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2.
Nat Commun ; 15(1): 1361, 2024 Feb 14.
Artículo en Inglés | MEDLINE | ID: mdl-38355720

RESUMEN

Variational autoencoder architectures have the potential to develop reduced-order models for chaotic fluid flows. We propose a method for learning compact and near-orthogonal reduced-order models using a combination of a ß-variational autoencoder and a transformer, tested on numerical data from a two-dimensional viscous flow in both periodic and chaotic regimes. The ß-variational autoencoder is trained to learn a compact latent representation of the flow velocity, and the transformer is trained to predict the temporal dynamics in latent-space. Using the ß-variational autoencoder to learn disentangled representations in latent-space, we obtain a more interpretable flow model with features that resemble those observed in the proper orthogonal decomposition, but with a more efficient representation. Using Poincaré maps, the results show that our method can capture the underlying dynamics of the flow outperforming other prediction models. The proposed method has potential applications in other fields such as weather forecasting, structural dynamics or biomedical engineering.

3.
Am J Surg ; 224(1 Pt A): 179-184, 2022 07.
Artículo en Inglés | MEDLINE | ID: mdl-34911639

RESUMEN

BACKGROUND: Prior studies have shown that gender can influence how learners are assessed and the feedback they receive. We investigated the quality of faculty narrative comments in general surgery trainee evaluation using trainee-assessor gender dyads. METHODS: Narrative assessments of surgical trainees at the University of British Columbia were collected and rated using the McMaster Narrative Comment Rating Scale (MNCRS). Variables from the MNCRS were inputted into a generalized linear mixed model to explore the impact of gender dyads on the quality of narrative feedback. RESULTS: 2,469 assessments were collected. Women assessors tended to give higher-quality comments (p's < 0.05) than men assessors. Comments from men assessors to women trainees were significantly more positive than comments from men assessors to men trainees (p = 0.02). Men assessors also tended to give women trainees more reinforcing than corrective comments than to men trainees (p < 0.01). CONCLUSIONS: There are significant differences in the quality of faculty feedback to trainees by gender dyads. A range of solutions to improve and reduce differences in feedback quality are discussed.


Asunto(s)
Competencia Clínica , Cirugía General , Retroalimentación , Femenino , Humanos , Masculino , Narración
4.
J Appl Microbiol ; 110(6): 1571-83, 2011 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-21447014

RESUMEN

AIMS: Research into the relationship between pathogens, faecal indicator microbes and environmental factors in beach sand has been limited, yet vital to the understanding of the microbial relationship between sand and the water column and to the improvement of criteria for better human health protection at beaches. The objectives of this study were to evaluate the presence and distribution of pathogens in various zones of beach sand (subtidal, intertidal and supratidal) and to assess their relationship with environmental parameters and indicator microbes at a non-point source subtropical marine beach. METHODS AND RESULTS: In this exploratory study in subtropical Miami (Florida, USA), beach sand samples were collected and analysed over the course of 6 days for several pathogens, microbial source tracking markers and indicator microbes. An inverse correlation between moisture content and most indicator microbes was found. Significant associations were identified between some indicator microbes and pathogens (such as nematode larvae and yeasts in the genus Candida), which are from classes of microbes that are rarely evaluated in the context of recreational beach use. CONCLUSIONS: Results indicate that indicator microbes may predict the presence of some of the pathogens, in particular helminthes, yeasts and the bacterial pathogen Staphylococcus aureus including methicillin-resistant forms. Indicator microbes may thus be useful for monitoring beach sand and water quality at non-point source beaches. SIGNIFICANCE AND IMPACT OF THE STUDY: The presence of both indicator microbes and pathogens in beach sand provides one possible explanation for human health effects reported at non-point sources beaches.


Asunto(s)
Bacterias/aislamiento & purificación , Playas , Monitoreo del Ambiente/métodos , Helmintos/aislamiento & purificación , Microbiología del Agua , Levaduras/aislamiento & purificación , Animales , Recuento de Colonia Microbiana , Florida , Agua de Mar/microbiología , Agua de Mar/parasitología , Dióxido de Silicio/análisis
5.
J R Soc Interface ; 18(175): 20200802, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-33561376

RESUMEN

High-fidelity blood flow modelling is crucial for enhancing our understanding of cardiovascular disease. Despite significant advances in computational and experimental characterization of blood flow, the knowledge that we can acquire from such investigations remains limited by the presence of uncertainty in parameters, low resolution, and measurement noise. Additionally, extracting useful information from these datasets is challenging. Data-driven modelling techniques have the potential to overcome these challenges and transform cardiovascular flow modelling. Here, we review several data-driven modelling techniques, highlight the common ideas and principles that emerge across numerous such techniques, and provide illustrative examples of how they could be used in the context of cardiovascular fluid mechanics. In particular, we discuss principal component analysis (PCA), robust PCA, compressed sensing, the Kalman filter for data assimilation, low-rank data recovery, and several additional methods for reduced-order modelling of cardiovascular flows, including the dynamic mode decomposition and the sparse identification of nonlinear dynamics. All techniques are presented in the context of cardiovascular flows with simple examples. These data-driven modelling techniques have the potential to transform computational and experimental cardiovascular research, and we discuss challenges and opportunities in applying these techniques in the field, looking ultimately towards data-driven patient-specific blood flow modelling.


Asunto(s)
Enfermedades Cardiovasculares , Hemodinámica , Humanos , Dinámicas no Lineales
6.
Comput Biol Med ; 135: 104566, 2021 08.
Artículo en Inglés | MEDLINE | ID: mdl-34157468

RESUMEN

High-fidelity patient-specific modeling of cardiovascular flows and hemodynamics is challenging. Direct blood flow measurement inside the body with in-vivo measurement modalities such as 4D flow magnetic resonance imaging (4D flow MRI) suffer from low resolution and acquisition noise. In-vitro experimental modeling and patient-specific computational fluid dynamics (CFD) models are subject to uncertainty in patient-specific boundary conditions and model parameters. Furthermore, collecting blood flow data in the near-wall region (e.g., wall shear stress) with experimental measurement modalities poses additional challenges. In this study, a computationally efficient data assimilation method called reduced-order modeling Kalman filter (ROM-KF) was proposed, which combined a sequential Kalman filter with reduced-order modeling using a linear model provided by dynamic mode decomposition (DMD). The goal of ROM-KF was to overcome low resolution and noise in experimental and uncertainty in CFD modeling of cardiovascular flows. The accuracy of the method was assessed with 1D Womersley flow, 2D idealized aneurysm, and 3D patient-specific cerebral aneurysm models. Synthetic experimental data were used to enable direct quantification of errors using benchmark datasets. The accuracy of ROM-KF in reconstructing near-wall hemodynamics was assessed by applying the method to problems where near-wall blood flow data were missing in the experimental dataset. The ROM-KF method provided blood flow data that were more accurate than the computational and synthetic experimental datasets and improved near-wall hemodynamics quantification.


Asunto(s)
Aneurisma Intracraneal , Modelos Cardiovasculares , Velocidad del Flujo Sanguíneo , Hemodinámica , Humanos , Hidrodinámica , Modelación Específica para el Paciente
7.
JAR Life ; 10: 8-16, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-36923512

RESUMEN

Objectives: Higher vitamin E status has been associated with lower risk of Alzheimer's disease (AD). However, evidence of the association of vitamin E concentration in neural tissue with AD pathologies is limited. Design: The cross-sectional relationship between the human brain concentrations of α- and γ-tocopherol and the severity of AD pathologies - neurofibrillary tangle (NFT) and neuritic plaque (NP) - was investigated. Setting & Participants: Brains from 43 centenarians (≥ 98 years at death) enrolled in the Phase III of the Georgia Centenarian Study were collected at autopsy. Measurements: Brain α- and γ-tocopherol concentrations (previously reported) were averaged from frontal, temporal, and occipital cortices. NP and NFT counts (previously reported) were assessed in frontal, temporal, parietal, entorhinal cortices, amygdala, hippocampus, and subiculum. NFT topological progression was assessed using Braak staging. Multiple linear regression was performed to assess the relationship between tocopherol concentrations and NP or NFT counts, with and without adjustment for covariates. Results: Brain α-tocopherol concentrations were inversely associated with NFT but not NP counts in amygdala (ß = -2.67, 95% CI [-4.57, -0.79]), entorhinal cortex (ß = -2.01, 95% CI [-3.72, -0.30]), hippocampus (ß = -2.23, 95% CI [-3.82, -0.64]), and subiculum (ß = -2.52, 95% CI [-4.42, -0.62]) where NFT present earlier in its topological progression, but not in neocortices. Subjects with Braak III-IV had lower α-tocopherol (median = 69,622 pmol/g, IQR = 54,389-72,155 pmol/g) than those with Braak I-II (median = 72,108 pmol/g, IQR = 64,056-82,430 pmol/g), but the difference was of borderline significance (p = 0.063). γ-Tocopherol concentrations were not associated with either NFT or NP counts in any brain regions assessed. Conclusions: Higher brain α-tocopherol level is specifically associated with lower NFT counts in brain structures affected in earlier Braak stages. Our findings emphasize the possible importance of α-tocopherol intervention timing in tauopathy progression and warrant future clinical trials.

8.
J Environ Qual ; 38(6): 2468-73, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-19875803

RESUMEN

Concentrating diverse microbes in a time and cost effective manner is an essential component in water quality monitoring of recreational beaches. Historically, detection of bacteria and viruses requires two different capture methods to detect both types of organisms in a given water sample. The purpose of this present study was to evaluate a newly devised dual layered filtration system, which was developed to simultaneously concentrate both viruses and bacteria in one step from marine waters. An apparatus was designed to accommodate two 90-mm diam., 0.45 microm pore size membranes in series, one on top of the other. The top polyvinylidene fluoride (PVDF) membrane was used to filter bacteria by physical straining while the bottom HA membrane retained viruses through adsorption. Results indicated that the dual layer filtration system recovered 83+/-14% of the test bacteria (Enterococcus fecalis) and 81+/-28% of the test virus (MS2 coliphage) on the top and bottom membranes, respectively. This research demonstrates the potential of using a dual layered filtration system for the simultaneous concentration of both bacteria and viruses on separate filters from recreational beach waters. This system is relatively simple to use, inexpensive, and has the potential to be suitable for routine monitoring. This study serves as a proof of concept for the technique. Additional experiments are needed to evaluate the system on a variety of different bacteria and viruses as well as on water with different physical and chemical parameters.


Asunto(s)
Enterococcus faecalis/aislamiento & purificación , Monitoreo del Ambiente/instrumentación , Levivirus/aislamiento & purificación , Agua de Mar/microbiología , Filtración/instrumentación
9.
Water Res ; 41(16): 3747-57, 2007 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-17544051

RESUMEN

The effect of a stormwater conveyance system on indicator bacteria levels at a Florida beach was assessed using microbial source tracking methods, and by investigating indicator bacteria population structure in water and sediments. During a rain event, regulatory standards for both fecal coliforms and Enterococcus spp. were exceeded, contrasting with significantly lower levels under dry conditions. Indicator bacteria levels were high in sediments under all conditions. The involvement of human sewage in the contamination was investigated using polymerase chain reaction (PCR) assays for the esp gene of Enterococcus faecium and for the conserved T antigen of human polyomaviruses, all of which were negative. BOX-PCR subtyping of Escherichia coli and Enterococcus showed higher population diversity during the rain event; and higher population similarity during dry conditions, suggesting that without fresh inputs, only a subset of the population survives the selective pressure of the secondary habitat. These data indicate that high indicator bacteria levels were attributable to a stormwater system that acted as a reservoir and conduit, flushing high levels of indicator bacteria to the beach during a rain event. Such environmental reservoirs of indicator bacteria further complicate the already questionable relationship between indicator organisms and human pathogens, and call for a better understanding of the ecology, fate and persistence of indicator bacteria.


Asunto(s)
Bacterias/aislamiento & purificación , Playas/normas , Agua Dulce/microbiología , Lluvia/microbiología , ADN Viral/análisis , Enterococcus/aislamiento & purificación , Enterococcus faecium , Escherichia coli/aislamiento & purificación , Heces/microbiología , Florida , Humanos , Reacción en Cadena de la Polimerasa , Poliomavirus , Contaminación del Agua/análisis
10.
J Nutr Health Aging ; 11(4): 299-303, 2007.
Artículo en Inglés | MEDLINE | ID: mdl-17653485

RESUMEN

OBJECTIVE: Homebound elderly are at increased risk for micronutrient deficiencies and nutritional status in this population has not been adequately described. There is evidence for beneficial effects of multivitamin use and a greater understanding of their nutritional contribution could identify behaviors that may help alleviate excess chronic disease. The purpose of this analysis is to investigate, in a racially diverse group of homebound elders, the association of multivitamin use with measures of plasma B vitamin concentrations. DESIGN: We examined the cross-sectional association between multivitamin use and plasma concentrations of B vitamins and homocysteine in 236 white and 182 black homebound elders (65-99y). Dietary intake was assessed and demographic and health information was ascertained. RESULTS: White and black elders had a high prevalence of dietary intakes below the Estimated Average Requirement for folate (38.1 and 40.7%), vitamin B6 (16.9 and 19.2%.), and vitamin B12 (3 and 3.9%) respectively. Multivitamin use was associated with higher mean plasma B vitamin concentrations in each group. In whites, multivitamin users had higher concentrations of vitamin B6 (64.6 vs. 32.4 nmol/L; p < 0.001), vitamin B12 (398 vs. 324 pmol/L;p < 0.001) and folate (39.4 vs. 30.4 nmol/L;p < 0.001). Black multivitamin users had higher concentrations of vitamin B6 (53.7 vs. 29.5 nmol/L; p < 0.001), B12 (427 vs. 372 pmol/L; p < 0.05) and folate (35.7 vs. 25.4 nmol/L; < 0.001) than non-users. CONCLUSIONS: Multivitamin supplementation was associated with higher mean plasma concentrations of vitamins B6, B12, and folate and lower prevalence of low plasma B vitamin status in a biracial homebound elderly.


Asunto(s)
Envejecimiento/sangre , Personas Imposibilitadas/estadística & datos numéricos , Política Nutricional , Estado Nutricional , Complejo Vitamínico B/sangre , Vitaminas/administración & dosificación , Negro o Afroamericano/estadística & datos numéricos , Anciano , Anciano de 80 o más Años , Enfermedad Crónica/prevención & control , Estudios Transversales , Suplementos Dietéticos/estadística & datos numéricos , Femenino , Homocisteína/sangre , Humanos , Masculino , Encuestas y Cuestionarios , Población Blanca/estadística & datos numéricos
11.
J Prev Alzheimers Dis ; 4(3): 174-182, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-29182708

RESUMEN

BACKGROUND: Objectives: Elevated plasma total homocysteine (tHcy) is associated with increased risk of cardiovascular disease, stroke and dementia. Results of clinical trials using B-vitamins to reduce the cognitive risks attributed to tHcy have been inconsistent. The high prevalence of both hyperhomocysteinemia and cognitive impairment among kidney transplant recipients makes them an important population in which to evaluate the effect of lowering homocysteine on cognitive function. We therefore evaluated whether B-vitamin therapy to lower tHcy would prevent cognitive-decline in a cohort of stable kidney transplant recipients. DESIGN: The study was a longitudinal ancillary of the FAVORIT trial, a randomized, placebo-controlled multi-site trial of high-dose B vitamins to reduce cardiovascular and cerebrovascular events in clinically stable kidney transplant recipients with elevated tHcy. PARTICIPANTS: 584 participants from 18 sites across North America. INTERVENTION: The intervention consisted of a daily multivitamin containing high-doses of folate (5.0 mg), vitamin B12 (1.0 mg) and vitamin B6 (50 mg). The placebo consisted of a daily multi-vitamin containing no folate and recommended daily allowances of vitamins B12 and B6 (0 mg folate; 2.0 µg vitamin B12; 1.4 mg vitamin B6). MEASUREMENTS: Annual neuropsychological assessment for up to 5 years (mean 3.3 years) using a standardized test battery. Efficacy was analyzed on an intention-to-treat basis using end-of-trial data. Subgroup analyses included stratification for baseline plasma B-vitamin and tHcy concentrations. RESULTS: At baseline, cognitive impairment was common with 61% of participants falling more than one standard deviation below published norms for at least one cognitive test. Fewer than 1% of participants had insufficient plasma folate < 5 ng/ml or vitamin B12 < 148 pmol/L. However, 44.6% had plasma B6 concentrations < 30 nmol/L. At follow-up, processing speed and memory scores were modestly but significantly better in the B-vitamin supplement group than in controls (p≤0.05). There was no interaction between baseline tHcy, B-vitamin status and treatment on the cognitive outcomes. CONCLUSIONS: High-dose B-vitamin supplementation provided modest cognitive benefit for kidney transplant recipients with elevated baseline tHcy. Since nearly all participants were folate and vitamin B12 sufficient at baseline, the potential cognitive benefits of folate and B12 supplementation in individuals with poor B-vitamin status remains to be determined.


Asunto(s)
Trastornos del Conocimiento/dietoterapia , Suplementos Dietéticos , Hiperhomocisteinemia/dietoterapia , Trasplante de Riñón , Complicaciones Posoperatorias/dietoterapia , Complejo Vitamínico B/administración & dosificación , Cognición , Trastornos del Conocimiento/sangre , Trastornos del Conocimiento/etiología , Estudios Transversales , Femenino , Ácido Fólico/administración & dosificación , Ácido Fólico/sangre , Estudios de Seguimiento , Homocisteína/sangre , Humanos , Hiperhomocisteinemia/sangre , Hiperhomocisteinemia/etiología , Hiperhomocisteinemia/psicología , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Pruebas Neuropsicológicas , América del Norte , Complicaciones Posoperatorias/sangre , Complicaciones Posoperatorias/psicología , Resultado del Tratamiento , Complejo Vitamínico B/sangre
12.
Genetics ; 118(1): 121-30, 1988 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-8608921

RESUMEN

The locus-specific effects of heterozygosity upon individual growth rate were determined for 15 polymorphic enzymes among 1906 individuals from a single cohort sample of the marine bivalve Mulinia lateralis. Two measures of individual growth rate (total wet weight and shell length) were made at collection and after a period of growth in the laboratory. The correlation between heterozygosity and growth rate was independently determined for each locus using multiple linear regression, thereby providing a rank of individual locus effects; these differed significantly. The four estimated rankings of relative locus effects (initial length, initial weight, length added in the laboratory, and added weight) were not statistically different. That is, a locus with a large effect of heterozygosity on growth rate in nature had a similarly large effect on laboratory growth rate. The effect of a locus was not related to heterozygosity per se; some highly heterozygous loci had no detectable correlation with growth rate. The data contained two pairs of relatively tightly linked loci; in both cases one locus of a pair had significant effects on growth rate, while the other had no effect. Loci with large and significant correlations with growth rate synthesize enzymes which function in protein catabolism or glycolysis; heterozygosity in enzymes of the pentose shunt, redox balance, or other miscellaneous metabolic roles was not correlated with growth rate. Since the metabolic basis for the correlation is known to derive from individual differences in net energy status, particularly energetic costs of whole-body protein turnover, these data indicate that phenotypic effects (e.g., variation in growth rate) are determined by heterozygosity at the studied genes, not other linked loci.


Asunto(s)
Bivalvos/genética , Enzimas/metabolismo , Glucólisis , Proteínas/metabolismo , Animales , Bivalvos/crecimiento & desarrollo , Bivalvos/metabolismo , Electroforesis en Gel de Almidón , Ligamiento Genético , Marcadores Genéticos , Heterocigoto
13.
Genetics ; 108(2): 445-55, 1984 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-6500257

RESUMEN

The relationship between individual energy budgets and multiple-locus heterozygosity at six polymorphic enzyme loci was examined in Mulinia lateralis. Energy budgets were determined by measuring growth rates, rates of oxygen consumption, ammonia excretion and clearance rates. Enzyme genotypes were determined using starch gel electrophoresis. Growth rate and net growth efficiency (the ratio of energy available for growth to total energy absorbed) increased with individual heterozygosity. The positive relationship between observed growth and multiple-locus heterozygosity was associated with a negative relationship between routine metabolic costs and increasing heterozygosity. Reduction in routine metabolic costs explained 60% of the observed increased growth of more heterozygous individuals. When routine metabolic costs were standardized for differences in feeding rates, these standard metabolic costs explained 97% of the differences in growth rate. Lower standard metabolic costs, associated with increasing heterozygosity, have been proposed as a physiological mechanism for the relationship between multiple-locus heterozygosity and growth rate that has been reported for a variety of organisms, ranging in diversity from aspens to humans. This study demonstrates that reduction of standard metabolic costs, at least in clams, accounts for virtually all of the differences in growth rate among individuals of differing heterozygosity.


Asunto(s)
Bivalvos/genética , Animales , Bivalvos/crecimiento & desarrollo , Bivalvos/metabolismo , Metabolismo Energético , Heterocigoto
14.
Genetics ; 124(3): 687-99, 1990 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-2311919

RESUMEN

Allozyme surveys of marine invertebrates commonly report heterozygote deficiencies, a correlation between multiple locus heterozygosity and size, or both. Hypotheses advanced to account for these phenomena include inbreeding, null alleles, selection, spatial or temporal Wahlund effects, aneuploidy and molecular imprinting. Previous studies have been unable to clearly distinguish among these alternative hypotheses. This report analyzes a large data set (1906 individuals, 15 allozyme loci) from a single field collection of the coot clam Mulinia lateralis and demonstrates (1) significant heterozygote deficiencies at 13 of 15 loci, (2) a correlation between the magnitude of heterozygote deficiency at a locus and the effect of heterozygosity at that locus on shell length, and (3) a distribution of multilocus heterozygosity which deviates from that predicted by observed single-locus heterozygosities. A critical examination of the abovementioned hypotheses as sources of these findings rules out inbreeding, null alleles, aneuploidy, population mixing and imprinting as sole causes. The pooling of larval subpopulations subjected to varying degrees of selection, aneuploidy or imprinting could account for the patterns observed in this study.


Asunto(s)
Bivalvos/genética , Heterocigoto , Alelos , Animales , Bivalvos/crecimiento & desarrollo , Frecuencia de los Genes , Variación Genética , Homocigoto , Análisis de Regresión
15.
Am J Psychiatry ; 153(5): 721-4, 1996 May.
Artículo en Inglés | MEDLINE | ID: mdl-8615424

RESUMEN

OBJECTIVE: The purpose of this study was to investigate the potential effectiveness of dynamic susceptibility contrast magnetic resonance imaging (MRI) to discriminate elderly patients with Alzheimer's disease from normal matched comparison subjects. METHOD: Images of regional cerebral blood volume (CBV) were generated from echo-planar MRI with the dynamic susceptibility contrast method in 13 Alzheimer's disease patients and 13 comparison subjects group-matched on age and gender. RESULTS: Temporoparietal cerebral blood volume, expressed as a percentage of the cerebellum value, was reduced 17% bilaterally in the patients with Alzheimer's disease. Blood volume in sensorimotor regions was reduced only 8.5% in the patients. Discriminant function analysis based on left and right temporoparietal measures correctly classified 88.5% of the subjects as patients or comparison subjects. Temporoparietal CBV was reduced even in mildly affected Alzheimer's disease patients (Mini-Mental State scores > 24). CONCLUSIONS: Dynamic susceptibility contrast MRI of regional CBV is promising as a nonradioactive, potentially lower-cost alternative to other functional neuroimaging methods for evaluating Alzheimer's disease.


Asunto(s)
Enfermedad de Alzheimer/diagnóstico , Circulación Cerebrovascular , Gadolinio , Compuestos Heterocíclicos , Angiografía por Resonancia Magnética , Compuestos Organometálicos , Anciano , Volumen Sanguíneo , Diagnóstico Diferencial , Femenino , Humanos , Masculino
16.
Am J Psychiatry ; 150(7): 1015-9, 1993 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-8317569

RESUMEN

OBJECTIVE: The purpose of this study was to compare the memory function of patients with posttraumatic stress disorder (PTSD) to that of matched comparison subjects. METHOD: Vietnam veterans with combat-related PTSD (N = 26) were compared to physically healthy comparison subjects (N = 15) matched for age, race, sex, years of education, handedness, socioeconomic status, and alcohol abuse. Memory and intelligence were assessed with a battery of neuropsychological tests, including the Russell revision of the Wechsler Memory Scale, the Selective Reminding Test, and subtests of the Wechsler Adult Intelligence Scale-Revised (WAIS-R). RESULTS: The PTSD patients scored significantly lower than the comparison subjects on the Wechsler Memory Scale logical memory measures for immediate recall (mean = 11.6, SD = 3.3 versus mean = 20.9, SD = 6.6) and delayed recall (mean = 8.0, SD = 3.3 versus mean = 17.8, SD = 6.4). The PTSD patients also scored significantly lower on the total recall, long-term storage, long-term retrieval, and delayed recall measures for the verbal component of the Selective Reminding Test and on the recall, long-term storage, long-term retrieval, and continuous long-term retrieval measures for the visual component of the Selective Reminding Test. There was no significant difference between the PTSD patients and comparison subjects in prorated full-scale IQ as measured by the WAIS-R. CONCLUSIONS: Patients with PTSD may have deficits in short-term memory. Counseling and rehabilitation that address these deficits may be of value for PTSD patients.


Asunto(s)
Memoria a Corto Plazo , Trastornos por Estrés Postraumático/diagnóstico , Escalas de Wechsler , Humanos , Masculino , Pruebas Neuropsicológicas , Trastornos por Estrés Postraumático/psicología
17.
Am J Psychiatry ; 152(7): 973-81, 1995 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-7793467

RESUMEN

OBJECTIVE: Studies in nonhuman primates suggest that high levels of cortisol associated with stress have neurotoxic effects on the hippocampus, a brain structure involved in memory. The authors previously showed that patients with combat-related posttraumatic stress disorder (PTSD) had deficits in short-term memory. The purpose of this study was to compare the hippocampal volume of patients with PTSD to that of subjects without psychiatric disorder. METHOD: Magnetic resonance imaging was used to measure the volume of the hippocampus in 26 Vietnam combat veterans with PTSD and 22 comparison subjects selected to be similar to the patients in age, sex, race, years of education, socioeconomic status, body size, and years of alcohol abuse. RESULTS: The PTSD patients had a statistically significant 8% smaller right hippocampal volume relative to that of the comparison subjects, but there was no difference in the volume of other brain regions (caudate and temporal lobe). Deficits in short-term verbal memory as measured with the Wechsler Memory Scale were associated with smaller right hippocampal volume in the PTSD patients only. CONCLUSIONS: These findings are consistent with a smaller right hippocampal volume in PTSD that is associated with functional deficits in verbal memory.


Asunto(s)
Trastornos de Combate/diagnóstico , Hipocampo/anatomía & histología , Imagen por Resonancia Magnética , Adulto , Factores de Edad , Alcoholismo/epidemiología , Núcleo Caudado/anatomía & histología , Comorbilidad , Trastorno Depresivo/epidemiología , Escolaridad , Lateralidad Funcional , Humanos , Masculino , Memoria , Persona de Mediana Edad , Clase Social , Trastornos Relacionados con Sustancias/epidemiología , Lóbulo Temporal/anatomía & histología , Escalas de Wechsler
18.
Regul Pept ; 30(2): 65-76, 1990 Sep 10.
Artículo en Inglés | MEDLINE | ID: mdl-1703316

RESUMEN

Although many factors may modulate the release of atrial natriuretic factor (ANF), the primary mechanism has been demonstrated to be atrial stretch. Recent studies have led to the suggestion that the peptidergic innervation of the heart, through the release of peptides, may be involved in the control of ANF secretion. We have examined the influence of chronic capsaicin treatment on three models of atrial stretch that release ANF. This treatment inhibited ANF released through in vivo blood volume expansion and through balloon inflation in the right atrium of in vitro isolated perfused hearts. Immunohistochemical and electron microscopical analysis confirmed the absence of innervation of the heart by calcitonin gene related peptide and substance P immunoreactive nerve fibres and apparent lack of effect on atrial granules in capsaicin treated rats. We conclude that capsaicin-sensitive cardiac innervation is a component modulating the release of ANF, stimulated by atrial stretch in the rat.


Asunto(s)
Factor Natriurético Atrial/metabolismo , Capsaicina/farmacología , Corazón/fisiología , Animales , Función Atrial , Volumen Sanguíneo , Péptido Relacionado con Gen de Calcitonina/metabolismo , Corazón/efectos de los fármacos , Corazón/inervación , Atrios Cardíacos/efectos de los fármacos , Inmunohistoquímica , Técnicas In Vitro , Fibras Nerviosas/efectos de los fármacos , Fibras Nerviosas/metabolismo , Perfusión , Ratas , Ratas Endogámicas , Estrés Mecánico , Sustancia P/metabolismo
19.
Brain Res ; 285(3): 359-67, 1983 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-6627027

RESUMEN

The ontogeny of the metabolic requirements in the nucleus commissuralis (NC) and nucleus medialis (NM) of the nucleus tractus solitarius was studied in the postnatal rat using the [3H]2-deoxy-D-glucose autoradiography technique. It was found that the metabolic requirements in the NC and NM are not constant between 2 and 12 weeks of age. A high level of metabolic activity at 2 and 8 weeks is contrasted by a lower level at 4 and 12 weeks. The apparent changes in metabolic requirements are not related to the changes in blood pressure of the rats or neuronal densities of the subnuclei which occur as the rats mature, or to exchange vessel densities of the subnuclei. Thus the higher energy requirements of the NC and NM at 2 and 8 weeks of age suggest that developmental and/or functional processes are more active at these stages.


Asunto(s)
Bulbo Raquídeo/metabolismo , Animales , Autorradiografía , Recuento de Células , Desoxiglucosa/metabolismo , Bulbo Raquídeo/irrigación sanguínea , Bulbo Raquídeo/citología , Bulbo Raquídeo/crecimiento & desarrollo , Neuronas/citología , Ratas , Ratas Endogámicas , Tritio
20.
Brain Res ; 314(1): 39-44, 1984 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-6697255

RESUMEN

Changes in relative metabolic requirements and neuronal densities in the nucleus commissuralis (NC) and nucleus medialis (NM) of the nucleus tractus solitarius were studied in spontaneously hypertensive rats (SHR) during development. The changes in relative metabolic requirements in the two subnuclei of SHR between 2 and 12 weeks of age were similar to those previously reported for normotensive WKY at the same ages. However, the relative metabolic activity in the NC of 2- and 4-week SHR was significantly higher than in normotensive rats. The differences in metabolic requirements of the NC could not be explained by differences in the neuronal densities of this subnucleus in young SHR and may reflect abnormalities in developmental or functional activities in the pre-hypertensive rat. Neuronal densities in the NC of 8- and 12-week SHR and in the NM of 4-, 8- and 12-week SHR were significantly higher than in WKY controls. Differences in the neuronal densities in the NC and NM of SHR may be explained by a smaller brain size characteristic of this strain, but differences in the NC of SHR suggest that the alterations may underlie or result from the cardiovascular abnormalities associated with the spontaneous hypertension of this strain.


Asunto(s)
Hipertensión/fisiopatología , Bulbo Raquídeo/fisiología , Animales , Presión Sanguínea , Peso Corporal , Recuento de Células , Glucosa/metabolismo , Masculino , Bulbo Raquídeo/crecimiento & desarrollo , Bulbo Raquídeo/metabolismo , Ratas , Ratas Endogámicas
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