissions per ha (3.5-10.9 kg NH(3)-N ha(-1)). The mean nitrate concentration in the upper ground water was 6.7 mg L(-1) for 2004 and 3.0 mg L(-1) for 2005, and the half-year summer means of N in surface water were 2.3 mg N L(-1) and 3.4 mg N L(-1) for 2004 and 2005, respectively. Using a nutrient budget model for this farm, partly based on these findings, it was found that the calculated ammonia loss per ton milk (range 5.3-7.5 kg N Mg(-1)) is comparable with the estimated ammonia loss of a conventional farm that applies animal slurry using prescribed technologies.


Subject(s)
Air Pollutants/analysis , Ammonia/analysis , Animal Husbandry , Dairying , Manure , Animals , Cattle , Environment , Environmental Pollution/prevention & control , Female , Housing, Animal , Male , Manure/analysis , Methane/analysis , Nitrates/analysis , Nitrites/analysis , Nitrogen/analysis , Nitrous Oxide/analysis , Phosphates/analysis , Phosphorus/analysis , Quaternary Ammonium Compounds/analysis , Sheep , Water Pollutants, Chemical/analysis , Water Supply/analysis
11.
Gesundheitswesen ; 68(11): 674-8, 2006 Nov.
Article in German | MEDLINE | ID: mdl-17199200

ABSTRACT

Over the last years, Germany has observed an increase in the prevalence of methicillin-resistant Staphylococcus (MRSA) in all S. aureus isolates from 2 % to about 25 % whereas in The Netherlands this proportion has continuously been kept below 1 % thanks to a consistent "search & destroy" policy. Both countries increasingly register so-called community-acquired (CA) MRSA which are a threat also to the healthy population without any known risk factor for MRSA carriership. The EUREGIO project "MRSA-net Twente/Münsterland" has made it its main goal to set up a German-Dutch network serving as a basis for a quality association which includes all those who are actively involved in health care provision on both sides of the border and to implement a coordinated strategy for MRSA control and prevention. The project is being carried out with the financial support of the European Union under the INTERREG-IIIA Community initiative and of the Ministry of Economics of the State of North Rhine-Westphalia. The epidemiological backbone of the MRSA-net is a genetic-based MRSA typing strategy (spa-typing) which has been developed by the Institute for Hygiene, University Hospital, Münster and which allows regional and cross-border comparability of laboratory results. The Faculty of Behavioural Sciences of the University of Twente examines MRSA hygiene protocols with regard to their acceptability and realisability with the intention of developing user-friendly, target group-oriented MRSA protocols for the EUREGIO. The health departments involved in the project play a central role in the coordination of the network partners in the municipalities. By performing their function of surveillance in accordance with Sections 23 and 36 of the Infectious Disease Control Act they provide an important contribution to enhancing MRSA control and prevention strategies. Thanks to its cross-border cooperation and exchange of knowledge and technology the EUREGIO project "MRSA-net" contributes to controlling the proliferation of MRSA in the EUREGIO and thus to removing obstacles to the free cross-border movement of patients and personnel.


Subject(s)
Community Networks/organization & administration , Disease Outbreaks/prevention & control , Disease Outbreaks/statistics & numerical data , Methicillin Resistance , Population Surveillance/methods , Staphylococcal Infections/embryology , Staphylococcal Infections/prevention & control , Delivery of Health Care/organization & administration , Europe/epidemiology , European Union/organization & administration , Humans , International Cooperation
12.
J Endocrinol ; 173(2): 247-55, 2002 May.
Article in English | MEDLINE | ID: mdl-12010632

ABSTRACT

Cellular and nuclear uptake of [125I]tri-iodothyronine (T3) and [125I]triiodothyroacetic acid (Triac) were compared in cardiomyocytes of 2-3 day old rats, and the effect of thyroid hormone analogs on cellular T(3) uptake was measured. Cells (5-10 x 10(5) per well) were cultured in DMEM-M199 with 5% horse serum and 5% FCS. Incubations were performed for from 15 min to 24 h at 37 degrees C in the same medium, 0.5% BSA and [125I]T3 (100 pM), or [125I]Triac (240 pM). Expressed as % dose, T(3) uptake was five times Triac uptake, but expressed as fmol/pM free hormone, Triac uptake was at least 30% (P<0.001) greater than T3 uptake, whereas the relative nuclear binding of the two tracers was comparable. The 15 min uptake of [125I]T3 was competitively inhibited by 10 microM unlabeled T3 (45-52%; P<0.001) or 3,3'- diiodothyronine (T2) (52%; P<0.001), and to a smaller extent by thyroxine (T(4)) (27%; 0.05

Subject(s)
Animals, Newborn/metabolism , Myocardium/metabolism , Thyroxine/analogs & derivatives , Triiodothyronine/analogs & derivatives , Triiodothyronine/pharmacology , Animals , Cell Nucleus/metabolism , Cells, Cultured , Decamethonium Compounds , Diiodothyronines/pharmacology , Female , Iodine Radioisotopes/metabolism , Male , Myocardium/cytology , Protein Binding/drug effects , Rats , Rats, Wistar , Thyroxine/pharmacology , Triiodothyronine/metabolism
13.
Am J Physiol Heart Circ Physiol ; 281(5): H1985-91, 2001 Nov.
Article in English | MEDLINE | ID: mdl-11668059

ABSTRACT

The effects of the Ca2+ channel blockers verapamil, nifedipine, and diltiazem on triiodothyronine (T3) and thyroxine (T4) uptake were tested in cultured cardiomyocytes from 2-day-old rats. Experiments were performed at 37 degrees C in medium with 0.5% BSA for [125I]T3 (100 pM) or 0.1% BSA for [125I]T4 (350 pM). The 15-min uptake of [125I]T3 was 0.124 +/- 0.013 fmol/pM free T3 (n = 6); [125I]T4 uptake was 0.032 +/- 0.003 fmol/pM free T4 (n = 12). Neither T3 nor T4 uptake was affected by 1% DMSO (diluent for nifedipine and verapamil). Uptake of [125I]T3 but not of [125I]T4 was dose dependently reduced by incubation with 1-100 microM verapamil (49-87%, P < 0.05) or nifedipine (53-81%, P < 0.05). The relative decline in [125I]T3 uptake after 4 h of incubation with 10 microM verapamil or nifedipine was less than after 15 min or 1 h, indicating that the major inhibitory effect of the Ca2+ channel blockers occurred at the level of the plasma membrane. The reduction of nuclear [125I]T3 binding by 10 microM verapamil or nifedipine was proportional to the reduction of cellular [125I]T3 uptake. Diltiazem (1-100 microM) had no dose-dependent effect on [125I]T3 uptake but reduced [125I]T4 uptake by 45% (P < 0.05) at each concentration tested. Neither the presence of 20 mM K+ nor the presence of low Ca2+ in the medium affected [125I]T3 uptake. In conclusion, the inhibitory effects of Ca2+ channel blockers on T3 uptake in cardiomyocytes are not secondary to their effects on Ca2+ influx but, rather, reflect interference with the putative T3 carrier in the plasma membrane.


Subject(s)
Calcium Channel Blockers/pharmacology , Muscle Fibers, Skeletal/metabolism , Myocardium/cytology , Thyroxine/pharmacokinetics , Triiodothyronine/pharmacokinetics , Verapamil/pharmacology , Adenosine Triphosphate/metabolism , Animals , Animals, Newborn , Biological Transport/drug effects , Calcium/pharmacology , Cell Membrane/metabolism , Cells, Cultured , Diltiazem/pharmacology , Iodine Radioisotopes , Muscle Fibers, Skeletal/cytology , Muscle Fibers, Skeletal/drug effects , Nifedipine/pharmacology , Potassium/pharmacology , Rats , Rats, Wistar
14.
Endocrinology ; 137(10): 4235-42, 1996 Oct.
Article in English | MEDLINE | ID: mdl-8828482

ABSTRACT

The uptake and metabolism of T3 and T4 were investigated in cardiomyocytes isolated from 2-day-old rats. Myocytes (2-5 x 10(5) cells/well) were cultured for 1 day in medium with 5% horse serum-5% FCS and subsequently for 4 days without serum; in some cases myocytes were cultured with serum throughout the culture period. Experiments were performed at 37 C in medium with 0.5% BSA for measurement of [125I]T3 (200,000 cpm; 200 pM) uptake and with 0.1% BSA for measurement of [125I]T4 (200,000 cpm; 350 pM) uptake. Uptake of [125I]T3, expressed as femtomoles per picomolar concentration of free hormone, with any incubation time between 15 min and 24 h was at least 2-fold higher than that of [125I]T4. Neither T3 nor T4 was deiodinated within 24 h. This was observed in cells cultured in the absence or presence of serum. After 15 min of incubation, [125I]T3 uptake was 0.048 +/- 0.002 fmol/pM free T3 (n = 9), and [125I]T4 uptake was 0.018 +/- 0.003 fmol/pM free T4 (n = 9). Although [125I]T3 uptake was reduced by 31-40% (P < 0.05) by coincubation with 100 nM to 10 microM unlabeled T3, that of [125I]T4 was not affected by 1 nM to 10 microM unlabeled T4, nor was [125I]T3 uptake reduced by 10 microM unlabeled T4. Preincubation (30 min) and incubation (15 min) with 10 microM oligomycin reduced cellular ATP by 56% (P < 0.05) and [125I]T3 uptake by 73% (P < 0.05), but had no effect on [125I]T4 uptake. Similarly, [125I]T3 uptake, but not [125I]T4 uptake, was dependent on temperature and partly dependent on the Na+ gradient, as shown by the inhibitory effect of 10 microM monensin (27%; P < 0.05). The effect of aromatic amino acids (2 mM) on [125I]T3 uptake increased in the order phenylalanine < tyrosine < tryptophan. It is concluded that T3 is taken up in neonatal cardiomyocytes by an energy-dependent carrier-mediated mechanism that is also partly dependent on the Na+ gradient. Such a transport mechanism for T4 is not present in the neonatal heart, but it may appear later during development.


Subject(s)
Animals, Newborn/metabolism , Myocardium/metabolism , Thyroxine/pharmacokinetics , Triiodothyronine/pharmacokinetics , Animals , Cell Membrane/metabolism , Cells, Cultured , Culture Media , Culture Media, Serum-Free , Myocardium/cytology , Rats , Rats, Wistar , Time Factors
15.
Acta Neurol Belg ; 94(1): 35-43, 1994.
Article in English | MEDLINE | ID: mdl-8140885

ABSTRACT

A 65 year-old woman with a filum terminale ependymoma is reported, presenting with acute cauda equina compression syndrome due to intratumoural and subsequent spinal subarachnoid hemorrhage (SAH) following therapy with oral anticoagulants. Few cases of spinal ependymoma have been reported with an acute cauda equina compression syndrome as the initial and only symptom, and the unique feature of our patient's anticoagulant status has only been described once in this setting. Although intratumoural hemorrhage is very well known since the myxopapillary variant is unique to the cauda equina and consists of loose connective tissue and numerous small blood vessels that are prone to bleeding, spinal SAH is seldom seen and the different hypotheses about the pathophysiological mechanisms that might promote bleeding still remain unresolved and will be discussed in this paper, as well as the special clinical features of spinal SAH and some diagnostic and therapeutic implications. A review of the literature (Medline search 1983-1993) revealed only 13 cases, including ours, of spinal SAH due to cauda equina ependymoma, and the results of this review together with our findings are described in this paper.


Subject(s)
Anticoagulants/adverse effects , Cauda Equina , Ependymoma/complications , Nerve Compression Syndromes/etiology , Peripheral Nervous System Neoplasms/complications , Subarachnoid Hemorrhage/chemically induced , Acute Disease , Aged , Ependymoma/diagnosis , Female , Hemorrhage/chemically induced , Hemorrhage/complications , Humans , Peripheral Nervous System Neoplasms/diagnosis , Subarachnoid Hemorrhage/complications
16.
Acta Psychiatr Belg ; 92(2): 99-108, 1992.
Article in French | MEDLINE | ID: mdl-1345428

ABSTRACT

In an African population of 292 women, hospitalised for psychiatric reasons, the seropositivity for HIV was clearly found higher than in the general corresponding population; this was particularly significant for first hospitalisations; furthermore, the seropositivity became twice as high in the group hospitalised several times. The HIV, known for neurotropism, seems responsible for a psychic fragility factor, favorising psychiatric breakdowns as well as their recurrences. No specific psychiatric diagnosis appears to be related to the seropositive patients. This study suggest that psychiatric breakdowns are already favoured in the period preceeding immunodeficiency symptoms (AIDS or ARC).


Subject(s)
AIDS Dementia Complex/epidemiology , HIV Infections/epidemiology , Hospitals, Psychiatric , AIDS-Related Complex/complications , Adult , Female , HIV Infections/complications , Humans , Inpatients , Prevalence , Rwanda/epidemiology
17.
Neurosurgery ; 29(1): 83-8, 1991 Jul.
Article in English | MEDLINE | ID: mdl-1870692

ABSTRACT

Somatosensory evoked potentials (SEPs) were monitored during 53 procedures for aneurysms of the middle cerebral artery (MCA). "Significant" changes were reported to the surgeon, who took corrective action when possible. Changes in the SEPs were categorized as follows: Type I, no change; Type II, significant change with complete return to baseline; Type III, significant change with incomplete return to baseline; Type IV, complete loss with no return; and Type V, no response at baseline. Only 1 of 37 patients with a Type I SEP had a new neurological deficit, and this was a patient who could not be examined for several days after surgery because he was in a pentobarbital coma. All 4 patients with Type III and IV changes had new postoperative neurological deficits. Perhaps of greater importance, 4 of 5 patients with Type II changes had no new deficit. These patients all had changes in SEPs that were completely reversible by clip adjustment (2), prompt removal of temporary clips (1), and inducing hypertension after aneurysm trapping (1). These cases may, therefore, represent instances in which SEP monitoring allowed the clinicians to prevent a neurological deficit. The MCA supplies the area of the somatosensory cortex that controls the hand. Median nerve SEPs are, therefore, a theoretically ideal monitor during surgery for MCA aneurysms. This study suggests that the results of MCA aneurysm surgery may be accurately predicted and improved with SEP monitoring.


Subject(s)
Cerebral Arteries , Evoked Potentials, Somatosensory/physiology , Intracranial Aneurysm/physiopathology , Adolescent , Adult , Aged , Child , Female , Humans , Intracranial Aneurysm/surgery , Intraoperative Period , Male , Median Nerve/physiopathology , Middle Aged , Monitoring, Physiologic , Postoperative Complications , Retrospective Studies
18.
IEEE Trans Biomed Eng ; 38(3): 221-9, 1991 Mar.
Article in English | MEDLINE | ID: mdl-2066134

ABSTRACT

Motion sensors may be applied for the assessment of physical activity. This paper reviews the evolution of these instruments from the mechanical pedometer to the electronic accelerometer. We conclude that for accurate assessment of physical activity under free living conditions the recently introduced accelerometer looks most promising, although little information was available regarding the reliability of these instruments. Subsequently, reliability of an accelerometer with a three-directional sensor was examined. Intrainstrument variation in a bench test was less than 8% during four measurements over a week. Interinstrument variation during treadmill experiments while subjects wore two accelerometers at the same time was on average 22% and was not improved after adjustment for differences found in the bench test. Reproducibility in the treadmill experiment was approximately 76, 85, and 95% at 3, 5, and 7 km/h, respectively. Bench testing revealed that the sensitivity of a piezoelectric element is prone to shifts, probably due to mechanical, electromagnetic, and/or temperature shock, which may be encountered during outdoor application. However, the relevance of the bench test in this study may be questioned, as results did not correspond with the findings in subjects. This needs further investigation.


Subject(s)
Physical Exertion/physiology , Physiology/instrumentation , Adult , Calibration , Female , Humans , Male , Reproducibility of Results , Sensitivity and Specificity
19.
Article in English | MEDLINE | ID: mdl-2007389

ABSTRACT

The effect of a 5-month endurance training programme on physical activity and average daily metabolic rate (ADMR) was studied. Subjects were 16 males and 16 females preparing for a half marathon. Total physical activity, measured using an accelerometer, had increased by 62% and 63% after 20 weeks in males and females, respectively. Physical activity during the non-exercise part of the day did not change although in males it tended to increase (15%, NS). The ADMR had increased significantly in males after 8 and 20 weeks (+2.3 and +3.3 MJ.day-1, respectively, P less than 0.05) and exceeded the net energy expenditure for endurance-training three to four times. In females no significant increase in ADMR was found (+1.5 and +1.3 MJ.day-1, after 8 and 20 weeks, respectively). In females the change in ADMR could be largely attributed to the net cost of running itself and a small increase (10%) in resting metabolic rate during the time of day they were awake. In males a discrepancy was observed between the increase of ADMR and the expenditure due to exercise and non-exercise activities. We suggest exercise stimulates habitual physical activity and diet-induced thermogenesis in males but not in females.


Subject(s)
Energy Metabolism/physiology , Exercise/physiology , Physical Endurance/physiology , Sex Characteristics , Adult , Female , Humans , Male , Time Factors
20.
Acta Psychol (Amst) ; 48(1-3): 15-23, 1981 Aug.
Article in English | MEDLINE | ID: mdl-7304223

ABSTRACT

Velocity thresholds (VT's) of direction selective mechanism were measured with coarse low contrast gratings, visible only when moving. direction of movement was detected only in a movement perception domain (MPD), limited by upper and lower VT's and a minimum exposure time of movement. MPD expanded with increasing contrast or increasing stimulus area. MPD shifted towards higher velocities with lower spatial frequencies or with larger stimulus eccentricities. Form perception in MPD was best at optimal velocities; the spatial structure of the gratings was not evident at the VT level. These observations suggest a velocity tuned sensitivity of direction selective mechanisms and an association of movement and form perception with the activity of movement analysing neurons.


Subject(s)
Form Perception , Motion Perception , Pattern Recognition, Visual , Differential Threshold , Discrimination, Psychological , Humans , Space Perception
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