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1.
Environ Microbiol ; 19(9): 3450-3464, 2017 09.
Artigo em Inglês | MEDLINE | ID: mdl-28618153

RESUMO

Nitrogen frequently limits oceanic photosynthesis and the availability of inorganic nitrogen sources in the surface oceans is shifting with global change. We evaluated the potential for abrupt increases in inorganic N sources to induce cascading effects on dissolved organic matter (DOM) and microbial communities in the surface ocean. We collected water from 5 m depth in the central North Pacific and amended duplicate 20 liter polycarbonate carboys with nitrate or ammonium, tracking planktonic carbon fixation, DOM production, DOM composition and microbial community structure responses over 1 week relative to controls. Both nitrogen sources stimulated bulk phytoplankton, bacterial and DOM production and enriched Synechococcus and Flavobacteriaceae; ammonium enriched for oligotrophic Actinobacteria OM1 and Gammaproteobacteria KI89A clades while nitrate enriched Gammaproteobacteria SAR86, SAR92 and OM60 clades. DOM resulting from both N enrichments was more labile and stimulated growth of copiotrophic Gammaproteobacteria (Alteromonadaceae and Oceanospirillaceae) and Alphaproteobacteria (Rhodobacteraceae and Hyphomonadaceae) in weeklong dark incubations relative to controls. Our study illustrates how nitrogen pulses may have direct and cascading effects on DOM composition and microbial community dynamics in the open ocean.


Assuntos
Alphaproteobacteria/metabolismo , Ciclo do Carbono/fisiologia , Flavobacteriaceae/metabolismo , Gammaproteobacteria/metabolismo , Nitrogênio/metabolismo , Synechococcus/metabolismo , Microbiota , Oceano Pacífico , Fitoplâncton
2.
Science ; 210(4465): 78-80, 1980 Oct 03.
Artigo em Inglês | MEDLINE | ID: mdl-7414323

RESUMO

Activation of the neonatal cat superior colliculus can produce organized eye movements before visual stimuli are capable of activating visual neurons in the colliculus. These findings are consistent with the hypothesis that eye movement development precedes, and is necessary for, visuomotor integration.


Assuntos
Animais Recém-Nascidos/fisiologia , Movimentos Oculares , Colículos Superiores/fisiologia , Fatores Etários , Animais , Gatos , Estimulação Elétrica , Eletrodos Implantados , Estimulação Luminosa
3.
J Am Coll Cardiol ; 7(4): 880-5, 1986 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-3958346

RESUMO

The objective of this study was to determine if the pressure drop across various types of aortic-pulmonary shunts could be accurately estimated by Doppler echocardiography, and if systolic pulmonary pressure could be estimated by referencing the pressure drop across the aortic-pulmonary shunt to systolic systemic arterial pressure measured by cuff sphygmomanometry. This was done in 22 patients and Doppler results were compared with pulmonary artery pressure measured directly by strain gauge manometry. Adequate Doppler waveforms were obtained in 21 of 22 patients; 3 had a Waterston shunt, 10 had a Blalock-Taussig shunt, 1 had a left pulmonary artery-aortic anastomosis, 6 had a patent ductus arteriosus and 1 had an aortic-pulmonary window. Systolic pulmonary artery pressure estimated by Doppler echocardiography ranged from 12 to 90 mm Hg (mean 41.3 +/- 21.4 [SD] ), and measured by strain gauge manometry ranged from 20 to 90 mm Hg (mean 44.7 +/- 20.7) (p = NS, r = 0.94, SEE = 7.4 mm Hg; slope = 0.90, y intercept = 7.4 mm Hg). Systolic pulmonary artery to aortic pressure ratios predicted by Doppler recording ranged from 0.1 to 1.0 (mean 0.4 +/- 0.2 [SD] ); when calculated from direct measurement it ranged from 0.2 to 1.0 (mean 0.4 +/- 0.2) (p = NS, r = 0.92; SEE = 0.08, slope = 0.80, y intercept = 0.09). This study demonstrates that Doppler echocardiography provides an estimation of pressure drop across aortic-pulmonary shunts, and that the data can be used to estimate systolic pulmonary artery pressure by subtracting the estimated pressure drop from the systolic systemic arterial pressure.


Assuntos
Aorta/cirurgia , Pressão Sanguínea , Ecocardiografia , Cardiopatias Congênitas/cirurgia , Artéria Pulmonar/cirurgia , Adolescente , Adulto , Determinação da Pressão Arterial , Cateterismo Cardíaco , Criança , Pré-Escolar , Cardiopatias Congênitas/fisiopatologia , Humanos , Lactente , Recém-Nascido , Estudos Prospectivos , Artéria Pulmonar/fisiologia , Sístole
4.
J Am Coll Cardiol ; 21(6): 1466-72, 1993 May.
Artigo em Inglês | MEDLINE | ID: mdl-8473657

RESUMO

OBJECTIVES: The purpose of this study was to test the hypothesis that administration of trichloroethylene and dichloroethylene to pregnant rats during organogenesis would produce a significant fetal cardiac teratogenic effect. It was also hypothesized that administration of these compounds only before pregnancy would not be associated with fetal cardiac teratogenesis. BACKGROUND: Epidemiologic observations demonstrated an increased number of congenital cardiac defects in children whose mother resided in an area with drinking water contaminated by trichloroethylene and dichloroethylene. A prior provocative intrauterine exposure study in rats established a positive link between these contaminants and an increased number of fetal hearts with congenital cardiac defects. METHODS: Sprague-Dawley rats were given pure tap drinking water (control subjects) or water contaminated with high or low dose of trichloroethylene or dichloroethylene (experimental groups) during prepregnancy only, prepregnancy and pregnancy or during pregnancy alone. RESULTS: A total of 2,045 fetuses were examined. Trichloroethylene or dichloroethylene delivered exclusively in the period before pregnancy caused no increase in congenital cardiac malformations over the control level. Compared with the control group, rats exposed to these agents both before and during pregnancy, had a significantly greater number of fetuses with cogenital cardiac malformations. Trichloroethylene (high dose only) administered only during pregnancy produced a significant increase in cardiac defects. Other fetal variables, including noncardiac congenital abnormalities, showed no significant difference between control and treated groups. CONCLUSIONS: Trichloroethylene and dichloroethylene administered during organogenesis are cardiac, but not general, teratogens. The data indicate that these agents administered in drinking water to pregnant rats caused an increased number of congenital cardiac defects in rat fetuses.


Assuntos
Dicloroetilenos/toxicidade , Cardiopatias Congênitas/induzido quimicamente , Teratogênicos/toxicidade , Tricloroetileno/toxicidade , Poluentes Químicos da Água/toxicidade , Animais , Estudos de Casos e Controles , Distribuição de Qui-Quadrado , Feminino , Feto/efeitos dos fármacos , Coração/efeitos dos fármacos , Coração/embriologia , Cardiopatias Congênitas/embriologia , Masculino , Gravidez , Ratos , Ratos Sprague-Dawley
5.
J Am Coll Cardiol ; 32(2): 540-5, 1998 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-9708489

RESUMO

OBJECTIVES: The hypothesis of this study was that metabolites of trichloroethylene (TCE), dichloroethylene (DCE) and related compounds were responsible for fetal cardiac teratogenic effects seen when TCE or DCE is consumed by pregnant rats during organogenesis. Identification of teratogenic metabolites would allow more accurate assessment of environmental contaminants and public health risks from contaminated water or possibly municipal water supplies which, when chlorinated, may produce these potentially dangerous chemicals. BACKGROUND: Human epidemiologic studies and previous teratogenic studies using chick embryos and fetal rats have shown an increased incidence of congenital cardiac lesions in animals exposed to TCE and DCE. METHODS: Metabolites and compounds studied in drinking water exposure included: trichloroacetic acid (TCAA), monochloroacetic acid (MCAA), trichloroethanol (TCEth), carboxy methylcystine (CMC), trichloroacetaldehyde (TCAld), dichloroacetaldehyde (DCAld), and dichlorovinyl cystine (DCVC). Compounds were administered to pregnant rats during fetal heart development. RESULTS: Fetuses of rats receiving 2,730 ppm TCAA in drinking water were the only group that demonstrated a significant increase in cardiac defects (10.53%) compared with controls (2.15%) on a per fetus basis (p = 0.0001, Fischer's exact test), and a per litter basis (p = 0.0004, Wilcoxon and p = 0.0015, exact permutation tests). Trichloroacetic acid also demonstrated an increased number of implantation and resorption sites (p < 0.05) over controls. Other maternal and fetal variables showed no statistically significant differences between treated and untreated groups. CONCLUSIONS: Of the metabolites tested, only TCAA appeared to be a specific cardiac teratogen in the fetus when imbibed by the maternal rat.


Assuntos
Anormalidades Induzidas por Medicamentos/etiologia , Dicloroetilenos/efeitos adversos , Cardiopatias Congênitas/induzido quimicamente , Coração/efeitos dos fármacos , Efeitos Tardios da Exposição Pré-Natal , Teratogênicos , Tricloroetileno/efeitos adversos , Acetaldeído/efeitos adversos , Acetaldeído/análogos & derivados , Acetatos/efeitos adversos , Animais , Hidrato de Cloral/efeitos adversos , Hidrato de Cloral/análogos & derivados , Cistina/efeitos adversos , Cistina/análogos & derivados , Desenvolvimento Embrionário e Fetal/efeitos dos fármacos , Poluentes Ambientais/efeitos adversos , Etilenocloroidrina/efeitos adversos , Etilenocloroidrina/análogos & derivados , Feminino , Coração/embriologia , Cardiopatias Congênitas/embriologia , Humanos , Exposição Materna , Gravidez , Ratos , Ratos Sprague-Dawley , Ácido Tricloroacético/efeitos adversos , Tricloroetileno/metabolismo , Poluentes Químicos da Água/efeitos adversos , Abastecimento de Água
6.
J Am Coll Cardiol ; 16(5): 1304-9, 1990 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-2229779

RESUMO

Recent epidemiologic studies have demonstrated a greater than expected number of pediatric patients with congenital heart disease in areas where drinking water was contaminated by halogenated aliphatic hydrocarbons. Trichloroethylene, trichloroethane and dichlorethylene were the principal contaminants in the groundwater. A previous study of chick embryos demonstrated that when injected into the air sacs of fertilized eggs trichloroethylene produced more than three times the number of cardiac defects that are found in control embryos. This mammalian study demonstrates similar effects of trichloroethylene and dichloroethylene when applied under provocative circumstances (that is, solutions delivered through a catheter into the gravid uterus from an intraperitoneal osmotic pump) to the developing rat fetus in utero during the period of organ differentiation and development. Furthermore, the effect is dose dependent for both agents. Although only a very small number of congenital heart anomalies (3%) were found in the control group, 9% and 12.5% were found in the lower dose trichloroethylene and dichloroethylene groups and 14% and 21% in the higher dose groups, respectively (p less than 0.05). A variety of cardiac defects were found. Dichloroethylene appears to be at least as great a cardiac teratogen as trichloroethylene even though it was administered at a 10-fold lower concentration. These agents appear to be specific cardiac teratogens because only a single noncardiac anomaly was found. This study in a rat model demonstrates a dose-dependent relation between fetal exposure to trichloroethylene and dichloroethylene in utero during the period of organogenesis and the appearance of a variety of congenital cardiac defects.


Assuntos
Anormalidades Induzidas por Medicamentos , Dicloroetilenos/toxicidade , Cardiopatias Congênitas/induzido quimicamente , Tricloroetileno/toxicidade , Animais , Dicloroetilenos/administração & dosagem , Relação Dose-Resposta a Droga , Feminino , Coração Fetal/efeitos dos fármacos , Masculino , Ratos , Ratos Endogâmicos , Tricloroetileno/administração & dosagem
7.
J Am Coll Cardiol ; 16(7): 1696-700, 1990 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-2254555

RESUMO

A systematic study was undertaken to estimate the birth prevalence of congenital heart disease because there was a clinical impression that a disproportionate number of cases occurred in Yuma, Arizona. Control data were obtained from Sierra Vista, Arizona, a region with similar demographic characteristics, and from the Baltimore-Washington Infant Study. Patients with chromosomal or syndromal associations were excluded. In the Baltimore-Washington Infant Study only echocardiographic and invasively documented cases were included. From 1983 to 1988 the birth prevalence was significantly higher in Yuma (10.5/1,000) than in Sierra Vista (5.4/1,000, p less than 0.0001). As assessed only by invasive or echocardiographic diagnosis, there was a higher birth prevalence of congenital heart disease in the study population (6.7/1,000) compared with both the Baltimore-Washington Infant Study (3.7/1,000, p = 0.0008) and Sierra Vista (4.6/1,000, p = 0.04). Families were interviewed to exclude cases in which the mother did not spend the month before conception and the first trimester in Yuma or Sierra Vista. The birth prevalence for Yuma (6.0/1,000) remained significantly greater than that for Sierra Vista (3.8/1,000, p = 0.03). The exclusion of cases in which the mother resided elsewhere suggests, but does not prove, that an environmental influence may have played a role in the increased birth prevalence of congenital heart disease in this community.


Assuntos
Cardiopatias Congênitas/epidemiologia , Arizona/epidemiologia , Baltimore/epidemiologia , District of Columbia/epidemiologia , Saúde Ambiental , Humanos , Recém-Nascido , Prevalência , Fatores Socioeconômicos
8.
J Am Coll Cardiol ; 16(1): 155-64, 1990 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-2358589

RESUMO

During an informal study in 1973 it was noted that approximately one third of patients with congenital heart disease lived in a small area in the Tucson Valley. In 1981 groundwater for a nearly identical area was found to be contaminated with trichloroethylene and to a lesser extent with dichloroethylene and chromium. Contamination probably began during the 1950s. Affected wells were closed after discovery of contamination. This sequence of events allowed investigation of the prevalence of congenital heart disease in children whose parents were exposed to the contaminated water area as compared with children whose parents were never exposed to the contaminated water area. The contaminated water area contained 8.8% of the Tucson Valley population and 4.5% of the labor force. Using their case registry, the authors interviewed parents of 707 children with congenital heart disease who, between 1969 and 1987, 1) conceived their child in the Tucson Valley, and 2) spent the month before the first trimester and the first trimester of the case pregnancy in the Tucson Valley. Two random dialing surveys showed that only 10.5% of the Tucson Valley population had ever had work or residence contact, or both, with the contaminated water area, whereas 35% of parents of children with congenital heart disease had had such contact (p less than 0.005). The prevalence of congenital cardiac disease (excluding syndromes, children with atrial tachycardia or premature infants with patent ductus arteriosus) in the Tucson Valley was 0.7% of live births and with syndromes was calculated to be 0.82%. The odds ratio for congenital heart disease for children of parents with contaminated water area contact during the period of active contamination was three times that for those without contact (p less than 0.005) and decreased to near unity for new arrivals in the contaminated water area after well closure. The proportion of infants with congenital heart disease as compared with the number of live births was significantly higher for resident mothers in the contaminated water area than for mothers with no exposure. No other environmental agent could be identified that was localized to the contaminated water area, but one could have been missed. The data show a significant association but not a cause and effect relation between parental exposure to the contaminated water area and an increased proportion of congenital heart disease among live births as compared with the proportion of congenital heart disease among live births for parents without contaminated water area contact.


Assuntos
Cardiopatias Congênitas/induzido quimicamente , Poluentes Químicos da Água/efeitos adversos , Poluentes da Água/efeitos adversos , Abastecimento de Água/análise , Adulto , Arizona/epidemiologia , Cromo/análise , Dicloroetilenos/análise , Pai , Feminino , Morte Fetal/epidemiologia , Cardiopatias Congênitas/epidemiologia , Hispânico ou Latino , Humanos , Recém-Nascido , Masculino , Troca Materno-Fetal , Razão de Chances , Vigilância da População , Gravidez , Primeiro Trimestre da Gravidez , Prevalência , Tricloroetileno/análise , Poluentes Químicos da Água/análise
9.
J Am Coll Cardiol ; 4(2): 268-72, 1984 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-6736467

RESUMO

Cardiac flows measured by the Doppler technique and invasive methods correlate well, but no prior study has correlated Doppler flows obtained distal to the four cardiac valves in the same individual. The purpose of this investigation was to measure the four flows in normal subjects using the range-gated pulsed Doppler echocardiographic technique. Velocities were obtained from 22 subjects aged 4 to 29 years at a beam-flow intercept angle close to 0 degree in the ascending aorta, distal main pulmonary artery and the tricuspid and mitral valve outflow areas. Vessel and orifice sizes of the ascending aorta, main pulmonary artery and tricuspid valve orifice were measured directly from two-dimensional echocardiographic images. The mitral valve orifice was measured by a previously described method. Results show that flow values for the ascending aorta, main pulmonary artery and tricuspid valve inflow area were similar in absolute magnitude and correlated strongly (r = 0.93 to 0.98). Slopes for these relations were approximated at 1.0. The absolute magnitude of mitral valve flows was highly variable and showed the poorest correlation with flows from the other areas (r = 0.59 to 0.67). The high correlation of ascending aorta, main pulmonary artery and tricuspid valve outflow areas was considerably assisted by recording of velocity at a verified angle near 0 degree and obtaining accurate vessel and valve diameters. Improved angle accuracy was possible in the ascending aorta with the use of a new transducer designed to image anteroinferiorly from the suprasternal notch. A relatively simple method for measuring tricuspid flow was developed.(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Velocidade do Fluxo Sanguíneo , Ecocardiografia , Valvas Cardíacas/fisiologia , Adolescente , Adulto , Aorta/fisiologia , Valva Aórtica/fisiologia , Criança , Pré-Escolar , Humanos , Valva Mitral/fisiologia , Valva Pulmonar/fisiologia , Distribuição Aleatória , Valva Tricúspide/fisiologia
10.
J Am Coll Cardiol ; 6(5): 1132-7, 1985 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-4045037

RESUMO

The purpose of this study was to evaluate a noninvasive method for estimation of pulmonary artery pressures in infants and children with interventricular communications. Systolic pulmonary artery pressures measured by cardiac catheterization were compared with those estimated by Doppler echocardiography. Pressure drops were measured by Doppler study (modified Bernoulli equation) and were referenced to systolic systemic arterial pressure measured by sphygmomanometry. All 25 patients in this study had either a ventricular septal defect or a single ventricle. The systolic pulmonary artery pressure measured by cardiac catheterization ranged from 15 to 100 mm Hg (mean +/- SD 44 +/- 26) and that measured by Doppler echocardiography ranged from 5 to 100 mm Hg (mean 43 +/- 26) (p = NS; r = 0.92; SEE = 9.9; slope = 0.92; y intercept = 4.7). Systolic pulmonary artery to aortic pressure ratio measured by cardiac catheterization ranged from 0.2 to 1.0 (mean 0.5 +/- 0.3) and that measured by Doppler echocardiography ranged from 0.1 to 1.0 (mean 0.5 +/- 0.3) (p = NS; r = 0.94; SEE = 0.09; slope = 0.90; y intercept = 0.04). This study demonstrates that Doppler echocardiography can closely approximate systolic pulmonary artery pressure in patients with interventricular communications.


Assuntos
Determinação da Pressão Arterial/métodos , Pressão Sanguínea , Ecocardiografia , Comunicação Interventricular/fisiopatologia , Ventrículos do Coração/anormalidades , Artéria Pulmonar/fisiopatologia , Cateterismo Cardíaco , Criança , Pré-Escolar , Humanos , Lactente , Estenose da Valva Pulmonar/fisiopatologia , Transposição dos Grandes Vasos/fisiopatologia
11.
J Am Coll Cardiol ; 19(2): 394-401, 1992 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-1732369

RESUMO

Doxorubicin is an effective anticancer chemotherapeutic agent known to cause acute and chronic cardiomyopathy. To develop a more sensitive echocardiographic screening test for cardiac damage due to doxorubicin, a cohort study was performed using dobutamine infusion to differentiate asymptomatic long-term survivors of childhood cancer treated with doxorubicin from healthy control subjects. Echocardiographic data from the experimental group of 21 patients (mean age 16 +/- 5 years) treated from 1.6 to 14.3 years (median 5.3) before this study with 27 to 532 mg/m2 of doxorubicin (mean 196) were compared with echocardiographic data from 12 normal age-matched control subjects. Graded dobutamine infusions of 0.5, 2.5, 5 and 10 micrograms/kg per min were administered. Echocardiographic Doppler studies were performed before infusion and after 15 min of infusion at each rate. Dobutamine infusion at 10 micrograms/kg per min was discontinued after six studies secondary to a 50% incidence rate of adverse symptoms. The most important findings were that compared with values in control subjects, end-systolic left ventricular posterior wall dimension and percent of left ventricular posterior wall thickening in doxorubicin-treated patients were decreased at baseline study and these findings were more clearly delineated with dobutamine stimulation. End-systolic left ventricular posterior wall dimension at baseline for the doxorubicin-treated group was 11 +/- 1.9 mm versus 13.1 +/- 1.5 mm for control subjects (p less than 0.01). End-systolic left ventricular posterior wall dimension at the 5-micrograms/kg per min dobutamine infusion for the doxorubicin-treated group was 14.1 +/- 2.4 mm versus 19.3 +/- 2.6 mm for control subjects (p less than 0.01).(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Cardiomiopatias/induzido quimicamente , Dobutamina , Doxorrubicina/efeitos adversos , Ecocardiografia/métodos , Neoplasias/tratamento farmacológico , Adolescente , Cardiomiopatias/diagnóstico por imagem , Cardiomiopatias/epidemiologia , Estudos de Coortes , Doxorrubicina/uso terapêutico , Feminino , Humanos , Masculino , Sensibilidade e Especificidade , Fatores de Tempo
12.
J Am Coll Cardiol ; 3(5): 1256-62, 1984 May.
Artigo em Inglês | MEDLINE | ID: mdl-6707377

RESUMO

Fourteen patients, aged 1 month to 13 years, with congenital semilunar valve stenosis (11 pulmonary and 3 aortic) were studied for orifice area quantification calculated from a Doppler echocardiographic equation: Area = SV/0.88 X V2 X VET, where SV = stroke volume, V2 = maximal velocity and VET = ventricular ejection time. Results from individual measurements used in this formula and derived area were compared with individual results from cardiac catheterization and valve area derived from the Gorlin formula. Ventricular ejection time by cardiac catheterization ranged from 0.17 to 0.44 second (mean +/- standard deviation [SD] 0.27 +/- 0.09), and by Doppler study from 0.20 to 0.41 second (mean +/- SD 0.29 +/- 0.06) (r = 0.65, standard error of the estimate [SEE] = 0.03, y = 0.149 + 0.528x). Pressure gradient by catheterization ranged from 30 to 125 mm Hg (mean +/- SD 56.6 +/- 33.1), and by Doppler study from 17.6 to 100 mm Hg (mean +/- SD 46.8 +/- 27.9) (r = 0.91, SEE = 8.8, y = 1.23 + 0.904x). Stroke volume was measured by Doppler study simultaneously with cardiac catheterization in nine patients; results at cardiac catheterization with thermodilution measurements (cardiac output/heart rate) ranged from 5.5 to 53.4 cc (mean +/- SD 24.7 +/- 20), and by Doppler study from 5.8 to 46.9 cc (mean +/- SD 23 +/- 18) (r = 0.96, SEE = 3.5). Area quantification was performed in two ways. In Group 1, heart rate-matched stroke volumes from cardiac catheterization were used in the derived equation for Doppler study (all patients). In Group 2, the stroke volume used was that obtained by Doppler study, which was performed simultaneously with cardiac catheterization (nine patients).(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Estenose da Valva Aórtica/patologia , Ecocardiografia/métodos , Hemodinâmica , Estenose da Valva Pulmonar/patologia , Adolescente , Estenose da Valva Aórtica/fisiopatologia , Cateterismo Cardíaco , Débito Cardíaco , Criança , Pré-Escolar , Frequência Cardíaca , Humanos , Lactente , Recém-Nascido , Estudos Prospectivos , Estenose da Valva Pulmonar/fisiopatologia , Volume Sistólico
13.
J Am Coll Cardiol ; 6(6): 1322-8, 1985 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-4067111

RESUMO

The etiology of diastolic motion of the pulmonary valve seen on the M-mode echocardiogram has been the subject of much debate. To further investigate diastolic events in the pulmonary artery, the patterns of diastolic pulmonary artery blood flow velocity were studied using pulsed Doppler echocardiography in patients with a normal heart. Two diastolic waveforms were found, one in early diastole related to passive filling of the right ventricle and one in late diastole related to atrial contraction. These waveforms were also related to the two recognized phases of diastolic pulmonary valve motion detected by M-mode echocardiography. The presence of biphasic diastolic blood flow in the pulmonary artery was confirmed by electromagnetic flow velocimetry in four additional patients with various cardiac diseases and normal right heart pressures. It is concluded that both atrial contraction and passive right ventricular filling produce blood flow in the pulmonary artery.


Assuntos
Ecocardiografia , Artéria Pulmonar/fisiologia , Adolescente , Adulto , Velocidade do Fluxo Sanguíneo , Criança , Pré-Escolar , Diástole , Humanos , Lactente
14.
J Am Coll Cardiol ; 2(3): 452-9, 1983 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-6875108

RESUMO

Results of two-dimensional echocardiographic examinations were compared with angiographic, hemodynamic and surgical results in 44 patients with bioprosthetic valves in mitral and aortic positions who were undergoing elective or urgent reinvestigation 24 to 87 months (mean 34) after implantation. In these patients, there were 18 homograft aortic valves in the aortic position, 9 stent-mounted homograft aortic valves in the mitral position, 13 porcine xenograft valves in the mitral position and 12 in the aortic position. Poor cusp support, gross fluttering and prolapse of cusps behind or below the anulus identified aortic insufficiency by two-dimensional echocardiography in six patients with an aortic homograft and four patients were identified with insufficiency of a stent-mounted aortic homograft in the mitral position. Two-dimensional echocardiographic examination revealed mitral stenosis in three patients with a porcine xenograft valve in the mitral position and suggested mitral insufficiency in two others. Bacterial endocarditis on homograft or porcine xenograft valves was associated with easily imaged vegetations by two-dimensional echocardiography in 10 patients. Despite difficulties in imaging valve cusps, and the skill required to obtain good echocardiographic images of bioprosthetic valves, significant valve deterioration or infected prostheses were quite effectively imaged by two-dimensional echocardiography in this study.


Assuntos
Bioprótese , Ecocardiografia , Endocardite Bacteriana/diagnóstico , Próteses Valvulares Cardíacas , Adolescente , Adulto , Valva Aórtica , Bioprótese/efeitos adversos , Criança , Feminino , Próteses Valvulares Cardíacas/efeitos adversos , Humanos , Masculino , Valva Mitral , Complicações Pós-Operatórias/diagnóstico
15.
J Am Coll Cardiol ; 2(1): 136-42, 1983 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-6853908

RESUMO

In 19 patients with Duchenne's muscular dystrophy, left ventricular wall thickness in end-systole and end-diastole was determined serially every 12 months by echocardiography and compared with ventricular wall growth in normal subjects. In the normal subjects, left ventricular wall thickness increased linearly with increasing body surface area. A control group of wheelchair-bound patients with a variety of neurologic disorders, although not followed serially, had a distribution of end-diastolic wall thickness values similar to that of the normal subjects. In patients with muscular dystrophy, wall thickness increased linearly with respect to body surface area for some time and then began to thin. The time at which thinning began was not directly related to age, although it was more common in older than in younger patients. Those patients who died demonstrated marked deviation from normal wall growth. Free wall thinning is probably a result of fibrosis and loss of myofibrils.


Assuntos
Antropometria , Ecocardiografia , Distrofias Musculares/fisiopatologia , Adolescente , Adulto , Envelhecimento , Pressão Sanguínea , Criança , Pré-Escolar , Ventrículos do Coração/crescimento & desenvolvimento , Ventrículos do Coração/fisiopatologia , Humanos , Masculino , Distrofias Musculares/patologia , Contração Miocárdica , Esforço Físico
16.
J Am Coll Cardiol ; 3(1): 169-78, 1984 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-6690547

RESUMO

Range gated two-dimensional Doppler echocardiographic methods were evaluated for quantifying pulmonary (QP) to systemic (QS) blood flow ratios. Twenty-one patients were studied, 4 with patent ductus arteriosus, 6 with atrial septal defect and 11 with ventricular septal defect. The Doppler pulmonary to systemic flow (QP:QS) estimation method involved calculating volume flow (liters/min) at a variety of intracardiac sites by using imaging information for flow area and Doppler outputs to calculate mean flow velocity as a function of time. Area volume flows were combined to yield QP:QS ratios. The sites sampled were main pulmonary artery, ascending aorta, mitral valve orifice and subpulmonary right ventricular outflow tract. The overall correlation between Doppler QP:QS estimates and those obtained at cardiac catheterization (n = 18) or radionuclide angiography (n = 3) was r = 0.85 (standard error of the estimate = 0.48:1). These preliminary results suggest that clinical application of this Doppler echocardiographic method should allow noninvasive estimation of the magnitude of cardiac shunts.


Assuntos
Circulação Sanguínea , Permeabilidade do Canal Arterial/fisiopatologia , Ecocardiografia/métodos , Comunicação Interatrial/fisiopatologia , Comunicação Interventricular/fisiopatologia , Circulação Pulmonar , Adolescente , Cateterismo Cardíaco , Criança , Pré-Escolar , Permeabilidade do Canal Arterial/diagnóstico , Comunicação Interatrial/diagnóstico , Comunicação Interventricular/diagnóstico , Humanos , Lactente
17.
J Am Coll Cardiol ; 4(2): 343-50, 1984 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-6736476

RESUMO

Normal two-dimensional pulsed Doppler echocardiographic velocity profiles for sites within the heart and great vessels in a group of 102 normal infants and children are presented. Qualitatively, waveforms mimic expected hemodynamic events at the various sites. All waveforms had a rapid initial deflection followed by spectral broadening after attainment of peak velocity. Quantitative angle-corrected peak velocities were generally lower on the right side than on the left side of the heart. Differences in tricuspid (mean 61.8 cm/s) versus mitral (mean 81.1 cm/s) outflow and pulmonary (mean 76.1 cm/s) versus aortic (mean 88.5 cm/s) outflow were significant (p less than 0.01). The only significant age-related differences were in the pulmonary artery (mean for newborns 67.7 cm/s versus 79.6 cm/s for older children, p less than 0.01). Aortic data obtained from interrogation sites in which flow was close to 0 or 180 degrees were similar, whereas aortic peak velocity data obtained from apical long-axis or subcostal views were greater. These differences were probably induced from inaccuracies in azimuthal (elevational) angles that cannot be measured. These normal Doppler data should be useful for comparisons with data obtained for children with various forms of congenital heart disease that affect flow dynamics.


Assuntos
Aorta/fisiologia , Função Atrial , Velocidade do Fluxo Sanguíneo , Ecocardiografia , Artéria Pulmonar/fisiologia , Adolescente , Adulto , Criança , Pré-Escolar , Humanos , Lactente , Recém-Nascido , Valva Mitral/fisiologia , Valva Tricúspide/fisiologia
18.
Nat Commun ; 6: 6347, 2015 Feb 23.
Artigo em Inglês | MEDLINE | ID: mdl-25704539

RESUMO

The role of dissolved organic matter (DOM) as either a sink for inorganic nutrients or an additional nutrient source is an often-neglected component of nutrient budgets in aquatic environments. Here, we examined the role of DOM in reactive nitrogen (N) storage in Sierra Nevada (California, USA) lakes where atmospheric deposition of N has shifted the lakes toward seasonal phosphorus (P)-limitation. Nuclear magnetic resonance (NMR) spectroscopy and isotope analyses performed on DOM isolated from Lake Tahoe reveal the accumulation of refractory proteinaceous material with a 100-200-year residence time. In contrast, smaller lakes in the same watershed contain DOM with typical terrestrial characteristics, indicating that proteins in Lake Tahoe are autochthonously produced. These data support the role of DOM as a possible sink for reactive N in these lake ecosystems and identify a potential role for DOM in affecting the inorganic nutrient stoichiometry of these environments.

19.
J Comp Neurol ; 245(1): 116-22, 1986 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-3514692

RESUMO

Previously developed morphometric analysis of motoneurons (Ulfhake and Kellerth, '81, J. Comp. Neurol. 202: 571-583) was applied to lateral rectus motoneurons (LRMs). Total dendrite size was approximated from a single stem dendrite measurement. Fifteen dendrites from nine LRMs of the principal abducens nucleus intracellularly stained with HRP were morphometrically analyzed. The diameters and lengths along the extent of the dendrite were measured to calculate the surface area, volume, and combined length of the process. Linear correlation of stem dendrite diameter to these size parameters produced r values of .80, .84, and .61, respectively. Although the regression lines could be used to estimate dendrite size from the stem dendrite diameter, two morphologically distinct types were found among the 83 dendrites of the nine cells. Six dendrites differed from the other 77. Therefore, these six and a representative sample of the more common dendrite (nine) were included in the measurements. The rare dendrites consistently branched at about 40 micron from the soma into a rostrally and a caudally directed secondary dendrite. The secondary dendrites branched less and reduced more in diameter by tapering. Also, these dendrites exhibited a higher than expected total dendrite size to stem diameter ratio compared to "regular" dendrites. Statistical correlations of the stem diameter to surface area or volume within each dendrite type showed clear increases in r values from those of all 15. Significant differences were found between the size parameters of the two types. These qualitative and quantitative differences should be considered in accurate motoneuron size determinations in the abducens nucleus.


Assuntos
Dendritos/classificação , Neurônios Motores/citologia , Músculos Oculomotores/inervação , Animais , Tronco Encefálico/citologia , Gatos , Contagem de Células/métodos , Peroxidase do Rábano Silvestre , Matemática , Técnicas Estereotáxicas
20.
Am J Clin Nutr ; 28(1): 42-5, 1975 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-1115017

RESUMO

Animal studies have suggested that feeding a high-cholesterol diet early in life will reduce serum cholesterol of later life. We tested this hypothesis by comparing the serum cholesterol of breast-fed children and bottle-fed children. The former type of feeding has a cholesterol content 26-52 mg of cholesterol/8 ounces, and the latter type of feeding has 4 mg/2 ounces. Serum cholesterols were determined by the Wybenga technique. At the end of 4-6 months, both groups were switched from their original feeding to skim milk. The parents were counseled to avoid high-cholesterol content foods such as eggs and to limit the intake of the more moderate cholesterol dietary forms. Our objective was to achieve a cholesterol intake of 200 mg/day for both groups. The serum cholesterol was evaluated at the following ages: 2-4 months, 12 months, 18-24 months, and 15-19 years. The same child was not necessaryily followed longitudinally. Our results indicate that breast-fed children had significantly higher serum cholesterols than bottle-fed children at ages 2-4 months and 12 months. After 1 year, no significant difference in serum cholesterol was found when the two groups were compared. We concluded that no protection against high serum cholesterol in later life occurred as the result of initial feedings high in cholesterol.


Assuntos
Aleitamento Materno , Colesterol na Dieta/administração & dosagem , Colesterol/sangue , Adolescente , Adulto , Pré-Escolar , Colesterol na Dieta/análise , Feminino , Humanos , Lactente , Alimentos Infantis/análise , Leite Humano/análise , Gravidez
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