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1.
Sci Rep ; 8(1): 16800, 2018 Nov 14.
Artículo en Inglés | MEDLINE | ID: mdl-30429510

RESUMEN

The trace addition of rare earth (RE) elements in Mg alloys can modify the extrusion texture, leading to the formation of RE texture and thus improved formability. The interrupted extrusion experiment as well as electron back-scatter diffraction (EBSD) characterization was conducted in Mg-1.5Zn-0.5Gd (wt.%) alloy to unveil the dominant dynamic recrystallization (DRX) mechanism and its correlation with the formation of RE texture during extrusion. The results indicate that continuous DRX (CDRX) dominated the microstructural development. Fresh DRXed grains with 30° [0001] grain boundaries preferentially nucleated in unDRXed grains with [10[Formula: see text]0] basal fiber orientation via CDRX, showing preferred selection of [2[Formula: see text][Formula: see text]0] basal fiber orientation rather than RE texture orientation. Consequently, CDRX contributed to the weakening of [10[Formula: see text]0] basal fiber texture and had a more significant effect on the formation of [2[Formula: see text][Formula: see text]0] basal fiber component than that of RE texture component. Besides, the preferred growth of recrystallized grains with RE texture orientation was confirmed to occur during static annealing after extrusion, which is inferred as the key reason for the formation of RE texture in dilute Mg-RE alloys.

2.
Sci Rep ; 7(1): 16014, 2017 11 22.
Artículo en Inglés | MEDLINE | ID: mdl-29167520

RESUMEN

Combining with electrochemical corrosion measurements, immersion and hydrogen evolution testing performed in 0.9 wt.% NaCl solution at 37 °C, the corrosion resistance of an as-rolled Mg-3%Al-1%Zn alloy before and after a 3% compressive strain along the rolling direction was investigated. Results revealed that the corrosion behavior of differently oriented surfaces of the as-rolled samples with a strong basal texture was obviously different. Among them, the corrosion rate of sample surface with the orientation parallel to the normal direction (ND) of the plate was the fastest, the corrosion rate of sample surface with the orientation parallel to the rolling direction (RD) of the plate took the second place and the corrosion rate of sample surface with the orientation parallel to the transverse direction (TD) was the slowest. After being pre-strained, the activation of a high density of {10-12} twins could remarkably reduce the corrosion rate of surrounding α-Mg matrix and simultaneously weaken the corrosion anisotropy between differently oriented samples. The main reason was that similar to grain boundaries, twin boundaries acted as physical barriers to the corrosion attack. Moreover, the activated twins increased the protectiveness of surface films and then suppressed the micro corrosion couples occurred in twinned grains.

3.
Sci Rep ; 7: 40078, 2017 01 05.
Artículo en Inglés | MEDLINE | ID: mdl-28053318

RESUMEN

Natural ageing responses of duplex structured Mg-6%Li and Mg-6%Li-6%Zn-1.2%Y alloys have been investigated. Microstructural analyses revealed that the precipitation and coarsening process of α-Mg particles could occur in ß-Li phases of both two alloys during ageing process. Since a certain amount of Mg atoms in ß-Li phases were consumed for the precipitation of abundant tiny MgLiZn particles, the size of α-Mg precipitates in Mg-6%Li-6%Zn-1.2%Y alloy was relatively smaller than that in Mg-6%Li alloy. Micro hardness measurements demonstrated that with the ageing time increasing, the α-Mg phases in Mg-6%Li alloy could have a constant hardness value of 41 HV, but the contained ß-Li phases exhibited a slight age-softening response. Compared with the Mg-6%Li alloy, the age-softening response of ß-Li phases in Mg-6%Li-6%Zn-1.2%Y alloy was much more profound. Meanwhile, a normal age-hardening response of α-Mg phases was maintained. Tensile results indicated that obvious ageing-softening phenomenon in terms of macro tensile strength occurred in both two alloys. Failure analysis demonstrated that for the Mg-6%Li alloy, cracks were preferentially initiated at α-Mg/ß-Li interfaces. For the Mg-6%Li-6%Zn-1.2%Y alloy, cracks occurred at both α-Mg/ß-Li interfaces and slip bands in α-Mg and ß-Li phases.

4.
Sci Rep ; 6: 29471, 2016 07 08.
Artículo en Inglés | MEDLINE | ID: mdl-27387817

RESUMEN

Effect of solid solution treatment (T4) on stress corrosion cracking (SCC) behavior of an as-forged Mg-6.7%Zn-1.3%Y-0.6%Zr (in wt.%) alloy has been investigated using slow strain rate tensile (SSRT) testing in 3.5 wt.% NaCl solution. The results demonstrated that the SCC susceptibility index (ISCC) of as-forged samples was 0.95 and its elongation-to-failure (εf) was only 1.1%. After T4 treatment, the SCC resistance was remarkably improved. The ISCC and εf values of T4 samples were 0.86 and 3.4%, respectively. Fractography and surface observation indicated that the stress corrosion cracking mode for as-forged samples was dominated by transgranular and partially intergranular morphology, whereas the cracking mode for T4 samples was transgranular. In both cases, the main cracking mechanism was associated with hydrogen embrittlement (HE). Through alleviating the corrosion attack of Mg matrix, the influence of HE on the SCC resistance of T4 samples can be greatly suppressed.

5.
Sci Rep ; 6: 23955, 2016 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-27032532

RESUMEN

Through investigating and comparing the fatigue behavior of an as-forged Mg-6.7Zn-1.3Y-0.6Zr (wt.%) alloy before and after solid solution treatment (T4) in laboratory air, the effect of T4 treatment on fatigue crack initiation was disclosed. S-N curves illustrated that the fatigue strength of as-forged samples was 110 MPa, whereas the fatigue strength of T4 samples was only 80 MPa. Observations to fracture surfaces demonstrated that for as-forged samples, fatigue crack initiation sites were covered with a layer of oxide film. However, due to the coarse grain structure and the dissolution of MgZn2 precipitates, the activation and accumulation of {10-12} twins in T4 samples were much easier, resulting in the preferential fatigue crack initiation at cracked twin boundaries (TBs). Surface characterization demonstrated that TB cracking was mainly ascribed to the incompatible plastic deformation in the twinned area and nearby α-Mg matrix.

6.
Photomed Laser Surg ; 29(1): 19-25, 2011 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-20738168

RESUMEN

BACKGROUND AND OBJECTIVE: The addition of poly(lactic-co-glycolic) acid (PLGA) scaffolds to liquid solder-mediated laser-assisted vascular repair (sLAVR) has been shown to increase soldering strength significantly. Unfortunately, the fast degradation of PLGA is associated with adverse effects such as acidity of the degradation products. This study investigated the possibility of using electrospun poly(ɛ-caprolactone) (PCL) as reinforcement material in scaffold and solder-mediated LAVR (ssLAVR). MATERIALS AND METHODS: In vitro sLAVR of 10-mm arteriotomies (n = 62) was performed on 0.3- to 0.6-cm diameter porcine carotid arteries with a 670-nm diode laser. The solder contained 50% bovine serum albumin (BSA) and 0.1-0.7% methylene blue (MB) as a chromophore. The soldering strength was studied as a function of PCL-scaffold thickness, scaffold-fiber diameter, MB concentration, number of laser passes, and different sLAVR techniques. Leaking-point pressures (LPPs) were measured with a fluid-infusion technique. RESULTS: The highest mean ± SD LPP (749 ± 171 mm Hg) was produced by the ssLAVR modality that included the sheathing of the arteriotomy with 30 µL solder containing 50% BSA and 0.5% MB, followed by application of the PCL scaffold (mean ± SD thickness of 187 ± 9 µm and 14-µm fiber diameter) and irradiation with two consecutive continuous-wave laser passes. CONCLUSIONS: The study demonstrated the potential applicability of an electrospun PCL scaffold as reinforcement material in ssLAVR. Soldering strength was dependent on the scaffold physical properties, chromophore concentration, the number of laser passes, and the ssLAVR technique.


Asunto(s)
Caproatos , Ácido Láctico , Lactonas , Rayos Láser , Ácido Poliglicólico , Andamios del Tejido , Procedimientos Quirúrgicos Vasculares/métodos , Animales , Arterias Carótidas/cirugía , Técnicas In Vitro , Copolímero de Ácido Poliláctico-Ácido Poliglicólico , Porcinos
7.
Regul Toxicol Pharmacol ; 58(2): 275-84, 2010 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-20600456

RESUMEN

In evaluating toxicity, one of the most important factors is the administration method, because it can affect the exposure and absorbance level of the test article, and, consequently, influence the interpretation of toxicity test results. Continuous intravenous (IV) administration is a widely used administration method for anti-cancer drugs in clinical settings. Previous studies have reported the toxic effects of the test article following repeated IV dosing of CKD-602, a novel camptothecin-derivative anti-tumor agent that was developed by Chong Kun Dang Pharmaceutical Corporation in Seoul, Korea. However, CKD-602-related toxicities induced by IV infusion administration have not yet been evaluated, although the drug is more widely used in clinical settings. In the present study, CKD-602 was administered using a continuous IV infusion pump and using repeated IV administration at doses of 0, 0.003, or 0.01 mg/kg/day for 4 weeks to compare and evaluate the drug-induced toxicities using the two different administration methods. Higher mortality, more severe clinical symptoms, increased complete blood count, serum biochemistry, and histopathology were demonstrated when CKD-602 was administered using the 4-week continuous IV infusion pump method compared with the repeated IV administration method. Based on these results, we conclude that the administration of CKD-602 using the 4-week continuous IV infusion pump method can elicit more severe toxicity than that using 4-week repeated IV dosing method. Thus, more attention should be paid to the administration of CKD-602 using continuous IV infusion in the clinical setting.


Asunto(s)
Antineoplásicos Fitogénicos/toxicidad , Camptotecina/análogos & derivados , Animales , Antineoplásicos Fitogénicos/administración & dosificación , Camptotecina/administración & dosificación , Camptotecina/toxicidad , Perros , Relación Dosis-Respuesta a Droga , Infusiones Intravenosas , Inyecciones Intravenosas , Masculino , Índice de Severidad de la Enfermedad
8.
Macromol Rapid Commun ; 30(4-5): 362-76, 2009 Feb 18.
Artículo en Inglés | MEDLINE | ID: mdl-21706612

RESUMEN

Using the Mapping Method different designs of SMX motionless mixers are analyzed and optimized. The three design parameters that constitute a specific SMX design are: The number of cross-bars over the width of channel, N(x) , the number of parallel cross-bars per element, N(p) , and the angle between opposite cross-bars θ. Optimizing N(x) , somewhat surprisingly reveals that in the standard design with N(p) = 3, N(x) = 6 is the optimum using both energy efficiency as well as compactness as criteria. Increasing N(x) results in under-stretching and decreasing N(x) leads to over-stretching of the interface. Increasing N(p) makes interfacial stretching more effective by co-operating vortices. Comparing realized to optimal stretching, we find the optimum series for all possible SMX(n) designs to obey the universal design rule N(p) = (2/3) N(x) -1, for N(x) = 3, 6, 9, 12, ….

9.
Osteoarthritis Cartilage ; 16(1): 90-7, 2008 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-17596975

RESUMEN

OBJECTIVES: To determine (1) if interleukin-1 alpha (IL-1alpha), insulin like growth factor I (IGF-I), and transforming growth factor-beta 1 (TGF-beta1) regulate proteoglycan 4 (PRG4) metabolism in articular cartilage, in terms of chondrocytes expressing PRG4 and PRG4 bound at the articular surface, and (2) if these features of cartilage PRG4 metabolism correlate with its secretion. METHODS: Articular cartilage explants were harvested and cultured for 6 days with or without 10% fetal bovine serum (FBS), alone, or with the addition of 10ng/ml IL-1alpha, 300ng/ml IGF-I, or 10ng/ml TGF-beta1. PRG4 expression by chondrocytes in the cartilage disks was assessed by immunohistochemistry (IHC). PRG4 bound to the articular surface of disks was quantified by extraction and enzyme-linked immunosorbent assay (ELISA). PRG4 secreted into culture medium was quantified by ELISA and characterized by Western Blot. RESULTS: PRG4 expression by chondrocytes near the articular surface was markedly decreased by IL-1alpha, stimulated by TGF-beta1, and not affected by IGF-I. The level of PRG4 accumulation in the culture medium was correlated with the number of chondrocytes expressing PRG4. The amount of PRG4 bound at the articular surface was modulated by incubation in medium including FBS, but did not correlate with levels of PRG4 secretion. CONCLUSIONS: Cartilage secretion of PRG4 is highly regulated by certain cytokines and growth factors, in part through alteration of the number of PRG4-secreting chondrocytes near the articular surface. The biochemical milieu may regulate the PRG4 content of synovial fluid during cartilage injury or repair.


Asunto(s)
Cartílago Articular/metabolismo , Condrocitos/metabolismo , Factor I del Crecimiento Similar a la Insulina/farmacología , Interleucina-1alfa/farmacología , Proteoglicanos/metabolismo , Factor de Crecimiento Transformador beta1/farmacología , Animales , Cartílago , Cartílago Articular/efectos de los fármacos , Bovinos , Condrocitos/efectos de los fármacos , Ensayo de Inmunoadsorción Enzimática , Inmunohistoquímica
11.
Phys Rev E Stat Nonlin Soft Matter Phys ; 76(6 Pt 2): 066303, 2007 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-18233913

RESUMEN

Chaotic mixing, induced by breakup and reformation of a magnetic chain under the influence of a rotating magnetic field, is studied. A direct simulation method combining the Maxwell stress tensor and a fictitious domain method is employed to solve flows with suspended magnetic particles. The motion of the chain is significantly dependent on the Mason number (Ma), the ratio of viscous force to magnetic force. The degree of chaos is characterized by the maximum Lyapunov exponents. We also track the interface of two fluids in time and calculate the rate of stretching as it is affected by the Mason number. The progress of mixing is visualized via a tracer particle-tracking method and is characterized by the discrete intensity of segregation. Within a limited range of Mason number, a magnetic chain rotates and breaks into smaller chains, and the detached chains connect again to form a single chain. The repeating topological changes of the chain lead to the most efficient way of chaotic mixing by stretching at chain breakup and folding due to rotational flows.

12.
J Colloid Interface Sci ; 298(1): 369-94, 2006 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-16412455

RESUMEN

The effect of insoluble surfactants on drop deformation and breakup in simple shear flow is studied using a combination of a three-dimensional boundary-integral method and a finite-volume method to solve the coupled fluid dynamics and surfactant transport problem over the evolving interface. The interfacial tension depends nonlinearly on the surfactant concentration, and is described by the equation of state for the Langmuir isotherm. Results are presented over the entire range of the viscosity's ratio lambda and the surface coverage x, as well as the capillary number Ca that spans from that for small deformation to values that are beyond the critical one Ca(cr). The values of the elasticity number E, which reflects the sensitivity of the interfacial tension to the maximum surfactant concentration, are chosen in the interval 0.1 < or = E < or = 0.4 and a convection dominated regime of surfactant transport, where the influence of the surfactant on drop deformation is the most significant, is considered. For a better understanding of the processes involved, the effect of surfactants on the drop dynamics is decoupled into three surfactant related mechanisms (dilution, Marangoni stress and stretching) and their influence is separately investigated. The dependence of the critical capillary number Ca(cr)(lambda) on the surface coverage is obtained and the boundaries between different modes of breakup (tip-streaming and drop fragmentation) in the (lambda; x) plane are searched for. The numerical results indicate that at low capillary number, even with a trace amount of surfactant, the interface is immobilized, which has also been observed by previous studies. In addition, it is shown that for large Péclet numbers the use of the small deformation theory to measure the interfacial tension in the case where surfactants are present can introduce a significant error.

13.
J Chem Phys ; 122(10): 104901, 2005 Mar 08.
Artículo en Inglés | MEDLINE | ID: mdl-15836352

RESUMEN

We demonstrate the influence of molecular weight and molecular weight asymmetry across an interface on the transient behavior of the interfacial tension. The interfacial tension was measured as a function of time for a range of polymer combinations with a broad range of interfacial properties using a pendant/sessile drop apparatus. The results show that neglecting mutual solubility, assumed to be a reasonable approximation in many cases, very often does not sustain. Instead, a diffuse interface layer develops in time with a corresponding transient interfacial tension. Depending on the specific combination of polymers, the transient interfacial tension is found to increase or decrease with time. The results are interpreted in terms of a recently proposed model [Shi et al., Macromolecules 37, 1591 (2004)], giving relative characteristic diffusion time scales in terms of molecular weight, molecular weight distribution, and viscosities. However, the time scales obtained from this theoretical approach do not give a conclusive trend. Using oscillatory dilatational interfacial experiments the viscoelastic behavior of these diffusive interfaces is demonstrated. The time evolution of the interfacial tension and the dilatational elasticity show the same trend as predicted by the theory of diffuse interfaces, supporting the idea that the polymer combinations under consideration indeed form diffuse interfaces. The dilatational elasticity and the dilatational viscosity show a frequency dependency that is described qualitatively by a simple Fickian diffusion model and quantitatively by a Maxwell model. The characteristic diffusion times provided by the latter show that the systems with thick interfaces (tens of microseconds and more) can be considered as slower diffusive systems compared to the systems with thinner interfaces (a few micrometers in thickness and less) can be considered as fast diffusive systems.

14.
Peptides ; 22(9): 1421-6, 2001 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-11514023

RESUMEN

Dendroaspis natriuretic peptide (DNP), recently isolated from the venom of the green Mamba snake Dendroaspis angusticeps, is a 38 amino acid peptide containing a 17 amino acid disulfide ring structure similar to that of the natriuretic peptide family. The natriuretic peptide family is known to induce histamine release from human and rat mast cells, but there are no published data concerning the effects of DNP on histamine release from mast cells. The purpose of this study is to investigate whether DNP induces the histamine release from rat peritoneal mast cells (RMPCs) and to determine the mechanism of DNP-induced histamine release from RPMCs. After treatment of RPMC with DNP, mast cell degranulation was observed, and calcium uptake and histamine release were measured. DNP released the histamine, induced the mast cell degranulation, and increased the calcium uptake of RPMCs, in a dose-dependent manner. The results indicate that DNP can increase Ca-uptake and induce histamine release.


Asunto(s)
Calcio/farmacocinética , Gránulos Citoplasmáticos/efectos de los fármacos , Venenos Elapídicos/farmacología , Liberación de Histamina/efectos de los fármacos , Mastocitos/efectos de los fármacos , Péptidos/farmacología , Animales , Factor Natriurético Atrial/farmacología , Relación Dosis-Respuesta a Droga , Técnicas In Vitro , Péptidos y Proteínas de Señalización Intercelular , Masculino , Mastocitos/patología , Cavidad Peritoneal/citología , Ratas , Ratas Sprague-Dawley , Relación Estructura-Actividad , Factores de Tiempo
15.
J Cell Biochem ; 77(2): 169-78, 2000 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-10723084

RESUMEN

Melorheostosis is a rare bone disease characterized by linear hyperostosis and associated soft tissue abnormalities. The skin overlying the involved bone lesion is often tense, shiny, erythematous, and scleodermatous. In order to look for genes differentially expressed between the normal and involved skin, we cultured skin fibroblasts from the skin lesions of several afflicted patients, and identified differentially expressed genes by reverse dot-blot hybridization. We found that the genes human TGF-beta-induced gene product (betaig-h3), osteoblast-specific factor 2, osteonectin, fibronectin, and type I collagen were all downregulated in the affected skin fibroblasts, with betaig-h3 the most significantly affected. The expression of betaig-h3 was induced by TGF-beta in both affected and normal fibroblasts. In an effort to determine the mechanism of bone and skin abnormalities in melorheostosis, we made recombinant betaig-h3. Both immobilized and soluble recombinant betaig-h3 proteins with or without an RGD motif inhibited bone nodule formation of osteoblasts in vitro. Taken together, our results suggest that altered expression of several adhesion proteins may contribute to the development of hyperostosis and concomitant soft tissue abnormalities of melorheostosis, with betaig-h3 in particular playing an important role in osteogenesis.


Asunto(s)
Moléculas de Adhesión Celular/biosíntesis , Moléculas de Adhesión Celular/genética , Proteínas de la Matriz Extracelular , Melorreostosis/genética , Proteínas de Neoplasias/biosíntesis , Proteínas de Neoplasias/genética , Osteogénesis/genética , Osteogénesis/fisiología , Factor de Crecimiento Transformador beta/farmacología , Animales , Moléculas de Adhesión Celular/farmacología , Diferenciación Celular/efectos de los fármacos , Línea Celular , Células Cultivadas , Regulación hacia Abajo , Fibroblastos/efectos de los fármacos , Fibroblastos/metabolismo , Humanos , Melorreostosis/metabolismo , Melorreostosis/patología , Ratones , Proteínas de Neoplasias/farmacología , Osteoblastos/citología , Osteoblastos/efectos de los fármacos , Osteogénesis/efectos de los fármacos , ARN Mensajero/genética , ARN Mensajero/metabolismo , Proteínas Recombinantes/farmacología , Piel/efectos de los fármacos , Piel/metabolismo
16.
Exp Mol Med ; 32(4): 179-86, 2000 Dec 31.
Artículo en Inglés | MEDLINE | ID: mdl-11190267

RESUMEN

Atrial natriuretic peptide (ANP), a 28 amino acid basic polypeptide, is known to induce histamine release from human and rat mast cells in vitro and cause a wheel formation in rat skin. However, cellular events associated with histamine release are not clearly understood. In this study, we have examined the calcium flux and cGMP formation associated with histamine release in the ANP-treated mast cells. ANP, in vitro, induced mast cell degranulation and histamine release in a dose-dependent manner. ANP also induced an enhanced calcium uptake into cells and increased the cellular level of cGMP in mast cells. A high level of calcium in the media caused an inhibition of ANP-dependent histamine release but enhanced the level of intracellular cGMP of mast cells. ANP inducing a dose-dependent increase in vascular permeability of rat skin was confirmed by the extravasation of the circulating Evans blue. The results indicate ANP induced the histamine release and an increase in vascular permeability through mast cell degranulation in cGMP-independent and calcium uptake-dependent manner.


Asunto(s)
Factor Natriurético Atrial/farmacología , Calcio/metabolismo , GMP Cíclico/metabolismo , Liberación de Histamina , Mastocitos/efectos de los fármacos , Animales , Transporte Biológico , Permeabilidad Capilar , Degranulación de la Célula , Relación Dosis-Respuesta a Droga , Cavidad Peritoneal/citología , Ratas
17.
J Exp Med ; 188(9): 1587-92, 1998 Nov 02.
Artículo en Inglés | MEDLINE | ID: mdl-9802970

RESUMEN

Mast cells have long been believed to be the central effector cells in the development of immunoglobulin (Ig)E-dependent anaphylaxis. In this study, we investigated the role of mast cells in IgE-dependent hapten-induced active fatal anaphylaxis using mast cell-deficient WBB6F1- W/Wv (W/Wv) and congenic normal (+/+) mice. Although a 5-min delay in shock signs and death were observed in W/Wv mice, 100% fatal reactions to penicillin V (Pen V) occurred in both +/+ and W/Wv mice. Administration of monoclonal anti-IL-4 antibody completely prevented the fatal reactions, and the effect of anti-IL-4 was associated with its suppressive activity on Pen V-specific serum levels of IgE, but not IgG. The platelet-activating factor (PAF) antagonist, BN 50739, completely prevented the fatal reactions in both strains of mice. Our kinetic study revealed, in contrast to no elevation of plasma histamine level in W/Wv mice, high levels of PAF in the circulation after challenge in both +/+ and W/Wv mice, albeit to a lesser degree in the latter case. These data indicate that cells other than mast cells are sufficient to induce an IgE-dependent active fatal anaphylaxis by elaborating PAF, which is the critical mediator for fatal murine anaphylaxis.


Asunto(s)
Anafilaxia/etiología , Anafilaxia/inmunología , Inmunoglobulina E/metabolismo , Mastocitos/inmunología , Anafilaxia/prevención & control , Animales , Anticuerpos Monoclonales/farmacología , Azepinas/farmacología , Femenino , Haptenos , Histamina/sangre , Interleucina-4/antagonistas & inhibidores , Ratones , Ratones Mutantes , Penicilina V/inmunología , Penicilina V/toxicidad , Factor de Activación Plaquetaria/antagonistas & inhibidores , Factor de Activación Plaquetaria/inmunología , Triazoles/farmacología
18.
Clin Cardiol ; 11(5): 307-10, 1988 May.
Artículo en Inglés | MEDLINE | ID: mdl-3289808

RESUMEN

The sensitivity and specificity of two programmed atrial stimulation protocols were studied in 92 consecutive patients undergoing electrophysiologic studies both with (35 patients) and without (57 patients) clinical supraventricular arrhythmias. Protocol I (P I) consisted of incremental atrial pacing to 2:1 atrioventricular (AV) block and a single atrial extrastimulus scanned by 10 ms decrements through diastole to the atrial effective refractory period at a single drive-cycle length. Protocol II (P II) included a second atrial extrastimulus scanned by 10 ms decrements through diastole at a single drive-cycle length with the first extrastimulus set 20 ms from the atrial effective refractory period. Rapid atrial pacing at cycle lengths of 350, 300, and 250 ms was then performed with P II. P I was employed in all patients while P II was studied in the final 48 patients only. Of the 35 patients with clinical atrial arrhythmias, 26 (74%) of their arrhythmias were induced with either P I (18/35; sensitivity = 51%) and/or P II (12/17; sensitivity = 71%). Of the 57 patients without clinical atrial arrhythmias (control group), atrial arrhythmias were induced in 11 (19%), 3 with P I (specificity 95%, 54/57) and 8 with P II (specificity 74%, 23/31). The sensitivity of P II was higher (71%), but its specificity was lower (74%) than P I (51% and 95%, respectively; p less than 0.05). The positive predictive value of P II was lower (60%) than that of P I (86%) (p less than 0.05), but the negative predictive value (82%) and predictive accuracy (73%) were comparable to those of P I (76% and 78%, respectively).(ABSTRACT TRUNCATED AT 250 WORDS)


Asunto(s)
Estimulación Cardíaca Artificial/métodos , Atrios Cardíacos/fisiopatología , Taquicardia Supraventricular/fisiopatología , Adolescente , Adulto , Anciano , Arritmias Cardíacas/diagnóstico , Niño , Preescolar , Femenino , Humanos , Masculino , Persona de Mediana Edad , Sensibilidad y Especificidad , Taquicardia Supraventricular/etiología
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