Relationship between mixed venous saturation and cardiac index, hemoglobin and oxygen consumption in aortic surgery]

Recent evidence from studies of receptor occupancy and regulation in post-mortem brains of patients with neuropsychiatric disorders and in non-human primates is providing new leads in the ongoing quest to understand the pathophysiology and causes of schizophrenia and to develop more effective methods of treatment. These studies suggest that the cerebral cortex may harbour the elusive common sites of action of antipsychotic medications and indicate that chronic treatment with these drugs differentially regulates both families of dopamine receptors in this structure. Upregulation of the cortical dopamine D2 receptors is accompanied by a downregulation of the D1 sites. Balancing the opposing actions of dopamine D1 and D2 receptor regulation may hold the key to optimal drug therapy and to understanding the pathophysiology of schizophrenia. In this article, Michael Lidow, Graham Williams and Patricia Goldman-Rakic review the evidence supporting the cerebral cortex as a pivotal site for these mechanisms underlying the action of antipsychotics.     

A system for real-time measurement of the brachial artery diameter in B-mode ultrasound images.

The measurement of the brachial artery diameter is frequently used in clinical studies for evaluating the flow-mediated dilation and, in conjunction with the blood pressure value, for assessing arterial stiffness. This paper presents a system for computing the brachial artery diameter in real-time by analyzing B-mode ultrasound images. The method is based on a robust edge detection algorithm which is used to automatically locate the two walls of the vessel. The measure of the diameter is obtained with subpixel precision and with a temporal resolution of 25 samples/s, so that the small dilations induced by the cardiac cycle can also be retrieved. The algorithm is implemented on a standalone video processing board which acquires the analog video signal from the ultrasound equipment. Results are shown in real-time on a graphical user interface. The system was tested both on synthetic ultrasound images and in clinical studies of flow-mediated dilation. Accuracy, robustness, and intra/inter observer variability of the method were evaluated.     

Design criteria for multistage microwave amplifier with matchrequirements at input and output

An approach to the design of multistage microwave amplifiers in a prescribed frequency band with requirements about the transducer gain flatness and the maximum magnitude of the reflection coefficient at input and output is presented. The interstage equalizers are designed by imposing a suitable constraint on the maximum transducer gain, obtainable directly from the specifications; the input and output equalizer are obtained by imposing only the matching requirement. The method proposed allows a separate design of each network, which can be performed either through direct optimization or by means of a numerical synthesis     

Elastic microcracked bodies with random properties

The stochastic properties of a ‘dense’ distribution of microcracks in an elastic body are analyzed by using a multifield continuum model describing the influence of the microcracks on the gross mechanical behavior of the body. Numerical examples are presented: the strain localization phenomena that have been already found in deterministic bodies are confirmed, and similar patterns are shown to exist also for the stochastic moments of the displacements. In particular, the patterns in the portraits of skewness and kurtosis become stronger when the correlation of the distance between neighboring microcracks increases. Such a distance is considered as a uni-variate non-Gaussian random field. Strain localization is an indicator toward the irreversible growth and coalescence of microcracks.     

Plasma endothelin-1 levels during transient acute myocardial ischaemia in men: effects of coronary revascularization

The endothelium-derived peptide endothelin-1 (ET-1) was evaluated in 14 male patients [mean age 52.74 years (SEM 1.10)] affected by coronary artery disease during a bicycle electrocardiographic stress test and dipyridamole echocardiogram. Both tests were performed before and after coronary revascularization. Fourteen healthy male subjects served as controls [mean age 53.21 years (SEM 1.63)]. Baseline plasma endothelin-1 levels were higher (P < 0.0001) in ischaemic patients [1.81 pg mL-1 (0.15, n = 14)] than in control subjects [0.61 pg mL-1 (0.03, n = 14)], but did not increase with exercise in both groups. Similar results were obtained with dipyridamole infusion. Endothelin-1 levels significantly decreased after coronary revascularization [before: mean 1.81 pg mL-1 (SEM 0.15, n = 14); after: mean 1.16 pg mL-1 (SEM 0.11), P < 0.002], without changes in the peptide response to both tests. In conclusion, elevated plasma endothelin-1 concentrations were found in patients with stable angina compared with non-ischaemic subjects. No changes were observed during exercise or dipyridamole infusion in both groups. Coronary revascularization was followed by a significant decrease in plasma endothelin-1 levels.     

The MBP fusion protein restores the activity of the first phosphatase domain of CD45

Thirty samples of paddy rice and twenty-five of milled rice were obtained from processing centers located in two northern Provinces of Argentina and one southern Province of Paraguay. Contaminating fungi were enumerated by direct plating on dichloran rose bengal chloramphenicol agar and oxytetracycline glucose yeast extract agar before and after surface disinfection. All fungi were isolated and identified to the genus level and percentage infection of samples calculated. Those belonging to the genera Penicillium, Aspergillus and Fusarium were identified to species level. The surface mycoflora was dominated by storage fungi, notably Penicillium citrinum (73% of samples), P. islandicum (60% of samples), Aspergillus niger, A. flavus and Fusarium semitectum. The major fungi found as internal contaminants of paddy rice were, again, Penicillium citrinum (66% of samples) and P. islandicum (50% of samples). Milled rice showed a lower level of contamination, but with a similar species distribution, Penicillium citrinum and P. islandicum again being the main contaminants. The presence of these species suggests a potential for mycotoxin production. Further studies are needed to establish the mycotoxin quality of rice from this region.     

Response to aggression: evaluation and therapeutic implications. Work Group on Metabolism and Nutrition of the SEMIUC

The metabolic response to stress/aggression is a complex process which is mainly mediated by the interaction between the neuro-endocrine system and the circulating cytokines. This interaction brings about physiological and metabolic alterations--severe metabolic-nutritional deficits--of the hypermetabolic type, muscular proteolysis, lipolysis, glycogenolysis, and gluconeogenesis among others, which should be studied and understood prior to initiating or not a nutritional support. The parenteral or enteral nutritional support is usually indicated to prevent a worsening of these situations of altered metabolism frequently associated with inanition, although one should not attempt to revert to normal preexisting deficit situations. On the other hand, and is this special context, we should not forget the advances in nutrients with pharmacological effects, and in pharmacological nutrition. At this II Consensus Conference of the SEMIUC (Sociedad Espa?ola de Medicine Intensiva y Unidades Coronarias = Spanish Society of Intensive Medicine and Coronary Units), we have proposed four objectives: i) To make recommendation, based both on the scientific evidence, as on the experience of the components. ii) Define the scientific terminology to be used in this specific context. iii) Give an answer to the different and assorted clinical problems which are secondary to a situation of stress which has a multiple etiology. iv) Provide new ideas for the development of clinical trails and studies of this specific context.     

A new approach for closed-form transient analysis of multiconductor transmission lines

A novel closed-form model for multiconductor transmission lines is presented. The proposed model is derived from the analytical characterization of half-T ladder networks, which using closed-form polynomials (named DFF and DFFz), allow one to exactly extract poles and residues of the two-port representation of multiconductor transmission lines, thus, generating a time domain macromodel that can be incorporated in a circuit simulator. Since the model is derived from a stable and passive equivalent network, its stability and passivity are strictly preserved. Simulation results for one, two, and three-conductor transmission lines with linear and nonlinear terminations are presented, confirming the validity of the proposed model.