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1.
Mol Phylogenet Evol ; 156: 107039, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33310059

RESUMEN

Members of the trochoidean genus Margarella (Calliostomatidae) are broadly distributed across Antarctic and sub-Antarctic ecosystems. Here we used novel mitochondrial and nuclear gene sequences to clarify species boundaries and phylogenetic relationships among seven nominal species distributed on either side of the Antarctic Polar Front (APF). Molecular reconstructions and species-delimitation analyses recognized only four species: M. antarctica (the Antarctic Peninsula), M. achilles (endemic to South Georgia), M. steineni (South Georgia and Crozet Island) and the morphologically variable M. violacea (=M. expansa, M. porcellana and M. pruinosa), with populations in southern South America, the Falkland/Malvinas, Crozet and Kerguelen Islands. Margarella violacea and M. achilles are sister species, closely related to M. steineni, with M. antarctica sister to all these. This taxonomy reflects contrasting biogeographic patterns on either side of the APF in the Southern Ocean. Populations of Margarella north of the APF (M. violacea) showed significant genetic variation but with many shared haplotypes between geographically distant populations. By contrast, populations south of the APF (M. antarctica, M. steineni and M. achilles) exhibited fewer haplotypes and comprised three distinct species, each occurring across a separate geographical range. We hypothesize that the biogeographical differences may be the consequence of the presence north of the APF of buoyant kelps - potential long-distance dispersal vectors for these vetigastropods with benthic-protected development - and their near-absence to the south. Finally, we suggest that the low levels of genetic diversity within higher-latitude Margarella reflect the impact of Quaternary glacial cycles that exterminated local populations during their maxima.


Asunto(s)
Gastrópodos/clasificación , Gastrópodos/genética , Filogeografía , Animales , Regiones Antárticas , Teorema de Bayes , ADN/genética , ADN Mitocondrial/genética , Filogenia , Polimorfismo Genético , América del Sur , Especificidad de la Especie , Factores de Tiempo
2.
Psychol Med ; 43(7): 1433-45, 2013 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-23298715

RESUMEN

BACKGROUND: Facial emotion perception (FEP) is a critical human skill for successful social interaction, and a substantial body of literature suggests that explicit FEP is disrupted in major depressive disorder (MDD). Prior research suggests that weakness in FEP may be an important phenomenon underlying patterns of emotion-processing challenges in MDD and the disproportionate frequency of MDD in women. Method Women with (n = 24) and without (n = 22) MDD, equivalent in age and education, completed a FEP task during functional magnetic resonance imaging. RESULTS: The MDD group exhibited greater extents of frontal, parietal and subcortical activation compared with the control group during FEP. Activation in the inferior frontal gyrus (IFG) appeared shifted from a left >right pattern observed in healthy women to a bilateral pattern in MDD women. The ratio of left to right suprathreshold IFG voxels in healthy controls was nearly 3:1, whereas in the MDD group, there was a greater percentage of suprathreshold IFG voxels bilaterally, with no leftward bias. In MDD, relatively greater activation in right IFG compared with left IFG (ratio score) was present and predicted FEP accuracy (r = 0.56, p < 0.004), with an inverse relationship observed between FEP and subgenual cingulate activation (r = - 0.46, p = 0.02). CONCLUSIONS: This study links, for the first time, disrupted IFG activation laterality and increased subgenual cingulate activation with deficient FEP in women with MDD, providing an avenue for imaging-to-assessment translational applications in MDD.


Asunto(s)
Encéfalo/fisiopatología , Trastorno Depresivo Mayor/fisiopatología , Emociones/fisiología , Expresión Facial , Lóbulo Frontal/fisiopatología , Lateralidad Funcional , Reconocimiento Visual de Modelos/fisiología , Adulto , Amígdala del Cerebelo/fisiopatología , Mapeo Encefálico , Estudios de Casos y Controles , Corteza Cerebral/fisiopatología , Femenino , Neuroimagen Funcional , Giro del Cíngulo/fisiopatología , Humanos , Procesamiento de Imagen Asistido por Computador , Imagen por Resonancia Magnética , Persona de Mediana Edad , Adulto Joven
3.
Ann R Coll Surg Engl ; 105(4): 365-371, 2023 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-36374324

RESUMEN

INTRODUCTION: Gastro-oesophageal reflux disease affects 10-20% of the population, and laparoscopic fundoplication is one management option. As the most frequently accessed video-sharing website, YouTube has become a popular source of information for patients. This study conducted a cross-sectional analysis of the quality and demographics of patient education videos available on YouTube for laparoscopic fundoplication. METHODS: Three searches were performed on YouTube using the phrases 'laparoscopic fundoplication', 'heartburn surgery' and 'reflux operation'. The Health on The Net (HON) code, DISCERN and Journal of the American Medical Association (JAMA) systems were used to score the first 75 results from each query. Information about each video was collected, including number of views, time since posting, number of comments and the author of the video. Relationships between these variables and video quality were investigated. RESULTS: The median number of views was 3,793. The most common author category was videos produced by surgeons. Overall the quality was poor, mean HON score was 2.5/8, mean DISCERN score was 29.3/80 and mean JAMA score was 1.5/4. Surgeon-authored videos scored higher when scored using the HON and JAMA systems. Videos of longer duration scored higher using all three scoring systems. No other factors were found to be associated with video quality. CONCLUSION: The quality of information in YouTube videos on laparoscopic fundoplication is unreliable. Doctors should be aware of this and caution their patients of YouTube's limitations. Further research is needed to develop validated scoring systems for evaluating the quality of patient education videos.


Asunto(s)
Laparoscopía , Medios de Comunicación Sociales , Humanos , Fundoplicación , Estudios Transversales , Fuentes de Información , Grabación en Video , Difusión de la Información/métodos , Reproducibilidad de los Resultados
4.
Sci Rep ; 12(1): 3767, 2022 03 08.
Artículo en Inglés | MEDLINE | ID: mdl-35260629

RESUMEN

Although mitochondrial DNA has been widely used in phylogeography, evidence has emerged that factors such as climate, food availability, and environmental pressures that produce high levels of stress can exert a strong influence on mitochondrial genomes, to the point of promoting the persistence of certain genotypes in order to compensate for the metabolic requirements of the local environment. As recently discovered, the gentoo penguins (Pygoscelis papua) comprise four highly divergent lineages across their distribution spanning the Antarctic and sub-Antarctic regions. Gentoo penguins therefore represent a suitable animal model to study adaptive processes across divergent environments. Based on 62 mitogenomes that we obtained from nine locations spanning all four gentoo penguin lineages, we demonstrated lineage-specific nucleotide substitutions for various genes, but only lineage-specific amino acid replacements for the ND1 and ND5 protein-coding genes. Purifying selection (dN/dS < 1) is the main driving force in the protein-coding genes that shape the diversity of mitogenomes in gentoo penguins. Positive selection (dN/dS > 1) was mostly present in codons of the Complex I (NADH genes), supported by two different codon-based methods at the ND1 and ND4 in the most divergent lineages, the eastern gentoo penguin from Crozet and Marion Islands and the southern gentoo penguin from Antarctica respectively. Additionally, ND5 and ATP6 were under selection in the branches of the phylogeny involving all gentoo penguins except the eastern lineage. Our study suggests that local adaptation of gentoo penguins has emerged as a response to environmental variability promoting the fixation of mitochondrial haplotypes in a non-random manner. Mitogenome adaptation is thus likely to have been associated with gentoo penguin diversification across the Southern Ocean and to have promoted their survival in extreme environments such as Antarctica. Such selective processes on the mitochondrial genome may also be responsible for the discordance detected between nuclear- and mitochondrial-based phylogenies of gentoo penguin lineages.


Asunto(s)
Genoma Mitocondrial , Spheniscidae , Animales , Regiones Antárticas , ADN Mitocondrial/genética , Genoma Mitocondrial/genética , Filogenia , Filogeografía , Spheniscidae/genética
5.
Neuroimage ; 54(1): 417-26, 2011 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-20727412

RESUMEN

It has been shown that varying the spatial versus symbolic nature of stimulus presentation and response production, which affects stimulus-response (S-R) mapping requirements, influences the magnitude of implicit sequence learning (Koch and Hoffman, 2000). Here, we evaluated how spatial and symbolic stimuli and responses affect the neural bases of sequence learning. We selectively eliminated the spatial component of stimulus presentation (spatial vs. symbolic), response execution (manual vs. vocal), or both. Fourteen participants performed the alternating serial reaction time task under these conditions in an MRI scanner, with interleaved acquisition to allow for recording of vocal response reaction times. Nine regions of interest (ROIs) were selected to test the hypothesis that the dorsolateral prefrontal cortex (DLPFC) was preferentially engaged for spatially cued conditions and cerebellum lobule HVI, crus I and II were associated with symbolically cued learning. We found that the left cerebellum lobule HVI was selectively recruited for symbolic learning and the percent signal change in this region was correlated with learning magnitude under the symbolic conditions. In contrast, the DLPFC did not exhibit selective activation for learning under spatial conditions. The inferior parietal lobule exhibited increased activation during learning regardless of the condition, supporting its role in forming an abstract representation of learned sequences. These findings reveal different brain networks that are flexibly engaged depending on the conditions of sequence learning.


Asunto(s)
Encéfalo/fisiología , Cerebelo/fisiología , Aprendizaje/fisiología , Imagen por Resonancia Magnética/métodos , Red Nerviosa/fisiología , Tiempo de Reacción/fisiología , Adulto , Mapeo Encefálico/métodos , Femenino , Fijación Ocular/fisiología , Lóbulo Frontal/fisiología , Lateralidad Funcional/fisiología , Humanos , Masculino , Lóbulo Parietal/fisiología , Análisis de Secuencia/métodos , Percepción Espacial , Habla , Simbolismo , Adulto Joven
6.
Science ; 280(5364): 747-9, 1998 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-9563953

RESUMEN

An unresolved question in neuroscience and psychology is how the brain monitors performance to regulate behavior. It has been proposed that the anterior cingulate cortex (ACC), on the medial surface of the frontal lobe, contributes to performance monitoring by detecting errors. In this study, event-related functional magnetic resonance imaging was used to examine ACC function. Results confirm that this region shows activity during erroneous responses. However, activity was also observed in the same region during correct responses under conditions of increased response competition. This suggests that the ACC detects conditions under which errors are likely to occur rather than errors themselves.


Asunto(s)
Cognición/fisiología , Lóbulo Frontal/fisiología , Giro del Cíngulo/fisiología , Mapeo Encefálico , Humanos , Imagen por Resonancia Magnética
7.
Sci Rep ; 8(1): 17481, 2018 11 30.
Artículo en Inglés | MEDLINE | ID: mdl-30504851

RESUMEN

Since at least the middle-Miocene, the Antarctic Polar Front (APF) and the Subtropical Front (STF) appear to have been the main drivers of diversification of marine biota in the Southern Ocean. However, highly migratory marine birds and mammals challenge this paradigm and the importance of oceanographic barriers. Eudyptes penguins range from the Antarctic Peninsula to subantarctic islands and some of the southernmost subtropical islands. Because of recent diversification, the number of species remains uncertain. Here we analyze two mtDNA (HVRI, COI) and two nuclear (ODC, AK1) markers from 13 locations of five putative Eudyptes species: rockhopper (E. filholi, E. chrysocome, and E. moseleyi), macaroni (E. chrysolophus) and royal penguins (E. schlegeli). Our results show a strong phylogeographic structure among rockhopper penguins from South America, subantarctic and subtropical islands supporting the recognition of three separated species of rockhopper penguins. Although genetic divergence was neither observed among macaroni penguins from the Antarctic Peninsula and sub-Antarctic islands nor between macaroni and royal penguins, population genetic analyses revealed population genetic structure in both cases. We suggest that the APF and STF can act as barriers for these species. While the geographic distance between colonies might play a role, their impact/incidence on gene flow may vary between species and colonies.

8.
Sci Total Environ ; 575: 701-712, 2017 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-27743652

RESUMEN

When used in addition to environmentally friendly cultural practices, buffer zones can limit the water transfer of pollutants, in particular pesticides, towards water resources. The choice of the buffer zones' type and positioning, considering water pathways and flow components, is crucial. When this choice has been performed, buffer zones dimensions must still be optimized, according to the environment characteristics, which strongly influence their effectiveness. This article presents a method and its associated tools, including VFSMOD model, which aim at optimizing vegetative buffer zones (VFS) sizes, by simulating their transfer mitigation effectiveness. A first application of this methodology is illustrated on a small agricultural watershed in Brittany. A second application, based on the simulation of a large number of scenarios, leads to the elaboration of nomograms. They allow optimizing VFS size in a simpler way from the user's point of view.

9.
Neuroscience ; 139(1): 311-6, 2006 Apr 28.
Artículo en Inglés | MEDLINE | ID: mdl-16417974

RESUMEN

Memory for order information has been tied to the frontal lobes, however, parietal activation is observed in many functional neuroimaging studies. Here we report functional magnetic resonance findings from an event-related experiment involving working memory for order. Five letters were presented for storage, followed after a delay by two probe items. Probe items could be separated by zero to three positions in the memory set and subjects had to indicate whether the items were in the correct order. Analyses indicate that activation in left parietal cortex shows a systematic decrease in activation with increasing probe distance. This finding is consistent with an earlier study in which we suggested that parietal cortical regions mediate the representation of order information via magnitude codes.


Asunto(s)
Potenciales Evocados/fisiología , Memoria a Corto Plazo/fisiología , Lóbulo Parietal/fisiología , Reconocimiento Visual de Modelos/fisiología , Percepción del Tiempo/fisiología , Adulto , Mapeo Encefálico , Femenino , Lateralidad Funcional/fisiología , Humanos , Imagen por Resonancia Magnética , Masculino , Red Nerviosa/anatomía & histología , Red Nerviosa/fisiología , Vías Nerviosas/anatomía & histología , Vías Nerviosas/fisiología , Pruebas Neuropsicológicas , Estimulación Luminosa , Factores de Tiempo
10.
Nucleic Acids Res ; 29(19): 4025-34, 2001 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-11574685

RESUMEN

The DNA repair protein O(6)-alkylguanine alkyltransferase (AGT) is responsible for removing promutagenic alkyl lesions from exocyclic oxygens located in the major groove of DNA, i.e. the O(6) and O(4) positions of guanine and thymine. The protein carries out this repair reaction by transferring the alkyl group to an active site cysteine and in doing so directly repairs the premutagenic lesion in a reaction that inactivates the protein. In order to trap a covalent AGT-DNA complex, oligodeoxyribonucleotides containing the novel nucleoside N(1),O(6)-ethanoxanthosine ((e)X) have been prepared. The (e)X nucleoside was prepared by deamination of 3',5'-protected O(6)-hydroxyethyl-2'-deoxyguanosine followed by cyclization to produce 3',5'-protected N(1),O(6)-ethano-2'-deoxyxanthosine, which was converted to the nucleoside phosphoramidite and used in the preparation of oligodeoxyribonucleotides. Incubation of human AGT with a DNA duplex containing (e)X resulted in the formation of a covalent protein-DNA complex. Formation of this complex was dependent on both active human AGT and (e)X and could be prevented by chemical inactivation of the AGT with O(6)-benzylguanine. The crosslinking of AGT to DNA using (e)X occurs with high yield and the resulting complex appears to be well suited for further biochemical and biophysical characterization.


Asunto(s)
Reactivos de Enlaces Cruzados/química , ADN/metabolismo , O(6)-Metilguanina-ADN Metiltransferasa/metabolismo , Ribonucleósidos/química , Reactivos de Enlaces Cruzados/síntesis química , Humanos , Sustancias Macromoleculares , Modelos Químicos , Oligodesoxirribonucleótidos/síntesis química , Oligodesoxirribonucleótidos/química , Ribonucleósidos/síntesis química
11.
Rev Sci Instrum ; 87(2): 02B937, 2016 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-26932109

RESUMEN

The transport of intense ion beams is affected by the collective behavior of this kind of multi-particle and multi-species system. The space charge expressed by the generalized perveance dominates the dynamical process of thermalisation, which leads to emittance growth. To prevent changes of intrinsic beam properties and to reduce the intensity dependent focusing forces, space charge compensation seems to be an adequate solution. In the case of positively charged ion beams, electrons produced by residual gas ionization and secondary electrons provide the space charge compensation. The influence of the compensation particles on the beam transport and the local degree of space charge compensation is given by different beam properties as well as the ion beam optics. Especially for highly charged ion beams, space charge compensation in combination with poor vacuum conditions leads to recombination processes and therefore increased beam losses. Strategies for providing a compensation-electron reservoir at very low residual gas pressures will be discussed.

12.
Arch Gen Psychiatry ; 58(3): 280-8, 2001 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-11231835

RESUMEN

BACKGROUND: Previously we proposed that dorsolateral prefrontal cortex (PFC) supports a specific working memory (WM) subcomponent: the ability to represent and maintain context information necessary to guide appropriate task behavior. By context, we mean prior task-relevant information represented in such a form that it supports selection of the appropriate behavioral response. Furthermore, we hypothesized that WM deficits in schizophrenia reflect impaired context processing due to a disturbance in dorsolateral PFC. We use functional magnetic resonance imaging to examine PFC activation in medication-naive, first-episode patients with schizophrenia during a WM, task-isolating context processing. METHODS: Fourteen first-episode, medication-naive patients with schizophrenia and 12 controls similar in age, sex, and parental education underwent functional magnetic resonance imaging during performance of an A-X version of the Continuous Performance Test. RESULTS: Patients with schizophrenia demonstrated deficits in dorsolateral PFC activation in task conditions requiring context processing but showed intact activation of posterior and inferior PFC. In addition, patients demonstrated intact activation of the primary motor and somatosensory cortex in response to stimulus processing demands. CONCLUSIONS: These results demonstrate selectivity in dorsolateral PFC dysfunction among medication-naive first-episode patients with schizophrenia, suggesting that a specific deficit in PFC function is present at illness onset, prior to the administration of medication or the most confounding effects of illness duration. Furthermore, these results are consistent with the hypothesis that WM deficits in patients with schizophrenia reflect an impairment in context processing due to a disturbance in dorsolateral PFC function.


Asunto(s)
Trastornos del Conocimiento/fisiopatología , Imagen por Resonancia Magnética/estadística & datos numéricos , Pruebas Neuropsicológicas/estadística & datos numéricos , Corteza Prefrontal/fisiopatología , Esquizofrenia/fisiopatología , Psicología del Esquizofrénico , Adulto , Antipsicóticos/administración & dosificación , Corteza Cerebral/anatomía & histología , Corteza Cerebral/fisiopatología , Trastornos del Conocimiento/diagnóstico , Femenino , Humanos , Masculino , Corteza Motora/fisiología , Corteza Prefrontal/anatomía & histología , Escalas de Valoración Psiquiátrica/estadística & datos numéricos , Esquizofrenia/diagnóstico , Corteza Somatosensorial/fisiología , Análisis y Desempeño de Tareas
13.
Am J Psychiatry ; 158(7): 1105-13, 2001 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-11431233

RESUMEN

OBJECTIVE: The dorsolateral prefrontal cortex has been implicated in both working memory and the pathophysiology of schizophrenia. A relationship among dorsolateral prefrontal cortex activity, working memory dysfunction, and symptoms in schizophrenia has not been firmly established, partly because of generalized cognitive impairments in patients and task complexity. Using tasks that parametrically manipulated working memory load, the authors tested three hypotheses: 1) patients with schizophrenia differ in prefrontal activity only when behavioral performance differentiates them from healthy comparison subjects, 2) dorsolateral prefrontal cortex dysfunction is associated with poorer task performance, and 3) dorsolateral prefrontal cortex dysfunction is associated with cognitive disorganization but not negative or positive symptoms. METHOD: Seventeen conventionally medicated patients with schizophrenia and 16 healthy comparison subjects underwent functional magnetic resonance imaging while performing multiple levels of the "n-back" sequential-letter working memory task. RESULTS: Patients with schizophrenia showed a deficit in physiological activation of the right dorsolateral prefrontal cortex (Brodmann's area 46/9) in the context of normal task-dependent activity in other regions, but only under the condition that distinguished them from comparison subjects on task performance. Patients with greater dorsolateral prefrontal cortex dysfunction performed more poorly. Dorsolateral prefrontal cortex dysfunction was selectively associated with disorganization symptoms. CONCLUSIONS: These results are consistent with the hypotheses that working memory dysfunction in patients with schizophrenia is caused by a disturbance of the dorsolateral prefrontal cortex and that this disturbance is selectively associated with cognitive disorganization. Further, the pattern of behavioral performance suggests that dorsolateral prefrontal cortex dysfunction does not reflect a deficit in the maintenance of stimulus representations per se but points to deficits in more associative components of working memory.


Asunto(s)
Trastornos de la Memoria/fisiopatología , Corteza Prefrontal/fisiopatología , Esquizofrenia/diagnóstico , Esquizofrenia/fisiopatología , Adulto , Lateralidad Funcional/fisiología , Humanos , Imagen por Resonancia Magnética , Trastornos de la Memoria/diagnóstico , Pruebas Neuropsicológicas/estadística & datos numéricos , Escalas de Valoración Psiquiátrica/estadística & datos numéricos , Desempeño Psicomotor/fisiología , Tiempo de Reacción/fisiología , Psicología del Esquizofrénico , Análisis y Desempeño de Tareas
14.
Neuropsychologia ; 35(10): 1373-80, 1997 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-9347483

RESUMEN

A functional magnetic resonance imaging (fMRI) study was conducted to determine whether prefrontal cortex (PFC) increases activity in working memory (WM) tasks as a specific result of the demands placed on WM, or to other processes affected by the greater difficulty of such tasks. Increased activity in dorsolateral PFC (DLPFC) was observed during task conditions that placed demands on active maintenance (long retention interval) relative to control conditions matched for difficulty. Furthermore, the activity was sustained over the entire retention interval and did not increase when task difficulty was manipulated independently of WM requirements. This contrasted with the transient increases in activity observed in the anterior cingulate, and other regions of frontal cortex, in response to increased task difficulty but not WM demands. Thus, this study established a double-dissociation between regions responsive to WM versus task difficulty, indicating a specific involvement of DLPFC and related structures in WM function.


Asunto(s)
Atención/fisiología , Memoria/fisiología , Corteza Prefrontal/fisiología , Análisis y Desempeño de Tareas , Volición/fisiología , Adulto , Análisis de Varianza , Señales (Psicología) , Femenino , Lóbulo Frontal/fisiología , Giro del Cíngulo/fisiología , Humanos , Masculino , Factores de Tiempo
15.
Neuroreport ; 7(4): 961-5, 1996 Mar 22.
Artículo en Inglés | MEDLINE | ID: mdl-8724683

RESUMEN

Functional magnetic resonance imaging (fMRI) was used to investigate the neural basis of written word recognition in two normal subjects. With a 1.5T scanner and temporal surface coil, T2 gradient echo images were obtained while subjects read words aloud. As a control condition, subjects visualized false font strings and said the word "range' each time such a string appeared. These two conditions were presented in an oscillatory pattern, alternating 30 s of each condition for a total of 4 min. Comparison of the two conditions using cross-correlation demonstrated strong activation in both subjects in the left posterior superior temporal gyrus, near the site predicted for the visual input lexicon by Déjerine and recently demonstrated by positron emission tomography.


Asunto(s)
Lenguaje , Imagen por Resonancia Magnética , Lectura , Habla , Tomografía Computarizada de Emisión , Adulto , Artefactos , Estudios de Factibilidad , Femenino , Humanos , Masculino , Lóbulo Temporal/fisiología
16.
Clin Ther ; 21(7): 1216-27, 1999 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-10463519

RESUMEN

This randomized, double-masked, placebo-controlled, multicenter trial was conducted in 9 countries to assess the safety and efficacy of 2 doses of intravenous ondansetron (8 and 16 mg) for the control of opioid-induced nausea and vomiting. A total of 2574 nonsurgical patients who presented with pain requiring treatment with an opioid analgesic agent participated in this trial. The most common presenting painful condition was back or neck pain, reported by approximately one third of patients. A total of 520 patients (317 females, 203 males) developed nausea or vomiting after opioid administration and were randomly assigned to receive a single dose of 1 of 3 study treatments: placebo (n = 94), ondansetron 8 mg (n = 215), or ondansetron 16 mg (n = 211). Ondansetron 8 and 16 mg led to complete control of emesis in 134 of 215 patients (62.3%) and 145 of 211 patients (68.7%), respectively. Results with both doses were significantly better than those seen with placebo (43 of 94 patients [45.7%]). Complete control of nausea was achieved in 6.8% of placebo patients, 14.8% of ondansetron 8-mg-treated patients, and 19.4% of ondansetron 16-mg treated patients; only ondansetron 16 mg was significantly better than placebo (P = 0.007). Significantly more patients who received ondansetron 8 mg than patients who received placebo were satisfied/very satisfied with their antiemetic treatment, as assessed by 4 patient-satisfaction questions. Significantly more patients who received ondansetron 16 mg compared with placebo were satisfied/very satisfied on 2 of 4 satisfaction questions. In conclusion, based on the observed incidence of opioid-induced nausea and vomiting in this study, it may be more appropriate to treat symptoms on occurrence rather than administering antiemetic agents prophylactically. The results of this study demonstrate that intravenous ondansetron in doses of 8 or 16 mg is an effective antiemetic agent for the control of opioid-induced nausea and vomiting in nonsurgical patients requiring opioid analgesia for pain.


Asunto(s)
Antieméticos/uso terapéutico , Narcóticos/efectos adversos , Náusea/prevención & control , Ondansetrón/uso terapéutico , Vómitos/prevención & control , Adulto , Antieméticos/efectos adversos , Relación Dosis-Respuesta a Droga , Método Doble Ciego , Femenino , Humanos , Infusiones Intravenosas , Masculino , Persona de Mediana Edad , Ondansetrón/efectos adversos , Satisfacción del Paciente , Encuestas y Cuestionarios
17.
Clin Neurophysiol ; 110(12): 2189-93, 1999 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-10616125

RESUMEN

A stretchable electrode cap containing 64 electrodes was modified to make it compatible for functional magnetic resonance imaging (fMRI). Metallic components were individually tested for magnetic susceptibility, and those that perturbed a free-swinging magnet or moved in a strong magnetic field were replaced with non-ferromagnetic components. Studies with a phantom indicate that placement of the cables carrying signals from the cap to the amplifiers can significantly affect MR image quality. Anatomical and functional images obtained with the modified electrode cap show modest signal loss, but not enough to substantially interfere with the low-noise images required for fMRI. The cap enables faster application of large arrays of electrodes in conjunction with MRI studies, and thus makes combined EEG/fMRI studies more practical, especially those with EEG source localization as one of the goals.


Asunto(s)
Electrodos , Electroencefalografía/instrumentación , Imagen por Resonancia Magnética/instrumentación , Encéfalo/fisiología , Humanos
18.
IEEE Trans Med Imaging ; 16(4): 372-7, 1997 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-9262995

RESUMEN

In nuclear magnetic resonance, different spectral components often correspond to different chemical species and as such, spectral selectivity can be a valuable tool for diagnostic imaging. In the work presented here, a multishot image acquisition method based upon rosette K-space trajectories has been developed and implemented for spectrally selective magnetic resonance imaging (MRI). Parametric forms for the gradient waveforms and design constraints are derived, and an example multishot gradient design is presented. The spectral behavior for this imaging method is analyzed in a simulation model. For frequencies that are near to the resonant frequency, this method results in a lower intensity, but undistorted image, while for frequencies that are off-resonance by a large amount, the object is incoherently dephased into noise. A method by which acquisitions are delayed by small amounts is introduced to further reduce the residual intensity for off-resonant signals. An image reconstruction method based on convolution gridding, including a correction method for small amounts of magnetic field inhomogeneity, is implemented. Finally, the spectral selectivity is demonstrated in vivo in a study in which both water and lipid images are generated from a single imaging data set.


Asunto(s)
Artefactos , Procesamiento de Imagen Asistido por Computador , Imagen por Resonancia Magnética/métodos , Análisis de Fourier , Humanos , Fantasmas de Imagen
19.
IEEE Trans Med Imaging ; 10(2): 154-63, 1991.
Artículo en Inglés | MEDLINE | ID: mdl-18222812

RESUMEN

Magnetic detection of complex images in magnetic resonance imaging (MRI) is immune to the effects of incidental phase variations, although in some applications information is lost or images are degraded. It is suggested that synchronous detection or demodulation can be used in MRI systems in place of magnitude detection to provide complete suppression of undesired quadrature components, to preserve polarity and phase information, and to eliminate the biases and reduction in signal-to-noise ratio (SNR) and contrast in low SNR images. The incidental phase variations in an image are removed through the use of a homodyne demodulation reference, which is derived from the image or the object itself. Synchronous homodyne detection has been applied to the detection of low SNR images, the reconstruction of partial k-space images, the simultaneous detection of water and lipid signals in quadrature, and the preservation of polarity in inversion-recovery images.

20.
IEEE Trans Med Imaging ; 14(3): 454-63, 1995.
Artículo en Inglés | MEDLINE | ID: mdl-18215849

RESUMEN

Fourier inversion is an efficient method for image reconstruction in a variety of applications, for example, in computed tomography and magnetic resonance imaging. Fourier inversion normally consists of two steps, interpolation of data onto a rectilinear grid, if necessary, and inverse Fourier transformation. Here, the authors present interpolation by the scan-line method, in which the interpolation algorithm is implemented in a form consisting only of row operations and data transposes. The two-dimensional inverse Fourier transformation can also be implemented with only row operations and data transposes. Accordingly, Fourier inversion can easily be implemented on a parallel computer that supports row operations and data transposes on row distributed data. The conditions under which the scan-line implementations are algorithmically equivalent to the original serial computer implementation are described and methods for improving accuracy outside of those conditions are presented. The scan-line algorithm is implemented on the iWarp parallel computer using the Adapt language for parallel image processing. This implementation is applied to magnetic resonance data acquired along radial-lines and spiral trajectories through Fourier transform space.

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