Do teas rich in antioxidants reduce the physicochemical and peroxidative risk factors for calcium oxalate nephrolithiasis in humans? Pilot studies with Rooibos herbal tea and Japanese green tea.

Several experimental and animal studies have demonstrated that substances rich in antioxidants can reduce the physicochemical and peroxidative risk factors for calcium oxalate (CaOx) renal stone formation in urine and blood. However, there are very few such investigations in humans. In the present pilot study, two varieties of tea, a green one from Japan (JGT) and a herbal one from South Africa (Rooibos) (RT), both rich in antioxidants, were administered to a group of CaOx stone formers (SF) (n = 8) for 30 days. Both teas were analysed for polyphenols by high-performance liquid chromatography and for minerals by plasma atomic and optical emission spectroscopy. 24 h urines (baseline and day 30) were analysed for lithogenic factors. CaOx metastable limits and crystal nucleation and growth kinetics were also determined in each urine sample. Deposited crystals were inspected by scanning electron microscopy. Blood samples were collected (baseline and day 30). Biomarkers of oxidative stress including plasma and urinary thiobarbituric acid reactive substances (TBARS) and urinary N-acetyl-ß-D-glucosaminidase (NAG) were also determined. Urinary physicochemical risk factors were also investigated after ingestion of RT for 30 days in two control groups (CG1 and CG2), the latter one of which consisted of habitual JGT drinkers. Statistical analyses were performed using Wilcoxon signed rank tests and Mann-Whitney tests for paired and independent measurements, respectively. Several flavonoids and catechins were quantified in RT and JGT, respectively, confirming that both teas are rich sources of antioxidants. Mineral content was found to be far below dietary reference intakes. There were no significant changes in any of the urinary physicochemical or peroxidative risk factors in the control groups or in SF, except for the supersaturation (SS) of brushite (Bru) which decreased in the latter group after ingestion of JGT. Crystal morphology showed a tendency to change from mixed CaOx mono- and di-hydrate to monohydrate after ingestion of each tea. Since the latter form has a stronger binding affinity for epithelial cells, this effect is not protective. Analysis of the physicochemical and peroxidative risk factors in CG1 and CG2 did not reveal any evidence of a synergistic effect between the two teas. Paradoxically, baseline risk factors in the habitual JGT control group were significantly raised relative to those in CG1. Our preliminary results suggest that ingestion of RT and JGT does not reduce the risk factors for CaOx stone formation in humans, but these findings need to be tested in further studies involving much larger sample sizes.

Diagnostic accuracy of elastography and scintigraphic imaging after thermal microwave ablation of thyroid nodules.

PURPOSE: The aim of this study is to evaluate structural alterations of thyroid tissue after microwave ablation using elastography and scintigraphic imaging to investigate the applicability of these diagnostic methods for follow-up.  MATERIALS AND METHODS: 35 patients with 39 thyroid nodules were evaluated using elastography and scintigraphic imaging before and after ultrasound-guided microwave ablation. Elastography was analyzed according to color-coded output and results were classified using a fourfold elasticity score (ES). Nodules color-coded blue were classified ES1 for high elasticity through ES2 and ES3 for lower elasticity, and nodules with very low elasticity were color-coded red and classified as ES4. (99m)Tc-pertechnetate served as a tracer for scintigraphic imaging of hot and indifferent nodules and (99m)Tc-MIBI for cold nodules. RESULTS: Before microwave ablation, elastography detected a median elasticity score of ES 2 ±â€Š0.7, and after ablation the median score was ES 3 ±â€Š0.6. Overall, the median score increased by 1ES ±â€Š0.6 (p < 0.01). Scintigraphic imaging detected a median reduction of tracer uptake in ablated tissue of 38.7 %±â€Š27.5(p < 0.01). (99m)Tc-pertechnetate scans showed a median decrease of tracer uptake of 26.3 %±â€Š16.3 and (99m)Tc-MIBI scans detected uptake reduction of 54.7 %±â€Š29.2. CONCLUSION: Scintigraphic imaging using (99m)Tc-pertechnetate and (99m)Tc-MIBI provides quantifiable results and is promising as a diagnostic follow-up after microwave ablation. Strain elastography detects decreasing tissue elasticity, but accuracy is limited by the necessary reduction of color-coded output to elasticity scores.

Percutaneous thermal microwave ablation of thyroid nodules. Preparation, feasibility, efficiency.

UNLABELLED: Microwave ablation (MWA) is a new minimal invasive method for thermal ablation of benign thyroid nodules. In contrast to well-established radiofrequency ablation (RFA), MWA offers several advantages with similarly successful results. There has not been any use of functional imaging with 99mTc-pertechnetate and 99mTc-MIBI-scans as a mere qualitative analysis of this imaging in the field of MWA in Europe until now. The aim of this study has been to demonstrate the feasibility of MWA as well as the applicability of functional imaging to verify effectiveness with a centerspecific score. PATIENTS, METHODS: 11 patients (5 women, 6 men, average age 62.3 years) with 18 benign thyroid nodules were treated. MWA was operated under local anesthesia with a system working in a wavelength field of 902 to 928 MHz (Avecure MWG881, MedWaves, Inc. San Diego, CA). Pre- and postablative scans were controlled by two specialists in nuclear medicine with longtime work experience. RESULTS: A center specific functional imaging score (CSFIS) was defined, a decrease of 1.4 points at an average was noticeable (range 1-3 points). In 66.7% (n = 12) of all nodules the score decreased by 1 point, 27.8% (n = 5) by 2 points and 5.6% (n = 1) by 3 points. The treatment was well tolerated and no severe complications were observed. CONCLUSION: The preliminary data suggests that MWA is an effective method to treat benign thyroid nodules. Functional imaging is a promising technique for early verification of effectiveness of thermal ablation.

Phage therapy to control multidrug-resistant Pseudomonas aeruginosa skin infections: in vitro and ex vivo experiments.

The main goal of this study was to evaluate the efficiency of phage therapy against one of the most common multidrug-resistant (MDR) agents of skin infections, Pseudomonas aeruginosa. A phage suspension [10(8) plaque-forming units (PFU) mL(-1)] was obtained using the clinical strain P. aeruginosa 709 as the host. The ability of the phage to inactivate P. aeruginosa was evaluated in vitro and ex vivo (human skin), using a multiplicity of infection (MOI) of 0.5 to 50. In the presence of the phage, the density of P. aeruginosa 709 [10(5) colony-forming units (CFU) mL(-1)] in the human skin decreased by 4 logs after 2 h of incubation. The application of a second dose of phage did not increase the efficiency of the therapy. This study indicates that the topical application of phage PA709 efficiently inactivates MDR P. aeruginosa 709. The high efficiency in the inactivation of MDR P. aeruginosa 709, its considerable host range (infection of 30 % of the P. aeruginosa isolates) and its high stability in buffer and ex vivo human skin make this phage very promising for the treatment of P. aeruginosa skin infections. The phage-bacteria interactions were examined in vitro and in ex vivo in order to provide a basis for the selection of the most suitable protocol for subsequent in vivo experiments.

[Comparison of analog and digital fluoroscopy devices regarding patient radiation exposure in enteroclysis]. / Vergleich analoger und digitaler Durchleuchtungsgeräte hinsichtlich der Strahlenexposition der Patienten bei Enteroklysmen.

PURPOSE: With the development and refinement of digital imaging, conventional fluoroscopic units are increasingly being replaced by state-of-the-art digital units for the practice of gastrointestinal imaging. The purpose of this study was to compare digital and conventional methods of gastrointestinal imaging by enteroclysis based on radiation exposure to the patient and fluoroscopy time. MATERIALS AND METHODS: The medical records of 241 patients who underwent enteroclysis by the conventional technique in 1990 and 309 patients who underwent enteroclysis by digital technique between 2000 and 2004 were reviewed. The radiation exposure of the patient and the fluoroscopy time were evaluated. RESULTS: The mean radiation exposure was significantly lower (p < or = 0.05) for patients examined by the digital technique (4945.07 cGy x cm (2)) than for patients examined by the conventional technique (7513.6 cGy x cm (2)). The fluoroscopy time was significantly lower with the conventional technique (mean fluoroscopy time 9 min 43 sec) than with the digital technique (17 min 10 sec). CONCLUSION: We conclude that radiation exposure does not correlate directly with fluoroscopy time. Technical refinements of the digital technique such as Last Image Hold frames, which allow images to be stored with no increase in radiation dose and help to reduce digital fluorography exposures and pulsed fluoroscopy, result in significant dose reduction.

fMRI reveals two distinct cerebral networks subserving speech motor control.

BACKGROUND: There are few data on the cerebral organization of motor aspects of speech production and the pathomechanisms of dysarthric deficits subsequent to brain lesions and diseases. The authors used fMRI to further examine the neural basis of speech motor control. METHODS AND RESULTS: In eight healthy volunteers, fMRI was performed during syllable repetitions synchronized to click trains (2 to 6 Hz; vs a passive listening task). Bilateral hemodynamic responses emerged at the level of the mesiofrontal and sensorimotor cortex, putamen/pallidum, thalamus, and cerebellum (two distinct activation spots at either side). In contrast, dorsolateral premotor cortex and anterior insula showed left-sided activation. Calculation of rate/response functions revealed a negative linear relationship between repetition frequency and blood oxygen level-dependent (BOLD) signal change within the striatum, whereas both cerebellar hemispheres exhibited a step-wise increase of activation at approximately 3 Hz. Analysis of the temporal dynamics of the BOLD effect found the various cortical and subcortical brain regions engaged in speech motor control to be organized into two separate networks (medial and dorsolateral premotor cortex, anterior insula, and superior cerebellum vs sensorimotor cortex, basal ganglia, and inferior cerebellum). CONCLUSION: These data provide evidence for two levels of speech motor control bound, most presumably, to motor preparation and execution processes. They also help to explain clinical observations such as an unimpaired or even accelerated speaking rate in Parkinson disease and slowed speech tempo, which does not fall below a rate of 3 Hz, in cerebellar disorders.

Rate-dependent activation of a prefrontal-insular-cerebellar network during passive listening to trains of click stimuli: an fMRI study.

Eight volunteers underwent fMRI during passive listening to click trains. Using a parametric approach, rate-response profiles across the frequency band considered (2-6 Hz) were determined. Several cerebral structures outside the central-auditory pathways and target areas displayed distinct activation patterns each: rate-response profiles resembling high-pass (left side) or low-pass filtered (right side) signal series emerged at the level of the anterior insula, band-pass like characteristics (center frequency: 3-4 Hz) were observed within the left inferior frontal gyrus, and click train rates > 4 Hz yielded enhanced activation of the right cerebellar hemisphere. A variety of clinical and experimental data indicate that the left and right cerebral hemispheres act as high- and low-pass filters, respectively, on auditory input (double filtering by frequency theory). In light of the present fMRI data, the anterior insula contributes to the assumed double filtering by frequency functions. Furthermore, these intrasylvian areas seem to join up with the right cerebellum and the left inferior frontal gyrus to a network subserving parsing/timing functions within the auditory-verbal domain.

Contralaterality of cortical auditory processing at the level of the M50/M100 complex and the mismatch field: a whole-head magnetoencephalography study.

Humans show a stronger cortical representation of auditory input at the opposite hemisphere each. To specify the temporal aspects of this contralaterality effect within the domain of speech stimuli, the present study recorded a series of evoked magnetic fields (M50, M100, mismatch field) subsequent to monaural application of stop consonant-vowel syllables using whole-head magnetoencephalography (MEG). The M50 components exhibited a skewed shape of cross-symmetrical distribution in terms of an initial maximum peak succeeded by a knot over the contralateral and a reversed pattern over the ipsilateral temporal lobe. Most presumably, this pattern of evoked fields reflects two distinct stages of central-auditory processing: (a) initial excitation of the larger contralateral and the smaller ipsilateral projection area of the stimulated ear; (b) subsequent transcallosal activation of the residual neurons, i.e. the targets of the non-stimulated ear, at either side. Previous studies using non-speech stimuli found contralaterality of central-auditory processing to extend to the M100 field. In contrast, a larger amplitude of ipsilateral M100 as compared to the respective opposite deflection emerged after stimulation of either ear. Finally, the computed magnetic analogues of mismatch negativity failed any significant laterality effects. These data provide first evidence for a distinct pattern of hemispheric differences at the level of the M50/M100 complex subsequent to monaural application of speech stimuli.

Neural correlates of duplex perception: a whole-head magnetencephalography study.

Simultaneous experience of the same acoustic stimulus in two distinct phenomenological modes, e.g. as a speech-like and as a non-speech event, is referred to as duplex perception (DP). The most widely investigated DP paradigm splits each of the stop consonant-vowel (CV) syllables /ga/ and /da/ into an isolated formant transient (chirp) and the remaining sound structure (base). The present study recorded mismatch fields in response to a series of dichotically applied base and chirp components using whole-head magnetencephalography (MEG). Preattentive mismatch fields showed larger amplitudes in response to contralateral deviants. During attention to the fused percept /da/, the left ear deviants chirps elicited an enhanced and posteriorly shifted dipole field over the ipsilateral hemisphere. These data provide first neurophysiological evidence that the integration of acoustic stimulus elements into a coherent syllable representation constitutes a distinct stage of left-hemisphere speech sound encoding.

Encoding of temporal speech features (formant transients) during binaural and dichotic stimulus application: a whole-head magnetencephalography study.

Spoken-word recognition depends upon the encoding of relevant 'information bearing elements' of the acoustic speech signal. For example, relatively rapid shifts of spectral energy distribution (formant transients) cue the perception of stop consonant-vowel (CV) syllables such as /ba/, /ga/, and /da/. A variety of data indicate left-hemisphere superiority with respect to the processing of formant transients. To further delineate the underlying neurophysiological mechanisms, evoked cortical fields in response to CV syllables (oddball design; frequent stimulus=binaural /ga/; four deviant constellations: Binaural /ba/, binaural /da/, left /da/ (left ear deviant)-right /ga/, right /da/ (right ear deviant)-left /ga/) were recorded by means of whole-head magnetencephalography (MEG; 151 channels) under two different conditions of attentional demands (visual distraction versus reaction to prespecified stimuli). (a) During binaural stimulus presentation attention toward target events resulted in a significantly enhanced mismatch field (MMNm, magnetic analogue to the mismatch negativity) over the left as compared to the right hemisphere. In contrast, preattentive processing of the CV syllables failed MMNm lateralization effects. (b) Dichotic application of /da/ elicited a larger contralateral MMNm amplitude in subjects with right ear advantage (REA) at behavioral testing. In addition, right ear deviants yielded a stronger ipsilateral response than the left ear cognates. Taken together, these data indicate bilateral preattentive processing and subsequent attention-related predominant left-hemisphere encoding of formant transients at the level of the supratemporal plane. Furthermore, REA during dichotic application of CV syllables seems to be linked to functional dissociation of the two hemispheres during auditory processing.

Right-hemisphere dominance for the processing of sound-source lateralization.

Cortical processing of change in direction of a perceived sound source was investigated in 12 human subjects using whole-head magnetoencephalography. The German word "da" was presented either with or without 0.7 msec interaural time delays to create the impression of right- or left-lateralized or midline sources, respectively. Midline stimuli served as standards, and lateralized stimuli served as deviants in a mismatch paradigm. Two symmetrically linked dipoles fitted to the mismatch fields showed stronger moments in the hemisphere contralateral to the side of the deviant. The right dipole displayed equal latencies to both left and right deviants, whereas left dipole latencies were longer for ipsilateral than contralateral deviants. Frequency analysis between 20-70 Hz and statistical probability mapping revealed increased induced gamma-band activity at 53+/-2.5 Hz to both types of deviants. Right deviants elicited spectral amplitude enhancements in this frequency range, peaking at latencies of 160 and 240 msec. These effects were localized bilaterally over the angular gyri and posterior temporal regions. Coherence analysis suggested the existence of two separate interhemispheric networks. For left-lateralized deviants, both spectral amplitude enhancements at 110 and 220 msec and coherence increases were restricted to the right hemisphere. In conclusion, both mismatch dipole latencies at the supratemporal plane and gamma-band activity in posterior parietotemporal areas suggested a right hemisphere engagement in the processing of bidirectional sound-source shifts. In contrast, left-hemisphere regions responded predominantly to contralateral events. These findings may help to elucidate phenomena such as unilateral auditory neglect.

Differential impact of periodic and aperiodic speech-like acoustic signals on magnetic M50/M100 fields.

Voiced and unvoiced sounds, characterized by a periodic or aperiodic acoustic structure, respectively, represent two basic information-bearing elements of the speech signal. Using whole-head magnetencephalography (MEG), magnetic fields (M50/M100) in response to synthetic vowel-like as well as noise-like signals matched in spectral envelope were recorded in 20 subjects. Aperiodic events gave rise to increased M50 concomitant with reduced M100 activity as compared to their periodic cognates. Attention toward the auditory channel enhanced the effects of signal periodicity. These data provide first evidence that speech-relevant acoustic features differentially affect evoked magnetic fields as early as the M50 component. Conceivably, the M50 field reflects an ongoing monitoring process whereas the M100 component is bound to more specific operations such as detection of signal periodicity.

Influence of selegiline and lipoic acid on the life expectancy of immunosuppressed mice.

Ten groups of 14 immunosuppressed NMRI-mice (nu/nu) were raised and kept under germ-reduced conditions. The control animals were fed a germ-reduced diet, nine other groups received the same diet with selegiline (CAS 14611-51-9, Deprenyl) or lipoic acid (thioctic acid, CAS 62-46-4) admixed at various amounts. The 50% survival rate, the total life span of each group and the areas under the curves were determined to evaluate life expectancy as compared to the controls. The racemate of lipoic acid at high dosage (350 mg/kg body weight) reduced the life span significantly. The S(-)-enantiomer of lipoic acid (75 mg/kg body weight) increased the 50% survival rate, whereas the physiologic R(+)-enantiomer (9 mg/kg body weight) expanded the total life span of its group. Alteration of only one out of three parameters was not considered significant. All other groups except for one did not differ from controls: only animals which obtained 75 micrograms selegiline per kg of body weight and per day exerted increased life expectancies by all three parameters. This group exhibited also in statistical evaluation a significantly (p < 0.05) prolongated survival time up to about 200% as compared to the control animals.

The cortical processing of perceived emotion: a DC-potential study on affective speech prosody.

Direct current (DC) components of the EEG signal were recorded in 16 right-handed subjects during presentation of pairs of declarative sentences with either happy, sad or neutral intonation. Each stimulus pair had identical wording, but differed at the acoustic level either in pitch (fundamental frequency = FO) range or in duration of stressed syllables. Subjects were asked, first, to identify the emotional category of each sentence pair and, second, to indicate the utterance displaying stronger emotional expressiveness. Stimuli with happy or sad intonation, as well as FO-manipulated neutral sentences, yielded a significantly lateralized negativity towards the right hemisphere (RH). Compared with FO-varied neutral utterances, the discrimination of time-manipulated neutral stimuli resulted in significantly reduced amplitudes, predominantly over RH areas. These results corroborate the suggestion of a dominant role of the RH for the evaluation of the emotional significance of sensory input.

Frontal-type memory impairment associated with thalamic damage.

The present case report adds further evidence to the hypothesis that material-specific memory problems arise from unilateral thalamic damage and that frontal cortical dysfunction may affect the nature of the memory disorder. A 64-year old patient who had suffered an ischemic lesion limited to the right anterior thalamus showed marked deficits in immediate and delayed recall of visuospatial material and face recognition. In addition, there was evidence of frontal-type memory problems including impaired spatial working memory, increased forgetting rates, poor prospective memory and inadequate elaborative encoding. Concomitant behavioral changes characterized by increased irritability and disinhibition also supported the hypothesis of frontal lobe dysfunction after thalamic damage.

Dissociation of declarative and nondeclarative memory after bilateral thalamic lesions: a case report.

The case of a 63-year-old woman who suffered bilateral ischemic damage in the region of blood supply of the paramedian thalamic arteries is reported. She displayed severe deficits on immediate and delayed recall of both verbal and visuospatial material in the presence of intact IQ and attentional abilities. Performance on tests of all major components of nondeclarative memory (skill acquisition, perceptual priming, classical conditioning) was also preserved. The present report, thus, provides a further example for dissociations of declarative and nondeclarative memory functions following bilateral thalamic damage.

Dysarthria in bilateral thalamic infarction. A case study.

A patient suffering from bilateral thalamic infarction in the region supplied by the paramedian arteries sparing the internal capsules underwent acoustic analysis of sentence utterances. The results were compared with the findings obtained in parkinsonian subjects, in patients with upper motor neuron lesions, and in normal subjects. Acoustic measurements revealed increased pitch, monotonous speech, rough voice quality, and normal speech tempo concomitant with articulatory impreciseness in terms of incomplete closure productions. This constellation resembled parkinsonian dysarthria. Damage to the thalamic projection area of the pallidal efferents, therefore, seems to be the most probable cause of the patient's speech disorders. In parkinsonian subjects stereotactical lesions of this structure ameliorate rigor, but not akinesia. Thus, our patient's speech deficits, and by analogy the corresponding parkinsonian dysarthric disturbances, may be considered akinetic signs.

Influence of an acoustic preparatory signal on postural reflexes of the distal leg muscles in humans.

In standing subjects the sudden displacement of a platform toe-up evokes a stabilizing postural response of the anterior tibial muscle (long-latency reflex). A preparatory signal (acoustic warning stimulus) preceding the postural perturbation by 1 s results in a significant decrease in latency of this long-latency response. There is no parallel modulation of the afferent cortical input in terms of evoked cerebral potentials following platform tilts toe-up nor of efferent cortico-spinal functions as evaluated by means of transcranial magnetic stimulation. Conceivable underlying mechanisms include faster intraspinal and/or intracortical processing of afferent input or switching to a shorter spinal reflex pathway.

Lipid composition of rat mammary carcinomas, mammary glands, and related tissues: endocrine influences.

The lipids of mammary glands and mammary carcinomas from rats in various hormonal states were studied and compared with each other, with adipose tissue, and with a new transplantable sarcoma derived from cultured mammary carcinoma cells. When large doses of estradiol-17 Beta were administered to the host, cells of a few carcinomas became engorged with triglyceride containing an increased proportion of C(10)-C(14) fatty acids-a characteristic of milk fat. Cancers capable of fatty transformation must retain in latent form the enzyme system for fatty acid synthesis possessed by mammary epithelium; estradiol-17 Beta apparently activates this system. The lipid composition of retroperitoneal adipose tissue resembled that of the mammary tissue of virgin rats; this indicates similarity between retroperitoneal fat and the adipose component of mammary gland. Relative to the dry nonfat material present, the phospholipid content of adipose tissue was greater than that of the other tissues. Generally, differences in lipid composition between tissues were in amounts of triglyceride present and proportions of fatty acids in the triglyceride fraction. The ratios of cholesterol and cholesterol ester to phospholipid were similar in normal and neoplastic tissues. The amounts of free fatty acid, monoglyceride, and diglyceride were roughly proportional to the amount of triglyceride present.