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1.
Nature ; 561(7723): 360-362, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-30232428

RESUMO

The evolution of the Milky Way disk, which contains most of the stars in the Galaxy, is affected by several phenomena. For example, the bar and the spiral arms of the Milky Way induce radial migration of stars1 and can trap or scatter stars close to orbital resonances2. External perturbations from satellite galaxies can also have a role, causing dynamical heating of the Galaxy3, ring-like structures in the disk4 and correlations between different components of the stellar velocity5. These perturbations can also cause 'phase wrapping' signatures in the disk6-9, such as arched velocity structures in the motions of stars in the Galactic plane. Some manifestations of these dynamical processes have already been detected, including kinematic substructure in samples of nearby stars10-12, density asymmetries and velocities across the Galactic disk that differ from the axisymmetric and equilibrium expectations13, especially in the vertical direction11,14-16, and signatures of incomplete phase mixing in the disk7,12,17,18. Here we report an analysis of the motions of six million stars in the Milky Way disk. We show that the phase-space distribution contains different substructures with various morphologies, such as snail shells and ridges, when spatial and velocity coordinates are combined. We infer that the disk must have been perturbed between 300 million and 900 million years ago, consistent with estimates of the previous pericentric passage of the Sagittarius dwarf galaxy. Our findings show that the Galactic disk is dynamically young and that modelling it as time-independent and axisymmetric is incorrect.

4.
Sci Total Environ ; 858(Pt 2): 159947, 2023 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-36336054

RESUMO

Mercury in seafood is a neurotoxicant that threatens human health. Dynamic rates of mercury emission, re-emission, and atmospheric deposition warrant studies into mercury concentrations in fish because many are consumed by humans and can serve as sentinels of mercury levels in the environment. We modeled trends in total mercury content in an apex marine fish predator, Atlantic blue marlin Makaira nigricans, whose muscle tissues were opportunistically sampled from North Carolina (USA) sportfishing tournaments over a discontinuous time period: between 1975 and 77 and 1998-2021 (n = 148). The model-estimated influence of marlin weight on total mercury concentration was constant across years (shared slope) allowing for comparisons of weight-corrected mercury concentrations among years. Weight-corrected total mercury concentrations revealed an inter-decadal decline of approximately 45 % between the 1970s and late 1990s and then variable but relatively stable concentrations through 2021. The mean (SD) wet weight concentration of total mercury was 9.47 (4.11) from 1975 to 77 and 4.17 (2.61) from 2020 to 2021. Methylmercury and selenium were measured on a subset of fish to address questions related to human health and consumption. Methylmercury levels (mean = 0.72 µg/g) were much lower than total mercury (mean = 4.69 µg/g) indicating that total mercury is not a good proxy for methylmercury in Atlantic blue marlin. Selenium, examined as a Se:Hg molar ratio and as a selenium health benefit value (HBVSe), showed high protective value against mercury toxicity. Long-term trends in the concentration of mercury in blue marlin should continue to be monitored to determine whether policies to mitigate anthropogenic contributions to global mercury are achieving their intended goals and to provide information to inform safe human consumption.


Assuntos
Mercúrio , Compostos de Metilmercúrio , Perciformes , Selênio , Poluentes Químicos da Água , Animais , Humanos , Mercúrio/análise , Poluentes Químicos da Água/análise , Peixes
5.
Br J Anaesth ; 108(5): 876; author reply 877, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22499748
6.
Biochim Biophys Acta ; 628(2): 228-39, 1980 Mar 03.
Artigo em Inglês | MEDLINE | ID: mdl-7357039

RESUMO

Dextran is a polysaccharide which can interact with concanavalin A, and insolubilized dextran spheres are available with different degrees of swelling in water. One grade of these dextran gel spheres can be agglutinated extensively by concanavalin A, while another grade with the same binding constant is not affected. Photomicrographs and measurement by capillary suction show that deformability and good contact between these gel spheres can be correlated with their agglutinability.


Assuntos
Adesão Celular , Concanavalina A , Dextranos , Aglutinação , Géis , Glicogênio , Modelos Biológicos
7.
Invest Ophthalmol Vis Sci ; 35(9): 3357-61, 1994 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-8056510

RESUMO

PURPOSE: To determine the relationship between changes in contrast sensitivity, if any, after glaucoma therapy and the test-retest reliability of the CSV-1000 contrast sensitivity test. METHODS: Patients with primary open angle glaucoma (N = 16) were retrospectively evaluated to determine changes in visual function, as measured by contrast sensitivity, after beta-blocker therapy. A control group (N = 24) of normally sighted patients was tested and retested on contrast sensitivity. For the control group, the coefficients of repeatability (95% confidence interval for test-retest variability [COR]) were calculated for each spatial frequency. The CORs were compared to the changes in vision found after therapy in the patients with glaucoma. RESULTS: The group with glaucoma showed a significant improvement (P < .01) in contrast sensitivity at all spatial frequencies. The test-retest variance for normals, as measured by the COR, was smaller than the mean differences in contrast sensitivity before and after therapy at all spatial frequencies, expect 18 cyc/deg. CONCLUSIONS: Visual function in patients with glaucoma, as measured by contrast sensitivity, does improve after beta-blocker therapy. Further, the CSV-1000 is a clinically reliable tool for monitoring these changes.


Assuntos
Sensibilidades de Contraste/fisiologia , Glaucoma de Ângulo Aberto/tratamento farmacológico , Transtornos da Visão/diagnóstico , Testes Visuais , Idoso , Betaxolol/uso terapêutico , Glaucoma de Ângulo Aberto/fisiopatologia , Humanos , Levobunolol/uso terapêutico , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Estudos Retrospectivos , Timolol/uso terapêutico , Visão Ocular
8.
Int J Parasitol ; 27(11): 1299-304, 1997 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-9421714

RESUMO

Cercariae found occurring in naturally infected gastropod molluscs, Littorina littorea, were identified as Cercaria lebouri Stunkard 1932. They were induced to form metacercarial cysts on the surface of glass Petri dishes. Each cercaria became attached by its oral sucker and adopted a disc-like shape before discarding its tail. A transparent cyst wall was secreted over and around each organism, inside which developmental changes were observed for up to 4 weeks. Six-week-old metacercariae were fed to 1-day-old chickens which yielded adult worms 12 days later. The worms were measured, photographed and described. Initially, attempts to identify the adult worms using a key and catalogue proved ineffective. However, comparison of the adult flukes grown from C. lebouri with the definitive description of Paramonostomum chabaudi van Strydonck 1965 indicated that the two organisms are synonymous. The larval stages of P. chabaudi had not, until now, been identified.


Assuntos
Trematódeos/classificação , Animais , Galinhas/parasitologia , Moluscos/parasitologia , Trematódeos/anatomia & histologia , Trematódeos/crescimento & desenvolvimento
9.
J Clin Pathol ; 26(12): 958-62, 1973 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-4784504

RESUMO

Conscious subjects undergoing cardiac catheterization and other diagnostic procedures showed a rise in platelet-aggregation response to adenosine diphosphate (ADP) one hour before and during the procedure. The responses returned towards normal one hour afterwards. The response to glass beads was decreased one hour before the procedure, but was unchanged in subsequent samples. Plasma-free fatty acid (FFA) levels were increased during the procedure, and one hour afterwards, but had returned to normal by the following day. Platelet counts were slightly reduced on the day after the procedure. It is suggested that catecholamines released due to emotional stress may be responsible for the increased platelet responses to ADP and that this could influence the development of thrombosis and atherosclerosis.


Assuntos
Adesividade Plaquetária , Estresse Psicológico/sangue , Difosfato de Adenosina , Adulto , Angiografia/efeitos adversos , Arteriosclerose/etiologia , Contagem de Células Sanguíneas , Cateterismo Cardíaco/efeitos adversos , Catecolaminas/metabolismo , Ácidos Graxos não Esterificados/sangue , Feminino , Vidro , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Psicológico/etiologia , Trombose/etiologia , Fatores de Tempo , Urografia/efeitos adversos
10.
Surv Ophthalmol ; 43 Suppl 1: S43-50, 1999 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-10416746

RESUMO

Glaucoma remains a major eye illness with unknown etiology. Although elevated intraocular pressure is clearly a major risk factor, vascular deficits may contribute to initiation and progression of glaucoma. When intraocular pressure is acutely elevated in healthy individuals, the resistance index (derived from the peak systolic and end-diastolic velocities and an indirect index of vascular resistance distal to the site of measurement) in the central retinal and posterior ciliary arteries increases progressively. This result implies that mechanical and vascular factors may be coupled in such a way that perfusion of the retina and optic nerve head may be influenced by changes in the intraocular pressure. Further, at night, when ophthalmic artery flow velocities fall as arterial blood pressure falls in glaucoma patients, the risk of disease progression may be increased. The constancy of these same flow velocities in age-matched healthy individuals points to a possible vascular autoregulatory defect in glaucoma. In addition, in normal-tension glaucoma, vasodilation (CO2 inhalation) normalizes retrobulbar arterial flow velocities, hinting that some vascular deficits in glaucoma may be reversible. Finally, Ca2+ channel blockade improves contrast sensitivity in patients with normal-tension glaucoma, who also show increased retrobulbar vessel flow velocities, a result suggesting that visual function loss may be linked to ocular ischemia. Emerging evidence points to a role of ischemia in the pathogenesis of glaucoma, suggesting that treatments designed to improve ocular blood flow may benefit glaucoma patients.


Assuntos
Glaucoma de Ângulo Aberto/fisiopatologia , Disco Óptico/irrigação sanguínea , Neuropatia Óptica Isquêmica/fisiopatologia , Animais , Artérias/diagnóstico por imagem , Artérias/fisiopatologia , Velocidade do Fluxo Sanguíneo , Bloqueadores dos Canais de Cálcio/uso terapêutico , Doença Crônica , Ritmo Circadiano , Progressão da Doença , Glaucoma de Ângulo Aberto/tratamento farmacológico , Humanos , Pressão Intraocular , Neuropatia Óptica Isquêmica/etiologia , Neuropatia Óptica Isquêmica/prevenção & controle , Fatores de Risco , Ultrassonografia Doppler em Cores
11.
Am J Ophthalmol ; 124(3): 296-302, 1997 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-9439355

RESUMO

PURPOSE: To investigate ocular hemodynamic and visual function changes in patients with normal-tension glaucoma after treatment with a calcium channel blocker (nifedipine). METHODS: In 21 patients with normal-tension glaucoma, color Doppler imaging of the ophthalmic, central retinal, and short posterior ciliary arteries was carried out after a 4-week washout of prior drug treatment and again after 6 months of treatment with nifedipine (30 mg per day). Visual field sensitivity, spatial contrast sensitivity, and intraocular pressure were also recorded. RESULTS: Three subjects experienced intolerable side effects from the drug and were removed from the study. In two other patients, visual function was substantially reduced after 4 months of treatment; nifedipine was discontinued. In the remaining 16 subjects, mean intraocular pressure, retrobulbar hemodynamics, visual field mean sensitivity, and contrast sensitivity at 3, 12, and 18 cycles per degree (cpd), respectively, were unchanged after nifedipine treatment. Contrast sensitivity at 6 cpd, however, improved after drug treatment (P = .004). Individuals with the greatest improvements in contrast sensitivity at 6 cpd showed the largest increases in ophthalmic arterial peak systolic velocity (r = .57; P = .02) and end-diastolic velocity (r = .65; P = .001). CONCLUSION: Nifedipine fails to provide uniform visual function or retrobulbar hemodynamic responses in patients with normal-tension glaucoma. Those patients who do show improved visual function also show improved indices of retrobulbar perfusion.


Assuntos
Bloqueadores dos Canais de Cálcio/uso terapêutico , Sensibilidades de Contraste/fisiologia , Olho/irrigação sanguínea , Glaucoma/tratamento farmacológico , Hemodinâmica/fisiologia , Nifedipino/uso terapêutico , Campos Visuais/fisiologia , Administração Oral , Bloqueadores dos Canais de Cálcio/administração & dosagem , Bloqueadores dos Canais de Cálcio/efeitos adversos , Artérias Ciliares/diagnóstico por imagem , Artérias Ciliares/fisiologia , Feminino , Glaucoma/fisiopatologia , Humanos , Pressão Intraocular , Masculino , Pessoa de Meia-Idade , Nifedipino/administração & dosagem , Nifedipino/efeitos adversos , Artéria Oftálmica/diagnóstico por imagem , Artéria Oftálmica/fisiologia , Artéria Retiniana/diagnóstico por imagem , Artéria Retiniana/fisiologia , Ultrassonografia Doppler em Cores
12.
Br J Ophthalmol ; 87(12): 1463-5, 2003 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-14660453

RESUMO

AIMS: To determine the visual outcome following initiation of brimonidine therapy in glaucoma. METHODS: 16 newly diagnosed previously untreated glaucoma patients were randomly assigned to either timolol 0.5% or brimonidine 0.2%. Visual acuity, contrast sensitivity (CS), visual fields, intraocular pressure (IOP), blood pressure, and heart rate were evaluated at baseline and after 3 months. RESULTS: IOP reduction was similar for both groups (p<0.05). Brimonidine improved CS; in the right eye at 6 and 12 cpd (p=0.043, p=0.017); in the left eye at 3 and 12 cpd (p=0.044, p=0.046). Timolol reduced CS at 18 cpd in the right eye (p=0.041). There was no change in any other measured parameters. CONCLUSION: Glaucoma patients exhibit improved CS on initiation of brimonidine therapy.


Assuntos
Agonistas alfa-Adrenérgicos/uso terapêutico , Sensibilidades de Contraste , Glaucoma de Ângulo Aberto/tratamento farmacológico , Glaucoma de Ângulo Aberto/fisiopatologia , Quinoxalinas/uso terapêutico , Antagonistas Adrenérgicos beta/uso terapêutico , Análise de Variância , Tartarato de Brimonidina , Humanos , Pressão Intraocular/efeitos dos fármacos , Pessoa de Meia-Idade , Receptores Adrenérgicos alfa 2/efeitos dos fármacos , Timolol/uso terapêutico
13.
Br J Ophthalmol ; 81(4): 279-82, 1997 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-9215054

RESUMO

AIM/BACKGROUND: In diabetic eye disease the factors leading to compromised circulation and the resulting loss of visual function are poorly understood. Although retinal circulation has been widely investigated, it accounts for only a fraction of total eye blood flow. Blood flow was investigated in the larger vessels feeding the eye in patients with early diabetic retinopathy. METHODS: Eleven patients with early diabetes with minimal or no retinopathy and 11 healthy controls were evaluated for retrobulbar blood flow velocity using colour Doppler imaging for the ophthalmic and central retinal arteries. Patients and subjects were tested while breathing room air and again under conditions of isocapnic hyperoxia. RESULTS: Hyperoxia induced a significant change in the central retinal artery end diastolic velocity (EDV) (p = 0.008) and resistance index (RI) (p = 0.032) in normal subjects, but not in diabetic patients. Consequently, during hyperoxia, the diabetic patients were significantly higher for EDV (p = 0.006) and significantly lower for RI (p = 0.002) compared with normal controls. Hyperoxia caused no significant change in either group in the ophthalmic artery; nevertheless, under isocapnic hyperoxia conditions the diabetic patients had lower peak systolic velocity (p = 0.05) and lower RI (p = 0.05) than normal subjects. CONCLUSIONS: Imposition of isocapnic hyperoxia produces significant differences in the ophthalmic and central retinal artery blood flow velocities in diabetic patients with early disease when compared with normal subjects. These results demonstrate that diabetic patients with minimal or no retinopathy suffer from irregular ocular vascular function in the major vessels feeding the eye.


Assuntos
Retinopatia Diabética/fisiopatologia , Olho/irrigação sanguínea , Vasos Retinianos/fisiopatologia , Adulto , Velocidade do Fluxo Sanguíneo , Estudos de Casos e Controles , Feminino , Humanos , Masculino , Fluxo Sanguíneo Regional , Ultrassonografia Doppler em Cores
14.
Br J Ophthalmol ; 83(7): 809-13, 1999 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10381668

RESUMO

BACKGROUND/AIMS: Autoregulation of blood flow during posture change is important to ensure consistent organ circulation. The purpose of this study was to compare the change in retrobulbar ocular blood flow in glaucoma patients with normal subjects during supine and upright posture. METHODS: 20 open angle glaucoma patients and 20 normal subjects, similar in age and sex distribution, were evaluated. Blood pressure, intraocular pressure, and retrobulbar blood velocity were tested after 30 minutes of sitting and again after 30 minutes of lying. Retrobulbar haemodynamic measures of peak systolic velocity (PSV), end diastolic velocity (EDV), and resistance index (RI) were obtained in the ophthalmic and central retinal arteries using colour Doppler imaging (CDI). RESULTS: When changing from the upright to supine posture, normal subjects demonstrated a significant increase in OA EDV (p = 0.016) and significant decrease in OA RI (p = 0.0006) and CRA RI (p = 0.016). Glaucoma patients demonstrated similar changes in OA measures of EDV (p = 0.02) and RI (p = 0.04), but no change in CRA measures. CONCLUSION: Glaucoma patients exhibit faulty autoregulation of central retinal artery blood flow during posture change.


Assuntos
Glaucoma/fisiopatologia , Órbita/irrigação sanguínea , Postura/fisiologia , Velocidade do Fluxo Sanguíneo , Pressão Sanguínea/fisiologia , Feminino , Frequência Cardíaca/fisiologia , Homeostase , Humanos , Pressão Intraocular/fisiologia , Masculino , Pessoa de Meia-Idade , Fluxo Sanguíneo Regional/fisiologia , Ultrassonografia Doppler em Cores
15.
Br J Ophthalmol ; 85(11): 1352-6, 2001 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11673305

RESUMO

BACKGROUND/AIM: It is widely accepted that hypercapnia results in increased retinal, choroidal, and retrobulbar blood flow. Reports of a visual response to hypercapnia appear mixed, with normal subjects exhibiting reduced temporal contrast sensitivity in some studies, while glaucoma patients demonstrate mid-peripheral visual field improvements in others. This suggests that under hypercapnic conditions a balance exists between the beneficial effects of improved ocular blood flow and some other factor such as induced metabolic stress; the outcome may be influenced by the disease process. The aim of this study was to evaluate the contrast sensitivity response of untreated glaucoma patients and normal subjects during mild hypercapnia. METHODS: 10 previously untreated glaucoma patients and 10 control subjects were evaluated for contrast sensitivity and intraocular pressure while breathing room air and then again during mild hypercapnia. RESULTS: During room air breathing, compared with normal subjects, glaucoma patients had higher IOP (p = 0.0003) and lower contrast sensitivity at 3 cycles/degree (cpd) (p = 0.001). Mild hypercapnia caused a significant fall in contrast sensitivity at 6, 12, and 18 cpd (p < 0.05), only in the glaucoma group. CONCLUSION: Glaucoma patients with early disease exhibit central vision deficits as shown by contrast sensitivity testing at 3 cpd. Hypercapnia induces further contrast loss through a range of spatial frequencies (6-18 cpd) which may be predictive of further neuronal damage due to glaucoma.


Assuntos
Sensibilidades de Contraste/fisiologia , Glaucoma/fisiopatologia , Hipercapnia/fisiopatologia , Estudos de Casos e Controles , Feminino , Glaucoma/complicações , Humanos , Hipercapnia/complicações , Pressão Intraocular/fisiologia , Masculino , Pessoa de Meia-Idade , Oximetria/métodos , Acuidade Visual/fisiologia
16.
J Glaucoma ; 8(1): 12-7, 1999 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-10084269

RESUMO

PURPOSE: Vascular factors have been implicated in the progression of glaucoma, but the impact of long-term beta blocker therapy on ocular circulation remains largely undefined. The purpose of this study was to prospectively evaluate the level of retrobulbar blood flow in patients with primary open-angle glaucoma (POAG) before and during long-term treatment with a nonselective topical beta blocker, and to compare these measures with those in untreated control subjects. METHODS: Twelve control subjects and 12 patients with POAG were tested for intraocular pressure (IOP), heart rate, blood pressure, contrast sensitivity, visual field sensitivity, and retrobulbar flow velocity as measured by color Doppler imaging (CDI). Patients were evaluated after 4 weeks of drug washout and again after 3 and 6 months of treatment with a nonselective beta blocking agent. Control subjects were tested once. RESULTS: At baseline, patients with POAG had significantly higher IOP than normal controls; CDI measures of the central retinal artery (CRA) and short posterior ciliary artery (SPCA) in the patients were significantly different from those in control subjects. In the patients, treatment resulted in a significant reduction in IOP and in CRA and SPCA resistance index. CONCLUSION: Untreated patients with POAG have altered circulation in the CRA and SPCA compared with subjects of similar age and gender. These measures recover significantly during topical beta blocker therapy. The relationship of the pretreatment deficit and posttreatment recovery of CDI blood flow measures to the progression and therapeutic impediment of glaucomatous optic nerve deterioration remains to be determined.


Assuntos
Antagonistas Adrenérgicos beta/uso terapêutico , Glaucoma de Ângulo Aberto/fisiopatologia , Pressão Intraocular/efeitos dos fármacos , Órbita/irrigação sanguínea , Velocidade do Fluxo Sanguíneo/efeitos dos fármacos , Feminino , Seguimentos , Glaucoma de Ângulo Aberto/diagnóstico por imagem , Glaucoma de Ângulo Aberto/tratamento farmacológico , Humanos , Masculino , Pessoa de Meia-Idade , Artéria Oftálmica/diagnóstico por imagem , Órbita/diagnóstico por imagem , Estudos Prospectivos , Resultado do Tratamento , Ultrassonografia Doppler em Cores , Resistência Vascular/efeitos dos fármacos , Acuidade Visual , Campos Visuais
17.
J Dev Behav Pediatr ; 13(2): 118-23, 1992 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-1533648

RESUMO

Emotional reactions were examined cross-sectionally over the 1- to 6-year period in mothers of children with Down syndrome (N = 25) and with predominantly motor impairments (N = 20). Mothers rated their degree of concern about 16 early milestones and four events, and were also interviewed with the Vineland Adaptive Behavior Scales. Although milestones occurring during the first year caused higher levels of maternal concern than did later-occurring ones, concern was also evident for some later milestones. Mothers of Down syndrome and of motor-impaired children were equally concerned about motor milestones, but mothers in the Down syndrome group were more concerned about developments in communication. The two groups modulated their maternal concern based on different aspects of the child's communication skills. The timing, specificity, and sensitivity of maternal reactions identified in this study are discussed in relation to the unindirectional, time-bound model of "maternal mourning."


Assuntos
Adaptação Psicológica , Atitude , Pessoas com Deficiência/psicologia , Síndrome de Down/psicologia , Emoções , Mães/psicologia , Criança , Desenvolvimento Infantil , Pré-Escolar , Estudos Transversais , Feminino , Pesar , Humanos , Individualidade , Lactente , Masculino , Testes Neuropsicológicos , Estudos Retrospectivos
18.
Am J Ment Retard ; 98(5): 580-7, 1994 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-8192903

RESUMO

The profiles and developmental trajectories of adaptive behavior were cross-sectionally examined in 80 children with Down syndrome ages 1 to 11.5 years using the Vineland Adaptive Behavior Scales. Profile findings indicated a significant weakness in communication relative to daily living and socialization skills. Within communication itself, expressive language was significantly weaker than receptive skills, especially when children's overall communicative levels were above 24 months. One to 6-year-old children showed significant age-related gains in adaptive functioning, but older subjects showed no relation between age and adaptive behavior. There was, however, increased variability within this older group, implying that not all children plateau in adaptive development during the middle childhood years. Implications for development in Down syndrome and intervention programs were discussed.


Assuntos
Síndrome de Down/diagnóstico , Comportamento Social , Atividades Cotidianas/psicologia , Adaptação Psicológica , Criança , Pré-Escolar , Comunicação , Síndrome de Down/genética , Síndrome de Down/psicologia , Feminino , Humanos , Lactente , Deficiência Intelectual/diagnóstico , Deficiência Intelectual/genética , Deficiência Intelectual/psicologia , Masculino , Prognóstico , Socialização
19.
J Ocul Pharmacol Ther ; 15(6): 479-87, 1999 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-10609770

RESUMO

We evaluated the retrobulbar response to a selective versus nonselective beta blocker in a subgroup of primary open-angle glaucoma patients (POAG) characterized by ocular vasospasm. Eleven patients who exhibited ocular vasospasm (i.e. a significant increase in ophthalmic artery blood flow velocity or a significant decrease in ophthalmic artery resistance index during hypercapnia) underwent medication washout for 4 weeks and were enrolled in a double-masked cross-over study (betaxolol versus timolol). Patients were evaluated for blood flow velocity of the retrobulbar vessels using color Doppler imaging, intraocular pressure, visual field sensitivity and contrast sensitivity at the beginning and end of each 4 week treatment period. Timolol treatment caused a significant reduction in IOP (p = .007), but no change in retrobulbar hemodynamics or visual function. After betaxolol treatment, resistance index fell significantly (p = .040) in the ophthalmic artery and increased significantly in both the central retinal (p = .003) and temporal posterior ciliary arteries (p = .030). Also following betaxolol treatment, contrast sensitivity improved significantly (p = .006), and a significant positive correlation was shown between change in contrast sensitivity and change in resistance index (r = .70; p = .015) of the ciliary arteries. POAG patients characterized by ocular vasospasm display a significant hemodynamic response to betaxolol, but not to timolol.


Assuntos
Antagonistas Adrenérgicos beta/farmacologia , Betaxolol/farmacologia , Olho/irrigação sanguínea , Glaucoma de Ângulo Aberto/fisiopatologia , Hemodinâmica/efeitos dos fármacos , Timolol/farmacologia , Antagonistas Adrenérgicos beta/uso terapêutico , Betaxolol/uso terapêutico , Estudos Cross-Over , Método Duplo-Cego , Feminino , Glaucoma de Ângulo Aberto/tratamento farmacológico , Humanos , Hipercapnia/complicações , Pressão Intraocular/efeitos dos fármacos , Masculino , Pessoa de Meia-Idade , Artéria Oftálmica/fisiologia , Espasmo/fisiopatologia , Timolol/uso terapêutico , Ultrassonografia Doppler em Cores , Resistência Vascular/fisiologia
20.
Child Adolesc Psychiatr Clin N Am ; 8(3): 513-31, viii, 1999 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10442229

RESUMO

Neuropsychological models of obsessive-compulsive disorder (OCD) point to a fairly consistent pattern of deficits in response inhibition, visual memory, and visuoperceptual functioning. However, little is known about these areas of functioning with respect to child onset OCD because most studies to date have focused on adults. Data from adult OCD studies nevertheless provide valuable heuristic models of functioning that need to be systematically assessed in children. Moreover, combining neuro-psychological assessment with neuroimaging methods is a particularly powerful approach that promises to delineate the pathobiology of these disorders more precisely and to determine the degree of overlap between child and adult onset forms of OCD.


Assuntos
Transtorno Obsessivo-Compulsivo/diagnóstico , Transtorno Obsessivo-Compulsivo/psicologia , Adolescente , Adulto , Idade de Início , Criança , Transtornos Cognitivos/fisiopatologia , Humanos , Transtornos da Memória/fisiopatologia , Modelos Psicológicos , Transtorno Obsessivo-Compulsivo/fisiopatologia , Desempenho Psicomotor/fisiologia
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