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1.
Phys Chem Chem Phys ; 18(18): 13010-7, 2016 05 14.
Artículo en Inglés | MEDLINE | ID: mdl-27109006

RESUMEN

This paper presents the preparation of carbon composite Fe16N2 powders, and the influence of a protective carbon coating on the yield and magnetic properties of Fe16N2. Nanoparticle precursors with and without carbon were reacted under ammonia gas flow to produce Fe16N2. Neutron and X-ray powder diffraction indicate that the powders contain typically 40-60% Fe16N2, with the remaining phases being unreacted iron, Fe4N or Fe3N. Transmission electron microscopy demonstrates that the carbon coating is effective at reducing the level of sintering of Fe nanoparticles during the reduction stage prior to ammonolysis. XPS results support the retention of a carbon coating on the surface after ammonolysis, and that there is Fe-C bonding present at the particle surface. In situ TEM was used to observe loss of ordering in the nitrogen sublattice of carbon composite Fe16N2 powders in the range of 168 °C to 200 °C. Magnetic susceptibility measurements show maximum values for saturation magnetization in the range of 232 emu g(-1), and for coercivity near 930 Oe, for different samples measured up to 2 T applied field at 300 K.

2.
J Med Econ ; 27(1): 1300-1307, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39286871

RESUMEN

BACKGROUND: Seasonal influenza outbreaks in France cause a surge in patients, exacerbating the overburdened healthcare system each winter. Older adults are particularly vulnerable to serious events related to influenza. Quadrivalent influenza high dose (QIV HD) vaccines have been developed to offer better clinical protection in older adults, who often exhibit suboptimal immune response to quadrivalent influenza standard dose vaccines (QIV SD). This study aims to evaluate the public health impact and cost-effectiveness of administering HD versus SD vaccines to individuals aged 65+ in France. METHODOLOGY: Using a static model and decision-tree approach, the study analyzed health outcomes such as influenza cases, GP (general practitioner) visits, hospitalizations, and mortality; relative vaccine efficacy (rVE) estimates were derived from a pivotal randomized-controlled trial and a meta-analysis comparing HD to SD vaccines. Two approaches were implemented to model hospitalizations (conditional on influenza or not), and analyses on bed occupancy were performed. RESULTS: Results showed that using QIV HD instead of QIV SD during an average influenza season in France led to the prevention of 57,209 additional cases of influenza, 13,704 GP visits, and 764 influenza-related deaths. Moreover, switching to QIV HD resulted in an additional 1,728-15,970 hospitalizations avoided and 15,124-138,367 reduced days of hospitalization depending on the hospitalization approach used. The cost-utility analysis showed a cost per quality-adjusted life year (QALY) gained ranging from 24,020 €/QALY to 5,036 €/QALY. CONCLUSIONS: Switching to QIV HD in older adults was shown to be cost-effective, with even greater public health benefits at a higher coverage rate, regardless of the season severity.


Asunto(s)
Análisis Costo-Beneficio , Hospitalización , Vacunas contra la Influenza , Gripe Humana , Humanos , Anciano , Francia , Vacunas contra la Influenza/economía , Vacunas contra la Influenza/administración & dosificación , Gripe Humana/prevención & control , Gripe Humana/economía , Hospitalización/economía , Hospitalización/estadística & datos numéricos , Femenino , Masculino , Años de Vida Ajustados por Calidad de Vida , Anciano de 80 o más Años , Salud Pública/economía , Árboles de Decisión , Modelos Econométricos
3.
Nanotechnology ; 21(2): 025701, 2010 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-19955618

RESUMEN

An aberration-corrected JEOL 2200FS scanning-transmission electron microscope (STEM), equipped with a high-angle annular dark-field detector (HAADF), is used to monitor the coalescence and sintering of Pt nanoparticles with an average diameter of 2.8 nm. This in situ STEM capability is combined with an analysis methodology that together allows direct measurements of mass transport phenomena that are important in understanding how particle size influences coalescence and sintering at the nanoscale. To demonstrate the feasibility of this methodology, the surface diffusivity is determined from measurements obtained from STEM images acquired during the initial stages of sintering. The measured surface diffusivities are in reasonable agreement with measurements made on the surface of nanoparticles, using other techniques. In addition, the grain boundary mobility is determined from measurements made during the latter stages of sintering.


Asunto(s)
Cristalización/métodos , Aumento de la Imagen/métodos , Microscopía Electrónica de Transmisión de Rastreo/métodos , Nanopartículas/química , Nanopartículas/ultraestructura , Nanotecnología/métodos , Platino (Metal)/química , Calor , Sustancias Macromoleculares/química , Ensayo de Materiales/métodos , Conformación Molecular , Tamaño de la Partícula , Propiedades de Superficie
4.
Phys Rev Lett ; 103(24): 247004, 2009 Dec 11.
Artículo en Inglés | MEDLINE | ID: mdl-20366225

RESUMEN

We report unexpected phenomena observed on the Sr2RuO4-Ru eutectic phase featuring Ru islands embedded in a bulk crystal of the chiral p-wave superconductor Sr2RuO4. It was found that the Sr2RuO4/Ru interface is atomically sharp, terminated uniformly by a Sr/O layer. Surprisingly, the proximity-induced p-wave superconducting energy gap predicted by theory was not detected inside Ru islands. Our results suggest that the previously observed enhancement of superconductivity in this eutectic phase occurs away from rather than near the Sr2RuO4/Ru interface, where dislocations and phonon hardening were found.

5.
Sci Rep ; 8(1): 3953, 2018 03 02.
Artículo en Inglés | MEDLINE | ID: mdl-29500423

RESUMEN

Mitochondrial dysfunction in the spinal cord is a hallmark of amyotrophic lateral sclerosis (ALS), but the neurometabolic alterations during early stages of the disease remain unknown. Here, we investigated the bioenergetic and proteomic changes in ALS mouse motor neurons and patients' skin fibroblasts. We first observed that SODG93A mice presymptomatic motor neurons display alterations in the coupling efficiency of oxidative phosphorylation, along with fragmentation of the mitochondrial network. The proteome of presymptomatic ALS mice motor neurons also revealed a peculiar metabolic signature with upregulation of most energy-transducing enzymes, including the fatty acid oxidation (FAO) and the ketogenic components HADHA and ACAT2, respectively. Accordingly, FAO inhibition altered cell viability specifically in ALS mice motor neurons, while uncoupling protein 2 (UCP2) inhibition recovered cellular ATP levels and mitochondrial network morphology. These findings suggest a novel hypothesis of ALS bioenergetics linking FAO and UCP2. Lastly, we provide a unique set of data comparing the molecular alterations found in human ALS patients' skin fibroblasts and SODG93A mouse motor neurons, revealing conserved changes in protein translation, folding and assembly, tRNA aminoacylation and cell adhesion processes.


Asunto(s)
Esclerosis Amiotrófica Lateral/metabolismo , Animales , Supervivencia Celular , Modelos Animales de Enfermedad , Ácidos Grasos/metabolismo , Fibroblastos/metabolismo , Humanos , Ratones , Neuronas Motoras/metabolismo , Oxidación-Reducción , Fosforilación Oxidativa , Proteoma , Piel/citología , Piel/metabolismo , Médula Espinal/metabolismo , Superóxido Dismutasa/genética , Superóxido Dismutasa/metabolismo , Proteína Desacopladora 2/metabolismo
6.
J Phys Chem B ; 110(10): 4766-71, 2006 Mar 16.
Artículo en Inglés | MEDLINE | ID: mdl-16526713

RESUMEN

We report an effective method for the production of ultrasharp vertically oriented silicon nanocones with tip radii as small as 5 nm. These silicon nanostructures were shaped by a high-temperature acetylene and ammonia dc plasma reactive ion etch (RIE) process. Thin-film copper deposited onto Si substrates forms a copper silicide (Cu3Si) during plasma processing, which subsequently acts as a seed material masking the single-crystal cones while the exposed silicon areas are reactive ion etched. In this process, the cone angle is sharpened continually as the structure becomes taller. Furthermore, by lithographically defining the seed material as well as employing an etch barrier material such as titanium, the cone location and substrate topography can be controlled effectively.


Asunto(s)
Cobre/química , Nanoestructuras/química , Silicio/química , Acetileno/química , Amoníaco/química , Electroquímica/métodos , Microscopía Electrónica de Rastreo , Nanoestructuras/ultraestructura , Difracción de Rayos X
7.
Am J Clin Nutr ; 53(2): 425-9, 1991 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-1989408

RESUMEN

One hundred thirty-four women, aged 36 +/- 4 (mean +/- SD) y, BMI 20 +/- 3 kg/m2, perceiving themselves as having either a low or high energy intake (EI), participated in a study to determine variations in EI. Information on EI and activity level was obtained from repeated 7-d records. The 40 subjects with the lowest EI (in kcal/kg body wt) were categorized as small eaters (SEs); the 40 subjects with the highest EI were considered to be large eaters (LEs). The absolute (in kcal) and relative (in kcal/kg body wt) EIs of the SE and LE groups were 1488 +/- 312 and 27 +/- 4 for the SE group, respectively and 2393 +/- 509 and 47 +/- 6 for the LE group, respectively. There was no significant difference in activity level or fat-free mass (FFM) between the groups. However, LEs weighed significantly less (51 vs 55 kg) and were leaner (22% body fat vs 33%) than were SEs. Individuals with similar FFM and activity level can vary significantly in EI needs.


Asunto(s)
Ingestión de Alimentos , Adulto , Antropometría , Composición Corporal , Peso Corporal , Ingestión de Energía , Conducta Alimentaria , Femenino , Humanos , Fenómenos Fisiológicos de la Nutrición , Esfuerzo Físico
8.
Am J Clin Nutr ; 53(5): 1134-7, 1991 May.
Artículo en Inglés | MEDLINE | ID: mdl-2021125

RESUMEN

Two studies were performed to evaluate the short-term effect of a high-fat diet on spontaneous energy intake and the respective contribution of diet composition and energy density of food. Ingestion of high-fat foods was associated with a significant increase in energy intake in the two studies (P less than 0.05). In study 1 this increase was accompanied by a reduction in total weight of food consumed when compared with values obtained under low-fat-diet conditions. Moreover, the occurrence of satiety coincided with a level of carbohydrate intake corresponding to the expected daily carbohydrate oxidation when high-fat foods contained a moderate amount of carbohydrates. In study 2, where the carbohydrate content of high-fat foods was unusually low (less than or equal to 25% of their energy content), carbohydrate intake was lower than usual carbohydrate oxidation. Under the conditions of this study, energy density of foods seemed to play a significant role on the occurrence of satiety.


Asunto(s)
Grasas de la Dieta/administración & dosificación , Ingestión de Energía , Adulto , Carbohidratos de la Dieta/administración & dosificación , Carbohidratos de la Dieta/metabolismo , Ingestión de Alimentos , Humanos , Masculino , Oxidación-Reducción
9.
J Histochem Cytochem ; 24(6): 749-51, 1976 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-985836

RESUMEN

A method is described for the determination of the intracellular concentration of sodium in individual cells using the electron microprobe analyzer. This method gives an accuracy equal to that obtained by using flame photometry on tissues with large cell populations. Intracellular sodium was precipitated in the cell by a fixative containing pyroantimonate. Cartilaginous needles from shark fins which were equilibrated in saline solutions of differing concentrations were used as biological standards.


Asunto(s)
Cartílago/análisis , Sodio/análisis , Animales , Cartílago/ultraestructura , Microanálisis por Sonda Electrónica/métodos , Fotometría/métodos , Tiburones
10.
Peptides ; 13(3): 545-50, 1992.
Artículo en Inglés | MEDLINE | ID: mdl-1523166

RESUMEN

CCK-secreting WE rat medullary thyroid carcinoma cell line resembles other calcitonin-producing (C-cell) lines in that calcium, cAMP, or agents which raise cAMP, dexamethasone, and beta-adrenergic agents all stimulate peptide secretion. Unlike other C-cell lines, the WE cells respond similarly to IBMX (3-isobutyl-1-methyl-xanthine, a phosphodiesterase inhibitor) in the presence and absence of forskolin, implying that these cells secrete substances that raise cAMP levels, whose effect is accentuated by IBMX. Both CGRP and neurotensin, peptides that may be secreted by these cells, caused a small, but significant, increase in CCK secretion. It is possible that these or other secreted substances that activate adenylate cyclase are responsible for the cell's high rate of CCK secretion. Their high rate of CCK synthesis and their regulated secretion suggest that these cells will be a good model for studies of CCK expression, biosynthesis, and processing.


Asunto(s)
Colecistoquinina/metabolismo , Glándula Tiroides/metabolismo , Neoplasias de la Tiroides/metabolismo , Animales , Péptido Relacionado con Gen de Calcitonina/farmacología , Calcio/farmacología , Glucocorticoides/farmacología , Neurotensina/farmacología , Nucleótidos Cíclicos/farmacología , Ratas , Sincalida/metabolismo , Glándula Tiroides/efectos de los fármacos , Células Tumorales Cultivadas
11.
Regul Pept ; 12(1): 59-66, 1985 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-4070687

RESUMEN

Antiserum 1942 raised against the synthetic peptide V-9-M is specific for the amino-terminus of pro-cholecystokinin (pro-CCK). It detects three major peptides in whole rat brain extracts with molecular weights of about 13 000 (peak 1), 8000 (peak 2) and 2700 (peak 3), of which the major one is peak 3. Rat brain was found to contain large quantities of these V-9-M-like peptides. Subcellular fractionation of whole rat brain was performed to determine what cellular component was enriched in these peptides. The molecular weight of the V-9-M-like and CCK-8-like peptides enriched in various subcellular fractions has been determined by Sephadex G-50 chromatography. Primary subcellular fractionation experiments indicated a significant enrichment of V-9-M-like peptides in the mitochondrial pellet (P2), a lesser amount in the microsomal pellet (P3), and a slight enrichment in the soluble fraction (S3). Further purification of the P2 fraction demonstrated an increase of V-9-M-like immunoreactivity in purified synaptosomes. With the exception of the enrichment in the soluble fraction, V-9-M-like peptides follow a similar distribution to that of CCK-8-like peptides. Sephadex chromatography of P2 and P3 fractions indicates that the major form of V-9-M present is the peak 3 (2700) form. This V-9-M-like peptide may represent an intermediate in the processing of CCK, and its presence in synaptosomes may indicate that the proteolytic cleavage of pro-CCK into CCK 58 and peak 3 takes place in synaptic vesicles.


Asunto(s)
Química Encefálica , Péptidos/metabolismo , Sincalida/metabolismo , Secuencia de Aminoácidos , Animales , Masculino , Mitocondrias/metabolismo , Proteínas del Tejido Nervioso/metabolismo , Péptidos/inmunología , Radioinmunoensayo , Ratas , Ratas Endogámicas , Sincalida/inmunología , Fracciones Subcelulares/metabolismo , Sinaptosomas/metabolismo
12.
Neuropeptides ; 6(3): 239-45, 1985 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-4022279

RESUMEN

An antiserum raised against a synthetic peptide (D-10-Y) comprising the carboxyl-terminal extension of cholecystokinin (CCK) detects several immunoreactive peptides, which were found to be widely distributed in rat brain (1). This article reports the subcellular distribution of these D-10-Y-like immunoreactive peptides in whole rat brain. Primary subcellular fractionation yielded a mitochondrial (P2) and microsomal (P3) fraction, both of which were enriched in D-10-Y and CCK 8 peptide immunoreactivity. Further fractionation of P2 yielded a purified synaptosome fraction (P4) which was further enriched in D-10-Y and CCK 8-like peptides. Whole rat brain contains two major molecular forms of D-10-Y-like immunoreactivity, one similar in size to CCK 33 (peak 1) and one slightly larger than CCK 8 (peak 2). In the P2 and P3 fractions, most of the D-10-Y-like immunoreactivity was similar in size to peak 2. It is likely that this D-10-Y-like immunoreactive peptide is an intermediate in the processing of CCK 8, and its enrichment in nerve endings is consistent with the final cleavage and amidation reactions taking place in the nerve terminals.


Asunto(s)
Química Encefálica , Colecistoquinina/análisis , Péptidos/análisis , Animales , Cromatografía en Gel , Masculino , Fragmentos de Péptidos/análisis , Radioinmunoensayo , Ratas , Ratas Endogámicas , Sincalida/análisis , Fracciones Subcelulares/análisis , Sinaptosomas/análisis
13.
Neuropeptides ; 8(3): 287-93, 1986 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-3785588

RESUMEN

CCK release elicited by 40 mM potassium from slices of rat caudato-putamen (cp) was inhibited by VIP. The effect of VIP was maximal at 10(-7) M. VIP does not inhibit CCK release from cerebral cortex at either 10(-7) or 10(-6) M. VIP is known to elevate levels of cAMP in rat brain. VIP inhibition of CCK release appears to be independent of activation of adenylate cyclase because treatment of cp slices with forskolin (2 X 10(-6) to 10(-4) M) does not mimic the inhibitory action of VIP.


Asunto(s)
Núcleo Caudado/metabolismo , Corteza Cerebral/metabolismo , Colecistoquinina/metabolismo , Potasio/farmacología , Putamen/metabolismo , Péptido Intestinal Vasoactivo/farmacología , Animales , Núcleo Caudado/efectos de los fármacos , Corteza Cerebral/efectos de los fármacos , Técnicas In Vitro , Cinética , Masculino , Putamen/efectos de los fármacos , Ratas , Ratas Endogámicas
14.
Brain Res ; 413(2): 365-7, 1987 Jun 16.
Artículo en Inglés | MEDLINE | ID: mdl-3038270

RESUMEN

Potassium-evoked cholecystokinin (CCK) release from slices of caudate-putamen and cerebral cortex, but not hippocampus incubated in vitro was increased by 152-175% by preincubation for 40 min with 10 mM lithium. These results and previous studies suggest that although different physiological agents regulate CCK release in these brain regions, these agents may share a common intracellular mediator which may be a product of inositol phospholipid turnover.


Asunto(s)
Núcleo Caudado/efectos de los fármacos , Corteza Cerebral/efectos de los fármacos , Cloruros/farmacología , Colecistoquinina/metabolismo , Litio/farmacología , Putamen/efectos de los fármacos , Animales , Núcleo Caudado/metabolismo , Corteza Cerebral/metabolismo , Hipocampo/efectos de los fármacos , Hipocampo/metabolismo , Técnicas In Vitro , Cloruro de Litio , Masculino , Potasio/farmacología , Putamen/metabolismo , Ratas , Ratas Endogámicas
15.
Brain Res ; 522(2): 224-6, 1990 Jul 09.
Artículo en Inglés | MEDLINE | ID: mdl-2171716

RESUMEN

Potassium-evoked release of cholecystokinin (CCK) from slices of caudate-putamen, hippocampus, and cerebral cortex was inhibited in a dose-related fashion by phencyclidine (PCP). In order to further examine this effect, PCP-like ligands (dexoxadrol, levoxadrol, PCMP and MK-801) as well as compounds known to interact with the sigma receptor ((+)-SKF, DTG, (+)-3-PPP, and pentazocine) were tested. While some of these compounds inhibited CCK release, their rank order potency (Dex = Lev greater than PCP = PCMP greater than DTG = MK-801 = (+)-3-PPP) differs from that of known PCP-N-methyl-D-aspartate linked effects or sigma interactions. These results suggest that the mechanism by which PCP acts to inhibit CCK release may involve a novel type of PCP interaction.


Asunto(s)
Colecistoquinina/metabolismo , Hipocampo/efectos de los fármacos , Fenciclidina/análogos & derivados , Fenciclidina/farmacología , Potasio/antagonistas & inhibidores , Telencéfalo/efectos de los fármacos , Animales , Núcleo Caudado/efectos de los fármacos , Corteza Cerebral/efectos de los fármacos , Hipocampo/metabolismo , Técnicas In Vitro , Masculino , Putamen/efectos de los fármacos , Ratas , Ratas Endogámicas , Receptores Opioides/efectos de los fármacos , Receptores sigma , Telencéfalo/metabolismo
16.
Ultrasound Med Biol ; 23(1): 41-5, 1997.
Artículo en Inglés | MEDLINE | ID: mdl-9080616

RESUMEN

The Doppler signal is generally considered as a Gaussian random process. However, to date very little experimental validation of this model has been available. Recently, the K model was proposed to describe the statistical properties of ultrasonic radio frequency signals and their envelopes. The coefficient of kurtosis, which has been shown to be related to the parameters of the K model, was used in the literature as an index to assess the deviations from the Gaussian statistical property of ultrasonic signals obtained from simulations, phantoms and tissues. In the present study, an in vitro flow loop model was used to evaluate the effect of a severe stenosis on the coefficient of kurtosis. Our results showed non-Gaussian statistical properties of the Doppler signal in the jet of the stenosis.


Asunto(s)
Efecto Doppler , Modelos Teóricos , Enfermedades Vasculares/diagnóstico por imagen , Constricción Patológica , Ultrasonografía
17.
Ultrasound Med Biol ; 21(1): 59-70, 1995.
Artículo en Inglés | MEDLINE | ID: mdl-7538706

RESUMEN

The main objective of the present work was to investigate, under pulsatile flow, the patterns of variation of the Doppler power backscattered by blood and Sephadex particles upstream and downstream of concentric and eccentric stenoses ranging from 47% to 91% area reduction. Doppler measurements were performed at 5 diameters upstream and 5, 10, 15 and 20 diameters downstream of the constriction. For the concentric 75% and 85%, and the eccentric 79% and 91% area reduction stenoses, a progressive increase of the power backscattered by red cell suspensions at 40% hematocrit was measured downstream of the narrowing. The maximal power usually occurred around 10 diameters after the stenosis and dropped further downstream. In addition to the increase in the power, a cyclic variation of the backscattered intensity was observed within the flow cycle. For the concentric 52% and eccentric 47% area reduction stenoses, no variation of the Doppler power was measured during flow acceleration and deceleration for all recording sites. A coefficient of correlation of 0.82 was measured between the percentage of area reduction and the ratio of the Doppler mean power at 10 diameters downstream to that at 5 diameters upstream of the stenoses. Using Sephadex particles at low concentration, no increase of the Doppler power was found downstream of the 85% and 91% area reduction stenoses. The possible link between the intensity of turbulence and the power backscattered by blood is discussed along with the influence of the correlation between the scattering particles, under turbulent flow.


Asunto(s)
Arteriopatías Oclusivas/diagnóstico por imagen , Hemorreología , Flujo Pulsátil , Ultrasonografía Doppler de Pulso , Aceleración , Animales , Arteriopatías Oclusivas/patología , Sangre , Velocidad del Flujo Sanguíneo , Bovinos , Constricción Patológica/diagnóstico por imagen , Constricción Patológica/patología , Dextranos , Eritrocitos/diagnóstico por imagen , Hematócrito , Indicadores y Reactivos , Microesferas , Modelos Estructurales
18.
Ultrasound Med Biol ; 21(4): 471-80, 1995.
Artículo en Inglés | MEDLINE | ID: mdl-7571140

RESUMEN

The objective of this study was to evaluate in vitro the accuracy of the Doppler velocity ratio (VR) (intrastenotic velocity/prestenotic or poststenotic velocity) under different geometric conditions simulating the presence of multiple stenoses. A steady flow loop model was used to test the influence of the presence of a concentric obstruction of 84% area reduction positioned at a distance of 10, 20 and 30 tube diameters, either proximal or distal to the stenosis under study. The stenosis under evaluation was either concentric or eccentric and had a percentage of area reduction ranging from 20% to 91%. An ultrasound color Doppler system was used to perform both pulsed-wave (PW) Doppler and color-flow velocity measurements. VRs were computed by dividing the maximum velocity of the jet by the velocity at 6 and 10 diameters both proximal and distal to the stenosis under study. A strong correlation was obtained between VR computed using color flow and PW Doppler velocities (r = 0.99). Results indicated that using the prestenotic velocity as a reference velocity generally provided a more sensitive VR index to grade arterial stenosis than using the poststenotic velocity. From a curve fit model, the measured percentages of stenosis were calculated from the VR data and compared to the true percentages. The correlation coefficient, r, was 0.95. When the proximal and distal stenoses were at 10 diameters of the stenosis investigated, r was 0.91, while it increased to 0.98 when the distance was 20 diameters or more. Although VR is theoretically not influenced by hemodynamic factors, we demonstrated that, in practice, the presence of multiple stenoses reduced its sensitivity. Volumetric flow measurements are suggested to obviate this limitation.


Asunto(s)
Arteriopatías Oclusivas/fisiopatología , Modelos Estructurales , Algoritmos , Arteriopatías Oclusivas/diagnóstico por imagen , Arteriopatías Oclusivas/patología , Velocidad del Flujo Sanguíneo , Volumen Sanguíneo , Hemorreología , Humanos , Modelos Lineales , Modelos Estadísticos , Flujo Sanguíneo Regional , Sensibilidad y Especificidad , Ultrasonografía Doppler en Color , Ultrasonografía Doppler de Pulso
19.
Ultrasound Med Biol ; 24(4): 503-11, 1998 May.
Artículo en Inglés | MEDLINE | ID: mdl-9651960

RESUMEN

In most studies that were aimed at evaluating the kinetics of red blood cell (RBC) aggregation, human blood was initially circulated at a high shear rate to disrupt the aggregates, and measurements were performed following a complete flow stoppage, during the process of rouleau formation. However, it is known that a very low shear rate can enhance the formation of aggregates, as demonstrated by the modal relationship of the shear-rate dependence of RBC aggregation. The objective of the present study was, thus, to evaluate the influence of sudden flow reductions compared to a complete flow stoppage on the kinetics of rouleau formation, using ultrasound backscattering. Horse blood models, characterized by different aggregation levels, were obtained by diluting the plasma with a saline solution in different proportions. Blood was circulated in a 12.7-mm vertical tube at a flow rate of 1250 mL min-1 (prereduction flow rate) to disrupt the aggregates. The ultrasound radiofrequency (RF) signal was recorded from the center of the tube following different levels of sudden flow reduction or complete stoppage (postreduction flow rate). All measurements were performed over 2 min, using a 10-MHz transducer. No power increase was observed after complete flow stoppage. For postreduction flow rates varying between 20 and 160 mL min-1, the backscattered power increased proportionally with the kinetics of RBC aggregation. The echo buildup was also faster and stronger when the postreduction flow rate was increased. An unexpected pattern of variation of the backscattered power was found for horse RBCs characterized by high kinetics of rouleau formation. The power increased rapidly to a plateau, followed by another rapid increase and another plateau. Rouleau formation, random disorientation and reorientation were postulated to explain the phasic power increases observed.


Asunto(s)
Velocidad del Flujo Sanguíneo/fisiología , Agregación Eritrocitaria/fisiología , Ultrasonido , Análisis de Varianza , Animales , Viscosidad Sanguínea , Hemorreología , Caballos , Cinética
20.
Ultrasound Med Biol ; 25(4): 495-502, 1999 May.
Artículo en Inglés | MEDLINE | ID: mdl-10386723

RESUMEN

The purpose of this article is to review the performance of duplex ultrasound scanning in assessing lower limb arterial disease with emphasis on patients with multisegmental occlusive lesions. Several studies have reported that duplex scanning can be as accurate as angiography to localize arterial stenoses. In spite of these promising results, there still remain some difficulties and controversies. Among them, it has been reported that multisegmental disease may affect the accuracy of duplex scanning. Indeed, some studies have indicated a lower sensitivity for detecting significant stenoses distal to severe or total occlusions. It also was demonstrated that second-order stenoses were detected with lower sensitivity compared to first-order stenoses. The main reason proposed to explain this lower sensitivity is that the highly reduced flow distal to occluded or highly stenotic segments increases the difficulty of detecting significant Doppler velocity changes in the distal or secondary stenoses. The intrinsic limitations of the peak systolic velocity ratio used as a classification criterion are presented. Finally, new and promising developments in power Doppler imaging and ultrasound contrast agents are discussed, because they may allow expansion of the capabilities of current ultrasound scanning systems and provide more accurate diagnosis of patients with multiple disease.


Asunto(s)
Arteriopatías Oclusivas/diagnóstico por imagen , Pierna/irrigación sanguínea , Arteriopatías Oclusivas/fisiopatología , Velocidad del Flujo Sanguíneo , Humanos , Pierna/diagnóstico por imagen , Ultrasonografía Doppler en Color , Ultrasonografía Doppler Dúplex
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