MRI of cerebral micro-vascular flow patterns: A multi-direction diffusion-weighted ASL approach.

The study and clinical assessment of brain disease is currently hindered by a lack of non-invasive methods for the detailed and accurate evaluation of cerebral vascular pathology. Angiography can detect aberrant flow in larger feeding arteries/arterioles but cannot resolve the micro-vascular network. Small vessels are a key site of vascular pathology that can lead to haemorrhage and infarction, which may in turn trigger or exacerbate neurodegenerative processes. In this study, we describe a method to investigate microvascular flow anisotropy using a hybrid arterial spin labelling and multi-direction diffusion-weighted MRI sequence. We present evidence that the technique is sensitive to the mean/predominant direction of microvascular flow in localised regions of the rat cortex. The data provide proof of principle for a novel and non-invasive imaging tool to investigate cerebral micro-vascular flow patterns in healthy and disease states.

AAPI youth tobacco use: a comparative analysis of current cigarette use data from the Florida, Texas, and National Youth Tobacco Surveys.

OBJECTIVES: The objectives of this study were to compile data on Asian American and Pacific Islander (AAPI) youth tobacco use in Florida and conduct comparisons with state and national data. This research will contribute to reducing the gap in information regarding current smoking prevalence among AAPI youth in Florida and provide direct comparisons with another state (Texas) and National Youth Tobacco Survey (NYTS) data on AAPI youth. METHODS: Current cigarette use data from the Florida Youth Tobacco Surveys conducted in 1998, 1999, and 2000 were examined for trends in AAPI and state prevalence rates. AAPI data from Florida's baseline 1998 youth tobacco survey were compared to Texas data after applying a common set of data preparation edits. AAPI data from the NYTS were also compared to Florida's AAPI youth population. FINDINGS: Current cigarette use for AAPI students in Florida was generally below the overall prevalence rates among Florida's public middle or high school students. In 1998, current smoking prevalence among Texas AAPI middle and high school students was 18.7% compared to 19.4% among Florida students. Among high school students, the NYTS found that 21.2% of AAPI students were current cigarette smokers nationally in comparison to 21.7% of AAPI high school youth in Florida. In middle school, the current smoking prevalence among AAPI students was 5.5% in the NYTS as compared to 9.4% in Florida. The NYTS data in particular highlight the magnitude of the increasing trend of cigarette smoking among AAPI youth as they progress through the high school grades. CONCLUSIONS: Of all the racial/ethnic groups in Florida, only AAPIs did not have a significant decline in current cigarette use. While the Florida Tobacco Pilot Program has implemented many worthwhile initiatives, the anti-tobacco interventions do not appear to have exerted a noticeable effect on AAPI youth.

Bayesian technique for investigating linearity in event-related BOLD fMRI.

Event-related BOLD fMRI data is modeled as a linear time-invariant system. Together with Bayesian inference techniques, a statistical test is developed for rigorously detecting linearity/nonlinearity in the BOLD response system. The test is applied to data collected from eight subjects using an event-related paradigm with a switching checkerboard as the visual stimulus. Analyzed as a group, the results clearly find the response to be nonlinear. When each subject is analyzed individually, however, the results are predominantly nonlinear, but there is some evidence to suggest that there may be a crossover from a linear to a nonlinear regime and vice versa. This could be important when estimating physiological parameters for individuals. Additionally, estimates of the hemodynamic response function and corresponding response were obtained, but there was no consistent appearance of a poststimulus undershoot in the event-related BOLD response.

Temporal characteristics of event-related BOLD response and visual-evoked potentials from checkerboard stimulation of human V1: a comparison between different control features.

This work is concerned with the temporal characteristics of event-related blood oxygenation level-dependent (ER-BOLD) and visual-evoked potential (VEP) signals produced by checkerboard stimulation of human V1. The study investigated whether different control features produce different amplitude VEPs, and if so, whether this corresponds to different ER-BOLD responses. The results showed that there was a difference in the amplitude of the P1-N1 components of the VEPs, and also in the magnitude and extent of the ER-BOLD responses. These results suggest the possibility that the P1-N1 components may be related to the difference in the magnitude and extent of the ER-BOLD response. Magn Reson Med 45:212-216, 2001.

Hyperoxia modified activation-induced blood oxygenation level-dependent response of human visual cortex (V1): an event-related functional magnetic resonance imaging study.

To investigate the effect that hyperoxia has on the blood oxygenation level-dependent (BOLD) response to visual stimulation of human V1, an event-related functional magnetic resonance imaging technique was applied. The event-related paradigm consisted of 2 s of stimulation by a checkerboard reversing at a frequency of 8 Hz, followed by 18 s of control scans. The peak height and peak time of the BOLD response curves were compared under normoxic and hyperoxic conditions. It was found that the peak height was larger and the peak time shorter for hyperoxia than for normoxia. These results suggest that hyperoxia modified the activation-induced hemodynamic response of human V1.

Florida's "truth" campaign: a counter-marketing, anti-tobacco media campaign.

The "truth" campaign was created to change youth attitudes about tobacco and to reduce teen tobacco use throughout Florida by using youth-driven advertising, public relations, and advocacy. Results of the campaign include a 92 percent brand awareness rate among teens, a 15 percent rise in teens who agree with key attitudinal statements about smoking, a 19.4 percent decline in smoking among middle school students, and a 8.0 percent decline among high school students. States committed to results-oriented youth anti-tobacco campaigns should look to Florida's "truth" campaign as a model that effectively places youth at the helm of anti-tobacco efforts.

Hyperoxia-enhanced activation-induced hemodynamic response in human VI: an fMRI study.

The effect hyperoxia had on the hemodynamic response to visual stimulation (black and white checkerboard alternating at a frequency of 8 Hz) of human VI was investigated using a blood oxygenation level-dependent (BOLD) contrast with an fMRI technique. Data were acquired with a 5 on/5 off block paradigm using single-shot gradient-echo echo-planar imaging. Using a two-tailed paired t-test (p < 0.05, n = 13) it was found that the mean percentage signal change and the mean number of activated pixels was significantly increased for hyperoxia (5.7 +/- 0.9, 187 +/- 73, mean +/- SD) relative to those for normoxia (5.4 +/- 0.9, 168 +/- 58). We believe that these results indicate that hyperoxia enhances the activation-induced hemodynamic response in human VI.

Activation detection in functional MRI using subspace modeling and maximum likelihood estimation.

A statistical method for detecting activated pixels in functional MRI (fMIRI) data is presented. In this method, the fMRI time series measured at each pixel is modeled as the sum of a response signal which arises due to the experimentally controlled activation-baseline pattern, a nuisance component representing effects of no interest, and Gaussian white noise. For periodic activation-baseline patterns, the response signal is modeled by a truncated Fourier series with a known fundamental frequency but unknown Fourier coefficients. The nuisance subspace is assumed to be unknown. A maximum likelihood estimate is derived for the component of the nuisance subspace which is orthogonal to the response signal subspace. An estimate for the order of the nuisance subspace is obtained from an information theoretic criterion. A statistical test is derived and shown to be the uniformly most powerful (UMP) test invariant to a group of transformations which are natural to the hypothesis testing problem. The maximal invariant statistic used in this test has an F distribution. The theoretical F distribution under the null hypothesis strongly concurred with the experimental frequency distribution obtained by performing null experiments in which the subjects did not perform any activation task. Application of the theory to motor activation and visual stimulation fMRI studies is presented.

Application of Bayesian inference to fMRI data analysis.

The methods of Bayesian statistics are applied to the analysis of fMRI data. Three specific models are examined. The first is the familiar linear model with white Gaussian noise. In this section, the Jeffreys' Rule for noninformative prior distributions is stated and it is shown how the posterior distribution may be used to infer activation in individual pixels. Next, linear time-invariant (LTI) systems are introduced as an example of statistical models with nonlinear parameters. It is shown that the Bayesian approach can lead to quite complex bimodal distributions of the parameters when the specific case of a delta function response with a spatially varying delay is analyzed. Finally, a linear model with auto-regressive noise is discussed as an alternative to that with uncorrelated white Gaussian noise. The analysis isolates those pixels that have significant temporal correlation under the model. It is shown that the number of pixels that have a significantly large auto-regression parameter is dependent on the terms used to account for confounding effects.

Impact of smoking cessation on salivary function in healthy volunteers.

BACKGROUND: Salivary bicarbonate and epidermal growth factor (EGF) have an important protective role in the oesophagus. The effect of smoking cessation on these aspects of salivary function is unknown. METHODS: Salivary bicarbonate secretion and EGF output were measured before and after attempted smoking cessation in 28 healthy volunteers. Urinary cotinine excretion was used to assess compliance. RESULTS: Negative correlations were found between salivary flow rate and age (rho = -0.34) and between cigarette consumption and salivary flow (rho = -0.27) and salivary bicarbonate concentrations (rho = -0.32). Smoking cessation was associated with a significant increase in salivary bicarbonate secretion (day 0, 1.7 (0.14-6.2); day 7, 3.6 (0.52-6.4); day 21, 3.3 (0.44-6.6) micromol min(-1); P < 0.01) but left salivary EGF output unchanged. CONCLUSION: Smoking cessation is associated with significant improvements in salivary bicarbonate secretion. This would benefit patients with reflux disease who stop smoking.

Sequencing and analysis of genes involved in the biosynthesis of a vancomycin group antibiotic.

BACKGROUND: The emergence of resistance to vancomycin, the drug of choice against methicillin-resistant Staphylococcus aureus, in enterococci has increased the need for new antibiotics. As chemical modification of the antibiotic structure is not trivial, we have initiated studies towards enzymatic modification by sequencing the DNA coding for the biosynthesis of chloroeremomycin (also known as A82846B and LY264826). RESULTS: Analysis of 72 kilobases of genomic DNA from Amycolatopsis orientalis, the organism that produces chloroeremomycin, revealed the presence of 39 putative genes, including those coding for the biosynthesis of the antibiotic. Translation and subsequent comparison with known proteins in public databases identified enzymes responsible for the biosynthesis of the heptapeptide backbone and 4-epi-vancosamine, as well as those for chlorination and oxidation reactions involved in the biosynthesis of chloroeremomycin. CONCLUSIONS: The genes responsible for the biosynthesis of chloroeremomycin have been identified, and selective expression of these genes could lead to the synthesis of new potent glycopeptide antibiotics.

Ambulatory care growth: implications for academic organizations.

This article discusses the implications of the dramatic growth of outpatient activity in academic health care organizations, and, more broadly, in all forms of joint physician-hospital outpatient care. The authors describe several economic, operational, and regulatory factors that influence the success of ambulatory care expansion in the academic environment. A case study of the Metropolitan New York Medicaid managed care environment illustrates the impact of these factors and highlights the specific challenges confronting teaching hospitals and physicians. The attributes of ambulatory care providers that have successfully addressed these challenges are also discussed. Finally, the benefits of the model ambulatory practice structure, employed at a number of teaching institutions across the country, are explored.

Automatic detection of the mid-sagittal plane in 3-D brain images.

This article presents a detailed description of an algorithm for the automatic detection of the mid-sagittal plane in three-dimensional (3-D) brain images. The algorithm seeks the plane with respect to which the image exhibits maximum symmetry. For a given plane, symmetry is measured by the cross-correlation between the image sections lying on either side. The search for the plane of maximum symmetry is performed by using a multiresolution approach which substantially decreases computational time. The choice of the starting plane was found to be an important issue in optimization. A method for selecting the initial plane is presented. The algorithm has been tested on brain images from various imaging modalities in both humans and animals. Results were evaluated by visual inspection by neuroradiologists and were judged to be consistently correct.

A rapid technique for recording and measuring the leaf area of conifer needle samples.

An optical planimetric technique for measuring projected leaf area of conifer needle samples was developed that combines a rapid field recording method with an inexpensive hand-held optical scanner. The field recording method utilizes strips of diazo paper (blueprint paper), 10 x 28 cm, to make positive images of the needle samples. An analysis program calculates leaf area from the output files produced by the hand-held scanner. The results from this system were compared with results from a Li-Cor 3100 leaf area meter and from a digital camera-based image analysis system using both standard samples of known area and needle samples from three conifer species. All three systems produced similar results in terms of means and variances. The digital camera system typically had the lowest variances between successive measurements of the same sample. Most differences among the systems were not statistically significant. The system presented in this paper is inexpensive, easy to use, and provides a rapid and permanent method for recording and measuring the leaf area of conifer samples.

Hodgkin's disease of the nasopharynx.

A case of Hodgkin's disease confined to the nasopharynx is presented. From a review of the literature, it seems likely that involvement of the nasopharynx in Hodgkin's disease goes undetected in a significant number of cases.

Noise levels and hearing thresholds in the drop forging industry.

A-weighted equivalent continuous noise levels for hammer and press operations in a drop-forging industry were determined using both tape recordings of the noise and personal noise dosimeters. The results indicated average A-weighted Leq values of 108 dB for hammer operators and 99 dB for press operators. Comparison of hearing level statistics for 716 hammer and press operators and 293 control subjects indicated the severe hazard to hearing of impact noise exposures. For mean exposure times of less than 10 years, hearing levels for the press (99 dB) and hammer (108 dB) operator age groups are nearly identical, and in the latter case are less than those predicted for exposure to equivalent continuous noise. For long-term exposures of 10 years or more, the results of this study indicate that hearing losses resulting from impact noise in the drop-forging industry are as great or greater than those resulting from continuous noise.