Thermoregulatory and metabolic responses following cardiac surgery

The thermoregulatory responses in 13 haemodynamically stable patients were evaluated over a 7-h period following coronary artery bypass graft surgery. Cutaneous vasoconstriction was defined by a forearm-to-fingertip skin temperature gradient (delta Tskin) > or = 4 degrees C and muscular hyperactivity was assessed by integrating the electromyographic signals (iEMG). Blood gases and lactate were measured in arterial, mixed venous and femoral venous blood. After arrival in ICU, we observed: (1) mild central hypothermia (Tc = 34.8 +/- 0.6 degrees C) and elevated peripheral vascular resistance in all the patients; (2) delta Tskin > or = 4 degrees C in 11 of 13 patients that persisted until a median Tc of 37.1 degrees C was achieved; (3) a transient increase in iEMG (+ 18%) was accompanied by an increase in total body O2 uptake (+ 28%); (4) elevated muscle O2 extraction rate (56 +/- 18% after 3 h) and lactate release. These data suggest that residual hypothermia in sedated patients after cardiac surgery elicits appropriate thermoregulatory responses that are associated with transient O2 supply/uptake mismatch within skeletal muscles.     

Thermoregulatory responses of mesic and xeric rodent species to photoperiod manipulations

PURPOSE: To evaluate hypertrophied bronchial arteries on thin-section computed tomographic (CT) scans in patients with bronchiectasis by using CT angiographic correlation. MATERIALS AND METHODS: Spiral CT angiography was performed prospectively in 14 patients (eight men, six women; age range, 34-71 years) with bronchiectasis who were suspected of having bronchial arterial hypertrophy at thin-section CT (performed without contrast medium). The inclusion criteria were tubular (in six patients) or nodular (in 14 patients) areas of soft-tissue attenuation that had an appearance unlike that of lymph nodes at thin-section CT and that were within the mediastinum and around the central airway. These findings were subsequently correlated with the spiral CT angiographic findings. RESULTS: At comparative analysis of thin-section CT scans and CT angiograms, seven of the eight (88%) tubular lesions and 19 of the 36 (53%) nodular lesions in the mediastinal soft tissue were proved to be hypertrophied bronchial arteries. All of the six (100%) tubular and 19 of the 21 (90%) nodular lesions around the walls of the main (primary) and lobar bronchi were hypertrophied bronchial arteries. In eight (57%) patients, CT angiograms showed 11 intraluminal protrusions caused by hypertrophied bronchial arteries in the main bronchi, lobar bronchi, or both. CONCLUSION: Nodular and tubular structures in the mediastinum and around the central airway on thin-section CT scans in the patients with bronchiectasis are suggestive of hypertrophied bronchial arteries. Recognition of the hypertrophied bronchial artery can be critical for the bronchoscopist.     

Thermoregulatory responses of the newborn pig during experimentally induced hypothermia and rewarming

Eph family receptor tyrosine kinases (including EphA3, EphB4) direct pathfinding of neurons within migratory fields of cells expressing gradients of their membrane-bound ligands. Others (EphB1 and EphA2) direct vascular network assembly, affecting endothelial migration, capillary morphogenesis, and angiogenesis. To explore how ephrins could provide positional labels for cell targeting, we tested whether endogenous endothelial and P19 cell EphB1 (ELK) and EphB2 (Nuk) receptors discriminate between different oligomeric forms of an ephrin-B1/Fc fusion ligand. Receptor tyrosine phosphorylation was stimulated by both dimeric and clustered multimeric ephrin-B1, yet only ephrin-B1 multimers (tetramers) promoted endothelial capillary-like assembly, cell attachment, and the recruitment of low-molecular-weight phosphotyrosine phosphatase (LMW-PTP) to receptor complexes. Cell-cell contact among cells expressing both EphB1 and ephrin-B1 was required for EphB1 activation and recruitment of LMW-PTP to EphB1 complexes. The EphB1-binding site for LMW-PTP was mapped and shown to be required for tetrameric ephrin-B1 to recruit LMW-PTP and to promote attachment. Thus, distinct EphB1-signaling complexes are assembled and different cellular attachment responses are determined by a receptor switch mechanism responsive to distinct ephrin-B1 oligomers.     

Thermoregulatory responses to cold transients: effects of menstrual cycle in resting women

Effects of the menstrual cycle on heat loss and heat production (M) and core and skin temperature responses to cold were studied in six unacclimatized female nonsmokers (18-29 yr of age). Each woman, resting supine, was exposed to a cold transient (ambient temperature = mean radiant temperature = 20 to -5 degrees C at -0.32 degrees C/min, relative humidity = 50 +/- 2%, wind speed = 1 m/s) in the follicular (F) phase (days 2-6) and midluteal (L) phase (days 19-23) of her menstrual cycle. Clothed in each of two ensembles with different thermal resistances, women performed multiple experiments in the F and L phases. Thermal resistance was 0.2 and 0.4 m2 . K . W-1 for ensembles A and B, respectively. Esophageal temperature (Tes), mean weighted skin temperature (Tsk), finger temperature (Tfing), and area-weighted heat flux were recorded continuously. Rate of heat debt (-S) and integrated mean body temperature (Tb,i) were calculated by partitional calorimetry throughout the cold ramp. Extensive peripheral vasoconstriction in the F phase during early periods of the ramp elevated Tes above thermoneutral levels. Shivering thermogenesis (DeltaM = M - Mbasal, W /m2) was highly correlated with declines in Tsk and Tfing (P <0.0001). There was a reduced slope in M as a function of Tb,i in the L phase with ensembles A (P < 0.02) and B (P < 0.01). Heat flux was higher and -S was less in the L phases with ensemble A (P < 0.05). An analytic model revealed that Tsk and Tes contribute as additive inputs and Tfing has a multiplicative effect on the total control of DeltaM during cold transients (R2 = 0.9). Endogenous hormonal levels at each menstrual cycle phase, core temperature and Tsk inputs, vascular responses, and variations in body heat balance must be considered in quantifying thermoregulatory responses in women during cold stress.     

Thermoregulatory behaviors of laboratory rodents.

Compared responses to environmental heating of the following male rodents: 34 Long-Evans rats, 8 mice (4 albino Swiss-Webster and 4 of the crossbreed C57/6J and DBA/2J), 8 golden hamsters, 8 Mongolian gerbils, and 8 pigmented guinea pigs. Body extension and relaxation were evidenced by all species, increased locomotion by all but mice, and increased grooming by rats, gerbils, and guinea pigs. Grooming of mice and hamsters declined more than 50%, although evaporative water loss increased, probably due to increased salivation and/or respiratory changes. Rats' grooming and locomotion developed considerably earlier than extension, suggesting that grooming and locomotion are initially activated by superficial receptors, while extension is dependent on deep receptors. None of the measures correlated with phylogenetic relationships. It is concluded that interspecies differences are too great for any single species to represent rodents adequately, but that the rat is a useful 1st choice among laboratory rodents. (20 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Thermoregulatory vasoconstriction impairs active core cooling

BACKGROUND: Many clinicians now consider hypothermia indicated during neurosurgery. Active cooling often will be required to reach target temperatures < 34 degrees C sufficiently rapidly and nearly always will be required if the target temperature is 32 degrees C. However, the efficacy even of active cooling might be impaired by thermoregulatory vasoconstriction, which reduces cutaneous heat loss and constrains metabolic heat to the core thermal compartment. The authors therefore tested the hypothesis that the efficacy of active cooling is reduced by thermoregulatory vasoconstriction. METHODS: Patients undergoing neurosurgical procedures with hypothermia were anesthetized with either isoflurane/nitrous oxide (n = 13) or propofol/fentanyl (n = 13) anesthesia. All were cooled using a prototype forced-air cooling device until core temperature reached 32 degrees C. Core temperature was measured in the distal esophagus. Vasoconstriction was evaluated using forearm minus fingertip skin-temperature gradients. The core temperature triggering a gradient of 0 degree C identified the vasoconstriction threshold. RESULTS: In 6 of the 13 patients given isoflurane, vasoconstriction (skin-temperature gradient = 0 degrees C) occurred at a core temperature of 34.4 +/- 0.9 degree C, 1.7 +/- 0.58 h after induction of anesthesia. Similarly, in 7 of the 13 patients given propofol, vasoconstriction occurred at a core temperature of 34.5 +/- 0.9 degree C, 1.6 +/- 0.6 h after induction of anesthesia. In the remaining patients, vasodilation continued even at core temperatures of 32 degrees C. Core cooling rates were comparable in each anesthetic group. However, patients in whom vasodilation was maintained cooled fastest. Patients in whom vasoconstriction occurred required nearly an hour longer to reach core temperatures of 33 degrees C and 32 degrees C than did those in whom vasodilation was maintained (P < 0.01). CONCLUSIONS: Vasoconstriction did not produce a full core temperature "plateau," because of the extreme microenvironment provided by forced-air cooling. However, it markedly decreased the rate at which hypothermia developed. The approximately 1-h delay in reaching core temperatures of 33 degrees C and 32 degrees C could be clinically important, depending on the target temperature and the time required to reach critical portions of the operation.     

Thermoregulatory effects of electrical brain stimulation.

Electrical stimulation of various loci in the hypothalamus, septum, or rostral forebrain of 23 female Sprague-Dawley rats frequently produced an increase, and occasionally a decrease, in body temperature. Stimulation while the Ss were working for radiant heat reinforcement in a cold environment rarely affected the rate of response or reinforcement. There was no consistent relation between the magnitude of the temperature change induced by electrical stimulation and other behaviors such as grooming, huddling, and self-stimulation. Thus, electrical stimulation effected changes in body temperature but did not affect motivational components of temperature regulation. (25 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Thermoregulatory effects of caffeine ingestion during submaximal exercise in men

BACKGROUND: The exclusive effect of caffeine ingestion on exercise thermoregulation is unclear; data indicate that caffeine may have a positive effect, a negative effect, or no effect. METHODS: Rectal (TRE) and mean skin (TSK) temperatures, skin heat conductance (HSK), and sweat rate (MSW) were measured during 30 min of rest and subsequent 70 min of submaximal cycle-ergometer exercise (67% VO2PEAK) in 11 aerobically conditioned men (mean +/- SD 29 +/- 6 yr, 49 +/- 6 mL x min(-1) x kg(-1) VO2PEAK) under two conditions: a caffeine (10 mg x kg(-1) ingestion (CI) session and a noncaffeine ingestion (NCI) control session. RESULTS: There were no significant differences in physiological or thermoregulatory parameters during exercise: X (+/-SE) end exercise levels for the NCI and CI sessions, respectively, were VO2 = 2.50 +/- 0.09 vs. 2.55 +/- 0.09 L x min(-1); heart rate = 145 +/- 7 vs. 145 +/- 5 bpm; HSK = 30 +/- 3 vs. 28 +/- 3 kcal x m(-2) x h(-1) x degrees C(-1); MSW = 393 +/- 35 vs. 378 +/- 36 g x m(-2) x h(-1); and TRE = 38.3 +/- 0.2 vs. 38.4 +/- 0.1 degrees C. Control TSK was lower than that for CI by 0.4 to 0.5 degrees C at rest and during exercise. CONCLUSION: Ingestion of a high level (10 mg x kg(-1) of caffeine has no effect on skin heat conductance, sweating, or the rate of increase and final level of rectal temperature during moderate, submaximal leg exercise.     

Thermoregulatory effects of monoamine potentiators and inhibitors in the rat

Exogenously administered monoamines may elicit variable thermoregulatory responses dependent on dosage, species, site of administration, ambient temperature, etc. In an attempt to reconcile several inconsistencies, we have undertaken a series of studies related to monoaminergic control of temperature regulation. Thus, intraventricular administration of serotonin (2.64-26.4 mug) and norepinephrine (3.3-32.8 mug) in rats evoked acute (15-60 min) dose-dependent hypothermic responses (delta Tre = 2 degrees C) that were gradually superseded by significant, more persistent hyperthermia (delta Tre = 1 degreee C). Administration of chlorimipramine or imipramine (total dose 40 mug), even in monoamine-depleted animals, caused long-lasting hyperthermic responses, presumably by the prevention of reuptake of serotonin and norepinephrine at nerve terminals involved in thermoregulation. Pretreatment with the serotonin inhibitor cyproheptadine (4o mug) attenuated the hyperthermia achieved by central administration of chlorimipramine alone. We conclude that both monoamines can act as thermogenic agents under the conditions of these experiments.     

Negativism in verbal and nonverbal responses of autistic children.

Studied negativism in 9 autistic, 9 behavior-disturbed, and 9 normal 5-12 yr olds in 3 different stimulus conditions (verbal requests for verbal responses, verbal requests for nonverbal responses, and nonverbal requests for nonverbal responses). Each condition included 2 tasks, which were requested 15 consecutive times. Ss demonstrated that they could perform the tasks before testing, and their responses were scored according to the similarity between the response and the request. Results demonstrate that the autistic and behavior-disturbed Ss responded similarly, except when requests required verbal responses, in which case the autistic Ss were much more negative. Results suggest applications to diagnostic and therapeutic interventions. (17 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Terrorism and cardiovascular responses to acute stress in children.

A number of studies have considered whether background stress affects cardiovascular responses to acute stress tasks. The present study considers the effect of a potent background stressor with a clear onset, namely the terrorist attacks on September 11, 2001. Specifically, the authors investigated differences among 9.5-year-old children tested before (N = 30) and then following (N = 20) the 9/11 attacks. In addition, a majority of these children (N = 37) were retested approximately 1 year later (i.e., before and after 9/11/2002). Children tested directly following 9/11/2001 exhibited significantly greater stroke volume and cardiac output responses to acute stress tasks compared with their responses 1 year later, and this change in reactivity differed significantly from the change in reactivity exhibited by children tested before 9/11/2001 and again 1 year later. These results suggest that a potent background stressor can temporarily heighten some children's cardiovascular responses to subsequent acute stressors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Pain responses of hospitalized infants and children to venipuncture and intravenous cannulation

The purpose of this study was to describe the experience of pain in infants and children in response to venipuncture and intravenous cannulation. Data on physiological, behavioral, and subjective responses were collected from 90 infants and children, in subgroups of 1 to 12 months, 1 to 3 years, 4 to 6 years, and 7 to 12 years. Changes in behavior were significant in all four groups, although the toddler group was the only group that showed a significant physiological change. The subjective measures showed that the children were able to identify their pain sites and intensity.     

Analysis of responses to color stimulation in children with intracranial birth injury

Premature (28) and mature (4) children who had undergone an intracranial labour trauma revealed major disturbances in the development of integrated reactions to colour stimuli and in the effect of atropine and prozerin on the pulse rate and the vegetative and EEG-components of the reactions. The extent of the disturbance and normalization of reactions, and the effect of the indicated neurotropic drugs depend on the gravity of the trauma. Maximum disturbances of the action of the drugs correspond to the period of the largest deviations from the normal in the development of integrated reactions (seven to thirteen weeks of life). The data obtained attest that the change in the development of reactions to colour stimuli in traumatized children is linked with disturbances of acetylcholin metabolism or of the cholinergic mechanisms involved in their achievement.     

The effects of examiner race on the articulation responses of black school-aged children

A program for the integration of chronic psychiatric patients into independent living in the community is described and data indicating its success are presented. The program is based on an educational, behavioral, social systems model, where "educational" refers directly to teaching skills which a person lacks, "behavioral" deals with providing the motivation to perform these skills and to precisely operationalize and measure the effectiveness of the steps in learning them, and "social systems" describes influencing clients' social environments in their interests. The model has wider implications for reintegrating a variety of socially marginal individuals into the mainstream of society.     

Neuromuscular responses to disturbance of balance in children with prenatal exposure to alcohol

Alcohol-exposed children display delayed motor development and impaired fine- and gross-motor skills, including deficits in the maintenance of balance. In a recent study, we assessed the contribution of visual, somatosensory, and vestibular information to the ability to maintain balance. Our findings suggested that alcohol-exposed children were overly reliant on somatosensory information and were unable to compensate by using the visual and/or vestibular systems. To understand the nature of these observed balance deficits, corrective postural reactions were examined by exposing standing subjects to rapid toe-up movements of the support surface. Subjects for this study were alcohol-exposed (ALC) and normal control (NC) children matched for age and sex. Postural reactions were quantified by measuring electromyographic activity of the triceps surae and anterior tibialis muscles. Analyses revealed no differences between the ALC and NC groups on short- and medium-latency electromyographic responses, which are thought to be involuntary mono- and polysynaptic spinal reflexes, respectively. However, when compared with the NC group, the ALC group displayed increased long-latency responses, which are thought to involve a transcortical pathway. Although we are not able to rule out the possibility of additional peripheral (e.g., vestibular) disturbance as a contributing factor to postural instability, our findings suggest that the balance deficits seen in alcohol-exposed children are, at least in part, central in nature.     

Cardiovascular responses to treadmill and cycle ergometer exercise in children and adults

This study was conducted to determine whether submaximal cardiovascular responses at a given rate of work are different in children and adults, and, if different, what mechanisms are involved and whether the differences are exercise-modality dependent. A total of 24 children, 7 to 9 yr old, and 24 adults, 18 to 26 yr old (12 males and 12 females in each group), participated in both submaximal and maximal exercise tests on both the treadmill and cycle ergometer. With the use of regression analysis, it was determined that cardiac output (Q) was significantly lower (P 相似文献   

The effect of misleading questions in promoting nonconservation responses in children and adults.

In three studies we demonstrated that adults as well as children provide nonconservation-of-weight responses to misdirecting questions. The effect was constant over the types of problems studied, did not vary over the grade range tested (third graders through college students), and was resistant to a condition that had earlier proved successful in breaking a set to respond to misleading implications of questions. The results underscore the importance of linguistic pragmatics, conflicts with recent claims that among adults there is a certainty about and a belief in the necessity of certain types of Piagetian logic, and support earlier findings suggesting that contextual cues can alter responses to conservation questions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cardiac and respiratory responses during visual search in nonretarded children and retarded adolescents

The relationship between physiological response patterns and mental competence was investigated by evaluating heart rate and respiratory responses during a sustained visual-search task in nonretarded grade school children and retarded adolescents. The findings support the contention that, during tasks demanding sustained attention, retarded relative to nonretarded individuals exhibit physiological responses that parallel their poor performance. Consistent with previous research with nonretarded adults, the nonretarded grade school children exhibited a suppression of respiratory and heart-rate variability during attention-demanding tasks. In contrast, the retarded adolescents exhibited increases in respiratory and heart-rate variability. These qualitative differences in physiological and behavioral responses, observed during sustained attention, may be viewed as a manifestation of retarded adolescents' defective nervous system.