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1.
Space Sci Rev ; 219(3): 23, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37007704

RESUMEN

The NASA Ionospheric Connection Explorer (ICON) was launched in October 2019 and has been observing the upper atmosphere and ionosphere to understand the sources of their strong variability, to understand the energy and momentum transfer, and to determine how the solar wind and magnetospheric effects modify the internally-driven atmosphere-space system. The Far Ultraviolet Instrument (FUV) supports these goals by observing the ultraviolet airglow in day and night, determining the atmospheric and ionospheric composition and density distribution. Based on the combination of ground calibration and flight data, this paper describes how major instrument parameters have been verified or refined since launch, how science data are collected, and how the instrument has performed over the first 3 years of the science mission. It also provides a brief summary of science results obtained so far.

2.
Space Sci Rev ; 218(1): 4, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35194256

RESUMEN

The Emirates Mars Mission (EMM) was launched to Mars in the summer of 2020, and is the first interplanetary spacecraft mission undertaken by the United Arab Emirates (UAE). The mission has multiple programmatic and scientific objectives, including the return of scientifically useful information about Mars. Three science instruments on the mission's Hope Probe will make global remote sensing measurements of the Martian atmosphere from a large low-inclination orbit that will advance our understanding of atmospheric variability on daily and seasonal timescales, as well as vertical atmospheric transport and escape. The mission was conceived and developed rapidly starting in 2014, and had aggressive schedule and cost constraints that drove the design and implementation of a new spacecraft bus. A team of Emirati and American engineers worked across two continents to complete a fully functional and tested spacecraft and bring it to the launchpad in the middle of a global pandemic. EMM is being operated from the UAE and the United States (U.S.), and will make its data freely available.

3.
J Geophys Res Space Phys ; 126(11)2021 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-35004096

RESUMEN

The Far Ultra Violet (FUV) ultraviolet imager onboard the NASA-ICON mission is dedicated to the observation and study of the ionosphere dynamics at mid and low latitudes. We compare O+ density profiles provided by the ICON FUV instrument during nighttime with electron density profiles measured by the COSMIC-2 constellation (C2) and ground-based ionosondes. Co-located simultaneous observations are compared, covering the period from November 2019 to July 2020, which produces several thousands of coincidences. Manual scaling of ionogram sequences ensures the reliability of the ionosonde profiles, while C2 data are carefully selected using an automatic quality control algorithm. Photoelectron contribution coming from the magnetically conjugated hemisphere is clearly visible in FUV data around solstices and has been filtered out from our analysis. We find that the FUV observations are consistent with the C2 and ionosonde measurements, with an average positive bias lower than 1 × 1011 e/m3. When restricting the analysis to cases having an NmF2 value larger than 5 × 1011 e/m3, FUV provides the peak electron density with a mean difference with C2 of 10%. The peak altitude, also determined from FUV observations, is found to be 15 km above that obtained from C2, and 38 km above the ionosonde value on average.

4.
Vis Neurosci ; 26(3): 267-74, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-19500430

RESUMEN

Vision begins with photoisomerization of 11-cis retinal to the all-trans conformation within the chromophore-binding pocket of opsin, leading to activation of a biochemical cascade. Release of all-trans retinal from the binding pocket curtails but does not fully quench the ability of opsin to activate transducin. All-trans retinal and some other analogs, such as beta-ionone, enhance opsin's activity, presumably on binding the empty chromophore-binding pocket. By recording from isolated salamander photoreceptors and from patches of rod outer segment membrane, we now show that high concentrations of beta-ionone suppressed circulating current in dark-adapted green-sensitive rods by inhibiting the cyclic nucleotide-gated channels. There were also decreases in circulating current and flash sensitivity, and accelerated flash response kinetics in dark-adapted blue-sensitive (BS) rods and cones, and in ultraviolet-sensitive cones, at concentrations too low to inhibit the channels. These effects persisted in BS rods even after incubation with 9-cis retinal to ensure complete regeneration of their visual pigment. After long exposures to high concentrations of beta-ionone, recovery was incomplete unless 9-cis retinal was given, indicating that visual pigment had been bleached. Therefore, we propose that beta-ionone activates and bleaches some types of visual pigments, mimicking the effects of light.


Asunto(s)
Norisoprenoides/farmacología , Células Fotorreceptoras de Vertebrados/efectos de los fármacos , Células Fotorreceptoras de Vertebrados/metabolismo , Pigmentos Retinianos/metabolismo , Urodelos/metabolismo , Animales , Canales Catiónicos Regulados por Nucleótidos Cíclicos/antagonistas & inhibidores , Adaptación a la Oscuridad/fisiología , Relación Dosis-Respuesta a Droga , Conductividad Eléctrica , Técnicas In Vitro , Cinética , Larva , Membranas/efectos de los fármacos , Membranas/metabolismo , Membranas/fisiología , Norisoprenoides/administración & dosificación , Células Fotorreceptoras de Vertebrados/fisiología , Células Fotorreceptoras Retinianas Bastones/efectos de los fármacos , Células Fotorreceptoras Retinianas Bastones/fisiología , Segmento Externo de la Célula en Bastón/efectos de los fármacos , Segmento Externo de la Célula en Bastón/metabolismo , Segmento Externo de la Célula en Bastón/fisiología , Factores de Tiempo , Urodelos/crecimiento & desarrollo
5.
Palliat Med ; 23(5): 471-2, 2009 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-19304803

RESUMEN

We report the case of a patient with tonsillar carcinoma, presenting with insomnia and symptoms of obstructive sleep apnoea/hypopnea syndrome (OSAHS), which were exacerbated following an increase in benzodiazepine dose. There is a growing body of evidence describing OSAHS in patients treated for head and neck cancer. However, to our knowledge, there are no reports relating to the population of patients with progressive disease, whose management is palliative. We would advise consideration be given to the possibility of OSAHS in a patient presenting with an oropharyngeal tumour and sleep disturbance and would also suggest caution in the prescription of benzodiazepines and other sedative medication to this group of patients.


Asunto(s)
Carcinoma de Células Escamosas/complicaciones , Cuidados Paliativos , Trastornos del Inicio y del Mantenimiento del Sueño/etiología , Neoplasias Tonsilares/complicaciones , Benzodiazepinas/efectos adversos , Femenino , Humanos , Persona de Mediana Edad , Factores de Riesgo , Apnea Obstructiva del Sueño , Trastornos del Inicio y del Mantenimiento del Sueño/tratamiento farmacológico
6.
J Geophys Res Space Phys ; 124(4): 3100-3109, 2019 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-32874820

RESUMEN

Previous observations have shown that electron density and temperature in the dayside ionosphere of Mars vary between strongly and weakly magnetized regions of the planet. Here we use data from the Neutral Gas and Ion Mass Spectrometer (NGIMS) on the Mars Atmosphere and Volatile EvolutioN (MAVEN) spacecraft to examine whether dayside ion densities and ionospheric composition also vary. We find that O+, O 2 + , and CO 2 + densities above ~200 km are greater in strongly magnetized regions than in weakly magnetized regions. Fractional abundances of ion species are also affected. The O + / O 2 + ratio at 300-km altitude increases from ~0.5 in strongly magnetized regions to ~0.8 in weakly magnetized regions. Consequently, the plasma reservoir available for escape is fundamentally different between strongly magnetized and weakly magnetized regions.

7.
Heredity (Edinb) ; 101(5): 420-8, 2008 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-18648384

RESUMEN

Wolbachia are maternally inherited intracellular bacteria known to manipulate the reproduction of their arthropod hosts. Wolbachia commonly affect the sperm of infected arthropods. Wolbachia-modified sperm cannot successfully fertilize unless the female is infected with the same Wolbachia type. A study of spermatogenesis in the parasitic wasp Nasonia vitripennis reveals that Wolbachia are not required in individual spermatocytes or spermatids to modify sperm. In N. vitripennis, Wolbachia modify nearly all sperm, but are found only in approximately 28% of developing sperm, and are also found in surrounding cyst and sheath cells. In the beetle Chelymorpha alternans, Wolbachia can modify up to 90% of sperm, but were never observed within the developing sperm or within the surrounding cyst cells; they were abundant within the outer testis sheath. We conclude that the residence within a developing sperm is not a prerequisite for Wolbachia-induced sperm modification, suggesting that Wolbachia modification of sperm may occur across multiple tissue membranes or act upstream of spermiogenesis.


Asunto(s)
Espermatogénesis , Espermatozoides/crecimiento & desarrollo , Espermatozoides/microbiología , Avispas/crecimiento & desarrollo , Avispas/microbiología , Wolbachia/fisiología , Animales , Escarabajos/crecimiento & desarrollo , Escarabajos/microbiología , Femenino , Masculino , Especificidad de la Especie
8.
Nat Neurosci ; 2(6): 541-8, 1999 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-10448219

RESUMEN

Many damage-sensing neurons express tetrodotoxin (TTX)-resistant voltage-gated sodium channels. Here we examined the role of the sensory-neuron-specific (SNS) TTX-resistant sodium channel alpha subunit in nociception and pain by constructing sns-null mutant mice. These mice expressed only TTX-sensitive sodium currents on step depolarizations from normal resting potentials, showing that all slow TTX-resistant currents are encoded by the sns gene. Null mutants were viable, fertile and apparently normal, although lowered thresholds of electrical activation of C-fibers and increased current densities of TTX-sensitive channels demonstrated compensatory upregulation of TTX-sensitive currents in sensory neurons. Behavioral studies demonstrated a pronounced analgesia to noxious mechanical stimuli, small deficits in noxious thermoreception and delayed development of inflammatory hyperalgesia. These data show that SNS is involved in pain pathways and suggest that blockade of SNS expression or function may produce analgesia without side effects.


Asunto(s)
Dolor/fisiopatología , Canales de Sodio/efectos de los fármacos , Canales de Sodio/fisiología , Tetrodotoxina/farmacología , Vías Aferentes/fisiología , Animales , Conducta Animal/fisiología , Umbral Diferencial/fisiología , Resistencia a Medicamentos , Conductividad Eléctrica , Estimulación Eléctrica , Ratones , Ratones Endogámicos C57BL , Ratones Noqueados/genética , Canal de Sodio Activado por Voltaje NAV1.8 , Fibras Nerviosas/fisiología , Neuronas Aferentes/fisiología , Nociceptores/fisiología , Umbral del Dolor/fisiología , Estimulación Física , Canales de Sodio/genética
9.
Space Sci Rev ; 2142018.
Artículo en Inglés | MEDLINE | ID: mdl-33758433

RESUMEN

The Ionospheric Connection Explorer, or ICON, is a new NASA Explorer mission that will explore the boundary between Earth and space to understand the physical connection between our world and our space environment. This connection is made in the ionosphere, which has long been known to exhibit variability associated with the sun and solar wind. However, it has been recognized in the 21st century that equally significant changes in ionospheric conditions are apparently associated with energy and momentum propagating upward from our own atmosphere. ICON's goal is to weigh the competing impacts of these two drivers as they influence our space environment. Here we describe the specific science objectives that address this goal, as well as the means by which they will be achieved. The instruments selected, the overall performance requirements of the science payload and the operational requirements are also described. ICON's development began in 2013 and the mission is on track for launch in 2017. ICON is developed and managed by the Space Sciences Laboratory at the University of California, Berkeley, with key contributions from several partner institutions.

10.
Mol Cell Biol ; 7(1): 349-56, 1987 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-3561394

RESUMEN

A complete understanding of chromosomal disjunction during mitosis and meiosis in complex genomes such as the human genome awaits detailed characterization of both the molecular structure and genetic behavior of the centromeric regions of chromosomes. Such analyses in turn require knowledge of the organization and nature of DNA sequences associated with centromeres. The most prominent class of centromeric DNA sequences in the human genome is the alpha satellite family of tandemly repeated DNA, which is organized as distinct chromosomal subsets. Each subset is characterized by a particular multimeric higher-order repeat unit consisting of tandemly reiterated, diverged alpha satellite monomers of approximately 171 base pairs. The higher-order repeat units are themselves tandemly reiterated and represent the most recently amplified or fixed alphoid sequences. We present evidence that there are at least two independent domains of alpha satellite DNA on chromosome 7, each characterized by their own distinct higher-order repeat structure. We determined the complete nucleotide sequences of a 6-monomer higher-order repeat unit, which is present in approximately 500 copies per chromosome 7, as well as those of a less-abundant (approximately 10 copies) 16-monomer higher-order repeat unit. Sequence analysis indicated that these repeats are evolutionarily distinct. Genomic hybridization experiments established that each is maintained in relatively homogeneous tandem arrays with no detectable interspersion. We propose mechanisms by which multiple unrelated higher-order repeat domains may be formed and maintained within a single chromosomal subset.


Asunto(s)
Cromosomas Humanos Par 7 , ADN Satélite/genética , Genes , Secuencia de Bases , Células Cultivadas , Clonación Molecular , Humanos , Leucocitos/citología , Linfocitos/citología , Meiosis , Mitosis , Plásmidos
11.
Space Sci Rev ; 212: 655-696, 2017 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-33758431

RESUMEN

ICON Far UltraViolet (FUV) imager contributes to the ICON science objectives by providing remote sensing measurements of the daytime and nighttime atmosphere/ionosphere. During sunlit atmospheric conditions, ICON FUV images the limb altitude profile in the shortwave (SW) band at 135.6 nm and the longwave (LW) band at 157 nm perpendicular to the satellite motion to retrieve the atmospheric O/N2 ratio. In conditions of atmospheric darkness, ICON FUV measures the 135.6 nm recombination emission of O+ ions used to compute the nighttime ionospheric altitude distribution. ICON Far UltraViolet (FUV) imager is a CzernyTurner design Spectrographic Imager with two exit slits and corresponding back imager cameras that produce two independent images in separate wavelength bands on two detectors. All observations will be processed as limb altitude profiles. In addition, the ionospheric 135.6 nm data will be processed as longitude and latitude spatial maps to obtain images of ion distributions around regions of equatorial spread F. The ICON FUV optic axis is pointed 20 degrees below local horizontal and has a steering mirror that allows the field of view to be steered up to 30 degrees forward and aft, to keep the local magnetic meridian in the field of view. The detectors are micro channel plate (MCP) intensified FUV tubes with the phosphor fiber-optically coupled to Charge Coupled Devices (CCDs). The dual stack MCP-s amplify the photoelectron signals to dominate the CCD noise and the rapidly scanned frames are co-added to digitally create 12-second integrated images. Digital on-board signal processing is used to compensate for geometric distortion and satellite motion and to achieve data compression. The instrument was originally aligned in visible light by using a special grating and visible cameras. Final alignment, functional and environmental testing and calibration were performed in a large vacuum chamber with a UV source. The test and calibration program showed that ICON FUV meets its design requirements and is ready to be launched on the ICON spacecraft.

12.
J Laryngol Otol ; 120(2): e9, 2006 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-16917986

RESUMEN

A 75-year-old gentleman presented to our department with dysphagia, nocturnal cough and dysphonia. Clinical examination revealed a large parapharyngeal mass extending from the left nasopharynx to the glottis. A magnetic resonance imaging scan confirmed the lipomatous nature of the lesion and elegantly demonstrated its anatomy. We discuss the aetiology and management of such lesions and focus on the diagnostic radiology of the parapharyngeal space.


Asunto(s)
Lipoma/diagnóstico , Neoplasias Faríngeas/diagnóstico , Anciano , Humanos , Imagen por Resonancia Magnética , Masculino , Tomografía Computarizada por Rayos X
13.
Science ; 350(6261): aad0459, 2015 Nov 06.
Artículo en Inglés | MEDLINE | ID: mdl-26542579

RESUMEN

The Mars Atmosphere and Volatile Evolution (MAVEN) mission, during the second of its Deep Dip campaigns, made comprehensive measurements of martian thermosphere and ionosphere composition, structure, and variability at altitudes down to ~130 kilometers in the subsolar region. This altitude range contains the diffusively separated upper atmosphere just above the well-mixed atmosphere, the layer of peak extreme ultraviolet heating and primary reservoir for atmospheric escape. In situ measurements of the upper atmosphere reveal previously unmeasured populations of neutral and charged particles, the homopause altitude at approximately 130 kilometers, and an unexpected level of variability both on an orbit-to-orbit basis and within individual orbits. These observations help constrain volatile escape processes controlled by thermosphere and ionosphere structure and variability.

14.
Science ; 350(6261): aad0210, 2015 Nov 06.
Artículo en Inglés | MEDLINE | ID: mdl-26542576

RESUMEN

Coupling between the lower and upper atmosphere, combined with loss of gas from the upper atmosphere to space, likely contributed to the thin, cold, dry atmosphere of modern Mars. To help understand ongoing ion loss to space, the Mars Atmosphere and Volatile Evolution (MAVEN) spacecraft made comprehensive measurements of the Mars upper atmosphere, ionosphere, and interactions with the Sun and solar wind during an interplanetary coronal mass ejection impact in March 2015. Responses include changes in the bow shock and magnetosheath, formation of widespread diffuse aurora, and enhancement of pick-up ions. Observations and models both show an enhancement in escape rate of ions to space during the event. Ion loss during solar events early in Mars history may have been a major contributor to the long-term evolution of the Mars atmosphere.

15.
Hypertension ; 19(4): 301-7, 1992 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-1555863

RESUMEN

This study was designed to investigate the role and regulation of arterial membrane K+ channels in hypertension. Aortic segments from normotensive Wistar-Kyoto (WKY) rats and spontaneously hypertensive rats (SHR) were suspended for isometric tension recording. In other experiments, proximal aortic segments (PS) (exposed to high pressure) and distal aortic segments (DS) (exposed to lower pressure) were removed from surgically coarcted Sprague-Dawley rats and similarly prepared. Aortas from SHR and PS dose-dependently contracted to the K+ channel blocker tetraethylammonium (TEA) (0.1-10 mM), and this contraction was abolished by preincubation with 0.1 microM nifedipine. In contrast, the same concentrations of TEA did not contract either WKY or DS aortas. Since block of K+ channels by TEA had a different effect on aortic segments exposed to high versus low blood pressure, we compared whole-cell K+ currents in isolated vascular cells from the same aortas. The reversal potentials of depolarization-induced outward currents in WKY, SHR, DS, and PS aortic cells showed a Nernst relation to external K+ concentration indicative of selective K+ permeability. TEA (1 and 10 mM) was equipotent in blocking these K+ currents in patch-clamped cells from all aortic preparations, suggesting that the lack of TEA-induced contractions in WKY and DS aortas was not due to an absence of TEA-sensitive K+ channels in these arterial membranes. However, when the Ca2+ ionophore A23187 (10 microM) was used to increase the level of cytosolic Ca2+ in patch-clamped cells, the K+ current density in SHR and PS aortic cells was twofold or more higher than in WKY and DS cells.(ABSTRACT TRUNCATED AT 250 WORDS)


Asunto(s)
Calcio/fisiología , Contracción Muscular/efectos de los fármacos , Potasio/metabolismo , Compuestos de Tetraetilamonio/farmacología , Animales , Aorta , Calcimicina/farmacología , Permeabilidad de la Membrana Celular/efectos de los fármacos , Relación Dosis-Respuesta a Droga , Músculo Liso Vascular/efectos de los fármacos , Músculo Liso Vascular/fisiología , Nifedipino/farmacología , Ratas , Ratas Endogámicas SHR , Ratas Endogámicas WKY , Tetraetilamonio , Compuestos de Tetraetilamonio/antagonistas & inhibidores
16.
Gene ; 76(1): 41-52, 1989 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-2663650

RESUMEN

To investigate the genetic basis of drug resistance in human malaria parasites, we have sequenced the entire dihydrofolate reductase thymidylate synthetase DHFR-TS bifunctional gene from the highly pyrimethamine-resistant K1 isolate of Plasmodium falciparum. The protein is predicted to consist of 607 amino acids (aa), (71,685 Da), with an N-terminal methionine encoded by the second start codon of the open reading frame. Compared to the sequence from drug-sensitive parasites, there are two nucleotide changes in the coding region which bring about a substitution of Arg for Cys at aa position 59 and Asn for Thr at aa position 108. Both changes occur in regions of the DHFR domain involved in inhibitor and cofactor binding and are hence strongly implicated in drug resistance. The gene is present as a single copy in both K1 and drug-sensitive FCR3 isolates, and is assigned to chromosome 4. Codon usage follows the pattern observed in that of malarial surface antigen genes, with the exception fo codons corresponding to Val and Pro. The Asn and Lys contents of the predicted protein are exceptionally high, these residues being particularly concentrated in the DHFR and junction domains.


Asunto(s)
Genes , Plasmodium falciparum/genética , Pirimetamina/farmacología , Tetrahidrofolato Deshidrogenasa/genética , Timidilato Sintasa/genética , Secuencia de Aminoácidos , Aminoácidos/análisis , Animales , Secuencia de Bases , Fenómenos Químicos , Química , Clonación Molecular , Codón , ADN/genética , Resistencia a Medicamentos/genética , Amplificación de Genes , Genes Reguladores , Datos de Secuencia Molecular , Mutación , Sondas de Oligonucleótidos , Plasmodium falciparum/efectos de los fármacos , Plasmodium falciparum/enzimología , Biosíntesis de Proteínas , Pirimetamina/aislamiento & purificación , Mapeo Restrictivo
17.
FEBS Lett ; 445(1): 177-82, 1999 Feb 19.
Artículo en Inglés | MEDLINE | ID: mdl-10069396

RESUMEN

Mammalian sensory neurons express a voltage-gated sodium channel named SNS. Here we report the identification of an SNS transcript (SNS-A) that contains an exact repeat of exons 12, 13 and 14 encoding a partial repeat of domain II. Because the exons 12-14 are present in single copies in genomic DNA, the SNS-A transcript must arise by trans-splicing. Nerve growth factor, which regulates pain thresholds, and the functional expression of voltage-gated sodium channels increases the levels of the SNS-A transcript several-fold both in vivo and in vitro as measured by RNase protection methods, as well as RT-PCR. These data demonstrate a novel regulatory role for the nerve growth factor and are the first example of trans-splicing in the vertebrate nervous system.


Asunto(s)
Proteínas de Unión al ADN/genética , Activación del Canal Iónico , Factores de Crecimiento Nervioso/metabolismo , Neuronas/metabolismo , Trans-Empalme , Factores de Transcripción/genética , Empalme Alternativo , Animales , Células Cultivadas , Regulación de la Expresión Génica , Factores de Crecimiento Nervioso/farmacología , Neuronas/citología , Neuronas/efectos de los fármacos , Ratas , Ratas Sprague-Dawley , Factores de Transcripción de la Familia Snail
18.
Eur J Cancer ; 28(2-3): 658-60, 1992.
Artículo en Inglés | MEDLINE | ID: mdl-1591088

RESUMEN

The most critical factor affecting survival in patients with breast carcinoma is axillary nodal involvement. Monoclonal antibodies raised against specific human mammary tumour associated antigens may increase detection of micrometastases. This preliminary report examines two of these antigens; CA15-3 antigen and mucin-like carcinoma associated antigen (MCA) in the detection of such deposits. Specimens from 39 stage 1 (node negative) breast carcinoma patients were assessed. Two further 'negative' sections were stained with antisera to CA15-3 and MCA antigens. Micrometastases were detected in 5 patients and in each, MCA and CA15-3 identified the same micrometastases. 3 of these patients had disease progression compared with 3/34 of the remaining patients. The use of monoclonal antibodies to CA15-3 and MCA significantly (P less than 0.05) increases detection rates of micrometastases and this is associated with significantly worse disease-free survival rates (P less than 0.001).


Asunto(s)
Antígenos de Neoplasias/análisis , Antígenos de Carbohidratos Asociados a Tumores/análisis , Biomarcadores de Tumor/análisis , Neoplasias de la Mama/patología , Metástasis Linfática/diagnóstico , Adulto , Anciano , Anticuerpos Monoclonales , Axila , Femenino , Humanos , Técnicas para Inmunoenzimas , Persona de Mediana Edad , Pronóstico
19.
Chest ; 94(6): 1232-5, 1988 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-3191765

RESUMEN

Cough capacity was evaluated in 22 patients with muscular dystrophy (MD) using subjective cough assessment, cough flow-volume curves, maximum expiratory pressures (MEP), forced vital capacity (FVC), and peak expiratory flow rates (PEFR). In ten of the 22 patients transients of peak flow were generated during cough flow-volume maneuvers, indicating dynamic compression of the airways, which is considered important in the physiology of an efficient cough. Patients who could not generate peak flow transients had significantly reduced PEFR, FVC, and MEP values. Measurement of MEP was the most sensitive predictor of flow transient production during coughing; all of the patients who exhibited transients had MEP values of above 60 cmH2O, whereas the highest value of MEP recorded in patients without transients was 45 cmH2O. Three of the 12 patients who were unable to generate flow transients were considered to have an adequate cough by subjective assessment. We concluded that the measurement of MEP is extremely useful for assessment of cough strength in patients with MD.


Asunto(s)
Tos/fisiopatología , Distrofias Musculares/fisiopatología , Adolescente , Adulto , Niño , Femenino , Humanos , Masculino , Flujo Espiratorio Máximo , Curvas de Flujo-Volumen Espiratorio Máximo , Boca/fisiopatología , Ápice del Flujo Espiratorio , Espirometría , Capacidad Vital
20.
J Appl Physiol (1985) ; 91(2): 897-904, 2001 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-11457808

RESUMEN

The hypothesis that upper airway (UA) pressure and flow modulate respiratory muscle activity in a respiratory phase-specific fashion was assessed in anesthetized, tracheotomized, spontaneously breathing piglets. We generated negative pressure and inspiratory flow in phase with tracheal inspiration or positive pressure and expiratory flow in phase with tracheal expiration in the isolated UA. Stimulation of UA negative pressure receptors with body temperature air resulted in a 10--15% enhancement of phasic moving-time-averaged posterior cricoarytenoid electromyographic (EMG) activity above tonic levels obtained without pressure and flow in the UA (baseline). Stimulation of UA positive pressure receptors increased phasic moving-time-averaged thyroarytenoid EMG activity above tonic levels by 45% from baseline. The same enhancement of posterior cricoarytenoid or thyroarytenoid EMG activity was observed with the addition of flow receptor stimulation with room temperature air. Tidal volume and diaphragmatic and abdominal muscle activity were unaffected by UA flow and/or pressure, whereas respiratory timing was minimally affected. We conclude that laryngeal afferents, mainly from pressure receptors, are important in modulating the respiratory activity of laryngeal muscles.


Asunto(s)
Envejecimiento/fisiología , Músculos Laríngeos/fisiología , Pulmón/fisiología , Mecánica Respiratoria/fisiología , Músculos Respiratorios/fisiología , Animales , Temperatura Corporal , Electromiografía , Femenino , Inhalación/fisiología , Masculino , Presión , Porcinos , Temperatura , Tráquea/fisiología
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